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COMPLIANCE INFO 1986 - 2016
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0514003
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COMPLIANCE INFO 1986 - 2016
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Last modified
12/11/2024 9:16:23 AM
Creation date
11/6/2018 8:37:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986 - 2016
RECORD_ID
PR0514003
PE
2227
FACILITY_ID
FA0003761
FACILITY_NAME
ST JOSEPHS HOSPITAL
STREET_NUMBER
1800
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12718044
CURRENT_STATUS
01
SITE_LOCATION
1800 N CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS3\222IAError\IAError\C\CALIFORNIA\1800\PR0514003\COMPLIANCE INFO 1986 - 2016.PDF
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EHD - Public
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nw}c m .ucnL vi nemu,amvmea <br /> ... Page 1 of 7 pages <br /> RADIOACTIVE MATERIAL LICENSE <br /> Pursuant to the California Code of Regulations, Division 1, Title 17, Chapter 5, Subchapter 4, Group Z Licensing of Radioactive Material,and <br /> in reliance on statements and representations heretofore made by the licensee,a license is hereby issued authorizing the licensee to receive, <br /> use, possess, transfer, or dispose of radioactive material listed below; and to use such radioactive material for the purpose(s) and at the <br /> places(s)designated below. This license is subject to all applicable rules,regulations,and orders of the Department of Health Services now <br /> or hereafter in effect and to any standard or specific condition specified in this license. <br /> 1. Licenseep 3. License Number D <br /> St. Jose h's Medical Center 1276-39 r Amendment Number: 78 <br /> 2. Address P.O. Box 213008 4. Expiration date <br /> Stockton,CA 95213 November 19, 2010 FEB 2 0 2002 (3) <br /> Attention: Jiun-Der Chem, M.S. 5. Inspection agency Rar4ioin0 <br /> D#1 ftl1ranghH <br /> Radiation Safety Officer Saera r <br /> In response to the letter dated January 18,2002,signed by Jiun-Der Chern,M.S.,Radiation Safety Officer,License <br /> Number 1276-39 is hereby amended as follows: <br /> 6. Nuclide 7. Form 8. Possession Limit <br /> A. Groups 1,2, 3, 4 and 5 as A. Any A. Combined possession limit for <br /> specified in Item 9. Excluding Xenon Groups 1,2, 3, 4 and 5 not to <br /> Any radionuclide with atomic Excluding generators exceed 1.8 Ci. <br /> number 3-83. <br /> B. Group 6 as specified in Item 9. B. B. <br /> 1. Iridium-192 1. Seeds 1. Total 400 mCi, each seed not <br /> to exceed 40 mCi. <br /> 2. Palladium-103 2. Seeds 2. Total 500 mCi, each seed not <br /> to exceed 2 mCi. <br /> 3. Iodine-125 3. Seeds 3. Total 150 mCi, each seed not <br /> to exceed .6 mCi. <br /> 4. Strontium-90 4. Applicator 4. Total 55 mCi in one source. <br /> (Amersham Model SIA.20) <br /> 5. Iridium-192 5. Sealed sources (CIS-US, Inc. 5. Total 12 Ci in one source. <br /> Model 772 or 774,or MDS <br /> Nordion, Inc., Model <br /> GammaMed 212 ) <br /> 6. Iridium-192 6. Sealed source 6. Total 2 Ci, no single seed to <br /> (Best Industries, Inc. Model exceed 33 mCi. <br /> 81-01) <br /> 7. Strontium-90 7. Sealed source(BEBIG Model 7. Total not to exceed <br /> Sr0.S03) 300 mCi, no single source to <br /> exceed 5 mCi. <br /> C. Group 9 as specified in Item 9. C. C. <br /> 1. Any radionuclide with atomic 1. Sealed or solid sources 1. Total not to exceed 50 mCi. <br /> numbers 3-83,inclusive, manufactured in accordance Each source not to exceed <br /> except: Strontium-90 and with a specific license issued 22 mCi. <br /> Lead-210. by the United States Nuclear <br /> Regulatory Commission, an <br /> Agreement State or a <br /> Licensing State. <br />
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