ML20138G222
| ML20138G222 | |
| Person / Time | |
|---|---|
| Site: | 07001972 |
| Issue date: | 05/08/1975 |
| From: | NRC OFFICE OF NUCLEAR MATERIAL SAFETY & SAFEGUARDS (NMSS) |
| To: | |
| Shared Package | |
| ML20136D106 | List: |
| References | |
| NUDOCS 8512160268 | |
| Download: ML20138G222 (2) | |
Text
._
Wge k ' Tr5**" w aram @m m m m = O mmm wvre g UNITED' STATES ATOMIC ENERGY COMMISSION $
f' SPECIAL NUCLEAR MATERIAL LKENSE h
4 k h g' Chapter 1, Part 70, "Special Nuclear Material", a license isy here 4
and poucw the special nuclear material designated below; to use such special nuclear material psu for t d'
k purpose (s) and at the place (s) designated below; and to transfer such material to penons authorized receive it in accordance with the regulations in said Part. This license shall be deemed to contain
'j the t r
4 !Y conditiore specified in Section 70.32(a) of said regulations, and is subject to all applicable &
rule
%ji regulitions, specified below.and orders of the Atomic Energy Commission now or hereafter in effect and I" to any b fj f-pl Licensee '
N 3. l.icense No. '
SNM-1530 h 1.Name Henrietta DeLyzer
$g g;
q 2. Address 4. Expiration Date
' 379 Lake Street April 30, 1980 4: Apt. 209 I
di ' Sault Ste Marie, Ontario, Canada
$ S. Docket No. I 4' 70-1972
- 6. Special Nuclear Materia!
- 7. Mesimum quantity of special nuclear material 4 y 4 which licensee may possess at any one time I4; under this license 8" y Plutonium (Principle radionuclide
( Pu-238)
Single source containing 210 milligrams 51 f
l
- 8. Authorized use k To possess in the United States a nuclear battery contained in an f implanted Medtronic, Inc. , Model 9000 Nuclear Powered Pacemaker, 4
/
Serial No. 4R0184N. h jp
% 'f)
(l -
6 CONDITIONS
-- 4}
10
- 9. above.
Unless otherwise specified. the authorized place of use in the licensee's address Istated I'd in ite
- 10. Place of use is anywhere within the United States including Alaska, h t>
1(. Itawcii, and U. S. Territories and Possessions in the Pacific. -
l ill. While visiting in the United States the licensee shall carry on her '
'fi person at all times the Medical Alert Card supplied with thin license ,
4 in addition to wearing the identification bracelet and carrying the l M- identification cards required by the Canadian Covernment.
. %q 8512160268 851024 REC 1 LIC70 SNM-1962 PDR .
- D Atc4an/** U. 3, ATOMIC ENEttGY COMyassWE) Page 2 og e pcges
- SPECIAL NUCLEAR ense Number M- U
...ATERIAL LICENSE Supplementary Sheet Docket No. 70-1972 CONDITIONS (Continued)
, 12. Except as specifically provided otherwise by this license, the licensee shall
- possess and use special nuclear material described in Items 6, 7, and 8 of ,
this license in accordance with statements, representations, and procedures
}
contained in the letter and application f rom Mrs. IIenrietta DeLyzer postmarked April 11,1975.
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l For The it. S. Nuclear Rep,ulatory Conmission Materials Bronch *
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