..'. i

ITEM 13-PROCEDURES FOR ODERING AND RECEIVING RADIOACTIVE MATERIAL

ITEM 14-PROCEDURES FOR SAFELY OPENING PACKAGES CONTAINING RADIOACTIVE-.MATERIALS

HEALTH PHYSICSWALTER REED ARMY MEDICAL CENTER

Washington, D.C. 20012

HSWP-QHP 12 July 1979MEMO #6

PROCEDURES FOR ORDERING, RECEIVING AND SAFELY OPENINGPACKAGES CONTAINING RADIOACTIVE MATERIAL

1. GENERAL Radioactive material for Walter Reed Army Medical Center CWRAMC)

and tenant activities will be ordered, received and secured in accordance with

U.S. Army Regulations, Title 10, Code of Federal Regulations, and the provisions

of WRAMC's Nuclear Regulatory Commission License.

2. HEALTH PHYSICS OFFICE RESPONSIBILITIES The Health Physics Office is re-.

sponsible for assuring that all radioactive material is ordered and received

in accordance with the above directives.

3. PRINCIPAL USER'S RESPONSIBILITIES WRAMC Principal Users are responsible

for ordering and receiving radioactive material in accordance with the enclosed

instructions (Annexes A & B).

4. MILITARY POLICE'S RESPONSIBILITIES WRAMC Military Police are responsible

for receiving radioactive materials delivered. during non-duty hours in accor-

dance with the enclosed instructions. ex B

.2 Incls ROBERT M. QUILLIN1. Annex A-Procedures for Procurement LTC, MSCof Radioactive Material Health Physics Officer

2. Annex B-Procedures for Receivingand Safely Opening Packages ContainingRadioactive Material

This Memo supersedes SOP 4--.2, dated 31 October .1977.

I I I

.HEALTH PHYSICSWALTER REED ARMY MEDICAL CENTER

Washington, D.C. 20012HSWP-QHP 12 July 1979MEMO #6Annex A

PROCEDURES FOR PROCUREMENT OF RADIOACTIVE MATERIAL

ANNEX A

1. GENERAL

a. A Principal User may procure for use at WRAMC only those radioisotopes

currently authorized for his use by the WRAMC Radiation Control Committee, sub--

ject to the limitations of his authorization.

b. Unless specific prior arrangements have been made with the Health Physics

Officer, the maximum quantity which may be ordered at any one time is limited by

the maximum activity of that radioisotope which the User is authorized to possess

less the amount of activity the user will have on hand at the time the new order

is received.

c. Specific prior approval of the Health Physics Officer. shall be required

before receiving and/or transfering gifts containing radioactive material. This

particular application pertains to those instances where normal supply channels

are not utilized. All gifts will be delivered to the locations shown in para.

•5 21b.

2. ORDERING PROCEDURES

a. The Principal User shall submit a completed DA Form 3953 (Purchase Request

and Commitment) through normal supply channels for the procurement of all radio-

active materials.

b. In addition to the information required by WRAMC Procurement Regulations,

.each DA Form 3953 shall contain the following:

(1lJ Radionuclide, chemical form, and total activity (Activity is given

MEMO #6-Annex A (Cont'd)

as microcurie (uCi), millicurie (mCi), or curie (Ci); for natural radioactive ma-

terials microgram (ug), milligram (mg), gram (g), or kilogram (kg) may be used;

for radium equivalent sources such as Cesium-137 milligram radium equivalent

.(mg Ra eq) may be used where appropriate).

(2) The WRAMC Radioisotope Authorization Number will be indicated in the

"Attention Line" of the "Ship To" address.

(3) Date required or delivery date

(4) Instructions, to the vendor to ship to the location shown in para (5)

'below.

C5) One of the proper shipping addresses designated below:

(a) For items to be delivered by mail:

Health Physics OfficerBldg 188, Forest Glen SectionWalter Reed Army Medical Center

JATTN: Authorization No.Washington, D.C. 20012

Cb) For items to be delivered by all other means:

Health Physics OfficerBldg 188, 2681 Linden LaneForest Glen SectionWalter Reed Army Medical CenterATTN: Authorization No.Silver Spring, Maryland

Cc) For item destined for USAMRIID, Ft. Detrick, Maryland

Radiation Protection OfficerUS Army Medical Research Institute of Infectious DiseasesSouth Loading Dock, Bldg 1425Fort DetrickFitedriý-k, Maryland 21701

Cd) For any item destined for Andrew Rader Clinic, Ft. Myer, Virginia:

Andrew Rader Army ClinicBldg 1425Ft. Myer, Virginia 22211

A-2

Memo #6-Annex A (Cont'd)

(e) For any item destined for Army Medical Laboratory, Ft. MeadeMaryland:

Radiation Protection OfficerArmy Medical LaboratoryBuilding 2490Ft. Meade, Maryland 20755

c. Any item requiring special handling or pick-up by the Health Physics

Office, WRAMC, must be coordinated with the Health Physics Officer. Principal

Users are responsible for notifying the Radioactive Materials Control Branch,

Health Physics Office (427-5104) when any order for radioactive materials is

placed for quantities in excess of the "Exempt Quantity Limits" with exceptions

listed in Appendix 2, Annex B; or when any order for radioactive materials is

placed for quantities in excess of the "Type A Quantity Limits" listed in

Appendix 2, Annex B. Any questions concerning these limits should be directed

to the Radioactive Materials.Control Branch (427-5104).

A-3

HEALTH PHYSICSWALTER REED ARMY MEDICAL CENTER.

Washington, D.C. 20012HSWP -QHPMEMO #6Annex B

PROCEDURES FOR RECEIVING AND SAFELY OPENINGPACKAGES CONTAINING RADIOACTIVE MATERIAL

1. GENERAL

a. All incoming shipments of radioactive material to Walter Reed Army

Medical Center will be received by the Health Physics Office during duty hours,

or by the Military Police, WRAMC Forest Glen Section during non-duty hours.

Shipments to Fort Detrick, Ft. Meade or Ft. Myer will be delivered to the

address shown in Annex A.

b. All incoming packages of radioactive material will be examined for

damage immediately upon receipt. Any packages that appear to be wet, punc-

tured, crushed, or otherwise damaged will be considered to be contaminated.

Do not handle such packages. Follow the instructions contained in paragraph

3, Appendix 1 to this Annex.

c. Incoming radioactive material shipments must be continuously secured

against unauthorized removal and the radiation levels adjacent to the secured

storage area may not exceed the limits in Paragraph 20.105, Title 10, Code of

Federal Regulations, Part 20.

d. Unless prior approval has been granted by the Health Physics Office

all WRAMC incoming shipments will be secured in the following areas:

(1) Normal Duty Hours: Health Physics Office, Bidg 188, WRAMC, FGS

(2) Non-Duty Hours: Bldg 149-A, WRAMC, FGS

e. Approved receiving areas will be posted with the appropriate caution

signs as specified in Paragraph 20.203, Title 10, Code of Federal Regulations,

MEMO #6-Annex B (Cont'd)

Part 20.

f. No incoming shipment of radioactive material may be refused when delivered.

2. SHIPMENT MONITORING & DELIVERY TO AUTHORIZED RECIPIENTS

a. Each package containing more than an "Exempt Quantity" of radioactive

material (less exceptions) as specified in Appendix 2 of this Annex shall be monitored

bxy.the Health Physics Office for removable contamination within three (3) hours after

it is received, if received during normal duty hours or within eighteen (18) hurrs

after it is received, if received during non-duty hours. If removable radioactive

contamination in excess of 0.01 microcuries (22,000 disentegrations per minute) per

100 square centimeters of package surface is found on the external surface of the

package, the Health Physics Office shall immediately notify the final delivering

carrier and the Nuclear Regulatory Commission Inspection and Enforcement Office

for Region 1 (215/337-1150).

b. Each package containing quantities of .radioactive material in excess of

the "Type A Quantities" specified in Appendix 2 of this Annex shall be monitored

by the Health Physics Office within three (3) hours after it is received, if re-

ceived during normal duty hours, or within eighteen (18) hours after it is received,

if received during non-duty hours. If radiation levels found on the external sur-

face of the package are in excess of 200 millirem per hour, or at three (3) feet

from the external surface of the package are in excess of 10 millirem per hour,

the Health Physics Office shall immediately notify the final delivering carrier and

the Nuclear Regulatory Commission Inspection and Enforcement Office for Region 1

(215/337-1150).

c. All shipments of radioactive material will be inspected by the Health Physics

Office to insure that the shipment does not exceed the possession limits of the Auth-

B-2

MEMO #6-Annex B (Cont'd)

orization under which it is ordered. Unauthorized shipments will be returned to

the vendor when possible, disposed of as radioactive waste, or held until the

Principal User obtain an amended Radioactive Material Authorization allowing re-

ceipt of the material. Unauthorized shipments will not be held by Health Physics

for more than ninety (90) days.

d. The following package opening procedure will be utilized by Health Physics

personnel: . -

(1) Put on gloves.

(2) Open outer package (following manufacturer's directions if supplied)

and remove packing slip. Open inner package and verify that the contents are as

listed on the packing slip.

(3) Check integrity of source container: inspecting for breakage of seals

or vials, loss of liquid, discoloration of packaging material, etc.

(4) Perform a wipe test on the external surface of the final source con-

tainer when a shipment requires contamination surveys of the external surface of

the shipping package (See Appendix .2).

3. FINAL SOURCE CONTAINER CHECK

The Principal User is responsible for making a check of the final radioactive

materials source container. This check will follow the steps outlined in sub para-

graph 2d(l) through (3) ab-ove. In addition the Principal User will perform a wipe

test of the final source container uponi:receipt to determine if contamination is

present.

B-3

27

HEALTH PHYSICSWALTER REED ARMY MEDICAL CENTER

Washington, D.C. 20012

HSWP-QHPMEMO #6 (Annex B, Appendix 1)

RECEIPT OF RADIOACTIVE MATERIAL SHIPMENTS

BYMILITARY POLICE DURING NON-DUTY HOURS

1. GENERAL. Federal law requires that certain categories of radioactive

material shipments be monitored by the Health Physics Office within eight-

een (18) hours of receipt. To meet the requirement, all radioactive material

shipments will be received by the Military Police, WRAMC, Forest Glen Section.

2.: RECEIVING INSTRUCTIONS. Military Police personnel receiving shipments

will:

a. Annotate the shipping receipt with his/her name, time and date

.received.

b. Maintain all shipping receipts at the Military Police Station, FGS

until picked up by Health Physics personnel.

c. Examine each package for damage immediately upon receipt.

d. If the package is undamaged, take it to Building 149-A, unlock door,

place package in the refrigerator located immediately to the left of the

door and relock the entrance door.

3. SAFETY PROCEDURES FOR DAMAGED PACKAGES. Any package that appears to be

wet, punctured, crushed or otherwise damaged requires the following action:

a. Call the Health Physics Office Duty NCO immediately (TELEPHONE: 427-5107).

b. Ask the carrier to remain at the Military Police Station, WRAMC, FGS

until it can be determined that neither he/she nor the delivery vehicle is

contaminated.

•• . Or' /

HSWP-QHPMEMO #6 (Annex B, Appendix 1)

c. Do not handle the package. Place a large piece of plastic sheeting

on the floor. Put a piece of absorbent paper on the plastic (paper side up

if backed). Have the carrier put on a pair of gloves and place the package

on the absorbent paper.

d. Do not allow personnel to occupy the same room in which the package

is located until the Health Physics Office Duty NCO determines that no

safety hazard exists.

HEALTH PHYSICSWALTER REED ARMY MEDICAL CENTER

Washington, D.C. 20012HSWP-QHPMEMO #6Annex BAppendix 2

QUANTITIES OF RADIOACTIVE MATERIALEXEMPTED FROM SHIPMENT MONITORING

1. Certain shipments of radioactive materials are exempted from the monitoringprocedures required by Paragraph 20.205, Title 10, Code of Federal Regulations,Part 20.

2. The following shipments are not required to be monitored for radioactivecontamination and excessive radioactive exposure rates.

a. Packages containing no more than the exempt quantities shown in thetable in paragraph 3 below:

b. Packages containing no more than 10 mCi of radioactive material consis-ting solely of 3-H, 14-C, 35-S or 125-I.

c. Packages containing only radioactive material as gases or in special form.

d. Packages containing only radioactive material in other than liquid form(including Mo-99/Tc 99m generator) and not exceeding the Type A quantity limitspecified in the table below.

e. Packages containing only radionuclides. with half-lives of less than 30days and a total quantity of no more than 100 millicuries.

3. Table of Exempt and Type A Quantities

Exempt Type AQuantity Limit Quantity Limit

Transport Group* (In millicuries) (In curies)I 0.01 0.001

II 0.1 0.050III 1.0 3

IV - 1.0 20V 1.0 20

VI 1.0 1000VII 25,000.0 1000

* A Table of Radioactive Material Transport Groups is set forth in Appendix C,

Title 10, Code of Federal Regulations, Part 71 (attached).

S -.

Anr',crur-¶ *-- .- - -

B•,kcwm Ohl; ---

As,,, inc L3•S

Cadmium (4br-

Calcium (201C

CalifIrnium (981-

Cartir (6)Cerium (58)--

Cesium (55)-

Chlorine (17)") --

Chr,i)mium (24)-Corbalt (27)--

Cipper (29)-Curium (96)

Dysprosium (66)1..-

Erblum (68)-

Europium (63)

FuoVrirc (9)-Gadolinium (r.)-

Gallium (31)2

Germanium (32).Gold (79)

Halnium (72)- -Holmium (67• -}Hlyd,.fen (I I--

indium (49) -

ludine (53)-,--

As T';IVA , : - - -. . If!

B • " ------------B: 2L•IV

B: 2[: .. .. . . II)

BA, 7(r-,1

B -- ---- I-

Br 8 - IV

Cd 109- IVCd 115 m - IIICd I I IVCa 45 . V

Ca 4- IVaT249 1Cf ILCf 252O I

Cc 14) IVCc 143 IVCe 144 - 111CIS 131 IVCs 134 Mn-- IIICs 13-4 IICs 135- i\VCs 1 b .. . IVCs 137 .... IIICo 3(, 211

CI 31S 4 - IVCr 51) IVCo 5b -I--- ICo 57 - IvCc 58 m...-.-- IV

Co. 58 IVC. 60 IICu 6A IV

Cm 242.--. ICm 243-- ICm 2A4 - ICm 245- ICm 24t, IDy 154 - IIDy 165 - IVDy 166 - IVEr I2b,- IVEr 17) IVEu 150- IIIEu 152 n IV

Eu 152 I1

Eu 155- IVF I)K IN'Gd 153 IVGd 159 1\IVG. 67.,- IlIGa 72 IVGe 71 IVAu 193 111Au 194 IIIAu 195 III

Au IY.- IN'Au 191.IN.... I\A.u 14 -- IVHl 18!IHo.I tb .-..- I VH 3 iiar tuisium --In 113M - - IVIn I14 m -_ III1.n1 In. m- - I\"In 115 . IV

I 124- . 111

I 12b I[iI 12(', I11 131 IllI 132 - IV2 133 Ill1 134 IV1 23 I%*

pressed!

Lult '....-......-..~... ;I,

Pb 2 1U..-..~.. I)I

Lu )1'7-................. 1'

MR, 2 -..-..... Ill

Mr, 5 -- n-o- IV

Mn .1" 1uco• Vprese 6 1"\

Lnrihanum (571•.-

Luiccium (2

Maynesiur ( 12).--MNanganese (2.s, ..

Mercury (80)

Mised fmssion paid-ucis MFP.

Miivbdenum. (42)

Ncidymrum (60i,

Neptunium (93).

Nickel (28)-....--

Niobium (4.1)

Os~mium (761.---.....

;Palladium (46)

Phosphorus (05 1--.

Platinum (78 1.-.-

Pluioniurn (94)....

Polinium (• _IPotassium (19)

Praswcrdrniurn (591-

Promethium 1611-

Protactinium (92)-

Radium (88)......

Radin (86).-

Rhenium (75. ......

Rhiidium 145)

Rubidium (371)

Ruthenium (44) ....

Ssarum (621)

Scandium (21) -.

--. -- - --... .. . .

--9ý

a-: ' : -....... . . I

S;',rnrur.r ......-..........

t • .. . . .....- II

Sr )C I

"tc¢nnetum (4 3; 7_ cl 9r rn ... .. .. IS. 96 Iv

Sc 9-7 ........ m IvrTc 97. IVTic 9"n ....... IV- Tc,9im--.-........... IV'

It 1777 MT. - INTer7.. ...... IVTc 9rm... IlTe 129-- - IVTe 131 __ IlV

S13- ..-...--- I\,TcrhIum _ T 9...0..... III

allium { TJ 2 .... . . "

TI 20) _ IV

TI 204 Ill

Thbrum (90)- Th 227---.... ITh 23 ..... ITb 2300 - i

Tb 23} )

Th "4auu ..----..--- III

bulium (69). -- 1m 16 -- I-ll

Tm 1'20-- Ill

Tm 171 IV

Fi 15O. Sn 113 IN'Sn 117 m. ].--.

5n 121 Ill

rircum (1) - H1H 3 (as a pas. as

lumin,,us paint, or

adsorbed cm solid.... . ..._a ria). - VII

HE• 197 InHP 197

HR 207

I V

IV11

- o 99 IVNd 147 . IVNd 149 ..... IV* p 237 . INp 239-- I

Ni 5b..6IillNi 59 IVNi 63 "\VNi 65.. IV\Nb 93 m - IVNb 9

5 IVNb 97.. IS\

Os 185- - IV

Os 191 m- IV0% 191 - 1%,Os 193 - IV

Pd 103. IVPd 1090 - IVP 32 - - ,IVPt 191 - IV

P1 193 n IVPI J97 Yr. IV

Pt 197cr IV

Pu238(F). IPu 239 (F) . I

Piý 24L*rcý--PP0 241 (FIF IPu 242 -..-.-Po 210--- I

K 4:----.. IV

Pt 14" I

Pr 14 - IN,Pm 147.- IV

Pm 149 . . . IN'

Pa 230 -- IPa 231 -- - - I

Pa 233 - - II

Ra 223--- IIRa 2241 I- I

Ra 226-... I"Ra22 ..-. ~.I

Rn :!0 V 1'

Re 18).--- ------- I VRb 203 . ..... I"vR F -. . IN

t F......t - .......---- IVX"

Rb Nalural.-- IV

Rh 103 r.. IV

Rh 105 IvRb 10...... I8tRb 91 -- Iv'

Rb Natural -- IVRu 9-,- - IV'

RS 103 ..... IvlRu W05 ... . I

Ru lo106 . 1

Sm 145 - • lS. 147]. . I

Sm 151 IVSm 153 -- IVSc 46 - I1Sc 4

7- IV

Sc 4F- IV'

T

T

T

T

T

Tungsten (74) - -,

Uiranium (92l--

Vanadium (23)-

Ytierbium (70).-iYtirium (39)-

Zinc (30)--

Zircinium 440).--

'A 185 IV

w 187 IV

U 230O - IIU 232-.. IU 233 (F) IIU 234 A-U 235 (F) IllU 236 .U 238 fitU Natural - IllU Enriched (F) - Ill

U Dcplcted - Illv48 IV

V 49 _ - IllXe 125• IllXc 131 m- -- IllXe 131 m (uncom- V

pressed). 1Xe 133..-...-Xt 133 (uncom- VI

pressed). ""Xc 135.-- IIXe 135 funcom- V

pTessed).*"Yb 175 - IvY KB8. IIlYyo.... . IV

Y 91m - IIIY 91 - - Ill

Y 92- - IV

Y 93n - - IVZn 65 - - 1V

Zn 69 m . .... IV

Zn b9 -- IVZr.93- - IV'Zr 95- IllZr 97 IV

Appendix C, Title 10