Event Notification Report for June 05, 2025
U.S. Nuclear Regulatory Commission
Operations Center
EVENT REPORTS FOR
06/04/2025 - 06/05/2025
Agreement State
Event Number: 57745
Rep Org: Kentucky Dept of Radiation Control
Licensee: PETNET/UL Northeast Hospital
Region: 1
City: Coxs Creek State: KY
County: Nelson
License #: 202-281-32/202-394-25
Agreement: Y
Docket:
NRC Notified By: Russell Hestand
HQ OPS Officer: Jordan Wingate
Licensee: PETNET/UL Northeast Hospital
Region: 1
City: Coxs Creek State: KY
County: Nelson
License #: 202-281-32/202-394-25
Agreement: Y
Docket:
NRC Notified By: Russell Hestand
HQ OPS Officer: Jordan Wingate
Notification Date: 06/06/2025
Notification Time: 08:36 [ET]
Event Date: 06/05/2025
Event Time: 00:00 [CDT]
Last Update Date: 06/06/2025
Notification Time: 08:36 [ET]
Event Date: 06/05/2025
Event Time: 00:00 [CDT]
Last Update Date: 06/06/2025
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Henrion, Mark (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Henrion, Mark (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - LOSS OF CONTROL OF RADIOACTIVE MATERIAL
The following is a summary of information provided by the Kentucky Department of Radiation Control (the Department) via email:
The Nelson County Emergency Management Agency reported that two blue containers were discovered in a rural location with radioactive material markings. The Department investigated and found the containers were lead pigs from August 6, 2024 which held decayed F-18 positron emission tomography doses. The containers were assayed, and no removable contamination was found on the packages. All radiation readings showed no levels above background.
The Department took custody of the materials and will investigate both the vendor listed on the package as well as the hospital. Local fire and law enforcement responded to the incident.
The following is a summary of information provided by the Kentucky Department of Radiation Control (the Department) via email:
The Nelson County Emergency Management Agency reported that two blue containers were discovered in a rural location with radioactive material markings. The Department investigated and found the containers were lead pigs from August 6, 2024 which held decayed F-18 positron emission tomography doses. The containers were assayed, and no removable contamination was found on the packages. All radiation readings showed no levels above background.
The Department took custody of the materials and will investigate both the vendor listed on the package as well as the hospital. Local fire and law enforcement responded to the incident.
Agreement State
Event Number: 57746
Rep Org: SC Dept of Health & Env Control
Licensee: NAN YA Plastics Corp. America
Region: 1
City: Lake City State: SC
County:
License #: 471
Agreement: Y
Docket:
NRC Notified By: Adam Gause
HQ OPS Officer: Sam Colvard
Licensee: NAN YA Plastics Corp. America
Region: 1
City: Lake City State: SC
County:
License #: 471
Agreement: Y
Docket:
NRC Notified By: Adam Gause
HQ OPS Officer: Sam Colvard
Notification Date: 06/06/2025
Notification Time: 11:50 [ET]
Event Date: 06/05/2025
Event Time: 00:00 [EDT]
Last Update Date: 08/14/2025
Notification Time: 11:50 [ET]
Event Date: 06/05/2025
Event Time: 00:00 [EDT]
Last Update Date: 08/14/2025
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Henrion, Mark (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Henrion, Mark (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
EN Revision Imported Date: 8/15/2025
EN Revision Text: AGREEMENT STATE REPORT - STUCK OPEN GAUGE
The following information was provided by the South Carolina Department of Environmental Services (the Department) via phone and email:
"The licensee informed the Department via telephone on June 5, 2025, that a fixed gauging device was disabled or failed to function as designed. The licensee reported that a sealed source was stuck (exposed) in a dip tube assembly that was attached to a process vessel. The licensee reported that a representative from a licensed service provider was on-site and was able to remove the sealed source from the dip tube assembly and place the sealed source into a transport shield.
"The sealed source is a 9 millicurie cobalt-60 Berthold Technologies USA, LLC Model P2608-100.
"The licensee did not report any overexposures or ongoing health/safety concerns.
"This event is still under investigation by the Department."
* * * UPDATE ON 7/1/2025 AT 1357 EDT FROM JACOB PRICE TO TENISHA MEADOWS * * *
The following information was provided by the South Carolina Department of Environmental Services via email:
"The on-call duty officer was dispatched to the facility to investigate the event on June 6, 2025. All observations and information from the interviews were consistent with the details obtained from the initial report."
South Carolina Event Report ID Number: SC250006
Notified R1DO (Carfang) and NMSS Events Notification (email)
* * * UPDATE ON 08/14/2025 AT 1131 EDT FROM JACOB PRICE TO ADAM KOZIOL * * *
The following information was provided by the South Carolina Department of Environmental Services via email:
The Department has completed its investigation, and the event is considered closed.
Notified R1DO (Bickett) and NMSS Events Notification (email)
EN Revision Text: AGREEMENT STATE REPORT - STUCK OPEN GAUGE
The following information was provided by the South Carolina Department of Environmental Services (the Department) via phone and email:
"The licensee informed the Department via telephone on June 5, 2025, that a fixed gauging device was disabled or failed to function as designed. The licensee reported that a sealed source was stuck (exposed) in a dip tube assembly that was attached to a process vessel. The licensee reported that a representative from a licensed service provider was on-site and was able to remove the sealed source from the dip tube assembly and place the sealed source into a transport shield.
"The sealed source is a 9 millicurie cobalt-60 Berthold Technologies USA, LLC Model P2608-100.
"The licensee did not report any overexposures or ongoing health/safety concerns.
"This event is still under investigation by the Department."
* * * UPDATE ON 7/1/2025 AT 1357 EDT FROM JACOB PRICE TO TENISHA MEADOWS * * *
The following information was provided by the South Carolina Department of Environmental Services via email:
"The on-call duty officer was dispatched to the facility to investigate the event on June 6, 2025. All observations and information from the interviews were consistent with the details obtained from the initial report."
South Carolina Event Report ID Number: SC250006
Notified R1DO (Carfang) and NMSS Events Notification (email)
* * * UPDATE ON 08/14/2025 AT 1131 EDT FROM JACOB PRICE TO ADAM KOZIOL * * *
The following information was provided by the South Carolina Department of Environmental Services via email:
The Department has completed its investigation, and the event is considered closed.
Notified R1DO (Bickett) and NMSS Events Notification (email)
Agreement State
Event Number: 57747
Rep Org: SC Dept of Health & Env Control
Licensee: Medical University Hospital
Region: 1
City: Charleston State: SC
County:
License #: 081
Agreement: Y
Docket:
NRC Notified By: Adam Gause
HQ OPS Officer: Brian P. Smith
Licensee: Medical University Hospital
Region: 1
City: Charleston State: SC
County:
License #: 081
Agreement: Y
Docket:
NRC Notified By: Adam Gause
HQ OPS Officer: Brian P. Smith
Notification Date: 06/06/2025
Notification Time: 12:14 [ET]
Event Date: 06/05/2025
Event Time: 00:00 [EDT]
Last Update Date: 09/18/2025
Notification Time: 12:14 [ET]
Event Date: 06/05/2025
Event Time: 00:00 [EDT]
Last Update Date: 09/18/2025
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Henrion, Mark (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Henrion, Mark (R1DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
EN Revision Imported Date: 9/19/2025
EN Revision Text: AGREEMENT STATE REPORT - MEDICAL EVENT
The following report was received via phone and email from the South Carolina Department of Health and Environmental Control (the Department):
"The licensee informed the Department via telephone on June 6, 2025, that a medical event had occurred on June 5, 2025. The licensee reported that a Y-90 microsphere procedure resulted in 71 percent of the prescribed dose being administered to a patient (a difference of 29 percent), and that a spill also occurred during the administration. The licensee is reporting that the spill originated from the delivery system and likely caused the medical event.
"The licensee reported that the spill in the administration area was cleaned, and the area was released. The licensee is not reporting any overexposures or ongoing health or safety concerns. The referring physician was notified on June 6, 2025. This event is still under investigation by the Department."
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.
South Carolina Event Report ID Number: TBD
* * * UPDATE ON 06/27/2025 AT 0904 EDT FROM JACOB PRICE TO ROBERT THOMPSON * * *
The following is a summary of information provided by the South Carolina Department of Environmental Services (the Department) via email:
In the initial verbal notification, the licensee indicated that the patient received a dose of 29 percent less than prescribed. The written report submitted on June 6, 2025, indicates that the patient received a dose of 31.6 percent less than prescribed. This event is still under investigation.
South Carolina Event Number: SC250007
Notified R1DO (Arner), NMSS Events (email)
* * * UPDATE ON 09/18/2025 AT 1414 EDT FROM JACOB PRICE TO ERNEST WEST * * *
The following report was received via email from the South Carolina Department of Health and Environmental Control (the Department):
"Department inspectors conducted an on-site visit between July 2 and July 3, 2025. Interviews with the licensee's representatives were consistent with the details outlined in the written report. The licensee has provided additional training to the authorized user.
"This event/investigation is considered closed."
South Carolina Event Number: SC250007
Notified R1DO (Schussler), NMSS Events (email)
EN Revision Text: AGREEMENT STATE REPORT - MEDICAL EVENT
The following report was received via phone and email from the South Carolina Department of Health and Environmental Control (the Department):
"The licensee informed the Department via telephone on June 6, 2025, that a medical event had occurred on June 5, 2025. The licensee reported that a Y-90 microsphere procedure resulted in 71 percent of the prescribed dose being administered to a patient (a difference of 29 percent), and that a spill also occurred during the administration. The licensee is reporting that the spill originated from the delivery system and likely caused the medical event.
"The licensee reported that the spill in the administration area was cleaned, and the area was released. The licensee is not reporting any overexposures or ongoing health or safety concerns. The referring physician was notified on June 6, 2025. This event is still under investigation by the Department."
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.
South Carolina Event Report ID Number: TBD
* * * UPDATE ON 06/27/2025 AT 0904 EDT FROM JACOB PRICE TO ROBERT THOMPSON * * *
The following is a summary of information provided by the South Carolina Department of Environmental Services (the Department) via email:
In the initial verbal notification, the licensee indicated that the patient received a dose of 29 percent less than prescribed. The written report submitted on June 6, 2025, indicates that the patient received a dose of 31.6 percent less than prescribed. This event is still under investigation.
South Carolina Event Number: SC250007
Notified R1DO (Arner), NMSS Events (email)
* * * UPDATE ON 09/18/2025 AT 1414 EDT FROM JACOB PRICE TO ERNEST WEST * * *
The following report was received via email from the South Carolina Department of Health and Environmental Control (the Department):
"Department inspectors conducted an on-site visit between July 2 and July 3, 2025. Interviews with the licensee's representatives were consistent with the details outlined in the written report. The licensee has provided additional training to the authorized user.
"This event/investigation is considered closed."
South Carolina Event Number: SC250007
Notified R1DO (Schussler), NMSS Events (email)
Agreement State
Event Number: 57744
Rep Org: Louisiana Radiation Protection Div
Licensee: CF Industries Nitrogen, LLC
Region: 4
City: Donaldsonville State: LA
County:
License #: LA-2864-L01
Agreement: Y
Docket:
NRC Notified By: James Pate
HQ OPS Officer: Brian P. Smith
Licensee: CF Industries Nitrogen, LLC
Region: 4
City: Donaldsonville State: LA
County:
License #: LA-2864-L01
Agreement: Y
Docket:
NRC Notified By: James Pate
HQ OPS Officer: Brian P. Smith
Notification Date: 06/05/2025
Notification Time: 17:31 [ET]
Event Date: 06/05/2025
Event Time: 00:00 [CDT]
Last Update Date: 06/05/2025
Notification Time: 17:31 [ET]
Event Date: 06/05/2025
Event Time: 00:00 [CDT]
Last Update Date: 06/05/2025
Emergency Class: Non Emergency
10 CFR Section:
Agreement State
10 CFR Section:
Agreement State
Person (Organization):
Dodson, Doug (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
Dodson, Doug (R4DO)
NMSS_EVENTS_NOTIFICATION (EMAIL)
AGREEMENT STATE REPORT - SOURCE UNABLE TO BE RETRIEVED
The following report was received by the Louisiana Department of Environmental Quality (LDEQ) via email:
"On June 5, 2025, LDEQ was notified by CF Industries Nitrogen, LLC that, while retracting the source cable during an outage, one source came off the cable and remains inside the reactor. The facility was retracting a Berthold Model P2608-100, serial number LB 7674, with three cobalt-60 sources on the cable. Two sources were retracted and secured. One source came off the cable and remains inside the reactor. There were no radiation exposures to personnel.
"Berthold has been called to perform a source retrieval for the source inside the reactor. The facility is in a shutdown and there is a lockout tag-out in place until the source is retrieved. The disconnected source activity is one of either three sources: 197.3 mCi, 120.3 mCi, or 106.8 mCi. The source serial numbers are 41-01-15, 42-01-15, and 43-01-15."
Louisiana Event Number: LA20250004
The following report was received by the Louisiana Department of Environmental Quality (LDEQ) via email:
"On June 5, 2025, LDEQ was notified by CF Industries Nitrogen, LLC that, while retracting the source cable during an outage, one source came off the cable and remains inside the reactor. The facility was retracting a Berthold Model P2608-100, serial number LB 7674, with three cobalt-60 sources on the cable. Two sources were retracted and secured. One source came off the cable and remains inside the reactor. There were no radiation exposures to personnel.
"Berthold has been called to perform a source retrieval for the source inside the reactor. The facility is in a shutdown and there is a lockout tag-out in place until the source is retrieved. The disconnected source activity is one of either three sources: 197.3 mCi, 120.3 mCi, or 106.8 mCi. The source serial numbers are 41-01-15, 42-01-15, and 43-01-15."
Louisiana Event Number: LA20250004