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Event Notification Report for April 27, 2017

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
04/26/2017 - 04/27/2017

** EVENT NUMBERS **


52686 52690 52691 52693 52694 52695 52708 52710

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Agreement State Event Number: 52686
Rep Org: NJ RAD PROT AND REL PREVENTION PGM
Licensee: JFK DIAGNOSTIC CARDIOLOGY CENTER WESTFIELD AVENUE
Region: 1
City:  State: NJ
County:
License #: 450168
Agreement: Y
Docket:
NRC Notified By: RICHARD PEROS
HQ OPS Officer: VINCE KLCO
Notification Date: 04/18/2017
Notification Time: 10:17 [ET]
Event Date: 04/18/2017
Event Time: [EDT]
Last Update Date: 04/18/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
FRANK ARNER (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)
DENNIS ALLSTON-ILTAB (EMAI)

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

Event Text

AGREEMENT STATE REPORT - LOST SOURCE

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

"The RSO [Radiation Safety Officer] for this cardiology office called to report a lost/missing Cs-137 dose calibrator vial source. Control of this facility was recently transferred to a medical center. When the new RSO visited the cardiology office to become familiar with it, it was discovered that the Cs-137 source was missing. The source, as listed on the cardiology office's inventory, contained 199.04 uCi [microCuries] of activity as of its calibration date of 9/1/2005. The decayed source would contain approximately 152.2 uCi [microCuries] of activity as of the date of this notification. The manufacturer and model # of the source were not immediately available. The RSO will follow-up with a written report within 30 days."

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: 52690
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: NINYO AND MOORE
Region: 4
City: OAKLAND State: CA
County:
License #: 6750-01
Agreement: Y
Docket:
NRC Notified By: K. A. HEWADIKARAM
HQ OPS Officer: DONG HWA PARK
Notification Date: 04/18/2017
Notification Time: 16:58 [ET]
Event Date: 04/17/2017
Event Time: [PDT]
Last Update Date: 04/18/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY AZUA (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

AGREEMENT STATE REPORT - DAMAGED TROXLER GAUGE

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

"On 04/17/17, Ninyo & Moore RSO [Radiation Safety Officer] contacted RHB [California Radiologic Health Branch] to report a moisture density gauge incident happened at a construction site in the City of Hayward, CA. The gauge involved was a Troxler 3430, S/N T343 32379 containing 8 mCi of Cs-137 and 40 mCi of Am-241. The gauge was backed into by a Bobcat. Technician was performing a density test and happened to be about 12 feet away from the gauge at the time of the incident. After the incident, the technician requested the personnel to clear the area. The gauge source rod was bent and could not be retracted into the shielded position. The area was isolated and the gauge was placed next to a concrete slab until help arrived. The RSO immediately contacted a gauge vendor, PNT [Pacific Nuclear Technology], and the RSO from PNT arrived on site within a short period of time. He placed a lead pig around the exposed source rod, loaded up the gauge in his truck and took it away for repair. PNT performed a survey around the incident site and no contamination was detected. RHB will be following up on this incident."

CA 5010 Number: 041717

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Non-Agreement State Event Number: 52691
Rep Org: KAKIVIK ASSET MANAGEMENT
Licensee: KAKIVIK ASSET MANAGEMENT
Region: 4
City: ANCHORAGE State: AK
County:
License #: 50-27667-01
Agreement: N
Docket:
NRC Notified By: PATTON PETTIJOHN
HQ OPS Officer: DONG HWA PARK
Notification Date: 04/18/2017
Notification Time: 19:25 [ET]
Event Date: 04/18/2017
Event Time: 02:30 [YDT]
Last Update Date: 04/18/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
30.50(b)(2) - SAFETY EQUIPMENT FAILURE
Person (Organization):
RAY AZUA (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)

Event Text

FAILURE OF THE RADIOGRAPHY CAMERA LOCKING MECHANISM

After performing a routine exposure with a QSA model 880D (serial number D8127) camera containing a 133 curie Iridium-192 source, the source was cranked back into the camera. The radiographer noted that the outer locking mechanism did not lock. The source was let out again then retracted. The camera locking mechanism worked the second time. The locking mechanism did not work because of the icing condition. The radiography camera was placed in a warmer environment, and the locking mechanism was retested. No overexposure occurred during the event.

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Agreement State Event Number: 52693
Rep Org: OK DEQ RAD MANAGEMENT
Licensee: TULSA GAMMA RAY
Region: 4
City: TULSA State: OK
County:
License #: OK-17178-02
Agreement: Y
Docket:
NRC Notified By: KEVIN SAMPSON
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 04/19/2017
Notification Time: 10:59 [ET]
Event Date: 12/31/2016
Event Time: [CDT]
Last Update Date: 04/19/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY AZUA (R4DO)
ANGELA MCINTOSH (EMAI)
TRISH MILLIGAN (EMAI)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

AGREEMENT STATE REPORT - RADIOGRAPHER OVEREXPOSURE

The following report was received via e-mail:

"On April 14, 2017 we [Oklahoma Department of Environmental Quality] learned that a certified radiographer employed by Tulsa Gamma Ray (OK-17178-02) received a TEDE of 5.808 REM for calendar year 2016. The licensee was unaware of this until it was pointed out by the inspectors during their routine inspection."

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Agreement State Event Number: 52694
Rep Org: ARKANSAS DEPARTMENT OF HEALTH
Licensee: CONSTRUCTION MATERIALS TESTING SERVICES INC.
Region: 4
City: HOT SPRINGS State: AR
County: GARLAND
License #: ARK-0750-0312
Agreement: Y
Docket:
NRC Notified By: DAVID STEPHENS
HQ OPS Officer: DONG HWA PARK
Notification Date: 04/19/2017
Notification Time: 11:31 [ET]
Event Date: 04/18/2017
Event Time: 12:10 [CDT]
Last Update Date: 04/21/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
RAY AZUA (R4DO)
NMSS_EVENTS_NOTIFIC (EMAI)
ILTAB (EMAI)

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

Event Text

AGREEMENT STATE REPORT - STOLEN MOISTURE DENSITY GAUGE

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

"On April 18, 2017, at 1210 [CDT], the licensee contacted the Department [Arkansas Department of Health] reporting that a moisture density gauge was missing from the permanent storage facility in Hot Springs, Arkansas and presumed stolen. In addition to the Department, the licensee had notified local law enforcement offices.

"The licensee believes that the gauge was taken between Friday, April 14, 2017 and Tuesday morning, April 18, 2017. The licensee believes that the gauge may be in possession of a former employee.

"The gauge is a Troxler, Model 3440, Serial Number 15160, containing 40 milliCuries of Americium-241 and 8 milliCuries of Cesium-137.

"In accordance with RH-1501.c.1.A. (10 CFR 20.2201(a)(1)(i)) the stolen gauge is immediately reportable.

"Law Enforcement is investigating.

"The State of Arkansas is awaiting the outcome of the law enforcement investigation and a written report from the licensee. The State's event number is AR-2017-001."

* * * UPDATE FROM DAVID STEPHENS TO DONALD NORWOOD AT 1338 EDT ON 4/20/2017 * * *

The following information was received via E-mail:

"The Arkansas Department of Health Radiation Control Section received notification that the Troxler Electronic Laboratories Gauge (Model 3440, Serial Number 15160) reported stolen on April 19, 2017, was recovered in Hot Springs Village by the Garland County Sheriff's office. The gauge does not appear to be damaged, and has been transported to the licensee's permanent storage location. A leak test has been performed by the licensee. The Department considers the matter closed pending receipt of the licensee's report and leak test results."

Notified R4DO (Azua), ILTAB (Salisbury), and NMSS Events Notification Group.

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: 52695
Rep Org: NJ RAD PROT AND REL PREVENTION PGM
Licensee: ZEVACOR PHARMA INC.
Region: 1
City:  State: NJ
County:
License #: 527488
Agreement: Y
Docket:
NRC Notified By: CATHY BIEL
HQ OPS Officer: DONG HWA PARK
Notification Date: 04/19/2017
Notification Time: 17:30 [ET]
Event Date: 04/19/2017
Event Time: [EDT]
Last Update Date: 04/19/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
FRANK ARNER (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
DANIEL COLLINS (NMSS)

Event Text

AGREEMENT STATE REPORT - CONTAMINATED PACKAGE

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

"The RSO [Radiation Safety Officer] for this radiopharmacy called to report the receipt of a contaminated package. The package arrived from another Zevacor facility located in Virginia (Virginia license # 107113-1). The package as shipped contained 21 mCi of liquid Zr-89. While performing their routine wipe test during the opening of the package, the wipe test of the inner package found removable contamination of 240,000 counts per minute. The outer package was not found to be contaminated. The RSO of the New Jersey facility contacted their counterpart at the Virginia facility. The Virginia facility maintained that the package was free of contamination when it was shipped. Zevacor believes the primary container was not sealed properly. This may have caused some of the material to evaporate during shipment and contaminate the exterior of the primary container. A written report will be supplied within 30 days."

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Part 21 Event Number: 52708
Rep Org: CB&I AREVA MOX SERVICES
Licensee: SHAW SSS FABRICATORS
Region: 1
City: AIKEN State: SC
County:
License #:
Agreement: Y
Docket:
NRC Notified By: DAVID DEL VECCHIO
HQ OPS Officer: HOWIE CROUCH
Notification Date: 04/26/2017
Notification Time: 13:34 [ET]
Event Date: 09/29/2016
Event Time: [EDT]
Last Update Date: 04/26/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
21.21(d)(3)(i) - DEFECTS AND NONCOMPLIANCE
Person (Organization):
RAY MCKINLEY (R1DO)
NMSS_EVENTS_NOTIFIC (EMAI)
PART 21 MATERIALS (EMAI)
MICHAEL HAY (R4DO)
ANTHONY MASTERS (R2DO)

Event Text

PART 21 REPORT - WELDS ON MODULAR FRAME ASSEMBLIES DETERMINED TO BE DEFECTIVE

The following is the summary of information received from CB&I AREVA MOX Services, Savannah River Site, via fax:

MOX Services has determined that some welds on modular frame assemblies supplied by Shaw SSS Fabricators in Addis, LA do not comply with procurement documents and require repair. It is unknown by MOX Services if Shaw SSS Fabricators supplied any assemblies to other facilities.

Individual informing the Commission was David Del Vecchio, President and Project Manager, CB&I AREVA MOX Services, Savannah River Site, P.O. Box 7097, Aiken, SC 29804-7097.

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Power Reactor Event Number: 52710
Facility: ARKANSAS NUCLEAR
Region: 4 State: AR
Unit: [1] [2] [ ]
RX Type: [1] B&W-L-LP,[2] CE
NRC Notified By: JOSH HEATHCOCK
HQ OPS Officer: HOWIE CROUCH
Notification Date: 04/26/2017
Notification Time: 14:49 [ET]
Event Date: 04/26/2017
Event Time: 10:04 [CDT]
Last Update Date: 04/26/2017
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
MICHAEL HAY (R4DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 A/R Y 100 Power Operation 0 Hot Standby
2 N N 0 Defueled 0 Defueled

Event Text

UNIT 1 AUTOMATIC REACTOR SCRAM DUE TO PARTIAL LOSS OF OFFSITE POWER

"At 1004 CDT, Arkansas Nuclear One, Unit 1 (ANO-1) reactor automatically tripped due to the partial loss of offsite power. At the time of the trip, the site was in a Tornado Warning and a Severe Thunderstorm Warning. The Emergency Feedwater (EFW) system auto-actuated due to the loss of main feedwater pumps and the loss of the Reactor Coolant pumps. Both Emergency Diesel Generators started as expected with only one loading as expected. All control rods fully inserted. Currently, ANO-1 has stabilized in Hot Standby via natural circulation.

"ANO-1 also lost Spent Fuel Pool cooling for approximately 69 minutes. The temperature of the spent fuel pool at the beginning of the event was approximately 102 [degrees] F. The spent fuel pool saw a heatup of 1 [degree] F during the loss of spent fuel pool cooling. The Spent Fuel Pool cooling has been restored.

"ANO-2 is currently in a refueling outage with all fuel in the spent fuel pool. ANO-2 completed a full core off load to the spent fuel pool and this was completed on April 12, 2017. Spent Fuel Pool cooling was lost for approximately 10 minutes. The Spent Fuel Pool temperature was 91 [degrees] F prior to the event. No heat up of the pool was identified during the event. Cooling has subsequently been restored. The #1 Emergency Diesel Generator auto-started as designed but did not supply the safety bus due to availability of offsite power.

"No radiological releases have occurred from either unit due to this event."

The licensee has notified the NRC Resident Inspector.

Page Last Reviewed/Updated Thursday, April 27, 2017
Thursday, April 27, 2017