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=Text=
=Text=
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UNITED STATES NUCLEAR REGULATORY COMMISSION
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j W ASHINGTON, D. C. 20555 MAR 151985 i.
MEMORANDUM FOR:
B. Fisher, Technical Assistant, Division of Emergency Preparednes
~
and Engineering Response, Office of Inspection and Enforcement FROM:
Comanche Peak Technical Review Team L. Shao, Group Leader, Civil / Mechanical Groups Sl/b3ECT CPSES CONTENTION 5 DATA BASE Pft9M:
Enclosed are the completed Input Data Sheets from our Comanche Peak Civil /
Structural Group. The data sheets from the Mechanical / Piping Group will start coming to you next week.
If you have any questions concerning our Contention 5 Data Base input,
~ please contact Bob Masterson (X 37687) or Vic Ferrarini (X 37680).
,_..)
L. C. 5 ao, roup Leacar Civil / Mechanical Groups Comanche Peak Technical Review Team
 
==Enclosure:==
As stated cc:
D. Eisenhut V. Noonan E. Jordan "O
h.
8607030314 860623 j"d PDR FOIA y""
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==
GARDE 86-A-18 PDR l
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Pagd 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET l
ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING N0: (ForIEHQUse)
YOUR NAME: (Last Name First)
H5P49srt_c_____
GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECTOFYOURREVIEW:
TOPICAL AREA:
* If not on list. enter area here:
12.F.L til:D E-f FeEMT_ C Q T _TJ LJ6)_ _ _ _ _ _ _ _ _ _
Preg.
ACCIDENT PREVENTION / MITIGATION SYSTEM:
* If not on list, enter system here:
tJ.9_ G G E.1 E:1 6 _ G N S I E.A_4_ _ _ _ _ _ _ _ _ _ _ _ _
SPECIFIC COMPONENT OR ACTIVITY:
* p ng.
j If not on list, enter activity here:
g,o,g ta; y 4 _ a p _ p g.!,g,/,_ S L I 6 _ _ _ _ _ _ _ _ _ _
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2or8) 3 PRINCIPAL CONTRACTOR 19VOLVED WITH YOUR REVIEW:
J, g _ _
i If not on list, enter d wtractor here:
NATURE (TYPE) 0F YOUR P ET E
* R If not on list, entev M*' % here:
Fq(, G14 A f g;;_ Ogp pgs,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
SCOPE OF YOUR REVIEW:
l EFFORT EXPENDED IN MAN-HRS. NOT INCL. DOCUMENTATION:
OpO$
REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*. gag _
If not on list, enter type here:
Size of sample observed / examined during your review:
___Q Estimated total population avail during your review:
___O Randomness of sample:(Enter R if random. B if biased) i i
If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C 16_ Ca r eG o ad _15_
b C.- L 5_ _ _ _ _ _ _ _ _
'a Enter Alpha Code From Appropriate List
**Please print usino one character per underlined snace.
p1.as, an nnt.ve..a niinr>+.a en=c.c
 
s Pag 2 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
-------------~~-----~~~----~~--
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
Ilse YY-M-DD Forwat Date deficiency occurred:
Date NRC learned of deficiency:
Use YY-M-DO Format Who first " discovered" deficiency:*
:TUseNifNRE,LifLicensee,AifAlleger,0ifOther)
If other, enter source here:
Number of known similar deficiencies:
((((~~~~~~~~~~~-------------~~~
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
~
When considered with other known deficiencies:*
Supporting information or basis:
[ _(Use Y if Yes, N if No, U if Unknown / Uncertain)
CORRECTIVE ACTIONS TAKEN OR PLANNED:
Specific actions to correct deficiency:
(Brief summary of specific corrective actions, if known.)
Broad QA/QC actions:
1 (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
 
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Pagi 3 cf 3 CPSES CONTENTION 5 DATA SHEET.
AD0!TIONAL CODMENTS THAT YOU MAY HAVE:
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,e Page'l of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
I REFERENCE INFORMATION:
TRACKING N0: (ForIEHQUse)
YOUR NAME: (Last Name First)
@ d @ j ~g.M g.,,- C.,_____
GROUP OR ORGANIZATION:
s______________________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
[
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SU8 JECT OF YOUR REVIEW:
QTd@
TOPICAL AREA:
* If not on list, enter area here:
g ag.1 9 f o g. C,_l N Q _S I EG L, _ _ _ _ _ _ _ _ _ _ _ _ _ _
C J !! @ f F C 1 F.1 (r_ _$ Y 6 1 E e _ _ _
ACCIDENT PREVENTION / MITIGATION SYSTEM:
If not on list, enter system here:
t r D_ f2 SPECIFIC COMP 0NENT OR ACTIVITY:
* p T&f.
If not on list, enter activity here:
p 4_ &UT SQ g.11 GD _ E-V TTiW _ a E e L2-F6&fl_E _ _
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CPSES UNIT INCLUDED 1N YOUR REVIEW: (Enter 1,2or8) g
-PRINCIPAL CONTRACT 04 INVOLVED WITH YOUR REVIEW:
* 6 $_ _
If not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
(,,,
If not on list, enter nature here:
E FC,,o R, QS _ Ad T)_ Ca M e L.ET FO _ MQ c g'_ _ _ _ _
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
i REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* j } {'_~
If not on list, enter type here:
3 Size of sample observed / examined during your review:
j Esttmated total population avail. during your review:
Randomness of sample:(Enter R if random, B if biased) g l'
If biased, enter basis here:
&LLg6h1LpA_____________________
l REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C,,] $ _ C,py gg gg j _ [ 6 _ _._/}C - L.f_ _ _ _ _ _ _ _
\\
7 Enter Alpha Code From Appropriate List I
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**Please print using one character per underlined soace.
Please do nnt erread allocated snacac 1
 
Page '2 of 3 CPSES CONTENTION 5 DATA SHEEi SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
6QQ1 DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief sunnary of deficiency:
TS irg.E _ #a Y _ tl & Y E _15 EY e _ Q Q _ EF E-SCT 1. V.
(Use a separate page 2 for each deficiency)
I: _ G G _ E & g Q g ad)_ T a _ Q.yE (2.6 E E_ I gg _16 5 u A NCE_ A O D_ u S W_ a E _ Die eQ 9 D_ D ELLL _
ELIk___________________________
Specific location of the deficiency:
Fu e t_11-a ma DL i. u c, _ B,u.L L of. M _8 J. 9.-Ie_ s L.
EY_____________________________
Date deficiency occurred:
Use YY-MM-DD Forinat 0 3 Use YY-MM-DD Format Date NRC learned of deficiency:
3 - Q t NRC, L if Licensee, A if Alleger, 0 if Other)
Tuse N if Who first " discovered" deficiency:*
If other, enter source here:
Number of known similar deficiencies:
D d @ Q - - ~ - ~ '~ - ~ ~ ~ - - - - - ~ ~ '~ - ~ ~ - - -- - ~ - '
s REGULATORY OR OTHER REQUIREMENT /COM ITMENT NOT MET:
Applicable 10 CFR 50 Appendix 8 Criterion:
y8(Usearabic01thru18. Use NA if not applicable)
Other requirement or commitment:
$ g c. x _ a t 1. _ a e _ _TV fa c o _ F & o G _ G I - G P -- L L
- ~ ~ ~ ~ ~ - - - - ~' ~ ~ '-'~ - ~ '' - - - - '~ - - - -
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
6 When considered with other known deficiencies:*
g Supporting information or basis:
8 gg, A g,_ g g y _ d O _ f g I,9_ c e q pr2_ d r2 y q gi Cf L T _ E E P.FC.I_ I R E _ er6 L k 1.1 Y _ e E _ T.t!.F_ e E E E GIMD_5T S VGI U SEG _ I Q _ G e C &Y _ IEE nW916#_ Leap 6___________________
CORRECTIVE ACTIONS TAKEN OR PLANNED:
g(UseYifYes,NifNo,UifUnknown/ Uncertain)
Specific actions to correct deficiency:
S E E _. E % 6_ 3 _ o. E _. 3 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
(Brief sunnary of specific corrective actions, ifknown.)
31of@__,_.,_____.___________________
Broad QA/QC actions:
l (Actions to identify potential similar deficier.cies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
 
~
y Pa'go 3 of 3 CPSES CONTENTION 5 DATA SHEET.
ADDITIONAL COMMENTS THAT YOU MAY HAVE:
TyEC._5 tie L L _ E 8 0V L QE _ E a R g k)194_ la FO 6.MhT10. d _ C O d CE 461L M 6 _ I BE_ D &l LL (
(Should you wish to provide any additional information, gg _ a g= _ g0 LE6_ TH-EQ V 6 H ;f.EE6 E _ D R & L3 comment, viewpoint, opinion, or other matter that 6_ Tff E_ i d 6 I 6-L L AT.L O M _ Q F _T B E_ T EQ M you feel the Contention 5 Panel should consider in making their findings, please use this page to do so.) M _ Q $P.C.SS6 _ A 151 E _ R a._1 L s _ 4 M _T it EF_ (
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l ACAb Paga I of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
. REFERENCE INFORMATION:
TRACKING N0: (ForIEHQUse)
'f I
YOUR NAME: (Last Name First)
P3_1kkFO_E,______
)
GROUP OR ORGANIZATION:
6______________________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
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PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
$C,__
i TOPICAL AREA:
* j If not on list, enter area here:
ACCIDENT PREVENTION /NITIGATION SYSTEN:
Q I jfg, If not on list, enter system here:
C,agrf-LMMgd7____________________
SPECIFIC COMP 0NENT OR ACTIVITY:
* pIBR If not on list, enter activity here:
sesseAr_Faug___________________
l CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) 1 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* gg__
If not on list. enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
g If not on list, enter nature here:
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
QQ1Q REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*
If not on list, enter type here:
16'iGt}_IJ.C.f.gFT6__________________
Size of sample observed / examined during your review:
a52Q Estimated total population avail. during your review: a, M Q Randomness of sample:(Enter R if random, B if biased) 3 If biased, enter basis here:
_C,gu L 6. W @ _I W e _ Se 5 E did I _.C D d.C_ Pg.Q6_
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
p pg, _ C, -- 44-(g _ _ _ _ _ _ _ _ _. _ _ _ _ _ _ _ _ _ _ _ _ _
GL5_Ce15sact_L_Ac=Lk_-______-__
* Ent;r Alpha Code From Appropriate List "Pimnn a2fiiR_en08 sno cdhorrreTPEP gra3rDWn0 Grnam 9Dcmo _dh n_nt cxxcod =91ncatad en=cac
 
I Pag 7 2 Of 3 i
CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW j
TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
l DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
4
- - - - - ~ ~ - - - - - - - - - - - - - - - - - - - - - - - - ~ -
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
-- (Use YY-MM.DD Format)
)
Date deficiency occurred:
Tuse N if WRC,(Use YY-MM-DD Fonnat)
Date NRC learned of deficiency:
I L if Licensee, A if A11eger, 0 if Other)
Who first " discovered" deficiency:*
i If other, enter source here:
i Number of known similar deficiencies:
-------------------------------l s
REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
I l
- - - - - - - - - - - - - - ~- - - - - - - - - - - - - - - - -
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency i
This specific deficiency considered alone:*
When considered with other known deficiencies:*
I Supporting information or basis:
j i
CORRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief susmary of specific corrective actions.
((((~(([~(((((([~((((((((((((((
ifknown.)
l Broad QA/QC actions:
(Actions to identify potential similar deficiencies t
due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.).
 
Paga 3 of 3 CPSES CONTENTION 5 DATA SHEET.
l
_ _ _ _ _ _ _ - - _ _ _ _ - - _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ i ADDITIONAL COMENTS THAT YOU MAY HAVE:
i (Should ou wish to provide any additional information.
comment, viewpoint, opinion, or other matter that you feel the Contention 5 Panel should consider in making their findings, please use this page to do so.) - - _ _ - - _ - - _ - - _ _ - - - - _ _ _ _ _ _ _ _ _ _ _ _ _
1
_ - _ _ _ - - _ _ _ _ _ _ _ _ _ _ - - _ _ _ _ - _ _ _ _ _ _ _ I l.
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- - m _ _ _ _ _ _ - _ _ _ _ _ - _ _ _ _ _
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g _ m m m m m m - _ _ m - _ _ _ _ _ _ - _ m _ _ _ _ M _ _ - _
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ll+ V 18 Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET i
i ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
I I
1 TRACKING NO: (For IE HQ Use) l YOUR NAME: (Last Name First)
E_D Fed.A _V Et_ _C GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
A SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
* l If not on list, enter area here:
b_ _L 4 EP B-G E d4FS T_ c V 5 J.L d (.a) _ _ _ _ _ _ _ _ _ _
ACCIDENT PREVENTION / MITIGATION SYSTEM:
* g 3-M G.,
If not on list, enter system here:
d Q _ M FG-L E.f C _ S S 6 76M_ _ _ _ _ _ _ _ _ _ _ _ _
SPECIFIC COMP 0NENT OR ACTIVITY:
* O yp E.
If not on list, enter activity here:
u y A (L I, gg g,.L 6go_.g,1!IT1M 4_ 2 _C_ R-ES& O_ _.
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or 8) b I
PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
Egg _ _
l If not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
If not on list, enter nature here:
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
OQL REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR l
If not on list, enter type here:
l Sire of sample observed / examined during your review:
O pl Q Estimated total population avail, during your review:
Randemness of sample:(Enter R if random, B if biased) R_t ci,o p
l If biased, enter basis here:
l REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
3.[ $ _ Cp gif p gj_ l {_ _ AC - 18_ _ _ _ _ _ _ _ _
j l
'* Enter Alpha Code From Appropriate List 4
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Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i
TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
i DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief sumary of deficiency:
- - - - - - - - - - - - ~ ' - - - - - - - - - - - - - - - - - - -
(Use a separate page 2 for each deficiency) 4 l
Specific location of the deficiency:
1 4
Use YY-m-DO Fomat Date deficiency occurred:
Use YY-M-DD Fomat Date NRC learned of deficiency:
Who first " discovered" deficiency:*
~ Tuse N if WRE, t if ticensee, A if Aiieger, 0 if other) i If other, enter source here:
Number of known similar deficiencies:
[ [ [ [ - - - - - - - - - - - - - - - - - ~ '- - - - - - - - -
j s
REGULATORY OR OTHER REQUIREMENT /Co m ITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable) l Other requirement or commitment:
EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
i Supporting information or basis:
i f
CORRECTIVE ACTIONS TAKEN OR PLA MED:
- (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief susmary of specific corrective actions.
((((((_~[_~(((((((((([_,((((((_,(([
if known.)
i j
Broad QA/QC actions:
(Actions to identify potential similar deficiencies j,
due to QA/QC causes, and, to prevent recurrence j
of similar deficiencies in the future.)
s 1..
 
Page 3 cf 3 CPSES CONTENTION 5 DATA SHEET.
1 1
ADDITIONAL COBOIENTS THAT YOU MAY HAVE:
(Should you wish to provide any additional information. - - _ _ - - _ - - - _ _ _ _ _ _ _ _ _ _ _ _ _ - _ - _ _ _ _ _.
comment. viewpointe opinion or other matter that e
you feel the Contention 5 Panel should consider in making their findings please use this page to do so.)
i j
_ _ _ = _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
)
i a
t_________
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l 4
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- _ _ _ - _ ___ _ _ _ _ _ _ _ _ m _ - _ _ _ m _ _ _ _ - _ _
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_ _ - - - - _ _ _ _ _ _ _ _ _ _ _ = _ _ _ ______-___
m m m m m m m _ _ _ _ - _ _ - _ _ _
W m m m m m m m m m e m - _ _ - _ _ _ - _ _ __-____=__
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Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (For IE HQ Use)
YOUR NAME: (Last Name First)
'@QjLL.Ed_E______
~
GROUP OR ORGANIZATION:
S______________________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
[
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
$C__
TOPICAL AREA:
* If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
QTME If not on list, enter system here:
G o ts) I A 1 S S E d I _ L5 0 1 L p i g g _ _ _ _ _ _ _ _ _ _ _
SPECIFIC COMPONENT OR ACTIVITY:
* DJQR If not on list, enter activity here:
S&Sgg&T_EQQ8___________________
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1, 2 or B) 1
. PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
$8__
If not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
6 If not on list, enter nature here:
SCOPE OF YDUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
0024 i
REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*
If not on list, enter type here:
f5 5 R B _ T L C If E I 6 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Size of sample observed / examined during your review:
Q E(, $
Esthnated total population avail, during your review:
Randomness of sample:(Enter R if random, B if biased) Qt 98 6
If biased, enter basis here:
H.L.L _ Q E _ E 2 V E. _ E 6 Q _10 L -.& '1. 61. 9 9 L _ _ _
REFERENCE DOCUMENTS THAT DESCRIBE YOUR' FINDINGS:
pp g _ C - i Ge fp _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
c Ls _C a reg a cy _1_ AC L 9_ _ _ _ _ - _ _ _ _ _
'O Enter Alpha Code From Appropriate List "Please print using one character per underlined
* space.
Please do not exceed allocated spaces.
 
~
Page' 2 cf 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
Q QQ-]
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief sumary of deficiency:
O d 401 & Q(2_-L E ED_ Yle TE S _ $ D D E O _I O _ C Q 8 (Use a separate page 2 for each deficiency)
G.g.gI E_yrL I eoVI _ 9C_& E 2g.4y6k ____ __
Specific location of the deficiency:
Odj.T_1_geSEf4]T_________________
Date deficiency occurred:
1 5 - G 1 - 1 7 (Use YY-MM-DD Format)
Date NRC learned of deficiency:
-) 9 - p 4-- p $ (Use YY-MM-DD Format)
Who first " discovered" deficiency:*
O (Use N f f NRC, L if Licensee, A if A11eger, 0 if Other)
If other, enter source here:
E G 2. I _ u/ E (_2.Id _5 T A C - 1 G W da 8 BM _ _ _ _ _ _ _
Number of known similar deficiencies:
oQOO REGULAIORY OR OTHER REQUIREMENT /COMITMENT N0'T MET:
Applicable 10 CFR 50 Appendix B Criterion:
AI A (Use arabic-01 thru 18. Use NA if not applicable)
Other requirement or commitment:
C.C.P_ J Q _ P b g Mg. gpf) _ f.1 1 Q, @, 6_ _ _ _ _ _
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
- - - - - - - - - - - - - - - - - - - - - - - - "'~~ ~ ~ - - -
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
L When considered with other known deficiencies:*
1_
Supporting information or basis:
A D D L T L e d _ a F _9/d T BR _ D 10_ uGT _ /1-DV E&
ca n esx6_?soaucwo_____Y_oE_IB9_
6 FLY _ AE FEC T_ I RE _ GQ & L I T CORRECTIVE ACTIONS TAKEN OR PLANNED:
g(UseYifYes,NifNo,UifUnknown/ Uncertain)
Specific actions to correct deficiency:
(Brief sumary of specific corrective actions,
- [ - - - [ [ [ ~ ~ [ [ [ [ _- [ [ [ - [ [ - [ [ [ [ [ _- - [ _-
if known.)
l Broad QA/QC actions:
}l0d6__,_,________________________
(Actions to identify potential similar deficiencies d'ue to QA/QC causes, and, to prevent recurrence
~
of similar deficiencies in the future.),
--- e a t <..-
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~
i AC_ ZO to CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (ForIEHQUse)
YOUR NAME: (Last Name First) p [} } [.[ @ 6 _ g _ _ _ _ _ _
GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
G C._ _
If not on list, enter area here:
ACCIDENT PREVENTION /MITIGATI0N SYSTEM:
07 %
If not on list, enter system here:
I V,g 8 L Q Ef_ $.tird g g & T g g _ S L g r _ _ _ _ _ _ _ _ _
g SPECIFIC COMPONENT OR ACTIVITY:
QT Q 9.
If not on list, enter activity here:
g g _ g g g gj, f:14. _ C o y g g g)pgIf AG -[ Ji ]_ T y, _
CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or 8) 1 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
gg__
If.not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
g j
If not on list, enter nature here:
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-NRS NOT INCL. DOCUMENTATION:
QqQ$
REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*.968_
If not on list, enter type here:
Size of sample observed / examined during your review:
OO Estimated total population avati. during your resiew: p1 cp Randomness of sample:(Enter R if random B if biased) g If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C[ f _ C,g I gG p og _.1_ _ A C : 2. 0_ _ _ _ _ _ _ _ _ _
l
'o Ecter Alpha Code From Appropriate List CCPlease print using one character per underlined space.
Please do not exceed allocated spaces.
 
1 i
Page *2 ef 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INF0lMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i
TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
)
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
i Brief summary of deficiency:
--~~~~~~-----------------~~----
1 (Use a separate page 2 for each deficiency) q j
]
Specific location of the deficiency:
t i
e 1
i Date deficiency occurred:
_ _ (Use YY-MM-DD Fonnat)
[TuseNifHRE,(UseYY-MM-DDFormat)
Date NRC learned of deficiency:
L if Licensee, A if Alleger, O if Other)
~ Who first " discovered" deficiency:*
If other, enter source here:
i Number of known sfallar deficiencies:
s t
4 REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET:
. Applicable 10 CFR 50 Appendix 8 Criterion:
(Use arabic 01 thru 18. Use NA if not applicable) l Other requirement or connitment:
i j
EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION:
j Your opinion of the degree of seriousness of deficiency l
- This specific deficiency considered alone:*
When considered with other known deficiencies:*
i i
Supporting inferination or basis:
i
\\
i i
CORRECTIVE ACTIONS TAKEN OR PLANNED:
_ (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
j (Brief summary of specific corrective actions, If known.)
i u
l Broad QA/QC actions:
J (Actions to identify potential similar deficiencies
(((([ ((((((((((((((((((((_(((([
l due to Q4/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
,g______________________________
 
l Page 3 cf 3 CPSES CONTENTION 5 DATA SHEET.
4.
AD01TIONAL CO M NTS THAT YOU MAY HAVE:
i (Should you wish to provide any additional information.
i comment, viewpointe opinion, or other matter that you feel the Contention 5 Panel should consider in i
i making their findings, please use this page to do so.)
l i,
4,
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ __________t f
l i
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- _ _ - - _ _ _ _ - _ _ _ _ _ - - _ _ - _ _ ___=-____
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_ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ - - _ _ _ _ _____=_--
f l
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4 1
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J Ace 2.1 2<
Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING N0: (ForIEHQUse)
YOUR NAME: (Last Name First)
PM [ M 6_g______
GROUP OR ORGANIZATION:
3______________________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
l PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* Q~~
SUBJECT OF YOUR REVIEW:
TOPICAL AREA: *
.S C, l
If not on list, enter area here:
((((___________________________
OT&g, ACCIDENT PREVENTION / MITIGATION SYSTEM:
If not on list, enter system here:
C,o g If _[ N MgGJT _13 L. Qg _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
l SPECIFIC COMP 0NENT OR ACTIVITY:
* O T i} g.
If not on list, enter activity here:
Cpg e-M gyp 7_W&L.g______________
~
l CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1, 2 or B) 1 l
PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* Sg__
If not on list, enter contractor here:
i j
NATURE (TYPE) 0F YOUR REVIEW:
* If not on list, enter nature here:
i SCOPE OF YOUR REVIEW:
l EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
aQLQ REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*
If not on list, enter type here:
T33][Il_f_lG.jsg,[6__________________
Size of sample observed /exa' mined during your review:
l Estiinated total population avail. during your review:
Randomness of sample:(Enter R ff random, 8 if biased) g If biased, enter basis here:
C, b
_C,a r 4 o &y. _ L _ d-R Z-1_ _ _ _ _ _ _ _ _ _ _
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
j j
j o Exter Alpha Code From Appropriate List ocP1:ase orint usino one character per underifned snace.
P1pato an nnt.re..d a11ncated enac.c
 
Pag? 2 of 3 CPSES CONTENTION 5 DATA SHEET i
SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief s:sunary of deficiency:
'- - - ~ ~ ~ - - - - - - ~ ~ - '~ ~ - - - - - - - - - - ~ ~ '- -
(Use a separate page 2 for each deficiency) l Specific location of the deficiency:
q
- - (Use YY-MM.DD Format)
Date deficiency occurred:
:TuseN'ifNRf,(UseYY-MM-DDFormat)
Date NRC learned of deficiency:
L if Licensee, A if A11eger, 0 if Other)
' Who first " discovered" deficiency:*
If other, enter source here:
i Number of known similar deficiencies:
(([---------'-----------------'~~
s REGULATORYOROTHERREQUIREMENTICOMMITMENTNOTMET:
Applicable 10 CFR 50 Appendix 8 Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable) l Other requirement or consultment:
- - - - - - - - - - - - - - - - '~ ~ ~ ~ ~ - - - - - - '- - - -
EFFECT ON A8ILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency
- This specific deficiency considered alone:*
When considered with other known deficiencies:*
Supporting information or basis:
CORRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief sununary of specific corrective actions.
((((((((((((((_--(((((((((([__-((
ifknown.)
Broad QA/QC actions:
(Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of siellar deficiencies in the future.)
 
~
~
~
Page 3 ef 3 CPSES CONTENTION 5 DATA SHEET.
ADOITIONAL COPMENTS THAT YOU MAY HAVE:
- - - - M - M - - M m - M - - m - - - _ - _ _ _ m _ _ _ _ _ _
(Should you wish to provide any additional information.
_ _ _ _ _ M _ _ _ _ _ _ _ _ M _ _ _ _ _ _ _ _ _ _ W _ _ _ _ _
- - - - - M - - - - - - - - - - - - - M - M - - - - - m - - -
commente viewpointe opinion, or other matter that you feel the contention 5 Peel should consider in
- - - - - - - - - - - - - - - - - - - m - - - - - - - - - - -
making their findings. please use this page to do so.) _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ m M _ _ _ _ _ _ _ _ _ _ _ _
- - - - W = m - M M - - - M - M - - - - M - - -. M _....
M M M M M M M M M M M M M M M M M m e M m m m m m M e m e m e e
M M M M M M M M M M M M M - M M M m m m 6 M m m m m m m m m e G
M m M W M M M M M M M m m m m m m m m m m M m m m m m m m m e M
M M M M M M M M M M M M M m m m m m m m e m m m w m m m m e M - M - - - - - - - = M - - - M - - - m - - - - - - - m - M e M m m m M m m m M M m e M e m e m - M e m m m m W M m e m e m I
1 W
W M M M M M M M M M M M M M M
W W m m m m m m m m W M m m m m M M M
M M M M M M 6 m M M M e m m m m m m m m m m m m m m m m M M W
W m M W W
W M M M M M e m h m m m m m m m m m m m m m e M m m m m 6 m m - M M M
M m m m m m m m m m m m M e m w m m e
9
- - M M - M - M
- - - - M m - m - - m m - - - -. m m - - m m
M M
M m
M M M M M M M M M M M
M M m m m m M m m m m m m m m m W W W
M M
M M M M M M
M M
m m m W
m W
m m m m m m m m m m m m W m 6
M M h W M M M M
M M
M m m m m m m m W
m M M M m m m m W
9 m m m m m m m M M e m M
M m m m m m m m m m m m m m m m m m m M m m m m m m W W W
W m
6 M
m m m m m m m m m m m m m m m m
M M W W
M M M M M M M M W W W
W m m m e m W m m m m m m m M M M
m m M m m m W M
M M W
M m m m m m m m m m M m m m m M
M M
m m M m M M
W m M M M M
M M
W W
W M
m W M M M M M M M M M
M M M M
f' O
m m -
M m m M m m m m m m m m m m m m m m m M m m m m m m m e m m m m m m m M M M M M W W W
W W
M M
6 M M M M
M M M M M M M m m m m m m m m m m m m m m m m m m m m m m m m M M M M M M M
g g m m m m g e m m M M M M M M M M
M M M M M M
M M e
g g g m m m m m M M M
M M M M M M M M M M M M M
M M M m m m m m m m m m m m m m m m m m M W
W W W W W W M M M M M M e
9 m m. m m. m - m m. - - - - - - - - - - - M - - = = m - - -
p 9
l 9
1 o
 
hC.-QO
....e
~
Pa' 21 of 3 g
CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (ForIEHQUse) 66 U gg._C_____
[
YOUR NAME: (Last Name First)
GROUP OR ORGANIZATION:
S_____________________________,
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
4 PRINCIPAL CrNTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
* s If not on list, enter area here:
g gri d PpR.c Fatf=6'J_ G U TI.I. U.6_ _ _ _ _ _ _ _ _ c 7
O _r1{ g ACCIDENT PREVENTION / MITIGATION SYSTEM:
* If not on list, enter system here:
M C? _G E FG 1 E lG _6 Y. S 'Igir ei_ _ _ _ _ _ _ _ _ _ _ _ e SPECIFIC COMP 0NENT OR ACTIVITY:
* qT(4 If not on list, enter activity here:
~
(p. $ O M IdOA L 2 ED_ S 2 TI16!6_ Gt E _ E.f6 M2._ q 1
CPSES UNIT IKLUDED IN YOUR REVIEW: (Enter 1, 2 or 8) 13 3g__
PRIKIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* If not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
If not on list, enter nature here:
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS. NOT IKL. DOCUMENTATION:
aOtQ REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,q R If not on list, enter type here:
_,,,__________'__________________g Size of sample observed / examined during your review:
a 93 D Eitimated total population avail. during your review: pj5p Randemness of sample:(Enter R if random, 8 if biased) g If biased, enter basis here:
C L'.2_ C a I tF4 a 4d _ i c.2_ _ 3 C.4 o _
]
hk hh REFEREEE 00CtMENTS THAT DESCRIBE YOUR FINDINGS:
1 i
______________________________q j
_____,.,._______________________a j
~
l
'* Enter Alpha Code From Appropriate List
**Please print usino one character ner under1tned snace.
P1.ac. da nat ave..d =n ne=+.d ea=c.e
 
m Page 2 of 3 CPSES CONTENTION 5 DATA SHEET 4
i SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
- ~ ~ - " " - ~ - ' - - - - - - - - - - - - - - - - - - - - - ' - - - -
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
i
~ ~ (Use YY-M-DD Format)
. Date deficiency occurred:
[ Tuse N if NRf,(Use YY-MM-DD Fomat)
Date NRC learned of deficiency:
LifLicensee,AifAlleger,0ifOther)
' Who first " discovered" deficiency:*
If other, enter source here:
Number of known siellar deficiencies:
[ [ [ [ - ~ - - -- - - - - - - - - - - - - - - - - - ~ - - - ~
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix 8 Criterion:
_ _ (Use ars'oic 01 thru 18. UseNAifnotapplicable)
Other requirement or commitment:
- - - - ~ ~ ~ - - " " " " ' ~ ~ ~ ~ ~ ~ - - ' - - - - - - - - - - - ~ ~ -
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
\\
Supporting infomation or basis:
i
[ _(Use Y if Yes, N if No, U if Unknown / Uncertain)
CORRECTIVE ACTIONS TAKEN OR PLANNED:
Specific actions to correct deficiency:
j (Brief susmary of specific corrective actions, If known.)
l Broad QA/QC actions:
-----~~'----~~~------------~--~~
(Actions to identify potential similar deficiencies due to Q4/QC causes, and, to prevent recurrence
~~~~~~~~~~-------------~~~~~~~~~
of similar deficiencies in the future.)
i i
a.,
 
==
I e.e...o.-
G
~
~
Page'3 ef 3 CPSES COIITENTION 5 DATA SHEET.
A001TIONAL CopeqENTS THAT YOU MAY HAVE:
_ _ _ em - _
.m m _ _ _
e_
.m
_ em _ _
_ en _ _ _ _
_ _ _ _ _ _ m.m
.a
_ _ _ _ _ _ _ e (Should ou wish to provide any additional information, _ _ _ _ _ _ _ _ _
e.
_ _ _ _ _ _ _ _ _ e comment, viewpoint. opinion, or other matter that you feel the contention 5 Panel should consider in
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ em _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
making their findings, please use this page to do so.)
_ _ _ _ en _ _ e
.m
_m m.
_ e m eum suD m 6 m W M em W em Se sum sis 459 SED m engD eum em me eng m gun m m e e e m en
_ eum m m em m m W _ m ese em eum m man m cum m dem unum m eum m emut am gun m eum em e eum Sum em m em 6 eum M M M M M m elm 6 em emuD m em em enn asum eum m eum m cum ese em eum eium eum e
Gum eHD eHD WID W M We 6 M WEB eum em ele eum M eHD eEED M eggy 93 ggy 3g3 em eg m ege ggG eHD eW GG WEm eHD 6 eEm e9 _ W M GW M EuMD e9 h 3 13 33 gm egg g13 gg gggy guy gg ggy ggg m gggp ggg m gig gMD em W W Eum eup uW W eD MWD WID em eum eBS sus em m em que aus eum emp em e e m eum amm eum _ emp euD m m
 
== een me emD em eum em em - umD _ - em amm um - -. -. em eum amp em me em.
eem===== = een 1
- - - - em em - -
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l Pagi1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
j l
REFERENCE INFORMATION:
i i
TRACKING NO: (ForIEHQUse)
YOUR NAME: (Last Name First) 7)@}Ed________
j s______________________________;
GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
j 1
i g,
[
j PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
pfN j
TOPICAL AREA:
* i j
If not on list, enter area here:
l ACCIDENT PREVENTION / MITIGATION SYSTEM:
Q f }} R, If not on list, enter system here:
C.R A n' - _ _I_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ i
]
SPECIFIC COMPONENT OR ACTIVITY:
* aygg
]
If not on list, enter activity here:
C,o g T &E L _ ECP f e9_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
j CPSES UNIT IKLUDED IN YOUR REVIEW: (Enter'1, 2 or 8)
B i
PRIKIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* 3R__
j If not og list, enter contractor here:
g j
NATURE (TYPE) 0F YOUR REVIEW:
j If not on list, enter nature here:
~
2 SCOPE OF Y00R REVIEW:
i EFFORT EXPENDED IN MAN-HRS NOT IE L. DOCUMENTATION:
00gO REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* j{o C j
i j
If not on list, enter type here:
_______________________________j l
Size of sanple observed / examined during your review:
pplQ j
Estimated total population avail. during your review: oQLQ i
i Randomness of sample:(Enter R if random. 8 if biased) 3 l
If biased, enter basis here:
6 L L,gf,g I J Q f _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ l I
REFEREE E DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C./ f. _(_',a 7 E 4 D E V _ l d -
_ A E. I 7 - - _ _ _ _ _ _ t j
'
* Enter Alpha Code From Appropriate List
**Please print using one character per underlined space.
Pleata do not avread =11ncated en=cae i
 
Pag 3'2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
OQQJ DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief sumary of deficiency:
G C_.DI D_ #D T _ 4 BSu 8.E_ T&A _T_ AE B L 1 C A_a (Use a separate page 2 for each deficiency)
.L.3_ pg.O f L fr 12 615 _ e 2: _ 8FG W L 6.T O &Y _ 60 L
.D S _ J :. E.9 _ w f 2 E ' E U L t-1 8 5 T _ - - _ - - - - -
Specific location of the deficiency:
C o d T & O G _ S Q e M_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
- - (Use YY-MM-DD Fonnat)
Date deficiency occurred:
_ TUse N if HRE,(Use YY-MM-DD Format)
Date NRC learned of deficiency:
L if Licensee, A if A11eger, O if Other)
Who first " discovered" deficiency:*
If other, enter source here:
g Number of known similar deficiencies:
-_-[~------'~~~'----------'-------
REGULATORY OR OTHER REQUIREMENT / COP #tITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
p8(Usearabic01thru18. Use NA if not applicable)
Other requirement or consnitment:
p $ g g _ $ p p y _ 3.3,7 L 2, $ _ _ _ _ _ _ _ _ _ _ _ _ _
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
g Supporting information or basis:
Tgg _ C.g ggg_p g_ f_p p_m_ g,g 31.I d.h_ dfM _1/ C?
I_ E.0d.C..T.1 Q d _ a D F.Qu&TM-1_ D u 21 dC S E l % B L G _ 6 M E U T _ _ _ _ _ _ _ _ _ _ _ _ _ _ _y _ d _
(
i l
CORRECTIVE ACTIONS TAKEN OR PLANNED:
(Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
g g g_ P M F _ 3 _ m E _ 3 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
(Brief sumary of specific corrective actions, ifknown.)
Broad QA/QC actions:
g p g 6 _ _,_, _ _ _ _ _. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 1 (Actions to identify potential similar deficiencies l
due to QA/QC causes, and, to prevent recurrence of siellar deficiencies in the future.)
e nn s r s nu n, enuorure e s e.... --..
a
~s U*-
 
Pag 2 3 ef 3 CPSES CONTENTION 5 DATA SHEET.
ADDITIONAL COMMENTS THAT YOU MAY HAVE:
1 p c.t d C.1 P A L _ C o d IE d1 1.Q.d _ 5 _ 4 s.e a _ L
_ D PSl4 0_ Ca M 1 e a u _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
(Should you wish to provide any additional information,
-----------~----~~------------
comment, viewpoint, opinion, or other matter that
-~-----~-----------------~~~---
you feel the Contention 5 Panel should consider in making their findings, please use this page to do so.) Ca g ggcgig g _ f.c y t g g 4 J _~1_L)g"C_ sd & L L 26021D61______________________
LBS2 LIS_ Q E _ S elsel C _ A s b 63 S L S _ WS ca _ DW es_5 sib elc _1 T em5_14_ ca uIt o L_Be_ gat 15eY_Est_GutoE_luZ1_ad-EShe_ksGI_3x251 316____________
E_V A L.u a-Il a tJ _ s E.L 5141 c _ Dsr514 eJ_ A n e.e ACY_cueeuz
_eus2ees_rac_utsart Q _ F1Y 3V2E6 SD62F#DED_DESW6LL_?
1 % L O (,n_ d % 1 C.
_ e C GQ u 9 IS _ E o L _ P E'LT L s9T _ E CQ a t _ E 94 e 99 S 5_ _ _ _ _ _ _ _ - - _ _
25 E Eg1_ L M SI&Lb ED_91T B _ RF4_ q@i ilE55-d cddii5G 55_
tu
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kut c_LtL9________________________
BBEC3GIE:LB5DL33 Tisi:JE32IP3_-
' D s 0,9 e L Y _ VQ d Sere E3 4. &E l-a T EP_ G7.M.Q -
1T _ $ 2 E f 2 4I _5 3 6_ id _ L ad I&2 L _ EM _ E L C2% 921T _ D1 b _1s _2_ Lu ce6 s _ a s _ k S$____________________________
A s b % 3S LS _ r8 kT _ D %MO_ EQ ?SG 21e 4_2 R6 LE6 6_ d aT _ & PE L1C A BLE _ Ta _ GT B EE baI _ Z_ _ Ad D _ d a d 6EL S M J C _ s I gu ct 6
6 L E M n c. A d D _ C Q MP o MU _TS_19_ f E e h_T _.
9
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I Pagi 1 of 3 CPSES CONTENTION 5 OATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFEREKE INFORMATION:
TRACKING N0: (ForIEHQUse)
YOUR NAE: (Last Name First)
QMCC56_&______
GROUP OR ORGANIZATION:
6,______________________________l SPECIFIC INFORMATION RELATED TO THE SCOPE ANO DEPTH Of YOUR REVIEW:
6 PRIK IPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: *
$UBJECT OF YOUR REVIEW:
$G._ _
TOPICAL AREA:
* i If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
T&g If not on list, enter system here:
aET&_j#MgiiyT_fulLQLMg___________
SPECIFIC COMPONENT OR ACTIVITY:
* OIg g.
l If not on list, enter activity here:
g F& C, T Q E._N W 6 S E L _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
^
CPSES UNIT IKLUDED IN YOUR REVIEW: (Enter 1, 2 or 8)
J.
PRIKIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* 3g If not on list, enter contractor here:
__((___________________________
NATURE (TYPE) 0F YOUR REVIEW:
g' If not on list, enter nature here:
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-NRS, NOT IKL. DOCUMENTATION:
REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* o Q J.,Q If not on 11st, enter type here:
'(, ~ Q Z_ f.g tj g_ yJCfq_ ] pl -- 2,1 J. 'Z -g gj _ _ _ _ _
Stre of sample observed /emanined during your review:
g a o.j, Estimated total population avail. during your review: agpl Randomness of sample:(Enter R f f random B if biased)
If biased, enter basis here:
REFEREK E DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
g C,g. _ C,.le 5'a _ _ _ _ _ _ _ _ _ _ _
G 2 G_ Ch _T.IRh o fd _1. 3_ _ e G r R__ _ _ __ __ _ __ __ __ '
'
* Enter Alpha Code From Appropriate List
" Please print usino one character ner underlined snace.
Planea da ant.ve d miincat d enac.c
 
s Pag 2'2 cf 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
OQQ1 DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
Cr64-C E6_ ! N _ Ca M c._ BEiEd EA-Te _ SKA4TQ./E _
(Use a separate page 2 for each deficiency)
Y966atk_________________________
Specific location of the deficiency:
Re e.c,, y a g, _ j) ggg g,,._ g,G d C._ F _A-D_ _. _ _ _ _ _ _
Date deficiency occurred:
7 7 - p 3 - g.L (Use YY-M-DD Format Date NRC learned of deficiency:
3 3 - 30 NRC,(Use YY-M-DD Format OU Who first " discovered" deficiency:*
L.(Use N if L if Licensee, A if Alleger, 0 if Other)
If other, enter source here:
Number of known similar deficiencies:
3 d Q d - ~ ~ ~ ~ - - - '- - - - - - - - - '' - ~ - - - - - - -
s REGULATORY OR OTHER REQUIREMENT /Co mITMENT NOT MET:
Applicable 10 CFR 50 Appendix 8 Criterion:
,pf (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
~ ~ ~ - ~ - - - - - - ' - ~ - ~ - ~ - - - - - ~ ~ - - - - ' - ~ ~ -
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
L When considered with other known deficiencies:*
[,,,.
Supporting information or basis:
s 61 EG'Y _ o E _G J!r V G 'IU L25_.L 6_ M E f _ d bye LS 6 k l _ Ar.P.?5G1 tid _ S L _CG bCLS _ _ - _ -
CORRECTIVE ACTIONS TAKEN OR PLANNED:
g (Use Y if Yes, N if No, U f f Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief summary of specific corrective actions.
(((((((((((([_-((((((((_-((((((((
if known.)
3 road QA/QC actions:
(Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.).
a n,,,, n....
a.n.
r..
 
I I I I I I I I I I I l l I I I i 1 1 1 I I I I I I 1 1 1 1 I I i i i i l 1 I I I I I I I I I i 1 I i i i l i i 1 1 1 1 l l l l I 1I I i 1 1 1 1 I i i i i 1 1 1 1 1 I
.I I I i 1 1 1 1 I I I i l 1 I i 1 1 1 1 I I I I I I i i i 1 1 I I I i 1 1 1 1 1 I I I I I i i i 1 I I l I 'l 1 I I I I I I I I I I I I i 1 1 I i 1 1 I i l i i 1 1 I I I I i 1 1 l l l 1 1 1 1 1 1
: 1. 1 1 1 l I i 1 1 1 I I o
1 I i l l 1 I i 1 l l l l t i 1 1 I i 1 I i 1 1 I I I I I I I I
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g i i l I l i i 1 1 1 1 I I i 1 I i 1 1 1 1 1 1 I I I i 1 1 I i 1
)
g i l i i 1 I i 1 1 1 1 1 I i 1 1 I i 1 1 I I I I I I I i 1 1 I i 1 1 1 1 I I I I I I I i 1 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I I I I i 1 1 1 1 1 1 1 1 I I I I I I I I I I I I I I I I I I I I i 1 l l I I i 1 1 I I I I I I I I I i 1 I i i i 1 1 I I I I I I II I I i 1 1 I I I I I I I I I I I I I I I 1 1 1 I I I
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'I I I I I i 1 1 1 1 I I I I i 1 1 1 I I I I I i 1 1 1 I i 1 II i 1 I I i 1 1 1 1 1 1 1 1 1 1 1 i I I I I i i i i l I l i I I I I I I I I I I I I I I l i 1 1 1 I I i i l l l 1 1 1 1 I I I I I I I I I I I I I i 1 l I i 1 1 1 I I I I I I 'l i
I I I i i i i I i I i i i I I 1 i i I i l 1 1 1 1 1 1 1 1 I I I i 1 I i 1 1 1 1 I I I I I I l t 1 I I i i 1 1 I I I i 1 1 1 1 I I i 1 1 I l. l I I I I I
,8 I I I i 1 1 1 1 i 1 1 1 I I 1 1 I I I i 1 1 I I I I I I I I I I I i 1 1 1 1 I 1I I I I I I I I I I I I I I I I I II I I I I I i 1 I i 1 I l'
g g
i 1 1 I i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I i 1 1 I I I I I l-1 g
i l 1 1 i i l i I i 1 I i i 1 1 1 1 I I I I I I i 1 I i 1 I l1 I l i I I I i 1 1 I 1 1 1 I i 1 1 I I I' I i i i I i 1 1 1 1 1 I
,g I i i i I l '1 1 I I i 1 1 1 1 1 I I II I I I I I I I I l i I I c
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i I I I I I I I i 1 1 I i 1 1 1 1 I II I I I I I i 1 I I i 1 1 g
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CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING N0: (For IE HQ Use YOUR NAME: (Last Name First 6 5 (( @.5 7 j
GROUP OR ORGANIZATION:
6_____22_~_~_~___^_________________
~~
~
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
h PRINCIPALCONTENTION5AREARELAJEDTOYOURREVIEW:
SU8 JECT OF YOUR REVIEW:
d @_ _
TOPICAL AREA:
* If not on list, enter area here:
: QTdB, ACCIDENT PREVENTION / MITIGATION SYSTEM:
* If not on list, enter system here:
64 VW_ G8,SEE._ De.e _ 6E Lt=W.6Y _ _ _ _ _ _ a OTSg SPECIFIC COMP 0NENT OR ACTIVITY:
* If not on list, enter activity here:
3q pg_ g,,g,ggg,_ pe g _ S p g g y _ _ _ _ _ _
CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2or8)
S PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* gg__
If not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
If not on list, enter nature here:
FC4 /A.06_ etI D_ E.1 FLD _14/6 EEG Il e e/_ _ _
' SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
Q Q,12 REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* S R If not on list, enter type here:
p g. g g i p 6 6, _ _ _ _' _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _,
Stre of sample observed / examined during your review:
ppp9 Es'timated total population avail. during your review: ppgp Randomness of sample:(Enter R if random. 8 if biased) g If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C.26 Od 1 EE6 Bsd_12_ _ dC M _________
i s
'o Enter Alpha Code From Appropriate List
*'Please print usino one character ner underlined nace. piene da not.ve..a.iine.+.a en c.e
 
A Pag 2'2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YDUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
l Brief sumary of deficiency:
---~~----~~~~-------~-----~~~-
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
_______________________________l (Use YY-M-DO Format)
I Date deficiency occurred:
[TUseNifNRE,(UseYY-lW-DOFormat)
Date NRC learned of deficiency:
L if Licensee, A if A11eger, 0 if Other)
Who first " discovered" deficiency:*
If other, enter source here:
Number of known similar deficiencies:
((((-------~~~---~~------------
s REGULATORY OR OTHER REQUIREMENT /Co mITMENT NOT MET:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Applicable 10 CFR 50 Appendix B Criterton:
Other requirement or cousiitment:
_____,__________________________j
- - - - - - ~ ~ - - - - ~ ~ - - - - - - - - - - - - - ~ ~ - - -
EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
Supporting information or basis:
CORRECTIVE ACTIONS TAKEN OR PLANNED:
_ (Use Y if Yes N if ho, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief summary of specific corrective actions.
((((~(((([_~(([_-((((((_-(((((([__^
ifknown.)
Broad QA/QC actions:
(Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
*d I
a..
 
Pag 2 '3 of 3 CPSES CONTENTION 5 DATA SHEET.
A00!TIONAL C0pWENTS THAT YOU MAY HAVE:
m _ m e m _ _ m m _ _ m m _ _ _ m _ _ _ _ _ m m _ _ _ _ _ _ _
_ m _ _ _ _ M m _ _ m m m m _ m m m _ m m m _ m e m _ _ _ _ m (Should ou wish to provide any additional information e m - - - m m - m m - M m - - - - m m m m m m u m - m e e - m -
comunente vi inte opinion, or other matter that m m _ _ m - m m m - m m - m M M m - m m m m - - m m M m m M M you feel the contention 5 Panel should consider in making their findings please use this page to do so.) _ _ _ _ _ m m m _ m m m _ _ m _ m m _ _ m m m _ _ m _ _ _ _ _
e
- - - m e = - - m m - - m m m - m m m - - -.. m m m m _ _ m M m m m m = W W m m m m m m m m m m m m m m m m m m m m m m e m m m m m m M M m m m m m m m m m m m m m m m m m m m m m m e D
a e
m m m m m m m m m m - m e m - m m m m m m m m m m m m m m m m M W m M m M M M M m m m M M m m m m m m m m m m m m m m m m m
- m W M m m - m m - - - m m - - m - m m - - m m - m - m - - m m m m m m M m W m m m m m m m m m m m m m m m m m m m m m m e M M m m m m M M m m m m m m m m m m m m m m m m m m m m m m e M M m m m m m M M W m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M e m m m m m m m m m m m m m m m m m m m m m m m m m m 4
e m - g - m m--
- m - - m m m m m m - - - - m - - - - m m - - -
m m m m m m m m m m m m m m m m m m - m e m - m m m m - m m e m e m W M m m m m m m m m W M m m m m m m m m m m m m m m m m
- m - - m m - - m - m - - m - - - m m - m m m m m - m m m m m e
9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M m M m m W W M m m m m m m m m m m m m m m m m m e O
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m g
W W m m m _ m m m _ m e m - m m m - m m m - m - - m - m m - -
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M e e m m m m m e m m m m m m m m m W M
m m m m m m m m m m M M M m m m m m m m m m m m m m m m m m m m m m m m m W W e m " M W m e m e g e g g e m e m m m m m m m m m m m m m m m m m m m M
* 0
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Ac-4l Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (ForIEHQUse)
YOUR NAME: (Last Name First)
QQ@Mgj@g_C,_____
GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
l C.
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
DOBY TOPICAL AREA:
* If not on list, enter area here:
C TO R ACCIDENT PREVENTION / MITIGATION SYSTEM:
If not on list, enter system here:
p p _ s f F C_t E]. 4 _ p j 6 I E_M_ _ _ _ _ _ _ _ _ _ _ _ _
Q Tffg.
/
SPECIFIC COMPONENT OR ACTIVITY:
* If not on list, enter activity here:
p p _ g e E G.J. F i G _ 4e gfa g.ggyf _4f',T_f y / Tg _
e CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B)
B gg__
PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* If.not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
4 If not on list, enter nature here:
g,6G. O Le,D$ _ gd D_ Og off? grffb _ We B g_ _ _ _ _
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* % 2 -
If not on list, enter type here:
o oQ {Z.
Size of sample observed / examined during your review:
i Estimated total population avail. during your review:
@g o.
o Randomnes: of sample:(Enter R if random, B if biased)
If biased, enter basis here:
JR g(mMt_ad______________________
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
Q.[G _ C,d i T 6 0 # d 1 3.L A C r dl_ _ - _,- - -
G G _ L $ L T DS: 59 L L - - - - - - - - - - - - - -
_MgMD GUE=Lk99----------_---
M Ep p_ _($ 21 2. 9 3 fF_ _ _ _ _ _ _ _ _ _ _ _ _ _
* Enter Alpha Code From Appropriate List
)
**Please print using one character per underlined
* space.
Please do not exceed allocated spaces.
 
Page 2 of 3
_PC SES CONTENTION 5 DATA SHEET i
l SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
Q Q Q j, DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
1 Brief summary of deficiency:
],.MDER v A IE:_.L ti. e ec.21 a li,_,,e.e _ e e.1 (Use a separate page 2 for each deficiency) f a g.LH g D _ y G _ V p t2. L e y _ r & F _ S E d1.o V G-1 _ 2 E '
: 8. 2 L a.F.Q Kof _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - l Specific location of the deficiency:
351 WF@J _ C.Gd _Ta-f d #Ed T_ fl #D_ I'll 6'_ B IA2
&cedT_STZ2GTULGS-_-------------
Date deficiency occurred:
_ _ (Use YY-MM-DD Fomat)
Date NRC learned of deficiency:
-] - J 1 - 2,3 (Use YY-MM-DD Fomat)
.(Use N if NRC, L if Licensee, A if Alleger, 0 if Other)
Who first " discovered" deficiency:*
If other, enter source here:
Number of known similar deficiencies:
dDDD--------------------------
s REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET:
.. Applicable 10 CFR 50 Appendix B Criterion:
],(p(Use aratile 01 thru 18. Use NA if not applicable) pf AJP.,_
pg.I _
1j2 i zJ,,J____________
Other requirement or commi'tment:
~-
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
O When considered with other known deficiencies:*
Q Supporting information or basis:
FEF6FB.CE_fF 89T Q Ea def _ C 9 26 9., J-FEF G T _ S C L S ti L G 2_0.1M a gi c _ LEtP_ e.M S a*_ C hA.
L&&1681SI1CS_QE_T&W_C&I_L_ST&Vs Tutak_Du6Ld4_setsMLL_w2SMT_____
CORRECTIVE ACTIONS TAKEN OR PLANNED:
j(UseYifYes,NifNo,UifUnknown/Uacertain)
Specific actions to correct deficiency:
Ve8LE
_ S FL $ LH2 G _ 6 GE _ E E l ib I 5_ BM l>_ D (Brief summary of specific corrective actions, s7 FBal d6_ P Y da d11C _ E_85 8eAL S E_ C Bd&4.
.G 1 ?C-L'a XJ LS _ W1 Y B P2 C StrBL E_ e E 22 T if known.)
Q E e b e1. Bel _b_ e r d e'& -.D EB&.L S _ _ _ _ _ - _ _ _
Broad QA/QC actions:
gagg__,_,_____.___________________
(Actions to identify potential similar deficiencies 4
due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.),
14
&I In-a v 4 5 V A* '
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Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA 10 BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (ForIEHQUse)
YOUR NAME: (Last Name First) pMLtEd_g______
GROUP OR ORGANIZATION:
s,_ _ _ _ _ _,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _,,,_ _ _ _ _ _ _ _
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
i 7
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
SUBJECT OF YOUR REVIEW:
GC TOPICAL AREA:
* If not on list, enter area here:
--_[____._______________________
ACCIDENT PREVENTION / MITIGATION SYSTEM:
d y[}g If not on list, enter system here:
d Q _ S P_ g G.1 (:1.G _ 6 Y S"J E M _ _ _ _ _ _ _ _ _ _ _ _ _
SPECIFIC COMPONENT OR ACTIVITY:
* pyg-g If not on list, enter activity here:
gp_ 2p5 6.j,(=JG_G.O_ypgg gpy[gG IJ _t_ n _,
V CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or 8)
S i
68__
PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* If not on list, enter contractor here:
P NATURE (TYPE) 0F YOUR REVIEW:
If not on list, enter nature here:
SCOPE OF YDUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
QOQb REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*
If not on list, enter type here:
M 5 i gc.y.1 o d _ Q E _86I C !! _ E E 6 9T_ _1C.o.L E_
i Size of sample observed / examined during your review:
M~'
Estimated total population avail. during your review: }~~_-
Randomness of sample:(Enter R if random, 8 if biased) S j
If biased, enter basis here:
Aaq(agyJqd_____________________
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
c.]. I_ b 3 % 6 &M _ l-} _ _4 Q C-- 4-6_ _ _ _ _ _ _ _ ;
4 l
'* Enter Alpha Code From Appropriate List
*$Please print using one character per underlined space.
Please do not exceed allocated soaces.
 
Page*2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief sunnary of deficiency:
------~-~~~~~~-~~-----~~-----~~
(Use a separate page 2 for each deficiency) 1 Specific location of the deficiency:
Date deficiency occurred:
(Use YY-MM-DD Format)
:TUseNifNRE,(UseYY-MM-DDFormat)
Date NRC learned of deficiency:
L if Licensee, A if Alleger, 0 if Other)
Who first " discovered" deficiency:*
l If other, enter source here:
-------------------------~~~~~~
Number of known similar deficiencies:
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
~~-----------------------------
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency 1
!~
This s~pecific deficiency considered alone:*
When considered with other known deficiencies:*
Supporting information or basis:
CORRECTIVE ACTIONS TAKEN OR PLANNED:
~ (Use Y if Yes, N if No, U it Unknown / Uncertain)
Specific actions to correct deficiency:
(8rief summary of specific corrective actions.
[~((~(((((((((((([_-[_-((((((___-[
if known.)
Broad QA/QC actions:
(Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.).
 
Pag'e 3 cf 3 O
CPSES CONTENTION 5 DATA SHEET.
ADDITIONAL COMMENTS THAT YOU MAY HAVE:
-$ _ N Q _ po Q gg gg 7& I L e61_5 A MP_t-E_.WAs _
SEQ _6ECAVS6_3d_1gsesC21od_oe_I.
(Should you wish to provide any additional information, Ei_ gyg.g_pg gy_ m yges,_wM_EE8ee comment, viewpoint, opinion, or other matter that up _ y o g.g g o_ _c j g _ p g, o g gg _ _ _ _ _ - _ _
you feel the contention 5 Panel should consider in making their findings, please use this page to do so.)
______________________________q
______________________________d
______________________________q
_ _ _ _ _ M _ _ _ _ _ _ m _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ m _ _ _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _
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___________________W
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_ _ _ - _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ C
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_________C 9
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4 kC' N Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (ForIEHQUse)
YOUR NAME: (Last Name First) 2FIGC@d_g______
GROUP OR ORGANIZATION:
g______________________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
M__
TOPICAL AREA:
If not on list enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
T&g.
If not on list, enter system here:
.L g c ut.6-T 19(;q _ MIT g._ dtlI&L5ii_ h_TF-s/ CeI _ _
SPECIFIC COMPONENT OR ACTIVITY:
* QI&B
~
If not on list enter activity here:
el 2_5 61llrc,,L E:.l.C _ C. o Mfg h) E9 I / A_ I.L Y L'I Y _
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2 orb)
B PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* gg__
If.not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
6 If not on list, enter nature here:
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS NOT INCL. DOCUMENTATION:
ooLQ REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* Q a g _
If not on list, enter type here:
Size of sample observed / examined during your review:
Q G 5~_1 Estimated total population avail. during your review:.p_1 d_O Randomness of sample:(Enter R if random, B if biased) $
If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C l 6_ CA.TEi6 P E,d _ l. _ _ 6C.4-1_ _ _ _ _ _ _ _ _ _
Enter Alpha Code From Appropriate List 0
"Please print using one character per underlined space.
Please do not exceed allocated spaces.
 
l Pag 2 2 of 3 CPSES CONTENTION 5 DATA SHEET l
SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER F DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
-----------------------~
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
j (Use YY-MM-DD Format)
Date deficiency occurred:
[TUseNifNRE,(UseYY-MM-DDFormat)
Date NRC learned of deficiency:
L if Licensee, A if A11eger, 0 if Other)
Who first " discovered" deficiency:*
If other, enter source here:
Number of known similar deficiencies:
.((((~----------------------"'---
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
(Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
Supporting information or basis:
CORRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief sumary of specific dorrective actions,
[_(((((((((([~(((((((((((([_-(([
ifknown.)
Broad QA/QC actions:
(Actions to identify potential similar deficiencies
__________________________m____
due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
.e
 
Pag > 3 ef 3 e
CPSES CONTENTION 5 DATA SHEET.
ADDITIONAtm C0petENTS THAT YOU MAY HAVE:
M e.
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s-Pag) 2'of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFGRMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW l
1 TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
------~~----~~---~~----------~~
(Use a separate page 2 for each deficiency) l Specific location of the deficiency:
l Use YY-p#t-DO Fomat Date deficiency occurred:
Date NRC learned of deficiency:
Use YY-MM-DO Fomat Who first " discovered" deficiency:*
:TUseNifNRE,LifLicensee,AifAlleger,0ifOther) i l
If other, enter source here:
Number of known similar deficiencies:
[~((~-~~~~-~~~------~~---------
l s
i REGULATORY OR OTHER REQUIREMENT /Copti!TMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_ _ (Use arabic Ol'thru 18. Use NA if not applicable)
Other requirement or commitment:
i
~~~~---~------------------------
EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION:
I Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
~
When considered with other known deficiencies:*
Supporting infomation or basis:
i CORRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
i3rief summary of specific corrective actions.
((((~~((((((((((((((((((((((_-((
l ifknown.)
Broad QA/QC actions:
(Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence
{
of siellar deficiencies in the future.)
 
e s.-
Pagh 3 of 3 CPSES CONTENTION 5 DATA SHEET.
I ADDITIONAL ComENTS THAT YOU MAY HAVE:
1 (Should you wish to provide any additional information. - - - - - - - - - - - - _ _ _ - _ _ _ - - - - - - - - _ - - -
comunent. viewpoint opinion, or other matter that you feel the Contention 5 Panel should consider in making their findings please use this page to do so.) _ - - _ _ - - - - - _ - - - _ - - _ _ - - - - - - - - - _ - -
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- - g _ - - - - - - - - - _ _ - - - - - - - - _ _ _ - _ - _ _
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Aqc-4 Page I of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (For IE HQ Use)
YOUR NAME: (Last Name First) pgi n gQ _ g_ _ _ _ _ _
GROUP OR ORGANIZATION:
6_____________________________c SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
7 PRINCIPALCONTENTION5AREARELAJEDTOYOURREVIEW:
SU8 JECT OF YOUR REVIEW:
$C._ _
TOPICAL AREA:
* If not on list, enter area here:
______,_______________________q a
ACCIDENT PREVENTION / MITIGATION SYSTEM:
* Q T1.lrg.
1 If not on list, enter system here:
B E _ 5 P F_4 F J. G _ 5.Y S T Fo _ _ _ _ _ _ _ _ _ _ _ _ q SPECIFIC COMPONENT OR ACTIVITY:
* o y g g.
If not on list, enter activity here:
J}G f d4_ C
* 2- % _ _ _ _ _ _ _. _ _ _ _ c - _ _ L _ _
q CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1, 2 or B)
S PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* If not on list, enter contractor here:
p~@
Spgy_,_____________,________
NATURE (TYPE) 0F YOUR REVIEW:
* If not on list, enter nature here:
[ 8_Tgg y j, g.g_ yn g _ g g g g y,6_ _ _ _ _ _ _ _
~
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
qQQ6 REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* g g.q g, If not on list, enter type here:
I d f gg y Lg y _ W,[I t3, _ gg p L q M_ _ _ _ _ _ _ _ c Size of sample observed / examined during your review:
___Q Estimated total population avail. during your review: ___o Randomness of sample:(Enter R if random, 8 if biased)
If biased, enter basis here:
]
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
g [ f,_ C g I g g gd _ l o,_ 4 Q C - f _ _ _ _ _,_,_ _
______________________________a 1
i
'* Enter Alpha Code From Appropriate List i
**Please print usino one character per underlined space.
Plance do nnt eveeed =11ncated enarne
 
Paga 7 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i
TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
(Use a separate page 2 for each deficiency)
- - - - _ ~ ~ ~ ~ ~ ~ ~ - - - - - - - - ~ ~ - - - - ~ ~ - - - - - - -
Specific location of the deficiency:
--(UseYY-M-DDFormat)
Date deficiency occurred:
:TuseNifNRE,(UseYY-MN-DDFormat)
Date NRC learned of deficiency:
l Who first " discovered" deficiency:*
L if Licensee, A if A11eger, 0 if Other)
~
If other, enter source here:
Number of known similar deficiencies:
((((~~~~---------''-------------
4 s
REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix 8 Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
EFFECT ON ASILITY OF COMP 0NENT OR SYSTEM TO FUNCTION:
- - - - - - ' " - - - - - ~ ~ ~ - - - - ' - - - - - - - - - - - -
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
I Supporting information or basis:
CORRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
i i
(Brief sumnary of specific corrective actions.
[~((~(((((((((([~(((((((((([_-((
ifknown.)
Broad QA/QC actions:
(Actions to identify potential similar deficiencies
______,____________________c____
due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
k d _._____,._,_______________________
I
 
l Paga.3 of 3 CPSES CONTENTION 5 DATA SHEET.
mITIOEL ComENTS TET YOU MY MVE.
i (Should you wish to provide any additional information, i
comment. viewpoint opinion, or other matter that you feel the Contention 5 Panel should consider in makin their findings please use this page to do so.) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _
e N
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j Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
J REFERENCE INFORMATION:
4 TRACKING N0: (ForIEHQUse)
YOUR NAME: (Last Name First)
'F,}}_t L.L. EQ _ g._ _ _ _ _ _
GROUP OR ORGANIZATION:
5_____________________________c SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
6C.__
TOPICAL AREA:
* ________'______________________q If not on list, enter area here:
O Igg,2 Fg 1 E,l, G _ f y S fgM_ _ _ _ _ _ _ _ _ _ _
ACCIDENT PREVENTION / MITIGATION SYSTEM:
* If not on list, enter system here:
de_s(
pIl} g.
SPECIFIC COMP 0NENT OR ACTIVITY:
* If not on list, enter activity here:
SSI/g_c_13(e_.___________________q CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) i PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* j If not on list, enter contractor here:
p-Q_dvdy______________________g NATURE (TYPE) 0F YOUR REVIEW:
g If not on list, enter nature here:
______________________________5 SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* p D O (p
,_P g g c If not on list, enter type here:
i
__________________________c Size of sample observed / examined during your review:
[_-[Q Ettimated total population avail. during your review:
Q Randomness of sample:(Enter R if random, 8 if biased)
If biased, enter basis here:
______________________________s REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C Q _C gg gg o g,y _1 Q _. _ A.gC -- 6_ _ _ _ _ _ _ _
______________________________q
______________________________a
_____,y_______________________J
'* Enter Alpha Code From Appropriate List
**Please print usino one character per underlined space.
P1 pace do nnt erceed alineated enacac
 
?-
Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET l'
l SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUM8ER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief sunnary of deficiency:
(Use a separate page 2 for each deficiency)
- - - - - - - ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ - ' _ - ~ - - - - - - - - - - -
]
Specific location of the deficiency:
--(UseYY-E-DDFormat)
Date deficiency occurred:
TuseNifHRE,(UseYY-MM-DDFormat)LifLicensee,AifA11eg Date NRC learned of deficiency:
Who first " discovered" deficiency:'
If other, enter source here:
Number of known similar deficiencies:
[ [ [ [ - - - - - - - - - - - '- - - - - '- - - - - - - - - - -
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix 8 Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
EFFECT ON A81LITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
1 Supporting information or basis:
[_(UseYifYes,NifNo,UifUnknown/ Uncertain) l CORRECTIVE ACTIONS TAKEN OR PLANNED:
Specific actions to correct deficiency:
(8rief summary of specific corrective actions, ifknown.)
8 road QA/QC actions:
_2__
(Actions to identify potential similar deficiencies l
due to QA/QC causes, and, to prevent recurrence j
of similar deficiencies in the future.)
l o..
 
e.
..o i
Page'3 of 3 CPSES CONTENTION 5 DATA SHEET.
ADDITIONAL C0f0ENTS THAT YOU MAY HAVE:
e.
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_ _ _ _ _ e.m _ _
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you feel the contention 5 Panel should consider in making their findings, please use this page to do so.)
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A-QC- (o S.
l Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET l
ITEM TO BE CONSIDERED DATA TO BE ENTERED **
l j
REFERENCE INFORMATION:
TRACKING NO: (ForIEHQUse) i YOUR NAME: (Last Name First)
Pj-)(( @_g______
i GROUP OR ORGANIZATION:
s______________________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* i SUBJECT OF YOUR REVIEW:
SC TOPICAL AREA:
* If not on list, enter area here:
((((___________________________;
.p gilg.
ACCIDENT PREVENTION / MITIGATION SYSTEM:
* If not on list, enter system here:
C,gr 83 A.t g.) M.gI)T_ 6.p.L L.D.L Y _$_ _ _ _ _ _ _ _ _ _ _
0 7 1t g SPECIFIC COMP 0NENT OR ACTIVITY:
* If not on list, enter activity here:
BMg_347_______________________
CPSl;S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) 1 gg.__
PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* j If not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
g i
If not on list, enter nature here:
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* 0 Q Q G Q&g If not on list, enter type here:
b & r d,Q _ n q,f_g y $,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _,
Size of sample observed / examined during your review:
pho Estimated total population avail. during your review: o Randemness of sample:(Enter R if random, 8 if biased) ggpo If biased, enter basis here:
C 2 DC _ PI.-(a _101 -- E 3 2 5 - e 01_ _ _ _ _ _ _ _ _ _
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C16_OgIg40gg_1Q__$QC h_________:
]
'o Enter Alpha Code From Appropriate List a
"Please print usino one character ner underlined snace.
Please da nnt eve..d miincated enne.c
 
Paga 2'of 3 I
CPSES CONTENTION 5 DATA SHEET l
SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
~ ~ - - - ~ ~ ~ - - - - - ~ ~ ~ - - - - - - - - - ' ~ - - - - - -
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
l, Date deficiency occurred:
_ _ Use YY-M-DO Format Use YY-MM-DD Format Date NRC learned of deficiency:
Who first " discovered" deficiency:*
Tuse N if NRE, L if Licensee, A if Alleger, 0 if Other)
If other, enter source here:
Number of known similar deficiencies:
((((--------------------~~~~~---
s I
REGULATORY OR OTHER REQUIREMENT /COMITNENT NOT MET:
Applicable 10 CFR 50 Appendix 8 Criterion:
_ _ (Use arabic 01 thru 18. UseNAifnotapplicable) l l
Other requirement or comunitment:
i
- - - - - - - '- - - - - - - - - - - "" - - '- - -~ ~ ~ - - - - -
EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTI'JN:
i Your opinion of the degree of seriousness of deficiency l
This specific deficiency considered alone:*
When considered with other known deficiencies:*
Supporting information or basis:
I i
[_(UseYifYes,NifNo,UifUnknown/ Uncertain)
C0RRECTIVE ACTIONS TAKEN OR PLANNED:
l Specific actions to correct deficiency:
{Brief susunary of specific corrective actions, if knw n.)
j l
Broad QA/QC actions:
(Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
..i.
 
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AQC-8 Paga.1 cf 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
t TRACKING NO: (ForIEHQUse)
I YOUR NAME: (Last Name First) pyLC{@@
A GROUP OR ORGANIZATION:
5______'-(([_(([________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
7 SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
* 6 C._ _
If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
Q Jild l
If not on list, enter system here:
g o_ S E Fr-.L Fl G _ 5.'f 5 TEM _ _ _ _ _ _ _ _ _ _ _ - -
SPECIFIC COMPONENT OR ACTIVITY:
O _'TWfl.
/
If not on list, enter activity here:
S p _ S E F _c. f.[c j ?._. ( 0 LVl f d d F g T / g _Q T L Y L T 'f _
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B)
S t
PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* If.not on list, enter contractor here:
[ [ Q _- }} g g g _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
MATURE (TYPE) 0F YOUR REVIEW:
g If not on list, enter nature here:
i SCOPE'0F YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* 0.9 0 C3 i
,1,. e 6 B If not on.11st, enter type here:
Size of sample observed / examined during your review:
90.19 i
Estimated total population avail. during your review: g,__
3 i
Rand 6mness of sample:(Enter R if random, B if biased) 3 If biased, enter basis here:
At Liirte'ATtqc!_____________________
REFERENCE DOCUMENTS THAT DESCn!CE TC62 FINDINGS:
C. / 6_ C,g I g g g g.f _ L Q _ _ d SC r $ _ _ _ _ _ _ _ _ _
r
* Enter Alpha Code From Appropriate List
*$Please print using one character per underlined spa ec.
Please do not exceed allocated spaces.
 
i CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TCTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
l Brief susmary of deficiency:
- - - - '~ ~ ~ ~ ~ ~ - ~ ~ - - - - - - - - - - - - - - - - - -
1 (Use a separate page 2 for each deficiency)
Specific location of the deficiency:
Date deficiency occurred:
_ _ (Use YY-MM-DD Format)
(Use YY-MM-DD Format)
Date NRC learned of deficiency:
Who first " discovered" deficiency:*
_TuseNifNRE,LifLicensee,AifA11eger,0ifOther)
If other, enter source here:
~
Number of known similar deficiencies:
.[~_((~~------------------------~
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix 8 Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment
- - - - - - - - - - - - - - ~ ~ - - - ' - - - - - - - - - - - - -
EFFECT ON A8ILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
i Supporting infomation or basis:
3 CORRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief sumary of specific corrective actions.
[ _ _~ _- [ _ _~ _ _^ _ _ _^ _ _^ _ _^ _ _ _ _- [ _ _'~ _^
ifknown.)
i Broad QA/QC actions:
j (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
 
o Pag.2 3 of 3 CPSES CONTENTION 5 DATA SHEET.
ADDITIONAL COPMENTS THAT YOU MAY HAVE:
{ _6,g,f fgMg6L fd Ig.L_ P Q LP )f, g It og _ g g f
(St. auld you wish to provide any additional information, 8 0 T.c 8 V a-L L a8 W _ ud LU 65_ A _ Ew.v t.wW_ o p_ _AL L _.m g _ p p q o ggt _ I6 - _ - _ _ _ _ _ _ _ _ _
J commente viewpoint, opinion, or other matter that you feel the Contention 5 Panel should consider in making their findings please use this page to do so.)
e
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~
.-:;.L pec-n CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (ForIEHQUse)
YOUR NAME: (Last Name First)
PJff[--
9_ _ _ _L g D_- @;_ _ _ _ _ _
GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
J SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
* 6 C.
If not on list, enter area here:
_(([___________________________
ACCIDENT PREVENTION / MITIGATION SYSTEM:
o J14fL If not on list, enter system here:
D,p_3p g !Elc_$5y5yggi_____________
SPECIFIC COMPONENT OR ACTIVITY:
* O T tf R j
If not on list, enter activity here:
g a _ $ f MJ E LG. _4 a df ###_E_4T18GI L V !.IX _
CPSE;S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) 3 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
If.not on list, enter contractor here:
g_-Q~gudT_be____________________
NATURE (TYPE) 0F YOUR REVIEW:
d If not on list, enter nature here:
pgQCEDVE.66-____________________
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
,QoS REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*, &Oc If not on list, enter type here:
Size of sample observed / examined during your review:
Estimated total population avail. during your review: ___-
Randomness of sample:(Enter R if random, B if biased) g If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C./,6_Cgg4py_jQ__MCrd1________
'
* Enter Alpha Code From Appropriate List
**Please print using one character per underlined space.
Please do not exceed allocated spaces, l
 
l Pag 2 2 cf 3 CPSES CONTENTION 5 DATA SHEET l
l SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
i DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
l Brief sunnary of deficiency:-
(Use a separate page 2 for each deficiency)
- - - - ~ ~ ~ _ _- - - ~ - - _ - _ - - _ _- -
_- - ~ - - _ _ _-
Specific location of the deficiency:
---_____--___-_________________\\
---___-__-_____________________l Date deficiency occurred:
(Use YY-MM-DD Fonnat)
Date NRC learned of deficiency:
_ _ (Use YY-MM-DD Format)
Who first " discovered" deficiency:*
_ Tuse N if NRE. L if Licensee, A if A11eger, 0 if Other)
If other, enter source here:
Number of known sfullar deficiencies:
((~[~~-~-----~~~-----~-~~~~~---
s REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_ _ (Use aratile 01 thru 18. Use NA if not applicable)
Other requirement or connitment:
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
-------------~----~'---~--------
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
l When considered with other known deficiencies:*
[
Supporting information or basis:
CORRECTIVE ACTIONS TAKEN OR PLANNED:
~ (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief sunmary of specific corrective actions.
((~[~[~[~((~((((((((((((~_^(([_~[
ifknown.)
y i
Broad QA/QC actions:
1 (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.).
 
.* v. #
CPSES CONTENTION 5 DATA SHEET.
ADDITIONAL COPMENTS THAT YOU MAY HAVE:
$ _ MP_ DPG #d4FM ~7~L 6&M P G E _
(Should you wish to provide any additional infonnation. %BS? b f- _Q-Eh!? 6 L! T t Q. 61 To _ D L G E6BI1. e comment, viewpoint, opinion, or other matter that
_ W G fr _ L D tr 9.72 E.1 FC)_ l 6/
T4 F P6 E G BD F you feel the Contention 5 Panel should consider in
.E.G-_____-______----_--
making their findings. please use this page to do so.)
_ ----__._______________._-___.l
_e _.
-___l J
--______-________-_____-_J
___________----_____________,i
_ N
_ _ _ _ _ 2.'. _ _ _ - _ _ _ _ _ _ __ _ _ _._ _ _ _ _ _ _ _ _
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MCdb Pa'ge 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING N0: (ForIEHQUse)
YOUR NAME: (Last Name First)
F E _.L L L @l2 _ _E_ _ _ _ _ _
GROUP OR ORGANIZATION:
$_____________________________m SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: *
^
SUBJECT OF YOUR REVIEW:
GC-TOPICAL AREA:
* If not on list, enter area here:
- (([__________________________
TI{. g.
ACCIDENT PREVENTION / MITIGATION SYSTEM:
If not on list, enter system here:
p_gggy Wg.,gyffey____________
SPECIFIC COMPONENT OR ACTIVITY:
* D T O G-.
If not on list, enter activity here:
SV d I_ L. AB o E.GIe 41_ di!l 5 T_8e e d_ _ _ _ W CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1. 2 or B)
PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* If not on list, enter contractor here:
R[@2dudI_-____________________h NATURE (TYPE) 0F YOUR REVIEW:
If not on list, enter nature here:
pg,q q, g p q g.gi_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ j SCOPE OF YOUR REVIEW:
I EFFORT EXPENDED IN M4N-HRS. NOT INCL. DOCUMENTATIGN:
p pq 2.
REPPESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*.pg.gT, If not on list, enter type here:
.7,.n gg V. L g y_ g gg. $,ppp,g6_ _ _ _ _ _ _ _ _ _ _ y Size of sample observed / examined during your review:
___Q E'stimated total population avail. during your review: ___p Randomness of sample:(Enter R if random, 8 if biased)
If biased, enter basis here:
______________________________q REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C,] 6 _ C,g y g Q g d _ 1 0 _ _ g Q C - _4 ) _ _ _ _ _ _ _ y
______________________________q
______________________________p j
_____...,._______________________c
'' Enter Alpha Code From Appropriate List
** PIG 000 970GX) wo001D cng character ner underlined snace.
Pian =. da nat ave..d niincated enac.c
 
l Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET 1
SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
1 DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
]
Brief summary of deficiency:
(Use a separate page 2 for each deficiency)
- - - ' - - - - - - - ' ~ ' ' - - - ' _ - - - - ' - - - - - - - - ' - - - -
Specific location of the deficiency:
i Use YY-M-00 Fomat Date deficiency occurred:
Use YY-m-DO Fomat Date NRC learned of deficiency:
Who first " discovered" deficiency:*
: TUs N'if HRE, L if Licensee, A if A11eger, 0 if Other)
If other, enter source here:
Number of known similar deficiencies:
[-[----------------------------
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
- - - - - '' - - - - - - - ~~ ~ ~ ~ ~ '- - - - - - - - - - '" - -
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
1 When considered with other known deficiencies:*
i Supporting information or basis:
C0RRECTIVE ACTIONS TAKEN OR PLANNED:
_ (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief sunnary of specific corrective actions, if known.)
Broad QA/QC actions:
(Actions to identify potential similar deficiencies i
due to QA/QC causes, and, to prevent recurrence of siellar deficiencies in the future.)
. G,.,_,_ _._: _._ _,._._. _ _. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
 
m'.
Page' 3 of 3 CPSES CONTENTION 5 DATA SHEET.
AD0!TIONAL C0pWENTS THAT YOU MAY HAVE:
- _ _ _ m - - - - - - m _ _ - - - - m _ m _ - m m _ - - _ _ m
_ _ - _ M m _ - m m - m m _ m m m _ _ _ _ _ _ _ _ m _ - - = =
(Should ou wish to provide any additional infomation e comment e viewpointe opinion or other matter that
- - - - - - - - - - - - m - - - m - - m - - - - - - - - M - -
e
- - m m - - - - - - - m - - m m - m - - - - - - - m - - - m M you feel the contention 5 Panel should consider in making their findings please use this page to do so.)
e
- - m m - - - m - - m - - - m - - - - - - = m - - - - - - - -
- - - = - - - - m m - - - - - - - - -. m m m m - m m - - - -
e m - m m m - m - M - - - M M M - m - m - m - - m m m m - m -
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- m - - - - - - - - m m m m m - - m m m m m m m m - a-m m _
- - m - m - m - - - - - m m - m - m - - m m - - m - - - m - m m - - m - - - m - m m - m m m - - m m m m m m m m m m m m m e m m m - - m - m - m - m m - - m m m e - - m m - - - m - m m e m m m m m - - m - - M - - - m m - - - - m - m - - - m - - M -
- M - - - M - M - m m - - - - - - - - - - M - m - - m M - - -
m - m - - m m M - - - m - - - - - m m m m m m - m m m M M - m 9
9
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- m m - m m - m m - - - - - - m m - - - - - m - - - m - m m - i m m - - M - m m m - - - m m m m - - - - m m m - m - m m - m m
- m m m - - m m m m m m m m m e - - - - - - - m - m - m - - -
l e
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- - - - m m - - - - m m m m - - - m m m m - m m m - - - - - -
m m - - - m m m m - - - - - - m - m - m m - m - - - - - - m - l 1
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m - m - - - m m
-.m m m - - - m m m - m m - - m - - - m m - - I
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* M M
- - - m - - m m m - - - m - m - - m m W -
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- - - - - - m - - - m - - m - m m -
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_ _ _ _ _ _ _ _ _ _ - _ - m - - - m - - - m - m m - - = - - -
* 9
_ _ _ _ - - - - - m m - - m - m - - - m - - - - - - - - - - -
.l j
 
i A QG-9 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (ForIEHQUse)
YOUR NAME: (Last Name First)
G_ _ _q B W5 Y-1_ ~.T _ _ _ _
kab1(
GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
f SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
* G89C If not on list, enter area here:
,_____g____1____________________
ACCIDENT PREVENTION / MITIGATION SYSTEM:
QT @ P_
If not on list, enter system here:
d p _ 5 g _ECi tE l c. _ 515 I EM _ _ _ _ _ _ _ _ _ _ _ _ _
SPECIFIC COMPONENT OR ACTIVITY:
Q Id@
f If not on list, enter activity here:
g p _ $ f giic.1 1:-1 G _ c a at f>P d FM T./ 8 C I 1 M L 1 'l _
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2 orb)
PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* If.not on list, enter contractor here:
g_W_Qgijr_,_____________________
NATURE (TYPE) 0F YOUR REVIEW:
g If not on list, enter nature here:
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
p p,[ (g REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*, pag _
If not on list, enter type here:
t Size of sample observed / examined during your review:
O g p1 Estimated total population avail. during your review: qqq3 Ran'domness of sample:(Enter R if random, B if biased) S If biased, enter basis here:
6L,6ggfTigd_____________________
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
7_g _ gq - % E 39:p3________________
J_- S _ S 2 : S 4 !!
22r92________________
i CLG_C_AIE6a&Y_3__AQC 9__________
* Enter Alpha Code From Appropriate List
**Please print using one character per underlined space.
Please do not exceed allocated spaces.
 
.[
e Pag 7 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i
TOTAL NUMBER'0F DEFICIENCIES YOU REVIEWED:
O P2 2.
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
C. k P.Se'D_ 62 e E. _ OF.C-s&T _ TE6T6, _ N 9 MI _ $
(Use a separate page 2 for each deficiency) 9 6 2 FC.5 2 E5_ G iv. E d _ o G E 9_ 6 E Q. t _ M D_T EST6_ WE'f_E_41 V.E O _ W.i T tl _ 3 hl 5 W EES _ E &
oi1DFD_________________________
Specific location of the deficiency:
g p _ gg g G F1C. _ L o G &.T1 Q.cl _ _ _ _ _
l 3 1 - o 3 - 0 O ((Use YY-MM-Do Format)
Date deficiency occurred:
j c) p _4 - p O Use YY-MM-DD Format) 1 Date NRC learned of deficiency:
Who first " discovered" deficiency:*
A (Use N if NRC, L if Licensee, A if 611eger, 0 if Other)
If other, enter source here:
Number of known similar deficiencies:
((_^[-'~~'~~~~~---~~~~~~~~~~--~~''~-'"~~
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix 8 Criterion:
u & (Use arabic 01 thru 18. Use NA if not applicable) l Other requirement or conmiitment:
- - - - ~ - - ~ - - - - - - - - ' - ~ ' - - - - ~ ~ - ' ~ ~ ~ ~ ~ " - ' ~ - -
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Yotfr opinion of the degree of seriousness of deficiency 1
This specific deficiency considered alone:*
L When considered with other known deficiencies:*
1 l
Supporting information or basis:
y p g.1_ a E: _ id 6 E FCI e E _ d _ Q # UEfa Ile d _ #
1 AD_ BEEM _E EFY Lo uskV _ AuD 1I ED_ As D _ '
In _ s e _ a c cee t a skE _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
i CORRECTIVE ACTIONS TAKEN OR PLANNED:
})(lise Y If Yes. N if No, U if linknown/ Uncertain)
Specific actions to correct deficiency:
(Brief sussiary of specific corrective actions,
(((((((((((((((((((([_"((((((((~
1 ifknown.)
_ h_ _ _ __ L L _66_ a 65.46% EQ _ d 'l _
I Broad QA/QC actions:
p gg 3. C.1.
d
_ wA (Actions to identify potential similar deficiencies y g.7_ A A A C._ A G _ o V.W O6 L.L _ E E.G G,geaMar due to QA/QC causes, and, to prevent recurrence ic. _ g.g.g L W _ C.a y c,g6 t.194_ f & 2 G _ V al D EC J
of siellar deficiencies in the future.)
C 4 T _ d.,,, T g & 1 g _t y / Q u A.g.,_ _ P g.R.S.g & F E b -
..+
v., a........ u Q o g v 4f vp-u << u 1
1Annmnwarenwrwis tu ynv
 
a-
_CPSES CONTENTION 5 DATA SHEET.
ADDITIONAL COPMENTS THAT YOU MAY HAVE:
(Should you wish to provide any additional information,
- - m m m - - m m - - m e e m m m m e M m m m m M m _ _ _
= m m m 6 m e m = m - - m - m m M m = m m - - m m m m m comment, viewpoint, opinion, or other matter that e e = e m M M M m - m M e e m m = m - m m m e e e m = m you feel the Contention 5 Panel should consider in making their findings m m m m _ M m m m m _ _ W m - m m m m m m m m m m m -
please use this page to do so.)
e m m m m m m m m - m m e - _ m _ m m m m m m - - m m m m m m m m m = - m m m m m m m h m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m t
m m m m m m - m m m - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m - m m m F
D m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m M m m m m m m m m M m m - m m m m m m m m m m m O
m m m m m m m m m m - m m m m m m m m m 9
m m w m - mm m m m m m - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m
=
W W m m m m m m m m m m m m - m m m m m m m m m m m m m m m m m m m m m m W M m m m m m m - m m
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m - m m m m m m m - - m m m m m m m M = m M m M*m m M M = m m w m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m - m m m m m m m m m m e - m m m m m m mem m m m m m - m e m m m m M m M m m m m m m m m m m m m m m m m m m m m m m m m m m D
g m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m - m m m m m m m - - h m m m m m m m m m m m e.
m m m m m m m m m m m m m - m m m m m m m m m g g g g g m m m m m m m m m m m m m m m - - m m m m m m m M M g g g g
e m m m m m m m m m m m m m m m m m m m m m m e
a f
m m m m m m - - - m m m m m m m - = = m e m m m m m 9
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df 4QC.-)
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s.
CPSES CONTENTION 5 DATA BASE INPUT _ SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING N0: (ForIEHQUse)
YOUR NAME: (Last Name First)
L h 1 3 D _W fp K L _ T _ _ _ _
GROUP OR ORGANIZATION:
6______________________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
Q~
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
6C.__
TOPICAL AREA:
* If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
* O Te g-If not on list, enter system here:
QO_M FGLEJ.G_#2Mk75@1____._________
SPECIFIC COMP 0NENT OR ACTIVITY:
* g-mg.
If not on list, enter activity here:
g a _sp E G1. E.L G _ C.a MP e 9 FPIl acI d n Y _
CPS (S UNIT IELUDED IN YOUR REVIEW: (Enter'I, 2 or 8) 8 PRI EIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* If not on list, enter contractor here:
g _ y _ 1[9 g 3 _,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
NATURE (TYPE) 0F YOUR REVIEW:
* 8 If not on list, enter nature here:
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT IEL. DOCUMENTATION:
goqS REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*, gag _
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Size of sample observed / examined during your review:
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REFEREEE DOCUMENTS THAT DESCRIBE YOUP FINDINGS:
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l' Page ? cf 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW I
TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
O. G 21 DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
hg 9 C._ A.L G._ EdIL.h19 MF9I_ EEco.r4 D 6_ WE Brief sumary of deficiency:
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If other, enter source here:
g _ W _ d u g T _ 6 8 Ek.o_1 9 6 _ _ _ _ _ _ _ _ _ _ _ _ _ _
Number of known similar deficiencies:
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REGULATORY OR 0THER REQUIREMENT /COMITMENT NOT MET:
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Q ee P_tss IV.E _5 TE.Jr8 4.rtf _ 9 E _ Ge 64_.I AJ Gt2E a I.1 Q M_ WAS 1 (#.L r 6kle : 6EFG_____
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ADDITIONAL C0petENTS THAT YOU MAY HAVE:
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REFERENCE INFORMATION:
TRACKING NO: (For IE HQ Use)
% p pf g t _T_ _ _ _ _
YOUR NAME: (Last Name First) pA 3
GROUP OR ORGANIZATION:
6______________________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
7 SUBJECT OF YOUR REVIEW:
.$Q.__
TOPICAL AREA:
* If not on list, enter area here:
OI[f(2.
ACCIDENT PREVENTION / MITIGATION SYSTEM:
If not on list, enter system here:
p p_ 3 6 fg 1 E J.G _ 6 % T E M _ _ _ _ _ _ _ _ _ _ _ _ _
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* If not on list, enter activity here:
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* If.not on list, enter contractor here:
g_W_Sugy_______________________
NATURE (TYPE) 0F YOUR REVIEW:
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SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
OOog REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* 1 5 6 g If not on list, enter type here:
Size of sample observed / examined during your review:
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Randomness of sample:(Enter R if random, B if biased)
If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
1 g _ Z g -- o ] _ _ _ _ _ _ _ _ _
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Paga.2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
~
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
~ - - - - - - ~ ~ - - - - - - - - - - - - - - - - - - ~ ~ - - - - ~
(Use a separate page 2 for each deficiency)
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Use YY-p#1-DO Format
. Date deficiency occurred:
Use YY-191-DD Format Date NRC learned of deficiency:
Who first " discovered" deficiency:*
[TuseNifHRE,LifLicensee,AifA11eger,0ifOther)
If other, enter source here:
Number of known similar deficiencies:
((((~~~~~~--~-~~'-~~''~~'---''--'~-~~
s REGULATCRY OR OTHER REQUIREMENT /C0pti!TMENT NOT MET:
. Applicable 10 CFR 50 Appendix 8 Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
- - - - ~ ~~ ~ - - - - ~~ ~ - - - - - - - - - ~ ~ ~ ~ ~ '- - - ~
EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
Supporting information or basis:
C0RRECTIVE ACTIONS TAKEN OR PLANNED:
_(UseYifYes,NifNo,UifUnknown/ Uncertain)
Specific actions to correct deficiency:
(Brief summary of specific corrective actions.
[~((((((((((((_'"[~~_-((((((((_'-(([
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CPSES CONTENTION 5 DATA 8ASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING N0: (For IE HQ Use)
YOUR NAME: (Last Name First)
$___ow g.L_T____
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GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
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* SUBJECT OF YOUR REVIEW:
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ACCIDENT PREVENTION /NITIGATION SYSTEM:
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S p _.6f fG.1 E L 4 _ 6 Y. 6 *JFM _ _ _ _ _ _ _ _ _ _ _ _ _
SPECIFIC COMPONENT OR ACTIVITY:
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* If not on list, enter contractor here:
Q[ggjg7_______________________
NATURE (TYPE) 0F YOUR REVIEW:
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$C0PE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
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.s Page 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief sunnary of deficiency:
-------~~----------------------
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
Date deficiency occurred:
_ _ Use YY-MM-DD Format Date NRC learned of deficiency:
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Number of known siellar deficiencies:
((((~~~------------------------
s REGULATORY OR OTHER REQUIREMENT /COM ITMENT NOT MET:
. Applicable 10 CFR 50 Appendix B Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
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EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
You'r opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
~
Supporting information or basis:
[_(UseYifYes,NifNo,UifUnknown/ Uncertain)
CORRECTIVE ACTIONS TAKEN OR PLANNED:
Specific actions to correct deficiency:
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(Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence i
l of siellar deficiencies in the future.)
 
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CPSES CONTENTION 5 DATA SHEET.
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hec-9 Page' 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING N0: (ForIEHQUse)
YOUR NAME: (Last Name First) g _ _ 4 ogp 6 g.L _ T _ _ _ _
Lag GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SU8 JECT OF YOUR REVIEW:
S C,_ _
TOPICAL AREA:
* If not on list, enter area here:
hIl}&.
ACCIDEN' PREVENTION / MITIGATION SYSTEM:
* If not on list, enter system here:
u a _ t P E' G 3 f=l c _
* Y G T e M _ _ _ _ _ _ _ _ _ _ _ _ _
279 L2.
SPECIFIC COMPONENT OR ACTIVITY:
* If not on list, enter activity here:
M p_ $R g G. L F.t G _ Ga B.Fp e F#.7/&-G.Il V LT.y _
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2 orb)
PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* g-f[fygr_,_____________________
If not on list, enter contractor here:
g NATURE (TYPE) 0F YOUR REVIEW:
g If not on list, enter nature here:
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
Q Q p fp REPRESENTATIVE TYPE OF ITEN CONSIDERED IN YOUR REVIEW:*.g g _
If not on list, enter type here:
Size of sample observed / examined during your review:
___g Est'inated total population avail. during your review: ___g Randemness of sample:(Enter R if random 8 if biased) g If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
,14 33 og_______________________
CJb_Casakott_6__bGC=2__________
_____,y________________________
N Enter Alpha Code From Appropriate List 0$Please w int usino one character ner underlined space.
P1 ace do ant eve..d miinca+ad en=rae
 
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Pag 2 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
_ _Q DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
- - - - ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ - - - - - ~ ~ - - - - ~ ~ - - ' -
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
. Date deficiency occurred:
(UseYY-MM-DDFormat)
_ _ (Use YY-MM-DD Fonnat)
Date NRC learned of deficiency:
Who first " discovered" deficiency:*
_TUseNifNRE,LifLicensee,AifAlleger,0ifOther)
If other, enter source here:
Number of known similar deficiencies:
[ [ [ - ~ - - - - - - - - - - - - - - - ~ ~ - ~ - ~ - '- - - -
s REGULATORY OR OTHER REQUIREMENT /COM ITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or couriitment:
--~~~~~--~------~'--------------
EFFECT ON A8ILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency
- This specific deficiency considered alone:*
When considered with other known deficiencies:*
Supporting information or basis:
CORRECTIVE ACTIONS TAKEN OR PLANNED:
_ (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief summary of specific corrective actions.
[~(((((([~[~((((((((((_-((_~[_-(([
if known.)
Broad QA/QC actions:
(Actions to identify potential similar deficiencies
__________________________y due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
u
 
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.1 M_T (Should you wish to provide any additional information,.pa g.g3 r y _ q e I g.p,, _ c,q q ( _ g g 3 _ r gg _I g.7 connent, viewpoint, opinion, or other matter that
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AQC.-5*I Page'1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (ForIEHQUse)
$__k_.p._g79y1_7____
YOUR NAME: (Last Name First)
L&d GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
6 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
J_
TOPICAL AREA: *
~
If not on list, enter area here:
Ca o w.g49_ T!EM $1 L.E_ TFSI_ ggr(A2 EDA _ _
ACCIDENT PREVENTION / MITIGATION SYSTEM:
gT&g.
If not on list, enter system here:
.blB _4r E NG 1.FJ G._ G M J.ffW1_ _ _ _ _ _ _ _ _ _ _ _ _
Q IL4E.
SPECIFIC COMP 0NENT OR ACTIVITY:
* If not on list, enter activity here:
gp_grgrCjfj.g._pgyppjggr/g.C,31gjgg_
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2 orb) 1
)
PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* 3g_ _
If not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
,8 If not on list, enter nature here:
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
apO(e REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*.g&g_
If not on list, enter type here:
QGdp4Q Size of sample observed / examined during your review:
Est'imated total population avail. during your review:
g4 Randomness of sample:(Enter R if random B if biased) g If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
9.,l@_C,g3gg.pg.y_$__bqq.,fl__________
~
N Enter Alpha Code From Appropriate List i
ocPlease print usina one character per underlined sonce.
P1 paso dn not eveeed alineated enacae
 
l Pag 2 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
I DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
~ ~ ~ - - - - - - - - - - - - - - - - - - -
(Use a separate page 2 for each deficiency) l Specific location of the deficiency:
l Use YY-M-D0 Format Date deficiency occurred:
Use YY-M-DO Format Date NRC learned of deficiency:
Who first " discovered" deficiency:*
:TuseNifHRE,LifLicensee,AifAlleger,0ifOther)
If other, enter source here:
Number of known similar deficiencies:
((((~~~~~~~~~~~~~~-~~~----~~~---
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_ _,(Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
~~------~~-'~~------------------
EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
Supporting information or basis:
[ _(Use Y if Yes, N if No, U if Unknown / Uncertain)
C0RRECTIVE ACTIONS TAKEN OR PLANNED:
Specific actions to correct deficiency:
(Brief sunnary of specific corrective actions, if known.)
Broad QA/QC actions:
4 i
(Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
t i,.
 
r.
Page'3 of 3 CPSES CONTENTION 5 DATA SHEET.
ADDITIONAL ColetENTS THAT YOU MAY HA K:
_ _ _ _ m _ _ _ _ m _ - m m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
- - m - - - - - - - - m - - m - - - - - - - - - - - - - - - m (Should ou wish to provide any additional infonnation. _ _ _ - _ _ _ m _ - _ M m _ _ _ _ _ _ _ _
________m m
comument vi inte opinion or other matter that e
- m m _ _ _ _ m m - - - - - - - - - - - M - - - M - - - - - -
you feel the contention 5 Panel should consider in making their findings please use this aage to do so.)
e
- - - - - - - - - - m - - - - - m - - - - - m m _ _ - - - - -
- - - - m - - = = W M - - - - - - m m _ - - -. m. m. m..
M M M M M M - M M M M M e m - W m m m m m e - - m - m m m m m
- m m M M - M W m M M W - m - w w m m m m m m m m m m m m - m f
M - - M - M M - m M - M M M M M M M M M M M M M - m m - m m -
M 6 6 m M M M m m W W M M M m m m m m m m m m m m - m m m e -
- - - - - - - m - - - - - - - - - - - - - - - - m - - - - - -
M M M - - M M M - M M M - m m m m m - m - m - m m m m m m m m e
M - M M M M - m m m M - M M M - - M - m m m m M - - W W W m W
- W M M M M M M M W - m m m m - m m - m m m m m m m m - m m m W W m 6 6 6 6 m M m m M - m m m m W 6 - m W M m m - m m m m m M - M - M M M m W m M M M W W - m - m m m m m - m m m m m m -
9 m m g = - mm e m - - - - - - - - - - m m = = = - - - - - - -
m - m m m m m - m m m m m m m m m m - m m m - m m w w - m m e M M M M M M - W W W m - m m m m m m m m m m W W e m m m - m m
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m e m - m m m - m m m m m m m m m m - m m m m m m - m e m e m m m m m m m M M M M M M M M - M M W e m W M M M - M M M e m m m - - 6 6 M M M M M M M M M m m m m m - m m m m m m m m m m -
9 m m W - M M - M m m m m m m m m m m m - M - M M M M - M m m -
m m - M M M M M M M - M M - M - M M M M M M M M M M M M M M W 9
m _ _ m. _ _ _ _ _ _ _ _ - m _ M m m - - - - - - - - - - - m m m m m m - m m m m m m W M M W m m - M M - M m m M M - m W -
m m - m m - m m m m m m m m - - m m - m - M M - M - M M M - M m m m m m m m m m m - m m m m - m m m e M M M M M m m M m m m m m m m m m - m - m m m - m - - m m M M M M - M M M M M m m m m m m m m m m m m m m m m M - m m m - M M
M M M M M M M
* 9
_ m. m. - m -. - - - - - - - - - - - M - - - - m - M - M -
M e
9 6
 
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Pags I of 3 CPSES CONTENTION'S DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (For IE HQ Use) i YOUR NAME: (Last Name First.)
f}pij j________
GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
,7 PRINCIPAL CONTENTION 5~ AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
6 C,_ _
TOPICAL AREA:
* If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
OI g g If not on list, enter system here:
C.o g r$-Q L _8t/GE 64.Erf 'TF-f S 44, _ bu.L I-DI_Alk OI B g.
SPECIFIC COMPONENT OR ACTIVITY:
* If not on list, enter activity here:
c o 9 c. g.gr E_ S L 14 8._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
3 CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1, 2 or B)
{
PRINCIPAL CONTRACT 0F INVOLVED WITH YOUR REVIEW:
* 3g__
If not on list, enter contractor here:
C, NATURE (TYPE) 0F YOUR REVIEW:
.If not on list, enter nature here:
R Ss o g.a 6_ A g p_C e sp&.gIgr0_ pa gg_ _ _ _ _
' SCOPE OF'YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
c of O REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* QAg_
If not on list, enter type here:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _.
Size of sample observed / examined during your review:
F___
Es.timated total population avail. during your review: M___
Randomness of sample:(Enter R if random, B if biased) $
If biased, enter basis here:
B l (., 5 4p6 T ). pe! _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
3.E_6L_\\_%._____7_h.9.r10___________;
C./4ir _C4TEde' a g y _
7
* Enter Alpha Code From Appropriate List o$Please print using one character per underifndd space.
Please do not exceed allocated spaces.
 
t*.-
Pag 2 of 3 CPSES CONTENTION 5 DATA SHEET.
SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
OOQj DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
(.)g (,.o gIgo L L.ED_ f g b_ q g D pf,.t.> A(E d _TliiED R (Use a separate page 2 for each deficiency)
ER A L E 2 F _ 4_ e G L E _ EE s u t._ ra u Q _ E EQ M-TnE_ &E M O V & L _ o E _a _ e l L Il _ SoLT _ _ _ _
Specific location of the deficiency:
E1 sc r s.a c A L._ Au O _C.a 9 re_c L _6 u l LDW $
Date deficiency occurred:
2_- O_4-C O(Use YY-MM-DD Fonnat)
Date NRC learned of deficiency.
f
_O4-DD (Use YY-MM-DD Format)
Who first " discovered" deficiency:*
(Use N ff NRC, L if Licensee, A if Alleger, 0 if Other)
If other enter source here:
Number of known similar deficiencies:
6d66---------------------------
REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET:
Use NA if not applicable)
Applicable 10 CFR 50 Appendix B Criterion:
}lA(,Usearabic01thru18.
~Other requirement or commitment:
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
- - - - - - - - ~ ~ - - - - - - - - - - - - - - - - - - - - - - - -
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
L.
When considered with other known deficiencies:*
_T Supporting information or basis:
.SteB_ld_GVF5J12d_16_5Il_LL_ CAMS LE-Q E cs &#1.L d(y T8-E DE S L6 &
Lee QS,
CORRECTIVE ACTIONS TAKEN OR PLANNED:
}} (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief sumary of specific corrective actions,
-[~[--~-[_----[_--[~--(([-----(([
if known.)
Broad QA/QC actions:
g I,y WJ L L. _ BE _ 666666ED_S Q@gp3 C ( gj[QC _ d 5_ E A &T d E O V CE Es k L g @
(Actions to identify potential similar deficiencies T 7_Qb/
due to QA/QC causes, and, to prevent recurrence o M A MAIL C, _ f.E\\D_ E h/_ G O MG-F8Ml 6't$ _ E4 of similar deficiencies in the future.)
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.c Page I cf 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (ForIEHQUse) i YOUR NAMe: (Last Name First)
[ 5 5 d ~p ~g>~6 g.1_ ]"_ _ _ _
r4t0UP OR ORGANIZATION:
3_______________________,_______
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH CF YOUR REVIEW:
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* B t
SU8 JECT OF YOUR REVIEW:
TOPICAL AREA:
* 6C.__
j If not on list, enter area here:
OT(tg ACCIDENT PREVENTION / MITIGATION SYSTEM:
* If not on list, enter system here:
996 E _ N d LT _1_ C O MI6 i M M EN I _6 T C.W G,I _
SPECIFIC COMPONENT OR ACTIVITY:
* oy&g If not on list, enter activity here:
n L q _ g g g g._ Q g g,7__ g _ C a y 7 _ 6 7 g.y 4,T U G.E CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) 2 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* BE__
If not on list, enter contractor here:
d i
NATURE (TYPE) 0F YOUR REVIEW:
If not on list, enter nature here:
SCOPE OF Y0dR REVIEW:
EFFORT EXPENDED IN MAN-NRS, NOT INCI.. DOCUMENTATION:
O Q 04-l REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*
i If not on list, enter type here:
3CC6(agg._p M GL&L,ggD_ M g(afI1.pd__
Size of sample observed / examined during your review:
oQag Estimated total population avail. during your review: pgQQ Randomness of sample:(Enter R if random, B if biased)
If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRISE YOUR FINDINGS:
C j f _ C,A I g g g q _ lt _ _ } f
_4 3 _ _ _ _ _ _ _ _ _ _
~
* Entsr Alpha Code From Appropriate List l
**Please print using one character per underlined space. Please do not exceed allocated snaras
 
l j
Page 2 cf 3 CPSES CONTENTION 5 DATA SHEET S,PECIFIC INFORMATION RELATED TO THE' DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
- - ~ ~ ~ ~ ~ ~ - - - ~ ~ ~ - - - - - ~ - ~ - - - - - - ~ ~ ~ -
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
(Use YY-MM-DO Fonnat)
Date deficiency occurred:
[TuseNifNRE,(UseYY-MM-DOformat)
Date NRC learned of deficiency:
L if Licensee, A if Alleger, 0 if Other)
' Who first " discovered" deficiency:*
If other, enter source here:
- - - - - ~ ~ ~ - - - ~ ~ - ~ ~ - ~ ~ - - - ~ ~ ' - - - - - - -
Number of known similar deficiencies:
s REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
- "" ~ - - - - '" - - - - - - - ~ ~ - - - - - - - - ~ - - ~ - -
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
Supporting information or basis:
]
[_(UseYifYes,NifNo,UifUnknown/ Uncertain)
CORRECTIVE ACTIONS TAKEN OR PLANNED:
l Specific actions to correct deficiency:
(8rief sumary of specific corrective actions, ifknown.)
Broad QA/QC actions:
j (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
____ e
..,,...i ann,v,n....
en w..ve i,,
__.__ o
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Pag 2'3 cf 3 CPSES CONTENTION 5 DATA SHEET.
ADDITIONAL C0petENTS THAT YOU MAY HAVE:
W W m - 6 m m - m - - - m m _ m m e e _ m e _
(Should you wish to provide any additional information, _ _ m m m _ m e m _ m _ m m m m m _ _ _ m m _ m m m m _ _ _ m comunente viewpointe opinion, or other matter that m m m m _ m m _ w m _ m m m m _ _ m m _ _ _ m _ m _ _ _ _ m m you feel the Contention 5 Panel should consider in e m - - m m m - - m m M e M - m m m - - - - m m m - - m e - -.
making their findings. please use this page to do so.) _ _ - _ _ m m _ _ m m m _ m m m m m _ _ _ m m m _ _ m _ _ _ m e m - - m m m - = - - m. m m m m m m m m m m _ m m m m m m _
m m M M
m m m m m m m m m m m m m m m m m m m m m m m m m m e M
m m M
M m m m m m m m m m m m m m m m m m m m m m m m m m e W M M m m M M m m m m m m m m m m m m m m m m m m m m m m e m M
M M m m m m M m m m m m m m m m m m m m m m m m m m m m m m M M M m m m m m m m m m m m m m m m m m m m m m m m m m m m e m M m m -
M M
M M
m m M
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M M M
m m M m m M M
M m m m m m m m m m m m m m m m m m m m M M M M M M M m m m m m m m m m m m m m m m m m m m m m m m e M m M M M M m m m m m m m m m m m m m m m m m m m m m m m m m m
M m m m m m m m M e m m m m m m m m m m m m m m m m m m m e e
9 m m m m m m m m m m m m m m m m m m - m - m - - m m - m - m -
m m m m m m m m m - m m m m m m m m m - m m m m m m m m m m m e m M m M M m m m m m m m m m m m m m m m m m m m m m m m m m m M m m m M m M m m m m m m m m m m m m m m m m m m m m m m e L_m
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m m m m m m m m m m m m m m m m m m m m m m m W M m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m M M m
j m m m m m m m m m m m m m m m m m m m m m m m e m - m m m m m m u m m m m m m m m m m m m m m m m m m m - M m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m M M e m m M m m m m m m m m m m m m m m m m m m m m m M
M M M m m W W W m e m m m a m m m m m m m m m m m m m m m m m m m M M m e W M M M m m e m m m m m m m m m m m m m m m m -
W M e m M M M M M M M
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Ac-vf i
Pasje 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET t
ITEMTOBECONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING N0: (ForIEHQUse)
YOUR NAME: (Last Nasee First)
M%j @ WS !(.L _ '.T _ _ _ _
GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE ANO DEPTH OF YOUR REVIEW:
7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
OldR.
TOPICAL AREA: *
&F556_ 'M e C o 9 E.6-L Y _19 5 Int. FD[Q If not on Itst, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
Q Tilg.,
If not on list, enter system here:
g]_3fgF.gJgjc_Sj$$gd1_____________
SPECIFIC COMPONENT OR ACTIVITY:
* pIgg If not on list, enter activity here:
g ggg, _1),el a _2._ C,a y f _6 5-g, y c,,1 g g.g _ _ _ _ _
CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) 2-PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
3g__
If not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
If not on list, enter nature here:
ji,Lg6gg_p16 % 6.1gS_gLLg6&I,ted___
' SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
p Q j, Q
,I REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*
If not on list, enter type here:
TM&hg g._ D16 h &L 66_ AM(s o'110d _ _ _
Sire of sample observed / examined during your review:
o Estimated total population avail. during your review:
[~
6 Randomness of sample:(Enter R if random, B if biased)
If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C l. 6 C. G T E(m Q S Y _6. _ _ & C 2 3 #} _ _ _ _ _ _ _ _ _ _
- _ _ _ _ _ _ _ r
* Enter Alpha Code From Appropriate List
**Please print usino one character per underlined snace.
Plaata efn not avr..d milnented en=cae
 
.s
~
Pag 2 2'of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC $NFORMATIONRELATEDTOTHEDEFICIENCIESIDENTIFIEDOREVALUATEDDURINGYOURREVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief sunnary of deficiency:
(Use a separate page 2 for each deficiency)
-----~~~~~~~~~~----
_-~~--~~~-~-
Specific location of the deficiency:
Use YY-M-DO Fomat Date deficiency occurred:
-~
Use YY-m-00 Format Date NRC learned of deficiency:
Who first " discovered" deficiency:*
~TUseNifNRE,LifLicensee,AifAlleger,0ifOther)
If other, enter source here:
--~~----------------~--~-~---~~
Number of known similar deficiencies:
i s
j REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix 8 Criterion:
_,_ (Use arabic 01 thru 18. UseNAifnotapplicable) l Other requirement or commitment:
~------~~~---------------~~----
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency
- This specific deficiency considered alone:*
~
When considered with other known deficiencies:*
Supporting information or basis:
CORRECTIVE ACTIONS TAKEN OR PLANNED:
~ (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief sunnary of specific corrective actions,
((-((((((((~(((((((((((((([_-(([
If known.)
Broad QA/QC actions:
(Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
 
3 7
Pag 2* 3 cf 3 CPSES CONTENTION 5 DATA SHEET.
ADDITIONAL C00mENTS THAT YOU MAY HAVE:
- m m m m m M M - m - m m m m - - M - - - - m - m m - m _ m _
M - m - - m m m m m m e m 6 m M M M - m - - - m M M m e M m m (Should you wish to provide any additional information.
- - - M m m m - - m m m m - - m - m M M m m m m m - M - - m -
comment. viewpoint. opinion, or other matter that
_ M m _ M _ _ m m _ m _ _ _ _ m _ _ m _ _ m m _ _ m m m m m m you feel the Contention 5 Panel should consider in making their findings please use this page to do so.) _ m M _ m _ _ m _ m m m m m _ _ _ _ _ _ _ _ m m m _ m m m _ _,
e m - m m m m m - m m - m m m m m - m m - - m m m m m m - - - m M m m m M M M M m m m m m m m m m m m m m m m M m m m m m m m M M m m m m m m m m M m m m m m m m m m m m m m m m m m m m e 4
m u m m m m m m m m m m m m m m m m m m m m m m m m m m m m m N m m m m m m m m m m m m m m m m m m m m m w m m m Mm m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m W M m m m m m m m m m m m m m m m M M M M M M M M m W W W m m m m m m m m m m m m m m m M m m m m m m m m m m m m W m m m m m m m - M m m m m m m M m m m m m m m m m m m m m m M m e m M m m m m m m m M M M m m m m M M M m m m m m m M M M m 6 6 M m m m m m m W W m m W m m m m m M W e m - M m m m m M m O
m m g - m mm m m m - m m m m - - - m m m m m m - M e m - - -
m m m m m m m m m m m m m m m m m m m m m m m m m m m m - m m m m m m m m m M m m m m m m m m m m m M M m W M M M M M M M M M m m m m m W M m m m m m m m m m m m m m m m m m m m m m m W e
9 m m m m m m m m m m m m m m m m M m m m m m m m m m m m m m m m m m m m m m m m M m m m m m m m m m M m m M M M m m m m - M m m m m m m m m M M W m m m m m m m m m m m m m m m m m m m m G
m M M m m m m m m m m m m m m m m M M m m m e - M m m m m m M W W m M M M M M mem m m m m M m m W M M M e m m M M M M M m e 4
m m m m m m m m m m m m m m m m - m m m m m m m m m m m m m e m m m m m m m m m m W W m m m m m m m m M
- M m M W m M m m e m m m m m m m m m m 6 m m m m m m m M m m m m M W m M M M M M e m e m m m m m m m m m m m m m M m m M M M M M M M M " W W W m m m m m m m m m m m m m m m m m m m m m M M M M M M " W W
g g g g g g g e m e m m m m m m m W N
m M M M M M m - M M " M
* 9 m m m m m m m m m m m - M - - m - m - - - - M M m - m e = M e i
g S
0 l
e
 
Ac-w Page 'l of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
1 TRACKING N0: (For IE HQ Use)
YOUR NAME: (Last Name First) y-S_ %5@)f.t_T____
GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
6 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
SUBJECT OF YOUR REVIEW:
TOPICAL AREA: *
$Q.__
If not on list, enter area here:
ACCIDENT PREVENTION /NITIGATION SYSTEM:
OT &g If not on list, enter system here:
ggfQg,d 90 MP_ST M 1.Od____________
SPECIFIC COMPONENT OR ACTIVITY:
* i Qygg If not on list, enter activity here:
g pyy gg _ E g Lng _ g r g.71 o g _ yerg, L _ _ _ _ _ _ _
CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2 orb) 3 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* 3g__
If not on list, enter contractor here:
_______________________________j NATURE (TYPE) 0F YOUR REVIEW:
C.
If not on list, enter nature here:
ggc.p g.ps _ f g D _ g ig L b _.t 8 s f gc,I 1. g g _ _ _
SC5PEOFYOURREVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
QQp REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* g g $
If not on list, enter type here:
i Size of sample observed / examined during your review:
Estisiated total population avail. during your review: Q Z,41 21 gQ i
Randomness of sample:(Enter R if random, B if biased) g If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C./_& _ C,4 7 % o g y _ (2 _ d ( r 3 d _ _ _ _ _ _ _ _ _ _ _
j
~
* Enter Alpha Code From Appropriate Li:t
**Please nrint usino one character ner und.-M in <f enar.
p1..e. da na+ ove..a.iine.+.a ca.ca,
 
Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief sumary of deficiency:
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
i (Use YY-MM-DD Format)
Date deficiency occurred:
Date NRC learned of deficiency:
(Use YY-MM-DO Format)
' Who first " discovered" deficiency:*
[TuseNifNRE,LifLicensee,AifA11eger,0ifOther) i If other, enter source here:
Number of known similar deficiencies:
- - - - ~~ - - - - - - - - - - - - - - ~~ ~ - - - - - - - - - -
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
i Your opinion of the degree of seriousness of deficiency i
This specific deficiency considered alone:*
When considered with other known deficiencies:*
i Supporting information or basis:
CORRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief sumary of specific corrective actions.
((((~[_-((((((((((((((((((((((_-[
ifknown.)
Broad QA/QC actions:
(Actions to identify potential similar deficiencies l
due to QA/QC causes, and, to prevent recurrence
((((((((((_-((_-((((((((_~(((((([_~
j of similar deficiencies in the future.)
1 a nn, v i n....
caoue..,e o,..
 
~a
+
Pag 2 3 cf 3 CPSES CONTENTION 5 DATA SHEET.
ADDITIONAL CONIENTS THAT YOU MAY HAVE:
- - - - - - -- - - - - - - - - - - - - - - _ _ _ - - _ _ 9 (Should you wish to provide any additional information.
coment, viewpoint, opinion, or other matter that you feel the Contention 5 Panel should consider in making their findings. please use this page to do so.)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ =
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ =
- - - - M - - - M M - - - - - - m - m - m - - - - - - m - m -
- - - - - - - - M M - - - - - - - - - - - - - - m m - - - - -
o k
- - m - m - - m - - - - m m - m e m - - - - - m - - m - - m -
- - - - - M - - M - - - M M - - m - - m - - - - - - - - - - -
- - - - - - - - - - - - M M - - - - - - m
---m
- m - - - -
m - - -
M M M M - M M - - - M M
- - - M W M - W m M - - M - -
- - - - - - - W - - m - - - - m - - M M - - - - - - - - M - -
- - - - m - - - - - m - - - - m m - - - - - - m - - - - m - -
m - - - - - - - m m m - - - m m - - - - m - M - - m - -
- - - m - - - - - - - - - - - - m - m - - - - m - - - - M - -
9
- - - - - - - - - m - - - - - - - - - - - - - - - - M M - - -
9
- - - - - - m - - - - - - - - - - m - - - - - - - - - - - - M m m - - - - - m - - - - - M - - - - - - W - - - - - M - - - -
* 9 O
e
 
AC 12.
..... z Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (For IE HQ Use)
YOUR NAME: (Last Name First)
[j@
s__Q_QhM_T____
GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
PRINCIPALCONTENTIONSAREARELAJEDT0'YOURREVIEW:
7 t
SUBJECT OF YOUR REVIEW:
TOPICAL AREA: *
, O T. 45t_-
If not on list, enter area here:
a g _ t erc y 1 P_ I _ 2.d n E G G T l 0 L _ _ _ _ _ _ _ _ _ _
J ACCIDENT PREVENTION / MITIGATION SYSTEM:
Q I &l2 If not on list, enter system here:
g g _ n P_ F( l f.L G _ $ 3 S ~T FLVl _ _ _ _ _ _ _ _ _ _ _ _ _
SPECIFIC COMPONENT OR ACTIVITY:
* O_, I g g If not on list, enter activity here:
y a _ S g gc.2 p2 4_ q o_ gipp g f!! T[SC J i.VI II _
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) g, PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
$8. _
If.not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
g
.If not on list, enter nature here:
' SCOPE OF'YOUR REVIEW:
6C)g i EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,qg__
i If not on list, enter type here:
Size of sample observed / examined during your review:
QOLS Es,timated total population avail. during your review: Opl$
j Randomness of sample:(Enter R if random, B if biased) 3 If biased, enter basis here:
A L.c g d, H 1.0 ej _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C. M _ C,M gQ g.9 _ (, _ _ dC-LS _ _ _ _ _ _ _ _ _ _
l
'
* Enter Alpha Code From Appropriate List
**Please print using one character per underlined space.
Please do not exceed allocated spaces.
 
e, Page 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU RFVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
i Brief susunary of deficiency:
(Use a separate page 2 for each deficiency)
---~~---------~~--~~-----------
Specific location of the deficiency:
Date deficiency occurred:
- - (Use YY-MM-DD Format)
Date NRC learned of deficiency:
Tuse N if HRE,(Use YY-MM-DD Fonnat) t if Licensee, A if Aiieger, 0 if Other)
Who first " discovered" deficiency:*
If other,. enter source here:
s Number of known similar deficiencies:
--[~---------------------------
REGULATORY OR OTHER REQUIREMENT /Com ITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
l EFFECT ON A8ILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your~ opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
3 Supporting information or basis:
CORRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief summary of specific corrective actions,
(((((((((((((((((((([~[_-[_-(((([
ifknown.)
l s
j Broad QA/QC actions:
]
(Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
 
I I I I I I I I I I I I I I I I I I I I I I I I I i 1 1 1 I I l l 1 1 I l l l l 1 1 I I I i 1 1 I I I I I I I i 1 1 1 1 l l l l l l l 1 I I l l l l l l l 1 1 I I l l I
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l' l l I I I I I I I,1 I I I I I I l l l l l l l l l t 1l i I I I I I I I I I I I I l i I I I I I I I I I l l l l l 1 1 1 1 1 I I I I I I I I I I I i 1 1 l' l I I i l'
o l l l l 1 l l 1 1 I I I i i i I I I I i 1.1 I I I I I I I I I l c's i 1 l l l l 1 1 I I I I I I i 1 1 I I I I I I I i 1 1 1 1 1 I l g
i I i i i i i 1 i i i i i l I I I i i i i i l I i I i l I I I i g
i i l i i i i I i i l I i I I i l I i 1 I I i i 1.1 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i 1 1 I I I I I I I I I I I I I I I i l i l I i 1 1 1 1 I I I i l i I I I I I I I I 1 l l 1 1 I I I I I I I I I i i I I I I I I i 1 1 I I I I I I I i i i I I I I I I i 1 1 I I I I l l I I i 1 1 I I I I l l l l l l l 1 1 I I I I I I I I I I I I I I I I
'l i I I I I I I I I l l 1 1 I I i 1 I l I l I 1 i l i I I I I I l i I I i i l i i i i i i l i i l i i l i l i I I l 1 1 I I i 1 1 I I I I I I I I I I I l l l 1 1 I I I I I I I I I I I I I I I I I I I I I I l l l l l 1 1 1 1 1 I I i 1 1 1 1 1 l l I I I I I I I I I I I I I I I I I l l 'l i
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g g
i I I I I I I I I I I I i 1 1 I 1 1 1 1 I I I I I I I I I I l-l y
i I I I I I I I I I i 1 1 I i i
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1 1 I I I I I I I I I i 1 I l i I I I I I I I I I I I i l l I I 2
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E-37 Page.1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
e REFERENCE INFORMATION:
i TRACKING NO: (ForIEHQUse)
$ _ _ Q_ _ _blh E.I _ I _ _ _ _
[j@
-~
YOUR NAME: (Last Name First)
GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
* O T stat If not on list, enter area here:
Q g _ g, yc p1P_ I _ } d y E g GI t o el t
i ACCIDENT PREVENTION / MITIGATION SYSTEM:
* QI&Q j
If not on list, enter system here:
Jj g _ G E gr,,.l f t G _ p M S I p_A_ _ _ _ _ _ _ _ _ _ _ _ _
SPECIFIC COMPONENT OR ACTIVITY:
f I d @.
If not on list, enter activity here:
9 o _ 5 E F c. L P1 G _ L o al E 2 !M !! I[B G.T.L V I.I i..
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B)
B S_R__
PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* If.not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
g If not on list, enter nature here:
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
Mg4-REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,qg__
If not on list, enter type here:
Size of sample observed / examined during your review:
QOLk___________________________
Estimated total population avail. during your review: Opl$
Randomness of sample:(Enter R if random, B if biased) 3 If biased, enter basis here:
A L.f.,E (a M 1.4.61 _ _ _ _ _ _ _ _ _ _
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C. l. 6 _ C a t g6 a (L,Y _ (, _ A C,.l'7. _ _ _ _ _ _ _ _ _ _ _
* Enter Alpha Code From Appropriate List
**Please print using one character per underlined space.
Please do not exceed allocated spaces.
 
..n
~
Pag 2 2 of 3 CPSES CONTENTION 5 OATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICTENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVit:WED:
DESCRIPTION OF EACH SPECIFIC DEFICIff'CY YOU REVIEWED:
Brief summary of deficiency:
(Use a separate page 2 for each e ' ciency)
[ ~. _ [ [ [ [ [ [ [ [ [ [ [ [ [ [ _~
_- [ [ _- -~ - - - [ - _
Specific location of the deficiene.
- ~ (Use YY-MM-DD Format) i Date deficiency occurred:
~-
_ TUse N if NRE,(L if Licensee, A if A11eger, 0 if Other)
Date NRC learned of deficiency:
Use YY-MM-DO Format)
~
' Who first " discovered" deficiency:*
If other. enter source here:
---------------~~~~------------
s Number of known similar deficiencies:
REGULATORY OR OTHER REQUIREMENT /C0pel!TMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_,_ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or constitment:
~-~~~-----~~~-----~----------~-
EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION:
Your' opinion of the degree of seriousness of deficiency
'This specific deficiency considered alone:*
When considered with other known deficiencies:*
[
l Supporting inforination or basis:
CORRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief sunniary of spectfic corrective actions.
((((((~((((_~_~((((((((((((((((((
ifknown.)
Broad QA/QC actions:
(Actions to identify potential similar deficiencies i
due to QA/QC causes, and, to prevent recurrence j
of similar deficiencies in the future.)
 
-r - r ~
d CPSES CONTENTION 5 DATA SHEET.
s e
ADDITIONAL COMMENTS THAT YOU MAY HAVE:
Should you wish to provide any additional information. _ _.- - _ _ - _ _ _ _ - - - _ _ _ _ - - - _ _ _ _ _ _ _ _ _ -
coment, viewpoint, opinion, or other matter that you feel the Contention S Panel should consider in
_ _ _ _ _ __ _ _ _ _ _ _ _ e making their findings, please use this page to do so.) _ _ _ _ _ _ _ _ _
.m e_
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I cl. A A.C-3 6 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (ForIEHQUse)
YOUR NAME: (Last Name First) s,_ _ y /} y_J _ T _ _ _ _
[M p
GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
OIdR TOPICAL AREA:
* If not on list, enter area here:
. RE N f _ b_Wil:F4 4 f F C.G Y _ I M S T s L; E C) O kITT, ACCIDENT PREVENTION / MITIGATION SYSTEM:
OTgf_
i l
If not on list, enter system here:
C.Q 6LT1.L M MEA 12'_ Bu.L L D M 4_ _ _ _ _ _.. _ _ _ _
SPECIFIC COMPONENT OR ACTIVITY:
* GI@&
If not on list, enter activity here:
g, g & c f a g _ C.4)( 1 y g _ Q/ - pL,_ _ _ _ _ _ _ _ _ _ _ _.
A_
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2or8)
,[
PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* If.not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
g If not on list, enter nature here:
' SCOPE OF'YOUR REVIEW:
,g 6 ( g.
EFFORT EXPENDED IN MAN-HRS, NOT INCL, DOCUMENTATION:
QQ2 REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*
If not on list, enter type here:
Size of sample observed / examined during your review:
oo$
Estimated total population avail. during your review: oog Randomness of sample:(Enter R if random, B if biased) g, If biased, enter basis here:
po c Q e gu ICQ _ L.9 5 E e u G.ES _ R e3 LT. _ REIM El REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C, l f, _ C A.Jgg a g.] _ k _ f C,- 3 $ _ _ _ _ _ _ _ _ _ _ _
__n j
i
* Enter Alpha Code From Appropriate List
**Please print using one character per underlined space.
Please do not exceed allocated spaces.
 
CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i
TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief sunnary of deficiency:
---~~~~-~~~~~~----------------~
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
Date deficiency occurred:
-~
- - (Use YY-MM-DD Format)
Date NRC learned of deficiency:
~ Tuse N if NRU,(Use YY-MM-DD Fonnat)
L if Licensee, A if A11eger, 0 if Other) i Who first " discovered" deficiency:*
If other, enter source here:
i Number of known similar deficiencies:
(( _--~~~~-----~~~~~~~~~~~~~~~~~
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
.Applica!sle 10 CFR 50 Appendix B Criterton:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
- ~ - - - - - - - - - - '' - - ~ ~ ~ ~ ~ ~ - - - ~ ~ ~ ~ ~ ~ -
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
Supporting information or basis:
C0RRECTIVE ACTIONS TAKEN OR PLANNED:
(Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief summary of specific corrective actions.
[~(([~((((~(((((((((((((((((([_~
ifknown.)
l Broad QA/QC actions:
(Actions to identify potential similar deficiencies
____________,_,____________g_____
due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
 
-o Paga 3 of 3 CPSES' CONTENTION 5 DATA SHEET.
l
[
4 ADDITIONAL C0PetENTS THAT YOU MAY HAVE:
- _ - - - - - - - _ - _ - - - - - _ _ - _ _ _ _ _ _ _ _ _ _ m (Should ou wish to provide any additional information.
- _ - _ - - - - - - - - - - _ - _ _ _ _ - - - - - - - - - - o comunent. view int. opinion, or other matter that
_ - - _ _ _ - - - _ - - _ - _ _ - - - - _ - - - _ _ _ _ _ - m you feel the Contention 5 Panel should consider in
- - - _ - - - - - _ _ _ - - _ _ _ _ - _ _ _ _ _ _ - - _ _-0 making their findings. please use this page to do so.) - - _ - - - - - - - _ - - - - - - - - - - _ - - - - - - -__
- - - - - - - _ _ - - - - - - - - - - - _ - _ _ _ _ _ _ __s i
L__l
- - - - - - - - - - - - - - - - - _ m _ - _ _ - _ _ m _ m _ _
- - - - - - - _ - - - - - - - - - - - - - - - - - _ _ _ _ m
- - - - - - - - - - - - - M - - - - - - _
------_m
- - - - - - _ - - m - - - - - - - - - _ _ _ _ _ _ _ - - _ m m
- - - - - - - - m - - - _ - - - _ - - - - - _ _ _ _ - - - _ _
- - - - - - _ _ _ - - M - - - - - - - _ - _ _ _ _ - - - - _ -
O O
W A
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4
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Page 'I of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING N0: (ForIEHQUse)
YOUR NAME: (Last Name First) itti M__ O_E___
GROUP OR ORGANIZATION:
9________________________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SU8 JECT OF YOUR REVIEW:
l TOPICAL AREA:
* SC,__
If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
C,T@Rg g T 6j,y glgt4 r_ @g L L p i g _ _ _ _ _
O I
If not on list, enter system here:
SPECIFIC COMP 0NENT OR ACTIVITY:
* pI g-g, If not on list, enter activity here:
Q g ogggBI_EXTFELeg._ble h______
CPSES UNIT INCLUDE 0 IN YOUR REVIEW: (Enter'1,2 orb) 1 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* 3R__
If not on list, enter contractor here:
h______________________________
NATURE (TYPE) 0F YOUR REVIEW:
If not on list, enter nature here:
R_ gC g4 ps _ u p_ C,a. g e g g y gg _ g/ a g, g._ _ _ _ _
SCDPE OF YO'R REVIEW:
U EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
ppa REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* g a g _8 j
If not on list, enter type here:
.____________~___________________
Size of sample observed / examined during your review:
,o p p j.,
Estimated total population avail. during your review: ogp1 i
Randomness of sample:(Enter R if random, 8 if biased) 6 If biased, enter basis here:
E gq t gg/gp_ q p_ g C _ P gg _1 Q L -- 8 $ o g -- o q 2. _
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
I,g _ gg -- pf.[p,/ 3 9 - 30_.
G49_Calwea_4_5__8d=__33_________
)
* Enter Alpha Code From Appropriate' List l
**PIsase print using one character per underifned space.
Plau e dn not arceed alineated enace=
 
4, Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief sunnary of deficiency:
(Use a separate page 2 for each deficiency)
[~-[_~((_-((((((((~[__~--[_--[_---
Specific location of the deficiency:
(Use YY-MM-DD Fomat)
. Date deficiency occurred:
-~
~ ~ (Use YY-MM-DD format)
Date NRC learned of deficiency:
' Who first " discovered" deficiency:*
[ TUse N if HRE, L if Licensee A if Alleger, 0 if Other)
If other, enter source here:
Number of known similar deficiencies:
((((~~~-~~---~~--------~-~~~--~
s REGULATORY OR OTHER REQUIREMENT /COWi!TMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
----~--------------------------
EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency
.This specific deficiency considered alone:*
When onsidered with other known deficiencies:*
Supporting infomation or basis:
CORRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief summary of specific corrective actions.
((_-[~((((((~(((((((((((((((((([
if known.)
Broad QA/QC actions:
(Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
 
. ~.
o.
Paga 3 ef 3 CPSES CONTENTION 5 DATA SHEET.
ADDITIONAL COPMENTS THAT YOU MAY HAVE:
M m 6 M m m m m m _ _ m m m m m m m _ m _ _ m _ m _ _ _ _ _ _
(Should you wish to provide any additional information, m m m m - M M m m m e e m M e m m = m M M M m e = m m e - m m m m m _ M m _ m e m _ _ m _ m m m _ m m m m _ m e m m _ _ 6 m conenent. viewpointe opinion, or other matter that you feel the Contention 5 Panel should consider in m m m _ m _ m m _ m m m m _ m m m _ _ _ m m m m _ m m m m m e makin9 their findings. please use this page to do so.) _ _ _ m m m _ m m m _ _ m m m _ - _ _ _ m _ m m m _ m m _ m m 6 m - m m m m m m m m m m m m - m m m m m m m m m m m m m m e
= = m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4
9 9
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m 6 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m W m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e O
9
- - g - m m m m m m m m m m m = = m e m m m m m m m - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m = = m m m m m m m m m m m m m m m m m m m m m m m m 9
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e 9
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m - m - m - m m m m m m m m m m m m m I
m m m m m m m m m m m m m m m m m m m m m m m m m m m " " " "
m m m m m m g e m m m m m m m m m m m
m m m m m m m m m m e 9
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M
9 og 4
 
E]
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dC-3/
l Page*1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
l REFERENCE INFORMATION:
TRACKING N0: (For IE HQ Use) l YOUR NAME: (Last Name First)
P j [ [ [ @[p _ g_ _ _ _ _ _
l GROUP OR ORGANIZATION:
?p_______________________,_______
l.
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SU8 JECT OF YOUR REVIEW:
ff56 TOPICAL AREA:
* If not on list, enter area here:
_ ] [ [ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _,
i ACCIDENT PREVENTION / MITIGATION SYSTEM:
a 7g 4
If not on list, enter system here:
A L. j,. _ S y g.y cI g g. g 6_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
j SPECIFIC COMP 0NENT OR ACTIVITY:
* a I g g.
If not on list, enter activity here:
A. L. L _ s I g y47 g g. g 6 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _,
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'I.2or8) 4 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* g__
If.not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
* V If not on list, enter nature here:
SCOPE OF YOUR REVIEW:
i EFFORT EXPENDED IN MAN-HRS. NOT INCL, DOCUMENTATION:
G QQ 4-REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*
If not on list, enter type here:
M i.ED_M M _E~cfflgd_______________
i Size of sample observed / examined during your review:
.p.L 5 D Estimated total population avail. during your review:
i Randomness of sample:(Enter R if random. B if biased) R___
If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
1R_50r445l83:23__
c.14 _ C.a 2 E4 c? tzq _ gi_ _ AC 2L__________
2
'
* Enter Alpha Code From Appropriate List
**P1 case print using one character per underifned space.
Please do not exceed a11ncated snares.
 
..I
.. +
I Pag 2 2 'of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief sunnary of deficiency:
(Use a separate page 2 for each deficiency)
_~~-__---_-~~__-_---
Specific location of the deficiency:
- - (Use YY-MM-DD Format)
Da;.e deficiency occurred:
_TuseNifHRE,(LifLicensee,AifA11eger,0ifOther)
Date NRC learned of deficiency:
Use YY-pM-DD Format)
Who first " discovered" deficiency:*
If other, enter source here:
s Number of known similar deficiencies:
((((---------------------------
REGULATORY OR OTHER REQUIREMENT /CODMITMENT NOT MET:
Applicable 10 CFR 50 Appendix 8 Criterion:
_ _ (Use arabic 01 thru 18.
Use NA if not applicable)
Other requirement or commitment:
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
Srpporting information or basis:
i I
CORRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes, N if No, U ff Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief summary of specific corrective actions.
- [ _~ - - [ [ [ [ [ [ [ [ [ [ _- [ [ [ - [ [ _- [ _- [ [ [ _- - [
Ifknown.)
i Broad QA/QC actions:
(Actions to identify potential similar deficiencies
________,___________________s___
due to QA/QC causes, and, to prevent recurrence of sinflar deficiencies in the future.)
8
,.,...w..,..
 
?
-s*
4 CPSES CONTENTION 5 DATA SHEET.
AD0!TIONAL C00MENTS THAT YOU MAY HAVE:
_ _ m _ _ m e m _ m m _ _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _ _
(Should you wish to provide any additional infomation, _ _ _ M _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ m _ _ _ _ m _
m _ _ m m _ _ _ _ _ _ m _ _ m _ _ _ _ m _ _ _ _ _ _ m _ _ _ m commente vi inte opinion, or other matter that
- m - - - - m M m - m - m - m - - m m - m - - - m m _ m m - -
you feel the contention 5 Panel should consider in making their findings please use this page to do so.) _ _ m _ _ _ _ _ m _ m _ m _ _ _ _ _ _ m _ _ m m _ _ m m _ _ _
e
- - - - m - M M = = m - - - - - - m m - m - m.. m. W e m m M M M M
M M m M m m m M e m m m m m m m m m m m m m m m m m e M M M M M M
M M m m m m m m m m m m m m m m m m m m m m m m e 9
0 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M
MyM M
M M
M M
M M M M
M M m m m M m m m m m m m m m m m m m I
m -
M
- m m - - - - - m m - - - m m m m _ _ _ _ _ m _ _ _ m _
M M
M M
6 M
M M
M m
W M
M W m m m m m m m m m m m m m m m m m M
m M
M M M M
m m M
M M
W e m m m m m m W
m M m m m m m M m m
M M
M M M M m m m m W M M M m m m m m m m m m m m m m m m m m M m m
M M
M M m W
M M
M m m m m m m m m m m m m m m m m m m m m m M
m M m m m m M M M M M m m M
M M
W m m m m m m m m m m e e
9 m - m m m m m - - m - - - m m m m - - - - - - m m m - m - m m m m m W
M M M M M M M M m m m m m m m m m m m M W m m m m m e m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m e m
M M
M M
M M M M M M
m m m m m W
M M
M M
M M M m m m m m m m 9
M M M M M m M M M M m W M M m m m M M M M M M M m m m m w e m M M M M m m M M m m M M m m m m M W m m m m m m m m m e m W M m e m W M m m m m m m m m m m m m m m m m m m m m m m m m m e a
m m m m m m M M M M M M M M M m M M M M M M M m M M M M m M M M M m m M W m W meM m M - M m M M M M M M M m M M M M W m M m O
m m m m m m m m m m m m m m m - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M M M m m m m m M m m m m m m m m m M W m m m m m m W m m M M M W e m M M m M m m m m m m m m m m m m m m m m m m m m m m m m M 6 m M M M
M M m m m m m m m m m m m m m m m m 6 m M
W m m W M M m m M M " M I
I m m m m m m m m m m m m m m - - m m - m m m - m m - m m m m e I
* 9
- - m - - m m - - - - - - - - - - m - - - - m - - - = m - m -
g H
I 9
'O
 
_ r
.;
* Y.
Ac-7J-Page'l of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
~
TRACKING NO: (For IE HQ Use)
YOUR NAME: (Last Name First) p G - Q Q g_ _ _ _ _ _
GROUP OR ORGANIZATION:
5______________________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
1 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
J SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
SG__
If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
* QIB8 If not on list, enter system here:
B E Ar C TQ E _ f E.f S 5 0 2.6 _ V liF 6 5 EL _ _ _ _ _ _ _ _
SPECIFIC COMPONENT OR ACTIVITY:
* 21 @ @,
If not on list, enter activity here:
gV________,_____________________
3 CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1, 2 or B) 2 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* B$__
If no.t on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
W If not on list, enter nature here:
SCOPE OF V00R REVIEW:
a EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
o Q j, p 4
REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*
If not on list, enter type here; i d U g c, T.t a, d _ E E _ W B E. E. _ _ _ _ _ _ _ _ _ _ _ a -
Size of sample observed / examined during your review:
Est'imated total population avail. during your review:
Randomness of sample:(Enter R if random, 8 if biased) 3 If biased, enter basis here:
A L L _6 L Lu. I ED_ P L.& T E S _ f fe ? I S 62._ h fi REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C. [ 6 _ C A T % O U _ 6 _ _ erg 2 Z 6_ _. _ _ _ _ _ _ _
\\
* Enter Alpha Code From Appropriate List
**". lease print using one character per underlined space.
Please do not exceed allocated spaces.
 
Y
. ~..
Pagr 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief susuary of deficiency:
~ ~ ~ ~ ~ ~ ~ - - - - ~ ~ ~ - - - - - - - - - - - - - - - - - - -
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
-- (Use YY-MM-DD Format)
Date deficiency occurred:
[ Tuse N' if HRE,(Use YY-MM-DD Format)
Date NRC learned of deficiency:
Who first " discovered" deficiency:*
L if Licensee, A if A11eger, O if Other)
If other, enter source here:
Number of known similar deficiencies:
s REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
__ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
Supporting information or basis:
CORRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief summary of specific corrective actions.
((((-[-[_-~_^((_-(([-[_-((_'-(((([_~((
if known.)
]
Broad QA/QC actions:
(Actions to identify potential similar deficiencies l
due to QA/QC causes, and, to prevent recurrence l
of similar deficiencies in the future.)
 
a Page*3 of 3
~
CPSES CONTENTION 5 DATA SHEET ADDITIONALCOMMENTSTHATY0dMAYHAVE:
gm ns TgT I gge sc,JEC) /J LL Til-Em 6eo m
- m
--m MTED_PL&IE6_eI_reE_BbO/SkE_sLEV (Should you wish to provide any additional information. _ _ _ m m m m _ _ w m _ m _ _ m _ m m _ _ W M _ m _ _ m m _ m comment. viewpoint. opinion, or other matter that you feel the Contention 5 Panel should consider in
_ _ m _ m _ - _ m _ _ _ _ _ m _ m _ _ _ m _ m _ _ m m m _ _ _
making their findings. please use this page to do so.)
-m
- m - m m - m - m - - m -
M
- m m - m - - m - - m m m M M
w w m m M
m m M
m M
m m m e - m - m m m m m m m - m m m m m m m m m m m m m m m m m m m m m m h m m m m m m m m m m m m m e m m m m m m m M
M m m m m m m m m m m m m M M W m m M W m m m m m m m m m m m m m m m m M
- - - m m m m m m m m m m m m m M
m m m m m m W M M m m m M
W m m m h m m m m M M
m m m m M M
M m m m m m m m m m m m m m m m m m m m - m m m m m - - m m m m m m m m m m m W W
m m m m m m m m m m m m m m W W m M m m M
M 9
m m m m M m m m m m m m m m m m M W m m m m m m m m m m m m e W
m m m m m m m m m m M - M M
m m m m M W M m W W W M M M W m M
M M
M M M m W M m m M M m 6
m m m m m M M M W m m m M
M e m
_ _ m _ _ m m m - m _ _ _ m m m _ m _ m m _ _ m m m _ M
- m m 4
m m m m - m m m m m m m - - m m m - - - m m - w m m - - - m m m m m m m m m m m m m m M M M m m m m m m m m M M M M M m m e m m m M M
M m m m m W
M m M m m m m m m m M m m m m - M M M M
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p q,6 Page'l of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
4 TRACKING NO: (ForIEHQUse)
YOUR NAME: (Last Name First)
D69686'7_______
GROUP OR ORGANIZATION:
5___________.___________.________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
8 i
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
* S C_ _
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ACCIDENT PREVENTION / MITIGATION SYSTEM:
* If not on list, enter system here:
OTHg SPECIFIC COMPONENT OR ACTIVITY:
* i If not on list, enter activity here:
: g. e gt,.y gg_ g.g g L yy _ _ _ _ _ _ _ _ _ _ _ _ _, _ _ _ _
CPSE,5 UNIT INCLUDED.IN YOUR REVIEW: (Enter'1,2 orb)
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PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* g g _. _
If.not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
g If not on list, enter nature here:
ggrca, g ps_ & g} D_ Wa gg._ M _ P g.pcq;ps_g_ _ _ _ ;
SCOPE OF YOUR REVIEW:
p p g.f-EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*.g g _
If not on list, enter type here:
L_
Size of sample observed / examined during your review:
#QO [
Estrimated total population avail, during your review: pQg;-
Randomness of sample:(Enter R if random, B if biased) g If biased, enter basis here:
hLLG6ADILE_____________________
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
D C 6 _(gfe(g3 _ _ _ _ _,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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Page '2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
oOQJ DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
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Specific location of the deficiency:
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#6470A_
&VIIT_____________
Date deficiency occurred:
_ _ (Use YY-MM-DD Fonnat) l Date NRC learned of deficiency:
5 Q - p p - g o (Use YY-MM-DD Format)
Who first " discovered" deficiency:*
8(UseNifNRC,LifLicensee,AifAlleger,OifOther)
If other, enter source here:
Number of known similar deficiencies:
d[)6D--------------------------
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
Q 5 (Use arabic 01 thru 18. Use NA if not applicable) 1 Other requirement or commitment:
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EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
l Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
L When considered with other known deficiencies:*
L Supporting information or basis:
I gg _ & & W A 6_1 LJ _ S 9 C 6 T J P1_ vjlf ?E _ &Q 69 RA5ek1_&EE&J
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CORRECTIVE ACTIONS TAXEN OR PLANNED:
(Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
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(Brief sumary of spectfic corrective actions,
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REFERENCE INFORMATION:
TRACKING ND: (ForIEHQUse)
YOUR NAME: (Last Name First)
D5Q1RQ.5 T_______
GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
8 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
* 4Q__
If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
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$ 9 U 6 W_ C, C.S EK. _ $ E 1 L.L W4_Y _ _ _ _ _ _ _ _ _ _ _
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S ca u & @ _C,2.cF M._ 6f 1 L. L WAY _ _ _ _ _ _ _ _ _ _ _
CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) 8 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW: *
$6__
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MATURE (TYPE) 0F YOUR REVIEW:
C If not on list, enter nature here:
g gG.g g 95_ A8 D_ E-l E L.D_1 *M E FG T J 9 *_d _ _ _
SC6PE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
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REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,g g _
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Size of sample observed / examined during your review:
opf.Q Estimated total population avail, during your review: 0.L 3 0 Randomness of sample:(Enter R if random. B if biased) g If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
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CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
- - (Use YY-MM-DD Fomat)
Date deficiency occurred:
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EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTI0n Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
Supporting information or basis:
CORRECTIVE ACTIONS TAKEN OR PLANNED:
(Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief sunmary of specific corrective actions,
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if known.)
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REFERENCE INFORMATION:
TRACKING N0: (For IE HQ Use)
YOUR NAME: (Last Name First) 6 &] M5_ T,,,, _ _,,, _ _ _
GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
PPIN',IPAL CONTENTION S AREA RELATED TO YOUR REVIEW:
SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
* G C_ _
If not on list, er.ter area here:
ACCIDENT PREVENTION /NITIGATION SYSTEN:
* Q _T&g If not on list, enter system here:
a.9 y L 61 a g.9_61) L L o Ly _ _ _ _ _ _ _ _ _ _ _ _ _
SPECIFIC COMP 0NENT OR ACTIVITY:
* O TLfif,.
If not on list, enter activity here:
6 9 %1.6.1 e.E.Y _ 61.6 6_ G C._ Ps F6 M _ _ _ _ _ _ _ _ _
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or 8)
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PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW: *
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4 NATURE (TYPE) 0F YOUR REVIEW:
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i REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* Q & Q,_
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l REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
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k CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORNATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
(Use a separate page 2 for each deficiency)
- - - - - - - - ~ ~ ~ - ~ ~ ~ - - - - - - - - - - - - ' _ - - ' - -
Specific location of the deficiency:
i Date deficiency occurred:
Use YY-MN-DD Fomat Date NRC learned of deficiency:
Use YY-MN-DD Format Who first " discovered" deficiency:*
[TuseNifNRc,LifLicensee,AifAiieger,OifOther)
If other, enter source here:
Number of known similar deficiencies:
((((~~~----'--------------------
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix 8 Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or committment:
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
[
S::pporting infomation or basis:
CORRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
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(([_-(((((((([~((((~((((~(([_-((_~
if known.)
Broad QA/QC actions:
(Actions to identify potential similar deficiencies 1
m due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
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Pag 2 3 ef 3 CPSES CONTENTION 5 DATA SHEET.
ADDITIONAL CopWENTS THAT YOU MAY HAVE:
m m m m m - M e m m - m M e m m m 6 m m m m e e m m m e m m M (Should you wish to provide any additional information, m _ M m m _ m m m _ _ m _ m m m m _ _ m m m m _ w m _ m m m m connent. viewpoint. opinion, or other matter that m m _ _ _ m _ m _ m _ m _ m m m m _ m m m _ M m m m _ m m m m you feel the Contention 5 Panel should consider in
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e m _ m _ m m m m m m _ m _ m _ m _ _ _ m _ m m _ W m m _ _ m m e m - m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m W W m m m m m m m m W m m m m m m m e W W W
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Ac.- 2 2, Paga'l of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (ForIEHQUse)
_______T_______
YOUR NAME: (Last Name First)
DEVEg9_
GROUP OR ORGANIZATION:
6______________________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
f PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
* 6,C. _ _
If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
QTQ.L2.
If not on list, enter system here:
C, o g I-hL O LAFLJT_ %3).t. L D LN.Cg _ _ _ _ _ _ _ _ _ _ _
OT jff SPECIFIC COMP 0NENT OR ACTIVITY:
If not on list, enter activity here:
En G I Q g._ $ 6 M L I Y _Ml M L. _ _ _ _ _ _ _ _ _ _ _ _
C.'>I;S UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2 orb)
.).
PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* 3g__
.If not on. list, enter contractor here:
h_________________7_gSpg4TLgef___
NATURE (TYPE) 0F YOUR REVIEW:
If not on list, enter nature here:
gigGq rg.ps _ pg ry _ p.t g.4.D _
SC6PE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
OoQ8 REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,q g _
If not on list, enter type here:
Size of sample observed / examined during your review:
Q_QQh._____.______________________
Estislated total population avail. during your review: pgQ$
Randomness of sample:(Enter R if random B if biased) g If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
c [ 6 _ C.g g % g t2.g _ _4 _ _ &.9. '3 5 _ _ _ _ _ _ _ _ _ _
"* Enter Alpha Code From Appropriate List e$P12ase print usina one character per under1tned snace.
Plane an nnt.ve..a niinent.a en c.e
 
l i
Page 2 of 3 CPSES CONTENTION 5 DATA SHEET l SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief sunnary of deficiency:
--- __- - _ - _ ~ _ ~ _ ~ _ - - _ _ - - - _ _ - - - _
_ _ _ _ - - _ ~ ~ - ' _ -
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
~~(UseYY-l#1-D0 Format)
Date deficiency occurred:
: TUse'N if NRE,(L if Licensee, A if Alleger, O if Other)
Use YY-MM-DD Format) i Date NRC learned of deficiency:
i Who first " discovered" deficiency:*
I If other, enter source here:
Number of known similar deficiencies:
~ [ [ [ "" ~ - - - - - ~ ~ '- - - - - - - ~ ~ ~ ~ ~ ~ - - ~ ~ ~~
g REGULATORY OR OTHER REQUIREMENT /C0f0f!TMENT NOT MET:
Use NA if not applicable)
Applicable 10 CFR 50 Appendix 8 Criterion:
_ _ (Use arabic 01 thru 18.
j Other requirement or connitment:
~ ~ ~ - - - - - - ~ - - - - - - - - - - - - - - ~ ~ - - ' ' - - - - ' -
EFFECT ON ASILITY OF COMP 0NENT OR SYSTEM TO FUNCTION:
j Your opinion of the degree of seriousness of deficiency
.This specific deficiency considered alone:*
i When considered with other known deficiencies:*
i
~
Supporting information or basis:
i l
CORRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes N if No, U f f Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief sumnary of specific corrective actions,
((-(([-((((~(((((((((((((((((([
if k"0""-)
Broad QA/QC acti;ms:
- - ~ - - ' ~ ~ ' ~ - - - - ~ ~ ' ' ' - - ~ - " ' ~ - - - - - - - - - -
(Actions to identify potential similar deficiencies
----~~-------~-'------'----- ~ ---
j due to QA/QC causes, and, to prevent recurrence of sfallar deficiencies in the future.)
~ ~ ~ ~ ' _ ' - - ~ ~ ~ ~ ~ - - - - ~ ~ ~ - - - ~ ~ ~ ~ ~
'anniTTnwat enmurwn tr<.....+. v 3.a...
.... o
* Al re.
v 44vs u 4,
u)
 
CPSES CONTENTION 5 DATA SHEET.
ADDITIONAL C0f9ENTS THAT YOU MAY HAVE:
M m - M m 6 m m - m m M m m - m - m - m m - M M m m m m - m m (Should ou wish to provide any additional information, m m m e m M M m M m m 6 m W
m m M - m m M M m m e m - m m m =
m m _ m _ m _ m m m m m m _ m m m _ m m m m _ _ m _ m m m m m comment. viewpoint opinion, or other matter that m _ _ m m _ m m m m - M _ m m m m _ _ m _ m m m _ _ m m m m m you feel the Contention 5 Panel should consider in making their findings please use this page to do so.)
e m m m - m m m m m m m - m m m m m m m m e m - m m m m - 6 m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e l
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e i
e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m h m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m u m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m W
M m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m W W m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e O
O 4
m m g e m m m m m m m m m m m = = m m m m m m m m m m m m - -
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e
9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m W W m m m m m m m m m m m m m m m m m m m m m m m m I
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m O
m m m m m W W e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e I
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m _ m m m _ m m m m _ m m m m m _ m m m _ _ _ _ m _ m e m _ m m m m m m m m m m m m m - m m m m m m - - m m m m m - - - m m D
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m j
m m m m m m m m m m m m e m m m m m m m m m m M w m M M M M
M
* 9 m m m m m m - m m m m m m m m m - m m - - m e m - m m m e - -
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Pag 2' 1 of 3 i
CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
4 REFERENCE INFORMATION:
TRACKING N0: (ForIEHQUse)
YOUR NAME: (Last Name First)
D G 3 4E C.S _ d _ _ _ _ _ _ _
l GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
i
-8 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
* CG__
~
If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
OT _4_R If not on list, enter system here:
M P 5 (nu erE.D 6 _ 6 V W Q M _ _ _ _ _ _ _ _ _ _ _ _
SPECIFIC COMP 0NENT OR ACTIVITY:
* 0%g If not on list, enter activity here:
M E= E 6 9 A g/) _ S1.p 4_ W d 5_ _ _ _ _ _ _ _ _ _ _
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2or8)
[
'-. PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* g__
If not on list, enter contractor here:
MATURE (TYPE) 0F YOUR REVIEW:
g If not on list, enter nature here:
SCOPE OF YDUR REVIEW:
i EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
pp0b i
REPRESENTATIVE TYPE OF ITEM CONSIDERE0 IN YOUR REVIEW:* g&g _
If not o.e list, enter type here:
Size of sample observed / examined during your review:
ogg L Estimated total population avail. during your review: a g g,j Randomness of sample:(Enter R if random B if biased) g If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
Gj f _ C, Ay g4 o g.y _ 4_ _4 C _ 3 4 _ _ _ _ _ _ _ _ _ _
l L
'o Enter Alpha Code From Appropriate List l
o*Please print using one character per underlined space.
Please do not exceed alineated snace=.
 
s Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION 0F EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief sununary of deficiency:
- ~ ~ - ' - ~ ~ - ~ ~ ~ ~ ~ - - - - - - - - - - - - - - - - - - - -
(Use a separate page 2 for each deficiency) l Specific location of the deficiency:
j i
l Date deficiency occurred:
-~
-- (Use YY-MM-DD Fomat)
[ Tuse N' if NRE,(L if Licensee, A if Alleger, O if Other)
Use YY-MM-DD Format)
Date NRC learned of deficiency:
Who first " discovered" deficiency:*
If other, enter source here:
Number of known similar deficiencies:
((((--~'-------~-----~-~~-~~~-'--
s i
REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET:
Use NA if not applicable)
Applicable 10 CFR 50 Appendix 8 Criterion:
_ _ (Use arabic 01 thru 18.
Other requirement or constituent:
~ ~ ' - - - - - - ~ ~ - - ~ - ~ ~ ' - - - - - - - - - - - - - - - -
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
)
Supporting triforination or basis:
j q
4 C0RRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes. N if No U if Unknown / Uncertain)
Specific actions to correct deficiency:
(8rief sununary of specific corrective actions.
[ [ [ [ ~ [ [ [ ~ [ [ [ _~ [ [ [ [ [ [ [ [ [ _~ [ [ [ _ _' _- [ [,
if known.)
________._____________________-_l
,i
)
l Broad QA/QC actions:
4 j
(Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
3 ocmemm -,.
u,..
... ;.. s 1
 
Pagi 3 ef 3 CPSES CONTENTION 5 DATA SHEET AD0!TIONAL C0pmENTS THAT YOU MAY HAVE:
(Should ou wish to provide any additional infonnation.
comunent e viewpoint, opinion, or other matter that you feel the Contention 5 Panel shnuld consider in making their findings, please use this page to do so.)
l 4
4 a
e e
 
N, -
~.
AC -
Pag 51 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED'**
1 REFERENCE INFORMATION:
TRACKING NO: (For IE HQ Use)
YOUR NAME: (Last Name First.)
p ]-] L Q o_ g_ _ _ _ _ _
GROUP OR ORGANIZATION:
5______________________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
8 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
i SUBJECT OF YOUR REVIEW:
TOPICAL AREA: *
$C__
If not on list, enter area here:
4 QTh_g___________________________
ACCIDENT PREVENTION / MITIGATION SYSTEM:
* If not on list, enter system here:
C, p @ I A L u g g g I _ S g t L p M g _ _ _ _ _ _ _ _ _ _ _
SPECIFIC COMPONENT.OR ACTIVITY:
* Q I g 12, If ::ot on list, enter activity nere:
C, o g T A _! e M E FT_ D e 8.F_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
s CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1,2 orb)
[
gg__
i PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* l If not on list, enter contractor here:
)
2 NATURE (TYPE) 0F YOUR REVIEW:
]
If not on list, enter nature here:
i SCOPE OF YOUR REVIEW:
'i EFFORT EXPENDED IN MAN-HRS NOT INCL. DOCUMENTATION:
~Op2.f-REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* Q gg_
If not on list, enter type here:
Size of sample observed / examined during your review:
6pq{
3 Est,imated total population avail. during your review: OQQ {-
{
Randomness of sample:(Enter R if random, B if biased) @
If biased, enter basis here:
g,L_L_ g,E_,pgu g._ P % _ 12 L 6 S PS :q LS ___
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
: 3. 8 _ 4-4 5 / T 9.
L L _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
i NCB_C.
191B_____________________
: c. L s _ C, A I sh a E-S _.3 _ AC = & 4 _ _ _ _ _ _ _ _ _ _ _
j b
~
I '
* Enter Alpha Code From Appropriate List
**Please print using one character per underlined space.
Please do not exceed allecated spaces.
i
 
Pag 3 '2 of 3 CPSES CONTENTION 5 DATA SHEET.
SPECIFIC INFORMATION RELATED TO THE DEFICIP4CIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWEU:
Oppl DESCRIPTION OF EACH SPECIFIC DEFICIENCY IOU REVIEWED:
Brief sumary of deficiency:
La g C,t? Ei'.IB _ W er 5_ E 1- & C E D _ L M _ T t! E _ P o_ M E (Use a separate page 2 for each deficiency)
_ 9 E _11 g 12 _1_ us i r # 0 u I_ G C._ A E!' f 8 o V a. L _
Specific location of the deficiency:
U g j T. _1_ C o.g,7 a._t g,$ stJ r _ Do p g _ _ _ _ _ _ _ _
Date deficiency occurred:
7 $ - pl
_l$ (Use YY-MM-DD Fomat)
Date NRC learned of deficiency:
"1 og
- if NRf,(L if Licensee, A if Alleger, 0 if Other)
Use YY-MM-DD Format)
Who first " discovered" deficiency:*
8(UseN If other, enter source here:
Number of known similar deficiencies:
[2666------------''--------------
i REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
J O(Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or comitment:
i EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
L When considered with other known deficiencier:*
j, Supporting information or basis:
.p O M _ g,4 $ _ p g g Q F D_ $ p gelQ _ g a T t{ __S.5/ _ Q L.T E 89B M IC., _ TE6 T i tJ 4 _ 4 u o _ GT E.o c. T u rL a
_ _ _ _ _'I~Bfg &d 'I M _ I ES T l M (q _ _ _ _ _ _ _ _ _ _ _ _
k_LM CORRECTIVE ACTIONS TAKEN OR PLANNED:
d (Use Y if Yes, N if No, U if Unknown / Uncertain) i Specific actions to correct deficiency:
(Brief sumary of specific corrective actions.
[ [ [ [ [ [ [ [ [ [ [ [ [ [ - [ [ [ [ _ _- - [ [ - [
_~ _^ [ _^
if known.)
Broad QA/QC actions:
QgiE J.C.
-[ g7_ Q.t gel _Cf_ g/ _f (.,,l_-. _6 G _ & fa f E65 6Q _9,z Y (Actions to identify potential similar deficiencies g[ q,C 49_ pa L2.T _ e e _ p\\lg g. 6_LL._ PL due to QA/QC causes, and, to prevent recurrence GQ C 6 A4.Pid f.LC' _ G-EM L EW _ C2 d CE/Ed i dlly _ PS of similar deficiencies in the future.)
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CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
4 REFERENCE INFORMATION:
i TRACKING N0: (For IE HQ Use YOUR NAME: (Last Name First
? MLL@p_g______
GROUP OR ORGANIZATION:
f,______________________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
* S C._ _
If not on list, enter area here:
l ACCIDENT PREVENTION / MITIGATION SYSTEM:
OIt}I2 l
If not on list, enter system here:
g> & I: g(a M A E.f>_ LL d I>_ C Q M I &.L eJ # FM I _ 6 L Q 66 t
l SPECIFIC COMP 0NENT OR ACTIVITY:
* p7tf g, j
If not on list, enter activity here:
%& E E6 D A G-D _6465 # A T / C e d I_.P19 P R_ _ _
{
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B)
J PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* 3g__
If not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
g If not on list, enter nature here:
SCOPE OF Y0ER REVIEW:
l EFFORT EXPENDED IN MAN-HRS, NOT INCL, DOCUMENTATION:
eq1Q REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*.Q&g_
If not on list, enter type here:
l Size of sample observed / examined during your review:
p p QS.
Estimated total population avail. during your review:
Q Q 2, j
Randomness of sample:(Enter R if random B if biased)
If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C],6_C,M E(no n _s__4c,_35.__________
i
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'** Ent;r Alpha Code From Appropriate List
_ **P100EDEPfot cI31gl@D Ghwwtw EW Gnd2711ned g@co, Plano dn mt co;ccr3 011ncated enac c
 
Pag 2 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
(Use a separate page 2 for each deficiency)
(([-(([_~__-((((~(((([~((((((((((
Specific location of the deficiency:
(Use YY-MM-DD Format)
Date deficiency occurred:
[ Tuse N if NRf,(Use YY-MM-DD Fomat)
Date NRC learned of deficiency:
L if Licensee, A if Alleger, 0 if Other)
~ Who first " discovered" deficiency:*
If other, enter source here:
Number of known similar deficiencies:
((((~~--------------------------
s 1
REGULATORY OR OTHER REQUIREMENT /COPMITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or constituent:
EFFECT ON A81LITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency
-This specific deficiency considered alone:*
When considered with other known deficiencies:*
[
Supporting information or basis:
1 CORRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief sununary of specific corrective actions.
((((((((((((~_-((((((((((((((_-((
if known.)
Broad QA/QC actions:
(Actions to identify potential similar deficiencies 1
due to QA/QC causes, and, to prevent recurrence of sinflar deficiencies in the future.)
.e
 
g.
v
~
CPSES CONTENTION 5 DATA SHEET ADDITIONAI. COPMENTS THAT YOU MAY HAVE:
(Should you wish to provide any additional information, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
connent, viewpoint, opinion, or other matter that you feel the Contention 5 Panel should consider in making their findings, please use this page to do so.)
4
_ _ _ _ m m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ M _ _ _
_ _ _ _ m _ _ _ _ _ _ _ _ _ m _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _
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_ m _ _ _ _ _ _ _ _ _ _ _ _ m m _ _ _ _ _ _ m _ _ _ m _ _ m _
_ W _ _ _ _ _ _ M _ _ _ _ _ _ _ _ m _ _ _ _ m _ _ _ _ _ _ _ _
_ _ _ _ M _ _ W M _ W m _ _ _ _ _ _ _ m _ _ _ _ _ _ _ m M _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ _ _ -
e
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_ _ _ _ _ _ _ _ _ _ m m _ _ 6 6 _ _ _ _
m _ m m _ _ _ _ _ _ _ _ m m _ m m m _ _ _ m m _ _ _ _ _ _ _ _
i I
 
AC-S L Pag 2 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING MO: (For IE HQ Use)
YOUR NAME: (Last Name First) 9_8.LLLGC)*_8______
GROUP OR ORGANIZATION:
5_____
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
* SC,__
If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
: 07M12, If not on list, enter system here:
A L L._ C. o#C.E.5IE_ 6TE n c/TS E_ES_ _ _ _ _ _ _ _
SPECIFIC COMPONENT OR ACTIVITY:
QIy2 If not on list, enter activity here:
CogC,g.gTg_STg,gG,7vfLE5____________
s CPSES UNIT' INCLUDED IN YOUR REVIEW: (Enter 1,2or8)
S g[R _ _
PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* If no.t on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
g
- If not on list, enter nature here:
~ SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
opfb REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* Q a g _
If not on list, enter type here:
Size of sample observed / examined during your review:
0 0 h (_g _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _,
Estimated total population avail, during your review: OQ3@
Randomness of sample:(Enter R if random, B if biased) S If biased, enter basis here:
ALLEGATJod_____________________
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C, / 6 _ C g I g Q p (L Y _ 5 _ _4 G. h 4 _ _ _ _ _ _ _ _ _ _ _ :
1
'* Enter Alpha Code From Appropriate List ocPlease print using one character per under11ded space.
Please do not exceed allocated spaces.
 
7 7-CPSES CONTENTION 5 DATA SHEET i
SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW I
TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
OOQ1 i
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
8Jil7 EE6 I 6_ 0. G _ CQ. L1.C I-SI1ii 8 3 I d 6 b90.1,
(Use a separate page 2 for each deficiency) e py_ # A g e E g _ W g rl,g _ d 27_ _ C,6 g.g.1 E Q _ E Q.T_
Alp _ fg FC,,1 F 4_ C,q d Cg_G rf _ pfg.gg I pg, gip Specific location of the deficiency:
1 Date deficiency occurred:
-0
- QO (Use YY-MM-DD Fonnat)
Date NRC learned of deficiency:
-p (Use YY-MM-DD Format)
Who first " discovered" deficiency:*
Use N f
, L if Licensee, A if Alleger, 0 if Other)
If other, enter source here:
l Number of known similar deficiencies:
Mdd---------------------------
REGULAJORY OR OTHER REQUIREMENT /COPMITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
g8(Usearabic01thru18 Use NA if not applicable)
Other requirement or commitment:
- - - - - - - - " ' - - - - - - - - - - - - - - - - - - - ~ ~ - -
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This-specific deficiency considered alone:*
Q When considered with other known deficiencies:*
g,)
Syg, LQ_ u 5 g gGS _ C4 t A PT_ B F_ DW I F Adf; NE Supporting information or basis:
D _ Q M X L G _ bC Bl eDI_8 A MM96_ TE ST - - - -
CORRECTIVE ACTIONS TAKEN OR PLANNED:
g(UseYifYes,NifNo,UifUnknown/ Uncertain)
Specific actions to correct deficiency:
(Brief sumary of specific corrective actions.
(((((((([-((((((((--(((([-[__-((
ifknown.)
Broad QA/QC actions:
BE_ & S.S ES S ED _ B Y _
QgP_tGJ.]e~.dQ1_dLkLtJC_86_P&8T_E6_QMFEd44PE (Actions to identify potential similar deficiencies 7g7_GB d'ue to QA/QC causes, and, to prevent recurrence oG&aoggA7.LG_EgyLEv_Ce#CEg#LM
_ P _E of similar deficiencies in the future.),
g G _ o g D g g, _ C d T _ h _ S ? _ I d.5F_ E rr I I E _ _ _ _
,...-,n d ris-,
v 44 vA,-
u < < ua anntrrnuni enuurure t r <....
- + -v
 
l l 1 I I I I I I I I I I I I I I I I I I I I I I I l l t i I I l l l 1 1 I I I I I I I I I I I l I I l i I I I l i I I I I i 1
~
l i I I i 1 1 I l i l I i l i l i l 1 1 I I I I I l i I l l l l l l l l l l l l l 1 1 I I I I I I I I I I I l i I I I I I I l l l l l l 1 1 I I I I I i i l I I I I I I i 1 1 1 l i I I I I I I
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l i I I I I l l l l 1 1 I I I I I I I I I I I I I I I i l I I I o
i I i i i i i l i I I i 1 1 I I I I I i 1, 1 1 1 1 I I I I I I I c) 1 I I I I l i I i 1 1 I I I I I I I I I I I I I I I I I i i i 1 y
i I I I I I I I I I I I I I I i l l I I I I I I I I I I I I I I e
i I I I I I I I I I I I I I I I I I I I I I I l i I I I I I I I I I I I I I I I I I I I l'
I i l I I i l i I i 1 1 I I I I I I I l l I I I I I I i l l I I I I I I I I I i 1 1 1 1 1 I I I I I I I i l l l l t i l i l I I I I I I l i I i 1 1 1 1 I l i I I I I I I I I I I I I I I I I I I I i i i I i i i I I I i 1 1 I i 1 1 I I I 1 l l 1 1 I I I I I I I I I I I I I i i i I I I I
'l I i l i i i 1 I I i i i l i I I I I I I I I I i 1 1 1 1 I I I I I I I I I I I I I I i i I I I i i i i l i I I I I I I i 1 I I I l I I I I I I I I I I I I I I l l I I i l i l i I I I I I I I I I I i i i i l i I I I I I I I I I I I I I I I I I l i I I I I I I I i 1 l l l 1 I I I I I I i 1 1 I I i 1 1 I I l i I i 1 I I I i
: 1. I I I i l l I I I I I I i 1 1 I I I i i l I I I I i l I I I I I I I I I I I I I I i l l 1 1 I I i i l i I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I
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g i I I I I I i i 1 1 I I i 1 1 1 I I I I I I I I I I I I I I I-I z
1 I i 1 i i l i I I I i i i I I i 1 I I i 1 1 1 I I I I I l 11 I I I l l I I I I I I I I I I l l l 1 I l l 1 I I I I I I I I I g
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i I I I I I I I I I I I I I I I l 1 i l l-l l 1 1 1 1 1 I I I i g
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'.1 Ac-E? -
j Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING N0: (ForIEHQUse)
YOUR NAME: (Last Name First)
D E1J 12 4r _7_ - _ _ _ _ _
GROUP OR ORGANIZATION:
5>_ _ _ _ _ _ _
i SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
8 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUSJECT OF YOUR REVIEW:
TOPICAL AREA:
* 6 C.
If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
* O fg g.
If not on list, enter system here:
f_L.L._ G.g gj C _ g,_T g.g p y ij g E _ _ _ _ _ _ _ _ _ _ _
)
SPECIFIC COMPONENT OR ACTIVITY:
* aTgg If not on list, enter activity here:
f.j,,4. _ 4p g c._ fyg.p p.7 p g.gf, _ _ _,, _ _ _ _ _ _ _ _
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1. 2 or B)
S PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* gg__
If not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
If not on list, enter nature here:
g c,Q ED 6_ Atj O _ Et g_L,Q _ [d6 9 FCJ LQ_d _ _ _..
~ SCOPE OF YOUR REVIEW:
REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* q f.( @
EFFORT EXPENDED IN MAN-HRS. NOT INCL. DOCUMENTATION:
OQQ i
If not on list, enter type here:
Size of sample observed / examined during your review:
a 02.3 Estimated total population avail. during your review: p3gQ Randomness of sample:(Enter R if random. 8 if biased) g If biased, enter basis here:
REFEliENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
cj6_ C A T g4 a y _ 2. _ _ s c Z 3_ _ _ _ _ _ _ _ _ _
~
'o Enter Alpha Code From Appropriate List
)
ocP1 ease print usino one character oer underlined space.
P1.as an not.ve..a niincat.d <nac.c
 
I
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Pag 2 2 cf 3 CPSES CONTENTION 5 DATA SHEET SprCIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i,
1 TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
4 Brief summary of deficiency:
(Use a separate pace 2 for each deficiency)
- - _ - - - ~ - - - ' - - - - ' _ - - - - _ _ - - ' - - _ - - - ' - - -
Specific location of the deficiency:
--(UseYY-2-DDFormat)
. Date deficiency occurred:
[ Tuse-N if HRE,(Use YY-MM-DD Format)L if Licensee, Date NRC learned of deficiency:
' Who first " discovered" deficiency:*
If other, enter source here:
Number of known similar deficiencies:
((['--------'--------------------
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix 8 Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
[
Supporting infomation or basis:
C0RRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief susunary of specific corrective actions.
(([_-[_-((((((((_-(((((((((((([_-((
if knwn.)
Broad QA/QC actions:
(Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.).
 
~
Paga 3 ef 3 CPSES CONTENTION 5 DATA SHEET.
A00!TIONAL CON 4ENTS THAT YOU MAY HAVE:
m m m m m e m m m - m - - m - m - m m m W m m m W m m m -
_ _ m m _ _ m m m m m m m _ _ m m m _ m _ m _ m m _ _ m m (Should you wish to provide any additional information, m M M m M m m m m m m m m - - m e m m m m m - - - m m m m consent. viewpoint. opinion, or other matter that
_ _ _ M m m m m m _ m _ _ _ _ _ _ _ _ _ m _ m m m m m _ m you feel the Contention 5 Panel should consider in snaking their findings please use this page to do so.) _ _ _ _ _ _ _ m _ m _ m m _ _ m _ _ _ m m m m m W M m m m e
m m m - - m m m m m m m m m m m - m m m m. - - m - m m e u m M m m m m m m W W M m m m m m m m m m m m m m m m m m i
j m m m m m m m m m m m m m m m m m m m m m m m m m m m m m o
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M W m m m m m m m m m m m m m m m m m m m W m m m m m m j
m m m m m m m m m - m - e m m m m m m m e - - m - - m m e j
. m - - - - = M m m m m m - m m - m m m m m - m m m - m m 1
m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e
m m m m m m m m M m m m m m m m m m m m m m m m m m M e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M m m m m m m m m m m m m m m m m m m m m m m m m m m m m O
I m e g e m mm m m m m m m m m m m m m m m m m m - - m m e m m m m m m m m m M W m m m m m m m m m W M W m m m m M M M m m m m m m m m m m m m m m m m m m m m m m m m m m m e M = = - m m m m m m m m m m m - m m m W W M M - m m m m -
9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m W W W W m M m W W W W e m m W W M e m m m m m m m m m m W m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 6
m m m m M M M M m m m m m m m m m W W m W W W m m m m m e e
M M W m M M M m mem m W W W m m m M m M M m m m m m m m M 1
m m m m m m H m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m W W M M m m m m m m m m m m m m m m m m m m m m m m m m m m m m m '
M W m m m m m m W M m m m m m m m m m m m m m m m m m m e
- m - m m _ _ m. m m _ m m m m m m m m m m m e - - - m m
- - m m m m m m m m e - m m - m e m m m m m m - m - m m e I
* 9 m m m m m m m - m - - m - m - m - - - - m - - m m m m - m l
9 e
 
~'."I kC-7 h
* Pag'e 1 of 3 i
CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
i REFERENCE INFORMATION:
i TRACKING NO: (ForIEHQUse) j YOUR NAME: (Last Name First) 6g9@5~T_______
GROUP OR ORGANIZATION:
i l
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
,f PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* i SUBJECT 0F YOUR REVIEW:
TOPICAL AREA:
* 6C-__
If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
* f.TG gL.6_GQd_C-_ 6TE-WGT R_/L_G$__________
O If not on list, enter system here:
j j
SPECIFIC COMPONENT OR ACTIVITY:
* p y}} g.,
If not on list, enter activity here:
er g _ p p p(,._ Gyg. y g yg _it.gts_ _ _ _ _ _ _ _ _ _ _ _
j CPSES UNIT IKLUDED IN YOUR REVIEW: (Enter'1, 2 or B) g i
PRIKIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
S g,_ _
If not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
* 1 l
If not on list, enter nature here:
Go g.pg_ e g D _ _/ 2 syr_LQ_ ge/fegC. T,t, e A]_ _ _
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS NOT IKL. DOCUMENTATION:
O2Q6 i
REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* q f g,_
If not on list, enter type here:
Sire of sanple observed / examined during your review:
.g o Es'timated total population avail. during your review: 03 Randomness of sample:(Enter R f f random, B if biased) [
If biased, enter basis here:
j REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
c_,,/ 6_ C AT g4 o M _ 2 _ _ & C, r 1,3_ _ _ _ _ _ _ _ _ _
3, I
_______________________________3
)
j
'* Enter Alpha Code From Appropriate List i
ocPlease print usino one character per underifned snace.
P1. ace an nat.ve..d niincat.d en.c.e
 
l l
l l
Page 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i
TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief suunary of deficiency:
(Use a separate page 2 for each deficiency)
I Specific location of the deficiency:
j
. Date deficiency occurred:
Use YY-M -DD Fo: mat Use YY-MM-DD Format Date NRC learned of deficiency:
Who first " discovered" deficiency:*
[TuseNifHRE,LifLicensee,AifAlleger,0ifOther)
I If other, enter source here:
Number of known similar deficiencies:
((((""---------------------------
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix 8 Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
EFFECT ON ASILITY OF COMP 0NENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
Supporting information or basis:
C0RRECTIVE ACTIONS TAKEN OR PLAMED:
_ (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief suunary of specific corrective actions, ifknown.)
Broad QA/QC actions:
(Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.).
 
Pdge 3 cf 3 CPSES CONTENTION 5 DATA SHEET.
AD0!TIONAL C0fetENTS THAT YOU MAY HAVE:
M - m - = m - - - - - = - - - - m m - - m - - - m - - m - m (Should you wtsh to provide any additional information.
m.. - - - - - - M m - m m - m m m _ m - m - - - m - m - - m
- - - - - - e e - m - m - - - - - - m M -
-m
- e - - M - -
commente viewpoint, opinion, or other matter that M - m - - - - m - - - m m _ m m - m - m - - - m - m e e - m you feel the contention 5 Panel should consider in making their findings please use this page to do so.)
m um m - - m m - m - m - - - - e - - - m - - m - - m - m m e
- - m m m - = = m - - m - - - - - m - - - m m m m m. - - -
M W W W %m m m m m m M m m m m M e m m m m m m m m m m m -
- m - m - m - m - - - - - m m - - - - - m m m m m m m m - -
D 9
M m m - M M m m m m m m m m m - m m m m m m m m m m m m m e W M M M M m M M M M M m m m m m m m m m m m m m m m m m W -
m - m - m m - m - m - m e m - m m m m m m m m m m m m m m e W W W m M M M M M m M m m m m m m m m m m m m m m m m m m e O
M M W m m m M M M M m m m m m m m m m m m m m m m m m m m -
M W W W m m W m M e m M M 6 m m m m m m m m m m m m m m m m M m m M M M m m m m m m m m m m m m m m m m m m m - m e m e W W W W M m m M m m M M e m m m m m m m m m m m m m m m m e G
J G
q
- - g - - - - - - - - - - - - = = = m - - m e m m e - - m m m m m m m m m m m m m m m m m m m w - - m - m m m m - m m m m M m M w M M M M M M M M m m m M m m m - M M M M O m M M M M M m m m m M M M M M M W e m e m M m m m m m m W 6 m W m M W m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M m M M m M m M O M M M M M M m e m M M m m M M - m - m m m W W m M M m m m m m m m m m M W m m m m m m m m m M M m m e m M M m W m M 6 m m m m m m m m m m m m m m m M m m m m m e M M M W m O m m Me-
- m M m M M - m e m m M m m M m W W W m M M M M M - M M M M 6 m h W W m m m m m W W W W m W W W m m m m m m m m m m m m m h m m m m m m m m m m m m m m m m m -
m m m m m m m m m - M M w M m m m m m m m m m m M M M M M M m m m m m m m m m m m m m m m m m m m m m Sa m M M m m M M M m e m e m m m m m m m m m m m
* M m m m m 6 M m M W 6 M W m e n e m m m m m m m m m m m m m m m m m m m m m m M M W m W
* 9 m m. - -. m m e - - - - - - - - - - - - - - - - - - - - =
9 9
I e
e
 
Page'1 cf 3 CPSES CONTENTION 5 DATA BASE INPUT.5HEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING N0: (ForIEHQUse)
YOUR NAME: (Last Name First)
D 5 0 ili @ 6 _ 7 _ _ _ _ _ _ _
GROUP OR ORGANIZATION:
6_______________________------_
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
A PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
* SUBJECT OF YOUR REVIEW:
TOPICAL AREA: *
$C__
If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
Q T [p _(2.
If not on list, enter system here:
&L. L _ ?.2 9.GB FIE_ d T i?.V. 4 IV/5 ?6_ _ _ _ _ _ _ _
SPECIFIC COMP 0NENT OR ACTIVITY:
g I Sg.
If not on list, enter activity here:
M,.L _ G q d cg.gIE _ 6 I S V GT y rl F6_ _ _ _ _ _ _ _
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1,2 orb) 3 j
PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
* gg__
If not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
C.
i If not on list, enter nature here:
g FCQ.6-Q6_ er bl D_ E LE.L.D_ L 4 5 6 FGT1 Q el _ _ _
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
p 00 $
REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,Qhd_
If not on list, enter type here:
Size of sample observed / examined during your review:
a op3 Esti6ated total population avail. during your review:
o pq 3 Randomness of sample:(Enter R if randon, 8 if biased) g If biased, enter basis here:
l l
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C. / 6, C, a y g4 o g.y _ 2._ _ 4 Q. c Q _ _ _ _ _ _ _ _ _ _
a i
* Er.t';r 8)pha Code From Appropriate List ocplance nrint usinn nne charartor ner underlined <n=c.
p1....
da oo+
..r..a
.iior.+.a....,
j
 
a
~
Pag 2 2 'cf 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED'TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
GESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
--------------~~---------------
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
(Use YY-M-DO Fomat)
. Date deficiency occurred:
- - (Use YY-M-DO Format)
Date NRC learned of deficiency:
Wh) first " discovered" deficiency:*
:TuseNifNRE,LifLicensee.AifA11eger,0ifother)
If other, enter source here:
Number of known similar deficiencies:
((((~~~~-~~--~'~~--~~~~~~~~-----
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix 8 Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
----~~-~----~-----------~------
EFFECT ON ABILITY OF COMr9NENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
Supporting information or basis:
CORRECTIVE ACTIONS TAKEN OR PLANNED:
(Use Y if Yes, N if tio, U if Unknown / Uncertain)
Specific actions to correct deficiency:
[______________________________
(Brief sussiary of specific corrective actions.
if known.)
Brcad QA/QC actions:
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Forwards Completed Data Input Sheets for Civil/Structural Group Re Contention 5
ML20199H445
Person / Time
Site: 05000000, Comanche Peak
Issue date: 03/15/1985
From: Shao L
NRC - COMANCHE PEAK PROJECT (TECHNICAL REVIEW TEAM)
To: Fisher B
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE)
Shared Package
ML17198A302 List: ... further results
References
FOIA-85-299, FOIA-85-59, FOIA-86-A-18 NUDOCS 8607030314
Download: ML20199H445 (145)
v • d • e


Text

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UNITED STATES NUCLEAR REGULATORY COMMISSION

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j W ASHINGTON, D. C. 20555 MAR 151985 i.

MEMORANDUM FOR:

B. Fisher, Technical Assistant, Division of Emergency Preparednes

~

and Engineering Response, Office of Inspection and Enforcement FROM:

Comanche Peak Technical Review Team L. Shao, Group Leader, Civil / Mechanical Groups Sl/b3ECT CPSES CONTENTION 5 DATA BASE Pft9M:

Enclosed are the completed Input Data Sheets from our Comanche Peak Civil /

Structural Group. The data sheets from the Mechanical / Piping Group will start coming to you next week.

If you have any questions concerning our Contention 5 Data Base input,

~ please contact Bob Masterson (X 37687) or Vic Ferrarini (X 37680).

,_..)

L. C. 5 ao, roup Leacar Civil / Mechanical Groups Comanche Peak Technical Review Team

Enclosure:

As stated cc:

D. Eisenhut V. Noonan E. Jordan "O

h.

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Pagd 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET l

ITEM TO BE CONSIDERED DATA TO BE ENTERED **

REFERENCE INFORMATION:

TRACKING N0: (ForIEHQUse)

YOUR NAME: (Last Name First)

H5P49srt_c_____

GROUP OR ORGANIZATION:

SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:

PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SUBJECTOFYOURREVIEW:

TOPICAL AREA:

  • If not on list. enter area here:

12.F.L til:D E-f FeEMT_ C Q T _TJ LJ6)_ _ _ _ _ _ _ _ _ _

Preg.

ACCIDENT PREVENTION / MITIGATION SYSTEM:

  • If not on list, enter system here:

tJ.9_ G G E.1 E:1 6 _ G N S I E.A_4_ _ _ _ _ _ _ _ _ _ _ _ _

SPECIFIC COMPONENT OR ACTIVITY:

  • p ng.

j If not on list, enter activity here:

g,o,g ta; y 4 _ a p _ p g.!,g,/,_ S L I 6 _ _ _ _ _ _ _ _ _ _

CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2or8) 3 PRINCIPAL CONTRACTOR 19VOLVED WITH YOUR REVIEW:

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i If not on list, enter d wtractor here:

NATURE (TYPE) 0F YOUR P ET E

  • R If not on list, entev M*' % here:

Fq(, G14 A f g;;_ Ogp pgs,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

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REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*. gag _

If not on list, enter type here:

Size of sample observed / examined during your review:

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If biased, enter basis here:

REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:

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'a Enter Alpha Code From Appropriate List

    • Please print usino one character per underlined snace.

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s Pag 2 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:

DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:

Brief summary of deficiency:

~~-----~~~----~~--

(Use a separate page 2 for each deficiency)

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Ilse YY-M-DD Forwat Date deficiency occurred:

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Use YY-M-DO Format Who first " discovered" deficiency:*

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If other, enter source here:

Number of known similar deficiencies:

((((~~~~~~~~~~~-------------~~~

s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:

Applicable 10 CFR 50 Appendix B Criterion:

_ _ (Use arabic 01 thru 18. Use NA if not applicable)

Other requirement or commitment:

EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:

Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*

~

When considered with other known deficiencies:*

Supporting information or basis:

[ _(Use Y if Yes, N if No, U if Unknown / Uncertain)

CORRECTIVE ACTIONS TAKEN OR PLANNED:

Specific actions to correct deficiency:

(Brief summary of specific corrective actions, if known.)

Broad QA/QC actions:

1 (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)

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Pagi 3 cf 3 CPSES CONTENTION 5 DATA SHEET.

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TRACKING N0: (ForIEHQUse)

YOUR NAME: (Last Name First)

@ d @ j ~g.M g.,,- C.,_____

GROUP OR ORGANIZATION:

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SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:

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Page '2 of 3 CPSES CONTENTION 5 DATA SHEEi SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:

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YOUR NAME: (Last Name First)

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GROUP OR ORGANIZATION:

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TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:

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Paga 3 of 3 CPSES CONTENTION 5 DATA SHEET.

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_ _ _ _ _ _ _ - - _ _ _ _ - - _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ i ADDITIONAL COMENTS THAT YOU MAY HAVE:

i (Should ou wish to provide any additional information.

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SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:

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TOPICAL AREA:

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SCOPE OF YOUR REVIEW:

EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:

OQL REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR l

If not on list, enter type here:

l Sire of sample observed / examined during your review:

O pl Q Estimated total population avail, during your review:

Randemness of sample:(Enter R if random, B if biased) R_t ci,o p

l If biased, enter basis here:

l REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:

3.[ $ _ Cp gif p gj_ l {_ _ AC - 18_ _ _ _ _ _ _ _ _

j l

'* Enter Alpha Code From Appropriate List 4

    • f700Doo fD70E0 ea0m ano cGoreew aa7 autritned <n=ce.

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Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i

TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:

i DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:

Brief sumary of deficiency:

- - - - - - - - - - - - ~ ' - - - - - - - - - - - - - - - - - - -

(Use a separate page 2 for each deficiency) 4 l

Specific location of the deficiency:

1 4

Use YY-m-DO Fomat Date deficiency occurred:

Use YY-M-DD Fomat Date NRC learned of deficiency:

Who first " discovered" deficiency:*

~ Tuse N if WRE, t if ticensee, A if Aiieger, 0 if other) i If other, enter source here:

Number of known similar deficiencies:

[ [ [ [ - - - - - - - - - - - - - - - - - ~ '- - - - - - - - -

j s

REGULATORY OR OTHER REQUIREMENT /Co m ITMENT NOT MET:

Applicable 10 CFR 50 Appendix B Criterion:

_ _ (Use arabic 01 thru 18. Use NA if not applicable) l Other requirement or commitment:

EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION:

Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*

When considered with other known deficiencies:*

i Supporting information or basis:

i f

CORRECTIVE ACTIONS TAKEN OR PLA MED:

- (Use Y if Yes, N if No, U if Unknown / Uncertain)

Specific actions to correct deficiency:

(Brief susmary of specific corrective actions.

((((((_~[_~(((((((((([_,((((((_,(([

if known.)

i j

Broad QA/QC actions:

(Actions to identify potential similar deficiencies j,

due to QA/QC causes, and, to prevent recurrence j

of similar deficiencies in the future.)

s 1..

Page 3 cf 3 CPSES CONTENTION 5 DATA SHEET.

1 1

ADDITIONAL COBOIENTS THAT YOU MAY HAVE:

(Should you wish to provide any additional information. - - _ _ - - _ - - - _ _ _ _ _ _ _ _ _ _ _ _ _ - _ - _ _ _ _ _.

comment. viewpointe opinion or other matter that e

you feel the Contention 5 Panel should consider in making their findings please use this page to do so.)

i j

_ _ _ = _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

)

i a

t_________

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_ _ _ - _ m - _ _ _ _ m - _ _ - - _ _ m _,

- _ _ _ - _ ___ _ _ _ _ _ _ _ _ m _ - _ _ _ m _ _ _ _ - _ _

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__m d

_ _ - - - - _ _ _ _ _ _ _ _ _ _ _ = _ _ _ ______-___

m m m m m m m _ _ _ _ - _ _ - _ _ _

W m m m m m m m m m e m - _ _ - _ _ _ - _ _ __-____=__

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Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **

REFERENCE INFORMATION:

TRACKING NO: (For IE HQ Use)

YOUR NAME: (Last Name First)

'@QjLL.Ed_E______

~

GROUP OR ORGANIZATION:

S______________________________

SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:

[

PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SUBJECT OF YOUR REVIEW:

$C__

TOPICAL AREA:

  • If not on list, enter area here:

ACCIDENT PREVENTION / MITIGATION SYSTEM:

QTME If not on list, enter system here:

G o ts) I A 1 S S E d I _ L5 0 1 L p i g g _ _ _ _ _ _ _ _ _ _ _

SPECIFIC COMPONENT OR ACTIVITY:

  • DJQR If not on list, enter activity here:

S&Sgg&T_EQQ8___________________

CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1, 2 or B) 1

. PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

$8__

If not on list, enter contractor here:

NATURE (TYPE) 0F YOUR REVIEW:

6 If not on list, enter nature here:

SCOPE OF YDUR REVIEW:

EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:

0024 i

REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*

If not on list, enter type here:

f5 5 R B _ T L C If E I 6 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Size of sample observed / examined during your review:

Q E(, $

Esthnated total population avail, during your review:

Randomness of sample:(Enter R if random, B if biased) Qt 98 6

If biased, enter basis here:

H.L.L _ Q E _ E 2 V E. _ E 6 Q _10 L -.& '1. 61. 9 9 L _ _ _

REFERENCE DOCUMENTS THAT DESCRIBE YOUR' FINDINGS:

pp g _ C - i Ge fp _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

c Ls _C a reg a cy _1_ AC L 9_ _ _ _ _ - _ _ _ _ _

'O Enter Alpha Code From Appropriate List "Please print using one character per underlined

  • space.

Please do not exceed allocated spaces.

~

Page' 2 cf 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:

Q QQ-]

DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:

Brief sumary of deficiency:

O d 401 & Q(2_-L E ED_ Yle TE S _ $ D D E O _I O _ C Q 8 (Use a separate page 2 for each deficiency)

G.g.gI E_yrL I eoVI _ 9C_& E 2g.4y6k ____ __

Specific location of the deficiency:

Odj.T_1_geSEf4]T_________________

Date deficiency occurred:

1 5 - G 1 - 1 7 (Use YY-MM-DD Format)

Date NRC learned of deficiency:

-) 9 - p 4-- p $ (Use YY-MM-DD Format)

Who first " discovered" deficiency:*

O (Use N f f NRC, L if Licensee, A if A11eger, 0 if Other)

If other, enter source here:

E G 2. I _ u/ E (_2.Id _5 T A C - 1 G W da 8 BM _ _ _ _ _ _ _

Number of known similar deficiencies:

oQOO REGULAIORY OR OTHER REQUIREMENT /COMITMENT N0'T MET:

Applicable 10 CFR 50 Appendix B Criterion:

AI A (Use arabic-01 thru 18. Use NA if not applicable)

Other requirement or commitment:

C.C.P_ J Q _ P b g Mg. gpf) _ f.1 1 Q, @, 6_ _ _ _ _ _

EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:

- - - - - - - - - - - - - - - - - - - - - - - - "'~~ ~ ~ - - -

Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*

L When considered with other known deficiencies:*

1_

Supporting information or basis:

A D D L T L e d _ a F _9/d T BR _ D 10_ uGT _ /1-DV E&

ca n esx6_?soaucwo_____Y_oE_IB9_

6 FLY _ AE FEC T_ I RE _ GQ & L I T CORRECTIVE ACTIONS TAKEN OR PLANNED:

g(UseYifYes,NifNo,UifUnknown/ Uncertain)

Specific actions to correct deficiency:

(Brief sumary of specific corrective actions,

- [ - - - [ [ [ ~ ~ [ [ [ [ _- [ [ [ - [ [ - [ [ [ [ [ _- - [ _-

if known.)

l Broad QA/QC actions:

}l0d6__,_,________________________

(Actions to identify potential similar deficiencies d'ue to QA/QC causes, and, to prevent recurrence

~

of similar deficiencies in the future.),

--- e a t <..-

o d va -.. <<.s

.nn e r, n... r nour..re i,,... -.

.a

I I I I I I I I I I l l l l 1 1 I I I l l I l I l I i l i l I I l l i i l I I i i i i i l i l i I I I I I I I F l 1 I I I I l l l l I I I 1 I I I I i 1 1 1 1 I I I I I I I I I I I I I I I I I l.1 1 1 1 I I I I I I I I I l 1 I I I I l i I I I I I I I I I I l I i i i l l I I I I I I I I I I I I I I I I I I i i i I I I i 1 I I I I I i l I I I i l I I 1 I I i l i I I I l 1 I I I I I I I i i l I l l I I I I I I I l 1 1 1 1 I i i i i 1 1 1 1 I I I I c) l I I i 1 1 I I I I I I I I I I I I I i

1. I I I I I I I I I I I g

i I I I I I I I I I I I I i i i I I I I I I i 1 1 I I i I I i I g

i i i i i i I i i i l i i l I I I I I i I I I I I I I l i I I I I I I i i I I I I I I I I I i 1 1 1 I I I I I I I i I i i i i i i I l i i i i l i I I I I I I I I I I i 1 1 I I I I I I I I I I I I I I i l l I I I I I i i i I I I I I I I I I I I I I I I I I I I I I I I I I I I i 1 1 I I I I i 1 1 1 1 I i i I I I I I I I I I l l 1 i i i i 1 i l i i l i i l i l I I l I I I I i l I I i l i I I I I I I I I I I I I I I I I I I I I I I I I I I i 1 1 1 I I I I I l 1 1 1 I I l 1 I I i i i l i I l l I I I I I I I I l i I I I l l I I I I l l l 1 1 I I I I I I I I I I I I I I I I I I I I I I i i 1 I i 1 l l I I I I I I I I I I i i I I I i 1 1 1 I I I i iiii i l i i i i l i l l i i l i 1 i i i 1 i l l l-1 I I I I I I I I I I I i 1 1 1 I i i l I i i l i l i I I I I I l I i l I i l i l I i i i i l i l i i 1 i l l I I I I I I I I I I I I I l i I I I i i i l I i l I i l I i l I I I I i i 1 1 1 1 I I I I I i1 1 I I I I I I I I I i l l I I I I I I I I I I I I I g

g i I I I I I I i i i i 1 1 I I I I i 1 I I I I i l l I I I I l-l y

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i AC_ ZO to CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **

REFERENCE INFORMATION:

TRACKING NO: (ForIEHQUse)

YOUR NAME: (Last Name First) p [} } [.[ @ 6 _ g _ _ _ _ _ _

GROUP OR ORGANIZATION:

SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:

7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SUBJECT OF YOUR REVIEW:

TOPICAL AREA:

G C._ _

If not on list, enter area here:

ACCIDENT PREVENTION /MITIGATI0N SYSTEM:

07 %

If not on list, enter system here:

I V,g 8 L Q Ef_ $.tird g g & T g g _ S L g r _ _ _ _ _ _ _ _ _

g SPECIFIC COMPONENT OR ACTIVITY:

QT Q 9.

If not on list, enter activity here:

g g _ g g g gj, f:14. _ C o y g g g)pgIf AG -[ Ji ]_ T y, _

CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or 8) 1 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

gg__

If.not on list, enter contractor here:

NATURE (TYPE) 0F YOUR REVIEW:

g j

If not on list, enter nature here:

SCOPE OF YOUR REVIEW:

EFFORT EXPENDED IN MAN-NRS NOT INCL. DOCUMENTATION:

QqQ$

REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*.968_

If not on list, enter type here:

Size of sample observed / examined during your review:

OO Estimated total population avati. during your resiew: p1 cp Randomness of sample:(Enter R if random B if biased) g If biased, enter basis here:

REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:

C[ f _ C,g I gG p og _.1_ _ A C : 2. 0_ _ _ _ _ _ _ _ _ _

l

'o Ecter Alpha Code From Appropriate List CCPlease print using one character per underlined space.

Please do not exceed allocated spaces.

1 i

Page *2 ef 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INF0lMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i

TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:

)

DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:

i Brief summary of deficiency:

--~~~~~~-----------------~~----

1 (Use a separate page 2 for each deficiency) q j

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Specific location of the deficiency:

t i

e 1

i Date deficiency occurred:

_ _ (Use YY-MM-DD Fonnat)

[TuseNifHRE,(UseYY-MM-DDFormat)

Date NRC learned of deficiency:

L if Licensee, A if Alleger, O if Other)

~ Who first " discovered" deficiency:*

If other, enter source here:

i Number of known sfallar deficiencies:

s t

4 REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET:

. Applicable 10 CFR 50 Appendix 8 Criterion:

(Use arabic 01 thru 18. Use NA if not applicable) l Other requirement or connitment:

i j

EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION:

j Your opinion of the degree of seriousness of deficiency l

- This specific deficiency considered alone:*

When considered with other known deficiencies:*

i i

Supporting inferination or basis:

i

\\

i i

CORRECTIVE ACTIONS TAKEN OR PLANNED:

_ (Use Y if Yes, N if No, U if Unknown / Uncertain)

Specific actions to correct deficiency:

j (Brief summary of specific corrective actions, If known.)

i u

l Broad QA/QC actions:

J (Actions to identify potential similar deficiencies

(((([ ((((((((((((((((((((_(((([

l due to Q4/QC causes, and, to prevent recurrence of similar deficiencies in the future.)

,g______________________________

l Page 3 cf 3 CPSES CONTENTION 5 DATA SHEET.

4.

AD01TIONAL CO M NTS THAT YOU MAY HAVE:

i (Should you wish to provide any additional information.

i comment, viewpointe opinion, or other matter that you feel the Contention 5 Panel should consider in i

i making their findings, please use this page to do so.)

l i,

4,

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ __________t f

l i

i k

1 N

i

_ - _ _ _ _ = _ _ _ _ _ _ _ _ _ - - _ - _ _ - - _ _ _ - _ - -

9 1

- - - m - _ _ _ _ _ _ - _ - - - _ _ - - _ _ _ _ - _ _ _ - - _

_-__m 9

q 4

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- _ _ - - _ _ _ _ - _ _ _ _ _ - - _ _ - _ _ ___=-____

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_ _ _ _ _ _ _ - - _ - - - _ - _ - - - _ _ _ _--___==_

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_ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ - - _ _ _ _ _____=_--

f l

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4 1

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Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **

REFERENCE INFORMATION:

TRACKING N0: (ForIEHQUse)

YOUR NAME: (Last Name First)

PM [ M 6_g______

GROUP OR ORGANIZATION:

3______________________________

SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:

l PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • Q~~

SUBJECT OF YOUR REVIEW:

TOPICAL AREA: *

.S C, l

If not on list, enter area here:

((((___________________________

OT&g, ACCIDENT PREVENTION / MITIGATION SYSTEM:

If not on list, enter system here:

C,o g If _[ N MgGJT _13 L. Qg _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

l SPECIFIC COMP 0NENT OR ACTIVITY:

  • O T i} g.

If not on list, enter activity here:

Cpg e-M gyp 7_W&L.g______________

~

l CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1, 2 or B) 1 l

PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • Sg__

If not on list, enter contractor here:

i j

NATURE (TYPE) 0F YOUR REVIEW:

  • If not on list, enter nature here:

i SCOPE OF YOUR REVIEW:

l EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:

aQLQ REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*

If not on list, enter type here:

T33][Il_f_lG.jsg,[6__________________

Size of sample observed /exa' mined during your review:

l Estiinated total population avail. during your review:

Randomness of sample:(Enter R ff random, 8 if biased) g If biased, enter basis here:

C, b

_C,a r 4 o &y. _ L _ d-R Z-1_ _ _ _ _ _ _ _ _ _ _

REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:

j j

j o Exter Alpha Code From Appropriate List ocP1:ase orint usino one character per underifned snace.

P1pato an nnt.re..d a11ncated enac.c

Pag? 2 of 3 CPSES CONTENTION 5 DATA SHEET i

SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:

DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:

Brief s:sunary of deficiency:

'- - - ~ ~ ~ - - - - - - ~ ~ - '~ ~ - - - - - - - - - - ~ ~ '- -

(Use a separate page 2 for each deficiency) l Specific location of the deficiency:

q

- - (Use YY-MM.DD Format)

Date deficiency occurred:

TuseN'ifNRf,(UseYY-MM-DDFormat)

Date NRC learned of deficiency:

L if Licensee, A if A11eger, 0 if Other)

' Who first " discovered" deficiency:*

If other, enter source here:

i Number of known similar deficiencies:

(([---------'-----------------'~~

s REGULATORYOROTHERREQUIREMENTICOMMITMENTNOTMET:

Applicable 10 CFR 50 Appendix 8 Criterion:

_ _ (Use arabic 01 thru 18. Use NA if not applicable) l Other requirement or consultment:

- - - - - - - - - - - - - - - - '~ ~ ~ ~ ~ - - - - - - '- - - -

EFFECT ON A8ILITY OF COMPONENT OR SYSTEM TO FUNCTION:

Your opinion of the degree of seriousness of deficiency

- This specific deficiency considered alone:*

When considered with other known deficiencies:*

Supporting information or basis:

CORRECTIVE ACTIONS TAKEN OR PLANNED:

- (Use Y if Yes, N if No, U if Unknown / Uncertain)

Specific actions to correct deficiency:

(Brief sununary of specific corrective actions.

((((((((((((((_--(((((((((([__-((

ifknown.)

Broad QA/QC actions:

(Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of siellar deficiencies in the future.)

~

~

~

Page 3 ef 3 CPSES CONTENTION 5 DATA SHEET.

ADOITIONAL COPMENTS THAT YOU MAY HAVE:

- - - - M - M - - M m - M - - m - - - _ - _ _ _ m _ _ _ _ _ _

(Should you wish to provide any additional information.

_ _ _ _ _ M _ _ _ _ _ _ _ _ M _ _ _ _ _ _ _ _ _ _ W _ _ _ _ _

- - - - - M - - - - - - - - - - - - - M - M - - - - - m - - -

commente viewpointe opinion, or other matter that you feel the contention 5 Peel should consider in

- - - - - - - - - - - - - - - - - - - m - - - - - - - - - - -

making their findings. please use this page to do so.) _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ m M _ _ _ _ _ _ _ _ _ _ _ _

- - - - W = m - M M - - - M - M - - - - M - - -. M _....

M M M M M M M M M M M M M M M M M m e M m m m m m M e m e m e e

M M M M M M M M M M M M M - M M M m m m 6 M m m m m m m m m e G

M m M W M M M M M M M m m m m m m m m m m M m m m m m m m m e M

M M M M M M M M M M M M M m m m m m m m e m m m w m m m m e M - M - - - - - - - = M - - - M - - - m - - - - - - - m - M e M m m m M m m m M M m e M e m e m - M e m m m m W M m e m e m I

1 W

W M M M M M M M M M M M M M M

W W m m m m m m m m W M m m m m M M M

M M M M M M 6 m M M M e m m m m m m m m m m m m m m m m M M W

W m M W W

W M M M M M e m h m m m m m m m m m m m m m e M m m m m 6 m m - M M M

M m m m m m m m m m m m M e m w m m e

9

- - M M - M - M

- - - - M m - m - - m m - - - -. m m - - m m

M M

M m

M M M M M M M M M M M

M M m m m m M m m m m m m m m m W W W

M M

M M M M M M

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m m m W

m W

m m m m m m m m m m m m W m 6

M M h W M M M M

M M

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m M M M m m m m W

9 m m m m m m m M M e m M

M m m m m m m m m m m m m m m m m m m M m m m m m m W W W

W m

6 M

m m m m m m m m m m m m m m m m

M M W W

M M M M M M M M W W W

W m m m e m W m m m m m m m M M M

m m M m m m W M

M M W

M m m m m m m m m m M m m m m M

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m m M m M M

W m M M M M

M M

W W

W M

m W M M M M M M M M M

M M M M

f' O

m m -

M m m M m m m m m m m m m m m m m m m M m m m m m m m e m m m m m m m M M M M M W W W

W W

M M

6 M M M M

M M M M M M M m m m m m m m m m m m m m m m m m m m m m m m m M M M M M M M

g g m m m m g e m m M M M M M M M M

M M M M M M

M M e

g g g m m m m m M M M

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M M M m m m m m m m m m m m m m m m m m M W

W W W W W W M M M M M M e

9 m m. m m. m - m m. - - - - - - - - - - - M - - = = m - - -

p 9

l 9

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Pa' 21 of 3 g

CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **

REFERENCE INFORMATION:

TRACKING NO: (ForIEHQUse) 66 U gg._C_____

[

YOUR NAME: (Last Name First)

GROUP OR ORGANIZATION:

S_____________________________,

SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:

4 PRINCIPAL CrNTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SUBJECT OF YOUR REVIEW:

TOPICAL AREA:

  • s If not on list, enter area here:

g gri d PpR.c Fatf=6'J_ G U TI.I. U.6_ _ _ _ _ _ _ _ _ c 7

O _r1{ g ACCIDENT PREVENTION / MITIGATION SYSTEM:

  • If not on list, enter system here:

M C? _G E FG 1 E lG _6 Y. S 'Igir ei_ _ _ _ _ _ _ _ _ _ _ _ e SPECIFIC COMP 0NENT OR ACTIVITY:

  • qT(4 If not on list, enter activity here:

~

(p. $ O M IdOA L 2 ED_ S 2 TI16!6_ Gt E _ E.f6 M2._ q 1

CPSES UNIT IKLUDED IN YOUR REVIEW: (Enter 1, 2 or 8) 13 3g__

PRIKIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • If not on list, enter contractor here:

NATURE (TYPE) 0F YOUR REVIEW:

If not on list, enter nature here:

SCOPE OF YOUR REVIEW:

EFFORT EXPENDED IN MAN-HRS. NOT IKL. DOCUMENTATION:

aOtQ REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,q R If not on list, enter type here:

_,,,__________'__________________g Size of sample observed / examined during your review:

a 93 D Eitimated total population avail. during your review: pj5p Randemness of sample:(Enter R if random, 8 if biased) g If biased, enter basis here:

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m Page 2 of 3 CPSES CONTENTION 5 DATA SHEET 4

i SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:

DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:

Brief summary of deficiency:

- ~ ~ - " " - ~ - ' - - - - - - - - - - - - - - - - - - - - - ' - - - -

(Use a separate page 2 for each deficiency)

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If other, enter source here:

Number of known siellar deficiencies:

[ [ [ [ - ~ - - -- - - - - - - - - - - - - - - - - - ~ - - - ~

s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:

Applicable 10 CFR 50 Appendix 8 Criterion:

_ _ (Use ars'oic 01 thru 18. UseNAifnotapplicable)

Other requirement or commitment:

- - - - ~ ~ ~ - - " " " " ' ~ ~ ~ ~ ~ ~ - - ' - - - - - - - - - - - ~ ~ -

EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:

Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*

When considered with other known deficiencies:*

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Supporting infomation or basis:

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CORRECTIVE ACTIONS TAKEN OR PLANNED:

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l Broad QA/QC actions:

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REFERENCE INFORMATION:

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YOUR NAME: (Last Name First) 7)@}Ed________

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] If not on list, enter activity here: C,o g T &E L _ ECP f e9_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ j CPSES UNIT IKLUDED IN YOUR REVIEW: (Enter'1, 2 or 8) B i PRIKIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

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j If not og list, enter contractor here: g j NATURE (TYPE) 0F YOUR REVIEW: j If not on list, enter nature here: ~ 2 SCOPE OF Y00R REVIEW: i EFFORT EXPENDED IN MAN-HRS NOT IE L. DOCUMENTATION: 00gO REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* j{o C j i j If not on list, enter type here: _______________________________j l Size of sanple observed / examined during your review: pplQ j Estimated total population avail. during your review: oQLQ i i Randomness of sample:(Enter R if random. 8 if biased) 3 l If biased, enter basis here: 6 L L,gf,g I J Q f _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ l I REFEREE E DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C./ f. _(_',a 7 E 4 D E V _ l d - _ A E. I 7 - - _ _ _ _ _ _ t j '

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Pag 3'2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: OQQJ DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sumary of deficiency: G C_.DI D_ #D T _ 4 BSu 8.E_ T&A _T_ AE B L 1 C A_a (Use a separate page 2 for each deficiency) .L.3_ pg.O f L fr 12 615 _ e 2: _ 8FG W L 6.T O &Y _ 60 L .D S _ J :. E.9 _ w f 2 E ' E U L t-1 8 5 T _ - - _ - - - - - Specific location of the deficiency: C o d T & O G _ S Q e M_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - (Use YY-MM-DD Fonnat) Date deficiency occurred: _ TUse N if HRE,(Use YY-MM-DD Format) Date NRC learned of deficiency: L if Licensee, A if A11eger, O if Other) Who first " discovered" deficiency:* If other, enter source here: g Number of known similar deficiencies: -_-[~------'~~~'----------'------- REGULATORY OR OTHER REQUIREMENT / COP #tITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: p8(Usearabic01thru18. Use NA if not applicable) Other requirement or consnitment: p $ g g _ $ p p y _ 3.3,7 L 2, $ _ _ _ _ _ _ _ _ _ _ _ _ _ EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* g Supporting information or basis: Tgg _ C.g ggg_p g_ f_p p_m_ g,g 31.I d.h_ dfM _1/ C? I_ E.0d.C..T.1 Q d _ a D F.Qu&TM-1_ D u 21 dC S E l % B L G _ 6 M E U T _ _ _ _ _ _ _ _ _ _ _ _ _ _ _y _ d _ ( i l CORRECTIVE ACTIONS TAKEN OR PLANNED: (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: g g g_ P M F _ 3 _ m E _ 3 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Brief sumary of specific corrective actions, ifknown.) Broad QA/QC actions: g p g 6 _ _,_, _ _ _ _ _. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 1 (Actions to identify potential similar deficiencies l due to QA/QC causes, and, to prevent recurrence of siellar deficiencies in the future.) e nn s r s nu n, enuorure e s e.... --.. a ~s U*-

Pag 2 3 ef 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL COMMENTS THAT YOU MAY HAVE: 1 p c.t d C.1 P A L _ C o d IE d1 1.Q.d _ 5 _ 4 s.e a _ L _ D PSl4 0_ Ca M 1 e a u _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Should you wish to provide any additional information,

~----~~------------

comment, viewpoint, opinion, or other matter that -~-----~-----------------~~~--- you feel the Contention 5 Panel should consider in making their findings, please use this page to do so.) Ca g ggcgig g _ f.c y t g g 4 J _~1_L)g"C_ sd & L L 26021D61______________________ LBS2 LIS_ Q E _ S elsel C _ A s b 63 S L S _ WS ca _ DW es_5 sib elc _1 T em5_14_ ca uIt o L_Be_ gat 15eY_Est_GutoE_luZ1_ad-EShe_ksGI_3x251 316____________ E_V A L.u a-Il a tJ _ s E.L 5141 c _ Dsr514 eJ_ A n e.e ACY_cueeuz _eus2ees_rac_utsart Q _ F1Y 3V2E6 SD62F#DED_DESW6LL_? 1 % L O (,n_ d % 1 C. _ e C GQ u 9 IS _ E o L _ P E'LT L s9T _ E CQ a t _ E 94 e 99 S 5_ _ _ _ _ _ _ _ - - _ _ 25 E Eg1_ L M SI&Lb ED_91T B _ RF4_ q@i ilE55-d cddii5G 55_ tu _W_ kut c_LtL9________________________ BBEC3GIE:LB5DL33 Tisi:JE32IP3_- ' D s 0,9 e L Y _ VQ d Sere E3 4. &E l-a T EP_ G7.M.Q - 1T _ $ 2 E f 2 4I _5 3 6_ id _ L ad I&2 L _ EM _ E L C2% 921T _ D1 b _1s _2_ Lu ce6 s _ a s _ k S$____________________________ A s b % 3S LS _ r8 kT _ D %MO_ EQ ?SG 21e 4_2 R6 LE6 6_ d aT _ & PE L1C A BLE _ Ta _ GT B EE baI _ Z_ _ Ad D _ d a d 6EL S M J C _ s I gu ct 6 6 L E M n c. A d D _ C Q MP o MU _TS_19_ f E e h_T _. 9 -9

h(, L) I Pagi 1 of 3 CPSES CONTENTION 5 OATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFEREKE INFORMATION: TRACKING N0: (ForIEHQUse) YOUR NAE: (Last Name First) QMCC56_&______ GROUP OR ORGANIZATION: 6,______________________________l SPECIFIC INFORMATION RELATED TO THE SCOPE ANO DEPTH Of YOUR REVIEW: 6 PRIK IPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: * $UBJECT OF YOUR REVIEW: $G._ _ TOPICAL AREA:

  • i If not on list, enter area here:

ACCIDENT PREVENTION / MITIGATION SYSTEM: T&g If not on list, enter system here: aET&_j#MgiiyT_fulLQLMg___________ SPECIFIC COMPONENT OR ACTIVITY:

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l If not on list, enter activity here: g F& C, T Q E._N W 6 S E L _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ CPSES UNIT IKLUDED IN YOUR REVIEW: (Enter 1, 2 or 8) J. PRIKIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • 3g If not on list, enter contractor here:

__((___________________________ NATURE (TYPE) 0F YOUR REVIEW: g' If not on list, enter nature here: SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-NRS, NOT IKL. DOCUMENTATION: REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* o Q J.,Q If not on 11st, enter type here: '(, ~ Q Z_ f.g tj g_ yJCfq_ ] pl -- 2,1 J. 'Z -g gj _ _ _ _ _ Stre of sample observed /emanined during your review: g a o.j, Estimated total population avail. during your review: agpl Randomness of sample:(Enter R f f random B if biased) If biased, enter basis here: REFEREK E DOCUMENTS THAT DESCRIBE YOUR FINDINGS: g C,g. _ C,.le 5'a _ _ _ _ _ _ _ _ _ _ _ G 2 G_ Ch _T.IRh o fd _1. 3_ _ e G r R__ _ _ __ __ _ __ __ __ ' '

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s Pag 2'2 cf 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: OQQ1 DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: Cr64-C E6_ ! N _ Ca M c._ BEiEd EA-Te _ SKA4TQ./E _ (Use a separate page 2 for each deficiency) Y966atk_________________________ Specific location of the deficiency: Re e.c,, y a g, _ j) ggg g,,._ g,G d C._ F _A-D_ _. _ _ _ _ _ _ Date deficiency occurred: 7 7 - p 3 - g.L (Use YY-M-DD Format Date NRC learned of deficiency: 3 3 - 30 NRC,(Use YY-M-DD Format OU Who first " discovered" deficiency:* L.(Use N if L if Licensee, A if Alleger, 0 if Other) If other, enter source here: Number of known similar deficiencies: 3 d Q d - ~ ~ ~ ~ - - - '- - - - - - - - - - ~ - - - - - - - s REGULATORY OR OTHER REQUIREMENT /Co mITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: ,pf (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: ~ ~ ~ - ~ - - - - - - ' - ~ - ~ - ~ - - - - - ~ ~ - - - - ' - ~ ~ - EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* L When considered with other known deficiencies:* [,,,. Supporting information or basis: s 61 EG'Y _ o E _G J!r V G 'IU L25_.L 6_ M E f _ d bye LS 6 k l _ Ar.P.?5G1 tid _ S L _CG bCLS _ _ - _ - CORRECTIVE ACTIONS TAKEN OR PLANNED: g (Use Y if Yes, N if No, U f f Unknown / Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions. (((((((((((([_-((((((((_-(((((((( if known.) 3 road QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.). a n,,,, n.... a.n. r..

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  • If not on list, enter area here:
QTdB, ACCIDENT PREVENTION / MITIGATION SYSTEM:
  • If not on list, enter system here:

64 VW_ G8,SEE._ De.e _ 6E Lt=W.6Y _ _ _ _ _ _ a OTSg SPECIFIC COMP 0NENT OR ACTIVITY:

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3q pg_ g,,g,ggg,_ pe g _ S p g g y _ _ _ _ _ _ CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2or8) S PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

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If not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW: If not on list, enter nature here: FC4 /A.06_ etI D_ E.1 FLD _14/6 EEG Il e e/_ _ _ ' SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: Q Q,12 REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* S R If not on list, enter type here: p g. g g i p 6 6, _ _ _ _' _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, Stre of sample observed / examined during your review: ppp9 Es'timated total population avail. during your review: ppgp Randomness of sample:(Enter R if random. 8 if biased) g If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C.26 Od 1 EE6 Bsd_12_ _ dC M _________ i s 'o Enter Alpha Code From Appropriate List

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A Pag 2'2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YDUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: l Brief sumary of deficiency: ---~~----~~~~-------~-----~~~- (Use a separate page 2 for each deficiency) Specific location of the deficiency: _______________________________l (Use YY-M-DO Format) I Date deficiency occurred: [TUseNifNRE,(UseYY-lW-DOFormat) Date NRC learned of deficiency: L if Licensee, A if A11eger, 0 if Other) Who first " discovered" deficiency:* If other, enter source here: Number of known similar deficiencies: ((((-------~~~---~~------------ s REGULATORY OR OTHER REQUIREMENT /Co mITMENT NOT MET: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Applicable 10 CFR 50 Appendix B Criterton: Other requirement or cousiitment: _____,__________________________j - - - - - - ~ ~ - - - - ~ ~ - - - - - - - - - - - - - ~ ~ - - - EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: _ (Use Y if Yes N if ho, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions. ((((~(((([_~(([_-((((((_-(((((([__^ ifknown.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)

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Ac-4l Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) YOUR NAME: (Last Name First) QQ@Mgj@g_C,_____ GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: l C. PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

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Page 2 of 3 _PC SES CONTENTION 5 DATA SHEET i l SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: Q Q Q j, DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: 1 Brief summary of deficiency: ],.MDER v A IE:_.L ti. e ec.21 a li,_,,e.e _ e e.1 (Use a separate page 2 for each deficiency) f a g.LH g D _ y G _ V p t2. L e y _ r & F _ S E d1.o V G-1 _ 2 E '

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351 WF@J _ C.Gd _Ta-f d #Ed T_ fl #D_ I'll 6'_ B IA2 &cedT_STZ2GTULGS-_------------- Date deficiency occurred: _ _ (Use YY-MM-DD Fomat) Date NRC learned of deficiency: -] - J 1 - 2,3 (Use YY-MM-DD Fomat) .(Use N if NRC, L if Licensee, A if Alleger, 0 if Other) Who first " discovered" deficiency:* If other, enter source here: Number of known similar deficiencies: dDDD-------------------------- s REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET: .. Applicable 10 CFR 50 Appendix B Criterion: ],(p(Use aratile 01 thru 18. Use NA if not applicable) pf AJP.,_ pg.I _ 1j2 i zJ,,J____________ Other requirement or commi'tment: ~- EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* O When considered with other known deficiencies:* Q Supporting information or basis: FEF6FB.CE_fF 89T Q Ea def _ C 9 26 9., J-FEF G T _ S C L S ti L G 2_0.1M a gi c _ LEtP_ e.M S a*_ C hA. L&&1681SI1CS_QE_T&W_C&I_L_ST&Vs Tutak_Du6Ld4_setsMLL_w2SMT_____ CORRECTIVE ACTIONS TAKEN OR PLANNED: j(UseYifYes,NifNo,UifUnknown/Uacertain) Specific actions to correct deficiency: Ve8LE _ S FL $ LH2 G _ 6 GE _ E E l ib I 5_ BM l>_ D (Brief summary of specific corrective actions, s7 FBal d6_ P Y da d11C _ E_85 8eAL S E_ C Bd&4. .G 1 ?C-L'a XJ LS _ W1 Y B P2 C StrBL E_ e E 22 T if known.) Q E e b e1. Bel _b_ e r d e'& -.D EB&.L S _ _ _ _ _ - _ _ _ Broad QA/QC actions: gagg__,_,_____.___________________ (Actions to identify potential similar deficiencies 4 due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.), 14 &I In-a v 4 5 V A* '

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P NATURE (TYPE) 0F YOUR REVIEW: If not on list, enter nature here: SCOPE OF YDUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: QOQb REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* If not on list, enter type here: M 5 i gc.y.1 o d _ Q E _86I C !! _ E E 6 9T_ _1C.o.L E_ i Size of sample observed / examined during your review: M~' Estimated total population avail. during your review: }~~_- Randomness of sample:(Enter R if random, 8 if biased) S j If biased, enter basis here: Aaq(agyJqd_____________________ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: c.]. I_ b 3 % 6 &M _ l-} _ _4 Q C-- 4-6_ _ _ _ _ _ _ _ ; 4 l '* Enter Alpha Code From Appropriate List

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Page*2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sunnary of deficiency:

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(Use a separate page 2 for each deficiency) 1 Specific location of the deficiency: Date deficiency occurred: (Use YY-MM-DD Format)

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Number of known similar deficiencies: s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: ~~----------------------------- EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency 1 !~ This s~pecific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: ~ (Use Y if Yes, N if No, U it Unknown / Uncertain) Specific actions to correct deficiency: (8rief summary of specific corrective actions. [~((~(((((((((((([_-[_-((((((___-[ if known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.).

Pag'e 3 cf 3 O CPSES CONTENTION 5 DATA SHEET. ADDITIONAL COMMENTS THAT YOU MAY HAVE: -$ _ N Q _ po Q gg gg 7& I L e61_5 A MP_t-E_.WAs _ SEQ _6ECAVS6_3d_1gsesC21od_oe_I. (Should you wish to provide any additional information, Ei_ gyg.g_pg gy_ m yges,_wM_EE8ee comment, viewpoint, opinion, or other matter that up _ y o g.g g o_ _c j g _ p g, o g gg _ _ _ _ _ - _ _ you feel the contention 5 Panel should consider in making their findings, please use this page to do so.) ______________________________q ______________________________d ______________________________q _ _ _ _ _ M _ _ _ _ _ _ m _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _ e 9 _ _ _ _ _ _ _ m _ _ _ _ _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _ _____m _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ _ _ _ _ _ _ m _ _ _ _ m _ M _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ M _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ q 4 I _ _, _ _ _. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ q _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ q q q O _ _ _ _ _ m _ m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m m _ _ _ _ _ _ _ _ _ _ M _ _ _ M _ M _ _ _ M _ _ M M 69 _ _ M M M M _ _ _ _ m W _ _ _ _ _ _ _ _ _ _ _ _ _ _ M _ _ _ _ _ _ _ _ M e _ m _ _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _ _ m m _ _ _ m _ _ ___________________W _____M M _ _ _ _ _ _ _ _ _ _ _ _ _ N _ _ _ h __-____________-_______-___C _ _ _ - _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ C .. - _ _ _ _ - - _ _ _ - _ _ _ _ - _ _ _ _ _ _ _ _ _ _ ** - _ C _________C 9 _p _ - _ _ C e j a 1 0

4 kC' N Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) YOUR NAME: (Last Name First) 2FIGC@d_g______ GROUP OR ORGANIZATION: g______________________________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

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l Pag 2 2 of 3 CPSES CONTENTION 5 DATA SHEET l SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER F DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency:

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(Use a separate page 2 for each deficiency) Specific location of the deficiency: j (Use YY-MM-DD Format) Date deficiency occurred: [TUseNifNRE,(UseYY-MM-DDFormat) Date NRC learned of deficiency: L if Licensee, A if A11eger, 0 if Other) Who first " discovered" deficiency:* If other, enter source here: Number of known similar deficiencies: .((((~----------------------"'--- s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sumary of specific dorrective actions, [_(((((((((([~(((((((((((([_-(([ ifknown.) Broad QA/QC actions: (Actions to identify potential similar deficiencies __________________________m____ due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.) .e

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s-Pag) 2'of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFGRMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW l 1 TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency:

~~----~~---~~----------~~

(Use a separate page 2 for each deficiency) l Specific location of the deficiency: l Use YY-p#t-DO Fomat Date deficiency occurred: Date NRC learned of deficiency: Use YY-MM-DO Fomat Who first " discovered" deficiency:*

TUseNifNRE,LifLicensee,AifAlleger,0ifOther) i l

If other, enter source here: Number of known similar deficiencies: [~((~-~~~~-~~~------~~--------- l s i REGULATORY OR OTHER REQUIREMENT /Copti!TMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic Ol'thru 18. Use NA if not applicable) Other requirement or commitment: i ~~~~---~------------------------ EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: I Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* ~ When considered with other known deficiencies:* Supporting infomation or basis: i CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: i3rief summary of specific corrective actions. ((((~~((((((((((((((((((((((_-(( l ifknown.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence { of siellar deficiencies in the future.)

e s.- Pagh 3 of 3 CPSES CONTENTION 5 DATA SHEET. I ADDITIONAL ComENTS THAT YOU MAY HAVE: 1 (Should you wish to provide any additional information. - - - - - - - - - - - - _ _ _ - _ _ _ - - - - - - - - _ - - - comunent. viewpoint opinion, or other matter that you feel the Contention 5 Panel should consider in making their findings please use this page to do so.) _ - - _ _ - - - - - _ - - - _ - - _ _ - - - - - - - - - _ - - e O 9 - - g _ - - - - - - - - - _ _ - - - - - - - - _ _ _ - _ - _ _ - _ - - - _ - _ _ - - _ - - - _ - _ M - - - - M - M M - N - - m _ _ _ m _ - - - - m _ _ _ - - - - _ - - - - - - M - M - M M G m m - - m - - _ - - - _ _ - - W _ - - - - - - - _ - - - _ _ M - - - - - m - - - - - - m - m - _ m - - _ M _ _ _ _ - - - - M M _ M - _ M M - - M - - - M M M - - _ _ m _ _ - - - - - - _ - - - _ _ - _ - _ - M - - - M M M - m m _ _ _ _ _ - - _ _ _ - - - - - M - M M - M - M - - - " " ' m m m m - - - _ - - - - - - - _ - M - M M M - - M " M " m m m m m m e - - _ - - m - _ - - - - - M M - " M " - m m - - m - - - - _ _ - - - _ - - = _ _ M - - M M " - " " " e g g g g g g g g u m _ - - _ - M M - " g g g g g m m m _ - N M - - M -M

  • O 9

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.?. Aqc-4 Page I of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (For IE HQ Use) YOUR NAME: (Last Name First) pgi n gQ _ g_ _ _ _ _ _ GROUP OR ORGANIZATION: 6_____________________________c SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPALCONTENTION5AREARELAJEDTOYOURREVIEW: SU8 JECT OF YOUR REVIEW: $C._ _ TOPICAL AREA:

  • If not on list, enter area here:

______,_______________________q a ACCIDENT PREVENTION / MITIGATION SYSTEM:

  • Q T1.lrg.

1 If not on list, enter system here: B E _ 5 P F_4 F J. G _ 5.Y S T Fo _ _ _ _ _ _ _ _ _ _ _ _ q SPECIFIC COMPONENT OR ACTIVITY:

  • o y g g.

If not on list, enter activity here: J}G f d4_ C

  • 2- % _ _ _ _ _ _ _. _ _ _ _ c - _ _ L _ _

q CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1, 2 or B) S PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • If not on list, enter contractor here:

p~@ Spgy_,_____________,________ NATURE (TYPE) 0F YOUR REVIEW:

  • If not on list, enter nature here:

[ 8_Tgg y j, g.g_ yn g _ g g g g y,6_ _ _ _ _ _ _ _ ~ SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: qQQ6 REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* g g.q g, If not on list, enter type here: I d f gg y Lg y _ W,[I t3, _ gg p L q M_ _ _ _ _ _ _ _ c Size of sample observed / examined during your review: ___Q Estimated total population avail. during your review: ___o Randomness of sample:(Enter R if random, 8 if biased) If biased, enter basis here: ] REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: g [ f,_ C g I g g gd _ l o,_ 4 Q C - f _ _ _ _ _,_,_ _ ______________________________a 1 i '* Enter Alpha Code From Appropriate List i

    • Please print usino one character per underlined space.

Plance do nnt eveeed =11ncated enarne

Paga 7 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: (Use a separate page 2 for each deficiency) - - - - _ ~ ~ ~ ~ ~ ~ ~ - - - - - - - - ~ ~ - - - - ~ ~ - - - - - - - Specific location of the deficiency: --(UseYY-M-DDFormat) Date deficiency occurred:

TuseNifNRE,(UseYY-MN-DDFormat)

Date NRC learned of deficiency: l Who first " discovered" deficiency:* L if Licensee, A if A11eger, 0 if Other) ~ If other, enter source here: Number of known similar deficiencies: ((((~~~~---------------------- 4 s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON ASILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: - - - - - - ' " - - - - - ~ ~ ~ - - - - ' - - - - - - - - - - - - Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* I Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: i i (Brief sumnary of specific corrective actions. [~((~(((((((((([~(((((((((([_-(( ifknown.) Broad QA/QC actions: (Actions to identify potential similar deficiencies ______,____________________c____ due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.) k d _._____,._,_______________________ I

l Paga.3 of 3 CPSES CONTENTION 5 DATA SHEET. mITIOEL ComENTS TET YOU MY MVE. i (Should you wish to provide any additional information, i comment. viewpoint opinion, or other matter that you feel the Contention 5 Panel should consider in makin their findings please use this page to do so.) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ e N f 9 _ - g _ _ _- _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ W _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ _ _ _ _______L__ _ _ _ M _ M M M M _ _ _ _ _ M _ _ M _ _ _ _ M M _ _ _ _ _ M _ G _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ _ _ _9_ _ _ _ _ _ _ _ m _ _ _ ___m _ _ W _ _ m _ _ _ _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ W _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ __________ e _ _ _ M _ _ _ _ M _ _ _ _ _ _ _ _ _ W _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ _ __________

  • 9 M

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r..:.. A 4 C '5~ ~ j Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** J REFERENCE INFORMATION: 4 TRACKING N0: (ForIEHQUse) YOUR NAME: (Last Name First) 'F,}}_t L.L. EQ _ g._ _ _ _ _ _ GROUP OR ORGANIZATION: 5_____________________________c SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SUBJECT OF YOUR REVIEW:

6C.__ TOPICAL AREA:

  • ________'______________________q If not on list, enter area here:

O Igg,2 Fg 1 E,l, G _ f y S fgM_ _ _ _ _ _ _ _ _ _ _ ACCIDENT PREVENTION / MITIGATION SYSTEM:

  • If not on list, enter system here:

de_s( pIl} g. SPECIFIC COMP 0NENT OR ACTIVITY:

  • If not on list, enter activity here:

SSI/g_c_13(e_.___________________q CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) i PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • j If not on list, enter contractor here:

p-Q_dvdy______________________g NATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: ______________________________5 SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* p D O (p ,_P g g c If not on list, enter type here: i __________________________c Size of sample observed / examined during your review: [_-[Q Ettimated total population avail. during your review: Q Randomness of sample:(Enter R if random, 8 if biased) If biased, enter basis here: ______________________________s REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C Q _C gg gg o g,y _1 Q _. _ A.gC -- 6_ _ _ _ _ _ _ _ ______________________________q ______________________________a _____,y_______________________J '* Enter Alpha Code From Appropriate List

    • Please print usino one character per underlined space.

P1 pace do nnt erceed alineated enacac

?- Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET l' l SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUM8ER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sunnary of deficiency: (Use a separate page 2 for each deficiency) - - - - - - - ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ - ' _ - ~ - - - - - - - - - - - ] Specific location of the deficiency: --(UseYY-E-DDFormat) Date deficiency occurred: TuseNifHRE,(UseYY-MM-DDFormat)LifLicensee,AifA11eg Date NRC learned of deficiency: Who first " discovered" deficiency:' If other, enter source here: Number of known similar deficiencies: [ [ [ [ - - - - - - - - - - - '- - - - - '- - - - - - - - - - - s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON A81LITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* 1 Supporting information or basis: [_(UseYifYes,NifNo,UifUnknown/ Uncertain) l CORRECTIVE ACTIONS TAKEN OR PLANNED: Specific actions to correct deficiency: (8rief summary of specific corrective actions, ifknown.) 8 road QA/QC actions: _2__ (Actions to identify potential similar deficiencies l due to QA/QC causes, and, to prevent recurrence j of similar deficiencies in the future.) l o..

e. ..o i Page'3 of 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL C0f0ENTS THAT YOU MAY HAVE: e. en _ _ M e. _ _ m _ e. m _ e _ e.m _ _ es _ _ _ _ _m G. _ m _ M .e M _ _ _ M _ em em -m m m m _ _m e. _ _ M _ e. (Should ou wish to rovide any additional information. _ m _ _ _ _ m em _ _ _ _ _ m m .m M _ m _ m m _ _ _ M _ e. comment. vi int. opinion. or other matter that _ _ _ _ _ e.m _ _ e. m. M em _ M _ .m m _ _ e. M em .m .e. m _ _ M M _ you feel the contention 5 Panel should consider in making their findings, please use this page to do so.) .m .o e _m m.m M en _ .m e. e.m _ m _ _ .m e.m _ em me _ G e. eue op mim es eum em enn esa se eum - em que em m amm eme m - eum e. ema emme e. m. eum em - emme ene em e aump _ eum M eum m enE eum em eum eum mud eum em em m. m est eum e mie _ enum gum ese eum gun em eum em I ese ene enum eue me eum e enup e-Me une em eum em aus em eum eums e-amo emum eum _ emum eum eso eso e. ene me em 9 9e M M M M _ _ _ M M N m M M M M N m M W W M m W W m m 6 m m _ M m M m M M M M M M M M m M M M M M M ele m M M M _ m m m em eu. m m me==== =*== a= em e. em em -== em an== em e. em m em W Se em e. W. e.m eum em eum mES Mum sue eue m e eS M e m Euo sum mud GAD m e enup auin M eum em enum em amm mum enum m eum eum eum M M M M M m W eum eum m SEE Gimm .e e en euge m enn e eue .mme emp eum m eum O e em e em eum e

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A-QC- (o S. l Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET l ITEM TO BE CONSIDERED DATA TO BE ENTERED ** l j REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) i YOUR NAME: (Last Name First) Pj-)(( @_g______ i GROUP OR ORGANIZATION: s______________________________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • i SUBJECT OF YOUR REVIEW:

SC TOPICAL AREA:

  • If not on list, enter area here:

((((___________________________; .p gilg. ACCIDENT PREVENTION / MITIGATION SYSTEM:

  • If not on list, enter system here:

C,gr 83 A.t g.) M.gI)T_ 6.p.L L.D.L Y _$_ _ _ _ _ _ _ _ _ _ _ 0 7 1t g SPECIFIC COMP 0NENT OR ACTIVITY:

  • If not on list, enter activity here:

BMg_347_______________________ CPSl;S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) 1 gg.__ PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • j If not on list, enter contractor here:

NATURE (TYPE) 0F YOUR REVIEW: g i If not on list, enter nature here: SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* 0 Q Q G Q&g If not on list, enter type here: b & r d,Q _ n q,f_g y $,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, Size of sample observed / examined during your review: pho Estimated total population avail. during your review: o Randemness of sample:(Enter R if random, 8 if biased) ggpo If biased, enter basis here: C 2 DC _ PI.-(a _101 -- E 3 2 5 - e 01_ _ _ _ _ _ _ _ _ _ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C16_OgIg40gg_1Q__$QC h_________: ] 'o Enter Alpha Code From Appropriate List a "Please print usino one character ner underlined snace. Please da nnt eve..d miincated enne.c

Paga 2'of 3 I CPSES CONTENTION 5 DATA SHEET l SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: ~ ~ - - - ~ ~ ~ - - - - - ~ ~ ~ - - - - - - - - - ' ~ - - - - - - (Use a separate page 2 for each deficiency) Specific location of the deficiency: l, Date deficiency occurred: _ _ Use YY-M-DO Format Use YY-MM-DD Format Date NRC learned of deficiency: Who first " discovered" deficiency:* Tuse N if NRE, L if Licensee, A if Alleger, 0 if Other) If other, enter source here: Number of known similar deficiencies: ((((--------------------~~~~~--- s I REGULATORY OR OTHER REQUIREMENT /COMITNENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. UseNAifnotapplicable) l l Other requirement or comunitment: i - - - - - - - '- - - - - - - - - - - "" - - '- - -~ ~ ~ - - - - - EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTI'JN: i Your opinion of the degree of seriousness of deficiency l This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: I i [_(UseYifYes,NifNo,UifUnknown/ Uncertain) C0RRECTIVE ACTIONS TAKEN OR PLANNED: l Specific actions to correct deficiency: {Brief susunary of specific corrective actions, if knw n.) j l Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.) ..i.

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AQC-8 Paga.1 cf 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: t TRACKING NO: (ForIEHQUse) I YOUR NAME: (Last Name First) pyLC{@@ A GROUP OR ORGANIZATION: 5______'-(([_(([________________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: 7 SUBJECT OF YOUR REVIEW: TOPICAL AREA:

  • 6 C._ _

If not on list, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM: Q Jild l If not on list, enter system here: g o_ S E Fr-.L Fl G _ 5.'f 5 TEM _ _ _ _ _ _ _ _ _ _ _ - - SPECIFIC COMPONENT OR ACTIVITY: O _'TWfl. / If not on list, enter activity here: S p _ S E F _c. f.[c j ?._. ( 0 LVl f d d F g T / g _Q T L Y L T 'f _ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) S t PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • If.not on list, enter contractor here:

[ [ Q _- }} g g g _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ MATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: i SCOPE'0F YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* 0.9 0 C3 i ,1,. e 6 B If not on.11st, enter type here: Size of sample observed / examined during your review: 90.19 i Estimated total population avail. during your review: g,__ 3 i Rand 6mness of sample:(Enter R if random, B if biased) 3 If biased, enter basis here: At Liirte'ATtqc!_____________________ REFERENCE DOCUMENTS THAT DESCn!CE TC62 FINDINGS: C. / 6_ C,g I g g g g.f _ L Q _ _ d SC r $ _ _ _ _ _ _ _ _ _ r

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i CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TCTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: l Brief susmary of deficiency: - - - - '~ ~ ~ ~ ~ ~ - ~ ~ - - - - - - - - - - - - - - - - - - 1 (Use a separate page 2 for each deficiency) Specific location of the deficiency: Date deficiency occurred: _ _ (Use YY-MM-DD Format) (Use YY-MM-DD Format) Date NRC learned of deficiency: Who first " discovered" deficiency:* _TuseNifNRE,LifLicensee,AifA11eger,0ifOther) If other, enter source here: ~ Number of known similar deficiencies: .[~_((~~------------------------~ s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment - - - - - - - - - - - - - - ~ ~ - - - ' - - - - - - - - - - - - - EFFECT ON A8ILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* i Supporting infomation or basis: 3 CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sumary of specific corrective actions. [ _ _~ _- [ _ _~ _ _^ _ _ _^ _ _^ _ _^ _ _ _ _- [ _ _'~ _^ ifknown.) i Broad QA/QC actions: j (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)

o Pag.2 3 of 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL COPMENTS THAT YOU MAY HAVE: { _6,g,f fgMg6L fd Ig.L_ P Q LP )f, g It og _ g g f (St. auld you wish to provide any additional information, 8 0 T.c 8 V a-L L a8 W _ ud LU 65_ A _ Ew.v t.wW_ o p_ _AL L _.m g _ p p q o ggt _ I6 - _ - _ _ _ _ _ _ _ _ _ J commente viewpoint, opinion, or other matter that you feel the Contention 5 Panel should consider in making their findings please use this page to do so.) e -_____f e. s

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~ .-:;.L pec-n CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) YOUR NAME: (Last Name First) PJff[-- 9_ _ _ _L g D_- @;_ _ _ _ _ _ GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: J SUBJECT OF YOUR REVIEW: TOPICAL AREA:

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If not on list, enter area here: _(([___________________________ ACCIDENT PREVENTION / MITIGATION SYSTEM: o J14fL If not on list, enter system here: D,p_3p g !Elc_$5y5yggi_____________ SPECIFIC COMPONENT OR ACTIVITY:

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If not on list, enter activity here: g a _ $ f MJ E LG. _4 a df ###_E_4T18GI L V !.IX _ CPSE;S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) 3 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW: If.not on list, enter contractor here: g_-Q~gudT_be____________________ NATURE (TYPE) 0F YOUR REVIEW: d If not on list, enter nature here: pgQCEDVE.66-____________________ SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: ,QoS REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*, &Oc If not on list, enter type here: Size of sample observed / examined during your review: Estimated total population avail. during your review: ___- Randomness of sample:(Enter R if random, B if biased) g If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C./,6_Cgg4py_jQ__MCrd1________ '

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l Pag 2 2 cf 3 CPSES CONTENTION 5 DATA SHEET l l SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: i DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: l Brief sunnary of deficiency:- (Use a separate page 2 for each deficiency) - - - - ~ ~ ~ _ _- - - ~ - - _ - _ - - _ _- - _- - ~ - - _ _ _- Specific location of the deficiency: ---_____--___-_________________\\ ---___-__-_____________________l Date deficiency occurred: (Use YY-MM-DD Fonnat) Date NRC learned of deficiency: _ _ (Use YY-MM-DD Format) Who first " discovered" deficiency:* _ Tuse N if NRE. L if Licensee, A if A11eger, 0 if Other) If other, enter source here: Number of known sfullar deficiencies: ((~[~~-~-----~~~-----~-~~~~~--- s REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use aratile 01 thru 18. Use NA if not applicable) Other requirement or connitment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:

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Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* l When considered with other known deficiencies:* [ Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: ~ (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sunmary of specific corrective actions. ((~[~[~[~((~((((((((((((~_^(([_~[ ifknown.) y i Broad QA/QC actions: 1 (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.).

.* v. # CPSES CONTENTION 5 DATA SHEET. ADDITIONAL COPMENTS THAT YOU MAY HAVE: $ _ MP_ DPG #d4FM ~7~L 6&M P G E _ (Should you wish to provide any additional infonnation. %BS? b f- _Q-Eh!? 6 L! T t Q. 61 To _ D L G E6BI1. e comment, viewpoint, opinion, or other matter that _ W G fr _ L D tr 9.72 E.1 FC)_ l 6/ T4 F P6 E G BD F you feel the Contention 5 Panel should consider in .E.G-_____-______----_-- making their findings. please use this page to do so.) _ ----__._______________._-___.l _e _. -___l J --______-________-_____-_J ___________----_____________,i _ N _ _ _ _ _ 2.'. _ _ _ - _ _ _ _ _ _ __ _ _ _._ _ _ _ _ _ _ _ _ s \\ s e -e ,g

S 4,.- l -], MCdb Pa'ge 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING N0: (ForIEHQUse) YOUR NAME: (Last Name First) F E _.L L L @l2 _ _E_ _ _ _ _ _ GROUP OR ORGANIZATION: $_____________________________m SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: * ^ SUBJECT OF YOUR REVIEW: GC-TOPICAL AREA:

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R[@2dudI_-____________________h NATURE (TYPE) 0F YOUR REVIEW: If not on list, enter nature here: pg,q q, g p q g.gi_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ j SCOPE OF YOUR REVIEW: I EFFORT EXPENDED IN M4N-HRS. NOT INCL. DOCUMENTATIGN: p pq 2. REPPESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*.pg.gT, If not on list, enter type here: .7,.n gg V. L g y_ g gg. $,ppp,g6_ _ _ _ _ _ _ _ _ _ _ y Size of sample observed / examined during your review: ___Q E'stimated total population avail. during your review: ___p Randomness of sample:(Enter R if random, 8 if biased) If biased, enter basis here: ______________________________q REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C,] 6 _ C,g y g Q g d _ 1 0 _ _ g Q C - _4 ) _ _ _ _ _ _ _ y ______________________________q ______________________________p j _____...,._______________________c Enter Alpha Code From Appropriate List

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l Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET 1 SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: 1 DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: ] Brief summary of deficiency: (Use a separate page 2 for each deficiency) - - - ' - - - - - - - ' ~ ' ' - - - ' _ - - - - ' - - - - - - - - ' - - - - Specific location of the deficiency: i Use YY-M-00 Fomat Date deficiency occurred: Use YY-m-DO Fomat Date NRC learned of deficiency: Who first " discovered" deficiency:*

TUs N'if HRE, L if Licensee, A if A11eger, 0 if Other)

If other, enter source here: Number of known similar deficiencies: [-[---------------------------- s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: - - - - - - - - - - - - ~~ ~ ~ ~ ~ '- - - - - - - - - - '" - - EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* 1 When considered with other known deficiencies:* i Supporting information or basis: C0RRECTIVE ACTIONS TAKEN OR PLANNED: _ (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sunnary of specific corrective actions, if known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies i due to QA/QC causes, and, to prevent recurrence of siellar deficiencies in the future.) . G,.,_,_ _._: _._ _,._._. _ _. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

m'. Page' 3 of 3 CPSES CONTENTION 5 DATA SHEET. AD0!TIONAL C0pWENTS THAT YOU MAY HAVE: - _ _ _ m - - - - - - m _ _ - - - - m _ m _ - m m _ - - _ _ m _ _ - _ M m _ - m m - m m _ m m m _ _ _ _ _ _ _ _ m _ - - = = (Should ou wish to provide any additional infomation e comment e viewpointe opinion or other matter that - - - - - - - - - - - - m - - - m - - m - - - - - - - - M - - e - - m m - - - - - - - m - - m m - m - - - - - - - m - - - m M you feel the contention 5 Panel should consider in making their findings please use this page to do so.) e - - m m - - - m - - m - - - m - - - - - - = m - - - - - - - - - - - = - - - - m m - - - - - - - - -. m m m m - m m - - - - e m - m m m - m - M - - - M M M - m - m - m - - m m m m - m - - - - - - m - W - - - m - m m m - - m m - - - - - - m - - m m 0 6 e l - - - - - - - - - - m m m - - - m - m w m m - - M - - - m m - - m - - - - - - - - m m m m m - - m m m m m m m m - a-m m _ - - m - m - m - - - - - m m - m - m - - m m - - m - - - m - m m - - m - - - m - m m - m m m - - m m m m m m m m m m m m m e m m m - - m - m - m - m m - - m m m e - - m m - - - m - m m e m m m m m - - m - - M - - - m m - - - - m - m - - - m - - M - - M - - - M - M - m m - - - - - - - - - - M - m - - m M - - - m - m - - m m M - - - m - - - - - m m m m m m - m m m M M - m 9 9 - - g - - -m - - - - - m m - - - m m - - - - - - - - m - - M - m m - m m - m m - - - - - - m m - - - - - m - - - m - m m - i m m - - M - m m m - - - m m m m - - - - m m m - m - m m - m m - m m m - - m m m m m m m m m e - - - - - - - m - m - m - - - l e i m - m - - - m m - m - - m e m - - - - - m m - - - - - m - m m m m - - m m - - - m - - - - - - - m - m m - m - - - - m m - m i - - - - m m - - - - m m m m - - - m m m m - m m m - - - - - - m m - - - m m m m - - - - - - m - m - m m - m - - - - - - m - l 1 I I m - m - - - m m -.m m m - - - m m m - m m - - m - - - m m - - I - - - - m m m - - - - - m - - - - - - - M - - - m - - - - - - - - - - m m m m m - m m - - - - m m - - m - - M M M M M M M M m m e m - - m - m m m - - m - m m _ m - - - - m M - M M

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i A QG-9 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) YOUR NAME: (Last Name First) G_ _ _q B W5 Y-1_ ~.T _ _ _ _ kab1( GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: f SUBJECT OF YOUR REVIEW: TOPICAL AREA:

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,_____g____1____________________ ACCIDENT PREVENTION / MITIGATION SYSTEM: QT @ P_ If not on list, enter system here: d p _ 5 g _ECi tE l c. _ 515 I EM _ _ _ _ _ _ _ _ _ _ _ _ _ SPECIFIC COMPONENT OR ACTIVITY: Q Id@ f If not on list, enter activity here: g p _ $ f giic.1 1:-1 G _ c a at f>P d FM T./ 8 C I 1 M L 1 'l _ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2 orb) PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

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g_W_Qgijr_,_____________________ NATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: p p,[ (g REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*, pag _ If not on list, enter type here: t Size of sample observed / examined during your review: O g p1 Estimated total population avail. during your review: qqq3 Ran'domness of sample:(Enter R if random, B if biased) S If biased, enter basis here: 6L,6ggfTigd_____________________ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: 7_g _ gq - % E 39:p3________________ J_- S _ S 2 : S 4 !! 22r92________________ i CLG_C_AIE6a&Y_3__AQC 9__________

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.[ e Pag 7 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i TOTAL NUMBER'0F DEFICIENCIES YOU REVIEWED: O P2 2. DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: C. k P.Se'D_ 62 e E. _ OF.C-s&T _ TE6T6, _ N 9 MI _ $ (Use a separate page 2 for each deficiency) 9 6 2 FC.5 2 E5_ G iv. E d _ o G E 9_ 6 E Q. t _ M D_T EST6_ WE'f_E_41 V.E O _ W.i T tl _ 3 hl 5 W EES _ E & oi1DFD_________________________ Specific location of the deficiency: g p _ gg g G F1C. _ L o G &.T1 Q.cl _ _ _ _ _ l 3 1 - o 3 - 0 O ((Use YY-MM-Do Format) Date deficiency occurred: j c) p _4 - p O Use YY-MM-DD Format) 1 Date NRC learned of deficiency: Who first " discovered" deficiency:* A (Use N if NRC, L if Licensee, A if 611eger, 0 if Other) If other, enter source here: Number of known similar deficiencies: ((_^[-'~~'~~~~~---~~~~~~~~~~--~~~-'"~~ s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: u & (Use arabic 01 thru 18. Use NA if not applicable) l Other requirement or conmiitment: - - - - ~ - - ~ - - - - - - - - ' - ~ ' - - - - ~ ~ - ' ~ ~ ~ ~ ~ " - ' ~ - - EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Yotfr opinion of the degree of seriousness of deficiency 1 This specific deficiency considered alone:* L When considered with other known deficiencies:* 1 l Supporting information or basis: y p g.1_ a E: _ id 6 E FCI e E _ d _ Q # UEfa Ile d _ # 1 AD_ BEEM _E EFY Lo uskV _ AuD 1I ED_ As D _ ' In _ s e _ a c cee t a skE _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ i CORRECTIVE ACTIONS TAKEN OR PLANNED: })(lise Y If Yes. N if No, U if linknown/ Uncertain) Specific actions to correct deficiency: (Brief sussiary of specific corrective actions, (((((((((((((((((((([_"((((((((~ 1 ifknown.) _ h_ _ _ __ L L _66_ a 65.46% EQ _ d 'l _ I Broad QA/QC actions: p gg 3. C.1. d _ wA (Actions to identify potential similar deficiencies y g.7_ A A A C._ A G _ o V.W O6 L.L _ E E.G G,geaMar due to QA/QC causes, and, to prevent recurrence ic. _ g.g.g L W _ C.a y c,g6 t.194_ f & 2 G _ V al D EC J of siellar deficiencies in the future.) C 4 T _ d.,,, T g & 1 g _t y / Q u A.g.,_ _ P g.R.S.g & F E b - ..+ v., a........ u Q o g v 4f vp-u << u 1 1Annmnwarenwrwis tu ynv

a- _CPSES CONTENTION 5 DATA SHEET. ADDITIONAL COPMENTS THAT YOU MAY HAVE: (Should you wish to provide any additional information, - - m m m - - m m - - m e e m m m m e M m m m m M m _ _ _ = m m m 6 m e m = m - - m - m m M m = m m - - m m m m m comment, viewpoint, opinion, or other matter that e e = e m M M M m - m M e e m m = m - m m m e e e m = m you feel the Contention 5 Panel should consider in making their findings m m m m _ M m m m m _ _ W m - m m m m m m m m m m m - please use this page to do so.) e m m m m m m m m - m m e - _ m _ m m m m m m - - m m m m m m m m m = - m m m m m m m h m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m t m m m m m m - m m m - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m - m m m F D m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m M m m m m m m m m M m m - m m m m m m m m m m m O m m m m m m m m m m - m m m m m m m m m 9 m m w m - mm m m m m m - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m = W W m m m m m m m m m m m m - m m m m m m m m m m m m m m m m m m m m m m W M m m m m m m - m m - - m m m m m m m m - m m m m m m m m m m 9 m - m m m m m m m - - m m m m m m m M = m M m M*m m M M = m m w m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m - m m m m m m m m m m e - m m m m m m mem m m m m m - m e m m m m M m M m m m m m m m m m m m m m m m m m m m m m m m m m m D g m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m - m m m m m m m - - h m m m m m m m m m m m e. m m m m m m m m m m m m m - m m m m m m m m m g g g g g m m m m m m m m m m m m m m m - - m m m m m m m M M g g g g e m m m m m m m m m m m m m m m m m m m m m m e a f m m m m m m - - - m m m m m m m - = = m e m m m m m 9 ee b e 5 l

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s. CPSES CONTENTION 5 DATA BASE INPUT _ SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING N0: (ForIEHQUse) YOUR NAME: (Last Name First) L h 1 3 D _W fp K L _ T _ _ _ _ GROUP OR ORGANIZATION: 6______________________________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: Q~ PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SUBJECT OF YOUR REVIEW:

6C.__ TOPICAL AREA:

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ACCIDENT PREVENTION / MITIGATION SYSTEM:

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QO_M FGLEJ.G_#2Mk75@1____._________ SPECIFIC COMP 0NENT OR ACTIVITY:

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If not on list, enter activity here: g a _sp E G1. E.L G _ C.a MP e 9 FPIl acI d n Y _ CPS (S UNIT IELUDED IN YOUR REVIEW: (Enter'I, 2 or 8) 8 PRI EIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • If not on list, enter contractor here:

g _ y _ 1[9 g 3 _,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ NATURE (TYPE) 0F YOUR REVIEW:

  • 8 If not on list, enter nature here:

SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT IEL. DOCUMENTATION: goqS REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*, gag _ If not on list, enter type here: Size of sample observed / examined during your review: _ _ _ ;M Estimated total population avail. during your review: ___@ Randomness of sample:(Enter R if random, 8 if biased) g If biased, enter basis here: REFEREEE DOCUMENTS THAT DESCRIBE YOUP FINDINGS: pp g _ C. - 4 3 8 _ g. g V. _ [ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ C{S_ C&1E4084 _Q__AQ C:.L__________ ~

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l' Page ? cf 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW I TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: O. G 21 DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: hg 9 C._ A.L G._ EdIL.h19 MF9I_ EEco.r4 D 6_ WE Brief sumary of deficiency: f (Use a separate page 2 for each deficiency) g.g _ ]=A n #_ t_.g. g p _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Specific location of the deficiency: g p _ 5 P E C.L C-a c._1 e Ge rl e ed _ _ _ _ _ _ _ _ _ _ _ J. 7 - p l. - g. O(Use YY-M -DD Format) . Date deficiency occurred: Date NRC learned of deficiency: 23 .C>.D-O p(Use YY-MM-DD Fomat) Who first " discovered" deficiency:* Q (Use N if NR., L if Licensee A if A11eger, 0 if Other) If other, enter source here: g _ W _ d u g T _ 6 8 Ek.o_1 9 6 _ _ _ _ _ _ _ _ _ _ _ _ _ _ Number of known similar deficiencies: ___p s REGULATORY OR 0THER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: g A (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: - - - - - - - ~ ~ ~ " " - - - - - " ' ~ - - - - - - - " - - - - ~ ~ ~ - - EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency. This specific deficiency considere<f alone:* U When considered with other known deficiencies:* [,L Supporting information or basis: Q ee P_tss IV.E _5 TE.Jr8 4.rtf _ 9 E _ Ge 64_.I AJ Gt2E a I.1 Q M_ WAS 1 (#.L r 6kle : 6EFG_____ d CONRECTIVE ACTIONS TAKEN OR PLANNED: g(UseYifYes,NifNo,UifUnknown/ Uncertain) Specific actions to correct deficiency: (Brief sumary of specific corrective actions. ((_-(([~(((((((((((((((((((((([_ ifknown.) Broad QA/QC actions: DEEl C.1.shJ4,Y _ hi l le L _M _4 6 6 F65 E D_ E'/. - l (Actions to identify potential similar deficiencies I g.g_.p e,[ g c. _ &G _ P & &T _ c E _ g g erf A L.L _ PG due to QA/QC causes, and, to prevent recurrence Ela& AMM ts-T J C._ g,eF V.! F8_ C.O M f 5 2-91 M _fE of similar deficiencies in the future.) o_ C _ g pD grk _ C,3 :I _ k _ SC _ J t:! S F_ R C.T 1 p .,o

~ ~ Pag) 3 cf 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL C0petENTS THAT YOU MAY HAVE: M_Ti$.I_g.ygs_sgggo_oecaeg9I6,_ce I mDDEm &DS_me 2_ a_

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f AQc-2. Paga 1 cf 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (For IE HQ Use) % p pf g t _T_ _ _ _ _ YOUR NAME: (Last Name First) pA 3 GROUP OR ORGANIZATION: 6______________________________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: 7 SUBJECT OF YOUR REVIEW: .$Q.__ TOPICAL AREA:

  • If not on list, enter area here:

OI[f(2. ACCIDENT PREVENTION / MITIGATION SYSTEM: If not on list, enter system here: p p_ 3 6 fg 1 E J.G _ 6 % T E M _ _ _ _ _ _ _ _ _ _ _ _ _ Q rMLL SPECIFIC COMPONENT OR ACTIVITY:

  • If not on list, enter activity here:

g Q _#:2 8 FC,1 f.LG _ 6 M E o d ELJ Tl a-GT LV. t_ T_Y _ ~ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1, 2 or 8) S '-. PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • If.not on list, enter contractor here:

g_W_Sugy_______________________ NATURE (TYPE) 0F YOUR REVIEW: 8 If not on list, enter nature here: SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: OOog REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* 1 5 6 g If not on list, enter type here: Size of sample observed / examined during your review: -)E g-j Estimated total population avail. during your review: Randomness of sample:(Enter R if random, B if biased) If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: 1 g _ Z g -- o ] _ _ _ _ _ _ _ _ _ CJ G_ C a2 rg o &Y _ 8_ _ 6 2 C-L_ _ _ _ _ _ _ _ _ _ ~

  • Ezter Alpha Code From Appropriate List
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Paga.2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: ~ DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: ~ - - - - - - ~ ~ - - - - - - - - - - - - - - - - - - ~ ~ - - - - ~ (Use a separate page 2 for each deficiency) Specific location of the deficiency: Use YY-p#1-DO Format . Date deficiency occurred: Use YY-191-DD Format Date NRC learned of deficiency: Who first " discovered" deficiency:* [TuseNifHRE,LifLicensee,AifA11eger,0ifOther) If other, enter source here: Number of known similar deficiencies: ((((~~~~~~--~-~~'-~~~~'-----'~-~~ s REGULATCRY OR OTHER REQUIREMENT /C0pti!TMENT NOT MET: . Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: - - - - ~ ~~ ~ - - - - ~~ ~ - - - - - - - - - ~ ~ ~ ~ ~ '- - - ~ EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: C0RRECTIVE ACTIONS TAKEN OR PLANNED: _(UseYifYes,NifNo,UifUnknown/ Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions. [~((((((((((((_'"[~~_-((((((((_'-(([ if known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.) a

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f 9,.- A.qc-3 Page 1 of 3 r CPSES CONTENTION 5 DATA 8ASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING N0: (For IE HQ Use) YOUR NAME: (Last Name First) $___ow g.L_T____ ba9( GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SUBJECT OF YOUR REVIEW:

$Q__ TOPICAL AREA:

  • If not on list, enter area here:

ACCIDENT PREVENTION /NITIGATION SYSTEM: Q1 &g If not on list, enter system here: S p _.6f fG.1 E L 4 _ 6 Y. 6 *JFM _ _ _ _ _ _ _ _ _ _ _ _ _ SPECIFIC COMPONENT OR ACTIVITY:

  • QT Gr2-

/ If not on list, enter activity here:

  1. P_ f 9 FG.L l".!. G _ G P mfg.#FM'J / d-G T! L_/ L TY _

CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1, 2 or 8) S PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • If not on list, enter contractor here:

Q[ggjg7_______________________ NATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: $C0PE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: 0 0 0. (o REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,a gg If not on list, enter type here: Size of sample observed / examined during your review: W Estimated total population avail. during your review: (([{ Raneomness of sample:(Enter R if random. 8 if biased) g If biased, enter basis here: M _ -] h _; Q c} _ _ _ _ _ _ _ _ _, _,, _ _ _ _ _ _ _ _ _ _ _ _ _ REFERENCE 00CtmENTS THAT DESCRIBE YOUR FINDINGS: LJ G _ C A T sg o &4 _ 8 _ _ he C 3 - _ _ _ _ _ _ _ _ _ ' '* Enter Alpha Code From Appropriate List OcFlease print using one character per underlined space. Please do not exceed allocated spaces.

F e .s Page 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sunnary of deficiency:

~~----------------------

(Use a separate page 2 for each deficiency) Specific location of the deficiency: Date deficiency occurred: _ _ Use YY-MM-DD Format Date NRC learned of deficiency: Use YY-MM-DD Format Who first " discovered" deficiency:*

TuseNifNRE,LifLicensee,AifA11eger,OifOther)

If other, enter source here: Number of known siellar deficiencies: ((((~~~------------------------ s REGULATORY OR OTHER REQUIREMENT /COM ITMENT NOT MET: . Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: You'r opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* ~ Supporting information or basis: [_(UseYifYes,NifNo,UifUnknown/ Uncertain) CORRECTIVE ACTIONS TAKEN OR PLANNED: Specific actions to correct deficiency: (Brief sunnary of specific corrective actions, if known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence i l of siellar deficiencies in the future.)

r w e e.. ~- pac 3 cf 3 e CPSES CONTENTION 5 DATA SHEET. T - een em. ADDITIONAL COMMENTS THAT YOU MAY HAVE:

  • -== E-e s e:. cs a F-r_w_ $68GLs D9 EEmV 1E D / E X & do L r1 EED_ D u.v L6.2 G. E lint ut. t!'-

6S -m S-fl (Should you wish to provide any addltional information, d_#QIM B 9_6 eM ~E WD _ FE 6 Go-f bT _ B E'GmM @ em coment, viewpoint, opinion, or other matter that you feel the Contention 5 Panel should consider in _ pg t}, _ i g r-o _ geg y i_g gg;;;p_ t g _ c,q g g g r,n making their findings, please use this page to do so.) D _ D el E l: =E_2m __ ~#TL 'im = e M _ em _ _ en _ u.m em en ee em _ en _ M _c em eso em enn amm een om een en een amm em em uma em um eme ene am een am one em em eum em amin - eum em C

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r i ?: hec-9 Page' 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING N0: (ForIEHQUse) YOUR NAME: (Last Name First) g _ _ 4 ogp 6 g.L _ T _ _ _ _ Lag GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SU8 JECT OF YOUR REVIEW:

S C,_ _ TOPICAL AREA:

  • If not on list, enter area here:

hIl}&. ACCIDEN' PREVENTION / MITIGATION SYSTEM:

  • If not on list, enter system here:

u a _ t P E' G 3 f=l c _

  • Y G T e M _ _ _ _ _ _ _ _ _ _ _ _ _

279 L2. SPECIFIC COMPONENT OR ACTIVITY:

  • If not on list, enter activity here:

M p_ $R g G. L F.t G _ Ga B.Fp e F#.7/&-G.Il V LT.y _ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2 orb) PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • g-f[fygr_,_____________________

If not on list, enter contractor here: g NATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: Q Q p fp REPRESENTATIVE TYPE OF ITEN CONSIDERED IN YOUR REVIEW:*.g g _ If not on list, enter type here: Size of sample observed / examined during your review: ___g Est'inated total population avail. during your review: ___g Randemness of sample:(Enter R if random 8 if biased) g If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: ,14 33 og_______________________ CJb_Casakott_6__bGC=2__________ _____,y________________________ N Enter Alpha Code From Appropriate List 0$Please w int usino one character ner underlined space. P1 ace do ant eve..d miinca+ad en=rae

r i Pag 2 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: _ _Q DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: - - - - ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ - - - - - ~ ~ - - - - ~ ~ - - ' - (Use a separate page 2 for each deficiency) Specific location of the deficiency: . Date deficiency occurred: (UseYY-MM-DDFormat) _ _ (Use YY-MM-DD Fonnat) Date NRC learned of deficiency: Who first " discovered" deficiency:* _TUseNifNRE,LifLicensee,AifAlleger,0ifOther) If other, enter source here: Number of known similar deficiencies: [ [ [ - ~ - - - - - - - - - - - - - - - ~ ~ - ~ - ~ - '- - - - s REGULATORY OR OTHER REQUIREMENT /COM ITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or couriitment: --~~~~~--~------~'-------------- EFFECT ON A8ILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency - This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: _ (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions. [~(((((([~[~((((((((((_-((_~[_-(([ if known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies __________________________y due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.) u

r I~ Pagh 3 of 3 CPSES CONTENTION 5 DATA SHEET. 'fs ^ Tg. E:Y _ & E U 5 5fr U S I_^ y g p gY dr f.2 ErT TRT s D ry g gp Ag ADDITIONAL COPMENTS THAT YOU MAY HAVE: .1 M_T (Should you wish to provide any additional information,.pa g.g3 r y _ q e I g.p,, _ c,q q ( _ g g 3 _ r gg _I g.7 connent, viewpoint, opinion, or other matter that _ SE L.L E V Ef 6 IIHLT _ A D D I I 1. O t_J M _ & CI L Q you feel the Contention 5 Panel should consider in making their findings, please use this page to do so.) 11_16 _ g.g g g g g.gp_ Sy _ ~[ Og:C._ T2 _ C Q 9 E l @- Ad_ STIC.Ed6 JB _ T EST 6_ A 8 E _ g E E g-FG, B.vT /1 I 1 V'E _ c B _ I &E _ 5 T g.E M4i rR. _ a 1: _ C-o.u. c._ E C A. -CBp_______-___________________ _____________________._gp ____________D D -uD .u. .u. _________eu. .g. _. lum .A. .uD .u. .m .u. Gulmb .m. em __em. __.m. .O _ _ _.i. _ .a. .W .6 _.u. Gl_ EM-dumD qualip .ui. ______.u.

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AQC.-5*I Page'1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) $__k_.p._g79y1_7____ YOUR NAME: (Last Name First) L&d GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 6 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SUBJECT OF YOUR REVIEW:

J_ TOPICAL AREA: * ~ If not on list, enter area here: Ca o w.g49_ T!EM $1 L.E_ TFSI_ ggr(A2 EDA _ _ ACCIDENT PREVENTION / MITIGATION SYSTEM: gT&g. If not on list, enter system here: .blB _4r E NG 1.FJ G._ G M J.ffW1_ _ _ _ _ _ _ _ _ _ _ _ _ Q IL4E. SPECIFIC COMP 0NENT OR ACTIVITY:

  • If not on list, enter activity here:

gp_grgrCjfj.g._pgyppjggr/g.C,31gjgg_ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2 orb) 1 ) PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • 3g_ _

If not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW: ,8 If not on list, enter nature here: SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: apO(e REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*.g&g_ If not on list, enter type here: QGdp4Q Size of sample observed / examined during your review: Est'imated total population avail. during your review: g4 Randomness of sample:(Enter R if random B if biased) g If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: 9.,l@_C,g3gg.pg.y_$__bqq.,fl__________ ~ N Enter Alpha Code From Appropriate List i ocPlease print usina one character per underlined sonce. P1 paso dn not eveeed alineated enacae

l Pag 2 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: I DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: ~ ~ ~ - - - - - - - - - - - - - - - - - - - (Use a separate page 2 for each deficiency) l Specific location of the deficiency: l Use YY-M-D0 Format Date deficiency occurred: Use YY-M-DO Format Date NRC learned of deficiency: Who first " discovered" deficiency:*

TuseNifHRE,LifLicensee,AifAlleger,0ifOther)

If other, enter source here: Number of known similar deficiencies: ((((~~~~~~~~~~~~~~-~~~----~~~--- s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _,(Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: ~~------~~-'~~------------------ EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: [ _(Use Y if Yes, N if No, U if Unknown / Uncertain) C0RRECTIVE ACTIONS TAKEN OR PLANNED: Specific actions to correct deficiency: (Brief sunnary of specific corrective actions, if known.) Broad QA/QC actions: 4 i (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.) t i,.

r. Page'3 of 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL ColetENTS THAT YOU MAY HA K: _ _ _ _ m _ _ _ _ m _ - m m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - m - - - - - - - - m - - m - - - - - - - - - - - - - - - m (Should ou wish to provide any additional infonnation. _ _ _ - _ _ _ m _ - _ M m _ _ _ _ _ _ _ _ ________m m comument vi inte opinion or other matter that e - m m _ _ _ _ m m - - - - - - - - - - - M - - - M - - - - - - you feel the contention 5 Panel should consider in making their findings please use this aage to do so.) e - - - - - - - - - - m - - - - - m - - - - - m m _ _ - - - - - - - - - m - - = = W M - - - - - - m m _ - - -. m. m. m.. M M M M M M - M M M M M e m - W m m m m m e - - m - m m m m m - m m M M - M W m M M W - m - w w m m m m m m m m m m m m - m f M - - M - M M - m M - M M M M M M M M M M M M M - m m - m m - M 6 6 m M M M m m W W M M M m m m m m m m m m m m - m m m e - - - - - - - - m - - - - - - - - - - - - - - - - m - - - - - - M M M - - M M M - M M M - m m m m m - m - m - m m m m m m m m e M - M M M M - m m m M - M M M - - M - m m m m M - - W W W m W - W M M M M M M M W - m m m m - m m - m m m m m m m m - m m m W W m 6 6 6 6 m M m m M - m m m m W 6 - m W M m m - m m m m m M - M - M M M m W m M M M W W - m - m m m m m - m m m m m m - 9 m m g = - mm e m - - - - - - - - - - m m = = = - - - - - - - m - m m m m m - m m m m m m m m m m - m m m - m m w w - m m e M M M M M M - W W W m - m m m m m m m m m m W W e m m m - m m - m - - - - - - - - - - - - - -. - - - - - - - - - - - - - - m e m - m m m - m m m m m m m m m m - m m m m m m - m e m e m m m m m m m M M M M M M M M - M M W e m W M M M - M M M e m m m - - 6 6 M M M M M M M M M m m m m m - m m m m m m m m m m - 9 m m W - M M - M m m m m m m m m m m m - M - M M M M - M m m - m m - M M M M M M M - M M - M - M M M M M M M M M M M M M M W 9 m _ _ m. _ _ _ _ _ _ _ _ - m _ M m m - - - - - - - - - - - m m m m m m - m m m m m m W M M W m m - M M - M m m M M - m W - m m - m m - m m m m m m m m - - m m - m - M M - M - M M M - M m m m m m m m m m m - m m m m - m m m e M M M M M m m M m m m m m m m m m - m - m m m - m - - m m M M M M - M M M M M m m m m m m m m m m m m m m m m M - m m m - M M M M M M M M M

  • 9

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?. RC-IO r.! Pags I of 3 CPSES CONTENTION'S DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (For IE HQ Use) i YOUR NAME: (Last Name First.) f}pij j________ GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: ,7 PRINCIPAL CONTENTION 5~ AREA RELATED TO YOUR REVIEW:

  • SUBJECT OF YOUR REVIEW:

6 C,_ _ TOPICAL AREA:

  • If not on list, enter area here:

ACCIDENT PREVENTION / MITIGATION SYSTEM: OI g g If not on list, enter system here: C.o g r$-Q L _8t/GE 64.Erf 'TF-f S 44, _ bu.L I-DI_Alk OI B g. SPECIFIC COMPONENT OR ACTIVITY:

  • If not on list, enter activity here:

c o 9 c. g.gr E_ S L 14 8._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 3 CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1, 2 or B) { PRINCIPAL CONTRACT 0F INVOLVED WITH YOUR REVIEW:

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If not on list, enter contractor here: C, NATURE (TYPE) 0F YOUR REVIEW: .If not on list, enter nature here: R Ss o g.a 6_ A g p_C e sp&.gIgr0_ pa gg_ _ _ _ _ ' SCOPE OF'YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: c of O REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* QAg_ If not on list, enter type here: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _. Size of sample observed / examined during your review: F___ Es.timated total population avail. during your review: M___ Randomness of sample:(Enter R if random, B if biased) $ If biased, enter basis here: B l (., 5 4p6 T ). pe! _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: 3.E_6L_\\_%._____7_h.9.r10___________; C./4ir _C4TEde' a g y _ 7

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t*.- Pag 2 of 3 CPSES CONTENTION 5 DATA SHEET. SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: OOQj DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: (.)g (,.o gIgo L L.ED_ f g b_ q g D pf,.t.> A(E d _TliiED R (Use a separate page 2 for each deficiency) ER A L E 2 F _ 4_ e G L E _ EE s u t._ ra u Q _ E EQ M-TnE_ &E M O V & L _ o E _a _ e l L Il _ SoLT _ _ _ _ Specific location of the deficiency: E1 sc r s.a c A L._ Au O _C.a 9 re_c L _6 u l LDW $ Date deficiency occurred: 2_- O_4-C O(Use YY-MM-DD Fonnat) Date NRC learned of deficiency. f _O4-DD (Use YY-MM-DD Format) Who first " discovered" deficiency:* (Use N ff NRC, L if Licensee, A if Alleger, 0 if Other) If other enter source here: Number of known similar deficiencies: 6d66--------------------------- REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET: Use NA if not applicable) Applicable 10 CFR 50 Appendix B Criterion: }lA(,Usearabic01thru18. ~Other requirement or commitment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: - - - - - - - - ~ ~ - - - - - - - - - - - - - - - - - - - - - - - - Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* L. When considered with other known deficiencies:* _T Supporting information or basis: .SteB_ld_GVF5J12d_16_5Il_LL_ CAMS LE-Q E cs &#1.L d(y T8-E DE S L6 & Lee QS, CORRECTIVE ACTIONS TAKEN OR PLANNED: }} (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sumary of specific corrective actions, -[~[--~-[_----[_--[~--(([-----(([ if known.) Broad QA/QC actions: g I,y WJ L L. _ BE _ 666666ED_S Q@gp3 C ( gj[QC _ d 5_ E A &T d E O V CE Es k L g @ (Actions to identify potential similar deficiencies T 7_Qb/ due to QA/QC causes, and, to prevent recurrence o M A MAIL C, _ f.E\\D_ E h/_ G O MG-F8Ml 6't$ _ E4 of similar deficiencies in the future.) g2 c,_ VM D5 & _ fr.&J_ k 4f -11/6E NG/L L G d- - - AnniTTONAl fnMMFNTC ( T F m n., anta V %nd.ca n na M 48 t - a V 4'r V;* n' if d

I I I I I i 1 1 1 1 l l I I I l I i i I i l l I I I I I I l l l ) 71 I l l l l 1 1 l l l l 1 1 I I i i i I I I i 1. I I I I I I I I -l l I I I I I I I i l l l l l 1 1 I I I I i l l I I I I I i i l l l l l l 1 I l l l l l 1 1 I I I I I I I I I i l l I I 1 1 I I (t l l l 1 1 I l l l l l 1 1 I I i 1 l I I I I I I i 1 1 I I I I [ WI I I I i 1 1 I l l 1 1 I I I l l i I i l I i l 1 1 1 I i l I l o %It I l l l l l l l l l l l l 1 1 I I I i 1.1 I I I l i I I I i 1 9 (t l l l l l 1 1 I I I I I I I I I I I I I I I I I I I I I I I I es i I I i 1 1 I I I l l l l l l 1 1 I I I I l i I l i I I I I I I I E @ l i t l i l l l i l l I l l i l i l l l i l l I l l i I l l i 21 1 I l l l l l l l l l 1 1 I I I I l l i I I I I I I I i i i I F4 i i i i i i l i l I l i I I I I l I l l I I I I I I I I l l I I I I l l l l l l l l l 1 1 I I i i l i I I I I I 1 I I I I I I CW l i I I I I I I I I I I I I I I I I I I I I I l l I I I I I I @ l l l l l 1 I l l l l l 1 1 I I I I i 1 1 I I I l I i 'l i I I 3J l i I I I l l l l l l l l t i I i l I I I I I i 1I I I I I I t!),1 1 I I i l l l l l l l l l l l 1 1 I I I I I I I I I I I I I 1 gl l I I I l l 1 1 I l l l 1 1 I I I l i I I I i l i l i I I I I vi i l i l 1 l l l l i l i I I I I I I i 1 1 I I I I I I I I I I SD l i1 I l l l 1 I l l l l 1 I I I I I I I I I I I l I l I ll () l l l l l l l l I I I i 1 l i I I I I I I I I I I l l I l I I il l 1 -1 l l l l l l l l l l l l l 1 1 I I I I i l I I i l i I hl l l l l l l l l l l l l I 1 l i 1 1 I I l l I I l I .I I I i %Li'21 1 I l l l l l l l l l l l-1 I I I I I I I I I I I I l1 I I h FIOl i i i l l I I l l l l l l 1 1 I I I I I I I I I i l I i 11 z IH I I I l l l l l l l l l l l I I I I l i I I l I l i I i 11 Wi t-l i I I l l l l 1 I l i I I l i 1 1 I i 1 1 1 I I l I I I I I $$ 1 1 l i l l l i l l i l l I I l l i l i l l l i l l l i l l g t--lGI I I I i i 1 1 I I I I I I I I I I I I I I I I I I I l i I I c m IO I I I I I I I l l I I I I I I I I i i I al I I I I I I I I g WW 1 1 l i l l I l l i l i l l l i l l t i l l I l l ! I l l i ~ 5 8 d W L c" e g"to4 os m bi eus" b BEK % "E 83. 8 mm

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Acc49 i .c Page I cf 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) i YOUR NAMe: (Last Name First) [ 5 5 d ~p ~g>~6 g.1_ ]"_ _ _ _ r4t0UP OR ORGANIZATION: 3_______________________,_______ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH CF YOUR REVIEW: PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • B t

SU8 JECT OF YOUR REVIEW: TOPICAL AREA:

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j If not on list, enter area here: OT(tg ACCIDENT PREVENTION / MITIGATION SYSTEM:

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996 E _ N d LT _1_ C O MI6 i M M EN I _6 T C.W G,I _ SPECIFIC COMPONENT OR ACTIVITY:

  • oy&g If not on list, enter activity here:

n L q _ g g g g._ Q g g,7__ g _ C a y 7 _ 6 7 g.y 4,T U G.E CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) 2 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • BE__

If not on list, enter contractor here: d i NATURE (TYPE) 0F YOUR REVIEW: If not on list, enter nature here: SCOPE OF Y0dR REVIEW: EFFORT EXPENDED IN MAN-NRS, NOT INCI.. DOCUMENTATION: O Q 04-l REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* i If not on list, enter type here: 3CC6(agg._p M GL&L,ggD_ M g(afI1.pd__ Size of sample observed / examined during your review: oQag Estimated total population avail. during your review: pgQQ Randomness of sample:(Enter R if random, B if biased) If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRISE YOUR FINDINGS: C j f _ C,A I g g g q _ lt _ _ } f _4 3 _ _ _ _ _ _ _ _ _ _ ~

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l j Page 2 cf 3 CPSES CONTENTION 5 DATA SHEET S,PECIFIC INFORMATION RELATED TO THE' DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: - - ~ ~ ~ ~ ~ ~ - - - ~ ~ ~ - - - - - ~ - ~ - - - - - - ~ ~ ~ - (Use a separate page 2 for each deficiency) Specific location of the deficiency: (Use YY-MM-DO Fonnat) Date deficiency occurred: [TuseNifNRE,(UseYY-MM-DOformat) Date NRC learned of deficiency: L if Licensee, A if Alleger, 0 if Other) ' Who first " discovered" deficiency:* If other, enter source here: - - - - - ~ ~ ~ - - - ~ ~ - ~ ~ - ~ ~ - - - ~ ~ ' - - - - - - - Number of known similar deficiencies: s REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: - "" ~ - - - - '" - - - - - - - ~ ~ - - - - - - - - ~ - - ~ - - EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: ] [_(UseYifYes,NifNo,UifUnknown/ Uncertain) CORRECTIVE ACTIONS TAKEN OR PLANNED: l Specific actions to correct deficiency: (8rief sumary of specific corrective actions, ifknown.) Broad QA/QC actions: j (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.) ____ e ..,,...i ann,v,n.... en w..ve i,, __.__ o __2

Pag 2'3 cf 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL C0petENTS THAT YOU MAY HAVE: W W m - 6 m m - m - - - m m _ m m e e _ m e _ (Should you wish to provide any additional information, _ _ m m m _ m e m _ m _ m m m m m _ _ _ m m _ m m m m _ _ _ m comunente viewpointe opinion, or other matter that m m m m _ m m _ w m _ m m m m _ _ m m _ _ _ m _ m _ _ _ _ m m you feel the Contention 5 Panel should consider in e m - - m m m - - m m M e M - m m m - - - - m m m - - m e - -. making their findings. please use this page to do so.) _ _ - _ _ m m _ _ m m m _ m m m m m _ _ _ m m m _ _ m _ _ _ m e m - - m m m - = - - m. m m m m m m m m m m _ m m m m m m _ m m M M m m m m m m m m m m m m m m m m m m m m m m m m m m e M m m M M m m m m m m m m m m m m m m m m m m m m m m m m m e W M M m m M M m m m m m m m m m m m m m m m m m m m m m m e m M M M m m m m M m m m m m m m m m m m m m m m m m m m m m m m M M M m m m m m m m m m m m m m m m m m m m m m m m m m m m e m M m m - M M M M m m M e m m m m m m m m m m m m m m m m m m M M M M m m M m m M M M m m m m m m m m m m m m m m m m m m m M M M M M M M m m m m m m m m m m m m m m m m m m m m m m m e M m M M M M m m m m m m m m m m m m m m m m m m m m m m m m m m M m m m m m m m M e m m m m m m m m m m m m m m m m m m m e e 9 m m m m m m m m m m m m m m m m m m - m - m - - m m - m - m - m m m m m m m m m - m m m m m m m m m - m m m m m m m m m m m e m M m M M m m m m m m m m m m m m m m m m m m m m m m m m m m M m m m M m M m m m m m m m m m m m m m m m m m m m m m m e L_m _ M m _ _ m m m m m m m _ e m _ m e m m m m m m m m _ m _ m _ m _ _ m _ m m m m m _ _ m _ _ m m m m m _ m m _ m m m m m m m m m m W M m m m m m m m m m m m m m m m m m m m m m m e 9 m m m m m m m m m m m m m m m m m m m m m m m W M m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m M M m j m m m m m m m m m m m m m m m m m m m m m m m e m - m m m m m m u m m m m m m m m m m m m m m m m m m m - M m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m M M e m m M m m m m m m m m m m m m m m m m m m m m m M M M M m m W W W m e m m m a m m m m m m m m m m m m m m m m m m m M M m e W M M M m m e m m m m m m m m m m m m m m m m - W M e m M M M M M M M

  • 9 m.m m m - m e m - - - - - m m - m m - -.. - m - m m m m m m O

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q,- Ac-vf i Pasje 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET t ITEMTOBECONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING N0: (ForIEHQUse) YOUR NAME: (Last Nasee First) M%j @ WS !(.L _ '.T _ _ _ _ GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE ANO DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SUBJECT OF YOUR REVIEW:

OldR. TOPICAL AREA: * &F556_ 'M e C o 9 E.6-L Y _19 5 Int. FD[Q If not on Itst, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM: Q Tilg., If not on list, enter system here: g]_3fgF.gJgjc_Sj$$gd1_____________ SPECIFIC COMPONENT OR ACTIVITY:

  • pIgg If not on list, enter activity here:

g ggg, _1),el a _2._ C,a y f _6 5-g, y c,,1 g g.g _ _ _ _ _ CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) 2-PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW: 3g__ If not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW: If not on list, enter nature here: ji,Lg6gg_p16 % 6.1gS_gLLg6&I,ted___ ' SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: p Q j, Q ,I REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* If not on list, enter type here: TM&hg g._ D16 h &L 66_ AM(s o'110d _ _ _ Sire of sample observed / examined during your review: o Estimated total population avail. during your review: [~ 6 Randomness of sample:(Enter R if random, B if biased) If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C l. 6 C. G T E(m Q S Y _6. _ _ & C 2 3 #} _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ r

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.s ~ Pag 2 2'of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC $NFORMATIONRELATEDTOTHEDEFICIENCIESIDENTIFIEDOREVALUATEDDURINGYOURREVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sunnary of deficiency: (Use a separate page 2 for each deficiency)

~~~~~~~~~~----

_-~~--~~~-~- Specific location of the deficiency: Use YY-M-DO Fomat Date deficiency occurred: -~ Use YY-m-00 Format Date NRC learned of deficiency: Who first " discovered" deficiency:* ~TUseNifNRE,LifLicensee,AifAlleger,0ifOther) If other, enter source here: --~~----------------~--~-~---~~ Number of known similar deficiencies: i s j REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _,_ (Use arabic 01 thru 18. UseNAifnotapplicable) l Other requirement or commitment: ~------~~~---------------~~---- EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency - This specific deficiency considered alone:* ~ When considered with other known deficiencies:* Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: ~ (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sunnary of specific corrective actions, ((-((((((((~(((((((((((((([_-(([ If known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)

3 7 Pag 2* 3 cf 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL C00mENTS THAT YOU MAY HAVE: - m m m m m M M - m - m m m m - - M - - - - m - m m - m _ m _ M - m - - m m m m m m e m 6 m M M M - m - - - m M M m e M m m (Should you wish to provide any additional information. - - - M m m m - - m m m m - - m - m M M m m m m m - M - - m - comment. viewpoint. opinion, or other matter that _ M m _ M _ _ m m _ m _ _ _ _ m _ _ m _ _ m m _ _ m m m m m m you feel the Contention 5 Panel should consider in making their findings please use this page to do so.) _ m M _ m _ _ m _ m m m m m _ _ _ _ _ _ _ _ m m m _ m m m _ _, e m - m m m m m - m m - m m m m m - m m - - m m m m m m - - - m M m m m M M M M m m m m m m m m m m m m m m m M m m m m m m m M M m m m m m m m m M m m m m m m m m m m m m m m m m m m m e 4 m u m m m m m m m m m m m m m m m m m m m m m m m m m m m m m N m m m m m m m m m m m m m m m m m m m m m w m m m Mm m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m W M m m m m m m m m m m m m m m m M M M M M M M M m W W W m m m m m m m m m m m m m m m M m m m m m m m m m m m m W m m m m m m m - M m m m m m m M m m m m m m m m m m m m m m M m e m M m m m m m m m M M M m m m m M M M m m m m m m M M M m 6 6 M m m m m m m W W m m W m m m m m M W e m - M m m m m M m O m m g - m mm m m m - m m m m - - - m m m m m m - M e m - - - m m m m m m m m m m m m m m m m m m m m m m m m m m m m - m m m m m m m m m M m m m m m m m m m m m M M m W M M M M M M M M M m m m m m W M m m m m m m m m m m m m m m m m m m m m m m W e 9 m m m m m m m m m m m m m m m m M m m m m m m m m m m m m m m m m m m m m m m m M m m m m m m m m m M m m M M M m m m m - M m m m m m m m m M M W m m m m m m m m m m m m m m m m m m m m G m M M m m m m m m m m m m m m m m M M m m m e - M m m m m m M W W m M M M M M mem m m m m M m m W M M M e m m M M M M M m e 4 m m m m m m m m m m m m m m m m - m m m m m m m m m m m m m e m m m m m m m m m m W W m m m m m m m m M - M m M W m M m m e m m m m m m m m m m 6 m m m m m m m M m m m m M W m M M M M M e m e m m m m m m m m m m m m m M m m M M M M M M M M " W W W m m m m m m m m m m m m m m m m m m m m m M M M M M M " W W g g g g g g g e m e m m m m m m m W N m M M M M M m - M M " M

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Ac-w Page 'l of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: 1 TRACKING N0: (For IE HQ Use) YOUR NAME: (Last Name First) y-S_ %5@)f.t_T____ GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 6 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: SUBJECT OF YOUR REVIEW: TOPICAL AREA: * $Q.__ If not on list, enter area here: ACCIDENT PREVENTION /NITIGATION SYSTEM: OT &g If not on list, enter system here: ggfQg,d 90 MP_ST M 1.Od____________ SPECIFIC COMPONENT OR ACTIVITY:

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g pyy gg _ E g Lng _ g r g.71 o g _ yerg, L _ _ _ _ _ _ _ CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2 orb) 3 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

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If not on list, enter contractor here: _______________________________j NATURE (TYPE) 0F YOUR REVIEW: C. If not on list, enter nature here: ggc.p g.ps _ f g D _ g ig L b _.t 8 s f gc,I 1. g g _ _ _ SC5PEOFYOURREVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: QQp REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* g g $ If not on list, enter type here: i Size of sample observed / examined during your review: Estisiated total population avail. during your review: Q Z,41 21 gQ i Randomness of sample:(Enter R if random, B if biased) g If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C./_& _ C,4 7 % o g y _ (2 _ d ( r 3 d _ _ _ _ _ _ _ _ _ _ _ j ~

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Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sumary of deficiency: (Use a separate page 2 for each deficiency) Specific location of the deficiency: i (Use YY-MM-DD Format) Date deficiency occurred: Date NRC learned of deficiency: (Use YY-MM-DO Format) ' Who first " discovered" deficiency:* [TuseNifNRE,LifLicensee,AifA11eger,0ifOther) i If other, enter source here: Number of known similar deficiencies: - - - - ~~ - - - - - - - - - - - - - - ~~ ~ - - - - - - - - - - s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: i Your opinion of the degree of seriousness of deficiency i This specific deficiency considered alone:* When considered with other known deficiencies:* i Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sumary of specific corrective actions. ((((~[_-((((((((((((((((((((((_-[ ifknown.) Broad QA/QC actions: (Actions to identify potential similar deficiencies l due to QA/QC causes, and, to prevent recurrence ((((((((((_-((_-((((((((_~(((((([_~ j of similar deficiencies in the future.) 1 a nn, v i n.... caoue..,e o,..

~a + Pag 2 3 cf 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL CONIENTS THAT YOU MAY HAVE: - - - - - - -- - - - - - - - - - - - - - - _ _ _ - - _ _ 9 (Should you wish to provide any additional information. coment, viewpoint, opinion, or other matter that you feel the Contention 5 Panel should consider in making their findings. please use this page to do so.) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ = - - - - M - - - M M - - - - - - m - m - m - - - - - - m - m - - - - - - - - - M M - - - - - - - - - - - - - - m m - - - - - o k - - m - m - - m - - - - m m - m e m - - - - - m - - m - - m - - - - - - M - - M - - - M M - - m - - m - - - - - - - - - - - - - - - - - - - - - - - M M - - - - - - m ---m - m - - - - m - - - M M M M - M M - - - M M - - - M W M - W m M - - M - - - - - - - - - W - - m - - - - m - - M M - - - - - - - - M - - - - - - m - - - - - m - - - - m m - - - - - - m - - - - m - - m - - - - - - - m m m - - - m m - - - - m - M - - m - - - - - m - - - - - - - - - - - - m - m - - - - m - - - - M - - 9 - - - - - - - - - m - - - - - - - - - - - - - - - - M M - - - 9 - - - - - - m - - - - - - - - - - m - - - - - - - - - - - - M m m - - - - - m - - - - - M - - - - - - W - - - - - M - - - -

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AC 12. ..... z Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (For IE HQ Use) YOUR NAME: (Last Name First) [j@ s__Q_QhM_T____ GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: PRINCIPALCONTENTIONSAREARELAJEDT0'YOURREVIEW: 7 t SUBJECT OF YOUR REVIEW: TOPICAL AREA: * , O T. 45t_- If not on list, enter area here: a g _ t erc y 1 P_ I _ 2.d n E G G T l 0 L _ _ _ _ _ _ _ _ _ _ J ACCIDENT PREVENTION / MITIGATION SYSTEM: Q I &l2 If not on list, enter system here: g g _ n P_ F( l f.L G _ $ 3 S ~T FLVl _ _ _ _ _ _ _ _ _ _ _ _ _ SPECIFIC COMPONENT OR ACTIVITY:

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y a _ S g gc.2 p2 4_ q o_ gipp g f!! T[SC J i.VI II _ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) g, PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW: $8. _ If.not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW: g .If not on list, enter nature here: ' SCOPE OF'YOUR REVIEW: 6C)g i EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,qg__ i If not on list, enter type here: Size of sample observed / examined during your review: QOLS Es,timated total population avail. during your review: Opl$ j Randomness of sample:(Enter R if random, B if biased) 3 If biased, enter basis here: A L.c g d, H 1.0 ej _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C. M _ C,M gQ g.9 _ (, _ _ dC-LS _ _ _ _ _ _ _ _ _ _ l '

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e, Page 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU RFVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: i Brief susunary of deficiency: (Use a separate page 2 for each deficiency) ---~~---------~~--~~----------- Specific location of the deficiency: Date deficiency occurred: - - (Use YY-MM-DD Format) Date NRC learned of deficiency: Tuse N if HRE,(Use YY-MM-DD Fonnat) t if Licensee, A if Aiieger, 0 if Other) Who first " discovered" deficiency:* If other,. enter source here: s Number of known similar deficiencies: --[~--------------------------- REGULATORY OR OTHER REQUIREMENT /Com ITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: l EFFECT ON A8ILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your~ opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* 3 Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions, (((((((((((((((((((([~[_-[_-(((([ ifknown.) l s j Broad QA/QC actions: ] (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)

I I I I I I I I I I I I I I I I I I I I I I I I I i 1 1 1 I I l l 1 1 I l l l l 1 1 I I I i 1 1 I I I I I I I i 1 1 1 1 l l l l l l l 1 I I l l l l l l l 1 1 I I l l I .I I I I I i l l l l l 1 1 I I i 11 1 I I I I I I l' l l I I I I I I I,1 I I I I I I l l l l l l l l l t 1l i I I I I I I I I I I I I l i I I I I I I I I I l l l l l 1 1 1 1 1 I I I I I I I I I I I i 1 1 l' l I I i l' o l l l l 1 l l 1 1 I I I i i i I I I I i 1.1 I I I I I I I I I l c's i 1 l l l l 1 1 I I I I I I i 1 1 I I I I I I I i 1 1 1 1 1 I l g i I i i i i i 1 i i i i i l I I I i i i i i l I i I i l I I I i g i i l i i i i I i i l I i I I i l I i 1 I I i i 1.1 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i 1 1 I I I I I I I I I I I I I I I i l i l I i 1 1 1 1 I I I i l i I I I I I I I I 1 l l 1 1 I I I I I I I I I i i I I I I I I i 1 1 I I I I I I I i i i I I I I I I i 1 1 I I I I l l I I i 1 1 I I I I l l l l l l l 1 1 I I I I I I I I I I I I I I I I 'l i I I I I I I I I l l 1 1 I I i 1 I l I l I 1 i l i I I I I I l i I I i i l i i i i i i l i i l i i l i l i I I l 1 1 I I i 1 1 I I I I I I I I I I I l l l 1 1 I I I I I I I I I I I I I I I I I I I I I I l l l l l 1 1 1 1 1 I I i 1 1 1 1 1 l l I I I I I I I I I I I I I I I I I l l 'l i I I I I i 1.I I I i 1 1 1 I I I I I I I I I I I I l l l 8 l 1 1 I I I I I I I I I i 1 1 1 1 I i 1 1 I I I I l l l l l 1 l l l l l l 1 1 1 1. I I I i 1 1 ,1 1 I I I I I I I I ! I I I I I I I I I I I I I I I I I I I I I I I I I l i I I 1 I I I I I I I I I I I I I I i i l i l i i i l i l i I I l i l' g g i I I I I I I I I I I I i 1 1 I 1 1 1 1 I I I I I I I I I I l-l y i I I I I I I I I I i 1 1 I i i ,1 1 I I i 1 1 I I i i i I I l*l 1 I I I I I I I I I I I I I I I I I i l l 1 i i l i l I I I i 1 ,g I I I I I I I I I I I i i i l l I I i 1 1 I I I I I I I -1 1 I I cm i l 1 1 1 I i l I l l I I I I I t i I I I l l l 1 1 I i i l I I us i 1 l l 1 1 I I I i l l I l l l l l 1 1 I I I I I I I I I I I I z 1 1 I I I I I I I I I i 1 I l i I I I I I I I I I I I i l l I I 2 M J 7 W 3 8 E e 5 es E 5t;. 38? EE"" S s. 3 3 2285 W 8 t; #. i " s.

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  • SUBJECT OF YOUR REVIEW:

TOPICAL AREA:

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Q g _ g, yc p1P_ I _ } d y E g GI t o el t i ACCIDENT PREVENTION / MITIGATION SYSTEM:

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If not on list, enter system here: Jj g _ G E gr,,.l f t G _ p M S I p_A_ _ _ _ _ _ _ _ _ _ _ _ _ SPECIFIC COMPONENT OR ACTIVITY: f I d @. If not on list, enter activity here: 9 o _ 5 E F c. L P1 G _ L o al E 2 !M !! I[B G.T.L V I.I i.. CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) B S_R__ PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

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NATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: Mg4-REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,qg__ If not on list, enter type here: Size of sample observed / examined during your review: QOLk___________________________ Estimated total population avail. during your review: Opl$ Randomness of sample:(Enter R if random, B if biased) 3 If biased, enter basis here: A L.f.,E (a M 1.4.61 _ _ _ _ _ _ _ _ _ _ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C. l. 6 _ C a t g6 a (L,Y _ (, _ A C,.l'7. _ _ _ _ _ _ _ _ _ _ _

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..n ~ Pag 2 2 of 3 CPSES CONTENTION 5 OATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICTENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVit:WED: DESCRIPTION OF EACH SPECIFIC DEFICIff'CY YOU REVIEWED: Brief summary of deficiency: (Use a separate page 2 for each e ' ciency) [ ~. _ [ [ [ [ [ [ [ [ [ [ [ [ [ [ _~ _- [ [ _- -~ - - - [ - _ Specific location of the deficiene. - ~ (Use YY-MM-DD Format) i Date deficiency occurred: ~- _ TUse N if NRE,(L if Licensee, A if A11eger, 0 if Other) Date NRC learned of deficiency: Use YY-MM-DO Format) ~ ' Who first " discovered" deficiency:* If other. enter source here:

~~~~------------

s Number of known similar deficiencies: REGULATORY OR OTHER REQUIREMENT /C0pel!TMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _,_ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or constitment: ~-~~~-----~~~-----~----------~- EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: Your' opinion of the degree of seriousness of deficiency 'This specific deficiency considered alone:* When considered with other known deficiencies:* [ l Supporting inforination or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sunniary of spectfic corrective actions. ((((((~((((_~_~(((((((((((((((((( ifknown.) Broad QA/QC actions: (Actions to identify potential similar deficiencies i due to QA/QC causes, and, to prevent recurrence j of similar deficiencies in the future.)

-r - r ~ d CPSES CONTENTION 5 DATA SHEET. s e ADDITIONAL COMMENTS THAT YOU MAY HAVE: Should you wish to provide any additional information. _ _.- - _ _ - _ _ _ _ - - - _ _ _ _ - - - _ _ _ _ _ _ _ _ _ - coment, viewpoint, opinion, or other matter that you feel the Contention S Panel should consider in _ _ _ _ _ __ _ _ _ _ _ _ _ e making their findings, please use this page to do so.) _ _ _ _ _ _ _ _ _ .m e_ - - e _ _ - - -. _ _ - - _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ e _ _ _ e _ _ _ _ _ _ _ _ _ _ _ _ e e_ e e- _ _ e _ _ _ _ _ e _ _ _ _ _ _ _ _ _ _ _ - - _ _ - - _ - _ - _ _ _ e _ _ _ _ _ e 9 emme gum. .m em. em .e anus eu. em. eu. gumm .m .m. ene ens em amma .mm .m em e em. eum en eum eme em. m umas _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ e3 _ _ _ - _ e-e- e gump .m eum amme _ _ eme emmy .mp gu. emum _ enum eu. eum esp enn eues enn aus em m .m .e .m emD EDW _e_ _ _ _ _ _ Sm .mh M M em _ S. _ M _ _ D .us emme ame .e .o .mo sum amme _ emo .um em en ese oms enum .se .mm .m em. emm eso een suo amm ame .um eme een ese g g g _ _ ' _ _ _ em _ m _ _ _ _ .S M M M M - M M M M N N " e.m _ _ _ e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ j e -. aus. e-. em.== e-. e-m .= em. e- _ -- e O 0 O O e 6

I cl. A A.C-3 6 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) YOUR NAME: (Last Name First) s,_ _ y /} y_J _ T _ _ _ _ [M p GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SUBJECT OF YOUR REVIEW:

OIdR TOPICAL AREA:

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. RE N f _ b_Wil:F4 4 f F C.G Y _ I M S T s L; E C) O kITT, ACCIDENT PREVENTION / MITIGATION SYSTEM: OTgf_ i l If not on list, enter system here: C.Q 6LT1.L M MEA 12'_ Bu.L L D M 4_ _ _ _ _ _.. _ _ _ _ SPECIFIC COMPONENT OR ACTIVITY:

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If not on list, enter activity here: g, g & c f a g _ C.4)( 1 y g _ Q/ - pL,_ _ _ _ _ _ _ _ _ _ _ _. A_ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2or8) ,[ PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

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NATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: ' SCOPE OF'YOUR REVIEW: ,g 6 ( g. EFFORT EXPENDED IN MAN-HRS, NOT INCL, DOCUMENTATION: QQ2 REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* If not on list, enter type here: Size of sample observed / examined during your review: oo$ Estimated total population avail. during your review: oog Randomness of sample:(Enter R if random, B if biased) g, If biased, enter basis here: po c Q e gu ICQ _ L.9 5 E e u G.ES _ R e3 LT. _ REIM El REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C, l f, _ C A.Jgg a g.] _ k _ f C,- 3 $ _ _ _ _ _ _ _ _ _ _ _ __n j i

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CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sunnary of deficiency: ---~~~~-~~~~~~----------------~ (Use a separate page 2 for each deficiency) Specific location of the deficiency: Date deficiency occurred: -~ - - (Use YY-MM-DD Format) Date NRC learned of deficiency: ~ Tuse N if NRU,(Use YY-MM-DD Fonnat) L if Licensee, A if A11eger, 0 if Other) i Who first " discovered" deficiency:* If other, enter source here: i Number of known similar deficiencies: (( _--~~~~-----~~~~~~~~~~~~~~~~~ s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: .Applica!sle 10 CFR 50 Appendix B Criterton: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: - ~ - - - - - - - - - - - - ~ ~ ~ ~ ~ ~ - - - ~ ~ ~ ~ ~ ~ - EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: C0RRECTIVE ACTIONS TAKEN OR PLANNED: (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions. [~(([~((((~(((((((((((((((((([_~ ifknown.) l Broad QA/QC actions: (Actions to identify potential similar deficiencies ____________,_,____________g_____ due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)

-o Paga 3 of 3 CPSES' CONTENTION 5 DATA SHEET. l [ 4 ADDITIONAL C0PetENTS THAT YOU MAY HAVE: - _ - - - - - - - _ - _ - - - - - _ _ - _ _ _ _ _ _ _ _ _ _ m (Should ou wish to provide any additional information. - _ - _ - - - - - - - - - - _ - _ _ _ _ - - - - - - - - - - o comunent. view int. opinion, or other matter that _ - - _ _ _ - - - _ - - _ - _ _ - - - - _ - - - _ _ _ _ _ - m you feel the Contention 5 Panel should consider in - - - _ - - - - - _ _ _ - - _ _ _ _ - _ _ _ _ _ _ - - _ _-0 making their findings. please use this page to do so.) - - _ - - - - - - - _ - - - - - - - - - - _ - - - - - - -__ - - - - - - - _ _ - - - - - - - - - - - _ - _ _ _ _ _ _ __s i L__l - - - - - - - - - - - - - - - - - _ m _ - _ _ - _ _ m _ m _ _ - - - - - - - _ - - - - - - - - - - - - - - - - - _ _ _ _ m - - - - - - - - - - - - - M - - - - - - _

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If not on list, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM: C,T@Rg g T 6j,y glgt4 r_ @g L L p i g _ _ _ _ _ O I If not on list, enter system here: SPECIFIC COMP 0NENT OR ACTIVITY:

  • pI g-g, If not on list, enter activity here:

Q g ogggBI_EXTFELeg._ble h______ CPSES UNIT INCLUDE 0 IN YOUR REVIEW: (Enter'1,2 orb) 1 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

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If not on list, enter contractor here: h______________________________ NATURE (TYPE) 0F YOUR REVIEW: If not on list, enter nature here: R_ gC g4 ps _ u p_ C,a. g e g g y gg _ g/ a g, g._ _ _ _ _ SCDPE OF YO'R REVIEW: U EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: ppa REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* g a g _8 j If not on list, enter type here: .____________~___________________ Size of sample observed / examined during your review: ,o p p j., Estimated total population avail. during your review: ogp1 i Randomness of sample:(Enter R if random, 8 if biased) 6 If biased, enter basis here: E gq t gg/gp_ q p_ g C _ P gg _1 Q L -- 8 $ o g -- o q 2. _ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: I,g _ gg -- pf.[p,/ 3 9 - 30_. G49_Calwea_4_5__8d=__33_________ )

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4, Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sunnary of deficiency: (Use a separate page 2 for each deficiency) [~-[_~((_-((((((((~[__~--[_--[_--- Specific location of the deficiency: (Use YY-MM-DD Fomat) . Date deficiency occurred: -~ ~ ~ (Use YY-MM-DD format) Date NRC learned of deficiency: ' Who first " discovered" deficiency:* [ TUse N if HRE, L if Licensee A if Alleger, 0 if Other) If other, enter source here: Number of known similar deficiencies: ((((~~~-~~---~~--------~-~~~--~ s REGULATORY OR OTHER REQUIREMENT /COWi!TMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment:

~--------------------------

EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency .This specific deficiency considered alone:* When onsidered with other known deficiencies:* Supporting infomation or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions. ((_-[~((((((~(((((((((((((((((([ if known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)

. ~. o. Paga 3 ef 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL COPMENTS THAT YOU MAY HAVE: M m 6 M m m m m m _ _ m m m m m m m _ m _ _ m _ m _ _ _ _ _ _ (Should you wish to provide any additional information, m m m m - M M m m m e e m M e m m = m M M M m e = m m e - m m m m m _ M m _ m e m _ _ m _ m m m _ m m m m _ m e m m _ _ 6 m conenent. viewpointe opinion, or other matter that you feel the Contention 5 Panel should consider in m m m _ m _ m m _ m m m m _ m m m _ _ _ m m m m _ m m m m m e makin9 their findings. please use this page to do so.) _ _ _ m m m _ m m m _ _ m m m _ - _ _ _ m _ m m m _ m m _ m m 6 m - m m m m m m m m m m m m - m m m m m m m m m m m m m m e = = m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 9 9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m 6 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m W m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e O 9 - - g - m m m m m m m m m m m = = m e m m m m m m m - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m = = m m m m m m m m m m m m m m m m m m m m m m m m 9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e 9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m - m - m - m m m m m m m m m m m m m I m m m m m m m m m m m m m m m m m m m m m m m m m m m " " " " m m m m m m g e m m m m m m m m m m m m m m m m m m m m m e 9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M 9 og 4

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SCOPE OF YOUR REVIEW: i EFFORT EXPENDED IN MAN-HRS. NOT INCL, DOCUMENTATION: G QQ 4-REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* If not on list, enter type here: M i.ED_M M _E~cfflgd_______________ i Size of sample observed / examined during your review: .p.L 5 D Estimated total population avail. during your review: i Randomness of sample:(Enter R if random. B if biased) R___ If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: 1R_50r445l83:23__ c.14 _ C.a 2 E4 c? tzq _ gi_ _ AC 2L__________ 2 '

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..I .. + I Pag 2 2 'of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sunnary of deficiency: (Use a separate page 2 for each deficiency) _~~-__---_-~~__-_--- Specific location of the deficiency: - - (Use YY-MM-DD Format) Da;.e deficiency occurred: _TuseNifHRE,(LifLicensee,AifA11eger,0ifOther) Date NRC learned of deficiency: Use YY-pM-DD Format) Who first " discovered" deficiency:* If other, enter source here: s Number of known similar deficiencies: ((((--------------------------- REGULATORY OR OTHER REQUIREMENT /CODMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Srpporting information or basis: i I CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U ff Unknown / Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions. - [ _~ - - [ [ [ [ [ [ [ [ [ [ _- [ [ [ - [ [ _- [ _- [ [ [ _- - [ Ifknown.) i Broad QA/QC actions: (Actions to identify potential similar deficiencies ________,___________________s___ due to QA/QC causes, and, to prevent recurrence of sinflar deficiencies in the future.) 8 ,.,...w..,..

? -s* 4 CPSES CONTENTION 5 DATA SHEET. AD0!TIONAL C00MENTS THAT YOU MAY HAVE: _ _ m _ _ m e m _ m m _ _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Should you wish to provide any additional infomation, _ _ _ M _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ m _ _ _ _ m _ m _ _ m m _ _ _ _ _ _ m _ _ m _ _ _ _ m _ _ _ _ _ _ m _ _ _ m commente vi inte opinion, or other matter that - m - - - - m M m - m - m - m - - m m - m - - - m m _ m m - - you feel the contention 5 Panel should consider in making their findings please use this page to do so.) _ _ m _ _ _ _ _ m _ m _ m _ _ _ _ _ _ m _ _ m m _ _ m m _ _ _ e - - - - m - M M = = m - - - - - - m m - m - m.. m. W e m m M M M M M M m M m m m M e m m m m m m m m m m m m m m m m m e M M M M M M M M m m m m m m m m m m m m m m m m m m m m m m e 9 0 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M MyM M M M M M M M M M M M m m m M m m m m m m m m m m m m m I m - M - m m - - - - - m m - - - m m m m _ _ _ _ _ m _ _ _ m _ M M M M 6 M M M M m W M M W m m m m m m m m m m m m m m m m m M m M M M M M m m M M M W e m m m m m m W m M m m m m m M m m M M M M M M m m m m W M M M m m m m m m m m m m m m m m m m m M m m M M M M m W M M M m m m m m m m m m m m m m m m m m m m m m M m M m m m m M M M M M m m M M M W m m m m m m m m m m e e 9 m - m m m m m - - m - - - m m m m - - - - - - m m m - m - m m m m m W M M M M M M M M m m m m m m m m m m m M W m m m m m e m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m e m M M M M M M M M M M m m m m m W M M M M M M M m m m m m m m 9 M M M M M m M M M M m W M M m m m M M M M M M M m m m m w e m M M M M m m M M m m M M m m m m M W m m m m m m m m m e m W M m e m W M m m m m m m m m m m m m m m m m m m m m m m m m m e a m m m m m m M M M M M M M M M m M M M M M M M m M M M M m M M M M m m M W m W meM m M - M m M M M M M M M m M M M M W m M m O m m m m m m m m m m m m m m m - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M M M m m m m m M m m m m m m m m m M W m m m m m m W m m M M M W e m M M m M m m m m m m m m m m m m m m m m m m m m m m m m M 6 m M M M M M m m m m m m m m m m m m m m m m 6 m M W m m W M M m m M M " M I I m m m m m m m m m m m m m m - - m m - m m m - m m - m m m m e I

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Ac-7J-Page'l of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: ~ TRACKING NO: (For IE HQ Use) YOUR NAME: (Last Name First) p G - Q Q g_ _ _ _ _ _ GROUP OR ORGANIZATION: 5______________________________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 1 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: J SUBJECT OF YOUR REVIEW: TOPICAL AREA: SG__ If not on list, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM:

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Y . ~.. Pagr 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief susuary of deficiency: ~ ~ ~ ~ ~ ~ ~ - - - - ~ ~ ~ - - - - - - - - - - - - - - - - - - - (Use a separate page 2 for each deficiency) Specific location of the deficiency: -- (Use YY-MM-DD Format) Date deficiency occurred: [ Tuse N' if HRE,(Use YY-MM-DD Format) Date NRC learned of deficiency: Who first " discovered" deficiency:* L if Licensee, A if A11eger, O if Other) If other, enter source here: Number of known similar deficiencies: s REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: __ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions. ((((-[-[_-~_^((_-(([-[_-((_'-(((([_~(( if known.) ] Broad QA/QC actions: (Actions to identify potential similar deficiencies l due to QA/QC causes, and, to prevent recurrence l of similar deficiencies in the future.)

a Page*3 of 3 ~ CPSES CONTENTION 5 DATA SHEET ADDITIONALCOMMENTSTHATY0dMAYHAVE: gm ns TgT I gge sc,JEC) /J LL Til-Em 6eo m - m --m MTED_PL&IE6_eI_reE_BbO/SkE_sLEV (Should you wish to provide any additional information. _ _ _ m m m m _ _ w m _ m _ _ m _ m m _ _ W M _ m _ _ m m _ m comment. viewpoint. opinion, or other matter that you feel the Contention 5 Panel should consider in _ _ m _ m _ - _ m _ _ _ _ _ m _ m _ _ _ m _ m _ _ m m m _ _ _ making their findings. please use this page to do so.) -m - m - m m - m - m - - m - M - m m - m - - m - - m m m M M w w m m M m m M m M m m m e - m - m m m m m m m - m m m m m m m m m m m m m m m m m m m m m m h m m m m m m m m m m m m m e m m m m m m m M M m m m m m m m m m m m m M M W m m M W m m m m m m m m m m m m m m m m M - - - m m m m m m m m m m m m m M m m m m m m W M M m m m M W m m m h m m m m M M m m m m M M M m m m m m m m m m m m m m m m m m m m - m m m m m - - m m m m m m m m m m m W W m m m m m m m m m m m m m m W W m M m m M M 9 m m m m M m m m m m m m m m m m M W m m m m m m m m m m m m e W m m m m m m m m m m M - M M m m m m M W M m W W W M M M W m M M M M M M m W M m m M M m 6 m m m m m M M M W m m m M M e m _ _ m _ _ m m m - m _ _ _ m m m _ m _ m m _ _ m m m _ M - m m 4 m m m m - m m m m m m m - - m m m - - - m m - w m m - - - m m m m m m m m m m m m m m M M M m m m m m m m m M M M M M m m e m m m M M M m m m m W M m M m m m m m m m M m m m m - M M M M m m m W M m m m m m M M M m m m m m M M M M M M m m m m M m m m m m m m m m m m M M m m m m m m m m m m m m m m m m m m m M M M M m m m M M M M M M m m m m m m m m M m m m m m m m M M M m M m m m W m M m m M m m m W M M M m m m m M M M m m M m m M m m m m m m m m m m m m m m m m m m m M M m m m m m m m m m = m - - m m - - m m - m m m m m m. - - - - - M. - M M M M - S m m - m m m m m m m m m m m m m m - m m m m m m m m m m m m m M m m m m m m M M m M M M e m M m m m M M M e m m e M m m m m 9 W W m m m m m m m m m m m m m m m m m m m m m m m m m m m m e 9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e g M W M m m m m m m m m m m m m m m M M m m m m m m m W M m m e _ _ _ _ _ _ _ _ _ _ m m _ M m m _ m m m m m _ _ m - - M - M M e 9 m M m m - - - - m - - m m - - m m - m - - m M e m - - - - m - 99 9 9 O e

p q,6 Page'l of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: 4 TRACKING NO: (ForIEHQUse) YOUR NAME: (Last Name First) D69686'7_______ GROUP OR ORGANIZATION: 5___________.___________.________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 8 i PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

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g. e gt,.y gg_ g.g g L yy _ _ _ _ _ _ _ _ _ _ _ _ _, _ _ _ _

CPSE,5 UNIT INCLUDED.IN YOUR REVIEW: (Enter'1,2 orb) J. PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

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If.not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: ggrca, g ps_ & g} D_ Wa gg._ M _ P g.pcq;ps_g_ _ _ _ ; SCOPE OF YOUR REVIEW: p p g.f-EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*.g g _ If not on list, enter type here: L_ Size of sample observed / examined during your review:

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Estrimated total population avail, during your review: pQg;- Randomness of sample:(Enter R if random, B if biased) g If biased, enter basis here: hLLG6ADILE_____________________ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: D C 6 _(gfe(g3 _ _ _ _ _,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ c /_ G _ Ba T E 6 a &.Y _4 _ _ AC : 24_ _ _ _ _ _ _ _ _ _ i l I .

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y -, \\. - Page '2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: oOQJ DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: 6 g_g4 g D p wg _1 AJ _ T W, _ % _ p f,g,gg gg j g ( (Use a separate page 2 for each deficiency) I & F_ C.ct. al.5 e 41 D 8 Il a #_ a E _ c e.d/cs.EIG_, _ Specific location of the deficiency: E FB1 D_6IA19 ESG_SINEL_L 1 4 s't._ e E Ius_

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AC " 2.8 - " ,n. Pag 2 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING ND: (ForIEHQUse) YOUR NAME: (Last Name First) D5Q1RQ.5 T_______ GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 8 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SUBJECT OF YOUR REVIEW:

TOPICAL AREA:

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If not on list, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM: gT&f If not on list, enter system here: $ 9 U 6 W_ C, C.S EK. _ $ E 1 L.L W4_Y _ _ _ _ _ _ _ _ _ _ _ SPECIFIC COMP 0NENT OR ACTIVITY:

  • a I @ g.

If not on list, enter activity here: S ca u & @ _C,2.cF M._ 6f 1 L. L WAY _ _ _ _ _ _ _ _ _ _ _ CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) 8 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW: * $6__ If not on list, enter contractor here: MATURE (TYPE) 0F YOUR REVIEW: C If not on list, enter nature here: g gG.g g 95_ A8 D_ E-l E L.D_1 *M E FG T J 9 *_d _ _ _ SC6PE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: QO_1 @ REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,g g _ If not on list, enter type here: Size of sample observed / examined during your review: opf.Q Estimated total population avail, during your review: 0.L 3 0 Randomness of sample:(Enter R if random. B if biased) g If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C. ], 4 _ C. 3 7 g g a g. y _ 4_ _ A. C.. 2. 6 _ _ _ _ _ _ _ _ _ _ i

  • Enter Alpha Code From Appropriate List 091 case print using one character per underlined space.

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y, 3 l Paga 2 of 3 t CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: (Use a separate page 2 for each deficiency) Specific location of the deficiency: - - (Use YY-MM-DD Fomat) Date deficiency occurred:

Tuse N if NRE,(L if Licensee, A if A11eger, O if Other)

Date NRC learned of deficiency: Use YY-MM-DD Format) ~ Who first " discovered" deficiency:* If other, enter source here: Number of known similar deficiencies: -(([------------~~~~~~---""------- s REGULATORY OR OTHER REQUIREMENT /C0091ITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTI0n Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sunmary of specific corrective actions, -[_-(((((((([_-[_-((-(((((((([_~(([ if known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of siellar deficiencies in the future.) sf ' anno vennene ces nowe see.. as

I I i 1 1 I I I I I I I I i I I I I I I i l i l i I l i l l t i I I i 1 I I I I I I I I I I I I I I i i I I I I I I I I I I I I I I I i 1 l l l 1 l l l l 1 1 I 1 1 I i .I I I I I I I I i l l l l l l l 1 1 I I I I I I I I I I I i 1 1 1 I I I I I I i 1 I I I I I i 1 1 1 1 1 1 1 1 1 I I I I I I i 1 I l i I I I I i 1 1 1 1: 1 I I I I I I I I I I I I I I i i I I I I I i I I I I i i 1 1 I o 1 1 1 I I I I I l l l 1 I I I I I I I I I I I I I I I I I I i 1 F) I 1 1 1 1 1 I I I I I I I I I I I I I I i 1 1 I I I I i 1 I I I m 1 I I l l l l l l 1 l l 1 1 I I I I I i 1 1 1 I I I I I I I i 1 [ l 1 1 1 I I i 1 1 I l l I I I I i 1 1 I I I i i i I I I I i 1 I I I I I I i 1 1 I I i i i I i l i i i i 1 1 I I I I I i 1 1 1 1 1 1 I I I I I I I I I I I I I I I I i 1 1 1 1 1 1 1 1 I I I I i 1 1 1 1 1 1 I I i 1 1 I I I I I I i 1 I I i 1 1 I I I I I I I I i 1 1 I I I l l l l t i I I I I I I I i 1 1 I I I I I I 'l i I I I I I I I I I I 1 I i I I I I I I I I i l 1 I I I i l I I i l i I I I I I I I I i l 1 I I I I I i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I I I l l l l I i 1 1 I I I I I I i 1 1 I I I I I I I I I I i 1 1 I I I i 1 1 I I I I I I 1 I I I I I i 1 1 1 I I I I I I i l i l i I i i l i I I I I I I I I I I I i 1 I I I I I I i i i I I I I I I I i 1 I I I I I I I I I I I I i 1 I I I I I I i i I i 1 1 I i l I I I I I I i i I I I I I I I I I 1 i i 1 1 I I I I I I I i i i I I I I I i 1 i i I i i i I i 1 1 I I I I I I I I I i 1 I I I I I I l 1 I i 1 1 1 I I I I 'l 1 1 1 1 I i 1, g i i l i I I I I I I I I I I I I I I I I i i i i I I I I I I I I g I i 1 I I I i 1 1 1 1 I I I I I I I I I I i i i i i l I i i 1-1 g i l i i I I I I i 1 I I I I I I I I I I I I I I I i 1 1 I I ll I I i 1 I I I i 1 1 1 I I I I I I I I I I I I I I I I I I I I i ,g I I I I I I i 1 I l i I i i I I I I i 1 1 I I I I I I I -l i i 1 C 1 I I i i I I I I I I I I I I I I I I I I i I I i i i i i l i I W4 1 1 1 I I I I I I I I i i l I i i i 1 i I i i l i i I I i 1 1 I g i l I I i i l i i l i I I i i l i l I i I I I I I I I I I i 1 I c 5 5 d a s = = Mm!. e z % "E 83. E =. st-c, E 5. 3.1 2 I wh%" =.5 3 I .E': 8 3 E "'. ji. E. g a sa

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A C.- S 2 - " s Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEN TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING N0: (For IE HQ Use) YOUR NAME: (Last Name First) 6 &] M5_ T,,,, _ _,,, _ _ _ GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: PPIN',IPAL CONTENTION S AREA RELATED TO YOUR REVIEW: SUBJECT OF YOUR REVIEW: TOPICAL AREA:

  • G C_ _

If not on list, er.ter area here: ACCIDENT PREVENTION /NITIGATION SYSTEN:

  • Q _T&g If not on list, enter system here:

a.9 y L 61 a g.9_61) L L o Ly _ _ _ _ _ _ _ _ _ _ _ _ _ SPECIFIC COMP 0NENT OR ACTIVITY:

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If not on list, enter activity here: 6 9 %1.6.1 e.E.Y _ 61.6 6_ G C._ Ps F6 M _ _ _ _ _ _ _ _ _ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or 8) ,[ PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW: * .gf(_ _ If not on list, enter contractor here: 4 NATURE (TYPE) 0F YOUR REVIEW: C, If not on list, enter nature here: KgG.q (_p5 _ kg D_ E.t g L.D_1-d 5 6. liiE GI.L Q d _. _ _ SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: o Q J,% i REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* Q & Q,_ If not on list, enter type here: EstiWated total population avail. during your review: og o.4 Size of sample observed / examined during your review: gog 1 i Randomness of sample:(Enter R if random, B if biased) R If biased, enter basis here: l REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: p,,,/ 42_ CA I g @ py _ f _ _ 6C - 5 ? _ _ _ _ _ _ _ _ _ _ '~* Entsr Alpha Code From Appropriate List i **Picase print usino one character per underlined space. Plante dn not aveeed allocated enacae

k CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORNATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: (Use a separate page 2 for each deficiency) - - - - - - - - ~ ~ ~ - ~ ~ ~ - - - - - - - - - - - - ' _ - - ' - - Specific location of the deficiency: i Date deficiency occurred: Use YY-MN-DD Fomat Date NRC learned of deficiency: Use YY-MN-DD Format Who first " discovered" deficiency:* [TuseNifNRc,LifLicensee,AifAiieger,OifOther) If other, enter source here: Number of known similar deficiencies: ((((~~~----'-------------------- s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or committment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* [ S::pporting infomation or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief susmary of specific corrective actions. (([_-(((((((([~((((~((((~(([_-((_~ if known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies 1 m due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)

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( Pag 2 3 ef 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL CopWENTS THAT YOU MAY HAVE: m m m m m - M e m m - m M e m m m 6 m m m m e e m m m e m m M (Should you wish to provide any additional information, m _ M m m _ m m m _ _ m _ m m m m _ _ m m m m _ w m _ m m m m connent. viewpoint. opinion, or other matter that m m _ _ _ m _ m _ m _ m _ m m m m _ m m m _ M m m m _ m m m m you feel the Contention 5 Panel should consider in _ m m m m _ m m m m m _ _ m m m _ _ _ m m m m m _ m _ m m m e making their findings please use this page to do so.) e m _ m _ m m m m m m _ m _ m _ m _ _ _ m _ m m _ W m m _ _ m m e m - m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m W W m m m m m m m m W m m m m m m m e W W W m m m m m m m m m m m m m m m m m m m m m m m m m m m m S m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m w e - - m m m - m m m m m - m - - - - m m m - m - m m - m m m m - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m e W m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m W M e m m m m m m m m m m m m m m m m m m m m 9 m m m m m m m m m m m m m m m m m m m - m m m m - - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m - m m m m - m m - - - m m m m m m m m m m m - m e m m O e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m W W M m m m m m m m m m m m m m m m m m m m m m e e m w m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m M m m m m m m m m m e W e m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m W W m m m m m m d m e m - m m m m m m m m m m m - m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e e p m m m m m m m m m m m m m m m m m m m m m m - m m m m m m m m H G .e

Ac.- 2 2, Paga'l of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) _______T_______ YOUR NAME: (Last Name First) DEVEg9_ GROUP OR ORGANIZATION: 6______________________________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: f PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SUBJECT OF YOUR REVIEW:

TOPICAL AREA:

  • 6,C. _ _

If not on list, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM: QTQ.L2. If not on list, enter system here: C, o g I-hL O LAFLJT_ %3).t. L D LN.Cg _ _ _ _ _ _ _ _ _ _ _ OT jff SPECIFIC COMP 0NENT OR ACTIVITY: If not on list, enter activity here: En G I Q g._ $ 6 M L I Y _Ml M L. _ _ _ _ _ _ _ _ _ _ _ _ C.'>I;S UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2 orb) .). PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • 3g__

.If not on. list, enter contractor here: h_________________7_gSpg4TLgef___ NATURE (TYPE) 0F YOUR REVIEW: If not on list, enter nature here: gigGq rg.ps _ pg ry _ p.t g.4.D _ SC6PE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: OoQ8 REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,q g _ If not on list, enter type here: Size of sample observed / examined during your review: Q_QQh._____.______________________ Estislated total population avail. during your review: pgQ$ Randomness of sample:(Enter R if random B if biased) g If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: c [ 6 _ C.g g % g t2.g _ _4 _ _ &.9. '3 5 _ _ _ _ _ _ _ _ _ _ "* Enter Alpha Code From Appropriate List e$P12ase print usina one character per under1tned snace. Plane an nnt.ve..a niinent.a en c.e

l i Page 2 of 3 CPSES CONTENTION 5 DATA SHEET l SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sunnary of deficiency: --- __- - _ - _ ~ _ ~ _ ~ _ - - _ _ - - - _ _ - - - _ _ _ _ _ - - _ ~ ~ - ' _ - (Use a separate page 2 for each deficiency) Specific location of the deficiency: ~~(UseYY-l#1-D0 Format) Date deficiency occurred:

TUse'N if NRE,(L if Licensee, A if Alleger, O if Other)

Use YY-MM-DD Format) i Date NRC learned of deficiency: i Who first " discovered" deficiency:* I If other, enter source here: Number of known similar deficiencies: ~ [ [ [ "" ~ - - - - - ~ ~ '- - - - - - - ~ ~ ~ ~ ~ ~ - - ~ ~ ~~ g REGULATORY OR OTHER REQUIREMENT /C0f0f!TMENT NOT MET: Use NA if not applicable) Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. j Other requirement or connitment: ~ ~ ~ - - - - - - ~ - - - - - - - - - - - - - - ~ ~ - - ' ' - - - - ' - EFFECT ON ASILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: j Your opinion of the degree of seriousness of deficiency .This specific deficiency considered alone:* i When considered with other known deficiencies:* i ~ Supporting information or basis: i l CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes N if No, U f f Unknown / Uncertain) Specific actions to correct deficiency: (Brief sumnary of specific corrective actions, ((-(([-((((~(((((((((((((((((([ if k"0""-) Broad QA/QC acti;ms: - - ~ - - ' ~ ~ ' ~ - - - - ~ ~ ' ' ' - - ~ - " ' ~ - - - - - - - - - - (Actions to identify potential similar deficiencies

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j due to QA/QC causes, and, to prevent recurrence of sfallar deficiencies in the future.) ~ ~ ~ ~ ' _ ' - - ~ ~ ~ ~ ~ - - - - ~ ~ ~ - - - ~ ~ ~ ~ ~ 'anniTTnwat enmurwn tr<.....+. v 3.a... .... o

  • Al re.

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CPSES CONTENTION 5 DATA SHEET. ADDITIONAL C0f9ENTS THAT YOU MAY HAVE: M m - M m 6 m m - m m M m m - m - m - m m - M M m m m m - m m (Should ou wish to provide any additional information, m m m e m M M m M m m 6 m W m m M - m m M M m m e m - m m m = m m _ m _ m _ m m m m m m _ m m m _ m m m m _ _ m _ m m m m m comment. viewpoint opinion, or other matter that m _ _ m m _ m m m m - M _ m m m m _ _ m _ m m m _ _ m m m m m you feel the Contention 5 Panel should consider in making their findings please use this page to do so.) e m m m - m m m m m m m - m m m m m m m m e m - m m m m - 6 m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e l m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e i e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m h m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m u m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m W M m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m W W m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e O O 4 m m g e m m m m m m m m m m m = = m m m m m m m m m m m m - - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e 9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m W W m m m m m m m m m m m m m m m m m m m m m m m m I m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m O m m m m m W W e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e I m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m _ m m m _ m m m m _ m m m m m _ m m m _ _ _ _ m _ m e m _ m m m m m m m m m m m m m - m m m m m m - - m m m m m - - - m m D m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m j m m m m m m m m m m m m e m m m m m m m m m m M w m M M M M M

  • 9 m m m m m m - m m m m m m m m m - m m - - m e m - m m m e - -

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l -5 Ac 34_ ~ Pag 2' 1 of 3 i CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** 4 REFERENCE INFORMATION: TRACKING N0: (ForIEHQUse) YOUR NAME: (Last Name First) D G 3 4E C.S _ d _ _ _ _ _ _ _ l GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: i -8 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SUBJECT OF YOUR REVIEW:

TOPICAL AREA:

  • CG__

~ If not on list, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM: OT _4_R If not on list, enter system here: M P 5 (nu erE.D 6 _ 6 V W Q M _ _ _ _ _ _ _ _ _ _ _ _ SPECIFIC COMP 0NENT OR ACTIVITY:

  • 0%g If not on list, enter activity here:

M E= E 6 9 A g/) _ S1.p 4_ W d 5_ _ _ _ _ _ _ _ _ _ _ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2or8) [ '-. PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • g__

If not on list, enter contractor here: MATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: SCOPE OF YDUR REVIEW: i EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: pp0b i REPRESENTATIVE TYPE OF ITEM CONSIDERE0 IN YOUR REVIEW:* g&g _ If not o.e list, enter type here: Size of sample observed / examined during your review: ogg L Estimated total population avail. during your review: a g g,j Randomness of sample:(Enter R if random B if biased) g If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: Gj f _ C, Ay g4 o g.y _ 4_ _4 C _ 3 4 _ _ _ _ _ _ _ _ _ _ l L 'o Enter Alpha Code From Appropriate List l o*Please print using one character per underlined space. Please do not exceed alineated snace=.

s Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION 0F EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sununary of deficiency: - ~ ~ - ' - ~ ~ - ~ ~ ~ ~ ~ - - - - - - - - - - - - - - - - - - - - (Use a separate page 2 for each deficiency) l Specific location of the deficiency: j i l Date deficiency occurred: -~ -- (Use YY-MM-DD Fomat) [ Tuse N' if NRE,(L if Licensee, A if Alleger, O if Other) Use YY-MM-DD Format) Date NRC learned of deficiency: Who first " discovered" deficiency:* If other, enter source here: Number of known similar deficiencies: ((((--~'-------~-----~-~~-~~~-'-- s i REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET: Use NA if not applicable) Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Other requirement or constituent: ~ ~ ' - - - - - - ~ ~ - - ~ - ~ ~ ' - - - - - - - - - - - - - - - - EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* ) Supporting triforination or basis: j q 4 C0RRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes. N if No U if Unknown / Uncertain) Specific actions to correct deficiency: (8rief sununary of specific corrective actions. [ [ [ [ ~ [ [ [ ~ [ [ [ _~ [ [ [ [ [ [ [ [ [ _~ [ [ [ _ _' _- [ [, if known.) ________._____________________-_l ,i ) l Broad QA/QC actions: 4 j (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.) 3 ocmemm -,. u,.. ... ;.. s 1

Pagi 3 ef 3 CPSES CONTENTION 5 DATA SHEET AD0!TIONAL C0pmENTS THAT YOU MAY HAVE: (Should ou wish to provide any additional infonnation. comunent e viewpoint, opinion, or other matter that you feel the Contention 5 Panel shnuld consider in making their findings, please use this page to do so.) l 4 4 a e e

N, - ~. AC - Pag 51 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED'** 1 REFERENCE INFORMATION: TRACKING NO: (For IE HQ Use) YOUR NAME: (Last Name First.) p ]-] L Q o_ g_ _ _ _ _ _ GROUP OR ORGANIZATION: 5______________________________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 8 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: i SUBJECT OF YOUR REVIEW: TOPICAL AREA: * $C__ If not on list, enter area here: 4 QTh_g___________________________ ACCIDENT PREVENTION / MITIGATION SYSTEM:

  • If not on list, enter system here:

C, p @ I A L u g g g I _ S g t L p M g _ _ _ _ _ _ _ _ _ _ _ SPECIFIC COMPONENT.OR ACTIVITY:

  • Q I g 12, If ::ot on list, enter activity nere:

C, o g T A _! e M E FT_ D e 8.F_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ s CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1,2 orb) [ gg__ i PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • l If not on list, enter contractor here:

) 2 NATURE (TYPE) 0F YOUR REVIEW: ] If not on list, enter nature here: i SCOPE OF YOUR REVIEW: 'i EFFORT EXPENDED IN MAN-HRS NOT INCL. DOCUMENTATION: ~Op2.f-REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* Q gg_ If not on list, enter type here: Size of sample observed / examined during your review: 6pq{ 3 Est,imated total population avail. during your review: OQQ {- { Randomness of sample:(Enter R if random, B if biased) @ If biased, enter basis here: g,L_L_ g,E_,pgu g._ P % _ 12 L 6 S PS :q LS ___ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:

3. 8 _ 4-4 5 / T 9.

L L _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ i NCB_C. 191B_____________________

c. L s _ C, A I sh a E-S _.3 _ AC = & 4 _ _ _ _ _ _ _ _ _ _ _

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Pag 3 '2 of 3 CPSES CONTENTION 5 DATA SHEET. SPECIFIC INFORMATION RELATED TO THE DEFICIP4CIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWEU: Oppl DESCRIPTION OF EACH SPECIFIC DEFICIENCY IOU REVIEWED: Brief sumary of deficiency: La g C,t? Ei'.IB _ W er 5_ E 1- & C E D _ L M _ T t! E _ P o_ M E (Use a separate page 2 for each deficiency) _ 9 E _11 g 12 _1_ us i r # 0 u I_ G C._ A E!' f 8 o V a. L _ Specific location of the deficiency: U g j T. _1_ C o.g,7 a._t g,$ stJ r _ Do p g _ _ _ _ _ _ _ _ Date deficiency occurred: 7 $ - pl _l$ (Use YY-MM-DD Fomat) Date NRC learned of deficiency: "1 og - if NRf,(L if Licensee, A if Alleger, 0 if Other) Use YY-MM-DD Format) Who first " discovered" deficiency:* 8(UseN If other, enter source here: Number of known similar deficiencies: [2666-------------------------- i REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: J O(Use arabic 01 thru 18. Use NA if not applicable) Other requirement or comitment: i EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* L When considered with other known deficiencier:* j, Supporting information or basis: .p O M _ g,4 $ _ p g g Q F D_ $ p gelQ _ g a T t{ __S.5/ _ Q L.T E 89B M IC., _ TE6 T i tJ 4 _ 4 u o _ GT E.o c. T u rL a _ _ _ _ _'I~Bfg &d 'I M _ I ES T l M (q _ _ _ _ _ _ _ _ _ _ _ _ k_LM CORRECTIVE ACTIONS TAKEN OR PLANNED: d (Use Y if Yes, N if No, U if Unknown / Uncertain) i Specific actions to correct deficiency: (Brief sumary of specific corrective actions. [ [ [ [ [ [ [ [ [ [ [ [ [ [ - [ [ [ [ _ _- - [ [ - [ _~ _^ [ _^ if known.) Broad QA/QC actions: QgiE J.C. -[ g7_ Q.t gel _Cf_ g/ _f (.,,l_-. _6 G _ & fa f E65 6Q _9,z Y (Actions to identify potential similar deficiencies g[ q,C 49_ pa L2.T _ e e _ p\\lg g. 6_LL._ PL due to QA/QC causes, and, to prevent recurrence GQ C 6 A4.Pid f.LC' _ G-EM L EW _ C2 d CE/Ed i dlly _ PS of similar deficiencies in the future.) a c._ j)6l r) Eg _ C,dT _ (v_.9C _ Id 32 FG.T L e d_ _ _ --- e A / s.. w. u es u - annerrnun <nuweuve it, s-. - - - - -.. --.-- v --..-- w i,

l 11 1 ,) i I I I I I I I I I i 1 l I l i I I I I I I I I I I I 1 I I l -l l l l 1 1 I I I I I I I I l l I I i 1. I I I I I I I i l l I I I I I I I I I i ! I I I I I I I I I I I I I I I I I I i I I I e I i I i i I I I I I i l i I I I I I I I I I i 1 1 I I I I I I I I i 1 I I I I I I I I I I I l i I I I l i l I i 1 i i 1 l I il i I I I I I I I I I I I I I I I I I I I I I i 1 1 I I l' o 1 1 1 I I I I I I I I I I I i 1 1 I I I l.1 1 I l i I I I l l l q) i I I I I I I I I I I I I I I I I I I I I I I I I I l i I I I I g i I i l I I I i i i i i i i i l I I I I i l i I I I i 1 I I I i g i l i I I I I i 1 1 I I I I I I I I I I I I i l l 1 i l I I I i i l i I I I I I I i i i I I I I I I I I I I I l I I I I I I I I I I l l l l l l 1 1 I I I I I I I l l-1 I I I I I i 1 1 I I I I I I i 1 1 I I I I I I I I I I I I I I I I I I I I I I I I i 1 I I I i 1 I I I I I i 1 1 I I I I I I I i 1 1 I I I i 1 1 1 1 1 1 ,I I I I I I I I I i 1 I I I I I i I i l i l i I I I I I 'l l I I I I I I I i i i I I I i l i I I i 1 1 1 I I I I I I I I I I i 1 1 I I I I I I I I i i i i l i l i l i l i I i i l I i i l i I i l i i l 1 1 i l i l I I I I i l i I I I i l i I I I I I I I I I I I I I I I I I I I I I I I I I l i I I I I I I I I I I I l i I I I i 1 1 1 1 1 I I I I i 1 I I I I I I I I I I i 1 I I I i

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? AC-w ~ CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** 4 REFERENCE INFORMATION: i TRACKING N0: (For IE HQ Use YOUR NAME: (Last Name First ? MLL@p_g______ GROUP OR ORGANIZATION: f,______________________________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SUBJECT OF YOUR REVIEW:

TOPICAL AREA:

  • S C._ _

If not on list, enter area here: l ACCIDENT PREVENTION / MITIGATION SYSTEM: OIt}I2 l If not on list, enter system here: g> & I: g(a M A E.f>_ LL d I>_ C Q M I &.L eJ # FM I _ 6 L Q 66 t l SPECIFIC COMP 0NENT OR ACTIVITY:

  • p7tf g, j

If not on list, enter activity here: %& E E6 D A G-D _6465 # A T / C e d I_.P19 P R_ _ _ { CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) J PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • 3g__

If not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: SCOPE OF Y0ER REVIEW: l EFFORT EXPENDED IN MAN-HRS, NOT INCL, DOCUMENTATION: eq1Q REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*.Q&g_ If not on list, enter type here: l Size of sample observed / examined during your review: p p QS. Estimated total population avail. during your review: Q Q 2, j Randomness of sample:(Enter R if random B if biased) If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C],6_C,M E(no n _s__4c,_35.__________ i ~ '** Ent;r Alpha Code From Appropriate List _ **P100EDEPfot cI31gl@D Ghwwtw EW Gnd2711ned g@co, Plano dn mt co;ccr3 011ncated enac c

Pag 2 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: (Use a separate page 2 for each deficiency) (([-(([_~__-((((~(((([~(((((((((( Specific location of the deficiency: (Use YY-MM-DD Format) Date deficiency occurred: [ Tuse N if NRf,(Use YY-MM-DD Fomat) Date NRC learned of deficiency: L if Licensee, A if Alleger, 0 if Other) ~ Who first " discovered" deficiency:* If other, enter source here: Number of known similar deficiencies: ((((~~-------------------------- s 1 REGULATORY OR OTHER REQUIREMENT /COPMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or constituent: EFFECT ON A81LITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency -This specific deficiency considered alone:* When considered with other known deficiencies:* [ Supporting information or basis: 1 CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sununary of specific corrective actions. ((((((((((((~_-((((((((((((((_-(( if known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies 1 due to QA/QC causes, and, to prevent recurrence of sinflar deficiencies in the future.) .e

g. v ~ CPSES CONTENTION 5 DATA SHEET ADDITIONAI. COPMENTS THAT YOU MAY HAVE: (Should you wish to provide any additional information, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ connent, viewpoint, opinion, or other matter that you feel the Contention 5 Panel should consider in making their findings, please use this page to do so.) 4 _ _ _ _ m m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ M _ _ _ _ _ _ _ m _ _ _ _ _ _ _ _ _ m _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _e_ _ _ _ _ _ _ _ M _ _ _ _ _ _ _ _ _ _ _ _ _ G _ m _ _ _ _ _ _ _ _ _ _ _ _ m m _ _ _ _ _ _ m _ _ _ m _ _ m _ _ W _ _ _ _ _ _ M _ _ _ _ _ _ _ _ m _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ M _ _ W M _ W m _ _ _ _ _ _ _ m _ _ _ _ _ _ _ m M _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ _ _ - e _ m W M _ _ W _ _ _ W _ _ _ _ _ _ _ _ _ _ m m _ _ 6 6 _ _ _ _ m _ m m _ _ _ _ _ _ _ _ m m _ m m m _ _ _ m m _ _ _ _ _ _ _ _ i I

AC-S L Pag 2 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING MO: (For IE HQ Use) YOUR NAME: (Last Name First) 9_8.LLLGC)*_8______ GROUP OR ORGANIZATION: 5_____ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SUBJECT OF YOUR REVIEW:

TOPICAL AREA:

  • SC,__

If not on list, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM:

07M12, If not on list, enter system here:

A L L._ C. o#C.E.5IE_ 6TE n c/TS E_ES_ _ _ _ _ _ _ _ SPECIFIC COMPONENT OR ACTIVITY: QIy2 If not on list, enter activity here: CogC,g.gTg_STg,gG,7vfLE5____________ s CPSES UNIT' INCLUDED IN YOUR REVIEW: (Enter 1,2or8) S g[R _ _ PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • If no.t on list, enter contractor here:

NATURE (TYPE) 0F YOUR REVIEW: g - If not on list, enter nature here: ~ SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: opfb REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* Q a g _ If not on list, enter type here: Size of sample observed / examined during your review: 0 0 h (_g _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, Estimated total population avail, during your review: OQ3@ Randomness of sample:(Enter R if random, B if biased) S If biased, enter basis here: ALLEGATJod_____________________ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C, / 6 _ C g I g Q p (L Y _ 5 _ _4 G. h 4 _ _ _ _ _ _ _ _ _ _ _ : 1 '* Enter Alpha Code From Appropriate List ocPlease print using one character per under11ded space. Please do not exceed allocated spaces.

7 7-CPSES CONTENTION 5 DATA SHEET i SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW I TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: OOQ1 i DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: 8Jil7 EE6 I 6_ 0. G _ CQ. L1.C I-SI1ii 8 3 I d 6 b90.1, (Use a separate page 2 for each deficiency) e py_ # A g e E g _ W g rl,g _ d 27_ _ C,6 g.g.1 E Q _ E Q.T_ Alp _ fg FC,,1 F 4_ C,q d Cg_G rf _ pfg.gg I pg, gip Specific location of the deficiency: 1 Date deficiency occurred: -0 - QO (Use YY-MM-DD Fonnat) Date NRC learned of deficiency: -p (Use YY-MM-DD Format) Who first " discovered" deficiency:* Use N f , L if Licensee, A if Alleger, 0 if Other) If other, enter source here: l Number of known similar deficiencies: Mdd--------------------------- REGULAJORY OR OTHER REQUIREMENT /COPMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: g8(Usearabic01thru18 Use NA if not applicable) Other requirement or commitment: - - - - - - - - " ' - - - - - - - - - - - - - - - - - - - ~ ~ - - EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This-specific deficiency considered alone:* Q When considered with other known deficiencies:* g,) Syg, LQ_ u 5 g gGS _ C4 t A PT_ B F_ DW I F Adf; NE Supporting information or basis: D _ Q M X L G _ bC Bl eDI_8 A MM96_ TE ST - - - - CORRECTIVE ACTIONS TAKEN OR PLANNED: g(UseYifYes,NifNo,UifUnknown/ Uncertain) Specific actions to correct deficiency: (Brief sumary of specific corrective actions. (((((((([-((((((((--(((([-[__-(( ifknown.) Broad QA/QC actions: BE_ & S.S ES S ED _ B Y _ QgP_tGJ.]e~.dQ1_dLkLtJC_86_P&8T_E6_QMFEd44PE (Actions to identify potential similar deficiencies 7g7_GB d'ue to QA/QC causes, and, to prevent recurrence oG&aoggA7.LG_EgyLEv_Ce#CEg#LM _ P _E of similar deficiencies in the future.), g G _ o g D g g, _ C d T _ h _ S ? _ I d.5F_ E rr I I E _ _ _ _ ,...-,n d ris-, v 44 vA,- u < < ua anntrrnuni enuurure t r <.... - + -v

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'.1 Ac-E? - j Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING N0: (ForIEHQUse) YOUR NAME: (Last Name First) D E1J 12 4r _7_ - _ _ _ _ _ GROUP OR ORGANIZATION: 5>_ _ _ _ _ _ _ i SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 8 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SUSJECT OF YOUR REVIEW:

TOPICAL AREA:

  • 6 C.

If not on list, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM:

  • O fg g.

If not on list, enter system here: f_L.L._ G.g gj C _ g,_T g.g p y ij g E _ _ _ _ _ _ _ _ _ _ _ ) SPECIFIC COMPONENT OR ACTIVITY:

  • aTgg If not on list, enter activity here:

f.j,,4. _ 4p g c._ fyg.p p.7 p g.gf, _ _ _,, _ _ _ _ _ _ _ _ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1. 2 or B) S PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • gg__

If not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW: If not on list, enter nature here: g c,Q ED 6_ Atj O _ Et g_L,Q _ [d6 9 FCJ LQ_d _ _ _.. ~ SCOPE OF YOUR REVIEW: REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* q f.( @ EFFORT EXPENDED IN MAN-HRS. NOT INCL. DOCUMENTATION: OQQ i If not on list, enter type here: Size of sample observed / examined during your review: a 02.3 Estimated total population avail. during your review: p3gQ Randomness of sample:(Enter R if random. 8 if biased) g If biased, enter basis here: REFEliENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: cj6_ C A T g4 a y _ 2. _ _ s c Z 3_ _ _ _ _ _ _ _ _ _ ~ 'o Enter Alpha Code From Appropriate List ) ocP1 ease print usino one character oer underlined space. P1.as an not.ve..a niincat.d <nac.c

I ~. Pag 2 2 cf 3 CPSES CONTENTION 5 DATA SHEET SprCIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i, 1 TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: 4 Brief summary of deficiency: (Use a separate pace 2 for each deficiency) - - _ - - - ~ - - - ' - - - - ' _ - - - - _ _ - - ' - - _ - - - ' - - - Specific location of the deficiency: --(UseYY-2-DDFormat) . Date deficiency occurred: [ Tuse-N if HRE,(Use YY-MM-DD Format)L if Licensee, Date NRC learned of deficiency: ' Who first " discovered" deficiency:* If other, enter source here: Number of known similar deficiencies: ((['--------'-------------------- s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* [ Supporting infomation or basis: C0RRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief susunary of specific corrective actions. (([_-[_-((((((((_-(((((((((((([_-(( if knwn.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.).

~ Paga 3 ef 3 CPSES CONTENTION 5 DATA SHEET. A00!TIONAL CON 4ENTS THAT YOU MAY HAVE: m m m m m e m m m - m - - m - m - m m m W m m m W m m m - _ _ m m _ _ m m m m m m m _ _ m m m _ m _ m _ m m _ _ m m (Should you wish to provide any additional information, m M M m M m m m m m m m m - - m e m m m m m - - - m m m m consent. viewpoint. opinion, or other matter that _ _ _ M m m m m m _ m _ _ _ _ _ _ _ _ _ m _ m m m m m _ m you feel the Contention 5 Panel should consider in snaking their findings please use this page to do so.) _ _ _ _ _ _ _ m _ m _ m m _ _ m _ _ _ m m m m m W M m m m e m m m - - m m m m m m m m m m m - m m m m. - - m - m m e u m M m m m m m m W W M m m m m m m m m m m m m m m m m m i j m m m m m m m m m m m m m m m m m m m m m m m m m m m m m o m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M W m m m m m m m m m m m m m m m m m m m W m m m m m m j m m m m m m m m m - m - e m m m m m m m e - - m - - m m e j . m - - - - = M m m m m m - m m - m m m m m - m m m - m m 1 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m M m m m m m m m m m m m m m m m m m M e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M m m m m m m m m m m m m m m m m m m m m m m m m m m m m O I m e g e m mm m m m m m m m m m m m m m m m m m - - m m e m m m m m m m m m M W m m m m m m m m m W M W m m m m M M M m m m m m m m m m m m m m m m m m m m m m m m m m m m e M = = - m m m m m m m m m m m - m m m W W M M - m m m m - 9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m W W W W m M m W W W W e m m W W M e m m m m m m m m m m W m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 6 m m m m M M M M m m m m m m m m m W W m W W W m m m m m e e M M W m M M M m mem m W W W m m m M m M M m m m m m m m M 1 m m m m m m H m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m W W M M m m m m m m m m m m m m m m m m m m m m m m m m m m m m m ' M W m m m m m m W M m m m m m m m m m m m m m m m m m m e - m - m m _ _ m. m m _ m m m m m m m m m m m e - - - m m - - m m m m m m m m e - m m - m e m m m m m m - m - m m e I

  • 9 m m m m m m m - m - - m - m - m - - - - m - - m m m m - m l

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  • Pag'e 1 of 3 i

CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** i REFERENCE INFORMATION: i TRACKING NO: (ForIEHQUse) j YOUR NAME: (Last Name First) 6g9@5~T_______ GROUP OR ORGANIZATION: i l SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: ,f PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • i SUBJECT 0F YOUR REVIEW:

TOPICAL AREA:

  • 6C-__

If not on list, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM:

  • f.TG gL.6_GQd_C-_ 6TE-WGT R_/L_G$__________

O If not on list, enter system here: j j SPECIFIC COMPONENT OR ACTIVITY:

  • p y}} g.,

If not on list, enter activity here: er g _ p p p(,._ Gyg. y g yg _it.gts_ _ _ _ _ _ _ _ _ _ _ _ j CPSES UNIT IKLUDED IN YOUR REVIEW: (Enter'1, 2 or B) g i PRIKIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW: S g,_ _ If not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW:

  • 1 l

If not on list, enter nature here: Go g.pg_ e g D _ _/ 2 syr_LQ_ ge/fegC. T,t, e A]_ _ _ SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS NOT IKL. DOCUMENTATION: O2Q6 i REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* q f g,_ If not on list, enter type here: Sire of sanple observed / examined during your review: .g o Es'timated total population avail. during your review: 03 Randomness of sample:(Enter R f f random, B if biased) [ If biased, enter basis here: j REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: c_,,/ 6_ C AT g4 o M _ 2 _ _ & C, r 1,3_ _ _ _ _ _ _ _ _ _ 3, I _______________________________3 ) j '* Enter Alpha Code From Appropriate List i ocPlease print usino one character per underifned snace. P1. ace an nat.ve..d niincat.d en.c.e

l l l l Page 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief suunary of deficiency: (Use a separate page 2 for each deficiency) I Specific location of the deficiency: j . Date deficiency occurred: Use YY-M -DD Fo: mat Use YY-MM-DD Format Date NRC learned of deficiency: Who first " discovered" deficiency:* [TuseNifHRE,LifLicensee,AifAlleger,0ifOther) I If other, enter source here: Number of known similar deficiencies: ((((""--------------------------- s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON ASILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: C0RRECTIVE ACTIONS TAKEN OR PLAMED: _ (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief suunary of specific corrective actions, ifknown.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.).

Pdge 3 cf 3 CPSES CONTENTION 5 DATA SHEET. AD0!TIONAL C0fetENTS THAT YOU MAY HAVE: M - m - = m - - - - - = - - - - m m - - m - - - m - - m - m (Should you wtsh to provide any additional information. m.. - - - - - - M m - m m - m m m _ m - m - - - m - m - - m - - - - - - e e - m - m - - - - - - m M - -m - e - - M - - commente viewpoint, opinion, or other matter that M - m - - - - m - - - m m _ m m - m - m - - - m - m e e - m you feel the contention 5 Panel should consider in making their findings please use this page to do so.) m um m - - m m - m - m - - - - e - - - m - - m - - m - m m e - - m m m - = = m - - m - - - - - m - - - m m m m m. - - - M W W W %m m m m m m M m m m m M e m m m m m m m m m m m - - m - m - m - m - - - - - m m - - - - - m m m m m m m m - - D 9 M m m - M M m m m m m m m m m - m m m m m m m m m m m m m e W M M M M m M M M M M m m m m m m m m m m m m m m m m m W - m - m - m m - m - m - m e m - m m m m m m m m m m m m m m e W W W m M M M M M m M m m m m m m m m m m m m m m m m m m e O M M W m m m M M M M m m m m m m m m m m m m m m m m m m m - M W W W m m W m M e m M M 6 m m m m m m m m m m m m m m m m M m m M M M m m m m m m m m m m m m m m m m m m m - m e m e W W W W M m m M m m M M e m m m m m m m m m m m m m m m m e G J G q - - g - - - - - - - - - - - - = = = m - - m e m m e - - m m m m m m m m m m m m m m m m m m m w - - m - m m m m - m m m m M m M w M M M M M M M M m m m M m m m - M M M M O m M M M M M m m m m M M M M M M W e m e m M m m m m m m W 6 m W m M W m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M m M M m M m M O M M M M M M m e m M M m m M M - m - m m m W W m M M m m m m m m m m m M W m m m m m m m m m M M m m e m M M m W m M 6 m m m m m m m m m m m m m m m M m m m m m e M M M W m O m m Me- - m M m M M - m e m m M m m M m W W W m M M M M M - M M M M 6 m h W W m m m m m W W W W m W W W m m m m m m m m m m m m m h m m m m m m m m m m m m m m m m m - m m m m m m m m m - M M w M m m m m m m m m m m M M M M M M m m m m m m m m m m m m m m m m m m m m m Sa m M M m m M M M m e m e m m m m m m m m m m m

  • M m m m m 6 M m M W 6 M W m e n e m m m m m m m m m m m m m m m m m m m m m m M M W m W
  • 9 m m. - -. m m e - - - - - - - - - - - - - - - - - - - - =

9 9 I e e

Page'1 cf 3 CPSES CONTENTION 5 DATA BASE INPUT.5HEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING N0: (ForIEHQUse) YOUR NAME: (Last Name First) D 5 0 ili @ 6 _ 7 _ _ _ _ _ _ _ GROUP OR ORGANIZATION: 6_______________________------_ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: A PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:

  • SUBJECT OF YOUR REVIEW:

TOPICAL AREA: * $C__ If not on list, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM: Q T [p _(2. If not on list, enter system here: &L. L _ ?.2 9.GB FIE_ d T i?.V. 4 IV/5 ?6_ _ _ _ _ _ _ _ SPECIFIC COMP 0NENT OR ACTIVITY: g I Sg. If not on list, enter activity here: M,.L _ G q d cg.gIE _ 6 I S V GT y rl F6_ _ _ _ _ _ _ _ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1,2 orb) 3 j PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:

  • gg__

If not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW: C. i If not on list, enter nature here: g FCQ.6-Q6_ er bl D_ E LE.L.D_ L 4 5 6 FGT1 Q el _ _ _ SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: p 00 $ REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,Qhd_ If not on list, enter type here: Size of sample observed / examined during your review: a op3 Esti6ated total population avail. during your review: o pq 3 Randomness of sample:(Enter R if randon, 8 if biased) g If biased, enter basis here: l l REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C. / 6, C, a y g4 o g.y _ 2._ _ 4 Q. c Q _ _ _ _ _ _ _ _ _ _ a i

  • Er.t';r 8)pha Code From Appropriate List ocplance nrint usinn nne charartor ner underlined <n=c.

p1.... da oo+ ..r..a .iior.+.a...., j

a ~ Pag 2 2 'cf 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED'TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: GESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency:

~~---------------

(Use a separate page 2 for each deficiency) Specific location of the deficiency: (Use YY-M-DO Fomat) . Date deficiency occurred: - - (Use YY-M-DO Format) Date NRC learned of deficiency: Wh) first " discovered" deficiency:*

TuseNifNRE,LifLicensee.AifA11eger,0ifother)

If other, enter source here: Number of known similar deficiencies: ((((~~~~-~~--~'~~--~~~~~~~~----- s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment:

~~-~----~-----------~------

EFFECT ON ABILITY OF COMr9NENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: (Use Y if Yes, N if tio, U if Unknown / Uncertain) Specific actions to correct deficiency: [______________________________ (Brief sussiary of specific corrective actions. if known.) Brcad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)

I I I I i I i 1 i i I I i i 1 i i i i i i l i 1 I l i I I I I i l l 1 1 1 1 1 1 1 1 1 I i i i I I I I I I I I I I I I I I I I I 1 I 1 1 I I I i 1 1 I I I I i 1 1 I I I .I I I I i i i I I I i i i i l i 1 i l I i 1 I i I I i 1 1 I I I I I I I I I I I I I I I 1 1 1 I I i 1 I I1 i l i i l i I I I I I i 1 1 1 1 I I I I I I 1 I l 1 1 I I I I I I i I 1 I i 1 1 I I i 1 1 1 1 1 1 1 I I I I, o 1 1 i 1 I 1 1 1 I i l i i l 1 I i 1 I I I i i l 1 1 I I I I 1 1. m I I i 1 1 I I I i 1 1 I I f I I I i l i i l i i 1 1 1 1 I I I I g 1 I I i 1 1 1 I I I I I I i 1 I I I i 1 1 1 I i 1 1 I I I I I l g i i i i 1 l I I I I I I I I I I I I I i 1 I I I 1 I I i l i I I I I I i 1 1 1 1 1 1 1 1 1 1 I I I I I I I i 1 I I I I I I I I i i 1 1 1 1 1 I I I i l l I I I I i l i 1 i l i I I I I I I I I I I I I I I I i 1 1 1 1 1 I I I I I I I I I I I I I I i 1 1 I I I I I I I I I I I I i 1 1 I i i l I I I l l l l 1 1 I i 1 1 1 1 1 I I I i l i I I I I I I i 1 i i l i I I I I i 1 1 1 1 I I i 1 1 I I I I I I I I I i 1 1 1 1 1 I i 1 1 1 1 1 1 1 1 I I I I I l i I I i 1 I I I I I I I I i l I I I I I I I I I I I I I I i 1 1 1 1 I I I I I i 1 I I I i i i 1 l I i 1 I I I I I I i i i I I I I i 1 ii 1 i i 1 1 I i i i I I I i I i l i I i i i i l i l I i l i I I i 1 I i i 1 i i I 1 1 I I I I I I I I I I I I I I I I I I I I 1 1 1 1 I i 1 1 1 1 1 1 I I I I I I I I I I l i I I I I i 1 1 I I i 1 1 I I I I I I I I I I i 1. I I I I I l ,1 1 1 I I I I I I I I I I I I I i I I i 1 1 1 1 I I I I I I I I I I I i 1 1 I I 1 I i 1 I i i l i l i i 1 l i I i 1 1 I I I i 1 1 I l I l i I l' g g i I I i 1 1 I I I i 1 1 I I I I I I I I I I I I i i i I I I l-1 g i I I I I I I I I I I I I I I I I I I I I I I I i 1 1 1 1 I l1 I I I I I I I I I I i 1 1 1 I I I I i 1 1 1 I I i l l 1 1 I i 1 ,g I i 1 1 1 1 I I I I I i l l I I I i 1 1 I I I I I i l I I I I I c I I I I I I I I I I I I I I I I t i I I l l l l i 1 1 I I I I I m I I I I 1 1 I I I I I I 1 I I I I I i l l I I I I I I I I I I I g i l i I I i I I I i i i 1 1 1 I I I I I I I I I I I i 1 1 I I I c 5 8 d a s c" 8 [% 4 abka m N cu3" D "$c$ ~"81 8%. L55c C 5.8 " g R*** ho." h 8.8 N .8": 8 3 e ' ~a g !.."8 La .a8s "aei me i gat g it.c 5$. C 8 u .= ^J7" >5 2 l* w* 8' 8 =I .9 C Sugg 8 (' .}}

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