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State of California-Health and Welfare Age Department of Health Services
<br /> Page 3 of 7 pages
<br /> RADIOACTIVE MATERIAL LICENSE License Number. 1276-39
<br /> Amendment Number. 79
<br /> C. Group 9 1. Marker and calibration sources.
<br /> 2. Storage only.
<br /> 3. Storage only.
<br /> 4. To be used in a Siemens ECAT EXACT 47 PET scanner provide by Alliance Imaging,
<br /> Inc. (RML 6640).
<br /> 5. To be used in a G.E. Medical Systems Advance 4.0 Imaging System Whole-Body PET
<br /> scanner provided by Alliance Imaging, Inc. (RML 6640).
<br /> LICENSE CONDITIONS
<br /> 10. Radioactive material shall be used only at the following locations:
<br /> (a) 1800 North California Street, Stockton, CA. (including mobile PET coach)
<br /> (b) 1717 North California Street, Stockton, CA. (lymphoscintigraphy only)
<br /> 11. This license is subject to an annual fee for sources of radioactive material authorized to be possessed at any one time
<br /> as specified in Items 6, 7, 8 and 9 of this license. The annual fee for this license is required by and computed in
<br /> accordance with Title 17, California Code of Regulations, Sections 30230-30232 and is also subject to an annual
<br /> cost-of-living adjustment pursuant to Section 100425 of the California Health and Safety Code.
<br /> 12. The individuals named below are authorized the specific uses of radioactive material described in Items 6, 7, 8, and 9
<br /> of this license as follows:
<br /> (a) Rajiv H. Punjya, M.D. Groups (l, 2, 3; cardiac studies only) and 9
<br /> (b) Laszlo B. Fodor, M.D. Groups 1,2, 3,(4 and 5, I-131 only)and 9
<br /> (c) Daniel W. Terry, M.D. Groups 1,2, 3,(4 and 5, I-131 only)and 9
<br /> (d) Jack L. Funamura, M.D. Groups 1, 2, 3,(4 and 5, 1-131 only)and 9
<br /> (e) M. Lousie Del Paine, M.D. Groups 1, 2, 3 and 9
<br /> (f) Masanobu Kamigaki, M.D. Groups 1, 2, 3 and 9
<br /> (g) Lynett Hart,M.D. Group 6
<br /> (h) Henry Y. T. Wong,M.D. Groups 4(P-32 and Sr-89 only)and 6
<br /> (i) Edward C. Greenleaf,M.D. Groups 4(Sr-89 only), 6 and 9
<br /> 0) Royce J. Biddle,M.D. Groups 1, 2,3 and 9
<br /> (k) James D. Rooke,M.D. Groups (4 and 5, I-131 only)
<br /> (1) Frank S. Callcott, M.D. Groups 1,2, 3,4, 5 and 9
<br /> (m) Ramesh N. Dharawat,M.D. Groups (1, 2, 3; cardiac studies only)and 9
<br /> (n) Jiun-Der Chem,M.S. Group 9 (physical measurements only)
<br /> (o) Roger P. Vincent,M.D. Groups 1, 2, 3,4,5, 6 (Strontium-90 only)and 9
<br /> (p) Roger S. Eng,Jr., M.D. Groups 1, 2, 3,4, 5 and 9
<br /> (q) R. Brandon Rankin, III,M.D. Groups 1, 2, 3, (4 &5, I-131 only), 6 (Sr-90 only)and 9
<br /> (r) Frank M. Hartwick,M.D. Groups 1, 2, 3, (4 & 5, 1-131 only) and 9
<br /> (s) Dennis D. Jacobsen,M.D. Groups 1,2,3, 4, 5,6(Strontium-90 only)and 9
<br /> (t) Majid Majidian,M.D. Groups 1,2,3 and 9
<br /> (u) Michael Rigdon, M.D. Groups 1,2,3 and 9
<br /> (v) Grant Rogero, M.D. Groups 1,2, 3 and 9
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