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Category:License-Fitness for Duty (FFD) Performance Report
MONTHYEARML24037A2142024-02-0606 February 2024
Annual Fatigue Report Form for 2023
ML24012A1102024-01-12012 January 2024
Single Positive Test Form Collected on 02/14/2023
ML24012A1082024-01-12012 January 2024
Single Positive Test Form Collected on 02/03/2023
ML24012A1182024-01-12012 January 2024
Single Positive Test Form Collected on 02/21/2023
ML24012A1172024-01-12012 January 2024
Single Positive Test Form Collected on 02/21/2023
ML24012A1092024-01-12012 January 2024
Single Positive Test Form Collected on 02/07/2023
ML24012A1112024-01-12012 January 2024
Single Positive Test Form Collected on 02/15/2023
ML24012A1212024-01-12012 January 2024
Single Positive Test Form Collected on 10/16/2023
ML24012A1192024-01-12012 January 2024
Single Positive Test Form Collected on 01/13/2023
ML24012A1202024-01-12012 January 2024
Single Positive Test Form Collected on 09/20/2023
ML24012A1162024-01-12012 January 2024
Single Positive Test Form Collected on 02/16/2023
ML24012A1072024-01-12012 January 2024
Single Positive Test Form Collected on 01/30/2023
ML23051A0012023-02-20020 February 2023
Annual Fatigue Report Form for 2022
ML23046A0632023-02-15015 February 2023
Single Positive Test Form Collected on 04/04/2022
ML23046A0682023-02-15015 February 2023
Single Positive Test Form Collected on 08/18/2022
ML23046A0522023-02-15015 February 2023
Single Positive Test Form Collected on 08/28/2022
ML23046A0512023-02-15015 February 2023
Single Positive Test Form Collected on 08/28/2022
ML23046A0622023-02-15015 February 2023
Single Positive Test Form Collected on 08/17/2022
ML23046A0572023-02-15015 February 2023
Single Positive Test Form Collected on 02/09/2022
ML23046A0502023-02-15015 February 2023
Single Positive Test Form Collected on 08/28/2022
ML23046A0552023-02-15015 February 2023
Single Positive Test Form Collected on 08/31/2022
ML23046A0582023-02-15015 February 2023
Single Positive Test Form Collected on 07/27/2022
ML23046A0652023-02-15015 February 2023
Single Positive Test Form Collected on 08/17/2022
ML23046A0562023-02-15015 February 2023
Single Positive Test Form Collected on 09/02/2022
ML23046A0642023-02-15015 February 2023
Single Positive Test Form Collected on 05/11/2022
ML23046A0672023-02-15015 February 2023
Single Positive Test Form Collected on 08/03/2022
ML23046A0662023-02-15015 February 2023
Single Positive Test Form Collected on 09/15/2022
ML23046A0702023-02-15015 February 2023
Single Positive Test Form Collected on 05/18/2022
ML23046A0692023-02-15015 February 2023
Single Positive Test Form Collected on 05/18/2022
ML23046A4552023-02-15015 February 2023
Annual Report Form for Drug and Alcohol Tests for 2022
ML23046A0712023-02-15015 February 2023
Single Positive Test Form Collected on 08/23/2022
ML23046A0492023-02-15015 February 2023
Single Positive Test Form Collected on 8/24/2022
ML23046A0542023-02-15015 February 2023
Single Positive Test Form Collected on 08/30/2022
ML23046A0482023-02-15015 February 2023
Single Positive Test Form Collected on 03/09/2022
ML22104A1472022-04-14014 April 2022
Single Positive Test Form Collected on 04/04/2022
ML22056A3962022-02-25025 February 2022
Single Positive Test Form Collected on 11/10/2021
ML22056A3952022-02-25025 February 2022
Single Positive Test Form Collected on 08/10/2021
ML22056A3942022-02-25025 February 2022
Single Positive Test Form Collected on 04/21/2021
ML22056A3972022-02-25025 February 2022
Single Positive Test Form Collected on 09/15/2021
ML22056A3982022-02-25025 February 2022
Single Positive Test Form Collected on 03/31/2021
ML22056A4002022-02-25025 February 2022
Single Positive Test Form Collected on 08/20/2021
ML22056A4012022-02-25025 February 2022
Single Positive Test Form Collected on 04/04/2021
ML22056A4022022-02-25025 February 2022
Single Positive Test Form Collected on 02/24/2021
ML22056A4032022-02-25025 February 2022
Single Positive Test Form Collected on 08/26/2021
ML22056A4042022-02-25025 February 2022
Single Positive Test Form Collected on 04/06/2021
ML22056A4052022-02-25025 February 2022
Single Positive Test Form Collected on 04/13/2021
ML22056A4062022-02-25025 February 2022
Single Positive Test Form Collected on 06/24/2021
ML22056A4072022-02-25025 February 2022
Annual Report Form for Drug and Alcohol Tests for 2021
ML22056A3992022-02-25025 February 2022
Single Positive Test Form Collected on 03/31/2021
ML22049A9852022-02-18018 February 2022
(50-335, 50-389), Annual Report Form for Drug and Alcohol Tests for 2021
2024-02-06
[Table view] |
Text
Select FacilitySt. Lucie [50-335; 50-389]Reason for Testing - 26.717(b)(5)Pre-AccessPre-Access Testing Reason (optional)Reinstatement (Between 31 and 365 days)Please elaborate (optional)Employment Type - 26.717(b)(3)Contractor/VendorLabor Category - 26.717(b)(3)Maintenance (Craft)Refusal - 26.717(b)(7) & 26.75Was this collection refused (Yes / No)?Test Results - 26.717(b)(4)Test ValidityNot ApplicableTest Type(s) for Result(s) Reported - 26.717(b)(2)Alcohol OnlyAlcohol TestingBreathAlcoholSubstance - 26.717(b)(2) & (b)(6)Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied14- Day DenialSave to Local PCPrint this ReportUnique Reference Number (Licensee Supplied)444455QNote: 1) All fields are required except those marked 'optional'. 2) Entries in some form fields may result in information being auto-populated into other form fields. 3) Use Adobe Reader 8 or later for this form to work properly.
- 4) Hold your mouse over a form field to view additional information.Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)NoNoDate of Collection (mm/dd/yyyy)02/25/2014Submission UpdatePerson(s) Responsible for Information Provided Company Email Addresslisa.alvarez@fpl.comFirst NameLisaPosition TitleMROAPosition TitleAA/FFD Program ManagerFirst NameDavidLast NameBonthronLast Name AlvarezCompany Email Addressdavid.bonthron@fpl.comPerson 1 (required):Person 2 (optional):Single Positive Test Form (version 1.5.0 - January 1, 2014)Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission. LockedForm Locked On:Jun 11, 2014 at 10:35:12 AMReason for the ActionFirst drug or alcohol positiveWhat 26.103 BAC level was exceeded?0.04 or greaterDid this collection involve a subversion attempt (Yes/No)?NoSubversion Attempts - 26.717(b)(7) and 26.75(b)Sanction Applied (NRC Minimum or Licensee Administrated)NRC MinimumDelete SubmissionFFD Program Performance Data Reporting SystemSingle Positive Test Form(EIE General Submission Portal)
