ML24122A657: Difference between revisions

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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)
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.


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
PXB6.45 Page 3 of 9 OTHER U.S. PARTY(IES) TO EXPORT Continued:
: 3. (For export of 10 CFR Part 110 Appendix P Category 1 quantities of Co-60)
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
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.


Studsvik Nuclear AB Atomvagen 1 611 82 Nykoping Sweden
PXB6.45 Page 4 of 9 OTHER U.S. PARTY(IES) TO EXPORT Continued:
29.
30.
31.
32.
33.
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.
37.
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.


OTHER U.S. P ARTY(IES) TO EXPORT Continued:
PXB6.45 Page 5 of 9 OTHER U.S. PARTY(IES) TO EXPORT Continued:
: 1. Akron General Medical CenterAdventist Health Systems/Sunbelt Inc. 2.
49.
AdventHealth Cancer Institute Orlando 762 South Cleveland Massillon Road 2501 North Orange Avenue Montrose, OH 44333 Orlando, FL 32804
50.
: 3. Allegheny Health NetworkAlexian Brothers Medical Center4.
51.
800 West Biesterfield Road AHN Cancer Institute - Allegheny General Elk Grove Village, IL 60007 314 East North Avenue Pittsburgh, PA 15212
52.
: 5. Alpha-Omega Services, Inc.Allegheny Health Network6.
53.
AGH Receiving 1282 Big Woods-Starks Road 1300 Sandusky Street Vinton, LA 70668 Pittsburgh, PA 15212
54.
: 7. Augusta University Medical CenterAnchorage Radiation Oncology Management, Inc.8.
55.
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:
56.
: 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.
57.
2900 West Oklahoma Avenue Suite 100, Room #2 Milwaukee, WI 53215 Sussex Falls, SD 57105
58.
: 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
59.
: 14. Center for Advanced Medicine
60.
: 13. Bryan Medical Center Long Island Jewish Medical Center 2300 South 16th Street 450 Lakeville Road Lincoln, NE 68502 Lake Success, NY 11042
61.
: 15. 16.Central DuPage Hospital Association Northwestern Chesapeake Regional Riverside &
62.
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
63.
: 18. Cooper Health System
64.
: 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
65.
: 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.
66.
dba Doctors Hospital
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.
: 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
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.
: 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
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.
: 25. Gamma Knife Center of the Pacific 6705 Vallecitos Road 2226 Liliha Street, Level B2 Pleasanton, CA 94586 Honolulu (Island of Oahu), HI 96817
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.
: 28. Hackensack University Medical Center
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.
: 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:
PXB6.45 Page 6 of 9 OTHER U.S. PARTY(IES) TO EXPORT Continued:
Penn State Milton S. Hershey Medical Center 69.
70.
71.
72.
73.
74.
75.
76.
77.
78.
79.
80.
81.
82.
83.
84.
85.
86.
87.
88.
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.


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 7 of 9 OTHER U.S. PARTY(IES) TO EXPORT Continued:
91.
92.
93.
94.
95.
96.
97.
98.
99.
100.
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102.
103.
104.
105.
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107.
108.
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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.


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 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.


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 9 of 9 n
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)
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:
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)
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.
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.
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
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)
Radioactive Category 1 Category 2 Material Terabequerels (TBq) Curies (Ci) 1 Terabequerels (TBq) Curies(Ci) 1
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:
 
Americium -241 (Am -241) 60 1,600 0.6 16 Americium -241/Beryllium (Am - 60 1,600 0.6 16 241/Be)
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:
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).
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.
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.
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 n R 1 R 2 R n A R 2 AR n 1 1 A R 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.
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.
2 The limits for exports of Pu -238 and Pu -239/Be can be found in § 110.21.
3 Discrete sources of Radium-226.}}
 
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:

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

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:

29.

30.

31.

32.

33.

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.

37.

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.

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

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50.

51.

52.

53.

54.

55.

56.

57.

58.

59.

60.

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.

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

Penn State Milton S. Hershey Medical Center 69.

70.

71.

72.

73.

74.

75.

76.

77.

78.

79.

80.

81.

82.

83.

84.

85.

86.

87.

88.

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.

PXB6.45 Page 7 of 9 OTHER U.S. PARTY(IES) TO EXPORT Continued:

91.

92.

93.

94.

95.

96.

97.

98.

99.

100.

101.

102.

103.

104.

105.

106.

107.

108.

109.

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.

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.

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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.