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Event Notification Report for March 27, 2003




                    U.S. Nuclear Regulatory Commission

                              Operations Center



                              Event Reports For

                           03/26/2003 - 03/27/2003



                              ** EVENT NUMBERS **



39685  39689  39701  39702  39703  39704  



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|General Information or Other                     |Event Number:   39685       |

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| REP ORG:  TEXAS DEPARTMENT OF HEALTH           |NOTIFICATION DATE: 03/21/2003|

|LICENSEE:  LAW ENGINEERING & ENVIRONMENTAL SERVI|NOTIFICATION TIME: 11:58[EST]|

|    CITY:  FORT WORTH               REGION:  4  |EVENT DATE:        03/21/2003|

|  COUNTY:                            STATE:  TX |EVENT TIME:        03:40[CST]|

|LICENSE#:  L05490-000            AGREEMENT:  Y  |LAST UPDATE DATE:  03/21/2003|

|  DOCKET:                                       |+----------------------------+

|                                                |PERSON          ORGANIZATION |

|                                                |CLAUDE JOHNSON       R4      |

|                                                |LARRY CAMPER         NMSS    |

+------------------------------------------------+                             |

| NRC NOTIFIED BY:  JAMES H. OGDEN, JR.          |                             |

|  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: STOLEN TROXLER MOISTURE DENSITY GAUGE                |

|                                                                              |

| "Gauge operator was working the swing shift supporting operations of         |

| construction of the Dallas Area Rapid Transit (DART) in Dallas, Texas.       |

| Enroute to company office, he stopped by his residence from 3:00 a.m. to     |

| 3:40 a.m. for breakfast.  Before departing for the storage location, 2200    |

| Gravel Drive, Fort Worth, he noted that the gauge and chain were missing     |

| from his company [Law Engineering & Environmental Services, Inc.] truck      |

| (Black Ford, F-150).  The stolen gauge is a Troxler 3411 B, Serial No.       |

| 10732, with two sealed sources: Cs-137, 8 millicuries, Serial No. 40-8208    |

| and AM-241/Be, 40 millicuries, Serial No. 46-2134.  A report of the theft    |

| was made to the White Settlement Police Department and to his supervisor,    |

| [DELETED].  The gauge, chain, and lock are completely missing from the       |

| vehicle.                                                                     |

|                                                                              |

| "Licensee notified White Settlement Police Department, and Texas Department  |

| of Health/Bureau of Radiation Control, TDH/BRC will notify NRC, INEEL,       |

| Troxler Electronic Labs, and the states of Arizona, Arkansas, Louisiana, New |

| Mexico, and Oklahoma, as well as, the country of Mexico.                     |

|                                                                              |

| "Media attention: None at this time.  Licensee is debating notifications to  |

| local media and possibly offering a reward for return of the gauge."         |

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|General Information or Other                     |Event Number:   39689       |

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| REP ORG:  ALABAMA RADIATION CONTROL            |NOTIFICATION DATE: 03/22/2003|

|LICENSEE:  GALLET AND ASSOCIATES                |NOTIFICATION TIME: 18:44[EST]|

|    CITY:  HOMEWOOD                 REGION:  2  |EVENT DATE:        03/22/2003|

|  COUNTY:                            STATE:  AL |EVENT TIME:        09:30[CST]|

|LICENSE#:  991                   AGREEMENT:  Y  |LAST UPDATE DATE:  03/22/2003|

|  DOCKET:                                       |+----------------------------+

|                                                |PERSON          ORGANIZATION |

|                                                |CAUDLE JULIAN        R2      |

|                                                |LARRY CAMPER         NMSS    |

+------------------------------------------------+                             |

| NRC NOTIFIED BY:  JAMES L. MCNEES              |                             |

|  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: STOLEN MOISTURE DENSITY GAUGE                        |

|                                                                              |

| "At 11:12 a.m. on Saturday March 22, 2003 James L. McNees of the Office of   |

| Radiation Control was contacted at his home by Mr. Tad Nelson of Gallet and  |

| Associates, (Alabama Radioactive Material License No. 991) and notified that |

| at approximately 10:00 a.m. this morning that a Campbell Pacific model MC-3  |

| moisture density gauge had been stolen from the back of a company pickup     |

| truck at an employee's home.  Nelson stated that the Homewood (Alabama)      |

| Police Department was currently at the location investigating.  The device   |

| contains approximately 10 mCi [millicuries] of Cs-137 and 40 mCi             |

| [millicuries] of Am-241.  Nelson further stated that the shipping container  |

| housing the device was locked, as was the control mechanism on the device,   |

| and that the thief(s) reportedly obtained the device by cutting the chain by |

| which the shipping container was locked to the bed of the truck.             |

|                                                                              |

| "Alabama Emergency Management Agency was notified at 11:28 a.m., who [in     |

| turn] alerted other civil authorities in the Jefferson County area.  The     |

| principal concern being that once the thief discovers that the stolen device |

| has little value at sale, and is hazardous, that it will be abandoned.       |

|                                                                              |

| "Mr. Nelson agreed that if the device was not recovered by this afternoon    |

| that a press release should be made.  At 5:00 p.m. today, March 22, 2003,    |

| the writer was informed by Mr. Nelson that the device had not been           |

| recovered.  Both agreed that Gallet and Associates should forward the        |

| attached press release to local Jefferson County media outlets.              |

|                                                                              |

| The Licensee, Gullet & Associates, issued the following Press Release on     |

| March 22, 2003:                                                              |

|                                                                              |

| "Around or before 9:30 on March 22, 2003, a moisture-density gauge           |

| containing sealed sources of radioactive material was stolen from its case   |

| locked to a truck owned by Gallet & Associates, Inc. of Birmingham, Alabama. |

| The truck was parked at a home in the Edgewood community of Homewood,        |

| Alabama near the Palisades Shopping Center.  The Homewood Police Department  |

| was notified and is continuing their investigation.                          |

|                                                                              |

| "The Attached is a sketch of the gauge stolen.  Labels indicating the device |

| is radioactive should be visible on the gauge itself.  Normally the          |

| radioactive sealed source is locked in a safe position.  The device does not |

| pose a health hazard as long as it is not tampered with or handled by        |

| untrained individuals.  Please notify the Homewood Police Department at      |

| (205) 877-8637, Gallet & Associates, Inc. at (205) 942-1289, the Alabama     |

| Division of Radiation Control at 1-800-582-1866, or your local police        |

| department if found.                                                         |

|                                                                              |

| "Since the device and sale of such is regulated it therefore has no resale   |

| value and can only be used to determine the moisture content and density of  |

| soils by licensed, qualified personnel.                                      |

|                                                                              |

| "A reward is offered for the recovery or information leading to the recovery |

| of the device."                                                              |

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|Power Reactor                                    |Event Number:   39701       |

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| FACILITY: SUSQUEHANNA              REGION:  1  |NOTIFICATION DATE: 03/26/2003|

|    UNIT:  [1] [2] []                STATE:  PA |NOTIFICATION TIME: 00:30[EST]|

|   RXTYPE: [1] GE-4,[2] GE-4                    |EVENT DATE:        03/25/2003|

+------------------------------------------------+EVENT TIME:        23:58[EST]|

| NRC NOTIFIED BY:  ROBERT BOESCH                |LAST UPDATE DATE:  03/26/2003|

|  HQ OPS OFFICER:  MIKE RIPLEY                  +-----------------------------+

+------------------------------------------------+PERSON          ORGANIZATION |

|EMERGENCY CLASS:          NON EMERGENCY         |PAMELA HENDERSON     R1      |

|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       100      Power Operation  |100      Power Operation  |

|2     N          N       0        Refueling        |0        Refueling        |

|                                                   |                          |

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                                   EVENT TEXT                                   

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| OFFSITE NOTIFICATION OF MEDICAL CONDITION                                    |

|                                                                              |

| "On 3/25/03 at 23:45 [EST] the Main Control Room was notified that an        |

| individual with a medical condition (believed to be a kidney stone) needed   |

| to be transported to the hospital by ambulance.  An ambulance was dispatched |

| to the site.   The individual was not contaminated.   The individual was     |

| transported to a local hospital for treatment.                               |

|                                                                              |

| "The Pennsylvania Emergency Management Agency was notified at 23:58 [EST].   |

| Due to notification to another government agency, this event is reportable   |

| under 10CFR50.72(b)(2)(xi)."                                                 |

|                                                                              |

| The licensee notified the NRC Resident Inspector.                            |

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|Power Reactor                                    |Event Number:   39702       |

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| FACILITY: BROWNS FERRY             REGION:  2  |NOTIFICATION DATE: 03/26/2003|

|    UNIT:  [] [2] []                 STATE:  AL |NOTIFICATION TIME: 06:04[EST]|

|   RXTYPE: [1] GE-4,[2] GE-4,[3] GE-4           |EVENT DATE:        03/26/2003|

+------------------------------------------------+EVENT TIME:        02:45[CST]|

| NRC NOTIFIED BY:  JOE BENNET                   |LAST UPDATE DATE:  03/26/2003|

|  HQ OPS OFFICER:  MIKE RIPLEY                  +-----------------------------+

+------------------------------------------------+PERSON          ORGANIZATION |

|EMERGENCY CLASS:          NON EMERGENCY         |RUDOLPH BERNHARD     R2      |

|10 CFR SECTION:                                 |                             |

|ASHU 50.72(b)(2)(i)      PLANT S/D REQD BY TS   |                             |

|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     M/R        Y       61       Power Operation  |0        Hot Shutdown     |

|                                                   |                          |

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                                   EVENT TEXT                                   

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| SHUTDOWN REQUIRED BY TECHNICAL SPECIFICATIONS                                |

|                                                                              |

| "On 3/26/03 at 02:45 [CST], Unit 2 experienced a trip of the 2B              |

| Recirculation system variable frequency drive (VFD).  The 2A VFD had tripped |

| earlier in the shift.  This resulted in entry into Technical Specification   |

| 3.4.1 .B, which requires the plant to be placed in Mode 3 within 12 hours.   |

| The unit was manually scrammed at this time in accordance with plant         |

| procedures.                                                                  |

|                                                                              |

| "This event is reportable within 4 hours per 10CFR 50.72 (b)(2)(i) as 'The   |

| initiation of any nuclear plant shutdown required by the plant's Technical   |

| Specifications'.  It is also reportable per 10CFR 50.72(b)(3)(iv)(A) and     |

| 10CFR 50.73(a)(2)(i)(A) and (iv)(B)."                                        |

|                                                                              |

| The cause of the Recirculation System VFD is being investigated.  The        |

| licensee notified the NRC Resident Inspector.                                |

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|Hospital                                         |Event Number:   39703       |

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| REP ORG:  DOYLESTOWN HOSPITAL                  |NOTIFICATION DATE: 03/26/2003|

|LICENSEE:  DOYLESTOWN HOSPITAL                  |NOTIFICATION TIME: 11:10[EST]|

|    CITY:  DOYLESTOWN               REGION:  1  |EVENT DATE:        03/25/2003|

|  COUNTY:                            STATE:  PA |EVENT TIME:        09:00[EST]|

|LICENSE#:  37-13234-01           AGREEMENT:  N  |LAST UPDATE DATE:  03/26/2003|

|  DOCKET:                                       |+----------------------------+

|                                                |PERSON          ORGANIZATION |

|                                                |PAMELA HENDERSON     R1      |

|                                                |TOM ESSIG            NMSS    |

+------------------------------------------------+                             |

| NRC NOTIFIED BY:  NUNNO                        |                             |

|  HQ OPS OFFICER:  CHAUNCEY GOULD               |                             |

+------------------------------------------------+                             |

|EMERGENCY CLASS:          NON EMERGENCY         |                             |

|10 CFR SECTION:                                 |                             |

|LDIF 35.3045(a)(1)       DOSE <> PRESCRIBED DOSA|                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

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                                   EVENT TEXT                                   

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| MEDICAL EVENT WHICH INVOLVED EXCEEDING THE PRESCRIBED DOSE TO A PATIENT      |

|                                                                              |

| During a procedure using a Galileo 3 IVB made by Guidant, the company        |

| trainer was demonstrating how to conduct the procedure.  A "hot" (wire       |

| containing approximately 100 millicuries of P-32)  wire was to be inserted   |

| into the patient's coronary vessel, but prior to this a dummy wire was to be |

| inserted.  The dummy wire was inserted but not all the way.  It was removed  |

| and then the "hot" wire was inserted to the same position and then removed.  |

| It was then realized that it was not fully inserted, so they reinserted it   |

| to the full position realizing that the patient would get more that the      |

| prescribed dose of 2,000 rads (actual dose received was 2,833 rads or 41%    |

| more than the prescribed dose), but the treatment was needed by the patient. |

| There would be no adverse affects to the patient and both the patient and    |

| prescribing physician were notified.                                         |

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|Power Reactor                                    |Event Number:   39704       |

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| FACILITY: SEQUOYAH                 REGION:  2  |NOTIFICATION DATE: 03/26/2003|

|    UNIT:  [1] [] []                 STATE:  TN |NOTIFICATION TIME: 11:16[EST]|

|   RXTYPE: [1] W-4-LP,[2] W-4-LP                |EVENT DATE:        03/26/2003|

+------------------------------------------------+EVENT TIME:        10:12[EST]|

| NRC NOTIFIED BY:  MICHAEL HOWARD               |LAST UPDATE DATE:  03/26/2003|

|  HQ OPS OFFICER:  MIKE RIPLEY                  +-----------------------------+

+------------------------------------------------+PERSON          ORGANIZATION |

|EMERGENCY CLASS:          NON EMERGENCY         |RUDOLPH BERNHARD     R2      |

|10 CFR SECTION:                                 |                             |

|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 Shutdow|0        Refueling Shutdow|

|                                                   |                          |

|                                                   |                          |

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                                   EVENT TEXT                                   

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| REACTOR VESSEL HEAD DEGRADED CONDITION                                       |

|                                                                              |

| "During the unit 1 cycle 12 refueling and steam generator replacement        |

| outage, an inspection was performed of the vessel head in accordance with    |

| NRC Order EA-03-009.  This bare metal inspection identified a potential leak |

| indication at the head to penetration interface for CRDM (Control Rod Drive  |

| Mechanism) penetration #3.  On March 26, 2003, at approximately 1012 hours   |

| EST, it was decided that the chemical samples have confirmed that the        |

| residue found at this interface contains boron, iron, and zinc, indicating   |

| that this was an RCS leak.  This leak is most likely from a through wall     |

| crack in the RCS pressure boundary at the CRDM interface.  Volumetric exams  |

| are planned to confirm the crack and to determine the scope of any repairs.  |

| In accordance with the Order, a 100% volumetric inspection is being prepared |

| for this outage.  Prior to this identification, this unit was rated as a     |

| 'low susceptibility category.'  There had been no indication of RCS leakage  |

| during the previous cycle's operation.  This notification is being made in   |

| accordance with 10 CFR 50.72(b)(3)(ii)(A)."                                  |

|                                                                              |

| The licensee has notified the NRC Resident Inspector.                        |

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