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Event Notification Report for January 30, 2013

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
01/29/2013 - 01/30/2013

** EVENT NUMBERS **


48691 48705 48706

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Agreement State Event Number: 48691
Rep Org: ARIZONA RADIATION REGULATORY AGENCY
Licensee: PATIENT CARE INFUSION, LLC
Region: 4
City: TEMPE State: AZ
County:
License #: AZ-7-572
Agreement: Y
Docket:
NRC Notified By: AUBREY GODWIN
HQ OPS Officer: VINCE KLCO
Notification Date: 01/22/2013
Notification Time: 13:10 [ET]
Event Date: 01/21/2013
Event Time: [MST]
Last Update Date: 01/22/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
NEIL OKEEFE (R4DO)
FSME EVENTS (EMAI)

Event Text

AGREEMENT STATE REPORT- PHARMACEUTICAL DISTRIBUTION FAILED QUALITY CONTROL TESTING

The following information was received by email:

"This First Notice constitutes EARLY notice of events of POSSIBLE safety or public interest significance. The information is as initially received WITHOUT verification or evaluation, and is basically all that is known by the [Arizona Radiation Regulatory] Agency Staff at this time.

"At approximately 0830 [MST on 1/22/13], the Agency was notified by PCI [Patient Care Infusion], the Licensee, that yesterday [1/21/13] they distributed a pharmaceutical that failed the quality control testing. Several licensees reported to them they were receiving improper data from patients injected with the material. A total of 9 licensees were shipped the radiopharmaceutical and the licensee estimates as many as 13 patients may have received the deficient material. Additionally, a like number were scheduled to receive the material but did not receive the material.

"The Licensee is preparing the 30 day written report of this event.

"The Agency continues to investigate this event."

Arizona First Notice: 13-003

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Power Reactor Event Number: 48705
Facility: FORT CALHOUN
Region: 4 State: NE
Unit: [1] [ ] [ ]
RX Type: (1) CE
NRC Notified By: LUKE JENSEN
HQ OPS Officer: BILL HUFFMAN
Notification Date: 01/29/2013
Notification Time: 10:10 [ET]
Event Date: 01/29/2013
Event Time: 09:00 [CST]
Last Update Date: 01/29/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
WAYNE WALKER (R4DO)

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

Event Text

ALERT NOTIFICATION SYSTEM SIRENS WILL BE DISABLED FOR PLANNED MAINTENANCE

"A planned outage of all Fort Calhoun Station sirens is to occur at 0900 CST today to replace router power supplies. Based on the planned maintenance, all sirens for the Alert Notification System within the Emergency Planning Zone (EPZ) will be nonfunctional. Prior notifications and coordination with Local Law Enforcement have been completed with compensatory measures established to support notification of the public in case of an actual emergency during the scheduled maintenance.

"The planned maintenance is expected to take three hours with a projected completion time of 1200 CST. Contingencies have been established with the maintenance to back out if required in support of Law Enforcement activities.

"This is being reported per 10 CFR 50.72(b)(3)(xiii) for 'Any event that results in a major loss of emergency assessment capability, off site response capability, or communications capability.'"

The licensee has notified the NRC Resident Inspector and local authorities.

* * * UPDATE FROM LUKE JENSEN TO CHARLES TEAL ON 1/29/13 AT 1314 EST * * *

"At 1159 CST, maintenance was completed with all sirens restored to functional status. Local Law Enforcement has been notified and relaxed required compensatory actions. "

The licensee will notify the NRC Resident Inspector. Notified R4DO (Walker).

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Power Reactor Event Number: 48706
Facility: CATAWBA
Region: 2 State: SC
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: JEFFREY CASS
HQ OPS Officer: CHARLES TEAL
Notification Date: 01/29/2013
Notification Time: 16:46 [ET]
Event Date: 12/22/2012
Event Time: 01:42 [EST]
Last Update Date: 01/29/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.73(a)(1) - INVALID SPECIF SYSTEM ACTUATION
Person (Organization):
ROBERT HAAG (R2DO)

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

Event Text

60 DAY REPORT - INVALID ACTUATION OF THE AFW SYSTEM

"This 60-day optional report as allowed by 10 CFR 50.73(a)(1), is being made under the reporting requirement in 10 CFR 50.73(a)(2)(iv)(A) to describe an invalid actuation of a specified system, specifically the Auxiliary Feedwater (AFW) system. On December 22, 2012 at 0142, with Unit 1 in Mode 4, the 1A AFW pump automatically started due to failure to reset the signal created when the 1B Feedwater Pump was tripped for testing. The 1A feedwater pump was already in the 'tripped' condition when the 1B feedwater pump was tripped, resulting in an auto start signal being generated for the AFW system. Both trains of the AFW had the auto start defeat instated at the time of the testing of the 1B Feedwater pump, blocking the start signal. During subsequent alignment of the AFW for standby readiness, the auto start defeat was removed from the 1A AFW system without resetting the system to remove the signal generated during the 1B Feedwater pump testing, resulting in the actuation of the system. The 1B Feedwater Pump had been reset and was in service therefore the signal associated with the trip of both feedwater pumps was not consistent with the actual plant conditions at the time that the auto start defeat was removed from the 1A AFW system. Following the auto start of the 1A motor driven AFW pump, operators confirmed the 1A AFW train experienced a complete actuation and that the 1A AFW Pump and its associated valves functioned as designed. The pump was subsequently secured and the AFW system was returned to standby readiness. This event was entered into the site specific correction action program for resolution."

The NRC Resident Inspector has been informed. The licensee will notify the states of North Carolina and South Carolina. Additionally the licensee will notify York, Gaston, and Mecklenburg County.

Page Last Reviewed/Updated Wednesday, January 30, 2013
Wednesday, January 30, 2013