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Event Notification Report for October 21, 2004

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
10/20/2004 - 10/21/2004

** EVENT NUMBERS **


41123 41124 41125 41140

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General Information or Other Event Number: 41123
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: UNIV. OF TEXAS AT AUSTIN
Region: 4
City: AUSTIN State: TX
County:
License #: L00485-000
Agreement: Y
Docket:
NRC Notified By: JAMES H. OGDEN
HQ OPS Officer: JOHN MacKINNON
Notification Date: 10/15/2004
Notification Time: 09:45 [ET]
Event Date: 09/29/2004
Event Time: 12:00 [CDT]
Last Update Date: 10/15/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
KRISS KENNEDY (R4)
SANDRA WASTLER (NMSS)

Event Text

TEXAS AGREEMENT STATE EVENT REPORT - LEAKING SOURCE

"The Licensee notified the Agency of a leaking source that was discovered on September 29, 2004 and confirmed by a second leak test on September 30, 2004. The source was for a Lagus Applied Technology, Inc. Model 101 AUTOTRAC Tracer Gas Monitor (SF6), Serial No. 177. The source was described as a Model 200-EC Electron Capture Detector, Serial No. 1271 with an activity of 300 millicuries, Tritium (3H) (October 3, 1998). The current activity is an estimated 214 millicuries. The leak test detected 18,178 dpm or 0.0082 microcuries of removable activity. The second leak test conducted September 30, 2004, confirmed the source was leaking with similar results. The gas monitor was taken out of service. After removing the SF6 compressed gas bottle, the monitor containing the leaking source was packaged for return to the manufacturer. The packaged source was shipped to the manufacturer on October 6, 2004. No violations were cited."

Texas Incident No: I-8172

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General Information or Other Event Number: 41124
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: TULANE UNIVERSITY
Region: 4
City: NEW ORLEANS State: LA
County:
License #: LA-0004-L01
Agreement: Y
Docket:
NRC Notified By: SCOTT BLACKWELL
HQ OPS Officer: BILL GOTT
Notification Date: 10/15/2004
Notification Time: 11:08 [ET]
Event Date: 10/01/2004
Event Time: [CDT]
Last Update Date: 10/15/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
KRISS KENNEDY (R4)
TOM ESSIG (NMSS)

Event Text

AGREEMENT STATE - MEDICAL EVENT

"This incident took place on October 1, 2004. A patient from Room 5206 was administered 20 millicuries of Xe-133 gas resulting in a lung dose of 0.22 Rad and an Effective Dose Equivalent of 0.028 Rad. It was then found that the orders were written for a patient in Room 5213. The order form had the wrong patient name sticker attached. The nursing station supervisor stated that they had noticed incorrect patient name stickers in the Room 5213 patient chart. It is not known how these stickers and chart orders were switched. The patient was notified of the error and the correct patient later received the Xenon scan."

Event Report: LA040012

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General Information or Other Event Number: 41125
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: NAPLES DIAGNOSTIC IMAGING CENTER
Region: 1
City: NAPLES State: FL
County:
License #: 2964-2
Agreement: Y
Docket:
NRC Notified By: JERRY EAKINS
HQ OPS Officer: JEFF ROTTON
Notification Date: 10/15/2004
Notification Time: 12:21 [ET]
Event Date: 10/15/2004
Event Time: [EDT]
Last Update Date: 10/15/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BRIAN MCDERMOTT (R1)
SANDRA WASTLER (NMSS)

Event Text

AGREEMENT STATE - STOLEN RADIOACTIVE SOURCES

State of Florida Bureau of Radiation Control reported that licensee notified their agency of 3 missing Germanium 68 sources from their General Electric PET CT Hybrid Imaging device. The sources were discovered missing on 10/15/04. It has not been determined when the sources were last known to be in the possession of the licensee.

The sources were model number B3-693, serial Number 1004-09, 4.3 millicuries; model number B2-125, serial number 1004-02, 4.3 millicuries; model number A9-313, serial number 973-87, 0.58 millicuries. Specific activity of sources is corrected for decay as of 10/15/04. The Naples Police Department is investigating the possible theft. The Florida Bureau of Radiation Control also notified the Regional Terrorism Task Force in Fort Myers and the Florida State Warning Point.

Florida Incident # 04-137.

* * * UPDATE PROVIDED BY JERRY EAKINS TO JEFF ROTTON @ 1515 EDT ON 10/15/04 * * *

Florida Bureau of Radiation Control investigator found the sources on the licensee premises. The sources had been placed under the cushion of a supervisor's chair. Naples Police Department is continuing their investigation into any potential criminal activity. The estimated exposure to the supervisor was 60 mR based on 4 hours of exposure.

Notified the R1DO (McDermott) and NMSS EO (Essig)

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Power Reactor Event Number: 41140
Facility: OCONEE
Region: 2 State: SC
Unit: [1] [2] [3]
RX Type: [1] B&W-L-LP,[2] B&W-L-LP,[3] B&W-L-LP
NRC Notified By: DAVID YOUNGE
HQ OPS Officer: MIKE RIPLEY
Notification Date: 10/20/2004
Notification Time: 01:35 [ET]
Event Date: 10/19/2004
Event Time: 17:30 [EDT]
Last Update Date: 10/20/2004
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
MIKE ERNSTES (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
3 N Y 0 Refueling 0 Refueling

Event Text

STANDBY EMERGENCY ELECTRICAL POWER PATHS INOPERABLE FOR 41 MINUTES

"The Keowee Hydro Units provide the emergency power source for the Oconee Units. At 0357 on 10/19/04, Keowee Unit 1 (and the overhead emergency power path) was declared inoperable in order to perform scheduled maintenance. At 1730, Keowee Unit 2 (and the underground emergency power path) was declared inoperable due to the loss of breaker control power associated with Keowee Unit 2 auxiliaries. At 1811, as required by Technical Specification 3.8.1 condition I, both standby buses were energized from a Lee Combustion Turbine via an isolated power path. At 1828, a Operability Verification of Keowee Unit 2 to the overhead emergency power path was performed with all acceptance criteria met. At 1904, Keowee Unit 2 to the overhead emergency power path was declared operable. Technical Specification 3.8.1 condition I was exited.

"Initial Safety Significance: Between times 1730 to 1811, both on site emergency power paths were inoperable. During this time period a condition existed that could have prevented the fulfillment of the safety function of systems that are needed to mitigate the consequences of an accident.

"Corrective Action(s): At 1828, an Operability Verification of Keowee Unit 2 to the overhead emergency power path was performed with all acceptance criteria met. At 1904, Keowee Unit 2 to the overhead emergency power path was declared operable. Technical Specification 3.8.1. condition I was exited. A team is established to investigate the loss of breaker control power associated with Keowee Unit 2 auxiliaries."

The licensee will notify the NRC Resident Inspector.

Page Last Reviewed/Updated Friday, March 30, 2012
Friday, March 30, 2012