Event Notification Report for October 25, 2022
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
10/24/2022 - 10/25/2022
Part 21
Event Number: 56194
Rep Org: Rosemount Nuclear Instruments, Inc.
Licensee:
Region: 3
City: Chanhassen State: MN
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Nathan Schukei
HQ OPS Officer: Adam Koziol
Licensee:
Region: 3
City: Chanhassen State: MN
County:
License #:
Agreement: Y
Docket:
NRC Notified By: Nathan Schukei
HQ OPS Officer: Adam Koziol
Notification Date: 11/01/2022
Notification Time: 09:56 [ET]
Event Date: 10/25/2022
Event Time: 00:00 [CDT]
Last Update Date: 11/01/2022
Notification Time: 09:56 [ET]
Event Date: 10/25/2022
Event Time: 00:00 [CDT]
Last Update Date: 11/01/2022
Emergency Class: Non Emergency
10 CFR Section:
21.21(a)(2) - Interim Eval Of Deviation
10 CFR Section:
21.21(a)(2) - Interim Eval Of Deviation
Person (Organization):
Ruiz, Robert (R3DO)
Part 21/50.55 Reactors, - (EMAIL)
Ruiz, Robert (R3DO)
Part 21/50.55 Reactors, - (EMAIL)
PART 21 - BOLTS PROVIDED WITHOUT ZINC PLATING
The following information was provided by Emerson via fax:
A deficiency was identified in Rosemount 3153N series pressure transmitters with Rosemount 3159 remote seals with the LG1 option. The remote seal bolts in this single manufacturing lot were lacking the zinc-plating specified for corrosion resistance. Non-conforming bolts in Emerson inventory have been returned to the vendor for zinc-plating. Backlogged orders were confirmed to have correct zinc-plating. Rosemount recommends end users evaluate the significance of this notice to their specific pressure transmitter applications and environments. Rosemount further recommends that end users replace the un-plated bolts in susceptible applications to mitigate the potential for corrosion induced failure over time.
Contact Information: Gerard Hanson, Vice President and General Manager of Rosemount Nuclear Instruments, Inc. (952-949-5200)
Affected plants: LaSalle and Dresden
The following information was provided by Emerson via fax:
A deficiency was identified in Rosemount 3153N series pressure transmitters with Rosemount 3159 remote seals with the LG1 option. The remote seal bolts in this single manufacturing lot were lacking the zinc-plating specified for corrosion resistance. Non-conforming bolts in Emerson inventory have been returned to the vendor for zinc-plating. Backlogged orders were confirmed to have correct zinc-plating. Rosemount recommends end users evaluate the significance of this notice to their specific pressure transmitter applications and environments. Rosemount further recommends that end users replace the un-plated bolts in susceptible applications to mitigate the potential for corrosion induced failure over time.
Contact Information: Gerard Hanson, Vice President and General Manager of Rosemount Nuclear Instruments, Inc. (952-949-5200)
Affected plants: LaSalle and Dresden
Agreement State
Event Number: 56181
Rep Org: Illinois Emergency Mgmt. Agency
Licensee: Bard Brachytherapy
Region: 3
City: Carol Stream State: IL
County:
License #: IL-02062-01
Agreement: Y
Docket:
NRC Notified By: Zach Mengel
HQ OPS Officer: Ian Howard
Licensee: Bard Brachytherapy
Region: 3
City: Carol Stream State: IL
County:
License #: IL-02062-01
Agreement: Y
Docket:
NRC Notified By: Zach Mengel
HQ OPS Officer: Ian Howard
Notification Date: 10/25/2022
Notification Time: 15:49 [ET]
Event Date: 10/25/2022
Event Time: 00:00 [CDT]
Last Update Date: 10/26/2022
Notification Time: 15:49 [ET]
Event Date: 10/25/2022
Event Time: 00:00 [CDT]
Last Update Date: 10/26/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Feliz-Adorno, Nestor (R3DO)
Dentel, Glenn (R1DO)
NMSS_Events_Notification, (EMAIL)
ILTAB, (EMAIL)
Feliz-Adorno, Nestor (R3DO)
Dentel, Glenn (R1DO)
NMSS_Events_Notification, (EMAIL)
ILTAB, (EMAIL)
AGREEMENT STATE REPORT - LOST SHIPMENTS
The following information was provided by the Illinois Emergency Management Agency (the Agency) via email:
"The Agency received a phone call from the Radiation Safety Officer at Bard Brachytherapy (IL-02062-01) on 10/25/2022 indicating the loss of three packages containing Iodine-125 brachytherapy seeds. The information for each package is as follows:
"1) Ninety (90) I-125 brachytherapy seeds, accounting for a total activity of 40.23 mCi (0.447 mCi per source) at shipment.
"2) Ninety (90) I-125 brachytherapy seeds, accounting for a total activity of 43.65 mCi (0.485 mCi per source) at shipment.
"3) Seventy-five (75) I-125 brachytherapy seeds, accounting for a total activity of 50.4 mCi (0.672 mCi per source) at shipment.
"The packages appear to have been lost at a [common carrier facility] in Memphis, TN. The amount and form of radioactivity would not be useful for illicit intent and there is no indication of intentional theft or diversion.
"DETAILS: On 10/20/2022, Bard Brachytherapy shipped three packages to Gwinnett Hospital in Lawrenceville, GA. The anticipated delivery date for all packages was 10/24/2022. Bard Brachytherapy was notified by [the common carrier] via email on the morning of 10/25/2022 that all three packages were lost.
"The common carrier is continuing its search. Additional information will be provided as it becomes available."
Illinois Item Number: IL220040
* * * UPDATE FROM ZACH MENGEL TO GEROND GEORGE AT 1123 EDT ON 10/26/2022 * * *
The following information was received via email:
"The following updated information is being provided regarding Event Number 56181:
"All three packages identified in the notification were located at the [common carrier facility] in Memphis, TN the evening of October 25, 2022. All three packages are expected to be delivered to their final destination on October 26, 2022."
Notified R1DO (Dentel), R3DO (Feliz-Adorno), ILTAB and NMSS Events Notification email group.
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
The following information was provided by the Illinois Emergency Management Agency (the Agency) via email:
"The Agency received a phone call from the Radiation Safety Officer at Bard Brachytherapy (IL-02062-01) on 10/25/2022 indicating the loss of three packages containing Iodine-125 brachytherapy seeds. The information for each package is as follows:
"1) Ninety (90) I-125 brachytherapy seeds, accounting for a total activity of 40.23 mCi (0.447 mCi per source) at shipment.
"2) Ninety (90) I-125 brachytherapy seeds, accounting for a total activity of 43.65 mCi (0.485 mCi per source) at shipment.
"3) Seventy-five (75) I-125 brachytherapy seeds, accounting for a total activity of 50.4 mCi (0.672 mCi per source) at shipment.
"The packages appear to have been lost at a [common carrier facility] in Memphis, TN. The amount and form of radioactivity would not be useful for illicit intent and there is no indication of intentional theft or diversion.
"DETAILS: On 10/20/2022, Bard Brachytherapy shipped three packages to Gwinnett Hospital in Lawrenceville, GA. The anticipated delivery date for all packages was 10/24/2022. Bard Brachytherapy was notified by [the common carrier] via email on the morning of 10/25/2022 that all three packages were lost.
"The common carrier is continuing its search. Additional information will be provided as it becomes available."
Illinois Item Number: IL220040
* * * UPDATE FROM ZACH MENGEL TO GEROND GEORGE AT 1123 EDT ON 10/26/2022 * * *
The following information was received via email:
"The following updated information is being provided regarding Event Number 56181:
"All three packages identified in the notification were located at the [common carrier facility] in Memphis, TN the evening of October 25, 2022. All three packages are expected to be delivered to their final destination on October 26, 2022."
Notified R1DO (Dentel), R3DO (Feliz-Adorno), ILTAB and NMSS Events Notification email group.
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: 56193
Rep Org: WA Office of Radiation Protection
Licensee: University of Washington
Region: 4
City: Seattle State: WA
County:
License #: WN-C001-1
Agreement: Y
Docket:
NRC Notified By: Raj Maharjan
HQ OPS Officer: Ernest West
Licensee: University of Washington
Region: 4
City: Seattle State: WA
County:
License #: WN-C001-1
Agreement: Y
Docket:
NRC Notified By: Raj Maharjan
HQ OPS Officer: Ernest West
Notification Date: 10/31/2022
Notification Time: 17:10 [ET]
Event Date: 10/25/2022
Event Time: 00:00 [PDT]
Last Update Date: 10/31/2022
Notification Time: 17:10 [ET]
Event Date: 10/25/2022
Event Time: 00:00 [PDT]
Last Update Date: 10/31/2022
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Agrawal, Ami (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Agrawal, Ami (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - LEAKING SEALED SOURCE
The following information was provided by the Washington State Department of Health via email:
"On 10/31/2022, a licensee, University of Washington - License Number: C001-1, reported that a 12.4 mCi Ni-63 source was leaking. The source was part of a Hewlett Packard electron capture detector (ECD) (Hewlett Packard, Model# G1223A, Source Serial # F5941). A pre-disposal wipe test of the ECD contained in a gas chromatograph (Hewlett Packard Model#5890) was performed on 10/25/22 after receiving the gas chromatograph from its owner for disposal. On 10/25/2022, the wipe test results indicated that the ECD had more than 0.005 microcuries of removable contamination. This device will be sent to NRD Static Control, LLC for recycling/disposal."
WA incident event number: WA-22-020
The following information was provided by the Washington State Department of Health via email:
"On 10/31/2022, a licensee, University of Washington - License Number: C001-1, reported that a 12.4 mCi Ni-63 source was leaking. The source was part of a Hewlett Packard electron capture detector (ECD) (Hewlett Packard, Model# G1223A, Source Serial # F5941). A pre-disposal wipe test of the ECD contained in a gas chromatograph (Hewlett Packard Model#5890) was performed on 10/25/22 after receiving the gas chromatograph from its owner for disposal. On 10/25/2022, the wipe test results indicated that the ECD had more than 0.005 microcuries of removable contamination. This device will be sent to NRD Static Control, LLC for recycling/disposal."
WA incident event number: WA-22-020