DOCUMENT RELEASE AND CHANGE FORM · 2021. 2. 17. · DOCUMENT RELEASE AND CHANGE FORM Doc No: RPP -CALC63750 Rev. 00 2 SPF-001 (Rev.D1) 14. Distribution Name Organization Sackett,

1 SPF-001 (Rev.D1)

DOCUMENT RELEASE AND CHANGE FORMPrepared For the U.S. Department of Energy, Assistant Secretary for Environmental ManagementBy Washington River Protection Solutions, LLC., PO Box 850, Richland, WA 99352Contractor For U.S. Department of Energy, Office of River Protection, under Contract DE-AC27-08RV14800

TRADEMARK DISCLAIMER: Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise, does not necessarily constitute or imply its endorsement, recommendation, or favoring by the United States government or any agency thereof or its contractors or subcontractors. Printed in the United States of America.

Release Stamp

1. Doc No: RPP-CALC-63750 Rev. 00

2. Title:LERF Basin 41 Settlement of Foundation Soils

3. Project Number:T1P226

☐N/A 4. Design Verification Required:

☐Yes ☒No

5. USQ Number: ☒ N/ARPP-27195

6. PrHA Number Rev. ☒ N/A

Clearance Review Restriction Type:public

7. Approvals

Title Name Signature DateClearance Review Raymer, Julia R Raymer, Julia R 05/26/2020Design Authority Wilson, Nathaniel W Wilson, Nathaniel W 04/24/2020Checker Debban, Jeremy A Debban, Jeremy A 04/08/2020Document Control Approval Meinecke, Kathryn R Meinecke, Kathryn R 05/26/2020Environmental Protection Wall, Jeremy M Wall, Jeremy M 04/30/2020Originator Dorsh, Paul M Dorsh, Paul M 04/08/2020Other Approver McShane, Michael P McShane, Michael P 05/13/2020Responsible Engineering Manager Huntington, Matthew R Huntington, Matthew R 05/14/2020

8. Description of Change and Justification

Initial Release. Design checks were performed in accordance with Sargent & Lundy ESD Quality Assurance Procedure (QAP). Because of the General Service status of the equipment, a graded approach was applied and design verification was not performed as allowed by QAP 3.5, Design Verification. Note that Paul Dorsh is signing as Originator for Joshua Bickett and Jeremy Debban is signing as Checker for David Nielson. Joshua Bickett and David Nielson are not currently in SPF.

9. TBDs or Holds ☒N/A

10. Related Structures, Systems, and Components

a. Related Building/Facilities ☐N/A b. Related Systems ☐N/A c. Related Equipment ID Nos. (EIN) ☒N/A

LERF FACILITIES LERF

11. Impacted Documents – Engineering ☒N/A

Document Number Rev. Title

12. Impacted Documents (Outside SPF):

N/A

13. Related Documents ☐N/A

Document Number Rev. TitleMT-50497 00 Liquid Effluent Retention Facility (LERF) Basin 41

14. Distribution

Name OrganizationAngevine, Brennan T MISSION ANALYSIS ENGINEERINGBlaak, Whitney S COGNIZANT SYSTEM ENGINEERINGDemiter, Scott M ETF OPERATIONSFoster, Jim 242-A/AW/ETF OPERATIONSGoessmann, Glen E ENGINEERING PROGRAMSGreenhalgh, Aaron M TANK FARM PROJECTS ENGINEERINGHalgren, Dale L ETF ENGINEERINGHarris, John W SAFETY PROGRAM SERVICES RC/PJoslyn, Cameron C ETF ENGINEERINGMcFerran, Brandon E 242-A/AW/ETF OPERATIONSMcShane, Michael P ENGINEERING PROGRAMSOmberg Carro, Susan K NUCLEAR SAFETYPowers, Daniel J ETF ENGINEERINGRoosendaal, Gene D TFP PROJECT MANAGEMENTRutherford, Wally ETF ENGINEERING

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DATE:

May 26,2020

DOCUMENT RELEASE AND CHANGE FORM Doc No: RPP-CALC-63750 Rev. 00

2 SPF-001 (Rev.D1)

14. Distribution

Name OrganizationSackett, Tom E TANK FARM PROJECTSSamoska, Jerry A INSTRUMENT & CNTRL ENGINEERINGShultz, Milton V NUCLEAR SAFETYSmith, Gregory E TANK FARM PROJECTS ENGINEERINGSmoot, Bill R TFP RADCONSwanson, Brad L 242-A/AW/ETF OPERATIONSWall, Jeremy M RETRVL & CLOSURE/PROJ ENV CMPLWilson, Nathaniel W ETF PROJECTS ENGINEERING

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Approved for Public Release; Further Dissemination Unlimited

4/8/2020

Paul M. Dorsh, P.E.

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Design Soil Profile

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Foundation Analysis and Design

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