ML26057A215

Single Positive Test Form Collected on 04/21/2025

ML26057A215
Person / Time
Site:	Arkansas Nuclear
Issue date:	02/26/2026
From:	Engler V, Walker D Entergy Operations
To:	Office of Nuclear Security and Incident Response, Document Control Desk
NSIR-Brian Zaleski, 301-287-0638
References
ANO-2025-07
Download: ML26057A215 (0)

Text

Please elaborate on the choice(s) selected:

Specimen temperature out of acceptable range (88 degrees) and absence of any sounds during collection.

Donor admitted to using a synthetic sample for her collection due to drug use as recent as the day prior.

Facility Arkansas Nuclear One [50-313; 50-368]

Reason for Testing - 26.717(b)(5)

Pre-Access Pre-Access Testing Reason (optional)

Initial Authorization Please elaborate (optional)

Employment Type - 26.717(b)(3)

Contractor/Vendor Labor Category - 26.717(b)(3)

Facility Support Was this collection refused? - 26.717(b)(7) & 26.75 Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied Permanent Denial Save to Local PC Print this Report Unique Reference ID (Licensee Supplied)

ANO-2025-07

1) All fields required except those marked 'optional'

2) Entries in some fields auto-populate information in other fields

3) Mouse over form fields to view additional information

4) Use of Adobe Reader 8 or later is required Yes 04/21/2025 Submission Update Person(s) Responsible for Information Provided Company Email Address vlamb90@entergy.com First Name Vanessa Position Title Supv, AA/FFD Position Title Sr Coord, AA/FFD First Name Darrah Last Name Walker Last Name Engler Company Email Address dwal118@entergy.com Person 1 (required):

Person 2 (optional):

Single Positive Test Form (version 1.11.0 - November 2022)

Final Step (Required) - 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 Validate & Lock button will change to Locked after the data validation process has been successfully completed indicating the form is ready for submission.

Locked Form Locked On: Feb 10, 2026 at 9:36:42 AM Reason for the Action Subversion attempt Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b)

Yes Refused to provide initial specimen Refused to provide second specimen Invalid test result (initial specimen collected) - 26.185(f)

Did not appear for testing Shy-bladder (no medical condition)

Refused to follow directions Subversion Attempt -

Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Delete Submission FFD Program Performance Data Reporting System APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 Estimated burden per response to comply with this collection request is 30 minutes. 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 the NRC to obtain on an annual basis site specific fitness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and other entities. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e-mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail: oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

NRC Form 890, Single Positive Test Form (submit using the NRC EIE General Submission portal)

NRC Form 890 Is this a 24-hour reportable event under 26.719(b)?

No No Unusual sound(s)/absence of sound during unobserved collection Specimen temperature (out of range)

Specimen paraphernalia identified Specimen characteristics (e.g., color, odor, precipitant)

Donor admitted to subversion attempt Other Date of Collection (mm/dd/yyyy)

Outage Worker (optional)?

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