Event Notification Report for May 13, 2013

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
05/10/2013 - 05/13/2013

** EVENT NUMBERS **


48865 48992 48999 49000 49019 49020 49021 49022 49023 49024 49025 49026

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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor Event Number: 48865
Facility: COOPER
Region: 4 State: NE
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: BRAD BARE
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/28/2013
Notification Time: 18:39 [ET]
Event Date: 03/13/2013
Event Time: 17:26 [CDT]
Last Update Date: 05/10/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
GREG PICK (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

LOSS OF REASONABLE ASSURANCE OF OPERABILITY FOR STANDBY LIQUID CONTROL TANK

"Information Notice IN 2012-01 on seismic qualification of Standby Liquid Control (SLC) tanks was evaluated in 2012 to assess immediate operability of the SLC system based on SLC Test Tank and Mixing Tank not being qualified to Seismic Class 1S. Based on calculation NEDC 12-015 in response to IN 2012-01, [Cooper Nuclear Station] CNS concluded that SLC was still operable with the test tank full. Long-term actions from the 2012 condition were completed by issuance of calculation NEDC 13-010 and evaluation EE 13-009. NEDC 13-010 concludes that the SLC storage tank is qualified when full and the test tank and mixing tank are qualified when empty.

"No procedure step existed in the SLC surveillances to ensure the test tank is drained prior to restoration of SLC to an operable status to ensure it remained fully qualified to its NEDC 13-010 design. Further, no Caution Order or Standing Order existed to ensure short-term control until a procedure change could be implemented. So, as a short-term action, CNS implemented a Standing Order to establish positive control of the test tank. The Standing Order directs that SLC be declared INOPERABLE if the Test Tank is filled.

"Initially, this was thought to be a conservative measure only, because CNS judged that reasonable assurance of OPERABILITY remained due to conservative assumptions in NEDC 13-010. However, on 3/19/13 at 2146 CDT, the Prompt Operability Determination was changed to credit the Standing Order as a compensatory measure needed to maintain or enhance OPERABILITY of SLC. Therefore, CNS had lost reasonable assurance of OPERABILITY as of 03/13/2013 at 1726 CDT when the Control Room was notified that NEDC 13-010 concluded the test tank and mixing tank had to be empty to preserve the required seismic qualification, and an 8-hour report should have been made prior to 0126 CDT on 03/14/2013.

"Currently the SLC Test Tank is drained and SLC is OPERABLE."

The licensee has notified the NRC Resident Inspector.

* * * RETRACTION FROM DAVID MADSEN TO JOHN SHOEMAKER ON 5/10/2013 AT 1436 EDT * * *

"This notification is being made to retract Event Notification EN #48865 which was reported on March 28, 2013 for an event occurring on March 13, 2013. This EN identified Cooper Nuclear Station had lost reasonable assurance of OPERABILITY of the Standby Liquid Control (SLC) system based on a CNS design calculation which supported that the SLC test tank was not seismically qualified when full of water.

"Subsequently, this calculation was re-evaluated specifically in support of determining OPERABILITY. This re-evaluation determined the SLC system remained OPERABLE when the consideration of nozzle loads is removed. The ability of Class IIS [ASME American Society Mechanical Engineering] seismic components to meet Class II/I [ASME] does not require the consideration of nozzle loads. The SLC test tank, which is a Class IIS [ASME] component, does not fail when filled if no nozzle loads are considered. As such, there was no loss of safety function for SLC."

The licensee will notify the NRC Resident Inspector. Notified R4DO (Drake).

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Agreement State Event Number: 48992
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: UNSPECIFIED
Region: 1
City:  State: NY
County:
License #: UNSPECIFIED
Agreement: Y
Docket:
NRC Notified By: ROBERT SNYDER
HQ OPS Officer: PETE SNYDER
Notification Date: 05/02/2013
Notification Time: 13:31 [ET]
Event Date: 04/24/2013
Event Time: [EDT]
Last Update Date: 05/02/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GORDON HUNEGS (R1DO)
FSME EVENT RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - PROSTATE SEED IMPLANT EARLY TERMINATION

"A prostate seed implant procedure was terminated after the insertion of 2 needles. Only 5 of 106 intended seeds were implanted (1.55mCi of 32.86mCi). The patient's anatomy (pubic arch) presented interference to the placement of needles/seeds for proper dose distribution. The patient will now be treated with external beam IMRT [intensity modulated radiation therapy] once post implant CT and dose assessment have been performed in approximately 3 weeks. The patient and referring physician have been notified. The facility notified NYS DOH [New York State Department of Health] same day, written report with corrective actions has been received. To prevent recurrence the urologist will verify during planning volume study that there are no anatomical obstructions to needle placement."

Report No. NY-13-02

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: 48999
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: RADIOLOGICAL ASSOCIATES OF SACRAMENTO
Region: 4
City: SACRAMENTO State: CA
County:
License #: 1065-34
Agreement: Y
Docket:
NRC Notified By: KENT PRENDERGAST
HQ OPS Officer: HOWIE CROUCH
Notification Date: 05/03/2013
Notification Time: 13:54 [ET]
Event Date: 02/20/2013
Event Time: [PDT]
Last Update Date: 05/03/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MARK HAIRE (R4DO)
FSME EVENTS RESOURCE (EMAI)
ANGELA MCINTOSH (FSME)

Event Text

AGREEMENT STATE REPORT - FETAL EXPOSURE TO IODINE-131

The following information was obtained from the State of California via email:

"A female patient was treated with 176.9 mCi of Iodine 131 on 2/20/13. A serum pregnancy test conducted on 2/18/13 came back negative. On 4/22/13, Radiological Associates received a phone call from the patient's endocrinologist informing them that the patient was pregnant. An ultrasound evaluation of the patient performed on 3/18/13 determined that the fetus would have been approximately two weeks old at the time of the Iodine 131 dose administration. The dose to the fetus was determined to be 47 rad, which may meet the requirement for an abnormal occurrence."

"The [California Radiologic Health Branch] will be reviewing this event."

California Event: 5010-050313

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Non-Agreement State Event Number: 49000
Rep Org: VALLEY QUARRIES, INC.
Licensee: VALLEY QUARRIES, INC.
Region: 1
City: CHAMBERSBURG State: PA
County:
License #: PA-1222
Agreement: Y
Docket:
NRC Notified By: JOHN ENGLERTH
HQ OPS Officer: HOWIE CROUCH
Notification Date: 05/03/2013
Notification Time: 17:03 [ET]
Event Date: 05/03/2013
Event Time: [EDT]
Last Update Date: 05/03/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
GORDON HUNEGS (R1DO)
FSME EVENTS RESOURCE (EMAI)
ILTAB (EMAI)

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

Event Text

LOST TROXLER MOISTURE DENSITY GAUGE

The licensee from Chambersburg, PA, was doing work in West Virginia under a reciprocity agreement. The authorized user was conducting a reading when he was asked by his supervisor to pick-up a fellow employee at the construction yard approximately 1.5 miles from the reading site. After the reading was done, the user placed the gauge in the back of his pickup truck and proceeded to the construction yard. Once he arrived at the yard, he saw that his truck tailgate was down and the gauge was missing. The gauge was not in its shipping container. The user and his co-worker doubled back in search of the gauge but did not find it. When the RSO arrived, another employee told him that he saw someone stopping along the highway to pick up what appeared to be the gauge and then driving off. At that time, the employee was unaware a gauge was missing so he didn't pay much attention to the vehicle.

The gauge is identified as a Troxler Electronics Laboratories Model # 3430, Serial # 32506. It contains 8 mCi of Cs-137 and 40 mCi of Am-241.

The RSO notified the West Virginia State Police, the local newspaper and the regional television station. The licensee is considering offering a reward for the return of the gauge.

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. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf

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Power Reactor Event Number: 49019
Facility: COLUMBIA GENERATING STATION
Region: 4 State: WA
Unit: [2] [ ] [ ]
RX Type: [2] GE-5
NRC Notified By: CHRIS LAWS
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 05/10/2013
Notification Time: 00:19 [ET]
Event Date: 05/09/2013
Event Time: 18:00 [PDT]
Last Update Date: 05/10/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
MICHAEL VASQUEZ (R4DO)

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

Event Text

INLET/OUTLET TURBIDITY FLOCCULATOR NOT RECORDING DATA

"The following is a non-emergency notification in accordance with 10CFR50.72(b)(2)(xi) due to the notification requirement to other government agencies that will be made within 48 hours.

"At 1800, May 9, 2013, the Columbia Generating Station main control room received notification that PWC-XR-1 had been found to be not recording data. A review of the stored data indicated that the data collection had been stopped since 5/2/2013 at 0934. The screen does show real time data, although that data is not being stored. Some of the data is recorded manually by chemistry technicians and operators during rounds that may be used for reporting purposes.

"Automatic functions for high turbidity shutdown and low chlorine setpoints remain active when the data is not being stored. The data collected by PWC-XR-1 includes inlet and outlet flocculator turbidity, water temperature, flow rate and free residual chlorine. Washington Administrative Code, WAC, 246-290-664 outlines the requirements for monitoring filtered systems. WAC 246-290-480 section 2.a requires this failure to be reported as a failure to comply with monitoring requirements to the Washington Department of Health within 48 hours.

"PWC-XR-1 data storage has been re-initiated and is working as expected."

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 49020
Facility: NORTH ANNA
Region: 2 State: VA
Unit: [ ] [2] [ ]
RX Type: [1] W-3-LP,[2] W-3-LP,[3] M-4-LP
NRC Notified By: PAGE KEMP
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 05/10/2013
Notification Time: 08:20 [ET]
Event Date: 05/10/2013
Event Time: 06:12 [EDT]
Last Update Date: 05/10/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
DAVID AYRES (R2DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 M/R Y 60 Power Operation 0 Hot Standby

Event Text

MANUAL REACTOR TRIP DUE TO HIGH TURBINE BEARING VIBRATION

"On May 10, 2013 at 0612 hours [EDT], Unit 2 was manually tripped from 60% power due to increased vibrations and a report of arcing on bearing #9 of the main turbine. Unit 2 was in the process of increasing power following a refueling outage when this event occurred. The Operations crew entered the reactor trip procedure and stabilized Unit 2 in Mode 3 at normal operating temperature and pressure. All control rods fully inserted into the core following the reactor trip. This reactor protection system actuation is reportable per 10CFR50.72(b)(2)(iv)(B). The Auxiliary Feedwater pumps actuated as designed as a result of the reactor trip and provided makeup flow to the steam generators. The automatic start of the Auxiliary Feedwater system is reportable per 10CFR50.72(b)(3)(iv)(A) for a valid actuation of an ESF system. The Auxiliary Feedwater pumps were subsequently secured and returned to automatic. Decay heat is being removed by the condenser steam dump system. Unit 2 is in a normal shutdown electrical lineup."

The #9 bearing is on the main generator exciter. There was no effect on Unit 1.

The licensee notified the NRC Resident Inspector and will be notifying local government agencies.

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Power Reactor Event Number: 49021
Facility: TURKEY POINT
Region: 2 State: FL
Unit: [3] [ ] [ ]
RX Type: [3] W-3-LP,[4] W-3-LP
NRC Notified By: PAUL REIMERS
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 05/10/2013
Notification Time: 12:42 [ET]
Event Date: 05/10/2013
Event Time: 11:08 [EDT]
Last Update Date: 05/10/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
Person (Organization):
DAVID AYRES (R2DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
3 M/R Y 25 Power Operation 0 Hot Standby

Event Text

UNIT 3 MANUAL REACTOR TRIP DUE TO MALFUNCTION OF TURBINE VALVES

"This is a non-emergency event notification to the NRCOC [Nuclear Regulatory Commission Operations Center] in accordance with 10 CFR 50.72(b)(2)(iv)(B) for a valid actuation of the Reactor Protection System (RPS) (four hour notification).

"On 5/10/13 [at 1108 EDT] Unit 3 was stabilizing at 25% [power] during a controlled shutdown from an initial power level of 38% [power]. Prior to the planned insertion of the trip at 25% [power], a malfunction of the turbine valves (not yet understood) caused a loss of load and a manual reactor trip was performed at 1108 [EDT]. Unit 3 is currently in Mode 3 [Hot Standby] and stable. Source Range Nuclear Instrument N-3-32 malfunctioned (loss of detector voltage). All other plant systems are working as designed."

Unit 3 is stable in Mode 3 [Hot Standby] at normal operating temperature and pressure. All control rods fully inserted. All other Nuclear Instrumentation is operable. Decay heat removal is via main feedwater and atmospheric steam dumps however, the condenser steam dumps are available but not preferred for Tave control. There is no known primary to secondary leakage. Unit 3 is in a normal shutdown electrical lineup. The cause of the turbine valves malfunction is not known at this time. There is no impact on Unit 4.

The licensee has notified the NRC Resident Inspector.

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Power Reactor Event Number: 49022
Facility: MILLSTONE
Region: 1 State: CT
Unit: [ ] [2] [ ]
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: VINCE WESSLING
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 05/10/2013
Notification Time: 15:56 [ET]
Event Date: 05/10/2013
Event Time: 12:09 [EDT]
Last Update Date: 05/10/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
JAMES DWYER (R1DO)

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

Event Text

LOSS OF ASSESSMENT CAPABILITY DUE TO PLANNED TESTING OF RADIATION MONITORS

At 1209 EDT on 5/10/13, Stack Effluent radiation monitors RM8168 and RM8132 and Main Steam Line radiation monitors RM4299 A, B, and C were removed from service for planned testing. At 1458 EDT on 5/10/13, all radiation monitors were restored to service following completion of testing.

The licensee has notified the NRC Resident Inspector and the State and Local authorities.

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Power Reactor Event Number: 49023
Facility: MONTICELLO
Region: 3 State: MN
Unit: [1] [ ] [ ]
RX Type: [1] GE-3
NRC Notified By: MICHAEL STIDMON
HQ OPS Officer: STEVE SANDIN
Notification Date: 05/10/2013
Notification Time: 15:56 [ET]
Event Date: 05/10/2013
Event Time: 09:20 [CDT]
Last Update Date: 05/10/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
HIRONORI PETERSON (R3DO)

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

Event Text

FITNESS-FOR-DUTY REPORT INVOLVING DISCOVERY OF ALCOHOL CONTAINER INSIDE THE PROTECTED AREA

"[The licensee] discovered a small bottle of alcohol within the Protected Area. The 50ml bottle was approximately 2/3 full. The seal ring had been broken. The clear liquid smells of alcohol as the label of the bottle indicates. The bottle was discovered beneath a deck structure to a temporary trailer that workers were demolishing.

"This event is reportable under 10CFR26.719 Fitness-For-Duty."

The license informed the NRC Resident Inspector.

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Power Reactor Event Number: 49024
Facility: LIMERICK
Region: 1 State: PA
Unit: [1] [2] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: PAUL MARVEL
HQ OPS Officer: STEVE SANDIN
Notification Date: 05/10/2013
Notification Time: 18:08 [ET]
Event Date: 05/10/2013
Event Time: 09:05 [EDT]
Last Update Date: 05/10/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
JAMES DWYER (R1DO)

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

Event Text

FITNESS-FOR-DUTY REPORT INVOLVING A NON-LICENSED SUPERVISOR TESTING POSITIVE FOR ALCOHOL

"A Non-licensed, Supervisory employee had a confirmed positive alcohol test during a random fitness-for-duty test. The employee's access to the Plant has been removed."

The licensee informed the NRC Resident Inspector.

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Power Reactor Event Number: 49025
Facility: GRAND GULF
Region: 4 State: MS
Unit: [1] [ ] [ ]
RX Type: [1] GE-6
NRC Notified By: TJ REYNOLDS
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 05/12/2013
Notification Time: 19:15 [ET]
Event Date: 05/12/2013
Event Time: 17:43 [CDT]
Last Update Date: 05/12/2013
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
Person (Organization):
JAMES DRAKE (R4DO)
ART HOWELL (RA)
JANE MARSHALL (IRD)
DAN DORMAN (NRR)

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 DUE TO FIRE ON AUXILIARY TRANSFORMER INSIDE PROTECTED THE AREA

At 1743 CDT on 05/12/13, Grand Gulf Nuclear Station declared an Unusual Event due to a fire lasting greater than 15 minutes in an auxiliary transformer inside the Protected Area (PA). The transformer was isolated. The plant continues to operate at 100% power. The license remains in a Unusual Event pending further investigation.

The licensee notified the NRC Resident Inspector and State and Local Authorities.

Notified DHS SWO, FEMA, and DHS NICC.

* * * UPDATE FROM ROBERT BRINKMAN TO JOHN SHOEMAKER AT 2112 EDT ON 5/12/13 * * *

The Licensee terminated the Unusual Event at 1921 CDT on 5/12/13 based on electrically isolating the auxiliary transformer and termination of smoke coming from the transformer. At no time were flames seen during this event. The transformer is located outside of the turbine building and is used to supply various loads and office space during outages. There was no other impact on the plant.

The licensee notified the NRC Resident Inspector and State and Local Authorities.

Notified R4DO (Drake), NRR EO (Bahadur), IRD (Marshall), DHS SWO, FEMA, and DHS NICC.

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Power Reactor Event Number: 49026
Facility: KEWAUNEE
Region: 3 State: WI
Unit: [1] [ ] [ ]
RX Type: [1] W-2-LP
NRC Notified By: LOGAN MILLER
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 05/12/2013
Notification Time: 21:58 [ET]
Event Date: 05/12/2013
Event Time: 17:55 [CDT]
Last Update Date: 05/12/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
HIRONORI PETERSON (R3DO)

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

Event Text

SERVICE WATER EFFLUENT LINES NON FUNCTIONAL

"At 1755 [CDT] on 05/12/13, R-16, Service Water System Effluent Line (Containment Fan Cooling) and R-20, Service Water System Effluent Line (Auxiliary Building Service Water Header) were declared NON-FUNCTIONAL due to low SW [Service Water] sampling flow. R-16 and R-20 are used for Emergency Action Level (EAL) classifications of an unplanned release of liquid radioactivity to the environment that exceeds the requirements of the Offsite Dose Calculation Manual for an Unusual Event and an Alert, and is therefore being reported under 10 CFR 50.72(b)(3)(xiii) as a loss of emergency assessment capability."

The Licensee is investigating to determine an appropriate recovery plan.

The Licensee has notified the NRC Resident Inspector.

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