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Event Notification Report for December 17, 2018

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
12/14/2018 - 12/17/2018

** EVENT NUMBERS **


53739 53781 53782 53783 53788

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Agreement State Event Number: 53739
Rep Org: ARKANSAS DEPARTMENT OF HEALTH
Licensee: 3D IMAGING DRUG DESIGN DEVELOPMENT, LLC
Region: 4
City: LITTLE ROCK   State: AR
County:
License #: ARK-1008-03214
Agreement: Y
Docket:
NRC Notified By: STEVE MACK
HQ OPS Officer: JEFF HERRERA
Notification Date: 11/15/2018
Notification Time: 12:02 [ET]
Event Date: 11/14/2018
Event Time: 00:00 [CST]
Last Update Date: 12/14/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
MARK HAIRE (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
PATRICIA MILLIGAN (INES)

Event Text

AGREEMENT STATE REPORT - RADIATION WORKER RECEIVES HIGH DOSIMETRY READING

The following report was received from the Arkansas Department of Health via email:

"The RSO reported at 1100 [CST], on November 14, 2018, that the dosimetry provider had reported to the licensee one radiation worker badge had received a possible exposure of 9,000 mR for the month of October. The dosimetry provider has stated the exposure was a dynamic exposure with atypical exposure to the badge.

"The licensee began to investigate the cause of the high reading. The worker had worked with other employees and had not worked independently during the month. Other workers had routine exposures for the month.

"The licensee requires workers to wear SRD's [Self Reading Dosimeter] while working in the restricted area. The worker's cumulative reading for the time period was 200 mR. The worker's ring badge had routine exposure readings.

"During investigation by the licensee, there was no recollection of the badge being separated from the worker during the month. During off hours, all dosimetry is stored with the worker's lab coats outside the restricted area.

"The licensee develops PET [Positron Emission Tomography] radionuclides for radiopharmaceutical research and development.

"Since the time period of the exposure cannot be determined, the Arkansas Program is reporting this event under RH-1502.b. of the Arkansas Regulations equivalent to 10 CFR 20.2202(b)(1) of the NRC Regulations.

"The licensee and the State continue to investigate.

"The State of Arkansas will update when additional information is known.

"Arkansas event number AR-2018-006."

* * * UPDATE ON 12/14/18 AT 1535 EST FROM STEVE MACK TO BETHANY CECERE * * *

The following update was received from the Arkansas Department of Health (Department) via email:

"The licensee provided a written report dated November 15, 2018, outlining the investigation performed to verify the overexposure reported.

"This report restated the requirements of additional dosimetry worn by the worker with no significant indication exposure above routine doses. The report also indicated that at no time during the month was contamination detected when conducting personnel surveys leaving the restricted area. The licensee continues to believe that the dose was only received by the badge and not to the whole body of the radiation worker.

"The licensee submitted its own dose estimate on December 3, 2018, in which the licensee calculated a possible contamination event of the badge that would provide the dose yet exclude dose to other measuring devices and could evade detection when exiting the restricted area.

"The Department has taken this dose estimate into consideration and is requesting that the October, 2018 dose for the radiation worker be reduced to 250 mrem.

"The Department considers this event closed."

Notified R4DO (Taylor), NMSS Events Notification group, and INES (Milligan) by email.

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Agreement State Event Number: 53781
Rep Org: ILLINOIS EMERGENCY MGMT. AGENCY
Licensee: UNIVERSITY OF ILLINOIS AT URBANA CHAMPAIGN
Region: 3
City: URBANA   State: IL
County:
License #: IL-01271-01
Agreement: Y
Docket:
NRC Notified By: GIBB VINSON
HQ OPS Officer: JEFFREY WHITED
Notification Date: 12/07/2018
Notification Time: 12:29 [ET]
Event Date: 11/01/2017
Event Time: 00:00 [CST]
Last Update Date: 12/07/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
PATRICIA PELKE (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - LOSS OF 2 GENERALLY LICENSED STATIC ELIMINATORS

The following was received from the Illinois Emergency Management Agency via e-mail:

"A graduate student affiliated with the University of Illinois reported the loss of two generally licensed NRD Model P-2042 static eliminators (5 mCi/Po-210, Serial Numbers A2KX694 and A2KX695). They were shipped on March 3, 2017, whereupon he proceeded to perform small neutron experiments. The devices were then put into a storage building and subsequently lost during a move to a new location sometime in November 2017. He believes the devices went to a landfill. At the time of loss they would have decayed to around 1.5 mCi each. By today's date, they would have decayed to approximately 200 uCi each.

"In August of 2018, the general licensee reported it to NRD, Inc., and they referred him to the Illinois Emergency Management Agency. A report was received on the matter on November 19, 2018. The investigation is ongoing."

State of Illinois Item Number IL180043

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: 53782
Rep Org: DEPARTMENT OF VETERANS AFFAIRS
Licensee: US DEPARTMENT OF VETERANS AFFAIRS
Region: 1
City: WASHINGTON   State: DC
County:
License #: 03-23853-01VA
Agreement: N
Docket:
NRC Notified By: CLINT ABELL
HQ OPS Officer: JEFFREY WHITED
Notification Date: 12/07/2018
Notification Time: 12:34 [ET]
Event Date: 11/16/2018
Event Time: 00:00 [EST]
Last Update Date: 12/07/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X
Person (Organization):
PATRICIA PELKE (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

LOSS OF SEALED SOURCE AT VA MEDICAL CENTER

The following is a summary of information provided by the Department of Veterans Affairs via e-mail:

"The source is believed to have been mistakenly discarded with non-radioactive trash on Friday, November 16, 2018. The loss was discovered on Monday November 19, 2018. It is believed that the source is buried deep in a commercial landfill in Johnson City, TN. A radiation survey performed at the landfill did not locate the source.

"The source contains approximately 15 millicuries of cobalt-57.

"The US Department of Veterans Affairs hold NRC Master Materials License No. 03-23853-01VA. The source was lost at the VA Medical Center [located in] Johnson City, TN 37604. This facility holds VA radioactive materials permit number 41-19792-01.

"We expect that doses to personnel from the lost source are and will be much less than the NRC's dose limit for members of the public.

"The State of Tennessee has been notified of the lost source. Also, the VA's NRC Liaison (Parker) of NRC Region III, has also been notified."

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: 53783
Rep Org: LOUISIANA RADIATION PROTECTION DIV
Licensee: HEART & VASCULAR ASSOCIATES, PC
Region: 4
City: LAFAYETTE   State: LA
County:
License #: LA-12552-L01, AI # 1177452
Agreement: Y
Docket:
NRC Notified By: JOE NOBLE
HQ OPS Officer: JEFFREY WHITED
Notification Date: 12/07/2018
Notification Time: 16:35 [ET]
Event Date: 12/03/2018
Event Time: 00:00 [CST]
Last Update Date: 12/07/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
AGREEMENT STATE
Person (Organization):
VINCENT GADDY (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB (EMAIL)
This material event contains a "Less than Cat 3" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - SOURCE ABANDONMENT THROUGH BANKRUPTCY

The following was received from the Louisiana Radiation Protection Department (LDEQ/ERSD/Radiation Section) via e-mail:

"On or about December 3, 2018, [an individual] contacted KLS Physics to inform them he had acquired some sealed sources (check sources) in a bankruptcy liquidation of assets. KLS Physics had provided physics support to HVA [Heart & Vascular Associates, PC] for their Radioactive Materials Program. KLS Physics instructed [the individual] to contact LDEQ/ERSD/Radiation Section to determine how to proceed correcting/solving the situation.

"LDEQ staff received [the individual's] notification on December 3, 2018. The inventory performed by KLS Physics on December 4, 2018, indicated the five (5) sources are check sources of Cs-137 and Co-57. The activities range from 0.02 microCuries Co-57 to 176 microCuries of Co-57. At this time, the Department has taken possession of three of the sources.

"LDEQ has assigned this NMED Incident to an investigator. This is a preliminary investigation report. Information will be updated when available.

"The five sources were abandoned by [the licensee], who is the registered owner of Heart and Vascular Associates, PC. [The licensee's] equipment was sold during a bankruptcy liquidation to pay expenses. The licensed source possession and Regulatory Reporting requirements are [the licensee's] responsibility.

"LDEQ staff received [the individual's] notification on December 3,2018. He reported the acquisition of the sources to KLS Physics Services. The name was on documents included in the box of equipment. KLS in turn had him contact the LDEQ's Radiation Section.

"The Department dispatched an inspector to [the individual's] residence to assess the situation. [The individual] only had three of the five sources in question. All three were is their lead pigs and surface readings were minimal. Staff personnel is still attempting to contact [the licensee] about the remaining two sources."

The LDEQ reported that the sources that were found had the following activities: 69.35 microCuries of Cs-137, 57.98 microCuries of Cs-137, and 0.01 microCuries of Co-57. The sources that are still missing had the following activities: 176 microCuries of Co-57 and 0.62 microCuries of Cs-137.

Louisiana Event Report ID No.: LA-180019

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: 53788
Facility: GRAND GULF
Region: 4     State: MS
Unit: [1] [] []
RX Type: [1] GE-6
NRC Notified By: GERRY ELLIS
HQ OPS Officer: JOANNA BRIDGE
Notification Date: 12/12/2018
Notification Time: 17:29 [ET]
Event Date: 12/12/2018
Event Time: 00:00 [CST]
Last Update Date: 12/14/2018
Emergency Class: NON EMERGENCY
10 CFR Section:
50.72(b)(2)(iv)(A) - ECCS INJECTION
50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL
50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION
Person (Organization):
NICK TAYLOR (R4DO)
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 M/R Y 100 Power Operation 0 Hot Shutdown

Event Text

MANUAL REACTOR SCRAM DUE TO FAILED OPEN TURBINE BYPASS VALVE

"At 1351 CST, the reactor was manually shutdown due to 'A' Turbine Bypass Valve opening. The Main Steam Line Isolation Valves were manually closed to facilitate reactor pressure control. Reactor level is being maintained through the use of Reactor Core Isolation Cooling System, Control Rod Drive System, and High Pressure Core Spray System. High Pressure Core Spray System was manually started to initially support reactor water level control. Reactor Pressure is being controlled through the use of the Safety Relief Valves and the Reactor Core Isolation Cooling System. The plant is stable in MODE 3.

"The cause of the 'A' Turbine Bypass Valve opening is under investigation at this time.

"The NRC Resident Inspector has been notified."

* * * UPDATE ON 12/14/18 AT 1140 EST FROM GERRY ELLIS TO TOM KENDZIA * * *

"This is an update to EN # 53788 to correct an error on the event classification block of the form. The original notification did not have the block for 8 hour notification for Specified System Actuation checked. The actuation of Reactor Core Isolation Cooling System was discussed in original notification."

The licensee notified the NRC Resident Inspector.

Notified R4DO (Taylor).


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