OCT-01-2003 09: 15 P. 02

rq GUTHRIE”

October I, 2003

Sandra Gabriel Health Physicist Division of Nuclear Materials Safety 465 Allendale Road King of Prussia, PA 19406-1415

Dear Sandy:

Robert Packer Hospital One Guthrie Square Sayre, PA 18860-1698 Tel 570.888.6666

/c- 3

In accordance with 10 CFR 35.14, this letter is a notification that Ms. Rebecca Middleton, Ph.D will begin to operate as an authorized medica1 physicist for Robert Packer Hospital, effective September 15,2003. Enclosed you will find Ms. Middleton’s curriculuni vitae as well as the materials license from her previous employer. Ms. Middleton is scheduled for training on the Nucleotron remote afterloader by the Nucleotron Corporation on September 30,2003.

Additionally, please note that Mr. Joon Park is no longer scheduled to work in the Radiation Therapy department for Robert Packer Hospital and should hence be removed from our license. I would also request that you remove Donald H. Beezhold as an authorized user of licensed material for non-medical use as he is no longer employed by the Guthrie Foundation. Last, we request the addition of Sreenath Sharma, Ph.D as an authorized user for Hydrogen-3, Phosphorous-32, Sulk-35, and Carbon-14. Please find the accompanying documentation attesting to his training fkom the University of Tennessee.

Should you have any questions or require any additional information, please do not hesitate to contact me directly at (570) 882-4453.

Sincerely,

Mary N. Mannix, FACHE Chief Operating Officer

cc: John Bradley Ralph Zehr

www.guthrie.org

OCT-01-2003 09:15 P. 03

. .

TI-LEUNIWS1lY OF TENNESSEE MEMPHIS T h S Health Science Ccnta

911 1 /98

MEMO

TO: Dr. Srsenath Sharma

FROM: David Edwards Radiatlon

Radiation Safety Otticc 800 Madisoii Avmuc Mcmphis,TN 38163

(901) 448-6114 FAX (901) 448-7774

RE: Renewal of Radioective Material Authorizations

Thanks for your prompt attention to my memo rcagardtng the renewal of your radioactive mateflal Authorizations. Your Authorlzations as listed on the attached 'Radtation Souroe Approval" sheet have been renewed through September of 1999.

If I can be of further assistance, please contact me.

Enclosure

OCT-01-2003 09:16 . - P. 04

SEP 24 2@03 09:12 FR RRDIATION SAFETY 901 448 7774 TO 915708824643 P.W/04 .

UNIIJERSITY OF TENNESSEE CLM'ER FUR THE HEflLTH SCIENCES RRDIRTION SUURCE RPPROURL

e SHARMA, SREENATH V.

ertment MICROBIOLOGY

phone 4474/8101

renewal drte SEPT 1998

aratoty 114 MSB

IACE OR BYPRODUCT 'ERIAL (ELEMENT AND ZS NUMBER)

H 3

S-35

C-14

P-32

cad5

rs** 272

MAXIMUM AMOUNT TO BE POSSESSED

CHEMICAL AND /OR PHYSlCAL FORM W C I )

THYMIDME, AMINO ACIDS, SUGARS, LtPlPS 2.6

METHIONINE, Trans SI ATP 15.0

AMINO ACIDS 2.0

DNTP, UPIOS, ORTHOPHOSPHATE 11.0

CALCIUM CHLORIDE 5 .O

.' I'

OCT-01-2003 09:16 P. 05

'THE UNIVERSITY OFTENNESSE MEMPHlS Thr H d t h C m ~ a r

FAX COVERSfiEET

RiuLuion Safety Office 800 Modloor\ Avrnue Manphis,TN 3163

(901) 448-6114 FAX (901) 448-7714

ADDRESS:

FROM: DAVID EDWARDS, Radlation Safety Ofticer

FAX #; (901) 448- 7774

I

IF YOU DO NOT RECEIVE ALL PAGES OF THE TRANSMISSION PLEASE CONTACT DAVID EDWARDS A T (9Oq) 448-6114.

OCT-01-2003 09:16

SEE

' SUPPLZMENTARY

6 . Radioactive Matert a1 (Element and Mass Number)

A . Any radionuclide . between Atomic Numbers 1 and 83, inclusive, except a s indlcated below

5 . Hydrogen 3

C. Carbon 14

E. Phosphorus 3 3

F. Sulfur 35

G . CalClUm 4 5

H. Chromium 51

I. Iodine 125

J. Americium 241

K. Cobalt 6 0

L. Cobalt 6 0

M. Strontium 9 0

Licenee huber R-79019-Jg7

4 9 - Maximum Siadloactive Material Which Licensee May Possess at A n y O n e Time

9. Chemical and/or Physical Far5

A. Any

8. Any

C. Any

D. Any

E. Any

E. Any

G . AIIY

€I. Any

I. Any

J. Any

K. Sealed source (Technical Operations Model A-242-1)

A . SO millicuries each for radionuclides be tween Atomic Numbers f and 03, inclusive, except as Indicated bel ow

8 . SO00 millicuries

C. 700 milllcurleeP

D. 8 0 0 mLl1fcurica

E. 8 0 0 millicuries

F. 750 millicuries

Q , 75 millicuries

H. 7 5 millicuries

I . 350 millicuries

J- 0 . 0 5 millicurie

#. 200 millicuries

L. Sealed 8ousco L. 1300 millicuries (Technical Operations node1 A-453-1)

M. Sealed source H. 2 sources of 2 0 (U.S. Radium Corg. millicuries each Model LAB-369, Barber-Column Yonltation Detector

ana A-rrso] C e l l a , T y p ~ A-4148

- OCT-01-2003 09:17 P. 08

Page 3 of -8- Pagee

N. Cobalt 60

0. C o b a l t 60

P. Strontium 9 0

Q. Cesium 137

R. Radium 228

S. Radium 226

T. Radium 226

u. Cesium 137

N.

0 ,

P.

Q.

R.

S .

T*

U.

License N-r R-79019-J97

SFaled 8ource N. 10 mlllicuriey (Tracerlab Model R-31)

0, 1 source 6 f 2 millicurlea and 1 source of 10 m i 11 i c u r i e s

Seerled source P. 1.5 millicuries (Victoreen Model 540D)

Sealed Y O U X C ~ (IcN Capsule Type 378)

Q. 1 source of I mill icurie and 1 isouree of 10 millicuries

Radium Chloride R. 0.14 microcurie so lu t iun

Radium Chloride S- 0.05 microcurie so lut ion

Survey instrument T. 1 millicurie check sources

Sealed source U. 9 0 microcuries

10 Authorized use

A. through J. For research and development a8 defined in 1200-2-4- .04 {l)(ii) of "State Regulations for Protection Against Radlation." For medical rentarch, diagnosis, and therapy with radiopharmaceutic~le which have FDA approved INDa or N D A s , and rnedlcal research with radiopharmaceuticals and procedures which have been approved by the UT Memphie Radioactive Drug Research Committee per 21 CFR 261.1.

K. For storage o n l y in a Technical Opmatlons Medel 402 radiographic unit.

L. For storage o n l y in a Technical Operations Model 4 4 6 'projector.

M. t h rougn 0. For storage only.

OCT-01-2003 09: 17

(9.w .

TENNESSEE DEPARTMENT 0 8 ENVIRONMENT ANI) CONSERVATION DIVlSION OF RADLOLOCICAL fl.&ALT€C

RADIOACTIVE MATERIAL LICENSE

P. 09

I

Gcntlancn:

Your Tennessee Radio~clivc m a l License numbtr R-79019-Jg7 i s amended as PoIIows:

To c w Items 3 nod 4, Theed items will now m d os PolIotvs:

3. R-790 19-f99

4, Octobcr31, 199Y

MI other pndta of thls lku\sa mmdn unchnagccd. Date J P ~ Y 3,15197

Por the CommiaOlena taansssce Department of Enviroamcnt and Cooocrvation

6toadJ E. W p n Health Phyelclst DivPsion of Radhloglczl l t i l t h

TENNESSEE DEPARTMENT OF ENVIRONMEflT AND CONSERVATION DLVIS1ON OF RADIOLOGICAL HEALTH

RA0IOACTIVE MATERIAL LICENSE

Amendment 64 .I

License Number R-79019404

Uhivarsiry o€ Tennessee, Memphis Radiation Safety Oftice SO0 zvfstdim Avenue Memphis. Tmntssea j 8 163

Andion: Edward M. Tmford, A ~ S O C ~ P I ~ Vice Chmc&r

Your Tennessee bdioactive Mataial License number R-790 19499 is mended as Follows:

To change Items 3 and 4. T h e item will now read 8s fbllews:

j, R-79019-IO4

4. October 3 I . 2004

- All otller prar of this lfcense remaln uncban-pd. Dace: June 30.1999

For the Commissioacr Tennessee Depemeat 6i Eavironmmtc alrd Consemdon .

Kemlth Physicist Dhbioa or Radiological Hedth

P. 10

I

** TOT% PQE.06 **

RADIOLOGICAI; PHYSICS CONSULTANT SERVlCE

REBECCA C. MXDDLETON, P S D .

PERSONAL:

LICENSE:

Number of Children - Date of Bixb Marital Status

Texas Medical Physicist License MP0129

Diagnostic Radiological Physics Therapeutic Radiological Physics Medica) Nuclear Physics Medical H d t h Physics

specialty Areas:

P. 11

Hawaii Radiation Service License PH0033

CEKTlFICATION: 1. Amdcan Board of Radiology, Thtrapeutic Radiological Physics - 1988 Bureau of Radiation Control, Certificate of Registration R20110 for Consultant - X-ray, Demonstration and Sales and Calibration X-ray Equipment - 1992

2.

MEMBERSHIP: 1. 2. American Institute ofPhysics 3. Southwest Chapter of AAPM 4. 5. 6.

American Association of Physicists in Medicine

North Texas Chapter of Health Physics Society South Texas Chapter of Health Physics Society b e x i c a n Society of Therapeutic Radiology and Oncology

APPOXNTMENT: Governor George W. Bush .4ppointment to Texas Board of Licensure for Professional Medical Physicists September 2000

PERSONAL INFORMATION WAS REMOVED BY NRG. NO COPY OF THIS INFORMATION

WAS RETAINED 6rTHE NRC.

P. 12 OCT-01-2003 09118

INCLUSIVE DATES

DEGREE w MkTOR

Radiological Physics

PhD- 1977 - I982 U.T. Health Science Center of Dallas

Radiological Physics

M.S. 1974 - 1977 U.T. Health Science Center of Dallas

Physics M.S. 1972 - 1974 Texas Christian Univtrsity

Physics B.S. 1967 - 1971 Taiwan National Cheng Kung University

External Beam, Interstitial and

Intracavitary Dosimetry High Energy Electron X-Ray and Neutron

Dosimetry

January 1978 U.T. Health Science Center at Houston

January 1980 U.T. Health Science Center at Houston

1. Mixed field Neutron Dosirnerry and its Application in Measuring Photoneutrons from Medical Accelerators

Effects of Radiation on Color'Centers in Crystals 2.

1.

2.

Radiation Dosinetry by Thermally Stimulated Exo-electron Emission

Dosimetry Data for Diagnostic Roentgenology and its us in Estimation of Patient Organ Doses from Diagnostic Procedures

3. Man Effect in Organic Liquids by Giant-Pulsed Laser

OCT-01-2003 09:18 P. 13

September 2001 - Present

October 1987 - Sepmber 2001

April 1984 - October 1987

April 1980 - November 1980

June 1975 - April 1980

Septcmbcr 1974 - May 1975

Radiological physics Consultant Senice President & Consultant Physicist

Clinical Medical Physicist and Radiation Safety Offcex Medical City Dallas Hospital Dallas, Texas (Consultant from October 1987 - September 1998, Employee from September 1998- September 2001)

Consultant Physicist Depa&nent of Radiation Oncology Medical City Dallas Hospital Dallas, Texas

Consultant Physicist Department of Radiation Oncology Presbyterian Hospital at Dallas Dallas, Texas

Consultant Physicist Departmlnt of Radiation Oncology DalIas V. A. M e d i d Center Dallas, Texas

i

Assistant Physicist Department of Radiation Oncology Presbyterian Hospital at Dallas Dall&, Texas

Teaching Assistant Department of Radiological Physics U.T. Health Science Cenler at Dallas Dallas, T m

Lab Assistant Departmmt of Physics

3

OCT-01-2803 89:19

University of Texas at Arlington Arlington, Ttxas

September 1972 - August 1974

September 1971 - May 1972

Research Fellow Department of Physics Texas Cbristian Univcrsity Fort Worth Texas

Physics Teacher Taipei Young Ming High School Taipei, Taiwan

Middleton, RC., “Mixed Field Neutron Dosimetry and Its Applicatim in Measwing Pboto- neutrons from Medical Accelerators.” Ph.D. Dissktation, U.T. Health Science Center at Dallas, Dallas, Texas, 1982.

Liang, RC., “Radiation Dosimetry by Thermally Stimulated Exo-elecaon Emission,” M.S. Thesis, U.T. Health Science Center at Dallas, Dallas, Texas, 1977.

Rebecca C. Liang Middleton and Robert C. Mu-, “Dosimetry Data for Diagnostic Roentgenology and Its Use in Estimation 04 Organ Doses from Diagnostic Procedures.”

Volume 5, No. 4, p. 3 16. July/August 1978,

P. 14

Rebecca C. Liang Middleton and James E, Rowdey, “Radiation Dosimetry by Thermally Stimulated Exo-electron Emission and ‘Its Applications in Low Dose Measurements.” &&a1 P m , Volume 4, No. 4, July/August 1977.

4

7 -. b

P 4 Q E 1 ' OF A P A C E 8 Amendment No. 42 U.B. NUCUM RCOUUTORY CO~tbSlbN * NRC FORM 374

rY MATERlAlS LICENSE

E. Csslum-137 E . f &alqd equrmq (Cm F. Itldium-182 F. Sealed soume

'OF8itrs-LAW rQjsck3i '437C)

{Malllnckrodt Model CI L BV)

(BE81G Model SrO.SO3, AEAT SlCW,Z)

G. Stronflum-90 C. Sflaledsources

H. Carbon-74 H. Any

I . Phosphorus-32 I. Any

J. Phosphon1s-33 J. Any

K Sulfur-35 K. Any

, L. Hydrogen-3 L. Any

M. Calcium45 M. Any

y6t'FePerai Rogulatlons, Chapter I, Parb a. 31, 32,33, 31, 35.3638, So, and 70, and In milants an atalmmmtS Md nprocarrtatbns hererolore mads by in8 Ilceneee, 8 license ir hereby ~gsu8Q OUlhorlZlng fha llcsneee to rocmivs, aequlre, passcaos, and Imnsfer bypreducl, soufoo, and BpeclJ nuclear t'nSterlU deelgnabd bdow: lo c160 euch rnabrlsl !or Iha purposs(o) and at lb place($) dmigm{.d bdbw; to delluer or tmnefer suoh material to peca~fls 8UlBQrlW to rrcrkrs 11 In awordancewilh the ragularlorui of thr appllcaale Pan(e). Thlr llcbnss shall be deemed to emtaln the oondlllm spacified i i Ssctlan 183 of Ihe Atamic Enrrgy Acl ol1854, as ameretad, end la sublecr to all spplleable rules. rsgulallons, and ordar6 Of Ihr Nuclaer flagulatwy Cornmlsslm now of hamnfbr In eflacl and to m y condlllons specified below.

Llemsee

I . The Queen's Medical Center

In accordance with amail dated Febrdary 6,2003 3. L ' C ~ ~ S S numoor 53-1 6S3-02 is amended in

3 '&l@,hpdaie September 30, 2004 . . - i i , $a qptifety to rsad as followe: -- F- ->- '? -

2. 1301 Punchbowl SIreet - '= \e' . Y*' a& C,L 5. Docket b-@Q,t4522 "- '. a-

Honolulu. Hawaii 9681 9 ..,, -.- -.+ - Roforsncr No.; n,

6. elprod~~ct. source, ancVar Bpodo(r, 7. Ctmmioal andor physlcal rm nuoloer rnalrrlal 3 3

A. Any byproduct m identified in 10.C

8. Any byproduct mat

E. Not 10 exceed 5610 ouries

F, 2 sourns not to exceed 12 curies each [see condltlon 283

G. Nst tu exceed 5 mlllicuries per source and 800 millicuries totel.

H. 13 millicuriw

I. 10 mlllicuries

J. 10 millicuries

K. 10 millicuries

L. 10 rnillkurlss

M. 10 mlllicuries

- I - -

U.S NUCLEAR REGUUTURY CC)MMISSION -PAGE 2 ' a( 5 PAGES C NAG h R U 374A Unwr Nurnbdr 53- 1 6533-02

Ill

4 D d ~ l or Rabronca Numbrr

\

- . .- - A,'-. . ' - ....- . :.. ,..Fa*' 7

10. A. Licensed malartal Jdentlfied In items 8.:A'?hr&gh 833 8nd 6.N shall be used only at the licensee's fedlities located at 1301 Punchbawl'Street, Honolulu, Hawaii.

8. Licensed matarfal identified In items 8.H through 6.Mi shall be ussd only at llc8nsee'e University Towera, Suites 805, 806, and 815, 1356 Lusitana Street, Honolulu, Hawaii.

1 I. fha Rtuliarlor, Safety CWicar for this license Is Scott Dub,

12. The Authorlzed Medical Physicists fw this I l c m b are Scott Dube, Edwin Price, Ph.P., Alan Cassady and

13. A. The use of licensed f'nat8rial in or on humans shall bs by a phy6lClan as defined in 10 CFR 35.2.

E. Physsickns daslgnfited to uw licensed matarisll in or on humans shall RImt the training criteria established In 10 CFR 315 Subpart J and ahall be designated by the RadiBtiM Safety Committee.

Harold Palmar and Rebecca Mlddletan, Ph,D.

P. 17 i-'. uu1

OGT-01-2083 09:20 . . .,.. ...-- .,I",,',* 1

w.

m MATERIALS LICENSE SUPPLEMENTARY SHEET

-PAGE 3 ai 6 i)4Gt?3

Ucsnfo Number 53-7 6533402 DDcttst or Rmlerence Nurnbor 030-1 4522

Amsndment No. 42

Ill I

14. Sealed sourcas or detector cella containing licensed material shall not be opened or source6 removed

16. The llcansee fs authorized to transport llcensed mater&/ only in accordance with the provlslune of 10 CFR

16, In addition to the possession Ilmkc; in Itern 6, the liceneee shall further restrict the possesalon of Ilcensed

from source holders by the licensee.

Part 71, "Pacbglng and Transportetlon of Radiwctlve Material.'

material io quantltlse below the mlnlmum )@&qw$i@ . - lp.10 CFR 36.35(d) lor sstablfshing I- : .. : ..

i. ,- ..' decomrniseiorllng Iinanclal assurance::; - L.r- - - . . * -. 4. *

J . v &= 3; : .-..I,

17, Before initiation of irradiator m%hdOibn6 or after reloading of the irradiator and belore restart of levels around, stave, and oaed positJon, The results of

IV, Piractar, Divlslon of 7601 1-8064, not more than

the irradl~itof, a madlation Su belaw the irradiator with

be conducted to

the sumy shall be sent$%e U,.S. Nuclear Nuclear Materiala S8fe.*Sll ?4y$T-Rlp1 30 day8 after the S U W H condV,:-:hk

18. The licensee shall no acceas to the license shall be performed b such services.

19. For waled sources n

IvlGemoval of shielding or

A Sealed sourns &all intervals s~eclfled In

8.

c.

D.

E.

under IO CFR 32.210 or uder aqutuelent regulations - , of an Agreement State

Nohvithstandlng Paragraph A of thls &nditi&, sagled wurces designed to primarily emit alpha particle6 6hall bet rested far leakage and/or contamination 8t interval5 not to OKCaad 3 mantha.

-->a - ...- ,.: , .. * - ,lc". ;'."

In the absence of a certificate from a tranefsror indicating that a leak test has besn made within the inturvals specified in the certllluate of mglsttation issued by the US. Nuclear Regulatory Camrniseion under 10 CFR 32.210 or under equivalent regulations of an Agreement State, prior to the transfer, 61 sealed sourcb of detector cell received from sttomer pereon Shali not be put into use until tested and the test results received.

Saalad sources need pot be leak tested if they contain only hydrogen-3; or they contain only a radioactive gas; or the hatf-life of the iaotopa is 30 days or leas: or they contain not more than 100 mlcroauriss of beta andlor gamma emitting material or not mote than 10 rnlcrocuries of alphe emitting materid.

Sealed SOurcaa need not be leak tesled if they are in storage and are not belng used; however. when they are mnoved from storage for UBI or transferred ta another person, and have not been teatad wtthln the required leak teet inbrval, they shall be tested before use or transfer. NO sealed source or detector Cell shall be stored for a perlod of more than 10 years withour being tested for leakage md/o r contamination.

03ib 1 4522 MATERIALS If CENSE SUPPLEMENTARY SHm

Ill 1

F. The leak test shall &a capable of detecting lhe prsmsnce of 0,006 mlcroaurie (185 becquerels) of radioactive material on the feet sample. If the test reveals the presence of 0,065 miarocurie (1 Bs becquerela) of more of removable atntamlnation, a report shall be filed wifh the US. Nuclear Regulatory Commission In accordance with 10 CFR 30,60(c)(2), and the source shall he removed immadlately from aervica and decontamineted, repaired, or dierpossd of In eccordance whh Commission regulations. The report shall be flled within 5 days of the date tt.le leak test result 16

known with the US. Nudeaf Asgulawy Carmtlssjon, Region IV, 611 Ryan Plara Drive, Sub 400, Arlington, Texas 7601 1, ATTN: Direg;t~~;Dlviaon.pfHudaer Meteride Safety. The repatt shell specify tt~e source Invohrad, the t&, ~&ufs, i i t i d ' t a f F & k F I C t h -c .. taken.

(3. Testa for leakagb'~~d/or.D'O~~ml"aHon, including leak let3 &#fa collection and analyeis, shall ba performed by the liceqk'rr by parsons Bpeclflcally licensed by W. U.S. Nuclear Regulatory Commkeion or an A rslment State to perform such sanrlces.

20. me licensee shalt md'& a ph$mI.\nventory every 8 montJ6, or at otheflntewab approvad by fie U.S. Nudeet flagulsta~ Cahrnission,\t for all saurceahdqc devices,vlvad and poweased under the license.

lotrexTu liquld brachflhsrapy ao@klthe *A. c, - %.% P&$Jm&J'J$@utkd .. . Gl!aSltq8diotherapy system.

e'- ..E 4 9 :G-d

"",-, 12 & ~- / .* ' 0 - 3

.-,'--- . I , ;;. - . r?. k.-*

-. - - . . . . . *A+ -- . a '?* . I ' i \. < y , ,I' : f ! ~

21 I Notwithstanding the rgyiremenp iklO'kp S$&.va.imn&:e may use wine-125 in the farm of

A.

E.

c.

0,

22. The liwnsas is authon de cay4 nstorag e be f o

Radioectlw wcfste to 10 hatf-liwes.

of less than 120 day6 for

decay a minimum at

Before disposal a8 ordinery trash$$rgdm flatqyl &all be e u ~ e y e d at the cbntalner auffaae with the eppmpriale meter mt on Its most Snsltlifi W and with no lnrerposed ahieldng to defermine that its radioactivity cannot be dlstlnguished from background. All radiation labels shall be removed or obliterated.

Generator mtumns shdt be segregaled 80 that they may be monikorsd separately to onsure decay to background lavsis prior to dlaposal.

A rscord of each disposal permitted under this Limnas Condltion ahall be r8teined for 3 years. The record muat indude tha date of dbposal, the date an whlch the byproduct materiel waa placed in sfofage, the radionuclides dic;poeed, *a survey inammen1 used, the background dose rate. the dose rats measured at the surfam of each waste Wirier, and me name of the indlvidual who performed the disposal.

23. Expenmental animala, or the products from experimental animals, that have been administered Iksnwd materials shall not be used ?or human consumption,

24. The llcenses is authorhad ta Implant iodlne-125 or palladlum-103 seeds in 6 female Atlantic Bottlenose dalphln for brachytherapy treatment as described In email dated Fsbnrary 6, 2003. Thls authorftatlon expires August 31,2003.

., - NRC tonu wqA US. NUCLEAR PECUUTOAY CWM19910N .PAGE 5- of 5 PAGES

Ucanm Numbdf 53-1653342

r'

accordance with the ststements, representatlorrs, and procedures contained in the documhs, incllrdlng any enolosures, listed below. This llcsnse condltion only applies onfy to those procadurets that are required to be submitted in accordance wlth the regulatlans. Addlrionally, this license condltlon does not limit the licensee's abllfty to make ohenges to the radiation protection program as provlded for In 10 CFR 35.26. The U.S. Nuclear Regulatory Commission's regulations shall govarn unless the statements, representatlons, and proceduras in the lbnsee's application and comepondonce are mare restrictive than the regulations.

F. Faairnile dated N

J. Faesirnils da

P. Lstterdated

S, Letter dated Aprll5,MOZ U. Ernall dated Fsbnrary 6,2003

FOR THE US, NUCLEAR REQUIATORY COMMISSION

u ear'Materiek Licensing Branch MOn I" Arllngtnn, Tern 7601 1

TOTAL P. 19

This is to acknowledge the receipt of your letter/application dated

/ q 2 L e o : ? , and to inform you that the initial processing which includes an administrative review has been performed.

/-.. 9 7 - o / S P 3 - c I d ) T h e r e were no administrative omissions, Your application was assigned to a

technical reviewer. Please note that the technical review may identify additional omissions or require additional information.

0 Please provide to this office within 30 days of your receipt of this card

A copy of your action has been forwarded to our License Fee & Accounts Receivable Branch, who will contact you separately if there is a fee issue involved.

Your action has been assigned Mail Control Number / 3 37w When calling to inquire about this action, please refer to this control number. You may call us on (610) 337-5398, or 337-5260.

NRC FORM 532 (RI)

(6-96)

Sincerely, Licensing Assistance Team Leader

(FOR LFMS USE) INFORMATION FROM LTS .................... BETWEEN:

License Fee Management Branch, ARM : Program Code: 02230

Regional Licensing Sections : Fee Category: 7C-3M : Exp. Date: 20110930 : Fee Comments: CODE 23 : Decom Fin Assur Reqd: N

and : Status Code: 0

................................................. ................................................. LICENSE FEE TRANSMITTAL

5 A. REGION

1. APPLICATION ATTACHED Applicant/Licensee: GUTHRIE HEALTHCARE SYSTEM & Received Date: 2 0 0 3 1 0 0 1 Docket No: 3003013 Control No.: 133749

Action Type: Amendment License No.: 37-01893-01

2. FEE ATTACHED Amount : Check No. :

3. COMMENTS

Date I, . -2 - 3

B. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 is entered /-/)

1. Fee Category and Amount:

2. Correct Fee Paid. Application may be processed for: Amendment Renewal License

3. OTHER

Signed . Date