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Event Notification Report for February 14, 2001

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           02/13/2001 - 02/14/2001

                              ** EVENT NUMBERS **

37731  37737  37738  37739  37740  37741  37742  37743  

+------------------------------------------------------------------------------+
|Other Nuclear Material                           |Event Number:   37731       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  U.S. ARMY                            |NOTIFICATION DATE: 02/09/2001|
|LICENSEE:  U.S. ARMY                            |NOTIFICATION TIME: 11:19[EST]|
|    CITY:                           REGION:  3  |EVENT DATE:        02/08/2001|
|  COUNTY:                            STATE:  IL |EVENT TIME:             [CST]|
|LICENSE#:  12-00722-06           AGREEMENT:  Y  |LAST UPDATE DATE:  02/13/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |KEN BROCKMAN         R4      |
|                                                |DR. COOL             NMSS    |
+------------------------------------------------+BRENT CLAYTON        R3      |
| NRC NOTIFIED BY:  JOYCE KUYKENDALL             |                             |
|  HQ OPS OFFICER:  DOUG WEAVER                  |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|BAB1 20.2201(a)(1)(i)    LOST/STOLEN LNM>1000X  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| LOST SOURCE AT FT. RILEY, KANSAS                                             |
|                                                                              |
| The U.S. Army Aberdeen Proving Grounds reported the loss of a chemical agent |
| detector, model number M43A1.  The detector contains 300 microcuries of      |
| Am-241.  The exact date, time and circumstances of the loss are not known.   |
|                                                                              |
| * * * UPDATE 1150EST ON 2/13/01 FROM JEFF HAVENNER TO S. SANDIN * * *        |
|                                                                              |
| The Rock Island Depot updated this report to provide the following           |
| additional details:  The detector was lost during an Infantry training       |
| exercise.  The unit involved is currently at Ft. Irwin, CA and unavailable   |
| for questioning.  The RSO at Ft. Riley intends to conduct a search of the    |
| exercise area when the snow melts.  Notified R1DO(Anderson), R3DO(Phillips)  |
| and NMSS(Sturz).                                                             |
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+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   37737       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  MA RADIATION CONTROL PROGRAM         |NOTIFICATION DATE: 02/13/2001|
|LICENSEE:  AEATECH QSA, INC.                    |NOTIFICATION TIME: 10:00[EST]|
|    CITY:                           REGION:  1  |EVENT DATE:        02/12/2001|
|  COUNTY:                            STATE:  MA |EVENT TIME:        14:45[EST]|
|LICENSE#:  12-8361               AGREEMENT:  Y  |LAST UPDATE DATE:  02/13/2001|
|  DOCKET:  99-0014                              |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |CLIFFORD ANDERSON    R1      |
|                                                |GREG PICK            R4      |
+------------------------------------------------+FREDRICK STURZ       NMSS    |
| NRC NOTIFIED BY:  ROBERT GALLAGHAR             |                             |
|  HQ OPS OFFICER:  JOHN MacKINNON               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| SEALED SOURCE DELIVERED TO THE INCORRECT ADDRESS                             |
|                                                                              |
| On 01/25/01 AEA Technology QSA, Inc., shipped a packaged 500 mCi             |
| promethium-147 sealed source via FED EX to Impact Systems located in Los     |
| Gatos, CA.  On 02/01/2001 Impact Systems called AEA Technology QSA asking    |
| where the package was.  AEA Technology QSA, Inc., contacted FED EX and was   |
| informed that the package had been delivered to Fastech Integration, Inc.,   |
| located at 101 Albright St., Los Gatos, CA.                                  |
|                                                                              |
| FED EX went back to the address to reclaim the package and to complete the   |
| delivery to Impact Systems.  FED EX said that they would notify AEA          |
| Technology QSA, Inc., and let them know if there was a problem.              |
|                                                                              |
| AEA Technology QSA, Inc., received a second call from Impact Systems on      |
| 02/07/01 asking where the package was.  AEA Technology QSA, Inc.,            |
| immediately contacted FED EX on 02/07/01.  On 02/12/01 FED EX informed AEA   |
| Technology QSA, Inc., that they had gone back to Fastech Integration, Inc.,  |
| and spoke to the individual who has signed for the package, but the receiver |
| stated she did not have the package.                                         |
|                                                                              |
| The State of Massachusetts informed the State of California of this event    |
| and are still following up on this event.                                    |
|                                                                              |
| * * * UPDATE AT 1511 EST ON 2/13/01 BY ROBERT GALLAGHAR TO FANGIE JONES * *  |
| *                                                                            |
|                                                                              |
| The source has been located by Fastech Integration, Inc. and delivered to    |
| Impact Systems, the company that ordered the source.  The package was        |
| intact.  The State of Massachusetts will inform the State of California of   |
| the event update.                                                            |
|                                                                              |
| The R1DO (Clifford Anderson), R4DO (Greg Pick), and NMSS (Fred Sturz) have   |
| been informed.                                                               |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37738       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SAINT LUCIE              REGION:  2  |NOTIFICATION DATE: 02/13/2001|
|    UNIT:  [1] [2] []                STATE:  FL |NOTIFICATION TIME: 10:57[EST]|
|   RXTYPE: [1] CE,[2] CE                        |EVENT DATE:        02/13/2001|
+------------------------------------------------+EVENT TIME:        10:40[EST]|
| NRC NOTIFIED BY:  JACK BREEN                   |LAST UPDATE DATE:  02/13/2001|
|  HQ OPS OFFICER:  JOHN MacKINNON               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |KEN BARR             R2      |
|10 CFR SECTION:                                 |                             |
|*PRE 50.72(b)(2)(xi)     OFFSITE NOTIFICATION   |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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                                   
+------------------------------------------------------------------------------+
| FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION WAS NOTIFIED THAT A SICK   |
| SEA TURTLE NEEDED REHABILITATION.                                            |
|                                                                              |
| The licensee rescued a sea turtle from the intake canal.  As a result, the   |
| licensee notified the Florida Fish and Wildlife Conservation Commission that |
| the turtle had been rescued and needed rehabilitation.                       |
|                                                                              |
| The resident inspector was notified of this event by the licensee.           |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   37739       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  COOPER POWER SYSTEMS INC             |NOTIFICATION DATE: 02/13/2001|
|LICENSEE:  COOPER POWER SYSTEMS INC             |NOTIFICATION TIME: 11:53[EST]|
|    CITY:  FRANKSVILLE              REGION:  3  |EVENT DATE:        01/18/2001|
|  COUNTY:                            STATE:  WI |EVENT TIME:             [CST]|
|LICENSE#:  48-173-83-02          AGREEMENT:  N  |LAST UPDATE DATE:  02/13/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |MONTE PHILLIPS       R3      |
|                                                |FRITZ STURZ          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  OWEN                         |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|BAB2 20.2201(a)(1)(ii)   LOST/STOLEN LNM>10X    |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| THE LICENSEE REPORTED A MISSING ELECTRON CAPTURE DETECTOR                    |
|                                                                              |
| During a physical inventory of radiation sources, the licensee reported that |
| an electron capture detector for a gas chromatograph, used in a chem lab,    |
| was missing on the last inventory performed on 01/18/01.  The device was a   |
| PerkinElmer model PE009-0282 serial # 1648 containing Ni-63 <15 millicuries. |
| A search was made, but the device did not show up.  It was last inventoried  |
| approximately three years ago.                                               |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Hospital                                         |Event Number:   37740       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  UNION HOSPITAL                       |NOTIFICATION DATE: 02/13/2001|
|LICENSEE:  UNION HOSPITAL                       |NOTIFICATION TIME: 15:42[EST]|
|    CITY:  TERRE HAUTE              REGION:  3  |EVENT DATE:        02/13/2001|
|  COUNTY:  VIGO                      STATE:  IN |EVENT TIME:             [CST]|
|LICENSE#:  12-16457-01           AGREEMENT:  N  |LAST UPDATE DATE:  02/13/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |MONTE PHILLIPS       R3      |
|                                                |E. WILLIAM BRACH     NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  DEAN TAYLOR                  |                             |
|  HQ OPS OFFICER:  FANGIE JONES                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|BAB2 20.2201(a)(1)(ii)   LOST/STOLEN LNM>10X    |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| LOST SOURCE - SEED USED FOR PROSTATE PROCEDURE                               |
|                                                                              |
| The hospital discovered that one seed out of 110 seeds, apparent activity is |
| .311 mCi I-125 (full activity is .587 mCi) was missing after the completion  |
| of an implant procedure.  An extensive search of the operating room,         |
| equipment, drains, laundry, and hallways failed to discover the missing      |
| seed.  The patient was scanned and the best analysis is that the patient     |
| received the proper number of seeds.  There is little or no threat to the    |
| public health or safety. The hospital contacted NRC Region 3.                |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   37741       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  ARIZONA RADIATION REGULATORY AGENCY  |NOTIFICATION DATE: 02/13/2001|
|LICENSEE:  RICKER-ATKINSON-McBEE & ASSOC.       |NOTIFICATION TIME: 17:11[EST]|
|    CITY:                           REGION:  4  |EVENT DATE:        02/13/2001|
|  COUNTY:                            STATE:  AZ |EVENT TIME:             [MST]|
|LICENSE#:  07-406                AGREEMENT:  Y  |LAST UPDATE DATE:  02/13/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |GREG PICK            R4      |
|                                                |E. WILLIAM BRACH     NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  WILLIAM WRIGHT               |                             |
|  HQ OPS OFFICER:  FANGIE JONES                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          N/A                   |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT OF A STOLEN TROXLER GAUGE                             |
|                                                                              |
| "This first notice constitutes EARLY notice of events of POSSIBLE safety or  |
| public interest significance. The information is that which is available     |
| after preliminary investigation and is basically all that is known by the    |
| Agency Staff at this time.                                                   |
|                                                                              |
| "Date: 02/13/01                                                              |
| Time: 0430-0815 AM, MST                                                      |
| First Notice No. 01-01:                                                      |
|                                                                              |
| "Arizona Licensee: Ricker-Atkinson-McBee & Assoc.                            |
| License: No. 07-406                                                          |
|                                                                              |
| "Description of the event: Between the hours of 0430 AM and 0815 AM a        |
| Troxler Moisture Density Gauge,  Model #3440, S/N 26981 was stolen from the  |
| licensee's facility while locked and chained in the bed of the users 2000    |
| Dodge Dakota Pickup Truck, Arizona Lic. #523FCY. The gauge and scatter block |
| were removed from the transport case and the case remained in the pickup. A  |
| reward of $500.00 is being offered by the licensee upon return of the        |
| gauge.                                                                       |
|                                                                              |
| "The states of Utah, California, Colorado, New Mexico, and U.S. NRC Region   |
| IV, USNRC-DC, USFBI and the governor's office are being informed of this     |
| incident."                                                                   |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37742       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: WATERFORD                REGION:  4  |NOTIFICATION DATE: 02/13/2001|
|    UNIT:  [3] [] []                 STATE:  LA |NOTIFICATION TIME: 21:18[EST]|
|   RXTYPE: [3] CE                               |EVENT DATE:        02/13/2001|
+------------------------------------------------+EVENT TIME:        16:54[CST]|
| NRC NOTIFIED BY:  CHARLES DeDEAUX              |LAST UPDATE DATE:  02/13/2001|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |GREG PICK            R4      |
|10 CFR SECTION:                                 |                             |
|*RPS 50.72(b)(2)(iv)(B)  RPS ACTUATION - CRITICA|                             |
|*ESF 50.72(b)(3)(iv)(A)  VALID SPECIF SYS ACTUAT|                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|3     A/R        Y       82       Power Operation  |0        Hot Standby      |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AUTOMATIC REACTOR TRIP DURING TURBINE VALVE TESTING                          |
|                                                                              |
| "On 2/13/2001 at 1654 CST Waterford 3 sustained a reactor trip from 82% RTP. |
| The reactor trip was most probably caused by variable over power trip, which |
| is a core protection calculator auxiliary trip. Actuation of the emergency   |
| feedwater system also occurred due to shrinkage of coolant in the steam      |
| generator caused by the reactor trip; however, no emergency feedwater was    |
| actually fed into the steam generators. Actuation of the emergency feedwater |
| system is a normal occurrence following a reactor trip. This condition is    |
| reportable under 10CFR50.72(b)(2)(iv)(B), any event or condition that        |
| results in actuation of the reactor protection system when the reactor is    |
| critical, which is a 4 hour report; and 10CFR50.72(b)(3)(iv)(A), any event   |
| or condition that results in valid actuation of the emergency feedwater      |
| system, which is an 8 hour report. At the time of the trip Waterford 3 was   |
| performing turbine valve testing per OP-903-007. Governor Valve 3 was being  |
| tested and sporadically started opening and closing."                        |
|                                                                              |
| The plant is stable in Hot Standby with excess heat removed via forced       |
| circulation to the steam generators and steam released through the bypasses  |
| to the main condensers.                                                      |
|                                                                              |
| The licensee notified the NRC Resident Inspector.                            |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37743       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: INDIAN POINT             REGION:  1  |NOTIFICATION DATE: 02/14/2001|
|    UNIT:  [2] [] []                 STATE:  NY |NOTIFICATION TIME: 02:51[EST]|
|   RXTYPE: [2] W-4-LP,[3] W-4-LP                |EVENT DATE:        02/14/2001|
+------------------------------------------------+EVENT TIME:        01:50[EST]|
| NRC NOTIFIED BY:  MARK LEONE                   |LAST UPDATE DATE:  02/14/2001|
|  HQ OPS OFFICER:  LEIGH TROCINE                +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          N/A                   |CLIFFORD ANDERSON    R1      |
|10 CFR SECTION:                                 |                     NRR     |
|*ESF 50.72(b)(3)(iv)(A)  VALID SPECIF SYS ACTUAT|                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|2     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| THE LOSS OF A 480-VOLT BUS DUE TO A PERSONNEL ERROR DURING SURVEILLANCE      |
| TESTING RESULTED IN THE AUTOMATIC START OF THREE EMERGENCY DIESEL            |
| GENERATORS.                                                                  |
|                                                                              |
| At 0150 on 02/14/01, 480-volt bus 3A was lost due to incorrect operation of  |
| a switch during performance of a surveillance test.  An individual           |
| performing the test needed to simultaneously hold a switch in the bypass     |
| position while a test button was pressed, and the switch was not held in the |
| correct position.  As a result, an undervoltage signal was inserted on the   |
| bus when the test button was pushed, and all three emergency diesel          |
| generators automatically started as designed.                                |
|                                                                              |
| The licensee stated that the emergency diesel generators do not              |
| automatically load on the loss of an internal bus and that all automatic     |
| functions operated properly.  The licensee also stated that the loss of any  |
| 480-volt bus places the unit in a shutdown action statement in accordance    |
| with Technical Specification 3.0.1.  However, power (via an emergency diesel |
| generator) was restored to the bus in accordance with procedures at 0215,    |
| and restoration of power satisfied the action statement requirements in      |
| Technical Specification 3.0.1 within 25 minutes.  The licensee is currently  |
| in the process of restoring normal bus power supply.                         |
|                                                                              |
| The licensee stated that bus 3A is one of the power supplies for the 22      |
| safety injection pump.  This bus also supplies power to the 21 residual heat |
| removal pump, 22 and 25 service water pumps, 24 fan cooler unit, 21          |
| auxiliary boiler feed pump, 22 charging pump, 21 backup heater for the       |
| pressurizer, and 23 instrument bus (via the 23 battery charger).             |
|                                                                              |
| The licensee plans to notify the NRC resident inspector and applicable       |
| government agencies.  The licensee may also issue a press release.           |
+------------------------------------------------------------------------------+