Canister Storage Building (CSB) MCO Handling Machine Commercial Grade Item (CGI) Dedications [SEC 1 Thru 3] Page: 24 of 931

                                
ECN No. NA              CGI No. CGl-SNF-D-MHM-03                          Page 2 of 8
Ttle Ashcroft Hydraulic Pressure Gauge #45-1009S-02L-2000
B  Part/CotmpoOnt 2i Mdase:               f   ICaOn
The aboveF c desc   Item is bng Dedicated f r use iv the ap pica rt ed  or the folstin reaso fo s
X    Item is being purchased from a non-ESL manufacturer supplier as CG to be used in a Safe t ass  location.
Item is being purchased from a non-ESL manufacturer suppler as CG to be used in a Safet Significant appcation.
Item was purchased from a non-ESL manufacturer  ser as CG to be used in a Safe  Class  ication.
Item was purchased from a non-ESL manufacturer suppier as CG to be used in a Safey Significant ppicatior.
Other ('like-for-like' similar, substitution, relacernent evaluation)
A. Part/Component Safety Function:
1. Provided visual indication of seismic restraints status.
B. Part/Component Functional Mode:
Safety Function #1: [ ] Active  [ XI Passive    Active - Mechanical or Electrical change of state is required to occur for the
component to perform its safety function
Safety Function #2: [ ] Active  ( ] Passive     Passive - Change of state is not required for the component to perform its
Safety Function #3: [ ] Active  [ ] Passive     safety function
C. Host Component Safety Function (if applicable): NIA
1.
D. Failure Mode(s) and the effects on component or system safety function (see Worksheet 1):
1. Failure of pressure gauge, i.e. rupture results In rapid pressure reduction.
...-. ::.:Tc~&tion 4$Encromentat & Natursi Phpmn            aadDsg
Environmental Qualification Required:          If yes: Environmental Qualification Requirements
Yes [ ]                                Limiting Environmental Conditions:
No [ X ]                               Required Safety Functions:
Qualification Period:
Natural Phenomena Hazard (NPH) Design Required:  If yes: NPH Design Requirements
Yes [ ]                                Performance Category:
No [XJ                                 NPH Design Req.:
Required Safety Functions:
................Co mpnenrt  1cSonllaS*5Ifiain
X   Safe  Class SC                     General Sevice                     Safe  Si nificant S5
If part/component classification is different from host componen/systern, document basis. WA
Sections6 and 7 (Reserved)
Section 8 References (for Functional Ct(ssificaion)
National Codes/Standards: N/A
Safety Analysis Report (SAR): HNF-3672 Rev. 0
Drawings: Hanford H-2-830016
Vendor Manual/Manufacturer/Supplier Information: Ashcroft Hydraulic Gauges Catalog Cut Sheet Reference Bulletin IG-1
Other: ALSTROM ESLR (96) 065-Rev. D. 100% Design Submittal, June 1998.

01/31/00

-C
0

 Rev. No. 1

Commercial Grade Item Upgrade Dedication Form