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State of California -Health and Welfare Agenft It Department of Health Services Page 3 of 4 pages RADIOACTIVE MATERIAL LICENSE License Number: 1368-39 Amendment Number: 27 (a) The renewal application, with attachments, dated February 15, 1994, signed by Verna Gallery as amended by the letters, with attachments, dated January 13, 1995 and April 13, 1995, both signed by Roger P. Vincent, M.D., Radiation Safety Officer. 14. (a) The Radiation Safety Officer in this program shall be Roger P. Vincent, M.D. (b) The Chairperson of the Radiation Safety Committee shall be R. Brandon Rankin, III, M.D. (c) The Custodian of sealed sources shall be Roger P. Vincent, M.D. (d) The Alternate Radiation Safety Officer in this program shall be R. Brandon Rankin, III, M.D. 15. Sealed sources possessed under this license shall be tested for leakage and/or contamination as required by Title 17, California Code of Regulations, Section 30275 (c). 16. The following individuals are authorized to collect wipe test samples of sealed sources possessed under this license using leak test kits acceptable to the California Department of Health Services: (a) The Radiation Safety Officer (b) Qualified individuals designated in writing by the Radiation Safety Officer 17. The licensee shall conduct a physical inventory every six months to account for all sealed sources and/or devices received and possessed under the license. Records of the inventories shall be maintained for inspection, and may be disposed of following Department inspection. 18. The licensee is authorized to hold radioactive materials with a physical half-life of less than 65 days for decay in storage before disposal in ordinary trash provided: (a) Radioactive waste to be disposed of in this manner shall be held for decay in storage for at least 10 half-lives. (b) Before disposal as normal waste, radioactive waste shall be surveyed to determine that its radioactivity cannot be distinguished from background. All radiation labels shall be removed or obliterated. 19. The licensee may use any commercially available device, acceptable to the U.S. Nuclear Regulatory Commission or any Agreement State, for doing linearity tests of its dose calibrator provided the procedures described by the manufacturer of the linearity device are followed. 20. Nuclear medicine technology procedures shall be performed by nuclear medicine technologists pursuant to Title 17, California Code of Regulations, Subchapter 4.6. Such procedures shall be performed under the supervision of individuals listed as authorized users on this license who meet the criteria specified in Section 30510. Certificates or special permits issued pursuant to Subchapter 4.6 shall be prominently displayed at the facility authorized on this license. 21. Treatment and management of patients receiving therapeutic quantities of unsealed radioactive materials shall be in accordance with guidance contained in Chapter 4, "Release from Hospital of Patients Containing Radioactive Material" National Council on Radiation Protection and Measurements (NCRP) Report No. 37, "Precautions in the Management of Patients Who Have Received Therapeutic Amounts of Radionuclides" (NCRP Publications, P.O. Box 30175, Washington, D.C. 20014). 22. Treatment and management of patients undergoing brachytherapy shall be in accordance with guidance contained in Chapter 5, "Safety Precautions in Clinical Application", National Council on Radiation Protection and Measurements (NCRP) Report No. 40, "Protection Against Radiation From Brachytherapy Sources" (NCRP Publications, P.O. Box 30175, Washington, D.C. 20014).