ML14162A292

Single Positive Test Form Collected on 02/25/2014

ML14162A292
Person / Time
Site:	Saint Lucie
Issue date:	06/11/2014
From:	Florida Power & Light Co
To:	Document Control Desk, Office of Nuclear Security and Incident Response
Paul Harris - 287-9294
References
Download: ML14162A292 (1)

Text

Select Facility St. Lucie [50-335; 50-389]

Reason for Testing - 26.717(b)(5)

Pre-Access Pre-Access Testing Reason (optional)

Reinstatement (Between 31 and 365 days)

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 Not Applicable Test Type(s) for Result(s) Reported - 26.717(b)(2)

Alcohol Only Alcohol Testing Breath Alcohol Substance - 26.717(b)(2) & (b)(6)

Management Actions

- 26.717(b)(8) & 26.75 Specific Sanction Applied 14- Day Denial Save to Local PC Print this Report Unique Reference Number (Licensee Supplied) 444455Q 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 Date of Collection (mm/dd/yyyy) 02/25/2014 Submission Update Person(s) Responsible for Information Provided Company Email Address lisa.alvarez@fpl.com First Name Lisa Position Title MROA Position Title A A/FFD Program Manager First Name David Last Name Bonthron Last Name A lvarez Company Email Address david.bonthron@fpl.com Person 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 valid ation process has been successfully completed and the form is ready for submission.

LockedForm Locked On:Jun 11, 2014 at 10:35:12 AM Reason for the Action First drug or alcohol positive What 26.103 BAC level was exceeded?

0.04 or greater 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)

NRC Minimum Delete Submission FFD Program Performance Data Reporting System Single Positive Test Form (EIE General Submission Portal)