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Event Notification Report for June 5, 2008

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
06/04/2008 - 06/05/2008

** EVENT NUMBERS **


44134 44242 44249 44250 44254 44255 44256 44263 44265 44267 44268

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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Fuel Cycle Facility Event Number: 44134
Facility: PADUCAH GASEOUS DIFFUSION PLANT
RX Type: URANIUM ENRICHMENT FACILITY
Comments: 2 DEMOCRACY CENTER
                   6903 ROCKLEDGE DRIVE
                   BETHESDA, MD 20817 (301)564-3200
Region: 2
City: PADUCAH State: KY
County: McCRACKEN
License #: GDP-1
Agreement: Y
Docket: 0707001
NRC Notified By: B. W. WALLACE
HQ OPS Officer: JOE O'HARA
Notification Date: 04/11/2008
Notification Time: 16:32 [ET]
Event Date: 04/10/2008
Event Time: 19:03 [CDT]
Last Update Date: 06/04/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
76.120(c)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
RANDY MUSSER (R2)
LARRY CAMPBELL (NMSS)

Event Text

FAILED DETECTOR HEADS

"At 1903 CST, on 04-10-08 the Plant Shift Superintendent (PSS) was notified that an alarm was received in the C-335 Area Control Room for the C-335 Unit 2 Cell 7 UF6 Release Detection (PGLD) System. Operators responded to the local panel and found all detector heads in alarm. Operators attempted to reset the system and the system would not reset, all heads remained in alarm. Operators then responded to the Unit 2 Cell 7 cell floor with the proper PPE and confirmed there was not a UF6 release. This PGLD System contains detectors that cover the C-335 Unit 2 Cell 7 cell housing roof and cell exhaust duct and sections 3 & 4 of the cell bypass housing. At the time of this alarm, C-335 Unit 2 Cell 7 and sections 3 & 4 of the cell bypass were operating above atmospheric pressure. TSR 2.4.4.1 requires that at least the minimum number of detector heads in the cell housing roof, cell exhaust duct, and cell bypass housing are operable during steady state operations above atmospheric pressure. With all the Unit 2 Cell 7 PGLD system heads locked in alarm, none of the required 3 heads in the cell housing roof and cell exhaust duct were operable and less of the required 3 heads in the cell bypass housing sections were operable. This PGLD System was declared inoperable, TSR LCOs 2.4.4.1.A.1 and 2.4.4.1.C.1 were entered and a continuous smoke watch was put in place within one hour. An investigation is ongoing to attempt to determine the cause of the failure. This event is being reported as a 24 hour event in accordance with 10CFR 76.120(c)(2)(i). This is an event in which equipment is disabled or fails to function as designed when: a.) the equipment is required by a TSR to prevent releases, prevent exposures to radiation and radioactive materials exceeding specified limits, mitigate the consequences of an accident, or restore this facility to a pre-established safe condition after an accident; b.) the equipment is required by a TSR to be available and operable and either should have been operating or should have operated on demand, and c.) no redundant equipment is available and operable to perform the required safety function.

"The NRC Resident Inspector has been notified of this event.

"PGDP Assessment and Tracking Report No. ATRC-08-1089; PGDP Event Report No. PAD-2008-10; Worksheet No. 44134 Responsible Division: Operations"

* * * UPDATE FROM B. WALLACE TO J. KNOKE AT 1021 EDT ON 6/4/08 * * *

The update is a retraction. Investigation has attributed the false alarm to a moisture problem and not a loss of power. The system did not fail.

The licensee notified the NRC Resident Inspector. Notified R2 (Robert Haag) and NMSS (Jack Guttmann)

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General Information or Other Event Number: 44242
Rep Org: OK DEQ RAD MANAGEMENT
Licensee: WALMART
Region: 4
City: ENID State: OK
County:
License #:
Agreement: Y
Docket:
NRC Notified By: MIKE BRODERICK
HQ OPS Officer: JOHN KNOKE
Notification Date: 05/27/2008
Notification Time: 17:10 [ET]
Event Date: 05/01/2003
Event Time: [CDT]
Last Update Date: 06/04/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
WILLIAM JONES (R4)
TERRANCE REIS (FSME)

Event Text

AGREEMENT STATE REPORT - TRITIUM RELEASE FROM EXIT SIGNS

"Wal-Mart stores reported to Oklahoma DEQ that they had found three damaged tritium exit signs during an audit of their signage. Two of the signs released tritium, the third did not release tritium. All three signs were at the Wal-Mart in Enid, Oklahoma. It appears that the signs were damaged by a 'walkie stacker' (similar to a fork lift) at an unknown date in 2003. The radioactive content of the signs was not recognized at the time of the damage. All three signs have been sent to Isolite for disposal or recycling. The signs were manufactured by SRB Technologies, Inc. Serial numbers of the leaking signs were 290130 and 290103.

"Wipe tests revealed removable contamination of about 800 dpm/100 sq. cm on the wall directly behind one sign, and a maximum removable contamination of 82,800 dpm/100 sq. cm on the cement floor below the other sign. Both leaking signs were in the shipping and receiving area of the store. Wal-Mart has hired Dade Moeller & Associates as consultants, and this company took the measurement and conducted remediation. Dade Moeller states that they will have a technician at the store to remediate the remaining contamination by the end of this week."

* * * UPDATE AT 1715 EDT BY HOWIE CROUCH ON 06/04/08 * * *

This report is a duplicate of EN# 44225. EN# 44225 will be removed from the database and the public website.

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General Information or Other Event Number: 44249
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: HEALTH - PHYSICS, INC
Region: 1
City: TAMPA State: FL
County:
License #: 2133-1
Agreement: Y
Docket:
NRC Notified By: CHARLES ADAMS
HQ OPS Officer: JOE O'HARA
Notification Date: 05/30/2008
Notification Time: 07:55 [ET]
Event Date: 05/30/2008
Event Time: 05:00 [EDT]
Last Update Date: 05/30/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JOHN ROGGE (R1)
CINDY FLANNERY (FSME)

Event Text

AGREEMENT STATE REPORT - TRAFFIC ACCIDENT INVOLVING RAM

The following was provided by the State via e-mail:

"Just after 0500 [EDT] two vans carrying medical RAM collided. There were no injuries. All southbound lanes [of Highway 200 in Marion County] were closed while the vehicles were removed. Hazmat determined that there was no damage or spill from the packages. One van had the packages jammed and they couldn't be removed at the scene. That van and driver were transported to Ocala where the packages can be removed. The other licensee is Cardinal Health 414, 3425 SW 42nd Way, Gainesville, FL 32608; license 3452-3, 3B. The licensees maintain possession of all RAM. No further action will be taken on this incident."

The isotope was Tc-99m and Thallium, by-product in a liquid form. The activity level is unknown.

"FL Incident Number: FL08-082."

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General Information or Other Event Number: 44250
Rep Org: NC DIV OF RADIATION PROTECTION
Licensee: MOORE REGIONAL HOSPITAL
Region: 1
City: PINEHURST State: NC
County:
License #:
Agreement: Y
Docket:
NRC Notified By: RANDY D. CROWE
HQ OPS Officer: STEVE SANDIN
Notification Date: 05/30/2008
Notification Time: 10:32 [ET]
Event Date: 05/15/2008
Event Time: [EDT]
Last Update Date: 05/30/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JOHN ROGGE (R1)
CINDY FLANNERY (FSME)

Event Text

AGREEMENT STATE REPORT INVOLVING RECEIPT OF CONTAMINATED PACKAGES

On May 15, 2008, a driver for Cardinal Health Nuclear Pharmacy Services made deliveries of Tc-99 ammo boxes to the Womack Regional Hospital, the Moore Regional Hospital, the Pinehurst Medical and Pinehurst Cardiology followed by a final stop at the Moore Regional Hospital.

The driver was notified at the Moore Regional Hospital that his delivery was contaminated. The most probable initial source of the contamination is attributed to his recovery of old boxes picked up at Womack Regional Hospital during his delivery (a later survey confirmed high levels of surface contamination).

The State of NC is continuing their investigation.

NC Incident No.: 08-23

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General Information or Other Event Number: 44254
Rep Org: GEORGIA RADIOACTIVE MATERIAL PGM
Licensee: MATRIX ENGINEERING GROUP
Region: 1
City: NORCROSS State: GA
County:
License #: GA1289-1
Agreement: Y
Docket:
NRC Notified By: KEITH St. CYR
HQ OPS Officer: STEVE SANDIN
Notification Date: 06/02/2008
Notification Time: 09:33 [ET]
Event Date: 05/31/2008
Event Time: 13:30 [EDT]
Last Update Date: 06/02/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
PAMELA HENDERSON (R1)
MICHELE BURGESS (FSME)
ILTAB (VIA EMAIL) ()

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

Event Text

AGREEMENT STATE REPORT INVOLVING A STOLEN MOISTURE DENSITY GAUGE

The authorized gauge user for Matrix Engineering Group left a construction site in Paulding County, placing a CPN Model MC-1 Moisture Density Gauge in the camper of his pickup truck. He stopped at a Chevron Station on Goldmine Road in Dallas, GA, leaving his truck for approximately 10-15 minutes, discovering when he returned that the gauge and case were missing. The CPN MC-1 Gauge, S/N M15116482, contains two (2) sources; Cs-137 (10 mCi) and Am-241:Be (50 mCi). A police report was filed with the City of Dallas PD. The licensee will post a reward for return of the stolen gauge.

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.

* * * UPDATE FROM KEITH ST. CYR TO HOWIE CROUCH ON 6/2/08 @ 1504 EDT * * *

The gauge has been recovered. Apparently, the gauge fell out of the truck when the user was leaving the Paulding County job site. An individual recovered the gauge and returned it to the job site. The gauge is currently in the possession of the licensee and does not appear to be damaged. The State of Georgia will recommend a leak check of the gauge to the licensee.

Notified R1DO (Henderson), FSME (Burgess) and ILTAB (via email).

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General Information or Other Event Number: 44255
Rep Org: MA RADIATION CONTROL PROGRAM
Licensee: ALPHA ANALYTICAL LABS
Region: 1
City: WESTBOROUGH State: MA
County:
License #: G0316
Agreement: Y
Docket:
NRC Notified By: BRUCE PACKARD
HQ OPS Officer: HOWIE CROUCH
Notification Date: 06/02/2008
Notification Time: 15:01 [ET]
Event Date: 06/02/2008
Event Time: [EDT]
Last Update Date: 06/02/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
PAMELA HENDERSON (R1)
MICHELLE BURGESS (FSME)

Event Text

MASSACHUSETTS AGREEMENT STATE REPORT - NI-63 SOURCE LEAKAGE

The following information was obtained from the State of Massachusetts via facsimile:

The licensee reported that two Electron Capture Device (ECD) leak tests were positive for leakage. ECD serial number U0504 had a reading of 0.1 microCuries. ECD serial number U2861 had a reading of 0.06 microCuries. Both units are Agilent model G2397A and contain 15 mCi of Ni-63. The licensee has taken both units out of service and has contacted Agilent for the return of both devices.

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General Information or Other Event Number: 44256
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: INDIAN RIVER RADIOLOGY
Region: 1
City: VERO BEACH State: FL
County:
License #: 2308-1
Agreement: Y
Docket:
NRC Notified By: STEVE FURNACE
HQ OPS Officer: HOWIE CROUCH
Notification Date: 06/02/2008
Notification Time: 17:18 [ET]
Event Date: 06/02/2008
Event Time: [EDT]
Last Update Date: 06/03/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
PAMELA HENDERSON (R1)
TERRANCE REIS (FSME)

Event Text

FLORIDA AGREEMENT STATE REPORT - LOSS OF CONTROL OF REFERENCE SOURCES

State of Florida Bureau of Radiation Control reported that the licensee, Indian River Radiology, sold two gamma cameras to another entity. By mistake, the purchaser of the cameras also took the reference sources that are used for calibrations. The sources will be returned to the licensee (seller) by Wednesday, June 4, 2008. This is considered a loss of control of radioactive material.

The sources each contained 20 mCi of Cs-137 and 250 mCi of Gd-153.

Florida Incident Number: FL08-083

* * * UPDATE FROM STEVE FURNACE TO HOWIE CROUCH @1651 HRS. ON 6/3/08 * * *

The State of Florida amended the report to state that the Cs-137 source was 30 mCi in strength as of 1 MAY 1999 and is used as a PET scan source, not a reference source. The Gd-153 source was 250 mCi on 1 DEC 2004. They are encouraging the expedited return of the sources to the licensee.

Notified R1DO (Henderson) and FSME EO (Chang).

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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor Event Number: 44263
Facility: HOPE CREEK
Region: 1 State: NJ
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: BERNARD LITKETT
HQ OPS Officer: JOHN KNOKE
Notification Date: 06/04/2008
Notification Time: 07:58 [ET]
Event Date: 06/04/2008
Event Time: 02:57 [EDT]
Last Update Date: 06/04/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
PAMELA HENDERSON (R1)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 95 Power Operation 95 Power Operation

Event Text

HIGH PRESSURE COOLANT INJECTION SYSTEM DECLARED INOPERABLE

"On 6/04/08 at 0257, the High Pressure Coolant Injection (HPCI) system was declared inoperable. The HPCI pump was placed in service to evaluate HPCI pump start performance. The HPCI pump tripped on low suction pressure when started. An Event Response Team is assembled to investigate the cause of the low suction trip of HPCI.

"Loss of the HPCI system is reportable under 10 CFR 50.72(b)(3)(v) as loss of a single train safety system required to mitigate the consequences of an accident. No additional Emergency Core Cooling Systems or Safety Related equipment was inoperable during this time period."

The licensee is in a 14 day LCO due to TS 3.5.1.

The licensee notified the NRC Resident Inspector.

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Other Nuclear Material Event Number: 44265
Rep Org: CONNECTICUT DEPT. OF PUBLIC HEALTH
Licensee: THERMOFISHER SCIENTIFIC
Region: 1
City: HARTFORD State: CT
County:
License #: LO1186 (TX)
Agreement: N
Docket:
NRC Notified By: CAROLY JEAN WEBB
HQ OPS Officer: HOWIE CROUCH
Notification Date: 06/04/2008
Notification Time: 13:59 [ET]
Event Date: 05/06/2008
Event Time: [EDT]
Last Update Date: 06/04/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
Person (Organization):
PAMELA HENDERSON (R1)
MICHELE BURGESS (FSME)
JACK WHITTEN (R4)

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

Event Text

MISSING NI-63 ELECTRON CAPTURE DEVICE

The Connecticut Department of Public Health Laboratories reported that they were unable to locate an Electron Capture Device Ni-63 source. Source serial number is 3359 and was 14.5 mCi in July, 1975.

The last known wipe test of the source was in 2001, conducted when the license was transferred from Thermo-Finnegan to Thermo-Fisher Scientific. The last inventory that positively identified the source was conducted in 2004. Thermo-Fisher holds the specific license for the device and their Texas license number is LO1186. Connecticut DPH Labs is the end-user. They do have an expired license number 06-20867-02.

In May, 2008, the end-user was assembling all known unused sources for proper disposal when they determined that the Ni-63 source was missing. They have performed an extensive search of their facility but have not been able to locate the source.

The end-user will be notifying Thermo-Fisher Scientific.


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: 44267
Facility: CLINTON
Region: 3 State: IL
Unit: [1] [ ] [ ]
RX Type: [1] GE-6
NRC Notified By: MAXWELL KIER
HQ OPS Officer: BILL HUFFMAN
Notification Date: 06/04/2008
Notification Time: 20:05 [ET]
Event Date: 06/04/2008
Event Time: 18:11 [CDT]
Last Update Date: 06/04/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
PATTY PELKE (R3)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 96 Power Operation 96 Power Operation

Event Text

OFFSITE NOTIFICATION DUE TO FLOOD WATCH

"On June 4, 2008 at 18:11 hours, Clinton Lake level reached 694 feet 0 inches (mean sea level). Normal lake level is 690 feet 0 inches. Per Clinton Power Station (CPS) procedure 4303.02, 'Abnormal Lake Level,' the CPS Main Dam - Emergency Action Plan requires that a 'Flood Watch' be declared. This resulted in a notification to the DeWitt County Sheriff's Department that occurred at 18:14 hours. Lake level continues to slowly rise due to the heavy rains received in the area for the past several days. Expected peak is approximately [694 feet 6 inches]. Mitigating measures are currently being instituted as a precautionary measure in the screen house, per CPS procedures."

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 44268
Facility: SAINT LUCIE
Region: 2 State: FL
Unit: [ ] [2] [ ]
RX Type: [1] CE,[2] CE
NRC Notified By: CALVIN WARD
HQ OPS Officer: BILL HUFFMAN
Notification Date: 06/04/2008
Notification Time: 21:10 [ET]
Event Date: 06/04/2008
Event Time: 17:30 [EDT]
Last Update Date: 06/04/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
Person (Organization):
ROBERT HAAG (R2)

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

Event Text

MANUAL REACTOR TRIP FOLLOWING LOSS OF MAIN FEEDWATER PUMP

"On 6/4/2008 at 17:30 hrs an unplanned manual reactor trip was initiated on St. Lucie Unit 2 from 100% power due to a trip of the 2B Heater Drain pump leading to a trip of the 2A Main Feedwater Pump and decreasing S/G levels. The Reactor was manually tripped due to decreasing Steam Generator levels.

"Following the reactor trip, EOP-1, Standard Post Trip Actions, and EOP-2, Reactor Trip Recovery procedures were completed and Unit 2 was stabilized in Mode 3. All control rods fully inserted. The S/G Safety Valves lifted and the last valve reseated at 950 psig. Feedwater to the S/G was supplied by the 2B Main FW Pumps and then the Auxiliary Feedwater Pumps. Unit 2 electrical requirements are provided from offsite power. All safe shutdown equipment operated as expected. There were no major equipment failures. Unit 1 was not affected by this event. The Grid is stable."

The licensee notified the NRC Resident Inspector.

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Thursday, March 29, 2012