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State of Califomia4iealth and Welfare Agency I;hE[oil 1 ►r, _ _ W#',"��= 13. Continued Department of Health Services Page 3 of 5 pages License Number: 4097-39 Amendment Number: 13 (c) The letter with attachments dated February 26, 1 2, signed by John Atherton and Anil Sain, NLD., relative to storage location. (d) The letter dated July 13, 1992, with attached revised package receipt procedure, signed by H. Walter Pepper, NLD.. (e) The letter with attachments dated March 13, 1995, signed by Win Howard II, Director, Diagnostic Imaging, regarding changes in policies as a result of the inspection conducted on March 1, 1995. 14. (a) The Radiation Safety Officer in this program shall be R Walter Pepper, NLD. (b) The Chairperson of the Radiation Safety Committee shall be H. Walter Pepper, NLD. (c) The Custodian of sealed sources shall be Anil K Sain, NLD. (d) The Alternate Radiation Safety Officer in this program shall be Anil K. Sain, NLD. 15. Sealed sources possessed under this license shall be tested for leakage and/or contamination as required by Title 17, California Radiation Control Regulations, Section 30275 (c). 16. Quantitative analytical assays for the purpose of tests for leakage and/or contamination of sealed sources shall be performed only by persons specifically authorized to perform that service. 17. The following individuals are authorized to collect wipe test samples of sealed sources possessed under this license using leak test kits acceptable to the California Department of Health Services: (a) The Radiation Safety Officer (b) Qualified individuals designated in writing by the Radiation Safety Officer 18. Records of leak test results shall be kept in units of microcuries and maintained for inspection. Records may be disposed of following Department inspection. Any leak test revealing the presence of 0.005 microcuries or more of removable radioactive material shall be reported to the Department of Health Services, Radiologic Health Branch, 601 N. 7th Street P.O. Box 942732, Sacramento, CA 94234-7320, within five days of the test. This report shall include a description of the defective source or device, the results of the test, and the corrective action taken. 19. Except as otherwise specifically provided by this license, radiopharmaceuticals to be administered to humans shall be procured in prepackaged, precalibrated form from a supplier who is registered with the U. S. Food and Drug Administration, or prepared and compounded, from a prescription, in accordance with the regulations of the California Board of Pharmacy. 20. Except as otherwise specifically provided by this license, radioactive biologicals (including human serum albumin) to be administered to humans shall be procured in prepackaged, precalibrated form from a supplier who is licensed for the preparation and distribution of such products by the Division of Biologics Standards of the National Institutes of Health, or U. S. Food and Drug Administration; or prepared in accordance with the regulations of the California Board of Pharmacy. r