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State of Colifornio—Health and Welfare Agency ® Department of Health Services <br />Page 5 of 6Poges <br />RADIOACTIVE MATERIAL LICENSE License Number: 4097-39 <br />Supplementary Sheet Amendment Number: 10 <br />18. Records of leak test results shall be kept in units of microcuries and <br />maintained for inspection. Records may be disposed of following Department <br />inspection. Any leak test revealing the presence of 0.005 microcuries or more <br />of removable radioactive material shall be reported to the Department of Health <br />Services, Radiologic Health Branch, 744 P Street, P.O. Box 942732, Sacramento, <br />CA 94234-7320, within five days of the test. This report shall include a <br />description of the defective source or device, the results of the test, and the <br />corrective' action taken. <br />19. Except. as otherwise specifically provided by this license, radioactive pharma- <br />ceuticals to be administered to humans shall be procured in prepackaged, <br />precalibrated form from a supplier who is registered with the U.S. Food and Drug <br />Administration in accordance with Section 510 of the Federal Food, Drug, and <br />Cosmetic Act, or licensed as a radiopharmacy with the California Board of <br />Pharmacy, and who guarantees the pharmaceutical quality of each product. <br />20. Except as otherwise specifically provided by this license, radioactive <br />biologicals (including human serum albumin) to be administered to humans shall <br />be procured in prepackaged, precalibrated form from a supplier who is licensed <br />for the preparation and distribution of such products by the Division of <br />Biologics Standards of the National Institutes of Health, Pursuant to Part 73 of <br />the Public Health Service Regulations, or by the Bureau of Biologics, U.S. Food <br />and Drug Administration, or from a radiopharmacy licensed with the California <br />Board of Pharmacy. <br />21. Radioactive materials prepared, processed, or modified by'the licensee shall not <br />be administered to humans except as specifically authorized by this license. <br />22. Where users or their assistants are engaged in elution of Technetium 99m <br />pertechnetate from generators /or preparation of labelled pharmaceuticals <br />from kits, the exposures to the fingers or hands of these individuals shall be <br />monitored, using appropriate dosimeters. <br />23. Technetium -99m labelled pharmaceuticals prepared by the licensee 'by aseptic <br />addition of pertechnetate to sterile, pyrogen -free reagents procured in the form <br />of kits which have been approved by the Department, may be administered to <br />humans provided all instructions and recommendations contained in the <br />manufacturer's package insert information are strictly followed, and provided <br />the radioassay of the final product is determined with an overall error not <br />exceeding ten percent. <br />24. counting equipment for radiometric assay of pharmaceuticals, body fluids, <br />excreta, or in vitro assay samples shall be calibrated and tested sufficiently <br />often to ensure the medical validity and reliability of data obtained. The <br />stability of the equipment shall be checked at least once on each day of use, <br />using appropriate standards or reference sources. <br />For the State Department of Health Services <br />February 3, 1994 <br />Date: By: <br />Radiologic Health Branch <br />P.O. Box 942732 <br />Sacramento, CA 94234-7320 <br />RH 2551 (Int.) (1/91) <br />