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Event Notification Report for August 2, 2016

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
08/01/2016 - 08/02/2016

** EVENT NUMBERS **


52117 52118 52119 52120 52121 52123 52138 52142

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Agreement State Event Number: 52117
Rep Org: MINNESOTA DEPARTMENT OF HEALTH
Licensee: 3M COMPANY
Region: 3
City: ST. PAUL State: MN
County:
License #: 1066-62
Agreement: Y
Docket:
NRC Notified By: BRANDON JURAN
HQ OPS Officer: VINCE KLCO
Notification Date: 07/22/2016
Notification Time: 11:10 [ET]
Event Date: 07/14/2016
Event Time: [CDT]
Last Update Date: 07/22/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ANNE DeFRANCISCO (R1DO)
ANN MARIE STONE (R3DO)
CNSC (CANADA) (FAX)

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

Event Text

AGREEMENT STATE REPORT - LOST STATIC ELIMINATOR SOURCE

The following information was received by email:

"Event Description: On July 14, 2016, 3M Corporate Health Physics was notified by laboratory personnel that a static eliminator could not be located during a semiannual physical inventory. The static eliminator is an NRD model P-2001 with an initial activity of 9.56 mCi on September 1, 2015 (activity on July 21, 2016 was 1.89 mCi). The room was recently renovated and the contents of the room were moved to another building with some contents moved to a 3M Distribution Center. Both buildings and the distribution center were searched, but the source was not located. 3M Corporate Health Physics notified the Minnesota Department of Health on July 21, 2016 of the missing static eliminator."

Minnesota Event: MN160002

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: 52118
Rep Org: TENNESSEE DIV OF RAD HEALTH
Licensee: VANDERBILT UNIVERSITY MEDICAL CENTER
Region: 1
City: NASHVILLE State: TN
County:
License #: R-19266
Agreement: Y
Docket:
NRC Notified By: RYAN CRIHFIELD
HQ OPS Officer: JEFF ROTTON
Notification Date: 07/22/2016
Notification Time: 12:05 [ET]
Event Date: 07/22/2016
Event Time: 08:50 [EDT]
Last Update Date: 07/22/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ANNE DeFRANCISCO (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)

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

Event Text

AGREEMENT STATE REPORT - LOSS OF LICENSED MEDICAL TREATMENT SEEDS

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

"A patient was treated with 50 I-125 seeds. The patient was apparently not responding well to the treatment so he was brought back to Vanderbilt to have the seeds removed. Today, only 39 of the 50 seeds were recovered from the patient. According to the patient, prior to returning to Vanderbilt to have the seeds removed the patient stated that he 'picked' the 11 seeds out and threw them in the trash can at his home near Huntsville, Al. Total activity of the 11 missing seeds, after decay, equals 1.71 mCi of I-125. Patient is currently still at Vanderbilt Medical Center."

"The State of Tennessee has notified the State of Alabama's Office of Radiation Protection."

TN State Event Report ID no: TN-16-102

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: 52119
Rep Org: MASSACHUSETTS RADIATION CONTROL PRO
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: DANIEL MILLS
Notification Date: 07/22/2016
Notification Time: 14:38 [ET]
Event Date: 07/22/2016
Event Time: [EDT]
Last Update Date: 07/22/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ANNE DeFRANCISCO (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)

This material event contains a "Category 3 " level of radioactive material.

Event Text

AGREEMENT STATE REPORT - LOST AND THEN FOUND SHIPMENT OF RADIOACTIVE MATERIALS

The following was received via email:

"The licensee (QSA Global, Inc.) made telephone notification at 1026 [EDT] on July 22, 2016 followed by written report to the Agency (Massachusetts Radiation Control Program), that the licensee was notified by carrier that one piece of a four piece shipment incoming from Australia and destined for QSA Global, Inc., Burlington, Massachusetts is unaccounted for. The licensee initially identified that it did not know which of the four pieces is the one missing. The licensee provided update by telephone at 1335 on July 22, 2016 that it had determined that the piece missing is a Model 650L source changer, Type B(U) package, UN2916, containing two special form iridium-192 sources, 0.44 TBq (12 curies) total of iridium-192. The missing package is believed by the licensee to possibly be in Memphis, Tennessee at the carrier's hub.

"The licensee reports that it initiated a trace yesterday with the carrier and has also requested a ramp search of the Boston (Logan Airport) facility in case it was separated there.

"The reporting requirement is immediate and is of 105 CMR 120.281(A)(1), missing licensed radioactive materials in aggregate quantity equal to or greater than 1,000 times quantity specified in 105 CMR 120.297, Appendix C.

"The Agency made notification to FBI.

"The Agency considers this event to be open.

"At 1616 [EDT], on July 22, 2016, the licensee (QSA Global, Inc. of Burlington, MA) notified us (Massachusetts Radiation Control Program) by telephone that the missing package has been located by the carrier at its Memphis, Tennessee hub and that the package is expected to be delivered to the licensee on Monday. The licensee reports that a label had apparently fallen off of the package."

THIS MATERIAL EVENT CONTAINS A "CATEGORY 3" LEVEL OF RADIOACTIVE MATERIAL

Category 3 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 some hours. It could possibly - although it is unlikely - be fatal to be close to this amount of unshielded radioactive material for a period of days to weeks. These sources are typically used in practices such as fixed industrial gauges involving high activity sources (for example: level gauges, dredger gauges, conveyor gauges and spinning pipe gauges) and well logging. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf

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Agreement State Event Number: 52120
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: QUALSPEC, LLC
Region: 4
City: BENICIA State: CA
County:
License #: 5299-07
Agreement: Y
Docket:
NRC Notified By: JOHN FASSELL
HQ OPS Officer: DANIEL MILLS
Notification Date: 07/22/2016
Notification Time: 17:09 [ET]
Event Date: 07/22/2016
Event Time: [PDT]
Last Update Date: 07/22/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
GREG PICK (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - SOURCE DISCONNECT

The following was received via email:

"Qualspec, LLC. Radiation Safety Officer, reported the following source disconnect incident on July 21, 2016, at [1843 PDT] via email. The incident took place at the Valero refinery, located at 3400 East Second St., Benicia, CA, at approximately 1430. During their 4th and last exposure, they were not able to return the radiography source (Ir-192, 63 Ci) to the INC 100, S/N 4848 radiography camera's shielded position. The RSO and ARSO, were notified right away and responded immediately to the location. After their assessment, they determined the source pigtail had become detached from the drive cable due to the drive cable ball connector breaking off. There was no other sign of physical damage to the camera, the crank assembly or related equipment. After phone consultation with the manufacturer, a retrieval method was determined and the source was safely secured back into the exposure device. TLD dosimeters have been sent to Radiation Detection Company for emergency processing. Individuals involved [received] based on their pocket dosimeter [readings] - Radiographer Trainer 20 mR, Radiographer 10 mR, Radiographer Assistant 10 mR [as measured by] 200 mR scale Arrow pocket dosimeter; Radiation Safety Officer 400 mR, Assistant RSO 300 mR [as measured by] 5R scale Arrow pocket dosimeter."

California 5010 # 072116

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Non-Agreement State Event Number: 52121
Rep Org: UNIVERSITY OF MISSOURI
Licensee: UNIVERSITY OF MISSOURI
Region: 3
City: COLUMBIA State: MO
County:
License #: 24-0513-32
Agreement: N
Docket:
NRC Notified By: JACK CRAWFORD
HQ OPS Officer: DANIEL MILLS
Notification Date: 07/22/2016
Notification Time: 17:20 [ET]
Event Date: 07/18/2016
Event Time: 14:40 [CDT]
Last Update Date: 07/27/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
STEVE ORTH (R3DO)
NMSS_EVENTS_NOTIFIC (EMAI)

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

Event Text

SEALED SOURCE LEAK

During a sealed source leak test of two (2) cesium-137 needles, prior to implant into an animal, leakage greater than 0.005 microcuries was measured. The leakage was contained in the source holder. The Cs-137 needles have been stored in shielding pending disposal. There was no contamination or over- exposure. The needles contain 10 mCi of Cs-137 total (for both). The licensee has notified NRC Region 3 and expects to submit a 30 day follow up report.


* * * UPDATE FROM JACK CRAWFORD TO DONALD NORWOOD AT 1721 EDT ON 7/27/2016 * * *

Follow-up leak tests have been performed on all remaining Cs-137 needles used for equine brachytherapy. One additional leaking needle was identified. The activity for the additional leaking needle, as of 7/18/2016, was 7.1 mCi. The additional leaking needle was manufactured in 1982. The additional leaking needle has been taken out of service, put into secondary containment, and is awaiting waste disposal. The licensee notified NRC Region 3.

Notified R3DO (Peterson) 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: 52123
Rep Org: VIRGINIA RAD MATERIALS PROGRAM
Licensee: KRISS USA, INC.
Region: 1
City: CHESAPEAKE State: VA
County:
License #: 810-585-1
Agreement: Y
Docket:
NRC Notified By: BETH SCHILKE
HQ OPS Officer: DONALD NORWOOD
Notification Date: 07/25/2016
Notification Time: 14:49 [ET]
Event Date: 07/21/2016
Event Time: [EDT]
Last Update Date: 07/25/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BLAKE WELLING (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)

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

Event Text

AGREEMENT STATE REPORT - LOST HYDROGEN-3 SEALED SOURCE

The following is a synopsis of information received via E-mail:

On July 21, 2016, while in the process of performing an inspection at KRISS USA, Inc., during inventory performance, the Radiation Safety Officer discovered that a Hydrogen-3 sealed source (25 milliCuries, mb-microtec Model 400/1, SSDR #NY-1271-S-101-S, source lot #7036) was missing. The Radiation Safety Officer performed an investigation, which included interviewing users, and performed a visual inspection of the work area, of the path from the work area to the storage area, and of the storage area. A visual inspection of these areas was also conducted with the lights off to assist in the ability to locate the source. Upon failure to locate the source, based on information obtained through interviews with the user, the Radiation Safety Officer concluded that the source was likely lost in proximity of the work station. The most recent wipe test (July 6, 2016) of the work station was performed and analyzed by an appropriate service provider. All results found no detectable contamination. More information will be provided as received.

Virginia Event Report ID No.: VA-16-11

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: 52138
Facility: SAINT LUCIE
Region: 2 State: FL
Unit: [1] [ ] [ ]
RX Type: [1] CE,[2] CE
NRC Notified By: THOMAS PLOWER
HQ OPS Officer: JEFF HERRERA
Notification Date: 08/01/2016
Notification Time: 06:33 [ET]
Event Date: 08/01/2016
Event Time: 03:42 [EDT]
Last Update Date: 08/01/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(i) - PLANT S/D REQD BY TS
Person (Organization):
STEVE ROSE (R2DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 100 Power Operation 0 Hot Standby

Event Text

PLANT SHUTDOWN DUE TO PRESSURE BOUNDARY LEAKAGE GREATER THAN ALLOWABLE LIMIT

"On August 1, 2016 at 0342 EDT St. Lucie Unit 1 commenced a unit shutdown required by Technical Specifications due to Reactor Coolant System Pressure Boundary Leakage in excess of the allowable limit of zero leakage. The leak was initially identified on July 31, 2016 at 2115 EDT as not Pressure Boundary leakage. After further analysis, the leak was determined to be Reactor Coolant System Pressure Boundary leakage at 0123 on August 1, 2016. The leakage is estimated as less than one tenth of a gallon per minute and is not impacting the ability to shut down the unit. Additional impact of the leak is under evaluation.

"This report is submitted in accordance with 10CFR50.72(b)(2)(i) as 'The initiation of any nuclear plant shutdown required by the plant's Technical Specifications.'

"The location of the leak is on the Instrumentation piping welded connection at Flow Element FE-3311 attached to [the] Emergency Core Cooling System Injection header to Reactor Coolant System Loop 1A2. The leak activity is 0.167 microCuries per ml."

The NRC Resident Inspector has been notified.

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Power Reactor Event Number: 52142
Facility: SOUTH TEXAS
Region: 4 State: TX
Unit: [ ] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: J. POWELL
HQ OPS Officer: DANIEL MILLS
Notification Date: 08/01/2016
Notification Time: 17:53 [ET]
Event Date: 08/01/2016
Event Time: 15:18 [CDT]
Last Update Date: 08/01/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
MARK HAIRE (R4DO)

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

UNINTENTIONAL RELEASE OF HALON

"At 1118 [CDT] during planned maintenance activities there was an unintentional release of approximately 146.5 pounds of Halon gas into an enclosed room in the Unit-2 Electrical Auxiliary Building. There was no impact to plant operations or plant personnel. The room was verified by station Safety Personnel to be safe for normal access.

"At 1518, Region 12 (Houston) of the Texas Commission of Environmental Quality (TCEQ) was notified of an event which met the requirements of 'Emission Event' for the TCEQ of a HALON release that exceeded the reportable quantity threshold of 100 pounds in a 24 hour period. No further actions are required by the TCEQ at this time and no press release is planned. The halon discharge was contained within the site protected area. Therefore, this event is not significant with respect to the health and safety of the public."

The licensee has notified the NRC Resident Inspector.

Page Last Reviewed/Updated Tuesday, August 02, 2016
Tuesday, August 02, 2016