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Slate of Colllomlo—Heollh and W elfole Agency Depodment of Health Services `/ 6 7 Page of Pages 1276-39 RADIOACTIVE MATERIAL LICENSE license Number: 57 Supplementary Sheet Amendment Number: 28. The licensee shall not use radioactive material in the form of gas or aerosol in such a manner as to produce an airborne concentration exceeding the appropriate limit specified in Section 30266 or 30269 of the California Radiation Control Regulations. 29. For a period not to exceed 60 days in any calendar year, a visiting physician is authorized to use licensed materials for human use under the terms of this license, provided the visiting physician: (a) Has the prior written permission of the hospital's Administrator and its Radiation safety Committee. (b) Is specifically named as a user on an NRC or Agreement State license authorizing human use. (c) Performs only those procedures for which the physician is specifically authorized by the NRC or Agreement State license. The licensee shall maintain for inspection copies of the written permission specified in (a) above and the license(s) specified in (b) and (c) above. These records shall be maintained for five years from the time the licensee grants its permission under (a) above. 30. Treatment and management of patients receiving therapeutic quantities of unsealed radioactive materials shall be in accordance with guidance contained in Chapter 4, NCRP Report No. 37, "Precautions in the Management of Patients Who Have Received Therapeutic Amounts of Radionuclides" (NCRP Publications, 7910 Woodmont Avenue, Suits 1016, Bethesda, Maryland 20814) . 31. Treatment and management of patients undergoing brachytherapy shall be in accordance with guidance contained in Chapter 5, "Safety Precautions in Clinical Application", NCRP Report No. 40, Protection Against Radiation From Brachytherapy Sources (NCRP Publications, 7910 Woodmont Avenue, Suite 1016, Bethesda, Maryland 20814) . 32. If there is reason to suspect that a medical radium source may be leaking or contaminated, it shall be tested before further use, by a method acceptable to the Department of Health Services, and a report of the test results and the action taken shall be submitted within 30 days to the Radiologic Health Branch. 33. Notwithstanding the six-month test interval requirement of Section 30275 of the California. Radiation Control Regulations, medical cesium sources (3M Company Models 6500 - 6507 or old Model 6D6C, and Isotope Products Model 67-800 or 67-820 series) possessed under this license nay be tested for leakage and/or contamination at three-year intervals, provided that the test method used has been specifically authorized by the Department of Health Services. The licensee shall maintain records of such tests for inspection by the Department or its authorized representative. For the State Department of Health Services April 21, 1994 3 Date: By: Radiologic Health Branch P.O. Box 942732 Sacramento, CA 94234-7320 PH 2551(Int)(1/91)