ML20154Q225

Forwards Amend 8 to License 50-17686-01

ML20154Q225
Person / Time
Site:	03013158
Issue date:	01/28/1986
From:	Riedlinger B NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:	Burns J BARTLETT MEMORIAL HOSP., JUNEAU, AK
Shared Package
ML20154Q205	List: IR 05000176/1986001 ML20154Q201 ML20154Q225
References
70317, NUDOCS 8603210074
Download: ML20154Q225 (1)

See also: IR 05000176/1986001

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JAN 2 81986

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Docket No. : 030-13158

License No.: 50-17686-01

Control No.: 70317

BartlettMemorialHospita$.

3260 Hospital Drive

,

Juneau, Alaska 99801

-

Attention:

Mr,. James R. Burns

Administrator

Gentlemen:

Enclosed is the NRC license amendment which you requested.

Please review the enclosed document carefully and be sure that you understand

all conditions. If there are any errors or questions, please notify us so

that we can provide appropriate corrections and answers.

Any future correspondence relating to your license should specifically

reference your license and docket numbers to expedite your inquiry.

Sincerely,

Beth A. Riedlinger

Health Physicist (Licensing)

Nuclear Materials Safety Section

Enclosure: Attachment A

Amendment No. 8 to License No. 50-17686-01

0603210074 060129

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50-17606-01

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BARTLETT MEMORIAL HOSPITAL

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3260 HOSPITAL DRIVE e JUNEAU ALASKA 99801 e TELEPHONE (9071586-2611

RECllVED

W JAN 21 p3:43

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Janua ry 07, 1986

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Nuclear Regulatory Commission

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Region V

1450 Maria Lane, Suite 210

V.'alnut Creek, Ca. 94596

DOCK ET NO.-

030-13158

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LICENSE NO.-

50 ~17686-01

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CONTROL NO. C2GG

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Attn;

Beth A. Riedlinger

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Health Physicist (licensing)

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Nuclear Materials Saf ety Section

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Dear Ms. Riedlinger;

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This is in reference to the letter of November 21, 1985 by James L. Montgomery,

and your letter of December 10, 1985.

1.

Dr. Greening does not at this time have the necessary credentials for

Visiting Physicians and therefore will not have any responsibility for or

connection with the Nuclear Medicine Program. He is working on updating

his accreditations and will submit them to you at a future date.

2.

Enclosed are sample sheets of Wipe Test / Background Survey, Molybdenum / -

Tc 99m Elution, and Radioactive Shipment Receipt Roport. These forms

have now been implimented in our program and should satisfy the require-

ments and concerns of Mr. James L. Montgomery in his letter of Nov. 21,

1985. These records will be kept in accordance with provisions as stated

in our October 21, 1985 letter to Mr. R.D. Thomas.

This letter is submitted in accordance with the provisions of 10CFR 2.201 as stated

in Appendix A, Notice of Violation.

Sincerely,

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Rod Eriksen

Chief of Radiology

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Bartiett Mem. Hospital

3260 Hospital Drive

Juneau, Ak.

99801

License No.

50-17686-01

03 7

Enclosure: Attachment A, B, C

AN AGENCY OF THE CITY AND DOROUGH OF JUNEAU

_

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WIPETEST

Date

Time

Background Counts

Tech

Location

Counts

Location

Counts

Location

Counts

Location

Counts

>

1

Alpha

6

Alpha

11

Alpha

16

Alpha

,

Beta

Beta

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Gamma

Gamma

Gamma

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2

Alpha

7

Alpha

12

Alpha

17

Alpha

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MOLYllDENU51Trc99m ELUTION DATA

Date Received

Lot No.

mCs of ( A)

Elution

uCi of (B)

uCi Mo 99 (0/A)

Date & Time

Tc99m

mCe/mi

Volume

Mo 09

mci . Tc99m'

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Wed.

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Sat.

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Wght 1984 Nuclear Medicine Consulting Firm

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' 51oly columns placed in plastic bag and kept in decay bin for

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• Not to exceed I uCi/ mci of Tc99m or 5 uCi/ dose

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RADIOACTIVE SHIPMENT RECEIPT REPORT

-

1. P.O. #

SURVEY DATE

TIMF

-

SURVEYOR

2. CONDITION OF PACKAGE:

~

O.K.

PUNCTURED

STATUS

WET

'

CRUSHED

OTHER

~

3. RADIATION OF UNITS OF LABEL

OR

'

TR ANSPORT INDEX:

UNITS (mR/hr)

1

4. RADIATION LEVEL READINGS:

a. Package surface

mR/hr

b. 3' from surface

mR/hr

-

c. Background

mR/hr

5. DO PACKING SLIP AND VIAL CONTENTS AGREE?

'

a. Radionuclide

Yes

No

1

b. Amount

Yes

No

'

c. Chem Form

Yes

No

1

G. WIPE RESULTS FROM:

a. Outer

CPM =

DPM

eff=(

)

b. Final source container

CPM =

DPM

eff = (

)

c. Background

CPM =

DPM

7. SURVEY RESULTS OF PACKING MATERIAL AND CARTONS-_

mR/hr, CPM

l

8. DISPOSITION OF PACKAGE AFTER INSPECTION-

1

9. IF NRC/ CARRIER NOTIFICATION REQUIRED,GIVE TIME, DATE AND PERSONS

NOTIFIED.

,

10. COMMENTS:

_

,

-

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