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Event Notification Report for December 18, 2009

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
12/17/2009 - 12/18/2009

** EVENT NUMBERS **


45563 45568 45569 45576 45580

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General Information or Other Event Number: 45563
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: GRAND VIEW HOSPITAL
Region: 1
City: SELLERSVILLE State: PA
County: BUCKS
License #: PA-0220
Agreement: Y
Docket:
NRC Notified By: DAVID ALLARD
HQ OPS Officer: HOWIE CROUCH
Notification Date: 12/11/2009
Notification Time: 18:40 [ET]
Event Date: 12/11/2009
Event Time: [EST]
Last Update Date: 12/11/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DANIEL HOLODY (R1DO)
CHRISTIAN EINBERG (FSME)

Event Text

AGREEMENT STATE REPORT - MEDICAL EVENT

The following information was obtained from the Commonwealth of Pennsylvania via facsimile:

"Medi-Physics [PA license PA-0515] prepared a 30 ml kit of Myoview at approximately 2:30 a.m. on December 11, 2009. The radiochemical purity was determined to be 91%. They consider 90% on the center as passing.

"On December 11, 2009, Grand View Hospital reported a problem with a nuclear medicine scan. Medi-Physics confirmed with BRP [Pennsylvania Bureau of Radiation Protection] that they dispensed 50 doses from the vial of Myoview in question. They believed 13 of these doses were administered to patients in PA and NJ. They thought the doses that were administered were resting doses of 8 to 10 mCi each. They assured BRP that they have a system in place to track their doses and contacted all the recipients once they were notified of the problem.

"Initially, Grand View, one of the hospitals that received a Myoview dose, called Medi-Physics to advise them they saw thyroid and no cardiac uptake in a patient they injected with Myoview. This suggests free 99mTC04. Therefore, at approximately 8:30 a.m., they repeated [the quality check] on the Myoview left in the vial and determined the tag was less than 1%. Medi-Physics is still investigating the problem and will send the vial to the United Kingdom for chemical analysis once it is no longer radioactive. BRP feels this is an [abnormal occurrence] because there was (fundamentally) the wrong radiopharmaceutical given to a patient.

"BRP has been in contact with all parties, will continue to investigate and enter in NMED."

PA Report ID No.: PA090035

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: 45568
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: CONDOTTE AMERICA INC
Region: 1
City: MIAMI State: FL
County: DADE
License #: 3622-1
Agreement: Y
Docket:
NRC Notified By: STEVE FURNACE
HQ OPS Officer: KARL DIEDERICH
Notification Date: 12/15/2009
Notification Time: 10:03 [ET]
Event Date: 12/15/2009
Event Time: [EST]
Last Update Date: 12/15/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RICHARD BARKLEY (R1DP)
GLENDA VILLAMAR (FSME)
LANCE ENGLISH (ILTA)

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

Event Text

AGREEMENT STATE REPORT - STOLEN TROXLER MOISTURE DENSITY GAUGE

The following report was received via facsimile:

"Soil moisture density gauge stolen. Storage facility at jobsite broken in to. Owner has possession of keys. Owner will submit a reward for $500. Incident referred to Miami Inspection Office for investigation. No further action will be taken on this incident."

Gauge is a Troxler model 3440, serial number 35908, containing 40mCi of Am-241/Be and 8mCi of Cs-137.

Miami Police Department Case #PD091215549153. Florida Incident Number FL 09-084.

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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Fuel Cycle Facility Event Number: 45569
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: KARL DIEDERICH
Notification Date: 12/15/2009
Notification Time: 12:39 [ET]
Event Date: 12/15/2009
Event Time: 07:55 [EST]
Last Update Date: 12/15/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
CHARLIE PAYNE (R2DO)
TIM MCCARTIN (NMSS)
FUEL OUO GROUP (EMAI)

Event Text

FITNESS FOR DUTY - SUPERVISOR TESTED POSITIVE FOR ALCOHOL

An employee supervisor had a confirmed positive for alcohol during a random fitness-for-duty test. The employee's access to the site has been denied.

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Power Reactor Event Number: 45576
Facility: PALO VERDE
Region: 4 State: AZ
Unit: [1] [2] [3]
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: FARA ORESHACK
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 12/16/2009
Notification Time: 17:30 [ET]
Event Date: 12/16/2009
Event Time: 10:39 [MST]
Last Update Date: 12/17/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
JACK WHITTEN (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
2 N Y 100 Power Operation 100 Power Operation
3 N Y 100 Power Operation 100 Power Operation

Event Text

FITNESS FOR DUTY - LICENSED OPERATOR

A licensed operator supervisor had a confirmed positive for alcohol during a "for cause" test. The employee's access to the plant has been terminated. Contact the Headquarters Operations Officer for additional details.

The licensee notified the NRC Resident Inspector.

* * * UPDATE FROM ELKINTON TO ABRAMOVITZ AT 1637 ON 12/17/2009 * * *

The licensed operator was not a supervisor.

Notified the R4DO (Whitten) via e-mail.

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Other Nuclear Material Event Number: 45580
Rep Org: FMC CORPORATION
Licensee: FMC CORPORATION
Region: 4
City: GREEN RIVER State: WY
County:
License #: 49-04295-01
Agreement: N
Docket: 03006794
NRC Notified By: LOUIS KORITNIK
HQ OPS Officer: STEVE SANDIN
Notification Date: 12/17/2009
Notification Time: 16:12 [ET]
Event Date: 12/17/2009
Event Time: 08:30 [MST]
Last Update Date: 12/17/2009
Emergency Class: NON EMERGENCY
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
JACK WHITTEN (R4DO)
REBECCA TADESSE (FSME)

Event Text

UNABLE TO SHUTTER OR SHIELD FIXED NUCLEAR DENSITY DEVICE DURING MAINTENANCE ACTIVITIES

"At approximately 1:00 PM MST today (12/17/09), . . .FMC personnel notified Mr. Richard Leonardi at the NRC Region 4 Office of the following incident. Mr. Leonardi requested that we report the incident to the Operations Center . . ..

"Incident: At approximately 8:30 AM MST, on 12/17/09, the FMC radiation worker was approaching the location of a Berthold fixed source device, for the purpose of performing some maintenance functions. The Berthold device is mounted approximately 12 ft. above the floor, and meters flow of a sodium-based slurry @ 98 degree Centigrade through an 8 [inch] diameter Stainless Steel pipe. The radiation worker approached the device to see if they could close the shutter and upon nearing the device (via ladder), the meter pegged at 200 millirems. The radiation worker could not get the reading to change by moving the shutter actuator, and retreated from the device within [approximately] 2 minutes.

"The RSO and assistant then flagged the area to establish a perimeter at which readings of 2 millirems or less are detected.

"Pertinent Facts: This Device, Berthold Model LB-7440, S/N 226-1-91, containing a 150 millicurie source, Cesium 137, was subjected to routine shutter test in September 2009, per standard license protocol. The device passed that shutter test without issue.

"This same device was subjected to routine 'leak test' per standard license protocol in June of 2009, without issue.

"The Manufacturer of the device, Berthold, has been notified . . . , and a qualified Berthold technician has been dispatched via automobile from Tennessee, with a replacement shield, to address and contain the device, such that the unit is rendered safe for appropriate repair/replacement.

"We have committed to update Mr. Leonardi of Region 4, as soon as the Berthold technician has inspected the unit. We have also understand that FMC has an obligation to tender a written report of this incident and its resolution to Mr. James Thompson of the Region 4 NRC Office.

"FMC's RSO and Radiation Worker verified the readings, using two other metering devices."

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