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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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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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Amok <br />a 0 <br />State of Caliifomia44ealth and Welfare Agency Department of Health Services <br />Page 5 of 7 pages <br />RADIOAC11VE MATERIAL LICENSE License Number: 1812-39 <br />SLp*mentary4, <br />17. The following individuals are authorized to collect wipe test samples of sealed sources possessed under this <br />license using leak test kits acceptable to the California Department of Health Services: <br />(a) The Radiation Safety Officer <br />(b) Qualified individuals designated in writing by the Radiation Safety Officer <br />18. Records of leak test results shall be kept in units of microcuries and maintained for inspection. Records may <br />be disposed of following Department inspection. Any leak test revealing the presence of 0.005 microcuries <br />or more of removable radioactive material shall be reported to the Department of Health Services, Radiologic <br />Health Branch, 601 N. 7th Street P.O. Box 942732, Sacramento, CA 94234-7320, within five days of the test. <br />This report shall include a description of the defective source or device, the results of the test, and the <br />corrective action taken. <br />19. The licensee shall conduct a physical inventory every six months to account for all sealed sources and/or <br />devices received and possessed under the license. Records of the inventories shall be maintained for <br />inspection, and may be disposed of following Department inspection. <br />20. Except as otherwise specifically provided by this license, radiopharmaceuticals to be administered to humans <br />shall be procured in prepackaged, precalibrated form from a supplier who is registered with the U. S. Food <br />and Drug Administration, or prepared and compounded, from a prescription, in accordance with the regulations <br />of the California Board of Pharmacy. <br />21. Except as otherwise specifically provided by this license, radioactive biologicals (including human serum <br />albumin) to be administered to humans shall be procured in prepackaged, precalibrated form from a supplier <br />who is licensed for the preparation and distribution of such products by the Division of Biologics Standards <br />of the National Institutes of Health, or U. S. Food and Drug Administration, or prepared in accordance with <br />the regulations of the California Board of Pharmacy. <br />22. Radioactive materials prepared, processed, or modified by the licensee shall not be administered to humans <br />except as specifically authorized by this license. <br />23. Molybdenum 99/Technetium 99m generators approved by the Department may be used as sources of <br />Technetium 99m for use in preparations to be administered to humans, provided the generators are used in <br />strict accordance with the manufacturer's instructions or with the regulations of California Board of Pharmacy. <br />24. The licensee shall elute generators and process radioactive material with reagent kits in accordance with <br />instructions furnished by the manufacturer on the label attached to or in the leaflet or brochure that <br />accompanies the generator or reagent kit. <br />
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