ML20236T195

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Insp Rept 50-312/87-26 on 870824-28,0911-18 & 1020.Violation Noted.Major Areas Inspected:Liquids & Liquid Wastes,Gaseous Waste sys,post-accident Sampling Sys,Environ Monitoring, Allegation RV-A-0027 & Review of Licensee Repts
ML20236T195
Person / Time
Site: Rancho Seco
Issue date: 11/11/1987
From: Brown G, Cicotte G, Cillis M, Yuhas G
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:
Shared Package
ML20236T177 List:
References
TASK-2.F.1, TASK-2.F.2, TASK-TM 50-312-87-26, IEIN-87-031, IEIN-87-032, IEIN-87-039, IEIN-87-31, IEIN-87-32, IEIN-87-39, NUDOCS 8712010069
Download: ML20236T195 (26)


See also: IR 05000312/1987026

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                                                U.'  S. NUCLEAR REGULATORY COMMISSION
                                                                ' REGION V
                   : Report No. 50-312/87-26
                      Docket No'. 50-312
                      Licensee:               Sacramento Municipal Utility District
                                             .14440 Twin Cities Road
                                              Herald, California 95638-9799
                      Facility Name:          Rancho Seco Nuclear Generating Station
                      Inspection at:          Sacramento and Clay Station, California
                      Inspection Conducted:       August 24-28, 1987, September 11-18, 1987, and
                                                ' October 20, 1987
                      Inspectors:     >    h,             '
                                                                                              //!/O                                         #7
                                         M. C ,llis, Senior Radiation Specialist-              Ditte ' Signed
                                              (?/kaxcw                                         h/w/r7
                                         G. Brown,_ Emerge p g r y edness Analyst              Date Signed
                                                 T~^                 h        ,                .jllql[]
                                        .G. R. Cicotte, Radiation Specialist-                  Date Signed
                      Approved by:      n;PAu
                                         G. P.N(uhps, Chief, Facilities Radiological
                                                                                               we
                                                                                               Da'te Signed.
                                            Protliction ' Section
                      Summary:
                    ' Inspection on August 24-28, 1987, September 11-18, 1987, and October 20,
                    .
                      1987 (Report No. 50-312/87-26)
                      Areas Inspected:      Routine unannounced inspection by three regionally based
                       inspectors of liquids and liquid wastes, gaseous waste systems, post accident
                      sampling system, environmental monitoring, Allegation No. RV-87-A-0027,
                    . followup items identified from previous inspections, review of licensee
                      reports, and a tour of the facility. Inspection Procedures 30703, 25544,
                    '25565, 80721, 84523, 84524, 84723, 84724, 92700, and 92701 were addressed.
                      Res'ults:   Of the eight areas inspected, three violations were identified.
                       involving:   failure to perform instrument source checks as specified in-
                      Technical Specification 4.19 (see paragraph 2.F.3); failure to post the
                       reactor vessel head stand fixture as a high radiation area pursuant to
                      Technical Specification, Section 6.13 (see paragraph 6); and failure to
                      perform an adequate survey of the reactor vessel head stand fixture area
                      pursuant'to Technical Specification, Section 6.11 (see paragraph 6).                                                       ,
            8712010069 887113 $
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                                                       DETAILS                                           >
                  1. Persons Contacted
                     A.    Licensee
                           G. Coward, AGM, Technical Services and Administration Services
                          *D. Keuter, Director, Nuclear Operations and Maintenance
                        +,*J. McColligan, Director, Plant Services
                          *F. W. Kellie, Radiation Protection Manager                                    ,
                          +D. Martin, Manager, Environmental Protection                                  l
                        +,*E. Yochheim, Chemistry Manager
                          *B. Croley, Director, Technical Services
                        +,*J. Reese, Radiation Health Supervisor                                         i
                           E. Bradley, Supervising Health Physicist                                      j
                          *J. R. Shetler, Director, System Review and Test Programs                      '
                          *W. E. Kemper, Manager, Nuclear Operations
                        +,*P. Lavely, Superintendent IIRG
                          *J. Vinquist, Director, Quality Assurance
                          *R. Fraser, System Review and Test (PASS)
                          *R. Colombo, Supervisor, Operation Support and Inspection                       !
                               Coordination
                          +D. Gardiner, Radwaste Supervisor
                           G. Larson, Radiation Protection Foreman
                          *W. Wilson, Chemistry Supervisor
                           B. Woodard, Senior Chemistry Technician
                           J. Sullivan, Quality Assurance Supervisor
                           D. Martin, Manager Environmental Protection Department
                     B.    Contractor Personnel
                           (1) Impell
                                *K. Squibbs, PASS System Engineer
                             +,*J. Newey, System Engineer
                             +,*R. Jones, Licensing Engineer
                             +,*D. Falconer, Licensing Engineer                                           .
                                                                                                          l
                           (2) United Energy Services
                             +,*H. Story, Supervisor, Health Physics Support and Environmental
                                    Monitoring
                           (3) Nuclear Energy Consultants
                                 R. Pedigo, System Engineer
                           (4) Duke Power Company
                               *M. Weaver, Supervisor, Nuclear Engineering Department

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                         (5); Nuclear Regulatory Commission
                              *A. D'Angelo, Senior Resident Inspector
                   * Denotes those individuals attending the August 28, 1987, exit meeting.
                   + Denotes those individuals attending the September 18, 1987, exit
                   meeting.
                   The inspectors also met with and held discussions with other members.of'
                   the licensee and contractor staff.
                2. Radioactive Effluents
                   A.    Organization

ll '

                         Licensee Administrative Procedure (AP)-1, " Responsibilities and
                         Authorities,". dated April 12, 1985, establishes the responsibilities
                         of.certain groups within the Nuclear Operations Department. .The
                         procedure also prescribes the authority granted to the groups for
                         carrying out their' assigned responsibilities.
                         A review of the licensee's organizational structure disclosed that
                         major changes in the organizational structure at the plant and'
                         corporate level had been made and that AP-1 has not been revised _to
                         reflect these changes.
                         Discussions with the AGM, Technical.and Administrative. Services, and
                         the Director, Nuclear Technical Services, disclosed that' plans to
                         revise AP-1-were dependent-on final approval of actions that were
                          initiated in July 1987. .The AGM and Director stated that these
                         actions consisted of proposed organizational changes. The proposed
                         changes include the charter and accountability of the modifications
                         made to the Rancho Seco organizational structure.
                         The examination revealed that a charter is in the process of being
                         finalized for each group at Rancho Seco. The AGM stated that a
                         meeting was scheduled to be held with the Chief Executive Officer,
                         Nuclear to rtview and obtain his approval for implementation of the
                         newly formed charter on October 21, 1987.
                         The AGM stated that each group had been provided copies of the
                         charters which redefines their responsibilities and authority.   This
                         was verified by the inspectors on October 20, 1987. The charters
                         for the AGM, Nuclear Technical Services; Manager, Environmental
                         Protection Department; Manager, Operations Department; Radiation
                         Protection Manager and Chemistry Manager were reviewed by the
                         inspectors.

l ' Subsequently, discussions were held with the Supervisor, Health l' Physics Support and Environmental Monitoring (HPS&EM) and the

                         Radiation Protection Mana'ger (RPM) on October 20, 1987, to determine
                         if they were aware of the new charters, their staffing and other
                         resources that were available to support the work load.
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                         It'was made clear to the. inspectors by.the HPS&EM Supervisor and the
                         RPM that the transfer of responsibilities and authority will take
                         place over the next several months. -The HPS&EM through the-Manager'
                         of.the Environmental Protection Department has been assigned (as a

P minimum) the responsibility for:

                         *'
                                Design. of health physics program controls; developing dose-

, calculation programs, and providing technical support and '

                                 long-term planning,on radiation. protection related activities

'

                                of the plant operating organization.
                      ' '
                                Providing independent oversight of = the operating organization -
                                activities to confirm compliance and recommend' improvements
                                relative to' liquid and gaseous radioactive releases; providing
                               . oversight'and coordination of the meteorological program;'and
                                for oversight of~the chemical control'and hazardous materials"
                                program.
                         The discussion with the HPS&EM Supervisor also disclosed-the
                         following with respect to the work load and staffing available to
                         manageLthe above responsibilities related to liquid and gaseous
                         ef fl uents'.
                         The current. items that need to be addressed by the HPS&EM group
                         prior to startup are'as follows:
                         (1) Revise the Offsite Dose Calculation: Manual (ODCM) and provide
                                documents supporting the revisio's.  n
                         (2) Review the adequacy of Proposed Amendment (PA)-155 and PA-156.
                                                                                                     J
                         (3) Review the Radiological Environmental Information Managerent
                                System.
                         (4) Review the revised Updated Safety Analysis Report (USAR) and
                                pending changes due in the next revision to the USAR.
                         (5) Evaluate capabilities for maintaining compliance with 10 CFR
                                Part 50, Appendix I limits after plant startup.                      i
                         (6) Maintaining the group's responsibilities as defined in the.
                                charter.
                         The HPS&EM Supervisor stated that he had a staff-of three engineers         )
                         and one technician assigned to perform the above tasks. He and his
                         staff of engineers had been with SMUD less than four months. The
                         technician has been with SMUD approximately six years. The HPS&EM           )
                         Supervisor and two of the three engineers are contractors with'             ]
                         previous nuclear power plant experience in their field of expertise.     -{"
                         The remaining engineer is a recent college graduate who had
                         previously worked at SMUD one summer as a student aide.
                                                                                                       I
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                The inspectors concluded that the organization appeared to be
                undermanned. This observation was brought to the attention of the
                HPS&EM Supervisor.

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                No violations or deviations were identified.

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             B. Regulatory Requirements
                (1) Radiological Environmental Technical Specifications
                     On February 24, 1984, the Commission issued Amendment No. 53 to
                     Facility Operating License No. DPR-54 for Rancho Seco Nuclear
                     Generating Station. Amendment 53 required SMUD to implement
                     the Radiological Effluent Technical Specifications (RETS) by
                     July 24, 1984.
                     Region V Inspection Report 50-312/86-15 identified several
                     violations associated with the licensee's liquid effluent
                     program.    Additionally, the inspection report identified
                     inconsistencies in the licensee's RETS and the ODCM. In a
                     meeting held on May 5, 1987, the licensee agreed to address the
                     findings identified in Inspection Report 50-312/86-15 by
                     revising the RETS and ODCM in a manner that is acceptable to
                     the NRC.    These changes and any supporting dccuments were to be
                     submitted to the NRC in July 1987. Additionally, the licensee
                     was to provide the NRC with a report describing any
                     modifications that were made to Rancho Seco's liquid effluent
                     processing systems.
                     A copy of the revised RETS was submitted to the NRC on June 30,
                     1987, as PA-155. A copy of the revised ODCM and supporting
                     documents was to originally accompany PA-155. The licensee
                     subsequently rescheduled the issue of the ODCM to September 15,
                     1987. This date was subsequently changed to October 21, 1987.
                     A revised copy of PA-155 was submitted to the NRC on October 2,
                     1987.
                     On October 20, 1987, the licensee informed the Region V staff
                     that the ODCM submittal and supporting documents would be
                     delayed for approximately three more weeks. Additionally, as
                     of October 20, 1987, a report of any modifications made to the
                     liquid waste processing system had not been submitted to the
                     NRC.
                (2) Other Controlling Documents
                     The following list of documents were used as the bas.s for
                     determining the adequacy of the licensee's program for control
                     and management of gaseous and liquid effluents:
                     a.    10 CFR Part 20 and Part 50
                     b.    Rancho Seco's ODCM and the ODCM implementing procedures
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                                     c.    Licensee Surveillance Test Procedures
                                     d.    Radiation Control Manual procedures:
                                           *-
                                                  AP-305-13              " Environmental Releases of Liquid -
                                                                         Radioactivity"
                                           *-     AP-305-14              " Environmental Releases of-Airborne
                                                                         Radioactivity"
       1
                       - C.    Audits
                               The inspectors examined the licensee's review and audit program that-
                                had been established for the purpose of assuring compliance with TS,
                                Section 6.5.2.7, " Review," and Section 6.5.2.8, " Audits."
                               The following audit reports.were reviewed:
                                Report No.           Date                                             Area Audited
                                 0-779             2/11/86-                           Environmental Monitoring
                                 0-838             8/20/86                            HVAC System Testing
                                87-004             3/20/87                      -Gaseous Effluents
                               87-041              8/17/87                            Liquid Effluents
                               87-042              8/17/87                            Post Accident Sampling System
                               87-5099             8/21/87                            Post Accident Sampling System
                               Each of the audits provided an in-depth review of.the subject area.
                               The audits were performed by a team of individuals having the
                               experience and training commensurate with the scope and. complexity
                               of the subject areas audited.
                                                                                                                                         '
                               Discussions of the licensee's audit findings are contained in
                               paragraphs 2.E.1, 2.F.1,'and 5.C.
                         D.     Reports
                               1.    The Annual Radiological Environmental Operating and Semi-Annual
                                     Effluent Release Reports                                                                                                                 l
                                     Reports'for 1986 and January to June of 1987 were reviewed.
                                     The licensee had submitted the reports pursuant to Technical
                                     Specifications (TSs), Sections 6.9.2.2 and 6.9.2.3.
                                     The maximum hypothetical dose calculated and reported
                                     (January-June plus July-December) for 1986 are as follows:
                                        Medium                           Total Body mrem                                      Organ mrem

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                                     Liquid                       2. .".194                                                     2.4176
                                     Gas (in air)                 0.05451 (gamma mrad)                                          0.1869                                        l
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                                                                  0.10071 (beta mrad)                                                                                         !
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                                   These doses were calculated by the licensee using a bio-                                                                 ,
                                   accumulation factor of 1400 for fish flesh as specified in the                                                           l

} ODCM, Page 19. Inspection Report 50-312/86-15 indicated that a ]

                                   licensee change to a bio accumulation factor of 1500 pCi/l had
                                   not been adequately justified as required by TS, Section
                                   6.16.2. The licensee stated that part of the delay in
                                   submittal of the revised ODCM was the reevaluation of the bases
                                   for the calculations of dose. This item will be examined
                                   during a subsequent inspection as Region V open item number
                                   (86-15-13).
                                   The report for January-June 1987 was submitted to NRC on
                                   August 28, 1987. The report identified one abnormal gaseous
                                   and two abnormal liquid releases. The release data was
                                   consistent with information provided in the report.                                                            Monitor
                                   R15020 for this period was reported as inoperable due to
                                   ongoing modifications to the liquid release pathway system
                                   pursuant to TS, Table 3.15-1, Part 1, Action Statement 3.
                          E. Gaseous Effluents
                             (1) Audit Findings
                                   Licensee audits 0-779 and 0-838 concluded that gaseous releases
                                   were conducted within the radioactivity release limits of the
                                   TS.
                                   Audit 87-004 identified four potential TS violations, two of
                                   which had previously been identified by the NRC and two
                                   previously by the licensee. The audit called out weaknesses in
                                   the areas of procedures, quality control, reliability of
                                   monitors, and communications.    This observation is consistent
                                   with Licensee Event Reports (LER) that were submitted to the
                                   NRC in 1986 and with Region V inspection findings. The
                                   licensee staff had responded to the audit findings in a timely
                                   manner.
                             (2) Changes
                                   The licensee was in the process of replacing several gaseous
                                   effluent monitors at the time of the inspection.                                                            The Reactor
                                   Building Purge Vent monitor R15001, and the Auxiliary Building
                                   Stack monitor, R15002, were being replaced by General Atomic
                                   monitors, R15044 and R15045, respectively.
                                   Additionally, channel R150018, which was previously used as
                                   part of the containment leak detection system pursuant to TS,
                                   Sections 3.1.6.7 and 3.1.6.8, was also in the process of being
                                   replaced at the time of this inspection.                                                            The replacement leak
                                   detection monitor will be identified as monitor R15100.
                                   Replacement monitors, R15044 and R15045, were originally
                                   installed as part of the lictnsee's accident monitoring
                                   instrumentation pursuant to NUREG 0737, Items II.F.1 and
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                                                           II.F.2.      These monitors are identified in Section 3.5.5.of the
                                                           TS.
                                                           Surveillance procedures for performing channel checks, source
                                                           checks, functional checks and channel calibrations for the
                                                           Reactor Building, Auxiliary Building and Radwaste Building
                                                           stack and/or vent monitors have been established and
                                                           implemented.
                                                           Discussion with licensee staff revealed that these changes and
                                                           those addressed in Inspection Report 50-312/87-22 will be
                                                           reflected in the 1988 revision to the USAR rather than the
                                                           August 1987 update. These changes will be examined in a
                                                           subsequent inspection.
                                                           No violations or deviations were identified.
                                                      (3) Gaseous Releases
                                                           Since the plant has been in Mode 5 for all of 1987 and for
                                                           1986, no significant fission product gaseous effluents
                                                           production has occurred.
                                                           Gaseous effluent release reports for 1987 were reviewed.                                                        No
                                                           abnormal releases or results were observed.
                                                           The dose rates ut and beyond the site boundary, due to
                                                           iodine-131, tritium and particulate form released in gaseous                                                       )
                                                           effluents was determined by the licensee staff in accordance
                                                           with the ODCM.
                                                           The maximum hypothetical doses calculated for the period                                                           I
                                                           January-June 1987 are as follows:
                                                                   Gamma (in air)     4.61 E-7 mrad
                                                                   Beta (in air)      5.12 E-5 mrad                                                                           !
                                                                   Total Body         3.01 E-7 mrem                                                                           l
                                                                   Skin               3.63 E-5 mrem                                                                           1
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                                                           No violations or deviations were identified.
                                                                                                                                                                              !
                                                   F. Liquid Effluents                                                                                                        )
                                                      (1) Audit Findings
                                                           Licensee audit report 0-779 concluded that liquid releases for                                                     )
                                                           1986 and 1987 were within the radioactivity release limits of                                                      ;
                                                           the TS.
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                                                           Audit report 87-041 identified twelve open items.                                 Of the                           ,
                                                           twelve, the responses to two items were still overdue as of                                                        l
                                                           October 20, 1987.      Three of the twelve items had been
                                                           identified by the auditors as potential TS violations.                                                        The  l
                                                           licensee's evaluation of the audit findings related to the                                                         )
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                           potential TS violations was timely. The inspectors noted that
                           the auditor's report was preliminary. The licensee's
                           evaluation concluded that TS violations had not occurred. In
                           two cases, the inspectors concluded the evaluation was correct.
                           The third was administrative in nature, and was later
                           reevaluated by the licensee. The appropriateness of the
                           evaluation is further discussed in paragraph 3 of this section.
                      (2) Changes
                           Discussion with the licensee revealed that monitor R15020, on
                           the RHUT discharge, was to be superseded as the TS monitor with
                           General Atomic monitors R15017A and R150178, located on the
                           discharge line from the Retention Basin. This change was
                           included in PA-155. Additionally, modifications to the liquid
                           release. pathway system include the addition of a cleanup system
                           for the recirculation of A&B Regenerant Holdup Tank (RHUT)       .
                                                                                              i
                           effluents.     The system is located in an open space, immediately
                           adjacent to the A&B RHUTs. It consists of approximately nine
                           filtration / exchange media canisters. The canisters,
                           neoprene / vulcanized hose connections and associated piping are
                           located in a bermed (4" high) concrete pad which appeared
                           capable of containing the contents of approximately one
                           canister. A flanged connection was located directly over the       i
                           outside edge of the berm. Hoses for connection to the              l
                           canisters are not shielded from the elements. The type of hose
                           connections used also appeared to be temporary in nature.
                           These changes will be reviewed during a subsequent inspection
                           (87-26-01).
                     (3) Instrumentation
                           An examination of radioactive liquid effluent releases was
                           conducted.
                           The Technical Specifications requirements for radioactive
                           liquid effluent monitoring instrumentation are included on the
                           following pages of this section.
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                                         ~ Technical Specification Table 3.15-1,'" Radioactive Liquid
                                          Effluent' Monitoring Instrumentation", states in part:
                                                                                  " Minimum
                                                                                      Number of
                                                                                      Channels
                                                             Instrument               Operable                        Action
                                          1.             Gross Radioactivity
                                                         Ponitors Providing
                                                         Automatic Termination
                                                         of Release
                                                         a. 'Regenerant Hold-                       1          With the monitor
                                                              Up Tank Discharge                                inoperable, effluent
                                                              Line Monitor                                     releases may be resumed
                                                                                                               provided that prior to
                                                                                                               initiating a release:
                                                                                                               1.  At least two
                                                                                                                    independent samples
                                                                                                                   are analyzed in
                                                                                                                   accordance with
                                                                                                                   Specification 3.17.
                                                                                                               2.  A second member of
                                                                                                                   the facility techni-
                                                                                                                   cal or operational
                                                                                                                   staff will indepen--
                                                                                                                   dently verify the
                                                                                                                    release rate
                                                                                                                   calculations and
                                                                                                                   discharge valving.
                                                                                                               3.  Exert best efforts
                                                                                                                   to return the
                                                                                                                    instrument to
                                                                                                                   OPERABLE status
                                                                                                                   within 30 days and,
                                                                                                                    if unsuccessful,
                                                                                                                   explain in the next
                                                                                                                   Semiannual Radio-
                                                                                                                   active Effluent
                                                                                                                   Release Report why                        :
                                                                                                                                                             !
                                                                                                                   the inoperability
                                                                                                                   was not corrected in                      ;
                                                                                                                   a timely manner."
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                   TS 3.15 states, in part:
                         "The radioactive liquid effluent monitoring
                        . instrumentation channels shown in Table 3.15-1 shall be
                         OPERABLE-with-their alarm / trip setpoints set to ensure
                         that the limits of Specification 3.17 are not exceeded."
                   TS 3.17.1 states, in part:
                         "The concentration of radioactive material released at any.
                         time beyond the site boundary shall be~1imited to the-
                         concentrations specified in 10 CFR Part 20, Appendix B,.
                         Table II, Column 2, for radionuclides'other than dissolved--
                         or entrained noble gases...."
                   TS Table 4.19-1 addresses the daily instrument channel check of
                   the RHUT discharge line monitor (R15020). Footnote (5) to-
                   Table 4.19-1 states:
                         "During periods of known activity in the regenerant tank
                         perform a source check daily during releases via this
                         pathway."                                    ,
                   A review of liquid effluent releases via the above pathway was'-
                   conducted. 'In addition to the observations made by licensee
                   staff regarding. audit 87-041, the inspectors noted that many of
                   the release' permits, Enclosure 4.1 to AP.305-13. " Environmental
                   Release of Radioactivity," contained notations on the status of.
                   radiation monitor R15020 such as "0.0.S.," "0.0.C.," "N/A," and
                   " operable but unreliable." The Radiation Protection Manager
                   informed the; inspectors that a Temporary Change Notice (TCN)
                   was made to procedure.AP.305-13 to provide instructions in the
                   use of the term'" operable but unreliable." The TCN, Revision
                   21, was issued in June 1986. Licensee radiation protection and
                   operations' personnel stated that, due to a lack of' confidence-   .1
                   in the. reliability of R15020,' operations had requested dual-       )
                   independent samples prior to approval 'of release permits, such-    1
                   as are indicated in Footnote 2 of-TS Table 3.15-1. The
                   licensee staff indicated that the lack of confidence was caused
                   by poor performance of the monitor flowswitch and high
                   background buildup due to resin fines in the detector of
                   R15020. A review of licensee Instrumentation and Controls
                   (I&C) records for 1986 indicated the following:
                   a.    R15020 flowswitch was repaired twice in 1986
                   b.    R15020 detector was not shown to have been decontaminated      I
                         in 1986.                                                       ;

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                   c.    Monthly surveillance records for R15020 indicated that       :l

E instrument channel checks, tests, calibrations and source

                         checks showed that the instrument was operable.                j
                   The TCN.in AP-305-13 stated, in part:
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                1:r                                         11
        +
      ,   ,                      '"a.   Operable'and Reliable (as determined by the Shift
          i
                   ,                    Supervisor),- only a singleisai.iple as described below in
                                        3.2.1.1 needs to be collected and analyzed for either a.
                                        radioactive or non-radioactive release.
                                                                                                     '
                                  "b.   Operable, but Unreliable (as determined by the Shift
                                        Supervisor), then:
            ..
                                        "1 For a non-radioactive release, only a. single _ sample
                                         .
   t                 .                        as described in 3.2.1.1 below needs to be collected
                                              and analyzed.
                                        "2 For a radioactive release, dual independent samples
                                         .
                                              as described below (3.2.1.0) must be collected and
                                              analyzed.
 .
                                  "c.   Inoperable (as declared by the Shift Supervisor and logged
                                        in the Shift Supervisor's Log Book), dual independent
                                        sample must be collected and analyzed as described below,
                                        in 3.2.1.1.
                                  "d.   Document on Enclosure 4.1, Section A. Use two forms if
                                        dual samples were collected. Use only one folder even if
                                       . dual samples were collected."
                                  The inspectors requested to review records of work requests
                                  related to the decontamination of the detector and repair of
                                  the R15020 flow switch for 1986. 'I&C personnel were unable to
                                  provide copies of work requests or work request numbers for the
                                  period between June 1986'and February 1987. . A review of
                                  operations shift supervisor logs and SP-200.02,
                                  " Instrumentation Surveillance Performed Each Day," for the
                                  latter half of 1986, indicated R15020 as operable on all but
                                  two days ~(i.e., July 17, 1986 and July 27, 1986).
                                  The inspectors held a meeting with the Directors of Nuclear
                                  Operations and Maintenance and of Plant Services, and the
                                  Managers of Nuclear Operations and of Radiation Protection.
                                  The staff was asked to clarify what document was the official                             ;
                                  record used to determine the operability of R15020 for the
                                  purposes of satisfying the TS requirements. The inspectors
                                  informed the licensee that the TS defines the operability of a
                                  system or component, and that components incapable of.
                                  performing the intended function must be considered inoperable,
                                  and added that if the monitor is operable, surveillance must
                                  be performed, and that if the monitor'is inoperable, the
                                  actions of footnote 3 to Table 3.15-1, Part 1, must be met.
                                  The licensee stated that SP-200.02 is the official record used
                                  to determine the operability of R15020, and that the monitor
                                  was operable during the time it was classified as " operable but
                                  unreliable."

'

                                                                                                                            i
                                  The terms " Radioactive" and "Non-Radioactive," as used by                                I
                                  licensee staff in accordance with the instructions provided in
                                                                    . . , _ , , . _ _ , , . . ,
                                                                                                __ _   __m_.-m_m-_---------
    __
       ..
                                                                                   -
          .
  ,         .
       -

L,. 12 (

               AP.305-13, referred to whether or not activity was detected by      i
               analysis of. samples of the liquids to be released. Alarm / trip
               setpoints were not recorded nor required by AP.305-13 to be
               recorded on release permits when gamma spectroscopic analyses       i
                                                                                   '
               were at or below the licensee's Lower Limit of Detection (LLD).
               For cases where gamma analyses were above LLD, or the sample
               indicated tritium (H-3), AP.305-13 required radiation monitor
               R15020 be set to alarm at either the calculated or the default
               value of 300 cpm above background in accordance with AP.310-3L
               of the ODCM, " Liquid Radioactive Release Monitor Setpoint
               Calculation." In those cases where releases were classified as
               " Radioactive" by the licensee,-but the monitor was indicated in
               AP.305-13 Enclosure 4.1 as " operable but unreliable," "O,0.S.,"
               "0.0.C.," or N/A," setpoints and background count rates-were
               typically not recorded on Enclosure 4.1.      Enclosures 4.2,
               " Rancho Seco Monitor Setpoint Form," of AP.310-3L, were
               available for review in the Control Room.      No copies dated      l
               between May 1986 and September 1986, inclusive, were contained
               in that file.    Approximately 30 releases (none containing above
               LLD gamma emitting radionuclides) were conducted during that
               period. The documentation of data on liquid release permits
               for releases conducted during the period of June-October 1996
               was noted to be incomplete.
               The above observations were brought to the attention of the
               licensee during the inspection and at the exit interview.      On
               September 16, 1987, the licensee issued Revision 23 to              i
               AP.305-13, in order to require setpoint determination and           i
               alarm / trip setpoints setting for all environmental releases
               with or without known activity.
               Monitor R15020 was inoperable at the start of the inspection on
               August 24, 1987.     An Engineering Change Notice (ECN) A-0775 was  ,
              ' issued in August 1986, for the purpose of modifying the liquid     i
               release pathway system as described in paragraph 2.F.3 of this
               report.   The ECN also included provisions for resolving the
               background problem with radiation monitor R15020.      However, the
               modification of monitor R15020 was not started until
               mid-February 1987. Licensee records clearly establish that the
               monitor was operable during the period that the concept
               " operable but unreliable" was established in June 1986 until
               mid-February 1987 at which time the monitor was officially
               declared to be out-of-service and inoperable. The licensee
               stated on October 20, 1987, that monitor R15020 had just been
               returned to service. The inspectors observed the licensee had
               not procedurally provided a method for ensuring action
               statements were met to assure reporting the inoperability of
               the monitor for periods greater than 30 days as required by TS
               Table 3.15-1 but noted that the semi-annual effluent release
               report for the first-half 1987 did report R15020 as inoperable.
                                                                                     t
               The inspectors concluded that although no violations were             l
               identified as a result of the items described above, the
               findings indicate the following:

__

    M
  :.. .
        .
   '
                                                      .13
                                                                                                                             l
                                                                                                                             i
            a.    The implementation of the concept " operable but
                  unreliable" created much confusion which could have                                                        l
                  subsequently led to a violation of TS.
            b.    Improvements in documentation on the status of equipment
                  and liquid release permits are needed.
            c.    There is an ongoing lack of thorough understanding of the
                  TS by the licensee's staff.
          .
            The above observations were brought to the licensee's attention
            at the exit interview.
            On January 29, 1987, a licensee review of TSs resulted in
            issuance of ODR-101. The ODR addressed the fact that no
            procedures had been established to perform the daily.
            surveillance source. checks on " radioactive" liquid effluent
            releases (those having known activity) as a potential TS
            violation pursuant to footnote 5 of TS, Table 4.19-1.                     ODR-101
            categorized this specifically as not being a TS violation and
            assigned action to establish implementing procedures by July 1,
            1987. On August 17, 1987, licensee audit 87-041 resulted in
            issuance of ODR 87-863 to address three potential TS
            violations.             One was failure to exert best efforts to restore
            the operability of monitor R15020 which turned out not to have
            been officially inoperable.                   One was failure to have
            implementing procedures for use of LADTAP and GASPAR computer
            codes'which were later evaluated as containing sufficient
            procedural controls therein, and one was the missed daily                                                       1
            source checks previously referenced in ODR-101 on January 29,                                                    i
                                                                                                                             '
            1987.
            The comments section of ODR 87-863 contained the following
            statement and did not require a Licensee Event Report (LER),
            SR, or Part 21 report:
                  "For the item concerning Table 4.19-1, it is technically a                                                   !
                  Technical Specification violation, but the intent was met
                  because the detector well " crud trap" effect was much
                  stronger than the effect of the source, continuously
                  proving detection operability."
            As previously discussed in this section, licensee records                                                          ;
            requested by the inspectors did not contain sufficient
            information to support a conclusion that releases with known
            activity were conducted with backgrounds high enough to compete
            with the source check as stated by ODR 87-863. Records
            provided by the licensee indicated low backgrounds of typically
            200 to 300 cpm.
            The inspection also disclosed that the corrective action
            prescribed in ODR-101, dated January 29, 1987, was still.                                                          1
                                                                                                                               '
            incomplete as of August 28, 1987.
                                                                                                                               l

l

                      . . . - . . -      .. . . .- .-        ..    -            . - . - . . . . . . - - . - . . . . . . - .
        _
   .
            _ _ _ _ _, _              . - . _
                                                        _
     ..
 I    r
        4
                                                          14                                                                 <
                                                                                                                                   ,
                                                                                                                               'l
                                                                                                                          ..     j
                               The inspectors brought the'above observation to the attention                                     j
                               of;the licensee at the exit interview.      On September 16,-1987,                                 j
                               the. licensee issued LER 87-40, reporting the missed
                               surveillance,.in response to a "Re-dispositioned" ODR 87-863,                                     ;

l '

                              .which then. required.an LER. The licensee then changed their.                                     ;
                               procedures to assure the source check will in the future be                                        !
                               conducted-in.accordance with the TS.      The licensee was informed-                             !
                               that their efforts to identify and report the condition were-                                   .)
                               not timely under the circumstances, as delineated in 10 CFR 2,
                               Appendix C, part A, " Notice of Violation." This is an apparent.                                  !
                               violation of TS 4.19 (87-26-02).
                         (4) Liquid. Releases
                                                                                                                                !
                               Release permits for 1986 and 1987 were reviewed. Procedure
                               AP.305-13, " Environmental Releases of Radioactivity," was
                               reviewed with licensee staff to confirm the. ability of
                               personnel to follow the procedure. -.Although somewhat complex
                               in structure, personnel were capable of performing the
                               evolution consistent with procedural direction. The inspectors                                   l
                               noted.that when dual independent samples are required pursuant                                   '
                               to TS Table 3.15-1, AP.305-13, in Step 6.2.1, " Chemistry,"
                               directs the chemistry technician to " collect two independent
                               samples...." Chemistry personnel stated they take both samples
                               consecutively as a matter of course.
                              When asked what criteria were used to determine the
                               independence of the samples, chemistry personnel stated that no
                               guidance is available, that the recirculation of the r. HUT
                               itself assures adequate mixing, and that since there is only
                               one sample point, the samples are expected to be identical.
                               The inspectors observed that-this technique ~would have the same
                               effect as splitting a single sample.     One technician stated                                   l
                               they purged "about a gallon" between one gallon sample bottles
         -~                  .of sample collected, but that the purge / sample l_ine was of a                                   ;
                               volume less than that. amount. This item will be examined
                                                                                                                                 '
                               during a subsequent inspection (87-26-03).
                                                                                                                                !
                               During the review of licensee performance of AP.305-13, the
                               inspectors noted that personnel performing the procedure were
                               not aware that the alarm / trip setpoint calculation called for.
                               in the ODCM,' in AP.310-3L, " Liquid Radioactive Release Monitor
                               Setpoint Calculation," does not assure compliance with' TS
                               3.17.1, unless the default value was used. AP.305-13 requires
                               the setpoint to be detector background.+300 cpm. This is the
                              default value called for in AP.310-3L, as a worst case isoto'pic
                              mix, to assure compliance with TSs 3.17.1 and 3.17.2. The'
                               licensee stated that the value of 300 cpm above background on                                       j
                               R15020 corresponds to 0.96 Maximum Permissible Concentration                                     i
                               (MPC), for'the postulated worst case isotopic mix. This item-
                              will be examined during a subsequent inspection. (87-26-04)'
                                                                                                                                  i
                                                                                                                                  )
                                                                                          - _ _ _ _ _ _ _ _ - - _ _ _ - -
       __ _              _ _ _ _ _          _ _ _          _                                   _
                                                                                                 ._,
 '

! i l

                                                        15
                                                                                                     1
   3.    Allegation RV-87-A-0027
         An examination of allegations identified in a letter, dated July 20,
         1987, was conducted.
         The alleger stated that the allegations were strictly based on
          information that had been provided to him by several members of the
          licensee staff while the individual was employed at Rancho Seco.
        The inspectors reviewed survey records, procedures, instrument
         calibration records, audit and surveillance records, and Occurrence
         Description Reports (ODRs). Additionally, one of the NRC inspectors                         '
         attended the licensee's General' Employee Training (GET) class, held
         discussions with all of the individuals named in the July ;29,1987,
      -letter and observed licensee's practices for releasing tools and
         equipment from controlled areas.
        The letter identified the following allegations:
         Concern:   A.             " Radioactive tools" may be exiting from controlled areas         i
                                   and possibly the protected area.     In particular, a
                                   potentially contaminated valve or part which may have
                                   been released frca a controlled area was subsequently
                                   found in warehouse A sometime in February or March 1987
         Finding:                  (1) Warehouse personnel do not work in controlled areas
                                        and are not authorized to handle radioactive
                                        byproduct material. The staff does receive training
                                        in radiation protection as it relates to their
                                        activities for work performed outside of the
                                        licensee's radiation and/or controlled areas.
                                        Identification and reporting of radioactive material
                                        in uncontrolled areas is not addressed in this               ;
                                        training, but this had been identified by the
                                        licensee as an item needing attention in licensee's
                                        Audit Report No. 87-006, dated June 11, 1987.
                                   (2)  In discussions with the individuals identified by the
                                        alleger, individual A stated he had not discussed the
                                        specific item mentioned by the alleger, but that
                                        there had been a similar incident which occurred on          1
                                        March 3, 1987, and which had been identified by the            !
                                        licensee in the audit noted above. The item was a            )
                                        contaminated pipe support which was found in                   I
                                        warehouse A.     The licensee, in an evaluation of the         i
                                        incident, postulated that the pipe support may have            l
                                        been released prior to reducing their contamination
                                        limits, which had occurred in steps from 1 mrem /hr in
                                        1974 to 100 cpm at the time of the inspection.     The
                                        item had a green tag attached to identify that the
                                        item had been released from a controlled area, and
                                        was contaminated to fixed levels between the noted
                                                                                                      ,
                                                  . . -
 _
                                                                                                                            _ _ _ _ _ _

,

      , ._
   ,       .    .
   .i                                            16                                                                                     i
                                                                                                                                        1
                                                                                                                                        {
                                                                                                                                        l
                                  bounds of 1 mrem /hr and 100 cpm / frisk.  The tag was                                                  I
                                  apparently not dated.
                            (3)   Individual C stated he may have had a similar
                                  discussion with the alleger as did individual A.
                                  Individual C stated that the item was the same as had
                                  been identified by individual A.     He added that all
                                  he remembered about it was that the item was green
                                  tagged and had low levels of fixed contamination on
                                  it.
                            (4) The licensee's GET program and training appeared to
                                  meet the requirements of 10 CFR 19.12, " Instructions
                                  to Workers." The licensee instructors appeared
                                  capable.of presenting the material. When questioned
                                  by a class member as to whether radioactive material
                                  is ever found outside controlled areas, the
                                  instructor stated: "It's not supposed to happen, but                                                  !
                                  occasionally it does."
              ' Concern: B. " Hot" (i.e., contaminated) tools have been and may be
                            exiting (being stolen) from Rancho Seco inside vehicles,
                            without being monitored for radiation.
             ' Finding:     (1) The licensee had identified instances of radioactive
                                  byproduct material outside controlled areas via
                                  routine area surveys and inspection of storage areas.
                                  The licensee controls radioactive material releases
                                  at the point of exit from the controlled area, rather
                                  than at the protected area fence. Except for
                                  deliveries or other official business, workers are
                                  not normally authorized access to the protected areas
                                  with their vehicles.
                            (2) Vehicles are not routinely monitored.       The licensee's
                                  security personnel indicated that if company (SMUD)
                                  property is found in vehicles or on persons leaving
                                  the protected area, a property pass is issued and is
                                  routed for review the next working day, unless
                                  unusual circumstances dictate otherwise, such as high
                                  value items or if security personnel suspect material
                                  is present in other than an authorized shipment.
                            (3) The inspectors observed no unusual conditions
                                  indicative of radioactive material outside controlled
                                  areas.    Instances identified by the licensee were all
                                  minor in nature (low levels of contamination). The                                                      i
                                  release of tools and equipment from controlled areas                                                    '
                                  was found to be consistent with what is reported in
                                  paragraph 7 of Region V Inspection Report No.
                                  50-312/87-22.

1

                            (4) Individual 8, as named by the alleger, readily stated
                                  that information he provided to the alleger was "at
                                  least third- or fourth-hand" and that he placed "no
                                                                                _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _
          _ - -        =
       ;c   -
                                                                                                                                                  '
     '*

. , ,

                                                    17
   '
                                     weight" on information related to him that unnamed
                                     contractor personnel pilfered items which may have
                                     been contaminated with radioactive byproduct
                                     material. These alleged events reportedly took place
                                     at an indeterminate time in the past (several years).                                                     -I
                                                                                                                                                   l
                                (5) Licensee security personnel stated:                                                                           j
                                                                                                                                                   i
                                           All personnel exiting the protected area must                                                       j
                                           pass through both a portal radiation monitor and                                                        I
                                           a metal detection monitor.
                                                                                                                                                  '
                                           All vehicles exiting the protected area are
                                           carefully inspected by the security staff.
                                     The security staff added that any alarm from the
                                     portal and/or metal detector and any suspicious
                                      looking material found in vehicles which leave the
                                     protected area are handled in accordance with                                                              ;
                                                                                                                                                '
                                     established procedures. The inspectors observed the
                                     above practices being implemented during this and
                                     previous inspections.
                Concern:   C.   The reliability of the radiation (portal) monitor at the
                                Security Building may be questionable
                Finding:        (1) The licensee routinely checks the portal monitors
                                     calibration.    A review of the calibration method and
                                      records disclosed that the calibrations are
                                     consistent with the manufacturer's manual and
                                      industry standards. Daily operational checks of the
                                     monitor are performed to verify the portal monitors
                                      function properly.    Maintenance records indicate the
                                     monitors operate reliably,                                                                                 i
                                (2) Records disclosed instances of contaminated personnel
                                      and/or equipment were detected by the portal
                                     monitors. These instances were appropriately handled
                                     by the licensee's security and radiation protection
                                      staff.
                It was concluded that licensee's procedures appeared to be adequate for
                surveying and controlling radioactive material.
                The inspection further disclosed that the licensee's program for                                                                 ]
                surveying and controlling tools and equipment in question was in                                                                 i
                compliance with the regulatory requirements and licensee's procedures.
                No evidence of contaminated material leaving the restricted area as
                defined in 10 CFR Part 20 were observed. This matter is closed.
                No violations or deviations were identified.
                                                                                 _ _ _ _ _ _ _ _ _ - _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -
          -
                      _                         - _ _ .      --   --       -        - - -    . -             _
                                                                                                                      ,

g 2.- ,

      C     -
                                                                  18

'

               4.     Collection o'f Collocated-TLD Measurements

I-

                      Th'e results of Rancho Seco Nuclear Generating Station and State of !

L'

                   . California Thermoluminescent Dosimeter (TLD) measurements made in 1985
 -
                   'and 1986'from monitoring ~ stations collocated with NRC TLD monitoring                            i
                     ' stations.were collected pursuant to the instructions provided in
                                                                       ~

E

                     Temporary Instruction (TI) 2500/22. The' data was-forwarded.to the~NRC'
                   . Radiation: Dosimetry Specialist, Region I, for evaluation. This' closes.TI
   ,
                      2500/22.

<

                      No violations or' deviations were identified.
                                                                                                                      i
 ~
                5. : Followup Items
                                                                                                                      )

,

                     An examination was. conducted for the purpose of determining the status of                      !
                      corrective actions taken by the licensee in~ resolving previous' inspection
                    : findings, Part 21 Reports, and Information Notices (ins). The                                 'f!
                      examination disclosed the following:
                      A.    Information Notices                                                           
                            (Closed) Information Notices (IN-87-31, 87-32,'and 87-39):             The
                            inspectors verified that the licensee had received and were in the-
                            process.of evaluating the following ins:                                           ,,
                              IN No.                                          Title
                            IN.87-31-                   . Blocking, Bracing, and Securing of. Radioactive
                                                         Material Packages in Transportation
                            IN 87-32                     Deficiencies in the Testing of Nuclear Grade
                                                         Activated Charcoal                                          j
                                                                                                                  '
                            IN 87-39                     Control of Hot Particle Contamination at                     i
                                                         Nuclear Power Plants                                         )
                            This matter is closed.
                      B.    Part 21 Report
                            (Closed) 87-03-P1:           A Nuclear Packaging Company (NuPac) report made              l
                            pursuant to 10 CFR Part 21.21 identified that the tie down/ lift lug
                            configuration designed and approved for a NuPac Model N-55 Package,
                            Certificate of Compliance No. 9070, Docket No. 71-9070, indicates                         ;
                            that it would not likely meet the' current interpretation of the                          l

!

     ,
                            standards for tie down points.
                            The report notified each user of a NuPac Model 55 package to                              I
                            permanently' stencil; or decal by each of the four lugs on each unit                       ;
                            prohibiting their use as a tie down point.                                                !
                                                                                                                      1
                            The inspectors. verified that the licensee had a copy of the Part 21                      ;
                            report and had completed the action specified in the report.                              !
                                                                                                                       l
                            This matter is closed.                                                                     !
 .
        g.
   e.      .      ..
   .x .                                               19
             .
                  C.   Followup Items
               ,_
                       (0 pen) 86-37-01 - This; item involves the licensee's PASS.    The most
                      current information'related to the ' status of the. licensee's PASS
                      prior to this inspection is discussed in paragraph 11.C of Region V
                       Inspection Report No. 50-312/87-22. 'The report identified that
                      major modifications of the licensee's PASS were' nearing completion
                       and that portions of system testing would be observed by the NRC
                     . Region V staff. An' examination was performed to determine what
                      progress had been made since the previous inspection.
                      Telephone discussions with the licensee staff in July and August

e' disclosed that the Reactor Building Atmosphere and the Hydrogen- '

                      Monitor / PASS Heat Tracing systems were tested. Additionally, on
                      Septembe r -10, 1987, the Region V staff was notified that the Reactor
                      Coolant System sampling capability would be tested starting on
                      September 11, 1987. The results of the tests are as follows:
                       (1) Reactor' Building Atmosphere Test
                            Inspection Report 50-312/87-22 identified that as of July 2,
                            1987,-the Reactor Building atmosphere sample line was probably
                                                                          '                 '
                            clogged.
                            The licensee staff informed the inspector that the sample.line
                            was subsequently blown'down with a source of air and the test
                            was resumed in accordance'with Surveillance Test Procedure
                            (STP)-432. The system functioned properly after the blowdown
                            even though there was no evidence of any foreign material in

I

                            the sample line. The licensee staff believes'that some foreign
                            material may still be in the line. A licensee work request'was
                            written to have the line visually inspected (e.g. , boroscoped)
                            for foreign material or for some other type of obstruction.
                            A supply of Helium / Argon test gas was used as a source term to
                            perform.the test in view of.the fact that the plant has been                            !
                            shut down.    The test will:be repeated during training of the
                            staff using the same supply of gas and again when a real source
                            term is available for comparison'(e.g., such as after plc.t
                             startup).
                            The licensee's evaluation of the test results was still in
                            progress at the conclusion of this inspection period.
                       (2) Hydrogen / PASS Heat Trace Test
                            A functional test of the Hydrogen Monitor / PASS heat tracing
                             system was performed in accordance with STP-793,

i The licensee reported that the temperature of the gas sample

                             failed to meet the acceptance criteria established in STP-793.
                            The licensee plans to re'<iew the results, reevaluate the
                                                        .
                             adequacy of the test precedure and reperform the test.
                                                                                              _ - _ _ _ _ _ _ _ _ _
   a *
 4     .
 .                                      20
         (3) Reactor Coolant Sample
              This portion of PASS testing was witnessed by the Region V NRC
              staff.   The purpose of the test was to verify the capability to
              obtain low pressure decay heat samples in accordance with
              STP-430. Test objectives established in STP-430 are as
              follows:
              a.    To verify that the PASS valve interlocks operated as
                    designed.
              b.    To collect data to determine Decay Heat System (DHS)
                    sample purge times,
              c.    To verify the ability of PASS to perform the following
                    functions:
                    1.   Transport samples from the DHS.
                    2.   Deliver a diluted liquid sample to the grab sample
                         container and to the intrinsic germanium element
                         (IGE).
                    3.   Analyze liquid grab samples using the environmental
                         laboratory ion chromatograph.
                    4.   Supply flush water to the liquid flow paths.
                    5.   Analyze liquid samples for conductivity, pH, boron
                         concentration and chloride concentration using the
                         in-line instrumentation.
              The licensee expected the tests would take approximately twelve
              hours to be completed; however, due to unexpected problems, the
              tests were discontinued after five days of testing.                                           Problems
              identified were as follows:
                    The pH meter was broken.
                    One of the PASS interlocks was not considered in the test
                    procedure.
                    The conductivity meter was not in current calibration.
                    Additionally, an electrical noise problem in the

,

                    conductivity detection circuit was identified and needs to

I

                    be resolved.
                    The demineralized pump tripped as a result of overheating
                    during the flushing evolution.
                    The range on the conductivity meter was too broad, and
                    therefore, the conductivity tests could not be accurately
                   measured.

l

                                                       _____ _______________ ____ _ ________________ ____ _
                                                                                               . ___-____ _ _ _ _
            _,
  La . g,.o-
        .
                 - . .
    ;          -
                                                           .
                                                          21
   o                  o
                             *
                                      The dilution tank level . indicator was not properlyf
                                      calibrated.
                                                                                                                      ,
                                    .             .    .
                                                                           .
      ,
          11-                  -
                                      Procedural deficiencies were noted.                                             '
                             *-
                                      The decay heat' sample temperature was lower than expected.
                                                                                                                     1
                                      The flow' rate for delivering a sample'from the DHS to the
                                                                      .
                                      PASS could not be accurately l determined.  A stopwatch.
                                      rather.than a flow meter is used to determine:the flow'                      o
                                      rate.                                                                       ,d
                             The test for verifying the system's capability.for drawing a-
                             diluted' sample was discontinued after one attempt was made.
                             The system did not function. properly.
                             The inspectors noted that the. licensee documented all of the
                             deficiencies and test results.
                             The." acceptance criteria" established for the test and the
                             values actually obtained were as follows:

i

                                                               Established           Range of

l Functional Test Area Acceptance' Criteria Values Obtained.

                             Boron concentration-                 110%                  19%
                             Conductivity                         t20%                   *
                             pH.                              10.3 Units                **
                                                          over a pH range of
                                                                5 to 9
                             Chlorides                            120%                 -20%'

,. Diluted Boron Sample *** 16% +9% l ? *

                                      The meter range was too broad for an accurate measurement

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                             **  . . Test not conducted.     (pH meter broken.)

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                             ***      Discussions held with the licensee on September 28, 1987,
                                      disclosed that the dilution tank level indicator was
                                      properly calibrated and this portion of the test was-
                                      repeated with the results shown herein.    A non-conformance
                                      report was written to identify that the acceptance
                                      criterion was not met.
                        (4) Other                                                                                    .
                             The inspector discussed the status of system testing and the                           I

[ observations above.

                                                                                                                    ,
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                                 , .
                 

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   ;
                                       .The licensee staff informed the inspector that the PASS.is
           -6                          , expected to be completed in' time to support plant heatup which-
      ,
               ,
                           .,           is currently expected to start on or about December 1-15, 1987.
        je,                             The inspector concidded that'it appears 'to be an optimistic.
                                        schedule based on the status of PASS testing accomplished to
         "
                                        date.   Items that need .to be resolved prior to plant heat up
                                        were:
           4
                                        *
                                              Resolution of test results.
                                        *
                                          .  ' Training of the staff.
                                        *
                                              Procedure development.
                                              Repair of equipment-such as the pH meter, heat tracing,
                                              etc.
                                        *
                                              Time and motion studies.
                                        *
                                              Proving the capability for obtaining a high pressure
                                              reactor coolant' sample.
                                        *
                                              Determining whether the containment atmosphere sample line
    '
                                              contains foreign material which may lead to clogging.
                                        The inspector brought the above observations to the licensee's
                                        attention at the exit interview.    The inspector clso commended
                                        the staff for the accomplishments that were observed during
                                        this inspection.
                                        The licensee informed the inspector that they were assigning
                                        two additional engineers to assist the current PASS staff.
                      6.     Facility Tour
                             The Auxiliary, Fuel Handling, and Reactor Containment Buildings were
                            . toured by the inspectors. The inspectors made independent radiation
                             measurements using portable ion chamber survey instrument, Serial No.
                             2694, due for calibration on October 21, 1987.
                             Other than as noted below, licensee's posting and labeling practices
                             appeared to be consistent with 10 CFR 19.11, " Posting of Notices to
                             Workers," and 10 CFR 20, " Standards for. Protection Against Radiation."-
                             Cleanliness appeared to have improved. Shielding installed by the
                             licensee to meet General Design Criterion 19 for the PASS area consisted
                             of lead-wool blankets suspended from hooks marked "Do not remove without
                             permission." The licensee indicated that further physical restraints are
                             scheduled to be installed to prevent inadvertent removal of the

,

                             shielding.
                             Work practices appeared to be consistent with the licensee's ALARA and
                             Radiation Work Permits (RWPs) programs, and survey and air sampling
                           . equipment in use were in current calibration and good repair.
                             During a tour of the Reactor Containment Building (RCB), the inspectors
                             noted that the reactor vessel head stand, which was shielded by lead
                             bricks'on the inside, had material centered inside. Posting of the area
                             included barrier rope and signs with the radiation caution symbol and the
 ;
           ~

F _st

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               words " Caution" and " notify RP prior to entry," with contamination ' levels
               provided on the signs. Upon exit from the RCB, the inspectors requested
               to see a copy of the most recent radiation survey of the area.       Radiation
               Protection (RP) personnel indicated a survey was not immediately
               available due to having been microfilmed and archived. The licensee
               later stated that upon being unable to locate a survey on microfilm, RP
               personnel performed a radiation survey inside the head stand and
               determined that the material inside the head stand was a shielded cas).
               containing in-core or in-core seal table components, with external
               readings of 3 r/hr gamma on contact, 500 mr/hr at 18", and 300 mr/hr.at                     ,
               3'. The licensee then posted the area as a "high radiation area." The                       i
               licensee presented the inspectors with the survey results, and later,
               with the most recent known survey showing posting or dose rates dated
               "5/31." The year was not indicated, but the instrument R02A #1830 was
               noted as due for calibration August 2, 1985, with the head stand interior
               annotated " secured high rad area," and no dose rates indicated within.
               The licensee was unable to provide records of previous surweys showing
               dose rates and when the material was placed in the head stand. The
               Radiation Protection Supervisor stated to the inspectors that he assumed
               that the " secured'high rad area" postings were removed after the 1985
               refueling outage in order to support plant restart and that the area had                    '
               not been resurveyed or reposted since plant shutdown on December 26,
               1985.
               Although the head stand extends approximately 6 feet above the floor, it
               has a 2 foot oerm/ rail and would have been easily accessible, even
               without the readily available stepladders located throughout the
               building, including one within 40 feet of the head stand on the same                        i
               level (+40 foot of the RCB).
               Technical Specifications, Section 6.13 "High Radiation Area," states in
               part:   "Each high radiation area in which the intensity of radiation is
               greater than 100 mrem /hr but less than 1,000 mrem /hr shall be barricaded
               and conspicuously posted as a High Radiation Area and entrance thereto
               shall be controlled by issuance of a Radiation Work Permit....."
               It should be noted that T5, Section 6.11, " Radiation Protection Program,"
               states in part:     " Procedures for personnel radiation protection shall be
               prepared consistent with the requirements of 10 CFR Part 20 and shall be
               approved, maintained and adhered to for all operations involving
               personnel radiation exposure."
               A review of licensee implementing procedures involving personnel
               radiati.?n exposure disclosed the following:
                     Licensee's Procedure AP-305-7, " Area Definitions and Posting,"
                     Section 3. A 3, states in part:
                           "A "TGH ktDIATION AREA is a Controlled Area in which the
                           radiatic.' 2xposure rate to the whole body is greater than 100
                           mr/hr, but less than 1000mr/hr."
                     Paragraph 3.2, " Posting Techniques," of AP-305-7, states in part:
                                                                                                            i
                                                                                              ______.____M
                                                                              - _ _ _ _ - -
   e *
 ,      . .
      *
 .
                                           24
                  "The radiation levels at 18 inches from the source will
                  determine the need for posting that area or item as a
                  ' Radiation Area,' 'High Radiation Area'...."
            Paragraph 3.2.2 of AP-305-7 states in part:

,

                  "High Radiation Areas to which personnel may require access are
                  physically barricaded and may use alarms, locked gates and
                  other control devices to prevent inadvertent entry....The area
                  must be conspicuously posted with signs bearing the radiation
                  caution symbol and the words ' Caution High Radiation Area' (see
                  Enclosure 4.1...."
            Licensee's procedure AP-305-8A, " Routine and Radiation Work Permit
            Surveys," paragraph 6.2.4, "'As Needed' Surveys," states in part:
                  "In addition to other scheduled and required surveys, document
                  changing conditions due to plant processes and addition or
                  removal of radioactive materials (Radioactive Waste Storage
                  Area; Liquid Processing Area; Waste Compactor Area) or other
                  evolutions as soon after the change as possible. For some
                  evolutions, this may mean performing several surveys in one
                  day."
            Title 10, Chapter 20, of the Code of Federal Regulations (10 CFR 20)
            states in 10 CFR 20.201, " Surveys":
                  "(a) As used in the regulations in this part, ' survey' means an
                        evaluation of the radiation hazards incident to the
                        production, use, release, disposal, or presence of
                        radioactive materials or other sources of radiation under
                        a specific set of conditions.   When appropriate, such
                        evaluation includes a physical survey of the location of
                        materials and equipment, and measurements of levels of
                        radiation or concentrations of radioactive material
                        present.
                  "(b) Each licensee shall make or cause to be made such surveys
                        as (1) may be necessary for the licensee to comply with
                        the regulations in this part, and (2) are reasonable under
                        the circumstances to evaluate the extent of radiation
                        hazards that may be present."
            The above observations were brought to the licensee's attention
            during the inspection and at the exit interview.      The inspectors
            informed the licensee that failure to conspicuously post the reactor
            vessel head stand as a high radiation area was an apparent violation
            of TS, Section 6.13 (87-26-05).
            The inspectors added that failure to perform such surveys as may be
            necessary to show compliance with TS, Section 6.11, and were
            reasonable under the circumstances to evaluate the extent of
            radiation hazards that may be present was an apparent violation of
            paragraph 6.2.4 of procedure AP-305-8A (87-26-06).

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                    _ _ _ _ - _ _ - - _ _ _                      _-      -_              _--    -  -      - -
          -6; >>
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     ,
                                                   'The licensee staff acknowledged the inspectors' observations,
                               7.             Exit Interview
                                              The inspectcrs met with the individuals (denoted in paragraph 1) at the
 '
                                              conclusion of the inspection on August 28, 1987, September 18, 1987, and
                                            ,0ctober. 20,.1987. The scope and findings of the inspection were
                                              summarized. The licensee was informed of the apparent violations
                                             . discussed in paragraphs 2.F.3 and 6.                                                                          .
                                              The inspectors. informed the licensee that no substantive issues had been
                                              raised by'the allegation (see paragraph 3), but that the licensee might
                                              review how personnel working'inside the protected area but not' monitored
                                              by personal dosimetry were trained to handle' situations raised by the
                                              allegation.
                                              The inspectors emphasized the need for timely management of, PASS testing
                                              and informed the licensee of-the difficulties. encountered.with record
                                              retrieval.
                                              The inspectors also informed the licensee of the findings related to the
                                            . delays in performing the inspection because the organization directly
                                              responsible for control and management of liquid and gaseous effluents
                                              was 'not clearly established in the' licensee's administrative procedures.
                                              The licensee informed the inspectors that the Health Physics Support and
                                              Environmental Monitoring group would be assigned that responsibility.
                                        '
   .
                                              The licensee acknowledged the violations discussed herein, stating that
                                              appropriate corrective actions ~would be implemented to prevent their
                                              recurrence.

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