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Event Notification Report for March 22, 2017

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
03/21/2017 - 03/22/2017

** EVENT NUMBERS **


52606 52608 52610 52611

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Agreement State Event Number: 52606
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: SOURCE PRODUCTION & EQUIPMENT COMPANY, INC.
Region: 4
City: ST. ROSE State: LA
County:
License #: LA-2966-L01
Agreement: Y
Docket:
NRC Notified By: JAMES PATE
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/13/2017
Notification Time: 11:48 [ET]
Event Date: 03/13/2017
Event Time: 09:50 [CDT]
Last Update Date: 03/21/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
NEIL OKEEFE (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)
PAM HENDERSON (NMSS)
JEFF GRANT (IRD)
ADAM TUCKER (ILTA)

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

Event Text

AGREEMENT STATE REPORT - IR-192 SOURCE SHIPPED TO THE WRONG LOCATION

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

"On Friday, March 10, 2017, TEAM Industrial Services, Inc., in Borger, TX expected to receive two Ir-192 radiography camera sources from Source Production & Equipment Co., Inc., in St. Rose, LA. Only one source arrived at TEAM Industrial. The transportation company began a search for the missing source and discovered that the source had been shipped to Portland, OR. The source, 105 Ci of Ir-192 (as of 3/13/17), is enroute to TEAM Industrial in Texas and expected to be there by Thursday 3/16/17. The source was a G-60 source, serial number YC0801, in a SPEC-150, serial number 137."

Louisiana Event Report ID No.: LA170003

*** UPDATE ON 3/21/17 FROM JAMES PATE TO NESTOR MAKRIS ***

The following update was received via email:

"I am updating a notification in writing. The confirmation number was 52606 from the HOO. Louisiana Event Report ID Number is LA170003. The transportation misplaced source was located and was received by TEAM Industrial on Friday 03/17/2017.

"NMED, please closed out this event. The source was received at the designated receiving location on Friday 03/17/2017."

Notified R4DO (Drake), ILTAB DO (Davis), and NMSS Events Notification.

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

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Agreement State Event Number: 52608
Rep Org: MINNESOTA DEPARTMENT OF HEALTH
Licensee: GERDAU AMERISTEEL US, INC.
Region: 3
City: ST. PAUL State: MN
County:
License #: 1109
Agreement: Y
Docket:
NRC Notified By: LYNN FORTIER
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/13/2017
Notification Time: 17:11 [ET]
Event Date: 03/09/2017
Event Time: [CDT]
Last Update Date: 03/13/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
KARLA STOEDTER (R3DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - GAUGE SHUTTER STUCK IN OPEN POSITION

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

"Minnesota Dept. of Health [MDH] was notified by phone message March 10, 2017. The message was retrieved March 13, 2017 by the RAM [Radioactive Material] unit Supervisor. MDH visited the site March 13, 2017 and gathered the following information regarding the source holder.

"Category: External EMS Housings
Source Model: P-2608-100 (Co-60)
Gauge Model: LB 300 ML
Manufacture Date: 10/2013
Manufacturer: Berthold Systems, Inc.
Source Number: 1816-10-13 (mold housing 12)
Original Activity: 1.5 mCi
Current Activity: 1.4050 mCi

"The licensee is a steel processor and the incident involved molten steel encasing the source holder, locking the shutter in an open position. This is not a typical occurrence. The licensee is working with a consultant (Applied Health Physics) to develop a plan for removing the source holder from the mold and determining whether the source holder is repairable or if it needs to be disposed of."

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Agreement State Event Number: 52610
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: AESCO TECHNOLOGIES, INC.
Region: 4
City: HUNTINGTON BEACH State: CA
County:
License #: 7197-30
Agreement: Y
Docket:
NRC Notified By: KATHLEEN HARKNESS
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/13/2017
Notification Time: 18:09 [ET]
Event Date: 03/12/2017
Event Time: [PDT]
Last Update Date: 03/13/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
NEIL OKEEFE (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)
CNSNS (MEXICO) (FAX)
ILTAB (EMAI)

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

Event Text

AGREEMENT STATE REPORT - STOLEN TROXLER MOISTURE DENSITY GAUGE

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

"A Troxler model 3440, serial number 69286 moisture density gauge was stolen from a gauge user's locked vehicle during the night of March 11, 2017. The vehicle was parked at his residence overnight (in Northridge, CA and with permission from the RSO) due to an early morning job on March 12, 2017. This Troxler model contains an 8 mCi Cs-137 sealed source and a 40 mCi Am-241:Be sealed source.

"The Troxler's Cs-137 source rod was locked into SAFE mode with a padlock and the transport case had two locked padlocks. One chain with two locks secured the transport case to the crew cab seat, within the locked truck. Los Angeles Police Dept. [LAPD] responded and found the truck's window had been broken. The police took fingerprints from the vehicle and filed a report. In addition, LAPD advised AESCO to place a Craigs List ad under Lost and Found offering a reward for the return of the stolen gauge."

California report number: 5010-031217


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: 52611
Rep Org: KENTUCKY DEPT OF RADIATION CONTROL
Licensee: HARDIN MEMORIAL HOSPITAL
Region: 1
City: ELIZABETHTOWN State: KY
County:
License #: 202-029-22
Agreement: Y
Docket:
NRC Notified By: MARISSA VEGA VELEZ
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/14/2017
Notification Time: 17:35 [ET]
Event Date: 02/16/2017
Event Time: [CDT]
Last Update Date: 03/14/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
HAROLD GRAY (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - ADMINISTERED DOSE LOWER THAN PRESCRIBED DOSE

The following information was received from the Commonwealth of Kentucky via email:

"Hardin Memorial Hospital (HMH) reported that a patient only received 106 mCi of I-131, instead of the prescribed 150 mCi post-thyroidectomy on 2/16/17. Two capsules of I-131 were received from the radiopharmacy in a single vial. When the technologist gave the patient the vial, the patient shook the contents of the vial into her mouth only swallowing one capsule. The tech did not see one capsule remained in the vial. Surveys on the package (containing the vial) that was to be sent back to the radiopharmacy were higher than background so [it] was held for decay. Another survey on 2/28/17 was taken and was still higher than background so the tech opened the package and discovered the remaining pill."

Kentucky Event Report ID No.: KY170002

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.

Page Last Reviewed/Updated Wednesday, March 22, 2017
Wednesday, March 22, 2017