ML13330B300
| ML13330B300 | |
| Person / Time | |
|---|---|
| Site: | San Onofre  |
| Issue date: | 04/28/1988 |
| From: | Medford M Southern California Edison Co |
| To: | NRC Office of Administration & Resources Management (ARM) |
| References | |
| NUDOCS 8805040319 | |
| Download: ML13330B300 (8) | |
Text
Southern California Edison Company P. 0. BOX 800 2244 WALNUT GROVE AVENUE ROSEMEAD, CALIFORNIA 91770 M. 0. MEDFORD TELEPHONE MANAGER OF NUCLEAR ENGINEERING April 28, 1988 (818) 302-1749 AND LICENSING U. S. Nuclear Regulatory Commission Attention: Document Control Desk Washington, D.C. 20555 Gentlemen:
Subject:
Docket Nos. 50-206, 50-361 and 50-362 San Onofre Nuclear Generating Station Units 1, 2 and 3 When submitting an application requesting NRC examination of candidate reactor operators, the facility licensee must provide a personal qualification statement for each operator candidate. This information is provided by completing and submitting NRC Form 398, "Personal Qualification Statement - Licensee" (enclosure 1).
The purpose of this letter is to inform the NRC of Southern California Edison's intent to utilize a computer generated facsimile Form 398 (enclosure 2) for all future reactor operator candidate applications. As can be seen from the enclosures, SCE's facsimile Form 398 is identical to the existing NRC Form 398 except for type font. Every information block, block title, and certification statement has been reproduced verbatim.
The use of this computer generated form will allow the information contained on the NRC Form 398 to be retained on a magnetic disk. In this manner, future revisions, changes, or updates to the information can be made to the disk, and a completed form made without the potential for typographical errors associated with manual typing. This method of preparing the operator license applications not only reduces the time involved in form preparation, but results in an end product of much higher quality.
The Arizona Nuclear Power Project (ANPP) requested NRC approval for use of a "slightly modified" NRC Form 398 by letter dated October 21, 1986.
The NRC notified ANPP that there were no objections to ANPP use of the modified form by letter dated November 3, 1986. SCE will be using this modified form starting with a group of operator license renewal applications which must be mailed by May 13, 1988.
8805040319 880428 o
PDR ADOCK 05000206 V
PDR L
Document Control Desk April 28, 1988 If you have any questions, please contact me.
Very truly yours, Enclosures cc: 3. B. Martin, Regional Administrator, NRC Region V F. R. Huey, NRC Senior Resident Inspector, San Onofre Units 1, 2 and 3
- 3. Hannon, Acting Chief, Operator Licensing Branch
ENCLOSURE 1
NRC FORMw3 U. S. NU R REGULATORY COMMISSION 3by B
ECEIVED-robecomplore 10 CFR 5631 56.35 r
55.47 and 55.0 PERSONAL QUALIFICATIONS STATEMENT -
LICENSEE.
,1. APPLICANT'S FULL NAME (Last, first, maddlel
- 4. TYPE OF APPLICATION "X" applicable boxes)
HOT
- e. REAPPLICATION I,. WAIVER REQUESTED (Justify on reverse)
ADDRESS OR RFD NUMBER 2-COLD 1-FIRST I-WRITTEN (CsteoY)
- a. NEW 2-SECOND 2-OPERATING CITY STATE ZIP CODE
- b. RENEWAL 3-THIRD 3-EUGIBILITY
- c. UPGRADE 4-OTHER 2 CITIZENSHIP
. BIRTH DATE
- d. MULTI-UNIT
- a. UNITED STATES IONTH DAY YEAR
- b. OTHER (SpecifyI
- 5. TYPE OF LICENSE APPLIED FOR B. PREVIOUS LICESEISI HELD
- a. OPERATOR
- a. DOCKET NUMBER
- b. LICENSE NUMBER ON T
d ACILITY DOCKET NUMBER
- b. SENIOR OPERATOR
- c. LIMITED SRO (e.g. Fuel Handler)
- 7. NAME OF APPLICANT'S EMPLOYER 10 CURRENT POSITION AT FACILITY
- a. PLANT SUPERINTENDENT i.AUXILIARY UNIT OPERATOR/
ADDRSS
. ASISANTPLAN SUER TENENT TRAINEE/TURBINE BUILDING/
ADDRSS
. ASISANTPLAN SUERITENENT EQUIPMENT OPERATOR c SHIFT SUPERVISOR NONLICENSED OPERATOR)
CITY
~TATE jZIP CODE
- d. STAFF ENGINEER j.OTHER (Specify)
I
- e. SHIFT TECHNICAL
- 8. NAME OF APPLICANTbS FACILITY FACILITY DOCKET XPI d
A L Y O
E N
R NUMBER I. INSTRUCTOR
- g. SENIOR CONTROL ROOM__________________
- 9. ADDITIONAL FACILITY DOCKETS (MuCti-Unit Licenses)
OPERATOR
- h. CONTROL ROOM OPERATOR
- 11. EDUCATION
- a. HIGH SCHOOL
- c. MAJOR AREA(S) OF STUDY N UMBER HIGHEST DEGREE CODES (To be used
- d. VOCATIONAL/TECHNICAL NUMBER S CCERTIFI
[_OF YEARS DERE for "HIGHEST DEGREE" 1OF MONTHS ATE REC' GRADUATE ENGINEERING MfieldT UU obtIiLDING TYPE OF TRAINING YES NO GED EQUIVALENCY A
T S
EU NO OTHER:
H-CERTIFICATE
- b. NUMBER OF YEARS 2-ASSOCIATE OF COLLEGE 3-BACHELOR 4 -MASTER NUMBER_
fN5-DOCTORAL
- 12. TRAINING
- 13. EXPERIENCE
- a. MONTH AND YEAR b NUMBER
- a. MONTH AND YEAR
- b. NUMBER GEDWEEUVALENCMO-NON 1 -NUCLEAR POWER PLANT FUNDAMENTALS
FMNH (Classroom) 1-RO 2-PLANT SYSTEMS 2-EOOWIPPWO CLASSROOM 3-EWS/PPWS OBSERVATION 4-ERSCRW 3-OPERATING PRACTICE 5-OTHER 1Specify) aON T R O M O N T A NDRA TIO N S Y EA R bHI T FO S S IL SIMULATOR OPERATING incldes Cla1oom) 6-OPERATOR SIMUATO NAM(S)7-SUPERVISOR 2B S-PLANTSTAFF OBSRVTION 4RERS/CRW 9-ATIN PRATIC E
S-OTHER (Specify)
CNTMBRO ROOMIIT OPEATIONSATONSHF PLANT SIMULATOR COMMERCIAL NUCLEAR ncluding Reserch!Test Reactor) 10-REACTOR OPERATOR (Licensed) 4-SRO INSTRUCTION 11-SENIOR OPERATOR (Licensed 5-EXTRA PERSON ON SHIFT 12-SHIFT SUPERVISOR (Licensed) 8-REQUALIFICATION 13-STAFF/SHIFT ENGINEER (Licensed) 7-OTHER (Specify) 14-AUX./EQUIP. INONLICENSEDI OPERATOR 15-PLANT STAFF 16-OTHER (Specify)
- 14. FACILITY OPERATOR TRAINING PROGRAM
- a. GRADUATE OF INPO ACCREDITED OPERATOR
- b. CERTIFIED ON NRC Form 474, ("SIMULATION FACILITY CERTIFI TRAINING PROGRAM.
ATION") OR NRC APPROVED SIMULATION FACILITY IS USED IN THE OPERATOR TRAINING PROGRAM.
1YES NO
[ YES NO
- 15. FOR RENEWALS ONLY HOURS OPERATED FACILITY:
I EXPERIENCE DETAILS
- a. POSITION TITLE FROM TO
- b. FACILITY
- c. DUTIES
- 17. COMMENTS (Speciy the irem number to hicht you are elaboraringl
- 18. NRC FORM 26, CERTIFICATION OF MEDICAL EXAMINATION BY FACILITY LICENSEE IS ATTACHED.
Any false statement or ommision in this document, including attachments may be subject to civil and criminal sanctions.
19a. I certify under penalty of perjury that the information in this document and attachments is true and correct. I also authorize the NRC to submit the results of examinations to my employers for use in preparing retraining programs, as necessary.
SIGNATURE-APPUCANT DATE
- b. I certify that the above named individual has successfully completed the facility licensees requirements to be licensed as an Operator/Senior Operator pursuant to Title 10, Code of Federal Regulations, Part 56; and that the idhvridual has a need for an Operator/Senior Operator license to perform his/her assigned duties and that the facility will be made available for examination. I also cenify under penalty of perjury that the information in this document and attachments is true and correct.
SIGNATURE-TRAINING COORDINATOR DATE SIGNATURE-SENIOR MANAGEMENT REPRESENTATIVE ON SITE DATE
- c. RENEWAL ONLY. I certify that the above named individual meets the approved requalifcetion program twith exceptions noted in item 17) as required by section 50.54 li-Il of 10 CFR 50, and that s/he has dis charged his/her licensed responsibilities competently and safely. I also certify under penalty of perjury that the information in this document and attachments is true and correct.
SIGNATURE-TRAINING COORDINATOR DATE SIGNATURE-SENIOR MANAGEMENT REPRESENTATIVE ON SITE DATE FOR NRC USE WAIVER fCheck or complete items, as applicable)
MEETS REQUIREMENTS GRANTED BY DENIED BY CATEGORY
.HFA'HEARTF_
RF
_INHFADOUARTFRS IFGION DOES NOT MEET REQUIREMENTS WRITTEN SIGNATURE-REVIEWER DATE OPERATING ELIGIBILITY OTHER NRC FORM 3R 14-871
ENCLOSURE 2
NRC Form 398 (FACSIMILE)
Apprc-byOMB DATE RECEIVED (To be completed (4-87)
U. S. NuWr Regulatory Commission CWO-090 by NRC) 10 CER 55.31, 55.35 PERSONAL QUALIFICATIONS STATEMENT - LICENSEE Expires 8-31-88
.55 47 and 55.57
- 1. APPLICANT'S FULL NAME (Last, first, middle)
- 4. TYPE OF APPLICATION ("X" a plicable boxes) 1-HOT
- e. REAPPLICATION
- f. WAIVER REQUESTED I
I (Justify on reverse)
ADDRESS OR RFD NUMBER (utf nrvre 2-COLD 1-FIRST 1-WRITTEN (Category)
CITY STATE ZIP CODE
- a. NEW 2-SECOND 2-OPERATING I
Ib.
RENEWAL 3-THIRD 3-ELIGIBILITY
- 2. CITIZENSHIP
- 3. BIRTH DATE
---a. UNITED STATES MONTH DAY YEAR
- c. UPGRADE 4-OTHER 1b. OTHER (Specify)______
I
- d. MULTI-UNIT
- 5. TYPE OF LICENSE APPLIED FOR
- 6. PREVIOUS LICENSE(S) HELD
- a.
ORPERATOR
- a. DOCKET NUMBER ROISRO b. LICENSE NUMBER McTHP DAY YEAR
- d. FACILITY DOCKET NUMBER
- c. LIMITED SRO 55 (e.g. Fuel Handler)
- 7. NAME OF APPLICANT'S EMPLOYER
- 10. CURRENT POSITION AT FACILITY
- a. PLANT SUPERINTENDENT
- b. ASST. PLANT SUPERINTENDENT l i. AUXILIARY UNIT OPERATOR/
ADDRESS
- c. SHIFT SUPERVISOR TRAINEE/TURBINE BUILDING/
- d. STAFF ENGINEER EQUIPMENT OPERATOR CITY STATE ZIP CODE
- e. SHIFT TECH ADVISOR/SHIFT ENG (NONLICENSED OPERATOR)
I I
___f.
INSTRUCTOR
- 8. NAME OF APPLICANT'S FACILITY FACILITY DOCKET NO.
g SENIOR CONTROL ROOM OPERATOR 1j. OTHER (Specify)
- h. CONTROL ROOM OPERATOR
- 9. ADDITIONAL FACILITY DOCKETS (Multi-Unit Licenses)
- 11. EDUCATION
- c. MAJOR AREA(S)
NO. OF HIGHEST DEGREE CODES (To be used NO. OF CERTIFI
- a. HIGH SCHOOL OF STUDY YEARS DEGREE for "HIGHEST DEGREE
- d. VOCATIONALTECHNICAL MONTHS CATE REC'D GRADUATE ENGINEERING (field)
(
-+) obtained.)
TYPE OF TRAINING YES NO GED EQUIVALENCY 0 -
NONE NO OTHER:
1 - CERTIFICATE
- b. NUMBER OF YEARS 2 - ASSOCIATE OF COLLEGE 3 -
BACHELOR 4 - MASTER
______ _______15 DOCTORAL
- 12. TRAINING
- 13. EXPERIENCE
- a. MONTH & YEAR b. NUMBER
- a. MONTH & YEAR b. NUMBER 1-NUCLEAR POWER PLANT FUNDAMENTALS FROM TO OF WEEKS NAVY FROM TO OF MONTHS (Classroom) 1-RO 2-PLANT SYSTEMS 2-EOOW/PPWO CLASSROOM 3-EWS/PPWS OBSERVATION 4-ERS/CRW 3-OPERATING PRACTICE 5-OTHER Soecif CONTROL ROOM OPERATIONS ON SHIFT SIMULATOR OPERATING FOSSIL (includes Classroom) 6-OPERATOR SIMULATOR NAME(S) 7-SUPERVISOR
- a.
- b.
///////////// 8-PLANT STAFF
- b.
C/-OTHER (Specify)
STARTUP CERTIFI-YES NO COMMERCIAL NUCLEAR CATION COMPLETED S
O (including Research/Test Reactor)
NO. OF REACTIVITY MANIPULATIONS 10-REACTOR OPERATOR (Licensed)
PLANT SIMULATOR 11-SENIOR OPERATOR (Licensed)
R INTRCTO
//////
iLLL~
12-SHIFT SUPERVISOR (Licensed) 4-SRO13-STAFF/SHIFT ENGINEER (Licensed) 5-EXTRA PERSON ON SHIFT 14-AUX./EQUIP. (NONLICENSED) OPERATOR 6-REQUALIFICATION 15-PLANT STAFF 7-OTHER (Secify) 16-OTHER (Specify)
- 14. FACILITY P ERATOR TRAINING PROGRAM
- a. GRADUATE OF INPO ACCREDITED OPERATOR
- b. CERTIFIED ON NRC Form 474, ("SIMULATION FACILITY TRAINING PROGRAM.
ICERTIFICATION") OR NRC APPROVED SIMULATION FACILITY IS USED IN THE OPERATOR TRAINING PROGRAM.
YES NO Y1E S
INO
- 15. FOR RENEWALS ONLY HOURS OPERATED FACILITY:
_I_
- 16. EXPERIENCE DETAILS
- a. POSITION TITLE FROM TO
- b. FACILITY
- c. DUTIES
- 17. COMMENTS (Specify the item number to which you are elaborating)
- 18. NRC FORM 396, CERTIFICATION OF MEDICAL EXAMINATION BY FACILITY LICENSEE IS ATTACHED.
Any false statement or omission in this document, including attachments may be subject to civil and criminal sanctions.
19a. I certify under penalty of perjury that the information in this document and attachments is true and correct. I also authorize the NRC to submit the results of examinations to my employers for use in preparing retraining programs, as necessary.
SIGNATURE-APPLICANT DATE
- b. I certify that the above named individual has successfully completed the facility licensees requirements to be licensed as an Operator/Senior Operator pursuant to Title 10, Code of Federal Regulations Part 55; and that the individual has a need for an Operator/Senior Operator license to perform his/her assigned duties and that the facility will be made avail able for examination. I also certify under penalty of perjury that the information in this document and attachments is true and correct.
SIGNATURE-TRAINING COORDINATOR DATE SIGNATURE-SENIOR MANAGEMENT REPRESENTATIVE ON SITE DATE
- c. RENEWAL ONLY,.I certify that the above named individual meets the approved requalification program (with exceptions noted in item 17) as required by section 50.54 (i-1) of 10 CFR 50, and that s/he has discharged his/her licensed responsibilities competently and safely. I also certify under penalty of perjury that the information in this document and attachments is true and correct.
SIGNATURE-TRAINING COORDINATOR DATE SIGNATURE-SENIOR MANAGEMENT REPRESENTATIVE ON SITE DATE FOR NRC USE WAIVER (Check or complete items, as applicable)
MEETS REQUIREMENTS CATEGORY GRANTED BY DENIED BY HEADQUARTERS REGION HEADQUARTERS REGION DES NOT MEET REQUIREMENTS WRITTEN SIGNATURE - REVIEWER DATE OPERATING ELIGIBILITY OTHER