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Event Notification Report for September 2, 2011

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
09/01/2011 - 09/02/2011

** EVENT NUMBERS **


46779 47216 47217 47218 47228 47229 47230 47232 47234 47235

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Agreement State Event Number: 46779
Rep Org: NV DIV OF RAD HEALTH
Licensee: LAMOTHE CARDIOLOGY
Region: 4
City: LAS VEGAS State: NV
County: CLARK
License #: 03-12-0435-01
Agreement: Y
Docket:
NRC Notified By: SNEHA RAVIKUMAR
HQ OPS Officer: VINCE KLCO
Notification Date: 04/22/2011
Notification Time: 18:07 [ET]
Event Date: 03/25/2011
Event Time: [PDT]
Last Update Date: 09/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MICHAEL HAY (R4DO)
KEVIN O'SULLIVAN (FSME)

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

Event Text

AGREEMENT STATE REPORT - MISPLACED SOURCE

The following information was received by e-mail from the State of Nevada:

"A vial with serial # S358015-011, containing 198 microcuries of Cs-137, belonging to the licensee, is unaccounted for. Cardinal Health removed all equipment from the licensee's office on the last day of patient care and stored it at Advanced Isotopes. The source was originally from Biotech (currently Cardinal Health). The licensee allegedly tried working with Cardinal Health to clear this up, but to no avail. The licensee plans to contact the RSO of Advanced Isotopes, who is currently out of town, and let the [Nevada] Radiation Control Program know if they have any additional information. The matter is being taken very seriously and is being investigated."

This incident is documented as Nevada Incident- NV110012 and was initially reported to the State of Nevada on 4/12/2011.

* * * UPDATE AT 1705 EDT ON 09/01/11 FROM SNEHA RAVIKUMAR TO S. SANDIN * * *

The following update was received from the State of Nevada via email:

"NV 110012 has been closed. The source has been deemed missing. The license had been revoked. The Responsible Person for the license had been prohibited from being listed on a RML in Nevada, for a period of 3 years, from the date of revocation, though his eligibility to perform work under the supervision of an authorized user is not affected by this prohibition. Since the radiological material license is being revoked, not terminated, the licensee remains responsible for the proper disposal of the lost Cs-137 source. Should the source be found or discovered, the licensee is responsible and liable for the costs associated with disposal of the source, any damages or losses caused by source, and, if necessary, any cleanup, remediation, and/or decommissioning efforts that may be required as a result of the source."

Notified R4DO (Proulx) and FSME (Hsueh).

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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Agreement State Event Number: 47216
Rep Org: COLORADO DEPT OF HEALTH
Licensee: UNIVERSITY OF COLORADO
Region: 4
City: BOULDER State: CO
County:
License #: 082-08
Agreement: Y
Docket:
NRC Notified By: JAMES GRICE
HQ OPS Officer: BILL HUFFMAN
Notification Date: 08/29/2011
Notification Time: 19:05 [ET]
Event Date: 08/29/2011
Event Time: 16:00 [MDT]
Last Update Date: 08/29/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DAVID PROULX (R4DO)
GREG SUBER (FSME)
ILTAB VIA E-MAIL ()

Event Text

AGREEMENT STATE - LOST IODINE-129 CALIBRATION SOURCE

The following report was received from the Colorado Department of Public Health and Environment via facsimile:

"The Colorado Department of Public Health and Environment received telephone notification of a lost Iodine-129 sealed source (~24.8 microCuries; Assay date: 6/1/1992) on 8/29/2011 at approximately 4:00 p.m. The University of Colorado, a research licensee, reported that a campus inspection conducted on 8/12/2011 identified a missing gamma counter calibration source. As of 8/29/2011, all efforts to locate the source have failed. It is suspected that the source was discarded with an entire sample rack that was removed from the counter for disposal at some time within the last six months. The source was used for reference in a gamma counter and was an epoxy sealed type source with a small vial geometry.

"The licensee will submit a written report with more detail within the next few days.

"No other details are available at this time."

Colorado Report: CO11-I11-13

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Agreement State Event Number: 47217
Rep Org: KENTUCKY DEPT OF RADIATION CONTROL
Licensee: PATRIOT ENGINEERING AND ENVIRONMENTAL, INC
Region: 1
City: RADLIFF State: KY
County:
License #: 201-643-52
Agreement: Y
Docket:
NRC Notified By: CHRISTOPHER KEFFER
HQ OPS Officer: PETE SNYDER
Notification Date: 08/30/2011
Notification Time: 10:56 [ET]
Event Date: 08/06/2011
Event Time: 08:20 [CDT]
Last Update Date: 08/30/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
EUGENE DIPAOLO (R1DO)
ANGELA MCINTOSH (FSME)

Event Text

AGREEMENT STATE REPORT - GAUGE RUN OVER BY EXCAVATOR

"Kentucky Radiation Health Branch was notified on 08/08/2011, by a representative from Patriot Engineering and Environmental, Inc. of a vehicle running over a portable gauge on Saturday morning, 08/06/2011. The gauge was run over by an excavator during backfill operation. The gauge is identified as Humboldt Model 5001 EZ, serial no. 3260, containing 11 mCi of Cs-137 and 44 mCi of Am-241/Be. Surveys of the damaged gauge taken by the licensee indicated that the source had not been breached and that there was no leakage."

Kentucky Event Report ID No: KY110006

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Agreement State Event Number: 47218
Rep Org: NEW JERSEY DEPT OF ENVIRONMENT PROT
Licensee: TRINITAS HOSPITAL
Region: 1
City: Elizabeth State: NJ
County:
License #: 332163
Agreement: Y
Docket:
NRC Notified By: CATHY BIEL
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 08/30/2011
Notification Time: 11:09 [ET]
Event Date: 08/29/2011
Event Time: 03:00 [EDT]
Last Update Date: 08/30/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
EUGENE DIPAOLO (R1DO)
ANGELA MCINTOSH (FSME)
MATTHEW HAHN (ILTA)

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

Event Text

AGREEMENT STATE - LOST GADOLINIUM CAMERA SOURCES

The following report was received via facsimile.

"The (New Jersey) (Bureau of Emergency Response) BER received a call from the (Radiation Safety Officer) RSO at Trinitas Hospital at 1500 (EDT) on Monday August 29, 2011. This past Friday, while performing an inventory of their sealed sources, it was discovered that two (Gadolinium) Gd-153 camera sources were missing. These sources were dated March 2002, with an initial activity of 250 mCi apiece. (The half-life of Gd-153 is 241 days, therefore each source had decayed to ~0.01 mCi). The RSO stated that these sources were never used on the camera, and had been in storage since 2002. During the last routine inventory (July 2011) the sources were accounted for. Friday's inventory was being conducted as a result of a recent cleanup of the storage area. The RSO indicated that hospital staff conducted thorough searches of the hospital on Friday, as well as over the weekend, but have not found the sources. It was also indicated that the chief nuclear medicine technologist, who was involved in the cleanup, is currently overseas until September 7. When he returns, the RSO will discuss with him to see if he has knowledge of the location of these sources."

The search and investigation is still ongoing.

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: 47228
Facility: NORTH ANNA
Region: 2 State: VA
Unit: [1] [2] [ ]
RX Type: [1] W-3-LP,[2] W-3-LP
NRC Notified By: STEWART SHICKEL
HQ OPS Officer: JOE O'HARA
Notification Date: 09/01/2011
Notification Time: 05:40 [ET]
Event Date: 09/01/2011
Event Time: 05:18 [EDT]
Last Update Date: 09/01/2011
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
Person (Organization):
MARVIN SYKES (R2DO)
BRUCE BOGER (NRR)
VICTOR MCCREE (RA)
WILLIAM GOTT (IRD)
BILL FLINTER (DHS)
MIKE BLANKENSHIP (FEMA)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Cold Shutdown 0 Cold Shutdown
2 N N 0 Cold Shutdown 0 Cold Shutdown

Event Text

UNUSUAL EVENT DECLARED DUE TO AN AFTERSHOCK EARTHQUAKE

At 0518 EDT, North Anna Power Station declared an Unusual Event due to seismic activity onsite (EAL HU 1.1). Both units are currently shutdown and electrical power is being supplied from offsite. There were no personnel injuries. There was no radiological release. Site structure and system inspections are in progress. No damage has been identified.

The NRC Resident Inspector and state and local authorities have been notified.

* * * UPDATE AT 1232 EDT ON 9/01/11 FROM DIEDERICHS TO ABRAMOVITZ * * *

The licensee has exited from its unusual event at 1223 EDT on 9/01/11 based on completion of plant walk downs and equipment checks, after the latest 3.4 magnitude earthquake, and no damage noted.

The licensee has notified appropriate state and local authorities and will notify the NRC Resident Inspector.

Notified R2DO (Sykes) , NRR (King) , IRD (Gott) , FEMA (Blankenship), DHS (Gates)

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Research Reactor Event Number: 47229
Facility: MASSACHUSETTS INSTITUTE OF TECH
RX Type: 6000 KW TANK RESEARCH HW
Comments:
Region: 1
City: CAMBRIDGE State: MA
County: MIDDLESEX
License #: R-37
Agreement: Y
Docket: 05000020
NRC Notified By: THOMAS NEWTON
HQ OPS Officer: JOE O'HARA
Notification Date: 09/01/2011
Notification Time: 11:30 [ET]
Event Date: 08/12/2011
Event Time: 18:00 [EDT]
Last Update Date: 09/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
NON-POWER REACTOR EVENT
Person (Organization):
EUGENE DIPAOLO (R1DO)
ALEXANDER ADAMS (NRR)
JESSE QUICHOCHO (NRR)
SCOTT SLOAN (NRR)

Event Text

POTENTIAL VIOLATION OF TECHNICAL SPECIFICATIONS

Technical Specification 3.2.3 requires two (2) channels of reactor period and reactor level are functional during work involving reactivity being moved in the core. In this case an experiment was being moved into the core and performing some blade testing. The reactor was shutdown at the time with all prior required tests competed satisfactorily. Upon completion, it was discovered that one of the period channels alarm function required by TS was disconnected.

The licensee implemented corrective actions to prevent recurrence.

A conference call was established with the licensee and NRR (Adams, Quichocho and Sloan).

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Power Reactor Event Number: 47230
Facility: HADDAM NECK
Region: 1 State: CT
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP
NRC Notified By: SHAE HEMINGWAY
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 09/01/2011
Notification Time: 12:30 [ET]
Event Date: 09/01/2011
Event Time: 09:06 [EDT]
Last Update Date: 09/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
EUGENE DIPAOLO (R1DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Decommissioned 0 Decommissioned

Event Text

LOSS OF ALL LAND LINE COMMUNICATIONS FOR GREATER THAN AN HOUR

During local utility restoration from the recent hurricane, land line communications were lost for approximately two hours (0906 to 1106 EDT) on 9/1/2011.

The licensee notified the State of Connecticut Department of Emergency Management and Homeland Security and the Department of Environmental Protection.

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Power Reactor Event Number: 47232
Facility: SAINT LUCIE
Region: 2 State: FL
Unit: [1] [2] [ ]
RX Type: [1] CE,[2] CE
NRC Notified By: CARLOS SANTOS
HQ OPS Officer: STEVE SANDIN
Notification Date: 09/01/2011
Notification Time: 14:36 [ET]
Event Date: 09/01/2011
Event Time: 12:18 [EDT]
Last Update Date: 09/01/2011
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
2 N Y 100 Power Operation 100 Power Operation

Event Text

FITNESS FOR DUTY REPORT INVOLVING AN EMPLOYEE SUPERVISOR

A non-licensed employee supervisor had a confirmed positive for alcohol during a random fitness-for-duty test. The employee's access to the plant has been terminated. Contact the Headquarters Operations Officer for additional details.

The licensee informed the NRC Resident Inspector.

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Power Reactor Event Number: 47234
Facility: SUSQUEHANNA
Region: 1 State: PA
Unit: [1] [2] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: GORDY ROBINSON
HQ OPS Officer: STEVE SANDIN
Notification Date: 09/01/2011
Notification Time: 17:37 [ET]
Event Date: 09/01/2011
Event Time: 16:00 [EDT]
Last Update Date: 09/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
EUGENE DIPAOLO (R1DO)

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

FITNESS FOR DUTY (FFD) REPORT INVOLVING A FFD PROGRAM DEFICIENCY

"At 1600 on 9/1/11 the control room was notified that the 10CFR Part 26 requirement for the Medical Review Officer (MRO) and Substance Abuse Expert (SAE) to be subject to the FFD Rule has not been met.

"10CFR 26.4 (g), 'FFD program applicability to categories of individuals', states that 'All FFD program personnel who are involved in the day-to-day operations of the program, as defined by the procedures of the licensees and other entities in 26.3(a) through (c), and, as applicable, (d), and whose duties require them to have the following types of access or perform the following activities shall be subject to an FFD program that meets all of the requirements of this part, except subparts I and K of this part, and, at the licensee's or other entity's discretion, subpart C of this part:

(1) All persons who can link test results with the individual who was tested before an FFD policy violation determination is made, including, but not limited to the MRO;

(2) All persons who make determinations of fitness;'

"Contrary to the above, the SSES MRO (who is also an SSES SAE) is not included in the SSES random drug testing program as required by the regulation. This individual is also not included in the documented Behavior Observation Program.

"This event is reportable under 10CFR26.719(b)4 requiring a 24 hour ENS notification."

This deficiency has existed since December of last year and was identified during a routine on-going QA Audit.

The licensee informed the NRC Resident Inspector.

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Power Reactor Event Number: 47235
Facility: DUANE ARNOLD
Region: 3 State: IA
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: JEFFREY MIELL
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 09/01/2011
Notification Time: 17:54 [ET]
Event Date: 09/01/2011
Event Time: 10:50 [CDT]
Last Update Date: 09/01/2011
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
MICHAEL KUNOWSKI (R3DO)

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

TECHNICAL SUPPORT CENTER DIESEL GENERATOR NON-FUNCTIONAL

"At 1050 (CDT), on September 1,2011, the Duane Arnold Energy Center (DAEC) Technical Support Center (TSC) Emergency Diesel Generator (EDG) was declared non-functional due its failure to start during routine testing. The plant is currently in the process of determining the cause of the failure. Normal power to the TSC is currently available. This notification is being made pursuant to 10 CFR 50.72(b)(3)(xiii)."

The licensee notified the NRC Resident Inspector.

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