LIC-04-0016, Revision 13 to EPF-14, Emergency Response Organization Assignment Form and Revised Epf Index Page 1 of 2

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Revision 13 to EPF-14, Emergency Response Organization Assignment Form and Revised Epf Index Page 1 of 2
ML040760800
Person / Time
Site: Fort Calhoun Omaha Public Power District icon.png
Issue date: 02/02/2004
From: Herman J
Omaha Public Power District
To:
Document Control Desk, Office of Nuclear Reactor Regulation
References
LIC-04-0016 EPF-14, Rev 13
Download: ML040760800 (5)
v • d • e


Text

Omnaha Pubic PowerDistict 444 South 16th Street Afall Omnaha NE 68102-2247 February 2, 2004 LIC-04-0016 U. S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC 20555

Reference:

Docket No. 50-285

SUBJECT:

Transmittal of Changes to EPF In accordance with 10 CFR 50.54(q), 10 CFR 50, Appendix E, Section V, and 10 CFR 50.4(b)(5), please find EPF change packages enclosed for the Document Control Desk (holder of Copy 165) and the NRC Region IV Plant Support Branch Secretary (holder of Copies 154 and 155).

The document update instructions and summary of changes are included on the Confirmation of Transmittal form (Form EP-1) attached to each controlled copy change package. Please return the Confirmation of Transmittal forms by March 26, 2004.

The revised documents included in the enclosed package are:

EPF Index page 1 of 2 issued 01/29/04 EPF 14 R13 issued 01/29/04 If you have any questions regarding the enclosed changes, please contact Mr. Carl Simmons at (40) 533-6430.

Sincerely, B. Herman Manager - Nuclear Licensing JBH/ckf Enclosures c: NRC Region IV Plant Support Branch Secretary (2 sets)

Alan Wang, NRC Project Manager (w/o enclosures)

J. G. Kramer, NRC Senior Resident Inspector (w/o enclosures)

Emergency Planning Department (w/o enclosures) FiAEj Employment with Equal Opportunity

FORM EP-1 Rev. 6 (04129/99)

OMAHA PUBLIC POWER DISTRICT Confirmation of Transmittal for Emergency Planning Documents/lnformation D Radiological Emergency LII Emergency Planr Z Emergency Planning Response Plan (RERP) Implementing Procedures Forms (EPF)

(EPIP)

F Emergency Planning Department Manual III Other Emergency Planning Document(s)/

(EPDM) Information Transmitted to:

Name: Document Control Desk Copv No: 165' Date:

Plant SuDport Branch Secretary Copv No: 154 Plant Sunport Branch Secretary Coov No: 155 The following document(s) / Information are forwarded for your manual:

REMOVE SECTION INSERT SECTION EPF Index page 1 of 2 Issued 12/16/03 EPF Index page 1of 2 issued 01/29/04 EPF 14 R12 issued 07/29/03 EPF 14 R13 issued 01/29/04 Summary of Changes:

EPF 14 was changed to word format. Appearance has changed but not content.

Supervisor - Emergency Planning I hereby acknowledge receIpt of the above documentsfinformation and have Included them In my assigned manuals.

Signature: Date:_

Please sign above and return by to:03126104 Beth Nagel Fort Calhoun Station, FC-2-1 Omaha Public Power District 444 South 16th Street Mall Omaha. NE 68102-2247 NOTE: If the document(s)/information contained In this transmittal is no longer requested or needed by the recipient, or has been transferred to another individuals, please fill out the information below.

El Document(s)/Information No Longer Requested/Needed M Document(s)/Information Transferred to:

Name: Mailing Address:

O Fbot Calhoun Station Emergency Planning Forms Index Page 1 of 2 FC-EPF Document Document Title RevisionlDate FC-EPF-1 Alert Notification System Accidental Activation Report Form R7 11-29-01 FC-EPF-2 Offsite Monitoring Log R3 03-15-01 FC-EPF-3 Administration of Potassium Iodide Tablets R1 11-07-00 FC-EPF-4 NCR Radiological Emergency Team Briefing Checklist R3 07-29-03 FC-EPF-5 Emergency Worker Extension R5 02-14-03 FC-EPF-6 Estimated Exposure Worksheet R4 11-07-00 FC-EPF-7 Estimated Exposure Log R2 04-01-98 FC-EPF-8 Sample Worksheet R6 07-23-02 FC-EPF-9 OSC 24-Hour Staffing Schedule R14 01-16-03 FC-EPF-10 CR/TSC 24-Hour Staffing Schedule R16 01-16-03 FC-EPF-1 1 EOF 24-Hour Staffing Schedule R12 01-16-03 FC-EPF-12 MRC 24 Hour Staffing Schedule R3 02-14-02 FC-EPF-13 Emergency Response Organization Log Sheet RO 01-17-91 FC-EPF-14 Emergency Response Organization Assignment Form R13 01-29-04 FC-EPF-15 Drill Exercise Comment Form R3 07-11-97a FC-EPF-1 7 Pager Response Follow Up Questionnaire R3 11-06-99 FC-EPF-19 Process and Area Monitor Locations R7 04-22-03 FC-EPF-20 Site Boundary/Owner Control Area R2 06-03-03 FC-EPF-21 Fort Calhoun Station Sector Map R2 05-15-97 FC-EPF-27 Onsite/Offsite Dose Comparison Data Record (Using Eagle R3 11-07-00 Program) _

FC-EPF-29 Estimation of Unmonitored Release Rates R1 12-30-93 FC-EPF-31 / Stability Class Chart R2 03-14-02 FC-EPF-32 Area Monitor Trending RO 06-10-93 January 29, 2004 8:52 AM

Distribution Authorized This procedure does not contain any proprietary information, or such information has been censored. This issue may be released to the public document room. Proprietary information includes personnel names, company telephone numbers, and any Information, which could impede emergency response.

Fort Calhoun Stetion FC-EPF-1 4 Emergency Plan Form R13

  • pEMERGENCY RESPONSE ORGANIZATION ASSIGNMENT FORM Section 1: Type of Change

] New Assignment: (Position/Title)

[ ] Delete From: (Position/Title)

1 Other Changes: (PostionfTitle) Reason:

  • _, on 2: Employee DatalConcurrence Full Name (include middle initial): Employee No:

Department Name/Number: TLD No:

Employee Signature: Print:

Department Head Signature: Print:

Responsible MGMT. Contact (Per NAI-10): Print:

Forward to the Supervisor - Emergency Planning Section 3: Initial Assignment Supervisor-EP Approval:

TNA Date:

ERO Roster Updated By- Date:

Team Color [ Red [ ]White [ ]Blue Section 4: Qualification Requirements Verification NOTE: A member of the EP Group will review with the assignee the steps and requirements needed to be taken to qualify for their assigned position.

EP Reviewer: Date: Target Completion Date:

[ ] N/A Emergency Preparedness Training Completed on: [ ] 90 day training requirement Verified in PQD on: [ ] 6 month training requirement

[ ] N/A TLD Issued on:

[ 3 N/A SCBA Qualification Completed on:

[ ] N/A FCS Site Access Badge Issued: [ ] YES [ ] NO TLD Number.

Fitness For Duty Program Initiated: [ ] YES I ] NO Supervisor's CBOP Training Completed: [ ] YES [ ] NO Section 5: Final Approval The Above Change(s) Approved by Supervisor-Emergency Planning: Date:

Section 6: Final Status Update

[ ] ERO Roster Updated to Status 1 (Individual has been instructed to obtain an ERO ID card) or status 2 by N/A (Circle one):

Emergency Planning REP: TDate:

[ ] Employee deleted from ERO Roster (instruct individual to turn in ERO ID card) by:

N/A Emergency Planning REP: Date:

Reason for Deletion:

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