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Alert

Due to a lapse in appropriations, the NRC has ceased normal operations. However, excepted and exempted activities necessary to maintain critical health and safety functions—as well as essential progress on designated critical activities, including those specified in Executive Order 14300—will continue, consistent with the OMB-Approved NRC Lapse Plan.

Event Notification Report for December 22, 1999

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           12/21/1999 - 12/22/1999

                              ** EVENT NUMBERS **

36530  36531  36532  

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   36530       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  LONGVIEW INSPECTIONS                 |NOTIFICATION DATE: 12/21/1999|
|LICENSEE:  LONGVIEW INSPECTIONS                 |NOTIFICATION TIME: 10:36[EST]|
|    CITY:  BROOMFIELD               REGION:  3  |EVENT DATE:        12/20/1999|
|  COUNTY:                            STATE:  WI |EVENT TIME:        17:00[CST]|
|LICENSE#:  4227593-01            AGREEMENT:  N  |LAST UPDATE DATE:  12/21/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |THOMAS KOZAK         R3      |
|                                                |BRIAN SMITH     EO   NMSS    |
+------------------------------------------------+JOHN DAVIDSON   IAT  NMSS    |
| NRC NOTIFIED BY:  WALLANDER                    |RON ALBERT    IAT    NRR     |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|BAD1 20.2202(a)(1)       PERS OVEREXPOSURE      |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| POSSIBLE INTENTIONAL OVEREXPOSURE OF AN EMPLOYEE'S TLD BADGE                 |
|                                                                              |
| THE LICENSEE REPORTED THAT A RADIOGRAPHER'S  TLD BADGE WAS OVEREXPOSED FOR   |
| THE MONTH OF OCTOBER.  THE READING FROM THE TLD WAS 77 REM.  (NORMAL         |
| READINGS RANGE FROM 100 mREM-300 mREM.)  THEY HAVE STARTED AN INVESTIGATION  |
| AND HAVE COMMENCED INTERVIEWS WITH INDIVIDUALS THAT WORKED WITH THIS PERSON. |
| SINCE THE WORK HAS BEEN COMPLETED, ALL OF THE WORKERS WERE LAID OFF, AND     |
| THEY STILL HAVE  ADDITIONAL PERSONS TO LOCATE AND INTERVIEW.                 |
|                                                                              |
| (CALL THE NRC OPERATIONS OFFICER FOR PRELIMINARY CONCLUSIONS AND A LICENSEE  |
| CONTACT TELEPHONE NUMBER.)                                                   |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   36531       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  TEXAS DEPARTMENT OF HEALTH           |NOTIFICATION DATE: 12/21/1999|
|LICENSEE:  UNIVERSITY OF TEXAS                  |NOTIFICATION TIME: 16:30[EST]|
|    CITY:  GALVESTON                REGION:  4  |EVENT DATE:        12/16/1999|
|  COUNTY:                            STATE:  TX |EVENT TIME:        12:00[CST]|
|LICENSE#:                        AGREEMENT:  Y  |LAST UPDATE DATE:  12/21/1999|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |WILLIAM JOHNSON      R4      |
|                                                |SUSAN SHANKMAN       NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  HELEN WATKINS                |                             |
|  HQ OPS OFFICER:  DOUG WEAVER                  |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT  - MEDICAL MISADMINISTRATION                          |
|                                                                              |
| The University of Texas Medical Branch at Galveston reported a               |
| misadministration to the State of Texas on 12/20/99.  The misadministration  |
| involved the first patient for an I-131 anti B1 research protocol, sponsored |
| by Coulter.  The prescribed therapeutic dose was 55.4 mCi I-131 anti B1.     |
| It was discovered on the morning of 12/20/99 that the infusion bag contained |
| a significant residual activity due to the bag apparently not being flushed  |
| into the patient.  As a result the patient only received 46.7 mCi I-131; 84% |
| of the intended dose.                                                        |
|                                                                              |
| The sponsor of the research project and the patients referring physician     |
| have been notified.  Since this is a research protocol, it is not known what |
| the significance of this under dosing will be to the patient's treatment.    |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36532       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: OCONEE                   REGION:  2  |NOTIFICATION DATE: 12/21/1999|
|    UNIT:  [] [2] []                 STATE:  SC |NOTIFICATION TIME: 19:34[EST]|
|   RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-L|EVENT DATE:        12/21/1999|
+------------------------------------------------+EVENT TIME:        18:52[EST]|
| NRC NOTIFIED BY:  NEIL CONSTANCE               |LAST UPDATE DATE:  12/21/1999|
|  HQ OPS OFFICER:  DOUG WEAVER                  +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |CHARLES OGLE         R2      |
|10 CFR SECTION:                                 |                             |
|ARPS 50.72(b)(2)(ii)     RPS ACTUATION          |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     N          Y       100      Power Operation  |0        Hot Standby      |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| REACTOR SCRAM ON HIGH REACTOR SYSTEM PRESSURE                                |
|                                                                              |
| "Unit 2 tripped on RCS high pressure at 1852.  The Reactor Protection System |
| (RPS) setpoint of 2345 psig was exceeded, resulting in an RPS actuation and  |
| tripping [of] all CRD breakers.  RCS pressure peaked at 2378 psig.  The      |
| initiating event was a transient on the secondary plant that affected heat   |
| removal capabilities.  Post-trip response was normal.  The plant is          |
| presently in mode 3 with a trip investigation in progress."                  |
|                                                                              |
| No primary Power-Operated Relief valves or code safety valves lifted.        |
| Secondary side code safeties lifted as expected on a trip.  All valves shut, |
| but two have minor leakage.  The plant is stable in mode 3 with RCPs running |
| and decay heat being removed via the Steam Generators to the main            |
| condenser.                                                                   |
|                                                                              |
| The NRC resident inspector was notified.                                     |
+------------------------------------------------------------------------------+


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Page Last Reviewed/Updated Thursday, March 25, 2021