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RADIOACTIVE MATERIALS LICENSE DISCIPLINE CODE & FEE SCHEDULE 902 KAR 100:012. Fee schedule. http://www.lrc.state.ky.us/kar/902/100/012.htm

DISCIPLINE CODE REVISED FEES (LAST 2 DIGITS EFFECTIVE OF LICENSE) LICENSE DESCRIPTION 7/1/15 AMENDMENTS TO ANY EXISTING SPECIFIC LICENSE $200 02 NUCLEAR WASTE COLLECTOR $1,250 03 MAINTENANCE OF NUCLEAR BURIAL FACILITY $1,250 04 RESEARCH AND DEVELOPMENT (NON-HUMAN) $1,250 05 INDUSTRIAL RADIOGRAPHY $4,000 06 INDUSTRIAL RADIOGRAPHY WITH RADIUM $4,000 07 NUCLEAR LAUNDRY $7,500 08 RESEARCH & DEVELOPMENT (HUMAN USE) $1,250 22 BROAD SCOPE MEDICAL $7,500 23 INVITRO TESTING & CLINICAL LABORATORY $1,250 24 – DIAGNOSTIC IMAGING ONLY $2,100 25 NUCLEAR MEDICINE – DIAGNOSTIC IMAGING & RADIOPHARMACEUTICAL $2,100 26 NUCLEAR MEDICINE – DIAGNOSTIC IMAGING, RADIOPHARMACEUTICAL $2,700 THERAPY & PERMANENT IMPLANT THERAPY 27 NUCLEAR MEDICINE – TEMPORARY IMPLANT THERAPY (HDR) $1,500 28 DIAGNOSTIC MEDICAL DEVICES $1,250 29 MOBILE NUCLEAR MEDICINE - DIAGNOSTIC IMAGING LABORATORY $2,500 30 OTHER HUMAN USE (PATHOLOGY) $1,250 31 TELETHERAPY AND GAMMA STEREOTATIC $4,000 32 RADIOPHARMACY $5,200 33 VETERINARY USE $2,100 40 WELL LOGGER $2,500 41 WELL LOGGER WITH TRACERS $2,500 50 GAS CHROMATOGRAPHS $1,100 51 PORTABLE INDUSTRIAL MOISTURE/DENSITY GAUGE $1,300 52 PORTABLE INDUSTRIAL MOISTURE/DENSITY GAUGE WITH RADIUM $1,300 53 LEAK TESTING $1,200 54 INSTRUMENT CALIBRATION $1,200 55 INSTRUMENT CALIBRATION WITH RADIUM $1,200 56 MILLICURIAGE INDUSTRIAL GAUGING DEVICES (LEVEL/DENSITY) $1,100 57 CURIAGE INDUSTRIAL GAUGING DEVICES (LEVEL/DENSITY) $1,100 58 PORTABLE X-RAY FLUORESCENCE ANALYZER $1,300 59 OTHER PORTABLE INDUSTRIAL GAUGING & ANALYTICAL DEVICES $1,300 60 SERVICE PROVIDER $1,200 61 SEALED SOURCE SERVICING (> 100 CI) $1,200 62 INDUSTRIAL DIAGNOSTIC SYSTEMS $1,200 63 WASTE DISPOSAL SERVICE PREPACKAGED - PICKUP AT CUSTOMER FACILITY $1,200 INCIDENT TO TRANSFER OR STORAGE (NO PERMANENT FACILITY). 70 BROAD SCOPE ACADEMIC $3,500 71 BROAD SCOPE ACADEMIC WITH RADIUM $3,500 72 BROAD SCOPE ACADEMIC TYPE A $3,500 1 RADIOACTIVE MATERIALS LICENSE DISCIPLINE CODE & FEE SCHEDULE 902 KAR 100:012. Fee schedule. http://www.lrc.state.ky.us/kar/902/100/012.htm

DISCIPLINE CODE REVISED FEES (LAST 2 DIGITS EFFECTIVE OF LICENSE) LICENSE DESCRIPTION 7/1/15 73 BROAD SCOPE ACADEMIC TYPE B $3,500 74 BROAD SCOPE ACADEMIC TYPE C $3,500 81 ENVIRONMENTAL LABORATORY $1,250 82 STATE LABORATORY $1,250 83 UNIVERSITY $1,250 84 COLLEGE $1,250 85 PRIVATE LABORATORY $1,250 91 STORAGE ONLY $1,250 92 INDUSTRY USE IN PROCESSING $3,600 93 MANUFACTURING, PROCESSING OR DISTRIBUTION OF MEDICAL IN VITRO AND $3,600 IN VIVO KITS 94, 95 MANUFACTURING, PROCESSING OR DISTRIBUTION OF INDUSTRIAL GAUGING $4,500 DEVICES 90 OTHER MANUFACTURING, PROCESSING & DISTRIBUTION $3,600 96 GAMMA IRRADIATOR (SELF-CONTAINED, <10 CURIES) $1,750 97 GAMMA IRRADIATOR (SELF-CONTAINED, >10 CURIES) $1,750 98 GAMMA IRRADIATOR (UNSHIELDED) $4,200 301 GENERAL LICENSE – IN VITRO $1,250 302 GENERAL LICENSE – IN VIVO $1,250 410 GENERAL LICENSE – FIXED & PORTABLE GAUGING DEVICES $300 PER DEVICE NOT TO EXCEED $1,200 PER USE LOCATION 420 GENERAL LICENSE – ANALYTICAL & GAS CHROMATOGRAPHY $300 PER DEVICE NOT TO EXCEED $1,200 PER USE LOCATION 430 GENERAL LICENSE – STATIC ELIMINATORS $300 PER DEVICE NOT TO EXCEED $1,200 PER USE LOCATION 440 GENERAL LICENSE - EXIT SIGNS NO FEE 209 RECIPROCAL RECOGNITION - NON-MEDICAL USE ONLY SAME AS IN- (MEDICAL RECIPROCITY NOT PERMITTED) STATE FEE REVIEW OF APPLICATION FOR NEW OR CUSTOM SEALED SOURCE OR DEVICE $4,600 REVIEW OF AMENDMENT TO EXISTING SEALED SOURCE OR DEVICE $1,500

2 RADIOACTIVE MATERIALS LICENSE DISCIPLINE CODE & FEE SCHEDULE 902 KAR 100:012. Fee schedule. http://www.lrc.state.ky.us/kar/902/100/012.htm

DISCIPLINE CODE REVISED FEES (LAST 2 DIGITS OF EFFECTIVE LICENSE) LICENSE DESCRIPTION 7/1/15 15 BYPRODUCT, SOURCE, OR SPECIAL LICENSE OR OTHER $7,500 LICENSE AUTHORIZING DECOMMISSIONING, DECONTAMINATION, RECLAMATION, OR SITE RESTORATION 16 LICENSE SPECIFICALLY AUTHORIZING THE RECEIPT OF PREPACKAGED $10,000 BYPRODUCT, SOURCE MATERIAL, OR FROM OTHER PERSONS. THE LICENSE AUTHORIZES THE DISPOSAL OF THE MATERIAL BY TRANSFER TO A PERSON AUTHORIZED TO RECEIVE OR DISPOSE OF THE MATERIAL 17 LICENSE SPECIFICALLY AUTHORIZING THE RECEIPT OF WASTE BYPRODUCT $25,000 MATERIAL, SOURCE MATERIAL, OR SPECIAL NUCLEAR MATERIAL FROM A PERSON FOR THE PURPOSE OF STORAGE, TREATMENT, AND PACKAGING FOR TRANSFER TO A PERSON AUTHORIZED TO RECEIVE OR DISPOSE OF RADIOACTIVE MATERIAL ESCORTS OF SHIPMENTS OF RADIOACTIVE MATERIAL, SPENT , FULL COST TRANSURANIC WASTE, , AND OTHER RADIOACTIVE REIMBURSEM MATERIAL OR WASTE THROUGH THE COMMONWEALTH OF KENTUCKY ENT WITHIN THIRTY (30) DAYS OF RECEIPT OF THE INVOICE Renewals of existing specific and general licenses can be made in the form of a check or money order made payable to the Kentucky State Treasurer and mailed to the address below. Renewal of existing licenses can also be made on-line with the invoice number and a valid credit card at the ePayment website (see https://prd.chfs.ky.gov/rad_epay). New specific license application fees and fees for amendments to existing specific licenses must be made by check or money order made payable to the Kentucky State Treasurer and mailed to the address below. No invoice is generated for new specific licenses or amendments to existing specific licenses therefore use of the Radiation ePayment website is not available. Mail checks and money orders to: KENTUCKY RADIATION HEALTH BRANCH 275 EAST MAIN STREET MAILSTOP HS1C-A FRANKFORT, KY 40621 Certain specific licensees and general licenses may be eligible for a Small Business Entity reduction in annual license renewal fees if approved by the Radiation Health Branch. A completed copy of the KYDPH Form RPS-526, Small Entity Certification must be submitted to the address above along with proper payment prior to the expiration date of the license for review and approval. The Form RPS-526 can be found in the “Forms and Guides” section of the Radioactive Materials Section website at http://www.chfs.ky.gov/dph/radioactive.htm 3