department of the army, tripler army medical center ...mchk-pvr 15 november 2013....

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MCHK-PVR, Health Physics Section Tripier Army Medical Center License No. 53-00458-04 Docket No. 030-03537 U.S. Nuclear Regulatory Commission Region IV 1600 E. Lamar Blvd. Attn: DNMSIMNSB-B Arlington, TX 76011-4511 09 December 2013 Supplemental Information to support Tripier Army Medical Center's request to amend NRC License #53-00458-04 Amendment #94. 1. Supporting documents are enclosed to validate removal of Cs- 13 7 sources, Items 6 and 7, from the current license. The enclosures provide documentation of transfer of Cs-13 7 sources and also include a current inventory showing the sources have been removed. 2. If you have any questions concerning this letter please contact CPT Mark T. Williams, RSO, at (808) 433-2334 or by e-mail to [email protected]. 3 Encl Sealed Source Inventory Waste Manifest - 2011 Waste Manifest- 2013 MARK T. WILLIAMS CPT,MS Radiation Safety Officer PUBUC a Release Release NON-PUBUC a A.3 Sensitive-Security Related a A.7 Sensitive Internal a Other: - '':) /n.J Reviewer: )11$

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Page 1: Department of the Army, Tripler Army Medical Center ...MCHK-PVR 15 November 2013. MEMORANDUMFORTAMCRSO SUBJECT: Sealed Source Inventory for 4th QTR CY 2013 I. On 15 November 20.13

MCHK-PVR, Health Physics Section Tripier Army Medical Center License No. 53-00458-04 Docket No. 030-03537

U.S. Nuclear Regulatory Commission Region IV 1600 E. Lamar Blvd. Attn: DNMSIMNSB-B Arlington, TX 76011-4511

09 December 2013

Supplemental Information to support Tripier Army Medical Center's request to amend NRC License #53-00458-04 Amendment #94.

1. Supporting documents are enclosed to validate removal of Cs-13 7 sources, Items 6 and 7, from the current license. The enclosures provide documentation of transfer of Cs-13 7 sources and also include a current inventory showing the sources have been removed.

2. If you have any questions concerning this letter please contact CPT Mark T. Williams, RSO, at (808) 433-2334 or by e-mail to [email protected].

3 Encl Sealed Source Inventory Waste Manifest - 2011 Waste Manifest- 2013

?/d/W~ MARK T. WILLIAMS CPT,MS Radiation Safety Officer

PUBUC a l~ate Release ~onnal Release

NON-PUBUC a A.3 Sensitive-Security Related a A.7 Sensitive Internal

a Other: - '':) /n.J Reviewer: )11$ Date:~~

Page 2: Department of the Army, Tripler Army Medical Center ...MCHK-PVR 15 November 2013. MEMORANDUMFORTAMCRSO SUBJECT: Sealed Source Inventory for 4th QTR CY 2013 I. On 15 November 20.13

MCHK-PVR 15 November 2013.

MEMORANDUMFORTAMCRSO

SUBJECT: Sealed Source Inventory for 4th QTR CY 2013

I. On 15 November 20.13 a sealed source inventory was completed lAW NRC License #53-00458-04.

2. The fourth quarter inventory was completed by SGT William Moa.k, NCO, Health Physics Services.

3. All 118 sealed sources are accounted for.

4. POC is SGT William Moak at 433-2333 or [email protected]

Approved:

A'~~ MARK T. WILLIAMS CPT,MS C, Health Physics Se1vices

1)~51~ WILLIAM I. MOAK SOT, USA NCO, Health Physics Section

tnc./ I

Page 3: Department of the Army, Tripler Army Medical Center ...MCHK-PVR 15 November 2013. MEMORANDUMFORTAMCRSO SUBJECT: Sealed Source Inventory for 4th QTR CY 2013 I. On 15 November 20.13

11/1 5/2013 Sealed Source Listing Tripier Army Medical Center

License Receipt Current Receipt Organi:z:ationaJ Location ~ Line# Activity (mCi) ectivi!¥ (!!l!;;il ~ Serial# ~

Am-241 NP35 0,00001 0.00001 01/09/1995 49267A-361 H95-013C 1:3A303

Am-241 NP35 0.00001 0.00001 01/09/1995 492708-361 H95-013F 1:3A303 Am-241 NP35 0.16000 0.15728 03/3112003 CP4802000368 H03033102 1:3A303

Am-241 NP35 0.16000 0.1 5728 03/31/2003 CP4802000370 H03033101 1:3A303 Am-241 NP35 0.00104 0,00101 03/01/1997 KK-203 H97-094A 1:3A303 Ba-133 N6B 0.00017 0.00017 06128/2013 628135 H13062803 1:3A303

Ba-133 N6B 0.00100 0.00041 04/15/2000 707-21-7 H00-109F 1:3A303 Ba-133 N6B 0.27297 0.16725 07/10/2006 BM0633-00517 N06060493 1:3A104 Ba-133 N6B 0.01880 0.00556 07/01/1995 C307 H95-244A 1:3A303

Ba-133 N6B {).01880 0.00943 07/01/2003 F585 003122905 40:122

C-14 N6B 0.00067 0.00067 12/09/2003 10-C14 H04042901 1:3A'303 C-14 N6B 0.00002 0.00002 08/2012003 12-C14 003122902 40:122

- ·--- ' c:14 N6B 0.00005 o.oo~ · ~i2oos-- 143A --- - HOBO~ - 1:3A303-

C-14 ~-~~7 - -0.00067 03/1212004 2-C14 H04042902 1:3A303 - --- ·· c~~ O.oOo<i1- 01123/2008 346787 H08101601 - - ~3-N6B 0.00001

'--· C-14 N6B ~~~ 0.00006 · - ~5/199'Z 68 C-14 H98-072B 1:3A303

75 C-14 -- -C-14 NSB 0.00006 0.00006 07/2212003 003122904 40:122 -

Cd-109 N6B 0.00009 0.00007 06/28/2013 628137 H13062802 1:3A303

Cd-109 N6B 0.00009 0.00000 07/17/2007 D-124-6 H07072402 1:3A3o3 Cl-36 N6B 0.00004 0.00004 01/09/1995 49268-361 H95-0130 1:3A303 Cl-36 N6B 0.00009 0.00009 04/18/2002 SRS63383A353 H02040302 1:3A303 Co-57 N6B 20.00000 1.01562 10/01/2010 1457-132 NR100915002 1:3A104 Co-57 N6B

--O.Oci1o1 0.00008 04/15/2011 1498-34-2 HR 11 0325002 1:3A303

Co-57 N6B 9.86000 1.67909 01/17/2012 1566-071 N12011461 1:3A104 Co-57 N6B 7.67468 1.80864 05123/2012 1601-147 N12050561 1:3A104 Co-57 N6B 20.00000 0.02038 07/26/2006 96201 N04041401B 1:3A005 Co-57 N6B 20.00000 0.02043 07127/2006 96202 N04041401A 1:3A005 Co-57 N6B 5.77000 0.38922 01/20/2011 BM06057E11 01212 NR110118001 1:3A104

1----· Co-57 N6B 0.00013 0.00000 07/1712007 D-124-9 H07072404 1:3A303 co-so-- N6B 0.00101 0.00071 04/1512011 1498-34-4 HR 110325004 1:3A303 Co-60 N6B __ ~~~ 0.00005 02/08/1991 27182 H91-042B 1:3A303 Co-60 N6B 0.00010 0.00004 07/17/2007 D-1 2~5---- . - H070724o-s-- 1:3A303-Cs-137 N6B 0.00900 0.00580 11/01/1994 06-201 H94-362A 1:3A303 Cs-137 N6B 0.00100 0.00055 09/10/1987 10049 H88-050B 1:3A303 Cs-137 N6B 0.00100 0.00055 09/10/1987 10054 H88-050CA 1:3A303 Cs-137 N6B 0.00100 0.00055 09/10/1987 10060 HB8-050CB 1:3A303 Cs-137 NBS 0.00050 0.00045 0112212009 1333-25-14 N09012201 1:3A161A Cs-137 N6B 0.00050 0.00045 01/22/2009 1333-25-15 N09012202 1:3A104 Cs-137 N6B 0.00107 0.00073 07/30/1997 135004 H97-224B 1:3A303 Cs-137 N6B 0.00107 0.00059 01/04/1988 139413 H88-0SOGA 1:3A303 Cs-137 N6B 0.00107 0.00059 01/04/1988 139487 H88-050GB 1:3A303 Cs-137 N6B 0.00106 0.00073 07/30/1997 140713 H97-224A 1:3A303 Cs-137 -~ 0.00101 0.00095 04/15/2011 1498-34-3 HR110325003 1:3A303 Cs-137 N6B 0.00050 0.00047 07/05/2011 1510-31-2 N1 1070285 1:3A104-Cs-137 NBS 0.00102 0.00056 09/10/1987 22876 H88-0500 1:3A303 Cs-137 N6B 0.00108 0.00060 01/04/1988 22880 H88-0SOH 1:3A303 --- 'Cs:137-- iN6B 25018 _ __ H-88-0SOEA

.. 0.00104 0.00057 09/10/1987 1:3A303

Cs-137 N6B 0.00104 ~~0057 -~~87 25041 H88-050EB 1:3A303 -- - -·- Cs-'1.3i ---~--- o.oocig--- 1:3A3o3 0.00017 04/01/1998 273 H98-128 Cs-137 NSB 0.00107 0.00059 01/04/1988 34518 H88-050GC 1:3A303 Cs-137 N6B 0.00107 0.00059 01/04/1988 34599 H88-0SOGO 1:3A303 Cs-137 N6B 0.00107 0.00059 01/04/1988 34635 H88-050GE 1:3A303 Cs-137 N6B 0.00106 0.00058 01/04/1988 39982 H88-050F 1:3A303 Cs-137 N6B 0.04818 0.03081 06129/1994 48508-353 H94-189A 1:3A303

E11C)

Page 4: Department of the Army, Tripler Army Medical Center ...MCHK-PVR 15 November 2013. MEMORANDUMFORTAMCRSO SUBJECT: Sealed Source Inventory for 4th QTR CY 2013 I. On 15 November 20.13

Licens e Receipt Current Receipt Organizational Isotope Line# Activity (mCi) Activ!h( (mCil Date Serial # Serial# Location

Cs-1 37 N6B 0.00098 0.00054 09110/1987 6007 H88-050A 1:3A303

Cs-137 N6B 0.00050 0.00035 0810171998 621-2-3 N98-292 1:3A104 Cs-137 N6B 0.00025 0.00018 04115/2000 707-21-1 H00-108 1:3A303

Cs-137 N6B 0 .20600 0.19227 12/09/2010 BM06137E1033711 NR110118002 1:3A104 c ·s-137 N6B 0 .00999 0.00878 0412212008 CS1 3710-11-2 H08042205 1:3A303

~-Cs-137 N6B 0.00999 0.00878 0412212008 CS1371Q-11-3 H08042206 1:3A303 Cs-137 N6B 0 .00999 0.00878 0412212008 CS1371D-11-4 H08042207 1:3A104 - Cs-137 NSB 0.00999 0.00878 0412212008 CS13710·11-5 H08042208 1:3A303 Cs-137 N6B 0.00010 0.00009 07/17/2007 0..124-2 H07072403 1:3A303 Cs-137 N6B 0.00114 0.00075 11101/1995 FF-512 H96-005B 1:3A303

Cs-1~~ N6B 0.00104 0.00069 1 1101/199~ - FF-513 H96-005A 1:3A303 -- N'se-~oo1o5 - JJ-428-· -cs:137 0.00072 05101/1997 H97-094B 1:3A303 Cs-137 N6B - ~?~- 0.00592 02/08/1991 Red Disk 1 H91-042A 1:3A303 -·-- Eu-152 N6B 0.00044 07/05/201 1 1510-17-34-- N11 0703S:;---'i:3"A104"" 0.00050 -Eu-152 N6B 0.00009 0.00006 07/17/2007 D-124-4 H07072406 1:3A303 Eu-154 NSB 0.00050 0.00003 12119/1977 21706 H77-353AA 1:3A303 Eu-154 N6B 0.00050 0.00003 12119/1977 22699 H77-353AB 1:3A303 Eu-154 N6B 0.00050 0.00003 12/19/1977 2271 3 H77-353AC 1:3A303 Eu-154 N6B 0.00050 0.00003 12/19/1977 22717 H77-353AD 1:3A303 Eu-154 N6B 0.00050 0.00003 12/19/1977 22735 H77-353AE 1:3A303 -Eu-154 N6B 0.00050 0.00003 12/19/1977 22747 H77-353AF 1:3A303 Eu-154 N6B 0.00050 0.00003 12/19/1977 22761 H77-353AG 1:3A303 Gd-153 N6E 0.10380 0.00650 04/18/2011 1486-79-1 N1 1040281 1:3A303 Gd-153 N6E 0.10380 0.00650 04118/2011 1486-79-2 N11040282 1:3A303 Gd-153 N6E 0.10380 0.00650 0411 812011 1486-79-3 N11040283 1:3A303 Gd-153 N6E 0.10380 0.00650 04/18/2011 1486-79-4 N11040284 1:3A303 Gd-153 NSE 0.10380 0.00650 04/1812011 1486-79-5 N11040285 1:3A303 Gd-153 N6E 0.10380 0.00650 04118/2011 1486-79-6 N11040381 1:3A303 --- "G~ NSE - 250.00000 1.68~ ~9 F8-412 N08121801A 1:3A16·1·A

Gd-153 N6E 250.00000 1.68036 03101/2009 F8-413 N08121801B 1:3A161A Ge-68 N6B 1.49000 0.98739 06/2112013 K4-705 N13060864 1:3A160 H-3 N6B 0.00135 0.00078 04/30/2004 1-H3 H04042904 1:3A303 r---· ~--N68" 0.00003 0.00002 0812012003 12 H-3 003122901 40:122 --H-3 N6B 0.00013 0.00008 03126/2006 1436 H06061201 1:3A303 H·3 N6B 0.00135 0.00078 0410212004 2-H3 H04042903 1:3A303 H-3 N6B 0.00010 0.00004 09/15/1997 68 H-3 H98-072A 1:3A303 H-3 N6B 0.00013 0.00007 0712212003 75 H-3 0 03122903 40:122 1-125 N6B 0.00100 0.00003 0211 4/2013 13013 DR130124002 40:122 1·125 ·~· 0.00098 0.00004 0310612013 584866 DR1 30228001 40:122 1-125 N6B 0.00100 0.00041 09/2312013 OCT138R0red R130919001 40:122 1-129 N6B 0.00010 0.00010 02/0811991 138771 H91-042CB 1:3A303 1-129 N6B 0.00005 0.00005 09/08/1997 150456 H97-2518 1:3A303 1-129 N68 0.00005 0.00005 09108/1997 150469 H97-251A 1:3A303 - --- i=1i9 N6B 0.00010 0.00010 02/08/1991 22774 H91-042CA 1:3A303 t-129 N68 0.00010 0.00010 02/08/1991 22782 H91-042CC 1:3A303 ---· ~-~- - 0.00010 0.00010 - ~811991 31490 H91-042CD- - i;;3A3o3 1-129 NSB 0.00009 0.00009 1011012000 733-32 H00-2616 1:3A303 1-129 NSB 0.00008 0.00008 12/31/1980 90331280 H83-168Y 1:3A303 lr-192 NSF 8391.27055 5303.87431 10121/2013 24-01-2636-001-091 R131018001 1:G1D108 lr-192 NSF 10284.90000 2074.494S9 06/21/2013 -24-01-2S36-001-09 RR130621001 1:G1D101 Mn-54 N6B 0.00010 0.00007 0612812013 628138 H1 30S2804 1:3A303 Mn-54 NSB 0.00011 0.00000 0711712007 0..124-7 H07072407 1:3A303 Na-22 N6B 0.00100 0 .00049 04/1512011 149S-34-1 HR11 0325001 1:3A303 Na-22 NSB 0.00012 0.00002 07/1712007 D-124-3 H07072408 1:3A303 Ni·S3 G 10.00000 9.14278 01/0112001 0503 H010S1 803 1:3A303 Ni-63 G 10.00000 9.14278 01/01/2001 0504 H010S1802 1:3A303 Ni-63 G 10.00000 9.14278 01/01/2001 0512 H01061801 1:3A303

Page 5: Department of the Army, Tripler Army Medical Center ...MCHK-PVR 15 November 2013. MEMORANDUMFORTAMCRSO SUBJECT: Sealed Source Inventory for 4th QTR CY 2013 I. On 15 November 20.13

License Receipt Current Receipt Organizational Isotope Line# Activity (mCi) Activi~ (men Date Sarial# Serial# Location Sr-90 N6B 0.00002 0.00001 04/04/1985 261040485 H86-182A 1:3A303 Sr-90 NSB 0.00470 0.00297 01109/1995 49266-361 H95-013B 1:3A303 Sr-90 NSB 0.00040 0.00025 01/09/1995 49269-361 H95-013E 1:3A303 Tc-99 NSB 0.00470 0.00470 01/09/1995 49265-361 H95-013A 1:3A303 Tc-99 NSB 0.00043 0.00043 01 /09/1995 49271-361 H95-013G 1:3A303 Zn-65 NSB 0.00012 0.00008 06/28/2013 628136 H13062501 1:3A303 Zn-65 N6B 0.00009 0.00000 07/17/2007 0-124-8 H07072409 1:3A303

brtd (

Page 6: Department of the Army, Tripler Army Medical Center ...MCHK-PVR 15 November 2013. MEMORANDUMFORTAMCRSO SUBJECT: Sealed Source Inventory for 4th QTR CY 2013 I. On 15 November 20.13

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Page 7: Department of the Army, Tripler Army Medical Center ...MCHK-PVR 15 November 2013. MEMORANDUMFORTAMCRSO SUBJECT: Sealed Source Inventory for 4th QTR CY 2013 I. On 15 November 20.13

Shipper Work Fonns

SHIPPER INVENTORY· INSPECTION- AND SURVEY FORM

SHIPMENT NUMBER: USA2009~73 Page Number 1 1

PKG NUMBER: T-1 CONTAINER WEIGHT: 150 lbs

RADIATION LEVEL ON CONTAINER SURFACE (mRihr Or mSv/hr): .5mR!hr

RADIOACTIVE CONTAMINATION LEVEL ON CONTAINER SURFACE(dj)m/100;;m21 Bq/100tm2) <220/<2200

TYPE OF CONTAINER LABELS: UNZV11

Stock Number Qty Isotope AcUvltyntem Total Activity Weight Volume

No. Nomenclature lmCl/MBQ) lmCI) (lbs) (cu. ft.)

1 Sealed Source 1 Co-57 0.20 020 3

2 Metal Camera Source HEG-137 2 Cs-137 27.57 55.14 81.5

3 Sealed Source 1 cs-137 0.2 02 3

4 Me1al Camera Source 2 Gd-153 1.91 3.82 41

5 Metal Rod Source 2 Ge-68 1.49 2.98 38

6 Metal Rod Source 1 Ge-66 0.5 0.5 10

7

8

9

10

11

12 Total Co-57 0.20

13 Cs-137 55.34

14 Gd-153 3.82

15 Ge-68 3.48

16

17 Total 62.64 mCi

18 2325.08 MBq

19

INSTRUMENT TYPE: Mode! 19 (221573)/Radeye B20 (0337) CALIBRATION DATE: 1·4-2012/ 8-26-2011

INSPECTED BY: Rick Holthouser

A$ ktst.;,Hati.;., niO<Uauon So.'fcty Officer or c:e:::.r.;r"'c, l certify, :;u:;c~ on cfwec: ot.ztrvOJtJon cr ;;crt-.,rmance, ~ 1he Msteo: :tr;emory l:i nca;."'atc and carrcc. 10 tl1e be$1 of my knoWtedge. and that no free stlnding liquids or hamrdaus malerials (suet! as Lead) ant present For lhe smaller sources. lhe weights are approximate: I have ftn~ar pigs here In my lab that I weighed and estimated. Thfllarger sources on in my lab and U10Se weights""' elC3et.

~~~ ---~~ -----· / / Signature Date

D-2

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Page 8: Department of the Army, Tripler Army Medical Center ...MCHK-PVR 15 November 2013. MEMORANDUMFORTAMCRSO SUBJECT: Sealed Source Inventory for 4th QTR CY 2013 I. On 15 November 20.13

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T01'4>- U fQlA.~~ ... ttlr::W"'tetOOfl~nDI'*"t . IW..-.t!.tH \,NO""u. .. ........

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.-di/'VIOAW,.fl'lfltallltl'l) ~fi\"E" >CO ~'Ol"' ~~ .. C\C'Ct ..... 1 tt(l

fll•~·"""' VN2911,Radloa~ matertll, O>CCtptt<l pocklg .. c .. ur ' . Jnatrumenu 0< orticl.,, 7 (-<us) N/A NIA SOIICI/OXIdo ~1 . ••75 2160188 101 224 N/A 1600 T·l

' . . . . . . : . ' . . . . ' . ' . . . . . . : ' : I . . ' ' ' ' '

MAXIMUM PACKAGE CONTAMINATION LEVEL IN DPMI100CM2; BETA/GAMMA <2200 ALPHA • 220 mBQ 6el11Gomma <3 67E·05 AIOIII < 3 67E·G6

MAXIMUM PI\CI()IGE RADIATION LEVEL IN MREMI~R: ON-<:ONT.. I» mRihr I METEF .. 01 mllllu

~DOmONAL CO¥MENT&: Tills PI-'< It ncllot utt ln commorco tranoport Tile Ull IS for l.JcenS4 Ol!a Rttereneo Only

Package VOlume IS 8 eu.ft

- - - -- ~ - - - -~ ~ ----- - - - -~ -- ------··--- -- -- -- - - · ~- ~.--~----·- ~~~~~~~~---- -- --- -~-- ---- - --~--- ~- - --- -~- -~

·.-...~~~~":"~\.-..

·~~ .... ~·~..;.;r_ ....

"'1 ~ --\.;,)

Page 9: Department of the Army, Tripler Army Medical Center ...MCHK-PVR 15 November 2013. MEMORANDUMFORTAMCRSO SUBJECT: Sealed Source Inventory for 4th QTR CY 2013 I. On 15 November 20.13

RADIOACnvE MATERIAL MOVEMENT FORM

CHECK ONE: X Shipment Receipt Movement Number USA 2013-&117

From: TtiplerAMC To: SR WJRB USA GARRISON HI ATTN! MCHK-PV, Room 3A361 DOL Storage BR P2 100

1Jarrett White Road BJdg. 6037 East Range

Honolulu, HI 86859-5000 Schofield BKS, HI 96857..5006

POC: SGT Moat (808-433-2335) POC: cano Loredo (1-808-656-2'2-47)

COMMODITY DESCRIPTION Containef # QTY Description Isotope Ac:tlvity (mCl) Total Activity (mCi)

T-1 Soure&s

See Attached Inventory

Total 7.47E+02

MODe OF SHIPMENT PHYSICAL CHARACTERISTICS SURVEY RESULTS

Ar Special Form lnstnJmenl Used: Ludlim Model19

Hertz Truck X NOITllal Form Serial#: 2938a9 Rail CCI!lbration Due Date: 24-Scp-13 Water X Solid Transpot11ndex (TI): 0.01

Patcet Post Uquid Dos& Rate @ Surface: 0.03 mR/Hr Other Gas Dose Rate @ 1 Meter: 0.01 mRIHr

Background Dose Rate: 0.01 mRIHr

WIPE TEST RESUL. TS

Wape Taken by: Date: Sample Counted by: Date: Removable Contammlion <:220 dpmt100cm2 Alpha

<:2'200 dpml100cm2 Beta/Gamma

BASIC SHIPPING DESCRIPTION

X Ritdicec!IYe Material. Elccepled Package· Instruments or ArtiCles, 7, UN291'1

Radioactive Mal erial, Except~ Package • Umlted Quantity of Material, 7, UN291 0

RadloactNe Matelial. Excepted Package- Articles Manufactured from Natural or

Oep!e!ed Uranium or Thorium, 7, UN2909

Rad"10aclive Material, Type A package.?. UN2915

Radioactive Ma!etial, Low Specirlc Adivity {LSA 1), 7, UN2912

Radioactive Material. transorted under special arrangement fiSSile, 7. UN3331

RadloacUve Material, excepted package. empty packaging, 7. UN2900

DOT Non_Regulaled Material (Exempt Radioactive Material)

labeling Mar1<ing Shipping Papers

White I Radioactive Manifest Included & Complete Yellow II RacfJOac!Mt lSA Exempt

Yellow Ill X Other (Instruments & Articles)

Exempt Waste Class (A,B,C) LQ

24 HOUR EMERGENCY RESPONSE PHONE NUMBER: 281-'30.SS74

AODmONAL COMMeNTS: In case of an accident please contact Mr. Rick Holthouser.

Printed Name or RSO or Designee Signature

~--Date

~/ · RicK Ho!1nou:>er ·---/....... .. 212512013

/

c_ .l :::z

Page 10: Department of the Army, Tripler Army Medical Center ...MCHK-PVR 15 November 2013. MEMORANDUMFORTAMCRSO SUBJECT: Sealed Source Inventory for 4th QTR CY 2013 I. On 15 November 20.13

('tl ~ r;,

w

Site Radioactive Material Inventory

L<IC!!!Ion: IriplerAm!rMedlg!l Center ...,Prep!!l!....,=ed"-'by:"'-'. S!lc=!ma,.,b\!..,!s,.u,__ ___________ _

Da'..e: Reviewed bv: (Dflnt/sml) Dale:

~!.:~t.-~2'.~ _;:~-- .. _ ., ::_~ .... ~r. -9~~-:.;., ~-~~:~_~1~::·~~~ ·-:..--:-s~~-~~-

~~S~1 Cs-137 I 1 I 3.%E+01 l Soorce S.'N 1512 1 N/A 13.96E+Ol I[MC =~~;.;;1 cs-m 11 1 1 3.96E•01 1 Sourcesrn 1szo 1 ':'4/A IJ.96Et<lt IEMc ~;~.:..,~·{~ Cs-:J7 I 1 I 3.9€E+Ol I Source SIN 1531 I N/A I3.96E+-01 IEMC t;-':·.&~g-1 Cs-131 I 1 I 3.96:+01 ·I Sour.:eSIN 1561 I N/A I3.96E+Ol IEMC .~~~~~~ es-m I 1 I 3.181:.01 I Scur;;e sm 4<485 I N/A l3.t8E+<ll IEMC

~~~.:· Cs-137 I 1 I 3.181:>01 I Sot.wce SIN 4510 I N/A 13.18£+()1 IEMC :-?:f.ii?.:'-!1 Cs-~37 l l I 3.1Sf+(i~ I SourteSIN 4528 I N/A 13.18£+01 IEMC

1\.;>.f~~:_:J Cs-1!7 I .1 I 3.19Et01 I SOUn:e SIN 4568 l N/A I3.19E+()1 IE;\1C

!i;i:Y:~1_!;1 Cs-1!7 I 1 I 3.19£+01 11 Source SIN 4611 I ~~/A I3.19E+Ol IEMC r~~-~;a;~ cs-m I 1 I 3.19fHlt I Source SIN ~18 I N/A I3.:9E+01 lfMC Uf..::;tll;;l<f es-m I 1 I 3.1SE+()l I Sollte9 SIN~ I N/A I3.18EHll IEMC ~~~~ C$-tl7 I 1 I 3..1BE•01 J Sou:ce SIN 4658 I N/A. I3.18E+Ol IEMC

lr."t.t'#•m=_- __ c$.m - . r-1_- I ?-~•01 -~~-~ 50ufce §IN 6oa3- - - L_ N/A- - ~40E+Ol I FMC ~~-!-.~ cs-m I 1 I z.~lf.o: I Sourt:eSIH6107 I N/A I2.41E+Ol ICMC 11'-:r$~;,:.1 Cs-137 I 1 I Ml&01 I Soun:e SIN 6123 l N/A I2.41E+<ll IEMC

1!'~-~i c..m •I 1 I 2.41£+01 I Sot:rce SIN 612-4 J N/A I2.41E..Ol IEMC f::,..:..~~1 Cs-137 I 1 I 2.41£+01 I Source SIN 6129 I N/A 12.41£+01 ]F.MC • .:~~1;'t.: Cs-137 l 2.41£t01 SO'.KCe SIN 6196 N/A 2.41E.01 EMC .:_;1~<;~. Cs-137 ! U1!:..01 Source SIN 6196 N/A 2.41E+()t 'EMC .' ; t'• 1·:· IOC as ~

, -~~5 Cs-137 1 2A2Et0l Sou:'ae SJN 6208 N/A 2.42£..01 FMC jC\'idcncctl by th~ r.:p.:at -{.:;C!2t~~ ,._ ..... ,;,,;:.~ - -=~=- ;,, · ,. ., .. ",. _ tMC- s.N antlth~ fact that the -

~;_:, Cs-137 1 L51Et01 Source SIN 8232 N/A 1.61£..01 EMC ·" ' .•.1 inwntUI)' amount -

~~-:;:_~..::.-: •C5-t37 1 i L61~+01 SourceSIN8300 ~/A , l.!61E+Ol EMC jtruttch,·,this a~~um;>tion. -~~:;:,"" ~137 1 ' L~1£..ot scuceSIN8302 N/A • 1.61E+01 EMC Ll'S:"\\' IM. -'b.~-~ Cs-t37 t 1.51£.0: SoutceSJN8308 N/A 1.61!:+01 EMC ' -

~C.'.l Cs.-1J7 I l I :.f;l.E.ot I $oufa SIN 83t2 I N/A I1.61E+()1 IEMC

~m~, •C..1J7 I 1 I 1.61!:.01 I So17atSIN8314 I N/A 11.61£+01 IEMC ,._;':10'.£~ ~-m I 1 I l.62Ef01 I SourcaSIN 8322 I N(A. h.62E+01 IEMC

FE.~-.-~ Cs-137 I t I t.D:E.O.i I Sowt:eSIN8329 I N/A. 11.61£+01 I£MC li4~..?~ Cs-137 I ~ I USE.Ol I Sou'c:eSW'UZ1!7 I N/A 11.25£+01 lEMC ~---~.w.~ P.~... --~ Cs-131 I 1 I :.90F-Ol I G.,-wr.a Ret Sta'lliatd I BM06l7-015-32 I1.90E·Ol IEMC ~~ .... H25 I 1 I 3..()08)2 I ~oe (Said) I N/A b.OOE.02 IEMC

f3· JJ-~

Page 11: Department of the Army, Tripler Army Medical Center ...MCHK-PVR 15 November 2013. MEMORANDUMFORTAMCRSO SUBJECT: Sealed Source Inventory for 4th QTR CY 2013 I. On 15 November 20.13

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f .5 ' ). t:>F J._