4
Hammond, Michelle From: Sent: To: Andre Vanterpool <[email protected]> Wednesday, November 12, 2014 6:00 PM Hammond, Michelle Subject: Attachments: RE: REQUEST FOR ADDITIONAL INFORMATION Polson Health Survey Wipe-monitor.pdf Michelle Sorry for the del ay .. att ached are the last Survey/Mon itor for the site .. We have bee n to this site five tim es thi s year and July was the last time .. We are hoping with the clinics new addr ess and ma rketing will bring a be tte r patient load .. Tha nks for your time -; .-·7:· . ·-< .. !;! t1 \ r{ i :\. 1 { Lud \:mk, tr \k<.bcine, PI"! C !' . \l"obiic· i'cchnol o ;! ioi :\ uclcar .\kd tc·m c· Uq'armwnt .ktll'<pc·ll Rcponal ltc:dr hu ·c ( l:!(, ,-·;_::: '-tl t(,)-=, ri l - 1=, C ::1.2 (,f).Q ---------------------- From: Hammond, Michelle [mailto:Michel le. [email protected]] Sent: Wednesday, November 12, 2014 9:45AM To: Andre Vanterpool Subject: Re : REQUEST FOR ADDffiONAL INFORMATION Good Morning Mr. Vanterpool, This e-mail is to follow-up the voicemaillleft this morning. Please review the attachment request. Please don't hesitate to contact me if you have any questions. B est Regards, Michelle M. Hammond, M.Sc. Health Physicist Region /V-Division of Nucl ea r M aterials Safety, Bran ch B office) 817-200-1127 fax) 817-200-1188 -' U.S. NRC CONFIDENTIALITY NOTICE : PUBLIC [J Immediate Release Release NON.PUBUC C A.3 Senlltive-Security Relaf8d C A.7 S.Mitive Internal =<?if!J This email and any attachments are intended only for the use of the individual or entity to which it is addressed . This communication is considered confidential, as it may contain privileged or confidential information that is protected by federal or state law. Any unauthorized direct or indirect disclosure, use, printing, alteration or copying of this communication is prohibited and may be unlawful. If you are not the intended recipient, or a person responsible for delivering this communication to the intended recipient, you have received this communication in error. If you have received this communication in error, please notify the sender immediately or contact the Kalispell Regional Healthcare Office of Privacy and Security at (406) 752-1742 and delete this 1

Kalispell Regional Medical Center; Response and …License: 25-15463-01 Docket: 030-09152 Control: 584675 Application dated August 28, 2014 for License Application 1 Per your application

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Page 1: Kalispell Regional Medical Center; Response and …License: 25-15463-01 Docket: 030-09152 Control: 584675 Application dated August 28, 2014 for License Application 1 Per your application

Hammond, Michelle

From: Sent: To:

Andre Vanterpool <[email protected]> Wednesday, November 12, 2014 6:00 PM Hammond, Michelle

Subject: Attachments:

RE: REQUEST FOR ADDITIONAL INFORMATION Polson Health Survey Wipe-monitor.pdf

Michelle

Sorry for the delay .. attached are the last Survey/Mon itor for the site .. We have bee n to this site five times thi s year and July was the last t ime .. We are hoping w ith the clinics new address and marketing w ill bring a bette r patient load ..

Tha nks for your t ime

-; .-·7:· . · · ~.'- ·-< .. !;! t1 \ r{ i :\. 1

{

Lud \:mk,tr \k<.bcine, PI " ! C !' . \l"obiic· i'cchnolo;! ioi :\uclcar .\kd tc·m c· Uq'armwnt .ktll'<pc·ll Rcponal ltc:drhu ·c ( l:!(, ,-·;_::: ~ ---- ~ ~I '-tl t(,)-=,ri l - 1=, C (-~til> ; ::1.2 (,f).Q

ctranlet;Mo!(ii,km~o·.orp

----------------------From: Hammond, Michelle [mailto:Michel [email protected]] Sent: Wednesday, November 12, 2014 9:45AM To: Andre Vanterpool Subject: Re: REQUEST FOR ADDffiONAL INFORMATION

Good Morning Mr. Vanterpool,

This e-mail is to follow-up the voicemaillleft this morning. Please review the attachment request.

Please don't hesitate to contact me if you have any questions.

Best Regards,

Michelle M. Hammond, M.Sc. Health Physicist Region /V-Division of Nuclear Materials Safety, Branch B office) 817-200-1127 fax) 817-200-1188

-'U.S. NRC

CONFIDENTIALITY NOTICE:

PUBLIC [J Immediate Release ~ormal Release

NON.PUBUC C A.3 Senlltive-Security Relaf8d C A.7 S.Mitive Internal

=<?if!J Doa:~

This email and any attachments are intended only for the use of the individual or entity to which it is addressed. This communication is considered confidential, as it may contain privileged or confidential information that is protected by federal or state law. Any unauthorized direct or indirect disclosure, use, printing, alteration or copying of this communication is prohibited and may be unlawful. If you are not the intended recipient, or a person responsible for delivering this communication to the intended recipient, you have received this communication in error. If you have received this communication in error, please notify the sender immediately or contact the Kalispell Regional Healthcare Office of Privacy and Security at ( 406) 752-1742 and delete this

1

Page 2: Kalispell Regional Medical Center; Response and …License: 25-15463-01 Docket: 030-09152 Control: 584675 Application dated August 28, 2014 for License Application 1 Per your application

EMAIL

Name:

Organization:

Phone: E-mail Address: From: Date: Subject: Pages:

Mr. Vanterpool :

UNITED STATES NUCLEAR REGULATORY COMMISSION

REGION IV 1600 E. LAMAR BLVD.

ARLINGTON, TX 7601 1-451 1

Andre Vanterpool, BS, RT

Kalispell Regional Medical Center

406-752-1770 [email protected] Michelle M. Hammond November 12, 2014

License: 25-15463-01 Docket: 030-09152

Control : 584675

Application dated August 28, 2014 for License Appl ication 1

Per your application dated August 28, 2014 for your license amendment, the item listed below is a deficiency which requires your response. Please respond to this e-mail by ASAP. You may respond by e-mail in pdf format if you'd like. My email address is [email protected]. Our fax number is (817) 200-1188. When responding to this e-mail, please include the license, docket and control numbers located at the top of this page.

1. Please provide the latest survey results for the location you wish to remove from the license: Polson Health 10213"' Avenue, Polson, Montana

Thanking you in advance for your cooperation, assistance, and prompt response in this matter.

IRA/ Michelle M. Hammond, M.Sc. Health Physicist

Page 3: Kalispell Regional Medical Center; Response and …License: 25-15463-01 Docket: 030-09152 Control: 584675 Application dated August 28, 2014 for License Application 1 Per your application

Kalispell Regional Hospital Nuclear Medicine Department

310 Sunnyview Lane, Kalispell, MT 59901 Daily Area Monitoring: 10836 Group : MOBILE@. Po/s,;W {Jt;-;t{J11 (Vl o?rf AI//J,I PdiPN,;VJr

Ot : 07-11-2014 Tm: 12:55 Inst : MOBILE SURVEY M Manuf: LUDLUM Trg Lmt: 0. 05 mR/hr Bkg: .02 mR/hr

!\.reas

SCANNING TABLE

GARBAGE

HOT LAB COUNTER

IN HOUSE INJ ROOM

COMPUTER AREA

SEALED SOURCE CONT SURF

FLOOD SOURCE AREA

Tech : DAVIS, SOSAN

Serial#: 276123 ~ext 01-13-2015 §dl: N/A

mR/hr

0.02

0.02

0.02

0.02

0.02

0.02

0.02

·- - - - - -Bold Values indicates that the test has exceeded the trigger limit

Page 4: Kalispell Regional Medical Center; Response and …License: 25-15463-01 Docket: 030-09152 Control: 584675 Application dated August 28, 2014 for License Application 1 Per your application

Kalispell Regional Hospital Nuclear Medicine Department

310 Sunnyview Lane, Kalispell, MT 59901 Daily Area Wipe Test: 1832

Group : MOBILE cE Pol sol/ /.f(I'Ai7(1 /172. I 3'1Yf..MI~ Prifd~ 1A r

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

Date: 07-11-2014 Tm: 12:54 Tech: DAVIS, SUSAN

Instr: CRC 15 TW MOBIL s#: 560017 Manu£; CAPINTEC Next Cal: 01-13- 2015

Trg Lmt: 2000 DPM Efficiency: 37.00 %

Bkg: 4 57 CPM Wipe Area: 100 Sq .CM

1\.reas NetCPM DPM --·- ··· · ·---------·~· ---·------- ---WIPE- TABI£ WIPE - ESOFT COMPUTER WIPE- BIN ARJ<:A WIPE- LSHU~LD

WIPE- PHARMOLOGIC AREA SEALED SOURCE CONT SURF FLOOD SOURCE AREA

67.00 144.00

80.00 127. 00 109.00

92 . 00 111. DO

181 .08 389.19 216 . 22 343.24 294.59 2 48.65 300.00

Bold Values indicate that the TRJGGER LIMIT has been exceeded.