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ENGINEERING CHANGE NOTICE<br />

Page 2 of 8 1<br />

1.k (use no. from pg.<br />

649620<br />

t)<br />

16. Design 17. Cost Impact 171. Schedule Impact (days)<br />

Verification<br />

Required<br />

ENGINEERING CONSTRUCTION<br />

[X] Yes<br />

No<br />

Additional $ Additional $ I mprovement<br />

savings<br />

U$<br />

Savings $ Delay<br />

1 9 . Change Impact Review: Indicate the related documents (other than the engineering documents identified on Side 1)<br />

that will be affected by the change described in Block 13. Enter the affected document number in Block 20.<br />

SDD/DO r l Seismic/Stress Analysis r 7 Tank Ca libration Manual r l<br />

Functional Design Crite ria rL Jl<br />

Straw/Design Repoli lr 17 Hea lth Physics Procedure<br />

Operating Specification Lr J^<br />

Interface Control Drawing lr 1l Spares Multiple Unit Listing r<br />

Criticality Specification Lr 7 Ca libration Procedure f` ^JTest Proaduma/Spe cifieatbn Lr 7<br />

Conceptual Design Repo lr l^<br />

rt Insta ll ation Procedu re<br />

lf'I Component Me%<br />

Equipment Spec. Lr<br />

Maintenan ce Procedure fl J^<br />

ASM,E Coded hem f 1<br />

Conn. Spec. Enginee ri lr J^<br />

ng Procedure<br />

Lr Human Fac to r Consideration<br />

Procurement Spec. f T Operating Inst ru ction lr l Computer Softwa re rl1<br />

Vendor Information fl J^<br />

Operating Pro ce dure lr Jl Electric Circuit Schedule<br />

OM Manual Ope ra tional Safety Requi re ment 11 ICRS Procedu re<br />

FSARISAR r 7 IEFD Drawing f J1<br />

Process Control Manual/Plan f'1<br />

Safetry Equipment Ust Lf J^<br />

Call A rr angement Drawing if ^JProw" F low Mort<br />

Radiation W Lr Lr<br />

or k Permit 1 Esse ntial Mate ri al Specification Purchase Requisition f 1<br />

Environmental Impa Lf l^<br />

ct Statement Fee. Pros. Samp. Schedule<br />

Tickler File<br />

Environmental Repo I l<br />

Inspe ct ion Plan r l r 7<br />

Environmental Inve nto ry Adjustment Request<br />

20. Other ,l4 *d /D e " rlts: Y^ (81St <strong>Document</strong>s listed below will not be revised by this ECN.) Signatures below<br />

indi (1jhet the • ti;gnylg or tea tion has been notified of other affected documents listed below.<br />

.,1.<br />

D is Nullbar/RA'Irsirxw <strong>Document</strong> Number/Revision<br />

rr<br />

<strong>Document</strong> Number Revision<br />

.^fyr1<br />

21. Approvals ♦<br />

.h<br />

a'^<br />

t /. ( we%<br />

_ • S^IprSttde<br />

Design A^;oriiy<br />

r<br />

^r^,D,+t }te<br />

e<br />

Date<br />

! C^<br />

Sismitu<br />

Agent<br />

Date<br />

a ,,<br />

Cog. Eng.pA7"_l—<br />

Cog . Mgr. f^ ^%01J<br />

"D'~ 8 89x40J4<br />

Safety 0 ^o-^1 2.11 1'QQ<br />

2/L 199<br />

Design<br />

PE<br />

DA<br />

a<br />

N/A<br />

Safety N/A<br />

Design &/1 K.<br />

^)<br />

Fnvif •em:+ Environ. {^<br />

Other f,^r•6^^vr+I^i^^C^,^ p^'^<br />

Other<br />

1a+J. R^,l t^.uJ X^C.^ Ilrr.<br />

iYp'v• ^"^! JE Mrka itG (I ^^ I t a DEPARTMENT OF ENERGY<br />

Signature or a Control Nud ger that<br />

tracks the Approval Signature<br />

ADDITIONAL<br />

--/ ^

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