dms health technologies; amendment request; docket 030 ...dms wishes to expedite this request as...
TRANSCRIPT
Hill, Carol
From: Sent: To: Subject: Attachments:
Ms. Hill,
Michelle White < [email protected] > Wednesday, October 28, 2015 11:37 AM Hill, Carol [External_Sender] DMS Health Technologies NRC letter change of control copy.pdf
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DNMS
Attached is the letter for the change of control amendment request. OMS Health Technologies management has requested an expedited status for this. I would appreciate anything you can do to help me out with that request.
Sincerely,
Michelle White OMS Health Technologies 109 S. Petro Avenue Sioux Falls, SD 57107 605-357-2610 office 605-366-1293 cell 800-589-7451 fax Radiation Safety Officer
PUBLIC Q Immediate Release ~ormal Release
NON-PUBLIC 0 A.3 Sensitive-Security Related 0 A.7 Sensitive Internal 0 Other:._,..,_ ____ _
Revlewe~Date: /0-- 3iJ-I :S-
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2101 North University OriYe Fetgo, NO SSl.02 ,,._t:)n.e: 701.237.9073 Toll Free: 800,437.4628
HEALTH TECHNOLOGIES
October 14, 2015
Jacqueline D. Cook, Senior Health Physicist Nuclear Materials Safety Branch B U.S. Nuclear Regulatory Commission Region IV 1600 E. Larnar Blvd. Arlington, Texas 76011-45 11
Re: Radioactive Material License 40..32477-01
Dear Ms. Cook:
DNMS Fax: 800.848.0990 www.oMSHealthTecflnolo&Jes.com
PUBLIC a Immediate Releue ~IRelea11
NON-PUBLIC C A.3 S1n11Uve-Security Related Q A.7 SeMIUve Internal QOlher:. __________ ~
Reviewer: J?,(5lcoate: (rf?-3u-f~ 7~
DMS Health Technologies ("OMS") holds the above-referenced radioactive material license with the NRC.
Project Rendezvous Acquisition Corporation, ("PRAC"), the parent company -0f OMS Health Technologies, Inc. ("OMS"). is the holder of the above-referenced r!ldioa~ve material license. PRAC owns all of the stock of OMS and Project Rendezvous Holding Corporation ("PRHC") ovms all of the stock of PRAC. The stockholders of PRHC are proposing to sell 100% of their stock ownership in PRHC to Digira.d Corporation. This stock purchase agreement was signed on October 13, 2015.
DMS wishes to expedite this request as soon 1\8 possible for completion of this transaction.
If you have any questions please do not hesitate to contact me at 605-366-1293 or [email protected].
Michelle White Radiation Safety Officer OMS Health Technologies
cc: Jeffry Keyes, Chief Financial Officer & Corporate Secretary I Digirad Corporation William Vogel. Chief Executive Officer, OMS Health Technologies Timothy Rupp, Morgan, Lewis & Beckius LLP
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DMS HEALTH TECHNOLOGIES
NRC RAM LICENSE 40-32477-01
1. Provide a complete description of the transaction (i.e., transfer of stocks or assets, or merger). Indicate whether the name bas changed and include the new name. Include the name and telephone number of a licensee contact who NRC may contact if more information is needed.
A. Description of the transaction:
Project Rendel.Yous Acquisition Corporation, ('·PRAC,.), the parent company of OMS Health Technologies, Inc. ("OMS"), is the holder of thtol ahove-rcfcrcnced radioactiv~ material license. PRAC owns all of the stock of D"1S and Project Rendezvous Holding Corporation (--PRHC') ov.ns all oftl1e
stock of PRAC. The stockholders of PRHC are proposing to sell 100% of their stock ownership in PRHC to Digirad Corporation. Digirad's official address is 1048 lndu~trial Court. Ste, E. Suwanet:. Georgia 300:24.
Please note the following concerning the stock sale:
• Thl're will be no change in DMS' corporate structure, name, or status. • Nothing on the face of OMS' current RAM license will change. • None of the.assets. business or operatinn:> of DMS itself will change in the transaction. • Ne> changes in personnel or duties are planned or expi:cted. • No changes in the orga11ization. location, facilities, equipment,. or procedures are planned or
expected. • No change in the surveillance program is planned or exp¢ctcd.
Contact information for Digirad is as follows:
Digirad Corporation Attn: Jeffiy Keyes, CFO 1048 Industrial Court. Ste. E. Suwanee, GA 30024 E-mail: jeffiy.keyesil:Migirad.com Telephone: 858-726-1445
2. l :'age
The point of contact for the license holder DMS will not change.
B. [ X J No name change
[ ] New name of licensed organization: __ ·-~----
C. [ X ] No change in contact
[ J New contact: ·--------- ----·----·· [ ] New telephone number:
2. Describe any changes in personnel or duties that relate to the licensed program. Include training and experience for new personnel.
A. [XI No changes in personnel having control over licensed &:tivities.
[ ] Changes is personnel having control over licensed activities (e.g. officers of a corporation):
B. (X] No changes in personnel named in the license.
[ ] Changes in personnel named in the license {e.g. RSO, .'\Us) - including training, experience and responsibilities:
3. Describe, in detail, any changes in the organization, location. facilities, equipment or procedures that relate to the licensed program.
[ ] Organiation: [ ] Equipment:
[ J Location: [ ] Procedures:
[ ] Facility: (XI Not applicable (No changes)
4. Describe the status of the surveillance program (i.e., surveys, wipe tests, quality control) at the present time and the expected status at the time that control is to be transferred.
A. Description of the status of all surveillance program
All required surveillance has been performed and documented.
B. Surveillance Items & Records: calibrations, leak tests. surv~}S, inventories, and accountability requirements wi II be current at the time of transfer
[ X j Yes [ ] No (explain)
31 r.·,··e ... 6
5. Confirm that all records concerning the safe and effective decommissioning of tbe facility will be transferred to the transferee or to NRC, as appropriate. These record~ include documentation of surveys of ambient radiation levels and fixed and/or removable contamination, including methods and sensitivity.
Records transferred to:
[ ] New licensee [ ] NRC for license tennination
[ XJ Not applicable tDMS will remain the licensee)
6. Identify any State or Federal Government licenses, registrations or authorizations already held by the transferee which are related to the same operations in which the radioactive material will be used.
Radioactive Material License held by Oigirad Corporation:
Ucense WCATION uaNSETVPE ecatratl~ ~~rnent# -PA-0846 PA MOBILE 11/30/2015 51
1
AAD110003-449S05 NJ --- MOBILE 4/30/2019 NRC 10.29283-02 IN/Ml/Cf MOBiLE -........ 4/30/2018 MO-CS-107-01 GLEN BURNIE,MO MOBILE 12/31/2015 l8 3176'1 FL-VAN107 MOBILE 2/29/2016 S4 1621-1 Lagrange, GA iMOBJLE 036-1014-3 CHARLOTIE, NC MOBILE 8/31/2016 86 -092-10144 APEX, NC -· MOBILE 8/3112016 118 2220990002 OIL MOBILE sn.12016 41 929 HILTON HEAD SC -- MOBILE 4/30/2022 15 R-Pl007-B19 CHAlTANOOGA,TN MOBILE . 2128/2019 18 3116-4 fl-VAN83 MOBILE 8/31/2016 52 317&.3 FL-VAN84 MOBILE 2/23/2016 52 IL-02163-01 TINLEY PARK, IL -· MOBILE 5/31/2017 30 44-0362 WOBURN MA MOBILE 10/31/2017 25 1529-3 NORCROSS GA MOBILE W30/201s 38 074-1014-6 GREENVILLE, NC MOBILE 1/7/2016 14 -830-076-l VA MOBILE 6{'!2/.2018 29 L05414 HOUSTON/DALI.A<;, TX MOBILE 8/31/2021 38 1511 BIRMINGHAM.AL MOBIL~ 5/31/2019 27 3176-2 FL-VAN ·- ...... - MOBILE 2/29/2016 54 3176-12 FL-VAN .. _,,_ ,.. . MOBILE 2/29/2020 44 7006-01 HAYWARD, CA MOBlLE 12/7/2025 69 6941-36 California MOBILE 7/27/2011 70 -·
4 I 1 g e
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--:. -:----------..-.... ---~.·-:-- ... ~---. ~---·--:-,: ----,,...--~---------::---1 7. Comfirm that the tramteree will abide by all eonstrainu, eon41dons, M£11il'emenu and
coma1im~en1s of tbe traMferor or ti.lat the transferee wiJl S!Jbmit a complete desc:ripdon of d!Je proposed lleemed program.
[ ] Description of prop(ISed licensed program attachQd
OR
Dlg!rad Corpgratiog will abide by aU constraints, conditions,
(ll'IBStORO)
requirements and commitments of frojec;t: Rendezvous ~cqul!dlion Co9'°ifUP.P..!
(lrall$fefol)
0A~·- ·~ :-------
I ;(_ I'"' •
dlltc
OR
[ l Not applicable (name ehange only)
Certifying Officer - Signature Date
Certifying Officer - Typed na.ne and title
SI Page
Digirad lmasing Solutions, Inc.
1048 Industrial Court, Ste. E
Suwanee, GA 30024
CCorp
33--0919092
Telerhythmi!:S, LLC
1048 Industrial Court, Ste. E
Suwanee, GA 30024
62-1680840
Dlglrad Corporation
104S lndu®'lal court, Ste. E
Suw1mee, GA 30024
CCorp
33-0145723
MD Office Solutions .
1048 Industrial Court, Ste. E Suwanee, GA 30024
CCorp
94-3463544
Project Rendezvous Holding Corporation
1048 Industrial Court, Ste. E Suwanee, GA 30024
CCorp
45-4507876
Pro~ Rendezvous Acquisition corporation
1048 Industrial Court, Ste. E
Suwanee, GA 30024
CCorp
45-4623146
OMS Health Technologies, Inc.
1048 lndustrlal Court, Ste. E
Suwanee, GA 30024
CCorp 45-0314852
OMS Imaging. Im;.
1048 lndustiial Court, Ste. E
Suwanee, GA30024
CCorp.
45-0386364
OMS. Health Technologies-canada, ln.c.
1048 Industrial Court, Ste. E
Suwanee, GA 30024
ccorp 27-<1722481
NRC FORM532 U.S. NUCLEAR REGULATORY COMMISSION (1-2012)
DATE
10/29/2015
NAME AND ADDRESS OF APPLICANT AND/OR LICENSEE LICENSE NUMBER
Ms. Michelle White, Radiation Safety Officer DMS Health Technologies I 09 South Petro A venue Sioux Falls, SD 57107
This is to acknowledge the receipt of your:
[{]LETTER and/or [{]APPLICATION
40-32477-01
MAIL CONTROL NUMBER
589220
LICENSING AND/OR TECHNICAL REVIEWER
CH
DATED: 10/14/2015
The initial processing, which included an administrative review, has been performed.
[{] AMENDMENT D TERMINATION D NEW LICENSE D RENEWAL
D D
There were no administrative omissions identified during our initial review.
This is to acknowledge receipt of your application for renewal of the material(s) license identified above. Your application is deemed timely filed, and accordingly, the license will not expire until final action has been taken by this office.
D Your application for a new NRC license did not include your taxpayer identification number. Please fill out NRC Form 531, located at the following link:
http://www.nrc.gov/reading-rm/doc-collections/forms/nrc531.pdf
Send the completed NRC Form 531, by facsimile, to the following number: (301) 415-5387
A copy of your action has been emailed to our License Fee and Accounts Receivable Branch, in our Headquarters office in Rockville, MD. You will be contacted separately if there is a fee issue involved.
Your application has been assigned the above listed MAIL CONTROL NUMBER. When calling to inquire about this action, please refer to this control number. Your application has been forwarded to a technical reviewer. Please note that the technical review, which is normally completed within 180 days for a renewal application (90 days for all other requests), may identify additional omissions or require additional information. If you have any questions concerning the processing of your application, our contact information is listed below:
Region IV U.S. Nuclear Regulatory Commission DNMS/NMSB - B 1600 E. Lamar Boulevard Arlington, TX 76011-4511 (817) 200-1103 or (817) 200-1140
BETWEEN:
Accounts Receivable/Payable
and
Regional Licensing Branches
[ FOR ARPS USE ]
INFORMATION FROM WBL
Program Code: 02220 Status Code: Pending Amendment
Fee Category: 7C Exp. Date: 12/31/2011
Fee Comments:
Decom Fin Assur Reqd: N
License Fee Worksheet - License Fee Transmittal
A. REGION
1. APPLICATION ATTACHED Applicant/Licensee:
Received Date: Docket Number:
Mail Control Number: License Number:
Action Type:
2. FEE ATTACHED
Amount:
Check No.:
3. COMMENTS
OMS HEALTH TECHNOLOGIES
10/19/2015 3036404 589220 40-32477-01
Amendment
Signed:
Date:
B. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 is entered I I
1. Fee Category and Amount:
2. Correct Fee Paid. Application may be processed for:
Amendment:
Renewal:
License:
Signed:
Date: