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Stole of Corfoinlo—Heolth and Wellale AgenDepodrtrenl of Health Services <br /> cy <br /> Page 3 of 4 Pages <br /> RADIOACTIVE MATERIAL LICENSE License Number: 4325-39 <br /> Supplementary Sheet Amendment Number: 3 <br /> 13. Continued <br /> 1 <br /> Article 1. General. Sections 30252(a) , and 30254; <br /> Article 4. precautionary procedures. Sections 30278(b) (5) , <br /> 30279(a) (1) , and 30280; <br /> Article 6. Records, Reports and Notifications. Sections 30298 <br /> and 30299; <br /> Article 7. Special Requirements for the Use of X-ray in the <br /> Healing Arts. All sections are retained without <br /> change; <br /> Article 8. Special Requirements for Use of Radioactive Material <br /> in the Healing Arts, All sections are retained <br /> without change; <br /> Article 9. Special Requirements for Radiographic Operations <br /> Other Than in the Healing Arts. All sections are <br /> retained without change; <br /> Article 10. Radiation Safety Requirements for Well bogging <br /> Operations. All sections are retained without <br /> change; <br /> Article 11. Enforcement. All sections are retained without <br /> change. <br /> (2) Provisions of subparagraph 13(i) became effective on January 1, <br /> 1994, and remain in effect until such time as amendments to ` <br /> Title 17, CCR, Subchapter 4, Group 3 that implement the above <br /> specified provisions of Title 10, CFR, Part 20, become effec- <br /> tive. <br /> (e) A user may apply to the Department for authorization to operate up to <br /> an annual dose limit, for an individual member of the public, of 0.5 <br /> Rem (5 mSv) , pursuant to provisions of Title 10, CFR, Part 20, Sec- <br /> tions 20.1301 and 20.1302, by submitting their request on Department <br /> Form PH 500. <br /> (ii) Except as specifically provided otherwise by this license, the licensee <br /> shall possess and use radioactive material described in this license in <br /> accordance with statements, representations, and procedures contained in <br /> the documents listed below: <br /> (a) The application with attachments dated February 27, 1991, signed <br /> M. H. Gartin. <br /> (b) The letters with attachments dated January 20, 1994 and January 26, <br /> 1994 both signed by Bruce W. Houghton regarding procedures. <br /> For the State Department of Health Services <br /> Date: February 10, 1994 By, 5 <br /> Radiologic Health Branch <br /> P.O. Box 942732 <br /> Sacramento,CA 94234-7320 <br /> RH 2551 ani.)(1191) <br />