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.                       |
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+------------------------------------------------------------------------------+
|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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