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Event Notification Report for October 30, 2019

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
10/29/2019 - 10/30/2019

EVENT NUMBERS
5436254383

Power Reactor
Event Number: 54362
Facility: SAINT LUCIE
Region: 2     State: FL
Unit: [1] [] []
RX Type: [1] CE,[2] CE
NRC Notified By: CHARLES PIKE
HQ OPS Officer: DONALD NORWOOD
Notification Date: 10/30/2019
Notification Time: 01:20 [ET]
Event Date: 10/30/2019
Event Time: 00:26 [EDT]
Last Update Date: 10/30/2019
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED 50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
GERALD MCCOY (R2DO)
LAURA DUDES (R2A)
HO NIEH (NRR)
JEFFERY GRANT (IRD)
CHRIS MILLER (NRR EO)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Defueled 0 Defueled
Event Text
UNUSUAL EVENT DUE TO RELEASE OF FLAMMABLE GAS

"On 10/30/19 at 0026 EDT, an Unusual Event (HU3) was declared due to a release of flammable gas to the Unit 1 Pipe Penetration area (Reactor Auxiliary Building). The hydrogen supply valve to the area has been isolated. The area is being ventilated and follow-up air sampling will be performed.

"The NRC Resident Inspector has been notified."

Notified DHS SWO, FEMA Ops Center, DHS NICC, FEMA NWC (email), DHS Nuclear SSA (email), and FEMA NRCC SASC (email).


* * * UPDATE FROM FRED POLLAK TO DONALD NORWOOD AT 0521 EDT ON 10/30/2019 * * *

"The Notice of Unusual Event was terminated at 0454 EDT on 10/30/19. The area has been purged and normal access restored."

The licensee notified the NRC Resident Inspector.

Notified R2DO (McCoy), NRR EO (Miller), and IRD (Grant). Notified DHS SWO, FEMA Ops Center, DHS NICC, FEMA NWC (email), DHS Nuclear SSA (email), and FEMA NRCC SASC (email).


Agreement State
Event Number: 54383
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: MERCY HEALTH - ST. RITA'S MEDICAL CENTER
Region: 3
City: LIMA   State: OH
County:
License #: 02230020000
Agreement: Y
Docket:
NRC Notified By: MICHAEL RUBADUE
HQ OPS Officer: BETHANY CECERE
Notification Date: 11/12/2019
Notification Time: 16:14 [ET]
Event Date: 10/30/2019
Event Time: 00:00 [EST]
Last Update Date: 11/12/2019
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ANN MARIE STONE (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
AGREEMENT STATE REPORT - UNDERDOSE BY 20 PERCENT OR MORE

The following was received from the Ohio Department of Heath via email:

"On 11/30/2019, the licensee notified the Ohio Department of Heath of a medical event involving a prostate seed implant. The licensee stated that it appears the implant template shifted prior to seed placement and resulted in a 48 percent underdose. The patient and referring physician have been notified."

Isotope: Cs-131, 104.377 MBq
Intended dose: 11000 rad
Given dose: 6820 rad

Item Number: OH190015

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.