Laserfiche WebLink
State of California -Health and Human Servicoency Department of Health Services <br />Page 1 of 4 pages <br />RADIOACTIVE MATERIAL LICENSE <br />Pursuant to the California Code of Regulations, Division 9, Title 97, Chapter 5, Subchapter 4, Group 2, Ucensing of Radioactive Material, and <br />in reliance on statements and representations heretofore made by the licensee, a license is hereby issued authorizing the licensee to receive, <br />use, possess, transfer, or dispose of radioactive material listed below, and to use such radioactive material for the purpose(s) and at the <br />places(s) designated below. This license is subject to all applicable rules, regulations, and orders of the Department of Health Services now <br />or hereafter in effect and to any standard or specific condition specified in this license. <br />Licensee: Kaiser Permanente Medical Facility <br />2. Address: 7373 West Lane <br />Stockton, CA 95210 <br />Attention: Michael D. Reitz, M.D. <br />Radiation Safety Officer <br />3. License <br />5766-39 <br />Amendment Number. 13 <br />4. Expiration date: <br />July 22, 2012 (3) <br />5. Inspection agency: Radiologic Health Branch <br />Sacramento <br />In— <br />response to the attera eSeptember—ll-,-2003,;ney Niic ae keit"z—,'I�:, <br />License Number 5766-39 is hereby amended as follows: <br />6. Nuclide <br />7. Form <br />8. Possession Limit <br />A. Groups 1, 2, 3 and 4 as specified <br />A. Any <br />I <br />A. Combined possession limit for <br />in Item 9. Any radionuclide with <br />Excluding Xenon <br />Groups 1, 2, 3 and 4 not to exceed <br />atomic numbers 3-83. <br />Excluding generators <br />650 mCi. <br />B. Group 9 as specified in Item 9. <br />B. Sealed or solid sources <br />B. Total not to exceed 20 mCi. <br />Any radionuclide with atomic <br />manufactured in accordance with a <br />Each source not to exceed <br />numbers 3-83, inclusive, except: <br />specific license issued by the <br />13 mCi. <br />Strontium -90 and Lead -210. <br />United States Nuclear Regulatory <br />Commission, an Agreement State <br />or a Licensing State. <br />9. Authorized Use <br />To be used for nuclear medicine procedures as specified in groups below: <br />A. Group 1 Diagnostic studies involving measurement of uptake, dilution, or excretion but not involving <br />imaging. <br />Group 2 Diagnostic studies involving imaging excluding the use of Xenon -127 and/or Xenon -133 gas. <br />Group 4 Internal therapy and palliative treatment not usually requiring hospitalization. <br />B. Group 9 Marker and calibration sources. <br />LICENSE CONDITIONS <br />10. Radioactive material shall be used only at the following location: <br />(a) 7373 West Lane, Stockton, CA. <br />