Event Notification Report for September 30, 2004
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
09/29/2004 - 09/30/2004
General Information or Other
Event Number: 41282
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: POMONA VALLEY HOSPITAL
Region: 4
City: POMONA State: CA
County: LOS ANGELES
License #: 0764-19
Agreement: Y
Docket:
NRC Notified By: KATHLEEN KAUFMAN
HQ OPS Officer: CHAUNCEY GOULD
Licensee: POMONA VALLEY HOSPITAL
Region: 4
City: POMONA State: CA
County: LOS ANGELES
License #: 0764-19
Agreement: Y
Docket:
NRC Notified By: KATHLEEN KAUFMAN
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 12/22/2004
Notification Time: 17:41 [ET]
Event Date: 09/30/2004
Event Time: 00:00 [PST]
Last Update Date: 12/22/2004
Notification Time: 17:41 [ET]
Event Date: 09/30/2004
Event Time: 00:00 [PST]
Last Update Date: 12/22/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
BLAIR SPITZBERG (R4)
SCOTT FLANDERS (NMSS)
BLAIR SPITZBERG (R4)
SCOTT FLANDERS (NMSS)
AGREEMENT STATE EVENT
Pomona Valley Hospital reported in a December 9, 2004 letter to the State that seven I-125 seeds had been lost. The State received this letter December 14, 2004, & LA County received the letter December 21, 2004. Pomona reported that on October 14, 2004 while packaging excess I-125 seeds for return to the manufacturer, the dosimetrist discovered a shortage of seven seeds from a prostate implant done on Sept 30, 2004. They resurveyed the operating room & waste containers, but could not find the sources. They think the seeds were accidentally washed down the drain when the top part of the Mick Applicator cartridge was washed.
They are obtaining additional information, such as the activity of the seeds. However, these seeds are normally about 0.3-0.4 mCi each, so seven seeds would be more than the one mCi I-125 that requires immediate reporting.
They are reporting this as a loss that required immediate notification, but based on the information currently available, it appears unlikely that the loss could have resulted in exposure to persons in unrestricted areas.
CA 5010 Number: 122204
Pomona Valley Hospital reported in a December 9, 2004 letter to the State that seven I-125 seeds had been lost. The State received this letter December 14, 2004, & LA County received the letter December 21, 2004. Pomona reported that on October 14, 2004 while packaging excess I-125 seeds for return to the manufacturer, the dosimetrist discovered a shortage of seven seeds from a prostate implant done on Sept 30, 2004. They resurveyed the operating room & waste containers, but could not find the sources. They think the seeds were accidentally washed down the drain when the top part of the Mick Applicator cartridge was washed.
They are obtaining additional information, such as the activity of the seeds. However, these seeds are normally about 0.3-0.4 mCi each, so seven seeds would be more than the one mCi I-125 that requires immediate reporting.
They are reporting this as a loss that required immediate notification, but based on the information currently available, it appears unlikely that the loss could have resulted in exposure to persons in unrestricted areas.
CA 5010 Number: 122204
General Information or Other
Event Number: 41493
Rep Org: NE DIV OF RADIOACTIVE MATERIALS
Licensee: WAVE FORM SPECIALISTS
Region: 4
City: OMAHA State: NE
County:
License #: GLO-636
Agreement: Y
Docket:
NRC Notified By: TRUDY HILL
HQ OPS Officer: MIKE RIPLEY
Licensee: WAVE FORM SPECIALISTS
Region: 4
City: OMAHA State: NE
County:
License #: GLO-636
Agreement: Y
Docket:
NRC Notified By: TRUDY HILL
HQ OPS Officer: MIKE RIPLEY
Notification Date: 03/15/2005
Notification Time: 17:02 [ET]
Event Date: 09/30/2004
Event Time: 00:00 [CST]
Last Update Date: 03/15/2005
Notification Time: 17:02 [ET]
Event Date: 09/30/2004
Event Time: 00:00 [CST]
Last Update Date: 03/15/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
TOM FARNHOLTZ (R4)
GARY JANOSKO (NMSS)
JOE FOSTER (TAS)
TOM FARNHOLTZ (R4)
GARY JANOSKO (NMSS)
JOE FOSTER (TAS)
AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGNS
The following information was provided by the State via facsimile (State text in quotes):
"Isolite/Safety Light shipped two exit signs [Serial Nos. 281266 and 2181268], model SLX60 with 9.5 curies [each] of H-3 on September 1, 2004 to Wave Form Specialists via General Electric Supply. The signs were to be installed in a new facility for the City of Omaha at 4001 South 120th St, as the end user. Wave Form Specialist never installed the signs. Wave Form Specialists declared bankruptcy in September. Wave Form was bonded and another company finished the electrical contract work. The bonding company and the electrical contactor never found the signs when they took over the job. The signs were not returned to Isolite. Have not been able to contact owner of Wave Form Specialists."
Nebraska Incident No: NE050004
The following information was provided by the State via facsimile (State text in quotes):
"Isolite/Safety Light shipped two exit signs [Serial Nos. 281266 and 2181268], model SLX60 with 9.5 curies [each] of H-3 on September 1, 2004 to Wave Form Specialists via General Electric Supply. The signs were to be installed in a new facility for the City of Omaha at 4001 South 120th St, as the end user. Wave Form Specialist never installed the signs. Wave Form Specialists declared bankruptcy in September. Wave Form was bonded and another company finished the electrical contract work. The bonding company and the electrical contactor never found the signs when they took over the job. The signs were not returned to Isolite. Have not been able to contact owner of Wave Form Specialists."
Nebraska Incident No: NE050004