United States Nuclear Regulatory Commission - Protecting People and the Environment

Event Notification Report for June 20, 2011

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
06/17/2011 - 06/20/2011

** EVENT NUMBERS **


46956 46958 46967 46969 46970

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Agreement State Event Number: 46956
Rep Org: VIRGINIA RAD MATERIALS PROGRAM
Licensee: SENTARA HOSPITAL
Region: 1
City: NORFOLK State: VA
County:
License #: 710-189-1
Agreement: Y
Docket:
NRC Notified By: CHARLES COLEMAN
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 06/13/2011
Notification Time: 16:39 [ET]
Event Date: 05/04/2011
Event Time: [EDT]
Last Update Date: 06/13/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JUDY JOUSTRA (R1DO)
ANDREW PERSINKO (FSME)

Event Text

AGREEMENT STATE REPORT - MEDICAL EVENT DURING LIVER RADIATION THERAPY

The following report was received via fax:

"On May 4, 2011 a patient underwent a Y-90 therapy procedure. Two doses were to be administered to the right lobe of the patient's liver. The first dose was terminated when stasis was achieved. The second dose was terminated because of patient pain after 48% of the dose had been delivered. The pain during the second dose was considered most likely due to embolization. The licensee notified VDH (Virginia Department of Health) and requested guidance on whether the circumstances could be due to patient intervention. It was determined by VDH to be a medical event and not excepted because of patient intervention. A conference call was held with the licensee on June 10th and a written report submitted to VDH. The licensee indicated written directives, patient preparation, and pain control methods would be reviewed."

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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Agreement State Event Number: 46958
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: MISSION HOSPITAL REGIONAL MEDICAL CENTER
Region: 4
City: MISSION VIEJO State: CA
County:
License #: 2278-30
Agreement: Y
Docket:
NRC Notified By: DONALD OESTERLE
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 06/14/2011
Notification Time: 15:58 [ET]
Event Date: 06/10/2011
Event Time: [PDT]
Last Update Date: 06/14/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG WERNER (R4DO)
LARRY CAMPER (FSME)

Event Text

AGREEMENT STATE REPORT - MEDICAL UNDERDOSE FOR PROSTATE IMPLANT

The following information was received via e-mail:

"On Tuesday, June 14, 2011 Mission Hospital notified the Department [California Department of Public Health] that a reportable medical event occurred on June 10, 2011. This event was discovered on June 13, 2011. A patient underwent prostate seed implantation of Pd-103 seeds. Two sets of Pd-103 seeds had been ordered for this patient, and the older set was mistakenly used in surgery. The licensee estimates that this resulted in under treatment of the target organ by 70%. Follow-up information will be provided within 15 days, per 10 CFR 35.3045. This investigation is on-going."

California Event: 061411

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: 46967
Facility: WATTS BAR
Region: 2 State: TN
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: RICK BOWLING
HQ OPS Officer: JOHN KNOKE
Notification Date: 06/17/2011
Notification Time: 13:04 [ET]
Event Date: 06/16/2011
Event Time: 13:09 [EDT]
Last Update Date: 06/17/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
JONATHAN BARTLEY (R2DO)

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

CHEMICAL RELEASE FROM INTAKE PUMPING STATION.

"A notification of the event discussed below was made to the Tennessee Department of Environment and Conservation (TDEC) at approximately 09:48 [hrs EDT] on June 17,2011. As a result of the notification made to the state, NRC is being notified in accordance with 10 CFR 50.72(b)(2)(xi), 'News Release or Notification of Other Government Agency.'

"On June 16, 2011, a chemical treatment of the raw water system for Watts Bar Nuclear Plant (WBN) was underway. The treatment was a routine injection of biocide (Sodium Hypochlorite and Flogard MS6237) for the treatment of microbiologically induced corrosion (MIC) and to inhibit the growth of asiatic clams. At approximately 13:09 [hrs EDT] on June 16, 2011, WBN personnel noticed that a small stream of water was releasing through the splash guard of a trough on the outside (lake side) of the Intake Pumping Station (IRS) and entering the Intake Forebay. This initial leak was secured by approximately 14:30. At approximately 14:35, a second leak from a broken pipe was identified. The second leak was terminated at approximately 16:05. The cause of the initial leak was determined to be a tree growing in a trough in the intake structure and degraded sealant on the trough's splash guard. TVA's [Tennessee Valley Authority] biologist performed a survey of the intake channel and the river downstream from the plant and found no dead fish or abnormal bird activity. TVA's review of the chemical release to the lake determined that no Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) reportable quantities were exceeded.

"The reporting requirements contained in WBN's Environmental Protection Plan (EPP) were reviewed and not found applicable to this event. WBN's [NRC] Resident Inspector has been notified of the event and the need for the event notification."

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Power Reactor Event Number: 46969
Facility: COOPER
Region: 4 State: NE
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: BENJAMIN KEHOE
HQ OPS Officer: DONALD NORWOOD
Notification Date: 06/19/2011
Notification Time: 05:27 [ET]
Event Date: 06/19/2011
Event Time: 04:02 [CDT]
Last Update Date: 06/19/2011
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
GREG WERNER (R4DO)
ERIC LEEDS (NRR)
ELMO COLLINS (R4)
JANE MARSHALL (IRD)
JEFFREY JOSEY (SRI)
ROD BRADSHAW (DHS)
PETE VITALE (FEMA)

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

UNUSUAL EVENT DECLARED DUE TO MISSOURI RIVER FLOODING

At 0402 CDT on 6/19/2011 a Notification of Unusual Event was declared due to the elevation of the Missouri River reaching 899.1 feet above mean sea level. This is above the Emergency Action Level HU1.5 elevation of 899 feet. The Missouri River is expected to crest at 899.5 feet within the next couple of days. It is expected that the elevation of the Missouri River will remain above 899 feet for most of the summer.

Actions are in progress in accordance with the site flooding procedure, including strategic placement of sand bags at building entrances and important facilities. There is no major plant equipment out of service at this time. Personnel access to the site is not presently impeded. Emergency evacuation routes remain available.

The licensee notified the NRC Resident Inspector. The licensee notified the State of Nebraska Emergency Management Agency, the State of Missouri State Emergency Management Agency, the Nemaha County Emergency Operations Center, the Richardson County Emergency Operations Center and the Atchison County Emergency Operations Center.


* * * UPDATED FROM BRIAN STANDER TO DONALD NORWOOD AT 0743 EDT ON 6/19/2011 * * *

"On 6/19/2011 at 0447 CDT, Nebraska Public Power District issued a press release concerning the declaration of a Notification of Unusual Event declared today at 0402 for the Missouri River elevation above 899 feet above sea level.

"This is a four hour report per 10CFR50.72(b)(2)(xi) for any event or situation for which a news release is planned or notification to other government agencies has been or will be made which is related to heightened public or government concern. State and local agencies were notified of the expected news release during the NOUE notification.

"At 0402 CDT, Missouri River elevation was at 899.1 feet. No updated river projections are available at this time. Level is expected to remain at least below plant grade elevation. No deficiencies with the nearby protective levees have been identified surrounding the plant. Actions are in progress in accordance with the site flooding procedure, including strategic placement of sandbags at building entrances and important facilities. Personnel access to the site is not presently impeded, and required emergency evacuation routes remain available."

The licensee notified the NRC Resident Inspector.

Notified R4DO (Werner).

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Power Reactor Event Number: 46970
Facility: COOPER
Region: 4 State: NE
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: JOHN MYERS
HQ OPS Officer: PETE SNYDER
Notification Date: 06/19/2011
Notification Time: 22:36 [ET]
Event Date: 06/19/2011
Event Time: 19:40 [CDT]
Last Update Date: 06/19/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
GREG WERNER (R4DO)

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

RELEASE OF OIL TO THE MISSOURI RIVER

"Notification is being made to the Nebraska Department of Environmental Quality regarding the release of oil to the Missouri River from the Cooper Live Fire Training Facility. Currently, levees separating the Training Facility and the Missouri River are being over topped due to flooding of the Missouri River. This condition has resulted in flooding of the burn pits in the fire training facility, with the subsequent release of the residue which includes unburned fuel oil. Any release of this water containing oil to the Missouri River is uncontrolled at this time. Then is no radiological contamination in this area.

"Current river level is approximately 900.5 ft. MSL, approximately 3.0 feet below plant grade elevation. The fire training area is lower than plant grade. A press release is not planned at this time. River level is currently projected to be 899 ft. by Wednesday 6/22."

The licensee notified the NRC Resident Inspector.

Page Last Reviewed/Updated Thursday, March 29, 2012
Thursday, March 29, 2012