ML19248C883

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Premier Medical Clinics - NRC Form 591M Parts 1 & 3, Inspection Report 03033371/2019001 (DNMS)
ML19248C883
Person / Time
Site: 03033371
Issue date: 08/29/2019
From: Harvey E
Division of Nuclear Materials Safety I
To: Raj E
Premier Medical Clinics
References
IR 2019001
Download: ML19248C883 (2)


See also: IR 07100201/1990001

Text

NRC FORM 591M PART 1

U.S. NUCLEAR REGULATORY COMMISSION

(07-2012)

10CFR2.201

SAFETY INSPECTION REPORT AND COMPLIANCE INSPECTION

1. LICENSEE/LOCATION INSPECTED:

Premier Medical Clinics

1165 S. Linden Road

Flint, MI 48532

REPORT NUMBER(S) 2019001

2. NRG/REGIONAL OFFICE

Region III

U.S. Nuclear Regulatory Commission

2443 Warrenville Road, Suite 210

Lisle, IL 60532-4352

3. DOCKET NUMBER{S)

4. LICENSE NUMBER(S)

5. DATE(S) OF INSPECTION

030-33371

21-26540-01

August 29, 2019

LICENSEE:

The inspection was an examination of the activities conducted under your license as they relate to radiation safety and to compliance with the Nuclear

Regulatory Commission (NRC) rules and regulations and the conditions of your license. The inspection consisted of selective examinations of

procedures and representative records, interviews with personnel, and observations by the inspector. The inspection findings are as follows:

[ZJ 1.

D 2.

D 3.

D 4.

Based on the inspection findings, no violations were identified.

Previous violation(s) closed.

The violations(s), specifically described to you by the inspector as non-cited violations, are not being cited because they were self-identified,

non-repetitive, and corrective action was or is being taken, and the remaining criteria in the NRC Enforcement Policy, to exercise

discretion, were satisfied.

Non-cited violation(s) were discussed involving the following requirement(s):

During this inspection, certain of your activities, as described below and/or attached, were in violation of NRC requirements and are being

cited in accordance with NRC Enforcement Policy. This form is a NOTICE OF VIOLATION, which may be subject to posting in accordance

with 10 CFR 19.11.

(Violations and Corrective Actions)

Statement of Corrective Actions

I hereby state that, within 30 days, the actions described by me to the Inspector will be taken to correct the violations identified. This statement of

corrective actions is made in accordance with the requirements of 10 CFR 2.201 (corrective steps already taken, corrective steps which will be taken,

date when full compliance will be achieved). I understand that no further written response to NRC will be required, unless specifically requested.

TITLE

PRINTED NAME

SIGNATURE

DATE

LICENSEE'S

REPRESENTATIVE

NRC INSPECTOR

Edward F. Harvey

BRANCH CHIEF

Aaron T. McCraw

NRC FORM 591M PART 1 (07-2012)

08/29/2019

NRC FORM 591M PART 3

(07-2012)

10 CFR 2.201

U.S. NUCLEAR REGULATORY COMMISSION

Docket File Information

SAFETY INSPECTION REPORT AND COMPLIANCE INSPECTION

1. LICENSEE/LOCATION INSPECTED:

Premier Medical Clinics

1165 S. Linden Road

Flint, MI 48532

REPORT NUMBER(S) 2019001

3. DOCKET NUMBER(S)

030-33371

6. INSPECTION PROCEDURES USED

87130

2. NRC/REGIONAL OFFICE

Region III

U.S. Nuclear Regulatory Commission

2443 Warrenville Road, Suite 210

Lisle, IL 60532-4352

4. LICENSE NUMBER(S)

21-26540-01

7. INSPECTION FOCUS AREAS

All

5. DATE(S) OF INSPECTION

August 29, 2019

SUPPLEMENTAL INSPECTION INFORMATION

1. PROGRAM CODE(S)

02201

2. PRIORITY

5

[ZJ Main Office Inspection

D Field Office Inspection

D Temporary Job Site Inspection

3. LICENSEE CONTACT

E.G. Raj, MD - RSO

Next Inspection Date:

PROGRAM SCOPE

4. TELEPHONE NUMBER

(810) 732-5400

August 29, 2024

This was a routine, unannounced inspection of a medical center authorized to possess and use unsealed byproduct

material for diagnostic medical procedures at their location in Flint, Michigan. The licensee employed one full time

nuclear medical technologist (NMT) who performed approximately nine diagnostic procedures per day on Mondays,

Tuesdays, and Thursdays. The licensee retained the services of a medical physics consultant for instrument calibrations

and quarterly program audits.

The inspector toured the licensee's facility in Flint to evaluate the licensee's measures for material security, hazard

communication, and exposure control. The inspector observed two diagnostic administrations oflicensed material and

noted that the NMT wore dosimetry and appropriate personal protective equipment, assayed the dose, and verified

patient identity prior to the administration. The inspector observed the NMT demonstrate package receipt procedures,

dose calibrator quality control, and area survey procedures. The NMT also demonstrated adequate knowledge of

radiation protection principles and emergency procedures through interviews with the inspector.

The inspector reviewed a selection oflicensee records, including quarterly audits, source inventories, survey meter

calibration records, package receipt logs, and dosimetry with no issues noted. In addition, the inspector performed

independent surveys, which revealed no readings that would indicate residual contamination or exposures to members of

the public in excess of regulatory limits.

No violations ofNRC requirements were identified during this inspection.

NRC FORM 591M PART 3 (07-2012)