IR 05000293/1957001
| ML18043A182 | |
| Person / Time | |
|---|---|
| Site: | Pilgrim, 03038077 |
| Issue date: | 01/29/2018 |
| From: | Simmons M R NRC Region 4 |
| To: | Providence Imaging Ctr |
| References | |
| 601812 | |
| Download: ML18043A182 (3) | |
Text
U.S. NUCLEAR REGULATORY COMMISSIONMATERIALS LICENSENRC FORM 374PAGEOF13Amendment No. 4PAGESPursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10, Code of Federal Regulations, Chapter I, Parts 30, 31, 32, 33, 34, 35, 36, 37, 39, 40, 70 and 71, and in reliance on statements and representations heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, source, and special nuclear material designated below; to use such material for the purpose(s) and at the place(s) designated below; to deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is subject to all applicable rules, regulations, and orders of the Nuclear Regulatory Commission now or hereafter in effect and to any conditions specified below. LicenseeAnchorage, AK 995082.3340 Providence Drive1.Providence Imaging Center4.Expiration Date:October 31, 2019Docket No.:5.030-38077License number: 50-29357-01 is amended in its entirety to read as follows:Reference No.: 3.In accordance with letter dated December 04, 2017.6.7.8.Byproduct, source, and/or special nuclear materialChemical and/or physical formMaximum amount that licensee may possess at any one time under this license9.Authorized useA.A.A.A.For use in imaging and localization studies permitted by 10 CFR 35.200.AnyAs NeededAny byproduct material permitted by 10 CFR 35.200CONDITIONS10.A.Licensed material may be used or stored at the licensee's facilities located at 3340 Providence Drive, Anchorage, Alaska.B.Licensed material may be received and stored at the licensee's facilities located at the loading dock of Providence Alaska Medical Center, 3200 Providence Drive, Anchorage, Alaska.11.The Radiation Safety Officer (RSO) for this license is Mark P. Winslo License NumberDocket or Reference NumberU.S. NUCLEAR REGULATORY COMMISSIONNRC FORM 374AMATERIALS LICENSESUPPLEMENTARY SHEETPAGESOFPAGE3250-29357-01030-38077Amendment No. 4 12.Licensed material shall only be used by, or under the supervision of:A.Individuals permitted to work as authorized users in accordance with 10 CFR 35.13 and 10 CFR 35.14.B.The following individuals are authorized users for the material and medical uses as indicated:Authorized UsersMaterial and UseHeather C. Tauschek, M.D.35.200Scott R. Naspinsky, M.D.35.200Christopher M. Reed , M.D.35.200Wandal B. Winn, M.D.35.200David Allen Moeller, M.D.35.200Christopher L. Kottra, M.D.35.200Leonard D. Sisk, M.D.35.200Chakri S. Inampudi, M.D.35.200Denise Farleigh, M.D.35.200Jonathan P. Coyle, M.D.35.200Erik John Maurer, M.D.35.20013.In addition to the possession limits in Item 8, the licensee shall further restrict the possession of licensed material to quantities below the minimum limit specified in 10 CFR 30.35(d) for establishing financial assurance for decommissionin License NumberDocket or Reference NumberU.S. NUCLEAR REGULATORY COMMISSIONNRC FORM 374AMATERIALS LICENSESUPPLEMENTARY SHEETPAGESOFPAGE3350-29357-01030-38077Amendment No. 414.Except as specifically provided otherwise in this license, the licensee shall conduct its program in accordance with the statements,representations, and procedures contained in the documents, including any enclosures, listed below. This license condition applies only to those procedures that are required to be submitted in accordance with the regulations. Additionally, this license condition does not limit the licensee's ability to make changes to the radiation protection program as provided for in 10 CFR 35.26. The U.S. Nuclear Regulatory Commission's regulations shall govern unless the statements, representations, and procedures in the licensee's application andcorrespondence are more restrictive than the regulations.A.Application dated July 2, 2009 (ML092330999)B.Delegation of Authority dated July 1, 2009 (ML092800498)
C.Letter dated March 31, 2010 (ML100970546)
D.Letter dated January 14, 2013 (ML13183A268)FOR THE U.S. NUCLEAR REGULATORY COMMISSIONBy:Date:Region 4Michelle R. SimmonsJanuary 29, 2018