APPLICATION FOR MATERJAL LICENSE

PE O f FEE

INSTAUCTIONS: SEE T H E APPROPRIATE LICENSE APPLICATION GUlOE FOR D E T A I L E D INSTRUCTIONS FOR COMPLETING APPLICATION. SEN0 TWOCOPIES OF THE ENTIRE COMPLETED APPLICATfON TO THE NRC OFFICE SPECIFIED BELOW.

AC?L)Ul lOM# COR D l C r R l ~ V n O N OC C X t Y c T PRODUCT8 FILL APPUCAnONS WITH: If VOU ARL LOCATED IN.

FEE LOG FCf CATCCORY COMMENTS

U.S. NUCLEAR RCOUUTORV COUMISSIOH OIVlSlON OF INDUSTRIAL AND MEDICAL NUCLEAR SAFETY. N W S WASHINGTON, OC 20865

DUN1 RECEIVED

ALL owEn rtnsoNe FILE w C u c A w o w A# m u m s . IC YOU Ann

CONNSCIICUT. DRAWARC. otmnicI OF COLUMBIA, MAINE, m A n y u N o .

LOCATED IN:

Y I I U C H U I ~ I . M E W MAM?WlM. NEW JLR#EV. HEW V M f . CCYNSYLVANU. RMOOg ISUNO. OR MRYOCn. #END IPPLlUl (0NS TO:

U.S. NUCLFAR REGUUTORY COMMISSION, REGION I NUCLEAR MATfRIALS S A f m SECTION B 475 ALLENDALE ROAD KINE OF ?nUSSIA. PA 1-

AUBAMA. nonioh. m o n a t A . KCNTIJCKV. MIUI~~IWI. Nonm CAROLINA. PUtl l fO I R O . MUTW CAROUIIA. T?iYWCWE. yIR(IIWtA. VIRQIN lSUYI)C. OW WEST V1ROINlA. lCWD UcUCATlON# TO

U.S. N u c u m neatmow COMUISSION. n K i m II iai ummi m E n . sum an NUOUR MATERIALS SA- SSCllON

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CMCEK NUHIER

ILLINOIS INDIANA. IOWA MICWfOAN, UINNESOYA. M I W R I . OHJO, OR WlSCONSiN. SEND APPLlciTlONS TO:

u s NWCLCAR n f t u u i o n v COMMISSION. REGION IP

799 R o o s w E L i noAo MATERIALS LlCCNilNO 6ECTlON

GLEN ELLVN. I L 00137

A R K A N I U COLORADO IOAWO KANSAS LOUISIANA MONTANA, NE#RALKA,

M WVOMIYU. S I N 0 AWLICAT10W 10. NLWMIXI&. U o w w &OTA,OKLAHOMA.SOUTH DAKOTA. TrxAs. UTAM.

U.S. NUCLEAR REGULATORV COMMISSION REGION I V MATERIAL RAOIATION PnoTccTION SECTION 111 RVANPLAZA DRIVC. SUITE la ARLINGTON. TX 7301 I

ALASKA ARIZONA CALIMRNIA UAWAII. NEVADA OREOON WMWINOTON AND u.6,' r tnniro im AND rodrrlows IN W E r i c t i t c . sciuo AWLICATI~ES TO:

U S . NUCIUII I I O U U T O R Y COMMISSION, REGION V M C L U R MARRIALS S A F F N SECT'ON lrsD MARIA LAN'& SUIT€ 110 WALNW CREEK. CA WOO

I) AMENOMBNT TO LICENSE N U H I C R

C. RCNfWAL Of LICEME N U W E R 3 410 Centre Street Nutley, New Jersey 07110

1

I. AOOmE6llES) WHERE LICENSED M A T I R I A L WILL @E USE0 OR ?oS3EssEO.

410 Centre S t r e e t Nutley, New Jersey

NAME OF PERSON TO BE CONTACTED ABOUTTHIS AI?LICATION ITECEPHONE NUM8ER

John M. Gochoco, M.S.

~

INDIVIOUALISI RCSIONSIILE FOll RADIATION SACETV PROGRAM A N 0 THLIA TRAINLWG AND EXlERl tNCE

~

~ 1 I TRAINING COR INOIVIOUALSWORKING IY OR FRTOUENTING RElTRlCTEO AREAS

FACIllflLJ A N 0 M U I I H C N T

Magnetic Resonance of New Jersey 410 Centre Street

Nutley, New Jersey 071 10 (201) 661 -2000

l e m e m Information,

Items #5 and 6 - Materrals and Pur-

By P roduct Matella( Amout PurDose 5a. Material in 35.100 As needed Medical use 5b. Material in 35.200 As needed Medical use

Item #7 - RadMion S&tv Officer W r i z e d User

Please list Patrick J. Conte. M.D . as the Radiation Safety Officer and Authorized User (35.1 00 and 35,200). Enclosed is Dr. Conte's C.V. for your review. Please note that Dr. Conte is currently approved as the Radiation Safety Officer and Authorized User on an NRC license.

Enclosed for your review regarding Dr. Conte:

-Current C.V. -Certificate, American Board of Diagnostic Radiology Certificate, American Board of Nuclear Medicine -USNRC License #29-06759-01 (St. Michaels Medical Center, Newark, NJ) -NJSL License #70004-02 (St. Michaels Medical Center, Newark, NJ)

Item #8 - Employee T raining

We will follow the model training program as published in Appendix A to Regulatory Guide 10.8, Revision 2.

* . I Item #9 - facilitigs and -men1

sa) A facilities diagram is attached ( A n 9.1) . 9b) A list of equipment is attached ( A T 9.2) . 9c) Survey meters will be calibrated by a facility licensed by the NRC.

Survey meters will be checked for proper operation with a dedicated check source each day of use per 1 OCFR 35.51 (c) .

A back-up.survey instrument will be available if the meter is off-site or inoperable.

9d) We will follow the model procedures for calibrating our dose calibrator as published in Appendix C to Regulatory Guide 10.8, Revision 2 . Linearity will be established down to 30 microcuries.

9e) We will follow the model procedure for personnel monitoring as published in Appendix D to Regulatory Guide 10.8, Revision 2 . Nuclear medicine technologist dosimeters will be exchanged monthly by an NVLAP accredited service (e.g. Landauer, Inc. or Siemens, Inc.).

. . Item #10 - w o n Safatv P r o m

loa) We will establish and implement the model A U R A program that was published in Appendix G to Regulatory Guide 10.8, Revision 2, with the exception that since this is a private office, the organization will not include a radiation safety committee or any functions delegated to a radiation safety committee.

lob) We will establish and implement the model procedure for leak-testing sealed sources that was published in Appendix H to Regulatory Guide 10.8, Revision 2

1Oc) We will follow the model rules for safe use of radiopharmaceuticals as published in Appendix I to Regulatory Guide 10.8, Revision 2 .

10d) We will follow the model spill procedures as published in Appendix J to Regulatory Guide 10.8, Revision 2 .

10e) We will establish and implement the model guidance for ordering and receiving radioactive material that was published in Appendix K to Regulatory Guide 10.8, Revision 2 .

1Of) We will follow the model procedure for opening packages as published in Appendix L to the Regulatory Guide 10.8, Revision 2 . log) We will follow the model procedure for records of unit doses as published in Appendix M.l to Regulatory Guide 10.8, Revision 2 . Mo/Tc generators will be used at this facility.

10h) We will follow the model procedure for performing area surveys as published in Appendix N to Regulatory Guide 10.8, Revision 2 . We will set our action levels for surface contamination by radiopharmaceuticals according to Table N-1 in Regulatory Guide 10.8, Revision 2 .

The action level for ambient exposure will be 0.5 mWhr for unrestricted areas and 5 mWhr for restricted areas.

Item #I 1. - Wastabdanagarnetl

Those materials not returned to the central radiopharmacy shall be disposed of via decay-in-storage (DIS) . The model procedure for DE, as given in Appendix R to Regulatory Guide 10.8, Revision 2, shall be followed.

f i

A I L 9 2 ST OF E Q U I P W

1. (1) Dose Calibrator 2. (1 ) Detection Survey Meter with pancake probe and dedicated check source 3. (2) Pro Tec II Syringe Shields #007-800 3cc and #007-900 5cc 4. (1) Standard table shield double lead glass #042-316 5. [ 1 ) Lead Lined Waste Container (20 qts) #039-100 6. (1 ) Ludlum Nal Well Wipe Test Counter W75-578 7. ( 1 ) Lead Shielded Syringe Holder W09-220 8. (2) Lead Lined Syringe Storage Containers #050-200

1. (1) Technicare 438HR S/N 336 MCS 560 Gamma Camera and Computer

OUTSiOE W A l

1.3'3''

MAGNETIC RESONANCE OF NEW JERSE) NUCLEAR MEDICINE 410 CENTRE STREET NUTLEY, NEW JERSEY 07450 (201) 661-2000

OUTSIDE WALL 14.8'

_____.- RAM WASTE STORAGE aosas I

ELECTRICAL 5 m m s

HOT LAB AREA

RAM STOR4GE

Y 0 9 3

TECHNICARE GAMMA

7'0" HALLWAY

FILE STORAGE ROOM

21'0 '

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A CONJOINT BOARD ORGANJZED WITH T H E SPONSORSHlP OF THE AMEHICJXN BOARD 01‘ I N T E H N I U , MEDICINE.

AMERlCAN BOARD OF PATHOLOGY. AMFRlChN UONin OF RADIOLOG\- AND T H E S O C l C n 01: NUCLEAR MF,DICINE

,

I IEREBY CERTIFIES T H x r

,

liAS MET 7’KE REQUIREMENTS OF THIS C O M D AND l!5

CXRTJFED AS QUALEIED TO PRACI’ICE AS A SPECIALIST IN A t L ASPECl’S OF CLINlCAL AND LABORATORY

NUCLEAR MEDICINE

INCLUDMC B U T NOT LIMITED TO WIOBIOASSAY. NUCLEAR IMAGING.

IN VIVO MEASUREMENTS AND THERAPY WITH UNSEjLLED RADIONUCLIDES

ClWRMAH

, . N U M B 3 3 01419 DATX MAY 5. 1972

. . .--_ .. I - .

C ~ ~ R R J.cuLUH V I T A E

P A T R I C ~ 3 - CONTE, M.D. f

EDUCATION: seton iia11 U n i v e r s i t y SoUkh Oranqer M J s e p t . 1958zJune 1 9 6 1

st r i tch School of Etedicfne of Loyola U n i v s r s l t y Chicago, Illinois M.U. Degree, June 1 2 , 1966

INTERNSHIP: S t r a i g h t Medical. Internship Upsta te Medical Center, S U N Y Syracuse , NY 1 9 6 6 - 1 9 6 7

RESIDEEJCY ! General Radio loc jy Residency U p s t a t e kledica l C e n t e r , S U N Y S y r a c u s e , EIY 1 9 5 7 - 1 9 7 0

- FELLOWSHIF: by LI c 1 ea r !-led i c i 11 e U p s t a t e Medical Center SUNY S y r a c u s e , N Y 1 9 7 0 - 1 9 7 1

HOSPITAL APPOINTMENTS !

Ckdica l Di rec tor , I l u c l e a r P.ledicine and Visceral Ultrasonography, Department of r.1edLcihe, Senior Attending, Departrnenk of I l e d i c i n e S e n i o r Attending, Depnrtmant cf Radiology Saint Wichael's t4edical C e n t e r , 268 M a r t i n Lu the r : K i n g , $ J r . B l v d . , Newark, N3. i 993 - p r e s e n t .

Consultant a n d Clinical Xnc;osk!?akor, N u c l e a r Medi-!;le F h y ~ i c l a n C e n t e r fat MoLecular t lod ic l ne z3.j !rnnlunoloq.j, O n e S r u c e S t r e e t E ~ P W Z T ~ , U J 1?92-present

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PATRICK J . CONTE, k.D.

Director of bluclear Medicine Sectiorl and Senior A t t e n c l i n g , Department of Radiology, Saint Barnabas .Medical C e n t e r , 01.d Short Hills Road, L i v i n g s t o n , NJ 0 7 0 3 9 1 9 7 2 - 1988

Consultant Staff, Department of Radiology, Saint Vincent's Hospi ta l and Medical Center of New York., 1 5 3 West 11th Street , NY 1 0 0 1 1 1 9 7 7 - 1 9 8 9

Assistank Clinical Professor, Department of Radiology, Cornell U n i v e t - s i t y and Medical Center/ The New York Hospl t a l 1300 York Avenue, NY 1 0 0 2 1 1 9 8 2 - 1988

TERCIIING APPOINTMENTS:

A s s o c i a t e Professor, Department o f I n t e r n a l h l e d i c i n e S e t o n H a l l U n i v e r s i t y , Schocl of' Graduako 14edical E d u c a t i o : i , S o u t h Orange A v e n u e , NJ 1 9 9 1 - present

Program D i r e c k c r , Nuclear Rad!-z~,loqy R e s i d e n c y Prcgram, D e p a r t m e n t of Radiology, S a i : i t S a r n a b a s Medical Center, Livingston, NJ 1979 - I988

Clinical Insttuckor, Diagnostic Radiol .ogy Residency Program, Department of Radio logy , S a i n t B a r n a b a s Medical C e n t e r , L i v i n g s t o n , NJ 0 7 0 3 9 1 9 7 2 - 1 9 5 8

i

Medica!. D i r e c t o r , Program of b1:Iclear Medicine Technology, Radiology Deparknent , S a i n i B a r n a b a s I4e2ical C e n t e r , Livingston, EJJ 07039 1975 - 1980

- 3 - . . . .

PhTRXCR J. CONTE, bl.0. . i . .

Adjunct Professor, Baccalzureate Degree Program i n Nuclear '

M e d i c i n e Technology, S e t o n Ha11 University, S o u t h Orange, NJ . - . 1 9 8 2 - I989

Clinical I n s t r u c t o r i n Radiology, Nuclear Medic ine and Ultrasonography, Comprehensive Medical Review Course, Department of Graduate Medicdl E d u c a t i o n , Saint Barnabas Medical C e n t e r , L i v i t i g s t o n , NJ 07039 1 9 7 6 - 1989

Clinical I n s t r u c t o r , Radiation Therapy R9sidency Program, Department of R a d i a t i o n T h e r a p y , Saint Barnabas Medical C e n t e r , Livingston, N3 07039 1 9 7 8 - 1 9 8 8

Clinical Radiology I n s t r u c t o r , D e p d r t m e n t of R a d i o l o g y , U p s t a t e Medical Center sUNYl Syracuse, N Y 1 9 7 0 - 1 9 7 1

CERT I F XCATION S :

Nakional Board of M e d i c a l E x a m i n E r s , 1 9 6 7 American Board of Genera! R a d i o l o g y , becomber 1 0 , ! 9 7 1 A m e r i c a n Board of N u c l e a r P l e d i r i n e , Flay 5 , 1 9 7 2 A m e r i c a n Board of Nuclear Radiology, J ~ i n e 2 9 , 1 9 7 4

LLCENSURE:

N e w Yark, August 3 , 1 9 5 7 , t icerise Mo. 0 9 9 5 1 0 New Jersey , December 1 3 , 1 9 7 2 , License No. 026569

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COMMITTEE APPOINTMENTS:

Investigational Review Board, Center for Moleculat Medicine and Immunology, Ohe Bruce S t r e e t , N e w a r k , HJ

Radiation Saftey Committee, C e n t e r for Molecular Medic ine and I m r n ~ n o l o g y , One Btuce S t r e e t , Newark, N J

Radiation s a f k e y Committee, S a i n t Michael's Medical C e n t e r , MLK, Jr., Blvd. Newark, NJ

Cancer Care Committee, S a i n t Michael's Medical C e n t e r , MLK Jr., B l v d . , Newark, NJ

Co-Chairman, Radiation Protection Committee, S a i n t B a r n a b a s Medical C e n k e t , L i v i n g s t o n , NJ 1 9 8 0 - 1988

P r e s i d e n t , Advisory Board, Program of Nuclear Medicine Technology, S a i n t Barnabas Fled ica l Center, Llwihgston, lJ2 1 9 6 0 - 1988

Tunor 3 o a r 2 , S a i n t Barnzbas Medica l C e n t e r , Livingston, NJ 1 9 7 8 - 1 9 8 2

Pled ica l B o a r d , S a i n t Barnabas PtedJ.ca1. C e n t e r , NJ 1 9 8 2 - 1 9 8 8

Tissce R e v f e w Committee, S a i n t Barnabas Medical C e n t e r 1 9 8 0 - 1 9 8 1

Society r3f Nucleaf Medicine, Grea te r hew York C h a p t e r , F i n a h c e C o m m i t t e e , 1962 - 1983 B y l a w s Committee, 1 9 8 3 - 1986

New J e r s e y Medical Society, R a d i c l o g y S e c t i o n , Cornmcttea Chairman t o r 1 9 8 2 Anhi la1 M e e t i n g

President, E o a r d of H e a l t h , R3rough of R o s e l a n d 1 9 8 0 - present

. PATRICK J . CONTE, k.D.

M E D I C A & SOCLETY MEMBERSHIPS:

A m e r i c a n E.ledi.ca1 hssocia tion S o c i e t y of Nuclear Medicine Radiologic Society Q E North America Mew Jersey t4edical Society, Radf.ology Section Essex County Medical Society New J e r s e y I n s t i t u t e of Ultrasound in MedicJ.ne ' Medical Advisory Board, Lupus Erythematosis Foundation of N e w J e r s e y

PUBLICATIONS :

Radiology Consultant and E d i k o r , Textbook, Clinicians' Guide to Medical Lmaghng: Stu r rnan ,hF Publisher, Wi1.liarns and Wilkins, t o be published i n ??9?

Llpdake on Gallium-67 C o n c s n k r z t t c ? n I n Hcman Breast P l i l k : Journal o f N u c l e a r N~!C!iclne Technology, December '1883

Aer t i c ; A n e u r y s m C a u s i n g t v l u l f i p l e L i v e r Sczri Defects! AmerCcan J o u r n a l of Roentgenology: t-larch 1 9 7 7

Demonstration o f Mecksl's Diverticulum W i t h a n d Wi thou t Perc5lotate Premedication! Journal of Clinical Nuclear Medicine, August 1 9 7 6

Diagnosis o € Bleeding Meckel's Diverticulum Using R a d i o p e r t e c h n e t a t e ! American Journal of Caskroenteroiogy, March 1 9 7 7

Radioloqic Detection of Clinically Occult C a r d i a c F a i l u r e FolLowfng Myocardial I f i f a rc t io r . : B r i t i s h J o u r n a l of R a d i o l o g y , April 1 9 7 1

Embryonal RhatdomyosarcDma of t h e Middle Ear w i t h tong Term S u r v i v a l ! H e w E n g l a n d J o u r n a l of Medicine, J a n u a r y 1 9 7 1

Vtral Pneumonia: Roentgen-Pathologic C o r r e l a t i o n ! Radiology, May 1970

h -6 - -.

_ . . P A T R I C K J . CONTE, C1.D.

_ _

c a l c i f l ~ d Mediastinal Fxonchogenic C y s t s : Radiology, November 1 9 6 9

what is Nuc1.ear Medic ine Technology? A u d i o v i s u a l Froqrarn f o r t h o S o c i e t y oE N u c l . e a r M e d i c i n e , T e c h n o l o g y S e c t i o n , 1 9 8 2

PICKER FOUNIIA'I'ION PILOT GRANT:.

Thyroid Scanning w i t h S e l e n i u m - 7 5 SelenomethionP a n d Gallium- 6 7 for t h e Detection of T h y r o i d Malignancy: 1 9 7 1 - 1 9 7 2

SCIENTIFIC EXHIBITS!

A Correlative S t u d y of t h e Stability of Tc-99rn D i p h o s p h o n a t e : Society of Nuclear Medicine A n n u a l Meeting, C h i c a g o , I L L June 1 9 7 7

DetectLon of F e c a l I n f l a m m a k G r y Diseass Using G a l l i u m - 6 7 Citrate: Society of Nuc lea r Medicine A n i ; u a l Meet l -ng , Dallas, Tx; J u n e 1 9 7 6

N o n - M a l i g n a n t C n u s e s of Fosikiue Bons Scans Using F l c o r i n e - 1 8 : Nuclear Medicine Society Annual. i.leet!ng, Los Angeles , C A : Sil*Jer MedaS A w a r d , June 1 9 7 1

PRESENTATION OF SCIgNTIFlC P A P E R S :

P.adLo1oqi.c Detection of C L i n i c a l L y Occult Cardiac Failure F o l l o w i n g M y o c a t d i a l infarction! Radiologic S o c i e t y of Nor th America, Chicago, IL Oecember 1968

v i r a l . Pneumonia : Roentgen-Patho . l .o? ic C o r r e l a t i o n : I?adio l .og ic Socieky of North America, C h i c a g o , IL December 1 9 6 9

Aerosol Lung Imaging! hnnual Meekfng of T h e Society of Nuclear F led ic ine , Midat !sn tLc Sec t ion , Fredricksbutg, VA A p r i l 1 9 8 4

3-

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~ J S I T I N G PROFESSOR:

Q u a n t i t a t i v e Thallium Imagihg: Visiting Frofessor, Academy of Medicine of N e w Jersey, S a i n t Barnabas-Medical Center , L i v i n g s t o n , NJ June 1 9 8 3

Dipyridamole Thallium Myocardial Imaging! Visiting Professor, Radiology Grand R o u n d s , Urriva,rsiky Hosp i ta l , University of M e d i c i n e and Dentistry of New Jersey, A p r i l 1 9 8 6

Aerosol L u n g Imaging? V i s i t i n g Professor, Radiology G r a n d Rounds, University l € o s p i k a l , UMENJ , A p r i l 1 9 8 7

. - . - J .. . ,-

Hammoudeh, H a f t , Conte. ( 1 9 9 4 ) Correlation of Left Ventricular Wall Notloo Abnormalities and Q Waves with Tc 99m-Sestarnibi SPECT Perfuslon Irnaglng. Abstract; Cllnlcal Research; V o \ . 4 2 , No. 2 , P. 196 A .

Hammoudeh, H a f t , Conte, (1994) Poor Correlation of Pathological Q Waves w i t h Sestamibi SPECT Myocardial Perfusion Abnormaiities. Abstract: Clinical Research; V o l . 4 2 , No. 2 , p . 196 A .

Goldenberg, Sharkey, Udem, Vagg, Levine, Conte, Suayne, Hansen. (1994) Pneumocystis Cacihfi Pneumonia i n AIDS Patients: A Method of Diagnosis 9 y Redloimmunodetectlon (Immunosclntigraphy). J. Nucl. Med; Vol . 35, No. 5;1-10.

Goldenberg, Sharkey, Udem, Vagg, Levine, Conte, Swayne, Hensen. (1994). Immynosclntigraphy of Pneumocystis C a r l n f i Pneumon-ia i n AIDS Patlents. J . Nucl. Med,; Vol. 35, No. 6;1028-1033.

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Sharkey, Gold, MarkowltZ, Swayne, Conte, Coldenberg (1994) I n i t i a l C71nical Investigations of PAMAY, A New Murine Monoclonal Antibody Agalnst Pancreatic Canter. Abstract: Cl in . I n v e s t . , Vol. 35; p . 219.

Sharkey, Dion, Suayne, Conte, M a r k o w i t z , Goldenberg. ( 1 9 9 4 ) Radlolmmunodetsction of Epithel’al Cancers w l t h an A n t i - M U C 1 M u r i n e Wonoclcne! Antibody. .Abstract: C l i n . Invest., Val. 35; p . 2’10.

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P A G E 1- OF ? P A . ~ E ~

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Us$. NUCLEAR REOULATORY C ~ M l S f l O N

- MATERIALS LICENSE Amendment K O . 4 2

Energy Act of L954. 3s m c n d t d , the Energy Reorganization Act of !974 (Public Law 93-436). and f l t t c 10,

7cde of Fedcra! Rcgulz~~ons . Chapter 1, Pam 30, 31 , 32, 3 3 . 3 , 3 5 , 39, 40 and 70. and i n rcl1ance on s ~ t e r n e n ~ s a d rcprexnut igns hercrois:: cmc is hereby issued Puthoking fhc licenrce to rXCive. 8CquirC. possesS. 2 n d W s f c r byproduct. source. and jw:a]

seis) and at Lhc place(s) deaignrtcd k i o w ; to dctivcr or r:anrrfcr ,uch r n a t e ~ d

c i v e ir in accordrocc wilh h e regularions of 9, appliciblc Part($). This l i ccn~c shall bc dcrmcd IO conrain Q c conditions specified in Section 183 of h e Atomic Energy Act of 1954. as rmzndd. and is subject 10 all oppiicJbk ruks, rcgulaions and orders o f h c Nuclcar Rcguhtory Commission now or hsrufrer in t l fcc i and to any conditions specified below.

I I 1 May 25, 1994, j I 1 / I j/

ii ~ . $ & t l o a dlte Apri ~ 30, 1996

'1 1; + -under this license jl

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d iopha rmab ' eu t i ca l ' C . As-'needed * . I $ 13

I licensee 1 1 3 . Lcdnsc number 29-06759-01 i s amended i n i

I n accordance w i ' t h t h e l e t t e r dated

i t s entirety t o read a s fo?lows: edical Center

- - . S . Docker or 1 Reference yo. '- 030-02490

7 . Chemical and/or physical '-8. Maximum amoun t h a [ !i;:nse: ' . I . ' ,may possess a1 any one 1L';ic i

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l i z e a s 217 a n a t o r i c a l m a r k e r . Adrzna ' i r rag 'ng i n a c c o r d a n c e w i t h FCA iN0 il,S9S. Adrenal rnedul7ary imaging i n accqrdance w i t h F3k IN0 2 5 , 1 2 8 .

-- !C ~ i t . ; ~ j t : ! d i e j .

c. - - UCCEAR R E G U L A T O R Y COMMISSION

4.' .

Amendment No. 42 - I --

P A C E . O F 3 P n C E S Licensa number

29-06759-01

11 (Continued)

SUPPLEMENTARY SHE ET

COND I T IONS

030-02490

15. I n a d d i t i o n t o the possession limits i n I t e m 8 , the licensee shall further restrlct t h e possession o f licensed material a t a s i n g l e l o c a t i o n t o q u a n t i t i e s below the limits s p e c i f i e d in 10 C F R 30.72 which require consideration of t h e need for an emergency p l a n for responding t o a release o f licensed n a t e r i a l .

T h e ltcensee i s authorized t o transport licensed materia? in accordance w i t h the .provisions o f 10 CFR 71, "Packaglng and Transportation o f R a d i o a c t i v e Material . " Except as specifically provided otherwise in t h i s license, t h e licensee s h a l l conduct i t s program in accordance u i t h the statements, representat l on$, and procedures con ta ined in t h e documents, including any enclosures, 1 i s t e d below, except for minor changes in the medica7 use r a d i a t i o n s a f e t y procedures as provided t n 10 CFR 35.3'1. The U.S. Nuc?ear Regulatory Cgmrnission's regulations s h a l l govern u n l e s s the statements, reprFsEntations, aid procedures i n the 1 iccnsee's application and correspondence a r e more restrictive t h i n t h e resulations

. :

16.

17.

A . 8 .

Application d a r e d Hzy 4 , L e t t e r d a t e d Jar,uary :3 ,

i 990 1991

OFFICIAL BECORD COPY ML io - 1212'769