ML13064A379

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Fitness for Duty Program Performance Data Report for 2012
ML13064A379
Person / Time
Site: Nine Mile Point  Constellation icon.png
Issue date: 02/25/2013
From: Clark K
Constellation Energy Group, EDF Group, Nine Mile Point
To:
Document Control Desk, Office of Nuclear Reactor Regulation
References
Download: ML13064A379 (29)
v • d • e


Text

I, I

CENG.

a joint venture of Ogrant~

ew P.O. Box 63 Lycoming, New York 13093 NINE MILE POINT NUCLEAR STATION February 25, 2013 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 Renort for 2012 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, 2012 through December 31, 2012.

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

Kevin Clark Director Security KJC/BTV

Enclosure:

NRC FFD Program Performance Data Reporting System cc:

NRC Regional Administrator, Region I NRC Project Manager NRC Senior Resident Inspector MAzt?

ENCLOSURE NRC FFD PROGRAM PERFORMANCE DATA REPORTING SYSTEM Nine Mile Point Nuclear Station, LLC February 25, 2013

S~P 1"

6 NRC FFD Program Performance Data Reporting System Annual Reporting Form for Drug and Alcohol Tests for the EIE General Submission Portal Submission Update Select Facility Nine Mile Point [50-220; 50-410]

Tests Conducted in the Calendar Year fill

1) All filds required except those marked "optional"
2) Use Adobe Rader 8 or later for this form to work property.
3) Hold your mouse over a form field to view additional Information.

Period of Report S 2012 i Total Number of Tests Conducted Total Number of Positive, Adulterated, Licensee Employees Contractors/Vendors Substituted, and Refusal to Test Results Pr0-Aceos 40 141 For.

Caus 21 11.....

.:2]

Post-Event I

41 0i iioi Folwpr1611 3 15]

4 1 Total (Calcuiated) 751 i

2,390 I IIE 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 i1, 0 5 91 1

F" 1,8 03 1 i -

5

1. 6 Laboratory Testing Does your program use a Licensee Testing Facility? IN (Yes / No)

Identify your HHS-Certified Laboratory(ies)

QUEST DIAGNOSTIC Identify your Blind Performance Test Sample supplier(s)

PROFESSIONAL TOXICOLOGY Substances Tested Did your program only test for NRC-required substances Does your program conduct LOD testing

[

]

ANQ at the NRC-specified minimum cutoff levels? (Yes I No) permitted in 26.163(a)(2)? (Yes / No)

Substance Use Only NRC Cutoff Initial Confirmatory LOD Testing?

Comment Levels? (Yes / No)

Cutoff Cutoff (Yes I No)

(Optional)

Alcohol Yes

[Not Applicable Cocaine IYes

[No Marijuana es l

]

[Yes Amphetamines Yes INo Opiates iYes

]

No PCP Yes I__No Annual Report Form (version 1.4.0 - Oct 31, 2012)

- Page 1 of 2 -

Substances Tested - continued Summary 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 Please Select r] Add an additional Topic Person(s) Responsible for Information Provided Person I (required):

BRETT BOISMENU FFD SPECIALIST BRETT.BOISMENU@CENGLLC.COM First Name Last Name Position Title Company Email Address Person 2 (optional):

First Name Last Name Position Titie Company 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 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.

Form Locked On: Feb 13, 2013 at 2:25 :27 PM t ts p

Annual Report Form (version 1.4.0 - Oct31, 2012)

Nine Mile Point [50-220:50-410]

j Period of Report:[~3J

-Page 2of2-m Annual Report Form (version 1.4.0 - Oct 31, 2012) 1 Nine Mile Point [50-220; 50-4101 Period of Report: 12012 1

- Page 2 of 2 -

a S

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

1) AN NoW we r tein/k except ri.

narkedpfrroao-.

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Date of Collection (mm/dd/yyyy) I0o 2I Unique Rarence i

rit ICASE I Select Facility Nine Mile Point [50-2 Reason for Testing - 26.717(b)(5)

Pre-Access Test Pre-AccessI

]

Please Select Employment Type-261717(b)(3)

Contractor/Vendor I

Labor Category-26.717(b)(3)

Maintenance (Craft)

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

No Test Results - 26.717(b)(4)

Test Validity TValid Test Type(s) for Resuft(s) Reported - 26.717(b)(2) ting Reason (optional)

I Drug Testing jDrug Only I

Was this collection observed (Yea / No)?- 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

Marijuana IPlease select Additional Substance (as applicable)

IPlease Select Use NRC Cutoff (Yes / No)?

Yes Use NRC Cutoff (Yes / No)?

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

Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(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(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied NRC Minimum or Licensee Administaed)

ILicensee Administrated 71 Specific Sanction Applied 1-Year Denial Person(s) Responsible for Information Provided Person I (required):

BRETT BOMENUF PEOIUST IBRETT.BOISMENUOCENGLLC.COM First Name Last Name Position Title Company Email Address Person 2 (optional):

First Name stName Position Title Company Email Address Final Step (Required) - NRC wit 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 data validation process has been successfully completed and the form is ready for submission.

Form Locked On: IFeb 13, 2013 at 2:25:42 PM

N I I S

1AU F

Submission Update Unique Reference Numb CASE 2 Select Facility NKE; FV0 Program Pertormance UaW Keporting System Single Positive Test Form for the EIE General Submission Portal

1) ANSf Said -

eqshd except MseMaltined pa.

2) En~ssein eare farm Naid. iyay resultIn bJnlkwaen beltou st*-

or (Licenses Supplie P"Hia te eaaw fm Said..

J3) UJe.AdobI Roe ai, tateforla iefemfowepropeuty.

4) Hold yewr maoues ww a Ibme fiadb to ~.ddeeAa r*i alhmala 20; 50-410]

Date of Collection (mmnddtyYYy)

[1/20/2012

]

.717(b)(5)

For Cause Testing Reason (optional)

Please elaborate (optional)

INine Mile Point [50-2 Reason for Tasting - 26 IFor Cause I

h

[Physical Condition/Smell o0 Employment Type - 26.717(b)(3) 1Licensee Employee I

Please elaborate Labor Category-26.717(b)(3)

DIRECTOR ISupervisor I

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

No Test Results - 26.717(b)(4)

Test Validity INot Applicable Test Type(s) for Result(s) Reported -26.717(b)(2)

Alcohol Testing FAcohol Only Breath f Alcohol Substance - 26.717(b)(2) & (b)(6)

W*at 26.103 SAC level was exceeded?

10.04 or greater Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) y Please elaborate on the 24-hour reporting event Ys EMPLOYEE SUPERVISEOIMANAGED THE DEPARTMENT Subversion Attempts - 26.717(b)(7) and 26.75(b)

__EMPLOEE SUPERSED/MANGED THE EPARTMEN Did this collection involve a subversion attempt (Yes/No)?

Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrate)

INK Minimum I

Specific Sanction Applied 14-Day Denial Person(s) Responsible for Information Provided Pers.- I (required):

ETT B[ISMENU F

ECIAIST BRETT.BOISMENUGCENOLLC.COM First Name Lost Name Position Tide Company Email Address Person 2 (optiolnl):

First Name La Psition Title Company EmaU 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 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.

Form Locked On: Feb 13, 2013 at 2:25:59 PM Sol. Polrv. T-C Foe*

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iru%, rru r-rogram rervTormanue uiam rMeporting oyaiem Single Positive Test Form for the EIE General Submission Portal Submission Update 1/AN Md. ar requitd.wt ewo e

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2) 8,0feI hi ee m f fn any result In WOMiMhen blbg auMe-Unique Reference Number (Licensee Supplied) pqmdfd kft-9L faaek.

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CASE 3 4)Jj 5f*~~*~~'8hNMl aee~~nIw.Eu ICAE 341 Wd yewar o.ea" ever atm ff#MI~k to wrew addlfwfcbN kfbrms"f Select Facility FNine Mile Point [50-220; 50-410]

Date of Collection (mm/dd/yyyy)[31/2012 j

Reason for Testing - 26.717(b)(5)

Please elaborate (optional lRandlom Employment Type - 26.717(b)(3)

JContractor/Vendor Labor Category - 28.717(b)(3)

IMaintenance (Craft)

Refusal - 28.717(b)(7) & 26.75 Was this collection refused (Yes / No)?

No Test Results - 28.717(b)(4)

Test Validity FNot Applicable Test Type(s) for Result(s) Reported - 26.717(b)(2)

Alcohol Testing Alcohol Only I jBreath Substance - 26.717(b)(2) & (b)(6)

WMat 26.103 BAC level was exceeded?

10.03 and in work status at least 1 hr Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(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(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied NRC Minimum or Ucensee Administrated)

Licensee Administrated I

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

BRETT NI FD SPECIALST BRE1TTBOISMENUCCENGLLC.COM First Name stName Position Title Company Email Address Person 2 (optional);

First Name Ltm eosin ie Company 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 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.

-Form Locked On: Feb 13, 2013 at 2:26:14 PM Sftl.P.W T.dF-Wn1AO-Od31.2D2

a S

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0 Submission Update Uniaue Reference Numb CASE 4 Select Facility NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal

1) AN 51d" ara rqwed eseept thee mw*ed'o*a* sdr.
2) Efes In ems fom folads my a,.roIn boaaen beft auto-or (License Supplied) t am ve
3) Use Adobe Reede# or late, for 09. form to w k propeaty.
4) Ho50y410),eDt ofere ftio IW Sald d/

o sonyynn.

20; 50-,410]

Date of Collection (mm/ddiyyyYY)

[5/072012 I

I~neMile Point50-2 Reason for Testing-26.717(b)(5)

Pre-Access Pre-Access 7 ]

[Please Sell Employment Type - 26.717(b)(3)

Contractor/Vendor I

Labor Category - 26.717(b)(3)

Maintenance (Craft)

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

Test Results - 26.717(b)(4)

Test Validity Test Type(s) for Result(s) Reported - 26.717(b)(2)

Testing Reason (optional) act Drug Testing IDrug Only jUrine Was this collection observed (Yes/No)?- 26.717(b)(7) & 26.75 Substance-26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

Marijuana I Please Select Additional Substance (as applicable)

IPlease Select I

Use NRC Cutoff (Yes / No)? eli]

Use NRC Cutoff (Yes / No)?

le7ZI Use NRC Cutoff (Yes / No)?

Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)F ND-Subversion Attempts - 26.717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yes/No)? No Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive I

Sanction Applied (NRC Minimum or Ucensee Administrated)

.icensee Administrated I

Specific Sanction Applied 1 - Year Denial Person(s) Responsible for Information Provided Peson 1 (required):

EBRETT a-7 BRETT.BOISMENUQCENGLLC.COM First Name Last Name Position Title Company Email Address Person 2 (optional):F

~IF First Name St Name Position Title Company 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 errors (ie., 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.

Sesi. PoelSa. TaO F.m sarolon iAS-05t51.2512 SNre. Po.Wt$v T.i F-r

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`4U E Submission Update NRC FF0 Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal f) AN SAk are req*,dlm esvoxq Meas marked'"Oouar.

2) a*Mae In faneo faSrd may r P

fresuil In W.ermsan beft auft-r (Licensee Supplied) ppd afdam-lahe SiW.

3) Use Adebe Rehdrw Iar-stl ar W lean to wwft property.
4) Held yew muese ever a form Had to viw

~addSal t hmen.

20; 50-410]

Date of Collection (mm/dd/yyyy)034/2012 SCASE 5

Select Facility Nine Mile Point [50-2 Reason for Testing - 26.717(b)(5)

Pre-Access Testing Reason (optior jPre-Access I

Please Select Employment Type - 26.717(b)(3) lContractor/Vendor Labor Category - 26.717(b)(3)

Maintenance (Craft)

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

No Test Results - 26.717(b)(4)

Test Validity Was LOD teasting conducted (Yes (No) - 26.163(a)(2)?

Dilute INo Test Type(s) for Result(s) Reported - 26.717(b)(2) r ral) rug Testing Drug Only

]Urine Was this collection observed (Yes/No)? - 26.717(b)(7) & 26.75 No Substance - 26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

Cocaine I

1Please Select Additional Substance (as applicable)

IPlease Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? IEII]

Use NRC Cutoff (Yes / No)? e;1I]

Is this a 24-Hour Reporting Event (Yea/No)? - 26.719(b)FNo 7

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

Did this collection involve a subversion attempt (Yes/No)? No Management Actions - 26.717(b)(8) & 26.75 Reason for the Action IFirst drug or alcohol positive Sanction Applied NRC Minimum or Ucensee Administrated Licensee Administratedi Specific Sanction Applied 1-Year Denial Person(s) Responsible for Information Provided Person I (required):

BRETT BOIMENU FFD SPECIALT BRETT'BOISMENUgCENGLLC.COM First Name La Position Title Company Email Address Peason 2 (optional):

first Name Last Name ii Company Email Address Final Step (Required) - NRC wiO consider this form authentic in accordance with 26.11 only when the 'Validate & Lock" button has been selected and all errors (ie., 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: Feb 13, 2013 at 2:26:42 PM Sin. Pouith-Te* Fore1 ve-on 1.4.0 - Oct 31, 2012

1111CS, 6

--1 Submission Update Unklue Reference Numl ICASE 6 Select Facility Nine Mile Point (50-2 NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal or (1.aoensee Sup..us u

3) Ut Ado&* Rodugf w

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4) qHal ywa meesa ewabftr linewt. rOw.A,alkham mu 20;50-410]

Date of Collection (mmvdd/yyyy) 0/221 Reason for Testing - 26.717(b)(5)

Pre-Access Test (Pre-Access II Please Select Employment Type-26.717(b)(3)

IContractorNendor I

Labor Category-26.717(b)(3)

Jlngineering I

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

Test Results - 26.717(b)(4)

Test Validity TValid Test Type(*) for Result(s) Reported - 20.717(b)(2) ting Reason (optional)

Drug Testing Drug Only jurine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 No Substance-26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

Imonjuana I

[PleaseSelec Additional Substance (as applicable)

Please Select Use NRC Cutoff (Yes / No)? Yes UseNR Cuof (es I N)?FZZ Use NRC Cutoff (Yes / No)? [e]

Is this a 24-Hour Reporting Event (Yea/No)? - 26.719(b)[No Subversion Attempts - 26.717(b)(7) and 26.75(b)

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

Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied iNRC Minimu or Licensee Administrated)

Licensee Administrated Specific Sanction Applied 1 - Year Denial Person(s) Responsible for Information Provided Person I (,req.d):

1]M BS UIFFO SPEMST BRETT.-OISMENUOCENOLLC.COM First Name Positin Tile Company Email Address pýro 2 (opftn*:

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

Form Locked On: Feb 13, 2013 at 2:27:02 PM:]

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Elcroi Inomto Exchange Lj Submission Update NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal NOW

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4) Held yeow mues ayers fete. field t stew a4-.l iwtemmwu 20; 50-410]

Date of Collection (mm/dd/yyyy)0//2012 SCASE 7

Select Facility Nine Mile Point [50-2 Reason for Testing - 26.717(b)(5)

Pro-Access Tesi Pre-Access 1 [Please Select Employment Type - 26.717(b)(3)

ContractorNendor Labor Category - 26.717(b)(3)

Maintenance (Craft)

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

No Test Results - 26.717(b)(4)

Test Validity lValid Test Type(s) for Result(s) Reported - 26.717(b)(2) ting Reason (optional)

Drug Testing IDrug Only I

[Urine Was this collection observed (Yes/No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

Cocaine I

IPlease Select 7

Use NRC Cutoff (Yes / No)? eli]

Additional Substance (as applicable)

IPlease Select I

Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)?F[e-;-7 Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)FNa Subversion Attempts - 26.717(b)7)? and 26.75(b)

Did this collection involve a subversion attempt (Yes/No)? No Management Actions - 26.717(b)(6) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administatd ILicensee Administrated Specitfc Sanction Applied 1-Year Denial Person(s) Responsible for Information Provided Person I (required):

ETT II-EN SPECIALIST BRETT.BOISMENUCCENGLLC.COM First Name ast Name Position Title Company Email Address Person 2 (optional):

Last Name sition Title Company Email Address Final Step (Required) - NRC wAlP 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 reedy for submission.

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mm ltadd hy Wy w ddyy) l-muws 20; 50-4101 Date of Collection (mmlddlYYYY) 0/2/2012 CASE 8 Select Facility Nine Mile Point [50-2 Reason for Testing - 26.717(b)(5)

Pro-Access Pre-Access

]

[Please Sel Employment Type - 26.717(b)(3)

ContractorNendor I

Labor Category - 26.717(b)(3)

Maintenance (Craft)

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

Test Results - 26.717(b)(4)

Test Validity eValid Test Type(s) for Result(s) Reported - 26.717(b)(2)

Testing Reason (optional ect Drug Testing Drug Only Urine

]

Wes this collection observed (Yes / Nol? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

Marijuana IPlease Select Additional Substance (as applicable)

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

Use NRC Cutoff (Yes / No)?

Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)FNo Subversion Attempts - 26.717(b)(7) and 26.75(b)

Did this collecton involve a subversion attempt (Yes/No)?

Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated) oLicensee Administrated Specific Sanction Applied 1-Year Denial Person(s) Responsible for Information Provided Person 1 (required):

BRE77 B.FFD SPECALST BRETT.BOISMENUCCENGLLC.COM First Name La Position Title Company Email Address Person 2 (optional):

First Name Last Name P

Company 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 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.

Sft% poew-Fonn -Won IAO

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'-1 Submission Update NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal Unique Reference Number (Licensee Supplied)

CASE 9 Select Facility n)A M

-ae requilnd except Neese mw*.d "epf~Wi

2) Enefia In seome ftf in flilihma uio*sal ik~on,~sodabosuft,4.

Ppulateadh

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3) Use. Adobe Readwer orluterforts' term ftul wer proerliy.
4) Hold eraiur e mose, ve -f rmn 0-M Ie sto w4 addNnWlhsltesseh Date of Collection (mnt/ddfyyyy) 2 j

]

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

Reason for Testing-26.717(b)(5) lRandom Employment Type-26.717(b)(3)

ContractorNendor Labor Category - 26.717(b)(3)

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

Test Results - 26.717(b)(4)

Ptease elaborate (optional)

Fyes-Test Validity Test Type(s) for Result(s) Reported - 26.717(b)(2)

Alcohol Testing Drug Testing Was this collection observed (Yes / No) ?- 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

U I

No)

Use NRC Cutoff (Yes / No)? F Use NRC Cutoff (Yes / No)?

Additional Substance (as applicable)

II Use NRC Cutoff (Yes / No)?

Is this a 24-Hour Reporting Event (YeslNo)? -26.719(b)[Yes Please elaborate on the 24-hour reporting event FFD PROGRAM PERSONNEL REFUSED TO REPORT TO COLLECTION FACIUTY Subversion Attempts -26.71 7(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yes/No)? Yes 0 Refused to provide initial specimen E3 Specimen characteristics (e.g., color, odor, precipitant)

El Refused to provide second specimen E3 Invalid test result (initial specimen collected) - 26.185(o) 0 Specimen temperature (out of range) 0l Refused to follow directions 0 Specimen paraphernalia identified 0 Other Management Actions - 26.717(b)(8) & 26.75 Please elaborate on the choRceFUS selectedP FF0 PROGRAM PERSONNEL REFUSED TO REPORT TO COLLECTION FACILITY Reason for the Action Subversion attempt Sanction Applied (NRC Minimum or Licenses Administrotedl NRC Minimum Specific Sanction Applied Permanent Denial Parson(s) Responsible for Information Provided Person I (required):

BRETT F

MENu I FFD SPECIALIST BRETT.BOISMENUCCENGLLC.COM First Name Last Name Position Title Company Email Address Person 2 (optional):

iLast Name oition Title Company Email Address Final Stop (Required) - 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 data validation process has been successfully completed and the form is ready for submission.

Form Locked On: IFeb 13 2013 at 2:27:52 PM]

Single Po01ve Toe For vernon 1.4.0. Oct 31, 2012

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Submission Update Unique Reference Num ICASE 10 Select Facility NKU H-U Program Performance Uata Keporting System Single Positive Test Form for the EIE General Submission Portal

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2) ELMa In some twein NNO mayereraW In kuhaffoEn being ste.

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Date of Collection (mrlddd/yyyy)[0/721 Nine Mile Point [50-2 Reason for Testing - 26.717(b)(5)

Pre-Access Pre-Access I

[Please Sel Employment Type - 26.717(b)(3)

ContractorNendor Labor Category - 26.717(b)(3)

Maintenance (Craft)

Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? [o Teot Results - 26.717(b)(4)

Test Validity TValid I

Test Typs(s) for Result(s) Reported - 26.717(b)(2)

Testing Reason (optional) ect I

Drug Testing Drug Only Urine I

Was this collection observed (Yesl No)? -26.717(b)(7) & 26.75 Substance -26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

Marijuana 7

IPlease Selecti Additional Substance (as applicable)

IPlease Select Use NRC Cutoff (Yes I No)? Yes Use NRC Cutoff (Yes / No)? [ill]

Use NRC Cutoff (Yes / No)? Yet Is this a 24-Hour Reporting Event (YeasNo)? - 26.719(b)FNo 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 Licensee Administrated) oLicensee Administrated I

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

IBET I~~

f FF05 IAENCCENGI-IC]

First Name Last Name Position Title Company Email Address Person 2 (optionafl:

aLast No ite Company 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 errors (ie. 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.

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Date of Collection (mm/dd/yyyy) 10/1/2012 CASE 11 Select Facility INine Mile Point [50-2 Reason for Testing-26.717(b)(5)

Please elaborate on the reason IFollowupJ Employment Type - 2e.717(b)(3)

[ContractorNendor I

Labor Categoy - 26.717(b)(3)

IMaintenance (Craft)

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

No Test Results - 26.717(b)(4)

Teat Validity

[Not Applicable Test Type(s) for Result(s) Reported - 26.717(b)(2)

Alcohol Testing Alcohol Only jBreath for testing (optional)

Substance-26.717(b)(2) & (b)(6)

I~lcohol I

What 26.103 BAC level was exceeded?

10.04 or greater Is this a 24-Hour Reporting Event (Yes/No)? -26.719(b) No Subversion Attempts - 26.717(b)(7) and 26.75(b)

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

Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive i

Sanction Applied NRC Minimum or Ucensee Administrated)

Licensee Administrated Speciflc Sanction Applied 1-Year Denial Person(a) Responsible for Information Provided Person I (required):

FRETT BIMNFFSPCASTBRETT.BOISMENUOCENGLL-C.COM First Name ast Name Position Tile Company Email Address Person 2 (optlonaf):

II FI I

First Name LtName Posiion Tide Company Email Address Final Stop (Require) - 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 data validation process has been successfully completed and the form is ready for submission.

-Form Locked On:jFeb 13,2013 at2:28:27 PM

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CASE 12 Select Facility 1)A5~~~ ~~~

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3) Lise Adobe Reaer.o Wa for1 Wse 9,1.

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Date of Collection (mm/dd/yyyy) j~~i~

Nine Mile Point (50-220; 50-410]

1 Reason for Testing - 26.717(b)(5)

Please elaborate on the reason for testing (optional)

IF°IIowup Employment Type - 26.717(b)(3) lContractorNendor Labor Category - 26.717(b)(3)

I Maintenance (Craft)

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

FYes Test Results - 26.717(b)(4)

Test Validity I

Test Type(s) for Result(s) Reported - 26.717(b)(2)

Alcohol Testing Drug Testing I]-I F -

I Was this collectilon observed (Yes /No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

I I

Additional Substance (as applicable)

I I

Use NRC Cutoff (Yes / No)?;

Use NRC Cutoff (Yes / No)?

Use NRC Cutoff (Yes / No)?

Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)[No Subversion Attempts - 26.717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yes/No)? e l i

- Refused to provide initial specimen 0 Specimen characteristics (e.g., color, odor, precipitant) o3 Refused to provide second specimen

[I Invalid test result (initial specimen collected) - 26.185(o IM Specimen temperature (out of range) 0 Refused to follow directions

[I Specimen paraphernalia identified 0 Other Management Actions - 26.717(b)(8) & 26.75 Reason for the Action Subversion attempt Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Specific Sanction Applied Permanent Denial Please elaborate on the choice(s) selected:

FIRST SAMPLE PROVIDED WAS OUTSIDE ACCEPTABLE TEMPERATURE RANGE. SECOND SAMPLE COLLECTED UNDER OBSERVATION AND TESTED TO LOD. BOTH SAMPLES WERE DETERMINED TO BE POSITIVE FOR MARIJUANA BY THE HHS LABORATORY.

THE MRO DETERMINED THE FIRST SAMPLE TO BE AN ATTEMPT TO SUBVERT AND REPORTED THAT THIS WAS A REFUSAL TO TEST.

Person(s) Responsible for Information Provided Person 1 (required):

BRETT

]-N BOMENU

]FFD SPECIALIST BRETT.BOISMENU@CENGLLC.COM First Name Last Name Position Title Company Email Address Person 2 (optionao:

I First Name Last Name P

Company 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 errors (i.e., those highlighted in re") 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: Feb 13, 2013 at 2:20:38 PM Singl PoWM TM Form vw*o 1.4.0 - Odt 31. 2012

Elcroi Inomto Exchange r-S Submission Update Unique Reference Numb ICASE 13 Select Facility Nine Mile Point [50-2 NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal l) AN511ar el qdm ercqW o"ea. kEaplaa

2) Entres hi some laeNa lad, ameyras.* hIn hiwsandln beingaw eor (Licensee Supplied Abe voew AMdN1 70.1) atie Ad Re ar8d or l, feorre s fam to wowrkpmpory.
4) Held yeurema se roa rns fiad to svw addllandeanedem.m 20; 50-410]

Date of Collection (mm/dd/yyyy)121/2012 Reason for Testing - 26.717(b)(5)

Pre-Access lPre-Access

[ Please Sel Employment Type-26.717(b)(3) lContractorNendor Labor Category - 26.717(b)(3)

Maintenance (Craft)

Refusal-28.717(b)(7) & 26.75 Was this collection refused (Yes / No)?

FNo Test Results - 26.717(b)(4)

Test Validity Valid

]

Test Type(s) for Result(s) Reported - 26.717(b)(2)

Testing Reason (optional) ect Drug Testing Drug Only Frine Was this collection obsevved (Yea /No)? - 26.717(b)(7) & 26.75 Substance-26.717(b)(2) & (b)(e)

Additional Substance (as applicable)

Amphetamines IPlease Select Additional Substance (as applicable)

IPlease Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? eT7 Use NRC Cutoff (Yes / No)? F77 Is this a 24-Hour Reporting Event (Yes/No)? - 26.71 9(b)FNo -

Subversion Attempts - 28.717(b)(7) and 26.75(b)

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

Management Actions - 26.717(b)(8) & 26.75 Reason for the Action IFirst drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated 11icensee AdministratedI Specific Sanction Applied 13-Year Denial Person(a) Responsible for Information Provided Person 1 (required):

FRETTBOISENU

~

FF PEAS BRETT.BOISMENUCCENOLLC.COM First Name ast Name Position Title Company Emall Address Person 2 (optlonsl):

First Name Las Name Position Ti9 Company Emalt Address Final Stap (Required) - NRC will consider this form authentic in accordance with 26.11 only when the 'Validate & Lock" button has been selected and all errors (ie., 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 13, 2013 at 2:29:01 ýPM bifigli roesSi 0 roan Ulitbil 1..V in 31, IU1Z Sigi Pofs~l TOIV elw Fýtl Verim~ 1.4,.0 -¢

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Date of Collection (mm/dd/yyyy)00/2012 CASE 14 Select Facility INine Mile Point [50-2 Reason for Testing. 26.717(b)(5)

Please elaborate (optional)

R1andom

]

Employment Type-26.717(b)(3)

ContractorNendor Labor Category-25.717(b)(3)

Maintenance (Craft)

Refusal - 26.717(b)(7) & 20.75 Was this collection refused (Yes / No)?

Teot Results - 26.717(b)(4)

Test Validity Not Applicable Test Type(s) for Result(s) Reported - 28.717(b)(2)

Alcohol Testing Alcohol Only IBreath Substance - 26.717(b)(2) & (b)(6) jAlcohol What 26.103 BAC level was exceeded?

0.04 or greater Is this a 24-Hour Reporting Event (Yea/No)? - 26.719(b)"No Subversion Attempts - 28.717(b)(7) and 26.75(b)

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

ManagementActIons - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied NRC Minimum or Licensee Administrated)

Licensee Administratedj Specific Sanction Applied 1 Year Denial Person(s) Responsible for Information Provided Peon I (required):

BRETT NFFD SPECIALIST BRETT.BOIaMENU@CENGL.c.COM First Name Last Name Positon Title Company Email Address Person 2 (optional):

Last Name osition Tits Company 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 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.

Form Locked On: Feb 13,2013 at 2:29:14 PM Silas rims, lea.0gm 05*001.4.0- U0g ii. 1014 5*1e pottltl* Tf4t FOffn

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Submission Update Unique Reference Numi CASE 15 Select Facility Nine Mile Point [50-2 NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal l) Alfd BeI aviequilivi exeW Owsaeme*ed apea.

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1 Date of Collection (mm/dd/yyyy)10/4201i Reason for Testing - 26.717(b)(5)

Pre-Access Tes Pre-Access I

Please Select Employment Type - 26.717(b)(3)

ContractorNendor Labor Category - 26.717(b)(3)

Maintenance (Craft)

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

Test Results - 26.717(b)(4)

Test Validity TValid Test Type(s) for Result(s) Reported - 26.717(b)(2) ting Reason (optional)

Drug Testing Drug Only Was thl collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

IMarijuana I Please Select I

Additional Substance (as applicable)

IPlease Select Use NRC Cutoff (Yes / No)?

Yes Use NRC Cutoff (Yes / No)?

lFII]

Use NRC Cutoff (Yes / No)? Fj777]

is this a 24-Hour Reporting Event (Yesl/No)? - 26.71 9(b) No Subversion Attempts - 26.717(b)(7) and 26.75(b)

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

Management Actions - 26.717(b)(8) & 26.75 Reason for the Action IFirst drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)

Licensee Administrated a

Specific Sanction Applied 1-Year Denial Person(s) Responsible for Information Provided Person I (roquired):

FBRETT F ISMEU I IFFD SPECIAST BRETT.BOISMENU@cENGLLc.cOM First Name Last Name Position Title Company Email Address Person 2 (optional):

Lat mostion Title Company 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 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.

Form Locked On:jFeb 13. 2013 at 2:29:34 PM I

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Submission Update Unique Reference Numl SCASE 16 Select Facility INine Mile Point [50-2 NK( FFD Program Pertormance Data Keporting System Single Positive Test Form for the EIE General Submission Portal new

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20; 50-410]

1 Date of Collection (mmridd/yyyy)0442012 j

Reaon for Testing - 26.717(b)(5)

Pre-Access Testing Reason (optional)

Pre-Access

]

Please Select Employment Type - 26.717(b)(3)

Contractor/Vendor Labor Category - 26.717(b)(3)

Maintenance (Craft)

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

No Test Results - 26.717(b)(4)

Test Validity Not Applicable Test Type(s) for Result(s) Reported - 26.717(b)(2)

Alcohol Testing Alcohol Only I IBreath Substance - 26.717(b)(2) & (b)(6)

What 26.103 BAC level was exceeded?

0.02 and in work status at least 2 hrs Is this a 24-Hour Reporting Event (Yea/No)?. 26.719(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(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated ILicensee Administrated Specific Sanction Applied 1-Year Denial Person(s) Responsible for Information Provided Person I (required):

FBRET I7 PE~~CILIST BRETT.BOISMENUCCENGLL.C.COM First Name La!t Position Title Company Email Address Person 2 (optonal):

First Name Lat N ePsition Te Company 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 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.

-Form Locked On: Feb 13, 2013 at 2:29:50 PM 5~rgi. Pusan. Toe Fsm vedw lAS. Oul 31.2012 SWktglPýOWit.eTestFormvw.ýn1.4.0

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Date of Collection (mmldd/yyyy)[0/0/2012 CASE 17 Select Facility Min-ii; oint [0-2 Reason for Testing - 26.717(b)(5)

Please elaborate (optional)

[Random Employment Type - 26.717(b)(3)

IContractorNendor I

Labor Category-26.717(b)(3)

IMaintenance (Craft)

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

Test Results - 26.717(b)(4)

Test Validity

[Not Applicable Test Type(s) for Result(s) Reported - 26.717(b)(2)

Alcohol Testing Alcohol Only IBreath Substance - 26.717(b)(2) & (b)(6)

LAlcohol J

VMnat 26.103 BAC level was exceeded?

10.04 or greater Is this a 24-Hour Reporting Event (Yes/No)? -26.719(b) No Subversion Attempts - 26.717(b)(7) end 26.75(b)

Did this collection involve a subversion attempt (Yes/No)? No Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied NRC Minimum or Ucensee Administrated Licensee Administrated a

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

BRET-I E

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BRETT.BOISMENUCCENOLLc.cOM First Name Last Name Position Tide Company Email Address Person 2 (optional):

Fi eLa Nition Tile Company 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 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.

SForm Locked On: Feb 13, 2013 at 2:30:06 PM I

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Submission Update Unique Reference Numb CASE 18 Select Facility NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal 1)JAN ff"E we nmiAmd werrct Oie. awrn&*W Ei~

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Date of Collection (mm/dd/yyyy) [40i/012 I

.717(b)(5)

For Cause Testing Reason (optional)

Please elaborate (optional Nine Mile Point [50-2 Reason for Testing - 26 For Cause I [Physical Condition/Smell oi Employment Type - 26.717(b)(3)

I Licensee Employee I

Labor Category-20.717(b)(3)

I Maintenance (Craft)

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

No Test Results - 26.717(b)(4)

Test Validity INot Applicable Test Type(s) for Result(s) Reported -26.717(b)(2)

Alcohol Testing jAlcohol Only I Breath f Alcohol I

Substance - 26.717(b)(2) & (b)(6)

]Alcohol I

Vhat 26.103 SAC level was exceeded?

10.04 or greater Is this a 24-Hour Reporting Event (Yea/No)? - 26.719(b) No Subversion Attempts - 25.717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yes/No)? No Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)

INRC Minimum Specific Sanction Applied 14-Day Denial Person(a) Responsible for Information Provided Person 1 (required):

IB]

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E ST BRE'ir.BOISMENU@CENGLLC.CoM First Name Last Name osition Tile Company Email Address Person 2 (optional):

Firs m

Last Name Posito

"-I Company Emal Address RInal Step (Required) - NRC will consider this form authenltic in accordance with 2e.11 only when the Validate & Lock" button has been selected and all errors (i.e.a those highlighted in red) have been corrected. The "Validate & Lock" button wil change to "Locked' after the data validation process has been successfully completed and the form is ready for submission.

Form Locked On: Feb 13, 2013 at 2:30:20 PM Sing. Po."-. Te F-m -eW-on 1.4.0- Od 31 2012

Elcroi Inomto Exchange FI Submission Update NRC FF0 Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal

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Date of Collection (mm/dd/yyyy) 0/0/2012]

uSque Keronce ium

[CASE 19 Select Facility I~neMile Point[50-2 Reason for Testing-26.717(b)(5)

Pre-Access EPr-Access

[Please Sel Employment Type-26.717(b)(3)

ContractorNendor Labor Cstegory-26.717(b)(3)

Maintenance (Craft)

Refusal-26.717(b)(7) & 26.75 Was this colection refused (Yes I No)?

Teat Results-26.717(b)(4)

Test Validity IValid Test Type(s) for Result(s) Reported - 26.717(b)(2)

Testing Reason (optional ect Drug Testing IDrug Only

[Urine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Substance-26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

Marijuana IPleale'ct Additional Substance (as applicable)

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

Use NRC Cutoff (Yes / No)?

Is this a 24-Hour Reporting Event (Yes/No)?- 26.719(b)FNo Subversion Attempts - 26.717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yes/No)? No Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied NRC Minimum or Ucensee Administrated)

Licensee Administrated t

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

BRET

[ISENU1 FF SECIALIST FIET BOIMENUBRETT.BOISMENUCCENG LLC.COM First Name Last Name Position Title Company Email Address Person 2 (optional):

Last Name Position Tile Company 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 errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button wit change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.

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

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1) AN ffWl. ar required wmcs* 9t nin~e aeuiar.
2) Snatei In sone fenn Sdlds aey result In Infmtion 60le auto.

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P etert form

3) Use Adobe Reader 8aw arto f

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4) Hld yeew aeio over a lane fld to vtew addloUwf khlww 20; 50-410]

Date of Collection (mm/ddlyyyy) [40/02

]

SCASE 2a Select Facility Nine Mile Point [50-2 Reason for Testing - 26.717(b)(5)

Please elal lFollowup Employment Type-26.717(b)(3)

IContractorNendor Labor Category - 26.717(b)(3)

I Maintenance (Craft)

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

No Test Results - 26.717(b)(4)

Test Validity TValid Test Typo(s) for ROWult3)

Reported - 26.71 7(b)(2) orate on the reason for testing (optional)

Drug Testing IDrug Only jurine Was thei collection observed (Y/INo)7-26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

Marijuana I

[Please Select Z

Additional Substance (as applicable)

IPlease Select Use NRC Cutoff (Yes I No)?

Yes Use NRC Cutoff (Yes / No)?

Use NRC Cutoff (Yes / No)?

Is this a 24-Hour Reporting Event (Yos/No)?. 26.719(b)JNo Subversion Attempts -26.717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yes/No)? FNo Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Adinistrated Licensee Administrated Specific Sanction Applied 1-Year Denial Person(s) Responsible for Information Provided Peorsn I (required):

BORMEN I

A I BRETT.BOISMENU@CENGLLC.COM First Name Last Name Position Title Company Email Address Pemon 2 (optionali:

First Name Last Name P[sitin iteCompany 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 errors (i.e., those highlighted in red) have been corrected. The 'Validate & Lock" button wit change to 'Locked' after the data validation process has been successfully completed and the form is ready for submission.

Form Locked On: Feb 13, 2013 at 2:31:01 PM Sftlgl PotWt. Tes F-r

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Submission Update Unique Reference Numb NRC FFD Program Pertormance Data Reporting System Single Positive Test Form for the EIE General Submission Portal Eu) e AN ff ee,.

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Date of Cotlection (mm/ddlyYYY) 04042012 CASE 21 Select Facility Nine Mile Point [50-2 Reason for Testing - 26.717(b)(5)

Pre-Access Test lPre-Access I

[Please Select Employment Type - 26.717(b)(3)

Contractor/Vendor Labor Category - 26.717(b)(3)

Maintenance (Craft)

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

Test Results - 26.717(b)(4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2) ing Reason (optional)

Drug Testing Drug Only I

jurine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

Marijuana I Please SelectI Additional Substance (as applicable)

IPlease Select Use NRC Cutoff (Yes / No)?FYes Use NRC Cutoff (Yes / No)? eIZZ7 Use NRC Cutoff (Yes / No)? Yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)FNo.

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

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

No Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive i

Sanction Applied NRC Minimum or Licensee Administrated) censee Administrated I

Specific Sanction Applied 1-Year Denial Person(s) Responsible for Information Provided Person 1 (reuired):

FErnI I

ND SPECIAUIST BRET-rBOISMENU@CENGLLC.COM First Name Last Name position Title Company Email Address Person 2 (optional):

Firast Name tonTite Company 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 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.

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CASE 22 Select Facility INine Mile Point [50-2 Reason for Testing - 26.717(b)(5)

Pre-Access Pre-Access I

[Please Sel Employment Type - 26.717(b)(3)

ContractorNendor I

Labor Category-26.717(b)(3)

IMaintenance (Craft)

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

Teot Results - 26.717(b)(4)

Test Validity TValid Teat Type(s) for Result(s) Reported - 26.71 7(b)(2)

Testing Reason (optional) 1ct Drug Testing Drug Only Prine Was this collection observed (Yea /No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)

Additional Substance (as applicable) uarnuana I Please Select Z

Additional Substance (as applicable)

IPlease Select I

Use NRC Cutoff (Yes / No)?

Yes Use NRC Cutoff (Yes / No)?

Yes Use NRC Cutoff (Yes / No)? Yes Is this. 24-Hour Reporting Event (Yes/No)? - 26.719(b)[No Subversion Attempts - 26.717(b)(7) and 26.75(b)

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

Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied NRC Minimum or Licensee Administrated Licensee Administrated Specific Sanction Applied 1 - Year Denial 7

Person(s) ResponsIble for Information Provided Person 1 (required):

RETT

[OISMENU FF. SPECIALIST ORETr.BOISMENUCCENoLLC.COM I

IF First Name ast Name Position Title Company Email Address Person 2 (optional):

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First Name Last Name Position Tide Company 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 errors (ie., 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.

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Date of Collection (mm/dd/yyyy) [319202 Nane Mile Point [50-2 Reason for Testing - 26.717(b)(5)

Please elab IFollowup Employment Type - 26.717(b)(3)

ContractorNendor Labor Category - 26.717(b)(3)

Maintenance (Craft)

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

Test Results - 26.717(b)(4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2) orate on the reason for testing (optional)

Drug Testing JDrug Only Urine Was this collection observed (Yes/No)?7-26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

Cocaine I

IPlease Select I

Additional Substance (as applicable)

JPlease Select I

Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? !yIZ]

Use NRC Cutoff (Yes I No)? [~IZ]

Is this a 24-Hour Reporting Event (Yes/No)?. 26.719(b) No Subveralon Attempt. - 26.717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yes/No)? No Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)

Li.censee Administrated I

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

BRETT IM ENUF SPECIALST BRETT.BOISMENUCCENOLLC.COM First Name Last Name Position TitaeCompany Email Address Perses 2 (optional):

First Name Last Naition Ttle Company 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 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.

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Date of Collection (mmldd/yyyy) [/2/2012 CASE 24 Select Facility I in ile Point (50-2 Reason for Testing - 26.717(b)(5)

Pre-Access Tesi Pre-Access I

[Please Select Employment Type-26.717(b)(3)

Contractor/Vendor Labor Category-26.717(b)(3)

Maintenance (Craft)

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

[

j Teat Results - 26.717(b)(4)

Test Validity IValid Test Type(s) for Result(s) Reported - 26.717(b)(2) ring Reason (optional)

J Drug Testing IDrug Only I

rine Was this collection observed (Yes /1No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

Marijuana I

IPease Select Additional Substance (as applicable)

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

Use NRC Cutoff (Yes / No)? Yes is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)FNo Subversion Attempts - 26.717(b)(7) and 26.75(b)

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

Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied NRC Minimum or Licensee Administrated Licensee Administrated Specific Sanction Applied 1-Year Denial 7

Person(s) Responsible for Information Provided Person 1 (required):

NETTOM SPECLIST BRETT.BOISMENU@CENOLLC.COM First Name Last Name Position Title Company Email Address Pemon 2 (optknal):

I First Name Last Name Position Tite Company Email Address Final Step (Required). NRC wil consider this form authentic in accordance with 26.11 only when the 'Validate & Lock* button has been selected and all errors (ilb, those highlighted in rea) 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.

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