Dh 1322 - Application For Radioactive Materials License Page 2

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Florida Bureau of Radiation Control - Application For Radioactive Materials License
HUMAN USE
6.a. Radioactive Materials For Medical Use By 64E-5, Florida Administrative Code
Possession Limits
Y=
Both: 64E-5.626(1) & (2) Uptake, Dilution, Excretion
0.5 curies or
(Written Directive Required)
_______ curies
(NaI-131 > 30 µCi)
Capsule form ONLY I-131 or
I-131 Bioassay Program Attached
Only 64E-5.626(1) Uptake, Dilution or Excretions (No Written Directive Required)
0.5 curies or
(NaI-131 < 30 µCi)
_______ curies
Only 64E-5.626(2) Uptake, Dilution or Excretions
Written Directive Required
0.5 curies or
(
)
_______ curies
(NaI-131 > 30 µCi)
Capsule form ONLY I-131 or
I-131 Bioassay Program Attached
All: 64E-5.627(1), (2), & (3) Imaging & Localizations
2 curies or
(Written Directive Required)
_______ curies
(NaI-131 > 30 µCi)
Capsule form ONLY I-131 or
I-131 Bioassay Program Attached
Only 64E-5.627(1) Imaging and Localizations (No Written Directive Required)
2 curies or
(NaI-131 < 30 µCi)
_______ curies
Both 64E-5.627(2) & (3) Imaging & Localizations
2 curies or
(Written Directive Required)
_______ curies
(NaI-131 > 30 µCi)
Capsule form ONLY I-131 or
I-131 Bioassay Program Attached
______ millicuries
64E-5.627 (4) Xe-133 Gas
Tc99m Aerosol
64E-5.628(1) Mo99/Tc99m Generator
5 curies
64E-5.628(2) or (3) Other Generators
Complete Item 6.b.
64E-5.630 Radiopharmaceutical Therapy (Written Directive Required)
2 curies or
_______ curies
Capsule form ONLY I-131 or
I-131 Bioassay Program Attached
2 curies or
64E-5.632 Manual Brachytherapy
_______ curies
64E-5.632(2) Sr-90 Eye Applicator ONLY
Complete Item 6.b.
2 curies or
64E-5.632(3)&(4) Pd-103 or I-125 for Permanent Implants ONLY
_______ curies
64E-5.634(1) Gamma Stereotactic Radiosurgery
Complete Item 6.b.
64E-5.634(2) Remote Afterloaders
Complete Item 6.b.
64E-5.634(3) Teletherapy
Complete Item 6.b.
64E-5.664 Other Medical Uses Not Listed Above (Detailed Information Attached)
Complete Item 6.b.
64E-5.617 Quantities Exceeded: Calibration, Reference, or Transmission Sources
Complete Item 6.b.
or Other Radioactive Materials in Quantities Greater than Allowed by 64E-5.617
64E-5.631 Sealed Sources for Diagnostic Uses
Complete Item 6.b.
DH 1322,12/09 (Rule 64E-5.207, F.A.C.)
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