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Event Notification Report for December 21, 2007

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
12/20/2007 - 12/21/2007

** EVENT NUMBERS **


43666 43841 43848 43855 43856

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General Information or Other Event Number: 43666
Rep Org: TRANSNUCLEAR
Licensee: TRANSNUCLEAR
Region: 1
City: COLUMBIA State: MD
County:
License #:
Agreement: Y
Docket:
NRC Notified By: TARA NEIDER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 09/26/2007
Notification Time: 15:59 [ET]
Event Date: 09/19/2007
Event Time: [EDT]
Last Update Date: 12/20/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21 - UNSPECIFIED PARAGRAPH
Person (Organization):
MALCOLM WIDMANN (R2)
HO NIEH (NRR)
MEL GRAY (R1)
VERN HODGE (EMAIL) ()
JOHN THORP (EMAIL) ()

Event Text

PART-21 DRY CASK CANISTER DOCUMENTATION LOST

"TN identified and documented in Supplier Finding Report 2007-111 that our fabricator, GE-Hitachi Nuclear Energy Americas (GHNEA), had provided inadequate fabrication records resulting in a nonconforming condition relative to the possibility of undocumented Temporary Weld Attachments (TWAs) to the confinement boundary of a loaded NUHOMS 32PTH Dry Shielded Canister (DSC) at Surry Power Station.

"This condition involves a lack of documentation for use of qualified welders, approved welding procedures, approved weld filler material and compatible TWA base material, as well as a lack of the required liquid penetrant surface examination report subsequent to TWA removal. Such documentation is required per Article NB-4435 of the ASME B&PV Code Section III, which is a design feature embedded in the Technical Specifications for the NUHOMS HD license.

"Based on the preliminary evaluation, it is concluded the subject DSC is capable of performing its design functions involving the structural integrity of the confinement boundary, heat removal, shielding and criticality control associated with the safe storage of spent nuclear fuel."

Four DSCs were shipped (three to Surry and one to North Anna) with insufficient documentation. The documentation for one of the Surry canisters was subsequently found. Of the remaining three DSCs, one at Surry, was loaded with spent fuel.



* * * UPDATE FROM TRANSNUCLEAR (NEIDER) TO HUFFMAN AT 1537 EST ON 12/20/07 * * *

As of 1530 EST on 12/19/07, the licensee determined that a second Dry Shielded Canister (DSC) shipped to Surry that is loaded with spent fuel has undocumented Temporary Weld Attachments (TWAs). The original report above noted that only one DSC (serial # DOM-32PTH-001-C) with TWAs had been loaded with spent fuel at Surry. The licensee had believed that documentation for another one of the loaded DSCs had been subsequently found. Upon further review, Transnuclear has determined that Surry DSC, Serial# DOM-32PTH-003-C (loaded with spent fuel), has other undocumented TWAs that were not initially recognized.

Furthermore, two additional DSCs were shipped to Surry that have undocumented TWAs. Specifically, a total of six casks have been shipped with the undocumented TWAs of which five were sent to Surry and one to North Anna. Two of the five at Surry have been loaded with spent fuel. A hold has been place on the three remaining empty DSCs at Surry and one empty DSC at North Anna. In addition, all DSCs still at the licensee's fabricators with possible undocumented TWAs have also been placed on hold. Based on this new information, the licensee is expanding the scope of its initial report.

R2DO (Shaeffer) and R1DO (Henderson) notified. In addition, NMSS (Pstrak), FSME EO (Mohseni) and Part 21 coordinators (Hodge and Thorpe) have been notified.

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General Information or Other Event Number: 43841
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: CARDINAL HEALTH
Region: 4
City: BATON ROUGE State: LA
County:
License #: LA-5394-L01
Agreement: Y
Docket:
NRC Notified By: RICHARD PENROD
HQ OPS Officer: PETE SNYDER
Notification Date: 12/14/2007
Notification Time: 08:36 [ET]
Event Date: 11/19/2007
Event Time: 09:13 [CST]
Last Update Date: 12/14/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RUSSELL BYWATER (R4)
GREG MORELL (FSME)

Event Text

AGREEMENT STATE REPORT - DOSE TO WRONG ORGANS

The Agreement State of Louisiana submitted the following information:

"On Monday November 19, 2007, Cardinal Health Nuclear Pharmacy delivered an isotope dose labeled incorrectly. The dose delivered, was labeled Tc-99m Mertiatide (Mag-3) assayed at 5.1 milliCuries at 9:13 AM. The dose ordered was for a Renal Scan scheduled for 9:30 AM. After injection of the ordered dose, subsequent imaging revealed accumulation of radiopharmaceutical in the liver and spleen. The target organ for Mag-3 is the kidneys. The images would suggest Tc-99m Sulfur Colloid as the agent delivered. This information was reported by the facility that received the dose. The facility also notified Cardinal Health.

"This matter is under investigation by Louisiana DEQ."

This report refers to Louisiana event identification number: LA070030.

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: 43848
Rep Org: MA RADIATION CONTROL PROGRAM
Licensee: BRISTOL MEYERS SQUIBB
Region: 1
City: NORTH BILLERICA State: MA
County:
License #: 50-0090
Agreement: Y
Docket:
NRC Notified By: JOHN SUMARES
HQ OPS Officer: JASON KOZAL
Notification Date: 12/17/2007
Notification Time: 14:25 [ET]
Event Date: 12/07/2007
Event Time: [EST]
Last Update Date: 12/20/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JAMES TRAPP (R1)
MICHELE BURGESS (FSME)

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

Event Text

MISSING THALLIUM-201 SHIPMENT

The State of Massachusetts was notified of a missing shipment of approximately 185 millicuries of Thallium-201. The shipment originated at the licensee, Bristol Meyers Squibb, on December 8, 2007. The shipment had not arrived at its destination, Pharmaceutical and Diagnostic Services, Inc., as of December 17, 2007. Shipment tracking has determined that the package was scanned by FedEx in Boston on December 9, 2007, and no other scans had been recorded. The licensee is working with the shipper to locate the package. The State will provide more information to NRC as it becomes available. As of December 17, 2007 the package activity is approximately 24 millicuries.

* * * UPDATE FROM SUMARES TO HUFFMAN AT 1410 EST ON 12/20/07 * * *

Bristol Meyers Squibb has informed the State of Massachusetts that the missing Thallium shipment has been located at its own facility as of December 18, 2007. The shipment was apparently inadvertently routed to a Fed Ex facility in Colorado on December 11, 2007. Fed Ex assigned a new tracking number and returned the shipment to Bristol Meyers Squibb. Because the shipment was assigned a new tracking number, it was not immediately recognized that the material had been returned to the shipment originator. The shipment is undamaged and all material has been accounted for.

R1DO (Henderson) and FSME (Burgess) have been notified. ILTAB notified 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.

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: 43855
Facility: NINE MILE POINT
Region: 1 State: NY
Unit: [ ] [2] [ ]
RX Type: [1] GE-2,[2] GE-5
NRC Notified By: ANTHONY PETRELLI
HQ OPS Officer: BILL HUFFMAN
Notification Date: 12/20/2007
Notification Time: 13:35 [ET]
Event Date: 11/08/2007
Event Time: 10:21 [EST]
Last Update Date: 12/20/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
50.73(a)(1) - INVALID SPECIF SYSTEM ACTUATION
Person (Organization):
PAMELA HENDERSON (R1)

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

Event Text

INVALID PRIMARY CONTAINMENT ISOLATION SYSTEM (PCIS) ACTUATION

"This 60-day telephone notification is being made under reporting requirements specified by 10 CFR 50.73(a)(2)(iv)(A) and 10 CFR 50.73(a)(1) to describe an invalid actuation of the containment isolation signals affecting more than one system.

"On November 8, 2007, at 1021 hours, with Unit 2 shutdown for a planned mid-cycle outage to remove a defective fuel bundle and conduct other maintenance activities, two primary containment isolation valves in different systems closed unexpectedly. The valves closed during application of a clearance section that inadvertently created a false primary containment isolation signal.

"None of the plant conditions which require PCIS Group 5 or 7 actuation (low reactor water level, high reactor pressure, high area temperature, etc.) existed; therefore, these actuations are considered invalid.

"The following two primary containment isolation valve isolations/actuations occurred:

- Residual Heat Removal shutdown cooling supply inside isolation valve (2RHS*MOV112, Group 5)

- Reactor Water Cleanup supply from Reactor Coolant System and Reactor Pressure Vessel inside isolation valve (2WCS*MOV102, Group 7)

"The valves functioned successfully as they cycled completely from full open to full closed.

"The event was entered into NMP's corrective action program for evaluation and resolution.

"The NRC Senior Resident Inspector has been notified of this report.

"Reference corrective action document CR 2007-6769."

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Power Reactor Event Number: 43856
Facility: COOPER
Region: 4 State: NE
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: RANDY KOUBA
HQ OPS Officer: JEFF ROTTON
Notification Date: 12/20/2007
Notification Time: 14:50 [ET]
Event Date: 12/20/2007
Event Time: 07:00 [CST]
Last Update Date: 12/20/2007
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
THOMAS FARNHOLTZ (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

Event Text

LOSS OF VARIOUS SYSTEMS AT EOF DUE TO LOCAL TELEPHONE SYSTEM PARTIAL T1 FAILURE

"This notification is being made in accordance with 10 CFR 50.72(b)(3)(xiii) as an event that resulted in a major loss of emergency assessment capability, offsite response capability, or offsite communications capability (e.g. significant portion of control room indication, Emergency Notification System or offsite notification system.)

"At 0700 on 12/20/07, one of the five T-1 data lines to the Emergency Offsite Facility (EOF) was discovered to be out of service. This caused a loss of Safety Parameter Display System capability, the FTS 2001 system, Alternate Intercom system, and Low Band base radio (the primary Downwind Survey team radio) at the EOF. Computer terminals remained functional for calculating CNS Dose. All other Emergency Response Facilities were unaffected.

"At 0826, the T-1 line was restored by repairing a line repeater. At 0948, all EOF equipment affected by the T-1 line were satisfactorily tested and verified to be operational.

"The NRC Resident Inspector was notified of the loss and restoration of the T-1 line."

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