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Event Notification Report for March 21, 2000

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           03/20/2000 - 03/21/2000

                              ** EVENT NUMBERS **

35022  36813  36814  36815  36816  36817  36818  36819  

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   35022       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  STATE OF FLORIDA                     |NOTIFICATION DATE: 11/12/1998|
|LICENSEE:  BECHTEL ENGINEERING                  |NOTIFICATION TIME: 10:25[EST]|
|    CITY:  DELAND                   REGION:  2  |EVENT DATE:        11/10/1998|
|  COUNTY:                            STATE:  FL |EVENT TIME:        06:30[EST]|
|LICENSE#:  2057-1                AGREEMENT:  Y  |LAST UPDATE DATE:  03/20/2000|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |CAUDLE JULIAN        R2      |
|                                                |DONALD COOL          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  JERRY EAKINS                 |                             |
|  HQ OPS OFFICER:  BOB STRANSKY                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT REGARDING THEFT OF SOIL MOISTURE/DENSITY GAUGE        |
|                                                                              |
| THE STATE OF FLORIDA BUREAU OF RADIATION CONTROL REPORTED THE FOLLOWING      |
| EVENT FROM A STATE LICENSEE (BECHTEL ENGINEERING):                           |
|                                                                              |
| A TROXLER MODEL 3440 MOISTURE/DENSITY GAUGE (SERIAL NO. 16346), CONTAINING   |
| ONE 8 mCi Cs-137 SOURCE AND ONE 40mCi Am-Be SOURCE, WAS STOLEN FROM THE BACK |
| OF A COMPANY TRUCK PARKED IN THE COMPANY PARKING LOT. THE THEFT OCCURRED     |
| SOMETIME BETWEEN 0500 AND 0630 ON 11/10/98. THE GAUGE WAS LOCATED IN ITS     |
| SHIPPING CONTAINER, WHICH WAS CHAINED TO THE BED OF THE TRUCK.  HOWEVER, THE |
| CONTAINER'S LOCK HASP WAS BROKEN AND THE GAUGE WAS REMOVED FROM THE          |
| CONTAINER. THE DELAND POLICE DEPARTMENT RESPONDED TO THE SCENE.              |
|                                                                              |
|                                                                              |
| * * * UPDATE ON 3/20/00 BY STORMANT, RECEIVED BY WEAVER * * *                |
|                                                                              |
| On 17 Mar 2000, the owner was notified that the missing gauge was in the     |
| Deland Police Department evidence room.  It had been recovered in Nov 99 in  |
| a house full of stolen items.  The source handle was still locked.  A leak   |
| check has been accomplished.  The owner has already replaced this gauge, but |
| still has room on his license for another gauge.  Final disposition of the   |
| gauge will occur after consultation with the owner's insurance company.      |
|                                                                              |
| The Operations Center notified the RDO (Belisle) and NMSS EO (SHERBINI)      |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36813       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: CATAWBA                  REGION:  2  |NOTIFICATION DATE: 03/20/2000|
|    UNIT:  [] [2] []                 STATE:  SC |NOTIFICATION TIME: 05:02[EST]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        03/20/2000|
+------------------------------------------------+EVENT TIME:        04:15[EST]|
| NRC NOTIFIED BY:  DON BRADELY                  |LAST UPDATE DATE:  03/20/2000|
|  HQ OPS OFFICER:  DOUG WEAVER                  +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |AL BELISLE           R2      |
|10 CFR SECTION:                                 |                             |
|AMED 50.72(b)(2)(v)      OFFSITE MEDICAL        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     N          N       0        Refueling        |0        Refueling        |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| OFFSITE TRANSPORTATION OF A POTENTIALLY CONTAMINATED WORKER                  |
|                                                                              |
| "A vendor support employee was injured due to a fall (approximately 6 to 8   |
| feet) in Unit 2 lower containment.  The individual was supporting reactor    |
| coolant pump work.  Due to injuries, the individual could not be fully       |
| frisked for contamination.  Until further determination, individual is       |
| considered potentially contaminated and is being transported offsite to the  |
| local medical facility."                                                     |
|                                                                              |
| The licensee will notify the NRC resident inspector.                         |
|                                                                              |
| * * * UPDATE AT 0930 ON 3/20/00, BY BREWER RECEIVED BY WEAVER * * *          |
|                                                                              |
| This is a follow-up pertaining to the notification of 0500 today concerning  |
| the transport of a potentially contaminated worker to an off-site medical    |
| facility. The injured individual was NOT contaminated, however the harness   |
| and nylon choker used to lift the injured man has some low level fixed       |
| contamination. This material has been transported back to the site and all   |
| areas of the hospital and the transport vehicle have been surveyed clean.    |
|                                                                              |
| The licensee informed the NRC resident inspector.                            |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Fuel Cycle Facility                              |Event Number:   36814       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: COMBUSTION ENGINEERING INC.          |NOTIFICATION DATE: 03/20/2000|
|   RXTYPE: URANIUM FUEL FABRICATION             |NOTIFICATION TIME: 08:46[EST]|
| COMMENTS: LEU CONVERSION (UF6 to UO2)          |EVENT DATE:        03/19/2000|
|           COMMERCIAL LWR FUEL                  |EVENT TIME:        07:50[CST]|
|                                                |LAST UPDATE DATE:  03/20/2000|
|    CITY:  HEMATITE                 REGION:  3  +-----------------------------+
|  COUNTY:  JEFFERSON                 STATE:  MO |PERSON          ORGANIZATION |
|LICENSE#:  SNM-33                AGREEMENT:  N  |GEOFFREY WRIGHT      R3      |
|  DOCKET:  07000036                             |BRIAN SMITH          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  ROBERT SHARKEY               |                             |
|  HQ OPS OFFICER:  DOUG WEAVER                  |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NBNL                     RESPONSE-BULLETIN      |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| 24 HOUR BULLETIN 91-01 REPORT                                                |
|                                                                              |
| At approximately 0750 on 03/19/2000, a water leak was discovered above and   |
| adjacent to the Erbia master blender. The water leak was from the building   |
| outer roof and around an I-beam that penetrates the secondary roof. The      |
| blender was undergoing maintenance and was emptied of Special Nuclear        |
| Material (SNM).  An open filter housing on the blending was immediately      |
| covered with plastic. The blender was currently empty and visually verified  |
| to contain less than a safe mass of uranium.  Furthermore, no water was      |
| detected inside the blender. Thus, no unsafe condition existed.  However,    |
| the blender will remain out of service until the moderation barriers are     |
| reestablished.                                                               |
|                                                                              |
| POTENTIAL CRITICALITY PATHWAYS INVOLVED (BRIEF SCENARIO(S) OF HOW            |
| CRITICALITY COULD OCCUR:                                                     |
|                                                                              |
| If the blender contained greater than a safe mass of uranium and greater     |
| than 11 liters of water entered the blender.                                 |
|                                                                              |
| CONTROLLED PARAMETERS:                                                       |
|                                                                              |
| Moderation is the primary controlled parameter.  Normally, there are at      |
| least three barriers to isolate the contents of the blender from moderators: |
| two independent overhead roofs and the closed blender vessel.  In this case  |
|                                                                              |
| the blender was empty (<5 kg) and shutdown for maintenance. Therefore, mass  |
| control was also in place for the blender.                                   |
|                                                                              |
| ESTIMATED AMOUNT, ENRICHMENT, FORM OF LICENSE MATERIAL:                      |
|                                                                              |
| Approximately 5 kg of residual U02 powder was present in the filter housing  |
| of the blender. The maximum enrichment was 4.0% U-235 and the corresponding  |
| safe mass is 24 kg U02. The contents were poisoned with approximately 8%     |
| erbium.                                                                      |
|                                                                              |
| CORRECTIVE ACTIONS TO RESTORE SAFETY SYSTEM AND WHEN EACH WAS IMPLEMENTED:   |
|                                                                              |
| The system will remain out of service with less than a safe mass until the   |
| event investigation is completed and the overhead barriers are successfully  |
| repaired.                                                                    |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Hospital                                         |Event Number:   36815       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  CARDIOLOGY ASSOC OF FAIRFIELD CO.    |NOTIFICATION DATE: 03/20/2000|
|LICENSEE:  CARDIOLOGY ASSOCIATES OF FAIRFIELD CO|NOTIFICATION TIME: 09:44[EST]|
|    CITY:  NORWALK                  REGION:  1  |EVENT DATE:        03/20/2000|
|  COUNTY:                            STATE:  CT |EVENT TIME:             [EST]|
|LICENSE#:  06-077795-01          AGREEMENT:  N  |LAST UPDATE DATE:  03/20/2000|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |LAURIE PELUSO        R1      |
|                                                |BRIAN SMITH          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  STUART KORCHIN               |                             |
|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|BAAA 20.1906(d)           SURFACE CONT/ EXT RAD |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| EXTERNAL RADIATION LEVELS EXCEEDING THE LIMITS OF 10 CFR 71.47               |
|                                                                              |
| CARDIOLOGY ASSOCIATES OF FAIRFIELD COUNTY LOCATED AT 40 CROSS STREET IN      |
| NORWLAK, CT, RECEIVED A PACKAGE FROM SYNCOR INTERNATIONAL IN STAMFORD, CT,   |
| LABELED WHITE I WHICH MEASURED 40 mR/HR (EXTERIOR SWIPE READ 38 DPM).   THIS |
| EXCEEDS THE EXTERNAL RADIATION LEVELS ALLOWED FOR WHITE I.  THE PACKAGE      |
| CONTAINED SEVERAL LEAD PIGS OF TECHNETIUM-99m , ONE OF WHICH WAS             |
| CONTAMINATED READING 5652 DPM USING A SWIPE.  THE LICENSEE NOTIFIED THE      |
| SYNCOR INTERNATIONAL AND THE NRC REGION I OFFICE (SHANBAKY).                 |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Hospital                                         |Event Number:   36816       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  GARDEN STATE CANCER CENTER           |NOTIFICATION DATE: 03/20/2000|
|LICENSEE:  GARDEN STATE CANCER CENTER           |NOTIFICATION TIME: 11:55[EST]|
|    CITY:  BELLVILLE                REGION:  1  |EVENT DATE:        03/20/2000|
|  COUNTY:                            STATE:  NJ |EVENT TIME:             [EST]|
|LICENSE#:  29-28554-01           AGREEMENT:  N  |LAST UPDATE DATE:  03/20/2000|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |LOUIS MANNING        R1      |
|                                                |DON COOL             NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  TOM JACKSON                  |                             |
|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|LADM 35.33(a)            MED MISADMINISTRATION  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| MEDICAL MISADMINISTRATION INVOLVING TREATMENT PROTOCOL                       |
|                                                                              |
| IN DECEMBER 1999 A FEMALE PATIENT UNDERGOING A CANCER TREATMENT REGIME WAS   |
| PRESCRIBED A THERAPEUTIC DOSE OF 20 mCi Y-90 (YTTRIUM).  THE COVERING        |
| PHYSICIAN TERMINATED THE TREATMENT AFTER 2 mCi WAS ADMINISTERED DUE TO A     |
| PROTOCOL ISSUE THAT REQUIRED THE  PHYSICIAN VERIFY "MIRROR IMAGING" OF THE   |
| TREATMENT SITE WITH THE CAT SCANS.  NO ADVERSE HEALTH EFFECTS WERE           |
| EXPERIENCED BY THE PATIENT.  THE PATIENT SUBSEQUENTLY RECEIVED THE           |
| PRESCRIBED DOSE.                                                             |
|                                                                              |
| THE LICENSEE HAD DISCUSSIONS WITH REGION I (JIM DWYER) CONCERNING THIS       |
| REPORT.                                                                      |
|                                                                              |
| CALL THE HEADQUARTERS OPERATIONS CENTER FOR CONTACT INFORMATION.             |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36817       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: RIVER BEND               REGION:  4  |NOTIFICATION DATE: 03/20/2000|
|    UNIT:  [1] [] []                 STATE:  LA |NOTIFICATION TIME: 17:03[EST]|
|   RXTYPE: [1] GE-6                             |EVENT DATE:        03/20/2000|
+------------------------------------------------+EVENT TIME:        15:05[CST]|
| NRC NOTIFIED BY:  TOM LYNCH                    |LAST UPDATE DATE:  03/20/2000|
|  HQ OPS OFFICER:  BOB STRANSKY                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |LAWRENCE YANDELL     R4      |
|10 CFR SECTION:                                 |                             |
|DDDD 73.71               UNSPECIFIED PARAGRAPH  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          N       0        Refueling        |0        Refueling        |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| SECURITY REPORT                                                              |
|                                                                              |
| A contact employee attempted to bring contraband into the Protected Area.    |
| Immediate compensatory actions were taken upon discovery. The licensee       |
| notified the NRC resident inspector. Contact the NRC Operations Center for   |
| additional details.                                                          |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Other Nuclear Material                           |Event Number:   36818       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  TEMPLE UNIVERSITY                    |NOTIFICATION DATE: 03/20/2000|
|LICENSEE:  TEMPLE UNIVERSITY                    |NOTIFICATION TIME: 17:07[EST]|
|    CITY:  PHILADELPHIA             REGION:  1  |EVENT DATE:        03/20/2000|
|  COUNTY:                            STATE:  PA |EVENT TIME:        12:00[EST]|
|LICENSE#:  37-00697-31           AGREEMENT:  N  |LAST UPDATE DATE:  03/20/2000|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |LOUIS MANNING        R1      |
|                                                |WAYNE HODGES         NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  KURT BODISON                 |                             |
|  HQ OPS OFFICER:  BOB STRANSKY                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|BAAA 20.1906(d)           SURFACE CONT/ EXT RAD |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| PACKAGE RECEIVED WITH EXTERNAL RADIAITON READING GREATER THAN LIMIT          |
|                                                                              |
| A shipment of phosphorus-32 from New England Nuclear was received with an    |
| external radiation reading in excess of that permitted by the shipping       |
| label. The package was labeled with a Radioactive White I placard, but the   |
| licensee obtained a radiation reading of 225 mrem/hr on contact, using an    |
| ionization detector with the beta window uncovered. No external              |
| contamination was observed, although some contamination of the vial within   |
| the lead shield was found. The licensee believes that the shipment contains  |
| more than the specified 1 mCi of P-32, and that the high radiation reading   |
| is the result of bremsstrahlung. The shipment is being returned to the       |
| vendor.                                                                      |
|                                                                              |
| The licensee has already contacted NRC Region I regarding this event.        |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   36819       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SEQUOYAH                 REGION:  2  |NOTIFICATION DATE: 03/21/2000|
|    UNIT:  [1] [] []                 STATE:  TN |NOTIFICATION TIME: 06:15[EST]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        03/21/2000|
+------------------------------------------------+EVENT TIME:        04:40[EST]|
| NRC NOTIFIED BY:  BILL HARRIS                  |LAST UPDATE DATE:  03/21/2000|
|  HQ OPS OFFICER:  DOUG WEAVER                  +-----------------------------+
+------------------------------------------------+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     A/R        Y       75       Power Operation  |0        Hot Standby      |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| TURBINE TRIP - REACTOR TRIP                                                  |
|                                                                              |
| An electrical fault on the main generator caused a turbine trip and an       |
| anticipatory reactor trip.  All rods fully inserted and the plant response   |
| to the trip was as expected.  Decay heat is being removed by dumping steam   |
| to the main condenser.   Auxiliary Feedwater started as expected.   Reactor  |
| coolant pumps are running.  Offsite power and the emergency diesel           |
| generators are operable.                                                     |
|                                                                              |
| The licensee is investigating the cause of the turbine trip.  The licensee   |
| notified the NRC resident inspector.                                         |
+------------------------------------------------------------------------------+