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{{#Wiki_filter:EXPORT LICENSE NRC FORM 250 NRC LICENSE NO.:                      PXB6.45 United States of America                                                                                                 Page 1 of 9 Nuclear Regulatory Commission                                                NRC DOCKET NO.:  1                  1006027 Washington        , D.C. 20555                                      LICENSE EXPIRES:                        March 31, 2032
{{#Wiki_filter:United States of America 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).
 
LICENSE EXPIRES:
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).
NRC DOCKET NO.: 11006027 Page 1 of 9 PXB6.45 NRC LICENSE NO.:
 
NRC FORM 250 Nuclear Regulatory Commission Washington, D.C. 20555 EXPORT LICENSE Alpha-Omega Services, Inc.
LICENSEE                                                                      ULTIMATE CONSIGNEE(S) IN FOREIGN                                    COUNTRY(IES)
1282 Bigwoods-Starks Road Vinton, LA 70668 LICENSEE INTERMEDIATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES)
Alpha-Omega Services, Inc.                                                                                                               See following page(s) 1282 Bigwoods-Starks Road Vinton   , LA 70668
OTHER U.S. PARTY(IES) TO EXPORT Neither this license nor any right under this license shall be assigned or otherwise transferred in violation of the provisions of the Atomic Energy Act of 1954, as amended.
 
This license is subject to the right of recapture or control by Section 108 of the Atomic Energy Act of 1954, as amended, and to all the other provisions of said Acts, now or hereafter in effect and to all valid rules and regulations of the Nuclear Regulatory Commission.
Attn:      Carl Tunnell
THIS LICENSE IS INVALID UNLESS SIGNED BELOW BY AUTHORIZED NRC REPRESENTATIVE NAME AND TITLE:
 
DATE OF ISSUANCE:
INTERMEDIATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES)                                                                                           OTHER U.S. PARTY(IES) TO EXPORT None                                                                                  See following page(s)
 
APPLICANT'S  
APPLICANT'S  


==REFERENCE:==
==REFERENCE:==
Amendment 4    5                        ULTIMATE DESTINATIONS:                     See following page            s 2, 3, 4, 5, and 6
Amendment 45 ULTIMATE DESTINATIONS: See following pages 2, 3, 4, 5, and 6 Sabrina D. Atack, Deputy Director Office of International Programs EXPORT LICENSE Attn: Carl Tunnell ULTIMATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES)
 
None See following page(s)
SLc8(0wUDwv58SvY              110, APPENDIX P, BYPRODUCT MATERIALS TO BE EXPORTED                 , INCLUDING CONDITIONS, AND NOTES (NOTE: SEE PAGE 9                   FOR DEFINITIONS OF CATEGORY 1 AND CATEGORY 2)
DESCRIPTIONS OF 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 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.
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 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 its application, must submit pertinent documentation required by 10 CFR 110.32(g) at least 24 hours prior to shipment. See Page 9 for Mandatory Advanced Notifications.
Licensee, if not already submitted with                     its application, must submit pertinent documentation required by 10 CFR 110.32(g) at least 24 hours prior to shipment. See Page 9 for Mandatory                               Advanced       Notifications.
The license amendment PXB6.44 is superseded upon the issuance of NRC license PXB6.45, amending its authority. This application revises the list of "Other U.S. Party(ies) to Export," #19, #44, #61, #67, #73 and adds two additional "Other U.S. Party(ies) to Export,"  
 
The license amendment PXB6.4                          4 is superseded upon the issuance of NRC license PXB6.4                                      5, amending its authority. This application revises the list of "Other U.S. Party(ies) to Export," #19, #44, #61, #67, #73 and adds two additional                                                                                                                                     "Other U.S. Party(ies) to Export,"
#4, #5.
#4, #5.
See following page(s)
March 31, 2032 May 1, 2024 SABRINA ATACK Digitally signed by SABRINA ATACK Date: 2024.05.01 08:38:45 -04'00'


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.
PXB6.45 Page 2 of 9
 
[1]
This license is subject to the right of recapture or control by Section 108                              NAME AND TITLE:
[2]
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 ISSUANCE:                  May 1, 2024
[3]
 
Licensee is prohibited from shipping Category 1 quantities until government-to-government consent has been requested, received and processed.
EXPORT LICENSE PXB6.45 Page 2 of 9
The licensee submits 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 transaction(s) from the importing countrys regulatory authority.
 
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.
CONDITIONS, NOTES, AND DESCRIPTIONS OF 10CFR PART 110, APPENDIX P, BYPRODUCT              AND SOURCE MATERIALS TO BE EXPORTED(cont'd)
CONDITIONS, NOTES, AND DESCRIPTIONS OF 10CFR PART 110, APPENDIX P, BYPRODUCT AND SOURCE MATERIALS TO BE EXPORTED(cont'd)
 
[1]                   Licensee is prohibited from shipping                       Category       1 quantities       until government-to-government consent has been requested, received and processed                                   .
 
The licensee submits a consent request to the NRC with pertinent details for a specific
[2]                    shipment or series of shipments on the NRC Form 7, which notifies the NRC to request and obtain consent for the specified transaction(s) from the importing countrys regulatory authority.
 
[3]                  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) Continued:
ULTIMATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES) Continued:
: 1.     (For export of 10 CFR Part 110 Appendix P                                         2.     (For export of 10 CFR Part 110 Appendix P Category 1 quantities of Co-60)                                                             Category 1 quantities of Co-60)
1.
 
(For export of 10 CFR Part 110 Appendix P Category 1 quantities of Co-60)
Nordion (Canada) Inc.                                                                       Japan Radioisotope              Association        (JRIA) 28-45 447 March Road                                                                             Honkomagome 2-Chome Ottawa, Ontario K2K 1X8                                                                     Bunkyo-Ku,              Tokyo 113-8941 Canada                                                                                     Japan
Japan Radioisotope Association (JRIA) 28-45 Honkomagome 2-Chome Bunkyo-Ku, Tokyo 113-8941 Japan 2.
: 3.      (For export of 10 CFR Part 110 Appendix P Category 1 quantities of Co-60)
(For export of 10 CFR Part 110 Appendix P Category 1 quantities of Co-60)
 
Nordion (Canada) Inc.
Studsvik Nuclear AB Atomvagen 1 611 82 Nykoping Sweden
447 March Road Ottawa, Ontario K2K 1X8 Canada (For export of 10 CFR Part 110 Appendix P Category 1 quantities of Co-60)
 
Studsvik Nuclear AB Atomvagen 1 611 82 Nykoping Sweden 3.
OTHER U.S. P                      ARTY(IES)             TO EXPORT Continued:
OTHER U.S. PARTY(IES) TO EXPORT Continued:
: 1.                                                                                                         Akron General Medical CenterAdventist Health Systems/Sunbelt Inc.                        2.
1.
AdventHealth Cancer Institute Orlando                                                          762 South Cleveland Massillon Road 2501    North Orange Avenue                                                                    Montrose, OH 44333 Orlando,      FL 32804
Akron General Medical Center 762 South Cleveland Massillon Road Montrose, OH 44333 2.
: 3.                                                                                                         Allegheny Health NetworkAlexian Brothers Medical Center4.
3.
800    West Biesterfield Road                                                                  AHN Cancer Institute - Allegheny General Elk Grove Village, IL 60007                                                                    314 East North Avenue Pittsburgh, PA 15212
Allegheny Health Network AHN Cancer Institute - Allegheny General 314 East North Avenue Pittsburgh, PA 15212 4.
: 5.                                                                                                         Alpha-Omega Services, Inc.Allegheny Health Network6.
5.
AGH Receiving                                                                                  1282 Big Woods-Starks Road 1300 Sandusky Street                                                                            Vinton, LA 70668 Pittsburgh,        PA 15212
Alpha-Omega Services, Inc.
: 7.                                                                                                          Augusta University Medical CenterAnchorage Radiation Oncology Management, Inc.8.
1282 Big Woods-Starks Road Vinton, LA 70668 6.
dba Anchorage Radiation Therapy Center                                                          1120 15th Street 2841 Debarr Road, Suite 100                                                                    Augusta,      G A 30912 Anchorage, AK 99508 PXB6.45 Page 3 of 9 OTHER U.S. P                      ARTY(IES)            TO EXPORT Continued:
Adventist Health Systems/Sunbelt Inc.
: 9.                                                                                                  10.Aurora Health Care Metro, Inc.Avera McKennan              - Avera Radiation Oncology dba    Aurora St. Lukes Medical Center Room 115                                                        Avera Cancer Institute             Prairie Center Gamma Knife Department                                                                                  1000 East 23rd St.
AdventHealth Cancer Institute Orlando 2501 North Orange Avenue Orlando, FL 32804 Alexian Brothers Medical Center 800 West Biesterfield Road Elk Grove Village, IL 60007 Allegheny Health Network AGH Receiving 1300 Sandusky Street Pittsburgh, PA 15212 Anchorage Radiation Oncology Management, Inc.
2900    West Oklahoma Avenue                                                                           Suite 100, Room #2 Milwaukee, WI 53215                                                                                    Sussex Falls, SD 57105
dba Anchorage Radiation Therapy Center 2841 Debarr Road, Suite 100 Anchorage, AK 99508 7.
: 11.                                                                                                  12.Baptist Hospital of Miami, Inc.Billings Clinic Department of Radiation Oncology                                                                        2800      Tenth Avenue North 8900 North Kendall Drive                                                                                Billings,    MT 59101 Miami,          FL   33176
Augusta University Medical Center 1120 15th Street Augusta, GA 30912 8.
: 14. Center for Advanced Medicine
: 13. Bryan Medical Center                                                                                   Long Island Jewish Medical Center 2300 South 16th Street                                                                                  450 Lakeville Road Lincoln, NE 68502                                                                                      Lake Success, NY                  11042
: 15.                                                                                                  16.Central DuPage Hospital Association                        Northwestern Chesapeake Regional Riverside &
Medicine Cancer Center                Central DuPage Hospital                                          University of Virginia Radiosurgery Center 4405    Weaver Parkway                                                                                500 J Clyde Morris Boulevard Warrenville,              IL 60555                                                                      Newport News,                V A 23601
: 18. Cooper Health System
: 17.      Chippenham and Johnston-Willis Hospitals, Inc.                                                          Robert Wood Johnson Medical School at Camden dba CJW Medical Center                                                                                  3 Cooper Plaza Johnston-Willis Campus                                                                                  Camden, NJ 08103 1401 Johnston-Willis Drive Richmond,          V        A  23235                                                          20.      Covenant Health System Covenant Gamma Southwest
: 19.      Corewell Health William Beaumont University Hospital                                                    3603 21st Street William Beaumont Hospital - Imaging Center                                                              Lubbock, TX 79410 3601 W. Thirteen Mile Road Royal Oak, MI 48073                                                                            22.      Doctors Hospital, Inc.
dba Doctors Hospital
: 21.      Dignity Health                                                                                          5000 University Drive dba St.        Josephs Hospital and Medical Center                                                    Coral Gables, FL 33146 350    West    Thomas Road Phoenix, AZ 85013                                                                              24.      Fort Sanders Regional Gamma Knife Center 1915    White Avenue
: 23.      Emory Saint Joseph's Hospital                                                                          Knoxville, TN 37916 5665 Peachtree Dunwoody Road, NE Atlanta,    GA 30342                                                                          26.      GE-Hitachi Nuclear Energy Americas, LLC V allecitos Nuclear Center
: 25.        Gamma Knife Center of the Pacific                                                                      6705      Vallecitos Road 2226 Liliha Street, Level B2                                                                            Pleasanton,        CA 94586 Honolulu (Island of Oahu), HI 96817
: 28.      Hackensack University Medical Center
: 27.        GKMD, Inc.                                                                                              John Theurer Cancer Center Deaconess Medical Center, Gamma Knife Suite                                                            92 2nd St.
Basement Floor, Room                        117                                                        Hackensack, NJ 07601 910  West    5th Ave.
Spokane,                                  WA    99204 PXB6.45 Page 4 of 9 OTHER U.S. P                      ARTY(IES)            TO EXPORT Continued:
: 29.                                                                                                  30.Harborview Medical CenterHoag Memorial Hospital Presbyterian 325 9th Avenue                                                                                        One Hoag Drive Gamma Knife Suite                                                                                    Newport Beach, CA 92658 Seattle,    WA 98133
: 32.      Indiana University Health Methodist Hospital
: 31.      IHC Health Services, Inc.                                                                            1701 N. Senate Blvd dba Intermountain Medical Center                                                                      Indianapolis, IN 46202 Jon and      Karen Huntsman Cancer Center (Building #3), Gamma Knife Room                                                              34.      John F. Kennedy Medical Center 5121    South Cottonwood Street                                                                      65 James Street Murray,      UT 84107                                                                                Edison TWP, NJ 08817
: 33.      Jewish Hospital, LLC.                                                                      36.      Kettering Medical Center 4777 East Galbraith Road                                                                              3535 Southern Boulevard Cincinnati, OH 45236                                                                                  Kettering, OH 45429
: 35.      Karmanos Cancer Center                                                                      38.      Legacy Health System Gershenson Radiation Oncology Center                                                                1130 North West 22nd Avenue, Suite LL50 4100 John R. Street, Room 379                                                                        Portland, OR 97210 Detroit, MI 48201                                                                                    Lewis Hall Singletary Oncology Center 40.
: 37.      Larkin Community Hospital, Inc.                                                                      at John D. Archbold Memorial Center 6129 Southwest 70th Street                                                                          919 South Broad Street South Miami, FL 33143                                                                                Thomasville,        GA 31792
: 39.      Lehigh Valley Health Network                                                                42.      Lovelace Medical Center 1240 South Cedar Crest Boulevard                                                                    601 Dr. Martin Luther King, Jr. NE Allentown,        PA 18103                                                                          Albuquerque, NM 87102
: 41.      Los Robles Regional Medical Center                                                          44.      Mayo Clinic 2200    Lynn Road                                                                                  SMC Mary Brigh Building Thousand Oaks, CA 91360                                                                              Mayo Clinic Rochester Campus 1216 2nd St. SW
: 43.      Marshfield Medical Center                                                                            Rochester, MN 55902 61 1 St. Joseph      Avenue                                                                        Medical College of Wisconsin Marshfield, WI 54449                                                                        46.
Froedtert Memorial Lutheran Hospital
: 45.      Mayo Clinic Jacksonville                                                                            9200    West Wisconsin Avenue 4500 San Pablo Road                                                                                  Milwaukee, WI 53226 Jacksonville,        FL 32224                                                                        Memorial Hermann Health System 48.
: 47.      Medical University Hospital Authority                                                                dba      Memorial Hermann                        Texas Medical Center dba Medical University of South Carolina                                                            641  1 Fannin Street 171    Ashley Avenue (MUSC)                                                                          Houston, TX 77030 Charleston, SC 29425 PXB6.45 Page 5 of 9 OTHER U.S. P                      ARTY(IES)            TO EXPORT Continued:
: 49.                                                                                                  50.Mercy Health - St. Vincent Medical Center, LLCMercy Health Center Perrysburg Cancer Center                                                                              4300    West Memorial Road 12623 Eckel Junction Road                                                                            Oklahoma City, OK 73120 Perrysburg, OH 43552
: 52. Methodist Childrens Hospital
: 51.      Merit Health Central                                                                                  dba Joe        Arrington Cancer Center Central Mississippi Medical Center                                                                    4101 22nd Place Radiation Oncology Department                                                                        Lubbock, TX 79410 1850 Chadwick Drive Jackson, MS 39204                                                                            54. Methodist Hospital of Gary, Inc.
Methodist Hospital - Southlake Campus
: 53.      Methodist Healthcare System                                                                          8701 Broadway of San Antonio LTD Methodist Hospital                                                                Merrillville, IN 46410 7700 Floyd Curl Drive San    Antonio, TX 78229                                                                    56.      Neurologic & Orthopedic Institute of Chicago 4501 N. Winchester
: 55.      Mid-Michigan Gamma Knife Facility                                                                    Chicago,      IL 60640 4000    Wellness Drive Room H-1405                                                                                  58. North Carolina Baptist Hospital Midland, MI 48670                                                                                    Outpatient Comprehensive Cancer Center Medical Center Boulevard
: 57.      New      York Presbyterian Hospital                                                                  Winston-Salem, NC 27157 Columbia University Medical Center Gamma Knife Suite                                                                            60. Northside Hospital Forsyth Columbia-Presbyterian Medical Center                                                                  1200 Northside Forsyth Drive 630    West 168th Street                                                                              Cumming,         GA 30041 New      York, NY 10032
: 59. Northern Westchester Hospital Center                                                          62. NYU Langone Hospitals 400 East Main Street                                                                                  Tisch Hospital Mount Kisco, NY 10549                                                                                550    First  Ave.
New      York, NY 10016
: 61.      Northwestern Memorial HealthCare                                                              64. OSF Healthcare System Galter Pavilion                                                                                      St. Francis Medical Center 201 E. Huron Street                                                                                  530    NE Glen Oak Avenue Chicago,      IL 6061  1                                                                            Peoria,    IL 61637
: 63.      Ochsner Clinic Foundation                                                                      66. Our Lady of the Lake Hospital Inc.
Ochsner Medical Center                                                                                dba   Thomas J. Moran Imaging Center Department of Radiation Oncology                                                                      4950 Essen Lane 1514    Jefferson Highway                                                                            Baton Rouge, LA 70809 New Orleans, LA 70121
: 65.      OU Medical Center                                                                             68. Penn State Health Holy Spirit Medical Center Presbyterian              Tower                                                                      GSR Suite at the Oakwood Center 700 N.E. 13th Street                                                                                  880 Century Drive Oklahoma City, OK 73104                                                                              Mechanicsburg, PA 17055
: 67. PeaceHealth Sacred Heart Medical Center Gamma Knife Department 3333 RiverBend Drive Springfield, OR 97477 PXB6.45 Page 6 of 9 OTHER U.S. P                      ARTY(IES)            TO EXPORT Continued:
: 69.                                                                                                  70.Penn State Milton S. Hershey Medical CenterPiedmont Hospital Atlanta 500 University Drive                                                                                  1968 Peachtree Road N.W.
Hershey,         PA 17033                                                                              Atlanta,    GA 30309
: 71.                                                                                                  72.Pitt County Memorial HospitalPrisma Health Richland Hospital 2100 Statonsburg Road                                                                                  7 Medical Park Greenville, NC 27835                                                                                  Columbia, SC 29203
: 73.                                                                                                  74.Providence Health & Services - OregonPuerto Rico Medical Services Administration Gamma Knife Center of Oregon                                                                          Puerto Rico Medical Center, Centro Medico Providence Portland Medical Center                                                                    de Rio Piedras North Pavilion                                                                                        First Floor, Central Building, Carr 22 Barrio 4805 NE Glisan Street                                                                                  Monacillos Portland, OR 97213                                                                                    San Juan, PR 00935
: 75.                                                                                                  76.Puget Sound Radiosurgery, LLC.Research Medical Center Gamma Knife Suite, Room 103                                                                            Midwest Gamma Knife Center St. Josephs Medical Pavillion                                                                        2316 E. Meyer Blvd.
1802    South      Yakima Ave.                                                                        Kansas City, MO 64132 Tacoma, WA 98405                                                                            78.      Robert Wood Johnson University Hospital
: 77.      Rhode Island Hospital                                                                                  Gamma Knife Suite 593 Eddy Street                                                                                        10 Plum Street Providence, RI 02903                                                                                  New Brunswick City, NJ 08901
: 79.                                                                                                  80.Roswell Park Cancer Institute CorpSacred Heart Health System, Inc.
Elm & Carlton Street                                                                                  dba Sacred Heart Hospital of Pensacola Buffalo, NY 14263                                                                                      5151 North 9th Avenue Pensacola,        FL 32504
: 81.                                                                                                82.San Antonio Community HospitalSan Diego Gamma Knife Center 999 San Bernardino Road                                                                                9834    Genesee Avenue, Suite                        110 Upland,      CA 91786                                                                                  La Jolla, CA 92037
: 83.                                                                                                84.South Nassau Communities HospitalSt. Lukes The Woodlands Hospital One Healthy Way                                                                                        17200 St. Lukes Way Oceanside,        NY    11572                                                                        The Woodlands, TX 77384
: 85.                                                                                                  86.St. Vincent Medical CenterSUNY Upstate Medical University 2  Shircliff Way                                                                                      750    East Adams Street Jacksonville,        FL 32204                                                                          Syracuse,      NY 13210
: 87.                                                                                                88.Sutter Gamma Knife CenterSwedish Medical Center 2801 K St., Suite              110                                                                    799    East Hampden Ave. Suite                        110 Sacramento,          CA 95816                                                                          Englewood, CO 80113
: 89.      Temple University                                                                            90.      Tenet Good Samaritan, Inc.
Temple Hospital                                                                                        1309 North Flagler Drive 3401 N. Broad Street                                                                                  West Palm Beach, FL 33401 Philadelphia,          P A 19140 PXB6.45 Page 7 of 9 OTHER U.S. P                      ARTY(IES)            TO EXPORT Continued:
: 91.                                                                                                  92.Tenet Hospitals LimitedThe Charlotte-Mecklenburg Hospital Authority dba      The Hospitals of Providence Sierra Campus                                                    dba Atrium Health Advanced Radiation Therapy Gamma Knife Suite                                                                                      1310 East Morehead Street 1625 Medical Center Drive                                                                              Charlotte, NC 28203 El Paso, TX 79902
: 94.      The Methodist Hospital
: 93. The Cleveland Clinic Foundation                                                                        dba      Houston Methodist dba The Cleveland Clinic                                                                              6551    Bertner Avenue 10201      Carnegie Avenue                                                                            Houston, TX 77030 Cleveland, OH 44195
: 96.      The Regents of the University of California
: 95. The Ohio State University                                                                              San Francisco Medical Center Radiation Medicine Department                                                                          UCSF Medical Center Arthur G. James Cancer Hospital and                                                                    Parnassus Ave.
Richard J. Solove Research Institute                                                                  San Francisco, CA 94143 300 West 10th Avenue Columbus, OH 43210                                                                          98.      The Swedish Radiosurgery Center Suite A10 James                    Tower
: 97.      The Regents of the University of California                                                            550 17th Avenue U.C. Davis Medical Center                                                                              Seattle,    WA 98122 2315 Stockton Blvd.
Sacramento,          CA 95817                                                              100.      The University of                Texas MD Anderson Cancer Center
: 99.      The University of Iowa                                                                                1515 Holcombe Boulevard University of Iowa Campus                                                                              Houston, TX 77030 200 Hawkins Drive Iowa City, IA 52242                                                                        102.      Thomas Jefferson University and Hospitals 900    Walnut Street 101.      The Valley Hospital Luckow Pavilion                                                                    Philadelphia,           P A 19107 1  Valley Health Plaza Paramus, NJ 07652                                                                          104.      University Health Shreveport, LLC.
dba Ochsner LSU Health Shreveport 103.      Tufts Medical Center                                                                                  1541 Kings Highway 800    Washington Street                                                                              Shreveport,        LA  71 103 Boston,      MA    021  1 1 106.      University of Colorado Hospital Authority 105.      University Hospitals of Cleveland                                                                      1635 Aurora Court 11100 Euclid Avenue                                                                                    Aurora, CO 80045 Cleveland, OH 44106 108.      University of Maryland Medical System 107.      University of Kentucky                                                                                Gamma Knife Suite, South Hospital B Wing Markey Cancer Center, Roach Bldg                                                                      22 South Greene Street Room CC049                                                                                            Baltimore, MD 21201 800 Rose Street Lexington,      KY 40536                                                                    110.      University of Minnesota Medical Center Room 1-285 109.      University of Miami                                                                                    500 SE Harvard Street Sylvester Cancer Center West                                                                          Minneapolis, MN 55455 1400 NW 12th Avenue Miami,    FL 33136
 
111.      University of Mississippi Medical Center 350    West Woodrow Wilson Avenue Jackson, MS 39216 PXB6.45 Page 8 of 9 OTHER U.S. P                      ARTY(IES)            TO EXPORT Continued:


112.     University of Pennsylvania                                                                  113.     University of Pittsburgh Pennsylvania Hospital Campus                                                                           Presbyterian University Hospital 800 Spruce Street                                                                                     230 Lothrop Street, Room F-185 Philadelphia,           P A 19107                                                                      Pittsburgh,         P A 15213
PXB6.45 Page 3 of 9 OTHER U.S. PARTY(IES) TO EXPORT Continued:
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25.
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Aurora Health Care Metro, Inc.
dba Aurora St. Lukes Medical Center Room 115 Gamma Knife Department 2900 West Oklahoma Avenue Milwaukee, WI 53215 Baptist Hospital of Miami, Inc.
Department of Radiation Oncology 8900 North Kendall Drive Miami, FL 33176 Bryan Medical Center 2300 South 16th Street Lincoln, NE 68502 Central DuPage Hospital Association Northwestern Medicine Cancer Center Central DuPage Hospital 4405 Weaver Parkway Warrenville, IL 60555 Chippenham and Johnston-Willis Hospitals, Inc.
dba CJW Medical Center Johnston-Willis Campus 1401 Johnston-Willis Drive Richmond, VA 23235 Corewell Health William Beaumont University Hospital William Beaumont Hospital - Imaging Center 3601 W. Thirteen Mile Road Royal Oak, MI 48073 Dignity Health dba St. Josephs Hospital and Medical Center 350 West Thomas Road Phoenix, AZ 85013 Emory Saint Joseph's Hospital 5665 Peachtree Dunwoody Road, NE Atlanta, GA 30342 Gamma Knife Center of the Pacific 2226 Liliha Street, Level B2 Honolulu (Island of Oahu), HI 96817 GKMD, Inc.
Deaconess Medical Center, Gamma Knife Suite Basement Floor, Room 117 910 West 5th Ave.
Spokane, WA 99204 27.
Avera McKennan - Avera Radiation Oncology Avera Cancer Institute Prairie Center 1000 East 23rd St.
Suite 100, Room #2 Sussex Falls, SD 57105 Billings Clinic 2800 Tenth Avenue North Billings, MT 59101 Center for Advanced Medicine Long Island Jewish Medical Center 450 Lakeville Road Lake Success, NY 11042 Chesapeake Regional Riverside &
University of Virginia Radiosurgery Center 500 J Clyde Morris Boulevard Newport News, VA 23601 Cooper Health System Robert Wood Johnson Medical School at Camden 3 Cooper Plaza Camden, NJ 08103 Covenant Health System Covenant Gamma Southwest 3603 21st Street Lubbock, TX 79410 Doctors Hospital, Inc.
dba Doctors Hospital 5000 University Drive Coral Gables, FL 33146 Fort Sanders Regional Gamma Knife Center 1915 White Avenue Knoxville, TN 37916 GE-Hitachi Nuclear Energy Americas, LLC Vallecitos Nuclear Center 6705 Vallecitos Road Pleasanton, CA 94586 Hackensack University Medical Center John Theurer Cancer Center 92 2nd St.
Hackensack, NJ 07601 28.


114.     University of Pittsburgh                                                                    115.     University of Pittsburgh Presbyterian University Hospital                                                                       Presbyterian University Hospital 230 Lothrop Street, Room G-102                                                                        230 Lothrop Street, Room F-179 Pittsburgh,         PA 15213                                                                          Pittsburgh,         P A 15213
PXB6.45 Page 4 of 9 OTHER U.S. PARTY(IES) TO EXPORT Continued:
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30.
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Hoag Memorial Hospital Presbyterian One Hoag Drive Newport Beach, CA 92658 Indiana University Health Methodist Hospital 1701 N. Senate Blvd Indianapolis, IN 46202 John F. Kennedy Medical Center 65 James Street Edison TWP, NJ 08817 34.
35.
Kettering Medical Center 3535 Southern Boulevard Kettering, OH 45429 36.
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38.
39.
40.
41.
42.
43.
44.
45.
46.
Harborview Medical Center 325 9th Avenue Gamma Knife Suite Seattle, WA 98133 IHC Health Services, Inc.
dba Intermountain Medical Center Jon and Karen Huntsman Cancer Center (Building #3), Gamma Knife Room 5121 South Cottonwood Street Murray, UT 84107 Jewish Hospital, LLC.
4777 East Galbraith Road Cincinnati, OH 45236 Karmanos Cancer Center Gershenson Radiation Oncology Center 4100 John R. Street, Room 379 Detroit, MI 48201 Larkin Community Hospital, Inc.
6129 Southwest 70th Street South Miami, FL 33143 Lehigh Valley Health Network 1240 South Cedar Crest Boulevard Allentown, PA 18103 Los Robles Regional Medical Center 2200 Lynn Road Thousand Oaks, CA 91360 Marshfield Medical Center 611 St. Joseph Avenue Marshfield, WI 54449 Mayo Clinic Jacksonville 4500 San Pablo Road Jacksonville, FL 32224 Medical University Hospital Authority dba Medical University of South Carolina 171 Ashley Avenue (MUSC)
Charleston, SC 29425 47.
Legacy Health System 1130 North West 22nd Avenue, Suite LL50 Portland, OR 97210 Lewis Hall Singletary Oncology Center at John D. Archbold Memorial Center 919 South Broad Street Thomasville, GA 31792 Lovelace Medical Center 601 Dr. Martin Luther King, Jr. NE Albuquerque, NM 87102 Mayo Clinic SMC Mary Brigh Building Mayo Clinic Rochester Campus 1216 2nd St. SW Rochester, MN 55902 Medical College of Wisconsin Froedtert Memorial Lutheran Hospital 9200 West Wisconsin Avenue Milwaukee, WI 53226 Memorial Hermann Health System dba Memorial Hermann Texas Medical Center 6411 Fannin Street Houston, TX 77030 48.


116.     University of           Texas Southwestern                                                  117.     University of Virginia Physicians Group Medical Center at Dallas                                                                              University of Virginia Lars Leksell Center 6201 Harry Hines Blvd.                                                                                of Gamma Surgery Primary Care Center Dallas, TX 75390                                                                                      Building      1143; Room G411 1215 Lee Street 118.      USC University Hospital                                                                                Charlottesville,          VA 22908 1540 Alcazar Street Los Angeles, CA 90033                                                                        119.      Washington Hospital Center 110    Irving Street, NW 120.       Washington Hospital Healthcare System                                                                  Washington, DC 20010 2500    Mowry Ave.
PXB6.45 Page 5 of 9 OTHER U.S. PARTY(IES) TO EXPORT Continued:
Fremont,       CA 94538                                                                      121.     Washington University in St. Louis Barnes-Jewish Hospital 122.       West Virginia University Hospital, Inc.                                                               4921 Parkview Place Ruby Memorial Hospital, Mary Babb                                                                      St. Louis, MO 63108 Randolph Cancer Center and Health Sciences Center South Building                                                              Y ale-New Haven Hospital Medical Center Drive                                                                         123.     20 York Street Morgantown, WV 26506                                                                                  New Haven, CT 06510 PXB6.45 Page 9 of 9 MANDATORY ADVANCED                              NOTIFICATIONS                PER      10  CFR      PART      110.50(c)
49.
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:
50.
Mandatory          Advanced          Notifications        to  the    NRC      are    to  be    emailed      to  hoo.hoc@nrc.gov                  (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)
51.
Notification."        For    technical      assistance, use          the   same      e -mail    address      or  call  301    -287  -9056.
52.
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.iaea.org/downloads/rw/imp                          -export/import          -export      -contact      -points.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.
53.
Table      1:  Appendix          P  to  Part    110    Category        1  and    Category        2  Radioactive          Material      Threshold          Limits
54.
55.
56.
57.
58.
59.
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61.
62.
63.
64.
65.
66.
Mercy Health - St. Vincent Medical Center, LLC Perrysburg Cancer Center 12623 Eckel Junction Road Perrysburg, OH 43552 Merit Health Central Central Mississippi Medical Center Radiation Oncology Department 1850 Chadwick Drive Jackson, MS 39204 Methodist Healthcare System of San Antonio LTD Methodist Hospital 7700 Floyd Curl Drive San Antonio, TX 78229 Mid-Michigan Gamma Knife Facility 4000 Wellness Drive Room H-1405 Midland, MI 48670 New York Presbyterian Hospital Columbia University Medical Center Gamma Knife Suite Columbia-Presbyterian Medical Center 630 West 168th Street New York, NY 10032 Northern Westchester Hospital Center 400 East Main Street Mount Kisco, NY 10549 Northwestern Memorial HealthCare Galter Pavilion 201 E. Huron Street Chicago, IL 60611 Ochsner Clinic Foundation Ochsner Medical Center Department of Radiation Oncology 1514 Jefferson Highway New Orleans, LA 70121 OU Medical Center Presbyterian Tower 700 N.E. 13th Street Oklahoma City, OK 73104 PeaceHealth Sacred Heart Medical Center Gamma Knife Department 3333 RiverBend Drive Springfield, OR 97477 67.
Mercy Health Center 4300 West Memorial Road Oklahoma City, OK 73120 Methodist Childrens Hospital dba Joe Arrington Cancer Center 4101 22nd Place Lubbock, TX 79410 Methodist Hospital of Gary, Inc.
Methodist Hospital - Southlake Campus 8701 Broadway Merrillville, IN 46410 Neurologic & Orthopedic Institute of Chicago 4501 N. Winchester Chicago, IL 60640 North Carolina Baptist Hospital Outpatient Comprehensive Cancer Center Medical Center Boulevard Winston-Salem, NC 27157 Northside Hospital Forsyth 1200 Northside Forsyth Drive Cumming, GA 30041 NYU Langone Hospitals Tisch Hospital 550 First Ave.
New York, NY 10016 OSF Healthcare System St. Francis Medical Center 530 NE Glen Oak Avenue Peoria, IL 61637 Our Lady of the Lake Hospital Inc.
dba Thomas J. Moran Imaging Center 4950 Essen Lane Baton Rouge, LA 70809 Penn State Health Holy Spirit Medical Center GSR Suite at the Oakwood Center 880 Century Drive Mechanicsburg, PA 17055 68.


Radioactive                                                    Category      1                                                        Category    2 Material                            Terabequerels        (TBq)                 Curies    (Ci) 1              Terabequerels        (TBq)              Curies(Ci)    1
PXB6.45 Page 6 of 9 OTHER U.S. PARTY(IES) TO EXPORT Continued:
Penn State Milton S. Hershey Medical Center 69.
70.
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500 University Drive Hershey, PA 17033 Pitt County Memorial Hospital 2100 Statonsburg Road Greenville, NC 27835 Providence Health & Services - Oregon Gamma Knife Center of Oregon Providence Portland Medical Center North Pavilion 4805 NE Glisan Street Portland, OR 97213 Puget Sound Radiosurgery, LLC.
Gamma Knife Suite, Room 103 St. Josephs Medical Pavillion 1802 South Yakima Ave.
Tacoma, WA 98405 Rhode Island Hospital 593 Eddy Street Providence, RI 02903 Roswell Park Cancer Institute Corp Elm & Carlton Street Buffalo, NY 14263 San Antonio Community Hospital 999 San Bernardino Road Upland, CA 91786 South Nassau Communities Hospital One Healthy Way Oceanside, NY 11572 St. Vincent Medical Center 2 Shircliff Way Jacksonville, FL 32204 Sutter Gamma Knife Center 2801 K St., Suite 110 Sacramento, CA 95816 Temple University Temple Hospital 3401 N. Broad Street Philadelphia, PA 19140 89.
Piedmont Hospital Atlanta 1968 Peachtree Road N.W.
Atlanta, GA 30309 Prisma Health Richland Hospital 7 Medical Park Columbia, SC 29203 Puerto Rico Medical Services Administration Puerto Rico Medical Center, Centro Medico de Rio Piedras First Floor, Central Building, Carr 22 Barrio Monacillos San Juan, PR 00935 Research Medical Center Midwest Gamma Knife Center 2316 E. Meyer Blvd.
Kansas City, MO 64132 Robert Wood Johnson University Hospital Gamma Knife Suite 10 Plum Street New Brunswick City, NJ 08901 Sacred Heart Health System, Inc.
dba Sacred Heart Hospital of Pensacola 5151 North 9th Avenue Pensacola, FL 32504 San Diego Gamma Knife Center 9834 Genesee Avenue, Suite 110 La Jolla, CA 92037 St. Lukes The Woodlands Hospital 17200 St. Lukes Way The Woodlands, TX 77384 SUNY Upstate Medical University 750 East Adams Street Syracuse, NY 13210 Swedish Medical Center 799 East Hampden Ave. Suite 110 Englewood, CO 80113 Tenet Good Samaritan, Inc.
1309 North Flagler Drive West Palm Beach, FL 33401 90.


Americium    -241  (Am  -241)                                               60                            1,600                                    0.6                            16 Americium    -241/Beryllium    (Am  -                                          60                            1,600                                    0.6                            16 241/Be)
PXB6.45 Page 7 of 9 OTHER U.S. PARTY(IES) TO EXPORT Continued:
Californium    -252  (Cf -252)                                                20                              540                                    0.2                            5.4 Curium  -244  (Cm  -244)                                                  50                            1,400                                    0.5                            14 Cobalt  -60  (Co -60)                                                    30                              810                                    0.3                            8.1 Cesium    -137  (Cs -137)                                                100                             2,700                                    1.0                            27 Gadolinium    -153  (Gd -153)                                            1,000                          27,000                                    10.0                          270 Iridium -192  (Ir-192)                                                  80                            2,200                                    0.8                            22 Plutonium    -238  2 (Pu -238)                                                60                            1,600                                    0.6                            16 Plutonium    -239/Beryllium  2    (Pu-239/Be)                                        60                            1,600                                    0.6                            16 Promethium    -147  (Pm  -147)                                        40,000                      1,100,000                                        400                      11,000 Radium    -226  3 (Ra -226)                                                  40                            1,100                                    0.4                            11 Selenium    -75  (Se -75)                                                200                            5,400                                    2.0                            54 Strontium    -90  (Y-90)                                              1,000                          27,000                                    10.0                          270 Thulium  -170  (Tm -170)                                            20,000                          540,000                                      200                        5,400 Ytterbium  -169  (Yb -169)                                              300                            8,100                                    3.0                            81 Calculation        of  Shipments        Containing        Multiple      Sources      or  Radionuclides:
91.
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).
92.
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.
93.
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.
94.
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 RN    =  activity for radionuclides              or source        number      n                ARN      =  activity limit      for  radionuclides          or  source      number        n n    R  1          R  2          R  n A R    2  AR    n  1 1    A    R  1                           
95.
96.
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The Charlotte-Mecklenburg Hospital Authority dba Atrium Health Advanced Radiation Therapy 1310 East Morehead Street Charlotte, NC 28203 The Methodist Hospital dba Houston Methodist 6551 Bertner Avenue Houston, TX 77030 The Regents of the University of California San Francisco Medical Center UCSF Medical Center Parnassus Ave.
San Francisco, CA 94143 The Swedish Radiosurgery Center Suite A10 James Tower 550 17th Avenue Seattle, WA 98122 The University of Texas MD Anderson Cancer Center 1515 Holcombe Boulevard Houston, TX 77030 Thomas Jefferson University and Hospitals 900 Walnut Street Philadelphia, PA 19107 University Health Shreveport, LLC.
dba Ochsner LSU Health Shreveport 1541 Kings Highway Shreveport, LA 71103 University of Colorado Hospital Authority 1635 Aurora Court Aurora, CO 80045 University of Maryland Medical System Gamma Knife Suite, South Hospital B Wing 22 South Greene Street Baltimore, MD 21201 University of Minnesota Medical Center Room 1-285 500 SE Harvard Street Minneapolis, MN 55455 110.
Tenet Hospitals Limited dba The Hospitals of Providence Sierra Campus Gamma Knife Suite 1625 Medical Center Drive El Paso, TX 79902 The Cleveland Clinic Foundation dba The Cleveland Clinic 10201 Carnegie Avenue Cleveland, OH 44195 The Ohio State University Radiation Medicine Department Arthur G. James Cancer Hospital and Richard J. Solove Research Institute 300 West 10th Avenue Columbus, OH 43210 The Regents of the University of California U.C. Davis Medical Center 2315 Stockton Blvd.
Sacramento, CA 95817 The University of Iowa University of Iowa Campus 200 Hawkins Drive Iowa City, IA 52242 The Valley Hospital Luckow Pavilion 1 Valley Health Plaza Paramus, NJ 07652 Tufts Medical Center 800 Washington Street Boston, MA 02111 University Hospitals of Cleveland 11100 Euclid Avenue Cleveland, OH 44106 University of Kentucky Markey Cancer Center, Roach Bldg Room CC049 800 Rose Street Lexington, KY 40536 University of Miami Sylvester Cancer Center West 1400 NW 12th Avenue Miami, FL 33136 University of Mississippi Medical Center 350 West Woodrow Wilson Avenue Jackson, MS 39216 111.


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.
PXB6.45 Page 8 of 9 OTHER U.S. PARTY(IES) TO EXPORT Continued:
112.
113.
114.
115.
116.
117.
118.
119.
120.
121.
University of Pennsylvania Pennsylvania Hospital Campus 800 Spruce Street Philadelphia, PA 19107 University of Pittsburgh Presbyterian University Hospital 230 Lothrop Street, Room G-102 Pittsburgh, PA 15213 University of Texas Southwestern Medical Center at Dallas 6201 Harry Hines Blvd.
Dallas, TX 75390 USC University Hospital 1540 Alcazar Street Los Angeles, CA 90033 Washington Hospital Healthcare System 2500 Mowry Ave.
Fremont, CA 94538 West Virginia University Hospital, Inc.
Ruby Memorial Hospital, Mary Babb Randolph Cancer Center and Health Sciences Center South Building Medical Center Drive Morgantown, WV 26506 122.
University of Pittsburgh Presbyterian University Hospital 230 Lothrop Street, Room F-185 Pittsburgh, PA 15213 University of Pittsburgh Presbyterian University Hospital 230 Lothrop Street, Room F-179 Pittsburgh, PA 15213 University of Virginia Physicians Group University of Virginia Lars Leksell Center of Gamma Surgery Primary Care Center Building 1143; Room G411 1215 Lee Street Charlottesville, VA 22908 Washington Hospital Center 110 Irving Street, NW Washington, DC 20010 Washington University in St. Louis Barnes-Jewish Hospital 4921 Parkview Place St. Louis, MO 63108 Yale-New Haven Hospital 20 York Street New Haven, CT 06510 123.


2 The    limits  for   exports      of Pu   -238   and    Pu   -239/Be       can    be   found      in §  110.21.
PXB6.45 Page 9 of 9 n
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.gov (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.iaea.org/downloads/rw/imp-export/import-export-contact-points.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 110 Category 1 and Category 2 Radioactive Material Threshold Limits Radioactive Material Category 1 Category 2 Terabequerels (TBq)
Curies (Ci)1 Terabequerels (TBq)
Curies(Ci)1 Americium-241 (Am-241) 60 1,600 0.6 16 Americium-241/Beryllium (Am-241/Be) 60 1,600 0.6 16 Californium-252 (Cf-252) 20 540 0.2 5.4 Curium-244 (Cm-244) 50 1,400 0.5 14 Cobalt-60 (Co-60) 30 810 0.3 8.1 Cesium-137 (Cs-137) 100 2,700 1.0 27 Gadolinium-153 (Gd-153) 1,000 27,000 10.0 270 Iridium-192 (Ir-192) 80 2,200 0.8 22 Plutonium-2382 (Pu-238) 60 1,600 0.6 16 Plutonium-239/Beryllium2 (Pu-239/Be) 60 1,600 0.6 16 Promethium-147 (Pm-147) 40,000 1,100,000 400 11,000 Radium-2263 (Ra-226) 40 1,100 0.4 11 Selenium-75 (Se-75) 200 5,400 2.0 54 Strontium-90 (Y-90) 1,000 27,000 10.0 270 Thulium-170 (Tm-170) 20,000 540,000 200 5,400 Ytterbium-169 (Yb-169) 300 8,100 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 RN = activity for radionuclides or source number n ARN = activity limit for radionuclides or source number n R 1 R 2 R n 1 1 AR 1 A R 2 AR n


3 Discrete     sources       of   Radium     -226.}}
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.}}

Latest revision as of 18:28, 24 November 2024

Export License Issued to Alpha-Omega Services Inc PXB6.45
ML24122A657
Person / Time
Site: 11006027
Issue date: 05/01/2024
From: Sabrina Atack
NRC/OIP/ECNP
To: Tunnell C
Alpha Omega Services
References
Download: ML24122A657 (1)


Text

United States of America 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).

LICENSE EXPIRES:

NRC DOCKET NO.: 11006027 Page 1 of 9 PXB6.45 NRC LICENSE NO.:

NRC FORM 250 Nuclear Regulatory Commission Washington, D.C. 20555 EXPORT LICENSE Alpha-Omega Services, Inc.

1282 Bigwoods-Starks Road Vinton, LA 70668 LICENSEE INTERMEDIATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES)

OTHER U.S. PARTY(IES) TO EXPORT Neither this license nor any right under this license shall be assigned or otherwise transferred in violation of the provisions of the Atomic Energy Act of 1954, as amended.

This license is subject to the right of recapture or control by Section 108 of the Atomic Energy Act of 1954, as amended, and to all the other provisions of said Acts, now or hereafter in effect and to all valid rules and regulations of the Nuclear Regulatory Commission.

THIS LICENSE IS INVALID UNLESS SIGNED BELOW BY AUTHORIZED NRC REPRESENTATIVE NAME AND TITLE:

DATE OF ISSUANCE:

APPLICANT'S

REFERENCE:

Amendment 45 ULTIMATE DESTINATIONS: See following pages 2, 3, 4, 5, and 6 Sabrina D. Atack, Deputy Director Office of International Programs EXPORT LICENSE Attn: Carl Tunnell ULTIMATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES)

None See following page(s)

DESCRIPTIONS OF 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 its 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 PXB6.44 is superseded upon the issuance of NRC license PXB6.45, amending its authority. This application revises the list of "Other U.S. Party(ies) to Export," #19, #44, #61, #67, #73 and adds two additional "Other U.S. Party(ies) to Export,"

  1. 4, #5.

See following page(s)

March 31, 2032 May 1, 2024 SABRINA ATACK Digitally signed by SABRINA ATACK Date: 2024.05.01 08:38:45 -04'00'

PXB6.45 Page 2 of 9

[1]

[2]

[3]

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

The licensee submits 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 transaction(s) from the importing countrys regulatory authority.

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.

CONDITIONS, NOTES, AND DESCRIPTIONS OF 10CFR PART 110, APPENDIX P, BYPRODUCT AND SOURCE MATERIALS TO BE EXPORTED(cont'd)

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

1.

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

Japan Radioisotope Association (JRIA) 28-45 Honkomagome 2-Chome Bunkyo-Ku, Tokyo 113-8941 Japan 2.

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

Nordion (Canada) Inc.

447 March Road Ottawa, Ontario K2K 1X8 Canada (For export of 10 CFR Part 110 Appendix P Category 1 quantities of Co-60)

Studsvik Nuclear AB Atomvagen 1 611 82 Nykoping Sweden 3.

OTHER U.S. PARTY(IES) TO EXPORT Continued:

1.

Akron General Medical Center 762 South Cleveland Massillon Road Montrose, OH 44333 2.

3.

Allegheny Health Network AHN Cancer Institute - Allegheny General 314 East North Avenue Pittsburgh, PA 15212 4.

5.

Alpha-Omega Services, Inc.

1282 Big Woods-Starks Road Vinton, LA 70668 6.

Adventist Health Systems/Sunbelt Inc.

AdventHealth Cancer Institute Orlando 2501 North Orange Avenue Orlando, FL 32804 Alexian Brothers Medical Center 800 West Biesterfield Road Elk Grove Village, IL 60007 Allegheny Health Network AGH Receiving 1300 Sandusky Street Pittsburgh, PA 15212 Anchorage Radiation Oncology Management, Inc.

dba Anchorage Radiation Therapy Center 2841 Debarr Road, Suite 100 Anchorage, AK 99508 7.

Augusta University Medical Center 1120 15th Street Augusta, GA 30912 8.

PXB6.45 Page 3 of 9 OTHER U.S. PARTY(IES) TO EXPORT Continued:

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Aurora Health Care Metro, Inc.

dba Aurora St. Lukes Medical Center Room 115 Gamma Knife Department 2900 West Oklahoma Avenue Milwaukee, WI 53215 Baptist Hospital of Miami, Inc.

Department of Radiation Oncology 8900 North Kendall Drive Miami, FL 33176 Bryan Medical Center 2300 South 16th Street Lincoln, NE 68502 Central DuPage Hospital Association Northwestern Medicine Cancer Center Central DuPage Hospital 4405 Weaver Parkway Warrenville, IL 60555 Chippenham and Johnston-Willis Hospitals, Inc.

dba CJW Medical Center Johnston-Willis Campus 1401 Johnston-Willis Drive Richmond, VA 23235 Corewell Health William Beaumont University Hospital William Beaumont Hospital - Imaging Center 3601 W. Thirteen Mile Road Royal Oak, MI 48073 Dignity Health dba St. Josephs Hospital and Medical Center 350 West Thomas Road Phoenix, AZ 85013 Emory Saint Joseph's Hospital 5665 Peachtree Dunwoody Road, NE Atlanta, GA 30342 Gamma Knife Center of the Pacific 2226 Liliha Street, Level B2 Honolulu (Island of Oahu), HI 96817 GKMD, Inc.

Deaconess Medical Center, Gamma Knife Suite Basement Floor, Room 117 910 West 5th Ave.

Spokane, WA 99204 27.

Avera McKennan - Avera Radiation Oncology Avera Cancer Institute Prairie Center 1000 East 23rd St.

Suite 100, Room #2 Sussex Falls, SD 57105 Billings Clinic 2800 Tenth Avenue North Billings, MT 59101 Center for Advanced Medicine Long Island Jewish Medical Center 450 Lakeville Road Lake Success, NY 11042 Chesapeake Regional Riverside &

University of Virginia Radiosurgery Center 500 J Clyde Morris Boulevard Newport News, VA 23601 Cooper Health System Robert Wood Johnson Medical School at Camden 3 Cooper Plaza Camden, NJ 08103 Covenant Health System Covenant Gamma Southwest 3603 21st Street Lubbock, TX 79410 Doctors Hospital, Inc.

dba Doctors Hospital 5000 University Drive Coral Gables, FL 33146 Fort Sanders Regional Gamma Knife Center 1915 White Avenue Knoxville, TN 37916 GE-Hitachi Nuclear Energy Americas, LLC Vallecitos Nuclear Center 6705 Vallecitos Road Pleasanton, CA 94586 Hackensack University Medical Center John Theurer Cancer Center 92 2nd St.

Hackensack, NJ 07601 28.

PXB6.45 Page 4 of 9 OTHER U.S. PARTY(IES) TO EXPORT Continued:

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Hoag Memorial Hospital Presbyterian One Hoag Drive Newport Beach, CA 92658 Indiana University Health Methodist Hospital 1701 N. Senate Blvd Indianapolis, IN 46202 John F. Kennedy Medical Center 65 James Street Edison TWP, NJ 08817 34.

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Kettering Medical Center 3535 Southern Boulevard Kettering, OH 45429 36.

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Harborview Medical Center 325 9th Avenue Gamma Knife Suite Seattle, WA 98133 IHC Health Services, Inc.

dba Intermountain Medical Center Jon and Karen Huntsman Cancer Center (Building #3), Gamma Knife Room 5121 South Cottonwood Street Murray, UT 84107 Jewish Hospital, LLC.

4777 East Galbraith Road Cincinnati, OH 45236 Karmanos Cancer Center Gershenson Radiation Oncology Center 4100 John R. Street, Room 379 Detroit, MI 48201 Larkin Community Hospital, Inc.

6129 Southwest 70th Street South Miami, FL 33143 Lehigh Valley Health Network 1240 South Cedar Crest Boulevard Allentown, PA 18103 Los Robles Regional Medical Center 2200 Lynn Road Thousand Oaks, CA 91360 Marshfield Medical Center 611 St. Joseph Avenue Marshfield, WI 54449 Mayo Clinic Jacksonville 4500 San Pablo Road Jacksonville, FL 32224 Medical University Hospital Authority dba Medical University of South Carolina 171 Ashley Avenue (MUSC)

Charleston, SC 29425 47.

Legacy Health System 1130 North West 22nd Avenue, Suite LL50 Portland, OR 97210 Lewis Hall Singletary Oncology Center at John D. Archbold Memorial Center 919 South Broad Street Thomasville, GA 31792 Lovelace Medical Center 601 Dr. Martin Luther King, Jr. NE Albuquerque, NM 87102 Mayo Clinic SMC Mary Brigh Building Mayo Clinic Rochester Campus 1216 2nd St. SW Rochester, MN 55902 Medical College of Wisconsin Froedtert Memorial Lutheran Hospital 9200 West Wisconsin Avenue Milwaukee, WI 53226 Memorial Hermann Health System dba Memorial Hermann Texas Medical Center 6411 Fannin Street Houston, TX 77030 48.

PXB6.45 Page 5 of 9 OTHER U.S. PARTY(IES) TO EXPORT Continued:

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Mercy Health - St. Vincent Medical Center, LLC Perrysburg Cancer Center 12623 Eckel Junction Road Perrysburg, OH 43552 Merit Health Central Central Mississippi Medical Center Radiation Oncology Department 1850 Chadwick Drive Jackson, MS 39204 Methodist Healthcare System of San Antonio LTD Methodist Hospital 7700 Floyd Curl Drive San Antonio, TX 78229 Mid-Michigan Gamma Knife Facility 4000 Wellness Drive Room H-1405 Midland, MI 48670 New York Presbyterian Hospital Columbia University Medical Center Gamma Knife Suite Columbia-Presbyterian Medical Center 630 West 168th Street New York, NY 10032 Northern Westchester Hospital Center 400 East Main Street Mount Kisco, NY 10549 Northwestern Memorial HealthCare Galter Pavilion 201 E. Huron Street Chicago, IL 60611 Ochsner Clinic Foundation Ochsner Medical Center Department of Radiation Oncology 1514 Jefferson Highway New Orleans, LA 70121 OU Medical Center Presbyterian Tower 700 N.E. 13th Street Oklahoma City, OK 73104 PeaceHealth Sacred Heart Medical Center Gamma Knife Department 3333 RiverBend Drive Springfield, OR 97477 67.

Mercy Health Center 4300 West Memorial Road Oklahoma City, OK 73120 Methodist Childrens Hospital dba Joe Arrington Cancer Center 4101 22nd Place Lubbock, TX 79410 Methodist Hospital of Gary, Inc.

Methodist Hospital - Southlake Campus 8701 Broadway Merrillville, IN 46410 Neurologic & Orthopedic Institute of Chicago 4501 N. Winchester Chicago, IL 60640 North Carolina Baptist Hospital Outpatient Comprehensive Cancer Center Medical Center Boulevard Winston-Salem, NC 27157 Northside Hospital Forsyth 1200 Northside Forsyth Drive Cumming, GA 30041 NYU Langone Hospitals Tisch Hospital 550 First Ave.

New York, NY 10016 OSF Healthcare System St. Francis Medical Center 530 NE Glen Oak Avenue Peoria, IL 61637 Our Lady of the Lake Hospital Inc.

dba Thomas J. Moran Imaging Center 4950 Essen Lane Baton Rouge, LA 70809 Penn State Health Holy Spirit Medical Center GSR Suite at the Oakwood Center 880 Century Drive Mechanicsburg, PA 17055 68.

PXB6.45 Page 6 of 9 OTHER U.S. PARTY(IES) TO EXPORT Continued:

Penn State Milton S. Hershey Medical Center 69.

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500 University Drive Hershey, PA 17033 Pitt County Memorial Hospital 2100 Statonsburg Road Greenville, NC 27835 Providence Health & Services - Oregon Gamma Knife Center of Oregon Providence Portland Medical Center North Pavilion 4805 NE Glisan Street Portland, OR 97213 Puget Sound Radiosurgery, LLC.

Gamma Knife Suite, Room 103 St. Josephs Medical Pavillion 1802 South Yakima Ave.

Tacoma, WA 98405 Rhode Island Hospital 593 Eddy Street Providence, RI 02903 Roswell Park Cancer Institute Corp Elm & Carlton Street Buffalo, NY 14263 San Antonio Community Hospital 999 San Bernardino Road Upland, CA 91786 South Nassau Communities Hospital One Healthy Way Oceanside, NY 11572 St. Vincent Medical Center 2 Shircliff Way Jacksonville, FL 32204 Sutter Gamma Knife Center 2801 K St., Suite 110 Sacramento, CA 95816 Temple University Temple Hospital 3401 N. Broad Street Philadelphia, PA 19140 89.

Piedmont Hospital Atlanta 1968 Peachtree Road N.W.

Atlanta, GA 30309 Prisma Health Richland Hospital 7 Medical Park Columbia, SC 29203 Puerto Rico Medical Services Administration Puerto Rico Medical Center, Centro Medico de Rio Piedras First Floor, Central Building, Carr 22 Barrio Monacillos San Juan, PR 00935 Research Medical Center Midwest Gamma Knife Center 2316 E. Meyer Blvd.

Kansas City, MO 64132 Robert Wood Johnson University Hospital Gamma Knife Suite 10 Plum Street New Brunswick City, NJ 08901 Sacred Heart Health System, Inc.

dba Sacred Heart Hospital of Pensacola 5151 North 9th Avenue Pensacola, FL 32504 San Diego Gamma Knife Center 9834 Genesee Avenue, Suite 110 La Jolla, CA 92037 St. Lukes The Woodlands Hospital 17200 St. Lukes Way The Woodlands, TX 77384 SUNY Upstate Medical University 750 East Adams Street Syracuse, NY 13210 Swedish Medical Center 799 East Hampden Ave. Suite 110 Englewood, CO 80113 Tenet Good Samaritan, Inc.

1309 North Flagler Drive West Palm Beach, FL 33401 90.

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The Charlotte-Mecklenburg Hospital Authority dba Atrium Health Advanced Radiation Therapy 1310 East Morehead Street Charlotte, NC 28203 The Methodist Hospital dba Houston Methodist 6551 Bertner Avenue Houston, TX 77030 The Regents of the University of California San Francisco Medical Center UCSF Medical Center Parnassus Ave.

San Francisco, CA 94143 The Swedish Radiosurgery Center Suite A10 James Tower 550 17th Avenue Seattle, WA 98122 The University of Texas MD Anderson Cancer Center 1515 Holcombe Boulevard Houston, TX 77030 Thomas Jefferson University and Hospitals 900 Walnut Street Philadelphia, PA 19107 University Health Shreveport, LLC.

dba Ochsner LSU Health Shreveport 1541 Kings Highway Shreveport, LA 71103 University of Colorado Hospital Authority 1635 Aurora Court Aurora, CO 80045 University of Maryland Medical System Gamma Knife Suite, South Hospital B Wing 22 South Greene Street Baltimore, MD 21201 University of Minnesota Medical Center Room 1-285 500 SE Harvard Street Minneapolis, MN 55455 110.

Tenet Hospitals Limited dba The Hospitals of Providence Sierra Campus Gamma Knife Suite 1625 Medical Center Drive El Paso, TX 79902 The Cleveland Clinic Foundation dba The Cleveland Clinic 10201 Carnegie Avenue Cleveland, OH 44195 The Ohio State University Radiation Medicine Department Arthur G. James Cancer Hospital and Richard J. Solove Research Institute 300 West 10th Avenue Columbus, OH 43210 The Regents of the University of California U.C. Davis Medical Center 2315 Stockton Blvd.

Sacramento, CA 95817 The University of Iowa University of Iowa Campus 200 Hawkins Drive Iowa City, IA 52242 The Valley Hospital Luckow Pavilion 1 Valley Health Plaza Paramus, NJ 07652 Tufts Medical Center 800 Washington Street Boston, MA 02111 University Hospitals of Cleveland 11100 Euclid Avenue Cleveland, OH 44106 University of Kentucky Markey Cancer Center, Roach Bldg Room CC049 800 Rose Street Lexington, KY 40536 University of Miami Sylvester Cancer Center West 1400 NW 12th Avenue Miami, FL 33136 University of Mississippi Medical Center 350 West Woodrow Wilson Avenue Jackson, MS 39216 111.

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University of Pennsylvania Pennsylvania Hospital Campus 800 Spruce Street Philadelphia, PA 19107 University of Pittsburgh Presbyterian University Hospital 230 Lothrop Street, Room G-102 Pittsburgh, PA 15213 University of Texas Southwestern Medical Center at Dallas 6201 Harry Hines Blvd.

Dallas, TX 75390 USC University Hospital 1540 Alcazar Street Los Angeles, CA 90033 Washington Hospital Healthcare System 2500 Mowry Ave.

Fremont, CA 94538 West Virginia University Hospital, Inc.

Ruby Memorial Hospital, Mary Babb Randolph Cancer Center and Health Sciences Center South Building Medical Center Drive Morgantown, WV 26506 122.

University of Pittsburgh Presbyterian University Hospital 230 Lothrop Street, Room F-185 Pittsburgh, PA 15213 University of Pittsburgh Presbyterian University Hospital 230 Lothrop Street, Room F-179 Pittsburgh, PA 15213 University of Virginia Physicians Group University of Virginia Lars Leksell Center of Gamma Surgery Primary Care Center Building 1143; Room G411 1215 Lee Street Charlottesville, VA 22908 Washington Hospital Center 110 Irving Street, NW Washington, DC 20010 Washington University in St. Louis Barnes-Jewish Hospital 4921 Parkview Place St. Louis, MO 63108 Yale-New Haven Hospital 20 York Street New Haven, CT 06510 123.

PXB6.45 Page 9 of 9 n

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.gov (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.iaea.org/downloads/rw/imp-export/import-export-contact-points.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 110 Category 1 and Category 2 Radioactive Material Threshold Limits Radioactive Material Category 1 Category 2 Terabequerels (TBq)

Curies (Ci)1 Terabequerels (TBq)

Curies(Ci)1 Americium-241 (Am-241) 60 1,600 0.6 16 Americium-241/Beryllium (Am-241/Be) 60 1,600 0.6 16 Californium-252 (Cf-252) 20 540 0.2 5.4 Curium-244 (Cm-244) 50 1,400 0.5 14 Cobalt-60 (Co-60) 30 810 0.3 8.1 Cesium-137 (Cs-137) 100 2,700 1.0 27 Gadolinium-153 (Gd-153) 1,000 27,000 10.0 270 Iridium-192 (Ir-192) 80 2,200 0.8 22 Plutonium-2382 (Pu-238) 60 1,600 0.6 16 Plutonium-239/Beryllium2 (Pu-239/Be) 60 1,600 0.6 16 Promethium-147 (Pm-147) 40,000 1,100,000 400 11,000 Radium-2263 (Ra-226) 40 1,100 0.4 11 Selenium-75 (Se-75) 200 5,400 2.0 54 Strontium-90 (Y-90) 1,000 27,000 10.0 270 Thulium-170 (Tm-170) 20,000 540,000 200 5,400 Ytterbium-169 (Yb-169) 300 8,100 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 RN = activity for radionuclides or source number n ARN = activity limit for radionuclides or source number n R 1 R 2 R n 1 1 AR 1 A R 2 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.