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| number = ML16041A268
| number = ML16041A268
| issue date = 01/26/2016
| issue date = 01/26/2016
| title = Fermi 2 - Revision 9 EP-290001, Nuclear Plant Event Notification Form
| title = Revision 9 EP-290001, Nuclear Plant Event Notification Form
| author name =  
| author name =  
| author affiliation = DTE Electric Company
| author affiliation = DTE Electric Company
Line 14: Line 14:
| page count = 2
| page count = 2
}}
}}
=Text=
{{#Wiki_filter:DETROIT EDISON - FERMI 2 AUTOMATED RECORD MANAGEMENT DISTRIBUTION CONTROL LIST 01/26/16 To: 00935 US NRC                                                                PAGE    1 DOCUMENT CNTRL DESK WASHINGTON,  DC 20555 Media:  8 1/2 X 11 Number Cnt  Issue DTC      Dcc. Serial Number              Page  Rev Copies Lvi    Date    Sec Status TPEPT    EP-290001                                9    1  ST  01/26/16        AFC Please destroy or mark all    revised, superseded, or cancelled documents as such. CONTROLLED stamps must be voided by lining through and initialing.
Detroit Edison EF2,    C/O Info Mgmt 140 NOC,  6400 North Dixie Highway, Newport MI 48166.    (734) 586-4338 OR  (734)  586-4061  for questions  or concerns.
Ref:  e58683
NUCLEAR PLANT EVENT NOTIFICATION FORM Communicate lines1.-6 verbally.
: 1.            El    Actual Event                                      (Initial Notifications)
El Drill Plant C~ontact Information P2.
Nuclear Power Plant:                      Fermi 2 Plant Communicator:                                                                                            Plant Message Number Calling From: El Control Room El TSC                        LI      EOF    LI  Other_____
Call Back Telephone Number:              _______________
3.
[']E Unusual Event          El  Alert        El Current Classification Site Area Emergency              El  General Emergency            El Termination (TDFpg.]1 Required)
This classification was declared at:                Date:  _______                    Time:_________
: 4.                                                      Reason for Classification
[] Abnormal Rad Level/Rad Effluents                                                    El  Fission Product Barrier Degradation Fermi IC Number:    _    ____Fermi                                                        IC Number:_____
El    Hazards and Other Conditions Affecting Plant Safety                              El  System Malfunction Fermi IC Number:    ______Fermi                                                            IC Number:      _____
El  Independent Spent Fuel Storage Installation                                      El  Cold Shutdown / Refueling System Malfunction Fermi IC Number:    ______Fermi                                                            IC Number:      _____
: 5.                                            Radiological Release in Progress Due to Event El Yes                                        El No
: 6.                                    Protective Action Recommendations
: 6. E      None Recommend the following protective actions: Implement the State of Michigan K! plan. All other areas monitor and prepare.
Evacuation of Area(s):                          El  1            El      2        El  3      El  4          El    5 In-Place Shelter of Area(s):                    El    1            El      2        El  3        El  4          El    5 Clear Lake Area(s):                            El  6            El      7 PAR based on Dose Calculations*:                                                                                        El YES    El NO pARs are beyond 10 Miles*:                                                                                              El YES    El NO
            *TDF    pg 2 requiredand a conference call with the ORO must be complete within 15 minutes of "notification" by this form.
Meteorological Data NOTE: The TPCS "Straight Line Plume Plot" is the preferred source.
Wind Direction (degrees):          From    ______to                _______Wind                            Speed (MPH):______
Stability Class:                            __            _Precipitation:                                              El  Yes  El    No Approved:______________                                          ____________                              __    ____
Signature                                        Print Name                          Date            Time SEOC Functional          El  Yes      El No            If Yes, DO NOT call counties.
Notifications                Time Contacted                                  Name                        Telephone No. or Select Auto-Dial Monroe County                        ______________________                                                  _________E                      Auto-Dial Wayne County                          _______________________________E                                                                        Auto-Dial Michigan State Police/SEOC            _________                        _____________                        __________E                      Auto-Dial NRC Operations Center Province of Ontario (Canada)          _________                        _____________                        __________E                      Auto-Dial S
A. Nuclear Information                a                                                                        ____________________        _____________________
DTC: TPEPT DSN: EP-290001                    Rev. 9 P1/1 IP: I File: 1703.10                  Issued:flL621 File: 0926.09 lIP: I
DETROIT EDISON - FERMI 2 AUTOMATED RECORD MANAGEMENT DISTRIBUTION CONTROL LIST 01/26/16 To: 00935 US NRC                                                                PAGE    1 DOCUMENT CNTRL DESK WASHINGTON,  DC 20555 Media:  8 1/2 X 11 Number Cnt  Issue DTC      Dcc. Serial Number              Page  Rev Copies Lvi    Date    Sec Status TPEPT    EP-290001                                9    1  ST  01/26/16        AFC Please destroy or mark all    revised, superseded, or cancelled documents as such. CONTROLLED stamps must be voided by lining through and initialing.
Detroit Edison EF2,    C/O Info Mgmt 140 NOC,  6400 North Dixie Highway, Newport MI 48166.    (734) 586-4338 OR  (734)  586-4061  for questions  or concerns.
Ref:  e58683
NUCLEAR PLANT EVENT NOTIFICATION FORM Communicate lines1.-6 verbally.
: 1.            El    Actual Event                                      (Initial Notifications)
El Drill Plant C~ontact Information P2.
Nuclear Power Plant:                      Fermi 2 Plant Communicator:                                                                                            Plant Message Number Calling From: El Control Room El TSC                        LI      EOF    LI  Other_____
Call Back Telephone Number:              _______________
3.
[']E Unusual Event          El  Alert        El Current Classification Site Area Emergency              El  General Emergency            El Termination (TDFpg.]1 Required)
This classification was declared at:                Date:  _______                    Time:_________
: 4.                                                      Reason for Classification
[] Abnormal Rad Level/Rad Effluents                                                    El  Fission Product Barrier Degradation Fermi IC Number:    _    ____Fermi                                                        IC Number:_____
El    Hazards and Other Conditions Affecting Plant Safety                              El  System Malfunction Fermi IC Number:    ______Fermi                                                            IC Number:      _____
El  Independent Spent Fuel Storage Installation                                      El  Cold Shutdown / Refueling System Malfunction Fermi IC Number:    ______Fermi                                                            IC Number:      _____
: 5.                                            Radiological Release in Progress Due to Event El Yes                                        El No
: 6.                                    Protective Action Recommendations
: 6. E      None Recommend the following protective actions: Implement the State of Michigan K! plan. All other areas monitor and prepare.
Evacuation of Area(s):                          El  1            El      2        El  3      El  4          El    5 In-Place Shelter of Area(s):                    El    1            El      2        El  3        El  4          El    5 Clear Lake Area(s):                            El  6            El      7 PAR based on Dose Calculations*:                                                                                        El YES    El NO pARs are beyond 10 Miles*:                                                                                              El YES    El NO
            *TDF    pg 2 requiredand a conference call with the ORO must be complete within 15 minutes of "notification" by this form.
Meteorological Data NOTE: The TPCS "Straight Line Plume Plot" is the preferred source.
Wind Direction (degrees):          From    ______to                _______Wind                            Speed (MPH):______
Stability Class:                            __            _Precipitation:                                              El  Yes  El    No Approved:______________                                          ____________                              __    ____
Signature                                        Print Name                          Date            Time SEOC Functional          El  Yes      El No            If Yes, DO NOT call counties.
Notifications                Time Contacted                                  Name                        Telephone No. or Select Auto-Dial Monroe County                        ______________________                                                  _________E                      Auto-Dial Wayne County                          _______________________________E                                                                        Auto-Dial Michigan State Police/SEOC            _________                        _____________                        __________E                      Auto-Dial NRC Operations Center Province of Ontario (Canada)          _________                        _____________                        __________E                      Auto-Dial S
A. Nuclear Information                a                                                                        ____________________        _____________________
DTC: TPEPT DSN: EP-290001                    Rev. 9 P1/1 IP: I File: 1703.10                  Issued:flL621 File: 0926.09 lIP: I}}

Latest revision as of 06:22, 5 February 2020

Revision 9 EP-290001, Nuclear Plant Event Notification Form
ML16041A268
Person / Time
Site: Fermi DTE Energy icon.png
Issue date: 01/26/2016
From:
DTE Electric Company
To:
Document Control Desk, Office of Nuclear Reactor Regulation
References
EP-290001, Rev 9
Download: ML16041A268 (2)
v • d • e


Text

DETROIT EDISON - FERMI 2 AUTOMATED RECORD MANAGEMENT DISTRIBUTION CONTROL LIST 01/26/16 To: 00935 US NRC PAGE 1 DOCUMENT CNTRL DESK WASHINGTON, DC 20555 Media: 8 1/2 X 11 Number Cnt Issue DTC Dcc. Serial Number Page Rev Copies Lvi Date Sec Status TPEPT EP-290001 9 1 ST 01/26/16 AFC Please destroy or mark all revised, superseded, or cancelled documents as such. CONTROLLED stamps must be voided by lining through and initialing.

Detroit Edison EF2, C/O Info Mgmt 140 NOC, 6400 North Dixie Highway, Newport MI 48166. (734) 586-4338 OR (734) 586-4061 for questions or concerns.

Ref: e58683

NUCLEAR PLANT EVENT NOTIFICATION FORM Communicate lines1.-6 verbally.

1. El Actual Event (Initial Notifications)

El Drill Plant C~ontact Information P2.

Nuclear Power Plant: Fermi 2 Plant Communicator: Plant Message Number Calling From: El Control Room El TSC LI EOF LI Other_____

Call Back Telephone Number: _______________

3.

[']E Unusual Event El Alert El Current Classification Site Area Emergency El General Emergency El Termination (TDFpg.]1 Required)

This classification was declared at: Date: _______ Time:_________

4. Reason for Classification

[] Abnormal Rad Level/Rad Effluents El Fission Product Barrier Degradation Fermi IC Number: _ ____Fermi IC Number:_____

El Hazards and Other Conditions Affecting Plant Safety El System Malfunction Fermi IC Number: ______Fermi IC Number: _____

El Independent Spent Fuel Storage Installation El Cold Shutdown / Refueling System Malfunction Fermi IC Number: ______Fermi IC Number: _____

5. Radiological Release in Progress Due to Event El Yes El No
6. Protective Action Recommendations
6. E None Recommend the following protective actions: Implement the State of Michigan K! plan. All other areas monitor and prepare.

Evacuation of Area(s): El 1 El 2 El 3 El 4 El 5 In-Place Shelter of Area(s): El 1 El 2 El 3 El 4 El 5 Clear Lake Area(s): El 6 El 7 PAR based on Dose Calculations*: El YES El NO pARs are beyond 10 Miles*: El YES El NO

  • TDF pg 2 requiredand a conference call with the ORO must be complete within 15 minutes of "notification" by this form.

Meteorological Data NOTE: The TPCS "Straight Line Plume Plot" is the preferred source.

Wind Direction (degrees): From ______to _______Wind Speed (MPH):______

Stability Class: __ _Precipitation: El Yes El No Approved:______________ ____________ __ ____

Signature Print Name Date Time SEOC Functional El Yes El No If Yes, DO NOT call counties.

Notifications Time Contacted Name Telephone No. or Select Auto-Dial Monroe County ______________________ _________E Auto-Dial Wayne County _______________________________E Auto-Dial Michigan State Police/SEOC _________ _____________ __________E Auto-Dial NRC Operations Center Province of Ontario (Canada) _________ _____________ __________E Auto-Dial S

A. Nuclear Information a ____________________ _____________________

DTC: TPEPT DSN: EP-290001 Rev. 9 P1/1 IP: I File: 1703.10 Issued:flL621 File: 0926.09 lIP: I

DETROIT EDISON - FERMI 2 AUTOMATED RECORD MANAGEMENT DISTRIBUTION CONTROL LIST 01/26/16 To: 00935 US NRC PAGE 1 DOCUMENT CNTRL DESK WASHINGTON, DC 20555 Media: 8 1/2 X 11 Number Cnt Issue DTC Dcc. Serial Number Page Rev Copies Lvi Date Sec Status TPEPT EP-290001 9 1 ST 01/26/16 AFC Please destroy or mark all revised, superseded, or cancelled documents as such. CONTROLLED stamps must be voided by lining through and initialing.

Detroit Edison EF2, C/O Info Mgmt 140 NOC, 6400 North Dixie Highway, Newport MI 48166. (734) 586-4338 OR (734) 586-4061 for questions or concerns.

Ref: e58683

NUCLEAR PLANT EVENT NOTIFICATION FORM Communicate lines1.-6 verbally.

1. El Actual Event (Initial Notifications)

El Drill Plant C~ontact Information P2.

Nuclear Power Plant: Fermi 2 Plant Communicator: Plant Message Number Calling From: El Control Room El TSC LI EOF LI Other_____

Call Back Telephone Number: _______________

3.

[']E Unusual Event El Alert El Current Classification Site Area Emergency El General Emergency El Termination (TDFpg.]1 Required)

This classification was declared at: Date: _______ Time:_________

4. Reason for Classification

[] Abnormal Rad Level/Rad Effluents El Fission Product Barrier Degradation Fermi IC Number: _ ____Fermi IC Number:_____

El Hazards and Other Conditions Affecting Plant Safety El System Malfunction Fermi IC Number: ______Fermi IC Number: _____

El Independent Spent Fuel Storage Installation El Cold Shutdown / Refueling System Malfunction Fermi IC Number: ______Fermi IC Number: _____

5. Radiological Release in Progress Due to Event El Yes El No
6. Protective Action Recommendations
6. E None Recommend the following protective actions: Implement the State of Michigan K! plan. All other areas monitor and prepare.

Evacuation of Area(s): El 1 El 2 El 3 El 4 El 5 In-Place Shelter of Area(s): El 1 El 2 El 3 El 4 El 5 Clear Lake Area(s): El 6 El 7 PAR based on Dose Calculations*: El YES El NO pARs are beyond 10 Miles*: El YES El NO

  • TDF pg 2 requiredand a conference call with the ORO must be complete within 15 minutes of "notification" by this form.

Meteorological Data NOTE: The TPCS "Straight Line Plume Plot" is the preferred source.

Wind Direction (degrees): From ______to _______Wind Speed (MPH):______

Stability Class: __ _Precipitation: El Yes El No Approved:______________ ____________ __ ____

Signature Print Name Date Time SEOC Functional El Yes El No If Yes, DO NOT call counties.

Notifications Time Contacted Name Telephone No. or Select Auto-Dial Monroe County ______________________ _________E Auto-Dial Wayne County _______________________________E Auto-Dial Michigan State Police/SEOC _________ _____________ __________E Auto-Dial NRC Operations Center Province of Ontario (Canada) _________ _____________ __________E Auto-Dial S

A. Nuclear Information a ____________________ _____________________

DTC: TPEPT DSN: EP-290001 Rev. 9 P1/1 IP: I File: 1703.10 Issued:flL621 File: 0926.09 lIP: I

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