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COMPLIANCE INFO_1980-2010
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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FAIRMONT
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4500 - Medical Waste Program
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PR0450003
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COMPLIANCE INFO_1980-2010
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Entry Properties
Last modified
2/25/2026 2:54:44 PM
Creation date
7/3/2020 10:17:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1980-2010
RECORD_ID
PR0450003
PE
4522 - ACUTE CARE FACILITY
FACILITY_ID
FA0000513
FACILITY_NAME
LODI MEMORIAL HOSPITAL
STREET_NUMBER
975
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03107039
CURRENT_STATUS
Active, billable
SITE_LOCATION
975 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4522_PR0450003_975 S FAIRMONT_1980-2010.tif
Site Address
975 S FAIRMONT AVE LODI 95240
Tags
EHD - Public
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State of California and Welfare Agency <br />gra r., <br />Departimrrt of Health Services <br />Page of •.r- <br />.- r- <br />• - ,w- <br />6. Nuclide <br />7. Form <br />8. Possession Limit <br />E. Group 6 as specified in <br />E. <br />E. <br />Item 9. <br />1. Cesium 137 <br />1. Sealed sources <br />1. Total 300 mCi, in 6 <br />sources, no single <br />source to exceed 75 <br />MG. <br />2. Radium 226 <br />2. Sealed sources <br />2. Total 100 mg, in 6 <br />sources, no single <br />source to exceed 25 <br />Mg. <br />3. Iodine 125 <br />3. Seeds <br />3. 100 mCi <br />4. Palladium 103 <br />4. Seeds <br />4. 500 mCi <br />5. Strontium 90 <br />5. Applicator <br />5. Total 50 mCi, in 1 <br />source, no single= <br />source to exceed 50 <br />mCi. <br />F. Group 9 as specified in <br />F. Sealed or solid sources <br />F. Total not to exceed 25 mCi. <br />Item 9. <br />manufactured in accordance <br />Each radionuclide not to <br />Any radionuclide with <br />with a specific license <br />exceed 15 mCi. <br />atomic number 3-83 <br />issued by the United States <br />inclusive, except: <br />Nuclear Regulatory <br />Strontium 90 and <br />Commission or an <br />Lead 210 <br />Agreement State. <br />9. Authorized Use <br />To be used for nuclear medicine procedures as specified in groups below. <br />A. Group 1 Diagnostic studies involving measurement of uptake, dilution, or excretion but not <br />involving imaging. <br />B. Group 2 Diagnostic studies involving imaging including the use of Xenon 127 and/or Xenon 133 <br />tom• <br />C. Group 3 Reagent kits utilizing bulk technetium prepared by a radiopharmacy for preparation of <br />radiopharmaceuticals listed in Group 2. <br />D. Group 4 Internal therapy not usually requiring hospitalization. <br />
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