Issue : During a necessary patch installation it denied installing the Configmgr client hotfix package on the site server because it told us another install was already occurring . After rebooting the server , the server had issues with reinstalling the
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Read the complete post at http://scug.be/blogs/sccm/archive/2011/02/16/mpsetup-log-setup-was-unable-to-create-ccm-incoming-on-a-windows-2008-non-r2-box-after-installing-a-patch.aspx