ML23338A331

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Alaska Native Medical Center; License No. 50-27784-01; Docket No. 030-36654; Control No. 637399; Amendment No. 9
ML23338A331
Person / Time
Site: 03036654
Issue date: 12/04/2023
From: Casey Alldredge
NRC/RGN-IV/DRSS/MLB
To:
Document Control Desk
References
License-637399-205288
Download: ML23338A331 (1)


See also: IR 05000277/1984001

Text

U.S. NUCLEAR REGULATORY COMMISSION

MATERIALS LICENSE

NRC FORM 374

PAGE

OF

1

3

Amendment No. 9

PAGES

Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10, Code of Federal Regulations, Chapter I,

Parts 30, 31, 32, 33, 34, 35, 36, 37, 39, 40, 70 and 71, and in reliance on statements and representations heretofore made by the licensee, a license is hereby issued

authorizing the licensee to receive, acquire, possess, and transfer byproduct, source, and special nuclear material designated below; to use such material for the purpose(s)

and at the place(s) designated below; to deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This

license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is subject to all applicable rules, regulations, and

orders of the Nuclear Regulatory Commission now or hereafter in effect and to any conditions specified below.

Licensee

Anchorage, AK 99508

2. 4315 Diplomacy Drive

1. Alaska Native Medical Center

4. Expiration Date: December 31, 2024

Docket No.:

5.

030-36654

License No.: 50-27784-01 is

amended in its entirety to read as

follows:

Reference No.:

3.

In accordance with letter dated

September 26, 2023,

6.

7.

8.

Byproduct, source,

and/or special nuclear

material

Chemical and/or physical form

Maximum amount that licensee

may possess at any one time

under this license

9.

Authorized use

A.

A.

A.

A.

For use in imaging and localization

studies permitted by 10 CFR 35.200.

Any

As Needed

Any byproduct material

permitted by 10 CFR

35.200

License No.:

Docket or Reference No.:

U.S. NUCLEAR REGULATORY COMMISSION

NRC FORM 374A

MATERIALS LICENSE

SUPPLEMENTARY SHEET

PAGES

OF

PAGE

3

2

50-27784-01

030-36654

Amendment No. 9

CONDITIONS

10. Licensed material may be used or stored at the licensee's facilities located at 4315 Diplomacy Drive, Anchorage, Alaska, 99508.

11. The Radiation Safety Officer (RSO) for this license is Kenneth Harper, M.S.

12. Licensed material shall only be used by, or under the supervision of:

A.

Individuals permitted to work as authorized users, authorized nuclear pharmacists, and/or authorized medical physicists in accordance

with 10 CFR 35.13 and 10 CFR 35.14.

B.

The following individuals are authorized users for the material and medical uses as indicated:

Authorized Users

Material and Use

Leslie R. Bryant III, M.D.

35.200

Lee Holder, D.O.

35.200

Howard L. Katz, M.D.

35.200

Tracy C. Marchant, D.O.

35.200

Jaren T. Meldrum, M.D.

35.200

John Midthun, M.D.

35.200

Joel K. Verbrugge, M.D.

35.200

13. In addition to the possession limits in Item 8, the licensee shall further restrict the possession of licensed material to quantities below the

minimum limit specified in 10 CFR 30.35(d) for establishing financial assurance for decommissioning.

License No.:

Docket or Reference No.:

U.S. NUCLEAR REGULATORY COMMISSION

NRC FORM 374A

MATERIALS LICENSE

SUPPLEMENTARY SHEET

PAGES

OF

PAGE

3

3

50-27784-01

030-36654

Amendment No. 9

14. Except as specifically provided otherwise in this license, the licensee shall conduct its program in accordance with the statements,

representations, and procedures contained in the documents, including any enclosures, listed below. This license condition applies only to

those procedures that are required to be submitted in accordance with the regulations. Additionally, this license condition does not limit the

licensee's ability to make changes to the radiation protection program as provided for in 10 CFR 35.26. The U.S. Nuclear Regulatory

Commission's regulations shall govern unless the statements, representations, and procedures in the licensee's application and

correspondence are more restrictive than the regulations.

A. Application dated September 17, 2014 (ML14287A628)

B. Letter dated December 8, 2014 (ML14346A310)

C. Letter dated May 10, 2018 (ML18155A514)

D. Email dated November 30, 2023 (ML23335A169)

FOR THE U.S. NUCLEAR REGULATORY COMMISSION

By:

Date:

Region 4

Casey Alldredge

December 4, 2023

Casey C.

Alldredge

Digitally signed by Casey

C. Alldredge

Date: 2023.12.04

13:29:44 -06'00'