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Event Notification Report for May 20, 2014

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
05/19/2014 - 05/20/2014

** EVENT NUMBERS **


50101 50103 50107 50111 50123

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Agreement State Event Number: 50101
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: MURILLO COMPANY GEOTECHNICAL
Region: 4
City: HOUSTON State: TX
County:
License #: L01373
Agreement: Y
Docket:
NRC Notified By: ROBERT FREE
HQ OPS Officer: STEVE SANDIN
Notification Date: 05/09/2014
Notification Time: 12:42 [ET]
Event Date: 05/09/2014
Event Time: [CDT]
Last Update Date: 05/09/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JACK WHITTEN (R4DO)
FSME_EVENTS RESOURCE (EMAI)
ILTAB (EMAI)
MEXICO (FAX)

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

Event Text

AGREEMENT STATE REPORT INVOLVING A STOLEN MOISTURE DENSITY GAUGE

The following information was received from the State of Texas via email:

"The licensee called to report the theft of a moisture density gauge. The vehicle was dispatched to a work location in Houston. On the way, the driver stopped at a McDonald's not far from the office. When the driver arrived at the job site, he discovered the tailgate down and the security chain had been cut. The licensee had not filed a police report when the RSO notified the radiation control program in Texas. The RSO was instructed to contact police as soon as possible. The gauge is a Humboldt model 5001 EZ. The serial number is 3664. The device contains an 11 millicurie Cs-137 source, serial number 0283cx, and a 44 millicurie Americium 241/Be source, serial number nj03996. The licensee was encouraged to offer a reward for the return of the gauge.

"Texas Incident #: I-9191"

* * * UPDATE AT 1623 EDT ON 05/09/14 FROM ROBERT FREE TO S. SANDIN VIA EMAIL * * *

"The licensee emailed that the device was recovered by a passerby who found it by the side of the road. The licensee reported the device was still locked in its transportation container. The licensee recovered the container, leak tested the device and found no radioactive contamination. There was no radiation exposure to a member of the public.

Notified R4DO (Whitten), FSME_Events Resource and ILTAB via email, and Mexico via fax.


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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Agreement State Event Number: 50103
Rep Org: TEXAS DEPARTMENT OF HEALTH
Licensee: UNIVERSITY OF TEXAS
Region: 4
City: GALVESTON State: TX
County:
License #: 01299
Agreement: Y
Docket:
NRC Notified By: CHRIS MOORE
HQ OPS Officer: DONG HWA PARK
Notification Date: 05/09/2014
Notification Time: 15:57 [ET]
Event Date: 05/08/2014
Event Time: [CDT]
Last Update Date: 05/09/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JACK WHITTEN (R4DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT INVOLVING OVER DOSE TO PATIENT

The following information was received from the State of Texas via email:

"The University of Texas Medical Branch reported that a patient received .975 MBq (26.35 Ci) instead of the prescribed .37 MBq (10 Ci) of I-131 for a diagnostic test for Grave's Disease on May 7, 2014. The rinse bottle used to add water to the I-131 to ensure all Iodine was ingested was contaminated from a previous therapeutic treatment on May 2, 2014. The rinse bottle tip which was used to squirt water into a 20 mCi I-131 solution for the therapeutic dose siphoned some of the iodine back into the bottle. The expected thyroid dose for the diagnostic procedure was 26 cGy (rad). The calculated thyroid dose with the additional contamination from the bottle was 68.51 cGy (rad). The Agency directed that the hospital immediately inform the patient. An investigation into this event by the Texas Department of State Health Services in ongoing. Additional information will be provided IAW with SA300 reporting requirements.

"Texas Incident #: I-9192"

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: 50107
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: TEAM INDUSTRIAL SERVICES
Region: 3
City: UTICA State: OH
County:
License #: 03320 99 0000
Agreement: Y
Docket:
NRC Notified By: STEPHEN JAMES
HQ OPS Officer: STEVE SANDIN
Notification Date: 05/12/2014
Notification Time: 12:53 [ET]
Event Date: 05/06/2014
Event Time: [EDT]
Last Update Date: 05/12/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
HIRONORI PETERSON (R3DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - RADIOGRAPHY CAMERA SOURCE DISCONNECT

The following information was received from the State of Ohio via email:

"Licensee contacted BROP [Bureau of Radiation Protection] at approximately 2:30 PM on 5/6/14 to report that a radiography crew experienced a source disconnect during radiography operations earlier in the day. After completing the 3rd shot of the day a radiographer attempted to crank the source back into the camera. The drive cable appeared to crank back in but reading on the survey meter indicated that the source was still outside the camera, apparently in the area of the collimator. Licensee personnel attempted to crank the cable in and out several times in an attempt to retract the source, but were unsuccessful. The area was secured and monitored by licensee personnel pending further retrieval efforts.

"The corporate RSO was contacted, who dispatch two trained source retrieval personnel to the location. During evaluation it was determined that the drive cable had broken near the male connector. Licensee personnel were able to unlock the camera, feed the broken drive cable through the camera, and retrieve the source into the shielded position. Retrieval was accomplished at approximately 6:30 PM that evening. A new drive cable was connected to the camera and the radiographers were able to continue operating the camera with the new drive cable without incident.

"The two licensee retrieval personnel recorded doses of 20 mRem and 40 mRem on their pocket dosimeters. The licensee is having the broken drive cable returned to their corporate office for examination to determine the cause of the break. Licensee is preparing a written report on this incident."

The Radiography Camera involved is a QSA Model 880D, Serial number D8378 containing 46.1 Curie Ir-192 source. The sealed source is model number A424-9, serial number 12727C. The incident occurred at the Kensington, OH site.

State of Ohio Reference No.: 2014-010

Corrective actions included obtaining a new cable. Repairs were made without an engineering change to the system.

State of Ohio submitted the NMED Item Number: OH140006 on 05/07/14.

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Agreement State Event Number: 50111
Rep Org: TENNESSEE DIV OF RAD HEALTH
Licensee: BLUES CITY BREWERY
Region: 1
City: MEMPHIS State: TN
County:
License #: TN-R-79149
Agreement: Y
Docket:
NRC Notified By: LAURA TURNER
HQ OPS Officer: PETE SNYDER
Notification Date: 05/12/2014
Notification Time: 17:10 [ET]
Event Date: 09/21/2011
Event Time: [EDT]
Last Update Date: 05/12/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DON JACKSON (R1DO)
FSME EVENTS RESOURCE (EMAI)

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

Event Text

AGREEMENT STATE REPORT - LOST AND FOUND INDUSTRIAL GAUGE SOURCE CONTAINING AMERICIUM-241

"The Tennessee Division of Radiological Health (DRH) performed an inspection of Blues City Brewery (BCB) on 9/21/2011. The facility was previously owned by Coors Brewing Company through 9/1/2006.

"During the inspection, it was discovered that a 3.7 GBq (100 mCi) Am-241 source (Industrial Dynamics Company - IDC model 06110-1, serial #5533) was missing. The source had originally been contained inside a level gauge (IDC model FT -100, serial #90205). According to IDC records, IDC had removed the source from the gauge on 9/29/1999, wipe tested the source, packaged it for shipment, and left the package in the possession of the Coors Brewing Company's RSO. The IDC RSO stated that they had no further record regarding the source. BCB conducted a thorough search of their facility for the source without success. DRH contacted the former Coors Brewing Company's RSO, but he did not have any additional information regarding this source.

"On 10/25/2012, DRH received a quarterly report (7/1/2012 to 9/30/2012) from IDC that stated they recovered the source."

Tennessee Event TN-12-126.

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: 50123
Facility: PRAIRIE ISLAND
Region: 3 State: MN
Unit: [ ] [2] [ ]
RX Type: [1] W-2-LP,[2] W-2-LP
NRC Notified By: GENE DAMMANN
HQ OPS Officer: STEVE SANDIN
Notification Date: 05/19/2014
Notification Time: 18:16 [ET]
Event Date: 05/19/2014
Event Time: 12:36 [CDT]
Last Update Date: 05/19/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(v)(C) - POT UNCNTRL RAD REL
Person (Organization):
STEVE ORTH (R3DO)

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

Event Text

CONTAINMENT DECLARED INOPERABLE DUE TO CONTAINMENT FAN COIL LEAK

"At approximately 1236 CDT on May 19, 2014, a cooling water leak was identified on 23 Containment Fan Coil Unit flange. Unit 2 Containment was declared inoperable, which required entry into Technical Specifications (TS) LCO 3.6.1 Condition A, Containment inoperable, in MODES 1, 2, 3, and 4. Immediate actions were taken to isolate the Fan Coil Unit and was isolated within 1 hour from the initial identification of the leak and TS 3.6.1 Condition A was exited. This restored Containment to an Operable status. A Work Request (WR) was initiated to repair the leak, and to restore the 23 Containment Fan Coil Unit to an operable condition.

"This condition is reportable under 10 CFR 50.72(b)(3)(v)(C), Event or Condition that Could Have Prevented Fulfillment of a Safety Function.

"The plant remains safe, and this condition does not pose any additional risk to the public. Additionally, our defense in depth strategies are relied upon to take actions to protect the health and safety of the public.

"The licensee has notified the NRC Resident Inspector."

Page Last Reviewed/Updated Tuesday, May 20, 2014
Tuesday, May 20, 2014