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Event Notification Report for May 10, 2006

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
05/09/2006 - 05/10/2006

** EVENT NUMBERS **


42556 42563

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General Information or Other Event Number: 42556
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: 21ST CENTURY ONCOLOGY
Region: 1
City: CORAL SPRINGS State: FL
County:
License #: 2667-1
Agreement: Y
Docket:
NRC Notified By: MARK SEIDENSTRICKER
HQ OPS Officer: BILL GOTT
Notification Date: 05/05/2006
Notification Time: 13:49 [ET]
Event Date: 03/31/2006
Event Time: [EDT]
Last Update Date: 05/05/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RONALD BELLAMY (R1)
TIM HARRIS (NMSS)

Event Text

AGREEMENT STATE REPORT - MEDICAL EVENT

An 80 year old white female undergoing a Mammosite Brachytherapy (Nuclear Tron V2 model 31662) procedure utilizing Ir-192 source received less than 30% of the prescribed dose of 3400 centi-gray (cGy) (accumulated dose). An incorrect figure was entered into the computer causing the source to stay back 6 cm from the intended position and hence dosing an unintended area of approximately 2 cm with 3 times the prescribed dose of 10,000 cGy. The treatment was given 2 times a day for five days from March 31 to April 7, 2006. The patient saw the attending physician for follow-up on May 2, 2006. The physician discovered the patients skin abnormally red. He contacted the Medical Physicist who investigated and discovered the input error. The physician, patient and the patients family were notified. The patient is well and is being treated for erythema.

Florida Incident number: FL 06-062

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Power Reactor Event Number: 42563
Facility: SALEM
Region: 1 State: NJ
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: PAUL ABBOTT
HQ OPS Officer: PETE SNYDER
Notification Date: 05/10/2006
Notification Time: 04:36 [ET]
Event Date: 05/10/2006
Event Time: 02:15 [EDT]
Last Update Date: 05/10/2006
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
ANTHONY DIMITRIADIS (R1)
S. BAUMGARTNER (NRC)

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

Event Text

NOTIFICATION OF OFFSITE AMMONIA AND HYDRAZINE RELEASE

"A notification was made to the New Jersey Department of Environmental Protection of a discharge of approximately 2000 gallons of water containing 30 parts per million (ppm) of hydrazine and 200 ppm of ammonia to the Delaware river, via the storm drain system. The source of the water was a relief valve on the Unit 1 Condensate System that resulted in the overflow of the condensate polisher building sump. The water migrated from the building to the storm drain system. The discharge was terminated at the time of discovery.

"There was no equipment out of service that contributed to this event and there were no personnel injuries or radiological occurrences associated with this event."

The licensee will notify the NRC Resident Inspector.

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