application for authorization to use radioactive material … · 2012. 12. 4. · laboratory at the...

1- A P P L I C A T I O N F O R A U T H O R I Z A T I O N T O USE R A D I O A C T I V E M A T E R I A L -- N O N - H U M A N USE Z A T I O N NUMBEP p s&q Z A T I O N NUMBER t-'.

I 1). RAOIOACTIVE MATERIAL DATA

I 1 cer t i f y that thrs cpplccarwn rs prepared rn c o n j o m ~ t v wrrh U'R.-lMC Regdarrons and that all info-rcon conturned nerern. inciiratnp I I any supplement i a t tached hereto, is true and c o n e o to the best of my knowledge and bricei.

WRAMC Audit of Radioacative Material

(In accordance with AR 40-37 & 40-6 1)

Inspector: . I a t e : &IWT a ~ t n , 5.i'i ' \

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1. Inventory Control Officer: Bldg and room number: \ \ w , 'irl-f.3

2. Liquid Scintillator Counter (Source No. & Location):

C General Provisions -

1 1. Personnel Changes (Additions or Deletions): \ J!?rYLbd.

TFF/?PI D ; f l , t ~ ( ~ ~ ~ ~ Principal User / Authorized User:

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AUTHORIZATION REVIEW PROCESS

AUTHORIZATION:

RMC BRANCH

Initials Pending Complete Comments

Amendments

OPERATIONS BRANCH

Pre-room Survey ~k

Admin Hold Survey

Final Survey

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Bioassay Program

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Dosimetry Program

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Instrumentation

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AFlP CME-T

MEMORANDUM FOR FORENSIC TOXICOLOGY PERSONNEL

SUBJECT: Certification for Forensic Toxicology personnel to use radioactive reagents

- .. 1. Federal requires that all personnel using radioactive material be trained regarding its proper use and handling, as well as the health hazards associated with radioactive exposure. Personnel newly tasked to work with radioactive substances must attend the WRAMC radioactive training course before they can legally work with these compounds. This course is offered on Oct 23 1996 in the auditorium of Bldg. 2.

2. 1 will enroll the following personnel in the course:

LT Thomas Bosy Tsgt. Shairose Lalani HM2 Tyrone Johnson Joseph Addison Karoline Martin

3. If your name does not appear on this list and you work with radioactive materials and have not attended the WRAMC course please contact me.

4. Others who have been through the course and wish to attend it again should see me as well.

Division Safety dfficer

AFlP CME-T 13 SEP 1996

MEMORANDUM FOR HSHL-H-HP Health Physics

SUBJECT: Changes for Authorization 569

1. Please delete the following persons from Authorization 569. Eric Knight Lt. Col. James Kuhlman HM2 Edmundo Pena HM2 Joan Tripp

2. Please add the following persons as technicians to Author'zation 569 TSgt Shairose Lalani G f SC~CD / U O ~ l hi?/. C/b HM2 Tyrone Johnson Joseph Addison Karoline Martin bd&eii L. &A/[:&/? -C ) IZ I fin) f4ic i,

3. Attached is WRAMC form 538, Radiation Worker Briefing.

THOMAS Z. B O S ~ , LT, USN Principle User (Auth # 569)


DATE: Cj/d&;/ - AUTHORIZATION: 5 h ' f

RMC BRANCH

Initials Pending Complete Comments

WRAMC Form 1643 $1~4 I S

\/jd ,*2 Authorization or Amendments c #& fi+ - (lioi+i/, 4 k'Li/-\[6fJfifiJ - k$ tq t f ,~&~ 'pp

WRAMC Form 538

OPERATIONS BRANCH

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AFlP CME-T 12 SEP 1996

MEMORANDUM FOR WRAMC HEALTH PHYSICS OFFICER, attn: Mr. Burton

SUBJECT: Change of principal user of radioactive materials in Forensic Toxicology from Lt. Col. James J. Kuhlman (Auth #569) to LT Thomas Z. Bosy, MSC, USN.

1. Lt. Col. Kuhlman is no longer a member of the Division of Forensic Toxicology. As a result of this loss the division is in need of a principal user of radioactive isotopes. Please accept this as a request for authorization to fill the position vacated by Lt. Col. Kuhlman.

gi3 THOMAS Z. BOS , LT, USN Thtlr Appliccrtion is given interim crpproval untl the next meeting of the RCC


AUTHORIZATION: 5x1

RMC BRANCH

Initials Pending Complete

DATE: 9 / ~2 / q~2 --

Comments

OPERATIONS BRANCH

06/13/96 TM! 14:24 FAX 202 782 7953 AFIP FORENSIC TOXICOLOGY

13 June 96

MEMORANDUM FOR WRAMC HEALTH PRYSICS OFFXCER, Attn: Mr Burton & SFC Rector

S m C T : Division Relocation, Authorization 569

1. The Division of Forensic Toxicology will be moving from the Armed Forces Institute of Pathology to the Gillette Building, 141 3 Research Blvd, Rockville, MD 20706. Contractors from the WRAMC Traffic Management Office will be packing all equipment on 7/8 August I996 and will move on 9 August 1996.

2. As earlier discussed, you have agreed to move our RIA reagents and checklclear the equipment prior to its movement by the contractors. I am asking that your office check/clear equipment on 5 or 6 August 1996. Reagents will have to be moved on 9 August 1996 as this is when the refrigerators will be moved.

3, AIso, it is my understanding that WRAMC Health Physics Office needs to perform a site visit of the newly renovated Iocation prior to our moving the RIA mission. I believe this function could also be performed on the same dates of 5/6 August 1996 unIess you see any reason for performing it earlier. The Gillette Building will be released from the contractors to the AFIP on 7 August 1996. I pretty sure if we need to get in early to perform this site visit we probabiy can as long as the mom is prepared. The RIA Laboratory at the new site will be room number 2 143. This is the new location which will need to be added to our authorization.

4. It is our intention to be completely out of the AFIP by 13 August 1996. Health Physics can then perfarm a final check on the area.

(QOin Y o u , d/$ ~~4 5. The POC for this request is the undersigned, 782-1 900. Your cooperation in making our move a success is greatly appreciated. Please let me know the confinned datesfor these rcqujrements as soon as possible. Should you have any questions or concerns please give me a call.

m-.- - MOSER, SMSgt, USAF'

Sfperintendent, Division of Forensic Toxicology

DATE : iyir@ /v' 7 d A u t h o r i z a t i o n Review Procsss

Branch I n p u t

Index o f Numbers and S y m ~ o l s used above:

( 1 ) - Forms (IJRAMC 166 1 R, 16625, 1643) (Complef ed/typed ( 2 ) - P r o t o c d ( 9 e q u i r e d f o r : 3-9, 32-?, 125-T, 137-1, and a i l o t h e r s deemed

necessar:r by - amounts, a c z i v i t y , o r u s e , (Reference NBS Handbook 392) ( 3 ) - Zsotopes ( w i t h i n limits f o r NRC L icsnse /pe r sonne l q u a l i ~ c ~ a t i o n s ) (8) - OPS Branch room pre-survey (51 - OPS Branch room f i n a l s u r v e y ( 6 - TS Branch i n s r t x m e n t a t i o n assignmenr ( 7 ) - T r a i n i n g - WRAMC Farm- 538 (Completed by u s e r s a n n u a i l y ) ( 8 ) - T r a i n i n g - YRAMC Forn 1643 ( T r a i n i n g and Experienco For=) ( 9 ) - For: D e r ~ l c 4 - Auth$ls 541, 618, 619, 620, 627

( 1 0 ) - TS Branck E i o a s s a y ( 1 I ) - TS Branch Fgrsonne l d o s i m e r r y ( 3 ) - ( X I when c s n p l e s , ~ , ( 0 ) uhen pending, and ( ) uhen pendL?q c3mplere.i, (B) - I n i t i a l of b ranch r e ? r e s e n t a r i v e when c3mplese o r pend ing i s s u e s a r s r e s a i v e d ( C ) - Comments

28 November 94


SUBJECT: Renewal of Authorization 569

1. The following documents are attached for the renewal of authorization 569 a. WRMC form 1662-R, Application for Authorization to Use Radioactive Material b. Annual Training sign-in for technicians c. WRMC form 1643, Training and Experience of Authorized Radioisotope Users d. WRMC 1644, Health Physics Radioactive Protocol

2. Please excuse the extended delay in returning this documentation. We were waiting for one technician to return from extended leave to complete annual training.

MAN, JR., Lt. Col., USAF, BSC Principle User (Auth #569)

WILLIAM B. ~ ~ H N S O N COL, MS CHIEF, HEALTH PHYSICS OFFICE

w15 la' TIifKApplicatian is given interim approval mtl the next m~btbg of the which Lr tcheduled

HSHL -HP

MEMORANDUM FOR Dept. of DoD Drug Detachment, ATTN: LTC James Kuhlman

SUBJECT: Expiration of WRAMC Radioactive Material Authorization

1. WRAMC Radioactive Material Authorization No. 569 will expire in approximately ninety (90) days. If a properly completed application for renewal of the existing Authorization is received by this office thirty (30) days or more prior to the expiration date, the existing Authorization shall not expire until a final determination has been made on the renewal application.

2. If you desire to terminate your Authorization, please advise this office of your intent by placing a check mark (-1 in the appropriate box provided below. Sign the Principal User's signature block and return the original copy of the signed statement to this office.

3. Attached to this memo is an Authorization Renewal Packet containing all forms needed to renew your Authorization. All applications for renewal must include one (1) each of the following:

a. Completed copy of the application form b. Updated Training and Experience form for each individual

listed as Principal User or Co-worker c. A Research Protocol form (if enclosed)

4. All questions regarding this communication should be directed to the Chief, RMC Branch, Health Physics Office, WRAMC, Tel: 427- 5104/5161.

Encl DAVID W. BURTON Chief, RMC Branch Health Physics, WRAMC

HSHL - 1ST END FROM :

FOR Health Physics Office, WRAMC, ATTN: Chief, RMC Branch

1. It is requested that WRAMC Radioactive Material Authorization No. be cancelled.

2. Radioactive materials listed on the current Authorization will be:

Transferred to WRAMC Health Physics Office for disposal as Radioactive waste

Transferred to WRAMC Health Physics Office for reassignment to WRAMC Radioactive Material Authorization No

I do not possess any radioactive materials and therefore no transfer procedures are required

DATE : /n ,Ec 9Y Authorizat ion Review Process

Branch Input

Index of MumSers 2nd Symbols used above:

(1) - Forms (WRAMC 1661R, 1662R, 1643) (Cornpleted/typed) ( 2 ) - Pro toco l (Required f o r : 3-A, 32-P, 125-1, 131-1, and a l l o t h e r s deemed

neces sa ry by - amounts, a c t i v i t y , o r use. (Reference NBS Handbook $92) (3) - I s o t o p e s ( w i t h i n l i m i t s f o r NRC License/personnel q u a l i f i c a t i o n s ) ( 4 ) - OPS Branch room pre-survey ( 5 ) - OPS Branch rocn f i n a l survey ( 6 ) - TS Branch i n s t r u n e n t a t i o n assignment ( 7 ) - Tra in ing - WRAMC Form 538 (Completed by u s e r s annua l ly ) ( 8 ) - Tra in ing - WRAMC Form 1643 (Tra in ing and Experience Form) ( 9 ) - F o r t De t r i ck - Auth;jis 541, 618, 519, 620, 62?

(10) - TS Branch Eioassay (11 ) - TS Branch Personnel dosimetry

( A ) - (XI when complete , ( 0 ) when pending, and ( ) when pending completed ( B ) - I n i t i a l of branch r ep resen ta t ive when compiete o r pending i s s u e s a r e reso lved ( C ) - Comments

13 June 96

MEMORANDUM FOR WRAMC EEEALTH PRYSICS OFFICER, Attn: Mr Burton & SFC Rector

SUBJECT: Division Relocation, Authorization 569

1. The Division of Forensic Toxicology will be moving fiom the Armed Forces Instime of Pathology to the GilIette Building, 1413 Research Blv4 Rockville, MD 20706. Contractors from the WRAMC Traf£ic Management Office will be packing all equipment on 7/8 August I996 and will move on 9 August 1996.

2. As earlier discussed, you have agreed to move our RIA reagents and checwclear the equipment prior to its movcment by the contractors. I am as+ that your office ch~:klclcar equipment on 5 or 6 August 1996. Reagents will have to be moved on 9 August 1996 as this is when the refiigerators will be moved.

3. AIso, it is my understanding that WRAMC Health Physics Ofice needs to perform a site visit of the newly renovated location prior to our moving the RIA mission. I believe this fimction could also be performed on the same dates of 5/6 August 1996 unless you see any reason for performing it earlier. The Giilette Building will be released h m the contractors to the AFIP on 7 August 1996. I pretty sure if we need to get in early to perform this site visit we probably can as long as the morn is prcparcd The RXA Laboratory at the new site will be room number 2143. This is the new Iocation which wiiI need to be added to our authorization.

4. It is our intention to be compIetely out of the AFP by 13 August 1996. Hedth Physics c;m then perfonn a final check on the area.

I &om Y ~ 3 ~ , d / d g J-Y 1

5, The POC for this request is the undersigned, 782-1900. Your cooperation in making our move a success is greatly appreciated. Please let me know the confirmed date~for i these requirements as soon as possible. Should you have any questions or conc& j please give me a call.

i

MOSER SMSgt, USAF dp=rintendcnt, ~ i v i r i o i of Porensie Toxicology

Applicution fa given i n t a approval mff

"bch t @chedul

0 8 SEP 1990 WILLIAM COL, MS CHIEF, HEALTH PHYSICS OFFICE

06/13/86 THII 14:24 FAX 202 782 7953 AFIP FORENSIC TOXICOLOGY

13 June 96

DUM FOR WRAMC HEALTH PHYSICS OPFICER, Attn: Mr Burton & SFC kctor

SIJBJECT: Division Relocation, Authorization 569

1. The Division of Forensic Toxicology will be moving fmm the Anned Forces Institute of Pathalogy to the GilIette Building, 141 3 Research Blvd, Rockville, MD 20706. Conkaaors from the WIUA4f.2 T r a c Management Office will be packing all equipment on 718 August 1996 and will move on 9 August 1996.

2. As earlier discussed, you have agreed to move our RVI reagents and checwclear the equipment pior to its movement by the contractors. I am asking that your office check/clear equipment on 5 or 6 August 1996. Reagents will have to be moved on 9 August 1996 as this is when the refiigetators will be moved.

3. Also, it is my understanding that WRAMC Health Physics OfEce needs to perfam a site visit af the newly renovated Iocation prior to our moving the RIA mission. I believe this function could also be pedormed on the same dates of 5/6 August 1 996 unless you see any reason for performing it earlier. The Gillette Building will be released fkom the contractors to the AFIP on 7 August 1996. 1 pretty sure if we need to get in early to perform this site visit we probably can as long as the room is prepared. The RIA Laboratory at the new site will be room number 2143. Ibis is he new location which will need to be added to our authorizatioa,

4. It is our intention to be compIetely out of the AFIP by 13 August 1996. Health Physics can then perform a fmal check on the area.

5. The POC for this request is the undersigned, 782-3900. Your cooperation in making clu move a success is greatly appreciated. Please let me know the confirmed dates for these requirements as won as possible. Should you have any questions or concerns please give me a caI1.

DATE :

A u t h o r i z a t i o n Review Proc ss Branch Inpu t !

Index o f Numbers and Symbols used above:

- Forms (WRAMC 166 1 R , 1662R. 1643 1 (Completed/typed - P r o t o c o l (Required f o r : 3 4 , 32-P, 125-1, 131-1, and a l l o t h e r s deemed n e c e s s a r y by - amounts, a c t i v i t y , o r use . (Refe rence NBS Handbook 892)

( 3 ) - I s o t o p e s ( w i t h i n l i m i t s f o r NRC L i c e n s e / p e r s o n n e l q u a l i f i c a t i o n s ) ( 4 ) - OPS Branch room pre-survey (5) - OPS Branch room f i n a l su rvey ( 6 ) - TS Branch i n s t r u m e n t a t i o n ass ignment ( 7 ) - T r a i n i n g - WRAMC Form 538 (Completed by u s e r s a n n u a l l y ) (8 ) - T r a i n i n g - WRAMC Form 1643 ( T r a i n i n g and Exper ience Form) ( 9 ) - F o r t D e t r i c k - Auth#'s 541, 618, 619, 620, 621

(10) - TS Branch Bioassay (11) - TS Branch Personne l dos imet ry

(A) - (XI when complete , ( 0 ) when pend ing , and ( ) when pending completed (B) - I n i t i a l o f branch r e p r e s e n t a t i v e when complete o r pending i s s u e s a r e r e s o l v e d (C) - Comments

AFIP-CME-T (782- 1982) 1 1 September 1995



1. Please add the following person as a technician to authorization 569. SSgt Andrea Falcher( 091-56-842 1 )

2. Attached is WRMC form 538, Radiation Worker Briefing.

, JR., Lt. Col., USAF, BSC Principle User (Auth #569)

I'hia Appff cation ~nterim approval next meeting of whicb t ocbedul

CHIEF, H~~~~~ PHYSICS O F F ~ C ~ v DATE

*

DATE :

Authorizat ion Review Process Branch Input

Index of Numbers and Symbols used above:

(1 ) - Forms (WRAMC 1661R, 1662R. 1643) (Cornpleted/typed) ( 2 ) - Protocol (Required f o r : 3-H, 32-P, 125-1, 131-1, and a l l o t h e r s deemed

necessary by - amounts, a c t i v i t y , o r use , (Reference NBS Handbook #92) (3) - I so topes ( w i t h i n l i m i t s f o r NRC L icense /personnel q u a l i f i c a t i o n s ) ( 4 ) - OPS Branch room pre-survey (5) - OPS Branch room f i n a l survey (6) - TS Branch i n s t r u m e n t a t i o n assignment ( 7 ) - Tra in ing - WRAMC Form 538 (Completed by u s e r s annual ly) (8 ) - Tra in ing - WRAMC Form 1643 (Tra in ing and Experience Form) ( 9 ) - F o r t D e t r i c k - Auth#'s 541, 618, 619, 620, 621

(10) - TS Branch Bioassay (11) - TS Branch Personnel dosimetry

(A) - (X) when complete , (0) when pending, and ( ) when pending completed ( B ) - I n i t i a l o f branch r e p r e s e n t a t i v e when complete o r pending i s s u e s a r e r e so lved (C) - Comments

*- -it of &dieactive Paterial

(In acenrdau- vi th A R 4P-37 a 4 6 6 1 )

1. DA e a r n 3862 [HOy @ 2. Xi t h i n limf ts [SO j

3. Inventory C a n t z a l Officer Room

4 . WW.C Regulation 48-18 [NO]

5. W W C Authocization o n band

6. General Provistaas - Te- i Conditions [NO] a 7. LSC - S a r r r o ~ o . r Lacatton: A'/'& 8- YIYU(C t o m 538 - cnrzent [No! 9 - Sink log [NQJ [PeSJ h//& 10. S i g n s &Cabals

11. Pessauuel [Adbittous]

PI i ' .."r3 ,>)#&> j --%*//-/

tl ~234M' -- CHIEF, WEalTW PHYSICS QFRCE

1 6 1% ma i5.pp1icc~aisn i s $vea bb* Wpsoval imtl the n& mgslls'rr- -8 r a - . .- -- -

DATE : fT3fi y'j- Author iza t ion Review Process

Branch Inpu t


( 1 ) - Forms (WRAMC 1661R, 16628, 1643) (Completed/typed) (2 ) - P r o t o c o l (Required fo r : 3-H, 32-P, 125-1, 131-1, and a l l o t h e r s deemed

neces sa ry by - amounts, a c t i v i t y , o r use, (Reference NBS Handbook #92) ( 3 ) - I s o t o p e s ( w i t h i n l i m i t s f o r NRC License/personnel q u a l i f i c a t i o n s ) ( 4 ) - OPS Branch room pre-survey ( 5 ) - OPS Branch room f i n a l survey ( 6 ) - TS Branch in s t rumen ta t i on assignment ( 7 ) - T r a i n i n g - WRAMC Form 538 (Completed by u s e r s annua l ly ) (8) - T r a i n i n g - WRAMC Form 1643 (Tra in ing and Experience Form) (9) - F o r t De t r i ck - Auth#'s 541, 618, 619, 620, - 621

( 10) - TS Branch Bioassay (11) - TS Branch Personnel dosimetry

( A ) - (X) when complete , ( 0 ) when pending, and ( ) when pending completed ( B ) - I n i t i a l o f branch r e p r e s e n t a t i v e when complete o r pending i s s u e s a r e reso lved (C) - Comments

Iodine-sealed source ference standard

Nickel-sealed Source graph-Rm 4032, HP#042

Nickel-sealed Source romatograph-~m 4032,-~~#041

DATE: ~ D C ' 7 / Authorization Review Process

Branch Input


17 August 1994



1. Please add the following personnel as technician to authorization 569. Eric Knight Latonia Staten

2. WRMC form 538 is included for both personnel. A copy of the certificate of training for the IPRP course for Eric Knight is attached.

H@& AME J. KUHLMAN. JR.. Lt. Col.. USAF. BSC Principle User (Auth #569) '

LTC, MS b' CHIEF, H€AtTH PHYSICS OFFICE

DEPARTMENT OF THE A R M Y

This i s to certify that Specialist Eric S. Knight

has successfully completed The Introductory Principles of Radiation Protection Course

The Sixth and Seventh of April 1993 consisting of 14 hours of instruction and a comprehensive examination

Given at Walter Reed Army Medical Center

LTC, MS Radiation Safety Officer

Author iza t ion Review P r o c e s s Branch I n p u t


( 1 ) - Forms (WRAMC 1661R, 16628, 1643) (Completed/ typed) (2 ) - P r o t o c o l (Requi red f o r : 3 4 , 32-P, 125-1, 131-1, and a l l o t h e r s deemed

n e c e s s a r y by - amounts, a c t i v i t y , o r use. ( R e f e r e n c e NBS Handbook 892) ( 3 ) - I s o t o p e s ( w i t h i n l i m i t s for NRC L i c e n s e / p e r s o n n e l q u a l i f i c a t i o n s ) ( 4 ) - OPS Branch room pre-survey ( 5 ) - OPS Branch room f i n a l survey ( 6 ) - TS Branch i n s t r u m e n t a t i o n ass ignment (7) - T r a i n i n g - WRAMC Form 538 (Completed by u s e r s a n n u a l l y ) ( 8 ) - T r a i n i n g - WRAMC Form 1643 ( T r a i n i n g and Exper ience Form) (9) - F o r t D e t r i c k - AuthBts 541, 618, 619, 626, 621

(10) - TS Branch B i o a s s a y (11) - TS Branch P e r s o n n e l dos imet ry

( A ) - iX) when comple te , (0) when pending, and ( 1 when pending completed (El - I n i t i a l of b r a n c h r e p r e s e n t a t i v e when comple te o r pend ing i s s u e s are resolve^ i (C) - Comments

20 May 1994


SUBJECT: Personnel Change for Authorization #569

1. Please delete Ms Tamara Prochnicki from the list of authorized users for authorization #569.

Principle User (Auth #569)

B. ~ b r l k ~ ~ MLTH PHYSICS OFFICE

DATE : ~2 ,!fly J) qq A u t h o r i z a t i o n Review P r o c e s s

Branch I n p u t


( 1 ) - Forms (WRAMC 1661 R, 1662R, 1643) (Completed/ typed) (2) - P r o t o c o l (Required fo r : 3-8, 32-P, 125-1, 131-1, and a l l o t h e r s deemed

n e c e s s a r y by - amounts, a c t i v i t y , or use . (Refe rence NBS Handbook 892) ( 3 ) - I s o t o p e s ( w i t h i n l i m i t s f o r NRC L i c e n s e / p e r s o n n e l q u a l i f i c a t i o n s ) ( 4 ) - OPS Branch room pre-survey ( 5 ) - OPS Branch room f i n a l su rvey (61 - TS Branch i n s t r u m e n t a t i o n ass ignment (7) - T r a i n i n g - WRAMC Form 538 (Completed by u s e r s a n n u a l l y ) (8) - T r a i n i n g - WRAMC Form 1643 ( T r a i n i n g and Exper ience Form) (91 - F o r t D e t r i c k - Auth#'s 541, 618, 619, 620, 621

(10) - TS Branch Bioassay (11) - TS Branch Personne l dos imet ry

( A ) - (XI when complete , ( 0 ) when pending, and ( ) when pend ing completed (B) - I n i t i a l of b ranch r e p r e s e n t a t i v e when comple te o r pending i s s u e s a r e r e s o l v e d ( C ) - Comments

9 March 1994


SUBJECT: Annual Training for Personnel on Authorization #569

1. Annual radiation worker briefing for toxicology was accomplished during March 94. Attached are copies of WRMC form 538 for TSgt D'Nicuola, HMl Jamison, HN Buehler, HM2 Tripp and HA42 Pena.

2. Please make the following changes to Authorization #569: delete Catherine Dreka, change the name of Joan Weisend to Joan Tripp and change the name of Tamara Thompson to Tainara Prochnicki. Both women are now using their married names.

3. Ms. Prochnicki is presently on maternity leave. She did not perform any radiation testing during the period of her pregnancy. HM2 Tripp is pregnant. She has not performed any radiation testing since the beginning of her pregnancy. Her expected delivery date is late June 94.

Lt. Col., USAF, BSC Principle User (Auth 4669)

MAR 2 3 19941 'X;hi. Applicdm k @VC~]P inbriar arppr~~ai mtI tb next megfiag of the RCC *hi& is nchedded for;



( 1 ) - Forms (WRAMC 1661 R, 1662R. 1643) (Completed/typed) (2) - P r o t o c o l (Required fo r : 3-H, 32-P, 125-1, 131-1, and a l l o t h e r s deemed

neces sa ry by - amounts, a c t i v i t y , o r use. (Reference NBS Handbook 892) ( 3 ) - I s o t o p e s ( w i t h i n l i m i t s f o r NRC License /personnel q u a l i f i c a t i o n s ) (4) - OPS Branch room pre-survey (5) - OPS Branch room f i n a l survey ( 6 ) - TS Branch in s t rumen ta t i on assignment (7) - T r a i n i n g - WRAMC Form 538 (Completed by u s e r s annua l ly ) (8) - T r a i n i n g - WRAMC Form 1643 (Tra in ing and Experience Form) (9) - F o r t D e t r i c k - Auth f l s 541, 618, 619, 620, 621

( 10) - TS Branch Bioassay (11) - TS Branch Personnel dosimetry

( A ) - (XI when complete , (0) when pending, and ( 1 when pending completed (B) - I n i t i a l of branch r e p r e s e n t a t i v e when complete o r pending i s s u e s a r e r e s o l v e ( 4 i ( C ) - Comments

22 September 1993


SUBJECT: Personnel Changes to Authorization #569

1. Please make the following changes to authorization #569: a. Delete MSgt Frances Hyndman and SSgt Melody Jones. SSgt Jones may have been added

temporarily with the last audit. b. Add HN Shannon Buehler and HMl Tyree Jamison. Both are to be added as technicians.

2. Attached are WRAMC Form 538 training cards for HN Buehler and HM1 Jarnison.

bkMEi~ YKUHLMAN JR., Maj, USAF, BSC Principle User (Auth #569)

HSHL-HP (385-11h) 1st End Mr. David W. Burton/ab/427-5107

Health Physics Officer, WRAMC KT f 9 1993

FOR: DoD Drug Detachment, ATTN: MAJ James J. Kuhlman, Auth # 569 --?

LTC, MV v Health Physics Officer

This Applicatian i s given fnhrfm cipptoval unti t b , ~ next meetiq? r' 5% 9CC cq3 lblcb ir rhdulrl

DATE: cJc&p f - 9-33 I

A u t h o r i z a t i o n Review P r o c e s s Branch I n p u t

I n d e x of Numbers and Symbols used above:

( 1 ) - Forms (WRAMC 1661R, 1662R, 1643) ( ~ o m p l e t e d / t y p e d ) ( 2 ) - P r o t o c o l (Required for : 3 4 , 32-P, 125-1, 13*1-I, and a l l o t h e r s deemed

n e c e s s a r y by - amounts, a c t i v i t y , o r use . (Refe rence NBS Handbook 892) ( 3 ) - I s o t o p e s ( w i t h i n limits f o r NRC L i c e n s e / p e r s o n n e l q u a l i f i c a t i o n s ) (4) - OPS Branch room pre-survey (5) - OPS Branch room f i n a l s u r v e y (6) - TS Branch i n s t r u m e n t a t i o n ass ignment (7) - T r a i n i n g - WRAMC Form 538 (Completed by u s e r s a n n u a l l y ) (8 ) - T r a i n i n g - WRAMC Form 1643 ( T r a i n i n g and Exper ience Form) (9) - F o r t D e t r i c k - Auth#'s 541, 618, 619, 620, 621

(10) - TS Branch Bioassay ( 1 1 - TS Branch P e r s o n n e l d o s i m e t r y

( A ) - (XI when comple te , (0) when pending, and ( ) when pend ing completed (B) - I n i t i a l of branch r e p r e s e n t a t i v e when comple te o r pending i s s u e s a r e r e s o l v e d (C) - Comments

MJ3DRAtKUM FOR HSHL-H-HP Health Physics

SUBJECT: F'ersonnel C k q e s to Authorization #569

1. Please rrake the followhq changes to authorization #569: a. Delete SPC Chana Mason, TSgt Lamox Jobe and S S g t

McKenney Spencer. b. Add MSgt Francis Hpthan and HM3 Joan Weisend.

2. Attached are WRAMC Form 538 training cards for TSgt Jeffrey DrNicuola, Catherine Dreka, HM2 Ehmdo Pena, Tamara Thmpson, E3g-t Francis Hyndman and HM3 Joan Weisend.

3. Tamara Thanpson and lvlSgt Francis Hyndman will be attending the IPRP Course on 6-7 April 93.

v Principle User (AuthS#569)

HSHL-HP (385-llh) Mr. David W. Burton/ab/427-5107

Health Physics Officer, WRAMC 2Q APR 1993

FOR: DoD Drug Detachment, ATTN: MAJ James J. Kuhlman, Auth # 569

2 5 MAY 1993

DATE

~ e a i t h Physics Officer

T?is Application is given ;werim approval urrt next mesting of the whiuh tp &dd&

, " I * ! DATE : ,/

Aadi t of Radioactive Ealaterial (In aceordance w i tk AR 49-37 i 4661)

[NO] @ D A f o r 3 3862 W i t h i n limits

r e -

1B. Signs &- Labels:

9.111111 - / L P

S2gnr;jatmce D a t e

HSHL-HP (385-11) February 19, 1993

SUBJECT: Authorization # 569

LTC, MS Health Physics Officer

, . . :A?- This AppUcation ts $vW interim qproKrrf untl tw p&&@q3 next meatlnq of the RCC \ which is crcheduled for;-

Authorization Review Process Branch Input


( 1 - Forms (WRAMC 166 1 R, 1662R, 1643 (Completed/typed ( 2 ) - Protocol (Required for: 3 4 , 32-P, 125-1, 131-1, and all others deemed

necessary by - amounts, activity, or use. (Reference NBS Handbook 892 ) (3) - Isotopes (within limits for NRC License/personnel qualifications) (4) - OPS Branch room pre-survey ( 5 ) - OPS Branch room final survey ( 6) - TS Branch instrumentation assignment (7) - Training - WRAMC Form 538 (Completed by users annually) (8) - Training - WRAMC Form 1643 (Training and Experience Form) (9) - Fort Detrick - AuthB8s 541, 618, 619, 620, 621 (10) - TS Branch Bioassay (11) - TS Branch Personnel dosimetry

( A ) - (XI when complete, ( 0 ) when pending, and ( ) when pending completed (B) - Initial of branch representative when complete or pending issues are resolve (C) - Coments

AFIP-CME-T (576-2998) 5 October 1992

M E P K I ~ FOR HSHGH-HP Health mysics

SUEUECT: Personnel Charges to Authorization #569

1. Attached are WIlMC fonn 538 for Ms Tamara Thompson and SPC Chana Mason.

2. Please schedule Ms Thompson for the next IPRP course.

Principle User (Auth #569)

HSHL-HP (385-11h) 1st End Mr. David W. Burton/ab/427-5107

Health Physics Officer, WRAMC 1 9 OCT 1992

FOR: DOD Drug Detachment, ATTN: MAJ James J. Kuhlman, Jr. Authorization # 569

Health Physics officer

'" Apprie& fi g*m3 '3 imdrn apptal untl tb B e d mneeting of the RCC I, / a /~ / t /42 WW fa ~checided for: .............,.

AFIP-CME-T (576-2998) 12 August 1992

MJDDRANDUM FOR HSHL-H-HP 'rfealth Physics

SUEUECT: Personnel Changes to Authorization #569

1. Please add SPC Tamara Thompson to the list of authorized users.

2. As identified on the recent audit of radioactive material, the attached rmnorandum is being resubmitted to update the personnel for authorization 569. Please take note that this memorandum was fllbmitted to your office in February 1992.

v Principleuser (Auth #569)

Author iza t ion Review P r o c e s s branch I n p u t


( 1 ) - Forms (WRAMC 1661R, 1662R, 1643) (Completed/ typed) (2 ) - P r o t o c o l (Required f o r : 3-H, 32-P, 125-1, 131-1, and a l l o t h e r s deemed

n e c e s s a r y by - amounts, a c t i v i t y , o r u s e , ( R e f e r e n c e NBS Handbook #92) ( 3 ) - I s o t o p e s ( w i t h i n l i m i t s f o r NRC L i c e n s e / p e r s o n n e l q u a l i f i c a t i o n s ) (4 ) - OPS Branch room pre-survey ( 5 ) - OPS Branch room f i n a l survey ( 6 ) - TS Branch i n s t r u m e n t a t i o n assignment ( 7 ) - T r a i n i n g - WRAMC Form 538 (Completed by u s e r s a n n u a l l y ) (8) - T r a i n i n g - WRAMC Form 1643 ( T r a i n i n g and E x p e r i e n c e Farm) ( 9 ) - F o r t B e t r i c k - Auth/Iws 541, 648, 619, 620, 621 (40) - TS Branch Bioassay ( 1 1 ) - TS Branch P e r s o n n e l dos imet ry

( A ) - (XI when comple te , ( 0 ) when pending, and ( ) when pend ing completed (B) - I n i t i a l o f b ranch r e p r e s e n t a t i v e when comple te o r pending i s s u e s a r e r e s o l v e d (C) - Comments

A u d i t of Radioactive Material (In a c t ~ ~ d a a c e with AR 48-37 & 44g-61)

DA fern 3862 [NO] @ - W i t h i n L i m i t s [ S O ] -fa G ] n ~ r < %oqJ)_5or1

I /

Inventory CantroL Officer: Room ::

W W C Regulation 48-18 [NO] -> W M C Authorization on hand [NO] f i 3

L---" General Provisioas - Terms 6 Condition? [NO] @ LSC - Source No, & Lacation: wRanC farm 518 - current cv [YES] F~c E n f . TD dZl2~0fl y' Sink 109

. Signs &- ~ a b e ~ s : JL. Personnel

h

- m JJLC: Ms Health Physics Officer

16 SEP 1992 t

DAT191

DATE :

A u t h o r i z a t i o n Review P r o c e s s Branch I n p u t


( 1 ) - Forms (WRAMC 1661R, 1662R, 1643) (Completed/ typed) ( 2 ) - P r o t o c o l (Required f o r : 3-H, 32-P, 125-1, 131-1, and a l l o t h e r s deemed

n e c e s s a r y by - amounts, a c t i v i t y , o r use . (Refe rence NBS Handbook 892) (3) - I s o t o p e s ( w i t h i n l i m i t s f o r NRC L i c e n s e / p e r s o n n e l q u a l i f i c a t i o n s ) ( 4 ) - OPS Branch room pre-survey (5) - OPS Branch room f i n a l su rvey (6) - TS Branch i n s t r u m e n t a t i o n ass ignment (7) - T r a i n i n g - WRAMC Form 538 (Completed by u s e r s a n n u a l l y ) ( 8 ) - T r a i n i n g - WRAMC Form 1643 ( T r a i n i n g and E x p e r i e n c e Form) ( 9 ) - F o r t D e t r i c k - Auth#'s 541, 618, 619, 620, 621

( 1 0 ) - TS Branch Bioassay (11) - TS Branch Personne l dos imet ry

( A ) - (XI when complete , ( 0 ) when pending, and ( ) when pending completed (B) - I n i t i a l of branch r e p r e s e n t a t i v e when comple te o r pending i s s u e s a r e r e s o l v e d (C) - Comments

AFIP-CME-T (576-2998) 21 February 1992

MEMORANIXJM FOR HSHL-H-HEJ Health Physics

SUBJECT: FQrsonnel Changes to Authorization #569

1. Please add SFC Chana MBson to the list of authorized users. Ehclosed is her WRMC form 538, Radiation Worker Briefing.

. , Maj , USAF, BSC Principle User (~uth. #569)

'-ISHI,-HP (385-1 131) I st End MP. David W, Bu-rton/ab/d27-5107

Health P h y s i c s O f f i c e r , WRAMC NfAR 0 6 1992

FOR: DoD Drug Detachment, A T T N : M A J James J. Kuhlman, Auth # 569

LTC, MS Health. P h y s i c s Off5 c e r

*

Y This Application fs given .-. . . inbsrim approval mtl the nexf meeting of the RCC which i. scheduled £or:..&@&

DEPARTMENT OF THE A R M Y

This is to certify that SPC CHANA L. MASON

has successfully completed INTRODUCTORY PRINCIPLES OF RADIATION PROTECTION (Radiation Physics and Instrumentation - 3 hours; Radiation Protection - 2 1/2 hours; Radiation Bi- ology - 1 1/2 hours; Regulations and guidelines - 1 1/2 hours)

C i ven at WALTER REED ARMY MEDICAL CENTER WASHINGTON, x 20307-5001 08 and 09 May 1991

Course Director Chief, Health Physics O n Fonw 81 1 OCT 78

+?(/fl//fJQ,/ $ 2 ~ - DATE: +


Index of Numbers and Symbols used above: 0 5 MAR 1'152 i

( 1 ) - Forms (WRAMC 1661R, 1662B, 1643) (Completed/typed) ( 2 ) - Pro toco l (Required for : 3-H, 32-P, 125-1, 131-1, and a l l o t h e r s deemed

neces sa ry by - amounts, a c t i v i t y , o r use. (Reference NBS Handbook 592) ( 3 ) - I s o t o p e s ( w i t h i n l i m i t s f o r NRC L icense /personnel q u a l i f i c a t i o n s ) (4 ) - OPS Branch room pre-survey (5 ) - QPS Branch room f i n a l survey ( 6 ) - TS Branch in s t rumen ta t i on assignment (7) - Tra in ing - WRAMC Form 538 (Completed by u s e r s annua l ly ) (8) - Tra in ing - WRAMC Form 1643 (Tra in ing and Experience Form) (9) - F o r t De t r i ck - Auth f l s 541, 618, 619, 620, 621

(10) - TS Branch Bioassay (11) - TS Branch Personnel dosimetry ( 8 ) - (XI when compl-etc, (Q) when pending, and ( ) when pending completed ( B l - I n i t i a l of branch r e p r e s e n t a t i v e when complete o r pending issues are resolve (Cj - Csments

I APPLICATION FOR AUTHORIZATION TO USE RADIOACTIVE MATERIAL -- NON-HUMAN USE

I f

7 . L O C A T I O N S W H E R E M A T E R I A L W I L L BE USED: (Bailding and Associated Rooms)

I Bldg. 54, Room 4032

I Bldg. 54, Room 4032

10. RADIOACTIVE MATERIAL DATA

CHEMICAL AND/OR PHYSICAL FORM POSSESSION A. RADIOU)TQPE '. (sealed or Unsea led D. USE 1 C. LIMIT 4 - 125-1 Drugs and derivatives 10 mCi Drug Screening in physiological

specimens (~adioinmunoassay) I

Iodine-Sealed source

Nickel-Sealed Source

63-Ni Nickel-Sealed source 15 mCi Gas Chromatograph-Rm 4032, HPCOP7 I

1fii

15 mCi

(Thzs rtem must be completed by applicant)

I certzfy that thts app~rcatbon rs prepared Ln confomrzry ~ c h RRAMC Regulatwns and that all rnfonnatron rontnrn-ni h--s.- . - - I . -.-- A l

Gamma counter reference, f I Micromedic $531 Gas Chromatograph-Xm 4032, HPdLOC5

I

16 April 1991

MEMORANIXM FDR HSHGH-HP Health Physics

SUEiJECI': Addition of Fersonnel to Authorization #569

1. Due to manning cutbacks the laboratory has reorganized to allow personnel to perform multiple jobs. We request the following personnel be added to the list of authorized users:

Catherine Dreka HM2 EEilmmdo Pena SSgt m o x Jobe

2. WRMC fonn 538 for each is attached. Additionally, WRMC form 538 is attached for Patricia V a l d e s .

3 . If possible, please schedule each of the above (those listed in #1) for the next available Intrductory Principles of Radation Safety course.

, Maj , USAF, BSC

HSFIL-H-IIP (385-1 1 1 7 ) 1 st. End M r . David IJ. ~ u r t o : 1 / a h / ~ ~ 2 7 - 5 1 0 7

Hea l th P h y s i c s O f f i c e r , WRAMC APR 2 9 1991

FOR: Ec?D Drug Detachment, ATTTJ: I 4 P J James 3. Kuhlman n

LTC, MS Heal-th F)h.ysics Officer

- A m - t r @ - ' trrwJb approval untI the next meeting of the RCC w&ch Ir 8chdulbd bt: -rry -..- -

Authorization Review Proces s Branch I n p u t

i.:. -/*,

AFIP-CXE-T (576-2998) 23 CctoSer 1990

MEMOMEMO- FOR HSHGH-HP H e a l t h mysics

SUrPJECT: Tersonnel E le t ion t o Authorizaticn 569

1. Delete TSgt Kenneth Moser from IPRP training in November and delete him from the list of authorized users. His job no longer requires him t o use radioactivity in h i s laboratory duties.

Principle U s e r ( ~ u t h . #569)

HSHL-H-HP ( 385-1 1 h ) 1 st E n d L T C ~ y e r s / a b / 4 2 7 - 7 5 1 0 7

H e a l t h Phys i c s O f f i c e r , WRAMC NOV 0 9 1990

FOR: D o D D r u g D e t a c h m e n t , ATTN: MAJ J a m e s J. K u h l m a n Jr.

This Appliccrtion is given interim approval untl the aaxt meeting of the RCC w&& is h:&ufT ..=.I.. .. (? ---**---=- -5

NOV t 5 1991) . . .. . ..- OATE

Lnaex .of Numbers anc Symbols usec above:

!. , - :oms (WRANC 1661R. 76622, 15n3: :hmple ted / typed) 1 - ,L, - P - O ~ O C O ~ ( R e ~ u l t e ~ f07: 3-5, 32-1, ;25-I, '37-1. an l 311 o thecc a t t m t c

necessary 3 y - arrtounts, ac=lv:=y, ct use. :Reference N3S hand boo^ " 9 2 : r - \ ;, - lsotopes ( . i ~ t t r ~ I;nl=s for HRC L;zense/oersonnel quailfLta~lons: " 23PS Brancc room pre-sutvey - , ;, - 3PS 3rancz room final survey

/ L - "5 3ranc~ :astmeentatloc atslgnmenz , - \ - - .talnsng - w R U C Fom 53E (Cornoletea S y users a n n u a l l y , , c . - 1 - c - - --a;nlng - ' m Y C t c r ~ : 5U3 , . , arrzng ant E:oer: tnce r 3= - ;.c & . - 5 - r c r t ~ C G T L C K - Authb's 5 2 : , , , ,, I 7 , 52:. 52' - e x - . - YS '3rartcz 3laassa y . . - #- - - 2 3ranc: sersonne l cos:ae=ry

- - f 7.. \ . . . m e n c ~ m c l e t e , 'C: unec ~ e n c l n g , anc Jne? DencLng c3m=;eZec - ~ - - - -12t:al =: >-ant: -eoresenta::ve i n e c c m = ; e t e c - 7enc rng --sue' z r c -esc lvec - - - - -3mmentc

AF'Il?-aW-T (576-2998) 3 October 1990

MEIWRAMXJM FOR HSHL-H-HP Health Physics

SUBJECT: Personnel Deletion to Authorization 569

1. Due to a recent laboratory personnel reoqanization SSG William Mayo no longer will use radioactive materials. Please delete SSG Mayo from the list of authorized users. Annual training for SSG Mayo will no longer be needed.

. , Phj, USAF, BSC '-hrinciple User (Auth #569)

HSHL-H-HP ( 385-1 1 h) I st End LTC ~yers/ab/427-75107

Health Physics Officer, WRAMC OCT 1 8 1990 41

FOR: DoD Drug ~etgchment, ATTN: MAJ James J. Kuhlman Jr.

Health Lmf MS P c ysics Officer - -c *

Thte A p f , ~ ~ ls glven interim approval untl the next meeting of the RCC k;d: g ~ i rbi& * rhduied for:,.L .-.........-

#OV 1 6 19W

DATE

Au-CvhorFza:;an iievitw ?x-s 3rancn I n p u t

Index o f Nu-- and Symbols us- amvc:

' 7 ) - !'d&WC 1651R, 16623, 15a3) I&m~feted/:yped) Ct! - P ~ o t o c c i !5equir& f ~ f : 3-ii, 32-?, 725-2, :31-It and 312 ~the?S 3-

necessary Sy - amounts, a c z i v i z y , o r u s e . < 3 e f e t e n c e NBS hand boo^ $ 9 2 ) ':\ \,, - Isotopes (xithin l i m i t s f o r NRC L L c e n s e / p e t s o n n e l qualificationsj

- 3PS 3rancn mom pre-survey : 5 ) - OPS Srancn room f i n d survey I < .

.4; - TS Srancn Lastrumeritation assagment ,-1 . , , - T r a i n i n g - 3 W C t o m 538 (Completed by users annual ly) I 3 : - T-ain ing - ' M C Form : 5 U ? ! Y ~ a i n i n q and Experience Farm) - '2' . A , - : a r t D e m i c ~ - Autnbls 52:. S:e, 5 1 9 , 52C, 52r

f - c \, . : - , - 73 '3rama 3ioassa y . a * ,

. , I , - -C 3rancn ? e t s o n n e l zos~aetry a \ .? I - 'Y 1 ,.,, m e n c3rnpie te . ' 2 : vnen z e n e l n g , ana jnen senc l n g cgmc ~ e c e s

' f \ - , - Inrzral o r zrancn re3re~e~zat;ve i n e n c3mc;0te cr Tencrng ~ s s i ~ e s a r s ' ~ s Q ~ v ? P - , -. , - :orr~rren:s

AFIP-CME-T (576-2998)

MENORANDUM FOR HSHL-H-HP Health Physics

SUBJECT: Training and Personnel Changes

1. Enclosed is WRMC Fom 538, Radiation Worker Briefing, for SSgt Jeffrey D'Nicuola.

2. Delete SSgt. Robert Herriman from Authorization 569.

3. Add S S g t . McKenney Spencer and Ms. Pat Valdez to the list of authorized users.

.,JAMES' J.' KUHLMP' JR., mj, USAF, BSC Principle User (Auth #569)

AFIP-CFB-T (576-2998)

MEPDRANlXlM FOR I%HL-H-HP Health Fhysics

SUBSECT: Training

1. Enclosed is WRMC Form 538, Radiation Worker Briefing, for SSgt McKenney Spencer and Pk. Patricia Valdes

'%rinciple U s e r (Auth #569)

HSBL-H-E~ JUL 1 0 19%

MEMORANDUM FfDR D o n Erug Detoch~neziL, nrrrj: PiAJ James ,J . i iuhii lan ,,Tr.

AuZhorlzat;on Review P r o e e s ~ 3rancz Inpuz

k a e x .of Numbers anc S p b o i s usee above:

: ; ) - Forms (WRAnC 1667R. ?662P , 1623; :Completed/typed> ^ .. -- - : 2 ! - P-otocol !Requ~red fcr: 2-n, ~ d - r , ; 2 5 - 2 , ' 3 ; - Z , and 3.11 o t h e t s a-

necessary 3y - azmunts, act:v:ty, o r use. :i?eference NBS hand boo^ fi92: , - , - Isotopes (dsttrn lzmrts for NRC L;cense/~e~sonnel quairflcazlons, d I I I 2 %

- 1 - 3PS 3rancn room prt-sutvey -. 2 , - OPS 3rancn room f i n a i su-ey

' C \ ,, - TS 3ranc~ :zstrumtncatzoc ass;gnment ,-. - , - ,ralnsng - WRAnC Fom 538 !Comoleted Sy usets annually, - - ' E : - .raLzlng - ' W C =CTE :5cZ ( T ~ a l n ~ n g anc ::oetlence forz: -

2 < * - 3et ; ; " l~~ - A ~ t f i # ' ~ 5 2 : , 6: f , 5 l 5 , 5 2 c , 52' . r . \ - , - TS '3rancz 3loassay . . \ , - TZ 3 r a n c ~ sersonnel ccs~aet-y

. , , \. . .... - ,.., snec complete, 'C: vnen ~ e n z l s g , anc ;net ~ e n c :ng c3m=,czec - \ 2 - - . I - ~ t l a l e f :rant: re9rescn:a::ve dnec t 3 t ~ t : e t e Z - 3enc;ng -=sue: a r e - r s c l v e c - - foments

REPLY YO ATTENTION OF AFIP-CME-T

DEPARTMENT QF' DEFENSE ARMED FORCES I N S T l l i l i E OF PAiHOI.OGY

WASHINGrBN. CiC 20306-5000

10 October 1989

MEMORANDUM FOR HSHL-H-HP, Ssgt. Gaha

SUBJECT: Changes and Documentations for authorization 569

1. Delete SPC Michelle Basham from the list of authorized users.

2. Add Tsgt. Kenneth Moser to the list of authorized users. Schedule Tsgt. Moser to attend the "Introductory Principles of Radiation Protection Course" on 27 or 28 November.

3. Attached is WRAMC for 538 for Ssg . Mayo.

I ,

i' :J6Lt4t*h-., > ?Z&S 3. KUHLMAN JR.

MAJ, USAF, BSC Principle User

HSHL-H-HP 3 1 0 C T 1989

MFMORANDUM FOR DoD Drug Detechment, ATTN: MAJ Kuhlman, AFIP t Hplicalm is qven

SUBJECT: Authorization 569 "t*n= ~p~revalunt l the next meeting of the wbi& i. scheduled

PETER H.@YERS LTC, MS Health Physics Officer

DATE: / b 0d~7 A u t h o r i z a t i o n Review Process

Branch Inpu t

I n d e x of Numbers and Symbols used above:

( 1 ) - Forms (WRAMC 1661R, 1662R, 1643) (Completed/typed) ( 2 ) - P r o t o c o l (Required f o r : 3 4 , 32-P, 125-1, 131-1, and a l l o t h e r s deemed

n e c e s s a r y by - amounts, a c t i v i t y , o r use . ( R e f e r e n c e NBS Handbook #92) ( 3 ) - I s o t o p e s ( w i t h i n l i m i t s f o r NRC L i c e n s e / p e r s o n n e l q u a l i f i c a t i o n s ) ( 4 ) - OPS Branch room pre-survey (5) - OPS Branch room f i n a l su rvey ( 6 ) - TS Branch i n s t r u m e n t a t i o n ass ignment (7) - T r a i n i n g - WRAMC Form 538 (Completed by u s e r s a n n u a l l y ) (8) - T r a i n i n g - WRAMC Form 1643 ( T r a i n i n g and Exper ience Form) ( 9 ) - F o r t D e t r i c k - AuthBts 541, 618, 619, 620, 621

( 1 0 ) - TS Branch Bioassay ( 1 1 ) - TS Branch P e r s o n n e l d o s i m e t r y

I ( A ) - (x) when comple te , (0) when pending, and ( ) when pend ing completed (B) - I n i t i a l of branch r e p r e s e n t a t i v e when comple te o r pending i s s u e s a r e r e s o l v e d (C) - Comments

- -

ITeS~Qslrro~ FORM

AFIP-CME-T

Division of Forensi 86 March 1989 Toxicology Maj Kuhlman/pe/G-2910

1. Delete Gomes, Zeferlno; Jones. Robert: and Magluilo, Joseph Jr. from list of authorized users.

2. Add SSgt Robert Herriman and SSgt Jeffrey D'Nicuola to the authorized user list and schedule them for the course "Introductory Principles of Radiation Protection".

3. Attached are WRAMC Form 538, WRAMC Form 1643, WRAMC Form 1662R and Research Protocol Use for Authorization 569.

MEMORANDUM FOR Div of Forensic

UBJECT: Authorization 569

- s Kpplication is given t in; cpprovnl untl Ibe

17. ! meeting of ihe RCC - Y V ~ I C ~ is scheduled for : ,.... JUN..*-- 1948

MAJ, MS Health Physics Officer

FORM DA AuGBo 2496 PREVlOUS EOlT lONS W I L L BE USED GPO : 1987 0 191-043

I';i DATE: 1 "Tf;'J,/f/ pT

A u t h o r i z a t i o n Review P r o c e s s S ranch I n p u t

I n d e x o f Numbers and Symbols used above:

( 1 ) - Forms (WRAMC 1661R. 1662R, 1643) ( C o m p l e t e d / t y p e d ) ( 2 ) - P r o t o c o l ( R e q u i r e d f o r : 3-H, 32-P, 125-1, 131-1, and a l l o t h e r s deemed

n e c e s s a r y by - amoun t s , a c t i v i t y , o r u s e . ( R e f e r e n c e 8BS Handbook 192) ( 3 ) - I s o t o p e s ( w i t h i n l i m i t s f o r NRC L i c e n s e / p e r s o n n e l q u a l i f i c a t i o n s ) ( 4 ) - OPS Branch room p re - su rvey ( 5 ) - OPS Branch room f i n a l s u r v e y ( 6 ) - TS Branch i n s t r u m e n t a t i o n a s s i g n m e n t ( 7 ) - T r a i n i n g - WRAMC Form 538 (Completed by u s e r s a n n u a l l y ) ( 8 ) - T r a i n i n g - WRAMC Form 1643 ( T r a i n i n g and E x p e r i e n c e Form) ( 9 ) - F o r t D e t r i c k - A u t h l ' s 541, 618, 619 , 620, 621

(10) - TS Branch B i o a s s a y ( 1 1 ) - TS a r a n c h P e r s o n n e l d o s i m e t r y

( A ) - (X) when c o m p l e t e , ( 0 ) when p e n d i n g , and ( ) when pend ing c o m p l e t e d ( 8 ) - I n i t i a l o f b r a n c h r e p r e s e n t a t i v e when c o m p l e t e o r pend ing i s s u e s a r e r e s o l v e d ( C ) - Comments

Telephone Number

Physical/Chemical form

in millicuries(mCi) I r i

h. Ending Date:

. , ) isotope t ravel

k . Labelling and Transport of Radioactive Material

A l l r ad ioac t ive so lu t ions , t i s s u e s , animals and waste w i l l b e i den t i f i ed by proper l a b e l , in accordance w i t h Health Physics Condition No. 4 . Transport of rad ioac t ive mater ia l between authorized work a r e a s and waste

' d i sposa l s i t e s w i l l be conducted in a manner t h a t precludes the spread of contamination and inadvertent exposure t o non-part ic ipat ing personnel.

m. Disposi t ion of Animals

1. Laboratory Animal Usage

Species

Not Applicable

Animals w i l l be s ac r i f i ced and carcasses w i l l be disposed o f as r ad ioac t ive waste.

I

u Other

Bldgt

Location 1 Location 2 Location 3

Room#

0. Isotope S torage Locat ion

Building ff Room ff Max. Ant. (mCi)

p. I so tope Waste Storage Locations

(1) Bio logica l : 81dgF Room #

(2) All o t h e r : Bldg# Room#

I A l l r a d i o a c t i v e waste w i l l be t r ans fe red t o the Health Physics c o l l e c t i o n p o i n t , WAMC (Bldg 2 (NMTF) - loading dock)(1330 t o 1430) Wednesday of each week.

All r a d i o a c t i v e waste w i l l be t r ans fe red t o the Health Physics c o l l e c t i o n p o i n t , HAIR (Bldg 40 - Room 8079) Open Monday, Wednesday, & Friday 1030 t o 1130. A l l r a d i o a c t i v e waste wi l l be t ransfered t o the Health Physics c o l l e c t i o n p o i n t , WRAIR (Forest Glen Sect ion) every Wednesday af ternoon.

q . Radioactive Waste Disposal

A l l r a d i o a c t i v e waste w i l l be t r a n s f e r e d t o Heal th P h y s i c s O f f i c e i n accordance wi th Health Physics Condi t ion No. 4 .

r. Room Survey

A l l room surveys w i l l be conducted i n accordance wi th Hea l th P h y s i c s Condit ion No. 2 .

s . Personnel Dosimetry

Whole 1 3 0 d y n Wrist Badge a TLD Ring 0 w i l l be requested in accordance with Hea l th Physics Condi t ion No. 1 . Assigned dos imet ry monitors w i l l be worn by a l l p a r t i c i p a t i n g p e r s o n n e l .

t. .Are t h e r e a n y s i g n i f i c a n t non- rad ia t ion pe r sonne l haza rds a s s o c i a t e d w i t h exper iments ; / B i o l o g i c a l . Explos ive , Toxic s u b s t s n c e s , High I n t e n s i t v O p t i c a l

s o u r c e s , ?licrowaves, o r E l e c t r i c a l ) t h a t would e f f e c t Health Physics pe r sonne l d u r i n g t h e r e r o u t i n e i n s p e c t i o n s of t h e s e a r e a s .

No

Yes (P lease s p e c i f y )

The Research Protocol enumerated ahove and on t h e p rev ious pages i s d e s i g n e d t o e n s u r e t h a t occupa t iona l r a d i a t i o n exposures and r e l e a s e o f r a d i o a c t i v e e f f l u e n t s t o t h e environment w i l l be "as low a s r easonab ly n c h i e v a b l e " (ALARA) d u r i n g a l l phases of t h e r e s e a r c h p rocedure .

[ d o Q F S f M ( + 15 c d u c r w

r-BISPOSIITION FORM For 0 5 thls form, so% AR 340-15. the prcponenf agency i s TAGCEW.

REFERENCE OR OFFICE SYMBOL

R e s e a r c h P r o t o c o l f o r I s o t o p e n a m e d i n t h e 1 HSWP-QHP --r A p p l i c a t i o n f o r U s e o f R a d i o a c t i v e M a t e r i a l A u t h o r i z a t i o n /! 5635 FROM

H e a l t h P h y s i c s O f f i c e r Div Toxicology

i AFIPICPL-T

DATE

1 May 1983

, l

a P r i n c i p a l U s e r :

CPT George Kearney

b . I n v e s t i g a t o r & A u t h

J o h n w h i t i n g 569

T e l e p h o n e Number

57 6-2953 A u t h o r i z a t i o n N o . --

569

Maximum P h y s i c a l l C h e m i c a l f o r m Q u a n t i t y p e r E x p e r i - -

N ~ ~ ~ ~ I s o l u t i o n (aq m e n t ( r r , C i ) LSD/Bolton-Hunter f 251 5 m C i s o l u t i o n (aq)

f . T i t l e o f P r o j e c t :

LSD R I A PRODUCTION

Maxi- f o r E n t i r e P r o j e c t -

( m c i )

- N / A - -

g . B e g i n n i n g D a t e : h . E n d i n g D a t e : -- --

1 June 1983 / N/A - j, L i f e c y c l e o f R a d i o i s o t o p e u t i l i z e d f o r R e s e a r c h P r o c e d u r e :

1. Commercially o b t a i n e d r a d i o i o d i n a t i o n k i t .

2. l o d i n a t i o n of LSD a n d / o r an t ibody . (AafR 'LOG - l ~ d : - r b a n 7

I 3 . Assay w a s t e and /or o u t d a t e d l a b e l e d m a t e r i a l d i s p o s a l . B C

k. L a b e l l i n g a n d T r a n s p o r t o f R a d i o a c t i v e - M a t e r i a l

' A l l r a d i o a c t i v e s o l u t i o n s , t i s s u e s , a n i m a l s a n d w a s t e w i l l b e i d e n t i f i e d b y p r o p e r l a b e l , i n a c c o r d a n c e w h t h I I e a l t h P h y s i c s Memo $ 3 , i 1 5 , & f8. T r a n s p o r t o f r a d i o a c t i v e F a t e r i a l b e t w e e n a u t h o r i z ~ > d work a r e a s a n d w a s t e d i s p o s a l s i t e s w i l l b e c o n d u c t e d i n a m a n n e r t h a t p r e c l u d e s t h e s p r e a d o f c o n t a m i n a t i o n a n d i n a d v e r t e n t e x p o s ~ ~ r e t o n o n - p a r t i c i p a t i n g ~ e r s a n n e l .

1 . L a b o r a t o r y A n i m a l U s a g e

- 1 S p e c i e s 1 B l d g # Room /,

m . D i s p o s i t i o n o f A n i m a l s

I- I X j No t A p p l i c a b l e

3 A n i m a l s w i l l b e s a c r i f i c e d a n d c a r c a s s e s w i l l be d i s p o s e d o f a s r a d i o a c t i v e w a s t e

12 O t h e r ( S p e c i f y )

o . - I s o t o p e S t o r a g e L o c a t i o n

-

n . T s o t 9 e U t i l i z a t i o n L o c a t i o n -- I

L O C . # l L O C . i12 B l d g

54 (AFIP) 54 Room 4016 4002

B l d g 5 4

Room 401 6

Maximum A m t (mc i > 5 5 1 I

I I 1

I i 1 - -__L-____________ i i I l i

L O C . 113 L o c . # 4 L O C . # 5

54 54 1 54 4008 1 4012 4014

p . I s o t o p e W a s t e S t o r a g e L o c a t i o n

( 1 ) B i o l o g i c a l : B l d g // Room

( 2 ) A l l o t h e r : B l d g 54 Room // 4008

A l l r a d i o a c t i v e w a s t e w i l l b e t r a n s f c r z d t o t h e H e a l t h 2 h y s i c s bx c o l l e c t i o n p o i n t , WRAMC ( B l d g 2 NMTF-Loading D o c k ) ( 1 3 3 0 t o 14 3 0 ) 7

o f e a c h w e e k .

r-1 P.11 r a d i o a c t i v e w a s t e w i l l b e t r a n s f e r e d t o t h e I i e a l t h P h y s i c s .' t- c o l l e c t i o n p o i n t , WRAIR (Room 3 0 7 9 ) C p k r . r v e r ; . ~ ? ? y 1 0 3 0 t o 1 1 3 0 .

77 A l l r a d i o a c t i v e w a s t e w i l l b e t r a n s f e r r d L O i h e H e a l t h P h y s i c s L- c o l l e c t i o n v e h i c l e , W R A I R ( F o r e s t G l e n S e c t i o l ~ ) o n T l i u r s c i a y

( 1 3 3 0 t o 1 4 3 0 ) e v e r y o t h e r w e e k .

q . R a d i o a c t i v e W a s t e D i s p o s a l

A l l r a d i o a c t i v e w a s t e w i l l b e t r a n s f e r e d t o H e a l t h P h y s i c s O f f i c e i n a c c o r d a n c e w i t h H e a l t h P h y s i c s Memo /I 3 , Memo 8 , a n d SOP # 1-11,

r . Room S u r v e y

A l l r o o m s u r v e y s w i l l b e c o n d u c t e d i n a c c o r d a n c e w i t h H e a l t h P h y s i c s Memo #12.

s . P e r s o n n e l D o s i m e t r y --

W h o l e Body Ll Wrist B a d g e 7 1.1 TLD R i n g kl w i l l b e r e q u e s t e d i n a c c o r d a n c e w i t h H e a l t h P h y s i c s SOP 111-5. A s s i g n e d d o s i m e t r y m o n i t o r s w i l l b e w o r n b y a l l p a r t i c i p a t i n g p e r s o n n e l .

t , A r e t h e r e a n y s i g n i f i c a n t n o n - r a d i a t i o n p e r s o n n e l h a z a r d s a s s o c i a t e d w i t h e x p e r i m e n t s ( B i o l o g i c a l , E x p l o s i v e , T o x i c s i l b s t a n c e s , H i g h I u t en- s i t y O p t i c a l s o u r c e s , M i c r o w a v e , o r E l e c t r i c a l ) ?

T h e r e s e a r c h p r o t o c o l e n u m e r a t e d a b o v e i s d e s i g n e d t o e n s u r e t h a t q c c u p a t i o n a l r a d i a t i o n e x p o s u r e s a n d r e l e a s e o f r a d i o a c t i v e e f f l u e n t s t o t h e e n v i r o n m e n t w i l l b e " a s l o w a s r e ~ ! . s o n a b I y a c h i e \ - a b l e " ( A L A R A ) d u r i n g 2 1 1 p h a s e s o f t h e r e s e a r c h p r o c e d u r e s .

! . i 2 ' u -- i l jY l 'i S ' g n a t r e -- ' I , i

RFIF)/FDRENSIC TDX Fax : 3013190628

MEMORANDUM FOR HEALTH PHYSICS OFFICE (HPiPO). ATTN: VANESSA COX, WALTER REED ARMY MEDICAL, CENTER, WASHINGTO DC, 20307-5000

SUBJECT: Rquest for Close-out Survey of Radioimmunoassay Laboratory, Divisim of Forensic Toxicology, AFP, RockviUe Annex

1. Respectfklly request that a close-out swey be conducted of the radioimmunoaraay laboratory and mclide storage amis in the Division of Forensic Toxicology. Arm4 For- Institute of Pathology, Rockville Annex (Gillette Bldg.).

2. Our laboratory has terminated using radioimmunoassay (RIA) as a method of analysis and have no fkther need to store and process radioactive materials.

3. POC for scheduling and conducting a fmal survey is HM2 Jay Filburn. He may be contacted at 301-319-0064 or at [email protected].

CF: Deputy Medical Examiner-Toxicology AFIP Annex Safety Officer

&pp1icrrhcrrhod is approval wtl the

n,xt meeting of- the RCg i. rcbeduled b ~ f

COL, MS " CHIEF, HEALTH PHYSICS OFFICE

LCDR, MSC, USN Chief, DoD Drug Detection QA Laboratory

APPROVED BY RCC

;:;s d , I on

W E

me principat uW8 signature on his fwn indicates Mat a phy&cal invantory o( ths mdio~uclicies IbM above has been pshrmed.

Th, principl useh signaturn m thls brm indlen$r that a physicst invenbry of the rsdimudides IIWd abwe has been performed.

a g m Date:

I " " L ~ * ~ ~ ~ ~ ~ ~ * h t n ~ % j . P Y . P Y * U \ , * U \ , m ? , I

Receipts in Inventory by Licensee

2/22/99 Page 1 M5020SP

The principal user's signature on this form indicates that a physical inventory of the radionuclides listed above has been performed

Signature: Date: z/@/ 99 V

ipts in Inventory by Licensee

2/22/99 Page 2 M5020SP

---,-*--*.,-"" ....m- iagnostic Products Corp

-------,*~-,-,,, Diagnostic Products Corp

3.000E-02 mCi

The principal useh signature on this form indicates that a physical inventory of the radionuclides listed above has been performed.

Signature: .. Date: ZzIfzs, 99

The prindpal user's signahre on this form indicates that e physical inventory of the radionuclides tMed above has been performed.

45143-0409 HM USN

8/6/98 Page 2 M5000SP

Fill In Radio- I ChernicaIRhysical 1 Recei~t I Recei~t 1 Current nuclide 1 Form I ~ a t i 1 ~ c t i v i i ~ I Activity 1 (mci j

1-125 (3x Barbiturates CAC RIA 1 6/26/98 ( 3.M)OE-02 mCi 1 -. - I 3.00000E-2

T I Z d c a i n e Met CAC RIA ?s-~Jw I I 3.00000E-2 RIA KIT(L)

6/26/98

1-(2512T:xbiturates CAC RIA 3.000E-02 mCi I 3.00000E-2 If ,-,

1 - 1 2 5 1 3 ~ Cocaine Met CAC RIA 3.000E-02 mCi / I )

. . '-1PCP CAC RIA KIT(L)

If

1 I I I

1-125 l ~ e n t a n ~ l CAC RIA Kit(L) I 1 7/31/98 ( 1.000E-02 mCi I 1 3 1.00000E-2

Inventory Activity Supplier's 1 Name (MBq) 1 .I 1000E00 Diagnostic Products Corp I .I 10OOE00 l~iagnostic Products Corp

I .I IOOOEOO ~ n o s f i c r o d u c t s Corp

3.70000E-01 Diagnostic Products Corp

1 .I 1000E00 I Diagnostic Products Corp Diagnostic Products Corp

Diagnostic Products Corp

1 .I 1000E00 Diagnostic Products Corp I

Purchase Order 1 Number 1

ADA1 598P202

I Total number of receipts = 32 I

The principal user's signature on this form indicates that a physical inventory of the radionuclides listed above has been performed.

8/6/98

Page 1 M5000SP

Order Purchase I

1 RMR51146 1 ~ 1 3 ; idcaine Met CAC RIA 15/4/98] 3.000E-02 mCi 1-1-1 - 1 .I 1000E00 /Diagnostic Products Corp 1-1 KIT(L)

1-125 3x Morphine-Serum CAC 3.000E-02 mCi 3.00000E-2 1 .I 1000E00 RIA KIT(L\

~~~~~ Barbiturates CAC RIA I / I I F7 3.00000E-2 1 .I 1000E00 KIT0 1

\-I I R M R ~ ( ~ ~ ( I I ~ ~ ,..-,, Cocaine , Met CAC RIA (618.811000~d7m~iI - 61 1-1 I .I IOOOEOO /Diagnostic Products Corp 1-1 IRMRS(~~~W~;! zrphine-Serum CAC RIA 3.000E-02 mCi b' I 3.00000E-2 I 1 .I 1000E00 I Diagnostic Products Corp

KIT(L\ \-, - -

RMR51213 1-125 3X PCP CAC RIA KIT(L) 6/8/98 3.000E-02 mCi d b 3.00000E-2 1 .I 1000E00 RMR51214 1-125 4X Benzodiazepines(L) 6/8/98 4.000E-02 mCi 4.00000E-2 1.48000E00

RMR51215 1-125 Fentanyl CAC RIA Kit(L) 6/8/98 1.000E-02 mCi I .00000E-2 3.70000E-01

The principal user's signature on this form indicates that a physical inventory of the radionuclides listed above has been performed.

Signature: a : 8 I 6 I 7t

4/3a)68 Page S M5000SP

i

Page 1 CHAMMP Report Receipts i n Inventory by A c t i v i t y f o r In te rna l License 569(Bosy, Thomas) (A2081

FEE 04 1998 11:01:49

Receipt Radio- Chemical/Physical Receipt Receipt Current Inventory Inventory Key Nuclide Form Date A c t i v i t y A c t i v i t y Act iv i ty(mCi1 A c t i v i ty(MBq) Supplier P.O. Number - - - - - - - - - - - - - - - - - . . . . . . . . . . . . . . . . . . . . - - - - - - - - - - - - - - - - _ - - - - - - _ - - _ - - - - - _ - - _ _ - - - _ - - - _ - - - - - _ _ _ _ _ _ _ - _ _ _ _ _ _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - - - - - - - - - - - - RMR50562 1-125 4x THC K i t (L ) 07/03/1997 4.000E-02 mCi 1.3621-03 5.04IE-02 lmnunalysis Corporation 62140-101

RMR50748 1-125 2X Barbiturates CAC 09/24/1997 2.000E-02 mCi ) 7.5151-03 2.781E-01 Diagnostic Products Corp DADA1597P1419 RMR50772 1-125 THC RIA KIT 100 Tub 10/10/1997 3.000E-02 mCi 1.129E-02 4.177E-01 Imnualysis

RMR50810 1-125 2X Amphetamine RIA K 10/28/1997 2.000E-02 mCi 1 7.5231-03 2.7831-01 Diagnostic Products Carp 31C437290015 RMR50811 1-125 2X Barbiturates CAC 10/28/19972.000E-02mCi 1 7.523E-03 2.783E-01 Diagnostic Products Corp 31C437290015 RMR50812 1-125 2X Cocaine Met CAC R 10/28/1997 2.000E-02 mCi 7.523E-03 2.783E-01 Diagnostic Products Corp 31C437290015

RMR50813 1-125 2X Morphine-Serum CA 10/28/1997 2.000E-02 mCi 7.523E-03 2.783E-01 Diagnostic Products Corp 31C437290015

RMR50814 1-125' 2X PCP CAC RIA KIT(L 10/28/1997 2.000E-02 mCi 7.523E-03 2.783E-01 Diagnostic Products Corp 31 C437290015

RMR50815 1-125 2X Eenzodiazepines(L 10/28/1997 2.000E-02 mCi 7.523E-03 2.783E-01 Diagnostic Products Corp 31C437290015

RMR50816 1-125 2X Fentanyl CAC RIA 10/28/1997 2.OOOE-02 mCi 7.523E-03 2.783E-01 Diagnostic Products Corp 31 C437290015

RMR50817 1-925 LSD CAC RIA KITCL) 10/28/1997 1.000E-02 mCi 3.761E-03 1.392E-01 Diagnostic Products Corp 3 1 C4372900 15

RMR50818 I - 125 Methamphetamine(L) 10/28/1997 1.000E-02 mCi 3.761E-03 1.392E-01 Diagnostic Products Corp 31 C437290015 RHR50867 1-125 3X Amphetamine RIA K 11/25/1997 3.000E-02 mCi 1.341E-02 4.961E-01 Diagnostic Products Corp 31C4373280029

RMR50868 1-125 3X Barbiturates CAC 11/25/1997 3.000E-02 mCi 1 1.3411-02 4.961E-01 Diagnostic Products Corp 31C4373280029 RMR50869 1-125 3X Cocaine Met CAC R 11/25/1997 3.000E-02 mCi 1.341E-02 4.961E-01 Diagnostic Products Corp 31C4373280029

RMR50870 1-125 3X Morphine-Serum CA 11/25/1997 3.000E-02 mCi 1.341E-02 4.961E-01 Diagnostic Products Corp 31C4373280029

RMR50871 1-125 3XPCPCACRIAKIT(L 11/25/19973.000E-02mCi 1.341E-02 4.961E-01 Diagnostic Products Corp 31~4373280029

RMR50872 1-125 3X Benzodiazepines(L 11/25/1997 3.000E-02 mCi 1.341E-02 4.961E-01 Diagnostic Products Corp 31C4373280029

RMR50873 1-125 LSD CAC RIAKITCL) 11/25/1997 1.000E-02mCi 4.469E-03 1.654E-01 Diagnostic Products Corp 31 C4373280029

RMR50925 1-125 3x Amphetamine RIA K 01/06/1998 3.000E-02 mCi 8% 2.176E-02 8.050E-01 Diagnostic Products Corp 31C4380050066 RMR50926 I - 125 3X Barb i turates CAC 01/06/1998 3.000E-02 mCi 1 ' 2.176E-02 8.050E-01 Diagnostic Products Corp 31C4380050066

RMR50927 1-125 3X Cocaine Met CAC R 01/06/1998 3.000E-02 mCi '1 2.176E-02 8.050E-01 Diagnostic Products Corp 31C4380050066

RMR50928 1-125 3X Morphine-Serum CA 01/06/1998 3.OOOE-02 mCi I / 2.176E-02 8.050E-01 Diagnostic Products Corp 31C4380050066

RMR50929 1-125 3X PCP CAC RIA KIT(L 01 2.176E-02 8.050E-01 Diagnostic Products Corp 31C4380050066

The p r i n c i p a l users signature on the bottom t a physical inventory o f the radionucl ides L is ted has been performed.

z $ 48 Date: / /

Cdll~L*i CHAMMP Report FEB 04 1998 11:01:51 ~ k c e i ~ t s i n Inventory by A c t i v i t y f o r In te rna l License 569(Bosy, Thomas) (A208)

Receipt Radio- Chemical/Physical Receipt Receipt Current Inventory Inventory Key Nucl ide Form Date A c t i v i t y A c t i v i t y Act iv i ty(mCi) Activity(MBq) Supplier P.O. Number - - - - - - - - - - - - - - - - - . . . . . . . . . . . . . . . . . . . . - - - _ - - - - - - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - _ _ - - _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - - - - - - - * _ - - _ _ - - - - - - - - - - - * - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - RMR50930 1-125 3X Benzodiazepines(L 01/06/1998 3.000E-02 mCi e w 2.176E-02 8.050E-01 Diagnost ic Products Corp 31C4380050066 RMR50931 1-125 Fentanyl CAC RIA K i t 01/06/1998 1.000E-02 mCi r f 7.253E-03 2.683E-01 Diagnost ic Products Corp 31C4380050066 RMR50932 1-125 LSD CAC RIAKITCL) 01/06/1998 1.000E-02mCi t 7.253E-03 2.683E-01 Diagnost ic Products Corp 31C4380050066

27 Records Processed

The p r i n c i p a l users signature on the bot hat a physical inventory o f the radionucl ides L is ted has been performed.

Signature:

canmz -port Recelbts in Inventory by Activity far Internal Licmae 569(Uomy, thanas) (h208)

Radio- Chnnicsl/Physical Receipt Receipt Currmt Inventory llwentory I(Jw\ id, Form Oate Activity Activity dktivitytmGi) Activity(UBqj Supplier ---.I-- ----.-"--------..--- .---.I.-.- --.----.---1. --,,----..-----* *-.....--.--- ...---...--_---.--.---.*-- 1-125 IHC R I A K l t < L ) 06/26/1997 1 .WOE-02 nC1 8.298E-a3 3.OME-01 Qfagnost i c Products Corp

5-125 lethan@etantine(L) 08/21/1997 1 ,WOE-U2 nCq 8.387E-03 3.'L01E-Ul Bisgncstic Products Carp

1-125 2x PCP CAC RCA KLTZL O0/27/1997 2.000~-02 mCi 1.677E-02 6.206E-01 i a g ~ a t i e Probrcts C a r p

1 - 125 2x Banzodierepines

m page 4 a'

auraw Ra&tQ?l Rc~e iprs in Inventory by Activity For Internal License 569(Oasy, I h d s ) (11208)

Receipt I d i o - Chemics1IPhysical Receipt Receipt Currant Inventory Inventory KW Alwl fife Cam Oate l lc t iv i ty h t l v l t y Acttuity(mCi hetivlty(RBq) SuppLier P.Q. W u b s - - - - . - - - m e - - * - - - - -*--.--------------- --.-----a- ----.---1-.-- -..--...----..- -.--...-..... ...__.----_..____.--...--.-----.--- _*"____..____ llWRSa818 1-125 a PCP C4C R IA KITtL 10/28/1997 2.000E-02 nEi 2- rn 2-(100E-02 ?.CON-01 Olagnostic Produces Corp 3 'lC437a90055 RH9508115 1-115 2X Emzdiazapkcs(l ' IOI2BtlPPI2.00dE-02mCi ~ * @ ~ ~ : . " 2.6OaE-02 t .400E-01Ofag~t icPr0ddXtsCarp 49e437;2908'15

UISO8h5 1-125 2X Ft!!tlt~yl CY R I A ?Y2fij1997 2-WOE-02 Mi *'

2.OOOE-02 7.40OE-01 O lagnost ic PrwluEts Carp 31C43729W15

U11508'lt 1-124 L a O C A C I I I A Y I T ( L ) t0/28/19971.(10iI~-02Ni / -adOE.L I .OOOC-02 3.7WL- 01 Oiaanostie Brcducts Corp J$CB9R90015 , RMR50518 1-125 HethanphetafnirneCL) 1012tl11WI 1 .WOE-112 ri /.Wd -' I.OWL-02 !!.?ME-Ol DIaylatic Prdwtr C a p 3 8CA3729OQ15 1. 52 Recarda Processed 4 L.

P

C C 6 a

?he principal users signature an the bottcm t h a t a physical inventory af the redfonucl ides I (st& has bm prlerwd.

signature: Date: / I I Id I 37

CgULllS -st Receipts in Inventory by hclivity for Internah License 569CBosy, T h ~ s l {AZW)

Receipt Rsdia- Chcmicel/Physics~ Receipt Receipt currant Inventory inventory Nuclide Form Pate , Actfvity Act i v i Act iv i Ly

AUG 14 1997 06:50:37

Receipt- Key - - - - - - - - - - RMR50379

Chemical/Physical Form

Receipt Receipt Current Inventory Inventory Date A c t i v i t y Act iv i ty (mCi) Act iv i ty(MBq1 Suppl ier

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 04/14/1997 1.000E-02 mCi 4.411E-03 1.632E-01 Diagnost ic Products Corp

2X PCP CAC RIA KIT(L 04/14/1997 2.000E-02 mCi 8.822E-03 3.264E-01 Diagnost ic Products Corp

Amphetamine RIA K I T ( 04/14/1997 1 -000E-02 mCi 4.411E-03 1.632E-01 Diagnost ic Products Corp

Morphine-Serum CAC R 04/14/1997 1.000E-02 mCi 4.411E-03 1.632E-01 Diagnost ic Products Corp

Barb i tura tes CAC RIA 04/14/1997 1.000E-02 mCi 4.411E-03 1.632E-01 Diagnost ic Products Corp

Cocaine Met CAC RIA 04/14/1997 1.000E-02 mCi 5.304E-03 1.963E-01 Diagnost ic Products Corp

2X Amphetamine RIA K 04/22/1997 2.000E-02 mCi 9.678E-03 3.581E-01 Diagnost ic Products Corp

2x Cocaine Met CAC R 04/22/1997 2.000E-02 mCi 9.678E-03 3.581E-01 Diagnost ic Products Corp

2x Morphine-Serum CA 04/22/1997 2.000E-02 mCi 9.678E-03 3.581E-01 Diagnost ic Products Corp

LSD CAC RIA KIT(L) 04/22/1997 1.000E-02 mCi 4.839E-03 1.790E-01 Diagnost ic Products Corp

2x THC RIA KIT(L) 04/22/1997 2.000E-02 mCi 9.678E-03 3.581E-01 Diagnost ic Products Corp

MethamphetamineCL) 04/22/1997 1.000E-02 mCi 4.839E-03 1.790E-01 Diagnost ic Products Corp

2x PCP CAC RIA KIT(L 04/22/1997 2.000E-02 mCi 9.678E-03 3.581E-01 Diagnost ic Products Corp

2x Benzodiazepines(L 04/22/1997 2.000E-02 mCi 9.678E-03 3.581E-01 Diagnost ic Products Corp

2x Barb i tura tes CAC 04/22/1997 2.000E-02 mCi 9.678E-03 3.581E-01 Diagnost ic Products Corp

2X Amphetamine RIA K 05/28/1997 2.000E-02 mCi 1.073E-02 3.971E-01 Diagnost ic Products Corp

2X Cocaine Met CAC R 05/28/1997 2.000E-02 mCi 1.073E-02 3.971E-01 Diagnost ic Products Corp

2X Morphine-Serum CA 05/28/1997 2.000E-02 mCi 1.073E-02 3.971E-01 Diagnost ic Products Corp

LSD CAC RIA KIT(L) 05/28/1997 1.000E-02 mCi 5.366E-03 1.985E-01 Diagnost ic Products Corp

2X THC RIA KIT(L) 05/28/1997 2.000E-02 mCi 1.073E-02 3.971E-01 Diagnost ic Products Corp

P.O. Number - - - - - - - - - - - - - 31C43-7099-01

1-125 Methamphetamine(L) 05/28/1997 1.000E-01 mCi 5.366E-02 1.985E+00 Diagnost ic Products Corp DADA1597P1419

1-125 2X PCP CAC RIA KIT(L 05/28/19972.000E-02 mCi 1.073E-02 3.971E-01 Diagnost ic Products Corp OADA1597P1419

1-125 2X Benzodiazepines(L 05/28/1997 2.000E-02 mCi 1.073E-02 3.971E-01 Diagnost ic Products Corp DADA1597P1419

1-125 2X Barb i tu ra tes CAC 05/28/1997 2.000E-02 mCi 1.0-E-02 3.971E-01Diagnost icProductsCorp DADA1597P1419

The p r i n c i p a l users s ignature on the bottom a t a phys ica l inventory o f the rad ionuc l ides L i s ted has been performed.

Signature: Date: 6 / /q / 77

CHAMMP Report Receipts i n Inventory by A c t i v i t y f o r I n t e r n a l L icense 569(Bosy, Thomas) (A208)

AUG 14 1997 06:50:39

Receipt Radio- Chemical/Physical Receipt Receipt Current Inventory I nven to ry Key Nuc l ide Form Date A c t i v i t y A c t i v i t y Ac t i v i t y (mC i ) Act iv i ty(MBq) Supp l ie r P.O. Number - - - - - - - - - - - - - - - - - . . . . . . . . . . . . . . . . . . . . - - - - - - - - - - - - - _ _ _ - - - - - - - - - - - - - - - - - - - - - - - _ _ _ _ - - - - - - - - _ _ _ _ _ _ - - - - - - - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - - - - - - - - - - - -

2X Benzodiazepines(L 06/04/1997 2.000E-02 mCi

PCP CAC RIA KIT(L) 06/04/1997 1.000E-02mCi

3X Amphetamine RIA K 06/04/1997 3.000E-02 mCi

2X Morphine-Serum CA 06/04/1997 2.000E-02 mCi

2x Ba rb i t u ra tes CAC 06/04/1997 2.000E-02 mCi

2x Cocaine CAC RIA K 06/04/1997 2.000E-02 mCi

2X Amphetamine RIA K 06/24/1997 2.000E-02 mCi

2X Cocaine Met CAC R 06/24/1997 2.000E-02 mCi

2X Morphine-Serum CA 06/24/1997 2.000E-02 mCi

LSD CAC RIA KIT(L) 06/24/1997 1.000E-02 mCi

Methamphetamine(L1 06/24/1997 1.000E-02 mCi

2X PCP CAC RIA KIT(L 06/24/1997 2.000E-02 mCi

2X Benzodiazepines(L 06/24/1997 2.000E-02 mCi

2X Ba rb i t u ra tes CAC 06/24/1997 2.000E-02 mCi

THC RIA KIT(L) 06/30/1997 1.000E-02 mCi

2X THC RIA KIT(L) 06/30/1997 2.000E-02 mCi '7 #

4x THC K i t ( L ) 07/03/1997 4.000E-02 mCi

Benzodiazepines(L) 07/10/1997 1.000E-02 mCi ,.. 1 &I L'

PCP cAc RIA KIT(L) o7/ io / i997 i.oooE-02 mci i - m ' " Amphetamine RIA KIT( 07/10/1997 1.000E-02 mCi (-oc L-' 2x Morphine-Serum CA 07/10/1997 2.000E-02 mCi 2.061 " I

Barb i t u ra tes CAC RIA 07/10/1997 1.000E-02 mCi l-uc ' Z.&l yz - 1 2x THC RIA KIT(L) 07/10/1997 2.000E-02 mCi ,,

4.306E-01 Diagnost ic Products Corp
















1.202E+00 I n u n a l y s i s Corpora t ion



3.260E-01 Diagnost ic products Corp




The p r i n c i p a l users s i gna tu re on t h e bottom t a phys i ca l L i s t e d has been performed.

Signature:

CHAMMP Report AUG 14 1997 06:50:40

Receipt Key - - - - - - - - - RMR50579

Receipts i n Inventory by A c t i v i t y f o r I n t e r n a l License 569(Bosy, Thomas) (A2081

Radio- Chemical/Physical Receipt Receipt Current Inventory Inventory Nuc l ide Form Date A c t i v i t y A c t i v i t y Act iv i ty (mCi) Act iv i ty(MBq) Suppl ie r P.O. Number - - - - - - - . . . . . . . . . . . . . . . . . . . . - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - _ _ - - - - - - - - - _ _ _ _ _ _ _ _ _ _ _ - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ _ _ _ _ _ _ _ _ _ _ _ _ 1-125 CocaineMet CAC RIA 07/10/1997 1.000E-02 mCi . , - / - o @ ~ * ' - - - - 8.810E-03 3.260E-01 Diagnost ic Products Corp 31C4371820193 1-125 2x Fentanyl CAC RIA 07/10/1997 2.000E-02 mCi -Z-@ G - l 1.762E-02 6.520E-01 Diagnost ic Products Corp 31C4371820193 1-125 2X Amphetamine RIA K 07/22/1997 2.000E-02 mCi /TW "' 2.000E-02 7.400E-01 Diagnost ic Products Corp DADA1597P1419 1-125 2X Cocaine Met CAC R 07/22/1997 2.000E-02 mCi J 7 . 0 ~ E - ( 2.000E-02 7.400E-01 Diagnost ic Products Corp DADA1597P1419

- 1 1-125 2X Morphine-Serum CA 07/22/1997 2.000E-02 mCi - - z " ~ " 2.000E-02 7.400E-01 Diagnost ic Products Corp DADA1597P1419

- i 1-125 LSD CAC RIA KIT(L) 07/22/1997 1.000E-02 mCi " 1.000E-02 3.700E-01 Diagnost ic Products Corp DADA1597P1419 - 2.0i'"'" 1-125 2X THC RIA KIT(L) 07/22/1997 2.000E-02 mCi 2.000E-02 7.400E-01 Diagnost ic Products Corp DADA1597P1419

1- 125 MethamphetamineCL) 07/22/1997 1.000E-02 mCi " 00 1.000E-02 3.700E-01 Diagnost ic Products Corp DADA1597P1419

1-125 2X PCP CAC RIAKITCL 07/22/19972.000E-02mCi 2,oo 6-'

2.000E-02 7.400E-01 Diagnost ic Products Corp DADA1597P1419

-7 678 -( 1-125 ZXBenzodiazepines(L) 07/22/1997 2.000E-02 mCi 2.000E-02 7.400E-01 Diagnost ic Products Corp DADA1597P1419

1-125 2X Barb i tura tes(L) 07/22/1997 2.000E-02 mCi - 7" 00 E l i 2.000E-02 7.400E-01 Diagnost ic Products Corp DADA1597P1419 1-125 4x THC RIA KIT 100 08/05/1997 4.000E-02 mCi 4.00OE-02 1.480E+00 I m u a l y s i s 63383- 101

59 Records Processed

The p r i n c i p a l users s igna tu re on the bottom a phys ica l inventory o f t he rad ionuc l ides l i s t e d has been performed.

Signature: Date: e / / J / 47

Page I cxumw ~ a ' p o ~ t Recelpts in ~rwenrar~ By hctlvity far Internal License 549(86sy, lh-S) Lh'LOB)

Rec7pipt Radio- Chemlral/Physicsl Receipt Receipt Current Invent? Inventory Key Wuclide form Date Activity Activity hctivity(mc:r) ~c t Iv l ty ( )c .~q) ~ u p p i i s r P.O. N m b r

d ----..---- --....-- ..-_..,._ _.___..___.__ _.___. _.____ __..._....... __..........* .......------ ~.-..._.....--.-------. ----.-.---.-- RMRSDtl4 1.125 2X rrnylhetmina I(lA 1('01121/87 2.00&-02 6 i 2.000~;-02 7 . 4 0 0 ~ - 0 1 D i a g m t i c Pcbdlucts Corp DA081597P141P

RHR502?7 1-125 2X Anphetenine R I A K 0012SP97 2.000E-QZ: BCi -+- 2.000E.DZ 7.4001.02 D i a g n o ~ t j c Products Corp om&L597P1418 Ri(R50278 1.1 25 Cocaine Wet CAC R 02/25/97 2.DDDE-02 mCi 2.000E-02 7.400E-01 Diagn~stit Products Cwp D A D A 1 5 9 ~ 1 6 1 9 RNR50270 1 -1'25 2X H o r n ine- Serm CA 02/25/97 2.000E-02 mCi 2.000EeD2 7.400E.01 Diagnostic P&cts Corp OROAl597P1419 R ~ U I S b 2 2 2 1-125 PCP C A C ' R ~ A K ! T ( i ) 01/21/97 1.000E.1)Z ~ c i

RMR50223 1 -125 Benzodialepinae(l> 01/21/97 1 .BODE- D2 Wi

APvRS0230 1-125 2KBarbitursterCAC 01/24/972.000E-02r.Ci

~ ~ 5 0 2 8 0 1-125 2n LSD C ~ \ C RIA ~ 1 1 ~ . 02/25/41 2.000€-@ n ~ i 2.000f -02 7.4CXE-01 Dlegnestic Produc\s CWQ DRDR! 591Pt419

&~~d281 1-125 m IIIC R I A K I T C C ~ 0 2 / ~ 5 / 4 7 2 . ~ 0 0 ~ - 0 2 m ~ i ?.WE-02 7.4006- 01 D i a g w t ie ~ r o d ~ c t s Cbrp O A D A ~ S97PIC19 RMR50282 1-125 ZX MethaAlph~tamlnetL 02/25/97 2.000E-02 Mi 2,000E-02 7.400E-01 Diepnmtit P r d u c l s Corp D A D A I ~ V ~ P ! 4 19

1.000~-02 3 . 7 0 0 ~ - 0 1 ~ i a g n o a t i c P r o d u c t s C ~ r ~ DADA! 597P1419

l.OO0E-02 3 . ' 1 ( 1 0 E - O 1 V i ~ $ t ~ ~ P r o d u r t 5 C ~ r p - OADbl59(P7Pt418

2.000E-02 7.400~-OlDiagnasticProductsCwp DADA1 597P1419

lW50281 1-125 PCP CAC kin KIIIL) DU25/97 l .~DDE-DZ Mi 1.000~-02 3.700~-01 ~ i a ~ r i s t i c products ~ o r p DADA1 597P1619

RMR502M 1-125 Bwuodibzepi neslL1 02/25/97 1.000E-02 rrCi 1.000E-02 1.700E-61DiagnoetiePrPductsCo~p DAD11598 I619

1

RMR50456 1-125 2% C b i n e Met CAC (1 03/25/97 2.000E-02 Mi I 2.000~-02 7.4DDE-01 Diagnostic Products Carp DllDb11S97B1419 Rla50337 1-125 2. Morphine-Strum CA 03/25/97 2.000E.01 $I ) 2.DOOE-02 7.4DUE-01 D i ~ g n o r l i s Prd\r ts C u p DADAI~WP 14 19 ~HR50338 1-125 Zn LSD C l C R I A K I T ( L 03/25/97 2.OM)E-02 llEl i- ?.OOM-02 7.600E-01 Ofegnost i c Products Corp DADAlEQ7P1478 I(PIHMS9 1.125 ZxTHCR(AXlT(L) 03/25/9YZ.DDOE-O2n,~i 2.00DE-02 7 , 4 b ~ - t ~ Qlagnostic Products Corp DAOA15P7P1419 RM3S0340 1 - 1 3 Lx Rethsm&ctami~.et L b3/2SIP? 2.G00E-02 Mi I- - 2.000E-02 7,LODE-01 Diagnostic Products Carp DROA1597P1419

77 The principal users signeture an the bttm o hat e physical inventory at the radionuclidcs . l is ted has been perferwd.

5 27 47 . Signatufe: Bete: / , /

CBMdlDP

Recsipts in l n v e n t w by ~ c t i v i cy for internal License! 5 # ( B w y , l h m s ) (AZDB) A P I 29 1997 D6:57:07

h e i w Redla- Gh~ica l /Phvs iu r \ Rrce ipr *v Receipt &rml 1nventory Inventory Nuel ide Form - - - - . . . . . . D a t a Ilctivity Activity A c t ivity4mCI) Activfty(MBq~ 6uppL ier P.0, U l d r - - - - - . - - - - - - - - - - - - - - - - - . . " I - I.-----? ----_----.-.- ....--a,....--. ..-......-... ...._-_---l.._._.....-.......ll__.. ----------.-. I W R S D ~ Q ! 1-125 PCP CAC RIP, K I 1 C L I 03/25/97 1.400E-02 Mi 1.04OE-02 3.7BOE,Ol Qia~nast ic P~aducts Corp DADA? S97~fCI9

' R ~ ~ 5 D 3 4 2 1-525 Ben2adiazepinesCL I 03/25/97 I.DOOE-02 mi 1.OMIE-02 3.'ldbE-01 Pfagnost ic Productr Gorp DADA1 597P1 1 19 - . .

~ ~ ~ 5 0 3 4 3 1-125 2a Bsrbi Curates CM 03/23/97 2.000E-02 mCi A 2,OOOE-02 7.600E-01 Diagnostic Prad\rc'te Corp DAD11597P%4%9

RM~5D37-9 1 . 1 2 5 Benrodiaz~pinestL) 0U14197 L .OOOE-02 Mi /.C@ '-' 1.000E-02 3.700E-01 Diagnostic P r e c t s ,Carp llc43.7080- D? RMR5035D 1-125 2W PCP CAC R I A KfTCL O t / 1 4 / m 2.00M-02 Mi 7.0@&-' 2.MOE-@ 7.bU)E-07 Diagnostic Products EOrp 31C43.7099-Dl 1 ~ ~ 5 0 J d l 1-125 l~(rheta.oirte RIA K I T ( 01114/97 I.ODOE-W Mi 1- oflo"' 1.000E-02 3,TOOE-01 Dieqnostic Product6 C D r p S l W - 7 ( W O - O I =5@382 1-125 *rphimlarunCACROC114/97 1.I)OIIL-DE~i i * @ Q f . 2 '1.000E-dZ 3,TOOE-01 Dfa#mtic Prbdllctn Corp llE43p70PP-M

~m50583 J-1s Barbirvales R11 CP)Ik/97 1.000~-02 Ki 1rrn~-2 1 .MOE-02 3.700E-01 0 I egnos t i c Products Gorp 91c43- 7889-01 RMRSU~OO 1-125 2X Anphetmnin R I A X O&/IUP7 2.U))T-02 nCi - 7 - m 0 k - L 2,DDOE-02 ?.(DOE-01 Oiagnost ic Products Corp DAD11596PlGIO ~ ~ ~ 5 0 4 0 1 1 .125 2w Cocaine Met C4C R 04/22/97 2.OOOE-02 Rei 2 .&?& 'z Z.bOOE-02 7, b00E-01 01ag~stie P~adircts Corp CkRDAlSP6P1618 RMRf0602 1.125 2w Ilorphine.Serm CA 04/22/97 2.000E-fit nCi '.@'.' 2.000E-02

RHRS&~ I - 1 Z S L W C A C R I A K I T ( L 1 &/72/971.00OE-02~i / . d 2 1 t - L 1 .w@-w RIKR5@406 6-125 2x rMc R l n K I T t L ) 04/22/97 2.0001 -02 Ni 2 mE -* 2.000E-02 R#1?50405 1 - 125 HetharrphelamimCr ) 04/22/97 1 ,DDDE-02 Ki /. @OE ' z 1 , POOE.02 - RXRMLD~ 1-125 ?X PCP C l C J t lA K I T ( L 01112IPT 2.DDOE-Dl Hi

' t.ODM-02

RHRSQb07 1 - 2 5 2~Benrodrarepines(L04~22/93L.OOOE-O2mci Z'buoE*' 2. ODOE -02

2. WOE-02

1-125 THC R I A K I T C L ) ,9=

DIll4/97 L.0001-02 Mi I.DIDf-02

1.125 Cocaine Met MC R I A 04/14/97 1.000E-02 Mi { . OW '* I ,000E. 02

I.!OOE-01 O iagnost l c Products CDrp

3.7DDE-01 Diegnaslic Products Coro

7,600L-01 Diagnas4ic Products Corp

1.700E-01 Die~nostic Products Corp

7.400E-01 Diegnostic Products Corp

7.400E-01 Oiaipwtic P-ts Cotp

7.4ME:OI Oiegnost(c Prducts Gorp

3.?00€-01 Diagnostic Product* Corp

J.7OOf-0) Oisgnoet ic Products C w p

43 Records Processed .

The principal users lrignsture an the httm of a physical inventory o f the radionuclides . l i s t e d has bKn per~atwxi.

. Signature: dstr : 5 1 27 / q7

CEAKKP Report Receipts i n Inventory by A c t i v i t y f o r In te rna l License 569(Bosy, Thomas) (A208)

FEB 13 1997 08:25:00

Receipt. Radio- Chemical/Physical Receipt Receipt Current Inventory Inventory Key Nucl ide Form Date A c t i v i t y A c t i v i t y Act iv i ty(mCi) Activity(M6q) Supplier P.O. Number _ - _ _ _ - _ - - - - - - - - - - - . . . . . . . . . . . . . . . . . . . . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ - - - - - - - - - - - - - - - - - _ _ _ _ _ _ _ _ _ _ ~ _ _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ _ _ _ _ _ _ _ _ _ _ _

/'

RMR50128 1-125 2X ABUS PCP 100T(L) 12/06/96 2.000E-02 rnCi / 8 2.000E-02 7.400E-01 Roche Diagnostic Systems RMR50142 1-125 ABUS METHAMPH 100T(L 12/11/96 1.000E-02 mCi 1 .000E-02 3.700E-01 Roche Diagnostic Systems

RMR50149 1-125 4x Benzodiazepines(L 12/17/96 4.000E-02 mCi 4.000E-02 1.480E+00 Diagnostic Products Corp 121196

RMR50150 1-125 4x Amphetamine RIA K 12/17/96 4.000E-02 m C i 4.000E-02 1.480E+00 Diagnostic Products Corp DADA1597P1419

RMR50151 1-125 4X Barb i turates CAC 12/17/96 4.000E-02 mCi 4.000E-02 1.480E+00 Diagnostic Products Corp

RMR50152 1-125 4X Cocaine Met CAC R 12/17/96 4.000E-02 mCi I 4.000E-02 1.480E+00 Diagnost ic Products Corp DADA1597P1419 RMR50153 1-125 4X Morphine-Serum CA 12/17/96 4.000E-02 mCi 4.000E-02 1.480E+00 Diagnostic Products Corp DADA1597P1419

RMR50154 1-125 4 X L S D C A C R I A K I T ( L l 2 / 1 7 / 9 6 4 . 0 0 0 E - O 2 m C i 4.000E-02 1.480E+00 Diagnostic Products Corp DADA1597P1419

RMR50155 1-125 4X THC RIA KIT(L) 12/17/96 4.000E-02 m C i 4.000E-02 1.480E+00 Diagnostic Products Corp DADA1597P1419

RMR50156 1-125 4X Methamphetamine(L 12/17/96 4.000E-02 mCi 4.000E-02 1.480E+00 Diagnostic Products Corp DADA1597P1419

RMR50157 1-125 2X PCP CAC RIA KIT(L 12/17/96 2.000E-02 mCi / 2.000E-02 7.400E-01 Diagnostic Products Corp DADAl597P1419 RMR50158 1-125 2X Benzodiazepines(L 12/17/96 2.000E-02 mCi & 2.000E-02 7.400E-01 Diagnostic Products Corp DADA1597P1419

7 Bo- "'2 RMR50216 1-125 2X

application for authorization to use radioactive material … · 2012. 12. 4. · laboratory at the...

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