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../ <br /> State of California-Health and Welfare Agency Department of Health Services <br /> Page 5 of 8 pages <br /> RADIOACTIVE MATERIAL LICENSE License Number. 1276-39 <br /> Supplementary Sheet Amendment Number 59 <br /> 13. Except as specifically provided otherwise by this license, the licensee shall possess and use radioactive <br /> material described in Items 6, 7, 8 and 9 of this license in accordance with statements, representations, and <br /> procedures contained in the documents listed below. The Department's regulations shall govern unless the <br /> statements, representations, and procedures in the licensee's application and correspondence are more <br /> restrictive than the 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. Funamura, M.D. <br /> (d) The letter dated February 21, 1989, and the letter with attachments dated February 22, 1989, both <br /> signed by Jack L. Funamura, M.D. <br /> (e) Thq 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 /> 14. (a) The Radiation Safety Officer in this program shall be Jack Funamura, M.D. <br /> (b) The Chairperson of the Radiation Safety Committee shall be Jack L. Funamura, M.D. <br /> (c) The Custodian of sealed sources shall be Jack L. Funamura, M.D. <br /> 15. Sealed sources possessed under this license shall be tested for leakage and/or contamination as required by <br /> Section 30275 (c) of the California Radiation Control Regulations. <br /> 16. Quantitative analytical assays for the purpose of tests for leakage and/or contamination of sealed sources shall <br /> be performed only by persons specifically authorized to perform that service. <br /> 17. The following individuals are authorized to collect wipe test samples of sealed sources possessed under this <br /> license using leak test kits acceptable to the California Department of Health Services: <br /> (a) The Radiation Safety Officer <br /> (b) Qualified individuals designated in writing by the Radiation Safety Officer <br />