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Stag of California -Health and Human Servi gency Department of Health Services <br />Page 3 of 4 pages <br />RADIOACTIVE MATERIAL LICENSE License Number: 1812-39 <br />Amendment Number: 53 <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. <br />(c) Generator columns shall be segregated so that they may be monitored separately to ensure decay to background <br />levels prior to disposal. <br />19. The licensee may use one constancy source for the dose calibrator constancy test provided that the dose calibrator <br />manual indicates that only one constancy source is needed for proper Quality Control. <br />20. The licensee may use any commercially available device, acceptable to the U.S. Nuclear Regulatory Commission, an <br />Agreement State or a Licensing State, for doing linearity tests of its dose calibrator provided the procedures <br />described by the manufacturer of the linearity device are followed. <br />21. Nuclear medicine technology procedures shall be performed by nuclear medicine technologists pursuant to Title 17, <br />California Code of Regulations, Subchapter 4.6. Such procedures shall be performed under the supervision of <br />authorized user physicians on this license who meet the criteria specified in Section 30510. Certificates or special <br />permits issued pursuant to Subchapter 4.6 shall be prominently displayed at the facility(ies) authorized on this <br />license. <br />22. Treatment and management of patients receiving therapeutic quantities of unsealed radioactive materials shall be in <br />accordance with the guidance from any of the following: <br />(a) Chapter 4, "Release from Hospital of Patients Containing Radioactive Material" National Council on Radiation <br />Protection and Measurements (NCRP) Report No. 37, "Precautions in the Management of Patients Who Have <br />Received Therapeutic Amounts of Radionuclides" (NCRP Publications, P.O. Box 30175, Washington, D.C. <br />20014). <br />(b) Appendix M in the "Guide for the Preparation of Applications for Medical Programs", State of California, <br />Department of Health Services, Radiological Health Branch. <br />(c) Documented rationale or patient -specific calculations demonstrating that members of the general public will be <br />limited to 500 mrem total effective dose equivalent from patients who have been released containing therapeutic <br />quantities of radiopharmaceuticals. <br />23. Production or processing of radiopharmaceuticals for the purpose of commercial distribution to other licensees is not <br />authorized by this license. <br />24. For a period not to exceed 60 days in any calendar year, a visiting physician is authorized to use licensed materials <br />for human use under the terms of this license, provided the visiting physician: <br />(a) Has the prior written permission of the hospital's Administrator and its Radiation Safety Committee. <br />(b) Is specifically named as a user on a U.S. Nuclear Regulatory Commission, an Agreement State or a Licensing <br />State license authorizing human use. <br />