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Event Notification Report for August 10, 2009

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
08/07/2009 - 08/10/2009

** EVENT NUMBERS **


45241 45243 45251

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General Information or Other Event Number: 45241
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: LEHIGH VALLEY HOSPITAL
Region: 1
City: BETHLEHEM State: PA
County:
License #: PA0264
Agreement: Y
Docket:
NRC Notified By: DAVE ALLARD
HQ OPS Officer: VINCE KLCO
Notification Date: 08/03/2009
Notification Time: 20:10 [ET]
Event Date: 07/29/2009
Event Time: [EDT]
Last Update Date: 08/03/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MEL GRAY (R1DO)
CHRISTEPHER MCKENNEY (FSME)

Event Text

AGREEMENT STATE REPORT - IMPROPER TREATMENT

The following report was sent from the State of Pennsylvania via facsimile:

"During the patient's treatment, it was determined that the wrong side of the patient's head was being treated [using a gamma knife]. The patient treatment was halted at 47.40 minutes out of the prescribed 55.63 minutes. The prescribed dose was 42.5 Gy to the 50% isodose line. Patient received 34.5 Gy to the 50% isodose.

"PA DEP [The Pennsylvania Department] Bureau of Radiation Protection was notified in writing, dated July 29, 2009. Their suggestion for improvement is while all treatment team members are present during a 'time out' procedure, to have the patient state the side of his/her lesion or treatment and place an imaging marker to designate the treatment side.

"The State [of Pennsylvania] will continue to keep NRC informed of the status of the investigation."

Pennsylvania Report PA090027.

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

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General Information or Other Event Number: 45243
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: H.H. HOLMES TESTING
Region: 3
City: CHICAGO State: IL
County:
License #: IL-01828-01
Agreement: Y
Docket:
NRC Notified By: DAREN PERRERO
HQ OPS Officer: DONALD NORWOOD
Notification Date: 08/04/2009
Notification Time: 11:48 [ET]
Event Date: 08/03/2009
Event Time: 17:00 [CDT]
Last Update Date: 08/04/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JOHN GIESSNER (R3DO)
ANGELA MCINTOSH (FSME)
ILTAB VIA EMAIL ()

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

Event Text

AGREEMENT STATE REPORT - STOLEN TROXLER GAUGE

"On August 3 the [Illinois Emergency Management] Agency's Radiation Duty Officer was contacted after normal business hours and advised that a portable moisture density gauge had been reported stolen from a vehicle at approximately 5 PM that same day. The caller was an officer with the Chicago Police Department who was investigating the event. The vehicle had been parked on the south side of Chicago, IL in front of the field technician's house at the time of the theft. The company's [H.H. Holmes] radiation safety officer contacted the [Illinois Emergency Management] Agency the next morning to report additional details of the theft. Evidence at the crime scene showed that the door to the SUV had been jimmied open with a crowbar and the chain which was looped through the handles of the transport case in the back of the vehicle had been pried from the case such that the lid could be opened and the gauge removed. Additional tools, a cell phone, the radio and personal equipment was also stolen from the vehicle. The company was in the process of acquiring additional information and compiling crime scene photos to include with the formal report.

"Pending receipt of that report and follow up action from the Chicago Police Department, the [Illinois Emergency Management] Agency is continuing its investigation and considers the matter open."

The stolen gauge was manufactured by Troxler (model number 3440, serial number 34692). The gauge contained a sealed source with 0.008 Ci of CS-137 (serial number 102112) and another sealed source with 0.04 Ci of Am-Be (serial number 47-30325).

Illinois report number - IL0900059

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: 45251
Facility: FT CALHOUN
Region: 4 State: NE
Unit: [1] [ ] [ ]
RX Type: [1] CE
NRC Notified By: SCOTT LINDQUIST
HQ OPS Officer: STEVE SANDIN
Notification Date: 08/09/2009
Notification Time: 06:25 [ET]
Event Date: 08/09/2009
Event Time: 04:00 [CDT]
Last Update Date: 08/09/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
WAYNE WALKER (R4DO)

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

STATE OF NEBRASKA NOTIFIED DUE TO MINOR SEWAGE SPILL TO THE MISSOURI RIVER

"[The licensee] notified the Nebraska Department of Environmental Quality that a site sewage lift station had overflowed due to blown fuses and released an estimated 20 gallons of raw sewage the Missouri River."

The licensee informed the NRC Resident Inspector.

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Thursday, March 29, 2012