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State of California-Health and Human Se rs Agency . Department of Health Services <br /> Page 2 of 3 pages <br /> RADIOACTIVE MATERIAL LICENSE License Number. 3206-39 <br /> Amendment Number: 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 renewal application with attachments dated March 19, 1998, as modified by the letters with attachments <br /> dated May 5, 1998, and the letter dated May 13, 1998, all signed by William M. McVicker. <br /> 14. (a)The Radiation Safety Officer in this program shall be William M. McVicker. <br /> (b)The Alternate Radiation Safety Officer in this program shall be Curtis J. Juran. <br /> 15. (a) Sealed sources contained in CPN soil/asphalt gauges shall be tested for leakage and/or contamination at intervals <br /> not to exceed one year. <br /> (b) Sealed sources contained in Troxler soil/asphalt gauges shall be tested for leakage and/or contamination at <br /> intervals not to exceed six months. <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 <br /> be disposed of following Department inspection. Any leak test revealing the presence of 0.005 microcuries or <br /> more of removable radioactive material shall be reported to the Department of Health Services, Radiologic <br /> Health Branch MS 7610, P.O. Box 997414, Sacramento, CA 95899-7414, 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 <br /> action taken. <br /> 19. Maintenance and repair of soil/asphalt content gauges shall be performed only by persons specifically authorized to <br /> perform those services. <br /> 20. At any time the licensee is engaged in making measurements by authority of this license at either a permanent or <br /> temporary job site,the licensee shall have a current copy of each of the following documents available fear inspection <br /> at the job site: <br /> (a) A statement authorizing each qualified individual to use radioactive material (See Condition 12). <br /> (b) This license. <br /> (c) The manufacturer's instruction manual with appropriate emergency procedures. <br /> 21. The licensee shall comply with all requirements of Title 17, California Code of Regulations, Section 30373 when <br /> transporting or delivering radioactive materials to a carrier for shipment. These requirements include, (packaging, <br /> marking, labeling, loading, storage, placardingmonitoring, and accident reporting). Shipping papers shall be <br /> maintained for inspection pursuant to the U.S. Department of Transportation requirements (Title 49, Code of Federal <br /> Regulations, Part 172, Sections 172.200 through 172.204). <br />