Mom 9 3 58 90 PM'SUhmitted to DOE 'l ELECTRIC-EMRGENCY INCIDENT AND- REPORT- NOTICE This report' is mandatory under Public Law 93 275 Failtn e to comply may remit to criminal nes - oivil penalties and other sanctitnts as provided by law ' For the sanctions and the provisions conceming die con dentiality ofinformation submitted on this 91m - seo 3mm Information portion ofthe Title 13 ESC 1881 makes it _ct iminal offense hit any person immvingly- willingly to- make to any Agency or of the 'nibed States on false ctitious or it andulent statements as to anv matter within its jurisdiction RESPONSE DUE Within 1 hourofthe incident submit Schedt e 1 and linesM- Qin schedule 2 as anEmetgencyAlert report ifcntenn 18 are-met Within 6 hours ofthe incident submit Schedule 1 and lines in Schedule 2 as a Norma Reactor ifonly criteria 9-12 are met By the later __of 24 hours after the recognition of ie incident O_Rhy the end of the next bminess day schedule 1 hires M- Schemiie 2 as a System- Report if criteria 1-3 24 are fmet Nari 4 00pm tom limo $511 be considered 119' and Q he business in Submit updates as needed and ora- nal report all of Schedules 1 and 2 within 72 hours ofthe incident For NRC reporting entities registered in the United States HERC has approved that _'t he font 03 41 meets the toqnirenients for HERC There may be other regional state and local' reporting requirements OF FILING Retain a compieted copy of this thin for your les Utilities - Snbruit form via online submission- it hays oe FAX I FAX Font 0E5417 to the following facsimile mimber 202 5313 3485 Alternate lifyoo are to snhuh onhrie or by fax forms may be emailed to or call and report the information to the following emphatic number 202' 586-8100 CHEDULE 1 -- ALERT CRITERIA - Page 1 of4 Ctit'eria for Filing Check all that apply Site Instructions For More Info moon 1 I Physicai attack that causes major interruptions or impacts to critical infrastrucmre facilities or to operations 2 Cyber Went that causes mtemtptions of electricai system operations - - File within 1 5 3 99 3 Comptete operational failure or of the newsman and or distribution electrical system Electrics System Separation slanding where part or parts of a power grid remain s operational in an otherwise Karly 17 3 on the is kindred out area or within the partial failure ofan integrated electrical system checked this form inns be gmgl$1g $ y - 5 Eggoned loss of 300 Megawatts or more of tm system loads for 15 minutes or more from a single Alert for the Alert Status on Iii-inc A belowFun ioad shedding of 200 Megawatts of more mplemented under emergency operattooai policy 7 System wide voltage reductions of 3 percent or more 8 I Public appeal to reduce the use of electricity for purposes ofmnintaining the continuity of the Bulk Electric System NQRALAL REPORT - Filo within 6-1410an 9 1 Physical attack that could potentially impact electric power system adequacy or reliability or vandalism which targets components of any security systems checked AND none of the 10 Cybet event that could potentially impact electric power system adequacy or reliability boxes 1 3 are checked this form be led within 6 1L Loss of electric service to more than 50 000 custmners for 1 hour or more hours of the inciting check Nmal'Repon for the met 12 1 Fuel supply emergencies that could impact electric power system adequacy or reliability Status on Line A beiow 9M Submitted to SCHEDULE 1 ALERT CRITERIA -- CONTINUED Page 2 of 4 swimmer-0R5 File-etaiezle nsines ay 'Ifan'y been- 24 onthe right is checked AND 11er ofthe- baxes 31 12am chuckle 6 tins foo most-lie 111 de the may of24'holxs a eflile recognition of _ihe incident bytheacodfoftheioext bucioesa day Note 4 009m'locallime Wig be Miami the end 91 the-bu mssday Check fox the Also some on Line mm 13 14 15 16 17 13 19 29 1 24- Damage or destruction ofa Facility within its Reliability Coordinator Area _Balancing Authority Area or Tmnession Operator Atea that results in actiontjs to avoid 3 Bulk Electric System Emergency Damage or ofits Facility that results from actual or suspected Sole-mienal human action Physical threat to its Facility excluding weather or natural disaster related threats which has the potential to degrade the normal operation of the Facility 0 suspicious device or activity at its Facility Physical threat to its Bulk Electric System control center excluding weather or natural disaster related threats which has the potential to degrade the normal operation ofthe control center 01' suspicious device or activity at its Bulk Electxic System control center 1 Bulk 51m Elysian Emergency resulting in voltage deviation on a Facility A voltage deviation equal to or water than 094 of nominal voltage sustained for greater than or equal to 15 continuous cosmos Uncontrolled loss of 200 Megawatts or more af rm system loads for 15 minutes or moxe from a single incident fo entities with previous year s peak demand less than or equal to 3 000 Megawatts Total gene-ration loss within one minute of greater than or equal to 2 000 Megawatts in the Eastem or Westm Iotuconoection or greater than or equal to 1 400 Megawatts to the ERCOT Interconnection Complete loss of power LOOP affecting a miclear generating station per the Nucleax Plant Iotexface Requhemmts I Unexpected Transmission less within its area comma to desigh of three or more Bulk Electric System Facilities caused by a common disnnbance excluding successful automatic reclosing Unplanned evacuation fromits Bulk Electric System control center facility for 30 minutes or more 1 Complete loss of Interpersonal Communication and Interpersonal Couummication capability a ectiog its staffed Bulk Electric System control center at 301 continuous minutes or more Complete loss ofmonitoeing or central capability at its stalled Bulk Electric System cone-oi center for 30 continuous minutes or more IfSi'gni Cant changes have occurred rel le the form with the-changes nod check-Updale or Line A below The form must he hoorsofthe-igci'deot with melon-e in amtioo and 3 13 le Statue checked on ne A below un1essepdaied Emergency Aim Normal Report System Report Update Final A Aim Status check'one I I i 1 Hour 6 Home I Business Day As required 72 Home sPower B Orgax zatioo'Nazoe C Address of Plincipa Businecs Oi ce 2180 South 1300 East Suite 600 Salt Lake City Utah 84106 axe 2019 368-00 vai ubmitied t9 DOE ELECTRIC EMERGENCYINCIDENTAM 3Gtograpllic A1336 Affected Ca fomia Kem Les Angeies County Utah Salt Lake County Wyoming Cmveme County County State 'Daic imc Igcid'cm Began 33 - - 2019 99 12 i Easttm Central Mmt n using 24 41011 clock mo dd hi1 mm Pam c 1 Alaska I Hawan Dit fl ixn ln dm ded 13 - 2019 33 52 I 1Eastcm 10 13 13 'mm m using -our mo mm a c wan id 1113 24h clack dd 13 I Pc1 lAlaska I - Did the in your I systemfarea check one I No I Uni mom - Estimatp ofAmount- of Demand Inmlved 3 -- PeakMegawatts 2cm Unknown 1 I Estimate ofNumbc 'ofCustmu s Af zciEd 21cm Unknown 311 J C3652 L _Acti0u Taken 3 News E1 Contra center ins-s failm or evacuation 0 Loss or dcgradatim of control center monitoring or commiication systembs a nlmown El Damage or destruction of a facility 3 Physical attack I3 Eiecixicai system separatztm islandmg None a Threat of physical attack Complete operahomtl mime m- shu OHM Shed Finn Load Load shedding of 100 E3 Vandalism dim dmbuhon system or more imptemented under Thc Ci Maw system tiara or gene operaiiona'i policy Ci Suspicious activity more BES or automatically via UFLS or remedial Ci Cyber event infmmation technology a Major distribution $3 mtemiptmn action scheme Cyber event opmtional technology E3 Uncontrolled 1055 Of 200 or more Of m E3 Public appeal to seduce the use of CI Fuel suppiy interruption or system loads for 15 tags or more for the 911313055 of maintaining de ciency 3 Loss ofclectm sauce to nose than 50 000 the continuity of the eiectn'c power Generator 1053 or failure not due to the 51 91 11 as for I or man-c system interruption or deficiency or transmission 3 voitage reductions or 3 percent or Imitmcnied a waning alert or failure more contingency plan 3 Transmission equipment failure not incfuding Voltage devaatm on as 1nd 0f Voltage reduction substation or mmym 310% f 15 W5 mm 3 Shed Intermptibie Load Failure at high voltage substation a switchde CI Inadequate resources to saw toad 3 Repaired or restored 3 Weather or natural disaster Generatmg capemty 1033 of L400 MW at me Mitigation 1 in actionGs Generating capacity 1055 012 000 MW at more a 1 CI Other 3 Complete loss of o isite power to a nuclear Additional Inf tioniC ts A erlea aims lentiai dmm apm a Additicnal Mmuonzcomem Irma Wilt remied that a rewatl exploit was ninety than to Other exploited taming to an appkanatety 5 minute mmr ca om outage Additioua Fat-wall whom manned in bdef mm outagw approximately 5 images between fiat deviws at aim and between the aitm and W3 Central Centnr 3 58 00 PM Submitted o Dos - msmm cE-anz SCHEDULE NARRATIVE DESCRIPTION Page 4 of 4 fire y-marina an Schednie 2 will not be disclosed to d1 pubiicta the xterm that it $059 699 rim c tanafor cxenm qn under the Fmedam gfl rmaaon 9 g exempt ans- irt catfiden al- fn nnanon and frad secrets cg ain fn madon mat aphid endanger-11w pk399mx Safety 1min dual or m arma designm ad as Critical Energy Infoma on