Event Notification Report for July 20, 2007

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
07/19/2007 - 07/20/2007

** EVENT NUMBERS **


43491 43492 43493 43496 43497 43502 43505

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Hospital Event Number: 43491
Rep Org: FLORIDA BUREAU OF RAD CONTROL
Licensee: UNIVERSITY OF FLORIDA
Region: 1
City: GAINESVILLE State: FL
County:
License #: 0031-1
Agreement: Y
Docket:
NRC Notified By: GEORGE SNYDER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 07/13/2007
Notification Time: 15:53 [ET]
Event Date: 07/11/2007
Event Time: [EDT]
Last Update Date: 07/13/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAYMOND LORSON (R1)
JOSEPH HOLONICH (FSME)

Event Text

AGREEMENT STATE - INADVERTANT DOSE TO PATIENT GALLBLADDER

The State provided the following information via facsimile:

"On July 11 a SIR-Spheres procedure was performed to treat a carcinoma on the liver. After review of the CT images on July 12, the physicist believes that 20% of the dose went to the gallbladder (which sits on top of the liver). The doctor and patient were notified on July 12. Licensee will follow up with patient in future visits to determine if there is any gallbladder damage. This office was notified on July 13. Licensee will submit a written report. Florida is investigating."

Typically, a sphere contains 2270 MBq of Y-90.

A "Medical Event" may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.

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Power Reactor Event Number: 43492
Facility: MONTICELLO
Region: 3 State: MN
Unit: [1] [ ] [ ]
RX Type: [1] GE-3
NRC Notified By: GERALD HOLTHAUS
HQ OPS Officer: JASON KOZAL
Notification Date: 07/16/2007
Notification Time: 18:09 [ET]
Event Date: 07/17/2007
Event Time: 07:00 [CDT]
Last Update Date: 07/19/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
KENNETH RIEMER (R3)

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

Event Text

TECHNICAL SUPPORT CENTER INOPERABLE DUE TO PLANNED RELOCATION

"On 07/17/07 at 0700 hours CDT the Monticello Nuclear Generating Plant's (MNGP) Technical Support Center (TSC) will begin relocation to a new facility. The relocation activities include implementation of compensatory measures to maintain the TSC functions during the transition. The compensatory measures include having the Emergency Director report to the Control Room and co-locating the remaining TSC staff at the EOF should an event declared requiring Emergency Response Organization (ERO) activation. The ERO has previously successfully demonstrated the ability to implement these compensatory measures. The relocation and testing of equipment in the new TSC are scheduled to be complete[d] on or before 07/23/07.

"The site Emergency Response Organization has been notified of the relocation and instructed on the planned compensatory measures to be implemented during the move. MNGP will notify the NRC upon completion of the relocation and declaration of TSC operability in the new location. This event is considered reportable per 10 CFR 50.72 (b)(3)(xiii). The licensee has notified the NRC Resident Inspector."


* * * UPDATE ON 07/19/07 AT 1546 EDT FROM GERALD HOLTHAUS TO MACKINNON * * *

"On 07/19/07 at 1400 hours CDT the Monticello Nuclear Generating Plant's Technical Support Center (TSC) was declared operable after its relocation to a new facility. Relocation and testing activities have been completed and the Emergency Response Organization has been notified of the cessation of compensatory measures.

NRC R3DO (Eric Duncan) notified.

"The licensee has notified the NRC Resident Inspector."

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General Information or Other Event Number: 43493
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: CITY OF HOPE
Region: 4
City: DUARTE State: CA
County:
License #: 0307-19
Agreement: Y
Docket:
NRC Notified By: K. KAUFMAN
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 07/16/2007
Notification Time: 20:38 [ET]
Event Date: 07/15/2007
Event Time: 22:00 [PDT]
Last Update Date: 07/16/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG PICK (R4)
JOSEPH HOLONICH (FSME)

Event Text

AGREEMENT STATE REPORT - UNPLANNED EXPOSURE DURING CALIBRATION TEST

The State provided the following information via facsimile:

A doctor was performing a monthly calibration test and position verification test. During the test, an error message was received using a dummy source. The doctor entered the room with a survey meter which showed no elevated radiation reading. The emergency handwheel was used to retract the dummy wire. After about 12 turns, the room radiation alarms initiated and the doctor left the room. Troubleshooting disclosed that the source had become exposed and the doctor received approximately 75 Mr exposure.

Source: Ir-192, 5.2 Curies
Varian Medical Systems model Varisource HDR

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General Information or Other Event Number: 43496
Rep Org: COLORADO DEPT OF HEALTH
Licensee: UNKNOWN
Region: 4
City:  State: CO
County:
License #:
Agreement: Y
Docket:
NRC Notified By: ED STROUD
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 07/17/2007
Notification Time: 11:49 [ET]
Event Date: 07/11/2007
Event Time: [MDT]
Last Update Date: 07/17/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG PICK (R4)
SANDRA WASTLER (FSME)

Event Text

AGREEMENT STATE REPORT - MOISTURE GAUGE SOURCE DISCONNECTED FROM CABLE

The State provided the following information via facsimile:

"This is the initial notification for an incident that occurred on 7/11/07. A broad-scope licensee reported the loss and recovery of a 50 mCi, Am:Be source from a CPN Model 503DR soil moisture gauge. The gauge was being used as part of an irrigation/moisture study in an agricultural field located about 10 miles south of Sterling, CO. The licensee reported that the source/detector assembly became disconnected from the cable during use, and felt to the bottom of a test hole. The gauge users notified their RSO, and he was able to respond to the scene, retrieve the source, and place it back into the shielded position within the gauge using a remote handling tool. There were no radiation exposures to the gauge users or members of the public, and the RSO estimated his exposure to be less than 20 millirem. The licensee has contacted the manufacturer and is investigating the cause of the problem."

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General Information or Other Event Number: 43497
Rep Org: ARIZONA RADIATION REGULATORY AGENCY
Licensee: TERRACON CONSULTANTS, INC.
Region: 4
City: TUSCON State: AZ
County:
License #: AZ 10-130
Agreement: Y
Docket:
NRC Notified By: AUBREY GODWIN
HQ OPS Officer: JASON KOZAL
Notification Date: 07/17/2007
Notification Time: 14:26 [ET]
Event Date: 07/17/2007
Event Time: 09:00 [MST]
Last Update Date: 07/17/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG PICK (R4)
SANDRA WASTLER (FSME)
MEXICO (E-MAIL) ()
ILTAB (E-MAIL) ()

This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - LOST MOISTURE DENSITY GAUGE

The State provided the following information via email:

"At approximately 9:00 AM July 17, 2007, the Agency was informed that the Licensee had a gauge in a pickup truck traveling north from 67 Avenue and Lower Buckeye to I-10 noticed at the I-10 ramp the gauge was missing. He began the trip at approximately 7:00 AM. The Gauge case was secured in the truck as required. He did not put the gauge in the case however. The gauge is a Troxler Model 3430, Serial Number 39005 and contains 8 mCi of Cesium-137 and 40 mCi Am:Be-241. The Company plans a press release and will offer a reward for the gauge.

"Phoenix PD is investigating.

"The Agency continues to investigate this event.

"The states of CA, NV, CO, UT, and NM and Mexico and U.S. NRC and FBI are being notified of this event."

Arizona report number: 07-010

THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL

Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks.

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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor Event Number: 43502
Facility: OYSTER CREEK
Region: 1 State: NJ
Unit: [1] [ ] [ ]
RX Type: [1] GE-2
NRC Notified By: STEVE FULLER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 07/18/2007
Notification Time: 18:07 [ET]
Event Date: 07/18/2007
Event Time: 15:49 [EDT]
Last Update Date: 07/19/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
JIM KRAFTY (R1)

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

Event Text

SPILL OF ETHYLENE GLYCOL REPORTED TO STATE

"Notified New Jersey D.E.P. [Department of Environmental Protection] of a spill of ethylene glycol in the Site Emergency Building at Oyster Creek. The spill was reported to NJDEP in accordance with N.J.A.E. 7:1.E, 7:26. The spill was contained and cleaned."

The spill occurred during work on the Site Emergency Building air conditioning system.

The licensee notified the NRC Resident Inspector.

* * * RETRACTION ON 07/19/07 AT 1303 EDT FROM STEVE FULLER TO MACKINNON * * *

"At 11:55 on 7/19/07, New Jersey Dept. of Environmental Protection (NJDEP) was informed that: The spill of ethylene glycol, reported to them on 07/18/07, was subsequently determined to be a substance other than ethylene glycol; it was not a hazardous substance; and it was not discharged to the environment.

"Therefore, no report was required and the NJDEP notification (on 07/18/07) was retracted.

"For the above reasons, the 4 hour non emergency ENS notification , made under EN # 43502, is hereby retracted."

NRC R1DO (Jim Krafty) notified.

The NRC Resident Inspector was notified of this retraction by the licensee.

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Power Reactor Event Number: 43505
Facility: VERMONT YANKEE
Region: 1 State: VT
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: PATRICK RYAN
HQ OPS Officer: JEFF ROTTON
Notification Date: 07/19/2007
Notification Time: 10:28 [ET]
Event Date: 07/18/2007
Event Time: 15:15 [EDT]
Last Update Date: 07/19/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
26.73 - FITNESS FOR DUTY
Person (Organization):
JIM KRAFTY (R1)

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

Event Text

POSITIVE RANDOM FITNESS FOR DUTY TEST

A licensed operator had a confirmed positive random fitness-for-duty test. The test sample was taken on 07/15/07 and the Medical Review Officer confirmed a positive test at 1515 EDT on 07/18/07. The employee's access to the plant has been terminated. Contact the Headquarters Operations Officer for additional details. The licensee notified the NRC Resident Inspector.

Page Last Reviewed/Updated Thursday, March 25, 2021