ML17100A399

11-COLUMBIA-2017-02 Public Forms

ML17100A399
Person / Time
Site:	Columbia
Issue date:	03/09/2017
From:	Vincent Gaddy Operations Branch IV
To:	Energy Northwest
References
Download: ML17100A399 (14)

Text

Page 1 of 4 Operator Licensing Exam Schedule 03/24/2017 12:26:35 From 02/27/2017 To 03/24/2017 Report 21 Region: 4 Phase Code: 5 Exam Week Site/Docket No./Insp Rpt # # Candidates Type Exam Author Chief Examiner Examiners Assigned 02/27/2017 Columbia Generating Station / 05000397 / 2017301 RO - 4 SROI - 5 Admin NFF FARINA, THOMAS J. BLOODGOOD, MICHAEL R.

TAC #: X02586 SROU - 1 FARINA, THOMAS J.

HAYES, MAHDI O.

OSTERHOLTZ, CLYDE C.

Sites: WNP Orgs: 4000, 4620 Exam Author: ALL

Page 2 of 4 Operator Licensing Exam Schedule 00/00/0000 00:00:00 From 02/27/2017 To 03/24/2017 Report 21 Region: 4 Phase Code: 5 Summary By Date 02/2017 WNP - Columbia Generating Station RO - 4 SROI - 5 SROU - 1 LSRO - 0 Total for Columbia Generating Station: 10 Sites: WNP Orgs: 4000, 4620 Exam Author: ALL

Page 3 of 4 Operator Licensing Exam Schedule 00/00/0000 00:00:00 From 02/27/2017 To 03/24/2017 Report 21 Region: 4 Phase Code: 5 Summary By Site WNP - Columbia Generating Station RO - 4 SROI - 5 SROU - 1 LSRO - 0 Total for Columbia Generating Station: 10 Sites: WNP Orgs: 4000, 4620 Exam Author: ALL

Page 4 of 4 Operator Licensing Exam Schedule 00/00/0000 00:00:00 From 02/27/2017 To 03/24/2017 Report 21 Region: 4 Phase Code: 5 Summary By Region Region 4 RO - 4 SROI - 5 SROU - 1 LSRO - 0 Total for Region 4: 10 Sites: WNP Orgs: 4000, 4620 Exam Author: ALL

Page 1 of 4 ES-201

'Ft- - ;;?.;;z Examination Security Agreement CG-5 µ 1'1 AJ-c,- J)J1 ft e,/), u0 f,t.4."n' Form ES-201-3

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 2/27/2017 - 3/8/2017 as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not bee authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner ctny indications or suggestions that:

examination security may have been compromised.

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of 2/27/2017 - 3/8/2017. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

JOB TITLE I RESPONSIBILITY

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NOTES:

Page 2 of 4

n c Gr:5 J{JJ7 N/2e /r;h ;,* E07Yt-ES-201 Examination Security Agreement Form ES-201-3

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRG licensing examinations scheduled for the week(s) of 2/27/2017 - 3/8/2017 as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRG chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRG (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRG chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRG licensing examinations administered during the week(s) of 2/27/2017 - 3/8/2017. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRG.

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NOTES:

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