ML14120A505

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Single Positive Test Form Collected on 08/28/2013
ML14120A505
Person / Time
Site: Peach Bottom  Constellation icon.png
Issue date: 04/30/2014
From:
Exelon Generation Co
To:
Document Control Desk, Office of Nuclear Security and Incident Response
Paul Harris - 287-9294
References
Download: ML14120A505 (1)


Text

Please elaborate on the choice(s) selected:

Suspicious behavior of temperature (99.6) and time limit in bathroom. 2nd observed collection verified positive for THC per MRO. 1st specimen was negative.

NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal Select Facility Peach Bottom [50-277; 50-278]

Reason for Testing - 26.717(b)(5)

Pre-Access Pre-Access Testing Reason (optional)

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)?

Test Results - 26.717(b)(4)

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

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

Additional Substance (as applicable)

Additional Substance (as applicable)

Please Select Please Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? Yes Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied Permanent Denial Save to Local PC Print this Report Unique Reference Number (Licensee Supplied) 2013-PBS-128 Note:

1) All fields are required except those marked 'optional'.
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Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) No Yes No Date of Collection (mm/dd/yyyy) 08/28/2013 Submission Update Person(s) Responsible for Information Provided Company Email Address dolores.adams@exeloncorp.com First Name Dolores Position Title Corp. FFD Security Analyst Position Title First Name Last Name Last Name Adams Company Email Address Person 1 (required):

Person 2 (optional):

Single Positive Test Form version 1.4.0 - Oct 31, 2012 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.

Locked Form Locked On: Apr 29, 2014 at 6:35:52 PM Please explain the change(s) to the form correction required Reason for the Action Subversion attempt Refused to provide initial specimen Refused to provide second specimen Specimen characteristics (e.g., color, odor, precipitant)

Specimen temperature (out of range)

Invalid test result (initial specimen collected) - 26.185(f)

Specimen paraphernalia identified Did this collection involve a subversion attempt (Yes/No)? Yes Subversion Attempts - 26.717(b)(7) and 26.75(b)

Refused to follow directions Other Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum