Event Notification Report for August 11, 2004
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
08/10/2004 - 08/11/2004
General Information or Other
Event Number: 40947
Rep Org: KENTUCKY DEPT OF RADIATION CONTROL
Licensee: UNIVERSITY OF LOUISVILLE (HOSPITAL)
Region: 1
City: LOUISVILLE State: KY
County:
License #: 202-029-22
Agreement: Y
Docket:
NRC Notified By: MATT MCKINLEY
HQ OPS Officer: ARLON COSTA
Licensee: UNIVERSITY OF LOUISVILLE (HOSPITAL)
Region: 1
City: LOUISVILLE State: KY
County:
License #: 202-029-22
Agreement: Y
Docket:
NRC Notified By: MATT MCKINLEY
HQ OPS Officer: ARLON COSTA
Notification Date: 08/13/2004
Notification Time: 11:03 [ET]
Event Date: 08/11/2004
Event Time: 10:45 [CDT]
Last Update Date: 08/13/2004
Notification Time: 11:03 [ET]
Event Date: 08/11/2004
Event Time: 10:45 [CDT]
Last Update Date: 08/13/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
RAYMOND LORSON (R1)
TOM ESSIG (NMSS)
RAYMOND LORSON (R1)
TOM ESSIG (NMSS)
KENTUCKY AGREEMENT STATE NOTIFICATION
University of Louisville Hospital physicians were injecting a prescribed treatment of Yttrium-90 (Therasphere) 3.32 GBq (GigaBecquerel) into a patient's liver and only 0.72 Gbq was actually administered (22%). The licensee is investigating the cause of the misadministration. Initial investigation points to a tubing extension modification made to carry the dose to the targeted organ since the majority of the flow remained in the tubing. Hospital physicians have used the equipment 5 to 6 times without any incident. The licensee will send the tubing back to the manufacturer for further investigation. The physician notified the patient.
University of Louisville Hospital physicians were injecting a prescribed treatment of Yttrium-90 (Therasphere) 3.32 GBq (GigaBecquerel) into a patient's liver and only 0.72 Gbq was actually administered (22%). The licensee is investigating the cause of the misadministration. Initial investigation points to a tubing extension modification made to carry the dose to the targeted organ since the majority of the flow remained in the tubing. Hospital physicians have used the equipment 5 to 6 times without any incident. The licensee will send the tubing back to the manufacturer for further investigation. The physician notified the patient.
Power Reactor
Event Number: 40940
Facility: POINT BEACH
Region: 3 State: WI
Unit: [1] [2] []
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: JIM FOUSE
HQ OPS Officer: JEFF ROTTON
Region: 3 State: WI
Unit: [1] [2] []
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: JIM FOUSE
HQ OPS Officer: JEFF ROTTON
Notification Date: 08/11/2004
Notification Time: 10:15 [ET]
Event Date: 08/11/2004
Event Time: 08:30 [CDT]
Last Update Date: 08/11/2004
Notification Time: 10:15 [ET]
Event Date: 08/11/2004
Event Time: 08:30 [CDT]
Last Update Date: 08/11/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
MARK RING (R3)
TERRY REIS (NRR)
MARK RING (R3)
TERRY REIS (NRR)
| 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 |
OFFSITE NOTIFICATION OF STATE AGENCY REGARDING POTENTIALLY OIL CONTAMINATED SOIL
"On August 11, 2004, at approximately 0830 AM CDT, a non-Emergency notification was made to the Wisconsin Department of Natural Resources regarding a discovery, on August 4, 2004, of diesel fuel odor in soil at the Point Beach Nuclear Plant [PBNP]. The source of the odor is believed to be oil contaminated soil caused by a past accidental environmental release of fuel oil.
"This condition was identified while digging holes for a new fence on the northwest side of the plant as part of the PBNP security upgrade. During the excavation, an odor reminiscent of diesel fuel was noted to be emanating from the dirt that was dug up in one area. The dirt from the holes was dry with no obvious fuel oil present. No diesel fuel odor was noted from water and soil at the outfall of a drain in the vicinity of this area.
"The quantity of diesel contaminated soil is unknown. NMC plans to conduct an investigation to determine the nature and extent of contamination and to ultimately conduct remediation as appropriate."
The licensee notified the NRC Resident Inspector.
"On August 11, 2004, at approximately 0830 AM CDT, a non-Emergency notification was made to the Wisconsin Department of Natural Resources regarding a discovery, on August 4, 2004, of diesel fuel odor in soil at the Point Beach Nuclear Plant [PBNP]. The source of the odor is believed to be oil contaminated soil caused by a past accidental environmental release of fuel oil.
"This condition was identified while digging holes for a new fence on the northwest side of the plant as part of the PBNP security upgrade. During the excavation, an odor reminiscent of diesel fuel was noted to be emanating from the dirt that was dug up in one area. The dirt from the holes was dry with no obvious fuel oil present. No diesel fuel odor was noted from water and soil at the outfall of a drain in the vicinity of this area.
"The quantity of diesel contaminated soil is unknown. NMC plans to conduct an investigation to determine the nature and extent of contamination and to ultimately conduct remediation as appropriate."
The licensee notified the NRC Resident Inspector.