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Event Notification Report for September 12, 2008

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
09/11/2008 - 09/12/2008

** EVENT NUMBERS **


44472 44474 44476 44477 44481 44482 44484

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General Information or Other Event Number: 44472
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: FUGRO CONSULTANTS INC.
Region: 4
City: WACO State: TX
County:
License #: L03875
Agreement: Y
Docket:
NRC Notified By: RAY JISHA
HQ OPS Officer: PETE SNYDER
Notification Date: 09/08/2008
Notification Time: 12:34 [ET]
Event Date: 09/08/2008
Event Time: 07:30 [CDT]
Last Update Date: 09/08/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
LINDA HOWELL (R4)
CYNTHIA FLANNERY (FSME)
ILTAB (E-MAIL) ()
MEXICO (FAX) ()

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

Event Text

AGREEMENT STATE REPORT - STOLEN TROXLER MOISTURE DENSITY GAUGE

The licensee discovered that a Troxler moisture/density gauge was stolen sometime between 1600 CDT on 09/07/08 and 0730 CDT on 09/08/08. This was a Troxler Model 3430, S/N 29518 with two sources of 10mCi, Cs-137 and 40mCi, AmBe-241 stolen from a FUGRO consultants Inc. employee from a private residence in Waco, TX. This was reported to the Cities of Waco and Woodway Police Departments and filed under case # 08-21954 for the former.

Please refer to TX incident # I-8551.

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: 44474
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: QUAKER OATS
Region: 4
City: DALLAS State: TX
County: DALLAS
License #:
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: VINCE KLCO
Notification Date: 09/09/2008
Notification Time: 09:04 [ET]
Event Date: 09/08/2008
Event Time: [CDT]
Last Update Date: 09/09/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
WAYNE WALKER (R4)
CINDY FLANNERY (FSME)
ILTAB (E-MAIL) ()

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

Event Text

AGREEMENT STATE - AMERICIUM 241 LEVELING DEVICE MISSING

"On September 9, 2008, the Agency was notified by the Radiation Safety Officer (RSO) that while conducting source leak surveys on installed generally licensed devices, a device containing 100 millicuries of Americium (Am) - 241 could not be located. The device was installed on a component that had been removed from the product line and placed in an area of the facility frequented by vagrants. The area where the device had been stored had been vandalized and much of the steel and copper from various components had been removed. The RSO stated that all other sources listed on their license were installed on components still in operation and were verified intact. The facility has increased its security and their security team is searching for the source. Additional information will follow as it is obtained."

Texas Incident #: I 8554

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: 44476
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: HI TECH TESTING
Region: 4
City: KEITHVILLE State: LA
County:
License #: LA-7985-L01A
Agreement: Y
Docket:
NRC Notified By: RICHARD PENROD
HQ OPS Officer: VINCE KLCO
Notification Date: 09/09/2008
Notification Time: 09:46 [ET]
Event Date: 08/17/2008
Event Time: [CDT]
Last Update Date: 09/09/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
WAYNE WALKER (R4)
CINDY FLANNERY (FSME)

Event Text

AGREEMENT STATE - INDUSTRIAL RADIOGRAPHER OVEREXPOSURE

The following was provided by the state via facsimile:

"On August 19, 2008, Hi Tech Testing reported an overexposure to an industrial radiographer. On August 17, 2008, two industrial radiographers noticed that their pocket dosimeters were 'off scale'. Their film badges were sent to Landauer for emergency processing and it was determined that one of the radiographer's dose for August 2008 was 3.719 rem. Adding this to the year to date dose for this radiographer gave the radiographer a year to date dose of 5.776 rem for 2008. Hi Tech Testing investigated the incident and determined that the radiographers were not using a survey meter or performing a proper survey after each exposure. The following corrective action was taken for this incident: The radiographer that had the excessive exposure has had his employment with Hi Tech Testing terminated. Hi Tech Testing also had a mandatory company safety meeting concerning this incident."

Louisiana report number - LA0800017

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General Information or Other Event Number: 44477
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: NORTH OKALOOSA MEDICAL CENTER
Region: 1
City: CRESTVIEW State: FL
County:
License #: 3297-1
Agreement: Y
Docket:
NRC Notified By: STEVE FURNACE
HQ OPS Officer: PETE SNYDER
Notification Date: 09/09/2008
Notification Time: 11:22 [ET]
Event Date: 08/06/2008
Event Time: [EDT]
Last Update Date: 09/09/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAYMOND LORSON (R1)
CINDY FLANNERY (FSME)
ILTAB (E-MAIL) ()

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

Event Text

AGREEMENT STATE REPORT - MISSING PALLADIUM 103 SEEDS

The State of Florida provided the following information via facsimile:

"21st Oncology was performing a medical procedure under the license of North Okaloosa Medical Center on 9 July 2008. Pd-103 with 114 seeds (126.5 mCi as of July 9, 2008) were used. Source strength was thought to be too low for procedure. Seeds were put in a lock box at the surgery center. Seeds were visually checked as present on 11 July 2008.

"Seeds were sent back to Triad Radiopharmaceutical on 25 July 2008. Triad reported that shipping container was empty upon receipt at their facility on 6 Aug. 2008. Facility was thoroughly searched and also the dumpster. Surgery Center was under renovation between 11 July and 25 July. Some discrepancy between charge nurse and Med. Physicist if lock box was locked after 11 July.

"Radioactive Materials Office will investigate."

This report is also identified as Florida Incident Number FL08-127.

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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Hospital Event Number: 44481
Rep Org: WOMACK ARMY MEDICAL CENTER
Licensee: WOMACK ARMY MEDICAL CENTER
Region: 1
City: FORT BRAGG State: NC
County:
License #: 32-04054-04
Agreement: Y
Docket:
NRC Notified By: CAPT BALDOCK
HQ OPS Officer: JEFF ROTTON
Notification Date: 09/11/2008
Notification Time: 16:10 [ET]
Event Date: 08/30/2008
Event Time: 15:24 [EDT]
Last Update Date: 09/11/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
20.1906(d)(1) - SURFACE CONTAM LEVELS > LIMITS
Person (Organization):
RAYMOND LORSON (R1)
JIM LUEHMAN (FSME)

Event Text

SURFACE CONTAMINATION ON RECEIVED PACKAGE EXCEEDING LIMITS

At 1600 EDT on 09/11/08, the RSO was notified of a contamination event by the Chief of Nuclear Medicine who was also notified today by the technician involved. The event occurred on Saturday, 08/30/08 at 1524 EDT when a technician received a Technetium 99 package from Cardinal Health in Fayetteville, NC for patient treatment. Initial swipe survey of package external surfaces showed 13,000 dpm of gamma contamination. Package was decontaminated to 1620 dpm and stored in the Hot Lab to decay and picked up on Monday, 09/01/08, by Cardinal Health with no contamination. The hospital is not aware of any internal contamination from the package, but will get a full statement from the technician involved on 09/13/08. Cardinal Health will be notified of the contamination issue on 09/13/08.

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Power Reactor Event Number: 44482
Facility: KEWAUNEE
Region: 3 State: WI
Unit: [1] [ ] [ ]
RX Type: [1] W-2-LP
NRC Notified By: BRAD GAUGER
HQ OPS Officer: VINCE KLCO
Notification Date: 09/11/2008
Notification Time: 18:55 [ET]
Event Date: 09/11/2008
Event Time: 12:00 [CST]
Last Update Date: 09/11/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
Person (Organization):
DAVE PASSEHL (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

UNANALYZED CONDITION RELATED TO CERTAIN FIRE CONDITIONS

"During an NRC [Triennial Fire] Inspection, a condition was identified in which, under certain fire conditions, possible damage scenarios, and required operator actions, the ability to meet the performance criteria of the approved fire protection program may be challenged. Specifically it was postulated under certain fire conditions affecting the relay room, the ability to maintain pressurizer level within indicated range (high) may be challenged due a spurious opening of a pressurizer power operated relief valve.

"Compensatory actions to address the fire in the area of concern are in place.

"This condition is being reported pursuant to 10 CFR 50.72(b)(3)(ii)(B)."

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 44484
Facility: MONTICELLO
Region: 3 State: MN
Unit: [1] [ ] [ ]
RX Type: [1] GE-3
NRC Notified By: RANDY SAND
HQ OPS Officer: JASON KOZAL
Notification Date: 09/12/2008
Notification Time: 01:54 [ET]
Event Date: 09/11/2008
Event Time: 22:47 [CDT]
Last Update Date: 09/12/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
DAVE PASSEHL (R3)
ANTHONY McMURTRAY (IRD)
MICHELE EVANS (NRR)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 A/R Y 100 Power Operation 0 Hot Shutdown

Event Text

REACTOR SCRAM AND ISOLATION DUE TO TRANSFORMER LOCKOUT

While the 1R transformer was out of service for maintenance, the 2R transformer experienced a lockout resulting in a loss of normal offsite power, a reactor scram, and a Group 1, 2 and 3 isolation. All rods fully inserted as expected. The cause of the 2R transformer is unknown at this time. After initiation the high pressure coolant injection (HPCI) system would not trip at the high reactor water level set point +48", as required. The operators then manually isolated the HPCI steam lines.

Plant decay heat removal is with the reactor core isolation cooling (RCIC) system and the safety relief valves. Torus cooling is in service. The vital electrical busses are being supplied by the 1AR transformer. Efforts are underway to restore the 1R transformer to service, and subsequently the non-vital busses.

The licensee notified the NRC Resident Inspector.

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