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Event Notification Report for December 3, 2001

                         
                    U.S. Nuclear Regulatory Commission
                              Operations Center

                              Event Reports For
                           11/30/2001 - 12/03/2001

                              ** EVENT NUMBERS **

38520  38525  38526  38527  38528  38529  38530  38531  38532  
.
+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38520       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  TENNESSEE DIV OF RAD HEALTH          |NOTIFICATION DATE: 11/28/2001|
|LICENSEE:  TRI-STATE TESTING AND DRILLING, INC. |NOTIFICATION TIME: 11:50[EST]|
|    CITY:  CHATTANOOGA              REGION:  2  |EVENT DATE:        11/28/2001|
|  COUNTY:                            STATE:  TN |EVENT TIME:        06:00[EST]|
|LICENSE#:  R-33105               AGREEMENT:  Y  |LAST UPDATE DATE:  11/28/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |EDWARD MCALPINE       R2     |
|                                                |FRED BROWN           NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  DEBRA SHULTS (fax)           |                             | 
|  HQ OPS OFFICER:  LEIGH TROCINE                |                             |
+------------------------------------------------+                             | 
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                           
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT REGARDING A TRI-STATE TESTING AND DRILLING, INC.   
  |
| TROXLER MOISTURE DENSITY GAUGE STOLEN IN CHATTANOOGA, TENNESSEE            
 |
|                                                                              |
| The following text is a portion of a facsimile received from the State of    |
| Tennessee, Department of Environment and Conservation, Division of           |
| Radiological Health:                                                         |
|                                                                              |
| "Event Report ID No.:  TN-01-217"                                            |
|                                                                              |
| "License Number:  R-33105"                                                   |
|                                                                              | 
| "Licensee:  Tri-State Testing and Drilling, Inc."                            |
|                                                                              |
| "Event date and time:  November 28, 2001, approx. 0600 EST"                  |
|                                                                              |
| "Event location:  Chattanooga, TN"                                           |
|                                                                              |
| "Event type:  Stolen moisture density gauge"                                 |
|                                                                              |
| "Notifications:  Tennessee Emergency Management Agency, USNRC Region II,     |
| Alabama Office of Radiation Control, Georgia Radioactive Materials Program,  |
| Chattanooga Police Department"                                               |
|                                                                              |
| "Media interest:  None at this time.  A press release is being issued by     |
| TDEC."                                                                       |
|                                                                              |
| "Event description:  Tri-State Testing and Drilling, Inc. reported a Troxler |
| moisture density gauge, Model 3440, SN 17252, containing 8 millicuries of    |
| Cesium-137 and 40 millicuries of Americium-241:Beryllium, was stolen from    |
| the bed of a pickup truck early this morning.  The gauge was chained in the  |
| back of the truck parked at an employees residence.  Thieves cut the chain   |
| and removed the locked container.  State DRH inspectors are onsite           |
| investigating at this time."                                                 |
|                                                                              |
| (Call the NRC operations officer for contact information.)                   |
+------------------------------------------------------------------------------+
.
+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38525       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: POINT BEACH              REGION:  3  |NOTIFICATION DATE: 11/29/2001|
|    UNIT:  [1] [2] []                STATE:  WI |NOTIFICATION TIME: 18:07[EST]|
|   RXTYPE: [1] W-2-LP,[2] W-2-LP                |EVENT DATE:        11/29/2001|
+------------------------------------------------+EVENT TIME:        15:38[CST]|
| NRC NOTIFIED BY:  MEYER                        |LAST UPDATE DATE:  11/30/2001|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |BRUCE JORGENSEN       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  |
|2     N          Y       100      Power Operation  |100      Power Operation  |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                  
+------------------------------------------------------------------------------+
| A LOSS OF INSTRUMENT AIR MAY CAUSE A POTENTIAL COMMON MODE FAILURE FOR
ALL   |
| AUXILIARY FEEDWATER PUMPS.                                                   |
|                                                                              |
| Instrument Air (IA) can be lost primarily by two failure mechanisms.  The    |
| first, and most likely, is a loss of off-site power where the IA and Service |
| Air (SA) compressors are stripped from the bus and not automatically         |
| re-loaded.  The second less likely scenario is a random loss of the          |
| instrument air system due to equipment failure without potential for short   |
| term recovery. When IA is lost, the minimum flow recirculation valves for    |
| AFW fail closed.                                                             |
|                                                                              |
| During these two transients, the AFW pumps will start injecting into the     |
| steam generators.  Early in the EOP's, the operator is directed to control   |
| flow to the steam generators to maintain desired level.  This may include    |
| shutting off flow to one or both steam generators if level is above the      |
| desired band.  If flow from any auxiliary feed pump is reduced too low (as   |
| would occur if the auxiliary feed regulating valves are closed) without      |
| functional recirculation valves, the pump will fail in a very short period   |
| of time.  This common mode of failure (common loss of instrument air and     |
| common response to high steam generator level) could result in simultaneous  |
| failure of all AFW pumps.                                                    |
|                                                                              |
| The Auxiliary Feedwater system has passed all required testing and is        |
| currently fully operable and capable of performing its safety function.  It  |
| is only under the specific circumstances outlined above that a failure of    |
| Auxiliary Feedwater may occur.  The licensee is taking interim corrective    |
| actions in the form of Operating Crew briefs to ensure Auxiliary Feedwater   |
| is not damaged under Loss of Air conditions and is evaluating procedural and |
| equipment design changes to provide a permanent correction to Aux.           |
| Feedwater.                                                                   |
|                                                                              |
| The NRC Resident Inspector will be notified.                                 |
|                                                                              |
|                                                                              |
| * * * UPDATE ON 11/30/01 @ 1849 BY RAASCH TO GOULD * * *                     |
|                                                                              |
| The purpose of this supplement is to clarify the discussion of the potential |
| failure of one or more Auxiliary Feedwater (AFW) pumps as described in Event |
| Notification #38525.  The potential failure is limited to only the minimum   |
| recirculation flow control valves for the AFW pumps.  These recirculation    |
| valves function automatically to provide recirculation flow during periods   |
| of low Steam Generator (SG) demand from the AFW pumps.  This potential       |
| failure mode would manifest itself during a loss of offsite power, with an   |
| attendant loss of instrument air, if the operator, while reducing AFW flow   |
| to a SG after satisfactory initial filling, fails to recognize that the      |
| recirculation valves do not open while reducing AFW flow to the steam        |
| generators. This action would have to be done individually to each of the    |
| running AFW pumps for multiple failures to occur.                            |
|                                                                              |
| The air operated valves for controlling AFW pump output flowrate are         |
| safety-related and are not susceptible to this condition since the           |
| instrument air supply to these valves is backed up by a safety-related       |
| Nitrogen backup system. These valves would continue to be capable of         |
| supplying and controlling the required AFW flow to the steamgenerators.      |
|                                                                              |
| As an interim corrective action, operating personnel were provided a         |
| briefing on this potential failure mechanism to ensure the AFW pumps are not |
| damaged under a Loss of Instrument Air condition.  Additionally, temporary   |
| information tags have been hung to ensure continued awareness until an       |
| evaluation of potential procedural and equipment design changes can be       |
| completed.                                                                   |
|                                                                              |
| The NRC Resident Inspector was notified.                                     |
|                                                                              |
| The Reg 3 RDO(Jorgensen) was informed.                                       |
+------------------------------------------------------------------------------+
.
+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38526       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: FT CALHOUN               REGION:  4  |NOTIFICATION DATE: 11/30/2001|
|    UNIT:  [1] [] []                 STATE:  NE |NOTIFICATION TIME: 10:37[EST]|
|   RXTYPE: [1] CE                               |EVENT DATE:        11/29/2001|
+------------------------------------------------+EVENT TIME:        13:00[CST]|
| NRC NOTIFIED BY:  ERICK MATZKE                 |LAST UPDATE DATE:  11/30/2001|
|  HQ OPS OFFICER:  STEVE SANDIN                 +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |WILLIAM JOHNSON      R4      |
|10 CFR SECTION:                                 |                             |
|HFIT 26.73               FITNESS FOR DUTY       |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|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                                   
+------------------------------------------------------------------------------+
| FITNESS FOR DUTY REPORT INVOLVING A NON-LICENSED EMPLOYEE'S USE OF A        
|
| CONTROLLED SUBSTANCE                                                         |
|                                                                              |
| A non-licensed employee (supervisor) was determined to be under the          |
| influence of a controlled substance.  The employee's access to the plant has |
| been terminated.  Contact the Headquarters Operations Officer for additional |
| details.  The licensee will inform the NRC resident inspector.               |
+------------------------------------------------------------------------------+
.
+------------------------------------------------------------------------------+
|Hospital                                         |Event Number:   38527       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  GENESYS REGIONAL MEDICAL CENTER      |NOTIFICATION DATE:
11/30/2001|
|LICENSEE:  GENESYS REGIONAL MEDICAL CENTER      |NOTIFICATION TIME:
12:03[EST]|
|    CITY:  GRAND BLANC              REGION:  3  |EVENT DATE:        11/30/2001|
|  COUNTY:                            STATE:  MI |EVENT TIME:        09:30[EST]|
|LICENSE#:  21-26740-01           AGREEMENT:  N  |LAST UPDATE DATE:  11/30/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |BRUCE JORGENSEN       R3     |
|                                                |                             |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  FREDERICK                    |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|BAA2 20.1906(d)(2)        EXTERNAL RAD LEVELS > |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                           
-------------------------------------------------------------------------------+
| INCORRECT SHIPPING PACKAGE USED FOR SHIPPING I-133 TO THE MEDICAL
FACILITY   |
|                                                                              |
| The Genesys Regional Medical Center received a shipment of 156 millicuries   |
| of I-133 from Syncor International in Flint, Mi. that was packaged in a      |
| Yellow - 2 package.   Yellow - 2 packages have a 50 mr/hr limit for          |
| transporting radiological materials.   Syncor had monitored the shipment as  |
| 80 mr/hr and the medical facility monitored it at 100 mr/hr.   Therefore, it |
| should have been shipped in another type of package(possibly a Yellow - 3).  |
| There was no contamination measured.  Syncor was notified of this error by   |
| the medical center.                                                          |
+------------------------------------------------------------------------------+
.
+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38528       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  CALIFORNIA RADIATION CONTROL PRGM    |NOTIFICATION DATE:
11/30/2001|
|LICENSEE:  UNIVERSITY OF CALIFORNIA AT SAN DIEGO|NOTIFICATION TIME:
12:48[EST]|
|    CITY:  SAN DIEGO                REGION:  4  |EVENT DATE:        11/28/2001|
|  COUNTY:                            STATE:  CA |EVENT TIME:        11:00[PST]|
|LICENSE#:                        AGREEMENT:  Y  |LAST UPDATE DATE:  11/30/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |WILLIAM JOHNSON       R4     |
|                                                |FRED BROWN           NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  ROBERT GREGER                |                             |
|  HQ OPS OFFICER:  FANGIE JONES                 |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                           
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT - LOST SOURCE                                         |
|                                                                              |
| A patient receiving palliative treatment for lung cancer had six seeds       |
| implanted in the lungs.  Each seed contained 0.4 mCi of I-125.  After about  |
| 2 hours, an x-ray of the lungs was performed to verify positioning of the    |
| seeds and 3 of the seeds were missing.  A search/survey of the area did not  |
| find the missing seeds.  It is unknown where the seeds are, it is possible   |
| the patient coughed up the seeds and swallowed them.  The patient was        |
| released later that day.  There is minimal threat to any member of the       |
| public.                                                                      |
|                                                                              |
| California Radiation Control Program office contacted NRC State Programs     |
| (Pat Larkin).                                                                |
+------------------------------------------------------------------------------+
.+-----------------------------------------------------------------------------+
|Hospital                                         |Event Number:   38529       |
+------------------------------------------------------------------------------+
                         
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  WILLIAM BEAUMONT HOSPITAL            |NOTIFICATION DATE: 11/30/2001|
|LICENSEE:  WILLIAM BEAUMONT HOSPITAL            |NOTIFICATION TIME: 14:28[EST]|
|    CITY:  ROYAL OAKS               REGION:  3  |EVENT DATE:        11/29/2001|
|  COUNTY:                            STATE:  MI |EVENT TIME:        17:00[EST]|
|LICENSE#:  210133301             AGREEMENT:  N  |LAST UPDATE DATE:  11/30/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |BRUCE JORGENSEN       R3     |
|                                                |FRED BROWN           NMSS    |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  SCHULTZ                      |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             | 
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|LADM 35.33(a)            MED MISADMINISTRATION  |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                           
+------------------------------------------------------------------------------+
| MEDICAL MISADMINISTRATION AT THE WILLIAM BEAUMONT HOSPITAL                   |
|                                                                              |
| A patient was prescribed a total dose of 2,800 centigrays of Ir - 192 given  |
| in seven fractions for treatment of recurring cancer.  However, the standard |
| fraction dose for 7 fractions @ 500 centigrays/fractions was administered    |
| resulting in a total dose of 3,500 centigrays.  This misadministration       |
| resulted when the authorizing physician initially prescribed seven standard  |
| fraction doses(500 centigrays/fraction), but then changed his mind and       |
| prescribed seven fractions @ 400 centigrays/fraction which would have        |
| resulted in the total prescribed dose of 2,800 centigrays.  These treatments |
| took place between 09/27/01 and 11/02/09, but the mistake was not discovered |
| until 11/20/01 @ 1700 during an audit.   The error was made when the         |
| authorizing physicist did not transcribe from the treatment plan onto the    |
| worksheet the correct information used to program the HDR device and put in  |
| the 500 centigrays instead of the 400 centigrays.  The patient and the       |
| referring physician were notified.  No adverse affects to the patient are    |
| expected.                                                                    |
+------------------------------------------------------------------------------+
.
+------------------------------------------------------------------------------+
|General Information or Other                     |Event Number:   38530       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG:  WA DIVISION OF RADIATION PROTECTION  |NOTIFICATION DATE:
11/30/2001|
|LICENSEE:  WEYERHAEUSER TECHNOLOGY CENTER       |NOTIFICATION TIME:
14:32[EST]|
|    CITY:  FEDERAL WAY              REGION:  4  |EVENT DATE:        11/29/2001|
|  COUNTY:                            STATE:  WA |EVENT TIME:             [PST]|
|LICENSE#:  WN-L083-1             AGREEMENT:  Y  |LAST UPDATE DATE:  11/30/2001|
|  DOCKET:                                       |+----------------------------+
|                                                |PERSON          ORGANIZATION |
|                                                |WILLIAM JOHNSON       R4     |
|                                                |FRED BROWN          NMSS     |
+------------------------------------------------+                             |
| NRC NOTIFIED BY:  FRAZEE (FAX)                 |                             |
|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |
+------------------------------------------------+                             |
|EMERGENCY CLASS:          NON EMERGENCY         |                             |
|10 CFR SECTION:                                 |                             |
|NAGR                     AGREEMENT STATE        |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                           
      
+------------------------------------------------------------------------------+
| LEAKING PROMETHIUM SOURCE AT WEYERHAEUSER TECH CENTER                        |
|                                                                              |
| The licensee provided  notification to the State of Washington that leakage  |
| was discovered when a 3 millicurie Promethium-147 source was about to be     |
| re-installed in an AMBERTEC Oy model BET- 1 formation tester.  At this time  |
| it appears that the radioactive source was removed from the formation tester |
| by licensee personnel in mid 1999.   The source was placed into a storage    |
| container kept under the licensee's control.  The un-sourced device was      |
| subsequently shipped to the manufacturer in Finland for repair.  The device  |
| was recently returned to the licensee facility.   A Finnish technician       |
| accompanying the device tested the source prior to installation and          |
| discovered contamination on the source and in the storage container.  No     |
| contamination was detected on the outside of the container, in the storage   |
| location or at the work bench where the device is presumed to have been      |
| disassembled two years ago.  Other details are unclear at this time and a    |
| Division of Radiation Protection staff will be on-site today to investigate. |
+------------------------------------------------------------------------------+
.
+------------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38531       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: NINE MILE POINT          REGION:  1  |NOTIFICATION DATE: 12/02/2001|
|    UNIT:  [] [2] []                 STATE:  NY |NOTIFICATION TIME: 18:17[EST]|
|   RXTYPE: [1] GE-2,[2] GE-5                    |EVENT DATE:        12/02/2001|
+------------------------------------------------+EVENT TIME:        14:48[EST]|
| NRC NOTIFIED BY:  RESTUCCIO                    |LAST UPDATE DATE:  12/02/2001|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |WILLIAM RULAND       R1      |
|10 CFR SECTION:                                 |                             |
|ARPS 50.72(b)(2)(iv)(B)  RPS ACTUATION - CRITICA|                             |
|                                                |                             | 
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE  
|
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     M/R        Y       75       Power Operation  |0        HotShutdown      |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                                  
+------------------------------------------------------------------------------+
| MANUAL REACTOR SCRAM FROM 75% POWER                                          |
|                                                                              |
| On December 2, 2001 at 1448, Unit 2 manually scrammed from approximately     |
| 75% reactor power due to a low water level trip (159.3" - Level 3).          | 
| Preliminary indications are an electrical fault/trip on feedwater Pump "A"   |
| was the cause of the reactor low level condition.  The  "A" Recirculation    |
| Flow Control Valve (FCV) ran back to minimum position as required on the low |
| level alarm at 178.3" -  Level 4.  The  "B"  FCV failed to fully run back as |
| required due to the electrical transient and the subsequent loss of          |
| hydraulic control units. The  "B"  FCV stabilized at 50% open.  The          |
| Operators were inserting cram rods in an attempt to lower power further when |
| the low water level trip alarm came in for Division 1.  The Control Room     |
| Supervisor (CRS) ordered the mode switch to shutdown.  All Control Rods      |
| inserted as required.  Reactor water level is being controlled in the normal |
| level band with Condensate Booster pumps.  Reactor pressure is being reduced |
| to place the shutdown cooling system in service by the use of the turbine    |
| bypass valves.                                                               |
|                                                                              |
| Additionally, indications show that the Neutron Monitoring System (NMS)      |
| scram setpoints were exceeded for the Average Power Range Monitoring (APRM)  |
| thermal power trip.  This trip signal was in close sequence to the mode      |
| switch being placed in the shutdown position.                                |
|                                                                              |
| The NRC Resident Inspector was notified.                                     |
|                                                                              |
|                                                                              |
| HOO NOTE: see event # 38532                                                  |
+------------------------------------------------------------------------------+
.+-----------------------------------------------------------------------------+
|Power Reactor                                    |Event Number:   38532       |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: NINE MILE POINT          REGION:  1  |NOTIFICATION DATE: 12/02/2001|
|    UNIT:  [] [2] []                 STATE:  NY |NOTIFICATION TIME: 20:40[EST]|
|   RXTYPE: [1] GE-2,[2] GE-5                    |EVENT DATE:        12/02/2001|
+------------------------------------------------+EVENT TIME:        17:21[EST]|
| NRC NOTIFIED BY:  PETRELLI                     |LAST UPDATE DATE:  12/02/2001|
|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+
+------------------------------------------------+PERSON          ORGANIZATION |
|EMERGENCY CLASS:          NON EMERGENCY         |WILLIAM RULAND        R1     |
|10 CFR SECTION:                                 |                             |
|AESF 50.72(b)(3)(iv)(A)  VALID SPECIF SYS ACTUAT|                             |
|                                                |                             |
|                                                |                             |
|                                                |                             |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE  
|
+-----+----------+-------+--------+-----------------+--------+-----------------+
|                                                   |                          |
|2     A          N       0        Hot Shutdown     |0        Hot Shutdown     |
|                                                   |                          |
+------------------------------------------------------------------------------+
                                   EVENT TEXT                           
       
+------------------------------------------------------------------------------+
| PLANT RECEIVED A SECOND SCRAM WHILE IN MODE 3                                |
|                                                                              |
| Following the manual scram at 1448 the plant had a second scram at 1721      |
| which was an automatic scram on low water level (Level 3 - 159.3") when      |
| lowering reactor pressure to inject with the booster pumps at 1721.  The     |
| scram was reset and plant shutdown and cooldown is continuing.               |
|                                                                              |
| The NRC Resident Inspector was notified.                                     |
|                                                                              |
| HOO NOTE: see event #38531                                                   |
+------------------------------------------------------------------------------+
.