U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
02/10/2003 - 02/11/2003
** EVENT NUMBERS **
39497 39565 39568 39569 39570 39572 39576
!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!
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|Power Reactor |Event Number: 39497 |
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| FACILITY: INDIAN POINT REGION: 1 |NOTIFICATION DATE: 01/09/2003|
| UNIT: [] [3] [] STATE: NY |NOTIFICATION TIME: 13:55[EST]|
| RXTYPE: [2] W-4-LP,[3] W-4-LP |EVENT DATE: 01/03/2003|
+------------------------------------------------+EVENT TIME: 10:00[EST]|
| NRC NOTIFIED BY: DAN LYON |LAST UPDATE DATE: 02/10/2003|
| HQ OPS OFFICER: RICH LAURA +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |RICHARD CONTE R1 |
|10 CFR SECTION: | |
|DDDD 73.71(b)(1) SAFEGUARDS REPORTS | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
| | |
|3 N Y 100 Power Operation |100 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| UNCOMPENSATED SECURITY GUARD DEGRADATION FOR 1 HOUR |
| |
| Immediate compensatory measures were taken upon discovery. The licensee |
| notified the resident inspector. Refer to the HOO log for additional |
| details. |
| |
| * * * UPDATE ON 2/10/03 @ 1208 BY LYON TO GOULD * * * RETRACTION |
| |
| The licensee is retracting this event |
| |
| The NRC Resident Inspector was notified. |
| |
| Notified Reis(EO) and Meyer(Reg 1 RDO) |
| |
| Contact the HOO for further information. |
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|General Information or Other |Event Number: 39565 |
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| REP ORG: NV DIV OF RAD HEALTH |NOTIFICATION DATE: 02/06/2003|
|LICENSEE: GEOTEK, INC. |NOTIFICATION TIME: 12:39[EST]|
| CITY: LAS VEGAS REGION: 4 |EVENT DATE: 02/05/2003|
| COUNTY: CLARK STATE: NV |EVENT TIME: [PST]|
|LICENSE#: 00-11-0348-01 AGREEMENT: Y |LAST UPDATE DATE: 02/06/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |CLAUDE JOHNSON R4 |
| |MELVYN LEACH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: STAN MARSHALL | |
| HQ OPS OFFICER: ARLON COSTA | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
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EVENT TEXT
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| AGREEMENT STATE REPORT - LOST /RECOVERED TROXLER MOISTURE DENSITY GAUGE |
| |
| Received fax from Nevada Health Division Radiological Health Section on |
| 2/6/03 reporting the following: |
| |
| On 2/5/03, a Licensee Technician left a Troxler gauge (3411B No.T13081) |
| locked but not secured in the vehicle. He left for a brief tour of the |
| construction site and when he returned to the truck the gauge was missing. |
| The gauge case reportedly showed evidence of minor abrasions as if it had |
| fallen out of the bed of a pickup. |
| |
| The gauge was found by local police and returned to the licensee. When the |
| gauge was recovered, the source rod was reportedly in the safe, shielded |
| position. The gauge index rod was slightly bent but the source rod is not |
| prevented from full retraction into the shielded position. The licensee |
| reports that when the gauge was refurbished by Troxler approximately one |
| month ago, the trigger lock to lock the source rod in the shielded position |
| was removed. |
| |
| The licensee intends to have a training session with all gauge users later |
| this week. They also intend to implement a field audit process. |
| |
| Call the Headquarters Operations Officer for contact information. |
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|General Information or Other |Event Number: 39568 |
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| REP ORG: BRIGHAM YOUNG UNIVERSITY |NOTIFICATION DATE: 02/06/2003|
|LICENSEE: BRIGHAM YOUNG UNIVERSITY |NOTIFICATION TIME: 14:51[EST]|
| CITY: LAIE REGION: 4 |EVENT DATE: 02/03/2003|
| COUNTY: HONOLUL STATE: HI |EVENT TIME: [HST]|
|LICENSE#: AGREEMENT: N |LAST UPDATE DATE: 02/06/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |CLAUDE JOHNSON R4 |
| |MELVYN LEACH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: E. JAMES FREEMAN | |
| HQ OPS OFFICER: ARLON COSTA | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|BLO1 20.2201(a)(1)(i) LOST/STOLEN LNM>1000X | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| GENERAL LICENSED TRITIUM EXIT SIGNS DESTROYED BY FIRE |
| |
| On 2/3/03 the Chemical Management Facility at the Brigham Young University |
| Campus in Laie, HI caught on fire. The facility was storing 28 Tritium |
| signs and the Safety Officer (SO) at the University believes that they were |
| vaporized with the intense fire and no residues of the Tritium signs were |
| found by the Environmentalist Contractor in charge of the building clean up. |
| Based on other self-powered exit signs the SO feels the missing signs |
| contained 10 Curie tritium sources each and were manufactured by SRB |
| Technologies, Inc. located in Winston-Salem, NC between 1992 and 1993. A |
| written report will be submitted for the loss of this general licensed |
| material in accordance with NUREG-1556. |
| |
| Call the Headquarters Operations Officer for contact information. |
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|General Information or Other |Event Number: 39569 |
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| REP ORG: ARIZONA RADIATION REGULATORY AGENCY |NOTIFICATION DATE: 02/06/2003|
|LICENSEE: SCOTTSDALE MEMORIAL HEALTH SERVICES, |NOTIFICATION TIME: 17:28[EST]|
| CITY: SCOTTSDALE REGION: 4 |EVENT DATE: 02/06/2003|
| COUNTY: STATE: AZ |EVENT TIME: 15:00[MST]|
|LICENSE#: 07-265 AGREEMENT: Y |LAST UPDATE DATE: 02/06/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |CLAUDE JOHNSON R4 |
| |MELVYN LEACH NMSS |
+------------------------------------------------+JOHN DAVIDSON TAS |
| NRC NOTIFIED BY: AUBREY V. GODWIN | |
| HQ OPS OFFICER: STEVE SANDIN | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT INVOLVING FIVE MISSING I-125 SEEDS |
| |
| The following information was received from the Arizona Radiation Regulatory |
| Agency: |
| |
| "Date: February 6, 2003 |
| "Time: 3:00 PM (MST) |
| |
| "First Notice: 03-03 |
| |
| "Arizona Licensee: |
| |
| "Scottsdale Memorial Health Services, Co., Inc. |
| "9003 E. Shea Blvd. |
| "Scottsdale, AZ 85260 |
| |
| "License. No. 07-265 |
| |
| "On January 29, 2003, a Bracytherapy procedure using Iodine-125 seeds (3M, |
| Model 6500 Series) was conducted at the above named hospital. On February |
| 6, 2003, it was discovered that five seeds containing approximately 0.39 mCi |
| each could not be accounted for. A survey of the source storage area, |
| source use area, linens, and waste was conducted and could not account for |
| the missing sources. |
| |
| "The Agency and licensee will continue to investigate this occurrence and |
| report further. |
| |
| "The U.S. NRC and the U.S.FBI are being notified of this event." |
| |
| Call the Headquarters Operations Officer for contact information. |
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|General Information or Other |Event Number: 39570 |
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| REP ORG: ARIZONA RADIATION REGULATORY AGENCY |NOTIFICATION DATE: 02/06/2003|
|LICENSEE: UNIVERSITY OF ARIZONA |NOTIFICATION TIME: 17:17[EST]|
| CITY: PHOENIX REGION: 4 |EVENT DATE: 02/06/2003|
| COUNTY: STATE: AZ |EVENT TIME: 15:00[MST]|
|LICENSE#: AZ 10-44 AGREEMENT: Y |LAST UPDATE DATE: 02/06/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |CLAUDE JOHNSON R4 |
| |MELVYN LEACH NMSS |
+------------------------------------------------+JOHN DAVIDSON TAS |
| NRC NOTIFIED BY: AUBREY V. GODWIN |ANNE BOLAND IAT |
| HQ OPS OFFICER: STEVE SANDIN |FEMA, DOE, USDA FAX |
+------------------------------------------------+HHS, EPA, DOT(NRC) FAX |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| AGREEMENT STATE REPORT INVOLVING MISSING 62 MILLICURIE STRONTIUM-90 SOURCE |
| |
| The following information was received from the Arizona Radiation Regulatory |
| Agency: |
| |
| "Date: February 6, 2003 |
| "Time: 3:00 PM (MST) |
| |
| "First Notice: 03-04 |
| |
| "Arizona Location |
| "Tucson FEDEX |
| "Phoenix, AZ 85040 |
| |
| "License No. Transportation to |
| "AZ 10-44 |
| |
| "At approximately 2:00 PM the Agency was informed by the University of |
| Arizona that on 1/23/2003 they shipped a 90-Sr sealed source [62 mCi] to |
| Novoste at Norcross, GA. At approximately 11:30 MST the University was |
| contacted by Novoste and informed that a package with the University waybill |
| did not have the 90-Sr sources but contained airplane parts. FEDEX reported |
| to the University that the shipment left Tucson, AZ 6:44 PM on 1/23/03 |
| arriving in Memphis TN around 1:07 AM 1/24/03. The log indicates 'Missing |
| Paperwork.' Subsequently the package went to Atlanta and the Decatur |
| Station. The package was back in Memphis on 1/26/03, then back the Atlanta |
| and Decatur on 1/27/03. At approximately 9:07 AM, 1/27/03 the package was |
| delivered to Novoste. The shipping package was a 12 by 13 inch metal pail |
| weighing 35 pounds. It was shipped standard overnight on waybill # |
| 838483848672. |
| |
| "The Agency and the University continue to look for the source. |
| |
| "The states of GA, and TN and U.S. NRC and FBI are being notified of this |
| event." |
| |
| Call the Headquarters Operations Officer for contact information. |
| |
| |
| *** UPDATE ON 2/7/03 1500 EST FROM ROD HARRELL TO ARLON COSTA *** |
| |
| The Sr-90 source was held by FEDEX at Memphis pending completion of |
| paperwork and was subsequently sent to Novoste at Norcross, GA. The source |
| was delivered to Novoste on 01/27/03 at 0930 EST. |
| |
| Notified NMSS EO (Leach), TAS (Hann), R4DO (Johnson), R4 IAT (Boland) and |
| FEMA, DOE, USDA, HHS, EPA, DOT(NRC) via fax. |
+------------------------------------------------------------------------------+
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|General Information or Other |Event Number: 39572 |
+------------------------------------------------------------------------------+
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| REP ORG: CALIFORNIA RADIATION CONTROL PRGM |NOTIFICATION DATE: 02/06/2003|
|LICENSEE: REGENTS OF THE UNIV OF CA, SAN DIEGO |NOTIFICATION TIME: 22:39[EST]|
| CITY: LA JOLLA REGION: 4 |EVENT DATE: 02/06/2003|
| COUNTY: STATE: CA |EVENT TIME: 17:39[PST]|
|LICENSE#: 1339-37 AGREEMENT: Y |LAST UPDATE DATE: 02/06/2003|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |CLAUDE JOHNSON R4 |
| |MELVYN LEACH NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: ROBERT GREGER | |
| HQ OPS OFFICER: ARLON COSTA | |
+------------------------------------------------+ |
|EMERGENCY CLASS: NON EMERGENCY | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
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| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| AGREEMENT STATE NOTIFICATION OF RADIATION OVER - EXPOSURE |
| |
| "Abstract: |
| On January 31, 2003, the Radiation Safety Officer from the University |
| contacted our office to notify us that a physician, who works in the |
| Radiation Oncology Department at the University's Medical Center-Hillcrest, |
| received a whole body dose of 5700 mrem for CY 2002, exceeding the |
| occupational worker limit of 5000 mrem/year. The 5700 mrem was all received |
| during the dosimeter wear period of October to December 2002. |
| |
| "The RSO states that this exposure appears to be real and therefore |
| qualifies as an overexposure. The matter is being investigated by UCSD's |
| Environmental, Health and Safety office with a formal report to be submitted |
| within |
| 30 days. |
| |
| "The physician has been interviewed by UCSD and feels the dose may have |
| occurred during Cs-137 seed implants. UCSD is currently in the process of |
| researching how many seed implants this doctor was involved in during this |
| time period (they think the doctor was involved with at least 2-3 seed |
| implants between October 1 through December 31, 2002). |
| |
| "In the years 2000, 2001 and for the first three quarters of 2002, this |
| individual's reported dose was 0 DDE, LDE, SDE (note: This individual lost |
| the ring badges for the first three quarters of 2002 and there are no ring |
| badge records available for 2002). UCSD is having a special session of the |
| Radiation Safety Committee next week to discuss this overexposure and will |
| do their own investigation. They will also ask the doctor what happened to |
| the ring badges. |
| |
| "Summary: |
| At approximately 0900, the Brea office received a call from John Zummo, RSO |
| and John Olson, ARSO from The Regents of the University of California, San |
| Diego, 9500 Gilman Drive, La Jolla, CA 92093-0920, RAML# 1339-37, (858) |
| 534-1069 to give notice that dosimetery readings indicate an overexposure to |
| a staff physician. The physician works in the Radiation Oncology Department |
| of Hillcrest Medical Center, San Diego, and received a dose of 5700 mrem |
| whole-body for CY 2002, exceeding the occupational worker limit of 5000 |
| mrem/year. The 5700 mrem was all received during the dosimeter wear period |
| of October to December 2002. |
| |
| "A preliminary report was e-mailed to the office (sent 0912, on 1-31-03). |
| That report relays that, based on the information known so far, the 5700 |
| mrem appears to be real and therefore qualifies as an overexposure. The |
| matter is being investigated by UCSD's Environmental, Health and Safety |
| office with a formal report to be submitted within 30 days." |
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|Power Reactor |Event Number: 39576 |
+------------------------------------------------------------------------------+
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| FACILITY: SAINT LUCIE REGION: 2 |NOTIFICATION DATE: 02/10/2003|
| UNIT: [1] [2] [] STATE: FL |NOTIFICATION TIME: 18:46[EST]|
| RXTYPE: [1] CE,[2] CE |EVENT DATE: 02/10/2003|
+------------------------------------------------+EVENT TIME: 18:00[EST]|
| NRC NOTIFIED BY: DAVE FIELDS |LAST UPDATE DATE: 02/10/2003|
| HQ OPS OFFICER: ARLON COSTA +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: NON EMERGENCY |JOEL MUNDY R2 |
|10 CFR SECTION: |KEN CLARK R2PA |
|NINF INFORMATION ONLY | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 100 Power Operation |100 Power Operation |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
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| INFORMATION CALL WITH POTENTIAL MEDIA ATTENTION |
| |
| "On February 10, 2003 the parents of an eight-year-old boy diagnosed with |
| cancer filed a federal lawsuit against Florida Power and Light Company. The |
| lawsuit alleges that the cause of the cancer was attributable to the child |
| living in close proximity to the St. Lucie Nuclear Power Plant. |
| |
| "This event has created significant attention from both the local and |
| national media FPL does not currently plan to make a formal press release. |
| This informational notification is being made to alert the NRC of the |
| situation and potential media inquiries." |
| |
| The NRC Resident Inspector will be notified. |
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