Event Notification Report for October 18, 2004

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
10/15/2004 - 10/18/2004

** EVENT NUMBERS **


41099 41126 41127 41128

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Hospital Event Number: 41099
Rep Org: UPMC-MCKEESPORT
Licensee: UPMC-MCKEESPORT
Region: 1
City: MCKEESPORT State: PA
County:
License #: 37-00896-03
Agreement: N
Docket:
NRC Notified By: NICHOLAS SMARRA
HQ OPS Officer: MIKE RIPLEY
Notification Date: 10/07/2004
Notification Time: 13:37 [ET]
Event Date: 10/07/2004
Event Time: [EDT]
Last Update Date: 10/15/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2202(b)(1) - PERS OVEREXPOSURE/TEDE >= 5 REM
Person (Organization):
RICHARD BARKLEY (R1)
JOHN HICKEY (NMSS)
SANDRA WASTLER (NMSS)

Event Text

POSSIBLE PERSONNEL OVEREXPOSURE

The licensee reported that the exposure results received 10/07/04 for a female Nuclear Medicine Technician at the University of Pittsburgh Medical Center indicated a whole body dose of 10,857 millirem by film badge and a shallow dose of 25,100 millirem by ring badge for the period 08/01/04 through 08/31/04. Based on the actual work performed by the technician, the licensee Radiation Safety Officer suspects that the reported dose may not be valid.

* * * Update on 10/13/04 at 1044 EDT JERRY ROSEN (RSO) TO MACKINNON * * *

This incident occurred at the University of Pittsburgh Medical Center located in McKeesport, PA. The license number for the Medical Center is 37-00896-03. This incident did not take place at the University of Pittsburgh. R1DO (McDermott) & NMSS EO (Michele Burgess) notified.

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General Information or Other Event Number: 41126
Rep Org: XENOGEN BIOSCIENCES
Licensee: XENOGEN BIOSCIENCES
Region: 1
City: Cranbury State: NJ
County:
License #: 29-30350-01
Agreement: N
Docket:
NRC Notified By: JOSEPH D'IPPOLITO
HQ OPS Officer: JEFF ROTTON
Notification Date: 10/15/2004
Notification Time: 15:16 [ET]
Event Date: 10/05/2004
Event Time: [EDT]
Last Update Date: 10/15/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
Person (Organization):
BRIAN MCDERMOTT (R1)
C.W. (BILL) REAMER (NMSS)

Event Text

MISSING LICENSED MATERIAL

Summary of email report provided by licensee:

On 10/01/04, one vial of 1000 microcuries of Redivue (deoxycytidine 5-Triphosphate (Dctp)) was received by licensee. Concentration indicated on the vial was 10 microcuries per microliter. This material contains the radioisotope of Phosphorous 32 (P-32). Per procedure, the project leader verified that there was 90 microliters (900 microcuries) of material in the vial by pipette after delivery receipt. The project leader did notice that there was some material on the lip of the container and also on the plug that seals the vial, but this amount was not able to be quantified. On 10/05/04, the last intended use of the vial, the project leader intended to withdraw 100 microcuries when inventory records indicated that 150 microcuries should have been available. The project leader was only able to retrieve 50 microcuries (5 microliters).

Both discrepancies noted above indicate a potential loss of 200 microcuries of P-32. It is believed that the original discrepancy of 100 microcuries was present in the vial but distributed around the lip and sides of the vial. The second discrepancy of 100 microcuries discovered on 10/05/04 is believed to be the result of excess material sticking to the tip of the pipette or when setting the volume of the pipette. There is no evidence of intentional removal of material from the vial or use of material without the activity being logged in the isotope inventory log.

There was no indication of any contamination via the weekly swipe analysis and a survey of the laboratory area. Other sections of the building show no indication of contamination or individuals being exposed to radiation.

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Power Reactor Event Number: 41127
Facility: PRAIRIE ISLAND
Region: 3 State: MN
Unit: [1] [2] [ ]
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: JONATHAN JOHNSON
HQ OPS Officer: BILL GOTT
Notification Date: 10/16/2004
Notification Time: 00:57 [ET]
Event Date: 10/15/2004
Event Time: 22:15 [CDT]
Last Update Date: 10/16/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
ROGER LANKSBURY (R3)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Refueling 0 Refueling
2 N Y 100 Power Operation 100 Power Operation

Event Text

SPURIOUS ACTUATION OF ONE OFF-SITE EMERGENCY PLAN SIREN

"At 2215 [CDT] on 10/15/04, the Prairie Island Control Room was notified by the Pierce County Sheriff's Department of a spurious actuation of one EP siren. The siren is located near Highway 63 and County KK. The siren was de-activated by the Pierce County Sheriff personnel.

"There is no event in progress and no risk to the health and safety of the public. Members of the public notified the sheriff's department of the malfunctioning siren.

"The siren remains de-activated, is the only non-functional siren, and is expected to be repaired by Nelson Communication on 10/16/04. No further actions are required."

The licensee notified the NRC Resident Inspector.

* * * UPDATE AT 0235 ON 10/16/04 FROM D. SMITH TO M. RIPLEY * * *

"At 0100 on 10/16/04, the same EP siren spuriously re-actuated. The siren was again de-activated by Pierce County Sheriff's personnel. The repair company, Nelson Communication, also dispatched an individual to verify the siren was properly deactivated to preclude additional spurious actuations."

The licensee will notify the NRC Resident Inspector.

Notified R3DO ( R. Lanksbury)

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Power Reactor Event Number: 41128
Facility: PALISADES
Region: 3 State: MI
Unit: [1] [ ] [ ]
RX Type: [1] CE
NRC Notified By: AMY HAZELHOFF
HQ OPS Officer: BILL GOTT
Notification Date: 10/17/2004
Notification Time: 01:03 [ET]
Event Date: 10/16/2004
Event Time: 17:30 [EDT]
Last Update Date: 10/17/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(A) - DEGRADED CONDITION
Person (Organization):
ROGER LANKSBURY (R3)
BILL BATEMAN (NRR)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Refueling 0 Refueling

Event Text

REACTOR VESSEL HEAD NOZZLE CRACKING

"On 10/16/04, with the Plant in Mode 6, Nuclear Management Company identified through wall cracks in the inconel buttering adjacent to the J-weld on reactor head penetrations 29 and 30. Ultrasonic examinations of the reactor vessel head were being performed in accordance with the First Revised Order, EA-03-009. The ultrasonic examinations identified leak path detection indications. Therefore, in accordance with the Order, a bare metal visual inspection of the exterior of the reactor head was performed. No evidence of leakage was discovered. A dye-penetrant examination was then performed. The dye-penetrant exam showed minor surface indications that required further examination. Following minor excavation of the weld surface, the through wall cracks were identified.

"This condition was determined to be reportable at 1730 EST for penetration 30, and at 1915 EST for penetration 29.

"This notification is being made in accordance with 10 CFR 50.72(b)(3)(ii)(A).

"Reactor head penetrations 29 and 30 will be repaired prior to placing the reactor vessel head back in service.

"The licensee notified the NRC Resident Inspector."

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