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Event Notification Report for August 30, 2000

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
08/29/2000 - 08/30/2000

EVENT NUMBERS
37276372773727837326

Power Reactor
Event Number: 37276
Facility: MONTICELLO
Region: 3     State: MN
Unit: [1] [] []
RX Type: [1] GE-3
NRC Notified By: KEVIN PEDERSON
HQ OPS Officer: LEIGH TROCINE
Notification Date: 08/30/2000
Notification Time: 17:18 [ET]
Event Date: 08/30/2000
Event Time: 15:05 [CDT]
Last Update Date: 08/30/2000
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(i) - DEG/UNANALYZED COND
Person (Organization):
MELVYN LEACH (R3)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Cold Shutdown 0 Cold Shutdown
Event Text
FAILURE OF A MAIN STEAM LINE DRAIN PRIMARY CONTAINMENT ISOLATION VALVE TO COMPLETELY OPEN DUE TO LOOSE TORQUE SWITCH WIRE CONNECTIONS

The following text is a portion of a facsimile received from the licensee:

"During plant shutdown, primary containment isolation valve MO-2373 failed to properly function. The failure was caused by loose torque switch wire connections which caused a failure of the valve to completely open. Improper electrical connections could have prevented full closure of the valve. Therefore, the valve was determined to be inoperable prior to the repair. ([The] valve has been repaired.) The safety function of the redundant primary containment isolation valve was available."

The licensee plans to notify the NRC resident inspector.


Fuel Cycle Facility
Event Number: 37277
Facility: PADUCAH GASEOUS DIFFUSION PLANT
Region: 3     State: KY
Unit: [] [] []
RX Type: URANIUM ENRICHMENT FACILITY
Comments: 2 DEMOCRACY CENTER
6903 ROCKLEDGE DRIVE
BETHESDA, MD 20817 (301)564-3200
NRC Notified By: -
HQ OPS Officer: STEVE SANDIN
Notification Date: 08/31/2000
Notification Time: 05:30 [ET]
Event Date: 08/30/2000
Event Time: 16:10 [CDT]
Last Update Date: 08/31/2000
Emergency Class: NON EMERGENCY
10 CFR Section:
76.120(c)(2) - SAFETY EQUIPMENT FAILURE 76.120(c)(2)(ii) - EQUIP DISABLED/FAILS 76.120(c)(2)(iii) - REDUNDANT EQUIP INOP
Person (Organization):
MELVYN LEACH (R3)
BRIAN SMITH (NMSS)
Event Text
AREA CONTROL ROOM (ACR) ALARM POWER LOST DUE TO A FAILURE IN THE POWER TRANSFER SWITCH

"At 1610 on 08-30-00 the PSS was informed of a C-331 CAAS Cluster J Trouble alarm. Investigation of trouble alarm revealed that C-331 CAAS Horns solenoids had lost DC power. The C-331 ACR DC alarm power was lost due to the failures in the power transfer switch. Contacts fused together and a solenoid failed which allowed the transfer switch to reposition to the mid (no power) position and prevented repositioning to the emergency power position. Since the CAAS horns did not have power, they were unable to perform the intended safety function, rendering the system inoperable for audibility. The system is required to be operable according to TSR 2.4.4.7.b for the current mode of operation. The horns were without power (inoperable) for approximately 30 minutes until the transfer switch was physically forced to the emergency power position.

This event is reportable under 10 CFR 76.120(c)(2) as an event in which equipment required by the TSR is disabled or fails to function as designed.

The NRC Resident Inspector has been notified of this event.


Other Nuclear Material
Event Number: 37278
Rep Org: U.S. AIR FORCE
Licensee: U.S. AIR FORCE
Region: 4
City: CANNON AFB   State: NM
County:
License #: 42-23539-01AF
Agreement: Y
Docket:
NRC Notified By: MAJOR WROBEL
HQ OPS Officer: FANGIE JONES
Notification Date: 08/31/2000
Notification Time: 10:15 [ET]
Event Date: 08/30/2000
Event Time: 14:00 [MDT]
Last Update Date: 08/31/2000
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
CHUCK PAULK (R4)
BRIAN SMITH
Event Text
4 MISSING EXIT SIGNS CONTAINING TRITIUM

The licensee reported that 4 exit signs, 'Safety Sign' by SRB Technologies Inc., each containing 20 curies of tritium, were discovered missing and presumed stolen from building 1245. An investigation is underway and a report will follow in 30 days.

The licensee notified NRC R4 (Gaines).


Hospital
Event Number: 37326
Rep Org: KANSAS CITY RESEARCH MEDICAL CENTER
Licensee: KANSAS CITY RESEARCH MEDICAL CENTER
Region: 3
City: KANSAS CITY   State: MO
County:
License #: 2418625-01
Agreement: N
Docket:
NRC Notified By: EDMUND CYTACKI
HQ OPS Officer: FANGIE JONES
Notification Date: 09/15/2000
Notification Time: 10:36 [ET]
Event Date: 08/30/2000
Event Time: 00:00 [CDT]
Last Update Date: 09/15/2000
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
MIKE JORDAN (R3)
FREDRICK STURTZ (NMSS)
Event Text
LOSS OF ONE I-125 SEED, 0.55 mCi

The licensee discovered 1 of 65 iodine-125 seeds missing when installing them in an applicator for a permanent implant on 8/17/00. Multiple surveys failed to find the seed if present in the shipment. The shipment was received on 8/15/00 and surveyed, but not opened until the applicator was ready to be loaded. The licensee contacted the manufacturer, Uramed Company, of Norwood, MA about the missing seed. The manufacturer could not determine that they had not sent 65 seeds. The seed is considered lost, probably in the hot lab of the hospital, and the licensee does not consider it to be a serious health risk.

A written report will be submitted to the NRC.