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• r <br />® State of California -Health and Welfare AgenCO <br />Department of Health Services <br />Page 1 of 5 pages <br />RADIOACTIVE MATERIAL LICENSE <br />Pursuant to the Califomia Code of Re I o Division 1, Title 17, Chapter 5, Subchapter 4, Group 2, Licensing of Radioactive Material, and <br />s <br />in reliance on statementand repres'�n iCdh retofore made by the licensee, a license is hereby issued authorizing the licensee to receive, <br />use, possess, trans*,'; 4 ,",, llspose of radioactive material listed below; and to use such radioactive material for the purpose(s) 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 />Licensee <br />2. Address 975 South Fairmont Avenue <br />P.O. Box 3004 <br />Lodi, CA 95241-1908 <br />Attention: Roger P. Vincent, M.D. <br />Radiation Safety Officer <br />License Number 1368-39 is hereby amended in its entirety. <br />IIJQ IYY/I/YGI <br />1368-39 <br />ration date <br />March 21, 2002 <br />ection agency Radiologic 1 <br />Sacramento <br />Amendment Number: 28 <br />(3) <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. Any radionuclide with <br />Excluding generators <br />Groups 1, 2, 3 and 4 not to exceed <br />atomic number 3-83. <br />825 mCi. <br />B. Group 6 as specified in Item 9. <br />B. <br />B. <br />1. Cesium -137 <br />1. Sealed sources <br />1. Total 300 mCi, in 6 sources, <br />no single source to exceed <br />75 mCi. <br />2. Radium -226 <br />2. Sealed sources <br />2. Total 100 mg, in 6 sources, no <br />single source to exceed <br />25 mg. <br />3. Iodine-125 <br />3. Seeds <br />3. Total 100 mCi. Each seed not <br />to exceed .5 mCi. <br />4. Palladium -103 <br />4. Seeds <br />4. Total 500 mCi. Each seed not <br />to exceed 1.8 mCi. <br />5. Strontium -90 <br />5. Applicator <br />5. Total 50 mCi, in 1 source. <br />6. Iridium -192 <br />6. Seeds <br />6. Total 40 mCi. Each seed not to <br />exceed .4 mCi. <br />C. Group 9 as specified in Item 9. <br />C. Sealed or solid sources <br />C. Total not to exceed 25 mCi. Each <br />Any radionuclide with atomic <br />manufactured in accordance with a <br />source not to exceed 15 mCi. <br />numbers 3-83, inclusive, except: <br />specific license issued by the <br />Strontium -90 and Lead -210. <br />United States Nuclear Regulatory <br />Commission, an Agreement State <br />or Licensing State. <br />