ML021610339
| ML021610339 | |
| Person / Time | |
|---|---|
| Site: | Millstone  |
| Issue date: | 05/16/2002 |
| From: | Firman J Dominion Nuclear Connecticut |
| To: | Document Control Desk, NRC/FSME |
| References | |
| Download: ML021610339 (18) | |
Text
TIPMM PASSPORT DOCUMENT To DOCUMENT CONTROL DESK Facility MP Department : 806 TRANSMITTAL Address NUC REGULATORY COMMISSION (0140)
Hl H U Dil ililI Hllll DOCUMENT CONTROL DESK WASHINGTON, DC 20555 Page:
From : NDS CONT DOCUMENTS Date/Time : 05/16/02 06:48 Trans No. : 000030202 Tr*ansmittal Group Id: 02136KA-1 Total Items: 00004 Item Facility Type Sub Document Number / Title Sheet Revision Doc Date Copy # Media Cor
- 0004 MP PROC HP RPM 4.8.5-014 000 01 P UNIT 1 PERSONNEL DECON ROOM EMERGENCY PERSONNEL DECON KIT Marked (*) documents require your acknowledgement.
Acknowledgement Date : Signature:
Please check the appropriate response and return form to sender.
All documents received.
Documents noted above not received (identify those not received).
_ I no longer require distribution of these documents.
Date: Signature:
N
02113/02l Approval Date 1M1 1H1 1 I I 1 1 02/14/02 Effective Date Document Action Request sPG 1 020430-141603 1 Initiated By: AbY\ q rbWwn
-- Date: 03/14/2002 Department HP Ext 4560 Document NoRPM 4.8.5 Rev. No: 005 Minor Rev No.iO
Title:
Emergency Radiological Equipment Maintenance & Inspection For New Documents only 4 Fl--A DI Titl.
For New Documents only -- )o [] QA I Reason for Request (attach commitments,CR'sAR's,OEs etc)
Deleted RPM 4.8.5-010, "Unit 1 Control Kit and Locker," and RPM 4.8.5-14, "Unit 1 Personnel Decon Room Emergency Personnel Decon Kit," because the facilities are no longer used.
Select Oneif pef apocSAinue SelctCfn i prforming a changes,9 mp-o5--,4)C ,-SAPO w 3 to det,,m,.Noh of chn Conine ]
r Intent Change(sQR Independent. RCD, ENV Screen Required E Edit Corr [:] Non-Intent Change (Other reviews may be recquired. See MP-05-DC-FAP 01.1 Aft 3 (Only Tech IR.SQR IR and Env.sianature Re uired' Editorial Correction Approval TPC Interim Approval /
(1) Plant Mngt Staff Member Print/Sign/Date Plant Mngt Staff Member - Approval / Date /
j (2) SM/SRO/CFH an Unit Print/Sign/Date Procedure Request/Feedback Disposition Priority: 66 Perform Now [] Perform Later - See Comments Activity: II-. Revision E Minor Revision I EI Cleanup Rev l[] El] Biennial Review LI CancellationLI Supercedure STPCSee C-GDOI foar uidonce i ELI TPC F] OTC Ln Place inVoid Reviews Print Sign Date SQR Qualified 1ic It Yes Na Dept.
L4 W,({) lI ?g7.A4_ W 7,, Elo- 10 F 1l -A]
Vaidation E3 emzn-.Ol~m 1,..jo..o E [R bA [I Licensing Bashis EAI L -gakco~ 4P E Tech Independent -_ , EJ.(fb.ol
[]
An NRRL update was required ? LI Yes
[9 1. SQR Program Final Review and Appproval l SORC Final review and Approval Approval Fir Disapproval El N/A rW-RI/DH MRMm.GDt.&HonitoCk A,
2 A,.-, / l' DH/Rl Sign SoR Quald Inle, ndent Reviewer / Date Meeting N.o.
Depalt ent--i/Responsiblelndividual SORC Signature s- ,//7/ ix DH I RI Sianature Approval Date Approval Date inl Effective Date 6 OZ, MP-05-DC-SAPO1-001 Rev. 003-02 Page 1o*o
MILLSTONE NUCLEAR POWER STATION HEALTH PHYSICS OPERATIONS PROCEDURE uipment Maintenance Emergency Radiologil juipment Maintenance and Insp( i [Ref. 6.2]
Approval Date: S -/-3-Dy Effective Date: >2-0-0Z Level of Use Information I
Millstone All Units Health Physics Operations Procedure Emergency Radiological Equipment Maintenance and Inspection [Ref. 6.2]
TABLE OF CONTENTS
- 1. PU R PO SE ..................................................... 3
- 2. PREREQUISITE S .............................................. 3
- 3. PRECAUTIONS ................................................ 4
- 4. INSTRUCTIONS ............................................... 5 4.1 Inventory Package Preparation ............................... 5 4.2 Kit or Locker Inventories ................................... 6 4.3 Equipment Restoration ..................................... 7 4.4 D ocum entation ............................................. 8
- 5. REVIEW AND SIGNOFF ........................................ 9
- 6. REFERENCES ................................................. 9
- 7.
SUMMARY
OF CHANGES ..................................... 10 Level of Use RPM 4.8.5 Rev. 005 Information 1 of 10
ATTACHMENTS AND FORMS RPM 4.8.5-001, "Emergency Response Facility Readiness Check Report Form" RPM 4.8.5-002, "Emergency Operations Facility, Team 2 Kit" RPM 4.8.5-003, "Emergency Operations Facility, Team 3 Kit" RPM 4.8.5-004, "Emergency Operations Facility, Team 4 Kit" RPM 4.8.5-005, "Emergency Operations Facility, Team 5 Kit" RPM 4.8.5-009, "Emergency Operations Facility Locker" RPM 4.8.5-011, "Unit 2 Control Room Kit and Locker" RPM 4.8.5 -013A, "Overwater Team Monitoring Kit and Locker" RPM 4.8.5-015, "Unit 2 Personnel Decon Room Emergency Personnel Decon Kit" RPM 4.8.5-016, "SAP Team 2 Kit" RPM 4.8.5-017, "SAP Locker" RPM 4.8.5-019, "VAP/SAP Ambulance Kit" RPM 4.8.5-020, "Unit 3 Control Room Kit and Locker" RPM 4.8.5-021, "Technical Support Center Locker" RPM 4.8.5-022A, "Technical Support Center TSC Kit" RPM 4.8.5-022B, "OSC Assembly Area Kit and Locker Building 475, 1st floor" RPM 4.8.5-024, "Unit 3 Personnel Decon Room Emergency Personnel Decon Kit" RPM 4.8.5-025, "NAP Team 2 Kit" RPM 4.8.5-026, "NAP Locker" RPM 4.8.5-027, "Security Station Emergency Dose Rate Equipment Kit" RPM 4.8.5 Level of Use Rev. 005 Information
- 1. PURPOSE 1.1 Objective This procedure ensures that the emergency radiological monitoring and protection equipment and other specified supplies at the Emergency Response Facilities are available when needed. It also ensures that the equipment is found in appropriate quantities, and is maintained in its proper operating condition, as required by Unit 2 Technical Specification 6.12 and Unit 3 Technical Specification 6.8.4 (b).
1.2 Discussion This procedure is provided to ensure that:
- The minimum quantity of equipment is found at the locations specified on the inventory forms.[.?- Ref. 6.7 and 6.9]
- Radiological equipment is found to be in satisfactory working condition.
Respiratory equipment has been inspected using guidance from RPM 2.3.4, "Inspection and Maintenance Process for Respiratory Protection Equipment."
1.3 Frequency This procedure is to be completed in January, April, July, and October of each year. This procedure shall also be completed on a post drill and on an as needed basis. [+. Ref. 6.7 and Ref. 6.8]
- 2. PREREQUISITES 2.1 General N/A 2.2 Documents 2.2.1 RPM 2.3.4, "Inspection and Maintenance Process for Respiratory Protection Equipment" RPM 4.8.5 Level of Use Rev. 005 Information 3 of 10
2.3 Responsibilities 2.3.1 Radiation Protection Supervisor - Services approves and makes changes to RPM 4.8.5-001 through 4.8.5-027.
2.3.2 Emergency Plan Coordinator approves changes to RPM through 4.8.5-027.[,-T Ref. 6.7]
2.4 Definitions 2.4.1 Emergency Response Facility (ERF)- Facilities containing emergency equipment (including radiological monitoring and protection equipment) which are activated in the event of an incident class ALERT or above classification. The station ERFs include:
"* Emergency Operations Facility
"* Control Rooms
"* North Access Point Assembly Area
"* South Access Point Assembly Area
- 3. PRECAUTIONS N/A RPM 4.8.5 Level of Use Pfr Rev. 005 Information 4 of 10
- 4. INSTRUCTIONS 4.1 Inventory Package Preparation 4.1.1 RECORD the following on RPM 4.8.5-001:
Date
- Reason for Inventory
& Kits to be Inventoried 4.1.2 For each kit or locker to be inventoried, SELECT and DATE the corresponding form from RPM 4.8.5-002 through 4.8.5-027.
RPM 4.8.5 Level of Use Rev. 005 Information 5 of 10
4.2 Kit or Locker Inventories [4T- Ref. 6.8 and 6.10]
4.2.1 SELECT a kit or locker and PERFORM inventory as follows:
- CHECK and RECORD quantity found.
0 REMOVE unnecessary items from kit or locker.
- Where indicated on form, RECORD instrument serial numbers and calibration due dates.
- IF kit contains potassium iodide tablets, PERFORM the following:
- IF potassium iodide tablets will expire prior to the next quarterly inventory, REPLACE tablets.
- Where indicated on form, RECORD expiration date of potassium iodide tablets.
"* REPLACE the following on dates indicated on form:
"* Batteries
"* TLD badges
"* Finger rings
"* IF kit or locker contains respirators, PERFORM the following:
"* Refer To RPM 2.3.4, "Quality Assurance Program for Respiratory Protection Equipment" and VERIFY respiratory equipment tags are correct.
"* Where indicated on form, RECORD inspection date.
- IF kit or locker contains equipment with batteries or sources, ENSURE the following:
"* Equipment is operable
"* Calibration due dates are current
"* Battery condition is satisfactory eveof Use Information Rev 0 6 of 10
- Source response is satisfactory IF any equipment is found missing OR is removed, RECORD the following information on RPM 4.8.5-001:
"* Kit and, if applicable, section title
"* Description of deficiency
- Actions to be taken to correct deficiency 4.3 Equipment Restoration 4.3.1 WHEN all items have been checked, RESTORE equipment as follows:
- a. VERIFY all Ludlum 177 meters are on and plugged in.
- b. VERIFY all equipment other than Ludlum 177 meters are off.
- c. PLACE stop watches in "RUN" mode to relieve spring tension.
- d. Neatly REPLACE equipment in storage location.
4.3.2 RESTORE any missing or removed equipment within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />.
[4 Ref. 6.10]
4.3.3 IF any equipment cannot be restored within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />, INFORM RPS - Services.
4.3.4 IF any missing or removed items are restored prior to sending RPM 4.8.5-001 to RPS - Services, PERFORM the following:
- a. RECORD date deficiency was corrected on RPM 4.8.5-001.
- b. RECORD date equipment was returned on the applicable kit or locker inventory form.
- c. RECORD quantity of equipment returned on applicable kit or locker inventory form.
LOV0'of
- Uo v** Rev.RPM 4.8.500 Level of Use Information
4.4 Documentation 4.4.1 RECORD any inventory comments on RPM 4.8.5-001.
4.4.2 SIGN and DATE completed kit or locker inventory form.
4.4.3 IF there are more kits or lockers to be inventoried, Go To Section 4.2.
4.4.4 WHEN all kits or lockers have been inventoried, SIGN and DATE RPM 4.8.5-001.
4.4.5 COMPILE completed kit or locker inventory form(s) and RPM 4.8.5-001 and SUBMIT package to RPS - Services for review.
SRPS 4.4.6 REVIEW RPM 4.8.5-001 and inventory forms for inventory Services deficiencies.
4.4.7 WHEN any missing or removed item is restored, PERFORM the following:
- a. RECORD date deficiency was corrected on RPM 4.8.5-001.
- b. RECORD date equipment was returned on the applicable kit or locker inventory form.
- c. RECORD quantity of equipment returned on applicable kit or locker inventory form.
4.4.8 REVIEW and SIGN inventory form(s).
4.4.9 REVIEW and SIGN RPM 4.8.5-001.
4.4.10 SEND a copy of RPM 4.8.5-001 to Station Emergency Plan Coordinator.[+. Ref. 6.7 and 6.8]
4.4.11 SEND inventory forms to HP Calibration Laboratory to be filed.
Calibration 4.4.12 FILE inventory forms and RPM 4.8.5-001.
Technician RPM 4.8.5 Level of Use Rev. 005 Information 8 of 10
- 5. REVIEW AND SIGNOFF 5.1 The review and signoff for this procedure is located on RPM 4.8.5-001 through 4.8.5-027, of this procedure.
- 6. REFERENCES 6.1 NUREG-0654, FEME-REP-1, Rev. 1, "Criteria for Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness in Support of Nuclear Power Plants,"Section II, Part H 6.2 NUREG-0737, "Supplement 1 to NUREG-0737 - Requirements for Emergency Response Capability (Generic Letter No. 82-33)" dated December 17, 1982.
6.3 Millstone Nuclear Power Station Emergency Plan, Appendix E, "Emergency Equipment," Rev.17, June 1995.
6.4 EPPCR-94-22, "Emergency Planning and Health Physics Improvements" 6.5 EPPCR 05, "Silver Zeolite Cartridges" 6.6 EP-95-023, "Operational Support Center Change," T J. Dembek dated January 6, 1995.
6.7 NOV VIO 50-245, 336, 423/97-81-02 and CR M3-97-4483 6.8 RCR- 13987, 13991, 14078, 14092, 14242, 14237 & 40900, NU Letter A02567, Combined Inspection No. 50-245; 50-336; 50-423, "MNPS, Unit Nos. 1, 2, & 3 Response to Notice of Violation," dated September 18, 1982. RCR 14242 specifies frequencies of inventories, operations checks, change out and replacement schedule for items having limited shelf life.
RCR 14237 specifies replacement for instruments taken for calibration.
RCR 13987, 13991, 14078, 14092 & 40900 collectively state that finger rings will be provided in the on-site emergency monitoring team kits and at the EOE 6.9 RCR-18611, NU Letter, dated 12/27/76. Emergency Plan equipment is on an inventory list.
6.10 RCR-16286, NU Letter, dated 12/27/76. Emergency Plan equipment is replaced in a timely manner.
6.11 Unit 2 Technical Specification 6.12 RPM 4.8.5 Rev. 005 I Rr ,9 o of 10
6.12 Unit 3 Technical Specification 6.8.4(b) 6.13 Memo EP-98-127, "Implementation of Millstone Emergency Plan Revision #24," from Mark White to Millstone HP Management Personnel 6.14 USNRC Emergency PreparednessPosition (EPPOS1 ) on Emergency Plan and Implementing ProceduresChanges 6.15 MP-HPO-99081, "Closure of A/R 99006430-01," from A. S. Klotz to H. W, Siegrist, dated May 21, 1999.
- 7.
SUMMARY
OF CHANGES 7.1 Deleted RPM 4.8.5-010, "Unit 1 Control Room Kit and Locker," and RPM 4.8.5-014, "Unit 1 Personnel Decon Room Emergency Personnel Decon Kit," because the facilities are no longer used.
RPM 4.8.5 Level of Use Rev. 005 Information 10 of 10
02/13/02 Approval Date lllIlill il H I II 02/14/02 Effective Date Document Action Request Is* 020430-141603 Initiated By: -.JAb*\ CG .rJ\ Date: 03/14/2002 Department HP Ext 4560 Document NoRPM 4.8.5 Rev. No: 00Q5 Minor Rev No.0
Title:
Emergency Radiological Equipment Maintenance & Inspection Fl OA RM 48.5-10. Uni r,.,1ICnrol. Kit an Loke, Deleed
Reason for Request
TV,,..
(ottoch commltmentsCRWAR'sOEs etc)
,.nh, .
QAn i=1 *IrT,..
RPM 4..-,"Ui I Deleted RPM 4.8.5-010, "Unit I Control KIT and Locker," and RPM 4.8.5-14, "Unit I Personnel Decon Room Emergency Personnel Decon Kit," because the facilities are no longer usperfermin'a" Select r fpeorIng a changes Mp*_* od ,*ontirxed C L@ ChRn.V*cre** tt (Otlher reviews may be reatred. See MP-05-DC-FAP 01. 1 Aft 3 F Edit Corr E] Non-Intent Chang-e------"
~
FD]
I **l***
Errr' *
(Onl Tec R* P Editorial Correction Approval TPC Interim Approval
/
(1) Plant Mngt Staff Member Print/SigM/Date a /
Plant Mn9t Staff Member -Approval / Dole (2) SM/SRO/CFH on Unit Print/Sign/Date
__________________________________________a Procedure Request/Feedback Disposition Priority: RJ Perform Now [] Perform Later - See Comments Activity: Ii-i Revision
] TPCSee E []Minor'Revision DC-OT [01 forPldance i IE[] Cleanup Rev LI Biennial Review EL Cancellation El Supercedure EL TPC [OTC [:]Place in Void Sign Date SQR Quailed m{efIFs Reviews Prtnt eoert~ndD Yes No Dept.
... ra ~~~~A ..[ ] ]El/l
_______L ___ AIeDrj
__ __ [I)111lo-E ValnN waeq.uOln Yes I#a 70 Ucens Ba~s M rd L_ .2 _ _ 4AS4 K Tech kxedeendent M _ _ _ _ _ f 6 , j An NRRL update was required ? EL Yes________________________
[J 1. S(SQR P.oa:am Final Review and Appproval SORC Final review and Approval
,Aorval - Disapproval NA NRI/DH SQR Qua[ Inde d ndent Reviewer / Date Meeting No.
DepOr-ni /Responsiblndiviiual SORC Signature 9-//O 2.
- C DH / RI Slanature Approval Date Approval Date Effective Date ,.5 ""iOz I MP-05-DC-SAPO1-001 Rev. 003-02 Page 1 of
3 -62 , 3 20 --OZ Approval Date Effective Date Emergency Response Facility Readiness Check Report Form Date: Reason for Inventory: [ Quarterly IJ Post Drill [*i Other:
Place A Check Mark Kit Or Locker To Be Inventoried No. For Kits To Be Inventoried All N/A Emergency Operations Facility, Team 2 Kit 2 Emergency Operations Facility, Team 3 Kit 3 Emergency Operations Facility, Team 4 Kit 4 Emergency Operations Facility, Team 5 Kit 5 Emergency Operations Facility Locker 9 Unit 2 Control Room Kit and Locker 11 Overwater Team Monitoring Kit and Locker 13A Unit 2 Personnel Decon Room Emergency Personnel Decon Kit 15 SAP Team 2 Kit 16 SAP Locker 17 VAP/SAP Ambulance Kit 19 Unit 3 Control Room Kit and Locker 20 Unit 3 Technical Support Center Locker 21 Unit 3 Technical Support Center Kit 22A Building 475, Conference Room 102 22B Unit 3 Personnel Decon Room Emergency Personnel Decon Kit 24 NAP Team 2 Kit 25 NAP Locker 26 Security Station Emergency Dose Rate Equipment 27 _
RPM Form 4.8.5-1 Rev. 003 Page 1 of 2
Kit or Locker Section D Actions to be Taken to Date Title Description of Deficiency Correct Deficiency ICorrected I +
1* I 4 4. 4.
i i I
- 4. .4 4.
1 4 1.
1 4 I
-t 4* I
- 4. 1 4
- 4. I 4.
- 4. -1 L I 4. 1 Comments:
_____ I_____ I __
Completed By: Date:
Reviewed By: Date:
RPM Form 4.8.5-1 Rev. 003 Page 2 of 2
02/13/02 Approval Date 1111111111111 11I 02/14/02 Effective Date Document Action Request SPG # 020430-145318 Initiated By: " y V" ^ Date: 03/14/2002 Department HP Ext 4560 Document NoRPM 4.8.5-010 Rev. No: 0 Minor Rev No. 0 I
Title:
Unit 1 Control Room Kit and Locker For New Documents only -4 [1 QA RITitle I
Reason for Request (attach commitmentsCs,,AsOEs etc)
Cancelled RPM 4.8.5-010, "Unit 1 Control Kit and Locker," because the facility is no longer used.
Select One if performing a changeseeMP-OS.ocsAPo, sIf 2.3 to dete,,jne to of ch)one Continued [n Intent Change(sQRindependent, RCD, ENVScreen-Requred E Edit Corr E] Non-Intent Change (Other reviews may be required. See MP-05-DC-FAP 01.1 Att 3 (Onti Tech IR.SQR IR and Env.slanature Reaulrecd Editorial Correction Approval TPC Interim Approval
/
(1) Plant Mngt Staff Member Print/Sign/Dote
/
Plant Mngt Staff Member - Approval / Date /
_______________________________________________(2) SMISRO/CFH an Unit Puint/Sign/Date Procedure Request/Feedback Disposition Priority: [] Perform Now LI Perform Later - See Comments Activity: I[] Revision El Minor Revision InL Cleanup Rev El Biennial Review 6] Cancellation El Supercedure i See Dc-GDLO1 for auidance El TPC [] OTC [] Place in Void Reviews continued Prnt Sign Date SQR Qualified ff
- r Yes No Dept.
[]1 ,(J * , [ I El Validation .&AJ Z).0O.u . U3 0
- Licensing Basis lra V/1 *ElI Tech ndependent lr#,&L.4~5-i An NRRL update was required ? [] Yes ,_
- 1. [ SQR Program Final Review and Appproval U SORC Final review and Approval Ao~roval [-a Disapproval E - N/A J RI/DH *et Cernoi
//A'r. 4 ýs / :i H/Ri OJ- Sign SQ eviewer / Date Meeting No.
D r/p e~-d*esjpirbll ndividual SORC Signature DH / RI Sianature Approval Date Approval Date wi Effective Date .- 2o0 -o Z, MP-05-DC-SAPOI -001 Rev. 003-02 j Page 1 of I
02/13/02 Approval Date 111111 I I*iI 1111111111 111111 11111 Jil 11111 J*l111111 II!11111 111111111 li i 11111 IIl J*ll11111111 lii!11111 11111 1111 1111 11111 1111 11111liii Jil 02/14/02 Effective Date Document Action Request I SG# 020430-145428 Initiated By: bn R*raxf) Date: 03/14/2002 Department HP Ext 4560 Document NoRPM 4.8.5-014 Rev. No: nO 0 Minor Rev No.0
Title:
Unit 1 Personnel Decon Room Emergency Personnel Decon Kit EB1 Reason for Request For New Documents only -- )
(attach commitments,CRts,AR~sOEs etc)
[] QA RI Title I
Cancelled RPM 4.8.5-14, "Unit 1 Personnel Decon Room Emergency Personnel Decon Kit," because the facility is no longer used.
Select O ne if perform ing a change s eemp-o5DcSAmj -2.3, det *,b -,twoofchave Continued [f]
Intent Change(sQRIndependent, RCD, ENV Screen Required D Edit Corr [] Non-Intent Change (Other reviews may be required. See MP-05-DC-FAP 01.1 Att 3- (Only Tech IRPSQR IRand Env.slanoture Reauirecf Editorial Correction Approval TPC Interim Approval
/
(1) Plant Mngt Staff Member Print/Sign/Date Plant Mngt Staff Member - Approval / Date /
_______________________________________________(2) SMISRO/CFH on Unit Print/Sign/Date Procedure Request/Feedback Disposition Priority: W]Perform Now LI Perform Later - See Comments Activity: IL Revision 66 Minor Revision See DC-GDL0I for cuiddnce ID Cleanup Rev El Biennial Review [9'Cancellation i- Supercedure EL TPC F] OTC F1 Place inVoid Reviews Print Sign Dote 505 Qualified I cont iued Yes No DeDt.
!~E DE El 50.5*
- FIA/0 rq A',-1 EPP El Validation O J 13 0 1> El Ucensingas s- j] Ir&L.Basi el - UP "Techirndependent Ir k L -. s ,,- , A1 " - Tr An NRRL update was required ? [] Yes 3
[!J 1. WLQR Proclram Final Review and Appproval i SORC Final review and Approval
,A oDro va l E r Disa pp rov al E N/A RI/DH (Pa M o*,',. hr*-- .
wt.
,ýz0J - IT/~ DH/RI Sign OeSQP armQuftolne~ient
/ ' Re Revieweral /Date sponsib*/Individu Meeting No.______
7, Indivdzal SORC Signature DH / RI Sianature 3
Approval l ate Approval Date w Effective Date ' -20 _Z_
MP-05-DC-SAPO1-001 Rev. 003-02 Page I of