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Event Notification Report for March 14, 2005

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
03/11/2005 - 03/14/2005

** EVENT NUMBERS **


41469 41470 41472 41473 41474 41482 41483 41486 41487

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General Information or Other Event Number: 41469
Rep Org: RI DEPT OF RADIOLOGICAL HEALTH
Licensee: CARDINAL HEALTH
Region: 1
City: East Providence State: RI
County:
License #: 3B-11401
Agreement: Y
Docket:
NRC Notified By: JACK FERRUOLO
HQ OPS Officer: MIKE RIPLEY
Notification Date: 03/08/2005
Notification Time: 15:03 [ET]
Event Date: 03/08/2005
Event Time: 08:40 [EST]
Last Update Date: 03/10/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MOHAMED SHANBAKY (R1)
JOHN HICKEY (NMSS)
BENJAMIN SANDLER (TAS)

Event Text

AGREEMENT STATE REPORT - TRUCK CONTAINING RADIOPHARMACEUTICALS STOLEN IN MASSACHUSETTS

At approximately 0840 EST on 03/08/05 a truck operated by Cardinal Health (a Rhode Island licensee) was stolen while parked and unattended at a store in Seekonk, MA. The truck contained four unit doses of Tc-99m (total of 1.2 Curies) being delivered to a client of the licensee. The Seekonk, MA Police Department was notified and an investigation is in progress. No information is available on any planned reward or press release.

* * * UPDATE 0730 EST ON 3/10/05 FROM NRC REGION 1 (SHERI MINNICK) TO S. SANDIN * * *

The truck was recovered in MA at approximately 2200 hours on 3/8/05. The rad material was found intact with the seals not disturbed or broken. RI Rad Health will inspect their licensee this week.

Notified R1(Shanbaky), NMSS(Hickey) and TAS via email.

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General Information or Other Event Number: 41470
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: SCHLUMBERGER TECHNOLOGY CORPORATION
Region: 4
City:  State: CA
County: VENTURA
License #: CA 0144-15
Agreement: Y
Docket:
NRC Notified By: C.J. SALGADO
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/08/2005
Notification Time: 15:02 [ET]
Event Date: 03/07/2005
Event Time: 22:00 [PST]
Last Update Date: 03/08/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
TROY PRUETT (R4)
SCOTT MOORE (NMSS)

Event Text

CALIFORNIA AGREEMENT STATE REPORT

The following information was obtained from the California Department of Health Services, Radiologic Health Branch, Granada Hills (transmitted text in quotes):

"Licensee reported to Radiologic Health Branch-Granada Hills (RHB-GH) that on 3/7/05 two well-logging sealed sources became stuck in a well bore at a depth of 9137 feet (top of tool string). Sources are ~35-45 feet below that. The sources involved are a 1.5 Ci Cs-137, GSR-J 1958, source and a 16 Ci AmBe-241, NSR-F 1441, source, nominal activities. For the last day the 'fishing' company, Baker Hughes, has been attempting to retrieve the sources which became detached [on] 3/7/05, [at] ~2200 [hrs. PST]. They will continue to do so but, if that's not successful, it's appearing as if the sources will be deemed irretrievable. This occurred on the 'Aera Ventura Avenue' well site, Ventura County, CA. The well is designated 'McGonigle 39.' If deemed irretrievable, the well will likely be sealed in place with a cement plug. Licensee will provide further details shortly and follow with written report."

California Incident Number 0510# 030805.

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General Information or Other Event Number: 41472
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: HALLIBURTON ENERGY SERVICES
Region: 4
City: LAREDO State: TX
County:
License #:
Agreement: Y
Docket:
NRC Notified By: GLENN CORBIN
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/08/2005
Notification Time: 13:55 [ET]
Event Date: 03/08/2005
Event Time: [CST]
Last Update Date: 03/08/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
TROY PRUETT (R4)
LAWRENCE KOKAJKO (NMSS)

Event Text

TEXAS AGREEMENT STATE REPORT

The following information was obtained via e-mail from the Texas Department of Health Services, Inspection Unit, Radiation Branch (e-mailed text in quotes):

"The following is a description of the incident: Unit 10560498/10540094 went out on 02/02/05 at 19:30 hours to a temporary job site. Unit returned to the Laredo, TX facility at 16:53 hours 02/03/05. The Unit was serviced by HES [Halliburton Energy Services] employee checking out at 19:30 hours 02/03/05. The Unit was detained by Border Patrol at Freer check point with ex-employee driving Unit at 23:22 hours 02/03/05. The densometers were inventoried at the time HES recovered the Unit from the Border Patrol.

"The densometers that were on the unit were:
Densometer V3C- 131, Isotope Cs- 137, Activity 11.7 [milliCuries] and
Densometer W2C-086, Isotope Cs-137, Activity 11.7 [milliCuries].

"After a phone call with the licensee, it turns out that the driver was an ex-employee that went into Halliburton's yard and stole a truck that was later used in an attempt to smuggle contraband thru a Border Patrol check point. The truck never crossed the Texas border. The driver was arrested after Border Patrol agents were alerted to the truck and Halliburton was immediately notified of the theft of the truck. They [HES] then sent someone to claim the vehicle and the sources. [State of Texas Department of Health] has requested a copy of the police report."

Texas Incident Number I-8215.

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Power Reactor Event Number: 41473
Facility: ARKANSAS NUCLEAR
Region: 4 State: AR
Unit: [ ] [2] [ ]
RX Type: [1] B&W-L-LP,[2] CE
NRC Notified By: RICHARD HARRIS
HQ OPS Officer: BILL GOTT
Notification Date: 03/09/2005
Notification Time: 09:36 [ET]
Event Date: 03/09/2005
Event Time: 05:37 [CST]
Last Update Date: 03/12/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(A) - DEGRADED CONDITION
Person (Organization):
TROY PRUETT (R4)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N N 0 Hot Standby 0 Hot Standby

Event Text

PRESSURIZER HEATER SLEEVE LEAKAGE

The following information was obtained from the licensee via facsimile (licensee text in quotes):

"ANO (Arkansas Nuclear One) Unit 2 shutdown on 3/9/05 at approximately 0038 [CST] to begin the 2R17 refueling outage. While performing the Mode 3 Hot Shutdown Walk down on ANO Unit 2, evidence of leakage was discovered around three (3) pressurizer heater sleeves. The amount of leakage was minor since no indication of moisture was present and the build up of boric acid was minimal. Investigations are underway as to the repair of the affected nozzles."

The licensee notified the NRC Resident Inspector.

* * * UPDATE ON 03/12/05 @ 2255 BY JAMES CRABILL TO CHAUNCEY GOULD * * *

The following information was obtained from the licensee via facsimile (licensee text in quotes):

" ANO Unit 2 shutdown on 3-9-05 at approximately 0038 to begin the 2R17 refueling outage. While performing the Mode 3 Hot Shutdown Walk down on ANO Unit 2, evidence of leakage was discovered around three (3) pressurizer Heater Sleeves. The amount of leakage was minor since no indication of moisture was present and the build up of boric acid was minimal. Investigations are underway as to the repair of the affected nozzles.

"Update on 3/12/2005 @ 2140: During the followup inspection performed on 3-12-2005, eight pressurizer heater nozzles had evidence of boric acid leakage at the annulus between the nozzle and pressurizer. One plug was also discovered with evidence of boric acid leakage. The nozzle at this location was plugged during the late 1980's."

The reactor is presently in cold shutdown.

The NRC Resident Inspector was notified.

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General Information or Other Event Number: 41474
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee:
Region: 4
City: SEQUIN State: TX
County:
License #:
Agreement: Y
Docket:
NRC Notified By: KAREN VERSER
HQ OPS Officer: JEFF ROTTON
Notification Date: 03/09/2005
Notification Time: 11:18 [ET]
Event Date: 11/30/2004
Event Time: 10:00 [CST]
Last Update Date: 03/09/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
TROY PRUETT (R4)
TOM ESSIG (NMSS)

Event Text

TEXAS AGREEMENT STATE - RECOVERED RADIOACTIVE MATERIAL

The following information was provided by the Texas Department of State Health Services [DSHS]:

At approximately 10:00 am, November 30, 2004 a tractor-trailer alarmed radiation monitors with a load of scrap steel at Commercial Metals Austin [CMC - Austin] scrap yard. Earth Tech, Inc. in San Antonio was notified by ThermoMeasuretech for help with a possible source. Commercial Metals confirmed the load triggered a scale-mounted radiation detector at SMI- Texas, Sequin, TX and the [CMC - Austin] driver had returned the load to Commercial Metals-Austin.

Earth Tech contacted [CMC - Austin] warehouse manager and noted that he had indeed isolated the source from the load and that he had roped off a 2 mR/hr barrier around the affected area. He stated that he needed additional instrumentation as his Ludlum model 19 was reading off-scale.

Personnel from the Earth Tech office in San Antonio were deployed with a SAMS unit and a Ludlum model 9. They arrived at [CMC - Austin] at 1:30 pm. Searching through a small amount of soil, an actual source was revealed. The source was found to be a metallic foil disk approximately 1.5 cm. in diameter. The source emissions were found to be nonisotropic, reading high levels on one side and low levels on the other. Once the source was identified and separated from the soil, the SAMS was utilized to identify the radioisotope. The SAMS identified two low-energy photo peaks and identified the source as cadmium-109. However, the spectrum showed an unusually large amount of high-end tailing with a continuum shape similar to that found from sources of high-energy x-rays. The source was shielded and transported to ThermoMeasuretech for further investigation. It was initially presumed the source was possibly an activated foil.

DSHS records for this incident showed the source was 120 microCuries of Cd-109. When CMC was called on 3/8/05 to follow up on the incident, they stated that the source had been later identified as 1 milliCurie of Sr-90. This amount of Sr-90 required immediate notification.

Texas Incident No. I-8187

Due to personnel changes at the Texas Department of State Health Services and Commercial Metals in late 2004, the initial report to the NRC was delayed.

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Power Reactor Event Number: 41482
Facility: WATTS BAR
Region: 2 State: TN
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: JOE MAYO
HQ OPS Officer: CHAUNCEY GOULD
Notification Date: 03/11/2005
Notification Time: 17:06 [ET]
Event Date: 03/11/2005
Event Time: 14:29 [EST]
Last Update Date: 03/11/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
OTHER UNSPEC REQMNT
Person (Organization):
BRIAN BONSER (R2)

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

Event Text

IT WAS DETERMINEDED THAT GREATER THAN 1% OF INSPECTED S/G TUBES MUST BE REPAIRED.

"As part of the Cycle 6 refueling outage, inspections are being performed in accordance with Technical Specification (TS) 5.7.2.12, 'Steam Generator (SG) Tube Surveillance Program.' Based on a review of the inspection results to date, it was established at approximately 14:29 EST on March 11, 2005, that greater than 1 percent of the inspected SG tubes must be repaired. In accordance with the criteria stated in TS 5.7.2.12 and the inspection findings, the four SGs must be classified as C-3. The current inspection results do not meet the criteria specified for steam generator tube degradation in Revision 2 of NUREG 1022, 'Event Reporting Guidelines 10 CFR 50.72 and 10 CFR 50.73.' However, for the C-3 classification, WBN TS Table 5.7.2,12-1, 'SG Tube Inspection Supplemental Sampling Requirements,' requires that the results of the inspection be reported under 10 CFR 50.72. At this time, the submittal of a Licensee Event Report in accordance with 10 CFR 50.73 is not planned."

The NRC Resident Inspector was notified.

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Hospital Event Number: 41483
Rep Org: ST. JOHNS MERCY MEDICAL CENTER
Licensee: ST. JOHNS MERCY MEDICAL CENTER
Region: 3
City: ST. LOUIS State: MO
County:
License #: 24-00794-03
Agreement: N
Docket:
NRC Notified By: ROBERT F. TURCO, RSO
HQ OPS Officer: JOHN MacKINNON
Notification Date: 03/11/2005
Notification Time: 17:24 [ET]
Event Date: 03/09/2005
Event Time: 08:35 [CST]
Last Update Date: 03/11/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
MARK RING (R3)
LAWRENCE KOKAJKO (NMSS)

Event Text

INCORRECT DOSE GIVEN TO AN INFANT

A 5 month old infant was to have received 0.5 millicuries of technetium-99 myoview sulfur colloid but instead received 11.6 millicuries of technetium-99 myoview sulfur colloid. Person did not look at the label when measuring the dose to be given to the 5 month old infant. Calculated whole body dose to the infant ranges from 1.0 to 10 rem (most likely between 5.2 and 10 rem whole body dose to the infant) . No adverse reaction to the infant due to receiving 11.6 millicuries of technetium-99 myoview sulfur colloid. Physician has talked to the parents of the infant. Licensee looking into what corrective actions to take in order to prevent this same incident from happening in the future.

A written report will be issued.

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Power Reactor Event Number: 41486
Facility: PALO VERDE
Region: 4 State: AZ
Unit: [1] [2] [3]
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: STEVE SMITH
HQ OPS Officer: JOHN KNOKE
Notification Date: 03/13/2005
Notification Time: 00:10 [ET]
Event Date: 03/12/2005
Event Time: 18:45 [MST]
Last Update Date: 03/13/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
TROY PRUETT (R4)
JOE FOSTER (TAS)

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 100 Power Operation 100 Power Operation

Event Text

LOSS OF OPERABILITY OF ONE EMERGENCY EVACUATION SIREN

The following was provided by the licensee:

"The following event description is based on information currently available. If through subsequent reviews of this event, additional information is identified that is pertinent to this event or alters the information being provided at this time, a follow-up notification will be made via the ENS or under the reporting requirements of 10CFR50.73.

"On March 12, 2005 at approximately 18:45 Mountain Standard Time, the Palo Verde Emergency Preparedness Program Manager was notified of an inoperable single siren #36. Palo Verde has had 4 other sirens vandalized by breaking locks and stealing the internal battery since approximately February 25, 2005. The specific cause of this siren being inoperable has not been determined. Based on evidence from previous testing, this loss of siren #36 has been established to have occurred sometime between 22:00, Friday, 03/11/2005 and 03:00, Saturday, 03/12/2005. The affected siren is estimated to impact approximately 82 members of population (5.1 %) in the emergency planning zone (EPZ) within 5 miles. Palo Verde's reporting criterion is a loss of capability to inform greater than 5% of the population within 5 miles (or 10% within 5 to 10 miles) for greater than 1 hour. This call is being placed due to the relatively large segment of the population affected and the uncertainty of the length of time that will be needed to restore the siren to operable condition. The Palo Verde Emergency Plan (section 6.6.2.1) has a contingency for dispatching Maricopa County Sheriff's Office (MCSO) vehicles with loud speakers to alert persons within the affected area(s) when sirens are inoperable.

"Palo Verde has also been informed that Siren #42, previously inoperable due to the same vandalism and reported in EN #41451 on February 28, 2005, has been returned to service. There are no events in progress that require siren operation. There was not anything unusual or not understood concerning this event and all systems functioned as required.

"The NRC Resident Inspector has been notified of the siren failure and this ENS call."

The licensee will inspect the siren on Sunday or Monday to determine if vandalism is involved.

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Power Reactor Event Number: 41487
Facility: LASALLE
Region: 3 State: IL
Unit: [ ] [2] [ ]
RX Type: [1] GE-5,[2] GE-5
NRC Notified By: MIKE FITZPATRICK
HQ OPS Officer: JOHN KNOKE
Notification Date: 03/13/2005
Notification Time: 00:18 [ET]
Event Date: 03/12/2005
Event Time: 18:30 [CST]
Last Update Date: 03/13/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(A) - DEGRADED CONDITION
Person (Organization):
MARK RING (R3)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N N 0 Cold Shutdown 0 Cold Shutdown

Event Text

PINHOLE LEAK IN INSTRUMENT DRAIN LINE OFF MAIN STEAM SYSTEM

The following was provided by the licensee:

"This report is being made pursuant to 10CFR50.72(b)(3)(ii)(A). At 1830 on March 12, 2005, during the U-2 vessel pressure test, a leak was identified on the 2B21-F028D. The drain piping weld had pinhole leaks at the weld with a leak rate of 60 drops per minute. Due to welding or material defects in ASME Class 1 components, Technical Requirement Manual 3.4.a., condition A was entered. The component was isolated and corrective actions are in progress to repair the leakage. Repairs will be completed and tested prior to startup."

The valve 2B21-F028D is located in the Main Steam system downstream of the outboard main steam isolation valve. The leaking weld is the connecting weld of the valve body to the drain line. There was no prior history of repair on the valve or weld from the last outage. The licensee stated no indication was present to indicate the valve was leaking steam during normal operation.

The licensee notified the NRC Resident Inspector.

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