Laserfiche WebLink
5 stato of catifomia+Ieatth and V"m A�vrey oepardnent of rraattt,seas <br /> Page 1of 2 pages <br /> RADIOACTIVE MATERIAL LICENSE <br /> Pursuant to the Cafdoava Code ofPegulabons,Dmsion 1,Tdle 17,ChapterA&bdrapt6r4,cmw 2 Lnemngof RedioacU a hlatedal,and in re&anoe <br /> on statements andrepresw9abonsheretofore made hyMe licensee,a license istwebyismadaufhomirg the licensee torecme,use,possess,dander, <br /> erdisposeofrarfoedhematenalrstedbelow,ardtouse such r�niatedallhrthepispose(s)adattheplaoe(s)desigrWadbe/ow Tlrskarm <br /> issu4edtoall app'irablerules,re atbw,and ordersofthe DepartmentofHealth Servkasnow orheieafterinetfedandtoarystandudorVOdk <br /> mxgtm specified in this license. <br /> 1. Licensee Carpenter Company 3 l.Lcense hb <br /> 5399-39 gnerdne,d Luz 4 <br /> 2 Address P.O. Box 279 4. Fxp+rati''n date <br /> Lathrop, CA 95330 January 9, 2004 (5) <br /> Attent on: Jay Leslie a limon aww Radiologic Health Branch <br /> Radiation Safety Officer <br /> License Number 5399-39 is hereby renewed in its entirety. <br /> 6. Nuclide 7. Form 8. Possession Limit <br /> A. Cesiurn 137 A. Sealed sources (Amersham A. 2 sources not to exceed <br /> Model CDC. 711" 50 millicuries each <br /> 9. Authorized Use <br /> A. To be used in Ronan Engineering Company source holders Madel SA-1 as components of a Ronan <br /> system for the meatarement of weight. <br /> I ICEMSF. (ONDIlIONS <br /> 10. Radioactive material shall be used only at the following locations: <br /> (a) 17100 S. Harlan Road, Lathrop, CA <br /> 11. This license is subject to an annual fee for sources of radioactive material authorized to be possessed at any <br /> one time as specified in Item 6, 7, 8 and 9 of this license. The annual fee for this license is required by and <br /> computed in accordance with Title 17, California Code of Regulations, Sections 30230-30232 and is also <br /> subject to an annual cost-of-living adjustment pursuant to Section 113 of the California Health and Safety <br /> Code. <br /> 12. Radioactive material shall be used by, or under the supervision of, the following individuals: <br /> (a) Jay Leslie <br /> 13. Except as specifically provided otherwise by this license,the licensee shall possess and use radioactive material <br /> described in Items 6,7, 8 and 9 of this license in accordance with statements,representations,and procedures <br /> contained in the documents listed below. The Department's regulations shall govern unless the statements, <br /> representations,and procedures in the licensee's application and correspondence are more restrictive than the <br /> regulations. <br /> (a) The renewal application with attachments dated October 14, 1996,and the letter with attachments dated <br /> January 10, 1997, both signed by Jay Leslie. <br />