Event Notification Report for May 21, 2002
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
05/20/2002 - 05/21/2002
** EVENT NUMBERS **
38922 38923 38930 38931 38932
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|General Information or Other |Event Number: 38922 |
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| REP ORG: CALIFORNIA RADIATION CONTROL PRGM |NOTIFICATION DATE:
05/16/2002|
|LICENSEE: HUNTINGTON MEMORIAL HOSPITAL |NOTIFICATION TIME: 17:25[EDT]|
| CITY: PASADENA REGION: 4 |EVENT DATE: 05/15/2002|
| COUNTY: STATE: CA |EVENT TIME: 11:00[PDT]|
|LICENSE#: 0239-19 AGREEMENT: Y |LAST UPDATE DATE: 05/16/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |GREG PICK R4 |
| |C.W. (BILL) REAMER NMSS |
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| NRC NOTIFIED BY: BARBARA HAMRICK | |
| HQ OPS OFFICER: MIKE NORRIS | |
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|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
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| | |
| | |
| | |
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EVENT TEXT
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| AGREEMENT STATE REPORT INVOLVING THEFT OF LICENSED MATERIAL >1000 TIMES
|
| |
| "At 11:00 am PDT on May 15, 2002, four packages were stolen from an |
| unsecured Airborne Express truck parked at 39 Congress Avenue, Pasadena, Ca. |
| Due to a mix-up by the driver, it was not known that one of the packages |
| contained radioactive material until the next day, when Huntington Memorial |
| Hospital's Radiation Safety Officer[ ], realized that they had not received |
| one of the packages of Palladium-103 seeds that they were expecting. [The |
| RSO] reported the loss to the California Radiologic Health Branch at 12:15 |
| PM PDT on May 16, 2002. |
| |
| "The package was supposed to have contained 72 seeds at 1.54 mCi/seed, or a |
| total of 110 mCi of Pd-103, which would produce a field of about 230 mR/hr |
| at one foot from the unshielded material. |
| |
| "Los Angeles County personnel took the initial call from the hospital, and |
| is following up on this incident. Los Angeles County is a Contract County in |
| California's Agreement State Program. The L.A. County inspector talked to |
| the hospital about issuing a press release, and they are currently preparing |
| one. The inspector will also obtain information on the package dose-rates, |
| when it was shipped by Imagyn in TX, and the calibration dates for the |
| seeds.. The seeds were purchased from Theragenics, shipped to Imagyn for |
| some preparation, then shipped to the California licensee in two packages. |
| The first package was received in tact. The second was stolen from the |
| Airborne Express truck. There has been no indication by any of the parties |
| that the other three packages stolen contained any radioactive material." |
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|General Information or Other |Event Number: 38923 |
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| REP ORG: COLORADO DEPT OF HEALTH |NOTIFICATION DATE: 05/16/2002|
|LICENSEE: LUTHERAN MEDICAL CENTER |NOTIFICATION TIME: 18:29[EDT]|
| CITY: REGION: 4 |EVENT DATE: 05/16/2002|
| COUNTY: STATE: CO |EVENT TIME: [MDT]|
|LICENSE#: AGREEMENT: Y |LAST UPDATE DATE: 05/16/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |GREG PICK R4 |
| |C.W. (BILL) REAMER NMSS |
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| NRC NOTIFIED BY: TIM G. BONZER (fax) | |
| HQ OPS OFFICER: MIKE NORRIS | |
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|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
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EVENT TEXT
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| AGREEMENT STATE REPORT ON MEDICAL MISADMINISTRATION |
| |
| "[ ]Med. Physicist called on the date of this memo. It was regarding the |
| placing of 111 seeds [of I-125] when the prescribed dose was 110 seeds. Per |
| the physicist he could not see the additional seed because of the blood. |
| After doing a source count he believes the additional seed was implanted |
| into the patient. The additional seeds activity was 0.33 mCi. Additional |
| information will follow." |
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|Power Reactor |Event Number: 38930 |
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| FACILITY: CALLAWAY REGION: 4 |NOTIFICATION DATE: 05/20/2002|
| UNIT: [1] [] [] STATE: MO |NOTIFICATION TIME: 05:43[EDT]|
| RXTYPE: [1] W-4-LP |EVENT DATE: 05/20/2002|
+------------------------------------------------+EVENT TIME: 05:00[CDT]|
| NRC NOTIFIED BY: GARY OLMSTEAD |LAST UPDATE DATE: 05/20/2002|
| HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |GREG PICK R4 |
|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 |
| | |
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EVENT TEXT
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| PLANNED MAINTENANCE RESULTING IN THE LOSS OF AN EMERGENCY RESPONSE
FACILITY |
| FOR THE DURATION OF THE EVOLUTION |
| |
| The following text is a portion of a facsimile received from the licensee: |
| |
| "During performance of planned maintenance, the Emergency Operation Facility |
| (EOF) will be de-energized. These maintenance activities, including |
| electrical isolation and restoration, are expected to last approximately 16 |
| hours. Contingency plans for emergency situations have been established." |
| |
| "This event is reportable per 10CFR50.72(b)(3)(xiii) since this constitutes |
| a loss of an emergency response facility for the duration of the |
| evolution." |
| |
| "The NRC Resident was previously notified that this activity was scheduled |
| to occur and will be informed of this ENS notification." |
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|Other Nuclear Material |Event Number: 38931 |
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| REP ORG: GILES ENGINEERING |NOTIFICATION DATE: 05/20/2002|
|LICENSEE: GILES ENGINEERING |NOTIFICATION TIME: 12:30[EDT]|
| CITY: NEW BERLIN REGION: 3 |EVENT DATE: 05/20/2002|
| COUNTY: STATE: WI |EVENT TIME: 09:30[CDT]|
|LICENSE#: 48-18547-02 AGREEMENT: N |LAST UPDATE DATE: 05/20/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |CHRISTINE LIPA R3 |
| |FRED BROWN NMSS |
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| NRC NOTIFIED BY: CHARLES GRESSER | |
| HQ OPS OFFICER: RICH LAURA | |
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|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|IBBE 30.50(b)(2) SAFETY EQUIPMENT FAILUR| |
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EVENT TEXT
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| DAMAGED MOISTURE DENSITY GAUGE AT CONSTRUCTION SITE IN WISCONSIN
|
| |
| The licensee reported that a moisture density guage was damaged when a |
| construction vehicle accidentally ran over the guage. The gauge was |
| manufactured CPN and was model number MC1DR. The guage contained 10 |
| millicuries of CS-137 and 50 millicuries of AM-241-BE. The company |
| radiation safety officer responded to the site and established a 75 foot |
| exclusion area. Surveys revealed no release of radioactive materials. The |
| guage was in the safe position with the ram in the lead shield. |
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|Other Nuclear Material |Event Number: 38932 |
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| REP ORG: GME CONSUTANTS |NOTIFICATION DATE: 05/20/2002|
|LICENSEE: GME CONSULTANTS |NOTIFICATION TIME: 14:57[EDT]|
| CITY: NEW HOPE REGION: 3 |EVENT DATE: 05/20/2002|
| COUNTY: STATE: MN |EVENT TIME: 10:00[CDT]|
|LICENSE#: 22-23402-01 AGREEMENT: N |LAST UPDATE DATE: 05/20/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |CHRISTINE LIPA R3 |
| |FRED BROWN NMSS |
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| NRC NOTIFIED BY: BILL BLOUMENDAL | |
| HQ OPS OFFICER: RICH LAURA | |
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|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|IBBE 30.50(b)(2) SAFETY EQUIPMENT FAILUR| |
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| | |
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EVENT TEXT
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| DAMAGED MOISTURE DENSITY GUAGE AT CONSTRUCTION SITE |
| |
| A construction vehicle ran over a CPN moisture density guage, model number |
| MC3. The radiation safety officer responded to the site. Radiological |
| surveys were performed and the damaged guage was collected in an appropriate |
| container. The guage was then returned to the licensee storage facility |
| where it will be shipped out for repair. The guage was closed and locked at |
| the time of the event. No personnel contaminations were reported. The |
| guage contained less than 50 millicuries of AM-241 and less than 10 |
| millicuries of CS-137. |
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