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Event Notification Report for April 25, 2018

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
04/24/2018 - 04/25/2018

** EVENT NUMBERS **


53339 53361

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Agreement State Event Number: 53339
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: GE HEALTHCARE
Region: 3
City: Arlington Heights State: IL
County:
License #: IL-01109-01
Agreement: Y
Docket:
NRC Notified By: GRAY FORSEE
HQ OPS Officer: STEVEN VITTO
Notification Date: 04/16/2018
Notification Time: 16:36 [ET]
Event Date: 04/16/2018
Event Time: 14:15 [CDT]
Last Update Date: 04/18/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
ANN MARIE STONE (R3DO)
NMSS_EVENTS_NOTIFICA (EMAI)
ADAM TUCKER (ILTA)

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

Event Text

AGREEMENT STATE REPORT - TECHNETIUM-99m GENERATOR LOST IN TRANSIT

The following was received from the State of Illinois via E-mail:

"The Agency [Illinois Emergency Management Agency] received a call on 4/16/18 from GE Healthcare (IL-01109-01, Arlington Heights) stating that a Mo/Tc generator in transit to their facility was unaccounted for. The generator was one of eight being returned from pharmacies in Michigan and was shipped as a Yellow-II package through [common carrier]. The Mo-99 activity was estimated to be 10.35 GBq on 4/11/18. GE Healthcare stated the empty packaging for the generator was returned in the shipment with the bottom of the box having been re-taped. [The common carrier] is working to search their hubs (Grand Rapids, Chicago Heights, and Wheeling). The shipping pharmacies have been interviewed and provided signed manifests.

"Details will be provided as they become available. There is currently no reason to believe a deliberate intent to misplace the device [occurred]."

GE Healthcare (Emile Poisson) also notified the NRC Operations Center regarding this event. The package was initially shipped from the Kentwood Michigan GE Healthcare location. The outer package was delivered to the correct location at 1415 CDT.

GE Healthcare Michigan Licensee Number: 21-26707-01MD.

Illinois Item Number: IL180027.


* * * UPDATE FROM EMILE POISSON TO HOWIE CROUCH AT 1752 EDT ON 4/17/18 * * *

GE Healthcare notified the NRC Operations Center that the missing generator had been located. When the shipping box broke, the generator fell into a box of office chairs that was shipping to St. Mary's Hospital in South Dakota. Personnel at the hospital recognized the generator as radioactive material and turned it over to the hospital's radiology department. The radiology department notified GE Healthcare. GE Healthcare is making arrangements to have the generator shipped to its Illinois facility. There were no reported overexposures.

* * * The following additional information was received from the State of Illinois (Foresee) via email:

"On 4/17/18, at approximately 1630 CDT, [GE Healthcare] notified IEMA that the package had been located at St. Mary's Hospital in Pierre, SD. Reportedly, hospital staff opened boxes of steel chairs and the generator had been packaged inside. It is unknown if the chairs/associated packaging has been assessed for removable contamination. GE Healthcare is unsure if the hospital is authorized for possession of the generator. GE Healthcare and IEMA are notifying NRC Region IV staff concurrently. The generator arrived in shrink wrapped boxes, delivered by a secondary carrier. GE Healthcare and [the original common carrier] are retracing the shipment to determine at what point the packages were comingled. Terminals at Kentwood, Ml, Chicago Heights, IL and St. Paul, MN are in question. There is currently no reason to believe a deliberate intent to misplace the device [occurred]. GE Healthcare is working to take possession of the generator at this time. Additional details will be provided as they become available."

Notified R3DO (Riemer), R4DO (O'Keefe), ILTAB (E-mail) and NMSS Events Notification (E-mail).


* * * UPDATE FROM DAN KANE TO STEVEN VITTO AT 1317 EDT ON 4/18/18 * * *

Associates In Medical Physics, LLC notified the NRC on behalf of Avera St. Mary's Hospital, South Dakota, regarding the receipt of the generator. Upon receiving the package the hospital surveyed the device and determined no surface contamination was present. The device was shielded and locked within the hospital's hot lab. Arrangements are being made with GE Healthcare to retrieve the generator.

Notified R3DO (Riemer), R4DO (O'Keefe), ILTAB (E-mail) and NMSS Events Notification (E-mail).

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: 53361
Facility: DIABLO CANYON
Region: 4 State: CA
Unit: [ ] [2] [ ]
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: ERIC THOMAS
HQ OPS Officer: DONG HWA PARK
Notification Date: 04/24/2018
Notification Time: 14:44 [ET]
Event Date: 04/24/2018
Event Time: 03:57 [PDT]
Last Update Date: 04/24/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(3)(xiii) - LOSS COMM/ASMT/RESPONSE
Person (Organization):
MICHAEL VASQUEZ (R4DO)

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

Event Text

CONTAINMENT RADIATION MONITORS INOPERABLE

"At 0357 [PDT], Unit 2 Containment High Range Radiation Monitor RM-31 was declared inoperable due to erratic indication. At this time, Containment High Range Radiation Monitor RM-30 was out of service for routine calibration.

"With both containment high range radiation monitors inoperable, this impacted DCPP's [Diablo Canyon Power Plant's] ability to evaluate containment radiation data for an unmonitored release in the event of an emergency. Compensatory measures were promptly put in place with the use of a portable radiation monitor as required by emergency preparedness procedures.

"This condition is being reported as a loss of assessment capability in accordance with 10 CFR 50.72(b)(3)(xiii).

"Actions are in progress to restore RM-30 and RM-31 to operable status.

"The NRC Senior Resident Inspector has been notified."

* * * UPDATE ON 4/24/18 AT 1716 EDT FROM ERIC THOMAS TO DONG PARK * * *

RM-30 was restored to service. Portable radiation monitoring is not required.

The licensee will notify the NRC Resident Inspector. Notified R4DO (Vasquez).

Page Last Reviewed/Updated Wednesday, April 25, 2018
Wednesday, April 25, 2018