ML053180067

Condition Report Form 1, Manual CR No IP2-2005-M-11

ML053180067
Person / Time
Site:	Indian Point
Issue date:	09/01/2005
From:	Schwartz G Entergy Nuclear Indian Point 2
To:	Office of Nuclear Reactor Regulation
References
FOIA/PA-2005-0369 IP2-2005-M-11
Download: ML053180067 (2)

Text

9-1 -cbS EN-LI-1 02, ATrACHMENT 9.3 MANUAL CR INmATION Sheet 2 of 4 CONDITON REPORTIMaulCNO /

FORM I Manual CR NO.__

. PAGE OF CONDITIONIDENTIFICATION FORM (PRINT/TYPE, USE BLACK INK ONLY)

IDENTIFICATION OF PROBLEM For Operations Use Only (Please Print)

Originator_ Gec-' Sckwjvjv4%  : Ext.: 6424 Date Rec'd Organization: r=t ; M J ln Rec'd Time

'I-'

Supervisor. S+ave. \)eroA Date of Discoverv: 'q-l-os Time of Discoverv: So oc00 CONDITION DESCRIPTION: A Iha~vea'e. ~c'tk sevew,%PolaA% leCs.+4 4 w"1 -~-A ^ C~fr 1w"V 60 mSr Level .4 54 i.4 Z See-0 .ILpool 4

4-ua SowM' -41t e, +fCeI1 ssA..-T'6e CvwiCL 1`%e..4A~me-ME ij~Ste~a..c u.J4 A 4I. tec a4IO'4WtS coF Cesso M134 .flkts. L-~s 4.eu'&i 1~.wv- ejccadLu~fo- assoe~cim l oa..t 6ywi-a.~

ttaAOeA$k SCdA^5 et04 U T % CVVLCV 00"U~ v.J sol ~~b4 4-i i.-1o~4.~ c'4~I.IL+4M~ ~~ ~IL(Di&~ .e-bwe~

[Include information pertinent to operability determnination.]

Work Document # (i.e., WRIWO, OD, etc.) Other IMMEDIATE ACTION DESCRIPTION: 'Z%6hj 51.4+ M*AA&.-., Of....4sv"~ L..+ M~

"I & .Ab. '..CA'r.

bIE ~~~~j. a fec~ajv^L Aer"~c~, . 4moloatca4l-f CjD'tavl1&a4 AFFECTED EQUIPMENT/DOCUMENTSIMATERIAL:

Number/Description(s) Sp.*- A;a coot Ievwila 4-aL, kY wajhl, toJ-a Ut,,J. 2..

SUGGESTED CORRECTIVE ACTION (S): " vPtd-loacIc1c4h-4s iL I r"--I l I L e-

_AsW. PS cR -.o M-A FOSEB CCLxtW Lo W"411 ACQ>cd' I1 " 8y,%%.- "V,S"Cu ~f.s 1 4r toorSA S-,I Ju..lOajo-i;.&J5 &r4c

,.O eD%.A44-c 1 -jiS,.).

o Operability In question? o c3 P Potentially reportable? Oa

8-4

EN-LI-1I02, ATTACHMENT 9.3 MANUAL CR INIATION Sheet 4 of 4 OPERABILITY REVIEW & IMMEDIATE REPORTABILITY DETERMINATION - FORM 3 1.OPERABILITY REVIEW OPERABILITY EVALUATION REQUIRED El NO b-YES IF NO - EXPLAIN WHY:

(IF NO THEN LEAVE OPERABILITY EVALUATION SECTION BLANK - COMPLETE REPORTABILITY SECTION AND SIGN AS APPROVER)

11. OPERABILITY EVALUATION EQUIPMENT/SYSTEM/TRAIN BEING ASSESSED: SF?

PLANT CONDITIONIMODE: ° . 4 ecu .

EFFECT OF THIS CONDITION ON EQUIPMENT/SYSTEM/TRAIN OPERABILITY:

El ADMIN - NA . CONSIDERED OPERABLE BASED ON El EQUIPMENT INOPERABLE REASONABLE ASSURANCE YET FURTHER E OPERABLE - JUDGMENT EVALUATION REQUESTED a EQUIPMENT OPERABLE O NOT REQUIRED lime Entered:

BASIS: OPERABILITY EVALUATIONS USING ENGINEERING JUDGMENT MUST BE SUBSTANTIATED (Include ReasonableA surance). Wav-81^%

uAi "b-f M*It%4 Cog *i my

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-4up--E 1Ad! 'eXL do l .~ag.

, - -Pk ^1/-AX\lC LCO ENTERED 91 NO 0 YES LCO NO. _ _ LCO ACTION TIME TECH SPEC/TRM ACTION STATEMENT # DATE ENTERED TIMEZENTERED, IMMEDIATE mEaTEs ACTIONS ' -

TAKEN:

II. IMMEDIATE REPORTABILITY DETERMINATION IS IMMEDIATE NRC NOTIFICATION REQUIRED? OfNO El YES IFYES (Mark appropriate time requirement and complete thlssection) 0 1-HR RPT 0 4-HR RPT 0 8-HR RPT [I 24-HR RPT DATE: AND TIME: OF REPORT.

NAME OF PERSON REPORT MADE TO:

CFR REQUIREMENT: NAME OF PERSON MAKING REPORT:

NRC EVENT NO.

REACTOR POWER:  % REACTOR PRESSURE: RX / RX COOLANT TEMP

[(BWR ONLY) CORE FLOW X 10le Ibm/HR REACTOR LEVEL in]

Ill. PERFORMANCE/APPROVAL

,4 _ ,-S-PERFORMED BY: B/O l DATE/TIME: °z/tel-A*X I

OPERATIONS REPRESENTATIVE APPROVAL:E/TIME -t