ML18100A377

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Rev 27 to Salem Generating Station Event Classification Guide
ML18100A377
Person / Time
Site: Salem  PSEG icon.png
Issue date: 05/05/1993
From:
Public Service Enterprise Group
To:
References
PROC-930505, NUDOCS 9305180479
Download: ML18100A377 (34)


Text

0,5/07/,93 P~IC SERVICE ELECTRIC & GAS.PANY

~DOCUMENT DISTRIBUTION NOT PAGE.

I. OF 1

TO: NUCLEAR REGULATORY COMMISSION DOCUMENT CONTROL DESK WASHINGTON, DC 20555 TRANSMITTAL: DDG 0305718 11111111111111111 ~11111111 ~1111111111111111 COPYHOLDER: SECG0101 DESCRIPTION: BATCH 020-SECG PJS PLEASE INSERT THE FOLLOWING DOCUMENTS INTO YOUR CONTROLLED FILE/MA~ijA~.

SUPERCEDED DOCUMENTS MUST BE SO MARKED AND PHYSICALLY REMOVED OR DESTROYED.

CLASS PROC PROC PROC PROC DOCUMENT ID ATT. 01 ATT. 08 SECG-TOC SIG. ATT.

SHT/

VOL INST 000 REV STAT 010 A 009 A 027 A 022 A TYPE SECG SECG SECG SECG FORMAT QTY H

001 H

001 H

.,: 001 H

.,;',,, 001 PLEASE SIGN AND DATE THIS NOTICE TO ACKNOWLEDGE RECEIPT AND RETURN WITHIN 5 WORKING DAYS TO:

PSE&G DOG/MC N04 PO BOX 236 HANCOCKS BRIDGE, NJ 06038 TO CHANGE YOUR DISTRIBUTION STATUS, PLEASE CHECK THE APPROPRIATE SP~CE BELOW:

REMOVE FROM DISTRIBUTION CHANGE COPYHOLDER INFORMATION

/?

SEE MY INSTRUCTIONS ABOVE COPYHOLDER SIGNATURE:.

DATE:


~~------~------~--------~

,~----~D.DG_QS_E_Q!iI,)'_;_ ___ D_A,TA ENTRY COMPLETED:

,.. '~g~~

1 2gat~~ 6~ggg~.72',.C***'"*.,.. : -----------------------

F PDR

SALEM GENERATING STATION EVENT CLASSIFICATION GUIDE May 10 1 1993 CHANGE.PAGES FOR

... -REVISION #2 7

. /": *.*.,.

~; '

T The Table of Contents forms a general guide to the current revision of each section of the Salem ECG.

The changes that are made in this TOC Revision #27 are shown below.

Please check that your revision packet is complete and remove the outdated material listed below.

ADD REMOVE Page Descri:gtion Rev.

Page Descri:gtion Rev.

1 of 2 TOC 2r----:

1 of 2----/---TOC 26 thru thru z-----

2 of 2 2 of 22~/

1 of 2 Att Sig Page 1 of 2 Att Sig Page 21 thru thru

~---

2 of 2

,.. 2 of 2 All-10 /

All--------/

9 All 9 /.

All 8

~

Salem-ECG 1 of 1

I

,/

ECG T.o.c.

Pg. 1 of 2 J SALEM EVENT CLASSIFICATION GUIDE TABLE OF CONTENTS April 19, 1993 TITLE SECTION T.O.C.

Sig. i-18 Table fS\\f Contents Section\\dentification/Signature Page Sig. Att.

ECG Attactt ents/Signature Page

i. "'

\\'\\.

ii. *

~ Cross

... \\ "'

Event to Requirement i11. \\i ~ Cross

1. ~ R PRIMARY LEAKAGE/$' TUBE LEAKAGE 2.\\0~ ~ SECONDARY LEAKAGE
3. -~ ~ FAILURE TO TRIP /RPS 4. ~ \\)\\ Q LOSS OF

~\\-~I-FUEL DAMAGE/DEGRADED COR

~

~

t;.FISSION PRODUCT BOUNDARY 7~

~

RADIOLOGICAL RELEASES/CCC

8. ~~ fl NON-RADIOACTIVE LEAK/SPILJ6 1 ~

(toxic gas, oil spill, zmat)

9.

~

LOSS OF CONTROL ROOM UATION Events 12~- ~ QUAKE/STORMS earthquake,

13.

\\ \\(J SITE s (~Iicraft crash, missiles, explosions, etc.)

14.
15.
16.
17.
18.
  • SGS FIRE P RSONNEL EMERGENCIES/MEDICAL SECURITY EVENTS/FFD PUBLIC INTEREST ITEMS TECH SPECS/PLANT STATUS CHANGES REV.

26 16 2~ I

(

10 8

1 3

0 1

1 2

0 2

1 2

0 1

2 5

2 2

1 2

4 2

0 1

3 6

1 5

4 5

8 EFFECTIVE DATES Apr 19, 1993 Apr 19, 1993 Apr 19, 1993 Sept 23, 1991 May 30, 1991 Feb 12, 1993 Aug 21, 1992 May 26, 1989 Nov 2, 1990 May 26, 1989 Sept 15, 1989 May 26, 1989 Dec 31, 1992 Oct 4, 1991 Mar 2, 1990 Apr 19, 1993 May* 26, 1989 Jan 13, 1993 Aug 21, 1992 Aug 21, 1992 Dec 21, 1992 Sept 23, 1991 Apr 19, 1993 Apr 19, 1993

SALEM EVENT CLASSIFICATION GUIDE TABLE OF CONTENTS -

(Continued)

April 19, 1993 ECG T.o.c.

Pg. 2 of 2 ATTACHMENT TITLE REV.

PAGES EFFECTIVE DATE

1.
2.
3.
4.

Unusual Event Alert Site Area Emergency General Emergency

5.

Reserved

6.
7.
8.
9.
10..1.
12.

CMl Log (UE/A/SAE)

CMl Log (GE)

CM2 Log Non-Emergency Notifications Reference One Hour Report -

NRC/Region One Hour Report -

NRC/OPS (Security)

One Hour Report -

NRC/OPS

13.

Reserved

14.
15.
16.
17.
18.
19.
20.
21.
22.
23.

SGS Four Hour Report -

NRC/OPS Environmental Protection Plan Spill/Discharge Reporting Four Hour Report - Fatality/Medical Four Hour Report - Transportation Accident Twenty Four Hour Report -

FFD Twenty Four Hour Report -

NRC/OPS Reportable Event -

LACT/MOU Other/Engineering Written Reports/LERS/Others 9

5 5

4 14 13 8

13 1

2 2

3 3

4 4

1 1

2 0

2 2

14 6

6 8

8 8

14 3

5 5

5 5

3 7

7 6

3 5

2 3

10 Dec 21, 1992 Oct 16, 1992 Oct 16, 1992 Oct 16, 1992 Feb 12, 1993 Feb 12, 1993 Feb 1-2, 1993 Feb 12, 1993 July 27, 1990 July 27, 1990 Apr 26, 1991 July 27, 1990 Sept 23, 1991 Dec 21, 1992 Apr 27, 1993 July 27, 1990 Sept 23, 1991 July 27, 1990 May 26, 1989 Sept 23, 1991 Aug 21, 1992

ATTACHMENT

1.
2.
3.
4.

TITLE Unusual Event Alert SALEM EVENT CLASSIFICATION GUIDE ATTACHMENTS SIGNATURE PAGE April 19, 1993 REV 9

5 Site Area Emergency 5

General Emergency 4

5.

Reserved

6.
7.
8.
9.
10. **
12.

CMl Log (UE/A/SAE)

CMl Log (GE)

CM2 Log Non-Emergency Notifications Reference

  • One Hour Report -

NRC/Region One Hour Report -

NRC/OPS (Security)

One Hour Report -

NRC/OPS

13.

Reserved

14.
15.
16.
17.
18.

. 19.

20.
21.

SGS Four Hour Report -

NRC/OPS Environmental Protection Plan Spill/Damage Reporting Four Hour Report -

Fatality/Medical Four Hour Report -

Transportation Accident Twenty Four Hour Report -

FFD Twenty Four Hour Report -

NRC/OPS Reportable Event -

LACT/MOU Other/Engineering Written Reports/LERS/Other 14 13 8

13 1

2 2

3 3

4 4

1 1

2 0

2 2

PAGES 14 6

6 8

8 8

14 3

5 5

5 5

3 7

7 6

3 5

2 3

10 ECG Sig. Att.

Pg. 1 of 2 EFFECTIVE DATE Dec 21, 1992 Oct 16, 1992 Oct 16, 1992 Oct 16, 1992 Feb 12, 1993 Feb 12,.1993 Feb 12, 1993 Feb 12, 1993 July 27, 1990 July 27, 1990 Apr 26, 1991 July 27, 1990 Sept 23, 1991 Dec 21, 1992 Apr 19, 1993 July 27, 1990 Sept 23, 1991 July 27, 1990 May 26, 1989 Sept 27, 1991 Aug 21, 1992 Rev. 21

SIGNATURE PAGE Prepared By:

CRf.\\1 G B~r.ir-JCR-.

(If Editorial Revisions Only, Last Approved Revision)

Reviewed By:

Station Qualified Reviewer Significant S~ty Issu~

( ) Yes (/no

/)

~~

Reviewed By:

(//

(7TJ,

-~

oeparbnel'l anager Reviewed By:

Emerge99Y pParedness Manager

(/

Reviewed By:

to.>} P..

ECG ATT. 1-23 Pg. 2 of 2

6/0

'Date*

¥~~

Date General Manager - Quality Assurance/Safety Review (If Applicable)

Date SORC Review and Station Approvals Mtg. No.

Salem Chairman Mtg. No.

Hope Creek Chairman Date Date General Manager -

Hope Creek G

a ager -

Salem~

. 7J a e Date SGS Rev. 21

ATTACHMENT 1 UNUSUAL EVENT Table of contents I.

Emergency Coordinator (EC) Log Sheet II.

Accountability Instruction III. Termination IV.

Reporting Report of Serious Injury/Death Initial Contact Message Form (ICMF)

SGS ECG ATT 1 Pg. 1 of 14 2

6 9

12 13 14 Rev. 9

INITIALS I. EMERGENCY COORDINATOR LOG SHEET INSTRUCTIONS:

1.

This is a permanent record.

2.

Each step shall be initialed or marked N/A as appropriate.

3.

Emergency Coordinator (EC) responsibility is fulfilled by:

Name

Title:

(SNSS/EDO/ERM)

ECG ATT 1 Pg. 2 of 14 A. Declare an UNUSUAL EVENT.

Notify Control Room Staff and call the communicators to the Control Room.

ECG Section -----

Declared at

--t~i-m_e_

NOTE:

Initiating Condition hrs on date.

If directed to implement this attachment due to a "Reduction"*

of the event, proceed to Section "C" and do not implement Section "B".

B. NOTIFICATIONS

1.

Check appropriate boxes and provide brief EC description of the event on the INITIAL CONTACT MESSAGE FORM (ICMF) (page 14 of this attachment).

Complete, approve, and provide ICMF to the Designated Communicator (CMl).

2.

Direct the Designated Communicator (CMl) to EC implement Attachment 6 and make the notifications on the Communications Log within the time limits specified.

3.

Direct the Secondary communicator (CM2) to implement EC Attachment a

  • SGS Rev. 9

. I /

~

NOTE:

Complete all applicable steps of subsections c thru G below.

Then proceed to H.

ECG ATT 1 Pg. 3 of 14 Initials C.

TRANSPORT OF INJURED TO HOSPITAL c=J YES c=J NO

1.

Coordinate onsite medical response per procedure EC MlO-FRS-I-003, "Control Room Medical Response."

D.

SERIOUS INJURY/FATALITY OF NUCLEAR DEPARTMENT EMPLOYEE DYES DNo

1.

Notify the Admin Services Manager or alternate with EC information requested on page 13 of this attachment.

notified at hrs on

~~~~~~~~-

-~~-.-~~-

-~----:,--:-~-

time date name

2.

Notify the employee's department manager.

EC notified at hrs on name time date E.

SECURITY RELATED EVENT D

YES D NO

1.

Notify the PSE&G Security Supervisor (X2222) to EC implement the Security Contingency Plan.

2.

If a bomb search is required; EC

a.

Direct the osc to be activated per EPIP 202S.

b.

Direct the osc Coordinator to implement Bomb Search Operations IAW EPIP 202S.

c.

Direct the NCOs to check control boards for correct valve lineups.

  • F.

LOSS, THEFT, DIVERSION OF SPECIAL NUCLEAR MATERIAL (SNM)

D YES c=J NO

1.

Notify NRC Region I Office (215-337-5000) of the EC event immediately (within 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br />).

Use NRC Data Sheet to record additional information provided to the NRC.

notified at hrs on

~~~~~n-a_m_e~~~

~~t~im~e~

~----.d~a~t-e~-

SGS Rev. 9

l ECG ATT 1

.rnitials Pg. 4 of 14 G.

SAFETY LIMIT VIOLATIONS DYES D

NO

1.

Notify the GM - Quality Assurance and Nuclear Safety EC within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />.

Larry Reiter WORK #

1400 HOME #

PAGER #

(609)953-1842 478-5212 Notified at hrs on

~~~~~~

~~-=--~~~

time date

2.

Notify the VP and Chief Nuclear Officer within EC 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />.

Steve Miltenberger WORK #

1100 PAGER #

(215)793-3726 478-5097 Notified at hrs on

~~~~~__c

  • ~~---,,,.........,..~~-

time date H.

EMERGENCY COORDINATOR DUTIES (Continued)

1.

Notify the Hope Creek Senior Nuclear Shift Supervisor EC (NETS - x5224; 9-339-3027; 9-339-3059) and provide a briefing on the Unusual Event.

2.

If necessary, account for personnel in accordance EC with Accountability Instruction provided in EC Section II, (on pages 6, 7, & 8) of this attachment.

If Accountability is implemented direct the osc coordinator to activate the osc in accordance with EPIP 202S.

NOTE:

SSCL shall be transmitted every 30 minutes or immediately if a significant change in station status occurs.

3.

Upon receipt of the Station status Checklist EC (SSCL) from the (CM2), review and approve for transmittal

  • SGS Rev. 9

\\_,

Initials EC SGS ECG ATT 1 Pg. 5 of 14

4.

Ensure the completion and approval of the NRC Data Sheet form.

a.

Obtain the form (both pages) from the CM2 (Att. 8).

b.

Provide the approved form to the CM2.

c.

Notify the NRC of any significant changes in Plant Status, Emergency status or any actions taken in accordance with 10CFR50.54(x).

d.

Direct CM2 to log or document (via NRC Data Sheet) any additional information provided to the NRC.

This includes, but is not limited to, changes in Plant Status, -Emergency Status, or any actions taken in accordance with 10CFR50.54(x).

5.

If relieved as EC prior to termination of the Unusual Event, document the name of your relief below.

6.

assumed EC duties at hrs.

Name time If the event classification escalates above an Unusual Event, exit this attachment and implement a new attachment as directed by the classifying section.

Escalated to (circle one) Alert.~ SAE -

GE

7.

When necessary to terminate the event go-to Section III, Termination, of this attachment (page 9).

8.

Ensure that appropriate reports are made IAW Section IV of this attachment (page 12)

  • Rev. 9

\\ v II.

Initials/

Time ECG ATT 1 Pg. 6 of 14 ACCOUNTABILITY INSTRUCTION FOR THE PROTECTED AREA

1.

Implement Assembly and Accountability as follows:

follows:

a.

EC

b.

EC

c.

EC

d.

EC SGS Notify Security to implement EPIP 901, "Opening the TSC, 11 and EPIP 902, "Accountability/

Evacuation," Sections 3.1 and 3.2 only, for Assembly and Accountability.

Notify the Hope Creek SNSS to implement Appendix 6 of EPIP lOlH, "Accountability Instructions For An Unusual Event at Salem.

Direct the Radiation Alert Alarm be sounded and the following page announcement made.

"Attention, Attention "Salem is in an unusual Event condition" "All PSE&G personnel assemble at your accountability stations. All contractors leave Artificial Island immediately". (Repeat)

Allow five (5) minutes for key personnel to reach accountability stations, then continue with the next page of this procedure

  • Rev. *9

II.

Initials/

Time EC (T+O Min)

EC EC (T+lO Min)

EC (T+20 Min)

SGS ECG ATT 1 Pg. 7 of 14 ACCOUNTABILITY INSTRUCTION FOR THE PROTECTED AREA (CONT)

e.
f.
g.
h.

NOTE:

Timely page announcements are crucial to ensure accountability results are available within 30 minutes.

Sound the Radiation Alert Alarm and announce on the station page:

"Attention, Attention, all accountability stations implement accountability."

(Repeat TWice)

NOTE:

Personnel dispatched by the SNSS or OSC Coordinator who are taking vital actions to mitigate emergency events may be accounted for verbally and an accountability card exemption form of EPIP 202, completed and deposited to security.

Ensure accountability cards for the Control Room Staff and communicators are collected and provided to the OSC Coordinator.

Announce the following on the station page, 10 minutes after the first accountability announcement.

"Attention, Attention.

All accountability stations complete your initial accountability."

(Repeat twice.)

Announce the following on the station page (20 minutes after the first accountability announcement.)

11Attention, Attention. All accountability stations complete your 30 minute accountabi-lity.11 (Repeat twice)

(continued on next page)

Rev. 9

I ECG ATT. 1 Pg. 8 of 14 II.

ACCOUNTABILITY INSTRUCTION FOR THE PROTECTED AREA (CONT)

Initials/

Time

~--

EC (T+30 Min)

EC EC EC

__ __,/ __

EC SGS

i. Obtain from Security a list of unaccounted for personnel. If Security has not supplied results of the accountability within 30 minutes of the first accountability announcement, then contact the TSC Security Liaison and request accountability results.

Hope Creek (NETS X5214)

Salem (NETS X5117)

j. Designate an individual to attempt to locate unaccounted for personnel as follows:

Note:

Steps A through D should be coordinated with the other Station's SNSS, or EDO, or their designees.

A.

Page individuals over the plant page.

B.

Obtain feedback from unaccounted for person's co-workers/supervisors on last known location/job assignment.

c.

Request Security's assistance in locating unaccounted for personnel.

D.

Call individual's home to verify work schedule.

k. Update Security as missing personnel are accounted for.
1. Initiate Search and Rescue Operations in accordance with EPIP 202, OSC Activation and Operations, if appropriate.
m. Accountability actions are complete, return to step HJ of this attachment (page 4).

Rev. 9

'.. /

/

EC I:n:.

TERMINATION ECG ATT 1 Pg. 9 of 14

1. Terminate when either of the following conditions are met:
a. None of the Emergency Action Levels are defined in the ECG are applicable,
b. If the Emergency Action levels are still applicable and the plant is in a stable condition, then refer to the EMERGENCY COORDINATOR RECOVERY CHECKLIST of this attachment (page 10) to determine if the Unusual Event can be terminated by entering recovery.
2. Upon completion of Step 1 of this section complete EC EMERGENCY TERMINATION/RECOVERY FORM of this attachment (page 11) as follows:
a.

If terminating the event without recovery, complete Part "A".

b.

If terminating the event with recovery, complete Part "B".

3. If terminating the event with Recovery, direct the Recovery Manager (DUTY EDO) to implement Recovery Operations and assume the following responsibilities:

EC

a.

Evaluation of the emergency (may be delegated to SERT).

b.

Determine measures required to return plant to normal operations.

c.

Coordinate contractor support as required.

4. Provide the completed EMERGENCY TERMINATION/

EC RECOVERY FORM, to the Communicator and direct him/her to make the proper notification(s) using the Communications Log in Attachment 6 (time limits do not apply to termination calls).

5. Notify the Hope Creek SNSS that the Unusual Event has EC been terminated.
6. Collect all documentation and forward as indicated in EC Section IV, Pg. 12, of this attachment.

SGS Rev. 9

III.

TERMINATION (CONT)

EMERGENCY COORDINATOR'S RECOVERY CHECKLIST FOR UNUSUAL EVENT THE EMERGENCY COORDINATOR SHALL:

ECG ATT 1 Pg. 10 of 14 A.

Answer the following questions which are prerequisites for terminating an Unusual Event by entering recovery.

I Are Radiological releases terminated or, if not terminated, is the release rate decreasing and less then the Unusual Event Classification Emergency Action Levels in Section 7 of the ECG?

D II YES L__J NO Are Radiation Levels in all areas of the plant either stable or decreasing?

D 11 YES L_.J NO Is the plant in a safe, stable to expect further degradation?

condition with no reason DYES CJ NO Is the integrity of the station power supplies and ECCS equipment, required for safe shutdown, intact?

D YES CJ NO Can full time operations of the Operations Support Center be terminated?

o*YES CJ NO B.

If questions above have all been answered YES then proceed to step C on this checklist, otherwise, termination of the event should not be considered at this time.

c.

Has the Emergency Duty Officer been briefed on the Emergency Situation and concurred that terminating the event with an EAL still applicable is a correct course of action? If yes, proceed to Step D on this checklist.

If no, termination of the event should not be considered at this time.

DYES CJ NO Name of Contact D.

Sign and date this checklist and return to Section III, Step 2, (page 9) of this ECG Attachment and proceed with termination with recovery.

Emergency Coordinator Date Time SGS Rev. 9

SNSS

IV. REPORTING Instructions ECG ATT 1 Pg. 12 of 14
1.

This is a permanent document - all pages of this Attachment.

2.

Appropriate documents shall be appended to this form and the package expedited through all steps.

3.

Responsible person shall initial each step.

1. Ensure that an Incident Report (IR) is prepared.
2. Forward this attachment, along with the (IR) and any SNSS any supporting documentation, to the Operations Manager (OM).
3. Review IR, this attachment and any other relevant

~ information for correct classification of event and corrective action taken.

4. Contact the LER Coordinator (LERC) and request that the OM required reports be prepared.

Provide this attachment and any other supporting documentation to the LERC.

~~-5* Prepare required reports.

ECG Attachment 23 may be LERC used as a guide for reporting requirements.

Report or LER Number ~~~~~~~~~-

6. When no longer required, send this attachment and appended

==-

LERC documents to the Emergency Preparedness Manager (EPM).

7. Forward this attachment to the Central Technical Document

=----

EPM Room for microfilming.

SGS Rev. 9

III.

TERMINATION (CONT)

ECG ATT 1 Pg. 11 of 14 EMERGENCY TERMINATION/RECOVERY FORM -

UNUSUAL EVENT SGS PART 11A11 EMERGENCY TERMINATION WITHOUT RECOVERY:

THIS IS

, COMMUNICATOR IN THE CONTROL (communicator's name)

ROOM, AT THE SALEM GENERATING STATION.

THIS IS TO NOTIFY YOU THAT AS OF

, ON

, THE

--=...,.........~...,.---

(time)

(date)

UNUSUAL EVENT HAS BEEN TERMINATED.

EC APPROVAL TO TRANSMIT PART 11B11 TERMINATION WITH RECOVERY:

THIS IS

, COMMUNICATOR IN THE CONTROL (communicator's name)

ROOM, AT THE SALEM GENERATING STATION.

THIS IS TO NOTIFY YOU THAT AS OF

, ON

, THE

~~(t~i~m-e~)~

~~(d~a~t-e~)-

UNUSUAL EVENT HAS BEEN TERMINATED AND SALEM IS NOW IN A RECOVERY STATUS.

MANAGER.

IS THE RECOVERY

~~=Du==T=Y--=E=D=o~~-

EC APPROVAL TO TRANSMIT Rev. 9

NAME HOME ADDRESS HOME PHONE #

JOB TITLE REPORT OF SERIOUS INJURY/DEATH NUCLEAR DEPARTMENT EMPLOYEE EMPLOYEE INFORMATION EMPLOYEE #

MARITAL STATUS ECG ATT 1 Pg. 13 of 14 AGE SOC I AL SECURITY #

ACCIDENT/INJURY DESCRIPTION TIME AM/PM DATE OF ACCIDENT ---------

DID INJURIES RESULT IN DEATH DYES D

NO EXTENT OF INJURIES DESCRIPTION OF ACCIDENT ----------------------

Admin Services Department Representatives (Contact one)

Work#

Home#

Pager#

Linda Vreeland 1195 609-678-9382 478-5717 Dick Desanctis 1550 609-228-1778 N/A SGS Rev. 9

ECG ATT 1 Pg. 14 of 14 INITIAL CONTACT MESSAGE FORM (ICMF)


~-------------------

NOTE:

In the event of a test, drill or exercise, begin and end each message with the phrase "THIS IS A DRILL, THIS IS A DRILL".

I.

THIS IS

, COMMUNICATOR IN THE CONTROL ROOM (Name)

AT SALEM NUCLEAR GENERATING STATION, UNIT NO. ----

EJ THIS IS A NOTIFICATION OF AN UNUSUAL EVENT.

THE UNUSUAL EVENT WAS DECLARED AT ON

--:-=-=-=~-

(TIME -

24 (DATE)

TIME CLOCK)

II.

ECG SECTION INITIATING CONDITION DESCRIPTION OF EVENT:

III.

D D


~

THERE IS NO RELEASE IN PROGRESS.

THERE IS A RELEASE IN PROGRESS.*

33 FT. LEVEL WIND SPEED:

WIND DIRECTION (FROM): -----

(MPH)

(DEGREES)


~---~------------------------------------------------------

IV.

EJ NO PROTECTIVE ACTIONS ARE RECOMMENDED AT THIS TIME

  • Release is defined as:

SGS EC INITIALS TIME (EC Approval to Transmit ICMF)

Plant Effluent > Tech Spec Limit of 2.37E+5 uCi/sec Noble Gas or 2.1E+1 uci/sec I-131

  • Rev. 9

ATTACHMENT 8 SECONDARY COMMUNICATOR (CM2/TSC2/EOF2)

UE, ALERT, SAE, GE Table of Contents I.

Secondary Communicator Log Sheet A. Notifications B. Data Collection

c. Incoming Calls II. Forms Major Equipment & Electrical Status Operational Status Board (OSB)

NRC Data Sheet Station Status Check List (SSCL)

SGS Instructions

1.

This is a permanent record.

Additional forms are available.

2.

Initial items implemented.

NOTE:

If Event Classification is changed, retain this copy, but implement a new copy of Attachment 8.

Event Classification Name Date Time CR TSC EOF (circle one)

ECG ATT 8 Page 1 of 14 1

1 CONTROL ~OPY #.

~

~

.-it 0' \\ <.,..

\\

LOG

~

I I

l Pages 2-3 3-4-5 6-7-8 9

10 11-12 13-14 Rev. 8

ECG ATT 8 Page 2 of 14 I.

SECONDARY COMMUNICATOR LOG SHEET A.

NOTIFICATIONS INITIALS

1.

For Alert of higher, call the T.O.C. OPERATOR {201-430 CM2

-7191 or 201-430-8153) and provide the following message:

CM2

2.

"This is (vour name)

, Communicator at Salem Generating Station.

Please implement EPIP 204S, Salem Emergency Response Support Callout at this time.

Reason for implementation of EPIP 204S:."

D Drill OR D

Actual Emergency notified at hrs on

_n_a_m_e~~~~~~~~~~

-t~i-m_e__

_d_a_t_e~~~-

For Alert or hiaher event classification, notify Security Systems Operations Supervisor (X2223) to implement EPIP 901, Opening Technical Support Center/Onsite Response and EPIP 903, Opening Emergency Operations Facility and Emergency News Center, if not already initiated.

3.

Notify the Shift Radiation Protection Technician (X2644)

CM2 of the emergency at Salem Unit 1 (2) and direct SRPT to implement EPIP 301S, RPT Onshift Response, if not already implemented.

4.

Request that the Shift Supervisor initiate a call out of CM2 a Nuclear Control Operator if needed to fulfill Technical Specification requirements.

5.

Within 60 minutes of an Alert or higher Event CM2 Classification, activate the Emergency Response Data System (ERDS) as follows:

SGS

a.

Proceed to step 11g 11 *if problems are encountered during the ERDS activation process.

b.

Proceed to an SPDS terminal in the effected unit's Control Room and press the <UNIT MASTER MENU> key.

c.

Press the <ERDS> key; the ERDS menu will appear.

d.

Press the <SHIFT> and <1> keys to select "ACTIVATE ERDS COMMUNICATION".

Rev. 8

ECG ATT 8 Page 3 of 14 A.

NOTIFICATIONS (cont'd)

Initials CM2/TSC2

/EOF2 SGS

6.
e.

When prompted to confirm, type a <Y> and then, press the <RETURN> key to execute; "EROS ACTIVATION ACCEPTED" will display.

f.

Observe activation sequence messages on lower half of screen next to EROS LINK STATUS:

DIALING BEGINNING TALK SEQUENCE TRANSMITTING DATA NOTE:

If EROS Communications to the NRC is interrupted, the EROS computer will attempt restart for up to 5 tries and will display, "Reconnect in Progress".

No operator action is required.

g.

Inform the SNSS of successful EROS activation status, (i.e., EROS LINK STATUS display would indicate "TRANSMITTING DATA".)

If EROS activation is not successful, (i.e., EROS LINK STATUS display would indicate; "ERROR -

PSE&G TO TERMINATE" OR ERDS COMPUTER STATUS display would indicate; "EROS COMPUTER NOT RESPONDING"), request support from the Emergency Preparedness Representative.

Refer to ECG Attachment 9 for phone numbers.

h.

SPDS terminal can now be used as needed.

Refer to Section c, "Incoming Calls", if/when calls are received from State Officials, News Media, or from the NRC for EROS termination.

Rev. 8

ECG ATT 8 Page 4 of 14 B.

DATA COLLECTION/TRANSMISSION Initials

1.

CM2/TSC2

/EOF2 CM2/TSC2.

/EOF2 CM2/TSC2

/EOF2 CM2/TSC2

/EOF2 SGS

2.
3.
4.

NOTE:

The approved Station Status Checklist (SSCL)

(both pages) shall be transmitted every 30 minutes.

The approved NRC Data Sheet shall be provided to the Designated Communicator (CMl) as soon as possible, to allow transmission within 60 minutes of event classification to the NRC.

Complete the Operational Information portion of the SSCL (page 13) and the NRC Data Sheet (pages 11 and 12 with assistance from a licensed operator as needed.

Obtain the completed Radiological Information portion, page 2 of the SSCL (page 14 of this attachment) from the Radiation Protection Technician in the Control Room, the RAC, or RSM.

Provide the completed SSCL to the EC or designee (TSS, SSM, RAC, RSM) for review and approval.

NOTE:

Fax machine (telecopier) trouble-shooting checklist is mounted nearby.

Backup (alternate) Fax is available at the Work Control Center.

Transmit approved SSCL to designated agencies.

The SSCL should be transmitted every thirty (30) minutes in its current status of completion, once the first one is transmitted.

(see Section c, page 6 if States call for information).

a.

Use telecopier transmission Group B.

b.

If telecopier is not operable, transmit verbally using phone lines.

NJ-BNE 609-530-4022 DEPO 302-834-4531 Rev. 8

ECG ATT 8 Page 5 of 14 B.

DATA COLLECTION/TRANSMISSION (cont'd)

Initials CM2/TSC2

/EOF2 CM2/TSC2

/EOF2 CM2/TSC2 TSC2/EOF2

5.
6.
7.
8.

Provide NRC Data Sheet to the EC for completion and approval.

Then provide the approved NRC Data Sheet to the Designated Communicator for verbal transmittal.

Immediately provide SSCL update to the states if a significant change in station status occurs, between regular updates.

When SSCL responsibility has transferred to the TSC/EOF, provide the TSC/EOF Communicator with the state telephone numbers if previously obtained in Section C (page 6)

  • Verify availability of "OPERATIONAL STATUS BOARD FORM" on SPDS by depressing <UNIT MASTER MENU> then <SHIFT 9>.

If data is not available, contact the CM2 in the Control Room and request completion and transmittal of OPERATIONAL STATUS BOARD FORM every 15 minutes.

NOTE:

If communications responsibilities have been turned over to TSC/EOF Communicators, CM2 shall maintain responsibility for accomplishing Steps 9, 10, and 12 of this section.

9.

If requested by the TSC or EOF Communicator, complete CM2 the OPERATIONAL STATUS BOARD FORM (page 10) every 15 minutes as follows:

a.

Ensure data is reviewed by a licensed operator.

b.

Transmit a copy to the TSC/EOF.

(Use telecopier Group C when only TSC is activated.

Use telecopier Group Dafter EOF activation.)

10. For Alert or higher classification, complete the MAJOR CM2 EQUIPMENT AND ELECTRICAL STATUS FORM (page 9)

SGS

a.

Ensure data is reviewed by a licensed operator.

b.

Provide a copy to the osc Coordinator.

c.

Transmit a copy to the TSC/EOF.

d.

Provide an updated status when requested, when a significant change in plant status occurs, or upon an escalation of the emergency.

(Use telecopier Group C when TSC is activated.

Use telecopier Group D after EOF activation.

Rev. 8

ECG ATT 8 Page 6 of 14 B.

DATA COLLECTION/TRANSMISSION (cont'd)

Initials

11. Ensure OPERATI.ONAL STATUS BOARD and MAJOR EQUIPMENT and EOF2/TSC2 ELECTRICAL STATUS BOARD are updated as follows:

CM2/TSC2

/EOF2

a.

For OPERATIONAL STATUS BOARD use data from SPDS display which is accessed by depressing <UNIT MASTER MENU> then <SHIFT 9> or data received from the Control Room.

b.

For MAJOR EQUIPMENT and ELECTRICAL STATUS BOARD use data received from the Control Room.

12. When the emergency is terminated, forward this. and all other completed documents to the EC.

C.

INCOMING CALLS STATE OFFICIALS CM2/TSC2

/EOF2 CM2/TSC2

/EOF2 SGS

1.
2.

Upon a request for Emergency Information from the Delaware Division of Emergency Planning & Operations (DEPO) perform the following:

a.

Read the EC Approval SSCL in its current state of completion.

b.

Obtain name of caller and phone number to which followup SSCL information should be directed.

Contact Name(DEPO)_*~~~~~~~-

Phone No.

Upon a request for Emergency Information from the NJ Bureau of Nuclear Engineering (BNE) or the NJ State Police Office of Emergency Management (OEM), perform the following:

a.

Verify that caller is listed on the Designated state Officials List (see below)

b.

Read the EC approved SSCL, in its current state of completion.

Co Obtain name of caller and telephone number to which followup SSCL should be directed.

Contact Name(BNE)

Phone No.

Rev. 8

\\

ECG ATT 8 Page 7 of 14

c.

INCOMING CALLS (cont'd)

Initials NEWS MEDIA CM2/TSC2 EOF2 SGS

3.

NEW JERSEY DESIGNATED OFFICIALS (BNE & OEM)

Dell, Chris Shashidhara, Shantha DiNucci, Nicholas Singh, Suren

--- Hamersky, Leo Tosch, Kent Lipoti, Jill Wittenberg, Nancy Moon, Jenny Weiner, Scott Nicholls, Gerald Zannoni, Dennis Quinn, Maryanne OFFICE OF EMERGENCY MANAGEMENT (OEM), NEW JERSEY Momm, James (Capt.)

Christiansen, Jon Williams, Carl (Major)

Thompson, John (Lt.)

Davies, Thomas (Capt.)

OEM Duty Officer, or designee, ------ (name)

Duty Operations Chief, civilian Duty Officer, Enlisted Duty Officer,

~~~~~~~~~-

~~~~~~~~~-

~~~~~~~~~-

(name)

(name)

(name)

CAUTION:

  • YOU ARE NOT AUTHORIZED TO RELEASE ANY INFORMATION *
  • CONCERNING THE EMERGENCY TO THE NEWS MEDIA.

Ref er request for information from the News Media to the Emergency News Center (ENC) or Chief Operator in Newark.

If the ENC is activated (Alert or Higher) say only; "You are requested to contact the MEDIA INFORMATION OPERATOR at any of the following phone numbers (609) 273-0188, 0282, 0386, 0479, or 0586."

Rev. 8

ECG ATT 8 Page 8 of 14

c.

INCOMING CALLS (cont'd)

Initials If ENC is not activated (Unusual Event) provide only the following information:

"You are requested to contact the CHIEF OPERATOR in Newark at the following phone number (201) 430-7000."

ERDS TERMINATION

4.

When directed by the NRC, terminate Emergency Response CM2 Data System (ERDS) transmission as follows:

SGS

a.

Return to the SPDS terminal of the effected unit's Control Room and press the <UNIT MASTER MENU> key.

b.

Press the <ERDS> key; the ERDS menu will appear.

c.

Press the <SHIFT> and <2> keys to select "TERMINATE ERDS COMMUNICATION".

d.

When prompted to confirm, type a <Y> and then, press the <RETURN> key to execute; "ERDS TERMINATION ACCEPTED" will display.

e.

Observe deactivation sequence messages on the lower half of the screen next to ERDS LINK STATUS:

TERMINATING NOT ACTIVATED

f.

Inform the SNSS when ERDS termination is successful.

(i.e., ERDS LINK STATUS will indicate:

NOT ACTIVATED) *

g.

Contact The Emergency Preparedness Advisor in the TSC if problems are encountered with termination.

Rev. 8

SALEM UNIT ECG ATT 8 Pg 9 of 14 MAJOR EQUIPMENT AND ELECTRICAL STATUS Y = IN SERVICE N = OUT OF SERVICE CIRCLE UNAVAILABLE EQUIP.

COOLING ELECTRICAL YIN SYSTEMS PEED AUX FD

_l AlD PUMPS

_z BID

_3 STM.

SERVICE

_l 3D WATER z

BD PUMPS

_3 BSD

_4 BSD

_s 3D 6

SD

  • COMP.

l Al OD COOLING PUMPS a

Bl OD

_3 ClOD REACTOR _l H4D COOLANT PUMPS

_a E4D

_3 F4D

_4 G4D COND.

_l HlD PUMPS

_z EID

_3 FlD CIRC

_la H7D WATER

_lb F7D PUMPS

_2a E7D

-2b G7D

_3a E3D

-3b G3D SGS DATE:

UPDATE TIME:

ECCS ELECTRICAL YIN CONT. CONTROL ELECTRICAL YIN SYSTEMS FEED SYSTEMS FEED CHARGING _

l B9D CONT. SPRAY A2D PUMPS

_2 C9D PUMPS C2D

_3 A7X CFCU HI LOW SAFETY INJ _

l ASD

_l A3X AZX A4X PUMPS 2

CSD 2

B3X B4X Bax C3X

_3 ca cax RHR

_l A7D B7X PUMPS

_4 BSX B8X 2

B7D C7X

_s CSX CSX ELECTRICAL STATUS YIN YIN IS OFFSITE AC IODINE

_l G7X POWER AVAILABLE?

REMOVAL 2

E7X EMER. DIESEL RUN LOAD EDG

_A Ha

_l AlSX REC OM 2

-B BlSX

_c YIN

  • 3 GAS TURBINE MISC. EQUIPMENT

_l FIRE PUMPS ELEC DISTRIBUTION YIN (DIESEL) 2 AVAILABLE?

VITAL BUS

_A STATION AIR COMP.

YIN

_B l

1H6D

_c a

2GlD GROUP BUS

_E 3

lGlD

_F EMERGENCY AIR COMP. YIN

_G l

1Cl4X

_H z

ZC14X COMMENTS:

LICENSED OPERA TOR REVIEW:

INITIALS

  • Rev.= 8

Ul "

Ul

u

, ~. '.

)

UP DATE:._I _

OPERATIONAL STATUS BOARD - SALEM TIME DATE I. EMERGENCY CORE COOLING SYSTEM CENT. CHRG. PUMP FLOW SI PUMP FLOW # _ 1 SI PUMP FLOW # _2 RHR PUMP FLOW # _ 1 RHR PUMP FLOW # _2 RWST LEVEL II. CONTAINMENT CONT. PRESSURE CONT. TEMP (AVG)

CONT. H2 CONCEN.

CONT. SUMP LEVEL CONT. RAD (HI RANGE)

_R44A

_R44B Ill. REACTOR COOLANT SYSTEM

  1. OF RCP'S RUNNING RVLIS (FULL RANGE)

THERMOCOUPLE (HOTTEST)

  1. THERMOCOUPLES >1200 F Tc LOOP

_ 1 Tc LOOP

_2 Tc LOOP

_3 Tc LOOP

_4

  • Tave (AUCTIONEERED)

PZR/RCS PRESSURE..

PZR LEVEL (HOT)

Th LOOP

_ 1.

Th LOOP

_2 Th LOOP

_3 Th LOOP

_4 RX PWR/NEUTRON FLUX SUBCOOLING MARGIN I

IGPM c==]GPM c==JGPM c==]GPM c==]GPM I

I FT

~SIG c==]R/hr c==]R/hr 1------1 F

F 1------1 F 1-----1 F I-------<

F 1-------i F I-------<

PSIG 1-------i 1-------i F

I-------<

F 1-------i F 1-------i F

1-------i

%/A/CPS 1-------i F

UNIT #:

IV. C.V.C.S.

LETDOWN FLOW CHARGING FLOW VrSECONDARY COOLANT SYSTEM NO. _ 1 SG LEVEL NO. _2 SG LEVEL NO.

3 SG LEVEL NO. _4 SG. LEVEL NO. _ 1 SG PRESS.

NO. _2 SG PRESS.

NO. _3 SG PRESS.

NO. _4 SG PRESS.

NO. _ 1 SG FEED FLOW NO. _2 SG FEED FLOW NO. _3 SG FEED FLOW NO.

4 SG FEED FLOW AFST LEVEL VI. MISC. TANKS LEVEL c==]GPM c==JGPM

% (NR or WR) 1-------i

% (NR or WR)

% (NR or WR) 1-------i

% (NR or WR) 1-----1 PSIG 1-----1 PSIG 1-----t PSIG PSIG

% or LBS/HR 1-----1

% or LBS/HR 1-----1

% or LBS/HR

% or LBS/HR 1-----1 WASTE HOLD-UP TANK # _ 1 § WASTE HOLD-UP TANK # _2 WASTE MONITOR HUT VII. SSCL INFORMATION OFFSITE POWER AVAILABLE?

TWO OR MORE DIESELS AVAILABLE?

DID ECCS ACTUATE?

IS THE CONTAINMENT ISOLATED?

IS IT CAPABLE OF BEING ISOLATED?

VIII. SIGNIFICANT PLANT EVENTS YES or NO

  • WHEN NO RCP'S ARE RUNNING, Tove ON THE CO\\ITROL CONSOLE IS INVALID
  • LICENSED OPERATOR REVIEW L _____________ ~

INITIALS

__. OJ 0

0 -

I*

NRC DATA SHEET (Page 1 of 2)

ECG ATT. 8 Pg. 11 of 14

  • 1

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

NOTIFICATION TIME FACILITY OR ORGANIZATION UNIT CALLER'S NAME TELEPHONE NUMBER (FOR CALL BACK)

EVENT TIME & ZONE EVENT DATE POWER/MODE BEFORE POWER/MODE AFTER EVENT CLASSIFICATION (Check One)

GENERAL EMERGENCY 1HR 10CFR50.72(b )( 1) (

4HR 10CFR50.72(b)(2) (

SITE AREA EMERGENCY 1HR SECURITY /SAFEGUARDS ALERT TRANSPORTATION EVENT UNUSUAL EVENT OTHER:

  • FOR NON-EMERGENCIES PROVIDE THE SPECIFIC SUBPART NUMBER OF THE 10CFR50.72 REPORTING REQUIREMENT FROM THE ECG INITIATING CONDITION STATEMENT.

EVENT DESCRIPTION Include Systems affected, actuations & their initiating signals, causes, effect of event on plant, actions taken or planned, etc

  • NOTIFICATIONS NRC RESIDENT STATE(s) (NJ) (DEL)

LOCAL (LACT)

OTHER GOV. AGENCIES MEDIA/PRESS RELEASE YES NO WILL BE ANYTHING UNUSUAL OR NOT UNDERSTOOD?

DID ALL SYSTEMS FUNCTION AS REQUIRED?

MODE OF OPERATION UNTIL CORRECTED:

ESTIMATE FOR RESTART DATE:

YES NO (Explain above)

YES NO (Explain above)

ADDITIONAL INFO ON PAGE 2?

NOTE:

CM1 shall provide the data on this form (both pages) when notifying the NRC after reading the ICMF.

APPROVED FOR TRANSMITTAL:

t:C SGS f<ev. 8

)

)

NRC DATA SHEET (Page 2 of 2)

ECG ATT. 8 Pg. 12 of 14

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

RADIOLOGICAL RELEASES:

CHECK OR FILL IN APPLICABLE ITEMS (specific details/explanalions should be covered in event descripton)

LIQUID RELEASE GASEOUS RELEASE UNPLANNED RELEASE PLANNED RELEASE ONGOING TERMINATED MONITORED UNMONITORED OFFSITE RELEASE T.S. EXCEEDED RM ALARMS AREAS EVACUATED PERSONNEL EXPOSED OR CONTAMINATED OFFSITE PROTECTIVE ACTIONS RECOMMENDED Stale release path in description.

RELEASE TYPE Release Rate (µCi/sec)

T.S. LIMIT

% T.S. LIMIT Total Activity (µCi)

T.S. LIMIT

% T.S. LIMIT Noble Gas Iodine Particulate Liquid (excluding tritium &

dissolved nable gases)

Liquid (Tritium)

TOTAL ACTIVITY RELEASE PATHWAY PLANT VENT CONDENSER/ AIR EJECTOR MAIN STEAM LINE SG SLOWDOWN OTHER RAD MONITOR READINGS & UNITS N/A ALARM SETPOINTS N/A

% T.S. LIMIT (if applicable)

N/A RCS OR SG TUBE LEAKS: CHECK OR FILL IN APPLICABLE ITEMS (specific details/explanations should be covered in event descripton)

LOCATION OF THE LEAK (e.g. SG, valve, pipe, etc.)

LEAK RATE:

UNITS:

gpm/gpd T.S. LIMITS:

SUDDEN OR LONG TERM DEVELOPMENT?

I SUDDEN I

ILONG TERM LEAK START DATE:

TIME:

COOLANT ACTIVITY & UNITS: PRIMARY -

SECONDARY -

LIST OF SAFETY RELATED EQUIPMENT NOT OPERATIONAL:

NRC EVENT UPDATE:

APPROVED FOR TRANSMITTAL:

t:C SGS

.~Rev. 8

L-.. ~ *

ECG ATT 8 I.__* s_s_c1___,

STATION STATUS CHECKLIST (Pg. 1 of 2)

Pg. 13 of 14 Operational Information SALEM GENERATING STATION Unit No. __ Message Date ___ Time __ _

Transmitted By: Name __________ _ Position:

1. Date and Time Event Declared: Date Time (CR/TSC/EOF)

(24 hr clock)

2. Event Classification:

D Unusual Event D Site Area Emergency D Alert D General Emergency

3. Cause of Event:

Primary Initiating Condition used for declaration ECG Section

, Initiating Condition _________ _

Description of the event ___________________ _

4. Status of Reactor: D Tripped/Time D At Power D Startup D Hot Standby D Hot Shutdown D Cold Shutdown D Refuel
5. PZR/RCS Pressure ps1g Core Exit TC

. F Hottest

6. Is offsite power available?

D YES D NO

7. Are two or more diesel generators operable?

DYES D NO

8. Did any Emergency Core Cooling Systems actuate?

D YES D NO

9. Containment:

A. Has the Containment been isolated?

B. Is it capable of being isolated?

DYES D NO DYES D NO

10. Other pertinent information _________________ _

Approved:

EC or TSS or SSM,..

SGS Rev. 8

t' STATION STATUS CHECKLIST (Pg. 2 of 2)

Radiological Information Message Date ___ _

SALEM GENERATING STATION Time ECG ATT 8 Pg. 14 of 14

11. GASEOUS RELEASE:

D YES Start Time:

Time of Reading __ _

l A)

B)

C)

D) o*No Release Terminated: D YES D NO D N /A Anticipated or Known Duration of Release ___,.--___ Hours Type of Release:

D GROUND D ELEVATED D N/ A Adjusted Wind Speed:

(m/sec)

(mph)

Wind Direction:

From (Deg)

Toward~ ___ (Deg) j NOTE:

m/sec -

mph/2.24 (E) Stability Class: A_ B __ C __ D __ E __ F __ G __

(F) Release Rate I-131:

µCi/Sec.

(G) Release Rate Noble Gas:

µCi/Sec.

~LIQUID RELEASE:

DYES ONO Start Time: *-----

(A) 1 Release Terminated:

D YES D NO D N/ A B) Anticipated or Known Duration of Release ______ Hours C) Estimated Concentration

µCi/ml D) Release Flow Rate gpm

13. PROJECTED OFFSITE DOSE RATE CALCULATIONS (When Data Is Available):

Distance MEA LPZ EPZ (miles) 0.79 2.00 5.0-0 10.00 Thyroid Whole Body (mrem/hr)

Commitment* (mrem/hr)

14. UPDATES TO STATES (if verbally transmitted):

Contact Name Time Initials D State of New Jersey:

D State of Delaware:

D Others ----

(Agency)

Approved:'----------

EC or RAC or RSM D Default Table D Nomogram D Other ____ _

  • Millirem per Inhalation hour.

SGS Rev. 8