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Event Notification Report for May 23, 2013

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
05/22/2013 - 05/23/2013

** EVENT NUMBERS **


49035 49036 49037 49047 49058

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Agreement State Event Number: 49035
Rep Org: COLORADO DEPT OF HEALTH
Licensee: UNKNOWN
Region: 4
City: GRAND JUNCTION State: CO
County:
License #:
Agreement: Y
Docket:
NRC Notified By: ED STROUD
HQ OPS Officer: PETE SNYDER
Notification Date: 05/15/2013
Notification Time: 13:49 [ET]
Event Date: 04/24/2013
Event Time: [MDT]
Last Update Date: 05/15/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MICHAEL HAY (R4DO)
FSME EVENT RESOURCE (EMAI)

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

Event Text

AGREEMENT STATE REPORT - FOUND RADIUM 226 SOURCE

"On April 24, 2013, The Colorado Department of Public Health and Environment [Department] received notification from the Mesa County Landfill located in Grand Junction, Colorado, that a load of trash had alarmed the gate monitor. The roll-off in question came from a residential spring clean-up event sponsored by the city of Grand Junction.

"That same day, a member of the Department responded to the alarm and the roll-off was moved to a secure location after an initial radiation survey on the outside of the roll-off had been completed.

"On May 7, 2013, members of the Department examined the contents or the roll-off and a small section of plastic pipe (1 foot length) and a small source bound with tape were identified. It appeared that the source had been taped to the side of the plastic pipe at one time, and the word 'source' was written on the pipe. Using an Identifinder multi-channel analyzer, the isotope was identified as Ra-226.

"Dose rates were measured at greater than 200 millirem per hour on contact with the source (the limit of the inspector's instrument), and 10 millirem per hour at 1 foot. The dimensions of the source appeared to be approximately 3 mm by 2 cm. The source is currently stored in a secured location.

"The Department is conducting an investigation, and a press release is being issued to encourage anyone with information about the source to contact the Department."

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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Power Reactor Event Number: 49036
Facility: CATAWBA
Region: 2 State: SC
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: AARON MICHALSKI
HQ OPS Officer: VINCE KLCO
Notification Date: 05/15/2013
Notification Time: 15:00 [ET]
Event Date: 05/15/2013
Event Time: [EDT]
Last Update Date: 05/15/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
Person (Organization):
JONATHAN BARTLEY (R2DO)
FSME RESOURCES (EMAI)
HAROLD CHERNOFF (NRR)
This material event contains a "Less than Cat 3" level of radioactive material.

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

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

Event Text

MISSING LICENSED MATERIAL

This is a non-emergency 30 day notification for missing licensed material. This event is reportable in accordance with 10CFR20.2201(a)(1)(ii).

On April 16, 2013, while performing the required semi-annual source leak check and inventory, Radiation Protection personnel could not locate the source label tag or cable for source RMC-0169 on radiation monitor 1EMF44H (This monitor has not been in use since 1995). The monitor's pre-amplifier box had been removed as well. 1EMH44H was inspected and the source was not found within the housing. A search was conducted for this missing source, however it could not be located. During the previous source leak check and inventory on October 4, 2012, the source was in its expected location.

Source RMC-0169 is a 200 milligram depleted uranium source. The total original activity of the source was 9.998E-02 microCuries (3.03E-02 micro curies; U-234; 1.98E-03 microCuries; U-235, 6.77E-02 microCuries; U-238). The reportable limit for U-234 (the shortest-lived isotope in the source is U-234 with a half-live of 2.46E+05 years) is 0.01 microCuries per 10CFR20, Appendix C. Based on the activity of U-234 present in the source of 0.03 microCuries, this 30 day phone notification to the NRC is being provided pursuant to 10CFR22.2201(a)(1)(ii).

The external dose to an individual from this source is negligible due to the small quantity and the type of material involved. Therefore, this event has no adverse effect upon the health and safety of employees or the public.

The required written report pursuant to 10CFR20.2201(b)(1) will be provided to the NRC within 30 days of the telephone notification.

The NRC Resident Inspector has been notified.

The licensee with notify State and local authorities.

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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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Agreement State Event Number: 49037
Rep Org: NV DIV OF RAD HEALTH
Licensee: ST. MARY'S REGIONAL MEDICAL CENTER
Region: 4
City: RENO State: NV
County:
License #: 16-12-0244-02
Agreement: Y
Docket:
NRC Notified By: SNEHA RAVIKUMAR
HQ OPS Officer: PETE SNYDER
Notification Date: 05/15/2013
Notification Time: 16:54 [ET]
Event Date: 05/14/2013
Event Time: 09:45 [PDT]
Last Update Date: 05/16/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MICHAEL HAY (R4DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - WRONG DOSE ADMINISTERED TO PATIENT

The following information was obtained from the State of Nevada via email:

"The patient was to undergo a HIDA [hepatobiliary] scan for abdominal pain (Tc-99m; 5mCi, abdomen), but given syringe for MDP [bone scan] (Tc-99m; 30mCi; bone). A wrong dose of Tc-99m (600% the prescribed dose) was administered to the patient due to human error.

"Corrective action: Better training in cross-checking and confirming patient identity with prescribed dose information."

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.

Item Number: NV130006

* * * RETRACTION FROM SNEHA RAVIKUMAR VIA E-MAIL ON 5/16/13 AT 1329 EDT * * *

"This is with regard to the wrong dose administration that was reported yesterday. [The State of Nevada] heard back from the RSO regarding the Effective Dose Equivalent:

"What should have been administered was 5 mCi of HIDA (Mebrofenin) = (3E-02) x 5 rem = 0.15 rem.

"What was administered was 30 mCi of MDP = (2E-02) x 30 rem = 0.60 rem.

"So, this would not be reportable."

Notified R4DO (Walker) and FSME Events Resource via E-mail.

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!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!
Power Reactor Event Number: 49047
Facility: MILLSTONE
Region: 1 State: CT
Unit: [ ] [ ] [3]
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: GERALD BAKER
HQ OPS Officer: HOWIE CROUCH
Notification Date: 05/17/2013
Notification Time: 12:05 [ET]
Event Date: 05/17/2013
Event Time: 04:39 [EDT]
Last Update Date: 05/23/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
Person (Organization):
DAN SCHROEDER (R1DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
3 N N 0 Hot Standby 0 Hot Standby

Event Text

UNANALYZED CONDITION FOR REACTOR COOLANT SYSTEM TEMPERATURE BELOW REQUIRED VALUE

"On May 17, 2013 at 0439 EDT, with the unit in Mode 3, operators identified RCS temperature decreased below 551 deg. F with the reactor trip breakers closed. The condition existed for approximately one hour after which operators identified this was below the procedurally required value identified to support power range nuclear instrumentation trip operability. The condition was then immediately corrected.

"The plant remains stable in Mode 3.

"This condition is reportable pursuant to 10 CFR 50.72(b)(3)(ii)(B) for an unanalyzed condition. The NRC Senior Resident Inspector has been notified."

The reactor trip breakers were closed to support rod testing at the time this event occurred. RCS temperature was decreasing due to Terry turbine testing which was being performed at the same time. The reactor trip breakers were opened when the operators identified RCS temperature below 551 degrees. The RCS temperature was returned to above 551 degrees. This temperature limit is specified in Millstone 3 FSAR section 15.4.1, "Uncontrolled rod cluster control assembly bank withdrawal from a subcritical or low power startup condition".

The licensee notified state and local authorities.


* * * RETRACTION FROM WILLIAM BARTRON TO DONALD NORWOOD AT 1053 EDT ON 5/23/2013 * * *

"The purpose of this call is to retract the report made on May 17, 2013, Event Number 49047.

"Upon further review, the condition in which Reactor Coolant System (RCS) temperature decreased below a procedural limit while in Mode 3 did not result in an unanalyzed condition. Engineers verified that RCS boron concentration was sufficiently high that criticality could not have occurred during any inadvertent control rod withdrawal. The details of the engineering review have been provided to the NRC Senior Resident Inspector."

Notified R1DO (Gray).

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Power Reactor Event Number: 49058
Facility: HARRIS
Region: 2 State: NC
Unit: [1] [ ] [ ]
RX Type: [1] W-3-LP
NRC Notified By: TIM ENGLISH
HQ OPS Officer: HOWIE CROUCH
Notification Date: 05/22/2013
Notification Time: 11:06 [ET]
Event Date: 05/22/2013
Event Time: 05:16 [EDT]
Last Update Date: 05/22/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
OTHER UNSPEC REQMNT
Person (Organization):
ALAN BLAMEY (R2DO)

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

Event Text

LOSS OF REDUNDANT ASSESSMENT CAPABILITY

"Loss of both National Weather Service (NOAA) Tone Alert Radio Transmitters.

"At 5:16 AM EDT on May 22, 2013 the National Weather Service reported a loss of the National Weather Service (NOAA) tone alert radio transmitters, WXL-58 located in Chapel Hill, NC, serving the northeast Piedmont on 162.550 MHZ, and WNG-706 located in Garner, NC, serving the eastern Piedmont and coastal plain on 162.450 MHZ. The National Weather Service expects to return both transmitters to service no earlier than 8:00 AM on May 22, 2013. The purpose of the National Weather Service (NOAA) tone alert radio transmitters is a redundant means to the 83 Harris Nuclear Plant emergency sirens to warn the public within the 5 mile radius of the plant of an actual event. The 83 Harris Nuclear Plant emergency sirens are in service and fully functional to alert the public within the 5 mile radius of the plant of an actual event should an event occur.

"There is no impact to public health and safety due to this condition.

"The NRC Resident has been notified."

The tone alert radio transmitters were returned to service at 11:30 AM.

Page Last Reviewed/Updated Thursday, May 23, 2013
Thursday, May 23, 2013