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;tom <br /> $t'atti@ 4,ciuf6fii iflit�{�@�fdrB pq nti Q S16011M <br /> . . t2/R CT., �,,TERiAL 10EN 9� <br /> DtOA SE � t.iver�e Number- 5��90=3 <br /> Amendment Number. 18 <br /> 11. This license is subject to an annual fee for sources of radioactive material authorized to be possessed at any one time <br /> as specified in Items 6, 7, 8 and 9 of this license. The annual fee for this license is required by and computed in <br /> accordance with Title 17, California Code of Regulations, Sections 30230-30232 and is also subject to an annual <br /> cost-of-living adjustment pursuant to Section 100425 of the California Health and Safety Code. <br /> 12. The individuals named below are authorized the specific uses of radioactive material described in Items 6, 7, 8, and 9 <br /> of this license as follows: <br /> (a) Daniel Terry, M.D. Groups 1, 2, 3 and 9 <br /> (b) Henry Y. T. Wong, M.D. Groups 4 and 9 <br /> (c) Rajiv Hiralal Punjya, M.D. Groups (1, 2 and 3; cardiac studies only)and 9 <br /> (d) Laszlo Fodor,M.D. Groups 1, 2, 3 and'9 <br /> (e) Royce Biddle, M.D. Groups 1, 2, 3 and 9 <br /> (f) M. Louise DelPaine. M.D. Groups 1. 2. 3 and 9 <br /> (g) Frank Callcott, M.D. Groups 1, 2, 3 and 9 <br /> (h) Thomas Bey, M.D. Groups 1, 2, 3 and 9 <br /> (i) Ingo Rencken, M.D. Groups 1, 2, 3 and 9 <br /> (j) Roger P. Vincent,M.D. Groups 1,2,3 and 9 <br /> (k) Dennis D.Jacobsen Groups 1,2,3 and 9 <br /> (1) Frank M. Hartwick,M.D. Groups 1,2,3 and 9 <br /> (tr) R. Brandon Rankin,M.D. Groups 1,2,3 and 9 <br /> i;a raat`V. Rogero, M.D. Groups 1,2,3 and 9 <br /> (o) Douglas McGirr,M.D. Groups 1,2,3 and 9 <br /> (p) Michael R.Rigdon,M.D. Groups 1,2,3 and 9 <br /> (q) Roger S. Eng,M.D. Groups 1,2,3 and 9 <br /> (r) Majid Majidian,M.D. Groups 1,2,3 and 9 <br /> 13. Except as specifically provided otherwise by this license, the licensee shall possess and use radioactive material <br /> described in Items 6, 7, 8 and 9 of this license in accordance with the statements, representations, and procedures <br /> contained in the documents listed below. The Department's regulations shall govern unless the statements, <br /> representations, and procedures in the licensee's application and correspondence are more restrictive than the <br /> regulations. <br /> (a) The' letter dated October 19, 1998, with attached untimely renewal application, dated October 19, 1998, as <br /> supplemented by letter, with attachments,'dated October 22, 1998, all signed by Richard A. Aldred, Chief <br /> Administrative Officer;the letter,with attachments,dated October 27, 1998, signed by Richard Aldred, Hospital <br /> Administrator. <br /> (b) The letter, with attachments, dated January 6, 1999, and the letter dated February 5, 1999, both signed by <br /> Richard Berkowitz, M.D., Radiation Safety Officer, regarding package receipt procedures and equipment <br /> quality control procedures with associated commitments. <br /> (c) The letter, with attachments, dated April 6, 2000, signed by Margaret Hepburn, Chief Administrative Officer, <br /> regarding the Duties and Responsibilities of the Radiation Safety Officer. <br /> 14. (a) The Radiation Safety Officer in this program shall be Daniel Terry,M.D. <br /> (b) The Chairperson of the Radiation Safety Committee shall be Judie Brown, CNMT. <br /> (c) The Custodian of sealed sources shall be Daniel Terry,M.D. <br /> (d) The Alternate Radiation Safety Officer in this program shall be Judie Brown, CNMT. <br />