ML18219C142: Difference between revisions
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{{#Wiki_filter:AEC DISTP I lv.'I r"Qn P"iRT 50 DOCI'ET (TEi'.IPORARY FORi"I) | {{#Wiki_filter:AEC DISTP I lv.'I r"Qn P "iRT 50 DOCI'ET f IC AXIAL (TEi'.IPORARY FORi"I) I I | ||
Ltr trans the following Abnorma | 'CONTROL NO: 5"S FILE ~KXE~KZOaz Fp~;,I. Indiana % Michigan Power OATE OF 'DOC DATE R EC'D LTR IX RPT OTHER | ||
'r'Legman, Mich. 49106 | |||
A'bnon)al Occurrence's AO-050-315/74-07/74-08/74-10 re fhiling of diesel geneator 5 fuel filters... | =- | ||
MDilII.HSEO Pl ANT NAb;1E: Donald, C.Cook Unit 3. | R.W. Jurgensen 1>>10- | ||
~. TO: ORIG CC OTHER SENT AEC PDR Mr. J.G. Keppler 1 si ed SENT LOC'AL PDR CLASS VNC LASS PROP INFO INPUT NO CYS REC'D DOC: ETNO: | |||
'n (lw~~~Ig II I | XXXX . | ||
50-315 | |||
.PESCRI?TIO~I: Ltr trans the following Abnorma ENCLOSURES: A'bnon)al Occurrence's AO-050-Occurrences: 315/74-07/74-08/74-10 re fhiling of diesel geneator 5 fuel filters... | |||
'I MDilII.HSEO (1 cy encl recid) Do Ntt,.getttove Pl ANT NAb;1E: Donald, C. Cook Unit 3. | |||
FOR ACilO.'l/~i'.;OR!.1AilOi'NL 1-1888. | |||
BUTLER (S) SCHWENCER (S) ZIEKQIN (S) REGAN (E) | |||
W/ Copies W/ Copies W/ Copies W/ Copies CLARK (S) STOLZ (S) DICKER (E) LEAR (S) g/ Copies Wi Copies Wi Copies W/ Copies PARR (S) VASSALLo (s) KNXGHTON (E) SPEIS (S) | |||
~ | |||
/ Copies W/ Copies W/ Copies W/ Copies cCNX L (S) PURPLE (S) YOUNGBLOOD (E) | |||
W/ Copies W/ Copies W/ Co ies INTER,'AL DISTR I ":)UTIQN KG TECII REVIEW DENTON LIC. ASST. A/T IND AEC PDR GRIIIES DIGGS (S) BRAITNAN bbGC, ROOM P-F06 A CIIACCANY GAI'MILL GEARXN (S) SALTZltAN ifUl r ZING/STAFF WQlXGHT AASTNER ." GOULBOURNE | |||
~ | |||
(S) B. HURT RASE @AWLICKI BALLARD lQEUTZER (E) | |||
GIA:mUSSO baHAO SPANGLER LEE (S) PLAÃS BOYD C6TELLO NAIGRET (S) HCDOi<ALD l~iOORH '(S) (BWR) 410USTON ENVIRO PZ.ED (E) CHAPHAN DEYOUNG (S) (PETR) ~AVOVAK PtOLLER /SERVICE (S) DUBE v/input SKOVHOLT (S) PgOSS DICKER,. SHEPPARD (S) E. COUPE GOLLER, (S) APPOLITO KNXGhTON SL'ATER (F) ~R, Hartfield (2) | |||
P, COLLINS TEDESCO YOUNGBLOOD SMITH (S) +KLEGKER DENISE ~LDNG REGAN TEETS (S) (fF. WXLLIP~~IS REG OPR ~KAINAS PROJECT LDR WILLIAMS (E) | |||
~I'ILE G REGIoN (y IFBENARGTA WILSON (S) | |||
KT.R. WILSON ~STEELE ~VOLDIER HARLESS INGRAM (S). | |||
E>: i'ERi" 4L 0!STRl-"VTION N- I (1) (2) (10) -NATIONAL LABS 1"PDR SAlE/LA/NY A-TIC(ABERNATHY) l-l<.. PENNINGTOiV, R~t E-201 G.T. 1 "BROOKHAVEN NAT LAB 4-NSIC(BUCHANAN) 1 CONSULTA!ATS 1"G. ULRIKSON, ORIG 1"ASLB NEKQIRK/BLUIIE/AGBABXAN 1 "AGlKD(RUTH GUS SHAN) | |||
J.-NEWTON AV)ERSON F34 B-127 G,T. | |||
- V5"ACRS SEihrP'TO ILIC.'ASST. . 1-J. RUKLESP R~t E-201 Service 1-18-75 .- ',G+T | |||
'n | |||
( lw | |||
~ ~ | |||
V | |||
~ Ig sk I II I | |||
0 ') ~ | |||
~M3NJ))i!'M 8VOP. ~A 30al-; gQ t, T 'B I | |||
~ 4 | |||
Re~i)a~ %@~p INDIANA& MICIIIGANPOWER CDMPANY DONALD C. COOK NUCLEAR PLANT P.O. Box 458, Bridgman, Michigan 49106 | |||
,),S ~>, )(,g% | |||
January 10, 1975 i',A S>>"@ | |||
U.S. Atomic Energy Commission Director of Regulatory Operations Region III 799 Roosevelt Road Glen Ellyn, IL 60137 | |||
==Reference:== | ==Reference:== | ||
Operating License DPR-58 Docket No. 50-315 Attention: Nr. J.G. Keppler, Regional Director Gentlemen: | |||
Pursuant to the requirements of Appendix A Technical Specifications and U.S. Atomic Energy Commission Regulatory Guide 1.16, Revision 2, Article 2b, the following Abnormal Occurrence Reports for the month of December, 1974, are submitted: | |||
AO-050-315/74-07 AO-050-315/74-08 AO-050-315/74-10 Sincerely, ll | |||
.W. | |||
Plant Jur N nage ns Jlegpl S | |||
cc: W/Attachments J.E. Dolan R.S. Hunter | |||
:G.E. Lien R.J. Vollen BPI K.R. Baker RO: III R;~C. Callen, Esq. | |||
P. Steketee, Esq. | |||
R. Walsh, Esq. | |||
PNSRC JAil 3. 5 3.St5 | |||
ann A | |||
L li aE( | |||
ga1 a | |||
LICENSEE EVENT REPORT R,~~> ~;~c-. | |||
CONTROL BLOCK: (PL E PRINT ALL REQUIRED INFORMATION) 1 6 LCENSEE NAME LCENSE NUMBER LCENS~'.~~@ | |||
TYPE TYPE Qpg HX DC.Q.L. | |||
14 15 O G QQOQc) OQ 25 26 A 11 1130 ~01 31 32 05' REPORT ~ REPORT | |||
~01 CON'T 7 8 | |||
~tO t 57 58,59,60 I | |||
61 DOCKET NUMBER 6 32$ ,68 69 22.OA EVENT DATE 4 | |||
74 75 OX REPORT DATE ap la 80 EVENT DESCRIPTION Qpg TEC-HMTC.A L QPEC T'FXC gc TONS Q. UXQ~CQT Fog. SAMF'I Ig 7 89 80 7 | |||
m89 M.e.SF-L. Vu ~ S e.~C ~e ~<( -AX,QYY 'DPYS mP 80 tooj4 arse.ossa vogTER P 80 smj.~F7 NAG Mo Ne. F<RsT . A.HPLE ~ | |||
7 8 9 80 Jog WAS TAKER OCYo Q..Z. 9'll-. F T 5 PLE. wAS AYEW 7 0 9 80 tm VER,N Fe - ciao- Si v4--c 7 89 PAME 80 SYSTEM CAUSE COMPONENT COMPONENT MANUFACTURER VIOLATION 7 | |||
~or ~E. F 8 9 10 D | |||
11 12 17 . 43 44 . | |||
2 247 LYJ CAUSE DESCRIPTION 7 | |||
Jag 0 9 SHE. NPu%P ~HTC,8. PRQ4YC euT'MPLL45. ~V<PEp <M6 ~<9 80 7 | |||
[OO~) | |||
8 9 WP.S 'T A%CO ~7L PPO 5 MEED . T+'lE- COHPOTEKEKCC~~Y 'AS.. N04J . | |||
80 OVID FO PROBE. Ib PI ZN D57E.S. | |||
7 89 80 FACILITY METHOD OF STATUS POWER OTHER STATUS DISCOVERY DISCOVERY DESCRIPTION gg8 [QJ ~ao O 7 9 10 12 13 44 45 , 46 80 FORM OF ACTIVITY COAT(NT RELEASEO OF RELEASE AMOUNT OF ACTIVITY LOCATION OF RELEASE Q~g z. z. vk I 7 8 9 10 11 44 45 80 PERSONNEL EXPOSURES 7 89 11 12 13 80 PERSONNEL INJURIES NUMBER DESCRIPTION Qg ~OO Q11'2 IIX 7 89 80 PROBABLE CONSEQUENCES 7 09 gP,y P~q ~pPP ~~Tg <PP~~~Tt-Ct4S- Qo GFIF- SZR CDQSEQUE<<~ | |||
80 LOSS OR DAMAGE To FACILITY TYPE DESCRIPTION Q~g 7 0 9 10% 80 PUBLICITY 7 8 9 80 ADDITIONAL FACTORS | |||
~10 (g ~ | |||
7 09 80 gg09 7 80 NAME T 0 PLUMYEX% . | |||
PHONE: | |||
GPO IIIII | |||
I ply ~ | |||
0 P | |||
t il i) j j s, y 1'Vy | |||
LICENSEE EVENT REPORT Roget~ '4"Q'. | |||
CONTROL BLOCK: t'PL . 6 PRINT ALL REQUIRED INFORMATION) 6 LICENSEE 1 | |||
pl~ DpI 7 | |||
too~ j89 0 NAME C' I 14 15 ou g roc LICENSE NUMBER 8 | |||
25 26 TYPE | |||
' | |||
30 | |||
'YPE 31 32 REPORT REPORT ol'r | |||
~ | |||
I001jcQNT ~rrr 7 8 CATEGORY 57 2 | |||
58 TYPE 4 | |||
59 SOURCE | |||
. L 60 c7 6'I ggy~- | |||
OOCKET NUMOER 68 69 y ag~gy EVENT OATE 74 75 REPORT OATE c | |||
80 EVENT DESCRIPTION | |||
[OO~] ~ C.'~r' 7 8 9 80 wu 7 89 80 | |||
~04 7 8 9 | |||
~ J 80 QOg g c p a w Zi 7 8 9 80 Jog 7b 7 8 9 PRME 80 SYSTEM CAUSE COMPONENT COMPONENT SUPPUER MANUFACTURER VIOLATION 7 8 9 10 'I7 o | |||
11 12 43 47 '48 CAUSE DESCRIPTION | |||
~08 e 7 8 9 80 | |||
[OD9] | |||
7 89 80 | |||
[isa] | |||
7 8 80 FACIUTY METHOD OF STATUS % POWER OTHER STATUS OISCOVERY OISCOVERY OESCRIPTION Q~g 7 8 9 | |||
[gJ ~oo g 44 u~/~ 7 10 12 13 45 , 46 80 FORM OF ACTMTY COATENT RELEASEO OF RELEASE AMOUNT OF ACTIVITY 7 | |||
Qg 8 9 z 10 11 44 45 LOCATION OF RELEASE 80 PERSONNEL EXPOSURES Q~g pQFOJ V. | |||
7 89 12 13 80 PERSONNEL INJURIES | |||
~4 ~OYER ct 7 ~ 8 9 11 12 80 PROBABLE CONSE(UENCES Jig onp J" 7 8 9 80 LOSS OR DAMAGE TO FACILITY | |||
~16 7 89 | |||
~ | |||
TYPE 10 OESCRIPTION 80 PUBLICITY 7 89 80 ADDITIONAL FACTORS 7 89 80 Q~g 7 89 80 NAME: ~ | |||
PHONE:4/~ | |||
GPO Obl o 66T | |||
~le IL C | |||
.~ | |||
~C ~ | |||
g" ~'C'f;g. b,C>.'5r,,', | |||
r | |||
'<p,v | |||
, CQNTROL'LOCK LICENSEE EVENT REPORT (PLEXURE | |||
.Aag~@~M PRINT ALL REQUIRED INFORM | |||
~ Cj ON) 1 6 LICENSEE LIC'iCh@55%~,.$ . V | |||
[op~] H 7 89 1 P NAME C C 1 14 15 oo ooooo LICENSE NUMBER oo 25 26 4 <z1l. | |||
TYPE 30 TYPE LDD1J 31 32 REPORT ~ REPORT CATEGORY TYPE SOURCE OOCKET NUMBER EVENT OATE REPORT DATE | |||
[oO~]co>>>>v ~PO I L 0 Io G 0 & 1. c>> 1. 2. 2 T, 'T 4 0 i. L.O '7 & | |||
7 ' 57 58 59 60 61 68 69 74 75 80 EVENT DESCRIPTION roO~J DOPIQC~ PE/4'-TOE. PRO~CY<MA %&YE'H %HE .88SP0MSE, I~VX.~Ca A FALM 7 | |||
7 I, SAFE 8 9 89 TABLE.c;TXGt4 vJks ERE,Rk~. c. DIE, H c Ek)ERICK)R. E=Az~ 0 80 80 tooj4 PROPER~ S~L eAa< X. ~TPPW OV 1 ueQSCAVzQ e r,c vms 7 8 9 80 | |||
+OS] TM< TRAP AQH~ 4C>AS<AT MIII~ REPLIED WVM ewe. O VZOE, 7 | |||
Jog 7 | |||
8 9 8 9 5~5 MME: U~V.. 46 PX&Sa.L, PAME M;TEb V Ee.a - - XS h-ic) 80 80 SYSTEM CAUSE COMPONENT COMPONENT MANUFACTURER 7, 8 9 10 11 12 17 . 43 44 47 48 CAUSE DESCRIPTION | |||
+os] | |||
7 8 9 QR+SX ~ @MT 4 gq LV p I t4C. C7X.L S 80 7 | |||
Hog 8 9 tuSQXCA7I:t4CI em PP~ u~e. O SuzuO ue S WrZCra4m LQu 80 7 | |||
P~g 89 GX.L. TRmwu>>>>E EXI'o A,RMFD (LQ SE~OIDS). | |||
FACILITY METHOO OF 80 STATUS POWER OTHER STATUS OISCOVERY OISCOVERY DESCRIPTION 7 8 | |||
[Q 9 | |||
~oo a12 10 13 wk 44 45 . 46 cP~~KKL EV~T 80 FORM OF ACTIVITY COATENT RELEASEO OF RELEASE AMOUNT OF ACTIVITY LOCATION OF RELEASE Q~g 7 8 9 10 11 44 45 80 PERSONNEL EXPOSURES 7 89 11 12 13 80 PERSONNEL INJURIES 7 89 11 12 80 PROBABLE CONSE(UENCES 7 | |||
gg89 P~ggg~ @~ERA LOlF' C~Y 92DPBPL(- %to eFw Srte. g~vEi4c,Es 80 LOSS OR DAMAGE To FACILITY 7 89 10 80 PUBLICITY Nk 7 89 80 ADDITIONAL FACTORS Ce APORT ..ALEP 6 ERR bL Qr- E 7 89 80 7 89 S~ - AD- AFTER. Lu NAME. T.C. I2I-OQM PHONE: | |||
GPO 8IIl e $ 67 | |||
n p s ~ | |||
~ ~ ~ | |||
4 | |||
~ ~ | |||
~~'HOG ~ | |||
4}} | |||
~ | |||
Revision as of 19:54, 20 October 2019
ML18219C142 | |
Person / Time | |
---|---|
Site: | Cook ![]() |
Issue date: | 01/10/1975 |
From: | Jurgensen R Indiana Michigan Power Co, (Formerly Indiana & Michigan Power Co) |
To: | James Keppler US Atomic Energy Commission (AEC) |
References | |
LER 1974-007-00, LER 1974-008-00, LER 1974-010-00 | |
Download: ML18219C142 (10) | |
Text
AEC DISTP I lv.'I r"Qn P "iRT 50 DOCI'ET f IC AXIAL (TEi'.IPORARY FORi"I) I I
'CONTROL NO: 5"S FILE ~KXE~KZOaz Fp~;,I. Indiana % Michigan Power OATE OF 'DOC DATE R EC'D LTR IX RPT OTHER
'r'Legman, Mich. 49106
=-
R.W. Jurgensen 1>>10-
~. TO: ORIG CC OTHER SENT AEC PDR Mr. J.G. Keppler 1 si ed SENT LOC'AL PDR CLASS VNC LASS PROP INFO INPUT NO CYS REC'D DOC: ETNO:
XXXX .
50-315
.PESCRI?TIO~I: Ltr trans the following Abnorma ENCLOSURES: A'bnon)al Occurrence's AO-050-Occurrences: 315/74-07/74-08/74-10 re fhiling of diesel geneator 5 fuel filters...
'I MDilII.HSEO (1 cy encl recid) Do Ntt,.getttove Pl ANT NAb;1E: Donald, C. Cook Unit 3.
FOR ACilO.'l/~i'.;OR!.1AilOi'NL 1-1888.
BUTLER (S) SCHWENCER (S) ZIEKQIN (S) REGAN (E)
W/ Copies W/ Copies W/ Copies W/ Copies CLARK (S) STOLZ (S) DICKER (E) LEAR (S) g/ Copies Wi Copies Wi Copies W/ Copies PARR (S) VASSALLo (s) KNXGHTON (E) SPEIS (S)
~
/ Copies W/ Copies W/ Copies W/ Copies cCNX L (S) PURPLE (S) YOUNGBLOOD (E)
W/ Copies W/ Copies W/ Co ies INTER,'AL DISTR I ":)UTIQN KG TECII REVIEW DENTON LIC. ASST. A/T IND AEC PDR GRIIIES DIGGS (S) BRAITNAN bbGC, ROOM P-F06 A CIIACCANY GAI'MILL GEARXN (S) SALTZltAN ifUl r ZING/STAFF WQlXGHT AASTNER ." GOULBOURNE
~
(S) B. HURT RASE @AWLICKI BALLARD lQEUTZER (E)
GIA:mUSSO baHAO SPANGLER LEE (S) PLAÃS BOYD C6TELLO NAIGRET (S) HCDOi<ALD l~iOORH '(S) (BWR) 410USTON ENVIRO PZ.ED (E) CHAPHAN DEYOUNG (S) (PETR) ~AVOVAK PtOLLER /SERVICE (S) DUBE v/input SKOVHOLT (S) PgOSS DICKER,. SHEPPARD (S) E. COUPE GOLLER, (S) APPOLITO KNXGhTON SL'ATER (F) ~R, Hartfield (2)
P, COLLINS TEDESCO YOUNGBLOOD SMITH (S) +KLEGKER DENISE ~LDNG REGAN TEETS (S) (fF. WXLLIP~~IS REG OPR ~KAINAS PROJECT LDR WILLIAMS (E)
~I'ILE G REGIoN (y IFBENARGTA WILSON (S)
KT.R. WILSON ~STEELE ~VOLDIER HARLESS INGRAM (S).
E>: i'ERi" 4L 0!STRl-"VTION N- I (1) (2) (10) -NATIONAL LABS 1"PDR SAlE/LA/NY A-TIC(ABERNATHY) l-l<.. PENNINGTOiV, R~t E-201 G.T. 1 "BROOKHAVEN NAT LAB 4-NSIC(BUCHANAN) 1 CONSULTA!ATS 1"G. ULRIKSON, ORIG 1"ASLB NEKQIRK/BLUIIE/AGBABXAN 1 "AGlKD(RUTH GUS SHAN)
J.-NEWTON AV)ERSON F34 B-127 G,T.
- V5"ACRS SEihrP'TO ILIC.'ASST. . 1-J. RUKLESP R~t E-201 Service 1-18-75 .- ',G+T
'n
( lw
~ ~
V
~ Ig sk I II I
0 ') ~
~M3NJ))i!'M 8VOP. ~A 30al-; gQ t, T 'B I
~ 4
Re~i)a~ %@~p INDIANA& MICIIIGANPOWER CDMPANY DONALD C. COOK NUCLEAR PLANT P.O. Box 458, Bridgman, Michigan 49106
,),S ~>, )(,g%
January 10, 1975 i',A S>>"@
U.S. Atomic Energy Commission Director of Regulatory Operations Region III 799 Roosevelt Road Glen Ellyn, IL 60137
Reference:
Operating License DPR-58 Docket No. 50-315 Attention: Nr. J.G. Keppler, Regional Director Gentlemen:
Pursuant to the requirements of Appendix A Technical Specifications and U.S. Atomic Energy Commission Regulatory Guide 1.16, Revision 2, Article 2b, the following Abnormal Occurrence Reports for the month of December, 1974, are submitted:
AO-050-315/74-07 AO-050-315/74-08 AO-050-315/74-10 Sincerely, ll
.W.
Plant Jur N nage ns Jlegpl S
cc: W/Attachments J.E. Dolan R.S. Hunter
- G.E. Lien R.J. Vollen BPI K.R. Baker RO: III R;~C. Callen, Esq.
P. Steketee, Esq.
R. Walsh, Esq.
PNSRC JAil 3. 5 3.St5
ann A
L li aE(
ga1 a
LICENSEE EVENT REPORT R,~~> ~;~c-.
CONTROL BLOCK: (PL E PRINT ALL REQUIRED INFORMATION) 1 6 LCENSEE NAME LCENSE NUMBER LCENS~'.~~@
14 15 O G QQOQc) OQ 25 26 A 11 1130 ~01 31 32 05' REPORT ~ REPORT
~01 CON'T 7 8
~tO t 57 58,59,60 I
61 DOCKET NUMBER 6 32$ ,68 69 22.OA EVENT DATE 4
74 75 OX REPORT DATE ap la 80 EVENT DESCRIPTION Qpg TEC-HMTC.A L QPEC T'FXC gc TONS Q. UXQ~CQT Fog. SAMF'I Ig 7 89 80 7
m89 M.e.SF-L. Vu ~ S e.~C ~e ~<( -AX,QYY 'DPYS mP 80 tooj4 arse.ossa vogTER P 80 smj.~F7 NAG Mo Ne. F<RsT . A.HPLE ~
7 8 9 80 Jog WAS TAKER OCYo Q..Z. 9'll-. F T 5 PLE. wAS AYEW 7 0 9 80 tm VER,N Fe - ciao- Si v4--c 7 89 PAME 80 SYSTEM CAUSE COMPONENT COMPONENT MANUFACTURER VIOLATION 7
~or ~E. F 8 9 10 D
11 12 17 . 43 44 .
2 247 LYJ CAUSE DESCRIPTION 7
Jag 0 9 SHE. NPu%P ~HTC,8. PRQ4YC euT'MPLL45. ~V<PEp <M6 ~<9 80 7
[OO~)
8 9 WP.S 'T A%CO ~7L PPO 5 MEED . T+'lE- COHPOTEKEKCC~~Y 'AS.. N04J .
80 OVID FO PROBE. Ib PI ZN D57E.S.
7 89 80 FACILITY METHOD OF STATUS POWER OTHER STATUS DISCOVERY DISCOVERY DESCRIPTION gg8 [QJ ~ao O 7 9 10 12 13 44 45 , 46 80 FORM OF ACTIVITY COAT(NT RELEASEO OF RELEASE AMOUNT OF ACTIVITY LOCATION OF RELEASE Q~g z. z. vk I 7 8 9 10 11 44 45 80 PERSONNEL EXPOSURES 7 89 11 12 13 80 PERSONNEL INJURIES NUMBER DESCRIPTION Qg ~OO Q11'2 IIX 7 89 80 PROBABLE CONSEQUENCES 7 09 gP,y P~q ~pPP ~~Tg <PP~~~Tt-Ct4S- Qo GFIF- SZR CDQSEQUE<<~
80 LOSS OR DAMAGE To FACILITY TYPE DESCRIPTION Q~g 7 0 9 10% 80 PUBLICITY 7 8 9 80 ADDITIONAL FACTORS
~10 (g ~
7 09 80 gg09 7 80 NAME T 0 PLUMYEX% .
PHONE:
GPO IIIII
I ply ~
0 P
t il i) j j s, y 1'Vy
LICENSEE EVENT REPORT Roget~ '4"Q'.
CONTROL BLOCK: t'PL . 6 PRINT ALL REQUIRED INFORMATION) 6 LICENSEE 1
pl~ DpI 7
too~ j89 0 NAME C' I 14 15 ou g roc LICENSE NUMBER 8
25 26 TYPE
'
30
'YPE 31 32 REPORT REPORT ol'r
~
I001jcQNT ~rrr 7 8 CATEGORY 57 2
58 TYPE 4
59 SOURCE
. L 60 c7 6'I ggy~-
OOCKET NUMOER 68 69 y ag~gy EVENT OATE 74 75 REPORT OATE c
80 EVENT DESCRIPTION
[OO~] ~ C.'~r' 7 8 9 80 wu 7 89 80
~04 7 8 9
~ J 80 QOg g c p a w Zi 7 8 9 80 Jog 7b 7 8 9 PRME 80 SYSTEM CAUSE COMPONENT COMPONENT SUPPUER MANUFACTURER VIOLATION 7 8 9 10 'I7 o
11 12 43 47 '48 CAUSE DESCRIPTION
~08 e 7 8 9 80
[OD9]
7 89 80
[isa]
7 8 80 FACIUTY METHOD OF STATUS % POWER OTHER STATUS OISCOVERY OISCOVERY OESCRIPTION Q~g 7 8 9
[gJ ~oo g 44 u~/~ 7 10 12 13 45 , 46 80 FORM OF ACTMTY COATENT RELEASEO OF RELEASE AMOUNT OF ACTIVITY 7
Qg 8 9 z 10 11 44 45 LOCATION OF RELEASE 80 PERSONNEL EXPOSURES Q~g pQFOJ V.
7 89 12 13 80 PERSONNEL INJURIES
~4 ~OYER ct 7 ~ 8 9 11 12 80 PROBABLE CONSE(UENCES Jig onp J" 7 8 9 80 LOSS OR DAMAGE TO FACILITY
~16 7 89
~
TYPE 10 OESCRIPTION 80 PUBLICITY 7 89 80 ADDITIONAL FACTORS 7 89 80 Q~g 7 89 80 NAME: ~
PHONE:4/~
GPO Obl o 66T
~le IL C
.~
~C ~
g" ~'C'f;g. b,C>.'5r,,',
r
'<p,v
, CQNTROL'LOCK LICENSEE EVENT REPORT (PLEXURE
.Aag~@~M PRINT ALL REQUIRED INFORM
~ Cj ON) 1 6 LICENSEE LIC'iCh@55%~,.$ . V
[op~] H 7 89 1 P NAME C C 1 14 15 oo ooooo LICENSE NUMBER oo 25 26 4 <z1l.
TYPE 30 TYPE LDD1J 31 32 REPORT ~ REPORT CATEGORY TYPE SOURCE OOCKET NUMBER EVENT OATE REPORT DATE
[oO~]co>>>>v ~PO I L 0 Io G 0 & 1. c>> 1. 2. 2 T, 'T 4 0 i. L.O '7 &
7 ' 57 58 59 60 61 68 69 74 75 80 EVENT DESCRIPTION roO~J DOPIQC~ PE/4'-TOE. PRO~CY<MA %&YE'H %HE .88SP0MSE, I~VX.~Ca A FALM 7
7 I, SAFE 8 9 89 TABLE.c;TXGt4 vJks ERE,Rk~. c. DIE, H c Ek)ERICK)R. E=Az~ 0 80 80 tooj4 PROPER~ S~L eAa< X. ~TPPW OV 1 ueQSCAVzQ e r,c vms 7 8 9 80
+OS] TM< TRAP AQH~ 4C>AS<AT MIII~ REPLIED WVM ewe. O VZOE, 7
Jog 7
8 9 8 9 5~5 MME: U~V.. 46 PX&Sa.L, PAME M;TEb V Ee.a - - XS h-ic) 80 80 SYSTEM CAUSE COMPONENT COMPONENT MANUFACTURER 7, 8 9 10 11 12 17 . 43 44 47 48 CAUSE DESCRIPTION
+os]
7 8 9 QR+SX ~ @MT 4 gq LV p I t4C. C7X.L S 80 7
Hog 8 9 tuSQXCA7I:t4CI em PP~ u~e. O SuzuO ue S WrZCra4m LQu 80 7
P~g 89 GX.L. TRmwu>>>>E EXI'o A,RMFD (LQ SE~OIDS).
FACILITY METHOO OF 80 STATUS POWER OTHER STATUS OISCOVERY OISCOVERY DESCRIPTION 7 8
[Q 9
~oo a12 10 13 wk 44 45 . 46 cP~~KKL EV~T 80 FORM OF ACTIVITY COATENT RELEASEO OF RELEASE AMOUNT OF ACTIVITY LOCATION OF RELEASE Q~g 7 8 9 10 11 44 45 80 PERSONNEL EXPOSURES 7 89 11 12 13 80 PERSONNEL INJURIES 7 89 11 12 80 PROBABLE CONSE(UENCES 7
gg89 P~ggg~ @~ERA LOlF' C~Y 92DPBPL(- %to eFw Srte. g~vEi4c,Es 80 LOSS OR DAMAGE To FACILITY 7 89 10 80 PUBLICITY Nk 7 89 80 ADDITIONAL FACTORS Ce APORT ..ALEP 6 ERR bL Qr- E 7 89 80 7 89 S~ - AD- AFTER. Lu NAME. T.C. I2I-OQM PHONE:
GPO 8IIl e $ 67
n p s ~
~ ~ ~
4
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4