36E77618R0054-006.pdf

From: Weiser, Ryan T.

Sent: Tuesday, June 20, 2017 8:33 AM To: Langevin, Dennis T <Dennis.Langevin@va.gov> Cc: Weintraub, Breton M. <Breton.Weintraub@va.gov>; Lammers, Kenneth R <Kenneth.Lammers@va.gov> Subject: FW: Shielding Report for DR Rad Rooms 1B-35 & 1B-37 fyi

From: McCotter, Shane M. [mailto:Shane.McCotter@EssentiaHealth.org] Sent: Monday, June 19, 2017 10:02 PM To: Weiser, Ryan T. <Ryan.Weiser@va.gov> Cc: Hulteen, Jeremy A. <Jeremy.Hulteen@EssentiaHealth.org> Subject: [EXTERNAL] Shielding Report for DR Rad Rooms 1B-35 & 1B-37

Dear Ryan, Attached is the Shielding Evaluation for the DR Rad Rooms 1B-35 & 1B-37 being modified at the VA Medical Center in Fargo, ND. All floor plan diagrams must be included with all printed or digital versions of this report.

A copy of this report (paper or digital version) MUST be permanently kept on site at the facility.

North Dakota Department of Health (NDDH) regulations require that the Shielding Evaluation/Plan be submitted and authorized by the NDDH PRIOR to finalizing construction (North Dakota Radiological Health Rules; Subdivision 33-10-06-03.2.a). Reference information can be found at the NDDH website at: http://www.ndhealth.gov/AQ/RAD/reg.htm

We recommend the shielding report to be submitted directly from you (facility management) to assure you receive all pertinent information from the NDDH. Email the included shielding evaluation report file(s) to Warren Freier at: wfreier@nd.gov AND to James Lawson at: jlawson@nd.gov. Emailing the report to both Warren and James will help assure it is reviewed in a timely manner. It can also be emailed directly to the general email address for the x-ray department at the NDDH at x-ray@nd.gov .

You can also print a paper copy and mail it to the following:

Warren Freier or James Lawson North Dakota Department of Health Division of Air Quality 918 East Divide Avenue, 2nd Floor Bismarck, N.D. 58501-1947

There is also a blank Shielding Placard included in the report. Fill out this Placard form with the actual amounts and types of shielding materials physically constructed in each associating barrier and permanently post the placard in the exam room; it should be physically attached/adhered to the wall

Note: North Dakota laws do NOT require such a Shielding Placard to be posted; however, we strongly recommend posting such a placard as it assures the exact information about specific shielding materials used for each barrier is not lost over time.

mailto:Shane.McCotter@EssentiaHealth.org mailto:Ryan.Weiser@va.gov mailto:Jeremy.Hulteen@EssentiaHealth.org http://www.ndhealth.gov/AQ/RAD/reg.htm mailto:wfreier@nd.gov mailto:jlawson@nd.gov mailto:x-ray@nd.gov

Thank you for allowing Radiation Physics Consultants to assist you with your shielding needs. Please do not hesitate to call or email if you have any questions or concerns.

Sincerely, Shane McCotter Radiation QC Specialist Radiation Physics Consultants www.rpcphysics.com Office: (218) 786-1027 Cell: (218) 349-3548 http://www.rpcphysics.com/