ML20199H445
| ML20199H445 | |
| Person / Time | |
|---|---|
| Site: | 05000000, Comanche Peak |
| Issue date: | 03/15/1985 |
| From: | Shao L NRC - COMANCHE PEAK PROJECT (TECHNICAL REVIEW TEAM) |
| To: | Fisher B NRC OFFICE OF INSPECTION & ENFORCEMENT (IE) |
| Shared Package | |
| ML17198A302 | List:
|
| References | |
| FOIA-85-299, FOIA-85-59, FOIA-86-A-18 NUDOCS 8607030314 | |
| Download: ML20199H445 (145) | |
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UNITED STATES NUCLEAR REGULATORY COMMISSION
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j W ASHINGTON, D. C. 20555 MAR 151985 i.
MEMORANDUM FOR:
B. Fisher, Technical Assistant, Division of Emergency Preparednes
~
and Engineering Response, Office of Inspection and Enforcement FROM:
Comanche Peak Technical Review Team L. Shao, Group Leader, Civil / Mechanical Groups Sl/b3ECT CPSES CONTENTION 5 DATA BASE Pft9M:
Enclosed are the completed Input Data Sheets from our Comanche Peak Civil /
Structural Group. The data sheets from the Mechanical / Piping Group will start coming to you next week.
If you have any questions concerning our Contention 5 Data Base input,
~ please contact Bob Masterson (X 37687) or Vic Ferrarini (X 37680).
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L. C. 5 ao, roup Leacar Civil / Mechanical Groups Comanche Peak Technical Review Team
Enclosure:
As stated cc:
D. Eisenhut V. Noonan E. Jordan "O
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Pagd 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET l
ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING N0: (ForIEHQUse)
YOUR NAME: (Last Name First)
H5P49srt_c_____
GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECTOFYOURREVIEW:
TOPICAL AREA:
- If not on list. enter area here:
12.F.L til:D E-f FeEMT_ C Q T _TJ LJ6)_ _ _ _ _ _ _ _ _ _
Preg.
ACCIDENT PREVENTION / MITIGATION SYSTEM:
- If not on list, enter system here:
tJ.9_ G G E.1 E:1 6 _ G N S I E.A_4_ _ _ _ _ _ _ _ _ _ _ _ _
SPECIFIC COMPONENT OR ACTIVITY:
- p ng.
j If not on list, enter activity here:
g,o,g ta; y 4 _ a p _ p g.!,g,/,_ S L I 6 _ _ _ _ _ _ _ _ _ _
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2or8) 3 PRINCIPAL CONTRACTOR 19VOLVED WITH YOUR REVIEW:
J, g _ _
i If not on list, enter d wtractor here:
NATURE (TYPE) 0F YOUR P ET E
- R If not on list, entev M*' % here:
Fq(, G14 A f g;;_ Ogp pgs,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
SCOPE OF YOUR REVIEW:
l EFFORT EXPENDED IN MAN-HRS. NOT INCL. DOCUMENTATION:
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REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*. gag _
If not on list, enter type here:
Size of sample observed / examined during your review:
___Q Estimated total population avail during your review:
___O Randomness of sample:(Enter R if random. B if biased) i i
If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C 16_ Ca r eG o ad _15_
b C.- L 5_ _ _ _ _ _ _ _ _
'a Enter Alpha Code From Appropriate List
- Please print usino one character per underlined snace.
p1.as, an nnt.ve..a niinr>+.a en=c.c
s Pag 2 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
~~-----~~~----~~--
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
Ilse YY-M-DD Forwat Date deficiency occurred:
Date NRC learned of deficiency:
Use YY-M-DO Format Who first " discovered" deficiency:*
- TUseNifNRE,LifLicensee,AifAlleger,0ifOther)
If other, enter source here:
Number of known similar deficiencies:
((((~~~~~~~~~~~-------------~~~
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
~
When considered with other known deficiencies:*
Supporting information or basis:
[ _(Use Y if Yes, N if No, U if Unknown / Uncertain)
CORRECTIVE ACTIONS TAKEN OR PLANNED:
Specific actions to correct deficiency:
(Brief summary of specific corrective actions, if known.)
Broad QA/QC actions:
1 (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
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Pagi 3 cf 3 CPSES CONTENTION 5 DATA SHEET.
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,e Page'l of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
I REFERENCE INFORMATION:
TRACKING N0: (ForIEHQUse)
YOUR NAME: (Last Name First)
@ d @ j ~g.M g.,,- C.,_____
GROUP OR ORGANIZATION:
s______________________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
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PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SU8 JECT OF YOUR REVIEW:
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TOPICAL AREA:
- If not on list, enter area here:
g ag.1 9 f o g. C,_l N Q _S I EG L, _ _ _ _ _ _ _ _ _ _ _ _ _ _
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If not on list, enter system here:
t r D_ f2 SPECIFIC COMP 0NENT OR ACTIVITY:
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If not on list, enter activity here:
p 4_ &UT SQ g.11 GD _ E-V TTiW _ a E e L2-F6&fl_E _ _
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CPSES UNIT INCLUDED 1N YOUR REVIEW: (Enter 1,2or8) g
-PRINCIPAL CONTRACT 04 INVOLVED WITH YOUR REVIEW:
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If not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
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If not on list, enter nature here:
E FC,,o R, QS _ Ad T)_ Ca M e L.ET FO _ MQ c g'_ _ _ _ _
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
i REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* j } {'_~
If not on list, enter type here:
3 Size of sample observed / examined during your review:
j Esttmated total population avail. during your review:
Randomness of sample:(Enter R if random, B if biased) g l'
If biased, enter basis here:
&LLg6h1LpA_____________________
l REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
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Page '2 of 3 CPSES CONTENTION 5 DATA SHEEi SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
6QQ1 DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief sunnary of deficiency:
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(Use a separate page 2 for each deficiency)
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Specific location of the deficiency:
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Date deficiency occurred:
Use YY-MM-DD Forinat 0 3 Use YY-MM-DD Format Date NRC learned of deficiency:
3 - Q t NRC, L if Licensee, A if Alleger, 0 if Other)
Tuse N if Who first " discovered" deficiency:*
If other, enter source here:
Number of known similar deficiencies:
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CORRECTIVE ACTIONS TAKEN OR PLANNED:
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Broad QA/QC actions:
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ADDITIONAL COMMENTS THAT YOU MAY HAVE:
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. REFERENCE INFORMATION:
TRACKING N0: (ForIEHQUse)
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YOUR NAME: (Last Name First)
P3_1kkFO_E,______
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GROUP OR ORGANIZATION:
6______________________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
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PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
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i TOPICAL AREA:
- j If not on list, enter area here:
ACCIDENT PREVENTION /NITIGATION SYSTEN:
Q I jfg, If not on list, enter system here:
C,agrf-LMMgd7____________________
SPECIFIC COMP 0NENT OR ACTIVITY:
- pIBR If not on list, enter activity here:
sesseAr_Faug___________________
l CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) 1 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- gg__
If not on list. enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
g If not on list, enter nature here:
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
QQ1Q REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*
If not on list, enter type here:
16'iGt}_IJ.C.f.gFT6__________________
Size of sample observed / examined during your review:
a52Q Estimated total population avail. during your review: a, M Q Randomness of sample:(Enter R if random, B if biased) 3 If biased, enter basis here:
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REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
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GL5_Ce15sact_L_Ac=Lk_-______-__
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I Pag 7 2 Of 3 i
CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW j
TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
l DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
4
- - - - - ~ ~ - - - - - - - - - - - - - - - - - - - - - - - - ~ -
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
-- (Use YY-MM.DD Format)
)
Date deficiency occurred:
Tuse N if WRC,(Use YY-MM-DD Fonnat)
Date NRC learned of deficiency:
I L if Licensee, A if A11eger, 0 if Other)
Who first " discovered" deficiency:*
i If other, enter source here:
i Number of known similar deficiencies:
l s
REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable)
Other requirement or commitment:
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- - - - - - - - - - - - - - ~- - - - - - - - - - - - - - - - -
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency i
This specific deficiency considered alone:*
When considered with other known deficiencies:*
I Supporting information or basis:
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CORRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief susmary of specific corrective actions.
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ifknown.)
l Broad QA/QC actions:
(Actions to identify potential similar deficiencies t
due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.).
Paga 3 of 3 CPSES CONTENTION 5 DATA SHEET.
l
_ _ _ _ _ _ _ - - _ _ _ _ - - _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ i ADDITIONAL COMENTS THAT YOU MAY HAVE:
i (Should ou wish to provide any additional information.
comment, viewpoint, opinion, or other matter that you feel the Contention 5 Panel should consider in making their findings, please use this page to do so.) - - _ _ - - _ - - _ - - _ _ - - - - _ _ _ _ _ _ _ _ _ _ _ _ _
1
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ll+ V 18 Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET i
i ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
I I
1 TRACKING NO: (For IE HQ Use) l YOUR NAME: (Last Name First)
E_D Fed.A _V Et_ _C GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
A SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
- l If not on list, enter area here:
b_ _L 4 EP B-G E d4FS T_ c V 5 J.L d (.a) _ _ _ _ _ _ _ _ _ _
ACCIDENT PREVENTION / MITIGATION SYSTEM:
- g 3-M G.,
If not on list, enter system here:
d Q _ M FG-L E.f C _ S S 6 76M_ _ _ _ _ _ _ _ _ _ _ _ _
SPECIFIC COMP 0NENT OR ACTIVITY:
- O yp E.
If not on list, enter activity here:
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CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or 8) b I
PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
Egg _ _
l If not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
If not on list, enter nature here:
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
OQL REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR l
If not on list, enter type here:
l Sire of sample observed / examined during your review:
O pl Q Estimated total population avail, during your review:
Randemness of sample:(Enter R if random, B if biased) R_t ci,o p
l If biased, enter basis here:
l REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
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Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i
TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
i DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief sumary of deficiency:
- - - - - - - - - - - - ~ ' - - - - - - - - - - - - - - - - - - -
(Use a separate page 2 for each deficiency) 4 l
Specific location of the deficiency:
1 4
Use YY-m-DO Fomat Date deficiency occurred:
Use YY-M-DD Fomat Date NRC learned of deficiency:
Who first " discovered" deficiency:*
~ Tuse N if WRE, t if ticensee, A if Aiieger, 0 if other) i If other, enter source here:
Number of known similar deficiencies:
[ [ [ [ - - - - - - - - - - - - - - - - - ~ '- - - - - - - - -
j s
REGULATORY OR OTHER REQUIREMENT /Co m ITMENT NOT MET:
Applicable 10 CFR 50 Appendix B Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable) l Other requirement or commitment:
EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
i Supporting information or basis:
i f
CORRECTIVE ACTIONS TAKEN OR PLA MED:
- (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief susmary of specific corrective actions.
((((((_~[_~(((((((((([_,((((((_,(([
if known.)
i j
Broad QA/QC actions:
(Actions to identify potential similar deficiencies j,
due to QA/QC causes, and, to prevent recurrence j
of similar deficiencies in the future.)
s 1..
Page 3 cf 3 CPSES CONTENTION 5 DATA SHEET.
1 1
ADDITIONAL COBOIENTS THAT YOU MAY HAVE:
(Should you wish to provide any additional information. - - _ _ - - _ - - - _ _ _ _ _ _ _ _ _ _ _ _ _ - _ - _ _ _ _ _.
comment. viewpointe opinion or other matter that e
you feel the Contention 5 Panel should consider in making their findings please use this page to do so.)
i j
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)
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Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (For IE HQ Use)
YOUR NAME: (Last Name First)
'@QjLL.Ed_E______
~
GROUP OR ORGANIZATION:
S______________________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
[
PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
$C__
TOPICAL AREA:
- If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
QTME If not on list, enter system here:
G o ts) I A 1 S S E d I _ L5 0 1 L p i g g _ _ _ _ _ _ _ _ _ _ _
SPECIFIC COMPONENT OR ACTIVITY:
- DJQR If not on list, enter activity here:
S&Sgg&T_EQQ8___________________
CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1, 2 or B) 1
. PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
$8__
If not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
6 If not on list, enter nature here:
SCOPE OF YDUR REVIEW:
EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
0024 i
REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*
If not on list, enter type here:
f5 5 R B _ T L C If E I 6 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Size of sample observed / examined during your review:
Q E(, $
Esthnated total population avail, during your review:
Randomness of sample:(Enter R if random, B if biased) Qt 98 6
If biased, enter basis here:
H.L.L _ Q E _ E 2 V E. _ E 6 Q _10 L -.& '1. 61. 9 9 L _ _ _
REFERENCE DOCUMENTS THAT DESCRIBE YOUR' FINDINGS:
pp g _ C - i Ge fp _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
c Ls _C a reg a cy _1_ AC L 9_ _ _ _ _ - _ _ _ _ _
'O Enter Alpha Code From Appropriate List "Please print using one character per underlined
- space.
Please do not exceed allocated spaces.
~
Page' 2 cf 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
Q QQ-]
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief sumary of deficiency:
O d 401 & Q(2_-L E ED_ Yle TE S _ $ D D E O _I O _ C Q 8 (Use a separate page 2 for each deficiency)
G.g.gI E_yrL I eoVI _ 9C_& E 2g.4y6k ____ __
Specific location of the deficiency:
Odj.T_1_geSEf4]T_________________
Date deficiency occurred:
1 5 - G 1 - 1 7 (Use YY-MM-DD Format)
Date NRC learned of deficiency:
-) 9 - p 4-- p $ (Use YY-MM-DD Format)
Who first " discovered" deficiency:*
O (Use N f f NRC, L if Licensee, A if A11eger, 0 if Other)
If other, enter source here:
E G 2. I _ u/ E (_2.Id _5 T A C - 1 G W da 8 BM _ _ _ _ _ _ _
Number of known similar deficiencies:
oQOO REGULAIORY OR OTHER REQUIREMENT /COMITMENT N0'T MET:
Applicable 10 CFR 50 Appendix B Criterion:
AI A (Use arabic-01 thru 18. Use NA if not applicable)
Other requirement or commitment:
C.C.P_ J Q _ P b g Mg. gpf) _ f.1 1 Q, @, 6_ _ _ _ _ _
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
- - - - - - - - - - - - - - - - - - - - - - - - "'~~ ~ ~ - - -
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
L When considered with other known deficiencies:*
1_
Supporting information or basis:
A D D L T L e d _ a F _9/d T BR _ D 10_ uGT _ /1-DV E&
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6 FLY _ AE FEC T_ I RE _ GQ & L I T CORRECTIVE ACTIONS TAKEN OR PLANNED:
g(UseYifYes,NifNo,UifUnknown/ Uncertain)
Specific actions to correct deficiency:
(Brief sumary of specific corrective actions,
- [ - - - [ [ [ ~ ~ [ [ [ [ _- [ [ [ - [ [ - [ [ [ [ [ _- - [ _-
if known.)
l Broad QA/QC actions:
}l0d6__,_,________________________
(Actions to identify potential similar deficiencies d'ue to QA/QC causes, and, to prevent recurrence
~
of similar deficiencies in the future.),
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i AC_ ZO to CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (ForIEHQUse)
YOUR NAME: (Last Name First) p [} } [.[ @ 6 _ g _ _ _ _ _ _
GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
G C._ _
If not on list, enter area here:
ACCIDENT PREVENTION /MITIGATI0N SYSTEM:
07 %
If not on list, enter system here:
I V,g 8 L Q Ef_ $.tird g g & T g g _ S L g r _ _ _ _ _ _ _ _ _
g SPECIFIC COMPONENT OR ACTIVITY:
QT Q 9.
If not on list, enter activity here:
g g _ g g g gj, f:14. _ C o y g g g)pgIf AG -[ Ji ]_ T y, _
CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or 8) 1 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
gg__
If.not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
g j
If not on list, enter nature here:
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-NRS NOT INCL. DOCUMENTATION:
QqQ$
REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*.968_
If not on list, enter type here:
Size of sample observed / examined during your review:
OO Estimated total population avati. during your resiew: p1 cp Randomness of sample:(Enter R if random B if biased) g If biased, enter basis here:
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
C[ f _ C,g I gG p og _.1_ _ A C : 2. 0_ _ _ _ _ _ _ _ _ _
l
'o Ecter Alpha Code From Appropriate List CCPlease print using one character per underlined space.
Please do not exceed allocated spaces.
1 i
Page *2 ef 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INF0lMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i
TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
)
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
i Brief summary of deficiency:
--~~~~~~-----------------~~----
1 (Use a separate page 2 for each deficiency) q j
]
Specific location of the deficiency:
t i
e 1
i Date deficiency occurred:
_ _ (Use YY-MM-DD Fonnat)
[TuseNifHRE,(UseYY-MM-DDFormat)
Date NRC learned of deficiency:
L if Licensee, A if Alleger, O if Other)
~ Who first " discovered" deficiency:*
If other, enter source here:
i Number of known sfallar deficiencies:
s t
4 REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET:
. Applicable 10 CFR 50 Appendix 8 Criterion:
(Use arabic 01 thru 18. Use NA if not applicable) l Other requirement or connitment:
i j
EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION:
j Your opinion of the degree of seriousness of deficiency l
- This specific deficiency considered alone:*
When considered with other known deficiencies:*
i i
Supporting inferination or basis:
i
\\
i i
CORRECTIVE ACTIONS TAKEN OR PLANNED:
_ (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
j (Brief summary of specific corrective actions, If known.)
i u
l Broad QA/QC actions:
J (Actions to identify potential similar deficiencies
(((([ ((((((((((((((((((((_(((([
l due to Q4/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
,g______________________________
l Page 3 cf 3 CPSES CONTENTION 5 DATA SHEET.
4.
AD01TIONAL CO M NTS THAT YOU MAY HAVE:
i (Should you wish to provide any additional information.
i comment, viewpointe opinion, or other matter that you feel the Contention 5 Panel should consider in i
i making their findings, please use this page to do so.)
l i,
4,
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ __________t f
l i
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- _ _ - - _ _ _ _ - _ _ _ _ _ - - _ _ - _ _ ___=-____
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Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING N0: (ForIEHQUse)
YOUR NAME: (Last Name First)
PM [ M 6_g______
GROUP OR ORGANIZATION:
3______________________________
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
l PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- Q~~
SUBJECT OF YOUR REVIEW:
TOPICAL AREA: *
.S C, l
If not on list, enter area here:
((((___________________________
OT&g, ACCIDENT PREVENTION / MITIGATION SYSTEM:
If not on list, enter system here:
C,o g If _[ N MgGJT _13 L. Qg _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
l SPECIFIC COMP 0NENT OR ACTIVITY:
- O T i} g.
If not on list, enter activity here:
Cpg e-M gyp 7_W&L.g______________
~
l CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1, 2 or B) 1 l
PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- Sg__
If not on list, enter contractor here:
i j
NATURE (TYPE) 0F YOUR REVIEW:
- If not on list, enter nature here:
i SCOPE OF YOUR REVIEW:
l EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION:
aQLQ REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*
If not on list, enter type here:
T33][Il_f_lG.jsg,[6__________________
Size of sample observed /exa' mined during your review:
l Estiinated total population avail. during your review:
Randomness of sample:(Enter R ff random, 8 if biased) g If biased, enter basis here:
C, b
_C,a r 4 o &y. _ L _ d-R Z-1_ _ _ _ _ _ _ _ _ _ _
REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
j j
j o Exter Alpha Code From Appropriate List ocP1:ase orint usino one character per underifned snace.
P1pato an nnt.re..d a11ncated enac.c
Pag? 2 of 3 CPSES CONTENTION 5 DATA SHEET i
SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief s:sunary of deficiency:
'- - - ~ ~ ~ - - - - - - ~ ~ - '~ ~ - - - - - - - - - - ~ ~ '- -
(Use a separate page 2 for each deficiency) l Specific location of the deficiency:
q
- - (Use YY-MM.DD Format)
Date deficiency occurred:
- TuseN'ifNRf,(UseYY-MM-DDFormat)
Date NRC learned of deficiency:
L if Licensee, A if A11eger, 0 if Other)
' Who first " discovered" deficiency:*
If other, enter source here:
i Number of known similar deficiencies:
(([---------'-----------------'~~
s REGULATORYOROTHERREQUIREMENTICOMMITMENTNOTMET:
Applicable 10 CFR 50 Appendix 8 Criterion:
_ _ (Use arabic 01 thru 18. Use NA if not applicable) l Other requirement or consultment:
- - - - - - - - - - - - - - - - '~ ~ ~ ~ ~ - - - - - - '- - - -
EFFECT ON A8ILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency
- This specific deficiency considered alone:*
When considered with other known deficiencies:*
Supporting information or basis:
CORRECTIVE ACTIONS TAKEN OR PLANNED:
- (Use Y if Yes, N if No, U if Unknown / Uncertain)
Specific actions to correct deficiency:
(Brief sununary of specific corrective actions.
((((((((((((((_--(((((((((([__-((
ifknown.)
Broad QA/QC actions:
(Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of siellar deficiencies in the future.)
~
~
~
Page 3 ef 3 CPSES CONTENTION 5 DATA SHEET.
ADOITIONAL COPMENTS THAT YOU MAY HAVE:
- - - - M - M - - M m - M - - m - - - _ - _ _ _ m _ _ _ _ _ _
(Should you wish to provide any additional information.
_ _ _ _ _ M _ _ _ _ _ _ _ _ M _ _ _ _ _ _ _ _ _ _ W _ _ _ _ _
- - - - - M - - - - - - - - - - - - - M - M - - - - - m - - -
commente viewpointe opinion, or other matter that you feel the contention 5 Peel should consider in
- - - - - - - - - - - - - - - - - - - m - - - - - - - - - - -
making their findings. please use this page to do so.) _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ m M _ _ _ _ _ _ _ _ _ _ _ _
- - - - W = m - M M - - - M - M - - - - M - - -. M _....
M M M M M M M M M M M M M M M M M m e M m m m m m M e m e m e e
M M M M M M M M M M M M M - M M M m m m 6 M m m m m m m m m e G
M m M W M M M M M M M m m m m m m m m m m M m m m m m m m m e M
M M M M M M M M M M M M M m m m m m m m e m m m w m m m m e M - M - - - - - - - = M - - - M - - - m - - - - - - - m - M e M m m m M m m m M M m e M e m e m - M e m m m m W M m e m e m I
1 W
W M M M M M M M M M M M M M M
W W m m m m m m m m W M m m m m M M M
M M M M M M 6 m M M M e m m m m m m m m m m m m m m m m M M W
W m M W W
W M M M M M e m h m m m m m m m m m m m m m e M m m m m 6 m m - M M M
M m m m m m m m m m m m M e m w m m e
9
- - M M - M - M
- - - - M m - m - - m m - - - -. m m - - m m
M M
M m
M M M M M M M M M M M
M M m m m m M m m m m m m m m m W W W
M M
M M M M M M
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m m m W
m W
m m m m m m m m m m m m W m 6
M M h W M M M M
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M m m m m m m m W
m M M M m m m m W
9 m m m m m m m M M e m M
M m m m m m m m m m m m m m m m m m m M m m m m m m W W W
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m m m m m m m m m m m m m m m m
M M W W
M M M M M M M M W W W
W m m m e m W m m m m m m m M M M
m m M m m m W M
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M m m m m m m m m m M m m m m M
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m m M m M M
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m m -
M m m M m m m m m m m m m m m m m m m M m m m m m m m e m m m m m m m M M M M M W W W
W W
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M M M M M M M m m m m m m m m m m m m m m m m m m m m m m m m M M M M M M M
g g m m m m g e m m M M M M M M M M
M M M M M M
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g g g m m m m m M M M
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M M M m m m m m m m m m m m m m m m m m M W
W W W W W W M M M M M M e
9 m m. m m. m - m m. - - - - - - - - - - - M - - = = m - - -
p 9
l 9
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Pa' 21 of 3 g
CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
REFERENCE INFORMATION:
TRACKING NO: (ForIEHQUse) 66 U gg._C_____
[
YOUR NAME: (Last Name First)
GROUP OR ORGANIZATION:
S_____________________________,
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
4 PRINCIPAL CrNTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
- s If not on list, enter area here:
g gri d PpR.c Fatf=6'J_ G U TI.I. U.6_ _ _ _ _ _ _ _ _ c 7
O _r1{ g ACCIDENT PREVENTION / MITIGATION SYSTEM:
- If not on list, enter system here:
M C? _G E FG 1 E lG _6 Y. S 'Igir ei_ _ _ _ _ _ _ _ _ _ _ _ e SPECIFIC COMP 0NENT OR ACTIVITY:
- qT(4 If not on list, enter activity here:
~
(p. $ O M IdOA L 2 ED_ S 2 TI16!6_ Gt E _ E.f6 M2._ q 1
CPSES UNIT IKLUDED IN YOUR REVIEW: (Enter 1, 2 or 8) 13 3g__
PRIKIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- If not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW:
If not on list, enter nature here:
SCOPE OF YOUR REVIEW:
EFFORT EXPENDED IN MAN-HRS. NOT IKL. DOCUMENTATION:
aOtQ REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,q R If not on list, enter type here:
_,,,__________'__________________g Size of sample observed / examined during your review:
a 93 D Eitimated total population avail. during your review: pj5p Randemness of sample:(Enter R if random, 8 if biased) g If biased, enter basis here:
C L'.2_ C a I tF4 a 4d _ i c.2_ _ 3 C.4 o _
]
hk hh REFEREEE 00CtMENTS THAT DESCRIBE YOUR FINDINGS:
1 i
______________________________q j
_____,.,._______________________a j
~
l
'* Enter Alpha Code From Appropriate List
- Please print usino one character ner under1tned snace.
P1.ac. da nat ave..d =n ne=+.d ea=c.e
m Page 2 of 3 CPSES CONTENTION 5 DATA SHEET 4
i SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED:
DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED:
Brief summary of deficiency:
- ~ ~ - " " - ~ - ' - - - - - - - - - - - - - - - - - - - - - ' - - - -
(Use a separate page 2 for each deficiency)
Specific location of the deficiency:
i
~ ~ (Use YY-M-DD Format)
. Date deficiency occurred:
[ Tuse N if NRf,(Use YY-MM-DD Fomat)
Date NRC learned of deficiency:
LifLicensee,AifAlleger,0ifOther)
' Who first " discovered" deficiency:*
If other, enter source here:
Number of known siellar deficiencies:
[ [ [ [ - ~ - - -- - - - - - - - - - - - - - - - - - ~ - - - ~
s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET:
Applicable 10 CFR 50 Appendix 8 Criterion:
_ _ (Use ars'oic 01 thru 18. UseNAifnotapplicable)
Other requirement or commitment:
- - - - ~ ~ ~ - - " " " " ' ~ ~ ~ ~ ~ ~ - - ' - - - - - - - - - - - ~ ~ -
EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:*
When considered with other known deficiencies:*
\\
Supporting infomation or basis:
i
[ _(Use Y if Yes, N if No, U if Unknown / Uncertain)
CORRECTIVE ACTIONS TAKEN OR PLANNED:
Specific actions to correct deficiency:
j (Brief susmary of specific corrective actions, If known.)
l Broad QA/QC actions:
~~'----~~~------------~--~~
(Actions to identify potential similar deficiencies due to Q4/QC causes, and, to prevent recurrence
~~~~~~~~~~-------------~~~~~~~~~
of similar deficiencies in the future.)
i i
a.,
==
I e.e...o.-
G
~
~
Page'3 ef 3 CPSES COIITENTION 5 DATA SHEET.
A001TIONAL CopeqENTS THAT YOU MAY HAVE:
_ _ _ em - _
.m m _ _ _
e_
.m
_ em _ _
_ en _ _ _ _
_ _ _ _ _ _ m.m
.a
_ _ _ _ _ _ _ e (Should ou wish to provide any additional information, _ _ _ _ _ _ _ _ _
e.
_ _ _ _ _ _ _ _ _ e comment, viewpoint. opinion, or other matter that you feel the contention 5 Panel should consider in
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ em _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
making their findings, please use this page to do so.)
_ _ _ _ en _ _ e
.m
_m m.
_ e m eum suD m 6 m W M em W em Se sum sis 459 SED m engD eum em me eng m gun m m e e e m en
_ eum m m em m m W _ m ese em eum m man m cum m dem unum m eum m emut am gun m eum em e eum Sum em m em 6 eum M M M M M m elm 6 em emuD m em em enn asum eum m eum m cum ese em eum eium eum e
Gum eHD eHD WID W M We 6 M WEB eum em ele eum M eHD eEED M eggy 93 ggy 3g3 em eg m ege ggG eHD eW GG WEm eHD 6 eEm e9 _ W M GW M EuMD e9 h 3 13 33 gm egg g13 gg gggy guy gg ggy ggg m gggp ggg m gig gMD em W W Eum eup uW W eD MWD WID em eum eBS sus em m em que aus eum emp em e e m eum amm eum _ emp euD m m
== een me emD em eum em em - umD _ - em amm um - -. -. em eum amp em me em.
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l Pagi1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED **
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REFERENCE INFORMATION:
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TRACKING NO: (ForIEHQUse)
YOUR NAME: (Last Name First) 7)@}Ed________
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GROUP OR ORGANIZATION:
SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW:
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j PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
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TOPICAL AREA:
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Q f R, If not on list, enter system here: C.R A n' - _ _I_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ i ] SPECIFIC COMPONENT OR ACTIVITY:
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] If not on list, enter activity here: C,o g T &E L _ ECP f e9_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ j CPSES UNIT IKLUDED IN YOUR REVIEW: (Enter'1, 2 or 8) B i PRIKIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
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j If not og list, enter contractor here: g j NATURE (TYPE) 0F YOUR REVIEW: j If not on list, enter nature here: ~ 2 SCOPE OF Y00R REVIEW: i EFFORT EXPENDED IN MAN-HRS NOT IE L. DOCUMENTATION: 00gO REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* j{o C j i j If not on list, enter type here: _______________________________j l Size of sanple observed / examined during your review: pplQ j Estimated total population avail. during your review: oQLQ i i Randomness of sample:(Enter R if random. 8 if biased) 3 l If biased, enter basis here: 6 L L,gf,g I J Q f _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ l I REFEREE E DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C./ f. _(_',a 7 E 4 D E V _ l d - _ A E. I 7 - - _ _ _ _ _ _ t j '
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Pag 3'2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: OQQJ DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sumary of deficiency: G C_.DI D_ #D T _ 4 BSu 8.E_ T&A _T_ AE B L 1 C A_a (Use a separate page 2 for each deficiency) .L.3_ pg.O f L fr 12 615 _ e 2: _ 8FG W L 6.T O &Y _ 60 L .D S _ J :. E.9 _ w f 2 E ' E U L t-1 8 5 T _ - - _ - - - - - Specific location of the deficiency: C o d T & O G _ S Q e M_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - (Use YY-MM-DD Fonnat) Date deficiency occurred: _ TUse N if HRE,(Use YY-MM-DD Format) Date NRC learned of deficiency: L if Licensee, A if A11eger, O if Other) Who first " discovered" deficiency:* If other, enter source here: g Number of known similar deficiencies: -_-[~------'~~~'----------'------- REGULATORY OR OTHER REQUIREMENT / COP #tITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: p8(Usearabic01thru18. Use NA if not applicable) Other requirement or consnitment: p $ g g _ $ p p y _ 3.3,7 L 2, $ _ _ _ _ _ _ _ _ _ _ _ _ _ EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* g Supporting information or basis: Tgg _ C.g ggg_p g_ f_p p_m_ g,g 31.I d.h_ dfM _1/ C? I_ E.0d.C..T.1 Q d _ a D F.Qu&TM-1_ D u 21 dC S E l % B L G _ 6 M E U T _ _ _ _ _ _ _ _ _ _ _ _ _ _ _y _ d _ ( i l CORRECTIVE ACTIONS TAKEN OR PLANNED: (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: g g g_ P M F _ 3 _ m E _ 3 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Brief sumary of specific corrective actions, ifknown.) Broad QA/QC actions: g p g 6 _ _,_, _ _ _ _ _. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 1 (Actions to identify potential similar deficiencies l due to QA/QC causes, and, to prevent recurrence of siellar deficiencies in the future.) e nn s r s nu n, enuorure e s e.... --.. a ~s U*-
Pag 2 3 ef 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL COMMENTS THAT YOU MAY HAVE: 1 p c.t d C.1 P A L _ C o d IE d1 1.Q.d _ 5 _ 4 s.e a _ L _ D PSl4 0_ Ca M 1 e a u _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Should you wish to provide any additional information,
~----~~------------
comment, viewpoint, opinion, or other matter that -~-----~-----------------~~~--- you feel the Contention 5 Panel should consider in making their findings, please use this page to do so.) Ca g ggcgig g _ f.c y t g g 4 J _~1_L)g"C_ sd & L L 26021D61______________________ LBS2 LIS_ Q E _ S elsel C _ A s b 63 S L S _ WS ca _ DW es_5 sib elc _1 T em5_14_ ca uIt o L_Be_ gat 15eY_Est_GutoE_luZ1_ad-EShe_ksGI_3x251 316____________ E_V A L.u a-Il a tJ _ s E.L 5141 c _ Dsr514 eJ_ A n e.e ACY_cueeuz _eus2ees_rac_utsart Q _ F1Y 3V2E6 SD62F#DED_DESW6LL_? 1 % L O (,n_ d % 1 C. _ e C GQ u 9 IS _ E o L _ P E'LT L s9T _ E CQ a t _ E 94 e 99 S 5_ _ _ _ _ _ _ _ - - _ _ 25 E Eg1_ L M SI&Lb ED_91T B _ RF4_ q@i ilE55-d cddii5G 55_ tu _W_ kut c_LtL9________________________ BBEC3GIE:LB5DL33 Tisi:JE32IP3_- ' D s 0,9 e L Y _ VQ d Sere E3 4. &E l-a T EP_ G7.M.Q - 1T _ $ 2 E f 2 4I _5 3 6_ id _ L ad I&2 L _ EM _ E L C2% 921T _ D1 b _1s _2_ Lu ce6 s _ a s _ k S$____________________________ A s b % 3S LS _ r8 kT _ D %MO_ EQ ?SG 21e 4_2 R6 LE6 6_ d aT _ & PE L1C A BLE _ Ta _ GT B EE baI _ Z_ _ Ad D _ d a d 6EL S M J C _ s I gu ct 6 6 L E M n c. A d D _ C Q MP o MU _TS_19_ f E e h_T _. 9 -9
h(, L) I Pagi 1 of 3 CPSES CONTENTION 5 OATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFEREKE INFORMATION: TRACKING N0: (ForIEHQUse) YOUR NAE: (Last Name First) QMCC56_&______ GROUP OR ORGANIZATION: 6,______________________________l SPECIFIC INFORMATION RELATED TO THE SCOPE ANO DEPTH Of YOUR REVIEW: 6 PRIK IPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: * $UBJECT OF YOUR REVIEW: $G._ _ TOPICAL AREA:
- i If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM: T&g If not on list, enter system here: aET&_j#MgiiyT_fulLQLMg___________ SPECIFIC COMPONENT OR ACTIVITY:
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l If not on list, enter activity here: g F& C, T Q E._N W 6 S E L _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ CPSES UNIT IKLUDED IN YOUR REVIEW: (Enter 1, 2 or 8) J. PRIKIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- 3g If not on list, enter contractor here:
__((___________________________ NATURE (TYPE) 0F YOUR REVIEW: g' If not on list, enter nature here: SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-NRS, NOT IKL. DOCUMENTATION: REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* o Q J.,Q If not on 11st, enter type here: '(, ~ Q Z_ f.g tj g_ yJCfq_ ] pl -- 2,1 J. 'Z -g gj _ _ _ _ _ Stre of sample observed /emanined during your review: g a o.j, Estimated total population avail. during your review: agpl Randomness of sample:(Enter R f f random B if biased) If biased, enter basis here: REFEREK E DOCUMENTS THAT DESCRIBE YOUR FINDINGS: g C,g. _ C,.le 5'a _ _ _ _ _ _ _ _ _ _ _ G 2 G_ Ch _T.IRh o fd _1. 3_ _ e G r R__ _ _ __ __ _ __ __ __ ' '
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s Pag 2'2 cf 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: OQQ1 DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: Cr64-C E6_ ! N _ Ca M c._ BEiEd EA-Te _ SKA4TQ./E _ (Use a separate page 2 for each deficiency) Y966atk_________________________ Specific location of the deficiency: Re e.c,, y a g, _ j) ggg g,,._ g,G d C._ F _A-D_ _. _ _ _ _ _ _ Date deficiency occurred: 7 7 - p 3 - g.L (Use YY-M-DD Format Date NRC learned of deficiency: 3 3 - 30 NRC,(Use YY-M-DD Format OU Who first " discovered" deficiency:* L.(Use N if L if Licensee, A if Alleger, 0 if Other) If other, enter source here: Number of known similar deficiencies: 3 d Q d - ~ ~ ~ ~ - - - '- - - - - - - - - - ~ - - - - - - - s REGULATORY OR OTHER REQUIREMENT /Co mITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: ,pf (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: ~ ~ ~ - ~ - - - - - - ' - ~ - ~ - ~ - - - - - ~ ~ - - - - ' - ~ ~ - EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* L When considered with other known deficiencies:* [,,,. Supporting information or basis: s 61 EG'Y _ o E _G J!r V G 'IU L25_.L 6_ M E f _ d bye LS 6 k l _ Ar.P.?5G1 tid _ S L _CG bCLS _ _ - _ - CORRECTIVE ACTIONS TAKEN OR PLANNED: g (Use Y if Yes, N if No, U f f Unknown / Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions. (((((((((((([_-((((((((_-(((((((( if known.) 3 road QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.). a n,,,, n.... a.n. r..
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- If not on list, enter area here:
- QTdB, ACCIDENT PREVENTION / MITIGATION SYSTEM:
- If not on list, enter system here:
64 VW_ G8,SEE._ De.e _ 6E Lt=W.6Y _ _ _ _ _ _ a OTSg SPECIFIC COMP 0NENT OR ACTIVITY:
- If not on list, enter activity here:
3q pg_ g,,g,ggg,_ pe g _ S p g g y _ _ _ _ _ _ CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2or8) S PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
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If not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW: If not on list, enter nature here: FC4 /A.06_ etI D_ E.1 FLD _14/6 EEG Il e e/_ _ _ ' SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: Q Q,12 REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* S R If not on list, enter type here: p g. g g i p 6 6, _ _ _ _' _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, Stre of sample observed / examined during your review: ppp9 Es'timated total population avail. during your review: ppgp Randomness of sample:(Enter R if random. 8 if biased) g If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C.26 Od 1 EE6 Bsd_12_ _ dC M _________ i s 'o Enter Alpha Code From Appropriate List
- 'Please print usino one character ner underlined nace. piene da not.ve..a.iine.+.a en c.e
A Pag 2'2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YDUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: l Brief sumary of deficiency: ---~~----~~~~-------~-----~~~- (Use a separate page 2 for each deficiency) Specific location of the deficiency: _______________________________l (Use YY-M-DO Format) I Date deficiency occurred: [TUseNifNRE,(UseYY-lW-DOFormat) Date NRC learned of deficiency: L if Licensee, A if A11eger, 0 if Other) Who first " discovered" deficiency:* If other, enter source here: Number of known similar deficiencies: ((((-------~~~---~~------------ s REGULATORY OR OTHER REQUIREMENT /Co mITMENT NOT MET: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Applicable 10 CFR 50 Appendix B Criterton: Other requirement or cousiitment: _____,__________________________j - - - - - - ~ ~ - - - - ~ ~ - - - - - - - - - - - - - ~ ~ - - - EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: _ (Use Y if Yes N if ho, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions. ((((~(((([_~(([_-((((((_-(((((([__^ ifknown.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
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Pag 2 '3 of 3 CPSES CONTENTION 5 DATA SHEET. A00!TIONAL C0pWENTS THAT YOU MAY HAVE: m _ m e m _ _ m m _ _ m m _ _ _ m _ _ _ _ _ m m _ _ _ _ _ _ _ _ m _ _ _ _ M m _ _ m m m m _ m m m _ m m m _ m e m _ _ _ _ m (Should ou wish to provide any additional information e m - - - m m - m m - M m - - - - m m m m m m u m - m e e - m - comunente vi inte opinion, or other matter that m m _ _ m - m m m - m m - m M M m - m m m m - - m m M m m M M you feel the contention 5 Panel should consider in making their findings please use this page to do so.) _ _ _ _ _ m m m _ m m m _ _ m _ m m _ _ m m m _ _ m _ _ _ _ _ e - - - m e = - - m m - - m m m - m m m - - -.. m m m m _ _ m M m m m m = W W m m m m m m m m m m m m m m m m m m m m m m e m m m m m m M M m m m m m m m m m m m m m m m m m m m m m m e D a e m m m m m m m m m m - m e m - m m m m m m m m m m m m m m m m M W m M m M M M M m m m M M m m m m m m m m m m m m m m m m m - m W M m m - m m - - - m m - - m - m m - - m m - m - m - - m m m m m m M m W m m m m m m m m m m m m m m m m m m m m m m e M M m m m m M M m m m m m m m m m m m m m m m m m m m m m m e M M m m m m m M M W m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M e m m m m m m m m m m m m m m m m m m m m m m m m m m 4 e m - g - m m-- - m - - m m m m m m - - - - m - - - - m m - - - m m m m m m m m m m m m m m m m m m - m e m - m m m m - m m e m e m W M m m m m m m m m W M m m m m m m m m m m m m m m m m - m - - m m - - m - m - - m - - - m m - m m m m m - m m m m m e 9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M m M m m W W M m m m m m m m m m m m m m m m m m e O m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m g W W m m m _ m m m _ m e m - m m m - m m m - m - - m - m m - - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M e e m m m m m e m m m m m m m m m W M m m m m m m m m m m M M M m m m m m m m m m m m m m m m m m m m m m m m m W W e m " M W m e m e g e g g e m e m m m m m m m m m m m m m m m m m m m M
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Ac-4l Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) YOUR NAME: (Last Name First) QQ@Mgj@g_C,_____ GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: l C. PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
DOBY TOPICAL AREA:
- If not on list, enter area here:
C TO R ACCIDENT PREVENTION / MITIGATION SYSTEM: If not on list, enter system here: p p _ s f F C_t E]. 4 _ p j 6 I E_M_ _ _ _ _ _ _ _ _ _ _ _ _ Q Tffg. / SPECIFIC COMPONENT OR ACTIVITY:
- If not on list, enter activity here:
p p _ g e E G.J. F i G _ 4e gfa g.ggyf _4f',T_f y / Tg _ e CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) B gg__ PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- If.not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW: 4 If not on list, enter nature here: g,6G. O Le,D$ _ gd D_ Og off? grffb _ We B g_ _ _ _ _ SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* % 2 - If not on list, enter type here: o oQ {Z. Size of sample observed / examined during your review: i Estimated total population avail. during your review: @g o. o Randomnes: of sample:(Enter R if random, B if biased) If biased, enter basis here: JR g(mMt_ad______________________ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: Q.[G _ C,d i T 6 0 # d 1 3.L A C r dl_ _ - _,- - - G G _ L $ L T DS: 59 L L - - - - - - - - - - - - - - _MgMD GUE=Lk99----------_--- M Ep p_ _($ 21 2. 9 3 fF_ _ _ _ _ _ _ _ _ _ _ _ _ _
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Page 2 of 3 _PC SES CONTENTION 5 DATA SHEET i l SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: Q Q Q j, DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: 1 Brief summary of deficiency: ],.MDER v A IE:_.L ti. e ec.21 a li,_,,e.e _ e e.1 (Use a separate page 2 for each deficiency) f a g.LH g D _ y G _ V p t2. L e y _ r & F _ S E d1.o V G-1 _ 2 E '
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351 WF@J _ C.Gd _Ta-f d #Ed T_ fl #D_ I'll 6'_ B IA2 &cedT_STZ2GTULGS-_------------- Date deficiency occurred: _ _ (Use YY-MM-DD Fomat) Date NRC learned of deficiency: -] - J 1 - 2,3 (Use YY-MM-DD Fomat) .(Use N if NRC, L if Licensee, A if Alleger, 0 if Other) Who first " discovered" deficiency:* If other, enter source here: Number of known similar deficiencies: dDDD-------------------------- s REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET: .. Applicable 10 CFR 50 Appendix B Criterion: ],(p(Use aratile 01 thru 18. Use NA if not applicable) pf AJP.,_ pg.I _ 1j2 i zJ,,J____________ Other requirement or commi'tment: ~- EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* O When considered with other known deficiencies:* Q Supporting information or basis: FEF6FB.CE_fF 89T Q Ea def _ C 9 26 9., J-FEF G T _ S C L S ti L G 2_0.1M a gi c _ LEtP_ e.M S a*_ C hA. L&&1681SI1CS_QE_T&W_C&I_L_ST&Vs Tutak_Du6Ld4_setsMLL_w2SMT_____ CORRECTIVE ACTIONS TAKEN OR PLANNED: j(UseYifYes,NifNo,UifUnknown/Uacertain) Specific actions to correct deficiency: Ve8LE _ S FL $ LH2 G _ 6 GE _ E E l ib I 5_ BM l>_ D (Brief summary of specific corrective actions, s7 FBal d6_ P Y da d11C _ E_85 8eAL S E_ C Bd&4. .G 1 ?C-L'a XJ LS _ W1 Y B P2 C StrBL E_ e E 22 T if known.) Q E e b e1. Bel _b_ e r d e'& -.D EB&.L S _ _ _ _ _ - _ _ _ Broad QA/QC actions: gagg__,_,_____.___________________ (Actions to identify potential similar deficiencies 4 due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.), 14 &I In-a v 4 5 V A* '
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- If not on list, enter area here:
--_[____._______________________ ACCIDENT PREVENTION / MITIGATION SYSTEM: d y[}g If not on list, enter system here: d Q _ S P_ g G.1 (:1.G _ 6 Y S"J E M _ _ _ _ _ _ _ _ _ _ _ _ _ SPECIFIC COMPONENT OR ACTIVITY:
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gp_ 2p5 6.j,(=JG_G.O_ypgg gpy[gG IJ _t_ n _, V CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or 8) S i 68__ PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- If not on list, enter contractor here:
P NATURE (TYPE) 0F YOUR REVIEW: If not on list, enter nature here: SCOPE OF YDUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: QOQb REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* If not on list, enter type here: M 5 i gc.y.1 o d _ Q E _86I C !! _ E E 6 9T_ _1C.o.L E_ i Size of sample observed / examined during your review: M~' Estimated total population avail. during your review: }~~_- Randomness of sample:(Enter R if random, 8 if biased) S j If biased, enter basis here: Aaq(agyJqd_____________________ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: c.]. I_ b 3 % 6 &M _ l-} _ _4 Q C-- 4-6_ _ _ _ _ _ _ _ ; 4 l '* Enter Alpha Code From Appropriate List
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Page*2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sunnary of deficiency:
~-~~~~~~-~~-----~~-----~~
(Use a separate page 2 for each deficiency) 1 Specific location of the deficiency: Date deficiency occurred: (Use YY-MM-DD Format)
- TUseNifNRE,(UseYY-MM-DDFormat)
Date NRC learned of deficiency: L if Licensee, A if Alleger, 0 if Other) Who first " discovered" deficiency:* l If other, enter source here:
~~~~~~
Number of known similar deficiencies: s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: ~~----------------------------- EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency 1 !~ This s~pecific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: ~ (Use Y if Yes, N if No, U it Unknown / Uncertain) Specific actions to correct deficiency: (8rief summary of specific corrective actions. [~((~(((((((((((([_-[_-((((((___-[ if known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.).
Pag'e 3 cf 3 O CPSES CONTENTION 5 DATA SHEET. ADDITIONAL COMMENTS THAT YOU MAY HAVE: -$ _ N Q _ po Q gg gg 7& I L e61_5 A MP_t-E_.WAs _ SEQ _6ECAVS6_3d_1gsesC21od_oe_I. (Should you wish to provide any additional information, Ei_ gyg.g_pg gy_ m yges,_wM_EE8ee comment, viewpoint, opinion, or other matter that up _ y o g.g g o_ _c j g _ p g, o g gg _ _ _ _ _ - _ _ you feel the contention 5 Panel should consider in making their findings, please use this page to do so.) ______________________________q ______________________________d ______________________________q _ _ _ _ _ M _ _ _ _ _ _ m _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _ e 9 _ _ _ _ _ _ _ m _ _ _ _ _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _ _____m _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ _ _ _ _ _ _ m _ _ _ _ m _ M _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ M _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ q 4 I _ _, _ _ _. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ q _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ q q q O _ _ _ _ _ m _ m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m m _ _ _ _ _ _ _ _ _ _ M _ _ _ M _ M _ _ _ M _ _ M M 69 _ _ M M M M _ _ _ _ m W _ _ _ _ _ _ _ _ _ _ _ _ _ _ M _ _ _ _ _ _ _ _ M e _ m _ _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _ _ m m _ _ _ m _ _ ___________________W _____M M _ _ _ _ _ _ _ _ _ _ _ _ _ N _ _ _ h __-____________-_______-___C _ _ _ - _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ C .. - _ _ _ _ - - _ _ _ - _ _ _ _ - _ _ _ _ _ _ _ _ _ _ ** - _ C _________C 9 _p _ - _ _ C e j a 1 0
4 kC' N Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) YOUR NAME: (Last Name First) 2FIGC@d_g______ GROUP OR ORGANIZATION: g______________________________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
M__ TOPICAL AREA: If not on list enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM: T&g. If not on list, enter system here: .L g c ut.6-T 19(;q _ MIT g._ dtlI&L5ii_ h_TF-s/ CeI _ _ SPECIFIC COMPONENT OR ACTIVITY:
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If.not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW: 6 If not on list, enter nature here: SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS NOT INCL. DOCUMENTATION: ooLQ REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* Q a g _ If not on list, enter type here: Size of sample observed / examined during your review: Q G 5~_1 Estimated total population avail. during your review:.p_1 d_O Randomness of sample:(Enter R if random, B if biased) $ If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C l 6_ CA.TEi6 P E,d _ l. _ _ 6C.4-1_ _ _ _ _ _ _ _ _ _ Enter Alpha Code From Appropriate List 0 "Please print using one character per underlined space. Please do not exceed allocated spaces.
l Pag 2 2 of 3 CPSES CONTENTION 5 DATA SHEET l SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER F DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency:
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(Use a separate page 2 for each deficiency) Specific location of the deficiency: j (Use YY-MM-DD Format) Date deficiency occurred: [TUseNifNRE,(UseYY-MM-DDFormat) Date NRC learned of deficiency: L if Licensee, A if A11eger, 0 if Other) Who first " discovered" deficiency:* If other, enter source here: Number of known similar deficiencies: .((((~----------------------"'--- s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sumary of specific dorrective actions, [_(((((((((([~(((((((((((([_-(([ ifknown.) Broad QA/QC actions: (Actions to identify potential similar deficiencies __________________________m____ due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.) .e
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s-Pag) 2'of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFGRMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW l 1 TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency:
~~----~~---~~----------~~
(Use a separate page 2 for each deficiency) l Specific location of the deficiency: l Use YY-p#t-DO Fomat Date deficiency occurred: Date NRC learned of deficiency: Use YY-MM-DO Fomat Who first " discovered" deficiency:*
- TUseNifNRE,LifLicensee,AifAlleger,0ifOther) i l
If other, enter source here: Number of known similar deficiencies: [~((~-~~~~-~~~------~~--------- l s i REGULATORY OR OTHER REQUIREMENT /Copti!TMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic Ol'thru 18. Use NA if not applicable) Other requirement or commitment: i ~~~~---~------------------------ EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: I Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* ~ When considered with other known deficiencies:* Supporting infomation or basis: i CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: i3rief summary of specific corrective actions. ((((~~((((((((((((((((((((((_-(( l ifknown.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence { of siellar deficiencies in the future.)
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- If not on list, enter area here:
______,_______________________q a ACCIDENT PREVENTION / MITIGATION SYSTEM:
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- If not on list, enter contractor here:
p~@ Spgy_,_____________,________ NATURE (TYPE) 0F YOUR REVIEW:
- If not on list, enter nature here:
[ 8_Tgg y j, g.g_ yn g _ g g g g y,6_ _ _ _ _ _ _ _ ~ SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: qQQ6 REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* g g.q g, If not on list, enter type here: I d f gg y Lg y _ W,[I t3, _ gg p L q M_ _ _ _ _ _ _ _ c Size of sample observed / examined during your review: ___Q Estimated total population avail. during your review: ___o Randomness of sample:(Enter R if random, 8 if biased) If biased, enter basis here: ] REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: g [ f,_ C g I g g gd _ l o,_ 4 Q C - f _ _ _ _ _,_,_ _ ______________________________a 1 i '* Enter Alpha Code From Appropriate List i
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Paga 7 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: (Use a separate page 2 for each deficiency) - - - - _ ~ ~ ~ ~ ~ ~ ~ - - - - - - - - ~ ~ - - - - ~ ~ - - - - - - - Specific location of the deficiency: --(UseYY-M-DDFormat) Date deficiency occurred:
- TuseNifNRE,(UseYY-MN-DDFormat)
Date NRC learned of deficiency: l Who first " discovered" deficiency:* L if Licensee, A if A11eger, 0 if Other) ~ If other, enter source here: Number of known similar deficiencies: ((((~~~~---------------------- 4 s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON ASILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: - - - - - - ' " - - - - - ~ ~ ~ - - - - ' - - - - - - - - - - - - Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* I Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: i i (Brief sumnary of specific corrective actions. [~((~(((((((((([~(((((((((([_-(( ifknown.) Broad QA/QC actions: (Actions to identify potential similar deficiencies ______,____________________c____ due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.) k d _._____,._,_______________________ I
l Paga.3 of 3 CPSES CONTENTION 5 DATA SHEET. mITIOEL ComENTS TET YOU MY MVE. i (Should you wish to provide any additional information, i comment. viewpoint opinion, or other matter that you feel the Contention 5 Panel should consider in makin their findings please use this page to do so.) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ e N f 9 _ - g _ _ _- _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ W _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ _ _ _ _______L__ _ _ _ M _ M M M M _ _ _ _ _ M _ _ M _ _ _ _ M M _ _ _ _ _ M _ G _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ _ _ _9_ _ _ _ _ _ _ _ m _ _ _ ___m _ _ W _ _ m _ _ _ _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ W _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ __________ e _ _ _ M _ _ _ _ M _ _ _ _ _ _ _ _ _ W _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ _ __________
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r..:.. A 4 C '5~ ~ j Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** J REFERENCE INFORMATION: 4 TRACKING N0: (ForIEHQUse) YOUR NAME: (Last Name First) 'F,}}_t L.L. EQ _ g._ _ _ _ _ _ GROUP OR ORGANIZATION: 5_____________________________c SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
6C.__ TOPICAL AREA:
- ________'______________________q If not on list, enter area here:
O Igg,2 Fg 1 E,l, G _ f y S fgM_ _ _ _ _ _ _ _ _ _ _ ACCIDENT PREVENTION / MITIGATION SYSTEM:
- If not on list, enter system here:
de_s( pIl} g. SPECIFIC COMP 0NENT OR ACTIVITY:
- If not on list, enter activity here:
SSI/g_c_13(e_.___________________q CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) i PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- j If not on list, enter contractor here:
p-Q_dvdy______________________g NATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: ______________________________5 SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* p D O (p ,_P g g c If not on list, enter type here: i __________________________c Size of sample observed / examined during your review: [_-[Q Ettimated total population avail. during your review: Q Randomness of sample:(Enter R if random, 8 if biased) If biased, enter basis here: ______________________________s REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C Q _C gg gg o g,y _1 Q _. _ A.gC -- 6_ _ _ _ _ _ _ _ ______________________________q ______________________________a _____,y_______________________J '* Enter Alpha Code From Appropriate List
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?- Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET l' l SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUM8ER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sunnary of deficiency: (Use a separate page 2 for each deficiency) - - - - - - - ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ - ' _ - ~ - - - - - - - - - - - ] Specific location of the deficiency: --(UseYY-E-DDFormat) Date deficiency occurred: TuseNifHRE,(UseYY-MM-DDFormat)LifLicensee,AifA11eg Date NRC learned of deficiency: Who first " discovered" deficiency:' If other, enter source here: Number of known similar deficiencies: [ [ [ [ - - - - - - - - - - - '- - - - - '- - - - - - - - - - - s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON A81LITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* 1 Supporting information or basis: [_(UseYifYes,NifNo,UifUnknown/ Uncertain) l CORRECTIVE ACTIONS TAKEN OR PLANNED: Specific actions to correct deficiency: (8rief summary of specific corrective actions, ifknown.) 8 road QA/QC actions: _2__ (Actions to identify potential similar deficiencies l due to QA/QC causes, and, to prevent recurrence j of similar deficiencies in the future.) l o..
e. ..o i Page'3 of 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL C0f0ENTS THAT YOU MAY HAVE: e. en _ _ M e. _ _ m _ e. m _ e _ e.m _ _ es _ _ _ _ _m G. _ m _ M .e M _ _ _ M _ em em -m m m m _ _m e. _ _ M _ e. (Should ou wish to rovide any additional information. _ m _ _ _ _ m em _ _ _ _ _ m m .m M _ m _ m m _ _ _ M _ e. comment. vi int. opinion. or other matter that _ _ _ _ _ e.m _ _ e. m. M em _ M _ .m m _ _ e. M em .m .e. m _ _ M M _ you feel the contention 5 Panel should consider in making their findings, please use this page to do so.) .m .o e _m m.m M en _ .m e. e.m _ m _ _ .m e.m _ em me _ G e. eue op mim es eum em enn esa se eum - em que em m amm eme m - eum e. ema emme e. m. eum em - emme ene em e aump _ eum M eum m enE eum em eum eum mud eum em em m. m est eum e mie _ enum gum ese eum gun em eum em I ese ene enum eue me eum e enup e-Me une em eum em aus em eum eums e-amo emum eum _ emum eum eso eso e. ene me em 9 9e M M M M _ _ _ M M N m M M M M N m M W W M m W W m m 6 m m _ M m M m M M M M M M M M m M M M M M M ele m M M M _ m m m em eu. m m me==== =*== a= em e. em em -== em an== em e. em m em W Se em e. W. e.m eum em eum mES Mum sue eue m e eS M e m Euo sum mud GAD m e enup auin M eum em enum em amm mum enum m eum eum eum M M M M M m W eum eum m SEE Gimm .e e en euge m enn e eue .mme emp eum m eum O e em e em eum e
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A-QC- (o S. l Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET l ITEM TO BE CONSIDERED DATA TO BE ENTERED ** l j REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) i YOUR NAME: (Last Name First) Pj-)(( @_g______ i GROUP OR ORGANIZATION: s______________________________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- i SUBJECT OF YOUR REVIEW:
SC TOPICAL AREA:
- If not on list, enter area here:
((((___________________________; .p gilg. ACCIDENT PREVENTION / MITIGATION SYSTEM:
- If not on list, enter system here:
C,gr 83 A.t g.) M.gI)T_ 6.p.L L.D.L Y _$_ _ _ _ _ _ _ _ _ _ _ 0 7 1t g SPECIFIC COMP 0NENT OR ACTIVITY:
- If not on list, enter activity here:
BMg_347_______________________ CPSl;S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) 1 gg.__ PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- j If not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW: g i If not on list, enter nature here: SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* 0 Q Q G Q&g If not on list, enter type here: b & r d,Q _ n q,f_g y $,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, Size of sample observed / examined during your review: pho Estimated total population avail. during your review: o Randemness of sample:(Enter R if random, 8 if biased) ggpo If biased, enter basis here: C 2 DC _ PI.-(a _101 -- E 3 2 5 - e 01_ _ _ _ _ _ _ _ _ _ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C16_OgIg40gg_1Q__$QC h_________: ] 'o Enter Alpha Code From Appropriate List a "Please print usino one character ner underlined snace. Please da nnt eve..d miincated enne.c
Paga 2'of 3 I CPSES CONTENTION 5 DATA SHEET l SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: ~ ~ - - - ~ ~ ~ - - - - - ~ ~ ~ - - - - - - - - - ' ~ - - - - - - (Use a separate page 2 for each deficiency) Specific location of the deficiency: l, Date deficiency occurred: _ _ Use YY-M-DO Format Use YY-MM-DD Format Date NRC learned of deficiency: Who first " discovered" deficiency:* Tuse N if NRE, L if Licensee, A if Alleger, 0 if Other) If other, enter source here: Number of known similar deficiencies: ((((--------------------~~~~~--- s I REGULATORY OR OTHER REQUIREMENT /COMITNENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. UseNAifnotapplicable) l l Other requirement or comunitment: i - - - - - - - '- - - - - - - - - - - "" - - '- - -~ ~ ~ - - - - - EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTI'JN: i Your opinion of the degree of seriousness of deficiency l This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: I i [_(UseYifYes,NifNo,UifUnknown/ Uncertain) C0RRECTIVE ACTIONS TAKEN OR PLANNED: l Specific actions to correct deficiency: {Brief susunary of specific corrective actions, if knw n.) j l Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.) ..i.
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AQC-8 Paga.1 cf 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: t TRACKING NO: (ForIEHQUse) I YOUR NAME: (Last Name First) pyLC{@@ A GROUP OR ORGANIZATION: 5______'-(([_(([________________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: 7 SUBJECT OF YOUR REVIEW: TOPICAL AREA:
- 6 C._ _
If not on list, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM: Q Jild l If not on list, enter system here: g o_ S E Fr-.L Fl G _ 5.'f 5 TEM _ _ _ _ _ _ _ _ _ _ _ - - SPECIFIC COMPONENT OR ACTIVITY: O _'TWfl. / If not on list, enter activity here: S p _ S E F _c. f.[c j ?._. ( 0 LVl f d d F g T / g _Q T L Y L T 'f _ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) S t PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- If.not on list, enter contractor here:
[ [ Q _- }} g g g _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ MATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: i SCOPE'0F YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* 0.9 0 C3 i ,1,. e 6 B If not on.11st, enter type here: Size of sample observed / examined during your review: 90.19 i Estimated total population avail. during your review: g,__ 3 i Rand 6mness of sample:(Enter R if random, B if biased) 3 If biased, enter basis here: At Liirte'ATtqc!_____________________ REFERENCE DOCUMENTS THAT DESCn!CE TC62 FINDINGS: C. / 6_ C,g I g g g g.f _ L Q _ _ d SC r $ _ _ _ _ _ _ _ _ _ r
- Enter Alpha Code From Appropriate List
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i CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TCTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: l Brief susmary of deficiency: - - - - '~ ~ ~ ~ ~ ~ - ~ ~ - - - - - - - - - - - - - - - - - - 1 (Use a separate page 2 for each deficiency) Specific location of the deficiency: Date deficiency occurred: _ _ (Use YY-MM-DD Format) (Use YY-MM-DD Format) Date NRC learned of deficiency: Who first " discovered" deficiency:* _TuseNifNRE,LifLicensee,AifA11eger,0ifOther) If other, enter source here: ~ Number of known similar deficiencies: .[~_((~~------------------------~ s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment - - - - - - - - - - - - - - ~ ~ - - - ' - - - - - - - - - - - - - EFFECT ON A8ILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* i Supporting infomation or basis: 3 CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sumary of specific corrective actions. [ _ _~ _- [ _ _~ _ _^ _ _ _^ _ _^ _ _^ _ _ _ _- [ _ _'~ _^ ifknown.) i Broad QA/QC actions: j (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
o Pag.2 3 of 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL COPMENTS THAT YOU MAY HAVE: { _6,g,f fgMg6L fd Ig.L_ P Q LP )f, g It og _ g g f (St. auld you wish to provide any additional information, 8 0 T.c 8 V a-L L a8 W _ ud LU 65_ A _ Ew.v t.wW_ o p_ _AL L _.m g _ p p q o ggt _ I6 - _ - _ _ _ _ _ _ _ _ _ J commente viewpoint, opinion, or other matter that you feel the Contention 5 Panel should consider in making their findings please use this page to do so.) e -_____f e. s
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~ .-:;.L pec-n CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) YOUR NAME: (Last Name First) PJff[-- 9_ _ _ _L g D_- @;_ _ _ _ _ _ GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: J SUBJECT OF YOUR REVIEW: TOPICAL AREA:
- 6 C.
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l Pag 2 2 cf 3 CPSES CONTENTION 5 DATA SHEET l l SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: i DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: l Brief sunnary of deficiency:- (Use a separate page 2 for each deficiency) - - - - ~ ~ ~ _ _- - - ~ - - _ - _ - - _ _- - _- - ~ - - _ _ _- Specific location of the deficiency: ---_____--___-_________________\\ ---___-__-_____________________l Date deficiency occurred: (Use YY-MM-DD Fonnat) Date NRC learned of deficiency: _ _ (Use YY-MM-DD Format) Who first " discovered" deficiency:* _ Tuse N if NRE. L if Licensee, A if A11eger, 0 if Other) If other, enter source here: Number of known sfullar deficiencies: ((~[~~-~-----~~~-----~-~~~~~--- s REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use aratile 01 thru 18. Use NA if not applicable) Other requirement or connitment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION:
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Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* l When considered with other known deficiencies:* [ Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: ~ (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sunmary of specific corrective actions. ((~[~[~[~((~((((((((((((~_^(([_~[ ifknown.) y i Broad QA/QC actions: 1 (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.).
.* v. # CPSES CONTENTION 5 DATA SHEET. ADDITIONAL COPMENTS THAT YOU MAY HAVE: $ _ MP_ DPG #d4FM ~7~L 6&M P G E _ (Should you wish to provide any additional infonnation. %BS? b f- _Q-Eh!? 6 L! T t Q. 61 To _ D L G E6BI1. e comment, viewpoint, opinion, or other matter that _ W G fr _ L D tr 9.72 E.1 FC)_ l 6/ T4 F P6 E G BD F you feel the Contention 5 Panel should consider in .E.G-_____-______----_-- making their findings. please use this page to do so.) _ ----__._______________._-___.l _e _. -___l J --______-________-_____-_J ___________----_____________,i _ N _ _ _ _ _ 2.'. _ _ _ - _ _ _ _ _ _ __ _ _ _._ _ _ _ _ _ _ _ _ s \\ s e -e ,g
S 4,.- l -], MCdb Pa'ge 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING N0: (ForIEHQUse) YOUR NAME: (Last Name First) F E _.L L L @l2 _ _E_ _ _ _ _ _ GROUP OR ORGANIZATION: $_____________________________m SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: * ^ SUBJECT OF YOUR REVIEW: GC-TOPICAL AREA:
- If not on list, enter area here:
- (([__________________________ TI{. g. ACCIDENT PREVENTION / MITIGATION SYSTEM: If not on list, enter system here: p_gggy Wg.,gyffey____________ SPECIFIC COMPONENT OR ACTIVITY:
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If not on list, enter activity here: SV d I_ L. AB o E.GIe 41_ di!l 5 T_8e e d_ _ _ _ W CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1. 2 or B) PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- If not on list, enter contractor here:
R[@2dudI_-____________________h NATURE (TYPE) 0F YOUR REVIEW: If not on list, enter nature here: pg,q q, g p q g.gi_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ j SCOPE OF YOUR REVIEW: I EFFORT EXPENDED IN M4N-HRS. NOT INCL. DOCUMENTATIGN: p pq 2. REPPESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*.pg.gT, If not on list, enter type here: .7,.n gg V. L g y_ g gg. $,ppp,g6_ _ _ _ _ _ _ _ _ _ _ y Size of sample observed / examined during your review: ___Q E'stimated total population avail. during your review: ___p Randomness of sample:(Enter R if random, 8 if biased) If biased, enter basis here: ______________________________q REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C,] 6 _ C,g y g Q g d _ 1 0 _ _ g Q C - _4 ) _ _ _ _ _ _ _ y ______________________________q ______________________________p j _____...,._______________________c Enter Alpha Code From Appropriate List
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l Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET 1 SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: 1 DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: ] Brief summary of deficiency: (Use a separate page 2 for each deficiency) - - - ' - - - - - - - ' ~ ' ' - - - ' _ - - - - ' - - - - - - - - ' - - - - Specific location of the deficiency: i Use YY-M-00 Fomat Date deficiency occurred: Use YY-m-DO Fomat Date NRC learned of deficiency: Who first " discovered" deficiency:*
- TUs N'if HRE, L if Licensee, A if A11eger, 0 if Other)
If other, enter source here: Number of known similar deficiencies: [-[---------------------------- s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: - - - - - - - - - - - - ~~ ~ ~ ~ ~ '- - - - - - - - - - '" - - EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* 1 When considered with other known deficiencies:* i Supporting information or basis: C0RRECTIVE ACTIONS TAKEN OR PLANNED: _ (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sunnary of specific corrective actions, if known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies i due to QA/QC causes, and, to prevent recurrence of siellar deficiencies in the future.) . G,.,_,_ _._: _._ _,._._. _ _. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
m'. Page' 3 of 3 CPSES CONTENTION 5 DATA SHEET. AD0!TIONAL C0pWENTS THAT YOU MAY HAVE: - _ _ _ m - - - - - - m _ _ - - - - m _ m _ - m m _ - - _ _ m _ _ - _ M m _ - m m - m m _ m m m _ _ _ _ _ _ _ _ m _ - - = = (Should ou wish to provide any additional infomation e comment e viewpointe opinion or other matter that - - - - - - - - - - - - m - - - m - - m - - - - - - - - M - - e - - m m - - - - - - - m - - m m - m - - - - - - - m - - - m M you feel the contention 5 Panel should consider in making their findings please use this page to do so.) e - - m m - - - m - - m - - - m - - - - - - = m - - - - - - - - - - - = - - - - m m - - - - - - - - -. m m m m - m m - - - - e m - m m m - m - M - - - M M M - m - m - m - - m m m m - m - - - - - - m - W - - - m - m m m - - m m - - - - - - m - - m m 0 6 e l - - - - - - - - - - m m m - - - m - m w m m - - M - - - m m - - m - - - - - - - - m m m m m - - m m m m m m m m - a-m m _ - - m - m - m - - - - - m m - m - m - - m m - - m - - - m - m m - - m - - - m - m m - m m m - - m m m m m m m m m m m m m e m m m - - m - m - m - m m - - m m m e - - m m - - - m - m m e m m m m m - - m - - M - - - m m - - - - m - m - - - m - - M - - M - - - M - M - m m - - - - - - - - - - M - m - - m M - - - m - m - - m m M - - - m - - - - - m m m m m m - m m m M M - m 9 9 - - g - - -m - - - - - m m - - - m m - - - - - - - - m - - M - m m - m m - m m - - - - - - m m - - - - - m - - - m - m m - i m m - - M - m m m - - - m m m m - - - - m m m - m - m m - m m - m m m - - m m m m m m m m m e - - - - - - - m - m - m - - - l e i m - m - - - m m - m - - m e m - - - - - m m - - - - - m - m m m m - - m m - - - m - - - - - - - m - m m - m - - - - m m - m i - - - - m m - - - - m m m m - - - m m m m - m m m - - - - - - m m - - - m m m m - - - - - - m - m - m m - m - - - - - - m - l 1 I I m - m - - - m m -.m m m - - - m m m - m m - - m - - - m m - - I - - - - m m m - - - - - m - - - - - - - M - - - m - - - - - - - - - - m m m m m - m m - - - - m m - - m - - M M M M M M M M m m e m - - m - m m m - - m - m m _ m - - - - m M - M M
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i A QG-9 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) YOUR NAME: (Last Name First) G_ _ _q B W5 Y-1_ ~.T _ _ _ _ kab1( GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: f SUBJECT OF YOUR REVIEW: TOPICAL AREA:
- G89C If not on list, enter area here:
,_____g____1____________________ ACCIDENT PREVENTION / MITIGATION SYSTEM: QT @ P_ If not on list, enter system here: d p _ 5 g _ECi tE l c. _ 515 I EM _ _ _ _ _ _ _ _ _ _ _ _ _ SPECIFIC COMPONENT OR ACTIVITY: Q Id@ f If not on list, enter activity here: g p _ $ f giic.1 1:-1 G _ c a at f>P d FM T./ 8 C I 1 M L 1 'l _ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2 orb) PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- If.not on list, enter contractor here:
g_W_Qgijr_,_____________________ NATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: p p,[ (g REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*, pag _ If not on list, enter type here: t Size of sample observed / examined during your review: O g p1 Estimated total population avail. during your review: qqq3 Ran'domness of sample:(Enter R if random, B if biased) S If biased, enter basis here: 6L,6ggfTigd_____________________ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: 7_g _ gq - % E 39:p3________________ J_- S _ S 2 : S 4 !! 22r92________________ i CLG_C_AIE6a&Y_3__AQC 9__________
- Enter Alpha Code From Appropriate List
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.[ e Pag 7 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i TOTAL NUMBER'0F DEFICIENCIES YOU REVIEWED: O P2 2. DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: C. k P.Se'D_ 62 e E. _ OF.C-s&T _ TE6T6, _ N 9 MI _ $ (Use a separate page 2 for each deficiency) 9 6 2 FC.5 2 E5_ G iv. E d _ o G E 9_ 6 E Q. t _ M D_T EST6_ WE'f_E_41 V.E O _ W.i T tl _ 3 hl 5 W EES _ E & oi1DFD_________________________ Specific location of the deficiency: g p _ gg g G F1C. _ L o G &.T1 Q.cl _ _ _ _ _ l 3 1 - o 3 - 0 O ((Use YY-MM-Do Format) Date deficiency occurred: j c) p _4 - p O Use YY-MM-DD Format) 1 Date NRC learned of deficiency: Who first " discovered" deficiency:* A (Use N if NRC, L if Licensee, A if 611eger, 0 if Other) If other, enter source here: Number of known similar deficiencies: ((_^[-'~~'~~~~~---~~~~~~~~~~--~~~-'"~~ s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: u & (Use arabic 01 thru 18. Use NA if not applicable) l Other requirement or conmiitment: - - - - ~ - - ~ - - - - - - - - ' - ~ ' - - - - ~ ~ - ' ~ ~ ~ ~ ~ " - ' ~ - - EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Yotfr opinion of the degree of seriousness of deficiency 1 This specific deficiency considered alone:* L When considered with other known deficiencies:* 1 l Supporting information or basis: y p g.1_ a E: _ id 6 E FCI e E _ d _ Q # UEfa Ile d _ # 1 AD_ BEEM _E EFY Lo uskV _ AuD 1I ED_ As D _ ' In _ s e _ a c cee t a skE _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ i CORRECTIVE ACTIONS TAKEN OR PLANNED: })(lise Y If Yes. N if No, U if linknown/ Uncertain) Specific actions to correct deficiency: (Brief sussiary of specific corrective actions, (((((((((((((((((((([_"((((((((~ 1 ifknown.) _ h_ _ _ __ L L _66_ a 65.46% EQ _ d 'l _ I Broad QA/QC actions: p gg 3. C.1. d _ wA (Actions to identify potential similar deficiencies y g.7_ A A A C._ A G _ o V.W O6 L.L _ E E.G G,geaMar due to QA/QC causes, and, to prevent recurrence ic. _ g.g.g L W _ C.a y c,g6 t.194_ f & 2 G _ V al D EC J of siellar deficiencies in the future.) C 4 T _ d.,,, T g & 1 g _t y / Q u A.g.,_ _ P g.R.S.g & F E b - ..+ v., a........ u Q o g v 4f vp-u << u 1 1Annmnwarenwrwis tu ynv
a- _CPSES CONTENTION 5 DATA SHEET. ADDITIONAL COPMENTS THAT YOU MAY HAVE: (Should you wish to provide any additional information, - - m m m - - m m - - m e e m m m m e M m m m m M m _ _ _ = m m m 6 m e m = m - - m - m m M m = m m - - m m m m m comment, viewpoint, opinion, or other matter that e e = e m M M M m - m M e e m m = m - m m m e e e m = m you feel the Contention 5 Panel should consider in making their findings m m m m _ M m m m m _ _ W m - m m m m m m m m m m m - please use this page to do so.) e m m m m m m m m - m m e - _ m _ m m m m m m - - m m m m m m m m m = - m m m m m m m h m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m t m m m m m m - m m m - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m - m m m F D m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m M m m m m m m m m M m m - m m m m m m m m m m m O m m m m m m m m m m - m m m m m m m m m 9 m m w m - mm m m m m m - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m = W W m m m m m m m m m m m m - m m m m m m m m m m m m m m m m m m m m m m W M m m m m m m - m m - - m m m m m m m m - m m m m m m m m m m 9 m - m m m m m m m - - m m m m m m m M = m M m M*m m M M = m m w m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m - m m m m m m m m m m e - m m m m m m mem m m m m m - m e m m m m M m M m m m m m m m m m m m m m m m m m m m m m m m m m m D g m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m - m m m m m m m - - h m m m m m m m m m m m e. m m m m m m m m m m m m m - m m m m m m m m m g g g g g m m m m m m m m m m m m m m m - - m m m m m m m M M g g g g e m m m m m m m m m m m m m m m m m m m m m m e a f m m m m m m - - - m m m m m m m - = = m e m m m m m 9 ee b e 5 l
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s. CPSES CONTENTION 5 DATA BASE INPUT _ SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING N0: (ForIEHQUse) YOUR NAME: (Last Name First) L h 1 3 D _W fp K L _ T _ _ _ _ GROUP OR ORGANIZATION: 6______________________________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: Q~ PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
6C.__ TOPICAL AREA:
- If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM:
- O Te g-If not on list, enter system here:
QO_M FGLEJ.G_#2Mk75@1____._________ SPECIFIC COMP 0NENT OR ACTIVITY:
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If not on list, enter activity here: g a _sp E G1. E.L G _ C.a MP e 9 FPIl acI d n Y _ CPS (S UNIT IELUDED IN YOUR REVIEW: (Enter'I, 2 or 8) 8 PRI EIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- If not on list, enter contractor here:
g _ y _ 1[9 g 3 _,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ NATURE (TYPE) 0F YOUR REVIEW:
- 8 If not on list, enter nature here:
SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT IEL. DOCUMENTATION: goqS REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*, gag _ If not on list, enter type here: Size of sample observed / examined during your review: _ _ _ ;M Estimated total population avail. during your review: ___@ Randomness of sample:(Enter R if random, 8 if biased) g If biased, enter basis here: REFEREEE DOCUMENTS THAT DESCRIBE YOUP FINDINGS: pp g _ C. - 4 3 8 _ g. g V. _ [ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ C{S_ C&1E4084 _Q__AQ C:.L__________ ~
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l' Page ? cf 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW I TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: O. G 21 DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: hg 9 C._ A.L G._ EdIL.h19 MF9I_ EEco.r4 D 6_ WE Brief sumary of deficiency: f (Use a separate page 2 for each deficiency) g.g _ ]=A n #_ t_.g. g p _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Specific location of the deficiency: g p _ 5 P E C.L C-a c._1 e Ge rl e ed _ _ _ _ _ _ _ _ _ _ _ J. 7 - p l. - g. O(Use YY-M -DD Format) . Date deficiency occurred: Date NRC learned of deficiency: 23 .C>.D-O p(Use YY-MM-DD Fomat) Who first " discovered" deficiency:* Q (Use N if NR., L if Licensee A if A11eger, 0 if Other) If other, enter source here: g _ W _ d u g T _ 6 8 Ek.o_1 9 6 _ _ _ _ _ _ _ _ _ _ _ _ _ _ Number of known similar deficiencies: ___p s REGULATORY OR 0THER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: g A (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: - - - - - - - ~ ~ ~ " " - - - - - " ' ~ - - - - - - - " - - - - ~ ~ ~ - - EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency. This specific deficiency considere<f alone:* U When considered with other known deficiencies:* [,L Supporting information or basis: Q ee P_tss IV.E _5 TE.Jr8 4.rtf _ 9 E _ Ge 64_.I AJ Gt2E a I.1 Q M_ WAS 1 (#.L r 6kle : 6EFG_____ d CONRECTIVE ACTIONS TAKEN OR PLANNED: g(UseYifYes,NifNo,UifUnknown/ Uncertain) Specific actions to correct deficiency: (Brief sumary of specific corrective actions. ((_-(([~(((((((((((((((((((((([_ ifknown.) Broad QA/QC actions: DEEl C.1.shJ4,Y _ hi l le L _M _4 6 6 F65 E D_ E'/. - l (Actions to identify potential similar deficiencies I g.g_.p e,[ g c. _ &G _ P & &T _ c E _ g g erf A L.L _ PG due to QA/QC causes, and, to prevent recurrence Ela& AMM ts-T J C._ g,eF V.! F8_ C.O M f 5 2-91 M _fE of similar deficiencies in the future.) o_ C _ g pD grk _ C,3 :I _ k _ SC _ J t:! S F_ R C.T 1 p .,o
~ ~ Pag) 3 cf 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL C0petENTS THAT YOU MAY HAVE: M_Ti$.I_g.ygs_sgggo_oecaeg9I6,_ce I mDDEm &DS_me 2_ a_
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f AQc-2. Paga 1 cf 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (For IE HQ Use) % p pf g t _T_ _ _ _ _ YOUR NAME: (Last Name First) pA 3 GROUP OR ORGANIZATION: 6______________________________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: 7 SUBJECT OF YOUR REVIEW: .$Q.__ TOPICAL AREA:
- If not on list, enter area here:
OI[f(2. ACCIDENT PREVENTION / MITIGATION SYSTEM: If not on list, enter system here: p p_ 3 6 fg 1 E J.G _ 6 % T E M _ _ _ _ _ _ _ _ _ _ _ _ _ Q rMLL SPECIFIC COMPONENT OR ACTIVITY:
- If not on list, enter activity here:
g Q _#:2 8 FC,1 f.LG _ 6 M E o d ELJ Tl a-GT LV. t_ T_Y _ ~ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1, 2 or 8) S '-. PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- If.not on list, enter contractor here:
g_W_Sugy_______________________ NATURE (TYPE) 0F YOUR REVIEW: 8 If not on list, enter nature here: SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: OOog REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* 1 5 6 g If not on list, enter type here: Size of sample observed / examined during your review: -)E g-j Estimated total population avail. during your review: Randomness of sample:(Enter R if random, B if biased) If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: 1 g _ Z g -- o ] _ _ _ _ _ _ _ _ _ CJ G_ C a2 rg o &Y _ 8_ _ 6 2 C-L_ _ _ _ _ _ _ _ _ _ ~
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Paga.2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: ~ DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: ~ - - - - - - ~ ~ - - - - - - - - - - - - - - - - - - ~ ~ - - - - ~ (Use a separate page 2 for each deficiency) Specific location of the deficiency: Use YY-p#1-DO Format . Date deficiency occurred: Use YY-191-DD Format Date NRC learned of deficiency: Who first " discovered" deficiency:* [TuseNifHRE,LifLicensee,AifA11eger,0ifOther) If other, enter source here: Number of known similar deficiencies: ((((~~~~~~--~-~~'-~~~~'-----'~-~~ s REGULATCRY OR OTHER REQUIREMENT /C0pti!TMENT NOT MET: . Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: - - - - ~ ~~ ~ - - - - ~~ ~ - - - - - - - - - ~ ~ ~ ~ ~ '- - - ~ EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: C0RRECTIVE ACTIONS TAKEN OR PLANNED: _(UseYifYes,NifNo,UifUnknown/ Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions. [~((((((((((((_'"[~~_-((((((((_'-(([ if known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.) a
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f 9,.- A.qc-3 Page 1 of 3 r CPSES CONTENTION 5 DATA 8ASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING N0: (For IE HQ Use) YOUR NAME: (Last Name First) $___ow g.L_T____ ba9( GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
$Q__ TOPICAL AREA:
- If not on list, enter area here:
ACCIDENT PREVENTION /NITIGATION SYSTEM: Q1 &g If not on list, enter system here: S p _.6f fG.1 E L 4 _ 6 Y. 6 *JFM _ _ _ _ _ _ _ _ _ _ _ _ _ SPECIFIC COMPONENT OR ACTIVITY:
- QT Gr2-
/ If not on list, enter activity here:
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CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1, 2 or 8) S PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- If not on list, enter contractor here:
Q[ggjg7_______________________ NATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: $C0PE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: 0 0 0. (o REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,a gg If not on list, enter type here: Size of sample observed / examined during your review: W Estimated total population avail. during your review: (([{ Raneomness of sample:(Enter R if random. 8 if biased) g If biased, enter basis here: M _ -] h _; Q c} _ _ _ _ _ _ _ _ _, _,, _ _ _ _ _ _ _ _ _ _ _ _ _ REFERENCE 00CtmENTS THAT DESCRIBE YOUR FINDINGS: LJ G _ C A T sg o &4 _ 8 _ _ he C 3 - _ _ _ _ _ _ _ _ _ ' '* Enter Alpha Code From Appropriate List OcFlease print using one character per underlined space. Please do not exceed allocated spaces.
F e .s Page 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sunnary of deficiency:
~~----------------------
(Use a separate page 2 for each deficiency) Specific location of the deficiency: Date deficiency occurred: _ _ Use YY-MM-DD Format Date NRC learned of deficiency: Use YY-MM-DD Format Who first " discovered" deficiency:*
- TuseNifNRE,LifLicensee,AifA11eger,OifOther)
If other, enter source here: Number of known siellar deficiencies: ((((~~~------------------------ s REGULATORY OR OTHER REQUIREMENT /COM ITMENT NOT MET: . Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: You'r opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* ~ Supporting information or basis: [_(UseYifYes,NifNo,UifUnknown/ Uncertain) CORRECTIVE ACTIONS TAKEN OR PLANNED: Specific actions to correct deficiency: (Brief sunnary of specific corrective actions, if known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence i l of siellar deficiencies in the future.)
r w e e.. ~- pac 3 cf 3 e CPSES CONTENTION 5 DATA SHEET. T - een em. ADDITIONAL COMMENTS THAT YOU MAY HAVE:
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r i ?: hec-9 Page' 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING N0: (ForIEHQUse) YOUR NAME: (Last Name First) g _ _ 4 ogp 6 g.L _ T _ _ _ _ Lag GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SU8 JECT OF YOUR REVIEW:
S C,_ _ TOPICAL AREA:
- If not on list, enter area here:
hIl}&. ACCIDEN' PREVENTION / MITIGATION SYSTEM:
- If not on list, enter system here:
u a _ t P E' G 3 f=l c _
- Y G T e M _ _ _ _ _ _ _ _ _ _ _ _ _
279 L2. SPECIFIC COMPONENT OR ACTIVITY:
- If not on list, enter activity here:
M p_ $R g G. L F.t G _ Ga B.Fp e F#.7/&-G.Il V LT.y _ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2 orb) PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- g-f[fygr_,_____________________
If not on list, enter contractor here: g NATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: Q Q p fp REPRESENTATIVE TYPE OF ITEN CONSIDERED IN YOUR REVIEW:*.g g _ If not on list, enter type here: Size of sample observed / examined during your review: ___g Est'inated total population avail. during your review: ___g Randemness of sample:(Enter R if random 8 if biased) g If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: ,14 33 og_______________________ CJb_Casakott_6__bGC=2__________ _____,y________________________ N Enter Alpha Code From Appropriate List 0$Please w int usino one character ner underlined space. P1 ace do ant eve..d miinca+ad en=rae
r i Pag 2 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: _ _Q DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: - - - - ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ - - - - - ~ ~ - - - - ~ ~ - - ' - (Use a separate page 2 for each deficiency) Specific location of the deficiency: . Date deficiency occurred: (UseYY-MM-DDFormat) _ _ (Use YY-MM-DD Fonnat) Date NRC learned of deficiency: Who first " discovered" deficiency:* _TUseNifNRE,LifLicensee,AifAlleger,0ifOther) If other, enter source here: Number of known similar deficiencies: [ [ [ - ~ - - - - - - - - - - - - - - - ~ ~ - ~ - ~ - '- - - - s REGULATORY OR OTHER REQUIREMENT /COM ITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or couriitment: --~~~~~--~------~'-------------- EFFECT ON A8ILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency - This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: _ (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions. [~(((((([~[~((((((((((_-((_~[_-(([ if known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies __________________________y due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.) u
r I~ Pagh 3 of 3 CPSES CONTENTION 5 DATA SHEET. 'fs ^ Tg. E:Y _ & E U 5 5fr U S I_^ y g p gY dr f.2 ErT TRT s D ry g gp Ag ADDITIONAL COPMENTS THAT YOU MAY HAVE: .1 M_T (Should you wish to provide any additional information,.pa g.g3 r y _ q e I g.p,, _ c,q q ( _ g g 3 _ r gg _I g.7 connent, viewpoint, opinion, or other matter that _ SE L.L E V Ef 6 IIHLT _ A D D I I 1. O t_J M _ & CI L Q you feel the Contention 5 Panel should consider in making their findings, please use this page to do so.) 11_16 _ g.g g g g g.gp_ Sy _ ~[ Og:C._ T2 _ C Q 9 E l @- Ad_ STIC.Ed6 JB _ T EST 6_ A 8 E _ g E E g-FG, B.vT /1 I 1 V'E _ c B _ I &E _ 5 T g.E M4i rR. _ a 1: _ C-o.u. c._ E C A. -CBp_______-___________________ _____________________._gp ____________D D -uD .u. .u. _________eu. .g. _. lum .A. .uD .u. .m .u. Gulmb .m. em __em. __.m. .O _ _ _.i. _ .a. .W .6 _.u. Gl_ EM-dumD qualip .ui. ______.u.
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AQC.-5*I Page'1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) $__k_.p._g79y1_7____ YOUR NAME: (Last Name First) L&d GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 6 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
J_ TOPICAL AREA: * ~ If not on list, enter area here: Ca o w.g49_ T!EM $1 L.E_ TFSI_ ggr(A2 EDA _ _ ACCIDENT PREVENTION / MITIGATION SYSTEM: gT&g. If not on list, enter system here: .blB _4r E NG 1.FJ G._ G M J.ffW1_ _ _ _ _ _ _ _ _ _ _ _ _ Q IL4E. SPECIFIC COMP 0NENT OR ACTIVITY:
- If not on list, enter activity here:
gp_grgrCjfj.g._pgyppjggr/g.C,31gjgg_ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2 orb) 1 ) PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- 3g_ _
If not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW: ,8 If not on list, enter nature here: SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: apO(e REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*.g&g_ If not on list, enter type here: QGdp4Q Size of sample observed / examined during your review: Est'imated total population avail. during your review: g4 Randomness of sample:(Enter R if random B if biased) g If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: 9.,l@_C,g3gg.pg.y_$__bqq.,fl__________ ~ N Enter Alpha Code From Appropriate List i ocPlease print usina one character per underlined sonce. P1 paso dn not eveeed alineated enacae
l Pag 2 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: I DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: ~ ~ ~ - - - - - - - - - - - - - - - - - - - (Use a separate page 2 for each deficiency) l Specific location of the deficiency: l Use YY-M-D0 Format Date deficiency occurred: Use YY-M-DO Format Date NRC learned of deficiency: Who first " discovered" deficiency:*
- TuseNifHRE,LifLicensee,AifAlleger,0ifOther)
If other, enter source here: Number of known similar deficiencies: ((((~~~~~~~~~~~~~~-~~~----~~~--- s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _,(Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: ~~------~~-'~~------------------ EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: [ _(Use Y if Yes, N if No, U if Unknown / Uncertain) C0RRECTIVE ACTIONS TAKEN OR PLANNED: Specific actions to correct deficiency: (Brief sunnary of specific corrective actions, if known.) Broad QA/QC actions: 4 i (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.) t i,.
r. Page'3 of 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL ColetENTS THAT YOU MAY HA K: _ _ _ _ m _ _ _ _ m _ - m m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - m - - - - - - - - m - - m - - - - - - - - - - - - - - - m (Should ou wish to provide any additional infonnation. _ _ _ - _ _ _ m _ - _ M m _ _ _ _ _ _ _ _ ________m m comument vi inte opinion or other matter that e - m m _ _ _ _ m m - - - - - - - - - - - M - - - M - - - - - - you feel the contention 5 Panel should consider in making their findings please use this aage to do so.) e - - - - - - - - - - m - - - - - m - - - - - m m _ _ - - - - - - - - - m - - = = W M - - - - - - m m _ - - -. m. m. m.. M M M M M M - M M M M M e m - W m m m m m e - - m - m m m m m - m m M M - M W m M M W - m - w w m m m m m m m m m m m m - m f M - - M - M M - m M - M M M M M M M M M M M M M - m m - m m - M 6 6 m M M M m m W W M M M m m m m m m m m m m m - m m m e - - - - - - - - m - - - - - - - - - - - - - - - - m - - - - - - M M M - - M M M - M M M - m m m m m - m - m - m m m m m m m m e M - M M M M - m m m M - M M M - - M - m m m m M - - W W W m W - W M M M M M M M W - m m m m - m m - m m m m m m m m - m m m W W m 6 6 6 6 m M m m M - m m m m W 6 - m W M m m - m m m m m M - M - M M M m W m M M M W W - m - m m m m m - m m m m m m - 9 m m g = - mm e m - - - - - - - - - - m m = = = - - - - - - - m - m m m m m - m m m m m m m m m m - m m m - m m w w - m m e M M M M M M - W W W m - m m m m m m m m m m W W e m m m - m m - m - - - - - - - - - - - - - -. - - - - - - - - - - - - - - m e m - m m m - m m m m m m m m m m - m m m m m m - m e m e m m m m m m m M M M M M M M M - M M W e m W M M M - M M M e m m m - - 6 6 M M M M M M M M M m m m m m - m m m m m m m m m m - 9 m m W - M M - M m m m m m m m m m m m - M - M M M M - M m m - m m - M M M M M M M - M M - M - M M M M M M M M M M M M M M W 9 m _ _ m. _ _ _ _ _ _ _ _ - m _ M m m - - - - - - - - - - - m m m m m m - m m m m m m W M M W m m - M M - M m m M M - m W - m m - m m - m m m m m m m m - - m m - m - M M - M - M M M - M m m m m m m m m m m - m m m m - m m m e M M M M M m m M m m m m m m m m m - m - m m m - m - - m m M M M M - M M M M M m m m m m m m m m m m m m m m m M - m m m - M M M M M M M M M
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?. RC-IO r.! Pags I of 3 CPSES CONTENTION'S DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (For IE HQ Use) i YOUR NAME: (Last Name First.) f}pij j________ GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: ,7 PRINCIPAL CONTENTION 5~ AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
6 C,_ _ TOPICAL AREA:
- If not on list, enter area here:
ACCIDENT PREVENTION / MITIGATION SYSTEM: OI g g If not on list, enter system here: C.o g r$-Q L _8t/GE 64.Erf 'TF-f S 44, _ bu.L I-DI_Alk OI B g. SPECIFIC COMPONENT OR ACTIVITY:
- If not on list, enter activity here:
c o 9 c. g.gr E_ S L 14 8._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 3 CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1, 2 or B) { PRINCIPAL CONTRACT 0F INVOLVED WITH YOUR REVIEW:
- 3g__
If not on list, enter contractor here: C, NATURE (TYPE) 0F YOUR REVIEW: .If not on list, enter nature here: R Ss o g.a 6_ A g p_C e sp&.gIgr0_ pa gg_ _ _ _ _ ' SCOPE OF'YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: c of O REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* QAg_ If not on list, enter type here: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _. Size of sample observed / examined during your review: F___ Es.timated total population avail. during your review: M___ Randomness of sample:(Enter R if random, B if biased) $ If biased, enter basis here: B l (., 5 4p6 T ). pe! _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: 3.E_6L_\\_%._____7_h.9.r10___________; C./4ir _C4TEde' a g y _ 7
- Enter Alpha Code From Appropriate List o$Please print using one character per underifndd space.
Please do not exceed allocated spaces.
t*.- Pag 2 of 3 CPSES CONTENTION 5 DATA SHEET. SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: OOQj DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: (.)g (,.o gIgo L L.ED_ f g b_ q g D pf,.t.> A(E d _TliiED R (Use a separate page 2 for each deficiency) ER A L E 2 F _ 4_ e G L E _ EE s u t._ ra u Q _ E EQ M-TnE_ &E M O V & L _ o E _a _ e l L Il _ SoLT _ _ _ _ Specific location of the deficiency: E1 sc r s.a c A L._ Au O _C.a 9 re_c L _6 u l LDW $ Date deficiency occurred: 2_- O_4-C O(Use YY-MM-DD Fonnat) Date NRC learned of deficiency. f _O4-DD (Use YY-MM-DD Format) Who first " discovered" deficiency:* (Use N ff NRC, L if Licensee, A if Alleger, 0 if Other) If other enter source here: Number of known similar deficiencies: 6d66--------------------------- REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET: Use NA if not applicable) Applicable 10 CFR 50 Appendix B Criterion: }lA(,Usearabic01thru18. ~Other requirement or commitment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: - - - - - - - - ~ ~ - - - - - - - - - - - - - - - - - - - - - - - - Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* L. When considered with other known deficiencies:* _T Supporting information or basis: .SteB_ld_GVF5J12d_16_5Il_LL_ CAMS LE-Q E cs .L d(y T8-E DE S L6 & Lee QS, CORRECTIVE ACTIONS TAKEN OR PLANNED: }} (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sumary of specific corrective actions, -[~[--~-[_----[_--[~--(([-----(([ if known.) Broad QA/QC actions: g I,y WJ L L. _ BE _ 666666ED_S Q@gp3 C ( gj[QC _ d 5_ E A &T d E O V CE Es k L g @ (Actions to identify potential similar deficiencies T 7_Qb/ due to QA/QC causes, and, to prevent recurrence o M A MAIL C, _ f.E\\D_ E h/_ G O MG-F8Ml 6't$ _ E4 of similar deficiencies in the future.) g2 c,_ VM D5 & _ fr.&J_ k 4f -11/6E NG/L L G d- - - AnniTTONAl fnMMFNTC ( T F m n., anta V %nd.ca n na M 48 t - a V 4'r V;* n' if d
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Acc49 i .c Page I cf 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) i YOUR NAMe: (Last Name First) [ 5 5 d ~p ~g>~6 g.1_ ]"_ _ _ _ r4t0UP OR ORGANIZATION: 3_______________________,_______ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH CF YOUR REVIEW: PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- B t
SU8 JECT OF YOUR REVIEW: TOPICAL AREA:
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j If not on list, enter area here: OT(tg ACCIDENT PREVENTION / MITIGATION SYSTEM:
- If not on list, enter system here:
996 E _ N d LT _1_ C O MI6 i M M EN I _6 T C.W G,I _ SPECIFIC COMPONENT OR ACTIVITY:
- oy&g If not on list, enter activity here:
n L q _ g g g g._ Q g g,7__ g _ C a y 7 _ 6 7 g.y 4,T U G.E CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) 2 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- BE__
If not on list, enter contractor here: d i NATURE (TYPE) 0F YOUR REVIEW: If not on list, enter nature here: SCOPE OF Y0dR REVIEW: EFFORT EXPENDED IN MAN-NRS, NOT INCI.. DOCUMENTATION: O Q 04-l REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* i If not on list, enter type here: 3CC6(agg._p M GL&L,ggD_ M g(afI1.pd__ Size of sample observed / examined during your review: oQag Estimated total population avail. during your review: pgQQ Randomness of sample:(Enter R if random, B if biased) If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRISE YOUR FINDINGS: C j f _ C,A I g g g q _ lt _ _ } f _4 3 _ _ _ _ _ _ _ _ _ _ ~
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l j Page 2 cf 3 CPSES CONTENTION 5 DATA SHEET S,PECIFIC INFORMATION RELATED TO THE' DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: - - ~ ~ ~ ~ ~ ~ - - - ~ ~ ~ - - - - - ~ - ~ - - - - - - ~ ~ ~ - (Use a separate page 2 for each deficiency) Specific location of the deficiency: (Use YY-MM-DO Fonnat) Date deficiency occurred: [TuseNifNRE,(UseYY-MM-DOformat) Date NRC learned of deficiency: L if Licensee, A if Alleger, 0 if Other) ' Who first " discovered" deficiency:* If other, enter source here: - - - - - ~ ~ ~ - - - ~ ~ - ~ ~ - ~ ~ - - - ~ ~ ' - - - - - - - Number of known similar deficiencies: s REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: - "" ~ - - - - '" - - - - - - - ~ ~ - - - - - - - - ~ - - ~ - - EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: ] [_(UseYifYes,NifNo,UifUnknown/ Uncertain) CORRECTIVE ACTIONS TAKEN OR PLANNED: l Specific actions to correct deficiency: (8rief sumary of specific corrective actions, ifknown.) Broad QA/QC actions: j (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.) ____ e ..,,...i ann,v,n.... en w..ve i,, __.__ o __2
Pag 2'3 cf 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL C0petENTS THAT YOU MAY HAVE: W W m - 6 m m - m - - - m m _ m m e e _ m e _ (Should you wish to provide any additional information, _ _ m m m _ m e m _ m _ m m m m m _ _ _ m m _ m m m m _ _ _ m comunente viewpointe opinion, or other matter that m m m m _ m m _ w m _ m m m m _ _ m m _ _ _ m _ m _ _ _ _ m m you feel the Contention 5 Panel should consider in e m - - m m m - - m m M e M - m m m - - - - m m m - - m e - -. making their findings. please use this page to do so.) _ _ - _ _ m m _ _ m m m _ m m m m m _ _ _ m m m _ _ m _ _ _ m e m - - m m m - = - - m. m m m m m m m m m m _ m m m m m m _ m m M M m m m m m m m m m m m m m m m m m m m m m m m m m m e M m m M M m m m m m m m m m m m m m m m m m m m m m m m m m e W M M m m M M m m m m m m m m m m m m m m m m m m m m m m e m M M M m m m m M m m m m m m m m m m m m m m m m m m m m m m m M M M m m m m m m m m m m m m m m m m m m m m m m m m m m m e m M m m - M M M M m m M e m m m m m m m m m m m m m m m m m m M M M M m m M m m M M M m m m m m m m m m m m m m m m m m m m M M M M M M M m m m m m m m m m m m m m m m m m m m m m m m e M m M M M M m m m m m m m m m m m m m m m m m m m m m m m m m m M m m m m m m m M e m m m m m m m m m m m m m m m m m m m e e 9 m m m m m m m m m m m m m m m m m m - m - m - - m m - m - m - m m m m m m m m m - m m m m m m m m m - m m m m m m m m m m m e m M m M M m m m m m m m m m m m m m m m m m m m m m m m m m m M m m m M m M m m m m m m m m m m m m m m m m m m m m m m e L_m _ M m _ _ m m m m m m m _ e m _ m e m m m m m m m m _ m _ m _ m _ _ m _ m m m m m _ _ m _ _ m m m m m _ m m _ m m m m m m m m m m W M m m m m m m m m m m m m m m m m m m m m m m e 9 m m m m m m m m m m m m m m m m m m m m m m m W M m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m M M m j m m m m m m m m m m m m m m m m m m m m m m m e m - m m m m m m u m m m m m m m m m m m m m m m m m m m - M m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m M M e m m M m m m m m m m m m m m m m m m m m m m m m M M M M m m W W W m e m m m a m m m m m m m m m m m m m m m m m m m M M m e W M M M m m e m m m m m m m m m m m m m m m m - W M e m M M M M M M M
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q,- Ac-vf i Pasje 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET t ITEMTOBECONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING N0: (ForIEHQUse) YOUR NAME: (Last Nasee First) M%j @ WS !(.L _ '.T _ _ _ _ GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE ANO DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
OldR. TOPICAL AREA: * &F556_ 'M e C o 9 E.6-L Y _19 5 Int. FD[Q If not on Itst, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM: Q Tilg., If not on list, enter system here: g]_3fgF.gJgjc_Sj$$gd1_____________ SPECIFIC COMPONENT OR ACTIVITY:
- pIgg If not on list, enter activity here:
g ggg, _1),el a _2._ C,a y f _6 5-g, y c,,1 g g.g _ _ _ _ _ CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) 2-PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW: 3g__ If not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW: If not on list, enter nature here: ji,Lg6gg_p16 % 6.1gS_gLLg6&I,ted___ ' SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: p Q j, Q ,I REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* If not on list, enter type here: TM&hg g._ D16 h &L 66_ AM(s o'110d _ _ _ Sire of sample observed / examined during your review: o Estimated total population avail. during your review: [~ 6 Randomness of sample:(Enter R if random, B if biased) If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C l. 6 C. G T E(m Q S Y _6. _ _ & C 2 3 #} _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ r
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.s ~ Pag 2 2'of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC $NFORMATIONRELATEDTOTHEDEFICIENCIESIDENTIFIEDOREVALUATEDDURINGYOURREVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sunnary of deficiency: (Use a separate page 2 for each deficiency)
~~~~~~~~~~----
_-~~--~~~-~- Specific location of the deficiency: Use YY-M-DO Fomat Date deficiency occurred: -~ Use YY-m-00 Format Date NRC learned of deficiency: Who first " discovered" deficiency:* ~TUseNifNRE,LifLicensee,AifAlleger,0ifOther) If other, enter source here: --~~----------------~--~-~---~~ Number of known similar deficiencies: i s j REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _,_ (Use arabic 01 thru 18. UseNAifnotapplicable) l Other requirement or commitment: ~------~~~---------------~~---- EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency - This specific deficiency considered alone:* ~ When considered with other known deficiencies:* Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: ~ (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sunnary of specific corrective actions, ((-((((((((~(((((((((((((([_-(([ If known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
3 7 Pag 2* 3 cf 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL C00mENTS THAT YOU MAY HAVE: - m m m m m M M - m - m m m m - - M - - - - m - m m - m _ m _ M - m - - m m m m m m e m 6 m M M M - m - - - m M M m e M m m (Should you wish to provide any additional information. - - - M m m m - - m m m m - - m - m M M m m m m m - M - - m - comment. viewpoint. opinion, or other matter that _ M m _ M _ _ m m _ m _ _ _ _ m _ _ m _ _ m m _ _ m m m m m m you feel the Contention 5 Panel should consider in making their findings please use this page to do so.) _ m M _ m _ _ m _ m m m m m _ _ _ _ _ _ _ _ m m m _ m m m _ _, e m - m m m m m - m m - m m m m m - m m - - m m m m m m - - - m M m m m M M M M m m m m m m m m m m m m m m m M m m m m m m m M M m m m m m m m m M m m m m m m m m m m m m m m m m m m m e 4 m u m m m m m m m m m m m m m m m m m m m m m m m m m m m m m N m m m m m m m m m m m m m m m m m m m m m w m m m Mm m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m W M m m m m m m m m m m m m m m m M M M M M M M M m W W W m m m m m m m m m m m m m m m M m m m m m m m m m m m m W m m m m m m m - M m m m m m m M m m m m m m m m m m m m m m M m e m M m m m m m m m M M M m m m m M M M m m m m m m M M M m 6 6 M m m m m m m W W m m W m m m m m M W e m - M m m m m M m O m m g - m mm m m m - m m m m - - - m m m m m m - M e m - - - m m m m m m m m m m m m m m m m m m m m m m m m m m m m - m m m m m m m m m M m m m m m m m m m m m M M m W M M M M M M M M M m m m m m W M m m m m m m m m m m m m m m m m m m m m m m W e 9 m m m m m m m m m m m m m m m m M m m m m m m m m m m m m m m m m m m m m m m m M m m m m m m m m m M m m M M M m m m m - M m m m m m m m m M M W m m m m m m m m m m m m m m m m m m m m G m M M m m m m m m m m m m m m m m M M m m m e - M m m m m m M W W m M M M M M mem m m m m M m m W M M M e m m M M M M M m e 4 m m m m m m m m m m m m m m m m - m m m m m m m m m m m m m e m m m m m m m m m m W W m m m m m m m m M - M m M W m M m m e m m m m m m m m m m 6 m m m m m m m M m m m m M W m M M M M M e m e m m m m m m m m m m m m m M m m M M M M M M M M " W W W m m m m m m m m m m m m m m m m m m m m m M M M M M M " W W g g g g g g g e m e m m m m m m m W N m M M M M M m - M M " M
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Ac-w Page 'l of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: 1 TRACKING N0: (For IE HQ Use) YOUR NAME: (Last Name First) y-S_ %5@)f.t_T____ GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 6 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: SUBJECT OF YOUR REVIEW: TOPICAL AREA: * $Q.__ If not on list, enter area here: ACCIDENT PREVENTION /NITIGATION SYSTEM: OT &g If not on list, enter system here: ggfQg,d 90 MP_ST M 1.Od____________ SPECIFIC COMPONENT OR ACTIVITY:
- i Qygg If not on list, enter activity here:
g pyy gg _ E g Lng _ g r g.71 o g _ yerg, L _ _ _ _ _ _ _ CPS (S UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2 orb) 3 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
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If not on list, enter contractor here: _______________________________j NATURE (TYPE) 0F YOUR REVIEW: C. If not on list, enter nature here: ggc.p g.ps _ f g D _ g ig L b _.t 8 s f gc,I 1. g g _ _ _ SC5PEOFYOURREVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: QQp REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* g g $ If not on list, enter type here: i Size of sample observed / examined during your review: Estisiated total population avail. during your review: Q Z,41 21 gQ i Randomness of sample:(Enter R if random, B if biased) g If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C./_& _ C,4 7 % o g y _ (2 _ d ( r 3 d _ _ _ _ _ _ _ _ _ _ _ j ~
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Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sumary of deficiency: (Use a separate page 2 for each deficiency) Specific location of the deficiency: i (Use YY-MM-DD Format) Date deficiency occurred: Date NRC learned of deficiency: (Use YY-MM-DO Format) ' Who first " discovered" deficiency:* [TuseNifNRE,LifLicensee,AifA11eger,0ifOther) i If other, enter source here: Number of known similar deficiencies: - - - - ~~ - - - - - - - - - - - - - - ~~ ~ - - - - - - - - - - s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: i Your opinion of the degree of seriousness of deficiency i This specific deficiency considered alone:* When considered with other known deficiencies:* i Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sumary of specific corrective actions. ((((~[_-((((((((((((((((((((((_-[ ifknown.) Broad QA/QC actions: (Actions to identify potential similar deficiencies l due to QA/QC causes, and, to prevent recurrence ((((((((((_-((_-((((((((_~(((((([_~ j of similar deficiencies in the future.) 1 a nn, v i n.... caoue..,e o,..
~a + Pag 2 3 cf 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL CONIENTS THAT YOU MAY HAVE: - - - - - - -- - - - - - - - - - - - - - - _ _ _ - - _ _ 9 (Should you wish to provide any additional information. coment, viewpoint, opinion, or other matter that you feel the Contention 5 Panel should consider in making their findings. please use this page to do so.) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ = - - - - M - - - M M - - - - - - m - m - m - - - - - - m - m - - - - - - - - - M M - - - - - - - - - - - - - - m m - - - - - o k - - m - m - - m - - - - m m - m e m - - - - - m - - m - - m - - - - - - M - - M - - - M M - - m - - m - - - - - - - - - - - - - - - - - - - - - - - M M - - - - - - m ---m - m - - - - m - - - M M M M - M M - - - M M - - - M W M - W m M - - M - - - - - - - - - W - - m - - - - m - - M M - - - - - - - - M - - - - - - m - - - - - m - - - - m m - - - - - - m - - - - m - - m - - - - - - - m m m - - - m m - - - - m - M - - m - - - - - m - - - - - - - - - - - - m - m - - - - m - - - - M - - 9 - - - - - - - - - m - - - - - - - - - - - - - - - - M M - - - 9 - - - - - - m - - - - - - - - - - m - - - - - - - - - - - - M m m - - - - - m - - - - - M - - - - - - W - - - - - M - - - -
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AC 12. ..... z Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (For IE HQ Use) YOUR NAME: (Last Name First) [j@ s__Q_QhM_T____ GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: PRINCIPALCONTENTIONSAREARELAJEDT0'YOURREVIEW: 7 t SUBJECT OF YOUR REVIEW: TOPICAL AREA: * , O T. 45t_- If not on list, enter area here: a g _ t erc y 1 P_ I _ 2.d n E G G T l 0 L _ _ _ _ _ _ _ _ _ _ J ACCIDENT PREVENTION / MITIGATION SYSTEM: Q I &l2 If not on list, enter system here: g g _ n P_ F( l f.L G _ $ 3 S ~T FLVl _ _ _ _ _ _ _ _ _ _ _ _ _ SPECIFIC COMPONENT OR ACTIVITY:
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y a _ S g gc.2 p2 4_ q o_ gipp g f!! T[SC J i.VI II _ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) g, PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW: $8. _ If.not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW: g .If not on list, enter nature here: ' SCOPE OF'YOUR REVIEW: 6C)g i EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,qg__ i If not on list, enter type here: Size of sample observed / examined during your review: QOLS Es,timated total population avail. during your review: Opl$ j Randomness of sample:(Enter R if random, B if biased) 3 If biased, enter basis here: A L.c g d, H 1.0 ej _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C. M _ C,M gQ g.9 _ (, _ _ dC-LS _ _ _ _ _ _ _ _ _ _ l '
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e, Page 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU RFVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: i Brief susunary of deficiency: (Use a separate page 2 for each deficiency) ---~~---------~~--~~----------- Specific location of the deficiency: Date deficiency occurred: - - (Use YY-MM-DD Format) Date NRC learned of deficiency: Tuse N if HRE,(Use YY-MM-DD Fonnat) t if Licensee, A if Aiieger, 0 if Other) Who first " discovered" deficiency:* If other,. enter source here: s Number of known similar deficiencies: --[~--------------------------- REGULATORY OR OTHER REQUIREMENT /Com ITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: l EFFECT ON A8ILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your~ opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* 3 Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions, (((((((((((((((((((([~[_-[_-(((([ ifknown.) l s j Broad QA/QC actions: ] (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
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E-37 Page.1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** e REFERENCE INFORMATION: i TRACKING NO: (ForIEHQUse) $ _ _ Q_ _ _blh E.I _ I _ _ _ _ [j@ -~ YOUR NAME: (Last Name First) GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
- O T stat If not on list, enter area here:
Q g _ g, yc p1P_ I _ } d y E g GI t o el t i ACCIDENT PREVENTION / MITIGATION SYSTEM:
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If not on list, enter system here: Jj g _ G E gr,,.l f t G _ p M S I p_A_ _ _ _ _ _ _ _ _ _ _ _ _ SPECIFIC COMPONENT OR ACTIVITY: f I d @. If not on list, enter activity here: 9 o _ 5 E F c. L P1 G _ L o al E 2 !M !! I[B G.T.L V I.I i.. CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or B) B S_R__ PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- If.not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: Mg4-REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,qg__ If not on list, enter type here: Size of sample observed / examined during your review: QOLk___________________________ Estimated total population avail. during your review: Opl$ Randomness of sample:(Enter R if random, B if biased) 3 If biased, enter basis here: A L.f.,E (a M 1.4.61 _ _ _ _ _ _ _ _ _ _ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C. l. 6 _ C a t g6 a (L,Y _ (, _ A C,.l'7. _ _ _ _ _ _ _ _ _ _ _
- Enter Alpha Code From Appropriate List
- Please print using one character per underlined space.
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..n ~ Pag 2 2 of 3 CPSES CONTENTION 5 OATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICTENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVit:WED: DESCRIPTION OF EACH SPECIFIC DEFICIff'CY YOU REVIEWED: Brief summary of deficiency: (Use a separate page 2 for each e ' ciency) [ ~. _ [ [ [ [ [ [ [ [ [ [ [ [ [ [ _~ _- [ [ _- -~ - - - [ - _ Specific location of the deficiene. - ~ (Use YY-MM-DD Format) i Date deficiency occurred: ~- _ TUse N if NRE,(L if Licensee, A if A11eger, 0 if Other) Date NRC learned of deficiency: Use YY-MM-DO Format) ~ ' Who first " discovered" deficiency:* If other. enter source here:
~~~~------------
s Number of known similar deficiencies: REGULATORY OR OTHER REQUIREMENT /C0pel!TMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _,_ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or constitment: ~-~~~-----~~~-----~----------~- EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: Your' opinion of the degree of seriousness of deficiency 'This specific deficiency considered alone:* When considered with other known deficiencies:* [ l Supporting inforination or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sunniary of spectfic corrective actions. ((((((~((((_~_~(((((((((((((((((( ifknown.) Broad QA/QC actions: (Actions to identify potential similar deficiencies i due to QA/QC causes, and, to prevent recurrence j of similar deficiencies in the future.)
-r - r ~ d CPSES CONTENTION 5 DATA SHEET. s e ADDITIONAL COMMENTS THAT YOU MAY HAVE: Should you wish to provide any additional information. _ _.- - _ _ - _ _ _ _ - - - _ _ _ _ - - - _ _ _ _ _ _ _ _ _ - coment, viewpoint, opinion, or other matter that you feel the Contention S Panel should consider in _ _ _ _ _ __ _ _ _ _ _ _ _ e making their findings, please use this page to do so.) _ _ _ _ _ _ _ _ _ .m e_ - - e _ _ - - -. _ _ - - _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ e _ _ _ e _ _ _ _ _ _ _ _ _ _ _ _ e e_ e e- _ _ e _ _ _ _ _ e _ _ _ _ _ _ _ _ _ _ _ - - _ _ - - _ - _ - _ _ _ e _ _ _ _ _ e 9 emme gum. .m em. em .e anus eu. em. eu. gumm .m .m. ene ens em amma .mm .m em e em. eum en eum eme em. m umas _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ e3 _ _ _ - _ e-e- e gump .m eum amme _ _ eme emmy .mp gu. emum _ enum eu. eum esp enn eues enn aus em m .m .e .m emD EDW _e_ _ _ _ _ _ Sm .mh M M em _ S. _ M _ _ D .us emme ame .e .o .mo sum amme _ emo .um em en ese oms enum .se .mm .m em. emm eso een suo amm ame .um eme een ese g g g _ _ ' _ _ _ em _ m _ _ _ _ .S M M M M - M M M M N N " e.m _ _ _ e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ j e -. aus. e-. em.== e-. e-m .= em. e- _ -- e O 0 O O e 6
I cl. A A.C-3 6 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) YOUR NAME: (Last Name First) s,_ _ y /} y_J _ T _ _ _ _ [M p GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
OIdR TOPICAL AREA:
- If not on list, enter area here:
. RE N f _ b_Wil:F4 4 f F C.G Y _ I M S T s L; E C) O kITT, ACCIDENT PREVENTION / MITIGATION SYSTEM: OTgf_ i l If not on list, enter system here: C.Q 6LT1.L M MEA 12'_ Bu.L L D M 4_ _ _ _ _ _.. _ _ _ _ SPECIFIC COMPONENT OR ACTIVITY:
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If not on list, enter activity here: g, g & c f a g _ C.4)( 1 y g _ Q/ - pL,_ _ _ _ _ _ _ _ _ _ _ _. A_ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2or8) ,[ PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- If.not on list, enter contractor here:
NATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: ' SCOPE OF'YOUR REVIEW: ,g 6 ( g. EFFORT EXPENDED IN MAN-HRS, NOT INCL, DOCUMENTATION: QQ2 REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* If not on list, enter type here: Size of sample observed / examined during your review: oo$ Estimated total population avail. during your review: oog Randomness of sample:(Enter R if random, B if biased) g, If biased, enter basis here: po c Q e gu ICQ _ L.9 5 E e u G.ES _ R e3 LT. _ REIM El REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C, l f, _ C A.Jgg a g.] _ k _ f C,- 3 $ _ _ _ _ _ _ _ _ _ _ _ __n j i
- Enter Alpha Code From Appropriate List
- Please print using one character per underlined space.
Please do not exceed allocated spaces.
CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sunnary of deficiency: ---~~~~-~~~~~~----------------~ (Use a separate page 2 for each deficiency) Specific location of the deficiency: Date deficiency occurred: -~ - - (Use YY-MM-DD Format) Date NRC learned of deficiency: ~ Tuse N if NRU,(Use YY-MM-DD Fonnat) L if Licensee, A if A11eger, 0 if Other) i Who first " discovered" deficiency:* If other, enter source here: i Number of known similar deficiencies: (( _--~~~~-----~~~~~~~~~~~~~~~~~ s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: .Applica!sle 10 CFR 50 Appendix B Criterton: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: - ~ - - - - - - - - - - - - ~ ~ ~ ~ ~ ~ - - - ~ ~ ~ ~ ~ ~ - EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: C0RRECTIVE ACTIONS TAKEN OR PLANNED: (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions. [~(([~((((~(((((((((((((((((([_~ ifknown.) l Broad QA/QC actions: (Actions to identify potential similar deficiencies ____________,_,____________g_____ due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
-o Paga 3 of 3 CPSES' CONTENTION 5 DATA SHEET. l [ 4 ADDITIONAL C0PetENTS THAT YOU MAY HAVE: - _ - - - - - - - _ - _ - - - - - _ _ - _ _ _ _ _ _ _ _ _ _ m (Should ou wish to provide any additional information. - _ - _ - - - - - - - - - - _ - _ _ _ _ - - - - - - - - - - o comunent. view int. opinion, or other matter that _ - - _ _ _ - - - _ - - _ - _ _ - - - - _ - - - _ _ _ _ _ - m you feel the Contention 5 Panel should consider in - - - _ - - - - - _ _ _ - - _ _ _ _ - _ _ _ _ _ _ - - _ _-0 making their findings. please use this page to do so.) - - _ - - - - - - - _ - - - - - - - - - - _ - - - - - - -__ - - - - - - - _ _ - - - - - - - - - - - _ - _ _ _ _ _ _ __s i L__l - - - - - - - - - - - - - - - - - _ m _ - _ _ - _ _ m _ m _ _ - - - - - - - _ - - - - - - - - - - - - - - - - - _ _ _ _ m - - - - - - - - - - - - - M - - - - - - _
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4 ..s Ac-9 i Page 'I of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING N0: (ForIEHQUse) YOUR NAME: (Last Name First) itti M__ O_E___ GROUP OR ORGANIZATION: 9________________________________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SU8 JECT OF YOUR REVIEW:
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If not on list, enter contractor here: h______________________________ NATURE (TYPE) 0F YOUR REVIEW: If not on list, enter nature here: R_ gC g4 ps _ u p_ C,a. g e g g y gg _ g/ a g, g._ _ _ _ _ SCDPE OF YO'R REVIEW: U EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: ppa REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* g a g _8 j If not on list, enter type here: .____________~___________________ Size of sample observed / examined during your review: ,o p p j., Estimated total population avail. during your review: ogp1 i Randomness of sample:(Enter R if random, 8 if biased) 6 If biased, enter basis here: E gq t gg/gp_ q p_ g C _ P gg _1 Q L -- 8 $ o g -- o q 2. _ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: I,g _ gg -- pf.[p,/ 3 9 - 30_. G49_Calwea_4_5__8d=__33_________ )
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4, Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sunnary of deficiency: (Use a separate page 2 for each deficiency) [~-[_~((_-((((((((~[__~--[_--[_--- Specific location of the deficiency: (Use YY-MM-DD Fomat) . Date deficiency occurred: -~ ~ ~ (Use YY-MM-DD format) Date NRC learned of deficiency: ' Who first " discovered" deficiency:* [ TUse N if HRE, L if Licensee A if Alleger, 0 if Other) If other, enter source here: Number of known similar deficiencies: ((((~~~-~~---~~--------~-~~~--~ s REGULATORY OR OTHER REQUIREMENT /COWi!TMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment:
~--------------------------
EFFECT ON ABILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency .This specific deficiency considered alone:* When onsidered with other known deficiencies:* Supporting infomation or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions. ((_-[~((((((~(((((((((((((((((([ if known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
. ~. o. Paga 3 ef 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL COPMENTS THAT YOU MAY HAVE: M m 6 M m m m m m _ _ m m m m m m m _ m _ _ m _ m _ _ _ _ _ _ (Should you wish to provide any additional information, m m m m - M M m m m e e m M e m m = m M M M m e = m m e - m m m m m _ M m _ m e m _ _ m _ m m m _ m m m m _ m e m m _ _ 6 m conenent. viewpointe opinion, or other matter that you feel the Contention 5 Panel should consider in m m m _ m _ m m _ m m m m _ m m m _ _ _ m m m m _ m m m m m e makin9 their findings. please use this page to do so.) _ _ _ m m m _ m m m _ _ m m m _ - _ _ _ m _ m m m _ m m _ m m 6 m - m m m m m m m m m m m m - m m m m m m m m m m m m m m e = = m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 4 9 9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m 6 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m W m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e O 9 - - g - m m m m m m m m m m m = = m e m m m m m m m - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m = = m m m m m m m m m m m m m m m m m m m m m m m m 9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e 9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m - m - m - m m m m m m m m m m m m m I m m m m m m m m m m m m m m m m m m m m m m m m m m m " " " " m m m m m m g e m m m m m m m m m m m m m m m m m m m m m e 9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M 9 og 4
E] . >] - dC-3/ l Page*1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** l REFERENCE INFORMATION: TRACKING N0: (For IE HQ Use) l YOUR NAME: (Last Name First) P j [ [ [ @[p _ g_ _ _ _ _ _ l GROUP OR ORGANIZATION: ?p_______________________,_______ l. SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SU8 JECT OF YOUR REVIEW:
ff56 TOPICAL AREA:
- If not on list, enter area here:
_ ] [ [ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, i ACCIDENT PREVENTION / MITIGATION SYSTEM: a 7g 4 If not on list, enter system here: A L. j,. _ S y g.y cI g g. g 6_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ j SPECIFIC COMP 0NENT OR ACTIVITY:
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If not on list, enter activity here: A. L. L _ s I g y47 g g. g 6 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'I.2or8) 4 PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
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If.not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW:
- V If not on list, enter nature here:
SCOPE OF YOUR REVIEW: i EFFORT EXPENDED IN MAN-HRS. NOT INCL, DOCUMENTATION: G QQ 4-REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* If not on list, enter type here: M i.ED_M M _E~cfflgd_______________ i Size of sample observed / examined during your review: .p.L 5 D Estimated total population avail. during your review: i Randomness of sample:(Enter R if random. B if biased) R___ If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: 1R_50r445l83:23__ c.14 _ C.a 2 E4 c? tzq _ gi_ _ AC 2L__________ 2 '
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..I .. + I Pag 2 2 'of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sunnary of deficiency: (Use a separate page 2 for each deficiency) _~~-__---_-~~__-_--- Specific location of the deficiency: - - (Use YY-MM-DD Format) Da;.e deficiency occurred: _TuseNifHRE,(LifLicensee,AifA11eger,0ifOther) Date NRC learned of deficiency: Use YY-pM-DD Format) Who first " discovered" deficiency:* If other, enter source here: s Number of known similar deficiencies: ((((--------------------------- REGULATORY OR OTHER REQUIREMENT /CODMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Srpporting information or basis: i I CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U ff Unknown / Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions. - [ _~ - - [ [ [ [ [ [ [ [ [ [ _- [ [ [ - [ [ _- [ _- [ [ [ _- - [ Ifknown.) i Broad QA/QC actions: (Actions to identify potential similar deficiencies ________,___________________s___ due to QA/QC causes, and, to prevent recurrence of sinflar deficiencies in the future.) 8 ,.,...w..,..
? -s* 4 CPSES CONTENTION 5 DATA SHEET. AD0!TIONAL C00MENTS THAT YOU MAY HAVE: _ _ m _ _ m e m _ m m _ _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Should you wish to provide any additional infomation, _ _ _ M _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ m _ _ _ _ m _ m _ _ m m _ _ _ _ _ _ m _ _ m _ _ _ _ m _ _ _ _ _ _ m _ _ _ m commente vi inte opinion, or other matter that - m - - - - m M m - m - m - m - - m m - m - - - m m _ m m - - you feel the contention 5 Panel should consider in making their findings please use this page to do so.) _ _ m _ _ _ _ _ m _ m _ m _ _ _ _ _ _ m _ _ m m _ _ m m _ _ _ e - - - - m - M M = = m - - - - - - m m - m - m.. m. W e m m M M M M M M m M m m m M e m m m m m m m m m m m m m m m m m e M M M M M M M M m m m m m m m m m m m m m m m m m m m m m m e 9 0 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M MyM M M M M M M M M M M M m m m M m m m m m m m m m m m m m I m - M - m m - - - - - m m - - - m m m m _ _ _ _ _ m _ _ _ m _ M M M M 6 M M M M m W M M W m m m m m m m m m m m m m m m m m M m M M M M M m m M M M W e m m m m m m W m M m m m m m M m m M M M M M M m m m m W M M M m m m m m m m m m m m m m m m m m M m m M M M M m W M M M m m m m m m m m m m m m m m m m m m m m m M m M m m m m M M M M M m m M M M W m m m m m m m m m m e e 9 m - m m m m m - - m - - - m m m m - - - - - - m m m - m - m m m m m W M M M M M M M M m m m m m m m m m m m M W m m m m m e m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m e m M M M M M M M M M M m m m m m W M M M M M M M m m m m m m m 9 M M M M M m M M M M m W M M m m m M M M M M M M m m m m w e m M M M M m m M M m m M M m m m m M W m m m m m m m m m e m W M m e m W M m m m m m m m m m m m m m m m m m m m m m m m m m e a m m m m m m M M M M M M M M M m M M M M M M M m M M M M m M M M M m m M W m W meM m M - M m M M M M M M M m M M M M W m M m O m m m m m m m m m m m m m m m - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M M M m m m m m M m m m m m m m m m M W m m m m m m W m m M M M W e m M M m M m m m m m m m m m m m m m m m m m m m m m m m m M 6 m M M M M M m m m m m m m m m m m m m m m m 6 m M W m m W M M m m M M " M I I m m m m m m m m m m m m m m - - m m - m m m - m m - m m m m e I
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Y . ~.. Pagr 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief susuary of deficiency: ~ ~ ~ ~ ~ ~ ~ - - - - ~ ~ ~ - - - - - - - - - - - - - - - - - - - (Use a separate page 2 for each deficiency) Specific location of the deficiency: -- (Use YY-MM-DD Format) Date deficiency occurred: [ Tuse N' if HRE,(Use YY-MM-DD Format) Date NRC learned of deficiency: Who first " discovered" deficiency:* L if Licensee, A if A11eger, O if Other) If other, enter source here: Number of known similar deficiencies: s REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: __ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief summary of specific corrective actions. ((((-[-[_-~_^((_-(([-[_-((_'-(((([_~(( if known.) ] Broad QA/QC actions: (Actions to identify potential similar deficiencies l due to QA/QC causes, and, to prevent recurrence l of similar deficiencies in the future.)
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A C.- S 2 - " s Page 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEN TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING N0: (For IE HQ Use) YOUR NAME: (Last Name First) 6 &] M5_ T,,,, _ _,,, _ _ _ GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: PPIN',IPAL CONTENTION S AREA RELATED TO YOUR REVIEW: SUBJECT OF YOUR REVIEW: TOPICAL AREA:
- G C_ _
If not on list, er.ter area here: ACCIDENT PREVENTION /NITIGATION SYSTEN:
- Q _T&g If not on list, enter system here:
a.9 y L 61 a g.9_61) L L o Ly _ _ _ _ _ _ _ _ _ _ _ _ _ SPECIFIC COMP 0NENT OR ACTIVITY:
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If not on list, enter activity here: 6 9 %1.6.1 e.E.Y _ 61.6 6_ G C._ Ps F6 M _ _ _ _ _ _ _ _ _ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1, 2 or 8) ,[ PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW: * .gf(_ _ If not on list, enter contractor here: 4 NATURE (TYPE) 0F YOUR REVIEW: C, If not on list, enter nature here: KgG.q (_p5 _ kg D_ E.t g L.D_1-d 5 6. liiE GI.L Q d _. _ _ SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: o Q J,% i REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* Q & Q,_ If not on list, enter type here: EstiWated total population avail. during your review: og o.4 Size of sample observed / examined during your review: gog 1 i Randomness of sample:(Enter R if random, B if biased) R If biased, enter basis here: l REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: p,,,/ 42_ CA I g @ py _ f _ _ 6C - 5 ? _ _ _ _ _ _ _ _ _ _ '~* Entsr Alpha Code From Appropriate List i **Picase print usino one character per underlined space. Plante dn not aveeed allocated enacae
k CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORNATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: (Use a separate page 2 for each deficiency) - - - - - - - - ~ ~ ~ - ~ ~ ~ - - - - - - - - - - - - ' _ - - ' - - Specific location of the deficiency: i Date deficiency occurred: Use YY-MN-DD Fomat Date NRC learned of deficiency: Use YY-MN-DD Format Who first " discovered" deficiency:* [TuseNifNRc,LifLicensee,AifAiieger,OifOther) If other, enter source here: Number of known similar deficiencies: ((((~~~----'-------------------- s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or committment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* [ S::pporting infomation or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief susmary of specific corrective actions. (([_-(((((((([~((((~((((~(([_-((_~ if known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies 1 m due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
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( Pag 2 3 ef 3 CPSES CONTENTION 5 DATA SHEET. ADDITIONAL CopWENTS THAT YOU MAY HAVE: m m m m m - M e m m - m M e m m m 6 m m m m e e m m m e m m M (Should you wish to provide any additional information, m _ M m m _ m m m _ _ m _ m m m m _ _ m m m m _ w m _ m m m m connent. viewpoint. opinion, or other matter that m m _ _ _ m _ m _ m _ m _ m m m m _ m m m _ M m m m _ m m m m you feel the Contention 5 Panel should consider in _ m m m m _ m m m m m _ _ m m m _ _ _ m m m m m _ m _ m m m e making their findings please use this page to do so.) e m _ m _ m m m m m m _ m _ m _ m _ _ _ m _ m m _ W m m _ _ m m e m - m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m W W m m m m m m m m W m m m m m m m e W W W m m m m m m m m m m m m m m m m m m m m m m m m m m m m S m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m w e - - m m m - m m m m m - m - - - - m m m - m - m m - m m m m - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m e W m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m W M e m m m m m m m m m m m m m m m m m m m m 9 m m m m m m m m m m m m m m m m m m m - m m m m - - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m - m m m m - m m - - - m m m m m m m m m m m - m e m m O e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m W W M m m m m m m m m m m m m m m m m m m m m m e e m w m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m M m m m m m m m m m e W e m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m W W m m m m m m d m e m - m m m m m m m m m m m - m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e e p m m m m m m m m m m m m m m m m m m m m m m - m m m m m m m m H G .e
Ac.- 2 2, Paga'l of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING NO: (ForIEHQUse) _______T_______ YOUR NAME: (Last Name First) DEVEg9_ GROUP OR ORGANIZATION: 6______________________________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: f PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
- 6,C. _ _
If not on list, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM: QTQ.L2. If not on list, enter system here: C, o g I-hL O LAFLJT_ %3).t. L D LN.Cg _ _ _ _ _ _ _ _ _ _ _ OT jff SPECIFIC COMP 0NENT OR ACTIVITY: If not on list, enter activity here: En G I Q g._ $ 6 M L I Y _Ml M L. _ _ _ _ _ _ _ _ _ _ _ _ C.'>I;S UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2 orb) .). PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- 3g__
.If not on. list, enter contractor here: h_________________7_gSpg4TLgef___ NATURE (TYPE) 0F YOUR REVIEW: If not on list, enter nature here: gigGq rg.ps _ pg ry _ p.t g.4.D _ SC6PE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: OoQ8 REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,q g _ If not on list, enter type here: Size of sample observed / examined during your review: Q_QQh._____.______________________ Estislated total population avail. during your review: pgQ$ Randomness of sample:(Enter R if random B if biased) g If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: c [ 6 _ C.g g % g t2.g _ _4 _ _ &.9. '3 5 _ _ _ _ _ _ _ _ _ _ "* Enter Alpha Code From Appropriate List e$P12ase print usina one character per under1tned snace. Plane an nnt.ve..a niinent.a en c.e
l i Page 2 of 3 CPSES CONTENTION 5 DATA SHEET l SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sunnary of deficiency: --- __- - _ - _ ~ _ ~ _ ~ _ - - _ _ - - - _ _ - - - _ _ _ _ _ - - _ ~ ~ - ' _ - (Use a separate page 2 for each deficiency) Specific location of the deficiency: ~~(UseYY-l#1-D0 Format) Date deficiency occurred:
- TUse'N if NRE,(L if Licensee, A if Alleger, O if Other)
Use YY-MM-DD Format) i Date NRC learned of deficiency: i Who first " discovered" deficiency:* I If other, enter source here: Number of known similar deficiencies: ~ [ [ [ "" ~ - - - - - ~ ~ '- - - - - - - ~ ~ ~ ~ ~ ~ - - ~ ~ ~~ g REGULATORY OR OTHER REQUIREMENT /C0f0f!TMENT NOT MET: Use NA if not applicable) Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. j Other requirement or connitment: ~ ~ ~ - - - - - - ~ - - - - - - - - - - - - - - ~ ~ - - ' ' - - - - ' - EFFECT ON ASILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: j Your opinion of the degree of seriousness of deficiency .This specific deficiency considered alone:* i When considered with other known deficiencies:* i ~ Supporting information or basis: i l CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes N if No, U f f Unknown / Uncertain) Specific actions to correct deficiency: (Brief sumnary of specific corrective actions, ((-(([-((((~(((((((((((((((((([ if k"0""-) Broad QA/QC acti;ms: - - ~ - - ' ~ ~ ' ~ - - - - ~ ~ ' ' ' - - ~ - " ' ~ - - - - - - - - - - (Actions to identify potential similar deficiencies
~~-------~-'------'----- ~ ---
j due to QA/QC causes, and, to prevent recurrence of sfallar deficiencies in the future.) ~ ~ ~ ~ ' _ ' - - ~ ~ ~ ~ ~ - - - - ~ ~ ~ - - - ~ ~ ~ ~ ~ 'anniTTnwat enmurwn tr<.....+. v 3.a... .... o
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CPSES CONTENTION 5 DATA SHEET. ADDITIONAL C0f9ENTS THAT YOU MAY HAVE: M m - M m 6 m m - m m M m m - m - m - m m - M M m m m m - m m (Should ou wish to provide any additional information, m m m e m M M m M m m 6 m W m m M - m m M M m m e m - m m m = m m _ m _ m _ m m m m m m _ m m m _ m m m m _ _ m _ m m m m m comment. viewpoint opinion, or other matter that m _ _ m m _ m m m m - M _ m m m m _ _ m _ m m m _ _ m m m m m you feel the Contention 5 Panel should consider in making their findings please use this page to do so.) e m m m - m m m m m m m - m m m m m m m m e m - m m m m - 6 m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e l m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e i e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m h m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m u m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m W M m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m W W m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e O O 4 m m g e m m m m m m m m m m m = = m m m m m m m m m m m m - - m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e 9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m W W m m m m m m m m m m m m m m m m m m m m m m m m I m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m O m m m m m W W e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e I m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m _ m m m _ m m m m _ m m m m m _ m m m _ _ _ _ m _ m e m _ m m m m m m m m m m m m m - m m m m m m - - m m m m m - - - m m D m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m j m m m m m m m m m m m m e m m m m m m m m m m M w m M M M M M
- 9 m m m m m m - m m m m m m m m m - m m - - m e m - m m m e - -
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l -5 Ac 34_ ~ Pag 2' 1 of 3 i CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** 4 REFERENCE INFORMATION: TRACKING N0: (ForIEHQUse) YOUR NAME: (Last Name First) D G 3 4E C.S _ d _ _ _ _ _ _ _ l GROUP OR ORGANIZATION: SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: i -8 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
- CG__
~ If not on list, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM: OT _4_R If not on list, enter system here: M P 5 (nu erE.D 6 _ 6 V W Q M _ _ _ _ _ _ _ _ _ _ _ _ SPECIFIC COMP 0NENT OR ACTIVITY:
- 0%g If not on list, enter activity here:
M E= E 6 9 A g/) _ S1.p 4_ W d 5_ _ _ _ _ _ _ _ _ _ _ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1,2or8) [ '-. PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- g__
If not on list, enter contractor here: MATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: SCOPE OF YDUR REVIEW: i EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: pp0b i REPRESENTATIVE TYPE OF ITEM CONSIDERE0 IN YOUR REVIEW:* g&g _ If not o.e list, enter type here: Size of sample observed / examined during your review: ogg L Estimated total population avail. during your review: a g g,j Randomness of sample:(Enter R if random B if biased) g If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: Gj f _ C, Ay g4 o g.y _ 4_ _4 C _ 3 4 _ _ _ _ _ _ _ _ _ _ l L 'o Enter Alpha Code From Appropriate List l o*Please print using one character per underlined space. Please do not exceed alineated snace=.
s Paga 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION 0F EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief sununary of deficiency: - ~ ~ - ' - ~ ~ - ~ ~ ~ ~ ~ - - - - - - - - - - - - - - - - - - - - (Use a separate page 2 for each deficiency) l Specific location of the deficiency: j i l Date deficiency occurred: -~ -- (Use YY-MM-DD Fomat) [ Tuse N' if NRE,(L if Licensee, A if Alleger, O if Other) Use YY-MM-DD Format) Date NRC learned of deficiency: Who first " discovered" deficiency:* If other, enter source here: Number of known similar deficiencies: ((((--~'-------~-----~-~~-~~~-'-- s i REGULATORY OR OTHER REQUIREMENT / COMMITMENT NOT MET: Use NA if not applicable) Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Other requirement or constituent: ~ ~ ' - - - - - - ~ ~ - - ~ - ~ ~ ' - - - - - - - - - - - - - - - - EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* ) Supporting triforination or basis: j q 4 C0RRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes. N if No U if Unknown / Uncertain) Specific actions to correct deficiency: (8rief sununary of specific corrective actions. [ [ [ [ ~ [ [ [ ~ [ [ [ _~ [ [ [ [ [ [ [ [ [ _~ [ [ [ _ _' _- [ [, if known.) ________._____________________-_l ,i ) l Broad QA/QC actions: 4 j (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.) 3 ocmemm -,. u,.. ... ;.. s 1
Pagi 3 ef 3 CPSES CONTENTION 5 DATA SHEET AD0!TIONAL C0pmENTS THAT YOU MAY HAVE: (Should ou wish to provide any additional infonnation. comunent e viewpoint, opinion, or other matter that you feel the Contention 5 Panel shnuld consider in making their findings, please use this page to do so.) l 4 4 a e e
N, - ~. AC - Pag 51 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED'** 1 REFERENCE INFORMATION: TRACKING NO: (For IE HQ Use) YOUR NAME: (Last Name First.) p ]-] L Q o_ g_ _ _ _ _ _ GROUP OR ORGANIZATION: 5______________________________ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 8 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW: i SUBJECT OF YOUR REVIEW: TOPICAL AREA: * $C__ If not on list, enter area here: 4 QTh_g___________________________ ACCIDENT PREVENTION / MITIGATION SYSTEM:
- If not on list, enter system here:
C, p @ I A L u g g g I _ S g t L p M g _ _ _ _ _ _ _ _ _ _ _ SPECIFIC COMPONENT.OR ACTIVITY:
- Q I g 12, If ::ot on list, enter activity nere:
C, o g T A _! e M E FT_ D e 8.F_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ s CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1,2 orb) [ gg__ i PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
- l If not on list, enter contractor here:
) 2 NATURE (TYPE) 0F YOUR REVIEW: ] If not on list, enter nature here: i SCOPE OF YOUR REVIEW: 'i EFFORT EXPENDED IN MAN-HRS NOT INCL. DOCUMENTATION: ~Op2.f-REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* Q gg_ If not on list, enter type here: Size of sample observed / examined during your review: 6pq{ 3 Est,imated total population avail. during your review: OQQ {- { Randomness of sample:(Enter R if random, B if biased) @ If biased, enter basis here: g,L_L_ g,E_,pgu g._ P % _ 12 L 6 S PS :q LS ___ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS:
- 3. 8 _ 4-4 5 / T 9.
L L _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ i NCB_C. 191B_____________________
- c. L s _ C, A I sh a E-S _.3 _ AC = & 4 _ _ _ _ _ _ _ _ _ _ _
j b ~ I '
- Enter Alpha Code From Appropriate List
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Pag 3 '2 of 3 CPSES CONTENTION 5 DATA SHEET. SPECIFIC INFORMATION RELATED TO THE DEFICIP4CIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWEU: Oppl DESCRIPTION OF EACH SPECIFIC DEFICIENCY IOU REVIEWED: Brief sumary of deficiency: La g C,t? Ei'.IB _ W er 5_ E 1- & C E D _ L M _ T t! E _ P o_ M E (Use a separate page 2 for each deficiency) _ 9 E _11 g 12 _1_ us i r # 0 u I_ G C._ A E!' f 8 o V a. L _ Specific location of the deficiency: U g j T. _1_ C o.g,7 a._t g,$ stJ r _ Do p g _ _ _ _ _ _ _ _ Date deficiency occurred: 7 $ - pl _l$ (Use YY-MM-DD Fomat) Date NRC learned of deficiency: "1 og - if NRf,(L if Licensee, A if Alleger, 0 if Other) Use YY-MM-DD Format) Who first " discovered" deficiency:* 8(UseN If other, enter source here: Number of known similar deficiencies: [2666-------------------------- i REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: J O(Use arabic 01 thru 18. Use NA if not applicable) Other requirement or comitment: i EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* L When considered with other known deficiencier:* j, Supporting information or basis: .p O M _ g,4 $ _ p g g Q F D_ $ p gelQ _ g a T t{ __S.5/ _ Q L.T E 89B M IC., _ TE6 T i tJ 4 _ 4 u o _ GT E.o c. T u rL a _ _ _ _ _'I~Bfg &d 'I M _ I ES T l M (q _ _ _ _ _ _ _ _ _ _ _ _ k_LM CORRECTIVE ACTIONS TAKEN OR PLANNED: d (Use Y if Yes, N if No, U if Unknown / Uncertain) i Specific actions to correct deficiency: (Brief sumary of specific corrective actions. [ [ [ [ [ [ [ [ [ [ [ [ [ [ - [ [ [ [ _ _- - [ [ - [ _~ _^ [ _^ if known.) Broad QA/QC actions: QgiE J.C. -[ g7_ Q.t gel _Cf_ g/ _f (.,,l_-. _6 G _ & fa f E65 6Q _9,z Y (Actions to identify potential similar deficiencies g[ q,C 49_ pa L2.T _ e e _ p\\lg g. 6_LL._ PL due to QA/QC causes, and, to prevent recurrence GQ C 6 A4.Pid f.LC' _ G-EM L EW _ C2 d CE/Ed i dlly _ PS of similar deficiencies in the future.) a c._ j)6l r) Eg _ C,dT _ (v_.9C _ Id 32 FG.T L e d_ _ _ --- e A / s.. w. u es u - annerrnun <nuweuve it, s-. - - - - -.. --.-- v --..-- w i,
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- SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
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If not on list, enter area here: l ACCIDENT PREVENTION / MITIGATION SYSTEM: OIt}I2 l If not on list, enter system here: g> & I: g(a M A E.f>_ LL d I>_ C Q M I &.L eJ # FM I _ 6 L Q 66 t l SPECIFIC COMP 0NENT OR ACTIVITY:
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If not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW: g If not on list, enter nature here: SCOPE OF Y0ER REVIEW: l EFFORT EXPENDED IN MAN-HRS, NOT INCL, DOCUMENTATION: eq1Q REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*.Q&g_ If not on list, enter type here: l Size of sample observed / examined during your review: p p QS. Estimated total population avail. during your review: Q Q 2, j Randomness of sample:(Enter R if random B if biased) If biased, enter basis here: REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C],6_C,M E(no n _s__4c,_35.__________ i ~ '** Ent;r Alpha Code From Appropriate List _ **P100EDEPfot cI31gl@D Ghwwtw EW Gnd2711ned g@co, Plano dn mt co;ccr3 011ncated enac c
Pag 2 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: (Use a separate page 2 for each deficiency) (([-(([_~__-((((~(((([~(((((((((( Specific location of the deficiency: (Use YY-MM-DD Format) Date deficiency occurred: [ Tuse N if NRf,(Use YY-MM-DD Fomat) Date NRC learned of deficiency: L if Licensee, A if Alleger, 0 if Other) ~ Who first " discovered" deficiency:* If other, enter source here: Number of known similar deficiencies: ((((~~-------------------------- s 1 REGULATORY OR OTHER REQUIREMENT /COPMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or constituent: EFFECT ON A81LITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency -This specific deficiency considered alone:* When considered with other known deficiencies:* [ Supporting information or basis: 1 CORRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief sununary of specific corrective actions. ((((((((((((~_-((((((((((((((_-(( if known.) Broad QA/QC actions: (Actions to identify potential similar deficiencies 1 due to QA/QC causes, and, to prevent recurrence of sinflar deficiencies in the future.) .e
g. v ~ CPSES CONTENTION 5 DATA SHEET ADDITIONAI. COPMENTS THAT YOU MAY HAVE: (Should you wish to provide any additional information, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ connent, viewpoint, opinion, or other matter that you feel the Contention 5 Panel should consider in making their findings, please use this page to do so.) 4 _ _ _ _ m m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ M _ _ _ _ _ _ _ m _ _ _ _ _ _ _ _ _ m _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ _e_ _ _ _ _ _ _ _ M _ _ _ _ _ _ _ _ _ _ _ _ _ G _ m _ _ _ _ _ _ _ _ _ _ _ _ m m _ _ _ _ _ _ m _ _ _ m _ _ m _ _ W _ _ _ _ _ _ M _ _ _ _ _ _ _ _ m _ _ _ _ m _ _ _ _ _ _ _ _ _ _ _ _ M _ _ W M _ W m _ _ _ _ _ _ _ m _ _ _ _ _ _ _ m M _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ m _ _ _ _ _ - e _ m W M _ _ W _ _ _ W _ _ _ _ _ _ _ _ _ _ m m _ _ 6 6 _ _ _ _ m _ m m _ _ _ _ _ _ _ _ m m _ m m m _ _ _ m m _ _ _ _ _ _ _ _ i I
AC-S L Pag 2 1 of 3 CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING MO: (For IE HQ Use) YOUR NAME: (Last Name First) 9_8.LLLGC)*_8______ GROUP OR ORGANIZATION: 5_____ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: 7 PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
TOPICAL AREA:
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If not on list, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM:
- 07M12, If not on list, enter system here:
A L L._ C. o#C.E.5IE_ 6TE n c/TS E_ES_ _ _ _ _ _ _ _ SPECIFIC COMPONENT OR ACTIVITY: QIy2 If not on list, enter activity here: CogC,g.gTg_STg,gG,7vfLE5____________ s CPSES UNIT' INCLUDED IN YOUR REVIEW: (Enter 1,2or8) S g[R _ _ PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
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NATURE (TYPE) 0F YOUR REVIEW: g - If not on list, enter nature here: ~ SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: opfb REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* Q a g _ If not on list, enter type here: Size of sample observed / examined during your review: 0 0 h (_g _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, Estimated total population avail, during your review: OQ3@ Randomness of sample:(Enter R if random, B if biased) S If biased, enter basis here: ALLEGATJod_____________________ REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C, / 6 _ C g I g Q p (L Y _ 5 _ _4 G. h 4 _ _ _ _ _ _ _ _ _ _ _ : 1 '* Enter Alpha Code From Appropriate List ocPlease print using one character per under11ded space. Please do not exceed allocated spaces.
7 7-CPSES CONTENTION 5 DATA SHEET i SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW I TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: OOQ1 i DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency: 8Jil7 EE6 I 6_ 0. G _ CQ. L1.C I-SI1ii 8 3 I d 6 b90.1, (Use a separate page 2 for each deficiency) e py_ # A g e E g _ W g rl,g _ d 27_ _ C,6 g.g.1 E Q _ E Q.T_ Alp _ fg FC,,1 F 4_ C,q d Cg_G rf _ pfg.gg I pg, gip Specific location of the deficiency: 1 Date deficiency occurred: -0 - QO (Use YY-MM-DD Fonnat) Date NRC learned of deficiency: -p (Use YY-MM-DD Format) Who first " discovered" deficiency:* Use N f , L if Licensee, A if Alleger, 0 if Other) If other, enter source here: l Number of known similar deficiencies: Mdd--------------------------- REGULAJORY OR OTHER REQUIREMENT /COPMITMENT NOT MET: Applicable 10 CFR 50 Appendix B Criterion: g8(Usearabic01thru18 Use NA if not applicable) Other requirement or commitment: - - - - - - - - " ' - - - - - - - - - - - - - - - - - - - ~ ~ - - EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This-specific deficiency considered alone:* Q When considered with other known deficiencies:* g,) Syg, LQ_ u 5 g gGS _ C4 t A PT_ B F_ DW I F Adf; NE Supporting information or basis: D _ Q M X L G _ bC Bl eDI_8 A MM96_ TE ST - - - - CORRECTIVE ACTIONS TAKEN OR PLANNED: g(UseYifYes,NifNo,UifUnknown/ Uncertain) Specific actions to correct deficiency: (Brief sumary of specific corrective actions. (((((((([-((((((((--(((([-[__-(( ifknown.) Broad QA/QC actions: BE_ & S.S ES S ED _ B Y _ QgP_tGJ.]e~.dQ1_dLkLtJC_86_P&8T_E6_QMFEd44PE (Actions to identify potential similar deficiencies 7g7_GB d'ue to QA/QC causes, and, to prevent recurrence oG&aoggA7.LG_EgyLEv_Ce#CEg#LM _ P _E of similar deficiencies in the future.), g G _ o g D g g, _ C d T _ h _ S ? _ I d.5F_ E rr I I E _ _ _ _ ,...-,n d ris-, v 44 vA,- u < < ua anntrrnuni enuurure t r <.... - + -v
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f.j,,4. _ 4p g c._ fyg.p p.7 p g.gf, _ _ _,, _ _ _ _ _ _ _ _ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter'1. 2 or B) S PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
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I ~. Pag 2 2 cf 3 CPSES CONTENTION 5 DATA SHEET SprCIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i, 1 TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: 4 Brief summary of deficiency: (Use a separate pace 2 for each deficiency) - - _ - - - ~ - - - ' - - - - ' _ - - - - _ _ - - ' - - _ - - - ' - - - Specific location of the deficiency: --(UseYY-2-DDFormat) . Date deficiency occurred: [ Tuse-N if HRE,(Use YY-MM-DD Format)L if Licensee, Date NRC learned of deficiency: ' Who first " discovered" deficiency:* If other, enter source here: Number of known similar deficiencies: ((['--------'-------------------- s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON ABILITY OF COMPONENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* [ Supporting infomation or basis: C0RRECTIVE ACTIONS TAKEN OR PLANNED: - (Use Y if Yes N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief susunary of specific corrective actions. (([_-[_-((((((((_-(((((((((((([_-(( if knwn.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.).
~ Paga 3 ef 3 CPSES CONTENTION 5 DATA SHEET. A00!TIONAL CON 4ENTS THAT YOU MAY HAVE: m m m m m e m m m - m - - m - m - m m m W m m m W m m m - _ _ m m _ _ m m m m m m m _ _ m m m _ m _ m _ m m _ _ m m (Should you wish to provide any additional information, m M M m M m m m m m m m m - - m e m m m m m - - - m m m m consent. viewpoint. opinion, or other matter that _ _ _ M m m m m m _ m _ _ _ _ _ _ _ _ _ m _ m m m m m _ m you feel the Contention 5 Panel should consider in snaking their findings please use this page to do so.) _ _ _ _ _ _ _ m _ m _ m m _ _ m _ _ _ m m m m m W M m m m e m m m - - m m m m m m m m m m m - m m m m. - - m - m m e u m M m m m m m m W W M m m m m m m m m m m m m m m m m m i j m m m m m m m m m m m m m m m m m m m m m m m m m m m m m o m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M W m m m m m m m m m m m m m m m m m m m W m m m m m m j m m m m m m m m m - m - e m m m m m m m e - - m - - m m e j . m - - - - = M m m m m m - m m - m m m m m - m m m - m m 1 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m e m m m m m m m m M m m m m m m m m m m m m m m m m m M e m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M m m m m m m m m m m m m m m m m m m m m m m m m m m m m O I m e g e m mm m m m m m m m m m m m m m m m m m - - m m e m m m m m m m m m M W m m m m m m m m m W M W m m m m M M M m m m m m m m m m m m m m m m m m m m m m m m m m m m e M = = - m m m m m m m m m m m - m m m W W M M - m m m m - 9 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m W W W W m M m W W W W e m m W W M e m m m m m m m m m m W m m m m m m m m m m m m m m m m m m m m m m m m m m m m m 6 m m m m M M M M m m m m m m m m m W W m W W W m m m m m e e M M W m M M M m mem m W W W m m m M m M M m m m m m m m M 1 m m m m m m H m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m W W M M m m m m m m m m m m m m m m m m m m m m m m m m m m m m m ' M W m m m m m m W M m m m m m m m m m m m m m m m m m m e - m - m m _ _ m. m m _ m m m m m m m m m m m e - - - m m - - m m m m m m m m e - m m - m e m m m m m m - m - m m e I
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CPSES CONTENTION 5 DATA BASE INPUT SHEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** i REFERENCE INFORMATION: i TRACKING NO: (ForIEHQUse) j YOUR NAME: (Last Name First) 6g9@5~T_______ GROUP OR ORGANIZATION: i l SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: ,f PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- i SUBJECT 0F YOUR REVIEW:
TOPICAL AREA:
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If not on list, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM:
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If not on list, enter activity here: er g _ p p p(,._ Gyg. y g yg _it.gts_ _ _ _ _ _ _ _ _ _ _ _ j CPSES UNIT IKLUDED IN YOUR REVIEW: (Enter'1, 2 or B) g i PRIKIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW: S g,_ _ If not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW:
- 1 l
If not on list, enter nature here: Go g.pg_ e g D _ _/ 2 syr_LQ_ ge/fegC. T,t, e A]_ _ _ SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS NOT IKL. DOCUMENTATION: O2Q6 i REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:* q f g,_ If not on list, enter type here: Sire of sanple observed / examined during your review: .g o Es'timated total population avail. during your review: 03 Randomness of sample:(Enter R f f random, B if biased) [ If biased, enter basis here: j REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: c_,,/ 6_ C AT g4 o M _ 2 _ _ & C, r 1,3_ _ _ _ _ _ _ _ _ _ 3, I _______________________________3 ) j '* Enter Alpha Code From Appropriate List i ocPlease print usino one character per underifned snace. P1. ace an nat.ve..d niincat.d en.c.e
l l l l Page 2 of 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW i TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: DESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief suunary of deficiency: (Use a separate page 2 for each deficiency) I Specific location of the deficiency: j . Date deficiency occurred: Use YY-M -DD Fo: mat Use YY-MM-DD Format Date NRC learned of deficiency: Who first " discovered" deficiency:* [TuseNifHRE,LifLicensee,AifAlleger,0ifOther) I If other, enter source here: Number of known similar deficiencies: ((((""--------------------------- s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment: EFFECT ON ASILITY OF COMP 0NENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: C0RRECTIVE ACTIONS TAKEN OR PLAMED: _ (Use Y if Yes, N if No, U if Unknown / Uncertain) Specific actions to correct deficiency: (Brief suunary of specific corrective actions, ifknown.) Broad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.).
Pdge 3 cf 3 CPSES CONTENTION 5 DATA SHEET. AD0!TIONAL C0fetENTS THAT YOU MAY HAVE: M - m - = m - - - - - = - - - - m m - - m - - - m - - m - m (Should you wtsh to provide any additional information. m.. - - - - - - M m - m m - m m m _ m - m - - - m - m - - m - - - - - - e e - m - m - - - - - - m M - -m - e - - M - - commente viewpoint, opinion, or other matter that M - m - - - - m - - - m m _ m m - m - m - - - m - m e e - m you feel the contention 5 Panel should consider in making their findings please use this page to do so.) m um m - - m m - m - m - - - - e - - - m - - m - - m - m m e - - m m m - = = m - - m - - - - - m - - - m m m m m. - - - M W W W %m m m m m m M m m m m M e m m m m m m m m m m m - - m - m - m - m - - - - - m m - - - - - m m m m m m m m - - D 9 M m m - M M m m m m m m m m m - m m m m m m m m m m m m m e W M M M M m M M M M M m m m m m m m m m m m m m m m m m W - m - m - m m - m - m - m e m - m m m m m m m m m m m m m m e W W W m M M M M M m M m m m m m m m m m m m m m m m m m m e O M M W m m m M M M M m m m m m m m m m m m m m m m m m m m - M W W W m m W m M e m M M 6 m m m m m m m m m m m m m m m m M m m M M M m m m m m m m m m m m m m m m m m m m - m e m e W W W W M m m M m m M M e m m m m m m m m m m m m m m m m e G J G q - - g - - - - - - - - - - - - = = = m - - m e m m e - - m m m m m m m m m m m m m m m m m m m w - - m - m m m m - m m m m M m M w M M M M M M M M m m m M m m m - M M M M O m M M M M M m m m m M M M M M M W e m e m M m m m m m m W 6 m W m M W m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m M m M M m M m M O M M M M M M m e m M M m m M M - m - m m m W W m M M m m m m m m m m m M W m m m m m m m m m M M m m e m M M m W m M 6 m m m m m m m m m m m m m m m M m m m m m e M M M W m O m m Me- - m M m M M - m e m m M m m M m W W W m M M M M M - M M M M 6 m h W W m m m m m W W W W m W W W m m m m m m m m m m m m m h m m m m m m m m m m m m m m m m m - m m m m m m m m m - M M w M m m m m m m m m m m M M M M M M m m m m m m m m m m m m m m m m m m m m m Sa m M M m m M M M m e m e m m m m m m m m m m m
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Page'1 cf 3 CPSES CONTENTION 5 DATA BASE INPUT.5HEET ITEM TO BE CONSIDERED DATA TO BE ENTERED ** REFERENCE INFORMATION: TRACKING N0: (ForIEHQUse) YOUR NAME: (Last Name First) D 5 0 ili @ 6 _ 7 _ _ _ _ _ _ _ GROUP OR ORGANIZATION: 6_______________________------_ SPECIFIC INFORMATION RELATED TO THE SCOPE AND DEPTH OF YOUR REVIEW: A PRINCIPAL CONTENTION 5 AREA RELATED TO YOUR REVIEW:
- SUBJECT OF YOUR REVIEW:
TOPICAL AREA: * $C__ If not on list, enter area here: ACCIDENT PREVENTION / MITIGATION SYSTEM: Q T [p _(2. If not on list, enter system here: &L. L _ ?.2 9.GB FIE_ d T i?.V. 4 IV/5 ?6_ _ _ _ _ _ _ _ SPECIFIC COMP 0NENT OR ACTIVITY: g I Sg. If not on list, enter activity here: M,.L _ G q d cg.gIE _ 6 I S V GT y rl F6_ _ _ _ _ _ _ _ CPSES UNIT INCLUDED IN YOUR REVIEW: (Enter 1,2 orb) 3 j PRINCIPAL CONTRACTOR INVOLVED WITH YOUR REVIEW:
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If not on list, enter contractor here: NATURE (TYPE) 0F YOUR REVIEW: C. i If not on list, enter nature here: g FCQ.6-Q6_ er bl D_ E LE.L.D_ L 4 5 6 FGT1 Q el _ _ _ SCOPE OF YOUR REVIEW: EFFORT EXPENDED IN MAN-HRS, NOT INCL. DOCUMENTATION: p 00 $ REPRESENTATIVE TYPE OF ITEM CONSIDERED IN YOUR REVIEW:*,Qhd_ If not on list, enter type here: Size of sample observed / examined during your review: a op3 Esti6ated total population avail. during your review: o pq 3 Randomness of sample:(Enter R if randon, 8 if biased) g If biased, enter basis here: l l REFERENCE DOCUMENTS THAT DESCRIBE YOUR FINDINGS: C. / 6, C, a y g4 o g.y _ 2._ _ 4 Q. c Q _ _ _ _ _ _ _ _ _ _ a i
- Er.t';r 8)pha Code From Appropriate List ocplance nrint usinn nne charartor ner underlined <n=c.
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a ~ Pag 2 2 'cf 3 CPSES CONTENTION 5 DATA SHEET SPECIFIC INFORMATION RELATED'TO THE DEFICIENCIES IDENTIFIED OR EVALUATED DURING YOUR REVIEW TOTAL NUMBER OF DEFICIENCIES YOU REVIEWED: GESCRIPTION OF EACH SPECIFIC DEFICIENCY YOU REVIEWED: Brief summary of deficiency:
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(Use a separate page 2 for each deficiency) Specific location of the deficiency: (Use YY-M-DO Fomat) . Date deficiency occurred: - - (Use YY-M-DO Format) Date NRC learned of deficiency: Wh) first " discovered" deficiency:*
- TuseNifNRE,LifLicensee.AifA11eger,0ifother)
If other, enter source here: Number of known similar deficiencies: ((((~~~~-~~--~'~~--~~~~~~~~----- s REGULATORY OR OTHER REQUIREMENT /COMITMENT NOT MET: Applicable 10 CFR 50 Appendix 8 Criterion: _ _ (Use arabic 01 thru 18. Use NA if not applicable) Other requirement or commitment:
~~-~----~-----------~------
EFFECT ON ABILITY OF COMr9NENT OR SYSTEM TO FUNCTION: Your opinion of the degree of seriousness of deficiency This specific deficiency considered alone:* When considered with other known deficiencies:* Supporting information or basis: CORRECTIVE ACTIONS TAKEN OR PLANNED: (Use Y if Yes, N if tio, U if Unknown / Uncertain) Specific actions to correct deficiency: [______________________________ (Brief sussiary of specific corrective actions. if known.) Brcad QA/QC actions: (Actions to identify potential similar deficiencies due to QA/QC causes, and, to prevent recurrence of similar deficiencies in the future.)
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