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Event Notification Report for June 16, 2011

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
06/15/2011 - 06/16/2011

** EVENT NUMBERS **


46944 46945 46948 46949 46952 46960 46961

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Agreement State Event Number: 46944
Rep Org: SC DIV OF HEALTH & ENV CONTROL
Licensee: HSA ENGINEERS AND SCIENTISTS
Region: 1
City: VARNVILLE State: SC
County:
License #:
Agreement: Y
Docket:
NRC Notified By: LELAND CAVE
HQ OPS Officer: CHARLES TEAL
Notification Date: 06/10/2011
Notification Time: 11:29 [ET]
Event Date: 06/10/2011
Event Time: [EDT]
Last Update Date: 06/10/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JOHN ROGGE (R1DO)
DENNIS ALLSTON (ILTA)
ANGELA MCINTOSH (FSME)

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 was received via fax:

"The South Carolina Department of Health and Environmental Control (SCDHEC) was notified on Friday, June 10, 2011, at 0955 hrs., that a Troxler 3411-B gauge, s/n 4793, containing 8 mCi of Cs-137 and 40 mCi of Am-241:Be had been stolen during the armed theft of a company vehicle at approximately 0530 hrs. on June 10, 2011. The RSO called to report the theft of the material. He stated that the Varnville police had been notified and were handling the incident. The SCDHEC inspector took the initial report and proceeded to call the South Carolina Fusion Center to report the incident.

"The RSO was advised by the SCDHEC inspector to submit a written report detailing this event to the SCDHEC within 30 days. The event is open and pending the licensee's investigation and report to the SCDHEC, updates will be made through the national NMED system."

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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Agreement State Event Number: 46945
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: SUFFOLK COUNTY PUBLIC HEALTH LABORATORY
Region: 1
City:  State: NY
County: SUFFOLK
License #: #1801
Agreement: Y
Docket:
NRC Notified By: ROBERT SNYDER
HQ OPS Officer: BILL HUFFMAN
Notification Date: 06/10/2011
Notification Time: 12:01 [ET]
Event Date: 06/07/2011
Event Time: 12:00 [EDT]
Last Update Date: 06/10/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JOHN ROGGE (R1DO)
ANGELA MCINTOSH (FSME)

Event Text

AGREEMENT STATE REPORT - GAS CHROMATOGRAPH NICKEL-63 SOURCE FAILED LEAK TEST

The following information was provided by the State via facsimile:

"The RSO called to report a leaking Ni-63 sealed source in a gas chromatograph. The leak test result was 0.04 microCuries of removable contamination at ECD [Electron Capture Device] inlet. The RSO contacted the manufacturer, Agilent, about this event and they will be making a site visit to investigate. The system was shut down and isolated. The defective detector will be sent back to the manufacturer. There is no apparent cause. The system is only a year old and is used carefully. All other areas surveyed & swiped were negative for contamination."

Event #: NY-11-10

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Agreement State Event Number: 46948
Rep Org: KENTUCKY DEPT OF RADIATION CONTROL
Licensee: KENTUCKY TRANSPORTATION CABINET
Region: 1
City:  State: KY
County:
License #: 201-086-51
Agreement: Y
Docket:
NRC Notified By: MELVIN GOODFRIEND
HQ OPS Officer: DONALD NORWOOD
Notification Date: 06/10/2011
Notification Time: 14:43 [ET]
Event Date: 06/08/2011
Event Time: [CDT]
Last Update Date: 06/10/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JOHN ROGGE (R1DO)
ANDREW PERSINKO (FSME)

Event Text

AGREEMENT STATE REPORT - DAMAGED MOISTURE DENSITY GAUGE

The following information was received via facsimile:

This event occurred at a construction job site in Northern Kentucky on the Westbound I-275 to Southbound KY-17 ramp, 30 feet up the ramp and approximately six feet from the outside edge of the roadway.

A pickup truck backed over a Humboldt moisture density gauge (model 5001, S/N 3182, 11 mCi Cs-137, 44 mCi Am-241:Be) while the gauge was in "backscatter mode." The operator had stepped away as instructed during the backscatter reading. The operator could not stop the pickup driver. The insertion handle on the gauge broke. The gauge shutter could not be closed. There was no apparent contamination of the site per a survey. Readings around the gauge were near background except the beam from the non-closable shutter. The licensee placed the gauge on the ground in a storage building with the beam pointed into the earth. A survey was conducted around the broken gauge and the site was secured. A check was made for contamination at the job site, on the transport truck, and in the storage area. The gauge was transported on June 9, 2011 to the normal secure storage site at the DOT secure storage shed in Frankfort, KY.

On June 10, 2011 the Kentucky Radiation Health Branch (KRHB) surveyed the gauge and inspected the site. KRHB advised the licensee that the device should not be disturbed until trained and licensed persons could package and ship the gauge. KRHP advised the licensee to secure the dosimetry of persons involved. KRHB will review, inspect and consider enforcement actions after the damaged device is secure.

Dosimetry was not available at the time of this report, but it will be obtained for affected individuals.

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Agreement State Event Number: 46949
Rep Org: WISCONSIN RADIATION PROTECTION
Licensee: ST. VINCENT HOSPITAL
Region: 3
City: GREENBAY State: WI
County:
License #: 009-1303-01
Agreement: Y
Docket:
NRC Notified By: MARK PAULSON
HQ OPS Officer: BILL HUFFMAN
Notification Date: 06/10/2011
Notification Time: 17:17 [ET]
Event Date: 05/15/2011
Event Time: [CDT]
Last Update Date: 06/10/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JULIO LARA (R3DO)
ANDREW PERSINKO (FSME)

Event Text

AGREEMENT STATE REPORT - MEDICAL EVENTS INVOLVING USE OF SAVI BRACHYTHERAPY APPLICATORS

The following information was provided by the State via facsimile:

"On June 10, 2011, the licensee's Radiation Safety Officer reported the identification of two medical events involving a HDR [High Dose Rate] Partial Breast Treatment using SAVI applicators. For both patients, treatment was delivered twice a day for five consecutive days in May 2011. It was determined later that the distance as determine by use of a Varian VariSource check ruler was incorrect. The check wire was blocked approximately 4.5 cm from the end of the lumen. The preliminary results from re-planning indicates that in both cases the most distal half of the applicator was under dosed at least 20 percent and the proximal half received approximately 200 percent more dose than what was prescribed. The patients will be notified by the referring physician. The licensee has suspended SAVI treatments until the root cause can be identified. Further updates will be made through NMED.

"The State of Wisconsin Department of Health Services will conduct a special inspection at the licensee's location."

Wisconsin Report No: WI 110006

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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Agreement State Event Number: 46952
Rep Org: IOWA DEPARTMENT OF PUBLIC HEALTH
Licensee: AMERICAN ORDNANCE, LLC
Region: 3
City: MIDDLETOWN State: IA
County:
License #: 0290129SM1
Agreement: Y
Docket:
NRC Notified By: RANDAL DAHLIN
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 06/13/2011
Notification Time: 13:01 [ET]
Event Date: 05/19/2011
Event Time: [CDT]
Last Update Date: 06/13/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
LAURA KOZAK (R3DO)
ANGELA MCINTOSH (FSME)

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

Event Text

AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGNS

The following information was received via e-mail:

"The Iowa Department of Public Health (IDPH) received a telephone notification on May 19, 2011 from the licensee concerning the loss of two tritium exit signs. They stated that during a remodeling process that the signs were taken down and mistakenly placed with the construction trash and sent to a landfill in Pike County, Illinois. The licensee stated that the signs were not retrievable. At the time of the notification, the licensee was not aware of the manufacturer, model number or activity of the signs. IDPH notified the Illinois Emergency Management Agency on May 20, 2011 regarding the exit signs in an Illinois landfill. IDPH was notified by the licensee on June 13, 2011 of the manufacturer, model number, serial number and activity of the sources."

Manufacturer: EvenLite, Inc.
Activity: 20 Ci each
Model: LEX Series
Serial Numbers: Z34957 and Z34946

Iowa event: IA110003

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: 46960
Facility: FERMI
Region: 3 State: MI
Unit: [2] [ ] [ ]
RX Type: [2] GE-4
NRC Notified By: MARK EGHIGIAN
HQ OPS Officer: HOWIE CROUCH
Notification Date: 06/15/2011
Notification Time: 11:10 [ET]
Event Date: 06/15/2011
Event Time: 08:35 [EDT]
Last Update Date: 06/15/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
LAURA KOZAK (R3DO)
DENNIS ALLSTON (ILTA)
SCOTT MORRIS (IRD)

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

Event Text

BODY DISCOVERED IN THE OWNER CONTROLLED AREA

"A deceased individual was discovered this morning along the shoreline of the Fermi-2 property, outside of the Protected Area. Specifically, at 0835 (EDT), the Main Control Room was notified by Security that a body had been found on the shoreline, north of the cooling towers. The Monroe County Sheriff and the US Coast Guard were notified and were on-site. The identity of the body has not yet been determined. The body has been removed from site by the US Coast Guard helicopter, and all local law enforcement officials have left site.

"A press release is not planned at this time."

The licensee has notified the NRC Resident Inspector.

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Power Reactor Event Number: 46961
Facility: INDIAN POINT
Region: 1 State: NY
Unit: [2] [ ] [ ]
RX Type: [2] W-4-LP,[3] W-4-LP
NRC Notified By: FRANCIS MULLEK
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 06/15/2011
Notification Time: 17:10 [ET]
Event Date: 06/15/2011
Event Time: 15:30 [EDT]
Last Update Date: 06/15/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
JUDY JOUSTRA (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

Event Text

EVENT NOTIFICATION SYSTEM PHONE INOPERABLE

"The NRC Event Notification System phone in the Unit 2 CCR [Control Room] and the EOF [Emergency Operations Facility] at IPEC [Indian Point Energy Center] has failed. Entergy's telecommunications department and Verizon have commenced troubleshooting. This constitutes a loss of emergency notification system as required by 10CFR50.72(b)(3)(xiii). NRC Operations Center has been notified via commercial phone line at time of event."

The licensee will notify the NRC Resident Inspector.

* * * UPDATE AT 1827 ON 6/15/2011 FROM FRANCIS MULLEK TO MARK ABRAMOVITZ * * *

The telephone contractor found a "cross connect missing" and it has been replaced. The Control Room Supervisor declared ENS operable at 1827 EDT.

The licensee will notify the NRC Resident Inspector.

Notified the R1DO (Joustra).

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