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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: 3226-39 Supplementary Sheet Amendment Number: 13 12. Radioactive material shall be used by, or under the supervision of, the following individuals: (a) Jerry T. Tucker (b) Larry Watkins (c) John Simonson 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 August 13, 1991, signed by Jerry Tucker. (b) The letter with diagram dated November 13, 1991, signed by Jerry T. Tucker, regarding location of new devices. 14. The Radiation Safety Officer in this program shall be Jerry T. Tucker. 15. Sealed sources described in subitems A., B., and C. of this license shall be tested for leakage and/or contamination at intervals not to exceed 3 years.. 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. Installation, relocation, maintenance, repair, and initial radiation survey of devices containing radioactive material and installation, replacement, and disposal of sealed sources containing radioactive material used in devices shall be performed only by persons specifically licensed to perform such services. 20. The licensee shall conduct a physical inventory every six months to account for all sealed sources and/or devices received and possessed under the license. Records of the inventories shall be maintained for inspection, and may be disposed of following Department inspection.