Event Notification Report for July 25, 2023
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
07/24/2023 - 07/25/2023
Agreement State
Event Number: 56626
Rep Org: Arkansas Department of Health
Licensee: 3D Imaging Drug Design Development
Region: 4
City: Little Rock State: AR
County:
License #: ARK-1008-03214
Agreement: Y
Docket:
NRC Notified By: Angela Minden
HQ OPS Officer: Adam Koziol
Licensee: 3D Imaging Drug Design Development
Region: 4
City: Little Rock State: AR
County:
License #: ARK-1008-03214
Agreement: Y
Docket:
NRC Notified By: Angela Minden
HQ OPS Officer: Adam Koziol
Notification Date: 07/17/2023
Notification Time: 17:12 [ET]
Event Date: 07/07/2023
Event Time: 00:00 [CDT]
Last Update Date: 07/17/2023
Notification Time: 17:12 [ET]
Event Date: 07/07/2023
Event Time: 00:00 [CDT]
Last Update Date: 07/17/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Roldan-Otero, Lizette (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
CNSC (Canada) (EMAIL)
Carfang, Erin (R1DO)
Roldan-Otero, Lizette (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
CNSC (Canada) (EMAIL)
Carfang, Erin (R1DO)
AGREEMENT STATE REPORT - LOST PACKAGE
The following information was provided by the Arkansas Department of Health, Radiation Control Section (the Department) via email:
"The Arkansas Department of Health, Radiation Control Section, was notified on July 7, 2023, via a phone call received from 3D Imaging Drug Design Development (3DI) in Little Rock, Arkansas, of a radioactive material package not ever reaching its intended destination (Canada). The package, when offered to the common carrier, contained 48.5 mCi of Zr-89 oxalate solution. Considering the half-life of 78.4 hours, the package contains approximately 2.5 mCi at the time of this report (July 17, 2023). The single, 3 mL glass vial was shipped within a 4-5 inch tall lead, cylindrical pig inside of a DOT Type A package, 1 cubic foot, 30 pounds, Yellow III.
"A second package of 12.9 mCi Zr-89 oxalate, was offered at the same time (July 3, 2023) to the same carrier but with a different destination (Maryland - also licensed for this type and quantity of material). The 3DI customer intended to receive the 48.5 mCi package instead received the second package with lesser activity. The 48.5 mCi package has not been located.
"3DI and the Department have been in communication with the carrier. The Department also contacted its NRC Regional State Agreement Officer who informed NRC Region I concerning the Maryland licensee and the NRC liaison for Canada concerning the Canadian licensee. The investigation is ongoing, and reporting will proceed in accordance with SA-300."
Arkansas Event #: AR-2023-005
Reporting requirement: RH-1501.a.1.B. of the ASBH Rules for Control of Sources of Ionizing Radiation [10 CFR 20.2201(a)(1)(ii)]
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 Arkansas Department of Health, Radiation Control Section (the Department) via email:
"The Arkansas Department of Health, Radiation Control Section, was notified on July 7, 2023, via a phone call received from 3D Imaging Drug Design Development (3DI) in Little Rock, Arkansas, of a radioactive material package not ever reaching its intended destination (Canada). The package, when offered to the common carrier, contained 48.5 mCi of Zr-89 oxalate solution. Considering the half-life of 78.4 hours, the package contains approximately 2.5 mCi at the time of this report (July 17, 2023). The single, 3 mL glass vial was shipped within a 4-5 inch tall lead, cylindrical pig inside of a DOT Type A package, 1 cubic foot, 30 pounds, Yellow III.
"A second package of 12.9 mCi Zr-89 oxalate, was offered at the same time (July 3, 2023) to the same carrier but with a different destination (Maryland - also licensed for this type and quantity of material). The 3DI customer intended to receive the 48.5 mCi package instead received the second package with lesser activity. The 48.5 mCi package has not been located.
"3DI and the Department have been in communication with the carrier. The Department also contacted its NRC Regional State Agreement Officer who informed NRC Region I concerning the Maryland licensee and the NRC liaison for Canada concerning the Canadian licensee. The investigation is ongoing, and reporting will proceed in accordance with SA-300."
Arkansas Event #: AR-2023-005
Reporting requirement: RH-1501.a.1.B. of the ASBH Rules for Control of Sources of Ionizing Radiation [10 CFR 20.2201(a)(1)(ii)]
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: 56627
Rep Org: Ohio Bureau of Radiation Protection
Licensee: Cardinal Health
Region: 3
City: Dublin State: OH
County:
License #: 02500250000
Agreement: Y
Docket:
NRC Notified By: Michael Rubadue
HQ OPS Officer: Adam Koziol
Licensee: Cardinal Health
Region: 3
City: Dublin State: OH
County:
License #: 02500250000
Agreement: Y
Docket:
NRC Notified By: Michael Rubadue
HQ OPS Officer: Adam Koziol
Notification Date: 07/18/2023
Notification Time: 12:56 [ET]
Event Date: 07/10/2023
Event Time: 00:00 [EDT]
Last Update Date: 07/18/2023
Notification Time: 12:56 [ET]
Event Date: 07/10/2023
Event Time: 00:00 [EDT]
Last Update Date: 07/18/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Hills, David (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Hills, David (R3DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - ELUATE EXCEEDED Mo-99 LIMIT
The following information was provided by the Ohio Department of Health (ODH) via email:
Cardinal Health made a telephone notification [to ODH] on 7/17/2023 that a Lantheus Tc-99m generator, lot number M190311A, exceeded the Mo-99 breakthrough limits. The generator was eluted three times on 7/10/23. The results of the Mo-99 breakthrough test were 0.224, 0.313, and 1.705 microcuries Mo-99/millicurie Tc-99m. None of these elutions were used to dispense activity to customers or prepare drug kits. No doses containing Tc-99m from this generator were administered to patients. Lantheus was notified on 7/10/23, the generator was pulled, and a return kit was provided.
Ohio Incident Number: OH230008
The following information was provided by the Ohio Department of Health (ODH) via email:
Cardinal Health made a telephone notification [to ODH] on 7/17/2023 that a Lantheus Tc-99m generator, lot number M190311A, exceeded the Mo-99 breakthrough limits. The generator was eluted three times on 7/10/23. The results of the Mo-99 breakthrough test were 0.224, 0.313, and 1.705 microcuries Mo-99/millicurie Tc-99m. None of these elutions were used to dispense activity to customers or prepare drug kits. No doses containing Tc-99m from this generator were administered to patients. Lantheus was notified on 7/10/23, the generator was pulled, and a return kit was provided.
Ohio Incident Number: OH230008
Agreement State
Event Number: 56629
Rep Org: Colorado Dept of Health
Licensee: Karcher North America Inc
Region: 4
City: Englewood State: CO
County:
License #: GL001195
Agreement: Y
Docket:
NRC Notified By: Kathryn Kirk
HQ OPS Officer: Lawrence Criscione
Licensee: Karcher North America Inc
Region: 4
City: Englewood State: CO
County:
License #: GL001195
Agreement: Y
Docket:
NRC Notified By: Kathryn Kirk
HQ OPS Officer: Lawrence Criscione
Notification Date: 07/19/2023
Notification Time: 18:05 [ET]
Event Date: 06/01/2022
Event Time: 00:00 [MDT]
Last Update Date: 07/20/2023
Notification Time: 18:05 [ET]
Event Date: 06/01/2022
Event Time: 00:00 [MDT]
Last Update Date: 07/20/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Roldan-Otero, Lizette (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
Roldan-Otero, Lizette (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
AGREEMENT STATE REPORT - LOST STATIC ELIMINATOR
The following is a synopsis of information provided by the Colorado Department of Public Health and Environment via email:
The licensee reported the loss of one static eliminator (NRD model P-2021) containing 10 mCi of Po-210. This is being reported in accordance with Colorado Regulations Section 4.51.1.1 (10 CFR 20.2202(a)(1)).
Colorado Event Number: CO230020
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 is a synopsis of information provided by the Colorado Department of Public Health and Environment via email:
The licensee reported the loss of one static eliminator (NRD model P-2021) containing 10 mCi of Po-210. This is being reported in accordance with Colorado Regulations Section 4.51.1.1 (10 CFR 20.2202(a)(1)).
Colorado Event Number: CO230020
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: 56637
Facility: Millstone
Region: 1 State: CT
Unit: [2] [] []
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: Jason Parr
HQ OPS Officer: Thomas Herrity
Region: 1 State: CT
Unit: [2] [] []
RX Type: [1] GE-3,[2] CE,[3] W-4-LP
NRC Notified By: Jason Parr
HQ OPS Officer: Thomas Herrity
Notification Date: 07/25/2023
Notification Time: 16:06 [ET]
Event Date: 07/25/2023
Event Time: 09:24 [EDT]
Last Update Date: 07/25/2023
Notification Time: 16:06 [ET]
Event Date: 07/25/2023
Event Time: 09:24 [EDT]
Last Update Date: 07/25/2023
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):
Bickett, Carey (R1DO)
Bickett, Carey (R1DO)
| Unit | SCRAM Code | RX Crit | Initial PWR | Initial RX Mode | Current PWR | Current RX Mode |
|---|---|---|---|---|---|---|
| 2 | N | Y | 86 | Power Operation | 86 | Power Operation |
CONTROL ROOM ENVELOPE INOPERABLE
The following information was provided by the licensee via email:
"At 0924 [EDT] on July 25, 2023, it was discovered that both trains of control room air conditioning system were simultaneously inoperable due to an inoperable control room envelope boundary. The boundary was restored at 0925 [EDT] on July 25, 2023. This condition is being reported as an eight-hour, non-emergency notification per 10 CFR 50.72(b)(3)(v)(D).
"There was no impact on the health and safety of the public or plant personnel.
"The NRC Resident Inspector has been notified.
"There has been no impact to Unit 3 which remains at 100% power."
The following information was provided by the licensee via email:
"At 0924 [EDT] on July 25, 2023, it was discovered that both trains of control room air conditioning system were simultaneously inoperable due to an inoperable control room envelope boundary. The boundary was restored at 0925 [EDT] on July 25, 2023. This condition is being reported as an eight-hour, non-emergency notification per 10 CFR 50.72(b)(3)(v)(D).
"There was no impact on the health and safety of the public or plant personnel.
"The NRC Resident Inspector has been notified.
"There has been no impact to Unit 3 which remains at 100% power."