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Event Notification Report for January 12, 2015

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
01/11/2015 - 01/12/2015

EVENT NUMBERS
5073050731507325283450810

Power Reactor
Event Number: 50730
Facility: QUAD CITIES
Region: 3     State: IL
Unit: [1] [2] []
RX Type: [1] GE-3,[2] GE-3
NRC Notified By: JIM BURKE
HQ OPS Officer: HOWIE CROUCH
Notification Date: 01/12/2015
Notification Time: 09:03 [ET]
Event Date: 01/12/2015
Event Time: 05:00 [CST]
Last Update Date: 01/12/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
MICHAEL KUNOWSKI (R3DO)
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
Event Text
PLANNED MAINTENANCE ON RADIOLOGICAL MONITOR

"At 0500 [CST] today (January 12, 2015), planned maintenance activities commenced on the Reactor Building Separate Particulate Iodine and Noble Gas (SPING) monitor. Work on the SPING affects classification and assessment of the Emergency Plan for a radiological release through the Reactor Building Vents. In the case of a radiological event, the Reactor Building Ventilation will be isolated via Area Radiation Monitors (ARM) in the ducting and the Main Chimney SPING will be used for classification and assessment. This would be the normal response for a radiological event.

"This maintenance activity is expected to be longer than 72 hours. The Reactor Building SPING is scheduled to be restored on Friday, January 16.

"This event is reportable per 10CFR50.72(b)(3)(xiii) since the maintenance activity affects classification and assessment.

"The NRC Resident Inspector has been notified."


Agreement State
Event Number: 50731
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: MEADWESTVACO TEXAS LLP
Region: 4
City: SILSBEE   State: TX
County: JASPER
License #: L01095
Agreement: Y
Docket:
NRC Notified By: KAREN BLANCHARD
HQ OPS Officer: VINCE KLCO
Notification Date: 01/12/2015
Notification Time: 13:37 [ET]
Event Date: 01/12/2015
Event Time: 11:00 [CST]
Last Update Date: 01/12/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
DAVID PROULX (R4DO)
NMSS EVENTS NOTIFICA (EMAI)
Event Text
AGREEMENT STATE REPORT - GAUGE SHUTTER STUCK OPEN

The following information was received from the State of Texas via email:

"On January 12, 2015, the licensee notified the Agency [Texas Department of State Health Services] that during routine fixed nuclear gauge inspections and shutter checks, it discovered that the shutter on one of its Ronan Model SA1-C5 gauges, containing a 300 millicurie cesium-137 source (SN: 6409GK), was stuck in the open position. [The event occurred at the licensee site located in Evadale, Texas.] This gauge normally operates with the shutter in the open position. The gauge is mounted on a vessel that the licensee does not enter. There is no risk of exposure to any individual. The licensee is contacting the manufacturer to schedule repair. Further information will be provided as it is obtained in accordance with SA-300.

Texas Incident: I-9266


Power Reactor
Event Number: 50732
Facility: NINE MILE POINT
Region: 1     State: NY
Unit: [] [2] []
RX Type: [1] GE-2,[2] GE-5
NRC Notified By: CARL JONES
HQ OPS Officer: VINCE KLCO
Notification Date: 01/12/2015
Notification Time: 23:17 [ET]
Event Date: 01/12/2015
Event Time: 19:39 [EST]
Last Update Date: 01/12/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
Person (Organization):
ART BURRITT (R1DO)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 100 Power Operation 100 Power Operation
Event Text
DEGRADED SECONDARY CONTAINMENT DIFFERENTIAL PRESSURE

"At 1939 [EST] on January 12, 2015, Nine Mile Point Unit 2 entered Tech Spec 3.6.4.1 when secondary containment was declared inoperable due to secondary containment differential pressure being above the Tech Spec Surveillance Requirement of -0.25 inches vacuum water gauge. This condition is related to sustained high winds. At 1956 on January 12, 2015 the differential pressure was restored, the secondary containment was declared operable and the Tech Spec 3.6.4.1 exited.

"Secondary containment being inoperable is a 8-hour report for 10 CFR 50.72(b)(3)(v)(c), 'Any event or condition that at the time of discovery could have prevented the fulfillment of the safety function of structures or systems that are needed to mitigate the consequences of an accident'.

"The NRC Resident Inspector has been notified."

The licensee notified the New York Public Service Commission.


Agreement State
Event Number: 52834
Rep Org: NEW MEXICO RAD CONTROL PROGRAM
Licensee: DESERT NDT
Region: 4
City: CARLSBAD   State: NM
County:
License #: NM-IR-362-30
Agreement: Y
Docket:
NRC Notified By: CARL SULLIVAN
HQ OPS Officer: JEFF HERRERA
Notification Date: 06/29/2017
Notification Time: 14:42 [ET]
Event Date: 01/12/2015
Event Time: 00:00 [MDT]
Last Update Date: 06/29/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
RAY KELLAR (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
Event Text
AGREEMENT STATE REPORT - MALFUNCTION OF LOCKING MECHANISM ON RADIOGRAPHY EXPOSURE DEVICE

The following was reported by the New Mexico Radiological Health Division via email:

"Desert NDT (dba Midwest Inspection Services) reported a malfunction with the locking mechanism on a radiography exposure device (INC model IR-100, serial #4644). The incident involved an Ir-192 source (INC model 32, serial #X717) with an activity of 3,589 GBq (97 Ci). After completing an exposure on 1/12/2015 [at a temporary job site near Malaga, NM], the radiographer performed radiation surveys on the radiography device and noted that readings were high. The radiographer attempted to crank the source into the fully shielded position, but was unsuccessful. The 2 mR/hour boundary was verified and the RSO was contacted. The RSO responded to the site and had to drill a hole in the retaining ring on the locking mechanism. By pulling the retaining ring back, he was able to turn the key, push the button, and retract the source. The exposure device locking mechanism was replaced.

"New Mexico ID Number: NM150001 and NMED ID Number: 150291"

This is a late report entry identified by an audit.


Agreement State
Event Number: 50810
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: NOT PROVIDED
Region: 1
City:   State: NY
County:
License #:
Agreement: Y
Docket:
NRC Notified By: DANIEL SAMSON
HQ OPS Officer: JEFF HERRERA
Notification Date: 02/11/2015
Notification Time: 12:27 [ET]
Event Date: 01/12/2015
Event Time: 00:00 [EST]
Last Update Date: 02/11/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
RAY POWELL (R1DO)
NMSS EVENTS NOTIFICA (EMAI)
Event Text
AGREEMENT STATE REPORT - MEDICAL MISADMINISTRATION DURING CANCER TREATMENT

The following information was received from the New York State Department of Health Bureau of Environmental Radiation Protection via fax:

"[The New York State Department of Health] NYSDOH received telephone notification from a licensee reporting a therapy misadministration involving a patient undergoing treatment of vaginal cancer. The treatment involved the use of a GammaMedplus iX brachytherapy HDR remote afterloader utilizing an Iridium-192 radiation source. The patient was administered the treatment using a vaginal applicator for proper placement of the therapy source. However, the vaginal applicator was improperly placed within the organ, which resulted in the irradiation of healthy tissue and significantly less radiation to the cancer site. Three treatments were given to the patient by the same oncologist over a three week period. Each treatment was prescribed to provide approximately 600 to 700 centigray of absorbed radiation. Preliminary investigations show that the therapy equipment was functioning properly and the treatment plan was appropriate. The licensee is investigating the oncologist's procedures. A written report will be sent to [the New York State Department of Health] DOH within seven days with more detailed information."

NY Report #: NY-15-02

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.