ML18204A429
| ML18204A429 | |
| Person / Time | |
|---|---|
| Site: | 03039104 |
| Issue date: | 06/28/2018 |
| From: | Simmons M R NRC Region 4 |
| To: | Rocky Mountain Mobile Imaging |
| References | |
| 602756 | |
| Download: ML18204A429 (2) | |
Text
U.S. NUCLEAR REGULATORY COMMISSION MATERIALS LICENSE NRC FORM 374PAGE OF 1 2PAGES 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 McCammon, ID 83250 2.PO Box 345 1.Rocky Mountain Mobile Imaging, LLC 4.Expiration Date:
June 30, 2033 Docket No.:
5.030-39104 License number: 11-35483-01 Reference No.:
3.In accordance with application dated January 10, 2018.
6.7.8.Byproduct, source, and/or special nuclear material Chemical and/or physical form Maximum amount that licensee may possess at any one time under this license 9.Authorized use A.A.A.A.For use in imaging and localization studies permitted by 10 CFR 35.200.
Any As Needed Any byproduct material permitted by 10 CFR 35.200 CONDITIONS 10.Licensed material may be used or stored at the licensee's facilities located at: 887 E. North St. Powell, Wyoming. Licensed material may be used at temporary job sites anywhere in the United States where the U.S. Nuclear Regulatory Commission maintains jurisdiction for regulating the use of licensed material, including areas of exclusive Federal jurisdiction within Agreement States. If the jurisdiction status of a Federal facility within an Agreement State is unknown , the licensee should contact the Federal agency controlling the job site in question to determine whether the proposed job site is an area of exclusive Federal jurisdiction. Authorization for use of radioactive materials at job sites in Agreement States not under exclusive Federal jurisdiction shall be obtained from the appropriate state regulatory agency
.11.The Radiation Safety Officer (RSO) for this license is Peter Aagard.
License Number Docket or Reference NumberU.S. NUCLEAR REGULATORY COMMISSION NRC FORM 374AMATERIALS LICENSESUPPLEMENTARY SHEETPAGES OFPAGE22 1 1-35483-01 030-39104 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 User(M.D.,D.O.,etc.)
Material and Use Jacob Merrell, M.D.
35.200 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 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 and correspondence are more restrictive than the regulations.A.Application dated January 10, 2018 (ML18093B567)B.Letter received May 09, 2018 (ML18179A300)FOR THE U.S. NUCLEAR REGULATORY COMMISSION By: Date: Region 4 Michelle R. Simmons