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Event Notification Report for July 01, 2004

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
06/30/2004 - 07/01/2004

EVENT NUMBERS
40850409354100040991

General Information or Other
Event Number: 40850
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: A.M. ENGINEERING AND TESTING, INC.
Region: 1
City: JUPITER   State: FL
County:
License #: 2394-1
Agreement: Y
Docket:
NRC Notified By: CHARLES E. ADAMS
HQ OPS Officer: ARLON COSTA
Notification Date: 07/01/2004
Notification Time: 11:09 [ET]
Event Date: 07/01/2004
Event Time: 00:00 [EDT]
Last Update Date: 07/01/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
CLIFFORD ANDERSON (R1)
DONA-MARIE PEREZ (TAS)
LINDA PSYK-GERSEY (NMSS)
Event Text
STOLEN TROXLER GAUGE

The following information was received via e-mail:

"Tech was working late and took the gauge home chained to the bed of the pickup. It was last seen at 10:30 p.m. on June 30 and was not there at 5 a.m. July 1. The chain had been cut and the box with the gauge was gone. The keys were not taken. Licensee has been advised to offer a reward for the return of the gauge. Florida is investigating."

Additional Information:

Florida Incident No: FL04-097

Incident location:
581 Oleander Road
Lake Worth, Fl 33462

A.A. Engineering and Testing, Inc.
860 Jupiter Park Drive
Jupiter, Fl 33458

Soil Moisture Density Gauge:
Troxler Model 3430, S/N 26474
Isotope: Cs-137 (8 millicuries) ; Am-241:Be (40 millicuries).

**UPDATE on 07/01/04 at 1530 EDT from Charles Adams (emailed) entered by MacKinnon ***


The gauge was found by a citizen who claimed that he had found the gauge last night at a Home Depot. The citizen met a licensee representative at a gas station and traded the gauge for $100. The lock to the case had been cut, but the trigger lock was intact and the gauge was undamaged. Florida continues it's investigation.

NRC Region 1( Cliff Anderson), NMSS (Linda Gersey) & TAS (Danis) notified.


General Information or Other
Event Number: 40935
Rep Org: COLORADO DEPT OF HEALTH
Licensee: STATE FARM MUTUAL INSURANCE COMPANY
Region: 4
City: GREELY   State: CO
County:
License #:
Agreement: Y
Docket:
NRC Notified By: ED STROUD
HQ OPS Officer: JEFF ROTTON
Notification Date: 08/10/2004
Notification Time: 09:20 [ET]
Event Date: 07/01/2004
Event Time: 00:00 [MDT]
Last Update Date: 08/10/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
LINDA SMITH (R4)
JOHN HICKEY (NMSS)
Event Text
LOST TRITIUM EXIT SIGN

"The Department [of Public Health for Colorado] received notification from a company that a generally licensed exit sign containing tritium was lost. The company, State Farm Mutual Insurance Company, located in Greeley, Colorado 80638, stated that the sign was discovered missing, in July of 2004. The sign was taken down during a remodeling project in 1996, and was supposedly placed into storage. However, recent attempts to locate the sign have been unsuccessful. A representative from the company stated that they now believe the sign was disposed of at the landfill along with the rest of the construction debris. The sign is a Brandhurst (SRB) Luminexit, Model B100, S/N 552371, that contained about 25 curies of tritium when new (1993). The sign was obtained under the provisions of a general license."


General Information or Other
Event Number: 41000
Rep Org: GEORGIA RADIOACTIVE MATERIAL PGM
Licensee: SOUTHERN REGIONAL MEDICAL CENTER
Region: 1
City: RIVERDALE   State: GA
County:
License #: 1039-1
Agreement: Y
Docket:
NRC Notified By: ROD HARRELL
HQ OPS Officer: JEFF ROTTON
Notification Date: 08/30/2004
Notification Time: 14:49 [ET]
Event Date: 07/01/2004
Event Time: 00:00 [EDT]
Last Update Date: 08/30/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
PAMELA HENDERSON (R1)
E. WILLIAM BRACH (NMSS)
Event Text
GEORGIA AGREEMENT STATE REPORT - MEDICAL EVENT

On July 01, 2004 the licensee had three patients scheduled for I-131 treatments. Two patients were scheduled to receive less than 33 milliCuries and one patient was scheduled to receive 100 milliCuries. One of the patients scheduled to receive less than 33 milliCuries was administered 100 milliCuries instead. The patient was allowed to leave the facility without the proper instructions being given. The authorized user who signed the written directive was at the facility when the dose was administered. The temporary RSO was at South Fulton Hospital and he was notified. The patient was notified and was given the proper instructions prior to release and the referring physician was notified.

On 07/19/04, a written copy of this event was received by the [Georgia] Department [of Natural Resources], including measures taken to prevent recurrence. Incident was not discovered by licensee until after patient had left with her children. On 7/26/04, the Department received report from the medical physicist consultant hired by licensee that no overexposures or affects from radiation would have been received by patient's children.


General Information or Other
Event Number: 40991
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: BAYOU TESTERS
Region: 4
City: AMEILA   State: LA
County:
License #: LA-7112-L01
Agreement: Y
Docket:
NRC Notified By: SCOTT BLACKWELL (fax)
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 08/27/2004
Notification Time: 10:01 [ET]
Event Date: 07/01/2004
Event Time: 00:00 [CDT]
Last Update Date: 08/27/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
WILLIAM JOHNSON (R4)
TOM ESSIG (NMSS)
Event Text
LICENSEE REPORTED FAILURE OF A RADIOGRAPHY CAMERA

On July 1, 2004 while Bayou Testers was performing quarterly inspections, they noticed that the case on a INC-100 industrial radiography camera was split open. The exposure devise was taken out of operation and sent to Source Production and Equipment (SPEC). The devise contained approximately 10 Ci of Ir-192. SPEC informed the licensee that the cause of the case splitting was corrosion of the depleted uranium shield, which caused it to swell and tear the weld. SPEC informed the licensee that this occurrence was not unusual.