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Event Notification Report for September 21, 2016

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
09/20/2016 - 09/21/2016

** EVENT NUMBERS **


52235 52237 52238

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Agreement State Event Number: 52235
Rep Org: ARKANSAS DEPARTMENT OF HEALTH
Licensee: EVERGREEN PACKAGING, INC.
Region: 4
City: PINE BLUFF State: AR
County: JEFFERSON
License #: ARK-0042-0312
Agreement: Y
Docket:
NRC Notified By: STEVE MACK
HQ OPS Officer: STEVEN VITTO
Notification Date: 09/12/2016
Notification Time: 15:03 [ET]
Event Date: 09/09/2016
Event Time: 14:00 [CDT]
Last Update Date: 09/12/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY AZUA (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - MALFUNCTIONING SHUTTER ON DENSITY GAUGE

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

"During routine shutter checks performed by the licensee on September 9, 2016, the licensee noted higher than normal readings when closing the shutter on a Ohmart Model SH-100 BS, weight gauge. The gauge contains 50 milliCuries of Cesium-137.

"The gauge is in a secure storage area and radiation exposure is maintained at less than 2 mR/hr.

"The licensee has contacted the supplier and requested disposal as the gauge in question was in storage and not being used.

"In accordance with RH-1502.f.2 (10 CFR 30.50(b)(2)) the malfunctioning shutter is reportable within 24 hours.

"The State of Arkansas is awaiting a written report from the licensee and final disposition information for the gauge. The State's event number is AR-2016-010. "

The Licensee notified the State of Arkansas of the event on September 9, 2016, at 1430 CDT.

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Agreement State Event Number: 52237
Rep Org: PA BUREAU OF RADIATION PROTECTION
Licensee: EPHRATA COMMUNITY HOSPITAL
Region: 1
City: EPHRATA State: PA
County:
License #: PA-0038
Agreement: Y
Docket:
NRC Notified By: JOSEPH MELNIC
HQ OPS Officer: JEFF HERRERA
Notification Date: 09/13/2016
Notification Time: 11:00 [ET]
Event Date: 09/01/2016
Event Time: [EDT]
Last Update Date: 09/13/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JAMES NOGGLE (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
DAN COLLINS (NMSS)

Event Text

AGREEMENT STATE REPORT - PATIENT DOSE TO THE SKIN THAT EXCEEDED 50 REM

The following report was received from the Pennsylvania DEP Bureau of Radiation Protection via email:

"On September 12, 2016, the Department [Pennsylvania Department of Environmental Protection] was notified by Ephrata Community Hospital that while injecting technetium-99m (Tc-99m) into a patient, a leak occurred in the delivery system resulting in skin contamination and a dose to the patient's skin estimated to be greater than 50 rem. It is reportable per 10 CFR 35.3045(a)(3).

"A 29 millicurie (mCi) Tc-99m dose was ordered for a patient bone scan. While injecting the dose into the patient's IV port the technologist noticed leakage and immediately stopped the injection. The patient's arm was wiped and cleaned with gauze several times. Ephrata Hospital estimates the skin contamination from that (unknown) residual activity to be approximately 15.8 mCi, resulting in a dose to the patient's skin greater than 50 rem."

Event Report ID No.: PA160025

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: 52238
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: EXXONMOBIL
Region: 4
City: BATON ROUGE State: LA
County:
License #: LA-2349-L01
Agreement: Y
Docket:
NRC Notified By: RUSSELL CLARK
HQ OPS Officer: STEVEN VITTO
Notification Date: 09/13/2016
Notification Time: 17:00 [ET]
Event Date: 09/13/2016
Event Time: 09:10 [CDT]
Last Update Date: 09/13/2016
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY AZUA (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - DENSITY GAUGE EQUIPMENT MALFUNCTION

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

"On September 13, 2016, at approximately 0910, Central Standard Time, Radiation Safety Officer (RSO) of ExxonMobil notified LDEQ [Louisiana Department of Environmental Quality] of a potential equipment malfunction. A Ronan Model SA-1-C5 level/density gauge, device serial number LA8122A, containing a 100 mCi sealed source of Cs-137 and installed on D-Line Low Pressure Separator Vessel, V-231, was undergoing a routine annual shutter test when the gauge shutter became stuck in the open position. The RSO called Ronan and left the manufacturer a message requesting service and repair of the gauge. This is not an emergency. ExxonMobil Radiation Safety Office staff are monitoring the vessel condition and have the situation under control. There is no potential for off-site exposure."

Event Report ID NO.: LA160009

Page Last Reviewed/Updated Wednesday, September 21, 2016
Wednesday, September 21, 2016