LEAK TEST(Wipe test ) INSPECTION REPORT

Exposure Device RADIOGRAPHY CAMERA

Model & Serial No.

Source of strength 57.98 Ci

Shield Assembly DEPLETED URANIUM

Source pigtail assembly serial no OK

Swab test from Front end of the projector

Swab test from Source guide tube (Front OK

End)
Swab test from Cranking Unit (6 inches OK
from the male connector )
Monitoring Device serial number OK

Calibration Due date of monitoring device 16-08-2022

Maximum leakage level at 5cm from the 13.4 mR/Hr

surface of the camera
Examination carried out by

Date of Inspection

Next inspection date

Remarks ACCEPTED

Approved By Accepted By
Signature Signature
Name Name

Date Date 30-09-2021