Radiation Oncology P.O. Box4587 500 W. Broadway Missoula, MT 59807 p: 406.329.5655 f: 406.329.5675

Licensing Division U.S. NRC Region IV 1600 East Lamar Boulevard Arlington, TX 76011-4511

DNMS t PROVIDENCE

St. Patrick Hospital

Re: Nuclear Medicine Department Retum to Active Use for NRC License# 25-16773-02 Date: 10/2/14

Dear Sit/Madam;

We respectfully provide notification pursuant to NRC regulations of the completion of our Gamma Camera replacement and the return of our Nuclear Medicine area to active use. The Nuclear Medicine room was remodel to accommodate a new SPECT/CT scanner and the unit has been commissioned for active use. All radioactive sources that had been ttansfetted to the PET/CT Hodab for temporary storage have been returned to the original Nuclear Medicine Hotlab. The wo.tkspace Qeaded dmvets, 1-block, and fume hood) of the Nuclear Medicine Hodab was not modified during construction. During construction imaging was done with a mobile gamma camera unit but no licensed materials were stored there. The footprint of the nuclear medicine department has remained the same but lead shielding has been added to the walls to account for the CT dose component from the new SPECT/CT. Please contact me if further clarification or more details are required.

Respectfully,

~JAA---~-~--Patrick Martin, M.S., RSO

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.585022

Cook, Jackie

From: Sent:

Martin, Patrick <Patrick.Martin@providence.org> Friday, October 03, 2014 3:01 PM

To: Cook, Jackie Subject: Attachments:

RE: Amendment Request dated June 16, 2014 for License Number 25-16773-02 20141003131955123.pdf

Hi Jackie,

I've attached the memo we discussed on Wednesday stating that our original nuclear medicine department is back to active use. During contruction, radioactive materials were not in the department, but the area was not released for unrestricted use or intended to be decommissioned. Please let me know if you need any more information.

Thank you ! Pat

From: Cook, Jackie [maj!to:Jackie.Cook@nrc.gov] Sent: Friday, September OS, 2014 11:57 AM To: Martin, Patrick Subject: RE: Amendment Request dated June 16, 2014 for License Number 2S-16773-Q2

Thank you so much for your prompt response!

Enjoy the rest of your Friday & weekend. If I have additional questions or concerns, I will contact you accordingly.

Thanks,

Jackie

From: Martin, Pabick [mailto:Patrick.Martin@providence.org] Sent: Friday, September OS, 201411:49 AM To: Cook, Jackie Subject: RE: Amendment Request dated June 16, 2014 for License Number 2S-16773-02

Here are the copies of the surveys and wipes. Please let me know if there are any issues or concerns. Thanks again for letting me know you didn't get all the information. -Pat

From: Cook, Jackie [mailto:Jackie.Cook@nrc.gov] Sent: Friday, September OS, 201410:03 AM To: Martin, Patrick SUbject: RE: Amendment Request dated June 16, 2014 for License Number 2S-16773-02

. PUBLIC

No problem. The only other document besides the cover Jetter was theQUagfiJit.le mporary change to the facility. tl Nonnal Releae

I'll be looking for those copies of the surveys and wipes.

Jackie

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From: Martin, Patrick [mallto:Patrick.Martin@provjdence.om] Sent: Friday, September 05, 2014 10:55 AM To: Cook, Jackie Subject: RE: Amendment Request dated June 16, 2014 for License Number 25-16773-Q2

Thank you for contacting me. I thought that copies of the surveys and wipes had been sent to the region IV office, I'll scan them in myself and send them to you by email this morning.

Respectfully, Patrick Martin Medical Physicist Saint Patrick Hospital Missoula, MT (406)327-1696

From: Cook, Jackie [mailto:Jackie.Cook@nrc.gov] Sent: Friday, September 05, 2014 8:35AM To: Martin, Patrick Subject: Amendment Request dated June 16, 2014 for License Number 25-16773-02 Importance: High

Good Morning Mr. Martin:

Please note that all areas in which radioactive material was used and/or stored and to be released for unrestricted use must be approved through us (NRC) prior to being released and demoli.tion work being performed. Please submit copies of the surveys and wipe testing of the nuclear medicine department.

Please submit this information to me by close of business Thursday, September 11, 2014.

Please do not hesitate to contact me if you have any questions or need further clarification.

Sincerely,

.M6. :Jacqueli.ne t{ J.acftie" 1). &o4 Senior Health Physicist US Nuclear Regulatory Commission Region IV Division of Nuclear Materials Safety Nuclear Materials Safety Branch B 1600 East Lamar Blvd., Arlington, TX 7601 1 817-200-1132 (office)/817-200-1263 (fax) Email address: Jackie.Cook@nrc.gov

This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. if you have received this message in error, please immediately advise the sender by reply email and delete this message.

This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under

2

applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.

This message is intended for the sole use of the addressee, and may contain Information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any Information contained in the message. If you have received this message in error, please Immediately advise the sender by reply email and delete this message.

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PUBUC a Immediate Release a Nonnal Release

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11585022

NRC FORM532 (1-2012)

U.S. NUCLEAR REGULA TORY COMMISSION

DATE

10/07/2014

NAME AND ADDRESS OF APPLICANT AND/OR LICENSEE LICENSE NUMBER

Patrick H. Martin, M.S., Radiation Safety Officer Saint Patrick Hospital and Health Sciences Center P.O. Box 4587 Missoula, Montana 59806

This is to acknowledge the receipt of your:

ll] LETTER and/or 0 APPLICATION

25-16773-02

MAIL CONTROL NUMBER

585022

LICENSING AND/OR TECHNICAL REVIEWER

CH

DATED: 10/02/2014

The initial processing, which included an administrative review, has been performed.

[{] AMENDMENT D TERMINATION D NEWLICENSE D RENEWAL

D D

There were no administrative omissions identified during our initial review.

This is to acknowledge receipt of your application for renewal of the material(s) license identified above. Your application is deemed timely filed, and accordingly, the license will not expire until final action has been taken by this office.

D Your application for a new NRC license did not include your taxpayer identification number. Please fill out NRC Form 531, located at the following link:

http://www.nrc.gov/reading-rm/doc-collections/forms/nrc531.pdf

Send the completed NRC Form 531, by facsimile, to the following number: (301) 415-5387

A copy of your action has been emailed to our License Fee and Accounts Receivable Branch, in our Headquarters office in Rockville, MD. You will be contacted separately if there is a fee issue involved.

Your application has been assigned the above listed MAIL CONTROL NUMBER. When calling to inquire about this action, please refer to this control number. Your application has been forwarded to a technical reviewer. Please note that the technical review, which is normally completed within 180 days for a renewal application (90 days for all other requests), may identify additional omissions or require additional information. If you have any questions concerning the processing of your application, our contact information is listed below:

Region IV U. S. Nuclear Regulatory Commission DNMS/NMSB - 8 1600 E. Lamar Boulevard Arlington, TX 76011-4511 (817) 200-1103 or (817) 200-1140

N:~CFO 532 (1-201

tf.tlfl{

BETWEEN:

Accounts Receivable/Payable and

Regional Licensing Branches

[ FOR ARPB USE ]

INFORMATION FROM WBL

Program Code: 02230 Status Code: Pending Amendment Fee Category: 3E 7C Exp. Date: 07/3112015 Fee Comments: CALIBRATE THEIR OWN Decom Fin Assur Reqd: N

License Fee Worksheet - License Fee Transmittal

A. REGION

1. APPLICATION ATIACHED

Applicant/Licensee:

Received Date:

Saint Patrick Hospital and Health Sciences Center

10/03/2014

Docket Number: 3014734

Mail Control Number: 585022

License Number: 25-16773-02

Action Type: Amendment

2. FEE ATIACHED

Amount:

Check No.:

3. COMMENTS

Signed:

Date:

B. LICENSE FEE MANAGEMENT BRANCH (Check when mlleetone 03 Is entered I I

1. Fee Category and Amount:

2. Correct Fee Paid. Application may be processed for:

Amendment:

Renewal:

License:

3. 0THER ___________________________________ ____

Signed:

Date:

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