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COMPLIANCE INFO_1993-2006
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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PR0450003
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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
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4522_PR0450003_975 S FAIRMONT_1993-2006.tif
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EHD - Public
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State of California -Health and Welfare Agency <br />RADIOACTIVE MATERIAL LICENSE <br />Department of Health Services <br />Page 5 of 5 pages <br />License Number: 1368-39 <br />Amendment Number: 28 <br />30. In addition to the possession limits in Item 8, the licensee shall further restrict the possession of licensed material so <br />that at no time will the total quantity of radioactive material possessed require financial surety for decommissioning <br />in accordance with the California Code of Regulations, Title 17, Section 30195.1. A value of 100 microcuries is <br />assigned to Cobalt -57 to supplement the Code of Federal Regulations, Title 10, Part 30, Appendix B. <br />31. A copy of this license and a copy of all records and documents pertaining to this license shall be maintained available <br />for inspection at 975 South Fairmont Avenue, Lodi, CA. <br />For the <br />Date: November 15, 1999 By: <br />Services <br />Radiologic Health Branch <br />P.O. Box 942732 -MS 178, Sacramento, CA 94234-7320 <br />
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