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Event Notification Report for October 8, 2013

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
10/07/2013 - 10/08/2013

** EVENT NUMBERS **


49393 49396 49415 49416 49417 49418

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Agreement State Event Number: 49393
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: CITY OF PALM COAST UTILITIES
Region: 1
City: PALM COAST State: FL
County:
License #: 3543-1
Agreement: Y
Docket:
NRC Notified By: STEVE FURNACE
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 09/30/2013
Notification Time: 10:30 [ET]
Event Date: 09/28/2013
Event Time: 12:30 [EDT]
Last Update Date: 09/30/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JUDY JOUSTRA (R1DO)
FSME EVENT RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - MOISTURE DENSITY GAUGE RUN OVER BY DUMP TRUCK

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

"On Sept 28, 2013, at approximately 12:30 pm (EDT), the Florida Department of Radiation Control, received a call from the licensee, City of Palm Coast Utilities, concerning a Troxler soil moisture density gauge that had been run over by a dump truck. The licensee's RSO (Radiation Safety Officer) made the initial call from the scene where the gauge was left under truck to it keep out of the rain. However, the driver drove off and ran over the gauge. The licensee technicians had no survey meter on scene and the licensee's ARSO [Assistant Radiation Safety Officer] was on his way to assess the area with a survey meter. The Florida Department of Radiation Control verified with the licensee's RSO that the source was in the shielded condition and this was later verified by the ARSO with a survey meter. The plastic case and digital gauge face was damaged. The gauge will be retained by the licensee and later sent to Troxler for repair and leak test. Corrective action consists of training personnel and procedure changes as necessary. The Florida Department of Radiation Control has assigned the event to the Orange Park Inspection Office and Materials Office for further investigation. This office will take no further action on this incident.

"The gauge is a Troxler Model 3430 Soil Moisture Density Gauge, Serial # 20850, with Am-241 40 mCi and Cs-137 8 mCi sources."

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Agreement State Event Number: 49396
Rep Org: NEW YORK CITY BUREAU OF RAD HEALTH
Licensee: MONTEFIORE MEDICAL CENTER
Region: 1
City: NEW YORK State: NY
County:
License #: NOT PROVIDED
Agreement: Y
Docket:
NRC Notified By: TOBIAS LICKERMAN
HQ OPS Officer: HOWIE CROUCH
Notification Date: 09/30/2013
Notification Time: 15:37 [ET]
Event Date: 08/15/2013
Event Time: [EDT]
Last Update Date: 09/30/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JUDY JOUSTRA (R1DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - MEDICAL MISADMINISTRATION OF Y-90

The following information was received from the City of New York via email:

"Incident: Due to the technical difficulties, physician could not deliver the full prescribed dose of Y-90.

"Radiation Dose evaluation: As per physician's medical judgment, the dose given to the patient was adequate for the treatment of this volume and tumors within the region.

"Health effects: Patient will be followed up to determine if an appropriate therapeutic result is achieved.

"Corrective Actions: Administered radiological agent was Y-90 SIRTex. RSO and administering physician have come to the conclusion to wait until the vial and related accessories reach background [radiation levels] in order to investigate this matter. It is unknown whether this was a human error or manufacturer defect.

"As per facility's report, as a precautionary measure, derma bond will be applied to the v-vial before administration of the dose in order to prevent any possibility of leakage."

The prescribed dose of Y-90 was 30 mCi; the delivered dose was 19.26 mCi. NYC Incident Report Identification Number: 75-2885-01

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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Power Reactor Event Number: 49415
Facility: DUANE ARNOLD
Region: 3 State: IA
Unit: [1] [ ] [ ]
RX Type: [1] GE-4
NRC Notified By: ROB SPADING
HQ OPS Officer: DANIEL MILLS
Notification Date: 10/07/2013
Notification Time: 11:44 [ET]
Event Date: 10/07/2013
Event Time: 10:27 [CDT]
Last Update Date: 10/07/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
RICHARD SKOKOWSKI (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

PLANNED MAINTENANCE CAUSING LOSS OF METEOROLOGICAL TOWER DATA

"A planned maintenance evolution at the Duane Arnold Energy Center (DAEC) will de-energize the Meteorological Data Tower. No other indications or annunciators will be unavailable during this maintenance to affect the plant's ability to assess or monitor an accident or transient in progress. National Weather Service data is expected to be available throughout the duration of the planned maintenance. A follow up notification will be provided when power to the Meteorological Data Tower has been restored."

The NRC Resident Inspector has been notified.

* * * UPDATE AT 1718 EDT ON 10/07/13 FROM TERRY BRANDT TO HUFFMAN * * *

Maintenance activities on the Meteorological Data Tower is complete and the tower has been returned to service.

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

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Power Reactor Event Number: 49416
Facility: PALO VERDE
Region: 4 State: AZ
Unit: [ ] [ ] [3]
RX Type: [1] CE,[2] CE,[3] CE
NRC Notified By: DELBERT ELKINTON
HQ OPS Officer: DONG HWA PARK
Notification Date: 10/07/2013
Notification Time: 12:55 [ET]
Event Date: 10/07/2013
Event Time: 02:19 [MST]
Last Update Date: 10/07/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(A) - DEGRADED CONDITION
Person (Organization):
MARK HAIRE (R4DO)

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

Event Text

POTENTIAL REACTOR COOLANT SYSTEM PRESSURE BOUNDARY LEAKAGE IDENTIFIED

"The following event description is based on information currently available. If through subsequent reviews of this event additional information is identified that is pertinent to this event or alters the information being provided at this time a follow-up notification will be made via the ENS or under the reporting requirements of 10CFR50.73.

"At approximately 2100 MST on 10/06/13, while performing planned routine visual examinations of the Unit 3 reactor vessel bottom mounted instrumentation (BMI) nozzles, a white residue was identified around the annulus region of BMI penetration number 3. The BMI visual examinations are performed using remote video and photographic equipment to meet the in-service inspection requirements of 10 CFR 50.55a(g)(6)(ii)(E) and ASME Code Case N-722-1. At this time, no other indications of leakage have been identified and inspections of the remaining BMI penetrations are ongoing.

"Following review of the photographic images by qualified engineering personnel, at 0219 [MST] on 10/07/13, it was determined, based on past and present photographic evidence, the white residue is most likely dry boric acid resulting from reactor coolant system pressure boundary leakage. An activity to sample and analyze the white residue is being planned and will be performed as soon as possible. This notification is being made for a degraded condition pursuant to the requirements of 10 CFR 50.72(b)(3)(ii)(A).

"The NRC Resident Inspectors have been informed of this condition."

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Power Reactor Event Number: 49417
Facility: FARLEY
Region: 2 State: AL
Unit: [1] [ ] [ ]
RX Type: [1] W-3-LP,[2] W-3-LP
NRC Notified By: MATT STANLEY
HQ OPS Officer: DONG HWA PARK
Notification Date: 10/07/2013
Notification Time: 20:36 [ET]
Event Date: 10/07/2013
Event Time: 18:04 [CDT]
Last Update Date: 10/07/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
DAVID AYRES (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

VENT STACK AND AREA RADIATION MONITORS TAKEN OUT OF SERVICE FOR MAINTENANCE

"This is a report of a loss of emergency assessment capability as required by 10CFR50.72(b)(3)(xiii).

"On October 7, 2013 at 1804 CDT, with Unit 1 in Mode 6 during a refueling outage, power was interrupted to all Unit 1 vent stack radiation monitors and area radiation monitors as part of a pre-planned activity to connect the radiation monitors to an alternate temporary power supply to support deenergizing the normal power source for preventative maintenance. The connection to the alternate supply was completed and power was restored to the vent stack radiation monitors and area radiation monitors at 1833 CDT. While the radiation monitors were without power, pre-planned compensatory measures were implemented where possible to monitor vent stack discharge and to minimize activities that posed a potential for release.

"At the completion of the preventive maintenance on the normal power supply, power to the vent stack radiation monitors and area radiation monitor will again be briefly interrupted to reconnect the normal power source to the monitors. The pre-planned compensatory measures will again be utilized during this power interruption. An update to this report will be provided following the restoration of normal power to the radiation monitors.

"The NRC Resident Inspector has been informed."

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Power Reactor Event Number: 49418
Facility: NINE MILE POINT
Region: 1 State: NY
Unit: [ ] [2] [ ]
RX Type: [1] GE-2,[2] GE-5
NRC Notified By: ROGER ORZELL
HQ OPS Officer: DONALD NORWOOD
Notification Date: 10/08/2013
Notification Time: 00:07 [ET]
Event Date: 10/07/2013
Event Time: 22:04 [EDT]
Last Update Date: 10/08/2013
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
JAMES NOGGLE (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

SERVICE WATER RADIATION MONITOR OUT OF SERVICE

"At 2204 EDT on October 7, 2013, Nine Mile Point Unit 2 received DRMS [Digital Radiation Monitor System] low sample flow alarm and sample pump trip for 2SWP*CAB146B. The chemistry department was notified to collect and analyze grab samples per ODCM 3.3.1 as a compensatory measure with the Service Water Radiation Monitor 2SWP*CAB146B out of service.

"Attempts to restart 2SWP*CAB146B within 1 hour were unsuccessful. 2SWP*CAB146B remains Non-Functional. Technicians are being called in to restore the monitor to Functional status.

"The Service Water Radiation Monitors are necessary for accident assessment and are credited for Emergency Action Level (EAL) classification. The inability to classify an EAL due to an out of service monitor is considered a loss of assessment capability per 10 CFR 50.72(b)(3)(xiii). This condition does not affect the health or safety of the public or the operation of the facility. Compensatory actions remain in place to sample per the requirements of the ODCM 3.3.1.

"The NRC Resident Inspector has been notified."

Page Last Reviewed/Updated Tuesday, October 08, 2013
Tuesday, October 08, 2013