Event Notification Report for November 5, 2002
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
11/04/2002 - 11/05/2002
** EVENT NUMBERS **
39287 39334 39335 39342 39343
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|General Information or Other |Event Number: 39287 |
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| REP ORG: ALTECH CORPORATION |NOTIFICATION DATE: 10/15/2002|
|LICENSEE: ALTECH CORPORATION |NOTIFICATION TIME: 15:52[EDT]|
| CITY: POCATELLO REGION: 4 |EVENT DATE: 10/15/2002|
| COUNTY: BANNOCK STATE: ID |EVENT TIME: 11:30[MDT]|
|LICENSE#: 11-27657-01 AGREEMENT: N |LAST UPDATE DATE: 11/04/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |GREG PICK R4 |
| |FRED BROWN NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: BILLY BERRY | |
| HQ OPS OFFICER: GERRY WAIG | |
+------------------------------------------------+ |
|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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| LOST OR STOLEN TROXLER MOISTURE DENSITY GAUGES |
| |
| The licensee reported that two (2) Troxler moisture density gauges model |
| number #2401 were missing from their storage area. The two gauges were |
| serial number 2813 and 2744. Both gauges contain an 8.2 millicurie Cs-137 |
| and 50 millicurie Am-241:Be source. The gauges are inventoried every six |
| months and were verified in storage in March 2002. The cases (storage boxes) |
| were verified again in August 2002. The licensee has notified local and |
| county police of the missing gauges. Additionally, the licensee has |
| contacted NRC Region 4 to inform them of this event. |
| |
| * * * * * UPDATE BY LICENSEE TO MIKE RIPLEY 1210 EST 11/4/02 * * * |
| The licensee reported that both Troxler moisture density gauges were found |
| and returned to the licensee. The gauges were found in the Portneauf River |
| on 10/13/2002 by two hunters in the Blaze Creek Area near Lava Hot Springs, |
| ID. The licensee stated that the Idaho State Police at Boise, ID, are |
| continuing to investigate the lost gauges. Notified R4DO (C. Marschall) and |
| NMSS EO (F. Brown). |
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|General Information or Other |Event Number: 39334 |
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| REP ORG: COLORADO DEPT OF HEALTH |NOTIFICATION DATE: 10/31/2002|
|LICENSEE: KUMAR AND ASSOCIATES, INC |NOTIFICATION TIME: 12:10[EST]|
| CITY: DENVER REGION: 4 |EVENT DATE: 10/30/2002|
| COUNTY: STATE: CO |EVENT TIME: [MST]|
|LICENSE#: 778-01 AGREEMENT: Y |LAST UPDATE DATE: 11/04/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |CLAUDE JOHNSON R4 |
| |DOUG BROADDUS NMSS |
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| NRC NOTIFIED BY: ED STROUD | |
| HQ OPS OFFICER: MIKE NORRIS | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
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EVENT TEXT
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| AGREEMENT STATE REPORT INVOLVING A STOLEN TROXLER GAUGE |
| |
| Licensee reported that a Troxler gauge, was stolen from the open bed of a |
| pickup truck parked in front of a private residence, sometime during the |
| night of 10/30/02. The gauge, model #3440 serial #16911, contained |
| approximately 44 millicuries of Am-241:Be, and approximately 9 millicuries |
| of Cs-137. The gauge was locked and the chain was cut. The licensee will be |
| notifying the Denver police department of the theft. |
| |
| * * * * * UPDATE 1800 EST 11/4/2002 TO MIKE RIPLEY FROM COLORADO DEPARTMENT |
| OF PUBLIC HEALTH AND ENVIRONMENT (received via fax) * * * * |
| |
| "The police recovered a Troxler moisture-density gauge that was reported |
| stolen last week. Kumar and Associates, a Colorado licensee, reported the |
| gauge stolen on 10/31/02 (sec preliminary report 39334). Later that same |
| night, police were called to a Denver location because of a suspicious |
| package that was left by a dumpster. The package was labeled with, a |
| radioactive sticker. The Denver Fire Department's Haz-mat team checked the |
| package and removed it to a safe storage location. Today, 11/4/02, the |
| package was positively identified as the stolen gauge, and returned to the |
| licensee. The licensee reported that the gauge was intact and that the |
| sources appeared undisturbed." |
| |
| Notified R4 DO (C. Marschall) and NMSS EO (P. Holahan) |
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|General Information or Other |Event Number: 39335 |
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| REP ORG: FLORIDA BUREAU OF RADIATION CONTROL |NOTIFICATION DATE: 10/31/2002|
|LICENSEE: BAYFRONT MEDICAL CENTER |NOTIFICATION TIME: 16:45[EST]|
| CITY: ST. PETERSBURG REGION: 2 |EVENT DATE: 10/31/2002|
| COUNTY: STATE: FL |EVENT TIME: [EST]|
|LICENSE#: 0023-2 AGREEMENT: Y |LAST UPDATE DATE: 10/31/2002|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |KERRY LANDIS R2 |
| |PATRICIA HOLAHAN NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: CHARLES ADAMS(email) | |
| HQ OPS OFFICER: ARLON COSTA | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
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EVENT TEXT
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| AGREEMENT STATE REPORT INVOLVING A MEDICAL EVENT |
| |
| "Manufacturer's employee changed the Gamma Knife's printer on 2 Aug 02 and |
| during the process the calibration parameters for the Gamma Knife instrument |
| were reset from 3.52 c/gray (on 6-02) to 3.5 c/gray (on 1-99). Licensee was |
| not aware of the change. Ten patients were treated with this instrument from |
| 26 Aug-30 Oct 02. The area treated was the brain and the overexposure was as |
| much as 60% above the prescribed dose of 12-24 grays. The physicians and |
| patients involved are being notified. The error was discovered during a |
| recalibration on 10-30-02. The instrument has been removed from service. |
| Florida is investigating." |
| |
| The isotope used by the Gamma Knife Model C S/N 4189C is Co-60 (Activity |
| 5.72 Ci). |
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|Power Reactor |Event Number: 39342 |
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| FACILITY: MCGUIRE REGION: 2 |NOTIFICATION DATE: 11/04/2002|
| UNIT: [] [2] [] STATE: NC |NOTIFICATION TIME: 11:48[EST]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 11/04/2002|
+------------------------------------------------+EVENT TIME: 11:08[EST]|
| NRC NOTIFIED BY: STEVE BUSHNELL |LAST UPDATE DATE: 11/04/2002|
| HQ OPS OFFICER: MIKE NORRIS +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: UNUSUAL EVENT |KERRY LANDIS R2 |
|10 CFR SECTION: |TERRY REIS NRR |
|AAEC 50.72(a) (1) (i) EMERGENCY DECLARED |JERRY DOZIER NRR |
| |RICHARD WESSMAN IRO |
| |RENE ZAPATA FEMA |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
| | |
|2 N Y 100 Power Operation |100 Power Operation |
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EVENT TEXT
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| UNUSUAL EVENT DECLARED DUE TO PRIMARY SYSTEM UNIDENTIFIED LEAKAGE GREATER |
| THAN 10 GPM |
| |
| "Primary system unidentified leakage >10 gpm. Leakage occurred during |
| planned maintenance activity on a NV [Chemical volume and Control System] |
| system demineralizer. The leakage has been isolated at 1108. We are |
| running an NC [primary] system leakage calculation at present prior to |
| terminating the event. All primary system parameters were normal during the |
| event" |
| |
| The leakage was 11 gpm and was indicated by VCT level dropping. |
| |
| The NRC Resident Inspector has been notified. |
| |
| * * * * UPDATE TO MIKE RIPLEY AT 1315 EST 11/04/02 * * * * |
| |
| At 1315 EST 11/04/02 Licensee reported termination of the unusual event at |
| 1302 EST based on recalculation of primary system leakage: Total leakage = |
| 0.094 gpm. Identified leakage = 0.017 gpm. Unidentified leakage = 0.077 |
| gpm. Leakage was caused by leak by through isolation valves onto the floor |
| and down a floor drain in the auxiliary building. Notified NRR EO (Reis), |
| R2DO (Landis), IRO (Wessman), AND FEMA (Zapata). |
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|Power Reactor |Event Number: 39343 |
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| FACILITY: SAN ONOFRE REGION: 4 |NOTIFICATION DATE: 11/04/2002|
| UNIT: [] [2] [] STATE: CA |NOTIFICATION TIME: 22:15[EST]|
| RXTYPE: [1] W-3-LP,[2] CE,[3] CE |EVENT DATE: 11/04/2002|
+------------------------------------------------+EVENT TIME: 16:44[PST]|
| NRC NOTIFIED BY: DOUG KNUDSON |LAST UPDATE DATE: 11/04/2002|
| HQ OPS OFFICER: MIKE NORRIS +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |CHARLES MARSCHALL R4 |
|10 CFR SECTION: | |
|ARPS 50.72(b)(2)(iv)(B) RPS ACTUATION - CRITICA| |
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+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
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|2 M/R Y 18 Power Operation |0 Hot Standby |
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EVENT TEXT
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| MANUAL REACTOR TRIP DUE TO DECREASING PRIMARY SYSTEM PRESSURE |
| |
| Licensee reported that PZR spray valve ZPV-100A failed to 46.5% open and |
| mechanically bound. Unsuccessful attempts were made to close the valve |
| manually (from controller) and by isolating instrument air to containment. |
| RCS pressure slowly decreased and a manual reactor trip (all rods fully |
| inserted) was performed at 2005 psig . RCS pressure continued to drop to a |
| low of approximately 1840 psig (1740 psig is automatic trip setpoint). Two |
| reactor coolant pumps were secured in accordance with Emergency Operating |
| Instructions and RCS pressure recovered to 2250 psig (NOP) over a 1.5 hour |
| time frame. A containment entry was performed and the spray valve shut |
| while it was being isolated by manually shutting it's associated isolation |
| valves. Decay heat is being removed by dumping steam to condenser and there |
| is no indication of primary to secondary leakage. |
| |
| The Licensee has notified the NRC Resident Inspector. |
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