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1. ECN (use no. from pg. 1)<br />

ENGINEERING CHANGE NOTICE<br />

Page 2 of 2 1 637479<br />

16. Design 17. Cost Impact 18. Schedute Impact (days)<br />

Verification<br />

Required<br />

ENGINEERING CONSTRUCTION<br />

[] yK Additional<br />

$<br />

Additional ^^ S Improvement<br />

Savings $ NSA savings $ Delay N/A<br />

[XI No<br />

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

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

SOD/DO r ^ Seismic/Stress Analysis r 1 Tank Calibration Manual r<br />

Func tional Design C rite ria `r l Stress/Design Report if !)<br />

H ealth Phytlms Procedu rerl l<br />

Operating Spe cification fL 1JInterface Control Drawing rl i Spans Multiple U nit LHting<br />

Criticality Specification Lr Jl Calib if J7<br />

ra tion P rocedure Test Procedures/Specitienion r l<br />

Conceptu al Design Repo Lr Lr J)<br />

rt ^lInstallation P rocedure Component Index rL J^<br />

Equipment Spec. Lr 1 Maintenance P rocedure Lr<br />

ASME Coded Item Lr l<br />

Coast. Spec. Lr l^<br />

Engineering Prvwdun Lr 1 Human Fa ct or Consideration<br />

Proeuroment Spec. Lr 1 Operating Instruc tion if Jl<br />

Computer Softwa ref )<br />

Vendor Information<br />

^ J<br />

L<br />

Operating Procedure 1J Ele ct OM Manual f t Operational Safety Requireme ntr •^l<br />

ric Circu it Schedule<br />

ICRS P<br />

tl l<br />

l^ J)<br />

ro cedure<br />

FSAR/SAR Lf l^<br />

IFFD Drawing Lr ) Process Cont ro l Manuel/Plan r<br />

Safety Equipment List `f 1 Call Arrangement Drawing Lr 1 Process Flow Chan if l<br />

Radiation Work Perm itEs Lr Jl<br />

sential Mate Lr J1<br />

ri al Specification Purchase Requisit ion<br />

Embonmental Impa ct Statement rl lJFee. Pro.. Samp. Schedule rL 71 Tickler File r<br />

Environmental Repo rt<br />

lr Jl<br />

Inspemion Plan<br />

Invento ry Adjustment Request r 1 r<br />

Environmental Perm itl<br />

1<br />

11<br />

20. Other Affected <strong>Document</strong>s: (NOTE: <strong>Document</strong>s listed below wilt not be revised by this ECN.) Signatures below<br />

indicate that the signing organization has been notified of other affected documents Listed below.<br />

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

WHC-0-WM- 17 I-404 REV. 4<br />

(This is changed<br />

simultaneously by ECN<br />

637480.)<br />

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

21. Approvals<br />

Signatu &te Signature Dete<br />

Design Authority RR AMES Design Agent<br />

Cog. Eng. Rw WHITLOCK<br />

PE<br />

^.<br />

Cog. Mgr. JR Rosser/ ' +'^'/ OA<br />

gp Safety<br />

Safety<br />

Environ.<br />

Other<br />

A-7900-013-3 (05/96) GEF096<br />

Design<br />

Enviran.<br />

Other<br />

DEPARTMENT OF ENERGY<br />

Signature or a Control Numbe r that<br />

tracks the Approval Signature<br />

ADDITIONAL<br />

l<br />

1

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