Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 ....

52
Approved by OMB No. 3150-0183 Expires 12/21/16 INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE State: Florida Reporting Period: April 2, 2011 to March 13, 2015 Note: If there has been no change in the response to a specific question since the last IMPEP questionnaire, the State or Region may copy the previous answer, if appropriate. A. GENERAL 1. Please prepare a summary of the status of the State's or Region's actions taken in response to each of the open recommendations from previous IMPEP reviews. The Florida Bureau of Radiation Control has no open recommendations from the previous IMPEP review. B. COMMON PERFORMANCE INDICATORS I. Technical Staffing and Training 2. Please provide the following organization charts, including names and positions: (a) A chart showing positions from the Governor down to the Radiation Control Program Director; See appendix 1. (b) A chart showing positions of the radiation control program, including management; and See appendix 2. (c) Equivalent charts for sealed source and device evaluation, low-level radioactive waste and uranium recovery programs, if applicable. See appendix 3. 3. Please provide a staffing plan, or complete a listing using the suggested format below, of the professional (technical) full-time equivalents (FTE) applied to the radioactive materials program by individual. Include the name, position, and, for Agreement States, the fraction of time spent in the following areas: administration, materials licensing & compliance, emergency response, low- level radioactive waste, uranium recovery, other. If these regulatory responsibilities are divided between offices, the table should be consolidated to include all personnel contributing to the radioactive materials program. If consultants were used to carry out the program’s radioactive materials responsibilities, include their efforts. The table headings should be:

Transcript of Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 ....

Page 1: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

Approved by OMB

No. 3150-0183 Expires 12/21/16

INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM

QUESTIONNAIRE State: Florida Reporting Period: April 2, 2011 to March 13, 2015 Note: If there has been no change in the response to a specific question since the last

IMPEP questionnaire, the State or Region may copy the previous answer, if appropriate.

A. GENERAL

1. Please prepare a summary of the status of the State's or Region's actions taken

in response to each of the open recommendations from previous IMPEP reviews.

The Florida Bureau of Radiation Control has no open recommendations from the previous IMPEP review.

B. COMMON PERFORMANCE INDICATORS

I. Technical Staffing and Training

2. Please provide the following organization charts, including names and positions:

(a) A chart showing positions from the Governor down to the Radiation

Control Program Director; See appendix 1.

(b) A chart showing positions of the radiation control program, including management; and

See appendix 2.

(c) Equivalent charts for sealed source and device evaluation, low-level radioactive waste and uranium recovery programs, if applicable.

See appendix 3.

3. Please provide a staffing plan, or complete a listing using the suggested format below, of the professional (technical) full-time equivalents (FTE) applied to the radioactive materials program by individual. Include the name, position, and, for Agreement States, the fraction of time spent in the following areas: administration, materials licensing & compliance, emergency response, low-level radioactive waste, uranium recovery, other. If these regulatory responsibilities are divided between offices, the table should be consolidated to include all personnel contributing to the radioactive materials program.

If consultants were used to carry out the program’s radioactive materials responsibilities, include their efforts. The table headings should be:

Page 2: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

EMPLOYEE POSITION AREA OF EFFORT FTE% Cynthia L. Becker Bureau Chief Administration/Tallahassee 30%

Jerry Bai Administrator Inspections & Training/Tallahassee 25%

Mike Phillips Manager Inspections & Training/Tallahassee 25% Eric Lieberman Env. Consultant Inspections & Training/Tallahassee 25% Michael Stephens Env. Health Program Cons. Administration/Tallahassee 50% Jose Guadix Manager Field Inspections/Miami 18% James Stokes Env. Scientist & Specialist Field Inspections/Miami 18% Frantz Nicoleau Env. Scientist & Specialist Field Inspections/Miami 18% Eric Kurz Env. Scientist & Specialist Field Inspections/Miami 18% Wayne Lynk Env. Scientist & Specialist Field Inspections/Miami 18% Brent Herring Env. Scientist & Specialist Field Inspections/Emergency Response/Miami 5% Lisa Perazzelli Env. Scientist & Specialist Field Inspections/Lantana 18% Mike Leiba Env. Scientist & Specialist Field Inspections/Lantana 18% Rebekah LeJeune Env. Scientist & Specialist Field Inspections/Lantana 18% Nicholas Pospishil Env. Scientist & Specialist Field Inspections/Lantana 18% Dan Borek Manager Field Inspections/Ft. Myers 18% Gordon Hastings Env. Scientist & Specialist Field Inspections/Ft. Myers 18% Lloyd Fontaine Env. Scientist & Specialist Field Inspections/Ft. Myers 18% Janie Locke Env. Scientist & Specialist Field Inspections/Ft. Myers 18% Dennis Mitchell Manager Field Inspections/Tampa 18% Sandra Rosevelt Env. Scientist & Specialist Field Inspections/Tampa 18% John Jordan Env. Scientist & Specialist Field Inspections/Tampa 18% Robert Larson Env. Scientist & Specialist Field Inspections/Tampa 18% Kenneth Barnhart Env. Scientist & Specialist Field Inspections/Tampa 18% Alfredo Ortega Env. Scientist & Specialist Field Inspections/Tampa 18% Robert Latham Manager Field Inspections/Orlando 18% Randy Clayton Env. Scientist & Specialist Field Inspections/Orlando 18% Hector Serrano Env. Scientist & Specialist Field Inspections/Orlando 18% Michelle Vornhagen Env. Scientist & Specialist Field Inspections/Orlando 18% Leo Bakersmith Env. Scientist & Specialist Field Inspections/Orlando 18% Diane Day Env. Scientist & Specialist Field Inspections/Orlando 18% Paul Pavlick Manager Field Inspections/Jacksonville 18% Mark Cornwell Env. Scientist & Specialist Field Inspections/Pensacola 18% Karen Mercorella Env. Scientist & Specialist Field Inspections/Jacksonville 18% Steve Furnace Env. Scientist & Specialist Field Inspections/Jacksonville 18% Vacant Env. Scientist & Specialist Field Inspections/Jacksonville 18% Brian Crawford Env. Scientist & Specialist Field/Inspections/Tallahassee 18% Lisa Gavathas Env. Scientist & Specialist Field Inspections/Broward County 18% Tom McNally Env. Supervisor II Field Inspections/Polk County 54% Vacant Administrator Licensing/Tallahassee 100% Joy Stephenson Env. Scientist & Specialist Licensing/Tallahassee 100% Gan Preamplume Env. Scientist & Specialist Licensing/Tallahassee 100% Joe Major Env. Scientist & Specialist Licensing/Tallahassee 100% Charles Hamilton Env. Scientist & Specialist Licensing/Compliance/Tallahassee 100% David Whitman Env. Scientist & Specialist Licensing/Tallahassee 100% Lee Thomas Env. Scientist & Specialist Licensing/Tallahassee 100% Rowena Nash Env. Scientist & Specialist Licensing/Tallahassee 100% Caleb Smith Env. Scientist & Specialist Licensing/Tallahassee 100% Kimberly Farmer Regulatory Specialist Licensing/Tallahassee 50%

Page 3: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

Raymond Marcano Chemist Sample Analysis/Orlando 100% Clark Connelly Env. Scientist & Specialist LLRW/Orlando 100% Kellie Anderson Env. Scientist & Specialist Emergency Response/Orlando 50% Paul Norman Env. Scientist & Specialist Emergency Response/Orlando * David Pieski Env. Scientist & Specialist Emergency Response/Orlando * Reno Fabii Manager Emergency Response/Orlando * John Williamson Administrator Emergency Response/Orlando 10% Mark Seidensticker Manager Emergency Response/Orlando * Tim Dunn Manager Emergency Response/Orlando *

TOTAL 20 FTEs

*routinely rotate on-call for response to radiation emergencies Note: Lost one full time evaluator position.

4. Please provide a listing of all new professional personnel hired into your radioactive materials program since the last review, indicate the date of hire; the degree(s) they received, if applicable; additional training; and years of experience in health physics or other disciplines, as appropriate.

EMPLOYEE DATE OF HIRE DEGREE

ADDITIONAL EXPERIENCE YEARS OF EXPERIENCE

Rebekah LeJeune 4/27/12

BS – Environmental Health Science

Applied Radiation Physics and Incident Response (July 2012) NRC Inspection Procedures (March 2013) NRC Materials Control & Security Systems & Principles (May 2013) Radiological Emergency Response Operations (June 2013) NRC Diagnostic and Therapeutic Nuclear Medicine (August 2013) IS100 – Intro to Incident Command System (September 2006) IS700 – National Incident Management System (September 2006) IS100a – Introduction to ICS (April 2008)

2

Brent Herring 7/22/14 BS – Biology

AA – Radiography AA – Pre-Science

Applied Radiation Physics and Incident Response (October 2013)

9

Janie Locke

11/21/14 ARRT (MRI, CT) AA – Radiology

Applied Health Physics and Incident Response (February 2015) IS700a – National Incident Management System (December 2014) IS100b – Intro to Incident Command System (December 2014)

9

Clark Connelly

2/3/12 BS – Environmental Management

NRC Transportation of RAM (October 2012) Radiological Emergency Response Operations (April 2012) Applied Radiation Physics and Incident Response (July 2012) NRC Introductory Health Physics (February 2013) NRC Environmental Monitoring (May 2013) GIS Training for the RSI System (October 2013)

3

Page 4: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

NRC Basic Health Physics (February 2014) NRC Fundamental Health Physics I, II, III (June 2014)

Kenneth Barnhart

3/19/12 BS – General NRC Licensing Procedures (March 2004) NRC Inspection Procedures (April 2004) Portable Gauge Course (November 2004) NRC Root Cause Workshop (December 2004) Fundamentals of Radiation Safety by TMS (January 2005) DOT Specialized Hazmat: RAM (February 2007) NRC Materials Control & Security Systems & Principles (August 2007) NRC Inspection Procedures (October 2008) NRC Industrial Radiography (October 2008) National Incident Management System (September 2010) ICS for Single Resources and Initial Action Incidents (November 2010) Intro to the Incident Command System (April 2012) MRC RRVC Population Monitoring (March 2013) Applied Health Physics and Incident Response (October 2013) Radiological Accident Assessment Concepts (March 2014) NRC Nuclear Medicine (March 2014) Radiological Accident Assessment Concept (August 2014) Dose Assessment Tool (October 2014) NRC IMPEP (January 2015)

24

Gan Preamplume

10/25/13 BS – Biochemistry MS – Environmental Science

Introduction to Health Physics (April 2014) Applied Radiation Physics and Incident Response (May 2014) Radiological Emergency Response Operations (June 2014) Aerial Survey for Radioactive Isotopes (December 2014) NRC NMED Database (August 2014) Radiation Safety: Types of Radiation (October 2013) Radiation Safety: Units (October 2013)

1

Robert Larson

4/16/12 AA – Nuclear Med Applied Radiation Physics and Incident Response (July 2012) MRC RRVC Population Monitoring (March 2013) NRC Materials Control, Security Systems & Principles (February 2014)

16

Kellie Anderson

8/22/14 BS – Forensic Science

CBRN Specialist Radiological Emergency Response Operations (December 2014) Applied Radiation Physics and Incident Response (February 2015) IS100b – Intro to Incident Command System (August 2014)

7

Page 5: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

IS700a – National Incident Management System (August 2014) IS00003 – Radiological Emergency Management (August 2014)

Tim Dunn *Mr. Dunn has worked for the bureau since 1991 but was promoted to his current position in March 2013.

3/1/13* DHS DNDO Alarm Adjudication (November ) FEMA Advanced Dose Assessment (June 2005) Radiological Emergency Response Operations (June 2005) Applied Radiation Physics and Incident Response (July 2005) PRND (July 2009) ICS for Single Resources and Initial Action Incidents (October 2013) GIS training for the RSI system (October 2013) NWIRT by Defense Nuclear Weapons School (November 2013) ORISE Health Physics in Radiation Emergencies (February 2014) Radiological Accident Assessment Concepts (May 2014) FEMA Radiological Accident Assessment Concept (August 2014) NMED Data Training (August 2014) NRC Introductory Health Physics (November 2014)

30

Lisa Gavathas

09/26/14 BS – Math/Computer Science

NRC Introductory Health Physics (February 2015) 1993 – 1996 (RERO, NRC Inspection Procedures, Intro to Licensing, Nuclear Medicine, Industrial Radiography, Well Logging) Incident Command System (IS200, 300, 301, 500, 700 – September/October 2014)

3

Paul Norman

06/01/12 BS – Workforce Education

Applied Radiation Physics and Incident Response (July 2012) Radiological Emergency Response Operations (August 2012) NRC Transportation of RAM (July 2013) NWIRT by Defense Nuclear Weapons School (November 2013) IS100b – Intro to Incident Command System (June 2012) IS-00003 – Radiological Emergency Management (July 2012) IS700a – National Incident Management System (July 2012) IS200b – ICS for Single Source Resources and Initial Action Incident (August 2012) Terrorism Awareness for Emergency First Responders (August 2012)

2

Karen Mercorella

2/28/14 AA – Nuclear Power Hazardous Waste Operations and Emergency Response Standard (February 2012) Applied Radiation Physics and Incident Response (May 2014) NRC Introductory Health Physics (November 2014)

6

Page 6: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

40 Hour HAZWOPER (February 2012)

5. Please list all professional staff who have not yet met the qualification requirements for a radioactive materials license reviewer or inspector. For each, list the courses or equivalent training/experience they need and a tentative schedule for completion of these requirements.

All license evaluators have completed the required training. The following inspectors are still working to complete the Basic Radioactive Materials Inspection Modules as specified in the Inspection Training Policy (see attached). Karen Mercorella Steve Furnace Brent Herring Janie Locke Lisa Gavathas

6. Identify any changes to your qualification and training procedure that occurred

during the review period.

The Inspection Training Policy has replaced the Qualifications Journal for inspection staff hired after 2012. See attachment “Inspection Training Policy Q6”.

7. Please identify the technical staff that left your radioactive materials program

during the review period and indicate the date they left.

EMPLOYEE DATE OF TERMINATION

DATE HIRED

Richard Beauman 06/30/11 11/2/07 Debbie Gilley 12/01/11 06/01/87 Robert Knecht 08/31/11 06/29/92 Jennifer Middlebrook 12/08/11 08/24/09 Brandie Peretz 02/24/12 10/14/11 Bill Passetti 05/31/12 03/28/86 Charles Adams 09/28/12 08/26/92 Hector Tabares 12/17/12 11/03/06 Joseph Vozniak 05/23/13 01/23/09 Walter Klein 05/31/13 01/31/03 Latansha Betts 05/31/13 10/02/09 Richard Davis 06/23/14 01/24/14 Paul Vause 02/01/15 07/23/85 Bill Roberts 03/31/14 04/12/91 Mursaleen Iqbal 04/09/14 04/07/08

8. List any vacant positions in your radioactive materials program, the length of time each position has been vacant, and a brief summary of efforts to fill the vacancy.

The Environmental Administrator of the Radiation Materials Section became vacant on 2/2/15. The position advertisement closed on 2/13/15 and applications are under review. Environmental Specialist II – Orange Park Inspector became vacant 8/8/14. Position has been advertised three times. Applicants had very little, if any, radiation experience. Offered to one individual and was declined due to salary. Readvertised with a closing date of 1/9/15. Position was placed on hold by the department.

9. For Agreement States, does your program have an oversight board or committee which provides direction to the program and is composed of licensees and/or

Page 7: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

members of the public? If so, please describe the procedures used to avoid any potential conflict of interest.

Florida uses a fifteen member advisory council to provide recommendations to the program. The Advisory Council on Radiation Protection is made up of the following disciplines: board certified chiropractic radiologist, board certified podiatrist, board certified radiological physicist, board certified therapeutic radiologist or board certified radiation oncologist, two lay persons who have no radiological background, certified radiologic technologist-radiographer, certified radiologic technologist-nuclear medicine, certified radiologic technologist-therapy, basic x-ray machine operator or licensed practitioner who employs same, certified health physicist, expert in environmental matters, representative from the administration of a hospital affiliated with a radiologic technology education program, board certified radiologist, and a board certified nuclear medicine physician. Since this is an advisory council and can only make recommendations there is no conflict of interest.

II. Status of Materials Inspection Program

10. Please identify individual licensees or categories of licensees the State is inspecting less frequently than called for in NRC’s Inspection Manual Chapter (IMC) 2800 and explain the reason for the difference. The list only needs to include the following information: license category or licensee name and license number, your inspection interval, and rationale for the difference.

Florida has no categories of licensure that are inspected less frequently than the U.S.

NRC. 11. Please provide the number of routine inspections of Priority 1, 2, and 3 licensees,

as defined in IMC 2800 and the number of initial inspections that were completed during each year of the review period.

See attachment “2015 IMPEP Q11”. Note: Florida Bureau of Radiation Control Priority

1, 2, 3, and 4 is equivalent to NRC Priority 1, 2, and 3. 12. Please submit a table, or a computer printout, that identifies inspections of

Priority 1, 2, and 3 licensees and initial inspections that were conducted overdue. At a minimum, the list should include the following information for each inspection

that was conducted overdue during the review period:

(1) Licensee Name (2) License Number (3) Priority (IMC 2800) (4) Last inspection date or license issuance date, if initial inspection (5) Date Due (6) Date Performed (7) Amount of Time Overdue (8) Date inspection findings issued There were no initial inspections conducted overdue. All initial inspections were conducted timely. There was 1 routine inspection that was conducted overdue. All other routine inspections were conducted timely per NRC Priority 1, 2, and 3 frequencies.

Name Number Priority Last Insp Date Due Date Performed

Overdue Findings Issued

First Coast

2836-2 3 03/17/2009 03/17/12 03/14/13 362 days 03/20/13

Page 8: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

Oncology Group

13. Please submit a table or computer printout that identifies any Priority 1, 2, and 3 licensees and initial inspections that are currently overdue, per IMC 2800. At a minimum, the list should include the same information for each overdue inspection provided for Question 12 plus your action plan for completing the inspection. Also include your plan for completing the overdue inspections.

There are no Priority 1, 2, and 3 licensee or initial inspections that are currently overdue.

14. Please provide the number of reciprocity licensees that were candidates for

inspection per year as described in IMC 1220 and indicate the number of reciprocity inspections of candidate licensees that were completed each year during the review period.

Reciprocity reporting period 2011-2014

NRC

Priority

Number of Licensees Granted Reciprocity Permits Each Year

Number of Licensees Inspected Each Year

Licensees performing teletherapy and irradiator source installations or changes

2011 11 2012 11 2013 15 2014 12

2011 6 2012 7 2013 9 2014 8

1 Industrial Radiography

2011 12 2012 4 2013 8 2014 9

2011 6 2012 0 2013 3 2014 3

2

Broad Scope Multi Site (ARMY)

2011 0 2012 0 2013 0 2014 0

2011 0 2012 0 2013 0 2014 0

3 Well Logging Mobile Med

2011 6 2012 4 2013 5 2014 5

2011 3 2012 2 2013 0 2014 1

4 2011 0 2012 0 2013 0 2014 0

2011 0 2012 0 2013 0 2014 0

All Other 2011 29 2012 26 2013 41 2014 29

2011 14 2012 7 2013 12 2014 13

III. Technical Quality of Inspections

15. What, if any, changes were made to your written inspection procedures during the reporting period?

Page 9: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

See attached revisions history. 16. Prepare a table showing the number and types of supervisory accompaniments

made during the review period. Include:

Inspector Supervisor License Category Date

See attached. 17. Describe or provide an update on your instrumentation, methods of calibration,

and laboratory capabilities. Are all instruments properly calibrated at the present time? Were there sufficient calibrated instruments available throughout the review period?

Florida has continued to receive Department of Homeland Security grant funding over the past three years and has purchased emergency response equipment and radiation detection instruments for the area offices.

Each inspector currently has:

Thermo Rad Eye PRD Alarming Personal Radiation Detector Ludlum Model 2401-P beta gamma pancake Canberra Model 213 Ultra/Mini-Radiac Thermo EPD Mark 2 electronic personnel dosimeter

In addition, each inspector has access to a zinc sulfide alpha scintillator rate meter, a Far West Technology REM 500B neutron rate meter, and a radioisotope identifier, primarily a Flir/IcX Identifinder, and in three offices a Canberra Inspector 1000.

The Miami area has access to a high resolution Ortec Detective EX RIID, and the Tallahassee and Orlando areas have access to a high resolution Ortec Detective EX-100 RIID, with one in the Tallahassee HQ and two in the Orlando Lab.

All equipment is calibrated at the radiation/electronic calibration lab in Orlando, Florida. NIST traceability is accomplished through the use of pressurized ion chambers calibrated biennially by a NIST traceable vendor.

Major Laboratory Equipment: Located at the Health Physics Lab 1. (3) low background, gas flow proportional counters with automatic sample changers including one Tennelec LB5100 Series II, one Gamma Products 5000N and one Gamma Products 5020. 2. (2) Protean MDS-8 Eight-Detector, low background, gas flow, proportional counter. 3. Gamma Spectroscopy system consisting of Canberra N-type 67% HPGE detector (new), Princeton Gamma Tech N type 41% HPGE detector, Canberra P type 30% HPGE detector, Canberra Genie 2000 PC analysis software. 4. Gamma Spectroscopy system consisting of two 3 x 3 NaI and two 4 x 4 NaI detectors, one FIDLER detector with Canberra Alpha M for VAX analysis software. 5. 2 Ordela PERALS® (Photon Electron Rejecting Alpha Liquid Spectroscopy) spectrometers. 6. (3) Canberra 7401 alpha spectroscopy chambers with PIPS detectors. 7. Packard Tri Carb 2900TR Liquid scintillation counter. 8. Packard Model 307 Sample Oxidizer for preparation of solid samples for H3/C14 analysis. 9. Six Chemical Fume Hoods

Major Laboratory Equipment: Located on the Mobile Laboratory Gamma spectroscopy system consisting of Canberra N-type 67% HPGE detector with full

Page 10: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

size shield, Ortec P type 28% HPGE detector with Canberra Genie 2000 PC analysis software and shield capacity of 1.0 L Marinelli container. Gamma Products Traveler alpha beta gas proportional counter

Canberra iSolo portable alpha beta counter with radon/thoron rejection.

Triathler portable liquid scintillation counter.

We are on schedule for all instrument calibrations and have maintained adequate numbers of calibrated instruments at all times.

IV. Technical Quality of Licensing Actions

18. How many specific radioactive material licenses does your program regulate at this time?

The total number of specific licensees regulated by Florida as of 1/15/15 is 1,659. 19. Please identify any major, unusual, or complex licenses which were issued,

received a major amendment, were terminated, decommissioned, submitted a bankruptcy notification or renewed in this period.

There was change of ownership at one of our large irradiators. A new license, 4430-1

was issued for Sterigenics, US, LLC and the previous license, number 2244-1 for Food Technology Services, Inc. was terminated.

Bankruptcy notification was received from RCOA Imaging Services, Inc. License Numbers (all for mobile nuclear medicine) 3110-2, 3110-3, 3110-4, 3110-7, 3110-8 and 3110-9 were subsequently terminated. For complete listing, see attachment “2015 IMPEP Q19.”

20. Discuss any variances in licensing policies and procedures or exemptions from

the regulations granted during the review period. No variances in licensing policies and procedures or exemptions from the regulations

were granted during the review period. 21. What, if any, changes were made in your written licensing procedures (new

procedures, updates, policy memoranda, etc.) during the reporting period?

Revisions to guidance checklists and application guides have been made as technologies and rules have changed. In addition, new guidance checklists and license conditions have been created for new technologies and rules such as Increased Security Controls, Preceptor/Applicant Statement, Medical Use Application Guide, Unsealed or Sealed Sources Guide, Portable Gauge Guide, Fixed Gauge Guide, High Dose Rate Remote Afterloader, Non-Human Use Radioactive Materials License Application and the Human Use Radioactive Materials License Application. Copies are included in our Technical Licensing Procedures and most are also available on our website located at FLHealth.gov/radiation.

22. Identify by licensee name and license number any renewal applications that have

been pending for one year or more. Please indicate why these reviews have been delayed and describe your action plan to reduce the backlog.

Currently there are no renewal applications that have been pending for more than one

year.

Page 11: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

There was one renewal application during the review period that was pending for more than one year. This was due to the licensee’s continued failure to respond to our letters. We sent multiple 20 and 10 day letters to request response from the licensee. This license was subsequently terminated.

Renewals Over 1 Year Year Licensee License# Received DateClosed DaysToClose Type

2010 PET/CT CENTER OF NORTH FLORIDA, LLC

3705-1 6/23/2010 10/14/2011 478 R

V. Technical Quality of Incident and Allegation Activities

23. For Agreement States, please provide a list of any reportable incidents not previously submitted to NRC (See Procedure SA-300, Reporting Material Events, for additional guidance, OMB clearance number 3150-0178). The list should be in the following format:

Licensee Name License # Date of Incident/Report Type of Incident

There were no reportable incidents not previously reported.

24. Identify any changes to your procedures for responding to incidents and allegations that occurred during the period of this review.

No changes have been made to procedures for handling allegations. C. NON-COMMON PERFORMANCE INDICATORS I. Compatibility Requirements

25. Please list all currently effective legislation that affects the radiation control program. Denote any legislation that was enacted or amended during the review period.

Chapter 404, Florida Statutes

26. Are your regulations subject to a "Sunset" or equivalent law? If so, explain and include the next expiration date for your regulations.

Florida has eliminated the “sunset” laws.

27. Please review and verify that the information in the enclosed State Regulation Status (SRS) sheet is correct. For those regulations that have not been adopted by the State, explain why they were not adopted, and discuss actions being taken to adopt them. If legally binding requirements were used in lieu of regulations and they have not been reviewed by NRC for compatibility, please describe their use.

Page 12: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

From NRC’s website 1/23/2015 RATS ID

NRC Chronology Identification

Date Due for State Adoption

Incoming Package

Outgoing Package

Notes

*2007-2

Exemptions From Licensing, General Licenses, and Distribution of Byproduct Material: Licensing and Reporting Requirements Parts 30, 31, 32, 150 72 FR 58473

12/17/2010

Proposed ML111580543

Comments 08/18/2011 ML111880943

See Below

*2007-3

Requirements for Expanded Definition of Byproduct Material Parts 20, 30, 31, 32, 33, 35, 61, 150 72 FR 55864

11/30/2010

Proposed ML111580543

Comments 08/18/2011 ML111880943

See Below

*2009-1

Medical Use of Byproduct Material – Authorized User Clarification Part 35 74 FR 33901

09/28/2012 2R

ML111580543

Comments 08/18/2011 ML111880943

See Below

From STC-15-001 dated 1/8/2015 2011-2

Licenses, Certifications, and Approvals for Materials Licensees. Parts 30, 36, 39, 40, 51, 70, and 150 76 FR 56941

11/14/2014

Uranium Mill only comp C and H&S

See Below

2012-1

Changes of Compatibility of 10 CFR 31.5 and 31.6 (See Rule ID 2001-1 for Rule text) 77 FR 3640

1/25/2015

FL was one of the original petitioners to change from Cat B to C

See Below

RATS 2007-2 and 2007-3 list comments regarding proposed rules. These Rules became effective 12/26/2013. A copy of the final rules and comments addressed are being sent to NRC for review and a copy will be available during the IMPEP.

RATS 2009-1 were comments made on medical rules. The final rule changes that address these comments were effective 12/26/2013. A copy of the final rules and comments addressed are being sent to NRC for review and a copy will be available during the IMPEP. The above RATS deal with the changes due to the Energy Policy Act which provide NRC the authority to regulate accelerator produced radioactive materials and discrete radium. Florida has always possessed the authority to regulate these materials and has regulated them in the same fashion as any radioactive materials. Therefore substantial portions of these RATS were already addressed in our regulations. In January 2011, Executive order 11-001 halted all rules in process and requires rules to receive review and approval from the Governor’s office. We were able to proceed with these rule changes in August 2012 and they became final in December 2013.

RATS 2011-2 only applies to Agreement States with authority to license uranium mills and repeats general licensing requirements in 30.33.

Page 13: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

RATS 2012-1 Florida was one of the petitioners to change the compatibility from B to C due to NRC review or Florida rules to comply with RATS 2001-1. The Florida rule text has not changed since the petition. A letter regarding RATS 2011-2 and 2012-1 was sent to NRC on 01/27/2015.

28. If you have not adopted all amendments within three years from the date of NRC rule promulgation, briefly describe your State's procedures for amending regulations in order to maintain compatibility with the NRC, showing the normal length of time anticipated to complete each step.

RATS 2007-3 and 2009-1 were adopted after the due date. In January 2011, Executive Order 11-001 halted all rules in process and required rules to receive review and approval from the Governor’s office. We were able to proceed with these rule changes in September 2012 and they became final in December 2013. Attached are the current procedures for amending our regulations based on the last rule change. We anticipate that this process takes ~15 months and if legislative ratification is required an additional 6-12 months is needed. The rule process is described in Chapter 120, Florida Statutes. Below is a summary of the process.

SUMMARY: Rule Development: The program submits a Notice to Develop Rulemaking to the Department. The Department sends it to the Office of Program Policy Analysis and Government Accountability (OFARR) in the Governor’s Office for review and approval. Once permission is given, the Department publishes a Notice to Develop Rulemaking in the Florida Administrative Register (FAR) for a period of 21 days offering to hold a rule development workshop. If a workshop is requested it is published in the FAR a minimum of seven days prior to the workshop providing the date, time and location of the workshop. The Notice of Proposed Rulemaking must be published within one year from the Notice of Rule Development.

Rule Proposal: After the workshop (if held) any substantive changes or comments acceptable to the program are incorporated in the proposed regulations. The program drafts proposed regulations which receive Department level review (~1-9 months). The Department sends it to OFARR for review and approval. Once permission is given, the Department publishes a Notice of Proposed Rulemaking in FAR for a period of 21 days offering to hold a public hearing about the proposed regulations. If a hearing is requested, it is noticed in the FAR a minimum of seven days prior to the hearing providing date, time and location of the hearing.

Adoption: Following the 21-day notification period or the hearing (if held) and no substantive changes are requested by the public or Joint Administrative Procedures Committee (JAPC), the program prepares documents for certification of the regulations and documents incorporated by reference. The Department submits these documents to JAPC who has seven days to review/approve. Providing there are no additional comments or changes required by JAPC, regulations are filed with the Florida Department of State. The final regulations must be filed no less than 28 days and no more 90 days of the Notice of Proposed Rulemaking.

Departmental processing procedures in more detail are available. Additional timeframes are outlined in Chapter 120, Florida Statutes for scenarios requiring public hearings and legislative ratification, for example.

Page 14: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

II. Sealed Source and Device (SS&D) Evaluation Program

29. Prepare a table listing new and amended (including transfers to inactive status) SS&D registrations of sources and devices issued during the review period. The table heading should be:

IMPEP 2015

New and Amended Florida SS&D Registrations since April 2, 2011

SS&D Registry Number

Manufacturer, Distributor or Custom User

Product Use and Type Date Issued Type of Action

FL SS&D License

FL-1334-D-101-G City Labs, Inc. (T) Other, Power Generation; Device

9/30/2014 Revision 3 4230-R1

1/24/2012 Revision 2

9/30/2011 Revision 1

FL-1172-D-101-S Northrop Grumman Guidance And Electronics Company, Inc.

(O) Ion Generators, Static Eliminators; Device

4/26/2012 Revision 5 2159-R1

FL-0113-D-101-G Elena Research, LLC

(E) Beta Gauge; Device

7/10/2014 Revision 1 4340-R1

1/30/2013 Revision 0 New

FL-1146-S-101-S Isoaid, LLC. (AA) Manual Brachytherapy; Source

1/15/2013 Revision 4 3196-R1

4/29/2011 Revision 3

FL-1146-S-102-S Isoaid, LLC (AA) Manual Brachytherapy; Source

2/13/2013 Revision 4 3196-R2

5/4/2011 Revision 3

FL-1116-D-101-S Lockheed Martin Corporation

(O) Ion Generators, Static Eliminators; Device

7/24/2013 Revision 4 3137-R1

11/15/2011 Revision 3

Page 15: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

30. Please include information on the following questions in Section A, as they apply

to the SS&D Program:

Technical Staffing and Training - Questions 2-9 Technical Quality of Licensing Actions - Questions 18-22 Technical Quality of Incident and Allegation Activities - Questions 23-24

Mike Stephens, David Whitman, Joy Stephenson, and Caleb Smith have attended SSDR courses and workshops in addition to receiving and using copies of the SSDR workshop training materials as reference materials.

Technical Quality of Licensing Actions: See questions 18-22

Technical Quality of Incident and Allegation Activities: No incidents or allegations have been identified with any of the products distributed by Radiation Materials licensees identified in question 29 who have been issued a SSDR by Florida.

III. Low-level Radioactive Waste Disposal Program

31. Please include information on the following questions in Section A, as they apply to the Low-Level Radioactive Waste Disposal Program:

Technical Staffing and Training - Questions 2-9 Status of Materials Inspection Program - Questions 10-14 Technical Quality of Inspections - Questions 15-17 Technical Quality of Licensing Actions - Questions 18-22 Technical Quality of Incident and Allegation Activities - Questions 23-24

N/A IV. Uranium Recovery Program

32. Please include information on the following questions in Section A, as they apply

to the Uranium Recovery Program:

Technical Staffing and Training - Questions 2-9 Status of Materials Inspection Program - Questions 10-14 Technical Quality of Inspections - Questions 15-17 Technical Quality of Licensing Actions - Questions 18-22 Technical Quality of Incident and Allegation Activities - Questions 23-24

N/A

Page 16: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

ERCI Inspection Training Policy

Table of Contents

I. Basic Inspection Training

II. Additional Inspection Types

III. Attestation of Basic inspection Training

IV. Inspector Qualification Journal

Bureau of Radiation Control Page 1 of 5 State of Florida, Department of Health Revised 09/22/2014

Page 17: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

ERCI Inspection Training Policy

I. Basic Inspection Training

The Bureau of Radiation Control’s Inspector Training Program is a performance based system that focuses on teaching general inspection skills as a foundation. The general inspection skills are taught through the guidance and accompaniments of inspection managers and seasoned inspection staff. The “Inspection Guidelines for Field Operations” training module is a detailed guide to this process.

The Bureau also conducts an in-house “Applied Radiation Physics” course and an “Incident Response” course for all technical Staff.

There are 3 basic inspection training modules, “X-ray Training Manual”, “Portable Gauge Training” and “Diagnostic Nuclear Medicine Training”. These modules will, in detail, guide the training of an inspector in a Medical and a Non-Medical inspection type. Once these modules are completed by an inspector and inspection audits performed, the inspector is authorized to perform other types of inspections after accompaniment with an experienced inspector and the approval of the inspection manager. There are additional, supplemental training modules such as “Transportation of RAM”, and “Radiopharmaceutical Therapy”. Additionally, technical staff are encouraged to attend relevant supplemental and refresher training offered by NRC, FEMA, CRCPD, FDA, CDC, DHS, HPS, AAPM, and other organizations. Bureau staff will also participate and train in emergency exercises with other agencies.

Upon completion of the 3 basic inspection training modules or equivalent, inspectors will have a good understanding of the following:

Basic/fundamental Health Physics Understanding of Regulations Use of SOP Use of Field Notes License and Registration Review Interviewing How to perform entrance and exit interviews Observations Sampling Records Reviewing Demonstrations Cross-referencing inspection information How to Survey Documentation of inspection results How to respond to incidents Completing Inspection Reports Submitting Inspection Reports

Bureau of Radiation Control Page 2 of 5 State of Florida, Department of Health Revised 09/22/2014

Page 18: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

ERCI Inspection Training Policy

II. Additional Inspection Types

There are the types of inspection that have either a training module or should have an initial accompaniment:

Dental (X-ray Training Manual) Radiographic (X-ray Training Manual) Fluoro (X-ray Training Manual) Nuclear Medicine (Diagnostic Nuclear Medicine Training Manual) Sealed Source Non-Medical (Portable Gauge Training Manual) Unsealed Source Non-Medical General Licenses Non-Medical X-ray Accelerators (Medical) Increased Controls Industrial Radiography (Materials) Industrial Radiography (X-ray) Pool Irradiators Broad Scope Specific Licenses Inspection types not addressed directly in the basic inspection training will use the Field Notes, SOP, and Regulations as a training document with guidance through facility visits, accompaniments, management, and seasoned inspection staff.

Bureau of Radiation Control Page 3 of 5 State of Florida, Department of Health Revised 09/22/2014

Page 19: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

ERCI Inspection Training Policy

III. Attestation of Basic Inspection Training

Inspector’s Name: Date training completed: This attestation is to confirm that the inspector has performed the required basic training or the equivalent as listed in the ERCI Inspection Training Policy. The inspector has completed the “Applied Radiation Physics” and “Incident Response” courses. The inspector has been provided with copies of the “Inspection Guidelines for Field Operations”, “Portable Gauge Training Module”, “Diagnostic Nuclear Medicine Module”, “X-Ray Training Manual”, and a copy of the “Standard Operating Procedures for inspections”.

Inspector has been trained and audited for Diagnostic Nuclear Medicine and Portable Gauge inspections.

Inspector has been trained and audited for Dental, Radiographic, and Fluoroscopy inspections.

Supervisor: Jerry Bai Signature:

Bureau of Radiation Control Page 4 of 5 State of Florida, Department of Health Revised 09/22/2014

Page 20: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

ERCI Inspection Training Policy

IV. Inspector Qualifications Journal

1: Inspector Name 2. Inspector Number

Select the checkbox next to the categories of Radioactive Material Licenses that you can inspect

This document serves as an update for the Inspection Qualifications Journal that the bureau retains. It is important that this form is filled out accurately and honestly to update the inspector’s status for the upcoming Integrated Materials Performance Evaluation Program (IMPEP) inspection

If you have any questions, please direct them to your Manager and/or Training and Quality Assurance

Materials Inspections Nuclear Medicine Sealed Source Non-Medical Unsealed Source Non-Medical General Licenses Brachytherapy/HDR Teletherapy Increased Controls Industrial Radiography Pool Irradiators Broad Scope Specific Licenses

X-ray Inspections Dental, Radiographic, and Fluoro Non-Medical X-ray Accelerators (Medical) Industrial Radiography

3: Supervisor’s Name 4. Inspector Number

Bureau of Radiation Control Page 5 of 5 State of Florida, Department of Health Revised 09/22/2014

Page 21: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

Initial and Routine Inspection (Priority 1, 2, 3 and 4)

Inspection Year Inspection Type Totals

201135

0

94

1

2

612

8

All (except) field

Field only

Initial/full

Initial/partial

Reinspection

Routine/full

Routine/partial

752

201236

2

77

3

2

678

9

All (except) field

Field only

Initial/full

Initial/partial

Reinspection

Routine/full

Routine/partial

807

201339

0

65

4

0

629

10

All (except) field

Field only

Initial/full

Initial/partial

Reinspection

Routine/full

Routine/partial

747

Thursday, January 15, 2015 Page 1 of 2

Page 22: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

Inspection Year Inspection Type Totals

201428

1

70

1

0

604

13

All (except) field

Field only

Initial/full

Initial/partial

Reinspection

Routine/full

Routine/partial

717

20150

0

0

1

0

14

0

All (except) field

Field only

Initial/full

Initial/partial

Reinspection

Routine/full

Routine/partial

15

Thursday, January 15, 2015 Page 2 of 2

Page 23: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

Update History

08/30/13 Sixth release of SOP. New Preparation for Applications for Industrial Radiography Regulatory Guide

1.40 June 2013 New Preparation for Applications for Gamma Knife Devices Regulatory Guide

1.70 06/2012 Replace SS & USS Unsealed or Sealed Regulatory Guide 1.50, 02/2007 Replace High Dose Rate Remote Afterloader High Dose Rate Remote Afterloader

Regulatory Guide 1.60 October 2011 Replace Portable Gauge Portable Gauge Regulatory Guide 1.10, Revision 5,

08/2007 Replace Fixed Gauge Fixed Gauge Regulatory Guide 1.20, Revision 2, 02/2008 Replace Monitoring Doses Monitoring Criteria and Methods to Calculate

Occupational Radiation Doses Regulatory Guide 3.34, Revision 2, 12/2000

Replace Dose to Fetus Radiation Dose to the Embryo/Fetus Regulatory Guide 3.36, Revision 1, 02/2001

Replace Reporting Exposure Instructions for Recording and Reporting Occupational Radiation Exposure Data Regulatory Guide 6.7, Revision 1, 12/2000

Replace Fees for Licenses Fees for Radioactive Material Licenses Regulatory Guide 6.20, Revision 5, 08/2007

Replace Medical Use Medical Use Regulatory Guide 1.30, Revision 4 2013 New Forms Index 06/30/13 Fifth release of SOP.

• Major update to all parts of pedia. 10/30/11 Fourth release of SOP.

• Major update.

• The Industrial Radiography and Sealed/Unsealed field notes have been replaced with category specific field notes. All field note links are working and the modules have the appropriate references but not written procedures.

New 3A, 3B, 3C, 3D, 3E, 3G, 3K, 3L(II), 3L(III), 3L(IV), 3L(V), 3N, 3O, and 3P field notes

• Reciprocity sections of field notes have been separated out into their own reports. They can be accessed through links next to their relevant categories. Note that 5F(I) and 5F(II) field notes never needed reciprocity sections.

• There were revisions to the existing field notes. Revised Numerous inspection item changes. Revised Field notes were formatted for easier viewing. Revised A link was added to specific license field notes to open a General License

attachment page. Revised The General License Field Notes now have a results page.

• The instruments section has been removed from the RAM SOP. There will be a new instruments link in the BRCPedia.

• The Misc section has been removed from the RAM SOP. The forms that were in the Misc section have been deleted or moved to the Insp Categories sections.

Florida Department of Health, Bureau of Radiation Control Introduction 08/30/13 - 1 - Update History

Page 24: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

Update History

10/30/10 Third release of SOP. • Minor update.

• Reference the indexed lists for specific documents that have been changed. There

have been minor changes and modifications to most of the field notes. More of the medical use modules have written procedures. The first section of the medical use field notes, All Medical, have completed procedures modules.

New Inspection Frequency Chart. List Ram categories by frequency and priority. (located in the Guidance section)

02/23/10 Second release of SOP.

• Major update.

• Reference the indexed lists for specific documents that have been changed. Updated All medical field notes have been replaced and incorporate new

regulatory changes on 02/11/10. (64E-5, Parts 1, 2, 3, 6) Updated General License field notes have been replaced. Updated IC field notes have been replaced. Revised Portable and fixed Gauge field notes incorporate the new regs. Revised All field notes have form fields for typing New NSTS Toolbox New Sampling Methods Toolbox New Violation Examples (777 pages, use ctrl-f to search document) New Sampling Grid NOTE: Most medical procedure modules do not have complete procedures

written yet but they do have all the correct regulatory references. 10/30/08 First release of SOP.

• This release of the RAM SOP is the first electronic release. 03/30/08 Draft release of SOP.

• This release of the RAM SOP is the draft release.

Florida Department of Health, Bureau of Radiation Control Introduction 08/30/13 - 2 - Update History

Page 25: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

Insp

ecto

r's N

ame

Supe

rvis

or

Offi

ce

Req

uire

d A

udits

Type

JR/L

ic #

Insp

Dat

e

Cat

egor

y

Aud

itor

Pass

Caleb Smith Paul Vause ERCM RAM RAM 1957-1 07/24/13 3L(I) Jerry Bai xEric Kurz Jose Guadix ERCIM X-ray, RAM RAM 20121231-1874 01/15/14 5C Jose Guadix x

Frantz Nicoleau Jose Guadix ERCIM X-ray, RAM RAM 2935-1 01/27/14 5C Jose Guadix xEric Kurz Jose Guadix ERCIM X-ray, RAM RAM 3974-1 01/29/14 5C Jose Guadix x

James Stokes Jose Guadix ERCIM X-ray, RAM RAM 4230-R1 02/04/14 7A Jose Guadix xFrantz Nicoleau Jose Guadix ERCIM X-ray, RAM RAM 0059-7 02/05/14 5E Jose Guadix xGordon Hastings Daniel Borek ERCIF X-ray, RAM RAM 0501-4 02/12/14 5B Lloyd Fontaine x

Wayne Lynk Jose Guadix ERCIM X-ray, RAM RAM 1615-1 02/12/14 5C Jose Guadix xLloyd Fontaine Daniel Borek ERCIF X-ray, RAM RAM 2850-1 04/01/14 3D Dan Borek xMark Cornwell Paul Pavlick ERCIOP X-ray, RAM RAM 0155-1 04/01/14 5B Paul Pavlick xWayne Lynk Jose Guadix ERCIM X-ray, RAM RAM 3622-1 04/01/14 3L(I) Jose Guadix x

James Stokes Jose Guadix ERCIM X-ray, RAM RAM 1274-1 04/07/14 5C Jose Guadix xFrantz Nicoleau Jose Guadix ERCIM X-ray, RAM RAM 4239-1 04/16/14 5C Jose Guadix x

Eric Kurz Jose Guadix ERCIM X-ray, RAM RAM 2572-1 04/22/14 5C Jose Guadix xDiane Day Robert Latham ERCIC X-ray, RAM RAM 3994-1 04/29/14 5C chelle Vornhag x

Hector Serrano Robert Latham ERCIC X-ray, RAM RAM 1359-1 05/01/14 5B Diane Day xRandy Clayton Robert Latham ERCIC X-ray, RAM RAM 4203-5 05/01/14 5C Leo Bakersmith x

Michelle Vornhagen Robert Latham ERCIC X-ray, RAM RAM 2815-2 05/15/14 5C Randy Clayton xLeo Bakersmith Robert Latham ERCIC X-ray, RAM RAM 2159-1 05/21/14 3A Hector Serrano x

Nicholas Pospishil Robert Latham ERCIC X-ray, RAM RAM 3631-1 05/27/14 5C Robert Latham xRebekah LeJuene Robert Latham ERCIC X-ray, RAM RAM 3278-4 05/29/14 5C icholas Pospis x

Brian Crawford Paul Pavlick ERCIOP X-ray, RAM RAM 0416-2 06/10/14 5A Paul Pavlick xJohn Jordan Dennis Mitchell ERCIT X-ray, RAM RAM 3634-1 06/12/14 5C Dennis Mitchel x

Robert Larson Dennis Mitchell ERCIT X-ray, RAM RAM 3772-1 06/23/14 3B Dennis Mitchel xDennis Mitchell Jerry Bai ERCIT X-ray, RAM RAM 2546-3 07/09/14 5C Jerry Bai x

Paul Pavlick Jerry Bai ERCIOP X-ray, RAM RAM 2995-1 07/10/14 3L(I) Jerry Bai xRobert Latham Jerry Bai ERCI X-ray, RAM RAM 2555-1 07/10/14 5C Jerry Bai x

Eric Kurz Jose Guadix ERCIM X-ray, RAM RAM 3918-1 07/18/14 5C Jose Guadix xRebekah LeJuene Robert Latham ERCIC X-ray, RAM RAM 2924-1 07/18/14 3L(I) Robert Latham x

Frantz Nicoleau Jose Guadix ERCIM X-ray, RAM RAM 2825-1 07/22/14 5B Jose Guadix xAlfredo Ortego Dennis Mitchell ERCIT X-ray, RAM RAM 2534-1 07/28/14 5C Dennis Mitchel xJames Stokes Jose Guadix ERCIM X-ray, RAM RAM 4005-1 07/28/14 5C Jose Guadix xDaniel Borek Jerry Bai ERCIF X-ray, RAM RAM 3825-6 07/30/14 5C Jerry Bai xJose Guadix Jerry Bai ERCIM X-ray, RAM RAM 4403-1 08/01/14 5C Jerry Bai x

Nicholas Pospishil Robert Latham ERCIC X-ray, RAM RAM 3003-1 08/05/14 3L(V) Robert Latham xDiane Day Robert Latham ERCIC X-ray, RAM RAM 3636-3 08/19/14 5C Robert Latham x

Lisa Perazzelli Robert Latham ERCIC X-ray, RAM RAM 2705-3 08/22/14 3E Robert Latham xKen Barnhart Dennis Mitchell ERCIT X-ray, RAM RAM 3985-1 08/25/14 5C Dennis Mitchel x

Leo Bakersmith Robert Latham ERCIC X-ray, RAM RAM 4187-1 08/25/14 3M(I) Robert Latham xRandy Clayton Robert Latham ERCIC X-ray, RAM RAM 2133-2 08/26/14 3B Robert Latham x

Sandra Rosevelt Dennis Mitchell ERCIT X-ray, RAM RAM 3925-7 08/26/14 5C Dennis Mitchel x

Hector Serrano Robert Latham ERCIC X-ray, RAM RAM 4405-1 09/08/14 3L(V) Robert Latham xMichelle Vornhagen Robert Latham ERCIC X-ray, RAM RAM 4220-2 09/11/14 5A(II) Robert Latham x

Wayne Lynk Jose Guadix ERCIM X-ray, RAM RAM 4427-1 10/02/14 3L(I) Jose Guadix x

Eric Kurz Jose Guadix ERCIM X-ray, RAM RAM 4038-1 10/09/14 5C Jose Guadix x

Frantz Nicoleau Jose Guadix ERCIM X-ray, RAM RAM 3361-1 10/14/14 5A(II) Jose Guadix xCaleb Smith Paul Vause ERCM RAM RAM 1815-1 10/30/14 5C Jerry Bai xBrent Herring Jose Guadix ERCIM X-ray, RAM RAM 3263-2 11/05/14 5C Jose Guadix x

Page 26: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

Supervisory Accompaniments for RAM

2011 – 2013

Inspection Date License # Category Inspector Supervisor

04/12/2011 3111-1 5B Bill Roberts Paul Pavlick 04/13/2011 0022-11 3L(1) Eric Kurz Jose Guadix 04/13/2011 4234-1 3L(1) Michelle Vornhagen Jerry Bai 04/15/2011 G0948-1 GL14 Bill Roberts Paul Pavlick 04/19/2011 0416-2 5A Brian Crawford Paul Pavlick 04/26/2011 0544-1 3F Mark Cornwell Paul Pavlick 05/04/2011 2767-6 5C Michelle Vornhagen Jerry Bai 05/05/2011 3302-1 5C Michelle Vornhagen Jerry Bai 05/24/2011 1756-2 5F Dennis Mitchell Jerry Bai 05/25/2011 3301-1 5C Gordon Hastings Dan Borek 05/26/2011 2529-1 5B Michelle Vornhagen Jerry Bai 06/22/2011 0140-2 3D Hector Serrano Jerry Bai 07/12/2011 1508-1 3L(1) Bill Roberts Paul Pavlick 07/19/2011 3410-1 3K Robert Latham Jerry Bai 07/20/2011 3506-3 5C Nicholas Pospishil Jerry Bai 07/26/2011 1352-1 5B Brian Crawford Paul Pavlick 07/26/2011 2555-1 5C Diane Day Jerry Bai 07/27/2011 2589-1 3L(1) Paul Pavlick Cindy Becker 07/27/2011 4010-1 5C Frantz Nicoleau Jose Guadix 07/27/2011 4249-1 5C Randy Clayton Jerry Bai 08/02/2011 4019-1 3H Willie Burgess Paul Pavlick 08/03/2011 2995-1 3L(1) Willie Burgess Paul Pavlick 08/03/2011 3659-1 3L(1) John Jordan Robert Knecht 08/04/2011 3365-1 3L(1) Willie Burgess Paul Pavlick 08/24/2011 3646-1 5C Lloyd Fontaine Dan Borek 08/24/2011 3705-2 5A Latansha Betts Paul Pavlick 08/25/2011 4239-1 5C Jim Stokes Jose Guadix 08/30/2011 2753-1 5C Gordon Hastings Dan Borek 08/31/2011 2052-1 5B Latansha Betts Paul Pavlick 09/15/2011 1812-3 3M(2) Mark Cornwell Paul Pavlick 09/19/2011 2743-2 5B Erick Kurz Jose Guadix 10/27/2011 4140-1 5F(1) Lloyd Fontaine Dan Borek 10/31/2011 3438-1 3B Nicoleau/Lynk Jose Guadix 11/09/2011 2040-1 3E Lloyd Fontaine Dan Borek 11/10/2011 0882-1 3E Lloyd Fontaine Dan Borek 11/14/2011 4056-1 5C Willie Burgess Paul Pavlick 11/16/2011 3377-1 5C Willie Burgess Paul Pavlick 11/29/2011 0060-5 5A(2) Brian Crawford Paul Pavlick 11/30/2011 3920-5 3B Brian Crawford Paul Pavlick 12/01/2011 4090-1 5D Brian Crawford Paul Pavlick 12/06/2011 3001-1 3L(3) Latansha Betts Paul Pavlick 12/12/2011 4028-1 5C John Jordan Dennis Mitchell

Page 27: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

12/12/2011 4095-1 3M(1) Hector Serrano Jerry Bai 12/14/2011 3109-4 5A(2) Eric Kurz Jose Guadix 12/22/2011 4050-1 5C John Jordan Dennis Mitchell 01/25/2012 3279-1 5B Nicholas Pospishil Jerry Bai 02/06/2012 3067-1 5C Diane Day Jerry Bai 02/15/2012 4284-1 5C Gordon Hastings Dan Borek 03/01/2012 4230-1 3A Jim Stokes Jose Guadix 03/01/2012 4230-R1 7A Jim Stokes Jose Guadix 03/07/2012 4077-1 3D Michelle Vornhagen Jerry Bai 03/09/2012 2332-1 3D Michelle Vornhagen Jerry Bai 03/21/2012 0131-2 5B John Jordan Dennis Mitchell 03/21/2012 3435-1 5C Frantz Nicoleau Jose Guadix 04/04/2012 2825-3 5C Jim Stokes Jose Guadix 04/12/2012 1797-2 5A Lloyd Fontaine Dan Borek 04/19/2012 4297-1 5A(2) Lloyd Fontaine Dan Borek 04/23/2012 1274-1 5B Jim Stokes Jose Guadix 05/02/2012 3746-1 5C Gordon Hastings Dan Borek 06/05/2012 3196-1 3K John Jordan Dennis Mitchell 06/05/2012 3196-R1 7B John Jordan Dennis Mitchell 06/06/2012 3404-1 3D Kenneth Barnhart Dennis Mitchell 06/08/2012 2681-1 5C Robert Larson Dennis Mitchell 06/12/2012 2723-1 5C Robert Larson Dennis Mitchell 07/02/2012 4306-1 5C Diane Day Jerry Bai 07/03/2012 2944-2 5C Leo Bakersmith Jerry Bai 07/10/2012 0846-1 3L(3) Brian Crawford Paul Pavlick 07/10/2012 3589-1 5C Jim Stokes Jose Guadix 07/12/2012 4122-1 5C Nicholas Pospishil Jerry Bai 07/13/2012 2546-2 5C Kenneth Barnhart Dennis Mitchell 07/16/2012 3636-1 5C Michelle Vornhagen Jerry Bai 07/17/2012 3222-2 3L(1) Bill Roberts Paul Pavlick 07/17/2012 4127-1 5C Randy Clayton Jerry Bai 07/23/2012 4025-1 5B Mark Cornwell Paul Pavlick 07/24/2012 3810-1 5C Latansha Betts Paul Pavlick 07/25/2012 1823-1 5C Hector Serrano Jerry Bai 07/25/2012 3448-1 5C Hector Serrano Jerry Bai 07/26/2012 2072-1 5C Willie Burgess Paul Pavlick 08/14/2012 3296-1 5F Kenneth Barnhart Dennis Mitchell 08/15/2012 3790-1 5C Kenneth Barnhart Dennis Mitchell 08/16/2012 2307-1 3L(1) Robert Larson Dennis Mitchell 08/24/2012 1812-3 3M(2) Latansha Betts Paul Pavlick 09/11/2012 4100-2 3L(1) Robert Larson Dennis Mitchell 09/17/2012 0689-2 3L(1) Robert Larson Dennis Mitchell 09/18/2012 1313-1 5B Robert Larson Dennis Mitchell 09/25/2012 0550-3 5C R. Lejeune Robert Latham 09/26/2012 1783-1 3L(1) R. Lejeune Robert Latham 09/26/2012 4064-1 3L(1) Robert Larson Dennis Mitchell 10/03/2012 1275-4 5B Lloyd Fontaine Dan Borek 10/10/2012 1100-2 3L(1) Robert Larson Dennis Mitchell

Page 28: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

10/25/2012 0809-1 5B Robert Larson Dennis Mitchell 11/26/2012 3897-2 5A(2) Randy Clayton Jerry Bai 11/27/2012 3453-8 3B John Jordan Dennis Mitchell 11/27/2012 4134-1 5C Wayne Lynk Jose Guadix 11/28/2012 4133-1 5C R. Lejeune Robert Latham 11/29/2012 2133-1 3B John Jordan Dennis Mitchell 11/29/2012 4322-1 5C R. Lejeune Robert Latham 12/06/2012 3040-1 3E Lloyd Fontaine Dan Borek 12/07/2012 3552-4 5F(1) Willie Burgess Paul Pavlick 12/11/2012 1739-1 5B Robert Larson Dennis Mitchell 12/12/2012 1739-2 3E Robert Larson Dennis Mitchell 12/18/2012 G0996-1 GL14 Robert Larson Dennis Mitchell 01/29/2013 4359-1 3B Nicholas Pospishil Robert Latham 02/13/2013 4230-1 3A Jim Stokes Jose Guadix 02/13/2013 4230-R1 7A Jim Stokes Jose Guadix 02/28/2013 4161-1 5C Gordon Hastings Dan Borek 03/08/2013 2276-1 5B Kenneth Barnhart Dennis Mitchell 03/18/2013 4338-1 3L(1) R. Lejeune Jerry Bai 03/19/2013 2889-1 5B Kenneth Barnhart Dennis Mitchell 03/21/2013 3651-1 5C R. Lejeune Jerry Bai 03/22/2013 2155-1 5A Robert Larson Dennis Mitchell 03/26/2013 4071-1 5A(2) Robert Larson Dennis Mitchell 05/09/2013 0032-10 3M(1) Brian Crawford Paul Pavlick 05/15/2013 3797-1 3B Robert Larson Dennis Mitchell 05/28/2013 2943-1 3L(1) Brian Crawford Paul Pavlick 06/12/2013 3772-1 3B Kenneth Barnhart Dennis Mitchell 06/13/2013 0416-1 5B Brian Crawford Paul Pavlick 06/18/2013 3817-4 3L(1) Bill Roberts Paul Pavlick 07/09/2013 4383-1 5C Eric Kurz Jose Guadix 07/18/2013 2214-2 5B Frantz Nicoleau Jose Guadix 07/24/2013 2598-1 4B Willie Burgess Paul Pavlick 07/25/2013 3823-2 5A Frantz Nicoleau Jose Guadix 07/31/2013 2806-1 5C Lisa Perazzelli Robert Latham 08/01/2013 2686-1 5C Brent Herring Robert Latham 08/07/2013 3906-2 5C Hector Serrano Jerry Bai 08/07/2013 3906-3 5C Hector Serrano Jerry Bai 08/14/2013 4190-1 3L(1) Wayne Lynk Jose Guadix 09/09/2013 G0159-1 GL14 R. Lejeune Robert Latham 09/12/2013 4311-1 3B Gordon Hastings Dan Borek 09/25/2013 3859-1 3L(1) Wayne Lynk Jose Guadix 09/30/2013 1812-3 3M(2) Mark Cornwell Paul Pavlick 10/08/2013 3906-4 5A(2) Hector Serrano Robert Latham 10/14/2013 3453-6 3B Mark Cornwell Paul Pavlick 10/15/2013 3887-3 3B Mark Cornwell Paul Pavlick 10/28/2013 4141-2 5A(2) R. Lejeune Jerry Bai 10/29/2013 2975-1 3B Robert Larson Dennis Mitchell 10/29/2013 3221-1 5C Frantz Nicoleau Jose Guadix 10/30/2013 2547-1 5C Eric Kurz Jose Guadix

Page 29: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

11/05/2013 4030-1 5A(2) R. Lejeune Robert Latham 11/18/2013 3542-1 3L(1) Eric Kurz Jose Guadix 11/20/2013 33450-3 5C Wayne Lynk Jose Guadix 12/11/2013 3040-1 3E Lloyd Fontaine Dan Borek 12/12/2013 0882-1 3E Lloyd Fontaine Dan Borek 12/16/2013 2889-1 5B Kenneth Barnhart Dennis Mitchell 12/18/2013 1739-2 3E John Jordan Dennis Mitchell

Page 30: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 1

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2015 20150123 0124 NORTHROP GRUMMAN GUIDANCE AND 2159‐1 T 3A 0

2015 20150123 0121 SOUTH FLORIDA MEDICINE, LLC 4422‐13 A 5A(2) 0

2015 20150123 0120 SOUTH FLORIDA MEDICINE, LLC 4422‐7 A 5A(2) 0

2015 20150123 0119 SOUTH FLORIDA MEDICINE, LLC 4422‐6 A 5A(2) 0

2015 20150123 0118 SOUTH FLORIDA MEDICINE, LLC 4422‐3 A 5A(2) 0

2015 20150123 0117 CANCER SPECIALISTS, LLC 4353‐4 A 5A(2) 0

2015 20150123 0126 FLORIDA CANCER SPECIALISTS, P.L. 3825‐22 T 5A(2) 0

2015 20150121 0109 FLORIDA INTERNATIONAL UNIVERSITY 3669‐1 R JS 3M(1) 0

2015 20150121 0106 TENET ST. MARY'S, INC. 3279‐2 A KF 5A(2) 0

2015 20150121 0096 JFK MEDICAL CENTER LIMITED PARTNER 3732‐1 A JS 5A(2) 0

2015 20150121 0087 TENET HEALTHSYSTEM NORTH SHORE, I 2740‐2 A LT 5A(2) 0

2015 20150121 0086 CARDINAL HEALTH 414, LLC 3453‐13 A CS 3B 0

2015 20150121 0085 CARDINAL HEALTH 414, LLC 3469‐2 A CS 3B 0

2015 20150115 0075 ADVANCED SPECIALTY PHARMACY OF T 3772‐1 A CS 3B 0

2015 20150115 0071 FLORIDA CANCER SPECIALISTS, P.L. 3825‐13 A CS 5A(2) 0

2015 20150115 0073 FLORIDA CANCER SPECIALISTS, P.L. 3825‐16 A CS 5A(2) 0

2015 20150115 0078 FLORIDA CANCER SPECIALISTS, P.L. 3825‐20 A LT 5A(2) 4

2015 20150115 0072 FLORIDA CANCER SPECIALISTS, P.L. 3825‐15 A CS 5A(2) 0

2015 20150114 0065 21ST CENTURY ONCOLOGY,L.L.C. 476‐4 A GP 5A(2) 17

2015 20150114 0063 21ST CENTURY ONCOLOGY, L.L.C. 476‐2 A KF 5A(2) 0

2015 20150114 0062 21ST CENTURY ONCOLOGY, L.L.C. 2818‐1 A KF 5A(2) 34

2015 20150114 0049 CARDINAL HEALTH 414, LLC 3453‐6 A GP 3B 28

2015 20150114 0048 CARDINAL HEALTH 414, LLC 3453‐2 A GP 3B 20

2015 20150113 0027 INTERCOMMUNITY CANCER INSTITUTE,  4259‐1 A KF 5A(2) 4

2015 20150113 0045 COVIDIEN, LP 3007‐1 A JS 3F(3) 0

2015 20150113 0034 21ST CENTURY ONCOLOGY, L.L.C. 1797‐2 A JS 5A(2) 48

2015 20150113 0024 HALIFAX HOSPITAL MEDICAL CENTER 194‐3 A KF 5A(2) 61

2015 20150107 0022 FLORIDA CANCER SPECIALISTS, P.L. 3825‐16 A GP 5A(2) 2

2015 20150107 0021 FLORIDA CANCER SPECIALISTS, P.L. 3825‐15 A GP 5A(2) 2

2015 20150107 0023 FLORIDA CANCER SPECIALISTS, P.L. 3825‐20 A GP 5A(2) 3

1/26/2015Master Control List

Page 2

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2015 20150107 0020 FLORIDA CANCER SPECIALISTS, P.L. 3825‐13 A LT 5A(2) 5

2015 20150106 0005 ST. ANTHONY'S HOSPITAL, INC. 294‐3 R JS 5A(2) 0

2014 20141223 1860 AVENTURA COMPREHENSIVE CANCER C 4233‐1 A CS 5A(2) 2

2014 20141219 1847 SOUTHWEST VOLUSIA HEALTHCARE CO 2467‐2 A RN 5A(2) 0

2014 20141218 1845 CARDINAL HEALTH 414, LLC 3453‐13 A CS 3B 30

2014 20141218 1834 HALIFAX HOSPITAL MEDICAL CENTER 194‐3 A RN 5A(2) 60

2014 20141218 1835 CANCER HEALTHCARE ASSOCIATES, P.A. 3895‐1 A RN 5A(2) 0

2014 20141218 1837MARK E. POMPER, M.D., P.A. 4048‐2 A JS 5F(2) 0

2014 20141218 1838MARK E. POMPER, M.D., P.A. 4048‐3 A JS 5F(2) 0

2014 20141218 1839 21ST CENTURY ONCOLOGY, L.L.C. 476‐11 A GP 5A(2) 10

2014 20141218 1840 21ST CENTURY ONCOLOGY, L.L.C. 476‐5 A GP 5A(2) 21

2014 20141218 1841 21ST CENTURY ONCOLOGY, L.L.C. 2674‐1 A GP 5A(2) 39

2014 20141218 1844 CARDINAL HEALTH 414, LLC 3469‐2 A CS 3B 37

2014 20141216 1824MARK POMPER, M.D., P.A. 3109‐2 A JS 5A(2) 0

2014 20141216 1823MARK E. POMPER, M.D., P.A. 4048‐1 A JS 5F(2) 0

2014 20141216 1826WINTER HAVEN HOSPITAL, INC. 338‐3 A GP 5A(2) 6

2014 20141211 1802 CARDINAL HEALTH 414, LLC 3453‐5 A CS 3B 26

2014 20141211 1804 CARDINAL HEALTH 414, LLC 3453‐8 A GP 3B 25

2014 20141211 1803 CARDINAL HEALTH 414, LLC 3453‐7 A GP 3B 28

2014 20141211 1801 CARDINAL HEALTH 414, LLC 3453‐4 A CS 3B 25

2014 20141211 1805 CARDINAL HEALTH 414, LLC 3453‐9 A GP 3B 25

2014 20141211 1800 CARDINAL HEALTH 414, LLC 3453‐3 A CS 3B 29

2014 20141211 1799 CARDINAL HEALTH 414, LLC 3453‐1 A CS 3B 26

2014 20141210 1789 CARDINAL HEALTH 414, LLC 3453‐2 A GP 3B 19

2014 20141210 1790 CARDINAL HEALTH 414, LLC 3453‐6 A GP 3B 27

2014 20141209 1772 SOUTH FLORIDA MEDICINE, LLC 4422‐2 A KF 5A(2) 5

2014 20141208 1758MOSAIC FERTILIZER, LLC 3841‐1 A LT 3M(3) 19

2014 20141204 1746 SAND LAKE CANCER CENTER, P.A. 4162‐2 A RN 5A(2) 5

2014 20141204 1734 NORTH FLORIDA RADIATION ONCOLOG 3850‐1 A GP 5A(2) 0

2014 20141126 1702 SOUTH FLORIDA MEDICINE, LLC 4422‐13 A GP 5A(2) 2

Page 31: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 3

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2014 20141126 1699 IRIDIUM HOLDINGS, INC. 2936‐1 A JS 5A(2) 18

2014 20141126 1700 IRIDIUM HOLDINGS, INC. 2936‐2 A JS 5A(2) 7

2014 20141126 1708MARTIN MEMORIAL MEDICAL CENTER, I 1215‐2 A GP 5A(2) 32

2014 20141126 1707 TALLAHASSEE MEMORIAL HEALTHCARE  416‐2 A CS 5A(2) 49

2014 20141126 1706 CARDINAL HEALTH 414, LLC 3453‐13 A RN 3B 29

2014 20141126 1705 CARDINAL HEALTH 414, LLC 3469‐2 A RN 3B 36

2014 20141125 1693 TENET GOOD SAMARITAN, INC. 3278‐1 A JS 5A(1) 17

2014 20141120 1667 TRIAD ISOTOPES, INC. 3920‐7 A LT 3B 10

2014 20141120 1662 SOUTH FLORIDA MEDICINE, LLC 4422‐9 A KF 5A(2) 1

2014 20141120 1661 SOUTH FLORIDA MEDICINE, LLC 4422‐8 A KF 5A(2) 1

2014 20141120 1660 SOUTH FLORIDA MEDICINE, LLC 4422‐7 A CS 5A(2) 2

2014 20141120 1659 SOUTH FLORIDA MEDICINE, LLC 4422‐3 A CS 5A(2) 2

2014 20141120 1658 SOUTH FLORIDA MEDICINE, LLC 4422‐2 A CS 5A(2) 4

2014 20141119 1656 OCALA ONCOLOGY CENTER, P.L. 4386‐3 A CS 5A(2) 3

2014 20141118 1642 SOUTHWEST VOLUSIA HEALTHCARE CO 2467‐2 A RN 5A(2) 0

2014 20141118 1639 STERIGENICS, US, LLC 4430‐1 A JS 3F(3) 1

2014 20141118 1649 TAMPA BAY RADIATION ONCOLOGY, P. 3642‐4 T LT 5A(2) 1

2014 20141118 1650 COAST QUALITY PHARMACY, LLC 4432‐1 A CS 3B 2

2014 20141117 1630 ADVENTIST HEALTH SYSTEMS/SUNBELT, 2897‐1 A JS 3M(2) 65

2014 20141114 1629 NORMAN H. ANDERSON, M.D., P.A. 3163‐1 A JS 5A(2) 0

2014 20141114 1628 NORMAN H. ANDERSON, M.D., P.A. 2155‐1 A JS 5A(2) 0

2014 20141112 1613 UNIVERSITY COMMUNITY HOSPITAL, IN 549‐3 A JS 5A(2) 0

2014 20141112 1612 CARDINAL HEALTH 414, LLC 3453‐7 A GP 3B 27

2014 20141106 1598 H. LEE MOFFITT CANCER CENTER & RES 1739‐3 A GP 5A(2) 26

2014 20141106 1592 JUPITER MEDICAL CENTER, INC. 1330‐2 A JS 5A(2) 0

2014 20141104 1581 UNIVERSITY OF FLORIDA 31‐3 A LT 3M(2) 75

2014 20141028 1555MOSAIC FERTILIZER, LLC 3841‐1 A JS 3M(3) 18

2014 20141028 1551 COAST QUALITY PHARMACY, LLC 4432‐1 A JS 3B 1

2014 20141028 1544 SOUTHERN BAPTIST HOSPITAL OF FLORI 155‐4 A LT 5A(2) 0

2014 20141023 1528 FLORIDA HEALTH SCIENCES CENTER, INC 2889‐3 A JS 5A(2) 4

1/26/2015Master Control List

Page 4

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2014 20141023 1535WATSON CLINIC LLP 2619‐1 A GP 5A(2) 34

2014 20141023 1533 IBA MOLECULAR NORTH AMERICA, INC. 3287‐1 A LT 3B 31

2014 20141021 1519 CARDINAL HEALTH 414, LLC 3453‐13 A LT 3B 28

2014 20141021 1515 UNIVERSITY OF CENTRAL FLORIDA 4187‐1 A LT 3M(1) 4

2014 20141021 1524 OCALA ONCOLOGY CENTER, P.L. 4386‐3 A JS 5A(2) 2

2014 20141021 1521 LOCKHEED MARTIN CORPORATION 3137‐2 A JS 3A 33

2014 20141015 1502 PERMA‐FIX OF FLORIDA, INC. 2598‐1 A JS 4B 42

2014 20141007 1468 HALIFAX HOSPITAL MEDICAL CENTER 194‐3 A CS 5A(2) 59

2014 20141007 1467 ADVENTIST HEALTH SYSTEMS/SUNBELT, 2897‐1 A JS 3M(2) 0

2014 20141007 1464 BAYFRONT HMA MEDICAL CENTER, LLC 4374‐2 T JS 5A(1) 1

2014 20141007 1463 TRIAD ISOTOPES, INC. 3920‐10 A GP 3B 7

2014 20141003 1454 OCALA ONCOLOGY CENTER, P.L. 4386‐3 A JS 5A(2) 1

2014 20141002 1449 TRIAD ISOTOPES, INC. 3920‐6 A CS 3B 8

2014 20141002 1447 FLORIDA CANCER SPECIALISTS, P.L. 3825‐13 A LT 5A(2) 4

2014 20141001 1441 PETNET SOLUTIONS, INC. 3887‐4 A JS 3B 13

2014 20140930 1435WATSON CLINIC LLP 2619‐1 A RN 5A(2) 33

2014 20140930 1423 UNIVERSITY OF MIAMI 1319‐1 A JS 3M(2) 70

2014 20140926 1416 SOUTHERN BAPTIST HOSPITAL OF FLORI 155‐4 A LT 5A(2) 46

2014 20140926 1412 ADVENTIST HEALTH SYSTEMS/SUNBELT, 2897‐1 A LT 3M(2) 64

2014 20140926 1409MORTON PLANT HOSPITAL ASSOCIATIO 21‐6 A RN 5A(2) 35

2014 20140925 1396 SOUTH FLORIDA MEDICINE, LLC 4422‐2 A JS 5A(2) 3

2014 20140925 1399 SOUTH FLORIDA MEDICINE, LLC 4422‐13 A CS 5A(2) 1

2014 20140925 1394 NORMAN H. ANDERSON, M.D., P.A. 3163‐1 A LT 5A(2) 18

2014 20140925 1395 NORMAN H. ANDERSON, M.D., P.A. 2155‐1 A LT 5A(2) 32

2014 20140925 1398 SOUTH FLORIDA MEDICINE, LLC 4422‐7 A CS 5A(2) 1

2014 20140925 1402 ORLANDO HEALTH, INC. 4203‐4 A LT 5A(2) 9

2014 20140925 1397 SOUTH FLORIDA MEDICINE, LLC 4422‐3 A JS 5A(2) 1

2014 20140924 1381 ST. ANTHONY'S HOSPITAL, INC. 294‐3 A RN 5A(2) 3

2014 20140924 1379 NORTH FLORIDA RADIATION ONCOLOG 3850‐1 A CS 5A(2) 12

2014 20140924 1375 JFK MEDICAL CENTER LIMITED PARTNER 3732‐1 A GP 5A(2) 14

Page 32: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 5

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2014 20140924 1370 HALIFAX HOSPITAL MEDICAL CENTER 194‐3 A KF 5A(2) 58

2014 20140918 1358 UNIVERSITY COMMUNITY HOSPITAL, IN 549‐3 A JS 5A(2) 0

2014 20140917 1352MARK E. POMPER, M.D., P.A. 4048‐3 A JS 5F(2) 0

2014 20140917 1351MARK E. POMPER, M.D., P.A. 4048‐2 A JS 5F(2) 0

2014 20140917 1353MARK POMPER, M.D., P.A. 3109‐2 A JS 5A(2) 0

2014 20140917 1350MARK E. POMPER, M.D., P.A. 4048‐1 A JS 5F(2) 0

2014 20140912 1330 ST. JOSEPH'S HOSPITAL, INC. 131‐5 A LT 5A(2) 7

2014 20140911 1327 ONCOLOGY & RADIATION ASSOCIATES,  3623‐1 R LT 5A(2) 7

2014 20140911 1318 INTERCOMMUNITY CANCER INSTITUTE,  4259‐1 A JS 5A(2) 3

2014 20140905 1294 LOCKHEED MARTIN CORPORATION 3137‐2 A GP 3A 32

2014 20140904 1288 TRIAD ISOTOPES, INC. 3920‐5 A CS 3B 7

2014 20140904 1285 TRIAD ISOTOPES, INC. 3920‐1 A GP 3B 15

2014 20140904 1286 TRIAD ISOTOPES, INC. 3920‐2 A GP 3B 18

2014 20140904 1287 TRIAD ISOTOPES, INC. 3920‐3 A GP 3B 13

2014 20140904 1290 TRIAD ISOTOPES, INC. 3920‐8 A CS 3B 10

2014 20140904 1291 TRIAD ISOTOPES, INC. 3920‐13 A CS 3B 10

2014 20140904 1293 UNIVERSITY OF FLORIDA 31‐3 A LT 3M(2) 74

2014 20140904 1289 TRIAD ISOTOPES, INC. 3920‐6 A CS 3B 7

2014 20140903 1277MAYO CLINIC JACKSONVILLE 1812‐3 A JS 3M(2) 0

2014 20140829 1260 CANCER SPECIALISTS, LLC 4353‐4 A GP 5A(2) 2

2014 20140828 1249 TRIAD ISOTOPES, INC. 3920‐12 T LT 3B 10

2014 20140828 1246 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 T JS 3F(3) 63

2014 20140826 1219 UNIVERSITY OF MIAMI 1319‐3 A JS 5A(3) 47

2014 20140826 1215 TRIAD ISOTOPES, INC. 3920‐11 A CS 3B 8

2014 20140826 1218 UNIVERSITY OF MIAMI 1319‐1 A JS 3M(2) 69

2014 20140820 1205 HEYSEK & KEPES, M.D.'S, P.A. 4302‐1 A JS 5A(2) 3

2014 20140819 1182 PETNET SOLUTIONS, INC. 3887‐3 A JS 3B 13

2014 20140819 1191 UNIVERSITY OF SOUTH FLORIDA 806‐1 R CS 3M(1) 60

2014 20140813 1166 CARDINAL HEALTH 414, LLC 3453‐13 A GP 3B 27

2014 20140813 1153 ST. VINCENT'S MEDICAL CENTER, INC. 14‐6 A JS 5A(3) 0

1/26/2015Master Control List

Page 6

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2014 20140813 1159 UNIVERSITY OF FLORIDA 31‐3 A LT 3M(2) 73

2014 20140813 1167 CARDINAL HEALTH 414, LLC 3469‐2 A GP 3B 35

2014 20140813 1154 SOUTH MIAMI HOSPITAL, INC. 34‐3 A GP 5A(2) 21

2014 20140808 1144 GULF REGION RADIATION ONCOLOGY C 4069‐2 A JS 5A(2) 0

2014 20140806 1120 USCC ACQUISITION CORPORATION 3252‐4 A CS 5A(2) 18

2014 20140806 1121 USCC ACQUISITION CORPORATION 3252‐5 A CS 5A(2) 17

2014 20140806 1122 USCC ACQUISITION CORPORATION 3252‐6 A CS 5A(2) 16

2014 20140806 1123 USCC ACQUISITION CORPORATION 3252‐7 A CS 5A(2) 15

2014 20140806 1124 USCC ACQUISITION CORPORATION 3252‐8 A CS 5A(2) 16

2014 20140806 1117 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A LT 3F(3) 62

2014 20140806 1126 USCC FLORIDA ACQUISITION CORPORAT 3252‐10 A CS 5A(2) 10

2014 20140806 1125 USCC ACQUISITION CORPORATION 3252‐9 A CS 5A(2) 11

2014 20140731 1080 UNIVERSITY OF MIAMI JACKSON MEMO 76‐13 R CS 3M(1) 0

2014 20140731 1079 21ST CENTURY ONCOLOGY, L.L.C. 476‐2 A JS 5A(2) 57

2014 20140731 1089 ADVENTIST HEALTH SYSTEMS/SUNBELT, 2897‐1 A LT 3M(2) 63

2014 20140731 1086WINTER HAVEN HOSPITAL, INC. 338‐3 A GP 5A(2) 5

2014 20140730 1064 IONSOUTH ‐ PENSACOLA, LLC 4371‐1 T JS 3B 3

2014 20140730 1073 CARDINAL HEALTH 414, LLC 3453‐5 A LT 3B 25

2014 20140730 1074 CARDINAL HEALTH 414, LLC 3453‐3 A LT 3B 28

2014 20140730 1067 SOUTH BROWARD HOSPITAL DISTRICT 0008‐7 A CS 5A(2) 0

2014 20140730 1071 BAPTIST HOSPITAL OF MIAMI, INC. 0614‐2 A JS 5A(2) 0

2014 20140730 1070MID‐FLORIDA HEMATOLOGY & ONCOLO 4220‐2 A JS 5A(2) 0

2014 20140730 1065 CANCER SPECIALISTS, LLC 4353‐4 A GP 5A(2) 1

2014 20140724 1047 TRIAD ISOTOPES, INC. 3920‐10 A GP 3B 6

2014 20140723 1040 TENET HEALTHSYSTEM NORTH SHORE, I 2740‐2 A CS 5A(2) 0

2014 20140723 1041 SAND LAKE CANCER CENTER, P.A. 4162‐2 A CS 5A(2) 4

2014 20140722 1012 21ST CENTURY ONCOLOGY, L.L.C. 1797‐2 A JS 5A(2) 0

2014 20140722 1034 SOUTH BROWARD HOSPITAL DISTRICT 8‐9 A CS 5A(2) 0

2014 20140722 1007 21ST CENTURY ONCOLOGY,L.L.C. 476‐4 A RN 5A(2) 16

2014 20140722 1008 21st CENTURY ONCOLOGY, L.L.C. 476‐7 A RN 5A(2) 16

Page 33: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 7

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2014 20140722 1009 21ST CENTURY ONCOLOGY, L.L.C. 476‐11 A JS 5A(2) 0

2014 20140722 1010 21ST CENTURY ONCOLOGY, LLC 476‐19 A JS 5A(2) 0

2014 20140722 1011 21st Century Oncology, LLC 476‐20 A CS 5A(2) 1

2014 20140722 1030 NORMAN H. ANDERSON, M.D., P.A. 3163‐1 A CS 5A(2) 17

2014 20140722 1033WEST COAST NUCLEAR PHARMACY, L.L. 3797‐1 A LT 3B 12

2014 20140722 1032 UNIVERSITY OF MIAMI 1319‐3 A LT 5A(3) 46

2014 20140722 1031 NORMAN H. ANDERSON, M.D., P.A. 2155‐1 A CS 5A(2) 31

2014 20140722 1029 BOCA RATON REGIONAL HOSPITAL, INC. 550‐2 A CS 5A(2) 0

2014 20140722 1027MARK E. POMPER, M.D., P.A. 4048‐3 A KF 5F(2) 1

2014 20140722 1026MARK E. POMPER, M.D., P.A. 4048‐2 A KF 5F(2) 5

2014 20140722 1025MARK E. POMPER, M.D., P.A. 4048‐1 A KF 5F(2) 11

2014 20140722 1024MARK POMPER, M.D., P.A. 3109‐2 A KF 5A(2) 8

2014 20140722 1021 TENET ST. MARY'S, INC. 3279‐2 A JS 5A(2) 0

2014 20140722 1016MORTON PLANT HOSPITAL ASSOCIATIO 21‐6 A JS 5A(2) 0

2014 20140722 1014 21ST CENTURY ONCOLOGY, L.L.C. 2674‐1 A JS 5A(2) 38

2014 20140722 1013 21ST CENTURY ONCOLOGY, L.L.C. 2818‐1 A CS 5A(2) 0

2014 20140718 1005 LAKELAND REGIONAL MEDICAL CENTER, 3849‐2 A LT 5A(2) 13

2014 20140718 0997 UNIVERSITY OF MIAMI 1319‐1 A JS 3M(2) 68

2014 20140718 0996 CANCER CARE CENTERS OF BREVARD 2272‐1 A CS 5A(2) 26

2014 20140718 1004 SOUTH FLORIDA MEDICINE, LLC 4422‐2 A GP 5A(2) 2

2014 20140717 0995 LEESBURG COMMUNITY CANCER CENTE 3286‐1 A CS 5A(2) 25

2014 20140716 0989 SOUTH FLORIDA MEDICINE, LLC 4422‐4 A GP 5A(2) 1

2014 20140715 0979 CARDINAL HEALTH 414, LLC 3453‐5 A LT 3B 24

2014 20140715 0966 FLORIDA STATE UNIVERSITY 32‐10 A LT 3M(1) 78

2014 20140715 0974MARTIN MEMORIAL MEDICAL CENTER, I 1215‐2 A RN 5A(2) 31

2014 20140715 0976 CARDINAL HEALTH 414, LLC 3453‐1 A CS 3B 25

2014 20140715 0981 CARDINAL HEALTH 414, LLC 3453‐8 A GP 3B 24

2014 20140715 0969 NORTH FLORIDA RADIATION ONCOLOG 3850‐1 A RN 5A(2) 11

2014 20140715 0980 CARDINAL HEALTH 414, LLC 3453‐6 A LT 3B 26

2014 20140715 0978 CARDINAL HEALTH 414, LLC 3453‐3 A JS 3B 27

1/26/2015Master Control List

Page 8

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2014 20140715 0984 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A CS 3F(3) 0

2014 20140715 0977 CARDINAL HEALTH 414, LLC 3453‐2 A JS 3B 18

2014 20140715 0982 CARDINAL HEALTH 414, LLC 3453‐9 A GP 3B 24

2014 20140711 0960 SOUTH FLORIDA MEDICINE, LLC 4422‐5 A LT 5A(2) 1

2014 20140711 0959 21ST CENTURY ONCOLOGY, L.L.C. 2667‐1 A JS 5A(2) 38

2014 20140711 0958 21st CENTURY ONCOLOGY, LLC 476‐14 A JS 5A(2) 3

2014 20140711 0957 21ST CENTURY ONCOLOGY, L.L.C. 476‐8 A JS 5A(2) 18

2014 20140709 0943 NORTHROP GRUMMAN GUIDANCE AND 2159‐1 A RN 3A 28

2014 20140708 0937 H. LEE MOFFITT CANCER CENTER & RES 1739‐3 A GP 5A(2) 25

2014 20140701 0913 ELENA RESEARCH, LLC 4340‐1 A JS 3A 0

2014 20140626 0890WINTER HAVEN HOSPITAL, INC. 338‐3 A CS 5A(2) 4

2014 20140626 0888WATSON CLINIC LLP 2619‐1 A GP 5A(2) 32

2014 20140625 0880 ADVENTIST HEALTH SYSTEMS/SUNBELT, 2897‐1 A JS 3M(2) 62

2014 20140625 0852 SOUTH FLORIDA MEDICINE, LLC 4422‐2 A JS 5A(2) 1

2014 20140625 0856 LIFEMARK HOSPITALS OF FLORIDA, INC. 1025‐2 A CS 5A(2) 2

2014 20140625 0877 ELENA RESEARCH, LLC 4340‐1 A LT 3A 1

2014 20140625 0863 NORTH FLORIDA RADIATION ONCOLOG 3850‐1 A GP 5A(2) 10

2014 20140625 0857 JUPITER MEDICAL CENTER, INC. 1330‐2 A JS 5A(2) 14

2014 20140620 0847WATSON CLINIC LLP 2619‐1 A GP 5A(2) 31

2014 20140619 0839 UNIVERSITY OF MIAMI 1319‐1 A JS 3M(2) 67

2014 20140617 0830 H. LEE MOFFITT CANCER CENTER & RES 1739‐3 A GP 5A(2) 24

2014 20140613 0815 21ST CENTURY ONCOLOGY, L.L.C. 476‐2 A GP 5A(2) 56

2014 20140610 0787 ST. JOSEPH'S HOSPITAL, INC. 131‐5 A LT 5A(2) 6

2014 20140606 0781 TRIAD ISOTOPES, INC. 3920‐5 A LT 3B 6

2014 20140606 0776 HALIFAX HOSPITAL MEDICAL CENTER 194‐3 A LT 5A(2) 57

2014 20140606 0758 FLORIDA POWER & LIGHT COMPANY 1091‐5 A JS 3M(3) 0

2014 20140604 0748 RADIATION ONCOLOGY CONSULTANTS,  3897‐1 A LT 5A(2) 12

2014 20140604 0747 21ST CENTURY ONCOLOGY, L.L.C. 476‐11 A LT 5A(2) 9

2014 20140604 0746 21ST CENTURY ONCOLOGY, L.L.C. 2674‐1 A LT 5A(2) 37

2014 20140604 0745 21ST CENTURY ONCOLOGY, L.L.C. 1797‐2 A LT 5A(2) 47

Page 34: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 9

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2014 20140604 0744 21ST CENTURY ONCOLOGY, L.L.C. 476‐5 A CS 5A(2) 20

2014 20140604 0739 BEATRIZ AMENDOLA, M.D., P.A. 3363‐1 A JS 5A(2) 0

2014 20140604 0736 ANAZAOHEALTH CORPORATION 2975‐1 T GP 3B 44

2014 20140530 0729WATSON CLINIC LLP 2619‐1 A LT 5A(2) 30

2014 20140523 0711 UNIVERSITY OF MIAMI JACKSON MEMO 76‐13 A LT 3M(1) 81

2014 20140521 0704 AMGLO KEMLITE LABORATORIES, INC. 3010‐1 R CS 3A 7

2014 20140521 0703 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐3 T LT 5A(2) 1

2014 20140521 0702 LAKELAND REGIONAL MEDICAL CENTER, 3849‐2 A RN 5A(2) 12

2014 20140520 0694 UNIVERSITY OF MIAMI 1319‐1 A GP 3M(2) 66

2014 20140516 0679 RADIATION ONCOLOGY CONSULTANTS,  3897‐1 A GP 5A(2) 11

2014 20140513 0652 TRIAD ISOTOPES, INC. 3920‐2 A LT 3B 17

2014 20140513 0651MOUNT SINAI MEDICAL CENTER OF FLO 64‐12 A CS 5A(2) 64

2014 20140513 0659 TALLAHASSEE MEMORIAL HEALTHCARE  416‐2 A GP 5A(2) 48

2014 20140513 0661 FLORIDA POWER & LIGHT COMPANY 1091‐5 A JS 3M(3) 25

2014 20140513 0648 HEALTH FIRST MEDICAL GROUP, LLC 4413‐2 A LT 5A(2) 1

2014 20140509 0632MEDI‐PHYSICS, INC. 2134‐1 A KF 3B 57

2014 20140509 0631MEDI‐PHYSICS, INC. 2133‐2 A KF 3B 51

2014 20140509 0630MEDI‐PHYSICS, INC. 2133‐1 A KF 3B 49

2014 20140506 0610 LEESAR INCORPORATED 4311‐1 A LT 3B 5

2014 20140502 0603 CANCER TREATMENT SERVICES FLORIDA 4168‐1 T LT 5A(2) 5

2014 20140502 0606 COVIDIEN, LP 3007‐1 A LT 3F(3) 0

2014 20140501 0582 GULF REGION RADIATION ONCOLOGY C 4069‐2 A RN 5A(2) 9

2014 20140501 0567 ORLANDO HEALTH, INC. 4203‐4 A RN 5A(2) 8

2014 20140501 0576 TRIAD ISOTOPES, INC. 3920‐6 A JS 3B 6

2014 20140501 0588 IONSOUTH ‐ PENSACOLA, LLC 4371‐1 A LT 3B 0

2014 20140425 0563 SOUTH BROWARD HOSPITAL DISTRICT 8‐9 A KF 5A(2) 0

2014 20140425 0562 TRIAD ISOTOPES, INC. 3920‐7 A CS 3B 9

2014 20140423 0551WEST COAST NUCLEAR PHARMACY, L.L. 3797‐1 A CS 3B 11

2014 20140422 0550 UNIVERSITY COMMUNITY HOSPITAL, IN 549‐3 A JS 5A(2) 35

2014 20140416 0517 21ST CENTURY ONCOLOGY, LLC 476‐15 T JS 5A(2) 2

1/26/2015Master Control List

Page 10

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2014 20140415 0515MOUNT SINAI MEDICAL CENTER OF FLO 64‐3 A KF 3M(2) 82

2014 20140409 0495 TENET ST. MARY'S, INC. 3279‐2 R CS 5A(2) 9

2014 20140409 0493 21ST CENTURY ONCOLOGY, L.L.C. 476‐8 A GP 5A(2) 17

2014 20140408 0489 H. LEE MOFFITT CANCER CENTER & RES 1739‐3 A CS 5A(2) 23

2014 20140408 0490MAYO CLINIC JACKSONVILLE 1812‐3 A CS 3M(2) 46

2014 20140404 0472MOSAIC FERTILIZER, LLC 3841‐1 A LT 3M(3) 0

2014 20140404 0470 SOUTH FLORIDA MEDICINE, LLC 4389‐4 T JS 5A(2) 2

2014 20140404 0480 COVIDIEN, LP 3007‐1 A LT 3F(3) 0

2014 20140403 0460WINTER HAVEN HOSPITAL, INC. 338‐3 A KF 5A(2) 3

2014 20140402 0441 SOUTH FLORIDA RADIATION ONCOLOGY 4215‐1 A JS 5A(2) 11

2014 20140402 0442 UNIVERSITY RADIATION ONCOLOGY ASS 3936‐1 A JS 5A(2) 5

2014 20140402 0445 SOUTH FLORIDA MEDICINE, LLC 4389‐3 T GP 5A(2) 1

2014 20140402 0439 BOYNTON BEACH RADIATION ONCOLOG 4141‐2 A JS 5A(2) 11

2014 20140402 0437 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐3 A JS 5A(2) 0

2014 20140402 0436 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐2 A JS 5A(2) 6

2014 20140402 0435 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐1 A JS 5A(2) 18

2014 20140402 0432 UNIVERSITY COMMUNITY HOSPITAL, IN 549‐3 A GP 5A(2) 33

2014 20140402 0452 IRIDIUM HOLDINGS, INC. 2936‐2 R JS 5A(2) 6

2014 20140402 0440 SOUTH FLORIDA MEDICINE, LLC 4322‐2 A JS 5A(2) 1

2014 20140328 0426 E.I. DU PONT DE NEMOURS AND COMP 3868‐1 A GP 3M(3) 0

2014 20140327 0422 UNIVERSITY COMMUNITY HOSPITAL, IN 549‐3 A GP 5A(2) 0

2014 20140325 0413 Tampa Radiation Oncology 4152‐1 R CS 5A(2) 0

2014 20140325 0397 FLORIDA CANCER SPECIALISTS, P.L. 3825‐20 A JS 5A(2) 2

2014 20140320 0392 TRIAD ISOTOPES, INC. 3920‐2 A CS 3B 16

2014 20140320 0381 LOCKHEED MARTIN CORPORATION 3137‐2 A LT 3A 31

2014 20140318 0359 RAD ONC GROUP, LLC 3989‐2 T LT 5A(2) 3

2014 20140318 0367 SOUTH FLORIDA MEDICINE, LLC 4389‐1 A GP 5A(2) 2

2014 20140318 0360 SOUTH FLORIDA MEDICINE, LLC 4389‐4 A JS 5A(2) 1

2014 20140314 0345 COVIDIEN, LP 3007‐1 A JS 3F(3) 0

2014 20140312 0340 CENTRAL FLORIDA CANCER INSTITUTE,  3900‐1 A GP 5A(2) 16

Page 35: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 11

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2014 20140311 0320 TALLAHASSEE MEMORIAL HEALTHCARE  416‐2 A GP 5A(2) 47

2014 20140304 0297 RAD ONC GROUP, LLC 3989‐1 T GP 5A(2) 3

2014 20140228 0279 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐1 A GP 5A(2) 17

2014 20140228 0280 SOUTH FLORIDA RADIATION ONCOLOGY 4215‐1 A CS 5A(2) 10

2014 20140228 0269 THE SCRIPPS RESEARCH INSTITUTE, INC. 4095‐1 A JS 3M(1) 0

2014 20140228 0270 NORMAN H. ANDERSON, M.D., P.A. 2155‐1 A RN 5A(2) 30

2014 20140228 0272 NORMAN H. ANDERSON, M.D., P.A. 3163‐1 A RN 5A(2) 16

2014 20140228 0276 ANAZAOHEALTH CORPORATION 2975‐1 R CS 3B 43

2014 20140228 0278 BOYNTON BEACH RADIATION ONCOLOG 4141‐2 A GP 5A(2) 10

2014 20140228 0282 FLORIDA ATLANTIC UNIVERSITY 734‐4 R LT 3M(1) 22

2014 20140225 0254 ADVENTIST HEALTH SYSTEMS/SUNBELT, 2897‐1 A JS 3M(2) 61

2014 20140225 0240 HEALTH FIRST PHYSICIANS, INC. 3906‐4 T JS 5A(2) 1

2014 20140225 0245MOUNT SINAI MEDICAL CENTER OF FLO 64‐12 A KF 5A(2) 63

2014 20140221 0239 PETNET SOLUTIONS, INC. 3887‐1 A CS 3B 9

2014 20140219 0213 BAYFRONT HMA MEDICAL CENTER, LLC 4374‐2 A CS 5A(1) 0

2014 20140219 0225MOSAIC FERTILIZER, LLC 3841‐1 A JM 3M(3) 17

2014 20140219 0229 CARDINAL HEALTH 414, LLC 3453‐7 A KF 3B 26

2014 20140212 0194 UNIVERSITY OF MIAMI 1319‐1 R CS 3M(2) 65

2014 20140211 0189 DRS TRAINING AND CONTROL SYSTEMS, 4263‐1 A LT 3A 3

2014 20140207 0182MOSAIC FERTILIZER, LLC 3841‐1 A LT 3M(3) 16

2014 20140206 0178 SACRED HEART HEALTH SYSTEM, INC. 3111‐4 A GP 5A(1) 3

2014 20140206 0176 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐1 A LT 5A(2) 16

2014 20140206 0175 BOYNTON BEACH RADIATION ONCOLOG 4141‐2 A LT 5A(2) 9

2014 20140206 0174 SOUTH FLORIDA RADIATION ONCOLOGY 4215‐1 A LT 5A(2) 9

2014 20140204 0162 IRIDIUM HOLDINGS, INC. 2936‐2 A LT 5A(2) 5

2014 20140204 0161 IRIDIUM HOLDINGS, INC. 2936‐1 A RN 5A(2) 17

2014 20140131 0142 HARRIS CORPORATION 2758‐1 A GP 3F(1) 14

2014 20140130 0130 COMMUNITY CANCER CENTER OF NORT 3449‐3 A RN 5A(2) 12

2014 20140130 0129 COMMUNITY CANCER CENTER OF NORT 3449‐2 A JS 5A(2) 15

2014 20140130 0128 TRIAD ISOTOPES, INC. 3920‐12 T JS 3B 0

1/26/2015Master Control List

Page 12

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2014 20140130 0137 SOUTH MIAMI HOSPITAL, INC. 34‐3 A KF 5A(2) 20

2014 20140128 0120 SACRED HEART HEALTH SYSTEM, INC. 3111‐4 A GP 5A(1) 0

2014 20140128 0117 FLORIDA POWER & LIGHT COMPANY 1091‐5 R JS 3M(3) 24

2014 20140116 0073MARTIN MEMORIAL MEDICAL CENTER, I 1215‐2 A JS 5A(2) 30

2014 20140114 0057 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 T LT 3F(3) 0

2014 20140108 0030MOUNT SINAI MEDICAL CENTER OF FLO 64‐12 R RN 5A(2) 62

2014 20140108 0027MARK POMPER, M.D., P.A. 3109‐2 R JS 5A(2) 7

2014 20140108 0023 LOCKHEED MARTIN CORPORATION 3137‐2 A CS 3A 30

2014 20140107 0020 UNIVERSITY OF MIAMI 1319‐3 A JS 5A(3) 0

2014 20140103 0007WATSON CLINIC LLP 2619‐1 A RN 5A(2) 29

2013 20131227 1868 PETNET SOLUTIONS, INC. 3887‐3 A CS 3B 12

2013 20131227 1866 UNIVERSITY OF FLORIDA 31‐3 A CS 3M(2) 72

2013 20131227 1873 21ST CENTURY ONCOLOGY, L.L.C. 1797‐2 A KF 5A(2) 46

2013 20131227 1869 PETNET SOLUTIONS, INC. 3887‐4 A CS 3B 12

2013 20131211 1807 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A LT 3F(3) 60

2013 20131211 1805 TENET GOOD SAMARITAN, INC. 3278‐1 A JS 5A(1) 16

2013 20131211 1810 H. LEE MOFFITT CANCER CENTER & RES 1739‐3 A CS 5A(2) 22

2013 20131205 1791MEDI‐PHYSICS, INC. 2133‐1 A JS 3B 48

2013 20131205 1788 US CANCER CARE, INC. 4049‐1 T LT 5A(2) 14

2013 20131204 1774 BOCA RATON REGIONAL HOSPITAL, INC. 550‐2 R RN 5A(2) 24

2013 20131204 1772 CARDINAL HEALTH 414, LLC 3469‐2 A LT 3B 34

2013 20131204 1771 CARDINAL HEALTH 414, LLC 3453‐13 A LT 3B 26

2013 20131204 1769 NORTH FLORIDA RADIATION ONCOLOG 3850‐1 A CS 5A(2) 9

2013 20131203 1750 ONCURE MEDICAL CORPORATION 3695‐2 T RN 5A(2) 9

2013 20131203 1764MEDI‐PHYSICS, INC. 2133‐2 A GP 3B 50

2013 20131203 1763 ANAZAOHEALTH CORPORATION 2975‐1 R RN 3B 42

2013 20131203 1753 U.S. CANCER CARE, INC. 3082‐2 T LT 5A(2) 11

2013 20131127 1744 IRIDIUM HOLDINGS, INC. 2936‐1 R LT 5A(2) 16

2013 20131121 1726 LEESAR INCORPORATED 4311‐1 A JS 3B 0

2013 20131120 1725MOUNT SINAI MEDICAL CENTER OF FLO 64‐15 A JS 5A(2) 14

Page 36: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 13

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2013 20131120 1723 TRIAD ISOTOPES, INC. 3920‐12 A CS 3B 9

2013 20131120 1724 TRIAD ISOTOPES, INC. 3920‐13 A CS 3B 9

2013 20131119 1702 COMMUNITY CANCER CENTER OF NORT 3449‐2 A KF 5A(2) 14

2013 20131114 1697WEST COAST NUCLEAR PHARMACY, L.L. 3797‐1 A JS 3B 10

2013 20131105 1642 H. LEE MOFFITT CANCER CENTER & RES 1739‐3 A RN 5A(2) 21

2013 20131031 1626 21ST CENTURY ONCOLOGY, L.L.C. 1797‐2 A CS 5A(2) 0

2013 20131031 1622 21ST CENTURY ONCOLOGY, L.L.C. 2818‐1 A CS 5A(2) 33

2013 20131029 1602 LOCKHEED MARTIN CORPORATION 3137‐2 A CS 3A 29

2013 20131029 1608 21ST CENTURY ONCOLOGY, L.L.C. 476‐11 R CS 5A(2) 8

2013 20131029 1607 UNIVERSITY RADIATION ONCOLOGY ASS 3936‐1 A JS 5A(2) 4

2013 20131024 1595 UNIVERSITY OF MIAMI 1319‐3 A JS 5A(3) 45

2013 20131023 1591 E.I. DU PONT DE NEMOURS AND COMP 3868‐1 A LT 3M(3) 0

2013 20131022 1585 FLORIDA STATE UNIVERSITY 32‐10 A LT 3M(1) 77

2013 20131017 1570 LARKIN COMMUNITY HOSPITAL, INC. 2825‐2 A JS 5A(1) 5

2013 20131016 1563 COMMUNITY CANCER CENTER OF NORT 3449‐2 A KF 5A(2) 13

2013 20131016 1568 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A LT 3F(3) 59

2013 20131016 1555 ST. JOSEPH'S HOSPITAL, INC. 131‐5 A RN 5A(2) 5

2013 20131016 1560 BETHESDA MEMORIAL HOSPITAL 658‐2 A JS 5A(2) 22

2013 20131016 1552 FLORIDA CANCER SPECIALISTS, P.L. 3825‐13 A RN 5A(2) 3

2013 20131011 1544MARK E. POMPER, M.D., P.A. 4048‐2 A JS 5F(2) 4

2013 20131011 1543MARK E. POMPER, M.D., P.A. 4048‐1 A JS 5F(2) 10

2013 20131011 1542 UNIVERSITY OF FLORIDA 31‐3 A CS 3M(2) 71

2013 20131008 1514 CARDINAL HEALTH 414, LLC 3453‐1 R JS 3B 24

2013 20131008 1507MARK E. POMPER, M.D., P.A. 3109‐4 T RN 5A(2) 5

2013 20131008 1525 CARDINAL HEALTH 414, LLC 3453‐3 A CS 3B 26

2013 20131008 1517 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A LT 3F(3) 0

2013 20131004 1505MORTON PLANT HOSPITAL ASSOCIATIO 21‐6 A CS 5A(2) 34

2013 20131003 1495 THE SCRIPPS RESEARCH INSTITUTE, INC. 4095‐1 R LT 3M(1) 4

2013 20130924 1442 USCC ACQUISITION CORPORATION 3252‐6 A RN 5A(2) 15

2013 20130924 1441 USCC ACQUISITION CORPORATION 3252‐5 A RN 5A(2) 16

1/26/2015Master Control List

Page 14

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2013 20130924 1443 USCC ACQUISITION CORPORATION 3252‐7 A RN 5A(2) 14

2013 20130924 1444 USCC ACQUISITION CORPORATION 3252‐8 A CS 5A(2) 15

2013 20130924 1446 USCC FLORIDA ACQUISITION CORPORAT 3252‐10 A RN 5A(2) 9

2013 20130924 1440 USCC ACQUISITION CORPORATION 3252‐4 A CS 5A(2) 17

2013 20130924 1445 USCC ACQUISITION CORPORATION 3252‐9 A CS 5A(2) 10

2013 20130919 1427MAYO CLINIC JACKSONVILLE 1812‐3 A JS 3M(2) 45

2013 20130919 1430 PETNET SOLUTIONS, INC. 3887‐4 A LT 3B 11

2013 20130918 1395 LARKIN COMMUNITY HOSPITAL, INC. 2825‐2 A JS 5A(1) 0

2013 20130918 1396MORTON PLANT HOSPITAL ASSOCIATIO 21‐6 A LT 5A(2) 33

2013 20130918 1410 COMMUNITY CANCER CENTER OF NORT 3449‐3 A KF 5A(2) 11

2013 20130918 1411 H. LEE MOFFITT CANCER CENTER & RES 1739‐3 A RN 5A(2) 0

2013 20130913 1388 GULF REGION RADIATION ONCOLOGY C 4069‐2 R RN 5A(2) 8

2013 20130912 1385 NORTH FLORIDA CANCER CENTER TALLA 4090‐2 A LT 5A(2) 1

2013 20130912 1386MEDI‐PHYSICS, INC. 2133‐2 A CS 3B 49

2013 20130910 1371 IRIDIUM HOLDINGS, INC. 2936‐2 A RN 5A(2) 4

2013 20130910 1370 IRIDIUM HOLDINGS, INC. 2936‐1 A RN 5A(2) 15

2013 20130910 1364 CARDINAL HEALTH 414, LLC 3469‐1 A JS 3B 44

2013 20130905 1356MOUNT SINAI MEDICAL CENTER OF FLO 64‐15 A LT 5A(2) 13

2013 20130905 1355MOUNT SINAI MEDICAL CENTER OF FLO 64‐13 A LT 3M(1) 19

2013 20130905 1354MOUNT SINAI MEDICAL CENTER OF FLO 64‐12 A LT 5A(2) 61

2013 20130905 1353MOUNT SINAI MEDICAL CENTER OF FLO 64‐3 A LT 3M(2) 81

2013 20130904 1334 IONSOUTH ‐ PENSACOLA, LLC 4371‐1 A JS 3B 2

2013 20130830 1326 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐1 A JS 5A(2) 15

2013 20130830 1328 SOUTH FLORIDA RADIATION ONCOLOGY 4215‐1 A CS 5A(2) 8

2013 20130830 1327 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐2 A RN 5A(2) 5

2013 20130829 1318 IBA MOLECULAR NORTH AMERICA, INC. 3287‐1 A JS 3B 0

2013 20130827 1289WATSON CLINIC LLP 2619‐1 A CS 5A(2) 28

2013 20130827 1299 ST. VINCENT'S MEDICAL CENTER, INC. 14‐6 A JS 5A(3) 37

2013 20130826 1274 HOLY CROSS HOSPITAL, INC. 308‐4 A JS 5A(2) 17

2013 20130820 1263 UNIVERSITY COMMUNITY HOSPITAL, IN 549‐3 A KF 5A(2) 32

Page 37: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 15

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2013 20130816 1247 UNIVERSITY OF FLORIDA 31‐3 A LT 3M(2) 70

2013 20130816 1246 UNIVERSITY OF FLORIDA 544‐1 A LT 3F(1) 44

2013 20130815 1229 BOYNTON BEACH RADIATION ONCOLOG 4141‐2 A KF 5A(2) 8

2013 20130813 1219 ADVENTIST HEALTH SYSTEMS/SUNBELT, 2897‐1 A JS 3M(2) 60

2013 20130809 1210 HARRIS CORPORATION 2758‐1 A LT 3F(1) 13

2013 20130809 1209 LIFEMARK HOSPITALS OF FLORIDA, INC. 1025‐2 A LT 5A(2) 1

2013 20130808 1201 NORMAN H. ANDERSON, M.D., P.A. 2155‐1 A KF 5A(2) 29

2013 20130808 1203 NORMAN H. ANDERSON, M.D., P.A. 3163‐1 A KF 5A(2) 15

2013 20130808 1206 H. LEE MOFFITT CANCER CENTER & RES 1739‐3 A RN 5A(2) 0

2013 20130808 1208MOUNT SINAI MEDICAL CENTER OF FLO 64‐15 A RN 5A(2) 0

2013 20130807 1185 UNIVERSITY OF MIAMI 1319‐3 A CS 5A(3) 44

2013 20130807 1196 UNIVERSITY OF FLORIDA 31‐3 A JS 3M(2) 69

2013 20130807 1186 SOUTH BROWARD HOSPITAL DISTRICT 8‐9 A LT 5A(2) 7

2013 20130807 1179 LAKELAND REGIONAL MEDICAL CENTER, 3849‐2 A CS 5A(2) 11

2013 20130806 1170 21ST CENTURY ONCOLOGY, L.L.C. 2667‐1 A JS 5A(2) 37

2013 20130806 1172 21st CENTURY ONCOLOGY, L.L.C. 476‐7 A JS 5A(2) 15

2013 20130806 1171 21ST CENTURY ONCOLOGY, L.L.C. 476‐8 A JS 5A(2) 16

2013 20130806 1173 21st CENTURY ONCOLOGY, LLC 476‐14 A JS 5A(2) 2

2013 20130802 1163 21ST CENTURY ONCOLOGY, L.L.C. 2818‐1 A CS 5A(2) 31

2013 20130802 1162 21ST CENTURY ONCOLOGY, L.L.C. 476‐2 A CS 5A(2) 55

2013 20130731 1155 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A JS 3F(3) 58

2013 20130731 1153 UNIVERSITY OF FLORIDA 356‐1 A LT 3M(1) 99

2013 20130731 1148 TENET HEALTHSYSTEM NORTH SHORE, I 2740‐2 A CS 5A(2) 10

2013 20130730 1138 FLORIDA CANCER SPECIALISTS, P.L. 3825‐20 A RN 5A(2) 1

2013 20130730 1135 FLORIDA CANCER SPECIALISTS, P.L. 3825‐16 A KF 5A(2) 1

2013 20130730 1133 FLORIDA CANCER SPECIALISTS, P.L. 3825‐13 A KF 5A(2) 2

2013 20130730 1142 UNIVERSITY OF MIAMI 1319‐1 A JS 3M(2) 64

2013 20130730 1134 FLORIDA CANCER SPECIALISTS, P.L. 3825‐15 A KF 5A(2) 1

2013 20130724 1115 CENTRAL FLORIDA CANCER INSTITUTE,  3900‐1 A LT 5A(2) 15

2013 20130724 1117 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐2 A KF 5A(2) 4

1/26/2015Master Control List

Page 16

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2013 20130723 1112 LOCKHEED MARTIN CORPORATION 3137‐1 A JS 3A 12

2013 20130723 1107 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐1 A CS 5A(2) 14

2013 20130723 1110WEST COAST NUCLEAR PHARMACY, L.L. 3797‐1 A CS 3B 0

2013 20130719 1075 SOUTH BROWARD HOSPITAL DISTRICT 8‐7 A RN 5A(2) 20

2013 20130719 1090 1ST LINE ONCOLOGY, LLC 4182‐1 T RN 5A(2) 3

2013 20130716 1042 BOYNTON BEACH RADIATION ONCOLOG 4141‐2 A JS 5A(2) 7

2013 20130716 1043 SOUTH FLORIDA RADIATION ONCOLOGY 4215‐1 A JS 5A(2) 7

2013 20130716 1045 SOUTH BROWARD HOSPITAL DISTRICT 0008‐9 A LT 5A(2) 0

2013 20130716 1062 ST. VINCENT'S MEDICAL CENTER, INC. 14‐6 A CS 5A(3) 0

2013 20130716 1041 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐2 A JS 5A(2) 3

2013 20130712 1040 CARDINAL HEALTH 414, LLC 3469‐2 R LT 3B 33

2013 20130712 1039 CARDINAL HEALTH 414, LLC 3453‐13 R LT 3B 25

2013 20130712 1033 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A LT 3F(3) 57

2013 20130711 1031 NORTH FLORIDA RADIATION ONCOLOG 3850‐1 A RN 5A(2) 8

2013 20130710 1027 BAPTIST HOSPITAL OF MIAMI, INC. 614‐2 R JS 5A(2) 22

2013 20130710 1025 FLORIDA CANCER AFFILIATES, P.L. 4304‐2 T CS 5A(2) 1

2013 20130709 1005MARK E. POMPER, M.D., P.A. 4048‐2 A CS 5F(2) 3

2013 20130709 1009 COMMUNITY CANCER CENTER OF NORT 3449‐2 R JS 5A(2) 12

2013 20130709 1007MARK E. POMPER, M.D., P.A. 3109‐4 A CS 5A(2) 4

2013 20130709 1006MARK POMPER, M.D., P.A. 3109‐2 A CS 5A(2) 6

2013 20130705 1002 FLORIDA HEALTH SCIENCES CENTER, INC 2889‐3 A JS 5A(2) 3

2013 20130705 0997 CARDINAL HEALTH 414, LLC 3453‐4 A LT 3B 24

2013 20130703 0994MAYO CLINIC JACKSONVILLE 1812‐3 A JS 3M(2) 44

2013 20130702 0988 Premiere Radiation Oncology 4149‐1 A LT 5A(2) 5

2013 20130702 0989 SPECIALISTS IN UROLOGY, P.A. 4297‐1 T LT 5A(2) 2

2013 20130701 0977 CARDINAL HEALTH 414, LLC 3453‐7 A RN 3B 25

2013 20130701 0980 IRIDIUM HOLDINGS, INC. 2936‐1 A LT 5A(2) 0

2013 20130701 0965 RADM CORPORATION 4192‐1 T CS 5A(2) 4

2013 20130701 0976 CARDINAL HEALTH 414, LLC 3469‐1 R CS 3B 43

2013 20130701 0963 LOCKHEED MARTIN CORPORATION 3137‐2 A JS 3A 28

Page 38: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 17

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2013 20130628 0957 HALIFAX HOSPITAL MEDICAL CENTER 194‐3 A LT 5A(2) 56

2013 20130627 0943WELLSPRING CANCER CENTER, LLC 4071‐1 R JS 5A(2) 4

2013 20130626 0931 LEESBURG COMMUNITY CANCER CENTE 3286‐1 A CS 5A(2) 24

2013 20130624 0926 21ST CENTURY ONCOLOGY, L.L.C. 476‐2 A KF 5A(2) 54

2013 20130624 0925 21ST CENTURY ONCOLOGY, L.L.C. 2818‐1 A RN 5A(2) 30

2013 20130621 0922 H. LEE MOFFITT CANCER CENTER & RES 1739‐3 R JS 5A(2) 20

2013 20130620 0917 ISOAID, L.L.C. 3196‐1 A CS 3A 0

2013 20130620 0919WEST COAST NUCLEAR PHARMACY, L.L. 3797‐1 A LT 3B 7

2013 20130619 0907 CARDINAL HEALTH 414, LLC 3453‐2 A JS 3B 17

2013 20130618 0904 COVIDIEN, LP 3007‐1 A CS 3F(3) 0

2013 20130617 0901 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐1 A CS 5A(2) 13

2013 20130617 0902 SOUTH FLORIDA RADIATION ONCOLOGY 4215‐1 A CS 5A(2) 6

2013 20130617 0903 BOYNTON BEACH RADIATION ONCOLOG 4141‐2 A CS 5A(2) 6

2013 20130617 0900 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐2 A CS 5A(2) 2

2013 20130614 0877 USCC ACQUISITION CORPORATION 3252‐6 A CS 5A(2) 14

2013 20130614 0878 USCC ACQUISITION CORPORATION 3252‐5 A CS 5A(2) 15

2013 20130614 0879 USCC ACQUISITION CORPORATION 3252‐4 A CS 5A(2) 16

2013 20130614 0883 USCC FLORIDA ACQUISITION CORPORAT 3252‐10 A LT 5A(2) 8

2013 20130614 0884 USCC ACQUISITION CORPORATION 3252‐9 A LT 5A(2) 9

2013 20130614 0885 USCC ACQUISITION CORPORATION 3252‐8 A LT 5A(2) 14

2013 20130614 0886 USCC ACQUISITION CORPORATION 3252‐7 A LT 5A(2) 13

2013 20130614 0888 HEYSEK & KEPES, M.D.'S, P.A. 4302‐1 A RN 5A(2) 2

2013 20130613 0873 TRIAD ISOTOPES, INC. 3920‐12 A LT 3B 8

2013 20130613 0875 TRIAD ISOTOPES, INC. 3920‐13 A LT 3B 8

2013 20130613 0874 TRIAD ISOTOPES, INC. 3920‐11 A LT 3B 7

2013 20130613 0872 TRIAD ISOTOPES, INC. 3920‐2 A LT 3B 15

2013 20130613 0871 IONSOUTH ‐ PENSACOLA, LLC 4371‐1 A LT 3B 1

2013 20130612 0862WINTER HAVEN HOSPITAL, INC. 338‐3 A CS 5A(2) 2

2013 20130610 0834 SOUTHWEST VOLUSIA HEALTHCARE CO 2467‐2 A LT 5A(2) 3

2013 20130610 0839 21ST CENTURY ONCOLOGY, L.L.C. 476‐8 A KF 5A(2) 15

1/26/2015Master Control List

Page 18

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2013 20130610 0843 21st CENTURY ONCOLOGY, L.L.C. 476‐7 A KF 5A(2) 14

2013 20130610 0844MARK E. POMPER, M.D., P.A. 4048‐1 R RN 5F(2) 9

2013 20130610 0845 UNIVERSITY OF CENTRAL FLORIDA 4187‐1 A RN 3M(1) 3

2013 20130610 0841 21st CENTURY ONCOLOGY, LLC 476‐14 A KF 5A(2) 1

2013 20130610 0842 21ST CENTURY ONCOLOGY, LLC 476‐15 A KF 5A(2) 1

2013 20130610 0853 ADVANCED SPECIALTY PHARMACY OF T 3772‐1 A JS 3B 12

2013 20130610 0840 21ST CENTURY ONCOLOGY, L.L.C. 2667‐1 A KF 5A(2) 36

2013 20130606 0829MAYO CLINIC JACKSONVILLE 1812‐3 A JS 3M(2) 43

2013 20130605 0825MEDI‐PHYSICS, INC. 2133‐2 R RN 3B 48

2013 20130605 0823 UNIVERSITY OF FLORIDA 356‐1 A JS 3M(1) 98

2013 20130605 0822 UNIVERSITY OF FLORIDA 31‐3 A JS 3M(2) 68

2013 20130605 0821 UNIVERSITY OF FLORIDA 544‐1 A JS 3F(1) 43

2013 20130530 0782 SACRED HEART HEALTH SYSTEM, INC. 3111‐4 A CS 5A(1) 2

2013 20130529 0781 HARRIS CORPORATION 2758‐1 A CS 3F(1) 12

2013 20130522 0751 NORTHROP GRUMMAN GUIDANCE AND 2159‐1 A CS 3A 27

2013 20130521 0734 FLORIDA HEALTH SCIENCES CENTER, INC 2889‐3 A CS 5A(2) 2

2013 20130521 0737 U.S. CANCER CARE, INC. 3082‐2 A JS 5A(2) 10

2013 20130521 0740 TALLAHASSEE MEMORIAL HEALTHCARE  416‐2 A KF 5A(2) 46

2013 20130517 0727 COVIDIEN, LP 3007‐1 A CS 3F(3) 0

2013 20130513 0707 UNIVERSITY OF MIAMI 1319‐1 A LT 3M(2) 63

2013 20130509 0699 CARDINAL HEALTH 414, LLC 3469‐1 A RN 3B 42

2013 20130509 0698 CARDINAL HEALTH 414, LLC 3469‐2 A RN 3B 32

2013 20130509 0697 CARDINAL HEALTH 414, LLC 3453‐13 A RN 3B 24

2013 20130509 0690WEST COAST NUCLEAR PHARMACY, L.L. 3797‐1 A CS 3B 6

2013 20130506 0668WELLINGTON REGIONAL MEDICAL CENT 1813‐2 T LT 5A(2) 20

2013 20130506 0669 CENTRAL FLORIDA CANCER INSTITUTE,  3900‐1 A LT 5A(2) 14

2013 20130430 0642 ADVENTIST HEALTH SYSTEMS/SUNBELT, 2897‐1 A JS 3M(2) 0

2013 20130429 0634 SARASOTA COUNTY PUBLIC HOSPITAL B 2219‐1 A JS 5A(2) 35

2013 20130425 0608 UNIVERSITY OF MIAMI JACKSON MEMO 76‐13 A LT 3M(1) 80

2013 20130423 0582 CARDINAL HEALTH 414, LLC 3469‐2 A JS 3B 31

Page 39: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 19

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2013 20130423 0592 USCC ACQUISITION CORPORATION 3252‐6 A CS 5A(2) 13

2013 20130423 0590 USCC ACQUISITION CORPORATION 3252‐8 A CS 5A(2) 13

2013 20130423 0594 USCC FLORIDA ACQUISITION CORPORAT 3252‐10 A CS 5A(2) 7

2013 20130423 0593 USCC ACQUISITION CORPORATION 3252‐7 A CS 5A(2) 12

2013 20130423 0589 USCC ACQUISITION CORPORATION 3252‐4 A CS 5A(2) 15

2013 20130423 0591 USCC ACQUISITION CORPORATION 3252‐5 A CS 5A(2) 14

2013 20130423 0600 PALM BEACH CANCER INSTITUTE, LLC 3884‐2 T CS 5A(2) 14

2013 20130418 0565 21ST CENTURY ONCOLOGY, L.L.C. 2674‐1 A RN 5A(2) 36

2013 20130418 0563 21ST CENTURY ONCOLOGY, L.L.C. 476‐5 A RN 5A(2) 18

2013 20130418 0562 21ST CENTURY ONCOLOGY, L.L.C. 476‐11 A RN 5A(2) 7

2013 20130418 0568 IRIDIUM HOLDINGS, INC. 2936‐1 A KF 5A(2) 14

2013 20130418 0567 21st Century Oncology 1797‐2 A RN 5A(2) 45

2013 20130417 0558 FLORIDA HEALTH SCIENCES CENTER, INC 2889‐3 A CS 5A(2) 1

2013 20130417 0553 CITY LABS, INC. 4230‐1 A JS 3A 0

2013 20130416 0545 PETNET SOLUTIONS, INC. 3887‐2 T LT 3B 12

2013 20130415 0537 IRIDIUM HOLDINGS, INC. 2936‐2 A KF 5A(2) 3

2013 20130415 0534 US CANCER CARE, INC. 4049‐1 A CS 5A(2) 13

2013 20130410 0516 PETNET SOLUTIONS, INC. 3887‐3 A JS 3B 11

2013 20130410 0515 PETNET SOLUTIONS 3887‐1 A JS 3B 8

2013 20130409 0512 COVIDIEN, LP 3007‐1 A JS 3F(3) 0

2013 20130404 0494 ADVENTIST HEALTH SYSTEMS/SUNBELT, 2897‐1 A LT 3M(2) 59

2013 20130404 0492MORTON PLANT HOSPITAL ASSOCIATIO 21‐6 A JS 5A(2) 32

2013 20130402 0470 TRIAD ISOTOPES, INC. 3920‐4 A LT 3B 13

2013 20130402 0469 HARRIS CORPORATION 2758‐1 A LT 3F(1) 11

2013 20130402 0464 LARKIN COMMUNITY HOSPITAL, INC. 2825‐2 A CS 5A(1) 4

2013 20130329 0462MOUNT SINAI MEDICAL CENTER OF FLO 64‐15 A KF 5A(2) 12

2013 20130329 0461MOUNT SINAI MEDICAL CENTER OF FLO 64‐12 A KF 5A(2) 60

2013 20130326 0443 LOCKHEED MARTIN CORPORATION 3137‐2 A LT 3A 27

2013 20130326 0440 INTERSIL COMMUNICATIONS, LLC 3044‐1 A JS 3F(1) 0

2013 20130325 0433MEDI‐PHYSICS, INC. 2133‐2 A JS 3B 47

1/26/2015Master Control List

Page 20

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2013 20130322 0422 CANCER HEALTHCARE ASSOCIATES, P.A. 3895‐1 A KF 5A(2) 10

2013 20130321 0412 BAYFRONT MEDICAL CENTER, INC. 23‐2 T RN 5A(1) 12

2013 20130321 0414 TRIAD ISOTOPES, INC. 3920‐12 A CS 3B 7

2013 20130321 0418 TRIAD ISOTOPES, INC. 3920‐1 A LT 3B 14

2013 20130321 0415 TRIAD ISOTOPES, INC. 3920‐13 A CS 3B 7

2013 20130320 0409 FLORIDA INTERNATIONAL UNIVERSITY 3669‐1 A LT 3M(1) 7

2013 20130318 0390MELBOURNE INTERNAL MEDICINE ASSO 1823‐3 T JS 5A(2) 12

2013 20130315 0387MOSAIC FERTILIZER, LLC 3841‐1 A JS 3M(3) 14

2013 20130314 0375 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐1 R JS 5A(2) 12

2013 20130313 0371 USCC FLORIDA ACQUISITION CORPORAT 3252‐10 A RN 5A(2) 6

2013 20130313 0366 USCC ACQUISITION CORPORATION 3252‐4 A RN 5A(2) 14

2013 20130313 0370 USCC ACQUISITION CORPORATION 3252‐8 A RN 5A(2) 12

2013 20130313 0369 USCC ACQUISITION CORPORATION 3252‐7 A RN 5A(2) 11

2013 20130313 0368 USCC ACQUISITION CORPORATION 3252‐6 A RN 5A(2) 12

2013 20130313 0367 USCC ACQUISITION CORPORATION 3252‐5 A RN 5A(2) 13

2013 20130311 0347 CARDINAL HEALTH 414, LLC 3469‐1 A RN 3B 41

2013 20130311 0351 THE SCRIPPS RESEARCH INSTITUTE, INC. 4095‐1 A JS 3M(1) 3

2013 20130307 0334MOUNT SINAI MEDICAL CENTER OF FLO 64‐3 A JS 3M(2) 80

2013 20130307 0335 ORLANDO HEALTH, INC. 4203‐4 A CS 5A(2) 7

2013 20130306 0328MARK E. POMPER, M.D., P.A. 4048‐1 A RN 5F(2) 0

2013 20130306 0333 FLORIDA CANCER SPECIALISTS, P.L. 3825‐13 A CS 5A(2) 1

2013 20130306 0332 ANAZAOHEALTH CORPORATION 2975‐1 A CS 3B 41

2013 20130306 0331MARK E. POMPER, M.D., P.A. 3109‐4 A RN 5A(2) 0

2013 20130306 0329MARK E. POMPER, M.D., P.A. 4048‐2 A RN 5F(2) 0

2013 20130306 0330MARK POMPER, M.D., P.A. 3109‐2 A RN 5A(2) 0

2013 20130305 0312 CARDINAL HEALTH 414, LLC 3453‐6 R JS 3B 25

2013 20130305 0311 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A LT 3F(3) 56

2013 20130305 0320 UNIVERSITY OF MIAMI 1319‐1 A CS 3M(2) 62

2013 20130227 0292MOUNT SINAI MEDICAL CENTER OF FLO 64‐12 A CS 5A(2) 59

2013 20130227 0298 COMMUNITY CANCER CENTER OF NORT 3449‐3 A CS 5A(2) 10

Page 40: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 21

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2013 20130227 0291 UNIVERSITY OF FLORIDA 356‐1 A JS 3M(1) 0

2013 20130227 0297 COMMUNITY CANCER CENTER OF NORT 3449‐2 A CS 5A(2) 11

2013 20130227 0293MOUNT SINAI MEDICAL CENTER OF FLO 64‐15 A CS 5A(2) 11

2013 20130226 0286MAYO CLINIC JACKSONVILLE 1812‐3 A JS 3M(2) 42

2013 20130225 0278 CARDINAL HEALTH 414, LLC 3453‐8 R JS 3B 23

2013 20130225 0279 PETNET SOLUTIONS, INC. 3887‐2 A LT 3B 11

2013 20130221 0268 PLANTATION GENERAL HOSPITAL LIMIT 2648‐3 A RN 5A(2) 3

2013 20130220 0260 U.S. CANCER CARE, INC. 3082‐2 R LT 5A(2) 8

2013 20130219 0253 CARDINAL HEALTH 414, LLC 3469‐2 A CS 3B 30

2013 20130219 0252 CARDINAL HEALTH 414, LLC 3453‐13 A CS 3B 23

2013 20130219 0251 CARDINAL HEALTH 414, LLC 3469‐1 A CS 3B 40

2013 20130219 0249 COVIDIEN, LP 3007‐1 A LT 3F(3) 0

2013 20130218 0239 UNIVERSITY OF CENTRAL FLORIDA 4187‐1 A JS 3M(1) 2

2013 20130215 0235 CENTRAL FLORIDA CANCER INSTITUTE,  3900‐1 A CS 5A(2) 12

2013 20130214 0222 FLORIDA STATE UNIVERSITY 32‐10 A JS 3M(1) 76

2013 20130213 0218 SARASOTA COUNTY PUBLIC HOSPITAL B 2219‐1 A RN 5A(2) 34

2013 20130211 0210 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A LT 3F(3) 55

2013 20130201 0167MOUNT SINAI MEDICAL CENTER OF FLO 64‐15 A JS 5A(2) 10

2013 20130201 0155 AVENTURA COMPREHENSIVE CANCER C 4232‐1 A LT 5A(2) 5

2013 20130201 0166MOUNT SINAI MEDICAL CENTER OF FLO 64‐12 A JS 5A(2) 58

2013 20130129 0140 CARDINAL HEALTH 414, LLC 3453‐3 R CS 3B 25

2013 20130129 0141 CARDINAL HEALTH 414, LLC 3453‐9 R CS 3B 23

2013 20130125 0121 TRIAD ISOTOPES, INC. 3920‐8 A JS 3B 9

2013 20130125 0123 21ST CENTURY ONCOLOGY, L.L.C. 476‐5 A RN 5A(2) 17

2013 20130125 0133MAYO CLINIC JACKSONVILLE 1812‐3 A JS 3M(2) 0

2013 20130125 0129WELLINGTON REGIONAL MEDICAL CENT 1813‐2 A KF 5A(2) 18

2013 20130123 0114 BOCA RATON REGIONAL HOSPITAL, INC. 550‐2 A JS 5A(2) 22

2013 20130123 0113 CARDINAL HEALTH 414, LLC 3453‐2 R CS 3B 16

2013 20130123 0116 HARRIS CORPORATION 2758‐1 A LT 3F(1) 10

2013 20130122 0110 CARDINAL HEALTH 414, LLC 3453‐5 R CS 3B 23

1/26/2015Master Control List

Page 22

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2013 20130122 0109 CARDINAL HEALTH 414, LLC 3453‐4 R CS 3B 23

2013 20130116 0070 CARDINAL HEALTH 414, LLC 3453‐7 A CS 3B 23

2013 20130116 0073 CARDINAL HEALTH 414, LLC 3453‐13 A CS 3B 22

2013 20130116 0072 CARDINAL HEALTH 414, LLC 3469‐2 A CS 3B 29

2013 20130116 0071 CARDINAL HEALTH 414, LLC 3469‐1 A CS 3B 39

2013 20130104 0010 USCC FLORIDA ACQUISITION CORPORAT 3252‐10 A LT 5A(2) 5

2013 20130104 0009 USCC ACQUISITION CORPORATION 3252‐8 A LT 5A(2) 11

2013 20130104 0008 USCC ACQUISITION CORPORATION 3252‐7 A LT 5A(2) 10

2013 20130104 0007 USCC ACQUISITION CORPORATION 3252‐6 A RN 5A(2) 11

2013 20130104 0006 USCC ACQUISITION CORPORATION 3252‐5 A RN 5A(2) 12

2013 20130104 0005 USCC ACQUISITION CORPORATION 3252‐4 A RN 5A(2) 13

2012 20121226 2066 ANAZAOHEALTH CORPORATION 2975‐1 A JS 3B 40

2012 20121221 2054 TRIAD ISOTOPES, INC. 3920‐7 A CS 3B 8

2012 20121221 2049 PALMS WEST RADIATION THERAPY, LLC 3455‐1 T JS 5A(2) 11

2012 20121220 2046 PERMA‐FIX OF FLORIDA, INC. 2598‐1 A LT 4B 41

2012 20121218 2029 LEESBURG COMMUNITY CANCER CENTE 3286‐1 A RN 5A(2) 23

2012 20121217 2020WINTER HAVEN HOSPITAL, INC. 338‐3 A RN 5A(2) 1

2012 20121213 2006 TRIAD ISOTOPES, INC. 3920‐2 A JS 3B 14

2012 20121213 2009 ISOAID, L.L.C. 3196‐1 A JS 3A 16

2012 20121211 1988MORTON PLANT HOSPITAL ASSOCIATIO 21‐6 R JS 5A(2) 31

2012 20121210 1971 ADVENTIST HEALTH SYSTEMS/SUNBELT, 2897‐1 A LT 3M(2) 58

2012 20121206 1970 UNIVERSITY OF FLORIDA 31‐3 A CS 3M(2) 67

2012 20121205 1961MAYO CLINIC JACKSONVILLE 1812‐3 A LT 3M(2) 41

2012 20121204 1954 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A JS 3F(3) 0

2012 20121130 1946 CARDINAL HEALTH 414, LLC 3482‐1 T CS 3B 4

2012 20121130 1944 SOUTH BROWARD HOSPITAL DISTRICT 8‐7 A JS 5A(2) 19

2012 20121127 1917 SOUTH BROWARD HOSPITAL DISTRICT 8‐9 A JS 5A(2) 6

2012 20121127 1916 UNIVERSITY OF MIAMI 1319‐3 A JS 5A(3) 43

2012 20121121 1905 PALM BEACH CANCER INSTITUTE, LLC 3884‐2 A RN 5A(2) 13

2012 20121121 1906 JUPITER MEDICAL CENTER, INC. 1330‐2 R CS 5A(2) 13

Page 41: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 23

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2012 20121116 1887 FLORIDA STATE UNIVERSITY 32‐10 A JS 3M(1) 75

2012 20121114 1877 THE SCRIPPS RESEARCH INSTITUTE, INC. 4095‐1 A JS 3M(1) 2

2012 20121113 1871 INTERSIL COMMUNICATIONS, INC. 3044‐1 R LT 3F(1) 14

2012 20121113 1865 UNIVERSITY OF MIAMI 1319‐5 T RN 5A(2) 6

2012 20121108 1849 CARDINAL HEALTH 414, LLC 3453‐1 A CS 3B 23

2012 20121101 1808 USCC ACQUISITION CORPORATION 3252‐6 A RN 5A(2) 10

2012 20121101 1807 USCC ACQUISITION CORPORATION 3252‐4 A RN 5A(2) 12

2012 20121101 1809 USCC ACQUISITION CORPORATION 3252‐8 A RN 5A(2) 10

2012 20121101 1810 USCC FLORIDA ACQUISITION CORPORAT 3252‐10 A RN 5A(2) 4

2012 20121101 1813 FLORIDA STATE UNIVERSITY 32‐10 A JS 3M(1) 74

2012 20121101 1798 E.I. DU PONT DE NEMOURS AND COMP 3868‐1 A JS 3M(3) 8

2012 20121030 1787 FLORIDA INSTITUTE OF RESEARCH, MED 3593‐3 T CS 5A(2) 7

2012 20121026 1764 UNIVERSITY OF MIAMI 1319‐3 A JS 5A(3) 0

2012 20121026 1763 UNIVERSITY OF MIAMI 1319‐2 A JS 3F(1) 28

2012 20121026 1766 UNIVERSITY OF MIAMI 1319‐5 A LT 5A(2) 0

2012 20121026 1767 UNIVERSITY OF MIAMI JACKSON MEMO 76‐13 A LT 3M(1) 79

2012 20121026 1762 UNIVERSITY OF MIAMI 1319‐1 A LT 3M(2) 0

2012 20121025 1754MOUNT SINAI MEDICAL CENTER OF FLO 64‐3 A CS 3M(2) 79

2012 20121019 1710 TRIAD ISOTOPES, INC. 3920‐12 A CS 3B 6

2012 20121019 1701 ORLANDO HEALTH, INC. 4203‐4 A RN 5A(2) 5

2012 20121019 1711 TRIAD ISOTOPES, INC. 3920‐13 A CS 3B 6

2012 20121019 1712 CARDINAL HEALTH 414, LLC 3453‐1 A LT 3B 0

2012 20121012 1671 FLORIDA STATE UNIVERSITY 32‐10 A JS 3M(1) 73

2012 20121010 1662 TRIAD ISOTOPES, INC. 3920‐11 A JS 3B 6

2012 20121010 1661 SOUTH BROWARD HOSPITAL DISTRICT 8‐7 A JS 5A(2) 16

2012 20121009 1659WASFI  MAKAR, M.D., P.A. 3987‐1 A JS 5A(2) 2

2012 20121005 1638 SOUTH FLORIDA RADIATION ONCOLOGY 4215‐1 A JS 5A(2) 0

2012 20121005 1637 BOYNTON BEACH RADIATION ONCOLOG 4141‐2 A JS 5A(2) 5

2012 20121005 1636 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐2 A JS 5A(2) 1

2012 20121005 1635 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐1 A JS 5A(2) 11

1/26/2015Master Control List

Page 24

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2012 20121003 1626WELLINGTON REGIONAL MEDICAL CENT 1813‐2 A CS 5A(2) 17

2012 20120928 1599 RAD ONC GROUP, LLC 3989‐1 R RN 5A(2) 2

2012 20120928 1594 SOUTHERN BAPTIST HOSPITAL OF FLORI 155‐4 A JS 5A(2) 45

2012 20120928 1592MOUNT SINAI MEDICAL CENTER OF FLO 64‐3 A RN 3M(2) 0

2012 20120927 1588 LEESAR INCORPORATED 4311‐1 A CS 3B 0

2012 20120926 1568WEST COAST NUCLEAR PHARMACY, L.L. 3797‐1 A CS 3B 0

2012 20120926 1574MOUNT SINAI MEDICAL CENTER OF FLO 64‐12 A LT 5A(2) 57

2012 20120926 1584 ION APPLICATIONS, INC. 3410‐1 T LT 3A 9

2012 20120926 1573MOUNT SINAI MEDICAL CENTER OF FLO 64‐15 A LT 5A(2) 9

2012 20120918 1549 SAND LAKE CANCER CENTER, P.A. 4162‐2 A LT 5A(2) 3

2012 20120918 1546 CANCER HEALTHCARE ASSOCIATES, P.A. 3895‐1 A JS 5A(2) 9

2012 20120917 1540MOSAIC FERTILIZER, LLC 3841‐1 A LT 3M(3) 13

2012 20120914 1538 TYCO HEALTHCARE GROUP, LP 3007‐1 A JS 3F(3) 26

2012 20120912 1528WELLINGTON REGIONAL MEDICAL CENT 1813‐2 A EL 5A(2) 16

2012 20120911 1514 CARDINAL HEALTH 414, LLC 3469‐1 A JS 3B 38

2012 20120911 1515 CARDINAL HEALTH 414, LLC 3469‐2 A JS 3B 28

2012 20120911 1516 CARDINAL HEALTH 414, LLC 3453‐13 A JS 3B 21

2012 20120910 1506 USCC ACQUISITION CORPORATION 3252‐6 A CS 5A(2) 9

2012 20120910 1505 USCC ACQUISITION CORPORATION 3252‐5 A CS 5A(2) 11

2012 20120910 1507 USCC ACQUISITION CORPORATION 3252‐7 A CS 5A(2) 9

2012 20120910 1508 USCC ACQUISITION CORPORATION 3252‐8 A CS 5A(2) 9

2012 20120910 1509 USCC FLORIDA ACQUISITION CORPORAT 3252‐10 A CS 5A(2) 3

2012 20120910 1504 USCC ACQUISITION CORPORATION 3252‐4 A CS 5A(2) 11

2012 20120906 1474 ORLANDO HEALTH, INC. 4203‐4 A RN 5A(2) 4

2012 20120906 1472 CARDINAL HEALTH 414, LLC 3453‐3 A KF 3B 24

2012 20120906 1471 CARDINAL HEALTH 414, LLC 3453‐8 A LT 3B 22

2012 20120904 1456 SOUTH BROWARD HOSPITAL DISTRICT 8‐9 R LT 5A(2) 5

2012 20120904 1458 UNIVERSITY OF FLORIDA 544‐1 R JS 3F(1) 42

2012 20120830 1440 HALIFAX HOSPITAL MEDICAL CENTER 194‐3 A CS 5A(2) 54

2012 20120829 1435Mount Sinai Medical Center of Florida, I 64‐12 A RN 5A(2) 56

Page 42: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 25

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2012 20120829 1423 TRIAD ISOTOPES, INC. 3920‐10 A CS 3B 5

2012 20120829 1430 TALLAHASSEE MEMORIAL HEALTHCARE  416‐2 A CS 5A(2) 45

2012 20120829 1436MOUNT SINAI MEDICAL CENTER OF FLO 64‐15 A RN 5A(2) 8

2012 20120827 1417MARK E. POMPER, M.D., P.A. 4048‐1 A CS 5F(2) 8

2012 20120827 1418MARK E. POMPER, M.D., P.A. 4048‐2 A CS 5F(2) 2

2012 20120827 1419MARK POMPER, M.D., P.A. 3109‐2 A CS 5A(2) 5

2012 20120827 1420MARK E. POMPER, M.D., P.A. 3109‐4 A CS 5A(2) 3

2012 20120827 1411 PETNET SOLUTIONS, INC. 3887‐4 A RN 3B 10

2012 20120824 1399 LEESAR INCORPORATED 4311‐1 A JS 3B 4

2012 20120823 1393 TYCO HEALTHCARE GROUP, LP 3007‐1 A LT 3F(3) 0

2012 20120821 1382 21ST CENTURY ONCOLOGY, L.L.C. 476‐8 R LT 5A(2) 14

2012 20120816 1355 TYCO HEALTHCARE GROUP, LP 3007‐1 A JS 3F(3) 0

2012 20120816 1363 GULF REGION RADIATION ONCOLOGY C 4069‐2 A CS 5A(2) 0

2012 20120813 1336 H. LEE MOFFITT CANCER CENTER & RES 1739‐3 A RN 5A(2) 19

2012 20120807 1300 FLORIDA STATE UNIVERSITY 32‐10 A JS 3M(1) 72

2012 20120807 1304 CARDINAL HEALTH 414, LLC 3453‐13 A EL 3B 20

2012 20120807 1307 TRIAD ISOTOPES, INC. 3920‐11 A EL 3B 5

2012 20120807 1316 BETHESDA MEMORIAL HOSPITAL 658‐2 A KF 5A(2) 21

2012 20120802 1278 ISOAID, L.L.C. 3196‐1 A EL 3A 14

2012 20120801 1268 ANAZAOHEALTH CORPORATION 2975‐1 A EL 3B 39

2012 20120730 1255 PLANTATION GENERAL HOSPITAL LIMIT 2648‐3 A CS 5A(2) 0

2012 20120726 1232 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A EL 3F(3) 0

2012 20120726 1236 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐2 A LT 5A(2) 0

2012 20120726 1237 SOUTH FLORIDA RADIATION ONCOLOGY 4215‐1 A LT 5A(2) 5

2012 20120726 1235 BOYNTON BEACH RADIATION ONCOLOG 4141‐2 A CS 5A(2) 4

2012 20120726 1238 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐1 A LT 5A(2) 10

2012 20120725 1228 ONCURE MEDICAL CORPORATION 3695‐2 A RN 5A(2) 8

2012 20120725 1231 ST. VINCENT'S MEDICAL CENTER, INC. 14‐6 R CS 5A(3) 36

2012 20120725 1229MOUNT SINAI MEDICAL CENTER OF FLO 64‐3 A LT 3M(2) 0

2012 20120724 1224 TYCO HEALTHCARE GROUP, LP 3007‐1 A EL 3F(3) 0

1/26/2015Master Control List

Page 26

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2012 20120724 1216West Coast Nuclear Pharmacy, LLC 3797‐1 A EL 3B 5

2012 20120724 1217 UNIVERSITY OF FLORIDA 31‐3 A EL 3M(2) 65

2012 20120717 1181MAYO CLINIC JACKSONVILLE 1812‐3 R EL 3M(2) 40

2012 20120717 1179 LEESAR INCORPORATED 4311‐1 A RN 3B 3

2012 20120717 1183 SOUTH BROWARD HOSPITAL DISTRICT 8‐9 A LT 5A(2) 4

2012 20120713 1173 FLORIDA INSTITUTE OF RESEARCH, MED 3593‐3 A EL 5A(2) 6

2012 20120711 1164 U.S. CANCER CARE, INC. 3082‐2 A JS 5A(2) 7

2012 20120710 1154 UNIVERSITY OF MIAMI 1319‐2 A LT 3F(1) 27

2012 20120710 1158 UNIVERSITY OF MIAMI 1319‐3 A CS 5A(3) 42

2012 20120706 1146 AVENTURA COMPREHENSIVE CANCER C 4233‐1 A KF 5A(2) 1

2012 20120705 1141 JFK MEDICAL CENTER LIMITED PARTNER 3732‐1 A KF 5A(2) 13

2012 20120705 1138 US CANCER CARE, INC. 4049‐1 A KF 5A(2) 12

2012 20120703 1130 PETNET SOLUTIONS, INC. 3887‐3 R CS 3B 10

2012 20120703 1133 FLORIDA STATE UNIVERSITY 0032‐10 A LT 3M(1) 71

2012 20120703 1131 TRIAD ISOTOPES, INC. 3920‐1 A RN 3B 13

2012 20120627 1112 UNIVERSITY OF MIAMI 1319‐5 A KF 5A(2) 5

2012 20120626 1097MAYO CLINIC JACKSONVILLE 1812‐3 A JS 3M(2) 39

2012 20120626 1100 H. LEE MOFFITT CANCER CENTER & RES 1739‐3 A RN 5A(2) 0

2012 20120625 1092 21ST CENTURY ONCOLOGY, L.L.C. 2818‐1 R CS 5A(2) 29

2012 20120625 1094 21st CENTURY ONCOLOGY, L.L.C. 476‐7 R CS 5A(2) 13

2012 20120620 1071 PETNET SOLUTIONS, INC. 3887‐4 R JS 3B 9

2012 20120618 1058 LARKIN COMMUNITY HOSPITAL 2825‐2 A JS 5A(1) 3

2012 20120618 1053 TRIAD ISOTOPES, INC. 3920‐2 A EL 3B 13

2012 20120618 1061 LEESBURG COMMUNITY CANCER CENTE 3286‐1 A RN 5A(2) 22

2012 20120618 1049 UNIVERSITY COMMUNITY HOSPITAL, IN 549‐3 A LT 5A(2) 31

2012 20120614 1043 TRIAD ISOTOPES, INC. 3920‐10 T JS 3B 4

2012 20120614 1047 TRIAD ISOTOPES, INC. 3920‐11 A EL 3B 4

2012 20120614 1044 US CANCER CARE, INC. 4049‐1 A RN 5A(2) 11

2012 20120612 1026 CARDINAL HEALTH 414, LLC 3469‐2 A CS 3B 27

2012 20120612 1028 21ST CENTURY ONCOLOGY, L.L.C. 476‐8 A RN 5A(2) 13

Page 43: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 27

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2012 20120612 1029 21ST CENTURY ONCOLOGY, L.L.C. 2667‐1 A RN 5A(2) 35

2012 20120612 1036 SARASOTA COUNTY PUBLIC HOSPITAL B 2219‐1 R RN 5A(2) 33

2012 20120608 1004 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A EL 3F(3) 0

2012 20120604 0973 COMMUNITY CANCER CENTER OF NORT 3449‐3 A RN 5A(2) 9

2012 20120604 0972 COMMUNITY CANCER CENTER OF NORT 3449‐2 A RN 5A(2) 10

2012 20120531 0968 BETHESDA MEMORIAL HOSPITAL 658‐2 A CS 5A(2) 0

2012 20120530 0960 DOCTORS HOSPITAL, INC. 3823‐2 A EL 5A(1) 11

2012 20120530 0949 CARDINAL HEALTH 414, LLC 3453‐13 A EL 3B 19

2012 20120530 0950 CARDINAL HEALTH 414, LLC 3469‐1 A EL 3B 37

2012 20120529 0937 U.S. CANCER CARE, INC. 3082‐2 A EL 5A(2) 6

2012 20120529 0940 TRIAD ISOTOPES, INC. 3920‐7 R EL 3B 7

2012 20120525 0932 LEESAR INCORPORATED 4311‐1 A EL 3B 2

2012 20120525 0922 TENET HEALTHSYSTEM NORTH SHORE, I 2740‐2 R CS 5A(2) 9

2012 20120525 0920 NORTHROP GRUMMAN GUIDANCE AND 2159‐1 A EL 3A 26

2012 20120523 0904 U.S. CANCER CARE, INC 4049‐2 T EL 5A(2) 1

2012 20120523 0906 HEYSEK & KEPES, M.D.'S, P.A. 4302‐1 A LT 5A(2) 1

2012 20120518 0881 ANAZAOHEALTH CORPORATION 2975‐1 A EL 3B 38

2012 20120518 0880 ST. ANTHONY'S HOSPITAL, INC. 294‐3 A RN 5A(2) 2

2012 20120515 0848 H. LEE MOFFITT CANCER CENTER & RES 1739‐3 A JS 5A(2) 18

2012 20120515 0856 SOUTH BROWARD HOSPITAL DISTRICT 8‐9 A EL 5A(2) 3

2012 20120508 0819 UNISON INDUSTRIES, LLC 3942‐1 A LT 3A 1

2012 20120507 0815 SOUTHWEST VOLUSIA HEALTHCARE CO 2467‐2 A LT 5A(2) 2

2012 20120504 0807MAYO CLINIC JACKSONVILLE 1812‐3 A JS 3M(2) 38

2012 20120503 0801 CARDINAL HEALTH 414, LLC 3453‐13 A LT 3B 18

2012 20120503 0802 CARDINAL HEALTH 414, LLC 3469‐1 A LT 3B 36

2012 20120502 0793 CARDINAL HEALTH 414, LLC 3453‐1 A EL 3B 22

2012 20120502 0794 CARDINAL HEALTH 414, LLC 3453‐3 A EL 3B 23

2012 20120501 0781 CARDINAL HEALTH 414, LLC 3469‐2 A JS 3B 26

2012 20120501 0786 HALIFAX HOSPITAL MEDICAL CENTER 194‐3 A CS 5A(2) 53

2012 20120501 0775 US CANCER CARE, INC. 4049‐1 A CS 5A(2) 10

1/26/2015Master Control List

Page 28

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2012 20120427 0761 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A EL 3F(3) 0

2012 20120426 0759 PLANTATION GENERAL HOSPITAL LIMIT 2648‐3 A KF 5A(2) 2

2012 20120425 0736 USCC ACQUISITION CORPORATION 3252‐9 A RN 5A(2) 8

2012 20120425 0739 USCC ACQUISITION CORPORATION 3252‐8 A RN 5A(2) 8

2012 20120425 0740 USCC ACQUISITION CORPORATION 3252‐4 A RN 5A(2) 10

2012 20120425 0741 USCC ACQUISITION CORPORATION 3252‐5 A RN 5A(2) 10

2012 20120425 0742 USCC ACQUISITION CORPORATION 3252‐6 A RN 5A(2) 8

2012 20120425 0744 USCC FLORIDA ACQUISITION CORPORAT 3252‐10 A RN 5A(2) 2

2012 20120425 0743 USCC ACQUISITION CORPORATION 3252‐7 A RN 5A(2) 8

2012 20120420 0712MOUNT SINAI MEDICAL CENTER OF FLO 64‐3 A EL 3M(2) 78

2012 20120418 0704 UNIVERSITY RADIATION ONCOLOGY ASS 3936‐1 R JS 5A(2) 2

2012 20120416 0691 NORTH FLORIDA RADIATION ONCOLOG 3850‐1 A JS 5A(2) 7

2012 20120416 0695 TRIAD ISOTOPES, INC. 3920‐12 A EL 3B 5

2012 20120416 0696 TRIAD ISOTOPES, INC. 3920‐13 A EL 3B 5

2012 20120416 0697 TRIAD ISOTOPES, INC. 3920‐6 R EL 3B 5

2012 20120409 0658MARK E. POMPER, M.D., P.A. 4048‐1 A RN 5F(2) 7

2012 20120405 0648 LEESAR INCORPORATED 4311‐1 A LT 3B 1

2012 20120404 0640 ANAZAOHEALTH CORPORATION 2975‐1 A LT 3B 37

2012 20120404 0638 NORTH BROWARD HOSPITAL DISTRICT 11‐4 T JS 5A(2) 3

2012 20120404 0634 FLORIDA INSTITUTE OF RESEARCH, MED 3593‐3 A EL 5A(2) 5

2012 20120404 0633 IBA MOLECULAR NORTH AMERICA, INC. 3287‐1 A LT 3B 27

2012 20120404 0632 PETNET SOLUTIONS, INC. 3887‐2 A CS 3B 10

2012 20120404 0631 PETNET SOLUTIONS, INC. 3887‐3 A CS 3B 9

2012 20120404 0630 PETNET SOLUTIONS, INC. 3887‐4 A CS 3B 8

2012 20120404 0641 CARDINAL HEALTH 414, LLC 3453‐3 A EL 3B 22

2012 20120329 0604 NORTHROP GRUMMAN GUIDANCE AND 2159‐1 R LT 3A 5

2012 20120329 0601 TRIAD ISOTOPES, INC. 3920‐8 A CS 3B 8

2012 20120328 0596 PERMA‐FIX OF FLORIDA, INC. 2598‐1 A JS 4B 40

2012 20120326 0584 TRIAD ISOTOPES, INC. 3920‐5 R EL 3B 5

2012 20120326 0583 TENET HEALTHSYSTEM NORTH SHORE, I 2740‐2 A CS 5A(2) 8

Page 44: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 29

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2012 20120326 0582MARK E. POMPER, M.D., P.A. 3109‐4 A CS 5A(2) 2

2012 20120326 0579MARK E. POMPER, M.D., P.A. 4048‐1 A CS 5F(2) 6

2012 20120326 0580MARK E. POMPER, M.D., P.A. 4048‐2 A CS 5F(2) 1

2012 20120326 0581MARK POMPER, M.D., P.A. 3109‐2 A CS 5A(2) 4

2012 20120326 0570 SOUTHWEST VOLUSIA HEALTHCARE CO 2467‐2 A KF 5A(2) 0

2012 20120323 0563 PLANTATION GENERAL HOSPITAL LIMIT 2648‐3 A LT 5A(2) 1

2012 20120322 0546 21ST CENTURY ONCOLOGY, L.L.C. 2667‐1 R LT 5A(2) 34

2012 20120322 0553 21ST CENTURY ONCOLOGY, L.L.C. 2674‐1 R LT 5A(2) 35

2012 20120320 0539 UNIVERSITY OF MIAMI 1319‐5 A CS 5A(2) 0

2012 20120316 0536 SARASOTA COUNTY PUBLIC HOSPITAL B 2219‐1 A CS 5A(2) 32

2012 20120314 0523 USCC ACQUISITION CORPORATION 3252‐6 A CS 5A(2) 0

2012 20120314 0525 USCC ACQUISITION CORPORATION 3252‐8 A CS 5A(2) 0

2012 20120314 0526 USCC ACQUISITION CORPORATION 3252‐9 A CS 5A(2) 7

2012 20120314 0522 USCC ACQUISITION CORPORATION 3252‐5 A CS 5A(2) 0

2012 20120314 0524 USCC ACQUISITION CORPORATION 3252‐7 A CS 5A(2) 0

2012 20120309 0501MAYO CLINIC JACKSONVILLE 1812‐3 A JS 3M(2) 37

2012 20120308 0497 USCC FLORIDA ACQUISITION CORPORAT 3252‐10 A CS 5A(2) 1

2012 20120305 0483 UNIVERSITY OF MIAMI 1319‐3 A JS 5A(3) 41

2012 20120302 0459 SAND LAKE CANCER CENTER, P.A. 4162‐2 A JS 5A(2) 2

2012 20120302 0468 21ST CENTURY ONCOLOGY,L.L.C. 476‐4 R RN 5A(2) 15

2012 20120302 0464 UNIVERSITY OF MIAMI 1319‐1 A EL 3M(2) 61

2012 20120302 0463 NORMAN H. ANDERSON, M.D., P.A. 2155‐1 R JS 5A(2) 28

2012 20120229 0449 TRIAD ISOTOPES, INC. 3920‐3 R EL 3B 12

2012 20120229 0446 PALM BEACH CANCER INSTITUTE, LLC 3884‐2 R LT 5A(2) 12

2012 20120229 0448 TRIAD ISOTOPES, INC. 3920‐2 R EL 3B 12

2012 20120229 0450 TRIAD ISOTOPES, INC. 3920‐4 R EL 3B 12

2012 20120224 0369 CARDINAL HEALTH 414, LLC 3453‐5 A JS 3B 0

2012 20120224 0372 CARDINAL HEALTH 414, LLC 3453‐8 A JS 3B 0

2012 20120224 0373 CARDINAL HEALTH 414, LLC 3453‐9 A JS 3B 0

2012 20120224 0390 PETNET SOLUTIONS, INC. 3887‐2 A CS 3B 0

1/26/2015Master Control List

Page 30

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2012 20120224 0391 PETNET SOLUTIONS, INC. 3887‐3 A CS 3B 0

2012 20120224 0367 CARDINAL HEALTH 414, LLC 3453‐3 A JS 3B 0

2012 20120224 0392 PETNET SOLUTIONS, INC. 3887‐4 A CS 3B 0

2012 20120224 0409 COMMUNITY CANCER CENTER OF NORT 3449‐3 A EL 5A(2) 8

2012 20120224 0411 COMMUNITY CANCER CENTER OF NORT 3449‐2 A EL 5A(2) 9

2012 20120224 0368 CARDINAL HEALTH 414, LLC 3453‐4 A JS 3B 0

2012 20120224 0371 CARDINAL HEALTH 414, LLC 3453‐7 A JS 3B 0

2012 20120224 0370 CARDINAL HEALTH 414, LLC 3453‐6 A JS 3B 0

2012 20120224 0366 CARDINAL HEALTH 414, LLC 3453‐1 A JS 3B 0

2012 20120223 0334 SOUTH FLORIDA RADIATION ONCOLOGY 4215‐1 A RN 5A(2) 4

2012 20120217 0257 USCC ACQUISITION CORPORATION 3252‐4 A KF 5A(2) 9

2012 20120217 0258 USCC ACQUISITION CORPORATION 3252‐5 A KF 5A(2) 9

2012 20120217 0259 USCC ACQUISITION CORPORATION 3252‐6 A KF 5A(2) 7

2012 20120217 0260 USCC ACQUISITION CORPORATION 3252‐7 A KF 5A(2) 7

2012 20120217 0261 USCC ACQUISITION CORPORATION 3252‐8 A KF 5A(2) 7

2012 20120217 0262 USCC ACQUISITION CORPORATION 3252‐9 A KF 5A(2) 6

2012 20120217 0266 IBA MOLECULAR NORTH AMERICA, INC. 3287‐1 A LT 3B 0

2012 20120216 0251 UNIVERSITY OF MIAMI 1319‐1 A LT 3M(2) 60

2012 20120216 0253 SOUTHERN BAPTIST HOSPITAL OF FLORI 155‐4 A CS 5A(2) 44

2012 20120214 0242 LOCKHEED MARTIN CORPORATION 3137‐1 A EL 3A 11

2012 20120214 0243 LOCKHEED MARTIN CORPORATION 3137‐2 A EL 3A 26

2012 20120214 0239 CARDINAL HEALTH 414, LLC 3453‐4 A JS 3B 22

2012 20120213 0227MOSAIC FERTILIZER, LLC 3841‐1 A JM 3M(3) 0

2012 20120213 0225 PETNET SOLUTIONS 3887‐1 A EL 3B 7

2012 20120210 0224 UNIVERSITY OF FLORIDA 31‐3 A EL 3M(2) 0

2012 20120206 0184 21ST CENTURY ONCOLOGY, INC. 2818‐1 A KF 5A(2) 28

2012 20120206 0181MEDI‐PHYSICS, INC. 2134‐1 A LT 3B 56

2012 20120206 0195 CANCER CARE CENTERS OF BREVARD 2272‐1 A CS 5A(2) 25

2012 20120206 0193 21ST CENTURY ONCOLOGY, INC. 2667‐1 A KF 5A(2) 33

2012 20120206 0192 21ST CENTURY ONCOLOGY, INC. 476‐8 A KF 5A(2) 12

Page 45: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 31

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2012 20120206 0189 FLORIDA INSTITUTE OF RESEARCH, MED 3593‐3 A CS 5A(2) 4

2012 20120206 0186 21st CENTURY ONCOLOGY, INC. 476‐7 A KF 5A(2) 12

2012 20120203 0176 USCC ACQUISITION CORPORATION 3252‐6 A JS 5A(2) 0

2012 20120203 0170MELBOURNE INTERNAL MEDICINE ASSO 1823‐3 A CS 5A(2) 11

2012 20120203 0166 TRIAD ISOTOPES, INC. 3920‐1 R LT 3B 12

2012 20120130 0138 ST. VINCENT'S MEDICAL CENTER 14‐6 A LT 5A(3) 35

2012 20120130 0149 FLORIDA CANCER INSTITUTE, P.A. 3606‐4 T LT 5A(2) 4

2012 20120130 0145 FLORIDA CANCER INSTITUTE, P.A. 3606‐5 T EL 5A(2) 3

2012 20120130 0143 FLORIDA CANCER INSTITUTE, P.A. 3606‐6 T EL 5A(2) 3

2012 20120130 0141 Premiere Radiation Oncology 4149‐1 A JS 5A(2) 4

2012 20120130 0139 SPECIALISTS IN UROLOGY, P.A. 4297‐1 A JS 5A(2) 1

2012 20120127 0122 USCC ACQUISITION CORPORATION 3252‐4 A JS 5A(2) 8

2012 20120127 0119 21st CENTURY ONCOLOGY, INC. 476‐10 A EL 5A(2) 8

2012 20120127 0124 USCC ACQUISITION CORPORATION 3252‐9 A JS 5A(2) 5

2012 20120127 0120 21st CENTURY ONCOLOGY, INC. 476‐9 A EL 5A(2) 7

2012 20120127 0123 USCC ACQUISITION CORPORATION 3252‐5 A JS 5A(2) 8

2012 20120126 0106 CARDINAL HEALTH 414, LLC 3469‐2 A JS 3B 25

2012 20120126 0105 CARDINAL HEALTH 414, LLC 3469‐1 A JS 3B 35

2012 20120126 0107 CARDINAL HEALTH 414, LLC 3453‐13 A JS 3B 17

2012 20120124 0098 HARRIS CORPORATION 2758‐1 R EL 3F(1) 9

2012 20120119 0084 ANAZAOHEALTH CORPORATION 2975‐1 A JS 3B 36

2012 20120117 0062 BAY MEDICAL CENTER 60‐5 A LT 5A(2) 1

2012 20120112 0049 SURGICAL ASSOCIATES OF THE PALM BE 4094‐1 T LT 5A(2) 8

2012 20120112 0046 CANCER CARE CENTERS OF BREVARD 2272‐1 A CS 5A(2) 24

2011 20111230 2135 PETNET SOLUTIONS, INC. 3887‐2 R JS 3B 9

2011 20111229 2123 E.I. DU PONT DE NEMOURS AND COMP 3868‐1 R EL 3M(3) 7

2011 20111228 2103 INTERCOMMUNITY CANCER INSTITUTE,  4259‐1 A KF 5A(2) 2

2011 20111228 2106 BAYFRONT MEDICAL CENTER, INC. 23‐2 R JS 5A(1) 11

2011 20111222 2098 BAY MEDICAL CENTER 60‐5 T LT 5A(2) 0

2011 20111221 2094 ADVENTIST HEALTH SYSTEMS/SUNBELT, 2897‐1 R LT 3M(2) 57

1/26/2015Master Control List

Page 32

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2011 20111221 2095 PALMS WEST RADIATION THERAPY, LLC 3455‐1 A CS 5A(2) 0

2011 20111220 2067 JFK MEDICAL CENTER LIMITED PARTNER 3732‐1 A CS 5A(2) 12

2011 20111215 2065 TRIAD ISOTOPES, INC. 3920‐10 A EL 3B 3

2011 20111213 2047 SOUTHERN BAPTIST HOSPITAL OF FLORI 155‐4 R EL 5A(2) 43

2011 20111212 2045 UNIVERSITY COMMUNITY HOSPITAL, IN 549‐3 A KF 5A(2) 0

2011 20111208 2018 BEATRIZ AMENDOLA, M.D., P.A. 3363‐1 R CS 5A(2) 12

2011 20111208 2019 ST. VINCENT'S MEDICAL CENTER 14‐6 A JS 5A(3) 0

2011 20111206 2013 CANCER TREATMENT SERVICES FLORIDA 4168‐1 A LT 5A(2) 4

2011 20111205 2001 DOCTORS HOSPITAL, INC. 3823‐2 R JS 5A(1) 10

2011 20111201 1991 UNIVERSITY OF MIAMI 1319‐2 R LT 3F(1) 26

2011 20111128 1984 LOCKHEED MARTIN CORPORATION 3137‐2 A CS 3A 0

2011 20111128 1983 21ST CENTURY ONCOLOGY, INC. 476‐8 A CS 5A(2) 0

2011 20111128 1981 21ST CENTURY ONCOLOGY, INC. 2667‐1 A CS 5A(2) 0

2011 20111128 1982 PALMS WEST RADIATION THERAPY, LLC 3455‐1 A CS 5A(2) 0

2011 20111121 1946 TRIAD ISOTOPES, INC. 3920‐11 A EL 3B 3

2011 20111118 1942 CENTRAL FLORIDA CANCER INSTITUTE,  3900‐1 R RN 5A(2) 11

2011 20111118 1943 TRIAD ISOTOPES, INC. 3920‐2 A JS 3B 0

2011 20111117 1932 FLORIDA INTERNATIONAL UNIVERSITY 3669‐1 A EL 3M(1) 6

2011 20111116 1910 HONEYWELL INTERNATIONAL, INC. 319‐8 R LT 3F(1) 18

2011 20111114 1903 PERMA‐FIX OF FLORIDA, INC. 2598‐1 A EL 4B 0

2011 20111114 1897 PETNET SOLUTIONS 3887‐1 R EL 3B 6

2011 20111110 1896 SOUTH BROWARD HOSPITAL DISTRICT 8‐7 A CS 5A(2) 15

2011 20111110 1891 UNIVERSITY COMMUNITY HOSPITAL, IN 549‐3 A EL 5A(2) 0

2011 20111108 1877 CANCER HEALTHCARE ASSOCIATES, P.A. 3895‐1 R LT 5A(2) 0

2011 20111108 1874MOSAIC FERTILIZER, LLC 3841‐1 A JS 3M(3) 0

2011 20111108 1879 CITY LABS, INC. 4230‐1 A EL 3A 4

2011 20111107 1867 JFK MEDICAL CENTER LIMITED PARTNER 3732‐1 A JS 5A(2) 0

2011 20111101 1841MOSAIC FERTILIZER, LLC 3841‐1 A JS 3M(3) 0

2011 20111101 1837 TRIAD ISOTOPES, INC. 3920‐13 A EL 3B 0

2011 20111101 1836 UNIVERSITY OF FLORIDA 356‐1 A EL 3M(1) 0

Page 46: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 33

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2011 20111031 1834 21ST CENTURY ONCOLOGY, INC. 2667‐1 A KF 5A(2) 0

2011 20111031 1833 21ST CENTURY ONCOLOGY, INC. 476‐8 A KF 5A(2) 0

2011 20111028 1820 21ST CENTURY ONCOLOGY, INC. 476‐4 A JS 5A(2) 0

2011 20111025 1808 PETNET SOLUTIONS, INC. 3887‐4 A LT 3B 0

2011 20111025 1804 CARDINAL HEALTH 414, LLC 3453‐6 A JS 3B 0

2011 20111025 1796MOUNT SINAI MEDICAL CENTER OF FLO 64‐3 R JS 3M(2) 77

2011 20111025 1790 LOCKHEED MARTIN CORPORATION 3137‐1 A EL 3A 0

2011 20111025 1809 21ST CENTURY ONCOLOGY, INC. 2818‐1 A LT 5A(2) 0

2011 20111025 1811 PETNET SOLUTIONS, INC. 3887‐3 A LT 3B 0

2011 20111020 1772 CYCLOTRON CENTER OF NORTHEAST FL 4041‐1 T LT 3B 2

2011 20111019 1766 ANAZAOHEALTH CORPORATION 2975‐1 A LT 3B 0

2011 20111019 1765MAYO CLINIC JACKSONVILLE 1812‐3 A JS 3M(2) 36

2011 20111019 1767 U.S. CANCER CARE, INC. 3082‐2 A KF 5A(2) 0

2011 20111019 1745 CANCER CARE CENTERS OF BREVARD 2272‐1 R EL 5A(2) 0

2011 20111014 1740 TRIAD ISOTOPES, INC. 3920‐10 A CS 3B 0

2011 20111007 1707 E.I. DU PONT DE NEMOURS AND COMP 3868‐1 A EL 3M(3) 0

2011 20111006 1701 LOCKHEED MARTIN CORPORATION 3137‐2 A EL 3A 0

2011 20111005 1695 CANCER CARE CENTERS OF BREVARD 2272‐1 A LT 5A(2) 0

2011 20111005 1698 UNIVERSITY OF FLORIDA 31‐3 A LT 3M(2) 0

2011 20111003 1692 PALMS WEST RADIATION THERAPY, LLC 3455‐1 A LT 5A(2) 0

2011 20111003 1689WELLSPRING CANCER CENTER, LLC 4071‐1 A KF 5A(2) 0

2011 20111003 1693 21ST CENTURY ONCOLOGY, INC. 2674‐1 A LT 5A(2) 0

2011 20111003 1687 CARDINAL HEALTH 414, LLC 3453‐13 A JS 3B 0

2011 20110930 1678 SPECIALISTS IN UROLOGY, P.A. 4149‐1 A EL 5A(2) 0

2011 20110930 1686 ADVENTIST HEALTH SYSTEMS/SUNBELT, 2897‐1 A JS 3M(2) 0

2011 20110929 1671 IBA MOLECULAR NORTH AMERICA, INC. 3287‐1 R EL 3B 0

2011 20110929 1673 TREASURE COAST RADIATION ONCOLO 3966‐1 T JS 5A(2) 0

2011 20110927 1664MARTIN MEMORIAL MEDICAL CENTER, I 1215‐2 A LT 5A(2) 0

2011 20110927 1660 CARDINAL HEALTH 414, LLC 3469‐2 A LT 3B 0

2011 20110927 1659 CARDINAL HEALTH 414, LLC 3469‐1 A LT 3B 0

1/26/2015Master Control List

Page 34

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2011 20110927 1657 DOCTORS HOSPITAL, INC. 3823‐2 A JS 5A(1) 0

2011 20110926 1655 SAND LAKE CANCER CENTER, P.A. 4162‐2 A KF 5A(2) 0

2011 20110922 1625 SOUTH BROWARD HOSPITAL DISTRICT 8‐9 A JS 5A(2) 0

2011 20110920 1614 LARKIN COMMUNITY HOSPITAL 2825‐2 A EL 5A(1) 2

2011 20110915 1594 DRS TRAINING AND CONTROL SYSTEMS, 4263‐1 A EL 3A 0

2011 20110914 1587 SOUTH FLORIDA RADIATION ONCOLOGY 4215‐1 A CS 5A(2) 0

2011 20110914 1588 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐1 A CS 5A(2) 0

2011 20110913 1576 CARDINAL HEALTH 414, LLC 3453‐7 A RN 3B 0

2011 20110912 1569 INTERSIL COMMUNICATIONS, INC. 3044‐1 A EL 3F(1) 0

2011 20110912 1565 LARKIN COMMUNITY HOSPITAL 2825‐2 A LT 5A(1) 0

2011 20110912 1562 21ST CENTURY ONCOLOGY, INC. 476‐8 A KF 5A(2) 0

2011 20110912 1561 21ST CENTURY ONCOLOGY, INC. 2667‐1 A KF 5A(2) 0

2011 20110912 1557 IBA MOLECULAR NORTH AMERICA, INC. 3287‐1 A LT 3B 0

2011 20110912 1570 NORTH BROWARD HOSPITAL DISTRICT 11‐4 A KF 5A(2) 0

2011 20110909 1552 GULF REGION RADIATION ONCOLOGY C 4069‐1 T LT 5A(2) 0

2011 20110902 1523 CARDINAL HEALTH 414, LLC 3453‐13 A EL 3B 0

2011 20110831 1508 BOCA RATON REGIONAL HOSPITAL, INC. 550‐2 A EL 5A(2) 0

2011 20110829 1487 H. LEE MOFFITT CANCER CENTER & RES 1739‐3 A CS 5A(2) 0

2011 20110829 1486 ISOAID, L.L.C. 3196‐1 A EL 3A 0

2011 20110826 1470 FLORIDA INSTITUTE OF RESEARCH, MED 3593‐3 A RN 5A(2) 0

2011 20110825 1465 GULF REGION RADIATION ONCOLOGY C 4069‐2 A CS 5A(2) 0

2011 20110823 1448 TYCO HEALTHCARE GROUP, LP 3007‐1 A LT 3F(3) 0

2011 20110822 1431 NORTH FLORIDA CANCER CENTER LAKE  3705‐2 A JS 5A(2) 0

2011 20110822 1432 NORTH FLORIDA CANCER CENTER TALLA 3700‐3 A JS 5A(2) 0

2011 20110822 1441 21st CENTURY ONCOLOGY, INC. 476‐7 A JS 5A(2) 0

2011 20110818 1413 RADIATION ONCOLOGY CONSULTANTS,  3897‐1 R JS 5A(2) 0

2011 20110818 1418 SOUTHERN BAPTIST HOSPITAL OF FLORI 2213‐2 A EL 5A(1) 17

2011 20110817 1405 ST. ANTHONY'S HOSPITAL, INC. 294‐3 A KF 5A(2) 0

2011 20110815 1394 TRIAD ISOTOPES, INC. 3920‐2 A LT 3B 0

2011 20110812 1374 UNIVERSITY COMMUNITY HOSPITAL, IN 549‐3 A JS 5A(2) 0

Page 47: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 35

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2011 20110811 1365 USCC ACQUISITION CORPORATION 3252‐9 A CS 5A(2) 0

2011 20110811 1367 UNIVERSITY COMMUNITY HOSPITAL, IN 549‐1 A LT 5A(2) 0

2011 20110808 1337 TENET ST. MARY'S, INC. 3279‐2 A KF 5A(2) 0

2011 20110804 1312 PERMA‐FIX OF FLORIDA, INC. 2598‐1 A EL 4B 0

2011 20110803 1304MOUNT SINAI MEDICAL CENTER OF FLO 64‐3 A CS 3M(2) 0

2011 20110803 1297 TENET GOOD SAMARITAN, INC. 3278‐1 R JS 5A(1) 0

2011 20110802 1294 CENTRAL FLORIDA CANCER INSTITUTE,  3900‐1 A JS 5A(2) 0

2011 20110801 1289 CARDINAL HEALTH 414, LLC 3453‐9 A EL 3B 0

2011 20110801 1287 FLORIDA POWER & LIGHT COMPANY 1091‐5 A LT 3M(3) 0

2011 20110728 1269 LAKELAND REGIONAL MEDICAL CENTER, 3849‐2 A RN 5A(2) 0

2011 20110728 1272MOSAIC FERTILIZER, LLC 3841‐1 R JS 3M(3) 0

2011 20110728 1268 21ST CENTURY ONCOLOGY, INC. 476‐8 A RN 5A(2) 0

2011 20110728 1267 21ST CENTURY ONCOLOGY, INC. 476‐2 A RN 5A(2) 0

2011 20110726 1247WATSON CLINIC LLP 2619‐1 A KF 5A(2) 0

2011 20110726 1241 INTERCOMMUNITY CANCER INSTITUTE,  4259‐1 A CS 5A(2) 0

2011 20110722 1227 JUPITER MEDICAL CENTER, INC. 1330‐2 A RN 5A(2) 0

2011 20110719 1211 RADIATION THERAPY CENTER OF BREVA 1857‐2 T EL 5A(2) 0

2011 20110718 1210WEST COAST NUCLEAR PHARMACY, L.L. 3797‐1 A EL 3B 0

2011 20110715 1189MEDI‐PHYSICS, INC. 2134‐1 A EL 3B 0

2011 20110714 1185 US CANCER CARE, INC. 4049‐1 A CS 5A(2) 0

2011 20110713 1168 NORTH FLORIDA RADIATION ONCOLOG 3850‐1 R JS 5A(2) 0

2011 20110713 1172 RADIATION ONCOLOGY CONSULTANTS,  3897‐1 A LT 5A(2) 0

2011 20110711 1158 PERMA‐FIX OF FLORIDA, INC. 2598‐1 A EL 4B 0

2011 20110707 1140 US CANCER CARE, INC. 4049‐1 A LT 5A(2) 0

2011 20110707 1136 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A CS 3F(3) 0

2011 20110701 1124 CARDINAL HEALTH 414, LLC 3453‐13 A CS 3B 0

2011 20110701 1115 UNIVERSITY OF MIAMI 1319‐5 A JS 5A(2) 0

2011 20110701 1122 CARDINAL HEALTH 414, LLC 3469‐1 A CS 3B 0

2011 20110701 1118 COMMUNITY CANCER CENTER OF NORT 3449‐3 R JS 5A(2) 0

2011 20110701 1123 CARDINAL HEALTH 414, LLC 3469‐2 A CS 3B 0

1/26/2015Master Control List

Page 36

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2011 20110629 1100 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A LT 3F(3) 0

2011 20110629 1105 St. Vincent's Medical Center 14‐6 A LT 5A(2) 0

2011 20110628 1098 21ST CENTURY ONCOLOGY, INC. 1797‐2 R JS 5A(2) 0

2011 20110628 1099 21ST CENTURY ONCOLOGY, INC. 476‐5 R JS 5A(2) 0

2011 20110627 1078MARTIN MEMORIAL MEDICAL CENTER, I 1215‐2 R LT 5A(2) 0

2011 20110627 1077 NORTH BROWARD HOSPITAL DISTRICT 11‐4 A LT 5A(2) 0

2011 20110627 1075MOUNT SINAI MEDICAL CENTER OF FLO 64‐3 A CS 3M(2) 0

2011 20110623 1057 US CANCER CARE, INC. 4049‐1 A LT 5A(2) 0

2011 20110623 1066 TYCO HEALTHCARE GROUP, LP 3007‐1 A LT 3F(3) 0

2011 20110621 1048 CANCER TREATMENT SERVICES FLORIDA 4168‐1 A JS 5A(2) 0

2011 20110620 1044MEDI‐PHYSICS, INC. 2133‐1 A CS 3B 0

2011 20110615 1012MERCY HOSPITAL, INC. 63‐2 T LT 5A(2) 0

2011 20110614 0993 CARDINAL HEALTH 414, LLC 3453‐3 A RN 3B 0

2011 20110614 0992 CARDINAL HEALTH 414, LLC 3453‐1 A RN 3B 0

2011 20110614 1002 TRIAD ISOTOPES, INC. 3920‐13 A EL 3B 0

2011 20110614 1005 UNIVERSITY OF MIAMI 1319‐3 A CS 5A(3) 0

2011 20110614 1001 TRIAD ISOTOPES, INC. 3920‐12 A EL 3B 0

2011 20110614 1006 UNIVERSITY OF MIAMI JACKSON MEMO 76‐13 A EL 3M(1) 0

2011 20110614 1008 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 R JS 3F(3) 0

2011 20110614 1004 GULF REGION RADIATION ONCOLOGY C 4069‐2 A JS 5A(2) 0

2011 20110606 0963MOUNT SINAI MEDICAL CENTER OF FLO 64‐13 R JS 3M(1) 0

2011 20110602 0934 COMMUNITY CANCER CENTER OF NORT 3449‐3 A JS 5A(2) 0

2011 20110531 0927 SOUTHWEST VOLUSIA HEALTHCARE CO 2467‐1 A EL 5A(2) 0

2011 20110531 0925 BOYNTON BEACH RADIATION ONCOLOG 4031‐1 T CS 5A(2) 0

2011 20110524 0895 IRIDIUM HOLDINGS, INC. 2936‐2 A KF 5A(2) 0

2011 20110524 0894 IRIDIUM HOLDINGS, INC. 2936‐1 A KF 5A(2) 0

2011 20110518 0847 SOUTHERN BAPTIST HOSPITAL OF FLORI 2213‐2 A LT 5A(1) 0

2011 20110517 0834 RADIATION ONCOLOGY CONSULTANTS,  3897‐1 A LT 5A(2) 0

2011 20110513 0823WATSON CLINIC LLP 2619‐1 R LT 5A(2) 0

2011 20110511 0807 21st CENTURY ONCOLOGY, INC. 476‐7 A CS 5A(2) 0

Page 48: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 37

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2011 20110511 0811 ORLANDO HEALTH, INC. 4203‐4 A CS 5A(2) 0

2011 20110509 0788MEDI‐PHYSICS, INC. 2133‐2 A RN 3B 0

2011 20110505 0775 SOUTHERN BAPTIST HOSPITAL OF FLORI 155‐4 A EL 5A(2) 0

2011 20110505 0779 TYCO HEALTHCARE GROUP, LP 3007‐1 A LT 3F(3) 0

2011 20110505 0772 PERMA‐FIX OF FLORIDA, INC. 2598‐1 A EL 4B 0

2011 20110504 0757 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A LT 3F(3) 0

2011 20110503 0749 COMMUNITY CANCER CENTER OF NORT 3449‐3 A EL 5A(2) 0

2011 20110429 0731 DRS TRAINING AND CONTROL SYSTEMS, 4263‐1 A EL 3A 0

2011 20110429 0727 BOYNTON BEACH RADIATION ONCOLOG 4141‐2 A EL 5A(2) 0

2011 20110429 0726 BOYNTON BEACH RADIATION ONCOLOG 4031‐1 A EL 5A(2) 0

2011 20110429 0725 SOUTH FLORIDA RADIATION ONCOLOGY 4215‐1 A EL 5A(2) 0

2011 20110429 0724 SURGICAL ASSOCIATES OF THE PALM BE 4094‐1 A EL 5A(2) 0

2011 20110428 0706 AYUB, SOKOL, MATZKOWITZ, AND 3821‐1 T LT 5A(2) 0

2011 20110428 0718 UNIVERSITY OF MIAMI 1319‐1 A JS 3M(2) 0

2011 20110428 0712 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐1 A LT 5A(2) 0

2011 20110426 0699 ST. JOSEPH'S HOSPITAL, INC. 131‐5 R EL 5A(2) 0

2011 20110426 0691 PETNET SOLUTIONS, INC. 3887‐4 A EL 3B 0

2011 20110421 0674MEDI‐PHYSICS, INC. 2134‐1 A LT 3B 0

2011 20110421 0655 21st CENTURY ONCOLOGY, INC. 476‐6 T CS 5A(2) 0

2011 20110421 0675 CARDINAL HEALTH 414, LLC 3453‐9 A JS 3B 0

2011 20110421 0656 21ST CENTURY ONCOLOGY, INC. 476‐11 A CS 5A(2) 0

2011 20110418 0651 COMMUNITY CANCER CENTER OF NORT 3449‐3 A JS 5A(2) 0

2011 20110413 0618MARK E. POMPER, M.D., P.A. 4048‐1 A JS 5F(2) 0

2011 20110413 0617MARK E. POMPER, M.D., P.A. 3109‐4 A JS 5A(2) 0

2011 20110413 0616MARK POMPER, M.D., P.A. 3109‐2 A JS 5A(2) 0

2011 20110412 0608 21ST CENTURY ONCOLOGY, INC. 476‐2 A RN 5A(2) 0

2011 20110412 0615 21ST CENTURY ONCOLOGY, INC. 2674‐1 A RN 5A(2) 0

2011 20110412 0607 21ST CENTURY ONCOLOGY, INC. 476‐4 A RN 5A(2) 0

2011 20110412 0609 21ST CENTURY ONCOLOGY, INC. 476‐5 A RN 5A(2) 0

2011 20110412 0610 21st CENTURY ONCOLOGY, INC. 476‐7 A RN 5A(2) 0

1/26/2015Master Control List

Page 38

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2011 20110412 0611 21ST CENTURY ONCOLOGY, INC. 476‐8 A RN 5A(2) 0

2011 20110412 0612 PALMS WEST RADIATION THERAPY, LLC 3455‐1 A RN 5A(2) 0

2011 20110412 0613 21ST CENTURY ONCOLOGY, INC. 1797‐2 A RN 5A(2) 0

2011 20110412 0614 21ST CENTURY ONCOLOGY, INC. 2667‐1 A RN 5A(2) 0

2011 20110411 0600 FLORIDA ATLANTIC UNIVERSITY 734‐4 A RN 3M(1) 0

2011 20110411 0603 TRIAD ISOTOPES, INC. 3920‐12 A RN 3B 0

2011 20110405 0567 CARDINAL HEALTH 414, LLC 3453‐5 A EL 3B 0

2011 20110404 0559MEDI‐PHYSICS, INC. 2133‐2 A RN 3B 0

2011 20110404 0553 LAKELAND REGIONAL MEDICAL CENTER, 3849‐2 A EL 5A(2) 0

2011 20110331 0546 TRIAD ISOTOPES, INC. 3920‐3 A EL 3B 0

2011 20110329 0540MARK POMPER, M.D., P.A. 3109‐3 T JS 5A(2) 0

2011 20110325 0523 BIO‐NUCLEONICS, INC. 3438‐1 A EL 3B 0

2011 20110325 0524 JFK MEDICAL CENTER LIMITED PARTNER 3732‐1 A CS 5A(2) 0

2011 20110323 0515 RADIATION ONCOLOGY CONSULTANTS,  3897‐1 A CS 5A(2) 0

2011 20110323 0513 RADIATION ONCOLOGY ASSOCIATES OF  2842‐1 A JS 5A(2) 0

2011 20110321 0508 TAMPA BAY RADIATION ONCOLOGY, P. 3642‐2 T LT 5A(2) 0

2011 20110321 0507 TAMPA BAY RADIATION ONCOLOGY, P. 3642‐3 T LT 5A(2) 0

2011 20110321 0503 FLORIDA INTERNATIONAL UNIVERSITY 3669‐1 A RN 3M(1) 0

2011 20110321 0502 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A LT 3F(3) 0

2011 20110317 0489 TREASURE COAST RADIATION ONCOLO 3966‐1 A RN 5A(2) 0

2011 20110317 0488 SPECIALISTS IN UROLOGY, P.A. 4149‐1 A RN 5A(2) 0

2011 20110315 0455 HALIFAX HOSPITAL MEDICAL CENTER 194‐3 A CS 5A(2) 0

2011 20110314 0438 SOUTH FLORIDA RADIATION ONCOLOGY 4030‐1 A EL 5A(2) 0

2011 20110314 0436 SOUTH FLORIDA RADIATION ONCOLOGY 4215‐1 A EL 5A(2) 0

2011 20110314 0427 IBA MOLECULAR NORTH AMERICA, INC. 3287‐1 A EL 3B 0

2011 20110314 0437 SURGICAL ASSOCIATES OF THE PALM BE 4094‐1 A EL 5A(2) 0

2011 20110314 0440 UNIVERSITY OF MIAMI 1319‐1 A JS 3M(2) 0

2011 20110314 0425 IRIDIUM HOLDINGS, INC. 2936‐1 A JS 5A(2) 0

2011 20110311 0421 IRIDIUM HOLDINGS, INC. 2936‐2 A LT 5A(2) 0

2011 20110311 0415WEST COAST NUCLEAR PHARMACY, L.L. 3797‐1 R EL 3B 0

Page 49: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

1/26/2015Master Control List

Page 39

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2011 20110311 0414 ORLANDO HEALTH, INC. 4203‐4 A RN 5A(2) 0

2011 20110310 0412 E.I. DU PONT DE NEMOURS AND COMP 3868‐1 A EL 3M(3) 0

2011 20110309 0407 COMMUNITY CANCER CENTER OF NORT 3449‐3 A RN 5A(2) 0

2011 20110309 0406 COMMUNITY CANCER CENTER OF NORT 3449‐2 A RN 5A(2) 0

2011 20110307 0393 UNIVERSITY OF MIAMI 1319‐3 A JS 5A(3) 0

2011 20110307 0392 RADIATION ONCOLOGY CONSULTANTS,  3897‐1 A EL 5A(2) 0

2011 20110304 0381 USCC ACQUISITION CORPORATION 3252‐4 A JS 5A(2) 7

2011 20110304 0385 USCC ACQUISITION CORPORATION 3252‐8 A JS 5A(2) 6

2011 20110304 0383 USCC ACQUISITION CORPORATION 3252‐6 A JS 5A(2) 6

2011 20110304 0384 USCC ACQUISITION CORPORATION 3252‐7 A JS 5A(2) 6

2011 20110304 0382 USCC ACQUISITION CORPORATION 3252‐5 A JS 5A(2) 7

2011 20110304 0376MEDI‐PHYSICS, INC. 2133‐1 A EL 3B 0

2011 20110303 0375MEDI‐PHYSICS, INC. 2133‐2 A EL 3B 0

2011 20110303 0373 CENTRAL FLORIDA CANCER INSTITUTE,  3900‐1 A JS 5A(2) 0

2011 20110303 0370 FOOD TECHNOLOGY SERVICES, INC. 2244‐1 A LT 3F(3) 0

2011 20110302 0361 FLORIDA INTERNATIONAL UNIVERSITY 3669‐1 A EL 3M(1) 0

2011 20110302 0363 BETHESDA MEMORIAL HOSPITAL 658‐2 A RN 5A(2) 0

2011 20110301 0342 LEESBURG COMMUNITY CANCER CENTE 3286‐1 R EL 5A(2) 0

2011 20110301 0334 JUPITER MEDICAL CENTER, INC. 1330‐2 A RN 5A(2) 0

2011 20110228 0331 PORT ST. LUCIE VENTURES, INC. 2927‐1 T JS 5A(2) 0

2011 20110225 0312 LOCKHEED MARTIN CORPORATION 3137‐2 A EL 3A 0

2011 20110225 0311 LOCKHEED MARTIN CORPORATION 3137‐1 A EL 3A 0

2011 20110225 0306 ADVENTIST HEALTH SYSTEMS/SUNBELT, 2897‐1 A JS 3M(2) 0

2011 20110223 0296 COMMUNITY CANCER CENTER OF NORT 3449‐3 A LT 5A(2) 0

2011 20110223 0295 COMMUNITY CANCER CENTER OF NORT 3449‐2 A LT 5A(2) 0

2011 20110223 0299MARTIN MEMORIAL MEDICAL CENTER, I 1215‐2 A LT 5A(2) 0

2011 20110218 0262 SOUTH MIAMI HOSPITAL, INC. 34‐3 A EL 5A(2) 0

2011 20110215 0252 AOA GULF COAST PARTNERS, LTD 2570‐1 T JS 5A(2) 12

2011 20110214 0242WATSON CLINIC LLP 2619‐1 A JS 5A(2) 0

2011 20110211 0233 TRIAD ISOTOPES, INC. 3920‐11 A EL 3B 0

1/26/2015Master Control List

Page 40

Year Control#DaContr Licensee License# Type Evalua Category Ame ICLicense

2011 20110209 0221 TRIAD ISOTOPES, INC. 3920‐4 A LT 3B 0

2011 20110207 0195 USCC ACQUISITION CORPORATION 3252‐7 A RN 5A(2) 0

2011 20110207 0190MEDI‐PHYSICS, INC. 2134‐1 R LT 3B 0

2011 20110207 0192 USCC ACQUISITION CORPORATION 3252‐4 A RN 5A(2) 0

2011 20110207 0194 USCC ACQUISITION CORPORATION 3252‐6 A RN 5A(2) 0

2011 20110207 0196 USCC ACQUISITION CORPORATION 3252‐8 A RN 5A(2) 0

2011 20110207 0197 USCC ACQUISITION CORPORATION 3252‐9 A RN 5A(2) 0

2011 20110207 0193 USCC ACQUISITION CORPORATION 3252‐5 A RN 5A(2) 0

2011 20110204 0186 ONCURE MEDICAL CORPORATION 3695‐2 A LT 5A(2) 0

2011 20110204 0185 US CANCER CARE, INC. 4049‐1 A LT 5A(2) 0

2011 20110203 0177 HALIFAX HOSPITAL MEDICAL CENTER 194‐3 A EL 5A(2) 0

2011 20110202 0168 UNIVERSITY OF MIAMI 1319‐3 A JS 5A(3) 0

2011 20110131 0151 PERMA‐FIX OF FLORIDA, INC. 2598‐1 A LT 4B 0

2011 20110131 0153 CARDINAL HEALTH 414, LLC 3469‐1 A LT 3B 0

2011 20110131 0155 CARDINAL HEALTH 414, LLC 3453‐13 A LT 3B 0

2011 20110131 0154 CARDINAL HEALTH 414, LLC 3469‐2 A LT 3B 0

2011 20110127 0141 TYCO HEALTHCARE GROUP, LP 3007‐1 A LT 3F(3) 0

2011 20110127 0138 TRIAD ISOTOPES, INC. 3920‐1 A LT 3B 0

2011 20110127 0136 CARDINAL HEALTH 414, LLC 3453‐4 A JS 3B 0

2011 20110125 0115 CARDINAL HEALTH 414, LLC 3453‐1 A EL 3B 0

2011 20110120 0084MAYO CLINIC JACKSONVILLE 1812‐3 A EL 3M(2) 0

2011 20110118 0072 21ST CENTURY ONCOLOGY, INC. 2667‐1 A KF 5A(2) 0

2011 20110118 0076WELLINGTON REGIONAL MEDICAL CENT 1813‐2 A JS 5A(2) 0

2011 20110118 0075 21st CENTURY ONCOLOGY, INC. 476‐7 A KF 5A(2) 0

2011 20110118 0074 PALMS WEST RADIATION THERAPY, LLC 3455‐1 A RN 5A(2) 0

2011 20110118 0073 21ST CENTURY ONCOLOGY, INC. 476‐8 A RN 5A(2) 0

2011 20110113 0066 21ST CENTURY ONCOLOGY, INC. 476‐4 A RN 5A(2) 0

2011 20110113 0065 UNIVERSITY OF MIAMI JACKSON MEMO 76‐13 A LT 3M(1) 0

2011 20110113 0062 JUPITER MEDICAL CENTER, INC. 1330‐2 A RN 5A(2) 0

Page 50: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

STATE SURGEON GENERAL & SECRETARY

JOHN H. ARMSTRONG, MD, FACS

FEBRUARY 2015

CHIEFCYNTHIA BECKER, MPH

DEPUTY SECRETARY FOR HEALTH

CELESTE PHILIP, MD, MPH

GOVERNORRICK SCOTT

DIVISION DIRECTORCINDY E. DICK, MBA, EFO

APPENDIX 1DEPARTMENT OF HEALTH

EMERGENCY PREPAREDNESS & COMMUNITY SUPPORT DIVISIONBUREAU OF RADIATION CONTROL

Page 51: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

DEPARTMENT OF HEALTHEMERGENCY PREPAREDNESS AND COMMUNITY SUPPORT DIVISION

BUREAU OF RADIATION CONTROL

BECKER, CYNTHIA037 021 11-9121-03 NATURAL SCIENCES MGR

037765 1.0

APPROVED:BUDGET ENTITY:EFFECTIVE DATE:FTE COUNT: 98PAGE 1 OF 6

FEBRUARY 2015

BAI, JERRY048 021 11-9121-03

NATURAL SCIENCES MGR053279 1.0

COOKSEY, JANET037 010 13-1111-04MANAGEMENT ANALYSTS040049 1.0

GLAZE, SYLVIA N.037 004 13-2011-01

ACCOUNTANTS & AUDITORS

057528 1.0

ENVIRONMENTALRADIATION LABS

WILLIAMSON, JOHN048 021 11-9121-03

NATURAL SCIENCES MGR

026047 23.0

RADIOACTIVEMATERIALS

VACANT037 021 11-9121-03

NATURAL SCIENCES MGR

031331 14.0

RADIOLOGICTECHNOLOGYFUTCH, JAMES

037 021 11-9121-03 NATURAL SCIENCES

MGR037777 5.0

X-RAY MACHINES

FORREST, YVETTE037 021 11-9121-03NATURAL SCIENCES

MGR030222 9.0

64200800

NEWBERRY, WANDA037 007 13-1111-03

MANAGEMENT ANALYSTS

055198 1.0

HOUSTON, NANSALARY037 003 43-6011-02EXEC SEC & EXEC ADMIN

ASST037774 1.0

LIEBERMAN, ERIC037 009 19-2041-03

ENV SCIENT & SPEC 057536 1.0

FIELD OPERATIONS

(5) (34.5)

PHILLIPS, DONALD M.037 020 11-9121-02NATURAL SCIENCES MGR026684 1.0

STEPHENS, MICHAEL037 012 19-2041-04

ENV SCIENT & SPEC026695 1.0

WASHINGTON, ARTESA037 003 43-6011-02EXEC SEC & EXEC ADMIN

ASST018272 1.0

ANDREWS, BRENDA037 007 13-1111-03MANAGEMENT ANALYSTS 026681 1.0

VACANT037 003 43-9061-02

OFFICE CLERK, GEN067490 0.5

STEVERSON, CATELYN048 003 43-9061-02

OFFICE CLERK, GEN037753 1.0

APPENDIX 2

Page 52: Approved by OMB Expires 12/21/16 QUESTIONNAIRE · 2015-02-25 · Approved by OMB. No. 3150-0183 . Expires 12/21/16 . INTEGRATED MATERIALS PERFORMANCE EVALUATION PROGRAM QUESTIONNAIRE

DEPARTMENT OF HEALTHEMERGENCY PREPAREDNESS AND COMMUNITY SUPPORT DIVISION

BUREAU OF RADIATION CONTROL

HAMILTON, CHARLES037 020 11-9121-02NATURAL SCIENCES MGR

053280 1.0

MAJOR, JOSEPH037 008 19-2041-02

ENV SCIENT & SPEC 037769 1.0

APPROVED:BUDGET ENTITY:EFFECTIVE DATE:FTE COUNT: 14.00PAGE 4 OF 6

GAN PREAMPLUME037 008 19-2041-02ENV SCIENT & SPEC

066405 1.0

LILES-WEYANT, STEPHANIE037 003 43-6011-02EXEC SEC & EXEC ADMIN

ASST026680 1.0

STEPHENSON, MARIE J.037 008 19-2041-02

ENV SCIENT & SPEC030906 1.0

WHITMAN, DAVID037 009 19-2041-03

ENV SCIENT & SPEC026691 1.0

NASH, ROWENA037 008 19-2041-02

ENV SCIENT & SPEC057533 1.0

SMITH, CALEB037 008 19-2041-02

ENV SCIENT & SPEC057534 1.0

WILLIAMS, SANDRA037 003 43-9061-02

OFFICE CLERK, GEN053281 1.0

RADIOACTIVE MATERIALS

VACANT037 021 11-9121-03

NATURAL SCIENCES MGR031331 1.0

64200800

POSTON, ASHLEY037 003 13-1041-01

COMPLIANCE OFFICER026473 1.0

FARMER, KIMBERLY037 003 13-1041-01COMPLIANCE OFFICER026692 1.0THOMAS, LEE

037 008 19-2041-02ENV SCIENT & SPEC

021286 1.0

MOI, KASSANDRA D.037 003 43-9061-02

OFFICE CLERK, GEN057525 1.0

FEBRUARY 2015

Appendix 3

BECKER, CINDY037 021 11-9121-03

CHIEF RAD HEALTH037765 1.0

STEPHENS, MIKE037 012 19-2041-04ENV HLTH PROG CONS

026695 1.0