ML22133A239
| ML22133A239 | |
| Person / Time | |
|---|---|
| Site: | Point Beach  |
| Issue date: | 07/31/2019 |
| From: | Randy Baker NRC/RGN-III/DRS/OLB |
| To: | Point Beach |
| Baker R | |
| Shared Package | |
| ML17215A930 | List: |
| References | |
| Download: ML22133A239 (14) | |
Text
{{#Wiki_filter:7,..;. NEXTera' MASTER SECURITY AGREEMENT
~ (Page 1 of 2)
The Master Security Agreement is used for those personnel having both knowledge of and unrestricted access to Exam Sensitive Material.
- 1. Pre-Examination (Review TR-AA-220-1002, Attachment 1 for pre-job briefing requirements)
I acknowledge that I have acquired specialized knowledge about the 2019 LOIT NRC License Examination scheduled for the date(s) of 15 July to 29 July 2019 as of the date of my signature. I agree that I will not knowingly divulge any information about this examination to any persons who have not been authorized by the Exam Project Manager. I understand that I am not to instruct or provide performance feedback to those individuals schedu led to be administered this examination from this date until completion of examination administration . I also understand that I am not to evaluate individuals scheduled to be administered this examination from this date until the date of administration. Acting as a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an examinee. Furthermore, I am aware of the physical security measures and requirements (as documented in procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examination and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may have been compromised. Furthermore, I agree to NOT discuss any aspects associated with the contents of this examination with ANY examinee until completion of their examination administration. I further understand that violation of the conditions of this agreement may resu lt in cancellation of the examination and/or enforcement action against the facility licensee or me.
- 2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any infru::"1~tA-Fl..c:nncerning the examination administered during the date(s) of 15 July to 29 July 2019. From the date that I entered into this securit agreement untI ompletion of examination administration , I did not instruct, evaluate, or provide performance feedback to those individuals w o were administere this examination.
JOB TITLE/ PRI NTED NAME SIGNATURE (2) DATE NOTE RESPONSILTY
- 1. ~<<:;e~ ~ ~~ &LMeroj'J- M M e , ~ ~ Mo,.- (t~
2. 3. 4. JuE tHom-11 f:.//..f,;1./l... t\r0-\tf<<.J
- t. I.M~M
(:)(/4111., /J/ccJ&:;r 0/JS SU,/°\/ Cf7r;f riltWroa 68 A.t~Qir) <i?t\CL;I' 60 S°~ tt tizlrB z'kt. I
- 5. f\l\*\kc.. le.b\lv S.M.4\~ E"'~~*irc<<c 11/1Sp6 - - - - - -
- 6. ~6rl~h ~£1rMh SmJwr WW ~~ 1111.K/tg TR-AA-220-1002-F01, Revision 0
NEXTera.. MASTER SECURITY AGREEMENT E~ (Page 2 of 2) JOB T ITLE/ PRINTED NAME RESPONSIBILITY SIGNATURE (1) DATE SIG NATURE (2) DATE NOTE
- 7. j~
B. - ~ 9.
=!l::Jt ~m:-~~:- ~2;J-z-,fl - -
10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. NOTES: TR-AA-220-1002-F01 , Revision 0
NEXTera* MASTERSECU~TYAGREEMENT ENERGY (Page 1 of 2)
~-;--
The Master Security Agreement is used for those personnel having both knowledge of and unrestricted access to Exam Sensitive Material.
- 1. Pre-Examination (Review TR-AA-220-1002, Attachment 1 for pre-job briefing requirements)
I acknowledge that I have acquired specialized knowledge about the 2019 LOIT NRC License Examination scheduled for the date(s) of 15 July to 29 July 2019 as of the date of my signature. l agree that I will not knowingly divulge any information about this examination to any persons who have not been authorized by the Exam Project Manager. I understand that I am not to instruct or provide performance feedback to those individuals scheduled to be administered this examination from this date until completion of examination administration. I also understand that I am not to evaluate individuals scheduled to be administered this examination from this date until the date of administration. Acting as a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an examinee. Furthermore, I am aware of the physical security measures and requirements (as documented in procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examination and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may have been compromised. Furthermore, I agree to NOT discuss any aspects associated with the contents of this examinatlon with ANY examinee until completion of their examination administration. ! further understand that violation of the conditions of this agreement may result in cancellation of the examination and/or enforcement action against the facility licensee or me.
- 2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the examination adminlstered during the date(s) of 15 July to 29 July 2019. From the date that I entered into this security agreement until completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those individuals who were administered this examination.
JOB TITLE/
~
PRINTED NAME DATE SIGNATURE (2) DATE NOTE RESPONSIBILITY
- 1. Tf2Av,_s f)..J~r Fde-r o. r. M 11/b/tf 2.
3. 4. 5. 6. TR-M-220-1002-F01, Revision 0
- ~,,. *_;;,,( m1;;;1,, ,;s;;s.,*,;;-,1:,,=;;::;:-;:,;;*;::-,=~,,,1 ..,~,.:::** ~,-,.- ;*:;- *-*,;.-*. 'A;7;,;~,;:;;;;;7;,;*,~ *. .,-..:. ,""1,7*. o.** ** .,'1'l1'i .... ,*ii.IS"., ;*;*,-.-~;.:_:;,,\' ,"\,.:, ,,.;;:.:-:::r, .* .:,,m. *,,, i~*,,s;,;<>.<1 *"* " ,e,,,:<.:c..*"\i.,::::=.,".1","*~;::s:iv*.~-- -,*-;;:,,;;;.;,;,:**,.-*,;i..i< _.,_;** .::,;.;;,;:.,,,':, ** ,*,7;::;;;:,.,;;-,-,,., 7V .,.,,.~<llt'c:.. c*.::,-:..zs;:.,;tT';,~.,J.s,-** ,.,._.i: .>~**""*. . ., ._,. ~,.., ,r* , *,.:, **;;.,,:;:,*<<;,m::~:-.\;;:;:c** ;,..::* ,.,:.,,c~:, .... _,., ...,v"""'*" \, .. < ** ,.,.,~,::-.-*,,~*,*,,*,,,...,.,,,~,wt .,.,.. ~,-,** ,*1,1
"\
NEXTeraM MASTER SECURITY AGREEMENT E~ (Page 1 of 2) The Master Security Agreement is used for those personnel having both knowledge of and unrestricted access to Exam Sensitive Material.
- 1. Pre-Examination (Review TR-AA-220-1002, Attachment 1 for pre-job briefing requirements)
I acknowledge that I have acquired specialized knowledge about the 2019 LOIT NRC License Examination scheduled fo r the date(s) of 15 July to 29 July 2019 as of the date of my signature. I agree that I will not knowingly divulge any information about this examination to any persons who have not been authorized by the Exam Project Manager. I understand that I am not to instruct or provide performance feedback to those individuals scheduled to be administered this examination from this date until completion of examination administration. I also understand that I am not to evaluate individuals scheduled to be administered this examination from this date until the date of administration . Acting as a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an examinee. Furthermore, I am aware of the physical security measures and requirements (as documented in procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examination and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may have been compromised . Furthermore, I agree to NOT discuss any aspects associated with the contents of this examination with ANY examinee until completion of their examination administration. I further understand that violation of the conditions of this agreement may result in cancellation of the examination and/or enforcement action against the facility licensee or me.
- 2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any inf
- ncerning the exa;1nation administered duri\)g the date(s) of 15 July to 29 July 2019. From the date that I entered into this securit agreement unt1 ompletion of amination administration! I did not instruct, evaluate, or provide performance feedback to those individuals w o were administere this examina *on.
JOB TITLE/ PRINTED NAME NOTE RESPONSILT Y
- 1. \_<<;e:s I\ tk~ &o.Me~J.Mo.M,-!~ ~o--- u1/2I& ~~~~~ :?t/,lufy// _ _
t:r~~~:::~:~c.. :
- 2. JuE fd)..f,;1.(1_ f)(AIJ,t, /flJJ&:)" OJOS s u.,,-/V
- 3. lffom&I t. UO~IJr) t=PtJf /JJ}hrro-/l ==~===-
~'---=,,::::::::=-" !l:ft1
- 4. J\;rJITT".uJ ~ ru.mot) ':i?f\CQJ"I 60) :Z::11S~ 1 iirBL::-~2:-r7~:-~J=~-- *A9~\1 _
r!*,~k kb\lv ffot. l a>£~ 5. Qh~l~h ~ plrMh "S.M.4 \ ~ S\N\Jwr ~ w~~ E"'~**~<<c u/4JJr~ ~-- ~' 6.
~ ~~~:::::__ 1(l5l!~ --
TR-M-220-1002-F0 1, Revision 0 Po..~<2.- \ 0~ H
NEXTera* MASTER SECURITY AGREEMENT E~ (Page 2 of 2) PRINTED NAME JOB TITLE/ RESPONS IBILITY SIGNATU RE (1) DATE SIGNATU RE (2) DATE NOTE
- 7. J~~,r 5_ ;r1,1-r e-i31M ¥~
- a. Ji:lm 'fH&~
{~ij(!t?--e z ;;) ~b/{. ~ Dff;e,e_ _ &;;Ji;;+- ~~ ~J} 1!a~--**~--**. ..... ., .
/V'4'vU1--'l /~--: ~-<l
_-----~ -:';;> 9.
~- .__,,.
1 --'-rf1.,r,t
~ ~__e:_~- y,/
.--*;>~v-'Z,(I,?7{f{j/-:
~ .
. 3,/j f-
- 10. &1212cz.>/&,hr0Yu., t:f?pc,d-wn(I r,'[o..)3.e.µv~ 2p1/lf /4' ..
-~~~-- =--='-- - - 7/cdq __
- 11. fqf )),.,."'el,, v Trc.;-i:" ~fJ---- '<" 1/4/n 1~
- 12. ::r~ ~~ ~i
- 13. (?e..yAJ LA@.ee.
~ *ft.I? J1/4£W 1'-~
eo~1un. c9&,o/(~~
~~~~-- ~
......12.~ ~~ -- ~ ~ ~
£J~
- c , ; ~ ~ ~ - - = ; c --
~ ~;:__-
21:$-- 7/1.>/, 7
- 1 __
14_ t11,*tte, fi<eM<< ~f~ ~~~~~~=-- 5/t/f ~_L......!L._:=-----<:::H-,:::::~~ ~- 1s. DEf'2..l~ v Ac.-uNI-IA
- 16. VAv& JvrS-5 corvrt}AJ'-
Canlrd( oe>erZ-tvrr;i...
~/!er-Afar
~~~-=-~: :;, =~-
_..............,~----,,,---
- /, 61 3-7,.. ( C,
---~==-'- -i[-u/t'i_,____
....:.-=...;~1--~~- 7 ...~-lo/ __
- 17. /'flu- 1 A11 ~ effo 1
\ 5 tO ........L..L-=-:'Z;,:_~_;_'.{,C_=:-~-:r::b = - - 3 hII 1 ..£.-=.
l'll,<,~./'--- ---ll~/
-_;;;:,_ ,:__':=--=-= 1/zr/1 '1
- 18. --(R:evi.s ~ kavE:t.J ~ c::;?.'~,1;- 3-7 *1~ ~ ~..::;=,-,.f-,/ 6,,~ - f-2' .;9
- 19. ,tf,oM-tr ~ ~3/4I 0 ~ ~ 3*1/-11 -~~~~ ~-,...-- - f-s-,1 - -
- 20. . {4i:1- 51/i 11'1-{ 5 /<.0 ~ tihq/4w ~~~ ~-- t~h1 NOTES:
':),~~ or\ eo.~-'- \._p TR-AA-220-1002-F01, Revision 0
~°'-~e,, 'L of \\
NEXTera~*** MASTER SECURITY AGREEME NT E~ (Page 2 of 2)
"'~
JOB TITLE/ PRINTED NAME RESPONSIB ILITY SIGNATURE (1) DATE SIGNATURE (2)(:Q DATE NOTE
- 21. ~ 77/ylor Corl{,s,L c>~ ';2--; L d{:rf-{_f S:si-\1/2J...J C.oey
- 22. Joi,,., Sc ~~,/J-- D.5 'f/,f/1,; ~
- 3!7?-=:-:r::~
~ c 1,.1,r(r<,
- 23. J)"11 1,,s ~t,M\,.f t . 0. ;./-2l-ff Q --...- t(r/ti __
- 24. N11:.JL ~ 3}1 ~ i-zz..;9 ~~~~~.- 7 /2-q/11 __
- 25. {)1;1,'nvi /rtJh4s~o 05/S1A CA-=: ~ ~ ---- ~~~- ~ -
- 26. K.t.Jtt, fYle..,er o&- ~ q V I r--- .S:.2-o-11._ ~ . . . : . . Yl.rPf 27_ ~o~ bfLI) m-- tJ5 -~---"---"'---=c.-.- rbr!t1 ~ ,J zn_- 7 /)4 )11__
2s. Pu~~ l-bxf-ST£4-
- oS -..c.~ ~ ~ _,,=
,....__,_=-+- C- 7 -.1 ~ '"")--z7rf _ _
- 29. l--e.-e.. S+a-~)~ C,. 6 ~ <<<,,'i-(~ ~~~ 7/30-\9_ _
- 30. Dou) LJ..,-fr7 C- 0 94~ ~* 6-J-1'] 4,f k~
ft.?i
., 7-V~ *-lj
- 31. Sl'V 6ry"'~J- SfYl 6-J-te; HY ~ 1,Jt-,1 r
- 32. '{ 1/21,~ \}a,v...- I n~rvdo.r ~~ t.,,<,\~ ~ 'JVc.- ~-z!:to,Cl- -
- 33. tJ ..~. ..:..\ h,,\,-..,.,._ co ~ (q-&-1~ ~ 1m1r9 -
- 34. Jl/4,µ; /:h,~ t/!r?i"--'Sd,f,- ~~ $/fl ~ < 7µ$1 - -
NOTES: Cy~~~ or- '1~e.-- i-TR-AA-220-1002-F01, Revision 0 ~~:)<9 ~ \\
~
NEX.Tera* MASTER SECURITY AGREEMENT ENERGY ~ (Page 2 of 2)
~ om JOB TITLE/
PRINTED NAME RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE
~~la, L 1L s:=-= t,~;1-t;. ~_,,,.,J 7?::2S72_ -
~1/4i~
- 35. £v,L r-i-~
- 3 6 . ~~ Uc.U,~~ ~CL~ ~ ~ -- r.\i,;\1G\
- 37. ~ ii,~ oR/J (_,J_J~~ ~ ~fr'1 ~ - l-~1 f _
- 38. Flee),., fJ&1, 111 r-/,,,,_Jw ~----=-----=--_"'..:c_~--- '-7/1]/2'1 ..::? 7/i>4f __
- 39. ~~ ~r:.y ;r_"s-,rvef'c).,.- ~ o/lfltf --=--------,,c.-----,!!~ -Y~ , - -
- 40. ~( t '- .S, c.J-z_.v--t'e.c} e.. \ S. ..., <2 ZSZ--'-' \ .>~ -----"-~=-----::,.,__- 7 / /1 / 1i ;:, Ii, A 1- -
- 41. ~ G;;o.;~ ~.. s-LvtJe'-,../ ~ - 1/J1(1Y ---.+--.:,.,,,-..::..-~_:-__:-__:--_ -z/2S/r7_
- 42. A&ro1A.e..-&\(J ~" IM,-t-(lvC..To(L. ~ ~ -, / h /i4 c.--::: .-
- 43. (;.Ae,i AlAfZ.,5,,{S 1 J.:ne...,,~ ~ 1 U1 ~
1
. -~
- 44. N}i cbtiel 5btbr#-tr I.N~ft, ucrog 7iJt ,~15-1; I NI,"' ~'P'"i'/ 77)5-1 1_ _
45. 46. 47. 48. NOTES: (3) S:3n.../4~ ,,,., f"j,._ B TR-AA-220-1002-F01, Revision 0 ro..~~ o~ I\
~
~
I 1 NEXf6ra" B'i!ERGY~ 1 MASTER SECURITY AGREEMENT .J
~
* * {Page i of2} * ...
~ -
]
The"M:asi:er Secmff',J Agreeme.'11: is csed fur these ~onneI having ba"ch kncw!edge of and unrestrk::ted access fo E;;:ani Sensifive_ Ma!:eti:al. I
~'i:
- 1. pre,-:i=;..J@n.~n (Revr-ew TR-AA-220-iu.GZ,, ~ e a t 1 for pre-job brl~.J.-.g reqcm-emeent:s}
1] I aci:no'<'.fedge 1'rlatl have.-acq-.!.!Ir:cd speda:TJZ""'.1 knC!'rjiedgeabo:-u:tfua2019 Lorr NRG LteeJ7Se Exarningnon sd::t~meqfurfue dai:c(s) cf i5 Ju;,; to 2.S Jufy201S .:i,s .afth~:tia:s of rcy s~gnarus... i agree-that l '\".1Il r;ot lcnoli'-lin.9ly~1lr:..!ige-a,y inform-anon a..'-io~ithis ex==:...minafioci tc *any pa.-sons ~"
~
o,
'5:hc ha:V6 not been aufhonzed byfue Exatri ProJscl M,,!.,""ger. 1unds..-si:arni li tad r am natto ~i: tsli uct provkie i::~rmancefueocack to those lnct'Vlduals .scned:t.iied io be ackr*l.r-astared trJs ~ o n from. mis d::t".:.e unfil ::ompleffon of exarnL.T.liion admu :istoi1on.. I also undersiand mzt f an not to .e'ta!u2fe mdfvlduars scheduleito be admintstered :b.Is exammaii.on from fr-Js date until the d.=r..e of admn-1,,.tt.,_fioD, Ading <lS a l.,
simui.rtcr boom operator or corrn:numcacrls ::::ccspfElie a' l do rLct sered me rraming cona-ii: or pro\'lde direct C-F indirectfeedha:clc to an j 6X'aIT1inea Fu-rJlenncra 1 am a:1,are of fhe phy~cal s ~ J msesures a..'1d rey_c..-~-nsot:? (as dcc;..rrnented :n prqcedures) a.-.d.urui,e."S:ta..,d that 1 y'tcfaµqn: of the condiffor.'.s. of thi~ :agreement may ~ui~ In cair...ellat!o of me ex:imina:i:jon ~~or a."1 enfor~ent ici:*:m ag:a.wt.rr\y facility er ma. !. J \',rJl h:nrnoota:tcly report to theExari,. Ptoject r. .~ e. r . any . rncfrcati.6ns cc su9gesnor:.s that e)(;lu~.afon securrf;y ~ ha:~e baen ccmpromised.. .. j,
- F.ll,rihermpr-e,*
~
. bagres t.oNOT
. . . . *C:scu~
- .. . . * . d ..h * * * - ** * . . ..J! __ .,.;_ AJNrv * -r * .c _.c:l; *
?fl~[ ~-"'-ts ?,5:Socta1:e v.r,r_. fue o:)l:n:eni:s or-rr.JS.~-ntr;,,,wor: w,u.1 _ *_<1_ c:xarr<_rr:tee: a:.-m.i cqmp,e:.:o~ '-'l ,he.:r
_* t. ~-
. ...d "
~mr-.,,;:;cn: ~Jrnstra:oon: Lrurtf:-erund~ 'iliat ,.'ID~tiori of the*=ndifions ofth'is qgreement mv*resutt m uanc:elfc: tion of me ~ o n
. andicr- enfon::eroem-acfioct ajamstths ~,1Ifty Ticar.s~ or me.. . . - . 1
.*1
,2. R~-Exam~n *:l
~
I* t* I'a*.~ .e pest d1.d
.qr~./ krtt:iwledge;J. nhf~Ev".:.!lge to a:-:r.n:1r1at(.horiz:eq.pe.-:soris zny i[iformafion concemrngt~c ~=-~91 .< ~d!:ninI~ durkrg fr:~
.;-i
. <:iate(s) "'~ .1 5 ~ to 29 JLiry':>tiis* . Fr,n:... ,u-..a ~s ;:;,zt r. enrerect irfo rrils ~..,,_my ~..rcemem <!IT5r =-'7i.¢~e:licn bf sca.JTIT.nancn acimrr-ii"'tr.i:>licn, t mci
* *not. in&fJ~ $ r ~ or.1Jrovid~qjer:fcrrri~ feedbatj:::terf:t,OSeYncr.1kiua1s who wara a:ctrna ::"'w.edihis.axanmati<'m~ 1 **
*J PR1NTED NAME JOSTITT_Ef -SIGNJ\iURE 12) DATE NOTE 1 RESPONSlB[LITY ~ ~ ()
- 1. t.fU::V15 /)r.,,'td}t P¢er o.Y-- ..-r./\ ...... -~~ ; .
<7 u[b<<f
(~ r w-
'I: -
- I
~ -~ rr--J~ fii i
- 2. S'f.f) f--1 . \J J' L H~ PSL G-X,Am _A,Io[Ur]IL ;;,,/4Vr~j7 I *u a.,~c.,~c:J (,:)('-... L _ _ _ ~
~
3_ -:r-.,,,,...1.. \J.,;.\.\,e:.y DC Coof_ -:c= "30~6-.4- / 1,1/~--y q/-,;/f !:J~ fuJ.,.,_,J °'<'1-t:::i __ il*
~
4 .. s~Q \\t~"b! ti£>.~ ,;,g,,,_ ~ . '$Ep1 ~~ :t.fMiL_ J J 5 .. "~
~
~
6 .. TR~O--i002-,.CU1, Re-.-tsion .0 I1
.J"'
-*c:::J t)uJ 0~ P~c\ - - - -* ---l
"'5 i,.
@ S,tJ f11t 4/IL Or'I ~j_L *ID i
~* ~~~k.~ D/1 IAJ-L- ,l i . Pa~ 5 (!) ~ , \
NEXTera* MASTER SECURITY AGREEMENT E~ (Page 2 of 2) JOB TITLE/ PRINTED NAME SIGNATU RE (1) DATE SIGNATU RE (2) DATE . NOTE RESPONS IBILITY J~, 7. s. 9. J:D?fo&oodl C::.f l,<f{_,Vf::3 21>hZ-/c (../ 5 ;rv1~ e:s~M ~ _i5fr-w
~ 1
., fr~
v--rf I v'U,
~ef //>~:.
_./V'4-'V~1-1. (-
,.-{ / I A
4
~1ifl Q& t~~~
/ ;;"l.~-*;:;.;.P"'Zf/J / 9_~_- ,:::...,c.---,"""__""""'=--:_i-.e.:;
- 10. i/.,DC1tZ,>/&6cmt; q,=.,1-,.., ' t i ? ! , ) ~ ~ ~
_ ; : ~~- C'
- *1/4, ~~
I - 7/cJq __
- 11. f~ J)r-.~eiy Tr~;"t :-. ~~ I/4/n /wOf> ,!}~ '7/zs-/,
12 . .::T~.&w:u(~J ~,'1-,:, ,*~ ""~ ~~~~- . #, ~ 2/4f(/1 _
- 13. ~yA,J l A~-£
$a~~!<<
(otJJ:&g L ~ ~it. ~~~=---- iliM . 14_ M,*ffe, ~ ( ot~ ---::::!_;~~=~~ .-: : : ,. _ 3/tf'l _ _ _ __
- 15. DG(2..l a'.. p AG01t1 l-lb. CorvT12,oc_ o()e12.ft-rz>f_ --,.e.~ -::::~~:::;.=~ - ~
- 16. 7)AV£ J,;rs-5 Co .11 lr1:1( ~//ecAfar --;,-;;:;;,.-=.~..,____ _ 3-7-(9" ~ 7 ...2S ...f1 - -
17. I l1/2odf: Ail be.Cs~V\ ~ &0 ---L..-L~=:::-=~--=-- lh/I1
- 18. ~Avl.s ~ kovEJJ ~
c::7.#. ~ 3--=t' *l~
~
- 19. /tf ,olwl ~ ~ I operw !>'I H1
- 20. f4ie1-- 71A 11'H 5 /<.. 0
~ 61G: ds-/&
NOTES: TR-M-220-1 002-F01 , Revision 0 p""'.:')e... Lu o ~ I ~
NEXTera~-,.. MASTER SECURITY AGREEMENT E~ (Page 2 of 2) JOB TITLE/ PRINTED NAME RESPONSIBILITY SIGNATURE (1) DATE SIGN ~ ~ - DATE , NOTE 21 ' --r;VJ," 7Hv/0 r C. 0 ,If f l.. t'l:, c>p.erJ-vi 'J2-- _;;L-. of/r f-/f (j?--J 1 7~2~ - 17
- 22. j 6 ~,.I sZl . . .o!k D.5 . ~ 'l/4f/;(, . -
~: J:;t ~~ t g;_, ~ :;:.:1 ,(J)JdJop~ 7P~f1-- 1 2s . I 1 J/"11 1\VI rrabr:r sco 0 5/ S1A Q_.__ ~ ~ {J;f,}:;..JT ~ --
- 26. Ki..JMi fYle._,er o,/J-- jl_utzq'},1 r-- s:.2-o-ll ~...::... ,;~~,
- 27. Ror-1 bL() TJ4: t15 - - ~ - = - - - .rbtJ~ ~,J ZJ7--, 7 /;24 }1_,___
- 28. Pu~e.. /fy f-S714-
- oS -..c:..-.~ .-=:: s_::_=:_- ,- 7 ~1 2}.__;;p-.. ..,-'Z7--rf _ _
29 . L~~ S-\-a-~)~ c.. .. 6 ~ l,*'3 *('\_ ~~~ , ,'3 0-\1 _ _
- 30. Dou) G_J..,fr7 C- 0
, ~~
- b-J-('j~ k~ 7-~, -11
- 31. 5,1'-Y 8ry"'.,,)- stv1P_i 6-J-te; /f-K~ 1-J-?,lf
- 32. '{ vi J\~ ya,v...- l n~t'v\dc,.r ~~ t., ,<, \L} ~ l JVc...- ~ ..2£. ~'i- -
- 33. rJ~~~~~(\ ~~~ (O ~ (o-~-\°l ~ 7/s0/19 -
- 34. JM,,~ fil,i,-i,,.,.,,7.,,J eAol,Pl.-'>/Wr ~ $/fl ~ . 7/J.f/tl - -
NOTES: TR-AA-220-1002-F01, Revision 0 P~c<f-- 'J o ~ \\
NEXTera~ MASTER SECURITY AGREEMENT ~ (Page 2 of 2) JOB TITLE/ PRINTED NAME RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE
- 35. ir/ L 5 c...1.-- U;-i,, '-- t L~ ~ * ~ ?--11-1 I £::,AJ 7-;,ZS72._ -
- 36. Rrux'il.-Uc.U,tL.. ',,(L<> ~ ~A---,!-- - - G.\2>[1'1. ~ , @ 7/zs/19 _ _
- 37. 4 & kt~ sRb ~~~~ f4zy1r c'J~fo ~ r:s-11 _
- 38. Fleck fut, 11t r-/,,,,_Jc,v .....:=:c..---~-.,,~~--- <-;/1J/J°l ~:_~ 7/ z>Jf _ _
- 39. Scott:.t-;~r:y z . " ~~ - ~ ~~ <:;-- o/ip ~ ~ -Yp 1 - -
- 40. 2-r lL. S, c..Jz.v-re.c.)e.\ S. ~(2- 'UL-'-'\.>~ ~~---"""-=--- 7 / 11/ 1'1 ~ .-? _1/t>A~ - -
- 41. ~ (;ia.,,~ .::i::-,, ,J.v.11e,"-,./ _;:.~~~=-- 7 /11 { t1 ~-.....,.,-k=~=--====~-=--
= 1/?S/r7__
- 42. A/Yft?l/\e-G\v ~" i,vs-;-~c.:toJL. --Ir'--=--.::.-==-,,....,---- -?/ ll fi r---=. *'°*
- 43. G-Ac?i Al-\(l.,eip{~ , J~M,~
- 44. 1Yli, bwel 5!ontbn..K-tr /t,j t;,t, uc,o[? ~ ~L....,UI:. ! : : . , _ _ _ _ _ __
1 ,'\hf." , ~ ,,rv*;1yc , *=--= , 45. 46 . 47. 48. NOTES: TR-AA-220-1002-F01, Revision 0 Pq..~e, 8 o .\= 11
Hinze, Jeffrel From: Ouret, Travis Sent: Thursday, July 25, 2019 3:42 PM To: Hinze, Jeffrey
Subject:
Re: 2019 ILT NRC Exam Agreement Jeff I'm at Fermi. I'll be back on Tuesday. I can send this them or you can sign me off. Congratulations on the results! Sent via the Samsung Galaxy S8, an AT&T 5G Evo lution capabl e smartphone
Original message --------
From: "Hinze, Jeffrey" <Jeffrey.Hinze@nexteraenergy.com> Date: 7/25/19 1:02 PM (GMT-05 :00) To: "Hinze, Bradley" <Bradley.Hinze@fpl.com> , "Ouret, Travis" <Travis.Ouret@fpl.com>, "Wylie, Sean" <Sean.Wylie@fpl.com>, "'tjvalley@aep.com'" <tjvalley@aep.com>
Subject:
2019 ILT NRC Exam Agreement
- All, The 2019 ILT NRC Exam Agreement is now ended. Preliminary results are all students passed.
Please sign off the attached exam agreement and return. Thank you for your help with this exam, Jeff Jeffrey Hinze N Tra-ining Ops Instructor Sr NextEra Energy - Point Beach Desk(920)755-7246 1 p~ ~ o{ If
ii j 1 I l~I MASTERSECURilY AGREEMENT
* * {Page 1 of 2)
.i 1
j The* Ma&a- Security- .Agreement is used for those pe.:sonner having both knowiedge of and unrest!icted access to Exam Sensitive_ Mcd:srial. f.*
]
- 1. Pre-E:lrarnln:afQ!J (Review TR-AA-220-1002,. .Attaciuuerrt 1 for pre-job brlsfing requfre.merrts) lij l ad<:nowfedge that 1have acq-..1irsd c:pe6alized know!edge about ms 2.DiS LOIT NRC License EX'arninafun ~uleq for the dare(s) cf 15 Jufy ~
to 29 Jgly 2019 c(s of tr.e ctas of my sfgnaiure.. l agree that I ,,...,m not knowir.gly oMI!ge any informanon about this exai"Ttinafiori to any persons j who ha:-<<;; r.ot been aui:horized by the. Exam Profed Ma>rage-r. I understand that [ am net to mstruct or prcvide ?Jformancef;eclback:to fuose briMduafs scheduled: to be -adr:nmis'"..sreg 1:rus EOOmJinaflorr from mis date until complefion of exa.ir-Jrrafion admL iisfll4llor L I ai-"'O undenm;nd !hat [ am not to evafume individuals scheduled to be adminISt--=ffid fliis exarr..Jnafion from trns *d2te urml me dcde of admmb--trafion. Acting as a l ,, an s!mur.rtor boofu operator or communrcator is -accepfable tf ! do net se!ed ihe training corm=ri or provide direct c-. indirect feedback. to sxammee. Furthermore,. I a..-n :a:v.are of the physical secumy measures and reqtifrernsnts (as documented in prqcedures) and ~ d f u a t
;,iclztion cif the condffions of mis agreement may resuft In cance!latiori of the examination andfor an enforcement i:lcfion again& my facility or me.
l "I.Viii immedtate!y report io the ExE:rn Project: Manager any indicc::tians or suggesfions that e:xaminci:ion security may have been compromised.. ii
~
Furfusrmcre, I agree to-NOT discuss acy aspects associai...oe! wm1 me cements of mis exa.-nirrafior. wfill M.'Y .exarrtlnee unfil complefion of fueh- "'
...ll
~ n administrafion. r further understand that vioiatron of the-co.."'!difions offhis agreement may resutt 1n c:.:ancellalion of the examfnanon ;t.
and/or anorcement aclfon against the fadli'ty ncensee or ma - -!;s
~
~
- 2. Eost-Exam"ination
~
To 'the best of my knowledge, I dlci not divulge to any t!rlciUfhodzed peraoris a,-r:, if!l'omra:fion cooeemrng the ~ o n admi.'1!¢ered <iuling the date(s) of 15 July to 29 Jurv 2019.. From the dale that l enrered "into this securny agreement unfil =mp!etion of e:::aminafion actm'fnistranon, r md not ins(ruct, ev-ducde, or provide perfurmancs feedback to those mdMduals who were admrmstsfe.d this ~ T L ~ 1
..:3:
.JOB 11TI...E f ..,
2 PRlNTED NAME .,-c,RESPONSlBILITY ~!GNAWRE 1} DA! 1:. SIGNATURE (2) DATE NOTE '!!
- 1. tJVrl/L.5 tOutzG-t Ft:eer o. i-:. fl,'\
PSL
--,....-.::;,;=5t=~--
.,,,& ~
"'fl rb 1 ti 1/'Y
~.,.3/4
,. ,,----~-,, }
*t" YfA;J w'YLIE f;)S,4M Al6"1bt,)/L ~
7"' ~A::: 2... il 3... --r.:,,1-..S.. \Jc.\.\ ,:.y DC. Coo)c _ "'I.L~ "'.3:,u.l-_,~_. r.f/"'3/l"i V .LµJ,tJ/~ f
'.4- g,~o \\.-"-1"h! H-T?,;lf, ~f4M. ~Jbt' $411 _ _ _ __ _z.
~
- 5. . r:
6.. j ii 1 TR~1002-FO-r, Rs--tisicn 0 _j I
~jj
~
~
- - - ~
- V ""'"1 W au=:..~~~-~---~- ___, _ !?":,:J':--~{) o{ I (
-~.._-...,.....-.r .=,----
~; ji
[' .-~ r:~ ,'t H
~
i
*fNBG'etct'
*[&!ERG't~
,*_*-~ -
-_MASTER SECURITY AG':RE~ENT .
. : . (Page.1~2} . . . . J *:*
- t
!1, J.~-
- The* l\kasler'Sei:;arify' Jliqreemeht is used fu:r,ihose. personnet*having ):Jom knO\<iledge:
'dfahd Uriresirlcf:ei:i;cfoc~1/4fo-
. . . ~
- Ex:ani*'
&insffi:i<e ..
~Mate.~aL
.1 ~ P~on(~eyf.~w-m-::M~~tM-ooi,,A,tI:a:cl$en:t1forpre,-Jab ptiefing:requfrem,e$}
l 1*atknriwfedgetiiatJh~ve:;i.cqutred speoializeiilqloWiedgeabouHhe-2.Gjs.LorrN.R:C License E'x'aminafionscbeddrei:Hbf:ihetiate(s) _o f.15July
,f b -*:h~=:~;;=~i;;:=r6~ai1~ir~1tzj~=llir~6ti6~::J;~~~~=~~~ ~; - l;I P' irn:::!ivrduais.scliecru!ecrfoooadministsredfhls-exa.mJnationfromthis date'urrtltcorrtpietfonofaxamlrni:tian,actm011sfrafion..*ra1so* una~ndifiatl j ~\ *2tli nafto eva[tJate indMduai~:scliedtnedto be admfnisiered ilics exatP.inafion frotrrf:his,da:te urrt:i!:ih-e*date. of admlnfstrafion, .A:cting -as i , ,
slmulatorbtl<?fhoperatorcir,ccmmunr~r:~~ccepfabielftdqrtct .se{~c,iil:Je'~ ~ng_~or,pr;t;wid~.tjn;ei:toriotjj~feei:m;:tektoan rt t~ examj'nee; Ftmbennore,J~m a'tli.'are pf ifle p~~-sacurny me:asures and r e ~ (as.aoctrm,enteq !n ~ures-) andµnrstan.d~
, \rlclatio~offue coridmciNf cr(;fu.is agreem~ may resuit 1n c;anj::e!latioo offue.*examtnaifufi an<;lfor ati*eirfo~em ?c;tion -against rriyfaiir!fy nim~-
lwiff Inimec!ta{ety-report to the Exart{P.roJeci- Manager any rndical:iaiis or.suggestions::that examlna:tion secuiif;J'niaY.' have been compromTsed. . J
-4
.:ill
[
~.-
~~~~=-~*'r'"~~ !r~~~tt,:;~gzy$ ~! l-~
f:'
-:1.. Post-Examtrnrtio.n l
~ To -the best cif ti:iY knowledge,. I did riot di'irul,g'e to ,any unauthotizo-d p~oris-anyi:[ifomrafion. CQfilcemirig iha-;examinatton~~-dutmg_the
-:1 i
t f -~~~!=~~~~!s~~~:~o/~t~:=~;=~~~~~d~~~nafto.n-.~fr.im1stra(Iq~ _ c:cnd* 1 l
/.
f: PRJNTED NAME ,_ RE~~~&~~r{rry ~SlGNATqRE: 1} 1)~11£ *S!GNAtiJRE(2)' oAt'.E . 'NOTE l
*1, ,. ~ .- .
l JZA:(ll;.$ ~ **- ~_,
, , ,ffL_t;)~.( ,'
**r-,;:::~ : -.,....__._..,- ..,;;.
r."e,,;,0'-~ - , *'-'/.* I ,' - -r~ ) , 1f {e, 1,.?
-
- _11_4 ,
l
\f-f LJE . _. .P~L ~Y:.AM' /4to 1Ji,j/L /b* .~ ) - 7 / ; 9
~* .* -.*, ,'
f 2_ , Y&fif! t~ r F t*: 6--
- s. <e;~o~i;~7'!
.4s
.. Ci c *c C>& . -'J...t-"'r. :;:,-_~b,..k....- * ...,7:§:§:::V fi$trj,-_:'-'. Gy4&\ ,' :
L1/?i(r1 @ Yli;,}.ii\: _*
-=--1-V.-..--:::-1/- -- - ..,h.r,u<1 _
~ : *' .
J ,-,t,
!f 5. - *- - - .. ~ ! l ~.
- 6. --- . - .*.I** -- .--,-...- ,-- ~
l
/:
- tR~~1CiP2-:RJ1,Revisiqn:il j
~~-'. ':! '.:i' ,. J, f ,.u.
rr *- ._... ":' .:.... **** *** ..* . . .. -.
' --- .. - . .. ., .. ,,. -** -,.*'-~~ -:' - '"-~-*' 1 r
* :-- .~ , *** *
~11:
~
[i f/,(f- ;/ () I/}}