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Event Notification Report for June 04, 2001

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
06/03/2001 - 06/04/2001

EVENT NUMBERS
380493805038055

Power Reactor
Event Number: 38049
Facility: CALVERT CLIFFS
Region: 1     State: MD
Unit: [1] [2] []
RX Type: [1] CE,[2] CE
NRC Notified By: JAMES GROOMS
HQ OPS Officer: FANGIE JONES
Notification Date: 06/04/2001
Notification Time: 09:24 [ET]
Event Date: 06/04/2001
Event Time: 09:10 [EDT]
Last Update Date: 06/04/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
ERIC REBER (R1)
Power Reactor Unit Info
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
OFFSITE NOTIFICATION TO THE DEPARTMENT OF NATURAL RESOURCES

The licensee discovered a dead sea turtle on the cleaning racks of the intake structure. The species of turtle is unknown and the licensee is calling the Department of Natural Resources for help in determining if the turtle is an endangered species.

The licensee notified the NRC Resident Inspector.


!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
Hospital
Event Number: 38050
Rep Org: WESTERN MISSOURI MEDICAL CENTER
Licensee: WESTERN MISSOURI MEDICAL CENTER
Region: 3
City: WARRENSBURG   State: MO
County:
License #:
Agreement: N
Docket:
NRC Notified By: RANDY WHITCOMB
HQ OPS Officer: BOB STRANSKY
Notification Date: 06/04/2001
Notification Time: 12:52 [ET]
Event Date: 06/04/2001
Event Time: 08:00 [CDT]
Last Update Date: 06/04/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
35.33 - MED MISADMINISTRATION
Person (Organization):
BRENT CLAYTON (R3)
JOHN HICKEY (NMSS)
Event Text
PATIENT ADMINISTERED INCORRECT DOSE AND CHEMICAL FORM OF TECHNETIUM-99m

A patient was prescribed a dose of 17 mCi of Tc-99m (MDP) for a bone scan; however, the patient actually received a dose of 5 mCi of Tc-99m (collatec). The licensee stated that a medical technician picked up the wrong syringe. The patient and attending physician have be informed by the licensee.

* * * RETRACTION 1542 6/4/2001 FROM WHITCOMB TAKEN BY STRANSKY * * *

After discussion with NRC Region III, the licensee has determined that this event does not constitute a medical misadministration. Notified R3DO (Clayton).


General Information or Other
Event Number: 38055
Rep Org: NEW YORK CITY BUREAU OF RAD HEALTH
Licensee: UNKNOWN
Region: 1
City: QUEENS   State: NY
County: QUEENS
License #:
Agreement: Y
Docket:
NRC Notified By: RICHARD BORRI
HQ OPS Officer: BOB STRANSKY
Notification Date: 06/06/2001
Notification Time: 17:37 [ET]
Event Date: 06/04/2001
Event Time: 00:00 [EDT]
Last Update Date: 06/07/2001
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
MICHELE EVANS (R1)
M. WAYNE HODGES (NMSS)
JOSEPH HOLONICH (IRO)
DOT NATL RESP CTR
Event Text
AGREEMENT STATE REPORT REGARDING PACKAGE DAMAGED DURING OVERSEA SHIPMENT

The New York City Bureau of Radiological Health was contacted on 6/6/2001 by a Japan Airlines (JAL) representative regarding a damaged shipment of 104 µCi of I-125 (liquid). The package was being shipped from New England Nuclear in Boston, Massachusetts to China Isotope Corporation in Beijing, China. The package had been transported by truck to JFK Int'l Airport, where it was loaded onto a JAL aircraft. The JAL representative reported that the package was badly damaged and leaking upon arrival in Tokyo, Japan. Representatives of the Bureau of Radiological Health and Radiac (a contractor for JAL) surveyed the building at JFK Int'l Airport where the package had been stored, but found no radioactive contamination. The caller was unsure of actions taken at the airport in Tokyo.

HOO NOTE: Provided above information to the DOT National Response Center.


* * * UPDATE ON 6/7/01 @ 1132 BY BORRI TO GOULD * * *

A JAL representative notified New York City Bureau of Radiological Health that they measured 4000 cpm in the freight container at the Tokyo airport. Also a worker at the JFK airport admitted that he broke the package when loading it on the plane.

Notified REG 1 RDO(Evans) and NMSS EO(Hickey)

* * * UPDATE 1518EDT ON 6/7/01 FROM BOB GALLAGHAR TO S. SANDIN * * *

"Date: June 7, 2001

"Update Information from Massachusetts Radiation Control Program
"Provided by Robert Gallaghar, Supervisor Inspection & Enforcement, Materials Section


"PACKAGE DAMAGED DURING OVERSEA SHIPMENT

"The package was being shipped from PerkinElmer Life Sciences in Boston, Massachusetts to China Isotope Corporation in Beijing, China. The package contained 130 mCi (4.8 GBq) iodine-125 as NaI in < 1 ml liquid. External radiation measurement imply that 1 to 30 mCi of I-125 may have been released from the shielded container into the surrounding packaging material. The package was secured in a plastic bag and held in a cordoned off area.

"On June 6, 2001 a contamination survey was performed of the JAL facility at JFK and confirmed no contamination. JAL representatives confirmed that the incident was promptly reported to the Japan Bureau of Radiation Protection. An inspector from the Japan Radioisotope Association has made radiation and contamination surveys.

"The package was one of several in a 3.8 cubic meter shipping container. A radiation reading of 3.8 mr/hr at 1 meter was reported outside the lead shielding. JAL representatives have informed PerkinElmer there were two spots of contamination, one on the floor of the container and one on a pallet, both places having been in contact with the package. No other contamination was found in the area or on any persons."

The Massachusetts Radiation Control Program informed NRC Region I (Duncan White). Notified R1DO(Evans) and NMSS(Susan Frant).