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Event Notification Report for February 11, 2020

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
2/10/2020 - 2/11/2020

** EVENT NUMBERS **

Agreement State	Event Number: 54504
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL Licensee: BDJL ENTEPRISES LLC DBA BLUE WATER SPA COVERS Region: 1 City: Apopka State: FL County: License #: Agreement: Y Docket: NRC Notified By: MATTHEW SENISON HQ OPS Officer: KERBY SCALES	Notification Date: 01/31/2020 Notification Time: 14:56 [ET] Event Date: 01/31/2020 Event Time: 00:00 [EST] Last Update Date: 02/03/2020
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): MARK HENRION (R1DO) NMSS_EVENTS_NOTIFICATION (EMAIL) OIP_Notifications Resource (EMAIL)

Event Text

GAMMA ALARM FIXED RADIATION PORTAL MONITOR

The following was received from the state of Florida Bureau of Radiation Control via fax:

"[Customs and Border Protection] CBP called the [Bureau of Radiation Control Incident Response Center] BRC IRC to report that at 1105 EST, CBP had a gamma alarm from a fixed radiation portal monitor for a 20 ft. sea container manifested as containing PVC Leather, Buckles, and Grommets. A CBP officer inspected the container using a RadSeeker DL RIID (1.5x1.5in LaBr3). The RIID identified Th-232, and this was confirmed manually by CBP lab personnel using PeakEasy gamma spectroscopy software. The highest reported dose rate was 103 microR/hr at contact with the sea container (1034 cps at contact); this is approximately 9-10 times the average background dose rate for this location. The radiation was distributed throughout the entire length of the container. Guidance requested as to whether or not CBP should refuse entry on the shipment, or if it is acceptable to release it into commerce. There are concerns as to whether or not this product may contain one-twentieth of one percent (0.05 percent) or more by weight of Th-232, violate other radiological regulations, or pose additional concerns."

Notified R1DO (Henrion), NMSS Events (email), OIP Notifications Resource (email)

Florida Incident Number: FL20-011

* * * UPDATE ON 2/3/20 AT 1400 EST FROM MATTHEW SENISON TO KERBY SCALES * * *

"This morning between 0800 and 0900 EST, [BRC IRC] inspector went to the Blount Island Marine Terminal in Jacksonville, FL to inspect a container that US Customs and Border Protection had identified as having higher than background levels of radiation. The container was opened for [the inspector], and [the inspector] found the items in the container did match the information that was reported to the Bureau of Radiation Control (BRC). Specifically, spools of faux-leather, and boxes that contained plastic grommets and buckles. These items were manufactured or assembled in China for delivery to a pool cover supply company in Apopka, FL. The boxes did not contain radiation levels above background. The spools of faux-leather had slightly higher than background levels of radiation when unrolled. Their spindles were made of cardboard and did not have higher than background levels of radiation. When the faux-leather was rolled up, the radioactivity increased.

"The BRC has given the guidance that the container and its contents may be released, but this has not happened yet. If it is released, the BRC is of the opinion that the intended recipient should be surveyed for radiation, in case this is a common occurrence."

Notified R1DO (Henrion), NMSS Events (email), and OIP Notifications Resource (email)

Agreement State	Event Number: 54505
Rep Org: ARIZONA DEPT OF HEALTH SERVICES Licensee: VANN ENGINEERING Region: 4 City: PHOENIX State: AZ County: License #: 07-263 Agreement: Y Docket: NRC Notified By: BRIAN GORETZKI HQ OPS Officer: DONALD NORWOOD	Notification Date: 01/31/2020 Notification Time: 15:35 [ET] Event Date: 01/31/2020 Event Time: 00:00 [MST] Last Update Date: 01/31/2020
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): RAY AZUA (R4DO) NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - MOISTURE DENSITY GAUGE RUN OVER BY VEHICLE

The following information was received via E-mail:

"The Department [Arizona Department of Health Services] received notification from the licensee that a technician had backed up over a portable moisture density gauge with their truck. The gauge is a Troxler 3430, Serial Number 35062, containing approximately 8 milliCuries of cesium-137 and 40 milliCuries of americium-241:beryllium. The Department has requested additional information and continues to investigate the event.

Arizona Incident: 20-002

Agreement State	Event Number: 54510
Rep Org: SC DEPT OF HEALTH & ENV CONTROL Licensee: PRISMA HEALTH BAPTIST HOSPITAL Region: 1 City: Columbia State: SC County: License #: 076 Agreement: Y Docket: NRC Notified By: ADAM GAUSE HQ OPS Officer: KERBY SCALES	Notification Date: 02/03/2020 Notification Time: 13:42 [ET] Event Date: 01/29/2020 Event Time: 00:00 [EST] Last Update Date: 02/03/2020
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): MARK HENRION (R1DO) NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - INCORRECT ORGAN RECEIVED TREATMENT

The following was received from the South Carolina Department of Health and Environmental Control via email:

"The South Carolina Department of Health and Environmental Control was notified on 02/03/2020 of a potential medical event involving a prostate seed implant. The procedure occurred on 01/29/2020, and the licensee's radiation safety officer was notified of the potential medical event on 02/03/2020. The prescribed dose to the prostate was 145 Gray, with 76 seeds being implanted. Total activity of the seeds is being reported as 26.6 milliCuries. The licensee is reporting that the seeds were implanted into the bladder and not the prostate. As of 01/31/2020, 41 seeds of the implanted 76 seeds were still implanted in the patient. The licensee is also reporting the loss of 35 seeds. The prostate seed manufacturer is ISOAID, LLC ADVANTAGE I-125. The model of the seeds is IAI-125A. This event is still under investigation by the licensee and the South Carolina Department of Health and Environmental Control."

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.

Notified R1DO (Henrion) and NMSS Events (email)

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