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Event Notification Report for July 6, 2015

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
07/02/2015 - 07/06/2015

** EVENT NUMBERS **


50849 51169 51177 51180 51183 51198

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Non-Agreement State Event Number: 50849
Rep Org: NANTICOKE MEMORIAL HOSPITAL
Licensee: NANTICOKE MEMORIAL HOSPITAL
Region: 1
City: SEAFORD State: DE
County:
License #: 07-17618-01
Agreement: N
Docket:
NRC Notified By: MARIANNA RETZLAFF
HQ OPS Officer: DONALD NORWOOD
Notification Date: 02/25/2015
Notification Time: 15:00 [ET]
Event Date: 02/13/2015
Event Time: [EST]
Last Update Date: 07/02/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
Person (Organization):
HAROLD GRAY (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
JIM WHITNEY (ILTA)

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

Event Text

GERMANIUM-68 SOURCES LOST DURING SHIPMENT

On 1/30/2015, two packages containing radioactive materials were shipped via common carrier from Nanticoke Memorial Hospital in Seaford, DE to Sanders Medical Products, Inc. in Knoxville, TN for disposal. One package arrived on 2/3/2015. The second package has not arrived, and on 2/13/2015, the second package was declared lost. The lost package contained two Germanium-68 source rods used in daily calibration of the hospital's PET scanner. Activity of the source rods was less than 0.3 millicuries each (0.6 millicuries total). Serial numbers for the source rods are: K4-124 and K4-125. The common carrier has completed a search for the lost package with negative results. The last known location of the lost package was in Harrington, DE where it was scanned on 1/30/2015.


* * * UPDATE FROM MARIANNA RETZLAFF TO DONALD NORWOOD AT 1133 EDT ON 7/2/2015 * * *

On Monday, June 29, 2015, the lost package was returned by the common carrier to Nanticoke Memorial Hospital. The package had not been opened and was undamaged. When opened by hospital personnel, the package contained the two Germanium-68 source rods that had originally been placed in the package. When questioned, the common carrier had no explanation as to what had happened to the package and could not explain where the package had been or even how it came to be returned to the hospital. The hospital plans to repackage the source rods and ship them via a different common carrier to Sanders Medical Products in the near future.

Notified R1DO (Dimitriadis) and ILTAB (Johnson) and via E-mail, NMSS Events Notification.

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: 51169
Rep Org: ARKANSAS DEPARTMENT OF HEALTH
Licensee: NUCOR-YAMATO STEEL COMPANY
Region: 4
City: BLYTHEVILLE State: AR
County:
License #: ARK-0722-0312
Agreement: Y
Docket:
NRC Notified By: SUSAN ELLIOTT
HQ OPS Officer: JEFF HERRERA
Notification Date: 06/22/2015
Notification Time: 11:29 [ET]
Event Date: 06/18/2015
Event Time: 12:30 [CDT]
Last Update Date: 07/02/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
VIVIAN CAMPBELL (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - NUCLEAR FIXED GAUGE DAMAGED

The following report was provided by the Arkansas Department of Health via email:

"Nucor-Yamato Steel Company, Arkansas Radioactive Materials Licensee Number ARK-0722-03120, notified the Arkansas Department of Health, Radioactive Materials Program, via phone on Friday, June 19, 2015, at 1000 [CDT], of damage to one of their fixed gauges, manufacturer Ronan, Model #SA-1-F37, Serial #1224CG with a 5 Curie Cs-137 source. The event occurred on June 18, 2015 at approximately 1230 [CDT]. Licensee reported a wash-out of liquid steel which came into contact with the gauge. There was approximately 30 tons of molten rock (2800 F) flowing onto the floor of the plant which caused a fire. Surrounding gauges were not affected.

"The Licensee immediately closed the shutter, but was not sure if it was completely shut. The RSO indicated the only radiation levels were from the top of the gauge, nothing was measured on the sides. A steel plate was placed on top of the gauge to reduce radiation levels. The area was roped-off at 2 mR/hr to prevent public exposures. Chase Environmental Consulting was notified of the damaged gauge and arrived on Friday, June 19, 2015 to investigate and remove the gauge out-of-service.

"The gauge is currently in storage awaiting the manufacturer (Ronan) to arrive to package for shipment on Friday, June 26, 2015.

"The State is awaiting a written report from the licensee and will continue to investigate this event. The State will update this event as more information becomes available.

"Arkansas Event Number: ARK-2015-008"

* * * UPDATE ON 7/2/15 AT 1315 EDT FROM SUSAN ELLIOTT TO JEFF HERRERA * * *

The following update was received from the Arkansas Department of Health via email:

"The written report dated June 26, 2015, from Nucor-Yamato Steel Company, detailed safety procedures followed in securing the damaged gauge while removing it from service. The manufacturer, Ronan's Field Engineer, packaged and shipped the gauge to their facility. There was no radiation leakage from the gauge. The licensee confirms no exposure to the public.

"The State considers this event closed."

Notified the R4DO (Okeefe) and NMSS Events (via email).

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Agreement State Event Number: 51177
Rep Org: NEW YORK STATE DEPT OF HEALTH
Licensee: APPLUS RTD USA INC
Region: 1
City: BUFFALO State: NY
County:
License #: C5610
Agreement: Y
Docket:
NRC Notified By: DANIEL SAMSON
HQ OPS Officer: DANIEL MILLS
Notification Date: 06/24/2015
Notification Time: 14:48 [ET]
Event Date: 06/22/2015
Event Time: 14:45 [EDT]
Last Update Date: 06/24/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JOHN ROGGE (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - MOISTURE DENSITY GAUGE RUN OVER BY BULLDOZER

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

"On 6/23/15, at 0953 [EDT], the Radiation Safety Officer (RSO) of APPLUS RTD USA Inc., called The New York State Department of Health to report that on 6/22/15, a bulldozer ran over a Troxler Model 3440 Moisture Density Gauge, containing 8 mCi Cs-137 and 40 mCi Am-241/Be. This occurred at the University of Buffalo, South Campus in front of Clark Hall. From the RSO's description and the emailed photographs, the yellow casing was severely damaged on one side, the side farthest from the sources. The rod and source were not extended at the time of the accident. The East Region RSO for APPLUS RTD USA Inc. used a Teletector Model 6112M with an 8 foot arm while approaching the unit to ensure the sources were in the shielded position. No unusual radiation reading has been noted. The regional RSO secured the gauge in the transport container and it was transported back to the licensee's office for storage with 15 other Moisture Density Gauges. The RSO contacted MJW Technical Services for disposal of the damaged unit. The RSO of University of Buffalo has been notified.

"This event is not a reportable event since the sources were in their shielded positions at the time of the incident. This event report is for informational purposes only."

NYDOH - 15 - 05

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Agreement State Event Number: 51180
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: TEAM INDUSTRIAL SERVICES
Region: 4
City: GONZALES State: LA
County: ASCENSION
License #: LA-9098-L01
Agreement: Y
Docket:
NRC Notified By: JOSEPH NOBLE
HQ OPS Officer: VINCE KLCO
Notification Date: 06/25/2015
Notification Time: 14:18 [ET]
Event Date: 06/25/2015
Event Time: 08:30 [CDT]
Last Update Date: 06/29/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
VIVIAN CAMPBELL (R4DO)
JEFFERY GRANT (IRD)
BARRY WRAY (ILTA)
ROBERT JOHNSON (NMSS)
NMSS_EVENTS_NOTIFICA (EMAI)

This material event contains a "Category 2 " level of radioactive material.

Event Text

AGREEMENT STATE REPORT - LOST RADIOGRAPHY CAMERA DURING TRANSIT

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

"Event date and time: On 06/25/2015 [at 0930 CDT, the licensee Radiation Safety Officer] called the Radiation Section of LDEQ [Louisiana Department of Environmental Quality] to report a lost/missing radiography camera. The camera was to be loaded on a rig truck and [to] be transported to a temporary site. The crew and site RSO had been looking for the camera since it was discovered missing at 0830 [CDT].

"A radiography exposure device was left on the bumper of a rig truck and not secured in the vault/overpack on the truck. The crew left the yard on Highway LA #30 and headed to I-10 and then East on I-10. About 5 miles down I-10, the crew remembered that they had not secured the camera in the rig truck. They stopped and found the camera missing. They backed tracked I-10 to LA # 30 and back to the office. They did not locate the missing camera. The LA State Police was notified in addition to LDEQ.

"The Radiation Section [of LDEQ] was notifying the staff and dispatching a Radiation [Environmental Scientist] individual to respond. The media put out an alert of the missing camera. Homeland Security, QSA Global, and the Ascension Parish Sheriff responded and were aiding in locating the lost camera. They were combing the area on ATVs and utilizing sensitive radiation detection instruments.

"At about 1130 [CDT] the LDEQ was given an update by [the licensee Radiation Safety Officer] which only includes responding agencies and the Site RSO for contact. About 1150 [CDT] the NRC Region IV was notified of the incident (Latisha Hanson) and given a preliminary notification and told the [NRC Operations Center] was being notified.

"Event Location: A rig truck was dispatched from TIS at 37568 Hwy # 30, Gonzales, LA down LA #30 to Interstate-10. The rig went east on I-10 for about 5 miles when the crew remembered that the camera had not been secured in the rig. The crew check the back of the rig and backed tracked the I-10 to LA #30 route. The camera was not located. Notifications were made.

"Event type: Loss of control over an exposure device. A QSA 880 Delta exposure device S/N 4586. The exposure device was loaded with about 30 Ci of Ir-192, QSA source Model # 84-9. The Category II, Quantity of Concern was released or lost into the general public. The radioactive exposure device was released into the general public by the two individuals not following the TIS's [Team Industrial Services] Radiation Safety Procedures or the IC [Increased Controls] Security Procedures. The exposure device was released to the general public unsupervised and not in direct control of an authorized company representative.

"Event description: The equipment was a QSA 880 Delta exposure device S/N D4586. The source was about 30 Ci of Ir-192, model # 84-9. At this time LDEQ consider this incident still open and updates will be given when available.

"Transport Vehicle: This was a TIS company crew truck being dispatched to a temporary jobsite.

"Media attention: News Media was alerted and reporting agencies were notified."

Louisiana Event: LA150010

Notified DHS SWO, FEMA, USDA, HHS, DOE, DHS NICC, EPA, FDA(email), Nuclear SSA (email) FEMA National Watch Center (email), DNDO-JAC (email).

THIS MATERIAL EVENT CONTAINS A "CATEGORY 2" LEVEL OF RADIOACTIVE MATERIAL

Category 2 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for a short time (minutes to hours). It could possibly be fatal to be close to this amount of unshielded radioactive material for a period of hours to days. These sources are typically used in practices such as industrial gamma radiography, high dose rate brachytherapy and medium dose rate brachytherapy. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf


* * * UPDATE ON 06/29/2015 AT 1356 EDT FROM JOE NOBLE TO STEVEN VITTO * * *

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

"The exposure device was recovered at about 7:00pm [CDT] on 06/25/2015.

"Device QSA/AEA Technologies, Model Delta 880, S/N 4586 Source QSA/AEA Technologies, Model A424-9, S/N 166306; 48.2 Ci Ir-192

"Recovered [approximately] 1.5 [Miles] on LA 61 east of US I-10 east. It was on the side of the road in a wet-muddy ditch area. [The device was found] by backtracking the trucks GPS device.

"A health and safety survey was conducted and the shielding appeared to be intact.

"The exposure device was loaded on to another Team Industrial vehicle, blocked and braced, and returned to the vault at the highway LA-30 address.

"The device and source were leak tested and analysis was performed on the test. A QSA Global representative stated it appears the device (DU) and the Ir-192 source were not leaking or compromised.

"With the exception of corrective actions and enforcement issues the department, LDEQ [Louisiana Department of Environmental Quality], considers this incident closed."

Notified R4DO(O'Keefe), IRD MOC(Grant), ILTAB (Wray), and NMSS Events Resource (via email).

Notified DHS SWO, FEMA, USDA, HHS, DOE, DHS NICC, EPA, FDA(via email), Nuclear SSA (via email) FEMA National Watch Center (via email), DNDO-JAC (via email).

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Agreement State Event Number: 51183
Rep Org: NE DIV OF RADIOACTIVE MATERIALS
Licensee: GREGG YOUNG CHEVROLET
Region: 4
City: OMAHA State: NE
County:
License #: NE GL-0488
Agreement: Y
Docket:
NRC Notified By: JULIA SCHMITT
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 06/26/2015
Notification Time: 10:28 [ET]
Event Date: 12/31/2008
Event Time: [CDT]
Last Update Date: 06/26/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
VIVIAN CAMPBELL (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
BARRY WRAY (ILTA)

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

Event Text

AGREEMENT STATE REPORT - MISSING TRITIUM EXIT SIGNS

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

"On June 26, 2015, Gregg Young Chevrolet (GL0488) reported a loss of 10 exit signs containing tritium (Evenlite 201) via letter. Each sign originally contained 10.5 curies and current approximate activity is 3.852 curies. Our records show that the registrant possessed these signs in 2013 (latest inventory) however, the registrant assumes these signs were removed from their facility by a tenant sometime in 2008."

NE Item Number: NE150002

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: 51198
Facility: PERRY
Region: 3 State: OH
Unit: [1] [ ] [ ]
RX Type: [1] GE-6
NRC Notified By: CURTIS BRAY
HQ OPS Officer: JEFF ROTTON
Notification Date: 07/02/2015
Notification Time: 10:54 [ET]
Event Date: 07/02/2015
Event Time: 08:30 [EDT]
Last Update Date: 07/02/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
LAURA KOZAK (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

INADVERTENT EMERGENCY SIREN ACTUATION

"This event is being reported in accordance with 10CFR50.72(b)(2)(xi).

"On July 2, 2015, at approximately 0830 EDT, an inadvertent actuation of the Perry Nuclear Power Plant's (PNPP) alert notification system occurred. Seventy-six of seventy-six sirens sounded for three minutes affecting the emergency planning zone in Ashtabula, Geauga, and Lake Counties. Following the actuation, county agencies received calls from members of the public.

"PNPP's capability to notify the public in an emergency was not affected. The siren actuation was not related to any condition or event at the PNPP. An investigation is in progress to determine the cause of the inadvertent actuation. Preliminarily, it appears that the wrong test was initiated from a county agency; an audible test was initiated instead of a silent test.

"At the time of the event, the plant was in Mode 1 at 100 percent rated thermal power. The public was informed of the inadvertent actuation by way of the Emergency Alert System (EAS). Additionally, social media was used to respond to social media inquiries.

"The NRC Resident Inspector has been notified."

The licensee notified the Ohio Emergency Management Branch Chief, and the County Emergency Managers of Ashtabula, Geauga, and Lake Counties.

Page Last Reviewed/Updated Monday, July 06, 2015
Monday, July 06, 2015