ML20267A585

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2020 Palisades Ile Form ES-201-3
ML20267A585
Person / Time
Site: Palisades Entergy icon.png
Issue date: 07/06/2020
From: Bryan Bergeon
Entergy Nuclear Operations
To:
NRC/RGN-III/DRS/OLB
Bergeon B
Shared Package
ML19213A180 List:
References
Download: ML20267A585 (4)


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ES20 Form ES203

.PreExaminaion acknowedge hahave acquired speciaized knowedge abou heU.S.

Nucear Reguaoy Commission NRC icensing examinaions schedued or weeks o4/6/20

&4/3/20 as o

hedae omysignaure.

agree ha winoknowingy divuge any inormaion abou heseexaminaions oan who have nobeen auhorized by heNRC's chie examiner.

undersand haam no oinsuc.

evauae, or provide perormance eedback oh appicans schedued obeadminisered hese icensing examinaions om his dae uni cornpeion oexaminaion adminisraion, excep as noed beow andauhorized by heNRC e.g.,

acing as asimuao booh operaor ocommunicaor isaccepabe i

heindividua doesn heraining conen oprovide direc oindirec eedback.

Fuhernore, amaware o

hephysica securiy measures andequiemens as inheaciiy icensee's procedures and undesand havioaion ohecondiions ohisagreemen may resu incanceaion o

he and/or anenorcemen acion agains me or heaciiy icensee.

wiimmediaey repor oaciiy nanagemen or heNRC's ch anyindicaions orsuggesions haexaminaion securiy may have been compomised.

2.PosExamina To he bes omyknowedge, did nodivuge oany unauhoized persons any inormaion conceming heNRC icensing examinaionsad heweeks o4/6/20

&4/3/20.

From hedae haeneed ino his securiy ageemen uni hecompeion oexaminaion adminisraion, d

insruc, evauae, oprovide peormance eedback ohose appicans who were adminiseed hese icensing examinaions, excep as sp beow andauhorized by heNRC.

PRNTED NAME JOB TTLE

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ES20

,PreExaminaion acknowedge hahave acquired speciaized knowedge abou heU.S.

Nucear Reguaory Commission NRC icensing examinaions schedued or weeks o4/6/20

&4/3/20 as o

hedae omysignaure.

agree ha winoknowingy divuge any inormaion abou hese examinaions oan who have no been auhorized by heNRC's chie examiner.

undersand haam no

oinsruc, evauae, oprovide perormance eedback oh appicans schedued obeadminisered hese icensing examinaions rom his dae uni compeion oexaminaion adminisaion, excep as noed beow andauhorized by heNRC e.g.,

acing as asimuaor booh operaor orcommunicaor isaccepabe iheindividua doesn heraining conen orprovide diec orindirec eedback.

Furhermore, amaware o

hephysica securiy measures andrequiremens as inheaciiy icensee's procedues andundersand havioaion o

hecondiions ohisagreemen may resu incanceaion o

he and/o anenorcemen acion agains me or heaciiy icensee.

wiimmediaey epor oaciiy managemen or heNRC's ch anyindicaions orsuggesions haexaminaion securiy may have been compromised.

2.PosExamin To he bes omyknowedge, did nodivuge oany unauhoized pesons any inomaion concerning he NRC icensing examinaionsad heweeks o4/6/20

&4/3/20.

From hedae haeneed ino his securiy agreemen uni hecompeion oexaminaion adminisraion, d

insruc, evauae, orprovide perormance eedback ohose appicans who were adminiseed hese icensing examinaions, excep as sp beow andauhorized by heNRC.

PRNTED NAME JOB TTLE

/RESPONS SGNATURE DATE SGNATURE 2

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ES20 3

Form ESzu3

,PreExaminaion acknowedge hahave acquired speciaized knowedge abou heU.S.

Nucear Reguaory Commission NRC icensing examinaions schedued or weeks o4/6/20

&4/3/20 as o

hedae omysignaue.

agree ha winoknowingy divuge any inormaion abou hese examinaions oan who have no been auhoized by heNRC's chie examiner.

undersand haam no

oinsuc, evauae, or povide perormance eedback oh appicans schedued obeadminisered hese icensing examinaions rom his dae uni compeion oexaminaion adminisraion, excep as noed beow andauhorized by heNRC e.g.,

acing as asimuaor booh operaor orcommunicaor isaccepabe iheindividua doesn heraining conen oprovide diec oindirec eedback.

Furhermore, amaware o

hephysica securiy measures andrequiremens as in heaciiy icensee's procedures andundersand havioaion o

hecondiions ohisagreemen may resu incanceaion o

he and/or anenorcemen acion agains me or heaciiy icensee.

wiimmediaey epor oaciiy managemen or heNRC's ch anyindicaions orsuggesions haexaminaion securiy may have been compromised.

2.PosExamin To he bes omyknowedge, did nodivuge oany unauhorized persons any inormaion concerning he NRC icensing examinaionsad heweeks o4/6/20

&4/3/20.

From hedae haenered ino his securiy agreemen uni hecompeion oexaminaion adminisaion, d

insruc, evauae, orprovide perormance eedback ohose appicans who wee adminisered hese icensing examinaions, excep as sp beow andauhorized by heNRC.

PRNTED NAME JOB TTLE

/RESPONS SGNATURE DATE SGNATURE 2

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o ES20 4

Form ES2013

,PreExaminaion acknowedge hahave acquired speciaized knowedge abou heU.S.

Nucear Reguaory Commission NRC icensing examinaions schedued or weeks o4/6/20

&4/3/20 as ohedae omysignaue.

agree ha winoknowingy divuge any inormaion abou hese examinaions oan who have no been auhorized by heNRC's chie examiner.

undesand ha am no

oinsruc, evauae, or provide perormance eedback oh appicans schedued obeadminisered hese icensing examinaions rom his dae uni compeion oexaminaion adminisraion, excep as noed beow andauhorized by heNRC e.g.,

acing as asmuaor booh operaor orcommunicaor isaccepabe iheindividua doesn heraining conen oprovide direc orindirec eedback.

Furhermoe, amaware o

hephysica securiy measures andrequiremens as inheaciiy icensee's procedues andundersand havioaion o

hecondiions ohisagreemen may resu incanceaion o

he and/or anenorcemen acion agains me or heaciiy icensee.

wiimmediaey repor oaciiy managemen or heNRC's ch anyindicaions orsuggesions haexaminaion securiy may have been compromised.

2.PosExamin To hebes omyknowedge, did nodivuge oany unauhoized pesons any inormaion concerning he NRC icensing examinaionsad heweeks o4/6/20

&4/3/20.

From hedae haenered ino his securiy agreemen uni hecompeion oexaminaion adminisaion, d

insruc, evauae, orprovide perormance eedback ohose appicans who were adminiseed hese icensing examinaions, excep as sp beow andauhoized by heNRC.

PRNTED NAME JOB TTLE

/RESPONS SGNATURE DATE SGNATURE 2

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