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Event Notification Report for October 01, 2009

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
09/30/2009 - 10/01/2009

EVENT NUMBERS
45403453984540145417

Power Reactor
Event Number: 45403
Facility: SEABROOK
Region: 1     State: NH
Unit: [1] [] []
RX Type: [1] W-4-LP
NRC Notified By: MARK HANSEN
HQ OPS Officer: STEVE SANDIN
Notification Date: 10/02/2009
Notification Time: 04:18 [ET]
Event Date: 10/01/2009
Event Time: 22:39 [EDT]
Last Update Date: 10/02/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
MARIE MILLER (R1DO)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Hot Shutdown 0 Hot Shutdown
Event Text
UNIT EXPERIENCED A VALID RPS ACTUATION DURING PLANT COOLDOWN ON LOW STEAM GENERATOR LEVELS

"On Thursday, October 1, 2009 @ 2239 hrs EDT Seabrook Station Unit 1 was in Mode 4 in the process of removing feedwater heating and raising steam generator levels during a plant cooldown. A valid actuation of the reactor protection system occurred when both the A and C steam generator [SG] levels were reduced to the SG low level reactor trip setpoint of less than 20%. This occurred twice on both the A and C steam generators approximately 10 minutes apart. Steam generator levels have since been restored to normal operating levels and plant is now in Mode 5.

"This is reportable under 50.72 (b)(3)(iv) as an event or condition that results in valid actuation of any of the systems listed in paragraph (b)(3)(iv)(B) of this section, except when the actuation results from and is part of a pre-planned sequence during testing or reactor operation. The reactor trip breakers were open and the emergency feedwater system removed from service when the event occurred.

"The licensee notified the NRC Resident Inspector."


General Information or Other
Event Number: 45398
Rep Org: TRANSNUCLEAR INC
Licensee: TRANSNUCLEAR INC
Region: 1
City: COLUMBIA   State: MD
County:
License #:
Agreement: Y
Docket:
NRC Notified By: TARA NEIDER
HQ OPS Officer: CHARLES TEAL
Notification Date: 10/01/2009
Notification Time: 14:13 [ET]
Event Date: 10/01/2009
Event Time: 00:00 [EDT]
Last Update Date: 10/01/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21 - UNSPECIFIED PARAGRAPH
Person (Organization):
MARIE MILLER (R1DO)
MIKE ERNSTES (R2DO)
GREG WERNER (R4DO)
DENNIS DAMON (NMSS)
Event Text
FASTENERS ON SPENT FUEL STORAGE DEVICES DID NOT MEET STANDARDS

"In accordance with 10 CFR 21.21, Transnuclear, Inc. is reporting a potential Part 21 violation. Transnuclear, Inc. has reason to believe that Hwa Shin Bolt Ind. Co. provided unsubstantiated certified material test reports (CMTR's) for certain small parts utilized in products fabricated in accordance with the requirements of 10 CFR 72 under general certificates 1004 and 1030. Transnuclear is in the process of performing a 10 CFR Part 21 [evaluation] but does not believe that this issue has safety significance. TN [Transnuclear] is reporting this issue because Hwa Shin may have supplied parts to others that may have safety significance.

"The parts were provided by Hwa Shin Bolt Ind. Co., Ltd. Having offices in Busan, Korea under subcontract to Hitachi Zosen Corporation, Ariake Works located in Kumamoto, Japan. Hitachi Zosen fabricated the components under contract to Transnuclear, Inc.

"A preliminary review of the fabrication records at Hitachi Zosen indicate that shipped components have parts supplied by Hwa Shin Bolt Ind. Co. as indicated in Attachment 1.

"No [dry storage canister] loadings have occurred at Cooper or Ginna. We are not certain of which [dry storage] canisters have been loaded, if any, at the other plants.

"All Hwa Shin material at the Hitachi Zosen facility has been identified and placed under the control of the Hitachi Zosen NCR system. No material received from Hwa Shin is being released for further use in fabrication of Dry Storage Canisters (DSCs) or other components subject to the requirements of 10 CFR 72. Nonconformance Reports (NCRs) are being issued for all components that contain Hwa Shin Material."

The licensee reported affected plants include Millstone, Susquehanna, Oyster Creek, Ginna, Brunswick, and Cooper.


!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
!!!!! THIS EVENT HAS BEEN RETRACTED !!!!!
General Information or Other
Event Number: 45401
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: ONCOLOGY HEMATOLOGY CONSULTANTS PA
Region: 4
City: FORT WORTH   State: TX
County:
License #: 05919
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: CHARLES TEAL
Notification Date: 10/01/2009
Notification Time: 18:11 [ET]
Event Date: 10/01/2009
Event Time: 00:00 [CDT]
Last Update Date: 12/08/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
GREG WERNER (R4DO)
TERRENCE REIS (FSME)
Event Text
AGREEMENT STATE - ADMINISTERED RADIATION TREATMENT TO WRONG AREA

The following was received via email:

"On October 1, 2009, the Agency was notified by the licensee that a patient had received 13 of 25 fractions to the wrong breast. The patient received 2,340 centigrays by the time the error was discovered. The Radiation Safety Officer stated that he had just fount out about the event and no additional information was available. Additional information will be provided as it is obtained."

Texas Incident #: I-8676

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.

* * * RETRACTION FROM ART TUCKER TO DAN LIVERMORE ON 12/08/2009 AT 1705 * * *

The following was received via email:

"This event involved an exposure to a patient from a linear accelerator and should not have been reported to the NRC; therefore, the Agency [Texas Department of Health] is retracting this report."

Notified R4DO (Spitzberg) and FSME EO (Einberg)


General Information or Other
Event Number: 45417
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: MEDRAD INC
Region: 1
City: SAXONBURG   State: PA
County:
License #: PA090031
Agreement: Y
Docket:
NRC Notified By: DAVID ALLARD
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 10/07/2009
Notification Time: 19:46 [ET]
Event Date: 10/01/2009
Event Time: 00:00 [EDT]
Last Update Date: 10/07/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
SAM HANSELL (R1DO)
LYDIA CHANG (FSME)
DENNIS ALLSTON email (ILTA)
Event Text
AGREEMENT STATE REPORT - MISSING TRITIUM EXIT SIGN

The following report was received via e-mail:

"An exit sign containing tritium was discovered missing from the MEDRAD facility located at 150 Victory Road in Saxonburg, PA (Butler County) on the evening of October 1, 2009. The sign was an Isolite product with 11.5 curies of H-3; two were purchased less than a year ago. The company interviewed employees and conducted an internal investigation to determine what happened to the sign; they are still uncertain about how it was lost. MEDRAD plans to return the other sign to Isolite.

"MEDRAD contacted Isolite and they could not find any record of the tritium exit signs in their database. MEDRAD had received the two tritium exit signs via an electrical contractor, who in turn installed the exit signs at MEDRAD.

"The State will continue to keep NRC informed of the status of our investigation."

PA incident # PA090031

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

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