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Amend 11 to License 50-17686-01 for Bartlett Memorial Hosp, Authorizing Use of 10CFR35.100,35.200 & 31.11 Matls for Specified Purposes at Stated Location & Designating Gt Blair as Radiation Safety Officer.Ltr Forwarding Amend Encl
	ML20246J645
Person / Time
Site:	03013158
Issue date:	08/24/1988
From:	Riedlinger B; NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:	;
Shared Package
ML20246J650	List: ML20246J645;
References
	50-17686-01, 50-17686-1, 570798, 70798, NUDOCS 8907170415
	Download: ML20246J645 (4)
	v • d • e

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CRC Forus 374 ^ : } 2 g

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(3-83I- U.S. NUCLE AR REGULATORY COMMISSION

MATERIALS LICENSE Amendment No. 11

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Pursuant 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 30,31,32,33,34,35,40 and 70, and in reliance on statements and representations p

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- heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, -g

. source, and special nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below;to l

' deliver or transfer such material to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This !!

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license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is E

' subject to all applicable rules, regulations and orders of the Nuclear Regulatory Commission now or hereafterin effect and to any

conditions specified below.

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Licensee

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1- Bartlett Memorial Hospital 3. License number 50-17686-01

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3260 Hospital Drive

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Juneau, Alaska 99801 January 31, 1989 I

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Reference No. 030113158

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6. Byproduct, source,and/or 2h 7. Chemical and/or physical (8. Mawnum amount that licensee I

special nuclear material ' ,

form +Tmay possess at any one time I

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A. Any byproduct materi'al Y ; AN Any radiopharmacy'eutical A As needed ['

identified in 10 JCFR 35.100 .Y J 'ideritified in .10LCFR 35.100hf#. g

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B. Any byproduct material .

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C. Any byproduct mater)ial cdQ %. A,identifiedi/inf7mTW'

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31.112 J .'SW. ' q~ a ,eri y i L2Li!V ;

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CONDIT. ION. S ,.

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10. Location of use: Bartlett Memorial Hospital, I

3260 Hospital Drive

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Juneau, Alaska 99801 g

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11. Radiation Safety Officer: Gordon T. Blair, Jr. , M.D. i

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Amendment No. 11 l

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CONDITIONS I

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12. Authorized users: Authorized for use of I

material identified in: l

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Estol E. Belflower, M.D. 10 CFR 35.100 g

10 CFR 35.200 B

10 CFR 31.11 i

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Gordon T. Blair, Jr. M.D.

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FOR THE U.S. NUCLEAR REGULATORY COMMISSION gi

original signed by B. A. Riedlinger l

Date August 24 1988 By :

Beth A Riedlir,ger -

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! Health Physicist (Licensing) gj

j Nuclear Materials Safety Section p!

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Docket No. : 030-13158 ;

License No.: 50-17686-01 '

Control No.: 70798

Bartlett' Memorial Hospital

3260 Hospital Drive

Juneau, Alaska 99801

Attention: Mr. William Selvey

Hospital Administrator

Gentlemen:

Enclosed is the NRC'11 cense amendment which you requested.

Please review the enclosed document carefully and be sure that you understand

all conditions. If there are any errors or questions, please notify us so

that we can provide appropriate corrections and answers.

Any future correspondence relating to your license should specifically

reference your license and docket numbers to expedite your inquiry.

Sincerely,

!

l

Beth A. Riedlinger i

Health Physicist (Licensing)

Nuclear Materials Safety Section

Enclosure: Attachment A l

Amendment No. 11 to License No. 50-17686-01 i

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(FOR LFNS USE)

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. : INFORMATION FROM LTS RECE!VED

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BETWEEN: --------------------

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l License Fee Management Branch, ARM : Program Code: 02120

and' : Status Code: 0

Regional Licensing Sections : Fee Category: EX 7C ^0

Exp. Date: 19890131 O u dQ

Fee Comments: 170.11(A((9) CODE

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LICENSE FEE T NSMITTAL

A. REGIO

). APPLICATION ATTACHED - -

Applicant / Licensee: BARTLETT MEMORIAL HOSPITAL

Received Date: 880712

Docket No: 3013158

Control No.: 570798

License No.: 50-17686-01

Action Type: Amendment

2. FEE ATTACHED

Amount:

Check No.: g

3.- COMMENTS

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B.LICENSETEEMANAGEMENTBRANCH(Checkwhenmilestone03ise

-1. Fee Category and Amount:

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2. Correct Fee Paid. A p cation may be processed for:

Amendment

Renewal

License

3. OTHER

Si ned A-

DaYe 3/4, if/

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ML20246J645

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