ML14162A324: Difference between revisions
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{{#Wiki_filter:Select FacilitySeabrook [50-443]Reason for Testing - 26.717(b)(5)Pre-AccessPre-Access Testing Reason (optional)Initial AuthorizationPlease elaborate (optional)Employment Type - 26.717(b)(3)Contractor/VendorLabor Category - 26.717(b)(3)HP/RPRefusal - 26.717(b)(7) & 26.75Was this collection refused (Yes / No)?Test Results - 26.717(b)(4)Test ValidityValidTest Type(s) for Result(s) Reported - 26.717(b)(2)Drug OnlyDrug TestingUrineWas this collection observed (Yes / No)? - 26.717(b)(7) & 26.75MarijuanaSubstance - 26.717(b)(2) & (b)(6)Additional Substance (as applicable)Additional Substance (as applicable)Please SelectPlease SelectUse NRC Cutoff (Yes / No)?YesManagement Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied5- Year DenialSave to Local PCPrint this ReportUnique Reference Number (Licensee Supplied)224582FNote: 1) All fields are required except those marked 'optional'. 2) Entries in some form fields may result in information being auto-populated into other form fields. 3) Use Adobe Reader 8 or later for this form to work properly. | |||
: 4) Hold your mouse over a form field to view additional information.Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)NoNoNoDate of Collection (mm/dd/yyyy)03/17/2014Submission UpdatePerson(s) Responsible for Information Provided Company Email Addressstella.dumais@fpl.comFirst NameStellaPosition TitleSite Access/FFD SupervisorPosition TitleAA/FFD Program ManagerFirst NameDavidLast NameBonthronLast Name DumaisCompany Email Addressdavid.bonthron@fpl.comPerson 1 (required):Person 2 (optional):Single Positive Test Form (version 1.5.0 - January 1, 2014)Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission. LockedForm Locked On:Jun 11, 2014 at 8:36:36 AMReason for the ActionFirst drug or alcohol positiveDid this collection involve a subversion attempt (Yes/No)?NoSubversion Attempts - 26.717(b)(7) and 26.75(b)Sanction Applied (NRC Minimum or Licensee Administrated)Licensee AdministratedDelete SubmissionFFD Program Performance Data Reporting SystemSingle Positive Test Form(EIE General Submission Portal)}} |
Revision as of 06:12, 28 June 2018
ML14162A324 | |
Person / Time | |
---|---|
Site: | Seabrook |
Issue date: | 06/11/2014 |
From: | NextEra Energy Seabrook |
To: | Document Control Desk, Office of Nuclear Security and Incident Response |
Paul Harris - 287-9294 | |
References | |
Download: ML14162A324 (1) | |
Text
Select FacilitySeabrook [50-443]Reason for Testing - 26.717(b)(5)Pre-AccessPre-Access Testing Reason (optional)Initial AuthorizationPlease elaborate (optional)Employment Type - 26.717(b)(3)Contractor/VendorLabor Category - 26.717(b)(3)HP/RPRefusal - 26.717(b)(7) & 26.75Was this collection refused (Yes / No)?Test Results - 26.717(b)(4)Test ValidityValidTest Type(s) for Result(s) Reported - 26.717(b)(2)Drug OnlyDrug TestingUrineWas this collection observed (Yes / No)? - 26.717(b)(7) & 26.75MarijuanaSubstance - 26.717(b)(2) & (b)(6)Additional Substance (as applicable)Additional Substance (as applicable)Please SelectPlease SelectUse NRC Cutoff (Yes / No)?YesManagement Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied5- Year DenialSave to Local PCPrint this ReportUnique Reference Number (Licensee Supplied)224582FNote: 1) All fields are required except those marked 'optional'. 2) Entries in some form fields may result in information being auto-populated into other form fields. 3) Use Adobe Reader 8 or later for this form to work properly.
- 4) Hold your mouse over a form field to view additional information.Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)NoNoNoDate of Collection (mm/dd/yyyy)03/17/2014Submission UpdatePerson(s) Responsible for Information Provided Company Email Addressstella.dumais@fpl.comFirst NameStellaPosition TitleSite Access/FFD SupervisorPosition TitleAA/FFD Program ManagerFirst NameDavidLast NameBonthronLast Name DumaisCompany Email Addressdavid.bonthron@fpl.comPerson 1 (required):Person 2 (optional):Single Positive Test Form (version 1.5.0 - January 1, 2014)Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission. LockedForm Locked On:Jun 11, 2014 at 8:36:36 AMReason for the ActionFirst drug or alcohol positiveDid this collection involve a subversion attempt (Yes/No)?NoSubversion Attempts - 26.717(b)(7) and 26.75(b)Sanction Applied (NRC Minimum or Licensee Administrated)Licensee AdministratedDelete SubmissionFFD Program Performance Data Reporting SystemSingle Positive Test Form(EIE General Submission Portal)