ML20365A068

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2018 Donald C. Cook Nuclear Power Plant Exam Forms ES-201-3
ML20365A068
Person / Time
Site: Cook  American Electric Power icon.png
Issue date: 08/13/2018
From: Chuck Zoia
Indiana Michigan Power Co
To:
NRC/RGN-III/DRS/OLB
Zoia C
Shared Package
ML17164A381 List:
References
Download: ML20365A068 (6)


Text

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ES-201 Examination Securit~reement Form ES-201-3

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s ) of Z '> ~ - \'f 2_.,, \ ~ as of the date of my signature. I agree that I will not knowi ngly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from th is date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g ., acting as a simulator booth operator or communicator is acceptable if th e individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I wi ll immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
2. Post-Examination ill To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during N the week(s) of-ilnl\Y - 'i' h/t>J. From the date that I entered into this security agreement until the completion of exami nation admin istration, I did not
'. instruct, evaluate, or provict'e performance feedback to those applicants who were administered these licensing examinations, except as specifically noted
-u below and authorized by the NRC.

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ES-201

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Examination Security Agreement Form ES-201-3

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of '=1 'Z 1' vly  ?..<J/f/"as of the date of my signature. I agree that I will not knowingly divulge any informatio n about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from th is date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the train ing content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may resu lt in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
2. P_ost-Exa_rnination mTo the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during N the week(s) of 1/u/r, ~ Y{s /i ¥ . From the date that I entered into this security agreement until the completion of examination administration, I did not

~ instruct, evaluate, cJr provid'e performance feedback to those applicants who were adm inistered these licensing examinations, except as specifically noted ~ below and authorized by the NRC. Q) ~ PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE N -.,J o 1.3(""-<>*r~ :r W, 'l~ \,G-\AM_s Rf.Acl:or- l)p.e...~r 3-6 -/8 .. ,H~Bh/18 ~ (X) 2._ e.o<<.Jv\1 (-.$

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ES-201 Examination Security Agreement Form ES-201 -3

1. Pre-Examination 1acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 23. Sv I~ J vi f as of the date of my signature. I agree that I w ill not k now ingly divulge any information about these examinations to any persons who have not bee authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide perform ance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by th e NRC (e. g., acting as a simulator booth operator or comm unicator is acceptable if the individual does not select the train ing content or provide di rect or indirect feedback). Furthermore, I am aware of the physical secu rity measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may res ult in cancell ation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised .
2. P_Q_st-Examination rn To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during N the week(s) of -r/z.,s/rs- t/1-*1¥ . From the date that I entered into this security agreement until the completion of examination administration, I did not or
~ instruct, evaluate, provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted
-o below and authorized by the NRC.

ti) 'g PRINTED NAME JOB TITLE/ RESPONSIBILITY 1 SIGNATURE ( 1) DATE SIGNATU~-E (2~ DATE NOTE N

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ES-201 Examination Security Agreement Form ES-201-3

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of Tu /_le J .l )tJ/Jas of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not~en authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may resu lt in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
2. Post-Examination mTo the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during N the week(s) of 1/21,/1'(- il{:r!t('. . From the date that I entered into this security agreement until the completion of examination administration, I did not
~ instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted 7J below and authorized by the NRC.

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10._ _ _ _ __ 11._ _ _ _ __ 12._ __ _ __ 13 . _ __ _ __

14. _ _ _ _ __

15._ _ _ _ _-:-- NOTES: frt;e ~ ~4 0

Todd J Valley From: KARNES, DONALD R <dkarnes@entergy.com> Sent: Tuesday, August 14, 2018 7:09 AM To: Todd J Valley

Subject:

[EXTERNAL) RE: DC Cook ILT NRC Exam security release lhls: rs*an EXTER_NAl. emaif *ST0P: +HINK bef.9re you* Ct.JCl( l~q~s or OPEN a~cti,nept_ s:*'If t * ...,.:-:, w scispicious please.forward to .. -:>*:-.' .. ;-< .... for review. *, . . . . : .; . *** ...... i * -'::* '- ~ ** " ' I did not divulge any information about the examinations and you may sign me off of the security agreement. From: Todd J Valley [1] Sent: Wednesday, August 08, 2018 1:27 PM To: KARNES, DONALD R

Subject:

DC Cook ILT NRC Exam security release EXTERNAL SENDER. DO NOT click links, or open attachments, if sender is unknown, or the message seems suspicious in any way. DO NOT provide your user ID or password.

Don, We have concluded the DC Cook ILT NRC exam for R031 which you were on exam security for your peer validation activities. As you are not on site the NRC has asked the we have you respond via this email acknowledging you have maintained that security and understand it is no longer in effect. We will print your reply and include it with our post exam submittal.

That you for your assistance during the exam process. To the best ofmy knowledge, I did not divulge to any unauthorized persons any information concerning the LOR Annual Examination administered during the week(s) of July 23, thru August 2, 2018. From the date that I entered into this security agreement until the completion of examination administration, l did not have restricted training contact as described in Section 3.4.2.b ofTRP-2070-TAP-400-SEC.

Todd J Valley From: Korfias, Frank John <fkorfia@entergy.com > Sent: Monday, August 20, 2018 6:30 AM To: Todd J Valley

Subject:

[EXTERNAL] RE: DC Cook NRC Exam Security Release This ls an EXTERNAi.. email. STOP. THINK°before you Cl.lCK links or OPEN attachments. If

  • suspicious please forward to .
  • for review. - * * ** * * . * *
  • Hi Todd, I acknowledge that I maintained exam security on the DC Cook licensing exam and all materials reviewed.
Cheers, Frank Korfias From: Todd J Valley [2]

Sent: Tuesday, August 14, 2018 8:10 AM To: Korfias, Frank John

Subject:

DC Cook NRC Exam Security Release EXTERNAL SENDER. DO NOT click links, or open attachments, if sender is unknown, or the message seems suspicious in any way. DO NOT provide your user ID or password.

Frank, We have concluded the DC Cook ILT NRC exam for RO31 which you were on exam security for your peer validation activities. As you are not on site the NRC has asked the we have you respond via this email acknowledging you have maintained that security and understand it is no longer in effect. We will print your reply and include it with our post exam submittal.

That you for your assistance during the exam process. To the best ofmy knowledge, I did not divulge to any unauthorized persons any information concerning the LOR Annual Examination administered during the week(s) of July 23, thru August 2, 2018. From the date that I entered into this security agreement until the completion of examination administration, I did not have restricted training contact as described in Section 3.4.2.b ofTRP-2070-TAP-400-SEC 1

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