Create Person: -identified violation was evaluated in accordance with the criteria established by Section A of the

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Name:
Retired:
Title:
Site:		Building (optional):
Department:
NRC Department code:
Supervisor:
Phone:
Work phone:
Office phone:
Home phone:
Mobile phone:
Email:
Visit log:
Work history:	work history Start date: End date: Site: Department: Title: Add another

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