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CORRESPONDENCE_2001-2016
Environmental Health - Public
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4500 - Medical Waste Program
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PR0450116
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CORRESPONDENCE_2001-2016
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Last modified
12/20/2022 12:16:32 PM
Creation date
11/28/2022 11:23:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
CORRESPONDENCE
FileName_PostFix
2001-2016
RECORD_ID
PR0450116
PE
4520
FACILITY_ID
FA0002602
FACILITY_NAME
KAISER PERMANENTE
STREET_NUMBER
7373
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09416023
CURRENT_STATUS
01
SITE_LOCATION
7373 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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California <br />Department <br />Health Services ces <br />State of A'fornia—Health and <br />3'7 <br />Servica <br />gency <br />ITTIM6, <br />am" <br />T1, <br />030CT24 . .... <br />GRAY DAVIS <br />DIANA M. BONTA, R.N., Dr. P.H. Governor <br />Director <br />October 14, 2003 <br />Michael Reitz, M.D. <br />Radiation Safety Officer <br />Kaiser Permanente -Stockton <br />7373 West Lane <br />Stockton, CA 95210 <br />Radioactive Materials License No. 5766. <br />Dear Dr. Reitz: <br />Enclosed is a copy of the amendment reflecting the removal of Dr. Vasquez from your <br />radioactive materials license. Additionally, one of the proposed users, Dr. Bowen, could <br />not be added to your license as his documented training was not obtained within the last <br />five years. Dr. Bowen would have to undergo a RHB pre -approved preceptorship. If you <br />wish to pursue a preceptorship for Dr. Bowen, please have the proposed preceptor <br />contact the supervisor of Medical, Academic and Pharmacy Radioactive Materials <br />Licensing, Gonzalo Perez, at (916) 323-3445. A new amendment request would be <br />required to pursue adding Dr. Bowen as an authorized user on your license. <br />Dr. Alexander could also not be added at this time due to insufficient documentation. <br />Please submit a completed form RH 2000A (copy enclosed) signed by his preceptor at <br />Methodist Healthcare (preceptor must be board certified) along with a new amendment <br />request. Since Methodist Healthcare is ACGME for diagnostic radiology only, he is not <br />eligible for group 4 internal therapy until he passes the American Board of Radiology <br />examination and completes a pre -approved preceptorship. <br />When the above requested items have been submitted and deemed acceptable by RHB, <br />your amendment request will be processed. If you have any questions, you may contact <br />me at (916) 323-4456. <br />Sincerely <br />Jeff S. Clifford <br />Associate Health Physicist <br />Radioactive Materials Licensing <br />Radiologic Health Branch <br />Enclosures <br />601 N. 7- St., MS 7610, P.O. BOX 997414, Sacramento, CA 95899-7414 <br />(916) 445-0931 <br />Internet Address: www.dhs.ca.aov <br />
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