My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_1993-2006
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
F
>
FAIRMONT
>
975
>
4500 - Medical Waste Program
>
PR0450003
>
COMPLIANCE INFO_1993-2006
Metadata
Thumbnails
Annotations
Entry Properties
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
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
201
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
State of Caldbrnw ieatth and Welfare Agency <br />Page of 7 pages <br />• <br />E. Group 6 Brachytherapy and Ophthalmic treatments utilizing sealed or solid sources manufactured, <br />labeled, packaged, and distributed in accordance with a specific license issued pursuant <br />to Title 10, Code of Federal Regulations, Part 32.74, or a specific license issued by an <br />agreement state pursuant to equivalent state regulations (except for sources manufactured <br />prior to August 16, 1974). <br />L-4. Brachydierapy <br />5. Applicator <br />F. Group 9 Nonhuman use: Marker and calibration sources. <br />LICENSE CONDITIONS <br />10. Radioactive material shall be used only at the following locations: <br />(a) 975 South Fairmont Avenue, Lodi, 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 Item 8 of this license. The annual fee for this license is required by and computed <br />in accordance with Sections 30230-30232 of the California Radiation Control Regulations and is also subject <br />to an annual cost -of -living adjustment pursuant to Section 113 of the California Health and Safety 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 />r • •._ rVicetit, M.D. <br />r Demis D. Jacobse <br />Wong,M.D. <br />(d) Frank M. Hartwick, MD. <br />R. Brandon11 <br />(f) Patricia K. Richardson, NLD. <br />(g) Grant W. Rogero, M.D. <br />Groups .1, 2, 3, 4, 6 (Strontium 90 only), and 9 <br />Groups 1, 2, 3, 4 (I-131 only), and 9 <br />Groups 1, 2, 3, 4 (1-131 only), 6 (Strontium 90 only),and 9 <br />Groups 1, 2, 3, and 9 <br />Groups 1, 2, 3, and 9 <br />(h) Edward C. Greenleaf, NLD. Groups 6 and 9 <br />
The URL can be used to link to this page
Your browser does not support the video tag.