Event Notification Report for April 4, 2003






                    U.S. Nuclear Regulatory Commission

                              Operations Center



                              Event Reports For

                           04/03/2003 - 04/04/2003



                              ** EVENT NUMBERS **



39577  39717  39718  39724  39725  39726  39727  39728  





!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED  !!!!!!!

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|Fuel Cycle Facility                              |Event Number:   39577       |

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| FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT   |NOTIFICATION DATE: 02/11/2003|

|   RXTYPE: URANIUM ENRICHMENT FACILITY          |NOTIFICATION TIME: 06:16[EST]|

| COMMENTS: 2 DEMOCRACY CENTER                   |EVENT DATE:        02/10/2003|

|           6903 ROCKLEDGE DRIVE                 |EVENT TIME:        16:20[EST]|

|           BETHESDA, MD 20817    (301)564-3200  |LAST UPDATE DATE:  04/03/2003|

|    CITY:  PIKETON                  REGION:  3  +-----------------------------+

|  COUNTY:  PIKE                      STATE:  OH |PERSON          ORGANIZATION |

|LICENSE#:  GDP-2                 AGREEMENT:  N  |SONIA BURGESS        R3      |

|  DOCKET:  0707002                              |MELVYN LEACH         NMSS    |

+------------------------------------------------+Patrick Hiland       IRO     |

| NRC NOTIFIED BY:  Gary Salyers                 |                             |

|  HQ OPS OFFICER:  YAMIR DIAZ                   |                             |

+------------------------------------------------+                             |

|EMERGENCY CLASS:          NON EMERGENCY         |                             |

|10 CFR SECTION:                                 |                             |

|NONR                     OTHER UNSPEC REQMNT    |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

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                                   EVENT TEXT                                   

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| STEAM VALVE SHUTDOWN DUE TO HIGH CONDENSATE LEVEL                            |

|                                                                              |

| "At 1620 hrs, Autoclave (AC) #2 in the X-344 Facility experienced a Steam    |

| Shutdown due to high condensate level alarms (A) and (B) actuating. The AC   |

| was in applicable TSR MODE IV 'Feeding, Transfer or Sampling' when the       |

| actuation occurred. This is considered a valid actuation of a 'Q' Safety     |

| System. The autoclave was placed in MODE VII 'Shutdown' and declared         |

| inoperable by the Plant Shift Superintendent (PSS). An investigation is      |

| underway to determine the cause of the actuation. No release of radioactive  |

| material occurred as a result of the incident.   This event is being         |

| reported in accordance with UE2-RA-RE1030 Appendix D. J. 2. Safety Equipment |

| Actuations."                                                                 |

|                                                                              |

| The Autoclave (AC) lost one of four trains.  This event was caused by        |

| operator error.  A root cause investigation is planned by the licensee.      |

|                                                                              |

| The licensee notified the NRC resident inspector.                            |

|                                                                              |

| ***  EVENT RETRACTED ON 4/3/2003 AT 1521 EST BY STEVE MAY TO ERIC THOMAS     |

| ***                                                                          |

|                                                                              |

| "Nuclear Regulatory Affairs (NRA) reviewed the basis for the above event     |

| notification and determined that the notification can be retracted.  The     |

| high condensate level alarms actuated in mode VIII (containment), which is   |

| not an applicable mode."                                                     |

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|General Information or Other                     |Event Number:   39717       |

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| REP ORG:  TEXAS DEPARTMENT OF HEALTH           |NOTIFICATION DATE: 04/01/2003|

|LICENSEE:  CTL/THOMPSON TEXAS, LLC              |NOTIFICATION TIME: 12:49[EST]|

|    CITY:  Dallas                   REGION:  4  |EVENT DATE:        03/31/2003|

|  COUNTY:                            STATE:  TX |EVENT TIME:        20:00[CST]|

|LICENSE#:  L04900-001            AGREEMENT:  Y  |LAST UPDATE DATE:  04/01/2003|

|  DOCKET:                                       |+----------------------------+

|                                                |PERSON          ORGANIZATION |

|                                                |ANTHONY GODY         R4      |

|                                                |SUSAN FRANT          NMSS    |

+------------------------------------------------+JOHN DAVIDSON        IAT     |

| NRC NOTIFIED BY:  JIM OGDEN                    |                             |

|  HQ OPS OFFICER:  HOWIE CROUCH                 |                             |

+------------------------------------------------+                             |

|EMERGENCY CLASS:          NON EMERGENCY         |                             |

|10 CFR SECTION:                                 |                             |

|NAGR                     AGREEMENT STATE        |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

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                                   EVENT TEXT                                   

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| AGREEMENT STATE REPORT - STOLEN MOISTURE DENSITY GAUGE                       |

|                                                                              |

| The following information was received from the Texas Department of Health,  |

| Bureau of Radiation Control via facsimile:                                   |

|                                                                              |

| "The gauge operator was working a night assignment.  After completion he     |

| took his company vehicle to the company office to complete paperwork at      |

| approximately 11:20 p.m.  After completion of the paperwork he returned to   |

| his vehicle at approximately 11:40 p.m. and discovered that his assigned CPN |

| nuclear density gauge (Model MC1-DR, Serial No. MD0129983) with two sealed   |

| radiation sources: a 10 millicurie Amersham, Model CPN 131, cesium-137       |

| capsule, Serial No. 2870, that is engraved on the source rod as "CS9983"     |

| (source type plus the last four digits of the gauge Serial No.); and a 50    |

| millicurie Amersham, Model CPN131, americium-241/beryllium, Serial No. 0992, |

| that is engraved on the gauge's internal source pedestal as "AM9983" (source |

| type plus the last four digits of the gauge Serial No.), was missing from    |

| the truck. The Licensee's security chain had been cut and was left in the    |

| vehicle. The 'red' transport case had been locked but the Licensee reports   |

| finding a piece of it's lock, also cut, in the bed of the truck. However,    |

| the transport case was also missing. In addition, the gauge's rod handle was |

| also locked within the case before the gauge was stolen. The Licensee also   |

| reported that nothing except the gauge and it's case were removed from the   |

| truck. This Agency has searched Agency Open Records requests back through    |

| January 2002, with no suspicious request noted."                             |

|                                                                              |

| There is no media attention at this time.  The Licensee is considering       |

| whether or not to post a reward for return of the gauge.                     |

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!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED  !!!!!!!

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|Power Reactor                                    |Event Number:   39718       |

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| FACILITY: COLUMBIA GENERATING STATIREGION:  4  |NOTIFICATION DATE: 04/01/2003|

|    UNIT:  [2] [] []                 STATE:  WA |NOTIFICATION TIME: 13:53[EST]|

|   RXTYPE: [2] GE-5                             |EVENT DATE:        04/01/2003|

+------------------------------------------------+EVENT TIME:        10:50[PST]|

| NRC NOTIFIED BY:  FRED SCHILL                  |LAST UPDATE DATE:  04/03/2003|

|  HQ OPS OFFICER:  HOWIE CROUCH                 +-----------------------------+

+------------------------------------------------+PERSON          ORGANIZATION |

|EMERGENCY CLASS:          NON EMERGENCY         |ANTHONY GODY         R4      |

|10 CFR SECTION:                                 |JOHN DAVIDSON        IAT     |

|DDDD 73.71(b)(1)         SAFEGUARDS REPORTS     |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

+-----+----------+-------+--------+-----------------+--------+-----------------+

|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |

+-----+----------+-------+--------+-----------------+--------+-----------------+

|2     N          Y       97       Power Operation  |97       Power Operation  |

|                                                   |                          |

|                                                   |                          |

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                                   EVENT TEXT                                   

+------------------------------------------------------------------------------+

| VULNERABILITY DISCOVERED IN A SAFEGUARD SYSTEM AT COLUMBIA GENERATING        |

| STATION                                                                      |

|                                                                              |

| Immediate compensatory measures taken upon discovery.                        |

|                                                                              |

| Licensee will notify the NRC Resident Inspector.                             |

|                                                                              |

| Contact the Headquarters Operations Officer for additional details.          |

|                                                                              |

| *** EVENT RETRACTED AT 1723 EST ON 4/3/03 BY CHESTER GREEN TO ERIC THOMAS    |

| ***                                                                          |

|                                                                              |

| A review revealed that the vulnerability mentioned in the original report    |

| does not exist.                                                              |

|                                                                              |

| The licensee notified the NRC Resident Inspector.                            |

|                                                                              |

| Contact the Headquarters Operations Officer for additional details.          |

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+------------------------------------------------------------------------------+

|Power Reactor                                    |Event Number:   39724       |

+------------------------------------------------------------------------------+

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| FACILITY: HADDAM NECK              REGION:  1  |NOTIFICATION DATE: 04/03/2003|

|    UNIT:  [1] [] []                 STATE:  CT |NOTIFICATION TIME: 12:30[EST]|

|   RXTYPE: [1] W-4-LP                           |EVENT DATE:        04/03/2003|

+------------------------------------------------+EVENT TIME:        10:55[EST]|

| NRC NOTIFIED BY:  JOHN BOWER                   |LAST UPDATE DATE:  04/03/2003|

|  HQ OPS OFFICER:  ERIC THOMAS                  +-----------------------------+

+------------------------------------------------+PERSON          ORGANIZATION |

|EMERGENCY CLASS:          NON EMERGENCY         |RONALD BELLAMY       R1      |

|10 CFR SECTION:                                 |                             |

|APRE 50.72(b)(2)(xi)     OFFSITE NOTIFICATION   |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

+-----+----------+-------+--------+-----------------+--------+-----------------+

|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |

+-----+----------+-------+--------+-----------------+--------+-----------------+

|1     N          N       0        Decommissioned   |0        Decommissioned   |

|                                                   |                          |

|                                                   |                          |

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                                   EVENT TEXT                                   

+------------------------------------------------------------------------------+

| OFFSITE NOTIFICATION                                                         |

|                                                                              |

| During a safety walkdown at the old Emergency Operating Facility, a small    |

| amount (approximately 1 quart) of oil was discovered in the soil around an   |

| energized transformer.  The leakage probably occurred over a long period of  |

| time, as there was no current leakage noted.  The soil that contained the    |

| oil was remediated, and a sample was sent off for PCB testing.  The licensee |

| stuck a container under the transformer to gather any more leakage that      |

| might occur.  The licensee was unsure whether the transformer belonged to    |

| them or to the local utility.  This event was reported to the NRC because    |

| the licensee notified the state of Connecticut.                              |

|                                                                              |

| The licensee notified the NRC Resident Inspector.                            |

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|Hospital                                         |Event Number:   39725       |

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| REP ORG:  DEACONESS HOSPITAL                   |NOTIFICATION DATE: 04/03/2003|

|LICENSEE:  DEACONESS HOSPITAL                   |NOTIFICATION TIME: 16:35[EST]|

|    CITY:  EVANSVILLE               REGION:  3  |EVENT DATE:        03/28/2003|

|  COUNTY:                            STATE:  IN |EVENT TIME:        11:00[CST]|

|LICENSE#:  13-00142-02           AGREEMENT:  N  |LAST UPDATE DATE:  04/03/2003|

|  DOCKET:                                       |+----------------------------+

|                                                |PERSON          ORGANIZATION |

|                                                |BRENT CLAYTON        R3      |

|                                                |TRISH HOLAHAN        NMSS    |

+------------------------------------------------+                             |

| NRC NOTIFIED BY:  DENISE BEAN                  |                             |

|  HQ OPS OFFICER:  RICH LAURA                   |                             |

+------------------------------------------------+                             |

|EMERGENCY CLASS:          NON EMERGENCY         |                             |

|10 CFR SECTION:                                 |                             |

|LDIF 35.3045(a)(1)       DOSE <> PRESCRIBED DOSA|                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

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                                   EVENT TEXT                                   

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| MEDICAL EVENT AT DEACONESS HOSPITAL IN INDIANA                               |

|                                                                              |

| A medical event occurred on 3/28/03 at 11:00 CST when a 9 year old patient   |

| received an actual dose of 400 microcuries of I-131, for a thyroid scan and  |

| uptake, instead of a planned dose of 4 microcuries of I-131. The error       |

| occurred when the patient couldn't swallow the capsule and the hospital      |

| ordered a liquid form of the radioisotope.  The wrong dosage was ordered     |

| from the radiopharmacy. The error was not discovered until after the dosage  |

| had been administered. The hospital indicated they did not expect any        |

| significant adverse health effect. The hospital was performing some more     |

| detailed calculations involving this event. A review was initiated to        |

| clearly identify the cause and initiate corrective actions to prevent        |

| recurrence.                                                                  |

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|Power Reactor                                    |Event Number:   39726       |

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| FACILITY: POINT BEACH              REGION:  3  |NOTIFICATION DATE: 04/03/2003|

|    UNIT:  [1] [2] []                STATE:  WI |NOTIFICATION TIME: 18:05[EST]|

|   RXTYPE: [1] W-2-LP,[2] W-2-LP                |EVENT DATE:        04/03/2003|

+------------------------------------------------+EVENT TIME:        14:56[CST]|

| NRC NOTIFIED BY:  RYAN RODE                    |LAST UPDATE DATE:  04/04/2003|

|  HQ OPS OFFICER:  ERIC THOMAS                  +-----------------------------+

+------------------------------------------------+PERSON          ORGANIZATION |

|EMERGENCY CLASS:          NON EMERGENCY         |BRENT CLAYTON        R3      |

|10 CFR SECTION:                                 |                             |

|ACOM 50.72(b)(3)(xiii)   LOSS COMM/ASMT/RESPONSE|                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

+-----+----------+-------+--------+-----------------+--------+-----------------+

|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |

+-----+----------+-------+--------+-----------------+--------+-----------------+

|1     N          Y       97       Power Operation  |97       Power Operation  |

|2     N          Y       97       Power Operation  |97       Power Operation  |

|                                                   |                          |

+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   

+------------------------------------------------------------------------------+

| PARTIAL LOSS OF COMMUNICATIONS                                               |

|                                                                              |

| "On 4/3/03 at 1456, due to adverse weather conditions, power was lost to the |

| Site Boundary Control Center. This resulted in a loss of ENS FTS 2000        |

| Communication System in the TSC and Control Room. This event is reportable   |

| per Duty and Call Superintendent Handbook DOS 2.1.1 Section 4.7,             |

| Clarification of NUREG-1022 Section 3.2.13, Loss of EP Capabilities.         |

| Commercial phone lines are fully functional."                                |

|                                                                              |

| The licensee informed the NRC Resident Inspector, as well as state and local |

| authorities.                                                                 |

|                                                                              |

|                                                                              |

| * * * UPDATE ON 4/4/03 @ 0145 BY RAASCH TO GOULD * * *                       |

|                                                                              |

| At 2309 on 4/3/03, the EP Manager reported from the EOF  that all phones are |

| lost in the EOF.  This event is reportable per Duty and Call Superintendent  |

| Handbook DCS 2.1.1 section 4.7, clarification of NUREG - 1022, section       |

| 3.2.13 loss of EP capabilities.                                              |

|                                                                              |

| At 2315 on 4/3/03, power was restored to the EOF.  Communication             |

| capabilities from the EOF, TSC and Control Room ENS phones are restored.     |

|                                                                              |

| The Resident Inspector will be notified.   Region 3 RDO(Clayton) was         |

| notified.                                                                    |

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+------------------------------------------------------------------------------+

|Power Reactor                                    |Event Number:   39727       |

+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+

| FACILITY: KEWAUNEE                 REGION:  3  |NOTIFICATION DATE: 04/03/2003|

|    UNIT:  [1] [] []                 STATE:  WI |NOTIFICATION TIME: 18:16[EST]|

|   RXTYPE: [1] W-2-LP                           |EVENT DATE:        04/03/2003|

+------------------------------------------------+EVENT TIME:        16:05[CST]|

| NRC NOTIFIED BY:  ETHAN TREPTOW                |LAST UPDATE DATE:  04/03/2003|

|  HQ OPS OFFICER:  RICH LAURA                   +-----------------------------+

+------------------------------------------------+PERSON          ORGANIZATION |

|EMERGENCY CLASS:          NON EMERGENCY         |BRENT CLAYTON        R3      |

|10 CFR SECTION:                                 |                             |

|APRE 50.72(b)(2)(xi)     OFFSITE NOTIFICATION   |                             |

|ACOM 50.72(b)(3)(xiii)   LOSS COMM/ASMT/RESPONSE|                             |

|                                                |                             |

|                                                |                             |

+-----+----------+-------+--------+-----------------+--------+-----------------+

|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |

+-----+----------+-------+--------+-----------------+--------+-----------------+

|1     N          Y       85       Power Operation  |85       Power Operation  |

|                                                   |                          |

|                                                   |                          |

+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   

+------------------------------------------------------------------------------+

| UNPLANNED SIREN OUTAGE DUE TO ADVERSE WEATHER AND OFFSITE NOTIFICATION AT    |

| KEWAUNEE                                                                     |

|                                                                              |

| "At 1605 on April 3, 2003 it was reported to the Control Room that greater   |

| than 50% siren population coverage was lost. The percent siren coverage      |

| population lost is 50.03%. The lost siren coverage is due to weather related |

| power outages. Crews have been dispatched and are working to restore power   |

| to the affected sirens.                                                      |

|                                                                              |

| "Additionally, substation Line Y-51 is out-of-service due to the weather     |

| conditions. Three of the four off-site power lines remain available.         |

|                                                                              |

| "The plant is currently in the process of reducing power for a refueling     |

| outage.                                                                      |

|                                                                              |

| "This is being reported under 10 CFR 50.72(b)(3)(xiii) as any event that     |

| results in a major loss of emergency assessment capability, offsite response |

| capability, or offsite communications capability (loss of greater than 50%   |

| of emergency sirens). It is also being reported under 10 CFR 50.72(b)(2)(xi) |

| as any event or situation, related to the health and safety of the public or |

| onsite personnel, or protection of the environment, for which a news release |

| is planned or notification to other government agencies has been or will be  |

| made."                                                                       |

|                                                                              |

| The NRC Inspector was notified.                                              |

+------------------------------------------------------------------------------+



+------------------------------------------------------------------------------+

|Power Reactor                                    |Event Number:   39728       |

+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+

| FACILITY: MONTICELLO               REGION:  3  |NOTIFICATION DATE: 04/04/2003|

|    UNIT:  [1] [] []                 STATE:  MN |NOTIFICATION TIME: 00:18[EST]|

|   RXTYPE: [1] GE-3                             |EVENT DATE:        04/03/2003|

+------------------------------------------------+EVENT TIME:        22:05[CST]|

| NRC NOTIFIED BY:  SAND                         |LAST UPDATE DATE:  04/04/2003|

|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+

+------------------------------------------------+PERSON          ORGANIZATION |

|EMERGENCY CLASS:          NON EMERGENCY         |BRENT CLAYTON        R3      |

|10 CFR SECTION:                                 |                             |

|APRE 50.72(b)(2)(xi)     OFFSITE NOTIFICATION   |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

+-----+----------+-------+--------+-----------------+--------+-----------------+

|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |

+-----+----------+-------+--------+-----------------+--------+-----------------+

|1     N          Y       100      Power Operation  |100      Power Operation  |

|                                                   |                          |

|                                                   |                          |

+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   

+------------------------------------------------------------------------------+

| FALSE ACTIVATION OF PUBLIC ALERT SYSTEM                                      |

|                                                                              |

| The plant had a false activation of the Public Alert Notification System     |

| (PANS) by the Sherbune County Sheriff's Department.  Sherbune County         |

| personnel stated that they had accidentally triggered the system that        |

| resulted in the sirens in both Sherbune and Wright counties to sound.  Both  |

| counties performed a signal cancellation and the sirens were silenced within |

| 5 - 10 minutes.                                                              |

|                                                                              |

| The NRC Resident Inspector was notified along with the state and local       |

| agencies.                                                                    |

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