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State of California-Health and Welfare Agen Department of Health Services <br /> ` Page 3 of 3 pages <br /> RADIOACTIVE MATERIAL LICENSE License Number: 1294-39 <br /> Amendment Number:57 <br /> 18. The licensee may use any commercially available device, acceptable to the U.S.Nuclear Regulatory Commission,an <br /> Agreement State or a Licensing State, for doing linearity tests of its dose calibrator provided the procedures <br /> described by the manufacturer of the linearity device are followed. <br /> 19. Nuclear medicine technology procedures shall be performed by nuclear medicine technologists pursuant to Title 17, <br /> California Code of Regulations, Subchapter 4.6. Such procedures shall be performed under the supervision of <br /> authorized user physicians on this license who meet the criteria specified in Section 30510. Certificates or special <br /> permits issued pursuant to Subchapter 4.6 shall be prominently displayed at the facility(ies) authorized on this <br /> license. <br /> 20. Treatment and management of patients receiving therapeutic quantities of unsealed radioactive materials shall be in <br /> accordance with guidance contained in Chapter 4, "Release from Hospital of Patients Containing Radioactive <br /> Material"National Council on Radiation Protection and Measurements (NCRP) Report No. 37, "Precautions in the <br /> Management of Patients Who Have Received Therapeutic Amounts of Radionuclides" (NCRP Publications, P.O. <br /> Box 30175, Washington,D.C. 20014). <br /> 21. Production or processing of radiopharmaceuticals for the purpose of commercial distribution to other licensees is not <br /> authorized by this license. <br /> 22. For a period not to exceed 60 days in any calendar year, a visiting physician is authorized to use licensed materials <br /> for human use under the terms of this license,provided the visiting physician: <br /> (a) Has the prior written permission.of the hospital's Administrator and its Radiation Safety Committee. <br /> (b) Is specifically named as a user on a U.S. Nuclear Regulatory Commission, an Agreement State or a Licensing <br /> State license authorizing human use. <br /> (c) Performs only those procedures for which the physician is specifically authorized by the U.S. Nuclear <br /> Regulatory Commission, an Agreement State or a Licensing State license. <br /> The licensee shall maintain for inspection copies of the written permission specified in (a)above and the licensee(s) <br /> specified in (b) and (c) above. These records shall be maintained for five years from the time the licensee grants its <br /> permission under(a)above. <br /> 23. 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 /> 24. 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 500 West Hospital Road,French Camp,CA. <br /> For the State Depart al S rvices <br /> Date: July 5,2001 By: <br /> Radiologic H It Branch <br /> P.O. Box 942732-MS 178, Sacramento, CA 94234-7320 <br />