ML19221B299

Export License Issued to Alpha-Omega Services, Inc. PXB6.27-R, Dated 8/6/19.pdf

ML19221B299
Person / Time
Site:	11006027
Issue date:	08/06/2019
From:	Peter Habighorst NRC/OIP
To:	Tunnell C Alpha-Omega Services
Savoy J
References
Download: ML19221B299 (8)

Text

EXPORT LICENSE NRC FORM 250 (10-07) NRC LICENSE NO.: PXB6.27-R United States of America Page 1 of 8 Nuclear Regulatory Commission NRC DOCKET NO.: 11006027 Washington, D.C. 20555 LICENSE EXPIRES: January 31, 2028 Pursuant to the Atomic Energy Act of 1954, as amended, and the regulations issued by the Nuclear Regulatory Commission (NRC) pursuant thereto, and in reliance on statements and representations heretofore made by the applicant/licensee, this license is hereby issued authorizing the licensee to export of the byproduct materials listed below, subject to the terms and conditions herein. This license is only valid if the licensee or 'Other Party (ies) to Export' maintain the requisite NRC or Agreement State domestic license(s).

LICENSEE ULTIMATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES)

See following page(s)

Alpha-Omega Services, Inc.

9156 Rose Street Bellflower, CA 90706 Attn: Carl Tunnell INTERMEDIATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES) OTHER U.S. PARTY(IES) TO EXPORT None See following page(s)

APPLICANT'S

REFERENCE:

AMD 27 ULTIMATE DESTINATIONS: Canada and Japan DESCRIPTIONS OF 10CFR PART 110, APPENDIX P, BYPRODUCT MATERIALS TO BE EXPORTED, INCLUDING CONDITIONS AND NOTES (NOTE: SEE PAGE 8 FOR DEFINITIONS OF CATEGORY 1 AND CATEGORY 2)

Export to Canada, of Category 1 quantities of Co-60 (not to exceed 244.2 TBq per shipment), contained in sealed sources for use in medical teletherapy devices, is authorized. For Category 1 exports, see conditions on Page 2.

Export to Japan, of Category 2 quantities of Ir-192, contained in sealed sources for use in medical brachytherapy devices, is authorized.

Licensee is responsible for compliance with all applicable export, and other domestic regulatory requirements, including all terms and conditions of domestic material possession licenses. Licensee, if not already submitted with your application, must submit information required by 10 CFR § 110.32(d) and pertinent documentation required by 10 CFR § 110.32(g) at least 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> prior to shipment. See Page 8 for Mandatory Advanced Notifications.

This license replaces PXB6.27 by revising an address listed under Other U.S. Party(ies) to Export.

Neither this license nor any right under this license shall be assigned or THIS LICENSE IS INVALID UNLESS SIGNED BELOW otherwise transferred in violation of the provisions of the Atomic BY AUTHORIZED NRC REPRESENTATIVE EnergyAct of 1954, as amended.

NAME AND TITLE: Peter J. Habighorst Digitally signed by Peter J. Habighorst Date: 2019.08.07 08:22:20 -04'00' This license is subject to the right of recapture or control by Section 108 Peter J. Habighorst, Acting Deputy Director of the Atomic Energy Act of 1954, as amended, and to all the other provisions of said Acts, now or hereafter in effect and to all valid rules Office of International Programs and regulations of the Nuclear Regulatory Commission.

DATE OF ISSUANCE: August 06, 2019 EXPORT LICENSE

PXB6.27-R Page 2 of 8 DESCRIPTIONS OF 10CFR PART 110, APPENDIX P, BYPRODUCT MATERIALS TO BE EXPORTED, INCLUDING CONDITIONS AND NOTES Licensee is prohibited from shipping 10 CFR Part 110 Appendix P Category 1 quantities of Co-60 to Canada for which government to government consent has not been requested and received until:

[1] The licensee has requested in writing from the U.S. Nuclear Regulatory Commission (NRC) to obtain specific consent from the importing countrys regulatory authority,

[2] NRC has received and considered government-to-government consent pursuant to 10 CFR

§110.42(e)(3), and

[3] NRC has informed the licensee in writing, that it is authorized to ship the materials to the ultimate consignee specified.

ULTIMATE CONSIGNEE(S) IN FOREIGN COUNTRY(IES) Continued:

1. For export of 10 CFR Part 110 Appendix 2. For export of 10 CFR Part 110 Appendix P, Category 1 quantities of Co-60 P, Category 2 quantities of Ir-192 Nordion (Canada) Inc. Japan Radioisotope Association (JRIA) 447 March Road 28-45 Honkomagome 2-Chome Ottawa, Ontario K2K 1X8 Bunkyo-Ku, Tokyo 113-8941 Canada Japan OTHER U.S.PARTY(IES) TO EXPORT Continued:

1. Adventist Health Systems/Sunbelt Inc. 2. Akron General Medical Center Florida Hospital Plaza 762 South Cleveland Massillon Road 2501 N. Orange Avenue Montrose, OH 44333 Orlando, FL 32803

3. Alexian Brothers Medical Center 4. Alpha-Omega Services, Inc.

800 West Biesterfield Road 1282 Big Woods-Starks Road Elk Grove Village, IL 60007 Vinton, LA 70668

5. Anchorage Radiation Oncology Management, 6. Augusta University Medical Center Inc. 1120 15th Street d/b/a Anchorage Radiation Therapy Center Agusta, GA 30912 2841 Debarr Road, Suite 100 Anchorage, AK 99506

7. Aurora Health Care Metro, Inc. 8. Baptist Hospital of Miami, Inc.

d/b/a Aurora St. Lukes Medical Center, Department of Radiation Oncology Room 115, Gamma Knife Department 8900 North Kendall Drive 2900 West Oklahoma Avenue Miami, FL 33176 Milwaukee, WI 53215

9. Baylor All Saints Medical Center Forth Worth 10. Billings Clinic 1400 Eight Avenue 2800 Tenth Avenue North Fort Worth, TX 76104 Billings, MT 59101

11. BRFHH Shreveport, LLC 12. Bryan Medical Center DBA University Health Shreveport 2300 South 16th Street 1541 Kings Highway Lincoln, NE 68502 Shreveport, LA 71130

PXB6.27-R Page 3 of 8 OTHER U.S.PARTY(IES) TO EXPORT Continued:

13. Center for Advanced Medicine 14. Central Mississippi Medical Center Long Island Jewish Medical Center Radiation Oncology Department 450 Lakeville Road 1850 Chadwick Drive Lake Success, NY 11042 Jackson, MS 39204

15. Chippenham and Johnston-Willis Hospitals, 16. Chippenham and Johnston-Willis Hospitals, Inc. Inc., d/b/a CJW Medical Center d/b/a CJW Medical Center, Johnston-Willis Johnston-Willis Campus, Chippenham Campus Campus 1401 Johnston-Willis Drive 7101 Jahnke Road Richmond, VA 23235 Richmond, VA 23235

17. Columbia-Presbyterian Medical Center 18. Cooper Health System Gamma Knife Suite Basement Level Robert Wood Johnson Medical School at Room GK2, Childrens Hospital of New York Camden Presbyterian Hospital 3 Cooper Plaza 630 West 168th Street Camden, NJ 08103 New York, NY 10032

19. Covenant Health System 20. Covenant Health System Covenant Gamma Southwest DBA Joe Arrington Cancer Research &

3603 21st Street Treatment Center Lubbock, TX 79410 4101 22nd Place Lubbock, TX 79410

21. Deaconess Medical Center Gamma Knife, 22. Doctors Hospital, Inc.

Gamma Knife Suite, Basement Floor d/b/a Doctors Hospital Room 117 5000 University Drive 910 West Fifth Avenue Coral Gables, FL 33146 Spokane, WA 99204

23. Fort Sanders Regional Gamma Knife Center 24. Gamma Knife Center of the Pacific 1915 White Avenue 2226 Liliha Street, Level B2 Knoxville, TN 37916 Honolulu, HI 96817

25. GE-Hitachi Nuclear Energy Americas, LLC 26. Good Samaritan Hospital Vallecitos Nuclear Center 1225 Wilshire Boulevard 6705 Vallecitos Road Los Angeles, CA 90017 Pleasanton, CA 94586

27. Hackensack University Medical Center 28. Harborview Medical Center John Theurer Cancer Center 325 9th Avenue 92 2nd St. Gamma Knife Suite Hackensack, NJ 07601 Seattle, WA 98133

29. HCA Health Services of Oklahoma, Inc. d/b/a 30. Hoang Memorial Hospital Presbyterian OU Medical Center One Hoag Drive Presbyterian Hospital Newport Beach, CA 92658 700 N.E. 13th Street Oklahoma City, OK 73104

31. Holy Spirit Cancer Center 32. Indiana University Health Methodist Hospital Gamma Knife Center 1701 N. Senate Blvd 880 Century Drive Indianapolis, IN 46202 Mechanicsburg, PA 17055

PXB6.27-R Page 4 of 8 OTHER U.S.PARTY(IES) TO EXPORT Continued:

33. Intermountain Medical Center 34. Jewish Hospital, LLC.

Jon and Karen Huntsman Cancer Center 4777 East Galbraith Road Gamma Knife Room, 5121 South Cincinnati, OH 45236 Cottonwood Street Murray, UT 84157

35. John F. Kennedy Medical Center 36. Karmanos Cancer Center 65 James Street Gershenson Radiation Oncology Center, Edison, NJ 08818 Room 379 4100 John R. Street Detroit, MI 48201

37. Kettering Medical Center 38. Larkin Community Hospital, Inc.

3535 Southern Boulevard 6129 Southwest 70th Street Kettering, OH 45429 South Miami, FL 33143

39. Legacy Health System 40. Lehigh Valley Health Network 1130 North West 22nd Avenue, Suite LL50 1240 South Cedar Crest Boulevard Portland, OR 97210 Allentown, PA 18103

41. Lewis Hall Singletary Oncology Center 42. Los Robles Reginal Medical Center at John D. Archbold Memorial Center 2200 Lynn Road 919 S. Broad Street Thousand Oaks, CA 91360 Thomasville, GA 31792

43. Lovelace Medical Center 44. Marshall Clinic 601 Dr. Martin Luther King, Jr. NE St. Joseph's Hosptial Albuquerque, NM 87102 611 St. Joseph Avenue Marshfield, WI 54449

45. Mayo Clinic Hospital-Rochester 46. Mayo Clnic Jacksonville St. Marys Campus 4500 San Pablo Road 1216 2nd St. NW Jacksonville, FL 32224 Rochester, NM 55905

47. Medical College of Wisconsin 48. Medical University of South Carolina Froedtert Memorial Lutheran Hospital 171 Ashley Avenue (MUSC) 9200 West Wisconsin Avenue Charleston, SC 29425 Milwaukee, WI 53226

49. Memorial Hermann Healthcare System 50. Mercy Health Center d/b/a Hermann Hospital 4300 West Memorial Road 6411 Fannin Avenue Oklahoma City, OK 73120 Houston, TX 77030

51. Methodist Healthcare System of San Antonio 52. Mid-Michigan Gamma Knife Facility LTD 4000 Wellness Drive Methodist Hospital Room 160 7700 Floyd Curl Drive Midland, MI 48670 San Antonio, TX 78229

53. Nebraska Methodist Hospital 54. Neurologic & Orthopedic Institute of Chicago 8303 Dodge Street 4501 N. Winchester Omaha, NE 68114 Chicago, IL 60640

PXB6.27-R Page 5 of 8 OTHER U.S.PARTY(IES) TO EXPORT Continued:

55. New York University Hospitals Center 56. Northern Westchester Hospital Center Arnold and Marie Schwartz Health Care 400 East Main Street Center Gamma Knife Suite, 550 First Avenue Mount Kisco, NY 10549 New York, NY 10016

57. Northwest Hospital Gamma Knife Center 58. Northwestern Memorial Hospital Building 310, Ground Floor, Suite G-5 Galter Pavilion 1560 North 115th Street 201 East Huron Street Seattle, WA 98133 Chicago, IL 60611

59. Palmetto Health Richland 60. Penn State Milton S. Hershey Medical Center 7 Medical Park 500 University Drive Columbia, SC 29203 Hershey, PA 17033

61. Piedmont Hospital 62. Pitt County Memorial Hospital Radiation Oncology Services d/b/a Vidant Medical Center 1968 Peachtree Road N.W. 2100 Stantonsburg Road Atlanta, GA 30309 Greenville, NC 27835

63. Providence Portland Medical Center 64. Puerto Rico Medical Services Administration North Pavilion Puerto Rico Medical Center, Centro Medico 4805 NE Glisan Street de Rio Piedras Portland, OR 97213 First Floor, Central Building Carr 22 Barrio Monacillos San Juan, PR 00935

65. Puget Sound Radiosurgery 66. Research Medical Center Gamma Knife Suite, Room 103, St. Josephs Midwest Gamma Knife Center Medical Center 2316 E. Meyer Blvd.

1802 South Yakima Kansas City, MO 64132 Tacoma, WA 98405

67. Rhode Island Hospital 68. Robert Wood Johnson University Center 593 Eddy Street Gamma Knife Suite Providence, RI 02903 10 Plum Street New Brunswick City, NJ 08901

69. Rocky Mountain Gamma Knife Center, LLC 70. Roswell Park Cancer Institute 1635 Aurora Court Elm & Carlton Street Aurora, CO 80045 Buffalo, NY 14263

71. Sacred Heart Medical Center 72. Saint Francis Medical Center 1255 Hilyard Street 530 NE Glen Oak Avenue Eugene, OR 97401 Peoria, IL 61637

73. San Antonio Community Hospital 74. San Diego Gamma Knife Center 999 San Bernardino Road 9834 Genesee Avenue, Suite 110 Upland, CA 91786 La Jolla, CA 92037

75. South Nassau Communities Hospital 76. St. Josephs Hospital One Healthy Way 5665 Peachtree Dunwoody Road Oceanside, NY 11572 Atlanta, GA 30342

PXB6.27-R Page 6 of 8 OTHER U.S.PARTY(IES) TO EXPORT Continued:

77. St. Josephs Hospital and Medical Center 78. St. Lukes The Woodlands Hospital 350 West Thomas Road 17200 St. Lukes Way Phoenix, AZ 85013 The Woodlands, TX 77384

79. St. Vincent Medical Center 80. Sunrise Diagnostic Center 2 Shircliff Way 3006 South Maryland Parkway Jacksonville, FL 32204 Las Vegas, NV 89109

81. SUNY Upstate Medical University 82. Sutter Gamma Knife Center 750 East Adams Street 2801 K St., Suite 110 Syracuse, NY 13210 Sacramento, CA 95816

83. Sutter Medical Center Sacramento 84. Swedish Medical Center Sutter Gamma Knife Center 799 East Hampden Ave. Suite 100 2801 K Street, Suite 110 Englewood, CO 80113 Sacramento, CA 95816

85. Temple University Hospital 86. Tenet Good Samaritan, Inc.

3401 N. Broad Street 1309 North Flagler Drive Philadelphia, PA 19140 West Palm Beach, FL 33401

87. The Cleveland Clinic Foundation 88. The Methodist Hosptial 9500 Euclid Avenue DBA Houston Methodist Cleveland, OH 44195 6551 Bertner Avenue Houston, TX 77030

89. The Ohio State University 90. The Regents of the University of California Radiation Medicine Department, Arthur G. San Francisco Medical Center James Cancer Hospital and 505 Parnassus Ave, Room L56 Richard J. Solove Research Institute, San Francisco, CA 94143 300 West 10th Avenue Columbus, OH 43210

91. The Regents of the University of California 92. The Swedish Radiosurgery Center U.C. Davis Medical Center Suite A10 James Tower 2315 Stockton Blvd. 550 17th Avenue Sacramento, CA 95817 Seattle, WA 98122

93. The University of Texas 94. The Valley Hospital Luckow Pavilion MD Anderson Cancer Center 1 Valley Health Plaza 1515 Holcombe Boulevard Paramus, NJ 07652 Houston, TX 77030

95. Thomas Jefferson University and Hospitals 96. Tufts - New England Medical Center 900 Walnut Street 800 Washington Street Philadelphia, PA 19107 Boston, MA 02111

97. UAB Highlands Hospital 98. University Hospitals of Cleveland 1201 11th Avenue South 11100 Euclid Avenue Birmingham, AL 35205 Cleveland, OH 44106

99. University of Arkansas for Medical Science 100. University of Iowa Medical Center 4301 West Markham Street 200 Hawkins Drive Little Rock, AR 72205 Iowa City, IA 52242

PXB6.27-R Page 7 of 8 OTHER U.S.PARTY(IES) TO EXPORT Continued:

101. University of Kentucky 102. University of Maryland Medical System Markey Cancer Center, Roach Bldg., Gamma Knife Suite, South Hospital B Wing Room CC049 22 South Greene Street 800 Rose Street Balitmore, MD 21201 Lexington, KY 40536 103. University of Minnesota Medical Center 104. University of Mississippi Medical Center Room 1-285 350 West Woodrow Wilson Avenue 500 SE Harvard Street Jackson, MS 39216 Minneapolis, MN 55455 105. University of Pennsylvania 106. University of Pittsburgh Pennsylvania Hospital Campus Presbyterian University Hospital 800 Spruce Street 230 Lothrop Street, Room G-102 Philadelphia, PA 19107 Pittsburgh, PA 15213 107. University of Pittsburgh 108. University of Pittsburgh Presbyterian University Hospital Presbyterian Univeristy Hospital 230 Lothrop Street, Room F-185 230 Lothrop Street, Room F-179 Pittsburgh, PA 15213 Pittsburgh, PA 15213 109. University of Texas Southwestern 110. University of Virginia Health Services Medical Center at Dallas Foundation 5151 Harry Hines Blvd. Suite G49 Lars Leksell Center for Gamma Surgery Dallas, TX 75390 Building 1143; Room G411 1215 Lee Street Charlottesville, VA 22908 111. USC University Hospital 112. Wake Forest Baptist Health 1540 Alcazar Street Radiation Oncology Department, Los Angeles, CA 90033 Comprehensive Cancer Center Medical Center Boulevard Winston-Salem, NC 27157 113. Washington Hospital Center 114. Washington Hospital Healthcare System 110 Irving Street, NW 2500 Mowry Ave.

Washington, DC 20010 Fremont, CA 94538 115. Washington University in St. Louis 116. West Virginia University Hospital, Inc.,

4921 Parkview Place Ruby Memorial Hospital, Mary Babb, St. Louis, MO 63108 Randolph Cancer Center, and Health Sciences Center South Building, Medical Center Drive Morgantown, WV 26506 117. William Beaumont Hospital 118. Yale-New Haven Hosptial Department of Radiation Oncology 20 York Street 3601 W. Thirteen Mile Road New Haven, CT 06519 Royal Oak, MI 48073

PXB6.27-R Page 8 of 8 MANDATORY ADVANCED NOTIFICATIONS PER 10 CFR PART 110.50(c)

The following Advanced Notifications must be made to both the NRC and, in case of exports, the government of the importing country in advance of each shipment:

Mandatory Advanced Notifications to the NRC are to be emailed to hoo.hoc@nrc.gov (preferred method) or faxed to the NRC at 301-816-5151. In the subject line of the email or on the fax cover page include: "10 CFR 110.50(c)

Notification." For technical assistance, use the same e-mail address or call 301-287-9056.

Mandatory Advanced Notifications to the government of the importing country must be emailed or faxed to the appropriate foreign government authorities. To locate the point-of-contact for international Advanced Notifications see: http://www-ns.iaea.org/downloads/rw/imp-export/import-export-contact-points.pdf. In the subject line of the email or on the fax cover page include: "NOTIFICATION TO THE IMPORTING STATE PRIOR TO SHIPMENT OF CATEGORY 1 OR 2 RADIOACTIVE SOURCES. For technical assistance or for countries not listed, contact the Office of International Programs export/import staff at 301-287-9056.

Table 1: Appendix P to Part 110 Category 1 and Category 2 Radioactive Material Threshold Limits Radioactive Category 1 Category 2 Material Terabequerels (TBq) Curies (Ci)1 Terabequerels (TBq) Curies(Ci)1 Americium-241 (Am-241) 60 1,600 0.6 16 Americium-241/Beryllium (Am- 60 1,600 0.6 16 241/Be)

Californium-252 (Cf-252) 20 540 0.2 5.4 Curium-244 (Cm-244) 50 1,400 0.5 14 Cobalt-60 (Co-60) 30 810 0.3 8.1 Cesium-137 (Cs-137) 100 2,700 1.0 27 Gadolinium-153 (Gd-153) 1,000 27,000 10.0 270 Iridium-192 (Ir-192) 80 2,200 0.8 22 Plutonium-2382 (Pu-238) 60 1,600 0.6 16 Plutonium-239/Beryllium2 (Pu-239/Be) 60 1,600 0.6 16 Promethium-147 (Pm-147) 40,000 1,100,000 400 11,000 Radium-2263 (Ra-226) 40 1,100 0.4 11 Selenium-75 (Se-75) 200 5,400 2.0 54 Strontium-90 (Y-90) 1,000 27,000 10.0 270 Thulium-170 (Tm-170) 20,000 540,000 200 5,400 Ytterbium-169 (Yb-169) 300 8,100 3.0 81 Calculation of Shipments Containing Multiple Sources or Radionuclides:

The sum of fractions methodology for evaluating combinations of radionuclides being transported is to be used when import or export shipments contain multiple sources or multiple radionuclides. The threshold limit values used in a sum of the fractions calculation must be the metric values (i.e., TBq).

I. If multiple sources and/or multiple radionuclides are present in an import or export shipment, the sum of the fractions of the activity of each radionuclide must be determined to verify the shipment is less than the Category 1 or 2 limits of Table 1, as appropriate. If the calculated sum of the fractions ratio, using the following equation, is greater than or equal to 1.0, then the import or export shipment exceeds the threshold limits of Table 1 and the applicable security provisions of this part apply.

II. Use the equation below to calculate the sum of the fractions ratio by inserting the actual activity of the applicable radionuclides or of the individual sources (of the same radionuclides) in the numerator of the equation and the corresponding threshold activity limit from the Table 1 in the denominator of the equation. Ensure the numerator and denominator values are in the same units and all calculations must be performed using the TBq (i.e., metric) values of Table 1.

R1 = activity for radionuclides or source number 1 AR1 = activity limit for radionuclides or source number 1 R2 = activity for radionuclides or source number 2 AR2 = activity limit for radionuclides or source number 2 RN = activity for radionuclides or source number n ARN = activity limit for radionuclides or source number n n

R 1 R2 R n A R AR2 AR n 1

1 1

1 The values to be used to determine whether a license is required are given in TBq. Curie (Ci) values are provided for practical usefulness only and are rounded after conversion.

2 The limits for exports of Pu-238 and Pu-239/Be can be found in § 110.21.

3 Discrete sources of Radium-226.