ML14127A094

Single Positive Test Form Collected on 09/16/2013

ML14127A094
Person / Time
Site:	Comanche Peak
Issue date:	05/07/2014
From:	Luminant Generation Co
To:	Document Control Desk, Office of Nuclear Security and Incident Response
Paul Harris - 287-9294
References
Download: ML14127A094 (1)

Text

NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal Please explain the change(s) to the form Note:

Submission Update Change the unique reference number to the site 1) All fields are required except those marked 'optional'.

unique number. 2) Entries in some form fields may result in information being auto-Unique Reference Number (Licensee Supplied) populated into other form fields.

3) Use Adobe Reader 8 or later for this form to work properly.

03-07 4) Hold your mouse over a form field to view additional information.

Select Facility Comanche Peak [50-445; 50-446] Date of Collection (mm/dd/yyyy) 09/16/2013 Reason for Testing - 26.717(b)(5) Please elaborate (optional)

Random Employment Type - 26.717(b)(3)

Contractor/Vendor Please elaborate Labor Category - 26.717(b)(3) maintaince worker Other Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? No Test Results - 26.717(b)(4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug 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) Additional Substance (as applicable)

Marijuana Please Select Please Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? Yes 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 Administrated)

Licensee Administrated Specific Sanction Applied 3- Year Denial Person(s) Responsible for Information Provided Person 1 (required):

James Brown Sr. Nuclear Analyst & Reviewing Official james.brown@luminant.com First Name Last Name Position Title Company Email Address Person 2 (optional):

First Name Last 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 (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 2:30:55 PM Save to Local PC Print this Report Single Positive Test Form version 1.4.0 - Oct 31, 2012