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Event Notification Report for March 13, 2018

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
03/12/2018 - 03/13/2018

** EVENT NUMBERS **


53241 53243 53245 53254 53256

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Agreement State Event Number: 53241
Rep Org: GEORGIA RADIOACTIVE MATERIAL PGM
Licensee: CARTERSVILLE MEDICAL CENTER
Region: 1
City: CARTERSVILLE State: GA
County:
License #: 796-1
Agreement: Y
Docket:
NRC Notified By: IRENE BENNETT
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/02/2018
Notification Time: 15:13 [ET]
Event Date: 02/22/2018
Event Time: [EST]
Last Update Date: 03/02/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
BRICE BICKETT (R1DO)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

AGREEMENT STATE REPORT - MEDICAL EVENT

The following information was obtained from the State of Georgia via email:

"On February 19, 2018, a patient was being treated with Y-90 SIR-Spheres. The targeted site was the liver. The prescribed dose was 39 mCi. The procedure appeared to go normally. A follow-up was performed on the same day. The physician thought the scan indicated there was no significant loss of material. On February 22, 2018, another intervention radiologist re-read the scan and noted approximately 30% entered the abdominal wall. On February 23, 2018, the patient was seen and complained of pain and reddening of the skin. The patient went through additional test to determine the cause. The RSO was notified on March 1, 2018 of the incident. The patient, physician, and manufacture were notified of the incident.

"The licensee will submit a more detailed report to determine the root cause, difference between the prescribed and delivered dose, dose to target organ and non-target organ."

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: 53243
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: ADVANCED CORROSION TECHNOLOGIES & TRAINING LLC
Region: 4
City: PORT NECHES State: TX
County:
License #: 06508
Agreement: Y
Docket:
NRC Notified By: CHRIS MOORE
HQ OPS Officer: ANDREW WAUGH
Notification Date: 03/03/2018
Notification Time: 18:39 [ET]
Event Date: 03/02/2018
Event Time: 12:00 [CST]
Last Update Date: 03/03/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
THOMAS FARNHOLTZ (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)

Event Text

AGREEMENT STATE REPORT - SOURCE RETRACTION FAILURE

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

"On March 3, 2018, the Agency [Texas Department of State and Health Services] received notice that a source retraction failure had occurred on March 2, 2018 around 1200 CST. The camera was a QSA Global 880D with a 61 Curie Iridium-192 source. During source retrieval the crank cables snapped and the source was just outside the camera. The Radiation Safety Officer (RSO) reported to the scene and covered up the source with shielding. The RSO made multiple trips to cover the source with lead and after he completed the operation he noticed his 0-200 mrem pocket dosimeter was off scale. The RSO will send off his film badge for an emergency reading on March 5, 2018. No other personnel received any excessive dose from the event.

"Additional information will be supplied as it is received in accordance with SA-300."

Texas Incident #: I-9550

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Non-Agreement State Event Number: 53245
Rep Org: INTERNATIONAL ISOTOPES INC.
Licensee: INTERNATIONAL ISOTOPES INC.
Region: 4
City: IDAHO FALLS State: ID
County:
License #: 11-27680-01MD
Agreement: N
Docket:
NRC Notified By: JOHN MILLER
HQ OPS Officer: STEVEN VITTO
Notification Date: 03/05/2018
Notification Time: 13:38 [ET]
Event Date: 02/26/2018
Event Time: [MST]
Last Update Date: 03/05/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
Person (Organization):
MICHAEL VASQUEZ (R4DO)
NMSS_EVENTS_NOTIFICA (EMAI)
ILTAB (EMAI)
CNSNS (MEXICO) (EMAI)

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

Event Text

IODINE-131 SHIPMENT LOST IN TRANSIT

The following information was received via E-mail:

"A package was shipped on February 22, 2018 with an estimated delivery date of February 26, 2018. The customer requested a morning delivery and contacted us when the package wasn't delivered. We reached out to [the common carrier] the afternoon of February 26. [The common carrier] began tracing the shipment that afternoon. From what [International Isotopes] understands, there may have been a mix-up with the ULD (unit load device) in Oakland. We have provided [the common carrier] with a description of the Type A package. They are very familiar with this package as we ship several of these I-131 Type A's per day. We are still in contact with [the common carrier] daily on this. There are three traces out and all three have hit a dead end. At this point [International Isotopes] would consider the package lost, which in our experience is unusual for [the common carrier]. We have had delays, but after a trace, have been able to locate the package.

"Shipper: International Isotopes Inc.
Idaho Falls, ID 83401
NRC License No.: 11-27680-01MD

"Consignee: Pharmatron
Fresno, CA 93710
California License No.: 7624-10

"The package contained:
1,000 mCi of I-131 solution
Concentration of 4450.0 mCi/mL
Volume = 0.22 mL
Vial was Crimp Top Serum Vials, 2mL."

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: 53254
Facility: LACROSSE
Region: 3 State: WI
Unit: [1] [ ] [ ]
RX Type: [1] AC (ALLIS CHAMBERS)
NRC Notified By: JIM ASHLEY
HQ OPS Officer: HOWIE CROUCH
Notification Date: 03/12/2018
Notification Time: 11:59 [ET]
Event Date: 03/13/2018
Event Time: [CDT]
Last Update Date: 03/12/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(xi) - OFFSITE NOTIFICATION
Person (Organization):
ROBERT ORLIKOWSKI (R3DO)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N N 0 Decommissioned 0 Decommissioned

Event Text

PRESS RELEASE PLANNED

"LacrosseSolutions is preparing to issue a short press release related to the detection of tritium above background levels detected in site groundwater sampling wells. Following is a summary of the release:

"The LACBWR [LaCrosse Boiling Water Reactor] site contains a network of industrial groundwater monitoring wells. Analytical results from a routine sampling event on December 28, 2017, indicated above background levels of tritium in the monitoring well closest to the reactor building. All wells sampled in December were resampled on February 14, 2018. From that sampling event, one additional well resulted positive for tritium.

"The monitoring well closest to the reactor building has a tritium concentration equivalent to the EPA limit for drinking water. No other radionuclides were found in the groundwater monitoring wells. EnergySolutions is using Haley & Aldrich, a national environmental consulting firm experienced in this area, to assist EnergySolutions in further testing and development of a groundwater monitoring plan to monitor the source of the tritium.

"On March 6, 2018, Dairyland Power Cooperative directed their employees working at the coal plant next to LACBWR to switch to bottled drinking water instead of well water until more information is known about the source of tritium. This was a prudent and cautious step to address any concerns employees may have. The drinking water wells draw water from a much deeper depth than the groundwater that is approximately equal to the river height. No radionuclides were detected in the drinking water levels above background.

"The State of Wisconsin and the federal Nuclear Regulatory Commission were briefed and are closely following the issue."

The licensee has been communicating with NRC R3 (Edwards) and NRC HQ (Vaaler) since the initial sampling event.

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Power Reactor Event Number: 53256
Facility: SUSQUEHANNA
Region: 1 State: PA
Unit: [1] [2] [ ]
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: DARVIN DUTTRY
HQ OPS Officer: DONG HWA PARK
Notification Date: 03/12/2018
Notification Time: 14:34 [ET]
Event Date: 03/12/2018
Event Time: 06:53 [EDT]
Last Update Date: 03/12/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
26.719 - FITNESS FOR DUTY
Person (Organization):
MARC FERDAS (R1DO)
FFD GROUP (EMAI)

Unit SCRAM Code RX CRIT Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 84 Power Operation 84 Power Operation
2 N Y 100 Power Operation 100 Power Operation

Event Text

FITNESS FOR DUTY - NON-LICENSED SUPERVISOR TESTED POSITIVE FOR ALCOHOL

A non-licensed supervisor tested positive for alcohol during pre-access screening. The individual's access to the plant was denied.

The NRC Resident Inspector has been notified.

Page Last Reviewed/Updated Tuesday, March 13, 2018
Tuesday, March 13, 2018