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Event Notification Report for November 21, 2023

U.S. Nuclear Regulatory Commission
Operations Center

EVENT REPORTS FOR
11/20/2023 - 11/21/2023

EVENT NUMBERS
5687156868
Agreement State
Event Number: 56871
Rep Org: Illinois Emergency Mgmt. Agency
Licensee: G.E. Healthcare DBA/Medi+Physics
Region: 1
City: Memphis   State: TN
County:
License #: IL-01109-01
Agreement: Y
Docket:
NRC Notified By: Gary Forsee
HQ OPS Officer: Ernest West
Notification Date: 11/22/2023
Notification Time: 16:41 [ET]
Event Date: 11/21/2023
Event Time: 00:00 [EST]
Last Update Date: 12/05/2023
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Schroeder, Dan (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
Hills, David (R3DO)
Event Text
EN Revision Imported Date: 12/6/2023

EN Revision Text: AGREEMENT STATE - LOST PACKAGE

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

"On November 22, 2023, the Agency was contacted by G.E. Healthcare in Arlington Heights, IL (IL-01109-01) to advise of a radiopharmaceutical package missing in transit. The last known location was the Memphis, TN [common carrier] hub where it was scanned on November 21, 2023. The carrier has declared the package lost. This package does not represent a significant public safety hazard and there is no indication of intentional theft or diversion.

"The subject package is 16 centimeters square, labeled Yellow-II (TI of 0.1), UN2915 and contains a single 10 milli-Liters shielded vial of In-111. The activity was 5.210 millicuries at the time of shipment but has since decayed to approximately 1.56 millicuries. It was offered for shipment on November 17, 2023, for delivery to a customer in Ontario, Canada on November 20, 2023. Upon failure to arrive, the licensee contacted the carrier and was informed the package was currently unaccounted for. Tennessee program officials were notified, and the matter was reported to the HOO [NRC Headquarters Operations Officer]. This report will be updated with any available information."

Illinois Item Number: IL230033

* * * UPDATE ON 12/5/23 AT 1650 EST FROM GARY FORSEE TO ADAM KOZIOL * * *

"On 12/5/23, the licensee advised that the package was delivered undamaged to the client site. This matter is considered closed."

Notified R1DO (Werkheiser), R3DO (Szwarc), NMSS and ILTAB (email)

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: 56868
Rep Org: Texas Dept of State Health Services
Licensee: FROST GEO SCIENCES INC
Region: 4
City: Helotes   State: TX
County:
License #: L06015
Agreement: Y
Docket:
NRC Notified By: Karen Blanchard
HQ OPS Officer: Ernest West
Notification Date: 11/21/2023
Notification Time: 21:20 [ET]
Event Date: 11/21/2023
Event Time: 00:00 [CST]
Last Update Date: 01/30/2024
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
Person (Organization):
Roldan-Otero, Lizette (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
CNSNS (Mexico), - (EMAIL)
Event Text
EN Revision Imported Date: 1/31/2024

EN Revision Text: AGREEMENT STATE - LOST MOISTURE DENSITY GAUGE

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

"On November 21, 2023, the licensee's radiation safety officer (RSO) advised the Department that one of its technicians had lost a Humboldt 5001EZ moisture density gauge [which contains a nominal activity of 40 mCi of Am-241:Be and 10 mCi of Cs-137]. The technician had finished testing at a temporary job site and then took a phone call. After completing the call, he left the job site with the moisture density gauge sitting on the tailgate. When he realized what had happened, he called the project supervisor who sent workers out to search the testing area and surrounding areas. The technician notified the RSO and started driving back to the site while looking for the gauge. The RSO sent more technicians out to assist in the search and he also notified the local police department. The RSO reported the trigger lock was not on the insertion rod and it was only the gauge that was lost. It was not inside the transport case at the time. Search of the driving route will resume after daylight and the RSO will be checking with other construction workers at this and nearby sites. An investigation into this event is ongoing. More information will be provided as it is obtained in accordance with SA-300."


Texas Incident Number: 10069

Texas NMED Number: TX230054

* * * UPDATE ON JANUARY 29, 2024, AT 1842 EST FROM KAREN BLANCHARD TO KAREN COTTON * * *

The following updated information was provided by the Texas Department of State Health Services (the Department) via email:

"On January 22, 2024, the Department received information from a steel mill in Texas that it had discovered a radioactive source in a load of scrap metal from San Antonio. The investigation revealed the source to be the 40 millicurie Americium-241 source from the licensee's lost device. The source was still in its holder and secured to the device's structure, on which the device serial number was stamped. The cover, electronics, and the Cesium-137 source and source rod were not attached or located. The load of scrap the mill found the source in has been fully processed and none of their other radiation detectors indicated the presence of the Cesium source. The scrap yard is surveying the areas at their facility. The steel mill noted radiation readings of 400 microR/hr on contact. They have secured the source at their facility and the licensee is making arrangements for retrieval/disposal of it. There is no information or indication of any exposure exceeding regulatory limits. More information will be provided as it is obtained in accordance with SA-300."

Notified R4DO (Agrawal), NMSS Events Notification (Email), ILTAB (Email), CNSNS (Mexico).

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