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r <br />state of Califomia4iealth and Welfare Adency <br />RADIOACTIVE MATERIAL LICENSE <br />Supplemerrtary Sheet <br />LICENSE CONDITIONS <br />10. Radioactive material shall be used only at the following location: <br />(a) 20500 Holly Drive, Tracy. CA <br />Department of Health Services <br />Page 2 of 3 pages <br />License Number. 2371-39 <br />Amendment Number. 12 <br />11. This license is subject to an annual fee for sources of radioactive material authorized to be possessed at any <br />one time as specified in items 6, 7, 8 and 9 of this license. The annual fee for this license is required by and <br />computed in accordance with Title 17, California Code of Regulations, Sections 30230-30232 and is also <br />subject to an annual cost -of -living adjustment pursuant to Section 100425 of the California Health and Safety <br />Code. <br />12. Radioactive material shall be used by, or under the supervision of, the following individuals: <br />(a) Joe H. Higgs <br />(b) John E. Hervey <br />13. Except as specifically provided otherwise by this license, the licensee shall possess and use radioactive <br />material described in Items 6, 7. 8 and 9 of this license in accordance with statements, representations, and <br />procedures contained in the documents listed below. The Department's regulations shall govern unless the <br />statements, representations, and procedures in the licensee's application and correspondence are more <br />restrictive than the regulations. <br />(a) The renewal application with attachments dated May 27, 1993, the letter with attachments dated <br />May 18, 1994, and the letter with attachment dated June 16, 1994, all signed by Joe H. Higgs. <br />(b) The letter with attached diagram dated November 19, 1997 and the letter with attachments dated <br />December 5, 1997, both signed by Joe IEggs, regarding the addition of devices for storage only. <br />14. (a) The Radiation Safety Officer in this program shall be Joe H. Higgs. <br />(b) The Alternate Radiation Safety Officer in this program shall be John E. Hervey. <br />15. Sealed sources described in this license shall be tested for leakage and/or contamination at intervals not to <br />exceed 3 years. <br />16. The following individuals are authorized to collect wipe test samples of sealed sources possessed under this <br />license using leak test kits acceptable to the California Department of Health Services: <br />(a) The Radiation Safety Officer <br />(b) Qualified individuals designated in writing by the Radiation Safety Officer <br />