COMPLIANCE INFO_1983-2005 - Laserfiche WebLink

Home Browse Search

S;"Ite of California-Health and Welfare Agency Department of Health Services Page 1 of 3 pages r RADIOACTIVE MATERIAL LICENSE Pursuant to the California Code of Regulations,Division 1, Title 17, Chapter 5,Subchapter 4,Group 2,Licensing of Radioactive Material,and in reliance on statements and representations heretofore made by the licensee,a license is hereby issued authorizing the licensee to receive, use, possess, transfer, or dispose of radioactive material listed below;and to use such radioactive material for the purpose(s)and at the places(s)designated below. This license is subject to all applicable rules,regulations,and orders of the Department of Health Services now or hereafter in effect and to any standard or specific condition specified in this license. 1. Licensee San Joaquin General Hospital 3. License Number 1294-39 Amend Number 57 2. Address P.O. Box 1020 4. Expiration date ' August 26,2011 . Stockton,CA 95201 (3) Attention: Steve Ebert 5. Inspection agency Radiologic Health Brash Hospital Administrator Sacramento License Number 1294-39 is hereby renewed in its entirety. -v 6. Nuclide 7. Form 8. Possession Limit A. Groups 1,2, 3,4 and 5 as A. Any A. Combined possession limit for specified in Item 9. Any Excluding generators Groups 1,2,3,4 and 5 not to radionuclide with numbers 3-83. exceed 1.02 Ci. B. Group 9 as specified in Item 9. B. Sealed or solid sources B. Total not to exceed 15 millicuries. Any radionuclide with atomic manufactured in accordance with a Each source not to exceed numbers 3-83 inclusive,except: specific license issued by the 10 millicuries. United States Nuclear Regulatory 1. Strontium-90 and Commission,an Agreement State, 2. Lead-210 or Licensin State. 9. Authorized Use To be used for nuclear medicine procedures as specified in groups below: A. Group 1 Diagnostic studies involving measurement of uptake, dilution, or excretion but not involving imaging. Group 2 Diagnostic studies involving imaging including the use of Xenon-127 and/or Xenon-133 gas. Group 3 Reagent kits utilizing bulk technetium prepared by a radiopharmacy for preparation of radiopharmaceuticals listed in Group 2. Group 4 Internal therapy and palliative treatment not usually requiring hospitalization. Group 5 Internal therapy and palliative treatment requiring hospitalization for purposes of radiation safety. B. Group 9 Marker and calibration sources. LICENSE CONDITIONS 10. Radioactive material shall be used only at the following location: (a) 500 West Hospital Road,French Camp,CA. 11. This license is subject to an annual fee for sources of radioactive material authorized to be possessed at any one time as specified in Items 6, 7, 8 and 9 of this license. The annual fee for this license is required by and computed in accordance with Title 17, California Code of Regulations, Sections 30230-30232 and is also subject to an annual cost-of-living adjustment pursuant to Section 100425 of the California Health and Safety Code.