ML20199C115

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Insp Rept 50-288/97-202 on 971215-18.Violations Noted. Major Areas Inspected:Organization & Staffing,Review & Audit Functions,Procedures,Radiation Protection & Safeguards & Security Program
ML20199C115
Person / Time
Site: Reed College
Issue date: 01/23/1998
From:
NRC (Affiliation Not Assigned)
To:
Shared Package
ML20199C091 List:
References
50-288-97-202, NUDOCS 9801290135
Download: ML20199C115 (17)


See also: IR 05000288/1997202

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ENCLOSURE 2

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U S. NUCLEAR REGULATORY COMMISSION

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Docket No: 50-288

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License No: R 112

l - Report No: 50-288/97 202

i Licensee: Reed College

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Facility: Reed College Reactor Facility

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Location: 3203 S.E. Woodstock Boulevard .

Portland, OR 97202-8199

Date' December 15 18,1997

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Inspector: C. H. Bassett

-Senior Non-Power Reactor inspector

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Approved by: Seymour H. Weiss, Director

Non-Power Reactor and Decommissioning

Project Directorate

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EXECUTIVE SUMMARY

Reed College

Report No: 50-288/97 202

The primary focus of this routine, announced inspection was the on site review of selected .

aspects of the licensee's Class 11 non-power reactor operation including: organization and l

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staffing; review and audit functions; procedures; radiation protection and ALARA programs; i

effluer;t and environmental monitoring; the shipment of radioactive mate *ial; the safeguards 1

and security program; and the material control and accounting program. '

Changes, Organization, and Staffino

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  • The licensee's organization and staffing remain in co"1pliance with the requirements

j specified in the Technical Specifications.

Review and Audit Functions

  • Aucits were being conducted by the Radiation Safety Committee (RSC) and the Reactor

Operations Committee (ROC)in compliance with the requirements specified in the

Technical Specifications (TS).

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  • One violation was noted for failure of the RSC to meet twice yearly as required by the

TS.

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Procedures

e Facility procedures were acceptable and satisfied TS and administrative procedure

4 requirements for being revised by the licensee, and revier.ed and approved by the RSC.

l and the ROC.

Radiation Protection Program.

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e An apparent violation with two examples was noted dealing with failure to follow

procedures.

  • - Surveys were generally completed and documented acceptably to permit evaluation of

the radiation hazards that might exist.

  • Postings met the regulatory requirements.

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  • Personnel dosimetry was being worn as required and doses were well within the

licensee's procedural action levels, and NRC's regulatory limits.

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e Radiation monitoring equipment was being maintained and calibr ited as required.

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  • The Radiation Protection and ALARA Programs satisfied regulatory requirements.

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Effluent and Environmental Monitoring

  • Effluent monitoring satisfied license and regulatory requirements and releases were

within the specified regulatory and TS limits.

Transportation of Radioactive Materials

e An apparent violation was noted for f ailure properly to complete the required shipping

papers for eight shipments of radioactive material.

Safeguards and Security

  • The NRC approved security program at the facility was acceptably carried out.

Material Control and Accountability

  • One violation was identified for failure to submit material status reports withing the

time frame specified in the regulations.

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REDORT DETAILS

Summary of Plant Status

The licensee's two hundred and fifty-kilowatt (250 kW) TRIGA Mark l research reactor

continues to be operated in support of undergraduate instruction and laboratory

experiments, reactor operator training, and various types of research. During the

inspection, the reactor was not operated because it was " finals" week and students were

taking their final examinations.

1. Changes, Organization, and Staffing (69001)

a. Inspection Scope

The inspector reviewed the following regarding the licensee's organization and

staffing to ensure that the requirements of Technical Specification (TS) Sections

1.1.1,1.1.2, and 1.1.3 were being met:

. the organizational structure,

. management responsibilities, and

. staffing requirements for safe operation of the Reed Reactor Facility (RRF).

b. Observations and Findings

Through discussions with licensee representatives the inspector determined that

management responsibilities and the organization at the f acility had not changed

since the previous NRC inspection in December 1994 (Inspection Report

No. 50 288/94-01). The inspector determined that the Facility Director retained

direct control and overall responsibility for managerrent of the facility as specified

in the TS. The Facility Director reported to the President of Reed College through

the Dean of the Faculty.

Through review of records and logs and discussions with licensee personnel, the

inspector determined that the staffing at the facility was acceptable to support the

work and ongoing activities and met the requirements of the TS.

c. Conclusions

The licensee's organization and staffing remain in compliance with the

requirements specified in the Technical Specifications.

2. Review and Audit Functions (69001)

, a. inspection Scope

The inspector reviewed the following to ensure that the audits and reviews

stipulated in the requirements of TS 1.2 and 1.3 were being completed: 4

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Reactor Operations Committee (ROC) meeting minutes,

. Radiation Safety Committee (RSC) meeting minutes,

  • RRF Administrative Procedures, and

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+ the TS duties specified for the ROC and the RSC including the committees'

review and audit functions.

The inspector nisn toured the licensee's facility to note any changes that may have

been made ant .aviewed the program established by the licensee to ensure that

activities at the facility were reviewed and audited as required,

b. Observations and Findings

Section 1.2 Of the TS requires that the Radiation Safety Committee meet at least

twice yearly to review safety aspects of f acility operation.

The inspector reviewed the ROC's and RSC's meeting minutes from January 1995

to the present. These meeting minutes showed that the ROC and the RSC had

considered the types of topics outlined by the TS. During the review, the

inspector noted that a meeting of the RSC had been c.alled in May 1997. The RSC

apparently met but a quorum was not present, no official actions could be taken,

and no meeting minutes were recorded. The RSC did meet again in September but

no second, formally documented meeting was convened to meet the requirements

of the TS.

The licensee was informed that failure of the RSC to meet twice yearly to review

safety aspects of the facility operation was an apparent violation of TS 1.2 (VIO

50-288/97 202-01).

The inspector noted that both committees completed audits of different but

complimentary aspects of the r0 actor facility operations and programs. The

inspector noted that, since the last NRC inspection, audits had been completed by

the ROC and the RSC in those areas outlined in the TS. The audits were varied so

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that all aspects of the licensee's safety program were reviewed every one, two, or

three years depending on the subject. The inspector noted that the audits and the

resulting findings were detailed and that the licensee's responses and corrective

actions were acceptable.

The inspector toured the control room, pool area, and selected supoort laboratories

and areas. Control of radioactive material and control of access to radiation areas

were acceptable.

c. Conclusions

4 One violation was notad for failure of the RSC to meet twice yearly as required by

the TS.

Audits were being conducted by the ROC and the RSC according to the

requirements specified in the Technical Specifications,

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3. Procedures (69001)

- a. Inspection Scope

The inspector reviewed the following to ensure that the requirements of TS Section

I were being met concerning written procedures:

-+ selected operations procedures,

+ selected safety procedures, and

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the process used by the licensee to revise, review, and approve all facility

procedures,

b. Observations and findinas

The inspector verified that written procedures were reviewed as required. Also,

revisions to procedures were presented by the licensee to the RSC and/or the ROC

for review and approval. The inspector verified that the latest revision to the RRF

Standard Operating Procedure (SOP) 20, Health Physics, had been reviewed and

approved by the RSC on January 1997. The revisions were acceptable and in

accordance with 10 CFR 20, TS, and RRF Administrative Procedures,

c. Conclusions

Facility procedures were acceptable and satisfied TS and administrative procedure -

requirements for being revised by the licensee, and reviewed and approved by the

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RSC and the ROC.

4. Radiation Protection Program (69001)  ;

a. l_nmection Scope

The inspector reviewed the following to verify compliance with 10 CFR 20 and the

applicable licensee TS requirements and procedures:

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health physics (HP) and reactor surveillance survey records,

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radiological signs and posting,

+ dosimetry records,

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calibration records and periodic check records for radiation monitoring

instruments,

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the Radiation Protection Program, and

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the ALARA Program.

The inspector also observed the use of dosimetry and radiation monitoring

equipment during tours of the facility. Licensee personnel were interviewed as

well.

b. Observations and Findings

(1) Surveys

TS l.5 requires that written instructions shall be in effect.

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SOP 23, " Health Physics Wipe Tests," dated November 1997, requires in

Section 23.2 that wipe test shall be performed (inside the RRF) at least every

two weeks, not to exceed 18 days, and whenever activities involving

radioactive materiais require additional wipe tests.

The inspector noted through reviews of records that daily and weekly ,

contamination and/or radiation surveys were completed by the RRF staf f as

required by TS and licensee procedures. Results were evaluated and

corrective actions taken when readings or results exceeded set action levels.

However, a review cf the biweekly wipe tests showed that a wipe test had

been completed on April 11,1997 and not again until April 30, a period

exceeding 18 days. Also, following the wipe test on April 30,1997, the next

wipe test was not conducted until May 23, a second period exceeding the

18-day maximum allowable time The wipe tests are used by the licensee to

detect and determine the extent of removable contamination inside the RRF '

and to monitor exits from the facility to determine if contamination is being

spread outside the facility. During the period from April through May, routine

operations were being conducted. No unacceptable cont 6mination was

detected on subsequent wipe tests.

The licensee was informed that failure to perform the biweekly wipe tests

within the 18-day time frame allowed by procedure wes an apparent violation

of TS l.5 (VIO 50-288/97-202-02),

(2) Postings and Notices

10 CFR 19.11 requires the licensee to post current copies of various

documents including the regulations in 10 CFR 20, the f acility license,

procedures, and any notice of violation as applicable. If it is not practicable

to post such documents, the licensee may post a notice which describes the

document and states where it may be examined. The licensee is also required

to post e :urrent copy of NRC Form 3.

Postings at the entrances to the controlled areas, including the Reactor room,

were acceptable for the hazards present. The f acility's radioactive material

storage areas were properly posted. No unmarked radioactive material was

noted.

Copies of current notices to workers required by 10 CFR Part 19 were posted

in appropriate areas in the facility, Copies of NRC Form 3, although not the

most current, were also posted.

The licensee was informed that failure to post current copies of NRC Form 3

was an apparent violation of 10 CFR 19.11. However, this failure constitutes

a violation of minor significance and is being treated as a Non-Cited Violation

(NCV), consistent with Section IV of the NRC Enforcement Policy

(NCV 50-288/97-202-03).

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(3) Dosimetry

The licensee used a National Voluntary Laboratory Accreditation Program

(NVLAP) accredited vendor to process personnel thermoluminescent

dosimetry. An examination of the records for the past three years through

the date of the inspection showed that all exposures were well within NRC

limits and licensee action levels. Most of the records suggested no exposure

above background. Dosimetry was acceptably used by facility personnel.

(4) Radiation Monitoring Equipment

Selected radiction monitoring equipment had the acceptable up t&date

calihetion sticker attached. The calibration of portable survey meters was

typically completed by the Reactor HP, CLiibration frequency me' procedural

requirements and records were maintained as required.

(5) Radiation Protection Program

The licensee's Radiation Protection Program was established in the " Reed

Reactor Facility Radiation Protection Plan," dated August 1994. It had been

reviewed and approved by the RSC and the ROC. The program included

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requirements that al! personnel who had unescorted access to the RRF

receive training in radiation protection, policies, procedures, requirements,

and facilities. The program appeared to be acceptable.

No Respiratory Protection Program was required.

SOP 28, " Radiation Work Permits," dated August 1994, Section 28.3

requires that the Radiation Work Permit (RWP) shall be reviewed and

approved by the Director or the Associate Director prior to the operation.

The inspector reviewed the RWPs that had been written and used during the

past three years. It was noted that RWP #2, dated November 2,1996,

Part I, had been written by the Associate Director. The RWP had been

reviewed and approved by a Senior Reactor Operator (SRO) and the operation

completed. The RWP had not been reviewed by the Director prior to the

operation as required. The licensee indicated that this was en apparent

oversight by the staff.

The licensee was informed that failure to have RWP #2 reviewed and

approved by the Director prior to the operation was another example of an

apparent violation of TS l.5 (VIO 50 288/97-202-02).

(6) ALARA Program

The ALARA Program was also outlined and established in the licensee's

" Reed Reactor Facility Radiation Protection Plan," dated August 1994 and

emphasized in the " Reed College Radioactive faaterials Procedures Manual,"

and in the " Reed Reactor Facility Training Manual." The ALARA program

provided guidance for keeping doses as low as reasonably achievable and was

consistent with the guidance in 10 CFR 20.

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c. Conclusions

Two examples were noted concerning an apparent f allute to foilow procedures.

Surveys were generally completed and documented acceptably to permit evaluation

of the radiation hazards that might exist. Postings met regulatory requirements.

One NCV was identified for failure to post a current copy of NRC Form 3.

Personnel dosimetry was being worn as required and doses were well within the  ;,

licensee's procedural action levels and the NRC's regulatory limits. Radiation

. monitoring equipment was being maintained and calibrated as required. The

Radiation Protection Program and the ALARA Program satisfied regulatory

requirements.

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5. Effluent and Environmental Monitoring (69001)

a. Inspection Scope

The inspector reviewed the following to verify compliance with the requirements of

10 CFR 20 and TS G.1-3:

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the licensee's environmental monitoring program,

+ annual reports,

+ release records, and

+ .:ounting and analysis records,

b. Observation and Findings

Gaseous releases were calculated as outlined in the licensee's approved methods -

and documented in the 1996-1997 Annual Report. The inspector noted that the

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gaseous releases documented in the 19951996 and the 19961997 Annuel

Reports were apparent discrepancies. The reports indicated a release in * mci"

(millicuries) as opposed to the typical "uCi" (microcuries) range, it was also noted

that the calculated release during the 1995-1996 period was reported as a 5.3 E-9

" mci"/ml (millicuries per milliliter) whereas the calculated release during the

1996 1997 period was 1.8 E 11 " mci"/ml. It was pointed out that the figure of

5.3 E 9 was probably a factor of 100 too high, based on the available data. The

licensee stated that these issues would be reviewed and corrected as needed.

The licensee was informed that their actions to review and correct the release data

- documented in the past two annual reports would be tracked by the NRC as an

- Inspector Follow-up Item (IFI) and reviewed during a subsequent inspection

(IFl 50-288/97 202-04). --

Based upon a review of the data, the re: eases during 1995-1996 and 1996-1997,

appeared to be well within the annual dose constr 'nt of 20.1101(d) and TS limits.

No liquid releases had occurred at the f acilit:

c. Conclusion

Effluent monitoring satisfied license and regulatory requirements and releases were

within the specified regulatory and TS limits.

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6. Transportation (86740)

a. Inspection Scope

The inspector interviewed licensee personnel and reviewed various records to

verify compliance with the requirements of 10 CFR 71.5 br shipments of licensed

material,

b. Ouservations and Findings

10 CFR 71.5(a) requires that a licensee, who delivers licensed material to a carrier

for transport, comply with the applicable requirements of the regulations

appropriate to the mode of transport of the Department of Transportation (DOT)in

49 CFR Parts 171 189.

49 CFR 171.2(a) prohibits any person from offering hazardous material for

transportation unless, among other requirements, the hazardous material is

properly classified, described, packaged, marked, labeled, and in condition for

shipment required or authorized under the Hozardous Material Regulations (49 CFR

171 177).

Through records reviews and discussions with licensee personnel, the inspector

determined that various shipments of licensed material had been made since the

last inspection. All shipment records had been completed and were being

maintained a required. The records showed that, in general, the material had been

properly described and classified, that ths correct labeling had been provided, and

that the contamination and radiation levels of th9 packages shipped had been

recorded acceptably. However, some discrepancies were noted on the shipping

papers as follows:

(1) Shipment Number (No.) 95-1, dated March 30,1995 - The shipping papers

did not list the chemical or physical form of the material being shipped. The

chemical form and physical form of the material are required to be listed on

, the shipping papers.

(2) Shipment No. 95-2, dated October 2,1995 - The shipping papers showed the

Transport Index (TI) as "O." The dose rate at one meter from the package

was 0.2 millirem per hour (mr/hr). Therefore, the correct Tl would have been

0.2.

(3) Shipment No. 96-2, dated May 17,1996 - The external radiation level of the

package was 1.5 mr/hr. According to the shipping papers, the package was

labeled with a Radioactive White Ilabel. With an external radiatio, level of

1.5 mr!hr, the package required a Radioactive Yellow 11 label.

(4) Shipment No. 96 3, dated December 16,1996 - The shipping papers

indicated the Tl as "0." The dose rate at one meter from the package was

0.2 mr/hr. Therefore, the correct Tl would have been 0.2. Also, the

chemical arid physical form of the material being shipped was not listed as

required.

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(5) Shipment No. 971, dated May 6,1997 The external radiation level of the

package was 1.0 mr/hr. According to the shipping papers, the package was

labeled with a Radioactive White I label. With an external radiatior level of

1.0 mr/hr, the package required a Radioactive Yellow 11 label.

(6) Shipment No. 97 2, dated July 11,1997 The total activity was not listed in

the International System of Units (SI units) or in both Si units and the

customary units (i.e., curies or mil:icuries, etc.). The listing of total activity in

SI units or both Si and customary units on the shipping papers was required

after April 1,1997.

(7) Shipment No. 97-3, dated December 1,1997 - The total activity was not

listed in the International System of Units (St units) or in both SI units and the

customary units. The listing of total activity in Si units or both Sl and

customary units on the shipping papers was requ' red after April 1,1997.

Also, the shipping papers showed the Transport index (TI) as ~0.5." The

dose rate at one meter from the package was less than 0.2 mr/hr or

background. Therefore, the correct Tl would have been 0.

The licensee was informed that f ailure to fill out the shipping papers according to

the regulations was an apparent violation of 10 CFR 71.5(a) (VIO 50-288/97-202-

05).

c. Conclusions

One apparent violation was nJted for feilure properly to comolete the required

shipping papers for eight shipments of radioactive material.

11. Physical Security (81401,81402,81431)

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a. Inspection Scope

, To verify compliance with the licensee's NRC-approved Physical Security Plan

(PSP) and to assure that changes, if any, to the plan had not reduced its overall

effectiveness, the inspector reviewed:

. logs, records, and reporn,

a the security organization,

. key control,

. Intruder detection and physical barriers,

. access controls, and

+ procedures.

. Observations and Findings

The inspector determined that the licensee's physical protection program

conformed to NRC requirements and the licensee's PSP and implementing

procedures.

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c. Conclusion

The NRC-approved security program at the facility was acceptably carried out. .

12. Material Control and Accounting (85102)

a. Inspection Scope

To verify compliance with 10 CFR 70, the inspector reviewed:

+ storage areas,

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procedures for tracking the quantity, identity, and locaCon of Special Nuclear

. Material (SNM),

+ assignment of responsiollitieJ,

+ annual inventory results, and

+ associated records and reports,

b. Observations and Sindings

The des 10n of item colitrol areas ensured that physical and administrative control-

of SNM would be maintained. Licensee procedures for tracking SNM were

acceptably implemented. Written stattments of responsibility and authority were 4

established for positions with respansibility for SNM. Records showed that

physicalinventories were conducted at least annually as required by 10 CFR

70.51(d).

10 CFR 74.13(1) requires that each licensee shall compile a report as of March 31

and Septembs 30 of each year and file it within 30 days after the end of the

period covered by the report.

Material Status Reports (DOE /NRC Form 742) had been submitted by the licenses

for the appropriate periods from October 1,1994, through September 30,1997, as

required by 10 CFR 70.53. However, the report covering the period from

October 1,1995, through March 31,1996, had not been submitted with 30 days

of the end of the reporting period but had been submitted on May 22,1996.

Similarly, the report for the period from April 1,1996, through September 30,

1996 had been submitted on November 20,1996. The report for the period from

October 1,1996, through March 31,1997, had been submitted May 13,1997.

The report for the period from April 1,1997, through September 30,1997, had

been submitted on November 4,1997.

The licensee was informed that failure to submit the reports within 30 days after

the end of the period covered by the reports was an apparent violation of 10 'i

74.13 (VIO 50-288/97-202-06).

Exhibits I and 11 (attached to this report) summarize the licensee's uranium and

plutonium material balances from October 1,1994 through September 30,1997.

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c. Conclusion

. One violation was identified for failure to submit material status reports within the

time frame specified in the regulations.

7. Exit interview

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The inspection scope and results were summarized on December 18.1997, with

members of licensee management. The inspector described the areas inspected and

discussed in detail the inspection findings.

No dissenting comments were received from the licensee. The licensee did not identify

as proprietary any of the material provided to or reviewed by the inspector,

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E/ RTIAL LIST OF PERSONS CONTACTED

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S.- Frantz, Director, Reactor Facility >

C. Melhus, Assistant Director, Reactor Facility

A. Meadenhall, Shift Supervisor, Community Safety

- T. Shaver, Shift Supervisor, Community Safety

P. Steinberger, Dean of the Faculty, Reed College l

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lNSPECTION PROCEDURES USED

IP 69001: Class 11 ilon Power Reactors

IP 81401: Plans, Procedures, and Reviews

IP 81402: Reports of Safeguards Events

IP 81431: Fixed Site Physical Protection of Special Nuclear Material of Low Strategic

Significance

IP 85102: Material Control and Accounting Reactors '

IP 8674C: Inspection of Transportation Activities _

ITEMS OPENED CLOSED. AND DISCUSSED

Ooened

50 288/97 202-01 VI Failure of the RSC to meet twice yesrly to review safety

aspects of the facility operation.

60-288/97 202-02 VI- Failure to follow procedure due to failure to perform the

biweekly wipe tests within the 18-aay time frame allowed by

procedure and f ailure to have RWP #2 reviewed and approved

by the Director.

50-288/97 202-03 NCV- Failure to post a current copy of NRC Form 3 as required by

10 CFR 19.11.

50 288/97-202-01 IFl Follow-up on the licensee's actions to review and correct the

release data documented in the past two annual reports.

50 288/97-202-05 -VI Failure to fill out the shipping papers according to the 49 CFR

171-189 as required by 10 CFR 71.5(a).

50-288/97-202-06 VI Failure to submit the reports within 30 days after the end of

the period covered by the reports.

Closed

None

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UST OF ACRONYMS USED

ALARA As low as reasonably achievable

i- CFR Code of Federal ReCulations

IFl ' Inspector Follow up ltem

~iP - Inspection Procedure

. . kW kilowatt

NCV Non-Cited Violation

NRC- Nuclear Regulatory Commission

NVLAP National Voluntary Laboratory Accreditation Program

. POR Public Document Room

PSP Physical Security Plan

ROC Reactor Operations Committee

. RRF Reed Reactor Facility

RSC Radiation Safety Committee

RWP Radiation Work Permit

SOP' Standard Operating Procedure 1

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SNM Special Nuclear Material

! .Tl Transportation Index

TS Technical Specification

VIO Violation

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EXHIBIT I

REED REACTOR FACILITY

Docket No. 50-288 License No. R-112

Material Balance for Period: October 1,1994 - September 30,1997

Report:ng Identification Symbol: ZSW Report Units: Grams

High Enriched Uranium Plutonium

Element isotope Element isotope

Beginning invento'y: 6 6 2 2

(October 1,1994)

Receipts:

From Flur Daniels

Hanford (HTA): 4 4 0 0

Production: 0 0 1 1

Material to Account for: 10 J 3 J

Removals:

Shipments: 0 0 0 0

Fission and

Transmutation: 0 0 0 0

Inventory Difference: 0 0 0 0

Decay: O O O O

Total Removals: 0 0 0 0

Ending inventory:

(September 30,1997) 10* 1Q* J' * 3**

  • = Fission chambers
  • * = Contained in the fuel (the licensee's PuBe suurces are maintainedIlicensed under a

State of Oregon license)

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EXHIBIT ll

REED REACTOR FACILITY

Docket No. 50 288 License No. R-112

Material Balance for Period: O_g,tober 1,1994 - September 30,1997

Reporting identification Symbol: ZSW Report Units: Grams

Low Enriched Uranium

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Element Isotope

Beginning inventory: 12596 2475

(October 1,1994)

Receipts: 0 0

Material to Account for: 12596 _217_Q

Removals:

Shipments: 0 0

Fission and

Transmutation: -5 -6

Inventory Difference: 0 0

Decay: 0 0

Total Removals: -5 -6

Ending Inventory:

(September 30, 1997) - 12591 2469

a

. . .. _ _ _ _ _ _ _ _ _