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Event Notification Report for June 26, 2014

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
06/25/2014 - 06/26/2014

EVENT NUMBERS
5023250256502955029150230

Non-Agreement State
Event Number: 50232
Rep Org: ELI LILLY AND COMPANY
Licensee: ELI LILLY AND COMPANY
Region: 3
City: INDIANAPOLIS   State: IN
County:
License #: 13-01133-02
Agreement: N
Docket:
NRC Notified By: ALISHA MAHIN
HQ OPS Officer: VINCE KLCO
Notification Date: 06/27/2014
Notification Time: 12:56 [ET]
Event Date: 06/26/2014
Event Time: 00:00 [EDT]
Last Update Date: 06/27/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(i) - LOST/STOLEN LNM>1000X
Person (Organization):
JULIO LARA (R3DO)
FSME RESOURCES (EMAI)
Event Text
IMPROPERLY DISPOSED OF TRITIUM SIGNS

Notified by the licensee that three tritium exit signs were improperly disposed of as trash. The signs were manufactured by SRBT with an estimated source strength of 20 Ci for each sign. The licensee noticed the missing signs following an equipment inventory taken after a renovation. The licensee determined that the three signs were mixed with general construction debris and sent to a landfill. The licensee investigation is continuing.

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


Agreement State
Event Number: 50256
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: TALLAHASSEE MEMORIAL CANCER CENTER
Region: 1
City: TALLAHASSEE   State: FL
County:
License #: 0416-2
Agreement: Y
Docket:
NRC Notified By: VICTOR GORETSKY
HQ OPS Officer: DANIEL MILLS
Notification Date: 07/03/2014
Notification Time: 17:21 [ET]
Event Date: 06/26/2014
Event Time: 00:00 [EDT]
Last Update Date: 07/03/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
JONATHAN BARTLEY (R2DO)
FSME EVENTS RESOURCE (EMAI)
AARON MCCRAW (R3DO)
RAY MCKINLEY (R1DO)
Event Text
AGREEMENT STATE REPORT - MISPLACED IODINE 125 SOURCE FOUND IN SHIPPING CASE

The following was received from the State of Florida via email:

"A well chamber (HDR1000+, s/n A980392) was shipped to University of Wisconsin-Madison from Tallahassee Memorial Cancer Center Tallahassee FL. It arrived inside a case which also contained three source holders and an electrometer. An I-125 source was found on the bottom of the case on the foam inserts.

"Due to low exposure rate of the source (about two times background on contact) it was not detected by the monitoring system, but discovered visually. The UWADCL [University of Wisconsin Accredited Dosimetry Calibration Laboratory] received equipment on 6/26/2014. Calibration was completed on 7/2/2014. The shipper has been informed by phone and email."

Florida Incident #: FL14-062

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


Agreement State
Event Number: 50295
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL
Licensee: ADVENTIST HEALTH SYSTEMS
Region: 1
City: ALTAMONTE SPRINGS   State: FL
County:
License #: 2897-1
Agreement: Y
Docket:
NRC Notified By: MARK SEIDENSTICKER
HQ OPS Officer: STEVE SANDIN
Notification Date: 07/22/2014
Notification Time: 18:55 [ET]
Event Date: 06/26/2014
Event Time: 00:00 [EDT]
Last Update Date: 07/22/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
Person (Organization):
MEL GRAY (R1DO)
FSME EVENTS RESOURCE (EMAI)
Event Text
AGREEMENT STATE REPORT INVOLVING AN UNINTENDED DOSE TO A FETUS

On 6/26/14 a 23 year old female patient received 100 mCi of I-131 for a thyroid ablation procedure. Prior to treatment, she tested negative for pregnancy on 6/25/14. Subsequent to the procedure, her physician requested a re-test which confirmed that she was pregnant. The estimated date of conception is 6/23/14. The RSO calculated an estimated dose of 25 Rad to the fetus.

This incident was reported to the Florida Bureau of Radiation on 7/22/14.


Part 21
Event Number: 50291
Rep Org: FISHER CONTROLS INTERNATIONAL
Licensee: FISHER CONTROLS INTERNATIONAL
Region: 3
City: Marshalltown   State: IA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: CHAD ENGLE
HQ OPS Officer: DONALD NORWOOD
Notification Date: 07/21/2014
Notification Time: 16:35 [ET]
Event Date: 06/26/2014
Event Time: 00:00 [CDT]
Last Update Date: 07/21/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21(d)(3)(i) - DEFECTS AND NONCOMPLIANCE
Person (Organization):
STEVE ORTH (R3DO)
GERALD MCCOY (R2DO)
PART 21 GROUP (EMAI)
Event Text
PART 21 REPORT - INCORRECT VALVE SOLENOIDS PROVIDED

The following is a synopsis of information received via facsimile:

Brunswick Nuclear Plant ordered 10 (ten) 120VAC/60Hz valve solenoids on two purchase orders from Fisher Controls International LLC. In February, 2014, Fisher shipped six 125VDC solenoids to Brunswick. All six of those solenoids were identified as non-conforming prior to installation in the plant. The remaining 4 solenoids at Fisher are on a shipping hold. For technical questions or concerns contact: George Baitinger, Manager, Quality, Fisher Controls International LLC, 301 South 1st Ave, Marshalltown, IA 50158, Fax: (641) 754--2854, Phone: (641) 754-2026.

Fisher Information Notice: FIN 2014-02


Power Reactor
Event Number: 50230
Facility: MCGUIRE
Region: 2     State: NC
Unit: [1] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: TERRY KING
HQ OPS Officer: VINCE KLCO
Notification Date: 06/26/2014
Notification Time: 15:29 [ET]
Event Date: 06/26/2014
Event Time: 09:18 [EDT]
Last Update Date: 06/26/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
DANIEL RICH (R2DO)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 100 Power Operation
2 N Y 100 Power Operation 100 Power Operation
Event Text
FITNESS FOR DUTY - NON-LICENSED SUPERVISOR IN VIOLATION OF DUKE ENERGY FITNESS FOR DUTY POLICY

A non-licensed employee supervisor had a confirmed positive for alcohol during a random fitness for duty test. The employee's access to both the McGuire and Oconee plants has been restricted.

The NRC Resident Inspectors at both the McGuire and Oconee sites have been notified.