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4[ A,C 7,66 INSPECTlON & ENFORCEMENT -STATISTICAL DATAy g. .'C f,5 35 $*
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:M'.. Io 151-101 dol <t|61-li 131 I I toilo l/ I / I sl717IM M O D Y Y
INSPFC TION PE HFOHVE O SY 1 dlONAL OFFICE STAFF 2 O RESIDENT INSPECTORp5 r
3 O PERFORMANCE APPRAISAL TEAM
TYPE OF ACTIVITY CONDUCTED (CHECK ONE BOX ONLY)33 34 INSPECTION OTHER
| 14 0 lNOUIRYG 05 0 MAN AGEMENT AUDif 09 0 MATL ACCT, 13 0 !MPORT15 O INVESTIGATION02 TY 06 O MAN AGEMENT VISIT 10 0 PLANT SEC.
03 ": INCIDENT 07 O SPECIAL 11 O INVENT. VE RIF. | ggp INVEST. AL$o CNECK
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10591 2 ONAL OFFICE LETTER 3 O REFERRED TO HOS FOR ACTION 4 0 REGION LETTER & HOS FOR ACTION
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IM NUMSER OF NONCOMPLIANCE ITEMSIN LETTER TO LICENSEE; NOTE: CHANGE MUST SE SUBMITTED'
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1 O NON ROUTINE / VENDOR (No Feel 2 O ROUTINE (No Feel 3 O ROUTINE (Fee) 4 O ROUTINE (Fee Reduced) ||
0 47 CONTENTS 2 7900 INFORMATION O 'S' YES
REGION AL OFFICE LETTER OR REPORT TRANSMITTAL DATE FOR INSPECTION OR INVESTIGATION
591 OR LETTER ISSUED TO LICENSEE REPORT SENT TO HOS FOR ACTION IMMEDIATE ACTION LETTERg
48 53 54 59 60 DATE 65
101M 015171 '1 1IIIIII IIIIII IM M O O Y Y M M D D Y Y MM O D Y Y
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02 O EX TERN AL OVE RE XPO$URE 07 0 12 O EXT, OVEREXPOSURE 16 O LOSS / THEFT 220 ALLEGATION /
S 03 O RELEASE TO UNREST AREA 08 0 13 0 EXCESS RAD. LEVELS 17 0 MUF COMPLAINT
04 O LOSS OF F ACILITY 09 0 14 O EXCESS CONC. LE*/ELS 18 O TR ANSPORT ATION 23O PUBLICINTEREST
05 O PROPER TV DAMAGE 10 0 19 O CONT AM/ LEAKING 24O SABOTAGESOURCE 250 ABNORMAL OCCUR.
20 0 E NVIRONMENTALEVENT 260 OTHER
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Licensee contact: A . /Ve % M MM Telephona no. Je// - f.2/ 7.
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License no.Q.T-60096 ~ /.? Last amend:ent and date: }h bb $ * W~lS~',
Catescry: S./ . and Prfority: , as of last amendment.'
Inspection date(s): /-/I'7 Type of inspection: Mn..
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5Ltt'ARY OF FitDlt:GS ND bCilal-
[ ] tb nonco.m.pliance, clear 591 issued [ ] Honcorp11ance, 591 issued|' ,
[ ] tb.w pliance, Appendix A [4'1(egional action Hq action[ tion on previous conc =pliance, Appendix B [ ] Supplemental info, Appendix C-.
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'PIC&feG%TICNS.
I See basis in Appendix C .or attached c:end.-
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[.] Change Category to: .
[ ] Change Priority to: -
[Wffaxt inspectfon date: ha. 4~. /7N! ~,
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PERSONS Carra.ir.a -
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Litensee:. Am MUM License no: O S - cwo </ 4:, - /3,I O
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Procedures available and implemented? Identify -p 'joa. cMMgradiopharneceutical end dose (s)? Cover.~~ ~
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handling of patients receiving therapeutlc- * Ndoses? Cover handling of cadavers? ~L.
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.
Emergency procedures for spills, eh? .a=/. *Personnel understand procedures? ,Q .gcMg M7
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K12A5 I:iSPEGE I;3 FitCIt.G3 -
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Licensee: N c(I OW License rio:Er.oon 94 -/3 h en&ent no: Odi V V ..
ItiSPICTIO:1 IT D CRITi.?.!A FItiDIt!G.
5. Use of r'aterf als Lic cond Okpw- ! u=-I M AProcurerient and use as required? '.
Special tests (.:aly breakthreugh leak tests, cM # / h"4 ' ,,jJ .- W;
,etc) required?
,
A M W, |Dose calibration checks performed? ,.
Posting t labeling as required? 20.203-
% c o.A.|Y AS YAd ~~~d M . '.trotrs a P2n'cs '.
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6. Storace of raterials C[.
Haterial secured in both restricted and 20.207unrestricted areas? Adequately? -
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7. Facilities Lic Cond ok. .
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As described in lic cond or application? .'Any changes : ede? Adequacy? g h 04._. -
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8. Instr ents Lic Cond O/(Survey ceters & instru=ents adequate for e
progran? p Me: - ' - e,*
Instruments & ceters operable? Calibrated? v*
Calibration adequate? y ,
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13EA3 !!;3PECTED I.Ja FItalim -,
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L t c ensae: / I MO/ Licen'se no T- o no */S - Of :and:est co: t34.
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Iti3PICTIOt 17EG CRITERIA FIrlottiG
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9. Recelot and transfer of rete-tel
k*ritten prt:efures for pickup, receivin;. 20.205 .-
opening psckages? g -Survey of packages when' received? 20.205(c)(1)
'
;..
*
Records of survey of packages? 20.401(b)*
*
Tran'sfer o? :.aterials pr:;er? Transfer 30.41, 30.51 *-
records caintair.ed? ae/,,
Authorized centsiners t: sed? Shipping papers 71.5 ..
& package lehels pr:;er for packages on hand?M # ' ^1 * ... .
.
.
.
.
10. Personnel =~~teei":n - exterrs1 OK.
* *
Personnel :::niterte; centrols ade<;uate? 20.101, 20.202Exposures r.inir.fzed7 d&i ,
Exposure re::rds ( 4?.0-? cr 5) caintained? 20.102(b), 20.401(a) .
Available for e p1syee review? , , , , , , , , , , ,,,
20.201Surveys c,c .fucted? Adequate? g~
20.401
..
'
RecorUs of c hltoring, surveys? f*
,
Levels in unrestricted areas within 11alts? 20.1, 20:105.
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11. Persennel oroteetten - internel
Airborne c:ncentrations in restricted areas? 20.103 |'
_
Exposures to r. fears? 20.104 .I'
Posting of airberte radicactivity areas? 20.203(d) ,'
Survey , cenitoring adequate fer airtsrce radio- 20.201 :
activity, surface contaminstion? Records 20.401r.atntained? ..
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' . /?.EAS If 3PECTED AfD Fitalt;G3.
Liccesee: dO%/ _ License n$: $ o'-do o yd /3/.oen 3bnt no:i <.f
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I.'i3PICTIC.*1 ITE'l CRITERIA TI;;0I:;G. .
12. Ef fluent cent-ols, weste disecsal C(, .
F.eleaseo'feffluen$cc.. trolled? 20.105, 20.303 ;-
k'asta dispossis controlled? 20.331. 20.303, 20.30t, 20.305.
' 'Pro:edures, records ceintained? 20.401 Lic Cond *
Surveys cade? Adequate? 20.401 -
WA -~ '
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19*13To individ::als'.. . . .-
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Overexposures, excessive levels t, concantrations, 20.403, 20.405*
*
incidents. MPersonnel ,ex;osures and conitoring, ter ifnation 20.407,* 20.408 *
*reports., ,
Thef t or loss of licensed catarf al. 20.402 '
'scr:ts / axn?.nu ^' W j ~,
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14. ' Posting of r:tices (*)/(.
Part 20. llcense & doct.::ents, procedures,' 19.11(a)
-
r.otice of violations posted?.
^ ' ' ~ ~ 'ti?.C-3 posted? ''19.11(c)''
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t; r::s s P".A?.ns *
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15. 0.her kieense cendf tf ons . Lic C')f('
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' EXEAS 1:3?Eu:.a |JD Fi:Dl::G5~.
.
Li 8^5et: I N License n5: $ 5'-doo yd -/Jp$n%/nt r:o: 3$.
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I?i3PICTIC:4ITEtCRITERIA.
FI:i3I:iG12. Etnuent cent els, weste disease.1
F.elease of effluen$ cer. trolled? O(.. .
20.105, 23.3031(aste dispossis controlled?Pro:edures, re:ords caintained? 20.301, 20.303, 20.30?, 20.305
20.401, Lic Cond .
Surveys cade? Adequate? '
20.401-
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13. f:otf f tcatisns a*:d re: ortsgQ..
To. individ::als'. '. 19 13'
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CNerexposures, exc.essive levels & concentrations, 20.403, 20.405. .
incidents. WPersonnel ,exposcres, and conitoring, temination
.
r.eports. 20.407,* 20.408*
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Theft or loss of licensed catarial. 20.402 '*
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14. Postino of reti esON,-
-
Part 20, ifcense & doct.:.ents, precedures,19.11(a)
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r.otice of violations posted? .'..
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liRC-3 posted?.
'' 19,11(c) *~~ '" 9 ' *~ ';-~ ~ ~ ~..
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15. Other license c:rditions ' . Lie -
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Cu trterly Report of Procedures Perforned in theHSF-X !!uclear : odicine Scrvice 26 Sept - 22 Docenber 1978 .
Eadiation Protection Officer !!uclcar Medicine Serv. 2 Jan 79Ext. 86h6 ,
j,ROCFEURE .\,-yg RADIO?!UC'IDE # OF PROCEDURES
all!A. Function Studies
'l . Thyroid Uptako 1 %ati, E-1E3 3992. Thyroid Uptake suc+ I-131 21
3. Perchlorate Washout n u t.' I-123 7
h. Perchlorate Washout u t? I-131 1
5. Drain Vascular Flow t r , tl 99mTc DTPA 1296. Brain Vascular Flow n (4 99mTc Gluccheptonate $1^ '
7. Renal vascular Flow ic .c? 99mTc DTPA 198 Renal Vascular Flow :. - .:2 99mTc Glucoheptonate 59. Renogren s t .c; Hippuran I-131 18
10. Lung Ventilation .-4 Xc-133 gas 22~
11. Ochilling Test e.r,c , Cc-57 10'
12. Red Blood Cell Survival :: ,-| Cr-51 1
13. 31 cod Volume ;f ,| RIFA I-125 2
lb. Tilecd Volunc Cr-51 2..,
If. 21 cod aca a ,:; 99nTc Portechnetate 2
16 ::e:rt Flow .c ,,, 99nTc TRPA .1
,
L. ,'.,.,Jr.c3t':c'ig1. b.yroid Scans ' . ' , . * I-123 110
2 Thyrcid Scans i-4 I-131 (, wa ' L'd- + ' .' 1h'
3. Thyroid Scans it ti 99nTc Pertechnetate 6
h. 2 rain Scana M' - ! l 99nTc DTPA 131
5 Crain Secno u !? 99nTc Glucchcptonate 516. CisterrAgraphy :.: :2 Inlll DTPA 6
7. P.cnel Scans :r , '. t 99-Cc DTPA 20-
' 8 Renal Scans v -d * 99i.Cc G1tcoheptonate 5i 9. Ltvc./ Spic.'n Scans :' a ". ? 9 mTc Fu1 Nr Colloid 193
10. Peno ;'orre.-r :s ,c| 99nTc Sulfur Colloid 111. '* holo Tody Senns c . , t ,' Ga 67 65..
,. ..:| 99aTc l'edronate Sodium 21912. Pcne Scans .
13. Lung Scans 3 .:; 99nTc Microspheres 231b. Heart Scans . .; Thallium 201 15
C. Thercreutic Precedures~ 7 desve's Discase r i t , .' I-131 (!!aI) 81,
2 Thyroid Carcinona It Je '-G I-131 (!!aI) h
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Cuarterly Report,1uc1 car Medicino ServicoPage 2
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D. In-Vitro Studies1. T3 Uptake te .4 / -;|v I-125 h710s2. T3 RIA twJ I-125 967
3. Th RIA : A4 I-125 62hD
h. ETR s&a I-125 86
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^4 Anno Dolbow flM(ASCP)fluelear liedicine Service
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ItGPECTLCH. REJCRT IU'3ERO
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. page of.
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APPENDIX.B - LICEtGEE ACTION 01 PREVIOUS INSPECT!Qi Fitalt4S .
. Licensee: Twdde/ -fd '
License no: 05 - 000'/6 - / a,
P /)m, & &nIdentif fcatt'on and surnury of action #taken Status,
.
Report no: 75'-O[ Type n/c: E kescrib5: /0 (_.F A 2O202 MI *
Action taken:
/W h& 05
!!i -..
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Report no: Type n/c: Describe:.
Action taken: *
OPEN3 .
..
CL0 SED'
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- Report no: Type n/c:, Describe:; . .
; Action taken:? OPEN
.-
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' *CLOSED.
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Report no: Type n/c: Describe:
Action taken:<.
*
OPEN.1-
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CLOSED. .
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Report no: Type n/c: Describe:
Actio' taken:'
nOPEN |
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Ct0sEn
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