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See also: [[followed by::IR 07200201/1980001]]
See also: [[see also::IR 07200201/1980001]]


=Text=
=Text=
{{#Wiki_filter:NRC FORM 591M PART 1 U.S. NUCLEAR REGULATORY  
{{#Wiki_filter:NRC FORM 591M PART 1  
COMMISSION  
U.S. NUCLEAR REGULATORY COMMISSION  
(07-2012)  
(07-2012)  
1ocFR2.201  
1ocFR2.201  
SAFETY INSPECTION  
SAFETY INSPECTION REPORT AND COMPLIANCE INSPECTION  
REPORT AND COMPLIANCE  
1. LICENSEE/LOCATION INSPECTED:  
INSPECTION  
Capital Cardiology, P.C.  
1. LICENSEE/LOCATION  
1200 E. Michigan Ave.  
INSPECTED:  
Lansing, Michigan 48912  
Capital Cardiology, P.C. 1200 E. Michigan Ave. Lansing, Michigan 48912 REPORT NUMBER(S)  
REPORT NUMBER(S) 2018001
2018001 3. DOCKET NUMBER(S)  
3. DOCKET NUMBER(S)  
030-37572  
030-37572  
LICENSEE:  
LICENSEE:  
2. NRC/REGIONAL  
2. NRC/REGIONAL OFFICE
OFFICE Region III U. S. Nuclear Regulatory  
Region III  
Commission  
U. S. Nuclear Regulatory Commission  
2443 Warrenville  
2443 Warrenville Road, Suite 210  
Road, Suite 210 Lisle, IL 60532-4352  
Lisle, IL 60532-4352  
4. LICENSE NUMBER(S)  
4. LICENSE NUMBER(S)  
5. DATE(S) OF INSPECTION  
5. DATE(S) OF INSPECTION  
21-32677-01  
21-32677-01  
The inspection  
The inspection was an examination of the activities conducted under your license as they relate to radiation safety and to compliance with the Nuclear  
was an examination  
Regulatory Commission (NRC) rules and regulations and the conditions of your license. The inspection consisted of selective examinations of
of the activities  
procedures and representative records, interviews with personnel, and observations by the inspector. The inspection findings are as follows:  
conducted  
~
under your license as they relate to radiation  
Based on the inspection findings, no violations were identified.  
safety and to compliance  
D 2.  
with the Nuclear Regulatory  
Previous violation(s) closed.  
Commission (NRC) rules and regulations  
D 3.  
and the conditions  
D4.  
of your license. The inspection  
The violations(s), specifically described to you by the inspector as non-cited violations, are not being cited because they were self-identified,  
consisted  
non-repetitive, and corrective action was or is being taken, and the remaining criteria in the NRC Enforcement Policy, to exercise  
of selective  
discretiol), were satisfied.  
examinations  
Non-cited violation(s) were discussed involving the following requirement(s):  
of procedures  
During this inspection, certain of your activities, as described below and/or attached, were in violation of NRC requirements and are being  
and representative  
cited in accordance with NRC Enforcement Policy. This form is a NOTICE OF VIOLATION, which may be subject to posting in accordance  
records, interviews  
with 10 CFR 19.11.  
with personnel, and observations  
(Violations and Corrective Actions)  
by the inspector.  
Statement of Corrective Actions
The inspection  
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
findings are as follows: Based on the inspection  
corrective actions is made in accordance with the requirements of 10 CFR 2.201 (corrective steps already taken, corrective steps which will be taken,  
findings, no violations  
date when full compliance will be achieved). I understand that no further written response to NRC will be required, unless specifically requested.  
were identified.  
TITLE  
D 2. Previous violation(s)  
PRINTED NAME  
closed. D 3. D4. The violations(s), specifically  
SIGNATURE  
described  
DATE  
to you by the inspector  
LICENSEE'S  
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 discretiol), 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  
REPRESENTATIVE  
NRC INSPECTOR  
NRC INSPECTOR  
Geoffrey Warren, Sr. HP BRANCH CHIEF Aaron Mccraw NRC FORM 591M PART 1 (07-2012)  
Geoffrey Warren, Sr. HP  
hV-  
BRANCH CHIEF  
NRC FORM 591M PART 3 (07-2012)  
Aaron Mccraw  
10 CFR 2.201 U.S. NUCLEAR REGULATORY  
NRC FORM 591M PART 1 (07-2012)  
COMMISSION  
hV-
 
NRC FORM 591M PART 3  
(07-2012)  
10 CFR 2.201  
U.S. NUCLEAR REGULATORY COMMISSION  
Docket File Information  
Docket File Information  
SAFETY INSPECTION  
SAFETY INSPECTION REPORT AND COMPLIANCE INSPECTION  
REPORT AND COMPLIANCE  
1. LICENSEE/LOCATION INSPECTED:  
INSPECTION  
Capital Cardiology, P.C.  
1. LICENSEE/LOCATION  
1200 E. Michigan Ave.  
INSPECTED:  
Lansing, Michigan 48912
Capital Cardiology, P.C. 1200 E. Michigan Ave. Lansing, Michigan  
REPORT NUMBER(S) 2018001
48912 REPORT NUMBER(S)  
3. DOCKET NUMBER(S)  
2018001 3. DOCKET NUMBER(S)  
030-37572  
030-37572  
6. INSPECTION  
6. INSPECTION PROCEDURES USED
PROCEDURES  
87130  
USED 87130 2. NRG/REGIONAL  
2. NRG/REGIONAL OFFICE
OFFICE Region III U. S. Nuclear Regulatory  
Region III  
Commission  
U. S. Nuclear Regulatory Commission  
2443 Warrenville  
2443 Warrenville Road, Suite 210  
Road, Suite 210 Lisle, IL 60532:.4352  
Lisle, IL 60532:.4352  
4. LICENSE NUMBER(S)  
4. LICENSE NUMBER(S)  
21-32677-01  
21-32677-01  
7. INSPECTION  
7. INSPECTION FOCUS AREAS  
FOCUS AREAS 03.01 -03.09 5. DATE(S) OF INSPECTION  
03.01 - 03.09  
February 28, 2018 SUPPLEMENTAL  
5. DATE(S) OF INSPECTION  
INSPECTION  
February 28, 2018  
INFORMATION  
SUPPLEMENTAL INSPECTION INFORMATION  
1. PROGRAM CODE(S) 02201 2. PRIORITY 5 I{] Main Office Inspection  
1. PROGRAM CODE(S)  
02201  
2. PRIORITY  
5  
I{] Main Office Inspection  
D Field Office Inspection  
D Field Office Inspection  
D Temporary  
D Temporary Job Site Inspection  
Job Site Inspection  
3. LICENSEE CONTACT  
3. LICENSEE CONTACT 4. TELEPHONE  
4. TELEPHONE NUMBER
NUMBER Michelle Kritzman, M.S., RSO (734) 637-2408 Next Inspection  
Michelle Kritzman, M.S., RSO  
Date: 02/28/2023  
(734) 637-2408  
PROGRAM SCOPE This was an unannounced  
Next Inspection Date:  
routine inspection.  
02/28/2023  
The licensee was a cardiology  
PROGRAM SCOPE  
clinic located in Lansing, Michigan, with authorization  
This was an unannounced routine inspection. The licensee was a cardiology clinic located in Lansing, Michigan, with  
to use byproduct  
authorization to use byproduct materials in 10 CPR 35.200 only. The nuclear medicine department was staffed with one  
materials  
full-time nuclear medicine technologist, who typically administered 120 diagnostic doses monthly, limited to cardiac  
in 10 CPR 35.200 only. The nuclear medicine department  
stress tests. The department received unit doses as needed from a licensed nuclear pharmacy. All waste was either held  
was staffed with one full-time  
for decay-in-storage (DIS) or returned to the nuclear pharmacy.  
nuclear medicine technologist, who typically  
Performance Observations: The inspector observed one diagnostic administration of licensed materials, including dose
administered  
preparation and disposal. The technologist demonstrated survey meter and wipe counter QC, dose calibrator constancy,  
120 diagnostic  
package receipt surveys and wipes, daily and weekly contamination surveys, and other procedures. The inspector noted
doses monthly, limited to cardiac stress tests. The department received  
no concerns with these activities. Review of dosimetry records indicated no exposures of regulatory concern. Interviews  
unit doses as needed from a licensed nuclear pharmacy.  
with licensee personnel indicated adequate knowledge of radiation safety concepts and procedures. The inspector  
All waste was either held for decay-in-storage (DIS) or returned to the nuclear pharmacy.  
performed independent and confirmatory radiation measurements which indicated results consistent with licensee survey  
Performance  
records and postings.  
Observations:  
No violations were identified during this inspection.  
The inspector  
observed one diagnostic  
administration  
of licensed materials, including  
dose preparation  
and disposal.  
The technologist  
demonstrated  
survey meter and wipe counter QC, dose calibrator  
constancy, package receipt surveys and wipes, daily and weekly contamination  
surveys, and other procedures.  
The inspector  
noted no concerns with these activities.  
Review of dosimetry  
records indicated  
no exposures  
of regulatory  
concern. Interviews  
with licensee personnel  
indicated  
adequate knowledge  
of radiation  
safety concepts and procedures.  
The inspector  
performed  
independent  
and confirmatory  
radiation  
measurements  
which indicated  
results consistent  
with licensee survey records and postings.  
No violations  
were identified  
during this inspection.  
NRG FORM 591M PART 3 (07-2012)
NRG FORM 591M PART 3 (07-2012)
}}
}}

Latest revision as of 06:40, 6 January 2025

Capital Cardiology, P.C. (2/28/18) - NRC Form 591M Parts 1 & 3, Inspection Report 03037572/2018001 (DNMS)
ML18068A037
Person / Time
Site: 03037572
Issue date: 02/28/2018
From: Geoffrey Warren
NRC/RGN-III
To: Kritzman M
Capital Cardiology, PC
References
IR 2018001
Download: ML18068A037 (2)


See also: IR 07200201/1980001

Text

NRC FORM 591M PART 1

U.S. NUCLEAR REGULATORY COMMISSION

(07-2012)

1ocFR2.201

SAFETY INSPECTION REPORT AND COMPLIANCE INSPECTION

1. LICENSEE/LOCATION INSPECTED:

Capital Cardiology, P.C.

1200 E. Michigan Ave.

Lansing, Michigan 48912

REPORT NUMBER(S) 2018001

3. DOCKET NUMBER(S)

030-37572

LICENSEE:

2. NRC/REGIONAL OFFICE

Region III

U. S. Nuclear Regulatory Commission

2443 Warrenville Road, Suite 210

Lisle, IL 60532-4352

4. LICENSE NUMBER(S)

5. DATE(S) OF INSPECTION

21-32677-01

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:

~

Based on the inspection findings, no violations were identified.

D 2.

Previous violation(s) closed.

D 3.

D4.

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

discretiol), 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

Geoffrey Warren, Sr. HP

BRANCH CHIEF

Aaron Mccraw

NRC FORM 591M PART 1 (07-2012)

hV-

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:

Capital Cardiology, P.C.

1200 E. Michigan Ave.

Lansing, Michigan 48912

REPORT NUMBER(S) 2018001

3. DOCKET NUMBER(S)

030-37572

6. INSPECTION PROCEDURES USED

87130

2. NRG/REGIONAL OFFICE

Region III

U. S. Nuclear Regulatory Commission

2443 Warrenville Road, Suite 210

Lisle, IL 60532:.4352

4. LICENSE NUMBER(S)

21-32677-01

7. INSPECTION FOCUS AREAS

03.01 - 03.09

5. DATE(S) OF INSPECTION

February 28, 2018

SUPPLEMENTAL INSPECTION INFORMATION

1. PROGRAM CODE(S)

02201

2. PRIORITY

5

I{] Main Office Inspection

D Field Office Inspection

D Temporary Job Site Inspection

3. LICENSEE CONTACT

4. TELEPHONE NUMBER

Michelle Kritzman, M.S., RSO

(734) 637-2408

Next Inspection Date:

02/28/2023

PROGRAM SCOPE

This was an unannounced routine inspection. The licensee was a cardiology clinic located in Lansing, Michigan, with

authorization to use byproduct materials in 10 CPR 35.200 only. The nuclear medicine department was staffed with one

full-time nuclear medicine technologist, who typically administered 120 diagnostic doses monthly, limited to cardiac

stress tests. The department received unit doses as needed from a licensed nuclear pharmacy. All waste was either held

for decay-in-storage (DIS) or returned to the nuclear pharmacy.

Performance Observations: The inspector observed one diagnostic administration of licensed materials, including dose

preparation and disposal. The technologist demonstrated survey meter and wipe counter QC, dose calibrator constancy,

package receipt surveys and wipes, daily and weekly contamination surveys, and other procedures. The inspector noted

no concerns with these activities. Review of dosimetry records indicated no exposures of regulatory concern. Interviews

with licensee personnel indicated adequate knowledge of radiation safety concepts and procedures. The inspector

performed independent and confirmatory radiation measurements which indicated results consistent with licensee survey

records and postings.

No violations were identified during this inspection.

NRG FORM 591M PART 3 (07-2012)