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rFOU FOR EVALUATIWG EIMPORTABILITY Page I of 4

nrTMllATITO OP M o FTABILITTlot 10 CrF 50o.5s.

Plant/Unit IW l/// /t n Rmber

Title

Description of Deficiency: (J^ w - "j• -J Jiw

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A. Deficiency it in desian _ or construction __. Yes

Basis: M a (I/'A&fX

B. The Deficiency keprsent.a:

1. A aignificant breakdown in a portion of the quality aasurar conducted in accordance with 10 CFR 50, Appendix B. (T1 Vendor _ )

Indeterminate Yea HN

Basis: (v /A I ifYtL' fA ^/b (2r €A CfcLj

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01/30-1992 17:58 WN SITE LIC 61! 365 88e

WuN OC PO3TI? I IQOUI-RUMS sI1 IV Pal

APP• DIX 3 - 1 Page 2 of 4

rT~lnllW~ Ol or EntTAILTT wnEm :rrT rO 10 CFm so.s(t)

2. A significant deficiency in final design as approved and r tor construction such that the design does not conform to criteria and bases stated in the Final Safety Analysis Rep or the Construction Permit (CP).

Indeterminate _ Yes -___ No

Basis (Reference FSAR or CP section': ~ CO1A€ _ _-. G/_W.Wt<

At O-ff l/ FwaOZt1V f/O /lb Axtnwo 'at AV ot-J//

3. A significant deficiency in construction of _ or signi damage to _ a structure, system, or component (SSC) vh require extensive evaluation _ , extensive redecin _ extensive repair _ to meet the criteria and bases stat TSAR or CP or to othervise establish the adequacy of the perform its intended safety function.

Indeterminate Yes ____ No

BeOel: a HL^Jtf JlinctiKG~iauVAt*Irfq/rtire

4. A significant deviation from performance specifications • require extensive evaluation __ , extensive redesign _ extensive repair _ to establish the adequacy of a SSC criteria and basen stated in the FSAR or CP or to otherv establish the adequacy of the SSC to perform its Intende, function.

Indeterminate _ __ __ You No

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C. Tris deficiency, vere it to have remaned uncorrected, could have adversely the safety of operations of the plant at any time throt expected lifetime of the plant. TheItore, this item Is , portal

Indeterminate Yea ;V No

Basis:I) 0 h'JV- O'4tg4f /( )rt. f

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0: '30 1992 18:00 WBP SITE L1-

AITIUDIX 1 Page 4 of 4

MDullMATXIf R WfOTAB5LITY VMURSEEJ!2L1CLCJ _am_ 5MU

Item A i•1 arnd Item B (1, 2, 3, or 4) iei _L_'fH_

nd Item C is W, this item In:

If A, B(l,2,3or 4), and C are affirmative, then the deflcten, Reportable

It A, B(1,2,3 and 4), or C is negative, then the daficiency is not Reportable .

if A Is affirmative & B(1,2,3 or 4) la affirmative or IndetermI and C is indeterminate,

(or)

It A is affirmative & B(1,2,3 or 4) is indeterminate and C is affirmative, then the deficiency la Potentially Reportable

T:.? NRC Inspection Manual, 'at 9900, has been considered in making reportablity determinatio(

(Evaluator's Idnt

Determination performed by 4 - _ Da

D-termination approved by Da

[atc wpr Region II Notified Inspector

Notification made by

;onnrructlon Deficiency Report (CDR) No. _3o/? / 1 tz9-.

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61 36 900C-