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Event Notification Report for September 10, 2003

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
09/09/2003 - 09/10/2003

** EVENT NUMBERS **


40132 40136 40137 40142

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General Information or Other Event Number: 40132
Rep Org: MISSISSIPPI DIV OF RAD HEALTH
Licensee: Professional Service Industries
Region: 2
City: Pass Christian State: MS
County: Harrison
License #: MS-639-01/02
Agreement: Y
Docket:
NRC Notified By: Mark Langston
HQ OPS Officer: ERIC THOMAS
Notification Date: 09/04/2003
Notification Time: 09:48 [EST]
Event Date: 09/04/2003
Event Time: 06:00 [CDT]
Last Update Date: 09/05/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CHARLES MARSCHALL (R4)
DOUG BROADDUS (NMSS)
PAUL FREDRICKSON (R2)

Event Text

AGREEMENT STATE REPORT - STOLEN MOISTURE DENSITY GAUGE

At approximately 0600 CDT on 9/4/2003, a 1999 Nissan Altima belonging to an employee of Professional Services Industries (PSI) was stolen while parked at his residence in Pass Christian, MS. The vehicle had a Troxler Moisture/Density gauge Model 3411B, serial number 18549, locked in the trunk. The gauge contained the following isotopes: Cs-137, 8 millicuries, serial number 50899, and Am-241/Be, 40 millicuries, serial number 4714005.

The local PSI office is located in Gulfport, MS.

Local Law Enforcement was notified of the stolen vehicle and gauge.

*****UPDATE ON 9/5/03 AT 1710 FROM LANGSTON TO LAURA*****

The stolen vehicle was located in downtown Gulfport, MS. The gauge was found intact and was transported back to the office for a leak test. It appeared that the gauge was not touched.

Notified R2DO (P. Fredrickson).

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General Information or Other Event Number: 40136
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: LITTLE COMPANY OF MARY HOSPITAL
Region: 4
City: TORRANCE State: CA
County:
License #: 090503
Agreement: Y
Docket:
NRC Notified By: KATHLEEN KAUFMAN
HQ OPS Officer: RICH LAURA
Notification Date: 09/05/2003
Notification Time: 14:44 [EST]
Event Date: 09/04/2003
Event Time: 08:00 [PDT]
Last Update Date: 09/05/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CHARLES MARSCHALL (R4)
TOM ESSIG (NMSS)

Event Text

CALIFORNIA AGREEMENT STATE REPORT ON MEDICAL EVENT

"On September 4, 2003, two patients were scheduled for prostate brachytherapy implants. The first was suppose to be implanted with Iodine 125 and the second with Palladium 103. In anticipation of these procedures both the Palladium 103 and Iodine 125 were brought to the surgical suite.

"The first implant procedure was started and after two strands of Palladium 103 had been implanted it was discovered that an error had been made because the patient was scheduled to be implanted with Iodine 125. The treatment plan had been performed for Iodine 125. The decision was made to continue with the implanting of the Palladium 103 after a new treatment plan was performed. Based on the new plan the appropriate number of Palladium 103 seeds were implanted delivering the prescribed dose. Initial report from (DELETED) was that the patient was scheduled for 7:30 AM, so the event most likely occurred around 8:00 AM. Specific details will be included in his full report to follow. Because the treatment planning equipment was already in the surgical suits, the new plan could be developed with little delay. Specific time frame delays to follow in the full report.

"The second patient, scheduled for Palladium 103 was in the same day surgery suite and had not been prepped nor given an IV. He was rescheduled for another day, as they did not have enough Palladium 103 for both patients."

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General Information or Other Event Number: 40137
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: HBC/TERRACON
Region: 4
City: NEW CASEY State: TX
County:
License #: L05268
Agreement: Y
Docket:
NRC Notified By: HELEN WATKINS
HQ OPS Officer: RICH LAURA
Notification Date: 09/05/2003
Notification Time: 18:47 [EST]
Event Date: 09/04/2003
Event Time: [CDT]
Last Update Date: 09/05/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CHARLES MARSCHALL (R4)
JANET SCHLUETER (NMSS)

Event Text

TEXAS AGREEMENT STATE REPORT ON STOLEN GAUGE

"A nuclear gauge was stolen during the night from a pickup truck parked at a residence. The chain and lock were cut and the gauge was taken. We are unaware of whether other items were taken. The technician became aware the gauge was missing when he arrived at a jobsite at about 5:30 am on 09/05/2003. The field service manager looked around the neighborhood and at local pawn shops but did not locate the gauge. The Licensee is considering a public announcement and the offering of a reward. The Agency is investigating the incident."

The gauge is a Troxler 3430, serial # 17272, with 39.2 milliCuries of Am-241 (serial # 47-12694) and 6 milliCuries of Cs-137 (serial # 50-6643).

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Power Reactor Event Number: 40142
Facility: SUMMER
Region: 2 State: SC
Unit: [1] [ ] [ ]
RX Type: [1] W-3-LP
NRC Notified By: JEFF PEASE
HQ OPS Officer: ERIC THOMAS
Notification Date: 09/09/2003
Notification Time: 11:28 [EST]
Event Date: 09/09/2003
Event Time: 09:15 [EDT]
Last Update Date: 09/09/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
PAUL FREDRICKSON (R2)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation

Event Text

ACCIDENT MITIGATION - CONTROL ROOM VENTILATION SYSTEM

"At 1530 EDT on September 8, 2003, maintenance personnel opened the 'A' train Control Room charcoal filter plenum (XAA-0029A-AH) to replace the charcoal. At 0730 EDT on September 9, 2003, a question was raised about the work being performed on the 'A' train Control Room ventilation Charcoal Filter Plenum. The Operating shift asked Engineering if the Control Room was capable of maintaining the Technical Specification required pressure under the current conditions, should the ventilation system go into the emergency mode of operation.

"Prior to getting the answer, the conservative decision was made to cease work on the charcoal filter plenum and restore the integrity of the 'A' train ventilation system. This was accomplished at 0805 EDT on September 9, 2003. At 0915 EDT on September 9, 2003, Engineering determined that with the isolation dampers for the 'A' train charcoal filter plenum open, due to the associated fan being tagged de-energized, the 'A' and 'B' trains of the control room ventilation system were effectively crossed. Breaching the charcoal filter plenum would have prevented the control room ventilation system from maintaining a greater than 1/8th inch positive pressure during the emergency mode of operation.

"Replacement of the charcoal has been placed on hold until a methodology can be formulated to allow the ventilation system to maintain the design pressure."

The licensee informed the NRC resident inspector.

Page Last Reviewed/Updated Friday, March 30, 2012
Friday, March 30, 2012