ML20129D716

Amend 6 to License SNM-1367 for Good Samaritan Medical Ctr, Reflecting Change in Facility Name & Address

ML20129D716
Person / Time
Site:	07001353
Issue date:	05/20/1985
From:	Adam W NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To:
Shared Package
ML20129D719	List: ML20129D716 ML20129D728
References
NUDOCS 8506060198
Download: ML20129D716 (1)

Text

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q NEC Form 374A U.S. NUCLEAR CE!ULAT7RY COMMISSION p,gg 1 oF PAGES Lictnse number '

SNM-1367 MATERIALS LICENSE SUPPLEMENT ARY SHEET 070-01353 Amendment No. 06 [

f Good Samaritan Medical Center C Lutheran Campus 2000 West Kilbourn Avenue (

Milwaukee, WI 53233 L

l In accordance with letter dated January 7, 1985, License Number SNM-1367 is amended )

. cz follows:

Itcm 1 (Name) is changed from Good Samaritan Medical Center, Deaconess Hospital Ccrpus to Good Samaritan Medical Center, Lutheran Campus. f

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Ittm 2 (Address) is changed from 620 h 9th tre Kilbourn Avenue, Milwaukee, WI 5 hp, ,h(ilwaukee,WI53233to2000 West Cu.dition 10. is amended to sad

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10. Licensed material shall be-used only at the licensee's faciliNes located at

' f 2000 West Kilbourn A40ue,' Milk,aukee, Wisconsin. 4/ */ t F

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For the U.S. Nuclear Regulatory Commission [

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Original Signed l g

Date May 20, 1985 By William J. Adam, Ph.D. t 0 Materials Licensing Section, Region III F B50 h1367

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COPY M C

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