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Category:CORRESPONDENCE-LETTERS
MONTHYEARML20210G1061999-07-28028 July 1999 Forwards Copy of Results of Operator Initial Exam Conducted at University of Massachusetts During Wk of 990614-16. Without Encl ML20204H0591999-03-22022 March 1999 Discusses Arrangement Made Re Administration of Operator Licensing Exams at Univ of Massachusetts Lowell Reactor Scheduled for Week of 990607 & Requests Matl Listed in Encl 1 in Order to Meet Schedule ML20198B2991998-12-10010 December 1998 Forwards Comments on Draft ANSI/ANS-15.17, Fire Protection Program Criteria for Research Reactors ML20198P2691998-12-0808 December 1998 Forwards Exam Rept 50-223/OL-98-03 on 981116-19 Administered to Employees of Facility Applying for License to Operate Reactor ML20196J4411998-12-0707 December 1998 Forwards Results of Operator Initial Examination Conducted at Univ of Massachusetts - Lowell on 98i1116-18.Without Encl ML20198M3311998-11-29029 November 1998 Forwards Ro/Sro Certificates for Wc Gick,Kj Randall, Bd Stymest & Ma Tries at Univ of Massachusett - Lowell Facility.Without Encl ML20239A0781998-08-31031 August 1998 Forwards Ro/Sro License Certificates for Lm Bobek, Rs Clement,Mg Griffin,Al Stevens & Rd Tooker at Univ of Massachusetts - Lowell ML20237E2101998-08-24024 August 1998 Discusses Arrangements Made W/L Bobek,For Administration of Operating Licensing Exam at Univ of Massachusetts During Wk of 981116.Matl Furnished for Exam Administered During Wk of 980803 Will Be Used ML20237C0151998-08-17017 August 1998 Informs That Lm Bobek Has Assumed Responsibilities of Reactor Supervisor for Univ of Ma,Lowell Research Reactor. Info Provided to Facilitate Communications & Delineate Line of Responsibility for Reactor,Listed ML20237A7011998-08-12012 August 1998 Forwards Copy of Results of Operator Initial Exam Conducted on 980803-06 ML20237A0881998-08-12012 August 1998 Discusses Initial Exam Rept 50-223/OL-98-01 Administered During Week of 980803 to Employees of Facility Who Applied for License to Operate at Univ of Ma,Lowell Reactor.W/O Exam Rept,Facility Comments & Exam & Answer Key ML20237F1161998-08-11011 August 1998 Expresses Appreciation for Time & Effort in Reactor Operator & Senior Reactor Operating Exams During Wk of 980802. Provides Comments on Written Licensing Exam ML20248M0241998-06-0909 June 1998 Informs That Arrangements Were Made W/D Medich,For Administration of Operator Licensing Exams at Univ of Massachusetts - Lowell Reactor,For Wk of 980803 ML20247L8391998-05-18018 May 1998 Informs of Arrangements Made W/D Medich for Administration of Operator Licensing Exams at Univ of Massachusetts.Written & Operating Exams Scheduled for Wk of 980803 ML20217Q1921998-04-0707 April 1998 Forwards Insp Rept 50-223/98-200 on 980317-20.No Violations Noted.Radiation Protection,Effluent Control,Special Nuclear Matl Accountability & Emergency Preparedness Programs Were Inspected ML20203H7071998-02-18018 February 1998 Forwards Copy of Results of Operator Initial Exam Conducted at Univ of Massachusetts - Lowell on 980130.W/o Encl ML20202F9601998-02-12012 February 1998 Advises That L Bettenhausen Has Resigned Position as Supervisor of Univ of Massachusetts,Lowell as of 971220. DC Medich Appointed Acting Reactor Supervisor,As of 980101 Until Permanent Supervisor Is Appointed ML20198L2051998-01-0808 January 1998 Accepts Replacement of High Enriched Fuel Elements Per 10CFR50.64(b)(2)(i).Inventory of Unirradiated HEU Fuel Must Conform to Requirements of Order Entitled, Reduction of Unirradiated HEU Fuel Holdings at Non-Power Reactors ML20198E6291997-12-30030 December 1997 Informs of Completion of Remaining Commitment Re Operation of Gamma Cave Facility at Univ of Ma Research Reactor. In-Cave Monitor Has Been Installed,Tested & Incorporated Into Cave Safety Interlock Sys ML20198B4461997-12-18018 December 1997 Requests That Two Replacement HEU Fuel Elements Be Provided So Research Can Go Forward W/O Delay ML20197H5631997-12-11011 December 1997 Forwards Certificates to Listed Licensed Individuals at Univ of Massachusetts - Lowell Facility.Newly Licensed Individuals Include Jm Giordano,Sro & AL Stevens,Ro ML20199K8931997-11-24024 November 1997 Discusses Arrangements for Administration of Operator Licensing Exams at Univ of Ma Reactor Scheduled for Week of 980126.In Order to Meet Schedule,Furnish Matl Listed in Encl 1 at Least 60 Days Prior to Exam Date ML20199C1561997-11-10010 November 1997 Forwards Initial Exam Rept 50-223/OL-97-01 Administered During Week of 970929.Facility Comments W/Nrc Resolution & Exam & Answer Key Also Encl ML20199C0991997-11-10010 November 1997 Forwards Results of Operator Initial Exam Conducted at Univ of Massachusetts During 970929-30.W/o Encl ML20217L8881997-08-14014 August 1997 Informs That Arrangements Made W/L Bettenhausen for Administration of Operator Licensing Exams at Univ of Ma Lowell Reactor.Written & Operating Exams Scheduled for Week of 970929.Matl Listed in Encl 1 Requested ML20217H4371997-08-0505 August 1997 Informs That Responsibility for non-power Reactor Insp Program Has Been Transferred from Regional Ofc to NRR ML20198E8021997-07-31031 July 1997 Forwards Order Modifying License R-125 to Convert from High to Low Enriched U Fuel,Amend 12 to License R-125 & Safety Evaluation.Order Being Issued in Response to 930521 Submittal ML20198L1841997-07-15015 July 1997 Refers to Which Informed of Request for DOE to Provide L Bettenhausen W/Two Replacement HEU Fuel Elements in Univ of Massachussetts Lowell Research Reactor Core.Finds Acceptance of Fuel Permissible Since LEU Fuel Unavailable ML20141G1061997-06-26026 June 1997 Forwards Insp Rept 50-223/97-201 on 970513-16.No Noncompliances or Significant Issues Identified ML20141H3291997-06-16016 June 1997 Requests That Small Number 4 Replacement HEU Fuel Elements Be Provided So Research Can Go Forward W/O Delay.Ltr Requesting Fuel,Encl ML20148L6381997-06-0606 June 1997 Confirms Commitments Made in Telcon Discussions to Determine Void Coefficient in Low Enriched U (LEU) Core,Installed & Tested at Univ of Ma Lowell,Research Reactor ML20141H7711997-05-16016 May 1997 Responds to RAI Re HEU to LEU Conversion of Univ of Massachusetts Lowell Research Reactor ML20141L8481997-05-0909 May 1997 Forwards Response to 970321 RAI Re Exemption Requests to 10CFR36 for Gamma Cave at Univ of Ma Lowell ML20137C9241997-03-21021 March 1997 Forwards RAI in Order to Complete Review of Exemptions to 10CFR36 for Gamma Cave at Univ of Massachusetts Lowell Research Reactor,Per 970712 Request ML20135C1391997-02-24024 February 1997 Forwards Certificates to Listed Newly Licensed Individuals. W/O Encl ML20133P3221997-01-17017 January 1997 Forwards Results of Operator Initial Exam Conducted at Univ of Massachusetts on 961218.W/o Encl ML20133M3221997-01-16016 January 1997 Forwards Initial Exam Rept 50-223/OL-96-03,facility Comments W/Nrc Resolution & Exam & Answer Key for Exam Administered During Wk of 961218.W/o Encls ML20135A1311996-11-26026 November 1996 Forwards Insp Rept 50-223/96-02 on 961007-10.No Violations Noted ML20149L8021996-11-13013 November 1996 Forwards Administration of Written Exam,Procedures & Review of Written Exam for Operator Licensing Exam at Univ of Massachusetts.Exam Scheduled for Wk of 961216 ML20134K2991996-10-31031 October 1996 Responds to 960816 RAI Re Requests for Exemption from Certain Parts of Regulation,Bases for Such Requests & Detailed Info Re Facility ML20128K8981996-10-0909 October 1996 Forwards Copy of Results of Operator Initial Exam Conducted at Univ of Ma,Lowell on 960923-25 ML20134C9771996-10-0909 October 1996 Forwards Copy of Results of Operator Initial Exam Conducted at Univ of Ma,Lowell on 960923-25.W/o Encls ML20117J8281996-08-27027 August 1996 Forwards Annual Rept of Operation of Univ of Massachusetts Lowell Reactor for Period 950701-960630 ML20115H6361996-07-12012 July 1996 Requests Exemption from 10CFR36, Licenses & Radiation Safety Requirements for Irradiators ML20117K5881996-06-0303 June 1996 Informs That Licensees Will Appoint Staff Member to Take on Responsibilities of Health Physics Technician on full-time Basis,Effective 960601 ML20082S5291995-03-30030 March 1995 Provides Clarification of Statements Addressed in Insp Rept 50-223/94-02 Re Insp Conducted on 941205-07 ML20080B3561994-11-21021 November 1994 Expresses Appreciation for Professional Conduct of Operator Exams by P Doyle During 941114-16 & Comments on Selected Questions from Written Exam ML20078C3221994-10-18018 October 1994 Forwards Rev 4 to Emergency Preparedness Plan for Univ of Ma Lowell Research Reactor ML20065J2281994-04-11011 April 1994 Forwards Review of Conformance to 10CFR36 for Use of Univ of Ma Lowel Reactor Gamma Cave,In Response to TS Michaels 940204 Request ML20064K0241994-03-17017 March 1994 Forwards Proposed TS for Univ of Ma Lowell Reactor W/Low Enrichment Fuel,Correcting Editorial Oversights & Providing Clarification Resulting from Discussions W/Nrc 1999-07-28
[Table view] Category:NRC TO EDUCATIONAL INSTITUTION
MONTHYEARML20059M7091990-09-19019 September 1990 Forwards Safety Insp Rept 50-223/90-03 on 900827-28.No Violations Noted IR 05000223/19900021990-06-25025 June 1990 Ack Receipt of Informing NRC of Steps Taken to Correct Violations Re Insp Repts 50-223/90-02 & 70-0738/90-01 ML20043A3761990-05-0808 May 1990 Forwards Safeguards Insp Repts 50-223/90-02 & 70-0738/90-01 on 900410-13 & Notice of Violation ML20012D2111990-03-16016 March 1990 Forwards Exam Rept 50-223/90-01OL Administered on 900307. Written Exam Questions & Preliminary Findings Discussed W/ Members of Reactor Staff ML20006E2281990-02-0909 February 1990 Advises That Written Licensing Reexam Scheduled for 900306. Completed License Applications Should Be Submitted at Least 30 Days Prior to Exam Date.Ref Matl Requirements for Licensing Exams Listed on Encl ML20006D6511990-01-0505 January 1990 Forwards Revised NRC Forms 398 & 396 Re Personal Qualifications Statement & Certification of Medical Exam by Licensee,Respectively.All Applications for Licenses to Be Submitted on Revised Forms by 900201 ML20248A0211989-07-26026 July 1989 Informs That Reactor Operator Licensing Exams Scheduled for 890926-27.Application Should Be Submitted 30 Days Before Exam,So That NRC Will Be Able to Review Training & Experience of Candidate & Determine Eligibility ML20247B6181989-03-22022 March 1989 Forwards Agenda for 890418-19 Research & Test Reactor Seminars in King of Prussia,Pa.Updated Agenda Will Follow ML20246H4021989-02-17017 February 1989 Forwards Exam Rept 50-223/88-06OL of Exam Administered on 881205 ML20206K3191988-11-23023 November 1988 Advises That Readministration of Reactor Operator Exam Scheduled for 881205.Requirements for Facility Review of Exam Encl ML20155G5651988-09-30030 September 1988 Forwards Exam Rept 50-223/88-04OL Conducted 880803-05 ML20151H9031988-07-14014 July 1988 Forwards Safety Insp Rept 50-223/88-02 on 880414,0512 & 0610.No Violations Noted ML20151A9501988-07-11011 July 1988 Forwards Safety Insp Rept 50-223/88-01 on 880314-16 & Notice of Violation.Concern Noted That Violation Need Greater Mgt Oversight & Attention to Licensed Activities ML20151M8801988-04-18018 April 1988 Forwards Safety Insp Rept 50-223/88-01 on 880314-16 & 22. Three Violations Noted.Violations Will Be Discussed at 880429 Enforcement Conference ML20215C9101987-06-11011 June 1987 Informs of NRR Reorganization ML20214R9551987-05-27027 May 1987 Informs of Recent Realignment within NRC Region I Div of Reactor Projects Re Responsibility for Insp of Research & Test Reactor Facilities.Final Rule 10CFR50, Communications Procedures Amends Addressed.Div Organization Chart Encl ML20207A0081987-04-20020 April 1987 Ack Receipt of Proposed Schedule for Conversion of Reactor from High Enriched U to Low Enriched U,Per 10CFR50.64(c)(2)(i) ML20207S7771987-03-12012 March 1987 Forwards Exam Rept 50-223/87-01OL of Exam Administered on 870127-28 ML20211B9961986-10-14014 October 1986 Forwards Exam Rept 50-223/86-03OL of Exam Administered During Wk of 860915 ML20206P2331986-08-20020 August 1986 Forwards Safety Insp Rept 50-223/86-02 on 860723.No Violations in Health Physics Program Noted ML20198H5961986-05-15015 May 1986 Forwards Exam Rept 50-223/86-01 of Exams Administered on 860424 ML20140J2591986-03-27027 March 1986 Informs That TC Elsasser Will Replace EC Mccabe as Cognizant Section Chief for Facility,Effective on 860331,due to Realignment of Projects within Region I.Ec Wenzinger Will Remain Branch Chief ML20140G6871986-03-27027 March 1986 Lists Change in Telephone Number for H Bernard,Facility Project Manager,Due to NRR Reorganization.D Tondi New Nonpower Reactors & Safeguards Licensing Section Leader. Correspondence Should Be Sent to Listed Address ML20140E9261986-03-20020 March 1986 Advises That Research & Test Reactor Licensees Should Be Aware of Expiration Dates for Programs at Facilities. Renewals Should Be Requested Prior to Expiration.Shipment of Spent Fuel on 850127 W/O Valid License Discussed ML20205J2461986-01-27027 January 1986 Forwards Safeguards Insp Rept 50-223/85-03 on 850924-25.No Violations Noted ML20198H3061986-01-16016 January 1986 Forwards Exam Rept 50-223/OL-85-04 of Exam Administered During Wk of 851202 ML20137A8581985-11-21021 November 1985 Forwards Amend 9 to License R-125.Amend Renews OL for 30 Yrs from Date of Issuance & Incorporates All Changes & Amends Made Since Issuance of Original License ML20134L7541985-08-29029 August 1985 Forwards Safety Insp Rept 50-223/85-02 on 850805-07.No Violations Noted ML20128H7231985-05-14014 May 1985 Forwards Request for Addl Info Re Application for Renewal of License R-125,per NRC 850430 Site Visit.Responses Should Be Submitted by 850607 ML20054L3881982-06-16016 June 1982 Ltr to All Research & Test Reactor Licensees Requesting That Reg Guide 2.6 (for Comment) & ANSI/ANS-15.16 (Draft II Dtd 811129) Be Used to Meet Requirement of Final Amend to 10CFR50.54(r) Re Emergency Planning.Fr Notice Encl ML20052H3891982-05-17017 May 1982 Forwards Amend 8 to License R-125.Amend Changes Organizational Structure Outlined in Section 6.1 of Tech Specs to Reflect Current Administrative Organization ML20050B9661982-03-24024 March 1982 Forwards Amend 6 to License R-125.Amend Changes Numbering Placement Given in Amend 5 ML20040C5291982-01-15015 January 1982 Forwards Amend 5 to License R-125,safety Evaluation & Notice of Issuance & Availability.Amend Authorizes Receipt, Possession,Use & Transfer of Co-60 Source Up to 1,500,000 Ci ML20032D4901981-11-0303 November 1981 Confirms 811103 Telcon Authorization for License Amend Per 811020 & 1102 Requests ML20032C7391981-10-13013 October 1981 Forwards Fr Notice & Press Release Re Proposed Addl Safeguards for Research Reactors ML20030B8151981-08-10010 August 1981 Approves Submitting Revisions to Physical Security Plan ML19350E1481981-06-0202 June 1981 Forwards Amend 4 to License R-125,identifying Revised Physical Security Plan.Plan Must Be Implemented within 30 Days ML19341C0001981-02-0909 February 1981 Forwards IE Circular 81-02, Performance of NRC-Licensed Individuals While on Duty. No Written Response Required ML19338D9461980-09-12012 September 1980 Forwards IE Info Notice 80-32, Clarification of Certain Requirements for Exclusive-Use Shipments of Radioactive Matls. No Written Response Required ML19320D2431980-06-25025 June 1980 Forwards IE Info Notice 80-24, Low Level Radwaste Burial Criteria. No Written Response Required ML19320C4331980-06-24024 June 1980 Forwards IE Circular 80-14, Radioactive Contamination of Plant Demineralized Water Sys & Resultant Internal Contamination of Personnel. No Written Response Required ML19310A6601980-05-30030 May 1980 Requests Addl Info to Support License Amend Request Re Increase in Power Level.Requires Resubmittal of SAR, Submittal of Revised Tech Specs & Revised Physical Security Plan ML19323F6941980-05-0606 May 1980 Forwards IE Info Notice 80-19, NIOSH Recall of Recirculating-Mode (Closed Circuit) Self-Contained Breathing Apparatus (Rebreather). No Response Required ML19312D7301980-03-14014 March 1980 Forwards IE Info Notice 80-11, Generic Problems W/Asco Valves in Nuclear Applications Including Fire Protection Sys. No Action or Written Response Required ML19296C2001980-02-0101 February 1980 Forwards IE Circular 80-02, Nuclear Power Plant Staff Work Hours. No Written Response Required ML19257A6081979-11-15015 November 1979 Forwards IE Insp Repts 50-223/79-02 & 70-0738/79-01 on 790905.No Noncompliance Noted ML19250C5081979-11-0909 November 1979 Forwards IE Info Notice 79-12A, Attempted Damage to New Fuel Assemblies. No Action Required ML19254E6801979-10-19019 October 1979 Notifies of Commission 790809 Approval to Publish Proposed Amends to 10CFR50 & 70 in Fr,Re Emergency Plans for Nonpower Reactor Licensees.Forwards Transcript of 790827 Meeting Re Impact of Proposed Safeguards Upgrade Rule ML19250B6141979-10-10010 October 1979 Forwards Amend 9 to Indemnity Agreement E-54,modifying in Course of Transportation. Requests Return of One Signed Copy ML19254B0791979-09-0707 September 1979 Forwards IE Info Notice 79-20,Revision 1, NRC Enforcement Policy - NRC Licensed Individuals. Notice Reissued to Correct Word Omission & Punctuation Error Which Changed Intent of Statement.Changed Statement Underlined in Text 1990-09-19
[Table view] Category:OUTGOING CORRESPONDENCE
MONTHYEARML20210G1061999-07-28028 July 1999 Forwards Copy of Results of Operator Initial Exam Conducted at University of Massachusetts During Wk of 990614-16. Without Encl ML20204H0591999-03-22022 March 1999 Discusses Arrangement Made Re Administration of Operator Licensing Exams at Univ of Massachusetts Lowell Reactor Scheduled for Week of 990607 & Requests Matl Listed in Encl 1 in Order to Meet Schedule ML20198B2991998-12-10010 December 1998 Forwards Comments on Draft ANSI/ANS-15.17, Fire Protection Program Criteria for Research Reactors ML20198P2691998-12-0808 December 1998 Forwards Exam Rept 50-223/OL-98-03 on 981116-19 Administered to Employees of Facility Applying for License to Operate Reactor ML20196J4411998-12-0707 December 1998 Forwards Results of Operator Initial Examination Conducted at Univ of Massachusetts - Lowell on 98i1116-18.Without Encl ML20198M3311998-11-29029 November 1998 Forwards Ro/Sro Certificates for Wc Gick,Kj Randall, Bd Stymest & Ma Tries at Univ of Massachusett - Lowell Facility.Without Encl ML20239A0781998-08-31031 August 1998 Forwards Ro/Sro License Certificates for Lm Bobek, Rs Clement,Mg Griffin,Al Stevens & Rd Tooker at Univ of Massachusetts - Lowell ML20237E2101998-08-24024 August 1998 Discusses Arrangements Made W/L Bobek,For Administration of Operating Licensing Exam at Univ of Massachusetts During Wk of 981116.Matl Furnished for Exam Administered During Wk of 980803 Will Be Used ML20237A7011998-08-12012 August 1998 Forwards Copy of Results of Operator Initial Exam Conducted on 980803-06 ML20237A0881998-08-12012 August 1998 Discusses Initial Exam Rept 50-223/OL-98-01 Administered During Week of 980803 to Employees of Facility Who Applied for License to Operate at Univ of Ma,Lowell Reactor.W/O Exam Rept,Facility Comments & Exam & Answer Key ML20248M0241998-06-0909 June 1998 Informs That Arrangements Were Made W/D Medich,For Administration of Operator Licensing Exams at Univ of Massachusetts - Lowell Reactor,For Wk of 980803 ML20247L8391998-05-18018 May 1998 Informs of Arrangements Made W/D Medich for Administration of Operator Licensing Exams at Univ of Massachusetts.Written & Operating Exams Scheduled for Wk of 980803 ML20217Q1921998-04-0707 April 1998 Forwards Insp Rept 50-223/98-200 on 980317-20.No Violations Noted.Radiation Protection,Effluent Control,Special Nuclear Matl Accountability & Emergency Preparedness Programs Were Inspected ML20203H7071998-02-18018 February 1998 Forwards Copy of Results of Operator Initial Exam Conducted at Univ of Massachusetts - Lowell on 980130.W/o Encl ML20198L2051998-01-0808 January 1998 Accepts Replacement of High Enriched Fuel Elements Per 10CFR50.64(b)(2)(i).Inventory of Unirradiated HEU Fuel Must Conform to Requirements of Order Entitled, Reduction of Unirradiated HEU Fuel Holdings at Non-Power Reactors ML20197H5631997-12-11011 December 1997 Forwards Certificates to Listed Licensed Individuals at Univ of Massachusetts - Lowell Facility.Newly Licensed Individuals Include Jm Giordano,Sro & AL Stevens,Ro ML20199K8931997-11-24024 November 1997 Discusses Arrangements for Administration of Operator Licensing Exams at Univ of Ma Reactor Scheduled for Week of 980126.In Order to Meet Schedule,Furnish Matl Listed in Encl 1 at Least 60 Days Prior to Exam Date ML20199C1561997-11-10010 November 1997 Forwards Initial Exam Rept 50-223/OL-97-01 Administered During Week of 970929.Facility Comments W/Nrc Resolution & Exam & Answer Key Also Encl ML20199C0991997-11-10010 November 1997 Forwards Results of Operator Initial Exam Conducted at Univ of Massachusetts During 970929-30.W/o Encl ML20217L8881997-08-14014 August 1997 Informs That Arrangements Made W/L Bettenhausen for Administration of Operator Licensing Exams at Univ of Ma Lowell Reactor.Written & Operating Exams Scheduled for Week of 970929.Matl Listed in Encl 1 Requested ML20217H4371997-08-0505 August 1997 Informs That Responsibility for non-power Reactor Insp Program Has Been Transferred from Regional Ofc to NRR ML20198E8021997-07-31031 July 1997 Forwards Order Modifying License R-125 to Convert from High to Low Enriched U Fuel,Amend 12 to License R-125 & Safety Evaluation.Order Being Issued in Response to 930521 Submittal ML20198L1841997-07-15015 July 1997 Refers to Which Informed of Request for DOE to Provide L Bettenhausen W/Two Replacement HEU Fuel Elements in Univ of Massachussetts Lowell Research Reactor Core.Finds Acceptance of Fuel Permissible Since LEU Fuel Unavailable ML20141G1061997-06-26026 June 1997 Forwards Insp Rept 50-223/97-201 on 970513-16.No Noncompliances or Significant Issues Identified ML20137C9241997-03-21021 March 1997 Forwards RAI in Order to Complete Review of Exemptions to 10CFR36 for Gamma Cave at Univ of Massachusetts Lowell Research Reactor,Per 970712 Request ML20135C1391997-02-24024 February 1997 Forwards Certificates to Listed Newly Licensed Individuals. W/O Encl ML20133P3221997-01-17017 January 1997 Forwards Results of Operator Initial Exam Conducted at Univ of Massachusetts on 961218.W/o Encl ML20133M3221997-01-16016 January 1997 Forwards Initial Exam Rept 50-223/OL-96-03,facility Comments W/Nrc Resolution & Exam & Answer Key for Exam Administered During Wk of 961218.W/o Encls ML20135A1311996-11-26026 November 1996 Forwards Insp Rept 50-223/96-02 on 961007-10.No Violations Noted ML20149L8021996-11-13013 November 1996 Forwards Administration of Written Exam,Procedures & Review of Written Exam for Operator Licensing Exam at Univ of Massachusetts.Exam Scheduled for Wk of 961216 ML20134C9771996-10-0909 October 1996 Forwards Copy of Results of Operator Initial Exam Conducted at Univ of Ma,Lowell on 960923-25.W/o Encls ML20128K8981996-10-0909 October 1996 Forwards Copy of Results of Operator Initial Exam Conducted at Univ of Ma,Lowell on 960923-25 ML20059H1251993-11-0202 November 1993 Informs That Listed Ref Matl Requested Prior to Administration of Operator Licensing Exams Scheduled for Wk of 930322 at Kansas State Univ Reactor ML20045H4281993-06-30030 June 1993 Provides Info That Has Become Available Since Revised 10CFR20 Became Effective on 910620 & Forwards Two Press Releases Re Issuance & Implementation of Revised Part 20 ML20045B3791993-06-0909 June 1993 Responds to 930406,0520 & 27 Ltrs Transmitting Changes to Revs 1,2,3 & 4 & Corrections to Rev 4 of Physical Security Plan.Changes Consistent W/Provisions of 10CFR50.54(p) & Acceptable ML20036B5061993-05-0404 May 1993 Forwards Operator License Certificates to Be Presented to Listed Individuals in Recognition of Protecting Health & Safety of Public.W/O Encl ML20036A1421993-04-30030 April 1993 Forwards Insp Rept 50-223/93-02 on 930406-08.No Violations Noted.Operations Staffing Below Min Level Described in NRC- Approved SAR IR 05000223/19930011993-04-22022 April 1993 Ack Receipt of Informing NRC of Steps Taken to Correct Violations Noted in Insp Repts 50-223/93-01 & 70-0738/93-01 ML20034H3831993-03-0909 March 1993 Forwards Combined Insp Repts 50-223/93-01 & 70-0738/93-01 on 930208-10 & Notice of Violation ML20044B5791992-10-0606 October 1992 Advises of Arrangements Made for Administration of Operator Licensing Exams at Facility During Wk of 930301.Ref Matls Listed in Encl 1 Should Be Furnished at Least 60 Days Prior to Exam Date ML20044E3511992-07-0808 July 1992 Forwards Operator License Certificates for Dr Martineau & Ma Montesalvo,Per Commission Request.W/O Encl ML20044B4931992-02-28028 February 1992 Discusses Telcon Re Arrangements Made for Administration of Operator Licensing Exams.Written & Operating Exams Scheduled for Wk of 920427.Encl Requested Matl Required to Meet Schedule ML20059M7091990-09-19019 September 1990 Forwards Safety Insp Rept 50-223/90-03 on 900827-28.No Violations Noted IR 05000223/19900021990-06-25025 June 1990 Ack Receipt of Informing NRC of Steps Taken to Correct Violations Re Insp Repts 50-223/90-02 & 70-0738/90-01 ML20043A3761990-05-0808 May 1990 Forwards Safeguards Insp Repts 50-223/90-02 & 70-0738/90-01 on 900410-13 & Notice of Violation ML20012D2111990-03-16016 March 1990 Forwards Exam Rept 50-223/90-01OL Administered on 900307. Written Exam Questions & Preliminary Findings Discussed W/ Members of Reactor Staff ML20006E2281990-02-0909 February 1990 Advises That Written Licensing Reexam Scheduled for 900306. Completed License Applications Should Be Submitted at Least 30 Days Prior to Exam Date.Ref Matl Requirements for Licensing Exams Listed on Encl ML20006D6511990-01-0505 January 1990 Forwards Revised NRC Forms 398 & 396 Re Personal Qualifications Statement & Certification of Medical Exam by Licensee,Respectively.All Applications for Licenses to Be Submitted on Revised Forms by 900201 ML19332B8921989-11-0808 November 1989 Forwards Exam Rept 50-223/89-01OL on 890926-27 ML20248A0211989-07-26026 July 1989 Informs That Reactor Operator Licensing Exams Scheduled for 890926-27.Application Should Be Submitted 30 Days Before Exam,So That NRC Will Be Able to Review Training & Experience of Candidate & Determine Eligibility 1999-07-28
[Table view] |
Text
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,y 1
JAN 51990 Docket No: 50-223 University'oflL'owell ATTN:
Dr.. Leon E. Beghian Associate Vice President' for--Research 1 University Avenue-Lowell,-Massachusetts 01854 Gentlemen:
SUBJECT:
- REVISED NRC FORMS 396 AND 398' Enclosed is a copy of the revised NRC Form-398 (Enclosure 1), Personal Qualifications Statement ; Licensee and revised:NRC Form-396.(Enclosure 2),
Certification of Medical-Examination By Facility Licensee.
- All changes-to the NRC Form-396-are detailed in Enclosure 3. -Changes to'NRC Form-398 are detailed in Enclosure 4.
All: applications for licenses are to be submitted on these-revised forms no later than February 1, 1990.
The enclosed applications-are for your use. Additional copies can be obtained by contacting Beverly Martin, U.S. Nuclear Regulatory Commission, by telephone (301) 492-8138 or by. writing to her, U.S. Nuclear Regulatory Commission, Information'and Records Management Branch, Mail.Stop NMBB 7714, Washington, D.C.
20555.
If you have any. questions.regarding these forms, please contact Richard J.
Conte at'(215) 337-5120 or Peter W. Eselgroth at (215) 337-5211.
Sincerely, Original Signed By1 Robert M. Gallo, Chief Operations Branch Division of Reac or Safety
Enclosures:
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Leo Bobek,-Chief Reactor Operator 1-
-Dr.' William'Vernetson, Director of Nuclear Facilities,-
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0FFICIAL RECORD COPY 396 & 398 FORMS - 0044.0.0 12/14/89 I
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i INSTRUCTIONS FOR COMPLETING NRC FORM 388
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PERSONAL QUALIFICATION STATEMENT-LICENSEE TO GEMAIN VALID,THIS FCRM MUST NOT BE ALTERED -
l 4.
TYPE CF APPLICATION 2.s NEW "X" IF YOU ARE A NEW APPLICANT. COMPLETE EACH CATEGORY OF THE FORM COMPLETELY, FOLLOWING THE INSTRUCTIONS BELOW, THIS IS TO INCLUDE ALL EDUCATION, TRAINING AND EXPERIENCE THAT YOU HAVE RECEIVED UP TO THE DATE OF THIS APPLICATION. NOTE: SEE / TEM 14 - THERE 18 AN EXCEPTION. ALSO, THIS BLOCK IS TO BE MARKED 1F PREVIOUS NEW APPLICATION WAS WITHDRAWN, PLEASE WRITE " WITHDREW" NEXT TO "NEW,"
i '
'2.b thru 2.e-FOR 2.b THRU 2.e, COMPLETE EACH CATEGORY COMPLETELY, BUT INDICATE ONLY THE EDUCATION, TRAINING, AND EXPERIENCE YOU HAVE RECElVED SINCE YOUR LAST APPLICATION, NOTE: SEE / TEM 14 - THERE IS AN EXCEPTION, 2.b RENEWAL "X"lF YOU ARE RENEWING CURRENT LICENSE.
2.c UPGRADE "X"IF YOU HOl.D A RO LICENSE AND ARE NOW APPLYING TO UPGRADE YOUR LICENSE TO A SRO.
2A MULTI. UNIT "X" IF YOU CURRENTLY HOLD A LICENSE AT YOUR FACILITY AND ARE APPLYING TO AMEND YOUR CUR.
RENT LICENSE TO ADD AN ADDITIONAL UNIT.
2.e REAPPLICATION "X"lF YOU HAVE PREVIOUSLY BEEN DEN 1ED A LICENSE AND ARE REAPPLYING, i
2.f WAIVER REOUESTED "X"THEAPPLICABLE WAIVER REQUESTED AND JUSTlFY IN COMMENTS SECTION (ITEM 17),
2.g DATE PASSED GENERIC FUNDAMENTALS EXAMINATION SECTION (GFES).
THIS IS NOT APPLICABLE TO RESEARCH REACTORS. ENTER THE MONTH AND YEAR THE GENERIC FUNDAMENTALS EXAMINA.
TION SECTION OF THE WRITTEN EXAMINATION WAS PASSED. IF THE GFES WAS NOT TAKEN, YOU MUST HAVE PASSED AN NRC LICENSING EXAMINATION ON THE APPLICABLE REACTOR TYPE (PWR OR BWR) AFTER FEBRUARY 1,1982,WHICH LED TO THE ISSUANCE OF A LICENSE. THIS DOES NOT INCLUDE INSTRUCTOR CERTIFICATION EXAMINATIONS OR REQUALIFICATION EXAMINATIONS.
11.
EDUCATION - lNDICATE BOTH ACADEMIC AND VOCATIONAL / TECHNICAL POST HIGH SCHOOL EDUCATION. FOR MAJOR AREAlS) OF STUDY, INDICATE THE NUMBER OF YEARS SPENT IN EACH COLLEGE CURRICULUM AND THE HIGHEST DEGHEE RECElVED, USING THE DEGREE CODE PROVIDED, FOR VOCATIONAL / TECHNICAL EDUCATION, INCLUDE PROGRAMS SUCH AS NUCLEAR POWER SCHOOL, MillTARY TRAINING, AIR CONDITIONING / REFRIGERATION, DIESEL MECHANIC SCHOOL, ETC, INDICATE THE NUMBER OF MONTHS IN EACH PROGRAM AND WHETHER A CERTIFICATE OR DEGREE WAS AWARUED, IF ADDl.
TIONAL SPACE IS NEEDED, CONTINUE UNDER COMMENTS (ITEM 17).
12.
TRAINING - lNDICATE THE TRAINING YOU HAVE RECEIVED TO MEET THE REQUIREMENTS OF ANSI N18.1/ANS 3.1. THE BREAKDOWN OF TRAINING IN THIS CATEGORY PARALLELS THE ANS STANDARDS REFER TO THE STANDARDS IF YOU NEED FURTHER CLARIFICATION. INCLUDE BOTH BEGINNING AND COMPLETION DATES AND THE TOTAL NUMBER OF WEEKS S IN EACH TYPE OF TRAINING. THE NUMBER OF WEEKS IS PROVIDED,IN ADDITION TO BEGINNING AND COMPLETION DATES, TO ACCOUNT FOR INTERMITTENT TRAINING (FOR EXAMPLE,4 WEEKS OF CLASSROOM TRAINING SPREAD OVER A 2. MONTH PERIOD), THEREFORE, THE DATE COLUMNS MAY INDICATE A LARGER TIME SPAN THAN THE ACTUAL NUM8ER OF WEEKS SPENT IN FULL. TIME TRAINING. TIME IN TRAINING FOR THE LICENSE APPLIED FOR CANNOT BE DOUBLE COUNTED UNDER EXPERIENCE (ITEM 13),
ALL REQUALIFICt. TION TRAINING TIME IS TO BE ACCOUNTED FOR IN THE REQUALIFICATION ITEM. PLEASE DO NOT " DO LIST" THE TIME SPENT IN REQUALIFICATION TRAINING UNDER ITEM 12.6, REQUALIFICATION, EVEN THOUGH IT MAY INCLUDE
/
CLASSROOM OR SIMULATOR flME.
13.
EXPERIENCE - A MINIMUM OF 6 MONTHS AT THE SITE FOR WHICH THE LICENSE IS SOUGHT IS REQUIRED, FOR EACH POSITION HELD, COMPLETE ITEM 18. DO NOT DOUBLE COUNT T!ME. IF YOU HAD OVERLAPPING DUTIES,THE MONTH! SHOULD REFLECT '
1 l
THE PROPORTIONATE AMOUNT OF TIME YOU WERE ASSIGNED TO THOSE PARTICULAR DUTIES. IN NO CASE SHOULD T NUMBER OF MONTHS REPORTED FOR A PARTICULAR TIME PERIOD EXCEED THE NUMBER OF MONTHS THAT ARE IN TH TIME PERIOD.
14 FACILITY OPERATOR TRAINING PROGRAM - INDICATE a. GRADUATE OF INPO ACCREDITED OPERATOR TRAINING PROG
. AND b. CERTlS '0" ".; ".~ ~.N; OR NRC APPROVED SIMULATION FACILITY iS USED IN THE vrennivH (NAINING PHO.
GRAM, IF "YES" IS CHECKED IN BOTH ITEMS 14a AND 14.b, THEN ITEMS 11 (EDUCATION),12 (TRAINING),13 (EXPERIENCE),
AND 16 (EXPERIENCE DETAILS) DO NOT HAVE TO BE DOCUMENTED. NEW APPLICATIONS MUST STILL INCLUDE THE NUMS OF SIGNIFICANT CONTROL MANIPULATIONS UNDER ITEM 12.3 NOTE: INPO ACCREDITED MEANS ACCREDITATION BY TH NATIONAL NUCLEAR ACCREDITING BOARD AND MEANS THAT AT LEAST THE MINIMUM REQUIREMENTS OF REGULATORY GUIDE 1.8, REV. 2, ARE MET.
15.
FOR RENEWALS ONLY - (1) ENTER THE APPROXIMATE NUMBER OF HOURS SINCE PREVIOUS RENEWAL OR ISSUANCE O LICENSE lF FIRST RENEWAL. (2) ENTER DATE AND RESULT OF MOST RECENT NRC ADMINISTERED REOUALIFICATIO
- NATION, 16.
EXPERIENCE DETAILS - INCLUDE POSITION TITLE, TIME PERIOD-FROM/TO, FACILITY, AND A BRIEF DESCRIPTION OF DUTIES PERFORMED WHILE SERVING IN THAT POSITION, IF MORE SPACE IS NEEDED, USE COMMENTS (ITEM 17), OR IF NECESSARY, ATTACH ADDITIONAL INFORMATION.
17, COMMENTS - USE THIS SPACE TO INCLUDE ANY EXTRA INFORMATION OR CLARIFICATICN FOR OTHER ITEMS ON TH CATION FORM. IF THE SPACE PROVIDED IS NOT SUFFICIENT, YOU MAY ATTACH EXTRA INFORMATION WITH YOUR APPLICA.
- TION, 18.
NRC FORM 396, CERTIFICATION OF MEDICAL EXAMINATION BY FACILITY LICENSEE - MUST ACCOMPANY THIS APPLICATION, 19.
SIGNATURES - SIGN AND DATE ITEM 194. OBTAIN YOUR TRAINING COORDINATOR'S SIGNATURE AND THAT OF YOU MANAGEMENT REPRESENTATIVE ON SITE,
' DETACH THESE INSTRUCTIONS AND SU8MIT THE COMPLETED NRC FORMS 398 (ORIGINAL AND TWO COPIES EACH PRIATE REGIONAL ADMINISTRATOR.
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,p PORM SW U.L NUCLE AA REOULATORY COMMISSION APPIOVE19Y oms: NO. 31604090 DAlt RECEIM l
40 i E xil3 E S: 13tC2 Uo be anwe MCA d.CPJ b6 J1. 64.36, t
i ESTIMATED DURDEN PER RESPONDE TO COMPLY WITH i
ef. enil t4N#
THL 4 INFORMATION COLLECTION REOUEST: 24 HR$.
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PEN 80NAL QUALIFICATION STATEMENT-LICENSEE FORW ARD COMMtNTS REGARDING BURDEN ESTIMATE 10 THE INPORMATION AND RECORD $ MANAGEMENT BRANCH (P.S.1. 01. U $ 160 CLEAR REOULATORY COMME SaON, WASHINGTON. DC 20bt6. AND TO THf PAf'LRWWORK REDUCTION PROJECT (31604000). OFFICE OF MANAGE. e TO REMAIN VALlD,TH18 FORM MUST NOT DE ALTERED MENT AND SUDGET. WASHINGTON. DC 20603.
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- 1. APPLICANT'S FULL NAME (Last, E/rst, AWdJe) AND ADDRESS (hclude /IP Codel
- 4. TYPE OF APPLICATION (OUck atPlar# 'abosas)
- t. HOT l
- e. RE APPLICATION I,
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1 2 COLD l. F 1R$T lWRITTENICessysryl
- e. NEW 7 8ECOND
- 2. OPE R All% fCaer
- b. RENEWAL
- 3. THIRD '
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- c. UPORADE 3 < ',LIOltiLIT Y t MULTI. UNIT LAht(NO TOINCLVDE ADOITIONAL
- 2. CITIZE NSHIP
- 3. BIRTH DATE
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e. utDICAL 5.OTHER
& UNITED 8(ATES MONTH DAY YEAR
- g. DATE PASSED OENERIC FUNDA.
MM YY MENT ALS E K AMIN ATION 6ECTION
- b. OTHER ISeastiNo l
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- 5. TYPE OF LICENSE APPLIED FOR
- 6. PREVIOUS LICENSE 18) HE LD
- a. OPERATOR
- e. DOCKET NUMBER RO SRO b LICENSE NUMetR 4 F ACILITY DOCKET NUMBER y
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E6 SE NIOR OPERATOR I
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$6 1
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60,
- s. LIMff ED SRO le e.. Fuel NonsfJerf l
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- 7. NAME AND ADDRESS (/ncAude I/P CDdel OF APPLICANT'S EMPLOYER
- 10. CURRENT POSITION AT F ActLIiY a FLANT SUPERINTENDENT 4 AUXIUARY UNIT OPER.
ATOR/T RAINE E/TUR$1NE
- b. ASSilf ANT PLANT $UPERINTENDENT SUILDING/ EQUIPMENT OPE R ATOR INON & tC(NS
- s. $HIFT SUPtRVISOR iO OP(NA TORA EL STAFF ENGINEER
- 1. OTH4 R (Specify)
- 8. ellME OF APPLICANT'8 F ACdLITY F ACILITY OQCKET NUMBER e6 $Hff f TECHNICAL ADVISOR /5HIPT ENGINEER
- f. INSTRUCTOR
- 3. ADDITIONAL F ACluTY DOCK E T8 IMetteet tarensess g SENIOR CONTROL ROOM OPERATOR IL CONTROL ROOM OPf R ATOR
- 11. EDUCATION g HIGH SCHOOL
- s. MAJOR ARE AISI OF ETUDY a.","/1f.
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- 2. A850CIATE 3,NUM ER UF d. MAST E R 7 8ACHELOH
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- 6. DOCTOR AL g
- 12. TR AtNING (SINCE L AST APPLICA TION - SEE INSTRUCTIONS) 13 E XPERIENCE (DO NOTDOUBLE COUNT-SEE INSTRUCTIONS) e vos v., 490 v e n a g >=rnanovaan
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i 1-NUCLEAR PGWER PLANT FUNOAMENTALS ems 1.RO 2 -PLANT SYSTEMS
- 2. EOOW/PPWO CLASSROOM
- 3. EWS/PPWS OBSERVATION
- 4. E RS/CRW 3-OPERATING PR ACTICE 5.OTHER (saved &s CONTROL ROOM OPER ATIONS ON SHIFT SIMULATOR OPER ATING Isnedusin Cwwoom/
pogget SIMhATOR NAMES fn.
- 6. OPE RATO R
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- 7. SUPE RVISOR a.
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COMMERCIAL NUCLE AR (incAntsne nesmen/resr aeverorf 4 -SRO INST RUCTION 10 - AE ACTOR OPERATOR Itecenards 6-MS,^r7E,"MI,,*""'"'0"'"""O" 11 SENIOR Ov'ERATOR (ttrenants
- a. $',pgs, ayva aos PowsR
- 12. SHIFT SUPERVISOR (teeneri 6 -REQUAllFICATION
- 13. ST AFF/ SHIFT CNGINEER Itarensass 7 -0 THE R (spect4A I 4. AUX./ EQUIP. OPER ATOR INontecenants
- 15. PLANT STAFF 16 CTHE R (spect&A m.
NRC FORM 3EE (1049)
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- 14. FACILITY OPERATOR TRAINING PROGRAM -
Te ce sespo e ochoolv.o OPERATOR a canier sed ON NRc roRM 414 f"3WULA TJOHACfMF F g psostene PeloeRAM TNAT et saano uPoM A -
YES -
NO:
CFMihCA TJOF7 03 NRC APPROYED $5MULAT104 YES '
NO l y;t WYSTOGS APPflOAcNTO TRA#NIN3
, Actttiv is us&D IN 1HE OPERA 10R TRAINiteQ PRooRAM
- 16. FOR RENEWALS ONLY A
b, DATE AND RESULT Of MOtt DATE Re8 4 '
REQUAllFICAllON EXAMINATION PAIE '
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' tIOU81S OPGRATED F ActLITY# -
R$CEN1 NRC ADMINISTERED 4
- 16. EXPERIENCE DETAILS 6 P001T00N TITLt -
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- b. f ACILITY
- s. DUTIES l
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1 17, N8 muswe see nem numan se essea yea, m saane,efeap. Aeerea senseeener osisere se sessenesty.s
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- 18. NRC PORM 800, CERTIFICATION OIMEDICAL EMAMINATION BY P ACILITY LICENSEE, SS ATTACHED ANY F ALSE staff MENT OR OMISSION IN THIS DOCUMENT. INCLUDING ATTACHMENTS, MAY BE SUOJECT TO civil AND CRIMINAL SANCTIONS.
4 me. i eenwy weser penshy es emiury that the infamenton m this desumwe ord wiechmens h true put sorrect, i furthw senHy thm I how notHm! my surrent engWover of; (1) WI prewmue engleyerg; (3) eny enseense gefeste I hees been tested by e Hestth end Human astvtese IMH$) Cenef'ed Drug Teming LahoretOry Or e Licenese's teetm9 fettlity for eiCOhol er a controlled meteenee, and the test tenufte enegaded ties outoff levole estabheheel swoueni to 10 CF A Port 24 (3) any insience where I how been ervesese lor the sese, use er posesseson of a controHed substanc,e and t4: any veneens ter veme i a revo euen et unseconed emeese m e aucesset asenny, i eien authorin the NRc to memn the rotune os eumirmene io my emoseven so un in propenine rarma..e peegrenas se nesseesty
$10 NATURE APPL 8 CANT.
Daft CHECK APPLICABLE POX h I eartify that the above named indtvedual hee eutcessfully somgWetal the tecihty fireneses reluoromente 10 he Iscemed as en Operaterl6enior Operator pursuant to Title 80, Code of Federal Regulatens.
, Port 05:and that the indeveduel hos e need hit en Operefor/tseneer Opererer essenes to perform hee /her eeugned outeso end that the tendetpin be messe owedeDee for esameneten, i eleo certify under peneRy of portury that the letermetton in thee tescument ensi ettechmerite to true end correct.
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& RENEWAL ONLY I conify that the shows named Indnredual meets the sporewed requallistetten psogram (wita escoptisms soved M from f 7) es fesulted by section 50.54 4 il of 10 CFR 60, and that he/she has discharged h6e/her licensed toeponeitWineg sempmently end echty. j elgo centh undw pensity of perjury thet the informetton in (hte document end ettschmentt..
is true and correct.
TRAINING COOCDINATOR SENIOR MANAGEMENT REPRESENTATIVE ON SITE PReNTED OR TYPED NAML PRINTED OR TYPED NAME S$GNATURE DATE SiONATURE DAfg FOR NRC USE WAIVER (Chdek or Complete items, as applica6/e/
l MEtts ngoulHEMENTS l l DOES NOT MEET REQUIREMENT 4 ttosevn eeJo
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D' "' ' U "
CATEGORY HE ADQU A R T E Rs " U '
R E GION HE ADQU ARTE R$
R e GION Y.7ITTEN OPERATING ELilitlLITY MEDICAL.
sloNATURE-NEVI &WEH lDATE l
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lI ACILt TY OOCAt T NVhett R e-
.. e,..u A. MEDICAL EXAMIN ATION CERTIFICATION m
Tetl$ t$ TO Cdif7Y THAT THE. ABOvt NAMED aPPLiG t.T F OR AN OPL R ATOR" SENIOR opt R ATOft LICEN5t HA5 8EEN E R AMINtD BY A PHYstCI AN m
PRINitD NAMt inf a%remens g ST Af t. AND LILLN$t NUMBLR lt AAMINATION DAf t' I
$ ANLD ON THE ht SULTS Of tut t x AMIN ATION INCLUDING INSURMATIC;.TURNISHE D DV THE Al'PLICANT THE PM)SICIAN MAS Dtil RMINE D TH AT THt APPLICANT'S PHYSIC AL CONDifl014 ANO GtNLR AL HL ALTH Aftt NOT SUCH THAT If MIGist CAUSE OPER ATION AL L rotor 5 ENDANGt RING PUBLic Mt ALTH AND LAF ETY i CE RTIF Y THAT IN itf ACHING 1 hts DCTI RMIN AtiON. THE GUIDANCt CON T AINLD IN AN51, AN5 3 41983. OR AN51/AN516 4197 7 (N3110t W As POLLOWt0 AND tHAT DOCUME NT ATION il AV AILASLI FOR fit vitW SY NRC.
ON THE BA$l$ CF THE Rf COMMENDATION OF f tiL.fHYSICIAN. I RECOMME ND THAT THC APPLICANT'S OPERATOR LICENSt 6E CONDITIONED AS
._OLLOWS P
- 1. NO RtSTRICTIONS
- 2. COR$st CTtyt LtNst$ $t WORN WHEN PERFORMINO LICENSED OUTitS
- s. HE ARING AfD 8% WORN WHEN PE RFORMING LICtNSID Duf ttS 4 RLST Rict ED LICE NSt OR E KCtPTION Pmvine meia N heio acus enach saouartme medical eveente tot NRC rmew
% R(ST *iCTION CHANGt F ROM PRt vlOUS $UBMitt AL Penv,oe oeia is tieme ami ettath succwt.no mouices mnente to NRC ene*
PRO *DNL D WORCING Of RESTRICTIC'e 18'in e d ateves R E LAtlONSHIP 08 811ST RICTION T O DISOUALIF YING CONDit lON (preet& erancere #ew reserNn swu cor, ort the rhaow,4mp comritsont Rt M ARK 5 FOR RitT RICTION CHANGC (8sota 6 afeves tl. NONMt. DICAL Ct Hilf ICA IlON POWL R Rt ACTDR$
THIS CLRTIF:t5 THAT THE Aff'LICANT HAS BtEN FOUND TO Mt ti THE SAF LGUARDS' AND FliNESS FOR DUTY REQUIREMENT 5 0F THis F ACILITY FOR LtCEN5ED opt nATORS y
NON POWE R Rt ACTORS THIS CtatiFits THAT THE CLICANT HAS btf N FOUND TO Mt ti THE SAFEGUARD $' v4tOUiREMLNTS OF THis F ACILif Y 80R LittN5t0 OP8 R ATOitt iND l HAVE NO KNOWLCDGE OF THE APPLICANT LXCitDING THE CUTOF F LtyELS FOR ALCOHOL OR CONTROLLED $USST ANCl$ AS iET ABLl$HtD FUR $UAN f TO 10 CF R 26 F
an v e a ssi s t a t e ue n t um uwisuuh in t nis pucuuim t ihnuceNu at t auvim in wa s et sumatc t Tu civit aku tniwie.at aaNu iuht a ct* i d v unutu riNai.t v ut L
POMJyotg f eeA t TMG INeGMMa tKih.N THi$ DOCUMt NT AND ATT ACHWtNtli$ IMU$ aND CORRlCT, PRINitD N AME AND SIGN ATURL I3enw Meregemeert meprewntarne on $, ret f!TLt Daft in actoraance a in 10 (,F R 66 6 Apmenumcate'ni inns form theti be suomnted to It e NRC as foisows 8 Y MAIL ADDRt $54D TO.
Regional Adm mstrator. Regiun i Regenai Admmetrator, Region il liegionai Aammistrator. Regen til U S. Nuciose Requietory Commision U S Naci+ar Reo.iiatory Commessen U S Nuclear Reeviston Commimon 47% Alterniete Road 101 Mar.etta St'tet Suite 3100 7119 Auowveit Road Kmg of Pruwe PA 19404 Attauta. G A 30323 Gwn (livn. IL tiO137 tieg onal Admmiittator, Recon IV Regenai Administratoe. Reg.on V U S. Nutiese Requiaiovy Commnica U 5 Nuclear Requistory Comm won 611 Ryan Pisia Dr.ve y,, iono e sgo Ma,is Lane, suita gio r
Aomgton. 7Je 76011 Wemut Caen. CA 94596 PRiv ACY ACT %I A n tME NT Pursuant to 6 V EC 552ateH31. enacted mte lee by secten 3 of the Privacy Act of AOUTINE U$ts The etoematen may tw 04ciowo to en soumorwie Feoerc, State. o e 1974 (Pubi.c Lee 91579L the intameg notement 6 ' wen.she to moie ouaii who locat egenev m the event the inbemation indicates a veisten at lesential veisten of law sup uy miormaten to IM U $ Nectear Regulato'v Comm%on on NRC Form 396 ano m the event t's information intlicates a seistion os potentiai voiaten of iew anu m the mfoemaw m memtemeo m a ivstem of eomos angnated as NRC 16 ead the coune of an ademisteetive or iuoicie procevome in edes< ten tha informaten enav te deictitwo at $1 Fotle'ei Reg' fief 33157 ISeptem:sre 18 19861 tramiter'ed to an appropeiste Feoerat Steie. ano iocat a anncv to the entent reieverit eno AUT HOfilT Y Sectoni 107 and 16114 of the Aturmc Enegv Act of '954. ei neceitary for an NRC oocinion ateut you amenonf ia7 U S C ?t3f ew n01bn WHE THE R OtSCLOSUPE t$ VANDATORY ~) R VOLUNTARY AND EFitCT ON PRiNC; PAL PURPOttts). letoematen enie ed on this bem 4 i..) to oetermme INDIVIDUAL OF NOT PROviDING INFORMATION D wasure 4 voiuntarv. It the ewther the rmvocai coreition and genetai hesith o' the arpucent are such that thev 'effuetted *'o"elion 4 "ot D' ovide't ho*e'e'. ihe aci"'cas on toe a f acility otu 'atori
.41 not cause operatenas er' ort emianserint p4buc heetth and sa'ety the mtorma-or uner opetam s i cenu mav be cen.m.
ten may tw meo by the NRC staH to dettemine it the imoiviouat meets the requot
$YSitM MANAGERts) AND ADDatSS Chiet Oteratur Licenimg Branch O't ee of l
nwnts et 10 CF R $6 to tsee en nemmeteen or to be maued an operator t 6.cenw Naciese Peactor Re,4iaten. U S. Nucieer Regu.atorv Commaien. AainmiPo% DC 20556 Nef* eqiegi via i$ agt
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smear or aunas m me nom m Medical Examination Certificatica Added block " Restriction Qanse Frta l
Pawious Sutunittal" plus Remarts i
section.
Non-Medical Certification
- Chansed non-marHaal certification i
statement to: Power Beactore-This i
certifies that the applicant has been 2
fo n d to most the maf e m % ' and fitness for chrty requirementa of this this facility for licensed operators.
Hanpower-This certifies that the applicant has been found to meet the enfesuards' rwauirements of this i
facility for lih operators and I have no knowledge of the applicant
====rHw the autoff levels for slanhal or controlled substances as es+=M w pummaant to 10 CFR 26.
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l StttW@! 0F CHAtMS 10 IEC IGM 396 Item 4.d Added clarifying statement to 4M% this is to be checked only if application is to amend limenes to add additianal tait (s).
Item 4.f Added "(Catasory)" to Cperating, i
Added "MarHam1".
Item 4.s Added a new item "Date Passed Generic Fundamentals i
Ensaination Section".
Item 12.3 Changed wording to " Certified Startup Program Completed" for clarification.
~
t Item 12.5 Changed wording to " Extra Person on Shift In Control Room I
(13-week minima)" for clarification.
1 Item 12.5a Added a new item "Tian Cks Stdft Above 205 Power (6-week miniaan)".
Item 14.a Added the words "That Is Bened Upon A Systems Approach to Tr=4aia=" for clarifiestion.
Item 15 Added "Date and Result of Host Aeoant NRC Administered Begualification h==ination".
4 Item 19 a Added the wording "I further certify that I have notified my current employer of t (1) all prwious employers: (2) any instance where I have been tested by a Health and Human Services (HBS) Certified Deus Testing L-Wr/ or a Licensee's testing facility for alcohol or a ountrolled eubstance, and the test results====v4=ri the cutoff levels established pursuant to 10 CFR Part 26; (3) any instance where I have been arrested for the sale, use or possession of a controlled substanos described in 10 CFR Part 26 and.
(4) any reasons for removal or zwvocatica of unescorted aoones at a nuclear facility".
Item 19.b and Item 19.c Moved 19.b and 19.c tesother. Applicable box must now be checked. Aleo added block for typed name of Training Coordinator and Rania* Management Representative th Site.
PGt NRC USE thder waiver category added " Medical".
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