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..0, State of California-Health and Welfare Agency Department of Health Services Page 5 of 9 pages RADIOACTIVE MATERIAL LICENSE License Number: 1276-39 Supplementary Sheet Amendment Number: 67 20. Except for alpha sources, the periodic leak test required by Condition 15 does not apply to sealed sources that are stored and not being used. The sources excepted from this test shall be tested for leakage prior to any use or transfer to another person unless they have been leak tested within six months prior to the date of use or transfer. 21. The licensee shall conduct a physical inventory every six months to account for all sealed sources and/or devices received and possessed under the license. Records of the inventories shall be maintained for inspection, and may be disposed of following Department inspection. 22. Treatment and management of patients receiving therapeutic quantities of unsealed radioactive materials shall be in accordance with guidance contained in Chapter 4, 'Release from Hospital of Patients Containing Radioactive Material" National Council on Radiation Protection and Measurements (NCRP) Report No. 37, "Precautions in the Management of Patients Who Have Received Therapeutic Amounts of Radionuclides" (NCRP Publications, P. O. Box 30175, Washington, D. C., 20014). 23. Treatment and management of patients undergoing brachytherapy shall be in accordance with guidance contained in Chapter 5, "Safety Precautions in Clinical Application",National Council on Radiation Protection and Measurements(NCRP)Report No. 40, Protection Against Radiation From Brachytherapy Sources(NCRP Publications, P. O. Box 30175, Washington, D.C., 20014). 24. Notwithstanding the six-month test interval requirement of Section 30275 of the California Radiation Control Regulations, medical cesium-137 sources(3M Company Models 6500 - 6507 or old Model 6D6C, and Isotope Products Model 67-800 or 67-820 series) possessed under this license may be tested for leakage and/or contamination at three-year intervals. 25. Except as otherwise specifically provided by this license, radiopharmaceuticals to be administered to humans shall be procured in prepackaged, precalibrated form from a supplier who is registered with the U. S. Food and Drug Administration, or prepared and compounded, from a prescription, in accordance with the regulations of the California Board of Pharmacy. 26. Except as otherwise specifically provided by this license, radioactive biologicals (including human serum albumin) to be administered to humans shall be procured in prepackaged, precalibrated form from a supplier who is licensed for the preparation and distribution of such products by the Division of Biologics Standards of the National Institutes of Health, or U. S. Food and Drug Administration; or prepared in accordance with the regulations of the California Board of Pharmacy. 27. Radioactive materials prepared, processed, or modified by the licensee shall not be administered to humans except as specifically authorized by this license. 28. The licensee shall elute generators and process radioactive material with reagent kits in accordance with instructions furnished by the manufacturer on the label attached to or in the leaflet or brochure that accompanies the generator or reagent kit. 29. Technetium 99m labelled pharmaceuticals prepared by the licensee by aseptic addition of pertechnetate to sterile, pyrogen free reagents may be administered to humans provided the radioassay of the final product is determined with an overall error not exceeding ten percent. When the pharmaceutical is prepared from reagents procured in the form of approved kits, the licensee must strictly follow all instructions and recommendations