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Event Notification Report for October 8, 2009

U.S. Nuclear Regulatory Commission
Operations Center

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

** EVENT NUMBERS **


45401 45408 45410 45411 45415 45416

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General Information or Other Event Number: 45401
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: ONCOLOGY HEMATOLOGY CONSULTANTS PA
Region: 4
City: FORT WORTH State: TX
County:
License #: 05919
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: CHARLES TEAL
Notification Date: 10/01/2009
Notification Time: 18:11 [ET]
Event Date: 10/01/2009
Event Time: [CDT]
Last Update Date: 10/01/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG WERNER (R4DO)
TERRENCE REIS (FSME)

Event Text

AGREEMENT STATE - ADMINISTERED RADIATION TREATMENT TO WRONG AREA

The following was received via email:

"On October 1, 2009, the Agency was notified by the licensee that a patient had received 13 of 25 fractions to the wrong breast. The patient received 2,340 centigrays by the time the error was discovered. The Radiation Safety Officer stated that he had just fount out about the event and no additional information was available. Additional information will be provided as it is obtained."

Texas Incident #: I-8676

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: 45408
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: ROMIG ENGINEER, INC
Region: 4
City: SAN CARLOS State: CA
County:
License #: 7223-41
Agreement: Y
Docket:
NRC Notified By: EPHRIME MEKURIA
HQ OPS Officer: BILL HUFFMAN
Notification Date: 10/02/2009
Notification Time: 18:00 [ET]
Event Date: 10/02/2009
Event Time: 08:00 [PDT]
Last Update Date: 10/02/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG WERNER (R4DO)
TERRENCE REIS (FSME)
ILTAB VIA E-MAIL ()
MEXICO VIA FAX ()

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

Event Text

AGREEMENT STATE REPORT - STOLEN MOISTURE DENSITY GAUGE

The following report was received from the State of California via e-mail:

"On October 2, 2009, the California Radiologic Health Branch was contacted by Romig Engineers, Inc. Radiation Safety Officer via California Department of Public Health duty officer at 09:30 am. The call was to report that one moisture density gauge which belongs to Romig Engineers, Inc, License # 7223-41, office and storage location at San Carlos, CA, was stolen.

"The Radiation Safety Officer stated that on October 1, 2009, the gauge user checked out CPN, model MC1-DR, S/N 30807119, containing a licensed material Cs-137, 10 mCi and Am/Be 15 mCi, moisture density gauge from the storage location, and transported using his personal vehicle to his residence at San Jose , CA, to be used in San Jose area the following day.

"On October 2, 2009, as the gauge user was going to his parking garage he found out that his personal vehicle containing the CPN moisture density gauge was stolen. The gauge user contacted the Radiation Safety Officer and the San Jose Police Department. Police report case number is 09-275-026. Reward to retrieve the gauge is going to be posted in local newspaper and Craigslist. RHB will perform a follow-up on this matter."

CA Report 100209

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. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf

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General Information or Other Event Number: 45410
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: TERRACON CONSULTANTS, INC.
Region: 3
City: CHICAGO State: IL
County:
License #: IL-01402-01
Agreement: Y
Docket:
NRC Notified By: PAUL EASTVOLD
HQ OPS Officer: STEVE SANDIN
Notification Date: 10/04/2009
Notification Time: 02:23 [ET]
Event Date: 10/03/2009
Event Time: 14:00 [CDT]
Last Update Date: 10/05/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ROBERT DALEY (R3DO)
TERRENCE REIS (FSME)
ILTAB (via email) ()

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

Event Text

AGREEMENT STATE REPORT INVOLVING A STOLEN TROXLER MOISTURE DENSITY GAUGE

At approximately 1400 CDT on 10/3/09, a Terracon Consultants Ford Ranger pickup truck was stolen from the Powell Replacement Elementary School construction site in Chicago, IL. In the bed of the truck was a Troxler Model 3430 Moisture Density Gauge. These gauges typically contain two (2) radioactive sources; 8 millicuries Cs-137 and 40 millicuries Am-241:Be. The Chicago Police Department was informed of the theft and subsequently located the abandoned vehicle approximately two (2) miles away from the construction site at about 2300 CDT on 10/3. The vehicle had been ransacked and both the storage container and gauge were missing.

The Illinois Emergency Management Agency informed the Illinois State Police (ISP) Statewide Terrorism and Intelligence Center (STIC) and will followup with additional details as they become available.

* * * UPDATE FROM PAUL EASTVOLD TO JOE O'HARA AT 0934 ON 10/05/09 * * *

The serial number of the missing Troxler Model 3430 Moisture Density Gauge is S/N 32686. The state also confirmed the quantities of material in the gauge.

Notified R3DO(Daley), FSME(Villamar), 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. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf

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General Information or Other Event Number: 45411
Rep Org: NE DIV OF RADIOACTIVE MATERIALS
Licensee: BED BATH & BEYOND
Region: 4
City: OMAHA State: NE
County:
License #: SEE TEXT
Agreement: Y
Docket:
NRC Notified By: TRUDY HILL
HQ OPS Officer: JOE O'HARA
Notification Date: 10/05/2009
Notification Time: 10:06 [ET]
Event Date: 08/03/2009
Event Time: [CDT]
Last Update Date: 10/05/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG WERNER (R4DO)
GLENDA VILLAMAR (FSME)
ILTAB VIA EMAIL ()

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

Event Text

AGREEMENT STATE REPORT INVOLVING SEVENTEEN LOST TRITIUM EXIT SIGNS

The State of Nebraska was notified by a Bed Bath & Beyond representative that they are unable to account for a total of 17 tritium exit signs (which are general licensed materials). These 17 signs were part of an order that went to three separate Bed Bath & Beyond store locations in the Omaha, NE area. The Bed Bath & Beyond representative informed the state that Bed Bath & Beyond has performed an extensive search and considers the signs not to be present at the stores.

- Sixteen (16) signs are Safety Light Corporation Model SLX60 and contain 11.5 Ci/each H-3. The serial numbers of these 16 missing signs are as follows: 302790, 302792, 302793, 283015, 302799, 302800, 302810, 302803, 397719, 397720, 397721, 397722, 397725, 397726, 397728, and 397730.

- One (1) sign is Safety Light Corporation Model 2040 and contains 11.5 Ci H-3. The serial number for this sign is #257964.

NE Item Number NE090012 (Store #771-GL0634), NE090013 (Store #1021-GL0654) and NE090014 (Store #1184-GL0605).

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. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf

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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Power Reactor Event Number: 45415
Facility: SAINT LUCIE
Region: 2 State: FL
Unit: [1] [2] [ ]
RX Type: [1] CE,[2] CE
NRC Notified By: TIMOTHY KUDO
HQ OPS Officer: JOHN KNOKE
Notification Date: 10/07/2009
Notification Time: 04:36 [ET]
Event Date: 10/07/2009
Event Time: 03:20 [EDT]
Last Update Date: 10/07/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
MIKE ERNSTES (R2DO)

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 STATE OF FLORIDA AND THE NATIONAL RESPONSE CENTER

"This notification is being made pursuant to 10 CFR 50.72(b)(2)(xi) due to notification of other government agencies at 0320 EDT on 10/7/09.

"Florida Power and Light Company (FPL) has identified a Sodium Hypochlorite spill within the protected area at Plant Saint Lucie. The spill has been terminated and it is estimated that up to 240 lbs of Sodium Hypochlorite was spilled past the secondary containment of the hypochlorite tank. The precise volume of the spill is indeterminate at this time.

"This event poses no health or safety consequences to either on site personnel or the general public. Notification to the State of Florida Emergency Response Commission and the National Response Center was made in accordance with the Plant Saint Lucie hazardous material spill response procedure."

The licensee has notified the NRC Resident Inspector.

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Power Reactor Event Number: 45416
Facility: CRYSTAL RIVER
Region: 2 State: FL
Unit: [3] [ ] [ ]
RX Type: [3] B&W-L-LP
NRC Notified By: WILLIAM KREHELY
HQ OPS Officer: PETE SNYDER
Notification Date: 10/07/2009
Notification Time: 19:33 [ET]
Event Date: 10/07/2009
Event Time: 19:30 [EDT]
Last Update Date: 10/07/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
OTHER UNSPEC REQMNT
Person (Organization):
ROBERT HAAG (R2DO)

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

Event Text

DISCOVERY OF A CONTAINMENT SEPARATION

"Crystal River Unit 3 is currently shutdown for a planned refueling and steam generator replacement outage. During containment building concrete removal activities to create a construction opening to support steam generator replacement, a separation in the concrete was discovered in the vicinity of the construction opening near the periphery of the containment. The Crystal River Unit 3 containment is a steel lined, post tensioned concrete structure nominally 42 inches thick. Post tensioning is achieved utilizing an outer array of horizontal tendons immediately adjacent to an inner array of vertical tendons. The separation is generally in the plane of the horizontal tendons. Inside the separation is 30 inches of concrete and the steel liner plate. This condition has been evaluated relative to current plant conditions and found to represent no degradation in safety. Crystal River Unit 3 personnel in conjunction with industry experts are currently performing a detailed analysis of this separation to determine the cause, extent of condition, the impact on the containment building function and any required repairs prior to plant restart. Operating experience reports are being prepared to share our information with the industry. The station will provide updates as we gain more information concerning this issue."

The licensee notified the NRC Resident Inspector.

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