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COMPLIANCE INFO_2004-2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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Y
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YOSEMITE
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1777
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4500 - Medical Waste Program
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PR0450109
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COMPLIANCE INFO_2004-2020
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Entry Properties
Last modified
11/8/2024 3:08:48 PM
Creation date
7/3/2020 10:18:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004-2020
RECORD_ID
PR0450109
PE
4522 - ACUTE CARE FACILITY
FACILITY_ID
FA0003978
FACILITY_NAME
KAISER FOUNDATION - MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20018034
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4522_PR0450109_1777 W YOSEMITE_.tif
Site Address
1777 W YOSEMITE AVE MANTECA 95337
Tags
EHD - Public
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e <br /> M� e <br /> StAs of California-f'leahtT and V*4fam Agency DeparbTlent of Health Services <br /> Page.1 r of 6 pages <br /> RADIOACMVE MATERIAL UCENSE <br /> Pursuant to the caldomia Code of ftuladcm Division 1,Tits 17,ChapterA Suxhoer4,Group Z Lfoasdng cf Briar and in reliance <br /> onstatenwtsandrepnemtah=twekfmmadebytheimensee,al' istwebyiwuedauthormingtheli ensseto transfer <br /> ordispose of radoactrw rmtenallisted below,and to case such material forthe pwWWA)and at the pleWs) � - -is ikense <br /> is subjed to all appVble nft regrdatior►s,and orders of the Dqw&w#of Health%rwoss nowortrenfterin etfeot and to any standard orspea k <br /> condition specified in fids Ikense. <br /> 1. Licensee St Dominids Hospital 3 License Alb <br /> 1777 West Yosemite Avenue 5790-39 AnwKhat Iva- 7 <br /> 2 Aditss Box 1307 1. Expiation date <br /> Manteca, CA 95336 October 6, 1998 (3) <br /> Attention. Judie Brown 5 Inspection agency Radiologic Health Branch <br /> Assistant Administrator Sacramento <br /> In response to the letter dated January 3,1M,with attachments6 s4ped by Dr.IhchaidBedowitz,IWWfion Safety <br /> Officer, license Number 5790-39 is hereby sine follows: <br /> 6. Nuclide 7. Form 8. Possession Limit <br /> A. Group 1 as specified in A. Any A. Combined possession limit for <br /> Item 9. Groups 1, 2, and 3 not to exceed 8.1 <br /> mCi. <br /> Any radionuclide with <br /> atomic numbers 3 - 83. (See Condition 36) <br /> B. Group 2 as specified in B. Any <br /> Item 9. <br /> Excluding Xenon <br /> Any radionuclide with <br /> atomic numbers 3 - 83. <br /> C. Group 3 as specified in C. Any <br /> Item 9. <br /> Excluding generators <br /> Any radionuclide with <br /> atomic numbers 3 - 83. <br /> D. Group 4 as specified in D. Any D. Total not to exceed 4 mCi. <br /> Item 9. <br /> Strontium- 89 <br /> E. Group 9 as specified in E. Sealed or solid sources E. Total not to exceed 15 mCi. <br /> Item 9. manufactured in accordance with <br /> a specific license by the Each source not to exceed 15 mCi. <br /> Any radionuclide with United States Nuclear <br /> atomic numbers 3 - 83 Regulatory Commission or an <br /> inclusive, except: Agreement State. <br /> Strontium- 90 and <br /> Lead- 210 <br />
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