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Event Notification Report for January 26, 2011

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
01/25/2011 - 01/26/2011

** EVENT NUMBERS **


46366 46381 46552 46560 46561 46565 46569 46570 46571

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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Hospital Event Number: 46366
Rep Org: COMMUNITY HOSPITAL
Licensee: COMMUNITY HOSPITAL
Region: 3
City: MUNSTER State: IN
County:
License #: 13-15882-01
Agreement: N
Docket:
NRC Notified By: MIREL PALAMARU
HQ OPS Officer: STEVE SANDIN
Notification Date: 10/27/2010
Notification Time: 15:45 [ET]
Event Date: 10/26/2010
Event Time: [EDT]
Last Update Date: 01/25/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
RICHARD SKOKOWSKI (R3DO)
MICHELE BURGESS (FSME)

Event Text

TWO MEDICAL EVENTS INVOLVING RECEIVED DOSE LESS THAN PRESCRIBED DOSE

During an on-site NRC Inspection on 10/26/10, two (2) medical events were identified both involving a delivered dose less than the prescribed dose following implant of Palladium-103 seed for prostate therapy. Specific details as follows:

First Medical Event

Preplanning date: 08/26/09
Post planning date: 09/03/09
D-90 (dose received by 90% of the prostate volume): 72%
Underdose: 28%
Prescribed: Palladium-103, 156U consisting of 65 seeds, 2.4U/seed

Second Medical Event

Preplanning date: 12/08/09
Post planning date: 12/29/09
D-90 (dose received by 90% of the prostate volume): 64%
Underdose: 36%
Prescribed: Palladium-103, 173U consisting of 74 seeds, 2.4U/seed

Both underdoses are attributed to prostate swelling. The physician reviewing the results concluded that there was no adverse impact on either patient. The licensee will continue reviewing medical records to identify any additional occurrences of this nature.

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.

* * * RETRACTION FROM MIREL PALAMARU TO VINCE KLCO ON 1/25/11 AT 1829 EST * * *

Based on a post evaluation by the licensee's Radiation Safety Officer and physicians, all delivered dose came within 20% of overall prescribed dose. Thus, this is not considered a medical event.

Notified the R3DO (Stone), and FSME (McIntosh).

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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Hospital Event Number: 46381
Rep Org: COMMUNITY HEALTHCARE SYSTEM
Licensee: COMMUNITY HOSPITAL
Region: 3
City: MUNSTER State: IN
County:
License #:
Agreement: N
Docket:
NRC Notified By: MIREL PALAMARU
HQ OPS Officer: JOHN KNOKE
Notification Date: 11/01/2010
Notification Time: 16:25 [ET]
Event Date: 05/28/2008
Event Time: [EDT]
Last Update Date: 01/25/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
35.3045(a)(1) - DOSE <> PRESCRIBED DOSAGE
Person (Organization):
JOHN GIESSNER (R3DO)
CHRISTEPHER MCKENNEY (FSME)

Event Text

TWO MEDICAL EVENTS INVOLVING RECEIVED DOSE LESS THAN PRESCRIBED DOSE

During an on-site NRC Inspection two (2) medical events were identified both involving a delivered dose less than the prescribed dose following implant of Palladium-103 seed for prostate therapy. Specific details as follows:

First Medical Event

Preplanning date: 5/18/08
Post planning date: 5/18/08
Dose received by prostate volume: 44%
Underdose: 56%
Prescribed: Palladium-103, 140.42U consisting of 59 seeds, 2.38U/seed

Second Medical Event

Preplanning date: 7/8/08
Post planning date: 7/8/08
Dose received by prostate volume: 44%
Underdose: 56%
Prescribed: Palladium-103, 196.80U consisting of 82 seeds, 2.38U/seed

Both underdoses are attributed to prostate swelling. The physician reviewing the results concluded that there was no adverse impact on either patient. The licensee will continue reviewing medical records to identify any additional occurrences of this nature.

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.

* * * RETRACTION FROM MIREL PALAMARU TO VINCE KLCO ON 1/25/11 AT 1829 EST * * *

Based on a post evaluation by the licensee's Radiation Safety Officer and physicians, all delivered dose came within 20% of overall prescribed dose. Thus, this is not considered a medical event.

Notified the R3DO (Stone), and FSME (McIntosh).

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Agreement State Event Number: 46552
Rep Org: MARYLAND DEPT OF THE ENVIRONMENT
Licensee: GENERAL MILLS CORPORATION
Region: 1
City: MOONACHIE State: NJ
County:
License #: GL
Agreement: Y
Docket:
NRC Notified By: ALLEN JACOBSEN
HQ OPS Officer: HOWIE CROUCH
Notification Date: 01/19/2011
Notification Time: 10:29 [ET]
Event Date: 01/19/2011
Event Time: [EST]
Last Update Date: 01/25/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
TODD JACKSON (R1DO)
GLENDA VILLAMAR (FSME)

Event Text

AGREEMENT STATE REPORT - INDUSTRIAL GAUGES INADVERTENTLY SENT TO SCRAP MATERIAL RECYCLER

General Mills Company in Moonachie, New Jersey notified Terrapin Recycling of Baltimore, Maryland that they inadvertently sent three industrial gauges to Terrapin in a load of scrap material. General Mills has contracted Clym Environmental Services, LLC of Frederick, MD to locate and recover the gauges.

The gauges are Peco Controls Corporation Industrial gauges and each of them contain 100 mCi of Am-241.

The State of Maryland has notified the State of New Jersey.

* * * UPDATE BY ALAN JACOBSON TO VINCE KLCO ON 1/25/2011 AT 1138 EST * * *

The following information was received from the State of Maryland by email:

"After searching approximately 800 tons of scrap metal on Friday, January 21, 2011, two of the three devices were located and retrieved from compressed bails. Leak tests were conducted. Results revealed no contamination. The two sources remain secured at Terrapin, pending transportation to an authorized recipient. The search for the third device continues. The State of New Jersey was notified on January 19, 2011."

Notified the R1DO (Newport) and FSME (McIntosh).

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Agreement State Event Number: 46560
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: IRIS NDT INC
Region: 4
City: DEER PARK State: TX
County:
License #:
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: JOHN KNOKE
Notification Date: 01/20/2011
Notification Time: 17:33 [ET]
Event Date: 01/20/2011
Event Time: [CST]
Last Update Date: 01/20/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
NEIL OKEEFE (R4DO)
BILL VON TILL (FSME)

Event Text

AGREEMENT STATE REPORT - DAMAGED RADIOGRAPHY CAMERA

The following information was provided by the State of Texas via email:

"On January 20, 2010, the Agency (State of Texas) was notified by the licensee that while performing radiography operations at a field location, a radiography camera containing 29 curies of Iridium 192 fell approximately six feet to a concrete surface. The radiographer attempted to retract the source, but it would not move out of the collimator. The locking device on the camera appeared to be damaged and was restricting movement of the drive cable. The radiographer worked on the locking device and was able to retract the source after a period of about 10 minutes. The front source stop was installed to prevent the source from moving from the shielded position. The maximum dose rate taken on contact of the camera was 32 millirem after the event. The survey done on the camera prior to starting work that day was 19 millirem. The radiographer could not disconnect the drive cable from the source pig-tail due to the damage to the locking device. The camera was transported to the licensee's facility for further action. The licensee contacted the manufacturer and with their assistance, was able to disconnect the drive cable from the source pig tail. The rear dust cover was placed on the camera, and both covers secured in place using tape. The camera will be returned to the manufacturer for inspection and repair.

"The total exposure received in this event was less than three millirem. Additional information will be provided as it is received."

Texas Incident #: I - 8813

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Agreement State Event Number: 46561
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: GEOSOILS CONSULTANTS, INC
Region: 4
City: VAN NUYS State: CA
County:
License #: 4741
Agreement: Y
Docket:
NRC Notified By: DONALD OESTERLE
HQ OPS Officer: JOHN KNOKE
Notification Date: 01/20/2011
Notification Time: 18:39 [ET]
Event Date: 01/18/2011
Event Time: [PST]
Last Update Date: 01/20/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
NEIL OKEEFE (R4DO)
BILL VON TILL (FSME)

Event Text

AGREEMENT STATE REPORT - DAMAGED SOIL MOISTURE DENSITY GAUGE

The following information was provided by the State of California via email:

"A CPN MC1DR soil moisture density gauge was run over by a piece of earth moving equipment at a jobsite in Bel Aire, CA on 1-18-2011. This gauge contained 10 mCi Cs-137 and 50 mCi Am-241 sealed sources. The source rod was retracted at the time. The work was immediately stopped, people were kept away, and the area was secured until a CDPH [California Department of Public Health] representative arrived. The sources were leak tested and analyzed on 1-19-2011. The leak test results were negative - less than 0.0005uCi of removable contamination.

"GeoSoils Consultants, Inc. is arranging for proper disposal."

CA Notification # 011811

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Power Reactor Event Number: 46565
Facility: PEACH BOTTOM
Region: 1 State: PA
Unit: [2] [3] [ ]
RX Type: [2] GE-4,[3] GE-4
NRC Notified By: CHRIS WEICHLER
HQ OPS Officer: JOHN KNOKE
Notification Date: 01/24/2011
Notification Time: 11:39 [ET]
Event Date: 01/24/2011
Event Time: 09:00 [EST]
Last Update Date: 01/25/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
CHRISTOPHER NEWPORT (R1DO)

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

Event Text

OFFSITE NOTIFICATION - SODIUM HYPOCHLORITE SPILL AND RELEASE

"On 01/24/2011, at 0900 EST, Peach Bottom Atomic Power Station had a spill and release of Sodium Hypochlorite from our water treatment plant's Sodium Hypochlorite tank. The quantity [rate] of release has been estimated at approximately 1 gpm to the surrounding soil area. The leak was into a moat surrounding the tank but it appears it has subsequently leaked from the moat. The leak was identified on 01/24/11 and was quantified as reportable at approximately 0900 EST. The leak is currently in progress with actions being taken to mitigate and control leakage to the area storm drain. This is a release of CERCLA (Comprehensive Environmental Response Compensation and Liability Act) reportable quantity of substance.

"The release impacted or potentially impacted the Susquehanna River due to release through a storm drain and additional impact to the surrounding soil. Additional measures being taken include installing additional barriers to release. Lewis Environmental Hazard Mat team has been contacted and is responding to the site. In addition a truck has been dispatched to the site to pump out the moat.

"This report is being submitted pursuant to 10CFR 50.72(b)(2)(xi) as a result of a notification of other government agencies."

The licensee has notified the NRC Resident Inspector, and state and local government agencies.

* * * UPDATE FROM PHILIP PAUTLER TO VINCE KLCO ON 1/25/2011 AT 1340 EST * * *

"As of 2200 [EST] last night, the leaking tank and moat area have been drained, and all standing liquid has been removed.

"Hourly water samples were collected from the discharge canal and tested. These samples confirmed that no release in excess of the station's NPDES [National Pollutant Discharge Elimination System] permit occurred."

Notified the R1DO (Newport).

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Power Reactor Event Number: 46569
Facility: SUSQUEHANNA
Region: 1 State: PA
Unit: [1] [ ] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: GORDON ROBINSON
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 01/25/2011
Notification Time: 08:12 [ET]
Event Date: 01/25/2011
Event Time: 06:10 [EST]
Last Update Date: 01/25/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
CHRISTOPHER NEWPORT (R1DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 M/R Y 65 Power Operation 0 Hot Shutdown

Event Text

MANUAL REACTOR SCRAM DUE TO AN UNISOLABLE EXTRACTION STEAM SYSTEM LEAK

"At 0610 EST hours on January 25, 2011, Susquehanna Steam Electric Station Unit 1 reactor was manually scrammed due to an unisolable extraction steam system leak in the 1C Feed Water Heater Bay area.

"At 0517 EST reactor operators commenced lowering reactor power from 98.4% to 65%. Attempts to isolate the source of the leakage were unsuccessful. Based on continued indications of unisolated steam leakage, operations decided to shut down the plant. The reactor operator placed the mode switch in shutdown. All control rods inserted. Reactor water level lowered to -31 inches causing Level 3 (+ 13 inches) isolation and RCIC initiation. The operations crew subsequently maintained reactor water level at the normal operating band using FW [feedwater]. No steam relief valves opened. All safety systems operated as expected. RCIC automatically initiated on a -30 inch level signal and was manually secured.

"The reactor is currently stable in Mode 3. Investigation into the cause of the extraction steam system leakage is underway.

"The NRC Resident Inspector was notified. A voluntary notification to PEMA and press release will occur."

The steam leak was isolated after the turbine was tripped. The plant is stable at normal temperature and pressure. Decay heat is being removed via the condenser steam dumps to the main condenser. The electrical lineup is in a normal configuration. Estimated time to restart is not known.

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Power Reactor Event Number: 46570
Facility: SUMMER
Region: 2 State: SC
Unit: [1] [ ] [ ]
RX Type: [1] W-3-LP
NRC Notified By: JOHN GARZA
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 01/25/2011
Notification Time: 15:10 [ET]
Event Date: 01/24/2011
Event Time: 16:54 [EST]
Last Update Date: 01/25/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
MARVIN SYKES (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

Event Text

FITNESS FOR DUTY

A licensed employee had a confirmed positive for a controlled substance during a fitness-for-duty 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.

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Power Reactor Event Number: 46571
Facility: VOGTLE
Region: 2 State: GA
Unit: [1] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: LEWIS A. ROUSE
HQ OPS Officer: STEVE SANDIN
Notification Date: 01/26/2011
Notification Time: 09:36 [ET]
Event Date: 01/26/2011
Event Time: 08:30 [EST]
Last Update Date: 01/26/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
MARVIN SYKES (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

TECHNICAL SUPPORT CENTER UNAVAILABLE DUE TO PLANNED MAINTENANCE

"A condition is being reported per Technical Requirements Manual 13.13.1 Emergency Response Facilities Action B.2. The Functionality of the Technical Support Center (TSC) has been lost due to planned maintenance being performed on TSC Support Systems. Alternate facilities are available to provide emergency response functions and actions are proceeding to return the TSC to FUNCTIONAL status with high priority. A 10CFR50.54 (q) Evaluation has been performed for this planned maintenance activity.

"The NRC Resident Inspector has been notified."

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