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Event Notification Report for June 5, 2001

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           06/04/2001 - 06/05/2001

                              ** EVENT NUMBERS **

37902  38049  38050  38051  38052  

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|Power Reactor                                    |Event Number:   37902       |
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| FACILITY: CRYSTAL RIVER            REGION:  2  |NOTIFICATION DATE: 04/09/2001|
|    UNIT:  [3] [] []                 STATE:  FL |NOTIFICATION TIME: 11:08[EDT]|
|   RXTYPE: [3] B&W-L-LP                         |EVENT DATE:        04/09/2001|
+------------------------------------------------+EVENT TIME:        09:54[EDT]|
| NRC NOTIFIED BY:  RICHARD SWEENEY              |LAST UPDATE DATE:  06/04/2001|
|  HQ OPS OFFICER:  STEVE SANDIN                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |CAUDLE JULIAN        R2      |
|10 CFR SECTION:                                 |                             |
|APRE 50.72(b)(2)(xi)     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  |
|                                                   |                          |
|                                                   |                          |
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                                   EVENT TEXT                                   
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| OFFSITE NOTIFICATION TO THE NATIONAL MARINE AND FISHERIES SERVICE AS A       |
| RESULT OF THE ENDANGERED SEA TURTLES NON-LETHAL TAKE LIMIT BEING EXCEEDED    |
|                                                                              |
| "On April 09, 2001 at 0940 the 40th non-lethal sea turtle take in the        |
| biennial period occurred.                                                    |
|                                                                              |
| "In accordance with Crystal River Unit #3 Operating License, Appendix B,     |
| Environmental Protection Plan (Non-Radiological),  'Endangered or threatened |
| sea turtles shall be protected in accordance with the Incidental Take        |
| Statement issued by the National Marine and Fisheries Service (NMFS).'  The  |
| NMFS has established numerical limits on live takes, lethal takes causally   |
| related to plant operation, and lethal takes not related to plant            |
| operations.                                                                  |
|                                                                              |
| "The NMFS must be notified within five days whenever:                        |
|                                                                              |
| a.  The 40th non-lethal take occurs in the biennial period, or               |
| b.  The third causally related mortality occurs in the biennial period, or   |
| c.   The sixth non-causally related mortality occurs in the biennial         |
| period.                                                                      |
|                                                                              |
| "The current biennial period for monitoring sea turtle takes began January   |
| 1, 2001.                                                                     |
|                                                                              |
| "Thus, in accordance with Crystal Unit #3 Administrative Instruction 571,    |
| Sea Turtle Rescue and Handling Guidance, the NMFS must be notified within    |
| five days.                                                                   |
|                                                                              |
| "In accordance with Crystal River Unit #3 Compliance Procedure 151, External |
| Reporting Requirements, this 40th non-lethal sea turtle take is Reportable   |
| as a 4-Hour Report under 10 CFR 50.72(b)(2)(xi) as this event is related to  |
| the protection of the environment for which a notification to other          |
| government agencies has been or will be made."                               |
|                                                                              |
| The licensee will inform the NRC resident inspector.                         |
|                                                                              |
| * * * UPDATE 0944EDT ON 4/10/01 FROM R. SWEENEY TO S. SANDIN * * *           |
|                                                                              |
| "On April 10, 2001 at 0859 the 41st non-lethal sea turtle take in the        |
| biennial period occurred."                                                   |
|                                                                              |
| The licensee informed the NRC resident inspector.  Notified R2DO(Julian).    |
|                                                                              |
| ***** UPDATE RECEIVED AT 0911 ON 04/17/01 FROM CHRISTOPHER PELLERIN TO LEIGH |
| TROCINE *****                                                                |
|                                                                              |
| The 42nd, non-lethal, sea turtle take in the biennial period occurred at     |
| 0810 on April 17, 2001.                                                      |
|                                                                              |
| The licensee notified the NRC resident inspector.  The NRC operations        |
| officer notified the R2DO (Ernstes).                                         |
|                                                                              |
| * * * UPDATE 1125 EDT ON 5/1/01 FROM DAVID SCHULKER TO FANGIE JONES * * *    |
|                                                                              |
| "On May 1, 2001 at 0805 a turtle was identified as the 43rd rescued, live    |
| sea turtle in this biennial period.  This sea turtle will be kept for a      |
| short observation period and then safely returned to the environment."       |
|                                                                              |
| The licensee will inform the NRC Resident Inspector and the National         |
| Wildlife and Fisheries Service.  Notified R2DO(Jay Henson).                  |
|                                                                              |
| * * * UPDATE ON 5/29/01 BY FERGUSON TO SANDIN * * *                          |
|                                                                              |
| On May 29, 2001 at 0943 two turtles were identified as the 44th and 45th     |
| rescued, Iive Sea turtles in this biennial period. These healthy sea turtles |
| will be kept for a short observation period and then safely returned to the  |
| environment.                                                                 |
|                                                                              |
|                                                                              |
| This is Reportable as a 4-Hour Report under 10 CFR 50.72 (b) (2) (xi) as     |
| this event is related to the protection of the environment for which a       |
| notification to other government agencies has been or will be made. This is  |
| an update to event 37902.                                                    |
|                                                                              |
| The NRC Resident Inspector was notified.  The REG2 RDO(Barr) was informed.   |
|                                                                              |
| * * * UPDATE 2014 EDT 6/4/2001 FROM RAWLS TAKEN BY STRANSKY * * *            |
|                                                                              |
| On June 4, 2001 at 1815, the 46th non-lethal sea turtle (Kemp's Ridley) take |
| in the biennial period occurred. The license has informed the NRC resident   |
| inspector.  Notified R2DO (Barr).                                            |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38049       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: CALVERT CLIFFS           REGION:  1  |NOTIFICATION DATE: 06/04/2001|
|    UNIT:  [1] [2] []                STATE:  MD |NOTIFICATION TIME: 09:24[EDT]|
|   RXTYPE: [1] CE,[2] CE                        |EVENT DATE:        06/04/2001|
+------------------------------------------------+EVENT TIME:        09:10[EDT]|
| NRC NOTIFIED BY:  JAMES GROOMS                 |LAST UPDATE DATE:  06/04/2001|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |ERIC REBER           R1      |
|10 CFR SECTION:                                 |                             |
|APRE 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                                   
+------------------------------------------------------------------------------+
| OFFSITE NOTIFICATION TO THE DEPARTMENT OF NATURAL RESOURCES                  |
|                                                                              |
| The licensee discovered a dead sea turtle on the cleaning racks of the       |
| intake structure.  The species of turtle is unknown and the licensee is      |
| calling the Department of Natural Resources for help in determining if the   |
| turtle is an endangered species.                                             |
|                                                                              |
| The licensee notified the NRC Resident Inspector.                            |
+------------------------------------------------------------------------------+

!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED  !!!!!!!
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|Hospital                                         |Event Number:   38050       |
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| REP ORG:  WESTERN MISSOURI MEDICAL CENTER      |NOTIFICATION DATE: 06/04/2001|
|LICENSEE:  WESTERN MISSOURI MEDICAL CENTER      |NOTIFICATION TIME: 12:52[EDT]|
|    CITY:  WARRENSBURG              REGION:  3  |EVENT DATE:        06/04/2001|
|  COUNTY:                            STATE:  MO |EVENT TIME:        08:00[CDT]|
|LICENSE#:                        AGREEMENT:  N  |LAST UPDATE DATE:  06/04/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |BRENT CLAYTON        R3      |
|                                                |JOHN HICKEY          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  RANDY WHITCOMB               |                             |
|  HQ OPS OFFICER:  BOB STRANSKY                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|LADM 35.33(a)            MED MISADMINISTRATION  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
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| PATIENT ADMINISTERED INCORRECT DOSE AND CHEMICAL FORM OF TECHNETIUM-99m      |
|                                                                              |
| A patient was prescribed a dose of 17 mCi of Tc-99m (MDP) for a bone scan;   |
| however, the patient actually received a dose of 5 mCi of Tc-99m (collatec). |
| The licensee stated that a medical technician picked up the wrong syringe.   |
| The patient and attending physician have be informed by the licensee.        |
|                                                                              |
| * * * RETRACTION 1542 6/4/2001 FROM WHITCOMB TAKEN BY STRANSKY * * *         |
|                                                                              |
| After discussion with NRC Region III, the licensee has determined that this  |
| event does not constitute a medical misadministration.  Notified R3DO        |
| (Clayton).                                                                   |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38051       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: BROWNS FERRY             REGION:  2  |NOTIFICATION DATE: 06/04/2001|
|    UNIT:  [] [2] [3]                STATE:  AL |NOTIFICATION TIME: 16:57[EDT]|
|   RXTYPE: [1] GE-4,[2] GE-4,[3] GE-4           |EVENT DATE:        04/11/2001|
+------------------------------------------------+EVENT TIME:        08:27[CDT]|
| NRC NOTIFIED BY:  RAY SWAFFORD                 |LAST UPDATE DATE:  06/04/2001|
|  HQ OPS OFFICER:  BOB STRANSKY                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |KEN BARR             R2      |
|10 CFR SECTION:                                 |                             |
|AINV 50.73(a)(1)         INVALID SPECIF SYSTEM A|                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     N          N       0        Refueling        |0        Refueling        |
|3     N          Y       100      Power Operation  |100      Power Operation  |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| INVALID PRIMARY CONTAINMENT ISOLATION SYSTEM ACTUATION DURING                |
| POST-MODIFICATION TEST ACTIVITIES                                            |
|                                                                              |
| "This 60-day telephone notification is being made under reporting            |
| requirements specified by 10 CFR 50.73(a)(2)(iv)(A), to describe an invalid  |
| actuation of the primary containment isolation system.                       |
|                                                                              |
| "Unit 2 was in mode 5 on day 24 of a scheduled refueling outage with the     |
| reactor cavity flooded. Unit 3 was at 100 percent power. The impact on the   |
| facility from the event was minimal. The plant equipment responded           |
| correctly.                                                                   |
|                                                                              |
| "On April 11, 2001 at 0827 hours Central Daylight Time, Unit 2 received      |
| invalid Group 2, 3, 6 and 8 Primary Containment Isolation Signals (PCIS)     |
| during performance of Post-Modification Testing (PMT) activities. The PCIS   |
| isolations were a result of an invalid low reactor water level signal        |
| generated when the power fuses were removed during the test,                 |
|                                                                              |
| "The following actuations/isolations occurred: (Group 3) Reactor Water       |
| Cleanup system isolated, (Group 6) Stand by Gas Treatment system Trains A,   |
| B, and C started, Control Room Emergency Ventilation B started, and          |
| ventilation systems that were not removed from service. Groups 2 and 8       |
| components were removed from service to support outage activities,           |
| subsequently, no equipment response occurred.                                |
|                                                                              |
| "The effected systems were returned to their pre-event configuration. There  |
| were no safety consequences or compromises to the health and safety of the   |
| public. The event was entered into TVA's corrective action program for       |
| resolution.                                                                  |
|                                                                              |
| "The NRC Site Resident Inspector has been notified."                         |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38052       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: KEWAUNEE                 REGION:  3  |NOTIFICATION DATE: 06/05/2001|
|    UNIT:  [1] [] []                 STATE:  WI |NOTIFICATION TIME: 04:59[EDT]|
|   RXTYPE: [1] W-2-LP                           |EVENT DATE:        06/05/2001|
+------------------------------------------------+EVENT TIME:        00:00[CDT]|
| NRC NOTIFIED BY:  BRADLY McMAHON               |LAST UPDATE DATE:  06/05/2001|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |BRENT CLAYTON        R3      |
|10 CFR SECTION:                                 |                             |
|ACOM 50.72(b)(3)(xiii)   LOSS COMM/ASMT/RESPONSE|                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       97       Power Operation  |97       Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| LOSS OF PROCESS COMPUTER WITH LINK TO SAFETY PARAMETERS DISPLAY SYSTEM       |
|                                                                              |
| The plant process computer system failed.  This system provides a link to    |
| the Safety Parameter Display System (SPDS).  Immediate actions were taken to |
| restore the computer and SPDS to no avail.  The plant computer group         |
| representative has been called in to address the computer problem.  Work     |
| continues to try and restore the computer to operation.  Also, the           |
| availability of the Emergency Response Data System (ERDS) availability is    |
| questionable.                                                                |
|                                                                              |
| The licensee notified the NRC Resident Inspector.                            |
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