ML24053A194
ML24053A194 | |
Person / Time | |
---|---|
Site: | Summer |
Issue date: | 09/03/2021 |
From: | NRC/RGN-II |
To: | |
References | |
Download: ML24053A194 (1) | |
Text
ES-201 Examination Preparation Checklist Form ES-201-1
Facility: VC Summer Date of Examination: 2021-310
Developed by: Written: Facility NRC // Operating: Facility NRC
Target Examiners Date* Task Description (Reference) Chief Initials
-240 1. Examination administration date confirmed (C.1.a; C.2.a-b). For NRC-prepared exams, JDB arrangements are made for the facility to submit reference materials (C.1.e; C.3.c; Attachment 3).
-210 2. NRC examiners and facility contact assigned (C.1.d; C.2.f). JDB
- 3. Facility contact briefed on security and other requirements (C.2.c). As applicable, the facility JDB
-210 contact submits to the NRC any prescreened K/As for elimination from the written examination outline, with a description of the facilitys prescreening process (ES-401, D.1.b).
-210 4. Reference material due for NRC-prepared exams (C.1.e; C.3.c; Attachment 3). JDB
-210 5. Corporate notification letter sent (C.2.e). JDB
- 6. NRC-developed written examination outline (ES-401-1/2 or ES-401N-1/2 and ES-401-3 or JDB
-195 ES-401N-3) sent to facility contact (must be on the exam security agreement) (C.1.e-f; C.2.h; C.3.d-e).
-150 7. Operating test outline(s) and other checklists due, including Forms ES-201-2, ES-201-3, ES-301-1, JDB ES-301-2, ES-301-5, and ES-D-1, as applicable (C.1.e-f; C.3.d-e).
-136 8. Operating test outline(s) reviewed by the NRC and feedback provided to facility licensee (C.2.h; JDB C.3.d-e).
- 9. Proposed examinations (written, JPMs, and scenarios, as applicable) and outlines (Forms JDB ES-301-1, ES-301-2, ES-D-1, ES-401-1/2 or ES-401N-1/2, and ES-401-3 or ES-401N-3);
-75 supporting documentation (including Forms ES-301-3, ES-301-4, ES-301-5, ES-301-6, ES-401-6, ES-401N-6, and any Form ES-201-2 and ES-201-3 updates); and reference materials due (C.1.e-h; C.3.d).
-75 10. Examinations prepared by the NRC are approved by the NRC supervisor and forwarded for N/A facility licensee review (C.1.i; C.2.h; C.3.f-g).
-60 11. Preliminary waiver/excusal requests due (C.1.m; C.2.c; ES-202). N/A
-50 12. Written exam and operating test reviews completed (C.3.f). JDB
-35 13. Examination review results discussed between the NRC and facility licensee (C.1.i; C.1.k-l; JDB C.2.h; C.3.g). The NRC and the facility licensee conduct exam preparatory week.
-30 14. Preliminary license applications and waiver/excusal requests, as applicable (NRC Form 398) due JDB (C.1.m; C.2.i; ES-202).
-14 15. Final license applications and waiver/excusal requests, as applicable (NRC Form 398), due and JDB Form ES-201-4 prepared (C.1.m; C.2.k; ES-202).
-7 16. Written examinations and operating tests approved by the NRC supervisor (C.2.j-k; C.3.h). JDB
-7 17. Request facility licensee management feedback on the examination (C.2.l). JDB
- 18. Final applications reviewed; one or two (if more than 10) applications audited to confirm JDB
-7 qualifications/eligibility; and examination approval and waiver/excusal letters sent (C.2.k; Attachment 5; ES-202, C.3.j; ES-204).
-7 19. Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k). JDB
-7 20. Approved scenarios and job performance measures distributed to NRC examiners (C.3.i). JDB
- Target dates are based on facility-prepared examinations and the examination date identified in the corporate notification letter. These dates are for planning purposes and may be adjusted on a case -by-case basis in coordination with the facility licensee.
(6 $GPLQLVWUDWLYH7RSLFV2XWOLQH )RUP(6
)DFLOLW\\ 9&6800(5 'DWHRI([DP 2SHUDWLQJ7HVW1R 15&,/2
$ ( 6FHQDULRV
3 9 6SDUH 7
3 ( &5(: &5(: &5(: &5(: 2
/ 1 326,7,21 326,7,21 326,7,21 326,7,21 7 0,1,080
, 7 $
& 6 $ % 6 $ % 6 $ % 6 $ % /
$ 7 5 7 2 5 7 2 5 7 2 5 7 2
1 < 2 & 3 2 & 3 2 & 3 2 & 3
7 3 5, 8
(
52 5;
125
652,, &
0$-
652 8
76
52 5;
125
652,, &
0$-
652 8
76
52 5;
125
652,, &
0$-
652 8
76
52 5;
125
652,, &
0$-
652 8
76
,QVWUXFWLRQV
&KHFNWKHDSSOLFDQWOHYHODQGHQWHUWKHRSHUDWLQJWHVWQXPEHUDQG)RUP(6 ' HYHQWQXPEHUVIRUHDFKHYHQWW\\SH 76
DUHQRWDSSOLFDEOHIRU52DSSOLFDQWV 52VPXVWVHUYHLQERWKWKHDW WKH FRQWUROV$7&DQGEDODQFH RI SODQW%23
SRVLWLRQV ,QVWDQW652V652,PXVWVHUYHLQERWKWKH652DQGWKH$7&SRVLWLRQV LQFOXGLQJDWOHDVWWZRLQVWUXPHQWRU
FRPSRQHQW, &PDOIXQFWLRQVDQGRQHPDMRUWUDQVLHQW LQWKH$7&SRVLWLRQ ,IDQ652,additionally VHUYHVLQWKH%23
SRVLWLRQ RQH, &PDOIXQFWLRQFDQEHFUHGLWHGWRZDUGWKHWZR, &PDOIXQFWLRQVUHTXLUHGIRUWKH$7&SRVLWLRQ
5HDFWLYLW\\PDQLSXODWLRQVPD\\EHFRQGXFWHGXQGHUQRUPDORUcontrolled DEQRUPDOFRQGLWLRQVUHIHUWR6HFWLRQ' GEXW
PXVWEHVLJQLILFDQWSHU6HFWLRQ& DRI$SSHQGL[' 5HDFWLYLW\\DQGQRUPDOHYROXWLRQVPD\\EHUHSODFHGZLWKDGGLWLRQDO
, &PDOIXQFWLRQVRQDRQH IRU RQHEDVLV
:KHQHYHUSUDFWLFDO ERWKLQVWUXPHQWDQGFRPSRQHQWPDOIXQFWLRQVVKRXOGEHLQFOXGHG RQO\\WKRVHWKDWUHTXLUHYHULILDEOH
DFWLRQVWKDWSURYLGHLQVLJKWWRWKHDSSOLFDQW¶VFRPSHWHQFHFRXQWWRZDUGWKHPLQLPXPUHTXLUHPHQWVVSHFLILHGIRUWKH
DSSOLFDQW¶VOLFHQVHOHYHOLQWKHULJKW KDQGFROXPQV
)RUQHZUHDFWRUIDFLOLW\\OLFHQVHHVWKDWXVHWKH$7&RSHUDWRUSULPDULO\\IRUPRQLWRULQJSODQWSDUDPHWHUV WKHFKLHIH[DPLQHU
PD\\SODFH652,DSSOLFDQWVLQHLWKHUWKH$7&RU%23SRVLWLRQWREHVWHYDOXDWHWKH652,LQPDQLSXODWLQJSODQWFRQWUROV
(6 $GPLQLVWUDWLYH7RSLFV2XWOLQH )RUP(6
)DFLOLW\\ 9&6800(5 'DWHRI([DP 2SHUDWLQJ7HVW1R 15&,/2
$ ( 6FHQDULRV
3 9 6SDUH 7
3 ( &5(: &5(: &5(: &5(: 2
/ 1 326,7,21 326,7,21 326,7,21 326,7,21 7 0,1,080
, 7 $
/
& 7 6 $ % 6 $ % 6 $ % 6 $ %
$ < 5 7 2 5 7 2 5 7 2 5 7 2
1 3 2 & 3 2 & 3 2 & 3 2 & 3 5, 8
7 (
52 5;
125
652,, &
0$-
652 8
76
52 5;
125
652,, &
0$-
652 8
76
52 5;
125
652,, &
652 8 0$-
76
5;
52 125
652,, &
0$-
652 8
76
,QVWUXFWLRQV
&KHFNWKHDSSOLFDQWOHYHODQGHQWHUWKHRSHUDWLQJWHVWQXPEHUDQG)RUP(6 ' HYHQWQXPEHUVIRUHDFKHYHQWW\\SH 76
DUHQRWDSSOLFDEOHIRU52DSSOLFDQWV 52VPXVWVHUYHLQERWKWKHDW WKH FRQWUROV$7&DQGEDODQFH RI SODQW%23
SRVLWLRQV ,QVWDQW652V652,PXVWVHUYHLQERWKWKH652DQGWKH$7&SRVLWLRQV LQFOXGLQJDWOHDVWWZRLQVWUXPHQWRU
FRPSRQHQW, &PDOIXQFWLRQVDQGRQHPDMRUWUDQVLHQW LQWKH$7&SRVLWLRQ ,IDQ652,DGGLWLRQDOO\\VHUYHVLQWKH%23
SRVLWLRQ RQH, &PDOIXQFWLRQFDQEHFUHGLWHGWRZDUGWKHWZR, &PDOIXQFWLRQVUHTXLUHGIRUWKH$7&SRVLWLRQ
5HDFWLYLW\\PDQLSXODWLRQVPD\\EHFRQGXFWHGXQGHUQRUPDORUFRQWUROOHGDEQRUPDOFRQGLWLRQVUHIHUWR6HFWLRQ' GEXW
PXVWEHVLJQLILFDQWSHU6HFWLRQ& DRI$SSHQGL[' 5HDFWLYLW\\DQGQRUPDOHYROXWLRQVPD\\EHUHSODFHGZLWKDGGLWLRQDO
, &PDOIXQFWLRQVRQDRQH IRU RQHEDVLV
:KHQHYHUSUDFWLFDO ERWKLQVWUXPHQWDQGFRPSRQHQWPDOIXQFWLRQVVKRXOGEHLQFOXGHG RQO\\WKRVHWKDWUHTXLUHYHULILDEOH
DFWLRQVWKDWSURYLGHLQVLJKWWRWKHDSSOLFDQW¶VFRPSHWHQFHFRXQWWRZDUGWKHPLQLPXPUHTXLUHPHQWVVSHFLILHGIRUWKH
DSSOLFDQW¶VOLFHQVHOHYHOLQWKHULJKW KDQGFROXPQV
)RUQHZUHDFWRUIDFLOLW\\OLFHQVHHVWKDWXVHWKH$7&RSHUDWRUSULPDULO\\IRUPRQLWRULQJSODQWSDUDPHWHUV WKHFKLHIH[DPLQHU
PD\\SODFH652,DSSOLFDQWVLQHLWKHUWKH$7&RU%23SRVLWLRQWREHVWHYDOXDWHWKH652,LQPDQLSXODWLQJSODQWFRQWUROV
(6 $GPLQLVWUDWLYH7RSLFV2XWOLQH )RUP(6
)DFLOLW\\ 9&6800(5 'DWHRI([DP 2SHUDWLQJ7HVW1R 15&,/2
$ ( 6FHQDULRV
3 9 6SDUH 7
3 ( &5(: &5(: &5(: &5(: 7
/ 1 326,7,21 326,7,21 326,7,21 326,7,21 2 0,1,080
, 7 7
& 6 $ % 6 $ % 6 $ % 6 $ % $
$ 7 5 7 2 5 7 2 5 7 2 5 7 2 /
1 < 2 & 3 2 & 3 2 & 3 2 & 3
7 3 5, 8
(
52 5;
125
652,, &
652 8 0$-
76
5;
52 125
652,, &
652 8 0$-
76
52 5;
125
652,, &
652 8 0$-
76
52 5;
125
652,, &
652 8 0$-
76
,QVWUXFWLRQV
&KHFNWKHDSSOLFDQWOHYHODQGHQWHUWKHRSHUDWLQJWHVWQXPEHUDQG)RUP(6 ' HYHQWQXPEHUVIRUHDFKHYHQWW\\SH 76
DUHQRWDSSOLFDEOHIRU52DSSOLFDQWV 52VPXVWVHUYHLQERWKWKHDW WKH FRQWUROV$7&DQGEDODQFH RI SODQW%23
SRVLWLRQV ,QVWDQW652V652,PXVWVHUYHLQERWKWKH652DQGWKH$7&SRVLWLRQV LQFOXGLQJDWOHDVWWZRLQVWUXPHQWRU
FRPSRQHQW, &PDOIXQFWLRQVDQGRQHPDMRUWUDQVLHQW LQWKH$7&SRVLWLRQ ,IDQ652,DGGLWLRQDOO\\VHUYHVLQWKH%23
SRVLWLRQ RQH, &PDOIXQFWLRQFDQEHFUHGLWHGWRZDUGWKHWZR, &PDOIXQFWLRQVUHTXLUHGIRUWKH$7&SRVLWLRQ
5HDFWLYLW\\PDQLSXODWLRQVPD\\EHFRQGXFWHGXQGHUQRUPDORUFRQWUROOHGDEQRUPDOFRQGLWLRQVUHIHUWR6HFWLRQ' GEXW
PXVWEHVLJQLILFDQWSHU6HFWLRQ& DRI$SSHQGL[' 5HDFWLYLW\\DQGQRUPDOHYROXWLRQVPD\\EHUHSODFHGZLWKDGGLWLRQDO
, &PDOIXQFWLRQVRQDRQH IRU RQHEDVLV
:KHQHYHUSUDFWLFDO ERWKLQVWUXPHQWDQGFRPSRQHQWPDOIXQFWLRQVVKRXOGEHLQFOXGHG RQO\\WKRVHWKDWUHTXLUHYHULILDEOH
DFWLRQVWKDWSURYLGHLQVLJKWWRWKHDSSOLFDQW¶VFRPSHWHQFHFRXQWWRZDUGWKHPLQLPXPUHTXLUHPHQWVVSHFLILHGIRUWKH
DSSOLFDQW¶VOLFHQVHOHYHOLQWKHULJKW KDQGFROXPQV
)RUQHZUHDFWRUIDFLOLW\\OLFHQVHHVWKDWXVHWKH$7&RSHUDWRUSULPDULO\\IRUPRQLWRULQJSODQWSDUDPHWHUV WKHFKLHIH[DPLQHU
PD\\SODFH652,DSSOLFDQWVLQHLWKHUWKH$7&RU%23SRVLWLRQWREHVWHYDOXDWHWKH652,LQPDQLSXODWLQJSODQWFRQWUROV
(6 $GPLQLVWUDWLYH7RSLFV2XWOLQH )RUP(6
)DFLOLW\\ 9&6800(5 'DWHRI([DP 2SHUDWLQJ7HVW1R 15&,/2
$ ( 6FHQDULRV
3 9 6SDUH 7
3 ( &5(: &5(: &5(: &5(: 7
/ 1 326,7,21 326,7,21 326,7,21 326,7,21 2 0,1,080
, 7 7
& 6 $ % 6 $ % 6 $ % 6 $ % $
$ 7 5 7 2 5 7 2 5 7 2 5 7 2 /
1 < 2 & 3 2 & 3 2 & 3 2 & 3
7 3 5, 8
(
52 5;
125
652,, &
0$-
652 8
76
52 5;
125
652,, &
0$-
652 8
76
52 5;
125
652,, &
652 8 0$-
76
52 5;
125
652,, &
0$-
652 8
76
,QVWUXFWLRQV
&KHFNWKHDSSOLFDQWOHYHODQGHQWHUWKHRSHUDWLQJWHVWQXPEHUDQG)RUP(6 ' HYHQWQXPEHUVIRUHDFKHYHQWW\\SH 76
DUHQRWDSSOLFDEOHIRU52DSSOLFDQWV 52VPXVWVHUYHLQERWKWKHDW WKH FRQWUROV$7&DQGEDODQFH RI SODQW%23
SRVLWLRQV ,QVWDQW652V652,PXVWVHUYHLQERWKWKH652DQGWKH$7&SRVLWLRQV LQFOXGLQJDWOHDVWWZRLQVWUXPHQWRU
FRPSRQHQW, &PDOIXQFWLRQVDQGRQHPDMRUWUDQVLHQW LQWKH$7&SRVLWLRQ ,IDQ652,DGGLWLRQDOO\\VHUYHVLQWKH%23
SRVLWLRQ RQH, &PDOIXQFWLRQFDQEHFUHGLWHGWRZDUGWKHWZR, &PDOIXQFWLRQVUHTXLUHGIRUWKH$7&SRVLWLRQ
5HDFWLYLW\\PDQLSXODWLRQVPD\\EHFRQGXFWHGXQGHUQRUPDORUFRQWUROOHGDEQRUPDOFRQGLWLRQVUHIHUWR6HFWLRQ' GEXW
PXVWEHVLJQLILFDQWSHU6HFWLRQ& DRI$SSHQGL[' 5HDFWLYLW\\DQGQRUPDOHYROXWLRQVPD\\EHUHSODFHGZLWKDGGLWLRQDO
, &PDOIXQFWLRQVRQDRQH IRU RQHEDVLV
:KHQHYHUSUDFWLFDO ERWKLQVWUXPHQWDQGFRPSRQHQWPDOIXQFWLRQVVKRXOGEHLQFOXGHG RQO\\WKRVHWKDWUHTXLUHYHULILDEOH
DFWLRQVWKDWSURYLGHLQVLJKWWRWKHDSSOLFDQW¶VFRPSHWHQFHFRXQWWRZDUGWKHPLQLPXPUHTXLUHPHQWVVSHFLILHGIRUWKH
DSSOLFDQW¶VOLFHQVHOHYHOLQWKHULJKW KDQGFROXPQV
)RUQHZUHDFWRUIDFLOLW\\OLFHQVHHVWKDWXVHWKH$7&RSHUDWRUSULPDULO\\IRUPRQLWRULQJSODQWSDUDPHWHUV WKHFKLHIH[DPLQHU
PD\\SODFH652,DSSOLFDQWVLQHLWKHUWKH$7&RU%23SRVLWLRQWREHVWHYDOXDWHWKH652,LQPDQLSXODWLQJSODQWFRQWUROV
(6 $GPLQLVWUDWLYH7RSLFV2XWOLQH )RUP(6
)DFLOLW\\ 9&6XPPHU 'DWHRI([DPLQDWLRQ 2SHUDWLQJ7HVW1R 15&,/2
$33/,&$176
5 5 5 5
&RPSHWHQFLHV 52 52 52 52
652, 652, 652, 652,
652 8 652 8 652 8 652 8
6&(1$5,2 6&(1$5,2 6&(1$5,2 6&(1$5,2
5 % % 5 5 % % 5
,QWHUSUHW 'LDJQRVH
(YHQWVDQG
&RQGLWLRQV
&RPSO\\:LWKDQG
8VH3URFHGXUHV
2SHUDWH&RQWURO
%RDUGV
&RPPXQLFDWH
DQG,QWHUDFW
'HPRQVWUDWH
6XSHUYLVRU\\$ELOLW\\
&RPSO\\:LWKDQG
8VH7HFK 6SHFV
1RWHV
,QFOXGHV7HFKQLFDO6SHFLILFDWLRQFRPSOLDQFHIRUDQ52
2SWLRQDOIRUDQ652 8
2QO\\DSSOLFDEOHWR652V
Instructions:
Check the applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Forms ES-303-1 and ES-303-3 describe the competency rating factors.)
(6 $GPLQLVWUDWLYH7RSLFV2XWOLQH )RUP(6
)DFLOLW\\ 9&6XPPHU 'DWHRI([DPLQDWLRQ 2SHUDWLQJ7HVW1R 15&,/2
$33/,&$176
5 5 8 8
&RPSHWHQFLHV 52 52 52 52
652, 652, 652, 652,
652 8 652 8 652 8 652 8
6&(1$5,2 6&(1$5,2 6&(1$5,2 6&(1$5,2
5 % % 5 & &
,QWHUSUHW 'LDJQRVH
(YHQWVDQG
&RQGLWLRQV
&RPSO\\:LWKDQG
8VH3URFHGXUHV
2SHUDWH&RQWURO
%RDUGV
&RPPXQLFDWH
DQG,QWHUDFW
'HPRQVWUDWH
6XSHUYLVRU\\$ELOLW\\
&RPSO\\:LWKDQG
8VH7HFK 6SHFV
1RWHV
,QFOXGHV7HFKQLFDO6SHFLILFDWLRQFRPSOLDQFHIRUDQ52
2SWLRQDOIRUDQ652 8
2QO\\DSSOLFDEOHWR652V
Instructions:
Check the applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Forms ES-303-1 and ES-303-3 describe the competency rating factors.)
(6 $GPLQLVWUDWLYH7RSLFV2XWOLQH )RUP(6
)DFLOLW\\ 9&6XPPHU 'DWHRI([DPLQDWLRQ 2SHUDWLQJ7HVW1R 15&,/2
$33/,&$176
8 8 8 8
&RPSHWHQFLHV 52 52 52 52
652, 652, 652, 652,
652 8 652 8 652 8 652 8
6&(1$5,2 6&(1$5,2 6&(1$5,2 6&(1$5,2
& & & &
,QWHUSUHW 'LDJQRVH
(YHQWVDQG
&RQGLWLRQV
&RPSO\\:LWKDQG
8VH3URFHGXUHV
2SHUDWH&RQWURO
%RDUGV
&RPPXQLFDWH
DQG,QWHUDFW
'HPRQVWUDWH
6XSHUYLVRU\\$ELOLW\\
&RPSO\\:LWKDQG
8VH7HFK 6SHFV
1RWHV
,QFOXGHV7HFKQLFDO6SHFLILFDWLRQFRPSOLDQFHIRUDQ52
2SWLRQDOIRUDQ652 8
2QO\\DSSOLFDEOHWR652V
Instructions:
Check the applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Forms ES-303-1 and ES-303-3 describe the competency rating factors.)
(6 $GPLQLVWUDWLYH7RSLFV2XWOLQH )RUP(6
)DFLOLW\\ 9&6XPPHU 'DWHRI([DPLQDWLRQ 2SHUDWLQJ7HVW1R 15&,/2
$33/,&$176
63$5(
&RPSHWHQFLHV 52 52 52 52
652, 652, 652, 652,
652 8 652 8 652 8 652 8
6&(1$5,2 6&(1$5,2 6&(1$5,2 6&(1$5,2
& 5 %
,QWHUSUHW 'LDJQRVH
(YHQWVDQG
&RQGLWLRQV
&RPSO\\:LWKDQG
8VH3URFHGXUHV
2SHUDWH&RQWURO
%RDUGV
&RPPXQLFDWH
DQG,QWHUDFW
'HPRQVWUDWH
6XSHUYLVRU\\$ELOLW\\
&RPSO\\:LWKDQG
8VH7HFK 6SHFV
1RWHV
,QFOXGHV7HFKQLFDO6SHFLILFDWLRQFRPSOLDQFHIRUDQ52
2SWLRQDOIRUDQ652 8
2QO\\DSSOLFDEOHWR652V
Instructions:
Check the applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Forms ES-303-1 and ES-303-3 describe the competency rating factors.)
ES-403 Written Examination Grading Form ES-403-1 Quality Checklist
Facility: Virgil C. Summer Date of Exam: 9/23/21 Exam Level: RO x SRO x
Item Description Initials
a b c
- 1. Clean answer sheets copied before grading DL N/A JB
- 2. Proposed answer key changes and question deletions N/R N/A N/R justified and documented (facility reviewer initials not required (N/R) if NO post-examination comments are submitted)
- 3. Applicants scores checked for addition errors DL N/A JB (reviewers spot check > 25% of examinations)
- 4. Grading for all borderline cases (80% +/-2% overall and 70% or N/A N/A N/A 80%, as applicable, +/-4% on the SRO-only exam) reviewed in detail
- 5. All other failing examinations checked to ensure that grades N/A N/A N/A are justified
- 6. Performance on missed questions checked for training DL N/A JB deficiencies and wording problems; evaluate validity of questions missed by one-half or more of the applicants
Printed Name/Signature Date
- a. Grader __David Lanyi_/_David Lanyi_______ __9/30/21_
- b. Facility Reviewer(*) _______N/A_______________________ _________
- c. NRC Chief Examiner (*) __Jason Bundy_/_ Jason Bundy__________ __9/30/21_
- d. NRC Supervisor (*) __Eugene Guthrie_/ Eugene Guthrie______ __10/5/21_
(*) The facility reviewers signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.