ML18305B362
| ML18305B362 | |
| Person / Time | |
|---|---|
| Site: | 03020372 |
| Issue date: | 10/29/2018 |
| From: | Kassel K Alliance HealthCare Services |
| To: | NRC Region 4 |
| References | |
| 610350 | |
| Download: ML18305B362 (4) | |
See also: IR 05000232/2014001
Text
ALLIANCE HEALTHC AR E S E RVI CES October 29 , 2018 lo) 1E t IE nD IE~ [\\ OCT 3 0 20lB M US NRC Region IV 1600 E. Lamar Bl v d. Arlington
TX, 76011-4 5 11 RE: Radioactive
Materials
Lic e nse 5 0-232 1 4-01 Dear Sir or Madam, DNMS As a result of the inspection
conducted
October 25 , 2018, by Jason Von Ehr , I w ould lik e t o submit this request to amend Radioactive
Materials
licens e nmnb e r 50-23214-0l to add th e P e t CT m o bil e unit as a location of use. Currently
Pet CT 125 is a parked mobile at th e location. It is in t h e proce s s of b e ing decommissioned.
The mobile unit w ill be leaving th e location and s e t for r e sale in th e near future. I w ill submit the close out survey and source disposition
once that process is compl e t e d. Contact me if you are in need of an y further information
or clarification. Sincerely , Kay Kassel MS, CNMT, NMTCB (RS) 561-701-1311 kkassel@alliancehealthcares
e rvices-us.com PUBLIC a Immediate
Release ~ormal Release NON-PUBLIC
a A.3 Sensitive-Security
Related a A.7 Sensitive
Internal a Other: _____ _ 10.,3 .. 1 '7 Reviewer:~ uat c: ___ _ lb.610350
smart FedEx carbon-neutral
- envelope shipping Cl) Cl) .***Q) '--,...--* m i:I . . -4 .... *.. . a.' . >< .. , * ... . * I . I * I FROM: Alliance Healthcare
CARR: Federal Express TRK#: 00455391811411
RCVD: 10/30/2018
1341 TO: VonEhr, Jason PH: BDG: RM: PCS: 1 II 1111 1 1 1111 11 11111 II I I 99S9QCf002160$
' . I i ' . wU I-. Cf) . c::: 2 Al i gn top of FedEx Express shipping label here. ORIGIN ID:NZJA (949) 242-5445 MAILROOM ALLIANCE HEAL T HCARE 18201 VON KARMAN AVE. SUITE 600 IR V INE, CA 92612 UNITED STATES US TO US NRC REGION IV 1600 E. LAMAR BLVD. SHIP DATE: 290CT18 ACTWGT: 0.1 0 LB CAD: 108923304/CAFE3111
BIL L THIRD PARTY " " !(. " ... a: "' ' .: " .. "* ARLINGTON
TX 760114511
(661) 701-1311 _____O_ffT:
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NRC FORM 532 U.S. NUCLEAR REGULATORY
COMMISSION
(05-2016)
t>IIIIIEO(, ~'(),' <.,> -~ ... o...c. ; g ACKNOWLEDGEMENT
-RECEIPT OF CORRESPONDENCE . , , : 'l, ., '<-+.., ***** .,01_. Name and Address of Applicant
and/or Licensee Date I 10/30/2018 I Kay Kassel, MS, CNMT License Number(s)
Radiation
Safety Officer I 50-23214-01
I Diagnostic
Health Center of Anchorage, LLC Mail Control Number{s)
A wholly owned subsidiary
of Alliance HealthCare
Services I 610350 I 4100 Lake Otis Parkway #102 Licensing
and/or Technical
Reviewer or Branch Anchorage, AK 99508 C. Hill This is to acknowledge
receipt of your: [Z] Letter and/or D Application
Dated: 10/29/2018
The initial processing, which included an administrative
review, has been performed.
[Z] Amendment
D Termination
D New License D Renewal D There were no administrative
omissions
identified
during our initial review. D This is to acknowledge
receipt of your application
for renewal of the material(s)
license identified
above. Your application
is deemed timely filed, and accordingly, the license will not expire until final action has been taken by this office. D Your application
for a new NRC license did not include your taxpayer identification
number. Please complete and submit NRC Form 531, Request for Taxpayer Identification
Number, located at the following
link: _l)tt g://www.nrc.gov/reading-
rm/doc-co l le cti ons/fo rm s/nrc531.gdf Follow the instructions
on the form for submission. D The following
administrative
omissions
have been identified:
Your application
has been assigned the above listed MAIL CONTROL NUMBER. When calling to inquire about this action, please refer to this control number. Your application
has been forwarded
to a technical
reviewer.
Please note that the technical
review, which is normally completed
within 180 days for a renewal application
(90 days for all other requests), may identify additional
omissions
or require additional
information. If you have any questions
concerning
the processing
of your application, our contact information
is listed below: Region IV U. S. Nuclear Regulatory
Commission
DNMS/NMSB
-B 1600 E. Lamar Boulevard
Arlington, TX 76011-4511
(817) 200-1103 or (817) 200-1140 NRC FORM 532 (05-2016)
BETWEEN: Accounts Receivable/Payable
and Regional Licensing
Branches [ FOR ARPB USE ] INFORMATION
FROM WBL Program Code: 02200 Status Code: Pending Amendment
Fee Category:7C
Exp. Date: 03/31/2025
Fee Comments:
Decom Fin Assur Reqd: N License Fee Worksheet
-License Fee Transmittal
A. REGION 1. APPLICAT I ON ATIACHED ApplicanULicensee:
Diagnostic
Health Center of Anchorage, LLC Received Date: 10/30/2018
Docket Number: 3020372 Mail Contro l Number: 610350 License Number: 50-23214-01
Action Type: Amendment
2. FEEATIAC=-r--HED Amount: Check No.: 3. COMMENTS I I Signed: Date: B. LICENSE FEE MANAGEMENT
BRANCH (Check when milestone
03 is entered 1. Fee Category and Amount: ------------------2. Correct Fee Paid. Application
may be processed
for: Amendment:
Renewal: License: Signed: Date: