July 1, 2003

MEMORANDUM TO: James E. Dyer, Regional Administrator

Region III

FROM: Carl J. Paperiello /RA/ 

Deputy Executive Director for

 Materials, Research and State Programs

SUBJECT: INTEGRATED MATERIALS PERFORMANCE EVALUATION

PROGRAM FOR REGION III

On June 10, 2003, the Management Review Board (MRB) met to consider the proposed final

Integrated Materials Performance Evaluation Program (IMPEP) report for Region III (RIII). The

MRB found the RIII program adequate to protect public health and safety.

Based on the results of the current IMPEP review, the next full review will be in approximately

four years.

I appreciate the courtesy and cooperation extended to the IMPEP team during the review and

your support of the program. 

Attachment: Final IMPEP Report 

cc: J. Caldwell, RIII

M. Dapas, RIII

CONTACT: Linda M. Psyk, NMSS/IMNS

 (301) 415 -0215
MEMORANDUM TO: James E. Dyer, Regional Administrator July 1, 2003

Region III

FROM: Carl J. Paperiello /RA/ 

Deputy Executive Director for

 Materials, Research and State Programs

SUBJECT: INTEGRATED MATERIALS PERFORMANCE EVALUATION

PROGRAM FOR REGION III

On June 10, 2003, the Management Review Board (MRB) met to consider the proposed final

Integrated Materials Performance Evaluation Program (IMPEP) report for Region III (RIII). The

MRB found the RIII program adequate to protect public health and safety.

Based on the results of the current IMPEP review, the next full review will be in approximately

four years.

I appreciate the courtesy and cooperation extended to the IMPEP team during the review and

your support of the program. 

Attachment: Final IMPEP Report 

cc: J. Caldwell, RIII

M. Dapas, RIII

CONTACT: Linda M. Psyk, NMSS/IMNS

 (301) 415 -0215

 DISTRIBUTION :

IMNS r/f PDR YES X NO 

IMPEP Master File LRakovan, STP KSchneider, STP Rstruckmeyer, IMNS

MVirgilio,NMSS JGreeves, DWM CReamer, DWM DGillen, DWM

RPierson, FCSS ELeeds, FCSS FBrown, IMNS WSchwink, FCSS

GPurdy, DWM VCampbell, RIV RGallaghar, Mass. PLanzisera, RI

LPsyk, IMNS PLohaus, STP KCyr, OGC MFederline, NMSS

G:\imns\psyk\Region III IMPEP 2003\R3IMPEP2003FINAL.WPD

 ADAMS-ML031690180

OFC MSIB* MSIB* IMNS* NMSS DEDMRS

NAME FBrown/L

Psyk

TEssig CMiller MVirgilio CPaperiello

DATE 6/13/03 6/13/03 6/17/03 6/19/03 07/01/03

OFFICIAL RECORD COPY *See previous concurrence
INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM

REVIEW OF NRC REGION III PROGRAM

March 24-28, 2003

FINAL REPORT

U.S. Nuclear Regulatory Commission
Region III Final Report Page 1

1.0 INTRODUCTION

This report presents the results of the review of the Region III (RIII) nuclear materials program. 

The review was conducted during the period of March 24-28, 2003, by a review team comprised

of technical staff members from the U.S. Nuclear Regulatory Commission (NRC) and the State

of Massachusetts. Team members are identified in Appendix A. The review was conducted in

accordance with the "Implementation of the Integrated Materials Performance Evaluation

Program and Rescission of a Final General Statement of Policy," published in the Federal

Register on October 16, 1997, and the November 5, 1999, revision to NRC Management

Directive (MD) 5.6, "Integrated Materials Performance Evaluation Program (IMPEP)." 

Preliminary results of the review, which covered the period April 1999 to March 2003, were

discussed with Region III management on March 28, 2003.

A draft of this report was issued to RIII for factual comment on April 25, 2003. RIII responded

in a memorandum dated May 23, 2003. The Management Review Board (MRB) met on

June 11, 2003, to consider the proposed final report. The MRB found that the RIII nuclear

materials program was adequate to protect public health and safety.

The Region III nuclear materials program is administered by the Director, Division of Nuclear

Materials Safety (DNMS), who reports directly to the Regional Administrator. The DNMS

organization chart is included as Appendix B. At the time of the review, the Region III nuclear

materials program regulated more than 1600 specific material licenses.

In preparation for the review, a questionnaire addressing the common and non-common

indicators was sent to Region III on February 10, 2003. Region III provided a response to the

questionnaire on March 11, 2003. A copy of the completed questionnaire response can be

found on NRC’s Agency-wide Document Access and Management System (ADAMS) using

Accession Number ML030710405.

The review team's general approach for conduct of this review consisted of: (1) examination of

Region III’s response to the questionnaire; (2) analysis of quantitative information from the

licensing, inspection, and allegation databases, as well as ADAMS; (3) technical review of

selected licensing, inspection, incident response, allegation, and decommissioning actions or

files; (4) field accompaniments of four Region III inspectors; and (5) interviews with staff and

management to answer questions or clarify issues. The team evaluated the information that it

gathered against the IMPEP performance criteria for each common and non-common indicator

and made a preliminary assessment of Region III’s performance.

Section 2 below discusses Region III’s actions in response to recommendations made following

the previous review. Results of the current review for the IMPEP common performance

indicators are presented in Section 3. Section 4 discusses results of the applicable noncommon indicators, and Section 5 summarizes the review team's findings and

recommendations. The team did not have any recommendations.
Region III Final Report Page 2

2.0 STATUS OF ITEMS IDENTIFIED IN PREVIOUS REVIEWS

During the previous routine IMPEP review, which concluded on March 19, 1999, five

recommendations were made (some directed to Region III: others to NRC Headquarters). In

addition, one open recommendation (directed to NRC Headquarters) remained from the 1997

IMPEP review, which concluded on April 25, 1997. The team’s review of the current status of

these recommendations is as follows:

(1) NMSS should examine the need for guidance for initial inspections of new licenses that

are issued in the case of an ownership change, mailing office location change, or

change in control. (Open item from the 1997 IMPEP)

Current Status: The subject guidance was included in Temporary Instruction

(TI) 2800/033, Revision 02, “Revised Materials Inspection Program.” This TI will be

converted into a permanent revision of Inspection Manual Chapter (IMC) 2800,

“Materials Inspection Program” in calender year 2003. This recommendation is closed.

(2) NMSS should revise all inspection field notes to include the location(s) that the

inspection is performed. 

Current Status: The change to inspection field notes was included in TI 2800/033,

Revision 02. This recommendation is closed.

(3) Region III should implement the tools prescribed in the Decommissioning Handbook for

ensuring that decommissioning and license termination reviews are complete and fully

documented.

Current Status: Region III is utilizing the subject tools. While recent regional selfassessments, and the review team, have found some cases where the tools were not

used, these exceptions are being addressed by existing regional corrective actions. 

This recommendation is closed. 

(4) NMSS should evaluate the causes for omission of reference documents from Nuclear

Materials Events Database (NMED) reports, and take appropriate follow-up action in

response to any findings.

Current Status: NMSS has concluded that NMED does not need to include every

reference as long as the NMED item is “complete.” Criteria for completeness of NMED

items has been included in TI 2800/033, Revision 2. Similar criteria exists in the State

and Tribal Program procedure titled “Reporting Materials Events, SA-300." This

recommendation is closed. 

(5) Region III should develop and implement a process to remove allegation material from

the docket files.

Current Status: Region III developed and implemented a process to review the docket

files and to remove allegation material. This effort was successful, as demonstrated by

the findings of both regional self-assessments and the review team. This

recommendation is closed. 
Region III Final Report Page 3

(6) The review team recommends that Region III train the DNMS staff on what allegation

language, if any, is acceptable to place into the docket file.

Current Status: Region III trained the DNMS staff not to place allegation language into

the docket file. This effort was successful, as demonstrated by the findings of both

regional self-assessments and the review team. This recommendation is closed. 

3.0 COMMON PERFORMANCE INDICATORS

IMPEP identifies five common performance indicators to be used in reviewing both NRC

Regional and Agreement State programs. These indicators are: (1) Technical Staffing and

Training; (2) Technical Quality of Inspections; (3) Status of Materials Inspection Program;

(4) Technical Quality of Licensing Actions; and (5) Response to Incidents and Allegations. 

3.1 Technical Staffing and Training

Issues central to the evaluation of this indicator include the radioactive materials program

staffing level, technical qualifications of the staff, training, and staff turnover. To evaluate these

issues, the review team examined the Region’s questionnaire responses relative to this

indicator, interviewed the DNMS management and staff, interviewed members of the Region

III’s Division of Resource Management and Administration, and considered any possible

workload backlogs.

The DNMS organizational structure has not changed since the 1999 IMPEP review with the

exception of the closure of the laboratory in 2002. There are four branches: Materials Licensing

Branch; Materials Inspection Branch, Decommissioning Branch; and the Fuel Cycle Branch in

DNMS. Staffing was relatively stable over the review period with the exception of the Fuel

Cycle Branch. The staffing and training for the Fuel Cycle Branch is discussed in Section 4.2.3

of this report. 

Region III is currently staffed with 25.5 direct full time equivalents (FTEs) applied to the

materials and decommissioning programs. This is a decrease from the previous IMPEP,

caused by a reduction in licenses. As noted in the questionnaire response, DNMS has hired

three new technical staff members since the last IMPEP review. One of the new non-fuel cycle

staff participates in the Nuclear Safety Intern Program. During the review period, eight staff

members left DNMS. The Materials Licensing Branch has one vacancy effective March 9,

2003, a Senior Health Physicist position. Regional management plans to post a vacancy

announcement for this position soon. 

The organization has separate licensing and inspection staff. The review team found a good

balance of personnel assigned to the licensing and inspection areas. In addition, DNMS has a

cross-training initiative currently limited to the GG-14 positions within the Licensing and

Inspection Branches. The intent is to develop staff qualified in both disciplines. Management

plans to extend the cross-training opportunity to other staff after the senior staff are crosstrained. The review team concluded that DNMS has a qualified, experienced staff. Three

staff members are currently completing the training and qualification program: two are new staff

members and the third is a staff member who was reassigned due to the closure of the

Region’s radio-analytical laboratory. The review team concluded that DNMS has a plan and
Region III Final Report Page 4

schedule for completing the training and qualification of these staff in a timely manner. Many of

the licensing staff have full signature authority for licensing actions. The review team spotchecked individual inspector’s qualifications, interviewed human resource staff, reviewed staff

training records, and interviewed managers concerning technical training in accordance with

IMC 1246 requirements. The technical expertise of the DNMS staff continues to be a strength

of the program. 

Based on the IMPEP evaluation criteria, the review team recommends that Region III’s

performance with respect to the indicator, Technical Staffing and Training, be

found satisfactory.

3.2 Status of Materials Inspection Program

The team focused on five factors in reviewing this indicator: inspection frequency, overdue

inspections, initial inspection of new licenses, the timely dispatch of inspection findings to

licensees, and the performance of reciprocity inspections. The evaluation is based on the

Region’s questionnaire responses relative to this indicator, data gathered independently from

the NRC’s Licensing Tracking System (LTS) and other NMSS and Region III statistical

databases, the examination of completed licensing and inspection casework, and interviews

with the Region’s managers and staff.

The team reviewed Region III’s inspection priorities during the period and confirmed that 

Region III’s inspection frequencies for various types or groups of licenses were consistent with

program office guidance, as provided in IMC 2800, including the new guidance in Temporary

Instruction (TI) 2800/033 Revision 02. This was verified by cross-checking the inspection

frequencies noted in a selected sample of docket files for inspections conducted prior to the

issuance of the TI. The review team also determined that Region III effectively implemented

the TI by cross-checking the actual inspection frequencies entered in the LTS with the

frequencies specified in the TI. The team noted that prior to the issuance of TI 2800/033,

Revision 02, Region III reduced or extended individual licensee inspection schedules, based on

inspection findings and previous licensee performance. Since the issuance of the TI, Region III

has reduced the interval between inspections based on poor licensee performance, where

appropriate. In addition to the IMC 2800 guidance, the Region continues to implement its

broad scope inspection initiative as discussed in the 1999 IMPEP report. This initiative allows

several partial inspections of major broad scope licensees to be conducted within the inspection

cycle, as long as all inspection objectives are met through the aggregation of the partial

inspections.

At the time of the review, there were no overdue core inspections, including initial inspections. 

The review team examined Region III ’s tracking information for a total of 410 licenses, which

included 371 initial inspections. The team did not identify any core inspections conducted

overdue during the review period. The team noted that during the 1999 IMPEP review, the

Region also had no core inspections overdue. Review of monthly NMSS statistical reports

rarely showed any Region III core inspections overdue over the past four years. The team

reviewed an LTS generated data set comparing the number of licensees in each State with the

number of inspections conducted by Region III since the last IMPEP review. There was no

geographic bias on the part of Region III in scheduling inspections, as required by IMC 2800. 

The Region demonstrated exemplary performance in scheduling inspections during the review

period. 
Region III Final Report Page 5

In discussions, the Region’s management attributed this success to the use of several

management tools. An Operational Management Information (OMI) report is generated

monthly that assesses the Region’s performance against performance goals and enables

management to identify potential problems in a timely manner. Management also uses cost

accounting information generated from information recorded by the staff in NRC’s Human

Resources Management System to track the direct inspection effort expended. The review

team found these tools to be efficient and effective for managing the materials program,

especially the use of cost management.

During the review period, the Region granted 93 reciprocity permits, of which, 60 permits were

core licensees based upon IMC 1220. Review of the Region’s reciprocity records indicate that

the Region met and exceeded the reciprocity inspection goals for the entire review period as

established in the current IMC 1220.

The timeliness of the issuance of inspection findings was evaluated during the inspection

casework review. For 25 routine inspection files examined, all inspection findings were sent to

the licensees within 30 days. 

Based on the IMPEP evaluation criteria, the review team recommends that Region III’s

performance with respect to the indicator, Status of Materials Inspection Program, be found

satisfactory.

3.3 Technical Quality of Inspections

The team evaluated the inspection reports, enforcement documentation, and inspection field

notes and interviewed inspectors for 25 materials inspections conducted during the review

period. Fifteen of Region III’s materials inspectors’ casework were reviewed. The casework

covered inspections of various license types, including: radiography (including temporary job

site only, fixed), pacemaker, measuring systems other, portable gauges, medical institution -

written directive (WD) required, nuclear pharmacy, research and development broad, medical

institution broad, high doserate remote afterloaders (HDR), academic broad scope, gamma

stereotactic radiosurgery, and byproduct material possession only. Appendix C lists the

inspection casework files reviewed for completeness and adequacy with specific comments.

For review of this indicator, the team utilized both State and Tribal Programs procedure “SA102, Reviewing Common Performance Indicator #2, Technical Quality of Inspections" and

TI 2800/033, Revision 2. This was necessary because some of the guidance contained in SA102 is no longer applicable for the NRC regions because the TI supersedes IMC 2800, upon

which SA-102 is based.

During the onsite review, the team determined that Region III is performing inspections of

materials licensees in accordance with IMC 2800. Inspectors used the appropriate inspection

field note forms on all the files reviewed. The review team observed that inspectors were

reviewing previous open items and past violations during the inspections. For the cases

reviewed, the correct inspection documentation was used. Specifically, NRC Form 591s, and

591Xs were used unless the findings warranted a written letter or escalated enforcement

actions were involved. 
Region III Final Report Page 6

The review team found that inspection reports were thorough, complete, consistent, and of high

quality, with sufficient documentation to ensure that licensee’s performance with respect to

health and safety was acceptable. The documentation supported violations, recommendations

made to the licensee, and discussions held with the licensee during exit interviews. Team

inspections were performed when appropriate and for training purposes. Based on the

casework, routine inspections are covering all aspects of the licensees’ radiation programs. 

The team determined that DNMS Branch Chiefs had accompanied all inspectors at least once

each year since calendar year 2002. A self-assessment performed by regional staff identified

that many, but not all, inspectors were accompanied during calendar years 1999, 2000, and

2001. Effective corrective measures were implemented as demonstrated during calendar year

2002. Inspectors receive verbal feedback at the time of the inspection accompaniments, and a

portion of the inspectors’ annual performance appraisals address their inspection skills. 

The team found that Region III maintains a sufficient number of various models of survey

instruments to perform radiological surveys of materials licensees. The review team examined

Region III’s instrumentation and observed that the survey instruments in Region III’s office at

the time of the onsite review were calibrated and operable. Region III contracts with a

commercial radiological service company to provide calibrations, and staggers the calibration

dates. The calibration frequency for all instruments is one year, which is consistent with the

current NMSS policy. Region III no longer maintains a radioanalytical laboratory, all samples

are now sent to a contract laboratory for analyses.

On February 10 - 13, and February 25 - 27, 2003, review team members performed

accompaniments of four Region III inspectors on separate inspections of 11 licensed programs

(see Appendix C). One of the inspections was an initial, announced, inspection, and the

remainder were routine, unannounced, inspections. The inspection accompaniments were

conducted as follows: medical (WD not required) licenses, portable gauge licenses, a nuclear

pharmacy license, a medical license (WD required), an HDR license, and a mobile nuclear

medicine license. All inspectors performed in-depth examinations of the licensees’ facilities;

interacted with licensee personnel; observed licensees’ activities; and reviewed pertinent

records. In all cases, the inspectors demonstrated a performance based inspection approach

with appropriate technical skills and professional inspection techniques. The inspectors’

performance was adequate to assess the radiological health and safety of the licensees’

programs. 

Based on the IMPEP evaluation criteria, the review team recommends that Region III’s

performance with respect to the indicator, Technical Quality of Inspections, be found

satisfactory.

3.4 Technical Quality of Licensing Actions

The team examined completed licensing casework for 20 licensing actions, and interviewed the

Branch Chief of the Materials Licensing Branch and various license reviewers. Licensing

actions were evaluated for completeness, consistency, accuracy, and adequacy of facilities and

equipment, training and experience, and procedures for the radionuclides and quantities used. 

Licenses were evaluated for overall technical quality, including license conditions and tie-down

conditions. Casework was evaluated for timeliness, adherence to good health physics

practices, reference to appropriate regulations, adherence to sealed source and device
Region III Final Report Page 7

registration, consideration of enforcement history on renewals, pre-licensing visits, and proper

signature authorities. The files were checked for retention of necessary documents to support

the licensing action.

During the period from October 1999 to March 2003, Region III completed 5095 licensing

actions, including 297 new licenses, 616 renewals, and 3606 amendments. The licensing

casework was selected to provide both a representative sample of licensing actions which were

completed during the review period and a review of several different license reviewers. The

sampling included the following types: medical institution broad; fixed and portable gauges;

pacemaker manufacturing and distribution; pool irradiator; medical private practice; well

logging; medical institution; and byproduct material-possession only. Types of licensing actions

selected for evaluation included four new licenses, three renewals, three amendments, and ten

terminations. A list of the licenses evaluated with case-specific comments can be found in

Appendix D.

Overall, the team found the licensing actions thorough, complete, of good quality, and properly

addressing health and safety issues. The files generally contained appropriate licensing

checklists and documentation to support the licensing action. Discussions with license

reviewers confirmed that NRC licensing guidance in the NUREG-1556 series was being used. 

The team identified only minor, non-consequential, differences in some Region III standard

license conditions and those found in NUREG-1556, Volumes 1, 4, 11, and 20. The process

used by the Branch Chief of the Materials Licensing Branch to assure that licensing actions are

reviewed by appropriately qualified license reviewers was also examined. All licenses reviewed

were signed by license reviewers with appropriate signature authority.

The deficiencies that were identified by the review team in licensing were minor, isolated, or

administrative in nature, with many items corrected during the on-site visit. The review team

identified two cases, involving separate licenses, where the records submitted by the licensees

were insufficient to adequately document the appropriate transfer of licensed material, and the

issue had not been identified by the Region III license reviewer. Each case was discussed with

the responsible license reviewer and the Branch Chief, and appropriate steps were being taken

to determine the disposition of these materials. The review team examined several additional

requests to remove licensed material from a license. Of the cases reviewed and discussed with

Region III staff, other than the two cases discussed above, the review team determined that

Region III license reviewers verified the transfer of licensed material to authorized recipients

prior to completion of the requested licensing action. Therefore, the review team concluded

that this issue was not a systemic problem for the Region. See Appendix D for further details.

Region III has written material licenses that list allowed devices by manufacturer and model

number rather than listing sources by manufacturer and model number. Because multiple

sources can often be used in a single device, this approach provides increased flexibility to

licensees and reduces the burden associated with license amendments to NRC staff. The

Region III approach conforms to the controlling regulation, 10 CFR 30.32(g)(1), and is an

improvement over the guidance currently contained in NUREG 1556, Vol. 1, “Program-Specific

Guidance about Portable Gauge Licensees,” and Vol. 4, “Program-Specific Guidance about

Fixed Gauge Licensees.” The review team recommended and the MRB agreed that the

Region’s practice of identifying device manufacturer and model numbers on licenses in lieu of

identifying source manufacturer and model numbers as a good practice. The Division of
Region III Final Report Page 8

Industrial and Medical Nuclear Safety has initiated an evaluation of this practice and will revise

the guidance documents, as appropriate. 

Based on the IMPEP evaluation criteria, the review team recommends that Region III’s

performance with respect to the indicator, Technical Quality of Licensing Actions, be found

satisfactory.

3.5 Response to Incidents and Allegations

In evaluating the effectiveness of Region III’s actions in responding to incidents, the team

examined Region III’s response to the questionnaire relative to this indicator, evaluated

selected incidents reported for Region III in NMED, and evaluated the casework and supporting

documentation for 10 material incidents. A list of the incident casework examined with casespecific comments is included in Appendix E. The team also reviewed Region III’s response to

ten allegations involving radioactive materials and two allegations involving fuel cycle.

The team discussed, with Region III staff and management, incident and allegation procedures,

file documentation, use of NMED, and notification of incidents to the NRC Operations Center. 

The responsibility for initial response and follow-up actions to materials incidents rests with

DNMS. All incidents are promptly evaluated for the need for onsite investigations. The review

team determined that DNMS took prompt, appropriate, action in response to incidents. For the

ten incidents reviewed, the review team observed that Region III consistently addressed health

and safety issues during incident follow-up. The review team found that DNMS’ level of effort

expended on incidents was appropriate and commensurate with the potential health and safety

significance of the incidents. Region III staff adequately and clearly identified licensee

noncompliance issues, and initiated enforcement actions to ensure prompt compliance, as

appropriate. In addition, Region III coordinated materials incident responses in a timely and

effective manner with other NRC offices, and, when appropriate, with other regulatory

jurisdictions (i.e., States). The review of license files and discussions with staff revealed that

Preliminary Notifications (PNs) in response to incidents were prepared and issued in

accordance with regional instructions and IMC 1120, "Preliminary Notifications." All PNs

received supervisory review and approval before issuance. The review team found good

correlation between the PNs issued by Region III, the incident information in ADAMS, and the

incident information in NMED.

The inspection staff was found to be familiar with NMED, and review of inspection records and

observations during the inspector accompaniments indicated that NMED was being used by the

inspection staff. The team found that most NMED records for the event files reviewed were

complete and all were accurate. Based upon a review of the guidance in TI 2800/033, Revision

2, the team concluded that Region III is in conformance with the existing expectations for

NMED. 

In evaluating the effectiveness of Region III’s actions in response to allegations, the review

team examined Region III’s response to the IMPEP questionnaire, and reviewed the allegations

files and supporting documentation for ten materials allegations and two fuel cycle allegations. 

The review team held interviews with the Regional Allegations Coordinators, DNMS managers,

and DNMS technical staff regarding the handling of allegations. 
Region III Final Report Page 9

Responsibility for initial response and follow-up actions to material allegations rests with the

Regional Allegations Coordinator, in conjunction with DNMS staff and management. The

team’s review of casework, associated documents, and interviews with staff revealed that

Region III has an effective and efficient program for managing materials allegations. The

region closed 95 percent of its allegations within 180 days, and 100 percent of the cases in less

than 360 days during the IMPEP period, thus meeting the Regional Operating Plan goals. In

addition, all Allegation Review Board meetings were held within the MD 8.8, "Management of

Allegations," goal of 30 days. Acknowledgment letters, responding to allegers, were issued

within the performance goal of 30 days. 

The review team found that proper procedures were being followed for control and maintenance

of allegation materials, in accordance with MD 8.8. DNMS staff received annual allegation

training via the computer. Moreover, the review team interviews indicated that the Region III

staff had a clear understanding of the applications of MD 8.8.

The review team noted that internal and external coordination of allegations was appropriate

and performed in a timely manner. The results of file reviews showed that DNMS routinely

referred cases involving potential wrongdoing to the Office of Investigations for resolution. In

addition, the review team noted that allegations involving Agreement States were appropriately

managed.

Based on the IMPEP evaluation criteria, the review team recommends that Region III’s

performance with respect to the indicator, Response to Incidents and Allegations, be found

satisfactory.

4.0 NON-COMMON PERFORMANCE INDICATORS

IMPEP identifies two non-common performance indicators to be used in reviewing Region III’s

nuclear materials program: (1) Regional Fuel Cycle Inspection Program, and (2) Site

Decommissioning Management Plan and Decommissioning Activities. 

4.1 Regional Fuel Cycle Inspection Program

Four IMPEP specified sub-indicators of performance were used in reviewing the Region III Fuel

cycle inspection program. The sub-indicators are: (1) Status of the Fuel Cycle Inspection

Program; (2) Technical Quality of Inspections; (3) Technical Staffing and Training; and (4)

Response to Incidents and Allegations. The team’s review was based on interviews with

management and inspectors, as well as the examination of documents.

4.1.1 Status of Fuel Cycle Inspection Program

In reviewing the status of the Region’s Fuel cycle inspection program, the team focused its

review on four areas: inspection frequency; overdue inspections; timely dispatch of inspection

findings to licensees; and timely completion of Licensee Performance Reviews (LPRs).

During the four year period under IMPEP review, Region III had successfully accomplished and

documented 152 inspections at 4 fuel cycle facility sites. This total included 23 reactive or nonroutine inspections, including those associated with security concerns following the events of
Region III Final Report Page 10

September 11, 2001. This quantity of casework represented a significant challenge to

Region III’s staff. 

The review team found that inspections had been scheduled and performed in accordance with

the requirements of IMC 2600, “Fuel Cycle Facility Operational Safety and Safeguards

Inspection Program,” and TI 2600-007, “Interim Guidance for Fuel Cycle Facility Core

Inspection Program.” Region III effectively utilized the Master Inspection Plan to schedule and

track completion of inspections. Recent events and risk considerations were used in identifying

and scheduling inspections. Changes to the inspection plan caused by the response to

emergent events had been well coordinated with Headquarters.

There were no overdue inspections at the time of the IMPEP review, and the review team did

not identify any inspections that were performed late during the IMPEP period. The review

team verified that the inspection reports reviewed by the team had been issued in a timely

manner.

The review team reviewed the records associated with the fuel cycle facility LPRs. The team

found that the material prepared for the LPRs had been timely, of good quality, and consistent

with IMC 2604, “Licensee Performance Reviews.”

Given the significant licensee and resource challenges experienced by Region III during the

IMPEP review period, the IMPEP review team considered the implementation of the fuel cycle

inspection program to have been exemplary.

4.1.2. Technical Quality of Inspections

The team reviewed the inspection results for 19 (listed in Appendix C) of the 152 inspections

completed at fuel cycle facilities by Region III during the IMPEP review period. The review

team found that Region III’s implementation of the Fuel cycle inspection program was of high

quality and was consistent with IMC 2600 and IMC 0610, “Inspection Reports.” Inspection

emphasis had been properly focused on risk significant performance and safety significant

precursors. Inspection findings were sound, well supported, and effectively communicated. 

The Region III Fuel cycle inspection program staff had effectively managed inspection open

items, although a backlog of unresolved items were in the process of being closed for the

Paducah facility. Annual management accompaniment of inspectors was performed. Prior to

issuance, inspection reports had been peer reviewed and approved by management.

4.1.3 Technical Staffing and Training

Issues central to the evaluation of this indicator include the fuel cycle inspection program

staffing level, technical qualifications of the staff, training, and staff turnover. To evaluate these

issues, the review team examined Region III’s questionnaire response relative to this indicator,

interviewed DNMS management and staff, interviewed members of the Region III’s Division of

Resource Management, and considered any possible workload backlogs.

The Fuel Cycle Branch has experienced numerous personnel changes over the review period. 

Six staff were transferred or detailed to other programs in NRC, two retired, and three left the

agency. Five of the six Branch staff are new to the Fuel Cycle Branch. With the exception of

three staff, all the technical staff have met the qualification requirements. Of the new staff, two
Region III Final Report Page 11

are members of the Nuclear Safety Intern Program who are on a rigorous schedule to complete

their qualifications. One new staff member hired from private industry is on schedule to

complete qualification training in May 2003. Region III effectively and efficiently managed this

staffing issue by borrowing inspection staff from other Branches within DNMS. These

inspectors were experienced and qualified in the areas assigned and worked under the

supervision of a qualified fuel cycle facility inspector. In spite of the staffing challenges, the

Branch was able to meet all the fuel cycle inspection program goals since the last IMPEP. The

team did not observe any performance deficiency during the IMPEP review period. 

As discussed within this Section of the report, Region III faced significant challenges in meeting

the fuel cycle inspection program goals during the IMPEP period. Region III effectively

managed the unexpectedly high workload and very high turn-over in the fuel cycle inspection

program through the cross training and qualification of staff from the materials and reactors

programs. This was separate from the systematic cross training of senior Materials program

staff in inspection and licensing, which is now a common practice within the Regions and many

Agreement States. In the IMPEP team members experience, they had not previously seen the

same level of inter-program training and qualification within the Regions. The inter-program

approach was highly beneficial both to the involved individuals and to the Region and Agency. 

This approach of increasing staff fungibility (or the ability to interchange staff as needed to meet

emergent needs) is also consistent with the Agency’s long term goals for work force planning. 

The review team recommends that the inter-program cross training and qualification be

recognized as a good practice. 

One challenge facing Region III is the impending consolidation of the Region III fuel cycle

inspection program with the Region II program. Region III is actively working with Region II

management in an effort to make a transparent transition of regulatory responsibility. A

transition plan is currently under development. 

4.1.4. Response to Incidents and Allegations

In evaluating the effectiveness of Region III’s actions in responding to fuel cycle incidents, the

team examined Region III’s response to the questionnaire relative to this indicator, evaluated

selected incidents reported for Region III in the NMED against those contained in Region III’s

files, and evaluated the casework and supporting documentation for two fuel cycle incidents. A

list of the incident casework examined is included in Appendix E. The team also reviewed

Region III’s response to two allegations involving fuel cycle facilities.

The review team found that Region III response to fuel cycle facility incidents had been timely,

effective, of high quality, and consistent with IMC 2600 objectives. Region III response to

events was appropriately coordinated with Headquarters. Incident related communications,

including PNs and inspection reports, had been timely. Incident communications had effectively

described the incident, including; causes, risk significance, plant specific and generic precursor

implications, and resolution.

During the IMPEP review period, Region III closed 136 fuel cycle facility allegations, a very high

workload. Allegations were closed within 180 days, with the exception of 4 unique allegations

that were closed within a year, consistent with the Regional Operational Plan goal. Region III’s

response to allegations was found to have been focused on safety and highly effective, as

discussed in Section 3.5 of this report.
Region III Final Report Page 12

4.1.5 Summary for Regional Fuel Cycle Inspection Program 

Based on the IMPEP evaluation criteria, the review team recommends that Region III’s

performance with respect to the indicator, “Regional Fuel Cycle Inspection Program,” be found

satisfactory.

4.2 Site Decommissioning Management Plan (SDMP)

In conducting this review, six sub-indicators were reviewed to evaluate Region III’s performance

regarding their Site Decommissioning Management Plan (SDMP). These sub-indicators

include: (1) Quality of SDMP Decommission Reviews; (2) Financial Assurance for

Decommissioning; (3) Termination Radiological Surveys; (4) Inspections; (5) Staff

Qualifications; and (6) SDMP Milestones. In performing this review, the review team

interviewed DNMS management and staff, examined SDMP inspection files, non-SDMP

licensing files, and reviewed financial assurance documents. 

SDMP and non-SDMP sites that require substantial decommissioning actions, such as

remediation or final radiological surveys, are the responsibility of the Decommissioning Branch. 

Non-complex decommissioning license terminations, such as for Group I licensees, are

assigned to the Materials Licensing Branch.

One particular strength effecting several aspects of the SDMP program was observed by the

IMPEP team. Region III has elected to develop communication plans for all complex

decommissioning activities. This approach is consistent with Division of Waste Management

practice for Headquarters managed decommissioning activities, but exceeds any current

direction to the Regions. 

4.2.1 Quality of SDMP Decommissiong Reviews

To assess Region III’s performance on reviews for license terminations, the review team

interviewed Region III staff and examined docket files for 3 SDMP sites, 7 non-SDMP licenses

and 20 licenses that were terminated during the review period. Appendix F lists the casework

files reviewed for completeness and adequacy with specific comments. Region III does not

have project management responsibilities for SDMP facilities, and is only responsible for the

inspection requirements.

Decommissioning licensing review actions undertaken by Region III staff include: reviewing the

status of sites in accordance with timeliness requirements; reviewing/approving radiological

criteria for release of sites; reviewing licensees’ decommissioning plans; ensuring adequate

financial assurance; reviewing licensees’ final status survey plans and reports; and conducting

confirmatory surveys.

Licensee decommissioning plans, where required, were reviewed and documented by DNMS in

accordance with NRC guidance. For license terminations, the review team examined closeout

documentation in ADAMS. In all cases, a Form 314, “Certificate of Disposition of Materials,” or

equivalent, was included in ADAMS. In the majority of cases, a license termination checklist

was used and included. The check list was not consistently being used for Group I licensees

which is not safety significant. From the 1999 IMPEP, Region III committed to using a checklist

for all license terminations. In a recent self assessment, Region III identified that the checklist
Region III Final Report Page 13

was not consistently being used. Region III has implemented new procedures and provided

training to ensure that checklists are being used consistently. 

4.2.2 Financial Assurance for Decommissioning

The review team evaluated Region III’s financial assurance program for conformance with

requirements of MD 8.12, “Decommissioning Financial Assurance Instrument Security

Program.” 

To assess the performance of Region III for financial assurance, the review team examined the

LTS; Region III’s “Financial Assurance Inventory; ” 15 financial assurance instruments in the

file, including a comparison with the inventory list information; Region III’s annual selfevaluations, security of decommissioning financial assurance instruments, and interviewed

licensing staff.

The review team confirmed that Region III has staff assigned as a Decommissioning Financial

Assurance Instrument Custodian (Custodian), Alternate Custodian (Alternate), and Manager, in

accordance with MD 8.12. The Manager is the Licensing Branch Chief. The review team

confirmed that the Custodian, Alternate, and Manager have been designated in writing, and that

no one has access to the financial assurance records other than through these individuals, as

required by MD 8.12. The review team confirmed that the decommissioning financial

assurance instruments are stored in a fire-rated safe, having a fire rating in accordance with

MD 8.12. The review team also confirmed that the Custodian maintains an inventory list of the

financial assurance instruments held in the safe, and this inventory contains the information

required by MD 8.12.

The team reviewed the self assessment required by MD 8.12 for 2000, 2001, and 2002. MD

8.12 requires the annual self assessments review of 100 percent of the files on the inventory list

against the guidelines in the Handbook. Additionally, MD 8.12 requires that two evaluations of

financial assurance instruments be conducted annually, one by the Custodian or Alternate, and

one by the Manager. All of the required audits were performed by the Manager and Custodian.

The team reviewed the security of the financial assurance instruments. Region III has

established check out/in procedures. Each time the safe is opened and closed, an entry is

made on a log sheet. Instruments that are taken from the safe are returned before the end of

the business day. The safe is checked daily to ensure that it is locked which is also noted on a

log sheet. The Region III audit determined that the safe was not always checked on a daily

basis or at least not indicated on the log sheet. Region III has placed signs at both exits to

remind staff to check the safe. Recent log sheets indicated that the safe was checked daily.

The team compared the inventory list of the financial assurance instruments with the LTS. The

team found minor discrepancies between the inventory list and LTS. One Statement of Intent

did not include documentation that the individual signing the statement was authorized to

provide funding for decommissioning. These minor discrepancies would not prevent the

execution of these instruments. 
Region III Final Report Page 14

4.2.3 Termination Radiological Surveys

The review team discussed termination surveys with Region III staff and managers and

evaluated casework for adequacy of licensee and Region III surveys to support license

termination. The review team observed that licensee final status survey plans and reports have

been prepared in accordance with NUREG/CR-5849, “Manual for Conducting Radiological

Surveys in Support of License Termination;” NUREG-1575, “Multi-Agency Radiation Survey and

Site Investigation Manual (MARSSIM);” or other appropriate methods, and are reviewed by

Region III staff. The review team concluded that Region III’s reviews are adequate to ensure

that residual radioactivity levels comply with release criteria. Confirmatory or closeout surveys

are performed, as necessary, for each licensee’s site, by Region III or NRC’s contractor to

validate licensee survey data. These surveys were performed as outlined in IMC 2605,

“Decommissioning Procedures,” Inspection Procedure (IP) 87104, “Decommissioning

Inspection Procedure for Materials Licensees,” and IP 88104, “Decommissioning Inspection

Procedure for Fuel Cycle Facilities.”

4.2.4 Inspections

The review team evaluated the number of inspections performed at SDMP and non-SDMP sites

during the review period. The review team concluded Region III has performed inspections in

accordance with IMC 2602, “Decommissioning Inspection Program for Fuel Cycle Facilities and

Materials Licensees,” Inspection Procedure 87104, “Decommissioning Inspection Procedure for

Materials Licensees,” and IP 88104, “Decommissioning Inspection Procedure for Fuel Cycle

Facilities.” No decommissioning inspections were overdue. Closeout inspections are

performed, as appropriate, to terminate licenses.

4.2.5 Staff Qualifications

The review team found that the decommissioning staff is very experienced and highly qualified

to perform licensing and inspection functions on decommissioning sites. The staff is

knowledgeable about the process and procedures for decommissioning, and the staff follows

the process and procedures, as applicable, to each decommissioning site and license

termination action. Two staff members to the Decommissioning Branch have not completed the

training required for decommissioning technical reviewers and decommissioning inspectors in

IMC 1246. One has completed all of the required courses and is preparing for an oral board. 

The other is a recently hired nuclear safety intern.

4.2.6 SDMP Milestones

Region III does not have project management responsibilities for SDMP facilities. This subindicator was not evaluated for this review.

4.2.6 Summary for SDMP

Based on the IMPEP evaluation criteria, the review team recommends that Region III’s

performance with respect to the indicator, Site Decommissioning Management Plan, be found

satisfactory.
Region III Final Report Page 15

5.0 SUMMARY

As noted in Sections 3 and 4 above, the review team found Region III’s performance with

respect to each of the performance indicators to be satisfactory. Accordingly, the review team

recommended and the MRB concurred in finding the Region III nuclear material program to be

adequate to protect public health and safety. Based on the results of the current IMPEP review,

the next full review will be in approximately four years. The review team made no

recommendations. 

GOOD PRACTICES:

1) Region III has written material licenses that list allowed devices by manufacturer and

model number rather than listing sources by manufacturer and model number. Because

multiple sources can often be used in a single device, this approach provides increased

flexibility to licensees and reduces the burden associated with license amendments to

NRC staff. The Region III approach conforms to the controlling regulation,

10 CFR 30.32(g)(1), and is an improvement over the guidance currently contained in

NUREG 1556, Vol. 1 and Vol. 4 (Section 3.4). The Division of Industrial and Medical

Nuclear Safety has initiated an evaluation of this practice, and will revise the guidance

documents, as appropriate.

2) As discussed within this Section of the report, Region III faced significant challenges in

meeting the fuel cycle inspection program goals during the IMPEP period. Region III

effectively managed the unexpectedly high workload and very high turn-over in the fuel

cycle inspection program through the cross training and qualification of staff from the

materials and reactors programs. This was separate from the systematic cross training

of senior Materials program staff in inspection and licensing, which is now a common

practice within the Regions and many Agreement States. In the experience of the

IMPEP team members, they had not previously seen the same level of inter-program

training and qualification within the Regions. The inter-program approach was highly

beneficial both to the involved individuals and to the Region and Agency. This approach

of increasing staff fungibility (or the ability to interchange staff as needed to meet

emergent needs) is also consistent with the Agency’s long term goals for work force

planning. (Section 4.1.3). 
LIST OF APPENDICES AND ATTACHMENTS

Appendix A IMPEP Review Team Members

Appendix B Region II Organization Charts

Appendix C Inspection Casework Reviews and Accompaniments

Appendix D License Casework Reviews

Appendix E Incident Casework Reviews

Appendix F Decommissioning Casework Reviews
APPENDIX A

IMPEP REVIEW TEAM MEMBERS

Name Area of Responsibility

Frederick D Brown, NMSS/IMNS Team Leader

Vivian H. Campbell, RIV, DNMS Status of Materials Inspection Program

Technical Staffing and Training

Robert L. Gallaghar, Massachusetts Technical Quality of Inspections

Penny A. Lanzisera, RI/DNMS Technical Quality of Licensing Actions

Gary Purdy, NMSS/DWM Site Decommissioning Management Plan

Linda M. Psyk, NMSS/IMNS Response to Incidents and Allegations

Walter S. Schwink, NMSS/FCSS Regional Fuel Cycle Inspection Program 
APPENDIX B

REGION II

DIVISION OF NUCLEAR MATERIAL SAFETY

ORGANIZATION CHART
Region III Final Report

Organization Chart, Region III DNMS
APPENDIX C

INSPECTION CASEWORK REVIEWS

NOTE: CASE WORK LISTED WITHOUT COMMENT ARE INCLUDED FOR

COMPLETENESS ONLY; NO SIGNIFICANT COMMENTS WERE IDENTIFIED BY THE IMPEP

TEAM.

Materials Program Inspection Casework

File No.: 1 

Licensee: Dayton X-Ray Company License No.: 34-06943-02

Location: Dayton, OH Inspection Type: Special

License Type: Industrial Radiography Priority: 1

Inspection Date: 9/3-4/02 Inspector: CM

File No.: 2 

Licensee: Southeast Missouri Hospital License No.: SNM-1595

Location: Cape Girardeau, MO Inspection Type: Telephone

License Type: Pacemaker-Medical Institution Priority: T

Inspection Date: 12/19, 23/02 Inspector: GW

File No.: 3 

Licensee: Wayne State University License No.: SUD -232

Location: Detroit, MI Inspection Type: Routine/Unannounced

License Type: Byproduct Material Possession, Permanent Shutdown Priority: 3

Inspection Date: 10/25-26/01 Inspector: CM

Comment: Cover letter enclosing 591 Form contained wrong license number for the

Academic Type A Broad.

File No.: 4

Licensee: Standard Imaging, Inc. License No.: 48-32389-01

Location: Middletown, WI Inspection Type: Initial, announced

License Type: Measuring Systems Other Priority: T

Inspection Date: 8/27/02 Inspector: SM
Region III Final Report Page C.2

Inspection Casework Reviews

File No.: 5

Licensee: Elten Engineering Company, Inc. License No.: 21-25940-02

Location: Port Huron, MI Inspection Type: Follow Up

License Type: Portable gauge Priority: 2

Inspection Date: 9/19/01 Inspector: TG

Comment:

a) Order Revoking License Following Immediately Effective 30-Day Suspension (“Order”)

contains the wrong license number.

b) Record of inspection performed to ascertain compliance with Order not documented in

ADAMS or in the license file. The report was subsequently added to ADAMS.

c) Correspondence from licensee pertaining to inspection findings not documented in

ADAMS under docket number for licensee. Report was found to be mis-profiled, and

was subsequently corrected.

d) Written notification of termination not provided to licensee in accordance with Order.

File No.: 6

Licensee: Pike County Memorial Hospital License No.: 24-18095-01

Location: Louisiana, MO Inspection Type: Routine, unannounced

License Type: Medical, QMP Required Priority:3

Inspection Date: 12/10/01 Inspector: DW

File No.: 7

Licensee: PharmaLogic Michigan, L.L.C. License No.: 21-32190-01MD

Location: Traverse City, MI Inspection Type: Routine, unannounced

License Type: Nuclear Pharmacy Priority:1

Inspection Date: 5/8, 5/10/01 Inspector: ML

File No.: 8

Licensee: Mallinckrodt, Inc. License No.: 24-17450-01

Location: St. Louis, MO Inspection Type: Routine, unannounced

License Type: Research and Development Type A Broad Priority: 2

Inspection Date: 2/13-14/02, 2/20/02 Inspector: RG

File No.: 9

Licensee: Harper Hospital Division License No.: 21-04127-06

Location: Detroit, MI Inspection Type: Routine, unannounced

License Type: Stereotactic Radiosurgery - Gamma Knife Priority: 2

Inspection Date: 4/18-19/02 Inspector: DP

File No.: 10

Licensee: Marshfield Clinic License No.: 48-10966-03

Location: Marshfield, WI Inspection Type: Routine, unannounced

License Type: Medical Broad Scope Priority:2

Inspection Date: 1/28-30/02 Inspector: GP
Region III Final Report Page C.3

Inspection Casework Reviews

File No.: 11

Licensee: Law Engineering & Env. Serv. License No.: 34-25898-02

Location: North Canton, OH Inspection Type: Routine, unannounced

License Type: Industrial Radiography - Temporary Job sites Priority:1

Inspection Date: 9/18-27/01 Inspector: SM

Comment: Inspection performed at the licensee’s facility and at a temporary job site in OH,

both of which are non-NRC jurisdictions. Region III indicated this was an abnormal

situation.

File No.: 12

Licensee: Research Medical Center License No.: 24-18625-01

Location: Kansas City, MO Inspection Type: Reactive, announced

License Type: HDR Priority: 2

Inspection Date: 10/11/01 Inspector: KN

File No.: 13

Licensee: Des Peres Hospital License No.: 24-32195-01

Location: St. Louis, MO Inspection Type: Routine, unannounced

License Type: Medical, Written Directive Required Priority: 3

Inspection Date: 4/4/01 Inspector: JC

Comment: Inspection failed to identify violation of unauthorized material usage. Licensee will

request license amendment to remove material usage limiting license condition. 

In this case, the team concluded the issue was of low safety significance, and was

isolated rather than representative of a programmatic weakness.

File No.: 14

Licensee: Niles Steel Tank Company License No.: 21-04741-01

Location: Niles, MI Inspection Type: Routine, unannounced

License Type: Industrial Radiography, Fixed Location Priority: 1

Inspection Date: 5/6/02 Inspector: CM

File No.: 15

Licensee: Department of Veterans Affairs License No.: 21-00159-04

Location: Ann Arbor, MI Inspection Type: Routine, unannounced

License Type: Medical Broad Scope Priority: 2

Inspection Date: 4/17/02 Inspector: RH

File No.: 16

Licensee: Goshen General Hospital License No.: 13-18845-01

Location: Goshen, IN Inspection Type: Routine, unannounced

License Type: HDR Priority: 1

Inspection Date: 5/22/01 Inspector: SM
Region III Final Report Page C.4

Inspection Casework Reviews

File No.: 17

Licensee: University of Notre Dame du Lac License No.: 13-01983-15

Location: Notre Dame, IN Inspection Type: Routine, unannounced

License Type: Academic Type A Broadscope Priority: 3

Inspection Date: 6/27-28/02 Inspector: CF

Comment: Inspection Record (591X Form) does not contain licensee’s corrective action for the

cited violation.

File No.: 18

Licensee: Harrison Steel Casting Company License No.: 13-02141-01

Location: Attica, IN Inspection Type: Routine, unannounced

License Type: Industrial Radiography Fixed Site Priority: 1

Inspection Date: 4/19/02 Inspector: TG

File No.: 19

Licensee: Fort Wayne State Developmental Center License No.: 13-13530-01

Location: Fort Wayne, IN Inspection Type: Routine, unannounced

License Type: Research & Development Other Priority: 5

Inspection Date: 3/28/02 Inspector: CF

File No.: 20

Licensee: Biomedical Scanning Services, Inc. License No.: 24-18087-01

Location: St. Louis, MO Inspection Type: Special, unannounced

License Type: Mobile Nuclear Medicine Service Priority: 2

Inspection Date: 5/5/01 Inspector: JC

File No.: 21

Licensee: Derby City Engineering & Inspection License No.: 201-523-05

Location: Newburgh, IN Inspection Type: Reciprocity

License Type: Industrial Radiography Priority: 1

Inspection Date: 3/4/02 Inspector: MF

File No.: 22

Licensee: Stan A. Huber Consultants, Inc. License No.: IL-01013-01

Location: Ontonagon Memorial Hospital; Ontonagon MI Inspection Type: Reciprocity

License Type: Other Services Priority: 5

Inspection Date: 5/16/02 Inspector: RH

File No.: 23

Licensee: Alpha Omega Services License No.: CA-2641-19

Location: Rochester, MN Inspection Type: Reciprocity

License Type: Other Services, Gamma Knife Source Exchange Priority: 5

Inspection Date: 8/28/02 Inspector: DP

Comment: Inspection Record (591X Form) does not list License Number of service provider

[CA-2641-19].
Region III Final Report Page C.5

Inspection Casework Reviews

File No.: 24

Licensee: Heuft USA, Inc. License No.: IL-01354-22

Location: Walworth, WI Inspection Type: Reciprocity

License Type: Service/Installation General Licensed Gauges Priority: 5

Inspection Date: 6/22/01 Inspector: BJ

File No.: 25

Licensee: McNDT License No.: IL-01875-01

Location: Schererville, IL Inspection Type: Reciprocity

License Type: Industrial Radiography Priority: 1

Inspection Date: 2/1/01 Inspector: ML

Inspection Accompaniments

Accompaniment No.: 1

Licensee: Southgate Radiology License No.: 21-20030-01

Location: Southgate, MI Inspection Type: Routine, unannounced

License Type: Medical QMP Not Required Priority:5

Inspection Date: 2/10/03 Inspector: DW

Accompaniment No.: 2

Licensee: Oakland County Road Commission License No.: 21-15646-01

Location: Waterford, MI Inspection Type: Routine, unannounced

License Type: Portable Gauge Priority: 5

Inspection Date: 2/11/03 Inspector: DW

Accompaniment No.: 3

Licensee: Cardiovascular Consultants, P.C. License No.: 21-32102-01 

Location: Shelby Township, MI Inspection Type: Routine, unannounced

License Type: Medical WD Not Required Priority: 5

Inspection Date: 2/11/03 Inspector: DW

Accompaniment No.: 4

Licensee: Medi-Physics, Inc. License No.: 21-24828-01MD

Location: Livonia, MI Inspection Type: Routine, unannounced

License Type: Nuclear Pharmacy Priority: 2

Inspection Date: 2/12/03 Inspector: GP

Comment:

Inspector failed to identify violation of licensee procedures for frisking upon exit of the restricted

area. Observer discussed with inspector who addressed the issue with the licensee. In this

case, the team concluded the issue was of low safety significance, and was isolated rather than

representative of a programmatic weakness.
Region III Final Report Page C.6

Inspection Casework Reviews

Accompaniment No.: 5

Licensee: Nowak & Fraus, L.L.C. License No.: 21-26122-01

Location: Pontiac, MI Inspection Type: Routine, unannounced

License Type: Portable Gauges Priority: 5

Inspection Date: 2/12/03 Inspector: GP 

Accompaniment No.: 6

Licensee: St. John Oakland Hospital License No.: 21-11494-01

Location: Madison Heights, MI Inspection Type: Routine, unannounced

License Type: Medical, WD Required Priority: 5

Inspection Date: 2/25/03 Inspector: SF

Accompaniment No.: 7

Licensee: Oakland Family Practice, P.C. License No.: 21-32109-01

Location: Madison Heights, MI Inspection Type: Routine, unannounced

License Type: Medical, WD Not Required Priority: 5

Inspection Date: 2/25/03 Inspector: SF

Accompaniment No.: 8

Licensee: Millennium Diagnostic Center License No.: 21-32035-01

Location: Southfield, MI Inspection Type: Routine, unannounced

License Type: Medical, WD Not Required Priority: 5

Inspection Date: 2/26/03 Inspector: SF

Accompaniment No.: 9

Licensee: Mount Clemens General Hospital License No.: 21-04080-01

Location: Mount Clemens, MI Inspection Type: Routine, unannounced

License Type: HDR Priority: 2

Inspection Date: 2/26-27/03 Inspector: RG

Accompaniment No.: 10

Licensee: National Diagnostic Service, L.L.C. License No.: 21-32432-01

Location: Farmington Hills, MI Inspection Type: Initial, announced

License Type: Mobile medical imaging Priority: 5

Inspection Date: 2/27/03 Inspector: RG

Accompaniment No.: 11

Licensee: Associates in Medicine, P.C. License No.: 21-26696-01

Location: Berkley, MI Inspection Type: Routine, unannounced

License Type: Medical WD not Required Priority: 5

Inspection Date: 2/27/03 Inspector: RG
Region III Final Report Page C.7

Inspection Casework Reviews

Fuel Cycle Inspection Casework Review

File No.: 1 

Licensee: USEC (GDP) License No.: GDP-1

Location: Paducah, KY Inspection Type: Routine

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 11/25/02 Inspector: BB, MT, BT

File No.: 2

Licensee: USEC (GDP) License No.: GDP-1

Location: Paducah, KY Inspection Type: Routine

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 05/01/02 Inspector: BB, MT, MP, BC

File No.: 3 

Licensee: USEC (GDP) License No.: GDP-1

Location: Paducah, KY Inspection Type: Routine

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 06/17/02 Inspector: BB, MT, MP, LS

File No.: 4

Licensee: USEC (GDP) License No.: GDP-1

Location: Paducah, KY Inspection Type: Special

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 03/02/01 Inspector: CB, MP, DM

File No.: 5

Licensee: USEC (GDP) License No.: GDP-1

Location: Paducah, KY Inspection Type: Special

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 09/21/00 Inspector: MP

File No.: 6

Licensee: USEC (GDPs) License No.: GDP-1 & 2

Location: Paducah, KY & Portsmouth, OH Inspection Type: Special

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 10/28/99 Inspector: SB, RK, PS,YF, PH

File No.: 7

Licensee: Honeywell License No.: 04003392

Location: Metropolis, ILL Inspection Type: Routine

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 05/10/02 Inspector: MP

File No.: 8

Licensee: Honeywell License No.: 04003392

Location: Metropolis, ILL Inspection Type: Routine

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 08/17/01 Inspector: DH
Region III Final Report Page C.8

Inspection Casework Reviews

File No.: 9

Licensee: Honeywell License No.: 04003392

Location: Metropolis, ILL Inspection Type: Routine

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 11/28/00 Inspector: CB, MP

File No.: 10

Licensee: Honeywell License No.: 04003392

Location: Metropolis, ILL Inspection Type: Routine

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 02/19/99 Inspector: RK

File No.: 11 

Licensee: USEC (GDP) License No.: GDP-2

Location: Portsmouth, OH Inspection Type: Routine

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 12/16/02 Inspector: DH, MP

File No.: 12

Licensee: USEC (GDP) License No.: GDP-2

Location: Portsmouth, OH Inspection Type: Routine

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 10/22/01 Inspector: DH, DL, DM

File No.: 13 

Licensee: USEC (GDP) License No.: GDP-2

Location: Portsmouth, OH Inspection Type: Routine

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 11/20/00 Inspector: MT

File No.: 14

Licensee: USEC (GDP) License No.: GDP-2

Location: Portsmouth, OH Inspection Type: Routine

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 08/09/99 Inspector: DH

File No.: 15

Licensee: Westinghouse License No.: SNM-33

Location: Festus, MO Inspection Type: Routine

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 11/16/01 Inspector: SC

File No.: 16

Licensee: CE Nuclear Power LLC License No.: SNM-33

Location: Festus, MO Inspection Type: Routine

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 09/01/00 Inspector: MP
Region III Final Report Page C.9

Inspection Casework Reviews

File No.: 17

Licensee: CE Nuclear Power LLC License No.: SNM-33

Location: Festus, MO Inspection Type: Special

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 08/23/00 Inspector: DW, DL, RP

File No.: 18

Licensee: ABB Combustion Engineering License No.: SNM-33

Location: Festus, MO Inspection Type: Special

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 12/03/99 Inspector: DW, MP

File No.: 19

Licensee: ABB Combustion Engineering License No.: SNM-33

Location: Festus, MO Inspection Type: Special

License Type: Fuel Cycle Facility Priority: 1

Inspection Date: 12/03/99 Inspector: DW
APPENDIX D

LICENSE CASEWORK REVIEWS

NOTE: ALL CASEWORK LISTED WITHOUT COMMENT IS INCLUDED FOR

COMPLETENESS ONLY; NO SIGNIFICANT COMMENTS WERE IDENTIFIED BY THE IMPEP

TEAM.

File No.: 1

Licensee: Kraft Foods, Inc. License No.: 31-32204-01

Location: New Ulm, MN Amendment No.: 00

License Type: Fixed Gauge Type of Action: New

Date Issued: 02/05/01 License Reviewer: JM

File No.: 2 

Licensee: Kraft Foods, Inc. License No.: 12-16690-01

Location: New Ulm, MN Amendment No.: 20

License Type: Fixed Gauge Type of Action: Termination

Date Issued: 02/05/01 License Reviewer: JM

Comments:

a) Records of disposal for 10 sources identified in the license not provided by licensee. 

Region III is following up on all sources with the manufacturers.

b) Personal privacy information contained in source transfer records and publicly available

in ADAMS. Document subsequently re-profiled as non-publically available.

File No.: 3

Licensee: Construction Consulting & Testing License No.: 34-26746-03

Location: Waterville, OH Amendment No.: 00

License Type: Portable Gauge Type of Action: New

Date Issued: 04/29/02 License Reviewer: TS

Comments:

a) Mailing address incorrect and storage location not listed, as required, on the license.

b) Application not found in ADAMS.

File No.: 4

Licensee: Kenosha Testing and Engineering License No.: 48-26643-01

Location: Kenosha, WI Amendment No.: 02

License Type: Portable Gauge Type of Action: Amendment

Date Issued: 12/08/00 License Reviewer: CF

File No.: 5

Licensee: Curators of the University of Missouri License No.: 24-00513-34

Location: Columbia, MO Amendment No.:21

License Type: Pool Irradiator Type of Action: Termination

Date Issued: 08/09/01 License Reviewer: PP
Region III Final Report Page D.2

License Casework Reviews

File No.: 6

Licensee: Michigan Department of Natural Resources License No.: 21-24958-01

Location: East Lansing, MI Amendment No.: 03

License Type: Well Logging Type of Action: Termination

Date Issued: 10/13/99 License Reviewer: GM

Comment: File did not contain documentation of a finding that a variance from the

decommissioning time limit in 10 CFR 30.36(d)(3) is “not detrimental to the public

health and safety and is in the public’s interest,” as required.

File No.: 7

Licensee: Aurora Health Center License No.: 48-26668-01

Location: Waukesha, WI Amendment No.: 06

License Type: Medical Institution Type of Action: Termination

Date Issued: 12/20/02 License Reviewer: WR

File No.: 8

Licensee: Des Peres Hospital License No.: 24-32195-01

Location: St. Louis, Missouri Amendment No.:00

License Type: Medical Institution Type of Action: New

Date Issued: 10/05/99 License Reviewer: JM

Comments:

a) Quality Management Program submitted by licensee contained one error, however no

safety impact since beta emitters had not been used.

b) Package referenced as “sensitive” in ADAMS. Subsequently corrected. Also, the

telephone conversation record not in ADAMS.

File No.: 9

Licensee: St. Louis Pet Centers, LLC License No.: 24-32395-01

Location: St. Louis, MO Amendment No.: 00

License Type: Medical Private Practice Type of Action: New

Date Issued: 07/18/02 License Reviewer: KN

Comments:

a) Licensee did not submit information on therapy in-patient facilities and license does not

address issue via a license condition.

b) QMP does not address yttrium 90, even though this isotope was specifically requested

in application.

File No.: 10

Licensee: Department of Veterans Affairs License No.: 12-02642-06

Location: Chicago, IL Amendment No.: 42

License Type: Medical Institution Broad Type of Action: Amendment

Date Issued: 04/02/01 License Reviewer: CG

Comment: Material transfer was subsequently determined to be acceptable; however, the

information reviewed at the time of the licensing action was insufficient to reach

this conclusion.
Region III Final Report Page D.3

License Casework Reviews

File No.: 11

Licensee: University of Minnesota License No.: 22-00187-46

Location: Minneapolis, MN Amendment No.:52

License Type: Medical Institution Broad Type of Action: Renewal

Date Issued: 12/20/02 License Reviewer: PP

File No.: 12 

Licensee: University of Wisconsin-Superior License No.: 48-20005-01

Location: Superior, WI Amendment No.:07 

License Type: Byproduct Material Possession Only Type of Action: Renewal/Term

Date Issued: 04/27/01 License Reviewer: CC

Comment: Referenced telephone conversation log not in ADAMS licensing package.

File No.: 13

Licensee: Medtronic, Inc. License No.: SNM-1156

Location: Minneapolis, MN Amendment No.:23

License Type: Pacemaker Manufacturing & Distribution Type of Action: Renewal

Date Issued: 06/19/02 License Reviewer: CC

Comment: Privacy information entered into ADAMS and publicly available. Issue resolved

during review.

File No.: 14

Licensee: Medtronic, Inc. License No.: SNM-1156

Location: Minneapolis, MN Amendment No.:24

License Type: Pacemaker Manufacturing & Distribution Type of Action: Amendment

Date Issued: 01/28/03 License Reviewer: CC

File No.: 15

Licensee: Elmer P. Manalo, M.D. License No.: 13-26433-01

Location: Indianapolis, IN Amendment No.:N/A 

License Type: Medical Private Practice Type of Action: Termination

Date Issued: Retired License Reviewer: N/A

Comment: License stamped retired, but not terminated and written notification to licensee

not provided.

File No.: 16

Licensee: City of Independence Missouri License No.: 24-18757-03

Location: Independence, MO Amendment No.: 02

License Type: Portable Gauge Type of Action: Termination

Date Issued: 11-24-00 License Reviewer: LH
Region III Final Report Page D.4

License Casework Reviews

File No.: 17

Licensee: Madison Community Hospital License No.: 21-32128-01

Location: Madison Heights, MI Amendment No.: 01

License Type: Medical Institution Type of Action: Termination

Date Issued: 12/13/02 License Reviewer: CG

File No.: 18

Licensee: Sundberg, Carlson & Associates, Inc. License No.: 21-30397-01

Location: Marquette, MI Amendment No.: 08

License Type: Portable Gauge Type of Action: Termination

Date Issued: 04/30/02 License Reviewer: LH

File No.: 19

Licensee: Indianapolis Department of Capital Asset Management License No.: 13-19983-01

Location: Indianapolis, IN Amendment No. 08

License Type: Portable Gauge Type of Action: Termination

Date Issued: 10/28/02 License Reviewer: KN

Comment: No leak test records in termination action file.

File No.: 20

Licensee: Elten Engineering Company Inc. License No. 21-25940-02

Location: Port Huron, MI Amendment No.: N/A

License Type: Portable Gauge Type of Action: Termination

Date Issued: Retired License Reviewer: N/A

Comment: See File No. 5 in Appendix C of this report.
 APPENDIX E

INCIDENT CASEWORK REVIEWED

NOTE: ALL INCIDENTS LISTED WITHOUT COMMENT ARE INCLUDED FOR

COMPLETENESS ONLY; NO SIGNIFICANT COMMENTS WERE IDENTIFIED BY THE IMPEP

TEAM.

Materials Incident Response Casework Reviewed

File No.: 1 

Licensee: Conam inspection, Inc. License No.: 12-16559-02

Site of Incident: Philadelphia, PA Incident ID No: NMED 011014

Date of Incident: 11/08/01 Type of Incident: Radiography Source Failed to Retract

Investigation Date: 03/05/02 Type of Investigation: Routine inspection

Comment: Licensee 30 day written report was not found in ADAMS and not listed in the

NMED report. Report was found in docket file and added to ADAMS.

File No.: 2

Licensee: .Mallinckrodt Medical, Inc. License No.: 24-04206-01 

Site of Incident: Maryland Heights, MO Incident ID No: NMED 000269

Date of Incident: 03/31/2000 Type of Incident: Occupational Extremity Overexposure 

Investigation Date: 04/14/2000-05/26/2000 Type of Investigation: Special Team and AIT

File No.: 3

Licensee: General Mills License No.: General License

Site of Incident: Covington, GA Incident ID No: NMED 990595

Date of Incident: 05/01/1999 Type of Incident: Loss of 6 Density Gauges

Investigation Date: None Type of Investigation: None

Comment: Licensee 30 day written report could not be found in ADAMS or docket file. 

Document pre-dates ADAMS. Region searching for location of the report.

File No.: 4

Licensee: Vulcan Chemicals License No.: 48-26761-01 

Site of Incident: Port Edwards, WI Incident ID No: NMED 020234

Date of Incident: 01/31/2002 Type of Incident: Doses in Excess of Limits for Member of Public 

Investigation Date: 01/31/2002 Type of Investigation: Routine Inspection

File No.: 5

Licensee: Spectrum Pharmacy, Inc. License No.: 13-26367-01MD 

Site of Incident: Mishawaka, IN Incident ID No: NMED 990594

Date of Incident: 08/31/1999 Type of Incident: Contamination Incident 

Investigation Date: 08/31/1999-09/01/1999 Type of Investigation: Special Inspection
Region III Final Report Page E.2

Incident Casework Reviews

File No.: 6

Licensee: Saint John Hospital License No.:21-03210-01 

Site of Incident: Detroit, MI Incident ID No: NMED 990741

Date of Incident: 09/07/1999 Type of Incident: Misadministration 

Investigation Date: 10/20/1999-10/21/1999 Type of Investigation: Special Inspection

File No.: 7

Licensee: Materials Testing Consultants, Inc. License No.: 21-15281-02

Site of Incident: Grand Rapids, MI Incident ID No: NMED 000048

Date of Incident: 07/13/1999 Type of Incident: Damaged Moisture/Density Gauge

Investigation Date: 09/10/1999 Type of Investigation: Routine Inspection

File No.: 8

Licensee: Environmental Protection Agency License No.: 34-12736-02

Site of Incident: Cincinnati, OH Incident ID No: NMED 000374

Date of Incident: 04/03/2000 Type of Incident: Leaking Source

Investigation Date: None Type of Investigation: None

File No.: 9

Licensee: MidAmerica Peterbuilt License No.: General License

Site of Incident: O’Fallon, MO Incident ID No: NMED 000801

Date of Incident: 09/25/2000 Type of Incident:: Loss of Source

Investigation Date: None Type of Investigation: None

File No.: 10

Licensee: William Beaumont Hospital License No.: 21-01333-01

Site of Incident: Royal Oak, MI Incident ID No: NMED 020714

Date of Incident: 07/29/2002 Type of Incident:: Misadministration

Investigation Date: 08/06/2002-08/29/2002 Type of Investigation: Special Inspection

Comment: Licensee 30 day written report could not be found in ADAMS or the docket file,

and was not referenced in the NMED report. Document subsequently added to

the docket file.

Fuel Facility Incident Response Casework Reviewed

File No.: 1 

Licensee: USEC (GDP) License No.: GDP-1

Site of Incident: Paducah, KY Incident ID No: NMED 021065

Date of Incident: 11/15/02 Type of Incident: Safety Equipment Failure

Investigation Date: 01/03/03 Type of Investigation: Resident Routine Inspection

File No.: 2

Licensee: USEC (GDP) License No.: GDP-1

Site of Incident: Paducah, KY Incident ID No: NMED 030004

Date of Incident: 12/28/02 Type of Incident: Safety Equipment Failure

Investigation Date: 02/17/03 Type of Investigation: Resident Routine Inspection
APPENDIX F

DECOMMISSIONING CASEWORK REVIEWS

NOTE: ALL CASEWORK LISTED WITHOUT COMMENT ARE INCLUDED FOR

COMPLETENESS ONLY; NO SIGNIFICANT COMMENTS WERE IDENTIFIED BY THE IMPEP

TEAM.

Terminated license review

File No.: 1

Licensee: Telnet Health System DI, INC. License No: 24-13975-01

Location: St. Louis, MO License Type: Medical

File No.: 2

Licensee: Finch, Raymond J., D.O. License No: 21-15910-01

Location: Lansing, MI License Type: Medical

File No.: 3

Licensee: Affinity Medical Group License No: 48-26288-01

Location: Neenah, WI License Type: Medical

File No.: 4

Licensee: Welborn Cancer Center License No: 13-01674-02

Location: Evansville, IN License Type: HDR

File No.: 5

Licensee: Blodgett Memorial Medical Center License No: 13-01674-02

Location: Grand Rapids, MI License Type: HDR

File No.: 6

Licensee: Boone Hospital Center License No: 24-01565-02

Location: Columbia, MO License Type: Teletherapy

File No.: 7

Licensee: Kellog Company License No: 21-05990-05

Location: Battle Creek, MI License Type: Fixed gauge

Comment: License termination checklist not in ADAMS or not used.

File No.: 8

Licensee: Wisconsin Power & Light License No: 48-26304-01

Location: Cassville, WI License Type: Fixed gauge

File No.: 9

Licensee: Dave O’Mara Contractor, INC. License No: 13-24835-01

Location: North Vemon, IN License Type: Portable gauge

File No.: 10

Licensee: ATC Associates INC. License No: 24-26467-01

Location: St, Louis, MO License Type: Portable gauge

Comment: Termination checklist not in ADAMS or not used. Termination request located

with other documents in a single ADAMS file, making it difficult to find.
Region III Final Report Page F.2

Decommissioning Casework Reviews

File No.: 11

Licensee: Army, Department of the License No: 24-25852-01

Location: Caruthersville, MO License Type: Portable gauge

File No.: 12

Licensee: RSV Engineering, INC. License No: 48-32173-01

Location: Jefferson, WI Type: Portable gauge

Comment: Letter requesting termination not in ADAMS.

File No.: 13

Licensee: Litton Interconnect Printed Circuit License No: 24-25911-01

Location: Springfield, MO License Type: Analytical instruments

File No.: 14

Licensee: ADAC Medical Technologies, INC. License No: 24-26293-01

Location: Washington, MO License Type: Service

File No.: 15

Licensee: Pelton Casteel, INC. License No: 48-02669-02

Location: Milwaukee, WI License Type: Industrial radiography fixed

File No.: 16

Licensee: Wisconsin-Milwaukee, University of License No: 48-09944-03

Location: Milwaukee, WI License Type: Self shielded irradiator less than 10000 Ci

Comments: License termination checklist not in ADAMS or not used.

File No.: 17

Licensee: Bioanalytical Systems License No: 13-26086-02

Location: Mt. Vemon, IN License Type: R & D

Comments: License termination checklist not in ADAMS or not used.

File No.: 18

Licensee: Northern Indiana Oncology Center License No: SUB-1546

Location: Valparaiso, IN License Type: Source material shielding

Comments: License termination checklist not in ADAMS or not used.

File No.: 19

Licensee: Allied Signal Aerospace License No: STB-286

Location: Mishawaka, IN License Type: Source material greater than 150 Kg

File No.: 20

Licensee: Mayo Clinic License No: SNM-1380

Location: Rochester, MN License Type: Pacemaker
Region III Final Report Page F.3

Decommissioning Casework Reviews

Inspections 

SDMP

File No.: 1

Licensee: Dow Chemical Company License No: STB-572

Location: Bay City, MI License Type: Manufacturing

Comment: Inspection report incorrectly profiled in ADAMS. Subsequently corrected.

File No.: 2

Licensee: SCA Services License No: SUC-1555

Location: Bay County, MI License Type: Land fill

File No.: 3

Licensee: Jefferson Proving Ground License No.: SNM-1097

Location: Madison, IN License Type: Firing range

Non-SDMP

File No.: 1

Licensee: Battlelle License No.: SNM-00007

Location: Columbus, OH License Type:

File No.: 2

Licensee: Ravenna License No.: SNM-01332

Location: Ravenna, OH License Type: Manufacturing

File No.: 3

Licensee: H.C. Starck License No.: STB-1161

Location: Coldwater, MI License Type: Manufacturing

File No.: 4

Licensee: Alliant Techsystems, INC. License No.: SUB-971

Location: New Brighton, MN License Type: Manufacturing

File No.: 5

Licensee: Breckenridge Disposal Site License No.: SUB-833

Location: Breckenridge, MI License Type: Terminated (disposal site) 

File No.: 6

Licensee: Mallinckrodt Chemical License No.: STB-401

Location: St. Louis, MO License Type: Manufacturing 

File No.: 7

Licensee: Southeast Missouri State University License No.: 24-09296-02

Location: Cape Girardeau, MO License Type: R & D
Region III Final Report Page F.4

Decommissioning Casework Reviews

Financial Assurance Instrument Files Reviewed

File No.: 1

Licensee: Hitchcock Industries

Location: Minneapolis, MN

License No: SMB-1404

File No.: 2

Licensee: Indiana University

Location: Bloomington, IN

License No: 13-00108-05, 13-02752-03

File No.: 3

Licensee: Pfizer, INC.

Location: Terre Haute, IN

License No: 13-10179-01

File No.: 4

Licensee: General Motors Corp.

Location: Warren, MI

License No: 21-00016-04

File No.: 5

Licensee: Harper Hospital Division

Location: Detroit, MI

License No: 21-04127-06

File No.: 6

Licensee: Minnesota Mining & Manufacturing Co.

Location: St. Paul, MN

License No: 22-00057-07, -61

File No.: 7

Licensee: Norther States Power Co.

Location: Minneapolis, MN

License No: 22-08799-09

File No.: 8

Licensee: Curators of the University of Missouri

Location: Columbia, MO

License No: 24-00513-32

File No.: 9

Licensee: Mallinckrodt INC.

Location: Maryland Heights, MO

License No: 24-04206-01
Region III Final Report Page F.5

Decommissioning Casework Reviews

File No.: 10

Licensee: Quintiles, INC.

Location: Kansas City, MO

License No: 24-15595-01

File No.: 11

Licensee: Sigma Chemical Co.

Location: St. Louis, MO

License No: 24-16273-0, 24-16607-02, -03

File No.: 12

Licensee: American Radiolabeled Chemicals INC.

Location: St. Louis, MO

License No: 24-21362-01

File No.: 13

Licensee: Environmental Protection Agency

Location: Cincinnati, OH

License No: 34-12736-02

Comment: No copy of authority document in financial assurance package. Will be fixed at

renewal.

File No.: 14

Licensee: University of Wisconsin

Location: Madison, WI

License No: 48-09843-18, -28, -32, -34

File No.: 15

Licensee: Covance Laboratories, INC.

Location: Madison, WI

License No: 48-11805-02