a.,15 millicuries $m

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pmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmimmi==mmmminiimnimanamy : PAGE l OF 2 PAGES ( se U.S. NUCLE A3 CEfeut.ATORY COMMISSION CORRECTED COPY MATERIALS LICENSE Amendment No. 15 h in Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10, : p Code of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,39,40 and 70, and in reliance on statements and representations heretofore F. i )! made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, source, and special i nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to deliver or transfer such material I t: j. to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This license shall be deemed to contain the conditions specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is subject to all applicable rules, regulations and orders of the Nuclear :- p Regulatory Comn.ission now or hereafter in effect arut to any conditions specified below. g F. Licensee k In accordance with the application dated I. June 30, 1993, E f: 1. SmithKline Beecham Clinical Laboratories 3. Ucense number 20-12707-01 is amended in - its entirety to read as follows: p F 2. 343 Winter Street W Waltham, Massachusetts 02254 4. Expiration date July 31, 1999 h .- , - r F S. Docket or p - - - .. k , Reference No j QO-04721 g 6. Byproduct, source, and/or V 7. Chemical and/or physical * re. Maximum amount that licensee i ipecial nuclear material M form V may possess at any one time E f,]. q. - ' ender this license | ,,. - i M, ~' .t-% y >| ! s A. Iodine 125 M A> Prepackaged Kits W A.,15 millicuries N ' b 1% ' - t Q, | r.c $M/ / \ \g a .f ' ' g 9. Authorized use T w A y / - . ,/ g ; , , .. p >= G() " 9 M'4 e: $, . > ,, s , \ A. In vitro laboraAfyy stildtds. . " . N ' w ,i j r y p r a w ,, { : ! ( i ,o? q . pg r. , - f A M' f - Street, Waltham, Mass chuse$edMii7'atitheslicensed's facilitiss located at 343 Licensed materia 1 9ay be u 10. i tts.u ( , O &p ( l Licensed materiadsfjall be used 11. A. under th - ervision of, Stephen Dungan, , JoAnn Savoy, PatricfyVenuti, or Eugenia Lenz. $ ' 4 v The Radiation Safety Officer T'or this-f4eD is Joann Savoy. [ B. p 12. Licensed material shall not be used in or on human beings. $; 13. The licensee shall not use licensed material in field applications where activity is | released except as provided otherwise by specific condition of this license. . ,y ' 14. The licensee is authorized to transport licensed material in accordance with the P' ' t : provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material.a F W|, 15. The licensee is authorized to hold radioactive material with a physical half-life of f 1 less than 65 days for decay-in-storage before disposal in ordinary trash, provided: > y I A. Warte to be disposed of in this manner shall be held for decay a minimum of ten I ' ' half-lives. t ' t | 9501180298 941001 W PDR ADOCK 03004721 | | C PDR | WOC ' 2Tnno. - .--------------------------------------1 , ~----- ----- -

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Page 1: A.,15 millicuries $M

pmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmimmi==mmmminiimnimanamy:

PAGE l OF 2 PAGES( se U.S. NUCLE A3 CEfeut.ATORY COMMISSION

CORRECTED COPY MATERIALS LICENSE Amendment No. 15 hin

Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10,:

p~

Code of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,39,40 and 70, and in reliance on statements and representations heretofore F.i

)! made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, source, and special i

nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to deliver or transfer such material It:

j. to persons authorized to receive it in accordance with the regulations of the applicable Part(s). This license shall be deemed to contain the conditions

specified in Section 183 of the Atomic Energy Act of 1954, as amended, and is subject to all applicable rules, regulations and orders of the Nuclear:-

pRegulatory Comn.ission now or hereafter in effect arut to any conditions specified below. g

F.

Licensee kIn accordance with the application dated I.June 30, 1993, E

f:1. SmithKline Beecham Clinical Laboratories 3. Ucense number 20-12707-01 is amended in

-

its entirety to read as follows: p

F2. 343 Winter Street WWaltham, Massachusetts 02254 4. Expiration date July 31, 1999 h.- ,

- r FS. Docket or p

- - -

.. k , Reference No j QO-04721 g6. Byproduct, source, and/or V 7. Chemical and/or physical * re. Maximum amount that licensee i

ipecial nuclear material M form V may possess at any one time E

f,]. q. - ' ender this license |,,. -

i

M, ~' .t-% y >|! s

A. Iodine 125 M A> Prepackaged Kits W A.,15 millicuries N '

b 1% ' - t Q, |r.c $M/ / \ \g a .f' '

g9. Authorized use T w A y / - . ,/ g ;, , .. p

>= G() " 9 M'4 e: $, . >,,

s , \

A. In vitro laboraAfyy stildtds..

". N

' w ,i j r y p r a w ,, { : ! ( i ,o?q.

pg r. , -

f A M' f-

Street, Waltham, Mass chuse$edMii7'atitheslicensed's facilitiss located at 343 WinterLicensed materia 1 9ay be u10. itts.u ( , O &p ( l

Licensed materiadsfjall be used11. A. under th - ervision of, Stephen Dungan,,

JoAnn Savoy, PatricfyVenuti, or Eugenia Lenz. $'

4 vThe Radiation Safety Officer T'or this-f4eD is Joann Savoy. [B.

p

12. Licensed material shall not be used in or on human beings.$;

13. The licensee shall not use licensed material in field applications where activity is |released except as provided otherwise by specific condition of this license..

,y'

14. The licensee is authorized to transport licensed material in accordance with the P''

t: provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material.a F

W|,

15. The licensee is authorized to hold radioactive material with a physical half-life of f1

less than 65 days for decay-in-storage before disposal in ordinary trash, provided:>

y

IA. Warte to be disposed of in this manner shall be held for decay a minimum of ten I'

' half-lives. t'

t| 9501180298 941001 W

PDR ADOCK 03004721 || C PDR |

WOC '2Tnno. - .--------------------------------------1,

~----- ------

Page 2: A.,15 millicuries $M

fr&"ZEEW3 X"3TE"KETATJfE"AfE*JN1EFEMME7Z"E*3fArBf|EEET3NArEEI*23TTZ*EETE3r2fE9E'Z"2*y| cae r.,m 374A U.S. NUCLE AR REGULATORY, COMMISSION pgg 2 n, 2 g, 3

( ~ 85 288 ucense nrrnber li<

|20-02399-01! MATERIALS LICENSE * **| SUPPLEMENTARY SHEET >030-01846g y

1 P

q CORRECTED COPY Amendment No. 15y#

e

(| (15. Continued) CONDITIONS

| B. Before disposal as ordinary trash, the waste shall be surveyed at the container fi surface with the appropriate survey instrument set on its most sensitive scale iI and with no interposed shielding to determine that its radioactivity cannot be i ,

I distinguished from background. All radiation labels shall be removed or i|| obliterated.

C. A record of each such disposal permitted under this License Condition shall be ||I retained for three years. The record must include the date of disposal, the p

I date on which the byproduct material was placed in storage, the radionuclides iI disposed, the survey instrument used, the background dose rate, the dose rate F

I measured at the surface of each waste container, and the name of the individual E-

[| who performed the disposal. -

l Ii 16. Except as specifically provided otherwise in this license, the licensee shall conduct t( its program in accordance with the statements, representations, and procedures I.E contained in the documents, including any enclosures, listed below. The Nuclear FiI Regulatory Commission's regulations shall govern unless the statements, F

| representations, and procedures in the licensee's application and correspondence are [:more restrictive than the regulations. ,e p'iI t-

i A. Application dated June 30, 1993'

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^ FI B. Letter dated June 21, 1994I VI II E

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4 For the U.S. Nuclear Regulatory Commission b

| OrigiM Signed By: [OCT - 1 1994 Frands M. Coste ti Date By ,i

i Nuclear Materials Safety Branch p'

i Region I P

I King of Prussia, Pennsylvania 19406 F

| F

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Page 3: A.,15 millicuries $M

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be U.S. NUCLEAQ CEGULATORY COMMtSSION ''

CORRECTED COPY MATERIALS LICENSE Amendment No. 15g

Pursuant to the Atomic Energy Act of 1954, as amended, the Energy Reorganization Act of 1974 (Public Law 93-438), and Title 10'

'

Cc:!c of Federal Regulations, Chapter I, Parts 30,31,32,33,34,35,39,40 and 70, and in reliance on stater -,ts and representations heretofore{| made by the licensee, a license is hereby issued authorizing the licensee to receive, acquire, possess, and transfer byproduct, source, and special

i nuclear material designated below; to use such material for the purpose (s) and at the place (s) designated below; to deliver or transfer such materiali. to persons authoriicd to receive it in accordance with the regulations of the applicable Pan (s). This license shall be deemed to contain the conditionsi sp:cified in section 183 of the Atomic Energy Act of 1954, as amended, and is subject to all applicable rules, regulations and orders of the Nuclear

Regulatory Commission now or hereafter in effect and to any conditions specified below.

5-1

i UcenseeIn accordance with the application dated.

June 30, 1993, |<

t 1. SmithKline Beecham Clinical Laboratories 3. Ucense number 20-12707-01 is amended in I'

its entirety to read as follows:

2. 343 Winter Street --

Waltham, Massachusetts 02254 4. Expiration date July 31, 1999-e

'

5. Docket or-

-

.L' Reference No i 030-047216. Byproduct, source.and/or V 7. Chemical and/or physical * rS. Maximum amount that licensee

'special nuclear material h form b' may possess at any one time'

@- - " under this license

s' N

L Q ' packaged Kits hA. lodine 125 A Pr.e A. 15 millicuriesk . - t Q .',e ? %?| i \%>

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9. Authorized use T} y _ (,y.y./.m j/ gys

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In.vitrolaborarpyysthp .~ ,s>j,rp;yan , y ' [M, ' Y._ .< .

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m d CONDIT10NS 'a

Licensed materia 1Naay be&x LY $ W N} h&?{N.k, r10.

,

u$e - nly att theslicensee,'-s facilities located at 343 WinterStreet, Waltham, Mass'achusetts.O C ,% ['

/ Mf (s- s ,-

Licensed material shall be used by',''or under th s'bp}ervision of, Stephen Dungan,11. A.JoAnn Savoy, PatrickjVenuti, or Eugenia Lenz. '

%' M4 A,

B. The Radiation Safety Offic r'for -thisit' cense is Joann Savoy.

12. Licensed material shall not be used in or on human beings.

. 13. The licensee shall not use licensed material in field applications where activity isreleased except as provided otherwise by specific condition of this license.

.

; 14. The licensee is authorized to transport licensed material in accordance with the f; provisions of 10 CFR Part 71, " Packaging and Transportation of Radioactive Material."

15. The licensce is authorized to hold radioactive material with a physical half-life of:

less thaa 65 days for decay-in-storage before disposal in ordinary trash, provided:'

| |A. Waste to be disposed of in this manner shall be held for decay a minimum of ten I !' hal f-lives. I'

R'

pi! Ii "

QFFICIAL RECORD COPY E 10 |.

,.

Page 4: A.,15 millicuries $M

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q knc r o,m 374A U.S. FEE AR REGULATORY COMMISSION W 2PACE or 2 )pacts ,

8 '*( ucense nurnber >

| MATERIALS LICENSE 20-023%-01 |* * ' * " '( SUPPLEMENTARY SHEET >q 030-01846 g4 P

( CORRECTED COPY Amendment No. 15>h<

fj (15. Continued) CONDITIONS

| B. Before disposal as ordinary trash, the waste shall be surveyed at the container4 surface with the appropriate survey instrument set on its most sensitive scale p

N and with no interposed shielding to determine that its radioactivity cannot be PI4 distinguished from background. All radiation labels shall be removed or WI

j

{|Wobliterated.

| C. A record of each such disposal permitted under this License Condition shall be ;

q retained for three years. The record must include the date of disposal, theg date on which the byproduct material was placed in storage, the radionuclides >4 disposed, the survey instrument used, the background dose rate, the dose rate N

j measured at the surface of each waste container,< and the name of the individual[gwho performed the disposal. i,

q

16. Except as specifically provided otherwise in this license, the licensee shall conduct hq its program in accordance with the statements, representations, and procedures p|4 contained in the documents, including any enclosures, listed below. The Nuclear h j4 Regulatory Commission's regulations shall govern unless the spatements, h ;4 representations, and procedures.in the licensee's' application and correspondence are fq more restrictive than the regulations. p,

,.,

e '>-

1

d A. Application dated June 30, 1993 e F

B. Letter dated June 21, 1994 ^

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# >4 F'q k;4 Ei4 El |4 h1q O4 FI4 Il4 ii4 ki4 114 F!( i:

h|4 For the U.S. Nuclear Regulatory Commission |

{ Wnal @ud th:OCT - 1 1994 Frands M. Costok Fi,

Dateq By pq Nuclear Materials Safety Branch Fj

( Region I fl

4~

King of Prussia, Pennsylvania 19406 il(i

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Page 5: A.,15 millicuries $M

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October 1, IW4

License No. 20-12707-01Docket No. 030-04721Control No. 118362 '

SmithKline Beecham Clinical Laboratories .

ATTN: Stephen M. Dungan, Ph.D.,

343 Winter Street ,

Waltham, Massachusetts 02254 |

Dear Dr. Dungan:!

Enclosed is the Corrected Copy of Amendment No. 15 for License No. 20-12707-1.In accordance with your letter dated September 21, 1994, the spelling of Ms.Lenz's first name has been corrected. In addition, we have deleted :Valerie Quigley as an authorized user. .;

We apologize for any inconvenience this error may have caused. !

Sincerely,'

Original Signed By:Francis M. Costeho

Francis M. Costello, Chief jMedical Licensing Section |Division of Radiation Safety :

and Safeguards j

|Enclosure:Corrected Copy of Amendment No. 15

DOCUMENT NAME: G:\WPS\MLTR\L2012707.01

_

0FFICE DRSS:RI DRSS:RD , DRSS:RI DRSS:RI

NAME NBhalla/amw Y ' FCostdl(o

DATE 10/01/94 10/01/94 10/01/94 10/01/94

FFIC g gCORD COPY

Page 6: A.,15 millicuries $M

ma. g- .. ..

SmithKime BeechamClinicalLaboratories

g,soiSeptember 21, 1994

Neelam BhallaNuclear Materials Safety BranchDiv. of Radiation Safety & SafeguardsU.S. Nuclear Regulatory Commission475 Allendale RoadKing of Prussia, PA 19405-1415

RE: License No. 20-12707-01Docket No. 030-04721Control No. 118362

Dear Ms. Bhalla:

Thank you for your letter of July 28 and the renewal of ourlicense. Since we filed our initial application for renewal, oneof the individuals listed in Section 11 has left the company, andher name should be removed from the lice m . This individual isValerie Quigley. Also, the spelling of hs. Lenz's first name isincorrect. It should be: Eugenia

I wanted to inform you of these changes so that our file would becomplete and up to date.

Sincerely,

&Stephen M. Dungan, Ph.D.Technical Director

cc: Eugenia Lenz, SIA SupervisorJo Ann Savoy, Radiation Safety Officer

huClegul. doc

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OFFICIAL RECORD COPY EN // M 62-343 Wmter Street, Weltham, MA 02254, (617) 890-6161 < $[f | | g,

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