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Event Notification Report for July 27, 2001

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           07/26/2001 - 07/27/2001

                              ** EVENT NUMBERS **

38174  38175  

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|Hospital                                         |Event Number:   38174       |
+------------------------------------------------------------------------------+
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| REP ORG:  WASHINGTON HOSPITAL CENTER           |NOTIFICATION DATE: 07/26/2001|
|LICENSEE:  WASHINGTON HOSPITAL CENTER           |NOTIFICATION TIME: 14:11[EDT]|
|    CITY:  WASHINGTON               REGION:  1  |EVENT DATE:        07/25/2001|
|  COUNTY:                            STATE:  DC |EVENT TIME:        17:00[EDT]|
|LICENSE#:  08-03604-03           AGREEMENT:  N  |LAST UPDATE DATE:  07/26/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |JOHN WHITE           R1      |
|                                                |FRED BROWN           NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  JOHN GLENN                   |                             |
|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|LADM 35.33(a)            MED MISADMINISTRATION  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| MEDICAL MISADMINISTRATION REPORT INVOLVING ADMINISTERED DOSAGE > PRESCRIBED  |
| DOSAGE                                                                       |
|                                                                              |
| At 1700EDT on 7/25/01 a patient undergoing treatment for hyperthyroidism     |
| received a 25.7 millicurie dose of I-131 instead of the 20 millicuries       |
| prescribed (28% greater than prescribed).  The licensee attributes the error |
| to inattention to detail on the part of the technologist involved, i.e., the |
| prescribed dosage was specified on the form.  Both the patient's mother and  |
| the referring physician have been informed.  Since the administered dosage   |
| is within the normal range allowed for this treatment, no adverse effects    |
| are anticipated.  The licensee will determine appropriate corrective         |
| actions.  Call the NRC Operations Center for contact information.            |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38175       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  TENNESSEE DIV OF RAD HEALTH          |NOTIFICATION DATE: 07/26/2001|
|LICENSEE:  AMERICAN ECOLOGY RECYCLE CENTER      |NOTIFICATION TIME: 14:29[EDT]|
|    CITY:  OAK RIDGE                REGION:  2  |EVENT DATE:        07/24/2001|
|  COUNTY:                            STATE:  TN |EVENT TIME:             [EDT]|
|LICENSE#:  R-01037               AGREEMENT:  Y  |LAST UPDATE DATE:  07/26/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |MALCOLM WIDMANN      R2      |
|                                                |PATRICK HILAND       R3      |
+------------------------------------------------+FRED BROWN           NMSS    |
| NRC NOTIFIED BY:  DEBRA SHULTS via fax         |                             |
|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT INVOLVING MISSING SR-90 SOURCES                       |
|                                                                              |
| "Event description: The licensee called the Division to report the loss of   |
| 997 mCi of Sr-90 sealed sources. The licensee's records indicate there were  |
| 14 individual sources received as brokered material from Stan A. Hauber      |
| Consultants, Inc., New Lenox. IL. These sources were received at the         |
| facility on June 26, 2000. Physical inventories have been performed and the  |
| sources have not been located. It is unknown whether the sources were        |
| encapsulated and sent for burial at a licensed disposal facility. This event |
| is reportable under SRPAR 1200-2-5-.140 (1)(a).1.(i)."                       |
|                                                                              |
| TN Event Report ID No.:  TN-01-137                                           |
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