Event Notification Report for October 09, 2024
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
10/08/2024 - 10/09/2024
Agreement State
Event Number: 57405
Rep Org: Georgia Radioactive Material Pgm
Licensee: International Paper Company
Region: 1
City: Savannah State: GA
County:
License #: GA 143-1
Agreement: Y
Docket:
NRC Notified By: Stacy Allman
HQ OPS Officer: Ernest West
Licensee: International Paper Company
Region: 1
City: Savannah State: GA
County:
License #: GA 143-1
Agreement: Y
Docket:
NRC Notified By: Stacy Allman
HQ OPS Officer: Ernest West
Notification Date: 10/29/2024
Notification Time: 14:53 [ET]
Event Date: 10/09/2024
Event Time: 00:00 [EDT]
Last Update Date: 10/29/2024
Notification Time: 14:53 [ET]
Event Date: 10/09/2024
Event Time: 00:00 [EDT]
Last Update Date: 10/29/2024
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Eve, Elise (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Eve, Elise (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE - STUCK OPEN SHUTTER
The following information was provided by the Georgia Radioactive Materials Program via email:
"[The licensee's] radiation safety officer (RSO) reported that a shutter had failed in the open position during a routine shutter check on October 9, 2024. This was a Ohmart/Vega [gauge containing] 15 mCi of Cs-137, serial number: 32153cp. The licensee barricaded the area around [the gauge]. A service repair request and leak test are currently in progress. The RSO stated that the licensee checked [radiation level] at 1 foot away, and found [exposure rate] to be 0.2 millirad per hour and presents no risk to health and safety."
The following information was provided by the Georgia Radioactive Materials Program via email:
"[The licensee's] radiation safety officer (RSO) reported that a shutter had failed in the open position during a routine shutter check on October 9, 2024. This was a Ohmart/Vega [gauge containing] 15 mCi of Cs-137, serial number: 32153cp. The licensee barricaded the area around [the gauge]. A service repair request and leak test are currently in progress. The RSO stated that the licensee checked [radiation level] at 1 foot away, and found [exposure rate] to be 0.2 millirad per hour and presents no risk to health and safety."
Agreement State
Event Number: 57371
Rep Org: Maryland Dept of the Environment
Licensee: TBD
Region: 1
City: State: MD
County: Prince George
License #: TBD
Agreement: Y
Docket:
NRC Notified By: Atna Meshesha
HQ OPS Officer: Brian P. Smith
Licensee: TBD
Region: 1
City: State: MD
County: Prince George
License #: TBD
Agreement: Y
Docket:
NRC Notified By: Atna Meshesha
HQ OPS Officer: Brian P. Smith
Notification Date: 10/09/2024
Notification Time: 17:00 [ET]
Event Date: 10/09/2024
Event Time: 15:49 [EDT]
Last Update Date: 11/27/2024
Notification Time: 17:00 [ET]
Event Date: 10/09/2024
Event Time: 15:49 [EDT]
Last Update Date: 11/27/2024
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Arner, Frank (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
Arner, Frank (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
EN Revision Imported Date: 11/29/2024
EN Revision Text: AGREEMENT STATE REPORT - STOLEN SOIL DENSITY GAUGE
The following report was received via email from the Maryland Department of the Environment (MDE):
"On October 9, 2024, at 1549 EDT, the MDE emergency response center received a telephone report of a suspected stolen soil density gauge was captured by police. The report came from the Prince George's County Police to get guidance on the subject. MDE has called the Prince George's County Police contact person and are waiting for a response. Details about the gauge are not yet available.
"This report is based on 10 CFR 20.2201(a)(1)(i) because soil density gauges have a typical activity of 9 mCi of Cs-137 and/or 44 mCi of Am-241.
"An investigation will be conducted and follow up reports are to be expected."
* * * UPDATE ON 11/27/24 AT 16:13 FROM ATNATIWOS MESHESHA TO KAREN COTTON * * *
"This is a follow up report to the initial notification concerning the suspected stolen soil density gauge on October 9, 2024 that was recovered by Prince George's (P.G.) County Police.
"The P. G. County police contact person reported on October 16, 2024, detailing the gauge identifications.
"The gauge is a Troxler Model 3440, Serial Number 17114; which contains 8 mCi of Cs-137 and 40 mCi of Am-241/Be sources.
"The gauge owner is North East Technical Services, Inc., a Maryland RAM licensee with RAML number: MD-13-020-01 which provides technical services to gauge users; and the gauge was rented to the Soil and Land Use Technology, Inc. (RAML number MD-03-045-01) and transferred on March 4, 2024. Soil and Land Use Technology, Inc. is a Maryland RAM licensee. It was reported by the police that the gauge was found locked in the rear of the vehicle that was carjacked, just as it was prior to the theft of the vehicle and it was returned to the owner on the same day, October 9, 2024, by the police. The gauge was last leak tested on September 3, 2024 with negative results, (i.e. no leakage).
"The gauge owner, Soil and Land Use Technology, Inc. is in violation by not reporting the incident to the MDE as per the requirements in the regulations and on failure to secure the gauge.
"No further substantive information is expected, and the notified event will be closed."
Notified R1DO (Ferdas), NMSS_EVENTS_NOTIFICATION (EMAIL), 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
EN Revision Text: AGREEMENT STATE REPORT - STOLEN SOIL DENSITY GAUGE
The following report was received via email from the Maryland Department of the Environment (MDE):
"On October 9, 2024, at 1549 EDT, the MDE emergency response center received a telephone report of a suspected stolen soil density gauge was captured by police. The report came from the Prince George's County Police to get guidance on the subject. MDE has called the Prince George's County Police contact person and are waiting for a response. Details about the gauge are not yet available.
"This report is based on 10 CFR 20.2201(a)(1)(i) because soil density gauges have a typical activity of 9 mCi of Cs-137 and/or 44 mCi of Am-241.
"An investigation will be conducted and follow up reports are to be expected."
* * * UPDATE ON 11/27/24 AT 16:13 FROM ATNATIWOS MESHESHA TO KAREN COTTON * * *
"This is a follow up report to the initial notification concerning the suspected stolen soil density gauge on October 9, 2024 that was recovered by Prince George's (P.G.) County Police.
"The P. G. County police contact person reported on October 16, 2024, detailing the gauge identifications.
"The gauge is a Troxler Model 3440, Serial Number 17114; which contains 8 mCi of Cs-137 and 40 mCi of Am-241/Be sources.
"The gauge owner is North East Technical Services, Inc., a Maryland RAM licensee with RAML number: MD-13-020-01 which provides technical services to gauge users; and the gauge was rented to the Soil and Land Use Technology, Inc. (RAML number MD-03-045-01) and transferred on March 4, 2024. Soil and Land Use Technology, Inc. is a Maryland RAM licensee. It was reported by the police that the gauge was found locked in the rear of the vehicle that was carjacked, just as it was prior to the theft of the vehicle and it was returned to the owner on the same day, October 9, 2024, by the police. The gauge was last leak tested on September 3, 2024 with negative results, (i.e. no leakage).
"The gauge owner, Soil and Land Use Technology, Inc. is in violation by not reporting the incident to the MDE as per the requirements in the regulations and on failure to secure the gauge.
"No further substantive information is expected, and the notified event will be closed."
Notified R1DO (Ferdas), NMSS_EVENTS_NOTIFICATION (EMAIL), 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: 57374
Rep Org: Alabama Radiation Control
Licensee: Dunn Construction
Region: 1
City: Birmingham State: AL
County:
License #: RML 812
Agreement: Y
Docket:
NRC Notified By: Cason Coan
HQ OPS Officer: Karen Cotton-Gross
Licensee: Dunn Construction
Region: 1
City: Birmingham State: AL
County:
License #: RML 812
Agreement: Y
Docket:
NRC Notified By: Cason Coan
HQ OPS Officer: Karen Cotton-Gross
Notification Date: 10/10/2024
Notification Time: 18:13 [ET]
Event Date: 10/09/2024
Event Time: 00:00 [CDT]
Last Update Date: 10/10/2024
Notification Time: 18:13 [ET]
Event Date: 10/09/2024
Event Time: 00:00 [CDT]
Last Update Date: 10/10/2024
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Arner, Frank (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
Arner, Frank (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
ILTAB, (EMAIL) (EMAIL)
AGREEMENT STATE REPORT - MISSING SOURCE
The following information was received from the office of Alabama Radiation Control via email:
"This report is connected to NMED item 140245, Nuclear Regulatory Commission Event Notification Number 50082 [Damaged Moisture Density Gauge, May 2, 2014], and Alabama Incident number 14-14. Alabama Radiation Control received an email from Troxler Electronic Laboratories on October 9, 2024. The licensee returned the gauge involved in this incident to Troxler in July of 2022. The device was retrieved for service this month. The Troxler representative reported that the cesium-137 source was not present at servicing. The americium-241/beryllium source was present and is being prepared for disposal. We are investigating with the licensee, transportation department contacts, and others."
Model: CPN MC-3
Serial Number: M30129990
Activity: Nominal activity of 10 millicuries cesium-137 and 50 millicuries of americium-241/beryllium.
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 received from the office of Alabama Radiation Control via email:
"This report is connected to NMED item 140245, Nuclear Regulatory Commission Event Notification Number 50082 [Damaged Moisture Density Gauge, May 2, 2014], and Alabama Incident number 14-14. Alabama Radiation Control received an email from Troxler Electronic Laboratories on October 9, 2024. The licensee returned the gauge involved in this incident to Troxler in July of 2022. The device was retrieved for service this month. The Troxler representative reported that the cesium-137 source was not present at servicing. The americium-241/beryllium source was present and is being prepared for disposal. We are investigating with the licensee, transportation department contacts, and others."
Model: CPN MC-3
Serial Number: M30129990
Activity: Nominal activity of 10 millicuries cesium-137 and 50 millicuries of americium-241/beryllium.
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: 57375
Rep Org: PA Bureau of Radiation Protection
Licensee: University of Pennsylvania
Region: 1
City: Philadelphia State: PA
County:
License #: PA-0131
Agreement: Y
Docket:
NRC Notified By: John Chippo
HQ OPS Officer: Ernest West
Licensee: University of Pennsylvania
Region: 1
City: Philadelphia State: PA
County:
License #: PA-0131
Agreement: Y
Docket:
NRC Notified By: John Chippo
HQ OPS Officer: Ernest West
Notification Date: 10/11/2024
Notification Time: 10:23 [ET]
Event Date: 10/09/2024
Event Time: 00:00 [EDT]
Last Update Date: 10/11/2024
Notification Time: 10:23 [ET]
Event Date: 10/09/2024
Event Time: 00:00 [EDT]
Last Update Date: 10/11/2024
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Arner, Frank (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Arner, Frank (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - PATIENT UNDERDOSE
The following information was provided by the Pennsylvania Bureau of Radiation Protection (the Bureau) via email:
"On October 10, 2024, the licensee informed the Bureau of a medical event involving a treatment with TheraSpheres. It is reportable per 10 CFR 35.3045.
"On October 9, 2024, a patient was receiving a [Y-90] TheraSphere treatment. Only 32.7 percent of the prescribed activity (15.975 mCi) was administered to the patient. The physician and the patient were informed on October 9, 2024, following the treatment.
"It is suspected that the cause was an occlusion within the catheter which prevented the proper flow of fluid and TheraSpheres into the patient. The official cause is still under investigation.
"The Bureau will perform a reactive inspection. More information will be provided as received."
Pennsylvania Event Report ID: PA240019
A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.
The following information was provided by the Pennsylvania Bureau of Radiation Protection (the Bureau) via email:
"On October 10, 2024, the licensee informed the Bureau of a medical event involving a treatment with TheraSpheres. It is reportable per 10 CFR 35.3045.
"On October 9, 2024, a patient was receiving a [Y-90] TheraSphere treatment. Only 32.7 percent of the prescribed activity (15.975 mCi) was administered to the patient. The physician and the patient were informed on October 9, 2024, following the treatment.
"It is suspected that the cause was an occlusion within the catheter which prevented the proper flow of fluid and TheraSpheres into the patient. The official cause is still under investigation.
"The Bureau will perform a reactive inspection. More information will be provided as received."
Pennsylvania Event Report ID: PA240019
A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.