dms health technologies; amendment request; docket 030 ...dms wishes to expedite this request as...

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Hill, Carol From: Sent: To: Subject: Attachments: Ms. Hill, Michelle White < [email protected] > Wednesday, October 28, 2015 11:37 AM Hill, Carol [External_Sender] DMS Health Technologies NRC letter change of control copy.pdf ml OCT 19 2015 M DNMS Attached is the letter for the change of control amendment request. OMS Health Technologies management has requested an expedited status for this. I would appreciate anything you can do to help me out with that request. Sincerely, Michelle White OMS Health Technologies 109 S. Petro Avenue Sioux Falls, SD 57107 605-357-2610 office 605-366-1293 cell 800-589-7451 fax Radiation Safety Officer PUBLIC Q Immediate Release Release NON-PUBLIC 0 A.3 Sensitive-Security Related 0 A.7 Sensitive Internal 0 Other:._,..,_ ____ _ /0-- 3iJ-I :S- J:rn;1il Cmliidt:nti.-di,y N0!'.c: TL .. iufcnn:1tio11 CC·i'l t'.:in, ·d i.1 ihb is <;(rn:l:.i' 1otL1l. ·ta1}' ('•!' r:·ivi:..::2cd '.ll'ld 1n:\V be · t•b} :ti<> tP;d ·r :ne bw, ;i.:.:lvdi,1; th: lk<Ji1l1 1\ct (I-HP/ /1.). Th; h ir'<:. iC 1 ;,i1•: w .• :; of 'he iw1ivida.-,l er .:.mil/ i·o who1n it a<ldr1s ff iH'<: :·.1)? 1.h,: :n" ·r·<i ... J ru::ipLn!, you 'il\' oc: ' i"LtJ ilmt J.1:. r libL il,m!on c: )pying c flih; 1:1 is !-tri;:tly .1 11z1 r,-,;;y s1ibj:.;c you to cdn:in;: 1or dv:l I!' yuu r ·: c, :i\\d Lhl. in 1: 1'i\;!', C-'J !1l;1< :l .l·;,, ... : no.:.r inmli: Ji, l.lc:i y i.-p;yi1; to f.i ... u:1 dd;::.'.) dL nl <l il . ri::J ij·o ;1 :rny COi '1f 'l 1. r 1 th58 92 20

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Page 1: DMS Health Technologies; Amendment Request; Docket 030 ...DMS wishes to expedite this request as soon 1\8 possible for completion of this transaction. If you have any questions please

Hill, Carol

From: Sent: To: Subject: Attachments:

Ms. Hill,

Michelle White < [email protected] > Wednesday, October 28, 2015 11:37 AM Hill, Carol [External_Sender] DMS Health Technologies NRC letter change of control copy.pdf

fD) fE ~ ~ ~\\§ fE ~ ml OCT 1 9 2015 M

DNMS

Attached is the letter for the change of control amendment request. OMS Health Technologies management has requested an expedited status for this. I would appreciate anything you can do to help me out with that request.

Sincerely,

Michelle White OMS Health Technologies 109 S. Petro Avenue Sioux Falls, SD 57107 605-357-2610 office 605-366-1293 cell 800-589-7451 fax Radiation Safety Officer

PUBLIC Q Immediate Release ~ormal Release

NON-PUBLIC 0 A.3 Sensitive-Security Related 0 A.7 Sensitive Internal 0 Other:._,..,_ ____ _

Revlewe~Date: /0-- 3iJ-I :S-

J:rn;1il Cmliidt:nti.-di,y N0!'.c: TL .. ~ iufcnn:1tio11 CC·i'lt'.:in,·d i.1 ihb tWNni~.~ion is <;(rn:l:.i' 1otL1l. propr~ ·ta1}' ('•!' r:·ivi:..::2cd '.ll'ld 1n:\V be · t•b} :ti<> i'fOf~:c.i::1 11 tP;d ·r :ne bw, ;i.:.:lvdi,1; th: lk<Ji1l1 I:-1:,~n·<•13c~ P~1"i:1hility :n,~ ;\c~~;.;unt;,.Lility 1\ct (I-HP/ /1.). Th; llli!"~:-1[,.:: h ir'<:. ~k,i iC1:· ;,i1•: ~ok w .• :; of 'he iw1ivida.-,l er .:.mil/ i·o who1n it i~ a<ldr1s ·~•'!. ff ~10u iH'<: :·.1)? 1.h,: :n"·r·<i ... J ru::ipLn!, you 'il\' oc: ' i"LtJ ilmt J.1:.r u~;.', libL il,m!on ~J!' c: )pying c flih; 1:1 :;~sf1£','~ is !-tri;:tly :);o'.:il;iit;~l .1 11z1 r,-,;;y s1ibj:.;c you to cdn:in;:1 or dv:l p~:1-, itie ,,, I!' yuu r·:c,:i\\d Lhl. l i'. t.':, rn i;;~:io.1 in 1: 1'i\;!', ~d •.'<l~ C-'J!1l;1<:l .l·;,, ~ ... :no.:.r inmli:Ji ,l.lc:iy t,~· i.-p;yi1;2· to f.i i~· ~'!i1'.":il ... u:1 dd;::.'.) dL nl<l il. ri::J ij·o ;1 :rny COi '1f 'l 1. r

1 th58 92 20

Page 2: DMS Health Technologies; Amendment Request; Docket 030 ...DMS wishes to expedite this request as soon 1\8 possible for completion of this transaction. If you have any questions please

d s ~ lE ~ IE ~W IE ~ ~ OCT 1 9 2015 ~

2101 North University OriYe Fetgo, NO SSl.02 ,,._t:)n.e: 701.237.9073 Toll Free: 800,437.4628

HEALTH TECHNOLOGIES

October 14, 2015

Jacqueline D. Cook, Senior Health Physicist Nuclear Materials Safety Branch B U.S. Nuclear Regulatory Commission Region IV 1600 E. Larnar Blvd. Arlington, Texas 76011-45 11

Re: Radioactive Material License 40..32477-01

Dear Ms. Cook:

DNMS Fax: 800.848.0990 www.oMSHealthTecflnolo&Jes.com

PUBLIC a Immediate Releue ~IRelea11

NON-PUBLIC C A.3 S1n11Uve-Security Related Q A.7 SeMIUve Internal QOlher:. __________ ~

Reviewer: J?,(5lcoate: (rf?-3u-f~ 7~

DMS Health Technologies ("OMS") holds the above-referenced radioactive material license with the NRC.

Project Rendezvous Acquisition Corporation, ("PRAC"), the parent company -0f OMS Health Technologies, Inc. ("OMS"). is the holder of the above-referenced r!ldioa~ve material license. PRAC owns all of the stock of OMS and Project Rendezvous Holding Corporation ("PRHC") ovms all of the stock of PRAC. The stockholders of PRHC are proposing to sell 100% of their stock ownership in PRHC to Digira.d Corporation. This stock purchase agreement was signed on October 13, 2015.

DMS wishes to expedite this request as soon 1\8 possible for completion of this transaction.

If you have any questions please do not hesitate to contact me at 605-366-1293 or [email protected].

Michelle White Radiation Safety Officer OMS Health Technologies

cc: Jeffry Keyes, Chief Financial Officer & Corporate Secretary I Digirad Corporation William Vogel. Chief Executive Officer, OMS Health Technologies Timothy Rupp, Morgan, Lewis & Beckius LLP

1 1 i:: a ga

l>.58 92 20

Page 3: DMS Health Technologies; Amendment Request; Docket 030 ...DMS wishes to expedite this request as soon 1\8 possible for completion of this transaction. If you have any questions please

DMS HEALTH TECHNOLOGIES

NRC RAM LICENSE 40-32477-01

1. Provide a complete description of the transaction (i.e., transfer of stocks or assets, or merger). Indicate whether the name bas changed and include the new name. Include the name and telephone number of a licensee contact who NRC may contact if more information is needed.

A. Description of the transaction:

Project Rendel.Yous Acquisition Corporation, ('·PRAC,.), the parent company of OMS Health Technologies, Inc. ("OMS"), is the holder of thtol ahove-rcfcrcnced radioactiv~ material license. PRAC owns all of the stock of D"1S and Project Rendezvous Holding Corporation (--PRHC') ov.ns all oftl1e

stock of PRAC. The stockholders of PRHC are proposing to sell 100% of their stock ownership in PRHC to Digirad Corporation. Digirad's official address is 1048 lndu~trial Court. Ste, E. Suwanet:. Georgia 300:24.

Please note the following concerning the stock sale:

• Thl're will be no change in DMS' corporate structure, name, or status. • Nothing on the face of OMS' current RAM license will change. • None of the.assets. business or operatinn:> of DMS itself will change in the transaction. • Ne> changes in personnel or duties are planned or expi:cted. • No changes in the orga11ization. location, facilities, equipment,. or procedures are planned or

expected. • No change in the surveillance program is planned or exp¢ctcd.

Contact information for Digirad is as follows:

Digirad Corporation Attn: Jeffiy Keyes, CFO 1048 Industrial Court. Ste. E. Suwanee, GA 30024 E-mail: jeffiy.keyesil:Migirad.com Telephone: 858-726-1445

2. l :'age

Page 4: DMS Health Technologies; Amendment Request; Docket 030 ...DMS wishes to expedite this request as soon 1\8 possible for completion of this transaction. If you have any questions please

The point of contact for the license holder DMS will not change.

B. [ X J No name change

[ ] New name of licensed organization: __ ·-~----

C. [ X ] No change in contact

[ J New contact: ·--------- ----·----·· [ ] New telephone number:

2. Describe any changes in personnel or duties that relate to the licensed program. Include training and experience for new personnel.

A. [XI No changes in personnel having control over licensed &:tivities.

[ ] Changes is personnel having control over licensed activities (e.g. officers of a corporation):

B. (X] No changes in personnel named in the license.

[ ] Changes in personnel named in the license {e.g. RSO, .'\Us) - including training, experience and responsibilities:

3. Describe, in detail, any changes in the organization, location. facilities, equipment or procedures that relate to the licensed program.

[ ] Organiation: [ ] Equipment:

[ J Location: [ ] Procedures:

[ ] Facility: (XI Not applicable (No changes)

4. Describe the status of the surveillance program (i.e., surveys, wipe tests, quality control) at the present time and the expected status at the time that control is to be transferred.

A. Description of the status of all surveillance program

All required surveillance has been performed and documented.

B. Surveillance Items & Records: calibrations, leak tests. surv~}S, inventories, and accountability requirements wi II be current at the time of transfer

[ X j Yes [ ] No (explain)

31 r.·,··e ... 6

Page 5: DMS Health Technologies; Amendment Request; Docket 030 ...DMS wishes to expedite this request as soon 1\8 possible for completion of this transaction. If you have any questions please

5. Confirm that all records concerning the safe and effective decommissioning of tbe facility will be transferred to the transferee or to NRC, as appropriate. These record~ include documentation of surveys of ambient radiation levels and fixed and/or removable contamination, including methods and sensitivity.

Records transferred to:

[ ] New licensee [ ] NRC for license tennination

[ XJ Not applicable tDMS will remain the licensee)

6. Identify any State or Federal Government licenses, registrations or authorizations already held by the transferee which are related to the same operations in which the radioactive material will be used.

Radioactive Material License held by Oigirad Corporation:

Ucense WCATION uaNSETVPE ecatratl~ ~~rnent# -PA-0846 PA MOBILE 11/30/2015 51

1

AAD110003-449S05 NJ --- MOBILE 4/30/2019 NRC 10.29283-02 IN/Ml/Cf MOBiLE -........ 4/30/2018 MO-CS-107-01 GLEN BURNIE,MO MOBILE 12/31/2015 l8 3176'1 FL-VAN107 MOBILE 2/29/2016 S4 1621-1 Lagrange, GA iMOBJLE 036-1014-3 CHARLOTIE, NC MOBILE 8/31/2016 86 -092-10144 APEX, NC -· MOBILE 8/3112016 118 2220990002 OIL MOBILE sn.12016 41 929 HILTON HEAD SC -- MOBILE 4/30/2022 15 R-Pl007-B19 CHAlTANOOGA,TN MOBILE . 2128/2019 18 3116-4 fl-VAN83 MOBILE 8/31/2016 52 317&.3 FL-VAN84 MOBILE 2/23/2016 52 IL-02163-01 TINLEY PARK, IL -· MOBILE 5/31/2017 30 44-0362 WOBURN MA MOBILE 10/31/2017 25 1529-3 NORCROSS GA MOBILE W30/201s 38 074-1014-6 GREENVILLE, NC MOBILE 1/7/2016 14 -830-076-l VA MOBILE 6{'!2/.2018 29 L05414 HOUSTON/DALI.A<;, TX MOBILE 8/31/2021 38 1511 BIRMINGHAM.AL MOBIL~ 5/31/2019 27 3176-2 FL-VAN ·- ...... - MOBILE 2/29/2016 54 3176-12 FL-VAN .. _,,_ ,.. . MOBILE 2/29/2020 44 7006-01 HAYWARD, CA MOBlLE 12/7/2025 69 6941-36 California MOBILE 7/27/2011 70 -·

4 I 1 g e

lh58 92 2 0

Page 6: DMS Health Technologies; Amendment Request; Docket 030 ...DMS wishes to expedite this request as soon 1\8 possible for completion of this transaction. If you have any questions please

--:. -:----------..-.... ---~.·-:-- ... ~---. ~---·--:-,: ----,,...--~---------::---1 7. Comfirm that the tramteree will abide by all eonstrainu, eon41dons, M£11il'emenu and

coma1im~en1s of tbe traMferor or ti.lat the transferee wiJl S!Jbmit a complete desc:ripdon of d!Je proposed lleemed program.

[ ] Description of prop(ISed licensed program attachQd

OR

Dlg!rad Corpgratiog will abide by aU constraints, conditions,

(ll'IBStORO)

requirements and commitments of frojec;t: Rendezvous ~cqul!dlion Co9'°ifUP.P..!

(lrall$fefol)

0A~·- ·~ :-------

I ;(_ I'"' •

dlltc

OR

[ l Not applicable (name ehange only)

Certifying Officer - Signature Date

Certifying Officer - Typed na.ne and title

SI Page

Page 7: DMS Health Technologies; Amendment Request; Docket 030 ...DMS wishes to expedite this request as soon 1\8 possible for completion of this transaction. If you have any questions please

Digirad lmasing Solutions, Inc.

1048 Industrial Court, Ste. E

Suwanee, GA 30024

CCorp

33--0919092

Telerhythmi!:S, LLC

1048 Industrial Court, Ste. E

Suwanee, GA 30024

62-1680840

Dlglrad Corporation

104S lndu®'lal court, Ste. E

Suw1mee, GA 30024

CCorp

33-0145723

MD Office Solutions .

1048 Industrial Court, Ste. E Suwanee, GA 30024

CCorp

94-3463544

Project Rendezvous Holding Corporation

1048 Industrial Court, Ste. E Suwanee, GA 30024

CCorp

45-4507876

Pro~ Rendezvous Acquisition corporation

1048 Industrial Court, Ste. E

Suwanee, GA 30024

CCorp

45-4623146

OMS Health Technologies, Inc.

1048 lndustrlal Court, Ste. E

Suwanee, GA 30024

CCorp 45-0314852

OMS Imaging. Im;.

1048 lndustiial Court, Ste. E

Suwanee, GA30024

CCorp.

45-0386364

OMS. Health Technologies-canada, ln.c.

1048 Industrial Court, Ste. E

Suwanee, GA 30024

ccorp 27-<1722481

Page 8: DMS Health Technologies; Amendment Request; Docket 030 ...DMS wishes to expedite this request as soon 1\8 possible for completion of this transaction. If you have any questions please

NRC FORM532 U.S. NUCLEAR REGULATORY COMMISSION (1-2012)

DATE

10/29/2015

NAME AND ADDRESS OF APPLICANT AND/OR LICENSEE LICENSE NUMBER

Ms. Michelle White, Radiation Safety Officer DMS Health Technologies I 09 South Petro A venue Sioux Falls, SD 57107

This is to acknowledge the receipt of your:

[{]LETTER and/or [{]APPLICATION

40-32477-01

MAIL CONTROL NUMBER

589220

LICENSING AND/OR TECHNICAL REVIEWER

CH

DATED: 10/14/2015

The initial processing, which included an administrative review, has been performed.

[{] AMENDMENT D TERMINATION D NEW LICENSE D RENEWAL

D D

There were no administrative omissions identified during our initial review.

This is to acknowledge receipt of your application for renewal of the material(s) license identified above. Your application is deemed timely filed, and accordingly, the license will not expire until final action has been taken by this office.

D Your application for a new NRC license did not include your taxpayer identification number. Please fill out NRC Form 531, located at the following link:

http://www.nrc.gov/reading-rm/doc-collections/forms/nrc531.pdf

Send the completed NRC Form 531, by facsimile, to the following number: (301) 415-5387

A copy of your action has been emailed to our License Fee and Accounts Receivable Branch, in our Headquarters office in Rockville, MD. You will be contacted separately if there is a fee issue involved.

Your application has been assigned the above listed MAIL CONTROL NUMBER. When calling to inquire about this action, please refer to this control number. Your application has been forwarded to a technical reviewer. Please note that the technical review, which is normally completed within 180 days for a renewal application (90 days for all other requests), may identify additional omissions or require additional information. If you have any questions concerning the processing of your application, our contact information is listed below:

Region IV U.S. Nuclear Regulatory Commission DNMS/NMSB - B 1600 E. Lamar Boulevard Arlington, TX 76011-4511 (817) 200-1103 or (817) 200-1140

Page 9: DMS Health Technologies; Amendment Request; Docket 030 ...DMS wishes to expedite this request as soon 1\8 possible for completion of this transaction. If you have any questions please

BETWEEN:

Accounts Receivable/Payable

and

Regional Licensing Branches

[ FOR ARPS USE ]

INFORMATION FROM WBL

Program Code: 02220 Status Code: Pending Amendment

Fee Category: 7C Exp. Date: 12/31/2011

Fee Comments:

Decom Fin Assur Reqd: N

License Fee Worksheet - License Fee Transmittal

A. REGION

1. APPLICATION ATTACHED Applicant/Licensee:

Received Date: Docket Number:

Mail Control Number: License Number:

Action Type:

2. FEE ATTACHED

Amount:

Check No.:

3. COMMENTS

OMS HEALTH TECHNOLOGIES

10/19/2015 3036404 589220 40-32477-01

Amendment

Signed:

Date:

B. LICENSE FEE MANAGEMENT BRANCH (Check when milestone 03 is entered I I

1. Fee Category and Amount:

2. Correct Fee Paid. Application may be processed for:

Amendment:

Renewal:

License:

Signed:

Date: