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Event Notification Report for September 4, 2001

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           08/31/2001 - 09/04/2001

                              ** EVENT NUMBERS **

37902  38254  38255  38256  38257  38258  38259  38260  38261  38262  

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   37902       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| 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:  09/03/2001|
|  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  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| 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).                                            |
|                                                                              |
| * * * UPDATE 1315EDT ON 6/10/01 FROM CHARLES J. MORRIS TO S. SANDIN * * *    |
|                                                                              |
| On June 10, 2001 at 1100, the 47th non-lethal sea turtle take in the         |
| biennial period occurred. The license has informed the NRC resident          |
| inspector.  Notified R2DO (Bonser).                                          |
|                                                                              |
| * * * UPDATE 0952 ON 8/20/2001 FROM FERGUSON TAKEN BY STRANSKY * * *         |
|                                                                              |
| On August 20, 2001 at 0815, the 48th non-lethal sea turtle take in the       |
| biennial period occurred. The licensee as informed the NRC resident          |
| inspector. Notified R2DO (Payne).                                            |
|                                                                              |
| * * *  UPDATE 1216 ON 9/3/01 BY SCHULKER TO GOULD * * *                      |
|                                                                              |
| On September 3, 2001 at 0845 a turtle was identified as the 49th rescued,    |
| live sea turtle in this biennial period.  This turtle has an injury to the   |
| lower jaw and is being transported to the Clearwater Marine Science Station  |
| for treatment. It has not been determined at this time if the injury is      |
| casually related to Crystal River Operations.                                |
|                                                                              |
| 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 NTC Resident Inspector and  other government agencies will be notified.  |
|                                                                              |
| Notified Reg 2 RDO(Lesser)                                                   |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38254       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SALEM                    REGION:  1  |NOTIFICATION DATE: 08/31/2001|
|    UNIT:  [1] [] []                 STATE:  NJ |NOTIFICATION TIME: 08:35[EDT]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        08/31/2001|
+------------------------------------------------+EVENT TIME:        04:55[EDT]|
| NRC NOTIFIED BY:  FORD                         |LAST UPDATE DATE:  08/31/2001|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |DAVID LEW            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  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| NATIONAL MARINE FISHERIES SERVICE NOTIFIED OF THE RECOVERY OF A DEAD         |
| LOGGERHEAD TURTLE                                                            |
|                                                                              |
| A deceased endangered loggerhead turtle was recovered from the circulating   |
| water intake trash bars.  Based on the condition of the turtle, it was       |
| determined to have been deceased for some time and the cause was not         |
| directly related to being impinged on the circulating water (cw) trash       |
| bars.                                                                        |
|                                                                              |
| The NRC Resident Inspector will be notified along with the National Marine   |
| Fisheries Service                                                            |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Hospital                                         |Event Number:   38255       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  MAYO CLINIC                          |NOTIFICATION DATE: 08/31/2001|
|LICENSEE:  SAINT MARYS HOSPITAL                 |NOTIFICATION TIME: 09:19[EDT]|
|    CITY:  ROCHESTER                REGION:  3  |EVENT DATE:        08/30/2001|
|  COUNTY:                            STATE:  MN |EVENT TIME:        08:55[CDT]|
|LICENSE#:  22-26031-01           AGREEMENT:  N  |LAST UPDATE DATE:  08/31/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |JOHN MADERA          R3      |
|                                                |JOHN HICKEY          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  CLASSIC                      |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|LADM 35.33(a)            MED MISADMINISTRATION  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| MEDICAL MISADMINISTRATION DURING THE USE OF A GAMMA STEREO TACTIC UNIT       |
|                                                                              |
| A CANCER PATIENT WAS UNDERGOING THERAPEUTIC TREATMENTS AND RECEIVED A        |
| COBALT-60 DOSE GREATER THAN 39% OF THE PRESCRIBED DOSE.  THE PRESCRIBED DOSE |
| WAS 20 GRAYS AND THE ACTUAL DOSE WAS 27.8 GRAYS.   CAUSE OF THE              |
| MISADMINISTRATION WAS DUE TO THE TIME OF TREATMENT BEING INCORRECTLY ENTERED |
| IN THE TREATMENT UNIT.  THE PATIENT AND PHYSICIAN WERE NOTIFIED.             |
| THERE IS NO ANTICIPATION OF ANY ADVERSE AFFECT.                              |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38256       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  KANSAS DEPT OF HEALTH & ENVIRONMENT  |NOTIFICATION DATE: 08/31/2001|
|LICENSEE:  UNIVERSITY OF KANSAS HOSPITAL AUTHORI|NOTIFICATION TIME: 13:30[EDT]|
|    CITY:  KANSAS CITY              REGION:  4  |EVENT DATE:        08/31/2001|
|  COUNTY:                            STATE:  KS |EVENT TIME:             [CDT]|
|LICENSE#:  18-C801               AGREEMENT:  Y  |LAST UPDATE DATE:  08/31/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |GAIL GOOD            R4      |
|                                                |SUSAN FRANT          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  TOM CONLEY                   |                             |
|  HQ OPS OFFICER:  BOB STRANSKY                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT - MEDICAL MISADMINISTRATION                           |
|                                                                              |
| The wrong radiopharmaceutical was administered to a patient, resulting in a  |
| dose of 9 rem (90 mSv) to the lower large intestine. A technician had picked |
| up two doses:  one Tc-99m dose (prescribed for the patient) and one Ga-67    |
| dose. The technician then engaged in a conversation with another individual, |
| became distracted and inadvertently administered the Ga-67 dose to the       |
| patient.                                                                     |
|                                                                              |
| The hospital will be submitting a written report to the state within 15      |
| days.                                                                        |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38257       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  TENNESSEE DIV OF RAD HEALTH          |NOTIFICATION DATE: 08/31/2001|
|LICENSEE:  HENRY COUNTY MEDICAL CENTER          |NOTIFICATION TIME: 16:10[EDT]|
|    CITY:  PARIS                    REGION:  2  |EVENT DATE:        08/31/2001|
|  COUNTY:                            STATE:  TN |EVENT TIME:             [EDT]|
|LICENSE#:                        AGREEMENT:  Y  |LAST UPDATE DATE:  08/31/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |MARK LESSER          R2      |
|                                                |                             |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  DEBRA SHULTS (FACSIMILE)     |                             |
|  HQ OPS OFFICER:  BOB STRANSKY                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT                                                       |
|                                                                              |
| "The licensee called to report that 105 iodine-125 seeds totaling 336        |
| millicuries were missing. The seeds were delivered to the hospital by        |
| Airborne Express on 8/29/01 and records indicate they were received by a     |
| purchasing clerk at approximately 2:00 p.m.. A prostate implant was          |
| scheduled for the morning of 8/31/01. When the radiation therapy             |
| technologist went to retrieve the seeds from the nuclear medicine            |
| department. the nuclear medicine technologist was unaware that any seeds had |
| been delivered to the hospital. The clerk who signed for the seeds is not at |
| the hospital today and on vacation until Tuesday. The housekeeping staff     |
| member who cleaned the area on 8/29/01 does not recall seeing any container  |
| fitting the description of the one in which the seeds were packaged and      |
| delivered. The Nuclear Medicine Department and the Radiology Department have |
| been searched and the package not located. The dumpsters were emptied and    |
| sent to the landfill prior to discovery of the missing sources. An           |
| investigation is underway at the hospital. State radiation control personnel |
| will conduct an onsite investigation."                                       |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38258       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  TEXAS DEPARTMENT OF HEALTH           |NOTIFICATION DATE: 08/31/2001|
|LICENSEE:  ATSER CORPORATION                    |NOTIFICATION TIME: 17:15[EDT]|
|    CITY:  HOUSTON                  REGION:  4  |EVENT DATE:        08/30/2001|
|  COUNTY:                            STATE:  TX |EVENT TIME:        12:15[CDT]|
|LICENSE#:  L04741                AGREEMENT:  Y  |LAST UPDATE DATE:  08/31/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |GAIL GOOD            R4      |
|                                                |                             |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  HELEN WATKINS (FACSIMILE)    |                             |
|  HQ OPS OFFICER:  BOB STRANSKY                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT - STOLEN NUCLEAR GAUGE FOUND                          |
|                                                                              |
| "A yellow box with a Yellow II label was found and Hazmat responded to the   |
| scene. The box was found abandoned in a dumpster at an apartment building.   |
| Hazmat's radiation survey meters indicated the presence of radioactive       |
| material. However, the radiation levels indicated were inconsistent with     |
| readings expected from a gauge. It was later determined the Hazmat team had  |
| confused ÁR with mR and the readings were much lower than earlier believed.  |
|                                                                              |
| "The city requested assistance to identify the owner of the gauge and        |
| possibly to take possession of the gauge. Because Houston was recently       |
| flooded, the city's basement area (with a lead lined vault was severely      |
| damaged and could not be used to temporarily secure the gauge.               |
|                                                                              |
| "It was determined that the gauge belonged to ATSER Corporation (L04741). A  |
| former employee reported carrying it in his vehicle and it was stolen along  |
| with the vehicle. The company is still investigating. The gauge is a         |
| Humboldt, s/n 3612. The source serial number of the Cs-137 source is 9842GQ  |
| and the Am-241/Be source is NJ03905."                                        |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38259       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: HARRIS                   REGION:  2  |NOTIFICATION DATE: 09/01/2001|
|    UNIT:  [1] [] []                 STATE:  NC |NOTIFICATION TIME: 00:05[EDT]|
|   RXTYPE: [1] W-3-LP                           |EVENT DATE:        08/31/2001|
+------------------------------------------------+EVENT TIME:        23:08[EDT]|
| NRC NOTIFIED BY:  JAMES ABRAHAM                |LAST UPDATE DATE:  09/01/2001|
|  HQ OPS OFFICER:  STEVE SANDIN                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |MARK LESSER          R2      |
|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          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| 1-HOUR SECURITY REPORT INVOLVED SAFEGUARDS SYSTEM DEGRADATION                |
|                                                                              |
| Safeguards system degradation related to detection of area boundary.         |
| Immediate compensatory measures taken upon discovery.  The licensee will     |
| inform the NRC resident inspector.  Contact the Headquarters Operations      |
| Center for additional details.                                               |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38260       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SAINT LUCIE              REGION:  2  |NOTIFICATION DATE: 09/01/2001|
|    UNIT:  [1] [2] []                STATE:  FL |NOTIFICATION TIME: 08:45[EDT]|
|   RXTYPE: [1] CE,[2] CE                        |EVENT DATE:        09/01/2001|
+------------------------------------------------+EVENT TIME:        08:15[EDT]|
| NRC NOTIFIED BY:  JOE HESSLING                 |LAST UPDATE DATE:  09/01/2001|
|  HQ OPS OFFICER:  STEVE SANDIN                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |MARK LESSER          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   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       100      Power Operation  |100      Power Operation  |
|2     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| OFFSITE NOTIFICATION TO FLORIDA STATE AND WILDLIFE INVOLVING INJURED TURTLE  |
|                                                                              |
| "Notification being made due to a State Notification (Florida State and      |
| Wildlife) at 0815.                                                           |
|                                                                              |
| "Notification made due to injured immature Loggerhead sea turtle being       |
| transported offsite for rehabilitation.                                      |
|                                                                              |
| "Notification to offsite agency requires NRC notification pursuant to        |
| 10CFR50.72(b)(2)(xi)."                                                       |
|                                                                              |
| The licensee will inform the NRC resident inspector.                         |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38261       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: DUANE ARNOLD             REGION:  3  |NOTIFICATION DATE: 09/02/2001|
|    UNIT:  [1] [] []                 STATE:  IA |NOTIFICATION TIME: 17:52[EDT]|
|   RXTYPE: [1] GE-4                             |EVENT DATE:        09/02/2001|
+------------------------------------------------+EVENT TIME:        13:08[CDT]|
| NRC NOTIFIED BY:  MIKE HAUNER                  |LAST UPDATE DATE:  09/02/2001|
|  HQ OPS OFFICER:  BOB STRANSKY                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |PATRICK HILAND       R3      |
|10 CFR SECTION:                                 |                             |
|AIND 50.72(b)(3)(v)(D)   ACCIDENT MITIGATION    |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| HPCI SYSTEM DECLARED INOPERABLE                                              |
|                                                                              |
| "The High Pressure Coolant Injection (HPCI) steam supply line drain trap     |
| developed a steam leak that required the drain trap to be manually           |
| isolated.                                                                    |
|                                                                              |
| "At 1308, shortly after isolating the steam trap, the HPCI steam supply      |
| drain pot high level alarm was received; the HPCI system was declared        |
| inoperable and a 14-day LCO was entered per Technical Specification 3.5.1    |
| Condition F.                                                                 |
|                                                                              |
| "At 1326, the HPCI turbine auto start feature was defeated to mitigate the   |
| potential damage to the turbine and other components from water in the steam |
| supply line.                                                                 |
|                                                                              |
| "Unplanned HPCI system inoperability is reportable under 50.72(b)(3)(v)(D)   |
| as a single train failure that could have prevented the fulfillment of a     |
| safety function of structures or systems to mitigate the consequences of an  |
| accident."                                                                   |
|                                                                              |
| The NRC resident inspector has been informed of this notification by the     |
| licensee.                                                                    |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38262       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: LASALLE                  REGION:  3  |NOTIFICATION DATE: 09/03/2001|
|    UNIT:  [] [2] []                 STATE:  IL |NOTIFICATION TIME: 22:02[EDT]|
|   RXTYPE: [1] GE-5,[2] GE-5                    |EVENT DATE:        09/03/2001|
+------------------------------------------------+EVENT TIME:        17:28[CDT]|
| NRC NOTIFIED BY:  COVEYOU                      |LAST UPDATE DATE:  09/03/2001|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |PATRICK HILAND       R3      |
|10 CFR SECTION:                                 |JACK STROSNIDER      NRR     |
|ARPS 50.72(b)(2)(iv)(B)  RPS ACTUATION - CRITICA|                             |
|ACCS 50.72(b)(2)(iv)(A)  ECCS INJECTION         |                             |
|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   |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     M/R        Y       100      Power Operation  |0        Hot Shutdown     |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| REACTOR MANUALLY SCRAMMED FROM 100% DUE TO LOW  VESSEL LEVEL                 |
|                                                                              |
| This report is being made per 10CFR50.72(b)(2)(iv)(B) RPS actuation (4 hour  |
| notification for U-2), 10CFR50.72(b)(2)(iv)(A) ECCS Injection/Actuation (4   |
| hour notification for Unit 2), and 10CFR50.72(b)(3)(iv)(A) System Actuation  |
| not including RPS (8 hour notification for Unit 1 and 2).                    |
|                                                                              |
| At 1728 CST. Monday, 9-3-01,U-2 was manually scrammed.  Initiating event     |
| appears to be a loss of Bus 241Y, which resulted in a loss of feedwater.     |
| The reactor was manually scrammed at approximately 20 inches before the      |
| automatic scram setpoint for low vessel water level.  All rods fully         |
| inserted.                                                                    |
|                                                                              |
| The Reactor Core Isolation Cooling (RCIC) and High-Pressure Core Spray       |
| (HPCS) systems automatically started and injected and restored Reactor       |
| Pressure  Vessel (RPV) level.                                                |
|                                                                              |
| A primary containment-level 2 isolation occurred and the Reactor             |
| Recirculation pumps tripped at minus 50 inches as expected.  Unit 1 was      |
| affected due to standby gas treatment auto start and the reactor building    |
| vent system isolation.                                                       |
|                                                                              |
| The lowest Reactor water level reached was minus 55 inches (106 inches above |
| the top of active fuel) as indicated by the Division 2 instrumentation and   |
| was recovered to normal level with RCIC and HPCS within a few minutes.       |
| Approximately 10,000 gallons of water was injected.                          |
|                                                                              |
| Bus 241Y was automatically re-energized from the (0) Common Diesel           |
| Generator.                                                                   |
|                                                                              |
| Dry-well pressure increased due to the expected loss of primary containment  |
| cooling.  The highest pressure reached was approximately (1) one psig.       |
| Primary Containment Cooling has been restored.  There are no indications of  |
| a leak inside the primary containment.                                       |
|                                                                              |
| RPV pressure is being controlled at 800 to 1000 psig by the use of RCIC.     |
| Main Steam Line drains, and manual operation of Safety Relief Valve (as      |
| necessary).  RPV level has been restored to normal and feedwater is being    |
| used.                                                                        |
|                                                                              |
| Subsequent in the Reactor Scram, the 2A RHR Pump failed to start when        |
| manually initiating from the Main Control Room (for suppression pool         |
| cooling).                                                                    |
|                                                                              |
| System isolations have been restored with exception of reactor water cleanup |
| and the Reactor Recirculation Hydraulic Power Units on U-2.                  |
|                                                                              |
| The station is taking action to investigate the cause of the initial loss of |
| 241Y and the unrelated failure to start of the 2A RHR pump.   At this time,  |
| there appears to be a blown fuse for the 241Y bus Under Voltage logic which  |
| prevented the 2A RHR pump from starting.                                     |
|                                                                              |
| The plant is stable.                                                         |
|                                                                              |
| The NRC resident inspector has been notified.                                |
+------------------------------------------------------------------------------+