Event Notification Report for June 27, 2003
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
06/26/2003 - 06/27/2003
** EVENT NUMBERS **
39631 39922 39957 39961
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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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|Other Nuclear Material |Event Number: 39922 |
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| REP ORG: CONSOLE ENERGY INC |NOTIFICATION DATE: 06/11/2003|
|LICENSEE: BUCHANAN MINE CONSOLIDATION COMPANY |NOTIFICATION TIME: 15:12[EDT]|
| CITY: MAVISDALE REGION: 2 |EVENT DATE: 06/04/2003|
| COUNTY: STATE: VA |EVENT TIME: [EDT]|
|LICENSE#: GENERAL AGREEMENT: N |LAST UPDATE DATE: 06/26/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |MARK LESSER R2 |
| |CHRISTOPHER CAHILL R1 |
+------------------------------------------------+FRED BROWN NMSS |
| NRC NOTIFIED BY: JOE RICHARD |ROBERTA WARREN IAT |
| HQ OPS OFFICER: ARLON COSTA | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|BLO1 20.2201(a)(1)(i) LOST/STOLEN LNM>1000X | |
| | |
| | |
| | |
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EVENT TEXT
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| MISSING OR LOST GAUGE CONTAINING A RADIOACTIVE SOURCE |
| |
| A Texas Nuclear Product pipe mounted fixed gauge device, model 5202, Series |
| SG, serial number B174 containing a Cesium 137 (Cs-137), 500 millicuries |
| source (assay date of November 1984) could not be located in storage. The |
| gauge was removed from a pipe on the evening of 1/28/03 by an independent |
| contractor who placed the gauge in a temporary storage on the morning of |
| 1/29/03 at the Buchanan Mine Preparation Plant located in Mavisdale, |
| Virginia. The gauge was closed and pad locked before it was placed in the |
| small building storage room. The independent contractor and the plant |
| foreman looked for the gauge on 6/2/03 and could not locate it. They |
| continued looking for the gauge until 6/4/02 when they declared that it was |
| missing. The licensee has no reason to believe that the gauge left the |
| property, is retracing the steps of the gauge movement and is interviewing |
| their employees in an attempt to locate the gauge. |
| |
| * * * UPDATE AT 0951 EDT ON 06/26/03 FROM REGION II IAT (BOLAND) to NRC HOC |
| (GOTT) * * * |
| |
| The following was emailed from Region II: |
| |
| "The licensee searched their site for the gauge and interviewed employees |
| who had access to the floc [floculant] building with negative results. |
| |
| "There are two waste streams in which the gauge may have left the plant: |
| |
| "The first is in scrap metal. Scrap metal waste goes to Mansbauch Metal in |
| Ashland, Virginia. Incoming waste at Mansbauch must pass through an |
| Exploranium portal monitor. The alarm set point for this type of monitor is |
| normally set at twice background so they are very sensitive. The scrap |
| metal is then put on a conveyor for further processing. Three Ludlum |
| detectors monitor the loose scrap on the conveyor. The processed scrap must |
| then pass through the portal monitor leaving the facility. The smelter |
| accepting the scrap will also have a portal monitor. There were no alarms |
| in the time period under consideration and there is no backlog of scrap at |
| the facility. This does not seem to be a credible scenario for the loss of |
| the gauge. |
| |
| "The second waste stream is for normal industrial waste. The local sanitary |
| landfill is not used and, according to the licensee, all waste other than |
| scrap metal is supposed to be sent to the industrial waste stream. The |
| waste is transferred by H&K Trucking Co. to the Cumberland Plateau Regional |
| Waste Management Authority in Lebanon, Virginia for waste consolidation |
| prior to being sent to the BFI Carter Valley Landfill in Hawkins Co. |
| Tennessee. Waste coming into the Cumberland facility is dumped on the floor |
| and then loaded into a larger container for shipment to the landfill. |
| Periodically, individuals at this facility remove metal such as soft drink |
| cans for further sale to a scrap dealer. The BFI Landfill has a portal |
| monitor and was sensitive enough to recently detect in a large waste |
| shipment, a facial tissue used by an individual that had been administered |
| Tc-99m. |
| |
| "On June 17, NRC inspectors discussed the issue with licensee |
| representatives and surveyed areas of the site where the gauge might |
| logically have been moved. The radiation detection instruments the |
| inspectors used were sensitive enough to detect the gauge radiation unless |
| it was significantly shielded above and beyond the shielding inherent in the |
| gauge. The inspectors demonstrated that their survey instruments could |
| easily detect the radiation from a similar gauge that was in place at the |
| facility. The inspectors also traveled to the BFI landfill and discussed |
| the issue with landfill operators. |
| |
| "The operators of the Cumberland Plateau facility issued a memorandum to |
| staff describing the gauge and stating the importance of its recovery. The |
| Buchanan facility management was to also issue a similar memorandum and |
| claims to still be looking for the gauge." |
| |
| Notified NMSS (Broaddus), R2DO (Ogle), NRC IAT (Hahn). |
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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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|Other Nuclear Material |Event Number: 39961 |
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| REP ORG: HAENGEL & ASSOCIATES ENGINEERING |NOTIFICATION DATE: 06/26/2003|
|LICENSEE: HAENGEL & ASSOCIATES ENGINEERING |NOTIFICATION TIME: 13:21[EDT]|
| CITY: NEWPORT REGION: 3 |EVENT DATE: 06/26/2003|
| COUNTY: STATE: MI |EVENT TIME: [EDT]|
|LICENSE#: AGREEMENT: N |LAST UPDATE DATE: 06/26/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |PATRICK LOUDEN R3 |
| |THOMAS ESSIG NMSS |
+------------------------------------------------+ROBERTA WARREN NSIR |
| NRC NOTIFIED BY: GUSTAVO HAENGEL | |
| HQ OPS OFFICER: JAMES DODSON | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|BLO1 20.2201(a)(1)(i) LOST/STOLEN LNM>1000X | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| STOLEN TROXLER GAUGE IN NEWPORT, MICHIGAN |
| |
| The licensee reported that on 6/26/03 at 1200 pm a technician noticed that |
| his parked van, containing a Troxler gauge model 3430, had broken windows |
| and had been vandalized. The chain was cut which was holding a Troxler gauge |
| model 3430 and the gauge was missing. The gauge contains 8 millicuries |
| Cs-137 and 40 millicuries Am-241. Local Police, Troxler and RIII Cassandra |
| Frasier were notified by the licensee. |
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