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COMPLIANCE INFO_1975-2013
EnvironmentalHealth
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4500 - Medical Waste Program
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PR0450009
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COMPLIANCE INFO_1975-2013
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Last modified
12/20/2022 12:55:09 PM
Creation date
7/3/2020 10:18:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1975-2013
RECORD_ID
PR0450009
PE
4522
FACILITY_ID
FA0002562
FACILITY_NAME
Sutter Valley Hospitals dba Sutter Tracy Community Hospital
STREET_NUMBER
1420
Direction
N
STREET_NAME
TRACY
STREET_TYPE
Blvd
City
Tracy
Zip
95376
APN
233-081-01
CURRENT_STATUS
01
SITE_LOCATION
1420 N Tracy Blvd
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4522_PR0450009_1420 N TRACY_1975-2015tif
Tags
EHD - Public
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a <br />State of Califomia•Flealth and Welfare Agency <br />1 • , <br />Department of Health Services <br />Page 4 of 4 pages <br />License Number. 4097-39 <br />Amendment Number: 17 <br />23. Production or processing of radiopharmaceuticals for the purpose of commercial distribution to other licensees is not <br />authorized by this license. <br />24. For a period not to exceed 60 days in any calendar year, a visiting physician is authorized to use licensed materials <br />for human use under the terms of this license, provided the visiting physician: <br />(a) Has the prior written permission of the hospital's Administrator and its Radiation Safety Committee. <br />(b) Is specifically named as a user on a U.S. Nuclear Regulatory Commission, an Agreement State or a Licensing <br />State license authorizing human use. <br />(c) Performs only those procedures for which the physician is specifically authorized by the U.S. Nuclear <br />Regulatory Commission, an Agreement State or a Licensing State license. <br />The licensee shall maintain for inspection copies of the written permission specified in (a) above and the licensee(s) <br />specified in (b) and (c) above. These records shall be maintained for five years from the time the licensee grants its <br />permission under (a) above. <br />25. In addition to the possession limits in Item 8, the licensee shall further restrict the possession of licensed material so <br />that at no time will the total quantity of radioactive material possessed require financial surety for decommissioning <br />in accordance with the California Code of Regulations, Title 17, Section 30195.1. A value of 100 microcuries is <br />assigned to Cobalt -57 to supplement the Code of Federal Regulations, Title 10, Part 30, Appendix B. <br />26. A copy of this license and a copy of all records and documents pertaining to this license shall be maintained available <br />for inspection at 1420 North Tracy Boulevard, Tracy, CA. <br />For the <br />Date: July 18, 2000 By: <br />FoR <br />rvices <br />Branch <br />MS 178, Sacramento, CA 94234-7320 <br />
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