6.b. Radioactive Materials Details Not Provided In Item 6.a. Chemical or Isotope Maximum number of sources, activity Purpose for which radioactive Physical Form (curies) for each source and activity materials will be used: Sealed source XYZ Corp. Ex. Co-60 30 sources, 2 curies each for a total of 60 curies. 64E-634(1). 15 sources for XYZ for use in XYZ Corp Model possession for source exchanges. AAA therapy device See attached for procedure details Item Appendix Title Model Procedure Equivalent Attached Or NA Procedure Attached 7 None Facility Diagram NA 8 A Radiation Safety Committee 9 B Instrumentation 10 C Quality Control 11 D Dose Calibrator E Personnel Monitoring 12 13 F Training Program 14 G Ordering And Receiving 15 H Opening Packages 16 I Use Records 17 J Rules Of Use 18 K Emergency Procedures 19 L Area Surveys M Members Of Public Dose Study 20 21 N Radiopharmaceutical Therapy 22 O Implant Therapy 23 P Radioactive Gases & Aerosols 24 Q Quality Management Program 25 R Program (Radiation Safety Committee Required) 26 S ALARA Program (No Radiation Safety Committee) 27 T Leak Testing U Bioassay 28 29 V Survey Meter Calibration 30 W Waste 31 X Inventory 32 Y Diagnostic Radiopharmaceuticals 33 Z Mobile Nuclear Medicine 34 Other NA
6.b. Radioactive Materials Details Not Provided In Item 6.a. Isotope Chemical or Physical Form Maximum number of sources, activity (curies) for each source and activity Purpose for which radioactive materials will be used: Ex. Co-60 Sealed source XYZ Corp. XYZ for use in XYZ Corp Model AAA therapy device 30 sources, 2 curies each for a total of 60 curies. 64E-634(1). 15 sources for possession for source exchanges. See attached for procedure details Item Appendix Title Model Procedure Attached Or NA Equivalent Procedure Attached 7 None Facility Diagram NA 8 A Radiation Safety Committee 9 B Instrumentation 10 C Quality Control 11 D Dose Calibrator 12 E Personnel Monitoring 13 F Training Program 14 G Ordering And Receiving 15 H Opening Packages 16 I Use Records 17 J Rules Of Use 18 K Emergency Procedures 19 L Area Surveys 20 M Members Of Public Dose Study 21 N Radiopharmaceutical Therapy 22 O Implant Therapy 23 P Radioactive Gases & Aerosols 24 Q Quality Management Program 25 R Program (Radiation Safety Committee Required) 26 S ALARA Program (No Radiation Safety Committee) 27 T Leak Testing 28 U Bioassay 29 V Survey Meter Calibration 30 W Waste 31 X Inventory 32 Y Diagnostic Radiopharmaceuticals 33 Z Mobile Nuclear Medicine 34 Other NA
regulatory-guide-1.30-revision-5.docx