POLATOM | piss: - Nap tia 8 date 30/05/2019 Certificate No 022-110219-02219-1220 HASS of Sealed Radioactive Source Isotope mp Code IRSHCT ‘Nominal activity (for day] 3700 GBq{08/0672019] Measured activity [date] 4026 GBql30/05/2019} Source size [xh] in mm 5x8 Active part sizes [xh] in mm 30x18 Source identification No HCU3S0 - Souree housing type / material Capsule HAT/HCT ——_/ steel pnownatiner 180 2919:1999 classification code © 6645 Sealed source control method Immersion test(boling liquid) ace.1$0 9978: 1992 ° Result < 200 Bq Radioactive material special form certifieate No PL/002918 ‘Additional information Source identification number is unique number legibly engraved on the source capsule Container type / No ZK14x150 / 02/2013, Photo: ‘Channel No 4 Remarks 4 Inolder No, PL2462 Production ~ Source loading confirmation Tonnes 0.05, 20.05. 4 Coes, 5 waretegcee ay 2)3 InspeRodiotneiaa) reathlogicané{] ) _Consignee: No. 2, X28 Restlement Area, Yen So, Hoang Mai Dist, type IOR-0; IOR-1 20.06 AI Blomwalaaniaramack! RADIOISTOPE ONE MEMBER COMPANY LIMITED prawnlentu 11772012 Noi, YN National Centre for Nuclear Researeh / Narodowe Centrum Bada Jrowych ‘VAT Res, No. PLS320100125 ‘Radioisotope Centre POLATOM, Andrzej Sltan7, 05-400 Orwrock, Poland ‘wi polatom pl Director: phone +48 227180700, fax 48 227180880; Commercial Directo: phone ~#8 227180809, fx ~48 227797381, Export Deptt: phone +48 227180820, fx +48 22797381; Customer Service: phone H48 227180840, fx #48 227797381, ema-poltom@poatom plPOLATOM p35ts — Nap han & Page 1 Decay Table of -192 37000GBq (100.0 Ci) Code IRSHCT, Id No, HCU3S0 Certificate No, 022-110219-02219-1220 Active part dimensions, diameter x height (mm) 3.0 x1.8 wavy 0 Cr a Touwiy 2 SCHIS«SGSLO tiduvi9 3 Lunt9 463386 IDSs 80 Mauvi9 6 Isduvi9 73GB MOS HOlduwI 7H BRR Mis 9 aut 109033368303 2omwig 12 2Wuw9 38S 32747 Au 876 RHA 2xmwi9 1S Did 1684083188 «IT B52 SHO ronnl9 18 2iwwi9 198365 «BUBSA DRUID «2A 2sihnit9 21 whi 228183 3000493 80S7 25813 ois (uid «25 90R_ 228K OHI. «26TH (RS osmi9 isdui9 «286K MAS OTD. «29S TH16 IR owiy 30 oouuvi9 314TH 2656 tau. «THOS BT ius 33 Tuuig 7267235 TOD 20636 lyulis—36 Isdull9 3776S 2614.38.90 2880.7 ot ) ssgui9 6H) OSHLS IID. «ats 2ST auwis DuWIs 67RD MMW 616 HT zug 4s Dawid 46 = ANS HDS SHIA roii9 a8 puis 4963223386 = Daa. «50 S323 rong st soni? 52637 21D. «S32 S uaugiy 58 ouAuyl9 5559672076 UAWIB «SG S. BT ovaugnd 57 OsAupI9 58 SROL 21463 O6iAwI. «59874721283 ovaugis 60 OwAugI9 GL S640——(2086,7OHYAuyI «SR 2067.2 on) TWAwgl9 64 S483 2008S AWTS 543220008 LiAupi9 lawl 67331 9AM? DBT 19540 a Wau 70 SLB 1916 AWN. = T SHS 1800.7 pinup) 2oAupl9 7380398 DAI «TH 4921840 auAw9 75 DvAwpil9 16RD AIG DAI 77 KS 17957 2vAugii9 78 DwiAugild 7 4763—7H,Z_ Aw ID «gD Wau) t DiAugil9 824531 TIS,S SAID AST 16873 SUAup/I Be OiSepis ASA N665,7 NSD H 16802 oaiSep/19 87 OWSep19 BY ATT_— SIDS. OSSD 8336604 ooisen/19 99 OTBepvi9 LASS ISHS ORSepI BIG SSO wrisei9 93 osevi9 944187188 THSepID SAD ASG S Lasepit9 96 Iisepi9 974022 MBB.3LAISeptd 93S aT Isisepll9 laseni? 100, 3931469 TISep19 OLR Issel 102 losevi9 1033824068 20USepI® OH TT 13936 2uisepiI9 0s Dusewi9 1063596 ——1367,7—«28ISepI9 03H 2_——13849 2alSep/19 108 2srSep/19 09359413297 Hewl S017 anisepit9 1 2wSep/l9 1124942 WKepllO 13 S41 1280,7 sorsep/i9 14 QiOevid 11833972559 ROI 68S 24S nyoei 117 ows =k 3303 2D asOIB «19S woes 120 onovIs 1211880 woe LBL 169 twas 123 wowi9 24122 SS@ let” 393, iaowi9 136 twowig 73510 OID RSTn isowt9 129 owls 130285110818 28.23 BL ixowl9 1 Wowid 133-2869 061A 2HNORVIN LM 28S S 2uoeiI9 138 owls 136278909 OID 37S [National Centre for Nuclear Researeh/ Namdowe Centum Rada Joys VAT Reg, No: PLSHD0100125 Radioisotope Centre POLATOM, Andrasj Solan 7, 05-400 Orwrock, Poland — ‘wor plat pl iret: phone 48 27180700, fx +48 227180350; Conimercal Director: phone +48 227180809, fx +48 227797381 ‘Export Department: phone-W48 227180820, fx ~48 22797381; Customer Service: phone-~48 227180840, fax =48 227797381, e-mail polatom@polatom plPOLATOM pss. ap iv ¢ a Decay Table of Ir -192 3700,0GBq (10,0 Ch, (Code IRSHCT, Id No. HCU350 Certificate No, 022-110219-02219-1220 Active part dimensions, diameter x height (mm) 3.0 x1.8 2soevi 139, 1ou33 261019140 2oei'9 reowls 2 9754 aww 48 300eI9 BuOevI9 8 9484 OUND 148 ooNowiy a7 ORNoWI9 48 5220 ouNowst 149 OSINowi9 180 OGNowit9 15H 8964 OTon"t9 152 OWNowId 138, O8INowit® 184 SIS WWRovI 5 HNowI9 156 8173 Movs S8 MNO 159 IsiNovii9 160 38 IWNowID Lot VINowI9 162 TWNowit® 168 8009 RoI 164 2UNowId 165, DUNowiI® 16 787 Now 167 23NowId 168 7570 28Nowst 1 2SNowID TL 2008 7430 ATINWIID IT 7360 2BINovil9 173 DINoWID «7 S2 PRB ANow!T 175 7156 OMDee 16 aide T1898 23D 8 6857 OwDet9 8 OsiDeer19 18D RAS 6B ODES BT 6164 OTe 18 OsiDeet9 17M 6638 6576 ode 18s Ibe 186 TAA 93ND 188 [Wide 11696 ATA SIDR! 190 e218 Iebet9 191 Inbe9 192 164961008998 6043 19/Dowlt9 198 idee 1958-16038, 196 5875 Da 1997 2yDeel9 «198 ASSR«56G6=—BDewl® 199 572 28)Deit9 200 aside? 201 ISIS $608 MDa 2D S833 2wpeett9 208, pine) 204475450 DeCI 208 5399 stiDeet® 206, Ovi20 2074325299 an0 208 249 enzo 200 own 2101382 SI82 Sanaa 5104 ana 212 oma = 213-384 S09 Rane0 4982 oong0 21s Toua20 216364870 Anan 217 44 Hanan 218 1n20 219280434 an20 220, 4600 tsavan 221 Iwian20 2224003723 4560 dana 224 H9uan20 225074478 Dv 226 403 ana m2 RTGS aD 9 B10 dana 230 2m BABA. 2un20 40 dana 233 awa 28 TaN22dana0S 4o7¢ = oan 26 Bilan 237 OT 3998 OWmebian 28 3961 onjrebi20 239 uvres20 240 387 owen 3851 /Febi20 a2 ooreb20 283 tazt 3779 mean 34 aBiFeh20 Ms owrreono 2489983674 NmFeWvan 2A yoko 1Fev20 248 Iifeh20 24968872 Renan 280, 3839 e051 Lsrey20 28293973 NaRenD 253, Buh) eyn0- 88 lebQ0 28583 337.7IoReNDD 286, aus 202025 2ifeebno «28k RA? ARS eI 259 3282 237Feh20 260 DWEeb20—26L_— RGB 3192—2FebaD 26 3162 261Febi20 263 2TEeb20— 2648393103 FehaN 6S 3074 2eveb20 266 oumar20 267 BIS 30.7 Mar20 268 289 M20 269 oMn20——«270=S 793 83M zone osMara0 2 ova) 27) T2882 RMD TH 2825 0W/MarQ0. 278 [National Centre for Nuclear Research / Narodowe Centrum Bada Jadrowych VAT Reg No. PLs320100125 ‘Radioisotope Centre POLATOM, Andrzej Sottan , 05-400 OFwroek, Poland ‘ro polit Digector: phone +48 227180700, fax =48 227180350; Commercial Director phone ~48 227180808, fax ~48 227797381, Export Department: phone +48 227180800, fax 148 22797381; Customer Service: phone 48 227180840, fx v8 2779738, email polatom@poltom plPOLATOM past - ep in Paes Decay Table of Ir -192 3700,0GBq _(100,0 Ci) ‘Code IRSHCT, Id No. HCU3S0 Certificate No, 022-110219-02219-1220 Active part dimensions, diameter x height (mm) 3.0 x1.8 Bs Tee] Tomar 276749 TTD rr a im20 «279728 260.5 4Mar20 280, 1siMara0— 2817S 26S lm 282708 252.0 A Mar20 Iwan 2846952872. loa20 285692848 20Mac20 286, 2uMa20 2876782500 za) 288669, 28Mar20 280 2Mar20 290-6572) 2s 2916S 240820292 2iMw20 2836392363 2eMa20 2M 6338238 28Ma20 295 SWMa20 «296 = BAL 28 3Ma2d «207 GIS 2276 LAO. 298 WIAD 2) OLA fowape20 —-300=«S 982213 OWA 301 osiapra0,= MRS) 2172 OwAp20 = «BAZ 2182 OTA 304 owAprao «MOS S72 OAp20 306565202 AAr20 307 LWApo0 «308 S85 2083, inpea0 «402550, SIApeO 310 Waprao 31839186, Iyaea0 32 SM TT TOAD 31D iia 31 52a 0 Hwag20 SIS 5202 WIApRD 3 aorape20 37 S108 2VAm20 —«318—«S05— «1852 IApID «3195002 2Ap20 3204968 DwApean «32181 TBLLT.——2ARD «322487 BO. DaApQD 32848 ITHS Dap 328 771787 AID SATE Dia) 326460 3UApa = «327.64 TTB 1M 20 450 oiMay20 329486168 fymayno 3304516700317 N6S4 | OMay20 32439 Mayen «333439163 OTMay20 334438160 ORIMay20. 3354S OMay20 36427 STS——ayizo = 33742386 Tayo. 33841949 TMay20 «94S ISS IMO. 1S20—LaMayrz0, «ML 4071306 13May20 2403492204399 MTA ITIMay20 483.96 TeMay20 MS 392SO—SMYI20- 468M 2MaytO 473854 2Mley2d MB 381 LALO AMaVI2O MO BTR BT 28IMyQD 35034 Dwnlayad 351-371 SMag20 382367 SSR DOIMyRD 38336 2HMay2d «38433 May SS AST WM 853 SO 30May20 «3573501206 SMay20 38834784 Nn M127 tauni20 360 SAL 1260 Sum20 S01 337 KBD DT osmumi20 363331 122S——dum20 64328 MLA tun20 683251202 Research / Nerodooe Centrum Bazan Jggrowysh VAT Reg. No. PLS320100125 ‘Radioisotope Centre POLATOM, Andrie|Soltan 7, 05400 Otwrock, Poland ‘ww polo pl Ditto: phone +48 227180700, fx 48 227180380; Commercial Direct: phone +48 227180809, fx #48 227797381, Export Deparment: phone +48 227180820, fx v48 2279738]; Customer Service: phone +48 227180840, fax *48 227797381, e-mail poatomi@poatom pl