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State of California-Health and Welfare Agency department of Health Services Page 2 of 3 pages RADIOACTIVE MATERIAL LICENSE License Number: 3206-39 Supplementary Sheet Amendment Number: 5 13. Except as specifically provided otherwise by this license, the licensee shall possess and use radioactive material described in Items 6, 7, 8 and 9 of this license in accordance with statements, representations, and procedures contained in the documents listed below. The Department's regulations shall govern unless the statements, representations, and procedures in the licensee's application and correspondence are more restrictive than the regulations. (a) The renewal application, with attachments, dated March 15, 1991 as modified by the letter, dated May 8, 1992, and the letter with attachment, dated May 28, 1992, all signed by Wesley K. Fujitani. (b) The letter with attachments dated November 11, 1994 signed by Wes Fujitani, regarding revised nuclear safety procedures. 14. The Radiation Safety Officer in this program shall be William M. McVicker. 15. Sealed sources contained in soil/asphalt gauges shall be tested for leakage and/or contamination at intervals not to exceed one year. 16. The following individuals are authorized to collect wipe test samples of sealed sources possessed under this license using leak test kits acceptable to the California Department of Health Services: (a) the Radiation Safety Officer (b) qualified individuals designated in writing by the Radiation Safety Officer 17. Quantitative analytical assays for the purpose of tests for leakage and/or contamination of sealed sources shall be performed only by persons specifically authorized to perform that service. 18. Records of leak test results shall be kept in units of microcuries and maintained for inspection. Records may be disposed of following Department inspection. Any leak test revealing the presence of 0.005 microcuries or more of removable radioactive material shall be reported to the Department of Health Services, Radiologic Health Branch, 601 N. 7th Street P.O. Box 942732, Sacramento, CA 94234-7320, within five days of the test. This report shall include a description of the defective source or device, the results of the test, and the corrective action taken. 19. Maintenance and repair of soil/asphalt content gauges shall be performed only by persons specifically authorized to perform those services. 20. At any time the licensee is engaged in making measurements by authority of this license at either a permanent or a temporary job site, the Iicensee shall have a current copy of each of the following documents available for inspection at the job site: (a) A statement authorizing each qualified individual to use radioactive material (See Condition 12). (b) This License.__ _ (c) The manufacturer's instruction manual with appropriate emergency procedures.