ML20066H260

Rev 2 to A120.0021/S236, Signature/Initials Log

ML20066H260
Person / Time
Site:	Callaway
Issue date:	01/31/1991
From:	UNION ELECTRIC CO.
To:
References
A120.0021-S236, NUDOCS 9102200238
Download: ML20066H260 (6)

Text

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QATE: 02/05/91 UNION ELECTRIC COMPANY PAGE: 1- i TIME: 15:24:18 , DOCUMENT CONTROL SYSTEM ARDC8811 DOCUMEN7 TRANSMITTAL TRANSMITTAL NUMBER: 175618 RETURN ACKNOWLEDGED TRANSMITTAL AND TO CONTROL NUMBER: 338U SUPERSEDED DOCUMENTS (IF APPLICABLE) TO: i TITLEt-OTHER ADMINISTRATION RECORDS DEPT: NUCLEAR REGULATORY COMM. UNION ELECTRIC COMPANY-LOCATION: MASH D.C. CALLAWAY PLANT  ;

TRANSMITTAL DATE: 910205 P.O. BOX 620 FULTON, MO 65251 TRAN DOC RET ALT ALT CODE TYPE DOCUMENT NUMBER REV REV MED COPY MED COPY AFFECTED DOCUMENT -

.... .... .................... ... ... ... .... ...-.... . ................ . 1 R 1NDX Al20.0021/S236 002 001 C 1 1

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. ACKNOWLEDGED BY: DATE:

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4 OI/31/91 UNION ELECTRIC COMPANY ARIP2361 10:09:44 CALLAWAY RECORDS INFORMATION SYSTEM PACE 1 3 SORT BY FIELD SEQUENCE NUMBER EXINC INSTRUCTION NUMBER: Al20.0021/S236 REVISION 002 v

ADMINISTRATION APPROVAL (, ' [M ' E 1 / ft / 9 /

ORIGINATORt TAMMY'LAMONS 1991/01/23 TITLEt SICNATURE IDC )

BOX STORACE APPLIEST WO j CROUP CODE OP ( OP=0PERATIONS )

i NNRMHON ONW- '

JNCOE104 1 O, FIELD SEQUENCE NUMBER / NAME j REQUIRED / ADMINISTRATION

06) ROLL / FRAME RRRR/FFFF REQUIRED / ADMINISTRATION

07) ORCANIZATION U01' REQUIRED / ADMINISTRATION f

i 08) RETENTION PERIOD Q-LP ENTER AS LP

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REQUIRED / ADF;NISTRATION ,  ;

09) MEDIA R OR H OR F.

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1 FILE CODE: A130.0016 I

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!' OJ/31/91 UNION ELECTRIC COMPANY ARIP2361 10:09:44 CALLAWAY RECORDS INFORMATION SYSTEM PACE 2 SORT SY FIELD SEQUENCE NUMBER -

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" DEXING INSTRUCTION NUMBER A170t0021/S236 . REVISION 002 l

REQUIRED / DEPARTMENT  :

24) NAME ***** .

ENTER ALL NAMES ON RECORD IN LAST, FIRST, MIDDLE INITIAL FORMAT..

REQUIRED / DEPARTMENT.

25) SOCIAL SECURITY NUMBER ***** - .

-ENTER SSN WITHOUT DASHES OR SPACES. IF I;0 SSN IS AVAILABLE ON THE RECORD, CHECK PERSONNEL SYSTEM. IF NOT ON PERSONNEL SYSTEN,. BLANK' THIS FIELD.

NOTE: PRIOR TO REVISION 1 0F THIS INSTRUCTION, SOCIAL SECURITY. -

NUMBERS WERE NOT ENTERED.-

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i FILE CODE A130.0016 ~t O

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Individuals @ Name (Print)

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Example of Signature and Initists Ofiddle) -

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I A tare- j Ntihis ~ Date ,

• • Lewis William Armstrong

• LWA 10/6/87 You are required to provide an example _of your Signature and laitials the way you sign _ doomments 3

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• • which will became Q& Records.

For Document Control Use only (Do not'put anything is these blanks). '

CA-M50 03/20/47

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July 2, 1985 A120.0021 Gog,'Ig S236, Rev. A  !

flp/. .t. 3 C9' ESW4 4 i h .v I&I To "FittW' - v e Subj ect: Verification Signatures of Consultant Personnel Listed below are the true and accurate signatures sind handwritten ,

initials of Quality control consultant. personnel as of July 2,1985.

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_NAME SIGNATURE INITIA13 24 T. L. Antweiler haI A-v M,

• 24 M. J. Belcher s. _

P. A. Bohnert . at K. H. Hudson /f T>@D.R.

k Spencer '

These signatures and initials are transmitted to the QA File for use 't in validating records completed by these individuals. ,

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Signatures Witnessed By: <.. &F ,- d2* ' .

'R. L. Nave T. L/ ~Shas Asst. QC Supv. QC Supervisor t In Process TIS /RLN/11 cci T. L. Shaw R. L. Nave 3 V. P. Porte11 '

L. M. Zahara QO100SCQ i C57.72

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