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Event Notification Report for December 15, 1999

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           12/14/1999 - 12/15/1999

                              ** EVENT NUMBERS **

36506  36507  36508  36509  36510  36511  36512  

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36506       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: QUAD CITIES              REGION:  3  |NOTIFICATION DATE: 12/14/1999|
|    UNIT:  [1] [2] []                STATE:  IL |NOTIFICATION TIME: 00:27[EST]|
|   RXTYPE: [1] GE-3,[2] GE-3                    |EVENT DATE:        12/13/1999|
+------------------------------------------------+EVENT TIME:        20:45[CST]|
| NRC NOTIFIED BY:  DAVE BOWMAN                  |LAST UPDATE DATE:  12/14/1999|
|  HQ OPS OFFICER:  JOHN MacKINNON               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |GARY SHEAR           R3      |
|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  |
|2     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| SAFETY SYSTEM FAILURE:  THE BREAKER FOR THE "B" TRAIN REFRIGERATION CONTROL  |
| UNIT (RCU) TRIPPED.                                                          |
|                                                                              |
| The licensee started the "B" control room HVAC to support routine            |
| maintenance on "A" train.  The "B" train would not operate properly on       |
| non-safety-related cooling (station service water).  Safety-related cooling  |
| (RHR service water ) was started to provide cooling to the "B" train, which  |
| operated properly on safety-related cooling.  After the control room had     |
| cooled down, the "B" train was shut down and then restarted with             |
| non-safety-related cooling, after which it operated properly.   During       |
| subsequent swap to the "A" train, the breaker for the "B" train RCU tripped. |
| This is a safety system functional failure.  The licensee entered Technical  |
| Specification 3.8.D.1.b for RCU inoperable, which is a 30-day limiting       |
| condition of operation.  Troubleshooting of the problem is in progress.      |
| This is part of the control room emergency ventilation system.               |
|                                                                              |
| The NRC resident inspector was notified of this event by the licensee.       |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36507       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: HARRIS                   REGION:  2  |NOTIFICATION DATE: 12/14/1999|
|    UNIT:  [1] [] []                 STATE:  NC |NOTIFICATION TIME: 07:21[EST]|
|   RXTYPE: [1] W-3-LP                           |EVENT DATE:        12/14/1999|
+------------------------------------------------+EVENT TIME:        03:55[EST]|
| NRC NOTIFIED BY:  M GRIFFIN                    |LAST UPDATE DATE:  12/14/1999|
|  HQ OPS OFFICER:  JOHN MacKINNON               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |AL BELISLE           R2      |
|10 CFR SECTION:                                 |                             |
|ARPS 50.72(b)(2)(ii)     RPS ACTUATION          |                             |
|AESF 50.72(b)(2)(ii)     ESF ACTUATION          |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     M/R        Y       100      Power Operation  |0        Hot Standby      |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| MANUAL REACTOR TRIP DUE TO LOSS OF CONDENSATE PUMP                           |
|                                                                              |
| The plant was initially at 100% power.  At 0354 EST, a ground fault occurred |
| on the "A" condensate pump resulting in a loss of the "A" condensate pump.   |
| This caused a subsequent trip of the "A" condensate  booster pump and "A"    |
| main feedwater (MFW) pump.  The plant automatically ran back to              |
| approximately 60% power.  Steam generator (SG) levels lowered and approached |
| the automatic trip setpoint so the reactor was manually tripped from         |
| approximately 60% at 0355 EST.  All rods fully inserted into the core.  The  |
| auxiliary feedwater (AFW) pumps were manually started to aid SG level        |
| control; however, an automatic AFW initiation signal was properly received.  |
| All ESF components actuated as required.  There were no safety problems      |
| encountered after the trip.  The plant is stable in Hot Shutdown with main   |
| feedwater in service.  No power-operated relief valves opened.               |
|                                                                              |
| The NRC resident inspector was notified of this event by the licensee.       |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36508       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: BROWNS FERRY             REGION:  2  |NOTIFICATION DATE: 12/14/1999|
|    UNIT:  [] [2] [3]                STATE:  AL |NOTIFICATION TIME: 10:05[EST]|
|   RXTYPE: [1] GE-4,[2] GE-4,[3] GE-4           |EVENT DATE:        12/13/1999|
+------------------------------------------------+EVENT TIME:        14:25[CST]|
| NRC NOTIFIED BY:  R. SANFIELD                  |LAST UPDATE DATE:  12/14/1999|
|  HQ OPS OFFICER:  JOHN MacKINNON               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |AL BELISLE           R2      |
|10 CFR SECTION:                                 |                             |
|HFIT 26.73               FITNESS FOR DUTY       |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     N          Y       100      Power Operation  |100      Power Operation  |
|3     N          Y       100      Power Operation  |100      Power Operation  |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| A RANDOM DRUG TEST WAS PERFORMED ON A CONTRACT FOREMAN, AND NITRATES WERE    |
| FOUND IN HIS SAMPLE WHICH INDICATED THAT THE SAMPLE HAD BEEN ADULTERATED.    |
| THE CONTRACT FOREMAN'S ACCESS AND BADGE WERE PULLED ON CONFIRMATION.  HE WAS |
| ESCORTED OFFSITE, AND HIS WORK IS BEING REVIEWED.                            |
|                                                                              |
| THE NRC RESIDENT INSPECTOR WAS NOTIFIED OF THIS EVENT BY THE LICENSEE.       |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   36509       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  TN DIVISION OF RADIOLOGICAL HEALTH   |NOTIFICATION DATE: 12/14/1999|
|LICENSEE:  AMERICAN ECOLOGY RECYCLE CENTER      |NOTIFICATION TIME: 12:18[EST]|
|    CITY:  OAK RIDGE                REGION:  2  |EVENT DATE:        12/09/1999|
|  COUNTY:                            STATE:  TN |EVENT TIME:        13:15[EST]|
|LICENSE#:  R-01037               AGREEMENT:  Y  |LAST UPDATE DATE:  12/14/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |ANN BOLAND           R2      |
|                                                |JOHN HICKEY          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  DEBRA SHULTS                 |                             |
|  HQ OPS OFFICER:  FANGIE JONES                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| FIRE IN SLUDGE DRYER                                                         |
|                                                                              |
| "The licensee reported a fire (no flames) in their sludge dryer.             |
| Technicians noticed a glow in the dryer.  The building was evacuated         |
| immediately.  The gas line, which provide heat to the dryer, was cut off,    |
| and the smoke began to subside.  Water was piped into the sludge dryer to    |
| squelch the remaining embers.  A stop-work order was placed on the dryer     |
| after it was secured.  The air filtration system was shut down in order to   |
| change the pre-filters.  The contamination was localized to the sooty        |
| deposits that appeared to be within a few feet of the sludge dryer.  There   |
| was no spread of contamination beyond that area.  Work place air samplers    |
| operated continuously during the event.  Results have not been released at   |
| this time.  Employees who were in the area during the event received whole   |
| body counts.  Results were negative.  The fire department was not called."   |
|                                                                              |
| (Call the NRC operations officer for a contact telephone number.)            |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Hospital                                         |Event Number:   36510       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  MERITER HOSPITAL                     |NOTIFICATION DATE: 12/14/1999|
|LICENSEE:  MERITER HOSPITAL                     |NOTIFICATION TIME: 12:50[EST]|
|    CITY:  MADISON                  REGION:  3  |EVENT DATE:        12/14/1999|
|  COUNTY:                            STATE:  WI |EVENT TIME:        10:25[CST]|
|LICENSE#:  480039502             AGREEMENT:  N  |LAST UPDATE DATE:  12/14/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |GARY SHEAR           R3      |
|                                                |JOHN HICKEY          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  JAMES YANG                   |                             |
|  HQ OPS OFFICER:  FANGIE JONES                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|LADM 35.33(a)            MED MISADMINISTRATION  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| POSSIBLE MEDICAL MISADMINISTRATION                                           |
|                                                                              |
| During insertion of iodine-125 (I-125) seeds in a prostate treatment, one of |
| the needles broke during seed planting and remains in the patient about 3    |
| centimeters outside the prostate gland.  The needle retained four of the     |
| seeds, each containing 0.326 mCi of I-125.  The needle has been left in      |
| place, as that has been determined to be in the best interest of the patient |
| at this time.  The attending physician was present and the patient informed. |
| There will be little impact on the treatment of the prostrate.  The licensee |
| is evaluating whether any adverse effect to the patient is expected of this  |
| possible misadministration, the seeds located outside the treatment site.    |
| The hospital contacted NRC Region 3 inspector (James Cameron).               |
|                                                                              |
| (Call the NRC operations officer for a contact telephone number.)            |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Other Nuclear Material                           |Event Number:   36511       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  H. C. NUTTING CO.                    |NOTIFICATION DATE: 12/14/1999|
|LICENSEE:  H. C. NUTTING CO.                    |NOTIFICATION TIME: 13:08[EST]|
|    CITY:  CINCINATTI               REGION:  3  |EVENT DATE:        12/14/1999|
|  COUNTY:                            STATE:  OH |EVENT TIME:        09:50[EST]|
|LICENSE#:  34-18882-01           AGREEMENT:  Y  |LAST UPDATE DATE:  12/14/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |GARY SHEAR           R3      |
|                                                |JOHN HICKEY          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  HAROLD WIDNER                |                             |
|  HQ OPS OFFICER:  FANGIE JONES                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|BAB1 20.2201(a)(1)(i)    LOST/STOLEN LNM>1000X  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| STOLEN TROXLER MOISTURE DENSITY GAUGE                                        |
|                                                                              |
| The licensee reported a Troxler moisture density gauge (model 3430, serial   |
| number 28862) stolen some time last night after 2110 CST from the cargo area |
| of a locked Nissan Pathfinder.  The gauge was in a locked box in the vehicle |
| at the technician's home in Cincinnati.  The gauge sources contain 8 mCi of  |
| Cs-137 and 40 mCi of Am/Be-241.  The City of Cincinnati Police responded and |
| are investigating the theft (no report number at this time).  The licensee   |
| notified the Ohio Bureau of Radiation Safety, part of the Department of      |
| Health as part of their license requirement.                                 |
|                                                                              |
| (Call the NRC operations officer for a contact telephone number.)            |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   36512       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  ITT INDUSTRIES                       |NOTIFICATION DATE: 12/14/1999|
|LICENSEE:  ITT INDUSTRIES                       |NOTIFICATION TIME: 17:10[EST]|
|    CITY:  LANCASTOR                REGION:  1  |EVENT DATE:        12/14/1999|
|  COUNTY:                            STATE:  PA |EVENT TIME:             [EST]|
|LICENSE#:                        AGREEMENT:  N  |LAST UPDATE DATE:  12/14/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |HAROLD GRAY          R1      |
|                                                |ANN BOLAND           R2      |
+------------------------------------------------+GARY SHEAR           R3      |
| NRC NOTIFIED BY:  RICHARD RANSALL              |PHIL HARRELL         R4      |
|  HQ OPS OFFICER:  FANGIE JONES                 |VERN HODGE (Fax)     NRR     |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|CCCC 21.21               UNSPECIFIED PARAGRAPH  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| 10-CFR-PART-21 REPORT ON 3-INCH DIAPHRAGM VALVES WITH 3250L ACTUATORS        |
|                                                                              |
| "Recently, Engineered Valves was asked by a customer to perform tests and    |
| analysis documenting the maximum shutoff pressure for a diaphragm valve      |
| configuration.  Based on testing and engineering calculations performed in   |
| November and December of 1999, Engineered Valves has discovered that 3"      |
| diaphragm valves with 3250L actuators, supplied to the nuclear power         |
| industry, may not be capable of bubble tight shutoff at customer specified   |
| operating conditions.                                                        |
|                                                                              |
| "These valves were supplied to the nuclear power industry for design         |
| pressures up to 200 psig and were factory tested at or above specified       |
| shutoff pressure depending on design specification or ASME Section III       |
| requirements.  The testing and analysis described above indicate that there  |
| is a statistical possibility, depending on the tolerances of each valve and  |
| actuator component, that a valve can be built which will shut off bubble     |
| tight at no more than 147 psig.  Therefore, it is possible that a valve,     |
| which has been maintained or repaired with new components or subassemblies   |
| might not have sufficient actuator thrust to shut off against the specified  |
| pressure."                                                                   |
|                                                                              |
| Purchasers and sites include the following:                                  |
| Westinghouse Electric Corporation at multiple locations                      |
| TVA at Bellefonte                                                            |
| Louisiana Power and Light at Waterford                                       |
| Toledo Edison at Davis Besse                                                 |
| Iowa Electric at Duane Arnold                                                |
| Pacific Gas and Electric at Diablo Canyon                                    |
| Consolidated Edison at Indian Point                                          |
| Virginia Electric and Power Company at Surry                                 |
| Florida Power and Light at Turkey Point and St. Lucie                        |
| Duke Energy Corp. at Oconee                                                  |
|                                                                              |
| Due to organizational and name changes, include the following names as       |
| possible organizations over the past 31 years:  ITT Corporation, ITT         |
| Grinnell Corporation, ITT Grinnell Valve Division, ITT Dia Flo, ITT          |
| Specialty Valve Group, ITT Fluid Products Corporation, ITT Fluid Technology  |
| Corporation, ITT Engineered Valves, and ITT Industries.                      |
|                                                                              |
| Engineered Valves is now finalizing the list of affected purchasers and will |
| notify them by Monday, 12/20/99.                                             |
|                                                                              |
| (Call the NRC operations officer for ITT Engineered Valves contact           |
| information.)                                                                |
+------------------------------------------------------------------------------+