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Event Notification Report for October 8, 2003

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
10/06/2003 - 10/08/2003

** EVENT NUMBERS **


39631 40218 40219 40220 40227 40228 40229

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Power Reactor Event Number: 39631
Facility: SAINT LUCIE
Region: 2 State: FL
Unit: [1] [2] [ ]
RX Type: [1] CE,[2] CE
NRC Notified By: CHARLES PIKE
HQ OPS Officer: GERRY WAIG
Notification Date: 03/02/2003
Notification Time: 16:00 [ET]
Event Date: 03/02/2003
Event Time: 14:30 [EST]
Last Update Date: 10/07/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
WALTER RODGERS (R2)
DAVID AYRES (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
2 N Y 100 Power Operation 100 Power Operation

Event Text

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).

* * * UPDATE 1506 EDT ON 07/01/03 FROM CALVIN WARD TO GOTT * * *

On 04/02/03, 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. This non-emergency notification is being made pursuant to 10 CFR 50.72 (b)(2)(xi) due to offsite notification. On 07/01/03 licensee QA discovered that the injury had occurred and that the NRC had not been notified within the 4 hours. The failure to report the event within the regulatory time is being investigated and has been entered into the stations corrective action program.

The licensee notified the NRC Resident Inspector.

Notified R2DO (Munday)

* * * UPDATE 1750 EDT ON 07/07/03 FROM JOE HESSLING TO MACKINNON * * *

On 07/07/03, a Loggerhead sea turtle was retrieved from the plants' 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 Conversation Commission (FWCC) was notified at 1715 EDT. This non-emergency is being made pursuant to 10 CFR 50.72(b)(2)(xi) due to the notification of FWCC.

The licensee notified the NRC Resident Inspector.

Notified R2DO (Munday).


* * * UPDATE ON 07/25/03 @ 1510 BY CALVIN WORD TO STEVE SANDIN * * *

On 7/25/03, a 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. This non-emergency notification is being made pursuant to 10 CFR 50.72(b)(2)(xi) due to the notification of FWCC.

The licensee notified the NRC Resident Inspector and other Government Agencies

Reg 2 RDO(Anne Boland) was informed

* * * UPDATE ON 08/06/03 AT 1611 BY ALAN HALL TO ARLON COSTA * * *

"On 08/06/03 [at 1410], a 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. This non-emergency notification is being made pursuant to 10 CFR 50.72(b)(2)(xi) due to the notification of FWCC. Stranding Report copy attached."

The licensee will notify the NRC Resident Inspector.

Notified R2DO (Stephen Cahill).

* * * UPDATE ON 08/19/03 AT 1328 EDT BY JOHN BRADY TO JOHN MACKINNON * * *

On 08/19/03 at 1218 EDT, 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 permit, the Florida Wildlife Conservation Commission (FWCC) was notified. NRC Resident Inspector was notified. R2DO (Ernstes) notified.

*****UPDATE ON 10/07/03 AT 0910 FROM MOTHENA TO LAURA*****

"On 10/7/03, at 08:30, a Dead Green sea turtle was retrieved from the plant's intake canal. There were no abnormalities or injuries found. The death does not appear to be causal to plant operation. The turtle will be sent to veterinarian for necropsy. Per the plant's Turtle permit, the Florida Fish and Wildlife Conservation Commission (FWCC) was notified at 0849 EDT. This non-emergency notification is being made pursuant to 10CFR 50.72(b)(2)(xi) due to the notification of FWCC."

Notified R2DO (K. Landis) and the licensee notified the NRC Resident Inspector.

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General Information or Other Event Number: 40218
Rep Org: MARYLAND DEPT OF THE ENVIRONMENT
Licensee: SINAI HOSPITAL
Region: 1
City: BALTIMORE State: MD
County: BALTIMORE
License #: MD-07-011-01
Agreement: Y
Docket:
NRC Notified By: NATHANIEL OWRUTSKY
HQ OPS Officer: JEFF ROTTON
Notification Date: 10/03/2003
Notification Time: 13:45 [ET]
Event Date: 10/02/2003
Event Time: [EDT]
Last Update Date: 10/03/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
EUGENE COBEY (R1)
FRED BROWN (NMSS)

Event Text

MARYLAND AGREEMENT STATE REPORT - MEDICAL MISADMINISTRATION


On 10/02/03, a patient with suspected hyperthyroidism was undergoing treatment at Sinai Hospital in Baltimore, MD. During administration of an uptake diagnostic test, the patient was given a dose of 80 microcuries of I-131 versus the prescribed dose of 8 microcuries. Preliminary investigation indicates that hospital policy is to have technician dose measurement verified by another technician and approved by supervision until the technician shows proficiency at this task. It is unclear at this time whether the technician followed this protocol.

The prescribing physician has been notified and has notified the patient. Follow-up tests will be performed on the patient, but no increase in physiological effect on the patient is expected..

Maryland Department of Radiation Health is planning to contact the Hospital Radiation Safety Officer.

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General Information or Other Event Number: 40219
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: NODARSE
Region: 1
City: TAMPA State: FL
County:
License #: 3166-1
Agreement: Y
Docket:
NRC Notified By: JEAROLD EAKINS
HQ OPS Officer: JEFF ROTTON
Notification Date: 10/03/2003
Notification Time: 15:29 [ET]
Event Date: 10/02/2003
Event Time: [EDT]
Last Update Date: 10/03/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
EUGENE COBEY (R1)
TRISH HOLAHAN (NMSS)

Event Text

FLORIDA AGREEMENT STATE REPORT - STOLEN MOISTURE DENSITY GAUGE

Troxler moisture density gauge, model #3430, serial #32804 was stolen from the rear of licensee employee's truck parked at residence in Tampa, FL between the hours of 11 PM EDT 10/02/03 and 11 AM 10/03/03. The locked chain securing gauge box was broken. The gauge contained 40 [milliCuries] of Am-241/Be and 8 [milliCuries] of Cs-137. Tampa Police, Florida Department of Emergency Management and the NRC Region 2 have been informed. The licensee posted a notice offering a reward in the Tampa newspaper.

Florida Incident # FL 03-181

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General Information or Other Event Number: 40220
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: STORK SW LABORATORIES
Region: 4
City: Beaumont State: TX
County:
License #: L05269-002
Agreement: Y
Docket:
NRC Notified By: HELEN WATKINS
HQ OPS Officer: HOWIE CROUCH
Notification Date: 10/03/2003
Notification Time: 19:09 [ET]
Event Date: 10/03/2003
Event Time: 17:00 [CDT]
Last Update Date: 10/03/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CHUCK CAIN (R4)
GARY JANOSKO (NMSS)

Event Text

TEXAS AGREEMENT STATE REPORT - STOLEN MOISTURE DENSITY GAUGE

The following information was received from Texas Department of Health, Bureau of Radiation Control via facsimile:

"Troxler model 3440, serial # 31623
"8 [millicuries] Cs-137 source, sn [serial number] 7506418
"40 [millicuries] Am-241/Be, sn 4728354

"A technician removed the gauge from the back of the pick up truck to wash the truck. The gauge was placed outside the wash bay. The gauge was stolen while the technician was busy washing the truck. The gauge was locked inside the storage container. Some tools were inside. No other items were stolen or left unattended. The licensee notified the local police. The incident was reported to the Agency by the Beaumont site RSO.

"The Agency is investigating the incident."

Texas Incident Number I-8060.

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Power Reactor Event Number: 40227
Facility: DRESDEN
Region: 3 State: IL
Unit: [ ] [2] [ ]
RX Type: [1] GE-1,[2] GE-3,[3] GE-3
NRC Notified By: GLEN MORROW
HQ OPS Officer: RICH LAURA
Notification Date: 10/07/2003
Notification Time: 06:20 [ET]
Event Date: 10/06/2003
Event Time: 22:15 [CDT]
Last Update Date: 10/07/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
KENNETH O'BRIEN (R3)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 86 Power Operation 86 Power Operation

Event Text

HPCI SYSTEM INOPERABILITY DUE TO FAILED SUPPRESSION POOL LEVEL SWITCH AT DRESDEN UNIT 2

"The Unit 2 HPCI system has been declared INOPERABLE due to the failure of a pressure suppression pool high-level switch during surveillance and being unable to maintain the HPCI pump suction lined up to the pressure suppression pool in standby lineup.

"Per technical specification 3.3.5.1. required action D.2.2. with the high level switch INOPERABLE the HPCI system must have the pump suction aligned to the suppression pool with in 24 hours or declare the HPCI system INOPERABLE when the required action completion time can not be met. The function of the suppression pool high-level switch causes the HPCI pump suction to automatically realign to the suppression pool when the suppression pool reaches the high level set point during an accident.

"When the pump suction swap to the suppression pool was performed the HPCI gland seal leak off pump began to run automatically. Further investigation determined that there was an unknown input into the HPCI gland seal leak off condenser (GSLO). Normally the GSLO does not have an input while in standby lineup and therefore does not normally operate while the pump suction is aligned to the Pressure Suppression Pool. The GSLO pump would have a discharge flow path with the HPCI system running and therefore would have the ability to maintain its design function. However in the standby line [-up] with the pump suction aligned to the suppression pool the GSLO pump did not have a discharge flow path. This inability to pump the GSLO condenser required the suction be realigned to the condensate storage tank and with the combination of a failed suppression pool high-level switch requires declaration of INOPERABITY of the HPCI system. This is a 14 day LCO. This is a single train system and reportable under SAF 1.8 Event or Condition That Could Have Prevented Fulfillment of a Safety Function. The INOPERABLE HPCI system function can be manually initiated from the main control room. Investigation and troubleshooting into the unknown HPCI GSLO input has been, initiated in parallel with the repairs to the failed suppression high level switch."

The licensee intended on notifying the NRC Resident Inspector.

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Power Reactor Event Number: 40228
Facility: SEABROOK
Region: 1 State: NH
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP
NRC Notified By: O'Keefe
HQ OPS Officer: JOHN MacKINNON
Notification Date: 10/07/2003
Notification Time: 18:13 [ET]
Event Date: 10/07/2003
Event Time: 11:00 [EDT]
Last Update Date: 10/07/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(A) - DEGRADED CONDITION
Person (Organization):
FRANK COSTELLO (R1)
MICHAEL CASE (NRR)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Cold Shutdown 0 Cold Shutdown

Event Text

REACTOR COOLANT SYSTEM PRESSURE BOUNDARY LEAKAGE

At 1100 EDT on October 7, 2003, Seabrook Station concluded that the source of small boron deposits on the Reactor Vessel Head was a leaking conoseal weld on a CRDM housing.

The defect in primary coolant is not acceptable per ASME XI. This condition is reportable pursuant to 10 CFR 50.72 (b)(3)(ii).


The caller stated that through testing it is indicated that the leak had occurred in the last 2 months. A small amount of boric acid crystals was found.

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

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Power Reactor Event Number: 40229
Facility: COLUMBIA GENERATING STATION
Region: 4 State: WA
Unit: [2] [ ] [ ]
RX Type: [2] GE-5
NRC Notified By: STEPHEN MAGILL
HQ OPS Officer: JOHN MacKINNON
Notification Date: 10/07/2003
Notification Time: 19:54 [ET]
Event Date: 10/07/2003
Event Time: 12:31 [PDT]
Last Update Date: 10/07/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
WILLIAM JOHNSON (R4)

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

Event Text

HIGH PRESSURE CORE SPRAY DECLARED INOPERABLE (HPCS)

At 1231 hours on October 7, 2003, the High Pressure Core Spray (HPCS) system at Columbia Generating Station was declared inoperable due to a failure to maintain system pressure while the system was being operated with the keep-fill piping isolated for maintenance on the system waterleg pump. This action rendered the HPCS system unable to perform its safety function to mitigate the consequences of an accident. Upon discovery of the inoperable condition, the Reactor Core Isolation Cooling system was verified to be operable and HPCS was restored to operable status at 1538 in accordance with the Required Action of plant Technical Specifications Limiting Condition for Operability 3.5.1, Conditions B.1 and B.2. All other Emergency Core Cooling System (ECCS) were operable during the time the HPCS system was inoperable. This event is being reported pursuant to the guidance for reporting under 50.72(b)(3)(v)(D) contained in NUREG 1022, which states for single train systems that perform a safety function, loss of a single train would prevent the fulfillment of the safety function and therefore is reportable.

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

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