ML22055A728

From kanterella
Jump to navigation Jump to search
Annual Reporting Form for Drug and Alcohol Test for 2021 and Single Positive Test Forms Collected on 01/20/2021, 02/04/2021, 03/16/2021, 09/28/2021, 01/08/2021, and 03/19/2021
ML22055A728
Person / Time
Site: Oyster Creek
Issue date: 02/24/2022
From: Schratz L
AmerGen Energy Co
To:
Document Control Desk, Office of Nuclear Reactor Regulation, Office of Nuclear Security and Incident Response
References
OYC-2021-01, OYC-2021-02, OYC-2021-03, OYC-2021-04, OYC-2021-05, OYC-2021-06, OYC-2021-07, OYC-2021-08
Download: ML22055A728 (10)
v • d • e


Text

<1Jj US NR C \ FFD Program Performance Data Reporting System

'x.J *

  • lln ued S1.u e~ N ude-ar Regul.1to')' Commm,1on NRC Form 891 , Annual Reporting Form for Drug and Alcohol Tests l'rott!Clillf! l't!O/lle mu/ the £tll'ITOJllltl!III (EIE General Subm1ss1on Portal)

APPROVED BY 0MB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 Estimated burden per response to comply with this collection request is 106 hours0.00123 days <br />0.0294 hours <br />1.752645e-4 weeks <br />4.0333e-5 months <br />. This form is a voluntary means of reporting the information required under 10 CFR 26.417(b)(2) and 26.717. The Information is required by NRC to obtain on an annual basis site specific fitness-for-duty (FFO) program performance data on drug and alcohol progr~s from licensees and other entities. Send comments regarding burden estimate lo the FOIA, Libre¥)',

and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to lofocollects Rosoorce@NRC g~ and the OMBreviewer at: 0MB Office of Information and Regulato,y Affair~ (3150-01 46), Attn: Desk Off<er fo, lhe Nucfear Regulalory Commission, 725 17lh Street NW, Washinglon, DC 20503; e-mail: O-_!i_.!;!Jbmssioo@omb oop ooy. The NRC may not conduct or sponsor, and a person is not requirod to respond to, a collection of information unless the documoot requesting or requiring the oollectioo displays a currently valid 0MB control number.

1) All llclds required unloss marked 'optional'
2) Use of Adobe Reader 8 or later Is required D Update Submission
3) Mouse over flalds for additional information Facility Period of Report

!oyster Creek [50-2191 I I 202 1 I

Tests Conducted in the Calendar Year Total Number of Tests Conducted Total Number of Positive, Adulterated, Reason For Testing Licensee Employees Contractors/Vendors Substituted, and Refusal to Test Results Pre-Access I 183 102 \ I 6 Random I 149 I 2 For Cause I 0 I D Post-Event I 1 0 I 0 Followup I 51 11 I 0 Total (Calculated)

I 384 169 I 8 FFD Program Random Testing Population and Rate Average number of Average number of Total size of the rand om testing pool Annual random testing percentage licensee employees contractors/vendors throughout th e period (Calculated) achieved for the testing pool 1 209 1 1 2831 I 72 .1 I

Laboratory Testing Does your program use a Licensee Testin g Facility? No I I (Yes I No) '-*_ _ _ _ __,_

HHS-Certified Laboratory (Primary) IMedTox I HHS-Certified Laboratory (Backup) IEtsohly Labs I Identify your Blind Performance Test Sample supplier(s)I~E_1_so_h_1_y_L_a_b_s_ _ __ _ _ _ _ _ _ _ _ _ _ _ __ _ _ __ _ _ _ _ _ _ _ _ _,I Substances Tested I

Did your program only test for NRC-required substances 8.1:ill at the NRG-specified minimum cu toff levels? (Yes / No) ~-_e_s_ _ _ _ _ __

Special Analyses Testing Results Iv Total Number of "Dilute" Specimen Test Results 1 I Does your program conduct LOO testing I permitted in 26. 163(a)(2)? (Yes / No)

Total Number of "Dilute" Specimens 1 Yes 1

(Optional) '------' (Special Analyses Testing Cond ucted)

Use NRC Initial Confirmatory Lim it of Detection Comment Substance Cutoffs? Cutoff Cutoff (LOO) Testing? (Optional)

Alcohol IYes I Not Applicable Cocaine Ives Ives Marijuana I Yes Ives Amphetamines Ives Ives Opiates Ives Ives PCP Ives Ives Annu al Report Form (version 1.10.0-0ctober 2021) - Page 1 of 2 - NRC Form 891

Substances Tested - continued Summary of Management Actions - 26.717(b)(8)

Summarize actions implemented to improve FFD program performance . As applicable, reference in the topic description audit reports, 30-day reports, and/or corrective action reports . If reporting information on more than three topics , select "Others" for Topic 3 to report any additional topics.

Topi c 1 jPlease Select Person(s) Responsible for Information Provided Person 1 (required):

~IL_in_d_a_ _ ~~-------~I First Name lschratz

~ -----,L-a-s.,-t .,.N,..a_m_e_ _ _ _~

IIANFFD Supervisor Position Title l.schratz@holtec.com Company Email Address Person 2 (optional):

First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26 .11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected . The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission .

I Form Locked On : Feb 24, 2022 at 12:15:43 PM I I Save to Local PC 11 Print this Report Annual Report Form (version 1.10.0 - October 2021) - Page 2 of 2 - NRC Form 891

<ii*US NRC Vn,<<Js,*.,,N:dwn".i.~i..w-,*Con,nu"""

--l Prot~ct/111-: Piaplenml the £ m *iranmelll

1) All fields required cxc*pt those rmrked 'optional'

- FFD Program Performance Data Reporting System NRC Form 890 , Single Pos1t1ve Test Form (EIE General Submi ssion Portal)

APPROVED BY 0MB: CLEARANCE NO. 3150-0146 EXPIRES : 09/30/2024 2J Entries in some fields auio-populate Information in other fields Estimated burden per response to comply with tin collection request Is 30 minutes Thts form

3) Mouse over form fialds to view additional lnlorm.Jtion Is a voluntary means of reporting the inform.ition required under 10 CFR 26 4H(b)(2) and 26 717 The information 1s required by NRC to obtain on an annual basis stte specific mness.
4) Use at Adobe Reader I or later is required for-duty (FFD) program perf01mance data on drug and alcohol programs from hcensees and ofher enlihes Send comments regarding burden estimate to the FOIA. Library, and Information Submission Collections Branch (T-6 A10M), US Nuclear Regulatory Commission, Washmgton. DC Update 20555-0001, or by e_maII to l ~ IS~ . and the 0MB reviewer at: 0MB Offk:e of Information and Regulatory Affairs, {3150-0146), Attn Desk Officer for the Nuclear Uni uo Reference ID Licensee Su lied Regulatory Comm1sslon , 725 17th Street NW, Washington. OC 20503, e.ma11.

OYC-2021-01 ova subm,ss1on@ocnb_tO~QV The NRC may nOI conduct or sponsor, and a person is nOI required to respond lo, a collection of inf01mat10n unless lhe document requesting or requmng the collection displays a currently valid 0MB control number Facility I Oyster Creek [50-219) Date of Co/Joction I 0112012021 I (mm/dd/yyyy) . .

Reason for Testing - 26,717(b)(5) Pre-Access Testing Reason (optional)

I Pre-Access !Plea se Select Employment Type - 26.717(b)(3) Outage Work er (optional)?

)con lractorNendor INo Labor Category - 26.717(b)(3)

I Maintenance (general facility)

Is this a 24-hour reportable event under 26. 719(b)7 ~

Was this collection refused?

  • 26.717(b)(7) & 26.75 ~

Test Resu/ts - 26.717(b)(4)

Test Type(s) for Result(s) Reported - 26.7 17(b)(2) Drug Specimen Tested IDrug Only lu

...._n_

  • n_e_ _ _ _ __,

Tesl Validity lvalid Was this collection observed? - 26.7 17(b)(7) & 26.75 ~

How many substances were confirmed positive for this individual? ~I- - - - - ~

UseNRC Initial Confirmatory Limit or Substanco - 26.717(b)(2) & (b)(6) Cutoff Cutoffs? Cutoff Detection

!Marijuana Subversion Attompt - Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b) . _ I_ _ _N_o_ _...,

Ma nag ement Actions - 26.717( b)(8) & 26.75 Reason for the Action I First drug or alcohol positive Sanction Applied NRC Minimum or Licensee Administrated Licensee Administrated Specific Sanction Applied Porson(s) Responsible for Information Provided Person 1 (requifed):

I..._L_in_d*- - ~ ~ ~ - - - - - - '11 Schratz First Name IIAA/FFD Supervisor

~ - - - ,L~as~t~N~a~m~e_ _ ___, ~ - - ~ P ~o-s=iti-on~T=i tl_e_ _ _~

l.schratz@hollec.com Company Email Address Person 2 (optional):

First Name Last Name Position Title Com pany Email Address Final Step (Rr:quired)

  • NRC will consider this form authenlic in accordance with 10 CFR 26 .11 only when the "Validate & Lock* button is clicked and all errors (highlighled in red) have been correc ted. Th e "Validate & Lock" button will change to "Locked" after the data validation process has been successrully completed indicating the form is ready for submission.

Form Locked On: !Feb 3, 2022 at 12:42:25 PM I Save to Local PC 11 Print this Report I Single Positive Test Form {version 1.10.0 -October 2021) NRC Form 890

<i:t'US NRC 1) 2)

L'm1cd Soa<<, N: cl,,,R~ uL<<oryCun,nu,,,, ,,

Ptllla tin,: Peoplt wul the Em*1rom11m1 All fi~lds required except those m:,rked 'optional' EntrlH In some fields ;>ulo--popul11te information In other (fold*

FFD Program Performance Data Reporting System NRC Form 890 , Single Pos1t1ve Test Form (EIE General Subm iss ion Portal)

APPROVED BY 0MB: CL EARANCE NO. 31 50.01 46 EXPIRES: 09/30/2024 Estimated burden per response to comply with this collection request is 30 mmutes This fOJm

3) Mouse over form fields to view additional Information 1s a voluntary means of ,eport/ng the mformation required under 10 CFR 26 417(bH2) and 26 717 The 1nf0fmation Is requited by NRC to o~a1n on an annual basis site specific frtness-
4) Uu of Adobe RHdcr a or /;1ter i* n1qulred for-duty (FFD) program performance d3ta on drug and aloohol programs from licensees and other entities Send comments regarding burden estimate to !he FOIA Library. and Information Submission Collecttons Branch (T-6 A10M). US. Nuclear Regulatory Commission, Washington, DC Update 20555-0001 , or by e_ma1I to lnfQ@!.l~:l}JiH2Y ! C ~. and the 0MB reviewer at. 0MB Office of Information and Regulatory Affairs, (3150-0146), Attn Desk O fficer for the Nuclear Uni uc Rofarenco ID Licensee Su lied Regulatory Commission, 725 17th Street NW, Washington, DC 20503, e-mail.

Oll'il submlSSJOQ@gJJ)b (QR.g_OY The NRC may not conduct or sponsor, and a person Is not OYC-2021-02 required to respond to. a collection of mformatlon unless the document requesting or requiring the collection displays a currentl y valid 0MB con trol number Facility

!Oyster Creek [50-219)

(mml ddlyyyy)

I Doto of Collection 0210412021 Roason for Testing

  • 26.71 7( b)( 5) Pre-Access Testing Reason (optional)

IPre-Access IPlease Select Employment Type

  • 26.71 7(b)(3) Outage Worker (optional)?

IContractorNendor !No Labor Category - 26.717(b)( 3) jMaintenance (general facility)

Is this a 24-hour reponablo ovent under 26.719(b)? ~

Was this collection rofused?

  • 26 .717(b)(7) & 26.75 ~

Test Rosu/ts . 26.717(b)(4)

Test Type (s) for Result(s) Reported

  • 26 ,71 7(b)(2) Drug Specimen Tested I Drug Only l~u_n_*n_e_ _ _ _ _ ~

Test Validity Was this collection observed? - 26.717(b)(7) & 26.75 ~

How many substances were confirmed positive for this individual? I~---- -~

Use NRC Initial Confirmatory Limit of Substance - 26.717(b)(2) & (b)(6)

Cutolfs? Cutoff Cutoff Detection I Methamphetamine Subversion Attempt

  • Did this collection involve a subversion attempt?* 26.71 7(b)(7 ) and 26.75(b) '~ - - N_ o__ ~

Management Actions

  • 26. 717(b)(8) & 26.75 Reason for the Action I First drug or alcohol positive Sanction Applied NRC Minimum or Licensee Administrated Licensee Administrated Specific Sanction Applied 13-Year Denial Porson(s) Ro$ponsiblo for Information Provided Person 1 (required):

l~L-ln_d*- - ~- ~ - - - - ~11 s , h,atz First Nam e ~ - -- ~L-a~ st~N~a_m_e- - -~ ~ -

IIANFFD SupeNlso,

- ~P~o-s~iti~on~ T~itl_

e _ _ __,

l.schra tz@ h oltec.com Company Email Address P erson 2 (oplion.l l):

First Name Last Name Pos11ton Title Company Email Address Fin.I/ Step (Required)

  • NRC will consider !hi$ form auth entic in accord 3nce with 10 CFR 26 .11 only when the 'Validate & Lock" button is clicked and all errors (highlighted in red) h ave been corr ected . The
  • validate & Lock~ button will cha nge to "Locked~ after th e data va lidation process has been su ccess fully completed indicating the for m is re ady for submission.

I Form Locked On:IFeb 3, 2022 at 12:50:28 PM I Save to Local PC 1 1 Print this Report I Single Positive Test Form (version 1.10.0 - October 2021) NRC Form 890

<7iL US NR C un .. ed Su1<, N: d . ,,R.q;ul.1o'}'Con,nu, ,ocu Prat,*ct/111: People and tht r:m*1t,1111nent t FFD Program Performance Data Reporting System NRC Form 890, Single Pos1t1ve Test Form (E IE General Subm1ss1on Portal)

1) All fields required except lhosa m:,rlred 'option:,/' APPROVED BY 0M B: CLEARANCE NO. 3150-0146 EXPIRES: 09/3012024
2) Entries In .some fields auto-populate ln formo lion In other fields Eslimated burden per response to comply with this coffect10n request is 30 minutes This form
3) Mouse over form fleld$ to vlow .rddltion:il Jnform.Jtlon is a voluntary means of reporting the mlormahon required under 10 CFR 26 417( b)(2) and 26 717 The anformat1on Is required by NRC 10 obl:a1n on an annu.al basis site specific frtness-
4) Use of Adobe Reader B or J:,tar Is required for-duty (FFD) program performance data on drug and alcohol programs from hcem*ees and other entitles Send comments regarding burden estimate to the FOtA, Library. and Information Submission Collections Branch (T-6 A10M). US Nuclear Regula tory Comm1ss1on, Washing to n, DC Update 20555.0001, or by e_ma~ to lnfocotlecls 8r:10urcc~. a nd the 0MB reviewer at 0MB Office of Information and Regulatory Affairs , (3150-0146). Alln Desk omcer for the Nuclear Uni ue Roferencc ID Licensee Su lied Regulatory Comm1ss1on, 725 17th Street MN. Washing ton. DC 20503, e*ma1I*

OYC-2021-03 01[3 subm1S11on@omb e:oc goy The NRC may not conduct or sponsor. and a person Is not required to respond to. a cotlectton of information unless the document requesting or requmng the collection displays a currently valid 0MB control number Facility I Oyster Creek (50-219)

(mm/dd/yyyy)

I Date of Collection 0311612021 Reason for Testing - 26.717(b)(5) Pre-Access Testing Reason (optional)

IPre-Access IPlease Select Employment Typo - 26.717(b)(3) Outage Worker (optional)?

IContractorN endor INo Labor Catogory - 26.717(b)(3)

IMaintenance (general facility)

Is this a 24-hour reportable event under 26.719/b)? ~

Was thi s col/oction refused? - 26.717(b)(7) & 26.75 ~

Test Rosu/ts - 26.717(b)(4)

Test Type(s) for Result(s) Reported- 26.7 17(b)(2) Drug Specimen Tested I Drug Only I Urine I Was this collection observed7 -26.717(b)(7) & 26.75 ~

How many substances were confirmed positive for this individual? L I_ _ __ _ ~

Use NRC Initial Confirmatory Limit of Substance - 26.717(b)(2) & (b)(6)

Cutoffs? Cutoff Cutoff Detection

/Marijuana

~

Subversion Attempt - Did thi s collection involve a subversion attempt?* 26. 717(b)(7) and 26.75(b) IL ___ N_o _ _J Managomont Actions - 26.717(b)(8) & 26.75 Reason for the Action I First drug or alcohol positive Sanction Applied NRC Minimum or Licensee Administrated Licen see Administrated Specific Sanction Applied 13-Year Denial Porson(s) Responsib/o for Information Provided P ers on 1 (r equired) :

ILL_;n_d*

- - ~ - - - - - -~ I Jschratz IIAA/FFD Superv;sor J.schratz@hollec.com First Name ~ - -- -L-as- t~N-a_m_e_ _ _~ ' - -- ~P~o-s-iti~o-n~T~itl~e -- -_, Company Email Address Pers on 2 (optional):

~--=-ll~ ---==-11 First Name Last Name . ___~-~~~~ Position Title Company Email Address Final Stop (Requlrod)

  • NRC will consider this fo,m authe ntic in accordan ce with 10 CFR 26 .11 only when th e "Validate & Lock" button is clicked and all errors {highlighted in red) h av e been corrected. The ..Validate & Lock~ button will cha nge to
  • Loc ked" ofte r the d ata validation process has b een su ccess fully completed indicating fh e form is ready for submission .

I Form Locked On: IFeb 3, 2022 at 1:08:32 PM I Save to Local PC 11 Print this Report I Single Positive Test Form (version 1.10.0 - October 2021) NRG Form 890

~ *us NR L'n,1cJs, .... N:dw;q;uu<oryCon,n1>1uon c--l

Prnt1;crilt1: P1;nple amt 1h~ £t1 dmm11,*n1 FFD Program Performance Data Reporting System NRC Form 890 , Single Positive Test Form (EIE General Subm1ss1on Portal)

1) All fields requ;red excttpl those m;Jrl(ed 'optloniJ/' APPROVED BY 0MB : CLEARANCE NO, 3150-0146 EXPIRES : 09/30/2024
2) Entries In some fields auto-populate Information In other fields Estimated burden per response to comply with this co ffect10n request is 30 minutes This form
3) Moun over form fields t o vltJw additional info rm;Jtlon is a voluntary means ol reporting the information required under 10 CFR 26 417(b)(2) and 26 71 7 The inf0Imat10n 1s required by NRC to obtain on an annual basis site specific frtness-
4) Use o f Adobft Reader a or later Is roqulred for-duty {FFD) program perfOfmance data on drug and alcohol programs from licensees and other entities Send comments regarding burden estimate to the FOIA library, and Information Submission Collections Branch {T--6 A10M ), U S Nuclear Regulatory Commission, Washington, DC Update 20555-0001 , or bye_ma~ to lnfoeoll<:cts BesourceCNRC gov, and the 0MB reviewer at 0MB Office of Information and Regulatory Affarrs, (3150-0146). Attn. Desk Orticer for the Nuclear Uni uo Roforonce ID Licensee Su lied Regulatory Commission. 725 17th Street NW. Washington, DC 20503, e-ma1!

OYC-2021-04 01rn submlSSl00@omtJ <:00.QQ.V The NRC may not conduct or sponsor, and a person Is not required to respond to, a conec110n or information unless the document requestmg or requiring the colle<:llon displays a currently vahd 0MB control number Fac/llty

!Oyster Creek [50-219]

(mm/dd/yyyy)

I Dato of Col/action 0912812021 Reason for Tasting - 26.717(b)(5) Pre-Access Testing Reason (optional)

I Pre-Access IPlease Select Employment Type - 26.717(b)(3) Outage Worker (optional) ?

IContractorNendor !No Labor Catogory - 26.717(b)(3)

!Maintenance (general facility)

Is this a 24-hour roportab/o event under 26.719/b)7 ~

Was this collection refused? - 26.717( b)(7) & 26.75 ~

Test Results - 26.717(b)(4)

Test Type(s) for Result(s) Reported

  • 26.717(b)(2) Drug Specimen Tested

\orug Only l~u_ri_n_e _ _ _ _ _ ~

Test Validity lvalid Was this collection observed? - 26.717(b)(7) & 26.75 ~

How many substances were confirmed po sitive for this individual? ~ ' -----~

Use NRC Initial Confirmatory Limit or Substan co - 26.717(b)(2) & (b)(6)

Culotfs? Cutoff Cutoff Detection

!cocaine Subvorsion Attempt - Did this collectio n involve a subversion attempt? - 26.7 17(b)(7) and 26.75(b) l~__ N_o_ _ ~

Management Actions - 26.717(b)(8) & 26.75 Reason for the Action I First drug or alcohol positive Sanction Applied NRC Minimum or Licensee Administrated)

Licensee Administrated Specific Sanction Applied 13-Year Denial Pcrson(s) Responsible for Information Provided Person 1 (required) :

    • - ---.c-.--=- ,-,- ,- --~ILls l~L-in_ First Name

_,h_,_"--~~~----~IIAAIFFD Last Name Supen,iso,

'---~P~o-s~iti~on~T~itl_e_ _ __,

l.schratz@holtcc.com Company Email Address P erson 2 (option al):

First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.1 1 only wtlen the 'Validate & Lock" button is clicked and all errors (highlighted in red) have be en corrected, Th e "Va lidate & Lock~ button wilt change to ~Locked" after the data validation process h as been success fully completed indicating the form is ready for submission .

Form Locked On:IFeb 3, 2022 at 1:17:32 PM I Save to Local PC 1 1 Print th is Report I Single Positive Test Form (version 1.10.0- October 2021 ) NRC Form 890

<i!_;,us NRC \

  • FFD Program Performance Data Reporting System l 'nH<<IS1a1<,N: dw R:,.uJ., u,y Co,,,nn,,,.,. NRC Form 890, Single Pos1t1ve Test Form fro1ectl11,: People am/ the E m *u,wmcnt (EIE General Subm1ss1on Portal)
1) Alf fields required OKcept those mari(ed 'optional' APPROVED BY 0MB: CLEARANC E NO. 3150-0146 EXPIRES: 09/30/2024
2) En tries in somo fields au to *popUI.J te Information in other fields Estimated burden per response to comply v.-,th this collectlon request Is 30 minutes This form
3) Mouse over form fi11lds to view additional Information is a voluntary means of reporting the information required under 10 CFR 26 417(b)(2) and 26.717 The inlormat10n is required by NRC to attain on an annual basis site specific fitness-
4) Use of Adobe Reader 8 o r later Is required for-.duty (FFD) program performance data on drug and alcohol programs lrom licensees and other ent~les Send comments regarding burden estimate to the FOIA. Library, and Information Submission Collections Branch (T--6 A10M), US Nuclear Regulatory Commlss!oo. Washington, DC Update 20555-0001 , or by e_mail to ~ r~ o v. and the 0MB reviewer at 0MB Off1c:e of lnformahon and Regulatory Affairs. (3150..0146), Attn Desk Officer fOf the Nuclear un; ue Referenc e JD Licensee Su lied Regu!;:atory Commission, 725 17th Street NW. Washington, DC 20503, e-ma1I*

OYC-2021-05 2!li! subm11s1on@omb eoo gQY The NRC may not conduct or sponsor, and a person ,s not reqwred to respond to, a collection of mf0Jma11on unless the document requesting or requiring the collection displays a currently v.altd 0MB control number.

Facility

!Oyster Creek (50-219] Date of Collection (mm/dd/yyyy)

I 0110812021 I Reason for Testing

  • 26. 717(b)(5) Please elaborate (optional)

I Random Employment Typo - 26. 717(b)(3) Outage Worker (optionalj 7 IContractorNendor INo Labor Category - 26.717(b)(3)

)Maintenance (general facility)

Is this a 24-hour reportable event under 26.119(b)7 ~

Was this collection refused? - 26.717(b)(7) & 26.75 ~

Test Results - 26.717(b)(4)

Test Type(s) for Result(s) Reported* 26.717(b)(2) Drug Specimen Tested I Drug Only ~lu_n_*n_e_ __ _ _ ~

Test Validity lvalid Was this collect/on observed?

  • 26. 717(b)(7) & 26.75 ~

How many substances were confirmed positive for this individual ? I~-----~

Use NRC Initial Confirmatory Limit of Substance - 26.717(b)(2) & (b)(6)

Cutoffs? Cutoff Cutoff Detection jcocalne Subversion Attempt

  • Did this collection involve a subversion attempt?* 26.717(b)(7) and 26.75(b) LI_ _ _N_o_ _~

Management Actions - 26.717(b)(8) & 26.75 Reason for the Action IFirst drug or alcohol positive Sanction Applied NRC Minimum or Licensee Administrated Licensee Administrated Specific Sanction Applied 13*Year Denial Pcrson(s) Rosponslblo for Information Provided Person 1 (requir ed):

l~u_n*_

d-* -~~~----~l lschrntz First Name ~ - - - ~L-a~st~N~a_m_e - - -~

IIANFFD Supervisor

~--~P~o-s~iti-on~T,~11-e_ _ __,

l.schratz@holtec.com Company Email Address Person 2 (optional):

First Name Last Name Position Title Company Email Address Fina / Stop (Requfr~d)

  • NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the "Validate & Lock" button is clicked and all errors (highlighted in red) have been corrected. The "Valfdate & Lock~ button will change to "Locked" after th e data validation process has been successfully completed indicating the form is ready for submission.

I Form Locked On:JFeb 3, 2022 at 1:24:32 PM j Save to Local PC 11 Print this Report I Single Positive Test Form (version 1.10.0- October 2021) NRC Form 890

<it; US NR C llo"<<ISme,N:d.,., ; ...1.-0,yCon,m""' "

Pror,*ctln,: Ptople a,,d the £ 1wir mm,,.,r1 l"" FFD Program Performance Data Reporting System NRC Form 890 , Single Pos1t1ve Test Form (EIE General Subm1ss1on Portal)

1) A ll fields required r:xcopt those tm1rh'd 'optlom,I' APPROVED BY 0MB : CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024
2) Entries in some fields 1111l0-poputate Information fn othor fields Estimated burden per response to comply *with this coMection request 1s 30 minutes This fOl'm
3) Mouse ov~r form fields to view additional inform:.tion 1s a voluntary means of reporting the information required under 10 CFR 26 417(bX2) and 26 717 The 1nf0fmat10n is required by NRC to obtarn on an annual basts srte specific rrtness-
4) UH of Adobi: Roadcr a or later is required fOJ-.duty jFFD) program pertormarlCe data on drug and alcohol programs from licensees and other ent~1es Send comments regarding burden estimate to the FOIA. Ubfary. and Information Submission Collections Branch (T-6 A10M). US Nuclear Regulatory Commlssfon. Washington, DC Upda!e 20555-CX>01 , or by e_ma~ to ~ B t i s W ( C l ! _ ~. and the OMS reviewer al OMS Office of lntormatton and Regulatory Affairs, (3150-0146). Attn Desk Officer for lhe Nuelear Uni uc Reference ID Licensee Su lied Regulatory Comm1ss1on. 725 17th Street NW. Washington, DC 20503, e-ma11*

OYC-2021-06 olra submtSS'oO~O\l The NRG may not conduct or sponsor, and a person ,snot reqwed to respond to, a coltectk>n of 1nf0Jmat10n unless the document requesting or requiring the collection displays a currently valid 0MB control number Facil/ty IOysterCreek (50-21 9) Dato of Col/octlon (mmlddlyyyy)

I 0112012021 Rosson for Tasting

  • 26.717(b)(5) Pre-Access Testing Rea son (optional)

IPre-Access j Plea se Select Employment Type - 26.717(b)(3) Outage Workor (optional) ?

IContractorNendor !No Labor Catogory

  • 26.717(b)(3)

IMaintenance (general facility)

Is th;s a 24-hour roportablo event under 26.719(b) ? ~

Was th is colloctlon rofusod?

  • 26.717( b)(7) & 26.75 ~

Subversion Attempt

  • Did !his collection involve a su bversion attempt? - 26.717(b){7) and 26.75(b) [~ _ _v_e_s _ ~

0 Did not appear for testing D Specimen characteristics (e.g., color, odor, precipitant) Please elaborate on the choice(s) selected:

O Shy-bladder (no medical condition) 0 Invalid test result {initial specimen collected) - 26.185(0 The Initial test temperature was out of range . Th e donor volunteered to a 2nd observed test per approval by the D Refused to provide initial specimen D Refused to follow directions MRO . Donor ch anged their mind on the obseNed test and refused to provide second specimen.

181 Refused to provide second specimen D Donor admitted to subversion attempt 181 Specimen temperature (out of range) OO!her D Specimen paraphernalia identified Mansgoment Actions - 26.717(b)(8) & 26.75 Reason for the Action jsubversion attempt Sanction Applied NRC Minimum or Licensee Administrated)

NRC Minimum Specific Sanction Applied I Permanent Denial Person(s) Responsible for Information Provided Person 1 (required) :

l~L-in_d*- - ~~ ~ - - - - ~l lschratz First Name IIANFFD Supe,visor

~ - - - ~L-as~t~N~a_m_e_ __ ~ '------,P~o-s7.it~ ,o-n~T~itl~e---~

l.schratz@holtec.com Company Email Address P erson 2 (optional):

First Name Last Name Position Title Company Email Address Final Step (Required)

  • NRC will consider this form authentic in accordan ce with 10 CFR 26 .11 only when the 'Validate & Lock~ button is clicked and all errors (highlighted in red) have be en corrected. Th e "Validate & Lock~ button will chan ge to "Locked" after the data validal ion process has been successfully comple ted indicating the form is ready for submission.

Form Locked On:IFeb 3, 2022 at 1:36:04 PM I Save to Local PC 11 Print this Report I Single Positive Test Form {version 1.10.0 - October 2021) NRC Form 890

<ii US NRC 1) 2)

3) lJn<<.JSu1e, N:dw : q;uln 0,y Con, nu>>0UU Pr<Jt,*c1Jn,: People amt tht! £1wiro11111m r

  • t All fields requ;red except those m;,rl<ad 'optional' Entries In some fields auto-popuftde Information in other nclds Mouse over form field* to view additional Information FFD Program Performance Data Reporting System NRC Form 890 , Single Pos1t1ve Test Form (EIE General Subm1ss1on Portal)

APPROVED BY 0MB : CLEARANCE NO. 3150.0146 EXPIRES : 09/30/2024 Estimated burden per response to comply with this coMect10n request 1s 30 minutes This form Is a voluntary means of reporting the informalion required under 10 CFR 26 417(bX2) and 26.717 The information ls required by NRC to obtain on an annual basis site specific frtness-

4) Use of Adobe Reader 8 or t11ter Is required for-duty (FFD) program performance data on drug and a\cohOI programs from IK:ensees and other entities Send commenls regarding burden estimate to the FOIA. Library, and Information Submission Collections Branch (T -6 A10M). U.S Nuclear Regulatory Commssioo, Washington. DC Update 20555-0001 , or by e_maR to lnf~Resource:C NRC 90'- and the OMS reviewer at 0MB Office ol lnformat1on ;;ind Regulatory Affairs. (3150-0146), Attn Desk Officer f0< the Nuclear Uni ue Reforenco ID Licensee Su lied Regulatory Comm1ss1on. 725 17th Street t,N,/, Washmgton. DC 20503, e-mail*

QJ(L$.J.llll'1~on@omb eoo gov The NRC may not conduct or sponsor, and a per.K>n is noc OYC-2021-07 required 10 respond to, a coUect10n of informatkin unless the document requesting or requmng the collection displays a currently valid 0MB control number Fsc/lity I Oyster Creek (50-219]

(mm/dd/yyyy)

I Date of Collection 0210412021 I

Roa son for Tasting

  • 26.71 ?(b)(S) Pre.Access Testing Reason (optional) jPre*Access I Please Select Employmont Typo
  • 26.717(b)(3) Dutago Worker (optional)?

IContractorNendor iNo Labor Category

  • 26.717(b)(3)

I Maintenance (general facility)

Is this a 24-hour reportable evont under 26.719(b)? ~

Was this collection refused?

  • 26.717(b)(7) & 26.75 ~

Subversion Attempt- Did this collection involve a subversion attempt? - 26.7 17(b){7) and 26.75(b) ~I__Y_ e_s_ _~

D Did not appear for testing D Specimen characteristics (e.g., color, odor, precipitant) Please elaborate on the choice(s) selected:

D Shy-bladder (no medical condition) D Invalid test result (initial specimen collected). 26.1asm The Initial specimen provided by the donor was out of the acceptable temperature range . The don or refused lo D Refused to provide initial specimen D Refused to follow directions provide a second specimen under direct obseNalion .

181 Refused to provide second specimen D Donor admitted to subversion attempt 181 Specimen temperature (out of range) D Other D Specimen paraphernalia identified Management Actions

  • 26.717(b)(B) & 26.75 Reason for the Action I Subversion attempt Sanction Applied NRC Minimum or Licensee Administrated NRC Minimum Specific Sanctfon Applied jPermanent Denial Pcrson(s) Rosponsib/c for Information Provided Person 1 (required) :

l.sch ratz@hollec.com

~IL_in_d-* -~------~I First Name

~'S-ch_,_*tz- -~~~----~'

Last Name IANFFD Supervisor ~Ti~tle_ _ ___,

~--~P~o-s~iti-on Company Email Address Person 2 (optional):

First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26 .11 only wtien the "Validate & Lock~ button is clicked and all errors (highlighted in red) have been corrected. The "Validate & Lock~ button will change to *Locked~ after the data validation process has been successfully completed indicating the form is ready for submission.

Fonn Locked On:IFeb 3, 2022 at 1:46:07 PM I Save to Local PC 1 1 Print this Report I Single Positive Test Form (version 1.10.0-October 2021) NRC Form 890

~ -us NRC \***

Un,1eJS1a1e, N: dwR~ ol>tary Can1m"" '"

FFD Program Performance Data Reporting System NRC Form 890, Single Pos1t1ve Test Form Prot,*c11t11: Peopl eamltfle £Jn-i1111,m,*t1t (EIE General Submission Portal)

1) All fields required except those marhd 'optional' APPROVED BY 0M B: CLEARANCE NO. 3150-0146 EXPIRES : 09/30/2024
2) Entrie* in some fields auto-populate Jnfom,ation in other fields Estimated burden per response to comply with this collection request is 30 minutes This form
3) Moun ov.ir form fi elds l o view additional lnformaUon is a voluntary means of reporting the information required under 10 CFR 26 41 7(b)(2) and 26 717 The mformahon Is requcred by NRC to obtain on an annual basis sfle specific filness-4} Use of Adobe Reader I or Jatar is required for-Outy (FFD) program performance data on drug and alcohol programs from licensees and other entttles Send comments regarding burden estimate to the FOIA, Library, and Information Submission Collections Branch (T -6 A10M), US Nucle.ir Regulatory Commission, Washington, DC Updale 20555-0001 , or by e_mail to lnfocollects ResourcfCNBC gpy. and the 0MB reviewer at 0MB Office of l nformaI100 and Regulatory Affairs , (3150-0146), Alln Desk Officer for the Nuclear Uni uc Reference ID Licensee Su lied Regulatory Comm1ssfon. 725 17th Street NW, Washington, DC 20503, e-m3tl o,ca submtss100Q omb cop goy The NRC may not conduct or sponsor. and a person is not OYC-2021-08 required to respond to, a coUection of 1nformat10n unless the document requesting or requiring the coUecllon displays .i currently valid OMS control number Facility I Oyster Creek [50-219) Date of Collection (mmtdd/yyyy)

I 03/19/2021 I

Reason for Testing

  • 26.717(b)(S) Please elaborate (optional)

!Random Employment Type

  • 26.717(b)(3) Outage Worker (optionaQ7 lcontractorNendor INo Labor Category
  • 26.717(b)(3)

I Maintenance (general facility)

Is this a 24-hour reportable event under 26.719(b)? ~

Was this collection refused?

  • 26.7 17( b)(7) & 26.75 ~

Subversion Attempt

  • Did this collection involve a subversion attempl?
  • 26.717(b)(7) and 26.75(b) IL _ __ Ye_s_ __

D Did not appear for testing D Specimen characteristics (e.g., color, odor, precipitant) Please elaborate on the choice(sl selected:

D Shy-bladder (no medical condition) D In va lid test result (initial specimen collected)* 26.185(0 The initial specimen provided by the donor was out of acceptable tempera ture range . The donor refused to 0 Refused to provide initial specimen D Refused to follow directions provide a second specimen under direct observation .

181 Refused to provide second specimen D Donor admitted to subversion attempt 181 Specimen temperature (out of range) D Other D Specimen paraphernalia identified Management Actions - 26.717(b)(8) & 26.75 Reason for the Action I Subversion attempt Sanction Applied NRC Minimum or Licensee Administrated NRC Minim um Specific Sanction Applied jPerm anent Denial Person(s) Responsible for Information Provided Person 1 (requited):

ILL_in_d_*- -= ~~-- --_,J' Lls_c_h,_*tz- -~~~----_,ILl~_F_F_o_s_"_P*_rv_i,_o_r______,J _,. _,_"'_"_*@_ho~lt-*c_.,_o_m ~~~~-----

First Name Last Name Position Title Company Email Address Person 2 (optional):

First Name Last Name Position Title Company Email Address Final Step (R~quired) - NRC will consider this form authentic in accordance with 10 CFR 26 .11 only when the "Validate & Lock" button is clicked and all errors (highlighted in red) have been corr ected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed Indicating the form is ready for submission .

I I Form Locked On: Feb 3, 2022 at 1:55:02 PM I Save to Local PC 11 Print this Report I Single Positive Test Form (version 1.10.0 -October 2021) NRG Form 890

Retrieved from "https://kanterella.com/w/index.php?title=ML22055A728&oldid=3426368"