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Event Notification Report for October 04, 2022

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
10/03/2022 - 10/04/2022

Agreement State
Event Number: 56121
Rep Org: Colorado Dept of Health
Licensee: Anheuser-Busch, LLC
Region: 4
City: Fort Collins   State: CO
County:
License #: CO1153-01
Agreement: Y
Docket:
NRC Notified By: Matt Gift
HQ OPS Officer: Karen Cotton-Gross
Notification Date: 09/26/2022
Notification Time: 11:52 [ET]
Event Date: 09/14/2022
Event Time: 00:00 [MDT]
Last Update Date: 09/26/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Kellar, Ray (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
AGREEMENT STATE REPORT - GAUGE SHUTTER FAILURE

"On September 14, 2022, a generally licensed fixed gauge (Heuft Model 45US, SN: 2RG017177) containing 40 mCi of Am-241 (Source Model AMC.25, SN: 4479CW) failed to operate/function as designed. The on-off mechanism (e.g. shutter) of the device failed to return to the closed position. The licensee contacted the manufacturer and the device was removed from service. On September 16, 2022, the manufacturer arrived at the facility and repaired the device. Surveys and safety checks were performed by the manufacturer, and it was determined that the likelihood of anyone being exposed to excessive radiation levels is highly unlikely."

Colorado - Event Report ID No.: CO220031


Non-Agreement State
Event Number: 56122
Rep Org: University of Missouri
Licensee: University of Missouri
Region: 3
City: Columbia   State: MO
County:
License #: 103
Agreement: N
Docket:
NRC Notified By: Daniel Doenges
HQ OPS Officer: Adam Koziol
Notification Date: 09/26/2022
Notification Time: 13:45 [ET]
Event Date: 09/21/2022
Event Time: 00:00 [CDT]
Last Update Date: 09/26/2022
Emergency Class: Non Emergency
10 CFR Section:
20.2201(a)(1)(ii) - Lost/Stolen LNM>10x
Person (Organization):
Szwarc, Dariusz (R3DO)
ILTAB, (EMAIL)
NMSS_Events_Notification, (EMAIL)
Miller, Mark (R2DO)
Event Text
LOSS OF RADIOACTIVE MATERIAL IN TRANSIT

The following information was provided by the licensee via phone:

A shipment of Lutetium-177 was reported lost on September 21, 2022, en route from the University of Missouri to the University of California, San Francisco. The sample was 105 mCi when shipped on September 8 and would be no more than 20 mCi when reported lost on September 21, 2022. The last known location of the package was at the common carrier's facility in Memphis, Tennessee.

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: 56123
Rep Org: Maine Radiation Control Program
Licensee: Diligistics
Region: 1
City: Yarmouth   State: ME
County:
License #: ME 05373
Agreement: Y
Docket:
NRC Notified By: Catherine S. Perham
HQ OPS Officer: Karen Cotton-Gross
Notification Date: 09/26/2022
Notification Time: 14:34 [ET]
Event Date: 09/05/2022
Event Time: 00:00 [EDT]
Last Update Date: 09/26/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Ambrosini, Josephine (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
Event Text
AGREEMENT STATE REPORT - LOST SHIPMENT OF H-3 SOURCES (WATCHES)

The following information was provided by the Maine Radiation Control Program via email:

"Maine Radiation Control Program was notified by the licensee (Digilistics) at 1321 [EDT] on Monday, September 26, 2022, [that] a shipment of nine boxes of watches was sent via [a common carrier] from Keytime Enterprises LTD of Hong Kong, China to Time Concepts of Boise, ID. One of the nine packages was not delivered by [the common carrier] to the consignee. The licensee was notified on September 5, 2022, and the Radiation Safety Officer (RSO) contacted [the common carrier] several times in an attempt to track down the missing package. The RSO received a voicemail from [the common carrier] on or about September 13, 2022, stating that [the common carrier] was officially unable to locate the package. The package contained a total of 84 H-3 watches with an activity of 25 mCi each for a total of 2,100 mCi or 2.1 Curies. Time Concepts has filed a claim with [the common carrier] for the lost watches."

Maine Event Report ID No: ME 22-002

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: 56124
Rep Org: Illinois Emergency Mgmt. Agency
Licensee: NASHNal Soil Testing
Region: 3
City: Michigan City   State: IN
County:
License #: IL-02440-01
Agreement: Y
Docket:
NRC Notified By: Gary Forsee
HQ OPS Officer: Ernest West
Notification Date: 09/26/2022
Notification Time: 15:19 [ET]
Event Date: 09/26/2022
Event Time: 00:00 [EDT]
Last Update Date: 09/26/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Szwarc, Dariusz (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL)
Event Text
AGREEMENT STATE REPORT - STOLEN GAUGE

The following information was provided by the Illinois Emergency Management Agency (The Agency) via email:

"[The radiation safety officer of] NASHnal Soil Testing (RML IL-02440-01) contacted the Agency at approximately 1200 [CDT] on 9/26/22, to report the theft of a Troxler model 3440 moisture density gauge (S/N 29187) from a jobsite in Michigan City, IN, sometime between the afternoon of 9/24/22 and 0700 on 9/26/22. The Illinois licensee was working in the state of Indiana under Nuclear Regulatory Commission jurisdiction under reciprocity. Local law enforcement had been notified and already departed the scene. Reportedly, the locks on up to ten storage containers were cut and the contents stolen. Two additional gauges were stolen from another licensee, but were recovered on site. The gauges were not co-located and reportedly the stolen gauge was locked within a jobsite box, within a locked storage container. The Agency is actively inquiring if the gauge handle was properly locked and if the gauge was stolen within its transport container.

"Agency inspectors will perform a reactionary inspection this week, obtain a copy of the police report to update Nuclear Material Events Database, and any other updates added as they become available."

Illinois Event Number: IL220034

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: 56125
Rep Org: Mississippi Div of Rad Health
Licensee: Tronox, LLC
Region: 4
City: Hamilton   State: MS
County:
License #: MS-149-01
Agreement: Y
Docket:
NRC Notified By: Jeff Algee
HQ OPS Officer: Karen Cotton-Gross
Notification Date: 09/26/2022
Notification Time: 15:43 [ET]
Event Date: 09/22/2022
Event Time: 15:57 [CDT]
Last Update Date: 09/26/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Kellar, Ray (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Event Text
AGREEMENT STATE REPORT - STUCK FIXED GAUGE SHUTTER

The following information was provided by the Mississippi State Department of Health (MSDH) via email:

"The licensee, Tronox, LLC in Hamilton, Mississippi (Monroe County) reported a fixed gauge (Ohmart SHF-2-30 Serial Number 5319GK, 200 mCi Cs-137) [with a] stuck shutter to Mississippi State Department of Health on late Friday afternoon (9/23/22). It was discovered [on] 9/22/22 at 1557 CDT.

"The failure was identified during calibration activities being performed by a BBP representative who is an authorized Ohmart representative.

"The source shutter failure appears to be caused by age and corrosion. No exposure has been received by Tronox personnel and the unit did not leave its normal operating position. A certified Ohmart representative will replace the shutter in place.

"MSDH has asked for a timeline on the replacement, a current survey reading at the restricted area boundary, and what additional precautions have been taken to assure no unnecessary exposures."

Mississippi Incident Number: MS-220004


Agreement State
Event Number: 56129
Rep Org: Illinois Emergency Mgmt. Agency
Licensee: G.E. Healthcare DBA/ Medi+Physics
Region: 3
City: Arlington Heights   State: IL
County:
License #: IL-01109-01
Agreement: Y
Docket:
NRC Notified By: Gary Forsee
HQ OPS Officer: Ernest West
Notification Date: 09/27/2022
Notification Time: 16:55 [ET]
Event Date: 09/14/2022
Event Time: 00:00 [CDT]
Last Update Date: 09/30/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Szwarc, Dariusz (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
MacDonald, Mark (ILTAB)
Kellar, Ray (R4DO)
Event Text
AGREEMENT STATE REPORT - LOST RADIOPHARMACEUTICAL PACKAGE

The following information was provided by the Illinois Emergency Management Agency (The Agency) via email:

"At approximately 2100 CDT on 9/16/22, the Agency received notice of a radiopharmaceutical package lost in the care of a commercial carrier while in transit from Arlington Heights, IL to Austin, TX. As of 9/27/22, the carrier continues to search for the package, which contained 2 vials of I-123 with an activity of 32 millicuries (mCi) (at the time of shipment, 9/14/22). The 32 mCi of I-123 have now decayed beneath 3 nanocuries.

"The carrier has indicated that the last known scan was the night of 9/14/22, when it arrived in Austin. They are actively searching the facility and have escalated to the local station management teams. There is no reason to believe the radioactive material was stolen, diverted, or is in the public domain. Texas program staff were notified along with the United Stated Nuclear Regulatory Commission Operations Center."

Illinois Event Number: IL220035

* * * UPDATE ON 9/30/2022 AT 1659 EDT FROM GARY FORSEE TO MIKE STAFFORD * * *

The following information was provided by the Illinois Emergency Management Agency via email:

"This source was found by the carrier and delivered. This matter is considered closed."

Notified R3DO (Szwarc) and R4DO (Kellar). Notified via email: NMSS Event Notification and ILTAB

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


Power Reactor
Event Number: 56119
Facility: FitzPatrick
Region: 1     State: NY
Unit: [1] [] []
RX Type: [1] GE-4
NRC Notified By: Caleb Wallace
HQ OPS Officer: Bill Gott
Notification Date: 09/26/2022
Notification Time: 05:41 [ET]
Event Date: 09/26/2022
Event Time: 03:06 [EDT]
Last Update Date: 10/04/2022
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(3)(iv)(A) - Valid Specif Sys Actuation
Person (Organization):
Arner, Frank (R1DO)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 A/R Y 0 Startup 0 Hot Standby
Event Text
EN Revision Imported Date: 10/5/2022

EN Revision Text: AUTOMATIC REACTOR SCRAM

The following information was provided by the licensee via email:

"At 0001 EDT on September 26, 2022, James A. FitzPatrick (JAF) removed the generator from service as part of a planned shutdown for refueling.

"At 0306 EDT, with the mode switch in Startup/Hot Standby and inserting rods, JAF experienced a spurious Scram and closure of seven out of eight main steam isolation valves (MSIV's). The reactor protection system (RPS) actuated during the event, resulting in all control rods being fully inserted.

"The cause of the closure of MSIV's and the Scram is being investigated.

"This condition is being reported as a four-hour NRC report per 10 CFR 50.72(b)(2)(iv)(B) for RPS actuation, and as an eight-hour, non-emergency notification per 10 CFR 50.72(b)(3)(iv)(A) for the safety system actuation based on the multiple main steam isolation valves closing on an isolation signal.

"There was no impact to the health and safety of the public. The NRC Resident Inspector has been notified."

* * * UPDATE ON 10/4/22 AT 2047 EDT FROM ANDREW WEAVER TO KERBY SCALES * * *

The following update was provided by the licensee via email:

"This Event Notification is being updated to clarify that the reactor was not critical when this event occurred. Therefore, the reporting requirement is changed from 10 CFR 50.72(b)(2)(iv)(B) to 10 CFR 50.72 (b)(3)(iv)(A) for Reactor Protection System (RPS) actuation along with Main Steam Isolation Valves (MSIV) system actuation.

"An analysis of reactor criticality was performed for the period of time prior to the RPS actuation event. Operators were inserting control rods per the shutdown Reactivity Management Plan. The Intermediate Radiation Monitoring (IRM) readings preceding the scram signal demonstrate a negative reactivity direction without control rod movement. The analysis concluded that the reactor was subcritical when RPS was actuated."

The NRC Resident Inspector has been notified.

Notified R1DO (Young).


Power Reactor
Event Number: 56136
Facility: Arkansas Nuclear
Region: 4     State: AR
Unit: [1] [2] []
RX Type: [1] B&W-L-LP,[2] CE
NRC Notified By: Mathew Goddard
HQ OPS Officer: Ian Howard
Notification Date: 10/01/2022
Notification Time: 00:08 [ET]
Event Date: 09/30/2022
Event Time: 14:45 [CDT]
Last Update Date: 10/04/2022
Emergency Class: Non Emergency
10 CFR Section:
26.719 - Fitness For Duty
Person (Organization):
Kellar, Ray (R4DO)
FFD Group, (EMAIL)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y 74 Power Operation 74 Power Operation
2 N Y 100 Power Operation 100 Power Operation
Event Text
FITNESS FOR DUTY REPORT (FFD)

A supplemental supervisor violated the station's FFD policy. The individuals access to the plant has been terminated.

The licensee notified the NRC Senior Resident Inspector.


Power Reactor
Event Number: 56138
Facility: Brunswick
Region: 2     State: NC
Unit: [2] [] []
RX Type: [1] GE-4,[2] GE-4
NRC Notified By: Jacob Cottle
HQ OPS Officer: Howie Crouch
Notification Date: 10/04/2022
Notification Time: 10:27 [ET]
Event Date: 08/06/2022
Event Time: 06:28 [EDT]
Last Update Date: 10/04/2022
Emergency Class: Non Emergency
10 CFR Section:
50.73(a)(1) - Invalid Specif System Actuation
Person (Organization):
Miller, Mark (R2DO)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
2 N Y 100 Power Operation 100 Power Operation
Event Text
60-DAY OPTIONAL TELEPHONIC NOTIFICATION OF INVALID ACTUATION OF CONTAINMENT ISOLATION VALVES

The following information was provided by the licensee via email:

"This 60-day optional telephone notification is being made in lieu of an LER submittal as allowed by 10 CFR 50.73(a)(1). This notification is made pursuant to the reporting requirements specified in 10 CFR 50.73(a)(2)(iv)(A) for invalid actuations of one of the systems listed in 10 CFR 50.73(a)(2)(iv)(B).

"At approximately 0628 Eastern Daylight Time (EDT) on August 6, 2022, an invalid actuation of group 6 Primary Containment Isolation Valves (PCIVs) (i.e., containment atmospheric control/monitoring and post accident sampling isolation valves) occurred. The group 6 isolation signal resulted from the reactor building ventilation radiation monitor `A' channel exceeding the setpoint value. This condition recurred at approximately 1305 EDT on August 12, 2022. In both instances, the `B' channel, located in the same plenum, remained steady and below the setpoint value through the entire event. This, along with readings made by radiation protection technicians, confirmed that there were no actual high radiation conditions in the reactor building exhaust in either instance. Following each invalid actuation, upon returning unit 2 reactor building ventilation to service, the `A' channel readings returned to be consistent with the `B' channel. It was determined that these invalid actuations likely resulted from degradation of circuit components associated with the radiation monitor. The `A' channel radiation monitor was replaced on September 22, 2022.

"During these two events, the PCIVs functioned successfully and the actuations were complete. The actuations were not initiated in response to actual plant conditions, they were not an intentional manual initiation, and there were no parameters satisfying the requirements for initiation of the system. Therefore, these events have been determined to be invalid actuations.

"These events did not result in any adverse impact to the health and safety of the public."


Power Reactor
Event Number: 56140
Facility: Arkansas Nuclear
Region: 4     State: AR
Unit: [1] [2] []
RX Type: [1] B&W-L-LP,[2] CE
NRC Notified By: Matt Isely
HQ OPS Officer: Thomas Herrity
Notification Date: 10/04/2022
Notification Time: 15:54 [ET]
Event Date: 10/04/2022
Event Time: 07:40 [CDT]
Last Update Date: 10/04/2022
Emergency Class: Non Emergency
10 CFR Section:
26.719 - Fitness For Duty
Person (Organization):
Dixon, John (R4DO)
FFD Group, (EMAIL)
Power Reactor Unit Info
Unit SCRAM Code RX Crit Initial PWR Initial RX Mode Current PWR Current RX Mode
1 N Y -1 Power Operation 71 Power Operation
2 N Y 100 Power Operation 100 Power Operation
Event Text
FITNESS FOR DUTY REPORT

A non-licensed supervisor had a confirmed positive during a random fitness-for-duty test. The employee's access to the plant has been terminated.

The NRC Resident Inspector has been notified.