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COMPLIANCE INFO_1993-2006
Environmental Health - Public
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COMPLIANCE INFO_1993-2006
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Last modified
1/4/2023 2:01:04 PM
Creation date
7/3/2020 10:17:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1993-2006
RECORD_ID
PR0450003
PE
4522
FACILITY_ID
FA0000513
FACILITY_NAME
LODI MEMORIAL HOSPITAL
STREET_NUMBER
975
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03107039
CURRENT_STATUS
01
SITE_LOCATION
975 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\cfield
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FilePath
\MIGRATIONS\MW\MW_4522_PR0450003_975 S FAIRMONT_1993-2006.tif
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EHD - Public
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Sate of California-Health and Welfare Agen <br />#, <br />Department of Health Services <br />Page 3 of 3 pages <br />RADIOACTIVE MATERIAL LICENSE License Number: 5927-39 <br />Amendment Number: 4 <br />20. At any time the licensee is engaged in making measurements by authority of this license at either a permanent or <br />temporary job site, the licensee shall have a current copy of each of the following documents available for inspection <br />at the job site: <br />(a) A statement authorizing each qualified individual to use radioactive material (see Condition 12). <br />(b) This license. <br />(c) The manufacturer's instruction manual with appropriate emergency procedures. <br />21. The licensee shall comply with all requirements of Title 17, California Code of Regulations, Section 30373 when <br />transporting or delivering radioactive materials to a carrier for shipment. These requirements include; (packaging, <br />marking, labeling, loading, storage, placarding, monitoring, and accident reporting). Shipping papers shall be <br />maintained for inspection pursuant to the U.S. Department of Transportation requirements (Title 49, Code of Federal <br />Regulations, Part 172, Sections 172.200 through 172.204). <br />22. The licensee shall conduct a physical inventory every six months to account for all sealed sources and/or devices <br />received and possessed under the license. Records of the inventories shall be maintained for inspection, and may be <br />disposed of following Department inspection. <br />23. Before radioactive materials may be used at a temporary job site at any federal facility, the jurisdictional status of the <br />job site must be determined. If the jurisdictional status is unknown, the federal agency should be contacted to <br />determine if the job site is under exclusive federal jurisdiction. A response shall be obtained in writing or a record <br />made of the name and title of the person at the federal agency who provided the determination and the date that it <br />was provided. Authorization for use of radioactive materials at the job sites under exclusive federal jurisdiction shall <br />be obtained either by: <br />(a) Filing an NRC Form -241 in accordance with the Code of Federal Regulations, Title 10, Part 150.20 (b), <br />"Recognition of Agreement State Licenses", or <br />(b) By applying for a specific NRC license. <br />Before radioactive material can be used at a temporary job site in another State, authorization shall be obtained from <br />the State if it is an Agreement State, or from the NRC for any non -Agreement State, either by filing for reciprocity or <br />applying for a specific license. <br />Date: July 20, 1998 <br />In <br />Services <br />Radiologic Health Branch <br />P.O. Box 942732 -MS 178, Sacramento, CA 94234-7320 <br />
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