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{{Adams | |||
| number = ML20203F906 | |||
| issue date = 12/04/1998 | |||
| title = Voided Matls Licensing Action for License 50-29096-01MD for Alaska Radiological Pharmacy Ltd.Control:466960 | |||
| author name = Montgomery J | |||
| author affiliation = NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV) | |||
| addressee name = | |||
| addressee affiliation = NRC | |||
| docket = 03034015 | |||
| license number = | |||
| contact person = | |||
| document report number = 466960, NUDOCS 9902190017 | |||
| document type = DKT 30 MTL BYPRODUCT, INTERNAL OR EXTERNAL MEMORANDUM, MEMORANDUMS-CORRESPONDENCE | |||
| page count = 10 | |||
}} | |||
See also: [[see also::IR 05000290/1996001]] | |||
=Text= | |||
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10: License fee and Accounts Receivable Branch | |||
FROM: Region IV - WCFO | |||
SUBJECT: VOIDED APPLICATION | |||
; | |||
,AP plicant: 4d'j,f/s.k.4.-7e - | |||
/ /)e, t ,nt.fa, fM , ] | |||
Cc1trel Number: Y[[Nt ~ | |||
License No.: f0-Uity(-(//10 7 | |||
. | |||
Docket No.: OJO - it/ p / f | |||
Date Voided: /.2//[W | |||
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- Siprihture 0' g Date 8 | |||
Attachment: | |||
Official Record Copy of | |||
Voiced Action | |||
: | |||
Q j | |||
'Y^ | |||
FOR LFARB USE ONLY i | |||
; | |||
Final R iew of VOID completed: | |||
Refund Acthorized and processed - < -~~ 1 1= -- | |||
m'- | |||
4 | |||
. | |||
_ No Refund Due .,. . , | |||
. --- . - . . . . . . . . . | |||
_ ree Exempt at Fee Not Eequired | |||
_ _ . . . . , . | |||
~ | |||
Comments: Log completed ~ 8 | |||
- ~ - | |||
Processed by: V / W - -- - - | |||
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9902190017 981204 ' | |||
PDR ADOCK 03034015 | |||
C PDR | |||
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---- _. __-. _ | |||
. | |||
: (FOR LFMS USE) * | |||
: 'INFORMATION FROM LTS ' | |||
BE"IWEEN : : -------------------- | |||
: ' | |||
License Fee Management Branch, ARM : Program Code: 02500- X | |||
and : Status Code: 0 y. 'y | |||
Regional Licensing Sections" : - 3C 2B | |||
: Fee Exp.Category | |||
Date: 4 6010430 | |||
: Fee Comments: | |||
: Decom Fin Assur Reqd: .N {' '2 b- | |||
r' ri ' O j e, >S* | |||
, , . , | |||
::::::::::::-:::::::::: :::::::::::::: - 'D.. s N. | |||
LICENSE-FEE TRANSMITTAL b. N N, - | |||
- | |||
~ N,. . | |||
.A. -REGIC | |||
} % | |||
1. APPLTCATION ATTACHED g/ | |||
Appl 4cant / Licensee: . ALASKA RADIOLOGICAL PHARMACY LTD. | |||
* | |||
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Received Date: 980930 -- | |||
Docket No: 3034015 ~ | |||
- | |||
- | |||
466960 A | |||
' | |||
Control No.: | |||
Lic9nse No.: 50-29096-01MD s V | |||
Action Type Amendment | |||
2. FEE ATTACHED , | |||
I g | |||
Amount: / ^ | |||
Check No.: / | |||
Signed L//1 | |||
Date ~</2AlcP | |||
SLLar M | |||
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B. LICENSE FEE MANAGEMENT BRAI H Che k when milestone 03 is'en red / | |||
~ | |||
) | |||
1. Fee Category and unt: | |||
2. Correct Fee Paid Application may be processed for: * | |||
Amendment | |||
Renewal | |||
License , | |||
3. ~OTHER A e- | |||
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Dahed ' | |||
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- _ . - . . , _ . - . - , _ - . . . - - - . _ - . - - _ . -_ . _ _ - - . - _ _ _ . . . - . . _ . . _ _ , _ . _ . _ - _ _ _ _ . _ - _ _ _ _ _ , - . . . - - . _ . . _..____ ___-___- _ . . - .~~_n._.. .._-,,_..en, | |||
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h bC YO $ 0$ /Olb | |||
ptIIIIII 1 | |||
bckt.f ll0 hbDkS | |||
DIVISION OF ACCOUNTING AND FINANCE | |||
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REQUEST FOR REFUND TO EMPLOYEE / VENDOR | |||
- | |||
' THE EMPLOYEE / VENDOR IDENTIFIED BELOW HAS OVERPAID THE NUCLEAR REG | |||
ComISSION FOR G0005 AND/OR SERVICES PROVIDED AND IS DUE A REFUND | |||
" | |||
EMPLOYEE /YEND0R/ PAYEE E: | |||
NAME: 9A M | |||
ADDRESS: hk k , k. hK ' | |||
ADDRESS: /-M d/ , | |||
dthd | |||
CITY: b QA STATE: N ZIP: i_f5DY j | |||
TPANS CODE:1 | |||
TRANS TYPE: FUND: JOB CODE: AMOUNT: 80 'E | |||
TRANS TYPE:__1R FUND: R1435 I | |||
JOB CODE:_1NTR AMOUNT: | |||
TRANS TYPE: IR FUND: R1099 J0B CODE: ADCN AMOUNT: | |||
TRANS TYPE: IR FUND: RIO99 JOB C3DE: FINE AM : | |||
. | |||
TOTAL REFUND AMOUNT: 'OO | |||
COMMENTS:_ _ _ Nc2,@i I/P[/) f3[ | |||
(11 f/cori dr s to 40 , characters, including spaces) | |||
PREPARED BY: b DATE: MO Nf | |||
AUTHORIZED BY: j<_ alas k. DATE: fr[N | |||
/y | |||
y < | |||
ORIGINAL INV. N0: DATE PAID: AMOUNT: | |||
, | |||
REFUND ENTERED INT 0 COLLECT BY: | |||
REFUND DETERMINED BY: DATE: | |||
3C | |||
AA905 AMD | |||
Ocf I V | |||
PLEASE ATTACH APPROPRIATE SUPPORTING DOCUMENTATIONcfg 37 | |||
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l NRC FORM 677 U.S. NUCLEAR REGULATORY COMMISSION | |||
* | |||
ATTN: RITA MESSIER 301-415 6067 | |||
U.S. Nuclear Regulatory Cornmission i | |||
LICENSE FEE REQUIREMENTS Ucense Fee and Accounts Receivable Branch l | |||
l | |||
P. O. Box 954574 i | |||
St. Louis, MO 83188 4614 ' | |||
' | |||
TYPE OF ACTION | |||
g~9 | |||
, | |||
' | |||
NEW LICENSE | |||
C RENEWAL OF LICENSE | |||
ALASKA RADIOLOGICAL PIIARMACY, LTD. | |||
% AMENDMENT TO LICENSE | |||
ATTN: PETER IVERSLIE,R.Pil. | |||
' | |||
' | |||
REQUESTED DATE e | |||
4201 LAKE OTIS PARKWAY | |||
ANCIIORAGE AK 99508 09/23/1998 | |||
LICENSE NUMBER | |||
50-29096-01MD | |||
l | |||
CONTROL NUMBER l | |||
466960 | |||
L APPUCATION FEE DUE II. FEE NOT REQUIRED | |||
Vour request for a heensing acten is subject to the fee (s) in the category (ies) Check Enclosed is your check which | |||
noted below in accordance with Secten 170.31 of 10 CFR Part 170. Number accornpanied your request. The | |||
Payment of the fee is required prior to the issuance of the hcense, renewal, or fee is not required because: l | |||
amendment. ' | |||
RENEWAL AMENDMENT * | |||
@) APPLICATION N r nt ce | |||
3C s s s 630.00 I | |||
$ 5 5 Date of The Licensing staff has informed j | |||
, , , Request us that your request is to be ' | |||
$ Control considered as acorWnuation of the | |||
S S | |||
Number request hsted. | |||
$ $ 5 | |||
$ $ $ | |||
$ $ $ | |||
Date of Your request was combined, prior | |||
Request to review, with the request listed. | |||
Cordrol * | |||
5 S S Number | |||
5 $ $ | |||
IIL CHECK RETURNED C | |||
FEE (s) DUE s 630.00 Check Enclosed is your check which was i | |||
PAYMENT RECEIVED 5 Number returned to us by the bank for: I | |||
! | |||
AMOUNT DUE 5 630.00 | |||
. | |||
INSUFFICIENT FUNDS l | |||
l | |||
l | |||
Q Your request was received without the prescribed application ACCOUNT CLOSED | |||
fee. | |||
OTHER | |||
We received your check hsted below. Payment of the additonal fee | |||
noted above is required. | |||
Mall THE REPLACEMENT CHECK TO THE ADDRESS LIS'ED AT THE | |||
Check Number TOP OF THIS FORM AND REFERENCE THE ABOVE CONTROL l | |||
5 Amount NUMBER. ' | |||
I Your request will increase the scope of your license program. IV. LICENSE ISSUED WITHOUT THE REQUIRED FEE | |||
Therefore, your request is subject to the application fee (s) noted above. i | |||
. | |||
Refer to Section 170.31 and Footnote 1(d)(2). U $en$ | |||
The listed heense was issued | |||
without the required fee being | |||
l | |||
Your heense expired prior to the receipt of your applicaton for renewat | |||
' he r | |||
ber g | |||
Therefore, your request is subject to the apphcaton fee (s) noted above. | |||
' | |||
i | |||
Date ** | |||
Refer to Section 170.31 and Footnote 1(s). Issued l | |||
' | |||
MAKE PAYMENT OF THE FEE (S) TO THE U.S. NUCLEAR The scope of your heensed program was increased. Therefore, your | |||
REGULATORY COMMISSION AND Mall THE PAYMENT TO THE request is subject to the applicaten fee (s) noted in Section 1 of this form. | |||
ADDRESS LISTED AT THE TOP OF THIS FORM. IF WE DO NOT Refer to Secten 170.31 and Footnote 1(d)(2). | |||
RECEIVE A REPLY FROM YOU WITHIN 30 CALENDAR DAYS FROM | |||
THE DATE LISTED BELOW.WE SHALL ASSUME THAT YOU DO NOT Because of the urgency of your request, the hcense was issued without | |||
WISH TO PURSUE YOUR APPLICATION AND WILL VOID THIS { remittance of thw prescribed fee noted in Secten 1 of this form | |||
ACTION. | |||
SIGNATURE - UCENSE FEE ANALYST LFDCB DATE | |||
/_I DCB Distributon: Pending Cy | |||
' (/h(v/ yg | |||
* | |||
REMessier o OC/DAF/LFARB S/F (LF-3.2.7) | |||
RITA MESSIER ion /9s s cc: Repon IV 10/07/1998 | |||
l | |||
'ORM 577 (5-1998) PRWTED oN RECYCLED PAPER This form was designed using informs | |||
. _ _. -. -. -_ _ . . .. -- . | |||
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i -] ALASKA RADIOLbGICAL PHARMACY, LTD. | |||
~ ~ | |||
4201 Lake dtis Parkway, Anchorage, AK. 99508 | |||
- | |||
"1![t-* 'Co | |||
- | |||
w, (907) 561-7375 * Fax (907) 561-7380 | |||
s.,m &:s .'%;;j | |||
, | |||
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SEP 3 0 . | |||
September 23,1998 | |||
I | |||
Dear Material Radiation Protection Section. | |||
After I met with NRC inspector David Skov from the Walnut Creek office, he ! | |||
informed me that I needed to send in all the final survey information for Alaska | |||
Radiological Pharmacies old site. I have put together my findings and hope this | |||
will close out the old site. Please let me know if you need any additional | |||
, | |||
information or have any questions. | |||
, | |||
Sincerely, | |||
- | |||
? | |||
Peter Iverslie R.Ph. | |||
. | |||
b 466980 | |||
. | |||
- | |||
; | |||
-= - .- . --_ . _ . . | |||
. . . | |||
, | |||
- - | |||
. . | |||
* | |||
. | |||
. | |||
- | |||
1) A list of the radiological isotopes that were actually used at the site. To | |||
the extent possible (and reasonable), the quantities and dates of use of these ' | |||
isotopes should also be provided. | |||
See Table A. | |||
2) The physical form of each isotope, i/e/, was it a sealed source or was the | |||
isotope used in a loose form. | |||
See Table A. | |||
3) Information regarding major radiological spills of any licensed isotopes , | |||
such as the location of the spill (s) and pertinent radiological information about ! | |||
the spill (s). (Major spills for the purpose of this document means a spill that | |||
resulted in off-site contamination or any other spill where more that minimal | |||
decontamination effort is required, e.g., spills requiring assistance in cleanup | |||
and monitoring from persons other than the user.) | |||
There were no radiological spills at this site. | |||
4) Information on any leaking sealed source used or stored at the site being | |||
released, including isotope, amount of leakage, contamination of other areas or | |||
personnel, description of cleanup, and disposition of the source. If no sources | |||
were determined to be leaking at facility, the licensee should state this fact. | |||
l | |||
There were no leaking sealed sources at this site. | |||
5) The results of the !icensee's final surveys as required by 10 CFR parts | |||
30.35 0) (2),40.420) (2),70.380) (2), and 72.54 0) (2). This includes submitting | |||
data in the following units: gamma radiation in units of mSv/hr (uR/hr) at one | |||
meter from surfaces, radioactivity in units of MBq/100cm^2 (dpm/100cm^2) | |||
(removable and fixed) for surfaces, MBq/ml (mci /ml) for water, andd Bq/g (pCi/g) | |||
for soils and concrete. (See Attachments 1 and 2). | |||
See letter 1. | |||
I | |||
' | |||
6) The survey instrumentation used for the final survey along with the | |||
certification that each instrument has been properly calibrated and tested and | |||
the minimum detectable activity (MDA) for each instrument. This information is | |||
needed for instruments used for measuring exposure rates and for those used | |||
for analysis of wipes, soil and water samples, etc. (See Attachment 3) | |||
See letter 1. The MDA for Ludlum Model-HOO scalar was 0.000005 microCi. | |||
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, | |||
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, | |||
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. | |||
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- | |||
7) Maps and/or drawings which clearly indicate the locations where wipes ! | |||
' | |||
and fixed measurements were taken. If contaminated drain lines (or other buried | |||
and inaccessible pipes) are an issue, blueprints or drawings should be included | |||
that show the locations of the drain lines, including where they originate and l | |||
end. | |||
' | |||
See 9.3. No contamination in drain lines. | |||
8) If other than minimal contamination efforts are necessary, both the before | |||
and after decontamination survey data should be provided as part of the final | |||
survey report, including the locations of these areas. | |||
No contamination efforts were necessary. j | |||
9) The release criteria used as a basis for demonstrating the site can be | |||
release for unrestricted use. (See Attachment 4). | |||
No contamination was found and the site was vacant for 4 months. | |||
10) If the licensee intends to leave certain portions of the site contaminated in | |||
excess of the release guidelines, a risk assessment of the potential dose ' | |||
consequences. | |||
No contamination | |||
: | |||
11) The disposition of radioactive waste resulting from any remediation l | |||
efforts. Under normal circumstances the NRC will not conduct a closeout or l | |||
confirmatory inspection until all waste (and other licensed materials / sources) l | |||
have been removed from the site. IF these materials have not been removed | |||
prior to the licensee's submittal of the final survey data, then these areas will | |||
have to be surveyed following removal of the waste and the data submitted and | |||
reviewed before an onsite inspection and /or license termination. | |||
AII radioactive materials were removed from site on 9/D97. | |||
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4 | |||
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Radioisotope Dose per Unit Freauency | |||
bM O M T1-201 20 mci 30/wk | |||
is Ga-67* 10 mci 1/mo | |||
er In*-111 500 yCi 1/mo | |||
'' | |||
I-123 200 yCl 20 caps /wk | |||
SEA'Cd I-131 (liqtiid) 12 mci 3/wk (unopened) | |||
;- 'I I-131 (liquid) 100 mCJ 12/yr (unopened) | |||
Loos ( M M Tc-99m | |||
' | |||
15 mci 15/ day | |||
c.i nt-64 ..Xe-133 20 mci , | |||
3/wk (began mid-July) | |||
I' fmu' | |||
COF7 l | |||
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't Cs n7- LQ? M i , | |||
oc ' $a. 63 wM ( i | |||
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ALASKA RADIOLOGICAL FilARMACY, LTD. | |||
' | |||
" P[bc .a . L, 4201 Lake Otis Parkway, Aix:horage, AK. 99508 | |||
....,,.,e .. | |||
' o %yed (907)S61-7375 * Fax (907) 561-7380 | |||
; | |||
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# | |||
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February 12,1998 l | |||
l | |||
! | |||
! | |||
To Whom It May Concern; | |||
1. On December 7.1997 a Decoinmissioning survey was performed by Peter C. i | |||
Iverslie RPh, RSO. at 2000 West Interamtional Airport Road Suite Al1. This was the ! | |||
sight of Alaska Radiological Phainucy Ltd. which is now located at 4201 Lake Otis Pkwy l | |||
on this day both restricted rooms were empty. ; | |||
2. A 100% scanning of all surfaces in the area at this facility where licensed i | |||
naterial was used or stored using Ludlum model 14 C, serial # 129730 , calibration date ! | |||
4/5/97 survey meter. All surfaces were fourxl to be at background. l | |||
' | |||
3. Because of the snmil site of the restricted area a complete wipe of the floor wes | |||
i | |||
done. Random samples or wipes where done on the walls anxi where activity was most | |||
t | |||
likely to be found (100 cm2 cach). The instrument that was used for wipes was the | |||
Ludlum model 2200 scalar ratemeter, serial # 129858. | |||
' | |||
( Results | |||
- ' | |||
Background 100 . CPM .1000 .DPM | |||
' i | |||
Floors 120 CPM .1200 DPM . | |||
100 CPM 1000 DPM ! | |||
' | |||
Walls | |||
> | |||
Ifyou have any questions regarding the decommission please call me at,(907) 561-7375. | |||
, | |||
Sincerely, | |||
f | |||
.. . | |||
_ | |||
ter C. lverslie RPh. l' | |||
resident | |||
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BUILDING A FLOOR PLAN m i | |||
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'WAS-BUILT' DRAWINGS | |||
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AIRPORT BUSINESS PARK ' "< | |||
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INTERNAEldNAL ~& MINNESOTA, ANCHORAGE | |||
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PF'7 PARED FOR JK PROPERTIE^ ~ | |||
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Latest revision as of 08:17, 20 December 2021
ML20203F906 | |
Person / Time | |
---|---|
Site: | 03034015 |
Issue date: | 12/04/1998 |
From: | Jonathan Montgomery NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV) |
To: | NRC |
References | |
466960, NUDOCS 9902190017 | |
Download: ML20203F906 (10) | |
See also: IR 05000290/1996001
Text
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10: License fee and Accounts Receivable Branch FROM: Region IV - WCFO SUBJECT: VOIDED APPLICATION ; ,AP plicant: 4d'j,f/s.k.4.-7e - / /)e, t ,nt.fa, fM , ] Cc1trel Number: Y[[Nt ~ License No.: f0-Uity(-(//10 7 . Docket No.: OJO - it/ p / f Date Voided: /.2//[W ' I ' , ('(t.gq(..yy,,,\Ufof(q;g( t' . ! . , 3 I t ' ~ .]'. n lb% W ntu $ ' &* - Siprihture 0' g Date 8 Attachment: Official Record Copy of Voiced Action : Q j 'Y^ FOR LFARB USE ONLY i ; Final R iew of VOID completed: Refund Acthorized and processed - < -~~ 1 1= -- m'- 4 . _ No Refund Due .,. . , . --- . - . . . . . . . . . _ ree Exempt at Fee Not Eequired _ _ . . . . , . ~ Comments: Log completed ~ 8 - ~ - Processed by: V / W - -- - - .. ~
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9902190017 981204 ' PDR ADOCK 03034015 C PDR i
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.. ---- _. __-. _ . : (FOR LFMS USE) * : 'INFORMATION FROM LTS ' BE"IWEEN : : -------------------- : ' License Fee Management Branch, ARM : Program Code: 02500- X and : Status Code: 0 y. 'y Regional Licensing Sections" : - 3C 2B : Fee Exp.Category Date: 4 6010430 : Fee Comments: : Decom Fin Assur Reqd: .N {' '2 b- r' ri ' O j e, >S* , , . , ::::::::::::-:::::::::: :::::::::::::: - 'D.. s N. LICENSE-FEE TRANSMITTAL b. N N, - - ~ N,. . .A. -REGIC } % 1. APPLTCATION ATTACHED g/ Appl 4cant / Licensee: . ALASKA RADIOLOGICAL PHARMACY LTD. * #eO- 'c ' -.a Received Date: 980930 -- Docket No: 3034015 ~ - - 466960 A ' Control No.: Lic9nse No.: 50-29096-01MD s V Action Type Amendment 2. FEE ATTACHED , I g Amount: / ^ Check No.: / Signed L//1 Date ~</2AlcP SLLar M 'r f;<v B. LICENSE FEE MANAGEMENT BRAI H Che k when milestone 03 is'en red / ~ ) 1. Fee Category and unt: 2. Correct Fee Paid Application may be processed for: * Amendment Renewal License , 3. ~OTHER A e- // . Si k . .<- (V Dahed ' ID / Ik A 'l ' ' I I 3 f.0." . . W )_ __ h_ _ _ __. __ Retnitter . Che:k N~ 0! _ [_* y.n (99_ g g s e a r --~~, g ,_ f bg. - - g, _ . .. p w- * ,SI emompeo_fjd$_jf_: Y .-_...____.__________ _ _ _ . e
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- _ m ._. .Z..':. . - . . . . ._ ... . . . . ' ~~ *ThX1D h bC YO $ 0$ /Olb ptIIIIII 1 bckt.f ll0 hbDkS DIVISION OF ACCOUNTING AND FINANCE ~ l ' REQUEST FOR REFUND TO EMPLOYEE / VENDOR - ' THE EMPLOYEE / VENDOR IDENTIFIED BELOW HAS OVERPAID THE NUCLEAR REG ComISSION FOR G0005 AND/OR SERVICES PROVIDED AND IS DUE A REFUND " EMPLOYEE /YEND0R/ PAYEE E: NAME: 9A M ADDRESS: hk k , k. hK ' ADDRESS: /-M d/ , dthd CITY: b QA STATE: N ZIP: i_f5DY j TPANS CODE:1 TRANS TYPE: FUND: JOB CODE: AMOUNT: 80 'E TRANS TYPE:__1R FUND: R1435 I JOB CODE:_1NTR AMOUNT: TRANS TYPE: IR FUND: R1099 J0B CODE: ADCN AMOUNT: TRANS TYPE: IR FUND: RIO99 JOB C3DE: FINE AM : . TOTAL REFUND AMOUNT: 'OO COMMENTS:_ _ _ Nc2,@i I/P[/) f3[ (11 f/cori dr s to 40 , characters, including spaces) PREPARED BY: b DATE: MO Nf AUTHORIZED BY: j<_ alas k. DATE: fr[N /y y < ORIGINAL INV. N0: DATE PAID: AMOUNT: , REFUND ENTERED INT 0 COLLECT BY: REFUND DETERMINED BY: DATE: 3C AA905 AMD Ocf I V PLEASE ATTACH APPROPRIATE SUPPORTING DOCUMENTATIONcfg 37 M ms ' 4 /67 U -
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l NRC FORM 677 U.S. NUCLEAR REGULATORY COMMISSION
* ATTN: RITA MESSIER 301-415 6067 U.S. Nuclear Regulatory Cornmission i LICENSE FEE REQUIREMENTS Ucense Fee and Accounts Receivable Branch l
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P. O. Box 954574 i St. Louis, MO 83188 4614 ' ' TYPE OF ACTION g~9
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NEW LICENSE C RENEWAL OF LICENSE ALASKA RADIOLOGICAL PIIARMACY, LTD. % AMENDMENT TO LICENSE ATTN: PETER IVERSLIE,R.Pil. '
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REQUESTED DATE e 4201 LAKE OTIS PARKWAY ANCIIORAGE AK 99508 09/23/1998 LICENSE NUMBER 50-29096-01MD l CONTROL NUMBER l 466960 L APPUCATION FEE DUE II. FEE NOT REQUIRED Vour request for a heensing acten is subject to the fee (s) in the category (ies) Check Enclosed is your check which noted below in accordance with Secten 170.31 of 10 CFR Part 170. Number accornpanied your request. The Payment of the fee is required prior to the issuance of the hcense, renewal, or fee is not required because: l amendment. ' RENEWAL AMENDMENT * @) APPLICATION N r nt ce 3C s s s 630.00 I $ 5 5 Date of The Licensing staff has informed j , , , Request us that your request is to be ' $ Control considered as acorWnuation of the S S Number request hsted. $ $ 5 $ $ $ $ $ $ Date of Your request was combined, prior Request to review, with the request listed. Cordrol * 5 S S Number 5 $ $ IIL CHECK RETURNED C FEE (s) DUE s 630.00 Check Enclosed is your check which was i PAYMENT RECEIVED 5 Number returned to us by the bank for: I ! AMOUNT DUE 5 630.00
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INSUFFICIENT FUNDS l
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Q Your request was received without the prescribed application ACCOUNT CLOSED fee. OTHER We received your check hsted below. Payment of the additonal fee noted above is required. Mall THE REPLACEMENT CHECK TO THE ADDRESS LIS'ED AT THE Check Number TOP OF THIS FORM AND REFERENCE THE ABOVE CONTROL l 5 Amount NUMBER. '
I Your request will increase the scope of your license program. IV. LICENSE ISSUED WITHOUT THE REQUIRED FEE
Therefore, your request is subject to the application fee (s) noted above. i
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Refer to Section 170.31 and Footnote 1(d)(2). U $en$ The listed heense was issued without the required fee being l Your heense expired prior to the receipt of your applicaton for renewat ' he r ber g Therefore, your request is subject to the apphcaton fee (s) noted above. '
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Date ** Refer to Section 170.31 and Footnote 1(s). Issued l
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MAKE PAYMENT OF THE FEE (S) TO THE U.S. NUCLEAR The scope of your heensed program was increased. Therefore, your REGULATORY COMMISSION AND Mall THE PAYMENT TO THE request is subject to the applicaten fee (s) noted in Section 1 of this form. ADDRESS LISTED AT THE TOP OF THIS FORM. IF WE DO NOT Refer to Secten 170.31 and Footnote 1(d)(2). RECEIVE A REPLY FROM YOU WITHIN 30 CALENDAR DAYS FROM THE DATE LISTED BELOW.WE SHALL ASSUME THAT YOU DO NOT Because of the urgency of your request, the hcense was issued without WISH TO PURSUE YOUR APPLICATION AND WILL VOID THIS { remittance of thw prescribed fee noted in Secten 1 of this form ACTION. SIGNATURE - UCENSE FEE ANALYST LFDCB DATE /_I DCB Distributon: Pending Cy ' (/h(v/ yg * REMessier o OC/DAF/LFARB S/F (LF-3.2.7) RITA MESSIER ion /9s s cc: Repon IV 10/07/1998 l 'ORM 577 (5-1998) PRWTED oN RECYCLED PAPER This form was designed using informs
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- ~ . - . -, c'i i -] ALASKA RADIOLbGICAL PHARMACY, LTD. ~ ~ 4201 Lake dtis Parkway, Anchorage, AK. 99508 - "1![t-* 'Co - w, (907) 561-7375 * Fax (907) 561-7380 s.,m &:s .'%;;j , ' l l SEP 3 0 . September 23,1998 I Dear Material Radiation Protection Section. After I met with NRC inspector David Skov from the Walnut Creek office, he ! informed me that I needed to send in all the final survey information for Alaska Radiological Pharmacies old site. I have put together my findings and hope this will close out the old site. Please let me know if you need any additional
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information or have any questions.
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Sincerely, - ? Peter Iverslie R.Ph. . b 466980 . - ;
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. - 1) A list of the radiological isotopes that were actually used at the site. To the extent possible (and reasonable), the quantities and dates of use of these ' isotopes should also be provided. See Table A. 2) The physical form of each isotope, i/e/, was it a sealed source or was the isotope used in a loose form. See Table A. 3) Information regarding major radiological spills of any licensed isotopes , such as the location of the spill (s) and pertinent radiological information about ! the spill (s). (Major spills for the purpose of this document means a spill that resulted in off-site contamination or any other spill where more that minimal decontamination effort is required, e.g., spills requiring assistance in cleanup and monitoring from persons other than the user.) There were no radiological spills at this site. 4) Information on any leaking sealed source used or stored at the site being released, including isotope, amount of leakage, contamination of other areas or personnel, description of cleanup, and disposition of the source. If no sources were determined to be leaking at facility, the licensee should state this fact. l There were no leaking sealed sources at this site. 5) The results of the !icensee's final surveys as required by 10 CFR parts 30.35 0) (2),40.420) (2),70.380) (2), and 72.54 0) (2). This includes submitting data in the following units: gamma radiation in units of mSv/hr (uR/hr) at one meter from surfaces, radioactivity in units of MBq/100cm^2 (dpm/100cm^2) (removable and fixed) for surfaces, MBq/ml (mci /ml) for water, andd Bq/g (pCi/g) for soils and concrete. (See Attachments 1 and 2). See letter 1. I ' 6) The survey instrumentation used for the final survey along with the certification that each instrument has been properly calibrated and tested and the minimum detectable activity (MDA) for each instrument. This information is needed for instruments used for measuring exposure rates and for those used for analysis of wipes, soil and water samples, etc. (See Attachment 3) See letter 1. The MDA for Ludlum Model-HOO scalar was 0.000005 microCi. j
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! I - 7) Maps and/or drawings which clearly indicate the locations where wipes ! ' and fixed measurements were taken. If contaminated drain lines (or other buried and inaccessible pipes) are an issue, blueprints or drawings should be included that show the locations of the drain lines, including where they originate and l end. ' See 9.3. No contamination in drain lines. 8) If other than minimal contamination efforts are necessary, both the before and after decontamination survey data should be provided as part of the final survey report, including the locations of these areas. No contamination efforts were necessary. j 9) The release criteria used as a basis for demonstrating the site can be release for unrestricted use. (See Attachment 4). No contamination was found and the site was vacant for 4 months. 10) If the licensee intends to leave certain portions of the site contaminated in excess of the release guidelines, a risk assessment of the potential dose ' consequences. No contamination : 11) The disposition of radioactive waste resulting from any remediation l efforts. Under normal circumstances the NRC will not conduct a closeout or l confirmatory inspection until all waste (and other licensed materials / sources) l have been removed from the site. IF these materials have not been removed prior to the licensee's submittal of the final survey data, then these areas will have to be surveyed following removal of the waste and the data submitted and reviewed before an onsite inspection and /or license termination. AII radioactive materials were removed from site on 9/D97. i ; I J
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Radioisotope Dose per Unit Freauency bM O M T1-201 20 mci 30/wk is Ga-67* 10 mci 1/mo er In*-111 500 yCi 1/mo I-123 200 yCl 20 caps /wk SEA'Cd I-131 (liqtiid) 12 mci 3/wk (unopened)
- - 'I I-131 (liquid) 100 mCJ 12/yr (unopened)
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. . . . . 1 .c. , '* .- , ALASKA RADIOLOGICAL FilARMACY, LTD. ' " P[bc .a . L, 4201 Lake Otis Parkway, Aix:horage, AK. 99508 ....,,.,e .. ' o %yed (907)S61-7375 * Fax (907) 561-7380 ; ! # , ! February 12,1998 l l ! ! To Whom It May Concern; 1. On December 7.1997 a Decoinmissioning survey was performed by Peter C. i Iverslie RPh, RSO. at 2000 West Interamtional Airport Road Suite Al1. This was the ! sight of Alaska Radiological Phainucy Ltd. which is now located at 4201 Lake Otis Pkwy l on this day both restricted rooms were empty. ; 2. A 100% scanning of all surfaces in the area at this facility where licensed i naterial was used or stored using Ludlum model 14 C, serial # 129730 , calibration date ! 4/5/97 survey meter. All surfaces were fourxl to be at background. l ' 3. Because of the snmil site of the restricted area a complete wipe of the floor wes i done. Random samples or wipes where done on the walls anxi where activity was most t likely to be found (100 cm2 cach). The instrument that was used for wipes was the Ludlum model 2200 scalar ratemeter, serial # 129858. ' ( Results - ' Background 100 . CPM .1000 .DPM ' i Floors 120 CPM .1200 DPM . 100 CPM 1000 DPM ! ' Walls > Ifyou have any questions regarding the decommission please call me at,(907) 561-7375. , Sincerely, f .. . _ ter C. lverslie RPh. l' resident i
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