105 CMR 120.124
Filing Application for Specific Licenses
(A) Applications for specific licenses shall be filed in duplicate on form MRCP 120.100-4 as
prescribed by the Agency.
(B) The Agency may at any time after the filing of the original application, and before the
expiration of the license, require further statements in order to enable the Agency to determine
whether the application should be granted or denied or whether a license should be modified or
revoked.
(C) Each application shall be signed by the applicant or licensee or a person duly authorized to
act for and on his or her behalf.
(D) An application for a license may include a request for a license authorizing one or more
activities. The Agency will not grant the request if the proposed activities are not under the
control of the same facility, administrator and radiation safety officer. In addition, when
evaluating the request, the Agency will consider complexity, similarity and proximity of the
proposed activities.
(E) In the application, the applicant may incorporate by reference information contained in
previous applications, statements, or reports filed with the Agency provided such references are
clear and specific.
(F) Applications and documents submitted to the Agency may be made available for public
inspection except that the Agency may withhold any document or part thereof from public
inspection if disclosure of its content is not required in the public interest and would adversely
affect the interest of a person concerned.
(G)(1) Except as provided in 105 CMR 120.124(G)(2), (3), and (4), an application for a
specific license to authorize receipt, possession or use of radioactive material in the form of
a sealed source or in a device that contains a sealed source shall either:
(a) identify the sealed source or device that contains a sealed source by manufacturer
and model number as registered with the Agency under 105 CMR 120.128(N), with the
NRC or an Agreement State, or for a source or a device containing radium-226 or
accelerator-produced radioactive material with a State under provisions comparable to
105 CMR 120.128(N); or
(b) contain the information identified in 105 CMR 120.128(N)(3).
(2) for sources or devices manufactured prior to October 23, 2012 that are not registered
with the Agency under 105 CMR 120.128(N) or with the NRC or an Agreement State, and
for which the applicant is unable to provide all categories of information specified in
105 CMR 120.128(N)(3), the applicant must provide:
(a) All available information identified in 105 CMR 120.128(N)(3) concerning the
source, and, if applicable, the device; and
(b) Sufficient additional information to demonstrate that there is reasonable assurance
that the radiation safety properties of the source or device are adequate to protect health
and minimize danger to life and property. Such information must include a description
of the source or device, a description of radiation safety features, the intended use and
associated operating experience, and the results of a recent leak test.
(3) For sealed sources and devices allowed to be distributed without registration of safety
information in accordance with 105 CMR 120.128(N)(7)(a), the applicant may supply only
the manufacturer, model number, and radionuclide and quantity.
(4) If it is not feasible to identify each sealed source and device individually, the applicant
may propose constraints on the number and type of sealed sources and devices to be used and
the conditions under which they will be used, in lieu of identifying each sealed source and
device.