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a 01 <br />State of Califomia-Health and Welfare Agency <br />Department of Health Services <br />License Number. 1812-39 <br />26. Where users or their assistants are engaged in elution of pertechnetate 99m from generators, the exposure to <br />the fingers or hands shall be monitored as required by Title 10, Code of Federal Regulations, Part 20, Section <br />20.1502(x). <br />27. Mo -99 break through may not exceed 0.15 uCi per mCi of Tc-99m, and less than 2.5 uCi Mo -99 per <br />administered dose. <br />28. Equipment for radiometric assay of pharmaceuticals, body fluids, excreta, or in -vitro assay samples shall be <br />calibrated to ensure reliability of data obtained. The stability of the equipment shall be checked at least once <br />each day of use, using appropriate standards. <br />29. Nuclear medicine technology procedures shall be performed by nuclear medicine technologists pursuant to the <br />Title 17, California Code of Regulations, Subchapter 4.6. Such procedures shall be performed under the <br />supervision of individuals listed as authorized users on this license who meet the criteria specified in Section <br />30510. Certificates or special permits issued pursuant to Subchapter 4.6 shall be prominently displayed at the <br />facility(ies) authorized on this license. <br />30. Treatment and management of patients receiving therapeutic quantities of unsealed radioactive materials shall <br />be in accordance with guidance contained in Chapter 4, 'Release from Hospital of Patients Containing <br />Radioactive Material" National Council on Radiation Protection and Measurements (NCRP) Report No. 37, <br />"Precautions in the Management of Patients Who Have Received Therapeutic Amounts of Radionuclides" <br />(NCRP Publications, P. O. Box 30175, Washington, D. C., 20014). <br />31. Treatment and management of patients undergoing brachytherapy shall be in accordance with guidance <br />contained in Chapter 5, "Safety Precautions in Clinical Application', National Council on Radiation Protection <br />and Measurements (NCRP) Report No. 40, Protection Against Radiation From Brachytherapy Sources (NCRP <br />Publications, P. O. Box 30175, Washington, D.C., 20014). <br />32. Notwithstanding the six-month test interval requirement of Section 30275 of the California Radiation Control <br />Regulations, medical cesium -137 sources (3M Company Models 6500 - 6507 or old Model 6D6C, and Isotope <br />Products Model 67-800 or 67-820 series) possessed under this license may be tested for leakage and/or <br />contamination at three-year intervals. <br />33. This license does not authorize distribution to persons licensed pursuant to Title 17, California Code of <br />Regulations, Section 30195 (a) and (b) or equivalent provisions of the U.S. Nuclear Regulatory Commission <br />or Agreement States. <br />34. This license does not authorize commercial distribution of radioactive material. <br />35. Production or processing of radiopharmaceuticals for the purpose of distribution to other licensees is not <br />authorized by this license. <br />36. Radioactive materials shall be used by occupational workers in such a manner that the dose limits specified <br />in Title 10, Code of Federal Regulations, Part 20, Subpart C (Sections 20.1201 through 20.1208) are not <br />exceeded. <br />