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Event Notification Report for May 27, 2003






                    U.S. Nuclear Regulatory Commission

                              Operations Center



                              Event Reports For

                           05/23/2003 - 05/27/2003



                              ** EVENT NUMBERS **



39631  39868  39877  39878  39880  39881  39882  



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|Power Reactor                                    |Event Number:   39631       |

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| FACILITY: SAINT LUCIE              REGION:  2  |NOTIFICATION DATE: 03/02/2003|

|    UNIT:  [1] [2] []                STATE:  FL |NOTIFICATION TIME: 16:00[EST]|

|   RXTYPE: [1] CE,[2] CE                        |EVENT DATE:        03/02/2003|

+------------------------------------------------+EVENT TIME:        14:30[EST]|

| NRC NOTIFIED BY:  CHARLES PIKE                 |LAST UPDATE DATE:  05/24/2003|

|  HQ OPS OFFICER:  GERRY WAIG                   +-----------------------------+

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

|EMERGENCY CLASS:          NON EMERGENCY         |WALTER RODGERS       R2      |

|10 CFR SECTION:                                 |DAVID AYRES          R2      |

|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          Y       100      Power Operation  |100      Power Operation  |

|                                                   |                          |

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                                   EVENT TEXT                                   

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| OFFSITE NOTIFICATION TO STATE AGENCY OF EXPIRED GREEN SEA TURTLE FOUND AT    |

| BARRIER NET                                                                  |

|                                                                              |

| "NRC notification [is] being made due to state notification to [the] Florida |

| Wildlife Commission regarding a Green Sea Turtle found dead at barrier net   |

| pursuant to 10 CFR 50.72(b)(2)(xi)."                                         |

|                                                                              |

| The turtle was found on the surface at the barrier net with no injuries or   |

| abnormalities except for fresh cuts common for turtles coming through pipes. |

| The cause of death is unknown at this time. A necropsy is planned.           |

|                                                                              |

| The NRC Resident Inspector will be notified by the licensee.                 |

|                                                                              |

| * * * UPDATE ON 3/15/03 @ 1033 EST FROM TEREZAKIS TO CROUCH * * *            |

|                                                                              |

| "On 3-15-03, a green sea turtle was retrieved from the plant's intake canal. |

| The turtle was determined to be in need of rehabilitation.  The injuries to  |

| the turtle are not causal to plant operation. Per the plant's turtle permit, |

| the Florida Fish and Wildlife Conservation Commission (FWCC) was notified at |

| 0920 EST.  This non-emergency notification is being made pursuant to 10 CFR  |

| 50.72(b)(2)(xi) due to the notification of FWCC."                            |

|                                                                              |

| The NRC Resident Inspector will be notified by the licensee.                 |

|                                                                              |

| * * * UPDATE ON 3/19/03 AT 1222 EST FROM E. SUMNER TO RIPLEY  * * *          |

|                                                                              |

| "On 03/19/03 @ 1105 hrs., one loggerhead turtle was retrieved from the       |

| plant's intake canal.  The turtle was determined to be in need of            |

| rehabilitation.  The injury to the turtle is not causal to plant operation.  |

| Per the plant's turtle permit, the Florida Fish and Wildlife Conservation    |

| Commission (FWCC) was notified at 1115 EST."                                 |

|                                                                              |

| The NRC Resident Inspector was notified.                                     |

|                                                                              |

| * * * UPDATED ON 3/31/03 AT 1159 EST FROM W.L. PARK TO A. COSTA * * *        |

|                                                                              |

| "On 3-31-03 [1105 EST], a loggerhead sea turtle was retrieved from the       |

| plant's intake canal. The turtle was determined to be in need of             |

| rehabilitation. The injuries to the turtle are not causal to plant           |

| operation. Per the plant's turtle permit, the Florida Fish and Wildlife      |

| Conservation Commission (FWCC) was notified at 1105 EST. This non-emergency  |

| notification is being made pursuant to 10 CFR 50.72(b)(2)(xi) due to the     |

| notification of FWCC."                                                       |

|                                                                              |

| The NRC Resident Inspector will be notified.                                 |

|                                                                              |

| * * * UPDATE 1235EST ON 4/9/03 FROM ANDY TEREZAKIS TO S.SANDIN * * *         |

|                                                                              |

| "On 4-9-03, a loggerhead sea turtle was retrieved from the plant's Intake    |

| canal. The turtle was determined to be in need of rehabilitation. The        |

| injuries to the turtle are not causal to plant operation. Per the plant's    |

| turtle permit, the Florida Fish and Wildlife Conservation Commission (FWCC)  |

| was notified at 1100 EST. This non-emergency notification is being made      |

| pursuant to 10CFR50.72(b)(2)(xi) due to the notification of FWCC."           |

|                                                                              |

| The licensee informed the NRC resident inspector.  Notified R2DO(Landis).    |

|                                                                              |

| *** UPDATE ON 5/2/03 AT 1826 FROM S. OEHRLE TO A. COSTA ***                  |

|                                                                              |

| "On 5/2/03, a green sea turtle was retrieved from the intake canal.  The     |

| turtle  required rehabilitation.  The injuries were not causal to plant      |

| operation.  Per the plant's turtle permit, the Florida Fish and Wildlife     |

| Conservation Commission was notified at 1445 EDT.  This non-emergency        |

| notification is being made pursuant to 10 CFR 50.72 (b)(2)(xi) due to        |

| offsite notification."                                                       |

|                                                                              |

| The Licensee will notify the NRC Resident Inspector.  Notified R2DO          |

| (Munday).                                                                    |

|                                                                              |

| **** update on 05/24/03 at 1417 EDT FROM JOE HESSLING TO JOHN MACKINNON      |

| ****                                                                         |

|                                                                              |

| "On 5-24-03, a loggerhead sea turtle was retrieved from the plant's intake   |

| canal.  The turtle was determined to be in need of rehabilitation.  The      |

| turtle was very underweight and lethargic, no injuries or anomalies noted.   |

| Turtle's condition is not causal to plant operation.  Per the plant's turtle |

| permit the Florida Fish and Wildlife Conservation Commission (FWCC) was      |

| notified at 1345 EDT.  This non-emergency notification is being made         |

| pursuant to 10 CFR 50.72(b)(2)(xi) due to the notification of FWCC. NRC R2DO |

| (TOM DECKER) notified.                                                       |

|                                                                              |

| The NRC Resident Inspector was by notified of this event by the licensee.    |

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|General Information or Other                     |Event Number:   39868       |

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| REP ORG:  OK DEQ RAD MANAGEMENT                |NOTIFICATION DATE: 05/20/2003|

|LICENSEE:  OKLAHOMA UNIVERSITY MEDICAL CENTER   |NOTIFICATION TIME: 19:13[EDT]|

|    CITY:  OKLAHOMA CITY            REGION:  4  |EVENT DATE:        05/05/2003|

|  COUNTY:                            STATE:  OK |EVENT TIME:             [CDT]|

|LICENSE#:  OK-21035-01           AGREEMENT:  Y  |LAST UPDATE DATE:  05/20/2003|

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

|                                                |PERSON          ORGANIZATION |

|                                                |TROY PRUETT          R4      |

|                                                |JOHN HICKEY          NMSS    |

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

| NRC NOTIFIED BY:  PAM BISHOP                   |                             |

|  HQ OPS OFFICER:  MIKE RIPLEY                  |                             |

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

|EMERGENCY CLASS:          NON EMERGENCY         |                             |

|10 CFR SECTION:                                 |                             |

|NAGR                     AGREEMENT STATE        |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

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                                   EVENT TEXT                                   

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| AGREEMENT STATE REPORT - MEDICAL MISADMINISTRATION                           |

|                                                                              |

| The licensee reported a medical misadministration involving High Dose Rate   |

| brachytherapy MammoSite treatment to a 70-year old female.  Upon             |

| administering the first of ten planned fractions it was noticed that the     |

| Ir-192 source did not reach the center of the balloon but was near the       |

| periphery 30 millimeters from the center.  The patient dose was reassessed   |

| and it was determined that the dose to the target area was less than planned |

| (56% of the planned dose).  The patient and the patient's physician were     |

| notified.  It has been determined that there were no adverse effects to the  |

| patient.  Corrective actions will address four factors contributing to the   |

| misadministration: wrong orientation of the patient during a CT scan; delays |

| in issuing the treatment plan due to a computer network failure;             |

| mis-communications regarding the specified treatment plan; and similarities  |

| between CT-based and radiographic-based printouts.                           |

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|General Information or Other                     |Event Number:   39877       |

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| REP ORG:  OHIO BUREAU OF RADIATION PROTECTION  |NOTIFICATION DATE: 05/22/2003|

|LICENSEE:  UNIVERSITY HOPSITALS OF CLEVELAND    |NOTIFICATION TIME: 14:10[EDT]|

|    CITY:  Cleveland                REGION:  3  |EVENT DATE:        05/13/2003|

|  COUNTY:                            STATE:  OH |EVENT TIME:        12:00[EDT]|

|LICENSE#:  OH-0211018007         AGREEMENT:  Y  |LAST UPDATE DATE:  05/22/2003|

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

|                                                |PERSON          ORGANIZATION |

|                                                |ANNE MARIE STONE     R3      |

|                                                |DOUG BROADDUS        NMSS    |

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

| NRC NOTIFIED BY:  MARK LIGHT                   |                             |

|  HQ OPS OFFICER:  JOHN MacKINNON               |                             |

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

|EMERGENCY CLASS:          NON EMERGENCY         |                             |

|10 CFR SECTION:                                 |                             |

|NAGR                     AGREEMENT STATE        |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

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                                   EVENT TEXT                                   

+------------------------------------------------------------------------------+

| RADIATION TREATMENT TO WRONG AREA                                            |

|                                                                              |

| The Ohio Department of Health Bureau of Radiation Protection received a      |

| report of misadministration from University Hospitals of Cleveland on May    |

| 20, 2003.  The report involved a Brachytherapy prostrate therapy with        |

| Iodine-125 seeds.  The total amount of activity administered was 20.0        |

| millicuries.  Preliminary indications is a  treatment to the wrong target    |

| area.  A written report will be sent to the Ohio Department of Health within |

| 15 days.                                                                     |

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|General Information or Other                     |Event Number:   39878       |

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| REP ORG:  ALABAMA RADIATION CONTROL            |NOTIFICATION DATE: 05/22/2003|

|LICENSEE:  TWITCHELL CORP.                      |NOTIFICATION TIME: 15:45[EDT]|

|    CITY:  Dothan                   REGION:  2  |EVENT DATE:        05/22/2003|

|  COUNTY:                            STATE:  AL |EVENT TIME:        12:00[CDT]|

|LICENSE#:                        AGREEMENT:  Y  |LAST UPDATE DATE:  05/22/2003|

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

|                                                |PERSON          ORGANIZATION |

|                                                |THOMAS DECKER        R2      |

|                                                |LARRY CAMPER         NMSS    |

+------------------------------------------------+TOM ESSIG            NMSS    |

| NRC NOTIFIED BY:  DAVID WALTER                 |                             |

|  HQ OPS OFFICER:  JOHN MacKINNON               |                             |

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

|EMERGENCY CLASS:          NON EMERGENCY         |                             |

|10 CFR SECTION:                                 |                             |

|NAGR                     AGREEMENT STATE        |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

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                                   EVENT TEXT                                   

+------------------------------------------------------------------------------+

| LOST NDC GAUGE                                                               |

|                                                                              |

| "During an inspection of a general licensee in Dothan, AL, the Agency has    |

| discovered that an NDC Model 103 gauge (S/N 2112), containing one 150        |

| millicurie Americium 241 source is unaccounted for.  The device was          |

| purchased by Ludlow Coated Products in Dothan, AL. That plant closed and the |

| three GL gauges were supposedly transferred to another Ludlow plant in       |

| Mississippi in 2000.  The plant was then acquired by Twitchell Corporation   |

| (another GL licensee of this Agency's).  During our inspection of Twitchell, |

| questions arose regarding the whereabouts of the 3 GL gauges from the site   |

| once registered to Ludlow.  Investigations by Twitchell representatives      |

| resulted in documentation of the transfer of 2 of the devices, but no        |

| information regarding the NDC device.  The investigation and search for the  |

| lost device is continuing."                                                  |

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+------------------------------------------------------------------------------+

|Power Reactor                                    |Event Number:   39880       |

+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+

| FACILITY: CALVERT CLIFFS           REGION:  1  |NOTIFICATION DATE: 05/25/2003|

|    UNIT:  [1] [2] []                STATE:  MD |NOTIFICATION TIME: 23:12[EDT]|

|   RXTYPE: [1] CE,[2] CE                        |EVENT DATE:        05/25/2003|

+------------------------------------------------+EVENT TIME:        21:45[EDT]|

| NRC NOTIFIED BY:  DAVID FRYE                   |LAST UPDATE DATE:  05/25/2003|

|  HQ OPS OFFICER:  JOHN MacKINNON               +-----------------------------+

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

|EMERGENCY CLASS:          NON EMERGENCY         |ANTHONY DIMITRIADIS  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          Y       100      Power Operation  |100      Power Operation  |

|                                                   |                          |

+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   

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| INADVERTENT ACTUATION OF EMERGENCY SIREN # 38 IN DORCHESTER COUNTY,          |

| MARYLAND                                                                     |

|                                                                              |

|                                                                              |

| Emergency Siren # 38 inadvertently actuated in Dorchester County, Maryland   |

| at 1610 EDT.  Dorchester County Emergency Response Center drove out to the   |

| Emergency Siren and verified that the Emergency Siren had actuated.          |

| Dorchester County Emergency Response Center notified Calvert Cliffs Nuclear  |

| Power Plant at 2145 EDT that Emergency Siren # 38 had actuated.  Some kind   |

| of atmospheric anomaly caused the Emergency Siren to actuate.                |

|                                                                              |

| The NRC Resident Inspector will be notified of this event by the licensee.   |

+------------------------------------------------------------------------------+



+------------------------------------------------------------------------------+

|Power Reactor                                    |Event Number:   39881       |

+------------------------------------------------------------------------------+

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| FACILITY: COOPER                   REGION:  4  |NOTIFICATION DATE: 05/26/2003|

|    UNIT:  [1] [] []                 STATE:  NE |NOTIFICATION TIME: 21:47[EDT]|

|   RXTYPE: [1] GE-4                             |EVENT DATE:        05/26/2003|

+------------------------------------------------+EVENT TIME:        17:27[CDT]|

| NRC NOTIFIED BY:  WILLIAM B. GREEN             |LAST UPDATE DATE:  05/26/2003|

|  HQ OPS OFFICER:  ERIC THOMAS                  +-----------------------------+

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

|EMERGENCY CLASS:          NON EMERGENCY         |TROY PRUETT          R4      |

|10 CFR SECTION:                                 |CYNTHIA CARPENTER    NRR     |

|ACCS 50.72(b)(2)(iv)(A)  ECCS INJECTION         |                             |

|ARPS 50.72(b)(2)(iv)(B)  RPS ACTUATION - CRITICA|                             |

|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   |

+-----+----------+-------+--------+-----------------+--------+-----------------+

|1     M/R        Y       92       Power Operation  |0        Hot Shutdown     |

|                                                   |                          |

|                                                   |                          |

+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   

+------------------------------------------------------------------------------+

| MANUAL REACTOR SCRAM                                                         |

|                                                                              |

| This report is being made in accordance with 10CFR50.72 section              |

| (b)(2)(iv)(A), (b)(2)(iv)(B), and (b)(3)(iv)(A).                             |

|                                                                              |

| At 1727 on 5/26/03 a manual Reactor Scram was inserted from approximately 90 |

| percent power due to high vibration on the main turbine. This action was     |

| taken in accordance with station procedures. The subsequent shrink caused    |

| reactor water level to lower to approximately -42 inches below instrument    |

| zero on the wide range level instruments. This level was low enough to cause |

| the actuation of:  Primary Containment Group Isolations 2, 3, and 6, High    |

| Pressure Coolant Injection (HPCI) system, Reactor Core Isolation Cooling     |

| (RCIC) system, and the Alternate Rod Insertion (ARI) system. The HPCI and    |

| RCIC systems injected for less than one minute. After Reactor water level    |

| recovered HPCI and Reactor Feed Pumps (RFP) were tripped prior to receiving  |

| the high water level trip of these pumps. The RCIC turbine tripped           |

| automatically on high reactor water level. A single RFP has been restarted   |

| and is currently providing feed water to the Reactor.                        |

|                                                                              |

| On the Scram all rods inserted and all systems appear to have functioned as  |

| designed. The Nebraska Public Power Load Dispatcher reports that the         |

| electrical grid is stable. The plant is currently in Mode 3 and is being     |

| cooled down to Mode 4.                                                       |

|                                                                              |

| When operators first noted the high turbine vibration, reactor power was     |

| lowered from 100 percent to 90 percent.  The maximum specification for       |

| turbine vibration is 14 mils, and the operators noted a maximum indication   |

| of 12.5 mils prior to the scram. The cause of the excessive vibration is     |

| believed to be the number 5 bearing on the low pressure turbine.  All        |

| Emergency Core Cooling Systems and Emergency Diesel Generators are           |

| operable.                                                                    |

|                                                                              |

| The licensee notified the NRC Resident Inspector                             |

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+------------------------------------------------------------------------------+

|Power Reactor                                    |Event Number:   39882       |

+------------------------------------------------------------------------------+

+------------------------------------------------------------------------------+

| FACILITY: COOPER                   REGION:  4  |NOTIFICATION DATE: 05/27/2003|

|    UNIT:  [1] [] []                 STATE:  NE |NOTIFICATION TIME: 05:32[EDT]|

|   RXTYPE: [1] GE-4                             |EVENT DATE:        05/26/2003|

+------------------------------------------------+EVENT TIME:        22:15[CDT]|

| NRC NOTIFIED BY:  WILLIAM GREEN                |LAST UPDATE DATE:  05/27/2003|

|  HQ OPS OFFICER:  CHAUNCEY GOULD               +-----------------------------+

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

|EMERGENCY CLASS:          NON EMERGENCY         |TROY PRUETT          R4      |

|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        Hot Shutdown     |0        Hot Shutdown     |

|                                                   |                          |

|                                                   |                          |

+------------------------------------------------------------------------------+

                                   EVENT TEXT                                   

+------------------------------------------------------------------------------+

| REACTOR COOLANT SYSTEM PRESSURE/TEMPERATURE TS LIMITS WERE EXCEEDED          |

|                                                                              |

| At 2215 on 5/26/03 it was noted that Reactor Coolant System (RCS)            |

| Pressure/Temperature Limits for Non-Nuclear Heatup or Cooldown Following     |

| Nuclear Shutdown, Figure 3.4.9-1 of Technical Specifications, had been       |

| exceeded. This condition occurred due to Bottom Head Temperature being low   |

| due to a loss forced circulation when Reactor Recirculation Pumps tripped    |

| during the manual scram reported in notification 39881.  Reactor pressure    |

| was lowered and compliance with the curves has been reestablished.  An       |

| analysis of this condition is required to be conducted in accordance with    |

| Technical Specification Required Action 3.4.9 A.2 to determine RCS           |

| acceptability for continued operation.  The Reactor is required, as per LCO  |

| action statement, to be placed in Mode 4 by 1045 on 5/28/03,                 |

|                                                                              |

|                                                                              |

| The NRC Resident Inspector was notified.                                     |

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