Event Notification Report for April 01, 2021

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
03/31/2021 - 04/01/2021

EVENT NUMBERS
55151 55152 55160 55162
Agreement State
Event Number: 55151
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: TW LaQuay Marine LLC
Region: 4
City: Brownsville   State: TX
County:
License #: L 07072
Agreement: Y
Docket:
NRC Notified By: Art Tucker
HQ OPS Officer: Thomas Herrity
Notification Date: 03/23/2021
Notification Time: 14:18 [ET]
Event Date: 03/23/2021
Event Time: 00:00 [CDT]
Last Update Date: 03/23/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
GREG WERNER (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
AGREEMENT STATE REPORT - STUCK SHUTTER

The following was received from the state of Texas (The Agency) via email:

"On March 23, 2021, the Agency was notified by the licensee's radiation safety officer (RSO) that while conducting routine inspections the shutter on a Berthold LB 7440 nuclear gauge could not be closed. Open is the normal operating position. The gauge contains a 500 millicurie (original activity) cesium-137 source. The RSO stated the gauge is not an exposure risk to any individuals. The RSO stated the gauge manufacturer has been contacted and they are making arrangements to repair the gauge. The gauge is located on a barge currently working in the Intercoastal Waterway near Brownsville, Texas. Additional information will be provided as it is received in accordance with SA-300."

Texas Event Number: 9833


Agreement State
Event Number: 55152
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: University Hospitals of Cleveland
Region: 3
City: Cleveland   State: OH
County:
License #: 02110180077
Agreement: Y
Docket:
NRC Notified By: Michael J Rubadue
HQ OPS Officer: Thomas Herrity
Notification Date: 03/24/2021
Notification Time: 16:19 [ET]
Event Date: 06/12/2019
Event Time: 00:00 [EDT]
Last Update Date: 03/24/2021
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
ROBERT ORLIKOWSKI (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
AGREEMENT STATE REPORT - FAILURE TO REPORT UNDERDOSE TO PATIENT

The following was received from the state of Ohio via email:

"During a routine inspection an unreported medical event [that occurred in 2019] involving Yttrium-90 'SirSpheres' was discovered. During patient treatment the licensee encountered increasing resistance to the delivery of the microspheres, leading the licensee to believe the patient had reached stasis. After further investigation the licensee determined the cause of the resistance was clogging of the microcatheter. The dose delivered to the patient was 79.2 percent of the prescribed dose. A subsequent treatment was given to the patient to make up for the underdose. At the time the licensee's procedures did not consider this as a reportable event. The reportable event procedures have been updated."

Ohio Item Number: OH210001

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.


Power Reactor
Event Number: 55160
Facility: Fermi
Region: 3     State: MI
Unit: [2] [] []
RX Type: [2] GE-4
NRC Notified By: John Rodeman
HQ OPS Officer: Thomas Herrity
Notification Date: 03/30/2021
Notification Time: 14:00 [ET]
Event Date: 03/30/2021
Event Time: 10:58 [EDT]
Last Update Date: 03/30/2021
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(2)(xi) - Offsite Notification
Person (Organization):
ORTH, STEVE (R3)
Power Reactor Unit Info
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
OFFSITE NOTIFICATION DUE TO SEWAGE SPILL

"At 1058 EDT on 3/30/2021, during routine pump down activities from the sites Equalization Basin, open to the environment (consisting of groundwater and runnoff), to a sanitary system manhole, there was a backflow from the sanitary system to the environment (nearby grassy area). The total amount of overflow is estimated to be 150 gallons. Fermi 2 Environment is currently investigating and clean-up is in progress and the backflow has stopped. The cause of the backflow is under investigation.

"As a result of the backflow reaching the environment, reports are being made to the Michigan Department of Environment, Great Lakes, and Energy (EGLE), the Monroe County Health Department, and the local news media. Since these reports are in the process of being made, this is considered a News Release or Notification to Other Government Agencies, therefore this event is reportable under 10 CFR 50.72(b)(2)(xi).

"The licensee has notified the NRC Resident Inspector."


Part 21
Event Number: 55162
Rep Org: Paragon Energy Solutions
Licensee: Paragon Energy Solutions
Region: 4
City: Fort Worth   State: TX
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Tracy Bolt
HQ OPS Officer: Joanna Bridge
Notification Date: 03/30/2021
Notification Time: 16:50 [ET]
Event Date: 03/30/2021
Event Time: 16:50 [CDT]
Last Update Date: 03/30/2021
Emergency Class: Non Emergency
10 CFR Section:
21.21(a)(2) - Interim Eval Of Deviation
Person (Organization):
JANDA, DONNA (R1DO)
MILLER, MARK (R2DO)
ORTH, STEVE (R3DO)
ALEXANDER, RYAN (R4DO)
PART 21/50.55 REACTORS, - (EMAIL)
Event Text
PART 21 - FAILURE OF SIZE 1 AND 2 FREEDOM SERIES FVR STARTERS
The following is a summary of information received from Paragon Energy Solutions:
North Anna Station has identified instances where Size 1 and 2 starters have failed to function as expected in assemblies that were originally supplied by NLI. The Mechanical Interlock exhibited binding that prevented the contactor to close when energized.
The identified starters are utilized in an application of operating Motor Operated Valves.
Date of Discovery: 3/29/2021
Formal notification will be submitted on or before 4/29/2021.

Affected plants:
North Anna

Should you have any questions regarding this matter, please contact:
Tracy Bolt
Chief Nuclear Officer
Paragon Energy Solutions
817-284-0077
tbolt@paragones.com