DHS 157.13(4)(j)2.a.a. The radioactive material contained, its chemical and physical form and amount. DHS 157.13(4)(j)2.c.c. Procedures for and results of prototype tests to demonstrate that the source or device will maintain its integrity under stresses likely to be encountered in normal use and accidents. DHS 157.13(4)(j)2.d.d. For devices containing radioactive material, the radiation profile of a prototype device. DHS 157.13(4)(j)2.e.e. Details of quality control procedures to assure that production sources and devices meet the standards of the design and prototype tests. DHS 157.13(4)(j)2.g.g. Legend and methods for labeling the radioactive content of sources and devices. DHS 157.13(4)(j)2.h.h. Instructions for handling and storing the source or device from the radiation safety standpoint. The instructions shall be included on a durable label attached to the source or device or attached to a permanent storage container for the source or device; provided, that instructions that are too lengthy for such label may be summarized on the label and printed in detail on a brochure which is referenced on the label. DHS 157.13(4)(j)3.3. The label affixed to the source or device or to the permanent storage container for the source or device, contains information on the radionuclide, quantity, and date of assay, and a statement that the source or device is licensed by the department for distribution to persons licensed under subch. VI and s. DHS 157.62 (4) or under equivalent licenses of the NRC, an agreement state or a licensing state. DHS 157.13(4)(j)4.4. If the applicant desires that the source or device be required to be tested for leakage of radioactive material at intervals longer than 6 months, the applicant shall include in the application sufficient information to demonstrate that such longer interval is justified by performance characteristics of the source or device or similar sources or devices and by design features that have a significant bearing on the probability or consequences of leakage of radioactive material from the source. In determining the acceptable interval for the test for leakage of radioactive material, the applicant shall submit all of the following information: DHS 157.13(4)(j)4.j.j. Operating experience with identical sources or devices or similarly designed and constructed sources or devices. DHS 157.13(4)(j)5.5. The source or device has been registered in the sealed source and device registry. DHS 157.13(4)(k)(k) Requirements for license to manufacture and distribute industrial products containing depleted uranium for mass-volume applications. DHS 157.13(4)(k)1.1. The department shall approve an application for a specific license to manufacture industrial products and devices containing depleted uranium for use under s. DHS 157.11 (1) (c) or equivalent regulations of the NRC or an agreement state under the following conditions: DHS 157.13(4)(k)1.b.b. The applicant submits sufficient information relating to the design, manufacture, prototype testing, quality control procedures, labeling or marking, proposed uses and potential hazards of the industrial product or device to provide reasonable assurance that possession, use or transfer of the depleted uranium in the product or device is not likely to cause any individual to receive in any period of one year a radiation dose in excess of 10% of the annual limits specified in s. DHS 157.22 (1). DHS 157.13(4)(k)1.c.c. The applicant submits sufficient information regarding the industrial product or device and the presence of depleted uranium for a mass-volume application in the product or device to provide reasonable assurance that unique benefits will accrue to the public because of the usefulness of the product or device. DHS 157.13(4)(k)2.2. In the case of an industrial product or device whose unique benefits are questionable, the department shall approve an application for a specific license under this paragraph only if the department determines that the product or device combines a high degree of utility and low probability of uncontrolled disposal and dispersal of significant quantities of depleted uranium into the environment. DHS 157.13(4)(k)3.3. The department may deny any application for a specific license under this paragraph if the end use or uses of the industrial product or device cannot be reasonably foreseen. DHS 157.13(4)(k)4.a.a. Maintain the level of quality control required by the license in the manufacture of the industrial product or device and in the installation of the depleted uranium into the product or device. DHS 157.13(4)(k)4.b.b. Label or mark each unit to identify the manufacturer or initial transferor of the product or device and the number of the license under which the product or device was manufactured or initially transferred, the fact that the product or device contains depleted uranium and the quantity of depleted uranium in each product or device; and state that the receipt, possession, use and transfer of the product or device are subject to a general license or the equivalent and the regulations of the NRC or an agreement state. DHS 157.13(4)(k)4.c.c. Assure that the depleted uranium before being installed in each product or device has been impressed with the following legend clearly legible through any plating or other covering: “Depleted Uranium”. DHS 157.13(4)(k)4.d.d. Furnish a copy of the general license contained in s. DHS 157.11 (1) (c) and a copy of the “Certificate — Use of Depleted Uranium Under General License” to each person to whom he or she transfers depleted uranium in a product or device; or furnish a copy of the general license contained in the NRC’s or agreement state’s regulation equivalent to s. DHS 157.11 (1) (c) and a copy of the NRC’s or agreement state’s certificate with a note explaining that use of the product or device is regulated by the NRC or an agreement state under requirements substantially the same as those in s. DHS 157.11 (1) (c). DHS 157.13(4)(k)4.e.e. Report to the department all transfers of industrial products or devices to persons for use under the general license in s. DHS 157.11 (1) (c). The report shall identify each general licensee by name and address, an individual by name or position who may constitute a point of contact between the department and the general licensee, the type and model number of device transferred and the quantity of depleted uranium contained in the product or device. The report shall be filed with the department within 30 days after the end of each calendar quarter in which such a product or device is transferred to the generally licensed person. If no transfers have been made to persons generally licensed under s. DHS 157.11 (1) (c) during the reporting period, the report shall so indicate. DHS 157.13(4)(k)4.g.g. Report to the responsible state agency all transfers of devices manufactured and distributed under this paragraph for use under a general license in that state’s regulations equivalent to s. DHS 157.11 (1) (c). DHS 157.13(4)(k)4.h.h. The report required in subd. 4. f. and g. shall identify each general licensee by name and address, an individual by name and position who may constitute a point of contact between the department and the general licensee, the type and model number of the device transferred and the quantity of depleted uranium contained in the product or device. The report shall be filed with the department within 30 days after the end of each calendar quarter in which such product or device is transferred to the generally licensed person. DHS 157.13(4)(k)4.i.i. If no transfers have been made to NRC licensees during the reporting period, the report shall so indicate. DHS 157.13(4)(k)4.j.j. If no transfers have been made to general licensees within this state or another particular agreement state during the reporting period, this information shall be reported to the department or the responsible agency in another agreement state, upon the request of that agency. DHS 157.13(4)(k)4.k.k. Keep records showing the name, address and point of contact for each general licensee to whom he or she transfers depleted uranium in industrial products or devices for use under the general license provided in s. DHS 157.11 (1) (c) or equivalent regulations of the NRC or an agreement state. The records shall be maintained for a period of 3 years from the date of each transfer respectively and shall show the date of each transfer, the quantity of depleted uranium in each product or device transferred and compliance with the report requirements of this section. DHS 157.13(4m)(4m) Special Requirements for a specific license to initially transfer source material to a person. DHS 157.13(4m)(a)(a) The department shall approve an application for a specific license to initially transfer source material if all the following conditions are satisfied: DHS 157.13(4m)(a)2.2. The applicant submits adequate information on, and the department approves the methods to be used for quality control, labeling, and providing safety instructions to recipients, based upon adequate information submitted by the applicant. DHS 157.13(4m)(b)(b) Each person licensed under par. (a) shall label the immediate container of each quantity of source material with the type of source material and quantity of material and the words, “radioactive material.” DHS 157.13(4m)(c)(c) Each person licensed under par. (a) shall ensure that the quantities and concentrations of source material are as labeled and indicated in any transfer records. DHS 157.13(4m)(d)(d) Each person licensed under par. (a) shall provide all of the following information to each person to whom source material is transferred for use under s. DHS 157.11 (1), or equivalent regulations of the NRC or another agreement state, before the source material is transferred to the person for the first time in each calendar year: DHS 157.13(4m)(d)2.2. Appropriate radiation safety precautions and instructions relating to handling, use, storage, and disposal of the source material. DHS 157.13(4m)(e)1.1. File a report with the department for each general licensee under s. DHS 157.11 (1) or equivalent NRC or another agreement state provisions to whom greater than 50 grams (0.11 lbs) of source material has been transferred in a single calendar quarter. The report shall include the following information: DHS 157.13(4m)(e)1.a.a. The name, address, and license number of the person who transferred the source material. DHS 157.13(4m)(e)1.b.b. The name and address of the general licensee to whom source material is distributed; a responsible agent, by name and/or position and phone number, of the general licensee to whom the material was sent; and the type, physical form, and quantity of source material transferred. DHS 157.13(4m)(e)1.c.c. The total quantity of each type and physical form of source material transferred in the reporting period to all such generally licensed recipients. DHS 157.13(4m)(e)2.2. For material shipped to another state, file a report with each applicable responsible state agency or the NRC that identifies all persons, operating under provisions equivalent to s. DHS 157.11 (1), to whom greater than 50 grams (0.11 lbs) of source material has been transferred within a single calendar quarter. The report shall include the following information specific to those transfers made to the applicable responsible state agency, or NRC, being reported to: DHS 157.13(4m)(e)2.a.a. The name, address, and license number of the person who transferred the source material. DHS 157.13(4m)(e)2.b.b. The name and address of the general licensee to whom source material was distributed; a responsible agent, by name and/or position and phone number, of the general licensee to whom the material was sent; and the type, physical form, and quantity of source material transferred. DHS 157.13(4m)(e)2.c.c. The total quantity of each type and physical form of source material transferred in the reporting period to all such generally licensed recipients. DHS 157.13(4m)(e)3.3. Submit each report by January 31 of each year covering all transfers for the previous calendar year. If no transfers were made to persons generally licensed s. DHS 157.11 (1) or equivalent NRC or another agreement state provision during the current period, a report shall be submitted to the department and applicable responsible state agency or the NRC. If no transfers have been made to general licensees in a particular state during the reporting period, this information shall be reported to the responsible state agency or the NRC upon request. DHS 157.13(4m)(f)(f) Each person licensed under par. (a) shall maintain all information that supports the reports required by this subsection concerning each transfer to a general licensee for a period of one year after the event is included in a report. DHS 157.13(5)(5) Special requirements for a specific license for medical use of radioactive material. DHS 157.13(5)(a)(a) License application. The department shall approve an application for a specific license for medical use of radioactive material if all of the following conditions are satisfied: DHS 157.13(5)(a)3.3. In addition to the requirements in this paragraph and par. (b), an application for a license or amendment for medical use of radioactive material as described in s. DHS 157.70 shall also include information regarding any radiation safety aspects of the medical use of the material that is not addressed in ss. DHS 157.59 to 157.62, identification of and commitment to follow the applicable radiation safety program requirements in ss. DHS 157.63 (1) to 157.67 (1) that are appropriate for the specific s. DHS 157.70 medical use, as well as any specific information on each of the following: DHS 157.13(5)(a)3.c.c. Methodology for measurement of dosages or doses to be administered to patients or human research subjects. DHS 157.13(5)(a)3.d.d. Calibration, maintenance and repair of instruments and equipment necessary for radiation safety. DHS 157.13(5)(a)4.4. An applicant for a license for mobile services shall assure that release of individuals or human research subjects to whom radioactive drugs or implants containing radioactive material are administered will be released under s. DHS 157.62 (8). DHS 157.13(5)(a)5.5. The applicant or licensee shall provide any other information requested by the department in its review of the application. DHS 157.13(5)(b)(b) License amendment. An application for a license amendment shall meet all of the following requirements: DHS 157.13(5)(b)1.1. A licensee shall apply for and must receive a license amendment before the licensee does any of the following: DHS 157.13(5)(b)1.a.a. Receives or uses radioactive material for a type of use that is permitted under this subchapter, but that is not authorized on the licensee’s current license issued under this subchapter. DHS 157.13(5)(b)1.b.b. Permits anyone to work as an authorized user, authorized nuclear pharmacist, ophthalmic physicist, or authorized medical physicist under the license, except an individual who is certified by a specialty board appropriate to the intended use of radioactive material and recognized by the NRC; or is named as an authorized user, authorized nuclear pharmacist, ophthalmic physicist, or authorized medical physicist on a department, NRC or other agreement state license, or on a permit issued by a licensee who is authorized by a Type A license of broad scope to permit the medical use of radioactive material. DHS 157.13(5)(b)1.d.d. Permits anyone to work as an associate radiation safety officer, or before the radiation safety officer assigns duties and tasks to an associate radiation safety officer that differ from those for which the associate radiation safety officer is authorized on the license. DHS 157.13(5)(b)1.e.e. Receives radioactive material in excess of the amount or in a different form or receives a different radionuclide than is authorized on the license DHS 157.13(5)(b)1.f.f. Adds to or changes the areas identified in the application or on the license, except for areas where radioactive material is used only under ss. DHS 157.63 (1) and (2). DHS 157.13(5)(b)1.i.i. Receives a sealed source from a different manufacturer or of a different model number than authorized by its license unless the sealed source is used for manual brachytherapy, is listed in the Sealed Source and Device Registry, and is in a quantity and for an isotope authorized by the license. DHS 157.13(5)(c)(c) Notifications. A licensee shall make all of the following notifications: DHS 157.13(5)(c)1.1. Provide to the department a copy of the board certification, the NRC or agreement state license, or other equivalent permit or license for each individual no later than 30 days after the date that the licensee permits the individual to work as an authorized user, an authorized nuclear pharmacist, an ophthalmic physicist, or an authorized medical physicist under par. (b) 1. b. For individuals permitted to work under par. (b) 1. b., within the same 30 day time frame, the licensee shall also provide, as appropriate, verification of completion of all the following: DHS 157.13(5)(c)1.b.b. Training in device operation, safety procedures, and clinical use for the type of use for which authorization is sought. This training requirement may be satisfied by satisfactory completion of a training program provided by the vendor for new users or by receiving training supervised by an authorized user or authorized medical physicist, as appropriate, who is authorized for the type of use for which the individual is seeking authorization as an authorized user under s. DHS 157.67 (1). DHS 157.13(5)(c)1.c.c. Training for the type of use for which authorization is sought that includes hands-on device operation, safety procedures, clinical use, and the operation of a treatment planning system. This training requirement may be satisfied by satisfactorily successfully completing either a training program provided by the vendor or by training supervised by an authorized medical physicist authorized for the type of use for which the individual is seeking authorization as an authorized medical physicist. DHS 157.13(5)(c)2.2. Notify the department in writing no later than 30 days after any of the following occurs:
/code/admin_code/dhs/110/157
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Department of Health Services (DHS)
Chs. DHS 110-199; Health
administrativecode/DHS 157.13(4)(k)4.a.
administrativecode/DHS 157.13(4)(k)4.a.
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