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<br />State of California -Health and Welfare Agen, Department of Health Services
<br />Page 2 of 4 pages
<br />RADIOACTIVE TRIAL LICENSE License Number. 5766-39
<br />Amendment Number: 12
<br />11. This license is subject to an annual fee for sources of radioactive material authorized to be possessed at any one time
<br />as specified in Items 6, 7, 8 and 9 of this license. The annual fee for this license is required by and computed in
<br />accordance with Title 17, California Code of Regulations, Sections 30230-30232 and is also subject to an annual
<br />cost -of -living adjustment pursuant to Section 100425 of the California Health and Safety Code.
<br />12. The individuals named below are authorized the specific uses of radioactive material described in Items 6, 7, 8, and 9
<br />of this license as follows:
<br />(a)
<br />Michael D. Reitz, M.D.
<br />Groups
<br />1, 2, 3, 4 and 9
<br />(b)
<br />B. Rama Rao, M.D.
<br />Groups
<br />1, 2, 3, 4 and 9
<br />(c)
<br />Antonio E. Vasquez, M.D.
<br />Groups
<br />1, 2, 3, 4 and 9
<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 the 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 June 7, 1999, supplemented by the letters, all with
<br />attachments, dated April 26, 2002, August 28, 2002 and October 7, 2002, all signed by Michael D. Reitz, M.D.,
<br />Chief, Department of Radiology, Radiation Safety Officer.
<br />14. (a) The Radiation Safety Officer in this program shall be Michael D. Reitz, M.D.
<br />(b) The Chairperson of the Radiation Safety Committee shall be Michael D. Reitz, M.D.
<br />(c) The Custodian of sealed sources shall.be Michael D. Reitz, M.D.
<br />(d) The Alternate Radiation Safety Officer in this program shall B. Rama Rao, M.D.
<br />15. Sealed sources possessed under this license shall be tested for leakage and/or contamination as required by Title 17,
<br />California Code of Regulations, Section 30275 (c).
<br />16. The following individuals are authorized to collect wipe test samples of sealed sources possessed under this license
<br />using leak test kits acceptable to the California Department of Health Services:
<br />(a) The Radiation Safety Officer
<br />(b) Qualified individuals designated in writing by the Radiation Safety Officer
<br />17. The licensee is authorized to hold radioactive materials with a physical half-life of less than 65 days for decay in
<br />storage before disposal in ordinary trash provided:
<br />(a) Radioactive waste to be disposed of in this manner shall be held for decay in storage for at least 10 half-lives.
<br />(b) Before disposal as normal waste, radioactive waste shall be surveyed to determine that its radioactivity cannot
<br />be distinguished from background. All radiation labels shall be removed or obliterated.
<br />18. The licensee may use any commercially available device, acceptable to the U.S. Nuclear Regulatory Commission, an
<br />Agreement State or a Licensing State, for doing linearity tests of its dose calibrator provided the procedures
<br />described by the manufacturer of the linearity device are followed.
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