Event Notification Report for April 17, 2023
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
04/16/2023 - 04/17/2023
Agreement State
Event Number: 56475
Rep Org: Lantheus Medical Imaging, Inc
Licensee: Lantheus Medical Imaging, Inc
Region: 1
City: Billerica State: MA
County:
License #: 60-0088
Agreement: Y
Docket:
NRC Notified By: Robert Locke
HQ OPS Officer: John Russell
Licensee: Lantheus Medical Imaging, Inc
Region: 1
City: Billerica State: MA
County:
License #: 60-0088
Agreement: Y
Docket:
NRC Notified By: Robert Locke
HQ OPS Officer: John Russell
Notification Date: 04/18/2023
Notification Time: 17:03 [ET]
Event Date: 04/17/2023
Event Time: 15:00 [EDT]
Last Update Date: 04/19/2023
Notification Time: 17:03 [ET]
Event Date: 04/17/2023
Event Time: 15:00 [EDT]
Last Update Date: 04/19/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Arner, Frank (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Werner, Greg (R4DO)
Arner, Frank (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Werner, Greg (R4DO)
AGREEMENT STATE REPORT - GENERATOR LOST IN SHIPMENT THEN FOUND
The following synopsis of information was provided by the Massachusetts Radiation Control Program (the Agency) via email:
At 1900 EDT on April 17, 2023, Lantheus Medical Imaging, Inc. (the Licensee) reported that at 1500 EDT on that day it had discovered a package containing a 15 Curie Mo-99/Tc-99m generator was not delivered to RLS in Van Nuys, CA (the intended recipient).
On April 18 at 1200 EDT, the Licensee learned that the package was still in the delivery truck in California. The driver had two deliveries to make on April 17, 2023, but only made one of the deliveries, leaving the package containing the generator in his vehicle overnight. Once the package was found, it was delivered to its intended recipient.
The reporting requirement is immediate per 105 CMR 120.281(A)(1), missing licensed radioactive materials in aggregate quantity equal to or greater than 1,000 times quantity specified in 105 CMR 120.297, Appendix C.
MA Number.: TBD
The Agency considers this event to be open.
THIS MATERIAL EVENT CONTAINS A 'Category 3' LEVEL OF RADIOACTIVE MATERIAL
Category 3 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 some hours. It could possibly - although it is unlikely - be fatal to be close to this amount of unshielded radioactive material for a period of days to weeks. These sources are typically used in practices such as fixed industrial gauges involving high activity sources (for example: level gauges, dredger gauges, conveyor gauges and spinning pipe gauges) and well logging. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
The following synopsis of information was provided by the Massachusetts Radiation Control Program (the Agency) via email:
At 1900 EDT on April 17, 2023, Lantheus Medical Imaging, Inc. (the Licensee) reported that at 1500 EDT on that day it had discovered a package containing a 15 Curie Mo-99/Tc-99m generator was not delivered to RLS in Van Nuys, CA (the intended recipient).
On April 18 at 1200 EDT, the Licensee learned that the package was still in the delivery truck in California. The driver had two deliveries to make on April 17, 2023, but only made one of the deliveries, leaving the package containing the generator in his vehicle overnight. Once the package was found, it was delivered to its intended recipient.
The reporting requirement is immediate per 105 CMR 120.281(A)(1), missing licensed radioactive materials in aggregate quantity equal to or greater than 1,000 times quantity specified in 105 CMR 120.297, Appendix C.
MA Number.: TBD
The Agency considers this event to be open.
THIS MATERIAL EVENT CONTAINS A 'Category 3' LEVEL OF RADIOACTIVE MATERIAL
Category 3 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 some hours. It could possibly - although it is unlikely - be fatal to be close to this amount of unshielded radioactive material for a period of days to weeks. These sources are typically used in practices such as fixed industrial gauges involving high activity sources (for example: level gauges, dredger gauges, conveyor gauges and spinning pipe gauges) and well logging. For additional information go to http://www-pub.iaea.org/MTCD/publications/PDF/Pub1227_web.pdf
Power Reactor
Event Number: 56471
Facility: LaSalle
Region: 3 State: IL
Unit: [1] [] []
RX Type: [1] GE-5,[2] GE-5
NRC Notified By: Erik Thompson
HQ OPS Officer: Sam Colvard
Region: 3 State: IL
Unit: [1] [] []
RX Type: [1] GE-5,[2] GE-5
NRC Notified By: Erik Thompson
HQ OPS Officer: Sam Colvard
Notification Date: 04/17/2023
Notification Time: 09:37 [ET]
Event Date: 04/17/2023
Event Time: 02:46 [CDT]
Last Update Date: 04/17/2023
Notification Time: 09:37 [ET]
Event Date: 04/17/2023
Event Time: 02:46 [CDT]
Last Update Date: 04/17/2023
Emergency Class: Non Emergency
10 CFR Section:
50.72(b)(3)(v)(D) - Accident Mitigation
10 CFR Section:
50.72(b)(3)(v)(D) - Accident Mitigation
Person (Organization):
Orth, Steve (R3DO)
Orth, Steve (R3DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 1 | N | Y | 100 | Power Operation | 100 | Power Operation |
SINGLE TRAIN OF LOW PRESSURE CORE SPRAY INOPERABLE
The following information was provided by the licensee via email:
"At 0246 CDT on April 17, 2023, it was discovered that the single train low pressure core spray system was inoperable. Due to this inoperability, the system was in a condition that could have prevented the fulfillment of a safety function; therefore, this condition is being reported as an eight-hour, non-emergency notification per 10 CFR 50.72(b)(3)(v). All other emergency core cooling systems remained operable during this time period.
"There was no impact on the health and safety of the public or plant personnel. The NRC Resident Inspector has been notified."
The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:
LaSalle Unit 1 is in a 7 day limiting condition for operation.
The following information was provided by the licensee via email:
"At 0246 CDT on April 17, 2023, it was discovered that the single train low pressure core spray system was inoperable. Due to this inoperability, the system was in a condition that could have prevented the fulfillment of a safety function; therefore, this condition is being reported as an eight-hour, non-emergency notification per 10 CFR 50.72(b)(3)(v). All other emergency core cooling systems remained operable during this time period.
"There was no impact on the health and safety of the public or plant personnel. The NRC Resident Inspector has been notified."
The following additional information was obtained from the licensee in accordance with Headquarters Operations Officers Report Guidance:
LaSalle Unit 1 is in a 7 day limiting condition for operation.
Agreement State
Event Number: 56482
Rep Org: Arizona Dept of Health Services
Licensee: Southwest Medical Imaging, LLC
Region: 4
City: Scottsdale State: AZ
County:
License #: 07-507
Agreement: Y
Docket:
NRC Notified By: Brian Goretzki
HQ OPS Officer: Ernest West
Licensee: Southwest Medical Imaging, LLC
Region: 4
City: Scottsdale State: AZ
County:
License #: 07-507
Agreement: Y
Docket:
NRC Notified By: Brian Goretzki
HQ OPS Officer: Ernest West
Notification Date: 04/20/2023
Notification Time: 17:36 [ET]
Event Date: 04/17/2023
Event Time: 00:00 [MST]
Last Update Date: 04/20/2023
Notification Time: 17:36 [ET]
Event Date: 04/17/2023
Event Time: 00:00 [MST]
Last Update Date: 04/20/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Werner, Greg (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
CNSNS (Mexico), - (EMAIL)
Werner, Greg (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
CNSNS (Mexico), - (EMAIL)
AGREEMENT STATE REPORT - LOST I-125 SEED
The following information was provided by the Arizona Department of Health Services (the Department) via email:
"On 4/20/2023, the Department was notified by the licensee of one missing I-125 radioactive seed for breast tumor localization. According to the licensee, one IsoAid Advantage I-125 breast localization seed (containing approximately 0.158 mCi of activity) was removed by surgery on 4/17/23 and was verified to be included in the specimen. The specimen with the seed was delivered to pathology on the afternoon of 4/17/23. The seed was removed from the specimen by pathology on 4/17/23. When nuclear medicine came to retrieve the seed, the jar was empty and the licensee was unsuccessful in locating the missing I-125 seed. The Department has requested additional information and continues to investigate the event.
"Additional information will be provided as it is received in accordance with SA-300."
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 Arizona Department of Health Services (the Department) via email:
"On 4/20/2023, the Department was notified by the licensee of one missing I-125 radioactive seed for breast tumor localization. According to the licensee, one IsoAid Advantage I-125 breast localization seed (containing approximately 0.158 mCi of activity) was removed by surgery on 4/17/23 and was verified to be included in the specimen. The specimen with the seed was delivered to pathology on the afternoon of 4/17/23. The seed was removed from the specimen by pathology on 4/17/23. When nuclear medicine came to retrieve the seed, the jar was empty and the licensee was unsuccessful in locating the missing I-125 seed. The Department has requested additional information and continues to investigate the event.
"Additional information will be provided as it is received in accordance with SA-300."
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