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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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4 <br />State of Califomia-Health and Welfare Agency <br />Deparhmnt of Health Services <br />Page 5 of 5 pages <br />License Number: 4097-39 <br />Amendment Number: 13 <br />32. This license does not authorize distribution to persons licensed pursuant to Title 17, California Code of <br />Regulations, Section 30195 (a) and (b) or equivalent provisions of the U.S. Nuclear Regulatory Commission <br />or Agreement States. <br />33. For a period not to exceed 60 days in any calendar year, a visiting physician is authorized to use licensed <br />materials 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 an U.S. Nuclear Regulatory Commission or Agreement State license <br />authorizing human use. <br />(c) Performs only those procedures for which the physician is specifically authorized by the U.S. Nuclear <br />Regulatory Commission or Agreement State license. <br />The licensee shall maintain for inspection copies of the written permission specified in (a) above and the <br />license(s) specified in (b) and (c) above. These records shall be maintained for five years from the time the <br />licensee grants its permission under (a) above. <br />34. In addition to the possession limits in Item 8, the licensee shall further restrict the possession of licensed <br />material so that at no time is a quantity of radioactive matedal possessed in excess of a quantity which requires <br />decommissioning funding in accordance with True 17, California Code of Regulations, Section 30195.1 and <br />a value of 100 microcuries is assigned to Cobalt -57 to supplement Title 10, Code of Federal Regulations, Part <br />30, Appendix B. <br />35. A copy of this license and a copy of all records and documents pertaining to this license shall be maintained <br />available for inspection at 1420 North Tracy Boulevard, Tracy, CA. <br />For the State DeDartnmnt of <br />Services <br />RadioTogic Health Branch <br />P.O. Box 942732, Sacramento, CA 942347320 <br />
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