ML18212A059
| ML18212A059 | |
| Person / Time | |
|---|---|
| Site: | 03038827 |
| Issue date: | 07/31/2018 |
| From: | Frazier C F NRC/RGN-III |
| To: | Harrison County Community Hospital |
| References | |
| 608815 | |
| Download: ML18212A059 (3) | |
Text
NRC FORM374 U.S. NUCLEAR REGULATORY COMMISSION MATERIALS LICENSE PAGE 1 OF 3 PAGES Amendment No. 1 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. Harrison County Community Hospital Nuclear Medicine Department
- 2. 2600 Miller Street Bethany, MO 64424 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: June 30, 2025 May 1 t------------"....,,,,.---1
- 5. Docket No.: 030-38827 Reference No.: )~? !QC*. ,
- T S Ji~ 9. Authorized use A. For use in uptake, dilution and excretion studies permitted by 1 O 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 2600 Miller St., Bethany, Missouri, 64424. 11. The Radiation Safety Officer (RSO) for this license is Michaelle A Warner, CNMT.
NRC FORM 374A MATERIALS LICENSE SUPPLEMENTARY SHEET U.S. NUCLEAR REGULATORY COMMISSION License Number 24-35230-01 Amendment No. 1 Docket or Reference Number 030-38827
- 12. Licensed material shall only be used by, or under the supervision of: A. B. Authorized User(M.D.,D.0
.. etc.) Joseph Caresio, M.D. Michael P. Green, D.O. Christine Keesling, M.D. Robert MacNaughton, M.D. Martina Milcevic, M.D. Randall Newth, M.D. Robert Newth, M.D. Arnold Pollak, M.D. John Brian Pope, M.D. Timothy G. Raveil, M.D. Dwarakraj Soundarraj, M.D. 10 ~35.100, 10 CFR 35.200 10 CFR 35'S1'QO, Hl c~r 3~ftp~;{ '};,{ ir':\ PAGE 2 OF 3 PAGES NRC FORM 374A MATERIALS LICENSE SUPPLEMENTARY SHEET U.S. NUCLEAR REGULATORY COMMISSION License Number 24-35230-01 Amendment No. 1 Docket or Reference Number 030-38827 PAGE 3 OF 3 PAGES 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£(!
i:,Qulations.
Additionally, this license condition does not limit the licensee's ability to make changes to the radiation
~o!ct,f'oP'l program as pMi(e~or in 10 CFR 35.26. The U.S. Nuclear Regulatory Commission's regulations shall govern unless t!'ut~fements, representations, ~cedures in the licensee's application and correspondence are more restrictive than th~~ulations.
O A. Application dated June 10, 2015 (ex""ing B. Letter dated June 10, 2015 (ML 151tiA858)
C. Letter dated June 11, 2015 (ML 151~056) Date: JUL 3'1 ZOIB By: / a--, V. :::-::,; -,,<_ e:::~ / ~as~andra F. Frazier 4J ~nlll