ML042090304
| ML042090304 | |
| Person / Time | |
|---|---|
| Site: | Vermont Yankee File:NorthStar Vermont Yankee icon.png |
| Issue date: | 08/18/2003 |
| From: | David Pelton Division Reactor Projects I |
| To: | Pulsifer R Office of Nuclear Reactor Regulation |
| References | |
| FOIA/PA-2004-0267 | |
| Download: ML042090304 (16) | |
Text
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Pelton, David From:
Sent:
Tno Peltori, David Mopday, August 18, 2003 8:17 AM
'rmp3@ nrc.gov' FW: River Report 08-18-03
Subject:
I've attached today's VY ER summary which includes ER 03-1765 regarding administrative errors made by the licensee in a recent submittal to NRR.
Dave Pelton
--- Original Message----
From: Taylor, Jim Sent: Monday, August 18, 2003 07:10 To: VTY_River Report Readers
Subject:
River Report 08-18-03 River Report 08-18-03.pdf (32 XK 1
As the River Flows Date:
Unscreened ERs (Sat/Unsat)
Start Time:
Goals:
Finish Time:
Quality, Consistency, Efficiency and Formality:
Validate or initiate initial notification and reviews, BMO requirements, reportability/
further review requircd and. event level.
End of meeting considerations:
Primary Objectives (F)
Formality (NN)
(SC) Status Control (WB)
(RTG) Risk to Generation (RW)
(OB) Obsolescence (AW)
(ODMI) Oper Decision Making (CM)
Nuclear Network Entry White Board Rework Adverse Weather Change Management Industrial Safety Upcomin! Due ER's Date Mon - 08/18 /003 1
Wed - 08/20/2003 8
Thu.s08/2l2003 5
Fri -08/22/2003 4
Sat - 08123t2003 5
Total 23 Message of the Day: (to be determined dally)
Action Item Review:
(when applicable)
Initiated 20031758 Lack of Controlled Procedure Form Electronic Files creates a Human Performance Trap Affected Systems / Equipment Initiator:
Mark Castronova MRFFe Individuals are expected to utilize electronic procedure forns while performaning thier job assignnents. While there are controlled electronic files for procedures, which include procedure forms, these are read only and do not allow the user to utilize the procedure forms to perform work electronically. Individual users/groups can (and do) obtain electronic procedure forms from the uncontrolled MS WORD electronic procedure files.
These forms can be utilized after confirming they match the current revision of the controlled procedure.
However, there have been Instances where Indiduals have performed work utilizing the wrong revision of electronic procedure forms. Creating and maintaining controlled procedure forms In electronic format would eliminate this Human Performance Trap.
Assigned To Level.
Comments Monday. August 18, 2003 Unscreened Event Reports Page 1 of 7 Monday.Augustl8,2003 Unscreened Event Reports Page 1 of 7
Initiated 08/15/2003 20031760 Oxygen Injection System shut down results in Action level 1 condition for Feedwater dissolved oxygen Initiator:
Richard Gerdus MRFF:
At approximately 1630 the oxygen injection system tipped off-ine resulting In a decrease In condensate and feedwater D.O. to approximately 17 ppb.
- The problem was noticed In the control room based on fluctuations with the D.O. recorder. A Chemistry technician reset the Oxygen Injection System at 1950 at which time Feedwater dissolved oxygen was restored to >30 ppb. Note: Per the EPRI Water Chemistry Guidelines, Action Level I for feedwater D.O. Is entered when dissolved oxygen Is <30 ppb.
Affected Systems / Equipment FEEDWATER Assigned To Level Comments 20031762 Employee Stung By Bee Affected Systems Enuipment Initiator LINDA TORUNSKI MRFF:
A bee crawled into the shoe of an employee while the emplae was warldng at her workstation. The bee was then exterminated! An ice pack was appiled to the sting.
Assigned To Level
-Comments 20031763 Minor Discrepancy on Control Room HVAC Chiller (SCH-1) Control Affected Svstems Equipment Schematic Drawing Initiator Michael Smaga HEAT VENT& AIRCONDITION MRFF:
SCII-I CHILLER While reviewing drawing 5920-11064, Rev.0, Control Rocom HVAC Chifler (SCH-1) Control Schematic, itwas discovered that on the drawing Note 14 referenced terminal board TB4-4 when it should reference TB4-5. The the description In the notes reference the correct terminal as shown on CWD 1368.
This is a documentation Issue and Is not an equipmemnt operability Issue.
Assigned To Level Comments Mondy. ugut 18 203 UscrenedEvet Rport Pae 2of.
Monday, August 18, 2003 Unscreened Event Reports Page2 of7
Initiated 08/15/2003 20031764 Breaker 3V4 control power fuse size in OP 3126 and fuse list are different.
Initiator:
JIM TAYLOR MRFF:
Procedure OP 3126 Rev.16 Apendix E page 5 directs replacement of 4 KV SWGR control fuse by Installing 15 amp fuses for the close circuits and 35 amp fuses for the trip circuits. The switchgear Contrd circuit fuse selection verification list shows the fuses for breaker 3V4 (8 are listed) as size NON-15. CWD 325 shows the fuses as 15 amp fuses.
MM 98-033 Installed 15 amp fuses In the affected circuit for breaker coordination. WO 02-001742-000 verified that the proper fuses were installed under MM 98-033. Refer to attached e-mail for System Engineering operability assessment.
Assigned To Level Comments Affected Systems / Equipment 4K VOLTS AC ELECTRICAL 125 VOLTS DC ELECTRICAL BUS-3-2 CUBICLE 20031765 NRR correspondence contains administrative errors Initiator:
Ronda Daflucas MRFF:
W mailed BVY 03-70, 7131103, overnight to Bob Pulsifer. On 8/1103, prior to mailing the original to the DCD, I verified the pages of the calculations.
Following are the errors that were found when packaging the AST submittal for mailing this moming. Bob Pulsifer's copy was mailed out 7/31103 prior to Identification of these minor packaging errors.
- 1. Post LOCA Suppression Pool pH - Non-Proprietary version: last page is *page 15 of 19.' Pages 16 thru 19 were Intentionally deleted, since they provided Exhibits 1-4, which were proprietary. Therefore, on the bottom of page 15 of 19, I wrote, 'Thus, pages 16 thru 19 are not provided."
Replaced page 15 of 19 with the attached replacement page..
- 2. Calc VYC 2312, Post LOCA Drywell High Range Monitor Response..., pages 190,191, and 192 were duplicated. We removed these duplicated pages. Removed these duplicated pages from Pulsifer's copy.
- 3. Radiological Evaluation of a DBA LOCA, Proprietary Version: Between pages 56 and 57, there Is an unnumbered figure, Inadvertently Inserted In a few of the copies. This figure was removed, as It is not part of the submittal.
On August 12. the NRR PM, Bob Pulsifer phoned me with Identification of additional errors. His copy (the copy that was sent out after 6 pm 7/31/03 to make the deadline) was missing both the non-proprietary and proprietary versions of one of the calcs. He was able to get the caics from DCD.
The NRR reviewer noticed In a quick page-through that the appendices in cabc QA06 are labeled 0A05. We are still attempting to get resolution on this matter from the contractor, Pulstar.
Affected Systems / Enuipment The number of administrative errors that occurred with the AST submittal is unacceptable.
Licensing should ensure that submittals to the NRC are complete and correct prior to mailing.
Assigned To Level Comments-Monday, August 18, 2003 Unscreened Event Reports Page 3 of 7 Monday, August 18, 2003 Unscreened Event Reports Page 3 of 7
Initiated I-308/15/2 003 ACCESS TO MEDICAL RECORDS NOT BEING STORED IN ACCORDANCE WITH PRIVACY ACT REQUIREMENTS 20031766 Affected Systems / Eguipment Initiator Steve DiMauro MRFF:
Recent revision to 45 CFR 160, 162 and 164, Health Insurance Portability and Accountability Act of 1996 (HIPM),' (commonly known as the Privacy Act) requires the security of protected health information while In the custody of entities covered by HIPAA. Entergy fleet-wde policy on the subject embraces the HIPM standards.
Contrary to the guidance as stated, NDE personnel medical records (e. g. eye exams) submitted to the Records Information Management System (RIMS) are not being controlled to limit access.
Assigned To Level Comments Initiated Od/16/2003,-.
20031767 SYSTEM READS "LOST TEST CARD AS "UNAUTHORIZED Affected Systems / Equipment Initiator BRIAN LECLAIRE SECURITY EQUIPMENT MRFF:
CPU-I 16-A COMPUTER THE SECURITY COMPUTER READS THE LOST TEST CARD AS UNAUTHORIZED. THIS MAY CAUSE A CARD THAT IS MARKED AS LOST TO BE MISTAKEN FOR AN UNAUTHORIZED CARD.
Assigned To Level Comments 20031768 rds-1000 level control system failure Affected Systems / Equipment Initiator!
Walter [ Scott ] Beane RADWASTE LIQUID & SOLID MRFF:
RDS-I000-l 0 CABINET during system startupthe level Indicating system was erratic,not alkyMng the completion of the procedure.
levels 1 thru 4 were in and out with hi-hi level in 90% of the time.
Assigned To Level Comments Monday. August 18; 2003 Unscreened Event Repats Page 4 of 7 Monday, August18, 2003 Unscreened Event Reports Page 4of 7
Initiated 108/176/2003 20031769 410 gate opening Initiator:
Lance Barton MRFF:
At 1330 a Secuirty Officer was doing a routine gate opening at the main vehicle access gate. The first gate Is controled by a electric motor and was opened for him. The secound outside gate is controled by pushing it open manually. In doing this the officer pushed the gate open and wMen it reached the end of its run It bounced back at him. The officer again pushed it open. He then turned to open the the vehicle barrier gate with his back to the sliding gate. The vehicle barrier gate takes a hard pull to get it to initially move. As the officer tugged and started walking with the barrier the rolring outer gate started to roll close and the officers left wrist became pinched between the vehicle barrier and the rolling gate. The pain from injury caused the officer to become light headed. A medical emergency was called and the officer was looked at. The officer refused medical treatment and was given a Icepack and water. A non motorized gate with no locking device in the open position were contributing factors to this accident.
Affected Systems / Equipment Assigned To Level Comments Initiated xI 1,08
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2 0 03-a..N : 1, I'.:f %' A' '-
. -H
-H I-.
I.a-.
08.1 /.00S 20031770
'A' and 'B' Demister Gage Glass Dirty Initiator JONATHAN PICARD MRFF:
Affected Systems / Equipment STANDBY GAS TREATMENT SBGT-IA SBGT-l B SKID SKID During AO rounds on 8116/03, the A and B Standby Gas Demister Gage Glass Is dirty. The level Is still readable, but they need to be cleaned.
Shift Manager was notified and this Is not an operablility concern. Work Requests have been written.
Assigned To Level Comments 20031771 Fire Detection Panel Trouble.
Affected Systems / Equipment Initiator TOM SCHULTZ FIRE PROTECTION MRFF:
CP-l15-10 PANEL During AO rounds In the Reactor bldg. a dim zone 4 trouble light was found lit, It was not enough to bring in the control room or reactor building trouble alarms. The system engineer and I & C were notified and an hourly fire watch established per the TRM. WOR #03-058705 was initiated.
Assigned To Level Comments Mondy. ugut 1.200 UncrenedEvet Reort Pae 5of Monday, August 18.2003 Unscreened Event Reports Page5 of 7
Initiated Ax 20031772 Loss of Downstream River Temperature Indication Initiator BRIAN MCNUTr MRFF*
ERFIS PTID M037 (Downstream River Temperature) has failed.
Assigned To Level Comments Affected Svstems / Equipment MISC COMPUTER & ERFIS 950-lO COMPUTER Monday, August 18, 2003 Unscreened Event Repouis Page 6 of 7 Monday, Augustl18, 2003 Unscreened Event Reports Page 6of 7
ER #
EventTitle Lesson-Learned Type Level Resp Dept
/ Comments 20031758 Lack of Controlled Procedure Form Electronic Files creates a Human Perrormance Trap 20031760 Oxygen Injection System shut down results in Action level I condition for Feedwater dissolved oxygen 20031762 Employee Stung By Bee 20031763 Minor Discrepancy on Control Room HVAC Chiller (SCH-l)Control Schematic Drawing 20031764 Breaker 3V4 control power fuse size in OP 3126 and fuse list are different.
20031765 NRR correspondence contains administrative errors 20031766 ACCESS TO MEDICAL RECORDS NOT BEING STORED IN ACCORDANCE WITHl PRIVACY ACT REQUIREMENTS 20031767 SYSTEM READS LOST TEST CARD AS "UNAUrHORIZED 2003176S 20031769 20031770 20031771 20031772 rds-1000 level control system failure 410 gate opening
'A' and 'B' Demister Gage Glass Dirty Fire Detection Panel Trouble.
Loss of Downstream River Temperature Indication Monday. August 18.2003 Unscroened Event Reports Page 7 of 7 Monday, August 18, 2003 Unscreened Event Reports Page 7 of 7
Pelton, David From:
Pelton, David Sent:
Monday, August 18, 2003 8:17 AM To:
'rmp3@nrc.goV
Subject:
FW: River Report 08-18-03
- Bob, I've attached today's VY ER summary which includes ER 03-1765 regarding administrative errors made by the licensee in a recent submittal to NRR.
Dave Pelton
-Original Message----
From: Taylor, Jim Sent: Monday, August 18, 2003 07:10 To: VTY_River Report Readers
Subject:
River Report 08-18-03 River Report 08-18-03.pdf (32 1
As the River Flows Date:
Unscreened ERs (Sat/Unsat)
Start Time:
Finish Time:
Goals:
Primary Objectives Quality, Consistency, Efficiency and Formality:
Validate or initiate initial notification and reviews, BMO requirements, reportability/
further review required and event level.
End of meeting considerations:
(F)
Formality (NN)
(SC) Status Control (WB)
(RTG) Risk to Generation (RW)
(OB) Obsolescence (AW)
(ODMI) Oper Decision Making (CM)
Nuclear Network Entry White Board Rework Adverse Weather Change Management Industrial Safety Upcomina Due ER's Date Mon- 0818/2003 1
Wed -08/20/2003 8
Thuu-08/21/2003 5
Fri - 08/22/2003 4
Sat - o23/2003 5
Total 23 Message of the Day: ( to be determined daily)
Action Item Review: (when applicable)
Initiated 8
2 i3 20031758 Lack of Controlled Procedure Form Electronic Files creates a Human Performance Trap Initiator:
Mark Castronova MRFF:
Individuals are expected to utilize electronic procedure forms while performaning thler job assignments. While there are controlled electronic fies for procedures. which include procedure forms, these are read only and do not allow the user to utilize the procedure forms to perform work electronically. Individual users/groups can (and do) obtain electronic procedure forms from the uncontrolled MS WORD electronic procedure files.
These forms can be utilized after conflrming they match the current revision of the controlled procedure.
However, there have been Instances where indMiduals have performed work utilizing the wrong revision of electronic procedure forms. Creating and maintaining controlled procedure forms In electronic format would eliminate this Human Performance Trap.
Affected Systems I Equipment Assigned To Level Comments Monday, August 18, 2003 Linscreened Event Reports Page 1 of 7 Monday, August 18, 2003 Unscreened Event Reports Page I of 7
Initiated Oxygen Injection System shut down results in Action level I condition for Feedwater dissolved oxygen 20031760 Affected Systems / Eguipment Initiator:
Richard Gerdus MRFF:
At approxdmately 1630 the oxygen injection system tripped off-line resulting in a decrease in condensate and feedwater D.O. to approxdmately 17 ppb.
The problem was noticed in the control room based on fluctuations with the D.O. recorder. A Chemistry technician reset the Oxygen Injection System at 1950 at which time Feedwater dissolved oxygen was restored to >30 ppb. Note: Per the EPRI Water Chemistry Guidelines, Action Level 1 for feedwater D.O. is entered when dissolved oxygen Is <30 ppb..
FEEDWATER Assiuned To Level Comments 20031762 Employee Stung By Bee Affected SystemsI Equipment Initiator:
LINDA TORUNSKI MRFF:
A bee crawled into the shoe of an employee, whle the employee was working at her workstation. The bee was then extemminatedl An ice pack was applied to the sting.
Assigned To Level Comments 20031763 Minor Discrepancy on Control Room HVAC Chiller (SCH-1) Control Affected SystemsI Equipment Schematic Drawing Initiator:
Michael Smaga HEAT VENT & AIR CONDITION MRFF:
SCil-I CHILLER While reviewing drawing 5920-11064, Rev.0, Control Rooom HVAC Chiller (SCH-11) Control Schematic, it was discovered that on the drawing Note 14 referenced terminal board TB4.4 when it should reference T84-5. The the description in the notes reference the correct terminal as shown on CWD 1368.
This is a documentation issue and is not an equipmemnt operability issue.
Assigned To Level Comments Mody Auus 18 203_ocendEet eot ae2o Monday, August 18, 2003 Unscreened Event Reports Page 2 of 7
Initiated 20031764 Initiator JIM 08/15/20 Breaker 3V4 control power fuse size in OP 3126 and fuse list are different.
TAYLOR Affected Systems / Etiupment 4K VOLTS AC ELECTRICAL 125 VOLTS DC ELECTRICAL BUS-3-2 CUBICLE MRFF:
Procedure OP 3126 Rev.16 Apendix E page 5 directs replacement of 4 KV SWGR control fuse by installing 15 amp fuses for the close circuits and 35 amp fuses for the trip circuits. The switchgear Control circuit fuse selection verification list shows the fuses for breaker 3V4 (8 are listed) as size NON-15. CWD 325 shows the fuses as 15 amp fuses.
MM 98-033 Installed 15 amp fuses In the affected circuit for breaker coordination. WO 02-001742-000 verified that the proper fuses were Installed under MM 98-033. Refer to attached e-mail for System Engineering operability assessment.
Assigned To Level Comments 20031765 NRR correspondence contains administrative errors Initiator Ronda Daflucas MRFF:
VY mailed BVY 03-70, 7/31/03, overnight to Bob Pulsifer. On 8/1103, prior to mailing the original to the DCD, I verified the pages of the calculations.
Following are the errors that were found when packaging the AST submittal for mailing this morning. Bob Pulsifer's copy was mailed out 7/31/03 prior to Identification of these minor packaging errors.
- 1. Post LOCA Suppression Pool pH - Non-Proprietary version: last page Is 'page 15 of 19. Pages 16 thru 19 were Intentionally deleted, since they provided Exdhibits 1-4, which were proprietary. Therefore, on the bottom of page 15 of 19, I wrote, "Thus, pages 16 thru 19 are not provided."
Replaced page 15 of 19 with the attached replacement page.
- 2. Cat VYC 2312, Post LOCA Drywell High Range Monitor Response.... pages 190, 191, and 192 were duplicated. We removed these duplicated pages. Remoeed these duplicated pages from Pulsifer's copy.
- 3. Radiological Evaluation of a DBA LOCA, Proprietary Version: Between pages 56 and 57, there Is an unnumbered figure, inadvertently inserted In a few of the copies. This figure was removed, as it Is not part of the submittal.
On August 12, the NRR PM, Bob Pulsifer phoned me with Identification of additional errors. His copy (the copy that was sent out after 6 pm 7/31/03 to make the deadline) was missing both the non-proprietary and proprietary versions of one of the cabcs. He was able to get the caics from DCD.
The NRR reviewer noticed in a quick page-through that the appendices In calc 0A06 are labeled QA05. We are still attempting to get resolution on this matter from the contractor, Pulstar.
The number of administrative errors that occurred with the AST submittal Is unacceptable.
Licensing should ensure that submittals to the NRC are complete and correct prior to mailing.
Assigned To Level Comments Affected Systems / Equipment Mody Auut1.20_ncend vn eot ae3o Monday. August 18, 2003 Unscreened Event Reports Page 3 of 7
Initiated 08/15/2003 20031766 ACCESS TO MEDICAL RECORDS NOT BEING STORED IN ACCORDANCE WITH PRIVACY ACT REQUIREMENTS Initiator:
Steve DiMauro MRFF :
Recent revision to 45 CFR 160, 162 and 164, Health Insurance Portability and Accountability Act of 1996 (HIPM), (commonly known as the Privacy Act) requires the security of protected health information while In the custody of entities covered by HIPM. Entergy fleet-wide policy on the subject embraces the HIPAA standards.
Contrary to the guidance as stated, NDE personnel medical records (e. g. eye exams) submitted to the Records Information Management System (RIMS) are not being controlled to limit access.
Assigned To Level Comments Affected Systems / Equipment Initiated 20031767 SYSTEM READS "LOST TEST CARD AS "UNAUTHORIZED Affected Systems Equipment Initiator BRIAN LECLAIRE SECURITY EQUIPMENT MRFF:
CPU-I 16-A COMPUTER THE SECURITY COMPUTER READS THE LOST TEST CARD AS 'UNAUTHORIZED. THIS MAY CAUSE A CARD THAT IS MARKED AS LOST TO BE MISTAKEN FOR AN UNAUTHORIZED CARD.
Assigned To Level Comments 20031768 rds-1000 level control system failure Affected Systems I Equipment Initiator Walter [ Scott ] Beane RADWASTE LIQUID & SOLID MRFF:
RDS-1000-10 CABINET during system startup,the level indicating system was erratic,not allaMng the completion of the procedure.
levels 1 thru 4 were In and out with hi-hi level In 90% of the time.
Assigned To Level Comments Monday, August 18, 2003 Unscreened Event Reports Page 4 of 7 Monday, August 18, 2003 Unscreened Event Reports Page 4 of 7
Initiated
- 62 08/16/2003 20031769 410 gate opening Initiator Lance Barton MRFF :
At 1330 a Secuirty Officer was doing a routine gate opening at the main vehicle access gate. The first gate is controled by a electric motor and was opened for him. The secound outside gate Is controled by pushing It open manually. In doing this the officer pushed the gate open and when It reached the end of its run It bounced back at him. The officer again pushed It open. He then turned to open the the vehicle barrier gate with his back to the sliding gate. The vehicle barrier gate takes a hard pull to get it to Initially move. As the officer tugged and started walking with the barrier the rolling outer gate started to roll close and the officers left wrist became pinched between the vehicle barrier and the rolling gate. The pain from Injury caused the officer to become light headed. A medical emergency was called and the officer was looked at. The officer refused medical treatment and was given a Icepack and water. A non motorized gate with no locking device in the open position were contributing factors to this accident.
Affected Systems / Equinment Assigned To Level Comments Initiated
2Ko871742fio3
20031770
'A' and 'B' Demister Gage Glass Dirty Initiator:
JONATHAN PICARD MRFF:
Arrected Systems / Equipment STANDBY GAS TREATMENT SBGT-IA SBGT-I B SKID SKID During AO rounds on 8116/03, the A and B' Standby Gas Demister Gage Glass is dirty. The level Is still readable, but they need to be cleaned.
Shift Manager was notified and this is not an operablility concern. Work Requests have been written.
Assigned To Level Comments 20031771 Fire Detection Panel Trouble.
Affected Systems / Equipment Initiator:
TOM SCHULTZ FIRE PROTECTION MRFF:
CrI 15-10 PANEL During AO rounds in the Reactor bldg. a dim zone 4 trouble light was found lit. It was not enough to bring In the control room or reactor building trouble alarms. The system engineer and I & C were notified and an hourly fire watch established per the TRM. WOR #03-058705 was initiated.
Assigned To Level Comments Monday,~~~~~~
~ ~ ~
~
~
~
Auut1,20_isree vn eot ae5o Monday, August 18, 2003 Unscreened Event Reports Page5 of7
f V'
Initiated O8 203 20031772 Loss of Downstream River Temperature Indication Initiator:
BRIAN MCNUI1T MRFF:
ERFIS PTID M037 (Downstream River Temperature) has failed.
Assigned To Level Comments Affected Systems / Equipment MISC COMPUTER & ERFIS 950-10 COMPUrER Monday. August 18. 2003 Unscreened Event Reports Page 6 of 7 Monday, August 18, 2003 Unscreened Event Reports Page 6 of 7
ER #
EventTitle Lesson-Learned Type Level Resp Deot
/ Comments 20031758 Lack of Controlled Procedure Form Electronic Files creates a Human Performance Trap 20031760 Oxygen Injection System shut down results in Action level I condition for Feedwater dissolved oxygen 20031762 Employee Stung By Bee 20031763 Minor Discrepancy on Control Room HVAC Chiller (SCH-1) Control Schematic Drawing 20031764 Breaker 3V4 control power fuse size in OP 3126 and fuse list are different.
20031765 NRR correspondence contains administrative errors 20031766 ACCESS TO MEDICAL RECORDS NOT BEING STORED IN ACCORDANCE WITH PRIVACY ACT REQUIREMENTS 20031767 20031768 20031769 20031770 20031771 20031772 SYSTEM READS "LOST TEST CARD AS UNAUIIIORIZED rds-1000 level control system failure 410 gate opening
'A' and 'B' Demister Gage Glass Dirty Fire Detection Panel Trouble.
Loss of Downstream River Temperature Indication Monday, August 18.2003 Unscreerted Event Reports Page 7 of 7 Monday, August 18, 2003 Unscreened Event Reports Page 7of 7