Event Notification Report for September 21, 2006
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
09/20/2006 - 09/21/2006
EVENT NUMBERS
4285342854428624290553826
General Information or Other
Event Number: 42853
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: TERRATECH CONSULTANTS
Region: 1
City: MIAMI State: FL
County:
License #: 3210-1
Agreement: Y
Docket:
NRC Notified By: MARK SEIDENSTICKER
HQ OPS Officer: JEFF ROTTON
Licensee: TERRATECH CONSULTANTS
Region: 1
City: MIAMI State: FL
County:
License #: 3210-1
Agreement: Y
Docket:
NRC Notified By: MARK SEIDENSTICKER
HQ OPS Officer: JEFF ROTTON
Notification Date: 09/21/2006
Notification Time: 14:05 [ET]
Event Date: 09/21/2006
Event Time: 12:00 [EDT]
Last Update Date: 09/21/2006
Notification Time: 14:05 [ET]
Event Date: 09/21/2006
Event Time: 12:00 [EDT]
Last Update Date: 09/21/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
JAMES TRAPP (R1)
CINDY FLANNERY (NMSS)
ILTAB VIA EMAIL
JAMES TRAPP (R1)
CINDY FLANNERY (NMSS)
ILTAB VIA EMAIL
AGREEMENT STATE REPORT INVOLVING A STOLEN TROXLER MOISTURE DENSITY GAUGE
Troxler Gauge model 3440, Serial number 24024, was stolen from the locked box in the back of the work truck at 1200 EDT on 09/21/06. The work truck was located at 1090 NW North River Drive, Miami during the theft. The lock on the storage box was cut with bolt cutters and the box remains in the vehicle. Miami-Dade Police have been notified and a police report is pending. The gauge contained a Cs-137 8 millicurie source, serial number 75-6012, and an Am-241 40 millicurie source, serial number 47-20055.
Florida Incident Number: FL06-119
THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks.
This source is not amongst those sources or devices identified by the IAEA Code of Conduct for the Safety & Security of Radioactive Sources to be of concern from a radiological standpoint. Therefore is it being categorized as a less than Category 3 source
Troxler Gauge model 3440, Serial number 24024, was stolen from the locked box in the back of the work truck at 1200 EDT on 09/21/06. The work truck was located at 1090 NW North River Drive, Miami during the theft. The lock on the storage box was cut with bolt cutters and the box remains in the vehicle. Miami-Dade Police have been notified and a police report is pending. The gauge contained a Cs-137 8 millicurie source, serial number 75-6012, and an Am-241 40 millicurie source, serial number 47-20055.
Florida Incident Number: FL06-119
THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks.
This source is not amongst those sources or devices identified by the IAEA Code of Conduct for the Safety & Security of Radioactive Sources to be of concern from a radiological standpoint. Therefore is it being categorized as a less than Category 3 source
Power Reactor
Event Number: 42854
Facility: PERRY
Region: 3 State: OH
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: DAVID O'DONNELL
HQ OPS Officer: JASON KOZAL
Region: 3 State: OH
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: DAVID O'DONNELL
HQ OPS Officer: JASON KOZAL
Notification Date: 09/21/2006
Notification Time: 20:13 [ET]
Event Date: 09/21/2006
Event Time: 18:15 [EDT]
Last Update Date: 09/21/2006
Notification Time: 20:13 [ET]
Event Date: 09/21/2006
Event Time: 18:15 [EDT]
Last Update Date: 09/21/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(A) - POT UNABLE TO SAFE SD
10 CFR Section:
50.72(b)(3)(v)(A) - POT UNABLE TO SAFE SD
Person (Organization):
JULIO LARA (R3)
MARY JANE ROSS-LEE (NRR)
JULIO LARA (R3)
MARY JANE ROSS-LEE (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 |
OSCILLATION POWER RANGE MONITORS (OPRMS) INOPERABLE
"On September 14, 2006, the Plant Staff was notified by General Electric (GE) via a draft Safety Communication SC06-010 of a potential non-conservative setting of the OPRM Enabled Region Drive Flow Setpoint when the plant is in Single Reactor Recirculation Loop Operations. On September 21, 2006, at 1815 hours, based on available information, it was conservatively determined that all four OPRM channels were inoperable due to their current flow setpoint settings and uncertainties associated with OPRM enabling.
"The OPRM instrumentation provides inputs to the Reactor Protection System. The OPRM instrumentation is relied upon for providing a safe shutdown safety function when operating during an unstable power to flow condition. Operations personnel entered Technical Specification LCO 3.3.1.3 Action B.1 to initiate an alternate method to detect and suppress thermal hydraulic instability oscillations.
"This event is being reported as a condition that could have prevented the safety function of structures or systems required to shut down the reactor and maintain it in a safe shutdown condition. These actions and this report are based on preliminary information. Updates will be provided as necessary as additional information becomes available."
The licensee notified the NRC Resident Inspector.
"On September 14, 2006, the Plant Staff was notified by General Electric (GE) via a draft Safety Communication SC06-010 of a potential non-conservative setting of the OPRM Enabled Region Drive Flow Setpoint when the plant is in Single Reactor Recirculation Loop Operations. On September 21, 2006, at 1815 hours, based on available information, it was conservatively determined that all four OPRM channels were inoperable due to their current flow setpoint settings and uncertainties associated with OPRM enabling.
"The OPRM instrumentation provides inputs to the Reactor Protection System. The OPRM instrumentation is relied upon for providing a safe shutdown safety function when operating during an unstable power to flow condition. Operations personnel entered Technical Specification LCO 3.3.1.3 Action B.1 to initiate an alternate method to detect and suppress thermal hydraulic instability oscillations.
"This event is being reported as a condition that could have prevented the safety function of structures or systems required to shut down the reactor and maintain it in a safe shutdown condition. These actions and this report are based on preliminary information. Updates will be provided as necessary as additional information becomes available."
The licensee notified the NRC Resident Inspector.
Other Nuclear Material
Event Number: 42862
Rep Org: HERITAGE VALLEY HEALTH SYSTEM
Licensee: HERITAGE VALLEY HEALTH SYSTEM
Region: 1
City: SEWICKLEY State: PA
County:
License #: 37-11562-01
Agreement: N
Docket:
NRC Notified By: MARK PERNA
HQ OPS Officer: PETE SNYDER
Licensee: HERITAGE VALLEY HEALTH SYSTEM
Region: 1
City: SEWICKLEY State: PA
County:
License #: 37-11562-01
Agreement: N
Docket:
NRC Notified By: MARK PERNA
HQ OPS Officer: PETE SNYDER
Notification Date: 09/26/2006
Notification Time: 09:42 [ET]
Event Date: 09/21/2006
Event Time: 00:00 [EDT]
Last Update Date: 09/27/2006
Notification Time: 09:42 [ET]
Event Date: 09/21/2006
Event Time: 00:00 [EDT]
Last Update Date: 09/27/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
CHRIS HOTT (R1)
SANDI WASTLER (NMSS)
CHRIS HOTT (R1)
SANDI WASTLER (NMSS)
MEDICAL EVENT - ONLY ONE CAPSULE OF A TWO CAPSULE DOSE ADMINISTERED
The licensee provided the following information via email:
"On 9/21/06 at Sewickley Valley Hospital, a technician removed a vial of I-131 therapy capsules and measured the dose in the dose calibrator to ensure that the dose measured the expected amount of 25 millicuries. The dose was administered to the patient by emptying the contents of the vial into the patient's hand. Only one of the I-131 capsules came out of the vial instead of two. The vial was placed back into the shipping container
and returned to the pharmacy.
"On 9/25/06, the pharmacy notified Sewickley Valley Hospital that they had returned one of the two capsules to the pharmacy. One of the two capsules had apparently remained in the vial during the administration to the patient. The RSO reported that the dose to the patient was approximately 5 millicuries instead of the 25 millicurie prescribed dose. The hospital has already contacted the referring physician and plans on contacting the patient to make arrangements to administer the rest of the prescribed dose. The hospital will also institute changes in their procedures requiring the vial to be visually inspected and checked in the dose calibrator following use to prevent this from happening in the future."
A "Medical Event" may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
* * * UPDATE FROM LICENSEE (PERNA) TO HUFFMAN AT 11:17 EDT ON 9/27/06 * * *
The licensee provided an e-mail edit to the original event report to correct some inaccuracies in the information originally reported to the NRC. R1DO (Hott) and NMSS (Wastler) notified.
* * * UPDATE FROM CYNTHIA FLANNERY (NRC) TO GERRY WAIG ON 9/27/06 AT 1532 * * *
Then NRC Medical Radiation Safety reviewed this event and determined it to be a reportable medical event.
The licensee provided the following information via email:
"On 9/21/06 at Sewickley Valley Hospital, a technician removed a vial of I-131 therapy capsules and measured the dose in the dose calibrator to ensure that the dose measured the expected amount of 25 millicuries. The dose was administered to the patient by emptying the contents of the vial into the patient's hand. Only one of the I-131 capsules came out of the vial instead of two. The vial was placed back into the shipping container
and returned to the pharmacy.
"On 9/25/06, the pharmacy notified Sewickley Valley Hospital that they had returned one of the two capsules to the pharmacy. One of the two capsules had apparently remained in the vial during the administration to the patient. The RSO reported that the dose to the patient was approximately 5 millicuries instead of the 25 millicurie prescribed dose. The hospital has already contacted the referring physician and plans on contacting the patient to make arrangements to administer the rest of the prescribed dose. The hospital will also institute changes in their procedures requiring the vial to be visually inspected and checked in the dose calibrator following use to prevent this from happening in the future."
A "Medical Event" may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
* * * UPDATE FROM LICENSEE (PERNA) TO HUFFMAN AT 11:17 EDT ON 9/27/06 * * *
The licensee provided an e-mail edit to the original event report to correct some inaccuracies in the information originally reported to the NRC. R1DO (Hott) and NMSS (Wastler) notified.
* * * UPDATE FROM CYNTHIA FLANNERY (NRC) TO GERRY WAIG ON 9/27/06 AT 1532 * * *
Then NRC Medical Radiation Safety reviewed this event and determined it to be a reportable medical event.
General Information or Other
Event Number: 42905
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: SCHLUMBERGER
Region: 4
City: BATON ROUGE State: LA
County:
License #: LA-2783-L01
Agreement: Y
Docket:
NRC Notified By: RICHARD PENROD
HQ OPS Officer: STEVE SANDIN
Licensee: SCHLUMBERGER
Region: 4
City: BATON ROUGE State: LA
County:
License #: LA-2783-L01
Agreement: Y
Docket:
NRC Notified By: RICHARD PENROD
HQ OPS Officer: STEVE SANDIN
Notification Date: 10/13/2006
Notification Time: 16:05 [ET]
Event Date: 09/21/2006
Event Time: 00:00 [CDT]
Last Update Date: 10/13/2006
Notification Time: 16:05 [ET]
Event Date: 09/21/2006
Event Time: 00:00 [CDT]
Last Update Date: 10/13/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
JACK WHITTEN (R4)
THOMAS ESSIG (NMSS)
JACK WHITTEN (R4)
THOMAS ESSIG (NMSS)
AGREEMENT STATE REPORT INVOLVING ABANDONMENT OF TWO SEALED WELL LOGGING SOURCES
The following information was received via fax:
"Event Report ID No.: LA060019
"Event Date and Time: September 21, 2006
"Event Location: East Baton Rouge Parish
"Event Type: Abandonment down hole
"Notifications: LA DEQ
"Event Description: Schlumberger abandoned two sealed radioactive sources down hole. The AEA 63 GBq Cs-137 source, serial number A2371, was abandoned at a depth of 18,887 feet. The Gamatron 592 GBq Am-241:Be source, serial number G4040, was abandoned at a depth of 18,855 feet. Many attempts were made to retrieve the sealed sources from 9/7-21/06. The sealed sources are covered with Premium cement and a cement retainer was set at 18,246 feet. A whipstock was placed on top of the cement retainer at 18,246 feet. An abandonment plaque will be placed on the well.
The following information was received via fax:
"Event Report ID No.: LA060019
"Event Date and Time: September 21, 2006
"Event Location: East Baton Rouge Parish
"Event Type: Abandonment down hole
"Notifications: LA DEQ
"Event Description: Schlumberger abandoned two sealed radioactive sources down hole. The AEA 63 GBq Cs-137 source, serial number A2371, was abandoned at a depth of 18,887 feet. The Gamatron 592 GBq Am-241:Be source, serial number G4040, was abandoned at a depth of 18,855 feet. Many attempts were made to retrieve the sealed sources from 9/7-21/06. The sealed sources are covered with Premium cement and a cement retainer was set at 18,246 feet. A whipstock was placed on top of the cement retainer at 18,246 feet. An abandonment plaque will be placed on the well.
Agreement State
Event Number: 53826
Rep Org: UTAH DIVISION OF RADIATION CONTROL
Licensee: IDAHOAN FOOD, LLC (IDAHO)
Region: 4
City: OGDEN State: UT
County:
License #: G/L
Agreement: Y
Docket:
NRC Notified By: PHILLIP GOBLE
HQ OPS Officer: HOWIE CROUCH
Licensee: IDAHOAN FOOD, LLC (IDAHO)
Region: 4
City: OGDEN State: UT
County:
License #: G/L
Agreement: Y
Docket:
NRC Notified By: PHILLIP GOBLE
HQ OPS Officer: HOWIE CROUCH
Notification Date: 01/14/2019
Notification Time: 18:12 [ET]
Event Date: 09/21/2006
Event Time: 00:00 [MST]
Last Update Date: 01/15/2019
Notification Time: 18:12 [ET]
Event Date: 09/21/2006
Event Time: 00:00 [MST]
Last Update Date: 01/15/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JAMES DRAKE (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
JAMES DRAKE (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
UTAH AGREEMENT STATE REPORT - RECOVERY OF A LOST RADIOACTIVE SOURCE
The following information was received from the state of Utah via email:
"The NMED Item Number: 140349 describes that a fixed gauge source (Serial Number: 207822A) from Idahoan Food, LLC was lost/stolen/missing [last seen in 2006; entered in NMED on 3/31/14]. The source was found in Utah on November 28, 2018. On January 10, 2019 it was recovered and properly disposed of by Qal-Tek.
"For details on the identification, retrieval, and disposal of the source please see the following below:
"On November 28, 2018 the Utah Division of Waste Management was notified by the Ogden, Utah Police Department that an unknown radioactive source had been found at the Swift Building located at 390 West Exchange Road in Ogden, Utah. It was found during the EPA cleanup of the site.
"On December 2, 2018 [an Ogden Police Officer] visited the Swift Building and determined the following about the source:
Ronan Engineering Company RLL1 (Radiation Low Level Source)
Serial Number: 207822A
Date: 08/06
Activity level: 0.81 mCi Cs-137
"Doing a search of the serial number in the NRC ADAMS system it was determined that the source was a lost/stolen/missing source from Idahoan Food, LLC, a NRC General Licensee in the State of Idaho (See ML4170B170 for details).
"On December 6, 2018 the State of Utah notified Idahoan Foods, LLC that the source had been found and gave them the contact information for the Ogden Police Department. On December 11, 2018 the State of Utah notified the NRC by e-mail that the source (207822A) had been found in Utah. On January 14, 2019 the State of Utah let the NRC know that the source had been properly disposed of on January 10, 2019 by Qal-Tek."
THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
The following information was received from the state of Utah via email:
"The NMED Item Number: 140349 describes that a fixed gauge source (Serial Number: 207822A) from Idahoan Food, LLC was lost/stolen/missing [last seen in 2006; entered in NMED on 3/31/14]. The source was found in Utah on November 28, 2018. On January 10, 2019 it was recovered and properly disposed of by Qal-Tek.
"For details on the identification, retrieval, and disposal of the source please see the following below:
"On November 28, 2018 the Utah Division of Waste Management was notified by the Ogden, Utah Police Department that an unknown radioactive source had been found at the Swift Building located at 390 West Exchange Road in Ogden, Utah. It was found during the EPA cleanup of the site.
"On December 2, 2018 [an Ogden Police Officer] visited the Swift Building and determined the following about the source:
Ronan Engineering Company RLL1 (Radiation Low Level Source)
Serial Number: 207822A
Date: 08/06
Activity level: 0.81 mCi Cs-137
"Doing a search of the serial number in the NRC ADAMS system it was determined that the source was a lost/stolen/missing source from Idahoan Food, LLC, a NRC General Licensee in the State of Idaho (See ML4170B170 for details).
"On December 6, 2018 the State of Utah notified Idahoan Foods, LLC that the source had been found and gave them the contact information for the Ogden Police Department. On December 11, 2018 the State of Utah notified the NRC by e-mail that the source (207822A) had been found in Utah. On January 14, 2019 the State of Utah let the NRC know that the source had been properly disposed of on January 10, 2019 by Qal-Tek."
THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL
Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf