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COMPLIANCE INFO_1991-2005
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0450116
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COMPLIANCE INFO_1991-2005
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Last modified
12/20/2022 12:11:51 PM
Creation date
7/3/2020 10:16:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1991-2005
RECORD_ID
PR0450116
PE
4520
FACILITY_ID
FA0002602
FACILITY_NAME
KAISER PERMANENTE
STREET_NUMBER
7373
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09416023
CURRENT_STATUS
01
SITE_LOCATION
7373 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\cfield
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FilePath
\MIGRATIONS\MW\MW_4520_PR0450116_7373 WEST_1991-2005.tif
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EHD - Public
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e ao Heal Services <br />'{ State of California -Health and Welfare Agency D <br />� P <br />r�4 tll S sit'9 1 <br />, L HEAI Tf, Page 1 of 4 pages <br />RADIOACTIVE � 'AIEp t�' LICENSE <br />'S AVIV, Cfi p P 9 <br />Pursuant to the California Code of Regulations, Division i e to b, �`�icha ter 4, Group 2, Licensing of Radioactive Material, and in <br />reliance on statements and representations heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, use, <br />possess, transfer, or dispose of radioactive material listed below; and to use such radioactive material for the purpose(s) and at the place(s) <br />designated below. This license is subject to all applicable rules, regulations, and orders of the Department of Health Services now or hereafter in <br />effect and to any standard or specific condition specified in this license. <br />2. Address 7373 West Lane <br />Stockton, CA 95210 <br />Attention: Michael D. Reitz, M.D. <br />Radiation Safety Officer <br />ase No. <br />5766-39 <br />ration <br />July 22, 1999 <br />ection agency <br />Sacramento <br />Amendment No: 4 <br />(3) <br />In response to the letter dated November 9, 1994, signed by Michael D. Reitz, M.D., License Number 5766-39 <br />is hereby amended in its entirety. <br />6. <br />Nuclide <br />7. <br />Form <br />8. Possession Limit <br />A. <br />Group 1 as specified in <br />A. <br />Any <br />A. -C. Combined possession <br />Item 9. <br />limit for Groups 1, 2, <br />Any radionuclide with <br />and 3 not to exceed <br />atomic numbers 3-83. <br />450 mCi. <br />B. <br />Group 2 as specified in <br />B. <br />Any <br />Item 9. <br />Any radionuclide with <br />atomic numbers 3-83. <br />C. <br />Group 3 as specified in <br />C. <br />Any <br />Item 9. <br />Excluding Generators <br />Any radionuclide with <br />atomic numbers 3-83. <br />D. <br />Group 4 as specified in <br />D. <br />D. Total not to exceed 30 mCi. <br />Item 9. <br />Any radionuclide with <br />atomic numbers 3-83. <br />1. Strontium - 89 <br />1. Any <br />2. Phosphorous - 32 <br />2. Any <br />3. Iodine - 131 <br />3. Capsule <br />E. <br />Group 9 as specified in <br />E. <br />Sealed or solid sources <br />E. Total not to exceed 20 mCi. <br />Item 9. <br />manufactured in accordance <br />Any radionuclide with <br />with a specific license <br />Each radionuclide not to <br />atomic numbers 3-83 <br />issued by the United States <br />exceed 13 mCi. <br />inclusive, except: <br />Nuclear Regulatory <br />Strontium -90 and Lead -210. <br />Commission or an <br />Agreement State. <br />
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