Event Notification Report for February 07, 2020

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
2/6/2020 - 2/7/2020

** EVENT NUMBERS **

Agreement State	Event Number: 54469
Rep Org: MISSISSIPPI DIV OF RAD HEALTH Licensee: ALS INDUSTRIAL PTY Region: 4 City: VICKSBURG State: MS County: License #: LA-13553-L01 Agreement: Y Docket: NRC Notified By: JAYSON MOAK HQ OPS Officer: KARL DIEDERICH	Notification Date: 01/09/2020 Notification Time: 12:50 [ET] Event Date: 12/30/2019 Event Time: 00:00 [CST] Last Update Date: 02/06/2020
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): HEATHER GEPFORD (R4DO) NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

EN Revision Imported Date : 2/7/2020

EN Revision Text: AGREEMENT STATE REPORT - RADIOGRAPHY SOURCE COULDN'T BE RETRACTED

The following was received from the Agreement State via e-mail:

"RSO reported inability to retract a 40.2 Ci Ir-192 source (Source Model A424-9), (Source Serial No. 89706G) into the Sentinel/QSA 880 Delta exposure device (Serial No. D12297) during the period of 12/31/2019 to 1/1/2020.

"Licensee notified of 24 hour reporting requirement and to send written 30-day report."

Mississippi report number: MS-200001.

* * * UPDATE ON 02/06/2020 AT 1321 EST FROM ROBERT SIMS TO BETHANY CECERE * * *

The state of Mississippi sent the following update by email:

"[State Health Physicists] investigated the inability to retract the source, and the RSO reported that corrosion inside the crank cables caused the cable to hang up. The crew followed their emergency procedures and called the RSO. The RSO retracted the source into the fully shielded position and OSL [optically stimulated luminescence] badges were processed showing that no over exposure occurred, and the occupation exposure limits were maintained in compliance."

Notified R4DO (Taylor) and NMSS Events Group by email.

Agreement State	Event Number: 54497
Rep Org: PA BUREAU OF RADIATION PROTECTION Licensee: DAVID BLACKMORE & ASSOCIATES Region: 1 City: POTTSTOWN State: PA County: License #: PA-1286 Agreement: Y Docket: NRC Notified By: JOHN CHIPPO HQ OPS Officer: ANDREW WAUGH	Notification Date: 01/29/2020 Notification Time: 14:31 [ET] Event Date: 01/29/2020 Event Time: 00:00 [EST] Last Update Date: 01/30/2020
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): MARK HENRION (R1DO) NMSS_EVENTS_NOTIFICATION (EMAIL) ILTAB (EMAIL) - CNSC (CANADA) (EMAIL)

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

Event Text

AGREEMENT STATE REPORT - STOLEN NUCLEAR DENSITY GAUGE

The following was received from the Pennsylvania Bureau of Radiation Protection (the Department) via email:

"On January 29, 2020, the licensee informed the Department that one of their vehicles, with a nuclear density gauge in the trunk, was stolen earlier that day. The licensee has filed a police report. The Department has been in contact with the licensee and will update this event as soon as more information is provided."

The gauge is a CPN International, Model MC-1 DR-P (Serial Number: M7077803), with a 10 mCi Cs-137 source and a 50 mCi Am-241/Be source.

PA Event Report ID No.: PA200002

* * * UPDATE ON 1/30/2020 AT 1346 EST FROM JOHN CHIPPO TO ANDREW WAUGH * * *

The following was received from the Pennsylvania Bureau of Radiation Protection (the Department) via email:

"At approximately 2250 EST on January 29, 2020 the licensee informed the Department the stolen car had been recovered with the gauge still padlocked in the trunk of the car and secured with a padlocked chain. The employee had started his car and then returned to his house to get his lunch, and the car was stolen during this time."

Notified R1DO (Henrion), NMSS Events (email), ILTAB (email), and CNSC (email).

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

Non-Agreement State	Event Number: 54498
Rep Org: CHRISTIANA CARE Licensee: CHRISTIANA CARE HEALTH SERVICES, INC. Region: 1 City: NEWARK State: DE County: License #: 07-12153-02 Agreement: N Docket: NRC Notified By: XIAOQUAN WEN HQ OPS Officer: HOWIE CROUCH	Notification Date: 01/29/2020 Notification Time: 15:28 [ET] Event Date: 01/28/2020 Event Time: 00:00 [EST] Last Update Date: 01/29/2020
Emergency Class: NON EMERGENCY 10 CFR Section: 35.3047(a) - EMBRYO/FETUS DOSE > 50 mSv	Person (Organization): MARK HENRION (R1DO) NMSS_EVENTS_NOTIFICATION (EMAIL) PATRICIA MILLIGAN (INES) MICHAEL LAYTON (NMSS)

Event Text

RADIATION DOSE TO A FETUS

On January 9, 2020, a patient received Lu-177 treatment. The dose prescribed was 203.5 milliCuries. On January 28, 2020, the Authorized User was informed by the patient's physician that the patient was pregnant at the time of treatment. The Authorized User informed the patient.

The initial dose to the fetus was calculated to be 143 milligray (14.3 rem).

The licensee has hired a consultant to determine if the calculated dose is correct.

Agreement State	Event Number: 54499
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES Licensee: USA ENVIRONMENT LP Region: 4 City: DEER PARK State: TX County: License #: L-05616 Agreement: Y Docket: NRC Notified By: KAREN BLANCHARD HQ OPS Officer: HOWIE CROUCH	Notification Date: 01/29/2020 Notification Time: 16:38 [ET] Event Date: 01/29/2020 Event Time: 00:00 [CST] Last Update Date: 01/29/2020
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): JOHN DIXON (R4DO) NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

TEXAS AGREEMENT STATE REPORT - CONTAMINATION EVENT RESULTING IN RESTRICTED ACCESS

The following is a summary of information obtained from the state of Texas via email:

On January 28, 2020, the licensee notified the Agency [Texas Department of State Health Services], that it had discovered a load of soil containing Radium-228, collected during remediation/decommissioning activities for another licensee, had been taken to the municipal landfill in error. The soil was taken to the landfill on January 15, 2020, and was identified by the licensee on January 24, 2020. The error was identified while processing sample reports and other paperwork. A sample indicated the material had a concentration of 776 picoCuries of Radium-228 per gram. The Agency has confirmed the material does not pose a risk of becoming an uncontrolled contamination event, because it is in a cell at the landfill with clean soil covering it. The area has been cordoned off and the material does not pose a risk of exposure to any individual. The licensee has coordinated with the landfill to go onsite February 3, 2020, to take surveys and get information to develop a plan to recover the material so it can be properly disposed of. An investigation into this event is ongoing.

More information will be provided as it is obtained in accordance with SA-300.

Texas Incident No.: 9736

Agreement State	Event Number: 54500
Rep Org: NE DIV OF RADIOACTIVE MATERIALS Licensee: HOME DEPOT #3208 Region: 4 City: GRAND ISLAND State: NE County: License #: GL0614 Agreement: Y Docket: NRC Notified By: DEB WILSON HQ OPS Officer: ANDREW WAUGH	Notification Date: 01/29/2020 Notification Time: 17:30 [ET] Event Date: 01/29/2020 Event Time: 00:00 [CST] Last Update Date: 01/29/2020
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): JOHN DIXON (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 - LOST TRITIUM EXIT SIGNS

This is a summary of information received from the state of Nebraska via a phone call:

On 1/29/2020, the licensee notified Nebraska that they are currently unable to locate 31 tritium exit signs. The tritium exit signs have all been replaced by LED signs, but management has been unable to locate the disposal records and are considering the signs lost at this time.

29 of the signs contain approximately 9.21 Ci of tritium each and 2 of the signs contain approximately 7.09 Ci of tritium each.

Nebraska incident number: NE200002

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

Agreement State	Event Number: 54501
Rep Org: ARIZONA DEPT OF HEALTH SERVICES Licensee: TALLPINES ENVIRONMENTAL CONSULTING Region: 4 City: FLAGSTAFF State: AZ County: License #: 13-019 Agreement: Y Docket: NRC Notified By: BRIAN GORETZKI HQ OPS Officer: ANDREW WAUGH	Notification Date: 01/30/2020 Notification Time: 16:04 [ET] Event Date: 01/29/2020 Event Time: 00:00 [MST] Last Update Date: 01/30/2020
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): JOHN DIXON (R4DO) NMSS_EVENTS_NOTIFICATION (EMAIL) ILTAB (EMAIL) - CNSNS (MEXICO) (FAX)

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

Event Text

AGREEMENT STATE REPORT - STOLEN SOURCE

The following report was received from the Arizona Department of Health Services (Department) via email:

"The Department received notification from the licensee that they reported their RMD XRF Lead-Based Paint Analyzer, serial number 1115, stolen on January 29, 2020. The analyzer possesses approximately 1 milliCurie of Co-57. The licensee shipped the equipment to Protec Instrument Corporation in Waltham, MA for resourcing. It was received by Protec Instruments on September 11, 2019. Since that date, the licensee stated that they have not heard from the company and have called and left messages for months with no response.

"The licensee contacted their equipment insurance company to process a claim and were told that they would need to report the equipment stolen. They reported the equipment stolen to the Flagstaff Police Department and the report number is P20-01171. The Department has requested additional information and continues to investigate the event."

Arizona Incident: 20-001

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

Page Last Reviewed/Updated Wednesday, March 24, 2021