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State of Califomia4balth and V%kftre Agency <br />R` <br />40 Departrnent of Health Services <br />Page 2 of _ 5 pages <br />Amendment Number: 5 <br />To be used for nuclear medicine procedures as specified in the groups below: <br />Group 1 Diagnostic studies involving measurement of uptake, dilution, or excretion but not involving <br />imaging. <br />Group 2 Diagnostic studies involving imaging including the use of Xenon 127 and/or Xenon 133 gas. <br />Group 3 Reagent lits for preparation of radiopharmaceuticals listed in Group 2. <br />Group 4 Internal therapy not usually requiring hospitalization. <br />Group 9 Marker and calibration sources. <br />LICENSE CONDI IONS <br />10. Radioactive material shall be used only at the following locations: <br />(a) 7373 West Lane, Stockton, CA <br />11. This license is subject to an annual fee for sources of radioactive material authorized to be possessed at any <br />one time as specified in items 6, 7, 8 and 9 of this license. The annual fee for this license is required by and <br />computed in accordance with Title 17, California Code of Regulations, Sections 30230-30232 and is also <br />subject to an annual cost -of -living adjustment pursuant to Section 100425 of the California Health and Safety <br />Code. <br />12. The individuals named below are authorized the specific uses of radioactive material described in Items 6, <br />7, 8 and 9 of this license as follows: <br />(a) NTichael D. Reitz, M.D. <br />Groups 1, 2, 3, 4, and 9 <br />Groups 1, 2, 3, 4, and 9 <br />13. Except as specifically provided otherwise by this license, the licensee shall possess and use radioactive <br />material described in Items 6, 7, 8 and 9 of this license in accordance with statements, representations, and <br />procedures contained in the documents listed below. The Department's regulations shall govern unless the <br />statements, representations, and procedures in the licensee's application and correspondence are more <br />restrictive than the regulations. <br />(a) The application received on May 28, 1992, as modified by letter with attachments dated June 29, 1992, <br />both signed by Nfichael D. Reitz, NLD. <br />