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Event Notification Report for March 4, 2008

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
03/03/2008 - 03/04/2008

** EVENT NUMBERS **


44011 44014 44015 44021 44026 44027

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General Information or Other Event Number: 44011
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: CIRCLE INCORPORATED
Region: 4
City: WESTWEGO State: LA
County:
License #: LA-6627-L01
Agreement: Y
Docket:
NRC Notified By: RICHARD PENROD
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 02/27/2008
Notification Time: 16:15 [ET]
Event Date: 02/27/2008
Event Time: [CST]
Last Update Date: 02/27/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
VIVIAN CAMPBELL (R4)
MICHELE BURGESS (NMSS)
ILTAB (E-MAIL) ()

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

Event Text

AGREEMENT STATE REPORT - MISSING MOISTURE DENSITY GAUGE

The State provided the following information via facsimile:

"On February 27, 2008, Circle Inc. discovered that a Troxler nuclear gauge with a 9 mCi source of Cs-137 (s/n 50-9134) and a 44 mCi source of Am-241 (s/n 47-14943) was missing from a construction site on the levee near Nicole and Lapalco in Westwego, LA. The incident is under investigation and additional information will be forwarded once it is received."

Louisiana Event Report: LA080004

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: 44014
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: BIOLA UNIVERSITY
Region: 4
City: LA MIRANDA State: CA
County: LOS ANGELES
License #: N/A
Agreement: Y
Docket:
NRC Notified By: ROBERT GREGER
HQ OPS Officer: PETE SNYDER
Notification Date: 02/28/2008
Notification Time: 14:05 [ET]
Event Date: 02/28/2008
Event Time: [PST]
Last Update Date: 02/28/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
VIVIAN CAMPBELL (R4)
CYNTHIA FLANNERY (FSME)

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

Event Text

AGREEMENT STATE REPORT - MISSING / BROKEN TRITIUM EXIT SIGNS

"On January 30, 2008, the RHB South ICE office received information regarding a broken exit sign containing approximately 11 Ci of H-3 (as of 2006). The sign was broken in a dormitory room at Biola University in La Mirada, California (later discovered to have occurred around December 13, 2007). This is a generally licensed device. This incident was investigated and handled under the 011308 Investigation by this office. On February 13, 2008 we were notified of a second H-3 exit sign that had been found broken (3 tubes of approximately 1 Ci each) on February 8, 2008. This broken H-3 sign was found during the inventory process of H-3 signs possessed by Biola requested by this office. Biola had never registered these GL devices to the State. During the inventory process Biola discovered that several of these H-3 exit signs were missing. For several weeks Biola searched dormitory rooms and other campus locations in performing the inventory of these devices. On February 27, 2008, I received an email from [a lady] stating that of they could only account for 79 of the 83 signs originally received for installation in Horton Hall, meaning that they do not know the location of four of the signs (77 physically present and 2 disposed account for the 79). The total remaining H-3 activity of the four signs is approximately 44 Curies.

"Biola will register the remaining signs with the State, and send a copy to this office."

CA Number: 022708

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: 44015
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: UNIVERSITY OF CALIFORNIA SANTA CRUZ
Region: 4
City: SANTA CRUZ State: CA
County: SANTA CRUZ
License #: 1337
Agreement: Y
Docket:
NRC Notified By: KENT PRENDERGAST
HQ OPS Officer: PETE SNYDER
Notification Date: 02/28/2008
Notification Time: 19:16 [ET]
Event Date: 02/28/2008
Event Time: [PST]
Last Update Date: 02/28/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
VIVIAN CAMPBELL (R4)
PATRICE BUBAR (FSME)

Event Text

AGREEMENT STATE REPORT - SOURCE DISCOVERED

The State provided the following information via email:

"The Licensee reports that they have 'discovered' residual radiation left in a Nuclear Systems irradiator model 'U' following the removal of the original 5000 Ci of Co-60 by a contractor of the OSRP last summer. The licensee thinks that one of the original 40 capsules that comprised the 8 rods (5 sources/rod) that contained the original 5000 Ci of cobalt 60 in 1958 may have remained in the device following source removal. The sources were removed for disposal last summer as part of the OSRP program to remove old unneeded sources of radiation."

CA Report: 022808

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Hospital Event Number: 44021
Rep Org: REID HOSPITAL & HEALTH CARE SERVICE
Licensee: REID HOSPITAL & HEALTH CARE SERVICES
Region: 3
City: RICHMOND State: IN
County:
License #: 13-03284-02
Agreement: N
Docket:
NRC Notified By: CHARLES NARAYANAN
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 02/29/2008
Notification Time: 14:50 [ET]
Event Date: 02/27/2008
Event Time: 11:00 [EST]
Last Update Date: 03/03/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(3) - DOSE TO OTHER SITE > SPECIFIED LIMITS
Person (Organization):
DAVE PASSEHL (R3)
GREG MORELL (FSME)

Event Text

PROSTATE TREATMENT SEEDS IMPLANTED IN UNINTENDED LOCATION

Sixty-two I-125 seeds were to be implanted in a patient's prostate. After 37 seeds were implanted, surgery was halted and the location verified as being 1-2 cm below the prostate. The hospital is evaluating the medical implications of this event. The physicians and patient were notified.

Seeds: 0.315 milliCuries each

* * * UPDATE FROM FLANNERY TO ALEXANDER AT 0713 EST ON 03/03/2008 (VIA E-MAIL) * * *

The NRC's medical events review committee has determined that is report is a medical event.

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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Transportation Event Event Number: 44026
Rep Org: AREVA NP INC
Licensee: AREVA NP INC
Region: 1
City: LYNCHBURG State: VA
County:
License #: SNM-1168
Agreement: N
Docket:
NRC Notified By: GEOFF WERTZ
HQ OPS Officer: JOE O'HARA
Notification Date: 03/03/2008
Notification Time: 11:45 [ET]
Event Date: 03/03/2008
Event Time: 11:26 [EST]
Last Update Date: 03/03/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
20.1906(d)(2) - EXTERNAL RAD LEVELS > LIMITS
Person (Organization):
JOHN CARUSO (R1)
GREG MORELL (FSME)
JOSEPH GIITTER (NMSS)

Event Text

EXTERNAL CONTACT RADIATION READING EXCEEDED ALLOWABLE LIMITS

"On March 3, 2008 at approximately 1126 EST, the Radiation Protection organization at AREVA NP Inc. Lynchburg, determined that a shipment of fuel services equipment (Box 0454) exceeded the 200 mrem/hour dose rate specified in 10 CFR 71.47 (b)(1). The equipment was being returned after use during a refueling outage. Radiation Protection surveyed the shipping container and obtained a reading of approximately 340 mrem/hour. In accordance with 10 CFR 20.1906(d)(2) the final delivery carrier has also been notified. This immediate notification is being made in accordance with the requirements of 10 CFR 20.1906(d)(2) and 10CFR 71.47(b)(1)."

The fuel cleaning equipment had been recently used during a refueling outage at Watts Bar.

* * * UPDATE FROM GEOFF WERTZ TO JOE O'HARA AT 1447 ON 3/3/08 * * *

Mr. Wertz reported that area around the hot spot on the container was smeared, and no evidence of loose surface contamination exists.

Notified R1DO(Caruso), FSME(Morell), and NMSS(Giitter)

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Power Reactor Event Number: 44027
Facility: KEWAUNEE
Region: 3 State: WI
Unit: [1] [ ] [ ]
RX Type: [1] W-2-LP
NRC Notified By: ANDREW SMOLINSKI
HQ OPS Officer: RYAN ALEXANDER
Notification Date: 03/04/2008
Notification Time: 02:16 [ET]
Event Date: 03/04/2008
Event Time: 01:00 [CST]
Last Update Date: 03/04/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
PATTY PELKE (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

Event Text

PLANNED MAINTENANCE ON MlSHlCOT SUBSTATION BY WPS RESULTS IN GREATER THAN 50% SIREN COVERAGE LOSS

"On March 4, 2008, at 0100 CST, ten emergency notification system sirens in the Kewaunee Power Station Emergency Planning Zone (one in Kewaunee County, nine in Manitowoc County) were de-energized due to a planned power outage. The loss of power to these emergency notification sirens resulted in a lost population coverage of 51.2%. As a result, this event is being reported under 10 CFR 50.72(b)(3)(xiii) and guidance in NUREG-1022 as a major loss of off-site communications capability.

"The expected duration of the planned power outage is 2 hours. Kewaunee and Manitowoc County Emergency Management agencies have already established appropriate contingency measures for the planned loss of the emergency notification system. Contingency measures include route alerting and an available plane with loud speaker for the areas affected by the power outage. The State of Wisconsin and the Federal Emergency Management Agency were previously informed of this planned outage.

"The NRC Resident Inspector has been notified."

Page Last Reviewed/Updated Wednesday, March 24, 2021