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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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4 <br />State of California -Health and Welfare Agency <br />Y° 300 , <br />Departrnerrt of Health Services <br />Pursuant to the California Come of Regulations, Division 1, Title 17, Chapter 5, Subchapter 4, Group 2, Licensing of Radioactive Material, and in reliance <br />on statements and representations heretofore made by the licensee, a license is hereby issuedauthanzing the licensee to receive, use, possess, transfer, <br />ordispose of radioactive material listed below, and to use such radioactive material forthe purpose(s) and at the place(s) designated belay. This license <br />is subject to all applicable rules, regulations, and orders of the Department of Health Services now or hereafter in effect and to any standard or speafic <br />condition specified in this license. <br />1. Licensee Dameron Hospital Association 3. license Mo. <br />1812-39 Amendment hb: 47 <br />2. Address 525 West Acacia Street 4. Expiration date <br />Stockton, CA 95203 January 24, 1996 (3) <br />Attention. Anil K. Sain, N.D. 5. Inspection agency Radiologic Health Branch <br />Radiation Safety Officer Sacramento <br />In response to the letter dated November28, 1997, signed by Anil K Sain, MD., Radiation Safety Officer, license <br />Number 1812-39 is hereby amended as follows: <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 />(See condition 40) <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 />f <br />1. Iodine 131 <br />1. Any <br />2. Phosphorus 32 <br />2. Any <br />3. Stwntiwn 89 <br />3. Any <br />
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