Event Notification Report for April 06, 2020

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
4/3/2020 - 4/6/2020

** EVENT NUMBERS **

Non-Agreement State	Event Number: 54613
Rep Org: ALT & WITZIG ENGINEERING Licensee: ALT & WITZIG ENGINEERING Region: 3 City: INDIANAPOLIS State: IN County: License #: 13-18685-02 Agreement: N Docket: NRC Notified By: MARK HERBER HQ OPS Officer: BRIAN LIN	Notification Date: 03/26/2020 Notification Time: 10:00 [ET] Event Date: 03/26/2020 Event Time: 00:00 [EDT] Last Update Date: 03/26/2020
Emergency Class: NON EMERGENCY 10 CFR Section: 20.2201(a)(1)(ii) - LOST/STOLEN LNM>10X	Person (Organization): JOHN HANNA (R3DO) NMSS_EVENTS_NOTIFICATION (EMAIL) ILTAB (EMAIL)

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

Event Text

LOST AND FOUND DENSITY GAUGE

On 3/26/2020, at 0730 CDT, a CPN density gauge (Model CPN Corp MC1-DR, S/N 60103007; 10 milliCuries of Cesium-137 and 50 mCi of Americium-241 source) was reported stolen out of a technician's vehicle and was recovered. The licensee notified the Indianapolis Police Department and the density gauge was recovered when a bystander found the case abandoned on the street. The licensee inspected and surveyed the properly secured density gauge and observed no damage or leakage. The licensee states there was no radiological impact to the public.

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: 54615
Rep Org: COLORADO DEPT OF HEALTH Licensee: COLORADO DEPARTMENT OF HUMAN SERVICES Region: 4 City: PUEBLO State: CO County: License #: GL002131 Agreement: Y Docket: NRC Notified By: KATHRYN MOTE HQ OPS Officer: BRIAN LIN	Notification Date: 03/26/2020 Notification Time: 10:13 [ET] Event Date: 06/29/2018 Event Time: 00:00 [MDT] Last Update Date: 03/26/2020
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): RAY KELLAR (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

The following was received from the state of Colorado via email:

"Two tritium exit signs, containing 11.4 Curies each was determined lost.

"Initial Date Reported: 6/29/18

"Final Decision Material Lost Date: 6/29/18"

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_we

Agreement State	Event Number: 54616
Rep Org: COLORADO DEPT OF HEALTH Licensee: BOULDER RURAL FIRE DEPT. Region: 4 City: BOULDER State: CO County: License #: GL002110 Agreement: Y Docket: NRC Notified By: KATHRYN MOTE HQ OPS Officer: OSSY FONT	Notification Date: 03/26/2020 Notification Time: 10:46 [ET] Event Date: 06/25/2018 Event Time: 00:00 [MDT] Last Update Date: 03/26/2020
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): RAY KELLAR (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 SIGN

The following was received from the state of Colorado via email:

"A tritium exit sign, containing 7.09 Ci, was knocked off wall at the Boulder Rural Fire Dept. and assumed to have been discarded in the dumpster."

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: 54617
Rep Org: COLORADO DEPT OF HEALTH Licensee: BOONDOCKS FUN CENTER Region: 4 City: NORTHGLEN State: CO County: License #: GL002174 Agreement: Y Docket: NRC Notified By: KATHRYN MOTE HQ OPS Officer: BETHANY CECERE	Notification Date: 03/26/2020 Notification Time: 12:02 [ET] Event Date: 07/01/2019 Event Time: 00:00 [MDT] Last Update Date: 03/26/2020
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): RAY KELLAR (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 SIGN

The following was received from the state of Colorado via email:

"One tritium exit sign, containing 6.2 Curies, was determined lost after it was removed during renovation.

"Initial Date Reported: 7/1/19

"Final Decision Material Lost Date: 7/1/19"

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: 54618
Rep Org: FLORIDA BUREAU OF RADIATION CONTROL Licensee: GHD SERVICES, INC. Region: 1 City: TAMPA State: FL County: License #: 4498-1 Agreement: Y Docket: NRC Notified By: MATTHEW SENISON HQ OPS Officer: CATY NOLAN	Notification Date: 03/26/2020 Notification Time: 14:25 [ET] Event Date: 03/26/2020 Event Time: 00:00 [EDT] Last Update Date: 03/26/2020
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): CHRISTOPHER CAHILL (R1DO) NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - DAMAGED MOISTURE DENISTY GAUGE CASE

The following was received via email:

"[The licensee] notified the [Florida Bureau of Radiation Control] BRC that a Soil Moisture Density Gauge was 'bumped over' at a construction site in [Clearwater, FL] by a machine while in use during a standard count. [The licensee] claims there was no damage to the sources, only damage to the case. The area has been cordoned off, no information on site exclusion prior to the impact has been reported. The [Radiation Safety Officer] RSO has not returned phone calls at this time. The [Florida State Watch Office] FL SWO and [Department of Environmental Protection] DEP have contacted the BRC about this incident. An inspector from [the Florida western office] is requested at this time."

Florida Incident Report Number: FL20-045

* * * UPDATE ON 03/26/2020 AT 1533 EDT FROM MARK SEIDENSTICKER TO CATY NOLAN * * *

The following was received via phone call:

The gauge was bumped and dragged approximately 10 feet at the construction site during a calibration. The source was retracted. There was no release or visible damage.

Notified R4DO (Kellar) and NMSS Events (via email).

Agreement State	Event Number: 54619
Rep Org: COLORADO DEPT OF HEALTH Licensee: CHERRY HILLS CONDO CORPORATION III Region: 4 City: DENVER State: CO County: License #: GL002177 Agreement: Y Docket: NRC Notified By: KATHRYN MOTE HQ OPS Officer: CATY NOLAN	Notification Date: 03/26/2020 Notification Time: 15:29 [ET] Event Date: 05/09/2018 Event Time: 00:00 [MDT] Last Update Date: 03/26/2020
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): RAY KELLAR (R4DO) NMSS_EVENTS_NOTIFICATION (EMAIL) LAURA PEARSON (ILTAB)

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

Event Text

AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGNS

The following was received from the state of Colorado via email:

"Two tritium exit signs, containing 6.0 Curies each, was determined lost after a change in management.

"Initial Date Reported: 12/18/17

"Final Decision Material Lost Date: 5/9/18"

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: 54620
Rep Org: COLORADO DEPT OF HEALTH Licensee: FIVE RIVERS CATTLE FEEDING Region: 4 City: LASALLE State: CO County: License #: GL002226 Agreement: Y Docket: NRC Notified By: KATHRYN MOTE HQ OPS Officer: CATY NOLAN	Notification Date: 03/26/2020 Notification Time: 17:08 [ET] Event Date: 02/02/2018 Event Time: 00:00 [MDT] Last Update Date: 03/26/2020
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): RAY KELLAR (R4DO) NMSS_EVENTS_NOTIFICATION (EMAIL) LAURA PEARSON (ILTAB)

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

Event Text

AGREEMENT STATE REPORT - LOST TRITIUM EXIT SIGNS

The following was received from the state of Colorado via email:

"Two tritium exit signs, containing 6.2 Curies each, was determined lost during annual inventory.

"Initial Date Reported: 12/16/17

"Final Decision Material Lost Date: 2/2/18"

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: 54622
Rep Org: NE DIV OF RADIOACTIVE MATERIALS Licensee: PLATTE PIPELINE COMPANY Region: 4 City: HOLDREGE State: NE County: License #: GL-0102 Agreement: Y Docket: NRC Notified By: BRYAN MILLER HQ OPS Officer: THOMAS KENDZIA	Notification Date: 03/27/2020 Notification Time: 15:20 [ET] Event Date: 03/05/2020 Event Time: 00:00 [CDT] Last Update Date: 03/27/2020
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): RAY KELLAR (R4DO) NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - STUCK OPEN SHUTTER ON DENSITY GAUGE

The following is a synopsis of information provided by the Nebraska, Department of Health & Human Services, via phone notification:

Licensee reported to the Nebraska Department of Health and Human Services on March, 24, 2020, that during their 6 month check of the shutter functionality on March 5, 2020, the shutter on a density gauge would not close all the way. The density gauge is an Ohmart/Vega Corporation model SH-F2 density gauge with a Cs-137 500 milliCurie source. The serial number for the gauge is 9103GK. The gauge is installed in a process system and provides no threat to personnel. The licensee has contacted the gauge manufacturer for repair.

Nebraska report number NE20004

Agreement State	Event Number: 54623
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES Licensee: CHI ST LUKES HEALTH BAYLOR COLLEGE OF MEDICINE Region: 4 City: HOUSTON State: TX County: License #: L06661 Agreement: Y Docket: NRC Notified By: KAREN BLANCHARD HQ OPS Officer: BRIAN P. SMITH	Notification Date: 03/27/2020 Notification Time: 20:22 [ET] Event Date: 03/27/2020 Event Time: 00:00 [CDT] Last Update Date: 03/27/2020
Emergency Class: NON EMERGENCY 10 CFR Section: AGREEMENT STATE	Person (Organization): RAY KELLAR (R4DO) NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - UNDERDOSE OF PATIENT MEDICAL EVENT

The following was received from the State of Texas via email:

"On March 27, 2020, the licensee reported that at the completion of a procedure during which 26 milliCuries of Yttrium-90 Sirspheres were administered to a patient, the assay of the tubing, vial, catheter, etc., revealed that the patient had only received approximately 16 milliCuries of the administered dose. Approximately 10 milliCuries were still in the equipment. The authorized user determined this was not the result of vascular stasis. The licensee plans to hold the administration equipment for decay for approximately seven days at which time they will assay and inspect the equipment and attempt to determine the cause. An investigation into this event is ongoing. More information will be provided as it is obtained in accordance with SA-300."

Texas Incident Number: 9755

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.

Non-Power Reactor	Event Number: 54628
Facility: IDAHO STATE UNIVERSITY RX Type: 0.005 KW AGN-201M #103 Comments: Region: 0 City: POCATELLO State: ID County: BANNOCK License #: R-110 Agreement: N Docket: 05000284 NRC Notified By: MARY LOU DUNZIK-GOUGAR HQ OPS Officer: BRIAN LIN	Notification Date: 04/01/2020 Notification Time: 14:40 [ET] Event Date: 03/31/2020 Event Time: 17:50 [MDT] Last Update Date: 04/03/2020
Emergency Class: NON EMERGENCY 10 CFR Section: NON-POWER REACTOR EVENT	Person (Organization): XIAOSONG YIN (NRR PM) ELIZABETH REED (NPR) WILLIAM GOTT (IRD)

Event Text

NOTIFICATION OF A NON-EMERGENCY UNUSUAL EVENT DUE TO A SEISMIC EVENT

The following is a summary of information received from the Idaho State University Reactor Facility via phone conversation:

At 1750 MDT on March 31, 2020, the licensee declared a Notification of Unusual Event due to seismic activity felt from an earthquake originating in southern Idaho. The facility was closed due to the suspension of all campus activities set forth by the pandemic response. The reactor was shutdown at the time of the earthquake and is being constantly monitored by the campus public safety office. Inspections of the facility will be performed.

The licensee notified the NRR Project Manager (Yin).

* * * UPDATE ON 4/3/20 AT 1532 EDT FROM MARY LOU DUNZIK-GOUGAR TO ANDREW WAUGH * * *

The licensee has finished conducting visual inspections and monitoring activity levels throughout the facility. All indications came back normal. The licensee also verified the seismic indicator was still in its proper position.

Notified NRR PM (Yin) and NPR (Reed).

Power Reactor	Event Number: 54639
Facility: CALLAWAY Region: 4 State: MO Unit: [1] [] [] RX Type: [1] W-4-LP NRC Notified By: JEFF GULICK HQ OPS Officer: THOMAS KENDZIA	Notification Date: 04/04/2020 Notification Time: 05:31 [ET] Event Date: 04/04/2020 Event Time: 01:15 [CDT] Last Update Date: 04/04/2020
Emergency Class: NON EMERGENCY 10 CFR Section: 50.72(b)(2)(iv)(B) - RPS ACTUATION - CRITICAL 50.72(b)(3)(iv)(A) - VALID SPECIF SYS ACTUATION	Person (Organization): VINCENT GADDY (R4DO)

Unit

SCRAM Code

RX Crit

Initial PWR

Initial RX Mode

Current PWR

Current RX Mode

A/R

100

Power Operation

Hot Standby

Event Text

AUTOMATIC REACTOR TRIP

"At 0114 [CDT] on April 04, 2020 the plant was in Mode 1 at 100 percent power when a Digital Feedwater Trouble alarm was received unexpectedly. Operators identified a full feedwater demand signal and lowering level in the 'C' Steam Generator. At 0115 a Reactor Trip signal for Low Steam Generator Level was received. All systems responded as expected. A Feedwater Isolation signal was received due to the reactor trip with RCS average temperature less than 564 degrees Fahrenheit. Auxiliary Feedwater started on a valid actuation signal to restore and maintain Steam Generator levels. The Plant is being maintained stable in Mode 3 with no complications.

"The NRC Resident Inspector has been notified of the Reactor Trip."

All control rods fully inserted from the reactor trip signal, and decay heat is being removed via the Auxiliary Feedwater and Steam Dump Systems.

Page Last Reviewed/Updated Wednesday, March 24, 2021