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State of California -Health and Human Services Agency <br />California Department of Public Health <br />Page 3 of 3 pages <br />RADIOACTIVE MATERIAL LICENSE Liccnsc Nuniher X313-36 <br />Amendment Number I <br />22. At arty tine the licensee k engaged in ruilking ntcasuieweirts by authority of this license at eitherit permanent oI <br />temporaryjob site, the licensee shall have it current copy of each of the following documents available for inspection <br />at tlic job ;ilcr: <br />(it) A statement authorizlnl. each qualified individual to the radioactive material (see Condition 12). <br />(h) Thk license. <br />(c) The rmanufacturCCC, instruction manual with spprnpriate cruagency procedures_ <br />23. the liccnscc Ahall comply Hidi all raluiremenls of Tillc 17. California Code of Regulations. Section 30373 when <br />transporting or delivering radioactive materials to a carrier for shipment. 'these requirements include; packaging, <br />marking, labeling, loading, slorage, placarding, monitoring, and accident reporting. Shipping papers shall be <br />maintained for inspection pursuant to the U.S. Department of Transportation requirement; (Title 49, Code of Federal <br />Regulations, Part 172, Section. 172.200 through 172.204). <br />24. The Radiation Safety Officer shall establish measures for the security of devices possessed and Lransported under <br />authority of this license. 'lhc Radiation Safety Officer shall ensure security measures required by this license. meet <br />the following minimum standards: <br />(a) Transport vehicle, roust he equipper] to prn,ide security nl'the transport case. The method selected must <br />provide foi- it fixed anti permanent atrachnav to vehicle frame. Whom ,ccondaiy conuiiners are uscd fill the <br />Type A package they shall be attached to the vehicle with the toe of it tamper resistutt tasteners to the frame of <br />the transport vehicle. <br />(b) Each portable gauge licatsec shall use a minimum of two indcpatdent physical controls that furor tangible <br />barriers to secure portable gauges from unauthorized removal, whenever portable gauges are nor under the <br />cimn-ol and cimslanl surveillance nfthe liccnscc. <br />(c) Transport vehicles must be equipped with a security device (such as an alarm systeni) capable of delcrinl; <br />unauthorized entry, access and use of vehicle_ <br />(d) Local law enforcement shall be notified immediately in the event of loss or thett. <br />25. At (cast 30 days prior to vacating any address of use listed in CondiLion 10 of this license, Lhc liccnscc shall provide <br />wriltciL not ifwillion of inlCnl 10 vac;+lc to the California llcparuncnl of public Hcalth, ut acxordancc with idle 17, <br />califumia Code. of Regulations. Section 30256 (b). C'onirol of all licatsed areas must be maintained until such .n-c.lS <br />are released by the Department lix unresu-icted use or the license is terminated, in accordance with Title 17, <br />California Code of Regulations, Section 30256 Q). <br />26. In accordance with California Health and Safety Code Section 115000.1(h), the licensee shall annually report <br />the radioactive waste inventory held in storage on December 31 of each year and all manifests of Low Level <br />Radioactive Waste (LLRW) shipments to licensed LLRW disposal facilities made during the year to the <br />Department via the online 1,1.RW Tracking System at 110 a [j „/: Alp;pyts..cdpglm„c;gn;;gmve(. <br />2T A copy ol'this license and a copy ol'all records and doccnnenu pertaining Lo this license shall he maintained available <br />for inspection at S966 Boirwn Avenue, S1,1110 B. Monlclair, CA. <br />Issued for the State of California Department of Public Health <br />Date: Scptambcr 19, 2019 By: <br />City Council <br />Sacramento. OAME;3�414 7/6l2021 <br />