ML14162A321: Difference between revisions

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{{#Wiki_filter:Select FacilitySeabrook [50-443]Reason for Testing - 26.717(b)(5)Pre-AccessPre-Access Testing Reason (optional)Initial AuthorizationPlease elaborate (optional)Employment Type - 26.717(b)(3)Contractor/VendorLabor Category - 26.717(b)(3)Maintenance (Craft)Refusal - 26.717(b)(7) & 26.75Was this collection refused (Yes / No)?Test Results - 26.717(b)(4)Test ValidityValidTest Type(s) for Result(s) Reported - 26.717(b)(2)Drug OnlyDrug TestingUrineWas this collection observed (Yes / No)? - 26.717(b)(7) & 26.75MarijuanaSubstance - 26.717(b)(2) & (b)(6)Additional Substance (as applicable)Additional Substance (as applicable)Please SelectPlease SelectUse NRC Cutoff (Yes / No)?YesManagement Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied5- Year DenialSave to Local PCPrint this ReportUnique Reference Number (Licensee Supplied)196722FNote: 1) All fields are required except those marked 'optional'. 2) Entries in some form fields may result in information being auto-populated into other form fields. 3) Use Adobe Reader 8 or later for this form to work properly.  
{{#Wiki_filter:Select Facility Seabrook [50-443]
: 4) Hold your mouse over a form field to view additional information.Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)NoNoNoDate of Collection (mm/dd/yyyy)03/12/2014Submission  UpdatePerson(s) Responsible for Information Provided Company Email Addressstella.dumais@fpl.comFirst NameStellaPosition TitleSite Access/FFD SupervisorPosition TitleAA/FFD Program ManagerFirst NameDavidLast NameBonthronLast Name DumaisCompany Email Addressdavid.bonthron@fpl.comPerson 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 validation process has been successfully completed and the form is ready for submission. LockedForm Locked On:Jun 10, 2014 at 3:55:04 PMReason for the ActionFirst drug or alcohol positiveDid this collection involve a subversion attempt (Yes/No)?NoSubversion Attempts - 26.717(b)(7) and 26.75(b)Sanction Applied (NRC Minimum or Licensee Administrated)Licensee AdministratedDelete SubmissionFFD Program Performance Data Reporting SystemSingle Positive Test Form(EIE General Submission Portal)}}
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)
Maintenance (Craft)
Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results  
- 26.717(b)(4)
Test Validity ValidTest Type(s) for Result(s) Reported - 26.717(b)(2)
Drug Only Drug Testing UrineWas 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)
Please Select Please Select Use NRC Cutoff (Yes / No)?
YesManagement Actions
- 26.717(b)(8) & 26.75 Specific Sanction Applied 5- Year Denial Save to Local PC Print this Report Unique Reference Number (Licensee Supplied) 196722FNote: 1) All fields are required except those marked 'optional'.  
: 2) Entries in some form fields may result in information being auto-populated into other form fields.  
: 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)
NoNoNoDate of Collection (mm/dd/yyyy) 03/12/2014 Submission UpdatePerson(s) Responsible for Information Provided Company Email Address stella.dumais@fpl.com First Name StellaPosition Title Site Access/FFD Supervisor Position Title AA/FFD Program Manager First Name DavidLast Name BonthronLast Name DumaisCompany 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 10, 2014 at 3:55:04 PM Reason for the Action First drug or alcohol positive Did this collection involve a subversion attempt (Yes/No)?
NoSubversion 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)}}

Revision as of 15:10, 1 July 2018

Seabrook [50-443], Single Positive Test Form Collected on 03/12/2014
ML14162A321
Person / Time
Site: Seabrook NextEra Energy icon.png
Issue date: 06/11/2014
From:
NextEra Energy Seabrook
To:
Document Control Desk, Office of Nuclear Security and Incident Response
Paul Harris - 287-9294
References
Download: ML14162A321 (1)
v • d • e


Text

Select Facility Seabrook [50-443]

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)

Maintenance (Craft)

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

Test Results

- 26.717(b)(4)

Test Validity ValidTest Type(s) for Result(s) Reported - 26.717(b)(2)

Drug Only Drug Testing UrineWas 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)

Please Select Please Select Use NRC Cutoff (Yes / No)?

YesManagement Actions

- 26.717(b)(8) & 26.75 Specific Sanction Applied 5- Year Denial Save to Local PC Print this Report Unique Reference Number (Licensee Supplied) 196722FNote: 1) All fields are required except those marked 'optional'.

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

NoNoNoDate of Collection (mm/dd/yyyy) 03/12/2014 Submission UpdatePerson(s) Responsible for Information Provided Company Email Address stella.dumais@fpl.com First Name StellaPosition Title Site Access/FFD Supervisor Position Title AA/FFD Program Manager First Name DavidLast Name BonthronLast Name DumaisCompany 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 10, 2014 at 3:55:04 PM Reason for the Action First drug or alcohol positive Did this collection involve a subversion attempt (Yes/No)?

NoSubversion 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)

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