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Event Notification Report for June 26, 2003








                    U.S. Nuclear Regulatory Commission

                              Operations Center



                              Event Reports For

                           06/25/2003 - 06/26/2003



                              ** EVENT NUMBERS **



39631  39951  39953  39957  39959  39960  



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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:  06/26/2003|

|  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.    |

|                                                                              |

| ****UPDATE ON 5/27/03 AT 10:49 FROM HESSLING TO LAURA****                    |

|                                                                              |

| "On 5-27-03, 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 underweight, and missing lower posterior marginals on left side.         |

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

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

| notified at 0850 EDT. This non-emergency notification is being made pursuant |

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

|                                                                              |

| Notified R2DO (T. Decker)                                                    |

|                                                                              |

| * * * UPDATE ON 06/17/03 AT 12:45 EDT FROM CALVIN WARD TO ARLON COSTA * * *  |

|                                                                              |

| "At approximately 12:45 p.m. on 6/17/03 a loggerhead turtle was rescued from |

| the St. Lucie Plant intake canal. The turtle was injured and will be         |

| transported to the State authorized sea turtle rehabilitation facility. The  |

| Florida Dept. of Environmental Protection (FDEP) was notified at 1:09 p.m.   |

| as required by the St. Lucie Plant Sea Turtle Permit - see the attached sea  |

| turtle stranding report (1 page).                                            |

|                                                                              |

| "Notification to the state government agency requires a four (4) Hr.         |

| Non-Emergency Notification to the NRC per 10 CFR 50.72(b)(2)(xi). There were |

| no unusual plant evolutions in progress which may have contributed to this   |

| event."                                                                      |

|                                                                              |

| The licensee notified the NRC Resident Inspector.                            |

|                                                                              |

| Notified R2DO (L. Wert).                                                     |

|                                                                              |

| * * * UPDATE 0605 EDT ON 6/26/03 FROM STEVE MERRILL TO S. SANDIN * * *       |

|                                                                              |

| The licensee was informed by the FWCC that the green sea turtle requiring    |

| rehabilitation which was retrieved from the plant's intake canal on 3/15/03  |

| had expired within 10 days of removal.  Consequently, the licensee is        |

| updating their 3/15/03 report to include this additional information.  The   |

| licensee will inform the NRC Resident Inspector.  Notified R2DO(C. Ogle).    |

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|General Information or Other                     |Event Number:   39951       |

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| REP ORG:  SC DIV OF HEALTH & ENV CONTROL       |NOTIFICATION DATE: 06/20/2003|

|LICENSEE:  GEO-SYSTEMS DESIGN & TESTING, INC.   |NOTIFICATION TIME: 13:42[EDT]|

|    CITY:  NEWBERRY                 REGION:  2  |EVENT DATE:        06/20/2003|

|  COUNTY:                            STATE:  SC |EVENT TIME:             [EDT]|

|LICENSE#:  412                   AGREEMENT:  Y  |LAST UPDATE DATE:  06/20/2003|

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

|                                                |PERSON          ORGANIZATION |

|                                                |LEONARD WERT         R2      |

|                                                |                             |

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

| NRC NOTIFIED BY:  JIM PETERSON                 |                             |

|  HQ OPS OFFICER:  HOWIE CROUCH                 |                             |

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

|EMERGENCY CLASS:          NON EMERGENCY         |                             |

|10 CFR SECTION:                                 |                             |

|NAGR                     AGREEMENT STATE        |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

|                                                |                             |

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                                   EVENT TEXT                                   

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| AGREEMENT STATE REPORT                                                       |

|                                                                              |

| The following information was received from South Carolina Department of     |

| Health and Environmental Control via facsimile:                              |

|                                                                              |

| "The SC Department of Health and Environmental Control was notified on June  |

| 20, 2003, by a representative from Geo-Systems Design and Testing, that a    |

| portable gauging device had been run over by a construction vehicle at a     |

| construction work site.  The gauge is a Campbell Pacific Nuclear model 131   |

| containing 10 [milliCuries] of cesium-137 and 50 [milliCuries] of Am-241:Be. |

| The licensee is maintaining constant surveillance of the damaged gauge.  The |

| extent of damage at this time is unknown but the licensee has indicated the  |

| gauge is crushed.  State inspectors are responding at this time and are      |

| traveling to the scene.  Updates to this event will be made through the      |

| national NMED system."                                                       |

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|General Information or Other                     |Event Number:   39953       |

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| REP ORG:  NEW MEXICO RAD CONTROL PROGRAM       |NOTIFICATION DATE: 06/20/2003|

|LICENSEE:  TERACON                              |NOTIFICATION TIME: 17:50[EDT]|

|    CITY:  LENEXA                   REGION:  4  |EVENT DATE:        06/20/2003|

|  COUNTY:                            STATE:  KS |EVENT TIME:        11:00[CDT]|

|LICENSE#:  DM346                 AGREEMENT:  Y  |LAST UPDATE DATE:  06/20/2003|

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

|                                                |PERSON          ORGANIZATION |

|                                                |DALE POWERS          R4      |

|                                                |C.W. (BILL) REAMER   NMSS    |

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

| NRC NOTIFIED BY:  BILL FLOYD                   |                             |

|  HQ OPS OFFICER:  HOWIE CROUCH                 |                             |

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

|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                       |

|                                                                              |

| The following information was obtained from the New Mexico Radiation Control |

| Bureau:                                                                      |

|                                                                              |

| At 1750 EDT on 06/20/03, the Program Manager of New Mexico's Radiation       |

| Control Bureau reported a stolen Troxler Moisture Density Gauge (10          |

| milli-curies CS-137 and 44 milli-curies Am-241).  The licensee's employee    |

| reported that the gauge was in a box and chained to his truck at 2100 CDT    |

| last night, 06/19/03.  Today, 06/20/03, at 1100 CDT when the employee        |

| reached the worksite in Ruidoso, NM, the gauge was missing.  Apparently the  |

| chain had been moved enough to open the box.  The licensee is Teracon,       |

| Lenexa, KS. The licensee was advised to report the incident to local law     |

| enforcement.                                                                 |

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|General Information or Other                     |Event Number:   39957       |

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| REP ORG:  ILLINOIS DEPT OF NUCLEAR SAFETY      |NOTIFICATION DATE: 06/23/2003|

|LICENSEE:  GOOD SHEPHERD HOSPITAL               |NOTIFICATION TIME: 17:26[EDT]|

|    CITY:  BARRINGTON               REGION:  3  |EVENT DATE:        06/17/2003|

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

|LICENSE#:  IL-01620-01           AGREEMENT:  Y  |LAST UPDATE DATE:  06/23/2003|

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

|                                                |PERSON          ORGANIZATION |

|                                                |PATRICK LOUDEN       R3      |

|                                                |C.W. (BILL) REAMER   NMSS    |

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

| NRC NOTIFIED BY:  DAREN PERRERO                |                             |

|  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- WRONG PATIENT SELECTED                               |

|                                                                              |

| "Today, June 23, 2003, a consultant to Good Shepherd Hospital (IL-01620-01)  |

| in Barrington, IL called concerning a reportable medical event [discovery    |

| date 06/20/2003].  On June 17th the licensee was scheduled to provide a      |

| therapeutic dose of 15 milliCi [milliCuries] of I-131 to a patient by        |

| capsule.  Instead, the patient received a capsule with an assayed dose of    |

| 10.8 milliCi.  Apparently, two treatments were scheduled for the day and a   |

| second patient was prescribed a dose of 11 milliCi and the technician failed |

| to administer the correct dose to the patient.  The second patient did not   |

| receive any treatment that day and was rescheduled for last Friday.  (A      |

| separate call to the pharmacy confirmed two doses were delivered on Tuesday, |

| one of 15 milliCi and a second [dose] of 11 milliCi and another dose of 10   |

| milliCi was provided on Friday.)                                             |

|                                                                              |

| "At this time, the radiation oncologist does not believe there will be any   |

| appreciable effect to the patient, but will continue to follow through with  |

| the evaluation to determine if an additional dose is necessary to achieve    |

| the optimal results.  The licensee has advised the referring physician       |

| verbally and in writing.  They have determined it would not be appropriate   |

| to notify the patient[s] given their condition and medical situation.        |

|                                                                              |

| "The licensee has spoken with the responsible technician about ensuring the  |

| correct dose is administered to the correct patient.  The licensee is in the |

| process of changes procedures at the site so that two individuals must       |

| independently confirm the correct patient identification and dosage          |

| information immediately prior to administration.                             |

|                                                                              |

| "The licensee was advised as the need for timely reporting or these events   |

| and that a formal report must be filed within 15 days as per 32 Ill. Adm.    |

| Code 335.1080."                                                              |

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|Power Reactor                                    |Event Number:   39959       |

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

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| FACILITY: HADDAM NECK              REGION:  1  |NOTIFICATION DATE: 06/25/2003|

|    UNIT:  [1] [] []                 STATE:  CT |NOTIFICATION TIME: 14:27[EDT]|

|   RXTYPE: [1] W-4-LP                           |EVENT DATE:        06/25/2003|

+------------------------------------------------+EVENT TIME:        13:24[EDT]|

| NRC NOTIFIED BY:  JOHN BOWER                   |LAST UPDATE DATE:  06/25/2003|

|  HQ OPS OFFICER:  RICH LAURA                   +-----------------------------+

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

|EMERGENCY CLASS:          NON EMERGENCY         |KENNETH JENISON      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          N       0        Decommissioned   |0        Decommissioned   |

|                                                   |                          |

|                                                   |                          |

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                                   EVENT TEXT                                   

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| SMALL OIL SPILL AT HADDAM NECK PROMPTS OFFSITE NOTIFICATION                  |

|                                                                              |

| The licensee reported an offsite notification to the Connecticut Department  |

| of Environmental Protection concerning a 1 pint oil spill.  Apparently, a    |

| hydraulic hose on a forklift  failed and spilled oil onto the dirt. The      |

| licensee indicated they will clean-up the oil spill.                         |

|                                                                              |

| Notified R1DO (K. Jenison)                                                   |

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|Power Reactor                                    |Event Number:   39960       |

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| FACILITY: THREE MILE ISLAND        REGION:  1  |NOTIFICATION DATE: 06/25/2003|

|    UNIT:  [1] [] []                 STATE:  PA |NOTIFICATION TIME: 19:45[EDT]|

|   RXTYPE: [1] B&W-L-LP,[2] B&W-L-LP            |EVENT DATE:        06/25/2003|

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

| NRC NOTIFIED BY:  JOHN SCHORK                  |LAST UPDATE DATE:  06/25/2003|

|  HQ OPS OFFICER:  JAMES DODSON                 +-----------------------------+

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

|EMERGENCY CLASS:          NON EMERGENCY         |KENNETH JENISON      R1      |

|10 CFR SECTION:                                 |                             |

|AUNA 50.72(b)(3)(ii)(B)  UNANALYZED CONDITION   |                             |

|AIND 50.72(b)(3)(v)(D)   ACCIDENT MITIGATION    |                             |

|                                                |                             |

|                                                |                             |

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

|UNIT |SCRAM CODE|RX CRIT|INIT PWR|   INIT RX MODE  |CURR PWR|  CURR RX MODE   |

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

|1     N          Y       100      Power Operation  |100      Power Operation  |

|                                                   |                          |

|                                                   |                          |

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                                   EVENT TEXT                                   

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| UNANALYZED CONDITION DUE TO DISLODGED ACCESS PANEL IN THE CONTROL BUILDING   |

| VENTILATION SYSTEM                                                           |

|                                                                              |

| "An access panel cover for the Control Building Ventilation System supply    |

| duct was found to be dislodged on June 24, 2003. The access panel was        |

| immediately realigned upon discovery of the condition and secured. The       |

| probable cause of the event is that vibration of the ductwork caused the     |

| panel closure camlocks to vibrate from a closed position to an open          |

| position. A walkdown is being performed to ensure that other access panels   |

| are secure. The corrective action to this event will address additional      |

| actions to ensure these closure camlocks and other similar camlocks are      |

| positively secured to prevent an event recurrence.                           |

|                                                                              |

| "The review of the potential impact of this system configuration determined  |

| on June 25, 2003 that conditions may have existed as defined in 10 CFR       |

| 50.72(b)(3)(ii)(B) and 10 CFR 50.72(b)(3)(v)(D) and that the event requires  |

| reporting. On Tuesday, June 25, 2003, further Engineering evaluation         |

| determined that the dislodged panel access cover for the Control Building    |

| Ventilation System may have reduced the systems capability to maintain a     |

| positive pressure in the Control Building Habitability Envelope. This        |

| condition could have lead to increased unfiltered in-leakage of airborne     |

| radioactive material beyond the previously analyzed condition in the event   |

| of a design basis accident. Further analysis may determine that the system   |

| would have been able to perform its design basis function.                   |

|                                                                              |

| "The NRC Resident Inspector has been notified. No other state, local or      |

| other government agencies have been notified. There has been no media press  |

| release issued."                                                             |

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