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Event Notification Report for December 11, 2018

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
12/10/2018 - 12/11/2018

** EVENT NUMBERS **


53766 53768 53769 53770 53786

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Agreement State Event Number: 53766
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES
Licensee: COOK CHILDRENS MEDICAL CENTER
Region: 4
City: FORT WORTH   State: TX
County:
License #: Licen-RAM-L04518
Agreement: Y
Docket:
NRC Notified By: ART TUCKER
HQ OPS Officer: MARK ABRAMOVITZ
Notification Date: 12/02/2018
Notification Time: 17:52 [ET]
Event Date: 12/02/2018
Event Time: 00:00 [CST]
Last Update Date: 12/03/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
JASON KOZAL (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - PATIENT CONTAMINATION OF HOSPITAL ROOM

The following information was received via e-mail:

"On December 2, 2018, the Agency [Texas Department of State Health Services] was notified by the licensee's radiation safety officer (RSO) that they had admitted a patient at 2210 hours [CST] on December 1, 2018, complaining about a sickness. At 0000 hours on December 2, 2018, the patient gave the treatment nurse a piece of paper from a hospital in Houston, Texas, stating this individual had received a thyroid treatment with iodine-131 on November 29, 2018. At this time the patient was moved to an appropriate room. At this point the patient had been in four different rooms. The four rooms were surveyed for contamination. No contamination was found in the first room surveyed. In the second room, only paperwork was found to be contaminated and the paperwork was disposed of. The third room was a bathroom. Seven tiles in the bathroom were found to be contaminated and were removed. The fourth room was also a bathroom. In this room, the toilet was found to be contaminated. The RSO stated the first survey performed with a 14C rate meter with a pancake GM probe read greater than 20 millirem per hour (mR/hr) (maximum reading on the instrument, i.e. pegged high). A second survey performed with a second instrument indicated a dose rate of 60 mR/hr (on scale reading). The RSO was asked if the reading was in mR/hr or microrem per hour. The RSO confirmed the reading was 60 mR/hr at one foot from the top of the bowl. The RSO stated the room has been isolated and posted. The RSO stated all contaminated laundry had been removed from the areas and placed in the appropriate storage location. The RSO stated the second bathroom would be isolated for an extended period of time. The RSO had been at the facility since 0000 hours so he was headed home for rest. The RSO stated he would provide additional information on Monday December 3, 2018. Additional information will be provided as it is received in accordance with SA-300."

Texas Incident: 9641

* * * UPDATE ON 12/03/18 AT 1843 EST FROM KAREN BLANCHARD TO BETHANY CECERE * * *

The following update was received from the State of Texas via e-mail:

"The licensee's RSO informed the Agency that during its follow-up survey of the bathroom in which they had removed contaminated floor tiles, a single spot was found with readings of 5 mR/hr on the toilet near its water supply line. Therefore, access to this bathroom will also remain restricted. The patient was released from the emergency room late in the day on 12/02/2018. More information will be provided as it is received in accordance with SA-300."

Notified R4DO (Gaddy) and NMSS Event Notification Group (by email).

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Agreement State Event Number: 53768
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: KINNEY CONTRACTORS, INC.
Region: 3
City: RAYMOND   State: IL
County:
License #: IL-02082-01
Agreement: Y
Docket:
NRC Notified By: GARY FORSEE
HQ OPS Officer: BETHANY CECERE
Notification Date: 12/03/2018
Notification Time: 14:20 [ET]
Event Date: 12/01/2018
Event Time: 00:00 [CST]
Last Update Date: 12/03/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
PATRICIA PELKE (R3DO)
DENNIS ALLSTON (ILTAB)
NMSS_EVENTS_NOTIFICATION (EMAIL)
This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

LOST THEN FOUND TROXLER MOISTURE DENSITY GAUGE

The following was received from the State of Illinois by email:

"The licensee contacted the agency on 12/1/18 at approximately 1800 [CST] to report that a tornado had struck their portable gauge storage location at 1615 [CST]. Licensee was unable to locate the gauge at the time of the call. Agency inspectors arrived at the location at 1945 [CST] and began surveys. The Troxler gauge was located in its transport case beneath the rubble of the destroyed building. The following morning, an excavator was utilized to remove the debris and gain access to the gauge. Both the gauge and the transport case were undamaged. The gauge was secured by two physical barriers in another building on site. Leak tests will be taken the week of 12/3/18 and the gauge is removed from service until leak test results are received. The licensee will be submitting an amendment request for a new storage location. Pending no further developments, this matter is considered closed."

IL Event Item Number: IL180040

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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Non-Agreement State Event Number: 53769
Rep Org: TRACERCO
Licensee: TRACERCO
Region: 4
City: PASADENA   State: TX
County:
License #: 0728386-01
Agreement: Y
Docket:
NRC Notified By: MONTY POPE
HQ OPS Officer: ANDREW WAUGH
Notification Date: 12/03/2018
Notification Time: 16:06 [ET]
Event Date: 12/02/2018
Event Time: 00:00 [CST]
Last Update Date: 12/03/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
Person (Organization):
VINCENT GADDY (R4DO)
DENNIS ALLSTON (ILTAB)
NMSS_EVENTS_NOTIFICATION (EMAIL)
CNSNS (MEXICO) (EMAIL)
This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

LOST SOURCE

A pipeline pig was being used to clean out a pipeline in the Gulf of Mexico. The pipeline pig was lost out of the receiver as it was being brought up from the depth. The pig had an attached source so it could be tracked while in the pipeline. The pig and the source are believed to have dropped to the sea floor, a depth of 7,000 feet. Efforts to recover the source have been abandoned.

The source is Ta-182 with an activity of 6.24 mCi.

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: 53770
Rep Org: CALIFORNIA RADIATION CONTROL PRGM
Licensee: PEI INVESTMENTS, INC., DBA PAVEMENT ENGINEERING, INC.
Region: 4
City: REDDING   State: CA
County:
License #: 4977-45
Agreement: Y
Docket:
NRC Notified By: K. ARUNIKA HEWADIKARAM
HQ OPS Officer: BETHANY CECERE
Notification Date: 12/03/2018
Notification Time: 16:28 [ET]
Event Date: 12/03/2018
Event Time: 00:00 [PST]
Last Update Date: 12/03/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
VINCENT GADDY (R4DO)
DENNIS ALLSTON (ILTAB)
NMSS_EVENTS_NOTIFICATION (EMAIL)
CNSNS (MEXICO) (EMAIL)
This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - STOLEN DENSITY GAUGE

The following was received from the State of California by email:

"On 12/03/18, the RSO [Radiation Safety Officer] contacted CA Office of Emergency Services (OES) to report a stolen density gauge. The gauge involved is a Troxler Model 4640-B, S/N 1292, containing 9 mCi of Cs-137 (thin lift asphalt density gauge). The parked vehicle [in San Francisco, CA] was broken into and the gauge was stolen during overnight hours. According to the RSO, at the time of the theft, the gauge was locked inside a Type A container with additional locks securing the gauge to the vehicle. The gauge user was enroute to a field job in the area near Quality Inn where the theft occurred.

"The RSO has immediately notified South San Francisco Police Department of the theft (Report # 18-7086). Licensee will be posting a reward for safe return of the gauge. RHB [CA Department of Public Health - Radiologic Health Branch] will be following up on this investigation."

5010 Number: 120318

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: 53786
Facility: SALEM
Region: 1     State: NJ
Unit: [] [2] []
RX Type: [1] W-4-LP,[2] W-4-LP
NRC Notified By: MATT MOG
HQ OPS Officer: JOANNA BRIDGE
Notification Date: 12/11/2018
Notification Time: 15:09 [ET]
Event Date: 10/15/2018
Event Time: 00:00 [EDT]
Last Update Date: 12/11/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.73(a)(1) - INVALID SPECIF SYSTEM ACTUATION
Person (Organization):
RAY MCKINLEY (R1DO)
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N N 0 Refueling 0 Refueling

Event Text

INVALID AUXILIARY FEEDWATER PUMP ACTUATION

"This 60-day telephone notification is being made in accordance with the reporting requirements of 10 CFR 50.73(a)(2)(iv)(A).

"The successful, complete train actuation of the 22 Auxiliary Feedwater Pump was initiated by an invalid signal during testing.

"The Auxiliary Feedwater System was not impacted in its ability to perform its function.

"There were no safety consequences or impacts to the health and safety of the public as a result of this event.

"The NRC Resident Inspector has been notified."


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Friday, May 03, 2019