U.S. Nuclear Regulatory Commission Operations Center Event Reports For 10/06/98 - 10/07/98 ** EVENT NUMBERS ** 34626 34763 34795 34877 34878 34879 34880 +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 34626 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: WASHINGTON STATE UNIVERSITY |NOTIFICATION DATE: 08/11/98 | | CITY: PULLMAN REGION: 4 |NOTIFICATION TIME: 09:00 [ET]| | COUNTY: STATE: WA |EVENT DATE: 08/06/98 | |LICENSE#: WN-C003-1 AGREEMENT: Y |EVENT TIME: 00:00[PDT]| | DOCKET: |LAST UPDATE DATE: 10/06/98 | | +-----------------------------+ | |PERSON ORGANIZATION| | |GARY SANBORN RDO | | |FREDERICK COMBS NMSS EO | +------------------------------------------------+ED GOODWIN NRR EO | |NRC NOTIFIED BY: FRAZEE(WA DEPT OF HEALTH) | | |HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |NAGR AGREEMENT STATE | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | THE WASHINGTON DEPARTMENT OF HEALTH, DIVISION OF RADIATION PROTECTION WAS | | NOTIFIED BY WASHINGTON STATE UNIVERSITY OF LOW LEVEL WASTE SOLUTION BEING | | DISCHARGED TO A SANITARY SEWER LINE WHICH HAD BEEN BROKEN TWO YEARS AGO. | | | | ON 8/5/98, IT WAS DISCOVERED THAT THE SEWER LINE USED FOR THE DISCHARGE OF | | RADIOACTIVE WASTE SOLUTION (ONE OF SEVERAL LEADING FROM THE UNIVERSITY'S | | REACTOR FACILITY) HAD BEEN BROKEN BY A BACKHOE IN THE AREA APPROXIMATELY 2 | | YEARS AGO. THIS RESULTED IN THE DISCHARGE CREATING A SMALL CHANNEL DOWN | | THE HILLSIDE NEAR THE FACILITY. THE TOTAL VOLUME OF DISCHARGE HAS BEEN | | SMALL WITH MOST OF THE WATER COMING FROM A SUMP PUMP FOR COOLING TOWER | | CONDENSATE(NON-RADIOACTIVE DISCHARGE). THE AREA OF THE BREAK HAD BEEN | | CORDONED OFF AND POSTED. AN IMMEDIATE SURVEY AT THE BROKEN PIPE DETERMINED | | THE PRESENCE OF RADIOACTIVE MATERIAL IN THE SOIL. INITIAL SAMPLES | | IDENTIFIED SULFUR-35 PRESENT, BUT OTHER RADIONUCLIDES DISCHARGED OVER THE | | PAST TWO YEARS INCLUDE TRITIUM(H3), CARBON-14, PHOSPHORUS-32, | | PHOSPHORUS-33, CALCIUM-45, CHLORINE-36, CHROMIUM-51, SODIUM-22 AND | | IODINE-125. THE UNIVERSITY HAS STOPPED FURTHER DISCHARGES OF RADIOACTIVE | | WASTE AND IS TAKING PROMPT ACTION TO IDENTIFY THE EXTENT ON CONTAMINATION, | | ASSESS THE RADIOLOGICAL HAZARD. AND COMPLETE THE CLEAN-UP. THE UNIVERSITY | | HAS ISSUED A PRESS RELEASE. | | | | NO EXPOSURES TO PERSONNEL OR THE PUBLIC HAVE BEEN IDENTIFIED. | | | | * * * UPDATE 1445EDT ON 10/6/98 FROM TERRY FRAZEE VIA E-MAIL * * * | | | | RECEIVED AN UPDATE TO EVENT REPORT #WA-98-028 WHICH INCLUDED A MORE | | DETAILED DESCRIPTION OF IMMEDIATE ACTIONS AND FOLLOWUP ACTIVITIES. NOTIFIED | | R4DO(STETKA) AND EO(COMBS). | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 34763 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: CLINTON REGION: 3 |NOTIFICATION DATE: 09/11/98 | |UNIT: [1] [ ] [ ] STATE: IL |NOTIFICATION TIME: 15:28 [ET]| |RX TYPE: [1] GE-6 |EVENT DATE: 09/11/98 | +------------------------------------------------+EVENT TIME: 10:52[CDT]| |NRC NOTIFIED BY: MARSHALL FUNKHOUSER |LAST UPDATE DATE: 10/06/98 | |HQ OPS OFFICER: FANGIE JONES +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |JIM GAVULA RDO | |AINA 50.72(b)(2)(iii)(A) POT UNABLE TO SAFE SD | | |AINB 50.72(b)(2)(iii)(B) POT RHR INOP | | |AIND 50.72(b)(2)(iii)(D) ACCIDENT MITIGATION | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N N 0 COLD SHUTDOWN | 0 COLD SHUTDOWN | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | DIVISION 1 SHUTDOWN SERVICE WATER (SX) SYSTEM FLOW DEGRADED | | | | DURING PERFORMANCE OF THE DIVISION 1 SX SYSTEM FLOW BALANCING PROCEDURE, | | WITH ALL COMPONENTS ALIGNED AND BACKWASH IN SERVICE, SEVERAL COMPONENTS | | WERE FOUND WITH FLOW LESS THAN THAT REQUIRED BY PLANT CALCULATION. THESE | | INCLUDE THE FOLLOWING: RESIDUAL HEAT REMOVAL (RHR) HEAT EXCHANGER, RHR PUMP | | SEAL, RHR HEAT EXCHANGER ROOM COOLER, RHR PUMP ROOM COOLER, STANDBY GAS | | TREATMENT (SBGT) COOLER, CONTROL ROOM CHILLER, INVERTER ROOM COOLER, AND | | THE REACTOR CORE ISOLATION COOLING (RCIC) ROOM COOLER. THESE LOW FLOWS | | APPEAR TO BE DUE TO EXCESSIVE FLOW GOING THROUGH THE STRAINER BACKWASH, | | 2,840 GALLONS PER MINUTE HIGHER THAN DESIGNED. THE STRAINER BACKWASH IS | | NORMALLY ONLY ON FOR TWO MINUTES OUT OF TWENTY FOUR HOURS. HOWEVER, IF THE | | STRAINER BACKWASH FAILED OPEN, THE DESIGN FLOWS WOULD NOT BE MET. THE | | PLANT IS PRESENTLY IN A DIVISION 1 SYSTEM OUTAGE FOR MAINTENANCE. THE | | PROBLEM WILL BE CORRECTED PRIOR TO PLANT STARTUP. | | | | DIVISION 2 SX SYSTEM IS SCHEDULED FOR FLOW BALANCE TESTING PRIOR TO PLANT | | STARTUP. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | | | | * * * UPDATE 1635EDT ON 10/6/98 FROM MICHAEL HUDSON TO S.SANDIN * * * | | | | THE LICENSEE IS RETRACTING THIS REPORT BASED ON THE FOLLOWING: | | | | "SUBSEQUENT EVALUATION OF THE SYSTEM FLOWS OBSERVED DURING TESTING HAS | | DETERMINED THAT ADEQUATE FLOW WAS MAINTAINED TO THE ABOVE LISTED COMPONENTS | | SUCH THAT THE DESIGN BASIS HEAT REMOVAL CAPABILITY OF EACH COMPONENT DURING | | A DESIGN BASIS ACCIDENT CONDITION WOULD NOT HAVE BEEN IMPACTED. THEREFORE, | | CLINTON POWER STATION IS RETRACTING EVENT NOTIFICATION #34763." | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. NOTIFIED R3DO(KOZAK). | +------------------------------------------------------------------------------+ !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 34795 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: NINE MILE POINT REGION: 1 |NOTIFICATION DATE: 09/18/98 | |UNIT: [ ] [2] [ ] STATE: NY |NOTIFICATION TIME: 07:52 [ET]| |RX TYPE: [1] GE-2,[2] GE-5 |EVENT DATE: 09/18/98 | +------------------------------------------------+EVENT TIME: 05:59[EDT]| |NRC NOTIFIED BY: TOM CHWALEK |LAST UPDATE DATE: 10/06/98 | |HQ OPS OFFICER: BOB STRANSKY +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |DAN HOLODY RDO | |AINB 50.72(b)(2)(iii)(B) POT RHR INOP | | |NLCO TECH SPEC LCO A/S | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | | | | | 2 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | HIGH PRESSURE CORE SPRAY SYSTEM DECLARED INOPERABLE | | | | AT 0600 ON 9/15/98, UNIT 2 ENTERED A 72-HOUR TECHNICAL SPECIFICATION | | LIMITING CONDITION FOR OPERATION (LCO) IN ORDER TO PERFORM PREPLANNED | | MAINTENANCE ON THE DIVISION III EMERGENCY DIESEL GENERATOR. HOWEVER, DUE | | TO A MALFUNCTION OF THE GETARS COMPUTER MONITORING SYSTEM, POST MAINTENANCE | | SURVEILLANCE TESTING WAS NOT COMPLETED BEFORE THE EXPIRATION OF THE LCO. IN | | ACCORDANCE WITH TECHNICAL SPECIFICATION 3.8.1.1, ACTION d, THE HIGH | | PRESSURE CORE SPRAY (HPCS) SYSTEM WAS DECLARED INOPERABLE. THE LICENSEE | | REPORTED THAT ALL OTHER EMERGENCY CORE COOLING SYSTEMS ARE AVAILABLE, AS IS | | THE REACTOR CORE ISOLATION COOLING (RCIC) SYSTEM. | | | | THE NRC RESIDENT INSPECTOR HAS BEEN INFORMED OF THIS EVENT BY THE LICENSEE. | | | | * * * UPDATE 1232EDT ON 10/6/98 FROM GREGG PITTS TO S.SANDIN * * * | | | | THE LICENSEE IS RETRACTING THIS EVENT BASED ON THE FOLLOWING: | | | | "ENGINEERING EVALUATION HAS DETERMINED THAT THE HPCS DIESEL GENERATOR WAS | | IN FACT OPERABLE (PROPER VOLTAGE WAS ACHIEVED UPON START). AS A RESULT THE | | HIGH PRESSURE CORE SPRAY SYSTEM WAS NOT INOPERABLE. | | | | "BASED ON THE ABOVE, NINE MILE POINT UNIT 2 IS RETRACTING NOTIFICATION OF | | SINGLE TRAIN ECCS SYSTEM INOPERABILITY." | | | | THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. NOTIFIED R1DO(LINVILLE). | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |HOSPITAL | |EVENT NUMBER: 34877 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: ST. JOSEPH'S MEDICAL CENTER |NOTIFICATION DATE: 10/06/98 | | CITY: SOUTH BEND REGION: 3 |NOTIFICATION TIME: 11:24 [ET]| | COUNTY: STATE: IN |EVENT DATE: 10/06/98 | |LICENSE#: 13-02650-02 AGREEMENT: N |EVENT TIME: 00:00[EDT]| | DOCKET: |LAST UPDATE DATE: 10/06/98 | | +-----------------------------+ | |PERSON ORGANIZATION| | |THOMAS KOZAK RDO | | |FRED COMBS EO | +------------------------------------------------+STUART RUBIN IRD | |NRC NOTIFIED BY: SCHEU | | |HQ OPS OFFICER: CHAUNCEY GOULD | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |BAB2 20.2201(a)(1)(ii) LOST/STOLEN LNM>10X | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | ST. JOSEPH'S MEDICAL CENTER IN SOUTH BEND, INDIANA REPORTED A MISSING | | IODINE-125 SEED. | | | | ON JULY 24, 1998 THE MEDICAL CENTER RECEIVED A SHIPMENT OF 107 IODINE-125 | | SEEDS IN TWO VIALS FROM NYCOMED AMERSHAM (106 IN ONE VIAL AND 1 SEED IN THE | | OTHER VIAL). THE SINGLE SEED WAS TRANSFERRED TO THE OTHER VIAL WITHOUT | | VERIFICATION OF THE TOTAL COUNT. AFTER TRANSFER OF THE SEED THEY REMOVED | | THE VIAL FROM NUCLEAR MEDICINE AND PUT IT IN AN AUTOCLAVE CONTAINER | | CANISTER TO BE AUTOCLAVED. WHEN THIS STEP WAS COMPLETED, THEY TOOK THE | | SEEDS TO ANOTHER ROOM TO LOAD INTO THE NEEDLES. WHEN THEY GOT TO THE LAST | | NEEDLE FOR LOADING, THEY REALIZED THEY WERE ONE SEED SHORT. THEY MADE A | | THOROUGH SEARCH BUT DID NOT FIND THE SEED. | | | | THE LICENSEE CONTACTED NYCOMED AMERSHAM TO DETERMINE IF THEY HAD SENT 107 | | IODINE SEEDS. ON 9/6/98 THE COMPANY RESPONDED THAT THEY HAD SHIPPED THE | | COMPLETE SHIPMENT OF 107 SEEDS. | | | | AFTER TALKING WITH THE REGION IT WAS DETERMINED THAT THE LICENSEE SHOULD | | REPORT THE EVENT TO THE OPERATIONS CENTER AS LOST NUCLEAR MATERIAL. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |OTHER NUCLEAR MATERIAL | |EVENT NUMBER: 34878 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |LICENSEE: WAYNE STATE UNIVERSITY |NOTIFICATION DATE: 10/06/98 | | CITY: DETROIT REGION: 3 |NOTIFICATION TIME: 12:55 [ET]| | COUNTY: WAYNE STATE: MI |EVENT DATE: 10/06/98 | |LICENSE#: 21-00741-08 AGREEMENT: N |EVENT TIME: 10:00[EDT]| | DOCKET: |LAST UPDATE DATE: 10/06/98 | | +-----------------------------+ | |PERSON ORGANIZATION| | |THOMAS KOZAK RDO | | |FRED COMBS EO | +------------------------------------------------+STUART RUBIN IRD | |NRC NOTIFIED BY: JIM BARROWS | | |HQ OPS OFFICER: STEVE SANDIN | | +------------------------------------------------+ | |EMERGENCY CLASS: NOT APPLICABLE | | |10 CFR SECTION: | | |BAB2 20.2201(a)(1)(ii) LOST/STOLEN LNM>10X | | | | | | | | | | | | | | +------------------------------------------------+-----------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | LICENSEE DISCOVERED THAT TWO NICKEL-63 SOURCES USED IN GAS CHROMATOGRAPHY | | WERE MISSING. | | | | TWO Ni-63 SOURCES MAINTAINED BY WAYNE STATE UNIVERSITY LOCATED IN DETROIT, | | MI WERE DISCOVERED MISSING. THE TWO SOURCES, ONE STORED IN THE CHEMISTRY | | DEPARTMENT AND THE OTHER IN THE BIOLOGY DEPARTMENT, WERE USED IN GAS | | CHROMATOGRAPHY. HOWEVER, ACCORDING TO THE LICENSEE, THESE PARTICULAR | | SOURCES HAD BEEN STORED ON SHELVES AND NEVER USED. THE SOURCE STRENGTHS | | ARE AS FOLLOWS: | | | | 15mCi Ni-63 IN 1974, CURRENTLY 12.4579 mCi (CHEMISTRY DEPARTMENT) | | 2mCi Ni-63 ON 4/1/70, CURRENTLY 1.6133 mCi (BIOLOGY DEPARTMENT) | | | | THE HEALTH PHYSICIST ESTIMATES THAT THE SOURCES WERE DISCARDED ABOUT 5-6 | | MONTHS AGO AFTER THE PROFESSORS IN THESE DEPARTMENTS RETIRED. THE LICENSEE | | HAS DISCUSSED THIS OCCURRENCE WITH REGION III(ANDREA KOCK) AND WILL SUBMIT | | A WRITTEN REPORT. | | | | HOO NOTE: 10CFR20 APPENDIX C - Ni-63 (100ęCi [MICROCURIES]) | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 34879 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: SUMMER REGION: 2 |NOTIFICATION DATE: 10/06/98 | |UNIT: [1] [ ] [ ] STATE: SC |NOTIFICATION TIME: 18:05 [ET]| |RX TYPE: [1] W-3-LP |EVENT DATE: 10/06/98 | +------------------------------------------------+EVENT TIME: 17:30[EDT]| |NRC NOTIFIED BY: PHILIP ROSE |LAST UPDATE DATE: 10/06/98 | |HQ OPS OFFICER: STEVE SANDIN +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |CHRIS CHRISTENSEN RDO | |AUNA 50.72(b)(1)(ii)(A) UNANALYZED COND OP | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 1 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | LICENSEE IDENTIFIED AN UNANALYZED CONDITION AFFECTING THE EMERGENCY | | FEEDWATER SYSTEM. | | | | "AN EVALUATION OF A FAILURE OF THE SPEED CONTROLLER FOR THE TURBINE DRIVEN | | EMERGENCY FEEDWATER PUMP (TDEFWP) RESULTED IN THE IDENTIFICATION OF AN | | UNANALYZED CONDITION FOR THE EMERGENCY FEEDWATER SYSTEM. THE SPEED | | CONTROLLER IS A NON-SAFETY RELATED COMPONENT FOR WHICH ALL POTENTIAL | | FAILURE MECHANISMS HAVE NOT BEEN PREVIOUSLY ANALYZED. THE SPEED CONTROLLER | | IS NOT REQUIRED FOR THE TDEFWP TO PERFORM ITS DESIGN BASIS FUNCTION. | | | | "THE SAFETY SIGNIFICANCE OF THIS FAILURE HAS BEEN DETERMINED TO BE SMALL, | | BASED ON THE EXISTENCE OF OPERATING AND EMERGENCY PROCEDURES WHICH COVER | | SUCH CONDITIONS. SOUTH CAROLINA ELECTRIC AND GAS WILL PROVIDE FURTHER | | EVALUATION OF CHANGES TO THE FACILITY TO ADDRESS THE IDENTIFIED CONDITION. | | IN THE INTERIM, THE SPEED CONTROLLER HAS BEEN ISOLATED FROM THE SYSTEM | | WHICH ELIMINATES THE POTENTIAL FAILURE MECHANISMS FROM ADVERSE EFFECTS ON | | THE OPERABILITY OF THE TDEFWP." | | | | DURING RECENT SURVEILLANCE TESTING THE TDEFWP FAILED TO REACH RATED SPEED. | | THE LICENSEE DISCOVERED FOREIGN MATERIAL IN THE I-P CONVERTER ADVERSELY | | AFFECTING THE OPERATION OF THE SPEED CONTROLLER. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | +------------------------------------------------------------------------------+ +----------------------------------+ +-----------------------+ |POWER REACTOR | |EVENT NUMBER: 34880 | +----------------------------------+ +-----------------------+ +------------------------------------------------+-----------------------------+ |FACILITY: TURKEY POINT REGION: 2 |NOTIFICATION DATE: 10/06/98 | |UNIT: [3] [4] [ ] STATE: FL |NOTIFICATION TIME: 22:43 [ET]| |RX TYPE: [3] W-3-LP,[4] W-3-LP |EVENT DATE: 10/06/98 | +------------------------------------------------+EVENT TIME: 22:00[EDT]| |NRC NOTIFIED BY: BRAIN STAMP |LAST UPDATE DATE: 10/06/98 | |HQ OPS OFFICER: STEVE SANDIN +-----------------------------+ +------------------------------------------------+ NOTIFICATIONS | |EMERGENCY CLASS: NOT APPLICABLE +-----------------------------+ |10 CFR SECTION: |CHRIS CHRISTENSEN RDO | |DDDD 73.71 UNSPECIFIED PARAGRAPH | | | | | | | | | | | | | | +-----+----------+-------+--------+--------------+--+--------+-----------------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+----------+-------+--------+-----------------+--------+-----------------+ | 3 | N N 0 REFUELING | 0 REFUELING | | 4 | N Y 100 POWER OPERATION | 100 POWER OPERATION | | | | | +-----+---------------------------------------------+--------------------------+ EVENT TEXT +------------------------------------------------------------------------------+ | 1-HOUR SECURITY REPORT INVOLVING FALSIFIED PERSONAL HISTORY RECORD. | | | | DISCOVERY OF CRIMINAL ACT INVOLVING CONTRACTOR SUPERVISOR GRANTED ACCESS TO | | THE SITE. IMMEDIATE COMPENSATORY ACTIONS TAKEN UPON DISCOVERY. THE | | LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. REFER TO THE HOO LOG FOR | | ADDITIONAL DETAILS. | +------------------------------------------------------------------------------+