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A. State of California -Health and Welfare Age
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<br />RADIOACTIVE MATERIAL LICENSE
<br />Department of Health Services
<br />Page 2 of 4 pages
<br />License Number: 1812-39
<br />Amendment Number: 50
<br />11. This license is subject to an annual fee for sources of radioactive material authorized to be possessed at any one time
<br />as specified in Items 6, 7, 8 and 9 of this license. The annual fee for this license is required by and computed in
<br />accordance with Title 17, California Code of Regulations, Sections 30230-30232 and is also subject to an annual
<br />cost -of -living adjustment pursuant to Section 100425 of the California Health and Safety Code.
<br />12. The individuals named below are authorized the specific uses of radioactive material described in Items 6, 7, 8, and 9
<br />of this license as follows:
<br />(a) Anil K. Sain, M.D.
<br />(b) Chull S. Song, M.D.
<br />Groups 1, 2, 3, 4, 5 and 9
<br />Groups 1, 2, 3 and 9
<br />13. Except as specifically provided otherwise by this license, the licensee shall possess and use radioactive material
<br />described in Items 6, 7, 8 and 9 of this license in accordance with the statements, representations, and procedures
<br />contained in the documents listed below. The Department's regulations shall govern unless the statements,
<br />representations, and procedures in the licensee's application and correspondence are more restrictive than the
<br />regulations.
<br />(a) The license application, with attachments, dated April 13, 1999, signed by Luis Arismendi, M.D.,
<br />Administrator, as supplemented by the letters, with attachments, dated June 11, 1999, and July 20, 1999, all
<br />signed by Anil Sain, M.D., Radiation Safety Officer.
<br />(b) The letters dated November 28, 2001, and January 23, 2002, both signed by Anil K. Sain, M.D., Radiation
<br />Safety Officer, regarding.a replacement gamma camera and associated procedures and commitments.
<br />14. (a) The Radiation Safety Officer in this program shall be Anil K. Sain, M.D.
<br />(b) The Chairperson of the Radiation Safety Committee shall be Anil K. Sain, M.D.
<br />(c) The Custodian of sealed sources shall be Anil K. Sain, M.D.
<br />(d) The Alternate Radiation Safety Officer in this program shall be Chull S. Song, M.D.
<br />15. Sealed sources possessed under this license shall be tested for leakage and/or contamination as required by Title 17,
<br />California Code of Regulations, Section 30275 (c).
<br />16. The following individuals are authorized to collect wipe test samples of sealed sources possessed under this license
<br />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 />17. Where users or their assistants are engaged in elution of pertechnetate 99m from generators, the exposure to the
<br />fingers or hands shall be monitored as required by Title 10, Code of Federal Regulations, Part 20,
<br />Section 20.1502 (a).
<br />18. The licensee is authorized to hold radioactive materials with a physical half-life of less than 65 days for decay in
<br />storage before disposal in ordinary trash provided:
<br />(a) Radioactive waste to be disposed of in this manner shall be held for decay in storage for at least 10 half-lives.
<br />(b) Before disposal as normal waste, radioactive waste shall be surveyed to determine that its radioactivity cannot
<br />be distinguished from background. All radiation labels shall be removed or obliterated.
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