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Event Notification Report for April 27, 2006

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
04/26/2006 - 04/27/2006

** EVENT NUMBERS **


42519 42520 42521 42522 42523 42528 42529 42530

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General Information or Other Event Number: 42519
Rep Org: COLORADO DEPT OF HEALTH
Licensee: HAZEN RESEARCH, INC.
Region: 4
City: GLENDALE State: CO
County:
License #: 77-02
Agreement: Y
Docket:
NRC Notified By: ED STROUD
HQ OPS Officer: PETE SNYDER
Notification Date: 04/21/2006
Notification Time: 14:31 [ET]
Event Date: 04/06/2006
Event Time: [MDT]
Last Update Date: 04/21/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
KRISS KENNEDY (R4)
GARY JANOSKO (NMSS)
ILTAB (EMAIL) ()

Event Text

AGREEMENT STATE REPORT - TRITIUM EXIT SIGNS DISPOSED OF IN LANDFILL

"A licensee, Hazen Research, Inc., Colorado license # 77-02, notified the [Colorado Department of Health] that 4 generally licensed Tritium exit signs were accidentally disposed of in the sanitary landfill during a building repair project. Apparently, an electrical contractor disposed of the exit signs in a dumpster after they were removed and replaced with new signs in February or March of this year. The error was discovered on April 6. The signs, Isolite Model: 2040-50G-10BK, were purchased in May of 2001, and contained about 7.5 Ci of Tritium each.

"No other details are available at this time.

"The [Colorado Department of Health] has initiated an investigation of this incident."

THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL

Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks.

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General Information or Other Event Number: 42520
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: A SQUARED GROUP; METRIC ENGINEERING
Region: 1
City: MIAMI State: FL
County:
License #: 3727-2
Agreement: Y
Docket:
NRC Notified By: CHARLES E. ADAMS
HQ OPS Officer: PETE SNYDER
Notification Date: 04/23/2006
Notification Time: 11:59 [ET]
Event Date: 04/23/2006
Event Time: 11:25 [EDT]
Last Update Date: 04/23/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DANIEL HOLODY (R1)
GARY JANOSKO (NMSS)
ILTAB (e-mail) ()

Event Text

AGREEMENT STATE REPORT - LOST MOISTURE DENSITY GAUGES RECOVERED

The following was received from the state via email:

"The duty officer was notified 1125 this morning of the theft and apparent recovery of two soil moisture density gauges in Miami, Fl at about 4 am this morning. Thieves broke into a locked Conex at a FL DOT job location on SR 826 between Bird & Flagler. They broke into the locked cabinet in which the gauges were stored. They then broke into the locked transportation boxes and took two gauges belonging to two licensees.

"The first licensee is A Squared Group, license # 3727-2. Gauge was a CPN model MC-3, SN 350808026, Cs-137/AmBe sources 10/50 millicuries.

"The second licensee is Metric Engineering, license # 1704-1. Gauge was a Troxler model 3440, SN 37243, Cs-137/AmBe sources 10/40 millicuries.

"Miami-Dade PD apprehended the thieves as they were departing the storage site. The licensees believe the gauges are in the vehicle which has been impounded by Miami-Dade PD. They are trying to get access to the car to confirm that the gauges are there, but the PD has denied them access to this point. Licensees will call when they have confirmed the gauges are in the car and when they have been returned to their possession. Licensees will also submit a written report on this occurrence.

"Florida continues to investigate this incident."

* * * UPDATE FROM ADAMS TO SNYDER AT 1358 ON 4/23/06 * * *

The following was received from the state via email:

"Both licensees have possession of their gauges. They appear undamaged. The gauges will be leak tested and checked for functionality."

Notified R1DO (Holody) and NMSS EO (Janosko).

THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL

Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks.

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General Information or Other Event Number: 42521
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: GLOBAL X-RAY AND TESTING CORP
Region: 4
City: WEST CAMERON` State: LA
County:
License #: LA-0577-L01
Agreement: Y
Docket:
NRC Notified By: MIKE HENRY
HQ OPS Officer: BILL GOTT
Notification Date: 04/24/2006
Notification Time: 10:14 [ET]
Event Date: 04/20/2006
Event Time: [CDT]
Last Update Date: 04/24/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
THOMAS FARNHOLTZ (R4)
GREG MORELL (NMSS)

Event Text

AGREEMENT STATE REPORT - STUCK SOURCE

The State provided the following information via facsimile:

"On April 20, 2006, Global X-Ray had a source that failed to return to the shielded position. The source is a 105 Ci source of Ir-192 manufactured by SPEC with model #G-60 and serial #NC-1506. The source was in a SPEC 150 radiography camera with serial number 905. The RSO was dispatched to the Lonestar Horizon barge at West Cameron 165 to retrieve the source. The source was retrieved at approximately 11:37AM on April 20, 2006. No excessive exposures were reported. The badges were sent in for processing. The RSO picked up approximately 430 millirem while performing retrieval activity."

Event Report number: LA060006

This was reported by Global X-Ray and given NRC Event Number 42516

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General Information or Other Event Number: 42522
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: DRASH CONSULTING ENGINEERS
Region: 4
City: SAN ANTONIO State: TX
County:
License #: L04724
Agreement: Y
Docket:
NRC Notified By: SONIA SIMMONS
HQ OPS Officer: BILL GOTT
Notification Date: 04/24/2006
Notification Time: 10:42 [ET]
Event Date: 04/23/2006
Event Time: 07:30 [CDT]
Last Update Date: 04/24/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
THOMAS FARNHOLTZ (R4)
GREG MORELL (NMSS)
ILTAB (email) ()
Mexico (email) ()

Event Text

AGREEMENT STATE REPORT - STOLEN MOISTURE DENSITY GAUGE

A Troxler Moisture Density Gauge (sn 25459; 40 millicuries Am/Be and 8 millicuries Cs-137) was stolen from the operator's truck which was parked at his home. This was reported to the police and a reward was offered.

Texas Incident No.: I-8327

THIS MATERIAL EVENT CONTAINS A "LESS THAN CAT 3" LEVEL OF RADIOACTIVE MATERIAL

Sources that are "Less than IAEA Category 3 sources," are either sources that are very unlikely to cause permanent injury to individuals or contain a very small amount of radioactive material that would not cause any permanent injury. Some of these sources, such as moisture density gauges or thickness gauges that are Category 4, the amount of unshielded radioactive material, if not safely managed or securely protected, could possibly - although it is unlikely - temporarily injure someone who handled it or were otherwise in contact with it, or who were close to it for a period of many weeks.

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General Information or Other Event Number: 42523
Rep Org: ARKANSAS DEPARTMENT OF HEALTH
Licensee: CENTRAL ARKANSAS RADIATION THERAPY INSTITUTE
Region: 4
City: LITTLE ROCK State: AR
County:
License #: ARK654BP12-08
Agreement: Y
Docket:
NRC Notified By: KIM WIEBECK
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 04/24/2006
Notification Time: 14:11 [ET]
Event Date: 04/21/2006
Event Time: [CDT]
Last Update Date: 04/24/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
THOMAS FARNHOLTZ (R4)
GREG MORELL (NMSS)

Event Text

AGREEMENT STATE REPORT - MEDICAL MISADMINISTRATION

The State provided the following information via email:

"On April 21, 2006, the Radioactive Materials Program of Arkansas Department of Health and Human Services was notified by Central Arkansas Radiation Therapy Institute, ARK-654-BP-12-08, located in Little Rock, of a possible misadministration (medical event), which had been identified during the post-implant CT of a prostate implant patient. Based upon the CT scan, the facility determined that the I-125 seeds had been implanted in the incorrect area. The post-implant treatment plan generated on April 24, 2006, indicated that a dose greater than 50 Rem had been delivered to an unintended area of tissue.

"The licensee and Department will continue to investigate this event. A final written report regarding this misadministration (medical event) will be submitted within 15 days.

"NRC Region IV was notified of the potential misadministration on April 21, 2006."

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Power Reactor Event Number: 42528
Facility: KEWAUNEE
Region: 3 State: WI
Unit: [1] [ ] [ ]
RX Type: [1] W-2-LP
NRC Notified By: JERRY RISTE
HQ OPS Officer: ARLON COSTA
Notification Date: 04/26/2006
Notification Time: 18:23 [ET]
Event Date: 04/26/2006
Event Time: 17:00 [CDT]
Last Update Date: 04/26/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(i) - PLANT S/D REQD BY TS
Person (Organization):
HIRONORI PETERSON (R3)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 92 Power Operation

Event Text

PLANT S/D REQUIRED BY TS DUE TO LEAK IN SERVICE WATER SUPPLY LINE TO "B" EDG

"At 1345 on April 26, 2006, a decision to shutdown the plant was made due to an Inoperable service water train. At 1700 on April 26, 2006, the plant shutdown was initiated.

"On April 25, 2006, a leak was found on the Service Water supply line to the 'B' emergency diesel generator. At 1725 on April 25, 2006, the 'B' train of service water was declared inoperable and the technical specification limiting condition for operation was entered for one train of service water being inoperable. The end state for exceeding the allowed outage time for the limiting condition for operation for service water is the reactor coolant system Tavg less than 350 degrees Fahrenheit.

"During investigation of the leak, an additional small leak was discovered approximately 180 degrees from the first leak on the same section of pipe. Based on this additional leak, a conservative decision was made to shutdown the unit.

"It is estimated that the repair to the service water piping would not be completed within the allowed outage time and therefore per 10CFFR50.72(b)(2)(i) this event is reportable as the initiation of any nuclear plant shutdown required by plant's technical specifications."

All systems are currently functioning as required for the unit shutdown and the "B" EDG is operable and available.

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 42529
Facility: HADDAM NECK
Region: 1 State: CT
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP
NRC Notified By: CHRIS POULOS
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 04/26/2006
Notification Time: 18:55 [ET]
Event Date: 04/26/2006
Event Time: 18:19 [EDT]
Last Update Date: 04/26/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
RICHARD BARKLEY (R1)

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

Event Text

FIRE IN ADMINISTRATION BUILDING

At approximately 18:19, a fire occurred in the administration building lower level. The fire was in the southeast corner of the building in a communications room (PBX room). The fire department was called and extinguished the fire at 19:04. No injuries were reported. The fire did not affect the ISFSI and backup communications were available if required.

Notified the R1DO (Barkley).

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Power Reactor Event Number: 42530
Facility: KEWAUNEE
Region: 3 State: WI
Unit: [1] [ ] [ ]
RX Type: [1] W-2-LP
NRC Notified By: JONATHAN ROBB
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 04/26/2006
Notification Time: 22:39 [ET]
Event Date: 04/26/2006
Event Time: 20:49 [CDT]
Last Update Date: 04/26/2006
Emergency Class: ALERT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
Person (Organization):
HIRONORI PETERSON (R3)
PETER WILSON (IRD)
MIKE WEBER (NRR)
MARY JANE ROSS-LEE (NRR)
JIM CALDWELL (RA)
SWO (DHS)
SWO (FEMA)
CREWS (NRC)
TIMMONS (USDA)
WILLIAMS (HHS)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 A Y 35 Power Operation 0 Hot Standby

Event Text

FAILURE OF RPS SIGNAL TO INITIATE REACTOR TRIP

"At 2043 [CDT] on 4-26-06, during a plant shutdown with the reactor at approximately 35% power, the operating crew manually initiated a reactor trip. The operating crew had just stopped one of the two condensate pumps and then the remaining feedwater pump tripped unexpectedly. The operating crew recognized the turbine did not trip, as it is expected to automatically trip when no feedwater pumps are running. The automatic turbine trip would have automatically tripped the reactor. Therefore, the operating crew manually initiated a reactor trip.

"Because the reactor did not automatically trip (i.e., failure of RPS to initiate and complete a reactor trip), the Shift Manager declared an Alert, at 2049, based on Chart F of Table 2-1 EPIP-AD-02. Therefore, this is a one-hour notification in accordance with 10CFR50.72(a)(1)(i) 'The declaration of any of the emergency classes specified in the licensee's approved Emergency Plan.'

"The manual reactor trip is reportable (4-hour) in accordance with 10CFR50.72(b)(2)(iv)(B) 'Any event or condition that results in an actuation of the Reactor Protection System (RPS) when the reactor is critical except when the actuation results from and is part of a pre-planned sequence during testing or reactor operation.'

"All systems functioned as expected following the manual reactor trip. Service Water Train B is inoperable because of a one-gallon per minute leak."

All rods inserted fully. Decay heat is being removed with the steam dump and secondary PORV's. The condenser is losing vacuum due to the turbine trip.

The licensee notified the NRC Resident Inspector.


* * * UPDATE FROM JERRY RISTE TO JOHN KNOKE AT 01:45 EDT ON 04/27/06 * * *

"At 2049 on April 26, 2006, Kewaunee Power Station staff declared an Alert emergency classification (reference EN# 42530). The Kewaunee Power Station staff has assessed this event. There was no affect on the health and safety of the general public and no release of radiation. No plant personnel were injured and the only plant equipment problem was with the failure of a trip of both feedwater pumps to cause the main turbine to trip. The Kewaunee Power Plant staff has conducted a preliminary investigation of the control room indications and sequential events recorder, which indicates that before the manual reactor trip there was no automatic reactor trip signal present and a failure of the reactor trip breakers did not occur. The Alert was terminated at 0024 CDT [ON 04/27/06]. The unit is currently in the Hot Shutdown mode with plans to cool the plant to less than 350 degrees Fahrenheit."

The licensee notified the NRC Resident Inspector and will be notifying State and local government and issuing a press release. Notified NRR EO (MJ Ross-Lee), IRD Mgr (P. Wilson), R3DO (H. Peterson), DHS (Holz ), FEMA (Steindurf), NRC/EPA (Crews), DOE (Wyatt), USDA (Timmons), HHS (Peagler).

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