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-State Callfomla44ealth and Vktfare Agency Deparbrot of HeaIfh Services s ' Page 1 of 2 pages RADIOACTIVE MATEPUL uclalsE Pursuant to the California Code of Regulations;DiVsion 1, Title 17,Chapter-5,Subd'Wer4,Group 2,Licensing of PadcaFfte Abtenal,andin reliance on statements andrepreserrtationsheretoforemade bythelicensee,a lianseisherebyissuedauthonzirgthe lioenseetoraoem,use,possess,transfer, ordrsposeofradioactivematenal/istedbelow,andtousesuchradicedivematenalforthepuWw(s)andattheplace(s)destgnatedbelow. This/icense is subject to all applicable rules,regulations,and orders of the Departrnent of Health services now or hereafter in effect and to any standard crspearic ocdibbn specfted in this license. 1. Licensee Carpenter Company a License No. 5399-39 Arnendment No: 5 7 Address P.O. Box 279 4. Expiration date Lathrop, CA 95330 January 9, 2004 (5) Attention: Kaashil Patel 5. Inspection agency Radiologic Health Branch Radiation Safety Officer I Sacramento In response to the letter, with attachments, dated September 18, 1997, signed by Steve Setter, License Number 5399-39 is hereby amended as follows: 6. Nuclide 7. Form 8. Possession Limit A. Cesium 137 A. Sealed sources (Amersham A. 2 sources not to exceed Model CDC. 711" 50 millicuries each 9. Authorized Use A. To be used in Ronan Engineering Company source holders Model SA-1 as components of a Ronan system for the measurement of weight. LICENSE CONDT/7ON.S 10. Radioactive material shall be used only at the following locations: (a) 17100 S. Harlan Road, Lathrop, CA 11. This license is subject to an annual fee for sources of radioactive material authorized to be possessed at any one time as specified in items 6, 7, 8 and 9 of this license. The annual fee for this license is required by and computed in accordance with Title 17, California Code of Regulations, Sections 30230-30232 and is also subject to an annual cost-of-living adjustment pursuant to Section 100425 of the California Health and Safety Code. 12. Radioactive material shall be used by, or under the supervision or the following individuals: (a) Kaushil Patel 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 October 14, 1996,and the letter with attachments dated January 10, 1997, both signed by Jay Leslie.