Source Certificate
Radionuclide: 1r192
ISO/ANSI Classification: 9764515
QSA Global, Inc.
40 North Avenue
Burlington, MA 01803
Telephone: (781) 272-2000
‘Toll Free: (800) 815-1383
Facsimile: (781) 273-2216
Holder/Capsule # —73909G
Source Model: 4424.9
IAEA Special Form Reference Number: USA/0336/S-96 Product Code: ICUCF090
Measured Equivalent Activity on Dac-12-2018
Fa 914 Ch
Sales Order: 334190PT. PRATITA PRAMA NUGRAHA
3.6 TBq
[Source Physical Size:
(am) (a)
Diameter 2700 0.106
Length 2.625 0.099
Diagonal 3.697 0.146
Quality Control Tests Deo-12-2018
‘Wipe Test A: <0,00045 uCi
Decay Dats Technician:
Ketivity tw Carles
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