ML19053A689

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NRC-2018-000725 - Resp 1 - Final, Agency Records Subject to the Request Are Enclosed
ML19053A689
Person / Time
Issue date: 02/15/2019
From:
NRC/OCIO
To:
References
FOIA, NRC-2018-000725
Download: ML19053A689 (12)
v • d • e


Text

  • *l'I
  • I -' ' ..... NAY l O 1976 . '
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  • Longview.

Washington Menial John Patton I I I ! I I l I I I. i ! I ! ft I 11 j ,, it l F; 1r>-fftf*AWV£S llwlnl,, ,t,p~r,11~0,~, l><I"'* *~ dJoor<<d *P.Ot.itt ot =.If! * . ,,.,,,.., l:'J.Ml'IMizlil, aM mo "'11,/tiut, IWbil or deDIL Niiht.e I.P')IJU C'i'4 oil<< Off" Y6U 1/Jan)' *o&*eqrttllt to Ulr ~II, of tl&fa !lUtSfkiWJll't.

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  • fur,wlt,d, 0)¥ Form ;;t 0354.) l . .: ., -: ..... I -:-~~ Na .. 1tahll ,.,. "'"'"' C6Q1IU)I o( *~ *-e~-Father Charles frank Bazata. v 100 Dead USA USA Mother Alma A1y1ettnger Bazata 92 Pres. Home.Car11s1
  • PA.USA USA Wffe 35 Marte p erre sencmuter

,__ RT2,Bx97,.01ckerso , MO II E FRENCH Fath.-1 -Lav Noel Senequ1er-zet 65 Papeterie de la Go t Mo .-in-Law Domenetzere, Fran Dead' . e FRAN E FRENCH Marte-Magde1efne Sap~ s.-c. . 'Brother Charles Frank Baz~ v* 68 . M1aa1, Florida USA USA S1ster Beatrice Brown {)J.~ 67 Dead USA USA Ex Wf.fe Diana _Ch.trl~fson~ata . ' 5101 Rfver Rd. Ex Wffe * (b) (6) rf',

  • Chevy
  • Chase. MD Sfctly USA Penelope . Grant, Bazata *. ? London, England Australt Brftfsh. (fult~t-knovn) (Dates and laces for 111rrfages and divorces tsted.on reverse si e) l&. REJ,'E~C~.(Nomt

'thlW./'RfOII.'*

Ni>t Ref#~'vtt tJr Employer,, Whl> I.re. Wfll A.c,q~tai Wit,\ 'ri>tJ), . . ... Reference list attached.

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o, a 1,ton.y IPldtl' Sffl/o11 lo~!* 'l'ilU llJ, V, . $:-Cof-, _ . , , , , , . * , 'l'o ~s ~tLt.EDOU.'r ar*AotNCY 01u*11tM EM)'lOYINCI , , ,. I I ti ( I -I But1dtn~1M.aoagement S~1a16st . .. . ' '* US rluclear Re lator.y C011111fstfo11 It ADDRESS Washington, o. c. 20555 WU,l, PBRSON ffAVJ: ACX:ESS TO: iiESflUCl'EDDA'l'A

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X ~XCZ.l!SJON AlEA Yu O No 0 FOPS4 ..... I I f ' ' ' i I I I . I' i

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(3) ltfflm~* Or4e.r ot ~tea (l."' OXle ~t Slcle (Oli~) to 'bf co,, ..ltevtm ~<<* Mt0a ctci.) ., *' Marrfed Qfana. C,*Baza~-Newark, HJ 1942 or 1943<, * *. * 'IJ.L.*. *, .. * .. *!

  • f: Divorced * * * '.
  • 1fashtngton.

D.c. 1945. 6t or 7 Married Penelope G.

  • Bazata-.London, England 1/5/48 .. . . Divorced
  • Kens1ngton, London,.England (Applted.1/15/52 and . . I * * , ;41vorc.e
  1. 1740 was granted 2/,27/!2) Mlrrfed Marje P. Senequter--

Attbe$, f'rance 5/10/70 I .. '!* ... 4-, ... ** ' I* ' * ,; .. I l,t..; . . .. I *~ ' '. t j, .. I ,, *I l. ' I : J ,.,,,, . r I* 1. I I .... J .. ' . ' ,. . ,, : ,')h ,., . t ., ' ., 1"'"*. . I t1* * *, ,qJ,'. .. '. ' I ,, .:.: f r* . .,,-.. ,, .. ,l .. , ,, .. ...,. . ' r ,* *. * . . , *'],.! If . H ~* .,. 4. I ,., I ,I ... , '~ l. -~ ,*! \ t.J.\ ,.! .:: \ J..l ** ,, . ' ! . *r ... I* .,;j t, . I .. ;-. l, t; .. .. *11,; . t**. . . :. ' I . .. I.. I , . .. .....

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, ~TOMIC eNERGY COMMISSION , WASAINGTON, D,C, J0$4$

  • L SECURITY' QUESflONN B. U yov, on,wer ro A It "YH'!, 414 yov, dwlt19 the petfo4 of ,..,c1' r,,,~1,,h~

or ouoclotlon, h1N* tho 1pecltlc lnl*nt to fyrth,, I, YCJES tt.e 01111 of *~h or9011borlon or q,ovp of p,r,011, to ov,,,htow or onrt11t" "th* GoveJDtMtlf of ,,.. U11lt*)f $tot* or fl'IY p01itlcol 11/Wlvl1I011 thett~f l>y fore,, vlol111C*, or V11lowf11t aeon,t * . * .* 6, If )'9111 <J111wer toOuHt/0111

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'YO APPC,ICANT UPON COMP&,ETiON OF ABOVE a Now rhot rhe for,r, 'JI tlt11td, ploc* It ht th* pro,oddreo*d "IVtlop* fe1rra;,h,<I, ilo" ocrou ,r.. envelope flc,p on the lltae provU,d, and offhc rhe .cfot* of 1lono111r1, O*nv,, thl.,*ol*d

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$PACC f"OA f>~IUIISJ.ilNC IN ,oAMATION IN ITCMS ,. TO 10, .(hldleo**

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  • ,e-i -:.t * .. ' * .. . * * .. . . . . , ...
  • Douglas Oel.Jitt Bazata. } ,/ j'-1. DavhLfegan(Ernerson (b) (6) ) (b) (6) ' J,. Prof. Alan Haemer ((b)(6) V (b) (6) * ., . REFERENCE LIST ,,. * ) . * £. Frederick

& Harriet Wildman ((b) (6) ) Occupation*

Wine Importer v--<b)(6)

  • ~4. Paul Cyr(Might work for FEA, Wash. D.C.)
  • Business phone in ~Wash., D. c. area-961-8637 . Is. Robert VanRoUen ((b) (6) ) I . (b) (6) . 6. Col. William Pietsch ((b)(6) ) (b) (6) . . J'. Hon. wn liam E. Colby (b) (6) . ("' / s. Col
  • Lu~i en E.
  • Cone! ein (:(b) (6) ) V' (b) (6)
  • r1' t-. t . Business phone with DEA, WDC-382-8825 )* Glen Wolfe ((b) (6) '> . (b) (6) L. Frederick Schwartz (Plaza (b) (6) ~IIJ, (b) (6) . . J 1
  • Or. Bernard Knox ( (b) (6) ) Director of.Hellenic Affairs (b) (6) ., FbP.s.a* .. ., . . ., .. ... . ... ,I ,I, ,,, . ,'

.... ..... ., . . , . -~, Dougla~ DeWitt Bazata REFEIRENCE llST (Continued)

  • 12. Hon * .Phi111p Chadbourn
  • Chief of Propaganda and Protocal (b) (6) 0~1a. Dr. Albert Rohan (Austrian citizen) '(,P/ c/o Austrian State Department
  • /' Vienna, Austria
  • 14. Edwinston Robbins and/or his wife (Phone #(b} (6) ) (b}(6) ,. I -' . .. .. ... (Robbins also has a* residence somewhere in Pe~nsylvania-Phone. #Lawrence (b) (6) ) 15. Baron Hans-Georg VonStudnitz

~i, (b)(6) ~,. . ~* Baroness Madelein VonMunm (b) (6) . -or-. *(b) (6) 17. Jeoffrey Ha11owes (b) (6) ORGANIZATIONAL MEMBERSHIP (b) (6) FPDS9 T I ... '

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0 Wa,hinston, D. C. 20545 . ' ..O.M,~. *s .. yoJts 1 !A;:,tQVA$.~I;~iA*{*

1:" 3 C:~\u~ PERSONNJ~L si,;CURITY QU~TlONNAIRE

' . f INSTK'vC'rl,.0."18

.!., J"A'Ud AEC.l HM 1WO .PARn. ,.U,l,. SEC'l'IONS 0}' IJOT/t PARTS >!UST IIC COMPLET&D.

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.10.R 'l'AST 1, Y&\RS DATES t~ CITIZENSHIP; U.S.~ .Aile~ 0 2c~ 7 1', rl'J,t'-'11/

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1926.fflt J;HERGY COMMISSION

' -itlli?i10N ,o n>>.'OAAI> ,OAu ee

  • WASHINCtON, o.c. 20545 I '* F'ORM ).ppnove:o
r~~:r~*M:?,.,.,, PERsoNHE1:.

sEcuR1rv*

ouEs110Ni

    • RE , 0*M*0*.!$,R 0**,. ~-NAME (J-111,. f'na,, M14,ii.) _, / .,...,. $0CfA\. Ste. NO, ' 11* tlAME OF .AGI: OR FIRM EMPLOnN~ !t~.z/JT,~

?2>&1i1Hf Pc DY/ ; .. "'!i(~) ~6_) _ _ .. . , _ . _ At.£_ e . 1 . _ ,. *

  • 1NSTRUCTIONS,-:.~OMP1.ST£ THIS FORM IN PRIVATE, ALf. SECTIONS MUST BE COMPLETED.

FORJA WILt. NOT Be ACCEPTED*

t/NLESS ~Mfitfi'tEL'f.

'Atll1 i>ROPERf.Y EXECUTED.

T~ oniwet$ or stafc1M11,s on this for,,. ore p1lvilc9cd inlortr.otlor, between ro" cw! the Govcrnmenr, Tf Pe OR PRINT ALL ANSWERS. Write. "'None when cppllco61e, Enter ht lie,..,. J 1 Qfl'/ ot!rJltiol'IOI ln(ormoll,on, which 1110)' liCNe O hor/n9 on Y0!.11 sccu,Ur elecvonc1t, t( more $pOC:C Is teqvJred, c;olfocl.

Otldirlonol sneets ond lt1dlcol1t ffiit I rem l)l,ll))Otrs to wPllc1t th. onswe,s or,ply * ., $A. Iv* Jou Mw, wlt~H'JI th* lo,, 10 v*** lttv* yow~,._, o Me,nl,o, of ony o,t90IH101;0,.

or 9rout ~* t*1101t1 lr-crv,fft9 lvt "' llmlt~d to tll* eo-u,.,,, Po,1y, U.$.A,, wi.1,t., '""t 1h* p*rlff of YOYI' tlltMhrtl.lp ot ouoclotiOII you lc,-.w wos o4vo,otint ftochlftf t!.ot tltt Cov**flm4nt of *"* U11ittd $toru, o, 011y $tot, o, Oft)" "litleol 111'l>olvhl0ft th.roof tltovld'" ovtrtlirowft o, ovtOllfllod iy lor,*, ¥lol*11~*, or Ol'I'/ y11lowful 1111011s?

8. If Y<>w 0111we, to A ** "Y**"* 411 yov, 411rl~ 11'* ,eilff of sue~ m*Mberalll~

or ostodoti~, llovo th sp*cWc f1ue11t to f111th* th* 011111, c-1 uch ~90'tla011011 o0t 9rqvp of p,r10t1* to overtllrow o, ovtllurll th* Govtrftfll*nl of the U\ltod $101 .. or Oft'/ $tot* o, ony oolltlcol 1~<11-.,1,1~

thereof \,y fore*, vl0Te11ct, c,, ynlowful Mt<Hls? 6, If yow 011,w,r ,o Qu.,,rlor,1 4, or $4_. *v* I* "Y**", ,101* ~,low, Ylldet II** No. n, °" '°" o np11rote shnt 10'"0 ouo~t,.,d 10 o"i 1110'!* o port of t1ua I 'lllt*lltMOlr*, *lo* f'IOMU of olt svc\ or110l'l1otl0111 dotu ,of 1111t111N11hlp.

Gin c01111ltto 4ttolh of )IOI/I o~rMtln th***i" 0"' Nk* or,y *rrl011otlo11

)'OU dolt* ,t;oroi11t yOVt"AMfllt~*r*l.li) or oc.tlvitlu, NAMt: ADORE$$ f'ROM TO 8, Hav9 ,-~ ,.,.,, '"" orruttd, cho,oe4. *.,U l>y fe<ltrol, $tot,, o* othtr low ,11,orcn1el'tt oi,rhorltlt11 tor O"Y v:olotlo11 of 11ny fe4t,o1 low, $tott low, ~O!l"Y or m..,nJ~lpol l~w, ro111lotlo11, Of ordh1~u'l Do°' l11d114, on)'thlno tho, ho1per..d l>tfo*, yovi 16tt, blrrMgy. Do o11ot *,11cfyh trorhc violotlorn lo, wMcfi fiM of $30,00 or ftu v,o* *1111pottl, AU o,.,,, d1q,ou r-w,t i, lncl.id.4 ,v,11 lf_th*y wtrt dh1111u,4, * * * , If yw, -.itawer h "Yea", ~-Ofl'IPl~te a.H Mttlu 111 JtM t, b,tow. OFFICE HELO -** ., 9. I.RRE$T$ (COll'lpt,,.

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