ML18193A513
| ML18193A513 | |
| Person / Time | |
|---|---|
| Site: | 03038288 |
| Issue date: | 07/10/2018 |
| From: | Frazier C F NRC/RGN-III |
| To: | Kentuckiana Medical Ctr |
| References | |
| 608487 | |
| Download: ML18193A513 (3) | |
Text
NRC FORM 374 U.S. NUCLEAR REGULATORY COMMISSION MATERIALS LICENSE PAGE 1 OF 3 PAGES Amendment No. 4 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, 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. Licensee 1. Kentuckiana Medical Center 2. 4601 Medical Plaza Way Clarksville, IN 47129 6. Byproduct, source, and/or special nuclear material A. Any byproduct material permitted by 10 CFR 35.100 B. Any byproduct material permitted by 10 CFR 35.200 7. A. Any B. Any In accordance with letter dated 4. Expiration Date: July 31, 2020 April 1 i------------_,,.---15.
Docket No.: 030-38288 Reference No.: f';IJ?fT~p
- 9. Authorized use A. For use in uptake, dilution and excretion studies permitted by 10 CFR 35.100. B. For use in imaging and localization studies permitted by 10 CFR 35.200. 10. Licensed material may be used or stored at the licensee's facilities located at 4601 Medical Plaza Way, Clarksville, Indiana, 47129. 11. The Radiation Safety Officer (RSO) for this license is Trinna Walker, BS, CNMT.
NRC FORM 374A U.S. NUCLEAR REGULATORY COMMISSION MATERIALS LICENSE SUPPLEMENTARY SHEET License Number 13-32796-01 Amendment No. 4 12. Licensed material shall only be used by, or under the supervision of: Docket or Reference Number 030-38288 A. Individuals permitted to work as authorized users i~anB r\;#* B. The following individuals are authorized uds~or the material and medical use~
- Authorized User(M.D.,D.O.,etc.)
Connie Anggelis, M.D. Gerasimos S. Stavens, M.D. PAGE 2 OF 3 PAGES NRC FORM 374A U.S. NUCLEAR REGULATORY COMMISSION PAGE 3 OF 3 PAGES MATERIALS LICENSE SUPPLEMENTARY SHEET License Number 13-32796-01 Amendment No. 4 Docket or Reference Number 030-38288
- 13. 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 acw~c~i£6 IJl!JUlations.
Additionally!
this license condition does not limit the licensee's ability to make changes to the radiation ll{O~t!io?i program as pr\fi(ed~tor in 10 CFR 35.26. The U.S. Nuclear Regulatory Commission's regulations shall govern unless ij:l(jtMements, representations, ~j prccedures in the licensee's application and correspondence are more restrictive than the~ulations.
A. Application dated April 19, 2010 (ML 1~104~1 !a , B. Letter dated March 23, 2015 (ML 15~A487) C. Letter dated December 18, 2017 (MU7361A291 i:".:'l 'i%1ajij%i , JUL 1 0 2018 Date:--------
FOR THE U.S. NUCLEAR REGU,LATORY COMMISSION ) (//~ k':-::: It
- R~gion Ill,, " \ '--..._____./