ML20141A030
| ML20141A030 | |
| Person / Time | |
|---|---|
| Site: | Zion File:ZionSolutions icon.png |
| Issue date: | 05/08/1997 |
| From: | Mueller J COMMONWEALTH EDISON CO. |
| To: | Bies M NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III) |
| References | |
| NUDOCS 9705140140 | |
| Download: ML20141A030 (2) | |
Text
4 e aime enw ralil, l'.itiv en 4 onyunt
/ son (.s ncratmg station
/
101 %1nl..li lloulo.u ti
/vnt.It an m 1~4*
i a x.m
.<,- 2< m.
May 8,1997 Ms. MaryAnn Bies Operator Licensing Assistant U. S. Nuclear Regulatory Commission, Region Ill 801 Warrenville Road Lisle, L v'b32-4351
SUBJECT:
Senior Reactor Operator License Application Zion Nuclear Power Station Units 1 and 2; NRC Docket Numbers 50-295 and 50-304 Per your request for further information associated with the applic:stion for Senior Operator License for William D. T'Niemi, an updated NRC Form 396 3-nclosed.
If you have any questions regarding this matter please contact Mr. William Demo, Operator Training Supervisor, at 847-872-7659, extension 4392.
Sincerely, r
l JJh%A--
ohn H. Mueller Site Vice President Zion Station j
L 9703140140 970500 PDR ADOCK 05000295 V
PDR,,
cc:
Regional Administrator, Region 111 Project Manager, NRR Senior Resident inspector, Zion Station Document Control Desk I
h %smmord 97muellereuemi aw 1.\\tnig\\tniemi doc A t'enswu umqun3
NRC FORM 39p U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB No 3*$04020 EXPIRES 12131/99 n2*
10 CV 55 21 $$ 23 ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS 95 75 55 2t*55 31, hFORMAfiON COLLECTON REQUEST 15 MINUTES NRC REQUIRES i
Si 3315 ST THIS mFORMATION TO DETERMINE THAT THE PHYSICAL CONDITON AND HEALTH OF OPERATOR LICENSEES (S SUCH THAT THE APPLICANT WOULD NOT BE EXPECTED TO CAUSE OPERATONAL ERRORS ENDANGERING THE PUBUC HEALTH AND SAFETY FORWARD COMMENTS REGARDWG BURDEN ESTIMATE TO THE INFORMATON AND CERTIFICATION OF. MEDICAL EXAMINATION RECORDS MANAGEMENT BRANCH (MNBB TT14L U S NUCLEAR BY FACILITY LICENSEE REGULATORY COMMISSION WASHINGTON DC 2055S4001 ANa r0 THE PAPERWORK REDUCTION PROJECT (3150-0024L OFFICE O' MANAGEMENT AND BUDGET. WASHINGTON. DC 20503 l
l NAME OF APPUCANT l
T'NIEMI, WILLIAM D.
FC41UTY l FACILITY DOCKET NUMBER Zion Nuclear Generating Station 50-295/50-304 A. MEDICAL EXAMINATION CERTIFICATION THIS #5 TO CERTlFY THAT THE A80VE NAMED APPUCANT FOR AN OPERATOR / SENIOR OPERATOR UCENSE HAS BEEN EXAMINED BY A PHYSACIAN PRINTED NAME tof pnyscan)
STATE AND UCENSE NUMBER MOST RECENT PHYSICAL EXAMINATION DATE l
SAMUAL J. GRANIERI, MD 003-036-051857 ILLINOIS 4/28/97 BA$f D ON THE RESULTS OF THE EXAMINATION INCLUDING FNFORMATON FURNISHED BY THE APPUCANT, THE PHYSICIAN HAS DETERMINED THAT THE APPUCANT'S PHYSICAL CONDITON ANO GENERAL HEALTH ARE SUCH THAT THE APPUCANT WOULD NOT BE EXPECTED TO CAUSE OPERAflONAL ERRORS ENDANGERING PUBUC HEALTH AND SAFETY lCERTIFY THAT IN REACH 6NQ THl3 DETERMINATION THE GUCANCE CONTAINED IN ANSUANS 3 4-1963.OR ANSI /ANS15 41988 (N380) WAS FOLLOWED AND THAT DOCUMENTATION IS AVAILABLE FOR REVIEW BY NRC IF THE GUIDANCE IN THE APPROPRIATE ANSUANS DOCUMENT IS NOT COMPUED WITH AN ACCEPTABLE ALTERNATIVE METHOD. WHICH HAS BEEN APPROVED BY NRC. WAS UsED ON THE BASIS OF THE RECOMMENDATION OF THE PHYSICIAN, i RECOMMEND THAT THE APPLICANT'S OPERATOR LICENSE BE CONDITIONED AS FOLLOWS:
1 NO RESTRICTIONS X
2 CORRECTIVE LENSES BE WORN WHEN PERFORMING tICENSED DUTIES 3 HEARING A10 BE WORN WHEN PERFORMING LICENSED DUTIES 4 RESTRICTED LICENSE OR EXCEPTION. Provide detads below and attach supportary medical evidence for NRC review S RESTRICTION CHANGE FROM PREVIOUS SUBMITTAL Provide details below and attach supporting medical evidence for NRC review PROPOSED WORDING OF RESTRICTION (Block 4 above)
Mot ApphCable
)
l I
i RELATONSMiP OF RESTRICTON TO DISOUALIFYING CONDITION (Onerly uncate how restnchnn will correct lhe disqualafrtig condition)
Poot ApphCable NE MARRS FOR RESTRICTON CHANGE IBioch S aoove) fdot ApphCable
)
l B. NONMEDICAL CERTIFICATION THtS CERTIFIES THAT THE APPUCANT HAS BEEN FOIWO TO MEET THE SAFEGUARDS AND FITNESS FOR DUTY REQUIREMENTS OF THiS FACIUTY FOR UCENSED OPERATORS CAY FALSE STATEMENT OR OMISSION IN THis DOCUMENT INCLUDING ATTACHMENTS MAY BE SUBJECT TO CIVit AND CRIMINAL SANCTONS ICERTIFY UNDER PENALTY OF PERJURY l
THAT THE INFORMATION IN THIS DOCUMENT AND ATTACHMENTS IS TRUE ANO CORRECT 1
PRINTED NAME ANO TITLE Sener Manegement Representa9ve ori Sdel S GNATURE DATE John H. Mueller, Site WCe President N((/$ )
in accorcance we 10 CFR 55 5. Commurucations. this onginal form shall be sJbmitted to the NRC as follows BY NMIL ADDRESSED TO REGONAL ADMINISTRATOR, REGON REGIONAL ADMWISTRATOR. REGION 18 REGIONAL ADMINISTRATOR. REGION lH b 3 NUCLEAR REGULATORY COMMISSON U S NUCLEAR REGULATORY COMMISSION U S NUCLE AR REGULATORY COMMISSION 4?SCOLENOALE ROAo.
Mi *tARIETTA STREET NW, SUITE 2900 801 WARRENVILLE ROAD KING OF PRUSSIA PA 19406-1415 ATLANTA GA 303234t99 USLE. IL 605324351 REGONAL ADMINISTRATOR REGON IV OPERATOR LICEN$tNG BRANCH U $ NUCLEAR REGULATORY COMMISSON OtVISON OF REACTOR CONTROLS AND Qt1 RYON PLAZA DRNE_ SUtTE 400 HUMAN FACTORS ARLNGTON TE 760118064 U S NUCLEAR REGULATORY COMMISSON WASHINGTON DC 205554001 NRC F ORM 3J6 (?2 064
_ - _ _ _ _. _ _ _ _ _ _ _ - _ _ - - - - - _ _ _ _ _ _ _ - - _ - - _ _ _ _ _ - - _ _ - - - - - _ _ _ - _ _ _ - _ _ _