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State of Califomia-Health and Welfare Agency RADIOACTIVE MATERIAL LICENSE Supplementary Sheet Department of Health Services Page 5 of 6 pages License Number: 1294-39 Amendment Number: 54 26. Nuclear medicine technology procedures shall be performed by nuclear medicine technologists pursuant to the California Code of Regulations, Title 17, 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(ies) authorized on this license. 27. 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). 28. This license does not authorize distribution to persons licensed pursuant to Section 30195 (a) and (b) of the California Radiation Control Regulations or equivalent provisions of the NRC or Agreement States. 29. This license does not authorize commercial distribution of radioactive material. 30. Production or processing of radiopharmaceuticals for the purpose of distribution to other licensees is not authorized by this license. 31. Radioactive materials shall be used by occupational workers in such a manner that the dose limits specified in Title 10, Code of Federal Regulations, Part 20, Subpart C (Sections 20.1201 through 20.1208) are not exceeded. 32. The licensee shall monitor occupational exposures to radiation and shall supply and require the use of individual monitoring devices by personnel as required by Title 10, Code of Federal Regulations, Part 20, Section 20.1502 (a). 33. The licensee shall monitor occupational intakes of radioactive material by, and assess the committed effective dose equivalent to, individuals who may have exceeded or are likely to exceed, the limits specified in Title 10, Code of Federal Regulations (CFR), Part 20, Section 20.1502 (b). Suitable and timely measurements used for determination of such internal exposures shall be performed as specified by 10CFR 20.1204. 34. For a period not to exceed 60 days in any calendar year, a visiting physician is authorized to use licensed materials for human use under the terms of this license, provided the visiting physician: (a) Has the prior written permission of the hospital's Administrator and its Radiation Safety Committee. (b) Is specifically named as a user on an Nuclear Regulatory Commission (NRC) or Agreement State license authorizing human use. (c) Performs only those procedures for which the physician is specifically authorized by the Nuclear Regulatory Commission (NRC) or Agreement State license. The licensee shall maintain for inspection copies of the written permission specified in (a) above and the license(s) specified in (b) and (c) above. These records shall be maintained for five years from the time the licensee grants its permission under (a) above.