U.S. Nuclear Regulatory Commission Operations Center Event Reports For 09/02/97 - 09/03/97 ** EVENT NUMBERS ** 32855 32856 32857 32858 32859 32860 32861 +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32855 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: COOK REGION: 3 |NOTIFICATION DATE: 09/02/97 | |UNIT: [1] [2] [ ] STATE: MI |NOTIFICATION TIME: 09:16 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 09/02/97 | +------------------------------------------------+EVENT TIME: 09:03[EDT]| |NRC NOTIFIED BY: RANDY PACEK |LAST UPDATE DATE: 09/02/97 | |HQ OPS OFFICER: STEVE SANDIN +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JAMES CREED RDO | |AOUT 50.72(b)(1)(ii)(B) OUTSIDE DESIGN BASIS | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | DISCOVERY THAT DRUMMING ROOM DOES NOT MEET FINAL SAFETY ANALYSIS REPORT | | CRITERION FOR MONITORING WASTE STORAGE | | | | THE FOLLOWING TEXT IS A PORTION OF A FACSIMILE RECEIVED FROM THE LICENSEE: | | | | "THE 609' DRUMMING ROOM DOES NOT MEET THE FINAL SAFETY ANALYSIS REPORT | | (FSAR) CRITERION FOR MONITORING FUEL AND WASTE STORAGE." | | | | "THE FSAR CRITERION IS AS FOLLOWS:" | | | | "MONITORING AND ALARM INSTRUMENTATION SHALL BE PROVIDED FOR FUEL AND | | WASTE STORAGE AND ASSOCIATED HANDLING AREAS FOR CONDITIONS THAT MIGHT | | RESULT IN LOSS OF CAPABILITY TO REMOVE DECAY HEAT AND TO DETECT | | EXCESSIVE RADIATION LEVELS." | | | | "A REQUIREMENT, TO FULFILL THIS CRITERION, IS TO HAVE AN AREA RADIATION | | MONITOR PROVIDING CONTINUOUS SERVICE TO DETECT EXCESSIVE RADIATION LEVELS | | AND TO ACTUATE A CONTROL ROOM ALARM IF HIGH ACTIVITY EXISTS." | | | | "THE 609' DRUMMING ROOM HAS BEEN USED FOR THE HANDLING AND STORAGE OF | | RADIOACTIVE WASTE MATERIAL. THE 609' DRUMMING ROOM DOES NOT MEET THIS | | REQUIREMENT." | | | | "NORMAL PROCESSING OF RADIOACTIVE WASTE MATERIAL IN THE 609' DRUMMING ROOM | | HAS BEEN DISCONTINUED. RADIOACTIVE WASTE MATERIALS FOUND IN THE ROOM ARE | | BEING MOVED TO AN APPROPRIATE STORAGE AREA. A CONDITION REPORT HAS BEEN | | WRITTEN TO INITIATE INVESTIGATION INTO THIS EVENT AND DETERMINE APPROPRIATE | | PREVENTIVE ACTIONS." THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32856 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SAINT LUCIE REGION: 2 |NOTIFICATION DATE: 09/02/97 | |UNIT: [1] [2] [ ] STATE: FL |NOTIFICATION TIME: 09:52 [ET]| |RX TYPE: [1] CE,[2] CE |EVENT DATE: 09/02/97 | +------------------------------------------------+EVENT TIME: 09:05[EDT]| |NRC NOTIFIED BY: RICHARD CZARNECKI |LAST UPDATE DATE: 09/02/97 | |HQ OPS OFFICER: STEVE SANDIN +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: | | |DDDD 73.71 UNSPECIFIED PARAGRAPH | | | |DAVID THOMPSON/REG 2 IAT | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |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 +------------------------------------------------------------------------------+ | AN UNAUTHORIZED ENTRY INTO THE PROTECTED AREA OCCURRED. IMMEDIATE | | COMPENSATORY MEASURES WERE TAKEN UPON DISCOVERY. (REFER TO THE HOO LOG FOR | | ADDITIONAL DETAILS.) THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 32857 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: RONE ENGINEERS INC. |NOTIFICATION DATE: 09/02/97 | | CITY: DALLAS REGION: 4 |NOTIFICATION TIME: 14:46 [ET]| | COUNTY: STATE: TX |EVENT DATE: 09/02/97 | |LICENSE#: L02356 AGREEMENT: Y |EVENT TIME: 12:00[CDT]| | DOCKET: |LAST UPDATE DATE: 09/02/97 | | +-----------------------------+ | |PERSON ORGANIZATION| | |GENE BATES RDO | | |DR. COOL (NMSS) EO | +------------------------------------------------+ | |NRC NOTIFIED BY: STEVE BROWN | | |HQ OPS OFFICER: JOHN MacKINNON | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |BAB1 20.2201(a)(1)(i) LOST/STOLEN LNM>1000X | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | TROXLER ELECTRONICS WAS NOTIFIED THAT AN INDIVIDUAL PURCHASED A TROXLER | | MOISTURE DENSITY GAUGE AT A SWAP MEET IN OKLAHOMA CITY. | | | | TROXLER ELECTRONIC LABS LOCATED IN RESEARCH TRIANGLE, NORTH CAROLINA, WAS | | NOTIFIED TODAY (09/02/97) BY MR. ZORN OF OKLAHOMA CITY, OKLAHOMA, THAT HE | | HAD PURCHASED A TROXLER MOISTURE DENSITY GAUGE AT A SWAP MEET. MR. ZORN | | OWNS A RENTAL EQUIPMENT BUSINESS IN OKLAHOMA CITY. THE MODEL NUMBER OF THE | | GAUGE IS 3430 (8 MILLICURIES OF CESIUM-137 AND 40 MILLICURIES OF | | AMERICIUM-241/BERYLLIUM), AND THE SERIAL NUMBER OF THE GAUGE IS 25250. THE | | SERIAL NUMBER OF THE CESIUM SOURCE IS 758053, AND THE SERIAL NUMBER OF THE | | AMERICIUM-241/BERYLLIUM SOURCE IS 4721520. | | | | ON 10/25/95, TROXLER TRANSFERRED THE GAUGE TO RONE ENGINEERS INC., LOCATED | | AT 11234 GOODNIGHT LANE, DALLAS, TEXAS. THE RONE ENGINEERS INC. STATE OF | | TEXAS LICENSEE IS L02356. | | | | TROXLER INFORMED MR. ZORN TO PLACE THE GAUGE BACK IN ITS CASE, LOCK THE | | CASE, AND STORE THE CASE IN A SECURE AREA. | | | | (REFER TO THE HOO LOG FOR CONTACT NAMES AND TELEPHONE NUMBERS.) | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 32858 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: SAN FRANCISCO VA MEDICAL CENTER |NOTIFICATION DATE: 09/02/97 | | CITY: SAN FRANCISCO REGION: 4 |NOTIFICATION TIME: 14:57 [ET]| | COUNTY: STATE: CA |EVENT DATE: 08/19/97 | |LICENSE#: 04-00421-05 AGREEMENT: Y |EVENT TIME: 12:00[PDT]| | DOCKET: |LAST UPDATE DATE: 09/02/97 | | +-----------------------------+ | |PERSON ORGANIZATION| | |GENE BATES RDO | | |DR. COOL (NMSS) EO | +------------------------------------------------+ | |NRC NOTIFIED BY: LANCE PHILLIPS | | |HQ OPS OFFICER: JOHN MacKINNON | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |BAB2 20.2201(a)(1)(ii) LOST/STOLEN LNM>10X | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | MISSING PHOSPHORUS-32 (P32) VIAL | | | | ON AUGUST 18, 1997, A PACKAGE CONTAINING THREE VIALS OF P32 WAS DELIVERED | | TO THE SAN FRANCISCO VA MEDICAL CENTER. THE RESEARCHER WHO OPENED THE | | PACKAGE THOUGHT THAT THE PACKAGE CONTAINED ONLY TWO VIALS OF P32, AND THE | | RESEARCHER REMOVED TWO VIALS OF P32 FROM THE PACKAGE. THE RESEARCHER DID | | NOT READ THE PAPERWORK THAT CAME WITH THE PACKAGE AND DID NOT SURVEY THE | | PACKAGE BEFORE IT WAS PLACED IN THE TRASH ON AUGUST 19, 1997. ON AUGUST | | 20, 1997, THE LICENSEE DISCOVERED THAT ONE VIAL OF P32 WAS MISSING AND THEY | | TRIED TO LOCATE THE VIAL. AFTER MAKING SEVERAL TELEPHONE CALLS, THE | | LICENSEE CONCLUDED THAT THE MISSING VIAL OF P32 ENDED UP IN THE ALVISO | | LANDFILL. THE MISSING VIAL CONTAINS 250 MICROCURIES OF P32 WHICH IS A PURE | | BETA EMITTER. THE MAXIMUM ENERGY OF A P32 BETA PARTICLE IS 1.7 Mev. | | | | (REFER TO THE HOO LOG FOR CONTACT NAMES AND TELEPHONE NUMBERS.) | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 32859 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: UNKNOWN |NOTIFICATION DATE: 09/02/97 | | CITY: TEMPLE REGION: 1 |NOTIFICATION TIME: 17:03 [ET]| | COUNTY: STATE: PA |EVENT DATE: 09/02/97 | |LICENSE#: AGREEMENT: N |EVENT TIME: 12:00[EDT]| | DOCKET: |LAST UPDATE DATE: 09/02/97 | | +-----------------------------+ | |PERSON ORGANIZATION| | |LARRY DOERFLEIN RDO | | |DR. COOL (NMSS) EO | +------------------------------------------------+ | |NRC NOTIFIED BY: DAVE CHAWAGA | | |HQ OPS OFFICER: JOHN MacKINNON | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NINF INFORMATION ONLY | | |NOCM COMM ASST BRIEF | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | AMERICIUM-241 WAS FOUND IN A LOAD OF SHREDDED NON-FERROUS AUTOMOTIVE PARTS. | | | | THE FOLLOWING TEXT IS A PORTION OF A FACSIMILE RECEIVED FROM THE NRC REGION | | 1 OFFICE: | | | | "ON SEPTEMBER 2, 1997, REGION 1 WAS NOTIFIED BY THE PENNSYLVANIA DEPARTMENT | | OF ENVIRONMENTAL PROTECTION (PADEP) THAT ON THURSDAY, AUGUST 28, A LOAD OF | | SHREDDED NON-FERROUS AUTOMOTIVE PARTS FROM A METAL RECYCLER IN TEMPLE, | | PENNSYLVANIA, TRIPPED A RADIATION MONITOR AT A MICHIGAN RECYCLING CENTER | | AND WAS RETURNED TO THE PENNSYLVANIA FACILITY. THE RADIATION LEVELS ON THE | | SIDE OF THE TRUCK UPON ITS RETURN FROM MICHIGAN WERE APPROXIMATELY 9 | | MILLIROENTGENS PER HOUR (mR/hr). A PORTION OF THE LOAD WITH THE ELEVATED | | RADIATION LEVELS WAS DUMPED ON A TARPED AREA AND SUBSEQUENTLY COVERED WITH | | A SECOND TARP AND THE AREA SECURED. RADIATION LEVELS ON CONTACT WITH THE | | PILE OF SHREDDED MATERIAL WERE AS HIGH AS 100 mR/hr. PADEP PERSONNEL TOOK | | A SAMPLE OF THE CONTAMINATED MATERIAL AND IDENTIFIED THE PRESENCE OF | | AMERICIUM-241 WITH A PORTABLE MULTICHANNEL ANALYZER AND ALPHA DETECTORS." | | | | "ON SEPTEMBER 2, PADEP PERSONNEL RETURNED TO THE FACILITY TO SORT THROUGH | | THE SEGREGATED SHREDDED MATERIAL. SEVERAL PIECES OF A RADIOACTIVE SOURCE | | WERE ISOLATED. THE LARGEST PIECE RECOVERED WAS A THIN METAL TUBE ABOUT 2.5 | | CENTIMETERS LONG WITH RADIATION LEVELS ON CONTACT READING APPROXIMATELY 80 | | mR/hr. FIXED ALPHA CONTAMINATION LEVELS ON THIS PIECE WERE MEASURED UP TO | | 400,000 DISINTEGRATIONS PER MINUTE." | | | | "REGION 1 DISPATCHED AN INSPECTOR TO THE FACILITY ON SEPTEMBER 2 TO TAKE | | SAMPLES OF THE CONTAMINATED MATERIAL. GAMMA SPECTROSCOPY ANALYSIS OF THE | | SAMPLES TAKEN BY THE INSPECTOR IN THE REGION 1 LABORATORY CONFIRMED THE | | PRESENCE OF AMERICIUM-241 AS THE ISOTOPE PRESENT." | | | | ON 09/03/97, NRC REGION 1 PLANS TO ISSUE A PRELIMINARY NOTIFICATION ON THIS | | EVENT. | | | | ***COMMISSIONERS ASSISTANTS BRIEFING AT 2030 EDT ON 09/02/97*** | | | | THE BRIEFER WAS NRC REGION 1 (FRANK COSTELLO). PARTICIPANTS OF THE | | BRIEFING INCLUDED THE FOLLOWING: AEOD IRD (RICH BARRETT), PUBLIC AFFAIRS | | (BILL BEECHER), CONGRESSIONAL AFFAIRS (M. CALLAHAN), NMSS (DR. PAPERIELLO, | | DR. PICCONE, DR. COOL, AND NMSS EO BOB PIERSON), EDO's OFFICE (JOCELYN | | MITCHELL), NRC REGION 1 (HUB MILLER, BILL AXELSON, RANDY BLOUGH, DUNCAN | | WHITE, AND ERIC REBER), CHAIRMAN JACKSON (JIM SMITH), COMMISSIONER | | MCGAFFIGAN (JOE GRAY), COMMISSIONER DIAZ (PAT CASTLEMAN) AND COMMISSIONER | | DICUS (TERENCE CHAN). THE FOLLOWING NRC PERSONNEL WERE CONTACTED BUT DID | | NOT PARTICIPATE IN THE BRIEFING: AEOD (TIM MARTIN), STATE PROGRAM (RICH | | BANGART), INTERNATIONAL PROGRAM (RON HAUBER), EDO MATERIALS (JOHN THOMA), | | AND SECY (A. BATES). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32860 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: VERMONT YANKEE REGION: 1 |NOTIFICATION DATE: 09/02/97 | |UNIT: [1] [ ] [ ] STATE: VT |NOTIFICATION TIME: 17:08 [ET]| |RX TYPE: [1] GE-4 |EVENT DATE: 09/02/97 | +------------------------------------------------+EVENT TIME: 16:30[EDT]| |NRC NOTIFIED BY: JAMES KRITZER |LAST UPDATE DATE: 09/02/97 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |LARRY DOERFLEIN RDO | |AOUT 50.72(b)(1)(ii)(B) OUTSIDE DESIGN BASIS | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 97 POWER OPERATION | 97 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | LICENSED REACTOR CORE THERMAL POWER LIMIT EXCEEDED. | | | | BETWEEN 0001 AND 0004 EDT ON 09/02/97, A FAILURE IN AN ITG9500 MODULE IN | | THE "B" DATA ACQUISITION SYSTEM (DAS) WHICH PROVIDES DATA TO THE PROCESS | | COMPUTER OCCURRED. THE FAILURE CAUSED THE "A" FEEDWATER FLOW SIGNAL TO BE | | UNDER REPORTED BY ABOUT 2%. SINCE FEEDWATER FLOW IS THE MAJOR CONTRIBUTOR | | TO THE REACTOR HEAT BALANCE, THIS ERROR HAD A CORRESPONDING EFFECT ON THE | | INDICATION OF CORE THERMAL POWER. WEEKLY CONTROL ROD EXERCISING AND | | TURBINE SURVEILLANCE OCCURRED SHORTLY AFTER THE FAILURE. THE POWER | | MANEUVER FOR THE SURVEILLANCE LARGELY MASKED THE ERROR INTRODUCED IN THE | | HEAT BALANCE. | | | | THE FAILURE WAS IDENTIFIED ON THE MORNING OF 09/02/97 DURING ROUTINE | | REACTOR ENGINEERING REACTIVITY TRENDING. THE CONTROL ROOM WAS NOTIFIED, | | AND A POWER REDUCTION TO 98% WAS COMMENCED AT 0755 EDT. ASSUMING THE HEAT | | BALANCE WAS NON-CONSERVATIVE BY 1% (ONE OF TWO FEEDWATER FLOWS BEING 2% IN | | ERROR) THE 8-HOUR AVERAGE FROM 0000 TO 0800 WAS CALCULATED TO BE 1,599 | | MWth. THIS IS IN EXCESS OF THE LICENSED CORE POWER THERMAL LIMIT OF 1,593 | | MWth. | | | | THE NRC RESIDENT INSPECTOR WAS NOTIFIED OF THIS EVENT BY THE LICENSEE. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 32861 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: ZION REGION: 3 |NOTIFICATION DATE: 09/02/97 | |UNIT: [ ] [2] [ ] STATE: IL |NOTIFICATION TIME: 17:56 [ET]| |RX TYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 09/02/97 | +------------------------------------------------+EVENT TIME: 14:36[CDT]| |NRC NOTIFIED BY: BASNER |LAST UPDATE DATE: 09/02/97 | |HQ OPS OFFICER: JOHN MacKINNON +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JIM CREED RDO | |AESF 50.72(b)(2)(ii) ESF ACTUATION | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | SEVERAL ESF ACTUATIONS OCCURRED DUE TO A JUMPER BECOMING DETACHED. | | | | DURING INSTRUMENTATION MAINTENANCE WORK ON SAFETY INJECTION ACCUMULATOR | | LEVEL TRANSMITTER MODIFICATION, INSTALLATION OF A JUMPER TO MAINTAIN POWER | | TO AN INSTALLED TRANSMITTER RESULTED IN AN ELECTRICAL ARC WHEN THE | | ALLIGATOR CLIPS ON THE JUMPER BECAME DETACHED AND IMPACTED THE TERMINAL | | BOARD IN THE VICINITY. | | | | SEVERAL ACTUATIONS INDICATIVE OF A LOSS OF 120 VAC INSTRUMENT BUS 212 | | (INCLUDING AUTO START OF THE "OB" AND "OC" COMPONENT COOLING WATER PUMPS, | | NUCLEAR INSTRUMENT "N42" POSITIVE AND NEGATIVE FLUX RATE TRIPS, LETDOWN | | ISOLATION, "2FCV-PR24B" CONTAINMENT ISOLATION VALVE CLOSURE, AND NUMEROUS | | BISTABLE ACTUATIONS) OCCURRED. THE ONLY EXPECTED ACTUATION THAT DID NOT | | OCCUR WAS CLOSURE OF VALVE 2MOV-CC685 (COMPONENT COOLING CONTAINMENT PHASE | | "B" ISOLATION VALVE - THROTTLED OPEN VALVE). SYSTEM ENGINEERING INDICATES | | THAT MOMENTARY DEGRADED VOLTAGE MAY HAVE BEEN INSUFFICIENT TO CAUSE THIS | | ACTUATION. | | | | THE NRC RESIDENT INSPECTOR WILL BE NOTIFIED OF THIS EVENT BY THE LICENSEE. | +------------------------------------------------------------------------------+