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Event Notification Report for December 04, 2003

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
12/03/2003 - 12/04/2003

EVENT NUMBERS
403754037640409

Power Reactor
Event Number: 40375
Facility: SAINT LUCIE
Region: 2     State: FL
Unit: [] [2] []
RX Type: [1] CE,[2] CE
NRC Notified By: CALVIN WARD
HQ OPS Officer: GERRY WAIG
Notification Date: 12/04/2003
Notification Time: 20:14 [ET]
Event Date: 12/04/2003
Event Time: 16:32 [EST]
Last Update Date: 12/04/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
Person (Organization):
BRIAN BONSER (R2)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
2 M/R Y 100 Power Operation 0 Hot Standby
Event Text
ST. LUCIE UNIT 2 MANUAL REACTOR TRIP DUE TO LOSS OF CONDENSATE PUMP

"On December 4, 2003, at 1605 hours, a down power was initiated due to a failing bearing on the 2A Condensate Pump. The pump bearing was hot and smoking. The plant fire team was deployed as a precautionary action. Due to continued degradation of the Pump bearing, a Manual Reactor Trip was initiated at approximately 60% power. Feed to the 2A and 2B Steam Generators was maintained via the 2B Main Feedwater Pump. All plant safety systems responded normally and plant safety functions were maintained throughout the event. The Plant was stabilized In Mode 3. Plant post trip anomalies include Steam Generator Blowdown isolation valves closed, Control Room ventilation system swapped to recirculation mode, the Fuel Handling Building ventilation system swapped to the Shield Building, and it was necessary to take Steam Bypass Control System to manual. An Emergency Response Team was formed to review these conditions prior to plant restart. This non-emergency notification is being made pursuant to 10 CFR 50.72(b)(2)(iv)(B) due to the manual initiation of the RPS Reactor Trip."

All control rods fully inserted into the reactor on the trip. The emergency diesel generators are available and the offsite electrical grid is in a normal configuration. No safety relief valves or power operated relief valves were known to have actuated during this event. St. Lucie Unit 1 was not affected and continues to operate in mode 1 at 100% rated thermal power.

The licensee has notified the NRC Resident Inspector.


General Information or Other
Event Number: 40376
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: STATE OF FLORIDA
Region: 1
City: DAVIE   State: FL
County:
License #: 0109-1
Agreement: Y
Docket:
NRC Notified By: JERRY EAKINS
HQ OPS Officer: GERRY WAIG
Notification Date: 12/05/2003
Notification Time: 11:54 [ET]
Event Date: 12/04/2003
Event Time: 00:00 [EST]
Last Update Date: 08/26/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
RICHARD CONTE (R1)
TOM ESSIG (NMSS)
Event Text
AGREEMENT STATE REPORT- FLORIDA - LOST OR STOLEN TROXLER MOISTURE DENSITY GAUGE

The following information was received via facsimile and telephone conversation:

"Loss of Control - Lost, Abandoned, or Stolen Materials

"Incident Location: Suspected Florida Department of Transportation (FDOT) job site at US1 just north of North Bridge Road, St. Lucie, Florida in unrestricted area.

"Incident Description: POC [Point of Contact] reported he looked for gauge in the bed of transport truck this AM. Gauge was not in carrying case. He believes he left the gauge at the job site on 4 Dec. He has the locks for the transportation case and the box attached to the truck bed and they were intact. The gauge handle was locked and he has the keys. He had a crew in Ft. Pierce make a futile search for the gauge at the work site. He called the Ft. Pierce PD [Police Department] and they had no reports of a gauge being found. This office requested a press release and reward for the return of the gauge be issued and the gauge be reported lost or stolen to the Ft. Pierce PD. Further investigation of this incident will be by the Radioactive Materials section."

The subject gauge is a Troxler model 3440, serial number 20515, 40 milliCuries Am-241:Be, 8 milliCuries Cs-137 moisture density gauge licensed to the FDOT.

Florida incident number FL03-217.

* * * UPDATE FROM THE STATE OF FLORIDA (FURNACE) TO HUFFMAN AT 1031 EDT ON 8/26/08 VIA FACSIMILE * * *

"[On August 13, 2008,] a scrap truck tripped portal alarm [at a metal recycling facility - Trade Mark Metals]. [The scrap metal container] was rejected and returned to owner. [Redacted information] [The scrap metal] owner found what appear[ed] to be a bus door opener handle [as the] source [of the radioactivity]. An investigator [from the State] was dispatched to survey the source. The remaining load was accepted by Trade Mark Metals.

"[The] 'Handle' [was determined to be] a part of a soil moisture density gauge [containing the CS-137 source and] originally belonging to Florida DOT, and reported stolen 05-Dec-03. Incident number FL03-217, original NRC Event number 40376 [see above]. Other parts of the load were surveyed for the Am-241/Be source, [however] no radiation [was] found emitting neutrons [and no other parts of the gauge found]. [The original gauge] owner [DOT] will take control of item and properly dispose of. No further action will be taken on this incident [by the State]."

The State indicated that the CS-137 source was undamaged and the source serial number used to trace the original owner.

Followup State Report is FL08-121

Notified R1DO (Powell); FSME (Burgess); and ILTAB (Whitney via e-mail).


General Information or Other
Event Number: 40409
Rep Org: ARKANSAS DEPARTMENT OF HEALTH
Licensee: CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE INC
Region: 4
City: CONWAY   State: AR
County:
License #: ARK 654-BP-12
Agreement: Y
Docket:
NRC Notified By: KIM WIEBECK (fax)
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 12/22/2003
Notification Time: 13:49 [ET]
Event Date: 12/04/2003
Event Time: 00:00 [CST]
Last Update Date: 12/22/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
LINDA SMITH (R4)
TOM ESSIG (NMSS)
Event Text
AGREEMENT STATE EVENT

"A medical misadministration resulting from an I-125 permanent prostate seed implant procedure was reported to Arkansas Department of Health, Radiation Control and Emergency Management on December 19, 2003. The licensee reported that the misadministration, resulting from a December 4, 2003 implant procedure, had been identified during the patient's post-implant CT study on December 18, 2003.

"The brachytherapy misadministration involves an underdose to an intended treatment area as well as a radiation dose delivered to an unintended area. This event is still under investigation by the licensee and the Department."