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CORRESPONDENCE_1978-2005
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ACACIA
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4500 - Medical Waste Program
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PR0450001
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CORRESPONDENCE_1978-2005
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Last modified
4/19/2023 3:20:27 PM
Creation date
8/24/2021 8:22:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
CORRESPONDENCE
FileName_PostFix
1978-2005
RECORD_ID
PR0450001
PE
4522
FACILITY_ID
FA0002864
FACILITY_NAME
DAMERON HOSPITAL
STREET_NUMBER
525
Direction
W
STREET_NAME
ACACIA
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13715304
CURRENT_STATUS
01
SITE_LOCATION
525 W ACACIA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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r <br />State of Califomia-Health arc: Welfare Agency 4F Departrnent of Health Services <br />'I � f" <br />Page 1 of 7 pages <br />RADI <br />QACTI TERIALI.1C E <br />Pursuant to the California Code of Regulations, Division 1, it/e 17, `Chapter 5 er4, Group 2, Licensing of Radioactive Material, and in reliance <br />on statements and representations heretofore made by the licensee, a license is here yissued authorizing the licensee to receive, use, possess, transfer, <br />ordispose ofradioactive material listedbelow andto use such radioactive material forthe purpose(s) andat the place(s) designatedbelow. This lioense <br />is subject to all applicable rules, regulations, and orders of the Departnhent of Health Services now or hereafter in effect and to any standard or specific <br />condition speed in this license. <br />1. Licensee Dameron Hospital Association <br />2. Address 525 West Acacia Street <br />Stockton, CA 95203 <br />Attention: Anil K Sain, M.D. <br />Radiation Safety Officer <br />I License Ab. <br />1812-39 <br />Amendment Ab: 46 <br />4. Expiration date <br />January 24, 1996 (3) <br />5. Inspection agency Radiologic Health Branch <br />Sacramento <br />In response to the letter dated July 19, 1995 signed by Anil Sain, MD., Radiation Safety Officer, license Number <br />1812-39 is hereby amended in its entirety. <br />6. <br />Nuclide <br />7. <br />Form <br />8. Possession Limit <br />A. <br />Group 1 as specified in <br />A. <br />Any <br />A. -C. Combined possession limit for <br />Item 9. <br />Groups 1, 2, and 3 not to exceed <br />.1,500 mCi. <br />Any radionuclide with <br />atomic number 3-83. <br />B. Group 2 as specified in <br />B. Any <br />Item 9. <br />Any radionuclide with <br />atomic number 3-83. <br />C. Group 3 as specified in <br />C. Any <br />Item 9. <br />Any radionuclide with <br />atomic number 3-83. <br />D. <br />Group 4 as specified in <br />D. <br />D. Total not to exceed 100 mCi. <br />Item 9. <br />1. Iodine, 131 <br />1. Any <br />2. Phosphorus 32 <br />2. Any <br />E. <br />Group 5 as specified in <br />E. <br />E. Total not to exceed 200 mCi. <br />Item 9. <br />1. Iodine 131 <br />1. Any <br />2. Phosphorus 32 <br />2. Any <br />
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