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Event Notification Report for September 24, 2001

                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           09/21/2001 - 09/24/2001

                              ** EVENT NUMBERS **

38302  38303  38304  38305  38307  38308  

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|General Information or Other                     |Event Number:   38302       |
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| REP ORG:  CALIFORNIA RADIATION CONTROL PRGM    |NOTIFICATION DATE: 09/21/2001|
|LICENSEE:  MEDI-PHYSICS INC., dba NYCOMED AMERSH|NOTIFICATION TIME: 15:30[EDT]|
|    CITY:  San Diego                REGION:  4  |EVENT DATE:        09/21/2001|
|  COUNTY:                            STATE:  CA |EVENT TIME:        11:00[PDT]|
|LICENSE#:  5796-37               AGREEMENT:  Y  |LAST UPDATE DATE:  09/21/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |BILL JONES           R4      |
|                                                |SUSAN FRANT          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  ROBERT GREGER                |                             |
|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
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                                   EVENT TEXT                                   
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| AGREEMENT STATE REPORT INVOLVING RAD CONTAMINATION DURING TRANSPORT          |
|                                                                              |
| "On August 24th at approximately 9:00 a.m. at the Medi-Physics facility      |
| located at 4877 Mercury Street.                                              |
|                                                                              |
| "A courier for Medi-Physics brought back some empty ammo containers from the |
| morning deliveries. The containers were wiped upon receipt and it was        |
| discovered that one of the containers had removable contamination on the top |
| of the container. From our phone conversation it appears that the level of   |
| removable contamination was approximately 300,000 DPM/ 100 cm2. The material |
| was identified as Technetium-99. Medi-Physics will be submitting a letter    |
| with the details to my attention. The RSO at the hospital was contacted and  |
| he completed a survey to check for contamination at their facility. It is    |
| not known at this time the results of that survey. The courier's feet and    |
| the pedals of the vehicle also showed elevated levels of contamination."     |
|                                                                              |
| This information was reported to the San Diego Office on 9/21/01 at          |
| approximately 1100PDT.  CA Event Report Identification XCA 85.               |
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|General Information or Other                     |Event Number:   38303       |
+------------------------------------------------------------------------------+
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| REP ORG:  NV DIV OF RAD HEALTH                 |NOTIFICATION DATE: 09/21/2001|
|LICENSEE:  SUNRISE DIAGNOSTIC CENTER            |NOTIFICATION TIME: 17:25[EDT]|
|    CITY:  LAS VEGAS                REGION:  4  |EVENT DATE:        09/21/2001|
|  COUNTY:                            STATE:  NV |EVENT TIME:             [PDT]|
|LICENSE#:  03-12-0395-02         AGREEMENT:  Y  |LAST UPDATE DATE:  09/21/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |JOHN PELLET          R4      |
|                                                |ERIC LEEDS           NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  STAN MARSHALL                |                             |
|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT INVOLVING POTENTIAL MEDICAL MISADMINISTRATION         |
|                                                                              |
| "Malfunction of Leksell Gamma Knife patient table. Possible                  |
| misadministration to patient. Licensee is preparing a written report with    |
| more detail, corrective action, etc.                                         |
|                                                                              |
| "Patient being treated in a Gamma Knife unit rolled up against the table and |
| table was unable to automatically retract from the Gamma Knife 'cave.'       |
| Licensee personnel were able to enter the room and manually remove the       |
| patient and table from the 'cave.'  Personnel exposure estimated to be       |
| between 3 mr and 20 mr.  Gamma Knife manufacturer (Leksell) has also been    |
| notified."                                                                   |
|                                                                              |
| Event Report ID No. NV-01-004.  Event location Las Vegas, NV.                |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38304       |
+------------------------------------------------------------------------------+
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| FACILITY: MCGUIRE                  REGION:  2  |NOTIFICATION DATE: 09/22/2001|
|    UNIT:  [1] [2] []                STATE:  NC |NOTIFICATION TIME: 03:48[EDT]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        09/22/2001|
+------------------------------------------------+EVENT TIME:        00:39[EDT]|
| NRC NOTIFIED BY:  ERIC WILKINSON               |LAST UPDATE DATE:  09/22/2001|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |CHARLES CASTO        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 THE LOCAL AUTHORITIES DUE TO AN INCIDENT IN FRONT OF |
| THE PLANT                                                                    |
|                                                                              |
| The licensee's security department contacted the local police department     |
| about an incident just outside the plant at the highway entrance about a     |
| quarter mile from the protected area.                                        |
|                                                                              |
| The licensee notified the NRC Resident Inspector.                            |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Fuel Cycle Facility                              |Event Number:   38305       |
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| FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT   |NOTIFICATION DATE: 09/22/2001|
|   RXTYPE: URANIUM ENRICHMENT FACILITY          |NOTIFICATION TIME: 06:21[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER                   |EVENT DATE:        09/22/2001|
|           6903 ROCKLEDGE DRIVE                 |EVENT TIME:        02:25[EDT]|
|           BETHESDA, MD 20817    (301)564-3200  |LAST UPDATE DATE:  09/22/2001|
|    CITY:  PIKETON                  REGION:  3  +-----------------------------+
|  COUNTY:  PIKE                      STATE:  OH |PERSON          ORGANIZATION |
|LICENSE#:  GDP-2                 AGREEMENT:  N  |JOHN MADERA          R3      |
|  DOCKET:  0707002                              |ERIC LEEDS           NMSS    |
+------------------------------------------------+RICHARD WESSMAN      IRO     |
| NRC NOTIFIED BY:  ERICK SPAETH                 |                             |
|  HQ OPS OFFICER:  FANGIE JONES                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NBNL                     RESPONSE-BULLETIN      |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| 4 HOUR REPORT - NRC BULLETIN 91-01                                           |
|                                                                              |
| On 9/22/01 at 0225 hrs., operations personnel in the X-330 process building  |
| discovered that a UO2F2 deposit with "Greater Than Safe Mass" (GSM) was no   |
| longer being buffered with dry air or N2, to greater than or equal to 14     |
| psia. The deposit was located at 31-5, cell 6/8 drop. The buffer pressure    |
| had been monitored from an adjacent cell 31-5-8. Block valves marked as open |
| on a pin chart, were found to be closed, thus isolating the deposit from the |
| monitoring cell. The GSM deposit pressure was verified to be 5.81 psia with  |
| Maintenance and Test Equipment (M&TE).                                       |
|                                                                              |
| NCSA-0330_004.A06 requirement #8a states in part, "If there is a deposit     |
| greater than a safe mass for systems conditions in the equipment, the        |
| pressure in the equipment shall monitored each shift and if the pressure is  |
| less than 14 psia it shall be adjusted with dry air or N2 to greater than 14 |
| psia within 12 hours."                                                       |
|                                                                              |
| Buffer pressure was increased to greater than 14 psia at 0425 hours.         |
| Remaining areas of the plant with similar conditions were checked and        |
| verified to be compliant with the 14 psia Buffer pressure requirement.       |
|                                                                              |
| SAFETY SIGNIFICANCE OF EVENTS:                                               |
| MODERATE, in this event the equipment was potentially without a buffer for 5 |
| months which is insufficient time to allow enough water to enter the pipe    |
| and moderate the deposit to the level required to support a criticality.     |
|                                                                              |
| POTENTIAL CRITICALITY PATHWAYS INVOLVED (BRIEF SCENARIO[S] OF HOW            |
| CRITICALITY COULD OCCUR): Sufficient moderation must be added to a deposit   |
| at > safe mass to potentially create a critical configuration. This is       |
| highly dependent on geometry and reflection conditions.                      |
|                                                                              |
| CONTROLLED PARAMETERS (MASS, MODERATION, GEOMETRY, CONCENTRATION, FTC.):     |
| In this event, moderation is the only available control, and it was not      |
| maintained. Other parameters, like geometry and reflection, are assumed to   |
| be optimum.                                                                  |
|                                                                              |
| ESTIMATED AMOUNT, ENRICHMENT, FORM OF LICENSED MATERIAL (INCLUDE PROCESS     |
| LIMIT AND % WORST CASE OF CRITICAL MASS):                                    |
| Worst case 1549 pounds U02F2 +/- 50% (max. 2323 pounds) at 2.26% based on    |
| available Non-Destructive analysis Measurements.  This mass is above the     |
| minimum critical mass (690 pounds U02F2 at optimum conditions) for this      |
| enrichment level.                                                            |
|                                                                              |
| NUCLEAR CRITICALITY SAFETY CONTROL(S) OR CONTROL SYSTEM(S) AND DESCRIPTION   |
| OF THE FAILURES OR DEFICIENCIES:                                             |
| Moderation Control was not maintained for up to 5 months, change in system   |
| configuration unknowingly isolated the deposit from pressure monitoring      |
| point.                                                                       |
|                                                                              |
| CORRECTIVE ACTIONS TO RESTORE SAFETY SYSTEM AND WHEN EACH WAS IMPLEMENTED:   |
| 0425 hours required buffer re-established, the valves involved were opened   |
| and tagged to remain open, verified remaining 4 like conditions were         |
| buffered as required. Investigation in progress.                             |
|                                                                              |
| The licensee notified the NRC Resident Inspector and the on-site DOE         |
| representative.                                                              |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38307       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: WATTS BAR                REGION:  2  |NOTIFICATION DATE: 09/23/2001|
|    UNIT:  [1] [] []                 STATE:  TN |NOTIFICATION TIME: 18:45[EDT]|
|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        09/23/2001|
+------------------------------------------------+EVENT TIME:        18:34[EDT]|
| NRC NOTIFIED BY:  BEN HUNT                     |LAST UPDATE DATE:  09/23/2001|
|  HQ OPS OFFICER:  JOHN MacKINNON               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |BRIAN BONSER         R2      |
|10 CFR SECTION:                                 |JOHN ZWOLINSKI       NRR     |
|NINF                     INFORMATION ONLY       |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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                                   
+------------------------------------------------------------------------------+
| CONDITION FOR AN UNUSUAL EVENT REPORTED BUT NOT DECLARED.                    |
|                                                                              |
|                                                                              |
| At 1755ET the sensing line to the "B" Centrifugal Charging Pump (CCP) local  |
| discharge pressure gage broke.  The operator noticed that the Volume Control |
| Tank level was decreasing, Reactor Coolant System Pressurizer level did not  |
| change, but the VCT low level alarm was never reached.  The leak was from    |
| the sensing line for "B" CCP local discharge pressure gage which is located  |
| in the Auxiliary Building.  The leak rate was determined to be approximately |
| 25 gpm by using the plant computer monitor to determine the rate of change   |
| of the  Volume Control Tank level.    All the water issuing from the sensing |
| line drained into the Auxiliary Building drain system which drained into the |
| radwaste system.  No release offsite.                                        |
|                                                                              |
| The licensee is not in any Limiting Condition of Operation at this time.     |
| "B" CCP  is fully operable because it's discharge pressure can be read from  |
| several locations, "A" CCP is fully operable.  All other emergency core      |
| cooling systems, emergency diesel generators are fully operable if needed.   |
| State and Local officials were notified of this event.                       |
|                                                                              |
| The time between 1801 hours and 1834 hours were used to determine the size   |
| of the leak from the Volume Control Tank.                                    |
|                                                                              |
| The NRC Resident Inspector will be notified of this event by the licensee.   |
+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38308       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: NINE MILE POINT          REGION:  1  |NOTIFICATION DATE: 09/24/2001|
|    UNIT:  [1] [] []                 STATE:  NY |NOTIFICATION TIME: 05:55[EDT]|
|   RXTYPE: [1] GE-2,[2] GE-5                    |EVENT DATE:        09/24/2001|
+------------------------------------------------+EVENT TIME:        04:55[EDT]|
| NRC NOTIFIED BY:  LAURIE RAYLE                 |LAST UPDATE DATE:  09/24/2001|
|  HQ OPS OFFICER:  FANGIE JONES                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |JAMES LINVILLE       R1      |
|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       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| LOSS OF PROMPT NOTIFICATION TONE ALERT RADIO FOR GREATER THAN 1 HOUR         |
|                                                                              |
| The licensee received a call at 0504 EDT from the Oswego County Warning      |
| Point that the Oswego County Prompt Notification Tone Alert Radio had been   |
| out-of-service for greater than 1 hour as of 0455 EDT.  The cause of the     |
| outage is unknown and is being investigated.                                 |
|                                                                              |
| The licensee notified the NRC Resident Inspector.                            |
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