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Event Notification Report for April 26, 2007

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
04/25/2007 - 04/26/2007

** EVENT NUMBERS **


43299 43311 43314 43317 43318 43320

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Hospital Event Number: 43299
Rep Org: US DEPARTMENT OF VETERANS AFFAIRS
Licensee: US DEPARTMENT OF VETERANS AFFAIRS
Region: 4
City: AMARILLO State: TX
County:
License #: 03-23853-01VA
Agreement: Y
Docket:
NRC Notified By: EDWIN LEIDHOLDT
HQ OPS Officer: JEFF ROTTON
Notification Date: 04/11/2007
Notification Time: 20:03 [ET]
Event Date: 02/14/2007
Event Time: 11:10 [CDT]
Last Update Date: 04/25/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
20.1906(d)(1) - SURFACE CONTAM LEVELS > LIMITS
Person (Organization):
SONIA BURGESS (R3)
ABY MOHSENI (FSME)
THOMAS FARNHOLTZ (R4)

Event Text

TRANSPORTATION PACKAGE SURFACE EXCEEDING SURFACE CONTAMINATION LIMITS

"Pursuant to 10 CFR 20.1906, a receipt wipe test of a package of radioactive material indicated that removable radioactive contamination of the package surface exceeded the limits in 10 CFR 71.87(i). The package was received at the VA Medical Center, 6010 Amarillo Boulevard West, Amarillo, TX, at about 1110 on February 14, 2007. This VA Medical Center is a site of use listed on Master Material License Permit No. 30-01747-02 held by the New Mexico VA Health Care System, 1501 San Pedro SE, Albuquerque, New Mexico 87108. A wipe test sample of the exterior of the package was measured as containing 107,000 dpm shortly after package receipt.

"The package was received from Panhandle Nuclear Pharmacy, 6700 West 9th Street, Amarillo, TX 79106. The package contained 11 millicuries of Tc-99m for use by the nuclear medicine department.

"The commercial radiopharmacy, which was the final delivery carrier, was promptly notified. However, the staff of the nuclear medicine department did not notify the Radiation Safety Officer (RSO). The RSO discovered today [04/11/07] that the package contamination had exceeded an amount requiring notification of the NRC.

"The VA National Health Physics Program will follow up on this event and will also notify the NRC project manager for our master material license."

* * * UPDATE FROM LEIDHOLDT TO HUFFMAN AT 1915 EDT ON 4/25/07 * * *

The licensee provided the following information via email:

"As a followup review to this event, the facility Radiation Safety Officer has discovered that receipt wipe tests of the outer surfaces of two other packages of radioactive material indicated removable radioactive contamination exceeding the limits in 10 CFR 71.87(i). A wipe test of a package received on June 12, 2006, was assayed as 33,200 dpm and a wipe test of a package received on January 10, 2007, was assayed as containing 28,600 dpm.

"The packages were received from Cardinal Health, 27 Medical Drive, Suite A, Amarillo TX 79106 [information redacted]. The packages both contained Tc-99m for use by the nuclear medicine department.

"In both cases, the commercial radiopharmacy, which was the final delivery carrier, was promptly notified. The small amounts of removable contamination, less than two percent of a microcurie on either wipe sample, make it unlikely that any harm was caused in either case.

"The VA National Health Physics Program will follow up on this incident. We will also notify the NRC project manager for our master material license."

This is a supplement to the original report in that, similar to the initial report, the Amarillo facility staff did not notify the RSO and the required NRC notifications were not made at the time of occurrence.

R3DO(Passehl), R4DO(Smith), and NMSS EO (Pierson) have been notified.

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General Information or Other Event Number: 43311
Rep Org: NC DIV OF RADIATION PROTECTION
Licensee: CARDINAL HEALTH, INC.
Region: 1
City: CHARLOTTE State: NC
County:
License #: 0600794-1
Agreement: Y
Docket:
NRC Notified By: LEE COX
HQ OPS Officer: STEVE SANDIN
Notification Date: 04/20/2007
Notification Time: 09:58 [ET]
Event Date: 04/20/2007
Event Time: 03:45 [EDT]
Last Update Date: 04/20/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MARIE MILLER (R1)
GREG MORELL (FSME)
ILTAB via email ()

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

Event Text

AGREEMENT STATE REPORT INVOLVING THEFT OF RADIOPHARMACEUTICALS FROM DELIVERY VEHICLE

At 0345 hours on 4/20/07 a Cardinal Health, Inc. delivery vehicle (Ranger Pickup) parked at the Presbyterian Hospital located at 200 Hawthorne Lane in Charlotte, NC was broken into and had six (6) Type-7A ammo cans stolen. The ammo cans contained forty-nine (49) unit doses of Tc-99m (total activity 1.669 Curies) used for diagnostic work. The Charlotte-Mecklenburg Police Department was notified of the theft. NC plans on issuing a press release regarding 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.

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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General Information or Other Event Number: 43314
Rep Org: NE DIV OF RADIOACTIVE MATERIALS
Licensee: WESTFIELD AT GATEWAY MALL
Region: 4
City: LINCOLN State: NE
County:
License #: GL0457
Agreement: Y
Docket:
NRC Notified By: TRUDY HILL
HQ OPS Officer: JOHN MacKINNON
Notification Date: 04/23/2007
Notification Time: 16:24 [ET]
Event Date: 04/23/2007
Event Time: 15:00 [CDT]
Last Update Date: 04/23/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
LINDA SMITH (R4)
GREG MORELL (FSME)
ILTAB (e-mailed) ()

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

Event Text

NEBRASKA AGREEMENT STATE REPORT - THREE MISSING SELF LUMINOUS SIGNS CONTAINING TRITIUM

The licensee provided the following information via e-mail

"The licensee received six model 880-12-6-20 self-luminous signs from Safety Light Corporation in May of 1994. The report from Safety Light did not list serial numbers. The licensee's facility was remodeled in 2005. They have done a number of searches for the missing signs and have not been able to locate them. The licensee does not know where they are. They assume that the signs were misplaced during the remodel. This Department does not have the model numbers as they were not a part of the report from Safety Light in 1994. The licensee previously had not done a complete inventory to record the serial numbers."

Event Cause: Inattention to Detail

Corrective Action: No Corrective Action Taken

Each of the three missing Safety Light Corporation signs initially contained 11.5 cuires/425.5 GBq of Tritium

Event Date: 07/01/2005

Reporting Requirement: 20.2201(a)(1)(i) - Report of theft or loss of licensed material > 1000 x App C value

Reference Number: 04-20-07



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: 43317
Facility: SALEM
Region: 1 State: NJ
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: JOHN OSBORNE
HQ OPS Officer: JOHN KNOKE
Notification Date: 04/25/2007
Notification Time: 01:33 [ET]
Event Date: 04/24/2007
Event Time: 22:48 [EDT]
Last Update Date: 04/25/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
Person (Organization):
JAMES TRAPP (R1)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 M/R Y 100 Power Operation 0 Hot Standby

Event Text

MANUAL TRIP DUE TO LOSS OF CIRCULATORS

"A manual trip of Salem Unit 1 was initiated due to a loss of circulators from heavy grassing at the circulating water intake. All rods fully inserted on the trip and all systems responded as designed with decay heat being removed via the steam dump system. All Auxiliary Feedwater pumps automatically started as expected on low steam generator levels from the trip.

"The unit had previously entered the abnormal operating procedure for circulating water due to two circulators being out of service; one had previously emergency tripped due to high traveling water screen differential pressure and a second had been out of service for condenser waterbox cleaning. Alarms were received indicating rapid rising differential pressure on the remaining four in-service circulators' traveling water screens.

"In accordance with the abnormal procedure, the Control Room Supervisor directed the tripping of the circulators and the reactor. There were no complications encountered as a result of the trip and all equipment operated as expected. The operating crew stabilized the plant at no load conditions. Salem Unit 1 is currently in Mode 3 with RCS at normal operating temperature and pressure. Actions are being taken to return the circulators to service."

Unit 2 was not affected at this time and is operating at 100% power.

The licensee notified the NRC Resident Inspector and the local township Licensee will be issuing a press release.

*** UPDATE FROM LICENSEE(MEEKINS) TO KNOKE AT 0853 EDT ON 04/25/07 ***

The power level was at 40% when the manual trip occurred and not 100% as previously reported.

Notified R1DO (Trapp)

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Power Reactor Event Number: 43318
Facility: MILLSTONE
Region: 1 State: CT
Unit: [ ] [ ] [3]
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: AL ELMS
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 04/25/2007
Notification Time: 11:36 [ET]
Event Date: 04/25/2007
Event Time: 11:01 [EDT]
Last Update Date: 04/25/2007
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
Person (Organization):
JAMES TRAPP (R1)
CHARLIE PAYNE (R2)
DAVE PASSEHL (R3)
LINDA SMITH (R4)
JOHN THORP (NRR)
STEVE HASELTON (DHS)
STAN KIMBRELL (FEMA)
BILL KANE (EDO)
JOHN GROBE (NRR)
JEFFREY CRUZ (IRD)

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

Event Text

LOSS OF OFFSITE POWER WHILE DEFUELED

While the offsite grid operator was performing electrical switching in the switchyard, Millstone 3 experienced a complete loss of offsite power. The "A" emergency diesel generator started and supplied power to the protected vital train electrical buses. Power to Spent Fuel Pool Cooling, Service Water, and Component Cooling Water was restored. Spent Fuel Pool level was not affected. No radiation was released from the plant. Offsite power was restored to the site at approximately 11:50. The NRC did not escalate response mode for this event.

The licensee notified the NRC Resident Inspector.

* * * UPDATE AT 1430 ON 4/25/2007 FROM AL ELMS TO MARK ABRAMOVITZ * * *

The Unusual Event was terminated at 14:27. The electrical lineup has been restored to the shutdown electrical lineup.

The licensee notified the NRC Resident Inspector.

Notified FEMA (Dwight Fuller), DHS SWO (John Frost), NRR EO (M.J. Ross-Lee), R1DO (Trapp), R2DO (Payne), R3DO (Passehl), R4DO (Smith), and IRD (Cruz).

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Power Reactor Event Number: 43320
Facility: MCGUIRE
Region: 2 State: NC
Unit: [1] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: WESLEY HILL
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 04/25/2007
Notification Time: 17:13 [ET]
Event Date: 04/25/2007
Event Time: 16:33 [EDT]
Last Update Date: 04/25/2007
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
Person (Organization):
CHARLIE PAYNE (R2)
JIM DYER (NRR)
JIM HUFHAM (R2)
MICHAEL CASE (NRR)
BILL TRAVERS (R2)
JEFFREY CRUZ (IRD)
JOHN FROST (DHS)
DWIGHT FULLER (FEMA)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Cold Shutdown 0 Cold Shutdown
2 N Y 100 Power Operation 100 Power Operation

Event Text

FIRE AND EXPLOSION NEAR H2 STORAGE SHED

"NOUE declared due to minor fire/explosion in area of the H2 storage shed. EAL 4.6.U.1.2. Fire has been put out 17:01 4/25/07."

The fire was extinguished by the onsite fire brigade. There were no injuries. Offsite fire department assistance was requested however, the fire was extinguished prior to their arrival and the fire department did not enter the protected area.

The licensee notified the NRC Resident Inspector.

At 17:24 the decision was made that the NRC would remain in the normal mode of operation.

* * * UPDATE AT 1754 ON 4/25/2007 FROM WESLEY HILL TO JOHN MacKINNON * * *

The Unusual Event was terminated at 17:36 because the fire was out. Only minor damage was reported to the H2 storage shed.

The licensee notified the NRC Resident Inspector.

Notified DHS (John Frost), FEMA (Dwight Fuller), R2DO (Payne), NRR EO (Case), and IRD (Cruz).

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Thursday, March 29, 2012