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State of California-Health and Welfare Ager Department of Health Services
<br /> Page 3 of 7 pages
<br /> RADIOACTIVE MATERIAL LICENSE LimnseNumber. 1276-39
<br /> Amendment Number 70
<br /> 12. The individuals named below are authorized the specific uses of radioactive material described in Items 6, 7, 8, and 9
<br /> of this license as follows:
<br /> (a) J. David Bernard, M.D. Groups 1, 2, 3, 4, 5 and 9
<br /> (b) Laszlo B. Fodor,M.D. Groups 1, 2, 3, (4 and 5, I-131 only)and 9
<br /> (c) Daniel W. Terry, M.D. Groups 1, 2, 3,(4 and 5, 1-131 only)and 9
<br /> (d) Jack L. Funamura, M.D. Groups I, 2,3,(4 and 5, 1-131 only)and 9
<br /> (e) M. Lousie Del Paine,M.D. Groups 1, 2, 3 and 9
<br /> (f) Masanobu Kamigaki, M.D. Groups 1,2, 3 and 9
<br /> (g) Lynett Hart, M.D. Group 6
<br /> (h) Henry Y. T. Wong,M.D. Groups 4 (P-32 and Sr-89 only)and 6
<br /> (i) Edward C. Greenleaf,M.D. Groups 4(Sr-89 only), 6 and 9
<br /> 0) Royce J. Biddle,M.D. Groups 1, 2, 3 and 9
<br /> (k) James D. Rooke, M.D. Groups (4 and 5, I-131 only)
<br /> (1) Frank S. Callcott, M.D. Groups 1, 2, 3,4, 5 and 9
<br /> (m) William N. Gonser,M.D. Groups 1,2, 3 and 9
<br /> (n) Ramesh N. Dharawat, M.D. Groups 2(Cardiac studies only)and 9
<br /> (o) Thomas M. Bey, M.D. Groups 1,2, 3 and 9
<br /> (p) Jiun-Der Chern,M.S. Group 9(Physical measurements only)
<br /> 13. Except as specifically provided otherwise by this license, the licensee shall possess and use radioactive material
<br /> described in Items 6, 7, 8 and 9 of this license in accordance with the statements, representations, and procedures
<br /> contained in the documents listed below. The Department's regulations shall govern unless the statements,
<br /> representations, and procedures in the licensee's application and correspondence are more restrictive than the
<br /> regulations.
<br /> (a) The application, with attachments, dated September 28, 1987, signed by Jack L. Funamura, M.D.
<br /> (b) The letter, with attachments, dated October 6, 1988,signed by Lawrence A. Philipp.
<br /> (c) The letter, with attachments, dated November 18, 1988, signed'by'Jack L.'FunamurkM.D.
<br /> (d) The letter dated February 21, 1989, and the letter, with attachments, dated February 22, 1989, both signed by
<br /> Jack L.Funamura, M.D.
<br /> (e) The letters dated April 19, 1989 and May 18, 1989, both signed by Richard A. Seidler, Vice President.
<br /> (f) The letter dated August 4, 1989,signed by Jack L. Funamura, M.D.
<br /> (g) The letter dated March 9, 1992, with attached survey procedure and diagram, signed by Jeffrey L. Hall.
<br /> (h) The letters dated April 1, 1996, May 21, 1996, and June 5, 1996, all signed by Maria Chan, Ph.D., Radiation
<br /> Safety Officer,regarding the request for use of a Strontium-90 applicator and the associated procedures.
<br /> (i) The letter dated April 1, 1996, signed by Maria Chan, Ph.D., Radiation Safety Officer, regarding the addition of
<br /> Iodine-125 seeds and the associated procedures for use and storage of the seeds.
<br /> (j) The letter dated April 3, 1997, as supplemented by the letter, with attachments, dated July 8, 1997, both signed
<br /> by Maria Chan, Ph.D., Radiation Safety Officer, regarding radiolocalization procedures.
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