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Event Notification Report for October 23, 2001

                         
                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           10/22/2001 - 10/23/2001

                              ** EVENT NUMBERS **

38411  38412  38413  38414  38415  38416  
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|Power Reactor                                    |Event Number:   38411       |
+------------------------------------------------------------------------------+
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| FACILITY: FARLEY                   REGION:  2  |NOTIFICATION DATE: 10/21/2001|
|    UNIT:  [1] [2] []                STATE:  AL |NOTIFICATION TIME: 19:41[EDT]|
|   RXTYPE: [1] W-3-LP,[2] W-3-LP                |EVENT DATE:        10/21/2001|
+------------------------------------------------+EVENT TIME:        18:20[CDT]|
| NRC NOTIFIED BY:  ROBERT FUCICH                |LAST UPDATE DATE:  10/22/2001|
|  HQ OPS OFFICER:  BOB STRANSKY                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |R2 IRC TEAM MANAGER  R2      |
|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          N       0        Refueling        |0        Refueling        |
|2     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| LOSS OF SOME OFFSITE COMMUNICATIONS                                          |
|                                                                              |
| The licensee reported that the Emergency Notification Network, used to       |
| contact state and local government agencies, is currently inoperable. The    |
| licensee has confirmed that commercial telephone communication with these    |
| agencies is still possible. The NRC resident inspector will be informed of   |
| this condition by the licensee.                                              |
|                                                                              |
| * * * UPDATE 0139EDT ON 10/22/01 FROM ROBERT FUCICH TO S. SANDIN * * *       |
|                                                                              |
| The licensee restored the Emergency Notification Network to service at       |
| 0039CDT.  Notified R2IRC.                                                    |
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.
!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED  !!!!!!!
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|Hospital                                         |Event Number:   38412       |
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+------------------------------------------------------------------------------+
| REP ORG:  CABELL HUNTINGTON HOSPITAL           |NOTIFICATION DATE: 10/22/2001|
|LICENSEE:  CABELL HUNTINGTON HOSPITAL           |NOTIFICATION TIME: 08:16[EDT]|
|    CITY:  HUNTINGTON               REGION:  2  |EVENT DATE:        10/22/2001|
|  COUNTY:                            STATE:  WV |EVENT TIME:             [EDT]|
|LICENSE#:  47-00404-02           AGREEMENT:  N  |LAST UPDATE DATE:  10/22/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |R2 IRC TEAM MANAGER  R2      |
|                                                |PAT RATHBUN          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  FRED PEATROSS                |                             |
|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|LADM 35.33(a)            MED MISADMINISTRATION  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| MEDICAL MISADMINISTRATION INVOLVING A DIAGNOSTIC GIVEN TO THE WRONG
PATIENT  |
|                                                                              |
| At approximately 1400EDT on Friday,10/19/01, a 12.2 millicurie Tc-99m        |
| cardiolite dose for a resting cardiolite study was administered to a 70-year |
| old female patient.  The technologist administering the diagnostic dose      |
| relied on oral confirmation as to the patient's identity since the patient's |
| wristband was missing. The patient responded "right" several times when      |
| asked if she was patient "x."  When she was taken to the treadmill area she  |
| identified herself as patient "y."  The Director of Nuclear Medicine was     |
| informed this morning when he returned to work of the error and has informed |
| the referring physician.  The patient will be notified later today.  There   |
| are no adverse effects anticipated from this incident.  Corrective action    |
| includes verification of identity using wristbands.                          |
|                                                                              |
| * * * UPDATE 1205EDT ON 10/22/01 FROM PEATROSS TO S. SANDIN * * *            |
|                                                                              |
| The licensee is retracting this report in that it does not meet the criteria |
| for reporting as a misadministration.  Notified R2IRC and NMSS(Frant).       |
+------------------------------------------------------------------------------+
.
+------------------------------------------------------------------------------+
|Other Nuclear Material                           |Event Number:   38413       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  UNDERWOOD ENGINEERING                |NOTIFICATION DATE: 10/22/2001|
|LICENSEE:  UNDERWOOD ENGINEERING                |NOTIFICATION TIME: 11:10[EDT]|
|    CITY:  MT. EPHRAIM              REGION:  1  |EVENT DATE:        10/22/2001|
|  COUNTY:                            STATE:  NJ |EVENT TIME:        07:45[EDT]|
|LICENSE#:  29-23425-01           AGREEMENT:  N  |LAST UPDATE DATE:  10/22/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |R1 IRC TEAM MANAGER  R1      |
|                                                |SUSAN FRANT          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  CRIS OSLUND                  |                             |
|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|BAB1 20.2201(a)(1)(i)    LOST/STOLEN LNM>1000X  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| REPORT INVOLVING A STOLEN TROXLER GAUGE                                      |
|                                                                              |
| A Troxler Gauge,  Model 3430 S/N 31156, containing 8 millicuries Cs-137 and  |
| 40 millicuries Am-241/Be was stolen from the bed of a company truck at a     |
| construction site on Ruan Street, off of Frankfurt, in the northeast         |
| District of Philadelphia, PA.  The employee parked the truck at              |
| approximately 0730EDT and discovered both the gauge and it's case missing at |
| 0745EDT when he returned.  The device was properly stowed for transport with |
| indication of forcible removal.  The licensee notified both Troxler and the  |
| Philadelphia Police Department.                                              |
+------------------------------------------------------------------------------+
.
+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38414       |
+------------------------------------------------------------------------------+
                         
+------------------------------------------------------------------------------+
| REP ORG:  TEXAS DEPARTMENT OF HEALTH           |NOTIFICATION DATE: 10/22/2001|
|LICENSEE:  QTE GROUP, INC.                      |NOTIFICATION TIME: 12:00[EDT]|
|    CITY:  GARLAND                  REGION:  4  |EVENT DATE:        09/29/2001|
|  COUNTY:                            STATE:  TX |EVENT TIME:        08:30[CDT]|
|LICENSE#:  L05222                AGREEMENT:  Y  |LAST UPDATE DATE:  10/22/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |WILLIAM JOHNSON      R4      |
|                                                |SUSAN FRANT          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  HELEN WATKINS (via fax)      |                             |
|  HQ OPS OFFICER:  STEVE SANDIN                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT INVOLVING A STOLEN TROXLER GAUGE                      |
|                                                                              |
| The following is a portion of a fax received from the Texas Department of    |
| Health:                                                                      |
|                                                                              |
| "On the morning of September 29, 2001, [a] QTE technician picked up Troxler  |
| Gauge [Model 3440] SN:30229 from office to perform test on a project in      |
| Garland at 8:30 a.m. On his way to project he realized that he forgot his    |
| wallet and returned home to pick it up.  After returning to his pickup (1998 |
| Chevy S-10 -  Silver), he noticed that the lock was cut and the gauge had    |
| been stolen (approximately 8:00 a.m.).  Source numbers are (CS-137:          |
| 750-4377) and (AM-241: 47-27208)."                                           |
|                                                                              |
| The licensee notified the City of Garland Police Department (Report Number   |
| R028859) and the Texas Department of Health (Texas Incident Number I-7816).  |
+------------------------------------------------------------------------------+
.
+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38415       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  OHIO BUREAU OF RADIATION PROTECTION  |NOTIFICATION DATE:
10/22/2001|
|LICENSEE:  BOWSER-MORNER, INC                   |NOTIFICATION TIME: 12:02[EDT]|
|    CITY:  TOLEDO                   REGION:  3  |EVENT DATE:        10/22/2001|
|  COUNTY:                            STATE:  OH |EVENT TIME:             [EDT]|
|LICENSE#:  OH-3121058000         AGREEMENT:  Y  |LAST UPDATE DATE:  10/22/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |BRENT CLAYTON        R3      |
|                                                |SUSAN FRANT          NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  SNEE                         |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| THE STATE REPORTED A STOLEN TROXLER MOISTURE/DENSITY GAUGE FROM ONE
OF THEIR |
| LICENSEES                                                                    |
|                                                                              |
| Bowser-Morner, Inc (State of Ohio licensee) reported the theft of a Troxler  |
| moisture/density gauge (model 3430, serial 31270) containing a 1.44 GBq      |
| (38.9 mCi Am-Be sealed source and a 0.28 GBq (7.7 mCi) Cs-137 sealed source. |
| The gauge was stolen from the back of a truck parked at an employee's        |
| residence in Toledo, Ohio. The gauge was stolen in the time period between   |
| the evening of 10/20/01 and the morning of 10/22/01. The handle of the gauge |
| case had been pried off, leaving the handle and locked chain. The licensee   |
| notified the Toledo and Oregon, Ohio police departments.                     |
+------------------------------------------------------------------------------+
.
+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38416       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: THREE MILE ISLAND        REGION:  1  |NOTIFICATION DATE: 10/22/2001|
|    UNIT:  [1] [] []                 STATE:  PA |NOTIFICATION TIME: 18:48[EDT]|
|   RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP            |EVENT DATE:        10/22/2001|
+------------------------------------------------+EVENT TIME:        13:57[EDT]|
| NRC NOTIFIED BY:  MILLER                       |LAST UPDATE DATE:  10/22/2001|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |R1 IRC TEAM MANAGER  R1      |
|10 CFR SECTION:                                 |WILLIAM BECKNER      NRR     |
|ADEG 50.72(b)(3)(ii)(A)  DEGRADED CONDITION     |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE  
|
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1     N          N       0        Refueling        |0        Refueling        |
|                                                   |                          |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                   
+------------------------------------------------------------------------------+
| DISCOVERY OF A THROUGH-WALL LEAK AROUND 3 (THREE) CONTROL ROD DRIVE       
  |
| MECHANISM NOZZLES (REACTOR COOLANT SYSTEM PRESSURE BOUNDARY LEAK)     
      |
|                                                                              |
| On October 11 and 12, 2001, following shutdown for a scheduled refueling     |
| outage, Three Mile Island Unit 1 (TMI-1) performed a visual inspection of    |
| the Reactor Vessel (RV) Control Rod Drive Mechanism (CRDM) nozzles per NRC   |
| Bulletin 2001-01. The inspection revealed evidence of boric acid buildup     |
| around 12 CRDM nozzles.  No other CRDM nozzles showed similar boron buildup. |
| After the RV head was removed and placed on the storage stand, additional    |
| inspections were performed.  At approximately 1357 on October 22, 2001,      |
| Engineering evaluation of the visual inspection, Liquid Penetrant Test (PT)  |
| data and Ultrasonic Test (UT) data identified through-wall indications on    |
| three CRDM nozzles. This engineering evaluation concluded that the visual    |
| indications around CRDMs 44, 35, and 37 indicate a Reactor Coolant System    |
| (RCS) pressure boundary leak.  The inspection is not yet completed, thus     |
| additional CRDM through-wall indications may be identified. This condition   |
| is consistent with industry experience with Primary Water Stress Corrosion   |
| Cracking (PWSCC) in similar components that have been evaluated as part of   |
| the NRC Generic Letter 97-01 and NRC Bulletin 2001-01.  Additional nozzles   |
| may be examined by UT in accordance with TMl-1's response to NRC Bulletin    |
| 2001-01.  This condition did not pose a significant safety risk during plant |
| operation.  TMl-1 plans to perform CRDM nozzle repairs during the current    |
| refueling outage.  Since the condition resulted in leakage through the RCS   |
| pressure boundary, it is being reported as a non-emergency [8-hour] report   |
| in accordance with 10 CFR 50.72(b)(3) (ii)(A) and 50.73(a)(2)(ii) (A).       |
|                                                                              |
| The NRC resident inspector has been notified.                                |
+------------------------------------------------------------------------------+
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