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S ete of Callfolnla—Health and Wel;are Agency <br /> Deny;lmeni of Health Se rules <br /> I r <br /> • ����Id Page 1 of 2 page; <br /> DEC ✓ 9R!I01VE MATERIAL LICENSE <br /> pursuant to the California Ad rR 48^fr7,tdTitle 17, Chapter 5,Subchapter 4, Group 2,Licensing of Radioactive Material,and in reliance <br /> i7f <br /> on statements and representations her o !�,�,aar��/�,j1,11he licensee, a license is hereby Issued authorizing the licensee to receive,use,possess, <br /> transfer, or dispose of radioactive material listelow;and to use such radioactive material for the purposes)and at rhe p/ace(s)designated <br /> below. This license is subject to all applicable rules,regulations,end orders of the Department of Health Services now or hereafter in effect and <br /> to any conditions specified in this license. <br /> 1. Licensee Like Corporation 3. License No. 5199-39 <br /> Amendment No. <br /> -_2. Address 1443 Navy Drive 4. Expiration date <br /> Stockton, CA 95206 December 2, 1995 <br /> 5. Inspection agency <br /> Arrenrion: Joanne Raby Division of Occupational Safety and <br /> Radiation Safety Officer Health-N <br /> 6. Nuclide 7. Form 8. Possession limit <br /> A. Iodine 125 A. Sealed source (Amersham A. 1 source not to exceed <br /> Model IMC.P2) 500 millicuries. <br /> 9. Authorized Use <br /> • A. To be used as a component of Glenbrook Model RT-112 Real Time X-Ray Device (utilize <br /> Lixi LS-82-X Iso-fluoroscope) for inspection of multilayer printed circuit boards. <br /> 10. Radioactive material shall be used only at the following locations: <br /> (a) 1443 Navy Drive, Stockton, California. <br /> 11. This license is subject to an annual fee for sources of radioactive material <br /> authorized to be possessed at any, one time as specified in Item 8 of this license. <br /> The annual fee for this license is required by and computed in accordance with <br /> Sections 30230-30232 of the California Radiation Control Regulations and is also <br /> subject to an annual cost-of-living adjustment pursuant Lo Section 113 of the <br /> California Health and Safety Code. <br /> 12. Radioactive material shall be used by, or under the supervision of, the following <br /> individuals : <br /> (a) Joanne Raby (f) Walter Wiebelhans <br /> (b) Phyllis Imperial (g) Richard Dittmar <br /> (c) Ronald Richards (h) Melvin Dodson <br /> (d) Steven Smith (i) Jesse Santiago <br /> (e) Kathy Meeks <br /> • For the State Department of Health Services <br /> December 2, 1988 5 <br /> Date by <br /> Radiologic Health Section <br /> 744 P Street,Sacramento,CA 95814 <br />