Event Notification Report for December 22, 1999

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           12/21/1999 - 12/22/1999

                              ** EVENT NUMBERS **

36530  36531  36532  

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|General Information or Other                     |Event Number:   36530       |
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| REP ORG:  LONGVIEW INSPECTIONS                 |NOTIFICATION DATE: 12/21/1999|
|LICENSEE:  LONGVIEW INSPECTIONS                 |NOTIFICATION TIME: 10:36[EST]|
|    CITY:  BROOMFIELD               REGION:  3  |EVENT DATE:        12/20/1999|
|  COUNTY:                            STATE:  WI |EVENT TIME:        17:00[CST]|
|LICENSE#:  4227593-01            AGREEMENT:  N  |LAST UPDATE DATE:  12/21/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |THOMAS KOZAK         R3      |
|                                                |BRIAN SMITH     EO   NMSS    |
+------------------------------------------------+JOHN DAVIDSON   IAT  NMSS    |
| NRC NOTIFIED BY:  WALLANDER                    |RON ALBERT    IAT    NRR     |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|BAD1 20.2202(a)(1)       PERS OVEREXPOSURE      |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
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| POSSIBLE INTENTIONAL OVEREXPOSURE OF AN EMPLOYEE'S TLD BADGE                 |
|                                                                              |
| THE LICENSEE REPORTED THAT A RADIOGRAPHER'S  TLD BADGE WAS OVEREXPOSED FOR   |
| THE MONTH OF OCTOBER.  THE READING FROM THE TLD WAS 77 REM.  (NORMAL         |
| READINGS RANGE FROM 100 mREM-300 mREM.)  THEY HAVE STARTED AN INVESTIGATION  |
| AND HAVE COMMENCED INTERVIEWS WITH INDIVIDUALS THAT WORKED WITH THIS PERSON. |
| SINCE THE WORK HAS BEEN COMPLETED, ALL OF THE WORKERS WERE LAID OFF, AND     |
| THEY STILL HAVE  ADDITIONAL PERSONS TO LOCATE AND INTERVIEW.                 |
|                                                                              |
| (CALL THE NRC OPERATIONS OFFICER FOR PRELIMINARY CONCLUSIONS AND A LICENSEE  |
| CONTACT TELEPHONE NUMBER.)                                                   |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   36531       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  TEXAS DEPARTMENT OF HEALTH           |NOTIFICATION DATE: 12/21/1999|
|LICENSEE:  UNIVERSITY OF TEXAS                  |NOTIFICATION TIME: 16:30[EST]|
|    CITY:  GALVESTON                REGION:  4  |EVENT DATE:        12/16/1999|
|  COUNTY:                            STATE:  TX |EVENT TIME:        12:00[CST]|
|LICENSE#:                        AGREEMENT:  Y  |LAST UPDATE DATE:  12/21/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |WILLIAM JOHNSON      R4      |
|                                                |SUSAN SHANKMAN       NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  HELEN WATKINS                |                             |
|  HQ OPS OFFICER:  DOUG WEAVER                  |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT  - MEDICAL MISADMINISTRATION                          |
|                                                                              |
| The University of Texas Medical Branch at Galveston reported a               |
| misadministration to the State of Texas on 12/20/99.  The misadministration  |
| involved the first patient for an I-131 anti B1 research protocol, sponsored |
| by Coulter.  The prescribed therapeutic dose was 55.4 mCi I-131 anti B1.     |
| It was discovered on the morning of 12/20/99 that the infusion bag contained |
| a significant residual activity due to the bag apparently not being flushed  |
| into the patient.  As a result the patient only received 46.7 mCi I-131; 84% |
| of the intended dose.                                                        |
|                                                                              |
| The sponsor of the research project and the patients referring physician     |
| have been notified.  Since this is a research protocol, it is not known what |
| the significance of this under dosing will be to the patient's treatment.    |
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+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36532       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: OCONEE                   REGION:  2  |NOTIFICATION DATE: 12/21/1999|
|    UNIT:  [] [2] []                 STATE:  SC |NOTIFICATION TIME: 19:34[EST]|
|   RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-L|EVENT DATE:        12/21/1999|
+------------------------------------------------+EVENT TIME:        18:52[EST]|
| NRC NOTIFIED BY:  NEIL CONSTANCE               |LAST UPDATE DATE:  12/21/1999|
|  HQ OPS OFFICER:  DOUG WEAVER                  +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |CHARLES OGLE         R2      |
|10 CFR SECTION:                                 |                             |
|ARPS 50.72(b)(2)(ii)     RPS ACTUATION          |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     N          Y       100      Power Operation  |0        Hot Standby      |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| REACTOR SCRAM ON HIGH REACTOR SYSTEM PRESSURE                                |
|                                                                              |
| "Unit 2 tripped on RCS high pressure at 1852.  The Reactor Protection System |
| (RPS) setpoint of 2345 psig was exceeded, resulting in an RPS actuation and  |
| tripping [of] all CRD breakers.  RCS pressure peaked at 2378 psig.  The      |
| initiating event was a transient on the secondary plant that affected heat   |
| removal capabilities.  Post-trip response was normal.  The plant is          |
| presently in mode 3 with a trip investigation in progress."                  |
|                                                                              |
| No primary Power-Operated Relief valves or code safety valves lifted.        |
| Secondary side code safeties lifted as expected on a trip.  All valves shut, |
| but two have minor leakage.  The plant is stable in mode 3 with RCPs running |
| and decay heat being removed via the Steam Generators to the main            |
| condenser.                                                                   |
|                                                                              |
| The NRC resident inspector was notified.                                     |
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