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Event Notification Report for March 14, 2017

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
03/13/2017 - 03/14/2017

** EVENT NUMBERS **


52588 52590 52593 52607

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Agreement State Event Number: 52588
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: MARATHON PETROLEUM COMPANY LLC
Region: 4
City: TEXAS CITY State: TX
County:
License #: 04431
Agreement: Y
Docket:
NRC Notified By: IRENE CASARES
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/03/2017
Notification Time: 14:40 [ET]
Event Date: 03/02/2017
Event Time: [CST]
Last Update Date: 03/03/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RICK DEESE (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

TEXAS AGREEMENT STATE REPORT - STUCK OPEN SHUTTER ON A NUCLEAR GAUGE

The following information was obtained from the state of Texas via email:

"On March 3, 2017, SunTrac Services called about licensee Marathon Petroleum. They reported a stuck shutter found yesterday afternoon on a vessel. The line level indicator device was found with the shutter stuck open (normal operating position) during preparations to empty the vessel for entry to complete maintenance on the vessel. The measuring device was a Vega model SHF2 containing a Cs-137, 500 milliCurie source, serial number 0174CO. The device was removed from the fluid catalytic cracking unit and placed in storage by Suntrac Services, per authorization on their license. A lead plate will be affixed to the gauge to cover the source. The device will be serviced by either the manufacture or TexStar servicing company within the next two weeks while the vessel undergoes maintenance. There is no risk of exposure to any employees or member of the public. A written report will be provided in the next 30 days as per the consultant.

"Updates will be in accordance with SA-300."

Texas Incident #: I-9469

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Agreement State Event Number: 52590
Rep Org: OHIO BUREAU OF RADIATION PROTECTION
Licensee: THE UROLOGY CENTER
Region: 3
City: CINCINNATI State: OH
County:
License #: 02200310002
Agreement: Y
Docket:
NRC Notified By: MICHAEL SNEE
HQ OPS Officer: JEFF HERRERA
Notification Date: 03/03/2017
Notification Time: 16:29 [ET]
Event Date: 03/02/2017
Event Time: [EST]
Last Update Date: 03/03/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
HIRONORI PETERSON (R3DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - TOTAL DOSE DELIVERED TO PATIENT DIFFERED FROM PRESCRIBED DOSE BY MORE THAN 20 PERCENT

The following report was received from the Ohio Department of Health via email:

"On March 3, 2017, The Urology Center, LLC, Ohio Radioactive Material licensee no. 02200310002, reported an incident pursuant to which the total dose delivered differed from the prescribed dose by more than 20 [percent]. The radiant source was brachytherapy seeds surgically inserted to the prostate. The incident occurred on March 2, 2017 and was confirmed on March 3, 2017 by a review of the post procedure CT [computed tomography] scan. The prescribed dose was 110 cGy using I-125 (model AgX100) seeds. The post CT plan shows that the actual dose delivered to the prostate was 27.6 cGy. The physicians do not believe that there are side effects to the rectum, urethra or neurovascular bundle as a result.

"The patient has been informed."

OH NMED Item Number: OH170001

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: 52593
Rep Org: NEW YORK STATE DEPT. OF HEALTH
Licensee: NOT PROVIDED
Region: 1
City:  State: NY
County:
License #:
Agreement: Y
Docket:
NRC Notified By: JANAKI KRISHNAMOORTHY
HQ OPS Officer: JEFF ROTTON
Notification Date: 03/06/2017
Notification Time: 11:40 [ET]
Event Date: 03/04/2017
Event Time: [EST]
Last Update Date: 03/06/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JAMES DWYER (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)

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

Event Text

AGREEMENT STATE REPORT - MISSING IODINE 125 CALIBRATION SOURCES

The following information was provided by the State of New York via Facsimile:

"A New York Licensee's RSO [Radiation Safety Officer] left voice mail on March 5, Sunday afternoon, stating that he was informed on the evening of the previous day (March 4, 2017) that 2 vials containing 15 seeds of I-125 that were to be used for calibration purposes were missing from their inventory. The total activity of the 15 seeds was reported to be less than 7 mCi. The surface exposure rates at the exterior of the lead shielded vials was stated to be at background radiation levels. The AU [Authorizing User] physician and the RSO conducted a thorough search on March 5, 2017, but and were unable to locate the seeds.

"DOH will staff became aware of the event earlier this morning [March 6, 2017] on arrival at work. Will update after following up with the licensee."

NY State Event Report ID NO. NYDOH-NY-17-05

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: 52607
Facility: CALLAWAY
Region: 4 State: MO
Unit: [1] [ ] [ ]
RX Type: [1] W-4-LP
NRC Notified By: SHANNON GAYDOS
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/13/2017
Notification Time: 16:47 [ET]
Event Date: 03/13/2017
Event Time: 13:58 [CDT]
Last Update Date: 03/13/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(ii)(B) - UNANALYZED CONDITION
50.72(b)(3)(v)(A) - POT UNABLE TO SAFE SD
50.72(b)(3)(v)(B) - POT RHR INOP
50.72(b)(3)(v)(D) - ACCIDENT MITIGATION
Person (Organization):
NEIL OKEEFE (R4DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 90 Power Operation 90 Power Operation

Event Text

DISCOVERY OF NON-CONFORMING CONDITIONS DURING TORNADO HAZARDS ANALYSIS

"On March 13, 2017, during evaluation of protection for Technical Specification (TS) equipment from the damaging effects of tornados, Callaway Plant identified non-conforming conditions in the plant design such that specific Technical Specification equipment is considered to not be adequately protected from tornado missiles.

"The Emergency Fuel Oil Truck Connection Lines for both redundant Emergency Fuel Oil trains extend through the Plant South wall of the Diesel Generator Building structure where they may be exposed to design bases tornado missile impact. The direct impact by the design basis missile could result in damage to the fuel oil transfer lines, thereby preventing delivery of the fuel supply from the Emergency Fuel Oil buried storage tank to the Fuel Oil Day Tank. This condition affects the fuel supply to both supported Emergency Diesel Generator trains.

"This condition is reportable per 10 CFR 50.72(b)(3)(ii)(B) for any event or condition that results in the nuclear power plant being in an unanalyzed condition that significantly degrades plant safety, and per 10 CFR 50.72(b)(3)(v) for any event or condition that at the time of discovery could have prevented the fulfillment of the safety function of structures or systems that are needed to (A) Shut down the reactor and maintain it in a safe shutdown condition, (B) Remove residual heat, or (D) Mitigate the consequences of an accident.

"These conditions are being addressed in accordance with EGM 15-002 and DSS-ISG-2016-01 [enforcement discretion and interim guidance documents].

"The NRC Resident Inspector has been notified."

Page Last Reviewed/Updated Tuesday, March 14, 2017
Tuesday, March 14, 2017