ML20137B669
ML20137B669 | |
Person / Time | |
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Site: | Wolf Creek ![]() |
Issue date: | 03/14/1997 |
From: | NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION IV) |
To: | |
Shared Package | |
ML20137B646 | List: |
References | |
50-482-97-02, 50-482-97-2, NUDOCS 9703240023 | |
Download: ML20137B669 (22) | |
See also: IR 05000482/1997002
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ENCLOSURE
U.S. NUCLEAR REGULATORY COMMISSION :
REGION IV
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Docket No.: 50-482
License No.: NPF-42
Report No.: 50-482/97-02
Licensee: Wolf Creek Nuclear Operating Corporation
Facility: Wolf Creek Generating Station
Location: 1550 Oxen Lane, NE
Burlington, Kansas
Dates: February 24-27,1997
Inspectors: Gail M. Good, Senior Emergency Preparedness Analyst
(Team Leader)
Stephen C. Burton, Resident inspector (Arkansas Nuclear One)
Jennifer L. Dixon-Herrity, Resident inspector
David M. Silk, Senior Emergency Preparedness Specialist (Region 1)
Nancy T. McNamara, Emergency Preparedness Specialist (Region 1)
Approved By: Blaine Murray, Chief, Plant Support Branch
Attachment: Supplemental Information
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9703240023 970314
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ADOCK 05000482
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EXECUTIVE SUMMARY
Wolf Creek Generating Station
, NRC Inspection Report 50-482/97-02
A routine, announced inspection of the licensee's performance and capabilities during tne
full-scale, biennial exercise of the emergency plan and implementing procedures was
performed. The inspection team observed activities in the control room simulator,
technical support center / operations support center, and emergency operations f acility.
, Plant Suonort
- Overall, the control room staff's performance was good. Scenario emergency
events were properly analyzed and classified. Notifications to offsite agencies were
timely and accurate. Internal and external communications, as well as interactions
between the control room and technical support center, could be improved. One
plant announcement did not include a statement to prohibit eating and drinking, and
another plant announcement did not warn personnel to stay clear of the turbine
building (Section P4.2).
- Overall, the technical support center staff's performance was generally good. Less
than satisfactory performance was observed in the areas of internal and external
communications. An exercise weakness was identified for ineffective
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, communications which led to an untimely site area emergency declaration. Facility
priorities were not effectively established and tracked. While personnel
accountability, on the whole, was properly maintained the procedures for
accountability were confusing and sorne personnel did not understand how to use
the accountability form (Section P4.3).
- Overall, the operations support center staff's performance was good. Facility
activation was timely and orderly. Operations support center management
J demonstrated good command and control. Repair team accountability and
communications were generally good. In general, inplant teams performed well.
One team experienced significant, avoidable delays (Section P4.4).
- Overall, the emergency operations facility staff's performance was good. The duty
emergency manager exercised effective command and control. Offsite agency
notifications and interactions were generally correct and timely. The dose
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assessment team performed well. In general, field teams were efficiently and
effectively used and controlled. Field team usage was not effectively maximized to
determine doses beyond the 10-mile emergency planning zone (Section P4.5).
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The inspectors determined that the scenario was sufficiently challenging to test
emergency response capabilities and demonstrate onsite exercise objectives.
Exercise control was more effective than it was in the 1995 exercise; however,
there was still room for improvement (Section P4.6).
- Overall, the licensee's self-critique process effectively identified areas for corrective
action. The control room simulator exercise centroller was c'.allenged to perform
controller / evaluator duties. The technical support center pr4t-exercise critique
could have been more challenging. The emergency operat.ons facility post-exercise
critique was exceptionally thorough and self critical. A low threshold was used to
determine performance strengths in all facilities (Section P4.7).
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IV. Plant Support
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P4 Staff Knowledge and Performance in Emergency Preparedness !
P4.1 Prooram Areas insoected (82301)
The licensee conducted a full-scale, biennial exercise on February 25,1997. The I
exercise was conducted to test major portions of the onsite (licensee) and offsite
emergency response capabilities. The licensee activated its emergency response
organization and all emergency response facilities. The Federal Emergency i
Management Agency evaluated the offsite response capabilities of the State of l
Kansas and Coffey county. The Federal Emergency Management Agency willissue
a separate report.
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The exercise scenario was run using the control room simulator in a dynamic mode. {
The exercise scenario began at 7:30 a.m. with the plant operating at 100 percent
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power. Normal weekday personnel were available for duties. At the start of the
exercise, Motor Driven Feedwater Pump A was out of service and multiple fuel
defects existed. Chemistry technicians were taking reactor coolant samples every
2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br />. Meteorological data indicated that a front was expected to pass through
the area later in the day.
At 8:10 a.m., the control room received indication that an operational basis
earthquake had occurred. The appropriate alarm response procedures and the ;
emergency plan were reviewed. An alert was declared at 8:21 a.m.
Shortly after the alert declaration, the control room received a report that a worker
had suffered a heart attack. The control room dispatched the fire brigade leader and
an emergency medical technician to respond to the medical emergency.
At 8:36 a.m., a leak was reported in the condensate storage tank supply to the
auxiliary feedwater pumps. In response, the shift supervisor declared the auxiliary
feedwater pumps inoperable. Emergency director duties were transferred to the
technical support center at 8:41 a.m. Subsequent conflicts batween the technical
specifications and the off-normal procedure for earthquakes were discussed with
the duty emergency director in the technical support center.
At 9:03 a.m., the reactor operator reported that reactor power was increasing
without operator action. The control room staff took actions for a steam leak and I
the accompanying safety injection signal. The control room staff determined that i
the cause of the power increase was an unisolable steam leak in Steam
Generator A.
During the next 1.5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br />, the control room staff responded to the steam leak and
associated complications. Post-earthquake system walkdowns were completed
after Steam Generator A boiled dry and the turbine building became accessible. 1
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At 10:07 a.m., the duty emergency director declared a site area emergency based
upon a main steam line break with failed fuel. At 10:31 a.m., the control room
operator reported that pressure was increasing on Steam Generator A. Operators
determined that the steam generator had experienced a tube failure and that an l
unisolable leak existed between the reactor and the turbine building via the steam
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generator. A safety injection signal was received and reactor pressure was ;
j eventually stabilized. Actions were taken to determine the extent and magnitude of I
the radiological release. The duty emergency director declared a general emergency -l
at 10:48 a.m. due to a ruptured, faulted steam generator with defective fuel.
i At 11:32 a.m., a plant cooldown was commenced and continued until exercise l
termination (3:47 p.m.). The control room staff responded to other events and {
annunciators as required throughout the remainder of the exercise.
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P4.2 Control Room f
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performed tasks in response to the exercise scenario conditions. These tasks
included event detection and classification, analysis of plant conditions, offsite
agency notifications, and adherence to the emergency plan and implementing
procedures. The inspectors reviewed appliccble emergency plan implementing I
l procedures, logs, checklists, and notification forms generated during the exercise.
b. Observations and Findinas
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The control room operators correctly diagnosed and classified events through the
j use of control room annunciators, alarms, and instrumentation. Operators !
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l accurately and promptly diagnosed the alert condition based upon an operational ,
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basis earthquake. Subsequently, the control room staff accurately identified and i
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. responded to numerous events including and unisolable steam generator tube leak !
and an unisolable primary to secondary leak that resulted in a radiological release to
the environment. Notification of.offsite authorities was accomplished within ;
prescribed time requirements. j
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Although the operators demonstrated the ability to maximize cooldown rates, the !
cooldown was delayed due to communications and coordination problems between '
the technical support center and control room. Inspectors observed the following
examples:
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- First, a maximum cooldown ra'e t of 100 degrees per hour was established;
however, actual cooldown averaged approximately 65 degrees per hour.
The inspectors concluded that the control room did not fully understand the
urgency of increasing the cooldown rate, because the technical support
center and control room supervisory staff f ailed to communicate the 1
mc.gnitude and consequences of the offsite release.
Second, the control room slowed the cooldown and considered stopping the
cooldown to facilitate residual heat removal system sampling and safety '
injection pump tagging. These support activities were neither anticipated '
(prestaged) nor coordinated with the technical support center (see
Section P4.3 below for additional details).
- Finally, some technical support center activities delayed the shift to the
residual heat removal mode of cooldown. Inspectors observed the following
examples: (1) both trains of residual heat removal were not sampled initially,
(2) proceduralized sample points for the residual heat removal system had to
be reevaluated after chemistry and engineering personnel raised questions
about boron concentrations in nonsampled portions of the system, and 1
(3) the technical support center engineering staff did not receive prompt j
support to obtain poison graphs needet for shutdown margin calculations !
(see Section P4.3 below for additional details). !
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Although communications were generally good, some internal and external control ;
room communications had the potential to degrade the response effort. The i
inspectors observed the following examples:
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- First, three-way communications were good during significant evolutions but
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were sometimes lax during other periods. Three-way communications I
involve information communication by provider, information restatement by j
receiver, and information confirmation by provider. Three-way '
communications broke down on the following occasions: (1) valve I
repositioning completion reports for residual heat removal were not l
acknowledged, (2) the order to isolate steam generators was not '
acknowledged although completion was reported back, and (3) the ;
acknowledgment for repositioning the letdown isolation valves was j
accomplished while performing the task. l
- Second, Procedure EPP 01-9.1, " Personnel Accountability and Evacuation,"
Revision 12, did not allow eating, drinking, etc., until accountability was
completed. However, Form EP 01-1.0.9, " Alert Announcement," Fevision 0,
listed this requirement as an optional statement that could be made during
the announcement. The optional statement was not used wher the
announcement was made during the exercise. Given the scenuio plant
conditions (unknown due to the earthquake), the existence of an
unmonitored release was a possibility. The inspectors concluded that,
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despite the procedural inconsistencies, it would have been appropriate to
include the statement, since personnel could have received dose during the
accountability process, before plant conditions were assessed.
Third, announcements concerning the steam leak did not inform personnel to
stay clear of the turbine building (the location of the steam leak). As a
result, personnel could have attempted to evacuate through the turbine
- building following the site accountability announcement.
I * Fourth, control room and technical support center personnel tasked to
perform NRC notifications were unfamiliar with some responsibilities. Some
efforts were duplicated after responsibilities transferred to the technical
support center. For example, since the control room communicator was not
confident that the technical support center communicator had completed the ;
required site area emergency notification form, the control room
communicator duplicated the form and the associated report. ,
c. Conclusions :
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Overall, the control room staff's performance was good. Scenario emergency
i events were properly analyzed and classified. Notifications to offsite agencies were
timely and accurate. Internal and external communications, as well as interactions .
between the control room and technical support center, could be improved. One !
plant announcement did not include a statement to prohibit eating and drinking, and
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another plant announcement did not warn personnel to stay clear of the turbine
building
P4.3 Technical Sucoort Center
a. Insoection Scooe (82301-03.03)
The inspectors observed and evaluated the technical support center staff as they :
performed tasks necessary to respond to the exercise scenario conditions. These
tasks included staffing and activation, accident assessment and event classification,
offsite agency notifications, personnel accountability, facility management and
control, offsite protective action recommendations, onsite protective action
decisions and implementation, internal and external communications, assistance and
support to the control room, and prioritization of mitigating actions. The inspectors
reviewed applicable emergency plan implementing procedures and logs. The
licensee's technical support center and operations support center are collocated;
however, independent command and control structures are maintained.
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b. Observations and Findinas
The technical support center had the minimum required staff and was activated
within 20 minutes after the alert declaration. The technical support center was
activated in a coordinated and efficient manner. Communications were promptly
established with the required onsite and offsite locations.
The duty emerger;cy director in the technical support center correctly classified the
site araa and general emergencies. In both cases, the duty emergency director
discussed the emergency classifications with the control room shift supervisor and
emergency operations facility management. Although both events were correctly
classified, the s;+e area emergency was not declared in a timely manner due to
internal communication problems and insufficient procedures. The communications
problems and the untimely site area emergency classification are discussed further
below. Offsite agency notifications and protective action recommendations were
correct and communicated within regulatory limits.
In general, the duty emergency director effectively communicated with the other
participants and maintained good command and control of the center. Staff
briefings were appropriately conducted when new information became available. All
activity stopped while the briefings occurred; however, the inspectors noted that
parts of the briefings were hard to hear because the duty emergency director did
not stop the' briefing during normal (nonexercise; plant announcements. Appropriate
logkeeping was observed throughout the facility. .
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Some internal and external technical support center communications were
ineffective and had a negative impact on the efficiency of the response effort. The
inspectors observed the following examples: !
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- First, there were two instances where communications between the control
room and technical support center resulted in the technical support center
not being aware of plant conditions. One instance occurred after the duty
emergency director directed the shift supervisor to maintain the plant online
due to inoperability of auxiliary feedwater and incomplete plant tours
following the 8:45 a.m. earthquake. At 8:53 a.m., technical support center
personnel understood that the control room was shutting down due to entry l
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into Technical Specification 3.7.1.2 caused by loss of the condensate
storage tan' (suction source for auxiliary feedwater). The plant shutdown
was reportt d during the duty emergency director's briefing and technical
support center personnellogs documented that a plant shutdown had
commenced with a goal to complete the shutdown in 3 hours3.472222e-5 days <br />8.333333e-4 hours <br />4.960317e-6 weeks <br />1.1415e-6 months <br />. Control room
personnel documented entry into Technical Specification 3.7.1.2 but never
commenced a shutdown.
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The other instance occurred at 9:20 a.m. when engineering personnel
announced to the technical support center that auxiliary feedwater was being i
supplied by essential service water and that the condensate storage tank l
was isolated. At 9:35 a.m., after being questioned, engineering personnel l
discussed the status of auxiliary feedwater with the control room and were I
informed that the condensate storage tank was still the source for the
auxiliary feedwater system.
- Second, technical support center management did not brief center staff on
probable failure paths in the emergency action levels or conditions that
would cause event escalation. Moreover, the emergency action level
indicators (escalation criteria / thresholds) were not assigned a priority and
, placed on the priority board to inform personnel of the need to monitor these
< conditions. Technical support center management identified this information
and briefed emergency operations facility management on the probable
escalation paths. As a result, technical support center personnel were not
aware that management was interested in the dose equivalent iodine data
when the information became available.
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Specifically, the post-accident sampling system information needed to
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classify a site area emergency (dose equivalent iodine data) was available to
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the technical support center staff at approximately 9:30 a.m. but was not
immediately forwarded to the duty emergency director. it should be noted
that the duty emergency director had asked several personnel to provide
post-accident sampling data when it came in earlier in the exercise.
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To allow the scenario to progress as designed, controllers had to reintroduce
the information to the radiological emergency coordinator, the dose
assessment coordinator, and the nuclear engineer with the message to
provide the data directly to center management. The duty emergency
director did not receive the information until approximately 10 a.m.,
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approximately 30 minutes after the information first became available. Upon
receipt of the data, the duty emergency director promptly declared the site
area emergency at 10:07 a.m.
As a result of the technical support center's failures to identify, recognize,
and communicate dose equivalent iodine data, the site area emergency was ;
i not declared in a timely manner. The licensee also identified this concern l
and noted that procedures did not provide sufficient guidance for personnel l
to report dose equivalent iodine information to technical support center
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- Third, the communication between the control room and technical support
center concerning the condensate storage tank damage was not clearly
communicated. The damage was reported to the technical support center as
an auxiliary feedwater supply line " break." The problem was identified to the
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control room as a big leak on the auxiliary feedwater supply line at
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Valve APVO15 (condensate storage tank outlet to auxiliary feedwater pumps
- isolation). Without verifying the damage visually or discussing the damage i
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certain equipment was needed to repair the " break." As a result, the repair i
was unnecessarily delayed (see Section P4.4 below for additional details). {
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- Fourth, the terminology used to describe the main steam line break to
technical support center personnel caused some confusion. After the '
briefing that reported the faulted steam generator, the offsite field team '
communicator informed the teams that there was a fault (seismic) under the l
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steam generator. Later, the individual checked the inforrnation and corrected
the communication. If the miscommunication had not been corrected, the ;
j field teams would have been unaware of the steam release in progress. !
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! system was to be sampled, rather than the post-accident sampling system,
l further delayed the reactor coolant system cooldown and release termination.
I Specifically, after the Auxiliary Feedwater Pump B repair team arrived at the
job site, they found that the nuclear station operator assigned to tag the
_ pump was not there. The team reported this problem to the operations
! support center communicator. The operations support center communicator
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did not follow through on this report. After waiting approximately
30 minutes, the team called the control room to resolve the problem. The
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- the communication delayed the repairs.
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Collectively, these examples of ineffective internal and external technical support
j center communications were identified as an exercise weakness due to the negative
impact on the efficiency of the response effort (50-482/9702-01).
The inspectors noted that the priority board was not effectively used. Once
assigned at approximately 8:50 a.m., the priorities on the board were not addressed
for approximately 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br />. The priorities identified were appropriate, but the
inspectors noted other concerns that were not addressed as priorities.
For example, at 9:09 a.m., engineering personnel recognized the risk to the steam
generator tubes, due to the pressure differential, once the steam generator emptied,
Later, the operations emergency coordinator called a " time-out" to emphasize the
data elements specified in the emergency action levels that would indicate a steam
generator tube ruptura. This information was never addressed as a technical
support center priority.
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Moreover, an update time was not recorded on the priorities board to inform
personnel of priority status (current /not current). Similarly, an update time was not
recorded on the radiological status board and the engineering priorities status board.
The inspectors noted that center procedures did not discuss the priority board or its
maintenance.
Due to the diligence of assigned personnel, personnel accountability and access
control were generally well maintained. Initially, there was some confusion about
the accountability station location. The accountability clerk's desk was not placed
by the designated entry door. The inspectors observed that the accountability clerk
followed an individual who had entered through the correct door to ensure that the
individual signed-in on the accountability roster. The licensee identified that the
sign on the door near the accountability clerk's desk was poorly placed and that the
door should have been locked to prevent entry,
in addition, after reviewing the accountability log, tM inspectors noted that a ;
number of individuals failed to document their dostination and that others failed to
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use the form properly (some entrance times were later than exit times). The
inspectors concluded that the current process was confusing and that personnel did
not understand how to use the accountability form.
c. Conclusions
Overall, the technical support center staff's performance was generally good. Less
than satisfactory performance was observed in the areas of internal and external
communications. An exercise weakness was identified for ineffective
communications which led to an untimely site area emergency declaration. Facility ,
priorities were not effectively established and tracked. The procedures for l
accountability were confusing and personnel did not understand how to use the
accountability form. {
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P4.4 Ooerations Suncort Center
a. Inspection Scone (82301-03.05)
The inspectors observed and evaluated the operations support center staff as they
performed tasks in response to the scenario conditions. These tasks included
functional staffing and inplant emergency response team dispatch and coordination
in support of control room and technical support center requests. The inspectors
reviewed applicable emergency plan implementing procedures, logs, checklists, and
forms generated during the exercise. The licensee's technical support center and
operations support center are collocated; however, independent command and
control structures are maintained. ;
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b. Observations and Findinas
The operations support center was staffed in a timely manner. Following the
8:21 a.m. alert declaration, the control room made an 8:25 a.m. announcement to
staff the emergency response facilities. The technical support center / operations
j support center was declared activated at 8:41 a.m. when minimum required staffing
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leveis were met.
To expedite team deployment, arriving repair personnel and health physics
technicians signed-in on a " Task Board" and gathered full protective clothing in
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advance of any team formation. As a result of this process, the operations support
center supervisor was aware of the maintenance disciplines and health physics
technicians who were available and ready to be utilized.
Overall, command and controlin the operations support center was good. Noise
levels and distractions were kept to a minimurn throughout the exercise.
Habitability was regularly checked by conducting surveys and obtaining air samples.
Tasks were properly prioritized and modified according to changing simulated plant
conditions.
Inplant response teams were sufficiently briefed and debriefed for each assigned
task. The briefings were thorough and included a technical brief, a personnel safety '
brief, and a health physics brief. The debriefings included important information and
observations pertinent to dispatch of subsequent teams, such as the existence of
steam and radiological releases / conditions.
The operations support center inplant communicator properly maintained
accountability of teams and team members. The communicator generally
maintained good radio contact with the teams and relayed the team reports to the
operations support center supervisor for dissemination to personnel in the technical
, support center.
The process for dispatching teams was generally good. One team experienced
numerous delays, indicating room for improvement in the area of team
dispatch / planning. Specifically, Team 2, which was assigned to repair a leak in the
condensate storage tank, was dispatched from the operations su. , ort center
70 minutes after the center received the leak report. The delay w. primarily due to
the need to coordinate briefings; both inplant teams and offsite fiele monitoring
teams were being dispatched (i.e., both needed briefings).
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Once dispatched, Team 2 went to obtain the tools they thought would be needed to
repair the leak. After 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> and visits to three different tool storage areas, the
team finally had the predetermined tools. Tne team did not have a key to the
turbine deck maintenance storage area. To gain access, the team simulated using
bolt cutters. When the team arrived at the condensate storage tank, they were
informed by the controller that the leak was at a flange (loosened by the simulated
earthquake). Team 2 did not have the necessary tools with them to tighten the ;
flange bolts and had to return to a tool area to obtain the necessary equipment.
Finally, at 11:10 a.m. (2.5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> after the leak was reported), Team 2 stopped the
simulated leak. The inspectors attributed the additional delays to: (1) the failure to
initially assess the source of the leak to determine necessary tools, (2) the failure
provide sufficient information regarding tool location, and (3) the failure to provide
necessary keys prior to team dispatch. The inspectors concluded that these delays
did not constitute an exercise weakness because other teams did not encounter
similar delays. However, the experiences of Team 2 demonstrated areas where
improvements could be made to expedite repair team response.
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c. Conclusions
Overall, the operations support center staff's performance was good. Facility
activation was timely and orderly. Operations support center management
demonstrated good command and control. Repair team accountability and
communications were generally good. In general, inplant teams performed well.
One team experienced significant, avoidable delays. -
P4.5 Emeraencv Ooerations Facility i
a. Insoection Scooe (82301-03.04)
The inspectors observed the emergency operations facility's staff as they performed
tasks in response to the exercise. These tasks included facility activation,
notification of state and local response agencies, development and issuance of
protective action recommendations, dose assessment and coordination of field
monitoring teams, and direct interactions with offsite agency response teams. The :
inspectors reviewed applicable emergency plan implementing procedures, logs,
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checklists, forms, and dose projections generated during the exercise. ;
b. Observations and Findinas
The emergency operations facility coordinator readied the emergency operations
facility for operation following the 8:21 a.m. alert declaration. Emergency Plan
Procedure EPP 01-4.3," Emergency Operations Facility and Alternate Emergency
Operations Facility Activation," Revision 16, required facility set-up within
60 minutes following a site area or general emergency, or when directed by the
duty emergency director. As part of the set-up process, the emergency operations
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facility coordinator synchronized clocks, ensured that air lock doors remained l
locked, and established a radiological control point at the access door. The facility l
was efficiently and effectively readied for operation.
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Assigned facility emergency response organization personnel arrived shortly after
the 10:07 a.m. site area emergency declaration. Procedure EPP 01-4.3 required
activation by emergency response personnel within 90 minutes of a site area or
general emergency. The emergency operations facility was activated at 10:53 a.m.;
however, the technical support center retained emergency director duties until
notifications were completed for the general emergency (declared at 10:48 a.m.).
Emergency director duties transferred to the duty emergency manager in the
emergency operations facility at 11:06 a.m. Facility habitability was confirmed
following the initiation of the 10:35 a.m. radiological release. Activation and
transfer of essential emergency duties were conducted in an efficient and orderly
manner.
The duty emergency manager exerted effective command and control during the ,
exercise. Facility priorities were established and periodically updated. The duty ,
emergency manager conducted briefings at appropriate intervals or when conditions
changed. On several occasions, separate management briefings were held in an
adjacent conference room to ensure that current plant status and focus were
understood by key personnel, including participating state and local authorities. The
conference room contained telephone extensions to ensure that the duty emergency
manager was always capable of receiving important information from the technical
support center,
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The radiological assessment manager provided continuous information to the duty
emergency manager concerning offsite radiological conditions, offsite field survey ;
team positions, and changing meteorological conditions. The radiological
assessment manager also assisted the duty emergency manager with protective
action recommendation determinations. Communications between the radiological
assessment manager and duty emergency manager were clear; however, the
radiological assessment manager could have been more vocal during management
briefings.
The dose assessment supervisor was very good at interpreting the licensee's
computerized dose projections. In addition, the supervisor routinely
communicated with technical support center counterparts regarding current
plant conditions and properly kept the radiological assessment manager
apprised of changes in radiological and meteorological conditions. l
Protective action recommendation changes were developed and communicated to
state / local authorities in accordance with procedures. However, the inspectors
identified a concern regarding protective action recommendations. Specifically,
Step 6.3 of EPP 01-10.1, * Protective Action Recommendations," Fevision 13,
required that the duty emergency director / manager notify state and county
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. authorities about doses that exceed the Environmental Protection Agency protective '
action guides beyond the 10-mile emergency planning zone. The procedure did not i
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require a licensee protective action recommendation.
During the exercise, projected doses (based on field team samples) at 10 miles f
exceeded the Federal limits at 1:35 p.m. Specific actions to protect the affected
public were formulated by offsite authorities at 3:42 p.m. (over 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> later). It ,
appeared that additional support from the licensee would have expedited the
process. Moreover, during the post-exercise critique, offsite authorities stated that !
additional utility support would have been welcomed.
The inspectors concluded that procedural guidance concerning protective action !
recommendations beyond the 10-mile emergency planning zone did not provide
offsite authorities with the level of support they would have liked, nor was it
consistent with Federal expectations outlined in NUREG-0654, " Criteria for
Preparation and Evaluation of Radiological Emergency Response Plans and ;
Preparedness in Support of Nuclear Power Plants." The licensee acknowledged the j
difficulties experienced during the exercise and agreed to review the process and t
procedures with the State of Kansas. '
in general, field monitoring teams were efficiently and effectively controlled. Two !
utility field teams were dispatched following the general emergency declaration. [
Upon arrival of state and county personnel, four joint (utility, state, and county) field '
monitoring teams were formed. The teams obtained plume centerline air samples
and defined plume edges. One team remained out of the plume to analyze field ;
team samples. ;
The inspectors concluded that the radiological assessment supervisor did not !
effectively maximize the use of field teams for determining doses beyond the ;
10-mile emergency planning zone. As indicated above, at 1:35 p.m., dose rates !
beyond the 10-mile emergency planning zone were projected to exceed Federal
limits. Rather than send one of the existing field teams to confirm the doses
beyond 10 miles, a decision was made to form a fifth team. The fifth team was not !
dispatched until approximately 2:50 p.m. (over an hour later). As a result, the
t information needed by the decisionmakers to make protective action
recommendations beyond the 10-mile emergency planning zone was delayed. The j
licensee acknowledged this finding and stated that the field team control process !
l would be reviewed.
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The inspectors noted good cooperation and teamwork between the dose !
assessment technicians from the licensee and the State of Kansas. The dose
j assessment supervisor frequently discussed questionable data with the
state's dose assessor, and the radiological assessment supervisor discussed :
, and coordinated the effect of the offsite field teams with state and county .
A field team coordinators. _
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With one exception, visual aids, such as maps and status boards, were l
effectively used during the exercise. The inspectors noted that the isopleth
overlay on the emergency planning zone map (used to display plume and
field team locations) did not always coincide with the meteorological data l
recorded on the radiological status board. For example, at approximately l
1 p.m., the inspectors noted that the wind direction shifted from 40 degrees i
to 220 degrees. For approximately 90 rninutes, the licensee did not move
the isopleth overlay on the emergency planning zone map to properly reflect
the wind change.
-c. Conclusions
Overall, the emergency operations facility staff's performance was good. The duty
emergency manager exercised effective command and control. Offsite agency
notifications and interactions were generally correct and timely. Procedural
guidance concerning protective action recommendations beyond the 10-mile
emergency planning zone was not sufficient to support offsite officials. The dose
assessment team performed well in general, field teams were efficiently and .
effectively used and controlled. Field team usage was not effectively maximized to !
determine doses beyond the 10-mile emergency planning zone. !
P4.6 Scenario and Exercise Control j
a. Insoection Scooe (82301) l
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The inspectors made observations during the exercise to assess the challenge and
realism of the scenario and to evaluate exercise control.
! b. Observations and Findinas
The following observations detracted from the realism and training value of the ;
exercise and were considered areas for improvement: l
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- A controller provided incorrect information to health physics technicians for
initial surveys. The controller switched area survey readings with smear j
sample results (7000 millirem per hour versus 260 disintegrations per minute ;
per 100 square centimeters). The report that dose rates were 260 millirem i
per hour, instead of 7000 millirem per hour, contributed to the control
room's lack of urgency concerning plant cooldown.
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- Use of the firo brigade leader was not properly controlled. When the fire
brigade leader was dispatched (simulated) from the control room to assist -
with the heart attack victim, the individual actually remained in the control i
room to fulfill the NRC communicator role. Had this situation been properly l
controlled, a licensed control room operator would have had to complete the :
NRC notifications since all of the other required nonficensed auxiliary {
operators were engaged with inplant activities associated with the seismic ,
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event.
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- Two simulator fidelity problems were observed. First, tables entered into the ,
! simulator caused radiation monitors to reset to zero. The zero readings !
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confused control room operators. Second, the rate of change on the
feedwater heaters, while feeding with the condensate pumps, did not appear
to be modeled accurately,
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- The scenario developers failed to consider all possible release paths from the
main steam / main feed isolation valve compartment, the area where the ;
steam line break occurred. Moreover, exercise participants did not question i
l- the apparent radiation monitor inconsistencies.
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This area of the auxiliary building has large missile doors in the overhead that
open to the 2065 footlevel of the turbine building. The doors are not sealed
and there are openings where steam would exit. The 20 main steam safeties l
for the 4 steam lines are located in this compartment. Each ufety has two '
12-inch standpipes that are open to the area through a drip catch at the base i
and to the atmosphere on the building roof. Neither of these paths were :
considered in the scenario. The path that the developers used was a 20-inch !
drainline in the floor that was installed to prevent room flooding in the event -
of a feed line break. !
After the exercise, the inspectors discussed this concern with participants. 3
The dose assessment personnelindicated that all available radiation monitors 3
were reviewed to verify that there were no additional release paths. The }
inspectors noted that the release paths existed and that no one questioned !
why radiation monitors on the roof were not alarming with such a high level !
release. - At the inspectors' request, engineering personnel reviewed the !
concern and found that, in addition to the identified release paths, two metal
blowout panels were located in the roof area. .
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- The operability of the post-accident sampling system was not addressed in l
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the scenario initial conditions. During the exercise, participants assumed :
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thi t the post-accident sampling system was inoperable, because it was l
cunently inoperable in the plant. For exercise purposes, the system was ;
assumed-to be operable. This situation caused confusion because the l
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scenario depended on post-accident sample results.
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- Although controllers appropriately passed information a second time when l
the scenario did not proceed as expected (the dose equivalent :odine data
issue discussed in Section P4.3 above), the method used to pass this
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information was inappropriate. Exercise participants were shown a data
matrix with two circled numbers. The matrix contained the post-accident
sampling system data for the entire exercise.
c. Conclusions
The inspectors determined that the scenario was sufficiently challenging to test
emergency response capabilities and demonstrate onsite exercise objectives.
Exercise control was more effective than it was in the 1995 exercise; however,
there was still room for improvement.
P4.7 Licensee Self Critiaue
a. Insoection Scope (82301-03.13)
The inspectors observed and evaluated the licensee's post-exercise f acility critiques
and the formal management critique on February 27,1997, to determine whether
the process would identify and characterize weak or deficie:nt areas in need of
corrective action.
b. Observations and Findinas
The inspectors determined that tho pust-exercise critiques were generally thorough,
open, and self critical with input from participants, controllers, and evaluators. The
inspectors observed the following exceptions:
- There was only one controller / evaluator stationed in the control room !
simulator panel area. A second evaluator was stationed in the shift !
supervisor's office to observe offsite agency notifications. Due to the need
to focus on simulator / scenario fidelity, the controller in the panel area was
challenged to also evaluate performance from an emergency preparedness
perspective.
- In the technical support center, the post-exercise critique could have been
more self critical. The points brought out were good, but communications )
problems were not sufficiently addressed. Those participating in the critique
focused on positive aspects of performance, rather than identifying problems
to capture for corrective action determination (lessons learned).
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- In the emergency operations facility, the post-exercise critique was
exceptionally thorough and self critical. The duty emergency manager
conducted the critique in a manner that encouraged participation and
problem identification. Input was also solicited from offsite agency
representatives.
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l During the February 27,1997, management critique, the emergency preparedness
l manager presented a compilation of comments from participants, controllers, and -
i evaluetors. The licensee's team identified several strengths and areas for - ,
imprevement. The issues identified by the licensee's team were generally
l conastent with those identified by the NRC inspection team. The inspectors
l concluded that the licensee used a low threshold to determine performance
, streng ths.
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c. Conclusions
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Overall, the licensee's self-critique process effectively identified e eas for corrective
action. The control room simulator exercise controller was challenged to perform ,
controller / evaluator duties. The technical support center post-exercise critique
could have been more challenging. The emergency operations facility post-exercise
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critique was exceptionally thorough and self critical. A low threshold was used to
l determine performance strengths in all f acilities.
l P8 Miscellaneous Emergency Preparedness issues (92904)
P8.1 (Closed) Inspection Followuo item 50-482/9512-01: exercise weakness for failures
l involving internal / external control room communications. During the 1995 exercise,
I the control room did not effectively use site-wide announcements and faci!!ty
briefings to inform the plant staff of major developments and the status of response
activities. The inspectors reviewed training records, lesson plans, simulator
- scenarios, Administrative Procedure AP-21-001," Operations Watchstanding
- Practices", Revision 1, and observed shift performance during the exercise to
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determine if corrective actions were complete and effective. Corrective actions
l were complete and exercise performance was satisfactory in this area; however,
l some similar issues were identified during this exercise, indicating continued room
for improvement.
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P8.2 (Closed) Insoection Followuo item 50-482/9512-02: exercise weakness for failure
of the operations support center to maintain accountability. During the 1995
exercise, accountability was not always maintained in the operations support
j center; several individuals left the facility without being tracked. The inspectors
i reviewed corrective actions and observed process implementation during the
exercise to determine if corrective actions were complete and effective.
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Corrective actions included providing training to personnel supervising the
accoentability process, distributing required reading to response personnel regarding
management's expectations for accountability, posting signs on the operations
- support ceriter doors (reminding individuals to check with the accountability clerk
before exiting the facility), testing the accountability process during a subsequent
1995 drill, and including a review of accountability activities during drill critiques.
The inspectors noted that, since the 1995 exercise, there were two isolated
instances where individuals failed to follow the accountability process during drills.
During this exercise, accountability was continuously maintained. Individuals and
teams leaving the operations support center were tracked by either the
accountability clerk or the inplant communicator. As discussed in Section P4.3
above, the process for maintainirig accountability was somewhat awkward since
there were three entry points and only one accountability clerk. In addition,
personnel did not understand how to use the accountability form.
P8.3 (Closed) Inspection Followun item 50-482/9512-04: exercise weakness for failure
of the dose assessment staff to communicate dose assessment data to
decisionmakers. During the 1995 exercise, the unclear offsite dose information that
was provided to emergency operations facility managers inhibited the
decisionmakers' ability to interpret and develop proper protective action
recommendations. In response, the licensee revised its radiological status board
and the followup notification form (EPP 01-3.2-1, Revision 7) to specifically state
dose rates "(Calculated at Time)" and projected integrated dose from " Time . . . .
To Time." During this exercise, the licensee diligently ensured that both sets of
calculations were performed and recorded properly. There appeared to be no
confusion on the part of emergency operations facility managers.
P8.4 (Closed) Insoection Followuo item 50-482/9512-05: exercise weakness for weak
control of exercise activities. Corrective actions were completed as described in the
October 13,1995, response to the 1995 exercise report. Corrective actions
included developing a controller training manual, conducting controller training,
conducting more detailed scenario walkthroughs. and designating one of five
emergency response teams as a controller team for an entire year. As indicated in
Section P4.6 above, exercise control was more effective than it was in the 1995
exercise; however, the inspectors' observations indicated there was still room for
improvement.
V. Manaaement Meetings l
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X1 Exit Meeting Summary
The inspectors presented the inspection results to members of licensee management at the
conclusion of the inspection on February 27,1997. The licensee acknowledged the j
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findings presented. No proprietary information was identified, i
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ATTACHMENT
PARTIAL LIST OF PERSONS CONTACTED
Licensee
O. Maynard, President and Chief Executive Officer
D. Birk, Senior Operations Specialist
M. Blow, Superintendent, Chemistry
G. Boyer, Chief Administrative Officer
T. Conley, Superintendent, Radiation Protection
J. Dagenette, Emergency Planner
T. Damashek, Supervisor, Licensing
T. East, Emergency Planner
D. Fehr, Manager, Training
R. Flannigan, Manager, Nuclear Engineering, Safety, and Licensing
T. Garrett, Manager, Design Engineering
D. Gerreits, Superintendem, instrumentation and Electrical
N. Hoadley, Manager, Support Engineering
R. Hubbard, Superintendent, Operations
J. Johnson, Superintendent, Security
B. Loveless, Superintendent, Resource Protection
B. McKinney, Plant Manager
T. Morrill, Assistant to Vice President, Engineering
W. Norton, Manager, Perfnrmance Improvement and A.ssessment
C. Redding, Engineering Specialist, Licensing
K. Scherich, Supervisar, System Engineering
K. Thrall, Emergency Planner
J. Weeks, Manager, Emergency Planning
B. Winzenried, Emergency Planner
C. Younie, Manager, Operations
LIST OF INSPECTION PROCEDURES USED
IP 82301 Evaluation of Exercises at Power Reactors
IP 92904 Followup - Plant Support
LIST OF ITEMS OPENED AND CLOSED
Opened
50-482/97002-01 IFl Exercise weakness - Ineffective internal / external technical
support center communications (Section P4.3)
Closed
50-482/95012-01 IFl Exercise weakness - Failures involving internal / external control
room communications (Section P8.1)
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50-482/95012-02 IFl Exercise weakness - Failure of the operations support center to l
maintain accountability (Section P8.2)
50-482/95012-04 IFl Exercise weakness - Failure of dose assessment staff to i
communicate dose assessment data to decisionmakers
(Section P8.3) l
50-482/95012-05 IFl Exercise weakness - Weak control of exercise activities
(Section P8.4)
LIST OF DOCUMENTS REVIEWED
Emeroency Plan imolementina Procedures and Forms
EPP 01-1.0 Control Room Organization Revision 14
EPP 01-1.1 Technical Support Center / Operations Support Center Revision 17
Organization
EPP 01-1.2 Emergency Operations Facility Organization Revision 14
EPP 01-2.1 Emergency Classification Revision 16
i EPP 01-2.3 Accident Assessment and Mitigation Revision 6 l
EPP 01-3.1 Immediate Notifications Revision 20
EPP 01-3.2 Followup Notifications Revision 14
EPP 01-4.1 Technical Support Center / Operations Support Center Revision 15
Activation
l EPP 01-4.3 Emergency Operations Facility and Alternate Revision 16
Emergency Operations Facility Activation
EPP 01-6.1 Personnel Accountability and Evacuation Revision 12
EPP 01-7.2 Computer Dose Calculations Revision 18
EPP 01-10.1 Protective Action Recommendations Revision 13
l EPP 01-11.2 Status Boards Revision 9
Other Procedures
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AP-21-OO1 Operations Watchstanding Practices R ai ision 1
OFN SG-OO3 Natural Events Rnision 1
Other Documents
Exercise TIN GE-77-356-10,1997 Field Exercise 25 February 1997, Revision O
l Wolf Creek Nuclear Operating Corporation Emergency Plan, Revision 50
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October 13,1995, licensee letter; Subject: Docket No. 50-482: Reply to Weaknesses l
482/9512-01,482/9512-02,482/9512-04,and 482/9512-05
Performance improvement Request list for emergency preparedness organization dated
February 24,19S7
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