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x � - <br />• • <br />of California -Health and Welfare Agenc Department of Health Services <br />Page 1 of 5 pages <br />RADIOACTIVE MATERIAL LICENSE <br />Pursuant to the California Code of Regulations. Division 1, Title 17;wC-hapter 6,a' i bch;p1jrJ43,.,Qf 2, Licensing of Radioactive :laterial, and in reliance <br />on statements and representations heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive. use. possess. transfer. or <br />dispose of radioactive material listed below; and to use such radioactive material for the purpose(s) and at the place(s) designated below. This license is <br />subject to all applicable rules, regulations, and orders of the Department of Health Services now or hereafter in effect and to any standard or specific condition <br />specified in this license. <br />1. Licensee Sutter Tracy Community Hospital <br />3. License No. <br />4097-39 Amendment No: 14 <br />2. Address 1420 North Tracy Boulevard <br />4. Expiration date <br />September 15, 1997 (3) <br />Tracy, CA 95376 <br />5. inspection agency Radiologic Health Branch <br />Attention: H. Walter Pepper, M.D. <br />Radiation Safety Officer <br />Sacramento <br />In response to the letter dated November 14, 1997, signed by Dave Bowlsby, Diagnostic Imaging Clinical <br />Coordinator, with attachments; as modified by the letter dated December 18, 1997, signed by IL Walter Pepper, <br />NLD., Radiation Safety Officer, License Number 4097-39 is hereby amended as follows: <br />6. Nuclide <br />7. Form <br />8. Possession Limit <br />A. Group 1 as specified in <br />A. Any <br />A. -C. Combined possession limit for <br />Groups 1, 2 and 3 not to <br />Item 9. <br />Any radionuclide with <br />exceed 460 mCi. <br />atomic number 3-83. <br />(See Condition 34) <br />B. Group 2 as specified in <br />B. Any <br />:tem 9. <br />Any radionuclide with <br />atomic number 3-83. <br />C. Group 3 as specified in <br />C. Any <br />Item 9. <br />Excluding generators <br />Any radionuclide with <br />atomic number 3-83. <br />D. <br />D. Total not to exceed 30 mCi - <br />D. Group 4 as specified in <br />Item 9. <br />1. Strontium 89 <br />1. Any <br />2. Phosphorus 32 <br />2. Any <br />v <br />3. Iodine 131 <br />3. Capsule <br />E. Sealed or solid sources <br />E. Total not to exceed 10 mCi. <br />E. Group 9 as specified in <br />Item 9. <br />manufactured in accordance with a <br />Any radionuclide with <br />specific license issued by the <br />Each source not to exceed 10 mCi. <br />atomic number 3-83 <br />United States Nuclear Regulatory <br />inclusive, except: <br />Commission or an Agreement <br />Strontium 90 and <br />State. <br />Lead 210. <br />