ML20070L104

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Public Version of Temporary Change Notices for Emergency Plan Implementing Procedures,Including Procedure EP-IP-034 Re Pharmacy Bldg Sample Station Emergency Sampling
ML20070L104
Person / Time
Site: Susquehanna  Talen Energy icon.png
Issue date: 12/13/1982
From: Rizzo J
PENNSYLVANIA POWER & LIGHT CO.
To:
Shared Package
ML17139B257 List:
References
PROC-821213-01, NUDOCS 8212300410
Download: ML20070L104 (14)


Text

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TEg)301_ID .N'l CHANGE APPROVAL FORM

v. Temporary Chg. No.D O3 W Temporary Change Page 1 of L -

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A. Procedure No. Q -[ -C M Rev.

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tm.-q Sculy I o I B.. Requested Change,() ,

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C. Reason For Change k hgf  % l h Does this change alter the intent of the procedure? Yes No Does this change identify an unreviewed safety question? Yes No (See Reverse side of this page for procedure non-intent change and unreviewed safety question. If "yes" to either question, do not issue change without PORC review / Supt. approval, section 6.11.3)

D. Recommended for perma'nent status Yes No _

E. Expiration Date A "N/A" for permanent status.

45-60 days for temporary status F. Initiator U

220 Title h Galf I

~I Date / A G. Temp ary Change Authorization l bvW //2~f3-T7-

.n Shift Supervision Date Mfnagement Wember f, e / /2fZhD

/Date H. Temporary Change Approval Approved as written for permanent status Yes No

/* PORC' Review /

PORC Chairman /Section Head Date (If Applicable) Mtg. No.

(As Applicable) Date

/

Superintendent of Plant Date

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(_jFORMAD-QA-101-2,Rev.2Page1of1 .

DUPLEX

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CONTROLLO q TEMPORARY CHANGE APPROVAL FORM

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C. Reason For Change NE } C (X h /te+s -3 @ 62 -/e -fo

.: I Does this change alter the intent of the procedure? Yes No Does this change identify an unreviewed safety question? Yes No #

(See Reverse side of this page for procedure non-intent change and unreviewed safety question. If ."yes" to either question, do not issue change without PORC review / Supt approval, sectica 6.11.3)

, D. Rscommended for permanent status Yes o E. Expiration Date Mb "N/A" for permanent status.

45-60 days for temporary status F. Initiator b Title @ko17 Date / k G. Tempor hange Authorization I

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~5hift Supervision Date Mtnagement Kember

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Aa)(a H. Temporary Change Approval Approved as written for permanent status Yes No

/t p0RC Review /

PORC Chairman /Section Head Date (If Applicable) Mtg. No.

(AsApplicable) Date

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Superintendent of Plant Date

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FORM AD-QA-101-2, Rev. 2 Page 1 of 1 DUPLEX -

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WRC bepencl<t B itun Priority: Co-36-3-lez Must;be made immediathly, Procedure is incorre,ct 3 -

Should be made soon, facilitates use of procedure C -

Should be made as time permits v

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TEMPORAkY CHANGE APPROVAL FORM

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A.. Procedure No. Rev.O o

Title'

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C. Reason For Change Nk h(y' -

VS 1 W Does this change alter the intent of the procedure? Yes No Does this change identify an unreviewed safety question? Yes - No /

(See Reverse side of this page for procedure non-intent change and unreviewed safety question. If "yes" to either question, do not issue s change without PORC review / Supt. approval, section 6.11.3)

O. Recommended for pe manent status Yes ]No '

E. Expiration Date bb "N/A" for permanent status.

45-60 days for temporary status Initiator N/A *~&O F.

G. . Tem ary ange Authorization Title EP b d r # oate //b7k

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Shift Supervision Date

Management 7 Member /Dgte H. Temporary Change Approval Approved as written for permanent status Yes No

/* PORC Review /

PORC Chairman /Section Head Date (If Applicable) Mtg. No. Date (AsApplicable)

/

Superintendent of Plant Date L,DUPLEXFORM A0-QA-101-2, Rev. 2 Page 1 of 1

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C. Reason For Change

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Does this change identify an unreviewed safety question? Yes No (See Reverse side of this page for procedure non-intent change a.ed unreviewed safety question. If "yes" to either question, do not issue change without PORC review / Supt. approval, seg. tion 6.11.3)

, D. Recommended for permanent status Yes / No Nd

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E. Expiration Date "N/A" for permanent status.

45-60 days for temporary status F. Initiator (APEC Title Y Date / N G.. Temp ary ange Authorization

/ / 2.'- !]'E2- // b U Shift Supervision Date dianagement Member Sage H. Temporary Change Approval Approved as written for permanent status Yes No

/' p0RC Review /

PORC Chairman /Section Head Date (If Applicable) Mtg. No.

(AsApplicable) Data

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Superintendent of Plant Date 4 ,.

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Should be made soon, facilitates use of procedure C -

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Does this change alter' the intent of the procedure? Yes Does this change identify an unreviewed safety question?

(See Reverse side of this page for procedure non-intent change and Yes No [f.

No unreviewed safety question. If "yes" to either question, do not issue change without PORC review / Supt. approval, se s ion 6.11.3)

- D. Recommended for permanent status Yes _ No _

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E. Expiration Date "N/A" for permanent status.

45-60 days for temporary status F. Initiator 2M) Title Y h r 'N' I G.

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Tem ry Change Authorization Shift Supervision

/ / 2 -/3 - t 2.

Date

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/* PORC Review /

M C Chairman /Section Head Date (If Applicable) Mtg. No. Date (AsApplicable)

/

Superintendent of Plant Date J

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/- PORC Review /

PORC Chairman /Section riead Date (If Applicable) Mtg. No.

(AsApplicable) Date

/

Superintendent of Plant Date

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U FORM AD-QA-101-2, Rev. 2 Page 1 of 1 DUPLEX -

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TO: MANAGER-NUCLFAR SUPPORT, GO, N-4 -

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Does this change alter the intent of the procedure?

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/ / 2 ~ d - f 2-Date Management Member

//2b U Apte H. Temporary Change Approval Approved as written for permanent status Yes No

/* PORC Review /

PORC Chairman /Section Head Date (If Applicable) Mtg. No.

(AsApplicable) Date

/

Superintancent of Plant Date V FORM AD-QA-l'01-2, Rev. 2 Page '. of 1 OUPLEX '

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Attach Additional Pages if itequired Priority: A Must be made immediately, Procedure is incorre,ct B -

Should be made soon, facilitates use of procedure C -

Should be made as time permits

[ [ dh Submitted -

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Apprtved - Mgr.-Nuclear Support

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