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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: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


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).
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).


LICENSEE                                                                     ULTIMATE CONSIGNEE(S) IN FOREIGN                                   COUNTRY(IES)
LICENSEE ULTIMATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES)
Alpha-Omega Services, Inc.                                                                                                               See following page(s) 1282 Bigwoods-Starks Road Vinton   , LA 70668
Alpha-Omega Services, Inc. See following page(s) 1282 Bigwoods-Starks Road Vinton, LA 70668


Attn:     Carl Tunnell
Attn: Carl Tunnell


INTERMEDIATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES)                                                                                           OTHER U.S. PARTY(IES) TO EXPORT None                                                                                 See following page(s)
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 4 5 ULTIMATE DESTINATIONS: See following page s 2, 3, 4, 5, and 6


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)
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)


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.
Line 39: Line 39:
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 PXB6.4                           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,"
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.


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.
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.


This license is subject to the right of recapture or control by Section 108                               NAME AND TITLE:
This license is subject to the right of recapture or control by Section 108 NAME AND TITLE:
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
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


EXPORT LICENSE PXB6.45 Page 2 of 9
EXPORT LICENSE PXB6.45 Page 2 of 9


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                                   .
[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
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.
[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.
[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 2. (For export of 10 CFR Part 110 Appendix P Category 1 quantities of Co-60) 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
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
: 3.     (For export of 10 CFR Part 110 Appendix P Category 1 quantities of Co-60)
: 3. (For export of 10 CFR Part 110 Appendix P Category 1 quantities of Co-60)


Studsvik Nuclear AB Atomvagen 1 611 82 Nykoping Sweden
Studsvik Nuclear AB Atomvagen 1 611 82 Nykoping Sweden


OTHER U.S. P                     ARTY(IES)             TO EXPORT Continued:
OTHER U.S. P ARTY(IES) TO EXPORT Continued:
: 1.                                                                                                         Akron General Medical CenterAdventist Health Systems/Sunbelt Inc.                       2.
: 1. Akron General Medical CenterAdventist Health Systems/Sunbelt Inc. 2.
AdventHealth Cancer Institute Orlando                                                           762 South Cleveland Massillon Road 2501     North Orange Avenue                                                                   Montrose, OH 44333 Orlando,     FL 32804
AdventHealth Cancer Institute Orlando 762 South Cleveland Massillon Road 2501 North Orange Avenue Montrose, OH 44333 Orlando, FL 32804
: 3.                                                                                                         Allegheny Health NetworkAlexian Brothers Medical Center4.
: 3. Allegheny Health NetworkAlexian Brothers Medical Center4.
800   West Biesterfield Road                                                                   AHN Cancer Institute - Allegheny General Elk Grove Village, IL 60007                                                                     314 East North Avenue Pittsburgh, PA 15212
800 West Biesterfield Road AHN Cancer Institute - Allegheny General Elk Grove Village, IL 60007 314 East North Avenue Pittsburgh, PA 15212
: 5.                                                                                                         Alpha-Omega Services, Inc.Allegheny Health Network6.
: 5. Alpha-Omega Services, Inc.Allegheny Health Network6.
AGH Receiving                                                                                   1282 Big Woods-Starks Road 1300 Sandusky Street                                                                           Vinton, LA 70668 Pittsburgh,         PA 15212
AGH Receiving 1282 Big Woods-Starks Road 1300 Sandusky Street Vinton, LA 70668 Pittsburgh, PA 15212
: 7.                                                                                                         Augusta University Medical CenterAnchorage Radiation Oncology Management, Inc.8.
: 7. Augusta University Medical CenterAnchorage Radiation Oncology Management, Inc.8.
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:
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:
: 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.
: 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.
2900     West Oklahoma Avenue                                                                           Suite 100, Room #2 Milwaukee, WI 53215                                                                                     Sussex Falls, SD 57105
2900 West Oklahoma Avenue Suite 100, Room #2 Milwaukee, WI 53215 Sussex Falls, SD 57105
: 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
: 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
: 14. Center for Advanced Medicine
: 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
: 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 &
: 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
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
: 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
: 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.
: 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
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
: 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
: 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
: 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
: 28. Hackensack University Medical Center
: 27.       GKMD, Inc.                                                                                             John Theurer Cancer Center Deaconess Medical Center, Gamma Knife Suite                                                             92 2nd St.
: 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.
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:
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
: 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
: 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
: 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
: 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.
: 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
: 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
: 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
: 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.
: 43. Marshfield Medical Center Rochester, MN 55902 61 1 St. Joseph Avenue Medical College of Wisconsin Marshfield, WI 54449 46.
Froedtert Memorial Lutheran Hospital
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.
: 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:
: 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
: 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
: 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.
: 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
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
: 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
: 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
: 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.
: 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
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
: 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.
: 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
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
: 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:
: 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.
: 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
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
: 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
: 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.
: 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
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
: 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.
: 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
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
: 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
: 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
: 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
: 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.
: 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:
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
: 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
: 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
: 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
: 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.
: 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
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.
: 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
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.
: 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
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:
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
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


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
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


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.
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.
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)
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)
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                                                   Category     1                                                         Category     2 Material                           Terabequerels       (TBq)                 Curies   (Ci) 1               Terabequerels       (TBq)               Curies(Ci)   1
Radioactive Category 1 Category 2 Material Terabequerels (TBq) Curies (Ci) 1 Terabequerels (TBq) Curies(Ci) 1


Americium     -241   (Am -241)                                               60                           1,600                                     0.6                           16 Americium     -241/Beryllium     (Am -                                           60                           1,600                                     0.6                           16 241/Be)
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:
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 n R 1 R 2 R n A R 2 AR n 1 1 A R 1  


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.}}

Revision as of 16:41, 4 October 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

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

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).

LICENSEE ULTIMATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES)

Alpha-Omega Services, Inc. See following page(s) 1282 Bigwoods-Starks Road Vinton, LA 70668

Attn: Carl Tunnell

INTERMEDIATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES) OTHER U.S. PARTY(IES) TO EXPORT None See following page(s)

APPLICANT'S

REFERENCE:

Amendment 4 5 ULTIMATE DESTINATIONS: See following page s 2, 3, 4, 5, and 6

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)

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 PXB6.4 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,"

  1. 4, #5.

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.

This license is subject to the right of recapture or control by Section 108 NAME AND TITLE:

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

EXPORT LICENSE PXB6.45 Page 2 of 9

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:

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)

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

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

Studsvik Nuclear AB Atomvagen 1 611 82 Nykoping Sweden

OTHER U.S. P ARTY(IES) TO EXPORT Continued:

1. Akron General Medical CenterAdventist Health Systems/Sunbelt Inc. 2.

AdventHealth Cancer Institute Orlando 762 South Cleveland Massillon Road 2501 North Orange Avenue Montrose, OH 44333 Orlando, FL 32804

3. Allegheny Health NetworkAlexian Brothers Medical Center4.

800 West Biesterfield Road AHN Cancer Institute - Allegheny General Elk Grove Village, IL 60007 314 East North Avenue Pittsburgh, PA 15212

5. Alpha-Omega Services, Inc.Allegheny Health Network6.

AGH Receiving 1282 Big Woods-Starks Road 1300 Sandusky Street Vinton, LA 70668 Pittsburgh, PA 15212

7. Augusta University Medical CenterAnchorage Radiation Oncology Management, Inc.8.

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:

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.

2900 West Oklahoma Avenue Suite 100, Room #2 Milwaukee, WI 53215 Sussex Falls, SD 57105

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
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

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

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.

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)

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 Category 1 Category 2 Material Terabequerels (TBq) Curies (Ci) 1 Terabequerels (TBq) Curies(Ci) 1

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).

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 n R 1 R 2 R n A R 2 AR n 1 1 A R 1

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.