Event Notification Report for June 13, 2002
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
06/12/2002 - 06/13/2002
** EVENT NUMBERS **
38972 38973 38974 38980 38981 38982 38983 38984 38986 38987
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|General Information or Other |Event Number: 38972 |
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| REP ORG: ARKANSAS DEPARTMENT OF HEALTH |NOTIFICATION DATE:
06/07/2002|
|LICENSEE: ALBEMARLE CORPORATION |NOTIFICATION TIME: 17:07[EDT]|
| CITY: MAGNOLIA REGION: 4 |EVENT DATE: 06/06/2002|
| COUNTY: STATE: AR |EVENT TIME: [CDT]|
|LICENSE#: ARK-717-BP AGREEMENT: Y |LAST UPDATE DATE: 06/07/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |JOHN PELLET R4 |
| |THOMAS ESSIG NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: JARED THOMPSON | |
| HQ OPS OFFICER: FANGIE JONES | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| AGREEMENT STATE REPORT - SOURCE NOT ATTACHED TO SOURCE ROD |
| |
| "On June 6, 2002 at 4:30 p.m. the Arkansas Department of Health was notified |
| by Albemarle Corporation in Magnolia, Arkansas that a fixed density gauge |
| source had been damaged. Albemarle has Arkansas Radioactive Material License |
| ARK-717-BP-11-99. The device is a Ronan Engineering Company Model SA-15 |
| containing two 5 millicuries sources of Cesium-137. The device was locked |
| out on June 3, 2002. On June 6, 2002 while the source housing was being |
| adjusted it was noted that the source rod was in a different configuration. |
| Radiation surveys were performed and it appeared that one of the 5 |
| millicuries sources was not attached to the source rod. The immediate area |
| was secured and access has been restricted. Albemarle has contacted a |
| consultant to assist in retrieval and packaging of the source for return to |
| the manufacturer. |
| |
| "The Department has sent two inspectors to the facility to investigate and |
| assess the Incident on June 7, 2002. It appears that there may have been |
| personnel radiation exposure due to this incident. This incident is under |
| investigation." |
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|General Information or Other |Event Number: 38973 |
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| REP ORG: SC DIV OF HEALTH & ENV CONTROL |NOTIFICATION DATE: 06/08/2002|
|LICENSEE: ISOMEDIX CORPORATIONS |NOTIFICATION TIME: 13:50[EDT]|
| CITY: SPARTANBURG REGION: 2 |EVENT DATE: 06/07/2002|
| COUNTY: STATE: SC |EVENT TIME: 21:15[EDT]|
|LICENSE#: 267 AGREEMENT: Y |LAST UPDATE DATE: 06/08/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |BRIAN BONSER R2 |
| |THOMAS ESSIG NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: JAMES PETERSON | |
| HQ OPS OFFICER: FANGIE JONES | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| AGREEMENT STATE REPORT - EMPLOYEE DEATH DUE TO NONNUCLEAR ACCIDENT
|
| |
| With the source in the stored position, an employee of Isomedix Operations, |
| entered the sterilization chamber of the irradiator to try freeing some |
| jammed product carriers. The employee was killed when his head was caught |
| between the carriers as they moved together. |
| |
| This report is made as a conservative measure as this was not nuclear |
| related, but occurred at a licensee's facility. |
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|General Information or Other |Event Number: 38974 |
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| REP ORG: CALIFORNIA RADIATION CONTROL PRGM |NOTIFICATION DATE:
06/10/2002|
|LICENSEE: UCLA HARBOR MEDICAL CENTER |NOTIFICATION TIME: 12:40[EDT]|
| CITY: REGION: 4 |EVENT DATE: 06/10/2002|
| COUNTY: LOS ANGELAS STATE: CA |EVENT TIME: [PDT]|
|LICENSE#: 0359-19 AGREEMENT: Y |LAST UPDATE DATE: 06/10/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |ANTHONY GODY R4 |
| |FRED BROWN NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: ROBERT GREGER | |
| HQ OPS OFFICER: RICH LAURA | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| AGREEMENT STATE REPORT OF MEDICAL MISADMINISTRATION |
| |
| "Patient who was suppose to receive 32 millicuries I-131 was given 120 |
| millicuries I-131. As patient's thyroid was to be ablated anyway, no ill |
| effects to patient. The doctor gave her the wrong dose." |
| |
| The cause of the misadministration is being reviewed at the time of the |
| report. |
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|Other Nuclear Material |Event Number: 38980 |
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| REP ORG: US ARMY |NOTIFICATION DATE: 06/12/2002|
|LICENSEE: US ARMY |NOTIFICATION TIME: 09:28[EDT]|
| CITY: ABERDEEN REGION: 1 |EVENT DATE: 06/11/2002|
| COUNTY: STATE: MD |EVENT TIME: [EDT]|
|LICENSE#: 19-30563-01 AGREEMENT: Y |LAST UPDATE DATE: 06/12/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |LAWRENCE DOERFLEIN R1 |
| |DON COOL NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: JOYCE KUYKENDALL | |
| HQ OPS OFFICER: LEIGH TROCINE | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|BLO1 20.2201(a)(1)(i) LOST/STOLEN LNM>1000X | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| LOSS OF ONE CHEMICAL DETECTOR AT A TRAINING SITE IN SEOMOUL CITY, SOUTH
|
| KOREA |
| |
| A chemical detector containing 300 microcuries of americium-241 was lost at |
| the site of a training activity in Seomoul City, South Korea. An |
| investigation is currently ongoing. The detector was verified to be missing |
| on 06/11/02. |
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|Other Nuclear Material |Event Number: 38981 |
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| REP ORG: US ARMY |NOTIFICATION DATE: 06/12/2002|
|LICENSEE: US ARMY |NOTIFICATION TIME: 09:28[EDT]|
| CITY: ABERDEEN REGION: 1 |EVENT DATE: 06/12/2002|
| COUNTY: STATE: MD |EVENT TIME: [EDT]|
|LICENSE#: AGREEMENT: Y |LAST UPDATE DATE: 06/12/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |LAWRENCE DOERFLEIN R1 |
| |ANTHONY GODY R4 |
+------------------------------------------------+DON COOL NMSS |
| NRC NOTIFIED BY: JOYCE KUYKENDALL | |
| HQ OPS OFFICER: LEIGH TROCINE | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|BLO2 20.2201(a)(1)(ii) LOST/STOLEN LNM>10X | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| LOSS OF FOUR DETECTORS AT FORT HOOD, TEXAS |
| |
| Four detectors each containing 15 millicuries of nickel-63 were lost at Fort |
| Hood, Texas. On 05/29/02, Fort Hood received the report that the detectors |
| might be missing. Apparently, they were misplaced during preparations to |
| send them to a maintenance shop for wipe testing. The detectors were |
| verified to be missing on 06/05/02, and Fort Hood notified Aberdeen on |
| 06/11/02. |
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|Power Reactor |Event Number: 38982 |
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| FACILITY: DUANE ARNOLD REGION: 3 |NOTIFICATION DATE: 06/12/2002|
| UNIT: [1] [] [] STATE: IA |NOTIFICATION TIME: 14:03[EDT]|
| RXTYPE: [1] GE-4 |EVENT DATE: 06/12/2002|
+------------------------------------------------+EVENT TIME: 11:38[CDT]|
| NRC NOTIFIED BY: MIKE DAVIS |LAST UPDATE DATE: 06/12/2002|
| HQ OPS OFFICER: RICH LAURA +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |KENNETH RIEMER R3 |
|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 93.6 Power Operation |93.6 Power Operation |
| | |
| | |
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EVENT TEXT
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| OFFSITE NOTIFICATION AT DUANE ARNOLD DUE TO A SMALL OIL SPILL |
| |
| "Notified Iowa DNR, Linn County Sheriff, and the US National Coast Guard |
| National Response Center of a reportable spill of petroleum oil into the |
| Cedar River (sheen on the river) per applicable reporting procedures. While |
| performing river water supply pit cleaning, the cleaning pump leaked about 1 |
| pint of oil into the Cedar River. The pump has been removed from the river." |
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|Power Reactor |Event Number: 38983 |
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| FACILITY: COOK REGION: 3 |NOTIFICATION DATE: 06/12/2002|
| UNIT: [1] [2] [] STATE: MI |NOTIFICATION TIME: 14:17[EDT]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 06/12/2002|
+------------------------------------------------+EVENT TIME: 14:05[EDT]|
| NRC NOTIFIED BY: T. BURRIS |LAST UPDATE DATE: 06/13/2002|
| HQ OPS OFFICER: RICH LAURA +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: ALERT |JAMES CALDWELL R3 |
|10 CFR SECTION: |JON JOHNSON NRR |
|AAEC 50.72(a) (1) (i) EMERGENCY DECLARED |TERENCE REIS NRR |
| |DON MARKSBERRY RCT |
| |TIM MCGINTY DIRO |
| |RICHARD WESSMAN DIRO |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE
|
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 69 Power Operation |69 Power Operation |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
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EVENT TEXT
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| ALERT DECLARED AT DC COOK DUE TO FIRE IN SWITCHYARD |
| |
| The licensee reported an explosion and subsequent fire that occurred in the |
| station's 345-kV electrical switchyard. Neither reactor plant was directly |
| affected by the event and both remained at power. The licensee declared an |
| Alert at 1405 based on the switchyard fire potentially affecting safety |
| related equipment such as the reserve power to safety-related electrical |
| buses. Several switchyard breakers tripped open at 1345 placing the units in |
| TS 3.0.5. One injury was reported. Planned maintenance was in progress in |
| the switchyard at the time of the event. |
| |
| The NRC entered the Monitoring Phase of Normal Mode at 1447 EDT on |
| 06/12/02. |
| |
| Notified the Chairman's office (Mike Tschiltz), USDA (K. Barrett), EPA NRC |
| (Ms. Edwards), EPA EOC (T. Tanner), DOE (T. Yates), FEMA (C. Cleveland), HHS |
| (Carol Cleveland), and OHS (D. Edwards). |
| |
| ***** UPDATE AT 1730 EDT ON 06/12/02 ***** |
| |
| A Commissioners' assistants briefing was held at 1730 EDT. Participants |
| included: NRR (J. Johnson, S. Collins), DIRO (R. Wessman), EDO (H. Nieh), |
| HQ PAO (W. Beecher), OSATP (P. Lohaus), IP (J. Dunn-Lee), CA (L. Gerke), |
| SECY (A. Bates), Comm. Meserve (M. Tschiltz), Comm. Dicus (Kerri Kavanaugh), |
| Comm. Merrifield (J. Thoma), and Comm. Diaz (D. Simpkins). |
| |
| ***** UPDATE FROM JIM KOBYRA TO LEIGH TROCINE AT 2354 EDT ON 06/12/02 ***** |
| |
| At 2157, the licensee declared the Unit 2 east essential service water pump |
| operable, and Unit 2 exited Technical Specification 3.0.5 at that time. |
| Unit 1 exited Technical Specification 3.0.5 approximately 5 minutes earlier. |
| At 2347, both units exited Technical Specification 3.8.1.1 when the licensee |
| restored transformer 4 to serve the Unit 2 reserve auxiliary transformers |
| and isolated it from Unit 1 (which is being fed by transformer 5). As a |
| result, the licensee terminated the Alert and exited the Emergency Plan at |
| 2354 EDT on 06/12/02. |
| |
| The licensee plans to notify the NRC resident inspectors, State of Michigan, |
| and Berrien County. |
| |
| The NRC exited the Monitoring Phase of Normal Mode at 2355 on 06/12/02. |
| |
| The NRC operations center notified the R3DO (Jim Creed), NRR EO (Bill |
| Bateman), DIRO (Tim McGinty), PAO (Bill Beecher), EDO (Ho Nieh), Chairman's |
| office (Mike Tschiltz), USDA (Lori Thomas and Kathleen Barrett), EPA via the |
| National Response Center (Ms. Arsenault), DOE (Odell Bartlett), FEMA (Al |
| Austin), HHS (Karen Cleveland), and OHS (Ron Brahm). |
+------------------------------------------------------------------------------+
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|Power Reactor |Event Number: 38984 |
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| FACILITY: COOK REGION: 3 |NOTIFICATION DATE: 06/12/2002|
| UNIT: [1] [2] [] STATE: MI |NOTIFICATION TIME: 16:24[EDT]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 06/12/2002|
+------------------------------------------------+EVENT TIME: 15:34[EDT]|
| NRC NOTIFIED BY: RICK JERVEY |LAST UPDATE DATE: 06/12/2002|
| HQ OPS OFFICER: RICH LAURA +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |TIM MCGINTY IRO |
|10 CFR SECTION: |JIM CALDWELL R3 |
|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 69 Power Operation |69 Power Operation |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| OFFSITE NOTIFICATION DUE TO OIL SPILL |
| |
| Licensee notified the Michigan Department of Environmental Quality of a |
| spill of greater than 5 gallons of oil due to a switchyard breaker explosion |
| and fire. |
+------------------------------------------------------------------------------+
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|Fuel Cycle Facility |Event Number: 38986 |
+------------------------------------------------------------------------------+
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| FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 06/12/2002|
| RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 21:53[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 06/12/2002|
| 6903 ROCKLEDGE DRIVE |EVENT TIME: 06:30[CDT]|
| BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 06/12/2002|
| CITY: PADUCAH REGION: 3 +-----------------------------+
| COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION |
|LICENSE#: GDP-1 AGREEMENT: Y |JAMES CREED R3 |
| DOCKET: 0707001 |LARRY CAMPER NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: K. BEASLEY | |
| HQ OPS OFFICER: RICH LAURA | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NBNL RESPONSE-BULLETIN | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| 24 HOUR BULLETIN 91-01 REPORT AT PADUCAH |
| |
| "At 0820 CDT, on 6-12-02 the Plant Shift Superintendent was notified of an |
| NCS violation that had occurred in the C-335 process building. The |
| calibrated AQ-NCS pressure chart recorders for C and E surge drum banks had |
| previously failed. As a result of this failure the shiftly pressure checks |
| were performed using non AQ-NCS pressure instrumentation and therefore were |
| not valid. The purpose of the pressure check is to identify if wet air |
| inleakage has begun on surge drum bank. An alternate AQ-NCS pressure |
| instrument has now been connected to the system and follow-up pressure |
| readings have been taken. The pressure readings indicate there has been no |
| wet air inleakage. The required checks have been restarted. Double |
| contingency has been restored. |
| |
| "This is an event is which a violation of the double contingency principle |
| occurred and where double contingency was re-established within four hours |
| of the initial observation of the event. The NRC Resident Inspector has been |
| notified of this event. |
| |
| "SAFETY SIGNIFICANCE OF EVENTS: Although pressure readings were taken on a |
| shiftly basis, these readings were not valid because the instrumentation |
| used was not AQ-NCS. Therefore double contingency was not maintained. |
| |
| "POTENTIAL CRITICALITY PATHWAYS INVOLVED: In order for a criticality to be |
| possible a surge drum would have to contain a critical mass of UO2F2 in an |
| unfavorable geometry, wet air inleakage would need to occur, and the uranium |
| mass would have to be sufficiently moderated. |
| |
| "CONTROLLED PARAMETERS: Double contingency is maintained by implementing two |
| controls on moderation. |
| |
| "NUCLEAR CRITICALITY Y SAFETY CONTROL(S): The first leg of double |
| contingency is based on maintaining the integrity of the surge drum system |
| against wet air inleakage. This integrity is assured by an SRI for the |
| unlikely breach of the surge drum system. Structural integrity of the drum |
| is intact, therefore this SRI is maintained. The second leg of double |
| contingency is based on the performance of the shiftly pressure checks of an |
| AQ-NCS instrument as an indication of wet air inleakage. The required checks |
| were performed using an uncalibrated instrument. Since an uncalibrated |
| instrument was used, the shiftly checks were invalid resulting in a loss of |
| this control. Since there are two controls on one parameter, double |
| contingency was not maintained. |
| |
| "CORRECTIVE ACTIONS: 1) Isolate the affected surge drum banks until the |
| original pressure indication equipment is repaired. The drums were isolated |
| at 1025 CDT on 6-12-02. 2) Connect AQ-NCS pressure indication equipment and |
| monitor in accordance with procedure CP4-CO-CN6069 until the original |
| pressure indication equipment is repaired. An alternate AQ-NCS approved |
| instrument was connected, and readings were taken at 1040 CDT on 6-12-02." |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 38987 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: CALVERT CLIFFS REGION: 1 |NOTIFICATION DATE: 06/13/2002|
| UNIT: [1] [2] [] STATE: MD |NOTIFICATION TIME: 00:57[EDT]|
| RXTYPE: [1] CE,[2] CE |EVENT DATE: 06/12/2002|
+------------------------------------------------+EVENT TIME: 23:41[EDT]|
| NRC NOTIFIED BY: BRUCE SHICK |LAST UPDATE DATE: 06/13/2002|
| HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |LAWRENCE DOERFLEIN R1 |
|10 CFR SECTION: |FEMA, DOE, USDA, HHS FAX |
|APRE 50.72(b)(2)(xi) OFFSITE NOTIFICATION |EPA, DOT (via NRC) FAX |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE
|
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N N 0 Cold Shutdown |0 Cold Shutdown |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| OFFSITE NOTIFICATION REGARDING A RELEASE OF RAW SEWAGE TO THE
CHESAPEAKE |
| BAY |
| |
| The licensee reported that an air leak caused a level detector in a large |
| inlet pumping well to fail low. As a result, the sump pumps stopped and did |
| not restart when actual level reached the high level setpoint. The inlet |
| sump of the onsite sewage treatment plant subsequently overflowed, and raw |
| sewage was released to the Chesapeake Bay. |
| |
| The licensee estimates that the quantity of raw sewage involved was between |
| 2,500 and 7,200 gallons. Additional calculations are currently being |
| performed. The level detector malfunctioned has since been repaired. |
| |
| The licensee notified the NRC resident inspector and local county and plans |
| to notify the Maryland Department of Environmental Protection. |
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