ML20129H552

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Forwards Amend 5,renewing License SNM-1551
ML20129H552
Person / Time
Site: 07001993
Issue date: 05/31/1985
From: Holt B
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To: Wissman W
LUTHERAN HOSP. OF FT. WAYNE, INC., FT. WAYNE, IN
Shared Package
ML20129H545 List:
References
NUDOCS 8506070604
Download: ML20129H552 (2)


Text

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= .o rii_E COPY MAY 311985 The Lutheran Hospital of Fort Wayne, Inc.

ATTN: William W. Wissman Interim President 3024 Fairfield Avenue Fort Wayne, IN 46807 Gentlemen:

Enclosed is Amendment No. 05 renewing your NRC License No. SNM-1551 in accordance with your request.

Please review the enclosed document carefully and be sure that you understand all conditions. You must conduct your program involving radioactive materials

. in accordance with the conditions of your NRC license, representations made in your license application, and NRC regulations. In particular, note that you must:

1. Operate in accordance with NRC regulations 10 CFR Part 19, " Notices, Instructions and Reports to Workers; Inspections," 10 CFR Part 20,

" Standards for Protection Against Radiation," and other applicable regulations.

2. Possess radioactive material only in the quantity and form indicated in your license.
3. Use radioactive material only for the purpos .s) indicated in your license.
4. Notify NRC in writing of any change in mailing address.
5. Request and obtain appropriate amendment if you plan to change ownership of your organization, change locations of radioactive material, or make any other changes in your facility or program which are contrary to your license conditions or representations made in your license application and any supplemental correspondence with NRC. Any amendment request should be accompanied by the appropriate fee specified in 10 CFR Part 170.
6. Submit a complete renewal application with proper fee or termination request at least 30 days before the expiration date on your license. You will receive a reminder notice approximately 90 days before the expiration date. Possession of radioactive material after your license expires is a violation of NRC regulations.
7. Request tennination of your license if you plan to permanently discontinue activities involving radioactive material prior to your expiration date.

8506070604 95053 RE03 LIC70 Spet-1551 PDR i.

3 ,,

The Lutheran Hospital of 2 MAY 311985 Fort Wayne, Inc.

~ You will be periodically inspected by NRC. - Failure to conduct your program in accordance with NRC regulations, license conditions and representations in your license application will result in enforcement action against you in accordance with -the General Policy and Procedures for NRC Enforcement. Actions,10 CFR Part 2, Appendix C.

If you havr: any questions or require clarification of any of the above stated informaticn, contact us at (312) 790-5625.

Sincerely, Original Signed By B. J. Holt Materials Licensing Section Enclosure (s):AmendmentNo.05 RIII Holt /ld #

05/28/85 fdI