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Event Notification Report for December 16, 2003

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
12/15/2003 - 12/16/2003

** EVENT NUMBERS **


40383 40385 40387

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General Information or Other Event Number: 40383
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: NDC INFRARED ENGINEERING
Region: 4
City: IRWINDALE State: CA
County:
License #: 1451-19
Agreement: Y
Docket:
NRC Notified By: C. J. SALGADO
HQ OPS Officer: MIKE RIPLEY
Notification Date: 12/10/2003
Notification Time: 22:02 [ET]
Event Date: 12/08/2003
Event Time: [PST]
Last Update Date: 12/10/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DAVID GRAVES (R4)
SCOTT MOORE (NMSS)

Event Text

AGREEMENT STATE REPORT - SEALED SOURCES DAMAGED IN FIRE

"Licensee reported that several months ago, four (4) 'sensor units' on fixed GL [General License] gauges it manufactures were involved in a fire at one of their customer sites in Painesville, Ohio. The RSO did not know the exact date of the fire. The sealed source used in these units is the AEA, AMC, P1, 150 milliCurie Am-241. Two of the units appeared burned and the other two appeared undamaged. The licensee had the customer do wipes on these which were negative. Then the units were shipped back to the licensee where they are now. On 12-08-03 the RSO was disassembling the worst-looking one in preparation for shipment back to the source manufacturer, AEA Technology. Wipes were done. The RSO detected elevated readings up to 200 cpm (background is 2-3 cpm) from the burned area of source S/N 4382LX mounted on probe sensor S/N 2851 using a Ludlum Model 12 alpha meter.

"Per the RSO, sources have been secured and contained pending further instructions. RSO indicated surveys were done of work area and personnel and no contamination was detected. The State is initiating an investigation and will send an inspector to the licensee for surveys."

The State reported that the gauge is a model # 103.

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General Information or Other Event Number: 40385
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: WASTE CONTROL SPECIALIST
Region: 4
City: Andrews State: TX
County:
License #: L04971
Agreement: Y
Docket:
NRC Notified By: HELEN WATKINS
HQ OPS Officer: JEFF ROTTON
Notification Date: 12/11/2003
Notification Time: 11:30 [ET]
Event Date: 12/09/2003
Event Time: [CST]
Last Update Date: 12/11/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DAVID GRAVES (R4)
ROBERTO TORRES (NMSS)

Event Text

TEXAS AGREEMENT STATE REPORT INVOLVING FIRE WITH RADIOACTIVE MATERIAL

"On December 10, 2003, [the licensee's RSO at] Waste Control Specialist reported a fire involving radioactive material that occurred on December 9, 2003. There was no excessive exposure to individuals nor was there any off-site airborne release.

"The waste processing company believes reactive metals (lithium, sodium, potassium) oxidized in water to start the fire. Packing materials were placed in a shredder that feeds into a hopper containing mixed waste. The system is closed with HEPA filters in place. Vibrations from the hopper may have resulted in the ignition. The material burned for about 20 seconds and was extinguished. When more materials were poured into a mix pan, the fire reignited and again was quickly extinguished.

"According to the Licensee's preliminary calculations, the affected or burned radioactive material exceeded the reportable quantity of five times an ALI [annual limit on intake]. The total radioactive material in the mix pan was under 50 microcuries. The shredder contained about 2.4 microcuries. There were 12 to 14 radionuclides involved. The Licensee will send a detailed written report within 30 days to include specifics on radionuclides and activities.

"The most serious consequence was the unplanned fire. The building is pressurized and the smoke from the fire was pulled through HEPA filters and a monitored exhaust system. The workers wear PPE [personal protective equipment) and airlines with protection factors of 1000."

Texas Incident # I-8024.

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General Information or Other Event Number: 40387
Rep Org: KENTUCKY DEPT OF RADIATION CONTROL
Licensee: LEXINGTON CLINIC
Region: 1
City: LEXINGTON State: KY
County:
License #: 202-016-26
Agreement: Y
Docket:
NRC Notified By: ROB GRESHAM
HQ OPS Officer: MIKE RIPLEY
Notification Date: 12/11/2003
Notification Time: 14:06 [ET]
Event Date: 11/24/2003
Event Time: [CST]
Last Update Date: 12/11/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ANIELLO DELLA GRECA (R1)
TOM ESSIG (NMSS)

Event Text

KENTUCKY AGREEMENT STATE REPORT - MEDICAL MISADMINISTRATION

On 11/24/03 a patient was administered a thyroid uptake dose of 0.98 millicuries. The prescribed dose was 0.015 millicuries. The misadministration apparently occurred due to the prescription order being made incorrectly with no subsequent verification. The patient and the patient's physician were notified on 11/26/03. No adverse effect to the patient occurred as a result of the misadministration.

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Friday, March 30, 2012