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Event Notification Report for June 18, 2001

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           06/15/2001 - 06/18/2001

                              ** EVENT NUMBERS **

37936  38071  38073  38074  

!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED  !!!!!!!
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|Power Reactor                                    |Event Number:   37936       |
+------------------------------------------------------------------------------+
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| FACILITY: CALLAWAY                 REGION:  4  |NOTIFICATION DATE: 04/21/2001|
|    UNIT:  [1] [] []                 STATE:  MO |NOTIFICATION TIME: 02:31[EDT]|
|   RXTYPE: [1] W-4-LP                           |EVENT DATE:        04/20/2001|
+------------------------------------------------+EVENT TIME:        19:31[CDT]|
| NRC NOTIFIED BY:  SCOTT MAGLIO                 |LAST UPDATE DATE:  06/15/2001|
|  HQ OPS OFFICER:  LEIGH TROCINE                +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |CHARLES MARSCHALL    R4      |
|10 CFR SECTION:                                 |                             |
|AESF 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   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          N       0        Refueling        |0        Refueling        |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| UNANTICIPATED EMERGENCY DIESEL GENERATOR START DURING THE PERFORMANCE OF     |
| TESTING                                                                      |
|                                                                              |
| The following text is a portion of a facsimile received from the licensee:   |
|                                                                              |
| "This is notification of valid system actuation in accordance with           |
| 10CFR50.72(b)(3)(iv)(A)."                                                    |
|                                                                              |
| "At 1931 [CDT] on 04/20/01, the 'B' emergency diesel generator (EDG)         |
| automatically started during testing of the local emergency start            |
| pushbutton.  This was conducted as part of a pre-planned test for            |
| restoration following maintenance.  However, during the test, the system     |
| actuated in a way that was not part of the planned test.  Initial test of    |
| the signal was unsuccessful, and the start signal was not reset prior to     |
| restoring the EDG to the standby lineup.  Subsequently, when the start       |
| failure relay was locally reset, the EDG automatically started."             |
|                                                                              |
| "The unit was in no MODE at the time of the actuation."                      |
|                                                                              |
| The licensee plans to notify the NRC resident inspector.                     |
|                                                                              |
| * * *  UPDATE ON 06/15/01 @ 0829 BY BARTON TO GOULD * * *   RETRACTION       |
|                                                                              |
| The following text is a portion of a facsimile received from the licensee:   |
|                                                                              |
| "[...]  After further review, it has been determined that this event is not  |
| reportable.   At the time of the event, the 'B' Emergency Diesel Generator   |
| had been properly removed from service for engine governor modification and  |
| was being tested prior to be declared operable.   The signal generated was   |
| part of a test procedure and an invalid signal, thus not satisfying the      |
| reporting requirements of 10CFR50.72(b)(3)(iv)(A).   In addition, since the  |
| signal was invalid and the 'B' Emergency Diesel Generator had been properly  |
| removed from service, a Licensee Event Report is not required within sixty   |
| days per 10CFR50.73(a)(2)(iv)(A).  Callaway considers this event not         |
| reportable and is therefore retracting this event report recorded as Event   |
| #37936."                                                                     |
|                                                                              |
| The licensee plans to notify the NRC resident inspector.  The Reg 4 RDO      |
| (Pellet) was notified by the NRC operations officer.                         |
+------------------------------------------------------------------------------+

!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED  !!!!!!!
+------------------------------------------------------------------------------+
|Hospital                                         |Event Number:   38071       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  VIRGINIA CARDIOVASCULAR SPECIALIST   |NOTIFICATION DATE: 06/14/2001|
|LICENSEE:  VIRGINIA CARDIOVASCULAR SPECIALIST   |NOTIFICATION TIME: 14:59[EDT]|
|    CITY:  RICHMOND                 REGION:  2  |EVENT DATE:        06/13/2001|
|  COUNTY:                            STATE:  VA |EVENT TIME:        14:00[EDT]|
|LICENSE#:  4525406-01            AGREEMENT:  N  |LAST UPDATE DATE:  06/15/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |ANNE BOLAND          R2      |
|                                                |JOHN HICKEY          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  YVONNE WEAVER                |                             |
|  HQ OPS OFFICER:  FANGIE JONES                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|LADM 35.33(a)            MED MISADMINISTRATION  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| MEDICAL MISADMINISTRATION - WRONG PATIENT WAS GIVEN DIAGNOSTIC DOSAGE        |
|                                                                              |
| There were 2 patients in the waiting room with similar names.  When the name |
| was called out, the wrong patient answered and was administered the dose of  |
| 32.7 mCi of technetium Sestamibi Cardiolyte.  Subsequently, it was           |
| determined that the wrong patient received the dose.  The patient and        |
| attending physician have been notified.                                      |
|                                                                              |
| A written report will follow.                                                |
|                                                                              |
| * * * RETRACTION 0846 6/15/2001 FROM WEAVER TAKEN BY STRANSKY  * * *         |
|                                                                              |
| The licensee is retracting this notification.  This event involved a         |
| diagnostic dose of technetium and resulted in a dose to the patient which is |
| below the reporting threshold. Notified R2DO (Boland).                       |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38073       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: COMANCHE PEAK            REGION:  4  |NOTIFICATION DATE: 06/15/2001|
|    UNIT:  [1] [2] []                STATE:  TX |NOTIFICATION TIME: 11:18[EDT]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        06/15/2001|
+------------------------------------------------+EVENT TIME:        09:00[CDT]|
| NRC NOTIFIED BY:  TOM BAIN                     |LAST UPDATE DATE:  06/15/2001|
|  HQ OPS OFFICER:  BOB STRANSKY                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |DAVE LOVELESS        R4      |
|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 DUE TO ACID SPILL ONSITE                                |
|                                                                              |
| "At 0900 hrs Comanche Peak reported a spill of approximately 550 gallons of  |
| Hydroxy Ethylidene Diphosphonic Acid (Trade name 'Thru Guard') to the Texas  |
| Natural Resource Conservation Committee (TNRCC). The spill occurred at 0030  |
| hrs. on 6/15/01 when a thunderstorm moving through the area caused the level |
| gauge glass of the outside storage tank to separate from the tank. An        |
| estimated 20 gal of the spilled acid reached Squaw Creek Reservoir before    |
| the spill was contained.                                                     |
|                                                                              |
| "Clean up activities were completed at 0800 hrs on 6/15/01."                 |
|                                                                              |
| The NRC resident inspector has been informed of this notification by the     |
| licensee.                                                                    |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38074       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: ZION                     REGION:  3  |NOTIFICATION DATE: 06/15/2001|
|    UNIT:  [1] [2] []                STATE:  IL |NOTIFICATION TIME: 11:20[EDT]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        06/15/2001|
+------------------------------------------------+EVENT TIME:        08:15[CDT]|
| NRC NOTIFIED BY:  RODE                         |LAST UPDATE DATE:  06/15/2001|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |ROGER LANKSBURY      R3      |
|10 CFR SECTION:                                 |BILL BEECHER         PAO     |
|NONR                     OTHER UNSPEC REQMNT    |TOM BERGMAN          EDO     |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          N       0        Decommissioned   |0        Decommissioned   |
|2     N          N       0        Decommissioned   |0        Decommissioned   |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| PRESS RELEASE WILL BE MADE BY THE LICENSEE ABOUT AN ON-SITE FIRE             |
|                                                                              |
| A fire in a non-radiological area (computer UPS inverter cabinet in the      |
| turbine building) occurred with no injuries to personnel.  The fire was      |
| contained and extinguished within 30 mins by off-site fire department.       |
| Notification to the NRC was made due to unexpected significant press         |
| coverage and subsequent corporate press release to be issued.                |
|                                                                              |
| The NRC resident inspector was notified.                                     |
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