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Event Notification Report for September 18, 2020

U.S. Nuclear Regulatory Commission
Operations Center

Event Reports For
9/17/2020 - 9/18/2020

** EVENT NUMBERS **

Agreement State	Event Number: 54891
Rep Org: TEXAS DEPT OF STATE HEALTH SERVICES Licensee: Mistras Group Inc. Region: 4 City: Deer Park State: TX County: License #: L 06369 Agreement: Y Docket: NRC Notified By: Arthur Tucker HQ OPS Officer: Thomas Herrity	Notification Date: 09/09/2020 Notification Time: 11:26 [ET] Event Date: 09/08/2020 Event Time: 00:00 [CDT] Last Update Date: 09/09/2020
Emergency Class: Non Emergency 10 CFR Section: Agreement State	Person (Organization): GREG WARNICK (R4DO) NMSS_EVENTS_NOTIFICATION (EMAIL)

This material event contains a "Category 2" level of radioactive material.

Event Text

AGREEMENT STATE REPORT - LOST AND RECOVERED CAMERA

The following was received from Texas Department of Health Services (the agency) via email:

"On September 9, 2020, the Agency was notified by the licensee's radiation safety officer (RSO) that on September 8, 2020, one of his crews lost a QSA 880D exposure device containing a 38.1 Curie iridium-192 source. The radiography crew had placed the exposure device on the tailgate of their truck at the licensee's location. The crew drove away from the site with the exposure device still on the tailgate. The device fell off the truck a short distance from the licensee's location. A second crew left the licensee's location a short time (10 minutes) later and found the device on the pavement. The second crew performed a radiation survey of the device and found the radiation levels to be normal and the source was still fully shielded. The second crew returned the device to the licensee's location. The device was inspected and did not appear to be damaged. The licensee has sent the device to the manufacturer for inspection. Additional information has been requested from the licensee. Additional information will be provided as it is received in accordance with SA-300. "

Texas Incident Number: I-9798

THIS MATERIAL EVENT CONTAINS A "CATEGORY 2" LEVEL OF RADIOACTIVE MATERIAL

Category 2 sources, if not safely managed or securely protected, could cause permanent injury to a person who handled them, or were otherwise in contact with them, for a short time (minutes to hours). It could possibly be fatal to be close to this amount of unshielded radioactive material for a period of hours to days. These sources are typically used in practices such as industrial gamma radiography, high dose rate brachytherapy and medium dose rate brachytherapy. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf

Agreement State	Event Number: 54892
Rep Org: IOWA DEPARTMENT OF PUBLIC HEALTH Licensee: Mid American Energy - Lousia Generating Station Region: 3 City: Muscatine State: IA County: License #: 0040-1-70-FG Agreement: Y Docket: NRC Notified By: Randal S. Dahlin HQ OPS Officer: Thomas Herrity	Notification Date: 09/09/2020 Notification Time: 12:17 [ET] Event Date: 09/09/2020 Event Time: 00:00 [CDT] Last Update Date: 09/09/2020
Emergency Class: Non Emergency 10 CFR Section: Agreement State	Person (Organization): DAVID HILLS (R3DO) NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - BROKEN SHUTTER MECHANISM ON FIXED GAUGE

The following was received from Iowa Department of Public Health via email:

"The licensee reported today that during a routine shutter check it was discovered that a shutter on a fixed gauging device had come off of its hinge. The device is located on coal silo 106 outlet at the 163 foot elevation. Due to the location of the device, no personnel can be exposed to the beam. The licensee has contacted a vendor to repair the shutter. This event will be updated once the agency receives the written report. "

Iowa Incident Number: IA200003

Agreement State	Event Number: 54893
Rep Org: WISCONSIN RADIATION PROTECTION Licensee: Medical College of Wisconsin Region: 3 City: Milwaukee State: WI County: License #: 079-1104-01 Agreement: Y Docket: NRC Notified By: Kyle Walton HQ OPS Officer: Caty Nolan	Notification Date: 09/09/2020 Notification Time: 16:28 [ET] Event Date: 09/09/2020 Event Time: 00:00 [CDT] Last Update Date: 09/09/2020
Emergency Class: Non Emergency 10 CFR Section: Agreement State	Person (Organization): DAVID HILLS (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 - LOST AND FOUND MO-99/TC-99M GENERATOR

The following was received from the State of Wisconsin Department of Health Services (the Department) via email:

"On September 9, 2020, the licensee reported a missing 7.5 Ci Mo-99/Tc-99m generator, which was subsequently found, to the Department. The facility receives a generator every Sunday evening. On September 8, the licensee became aware that this week's generator was missing and initiated search efforts. The licensee confirmed with the generator supplier that a generator was delivered on September 6. The licensee reviewed security footage and determined that the generator was delivered at 2115 CDT on September 6. The licensee reviewed additional camera footage and determined that a different courier service requested access to the nuclear medicine hot lab about an hour later and took the package that had been delivered at 2115 CDT. The licensee contacted the second courier service and determined that the missing generator was found in the courier's warehouse on September 9. The generator has been returned to the licensee.

"The licensee is evaluating potential dose to members of the public. The Department will perform a follow-up investigation."

Event Report No.: WI200006

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: 54894
Rep Org: NEW YORK STATE DEPT. OF HEALTH Licensee: Not Provided Region: 1 City: State: NY County: License #: Not Provided Agreement: Y Docket: NRC Notified By: Daniel Samson HQ OPS Officer: Thomas Herrity	Notification Date: 09/09/2020 Notification Time: 16:29 [ET] Event Date: 09/09/2020 Event Time: 00:00 [EDT] Last Update Date: 09/09/2020
Emergency Class: Non Emergency 10 CFR Section: Agreement State	Person (Organization): ANNE DeFRANCISCO (R1DO) NMSS_EVENTS_NOTIFICATION (EMAIL)

Event Text

AGREEMENT STATE REPORT - MEDICAL EVENT - UNDERDOSE

The following was received from the New York State Department of Health via fax:

"A medical licensee reported that only 30.3 mCi of a prescribed dose of 45.1 mCi of SIRTEX SIR-Spheres was delivered to a patient. The microspheres apparently became clogged in the applicator. A written report is forthcoming."

Event Report ID No.: NYDOH-20-03

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.

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