ML12068A136

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Fitness for Duty Program Performance Data Report for 2011
ML12068A136
Person / Time
Site: Nine Mile Point  Constellation icon.png
Issue date: 02/27/2012
From: Verno A
Constellation Energy Nuclear Group, EDF Group, Nine Mile Point
To:
Document Control Desk, Office of Nuclear Reactor Regulation
References
Download: ML12068A136 (18)
v • d • e


Text

I CENG.

a joint venture of 0l Cwntelation

'~D NINE MILE POINT NUCLEAR STATION P.O. Box 63 Lycoming, New York 13093 February 27, 2012 U.S. Nuclear Regulatory Commission Washington, DC 20555-0001 ATTENTION:

SUBJECT:

Document Control Desk Nine Mile Point Nuclear Station Unit Nos. 1 & 2; Docket Nos. 50-220 and 50-410 Fitness for Duty Program Performance Data Report for 2011 In accordance with the requirements set forth in 10 CFR 26.717(e), 10 CFR 26.203(e)(1) and 10 CFR 26.203(e)(2), Nine Mile Point Nuclear Station, LLC has compiled and is submitting the enclosed annual Fitness for Duty Program Performance Data Report covering the period January 1, 2011 through December 31, 2011.

Should you have any questions regarding the information in this submittal, please contact John Dosa, Director Licensing at (315) 349-5219.

Very truly yours, Anthony Vemo Director Security AV/BTV

Enclosure:

NRC FFD Program Performance Data Reporting System cc:

NRC Regional Administrator, Region I NRC Project Manager NRC Senior Resident Inspector AJZ3o(

ENCLOSURE NRC FFD PROGRAM PERFORMANCE DATA REPORTING SYSTEM Nine Mile Point Nuclear Station, LLC February 27, 2012

NRC FFD Program Performance Data Reporting System Annual Reporting Form for Drug and Alcohol Tests for the EIE General Submission Portal Please explain the change(s) to the form Manu:

[*

Submission IThis is not a submission update; the form auto-populated

1) All fields required except those marked loptional" IK Update rSubmission Update' in error. This is our original submission for
2) Use Adobe Reader 8 or later for this form to work properly.

ICY 2011. The NRC is aware of this problem.

3) Hold your mouse over a form field to view additional Information.

Select Facility INine Mile Point [50-220; 50-410]

Period of Report 2011 Tests Conducted In the Calendar Year Total Number of Tests Conducted Total Number of Positive, Adulterated, Licensee Employees ContractornVendors Substituted, and Refusal to Test Results Random 55ý7 293]

2II

]

For Caus

[7l

[11110L11 1u Post-Event

]I11 IY5 I2 01 Fglltowtp 1231 1691

[ 1 11]

Total (Calculated) 7211,8101 1Z3]

FFD Program Random Testing Population and Rate Average number of Average number of Total size of the random testing pool Annual random testing percentage licensee employees contractors/vendors throughout the period (Calculated) achieved for the testing pool 1

11,°071 5551 1,6271 1

52.21 Laboratory Testing Does your program use a II Licensee Testing Facility?

N o (Yes / No)

Identify your HHS-Certified Laboratory(les)

Quest Diagnostic, Norrlstown, PA Identify your Blind Performance Test Sample supplier(s)

Professional Toxicology Services, Inc Substances Tested Did your program only test for NRC-reduired substances Does your program conduct LOD testing AND at the NRC-specifled minimum cutoff levels? (Yes / No) permitted in 26.163(a)(2)? (Yes / No)

Substance Use Only NRC Cutoff Initial Confirmatory LOD Testing?

Comment Levels? (Yes I No)

Cutoff Cutoff (Yes I No)

(Optional)

Alcohol Yes INot Applicable Cocaine Yes INO Mariuna Yes No Amphetamines Yes INo Opiates Yes

_No PCP IYes iNo Annual Report Form (version 1.3.0 - Nov 8, 2011)

- Page 1 of 2 -

Substances Tested - continued Summery of Management Actions-26.717(b)(8)

Summarize actions implemented to improve FFD program performance. As applicable, reference in the topic description audit reports, 30-day reports, and/or corrective action reports. If reporting Information on more than three topics, select *Others" for Topic 3 to report any additional topics.

Topic 1 IPlease Select

[3 Add an additional Topic Person(s) Responsible for Information Provided Person I (required):

FE oimnuXX

]Secais Breet.Bolsrerru@venglic.com First Name ast Name Position Title Company Email Address Person 2 (optional):

First Name Last Name Position TCompany Email Address Final Step (Required) -NRC will consider this form authentic in accordance with 26.11 only when the 'Validate & Lock" button has been selected end all errors (i.e., those highlighted in red) have been corrected. The 'Validate & Lock" button will change to 'Locked" after the data validation process has been successfully completed and the form is ready for submission.

-FormLocked On:Feb 26. 2012 at 9:50:23 AM t

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fv Annual Report Form (version 1.3.0 - Nov 8,2011)

INine Mile Point [50-220; 50410]

] Period of RePortf~j]

- Page 2 of 2-Annual Report Form (version 1.3.0 - Nov 8, 2011)

INIne Mile Point [50-220; 50-4101 Period of Report: F20117

- Page 2 of 2 -

11 C S

NRC FFD Program Performance Data Reporting System 10 CFR Part 26, Subpart I - Managing Fatigue Anml F ftl-R.PoUn Form fto aOn EIE Genoiw &"*Ssion POtKI

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'4 NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal M Submission Update Unklue Reference Number (Licensee Supplied)

NMPNS Case 1 Select Facility Nine Mile Point [50-220; 50-410)

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Date of Collection (mnVdd/yyyy)103/2611 Reason for Te"tIhg-26.717(bX5)

Please dab lRandom I

Employment Tome-26.717(bX3) lContractor/Vendor I

Labor Categry - 26.717(bX3)

IMaintenance (Craft)

Refuesa-26.717(b)(7) & 26.75 Was this collection refused (Yes I No)? [N.

Teat Results - 26.717(bX4)

Test Validity IValid Test Type(s) for Result(s) Reported - 26.717(bX2)

Drug Only orate (optional)

Drug Testing jUrine Was thds coection observed (Yes a No) ?- 26.717(b)(7) & 26.75 Substance - 26.717(bX2) & (bX8)

Adritonal Substance (as sAppcable)

ICocaine I

Please Select Adt/*onal Substance (as appkiable)

Please Select Use NRC Cutoff (Yes / No)?

Yes Use NRC Cutoff (Yes / No)?

le;IZ Use NRC Cutoff (Yes / No)? Yes I. this a

-24Hour Reporf ng Event (Yea.Wo)7 - 26.719(b)FNo Subversion Attempts - 26.717(b)(7) and 26.75(b)

Did this collection Involve a subversion attempt (Yeas/No)?

Yes

[3 Refused to provide initial specimen r0 Specimen characteristics (e.g., color, odor, precipitant)

[3 Refused to provide second specimen 0 Invalid test result (Initial specimen collected) - 26.185(f) 19 Specimen temperature (out of range)

[3 Refused to follow directions

[I Specimen paraphemalie identifled 0 Other Managenent Acofons - 26.717(bX8) & 26.75 Reason for the Action ISubversion attempt Sanction Applied (NRC IMinimumn or Licensee Administrated)

INRC Minimum I

=IRST SAMPLE PROVIDED WAS NOT WITHIN l.CCEPTABLE TEMPERATURE RANGE AND WAS IEGATIVE. ANOTHER SAMPLE WAS COLLECTED JNDER DIRECT OBSERVATION AND WAS POSITIVE.

Specific Sanction Applied lPermanent Denial Person(s) Responsible forl ninadon Proi'ded Person I (required):

IB-I Bomaru I IFD Speialist Bratt.Bo*1n u4*-a g1llo...m First Name Last Name Position Tltie Company Emlal Address Person 2 (opIlonss):

First Name Last Name I

Company Email Address Finalf Stop (Required) - NRC will consider this form authentic In accordance with 28.11 only when the '/al/date & Lock button hss been selected and all errors (iFea, thoss hightighted In red) have been corrected. The Validate & Lock' button Wil change to Locked alter the date validation process has been successfully completed and the form is ready for submission.

P~orm Locked On:jJan 18, 2012 at7Z5:48 AM

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r-Submission Update Unique Reference Numb NMPNS Case 2 Select Facility NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal

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2) Entres in aame lanre f*l*ela may relulf In hnfonraeon being auto-er (Licenses Supplied) rtd h ower form Melda.
3) Use Adobe Reader s or iet.' for this aferm to aoer proerty.
4) Hold yetr meas over a

fAsn, Raid ti rieP addtioonal Infolnation.

FNine Mile Point [50-220; 50-410]

Date of Collection (mmlddlyty)103/07/2011 Reason for Testing - 26.717(bX5)

Pre-Accesa jPre-Access I

1lnitial Autl Employment Type - 26.717(bX3)

ContractorNendor I

Labor Cafegoy - 26.717(bX3)

Maintenance (Craft)

Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? FNo Test Results - 26.717(bX4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(bX2)

Testing Reason (optional) hordzation Please elaborate (optional)

Drug Testing IDrug Only I

Iurine WS this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Substance - 26.717(bX2) & (bX6)

Additional Substance (as epplfcable)

Cocaine

]

IPlease Select Additional Substance (as aopicable)

IPlease Select i

Use NRC Cutoff (Yes I No)? Yes Use NRC Cutoff (Yes / No)? [-II]

Use NRC Cutoff (Yes / No)?

lYZI]

Is this a 24-Hour Reporting Event (Yem&o)? - 26.71 9(b lNo

]

Subversion Atempts - 26.717(b)(7) and 26.75(b)

Did this collection Involve a subversion attempt (Yes/No)? 1 1 ]

Management Actions - 26.717(bX8) & 26.75 Reason for the Action lFirst drug or alcohol positive Sanction Applied (IRC Minimum or Licensee Administrated)

L oricensee Administrated Specific Sanction Applied 1-Year Denial Person(s) Responsible for Information Provided Person I (required):

P Zy,]

lsimen lo si 11111 Bret.BoismennuoienglI.om First Name Last Name Position Tile Company Email Address Person 2 (optional):

First Name Lost Name Position TMtle Company Email Address Firna Step (Requedr - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (I.e., those highlighted In red) have been corected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.

-TForm Locked On:oJan it.,2012 at 7:06:04 AM Single POaWR Tedt Fori version

.3.

r 3Nova., 2011

Elcroi Inomto Exchang D-. Submission Update Unique Reference Numb

  • IMPNS Case 3 Select Facility Nine Mile Point [50-2 Reason for Tesdng - 26 NRC FFD Program Performance Data Reporting System Single PosiUve Test Form for the EIE General Submission Portal
1) AN rds

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Date of Collection (mmlddiyy)037/2011

.717(bX5)

Pre-Acceas Testing Reason (optional)

Please elaborate (optional) eI Update A Enpioymant Type - 26.717(bX3)

IcontractorNendor Labor Csteofy-26.717(b)(3)

IMaintenance (Craft)

Ref usal - 26.717(bt)(7)

& 26.75 Was this collection refuased (Yes / No)?

No Test Results - 26.717(b)(4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(bX2) tthotlzatlofl Drug Testing Drug Only jUrine Was this co#lletn observed (Yes / No) ?- 26,717(b)(7) & 26.75 I ]

Substance -26.717(bX2) & (b)(6)

Additional Substance (as applicable)

ICocaine 1

Please Select Addtltn substance (as Appkabte)

Please Select 1

Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? iYZ]

Use NRC Cutoff (Yes I No)? Yes Is Odis a 24-Hour Repoif Eivent (Yesto) ? - 26.71g(b)fN Subversion Attempts - 26.717(b)(7) and 26.75(b)

Did this collection Involve a subversion attempt (yeas/No)? FNo

-II Management Actions - 26.717(bX8) & 26.75 Reason for the Action IFIrst drug or alcohol positive Sanction Applied (NRC Minimum or License Administrated)

.licensee AdministratedJ Specific Sanction Applied 1 - Year Denial Plersons) Reesposl for (lnonneiron Pdovldm Poison 1 )reqcived):

II Boumenu I I"FF Specialist I Brett.Bolemenutilcongtlc esm First Name Last Name Position rise Lomnpany Email Aoorss Person 2 (optonal):

First Name Company Email Addess Final Stp (Requikrd - NRC will consider this form authentic in accordance with 26.11 only when the 'Validate & Lock" button has been selected and all errors (i.e.. those highlighted In red) have been corrected. The 'Validate & Lock button will change to "Locked' after the date validation process has been successfully completed and the form Is ready for submission.

~Form Locked On:jJon 16. 2012 at 7M:0619A S.PoI~.eet~oosdo,135.boNil1

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r Submission Update U~nique Reference Numb NMPNSCase4 Select Facility Nine Mile Point [50-2 Reason for TasUng - 26 NRC FFD Program Performance Data Reporting System Single PosiUve Test Form for the EIE General Submission Portal maw

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requtr.d e=r ehos marked trUponant

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3) Ua Adobe Roeod a orlheatrforth fl orm a work properly.
4) Hold yaw mouse oae form fied to view addlenulh lnfe,,e lon 20; 50-410]

Date of Collection (mrn/dd/yyyy)0302011I]

1.717(bX5)

Pre-Accesa Testing Reason (optional)

Please elaborate (optional)

IPre-Access I

[initialut Employment Type - 26.717(bX3) lContractor/vendor Labor Categor - 26.717(bX3)

Maintenance (Craft)

Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?

No Test Results - 26.717(bX4)

Test Validity TValid Test Type(s) for Result(s) Reported - 26.717(bX2) horization I

Drug Testing Drug Only I

jUrine Was thMs collection observed (YealNo)?- 26.717(b)(7) & 26.75 l

Substance -26.717(bX2) & (bX6)

Additional Substance (as applicable)

IC1caine I

Please Select Additional Substance (as applicable)

Please Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes I No)?

Use NRC Cutoff (Yes / No)? FYIZ]

Is this a 24-Hour Reporting Event (YesrNo)? - 26.719(b)FNo Subversion Attempts - 26.717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yes/No)? ND Management AcdIons - 26.717(bX8) & 26.75 Reason for the Action IFirst drug or alcohol positive Sanction Applied (NRC Minimumn or Licen~ses Administrated)

ILicensee Admineistrated I

Speclifc Sanction Applied 11-Year Denial I

P-rson(s) Responsible trntl'nan Pfot ded Person 1 (required):

P Z X j18osn F]

s pecSiaist Brett Bolanienn@cengllc.com First Name LatName PositionTit Company Email Address Person 2 (optlionl):

I Z

FirstName Last Name Position Title Company Email Address Final Step (Requinrel - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors a.e.,

those highlighted In red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.

Form Locked On:]Jan 18. 2012 at 7:06:32 AM

HIC il I

F Submission Update U~nint, Ref~r~rn~c Njumb NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal HR" I) AlS flelds we requ decept those nwked bptlonl

2) Enkfa kn sensm fieldn n&s may result In lnflormdon being sulo-be" (Licensee Supplied populated inte other tefn fields Sl3)

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eddlstdellntws SNMPNS Case 5 Select Facility I Nine Mile Point [50-220; 50-410]

7 Date Reason for Testing - 26.717(bX5)

Please elaborate (optional)

]Random J

Conlmud polsitivea lot tlt oonislent Jin 10CFR28.1O3la)(2)

Employment Type - 26.7170)X3)

Licensee Employee Labor Category - 26.717(bX3)

Maintenance (Craft)

Refusel-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? [N.

Test Results - 26.717(bX4)

Test Validity lValid Test Typo(s) for Result(s) Reported - 26.717(bX2)

Alcohol Tasting Drug Testing jDrug and Alcohol Breath Urine Was this collection obsenved (Yes/No)?7-26.717(bX7) & 26.75 [N.

Substance - 26.717(bX2) & (bX6)

AddItional Substance (as eppilcable)

JAlcohol 10Jther

-7 Please identify the substance INo drug identified by the lab. This is What 26.103 SAC level was exceeded?

0.03 and in work status at least 1 hr Use NRC Cutoff (Yes / No)? FNI.

]

Initial Cutoff Confirmatory Cutoff Is tis a 24-Hour Reporting Event (YesllNo)? - 26.719(b)N'o tof Collection (mnfVdd/wyyy

)[~~1 Addtliona Substance (as appliceble)

Please Select Use NRC Cutoff (Yes I No)?FYes Subversion Attempts - 26.717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (yes/No)? No ManagementActions - 26.717(b)X8) & 26.75 Reason for the Action First drug or alcohol positive Sancton Applied N

Minimum or Ucensee Admdnistrated)

INRC Minimum I

Spedlc Sanction Applied 14-Day Denial Person(s) Responsible for Information Provided Person 1 (roluitwnd):

Br.g 1

IsmenuIFFD Specullist e~maett' uens@cnatlc corn First Name tName Position 1Tlte Company Emall Address Person 2 (opiosnal):

Ii F

I Fati Name Last Name

[

osition Title Company Email Address Find Step (Require) - NRC vAll consider this form authentic in accordance with 26.11 only when the 'Validate & Lock button has been selected and all errors (i.e.. those highlighted In red) have been corrected. The "Valkalet & Lock* button will change to "Lockedd after the data validation process has bean successfully completed and the form is ready for submission, Form Locked On:jFeb 9, 2012 at 8:36:44 A=M anI P05 ItF~

~lr130 o.21 Single POO"* TeOt Form VWnMW 1.3.0- NoW 8, 2011

Elcroi Inomto Exchange

-IZ Submission Update Unique Reference Numb IMPNSCase 6 Select Facility Nine Mile Point [50-2 Reason for" Testng - 26 NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal

1) As rdes ant required ~xceV tose msred optioen
2) Enrnies In saene fefields -ay euct In Iiinor an being &ute-er (Licensee Supplied ppAiated Ito oi l

ad.

3) Use Adobe Rom 8r later for thisde forto workepropert.y
4) Hold your mtous o~er-A arm0, fIdd to ifi addtifonal infonmation.

20; 50-4101 Date of Collection (mmndd/yfYf)02/21/2011

..717(b)(5)

Pro-Access Testing Reason (optional)

Please elaborate (optional) lPre-Access I

FReinstae Employment Type-26.717(bX3) lContractorNendor Labor Categomy - 26.717(bX3)

I HP

/ RP I

Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? FNo Test Results - 26.717(bX4)

Test Validity IValid Test Type(s) for Resuti(s) Reported - 26.71 7(bX2) nent (Between 31 and 365 days)

Drug Testing Drug Only I

urine

]

Was this collection observed (Yeas No)?- 26.717(bX7) & 26.75 Substance - 26.717(bX2) & (bX6)

Additional Substance (as applicable)

IMarijuana i

11Please Select

ý Additonal Substance (s aplcable) 1Please Select Use NRC Cutoff (Yes I No)? Yes Use NRC Cutoff (Yes / No)? F~Z]

Use NRC Cutoff (Yes I No)? Yes is this a 24-Hour Reporting Event (Yes.Wo)? - 26.719(bfNo 7

Subversion Attempts - 26.717(b)(7) and 26.75(b)

Did this collection Involve a subversion attempt (Yes/No)?

I Io Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied NRC Minimum or Ucensee Administrated)

.icensee Administrated Specafc Sanction Applied 1-Year Denial Person(s) Responsible for nformatIon Provided Pern n 1

(required):

Jome.]

JFFD SpecialistI areati.oemrenu0ceng"lc.com First Name Last Name Position Titie Company Email Address Person 2 (aptional):

First Name Last Name Position TeCompany Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the 'Validate & Lock' button has been selected and all erras (I.e, those highlighted in red) have been corrected. The 'Validate & Lock* button will change to 'Locked" after the data validation process has been successfully completed and the form is ready for submissaon.

Form Locked On: Jan 18,2012 at 7:00:58 AM

Elcroi Inomto Exchange

[l Submission Update unique terarelnce mum*

NMPNS Case 7 Select Facility NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal t) AN flalsd are requrld earcepi thOse moriked Wpopnals

2) Entis t. som& term ra*ds may resumf in hnoaneson being eute-e Licens pop.u ied tote lr foem sde.
3) Use Adobe Reader8 o laterfor aithisftrm ti wor* properly.
4) HOld yow mae.. over - fte fi.Id to view..lt0o. te mW aaetwon.

20;50-410]

Date of Collection (mrrndd/yyy) l02/01

]

6.717(bX5)

Pre-Acoes Testing Reason (optional)

Please elaborate (optional)

Nine Mile Point [50-2 Reason for TestIng-26 Pre-Access F Initial Aut Employment "ype - 26.717(bX3)

Contractor/Vendor

]

Please debabr Labor Category - 26.717(bX3) f;orr lo O0ther]

Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?

Test Results - 26.717(bX4)

Test Validity IValld Test Type(s) for Result(s) Reported - 26.717(bX2) horization

orzationI rate sda to drives t ucir is support a cheminstry proJect, Drug Testing IDrug Only

[I nI]e Was this collectlon observed (Yes /No)?- 26.717(bX7) & 26.75 Substance - 26.717(bX2) & (bX6)

Additional Substance (as applcable)

IMarijuana

]7 JIP'ea Se' Additional Substance (as appickable)

Please Select Use NRC Cutoff (Yes I No)?

Use NRC Cutoff (Yes / No)?

Use NRC Cutoff (Yes / No)?

l Is this a 24-Hour Reporting Event (YeslMo)? - 26.719(b)FNo Subversion Attempts - 26.717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yea/No)? IIo Management Actions - 26.717(bX8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Mhdmium or Licensee Administrated)

L11icensee Administrated Specific Sanction Applied 1-Year Denial Persones) ReAponflbie for lntornaton Provided Person I (required):

Brad 11omenu 1FFD Specialist81 Brets.Bolmenu@cengllc.corn First Name Last Name Position Title Company Email Address Person 2 (opfional):

Fast Name Lost Name Position Ti Company Email Addrass FIna Step (Reqold)b" - NRC Mill consider this form authentic in accordance with 26.11 only when the Validate & Lock' button has been selected and all ernors i.ea, those highlighted In red) have been corrected. The "Validate & Lock" button will change to *Locked' after the data validation process has been successfully completed and the form Is ready for submission.

Form Locked On:jJan 18, 2012 at 7,07:08i ýAM F-

-e-1.3.0 ý Nov 5, 2011

Elcroi Inomto Exchange0 n Submission Update Unique Reference Numbe JNMPNS Case 8 Select Facility Nine Mile Point [50-2 NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal Maw

1) AS n.*.
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4) held yeu'

ýe~a. evs ten. reld t Wew sduinsl t 20;50-410]

Date of Collection (mm/ddyyyy)0 Reason for Testing - 26.717(bX5)

PreAccass Testing Reason (optional)

Please elaborate (optional) iPreIAcceSS 1

Reinstatement (Between 31 and 365 days)

EMPIOyment Tyrpe-26.71 7(bX3)

IContractorNendor Please elaborate Labor Calegoay - 26.717(bX3) epi o

port Chetwniy. Co-,nned positive akol NW in accordance MM 10CFRMh

.3(aXll I

L10Ft610(e1 r

Reftsal - 26.717(b)(7) & 26.75 Was this collection refused (Yes I No)?

No Test Results - 26.717(bX4)

Test Validity IValid Test Type(s) for Result(s) Reported - 26.7177(bX2)

Alcohol Testing Drug Testing Drug and Alcohol IBreath J Ie Was this collectlon observed (Yes /No)? - 26.717(b)(7) & 26.75 FN.

Substance - 26.717(bX2) & (bX6)

Additional Substance (as applicable)

AdditIonal Substance (as appl/cable)

II~oh°'

I

]thr IPease Select Please Identify the substance INo drug identified by the lab. This is What 26.103 BAC level was exceeded?

0.04 or greater Use NRC Cutoff (Yes/ No)? FNO7j Use NRC Cutoff (Yes No)? Yes Initial Cutoff Confirmator Cutoff Is this a 2"4lOUr Reporfth Event (YewMo)? - 26.71 g(bg No:

Subversion Attemplts - 26.717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yas/No)? [No]

Manaement ActIons - 26.717(bX8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimumn or Licenesee Administrated)

ILicensee Administrated Spedic Sanction Applied 1 - Year Denial Person(s) Responsible far Infmlon Pnovl Penton I (requtd):

I rrn1FFSp itt I

Bn.Boismmnavenglu.cornm First Name Last Ne et o

n ltte Company Ernsl Address Person 2 (optional):

First Name Company EMeOt Address Fnal Step *Roeuh) - NRC will consider this form authentic In accordance with 26.11 only whaen the 'Validate & Lock button has been selected and all enrs (i.e., those highlighted In red) have been corrected. The 'Validate & Lock button will change to *Locked' after the data validation process has been successfully completed and the form Is ready for submission.

Form Locked On:jFeb 9, 2012 at 8:41:39 AM

Elcroi Inomto Excang EJ Submission Update Unique Reference Numb INMPINS Case 9 Select Facility Nine Mile Point [50-2 Reason for Tuggng-26 NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal

5) AN Neld we neq&Wak e hae t

marke w

obp snar.

2) Endris Isn voree imn fieds
  • ay result In Iniomatibn being suto-o

_r (Licenses Sueplied)

,w t

h We, COW fleim dW&

_3)

U** Adobeo Redwe or later Ar, " t m to wow* property

4) HaM your mouse over a to eMd So clw addnetble" regtieor 20;50-4101 Date of Collection (mnVddlyyyy)40/21/2

]

1.717(bX5)

Pro-Access Testing Reason (optional)

Please elaborate (optional) lPre-Access Ilnitial Authorization Employment Type-26.717(bX3)

ContractorNendor I

Please elaborate L.ab"tcegwr-26.717(bX3) 10he I

orka o presriti on.up RefUsl/- 26.717(b)(7) & 26.75 Was this collection refused (Yes I No)?

No Test Results - 26.717(bX4)

Teot Validity Valid Test Type(s) for Result(s) Reported - 26.717(bX2)

Information tec ogy worker. MRO decired the test psweti when the donor mcid not provide a I

Drug Testing Drug Only jurine Was this collection observed (Yes/No)?- 26.717(b)(7) & 26.75 Substance - 26.717(bX2) & (bX6)

Additional Substance (as applicable) lOpiates I

IPlease Select I

AddIfional Substance (as applcable)

Please Select Use NRC Cutoff (Yes I No)? Yes Use NRC Cutoff (Yes /No)?

Use NRC Cutoff (Yes / No)?EeT---ý is Wls a 24-Hour Reportling Event (Yeswo )? - 26. 719(b)I?-

Subversion Attempts - 26.717(b)(7) and 26.75(b)

Did this collection Involve a subversion attempt (YeslNo)? IIo Magnese Actlions - 26.717(bX8) & 26.75 Reason for the Action lFirst drug or alcohol positive Sanction Applied (NRC Minirmum or Ucersee Administrted) lLicensee Administrated I

Specic Sanction Applied 1-Year Denial Person(a) Respornible for Mtoftmatin Ppovded Person I (required):

I-red IIolamerF I

SpI e

Sils Brett.Bola senu glis inn First Name Last Name Position Ttie Company Email Address Person 2 (optional):

I Ft Name Last Name Position T19-Company Ema* Address Fhal Step (Requ/red) - NRC will consider this form authentic In accordance with 26.11 only when the "Validats & Lock' button has been selected and all eroro

(.e., those highlighted In red) have been corrected. The "Valldsts & Lock" button wlt change to "Locked alter the data validation process has been successfully completed and the form is ready for submission.

Form Locked On.:Jan 18, 2012 at 7.07:32 M swow Pedses TF4 For naler 13,0 -Nb, a2011

  • ~~~

n Submission Update Unique Reflierene Num INMPNS Case 10 Saedec Facilitty NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal

1) AN ersifare rquiedsensipt Bess
  • s bladoersi
2) Emifsi it rm.e tows fr ed aWreat tin inrmation being alut-

)er (Licenses Supplied) pouto in

  • to

~loe5

3) Us* Adobe Meador8 arc s**

fr this ten2 to ww* pmaa2i1

4) Hold yea mouse eva an~e~ Saied to vfw addidont hodteresttn.

20;50410]

Date of Collection (mn/dd/yyy)

.717(bX5)

Pro-Access Testing Reason (optional)

Please elaborate (optional)

Nine Mile Point [50-2 Reason for Testing - 26 jPre-Access I

lReinstate Employment Type - 26.717(bX3)

Contractor/Vendor Labor Callogoy - 26.717(bX3)

JHP/RP]

Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?

Test Resulfts - 26.717(bX4)

Test Validity Valid Test Type(s) for Result(s) Reported -26.717(bX2) ment (Between 31 and 365 days) I Drug Testing Drug Only

]zI]ne Was Chia colocflon observed (Yes/No)?- 26.717(bX7) & 26.75 F.X I

Substance - 26.717(bX2) & (bX6)

Additional Susbuaa (as aicable) mariuanaPlese Selet Addiona Substmnce (as apiabte)

[Please Select Use NRC Cutoff (Yes / No)?FYes Use NRC Cutoff (Yes / No)?

Use NRC Cutoff (Yes / No)? JYe]

Is this a 24-Hour Repaeling Event (Yeslfo)?- 26.719(b)[No Subversion Atehmpts - 26.717(b)(7) and 26.75(b)

Did this collection Involve a subversion attempt (Yes/No)?

No Management Actions - 26.717(bX8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC: Minimumn or Uioesee Administrated)

ILicensee Administrated 71 Specific Sanction Applied 1-Year Denial Personts) Rasponsbiae for (hviuti)on P:rovided Person 1 (reuier/d):

BrdBa/smans FF0 specialstt 6rMt5515,,nUG*osrdlvorn First Name Last Name Position TIle Company Email Address Person 2 (optional):

First Name Last Name

[s itio iCompany Email Address Rnal Stop (Required) - NRC wIlI consider this form authentic In accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors 0.a., those highlighted In red) have bean corrected. The 'Validate & Lock" button wIll change to "Locked" after the data validation process has been succeasfully completed and the form is ready for submission.

~~~FormLocked On:Jan 18.2612 at 707:46 AMA-9-Td F-

-W.

I S 0 N. - 2011

111Ca Elcroi Inomto Exhag ELI-Submission Update Unkp efernc Numb

  • IMPNS Case 11 Selet Facility Nine Mile Point [50-2 Reason for Testing - 26 NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal
1) AN MIedI an mqu**d areo" those, m 5tiW
  • U~
2) Erse In soawe atias. P towr#e naWn l*ta No being sato-S(Licensee Supplied)p ed I sawten Raw&
3) the Adoe Rser art rAwer tar V

os bm e

to went popert

4) #t dyeor ma ever tMMt f tle "No Mt

/a wr* e o*U d

,aam 20; 50-410]

Date of Collection (mnVddfyyw)[03/15/2011 1.717(bX5)

Pr,-Access Testing Reason (oplional) please elaborate (optional) jPre-Access I

rUpdate At Employment Type - 26.717(bX3) lContractorNendor I

Labor Caegory - 26.717(bX3)

Maintenance (Craft)

I Reftsa-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? F Test Resuta -26.717(bX4)

Teat Validity Valid Test Type(s) for Result(s) Reported - 26.717(bX2) uthorzatlon I

Drug Testing rDrug Only ine I Was this co#ecton obserwved (Yes/No)?- 26.717(b)(7) &26.75F I ]

Substance - 26.717(bX2) & (b)(6)

Additional Substance (as appicable)

Imarijuarta Iles Seec Addonal Substance (as aW Ocabe)

JPlease Select Use NRC Cutoff (Yes / No)?EYes Use NRC Cutoff (Yes a No)?

Use NRC Cutoff (Yes I No)?[LI]

is We a 24 ur Reportng Event (Yes/No)?- 26.718(b No Subversion Attempts - 26.717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yes/No)? No Management Actions - 26.717(bX8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC HnIdmum or Licensee Administrated )

Licensee Administratedj Spedcfc Sanction Applied 1l-Year Denial Person(s) Resoqnsibl for inforation Provioed Person 1 (rmuked):

IBM"~Z 11 Spdh red.twensunaeridoom~

Fit*Nam LaeNamCompany Email Address Parson 2 (oor First Name Last Name PtionCompany Email Address Fnal Stop (Requhred) - NRC wil consider this form authentic In accordance with 26.11 only when the "Validate & Lock" button has bea selected and at errors a.e.,

those highlighted in red) have beaw corrected. The "Validate & Lock' button wtll change to Looked" altar the data validation process has bon successully completed and the form is ready for submission.

Form Locked On:jJan 18, 2012 at 7.07:57 AM

Elcroi Inomto Exchang e

[]

Submission Update Unless Reference Numet NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal

1) ANl lTfld

" r.uhed ~sp those inarbod Wwmnal

2) Enties In somo laern fiels ma resuff In klbnnald being aulo-or Licene populated Into oler terro freokl&
3) Use Adobe Reader 8 r lter to, tet*

to eýw ppwty,

4) Hoed your moue overa tons, flM to vltwr add*tional Intormation.

20;50-4101 Date of Collection (mml/ddlW )107/19/011 eNMPNS Case 12 Solect Facfftt Nine Mile Point (50-2 Reason for Testing - 26.717(bX5)

Please elaborate on the reason for testing (optional)

Pee1ths teat coneeatertith 1OCMR2.1ll3(a)(2)

Enrpioyment Tyvpe - 26.717(bX3) lContractOrNendor Please elaborate Labor Categoy - 26.717(bX3)

Ma Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?

N Test Results - 26.717(bX4)

Test Validity lValid Test Type(s) for Result(s) Reported - 26.717(bX2)

Ajcohol Testing Drug Testing jDrug and Alcohol IIBreath rine Was ths cohlelon observed (Yes/No)? - 26.717(bX7) & 26.75

]

Substance - 26.717(b)(2) & (bX6)

Additional Substance (as applicable)

AddMonal Substance (as applicable)

Alcohlol 1ther IhPlease Select Please Identify the substence WvNo drug identified by the lab. This Is What 2.103 BAC level was exceeded?

0.03 and in work status at least 1 hr UseNRCCutoff(YseINo)?

I UseNRCCutoff(Yea/No)?

Initial Cutoff Confimatory Cutoff Is thisa24.Hour Report.g Event (yes o)?.26.719(b)Ye Please elaborate on the 24-hour reporting event This cesas reported to the NRC in aecordance with 10CFR26.719, however this indidal Subversion Attempts - 26.717(b)(7) and 26.75(b) wae vol directly superVang sy worters Did this collection Involve a subversion attempt (Yes/No)?

Io]

ManagamentActlons - 26.717(bX8) & 26.75 Reason for the Action Second drug or alcohol positive Sanction Applied (NRC Miinimtum or Licensee Administ~rated)

INK Minimum Specific Sanction Apptied 5-Year Denial Person(s) Responsible for Information Provided Person I (required):

[

lemen FFD Specialist

] BrtLBoismverucngllc or.n First Name Last Name positie Company Email Address Person 2 (optional):

First Name Last Name Position Ttme

-Company Email Address Rna Step (Required) - NRC wtll consider this form authentic In accordance with 26.11 only when the *Validate & Lock7 button has been selected and all errors (i.., those highlighted In red) have been corrected. The *Validate & Lock* button will change to 'Locked' after the data validation process has been successfully completed and the form is ready for submission.

~Form Locked On:lFeb 9, 2012 at 8:44:43 A=M-

k I

S-ý N

101C1,

[]

Submission Update Unique Reference Numl NMPNS Case 13 Select Facility Nine Mile Point 150-2 Reason for Testing-21 NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal New r) As fids iwe required except *hose mearked blobar

2) EAWt In *am farm fields may result Inh alnesdon beaing oub-or (Licensee Suppled oo tald tr e form,MO&
3) /the Adobe Reader 8 *r*"erfar ge lb.om to wo,* property
4) Held your mouse o'.

. he. Weld Ia voiesa*//msel/afo~akn.

20;50-410]

Date of Collection (mm/dd)yy)0

/011 6.717(bX5)

Pro-Access Testing Reason (optional)

Plesse elaborate (optional) iPre-Access I

IReinstate, Employment Type-26.717(bX3)

Contractor/Vendor I

Labor Cstegory - 26.717(bX3)

IQA/QC I

Refusel - 26.717(b)(7) & 26.75 Was tils collection refused (Yes / No)?

N Test Results - 26.717(bX4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(bX2) ment (Between 31 and 365 days)

I I

Drug Testing Drug Only I

jUrine Was teis co#ect*on observed (Yes/ No)?- 26.717(bX7) & 28.75 Substance - 26.717(bX2) & (bX6)

Addiiffnal Substance (as applicable)

Marijuana I

Please Select Addtidonal Substance (as applicabie)

IPlease Select Use NRC Cutoff (Yea / No)? Yes Use NRC Cutoff (Yes / No)?

Use NRC Cutoff (Yes/No)?

is Oti a 34o Reporting Evenf (Yes/No)?- 26.719(b)FNo7 SubversIon Attempts - 26.717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yea/No)? INo Magmerait Actions - 26.717(bX8) & 26.75 Reason for the Action IFirst drug or alcohol positive Sanction Applied (4RC Minimum or Licnses AdminisLated)

Li.censee Administrated Specdic Sanction Applied 1-Year Denial Person(s) Reosponble for Information Provided Pemon 1 (required):

IF-I ii I II u F specialiste Btosmenuacngllc.-om Findr Name t

Name Position Tifte Company Email Address Person 2 (optionsl):

II I

I First Name Last Name Position Tit' Company Email Address F/nal Step (Requgare

- NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock* button has bean selected and all errors (i.e., those highlighted In red) have been corrected. The "Validate & Lode button will change to "Locked after the date vealdation process has bean succeesfully completed and the form is ready for submission.

-Form Locked On:TJan 18.2012 at 7:08:21 =AM Skale Pose. Tod Fer -e.1n 13.0. - Nme. 2011

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