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Category:License-Fitness for Duty (FFD) Performance Report
MONTHYEARML24037A2112024-02-0606 February 2024 Annual Fatigue Report Form for 2023 ML23361A0892023-12-27027 December 2023 Single Positive Test Form Collected on 09/18/2023 ML23263A0172023-09-20020 September 2023 Single Positive Test Form Collected on 3/30/2023 ML23263A0122023-09-20020 September 2023 Single Positive Test Form Collected on 3/6/2023 ML23263A0142023-09-20020 September 2023 Single Positive Test Form Collected on 3/15/2023 ML23263A0182023-09-20020 September 2023 Single Positive Test Form Collected on 7/12/2023 ML23263A0162023-09-20020 September 2023 Single Positive Test Form Collected on 3/28/2023 ML23263A0152023-09-20020 September 2023 Single Positive Test Form Collected on 3/22/2023 ML23263A0132023-09-20020 September 2023 Single Positive Test Form Collected on 3/7/2023 ML23228A0162023-08-16016 August 2023 Single Positive Test Form Collected on 02/27/2023 ML23228A0172023-08-16016 August 2023 Single Positive Test Form Collected on 2/27/2023 ML23228A0192023-08-16016 August 2023 Single Positive Test Form Collected on 3/2/2023 ML23228A0182023-08-16016 August 2023 Single Positive Test Form Collected on 3/1/2023 ML23209A6742023-07-28028 July 2023 Single Positive Test Form Collected on 02/01/2023 ML23209A6732023-07-28028 July 2023 Single Positive Test Form Collected on 02/01/2023 ML23053A1022023-02-22022 February 2023 Annual Fatigue Report Form for 2022 ML23047A2942023-02-16016 February 2023 Annual Report Form for Drug and Alcohol Tests for 2022 ML22346A0962022-12-12012 December 2022 Single Positive Test Form Collected on 08/31/2022 ML22346A0982022-12-12012 December 2022 Single Positive Test Form Collected on 10/17/2022 ML22346A0992022-12-12012 December 2022 Single Positive Test Form Collected on 11/04/2022 ML22346A0972022-12-12012 December 2022 Single Positive Test Form Collected on 09/19/2022 ML22147A0882022-05-27027 May 2022 Single Positive Test Form Collected on 05/19/2022 ML22119A1232022-04-29029 April 2022 Single Positive Test Form Collected on 03/01/2022 ML22119A1222022-04-29029 April 2022 Single Positive Test Form Collected on 02/16/2022 ML22119A1212022-04-29029 April 2022 Single Positive Test Form Collected on 2/16/2022 ML22053A2152022-02-22022 February 2022 Annual Fatigue Report Form for 2021 ML22049A0122022-02-18018 February 2022 Annual Report Form for Drug and Alcohol Tests for 2021 ML22039A0582022-02-0808 February 2022 Single Positive Test Form Collected on 04/12/2021 ML22038A2912022-02-0707 February 2022 Single Positive Test Form Collected on 08/04/2021 ML22038A2852022-02-0707 February 2022 Single Positive Test Form Collected on 04/12/2021 ML22038A2952022-02-0707 February 2022 Single Positive Test Form Collected on 09/16/2021 ML22038A3012022-02-0707 February 2022 Single Positive Test Form Collected on 09/28/2021 ML22038A3002022-02-0707 February 2022 Single Positive Test Form Collected on 09/27/2021 ML22038A2902022-02-0707 February 2022 Single Positive Test Form Collected on 07/28/2021 ML22038A2832022-02-0707 February 2022 Single Positive Test Form Collected on 02/07/2021 ML22038A2842022-02-0707 February 2022 Single Positive Test Form Collected on 04/06/2021 ML22038A2942022-02-0707 February 2022 Single Positive Test Form Collected on 09/09/2021 ML22038A2862022-02-0707 February 2022 Single Positive Test Form Collected on 07/19/2021 ML22038A2932022-02-0707 February 2022 Single Positive Test Form Collected on 09/08/2021 ML22038A3042022-02-0707 February 2022 Single Positive Test Form Collected on 10/25/2021 ML22038A3022022-02-0707 February 2022 Single Positive Test Form Collected on 09/30/2021 ML22038A3032022-02-0707 February 2022 Single Positive Test Form Collected on 10/04/2021 ML21055A7612021-02-24024 February 2021 Annual Fatigue Report Form for 2020 ML21054A1662021-02-23023 February 2021 Single Positive Test Form Collected on 03/27/2020 ML21054A1642021-02-23023 February 2021 Single Positive Test Form Collected on 03/18/2020 ML21054A2022021-02-23023 February 2021 Annual Report Form for Drug and Alcohol Tests for 2020 ML21054A1632021-02-23023 February 2021 Single Positive Test Form Collected on 08/25/2020 ML21054A1652021-02-23023 February 2021 Single Positive Test Form Collected on 03/25/2020 2024-02-06
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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)Maintenance (Craft)Refusal - 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)991141ENote: 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)02/10/2014Submission UpdatePerson(s) Responsible for Information Provided Company Email Addressstella.dumais@fpl.comFirst NameStellaPosition TitleAccess/Fitness For Duty SupvPosition 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 8:42:19 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)