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w. <br /> Department o Heafth Servlces <br /> State of Califomla—Health and Welfare AWMCy L <br /> EN i PECf „ <br /> tH2 <br /> I N)i i1ERLTN <br /> Page 1 of Pages <br /> p p py <br /> ' -' `n '• •' 12' 5aADIOACTIVEAMATEIA L l61HVfE9q <br /> Pursuant to the California Administrative Code, Tide 17, Chapter 5,Subchapter 4, Group 2,Licensing of Radioactive Mareria/,and in reliance <br /> on statements and representations heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive,use,possess, <br /> transfer,or dispose of radioactive materia/listed below,,and to use such radipacdw material for the purpose(s)and at the place(s)designated <br /> below. This license is subject to all applicable rules,regulations,and orders of the Department of Health Services now or hereafter in effect and <br /> to any conditions specified in this license. <br /> 1. Licensee 3. License No. 4325-39 <br /> Van Den Bergh Foods Cortg>any Amendment No. 4 <br /> 1400 Waterloo Road 4. Expiration date <br /> 2. Address Stockton, CA 95208 May 8, 2000 <br /> BougbtM 5. Inspection agency <br /> Attention: W. <br /> Radiation Safety Officer Radiologic Health Branch - Sacramento <br /> In rnspC13se to the letter with attactments dated Jame 30, 1994, signed by <br /> R. P. Wayman, Plant M Mager, License Number 4325-33 is heMW amended as follows: <br /> 6. Nuclide 7. Form 8. Possession Limit <br /> A. Carbon 14 A. BacteC Culture A. Not to exceed 100 millicuries <br /> Vials <br /> 9. Authorized use <br /> A. To be used for in-vitro testing only. <br /> 10. Radioactive material shall be used only at the following locations: <br /> (a) 1400 Waterloo Road, Stockton, CA <br /> 11. This license is subject to an annual fee for sources of radioactive material <br /> authorized to be possessed at any one time as specified in Item 8 of this <br /> license. The annual fee for this license is required by and computed in <br /> accordance wiudi Sections 30230-30232 of the California Radiation Oantrol <br /> Regulations and is also subject to an annual cost-of-living adjustment pursuant <br /> to Section 113 of the California Health and Safety Code. <br /> 12. Radioactive material shall be used by, or under the supervision of, the <br /> following individuals: <br /> (a) Hugh Gartin <br /> (b) Ron Noack <br /> (c) Bruce W. Hougbtm <br /> For the State Department of Health Services <br /> July 28, 1994 5 <br /> Date by <br /> Radiologic Health Section <br /> 744 P Street,Sacramento,CA 95814 <br /> RH 2550(2/81) <br />