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State of California -Health and Welfare Agency 13. (Continued) RADIOACTIVE MATERIAL LICENSE Supplementary Sheet g Department of Health Services Page 3 of 4 pages License Number: 5766-39 Amendment Number: 4 (b) The letters dated June 24, 1994, and August 9, 1994, both signed by Michael D. Reitz, M.D., as modified by the letter with attachments dated August 30, 1994, signed by Diane D. Banning, Radiology Manager, regarding the use of the Strontium 89. 14. (a) The Radiation Safety Officer in this program shall be Michael D. Reitz, M.D. (b) The Chairperson of the Radiation Safety Committee shall be Michael D. Reitz, M.D. (c) The Custodian of sealed sources shall be Michael D. Reitz, M.D. 15. Sealed sources possessed under this license shall be tested for leakage and/or contamination as required by Section 30275 (c) of the California Radiation Control Regulations. 16. Quantitative analytical assays for the purpose of tests for leakage and/or contamination of sealed sources shall be performed only by persons specifically authorized to perform that service. 17. The following individuals are authorized to collect wipe test samples of sealed sources possessed under this license using leak test kits acceptable to the California Department of Health Services: (a) The Radiation Safety Officer (b) Qualified individuals designated in writing by the Radiation Safety Officer 18. Records of leak test results shall be kept in units of microcuries and maintained for inspection. Records may be disposed of following Department inspection. Any leak test revealing the presence of 0.005 microcuries or more of removable radioactive material shall be reported to the Department of Health Services, Radiologic Health Branch, 601 N. 7th Street P.O. Box 942732, Sacramento, CA 94234-7320, within five days of the test. This report shall include a description of the defective source or device, the results of the test, and the corrective action taken. 19. Except as otherwise specifically provided by this license, radiopharmaceuticals to be administered to humans shall be procured in prepackaged, precalibrated form from a supplier who is registered with the U. S. Food and Drug Administration, or prepared and compounded, from a prescription, in accordance with the regulations of the California Board of Pharmacy. 20. Except as otherwise specifically provided by this license, radioactive biologicals (including human serum albumin) to be administered to humans shall be procured in prepackaged, precalibrated form from a supplier who is licensed for the preparation and distribution of such products by the Division of Biologics Standards of the National Institutes of Health, or U. S. Food and Drug Administration; or prepared in accordance with the regulations of the California Board of Pharmacy.