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State of Califomia-Health and Welfare Agency Department of Health Services
<br /> Page 3 of 7 pages
<br /> RADIOACTIVE MATERIAL LICENSE License Number. 1276-39
<br /> Supplementary Sheet Amendment Number. 60
<br /> LICENSE CONDTI70NS
<br /> 10. Radioactive material shall be used only at the following locations:
<br /> (a) 1800 North California Street, Stockton, CA
<br /> 11. This license is subject to an annual fee for solaces of radioactive material authorized to be possessed at any one
<br /> time as specified in Item 8 of this license. The annual fee for this license is required by and computed in
<br /> accordance with Sections 30230-30232 of the California Radiation Control Regulations and is also subject to
<br /> an annual cost-of-living adjustment pursuant to Section 113 of the California Health and Safety Code.
<br /> 12. The individuals named below are authorized the specific uses of radioactive material described in Items 6, 7,
<br /> 8 and 9 of this license as follows:
<br /> (a) L David Bernard, MD. Groups 1, 2, 3, 4, 5, and 9
<br /> (b) T. A. Thomas, MD. Groups 1, 2, 3, 4 (I-131 only), 5, and 9
<br /> (c) Laszlo B. Fodor, MD. Groups 1, 2, 3, 4 (I-131 only), 5, and 9
<br /> (d) Javad Jamshidi, MD. Groups 1, 2, 3, 4 (I-131 only), 5 and 9
<br /> (e) Daniel W. Terry, MD. Groups 1, 2, 3, 4 (I-131 only), 5, and 9
<br /> (f) Jack L. Funamura, MD. Groups 1,2, 3, 4 (I-131 only), 5, and 9
<br /> (g) M Lousie Del Paine, MD. Groups 1, 2, 3, and 9
<br /> (h) Masanobu Kamigald, MD. Groups 1, 2, 3, and 9
<br /> (i) Lynett Hart, MD. Group 6
<br /> 0) Henry Y. T. Wong, MD. Groups 4 (P-32 only), and 6
<br /> (k) Edward C. Greenleaf, MD. Groups 4 (Strontium 89 only), 6, and 9
<br /> (1) Royce L Biddle, MD. Groups 1, 2, 3, and 9
<br /> (m) James D. Rooke, MD. Groups 4 (thyroid therapy only), and 5
<br /> (n) William L. Giese, MD. Group 6
<br /> (o) Frank S. Callcott, MD. Groups 1, 2, 3, 4, 5, and 9
<br /> (p) William N. Goner, MD. Groups 1, 2, 3, and 9
<br /> (q) Virginia Lee Toombs, MD. Groups 1, 2, 3, and 9
<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 statements, representation, and procedures
<br /> contained in the documents listed below. The Department's regulation shall govern unless the statements,
<br /> representation, and procedures in the licensee's application and correspondence are more restrictive than the
<br /> regulation.
<br /> (a) The application with attachments dated September 28, 1987, signed by Jack L. Funamura, MD.
<br /> (b) The letter with attachments dated October 6, 1988, signed by Lawrence A. Philipp.
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