1 SPF-001 (Rev.D1) DOCUMENT RELEASE AND CHANGE FORM Prepared For the U.S. Department of Energy, Assistant Secretary for Environmental Management By Washington River Protection Solutions, LLC., PO Box 850, Richland, WA 99352 Contractor 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/A RPP-27195 6. PrHA Number Rev. ☒ N/A Clearance Review Restriction Type: public 7. Approvals Title Name Signature Date Clearance Review Raymer, Julia R Raymer, Julia R 05/26/2020 Design Authority Wilson, Nathaniel W Wilson, Nathaniel W 04/24/2020 Checker Debban, Jeremy A Debban, Jeremy A 04/08/2020 Document Control Approval Meinecke, Kathryn R Meinecke, Kathryn R 05/26/2020 Environmental Protection Wall, Jeremy M Wall, Jeremy M 04/30/2020 Originator Dorsh, Paul M Dorsh, Paul M 04/08/2020 Other Approver McShane, Michael P McShane, Michael P 05/13/2020 Responsible 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. Title MT-50497 00 Liquid Effluent Retention Facility (LERF) Basin 41 14. Distribution Name Organization Angevine, Brennan T MISSION ANALYSIS ENGINEERING Blaak, Whitney S COGNIZANT SYSTEM ENGINEERING Demiter, Scott M ETF OPERATIONS Foster, Jim 242-A/AW/ETF OPERATIONS Goessmann, Glen E ENGINEERING PROGRAMS Greenhalgh, Aaron M TANK FARM PROJECTS ENGINEERING Halgren, Dale L ETF ENGINEERING Harris, John W SAFETY PROGRAM SERVICES RC/P Joslyn, Cameron C ETF ENGINEERING McFerran, Brandon E 242-A/AW/ETF OPERATIONS McShane, Michael P ENGINEERING PROGRAMS Omberg Carro, Susan K NUCLEAR SAFETY Powers, Daniel J ETF ENGINEERING Roosendaal, Gene D TFP PROJECT MANAGEMENT Rutherford, Wally ETF ENGINEERING RPP-CALC-63750 Rev.00 5/26/2020 - 7:58 AM 1 of 16 DATE: May 26,2020