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Event Notification Report for December 19, 2003

U.S. Nuclear Regulatory Commission
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Event Reports For
12/18/2003 - 12/19/2003

** EVENT NUMBERS **


40392 40395 40401

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General Information or Other Event Number: 40392
Rep Org: NE DIV OF RADIOACTIVE MATERIALS
Licensee: NOVARTIS
Region: 4
City: LINCOLN State: NE
County:
License #: GL 0049
Agreement: Y
Docket:
NRC Notified By: TRUDY K. HILL
HQ OPS Officer: GERRY WAIG
Notification Date: 12/15/2003
Notification Time: 12:07 [ET]
Event Date: 12/10/2003
Event Time: [CST]
Last Update Date: 12/15/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DAVID GRAVES (R4)
TOM ESSIG (NMSS)

Event Text

AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGNS

The State of Nebraska was notified by letter dated December 10, 2003 of 4 (four) unaccounted for exit signs during an inventory conducted by the licensee, Novartis Consumer Health Inc., 10401 Highway 6, Lincoln, NE 68517. The signs, identified by the licensee as item numbers 4, 5, 8, & 10, are believed to have been lost during various renovations to licensee facility buildings occurring over a period of years. The licensee is unable to confirm the exact time or disposition of the signs but does not suspect theft. The make, shipping date, model number, serial number, and activity level of the exit signs are as follows:

Item numbers 4 and 5: NRD, shipped last quarter 1984, model T4002, serial number 6988/6989 respectively, each containing 19.9 curies tritium.

Item number 8: SRB, shipped 02/10/88, model B100, serial number 64174, containing 17.2 curies tritium.

Item number 10: SRB, shipped 02/08/88, model B100, serial number not identified, 15.5 curies tritium.

The State of Nebraska will not assign this event an incident number and considers this event to be closed.

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General Information or Other Event Number: 40395
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: GE COMPANY VALLECITOS NUCLEAR CENTER
Region: 4
City: SUNOL State: CA
County:
License #: 0017-01
Agreement: Y
Docket:
NRC Notified By: ROBERT GREGER (EMAIL)
HQ OPS Officer: GERRY WAIG
Notification Date: 12/16/2003
Notification Time: 19:28 [ET]
Event Date: 12/15/2003
Event Time: [PST]
Last Update Date: 12/16/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
PHIL HARRELL (R4)
JOHN HICKEY (NMSS)
THOMAS DECKER (R2)
CHRISTOPHER CAHILL (R1)

Event Text

Xe-133 SOURCE LOST DURING SHIPMENT

"On December 16, 2003, GE Vallecitos contacted RHB-Sacramento office to report that a shipment of 2.1 Ci [Curies] of Xe-133 to the University of Alabama has not arrived at its destination. On the same day, RHB-Berkeley office contacted the GE Vallecitos RSO, C.W. Bassett and the EHS leader, D.W. Turner and learned the following:
On December 12, 2003, GE Vallecitos sent a shipment of 2.1 Ci of Xe-133 to the University of Alabama via Fedex. On December 15, 2003,one of the Vallecito technicians noticed that the shipment had not arrived at its destination in Alabama. They contacted Fedex immediately [name deleted] and the tracking database indicated that the shipment supposedly left Oakland Friday. As of December 16, 2003, Fedex was unable to locate the final destination of the shipment. GE Vallecitos had contacted the University of Alabama and confirmed that they have not received the Xe-133 shipment. Per RSO, the current estimated activity (as of 12/16/03) of the Xe-133 shipment is 1.2 Ci [Curies].

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Hospital Event Number: 40401
Rep Org: SOUTHWESTERN VERMONT MEDICAL CENTER
Licensee: SOUTHWESTERN VERMONT MEDICAL CENTER
Region: 1
City: BENNINGTON State: VT
County: BENNINGTON
License #: 44-11345-02
Agreement: N
Docket:
NRC Notified By: MATTHEW RATELLE
HQ OPS Officer: ERIC THOMAS
Notification Date: 12/18/2003
Notification Time: 15:33 [ET]
Event Date: 12/18/2003
Event Time: 07:40 [EST]
Last Update Date: 12/18/2003
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
CHRISTOPHER CAHILL (R1)
JOHN HICKEY (NMSS)

Event Text

MEDICAL EVENT

At 0740 EST on 12/18/03, a radioactive tracer consisting of 14.6 millicuries of Technetium-99m was administered to a patient for cardiac imaging. After the administration, the technicians called the physician to come complete the examination. The physician informed the technicians that he did not order the administration. This event occurred due to a secretarial error.

The dose was properly administered, and there were no adverse effects on the patient. The patient was notified of the error, and an incident report was submitted by the secretary.

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Friday, March 30, 2012