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%mp%om.mecJ.OepytMsqson;wigh%pg;k'hk5 mas'g : ' 4 44gergeQ ... · ,Mf x.y ' w Y,,.-r- L 4 s; i. ' %...

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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.

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Page 1 o' -

-' .

It;S?S~ilci P2 POTT :D, / ~N' .

* Attach'd*

-

E I Appendix A., .W ~ bbl A- tr><tr,ndIx ao

F t === k, m $A } CA J.g t 1 Appendix cr

it.C W n1sA d M nJlut2 4,tM_ ,

'

[ 1 ne=a . --

.~WfM 90.v/o. .3 o .5).

Licensee contact: A . /Ve % M MM Telephona no. Je// - f.2/ 7.

-

M *Y W of-'

.

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..

j, -//-7g / D o.:1 O 7 ~&M '-

g -/0 '76 mdf5 -

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-.

.

.-, . -

. .,, -

'PIC&feG%TICNS.

I See basis in Appendix C .or attached c:end.-

.. - -

[.] Change Category to: .

[ ] Change Priority to: -

[Wffaxt inspectfon date: ha. 4~. /7N! ~,

i. e._- .- . -._ - _.- __ . ,._.: _ -_ .

.

PERSONS Carra.ir.a -

W W tua cm sR-. M - @ --

' ' I..

$ 3.1% CAL 'R. S."U; . W. PfhG, nM'

-- a - ;

Y w & - Aas ~rM Ax F cA.' Lu%..

Wu "

W D~ AL4 &# "~ ~ ~~ ~ )fe/G 4Q:y"L.'hewa a. ~~

.

g .- '.. .-- w 4 4,~yg. .. .

.

zupee:or: . t.w Di / 25-77 ''

.

|'

2 .- f' h'*

,,, ,,,s. -.

- -

_. - - . . . . . . - . . - - - - - - - -- <.- - - --

._ _ _ _ _

Page 6: %mp%om.mecJ.OepytMsqson;wigh%pg;k'hk5 mas'g : ' 4 44gergeQ ... · ,Mf x.y ' w Y,,.-r- L 4 s; i. ' % ' e-1.--4. i - ' i / ~ Jebruary 5,:1979' i: y # 1 - ws i, 0 .,..

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. . 0.

. . -., . ,.

5 .. . .. . *- -

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Pag'e ,g,,of -. It.5MCriCN PtA.*3 #D F.EKRi' ?.U'3B

' -

..* .-. .

-- -. . .

Plan approved: .Date:*

.

Litensee:. Am MUM License no: O S - cwo </ 4:, - /3,I O

. .- ,

I

5 MInspection Itra "O "I' "8* 736 U " I"I* *

s c st t

|..'Esnager+nt raeting - Entrance ,

and Exit Intervios 307033 -.

| -r ,. - - n 1

'

Inittsi |Hana;er:ent Meeting 1

~

. '

i

|*

Progro requiret:ents, |' HC 28,_ // ~/ff7/o g

1*-

(3C:2n] .

. .

*

Licensee Event Fo11cwp 927003

.

I

Fo11cwp chInspector-identifled proble ts $2701B. -

.

.

.

. . ,

1* ' ~iFollowp on None:: pliance*

and Davistions / M 927023,

M i~

VIE Eulletin/In edlete Action *

.. ,

927033 ;Letter fo11cwp .. .

. . ,

. .,

..

Eol.lesuo on ."

2 . _ _%. . . .

Headquarters P.equests ,927048 _. ,_ ,

. .

. .

Followp en .

P.egi:nal Requests 927053- -

,

Independent Inspection

& 147c6s g'E ncr=.

t,zo72n1

.. . . . .

----.... .. . . . ...

Inspector Dispatched to Site 937C03*

. ,

. . . . ... . . .

. .

Fo11cwp on Significant Event '

Cccurring During Inspection 93701B /.

@

. . .? a. .. - . . . . - . . . . . . - . - . = . . .~. -----e - - ~ ~ ~ ~ * * - * - ~ *

Page 7: %mp%om.mecJ.OepytMsqson;wigh%pg;k'hk5 mas'g : ' 4 44gergeQ ... · ,Mf x.y ' w Y,,.-r- L 4 s; i. ' % ' e-1.--4. i - ' i / ~ Jebruary 5,:1979' i: y # 1 - ws i, 0 .,..

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. *. .

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.! .*;SP ECbCPI P.?JOli DJ'2ER _ Page 3 of'~

*.,

** * 787.t22 ~ t'edic.at* . . ,

* /YA51.'!5PECTE RD Fif0If;G3. .

'. . .. ..

Licensee: N .. d Ned License a::S -oe'c V6 J '$ kend.nent po: 3bi - y

. ..

Iti57ECTIO:1 lid 5 CRITEP.IA FI;;0IttG

(1/(1. Or:anizatien_ .

~

Structure of or;snization as described in Lic Cond'' W I '" * I

& - @/4 NM.- Od ', el f y S**E y7_, y2:c zs a r. wacs: ik. . W Q4 -C.

'No a ,' m 1 'c , L--a u m - wm.

"ta<rd.v.ct&A

- .

2. Licens e internal audits Lic Cond eyA''

Scope and frequency of audits as required?Conducted by appecpriate persons? Records |

-.

L Ic1aintained? P.eviewed by c anageraent? .<'

Deficiene!es identified & corrected?Y

tiorts s P.w us W* '

Op &n && &Way_M. W -

.

.

_..

3. Tra f nino e-d cualificatien of oersonael Lic Cond og

' Training a retraining conducted as required? . ..

)!ritten & oral exa.ts conducted? Examination.results reviewed by canage-ent?

*. -

Instructions to workers per 19.12? 19.12 ~-- - ''"~.n ~-~ n .. ~

,

vorrs s auxwes dLt| /ds &|W Y' '

~'

W WM o~ JA Y / M- w m s gzt. q M- *

,

A.P & N>~e- M W 0^ WA ' Y. . .

f

4. Radiation orotection oro:edures .Lic Cond O'IN' *

Procedures available and implemented? Identify -p 'joa. cMMgradiopharneceutical end dose (s)? Cover.~~ ~

- "**'~~7~* '~ '''

handling of patients receiving therapeutlc- * Ndoses? Cover handling of cadavers? ~L.

-

.

Emergency procedures for spills, eh? .a=/. *Personnel understand procedures? ,Q .gcMg M7

M~ES * PM*S * g,z.f , Yn. 3O VK ..

**

@m -*

m

. .

a-e~ & ~ ,- -

-

. -.

.

O*. .

Page 8: %mp%om.mecJ.OepytMsqson;wigh%pg;k'hk5 mas'g : ' 4 44gergeQ ... · ,Mf x.y ' w Y,,.-r- L 4 s; i. ' % ' e-1.--4. i - ' i / ~ Jebruary 5,:1979' i: y # 1 - ws i, 0 .,..

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. .-

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- . ..

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. .

l~b|' '. Page L or1:;spSc icts n.=y:gi tw3B' - .

- - .- j.

7anos - xeesc.a- -1

I.

K12A5 I:iSPEGE I;3 FitCIt.G3 -

!* -. ., ,..

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 '.

. -w - ...uu_a.

'

6. Storace of raterials C[.

Haterial secured in both restricted and 20.207unrestricted areas? Adequately? -

..

j Q g}} n &lm,*

m ts s w m t',

44+1- ' -

- .

. .

- ...

7. Facilities Lic Cond ok. .

.

As described in lic cond or application? .'Any changes : ede? Adequacy? g h 04._. -

, ,

''w:rs s pluuss .

,

'

. ae . - . . , . ~ . w. . i.,_._..-~~ . ~ . .,.

.

,

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 ,

. .. . . . . . . . . . . . . . . . .--. . ..

,

so;ss a wms, .-.

' '''

w ;g s uk . . . . . , - -.... . .

. . .

%ew . d "# -y. .

W4 |''

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Page 9: %mp%om.mecJ.OepytMsqson;wigh%pg;k'hk5 mas'g : ' 4 44gergeQ ... · ,Mf x.y ' w Y,,.-r- L 4 s; i. ' % ' e-1.--4. i - ' i / ~ Jebruary 5,:1979' i: y # 1 - ws i, 0 .,..

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~b Page 5 of* *

liisi~~.C$C:i BEKKs* .'.12ER. . ..

737M3 - J'edIc.a.1.'.

. .

13EA3 !!;3PECTED I.Ja FItalim -,

,

.

L t c ensae: / I MO/ Licen'se no T- o no */S - Of :and:est co: t34.

/'

, . .

Iti3PICTIOt 17EG CRITERIA FIrlottiG

dk*

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.

'

f|Fxts s 7.reA?_ts, w . j

N.

-M , %%=ga-p & /7y . I--- - - r-.

_

CM*

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? ..

,, ,

. ... .. .. .. . . . . ..

KO;15 s P M.tss"*.

*. ,..g

.

. a.

'# .

.

-.

g.. g

.

t *.. .

. -

Page 10: %mp%om.mecJ.OepytMsqson;wigh%pg;k'hk5 mas'g : ' 4 44gergeQ ... · ,Mf x.y ' w Y,,.-r- L 4 s; i. ' % ' e-1.--4. i - ' i / ~ Jebruary 5,:1979' i: y # 1 - ws i, 0 .,..

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l .* 2CTICfl P.EPCiti IC::.13-

* *

Pege 6 of-

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787103 - hedic.LL.

' . /?.EAS If 3PECTED AfD Fitalt;G3.

Liccesee: dO%/ _ License n$: $ o'-do o yd /3/.oen 3bnt no:i <.f

*.

\

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 -~ '

1:a n s s rz. m xss /- & cY,I .

. .

-.

gK .13. 7:otifications a :d re orts -

,

. , . . .. . ..

'

19*13To individ::als'.. . . .-

.

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 ~,

. .,

.. .

. . .

'. . .

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)''

'~~ "N "'.,.

t; r::s s P".A?.ns *

, .

,.

'

.2.

15. 0.her kieense cendf tf ons . Lic C')f('

r .,. .,,

.a o' .J ~. (g/MM '. ' .

. . .u..

*

Q 6 *' . ..,,

.

.

..

/*

*-.

,

. . .,

. .

.

,- ,

Page 11: %mp%om.mecJ.OepytMsqson;wigh%pg;k'hk5 mas'g : ' 4 44gergeQ ... · ,Mf x.y ' w Y,,.-r- L 4 s; i. ' % ' e-1.--4. i - ' i / ~ Jebruary 5,:1979' i: y # 1 - ws i, 0 .,..

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1:bzenen a2xar mi 2 7' 'c | . .' '

.. Page 6 o,, , , ,.a *

' EXEAS 1:3?Eu:.a |JD Fi:Dl::G5~.

.

Li 8^5et: I N License n5: $ 5'-doo yd -/Jp$n%/nt r:o: 3$.

s.

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-

'

tio:IS a r.rratus g ~

'

ada/ J W M M_- -

'

,

.

...

13. f:otf f tcatisns a*:d re: ortsgQ..

To. individ::als'. '. 19 13'

.. .*

CNerexposures, exc.essive levels & concentrations, 20.403, 20.405. .

incidents. WPersonnel ,exposcres, and conitoring, temination

.

r.eports. 20.407,* 20.408*

-a

;.

Theft or loss of licensed catarial. 20.402 '*

.co:rs i rz a.=.ur #& j ~,

.

. ."

.. .

. -.

. .

..

14. Postino of reti esON,-

-

Part 20, ifcense & doct.:.ents, precedures,19.11(a)

-

-

r.otice of violations posted? .'..

_'

liRC-3 posted?.

'' 19,11(c) *~~ '" 9 ' *~ ';-~ ~ ~ ~..

teorm's aLvAtus,*

. .E

*a -

.2.

15. Other license c:rditions ' . Lie -

c*)|4.

, p. - . .

If p c a '' W ''.

N ".'

-

3.y.. .* Q W ,-, '

. -, .

-.

.

i, .. .,

*. .4

*. .g. .

.

d

Page 12: %mp%om.mecJ.OepytMsqson;wigh%pg;k'hk5 mas'g : ' 4 44gergeQ ... · ,Mf x.y ' w Y,,.-r- L 4 s; i. ' % ' e-1.--4. i - ' i / ~ Jebruary 5,:1979' i: y # 1 - ws i, 0 .,..

- -. . -- ... - -. . - . - - . - -

-. , gs .

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4

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

,

,

4

4

. - - ,,

Page 13: %mp%om.mecJ.OepytMsqson;wigh%pg;k'hk5 mas'g : ' 4 44gergeQ ... · ,Mf x.y ' w Y,,.-r- L 4 s; i. ' % ' e-1.--4. i - ' i / ~ Jebruary 5,:1979' i: y # 1 - ws i, 0 .,..

,

.,.-. ._%

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*

:

Cuarterly Report,1uc1 car Medicino ServicoPage 2

, , ,

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

r, .

/ ' :'!.,

, ,A v/j ~

/,

^4 Anno Dolbow flM(ASCP)fluelear liedicine Service

.'

*iJ* *

e

i

.

#

4

:j'

, -

.

Page 14: %mp%om.mecJ.OepytMsqson;wigh%pg;k'hk5 mas'g : ' 4 44gergeQ ... · ,Mf x.y ' w Y,,.-r- L 4 s; i. ' % ' e-1.--4. i - ' i / ~ Jebruary 5,:1979' i: y # 1 - ws i, 0 .,..

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' ' "

ItGPECTLCH. REJCRT IU'3ERO

, _

. page of.

,

'

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 -..

.

.

Report no: Type n/c: Describe:.

Action taken: *

OPEN3 .

..

CL0 SED'

.

.

.

' . ,

1

- Report no: Type n/c:, Describe:; . .

; Action taken:? OPEN

.-

* .;

>

' *CLOSED.

,

.

O.

.._ .' ~ - - -

. ~ ~ . _ , ,. . . . ~,

Report no: Type n/c: Describe:

Action taken:<.

*

OPEN.1-

'

CLOSED. .

,

'.

',

1..

|. .

1.

Report no: Type n/c: Describe:

Actio' taken:'

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