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Stale of Callbrnlo—Heolth and Welfare Agency oe,odmenf of Health$erviceb `i � Page 2of Pages RADIOACTIVE MATERIAL LICENSE License Number: 3764-39 Supplementary Sheet Amendment Number: 14 12. Continued (b) Transfer of Krypton 85 to or from Tracer-Flo and Intertest units, and use of Krypton 85 in Tracer-Flo and Intertest units in any mode other than automatic mode, shall be performed only by individuals who: (1) Have received a certificate of satisfactory completion of a course in all operations of leak testing units containing Krypton 85, such course conducted by a person recognized by the State of California to provide such training; and also (2) Have been designated, in writing, by the radiation safety officer as qualified to use Krypton 85 in these manners. (c) Use of Krypton 85 in Traoer and Intertest units in automatic mode, and for testing components removed from such units for amount of radioactivity, shall be performed only by, or under the supervision and in the physical presence of, individuals who have been designated, in writing, by the radiation safety officer as qualified to use Krypton 85 in these manners. 13. Except as specifically provided otherwise by this license, the licensee shall possess and use radioactive material described in Items 6, 7, and 8 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 23, 1987, signed by Gordon W. Butler, as modified by the letters with attachments dated April 5, 1990 and October 30, 1990, signed by Ronald Jones , April 3, 1990 and October 16, 1990, signed by James K. Cook and by Bernard Lopez, September 24, 1992, signed by James K. Cook and Redentor S. Sabilano and December 16, 1992, signed by Redentor S. Sabilano. (b) The letter with atGKftmts dated June 1, 1993, signed by Radentor S. Sabilano relative to modification of Itere Model 1014-RU Krypton 85 Activation System' 14. (a) The radiation safety officer in this program shall be Redentor S. Sabilano (b) The alternate radiation safety officer shall be John M. Robin. For The State Department of Health Services Date: July 19, 1993 By: ��-- -- / 3 Radiologic Health Branch P.O. Box 942732 Sacramento, CA 94234-7320 ❑H 2551(Inf.)(1/91)