Event Notification Report for December 28, 1999
U.S. Nuclear Regulatory Commission Operations Center Event Reports For 12/27/1999 - 12/28/1999 ** EVENT NUMBERS ** 36541 36542 36543 +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 36541 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: CRYSTAL RIVER REGION: 2 |NOTIFICATION DATE: 12/27/1999| | UNIT: [3] [] [] STATE: FL |NOTIFICATION TIME: 11:20[EST]| | RXTYPE: [3] B&W-L-LP |EVENT DATE: 12/27/1999| +------------------------------------------------+EVENT TIME: 10:00[EST]| | NRC NOTIFIED BY: RICKY E. RAWLS |LAST UPDATE DATE: 12/27/1999| | HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |CHRIS CHRISTENSEN R2 | |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 100 Power Operation |100 Power Operation | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | OFFSITE NOTIFICATION REGARDING THE RESCUE OF AN ENDANGERED SEA TURTLE | | | | The following text is a portion of a facsimile received from the licensee: | | | | "An endangered Kemp-Ridley sea turtle was rescued at the [Crystal River Unit | | 3] intake area. The endangered turtle was NOT injured. The turtle was | | transported to the Florida Power [Corporation] Mariculture Center. The | | Florida Department of Environmental Protection was notified at 1000 EST on | | 12/27/99." | | | | The licensee also notified the NRC resident inspector. | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |General Information or Other |Event Number: 36542 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | REP ORG: FLORIDA BUREAU OF RADIATION CONTROL |NOTIFICATION DATE: 12/27/1999| |LICENSEE: HCA L.W. BLAKE HOSPITAL |NOTIFICATION TIME: 14:14[EST]| | CITY: BRADENTON REGION: 2 |EVENT DATE: 12/20/1999| | COUNTY: STATE: FL |EVENT TIME: 12:00[EST]| |LICENSE#: 1072-1 AGREEMENT: Y |LAST UPDATE DATE: 12/27/1999| | DOCKET: |+----------------------------+ | |PERSON ORGANIZATION | | |CHRIS CHRISTENSEN R2 | | |CHARLES HAUGHNEY NMSS | +------------------------------------------------+ | | NRC NOTIFIED BY: ADAMS (FAX) | | | HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | MEDICAL MISADMINISTRATION AT THE HCA L.W. BLAKE HOSPITAL IN BRADENTON, FL | | | | THE FLORIDA BUREAU OF RADIATION CONTROL REPORTED A MISADMINISTRATION AT THE | | HCA L.W. BLAKE HOSPITAL IN BRADENTON, FL. THIS OCCURRED ON 12/20/99 WHEN A | | PATIENT WAS SCHEDULED FOR A THERAPEUTIC TREATMENT WITH 15 mCi OF I-131. | | THE PATIENT INSTEAD WAS GIVEN A DIAGNOSTIC DOSE OF I-123 (300 �Ci). THE | | ERROR WAS DISCOVERED ON 12/27/99, AND THE STATE WAS NOTIFIED THE SAME DAY. | | THE PHYSICIAN AND PATIENT HAVE BEEN NOTIFIED, AND THERE ARE NO ADVERSE | | HEALTH EFFECTS EXPECTED. THE PHYSICIAN WHO ORDERED THE THERAPY TREATMENT IS | | APPARENTLY NOT AN AUTHORIZED USER AT THIS FACILITY. A WRITTEN REPORT WILL | | BE PROVIDED WITHIN 15 DAYS. | | | | (CALL THE NRC OPERATIONS OFFICER FOR CONTACT TELEPHONE NUMBERS.) | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ |Power Reactor |Event Number: 36543 | +------------------------------------------------------------------------------+ +------------------------------------------------------------------------------+ | FACILITY: OCONEE REGION: 2 |NOTIFICATION DATE: 12/27/1999| | UNIT: [] [] [3] STATE: SC |NOTIFICATION TIME: 21:13[EST]| | RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-L|EVENT DATE: 12/27/1999| +------------------------------------------------+EVENT TIME: 20:40[EST]| | NRC NOTIFIED BY: YONGUE |LAST UPDATE DATE: 12/27/1999| | HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+ +------------------------------------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: UNU |CHRIS CHRISTENSEN R2 | |10 CFR SECTION: |BRUCE BOGER NRR | |AAEC 50.72 (a) (1) (I) EMERGENCY DECLARED |CHARLES MILLER IRO | | |BAGWELL FEMA | | | | | | | +-----+----------+-------+--------+-----------------+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | | |3 N Y 100 Power Operation |55 Power Operation | +------------------------------------------------------------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | UNUSUAL EVENT DECLARED AT 2040 DUE TO AN IDENTIFIED REACTOR COOLANT LEAK. | | | | WHILE DOING A FEED AND BLEED OF THE LETDOWN SYSTEM, THE LETDOWN STORAGE TANK | | BYPASS VALVE (3HP14) APPARENTLY DID NOT FULLY CLOSE, EVEN THOUGH IT WAS | | INDICATED CLOSED, BECAUSE THE WATER LEVEL IN THE LETDOWN STORAGE TANK WAS | | STILL DECREASING. APPROXIMATELY 45 GPM OF RCS WATER BLED THROUGH THE VALVE | | INTO THE "3A" BLEED HOLDUP TANK, WHICH HOLDS A RECOVERABLE WATER SOURCE THAT | | CAN BE INJECTED BACK INTO THE SYSTEM. THE LEAKAGE WAS ISOLATED AT 2042 WHEN | | LETDOWN ISOLATION VALVE "3HP5" WAS CLOSED. AT THAT TIME, THE UNUSUAL EVENT | | WAS ALSO TERMINATED. THE TOTAL AMOUNT OF RCS WATER BLED INTO THE BLEED | | HOLDUP TANK HAS NOT YET BEEN DETERMINED. THERE APPEARS TO BE A PROBLEM WITH | | BOTH THE VALVE POSITION INDICATION, AND THE PNEUMATIC VALVE ITSELF. THE | | REACTOR IS BEING SHUT DOWN AS REQUIRED BY ABNORMAL PROCEDURES, AND THE | | LICENSEE PLANS TO PLACE THE UNIT IN MODE 3. | | | | THE RESIDENT INSPECTOR HAS BEEN NOTIFIED ALONG WITH STATE AND LOCAL | | AGENCIES. | | THERE WILL BE NO PRESS RELEASE. | +------------------------------------------------------------------------------+
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