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t a State of Callfornlo—Health and Welfare Agency ® Department of Health Services Page 3 of 4 Pages RADIOACTIVE MATERIAL LICENSE License Number: 5790-39 Supplementary Sheet Amendment Number: 1 16. Analytical 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 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, 744 P 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. Notwithstanding the periodic leak test required by Section 30275 (c) , any licensed sealed source is exempt from such leak tests when the source contains 100 microcuries or less of beta and/or gamma emitting material or 10 microcuries or less of alpha emitting material. 20. Except as otherwise specifically provided by this license, radioactive pharma- ceuticals 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 Acb-inistration in accordance with Section 510 of the Federal Food, Drug, and Cosmetic Act, or prepared and compounded, from a prescription, in accordance with the regulations of the California Board of Pharmacy. 21. 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, Pursuant to Part 73 of the Public Health Service Regulations, or by the Bureau of Biologics, U. S. Food and Drug Administration; or prepared in accordance with the regulations of the California Board of Pharmacy. For the State Department of Health Services Date: April 23, 1993 By: 3 Radiologic Health Branch P.O. Box 942732 Sacramento, CA 94234-7320 PH 2551(Int.)(1191)