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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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of Califomia-Health and WelfareAger� Department of Health Services <br />° Page 1 of 5 pages <br />RADIOACTIVE MATERIAL LICENSE <br />Pursuant to the California Code of Regulations, Division 1, Title 17, Chapter 5, =(= <br />/� Licensing of Radioactive Material, and in reliance <br />on statements and representations heretofore made by the licensee, a license ishereLy=(=F3 $rJ1 "gensee to receive, use, possess, transfer, <br />ordispose of radioactive material fisted below, and to use such radioactive material forthe purpose(s) and at places) designated below. This license <br />is subject to all applicable rules, regulations, and orders of the Department of Health Services raw or hereafter in effect and to any standard or specific <br />condition speed 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 />5766-39 Amendment m. 5 <br />July 22, 1999 <br />Sacramento <br />(3) <br />In msponse to the letterdated September 11,1997, signed by Mchael Reitz, MD., Radiation Safety Officer, License <br />Number 5766-39 is hereby amended as follows: <br />6. NuclideForm <br />8. Possession Limit <br />oup I as specified in <br />A. Any <br />A. -C. Combinedpossession <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 />(See Condition 30) <br />B. oup 2 as specified in <br />B. Any <br />Item 9. <br />Any radionuclide with <br />atomic numbers 3-83. <br />C. oup 3 as specified in <br />c. Any <br />Item 9. <br />Excluding Generators, <br />Any radionuclide with <br />atomic numbers 3-83. <br />D. oup 4 as specified in <br />D. <br />D. Totalnot to exceed 30 m i. <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. Group 9 as specified in <br />E. Sealed or solid sources—E—T-61-al <br />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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