Event Notification Report for September 1, 1999

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           08/31/1999 - 09/01/1999

                              ** EVENT NUMBERS **

36018  36019  36091  36092  36093  36094  36095  36096  36097  36098  36099  36100 
36101  36102  36103  36104  36105  36106  36107  

+------------------------------------------------------------------------------+
|Fuel Cycle Facility                              |Event Number:   36018       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT   |NOTIFICATION DATE: 08/11/1999|
|   RXTYPE: URANIUM ENRICHMENT FACILITY          |NOTIFICATION TIME: 14:46[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER                   |EVENT DATE:        08/10/1999|
|           6903 ROCKLEDGE DRIVE                 |EVENT TIME:        16:00[EDT]|
|           BETHESDA, MD 20817    (301)564-3200  |LAST UPDATE DATE:  08/31/1999|
|    CITY:  PIKETON                  REGION:  3  +-----------------------------+
|  COUNTY:  PIKE                      STATE:  OH |PERSON          ORGANIZATION |
|LICENSE#:  GDP-2                 AGREEMENT:  N  |BRUCE BURGESS        R3      |
|  DOCKET:  0707002                              |JOHN HICKEY          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  JIM McCLEERY                 |                             |
|  HQ OPS OFFICER:  LEIGH TROCINE                |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|OCBB 76.120(c)(2)(ii)    EQUIP DISABLED/FAILS   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| FAILURE OF 13 HIGH PRESSURE FIRE WATER SPRINKLER SYSTEMS TO MEET SYSTEM      |
| OPERABILITY REQUIREMENTS  (24-Hour Report)                                   |
|                                                                              |
| The following text is a portion of a facsimile received from Portsmouth:     |
|                                                                              |
| "On 08/10/99 at approximately 1600 hours, the Plant Shift Superintendent     |
| (PSS) was notified that 13 sprinkler systems associated with the High        |
| Pressure Fire Water (HPFW) system were not capable of meeting system         |
| operability requirements.  This condition was discovered as a result of an   |
| engineering review of individual sprinkler heads that had previously been    |
| identified as exhibiting corrosion around the valve seat.  The engineering   |
| review was conducted following the discovery that similar corrosion problems |
| experienced at the Paducah Gaseous Diffusion Plant resulted in sprinkler     |
| heads being unable to actuate at normal pressure.  An initial screening of   |
| PORTS sprinkler heads known to exhibit corrosion was conducted, and systems  |
| where the potential for two or more adjacent heads to be corroded were       |
| inspected.  This identified 11 systems in the X-333 and 2 systems in the     |
| X-326 that did not meet the sprinkler system operability requirement that no |
| two adjacent sprinkler heads be inoperable."                                 |
|                                                                              |
| "The PSS declared the affected sprinkler systems inoperable, and TSR         |
| required actions were completed.  Further inspections of sprinkler systems   |
| are planned.  This report will be updated if additional sprinkler systems    |
| are determined to be inoperable."                                            |
|                                                                              |
| "There was no loss of hazardous/radioactive material or                      |
| radioactive/radiological contamination  exposure as a result of this         |
| event."                                                                      |
|                                                                              |
| Portsmouth personnel notified the NRC resident inspector as well as the      |
| onsite Department of Energy representative.                                  |
|                                                                              |
| *** UPDATE ON 8/19/99 AT 2327 FROM HALCOMB TO POERTNER ***                   |
|                                                                              |
| During continuing walkdowns, HPFW system #398 was discovered with two or     |
| more (3) adjacent sprinkler heads with mineral deposits.  This HPFW          |
| sprinkler was declared inoperable at 1038 hours and was repaired at 1407     |
| hours.                                                                       |
|                                                                              |
| Portsmouth personnel notified the NRC resident inspector.                    |
|                                                                              |
| * * * UPDATE 1415 EDT ON 8/28/99 FROM JIM McCLEERY TO S. SANDIN * * *        |
|                                                                              |
| The following information was provided as an update to this report:          |
|                                                                              |
| "During continuing walk downs of the HPFW system, systems 194, 196, 197,     |
| 211, 212 were found with two or more adjacent sprinkler heads unable to meet |
| system operability.  Systems were made inoperable at 1452 on 8/27/99.  All   |
| sprinklers were repaired and system operability made at 0550 8/26/99."       |
|                                                                              |
| Portsmouth personnel informed the NRC resident inspector.  The NRC           |
| operations officer notified the R3DO (Leach) and NMSS EO (Piccone).          |
|                                                                              |
| * * * UPDATE 2337 ON 8/30/1999 FROM McCLEERY TAKEN BY STRANSKY * * *         |
|                                                                              |
| "During continuing walkdowns of the HPFW system, seven additional systems    |
| were found with two or more adjacent sprinkler heads unable to meet system   |
| operability. Six systems were in the X-333 and one in the X-330. These       |
| systems were made inoperable starting at 1100 8/30/99 and repairs are being  |
| performed at this time."                                                     |
|                                                                              |
| Notified R3DO (Hills) and NMSS EO (Piccone).                                 |
|                                                                              |
| * * * UPDATE 2305 8/31/1999 FROM McCLEERY TAKEN BY STRANSKY * * *            |
|                                                                              |
| "Add seven HPFW systems from X-333 building." The NRC resident inspector has |
| been informed of this update.                                                |
|                                                                              |
| Notified R3DO (Hills) and NMSS EO (Pierson).                                 |
+------------------------------------------------------------------------------+

!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED  !!!!!!!
+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36019       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: GINNA                    REGION:  1  |NOTIFICATION DATE: 08/11/1999|
|    UNIT:  [1] [] []                 STATE:  NY |NOTIFICATION TIME: 15:12[EDT]|
|   RXTYPE: [1] W-2-LP                           |EVENT DATE:        08/11/1999|
+------------------------------------------------+EVENT TIME:        15:00[EDT]|
| NRC NOTIFIED BY:  MIKE MICKLOW                 |LAST UPDATE DATE:  08/31/1999|
|  HQ OPS OFFICER:  LEIGH TROCINE                +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |HAROLD GRAY          R1      |
|10 CFR SECTION:                                 |                             |
|AOUT 50.72(b)(1)(ii)(B)  OUTSIDE DESIGN BASIS   |                             |
|NLCO                     TECH SPEC LCO A/S      |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| DISCOVERY THAT ONE OF SIX RESIDUAL HEAT REMOVAL (RHR) PUMP ANCHOR BOLTS WAS  |
| MISSING                                                                      |
|                                                                              |
| The following text is a portion of a facsimile received from the licensee:   |
|                                                                              |
| "During [an] engineering walkdown of [the] 'B' RHR pump, it was determined   |
| that  (1) corner anchor bolt was missing out of a total of (6) anchor bolts. |
| Preliminary analysis indicates that [the] existing anchorage configuration   |
| cannot be seismically qualified."                                            |
|                                                                              |
| The unit is in a 72-hour limiting condition for operation as a result of     |
| this issue.                                                                  |
|                                                                              |
| The licensee notified the NRC resident inspector.                            |
|                                                                              |
| * * * UPDATE AT 1411 ON 08/31/99 BY KEVIN McLAUGHLIN TO JOLLIFFE * * *       |
|                                                                              |
| A licensee preliminary analysis concluded that one RHR train had been        |
| incapable of performing its design function for an extended period of time,  |
| since concrete loads exceeded design values.  The preliminary analysis did   |
| not account for reinforcing bar (rebar) present in the pump concrete pad.    |
|                                                                              |
| A reanalysis has been performed, using more accurate assumptions.  This      |
| reanalysis has shown that the pump is operable, under seismic loads, with    |
| one corner anchor bolt missing, and the RHR train was, in fact, capable of   |
| performing its design function.  In addition, the nonconforming bolt         |
| configuration has been restored to a correct configuration as part of the    |
| licensee's corrective action program.                                        |
|                                                                              |
| Therefore, the licensee has concluded that this event is not reportable to   |
| the NRC and retracts this event notification.                                |
|                                                                              |
| The licensee informed the NRC Resident Inspector.                            |
|                                                                              |
| The NRC Operations Officer notified the R1DO John Rogge.                     |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36091       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: COOPER                   REGION:  4  |NOTIFICATION DATE: 08/31/1999|
|    UNIT:  [1] [] []                 STATE:  NE |NOTIFICATION TIME: 02:21[EDT]|
|   RXTYPE: [1] GE-4                             |EVENT DATE:        08/30/1999|
+------------------------------------------------+EVENT TIME:        22:22[CDT]|
| NRC NOTIFIED BY:  GREEN                        |LAST UPDATE DATE:  08/31/1999|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |CHARLES CAIN         R4      |
|10 CFR SECTION:                                 |                             |
|AIND 50.72(b)(2)(iii)(D) ACCIDENT MITIGATION    |                             |
|NLCO                     TECH SPEC LCO A/S      |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| FAILURE OF A SINGLE TRAIN SYSTEM THAT IS REQUIRED TO MITIGATE THE            |
| CONSEQUENCES OF AN ACCIDENT                                                  |
|                                                                              |
| On 8/30/99 at 2222 while performing maintenance on SW-MOV-650MV, Reactor     |
| Equipment Cooling (REC) heat exchanger "A" Service Water (SW) Outlet Valve,  |
| SW-MOV-650MV was manually opened while disconnecting Limit Switches. The     |
| valve was opened to a point that allowed 2475 Gallons Per Minute (GPM) of    |
| service water flow thru the "A" REC heat exchanger.  Service water flow      |
| greater than 1200 GPM thru the "A" REC heat exchanger results in the "A"     |
| Service Water subsystem being inoperable (LCO 3.7.2) which requires          |
| restoration of the "A" Service Water subsystem within 30 days.  LCO 3.8.1    |
| was entered for Diesel Generator 1 (DG1) because it was declared inoperable  |
| due to the Service Water being inoperable. The Control Room Emergency        |
| Filtration System (CREFS), which is a single train system, was aligned to a  |
| bus that would be powered from DG1 in the event of an accident.  This        |
| condition resulted in CREFS also being declared inoperable (LCO 3.7.4)       |
|                                                                              |
| When the increased flow though the "A" REC heat exchanger was discovered by  |
| a Control Room Operator, the Valve Technicians performing the maintenance    |
| were instructed to manually close SW-MOV-650MV until Service Water flow      |
| through the "A" REC Heat Exchanger was reduced below 1200 GPM, which was     |
| completed at 2238. All of the previously mentioned LCO's were also exited at |
| this time.                                                                   |
|                                                                              |
| At the time this event occurred both sources of offsite power were available |
| and DG2 was determined to not be affected by this condition.                 |
|                                                                              |
| The Resident Inspector was notified.                                         |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Fuel Cycle Facility                              |Event Number:   36092       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT   |NOTIFICATION DATE: 08/31/1999|
|   RXTYPE: URANIUM ENRICHMENT FACILITY          |NOTIFICATION TIME: 07:17[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER                   |EVENT DATE:        08/30/1999|
|           6903 ROCKLEDGE DRIVE                 |EVENT TIME:        16:00[EDT]|
|           BETHESDA, MD 20817    (301)564-3200  |LAST UPDATE DATE:  08/31/1999|
|    CITY:  PIKETON                  REGION:  3  +-----------------------------+
|  COUNTY:  PIKE                      STATE:  OH |PERSON          ORGANIZATION |
|LICENSE#:  GDP-2                 AGREEMENT:  N  |DAVID HILLS          R3      |
|  DOCKET:  0707002                              |JOSEPHINE PICCONE    NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  SISLER                       |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|OCBA 76.120(c)(2)(i)     ACCID MT EQUIP FAILS   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| INSUFFICIENT SMOKE-HEAD COVERAGE                                             |
|                                                                              |
| AT 1510 ON 8/30/99, THE PLANT SHIFT SUPERINTENDENT WAS NOTIFIED BY THE CADP  |
| (CASCADE AUTOMATIC DATA PROCESSING) SYSTEM ENGINEER FOLLOWING AN             |
| INVESTIGATION OF A PROBLEM WITH THE 33-8 MIMIC PANEL LIGHTS AND THE CADP     |
| COMPUTER, THAT BETWEEN 2200, 8/27/99 AND 0700, 8/28/99 INSUFFICIENT          |
| SMOKE-HEAD COVERAGE WAS AVAILABLE AT THE LAW STATION.  TSR SECTION 2.5.3.3   |
| "UF6 SMOKE DETECTION" REQUIRES SMOKE-HEAD COVERAGE WHEN OPERATING IN MODES   |
| II. III, IV (THEY WERE OPERATING IN MODE III).  DURING THE STATED TIME       |
| PERIOD THE LAW STATION WAS OPERATED ABOVE ATMOSPHERIC PRESSURE, AND A        |
| CONTINUOUS SMOKE-WATCH WAS NOT STATIONED.                                    |
|                                                                              |
| THIS CONDITION IS REPORTABLE TO THE NRC PER CFR 76.120(c) SAFETY EQUIPMENT   |
| FAILURE/ACTUATION.  THE EQUIPMENT IS REQUIRED BY A TSR TO BE AVAILABLE AND   |
| OPERABLE AND NO REDUNDANT EQUIPMENT IS AVAILABLE AND OPERABLE TO PERFORM THE |
| REQUIRED SAFETY FUNCTION.                                                    |
|                                                                              |
| THE RESIDENT INSPECTOR WAS NOTIFIED ALONG WITH THE DOE REPRESENTATIVE.       |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Other Nuclear Material                           |Event Number:   36093       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  SPECTRUM PHARMACY INC.               |NOTIFICATION DATE: 08/31/1999|
|LICENSEE:  SPECTRUM PHARMACY INC                |NOTIFICATION TIME: 10:29[EDT]|
|    CITY:  MISHAWAKA                REGION:  3  |EVENT DATE:        08/31/1999|
|  COUNTY:                            STATE:  IN |EVENT TIME:        02:30[CST]|
|LICENSE#:  132636701MD           AGREEMENT:  N  |LAST UPDATE DATE:  08/31/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |DAVID HILLS          R3      |
|                                                |DON COOL             NMSS    |
+------------------------------------------------+JOSEPH GIITTER       IRO     |
| NRC NOTIFIED BY:  HIATT                        |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|BAAA 20.1906(d)           SURFACE CONT/ EXT RAD |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| TECHNETIUM-99m CONTAMINATION AT SPECTRUM PHARMACY                            |
|                                                                              |
| DURING PREPARATION OF CARDIOLITE, A VIAL CONTAINING 1.3 ml OF TECHNETIUM-99m |
| (APPROXIMATELY 450 to 600 MILLICURIES) EXPLODED DURING PROCESSING.  THE      |
| INDIVIDUAL WORKING IN THE AREA RECEIVED CONTAMINATION ON HIS FACE AND        |
| CLOTHING.  THE INDIVIDUAL'S FACE WAS DECONTAMINATED AND HIS CLOTHING         |
| REMOVED.  THE LICENSEE DECONTAMINATED THEIR EQUIPMENT AND TRANSPORT CASES;   |
| HOWEVER, THE CASES WERE EITHER INSUFFICIENTLY DECONTAMINATED  OR THEY WERE   |
| RECONTAMINATED PRIOR TO DELIVERY.  THE LICENSEE RECEIVED CALLS FROM 6 OR 7   |
| HOSPITALS AND CLINICS WHO RECEIVED PACKAGES WITH EXTERNAL CONTAMINATION      |
| RANGING FROM 2,000 TO 20,000 DPM.  DELIVERIES COULD HAVE BEEN MADE TO AS     |
| MANY AS 10 TO 12 HOSPITALS AND CLINICS.                                      |
|                                                                              |
| HOO NOTE: SEE RELATED EVENTS 36094, 36095 AND 36102.                         |
|                                                                              |
| * * * COMMISSIONERS' ASSISTANTS' BRIEFING HELD AT 1430 EDT 8/31/1999 * * *   |
|                                                                              |
| Briefer: Pederson (R3). Participants: Ploski, Dyer (R3); Congel (IRO); Cool  |
| (NMSS); Larkins (OSP); Gerke (OCA); Hart (SECY); Jones (Chrmn. Dicus); Moore |
| (Comm. McGaffigan); Lubinski (Comm. Diaz); Doane (Comm. Merrifield).         |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Hospital                                         |Event Number:   36094       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  HEART CENTER FOR EXCELLENCE          |NOTIFICATION DATE: 08/31/1999|
|LICENSEE:  HEART CENTER FOR EXCELLENCE          |NOTIFICATION TIME: 10:45[EDT]|
|    CITY:  KALMAZOO                 REGION:  3  |EVENT DATE:        08/31/1999|
|  COUNTY:                            STATE:  MI |EVENT TIME:             [EDT]|
|LICENSE#:  21-18912-01           AGREEMENT:  N  |LAST UPDATE DATE:  08/31/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |DAVID HILLS          R3      |
|                                                |JOSEPHINE PICCONE    NMSS    |
+------------------------------------------------+JOSEPH GIITTER       IRO     |
| NRC NOTIFIED BY:  ROBERT DELF                  |                             |
|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|BAAA 20.1906(d)           SURFACE CONT/ EXT RAD |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| LICENSEE RECEIVED TWO PACKAGES WHOSE NON-FIXED SURFACE CONTAMINATION LEVELS  |
| EXCEEDED THE ALLOWABLE LIMITS                                                |
|                                                                              |
| THE HEART CENTER FOR EXCELLENCE LOCATED IN KALMAZOO, MI.,  RECEIVED TWO      |
| PACKAGES OF CARDIOLITE (TECHNETIUM-99m) THIS MORNING WHICH TESTED POSITIVE   |
| FOR NON-FIXED SURFACE CONTAMINATION.  ONE PACKAGE CONTAINING 335 mCi         |
| MEASURED 2286 DPM AND THE OTHER CONTAINING 462 mCi MEASURED 5886 DPM         |
| (PRIMARILY ON THE FRONT FACE) GAMMA READING USING A CAPRAC INSTRUMENT.  THE  |
| LOWER ACTIVITY PACKAGE WAS DECONTAMINATED WHILE THE HIGHER READING ONE WAS   |
| ISOLATED IN THE HOT LABORATORY.  THE LICENSEE HAS INFORMED THE SHIPPER,      |
| SPECTRUM PHARMACY LOCATED IN MISHAWAKA, IN.                                  |
|                                                                              |
| CONTACT THE NRC OPERATIONS CENTER FOR TELEPHONE NUMBERS.                     |
|                                                                              |
| HOO NOTE:  SEE EVENTS #36093, #36095 AND #36102.                             |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Hospital                                         |Event Number:   36095       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  HOWARD COMMUNITY HOSPITAL            |NOTIFICATION DATE: 08/31/1999|
|LICENSEE:  HOWARD COMMUNITY HOSPITAL            |NOTIFICATION TIME: 11:00[EDT]|
|    CITY:  KOKOMO                   REGION:  3  |EVENT DATE:        08/31/1999|
|  COUNTY:                            STATE:  IN |EVENT TIME:        07:00[CST]|
|LICENSE#:  13-13028-02           AGREEMENT:  N  |LAST UPDATE DATE:  08/31/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |DAVID HILLS          R3      |
|                                                |JOSEPHINE PICCONE    NMSS    |
+------------------------------------------------+JOSEPH GIITTER       IRO     |
| NRC NOTIFIED BY:  BREEDEN                      |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|BAAA 20.1906(d)           SURFACE CONT/ EXT RAD |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| LICENSEE RECEIVED 3 PACKAGES FROM SPECTRUM PHARMACY INC WHICH WERE           |
| CONTAMINATED WITH TECHNETIUM 99M.                                            |
|                                                                              |
| THE LICENSEE RECEIVED 3 CONTAMINATED PACKAGES WITH SURFACE READINGS RANGING  |
| BETWEEN 0.2 TO 0.3 MR/HR  ON CONTACT AND 0.02 MR/HR AT 1 METER .  THE WIPE   |
| TEST READINGS WERE 2,300 DPM/100 SQCM, 8,000 DPM/100 SQCM, AND 33,000        |
| DPM/100 SQCM.  THE PACKAGES WERE ISOLATED AND DECONTAMINATED TO <2,000       |
| DPM/100 SQCM.  WHEN ONE PACKAGE WAS OPENED THE LEAD PIG INSIDE WAS SWIPED AT |
| 6,200 DPM/100 SQCM.  THE LEAD PIGS IN THE OTHER TWO PACKAGES WERE <2,000     |
| DPM/100 SQCM.                                                                |
|                                                                              |
| HOO NOTE: SEE EVENTS #36093, #36094 AND #36102.                              |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Other Nuclear Material                           |Event Number:   36096       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  GENERAL MILLS                        |NOTIFICATION DATE: 08/31/1999|
|LICENSEE:  GENERAL MILLS                        |NOTIFICATION TIME: 11:45[EDT]|
|    CITY:  MINNEAPOLIS              REGION:  3  |EVENT DATE:        08/31/1999|
|  COUNTY:                            STATE:  MN |EVENT TIME:        10:15[CDT]|
|LICENSE#:                        AGREEMENT:  N  |LAST UPDATE DATE:  08/31/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |DAVID HILLS          R3      |
|                                                |KERRY LANDIS         R2      |
+------------------------------------------------+JOSEPHINE PICCONE    NMSS    |
| NRC NOTIFIED BY:  GARY OLMSTEAD                |                             |
|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|BAB1 20.2201(a)(1)(i)    LOST/STOLEN LNM>1000X  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| SIX (6) GENERAL LICENSE STRONTIUM-90 SOURCES DETERMINED MISSING              |
|                                                                              |
| BETWEEN 1994-1995, SIX (6) STRONTIUM-90 SOURCES WERE REMOVED FROM EQUIPMENT  |
| FOR STORAGE AT THE COVINGTON, GA., FACILITY.   SUBSEQUENT TO THAT TIME,      |
| GENERAL MILLS HAS LOST TRACK OF THE LOCATION OF THESE SOURCES.  AN           |
| INDEPENDENT CONSULTING FIRM, SAFETY & ECOLOGY LOCATED IN KNOXVILLE, TN,  WAS |
| UNSUCCESSFUL IN LOCATING THE SOURCES AT THE SITE USING A SODIUM IODIDE       |
| DETECTOR.    THE MISSING SOURCES AT ADAPTIVE TECHNOLOGY, INC., THICKNESS     |
| GAUGES MODEL #ATI-100 (SERIAL #0030034 THROUGH 0030039) EACH CONTAINING 500  |
| MICROCURIES SR-90.  THE LOCATION WHERE THE SOURCES WERE UTILIZED WAS THE     |
| GENERAL MILLS FACILITY LOCATED IN COVINGTON, GA.  THE LICENSEE HAS CONDUCTED |
| A THOROUGH INVESTIGATION AND BELIEVES THAT IF THE SOURCES WERE DISPOSED OF   |
| MORE THAN LIKELY THEY WERE SENT TO A LANDFILL.  THIS IS BASED ON COMPANY     |
| POLICY OF NOT SELLING SURPLUS EQUIPMENT DUE TO THE POTENTIAL DISCLOSURE OF   |
| TRADE SECRETS.  THE LICENSEE HAS REQUESTED THAT THE NRC REGIONAL OFFICE      |
| CONTACT THEIR CORPORATE HEADQUARTERS TO DISCUSS WHETHER A FOLLOWUP WRITTEN   |
| REPORT IS NECESSARY.                                                         |
|                                                                              |
| CALL THE HEADQUARTERS OPERATIONS CENTER FOR  CONTACT TELEPHONE NUMBERS.      |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36097       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: POINT BEACH              REGION:  3  |NOTIFICATION DATE: 08/31/1999|
|    UNIT:  [1] [] []                 STATE:  WI |NOTIFICATION TIME: 12:07[EDT]|
|   RXTYPE: [1] W-2-LP,[2] W-2-LP                |EVENT DATE:        08/31/1999|
+------------------------------------------------+EVENT TIME:        10:28[CDT]|
| NRC NOTIFIED BY:  MIKE MEYER                   |LAST UPDATE DATE:  08/31/1999|
|  HQ OPS OFFICER:  BOB STRANSKY                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |DAVID HILLS          R3      |
|10 CFR SECTION:                                 |                             |
|AOUT 50.72(b)(1)(ii)(B)  OUTSIDE DESIGN BASIS   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| UNIT OUTSIDE DESIGN BASIS DUE TO APPENDIX R ISSUE                            |
|                                                                              |
| "Three electrical cable tray fire barriers installed in 1986 to provide      |
| separation for the Unit 1 charging pumps were found to be installed in the   |
| wrong location. The existing condition could allow a fire to propagate       |
| through the cable trays such that all three charging pumps could become      |
| unavailable to assist in performing a safe shutdown under Appendix R         |
| condition. Hourly fire rounds have been implemented as a compensatory        |
| measure and the charging pumps are tentatively classified as operable but    |
| degraded. Formal operability determination in progress."                     |
|                                                                              |
| The licensee has inspected Unit 2, and verified that the barriers are        |
| correctly installed on the unit. The NRC resident inspector has been         |
| informed by the licensee.                                                    |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36098       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: INDIAN POINT             REGION:  1  |NOTIFICATION DATE: 08/31/1999|
|    UNIT:  [] [3] []                 STATE:  NY |NOTIFICATION TIME: 12:09[EDT]|
|   RXTYPE: [2] W-4-LP,[3] W-4-LP                |EVENT DATE:        08/31/1999|
+------------------------------------------------+EVENT TIME:        10:00[EDT]|
| NRC NOTIFIED BY:  VINCENT DeCLEMENTE           |LAST UPDATE DATE:  08/31/1999|
|  HQ OPS OFFICER:  BOB STRANSKY                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |JOHN ROGGE           R1      |
|10 CFR SECTION:                                 |                             |
|APRE 50.72(b)(2)(vi)     OFFSITE NOTIFICATION   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|3     N          Y       91       Power Operation  |91       Power Operation  |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| OFFSITE NOTIFICATION DUE TO ANTIFREEZE SPILL ONSITE                          |
|                                                                              |
| At approximately 0900, a vendor vehicle used to excavate the soil for        |
| installation of a water treatment facility modification released about 10    |
| gallons of ethylene glycol to the site grounds when its radiator failed.     |
| Since this amount is greater than the reportable quantity, the New York      |
| State Department of Environmental Conservation was notified. Licensee and    |
| vendor personnel have cleaned up the spill. No hazardous material reached    |
| the discharge canal to the Hudson River.                                     |
|                                                                              |
| The NRC resident inspector has been informed of this event by the licensee.  |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36099       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: THREE MILE ISLAND        REGION:  1  |NOTIFICATION DATE: 08/31/1999|
|    UNIT:  [1] [] []                 STATE:  PA |NOTIFICATION TIME: 13:15[EDT]|
|   RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP            |EVENT DATE:        08/31/1999|
+------------------------------------------------+EVENT TIME:        12:35[EDT]|
| NRC NOTIFIED BY:  JOHN SCHORK                  |LAST UPDATE DATE:  08/31/1999|
|  HQ OPS OFFICER:  STEVE SANDIN                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |JOHN ROGGE           R1      |
|10 CFR SECTION:                                 |                             |
|AOUT 50.72(b)(1)(ii)(B)  OUTSIDE DESIGN BASIS   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| OUTSIDE DESIGN BASIS REPORT INVOLVING FAILURE TO MEET UPDATED FINAL SAFETY   |
| ANALYSIS REPORT (UFSAR) COMMITMENT FOR FLOOD PROTECTION                      |
|                                                                              |
| NRC Notification of Condition Outside the Design Basis for TMI-1             |
|                                                                              |
| "GPU Nuclear determined at 1235 hours on August 31, 1999 that a condition    |
| outside the design basis of the plant as documented in Section 2.6.5 of the  |
| TMI-1 UFSAR exists and that this is immediately reportable to the NRC in     |
| accordance with 10 CFR 50.72 (b)(i)(ii)(B). Two (2) floor drains located in  |
| the Reactor Building Personnel access hatch area of the TMI-1 Intermediate   |
| Building (a building not protected from a flood) were determined to provide  |
| an unprotected flow path into the Spent Fuel Building sump in the event of   |
| the maximum predicted flood at TMI-1. This is not in conformance with a      |
| commitment made to the NRC as documented in Section 2.6.5.i of the TMI-1     |
| UFSAR.                                                                       |
|                                                                              |
| "The TMI-1 UFSAR section 2.6.5 states:                                       |
|                                                                              |
| 'Various components which are protected for achieving and maintaining a safe |
| shutdown condition, in compliance with the commitment made to the Atomic     |
| Energy Commission. include, but are not limited to, the following locations  |
| and type of flood protection:                                                |
| (applicable sections e and i listed below, non-applicable sections not       |
| included)                                                                    |
|                                                                              |
| e.  Intermediate Building                                                    |
| 1)   Stop logs                                                               |
| 2)   Drain system designed for flood condition                               |
|                                                                              |
|                                                                              |
| i.    General                                                                |
|                                                                              |
| All openings that are potential leaks (ducts. pipes, conduits, cable trays,  |
| and so forth) arc sealed.'                                                   |
|                                                                              |
| "Engineering inspection and design review conducted, on August 31,1999       |
| identified the potential non-conforming condition that the two (2) floor     |
| drains drain to the Fuel Handling Building sump through a normally open      |
| valve. The TMI Flood Protection procedure does not specify that the valve is |
| to be closed in the event of a pending flood.                                |
|                                                                              |
| "This condition was reported to Mr. Steve Sandin of the NRC Operations       |
| Center at 1315 hours on August 31, 1999 (Event Notification No. 36099) by J. |
| Schork, TMI Plant Review Group Chairman.  A follow-up fax was sent to Mr.    |
| Sandin at 301-816-5151.                                                      |
|                                                                              |
| "The non-conforming condition has been documented in the GPU Nuclear         |
| corrective action program. Immediate corrective action is in progress to     |
| modify the site flood protection procedure to require the installation of    |
| plugs in the flowpaths identified in the event of a pending flood.  In       |
| addition, a review of the extent of the identified condition will be         |
| performed and reported in the followup licensee event report."               |
|                                                                              |
| The licensee will inform the NRC resident inspector.                         |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36100       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: HOPE CREEK               REGION:  1  |NOTIFICATION DATE: 08/31/1999|
|    UNIT:  [1] [] []                 STATE:  NJ |NOTIFICATION TIME: 13:56[EDT]|
|   RXTYPE: [1] GE-4                             |EVENT DATE:        08/31/1999|
+------------------------------------------------+EVENT TIME:        11:05[EDT]|
| NRC NOTIFIED BY:  NICK CONICELLA               |LAST UPDATE DATE:  08/31/1999|
|  HQ OPS OFFICER:  BOB STRANSKY                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |JOHN ROGGE           R1      |
|10 CFR SECTION:                                 |                             |
|AESF 50.72(b)(2)(ii)     ESF ACTUATION          |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       1        Startup          |1        Startup          |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| RCIC SYSTEM ISOLATION WHILE BEING RETURNED TO SERVICE                        |
|                                                                              |
| While returning the reactor core isolation cooling (RCIC) system to service  |
| following maintenance, a momentary high steam flow signal caused an inboard  |
| RCIC steam supply isolation. As a result, the RCIC turbine warmup valve      |
| closed. The isolation signal was reset, and system warmup resumed.           |
|                                                                              |
| The licensee reported that momentary high steam flow signals have been       |
| observed on previous occasions while warming the RCIC turbine. The NRC       |
| resident inspector has been informed of this event by the licensee.          |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Other Nuclear Material                           |Event Number:   36101       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  US ARMY                              |NOTIFICATION DATE: 08/31/1999|
|LICENSEE:  US ARMY                              |NOTIFICATION TIME: 14:07[EDT]|
|    CITY:  ROCK ISLAND              REGION:  3  |EVENT DATE:        06/29/1999|
|  COUNTY:                            STATE:  IL |EVENT TIME:             [CDT]|
|LICENSE#:  12-00722-06           AGREEMENT:  Y  |LAST UPDATE DATE:  08/31/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |DAVID HILLS          R3      |
|                                                |JOHN ROGGE           R1      |
+------------------------------------------------+DON COOL             NMSS    |
| NRC NOTIFIED BY:  JEFF HAVENER                 |                             |
|  HQ OPS OFFICER:  BOB STRANSKY                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|BAB2 20.2201(a)(1)(ii)   LOST/STOLEN LNM>10X    |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| MISSING M43A1 CHEMICAL AGENT DETECTORS                                       |
|                                                                              |
| On 6/29/1999, B Company, 1/105 Infantry, New York National Guard reported    |
| that four M43A1 chemical agent detectors, each containing 250 �Ci of Am-241, |
| could not be found during a change of command inventory. The detectors were  |
| last inventoried before being shipped to OMS-14 (Staten Island, NY) for      |
| repairs. These detectors may have been reissued to another unit after        |
| repair.                                                                      |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Hospital                                         |Event Number:   36102       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  GOSHEN GENERAL HOSPITAL              |NOTIFICATION DATE: 08/31/1999|
|LICENSEE:  GOSHEN GENERAL HOSPITAL              |NOTIFICATION TIME: 14:52[EDT]|
|    CITY:  GOSHEN                   REGION:  3  |EVENT DATE:        08/31/1999|
|  COUNTY:                            STATE:  IN |EVENT TIME:        08:30[CST]|
|LICENSE#:  13-18845-01           AGREEMENT:  N  |LAST UPDATE DATE:  08/31/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |DAVID HILLS          R3      |
|                                                |JOSEPHINE PICCONE    NMSS    |
+------------------------------------------------+JOSEPH GIITTER       IRO     |
| NRC NOTIFIED BY:  GREG MILLER                  |                             |
|  HQ OPS OFFICER:  DICK JOLLIFFE                |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|BAAA 20.1906(d)           SURFACE CONT/ EXT RAD |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| - HOSPITAL RECEIVED TWO CONTAMINATED PACKAGES FROM SPECTRUM PHARMACY, INC -  |
|                                                                              |
| ON 08/31/99, GOSHEN GENERAL HOSPITAL, GOSHEN, IN, RECEIVED TWO CONTAMINATED  |
| PACKAGES CONTAINING NUCLEAR MEDICAL DRUGS FROM SPECTRUM PHARMACY, INC,       |
| MISHAWAKA, IN.  THE WIPE TEST READINGS FOR THE FIRST PACKAGE RECEIVED AT     |
| 0830 CDT WERE AS HIGH AS 3100 DPM/100 SQ CM AND FOR THE SECOND PACKAGE       |
| RECEIVED AT 1200 CDT WERE AS HIGH AS 2345 DPM/100 SQ CM.  THE ADMINISTRATIVE |
| LIMIT FOR GOSHEN GENERAL HOSPITAL IS 2000 DPM/100 SQ CM.  THE PACKAGES HAVE  |
| BEEN PLACED IN THE HOSPITAL HOT LAB BEHIND LEAD SHIELDING.  A HOSPITAL       |
| REPRESENTATIVE NOTIFIED A SPECTRUM PHARMACY REPRESENTATIVE.                  |
|                                                                              |
| HOO NOTE:  REFER TO RELATED EVENTS #36093, #36094, AND #36095.               |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   36103       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  ENGINEERING CONSULTANT SERVICES      |NOTIFICATION DATE: 08/31/1999|
|LICENSEE:  ENGINEERING CONSULTANT SERVICES      |NOTIFICATION TIME: 15:38[EDT]|
|    CITY:  FREDRICKSBURG            REGION:  2  |EVENT DATE:        08/30/1999|
|  COUNTY:  SPOTSYLVANIA              STATE:  VA |EVENT TIME:        15:30[EDT]|
|LICENSE#:  45-24974-01           AGREEMENT:  N  |LAST UPDATE DATE:  08/31/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |KERRY LANDIS         R2      |
|                                                |JOSEPHINE PICCONE    NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  JEFFREY STICKOVITCH          |                             |
|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NDAM                     DAMAGED GAUGE/DEVICE   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| TROXLER GAUGE DAMAGED DURING CONSTRUCTION                                    |
|                                                                              |
| DURING CONSTRUCTION ACTIVITIES AT STAFFORD LAKES, VA, A TROXLER MODEL CPN    |
| GAUGE CONTAINING 10mCi CESIUM-137 AND 50 mCi AMERICIUM-241/BERYLLIUM WAS     |
| INADVERTENTLY RUN OVER BY A PAN LOADER, CRUSHING THE CASE.   THE AREA WAS    |
| ROPED OFF AND SURVEYED.  THERE WAS NO INDICATION THAT THE SEALED SOURCE WAS  |
| DAMAGED.  PER PROCEDURE THE LICENSEE IS SENDING THE DAMAGED DEVICE TO        |
| PACIFIC TECHNOLOGY WHICH IS LOCATED IN ANTIOCH, CA. FOR EVALUATION.          |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36104       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: INDIAN POINT             REGION:  1  |NOTIFICATION DATE: 08/31/1999|
|    UNIT:  [2] [] []                 STATE:  NY |NOTIFICATION TIME: 16:01[EDT]|
|   RXTYPE: [2] W-4-LP,[3] W-4-LP                |EVENT DATE:        08/31/1999|
+------------------------------------------------+EVENT TIME:        14:30[EDT]|
| NRC NOTIFIED BY:  DENNIS CORNAX                |LAST UPDATE DATE:  08/31/1999|
|  HQ OPS OFFICER:  BOB STRANSKY                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |JOHN ROGGE           R1      |
|10 CFR SECTION:                                 |ED GOODWIN           NRR     |
|ARPS 50.72(b)(2)(ii)     RPS ACTUATION          |FRANK CONGEL         IRO     |
|AESF 50.72(b)(2)(ii)     ESF ACTUATION          |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|2     A/R        Y       100      Power Operation  |0        Hot Standby      |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AUTOMATIC REACTOR TRIP WITH COMPLICATIONS                                    |
|                                                                              |
| An automatic reactor trip/turbine trip occurred due to an overtemperature    |
| differential temperature (OTdT) trip signal. The licensee was replacing      |
| Channel 3 pressurizer low pressure trip bistables when a spurious OTdT trip  |
| signal occurred on Channel 4, completing the 2/4 logic. Following the trip,  |
| control rod K-2 of Control Bank D had an indicated position of 14.4 steps    |
| out from fully inserted. All other control rods are fully inserted.          |
|                                                                              |
| Following the trip, 480 VAC bus 6A received an undervoltage trip signal,     |
| causing buses 2A, 3A, 5A, and 6A to transfer to their associated emergency   |
| diesel generators (EDGs) (22, 21, and 23, respectively). Buses 2A, 3A, and   |
| 5A are currently being supplied by the EDGs; however, the output breaker for |
| EDG 23 tripped upon loading to bus 6A, which remains deenergized. Operators  |
| manually started the turbine driven auxiliary feedwater pump due to the loss |
| of control power to one of the motor driven AFW pumps caused by the loss of  |
| bus 6A.                                                                      |
|                                                                              |
| The unit is currently stable in hot standby. The licensee is currently       |
| troubleshooting bus 6A in anticipation of restoring power. The NRC resident  |
| inspector has been informed of this event by the licensee.                   |
|                                                                              |
| HOO Note:  See Event #36107.                                                 |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36105       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: INDIAN POINT             REGION:  1  |NOTIFICATION DATE: 08/31/1999|
|    UNIT:  [] [3] []                 STATE:  NY |NOTIFICATION TIME: 17:17[EDT]|
|   RXTYPE: [2] W-4-LP,[3] W-4-LP                |EVENT DATE:        08/31/1999|
+------------------------------------------------+EVENT TIME:        15:50[EDT]|
| NRC NOTIFIED BY:  VINCENT DeCLEMENTE           |LAST UPDATE DATE:  08/31/1999|
|  HQ OPS OFFICER:  BOB STRANSKY                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |JOHN ROGGE           R1      |
|10 CFR SECTION:                                 |                             |
|APRE 50.72(b)(2)(vi)     OFFSITE NOTIFICATION   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|3     N          Y       91       Power Operation  |91       Power Operation  |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| OFFSITE NOTIFICATION DUE TO OIL RELEASE TO DISCHARGE CANAL                   |
|                                                                              |
| "While draining water from the Dirty Oil Storage Tank, oil became entrained  |
| into the stream of water and was inadvertently released to the 5' turbine    |
| hall sump and subsequently to the discharge canal. Less than 1 gallon of oil |
| was released before the flow was isolated. Actions were taken to absorb the  |
| oil in the canal but enough was evident to leave a sheen in the canal. No    |
| oil sheen was observed in the Hudson River. The NYS DEC was notified at 1550 |
| on 8/31/99."                                                                 |
|                                                                              |
| The licensee will inform the NRC resident inspector of this event.           |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   36106       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  PA BUREAU OF RADIATION PROTECTION    |NOTIFICATION DATE: 08/31/1999|
|LICENSEE:  HADDAM NECK                          |NOTIFICATION TIME: 20:48[EDT]|
|    CITY:                           REGION:  1  |EVENT DATE:        08/31/1999|
|  COUNTY:  LEHIGH                    STATE:  PA |EVENT TIME:             [EDT]|
|LICENSE#:                        AGREEMENT:  N  |LAST UPDATE DATE:  08/31/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |JOHN WHITE           R1      |
|                                                |ROBERT PIERSON       NMSS    |
+------------------------------------------------+CHARLES MILLER       IRO     |
| NRC NOTIFIED BY:  RANDY EASTON                 |MARIE MILLER         R1      |
|  HQ OPS OFFICER:  BOB STRANSKY                 |NEIL SHEEHAN         R1      |
+------------------------------------------------+GEORGE PANGBORN      R1      |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NINF                     INFORMATION ONLY       |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| TRUCKS CARRYING LOW SPECIFIC ACTIVITY MATERIAL (CONTAMINATED SOIL) LEAKING   |
| CARGO                                                                        |
|                                                                              |
| Mr. Easton from the Pennsylvania Bureau of Radiation Protection (PA BRP)     |
| contacted the NRC Operations Center regarding a truck, carrying LSA-1        |
| material from the Haddam Neck plant in Connecticut, which is leaking some of |
| its cargo. The cargo of the truck is soil which is contaminated with small   |
| amounts of radioactive cesium-137 and cobalt-60. The truck is currently      |
| located at Exit 13 on Interstate 78. Lehigh County HAZMAT responders are     |
| onsite. The caller did not have specific information regarding the leakage   |
| rate or the amount of material that has been lost.                           |
|                                                                              |
| The driver was alerted to the possible leakage after the driver of another   |
| truck, located somewhere in New York State and also carrying LSA-1 cargo,    |
| discovered that his truck was leaking.  The caller reported that the PA BRP  |
| was contacted regarding this event by the Connecticut Department of          |
| Environmental Protection.                                                    |
|                                                                              |
| The NRC Operations Center hosted a conference call between PA BRP, NRC       |
| Region 1, NMSS, and EPA Region 3 to discuss this event.                      |
|                                                                              |
| * * * UPDATE 2212 8/31/1999 FROM RANDY EASTON TAKEN BY STRANSKY * * *        |
|                                                                              |
| Mr. Easton contacted the Lehigh County HAZMAT responders, who reported that  |
| the material leaking from the shipment is not soil, but a clear liquid       |
| (perhaps rainwater). A total volume of about a cup has been released at the  |
| scene. The State of Pennsylvania declined to request NRC assistance in       |
| responding to this event. Health Physics and HAZMAT personnel from Haddam    |
| Neck will be responding to the scene in the morning, and the trucks will be  |
| returned to Haddam Neck.                                                     |
|                                                                              |
| A second conference call was held between PA BRP, NRC Region 1, and EPA      |
| Region 3 to discuss additional information regarding the event.              |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36107       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: INDIAN POINT             REGION:  1  |NOTIFICATION DATE: 08/31/1999|
|    UNIT:  [2] [] []                 STATE:  NY |NOTIFICATION TIME: 22:39[EDT]|
|   RXTYPE: [2] W-4-LP,[3] W-4-LP                |EVENT DATE:        08/31/1999|
+------------------------------------------------+EVENT TIME:        21:55[EDT]|
| NRC NOTIFIED BY:  MARK STUBBLE                 |LAST UPDATE DATE:  09/01/1999|
|  HQ OPS OFFICER:  BOB STRANSKY                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          UNU                   |JOHN WHITE           R1      |
|10 CFR SECTION:                                 |DAVID MATTHEWS       NRR     |
|AAEC 50.72 (a) (1) (I)   EMERGENCY DECLARED     |CHARLES MILLER       IRO     |
|                                                |JOHN ROGGE           R1      |
|                                                |GENE CANUPP          FEMA    |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|2     N          N       0        Hot Standby      |0        Hot Standby      |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| UNUSUAL EVENT DUE TO LOSS OF MOST CONTROL ROOM ANNUNCIATORS                  |
|                                                                              |
| An Unusual Event was declared at 2155 EDT due to an unplanned loss of        |
| greater than 75% of the control room safety system annunciators for longer   |
| than 15 minutes. The licensee reported that the annunciators are currently   |
| inoperable, and that additional panel walkdowns are being performed. The     |
| unit is currently stable in Hot Standby following a reactor trip earlier     |
| today (see EN 36104). The NRC resident inspector has been informed, and is   |
| in the control room.                                                         |
|                                                                              |
| * * * UPDATE AT 0157 EDT ON 9/1/99 BY MARK STUBBLE TO FANGIE JONES * * *     |
|                                                                              |
| The plant conditions are improving and the plant is stable in Hot Shutdown.  |
| The annunciators have been restored.  The previous problem with 480 VAC      |
| busses on Event #36104 has been found to be related to the loss of the       |
| annunciators.  Further evaluation is ongoing and the licensee expects to     |
| exit the Unusual Event soon.                                                 |
|                                                                              |
| The licensee notified the NRC Resident Inspector.  The HOO notified the R1DO |
| (John White), NRR EO (David Matthews), and IRO Manager (Charles Miller).     |
|                                                                              |
| * * * UPDATE AT 0343 EDT ON 9/1/99 BY MARK STUBBLE TO FANGIE JONES * * *     |
|                                                                              |
| The plant has exited the Unusual Event, the plant is in normal Hot Shutdown. |
| The licensee has notified the NRC Resident.  The HOO notified the R1DO (John |
| White), NRR EO (David Matthews), IRO Manager (Charles Miller), and FEMA      |
| (Gene Canupp)                                                                |
+------------------------------------------------------------------------------+


Page Last Reviewed/Updated Wednesday, March 11, 2020