ML20210J529

Amend 15 to License 50-17838-02 for Providence Hosp, Authorizing Cj Sternhagen,Pd Swift,Th Johnson,Ae Jackson & KA Fox to Use &/Or Supervise Use of Licensed Matl

ML20210J529
Person / Time
Site:	03014460
Issue date:	07/29/1986
From:	Riedlinger B NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:
Shared Package
ML20210J531	List: ML20210J529 ML20210J726
References
50-17838-02, 50-17838-2, NUDOCS 8702120104
Download: ML20210J529 (1)

See also: IR 05000178/2038002

Text

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RC Form 374A U.S. NUCLEAR REGULATORY CoMMISSloN

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MATERIALS LICENSE 50-17838-02 1

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SUPPLEMENTARY SHEET l

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Amendment No. 15 g

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Providence Hospital N

R diation Safety Office

3200 Providence Drive l

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Anchorage, Alaska 99502 l

In accordance with letter dated May 15, 1986, License No. 50-17838-02 is amended to l

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License Conditioa 12. is amended to, read:n q r .~ N

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12. A. Licensed material shall"be used by, or under the stipervision of, Charles

1 J. Sternhagen, M.D.', Pe'ter DeMott Swif t, M.D. , Thomas" Harry Johnson, M.D. , ly

Alva Eugene Jacksony#M.D.,orKennethAllenFox,M.D.([)

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Licensed material for nonhuman use shall be used.by' Darwin 3 L. Zellmer.

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FOR THE U.S.' NUCLEAR REGULATORY COMMISSION L:

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original signed by B. A. Riedlinger

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Beth A. Riedlinger tj

Health Physicist (Licensing) t.

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