366A Licensee Event Report

NRC FORM 366A

LICENSEE EVENT REPORT (LER) U.S. NUCLEAR REGULATORY COMMISSION
CONTINUATION SHEET

(M-YYYY)

1. FACILITY NAME

2. DOCKET

6. LER NUMBER
SEQUENTIAL
NUMBER

YEAR

05000
NARRATIVE

NRC FORM 366A (M-YYYY)

-

3. PAGE
REV
NO.

-

OF

NRC FORM 366A

LICENSEE EVENT REPORT (LER) U.S. NUCLEAR REGULATORY COMMISSION
CONTINUATION SHEET

(M-YYYY)

1. FACILITY NAME

2. DOCKET

6. LER NUMBER
SEQUENTIAL
NUMBER

YEAR

05000
NARRATIVE

NRC FORM 366A (M-YYYY)

-

3. PAGE
REV
NO.

-

OF

NRC FORM 366A

LICENSEE EVENT REPORT (LER) U.S. NUCLEAR REGULATORY COMMISSION
CONTINUATION SHEET

(M-YYYY)

1. FACILITY NAME

2. DOCKET

6. LER NUMBER
SEQUENTIAL
NUMBER

YEAR

05000
NARRATIVE

NRC FORM 366A (M-YYYY)

-

3. PAGE
REV
NO.

-

OF

NRC FORM 366A

LICENSEE EVENT REPORT (LER) U.S. NUCLEAR REGULATORY COMMISSION
CONTINUATION SHEET

(M-YYYY)

1. FACILITY NAME

2. DOCKET

6. LER NUMBER
SEQUENTIAL
NUMBER

YEAR

05000
NARRATIVE

NRC FORM 366A (M-YYYY)

-

3. PAGE
REV
NO.

-

OF

NRC FORM 366A

LICENSEE EVENT REPORT (LER) U.S. NUCLEAR REGULATORY COMMISSION
CONTINUATION SHEET

(M-YYYY)

1. FACILITY NAME

2. DOCKET

6. LER NUMBER
SEQUENTIAL
NUMBER

YEAR

05000
NARRATIVE

NRC FORM 366A (M-YYYY)

-

3. PAGE
REV
NO.

-

OF