Event Notification Report for February 15, 2008

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
02/14/2008 - 02/15/2008

** EVENT NUMBERS **

 
43979 43980 43981 43983 43986 43987 43989

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General Information or Other Event Number: 43979
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: ONCOLOGY SYSTEMS, INC.
Region: 4
City: ST. ROSE State: LA
County:
License #: LA-11598-L01
Agreement: Y
Docket:
NRC Notified By: JOE NOBLE
HQ OPS Officer: STEVE SANDIN
Notification Date: 02/11/2008
Notification Time: 16:44 [ET]
Event Date: 02/09/2008
Event Time: 09:00 [CST]
Last Update Date: 02/11/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DALE POWERS (R4)
ANDREW PERSINKO (FSME)

Event Text

AGREEMENT STATE REPORT INVOLVING FAILURE OF HDR SOURCE TO RETRACT DURING TESTING

The following information was provided by the State of Louisiana via email:

"On February 9, 2008 at around 9:00 am, a Model Number AccuSource 1000, with a Model M-19 Iridium-192 High Dose Rate Brachytherapy Source failed to retract automatically while pre-operational acceptance testing was being performed at New York Radiation Oncology Associates, Queens, New York City, New York. The AccuSource 1000 is manufactured by Oncology Systems, Inc. Their license number is LA-11598-L01, amendment# - initial, with an expiration date of July 31, 2012. Agency Interest Number is 147139.

"Model M-19 Iridium-192 source SSD number is LA-0612-S-115-S. The sources maximum quantity is 12 curies of Iridium-192.

"Oncology Systems, Inc. according to their license condition number eight, states that 'The licensee shall report to the Department, immediately by phone and written notice with ten (10) days of occurrence of any irregularities pertaining to inability to retract the source to its fully shielded [position], and failure of any component or software (critical to safe operation of the device) to properly perform its intended function under the authority of this license.'

"This was reported by SPEC who is the manufacturer of the Model M-19 Iridium-192 source. Talking with SPEC, it does not seem that Oncology Systems, Inc. have any personnel located at the 119 Teal Street, St. Rose, LA 70087 location."

The source, which was extended approximately 10 cm when it stuck, was manually retracted. There was no reported personnel overexposures, however, the individual's film badges involved in returning the source to the shielded position have been sent out for processing. The City of NY Rad Health Department was notified by the State of Louisiana of this incident.

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General Information or Other Event Number: 43980
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: WASTE MANAGEMENT
Region: 4
City: SULPHUR State: LA
County:
License #: LA-4187-L01
Agreement: Y
Docket:
NRC Notified By: RICHARD PENROD
HQ OPS Officer: BILL HUFFMAN
Notification Date: 02/12/2008
Notification Time: 16:15 [ET]
Event Date: 02/06/2008
Event Time: [CST]
Last Update Date: 02/12/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DALE POWERS (R4)
ROBERT LEWIS (FSME)

Event Text

AGREEMENT STATE REPORT - LOUISIANA - LEAKING CHECK SOURCE

The State provided the following information via facsimile:

"On February 8, 2008, Waste Management reported a leaking source. On February 7, 2008, an e-mail from Suntrac was opened. This e-mail contained information on two leak tests that were performed on two sealed radioactive check sources. One of the sealed sources had removable activity that was above 0.005 uCi. A 5 mCi source of Cs-137 had a removable activity of 0.0084 uCi. This source has been taken out of service. Waste Management will contact Suntrac for disposal of the source. The source was identified as 'Orange #2' and a serial number was not known."

LA Report ID LA080003

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Fuel Cycle Facility Event Number: 43981
Facility: WESTINGHOUSE ELECTRIC CORPORATION
RX Type: URANIUM FUEL FABRICATION
Comments: LEU CONVERSION (UF6 to UO2)
                   COMMERCIAL LWR FUEL
Region: 2
City: COLUMBIA State: SC
County: RICHLAND
License #: SNM-1107
Agreement: Y
Docket: 07001151
NRC Notified By: GERARD COUTURE
HQ OPS Officer: BILL HUFFMAN
Notification Date: 02/12/2008
Notification Time: 19:58 [ET]
Event Date: 02/12/2008
Event Time: 19:45 [EST]
Last Update Date: 02/12/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
EUGENE GUTHRIE (R2)
ABY MOHSENI (NMSS)
ROBERT LEWIS (FSME)
ILTAB VIA E-MAIL ()
 
This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

LOSS OF ENRICHED URANIUM HEXAFLUORIDE IN SAMPLE VIALS

"Reason for Notification: During preparation of receipt transaction documentation (NRC 741) it was discovered that results of laboratory analysis for two [shipping] containers containing 16, P-10 sample tubes of UF6 [uranium hexafluoride] could not be located. Upon further investigation, neither the vials nor [shipping] containers could be located in the laboratory or on site. The vials contain a total of 128 Grams Uranium (6 grams Uranium 235) enriched to 4.95 wt%. This is approximately 409.4 micro-curies. It was determined that on 02/04/2008, 2 metal pails each containing (8) UF6 P-10 sample tubes were received in the Shipping & Receiving (S/R) department. One of the containers was dented upon receipt. S/R notified Health Physics to have the containers surveyed; they were cleared to the lab. However, the lab could not confirm that the P-10 vials containing uranium had been unloaded from the containers. One employee recalls surveying at least one of the containers, removing the labels and placing the containers out on Dock #11 for disposal.

"Notification is being made based on [10 CFR 20.2201] (a) Telephone reports. (1) Each licensee shall report by telephone as follows: (i) Immediately after its occurrence becomes known to the licensee, any lost, stolen, or missing licensed material in an aggregate quantity equal to or greater than 1,000 times the quantity specified in Appendix C to Part 20 under such circumstances that it appears to the licensee that an exposure could result to persons in unrestricted areas.

"Safety Basis: These vials were secured in containers authorized for shipment, which were surveyed by Health Physics upon receipt with no indication of leakage. It is postulated these [shipping] containers [with the sample vials still in the containers] have been inadvertently sent to either a waste landfill or scrap metal dealer.

"Summary of Activity:
- Columbia Fuel Site laboratories and waste processing facilities have been searched.
- Interviews with affiliated staff have confirmed packages were staged for waste disposal.
- Westinghouse notification to Richland County South Carolina, and South Carolina Department of Health and Environmental Control will follow immediately.
- Event entered into Corrective Action Process (CAPS# 08-043-C004)"

The licensee stated that the vials are approximately 2 inches long and between 1/8 to 1/4 inch in diameter. The vials were made of plastic with metal end caps. These vials are typically packed in Styrofoam in the shipping containers and their presence in the shipping containers may not be readily determined by just looking into the containers.



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.

This source is not amongst those sources or devices identified by the IAEA Code of Conduct for the Safety & Security of Radioactive Sources to be of concern from a radiological standpoint. Therefore is it being categorized as a less than Category 3 source

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Fuel Cycle Facility Event Number: 43983
Facility: BWX TECHNOLOGIES, INC.
RX Type: URANIUM FUEL FABRICATION
Comments: HEU FABRICATION & SCRAP
Region: 2
City: LYNCHBURG State: VA
County: CAMPBELL
License #: SNM-42
Agreement: N
Docket: 070-27
NRC Notified By: CHERYL GOFF
HQ OPS Officer: BILL HUFFMAN
Notification Date: 02/13/2008
Notification Time: 17:01 [ET]
Event Date: 02/13/2008
Event Time: 09:30 [EST]
Last Update Date: 02/13/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
PART 70 APP A (b)(1) - UNANALYZED CONDITION
Person (Organization):
EUGENE GUTHRIE (R2)
ABY MOHSENI (NMSS)
FUELS OUO VIA EMAIL ()

Event Text

24 HOUR REPORT CONCERNING IMPROPERLY ANALYZED CONDITION RELATED TO INTEGRATED SAFETY ANALYSIS

"During a routine internal audit of the Uranium Recovery 3-inch Extraction System on February 13 at 0930, a Nuclear Criticality Safety (NCS) engineer observed several inconsistencies between the documented limits and controls in the Integrated Safety Analysis summary and those derived in the associated NCS evaluations. These anomalies were non-conservative in nature and included items such as the inside diameters of the columns, column wall thickness, and limits on the number of stainless steel columns in the system. In addition, the most recent NCS evaluation of the system employed a different analytical methodology than earlier evaluations. The evaluation employed the solid angle methodology, which had not been previously utilized to evaluate the 3-inch Extraction System. In past evaluations, the system was modeled using the law of substitution as a 7 x 2 array of 4-inch columns, mirrored in the x and y faces to form an infinite planar array. This change in methodology was incorrect. Based on these uncertainties in the safety basis, the engineer was unable to determine if double contingency was maintained.

"An evaluation is currently being performed.

"BWXT is making this 24-hour report in accordance with 10 CFR 70.61, Appendix A, (b)(1) - Any event or condition that results in the facility being in a state that was not analyzed, was improperly analyzed, or is different from that analyzed in the Integrated Safety Analysis, and which results in failure to meet the performance requirements of § 70.61.

"The operation was immediately shutdown by Nuclear Criticality Safety pending further investigation."

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 43986
Facility: PEACH BOTTOM
Region: 1 State: PA
Unit: [2] [3] [ ]
RX Type: [2] GE-4,[3] GE-4
NRC Notified By: JAMES P. VASH
HQ OPS Officer: PETE SNYDER
Notification Date: 02/14/2008
Notification Time: 11:56 [ET]
Event Date: 02/14/2008
Event Time: 06:47 [EST]
Last Update Date: 02/14/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
GLENN DENTEL (R1)
 
Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 100 Power Operation 100 Power Operation
3 N Y 100 Power Operation 100 Power Operation

Event Text

TSC POWER OUTAGE

"At 0647 hours, a fault at the Conowingo Hydroelectric station resulted in the loss of the 191-00 line to Peach Bottom Atomic Power Station (PBAPS). This condition resulted in a loss of the Station Blackout (SBO) power supply for PBAPS. The Technical Support Center (TSC) facility for PBAPS is powered from the SBO power supply. Therefore, power was lost to the TSC resulting in a degradation of the emergency assessment capability at PBAPS.

"Efforts were promptly initiated to restore power to the TSC. Power was restored to the TSC at 0959 hours. The TSC Ventilation system restoration is in progress at this time.

"The NRC resident has been informed of this notification."

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Fuel Cycle Facility Event Number: 43987
Facility: PADUCAH GASEOUS DIFFUSION PLANT
RX Type: URANIUM ENRICHMENT FACILITY
Comments: 2 DEMOCRACY CENTER
                   6903 ROCKLEDGE DRIVE
                   BETHESDA, MD 20817 (301)564-3200
Region: 2
City: PADUCAH State: KY
County: McCRACKEN
License #: GDP-1
Agreement: Y
Docket: 0707001
NRC Notified By: TONY HUDSON
HQ OPS Officer: JOHN KNOKE
Notification Date: 02/14/2008
Notification Time: 14:10 [ET]
Event Date: 02/14/2008
Event Time: 02:07 [CST]
Last Update Date: 02/14/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
76.120(c)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
EUGENE GUTHRIE (R2)
ABY MOHSENI (NMSS)
FOUO Email ()

Event Text

ALARM RECEIVED FROM UF6 RELEASE DETECTION SYSTEM

"At 0207 CST, on 02-14-08 the Plant Shift Superintendent (PSS) was notified that an alarm was received in the C-333 Area Control Room for the C-333 Unit 5 Cell 8 UF6 Release Detection (PGLD) System. Operators responded to the local panel and verified the alarm was not due to a UF6 release, but local panel lights were flickering. Operators attempted to test the system and the system would not test fire. This PGLD System contains detectors that cover the C-333 Unit 5 Cell 8 cell housing roof and inter-cell housing and section 4 of the cell bypass housing. At the time of this alarm, C-333 Unit 5 Cell 8 and section 4 of the cell bypass were operating above atmospheric pressure. TSR 2.4.4.1 requires that at least the minimum number of detector heads in the cell housing roof, inter-cell housing, and section 4 of the cell bypass housing are operable during steady state operations above atmospheric pressure. With the Unit 5 Cell 8 PGLD System inoperable, none of the required 3 heads in the cell housing roof and inter-cell housing were operable and only two of the required 3 heads in the cell bypass housing were operable. This PGLD System was declared inoperable. TSR LCOs 2.4.4.1.B.1 and 2.4.4.1 .C.1 were entered and a continuous smoke watch was put in place within one hour. An investigation is ongoing to attempt to determine the cause of the failure. This event is being reported as a 24 hour event in accordance with 10CFR 76.120(c)(2)(i). This is an event in which equipment is disabled or fails to function as designed when: a.) the equipment is required by a TSR to prevent releases, prevent exposures to radiation and radioactive materials exceeding specified limits, mitigate the consequences of an accident, or restore this facility to a pre-established safe condition after an accident; b.) the equipment is required by a TSR to be available and operable and either should have been operating or should have operated on demand, and c.) no redundant equipment is available and operable to perform the required safety function.

"The NRC Senior Resident Inspector has been notified of this event."

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Power Reactor Event Number: 43989
Facility: OYSTER CREEK
Region: 1 State: NJ
Unit: [1] [ ] [ ]
RX Type: [1] GE-2
NRC Notified By: STEVE FULLER
HQ OPS Officer: JOHN KNOKE
Notification Date: 02/14/2008
Notification Time: 18:39 [ET]
Event Date: 02/14/2008
Event Time: 16:04 [EST]
Last Update Date: 02/14/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
GLENN DENTEL (R1)
 
Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 92 Power Operation 92 Power Operation

Event Text

OFFSITE NOTIFICATION TO STATE OF NEW JERSEY

"Notified [New Jersey Department Environmental Protection] NJDEP of a discharge of less than one gallon of a 15% sodium hypochlorite solution which contacted the soils of the state of New Jersey. The sodium hypochlorite was contained and has been cleaned up.

"Notification will also be made to the Ocean County, New Jersey Board of Health."

The cause of the spill was due to the deliveryman having trouble with the hose connection on the truck.

The licensee notified the NRC Resident Inspector.

Page Last Reviewed/Updated Wednesday, March 24, 2021