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Event Notification Report for July 18, 2013

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
07/17/2013 - 07/18/2013

** EVENT NUMBERS **


49182 49185 49188 49189 49196 49198 49200 49201

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Non-Agreement State Event Number: 49182
Rep Org: ST ALPHONSUS REGIONAL MED CTR
Licensee: ST ALPHONSUS REGIONAL MED CTR
Region: 4
City: BOISE State: ID
County:
License #: 11-27306-01
Agreement: N
Docket:
NRC Notified By: TIM STACK
HQ OPS Officer: DANIEL MILLS
Notification Date: 07/09/2013
Notification Time: 16:06 [ET]
Event Date: 12/20/2012
Event Time: [MDT]
Last Update Date: 07/09/2013
Emergency Class:
10 CFR Section:
35.3045(a)(3) - DOSE TO OTHER SITE > SPECIFIED LIMITS
Person (Organization):
DAVID PROULX (R4DO)
FSME EVENT RESOURCE (EMAI)

Event Text

MEDICAL EVENT - DOSE DELIVERED TO OTHER SITE

On December 20, 2012, a patient was administered microspheres to treat the liver. On July 9, 2013 the administering facility learned that a biopsy identified microspheres in a slow healing gastric ulcer. The facility is assuming that the patient received a dose that exceeded the limits based on the presence of microspheres and the development of a gastric ulcer.

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: 49185
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: ISOAID, LLC
Region: 1
City: PORT RICHEY State: FL
County:
License #: 3196-1
Agreement: Y
Docket:
NRC Notified By: STEVE FURNACE
HQ OPS Officer: HOWIE CROUCH
Notification Date: 07/10/2013
Notification Time: 17:04 [ET]
Event Date: 06/05/2013
Event Time: [EDT]
Last Update Date: 07/10/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
WILLIAM COOK (R1DO)
FSME EVENTS RESOURCE (EMAI)
ILTAB (EMAI)

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

Event Text

AGREEMENT STATE REPORT - LOST I-125 CALIBRATION SOURCES

The following information was obtained from the State of Florida via facsimile:

"IsoAid informed the state radioactive materials section on 20 June 2013 of 10 lost I-125 calibration sources. Sources discovered missing on or about 5 June 2013. Licensee believes they sent the 10 sources to an incorrect licensed facility. IsoAid is currently contacting 11 different facilities that were shipped sources on the same day the lost 10 were shipped. Licensee's corrective actions, so far, consists of retraining all involved departments and individuals, and adding a shipper's check list to their process to make documentation of shipped packages more traceable. [Florida] Radioactive Materials is investigating this incident. This office [Florida Department of Health] will take no further action on this incident."

Each source contained 0.3 mCi of Iodine-125.

Florida Incident number: 13-046

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: 49188
Facility: DRESDEN
Region: 3 State: IL
Unit: [ ] [2] [3]
RX Type: [1] GE-1,[2] GE-3,[3] GE-3
NRC Notified By: JON PILLION
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 07/14/2013
Notification Time: 16:29 [ET]
Event Date: 07/14/2013
Event Time: 16:00 [CDT]
Last Update Date: 07/17/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
JULIO LARA (R3DO)

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

TECHNICAL SUPPORT CENTER OUT OF SERVICE FOR PLANNED PREVENTATIVE MAINTENANCE

"At 1600 CDT on Sunday, July 14, 2013, the Dresden Nuclear Power Station (DNPS) Technical Support Center (TSC) emergency ventilation system will be removed from service for planned preventative maintenance activities on the TSC air handling unit and air compressor units. During the maintenance, the TSC ventilation will be shut down. The TSC air filtration fan and dampers will be non-functional, rendering the TSC HVAC accident mode non-functional. This maintenance is scheduled to minimize out of service time. The planned TSC ventilation outage is scheduled to be completed within 48 hours. Contingency plans are in place so that if an emergency is declared requiring TSC activation during this period, the TSC will be staffed and activated using existing EP (Emergency Preparedness) procedures and checklists. If radiological or environmental conditions require TSC facility evacuation during ventilation system restoration, the Station Emergency Director will evacuate and relocate the TSC staff in accordance with station procedures.

"The NRC Resident Inspector has been notified."

* * * UPDATE AT 1056 EDT ON 7/17/13 FROM PILLION TO HUFFMAN * * *

"The planned TSC ventilation outage, for maintenance activities on the TSC air handling unit and air compressor units, has been extended and is now scheduled to complete on Saturday, July 20, 2013. During this maintenance, the TSC air filtration fan and dampers will continue to be non-functional."

The licensee has notified the NRC Resident Inspector. R3DO (Hills) has been notified.

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Power Reactor Event Number: 49189
Facility: PILGRIM
Region: 1 State: MA
Unit: [1] [ ] [ ]
RX Type: [1] GE-3
NRC Notified By: KEVIN O'ROURKE
HQ OPS Officer: PETE SNYDER
Notification Date: 07/15/2013
Notification Time: 00:58 [ET]
Event Date: 07/15/2013
Event Time: 00:29 [EDT]
Last Update Date: 07/17/2013
Emergency Class: UNUSUAL EVENT
10 CFR Section:
50.72(a) (1) (i) - EMERGENCY DECLARED
Person (Organization):
WILLIAM COOK (R1DO)
MICHELE EVANS (NRR)
ERIC LEEDS (NRR)
DAVID LEW (R1)
SCOTT MORRIS (IRD)

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

UNUSUAL EVENT DECLARED DUE TO LOSS OF CONTROL ROOM ANNUNCIATORS

The licensee declared a Notice of Unusual Event resulting from a loss of control room annunciators for greater than 15 minutes. The EAL Condition is SU 4.1. Compensatory measures have been established per Abnormal Operating Procedures. The plant continues to operate at 100 percent power.

The licensee has called for support staff to troubleshoot the issue. No other major components are out of service.

The licensee has notified the NRC Resident Inspector.

Notified DHS SWO, FEMA, DHS NICC and the Nuclear SSA via email.

* * * UPDATE FROM KEVIN O'ROURKE TO PETE SNYDER AT 0205 EDT ON 7/15/13 * * *

Annunciator indication has returned for some time and appears to be working. Engineering and electrical instrumentation and control staff are onsite to troubleshoot but have not established any cause. The licensee remains in the Unusual Event until additional confidence can be established in annunciator indication.

Notified R1DO (Cook).

* * * UPDATE FROM STAN PAUL TO JOHN SHOEMAKER AT 2350 EDT on 7/16/13 * * *

"The NOUE declared on July 15, 2013 at 0029 EDT hours due to loss of main control room annunciation was terminated on July 16, 2013 at 2310 EDT hours when the annunciation system was declared functional."

Plant personnel and vendors have completed diagnostic checks and testing, system voltages are normal, and the annunciator system is working normally.

The licensee has notified the NRC Resident Inspector.

Notified R1DO (Gray), NRR EO (Hiland), IRD MOC (Grant), DHS SWO, FEMA, DHS NICC and the Nuclear SSA via email.

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Power Reactor Event Number: 49196
Facility: PILGRIM
Region: 1 State: MA
Unit: [1] [ ] [ ]
RX Type: [1] GE-3
NRC Notified By: STAN PAUL
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 07/16/2013
Notification Time: 23:50 [ET]
Event Date: 07/15/2013
Event Time: 16:52 [EDT]
Last Update Date: 07/17/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
HAROLD GRAY (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

Event Text

SALT SERVICE WATER SYSTEM DECLARED INOPERABLE

"On Tuesday, July 16, 2013 at 1652 [EDT], with the reactor at 100% core thermal power (CTP) the Pilgrim Nuclear Power Station (PNPS) entered a 24-hour shutdown Limiting Condition for Operation (LCO) for Salt Service Water (SSW) inlet temperature exceeding the Technical Specification (TS) limit in TS 3.5.B.4. The LCO was subsequently exited at 1830 hours when the temperature of SSW trended to below the TS limit.

"Under certain accident conditions the SSW system is required to provide cooling water to the Reactor Building Closed Cooling Water (RBCCW) system heat exchanger. When the inlet temperature to this supplied load exceeds the 75 [degrees] F limit established in the TS, the SSW system is declared inoperable until the temperature trends below this value. This condition existed for approximately 1-1/2 hours and the SSW system was declared operable and the LCO exited. A maximum temperature of 75.3 [degrees] F was recorded during this period.

"The SSW temperature is being closely monitored and trended on a continuous basis.

"This event has no impact on the health and safety of the public.

"The licensee has notified the NRC Senior Resident Inspector."

SSW temperature varies with tidal movement.

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Power Reactor Event Number: 49198
Facility: MILLSTONE
Region: 1 State: CT
Unit: [ ] [2] [ ]
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: TODD PERKINS
HQ OPS Officer: DANIEL MILLS
Notification Date: 07/17/2013
Notification Time: 15:05 [ET]
Event Date: 07/17/2013
Event Time: 13:35 [EDT]
Last Update Date: 07/17/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
HAROLD GRAY (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

PLANNED TESTING OF STACK RADIATION MONITORS

"Millstone Unit 2 loss of assessment capability due to pre-planned maintenance of the Millstone Station stack radiation monitor RM-8169 at 1335 EDT on 7/17/13. This event is reportable pursuant to 10 CFR 50.72(b)(3)(xiii) as any event that results in a major loss of emergency assessment capability. During the maintenance, Unit 2 was at 100% power, Mode 1. We informed the State of Connecticut, Waterford dispatch, and the NRC Resident Inspector."

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Power Reactor Event Number: 49200
Facility: OYSTER CREEK
Region: 1 State: NJ
Unit: [1] [ ] [ ]
RX Type: [1] GE-2
NRC Notified By: JOHN CLARK
HQ OPS Officer: DONG HWA PARK
Notification Date: 07/17/2013
Notification Time: 17:36 [ET]
Event Date: 07/17/2013
Event Time: 16:05 [EDT]
Last Update Date: 07/17/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
HAROLD GRAY (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

Event Text

OFFSITE NOTIFICATION DUE TO A CHEMICAL SPILL ONSITE

"Today, July 17th, 2013, at approximately 1605 EDT, the New Jersey Department of Environmental Protection was notified that approximately 1 pint of sodium hypochlorite was spilled onto the lands of the State of New Jersey. The spill has been contained and cleaned-up. There was no actual or potential impact on the environment and no impact on the health and safety of the public or onsite personnel.

"Due to notification of a government agency, this event is being reported under 10CFR50.72 (b)(2)(xi)."

The spill did not reach the federal reportable quantities limit.

The licensee has notified the NRC Resident Inspector.

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Power Reactor Event Number: 49201
Facility: PILGRIM
Region: 1 State: MA
Unit: [1] [ ] [ ]
RX Type: [1] GE-3
NRC Notified By: MIKE HETTWER
HQ OPS Officer: DONG HWA PARK
Notification Date: 07/17/2013
Notification Time: 17:42 [ET]
Event Date: 07/17/2013
Event Time: 10:54 [EDT]
Last Update Date: 07/17/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
HAROLD GRAY (R1DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 85 Power Operation

Event Text

SALT SERVICE WATER SYSTEM DECLARED INOPERABLE

"On Wednesday, July 17, 2013 at 1054 hours EDT, with the reactor at 100% core thermal power (CTP) the Pilgrim Nuclear Power Station (PNPS) entered a 24-hour shutdown Limiting Condition for Operation (LCO) for Salt Service Water (SSW) inlet temperature exceeding the Technical Specification (TS) limit in TS 3.5.B.4. The LCO was subsequently exited at 1625 hours when the temperature of SSW trended to below the TS limit.

"Under certain accident conditions the SSW system is required to provide cooling water to the Reactor Building Closed Cooling Water (RBCCW) system heat exchanger. When the inlet temperature to this supplied load exceeds the 75 [degrees] F limit established in the TS, the SSW system is declared inoperable until the temperature trends below this value. This condition existed for approximately 5-1/2 hours and the SSW system was declared operable and the LCO exited. A maximum temperature of 75.5 [degrees] F was recorded during this period.

"At 1230 hours a power reduction was conducted to improve secondary plant parameters and Rx power is currently 85%.

"The SSW temperature is being closely monitored and trended on a continuous basis.

"This event has no impact on the health and safety of the public.

"The licensee has notified the NRC Senior Resident Inspector." The licensee will notify the Commonwealth of Massachusetts.

Page Last Reviewed/Updated Thursday, July 18, 2013
Thursday, July 18, 2013