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Event Notification Report for February 3, 2009

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
02/02/2009 - 02/03/2009

** EVENT NUMBERS **


44813 44822 44824 44825

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Hospital Event Number: 44813
Rep Org: VA NATIONAL HEALTH PHYSICS PROGRAM
Licensee: VA NATIONAL HEALTH PHYSICS PROGRAM
Region: 4
City: LOS ANGELES State: CA
County:
License #: 03-23853-01VA
Agreement: Y
Docket:
NRC Notified By: TOMAS HUSTON
HQ OPS Officer: JASON KOZAL
Notification Date: 01/28/2009
Notification Time: 15:48 [ET]
Event Date: 01/27/2009
Event Time: [PST]
Last Update Date: 01/28/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
CHUCK CAIN (R4)
PATTY PELKE (R3)
KEVIN HSUEH (FSME)

Event Text

MEDICAL EVENT - ACTUAL DOSE LESS THAN PRESCRIBED DOSE

"Two medical events were discovered on January 27, 2009, for patients treated during 2005 at VA Greater Los Angeles Healthcare System, Los Angeles, California.

"These two medical events involved patients who had undergone permanent implant prostate seed brachytherapy using iodine-125 seeds. The resulting seed distributions in the patients were associated with a D90 dose to the treatment site that was less than 80% of the prescribed dose.

"These patient circumstances are interpreted to meet the definition of a medical event under 10 CFR 35.3045(a)(1)(i).

"A 15-day written report for the medical events will be submitted to NRC Region III.

"We have notified our NRC Project Manager (Cassandra Frazier, NRC Region III) of the medical events."

A Medical Event may indicate potential problems in a medical facilities use of radioactive materials. It does not necessarily result in harm to the patient.

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Power Reactor Event Number: 44822
Facility: OYSTER CREEK
Region: 1 State: NJ
Unit: [1] [ ] [ ]
RX Type: [1] GE-2
NRC Notified By: ANDREW ZUCHOWSKI
HQ OPS Officer: BILL HUFFMAN
Notification Date: 02/01/2009
Notification Time: 23:05 [ET]
Event Date: 02/01/2009
Event Time: 21:56 [EST]
Last Update Date: 02/02/2009
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
Person (Organization):
WAYNE SCHMIDT (R1)
THOMAS BLOUNT (NRR)
SAM COLLNS (R1RA)
JIM WIGGINS (NRR)
ANTHONY McMURTRAY (IRD)
TOM BANNER (DHS)
DAVE BARDEN (FEMA)
RON BELLAMY (R1)
BETSY KEELING (OCA)

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

UNUSUAL EVENT AND REACTOR SCRAM DUE TO MAIN TRANSFORMER FIRE

At 2156 EST, a fire occurred on Main Transformer M1A. The loss of the main transformer resulted in a reactor scram from full power without complications. The transformer deluge system activated. The fire brigade responded and offsite assistance from the fire department was obtained to help extinguish the fire. The fire department has since departed the site. An Unusual Event was declared at 2211 EST based on the transformer fire lasting longer than 15 minutes. The fire was extinguished at 2227 EST. A fire reflash watch was established. There was no damage to any other equipment besides the main transformer.

During the reactor scram transient, the isolation condenser actuated as expected and was subsequently secured. Four electro-magnetic relief valves actuated and reseated normally. The plant is currently in hot standby with reactor pressure at 927 psi and water level at 150 inches with all conditions stable and a normal electrical configuration.

The licensee is assessing the criteria for exiting the UE at this time. The licensee has notified State and local government agencies and the NRC Resident Inspector.

* * * UPDATE FROM ZUCHOWSKI TO HUFFMAN AT 0001 EST ON 2/02/09 * * *

The licensee terminated the UE at 2337 EST due to stable plant conditions with all entry criteria for the UE exited and no concern of reflash. The licensee did note that there is an oil sheen on the water around the transformer and indication of a small amount of oil dripping from the transformer. The licensee is taking efforts to contain the spill with spill kits and barriers.

The NRC Resident has been notified. Notified R1DO (Schmidt), R1 (Bellamy), NRR EO (Blount), and IRD (McMurtray). Informed DHS (Banner) and FEMA (Barden).

* * * UPDATE FROM FLESHER TO HUFFMAN AT 1907 EST ON 2/02/09 * * *

Upon review of the electromagnetic relief valve performance during the reactor scram at 2156 EST on 2/1/09, two electromagnetic relief valves opened - not four (as originally reported). Due to subsequent seat leakage of one electromagnetic relief valve, the valve was cycled and was able to be reseated. At 0444 EST on 2/2/09 downstream relief temperatures confirmed that the valve had reseated.

The licensee has notified the NRC Resident Inspector. R1DO (Schmidt) notified.

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Power Reactor Event Number: 44824
Facility: FERMI
Region: 3 State: MI
Unit: [2] [ ] [ ]
RX Type: [2] GE-4
NRC Notified By: JIM KONRAD
HQ OPS Officer: HOWIE CROUCH
Notification Date: 02/02/2009
Notification Time: 16:21 [ET]
Event Date: 02/02/2009
Event Time: 14:00 [EST]
Last Update Date: 02/02/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
MARK RING (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

TECHNICAL SUPPORT CENTER NON-FUNCTIONAL

"On February 2, 2009, at 1400, the Technical Support Center (TSC) heating, ventilation, and air conditioning system was discovered to be nonfunctional. Initial investigation revealed an electrical fault in the supply fan motor. Fermi is making this notification in accordance with 10CFR 50.72(b)(3)(xiii). In the event that TSC activation is necessary, the Emergency Offsite Facility (EOF) will be used. Activation and use of the EOF as a backup facility for the TSC is included in Fermi's Radiological Emergency Response Preparedness Plan, and drills have been held performing both the TSC and EOF functions from the EOF. Fermi will notify the NRC upon completion of corrective maintenance."

The licensee has notified the NRC Resident Inspector.

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Power Reactor Event Number: 44825
Facility: SAINT LUCIE
Region: 2 State: FL
Unit: [1] [2] [ ]
RX Type: [1] CE,[2] CE
NRC Notified By: FRED POLLAK
HQ OPS Officer: HOWIE CROUCH
Notification Date: 02/02/2009
Notification Time: 18:48 [ET]
Event Date: 02/02/2009
Event Time: 15:45 [EST]
Last Update Date: 02/02/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
GERALD MCCOY (R2)

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

Event Text

OFFSITE NOTIFICATION TO THE ENVIRONMENTAL PROTECTION AGENCY

"On 02/02/2009, at 1545, the Environmental Protection Agency (EPA), Atlanta, Georgia, was notified of a loss of approximately 85 pounds of refrigerant R-22 (Chlorodifluoromethane) from a crack in a sensing line on the Unit 1 Control Room Air Conditioner, ACC-3B. The 85 pounds of refrigerant represents the entire charge in the air conditioner and exceeds the limit specified in 40 CFR 82.156. The EPA was notified as required by the station's Environmental Reporting procedures. This non-emergency notification is being made pursuant to 10 CFR 50.72(b)(2)(xi) due to the notification made to the EPA."

The licensee has notified the NRC Resident Inspector.

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Thursday, March 29, 2012