ML20065A919

Testimony of Jl Roulo on Contention 42 Re Sabotage.No Increased Risk of Sabotage Results from Use of Contractor Employees,Including Transient Workers

ML20065A919
Person / Time
Site:	Byron
Issue date:	02/15/1983
From:	Roulo J COMMONWEALTH EDISON CO.
To:
Shared Package
ML20065A894	List: ML20065A891 ML20065A898 ML20065A902 ML20065A907 ML20065A911 ML20065A919 ML20065A929 ML20065A936 ML20065A945 ML20065A951
References
NUDOCS 8302220321
Download: ML20065A919 (26)

Text

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SUMMARY

OF THE TESTIMONY OF JEROME L. ROULO Mr. Roulo is an employee of Commonwealth Edison Company whose present job title is Deputy Nuclear Security Administrator. As such his duties include administering the security screening program for employees of both Commonwealth Edison Company and its contractors at nuclear power plants.

Mr. Roulo's testimony comprises that portion of Contention 42 dealing with the increased risk of sabotage as the result of using transient workers. The testimony describes the circumstances under which persons are allowed to work at the Byron Station without escort and describes the elaborate contractor employee screening procedure which must be followed for that purpose. Both the Nuclear Security Administrator and Quality Assurance check on the effectiveness of these screening procedures. Mr. Roulo's testimony concludes that there is no increased risk of sabotage at Byron Station as F

the result of using contractor employees, including transient workers.

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TESTIMONY OF JEROME L. ROULO ON CONTENTION 42 Q.1. Please state your name.

A.l. Jerome L. Roulo Q.2. By whom are you employed?

A.2. Commonwealth Edison Company 0.3. How long have you been employed by Commonwealth Edison Company?

A.3. For 31 years.

Q.4. What is your present job title?

A.4. Deputy Nuclear Security Administrator.

Q.5. For how long have you held that position?

A.S. For five years.

l Q.6. What are your duties as deputy Nuclear Security Administrator?

A.6. I administer the employee security screening programs for Commonwealth Edison Company and contractor employees.

l Q.7. Please describe the scope of your testimony.

A.7. My testimony addresses that portion of League

• Contention 42 which asserts that " obtaining the temporary services of transient workman . . . results in . . . in-creasing the risk of sabotage. . . . " .

Q.8. Are contractor employees allowed to work at Byron Station, after the reactor has loaded fuel, unescorted?

A.8. No, except under the circumstances described below:

Commonwealth Edison Company mandates that all personnel, who require unescorted access to Byron Station, will undergo pre-employment screening. The screening requirement begins 90 days prior to fuel load. Individuals are accepted or rejected for unescorted access based on the results of the pre-employment screening.

Q.9. What are the requirements of the Byron Station con-tractor screening procedure?

A.9. Contractors working at Byron Station are required to submit a screening procedure to the CECO Nuclear Security Administrator for approval. The procedure must, as a minimum, contain provisions to:

1. Establish a method for evaluating employees who have maintained a trustworthy work record for three continuous years.

2. Conduct a background check on all employees who l.

have been employed with the contractor for less than three years which includes:

a. Contacting prior employers.

l b. Contacting personal references.

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c. Examination by a licensed psychiatrist or physician or other persons professionally trained to identify aberrant behavior, for purpose of observing and disqualifying persons displaying indications of emotional instability such that there is reasonable doubt the person could discharge his duties in a competent manner.

3. Establish a continued observation program for all employees, so that supervisors may identify and take appropriate corrective measures when personnel display aberrant behavior.

4. Provide for immediate notification, of the ter-mination, of all personnel for whom unescorted access has been requested. Also, to cancel the unescorted access privilege for any individual whose trustworthy status has changed.

5. Commit to maintaining proper screening documentation and to making all documentation available to Commonwealth Edison Company and the Nuclear Regulatory Commission for audit. The documentation would include, as a minimum:

a. Current approved copy of the procedure.

b. Current letter of approval from CECO.

c. Current letter of authorized signatory officials.

d. Screening file for each concerned individual.

e. All current copies of requests for unescorted access.

f. All copies of cancellations of unescorted access.

g. Annual certificates of continuous observation.

Q.10. Does Commonwealth Edison Company check on the effective-ness of contractor screening programs?

A.10. Yes. Commonwealth Edison must assure that personnel, who have been granted unescorted access to Byron Station, have been screened properly. To this end, the Nuclear Security Administrator has a full time staff member, whose only assignment is to conduct periodic audits of all

. contractors who require unescorted access to our nuclear plants. This individual can be supplemented with additional staff assistance if required.

Q.ll. Are there any further checks of this contractor screening procedure?

A.ll. Yes. Commonwealth Edison's quality assurance department personnel conduct periodic audits of con-tractor screening procedures and practices.

Q.12. Are there written guidelines for these screening requirements?

A.12. Yes. The attached screening requirements (Roulo Ex. 1) are furnished to all contractors who will require unescorted access to Byron Station. These requirements outline, in detail, the various rules by which we expect the contractors to satisfy the Commonwealth Edison personnel screening program.

Q.13. Have these procedures been reviewed by the NRC?

A.13. Yes. The Byron Station physical security plan has been evaluated by the Nuclear Regulatory Commission and has been accepted by them.

Q.14. Do you believe that there is increased likeli-hood of industrial sabotage at the Byron Station ,

as a result of the employment of transient workers by contractors performing maintenance tasks at the Station?-

A.14. No. I believe that the contractor screening pro-cedure described above provides assurance that there is no increased risk due.to the employment of transient workers. Only the employees meeting the stringent screening requirements set forth in Roulo Exhibit 1 can Work unescorted at the Byron Station.

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. Exhibit 1 Subiect: Personnel Security Clearance - Screening Requirements for Access to Nuclear Power Plants Contractors who have personnel needing unescorted access to Commonwealth Edison Company (CECO) Station Nuclear Power Plants are required to establish a personnel screening program. Appendix A quotes various -

regulatory requirements >and Ceco policies which are the basis for this requirement. Attachment 1 sets forth the requirements which the screening program must meet. Attachment 2 is a model procedure which may be used as a guide for establishing a contractor program.

Assistance in establishing a screening program can be obtained from Jerome L. Roulo, (312) 294-8554, and any questions should be directed to him.

Sincerely,

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t Winston L. Duke Nuclear Security Administrator WLD:JLRtj tf Enclosure l

to l

l APPENDIX A BASIS FOR PERSONNEL SCREENING PROGRAMS _

Unescorted access into an operating nuclear plant is authorized by the United States Nuclear Regulatory Commission Rules and Regulations, Part 73.55, Requirements for Physical Reactors Protection of Licensed Activities in Nuclear Power Against Industrial Sabotage.

be Following are excerpts f rom the various documents to used in preparing the personnel security screening plan:

a. ANSI N18.17-1973, " Industrial Security for Nuclear Power Plants", Paragraph 4.3 " Employee Screening."

making a shall be employed for Procedures determination of the acceptability ofthe candidates continuingfor plant employment and nuclear with regard to their acceptability of employees as trustworthiness. These procedures shall include, a minimum, the following provisions:

(1) an investigation, eithertoprior a to employment or-position allowing .

prior to assignment adverse escort, to disclose access without might bear on his character traits that abilities or motivation to discharge his duties

• in a responsible manner.

or (2) examination by a licensed psychiatrist physician or other person professionally trained to identify aberrant behavior, either prior to to a position employment or prior to assignment allowing access eithout escort, for the purpose disqualifying persons of observing and displaying indications of emotional instability such that there is reasonable doubt that the person could discharge his duties in a competent manner.

and (3) continued observation of all employees appropriate corrective measures by responsible supervisors for indication of aberrant behavior of personnel in the course of performance of j their duties.

10 CFR 73.55, Paragraph (a) : The licensec shall

' b.

maintain an on-site physical establish and I

protection system and security organization assurance againstwhich will provide protection with high successful industrial sabotage by. . . the following:

Paragraph (a) (2) : An internal threat of an insider, including an employee (in any position).

l . _ . _ - _. . .. - - - .- .

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App A - 2 Requirements -

(5) "A Paragraph (d) : Access numbered picture badge identification system shall have authorized be used for all individuals who without escort. An access to protected areas the licensee but who individual not employed by requires frequent and extended access to protected and vital areas may have authorized access to such areas withoat escort provided that he receives a picture badge upon entrance into the protected area, which must be returned upon exit from the protected - no area, and which indicates: (i) non-employee required; (ii) areas to which access is escort the period for which access authorized; and (iii) has been authorized. Badges shall be displayed by all individuals while inside the protected area."

NRC MEMORANDUM FOR:

Reactor Safeguards Licensing c.

Branch Members Division of Operating Reactors -

FROM: Robert A. Clark, Chief Reactor Safeguards Licensing Branch

SUBJECT:

SCREENING OF INDIVIDUALS GRANTED UNESCORTED ACCESS TO THE PROTECTED AREA. Review Guidelines #1 DATE: November 26, 1977

. unescorted access to the protected area may be granted to employees of a licensee and- its contractors established by three (3) based on the reliability continuous years of trustworthy employment. This method establishing reliability is considered to be of screening of ANSI equivalent to the pre-employment N18.17-1973, Sections 4.1 and 4.2. A licensee's program for granting unescorted access to the protected area based on trustworthy employment is employment acceptable ifof(a)the at least three continuous years of individual with the licensee or his contractor is documented, and (b) the trustworthiness of the individual as determined by a review of the individual's employment record.

1 ATTACHMENT 1 REQUIREMENTS FOR CONTRACTOR PERSONNEL SCREENING PROGRAMS OPERATING NUCLEAR STATIONS COMMONWEALTH EDISON COMPANY I. OVERVIEW All contractors with personnel performing work at Operating Nuclear Stations of the Commonwealth Edison a personnel screening Company (CECO.) must establish program. The following general steps are essential:

. Establish a personnel screening procedure (Section II)

. Obtain approval of the procedure from the CECO. Nuclear '

Security Administrator (NSA) (Section III A) screen all personnel

. Implement the approved procedure:

requiring unescorted access (Section III B)

. Submit name (s) of .of fical(s) authorized to approve requests for unescorted access to station (Section III C)

Submit Request for Unescorted Access to station (Section IV) i' Maintain all documentation required by the approved

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procedure; this documentation must be available for audit by CECO. and the Nuclear Regulatory Commission (NRC) (Section V)

Submit changes in authorized access list to station as appropriate (Section VI A)

Submit revisions to the screening procedure for ,

approval to the CECO. NSA (Section VI B)

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, Att. 1-2 I II. SCREENING PROCEDURE A. Introduction _

1. The contractor shall submit a procedure detailing his personnel security of ANSI N18.17- which screening program 1973, meets the requirements

" Industrial Security for Nuclear Power Plants,"

Paragraph 4.3 " Employee Screening."

2. The screening program consists of four elements used in several combinations depending upon the type of employee being screened:

a) Certification by contractor / Union b) Background Check c) Behavioral Evaluation d) Program for Continued Observation Each element is described in detail in later sections and all are summarized in Section II G. s

3. The procedure must address the screening require unescortedof all types of personnel establishing who may his program, the access. In Contractor must bear in mind that the purpose of his screening program is to determine of and assure employees with the continued acceptability regard to their trustworthiness B. Certification by Contractor / Union Employees or union members who have greater than years of service may have all of their three screening accomplished by supervisor certification.

For contractor employees, the certification is made by a responsible contractor supervisor who For can attest union individual's trustworthiness.

to the same affirmation of trustworthiness members, the responsible shall come from the business agent or For people with officer of the member's local union.

three or more years of continuous employment or union membership, the certification is all the screening required.

There are cases where an employee has recently transferred from one nuclear station contractor to another. If such an individual has had continuous work experience in an operating nuclear station with satisfactory certification from previous employers, then he may be screened as if his employment had been

Att. 1-3 Thus, for continuous with the current contractor.

! example, if John Doe had worked for the XYZ company at Zion Station for the past three years and left thenXYZ ABC to work for the ABC company at Zion Station, company may obtain a certification from XYZJohn company would to include in John Doe's screening file.

require no further screening.

C. Background Check For employees and union members with check less than years of. service, a background is three The background required as part of their screening.

check shall, as a minimum, include the following:

contact one (1) employment reference and 1

1.)

contact two (2) other character references, y,

2.) contact two (2) employment references and contact one (1) Other character reference. ~

The background check should address reliability and checks should not trustworthiness. The reference include relatives.

D. Behavioral Evaluation Employees and union members with less than three years of service are required to undergo a Behavioral "Thurstone Temperament to Evaluation similar L. Thurstone, Science Research Schedule" by Dr. L.

Chicago, Associates, Inc., 259 East Erie Street, Test Form A, Institute Illinois, 60611; or 16 P. F.

of Personality and Ability Testing, 1602-04 Coronado Drive, Champaign, Illinois.

l This evaluation is for the purpose of observing and disqualifying persons displaying indications of emotional instability such that there is reasonable that the person could discharge his duties in a doubt competent manner.

E. Continued Observation Program The contractor shall include in his procedure provision for continued observation to detect any of all persons signs of granted unescorted access aberrant behavior The or other indication of decreased contractor shall commit to trustworthiness. immediately of such signs and cancel notifying CECO.

the individual's unescorted access authorization.

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Att. 1-4 F. Screening Requirements The manner used to accomplish and document the screening of an employee will depend upon the length of time the individual There has been are twoassociated possiblewith the options contractor or union.The forms required for documentation listed below. are attached as exhibits and of each option referenced in the description. The contractor shall include the applicable option (s) with the associated forms as part of his screening procedure.

In order for an employee to gain unescorted individual access to a nuclear station for work purposes, contractors must certify each employee in accordance with one of the following options:

OPTION 1:

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Observation by contractor supervision for tnreeatyears any or more while working for the contractor location (CECO . or non-CECO.) who will certify to the employee's reliability, (See Exhibit I), or; as a union member in good Three years or more standing with certification by the business agent or responsible officer of the local union, (See ExhiDit

- II), or; experience in Three years or more of continuous-work with satisfactory an operating nuclear station recommendations from all contractors with whom the l

' person was employed during the three-year period.

OPTION 3:

A background check (See Paragraph II C).

A behavioral evaluation (See Paragraph II D).

Att. 1-5 G. Screening Requirements Summary Requirements Summary Three years Less than or more three years (Option 3) (Option 1)

Certification X X

by Contractor Program for -

Continued X X

Observation

Background

X Cneck Behavioral X Evaluation

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H. Subcontractor Screening The Principal Contractor is responsible personnel.for the The screening ~ of all Succontractor screening will be completed utilizing the approved the Principal screening procedure submitted by Contractor _.

III. PROCEDURE APPROVAL AND IMPLEMENTATION A. Approval contractor snall submit his screening The The procedure must procedure to CECO. for approval. by the responsible company .

be dated and signed official. Tne procedure should be submitted to:

Nuclear Security Administrator Commonwealth Edison Company P. O. Box 767 - Room 1248 E.

Chicago, Illinois 60690

.. . . -. - - - _-. .. . . - . , _ . . -- . - - . _. ~ . . . _ _ . - . . _ . , _ _

Att. 1-6 If it is The procedure will be reviewed promptly.

found to be acceptable, an approval letter will be as sent to the contractor. This should be maintained part of the screening program documentation.

B. Implementation Prior to requesting unescorted access for any have all of his individual, the contractor must and the necessary serbening accomplished The contractor shall documentation assembled.

determine which of the three options is appropriate for each of the personnel needing access and make his psychological arrangements, such as for own In establishing the program it evaluation services.

would be appropriate to advise each individual that his screening records will be availableIncomplete for audit by or CECO. and NRC personnel upon request.in denying the inadequate screening will result s

concerned individual access to the site.

screening is a requirement Personnel establishing compliance with performance objectives in Federal Regulations for nuclear station security and provides for assurance that the failure Therefore, public healthto adhere and safety are protected. personnel screening prior _ to to procedures for requesting unescorted access can be a violation of Federal Regulations.

C. Authorized Signatures _

Before the station can grant unescorted form containing the access it must have name(s), title (s)on ,file andaspecimen letter or signature (s) of the contractor official (s) who are authorized to sign the Requests bearing request for unescorted access.

signatures not on the authorized list will not be processed.

IV. REQUESTING UNESCORTED ACCESS Contractors shall request unescorted access on the form shown as Exhibit V.

A request shall be valid for a period of one year, at which time it must be renewed.

Att. 1-7 nuclear station has its own process for Each granting unescorted access. The screening procedure is The contractor should take only a part of this process.

steps to understand the process and allow sufficient time This will prevent delays in to complete all steps. once contractor obtaining unescorted access badges employees reach the station.

V. DOCUMENTATION A. General -

The contractor's screening program must provide its for complete, accurate documentation of all parts. Federal Regulation provides for periodic audit of screening programs by the Nuclear Regulatory Commission and by the Commonwealth Edison Company Quality Assurance Department. Incomplete records are always interpreted to indicate inadequate screening and will lead to loss of unescorted access for the contractor personnel involved. Audits occur without~

random

' warning and may be done on a basis of selection.

B. Records The contractor's screening documentation shall include, but not be limited to, the following:

1) Approved Screening Procedure

2) Procedure Approval letter

3) Authorized Signature letter Screening files (content depending

4) Individual upon which option is applicable) a) Contractor Certificate b) Union Certificate '

c) Background check references (three) d) Behavioral Evaluation record

5) All effective requests for authorized access

6) Authorized Access cancellations

7) Documentation of Continued Observation Program

Att 1 - 8 C. Audits and Records Checks

1) Records checks will be made, usually for personnel newly added to the access list. These checks are to detect any dif ficulties encountered intothe screening maintain an process and assist the contractor effective program. Such checks will be made as deemed necessary by either nuclear station staff or corporate nuclear security personnel. Improperly screened individuals will not be granted access to the site.

2) Commonwealth Edison Quality Assurance audits will be made annually. The audits usually cover a random files for selection of contractors and contractor Though it may each station and are unannounced.

happen that a particular contractor's records will should be prepared to not be scrutinized, all Inadequacies will successfully pass such audits.

result in contractor personnel being barred from the._

site until records are put in proper order.

3) The Nuclear Regulatory Commission holds unannounced such the nuclear stations. During inspections of inspections, contractor screening records are subject discretion. Such to audit at the inspector's as twice a year.

inspections occur as often Deficiencies can result in denial of access for some or all of a contractor's people, citations against the station and, if serious enough, fines.

VI. CHANGES AND REVISIONS A. Access List Chances We require that all contractors change notify CECO.

of the immediately of the termination or whom reliability status of any personnel for access has been requested. This unescorted notification will be by telephone or a personal visit followed by a written notification (See Exhibit VI).

Additions to existing access lists shall be made using Exhibit V. It is not necessary to resubmit the each time a change occurs.

entire access list However, the contractor may be required, from time to time, to consolidate individual requests on a single current list.

Changes and cancellations must be signed by an of ficial whose authorized signature is on file with CECO.

Att. 1-9 B. Procedural Changes procedure Revisions to an approved screening and approval. The must be submitted for review be in the letter of approval for such revisions must contractor's possession before the revision original may be procedure, implemented. As with the Nuclear revisions shall be submitted to the CECO.

Security Administrator.

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t ATTACHMENT 2 XYZ Company Security Screening Procedure

1. This procedure will be followed for each employee of XYZ Company and each union member on the XYZ Company payroll who require unescorted access to a Commonwealth Edison Company (CECO.) Nuclear Generating Station. XYZ Company will require this procedure Company to be andfollowed will forbe any subcontractors to XYZ responsible for dnsuring that proper screening and documentation exists prior to requesting unescorted access for subcontractor personnel.

2. Option 1 with three or more years . of For employees continuous employment with XY7 Company; or for union members with three or more years of continuous union membership; g for personnel with three or more years of continuous work experience in an operating nuclear.

station.

management will certify three years of a.) XYZ trustworthy employment based on reliable and observation and a check of the employee's work record using Exhibit I;ce'Ttif or ay union three officer,years or of business agent, will reliable and trustworthy union membership in good standing based upon observation and a check of work records using Exhibit II; g XYZ management will obtain satisfactory recommendation of three or more years of continuous work experience all in an employers operating nuclear station from involved using Exhibit I modified to show each employer and each period of employment. .

3. Option 3 employees with less than three years of For continuous employment with XYZ Company; or for union members with less than three years of continuous union membership:

Att. 2-2 a.) Examination and evaluation by a psychiatrist or physician, or testing evaluation similar to "Thurstone Temperament Schedule" for the purpose of observing and disqualifying persons displaying indications of emotional instability such that there is reasonable doubt the person could discharge his duties in a trustworthy and reliable manner. Such evaluation shall be documented.

b.) A background investigation to disclose adverse character traits that might affect a person's ability or motivation to discharge his duties in a reliable and trustworthy manner will be completed by contacting and documenting three references as follows:

1) One (1) employment reference and two (2) personal character references (not relatives);

2) Two (2) employment references and one (1) personal character reference (not relatives); '

3) If no previous employment exists, three (3) personal character references (not relatives).

4. XYZ Company will submit to the proper CECO. nuclear station, with a copy to the CECO. Nuclear Security Administrator, a letter containing name (s ) , title (s) ,

and sample signature (s) of the company of ficial(s) authorized to sign requests for unescorted access and cancellations of unescorted access.

5. Upon completion of 2, or 3 above, XYZ management will submit a request for unescorted access using Exhibit V signed by an official designated as in 4 above.

s Att. 2-3

6. XYZ Company will provide for continued observation has requested of all personnel for whom XYZ Company aberrant unescorted access to detect any signsof of decreased behavior or other indication trustworthiness. Should such behavior be detected, XYZ CECO. Station Company will immediately notify the in person.

Security Administrator by telephone or Supervisory personnel performing such observation will i

submit every twelve months a letter certifying that he has performed the observation, listing each individual so observed and verifying that no aberrant behavior has been detected. XYZ Company will obtain the assistance of a competent psychiatrist or physician to establish a program to train supervisors in the detection of those types of aberrant bahavior for which they must be alert.

immediately notify CECO. of any

7. XYZ Company will termination from XYZ Company or change in reliable, trustworthy status of any person for whom unescorted 4

access has been requested. Such notification will be by telephone or in person to the CECO. Station Security Administrator and followed by written notification

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using Exhibit VI.

8. XYZ Company will maintain documentation generated by this procedure as follows:

a.) Current Current approved copy of this procedure letter of approval from CECO.

b.)

c.) Current letter of authorized signatory officials d.) Screening file for each concerned individual

- containing (as required) :

1. Copy of Exhibits I or II

2. Three (3) background check references

3. Certificate of Behavioral Evaluation copies of requests for unescorted e.) All current access f.) All copies of cancellations of unescorted access 9.) Annual certificates of continuous observation All documentation will be available to CECO. and the Nuclear Regulatory Commission upon request. It will be maintained at the XYZ Company general office.

Company Officer Date Title

e EXHIBIT I certification of Reliable and Trustworthy Employment XYZ Company The employee listed below has completed three or more years of continuous employment with . XYZ Company in positions which have afforded close observation of the employee.

A review of the employee's employment record on for this the years has been completed. Based past three information, I consider the employee reliable and trustworthy.

I recommend clearance for unescorted access to Commonwealth Edison Company Nuclear Generating Stations.

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Name (Last, First & Macdle Initial)

Social Security Number I

i Date of Employment i

I Manager .

Date

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EXHIBIT II i

Union Certification of Reliable and Trustworthy Employment l

Name of Union Member (Last, First & Middle Initial)

Complete Address Social Security Number s

Date of Membership The person listed above has completed three or more years as a member of this union. A review of the member's work Based on record for the past three years has been completed. and this information, I consider this person reliable trustworthy. I recommend clearance for unescorted access to Commonwealth Edison Co. Nuclear Generating Stations.

Name of Union Address Union Officer / Business Agent i

Date ,

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Page 1 of 2 EXHIBIT V Request for Unescorted Access Nuclear Power Station Date Commonwealth Edison Company c/o Nuclear Security Administrator 72 West Adams Street, Room 1248 E.

P. O. Box 767 Chicago, IL 60690

, dated

Reference:

Approved Procedure No.

The attached list of personnel, employees of s

a (Name of Company) Adoress undergone the screening process established by the have have met the acceptability referenced procedure and requirements. The records and reports of the screening process for the above-named are available for inspection upon request Nuclear Commonwealth Edison Company and/or the by the Regulatory Commission.

Unescorted access is requested for Nuclear Power Station.

as an authorized By ^ virtue of my authority or corporation, I representative of the aforesaid company herewith make this application. .

By:

Name:

(Print or Type)

Title:

cc: Commonwealth Edison Company Nuclear Security Administrator at Nuclear Power i Station (s)

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. t EXHIBIT VI Cancellation of Unescorted Access Date: l Station Security Administrator Commonwealth Edison Company Dresden Station Quad Cities Station R. R. #1 . P. O. Box 216 Cordova, IL 61242 Morris, IL 60450 LaSalle County Station Zion Station R.R. No. 1 - Box 240 4

101 Shiloh Blvd. Marrielles, IL 61341 Zion, IL 60099 (Name or Company) (Address) for tne personnel Unescorted access is hereoy cancelled listed below:

Name Social Security Numoer (Last, First & Middle Initial)

By:

Name:

(Print or Type)

Title:

cc: Nuclear Security Administrator 72 West Adams Street, Room 1248 E.

P. O. Box 767 Cnicago, IL 60690

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