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Event Notification Report for October 10, 2005

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
10/07/2005 - 10/10/2005

** EVENT NUMBERS **


42036 42040 42044 42045 42046

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General Information or Other Event Number: 42036
Rep Org: GEORGIA RADIOACTIVE MATERIAL PGM
Licensee: SOUTHERN REGIONAL MEDICAL CENTER
Region: 1
City: RIVERDALE State: GA
County:
License #: GA 1039-1
Agreement: Y
Docket:
NRC Notified By: LAUREN PALMER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 10/04/2005
Notification Time: 07:30 [ET]
Event Date: 09/20/2005
Event Time: [EDT]
Last Update Date: 10/04/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JOHN ROGGE (R1)
CHARLIE PAYNE (R2)
MICHELE BURGESS (NMSS)

Event Text

AGREEMENT STATE REPORT - MEDICAL UNDEREXPOSURE

On Thursday morning, 9/20/05, a technologist gave a cancer patient receiving Iodine-131 therapy only one capsule of a prescribed 2-capsule dose. Consequently, only 93 milliCuries of an ordered 150 milliCuries was delivered to the patient. The referring endocrinologist was notified and determined that his patient had received adequate amount for the patient's therapy.

On Thursday afternoon, the licensee's Manager of Nuclear Medicine telephoned the Department and reported that the technologist involved in the event had also been responsible for a previous misadministration and had been fired. The capsule that was not administered was found in the lead container while preparing for a subsequent procedure on another patient.

Georgia report number: GA-2005-29

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General Information or Other Event Number: 42040
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: THELEN ASSOCIATES, INC.
Region: 3
City: CINCINNATI State: OH
County:
License #: OH31210310005
Agreement: Y
Docket:
NRC Notified By: STEPHEN JAMES
HQ OPS Officer: JOHN MacKINNON
Notification Date: 10/05/2005
Notification Time: 16:29 [ET]
Event Date: 09/29/2005
Event Time: 02:00 [EDT]
Last Update Date: 10/05/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BRUCE BURGESS (R3)
E. WILLIAM BRACH (NMSS)

Event Text

OHIO AGREEMENT STATE REPORT - PORTABLE DENSITY GAUGE DAMAGED

"Portable density gauge was damaged by [an] intoxicated driver while [the] gauge was in use at approximately 2:00 AM. Licensee personnel were able to retract [the] source rod into [the] damaged case. [The] shielding appeared to be intact. Readings on [the] damaged gauge at one meter with [the] rod retracted were 0.2 to 0.3 mR/hr. [The] Gauge was placed in [a] transport case and returned to [the] licensee's storage location. Licensee performed [a] leak test and is awaiting results. Initial survey of [the] area around [the] damaged gauge indicated no contamination or evidence of leakage of [the] source. Gauge to be surveyed, packaged and prepared for shipment by local service provider (Cline Technical Services). Gauge is a Troxler Model 4640-B with 8 mCi (millicuries) Cs-137 source."

Corrective Action: Equipment returned to manufacturer for repair or disposal.

Manufacturer: Troxler Model Number: 4640-B Serial Number: 1122

Item Number: OH050006.

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Other Nuclear Material Event Number: 42044
Rep Org: GUARDIAN AUTOMOTIVE
Licensee: NRD LLC
Region: 3
City: EVANSVILLE State: IN
County:
License #:
Agreement: N
Docket:
NRC Notified By: MARK BERTRAM
HQ OPS Officer: PETE SNYDER
Notification Date: 10/07/2005
Notification Time: 16:38 [ET]
Event Date: 10/06/2005
Event Time: 21:00 [CST]
Last Update Date: 10/07/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
BRUCE BURGESS (R3)
TOM ESSIG (NMSS)

Event Text

LOST GENERAL LICENSED MATERIAL

On 10/6/05 Guardian Automotive lost the barrel of an air gun used to ionize automotive parts in a manufacturing process. The company searched for the material but was unable to locate it. It is thought that the material may have been inadvertently disposed of in the trash.

The material consisted of a 2 to 3 inch long by less than 1 inch in diameter section of an air gun with a 5.41 millicurie (maximum) Po 210 source inside. The gun was made by NRD LLC. The model number of the air gun is P-2000.

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Other Nuclear Material Event Number: 42045
Rep Org: BRAUN INTERTEC
Licensee: BRAUN INTERTEC
Region: 3
City: BLOOMINGTON State: MN
County:
License #: 22-16537-02
Agreement: N
Docket: 03021059
NRC Notified By: GREG EBELING
HQ OPS Officer: PETE SNYDER
Notification Date: 10/07/2005
Notification Time: 18:05 [ET]
Event Date: 10/07/2005
Event Time: 10:00 [CDT]
Last Update Date: 10/07/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
BRUCE BURGESS (R3)
E. WILLIAM BRACH (NMSS)

Event Text

RADIOGRAPHY CAMERA SOURCE TEMPORARILY UNABLE TO RETRACT

When performing radiography at Marathon Petroleum located in St. Paul Park, MN, a radiography source was unable to be fully retracted due to a dent in the guide tube tip caused by a collimator set screw. The camera is an AEA Model 660B Serial # B1839 which contains a 22 curie Iridium-192 source. The licensee personnel called their radiation safety officer (RSO) who assessed the situation. The RSO using shielding and other equipment was able to unscrew the guide tube tip with the collimator attached to allow the source to retract. There were no personnel overexposures. The licensee checked their remaining guide tube tips to ensure that the same problem did not exist on the other tips.

The Licensee notified Region 3.

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Power Reactor Event Number: 42046
Facility: MCGUIRE
Region: 2 State: NC
Unit: [ ] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: STEVE BUSHNELL
HQ OPS Officer: MIKE RIPLEY
Notification Date: 10/08/2005
Notification Time: 08:20 [ET]
Event Date: 10/08/2005
Event Time: 07:20 [EDT]
Last Update Date: 10/08/2005
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(i) - PLANT S/D REQD BY TS
Person (Organization):
BRIAN BONSER (R2)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 100 Power Operation 88 Power Operation

Event Text

TECHNICAL SPECIFICATION REQUIRED SHUTDOWN DUE TO INOPERABLE CONTROL ROOM CHILLER TRAIN

"'B' Train Control Room Chiller inoperable due to being aligned to Unit 1 Nuclear Cooling Water Train 'B.' This is a normal alignment for Unit 1 ESF 'B' Train testing. When we attempted to start 'A' Train Control Room Chiller, it failed to start. This placed Unit 2 in Tech Spec 3.0.3 at 0320 on 10/08/05. Unit load reduction started at 0720 on 10/08/05."

The licensee stated that the load reduction was terminated at 0815 on 10/08/05 based on a Notification of Enforcement Discretion (NOED) granting a 24-hour extension. The licensee notified the NRC Resident Inspector.

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