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Event Notification Report for November 27, 2015

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
11/25/2015 - 11/27/2015

** EVENT NUMBERS **


51544 51546 51548 51553

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Agreement State Event Number: 51544
Rep Org: VIRGINIA RAD MATERIALS PROGRAM
Licensee: THE CHURCH OF JESUS CHRIST OF LATTER DAY SAINTS (CJCLDS)
Region: 1
City: SUFFOLK State: VA
County:
License #:
Agreement: Y
Docket:
NRC Notified By: MICHAEL WELLING
HQ OPS Officer: DONG HWA PARK
Notification Date: 11/17/2015
Notification Time: 16:18 [ET]
Event Date: 10/27/2015
Event Time: [EST]
Last Update Date: 11/17/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DAN SCHROEDER (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)
ILTAB (EMAI)

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

Event Text

AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGNS

The following was received from the Commonwealth of Virginia via email:

"On October 27th, the VRMP [Virginia Radioactive Materials Program] received a letter from CJCLDS [The Church of Jesus Christ of Latter Day Saints] stating that 25 exit signs each containing approximately 3 curies of H-3 were lost. The letter stated that a contractor was hired in July to replace the H-3 signs with new electric signs and place the H-3 signs in a closet so that CJCLDS staff could properly dispose of them by packaging and returning them. The letter stated the signs were not in the designated location.

"The contractor was contacted by the VRMP who stated that an electrical sub-contractor was hired to perform this work. That company was contacted and VRMP was able to speak to the electrician and his supervisor. The electrician stated verbally and in writing that he removed the H-3 exit signs and placed them in the designated location.

"A search was performed by CJCLDS staff and church members were contacted to see if they had seen the signs. It has been concluded that the signs were discarded by accident and can't be found or recovered at this time.

"This location and the serial numbers of the H-3 signs could not be found in our GL database. The NRC was contacted to search their GL database for the serial numbers to no avail."

Virginia Event Report ID No: VA-15-9

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: 51546
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER
Region: 3
City: COLUMBUS State: OH
County:
License #: 02110250037
Agreement: Y
Docket:
NRC Notified By: STEPHEN JAMES
HQ OPS Officer: HOWIE CROUCH
Notification Date: 11/18/2015
Notification Time: 09:45 [ET]
Event Date: 11/04/2015
Event Time: [EST]
Last Update Date: 11/18/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JAMNES CAMERON (R3DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - MEDICAL EVENT INVOLVING YTTRIUM-90

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

"A medical event occurred at The Ohio State University Wexner Medical Center on Wednesday, November 04, 2015 involving the medical use of TheraSphere Yttrium-90 (Y-90) glass microsphere therapy. Upon completion of the post procedure measurements, it was noted that a high residual activity was found during the post-procedure exposure measurements. Based on the pre and post-procedure exposure measurements, it was calculated that a total of 74% of the prescribed dose was delivered to the patient. No adverse effects to patient are anticipated and the prescribing physician determined that a therapeutic dose had been received."

Intended dosage was 20.1 mCi (120 Gy)
Received dosage was 15 mCi (89 Gy)

OH Report No. 2015-017
NMED Report No. OH150011

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: 51548
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: ZEBRA ENVIRONMENTAL CORPORATION
Region: 1
City: SCHENECTADY State: NY
County:
License #: C5385
Agreement: Y
Docket:
NRC Notified By: DANIEL SAMSON
HQ OPS Officer: DONG HWA PARK
Notification Date: 11/18/2015
Notification Time: 15:13 [ET]
Event Date: 02/06/2014
Event Time: [EST]
Last Update Date: 11/18/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
DAN SCHROEDER (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)
ILTAB (EMAI)

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

Event Text

AGREEMENT STATE REPORT - STOLEN GAS CHROMATOGRAPH

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

"On October 19, 2015, the New York State Department of Health was informed by a representative from Zebra Environmental Corp., that between 2/5/2014 and 2/6/2014 a Hewlett Packard model 5890 Gas Chromatograph [GC] containing an electron capture detector with a 15 mCi Ni-63 source was stolen by forced entry. Several items, including the gas chromatograph, were stolen at a temporary job site [in] Asheville, North Carolina. The GC was stored in a locked trailer which was within a locked fenced in area. The local county police were notified and a report was submitted. The licensee failed to notify the New York State Department of Health at the time of the theft. The Department only learned of the incident on October 19, 2015 as part of the license renewal process. New York State Department of Health specifically licenses companies that use gas chromatographs at temporary job sites. A violation letter will be issued to the company for a number of code violations including failure to notify the Department immediately of the theft of licensed material."

NY Event Report ID No. NYDOH-15-10

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: 51553
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: PETROCHEM INSPECTION SERVICES
Region: 4
City: PASADENA State: TX
County:
License #: L04460
Agreement: Y
Docket:
NRC Notified By: KAREN BLANCHARD
HQ OPS Officer: DONALD NORWOOD
Notification Date: 11/19/2015
Notification Time: 18:05 [ET]
Event Date: 11/19/2015
Event Time: 05:30 [CST]
Last Update Date: 11/20/2015
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG WARNICK (R4DO)
JOSEPHINE PICCONE (NMSS)
ROBERT BUNCH (ILTA)
BERNARD STAPLETON (IRD)
NMSS_EVENTS_NOTIFIC (EMAI)

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

Event Text

AGREEMENT STATE REPORT - RADIOGRAPHY CAMERA MISSING

A radiographer for the licensee was in contact with other PetroChem personnel at approximately 0530 CST on 11/19/2015. As of the time of this report, the radiographer has not been heard from and is unaccounted for. The radiographer is considered a Trustworthy and Reliable employee by the licensee. Searches have been and continue to be conducted of routes that the radiographer could have taken to travel to his work location in Corpus Christi, Texas. The licensee has also contacted family members, interviewed co-workers, and checked the job site, all with negative results.

The radiographer was traveling in a 2015 Ford F250 diesel 4x4 truck, white in color, with Texas license number GDY-6331. A QSA 880 Delta source projector (serial number 5187) containing a 74 curie IR-192 source was in the truck and is now considered unaccounted for.

The Corpus Christi police department has been contacted by the licensee for assistance.

Texas Report Number: I-9359.

Notified DHS SWO, FEMA, USDA, HHS, DOE, DHS NICC Watch Officer and EPA. Notified via E-mail only FDA, Nuclear SSA, FEMA National Watch Center, and DNDO-JAC. Notified Mexico via facsimile.

* * * UPDATE FROM ART TUCKER TO JOHN SHOEMAKER AT 0701 EST ON 11/20/15 * * *

"The Agency [Texas Department of State Health Services] contacted the [licensee's] radiation safety officer [RSO] at 0655 [CST] and [the RSO] stated they recovered the camera and the truck at 0000 [CST on 11/20/15]. The investigation into this event is on going. Additional information will be provided as it is received in accordance with SA 300."

Notified R4DO (Warnick), NMSS (McIntosh), ILTAB (Bunch), IRD (Stapleton), NMSS Event Notification via email, DHS SWO, FEMA, USDA, HHS, DOE, DHS NICC Watch Officer and EPA. Notified via E-mail only FDA, Nuclear SSA, FEMA National Watch Center, and DNDO-JAC. Notified Mexico via facsimile.

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

Page Last Reviewed/Updated Friday, November 27, 2015
Friday, November 27, 2015