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COMPLIANCE INFO_1975-2013
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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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State of Cali'lomia-Health and Welfare Agency <br />.f <br />Department of Health Sermces <br />Page 1 of 5 pages <br />Pursuant to the California Code of Regulations, Division 1, Title 17, Chapter 5, Subchapter 4, Group 2, Licensing of Radioactive Material, and in reliance on <br />statements and representations heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, use, possess, transfer, or dispose of <br />radioactive material listed below; and to use such radioactive material for the purpose(s) and at the place(s) designated below. This license is subject to all <br />applicable rules, regulations, and orders of the Department of Health Services now or hereafter in effect and to any standard or specific condition specified in this <br />license. <br />1. Licensee Tracy Community Hospital 3. license No. <br />4097-39 Amendment A/c. - <br />2. <br />/c.2• Address 1420 North Tracy Boulevard 4. Expiration date <br />Tracy, CA 95376 September 15, 1997 (3) <br />Attention H. Walter Pepper, NLD. 5. Inspection agency Radiologic Health Branch <br />Radiation Safety Officer Sacramento <br />License Number 4097-39 is hereby amended in its entirety. <br />6. <br />Nuclide <br />7. <br />Form <br />8. Possession Limit <br />A. <br />Group 1 as specified in <br />A. <br />Any <br />A. -C. Combined possession limit for <br />Item 9. <br />Groups 1, 2 and 3 not to <br />exceed 80 mCi. <br />Any radionuclide with <br />atomic number 3-83. <br />B. Group 2 as specified in <br />B. Any <br />Item 9. <br />Any radionuclide with <br />atomic number 3-83. <br />t <br />C. Group 3 as specified in <br />C. Any <br />Item 9. <br />Excluding generators <br />' 1995 <br />CNV <br />Any radionuclide with <br />EIVL <br />PRA lys RVCSS <br />I <br />atomic number 3-83. <br />ES <br />D. <br />Group 4 as specified in <br />D. <br />D. Total not to exceed 20 mCi. <br />Item 9. <br />1. Strontium 89 <br />1. Any <br />2. Phosphorus 32 <br />2. Any <br />3. Iodine 131 <br />3. Capsule <br />9 <br />
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