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i <br />State of California -Health and Welfare Agen� <br />E <br />RADIOACTIVE MATERIAL LICENSE <br />Department of Health Services <br />Page 2 of 3 pages <br />License Number: 2371-39 <br />Amendment Number. 14 <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 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 govem unless the statements, <br />representations, and procedures in the licensee's application and correspondence are more restrictive than the <br />regulations. <br />(a) The renewal application with attachments dated May 27, 1993, the letter with attachments dated May 18, 1994, <br />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 Higgs, regarding the addition of devices for storage only. <br />14. The 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 exceed 3 <br />years. <br />16. The following individuals are authorized to collect wipe test samples of sealed sources possessed under this license <br />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 />17. Quantitative analytical assays for the purpose of tests for leakage and/or contamination of sealed sources shall be <br />performed only by persons specifically authorized to perform that service. <br />18. Records of leak test results shall be kept in units of microcuries and maintained for inspection. Records may be <br />disposed of following Department inspection. Any leak test revealing the presence of 0.005 microcuries or more of <br />removable radioactive material shall be reported to the Department of Health Services, Radiologic Health Branch, <br />601 N. 7th Street, P.O. Box 942732 — MS 178, Sacramento, CA 94234-7320, within five days of the test. This <br />report shall include a description of the defective source or device, the results of the test, and the corrective action <br />taken. <br />19. Installation, relocation, maintenance, repair, and initial radiation survey of devices containing radioactive material <br />and installation, replacement, and disposal of sealed sources containing radioactive material used in devices shall be <br />performed only by persons specifically licensed to perform such services. <br />