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Event Notification Report for October 30, 2008

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
10/29/2008 - 10/30/2008

** EVENT NUMBERS **


44547 44599 44600 44610 44611 44612 44613

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Other Nuclear Material Event Number: 44547
Rep Org: WAL-MART
Licensee: WAL-MART
Region: 4
City: BENTONVILLE State: AR
County:
License #: GL
Agreement: Y
Docket:
NRC Notified By: RICH DAILEY
HQ OPS Officer: HOWIE CROUCH
Notification Date: 10/07/2008
Notification Time: 16:54 [ET]
Event Date: 10/07/2008
Event Time: [CDT]
Last Update Date: 10/29/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
DALE POWERS (R4)
MARK DELLIGATTI (FSME)
ILTAB (e-mail) ()

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

Event Text

LOST TRITIUM EXIT SIGNS

Wal-Mart is conducting a worldwide audit of their tritium exit signs. This morning they discovered three missing signs.

The first missing sign was located at the store in Noblesville, Indiana. The serial number is 301651, manufacturer unknown. Curie content unknown. The sign was last inventoried in the spring of 2008.

The second sign was located at the store in Charlotte, Michigan. The serial number and manufacturer were unknown. Curie content unknown. The sign was last inventoried in the spring of 2008.

The third sign was located at the store in Yankton, South Dakota. The serial number is 293214, manufacturer unknown. Curie content unknown. The sign was last inventoried in the spring of 2008.

All three stores were searched for the signs without success.

* * * UPDATE PROVIDED BY RICHARD DALEY TO JASON KOZAL ON 10/09/08 AT 1308 * * *

Three additional signs were discovered missing in the state of Michigan:

1. At a store located at 995 Razorback Dr., Houghton, MI 49931. The serial number is unknown, the manufacturer is Isolite (11.5 Ci of tritium).

2. At a store located at 10772 West Carson City Rd., Greenville, MI 48838. The serial number is unknown, the manufacturer is Isolite (11.5 Ci of tritium).

3. At a store located at 7021 SW Nedge Ave, Portage, MI 49002. The serial number is 357889, the manufacturer is Isolite (11.5 Ci of tritium).

All three stores were searched for the signs without success.

Notified R3DO (Lara), and FSME (Burgess) and ILTAB via email.

* * * UPDATE AT 1400 EDT ON 10/10/08 FROM RICH DAILEY TO S. SANDIN * * *

An additional missing exit sign was identified during the on-going inventory. The exit sign was manufactured by SRB and contained 20 Ci of tritium, S/N 280802. It was last inventoried in Spring 2008 at Wal-Mart Store #5039 which is located in Camden, DE.

Notified R3DO (Lara), FSME (Einberg) and ILTAB via email.

* * * UPDATE AT 1422 EDT ON 10/14/08 FROM RICH DAILEY TO JOE O'HARA * * *

An additional missing exit sign was identified during the on-going inventory. The exit sign was manufactured by SRB and contained 20 Ci of tritium, S/N 277880. It was last inventoried in Spring 2008 at Wal-Mart Store #1833 which is located in Fredericksburg, VA.

Notified R1DO (Jackson), R3DO (Phillips), FSME (Vontill) and ILTAB via email.

* * * UPDATE AT 1305 EDT ON 10/21/08 FROM RICH DAILEY TO JEFF ROTTON * * *

Two additional missing exit signs were identified during the on-going inventory.

1. 1 sign at store #566, 1115 American Way, Booneville, IN 75237. The exit sign was manufactured by SRB and contained 20 Ci of tritium, S/N 306432.

2. 1 sign at store #3548, 910 Walcott Street, Waterbury, CT 06705. The exit sign was manufactured by SRB and contained 20 Ci of tritium, S/N 266092.

Notified FSME (Burgess), R3DO (Hironori Peterson), R1DO (Cahill), and ILTAB via email.

* * * UPDATE ON 10/24/08 AT 1735 EDT FROM DAILEY TO KLCO * * *

Wal-Mart Corporate Office reported a total of 2 tritium exit signs missing from one store in Missouri. Store management and maintenance personnel have conducted a search and have determined that the signs are not on the premises. Wal-Mart last inventoried these signs April 2008 and is declaring these signs to be missing.

The device information is as follows:

1. Location: Dexter, Missouri, Serial number - 314882, Curie content - 11.5.

2. Location: Dexter, Missouri, Serial number - 314890, Curie content - Unknown.

Notified FSME (Mauer), R4DO (Deese) and ILTAB via email.

* * * UPDATE ON 10/28/08 AT 0900 EDT FROM DAILEY TO KLCO * * *

Wal-Mart Corporate Office reported a tritium exit sign missing from a store in Virginia. Store management and maintenance personnel have conducted a search and have determined that the signs are not on the premises. Wal-Mart last inventoried these signs April 2008 and is declaring these signs to be missing.

The device information is as follows:

1. Location: Norton, Virginia, Serial number - 316467, Curie content - 11.5.

Notified FSME (Einberg), R1DO (Cobey) and ILTAB via email.

* * * UPDATE ON 10/29/08 AT 1713 EDT FROM DAILEY TO KOZAL * * *

Wal-Mart Corporate Office reported a total of 3 tritium exit signs missing from two stores in Michigan, and 1 sign from a store in Indiana. Store management and maintenance personnel have conducted a search and have determined that the signs are not on the premises. Wal-Mart last inventoried these signs April 2008 and is declaring these signs to be missing.

The device information is as follows:

1. Store number 1791 Location: 7083 West 48th Street, Freemont, MI 49412, Serial Number: Unknown, Manufacturer - Isolite, Activity - 11.5 Ci.

2. Store number 1791 Location: 7083 West 48th Street, Freemont, MI 49412, Serial Number: 256573, Manufacturer - Isolite, Activity - 11.5 Ci.

3. Store number 2238 Location: 1879 East Sherman Blvd., Muskegon, MI 49444 Serial Number: 254487, Manufacturer - SRB, Activity - 20 Ci.

4. Store number 2339 Location: 2801 North Western Ave, West Lafayette, IN 47906, Serial Number: 295648, Manufacturer - Isolite, Activity - 11.5 Ci.

Notified FSME (Einberg), R3DO (Kozak) and ILTAB via email.

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: 44599
Rep Org: GEORGIA RADIOACTIVE MATERIAL PGM
Licensee: N.E GEORGIA MEDICAL CENTER, WD STRIBLING HEART CLINIC
Region: 1
City: GAINESVILLE State: GA
County:
License #: 1479-1
Agreement: Y
Docket:
NRC Notified By: IRENE BENNETT
HQ OPS Officer: VINCE KLCO
Notification Date: 10/24/2008
Notification Time: 14:46 [ET]
Event Date: 10/22/2008
Event Time: [EDT]
Last Update Date: 10/28/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CHRISTOPHER CAHILL (R1)
ANDREW MAUER (FSME)

Event Text

AGREEMENT STATE REPORT - EXCESS DOSE TO THE FETUS OF A PREGNANT PATIENT

The licensee notified the State of Georgia on 10/23/2008 regarding a dose of greater than 500 mrem administered to the fetus of a pregnant patient. The apparent unintended dose was identified by the licensee on 10/22/08.

The State of Georgia is attempting to contact the licensee for additional follow-up details and a report related to this event.

* * * UPDATE RECEIVED VIA FAX FROM IRENE BENNETT TO JOE O'HARA AT 1531 ON 10/27/08 * * *

The following information was provided to the State of Georgia by the licensee:

"The patient was administered the radiopharmaceutical on October 13, 2008. Our facility was informed of the patients pregnancy on October 22, 2008. The RSO and our consulting medical physicists were notified. A dose calculation was performed and it was determined that the embryo/fetus received an effective dose equivalent in excess of 500 millirem.

"The patient was scheduled for a Nuclear Cardiology treadmill stress test on October 13, 2008. The patient was asked by the staff if she was pregnant per facility policy. The patient indicated that she was not pregnant. This was documented by our staff. The patient was administered 10 mCi Tc-99m Myoview for resting procedure and 30 mCi Tc-99m Myoview for stress. The patient subsequently determined she was pregnant and notified us as described above.

"The patient withheld information regarding pregnancy and fertility medication when asked prior to the study. The dose to the conceptus is estimated to be approximately 1.12 rad with an uncertainty factor of 50 percent. Determination of dose is limited by patient habitus and metabolic parameters.

"The prescribing physician was notified October 23, 2008 at 9:34 AM and stated that she will notify the primary physician and patient."

Notified R1DO(Cobey) and FSME(Mauer)

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General Information or Other Event Number: 44600
Rep Org: SC DIV OF HEALTH & ENV CONTROL
Licensee: MACTEC ENGINEERING AND CONSULTING, INC.
Region: 1
City: COLUMBIA State: SC
County:
License #: 568
Agreement: Y
Docket:
NRC Notified By: MELINDA BRADSHAW
HQ OPS Officer: VINCE KLCO
Notification Date: 10/24/2008
Notification Time: 15:34 [ET]
Event Date: 10/24/2008
Event Time: [EDT]
Last Update Date: 10/29/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
CHRISTOPHER CAHILL (R1)
ANDREW MAUER (FSME)
ILTAB via e-mail ()

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

Event Text

AGREEMENT STATE REPORT - LOST MOISTURE DENSITY GAUGE

The following information was received via facsimile.

"The SC [South Carolina] Department of Health and Environmental Control was notified on Friday, October 24, 2008 at 12:05 p.m. that a Humboldt Model 5001 portable moisture density gauge had been lost, along with the licensee's company vehicle. [DELETED], Columbia Radiation Safety Officer, and [DELETED], Corporate RSO, notified the Department that a gauge technician had been in possession of the truck and portable gauge on Thursday, October 23. The technician apparently decided to go out for a 'night on the town' with the company vehicle/gauge and became highly intoxicated. As a result of this, per [DELETED] and [DELETED], the technician does not recall where the truck with the gauge was left. The technician called a fellow MACTEC employee this morning who then picked him up at his hotel. The keys to the MACTEC truck were in the possession of the errant technician so it has been assumed that the truck with the gauge secured in the truck bed is parked at a local nightspot. The technician has been questioned but can shed no light on where the truck is at this time. The licensee has called the police department to notify them of the situation. They have also called the city and county to rule out the possibility that the truck was towed overnight. No report of this vehicle being towed was on file. The licensee currently has four company trucks out looking for the lost vehicle and gauge.

"As more information is available, this notice will be updated. The licensee was advised that a written report detailing this event must be submitted to the Department within 30 days. The event is open and pending further investigation by the licensee and the Department. Updates will be made through the national NMED system."

Humboldt 5001 moisture density gauges nominally contain 10 mCi Cs-137 and 40 mCi Am:Be.

* * * UPDATE PROVEDED BY MELINDA BRADSHAW TO VINCE KLCO ON 10/29/08 AT 1152 * * *

The following was provided by the state via telephone:

MACTEC located both the lost portable moisture density gauge and the truck. Based on inspection, it was determined that the gauge is undamaged. The licensee will submit a report.

Notified R1DO (Cobey), FSME (Burgess) and ILTAB 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.

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Power Reactor Event Number: 44610
Facility: FERMI
Region: 3 State: MI
Unit: [2] [ ] [ ]
RX Type: [2] GE-4
NRC Notified By: MICHAEL HIMEBAUCH
HQ OPS Officer: JOE O'HARA
Notification Date: 10/29/2008
Notification Time: 17:03 [ET]
Event Date: 10/29/2008
Event Time: 15:00 [EDT]
Last Update Date: 10/29/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
LAURA KOZAK (R3)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 100 Power Operation 100 Power Operation

Event Text

OFFSITE NOTIFICATION DUE TO HYDRAULIC FLUID SPILL

"On October 29, 2008 at 1500 EDT, eight ounces of biodegradable hydraulic fluid (product name EnviroLogic 132) was spilled into the water outside the General Service Water (GSW) intake from Lake Erie. Cleanup activities were initiated immediately, and the spill was cleaned up within 20 minutes. All of the fluid was cleaned up. Reports were made to the Michigan Department of Environmental Quality (MDEQ) Pollution Emergency Alert System and the Primary Public Safety Answering Point (9-1-1). Media interest may be expected. The NRC Resident Inspector has been notified."

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Power Reactor Event Number: 44611
Facility: PILGRIM
Region: 1 State: MA
Unit: [1] [ ] [ ]
RX Type: [1] GE-3
NRC Notified By: JOSEPH BRACKEN
HQ OPS Officer: DONALD NORWOOD
Notification Date: 10/29/2008
Notification Time: 21:31 [ET]
Event Date: 10/29/2008
Event Time: 20:50 [EDT]
Last Update Date: 10/29/2008
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
Person (Organization):
SAM COLLINS (R1)
EUGENE COBEY (R1)
WILLIAM GOTT (IRD)
DAVID SKEEN (NRR)
JAMES WIGGINS (NRR)
MIKE INZER (DHS)
MIKE LAFORTY (FEMA)

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

UNUSUAL EVENT - FIRE IN HP CALIBRATION LAB

At 2050 EDT a fire was discovered on the 2nd floor of an outbuilding inside a Health Physics calibration lab inside the protected area. The fire was reported as starting in a "drawer or cabinet" in the room. Plymouth Fire Department was notified and responded along with the on-site fire brigade.

An Unusual Event was declared at 2058 EDT. The fire was extinguished at 2109 EDT.

A re-flash watch was established. Electrical breakers to the room were opened. Health Physics personnel determined that no sources had been impacted by the fire and that no radiological concerns existed.

The licensee notified the Commonwealth of Massachusetts and local authorities.

The licensee notified the NRC Resident Inspector.

* * * UPDATE FROM JOSEPH BRACKEN TO DONALD NORWOOD AT 2229 EDT 10/29/2008 * * *

The licensee has terminated the Unusual Event as of 2202 EDT on 10/29/2008.

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 44612
Facility: OYSTER CREEK
Region: 1 State: NJ
Unit: [1] [ ] [ ]
RX Type: [1] GE-2
NRC Notified By: THOMAS BUSK
HQ OPS Officer: JASON KOZAL
Notification Date: 10/29/2008
Notification Time: 22:37 [ET]
Event Date: 10/29/2008
Event Time: 19:15 [EDT]
Last Update Date: 10/29/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
EUGENE COBEY (R1)

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

Event Text

OFFSITE NOTIFICATION DUE TO A SPILL OF A HAZARDOUS SUBSTANCE

"The State of New Jersey was notified of a spill to the ground of a hazardous substance. A tube leak in a new radwaste heat exchanger caused an expansion tank to overflow resulting in less than one (1) gallon of water containing corrosion inhibiting chemicals to be discharged to the ground. The heat exchanger and the new radwaste service water system were removed from service, stopping the leak. Initial samples did not detect radioactivity in the water. Cleanup of the spill is in progress."

The licensee notified the NRC Resident Inspector.

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Power Reactor Event Number: 44613
Facility: PERRY
Region: 3 State: OH
Unit: [1] [ ] [ ]
RX Type: [1] GE-6
NRC Notified By: ANTHONY JARDINE
HQ OPS Officer: VINCE KLCO
Notification Date: 10/30/2008
Notification Time: 05:10 [ET]
Event Date: 10/30/2008
Event Time: [EDT]
Last Update Date: 10/30/2008
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
LAURA KOZAK (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

EMERGENCY RESPONSE DATA SYSTEM (ERDS) OUT OF SERVICE

"This event is being reported in accordance with 10 CFR 50.72(b)(3)(xiii) as a condition that results in a major loss of emergency offsite communications capability. On October 30, 2008, at approximately 0020 hours EDT, 120 VAC non-essential electrical power was lost to the plant computer due to high temperature in the computer room (approximately 80 degrees F). This resulted in the Integrated Computer System (ICS), the Safety Parameter Display System (SPDS), and the automatic mode calculation of the Computer Aided Dose Assessment Program (CADAP) being out of service.

"At 0028 hours, back-up computer room ventilation equipment was placed in service, and at 0040 hours, the electrical system high temperature shutdown was reset with the computer room temperature at 77 degrees F. At 0217 hours, the computer room high temperature alarm was reset with the room at 72 degrees F. The 120 VAC electrical power was restored to the plant computer room at approximately 0245 hours. The ICS, SPDS, and CADAP equipment functions are in process of restoration. Restoration is expected during dayshift hrs on 10/30/08. A follow up to this notification will be made when ERDS is restored.

"The NRC Resident Inspector has been notified."

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