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Event Notification Report for July 26, 2005

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
07/25/2005 - 07/26/2005

EVENT NUMBERS
41873418744188041870

General Information or Other
Event Number: 41873
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: SCHLUMBERGER
Region: 4
City: SHREVEPORT   State: LA
County:
License #: LA-2783-L01
Agreement: Y
Docket:
NRC Notified By: JOSEPH NOBLE
HQ OPS Officer: PETE SNYDER
Notification Date: 07/26/2005
Notification Time: 18:50 [ET]
Event Date: 07/26/2005
Event Time: 16:00 [CDT]
Last Update Date: 07/28/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
DAVID GRAVES (R4)
JOSEPH GIITTER (NMSS)
Event Text
AGREEMENT STATE REPORT - POSSIBLE LOST TRITIUM GENERATORS

Schlumberger called the State of Louisiana to report a missing shipment of four tritium generators. Each unit contains 3 to 5 Ci (curies) of tritium. The shipment was picked up by Federal Express on July 15, 2005 in Shreveport, LA. It was to arrive at its destination on July 17, 2005 at Princeton, NJ. Federal Express notified Schlumberger yesterday that as of that date the shipment had not arrived at its Memphis transportation hub.

The units are sealed in the sense that they need software to be used.

The State of Louisiana is following up.

* * * UPDATE TO NRC (HUFFMAN) FROM STATE REP (NOBLE) @ 12:12 EDT ON 7/28/05 * * *

Federal Express has located the shipment of tritium generators and redirected the shipment to the final destination in New Jersey. The State was told that the shipment was misdirected due to a package labeling problem. The State considers this report closed.

R4DO (Graves) and NMSS EO (Essig) notified.


Power Reactor
Event Number: 41874
Facility: PALO VERDE
Region: 4     State: AZ
Unit: [1] [2] [3]
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: DUANE KANITZ
HQ OPS Officer: PETE SNYDER
Notification Date: 07/26/2005
Notification Time: 19:35 [ET]
Event Date: 07/26/2005
Event Time: 16:35 [MST]
Last Update Date: 07/26/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
DAVID GRAVES (R4)
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
3 N Y 100 Power Operation 100 Power Operation
Event Text
INOPERABLE SINGLE EMERGENCY SIREN

"On July 26, 2005 at approximately 09:07 Mountain Standard Time (MST), the Palo Verde Emergency Preparedness Department was notified of an inoperable single siren (#42). While reviewing the siren monitoring computer log, an Information Services Technician received a no response signal on siren #42. Upon investigation, siren #42 was found inoperable. The siren was vandalized by destroying the battery case and stealing the internal battery. The affected siren is estimated to impact approximately 144 members of population (6.8%) in the emergency planning zone (EPZ) within 5 miles. Palo Verde's reporting criterion is a loss of capability to inform greater than 5% of the population within 5 miles (or 10% within 5 to 10 miles) for greater than 1 hour. This call is being placed due to the relatively large segment of the population affected and the uncertainty of the length of time that will be needed to restore the siren to operable condition. The Palo Verde Emergency Plan (section 6.6.2.1) has a contingency for dispatching Maricopa County Sheriff's Office (MCSO) vehicles with loud speakers to alert persons within the affected area(s) when sirens are inoperable.

"The County was informed at 09:38 MST to implement the MCSO notification if a need arises.

"There are no events in progress that require siren operation.

"The NRC Resident Inspector has been notified of the siren failure and this ENS call."


Hospital
Event Number: 41880
Rep Org: SAINT LUKE HOSPITAL
Licensee: SAINT LUKE HOSPITAL
Region: 1
City: BETHLEHEM   State: PA
County:
License #: 37-07939-01
Agreement: N
Docket:
NRC Notified By: TIANYOU XUE
HQ OPS Officer: BILL HUFFMAN
Notification Date: 07/29/2005
Notification Time: 11:52 [ET]
Event Date: 07/26/2005
Event Time: 11:00 [EDT]
Last Update Date: 07/29/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
GLENN MEYER (R1)
SCOTT MOORE (NMSS)
Event Text
MEDICAL EVENT - DOSE LESS THAN PRESCRIBED DURING MEDICAL TREATMENT

A patient being treated for liver cancer was scheduled to be administered two SIR-spheres treatments (SIR-spheres utilizes radioactive micro-spheres that contain yttrium-90). The first treatment was prescribed as 0.46 GBq (GigaBecquerels) of Y-90. Due to difficulty in determining how much of the Y-90 remained in the vial and the injection catheter, the licensee has determined that only 0.25 GBq were administered in the first treatment dose. The patient will be given a second treatment that takes into consideration the actual amount administered on the first treatment.

The licensee notes that the fraction of Y-90 administered differs from the prescribed dose by 46%. The regulatory criteria under 10 CFR
35.3045(a)(1)(iii) states that the reportability criteria is 50% or greater. The licensee has elected to conservatively report this event since it is close to the regulatory criteria.


Other Nuclear Material
Event Number: 41870
Rep Org: PROFESSIONAL INSPECTION AND SERVICE
Licensee: PROFESSIONAL INSPECTION AND SERVICES INC
Region: 1
City: FORT INDIAN TOWN GAP   State: PA
County:
License #: 37-28744-01
Agreement: N
Docket:
NRC Notified By: INGRID KALB
HQ OPS Officer: BILL GOTT
Notification Date: 07/26/2005
Notification Time: 10:29 [ET]
Event Date: 07/26/2005
Event Time: 00:00 [EDT]
Last Update Date: 07/26/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
GLENN MEYER (R1)
CHARLES MILLER (NMSS)
Event Text
DAMAGED TROXLER GAUGE

A track hoe ran over a Troxler Moisture Density Gauge (s/n 032770) with a 8 milliCurie Cs-137 (s/n 7508116) and a 40 milliCurie Am-241/Be (s/n 47-28967) source. The gauge was imbedded upside down in the ground. The source was still in the gauge and the shutter is half open. The area is roped off to limit access. The RSO made the report, is on scene, and is preparing to take radiation surveys. The RSO had not decided on how to remove the gauge.