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Event Notification Report for March 5, 2007

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
03/02/2007 - 03/05/2007

** EVENT NUMBERS **


43130 43191 43193 43200 43201 43205 43207 43209 43210

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General Information or Other Event Number: 43130
Rep Org: ARIZONA RADIATION REGULATORY AGENCY
Licensee: MRM CONSTRUCTION SERVICES
Region: 4
City: PHOENIX State: AZ
County:
License #: AZ 7-512
Agreement: Y
Docket:
NRC Notified By: AUBREY V. GODWIN
HQ OPS Officer: JOHN MacKINNON
Notification Date: 01/29/2007
Notification Time: 17:05 [ET]
Event Date: 01/29/2007
Event Time: 04:00 [MST]
Last Update Date: 03/02/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CLAUDE JOHNSON (R4)
GARY JANOSKO (NMSS)
ILTAB (e-mail) ()
MEXICO (E-mailed) ()

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

Event Text

ARIZONA AGREEMENT STATE REPORT - STOLEN CPN DENSITY GAUGE

Following Agreement State Report was received via facsimile.

"At approximately 9:00 AM January 29, 2007, the Agency was informed that the Licensee had a Nuclear Density Gauge stolen from the back of a pickup truck, while the user was at his residence. The missing gauge is a CPN Model MC-3 gauge, SN 8853. The theft occurred between 4 - 6:15 AM on January 29, 2007. The gauge contains 8 mCi (milliCuries) of Cesium-137 and 40 mCi (milliCuries) Am:Be-241.

"The Phoenix PD is investigating and issued report number 2007-701-92664.

"The Licensee is offering a $500.00 reward for the recovery of the source. A press release is to be made by the licensee.

"The Agency continues to investigate.

"First Notice: 07-001"

The states of CA, NV, CO, UT , NM, and U.S. NRC , FBI and Mexico are being notified of this event.

* * * UPDATE PROVIDED BY GODWIN TO KOZAL ON 03/2/07 AT 1303 VIA FACSIMILE * * *

"On February 29, 2007, MRM notified this Agency that at 3:15 that afternoon, MRM had received a phone call from a private citizen that some person had tried to sell the gauge to them. The gauge was retrieved in good working condition by the licensee. Local authorities were notified by the licensee."

Notified R4DO (Powers), FSME EO (Wastler) and Mexico (via e-mail).

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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Power Reactor Event Number: 43191
Facility: HOPE CREEK
Region: 1 State: NJ
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: MICHAEL REED
HQ OPS Officer: JOHN KNOKE
Notification Date: 02/27/2007
Notification Time: 13:11 [ET]
Event Date: 02/27/2007
Event Time: 13:11 [EST]
Last Update Date: 03/03/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
JOHN ROGGE (R1)

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

PLANNED MAINTENANCE ON SPDS

"On February 28, 2007, the Safety Parameter Display System (SPDS) will be removed from service to perform planned maintenance to the system. The maintenance will improve the overall reliability of the system. The removal of SPDS from service for Hope Creek also affects the transmission of data via the Emergency Response Data System (ERDS). Appropriate compensatory measures will be in place while SPDS is out of service. The SPDS is expected to be returned to service in approximately 2 days."

The licensee notified the NRC Resident Inspector and will be notifying local officials.

* * * UPDATE AT 0330 ON 03/03/07 FROM T. FOWLER TO W. GOTT * * *

SPDS maintenance has been completed. The ERDS system has been returned to service, tested, and considered operational at 2100 on 03/02/07.

The licensee will notify the NRC Resident Inspector.

Notified R1DO (J. Rogge)

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Hospital Event Number: 43193
Rep Org: HANNIBAL CLINIC
Licensee: HANNIBAL CLINIC
Region: 3
City: HANNIBAL State: MO
County:
License #: 24-32619-01
Agreement: N
Docket:
NRC Notified By: JOEL HASSIEN
HQ OPS Officer: JOHN KNOKE
Notification Date: 02/27/2007
Notification Time: 15:20 [ET]
Event Date: 02/27/2007
Event Time: 08:30 [CST]
Last Update Date: 02/27/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(2) - DOSE > SPECIFIED EFF LIMITS
Person (Organization):
ROGER LANKSBURY (R3)
GREG MORELL (FSME)

Event Text

MEDICAL EVENT - TREATMENT TO WRONG PATIENT

Patient "A" was suppose to receive a non-nuclear stress treatment by a technologist. Patient "B" was suppose to receive a nuclear treatment by a technologist. Patient "B" did not show up for the scheduled appointment. The technologist mistakenly gave patient "A" an injection (0.67 ml) of Tc-99m Cardolite (15 millicuries), which was suppose to go to patient "B". The attending physician notified patient "A" of this error, and deemed no corrective action to the patient was necessary. The error was determined to be that the technologist did not follow procedures, which is to verify patient name. As a corrective measure, the technologist was provided additional instruction in this matter.

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.

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General Information or Other Event Number: 43200
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: CHEMICAL WASTE MANAGEMENT
Region: 4
City: SULPHUR State: LA
County:
License #: LA-4187-L01
Agreement: Y
Docket:
NRC Notified By: RICHARD PENROD
HQ OPS Officer: JEFF ROTTON
Notification Date: 02/28/2007
Notification Time: 11:49 [ET]
Event Date: 02/02/2007
Event Time: [CST]
Last Update Date: 02/28/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DALE POWERS (R4)
GREG MORELL (FSME)

Event Text

AGREEMENT STATE REPORT - CONTAMINATION FROM LEAKING SEALED SOURCE

The following information was provided by the state via facsimile:

On 02/05/07, the licensee notified the Louisiana Department of Environmental Quality that one of its Electron Caption Detector (ECD) had a removable activity above 0.005 microcuries as a result off a recent "wipe test". The ECD is a Agilent Technologies, Inc. model number: 19233-69570, serial number YA353 with an estimated activity of 15 millicuries of Ni-63. Leak test results from a test performed on 01/26/07 were 0.024 microcuries. The wipe test results were reported to the licensee on 02/02/07.

On 02/07/07 an onsite inspection was performed by licensee corporate personnel. On 02/07/07 the ECD was returned to the manufacturer's location in Wilmington, DE for disposal.

LA Event Report ID No.: LA070002

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General Information or Other Event Number: 43201
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: CARDINAL HEALTH
Region: 4
City: SHREVEPORT State: LA
County:
License #: LA-10217-L01
Agreement: Y
Docket:
NRC Notified By: RICHARD PENROD
HQ OPS Officer: JEFF ROTTON
Notification Date: 02/28/2007
Notification Time: 12:07 [ET]
Event Date: 02/14/2007
Event Time: [CST]
Last Update Date: 02/28/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DALE POWERS (R4)
GREG MORELL (FSME)

Event Text

AGREEMENT STATE REPORT - DISPENSING ERROR FOR THALLIUM -201 DOSE

The following information was provided by the state via facsimile:

"Description of Event : On February 14, 2007, a customer called to report that the Thallium-201 Chloride dose they ordered was only 2.9 mCi instead of the 4.0 mCi requested. Thallium-201 Chloride is an imaging agent used for myocardial perfusion imaging or parathyroid and tumor imaging. Another TI-201 dose was sent to the customer to account for the incorrect activity.

"An investigation revealed that the pharmacist who dispensed the dose had selected the incorrect setting on the dose calibrator when assaying the dose at the pharmacy. The dose calibrator was set on Tc-99m instead of TI-201, resulting in an incorrect assay.

"Root Causes: The root cause of this event was an error by the pharmacist while assaying the dose. By not double-checking that the dose calibrator was on the correct setting, an incorrect assay was recorded.

"Actions Taken to Prevent a Recurrence: In an effort to prevent a recurrence of this event, the pharmacist will be sure to check that the correct isotope settings are in place on the dose calibrator for the dose being assayed. Additionally, checking the volume on the dose label will help reinforce that the pharmacist has checked which dose is being assayed and if the isotope setting is correct.

LA Event Report ID No.: LA070003

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General Information or Other Event Number: 43205
Rep Org: NJ DEPT OF ENVIRONMENTAL PROTECTION
Licensee: UNKNOWN
Region: 1
City: JERSEY CITY State: NJ
County:
License #:
Agreement: N
Docket:
NRC Notified By: PAT GARDNER
HQ OPS Officer: BILL HUFFMAN
Notification Date: 03/02/2007
Notification Time: 10:54 [ET]
Event Date: 03/01/2007
Event Time: [EST]
Last Update Date: 03/02/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
INFORMATION ONLY
Person (Organization):
JOHN ROGGE (R1)
SANDRA WASTLER (FSME)

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

Event Text

ORPHAN GENERAL LICENSE SOURCE DISCOVERED AT SCRAP METAL DEALER

A scrap metal dealer, Sims Hugo Neu, discovered a radioactive source during metal sorting activities at their facility. The source is identified as a Krypton-85 Ohmart Gauge; S/N 2862 B X; Source Holder ID BAL; SO# NJ 940602681B. The activity of the source was 65 milliCuries on 10/94. The owner of the source is currently unknown. The source was received at the dealer from a "feeder facility" and so the origin of scrap is not easily traced. The scrap dealer notified the NJ Department of Environmental Protection. New Jersey has been in contact with NRC Region 1 (D. White and D. Janda) and is attempting to track the owner via the serial number. The source has been isolated and secured. Sims Hugo Neu is located at 1 Linden Avenue, Jersey City, NJ. New Jersey is reporting this for information only.


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.

This source is not amongst those sources or devices identified by the IAEA Code of Conduct for the Safety & Security of Radioactive Sources to be of concern from a radiological standpoint. Therefore is it being categorized as a less than Category 3 source

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Power Reactor Event Number: 43207
Facility: SAN ONOFRE
Region: 4 State: CA
Unit: [ ] [2] [3]
RX Type: [1] W-3-LP,[2] CE,[3] CE
NRC Notified By: SUSAN GARDNER
HQ OPS Officer: JOE O'HARA
Notification Date: 03/02/2007
Notification Time: 17:03 [ET]
Event Date: 03/02/2007
Event Time: 10:14 [PST]
Last Update Date: 03/02/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
26.73 - FITNESS FOR DUTY
Person (Organization):
DALE POWERS (R4)
THEODORE QUAY (NRR)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 99 Power Operation 99 Power Operation
3 N Y 98 Power Operation 98 Power Operation

Event Text

FITNESS FOR DUTY - LICENSED EMPLOYEE

A licensed employee had a confirmed positive for alcohol during a random fitness-for-duty test. The employee's access to the plant has been revoked. Contact the Headquarters Operations Officer for additional details.

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 43209
Facility: DRESDEN
Region: 3 State: IL
Unit: [ ] [ ] [3]
RX Type: [1] GE-1,[2] GE-3,[3] GE-3
NRC Notified By: RANDY WROBLEWSKI
HQ OPS Officer: JOE O'HARA
Notification Date: 03/02/2007
Notification Time: 22:33 [ET]
Event Date: 03/02/2007
Event Time: 19:12 [CST]
Last Update Date: 03/02/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
ROGER LANKSBURY (R3)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
3 N Y 98 Power Operation 98 Power Operation

Event Text

UNIT 3 HPCI INOPERABLE DUE TO PINHOLE LEAK ON THE STEAM SIDE

"At 1912 hours on 03/02/07, a through wall leak was identified on the U3 High Pressure Coolant Injection (HPCI) Inlet Drain Pot drain piping. This piping is ASME Code class 2 piping and as required by the Technical Requirements Manual the piping was isolated which resulted in isolation of the U3 HPCI System. U3 HPCI was declared inoperable. This event is reportable under 10CFR50.72(b)(3)(v)(D). Piping repair preparations are in progress."

The leak was discovered by a licensed operator on rounds. The Technical Specification is a 14 day LCO.

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 43210
Facility: DUANE ARNOLD
Region: 3 State: IA
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: WAYNE BENTLEY
HQ OPS Officer: BILL HUFFMAN
Notification Date: 03/03/2007
Notification Time: 05:16 [ET]
Event Date: 03/02/2007
Event Time: 23:32 [CST]
Last Update Date: 03/03/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
ROGER LANKSBURY (R3)

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

Event Text

REACTOR SCRAM SIGNAL DUE TO HIGH DISCHARGE VOLUME LEVEL

The licensee was performing testing that inserts a reactor scram manually to verify that the backup scram valves port air. Moments after the scram was reset a second scram came in from a scram discharge volume high level. The second scram was not called out in the test, nor were there steps to bypass the scram discharge volume scram signal prior to resetting the manual scram.

All rods were already fully inserted and, consequently, there was no rod motion as a result of the scram. The licensee states the unexpected scram signal was a result of an error in the test procedure.

The NRC Resident Inspector has been notified.

Page Last Reviewed/Updated Thursday, March 29, 2012
Thursday, March 29, 2012