ML110310468

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Nine Mile Point, Unit 2 - Final Qa/Related Forms (Folder 1)
ML110310468
Person / Time
Site: Nine Mile Point Constellation icon.png
Issue date: 12/22/2010
From: Fish T H
Operations Branch I
To:
Constellation Energy Nuclear Group
Hansell S
Shared Package
ML101900599 List:
References
TAC U01790
Download: ML110310468 (14)
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Text

Examination Preparation Checklist Form ES*201*1 Facility: Date of Examination:

f Developed by: Written -Facility t NRC 0 II Operating

-Facility rR NRC 0 Target Chief Date* Task Description (Reference)

Examiner's Initials -180 Examination administration date confirmed (C.1.a; C.2.a and b) -120 NRC examiners and facility contact assigned (C.1.d; C.2.e) rr -120 Facility contact briefed on security and other requirements (C.2.c) IF -120 Corporate notification letter sent (C.2.d) TF [-90) Reference material due (C.1.e; C.3.c; Attachment 2)] !VA {-75} Integrated examination outline{s) due, including Forms ES-201-2.

ES-301-1. ES-301-2. ES-301-5.

ES-D-1's.

ES-401-1/2.

ES-401-3. ES401-4. as applicable (C.1.e and f; "IF {-70} Examination outline(s) reviewed by NRC and feedback provided to licensee (C.2.h; -cP {-45} Proposed examinations (including written, walk-through JPMs, scenarios, as applicable), supporting documentation (including ES-301-3.

ES-3014. ES-301-5, ES-301-6, and ES-401-6, and any ES-201*3 updates).

and reference materials due (C.1.e, f, g and h; cF -30 Preliminary license applications (NRC Form 398's) due (C.1.!; TF -14 Final license applications due and Form ES-201-4 prepared (C.1.!; C.2.i; ES-202) Tr -14 Examination approved by NRC supervisor for facility licensee (C.2.h; lr -14 Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g) IF -7 Written examinations and operating tests approved by NRC (C.2.i; TP -7 Final applications reviewed; 1 or 2 (if >10) applications audited to qualifications

/ eligibility; and examination approval and waiver letters TP (C.2.i; Attachment 4; ES-202, C.2.e; ES-204) -7 Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k) cr -7 Approved scenarios, job performance measures, and distributed to NRC examiners if"

  • Target dates are generally based on facility-prepared examinations and are keyed to the examination identified in the corporate notification letter. They are for planning purposes and may be adjusted on a case basis in coordination with the facility

[Applies only) {Does not apply} to examinations prepared by the ES-201, Page 24 of 27 Examination Outline Quality Checklist Form ES-201-2 Facility:

Nine Mile Point Unit Date of Examination:

November 2010 Item Task a b* 1. Verify that the outline(s}

fit(s) the appropriate model, in accordance with ES-401. Y2 1JP TF R b. Assess whether the outline was systematically and randomly prepared in accordance with I Section D.1 of ES-401 and whether all KiA categories are appropriately sampled. rF' T T c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics. \fL 1-fg IfF Assess whether the justifications for deselected or rejected KiA statements are appropriate.

N {2 a. Using Form ES-301-5, verify that the proposed scenario sets cover the required of normal evolutions, instrument and component failures, technical IFand major transients.

I Assess whether there are enough scenario sets (and spares) to test the projected number and mix of applicants in accordance with the expected crew composition and rotation L without compromising exam integrity, and ensure that each applicant can be tested using ff at least one new or significantly modified scenario, that no scenarios are from the applicants' audit test(s), and that scenarios will not be repeated on subsequent A T To the extent possible, assess whether the outline(s}

conform(s}

with the qualitative R {2 '(Fand quantitative criteria specified on Form ES-301-4 and described in Appendix D. 3. Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2:

(1 ) the outline(s) contain(s) the required number of control room and in-plant W distributed among the safety functions as specified on the yJ 1 (2) task repetition from the last two NRC examinations is within the limits specified on the form , \F T (3) no tasks are duplicated from the applicants' audit test(s) the number of new or modified tasks meets or exceeds the minimums specified on the form the number of alternate path, low-power, emergency, and RCA tasks meet the criteria on the form. Verify that the administrative outline meets the criteria specified on Form ES-301-1:

(1 the tasks are distributed among the topics as specified on the form at least one task is new or significantly modified no more than one task is repeated from the last two NRC licensing examinations Determine if there are enough different outlines to test the projected number and of applicants and ensure that no items are duplicated on subsequent 11> rF a. Assess whether plant-specific priorities (including PRA and IPE insights) are in the appropriate exam

{J. 1\1 G E .-ifAssess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate.

N E Ensure that KiA importance ratings (except for plant-specific priorities) are at least 2.5. R Check for duplication and overlap among exam sections. A L e. Check the entire exam for balance of coverage. Assess whether the exam fits the appropriate job level (RO or SRO). YJj, 1-rF .1'.u.L. b a Printe?

a. Author lEs. .

V--:-VA<. I,' I b. Facility Reviewer (*) Robert I. Brown Jr. ,OiDi<-I If) c. NRC Chief Examiner (#) TCDD J..-.!{lTfrl J. ()j d. NRC Supervisor

'ell / --::;;."( .:... -Note: # Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.

  • Not applicable for NRC-prepared examination outlines

'I' ES-201 Examination Security Agreement Form ES-201-3 NVlAf;l 1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 116<;;11 () as of the date of my signature.

I agree that I will not knowingly divulge any information about these examinations to any persons who have not authorized by the NRC chief examiner.

I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).

Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.

I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of 1\ (l s-Zt> . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as speCifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE DATE NOTE N.tW 1-\:2... (), r -PI T O/i!, Tr-" tA J (" 1(0 -u:L O'fS 0 .) -'2., z;. (5 SRo Rb C/{) o S "'--"A.W ( oJ>Ul..* CPS 774/N'/J-/? =9 I' ES-20 1, Page 27 of 28 ES-201 Examination Security Agreement Form ES-201*3 1. Pre-Examination jV1:t&

I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of lIbs h, as of the date of my signature.

I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner.

I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).

Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations andlor an enforcement action against me or the facility licensee.

I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of \\ {,(",It <:)
  • From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1. kGv...v' .-.,,6'/c d ;;; J ........ :i v,l"",P tP.tII:. T We '7 j{tlt ii 2. QQC' S 0-.0 3. Fie..t1. a tCaIt ..r.y I 4.

J m iichhi,.,,'IoY

__

____ 5. 'ric.: &mwAY jiO-56/'N

6.

Ria J 7.

R'.o . 8. o. 9. Jt.1J Slue lLa 10. ...p.,...J-"7::. rf(;:11 ...-\,j'Y" ill.v # 11. i'Q<>:"e.wr!, ....J! 6=)Q-("" t e JII£J-ZUfP!¥ .1L.F:J /v-'. Ilj"-::t,£fl l 12. . :oR 0 *

.. > ------rH-, ...

..,. '" ..

NOTES: ES-201, Page 27 of 28 ES-201 Examination Security Agreement Form ES-201-3 1. Pre-Examination

)\1\: l4.. f'I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of f'/IS /,0 as of the date of my signature.

I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner.

I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).

Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.

I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, J did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of t . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAM E JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE atf's It.i:s\fuuc?fuzAININq

$.......

"-"c,,\'Pt

'-SdJ?\....(P,; <l t .]4** M ......

ES-201, Page 27 of 28

___________________

__ _ ES-201 Examination Security Agreement Form ES-201-3 1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of S-60 as of the date of my signature.

I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner.

I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback)..Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.

I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge,.

I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the weekes) of \ \

Au. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as speCifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY DATE SIGNATURE (2) DATE NOTE 120 s,(lO SM A!'<"'.7 f('" Kerr.... .;z:AIS'r j n.-/.... ::::r-J".> r:1"VV v r-'" c..."ro ,/" ..+1'l....1'" , -:M sf..cu t f..v..c . .£ 10 '" 1\ Il v\ < t' /v' S 7"',,"2, .....' 11: GVJ{(A"IDAIJJ\ 12.,__________________________________

__ ooJ1 PIU.1.R D \\ \C\ t qp,I\J\,lY\rUA,r

13. . 14.______________

_________________________

_ _______ 15.___________________________________

_ NOTES: ES-201, Page 27 of 28

NNP ES*201 Examination Security Agreement Foml ES*201*3 1.

I acknO'Nledge.

that I have acquired specialize(!

Imo"{1edge SDoul1,11e NRC IIt$nslng examInations schedukld ror the week($)

of dat.. of my sign!ltUl'e.

I agree that Iwl!l !lot knOWIngly divulge anylntormatJon l.lOout th$se examlnation$

to any whO have not been eivthorzed by the NRC chief e:<amlner, ! understanO ti'!a11 am not to lostl\lct.

evaluate, or provIde perrormance feedbacK to thOM applicants sched.wed 10 administered th8$EI Uc:el'.5il1g e:.:.amlr'letiO!1s from this date until completion of e)(smination edminlstration.

except as specifically noted belo'N I.'lnl1lluthonzed by the NRC (B.g., acting as a simulator iX)¢th operator or communicator IS acceptable if the individual doe!> not the training content or pro\lide <Inlet or indirect feedback).

Furt""rmore, I am of the physical security l"1!!1a!ut'i/$

and requirements ias documented in the facility I!censee's proceQures) and understand that vio,atlon or the conditions of thIs agreement may result In canceUat!on ofthe lPMlMlnatlons and/or an 'lnforcem&r.t action agai/1$t me or the 1aClll1y Ilcens&e, I wll! Irrtl'nedlately report to facilit'j managememt or the NRC cilter examiner any or suggestions that e;.:am!natiOn security may have compromised.

2.

To the b$st of my kncr,,1edg., I did not diVUlge to any t,mauthorized persons <'Iny information cQncernlng the NRC Ilcel1,In9 examinations admmls:E>red ti1e week(s) of . ... ...... ..... From the date that I entere!:1 into this security agr$E!n1ent until lne completion of'ili<amination ad'11inistration, I did not eva'uate, or perfotrYlance teed!:?ack to those. applicants who wer& ad!rI'1'l!itered these flcl'lnwng examinations.

e.xcept as spec1flca!ly OQled belOW and authQrlzed by the NR,C, PRINTED NAME JOBTiTLEiRE3PONSlBILITY SIGNATURE (1) DATE DATE NOTE Mal'k !':.a.'v'.boyt, atJl :;.bJ/h U

(/3, _____________* 4, ____________________

_ S. _________________

-____________,

6. ____________________________. 7. ______________________________

_ s. __________________________

_ 3, ______-_ ":-:-::-:-------ES*201 ,

27 of 28 Operating Test Quality Checklist Form Facility:

Nine Mile Point Unit Date of Examination:

November 2010 Operating Test Number: 1 Initials 1. General Criteria a b* 0# The operating test conforms with the previously approved outline; changes are consistent with /"\ sampling reQuirements (e.g., 10 CFR 55.45, operational importance, safety function distribution).

'tfl 1fl; Tf There is no day-to-day repetition between this and other operating tests to be administered during this examination.

'(r..t f The operating test shall not duplicate items from the applicants' audit testes). (see Section D.1.a.) '/L-I11=' Overlap with the written examination and between different parts of the operating test is within y)

  • acceptable It appears that the operating test will differentiate between competent and applicants at the desiQnated license ;2 121, "IF 2. Walk-Through

---Each JPM includes the following, as initial

  • initiating cues references and tools, including associated procedures
  • reasonable and validated time limits (average time allowed for completion) and specific* designation if deemed to be time-critical by the facility operationally important specific performance criteria that
  • -detailed expected actions with exact criteria and

-system response and other examiner cues statements describing important observations to be made by the applicant-criteria for successful completion of the task -identification of critical steps and their associated performance standards y1 -restrictions on the sequence of steps, if applicable Ensure that any changes from the previously approved systems and administrative outlines (Forms ES-301-1 and 2) have not caused the test to deviate from any of the

{2 criteria (e.g., item distribution, bank use, repetition from the last 2 NRC examinations) speCified 1B on those forms and Form ES-201-2.

3. Simulator

The associated simulator operating tests (scenario sets) have been reviewed in accordance Form ES-301-4 and a copy is y2 1lu3 -rF Printed Name I Signature/1 Date a. Author James G. Reid

/..to b. Facility Reviewer(*)

Robert I. Brown Jr. I.e!. / Zt* //6 yf V>rt 1f,.;r)A

c. NRC Chief Examiner (#) d. NRC Supervisor 7<:::::? ]) *O /()1ZlJ.1, fJ. :
  • The facility signature is not applicable for NRC-developed tests. # Independent NRC reviewer initial items in Column "en; chief examiner concurrence required.

Simulator Scenario Quality Checklist Nine Mile Point Unit 2 Date of Exam: November 201 0 Scenario Numb QUALITATIVE ATTRIBUTES The initial conditions are realistic, in that some equipment and/or instrumentation may be of service, but it does not cue the operators into expected The scenarios consist mostly of related events. Each event description consists of

  • the point in the scenario when it is to be initiated
  • the malfunction(s) that are entered to initiate the event
  • the symptoms/cues that will be visible to the crew
  • the expected operator actions (by shift position)
  • the event termination point (if applicable) No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the without a credible preceding incident such as a seismic The events are valid with regard to physics and thermodynamics. Sequencing and timing of events is reasonable, and allows the examination team to complete evaluation results commensurate with the scenario If time compression techniques are used, the scenario summary clearly so Operators have sufficient time to carry out expected activities without undue time Cues are The simulator modeling is not altered. The scenarios have been validated.

Pursuant to 10 CFR 55.46(d), any open performance deficiencies or deviations from the referenced plant have been to ensure that functional fidelity is maintained while running the planned Every operator will be evaluated using at least one new or significantly modified All other scenarios have been altered in accordance with Section 0.5 of All individual operator competencies can be evaluated, as verified using Form (submit the form along with the simulator Each applicant will be Significantly involved in the minimum number of transients and specified on Form ES-301-5 (submit the form with the simulator The level of difficulty is appropriate to support licensing decisions for each crew position.

Target Quantitative Attributes (Per Scenario; See Section D,S.d) Actual Attributes Total malfunctions (5-8) 8 8 6 Malfunctions after EOP entry (1-2) 2 1 1 Abnormal events (2-4) 4 5 3 Major transients (1-2) 1 1 1 EOPs entered/requiring substantive actions (1-2) 1 2 w= ! contingencies requiring substantive actions 0 1 1 Critical tasks (2-3) 2 2 2 Initials a b" !W Ikfl rtf'/& I"Y. IL 1lz 1Y t £ 2;:t; f f-"'(iP'!

ES-301 Transient and Event Checklist A P P L I C A N T RO 1 E V E N T T Y P E RX NOR I/C 1 CREW POSITION S A B R T 0 0 C P Exam: November 2010 Scenarios 2 3 (labeled NRC #5) CREW CREW POSITION POSITION S A B S A B R T 0 R T 0 0 C P 0 C P MAJ TS R02 R03 R04 Form ES-301-5 Operating Test No.: 1 T M 0 I N T CREW I A M POSITION L U S R A T B 0 M('") 0 C P Transient and Event Checklist Date of Exam: November 2010 A P 1 P E L N CREW I T POSITION C A S A N R T 0 C T R05 SRO-I MAJ TS RX NOR SRO-I IIC 2 MAJ TS Instructions:

2 S A B R T 0 0 C P Scenarios 3 (labeled NRC #5)

S A B R T 0 0 C P Form ES-301-5 Operating Test No.: 1 4 T M I 0 N T CREW I A M POSITION L U S R 0 A T C B 0 P R M(*) U Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants.

ROs must serve in both the "at-tha-controls (ATC)" and "balance-of-plant (BOP)" positions; Instant SROs must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position.

If an Instant SRO additionally serves in the BOP position, one IIC malfunction can be credited toward the two IIC malfunctions required for the ATC position. Reactivity manipulations may be conducted under normal or control/ed abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional instrument or component malfunctions on a 1-for-1 basis. Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.

ES*301 Competencies Checklist Form ES-301-6 Facility:

Nine Mile Point Unit 2 Date of Examination:

November 201 0 Operating Test No.: 1 APPLICANTS SRO ATC BOP Competencies SCENARIO SCENARIO SCENARIO 1 2 3 1 2 3 1 2 3 Interpret/Diagnose Events and Conditions 2,3,4,5,6

,7,8,9 All 3,4,6,7,8

,9 3,5,6,7,8 3,4,6,7 M,8 4,5,6,7,8

,9 1,2,5,6,7

,8 6,8,9 Comply With and Use Procedures All All 3,5,6,7,8 3,4,6,7 2,3,4,5,8 1,4,5,6,7

,8,9 1,2,5,6,7

,8 1,6,8,9 Operate Control Boards 3,5,6,7,8 M,6,7 2,3,4,5,8 1,4,5,6,7

,8,9 1,2,5,6,7

,8 1,6,8,9 Communicate and Interact All All All All All Demonstrate Supervisory All All All Abi Comply With and Use Tech. 1,2,5 1,2 6,7 Notes: (1 ) Includes Technical SpeCification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs.

Written Examination Quality Checklist Form ES-401*6 Facility:

Nine Mile Point Unit 2 Date of Exam: November 2010 Exam Level: RO. SRO

  • Initial Item Description Questions and answers are technical!

accurate and a licable to the facilit . a. NRC KlAs are referenced for all questions.

b. Faci!" learnin ob'ectives are referenced as available. The sampling process was random and systematiC (If more than 4 RO or 2 SRO were re eated from the last 2 NRC licensin exams, consult the NRR OL pro ram office Question duplication from the license screening/audit exam was controlled as indicated below (check the item that applies) and appears

...1L the audit exam was systematically and randomly developed; __ the audit exam was completed before the license exam was started; _ the examinations were developed independently; __ the licensee certifies that there is no duplication; _ other Bank use meets limits (no more than 75 percent Bank Modified from the bank, at least 10 percent new, and the new or modified);

enter the actual RO / SRO-only 26%/32% 3%/4% uestion distribution s at ri ht. Between 50 and 60 percent of the questions on the RO Memory exam are written at the comprehensionl analysis the SRO exam may exceed 60 percent ifthe 45%/20% 55%/80%selected KlAs support the higher cognitive levels; the actual RO / SRO question distribution s at ri References/handouts provided do not give away or aid in the elimination of Question content conforms with specific KIA statements in the previously examination outline and is appropriate for the tier to which they are deviations are

10. The exam contains the required number of one-point, multiple choice the total is correct and a rees with the value on the cover Printed Name / Signature
a. Author b. Facility Reviewer (*) c. NRC Chief Examiner (#) d. NRC Regional Supervisor II
  • The f:9cilityreviewer's initials/signature are not applicable for NRC-developed examinations.
  1. Inde endent NRC reviewer initial items in Column "c"; chief examiner concurrence re uired.

c Written Examination Grading Form ES-403-1 Quality Checklist Date of Exam: t) Exam Level: RO. SRO Initials a b Item Descri Clean answer sheets before Answer key changes and question deletions and Applicants' scores checked for addition check> 25% of Grading for all borderline cases (80 +/-2% overall and 70 or as a +/-4% on the SRO-onl reviewed in All other failing examinations checked to ensure that are Performance on missed questions checked for deficiencies and wording problems; evaluate of estions missed half or more of the a Printed Date a. 111:34 he b. Facility ) . .,./ /Z';'C fJ-/ {7/t" NRC Chief Examiner (*) \,-/1,/1 ( 2.../2-7..to

d. NRC Supervisor

(*) ! (*) The facility reviewer's signature is not applicable for examinations graded by the NRC; two . NRC reviews are uired.

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