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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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2231-2238 – Tiered Permitting Program
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PR0506899
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COMPLIANCE INFO_PRE 2019
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Last modified
8/26/2020 8:51:53 AM
Creation date
7/30/2020 7:46:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2231-2238 – Tiered Permitting Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0506899
PE
2233
FACILITY_ID
FA0006171
FACILITY_NAME
Mizkan America, Inc.
STREET_NUMBER
1400
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205-3743
APN
14115002
CURRENT_STATUS
02
SITE_LOCATION
1400 E WATERLOO RD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\gmartinez
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FilePath
\MIGRATIONS\Tiered Permitting\W\WATERLOO\1400\PR0506899\COMPLIANCE INFO.PDF
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EHD - Public
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State of Callfomia--Health and Welfare Agency Department of Health Servlres <br /> C �I r , •;, ,r•'TF. I�; �{�'W✓_VfS/-Page 1 of 4 pages <br /> HEA!_TIJ <br /> RAl5fpA ?lPM4ITfNLA�L ICENSE <br /> Pursuant to the California Administrative Code, Title 17, Chapter 5 Subchaepte <br /> r 4,Group Z Licensing of Radioactive Material,and in reliance <br /> on statements and representations heretofore made by the licensee, a license is hereby issued authorizing the licensee to fecal",use,possess, <br /> transfer, or dispose of radioactive material listed below, and to use such radioactive material for the purpose(sl 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. <br /> Van Den Bergh Foods CmWny 4325-39 Amendment No. 3 <br /> 2 Address 1400 Waterloo Road 4. Expiration date <br /> Stockton, CA 95208 May 8, 2000 <br /> 5. Inspection agency <br /> Attention: Hugh Garth <br /> Radiation Safety Offices Radiologic Health Branch - Sacramento <br /> License Number 4325-33 is hereby renewed in its entirety. <br /> 6. Nuclide 7. Form 8. Possession Limit <br /> A. Carbon 14 A. Bactea 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 with Sections 30230-30232 of the California Radiation Control <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 /> For the State Department of Health Services <br /> Date February 10, 1994 by 5 <br /> Radiologic Health Section <br /> 744 P Street,Sacramento,CA 95814 <br /> RH 2550(2/81) <br />
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