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{{#Wiki_filter:pi____                                   -_-----_--_-- ------_--__----_-----_--_-w 1 NRC Forr'n d/4
{{#Wiki_filter:pi____
        ] M84I                                             U.S. NUCLEAR RE!ULATORY COMMISSl;                                         NE          y w           mcs l
-_-----_--_-- ------_--__----_-----_--_-w 1 NRC Forr'n d/4 NE y
          !                                                        MATERIALS LICENSE                                                     Amendment No. 10 f Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-4 j Code of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations                                     y 1, heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess,and transfer byproduct, Ig lj source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to                       y 1
mcs l
l                                                                                                                                                                        R h; deliver     or be license shall transfer deemed to such contain material  to persons the conditions specified inauthorized Section 183 oftothe    receive              it in accordance Atomic Energy                         with theand Act of 1954, as amended,   regulation is   R f subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in eff 3( conditions specified below.                                                                                                                                     g l
] M84I U.S. NUCLEAR RE!ULATORY COMMISSl; w
Licensee                                                                                                                         I 3
MATERIALS LICENSE Amendment No. 10 f Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-4 j Code of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations y
In accordance with letter dated                                               f f!I- Veterans Administration Medical Center                                 3 March 25 1987, W"5" umber I
1, heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess,and transfer byproduct, Ig lj source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to y
J 1        Radiation Safety Office (115)                                           its entirety to read as follows:
1 h; deliver or transfer such material to persons authorized to receive it in accordance with the regulatio l
SNM-1605 is amended in                      ily al 2.
R license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is R
50 Irving Street, N.W.                                                                                                                                  E'
f subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in eff 3( conditions specified below.
{jj Washington, D.C.            20422                                4. Expiration date
g l
Licensee I
3 In accordance with letter dated f
f I
March 25 1987, il
!I-Veterans Administration Medical Center 3 W"5" umber SNM-1605 is amended in J
al Radiation Safety Office (115) its entirety to read as follows:
y 1
: 5. Docket or
: 5. Docket or
                                                                                                                    ~
~
August 31, 1991
{l
{lr g-4_                                                                                 Reference No. ' 070-02199                                                       g.
: 2. 50 Irving Street, N.W.
: 7. Chemical and/or physical                                       8. Maxunum amount that licensee h{ 6.special Byproduct,      source, and/or nuclear material                           form fi may passess at any one time
E '
                                                                                                                                    . under this license fA. Plutonium (principal                             A. Sealed Source                                                 A. 1.25 grams (5 individual i
{jj Washington, D.C.
a RadionuclidePu-238)                                                                                               sources not to exceed 250 milligrams each)                 f,j g
20422
1                                                                                                                                                                 g:
: 4. Expiration date August 31, 1991 g-4_
1   9. Authorized use             ,.                          .,            .;                            <            --                                  L 1                                                                     ,  -                                  <
Reference No. ' 070-02199 g.
t.
h{ 6. Byproduct, source, and/or
[A.         Implantation in humans as a component of Coratomic Mocel C-101 or C-101-P nuclear-                                                                   E 4
: 7. Chemical and/or physical
L powered cardiac pacemakers for clinical evaluation.
: 8. Maxunum amount that licensee f
                                                                                                                                  '                                      fW 1                                                               CONDITIONS                                             ,                                        y 1                                                                                                                     %
special nuclear material form may passess at any one time i
g:
. under this license fA. Plutonium (principal A. Sealed Source A. 1.25 grams (5 individual f,j i
T 10.       Licensed material shall be used only at Veterans Administration Medical Center, 50                                                                   E-Irving Street, N.W., Washington, D.C.
RadionuclidePu-238) sources not to exceed 250 milligrams each) a g
        ]                                                                                                              b
1 g:
1 9.
Authorized use L
1 t.
[A.
Implantation in humans as a component of Coratomic Mocel C-101 or C-101-P nuclear-E 4
powered cardiac pacemakers for clinical evaluation.
f L
W 1
CONDITIONS y
1 g:
T
]
10.
Licensed material shall be used only at Veterans Administration Medical Center, 50 E-Irving Street, N.W., Washington, D.C.
[
[
h11. The specified possession limit includes all 1.icensed material possessed by the 1           licensee under this license whether in storage, implanted in patients, or                                                                             h g;
b h11. The specified possession limit includes all 1.icensed material possessed by the h
I         otherwise in use.                                                                                                                                     5:
1 licensee under this license whether in storage, implanted in patients, or g;
lj                                                                                                                                                               t-h12. The licensee shall report to the U.S. Nuclear Regulatory Commission, Region I, ATTN: Chief. Nuclear Materials Safety and Safeguards Branch, 631 Park Avenue, King of Prussia, Pennsylvania 19406, within 24 hours of occurrence, the death                                                                       flE h
I otherwise in use.
of any nuclear pacemaker patient, and any adverse reaction and/or malfunction g
5:
at o involving a pacemaker system, including the leads. A written report giving                                                                           %[
lj t-h12. The licensee shall report to the U.S. Nuclear Regulatory Commission, Region I, flE ATTN: Chief. Nuclear Materials Safety and Safeguards Branch, 631 Park Avenue, King of Prussia, Pennsylvania 19406, within 24 hours of occurrence, the death h
details of the adverse reaction and/or malfunction shall be submitted within                                                                         E E
of any nuclear pacemaker patient, and any adverse reaction and/or malfunction
o
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      "'           30 days.                                                                                                                                             E E
involving a pacemaker system, including the leads. A written report giving g
S      13. The licensee shall report to the U.S. Nuclear Regulatory Commission, Region I, co             ATTN: Chief Nuclear Materials Safety and Safeguards Branch, 631 Park Avenue,                                                                         [;
at o details of the adverse reaction and/or malfunction shall be submitted within E
g l&                 King of Prussia, Pennsylvania 19406, within 10 days of loss of contact with a                                                                         g_
E "'
yo,             nuclear pacemaker patient.                                                                                                                           I rd -                                                                                                                                                                 l
30 days.
, M . 14. The licensee shall continue patient follow-up and replacement procedures for                                                                             t\
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    ""              the nuclear pacemaker during the life of the patient. Procedures for recovery                                                                         (
: 13. The licensee shall report to the U.S. Nuclear Regulatory Commission, Region I,
:                  and authorized disposal of the nuclear pacemaker by return to the manufacturer                                                                 (3jlj{[!
[;
co ATTN: Chief Nuclear Materials Safety and Safeguards Branch, 631 Park Avenue, g
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King of Prussia, Pennsylvania 19406, within 10 days of loss of contact with a g_
yo, nuclear pacemaker patient.
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, M. 14. The licensee shall continue patient follow-up and replacement procedures for
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Procedures for recovery (3jlj{[!
and authorized disposal of the nuclear pacemaker by return to the manufacturer l
shall be followed upon the death of the patient.
shall be followed upon the death of the patient.
l
l n_________________,.,__s# M J -
'                                                                                                                                                                        l  l n_________________,.,__s# M J -
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I   16. The licensee may transport licensed material in accordance with the provisions i
ll I
of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material".           ll l
: 16. The licensee may transport licensed material in accordance with the provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material".
I   17. Except as specifically provided otherwise in this license, the licensee shall I         conduct its program in accordance with the. statements, representations, and I         procedures contained in the documents including any enclosures, listed below.
i l
The Nuclear Regulatory Commission's regulations shall govern unless the state-l        ments, representations and procedures in the licensee's application and corre-i         spondence are more restrictive than the regulations.
I
I I         A. Letter with application dated December 15, 1975 I         B. Letter dated Decerrber 17, 1976 I         C. Letter dated January 18, 1977 i
: 17. Except as specifically provided otherwise in this license, the licensee shall I
D. Letter dated September 12, 1978 i         E. Letter dated January 22, 1981 1         F. Letter dated July 29, 1982 i         G. Letter dated January 23, 1984 N         H. Letter dated September 12, 1985         ,
conduct its program in accordance with the. statements, representations, and I
I. Section I. (Items C. and I.) and Section II (Item I.) of Radiation Safety l              Guide enclosed with letter dated September 9, 1985 y
procedures contained in the documents including any enclosures, listed below.
q         J. Letter dated January 29, 1986 i       K. Letter dated March 9, 1987 i         L. Letter dated March 25, 1987 1
l The Nuclear Regulatory Commission's regulations shall govern unless the state-ments, representations and procedures in the licensee's application and corre-i spondence are more restrictive than the regulations.
l l
I I
A.
Letter with application dated December 15, 1975 I
B.
Letter dated Decerrber 17, 1976 I
C.
Letter dated January 18, 1977 D.
Letter dated September 12, 1978 i
i E.
Letter dated January 22, 1981 1
F.
Letter dated July 29, 1982 i
G.
Letter dated January 23, 1984 N
H.
Letter dated September 12, 1985 l
I.
Section I. (Items C. and I.) and Section II (Item I.) of Radiation Safety Guide enclosed with {{letter dated|date=September 9, 1985|text=letter dated September 9, 1985}} y
q J.
Letter dated January 29, 1986 i
K.
Letter dated March 9, 1987 i
L.
Letter dated March 25, 1987 1l l
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For the U.S. Nuclear Regulatory Commission l
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l Date                                           By I                                                   Nuclear Materials Safety and
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      ,                                                                                              l Safeguards Branch, Region I               h King of Prussia, Pennsylvania   19406     f I
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Nuclear Materials Safety and l
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King of Prussia, Pennsylvania 19406 f
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qI U.S.
  ,    qI                                 U.S. EAR RE",1ULATORY COMMISSION                                                         g     PAGE    2     OF             k         PAGES
EAR RE",1ULATORY COMMISSION g
      ${ I''*N[CU    Forrn 374A        g Lic;nse number l~                         MATERIALS LICENSE SUPPLEMENTARY SHEET g,,,,, ,, g,f,,,,,, ,,[,,f E i                               !                                                                                                                                                              Y 4     ?                                                                                                                                     Amendment No. 10                                         >I (Con     nued)                                           CONDITIONS
2 OF k
      ,                                                                                                                                                                                              ,1 q     15.       ealed sources or detector cells containing licensed material shall not be                                                                                                     p i
PAGES
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${ N[C Forrn 374A PAGE I''* U g
Lic;nse number
. l~
MATERIALS LICENSE g,,,,,,, g,f,,,,,,,,[,,f E SUPPLEMENTARY SHEET Y
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Amendment No. 10
>I (Con nued)
CONDITIONS
,1 q
15.
ealed sources or detector cells containing licensed material shall not be p
(
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u \pened or sources removed from detector cells by the licensee.
i u \\pened or sources removed from detector cells by the licensee.
l 16. The         licensee may transport licensed material in accordance with the provisions q          , of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material".
R l
q         f I     17     Except as specifically provided otherwise in this license, the licensee shall                                                                                                         .
: 16. The licensee may transport licensed material in accordance with the provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material".
conduct its program in accordance with the statements, representations, and
q q
    -l              procedures contained in the documents including any enclosures, listed below,                                                                                                         i l             The Nuclear Regulatory Commission's regulations shall govern unless the state-g             ments, representations and procedures in the licensee's application and corre-                                                                                                   f:
f I
i   I.         spondence are more restrictive than the regulations.                                                                                                                             p; y
17 Except as specifically provided otherwise in this license, the licensee shall
.,    5 l
-l conduct its program in accordance with the statements, representations, and procedures contained in the documents including any enclosures, listed below, i
l The Nuclear Regulatory Commission's regulations shall govern unless the state-f:
g ments, representations and procedures in the licensee's application and corre-i I.
spondence are more restrictive than the regulations.
p; y
5 n)'
A.
A.
B.
Letter with application dated December 15, 1975 E
Letter with application dated December 15, 1975 Letter dated December 17, 1976 n)'
l B.
E C. Letter dated January 18, 1977 l
Letter dated December 17, 1976
q              D. Letter dated September 12, 1978                                                                                                                                             [!
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q             E. Letter dated January 22, 1981                                                                                                                                               gj I             F. Letter dated July 29, 1982                                                                                                                                                 pt i             G. Letter dated January 23, 1984                                                                                                                                               hl I             H. Letter dated September 12, 1985                                                                                                                                             >
Letter dated January 18, 1977 q
Section I. (Items C. and I.) and Section II (Item I.) of Radiation Safety l
D.
g I.
Letter dated September 12, 1978 g}
Guide enclosed with letter dated September 9, 1985                                                                                                                         fg q             J. Letter dated January 29, 1966                                                                                                                                               pi
q E.
(             K. Letter dated March 9, 1987                                                                                                                                                   gi
Letter dated January 22, 1981 gj I
(             L. Letter dated March 25, 1987                                                                                                                                                 b 8                                                                                                                                                                                                 F 4                                                                                                                                                                                                 W N                                                                                                                                                                                                 E 4                                                                                                                                                                                                 k 4
F.
d                                                                                                                                                                                                bl i
Letter dated July 29, 1982 pt i
i                                                                                                                                                                                                 k i                                                                                                                                                                                                 t i                                                                                                                                                                                                 k 4                                                                                                                                                                                                 i 4                                                                                                                                                                                                 ti 4                                                                                                                                                                                                 t1 4                                                                                                                                                                                                 El d                                                                                                                                                                                                 I i                                                                                                                                                                                                 I 4                                                                                                                                                                                                 i i                                                                                                                                                                                                 [
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Letter dated January 23, 1984 hl I
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d    Date                                                            By                                                                                                                          I!
Letter dated September 12, 1985 I.
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Letter dated January 29, 1966 pi
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Latest revision as of 01:57, 4 December 2024

Amend 10 to License SNM-1605 for Veterans Admin Medical Ctr, Amending License in Entirety
ML20214H690
Person / Time
Site: 07002199
Issue date: 05/14/1987
From: Glenn J
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION I)
To:
Shared Package
ML20214H692 List:
References
NUDOCS 8705270466
Download: ML20214H690 (2)


Text

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-_-----_--_-- ------_--__----_-----_--_-w 1 NRC Forr'n d/4 NE y

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] M84I U.S. NUCLEAR RE!ULATORY COMMISSl; w

MATERIALS LICENSE Amendment No. 10 f Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-4 j Code of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations y

1, heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess,and transfer byproduct, Ig lj source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to y

1 h; deliver or transfer such material to persons authorized to receive it in accordance with the regulatio l

R license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is R

f subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafter in eff 3( conditions specified below.

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Licensee I

3 In accordance with letter dated f

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March 25 1987, il

!I-Veterans Administration Medical Center 3 W"5" umber SNM-1605 is amended in J

al Radiation Safety Office (115) its entirety to read as follows:

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5. Docket or

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2. 50 Irving Street, N.W.

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{jj Washington, D.C.

20422

4. Expiration date August 31, 1991 g-4_

Reference No. ' 070-02199 g.

h{ 6. Byproduct, source, and/or

7. Chemical and/or physical
8. Maxunum amount that licensee f

special nuclear material form may passess at any one time i

. under this license fA. Plutonium (principal A. Sealed Source A. 1.25 grams (5 individual f,j i

RadionuclidePu-238) sources not to exceed 250 milligrams each) a g

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1 9.

Authorized use L

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Implantation in humans as a component of Coratomic Mocel C-101 or C-101-P nuclear-E 4

powered cardiac pacemakers for clinical evaluation.

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CONDITIONS y

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10.

Licensed material shall be used only at Veterans Administration Medical Center, 50 E-Irving Street, N.W., Washington, D.C.

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b h11. The specified possession limit includes all 1.icensed material possessed by the h

1 licensee under this license whether in storage, implanted in patients, or g;

I otherwise in use.

5:

lj t-h12. The licensee shall report to the U.S. Nuclear Regulatory Commission, Region I, flE ATTN: Chief. Nuclear Materials Safety and Safeguards Branch, 631 Park Avenue, King of Prussia, Pennsylvania 19406, within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> of occurrence, the death h

of any nuclear pacemaker patient, and any adverse reaction and/or malfunction

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involving a pacemaker system, including the leads. A written report giving g

at o details of the adverse reaction and/or malfunction shall be submitted within E

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30 days.

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13. The licensee shall report to the U.S. Nuclear Regulatory Commission, Region I,

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co ATTN: Chief Nuclear Materials Safety and Safeguards Branch, 631 Park Avenue, g

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King of Prussia, Pennsylvania 19406, within 10 days of loss of contact with a g_

yo, nuclear pacemaker patient.

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, M. 14. The licensee shall continue patient follow-up and replacement procedures for

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'bwz the nuclear pacemaker during the life of the patient.

Procedures for recovery (3jlj{[!

and authorized disposal of the nuclear pacemaker by return to the manufacturer l

shall be followed upon the death of the patient.

l n_________________,.,__s# M J -

~T2_____=___________J

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16. The licensee may transport licensed material in accordance with the provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material".

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I

17. Except as specifically provided otherwise in this license, the licensee shall I

conduct its program in accordance with the. statements, representations, and I

procedures contained in the documents including any enclosures, listed below.

l The Nuclear Regulatory Commission's regulations shall govern unless the state-ments, representations and procedures in the licensee's application and corre-i spondence are more restrictive than the regulations.

I I

A.

Letter with application dated December 15, 1975 I

B.

Letter dated Decerrber 17, 1976 I

C.

Letter dated January 18, 1977 D.

Letter dated September 12, 1978 i

i E.

Letter dated January 22, 1981 1

F.

Letter dated July 29, 1982 i

G.

Letter dated January 23, 1984 N

H.

Letter dated September 12, 1985 l

I.

Section I. (Items C. and I.) and Section II (Item I.) of Radiation Safety Guide enclosed with letter dated September 9, 1985 y

q J.

Letter dated January 29, 1986 i

K.

Letter dated March 9, 1987 i

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Letter dated March 25, 1987 1l l

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For the U.S. Nuclear Regulatory Commission l

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Nuclear Materials Safety and l

Safeguards Branch, Region I h

King of Prussia, Pennsylvania 19406 f

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EAR RE",1ULATORY COMMISSION g

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PAGES

${ N[C Forrn 374A PAGE I* U g

Lic;nse number

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MATERIALS LICENSE g,,,,,,, g,f,,,,,,,,[,,f E SUPPLEMENTARY SHEET Y

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Amendment No. 10

>I (Con nued)

CONDITIONS

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15.

ealed sources or detector cells containing licensed material shall not be p

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i u \\pened or sources removed from detector cells by the licensee.

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16. The licensee may transport licensed material in accordance with the provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material".

q q

f I

17 Except as specifically provided otherwise in this license, the licensee shall

-l conduct its program in accordance with the statements, representations, and procedures contained in the documents including any enclosures, listed below, i

l The Nuclear Regulatory Commission's regulations shall govern unless the state-f:

g ments, representations and procedures in the licensee's application and corre-i I.

spondence are more restrictive than the regulations.

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A.

Letter with application dated December 15, 1975 E

l B.

Letter dated December 17, 1976

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l C.

Letter dated January 18, 1977 q

D.

Letter dated September 12, 1978 g}

q E.

Letter dated January 22, 1981 gj I

F.

Letter dated July 29, 1982 pt i

G.

Letter dated January 23, 1984 hl I

H.

Letter dated September 12, 1985 I.

Section I. (Items C. and I.) and Section II (Item I.) of Radiation Safety f

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Guide enclosed with letter dated September 9, 1985 g

q J.

Letter dated January 29, 1966 pi

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K.

Letter dated March 9, 1987 gi

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Letter dated March 25, 1987 b

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