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The document is a formal request from Washington Radiology Associates to the U.S. Nuclear Regulatory Commission for the termination of their radioactive materials license, following the removal of all radioactive materials from their facilities. It includes details about the close-out survey conducted to ensure safety and compliance, along with survey results confirming that residual radioactivity is within acceptable limits. The letter is signed by Gary L. Rose, the Radiation Safety Officer.

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How to use or fill out Washington Radiology Associates, P.C.; Termination Request Letter dated 04/30/15 - nrc

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Click ‘Get Form’ to open it in the editor.
Begin by entering the date at the top of the letter. Ensure it reflects the current date or the date you wish to submit.
Fill in the recipient's address, which is the U.S. Nuclear Regulatory Commission, ensuring all details are accurate.
In the subject line, clearly state 'Radioactive Materials License Termination' followed by your license number for easy reference.
In the body of the letter, formally request termination of your license and specify that areas used as Hot Lab, Camera Room, and Uptake Room should be released for unrestricted public use.
Attach any required documents such as survey results and diagrams as mentioned in your request.
Finally, sign off with your name and title, ensuring all contact information is correct for follow-up inquiries.

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Washington Radiology Associates, P.C.; Termination Request Letter dated 04/30/15. - nrc 2025

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