Event Notification Report for October 04, 2007
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
10/03/2007 - 10/04/2007
Other Nuclear Material
Event Number: 43690
Rep Org: SCHLUMBERGER
Licensee: SCHLUMBERGER
Region: 4
City: ROCK SPRINGS State: WY
County:
License #: 42-27055-01
Agreement: N
Docket:
NRC Notified By: RAYMOND DICKES
HQ OPS Officer: PETE SNYDER
Licensee: SCHLUMBERGER
Region: 4
City: ROCK SPRINGS State: WY
County:
License #: 42-27055-01
Agreement: N
Docket:
NRC Notified By: RAYMOND DICKES
HQ OPS Officer: PETE SNYDER
Notification Date: 10/04/2007
Notification Time: 12:25 [ET]
Event Date: 10/04/2007
Event Time: 11:10 [EDT]
Last Update Date: 10/04/2007
Notification Time: 12:25 [ET]
Event Date: 10/04/2007
Event Time: 11:10 [EDT]
Last Update Date: 10/04/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
WILLIAM JONES (R4)
GREG MORELL (FSME)
ILTAB (e-mail)
WILLIAM JONES (R4)
GREG MORELL (FSME)
ILTAB (e-mail)
MISSING FLUID DENSITY GAUGE
At about 11:10 EDT on 10/4/07 during a routine gauge inventory identified that a Thermo Measuretech (formerly Texas Nuclear) model TN-5192 fluid density gauge could not be accounted for. The gauge serial numbers are D111 and MB2856. The gauge has a 200 millicurie Cs-137 source.
There is no sign of theft but the gauge has not been found at its expected storage location or any of the well sites in the area. According to records it was last used in April 2007 and last inventoried in August 2007. Schlumberger will expand the search to include all facilities in the country.
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.
At about 11:10 EDT on 10/4/07 during a routine gauge inventory identified that a Thermo Measuretech (formerly Texas Nuclear) model TN-5192 fluid density gauge could not be accounted for. The gauge serial numbers are D111 and MB2856. The gauge has a 200 millicurie Cs-137 source.
There is no sign of theft but the gauge has not been found at its expected storage location or any of the well sites in the area. According to records it was last used in April 2007 and last inventoried in August 2007. Schlumberger will expand the search to include all facilities in the country.
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.
General Information or Other
Event Number: 43700
Rep Org: IOWA DEPARTMENT OF PUBLIC HEALTH
Licensee: PHARMACY SERVICES OF THE QUAD CITIES
Region: 3
City: DAVENPORT State: IA
County:
License #: 0207-1-82-NP
Agreement: Y
Docket:
NRC Notified By: NANCY FARMINGTON
HQ OPS Officer: JOE O'HARA
Licensee: PHARMACY SERVICES OF THE QUAD CITIES
Region: 3
City: DAVENPORT State: IA
County:
License #: 0207-1-82-NP
Agreement: Y
Docket:
NRC Notified By: NANCY FARMINGTON
HQ OPS Officer: JOE O'HARA
Notification Date: 10/08/2007
Notification Time: 09:53 [ET]
Event Date: 10/04/2007
Event Time: 00:00 [CDT]
Last Update Date: 12/18/2007
Notification Time: 09:53 [ET]
Event Date: 10/04/2007
Event Time: 00:00 [CDT]
Last Update Date: 12/18/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
10 CFR Section:
Person (Organization):
LAURA KOZAK (R3)
NADER MAMISH (FSME)
LAURA KOZAK (R3)
NADER MAMISH (FSME)
AGREEMENT STATE REPORT - MOLYBDENUM 99 CONCENTRATION TOO HIGH ON ELUTION ON MOLYBDENUM 99/TECHNETIUM- 99M GENERATOR
The State provided the following information via email:
"Event Cause: MOLYBDENUM 99 CONCENTRATION TOO HIGH ON ELUTION ON MOLYBDENUM 99/TECHNETIUM- 99M GENERATOR
"Event Date: 10/04/2007 Report Date: 10/05/2007
"Licensee/Reporting Party Information:
"Name: PHARMACY SERVICES OF THE QUAD CITIES, License Number: 0207-1-82-NP, DAVENPORT, IA 52807
"IDPH received a call from the Pharmacy Services of Quad Cities RSO on Friday, October 5, 2007, concerning a Bristol-Myers Squibb (BMS) Mo99/Tc99M generator that they had received on Wednesday, October 3, 2007. The licensee first eluted the generator on Thursday, October 4, 2007, and discovered an elevated Mo99 concentration in the elution. Subsequent elutions also had elevated Mo99 concentrations. The licensee contacted the manufacturer (BMS) and was asked to ship the generator back to the manufacturer. The licensee contacted IDPH concerning the shipping container. An Information Notice that was issued in 1997 talks to this issue, and IDPH told the licensee to hold the generator 10 1/2 lives or a special salvage container would be needed to ship the generator back to BMS."
The State reported that elutions greater than .15 micro Curies per milli Curie Tc-99m are unacceptable and exceed establish limits. See Information Notice No. 84-85: 'Molybdenum Breakthrough From Technetium-99m Generators' Also a state representative said that the lot number of this generator was "M275711D," the size was 15 curies, the calibration date is 10/2 and the expiration date is 10/6.
"As of Monday October 8, 2007, the generator is being held at the pharmacy.
"Corrective Actions: Action Number: 1 MANUFACTURER WILL NOTIFY CUSTOMERS OF DEFECT
"Keywords: ELEVATED MO99 CONCENTRATION FROM GENERATOR ELUTION
"Source of Radiation: Source Number: 1 Form of Radioactive: ELEVATED MO99 CONCENTRATION
"Radionuclide or Voltage (kVp/MeV): MO-99
"Source Use: RADIOPHARMACEUTICAL
"Manufacturer: BRISTOL-MEYERS SQUIB
"Device/Associated Equipment: Device Number: 1
"Device Name: RADIOPHARMACEUTICAL GENERATOR
"Manufacturer: BRISTOL-MEYERS SQUIB
"Problem with Equipment: ELEVATED MO99
"Reporting Requirements: 30.50(b)(2)(ii) - The 24 hour report of an event where required equipment is disabled or fails to function as designed when the equipment is required to be available and operable when it is disabled or fails to function.
"Iowa Event # IA070004"
* * * UPDATE FROM IDPH (FARRINGTON) TO CROUCH VIA EMAIL AT 0938 EST ON 12/18/07 * * *
"The manufacturer, Bristol-Meyers Squibb Medical Imaging Inc., reported back to the Iowa licensee number: IA-207-1-82-NP that it was indeterminate as to the cause of the problem. The State of Iowa considers this event closed."
Notified R3DO (Duncan) and FSME (Burgess).
The State provided the following information via email:
"Event Cause: MOLYBDENUM 99 CONCENTRATION TOO HIGH ON ELUTION ON MOLYBDENUM 99/TECHNETIUM- 99M GENERATOR
"Event Date: 10/04/2007 Report Date: 10/05/2007
"Licensee/Reporting Party Information:
"Name: PHARMACY SERVICES OF THE QUAD CITIES, License Number: 0207-1-82-NP, DAVENPORT, IA 52807
"IDPH received a call from the Pharmacy Services of Quad Cities RSO on Friday, October 5, 2007, concerning a Bristol-Myers Squibb (BMS) Mo99/Tc99M generator that they had received on Wednesday, October 3, 2007. The licensee first eluted the generator on Thursday, October 4, 2007, and discovered an elevated Mo99 concentration in the elution. Subsequent elutions also had elevated Mo99 concentrations. The licensee contacted the manufacturer (BMS) and was asked to ship the generator back to the manufacturer. The licensee contacted IDPH concerning the shipping container. An Information Notice that was issued in 1997 talks to this issue, and IDPH told the licensee to hold the generator 10 1/2 lives or a special salvage container would be needed to ship the generator back to BMS."
The State reported that elutions greater than .15 micro Curies per milli Curie Tc-99m are unacceptable and exceed establish limits. See Information Notice No. 84-85: 'Molybdenum Breakthrough From Technetium-99m Generators' Also a state representative said that the lot number of this generator was "M275711D," the size was 15 curies, the calibration date is 10/2 and the expiration date is 10/6.
"As of Monday October 8, 2007, the generator is being held at the pharmacy.
"Corrective Actions: Action Number: 1 MANUFACTURER WILL NOTIFY CUSTOMERS OF DEFECT
"Keywords: ELEVATED MO99 CONCENTRATION FROM GENERATOR ELUTION
"Source of Radiation: Source Number: 1 Form of Radioactive: ELEVATED MO99 CONCENTRATION
"Radionuclide or Voltage (kVp/MeV): MO-99
"Source Use: RADIOPHARMACEUTICAL
"Manufacturer: BRISTOL-MEYERS SQUIB
"Device/Associated Equipment: Device Number: 1
"Device Name: RADIOPHARMACEUTICAL GENERATOR
"Manufacturer: BRISTOL-MEYERS SQUIB
"Problem with Equipment: ELEVATED MO99
"Reporting Requirements: 30.50(b)(2)(ii) - The 24 hour report of an event where required equipment is disabled or fails to function as designed when the equipment is required to be available and operable when it is disabled or fails to function.
"Iowa Event # IA070004"
* * * UPDATE FROM IDPH (FARRINGTON) TO CROUCH VIA EMAIL AT 0938 EST ON 12/18/07 * * *
"The manufacturer, Bristol-Meyers Squibb Medical Imaging Inc., reported back to the Iowa licensee number: IA-207-1-82-NP that it was indeterminate as to the cause of the problem. The State of Iowa considers this event closed."
Notified R3DO (Duncan) and FSME (Burgess).