ML14162A293: Difference between revisions

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{{#Wiki_filter:Select Facility St. Lucie [50-335; 50-389]
{{#Wiki_filter:FFD Program Performance Data Reporting System Single Positive Test Form (EIE General Submission Portal)
Reason for Testing - 26.717(b)(5)
Note:
Pre-Access Pre-Access Testing Reason (optional)
Submission              Delete                                                            1) All fields are required except those marked 'optional'.
Initial Authorization Please elaborate (optional)
Update                  Submission                                                        2) Entries in some form fields may result in information being auto-populated into other form fields.
Employment Type - 26.717(b)(3)
Unique Reference Number (Licensee Supplied)
: 3) Use Adobe Reader 8 or later for this form to work properly.
406941Q                                                                                            4) Hold your mouse over a form field to view additional information.
Select Facility St. Lucie [50-335; 50-389]                                                                             Date of Collection (mm/dd/yyyy)    02/19/2014 Reason for Testing - 26.717(b)(5)             Pre-Access Testing Reason (optional)                       Please elaborate (optional)
Pre-Access                                    Initial Authorization Employment Type - 26.717(b)(3)
Contractor/Vendor Labor Category - 26.717(b)(3)
Contractor/Vendor Labor Category - 26.717(b)(3)
Maintenance (Craft)
Maintenance (Craft)
Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?     No Test Results - 26.717(b)(4)
Test Results - 26.717(b)(4)
Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2)                             Drug Testing Drug Only                                                                       Urine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75       No Substance - 26.717(b)(2) & (b)(6)                         Additional Substance (as applicable)                   Additional Substance (as applicable)
Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2)
Marijuana                                                Please Select                                           Please Select Use NRC Cutoff (Yes / No)?       Yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)      No Subversion Attempts - 26.717(b)(7) and 26.75(b)
Drug Only Drug Testing Urine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Marijuana Substance - 26.717(b)(2) & (b)(6)Additional Substance (as applicable)Additional Substance (as applicable)
Did this collection involve a subversion attempt (Yes/No)?   No Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Please Select Please Select Use NRC Cutoff (Yes / No)?
Licensee Administrated Specific Sanction Applied 5- Year Denial Person(s) Responsible for Information Provided Person 1 (required):
Yes Management Actions
Lisa                                    Alvarez                              MROA                                      lisa.alvarez@fpl.com First Name                             Last Name                          Position Title                           Company Email Address Person 2 (optional):
- 26.717(b)(8) & 26.75 Specific Sanction Applied 5- Year Denial Save to Local PC Print this Report Unique Reference Number (Licensee Supplied) 406941Q Note: 1) All fields are required except those marked 'optional'.
David                                  Bonthron                            AA/FFD Program Manager                    david.bonthron@fpl.com First Name                            Last Name                          Position Title                            Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the Validate & Lock button has been selected and all errors (i.e., those highlighted in red) have been corrected. The Validate & Lock button will change to Locked after the data validation process has been successfully completed and the form is ready for submission.
: 2) Entries in some form fields may result in information being auto-populated into other form fields.
Locked            Form Locked On: Jun 11, 2014 at 10:33:05 AM                                                   Save to Local PC        Print this Report Single Positive Test Form (version 1.5.0 - January 1, 2014)}}
: 3) Use Adobe Reader 8 or later for this form to work properly.
: 4) Hold your mouse over a form field to view additional information.
Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)No No No Date of Collection (mm/dd/yyyy) 02/19/2014 Submission Update Person(s) Responsible for Information Provided Company Email Address lisa.alvarez@fpl.com First Name Lisa Position Title MROA Position Title A A/FFD Program Manager First Name David Last Name Bonthron Last Name A lvarez Company Email Address david.bonthron@fpl.com Person 1 (required):
Person 2 (optional):
Single Positive Test Form (version 1.5.0 - January 1, 2014)
Final Step (Required) -
NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data valid ation process has been successfully completed and the form is ready for submission.
LockedForm Locked On:Jun 11, 2014 at 10:33:05 AM Reason for the Action First drug or alcohol positive Did this collection involve a subversion attempt (Yes/No)?
No Subversion Attempts
- 26.717(b)(7) and 26.75(b)
Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Delete Submission FFD Program Performance Data Reporting System Single Positive Test Form (EIE General Submission Portal)}}

Latest revision as of 04:32, 4 November 2019

Single Positive Test Form Collected on 02/19/2014
ML14162A293
Person / Time
Site: Saint Lucie  NextEra Energy icon.png
Issue date: 06/11/2014
From:
Florida Power & Light Co
To:
Document Control Desk, Office of Nuclear Security and Incident Response
Paul Harris - 287-9294
References
Download: ML14162A293 (1)


Text

FFD Program Performance Data Reporting System Single Positive Test Form (EIE General Submission Portal)

Note:

Submission Delete 1) All fields are required except those marked 'optional'.

Update Submission 2) Entries in some form fields may result in information being auto-populated into other form fields.

Unique Reference Number (Licensee Supplied)

3) Use Adobe Reader 8 or later for this form to work properly.

406941Q 4) Hold your mouse over a form field to view additional information.

Select Facility St. Lucie [50-335; 50-389] Date of Collection (mm/dd/yyyy) 02/19/2014 Reason for Testing - 26.717(b)(5) Pre-Access Testing Reason (optional) Please elaborate (optional)

Pre-Access Initial Authorization Employment Type - 26.717(b)(3)

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

Maintenance (Craft)

Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? No Test Results - 26.717(b)(4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Testing Drug Only Urine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 No Substance - 26.717(b)(2) & (b)(6) Additional Substance (as applicable) Additional Substance (as applicable)

Marijuana Please Select Please Select Use NRC Cutoff (Yes / No)? Yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) No Subversion Attempts - 26.717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yes/No)? No Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)

Licensee Administrated Specific Sanction Applied 5- Year Denial Person(s) Responsible for Information Provided Person 1 (required):

Lisa Alvarez MROA lisa.alvarez@fpl.com First Name Last Name Position Title Company Email Address Person 2 (optional):

David Bonthron AA/FFD Program Manager david.bonthron@fpl.com First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the Validate & Lock button has been selected and all errors (i.e., those highlighted in red) have been corrected. The Validate & Lock button will change to Locked after the data validation process has been successfully completed and the form is ready for submission.

Locked Form Locked On: Jun 11, 2014 at 10:33:05 AM Save to Local PC Print this Report Single Positive Test Form (version 1.5.0 - January 1, 2014)