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Event Notification Report for September 24, 2014

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
09/23/2014 - 09/24/2014

** EVENT NUMBERS **


50458 50460 50461 50478 50483 50486

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Agreement State Event Number: 50458
Rep Org: MA RADIATION CONTROL PROGRAM
Licensee: QSA GLOBAL, INC.
Region: 1
City: BURLINGTON State: MA
County:
License #: 12-8361
Agreement: Y
Docket:
NRC Notified By: JOSHUA DAEHLER
HQ OPS Officer: JEFF ROTTON
Notification Date: 09/15/2014
Notification Time: 15:12 [ET]
Event Date: 08/06/2014
Event Time: [EDT]
Last Update Date: 09/15/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JOHNATHAN LILLIENDAH (R1DO)
FSME EVENTS RESOURCE (EMAI)
FSME PART 21 (EMAI)
BILLY DICKSON (R3DO)
MICHAEL VASQUEZ (R4DO)

Event Text

AGREEMENT STATE REPORT - MANUFACTURING DEFECT RESULTING IN EQUIPMENT TO NOT PERFORM AS DESIGNED

The following information was provided by the Commonwealth of Massachusetts via email:

"On 9/15/2014, Massachusetts Radiation Control Program (MA RCP) was notified by licensee (QSA Global, Inc.) in accordance with 105 CMR 120.142(B)(2) of manufacturing defect of a model 95020 radiographic guide tube resulting in equipment that failed to function as designed. The licensee reported that its customer (Team Industrial Services of South Roxana, Illinois) informed the licensee on 8/6/2014 that the end stop of the guide tube had come off during a radiographic exposure performed 7/25/2014, that the source was able to be returned to the shielded/stored position in the exposure device using normal retraction with the control assembly, and that there was no excessive personnel exposure related to the part failure.

"The licensee reported that its examination of the model 95020 assembly failed part showed that the end fitting had not been swaged to the guide tube housing as is required by the design.

"The licensee reported that upon learning of the part failure, it immediately performed a visual inspection of all guide tube and control assemblies accepted into stock for distribution and that there were no other instances of unswaged fitting or improper manufacture identified for accepted stock. Licensee further reported that it believes that the instance to be an isolated occurrence and that no other assemblies containing this defect remain in the field.

"Licensee reported that manufacturer failed to swage end stop fitting to guide tube and manufacturer failed to perform pull test of end stop fitting to guide tube and check connection for slip using inspection gauge.

"Licensee reported that corrective actions include changes that will be implemented in the production process to increase inspection and review of quality critical operational steps to ensure this type of manufacturing defect is not accepted and released to customers in the future.

"Model 95020 guide tubes are approved for use with QSA Global, Inc. model 880 series radiographic exposure devices described by Sealed Source and Device Registration No. MA-1059-D-334-S.

"Licensee reported that it conducted a review to determine if this type of condition had occurred previously and identified one instance from 2012 where a different model guide tube, model 48906, had not been properly swaged and tested prior to distribution to an international customer.

"MA RCP plans to perform inspection to include evaluation for any generic implications."

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Agreement State Event Number: 50460
Rep Org: SC DIV OF HEALTH & ENV CONTROL
Licensee: SHERTECH PHARMACY
Region: 1
City: SPARTANBURG State: SC
County:
License #: 531
Agreement: Y
Docket:
NRC Notified By: JIM PETERSON
HQ OPS Officer: JEFF ROTTON
Notification Date: 09/15/2014
Notification Time: 17:55 [ET]
Event Date: 09/15/2014
Event Time: [EDT]
Last Update Date: 09/15/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JOHNATHAN LILLIENDAH (R1DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

AGREEMENT STATE REPORT - IODINE 131 SPILL IN PHARMACY

The following information was provided by the State of South Carolina via email:

"Shertech Pharmacy (SC Radioactive Material License No. 531) in Spartanburg, SC, reported a spill of 100mCi of I-131. A pharmacist dropped the iodine vial on the pharmacy floor. Most of the contamination was on the floor and the shoes of the pharmacist. The Radiation Safety Officer and pharmacist began clean-up procedures. Clothes and shoes were placed in zip lock bags. The floor was cleaned with Radiac wash and the cleaning items were placed in zip lock bags. Activated charcoal was placed on the floor. The four individuals present did take Lugol's solution. Zip lock bags containing the contaminated items were placed in the fume hood. No contamination was found on the skin of any of the individuals involved. Readings of 0.6 mR/hr are measured outside of the closed room. The licensee will perform bioassays at 24, 48, and 72 hours on the four individuals present during the spill and clean up. The primary contamination appeared to be on the shoes themselves."

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Non-Agreement State Event Number: 50461
Rep Org: DOWL HKM
Licensee: DOWL HKM
Region: 4
City: BILLINGS State: MT
County:
License #: 25-17492-01
Agreement: N
Docket:
NRC Notified By: MICHAEL NEZWORSKI
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 09/16/2014
Notification Time: 14:13 [ET]
Event Date: 09/16/2014
Event Time: [MDT]
Last Update Date: 09/16/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
MICHAEL VASQUEZ (R4DO)
FSME EVENTS RESOURCE (EMAI)

Event Text

TROXLER MOISTURE/DENSITY GAUGE DAMAGED ON CONSTRUCTION SITE

The licensee [Dowl HKM] Radiation Safety Officer (RSO) reported that a Model 34/40 Troxler Moisture/Density Gauge, containing 8 mCi Cs-137 and 40 mCi Am/Be sources, was damaged at a construction site near Evanston, Wyoming. A roller inadvertently backed over the gauge, however the sources are intact and in the stored position. There is no indication of contamination or exposure to personnel. The gauge has been returned to the appropriate storage container and the container has been locked. The storage container has been placed in the back of a pickup truck and the truck has been parked in a roped off area to minimize the possibility of exposure. The licensee RSO has been dispatched and will provide additional details as they are acquired.

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Power Reactor Event Number: 50478
Facility: SAINT LUCIE
Region: 2 State: FL
Unit: [1] [2] [ ]
RX Type: [1] CE,[2] CE
NRC Notified By: FRED POLLAK
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 09/22/2014
Notification Time: 09:34 [ET]
Event Date: 09/22/2014
Event Time: 10:00 [EDT]
Last Update Date: 09/23/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
MARVIN SYKES (R2DO)

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

TECHNICAL SUPPORT CENTER PLANNED MAINTENANCE

"On September 22, 2014, at 1000 EDT, the Technical Support Center (TSC) will be unavailable due to pre-planned maintenance impacting the TSC ventilation envelope. The TSC is expected to be restored to operational status on September 23, 2014.

"If an emergency is declared requiring TSC activation during this period, the TSC will be staffed and activated using existing emergency planning procedures, and the TSC staff will assemble at a preplanned alternate location in accordance with applicable site procedures.

"This notification is being made in accordance with 10 CFR 50.72(b)(3)(xiii) due to the loss of an emergency response facility (ERF). An update will be provided once the TSC has been restored to operational status. The NRC Resident Inspector has been notified."

The maintenance is expected to be completed within 36 hours.

* * * UPDATE FROM TIMOTHY MILLER TO HOWIE CROUCH AT 1638 EDT ON 9/23/14 * * *

"The TSC ventilation envelope has been restored. The TSC is returned to operational status on September 23, 2014 at 1600 EDT. The NRC Resident Inspector has been notified."

Notified R2DO (Widman).

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Power Reactor Event Number: 50483
Facility: MILLSTONE
Region: 1 State: CT
Unit: [ ] [2] [ ]
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: MIKE WEISE
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 09/23/2014
Notification Time: 13:59 [ET]
Event Date: 09/23/2014
Event Time: 08:19 [EDT]
Last Update Date: 09/23/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
MEL 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

RADIATION MONITOR OUT OF SERVICE FOR PLANNED MAINTENANCE

"[Millstone] U2 High Range Stack Radiation Monitor, RM-8168 was removed from service for pre-planned maintenance. This action is reportable as a loss of assessment capability per 10CFR50.72(b)(3)(xiii). RM-8168 was restored to operable status on 9/23/14 at 1212 [EDT]."

The licensee has notified the NRC Resident Inspector and state and local authorities.

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Part 21 Event Number: 50486
Rep Org: CARBOLINE COMPANY
Licensee: CARBOLINE COMPANY
Region: 3
City: SAINT LOUIS State: MO
County:
License #:
Agreement: N
Docket:
NRC Notified By: MARIKAY SPECKERT
HQ OPS Officer: JOHN SHOEMAKER
Notification Date: 09/23/2014
Notification Time: 19:36 [ET]
Event Date: 09/23/2014
Event Time: [CDT]
Last Update Date: 09/23/2014
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21(d)(3)(i) - DEFECTS AND NONCOMPLIANCE
Person (Organization):
MEL GRAY (R1DO)
MALCOLM WIDMANN (R2DO)
NICK VALOS (R3DO)
JAMES DRAKE (R4DO)
PART 21 GROUP (EMAI)

Event Text

PART 21 REPORT - CARBOLINE SG BASE NOT CURING PROPERLY

The following report was received via facsimile:

"This letter serves to notify of a potential safety related noncompliance deviation in a basic component as defined in 10CFR Part 21. The noncompliance involves a batch of Carbozinc 11 SG Base that is not curing properly.

"A customer notified Carboline of concerns regarding the cure of a particular batch of Carbozinc 11 SG. Our salesman was contacted by the customer and the salesman initiated a report to our Technical Service group. The internal report was opened and investigation began on Friday 9/19/2014. Analysis of the retain sample by our plant Quality Control was requested, the results show a slower than normal cure. Material was then sent into Saint Louis R&D for additional analysis. On Tuesday, September 23, 2014, the analytical evaluation was reviewed by the product chemist and the batch cure issues were confirmed.

"The batch has been placed on hold and reports have been run to determine where the batch has shipped.

"We are notifying customers to review their use and stock of Carbozinc 11 SG, to discontinue use of this batch, 14FN6228L and return any material with the batch number of 14FN6228L.

"Please contact our Customer Service Department at 1-800-848-4645 to obtain a Returned Goods Authorization. We will credit your account for this material, if you need replacement material, Customer Service can make the necessary arrangements at that time.

"Further work is being done to determine the cause of cure issues with this batch of Carbozinc 11 SG. At this time, we have confirmed that this material is not curing properly.

"If you have any questions or need additional information please contact me.

"Respectfully submitted,

"Marikay Speckert - Corporate Quality Manager - Carboline Company
2150 Schuetz Road - Saint Louis, MO 63146 - 314-644-1000 Ext. 2456"

Page Last Reviewed/Updated Wednesday, September 24, 2014
Wednesday, September 24, 2014