ML19240C640

Export License Issued to Alpha Omega Services Inc. PXB6.28

ML19240C640
Person / Time
Site:	11006027
Issue date:	08/28/2019
From:	Mohamed Shams NRC/OIP
To:	Tunnell C Alpha Omega Services
Savoy J
References
Download: ML19240C640 (9)

Text

EXPORT LICENSE NRC FORM 250 NRC LICENSE NO.: PXB6.28 United States of America Page 1 of 9 Nuclear Regulatory Commission NRC DOCKET NO.: 11006027 Washington, D.C. 20555 LICENSE EXPIRES: January 31, 2028 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)

See following page(s)

Alpha-Omega Services, Inc.

9156 Rose Street Bellflower, CA 90706 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:

AMD 28 ULTIMATE DESTINATIONS: Canada and Japan DESCRIPTION OF 10 CFR PART 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, of Category 1 quantities of Co-60 (not to exceed 244.2 TBq per shipment), contained in sealed sources for use in medical teletherapy devices, is authorized. For Category 1 exports, see conditions on page 2.

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 your 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.

This license replaces PXB6.27-R amending its authority by adding three additional parties to the list of "Other U.S.

Part(ies) to Export."

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. Mohamed K. Digitally signed by Mohamed K.

Shams Shams Date: 2019.08.28 11:48:50 -04'00' This license is subject to the right of recapture or control by Section 108 NAME AND TITLE:

Mohamed K. Shams, Acting Deputy Director of the Atomic Energy Act of 1954, as amended, and to all the other Office of International Programs provisions of said Acts, now or hereafter in effect and to all valid rules and regulations of the Nuclear Regulatory Commission.

DATE OF ISSUANCE: August 28, 2019 EXPORT LICENSE

PXB6.28 Page 2 of 9 CONDITIONS FOR CATEGORY 1 EXPORTS Licensee is prohibited from shipping 10 CFR Part 110 Appendix P Category 1 quantities of Co-60 to Canada, for which government-to-government consent has not yet been requested, received and processed until the following actions are taken:

1. The licensee submits a consent request to the NRC with pertinent details for a specific shipment or series of shipments on the NRC Form 7, which notifies the NRC to request and obtain consent for the specified transaction(s) from the importing countrys regulatory authority;

2. The NRC receives and considers the consent from the importing countrys regulatory authority pursuant to 10 CFR §110.42(e)(3); and

3. The NRC has informed the licensee in writing, that the consent request has been granted and it is authorized to ship the materials to the ultimate consignee(s) specified on the NRC Form 7 consent request.

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

1. For export of 10 CFR Part 110 Appendix 2. For export of 10 CFR Part 110 Appendix P, Category 1 quantities of Co-60 P, Category 2 quantities of Ir-192 Nordion (Canada) Inc. Japan Radioisotope Association (JRIA) 447 March Road 28-45 Honkomagome 2-Chome Ottawa, Ontario K2K 1X8 Bunkyo-Ku, Tokyo 113-8941 Canada Japan OTHER U.S.PARTY(IES) TO EXPORT:

1. Adventist Health Systems/Sunbelt Inc. 2. Akron General Medical Center Florida Hospital Plaza 762 South Cleveland Massillon Road 2501 N. Orange Avenue Montrose, OH 44333 Orlando, FL 32803

3. Alexian Brothers Medical Center 4. Alpha-Omega Services, Inc.

800 West Biesterfield Road 1282 Big Woods-Starks Road Elk Grove Village, IL 60007 Vinton, LA 70668

5. Anchorage Radiation Oncology 6. Augusta University Medical Center Management, Inc. 1120 15th Street d/b/a Anchorage Radiation Therapy Center Augusta, GA 30912 2841 Debarr Road, Suite 100 Anchorage, AK 99508

7. Aurora Health Care Metro, Inc. 8. Baptist Hospital of Miami, Inc.

d/b/a Aurora St. Lukes Medical Center Department of Radiation Oncology Room 115, Gamma Knife Department 8900 North Kendall Drive 2900 West Oklahoma Avenue Miami, FL 33176 Milwaukee, WI 53215

9. Baylor All Saints Medical Center Fort Worth 10. Billings Clinic 1400 Eight Avenue 2800 Tenth Avenue North Fort Worth, TX 76104 Billings, MT 59101

PXB6.28 Page 3 of 9 OTHER U.S.PARTY(IES) TO EXPORT Continued:

11. BRFHH Shreveport, LLC 12. Bryan Medical Center DBA University Health Shreveport 2300 South 16th Street 1541 Kings Highway Lincoln, NE 68502 Shreveport, LA 71130

13. Center for Advanced Medicine 14. Central DuPage Hospital Association Long Island Jewish Medical Center Northwestern Medicine Cancer Center 450 Lakeville Road Central DuPage Hospital Lake Success, NY 11042 4405 Weaver Parkway Warrenville, IL 60555

15. Central Mississippi Medical Center 16. Chippenham and Johnston-Willis Hospitals, Radiation Oncology Department Inc.

1850 Chadwick Drive d/b/a CJW Medical Center, Johnston-Willis Jackson, MS 39204 Campus 1401 Johnston-Willis Drive Richmond, VA 23235

17. Chippenham and Johnston-Willis Hospitals, 18. Columbia-Presbyterian Medical Center Inc., d/b/a CJW Medical Center Gamma Knife Suite Basement Level Room Johnston-Willis Campus, Chippenham GK2, Childrens Hospital of New York Campus Presbyterian Hospital 7101 Jahnke Road 630 West 168th Street Richmond, VA 23235 New York, NY 10032

19. Cooper Health System 20. Covenant Health System Robert Wood Johnson Medical School at Covenant Gamma Southwest Camden 3603 21st Street 3 Cooper Plaza Lubbock, TX 79410 Camden, NJ 08103

21. Covenant Health System 22. Deaconess Medical Center Gamma Knife DBA Joe Arrington Cancer Research & Gamma Knife Suite, Basement Floor Treatment Center Room 117 4101 22nd Place 910 West Fifth Avenue Lubbock, TX 79410 Spokane, WA 99204

23. Doctors Hospital, Inc. 24. Fort Sanders Regional Gamma Knife d/b/a Doctors Hospital Center 1915 White Avenue 5000 University Drive Knoxville, TN 37916 Coral Gables, FL 33146

25. Gamma Knife Center of the Pacific 26. GE-Hitachi Nuclear Energy Americas, LLC 2226 Liliha Street, Level B2 Vallecitos Nuclear Center Honolulu, HI 96817 6705 Vallecitos Road Pleasanton, CA 94586

27. Good Samaritan Hospital 28. Hackensack University Medical Center John 1225 Wilshire Boulevard Theurer Cancer Center Los Angeles, CA 90017 92 2nd St.

Hackensack, NJ 07601

29. Harborview Medical Center 325 9th Avenue Gamma Knife Suite Seattle, WA 98133

PXB6.28 Page 4 of 9 OTHER U.S.PARTY(IES) TO EXPORT Continued:

30. HCA Health Services of Oklahoma, Inc. d/b/a 31. Hoag Memorial Hospital Presbyterian OU Medical Center One Hoag Drive Presbyterian Hospital Newport Beach, CA 92658 700 N.E. 13th Street Oklahoma City, OK 73104

32. Holy Spirit Cancer Center 33. Indiana University Health Methodist Hospital Gamma Knife Center 1701 N. Senate Blvd 880 Century Drive Indianapolis, IN 46202 Mechanicsburg, PA 17055

34. Intermountain Medical Center 35. Jewish Hospital, LLC.

Jon and Karen Huntsman Cancer Center 4777 East Galbraith Road Gamma Knife Room, 5121 South Cincinnati, OH 45236 Cottonwood Street Murray, UT 84157

36. John F. Kennedy Medical Center 37. Karmanos Cancer Center 65 James Street Gershenson Radiation Oncology Center Edison, NJ 08818 Room 379 4100 John R. Street Detroit, MI 48201

38. Kettering Medical Center 39. Larkin Community Hospital, Inc.

3535 Southern Boulevard 6129 Southwest 70th Street Kettering, OH 45429 South Miami, FL 33143

40. Legacy Health System 41. Lehigh Valley Health Network 1130 North West 22nd Avenue, Suite LL50 1240 South Cedar Crest Boulevard Portland, OR 97210 Allentown, PA 18103

42. Lewis Hall Singletary Oncology Center 43. Los Robles Regional Medical Center at John D. Archbold Memorial Center 2200 Lynn Road 919 S. Broad Street Thousand Oaks, CA 91360 Thomasville, GA 31792

44. Lovelace Medical Center 45. Marshall Clinic 601 Dr. Martin Luther King, Jr. NE St. Joseph's Hospital Albuquerque, NM 87102 611 St. Joseph Avenue Marshfield, WI 54449

46. Mayo Clinic Hospital-Rochester 47. Mayo Clinic Jacksonville St. Marys Campus 4500 San Pablo Road 1216 2nd St. NW Jacksonville, FL 32224 Rochester, MN 55905

48. Medical College of Wisconsin 49. Medical University of South Carolina Froedtert Memorial Lutheran Hospital 171 Ashley Avenue 9200 West Wisconsin Avenue Charleston, SC 29425 Milwaukee, WI 53226

50. Memorial Hermann Healthcare System 51. Mercy Health Center d/b/a Hermann Hospital 4300 West Memorial Road 6411 Fannin Avenue Oklahoma City, OK 73120 Houston, TX 77030

PXB6.28 Page 5 of 9 OTHER U.S.PARTY(IES) TO EXPORT Continued:

52. Methodist Healthcare System of San Antonio 53. Mid-Michigan Gamma Knife Facility LTD 4000 Wellness Drive Methodist Hospital Room 160 7700 Floyd Curl Drive Midland, MI 48670 San Antonio, TX 78229

54. Nebraska Methodist Hospital 55. Neurologic & Orthopedic Institute of Chicago 8303 Dodge Street 4501 N. Winchester Omaha, NE 68114 Chicago, IL 60640

56. New York University Hospitals Center 57. Northern Westchester Hospital Center Arnold and Marie Schwartz Health Care 400 East Main Street Center Gamma Knife Suite, 550 First Avenue Mount Kisco, NY 10549 New York, NY 10016

58. Northwest Hospital Gamma Knife Center 59. Northwestern Memorial Hospital Building 310, Ground Floor, Suite G-5 Galter Pavilion 1560 North 115th Street 201 E. Huron Street Seattle, WA 98133 Chicago, IL 60611

60. Palmetto Health Richland 61. Penn State Milton S. Hershey Medical Center 7 Medical Park 500 University Drive Columbia, SC 29203 Hershey, PA 17033

62. Piedmont Hospital 63. Pitt County Memorial Hospital Radiation Oncology Services d/b/a Vidant Medical Center 1968 Peachtree Road N.W. 2100 Stantonsburg Road Atlanta, GA 30309 Greenville, NC 27835

64. Providence Portland Medical Center 65. Puerto Rico Medical Services Administration North Pavilion Puerto Rico Medical Center, Centro Medico 4805 NE Glisan Street de Rio Piedras Portland, OR 97213 First Floor, Central Building, Carr 22 Barrio Monacillos San Juan, PR 00935

66. Puget Sound Radiosurgery 67. Research Medical Center Gamma Knife Suite, Room 103, St. Josephs Midwest Gamma Knife Center Medical Center 2316 E. Meyer Blvd.

1802 South Yakima Kansas City, MO 64132 Tacoma, WA 98405

68. Rhode Island Hospital 69. Robert Wood Johnson University Center 593 Eddy Street Gamma Knife Suite Providence, RI 02903 10 Plum Street New Brunswick City, NJ 08901

70. Rocky Mountain Gamma Knife Center, LLC 71. Roswell Park Cancer Institute 1635 Aurora Court Elm & Carlton Street Aurora, CO 80045 Buffalo, NY 14263

72. Sacred Heart Health System, Inc. 73. Sacred Heart Medical Center d/b/a Sacred Heart Hospital of Pensacola 1255 Hilyard Street 5151 North 9th Avenue Eugene, OR 97401 Pensacola, FL 32504

PXB6.28 Page 6 of 9 OTHER U.S.PARTY(IES) TO EXPORT Continued:

74. Saint Francis Medical Center 75. San Antonio Community Hospital 530 NE Glen Oak Avenue 999 San Bernardino Road Peoria, IL 61637 Upland, CA 91786

76. San Diego Gamma Knife Center 77. South Nassau Communities Hospital 9834 Genesee Avenue, Suite 110 One Healthy Way La Jolla, CA 92037 Oceanside, NY 11572

78. St. Josephs Hospital 79. St. Josephs Hospital and Medical Center 5665 Peachtree Dunwoody Road 350 West Thomas Road Atlanta, GA 30342 Phoenix, AZ 85013

80. St. Lukes The Woodlands Hospital 81. St. Vincent Medical Center 17200 St. Lukes Way 2 Shircliff Way The Woodlands, TX 77384 Jacksonville, FL 32204

82. Sunrise Diagnostic Center 83. SUNY Upstate Medical University 3006 South Maryland Parkway 750 East Adams Street Las Vegas, NV 89109 Syracuse, NY 13210

84. Sutter Gamma Knife Center 85. Sutter Medical Center Sacramento 2801 K St., Suite 110 Sutter Gamma Knife Center Sacramento, CA 95816 2801 K Street, Suite 110 Sacramento, CA 95816

86. Swedish Medical Center 87. Temple University Hospital 799 East Hampden Ave. Suite 100 3401 N. Broad Street Englewood, CO 80113 Philadelphia, PA 19140

88. Tenet Good Samaritan, Inc. 89. Texas Health Presbyterian Hospital Dallas 1309 North Flagler Drive 8200 Walnut Hill Lane West Palm Beach, FL 33401 Dallas, TX 75231

90. The Cleveland Clinic Foundation 91. The Methodist Hospital 9500 Euclid Avenue DBA Houston Methodist Cleveland, OH 44195 6551 Bertner Avenue Houston, TX 77030

92. The Ohio State University 93. The Regents of the University of California Radiation Medicine Department, Arthur G. San Francisco Medical Center James Cancer Hospital and 505 Parnassus Ave, Room L56 Richard J. Solove Research Institute, 300 San Francisco, CA 94143 West 10th Avenue.

Columbus, OH 43210

94. The Regents of the University of California 95. The Swedish Radiosurgery Center U.C. Davis Medical Center Suite A10 James Tower 2315 Stockton Blvd. 550 17th Avenue Sacramento, CA 95817 Seattle, WA 98122

96. The University of Texas 97. The Valley Hospital Luckow Pavilion MD Anderson Cancer Center 1 Valley Health Plaza 1515 Holcombe Boulevard Paramus, NJ 07652 Houston, TX 77030

PXB6.28 Page 7 of 9 OTHER U.S.PARTY(IES) TO EXPORT Continued:

98. Thomas Jefferson University and Hospitals 99. Tufts - New England Medical Center 900 Walnut Street 800 Washington Street Philadelphia, PA 19107 Boston, MA 02111 100. UAB Highlands Hospital 101. University Hospitals of Cleveland 1201 11th Avenue South 11100 Euclid Avenue Birmingham, AL 35205 Cleveland, OH 44106 102. University of Arkansas for Medical Science 103. University of Iowa Medical Center 4301 West Markham Street 200 Hawkins Drive Little Rock, AR 72205 Iowa City, IA 52242 104. University of Kentucky 105. University of Maryland Medical System Markey Cancer Center, Roach Bldg., Gamma Knife Suite, South Hospital B Wing Room CC049 22 South Greene Street 800 Rose Street Baltimore, MD 21201 Lexington, KY 40536 106. University of Minnesota Medical Center 107. University of Mississippi Medical Center Room 1-285 350 West Woodrow Wilson Avenue 500 SE Harvard Street Jackson, MS 39216 Minneapolis, MN 55455 108. University of Pennsylvania 109. University of Pittsburgh Pennsylvania Hospital Campus Presbyterian University Hospital 800 Spruce Street 230 Lothrop Street, Room G-102 Philadelphia, PA 19107 Pittsburgh, PA 15213 110. University of Pittsburgh 111. University of Pittsburgh Presbyterian University Hospital Presbyterian University Hospital 230 Lothrop Street, Room F-185 230 Lothrop Street, Room F-179 Pittsburgh, PA 15213 Pittsburgh, PA 15213 112. University of Texas Southwestern 113. University of Virginia Health Services Medical Center at Dallas Foundation 5151 Harry Hines Blvd. Suite G49 Lars Leksell Center for Gamma Surgery Dallas, TX 75390 Building 1143; Room G411 1215 Lee Street Charlottesville, VA 22908 114. USC University Hospital 115. Wake Forest Baptist Health 1540 Alcazar Street Radiation Oncology Department, Los Angeles, CA 90033 Comprehensive Cancer Center Medical Center Boulevard Winston-Salem, NC 27157 116. Washington Hospital Center 117. Washington Hospital Healthcare System 110 Irving Street, NW 2500 Mowry Ave.

Washington, DC 20010 Fremont, CA 94538 118. Washington University in St. Louis 119. 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, Medical Center Drive Morgantown, WV 26506

PXB6.28 Page 8 of 9 OTHER U.S.PARTY(IES) TO EXPORT Continued:

120. William Beaumont Hospital 121. Yale-New Haven Hospital Department of Radiation Oncology 20 York Street 3601 W. Thirteen Mile Road New Haven, CT 06519 Royal Oak, MI 48073

PXB6.28 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-2382 (Pu-238) 60 1,600 0.6 16 Plutonium-239/Beryllium2 (Pu-239/Be) 60 1,600 0.6 16 Promethium-147 (Pm-147) 40,000 1,100,000 400 11,000 Radium-2263 (Ra-226) 40 1,100 0.4 11 Selenium-75 (Se-75) 200 5,400 2.0 54 Strontium-90 (Y-90) 1,000 27,000 10.0 270 Thulium-170 (Tm-170) 20,000 540,000 200 5,400 Ytterbium-169 (Yb-169) 300 8,100 3.0 81 Calculation of Shipments Containing Multiple Sources or Radionuclides:

The sum of fractions methodology for evaluating combinations of radionuclides being transported is to be used when import or export shipments contain multiple sources or multiple radionuclides. The threshold limit values used in a sum of the fractions calculation must be the metric values (i.e., TBq).

I. If multiple sources and/or multiple radionuclides are present in an import or export shipment, the sum of the fractions of the activity of each radionuclide must be determined to verify the shipment is less than the Category 1 or 2 limits of Table 1, as appropriate. If the calculated sum of the fractions ratio, using the following equation, is greater than or equal to 1.0, then the import or export shipment exceeds the threshold limits of Table 1 and the applicable security provisions of this part apply.

II. Use the equation below to calculate the sum of the fractions ratio by inserting the actual activity of the applicable radionuclides or of the individual sources (of the same radionuclides) in the numerator of the equation and the corresponding threshold activity limit from the Table 1 in the denominator of the equation. Ensure the numerator and denominator values are in the same units and all calculations must be performed using the TBq (i.e., metric) values of Table 1.

R1 = activity for radionuclides or source number 1 AR1 = activity limit for radionuclides or source number 1 R2 = activity for radionuclides or source number 2 AR2 = activity limit for radionuclides or source number 2 RN = activity for radionuclides or source number n ARN = activity limit for radionuclides or source number n n

R 1 R2 R n A R AR2 AR n 1

1 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.