241-AY-102 Leak Detection Pit Drain Line Inspection Report Page: 4 of 66
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INFORMATION CLEARANCE REVIEW AND RELEASE APPROVAL
Part I: Background Information
Title: Information Category:
241-AY-102 Leak Detection Pit Drain 0 Abstract Q JournalArticle Q Summary
Line Inspection Repor t Internet Q Visual Aid Q Software
Publish to OSTI? Yes Q No Q Full Paper 0 Report C Other
Document Number: RPP-RPT-56464, Rev C Date: 17-Dec-13
Author: KD Boomer et al.
PurposeofDocument: Report on visual inspection of 241-AY-102 Leak Detection Pit Drain Line.
Part II: ExtemallPubllc Presentation Information
Conference Name: N/A
Sponsoring Organization(s): N/A
Date of Conference: N/ A Conference Location. N/A
Will Material be Handed Out? 0 Yes 0 No Will Information be Published? Q Yes 0 No (If Yes, attach copy of Conference
format instructions/guidance.)
Part III: WRPS Document Originator Checklist
Description Yes _WA Signature
Information Product meets requirements in TFC-BSM-AD-C-01? 0 0
Document Release Criteria In TFC-ENG-DESIGN-C-25 completed? 0
(Attach checklist)
If product contains pictures, safety review completed? - 0 H. K. Lawrence, E-mail Pg. 3
Part IV: WRPS Internal Review
Function Organization Date Print Name/Signatura/Date
SubjectMatterExpert Tk & Pipeln Integrity 17-Dec-13 -. aVco / , .Ve-t- - L -ad3
Responsible Manager Tk & Pipeln Integrity 17-Dec-13
Other:
Part V: IRM Clearance Services Review
Description Yes No Print Name/Signature
Document Contains Classified Information? 0 El If Answer is "Yes," ADC Approval Required
Print Name/Signature/Date
Document Contains Information Restricted by DOE Operational 0 0 Reviewer Signature:
Security Guidelines?
Print Name/SignaturelDate
Document is Subject to Release Restrictions? Q 0 Document contains:
If the answer is 'Yes, " please mark category at right and describe 0 Applied Technology C Protected CRADA
limitation or responsible organization below:
o Personal/Private 0 Export Controlled
o Proprietary Q Procurement - Sensitive
o Patentable Info. Q Business - Sensitive
o Predecisional Info. Q UNCNI
o Restricted by Operational Security Guidelines
o Other (Specify)
Additional Comments from Information Clearance Specialist ] 0 Information Clearance Specialist Approval
Review? APPROVED
By Janis D. Aamral at 12:50 pm, Jan 20, 2014
Print NamedSignature/Date
When IRM Clearance Review Is Complete - Return to WRPS Originator for Final Signature Routing (Part VI)
Part VI: Final Review and ApprovalsPage 1 offr 3
A-003-508 (REV 4)
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Boomer, Kayle D.; Engeman, Jason K.; Gunter, Jason R.; Joslyn, Cameron C.; Vazquez, Brandon J.; Venetz, Theodore J. et al. 241-AY-102 Leak Detection Pit Drain Line Inspection Report, report, January 20, 2014; Richland, Washington. (https://digital.library.unt.edu/ark:/67531/metadc865947/m1/4/: accessed July 17, 2024), University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu; crediting UNT Libraries Government Documents Department.