ML22118A795
ML22118A795 | |
Person / Time | |
---|---|
Site: | Davis Besse ![]() |
Issue date: | 02/24/2022 |
From: | Chuck Zoia NRC/RGN-III/DRS/OLB |
To: | Energy Harbor Corp, FirstEnergy Nuclear Operating Co |
Zoia C | |
Shared Package | |
ML20140A262 | List: |
References | |
L-22-061 | |
Download: ML22118A795 (4) | |
Text
{{#Wiki_filter:ES-201 Examination Security Agreement Form ES-201-3
- 1.
Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of 0210712022 through 02118/2022 @ Davis-Besse as 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 been authorized by the NRC's 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 result 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's chief examiner any indications or suggestions that examination security may have been compromised.
- 2.
Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of 02/07/2022 through 02/18/2022@ Davis-Besse. 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 below and authorized by the NRC. PRINTED NAME JOB TITLE/ RESPONSIBILITY
- 1. DongfJ RowlctVl4 Ex~V\\1 *Te~ m
- 2. g+cits s~rreY2-.
c?2ce-M 1?:frM
- 3. &~0eJi~.u- -*=--M_.
h-u--1,J .c........:....
- 4. A~~ ~W\\~ &~ 'r a \\1/2,,,,
- 5. R O;,,,+t,I', /~-
51,4,1t,-rf',,- /Lt'~{.
- 6. ~<.,0-, ~
~ ~ iQ~1p ~ ~l~1/4 (kVU-MV
- 8. Ro B Ra::<BvO:t; Re ivA4t-P*11>CZ
- 9. M411J-14J ~
~ ( vh---\\'b;.a:o ~ 10:-:7n' t/ --rfbt'tlSa,J St..o ( V.{;J.,foc 11~~~1\\ &?(~\\)k.,~
- 12. ~
~OJJ })v...RN wAl.,D ~ 0 / VA. ~~1 ~e,
- 13. _____
- 14. _____
- 15. _____
NOTES: NUREG-1021. Revision 11 ~ c;2_c;;:?;c<". a ----
==2 9 - _____;==--,,~ DATE SIGNATURE (2) -= 2.(<<Y~I _ __:_ ____ _ "\\\\~ v\\ e, led '2.f' Z/:,.,qt-a., 1LVtlz.\\
- Jlz-1 /z,,/
7 {'13\\-z.., 7-29-ZJ~/ -------- DATE NOTE FENOC Facsimile
ES-201 Examination Security Agreement f='_orm_ES-201-3
- 1.
Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of 02/07/2022 through 02/18/2022 @ Davis-Besse as 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 been authorized by the NRC's 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 result 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's chief examiner any indications or suggestions that examination security may have been compromised.
- 2.
Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of 02/07/2022 through 02/18/2022@ Davis-Besse. 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 below and authorized by the NRC. PRINTED NAME JOB TITLE/ RESPONSIBILITY
- 1. Don,&l RowlgvtJ Ex~n-t *Te°' m
- 2. 9H4.s Su.rrE=Y2--
2ce:M :7?1\\:M
- 3. G~0cJ,e__r-~.u-A:-t~
- 4. A~QW'( ~t\\M.,?---=--E_..;..;,J.....;;;.;;(M.,,....
- ..
- ...;..__' _r _o -\\&e-,.,--
- 5. R ""',+t,11 rh"-i.:
s, /Vf t,,rf', #- (£ ~ ~ I.
- 6. ~<.,0-~ ~ ~
7Pd,r~P \\v\\\\\\ts:iD ~L~1/4 !k~
- 8. Ro R l?.A'l'.f\\v( K Re> / V'ALt, !>A;tOCs
- 9. t'i-14~ Kl~M"'\\
4:)£(,o ( vk,,,\\ b.p.a-a ((.... SIGNATURE.(1) 1 ~ Al -rfl,ttlso,.._;.St..o / ~/;J.,foc &-3 ::Z '9 11~~~\\\\ &>(Y~\\)k.'1~ c:===~*- ~ 12..:J" i'2~CJJ :D \\...\\i<N w AL:D .5r-0 / \\/A l.1'tit.\\~ B
- 13. "'l~ ~!--/
$<'-al v1-l.-d~u-- ~~ r
- 14. U'4l(,A'\\ """W CL,
$,(Q..JA-U,1:>,Vtr::@.-- r? ~k_,.
- 15. ::s~@~
Ro v4u~er<v , ~ NOTES: [I) $ 1~ned per k fecovVI, C Wor~,t,,tv< hoMC) {J) ~~~eel per te lrco~, L5 lLt Leo.v") NUREG-1021, Revision 11 DATE I /4.'l../1 I -~+rt-~rr.~"1irt£.~+-r-=-::::::.-* __ ~. rA Ji = J,,r:1t,l!Sr: "\\\\$\\ v\\ rlc,le-f'. ~~ 7 /~o/e 1 ~~~ 1 l i\\li \\ -~ J-/t-1/z,/ ~ 1lz..t\\)'1-, ~ 10/)-7& l!l/.Z:i..h-.\\ 1otzzL-z.) ~~ DATE NOTE J. b 'i 12 2 -1.J..) z/1112-1...
- .br.sl
- J..i
~u_ _L1)_ 2 l~;J,,l~+- ~fzz{-z,1-. ?.,/ t:z-fi7-. ~ \\z-j\\r'Z.. 2
- Zl-1::f22_
it(1~/ 22 ~ 0*:J2_-JJ.. Z/zz.{2-7 FENOC Facsimile
ES-201 Examination Securit.Y...69.reement Form ES-201-3
- 1.
Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of 02/07/2022 through 02/18/2022 @ Davis-Besse as 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 been authorized by the NRC's 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 result 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's chief examiner any indications or suggestions that examination security may have been compromised.
- 2.
Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of 02/07/2022 through 02/18/2022@ Davis-Besse. 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 below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1)
- 1. ~\\);>1,A-o
- a..... >
Sc: 4:.--> bV
- 2. (}1,JMA 1 jJ_~
"5e,/f*tl'Sir.f\\,
- 3. Dt+-vl O lJ1 rTQf5 '7{1.,,.f,.-J,,.15
- 4.
t tl\\,'\\.., &?>>1A S c:Qv &S -r(?y\\.-
- 5. <!k 4*,f;u @Jc.wz
,5ir(Z v/..,f-,,.r Gw.-~!J,x:,s/.(.""
- 6. D,i-v,~ rt~~>
~H,.fcr
- 7. c h.a,cl H/t(
0 .s/11 /.s..,-,u 1:r'J~
- 8.
/~ "-l ~£.W, D f2APl!.1,I 5 £ ~U r_<J,,[_12_ ( .:'.) ;,.-c l>:ZJ -ry
- 9. *.':Jft?Jf!.,rJ K !'-Jc.J 1~
5M/ctv~J"'c.'efu,/ <.S<>t'~
- 10. \\ o\\..~ 'i)
- I ~~*
11. °'... "'j a" b
- 12. _
- 13. ______
- 14. ______
- 15. ______
NOTES: ll) 51gne.J l2 ) s,BvitJ NUREG-1021, Revision 11 per per ~c:/4? I.) I:>.S.:t, Q,, E l'ocfo (l_ ,e/eco;11\\. (1JJ4'tk tt'o~ hort'\\e) \\ teJecow'\\ * ( On ptid t)n,e_ &fF_,/ DATE SIGNATURE (2) z.,) \\.(\\ 2..,Z, ( ~ ?-./4(,7,'J... ~ ).,lt//zi-. { ~ :;J/ v "'"' -- zj r.,/ z, 7-Z-7-2&2.Z.. ~ V"V"'-? 2-1-azz_ I/ ~1-1/4> z/7 /; DATE NOTE -~!~ ~-- 1leizz_ ,::J/0/.::,2 ~ , l:1/i,; )-1/1p I
- fi~fiizz ~
__.,,., '.::J.fY\\/}.k -z I ::,,.1/f '- -- ./ "=\\_I ) l I~ 1. Y __ FENOC Facsimile
ES-201 Examination Security Agreement Form ES-201-3
- 1.
Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of 02/07/2022 through 02/18/2022 @ Davis-Besse as 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 been authorized by the NRC's 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 result 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's chief examiner any indications or suggestions that examination security may have been compromised.
- 2.
Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of 02/07/2022 through 02/18/2022@ Davis-Besse. 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 below and authorized by the NRC. PRINTED NAME
- 1. A'rlt)IKvl R-ktuc..ell 2-~- Gottcse-L..
3..£(2..l"-. S2-.1~--1:;1c."-
- 4. eww A@-u
- 5. /J l t ~ f'.>p,w r,1-1,rt-
- 6. T;,...rty L,1ilc,lv
- 7. ~ur-_?L~
- a. Tu;; c;;,;;ho
- 9. 4' ({;; w/2-au
- 10., {(It. /t<
?;'r-(,,4 /2l1t JOB TITLE/ RESPONSIBILITY SIGNATURE (1) S (Z. o VA,.. :~ t>,'\\-TU I\\. ~ s~ "-..frJ11rk ~ vo.-1.,, ~.!2L:. 5£.u t4r,La:- 5/14 v At.:\\ D Prr er~ R.o V" I,* cJ.+.r 2£.o V
- I; d~ -o r I< 0 Va/,* go. f-o Sb 1/A-IOMofl..
.':.(JfTvt,,,L}lt..f. Efa 6- - L!XAM'll'A~
- 11. T,6 g..J:>tnf(-t
- 12. 114-I\\J C,kv\\\\ kl tlo
( .t? - \\ ' ). \\-----. r ~ I t "\\.O *\\Jo..,oe.wi "z..l.,z..yz:z.. _______
- 13. _____
- 14. _____
- 15. ------
NOTES: 5tj Yt,etl p~--ie-----:-1 e_C_cl_m_,,_(,"""7"Co_,1,_t/'l:tc_.tr,_r) NUREG-1021, Revision 11 DATE SIGNATURE (2) i*/n/z.1 1op.1/.i., io -!1, Z. ~ 777- --~ " -"-1.':C:'.- z l'V.:-,: ' ll-t-11 ..?' h{t-{t.C ~ tM.- IJ/.!-r./2-1 ~la/J.il DATE NOTE t/it/r"t. -v::o/'~ _
- z. -( -g>. ~2-2/;.:?/)1-7bi:z_2 __
?../21...(-Z.l.. l- {[)_ FENOC Facsimile}}