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Event Notification Report for June 4, 2009

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
06/03/2009 - 06/04/2009

** EVENT NUMBERS **


45078 45109

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Fuel Cycle Facility Event Number: 45078
Facility: B&W NUCLEAR OPERATING GROUP, INC.
RX Type: URANIUM FUEL FABRICATION
Comments: HEU FABRICATION & SCRAP
Region: 2
City: LYNCHBURG State: VA
County: CAMPBELL
License #: SNM-42
Agreement: N
Docket: 070-27
NRC Notified By: JAMIE GRASSANO
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 05/19/2009
Notification Time: 10:31 [ET]
Event Date: 05/18/2009
Event Time: 14:00 [EDT]
Last Update Date: 06/03/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
JAY HENSON (R2DO)
JAMES RUBENSTONE (NMSS)
OUO FUELS ()

Event Text

FALSE POSITIVE ERROR ON A BLIND SAMPLE

The licensee received notification of a false positive error on a blind sample. Contact the Headquarters Operations Officer for additional details.

The licensee will notify the NRC Resident Inspector.

* * * UPDATE ON 6/03/09 AT 1407 EDT FROM GRASSANO TO HUFFMAN * * *

After further investigation into this event, the licensee has determined that the blind sample test was an invalid test and not a false positive error as originally reported. Contact the Headquarters Operations Officer for additional details.

The licensee has notified the NRC Resident Inspector. R2DO (Lesser), NMSS EO (Silva), and a copy sent to the Fuels OUO group.

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General Information or Other Event Number: 45109
Rep Org: VIRGINIA RAD MATERIALS PROGRAM
Licensee: BEST MEDICAL INTERNATIONAL, INC
Region: 1
City: RICHMOND State: VA
County:
License #: 059-18-01
Agreement: Y
Docket:
NRC Notified By: MICHAEL WELLING
HQ OPS Officer: JOHN KNOKE
Notification Date: 06/01/2009
Notification Time: 11:10 [ET]
Event Date: 05/30/2009
Event Time: [EDT]
Last Update Date: 06/03/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
NEIL PERRY (R1DO)
ANGELA MCINTOSH (FSME)

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

Event Text

AGREEMENT STATE REPORT - LOST SHIPMENT OF I-125 BRACHYTHERAPY SEEDS

"On Saturday May 30, 2009 the Virginia Radioactive Materials Program received notification from Best Medical International, Inc. that a shipment of I-125 Brachytherapy seeds had been lost in transit by Fed-Ex. A follow-up telephone conversation on June 1, 2009 revealed the following:

"On Friday May 22, 2009, a shipment of 70 I-125 seeds was prepared for shipment to the University of New Mexico - Albuquerque for patient implant on Friday May 29, 2009. The source strength was 30.3 mCi at the time of shipment. On May 26, 2009, Best Medical noticed that the shipment had not been received by the University and contacted Fed-Ex. Fed-Ex initiated a search for the material. Best Medical contacted Fed-Ex on May 27th and was told that Fed-Ex could not find the shipment. The patient's treatment has been postponed."

* * * UPDATE FROM MIKE WELLING TO BILL HUFFMAN AT 1234 EDT ON 6/3/09 * * *

The State of Virginia has clarified the original report it made to the NRC to note that the shipment was inadvertently directed to Windsor Locks, CT instead of Memphis TN. Specifically, the State reports the following update:

"Further conversations on Wednesday, June 3 revealed the following:

"On Tuesday, June 2, 2009 Fed-Ex found the I-125 package in Windsor Locks, CT. The package was shipped back to Best Medical and received on June 3, 2009. According to Fed-Ex, the I-125 package was not placed in the shipping container for Memphis, TN. The package had an incorrect URSA (routing) label [and] the package was then sent from Springfield, VA to Windsor Locks, CT [instead]."

The R1DO (Perry) and FSME EO (McIntosh) have been notified.




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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