ML14162A324
| ML14162A324 | |
| Person / Time | |
|---|---|
| Site: | Seabrook  |
| Issue date: | 06/11/2014 |
| From: | NextEra Energy Seabrook |
| To: | Document Control Desk, Office of Nuclear Security and Incident Response |
| Paul Harris - 287-9294 | |
| References | |
| Download: ML14162A324 (1) | |
Text
Select Facility Seabrook [50-443]
Reason for Testing - 26.717(b)(5)
Pre-Access Pre-Access Testing Reason (optional)
Initial Authorization Please elaborate (optional)
Employment Type - 26.717(b)(3)
Contractor/Vendor Labor Category - 26.717(b)(3)
HP/RP 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 Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied 5-Year Denial Save to Local PC Print this Report Unique Reference Number (Licensee Supplied) 224582F Note:
- 1) All fields are required except those marked 'optional'.
- 2) Entries in some form fields may result in information being auto-populated into other form fields.
- 3) Use Adobe Reader 8 or later for this form to work properly.
- 4) Hold your mouse over a form field to view additional information.
Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) No No No Date of Collection (mm/dd/yyyy) 03/17/2014 Submission Update Person(s) Responsible for Information Provided Company Email Address stella.dumais@fpl.com First Name Stella Position Title Site Access/FFD Supervisor Position Title AA/FFD Program Manager First Name David Last Name Bonthron Last Name Dumais Company Email Address david.bonthron@fpl.com Person 1 (required):
Person 2 (optional):
Single Positive Test Form (version 1.5.0 - January 1, 2014)
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: Jun 11, 2014 at 8:36:36 AM Reason for the Action First drug or alcohol positive Did this collection involve a subversion attempt (Yes/No)? No Subversion Attempts - 26.717(b)(7) and 26.75(b)
Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Delete Submission FFD Program Performance Data Reporting System Single Positive Test Form (EIE General Submission Portal)