ML14155A461

Single Positive Test Form Collected on 01/20/2014

ML14155A461
Person / Time
Site:	Comanche Peak
Issue date:	06/04/2014
From:	Luminant Generation Co
To:	Document Control Desk, Office of Nuclear Security and Incident Response
Paul Harris - 287-9294
References
Download: ML14155A461 (1)

Text

NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal Select Facility Comanche Peak [50-445; 50-446]

Reason for Testing - 26.717(b)(5)

Pre-Access Pre-Access Testing Reason (optional)

Initial Authorization Please elaborate (optional)

Employment Type - 26.717(b)(3)

Contractor/Vendor Labor Category - 26.717(b)(3)

Maintenance (Craft)

Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?

Test Results - 26.717(b)(4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2)

Drug Only Drug Testing Urine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Amphetamines Substance - 26.717(b)(2) & (b)(6)Additional Substance (as applicable)Additional Substance (as applicable)

Please Select Please Select Use NRC Cutoff (Yes / No)?

Yes Use NRC Cutoff (Yes / No)?

Yes Use NRC Cutoff (Yes / No)?

Yes Management Actions

- 26.717(b)(8) & 26.75 Specific Sanction Applied 5- Year Denial Save to Local PC Print this Report Unique Reference Number (Licensee Supplied)

CPNPP 14-01 Note: 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)No No No Date of Collection (mm/dd/yyyy) 01/20/2014 Submission Update Person(s) Responsible for Information Provided Company Email Address bobby.hammer@luminant.com First Name Bobby Position Title Sr. Nuclear Analysr Position Title First Name Last Name Last Name Hammer Company Email Address Person 1 (required):

Person 2 (optional):

Single Positive Test Form version 1.4.0 - Oct 31, 2012 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 valid ation process has been successfully completed and the form is ready for submission.

Locked Form Locked On:

Ap r 30, 2014 at 7:10:07 AM Reason for the Action First drug or alcohol positive Did this collection involve a subversion attempt (Yes/No)?

No Subversion Attempts

- 26.717(b)(7) and 26.75(b)

Sanction Applied (NRC Minimum or Licensee Administrated)

Licensee Administrated