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Event Notification Report for January 16, 2007

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
01/15/2007 - 01/16/2007

** EVENT NUMBERS **


43087 43091 43101 43102

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General Information or Other Event Number: 43087
Rep Org: SC DIV OF HEALTH & ENV CONTROL
Licensee: CARE ALLIANCE HEALTH SERVICES ROPER HOSPITAL
Region: 1
City: CHARLESTON State: SC
County:
License #: 646
Agreement: Y
Docket:
NRC Notified By: JAMES PETERSON
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 01/10/2007
Notification Time: 17:30 [ET]
Event Date: 01/09/2007
Event Time: [EST]
Last Update Date: 01/10/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RONALD BELLAMY (R1)
JOSEPH GIITTER (NMSS)

This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - POSSIBLE MEDICAL EVENT - BRACHYTHERAPY

The State provided the following information via facsimile:

"Licensee has notified State Agency within 24 hours.

"A Mick applicator malfunctioned during the planned treatment of a prostate patient. The patient was scheduled to receive I-125 seed implants totaling 11 millicuries at 0.25 millicuries per seed. A total of 8.25 millicuries were implanted when the malfunction occurred. This will most likely result in the total dose delivered differing from prescribed dose by 20 percent or more. The dose information was not currently available but will follow in NMED reporting. The seeds not implanted have all been accounted for and have been placed in storage. The licensee will provide a written report within 15 days. No further information is available at this time."

SC Event Report: SC070001

A "Medical Event" may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.

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: 43091
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: CLINTON MEMORIAL HOSPITAL
Region: 3
City: CLINTON State: OH
County:
License #: OH02300140000
Agreement: Y
Docket:
NRC Notified By: MARK LIGHT
HQ OPS Officer: JOHN KNOKE
Notification Date: 01/11/2007
Notification Time: 13:09 [ET]
Event Date: 12/01/2006
Event Time: [EST]
Last Update Date: 01/11/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
THOMAS KOZAK (R3)
JANET SCHLUETER (NMSS)

Event Text

AGREEMENT STATE - OHIO - EQUIPMENT MALFUNCTION OF A COLBALT TELETHERAPY DEVICE

On January 2, 2007, Ohio Bureau of Radiation Protection received a written report that an equipment failure of a Cobalt Teletherapy Device had occurred on December 1st while treating a patient. The sealed source did not return to the closed positron after completing treatment. The therapists immediately entered the room and returned the source to a safe configuration. The department requested additional information from the licensee on January 2 and received the additional information on January 9, 2007. It has been determined that the licensee did not perform a 24 hour notification as required in rule 3701-40-20 of the Administrative Code. The patient was exposed to less that thirty seconds exposure time and a determination was made from the additional information provided that a medical event did not occur. The unit was repaired by Neutron Products on December 8, 2006. The problem identified was an old air cylinder and detent pin which was replaced returning the unit to normal operation. The Department notified the NRC Operations Center on January 11, 2007 after determination of reporting requirements.

Teletherapy unit is a Theratron-80, s/n 2640986, which is manufactured by Neutron Products. The Co-60 sealed source is 1690 Ci or 62530 GBq, model number NPTY, s/n T-1444.

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Power Reactor Event Number: 43101
Facility: POINT BEACH
Region: 3 State: WI
Unit: [1] [2] [ ]
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: MARK HANSEN
HQ OPS Officer: BILL GOTT
Notification Date: 01/15/2007
Notification Time: 17:24 [ET]
Event Date: 01/15/2007
Event Time: 13:21 [CST]
Last Update Date: 01/15/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
THOMAS KOZAK (R3)

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

Event Text

OFFSITE NOTIFICATION - OIL SPILL

At 1321 on January 15, 2007, the Point Beach Nuclear Plant asset owner notified the Wisconsin Department of Natural Resources (WDNR) that at about 10:00 a.m. on Sunday, January 14, 2007, approximately 20-25 gallons of vacuum pump hydraulic oil was released to the roof of the Point Beach Nuclear Plant heating boiler room. This event was caused by a failed seal in a vacuum pump. A small amount of this oil entered the rooftop drain system, and from there, it entered the plant's storm water drain system. The plant staff contained and removed the oil from the roof system. Absorbent pads were placed in the storm water system and at the exit of the system near the riprap above the beach. Approximately one gallon of the hydraulic oil was collected in the absorbent material at the exit of the storm water system. No oil discharged to the beach or the surface water.

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 43102
Facility: DIABLO CANYON
Region: 4 State: CA
Unit: [1] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: DAN STERMER
HQ OPS Officer: JEFF ROTTON
Notification Date: 01/15/2007
Notification Time: 20:02 [ET]
Event Date: 01/14/2007
Event Time: 15:42 [PST]
Last Update Date: 01/15/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
INFORMATION ONLY
Person (Organization):
BLAIR SPITZBERG (R4)

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

Event Text

INFORMATION REGARDING WILDFIRE IN THE VICINITY OF THE PLANT SITE

"On January 14, 2007, at 1713 PST licensed plant operators initiated Technical Specification tracking sheet T0058983 documenting a potential trip risk, due to notification of a wild land fire adjacent to the Diablo Canyon Power Plant (DCPP) Units 1 and 2. The fire is located approximately 1 mile north of the plant site on rural agricultural and State of California property at Montana de Oro State Park.

"Since the initial notification the fire has expanded to over a section of wild land about 1 mile north of the plant. The fire is being fought by State of California Department of Forestry (CDF), DCPP and local area fire fighting organizations by land and air attack equipment.

"On January 15, 2007, at 1530 PST plant management concurred with recommendations to issue an information notice due to local news interest. Pacific Gas and Electric Company (PG&E) is supporting the efforts lead by the CDF to combat the wild land fire, and the staff of DCPP is being fully advised of the fire conditions on an ongoing basis. To date no PG&E facilities or operations are threatened and CDF and DCPP fire fighting personnel are routinely updating plant operators regarding fire fighting activities in the area.

"No actual or potential threat to plant operation or equipment has occurred or expected and this report will be updated upon successful control of the wild land fire, currently expected to be early January 16, 2007."


The licensee notified the NRC Resident Inspector.

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Thursday, March 29, 2012