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- * /_j STEPHEN 85-594 PDR B-$
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, w:le:- I' ALLEGATION D AT A FORM U 5 C:tt'" *!GMo Covv 550' ni4: ...s,.r.c.......- en,,, p RECOVING OF FICE 4 -f4 N'5 D chet Number (if applicable)
- 1. Facilitylles) involved: IN em.1
- " * **N O I O O O M b E hn.<ic . GtNtmics
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- 2. Functional Areals) Involved:
sch.ch owopnete bo t i t _ operations _ onsite health and safety construction _ offsite health and safety
_ safeguarda _ emergency preparedness other' esp cit,)
3.
Description:
. IGlEINICIMl4lL] lAll>IllflGIAlil llOIAtlGI lRlRl614]Rl
"'"**'"* I bl f 19161 l Kl cl $lel 14 lulo I 101ol A 11,1 I I rl v1 I FI i Ie 1 151T1 I I I I I I I I I I I I I I I I I I I i 1 I I IIIIIIIIIIIIIIIIIIIIIIIIIl
- 4. Source of Allegation:
tchech ew@ie boil _ contractor employee _ security guard
_ licensee employee _ news medie
_ NRC employee _ private citizen I organisation isp.cityl
[ other esp city) M t e*
- r E s./o ee MM DD YY
- 5. Date Allegation Received:
/ 1 / alf y
- 6. Name of Individual triest twe initi.i. .no i.. n.m. A. A r e c [4 t/
Receiving Allegation:
- 7. Of fice: g g ACTION OFFICE
- 8. Action Office
Contact:
tr.,si two inii .i no i. , n.m.) Te b c 4 b (>4 44
- 9. FTS Telephone Number: ,,
p , g g 7 .
- 10. Status:
scheck on.)
., Open, if followup actions are pending or in progress Closed,if followup actions are completed MM DD YY
- 11. Date Closed:
l
- 12. nemarks: 1l ll i i i i iiil l iil l l i i ; i ; i i ;
i%, so s,..o.,.i IIIIIIIIIIIIIIIIIIIIIIIIII
- 13. Allegation Number:
A t U ~
1 f-/ *A' 0 / 't Y
.. 12i . , . < . . -