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`` -.� �c:au�orn anit� telfa�a � ..�� t�. ���.� � °� ���•, . �'���.s� x �.N. <br /> RA©IC?ACTIV TERIAL LIC N E <br /> A Pursuant to the California Code of Regulations,Division 1,rt/e 17, Chapter 5,Sutichapfer 4, Group 2,Licensing of Radfoactive Material and ., <br /> in reliance on statements and representations heretofore made by the licensee,a Bicense is hereby issued authorising fhe licensee to receive, <br /> use, possess, transfer, or dispose of radioactive materia!listed below;and to use such raddoactive material for the purpbse(s) and at the <br /> places(s)designated below. This license is sub%ect to all applfcabfe rules,regulations,and orders of the Department of Health Services now <br /> or hereafter in effect and to any standard or specific condition specified in this license. <br /> 1. Licensee St. Dominic's Hospital 3. License Number <br /> 1777 West Yosemite Avenue 5790-39 Amendment Number: 18 <br /> 2. Address Box 1307 4. Expiration date <br /> Manteca, CA 95336 October 6,2008 (3) <br /> Attention: Judie Brown,CNMT 5. Inspection agency Radiologic Health Branch <br /> Alternate Radiation Safety Officer Sacramento ``j <br /> In response to the letter, with attachment, dated January 8, 2001, signed by Judie Brown, CNMT, Alternate <br /> Radiation Safety Officer,License Number 5790-39 is hereby amended as follows: <br /> 6. Nuclide 7. Form 8. Possession Limit <br /> A. Groups 1. 2. and 3 as specified in A. Any A. Combined possession limit for <br /> Item 9. Anv radionuclide with Excluding Xenon Groups 1, 2, and 3 not to exceed <br /> atomic number 3-83. Excluding generators 301 mCi. <br /> B. Group 4 as specified in Item 9. B. B. Total not to exceed 120 mCi. <br /> 1. Strontium-89 1. Any <br /> 2. Samarium-153 2. Any <br /> C. Group 9 as specified in Item 9. C. Sealed or solid 5,1.10c -� � 3 .-. I c,!a1 L -ceed 50 mCi. Each <br /> Any radionuclide with atomic manufactured in accordance with a source not to exceed 12 mCi. <br /> numbers 3-83, inclusive,except: specific license issued by the <br /> Strontium-90 and Lead-210. United States Nuclear Regulatory <br /> Commission, an Agreement State <br /> or a Licensing State. <br /> 9. Authorized Use <br /> To be used for nuclear medicine procedures as specified in groups below: <br /> A. Group 1 Diagnostic studies involving measurement of uptake,dilution,or excretion but not involving <br /> imaging. <br /> Group 2 Diagnostic studies involving imaging excluding the use of Xenon-127 and/or Xenon-133 gas. <br /> Group 3 Reagent kits for preparation of radiopharmaceuticals listed in Group 2. <br /> B. Group 4 Palliative treatment. <br /> C. Group 9 Marker and calibration sources. <br /> LICENSE CONDITIONS w <br /> 10. Radioactive material shall be used only at the following location: <br /> (a) 1777 West Yosemite Avenue, Manteca,CA. 4' <br />