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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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-- <br />Mate of California -Health and Welfare /Y- ® Department of Health Services <br />Page 1 of 3 pages <br />RADIOACTIVE MATERIAL LICENSE <br />Pursuant to the California Code of Regulations, Division 1, Title 17, Chapter 5, Subchapter 4, Group 2, Licensing of Radioactive Material, and <br />in reliance on statements and representations heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, <br />use, possess, transfer, or dispose of radioactive material listed below® and to use such radioactive material for the purposes) and at the <br />places(s) designated below. This license is subject to all applicable rules, regulations, and orders of the Department of Health Services now <br />or hereafter in 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 />57§6-39 <br />I.CIVII ..9W <br />July 22, 1999 <br />Amendment Number: 8 <br />5. Inspection agency Radiologic Health Branch <br />Sacramento <br />(3) <br />In response to the letter, with attachments, dated January 7, 1999, signed by Michael Reitz, M.D., Chief of <br />Radiology, Radiation Safety Officer, License Number 5766-9 is hereby amended as follows: <br />6. Nuclide <br />7. Form <br />8. Possession Limit _ <br />A. Groups 1, 2, 3, and 4 as specified <br />A. Any <br />A. Combined possession limit for <br />in Item 9. <br />Excluding generators <br />Groups 1, 2, 3, and 4 not to exceed <br />Any radionuclide with atomic <br />480 mCi. <br />numbers 3-83. <br />B. Group 9 as specified in Item 9. <br />B. Sealed or solid sources <br />B. Total not to exceed 20 mCi. <br />Any radionuclide with atomic <br />manufactured in accordance <br />Each source not to exceed <br />numbers 3-83, inclusive, except: <br />with a specific license issued by <br />13 mCi.. <br />Strontium -90 and Lead -210. <br />the United States Nuclear <br />Regulatory Commission, an <br />Agreement State or a Licensing <br />State . <br />9. Authorized Use <br />To be used for nuclear medicine procedures as specified in groups below: <br />A. 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 kits for preparation of radiopharmaceuticals listed in Group 2. <br />Group 4 Internal therapy and palliative treatment not usually requiring hospitalization. - <br />B. Group 9 Marker and calibration sources. <br />9 <br />LICENSE CONDITIONS <br />10. Radioactive material shall be used only at the following location: <br />(a) 7373 West Lane, Stockton, CA <br />�vs <br />
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