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Event Notification Report for June 3, 2003






                    U.S. Nuclear Regulatory Commission

                              Operations Center



                              Event Reports For

                           06/02/2003 - 06/03/2003



                              ** EVENT NUMBERS **



39892  39899  39900  



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

|General Information or Other                     |Event Number:   39892       |

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

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

| REP ORG:  ARIZONA RADIATION REGULATORY AGENCY  |NOTIFICATION DATE: 05/29/2003|

|LICENSEE:  Phoenix Baptist Hospital & Medical Ce|NOTIFICATION TIME: 17:19[EDT]|

|    CITY:  PHOENIX                  REGION:  4  |EVENT DATE:        05/27/2003|

|  COUNTY:                            STATE:  AZ |EVENT TIME:             [MST]|

|LICENSE#:  070-146               AGREEMENT:  Y  |LAST UPDATE DATE:  05/30/2003|

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

|                                                |PERSON          ORGANIZATION |

|                                                |KRISS KENNEDY        R4      |

|                                                |MELVYN LEACH         NMSS    |

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

| NRC NOTIFIED BY:  WILLIAM A. WRIGHT            |                             |

|  HQ OPS OFFICER:  HOWIE CROUCH                 |                             |

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

|EMERGENCY CLASS:          NON EMERGENCY         |                             |

|10 CFR SECTION:                                 |                             |

|NAGR                     AGREEMENT STATE        |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

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



                                   EVENT TEXT                                   

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

| AGREEMENT STATE REPORT - ARIZONA                                             |

|                                                                              |

| The following information was obtained from the Arizona Radiation Regulatory |

| Agency via facsimile:                                                        |

|                                                                              |

| "On May 27, 2003, a patient was administered 27 mCi of Iodine-131 (Iodide)   |

| instead of the prescribed dose of 5 mCi. Initial investigation indicates     |

| that Medi-Physics Inc. had mistakenly sent a 27 mCi dose designated for AMI  |

| to Phoenix Baptist Hospital and the 5 mCi dose for Phoenix Baptist Hospital  |

| to AMI.  It appears that the 27 mCi dose had been accurately assayed by the  |

| Technician, had been noted to differ from the requested 5 mCi, but had been  |

| administered to the patient anyway.  It should also be noted that the        |

| patient had a thyroid ablation procedure conducted previously.  Medi-Physics |

| Inc. and Phoenix Baptist Hospital are investigating the situation and a      |

| report from each will be forthcoming.                                        |

|                                                                              |

| "The Agency and licensees will continue to investigate this occurrence and   |

| report further."                                                             |

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



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

|Fuel Cycle Facility                              |Event Number:   39899       |

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

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

| FACILITY: HONEYWELL INTERNATIONAL, INC.        |NOTIFICATION DATE: 06/02/2003|

|   RXTYPE: URANIUM HEXAFLUORIDE PRODUCTION      |NOTIFICATION TIME: 11:50[EDT]|

| COMMENTS: UF6 CONVERSION (DRY PROCESS)         |EVENT DATE:        06/02/2003|

|                                                |EVENT TIME:        09:00[CDT]|

|                                                |LAST UPDATE DATE:  06/02/2003|

|    CITY:  METROPOLIS               REGION:  3  +-----------------------------+

|  COUNTY:  MASSAC                    STATE:  IL |PERSON          ORGANIZATION |

|LICENSE#:  SUB-526               AGREEMENT:  Y  |KENNETH O'BRIEN      R3      |

|  DOCKET:  04003392                             |TOM ESSIG            NMSS    |

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

| NRC NOTIFIED BY:  M. GINZEL                    |                             |

|  HQ OPS OFFICER:  JOHN MacKINNON               |                             |

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

|EMERGENCY CLASS:          NON EMERGENCY         |                             |

|10 CFR SECTION:                                 |                             |

|JSAF 40.60(b)(2)         SAFETY EQUIPMENT FAILUR|                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

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



                                   EVENT TEXT                                   

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

| LINE BREAK IN FIRE PROTECTION SYSTEM                                         |

|                                                                              |

|                                                                              |

| While adding a new component, Hydrogen Fluoride Mitigation Tower (sprays     |

| water on an HF release), to their fire protection system when an underground |

| line break to the fire protection system occurred between the Fluorine Plant |

| and the Feeds Material Building.  The fire protection system line break was  |

| isolated via valves and the water leak was stopped.  Proper Fire Protection  |

| System pressure has been restored. All Safety system are covered by the Fire |

| Protection System.                                                           |

|                                                                              |

| NRC Residents Inspectors at Paducah were notified of this event by Honeywell |

| International.                                                               |

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



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

|Power Reactor                                    |Event Number:   39900       |

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

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

| FACILITY: CALVERT CLIFFS           REGION:  1  |NOTIFICATION DATE: 06/02/2003|

|    UNIT:  [1] [2] []                STATE:  MD |NOTIFICATION TIME: 15:28[EDT]|

|   RXTYPE: [1] CE,[2] CE                        |EVENT DATE:        06/02/2003|

+------------------------------------------------+EVENT TIME:        14:00[EDT]|

| NRC NOTIFIED BY:  BRUCE SHICK                  |LAST UPDATE DATE:  06/02/2003|

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

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

|EMERGENCY CLASS:          NON EMERGENCY         |JAMES LINVILLE       R1      |

|10 CFR SECTION:                                 |                             |

|APRE 50.72(b)(2)(xi)     OFFSITE NOTIFICATION   |                             |

|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  |

|2     N          Y       100      Power Operation  |100      Power Operation  |

|                                                   |                          |

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

                                   EVENT TEXT                                   

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

| WEEKLY SILENT EMERGENCY SIREN TEST FAILED                                    |

|                                                                              |

| The weekly silent testing of St Marys county failed to transmit the test     |

| signal resulting in 17 out of 17 emergency siren test failures. St Marys     |

| county will have to perform route alerting until the emergency sirens have   |

| been restored to service.                                                    |

|                                                                              |

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

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





                    

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