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Event Notification Report for June 6, 2008

U.S. Nuclear Regulatory Commission
Operations Center

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

** EVENT NUMBERS **


44254 44255 44256 44258 44259 44261 44263 44269 44273

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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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General Information or Other Event Number: 44258
Rep Org: COLORADO DEPT OF HEALTH
Licensee: KLEINFELDER
Region: 4
City: DENVER State: CO
County:
License #: 958-01
Agreement: Y
Docket:
NRC Notified By: JAMES S. JARVIS
HQ OPS Officer: STEVE SANDIN
Notification Date: 06/03/2008
Notification Time: 10:54 [ET]
Event Date: 06/02/2008
Event Time: 14:15 [MDT]
Last Update Date: 06/03/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JACK WHITTEN (R4)
MICHELE BURGESS (FSME)

Event Text

AGREEMENT STATE REPORT INVOLVING A DAMAGED TROXLER MOISTURE DENSITY GAUGE

On June 2, 2008 at approximately 2:15 pm a Troxler Moisture Density Gauge, Model 3430, was run over by a skidsteer at a construction site in the Denver Metro area . The licensee notified the Colorado Radiation Management Unit at approximately 4:00 pm that the gauge had been transported back to the main office in Golden, Colorado. Subsequent preliminary testing indicated that the sources were intact and not leaking. Results of the formal leak test are pending.

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General Information or Other Event Number: 44259
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: BAKER ATLAS
Region: 4
City:  State: LA
County:
License #: LA-2187-L01
Agreement: Y
Docket:
NRC Notified By: RICHARD PENROD
HQ OPS Officer: HOWIE CROUCH
Notification Date: 06/03/2008
Notification Time: 12:08 [ET]
Event Date: 06/03/2008
Event Time: [CDT]
Last Update Date: 06/03/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JACK WHITTEN (R4)
MICHELLE BURGESS (FSME)
ILTAB (VIA EMAIL) ()

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

Event Text

LOUISIANA AGREEMENT STATE REPORT - LOST WELL LOGGING TOOL

"[On the morning of May 29, 2008], a Pulsed Neutron Generator (Source #183619) belonging to Baker Hughes Oilfield Operations, Inc. dba Baker Atlas, containing approximately 900 millicuries of Tritium (H-3) was lost into the waters of the Mississippi River. The events were as follows:

"A commercial hotshot carrying two complete Pulsed Neutron Tools was dispatched to the Hilcorp dock in Cocodrie, La., from the Baker Atlas facility in Broussard, La. at approximately 3 A.M. this morning [5/29/08].

"The tools arrived at the Hilcorp dock at approximately 5 A.M.. The shipment was verified by the Hilcorp dock dispatcher and loaded onto a Hilcorp contracted Crew Boat. Note: there were no Baker Atlas employees included in the transport of this shipment. The Baker Atlas crew was already at the rig when this equipment was ordered.

"The shipment arrived at Hilcorp S/L 3090 #7, in the Little Pass field at approximately 7 A.M.. At arrival, the Hilcorp company representative noted that the aluminum tubes containing the Baker atlas downhole tools were not strapped down and were extended over the rail of the boat.

"The Hilcorp representative alerted the Baker Atlas crew, who conducted an inventory of the equipment and found that one tube containing both the upper section and lower section [containing the 900 milliCurie H-3 source] of a Pulsed Neutron Generator Tool was missing.

"The Hilcorp representative dispatched the crew boat back to the dock to conduct a visual search of the route and dock, but nothing was found. Due to the weight and density of the equipment, it is most likely that the tube (and tools in it) sank to the bottom of the river. Note: the rig is approximately 20 nautical miles from the dock.

"The customer (Hilcorp) has accepted financial responsibility for this loss and does not believe that a search for the missing equipment would be cost effective."

The State of Louisiana considers this event closed.

Louisiana DEQ Event Report ID: LA0800011



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.

Although IAEA categorization of this event is typically based on device type, the staff has been made aware of the actual activity of the source, and after calculation determines that it is a Less than Cat 3 event.

Note: the value assigned by device type "Category 3" is different than the calculated value "Less than Cat 3"

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General Information or Other Event Number: 44261
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: CYPRESS SURGERY CENTER
Region: 4
City: VISALIA State: CA
County:
License #: 7342-54
Agreement: Y
Docket:
NRC Notified By: BARBARA HAMRICK
HQ OPS Officer: HOWIE CROUCH
Notification Date: 06/03/2008
Notification Time: 13:42 [ET]
Event Date: 06/03/2008
Event Time: 09:30 [PDT]
Last Update Date: 06/03/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JACK WHITTEN (R4)
PATTY PELKE (R3)
DOUG BROADDUS (FSME)
ILTAB (VIA EMAIL) ()

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

Event Text

CALIFORNIA AGREEMENT STATE REPORT - LOST I-125 BRACHYTHERAPY SEEDS

The following information was received from the State of California Radiologic Health Branch [RHB] via email:

"On Tuesday, June 3, 2008, RHB was notified by NRC Region IV of an incident involving a California licensee. A package had been shipped by the California licensee to an Illinois licensee. The package should have contained 23 iodine-125 seeds used for brachytherapy, with activities of approximately 0.425 millicuries each. Upon receipt, the outer package was undamaged, but was reading 460 millirem/hour on contact. When the package was opened, the inner shielded container was open and some of the seeds were out of the shielded container, and at the bottom of the shipping container. The IL licensee could only account for 19 of the 23 seeds. They notified the IL radiation control program, and contacted [the carrier]. The IL licensee has surveyed the delivery truck, and the loading dock. They are in the process of surveying the [carrier's] terminal at Chicago's O'Hare airport. The California licensee that made the shipment is a small surgical center. Based on the information from IL, the package was not prepared for shipment in accordance with the instructions provided by the IL licensee, and vibrations during the shipment appear to have caused the shielded container to open during the shipment, releasing some of the seeds. RHB will be investigating the root cause of this incident and corrective actions with the California licensee."

CA Incident Number 5010-060308


* * * UPDATE FROM BARBARA HAMRICK TO HOWIE CROUCH VIA EMAIL ON 6/3/08 @ 1626 HRS. EDT * * *

"As of 1:02 pm PDT, we [RHB] received notification from the IL radiation control program that their licensee found the four missing I-125 seeds at the licensed facility in IL, among other packages received that morning. All seeds are now accounted for. California will continue to investigate the root cause of this incident."

Notified R4DO (Whitten) and FSME EO (Chang).

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: 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: 06/05/2008
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: 44269
Rep Org: BUREAU VERITAS NORTH AMERICAN
Licensee: BUREAU VERITAS NORTH AMERICAN
Region: 1
City: JERSEY CITY State: NJ
County:
License #: 2930107-01
Agreement: N
Docket:
NRC Notified By: TOM CHAPMAN
HQ OPS Officer: JOE O'HARA
Notification Date: 06/05/2008
Notification Time: 09:23 [ET]
Event Date: 06/05/2008
Event Time: 06:00 [EDT]
Last Update Date: 06/05/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
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

STOLEN TROXLER DENSITY GAUGE

The licensee reported that a Troxler Moisture Density Gauge Model 3430, S/N 23648, was stolen. The gauge contains 8 mCuries Cs-137, 40mCuries Am-241/Be. The gauge was secured in a Toyota Tacoma Pickup Truck, New Jersey Tag # KV128K parked in front of the employees residence at 77 Williams Avenue in Jersey City , New Jersey. When the employee went to the vehicle this morning, he noticed the vehicle had been stolen. The employee reported it to the Jersey City Police Department (Case #17076-08). The company is requesting assistance from LLEA to aid in recovery of the vehicle and 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.

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Power Reactor Event Number: 44273
Facility: SAN ONOFRE
Region: 4 State: CA
Unit: [ ] [2] [ ]
RX Type: [1] W-3-LP,[2] CE,[3] CE
NRC Notified By: LOU BOSCH
HQ OPS Officer: JOHN KNOKE
Notification Date: 06/06/2008
Notification Time: 04:48 [ET]
Event Date: 06/05/2008
Event Time: 22:56 [PDT]
Last Update Date: 06/06/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
JACK WHITTEN (R4)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 A/R Y 97 Power Operation 0 Hot Standby

Event Text

REACTOR TRIP DUE TO STATOR WATER LOW FLOW IN MAIN GENERATOR

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Thursday, March 29, 2012