Simmons, Michelle

From: Sent: To: Cc: Subject: Attachments:

M ichelle,

ERIC COLAIANNI < Eric.Colaianni@saintalphonsus.o rg >

Wednesday, September 14, 2016 4:20 PM Simmons, Michelle TIMOTHY STACK [External_Sender] RE: NRC License No. 11-27306-01 Deficiency Letter Relenquish of Ownership 6762-signed.pdf; St Alphonsus Health Physics Cesium Leak Tests.pdf

Let me know if t here is anything else that is needed for our request.

Th anks

Eric Colaianni CN MT, RSO Rad iology Manager 1055 North Curt is Road

Bo ise, Idaho 367-4 788( office) Eric.Cola ia n ni@sa inta lphonsus.o rg

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wii.li a fhu't <'>pi•tit "f fwpe and adi:iCT1.cment. 'lj!1u a'tc ftew w cn'ticfi tf1.e W.(l'ild, and y,ou impo{l.Cfti::ift y<ttm.,cff if, 1p1u fo:tgel tile C't't.CUUl.

@ saint Alphonsus RADIOLOGY & MEDICAL IMAGING

From: Simmons, Michelle [mailto:Michelle.Simmons@nrc.gov] Sent: Wednesday, September 14, 2016 1:52 PM To: ERIC COLAIANNI Subject: NRC License No. 11-27306-01 Deficiency Letter

Docket No.: 03032263 License No.: 11-27306-01 Control No.: 591600

Mr. Colaianni,

PUBLIC a )mfnediate Release e'° Normal Release

NON-PUBLIC 0 A.3 Sensitive-Security Related 0 A.7 Sensitive Internal 0 Other:

Reviewer: ·-H_,5 ___ Da-te-: -CJ /;t;; ft(;

This is in reference to your application dated July 22, 2016, requesting to remove Cs-137 Amersham LOR sealed sources from your material license. In order to continue our review, we need the following additional information.

Please submit the transfer and receipt documentation for the sealed sources you wish to remove from your license. Also, please submit the most recent leak test results for those sealed sources.

1

Simmons, Michelle

From: Sent:

ERIC COLAIANNI < Eric.Colaianni@saintalphonsus.org >

Wednesday, September 14, 2016 5:03 PM To: Simmons, Michelle Subject: [External_Sender] RE: RE: NRC License No. 11-27306-01 Deficiency Letter

No we wish to keep Gd-153 on our license.

Th anks

Eric Cola ianni CN MT, RSO Radiology Manage r 1055 No rth Curt is Road

Boise, Idaho 367-4788(office) Eric. Co la ia n ni@sa inta lphonsus.org

7}.ou a.'te 1wt fte'tC meitC{y, let 1nalie a C«iintJ. v(JU a'te fw.'te in OW'l to enatif.e tfw WMi.d to Ci.c•e fftOJte cunp{y, , wiilz 9'1.Cab?•t t•i.1i1m,

1u.ith a fu11?Jt Jpi:til of fwpe wul acfiieitemenl. '"IJ.ou evt.e fie.'te w. en.'ticfi. tfze w1d'.d, cuul IJA'U impo11e•tiJfz y.<1w0elf. if Cf.OU {'-'''UJei the eJt'tand.

@ Saint Alphonsus RADIOLOGY & MEDICAL IMAGING

From: Simmons, Michelle [mailto:Michelle.Simmons@nrc.gov] Sent: Wednesday, September 14, 2016 3:44 PM To: ERIC COLAIANNI Subject: RE: RE: NRC License No. 11-27306-01 Deficiency Letter

Are you removing the Gd-153 sealed sources also? If so, I wil l need a formal request (sign , dated . on letterhead. etc.) and the most recent leak test results for those sealed sources also.

Thanks.

From: ERIC COLAIANNI [mail to:Eric.Co laianni@sa intalphonsus.org] Sent: Wednesday, September 14, 2016 4:20 PM To: Simmons, Michelle <Michelle.S immons@nrc.gov> Cc: TIMOTHY STACK <Timot hy.Stack@sai ntalphonsus.org> Subject: [Externa l_Sender] RE: NRC License No. 11-27306-01 Deficiency Letter

M ichelle,

Let me know if th ere is anything else that is needed for ou r requ est.

Thanks

1

Eric Cola ianni CN MT, RSO Radiology Manager 1055 North Cu rti s Road

Boise, Idaho 367-4788(office) Eric.Colaianni@saintalphonsus.org

'ljou me not lle'te 1ne•tdy l<• nu:dfa a {U.mig. 'ljitu a 'tc fwte in lutdett to cna6£e tile U1(1'tld to {foe mo~ ampfy, with g'teate't "ijfon,

witft a fim'!l .~pi'iit of, fi.<Jpe and adUeuemcnt. 1,J,0u ww /ie,u fo eti-'tidi tile w,0,'tfd, and Y"'u itnpc•f1e•tk.1li ym.t/tjcf/ if y.uu f<1•igct tfte

c't:um.d.

@ saint Al~~onsus RAOIOLOGY & MEOtCAL IMAGING

From: Simmons, Michelle [mailto: Michelle.Simmons(mnrc.gov] Sent: Wednesday, September 14, 2016 1:52 PM To: ERIC COLAIANNI Subject: NRC License No. 11-27306-01 Deficiency Letter

Docket No.: 03032263 License No.: 11-27306-01 Control No.: 591600

Mr. Colaianni,

This is in reference to your application dated July 22, 2016, requesting to remove Cs-137 Amersham LDR sealed sources from your material license. In order to continue our review, we need the following additional information.

Please submit the transfer and receipt documentation for the sealed sources you wish to remove from your license. Also, please submit the most recent leak test results for those sealed sources.

Please provide this information by September 28, 2016. You may fax your signed response to 817-200-1263, referencing mail control 591600. When you send the fax, you may wish to leave a voicemail or e-mail message to alert me to look for it. If you are submitting your response by email, the response must be submitted in pdf format. Please send me an e-mail or call me at 817-200-1590 if you have any questions.

Michelle Simmons Health Physicist US NRC 1600 East Lamar Blvd. Arlington, Texas 76011 817-200-1590

Confidentiality Notice: This e-mail, including any attachments is the property of Trinity Health and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review,

2

use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email.

Confidentiality Notice: This e-mail, including any attachments is the property of Trinity Health and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email.

3

Device/Inst.

Mfr.

None

none

none

none

none

none

none

none

none

none

none

none

none

none

Qa-Tek Associates

3998 Commerce Circle

(208) 523-5557

www.qaltek.com

Idaho Falls, Idaho 8340 I

Fax (208) 524-8470

Radioactive Source Relinquishment of Ownership

CUSTOMER & LICENSE INFORMATION

Contact: --- - ----------- ATS#: 2015:6762

Phone: 208-367-4 788 Fax: - --- ----- ------License#: --------------- Expiration Date:-- ----- --------Company: Saint Alphonsus

1055 North Curtis Road

Boise ID PO#: 3161100832

GAUGE/DEVICE/LICENSED MATERIAL INFORMATION

Source Assay Assay

Model Serial Mfr. Model Serial Isotope Activity (mCi} Date

CY319 Cs-137 25.31 10/21/1992

CY353 Cs-137 25.31 11/17/1992

CY388 Cs-137 25.31 12/14/1992

CY390 Cs-137 25.31 12/14/1992

CY451 Cs-137 37.96 2/4/1993

CY454 Cs-137 37.96 2/4/1993

CY461 Cs-137 37.96 2/4/1993

CY473 Cs-137 37.96 2/15/1993

CY229 Cs-137 50.61 8/18/1992

CY230 Cs-137 50 .61 8/18/1992

CY234 Cs-137 50 .61 8/18/1992

CW430 Cs-137 50.61 4/30/1992

CY428 Cs-137 63.27 1/25/1993

Amersham 5386LA Am-241 12 3/11/1981

Eckert & G9123 Gd-153 250 5/1/2010 Ziegler

Eckert & G9122 Gd-153 250 5/1/2010 Ziegler

Eckert & G9120 Gd-153 250 5/1/2010 Ziegler

Eckert & G9119 Gd-153 250 5/1 /2010 Ziegler

Amersham CA974 1-131 .000941 8/16/1991

Eckert & G9333 Co-57 .05 8/1/2010 Ziegler

Eckert & H8705 Co-57 .05 6/1/2011 Ziegler

Dupont 5782 Cs-137 .001 12/29/1989

,,,.. ' t + J' j I: 'ii'(

Device/Inst. Source Assay

Mfr. Model Serial Mfr. Model Serial Isotope Activitv (mCi)

Eckert & 12639891 Cs-137 .0005 Ziegler

Eckert & 12782540 Eu-152 .0005 Ziegler

Dupont 6762A Ba-133 .000108

Dupont NES139S Cs-137 .000112

Dupont 8356043010 Cs-137 .206

040778N2 Cs-137 .00012

69392 Cs-137 .5

1145281 Co-57 .025

1140435 Co-57 .025

323 Co-57 10.86

1474095 Co-57 10

Services Needed: ~ Reutilization/Disposal ~ Leak Test D Other

AUTHORIZATION

Permanent ownership of above listed Licensed Material is hereby granted to: Qal-Tek Associates, NRC License #

11-27610-01

Assay

Date

1/1 /1997

4/1/1997

4/16/1990

12/29/1989

512712000

11/30/1977

1/1/2000

2/1/2006

1/1/2006

11/19/1991

2/1/2011

11/24/15 10/15/2015

Source Owner Date Qal-Tek Representative Received by Date

Do not forget to attach the correct shipping paperwork when shipping or transporting Radioactive Material!

t•!I 1.·il!l .• {1(

[ '" e , ,. ; c. o , l LC SEALED SOURCE LEAK TEST Po ... t . o rf 1r.n box 24 4

Fr CD r ,.., n d , W ."Is. h 1 n g -r o n 98249

Client St Alphonsus Cancer Center

Test Date May 15, 2015

Source Source Serial Detector Sample net MDA Test Result

Activity Number Efficiency count, cpm uCi uCi

Cs-137 therapy sources 10mgRaEq CY319 CY353 CY388 CY390 5% 22 ###### 0.0002 Pass

Cs-137 therapy sources 15 mgRaEq CY451 CY454 CY461 CY473 5% 20 ###### 0.0002 Pass

Cs-137 therapy sources 20mgRaEq CY229 CY230 CY234 CY430 5'.4 23 ###### 0.0002 Pass

Cs-137 therapy source 25 mgRaEq CY428 5% 23 ###### 0.0002 Pass

Minimum detectable activity (MDA) is calculated at the 99%+ confidence level.

State and federa l regulations regard any leak test that shows 0.005 uCi or more of removable contamination to be evidence that a source is leaking.

This test does not indicate that any source is leaking. No action is required .

Afl~i}~ By: David W Salmon, Health Physicist

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