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COMPLIANCE INFO_1983-2005
Environmental Health - Public
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PR0450005
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COMPLIANCE INFO_1983-2005
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Last modified
1/20/2023 2:39:39 PM
Creation date
7/3/2020 10:17:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1983-2005
RECORD_ID
PR0450005
PE
4522
FACILITY_ID
FA0000086
FACILITY_NAME
San Joaquin General Hospital
STREET_NUMBER
500
Direction
W
STREET_NAME
HOSPITAL
STREET_TYPE
Rd
City
French Camp
Zip
95231
CURRENT_STATUS
01
SITE_LOCATION
500 W Hospital Rd
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4522_PR0450005_500 W HOSPITAL_1983-2005.tif
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EHD - Public
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State of Califbtnia-Health arxl.lAtabm Agency <br />Department of Health Services <br />Page 2 of 6 pages <br />License Number 1294-39 <br />Amendment Number 52 <br />Group 1 Diagnostic studies involving measurement of uptake, dilution, or excretion but not involving imaging. <br />Group 2 Diagnostic studies involving imaging including the use of Xenon 127 and/or Xenon 133 gas. <br />Group 3 Reagent kits for preparation of radiopbarniacuticals listed in Group 2. <br />Group 4 Internal therapy not usually requiring hospitalization. <br />Group 5 Internal therapy requiring hospitalization for purposes of radiation safety. <br />Group 9 Nonhuman use, marker, calibration sources, in vitro test, animal studies and Blood irradiator. <br />LICENSE CONDITIONS <br />10. Radioactive material shall be used only at the following locations: <br />(a) 500 West Hospital Road, French Camp, 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 Secton 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, 7, <br />8 and 9 of this license as follows: <br />(a) Douglas McGirr, MD. <br />(b) Michael R. Rigdon, MD. <br />(c) Marina S. Soosaipillai, MD. <br />(d) Wyman K. Yee, MD. <br />(e) Ramesh N. Dharawat, MD. <br />Groups 1, 2, 3, and 9. <br />Groups 1, 2, 3, and 9. <br />Groups 1, 2, 3, and 9. <br />Groups 1, 2, 3, 4, 5, and 9. <br />Groups 2 (Cardiology studies only), and --9 <br />13. Except as specifically provided otherwise by this license, the licensee shall possess and use radioactive material <br />described in Items 6, 7, 8 and 9 of this license in accordance with statements, representations, and procedures <br />contained in the documents listed below. The Departmenfs regulations shall govern unless the statements, <br />representations, and procedures in the licensee's application and correspondence are more restrictive than the <br />regulations. <br />
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