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175618 RETURN ACKNOWLEDGED TRANSMITTAL AND TO CONTROL NUMBER: 338U SUPERSEDED DOCUMENTS (IF APPLICABLE) TO: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

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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 SORT BY FIELD SEQUENCE NUMBER 3

EXINC INSTRUCTION NUMBER: Al20.0021/S236 REVISION 002 v

ADMINISTRATION APPROVAL

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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

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09) MEDIA R OR H OR F.

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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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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 which will became Q& Records.

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

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July 2, 1985 A120.0021 Gog,'Ig S236, Rev. A C9' ESW4 4 flp/..t 3 i

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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. Spencer k

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:

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'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

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