IR 05000232/2014001
| ML18305B362 | |
| Person / Time | |
|---|---|
| Site: | 05000232, 03020372 |
| Issue date: | 10/29/2018 |
| From: | Kassel K Alliance HealthCare Services |
| To: | NRC Region 4 |
| References | |
| 610350 | |
| Download: ML18305B362 (4) | |
Text
ALLIANCE HEALTHC AR E S E RVI CES October 29 , 2018 lo) 1E t IE nD IE~ [\\ OCT 3 0 20lB M US NRC Region IV 1600 E. Lamar Bl v d. Arlington TX, 76011-4 5 11 RE: Radioactive Materials Lic e nse 5 0-232 1 4-01
Dear Sir or Madam,
DNMS As a result of the inspection conducted October 25 , 2018, by Jason Von Ehr , I w ould lik e t o submit this request to amend Radioactive Materials licens e nmnb e r 50-23214-0l to add th e P e t CT m o bil e unit as a location of use. Currently Pet CT 125 is a parked mobile at th e location. It is in t h e proce s s of b e ing decommissioned.
The mobile unit w ill be leaving th e location and s e t for r e sale in th e near future. I w ill submit the close out survey and source disposition once that process is compl e t e d. Contact me if you are in need of an y further information or clarification.
Sincerely, Kay Kassel MS, CNMT, NMTCB (RS) 561-701-1311 kkassel@alliancehealthcares e rvices-us.com PUBLIC a Immediate Release ~ormal Release NON-PUBLIC a A.3 Sensitive-Security Related a A.7 Sensitive Internal a Other: _____ _ 10.,3 .. 1 '7 Reviewer:~ uat c: ___ _ lb.610350 smart FedEx carbon-neutral
- envelope shipping Cl) Cl) .***Q) '--,...--* m i:I . . -4 .... *.. . a.' . >< .. , * ... . * I . I * I FROM: Alliance Healthcare CARR: Federal Express TRK#: 00455391811411 RCVD: 10/30/2018 1341 TO: VonEhr, Jason PH: BDG: RM: PCS: 1 II 1111 1 1 1111 11 11111 II I I 99S9QCf002160$
' . I i ' . wU I-. Cf) . c::: 2 Al i gn top of FedEx Express shipping label here. ORIGIN ID:NZJA (949) 242-5445 MAILROOM ALLIANCE HEAL T HCARE 18201 VON KARMAN AVE. SUITE 600 IR V INE, CA 92612 UNITED STATES US TO US NRC REGION IV 1600 E. LAMAR BLVD. SHIP DATE: 290CT18 ACTWGT: 0.1 0 LB CAD: 108923304/CAFE3111 BIL L THIRD PARTY " " !(. " ... a: "' ' .: " .. "* ARLINGTON TX 760114511 (661) 701-1311 _____O_ffT:
SQ -QB .. .. *a, ;a 0 Q. l;j !:: IC ... lo .. 4553 91811411 AD FWHA Fe d Ex Express -**-p STANDARD OVERNIGH T 76011 TX-US DFW .* ..., 0 \0 ('1) 0 .--co :.ii2 NRC FORM 532 U.S. NUCLEAR REGULATORY COMMISSION (05-2016)
t>IIIIIEO(, ~'(),' <.,> -~ ... o...c. ; g ACKNOWLEDGEMENT
-RECEIPT OF CORRESPONDENCE . , , : 'l, ., '<-+.., ***** .,01_. Name and Address of Applicant and/or Licensee Date I 10/30/2018 I Kay Kassel, MS, CNMT License Number(s)
Radiation Safety Officer I 50-23214-01 I Diagnostic Health Center of Anchorage, LLC Mail Control Number{s)
A wholly owned subsidiary of Alliance HealthCare Services I 610350 I 4100 Lake Otis Parkway #102 Licensing and/or Technical Reviewer or Branch Anchorage, AK 99508 C. Hill This is to acknowledge receipt of your: [Z] Letter and/or D Application Dated: 10/29/2018 The initial processing, which included an administrative review, has been performed.
[Z] Amendment D Termination D New License D Renewal D There were no administrative omissions identified during our initial review. D This is to acknowledge receipt of your application for renewal of the material(s)
license identified above. Your application is deemed timely filed, and accordingly, the license will not expire until final action has been taken by this office. D Your application for a new NRC license did not include your taxpayer identification number. Please complete and submit NRC Form 531, Request for Taxpayer Identification Number, located at the following link: _l)tt g://www.nrc.gov/reading-
rm/doc-co l le cti ons/fo rm s/nrc531.gdf Follow the instructions on the form for submission. D The following administrative omissions have been identified:
Your application has been assigned the above listed MAIL CONTROL NUMBER. When calling to inquire about this action, please refer to this control number. Your application has been forwarded to a technical reviewer.
Please note that the technical review, which is normally completed within 180 days for a renewal application (90 days for all other requests), may identify additional omissions or require additional information. If you have any questions concerning the processing of your application, our contact information is listed below: Region IV U. S. Nuclear Regulatory Commission DNMS/NMSB
-B 1600 E. Lamar Boulevard Arlington, TX 76011-4511 (817) 200-1103 or (817) 200-1140 NRC FORM 532 (05-2016)
BETWEEN: Accounts Receivable/Payable and Regional Licensing Branches [ FOR ARPB USE ] INFORMATION FROM WBL Program Code: 02200 Status Code: Pending Amendment Fee Category:7C Exp. Date: 03/31/2025 Fee Comments:
Decom Fin Assur Reqd: N License Fee Worksheet
-License Fee Transmittal A. REGION 1. APPLICAT I ON ATIACHED ApplicanULicensee:
Diagnostic Health Center of Anchorage, LLC Received Date: 10/30/2018 Docket Number: 3020372 Mail Contro l Number: 610350 License Number: 50-23214-01 Action Type: Amendment 2. FEEATIAC=-r--HED Amount: Check No.: 3. COMMENTS I I Signed: Date: B. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 is entered 1. Fee Category and Amount: ------------------2. Correct Fee Paid. Application may be processed for: Amendment:
Renewal: License: Signed: Date: