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Start date | Reporting criterion | Title | Event description | System | LER | |
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ENS 42784 | 14 August 2006 07:00:00 | Agreement State | Agreement State - Stuck Source | The State provided the following information via email: Problems were encountered during a Varian HDR source exchange during the evening of 8/14/06. While attempting to replace the source on a Varian Medical System's VariSource HDR unit, the new active source (Ir-192, 9 curies) got stuck in a transfer tube. Following placement of shielding, the source was freed and placed in the transport pig by noon on 8/15/06. A new source was delivered, and was successfully installed during the evening of 8/16/06. |