ML24011A186

Export License Issued to Alpha Omega Services, Inc., PXB6.43

ML24011A186
Person / Time
Site:	11006027
Issue date:	01/10/2024
From:	Sabrina Atack NRC/OIP
To:	Tunnell C Alpha Omega Services
References
Download: ML24011A186 (1)

Text

EXPORT LICENSE NRC FORM 250 NRC LICENSE NO.: PXB6.43 United States of America Page 1 of 9 Nuclear Regulatory Commission NRC DOCKET NO.: 11006027 Washington, D.C. 20555 LICENSE EXPIRES: March 31, 2032 Pursuant to the Atomic Energy Act of 1954, as amended, and the regulations issued by the Nuclear Regulatory Commission (NRC) pursuant thereto, and in reliance on statements and representations heretofore made by the applicant/licensee, this license is hereby issued authorizing the licensee to export of the byproduct materials listed below, subject to the terms and conditions herein. This license is only valid if the licensee or 'Other Party (ies) to Export' maintain the requisite NRC or Agreement State domestic license(s).

LICENSEE ULTIMATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES)

Alpha-Omega Services, Inc. See following page(s) 1282 Big Woods-Starks Road Vinton, LA 70668 Attn: Carl Tunnell INTERMEDIATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES) OTHER U.S. PARTY(IES) TO EXPORT None See following page(s)

APPLICANT'S

REFERENCE:

Amendment 43 ULTIMATE DESTINATIONS: See following page.

DESCRIPTIONS OF 10 CFR 110, APPENDIX P, BYPRODUCT MATERIALS TO BE EXPORTED, INCLUDING CONDITIONS AND NOTES (NOTE: SEE PAGE 9 FOR DEFINITIONS OF CATEGORY 1 AND CATEGORY 2)

Export to Canada and Sweden, of Category 1 quantities of Co-60 (not to exceed 244.2 TBq per shipment), contained in sealed sources to authorized recipients for recycling and/or end of life-cycle management.

Export to Japan, of Category 2 quantities of Ir-192, contained in sealed sources for use in medical brachytherapy devices, is authorized.

Licensee is responsible for compliance with all applicable export, and other domestic regulatory requirements, including all terms and conditions of domestic material possession licenses.

Licensee, if not already submitted with your application, must submit pertinent documentation required by 10 CFR 110.32(g) at least 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> prior to shipment. See Page 9 for Mandatory Advanced Notifications.

The license amendment PXB6.42 is superseded upon the issuance of NRC license PXB6.43, amending its authority by revising the list of "Other U.S. Party(ies) to Export", #45 and #84.

Neither this license nor any right under this license shall be assigned or THIS LICENSE IS INVALID UNLESS SIGNED BELOW otherwise transferred in violation of the provisions of the Atomic BY AUTHORIZED NRC REPRESENTATIVE Energy Act of 1954, as amended.

Sabrina D. Atack Digitally signed by Sabrina D. Atack Date: 2024.01.10 17:05:14 -05'00' This license is subject to the right of recapture or control by Section 108 NAME AND TITLE:

of the Atomic Energy Act of 1954, as amended, and to all the other Sabrina D. Atack, Deputy Director provisions of said Acts, now or hereafter in effect and to all valid rules Office of International Programs and regulations of the Nuclear Regulatory Commission.

DATE OF ISSUANC E: __________________________

January 10, 2024 EXPORT LICENSE

PXB6.43 Page 2 of 9 CONDITIONS

1. Licensee is prohibited from shipping Category 1 quantities of Co-60 to Canada until government-to-government consent has been requested, received and processed.

a. The licensee must submit a consent request to the NRC with pertinent details for a specific shipment or series of shipments on the NRC Form 7, which notifies the NRC to request and obtain consent for the specified transactions(s) from the importing country's regulatory authority;

b. Shipment may only proceed after the NRC has informed the licensee in writing that the consent request has been granted, authorizing the transfer of materials to the ultimate consignee(s) specified on the NRC Form 7 consent request.

ULTIMATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES):

1. (For export of 1 O CFR Part 11 O Appendix P, 3. (For the export of 10 CFR Part 110 Appendix P, Category 1 quantities of Co-60) Category 2 quantities of lr-192)

Nordion (Canada) Inc.

Japan Radioisotope Association (JIRA) 447 March Road 28-45 Honkomagome 2-Chome Ottawa, Ontario K2K 1X8 Bunkyo-Ku, Tokyo 113-8941 Canada Japan

2. (For export of 10 CFR Part 110 Appendix P, Category 1 quantities of Co-60)

Studsvik Nuclear AB Atomvagen 1 611 82 Nykoping Sweden OTHER U.S. PARTY(IES) TO EXPORT:

1. Adventist Health Systems/Sunbelt Inc. 2. Akron General Medical Center Florida Hospital Plaza 762 South Cleveland Massillon Road 2501 N. Orange Avenue Montrose, OH 44333 Orlando, FL 32803

3. Alexian Brothers Medical Center 4. Alpha-Omega Services, Inc.

800 West Biesterfield Road 1282 Big Woods-Starks Road Elk Grove Village, IL 60007 Vinton, LA 70668

5. Anchorage Radiation Oncology Management, Inc. 6. Augusta University Medical Center d/b/a Anchorage Radiation Therapy Center 1120 15th Street 2841 Debarr Road, Suite 100 Augusta, GA 30912 Anchorage, AK 99508

7. Aurora Health Care Metro, Inc. 8. Avera McKennan - Avera Radiation Oncology d/b/a Aurora St. Luke's Medical Center, Avera Cancer Institute Room 115, Gamma Knife Department Prairie Center 1000 East 23rd St.

2900 West Oklahoma Avenue Suite 100, Room 2 Milwaukee, WI 53215 Sioux Falls, SD 57105

PXB6.43 Page 3 of 9 OTHER U.S. PARTY(IESl TO EXPORT Continued:

9. Baptist Hospital of Miami, Inc. 10. Billings Clinic Department of Radiation Oncology 2800 Tenth Avenue North 8900 North Kendall Drive Billings, MT 59101 Miami, FL 33176

11. Bryan Medical Center 12. Center for Advanced Medicine 2300 South 16th Street Long Island Jewish Medical Center Lincoln, NE 68502 450 Lakeville Road Lake Success, NY 11042

13. Central DuPage Hospital Association 14. Chesapeake Regional Riverside &

Northwestern Medicine Cancer Center University of Virginia Radiosurgery Center Central DuPage Hospital, 500 J Clyde Morris Boulevard 4405 Weaver Parkway Newport News, VA 23601 Warrenville, IL 60555

15. Chippenham and Johnston-Willis Hospitals, Inc. 16. Cooper Health System d/b/a CJW Medical Center, Johnston-Willis Campus Robert Wood Johnson Medical School at Camden 1401 Johnston-Willis Drive 3 Cooper Plaza Richmond, VA 23235 Camden, NJ 08103

17. Covenant Health System 18. Dignity Health d/b/a Covenant Gamma Southwest St. Joseph's Hospital and Medical Center 3603 21st Street 350 West Thomas Road Lubbock, TX 79410 Phoenix, AZ 85013

19. Doctors Hospital, Inc. 20. Emory Saint Joseph's Hospital d/b/a Doctors Hospital 5665 Peachtree Dunwoody Road, NE 5000 University Drive Atlanta, GA 30342 Coral Gables, FL 33146

21. Fort Sanders Regional Gamma Knife Center 22. Gamma Knife Center of the Pacific 1915 White Avenue 2226 Liliha Street, Level 82 Knoxville, TN 37916 Honolulu (Island of Oahu), HI 96817

23. GE-Hitachi Nuclear Energy Americas, LLC 24. GKMD, Inc.

Vallecitos Nuclear Center Deaconess Medical Center 6705 Vallecitos Road Gamma Knife Suite Pleasanton, CA 94586 Basement Floor, Room 117 910 West 5th Ave.

Spokane, WA 99204

25. Hackensack University Medical Center John Theurer Cancer Center 26. Harborview Medical Center 92 2nd St. 325 9th Avenue Hackensack, NJ 07601 Gamma Knife Suite Seattle, WA 98133

27. Hoag Memorial Hospital Presbyterian One Hoag Drive 28. Indiana University Health Methodist Newport Beach, CA 92658 Hospital 1701 N. Senate Blvd.

Indianapolis, IN 46202

PXB6.43 Page 4 of 9 OTHER U.S. PARTY(IESl TO EXPORT Continued:

29. lntermountain Medical Center 30. Jewish Hospital, LLC.

Jon and Karen Huntsman Cancer Center 4777 East Galbraith Road Gamma Knife Room, 5121 South Cincinnati, OH 45236 Cottonwood Street Murray, UT 84157

31. John F. Kennedy Medical Center 32. Karmanos Cancer Center 65 James Street Gershenson Radiation Oncology Center Edison, NJ 08818 Room 379 4100 John R. Street Detroit, Ml 48201

33. Kettering Medical Center 34. Larkin Community Hospital, Inc.

3535 Southern Boulevard 6129 Southwest 70th Street Kettering, OH 45429 South Miami, FL 33143

35. Legacy Health System 36. Lehigh Valley Health Network 1130 North West 22nd Avenue, Suite LL50 1240 South Cedar Crest Boulevard Portland, OR 97210 Allentown, PA 18103

37. Lewis Hall Singletary Oncology Center 38. Los Robles Regional Medical Center at John D. Archbold Memorial Center 2200 Lynn Road 919 South Broad Street Thousand Oaks, CA 91360 Thomasville, GA 31792

39. Lovelace Medical Center 40. Marshfield Medical Center 601 Dr. Martin Luther King, Jr. NE 611 St. Joseph Avenue Albuquerque, NM 87102 Marshfield, WI 54449

41. Mayo Clinic Hospital-Rochester 42. Mayo Clinic Jacksonville SMC Mary Brigh Building 4500 San Pablo Road 1216 2nd St. SW Jacksonville, FL 32224 Rochester, MN 55902

43. Medical College of Wisconsin 44. Medical University Hospital Authority Froedtert Memorial Lutheran Hospital d/b/a Medical University of South Carolina 9200 West Wisconsin Avenue 171 Ashley Avenue (MUSC)

Milwaukee, WI 53226 Charleston, SC 29425

45. Memorial Hermann Health System 46. Mercy Health - St. Vincent Medical Center, LLC DBA Memorial Hermann Texas Medical Center Perrysburg Cancer Center 6411 Fannin Street 12623 Eckel Junction Road Houston, TX 77030 P errysburg, OH 43552

47. Mercy Health Center 48. Merit Health Central, Central Mississippi 4300 West Memorial Road Medical Center Oklahoma City, OK 73120 Radiation Oncology Department 1850 Chadwick Drive Jackson, MS 39204

49. Methodist Childrens Hospital 50. Methodist Healthcare System of San Antonio, LTD DBA Joe Arrington Cancer Center Methodist Hospital 4101 22nd Place 7700 Floyd Curl Drive Lubbock, TX 79410 San Antonio, TX 78229

PXB6.43 Page 5 of 9 OTHER U.S. PARTY(IESl TO EXPORT Continued:

51. Methodist Hospital of Gary, Inc. 52. Mid-Michigan Gamma Knife Facility Methodist Hospital - Southlake Campus 4000 Wellness Drive 8701 Broadway Room H-1405 Merrillville, IN 46410 Midland, Ml 48670

53. Neurologic & Orthopedic Institute of Chicago 54. New York Presbyterian Hospital, Columbia 4501 N. Winchester University Medical Center Chicago, IL 60640 Gamma Knife Suite, Columbia-Presbyterian Medical Center 630 West 168th Street New York, NY 10032

55. Northern Westchester Hospital Center 56. Northside Hospital Forsyth 400 East Main Street 1200 Northside Forsyth Drive Mount Kisco, NY 10549 Cumming, GA 30041

57. Northwestern Memorial Hospital 58. NYU Langone Hospitals Gaiter Pavilion Tisch Hospital 201 E. Huron Street 550 First Ave.

Chicago, IL 60611 New York, NY 10016

59. Ochsner Clinic Foundation, Ochsner Medical 60. OSF Healthcare System Center St. Francis Medical Center Department of Radiation Oncology 530 NE Glen Oak Avenue 1514 Jefferson Highway Peoria, IL 61637 New Orleans, LA 70121

61. OU Medical Center 62. Our Lady of the Lake Hospital Inc.

Presbyterian Tower dba Thomas J. Moran Imaging Center 700 N.E. 13th Street 4950 Essen Lane Oklahoma City, OK 73104 Baton Rouge, LA 70809

63. Peace Health Sacred Heart Medical Center 64. Penn State Health Holy Spirit Medical Center 3333 RiverBend Drive GSR Suite at the Oakwood Center Springfield, OR 97477 880 Century Drive Mechanicsburg, PA 17055

65. Penn State Milton S. Hershey Medical Center 66. Piedmont Hospital Atlanta 500 University Drive 1968 Peachtree Road N.W.

Hershey, PA 17033 Atlanta, GA 30309

67. Pitt County Memorial Hospital 68. Prisma Health Richland Hospital 2100 Stantonsburg Road 7 Medical Park Greenville, NC 27835 Columbia, SC 29203

69. Providence Portland Medical Center 70. Puerto Rico Medical Services Administration North Pavilion Puerto Rico Medical Center, Centro Medico 4805 NE Glisan Street de Rio Piedras Portland, OR 97213 First Floor, Central Building, Carr 22 Barrio Monacillos San Juan, PR 00935

PXB6.43 Page 6 of 9 OTHER U.S. PARTY(IESl TO EXPORT, Continued:

71. Puget Sound Radiosurgery 72. Research Medical Center Gamma Knife Suite, Room 103 Midwest Gamma Knife Center St. Joseph's Medical Center 2316 E. Meyer Blvd.

1802 South Yakima Kansas City, MO 64132 Tacoma, WA 98405

73. Rhode Island Hospital 74. Robert Wood Johnson University Hospital 593 Eddy Street Gamma Knife Suite Providence, RI 02903 10 Plum Street New Brunswick City, NJ 08901

75. Roswell Park Cancer Institute Corp. 76. Sacred Heart Health System, Inc.

Elm & Carlton Street d/b/a Sacred Heart Hospital of Pensacola Buffalo, NY 14263 5151 North 9th Avenue Pensacola, FL 32504

77. San Antonio Community Hospital 78. San Diego Gamma Knife Center 999 San Bernardino Road 9834 Genesee Avenue, Suite 110 Upland, CA 91786 La Jolla, CA 92037

79. South Nassau Communities Hospital 80. St. Lukes The Woodlands Hospital One Healthy Way 17200 St. Luke's way Oceanside, NY 11572 The Woodlands, TX 77384

81. St. Vincent Medical Center 82. SUNY Upstate Medical University 2 Shircliff way 750 East Adams Street Jacksonville, FL 32204 Syracuse, NY 13210

83. Sutter Gamma Knife Center 84. Swedish Medical Center 2801 K St., Suite 110 799 East Hampden Ave. Suite 110 Sacramento, CA 95816 Englewood, CO 80113

85. Temple University 86. Tenet Good Samaritan, Inc.

Temple Hospital 1309 North Flagler Drive 3401 N. Broad Street West Palm Beach, FL 33401 Philadelphia, PA 19140

87. Tenet Hospitals Limited 88. The Cleveland Clinic Foundation DBA The Hospitals of Providence Sierra Campus d/b/a The Cleveland Clinic Gamma Knife Suite, 1625 Medical Center Drive 10201 Carnegie Avenue El Paso, TX 79902 Cleveland, OH 44195

90. The Ohio State University Radiation Medicine Department, Arthur G.

89. The Methodist Hospital James Cancer Hospital and DBA Houston Methodist Richard J. Solove Research Institute, 6551 Bertner Avenue 300 West 10th Avenue.

Houston, TX 77030 Columbus, OH 43210

92. The Regents of the University of California U.C. Davis Medical Center 2315 Stockton Blvd.

91. The Regents of the University of California Sacramento, CA 95817 San Francisco Medical Center UCSF Medical Center Parnassus Ave.

San Francisco, CA 94143

PXB6.43 Page 7 of 9 OTHER U.S. PARTY(IESl TO EXPORT, Continued:

94. The University of Texas

93. The Swedish Radiosurgery Center MD Anderson Cancer Center Suite A 10 James Tower 1515 Holcombe Boulevard 550 17th Avenue Houston, TX 77030 Seattle, WA 98122

96. Thomas Jefferson University and Hospitals

95. The Valley Hospital Luckow Pavilion 1 900 walnut Street Valley Health Plaza Philadelphia, PA 19107 Paramus, NJ 07652

98. University Health Shreveport, LLC.

97. Tufts Medical Center d/b/a Ochsner LSU Health Shreveport 800 Washington Street 1541 Kings Highway Boston, MA 02111 Shreveport, LA 71103

99. University Hospitals of Cleveland 100. University of Colorado Hospital Authority 11100 Euclid Avenue 1635 Aurora Court Cleveland, OH 44106 Aurora, CO 80045 101. The University of Iowa University of Iowa Campus 102. University of Kentucky 200 Hawkins Drive Markey Cancer Center, Roach Bldg.,

Iowa City, IA52242 Room CC049 800 Rose Street 103. University of Maryland Medical System Lexington, KY 40536 Gamma Knife Suite, South Hospital B Wing 22 South Greene Street 104. University of Miami Baltimore, MD 21201 Sylvester Cancer Center West 1400 NW 12th Avenue 105. University of Minnesota Medical Center Miami, FL 33136 Room 1-285 500 SE Harvard Street Minneapolis, MN 55455 106. University of Mississippi Medical Center 350 West Woodrow Wilson Avenue Jackson, MS 39216 107. University of Pennsylvania Pennsylvania Hospital Campus 800 Spruce Street 108. University of Pittsburgh Philadelphia, PA 19107 Presbyterian University Hospital 230 Lothrop Street, Room G-102 109. University of Pittsburgh Pittsburgh, PA 15213 Presbyterian University Hospital 230 Lothrop Street, Room F-185 110. University of Pittsburgh Pittsburgh, PA 15213 Presbyterian University Hospital 230 Lothrop Street, Room F-179 111. University of Texas Southwestern Pittsburgh, PA 15213 Medical Center at Dallas 6201 Harry Hines Blvd.

112. University of Virginia Physicians Group Dallas, TX 75390 University of Virginia Lars Leksell Center of Gamma Surgery, Primary Care Center Building 1143; Room G411, 1215 Lee Street 113. USC University Hospital Charlottesville, VA 22908 1540 Alcazar Street Los Angeles, CA 90033 114. North Carolina Baptist Hospital Outpatient Comprehensive Cancer Center Medical Center Boulevard Winston-Salem, NC 27157

PXB6.43 Page 8 of9 OTHER U.S. PARTY(IESl TO EXPORT, Continued:

115. Washington Hospital Center 116. Washington Hospital Healthcare System 110 Irving Street, NW 2500 Mowry Ave.

Washington, DC 20010 Fremont, CA 94538 117. Washington University in St. Louis 118. West Virginia University Hospital, Inc.,

Barnes-Jewish Hospital Ruby Memorial Hospital, Mary Babb, 4921 Parkview Place Randolph Cancer Center, St. Louis, MO 63110 and Health Sciences Center South Building, Medical Center Drive Morgantown, WV 26506 119. William Beaumont Hospital 120. Yale-New Haven Hospital Department of Radiation 20 York Street Oncology 3601 W. Thirteen Mile New Haven, CT 06510 Road Royal Oak, Ml 48073

PXB6.43 Page 9 of 9 MANDATORY ADVANCED NOTIFICATIONS PER 10 CFR PART 110.50(c)

The following Advanced Notifications must be made to both the NRC and, in case of exports, the government of the importing country in advance of each shipment:

Mandatory Advanced Notifications to the NRC are to be emailed to hoo,hoc@nrc,goy (preferred method) or faxed to the NRC at 301-816-5151. In the subject line of the email or on the fax cover page include: "10 CFR 110.50(c)

Notification." For technical assistance, use the same e-mail address or call 301-287-9056.

Mandatory Advanced Notifications to the government of the importing country must be emailed or faxed to the appropriate foreign government authorities. To locate the point-of-contact for international Advanced Notifications see: http;{(www-ns,jaea,org{dowoloads(rw[jmp-export(jmport-export-contact-pojnts,pdf. In the subject line of the email or on the fax cover page include: "NOTIFICATION TO THE IMPORTING STATE PRIOR TO SHIPMENT OF CATEGORY 1 OR 2 RADIOACTIVE SOURCES." For technical assistance or for countries not listed, contact the Office of International Programs' export/import staff at 301-287-9056.

Table 1; Appendix P to part 11o category 1 and category 2 Radjoactjye Material Threshold Lirnits Category 1 Category2 Radioactive Material Terabequerels (TBq) Curies (Ci) 1 Terabequerels (TBq) Curies(Ci)1 Americium-241 /Am-241 l 60 1,60( 0.6 16 Americium-241 /Beryllium (Am- 60 1,60( 0.6 16 241/Bel Califomium-252 (Cf-2521 20 54( 0.2 5.4 Curium-244 (Cm-244) 50 1,40( 0.5 14 Cobalt-60 /Co-60) 30 81( 0.3 8.1 Cesium-137 (Cs-137) 100 2,70( 1.0 27 Gadolinium-153 /Gd-153) 1,000 27,00C 10.0 270 lridium-192 /lr-192) 80 2,20( 0.8 22 Plutonium-2382 (Pu-238) 60 1,60( 0.6 16 Plutonium-239/Bervlliurn2 (Pu-239/Bel 60 1,60( 0.6 16 Promethium-147 /Pm-147) 40,000 1,100,000 400 11,000 Radium-226" (Ra-226) 40 1,10( 0.4 11 Selenium-75 (Se-75) 200 5,40( 2.0 54 Strontium-90 /Y-90) 1,000 27,00C 10.0 270 Thulium-170 (Tm-170) 20,000 540,00( 200 5,400 Ytterbium-169 (Yb-169) 300 8,10( 3.0 81 Calculation of Shipments Containing Multiple Sources or Radionuclides:

The "sum of fractions" methodology for evaluating combinations of radionuclides being transported is to be used when import or export shipments contain multiple sources or multiple radionuclides. The threshold limit values used in a sum of the fractions calculation must be the metric values (i.e., TBq).

I. If multiple sources and/or multiple radionuclides are present in an import or export shipment, the sum of the fractions of the activity of each radionuclide must be determined to verify the shipment is less than the Category 1 or 2 limits of Table 1, as appropriate. If the calculated sum of the fractions ratio, using the following equation, is greater than or equal to 1.0, then the import or export shipment exceeds the threshold limits of Table 1 and the applicable security provisions of this part apply.

II. Use the equation below to calculate the sum of the fractions ratio by inserting the actual activity of the applicable radionuclides or of the individual sources (of the same radionuclides) in the numerator of the equation and the corresponding threshold activity limit from the Table 1 in the denominator of the equation. Ensure the numerator and denominator values are in the same units and all calculations must be performed using the TBq (i.e., metric) values of Table 1.

R1 = activity for radionuclides or source number 1 AR1 = activity limit for radionuclides or source number 1 R2 = activity for radionuclides or source number 2 AR2 = activity limit for radionuclides or source number 2

t I RN = activity for radionuclides or source number n ARN = activity limit for radionuclides or source number n RL_ R1.._ Rn > 1 I l AR I + AR2 + AR n] -

1 The values to be used to determine whether a license is required are given in TBq. Curie (Ci) values are provided for practical usefulness only and are rounded after conversion.

2 The limits for exports of Pu-238 and Pu-239/Be can be found in § 110.21.

3 Discrete sources of Radium-226.