ML062790429

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NMC Security Form 4G-21, Section I: Reason for Denial
ML062790429
Person / Time
Site: Kewaunee Dominion icon.png
Issue date: 05/14/2002
From: Cleveland R
Nuclear Management Co
To:
- No Known Affiliation, Office of Nuclear Reactor Regulation
References
FOIA/PA-2006-0113
Download: ML062790429 (7)


Text

I Committed to Nuclear Excellence NMC Access Manager Telephone: (715) 377-3402 Nuclear Management Company, LLC Fax: (715) 377-3445 700 First Street E-mail: rdcleveland@nmcco.com Hudson, WI 54016 Toll free phone: 1-(800) 701-4941 x3402 U May 14, 2002 inibm7-W Dear M*

Nuclear Management Company has completed the review of your access authorization denial and at this time finds that you remain ineligible for NMC nuclear access authorization.

NMC's internal review committee found that the facts in your case were properly established and evaluated .in accordance with NMC's Access Authorization Program.

You may reapply for an NMC nuclear access authorization on or after September 1, 2002.

If you have any questions regarding this matter, you may call me at 715-377-3402. Your cooperation is appreciated.

Sincerely, Randall D. Cleveland Access Maniager Information in this record was deleted in accordance with the Freedom of Informatiolf Act, exemptions Z j1~

FOIA- 2-40&-1) "

K\x NMC Security Form 4G-21 Rev 00

NMC-'%

Committed to Nuclear Excellence NMC Access Manager Telephone: (715) 377-3402 Nuclear Management Company, LLC Fax: (715) 377-3445 700 First Street E-mail: rdcleveland@nmcco.com Hudson, WI 54016 Toll free phone:1-(800) 701-4941 x3402 February 12, 2002 Dear Mr.

Nuclear Management Company has reviewed your NMC Personal History Statement and reports generated from the access authorization process. At this time, you have been found ineligible for NMC nuclear access authorization.

Information received from the background investigation indicates that you do not meet the criteria necessary for an NMC nuclear access authorization.

NMC.grants you the right to request and receive a review of this decision.Section I of the enclosed Request for Review of Nuclear Access Authorization Denial Based on Background Information form gives the details upon which your denial is based. To request a review, please complete and return this form to the following address within 30 days following receipt of this letter:

Access Manager Nuclear Management Company 700 First Street Hudson, WI 5401.6 If you have any questions regarding this matter, you may call me at 715-377-3402. Your cooperation is appreciated.

Sincerely, Randall D. Cleveland Access Manager NMC Security Form 4G-21 Rev 00

Cormmitted to Nuclear Excellence REQUEST FOR REVIEW OF NUCLEAR ACCESS AUTHORIZATION DENIAL BASED ON BACKGROUND INFORMATION INSTRUCTIONS FOR REQUEST FOR REVIEW APPLICATION (Read this page before completing application.)

I. The reason for your access authorization denial is given in Section I of this form. If you want to request a review of this decision, you must complete this form.

  • 2. Your review will be conducted by an NMC entity independent of NMC Security.
3. You should be notified in writing of the disposition of your review within 30 days following receipt by NMC of all information supporting your review request. Pending the disposition of your review request, your access authorization will remain denied
4. This form must be completed in ink or typed. Please print or write legibly. You must complete Sections II and III.Section IV is for NMC use only. If you need additional space, please put your name on each extra page used and indicate the section number to which your are responding.
5. If you have questions while completing this form, please contact the NMC Access Manager for help at (715) 377-3402. Incomplete forms cannot be pro'cessed and will be returned for corrections.

Improperly completed forms only delay your request for review of access authorization denial.

6. Pursuant to the Fair Credit Reporting Act, a copy of the consumer investigative report (CIR) which was obtained by Nuclear Management Company in support of your request for a Nuclear Security Clearance is enclosed. ZIf this box is checked, NMC did not request a CIR.
7. After completing the request for review, please make sure that you sign the certification provided below and that your signature has been witnessed. Once completed, the request for review is considered to be CONFIDENTIAL.

CERTIFICATION I certify that the information I have provided in completing this application for review of access authorization denial is true, complete and accurate to the best of my knowledge and beliefs, and is made in good faith. I authorize NMC and its agents to review the information I have provided in this application in reviewing my.access authorization denial.

SIGNATURE DATE WITNESS .

NMC Security Form 4G-20 Rev 00 Page I of 5

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SECTION I: REASON FOR DENLkL

.a NMVC SECURITY PROCEDURE CITATION NMC Security Procedure 4G Section 16.4.4.b.2.ii & 3 (NIJMIARC 89-01, Section 7.1 item H).

L.b PROCEDURE TEXT (paraphrase)

Individuals are denied access where background information is developed adversely reflecting on trustworthiness and reliability.

I.c CASE FACTS

a. On December 10, 2001 you acknowledged to an NMC investigator that while working at Kewaunee you smelled alcohol on a co-worker and did not report the observation to either Kewaunee supervision or security. When asked why you did not report the smell of alcohol, you stated you "feared union reprisal.."

NMC Security Form 4G-20 Rev 00 Page 2 of 5

S-.*~---.---------~ -~.

SECTION II: APPLICANT RESPONSE IN THE SPACE BELOW, PLEASE PROVIDE THE REASON(S) WHY YOU BELIEVE THE DENIAL OF YOUR NUCLEAR ACCESS AUTHORIZATION (AS STATED IN SECTION I) IS NOT WARRANTED:

NMC Security Form 4G-20 Rev 00 Page 3 of 5

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7(c)

SECTION III: APPLICANT DOCUM-ENTATION IF YOU ARE SUBMITTING ADDITIONAL INFORMATION IN SUPPORT OF YOUR REQUEST FOR REVIEW, PLEASE LIST AND IDENTIFY EACH DOCUMENT BELOW:

Document Title Author Date NMC Security Form 4G-20 Rev 00 Page 4 of 5

-, I,- a... )

SECTION IVr: NUCLEAR ACCESS AUTHORIZATION REVIEW DISPOSITION NIMC Senior Site Operations Officer Referral: 0 Yes 0 No NMC Senior Site Operations Officer:

RECOMMENDATION (X CHOICE):

Uphold action.

Reverse action (e.g., denial, suspension). Basis for reversal is given below.

Continue review process pending receipt of additional information.

REVERSAL BASIS:

Name Sirnature Date NMC Security Form 4G-20 Rev 00 Page 5 of 5