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Event Notification Report for February 22, 2016

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
02/19/2016 - 02/22/2016

** EVENT NUMBERS **


51726 51727 51728 51731 51747

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Agreement State Event Number: 51726
Rep Org: TENNESSEE DIV OF RAD HEALTH
Licensee: KILGORE FLARES COMPANY, LLC
Region: 1
City: TOONE State: TN
County:
License #: GL 334
Agreement: Y
Docket:
NRC Notified By: ANDREW HOLCOMB
HQ OPS Officer: STEVE SANDIN
Notification Date: 02/11/2016
Notification Time: 15:43 [ET]
Event Date: 02/04/2013
Event Time: [EST]
Last Update Date: 02/11/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY POWELL (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)

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

Event Text

AGREEMENT STATE REPORT - MISSING NRD IONIZER DEVICE

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

"On March 26, 2013, Kilgore Flares Company and the Division of Radiological Health (DRH) discovered that one of Kilgore's NRD Ionizer devices, model P-2035; S/N A2GK795, was lost. The device contained 40 mCi of Po-210. The device was shipped 10/09/08 from NRD, LLC, located in Grand Island, NY. It was taken out of service in October 2009 when Kilgore renewed the lease for the device. Kilgore was under the impression that the ionizer had been sent back to NRD the previous year. Kilgore did not learn until after the inventory list was sent to DRH February 4, 2013, that NRD had not received them. The device was searched for but could not be located. The boxes that contained the devices sat in the shipping department for some time and this is believed to be where the device came up missing. Kilgore reported that they now keep all devices, being sent back, in the Maintenance Planners office until sealed up for shipping. Kilgore provided a report to DRH on 4/2/13."

State Event Report ID No.: TN-13-048

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: 51727
Rep Org: TENNESSEE DIV OF RAD HEALTH
Licensee: TOXCO MATERIAL MANAGEMENT CENTER (TMMC)
Region: 1
City: OAK RIDGE State: TN
County:
License #: R-01037-E16
Agreement: Y
Docket:
NRC Notified By: ANDREW HOLCOMB
HQ OPS Officer: STEVE SANDIN
Notification Date: 02/11/2016
Notification Time: 15:43 [ET]
Event Date: 06/17/2013
Event Time: [EDT]
Last Update Date: 02/11/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY POWELL (R1DO)
ANGELA MCINTOSH (NMSS)

Event Text

AGREEMENT STATE REPORT - EXOTHERMIC REACTION IN SUPERCOMPACTOR ROOM INVOLVING LICENSED MATERIAL

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

"During a routine inspection, it was discovered through review of Toxco Radiological Occurrence Reports that Toxco had an event on June 17, 2013. In the Building A Supercompactor Room, a 55-gallon drum exploded due to an exothermic reaction. The cause was suspected to be the inadvertent packing of nitro-cellulous filters being placed in a waste drum of 3.7 mCi of I-125 contaminated personal protective equipment from Boston Heart Laboratory. The compactor was secured and no indication of radioactive material was discovered in the vicinity beyond the compaction cell. All personnel passed through a personnel contamination monitor without incident. The licensee performed a root-cause analysis determining that Boston Heart Laboratory had packed the nitro-cellulous filters into the waste containers. The licensee isolated two additional 55-gallon drums for return to Boston Heart Laboratory."

State Event ID No.: TN-13-195

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Agreement State Event Number: 51728
Rep Org: NJ RAD PROT AND REL PREVENTION PGM
Licensee: CLARA MAASS MEDICAL CENTER
Region: 1
City: BELLEVILLE State: NJ
County:
License #: NJ PI ID # 42
Agreement: Y
Docket:
NRC Notified By: RICHARD PEROS
HQ OPS Officer: STEVE SANDIN
Notification Date: 02/11/2016
Notification Time: 15:38 [ET]
Event Date: 02/11/2016
Event Time: [EST]
Last Update Date: 02/11/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY POWELL (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - BRACHYTHERAPY DEVICE MALFUNCTION RESULTING IN UNDERDOSE

The following information was received from the State of New Jersey via fax:

"One of the hospital's authorized medical physicists reported that a patient was due to receive a therapeutic treatment from the center's HDR [High Dose Rate] unit. During administration of the fraction, there was a device malfunction. The source was safely returned to the shielded position, but the patient did not receive the prescribed dose for the fraction. There was an underdose. The patient and the patient's physician have been informed. The unit is a Nucletron MicroSelectron Model 106.990. Additional details will be forthcoming from the hospital."

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: 51731
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: COVESTRO LLC
Region: 4
City: BAYTOWN State: TX
County:
License #: 01577
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: STEVE SANDIN
Notification Date: 02/12/2016
Notification Time: 13:07 [ET]
Event Date: 02/11/2016
Event Time: [CST]
Last Update Date: 02/12/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
NEIL OKEEFE (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - FIXED GAUGE SHUTTER FOUND IN STUCK OPEN POSITION

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

"On February 12, 2016, the Agency [Texas Department of State Health Services] was notified by the licensee's radiation safety officer (RSO) that on February 11, 2016, while performing a routine inspection of a Berthold model LB 300 l nuclear gauge, they found the source shutter was stuck in the open position. Open is the normal position for the gauge shutter. The gauge contains a one millicurie (original activity, current activity 0.07 mCi.) Cobalt-60 source. The RSO stated the dose rates at and around the gauge are normal. He [the RSO] stated no individuals, including members of the general public, will be exposed to any additional radiation due to the failure. The RSO stated the manufacturer has been contacted and will be at the licensee's facility the week of February 15, 2016 to fix or replace the gauge. Additional information will be provided as it is received in accordance with SA-300."

Texas Incident #: I-9378

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Power Reactor Event Number: 51747
Facility: CALVERT CLIFFS
Region: 1 State: MD
Unit: [1] [ ] [ ]
RX Type: [1] CE,[2] CE
NRC Notified By: ERVIN LYSON
HQ OPS Officer: HOWIE CROUCH
Notification Date: 02/20/2016
Notification Time: 09:12 [ET]
Event Date: 02/20/2016
Event Time: 03:30 [EST]
Last Update Date: 02/20/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(A) - DEGRADED CONDITION
Person (Organization):
GLENN DENTEL (R1DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Refueling 0 Refueling

Event Text

DEGRADED CONDITION DISCOVERED ON PRESSURIZER SAFETY RELIEF VALVE WELD

"During the CCNPP [Calvert Cliff Nuclear Power Plant] Unit 1 Refueling, [an ultrasonic test] examination of the Unit 1 dissimilar metal weld (DMW) of the pressurizer safety relief valve RV-201 safe end weld found an indication that is approximately 80 percent though-wall, inside diameter connected axial flaw in weld #4-SR-1006-1.

"This is an ASME Class 1 component and Unit 1 has entered the requirements of Technical Requirements Manual (TRM) 15.4.3.A.

"CCNPP Event #4254."

The licensee has notified the NRC Resident Inspector.

Page Last Reviewed/Updated Monday, February 22, 2016
Monday, February 22, 2016