ATR for the AX-101 pumping and instrumentation control skid Page: 1 of 84
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JU 10 199 ENGINEERING DATA TRANSMITTAL Page 1 of-/
1. EDT 150294
2. To: (Receiving Organization) 3. From: (Originating Organization) 4. Related EDT No.:
Distribution 77420 1415175. Pro./Prog./Dept./Div.:
6. Cog. Engr.:
7. Purchase Order No.:
. . NA
8. Originator Remarks: 9. Equip./component No.:
Transmittal of Acceptance Test Report for AX-101 Saltwell NA
Pumping Skid at the Vendor shop. 10. SystemrBLdg./Facility:
241-AX
11. Receiver Remarks: 12. Major Assm. Dwg. No.:
NA
13. Permit/Permit Application No.:
NA
14. Required Response Date:
NA
15. DATA TRANSMITTED (F) (G) (H) (I)
(Al (C) (D) Approval Reason Orig:- Rece.-
(tee (B) Document/Drawing No Shet Re (El Ttle or Description of Data Desig- torna-or er
No No No. Transmitted eator Trans- Dispo- Diepo-
mittal stion sition
1 WHC-SD-WM-ATR-171 ALL 0 ATR FOR THE AX-101 PUMPING NA 3
AND INSTRUMENTATION CONTROL
SKID
6. KEY
Approval Designator (F) Reason for Transmttal (G) Disposition (H) & Ill
E, S, D or N/A 1. Approval 4 Review 7. Approved 4 Reviewed no/comment
(see WHC-CM-3-5, 2 Release 5 Poet-Review 2. Approved w/comment 5. Reviewed w/comment
Sec 12 7) 3 Information 6. Dist. (Receipt Acknow. Requredl 3. Disapproved w/comment 6. Receipt acknowledged
(G) (H) 17. SIGNATURE/DISTRIBUTION {G) (H)
(See Approval Desrgnator for required signatures)
Rea- Disp. IJI Name IKI Signature (L) Date IMl MSIN (J) Name (K) Signature ILl Date (M) MSIN Rea- Disp
1 2 Cog.Eng. J. M. JONES r 55-13 M. R. KOCH S8-05 3
1 Cog. Mgr. W. M. HART 5-13 T. L. WARRICK J2 55-01 3
3 OA J. J. VERDERBER 51-57
Safety
Env.
18. 19. 20. 21. DOE APPROVAL (if required)
Ctrl. No.
T_ A WMHAR_ _ ' / [ Approved
/_ _- // Approved comments
San of E te Authonzed Rnpresentative Date Cognrzant Mana Dat [) Di sappro ved a/cvnerents
Orgm or for Recevng Organizathon
BD-7400-172-2 (04/94) GEF097BD-7400-172-1 (02/89)
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Kujak, S. K. ATR for the AX-101 pumping and instrumentation control skid, report, June 10, 1996; Richland, Washington. (https://digital.library.unt.edu/ark:/67531/metadc711798/m1/1/: accessed April 24, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; crediting UNT Libraries Government Documents Department.