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| {{#Wiki_filter:Select FacilitySt. Lucie [50-335; 50-389]Reason for Testing - 26.717(b)(5)Pre-AccessPre-Access Testing Reason (optional)Reinstatement (Between 31 and 365 days)Please 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 ValidityNot ApplicableTest Type(s) for Result(s) Reported - 26.717(b)(2)Alcohol OnlyAlcohol TestingBreathAlcoholSubstance - 26.717(b)(2) & (b)(6)Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied14- Day DenialSave to Local PCPrint this ReportUnique Reference Number (Licensee Supplied)444455QNote: 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 St. Lucie [50-335; 50-389] |
| : 4) Hold your mouse over a form field to view additional information.Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)NoNoDate of Collection (mm/dd/yyyy)02/25/2014Submission UpdatePerson(s) Responsible for Information Provided Company Email Addresslisa.alvarez@fpl.comFirst NameLisaPosition TitleMROAPosition TitleAA/FFD Program ManagerFirst NameDavidLast NameBonthronLast Name AlvarezCompany 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 11, 2014 at 10:35:12 AMReason for the ActionFirst drug or alcohol positiveWhat 26.103 BAC level was exceeded?0.04 or greaterDid 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)NRC MinimumDelete 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) |
| | Reinstatement (Between 31 and 365 days) |
| | 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 Not Applicable Test Type(s) for Result(s) Reported - 26.717(b)(2) |
| | Alcohol Only Alcohol Testing BreathAlcoholSubstance |
| | - 26.717(b)(2) & (b)(6) |
| | Management Actions |
| | - 26.717(b)(8) & 26.75 Specific Sanction Applied 14- Day Denial Save to Local PC Print this Report Unique Reference Number (Licensee Supplied) 444455QNote: 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) |
| | NoNoDate of Collection (mm/dd/yyyy) 02/25/2014 Submission UpdatePerson(s) Responsible for Information Provided Company Email Address lisa.alvarez@fpl.com First Name LisaPosition Title MROAPosition Title AA/FFD Program Manager First Name DavidLast Name BonthronLast Name AlvarezCompany 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 10:35:12 AM Reason for the Action First drug or alcohol positive What 26.103 BAC level was exceeded? |
| | 0.04 or greater 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) |
| | NRC Minimum Delete Submission FFD Program Performance Data Reporting System Single Positive Test Form (EIE General Submission Portal)}} |
Revision as of 15:11, 1 July 2018
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Category:License-Fitness for Duty (FFD) Performance Report
MONTHYEARML24037A2142024-02-0606 February 2024 Annual Fatigue Report Form for 2023 ML24012A1102024-01-12012 January 2024 Single Positive Test Form Collected on 02/14/2023 ML24012A1082024-01-12012 January 2024 Single Positive Test Form Collected on 02/03/2023 ML24012A1182024-01-12012 January 2024 Single Positive Test Form Collected on 02/21/2023 ML24012A1172024-01-12012 January 2024 Single Positive Test Form Collected on 02/21/2023 ML24012A1092024-01-12012 January 2024 Single Positive Test Form Collected on 02/07/2023 ML24012A1112024-01-12012 January 2024 Single Positive Test Form Collected on 02/15/2023 ML24012A1212024-01-12012 January 2024 Single Positive Test Form Collected on 10/16/2023 ML24012A1192024-01-12012 January 2024 Single Positive Test Form Collected on 01/13/2023 ML24012A1202024-01-12012 January 2024 Single Positive Test Form Collected on 09/20/2023 ML24012A1162024-01-12012 January 2024 Single Positive Test Form Collected on 02/16/2023 ML24012A1072024-01-12012 January 2024 Single Positive Test Form Collected on 01/30/2023 ML23051A0012023-02-20020 February 2023 Annual Fatigue Report Form for 2022 ML23046A0632023-02-15015 February 2023 Single Positive Test Form Collected on 04/04/2022 ML23046A0682023-02-15015 February 2023 Single Positive Test Form Collected on 08/18/2022 ML23046A0522023-02-15015 February 2023 Single Positive Test Form Collected on 08/28/2022 ML23046A0512023-02-15015 February 2023 Single Positive Test Form Collected on 08/28/2022 ML23046A0622023-02-15015 February 2023 Single Positive Test Form Collected on 08/17/2022 ML23046A0572023-02-15015 February 2023 Single Positive Test Form Collected on 02/09/2022 ML23046A0502023-02-15015 February 2023 Single Positive Test Form Collected on 08/28/2022 ML23046A0552023-02-15015 February 2023 Single Positive Test Form Collected on 08/31/2022 ML23046A0582023-02-15015 February 2023 Single Positive Test Form Collected on 07/27/2022 ML23046A0652023-02-15015 February 2023 Single Positive Test Form Collected on 08/17/2022 ML23046A0562023-02-15015 February 2023 Single Positive Test Form Collected on 09/02/2022 ML23046A0642023-02-15015 February 2023 Single Positive Test Form Collected on 05/11/2022 ML23046A0672023-02-15015 February 2023 Single Positive Test Form Collected on 08/03/2022 ML23046A0662023-02-15015 February 2023 Single Positive Test Form Collected on 09/15/2022 ML23046A0702023-02-15015 February 2023 Single Positive Test Form Collected on 05/18/2022 ML23046A0692023-02-15015 February 2023 Single Positive Test Form Collected on 05/18/2022 ML23046A4552023-02-15015 February 2023 Annual Report Form for Drug and Alcohol Tests for 2022 ML23046A0712023-02-15015 February 2023 Single Positive Test Form Collected on 08/23/2022 ML23046A0492023-02-15015 February 2023 Single Positive Test Form Collected on 8/24/2022 ML23046A0542023-02-15015 February 2023 Single Positive Test Form Collected on 08/30/2022 ML23046A0482023-02-15015 February 2023 Single Positive Test Form Collected on 03/09/2022 ML22104A1472022-04-14014 April 2022 Single Positive Test Form Collected on 04/04/2022 ML22056A3962022-02-25025 February 2022 Single Positive Test Form Collected on 11/10/2021 ML22056A3952022-02-25025 February 2022 Single Positive Test Form Collected on 08/10/2021 ML22056A3942022-02-25025 February 2022 Single Positive Test Form Collected on 04/21/2021 ML22056A3972022-02-25025 February 2022 Single Positive Test Form Collected on 09/15/2021 ML22056A3982022-02-25025 February 2022 Single Positive Test Form Collected on 03/31/2021 ML22056A4002022-02-25025 February 2022 Single Positive Test Form Collected on 08/20/2021 ML22056A4012022-02-25025 February 2022 Single Positive Test Form Collected on 04/04/2021 ML22056A4022022-02-25025 February 2022 Single Positive Test Form Collected on 02/24/2021 ML22056A4032022-02-25025 February 2022 Single Positive Test Form Collected on 08/26/2021 ML22056A4042022-02-25025 February 2022 Single Positive Test Form Collected on 04/06/2021 ML22056A4052022-02-25025 February 2022 Single Positive Test Form Collected on 04/13/2021 ML22056A4062022-02-25025 February 2022 Single Positive Test Form Collected on 06/24/2021 ML22056A4072022-02-25025 February 2022 Annual Report Form for Drug and Alcohol Tests for 2021 ML22056A3992022-02-25025 February 2022 Single Positive Test Form Collected on 03/31/2021 ML22049A9852022-02-18018 February 2022 (50-335, 50-389), Annual Report Form for Drug and Alcohol Tests for 2021 2024-02-06
[Table view] |
Text
Select Facility St. Lucie [50-335; 50-389]
Reason for Testing
- 26.717(b)(5)
Pre-Access Pre-Access Testing Reason (optional)
Reinstatement (Between 31 and 365 days)
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 Not Applicable Test Type(s) for Result(s) Reported - 26.717(b)(2)
Alcohol Only Alcohol Testing BreathAlcoholSubstance
- 26.717(b)(2) & (b)(6)
Management Actions
- 26.717(b)(8) & 26.75 Specific Sanction Applied 14- Day Denial Save to Local PC Print this Report Unique Reference Number (Licensee Supplied) 444455QNote: 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)
NoNoDate of Collection (mm/dd/yyyy) 02/25/2014 Submission UpdatePerson(s) Responsible for Information Provided Company Email Address lisa.alvarez@fpl.com First Name LisaPosition Title MROAPosition Title AA/FFD Program Manager First Name DavidLast Name BonthronLast Name AlvarezCompany 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 10:35:12 AM Reason for the Action First drug or alcohol positive What 26.103 BAC level was exceeded?
0.04 or greater 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)
NRC Minimum Delete Submission FFD Program Performance Data Reporting System Single Positive Test Form (EIE General Submission Portal)