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State of California-Health and Welfare Ag*rcy 'ly Department of Health Services
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<br /> RADIOACTIVE MATERIAL LICENSE1276-39
<br /> license Number
<br /> Supplementary Sheet Amendment Number 42
<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
<br /> license. The annual fee for this license is required by and computed in
<br /> accordance with Sections 30230-30232 of the California Radiation Control
<br /> Regulations and is also subject to an annual cost-of-living adjustment pursuant
<br /> to Section 113 of the California Health and Safety Code.
<br /> 12. The individuals named below is authorized the specific uses of radioactive
<br /> material described in Items 6, 7, 8, and 9 of this license as follows:
<br /> (a) J. David Bernard, M.D. Groups 1, 2, 3, 4, 5, and 9
<br /> (b) T. A. Thomas, M.D. Groups 1, 2, 3, 4 (I-131 only) , 5, and 9
<br /> (c) Laszlo B. Fodor, M.D. Groups 1, 2, 3, 4 (I-131 only) , 5, and 9
<br /> (d) Javad Jamshidi, M.D. Groups 1, 2, 3, 4 (I-131 only) , 5, and 9
<br /> (e) Daniel W. Terry, M.D. Groups 1, 2, 3, 4 (I-131 only) , 5, and 9
<br /> (f) Jack L. Funamura, M.D. Groups 1, 2, 3, 4 (I-131 only) , 5, and 9
<br /> (g) Jeffery Y. Sue, M.D. Groups 1, 2, 3, and 9
<br /> (h) M. Lousie Del Paine, M.D. Groups 1, 2, 3, and 9
<br /> (i) Masanobu Kamigaki, M.D. Groups 1, 2, 3, and 9
<br /> (j) Lynett Hart, M.D. Group 6
<br /> (k) Richard Redalia, M.D. Group 6
<br /> (1) Henry Y. T. Wong, M.D. Groups 4 (P-32 only) , and 6
<br /> (m) Edward C. Greenleaf, M.D. Group 6
<br /> (n) Tariq Mian, Ph.D. Groups 6, and 9 (physical measurements only)
<br /> (o) John Kevin Mackey, M.D. Groups 1, 2, 3, and 9
<br /> 13. Except as specifically provided otherwise by this license, the licensee shall
<br /> possess and use radioactive material described in Items 6, 7, and 8 of this
<br /> license in accordance with statements, representations, and procedures contained
<br /> in the documents listed below. The Department's regulations shall govern unless
<br /> the statements, representations, and procedures in the licensee's application
<br /> and correspondence are more restrictive than the regulations.
<br /> (a) The application with attachments dated September 28, 1987 and signed by
<br /> Jack L. Funamura.
<br /> (b) The letter with attachments dated October 6, 1988 and signed by
<br /> Lawrence A. Phillip.
<br /> (c) The letter with attachments dated November 18, 1988, signed by Jack L.
<br /> Funamura, M.D.
<br /> (d) The letter dated February 21, 1989, and the letter with attachments dated
<br /> February 22, 1989, both signed by Jack L. Funamura, M.D.
<br /> For the State Department of Health Services
<br /> Date
<br /> August 8, 1989 by 3
<br /> - Radiologic Health Branch
<br /> RH 255),12/821 714 P Street, Sacramento,CA 95814
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