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Event Notification Report for April 22, 2004

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
04/21/2004 - 04/22/2004

** EVENT NUMBERS **


40679 40685 40690 40691 40693 40694 40695

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General Information or Other Event Number: 40679
Rep Org: NV DIV OF RAD HEALTH
Licensee: Nortech
Region: 4
City: North Reno State: NV
County: Washoe
License #: 00-11-0309-01
Agreement: Y
Docket:
NRC Notified By: Stan Marshall
HQ OPS Officer: JAMIE HEISSERER
Notification Date: 04/16/2004
Notification Time: 12:23 [ET]
Event Date: 04/15/2004
Event Time: 16:15 [PDT]
Last Update Date: 04/16/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DALE POWERS (R4)
ROBERTO TORRES (NMSS)

Event Text

NEVADA AGREEMENT STATE REPORT - LOST PORTABLE NUCLEAR GAUGE

The following information was received on 4/16/04 via facsimile:

At approximately 4:15 p.m. on 4/15/04 the State received a telephone call from the RSO for Nortech - Reno. The RSO reported the loss of a Pacific Nuclear Model MC-1 portable moisture density gauge, S/N is M12044864, which contains 10 millicuries of Cs-137 and 50 millicuries of Am-241/Be.

The operator had the device sitting on the tailgate of his pickup, out of the shipping box, while talking on the telephone. He got in the truck and proceeded to drive to a convenience store several miles away.

Upon getting out of the truck at the convenience store he noticed that the gauge was missing. He retraced his route looking for the device but did not find it. It is not known if the device was locked or not. The individual had been conducting testing, so there is the possibility that it was not locked.

The RSO has had four different individuals retracing the route looking for the device. They reportedly have been looking in alleys, dumpsters etc. but have not located the device.

The licensee has notified the Reno Police and the Washoe County Sheriff.

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General Information or Other Event Number: 40685
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: DECISIVE TESTING
Region: 4
City: SAN DIEGO State: CA
County:
License #: 1836-37
Agreement: Y
Docket:
NRC Notified By: MICHAEL MAY
HQ OPS Officer: JAMIE HEISSERER
Notification Date: 04/19/2004
Notification Time: 20:23 [ET]
Event Date: 04/16/2004
Event Time: 13:15 [PDT]
Last Update Date: 04/19/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RUSSELL BYWATER (R4)
ROBERT PIERSON (NMSS)

Event Text

CALIFORNIA AGREEMENT STATE REPORT - EXPOSURE INCIDENT (<1 REM WHOLE BODY) INDUSTRIAL RADIOGRAPHER

At 2023 EDT, the following email was received from Decisive Testing:

"On April 16, 2004, a radiographer was working on a schedule 40 stainless steel 4" pipe. The Ir-192 radiography operation was being conducted inside a shielded x-ray room, but was considered by the licensee to be a temporary jobsite for materials radiography. The camera, the cable and collimator were inside the room while the operator and crank were located approximately 8' from the closed x-ray door. At 1:15 PM, the radiographer finished the 6th shot and reentered the room to prepare for the 7th shot. After setting up the 7th shot, he picked up his survey meter as he left the room (the meter had been placed on top of the camera when he entered the room) and noticed the meter was off scale. He exited the room and checked the position of the radiography source by attempting to crank it out, only to discover that he had failed to crank the source in after the 6th shot. His 0-200 millirem dosimeter was off scale and he was not wearing his alarming ratemeter. His dosimeter was sent in for processing by overnight mail. The licensee did a re-enactment and estimated the radiographer's whole body dose to be under 1 rem. The radiographer's extremity dose is estimated to be under 10 rem.

"Source: Industrial Nuclear, model 7, Ir-192 source assayed 10/16/03 and decayed to 17.9 Curies on 4-16-04). Camera: Amersham, model 660B, serial # B2928. Collimator: Industrial Radiography Maintenance & Supply, model - tungsten mini (side port) collimator (attenuation 1/16 for Ir-192).

"RHB responded to the site on Saturday, April 17, 2004 to interview the radiographer and RSO. The investigation is ongoing, but it does appear that neither the whole body nor extremity regulatory dose limits for the radiographer were exceeded."

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Hospital Event Number: 40690
Rep Org: DEPARTMENT OF VETERANS AFFAIRS
Licensee: VA CHICAGO HEALTHCARE SYSTEM
Region: 3
City: CHICAGO State: IL
County:
License #: 03-23853-01VA
Agreement: Y
Docket:
NRC Notified By: GARY WILLIAMS
HQ OPS Officer: JEFF ROTTON
Notification Date: 04/21/2004
Notification Time: 12:15 [ET]
Event Date: 04/21/2004
Event Time: [CDT]
Last Update Date: 04/21/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
20.1906(d)(1) - SURFACE CONTAM LEVELS > LIMITS
Person (Organization):
DAVID HILLS (R3)
ROBERTO TORRES ()

Event Text

RADIOACTIVE SURFACE CONTAMINATION GREATER THAN LIMITS

A package that exceeded the limits for removable radioactive surface contamination was received April 21, 2004, by VA Chicago Health Care System , a permittee authorized under the master materials license issued to the Department of Veterans Affairs, NRC License 03-23853-01VA.

The basis for reporting the contamination is under 10 CFR 20.1906(d)(1) in that the package, an ammo box being used to deliver radioactive materials, had approximately 80.9 disintegrations per minute per square centimeter removable radioactive contamination on the outside. The contamination was identified as Tc 99M. The Cardinal Health Nuclear Pharmacy Services delivered the package. The status of whether the vendor delivery vehicle was exclusive use was not determined. The ammo box has been decontaminated.

The permittee's Radiation Safety Officer notified the delivery vendor about the package.

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General Information or Other Event Number: 40691
Rep Org: AREVA ELECTRICAL PRODUCTS
Licensee: AREVA ELECTRICAL PRODUCTS
Region: 1
City: CRANBERRY TOWNSHIP State: PA
County:
License #:
Agreement: N
Docket:
NRC Notified By: FRAN STARR
HQ OPS Officer: JEFF ROTTON
Notification Date: 04/21/2004
Notification Time: 13:07 [ET]
Event Date: 04/21/2004
Event Time: [EDT]
Last Update Date: 04/21/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21 - UNSPECIFIED PARAGRAPH
Person (Organization):
DAVID HILLS (R3)
VERN HODGE (NRR)
DAVID SILK (R1)
TERRANCE REIS (NRR)

Event Text

PART 21 NOTIFICATION INVOLVING VOLTAGE MONITORING RELAYS

"The following information is provided pursuant to the requirements of 10 CFR Part 21 to report a potential safety concern. A potential safety condition may exist with the Eaton Cutler-Hammer D65 Series B1 Voltage Monitoring Relay that can cause the unit to bypass the Manual Reset feature. This could result in the D65 relay being energized without an operator manually resetting it resulting in possible personal injury or death or property damage. This condition exists with Eaton Cutler-Hammer D65 Series B1 Voltage Monitoring Relays with a manufacturing date between May 12, 2002, and February 20, 2004.

"On March 25, 2004, Framatome/AREVA Electrical Products received the attached Eaton Cutler Hammer Product Safety Warning for D65 Voltage Monitoring Relays, dated March 24, 2004. The Product Safety Warning states that Eaton's Cutler-Hammer D65 Series B1 Voltage Monitoring Relays with a manufacturing date identified above may power up without being manually reset even when a NC [Normally closed] switch is wired to activate manual reset mode. This condition is only present when used in applications operating in the manual reset mode. This condition is not present when the device is used in automatic reset mode. This condition may only result when the D65 Series B1 is used and will not result if the A1 Series is used (as the A1 series did not offer the potential for manual reset).

"The supply of Safety Related D65 Voltage Monitoring Relays by Framatome/AREVA Electrical Products is isolated to only one Nuclear Customer (i.e. First Energy - Davis Besse Nuclear Power Plant). The First Energy Davis Besse Nuclear Power Plant was notified by Framatome/AREVA Electrical Products on April 2, 2004."

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Other Nuclear Material Event Number: 40693
Rep Org: BAXTER HEALTH CARE
Licensee: BAXTER HEALTH CARE
Region: 1
City: AIBONITA State: PR
County:
License #: 52-21175-01
Agreement: N
Docket:
NRC Notified By: ANGEL ALICEA
HQ OPS Officer: STEVE SANDIN
Notification Date: 04/21/2004
Notification Time: 16:54 [ET]
Event Date: 04/21/2004
Event Time: 12:00 [EDT]
Last Update Date: 04/21/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
36.83(a)(1) - UNSHIELD STUCK SOURCE
Person (Organization):
DAVID SILK (R1)
TOM DECKER (R2)
CHARLIE MILLER (NMSS)
JOSEPH GIITTER (NMSS)

Event Text

IRRADIATOR SOURCE RACK JAMMED IN THE UP POSITION

At 1200 EDT operators were lowering a source rack when it jammed due to a maintenance ladder. The licensee entered their emergency procedure and contacted the manufacturer, i.e., MDS Nordion, for assistance. MDS Nordion is expected onsite at 1040 EDT tomorrow 4/22 to help the licensee develop a recovery plan. The stuck source rack contains approximately 2,030 curies of Co-60. The maze is closed restricting personnel access. There were no personnel exposures associated with this occurrence.

A conference call with the Baxter Plant Manager and NRC staff was established to discuss the details of this report.

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Power Reactor Event Number: 40694
Facility: VERMONT YANKEE
Region: 1 State: VT
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: KELLY ROBINSON
HQ OPS Officer: STEVE SANDIN
Notification Date: 04/21/2004
Notification Time: 18:00 [ET]
Event Date: 04/21/2004
Event Time: 17:50 [EDT]
Last Update Date: 04/21/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
DAVID SILK (R1)
NEIL SHEEHAN (PAO)
PSD DESK OFFICER (DHS)
WILLIAM BECKNER (NRR)
DICK WESSMAN (DIRO)

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

Event Text

LICENSEE PLANS TO ISSUE NEWS RELEASE REGARDING AN ACCOUNTABILITY DISCREPANCY OF SNM

The following is the text of the planned press release:

"Entergy Vermont Yankee Press Release

"Fuel Rod Segments at Vermont Yankee Unaccounted For

"BRATTLEBORO, VT -- In response to a recent NRC inspection, Entergy Vermont Yankee has determined that two short spent fuel rod segments are not in their documented location in the spent fuel pool. Entergy engineers are reviewing storage records and performing a thorough inspection of the spent fuel pool to determine the location of the rod segments.

"One of the segments is about the length and diameter of a pencil and the other is the same diameter and about 17 inches long. According to station documentation, in 1979, the highly radioactive rods were placed in a special stainless steel container in the spent fuel pool after a fuel inspection to address fuel cladding deficiencies.

"Vermont Yankee has an extensive system of radiation monitors and, due to the radioactive nature of the material, the segments could not have been inadvertently removed from the pool in anything other than a container specifically designed and licensed to contain radioactive material. Therefore, public health and safety is not at risk as a result of this issue. Entergy Vermont Yankee will continue to keep the Nuclear Regulatory Commission and state authorities informed on the progress of the investigation.

"The Vermont Yankee spent fuel pool is 40 feet in depth and contains 2,789 spent uranium fuel assemblies that were used in energy production since 1972. Vermont Yankee is presently shut down for its twenty fourth refueling and maintenance outage."

The licensee informed the NRC Resident Inspector.

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Power Reactor Event Number: 40695
Facility: SUSQUEHANNA
Region: 1 State: PA
Unit: [1] [ ] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: GORDON ROBINSON
HQ OPS Officer: JEFF ROTTON
Notification Date: 04/21/2004
Notification Time: 18:06 [ET]
Event Date: 04/21/2004
Event Time: 16:35 [EDT]
Last Update Date: 04/21/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
DAVID SILK (R1)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 M/R Y 17 Power Operation 0 Hot Shutdown

Event Text

MANUAL REACTOR SCRAM IN RESPONSE TO HIGH MAIN TURBINE VIBRATION DURING STARTUP

"At 1635 on 04/21/2004, Susquehanna Unit 1 was returning to service from its 13th Refueling and Inspection Outage which included main turbine replacement. During start-up turbine testing with the generator off line, several main turbine bearings experienced high vibration. In response to these high vibrations, the reactor was manually scrammed from approximately 17% power. The main steam line isolation valves were manually closed and main condenser vacuum was broken in order to more rapidly slow the main turbine speed.

"All control rods fully inserted on the SCRAM, a level 3 containment isolation signal was received as expected. RCIC was manually initiated to control reactor water level. Lowest reactor water level reached was approximately 3" narrow range. There were no radioactive releases.

"This RPS actuation is reportable under 10CFR50.72(b)(2)(iv)(B) as an 'Unplanned RPS Actuation with the Reactor Critical.' The RPS Actuation and the RCIC injection are reportable per 10CFR50.72(b)(3)(iv)(A) 'Unplanned Actuations of Systems that Mitigate the Consequences of Significant Events.'

"Investigation into the high main turbine bearing vibrations is ongoing."

The main turbine was tripped prior to the manual scram and no SRVs have lifted due to low decay heat level. The electric plant is in a normal lineup.

The licensee notified the NRC Resident Inspector and the PEMA representative.

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