16
ENGINEERING CHANGE NOTICE P , . 1 0 ' 2 2. ECN Category (mark one) Suwlemental Change ECN Twnporary standby supersedure [I Cancel/Void [I ~.EW tjCj4031 ......... . . . . . . . . . . . .. . . . . ... . . . ...... hi. ECN 12a. Modification Work Yes (fill out Elk. [XI No (NA Elks. 12b. 12c. 12d) 3. Originator's Name, Organization, MSIN, and Tetephone No. 4. USQ Required? 5. Date TA Nuxall, SNF CVD, R3-86, 372-3739 ~~~~ 6. Project Title/No./Work Order NO. w-441 Spent Nuclear Fuel Cold Vacuum Drying 9. Document Numbers Changed by this ECN (includes sheet no. and rev.) SNF-3929, Rev. 2 7. Bldg./Sys./Fac. No. 8. Approval CVDF Des '3 10. Related ECN No($). 11. Related PO No. N/A N/A 13a. Description of Change 13b. Design Baseline Document? [] Yes [XI No Revision i n response to RFI HE-031 (Part Model Number Change). 12b. Work Package No. NIA 14a. Justification (mark one) C r i t e r i a Change [x] Design Improvement [] Environmental t1 Facility Deactivation [] Const. Error/Omission [] Design Errar/Omission [] As-Found [I Facilitate Const [] 14b. Justification Details RFI HE-031. 12c. Modification Work Complete 12d. Restored to Original Condi- t i o n (Temp. or Standby ECN only) NIA NIA Design Authority/Cog. Engineer Design Authority/Cog. Engineer Signature B Date Signature B Date 15. Distribution (include name, MSIN, and no. of copies) RELEASE STAMP See Distribution - A-7900-013-2 (05/96) GEF095 A-7900-01 31

~.EW tjCj4031 ENGINEERING CHANGE NOTICE . . . . . . . P,. 10'2 hi. …/67531/metadc741465/... · kuthorized Rep. Mgr. >A jafety I/ C. Van Katwijk Signature Design Agent PE PA Safety

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Page 1: ~.EW tjCj4031 ENGINEERING CHANGE NOTICE . . . . . . . P,. 10'2 hi. …/67531/metadc741465/... · kuthorized Rep. Mgr. >A jafety I/ C. Van Katwijk Signature Design Agent PE PA Safety

ENGINEERING CHANGE NOTICE P,. 1 0 ' 2

2. ECN Category (mark one)

Suwlemental

Change ECN Twnporary standby supersedure [I Cancel/Void [I

~ . E W tjCj4031 ......... . . . . . . . . . . . .. . . . . ... . . . ...... hi. ECN

12a. Mod i f i ca t ion Work

Yes ( f i l l out Elk.

[XI No (NA E l k s . 12b. 12c. 12d)

3. Or ig ina tor ' s Name, Organization, M S I N , and Tetephone No.

4. USQ Required? 5. Date

TA N u x a l l , SNF CVD, R3-86, 372-3739 ~~~~

6 . Project Title/No./Work Order NO.

w-441 Spent Nuc lea r Fuel Co ld Vacuum D r y i n g

9. Document Numbers Changed by t h i s ECN ( includes sheet no. and rev.)

SNF-3929, Rev. 2

7 . Bldg./Sys./Fac. No. 8. Approval

CVDF Des '3 10. Related ECN No($). 11. Related PO No.

N/A N / A

13a. Descr ipt ion o f Change 13b. Design Baseline Document? [ ] Yes [XI No R e v i s i o n i n response t o R F I HE-031 ( P a r t Model Number Change).

12b. Work Package No.

N I A

14a. Jus t i f i ca t i on (mark one)

C r i t e r i a Change [x] Design Improvement [ ] Environmental t 1 F a c i l i t y Deact ivat ion [ ] Const. Error/Omission [ ] Design Errar/Omission [ ] As-Found [ I F a c i l i t a t e Const [ ]

14b. J u s t i f i c a t i o n De ta i l s

R F I HE-031.

12c. Mod i f i ca t ion Work Complete 12d. Restored t o Or ig ina l Condi- t i o n (Temp. o r Standby ECN only)

N I A N I A

Design Authority/Cog. Engineer Design Authority/Cog. Engineer Signature B Date Signature B Date

15. D is t r i bu t i on ( include name, M S I N , and no. o f copies) RELEASE STAMP See D i s t r i b u t i o n -

A-7900-013-2 (05/96) GEF095

A-7900-01 3 1

Page 2: ~.EW tjCj4031 ENGINEERING CHANGE NOTICE . . . . . . . P,. 10'2 hi. …/67531/metadc741465/... · kuthorized Rep. Mgr. >A jafety I/ C. Van Katwijk Signature Design Agent PE PA Safety

ENGINEERING CHANGE NOTICE Page 2 of 2

'unctional Design Cdteria

3psrating Specification

:riticality Specification

:onceptUaI Design Report

iquipmsnt Spec.

:onst. spec.

'r0C"rBmmf spec.

lsndor Information

I M M~(nu.1

'SARISAR

ialefy Equipment List

ladistion Work Permit

invironrnental Impact Statement

:nvironmsnfai Report

:nvirmmental Permit

1. ECN (use no. from pg. 1)

654031

SeisrniCiStress Analysis

StresdDesign Report

Interface Confrol Drawing

Calibration Procedure

Installation Procedure

Maiirtenance Procedure

Engineering Procedure

Operating instruction

Operatino Procedure

Operational Safety Reqiiirement

IEFD Drawing

Cell Arrangement Drawiirg

Essential Material Specification'

Fac Piac Samp Schedule

Inspectla" Pian

Inventory Adiustmem Request

16. Design V e r i f i c a t i o n Required

[ I yes

[XI No

Health Physics Procedure

Sparer Multiple Unit Listing

Test PiaceduresiSpecificstlon

Component Index

ASME Coded Item

Human Factor consideration

computer Software

Electric Circuit Schedule

iCRS Procedure

Process Control ManuaiiPian

Process Flow Chart

Purchase Requwl ion

Tickler File

17. Cost Impact 18. schedule Impact (days)

ENGINEERING CONSTRUCTION

Improvement [ I [ I Delay

[ I .$ [ I .$

Addi t ional

Savings [ I $ [I (6

Addi t ional

Savings

11 [ I !O. Other Affected Documents: (NOTE: Documents l i s t e d below M i l l not be revised by t h i s ECN.) Signatures below

ind icate tha t the signing organization has been n o t i f i e d o f other a f fected documents l i s t e d below.

Document NumberlRevision Document Number/Revision Document Number Revision

N I A

21. Approvals

Design Author i ty

lesignated Cog. Eng.

kuthorized Rep. Mgr.

>A j a f e t y I /

C. Van Katwijk

Signature Design Agent

PE

PA

Safety

Design

Envi yon.

Other

DEPARTMENT OF ENERGY

Signature or a Control Number that tracks the Approval Signature

Date

A D D I T I O N A L

A-7900-013-3 (OS/%) GEF096

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SNF-3929, Rev. 3

MATHESON SCHe PRESSURE REGULATOR (SCHe TANK OUTLET)

Carl Van Katwijk Nuinatec Hanford, Richland, WA 99352 U S Departiiieiit of Energy Co~ilract DE-ACO6-9hRLI 3200

EDTECN: 6.5403 1 uc: 620 Org Code: 2G300 B&R Code: 39EW40400

Charge Code: I055SWA000 Tolal Pages: 13

Key Words. Matheson SCHe Pressure Regulator

Abstract: Matheson SCHe Pressure Regulator

Approved for Public Release

A-6400-073 (Otl97) (iEF32I

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I 11) Document Number I

(5) Cog. Engr.

RECORD OF REVISION

(6) Cog. Mgr. Date

1 Page __

S N F - 3 9 2 9 , MATHESON SCHe PRESSURE REGULATOR (SCHe TANK OUTLET)

(3) Revision

0

1

2

3

RS

ECN 653776 REVISION TO MEET SEL REV. 6

ECN 647508, REVISION TO MEET SEL REV. 6a n c

ECN 654031, PART MODEL NUMBER CHANGE

L A-7320-005 (10197)

Page 5: ~.EW tjCj4031 ENGINEERING CHANGE NOTICE . . . . . . . P,. 10'2 hi. …/67531/metadc741465/... · kuthorized Rep. Mgr. >A jafety I/ C. Van Katwijk Signature Design Agent PE PA Safety

ECNNo. NA Ccil No. CGI-SNF-D-13-PS-032 Title: MATHESON SCHe PRESSURE REGIJLATOR (SCHe TANK OUTLET)

ItemNo.: NA I Manufacturer: 1 Supplier: I

Page I or I I

Mfg. Part/Madel No.: I Supplier's PIN:

Equipment No.: SCHe-PCV-5'04. 5'23.5'43. 5'63

Procurement and/or Model No.: 8-580

Part Descnption

Specification No.: Manufacturer: Matheson W-441-P5, Rev. 2 Gas Products

Equipment Supplier (if different from manufacturer): TED

Past P.O. No.: NA

Equip. Supplier's Part No.: NA

Component Description: Dual Stage Pressure Regulator to Maintain Steady Delivery Pressure Over Wid Range of He Tank Pressure ~

1. Is the Item available from a catalogue of a qualified NQA1 supplier? (coordinate with project CGI interface Engineer or BTR)

[ 1 YES (go lo #2 below) [ X ] NO (go to procedure step 6.3.2, proceed to dedicate Item.)

. ~ . ~ . . . . .

~ ~ . . ~~ .~~ Section 2b~C~me~~ia_l_Ava@biliQ ofthe Item . . .- ~. . ~~. .

If not available from a qualified NQA1 supplier, is it available from an IS0 9000 supplief? (coordinate with project CGI interface Engineer or BTR)

[ ] YES (go t0#2 below, then go to procedure step 6.3.2, proceed to dedicate Item)

-~ _I X ] NO (so to pmcgureslep 6.3.2, proceed to dedicate Item.) 2. List of Candidate qualified suppliers or IS0 9000 suppliers

company name &type contact name phone

NA ~ ~~~ ~ ~ ~~~ ~- ~ ~

~~

3. Recommended Procurement Stralegy(coordinate with project CGI interface Engineer or BTR):

NA ~~~ ~~ ~

Page 6: ~.EW tjCj4031 ENGINEERING CHANGE NOTICE . . . . . . . P,. 10'2 hi. …/67531/metadc741465/... · kuthorized Rep. Mgr. >A jafety I/ C. Van Katwijk Signature Design Agent PE PA Safety

SNl .3929. I l w 1 ___~ ~~~ ~~ ~ ~~ ~ ~- . ~ ~ ~ ~ ~~ ~

I Commercial Grade Item Upgade Dedication Fonn ECNNo. NA CGI No. CGI-SNF-D-13-PS-032 Title: MATHESON SCHe PRESSURE REGULATOR (SCHe TANK OUTLET)

. . ~ ~ ~~ ~~ Section 2c CGI Determination ~ ~ . .. ...~... ~~ ~~ ~

1. Question #1: Is the Item subject to design or specification requirements that are unique to nuclear facilities or activities?

[ ] YES (the Item is not commercial grade) [ X I NO (continue)

[ 1 NO (the item is not commercial grade) 2. Question#2: Is the Item used in appiications other than nuclear facllities or activities?

[ X I YES (continue) Question #3: Is the Item ordered from manufaclurerkupplier on the basis or specifications set foflh in the Published 3. product information (e.g.> manufacturefs catalog)?

[ 1 NO (the Item is not commercial grade)

[ X ] YES (continue)

[ X I All three criteria have been satisfied. The ~~ ~ Item - ... .. meets . .~ the definition .. . . ~ ~ .... of commercial .., . ~.~ grade. . . . ~

[ X ]

[ ]

Item is being purchased from a non ESL manufacturer supplier as commercial grade to be used in a Safety Class application.

Item is being purchased from a non ESL manufacturer supplier as commercial grade to be used in a Safety Significant

[ ] Item was purchased from a non ESL manufacturer supplier as commercial grade to be used in a Safety Class

[ ] Item was purchased from a non ESL manufacturer supplier as commercial grade to be used in a Safety Significant

Other ('like-for-like'. _I___ similar, substitution, ~. . ~ replacement . _~ evaluatioQ~..,_ application. . ~~~ ~ ~~~~

~. , ~~~~~~~ - ...,.. .

Section 3 Failure ~~ Effects ~~ Eva!uation ~~

A. ParVComponent Safety Function:

1. Pressure bo-uJry. ~ ~~~~~ ~~ _~

2. Prevent Thermal ~ Runaway ~~ ~ and ~ H2 explosion . ~ ~ ~~

3. Maintain critical function before and after seismic event.

B. PartlComponent Functional Mode: Safety Function #1:

[ ] Active - Mechanical or Electrical change of state is required to occur for the component to perform its safety function

[ X ] Passive - Change of state is not requireu for the component to perform its safety function Safety Function #2:

[ ] Active - Mechanical or Electrical change of state is required to occur for the component to perform its safety function.

[ X 1 Passive - Change of state is not required for the component to peiiom its safety function

[ ] Active - Mechanical or Electrical change of state is required to occur for the component to perform its safety function.

[ X ] Passive - Change of state is not required for the component to perform its safety function

Safety Function #3:

C Host Component Safety Function (if applicable) NA 1 - __

07122l')')

Page 7: ~.EW tjCj4031 ENGINEERING CHANGE NOTICE . . . . . . . P,. 10'2 hi. …/67531/metadc741465/... · kuthorized Rep. Mgr. >A jafety I/ C. Van Katwijk Signature Design Agent PE PA Safety

Grade Item Upgrade Dedication Fonn SNI:-?"ZU. Rcu 3 ~~~~~~~~ . . ~~~ ~ ~~~~

CGl No. CGI-SNF-D-13-PS-032 Tntk MATHESON SCHe PRESSURE REGULATOR (SCHe TANK OUTLET)

Yes[ 1 Limiting Environmentai Conditions: No 1x1 Required Safely Functions:

Environmental Condition B Quaiification Period:

Natura Phenomena Hazard (NPH) Design Required: If yes: NPH Design Requirements Yes [ X I Peiformance Categoly: PC-3

No I I NPH Design Req'ts.: Seismic Condition A HNF-PRO-97, Rev. 0 W-441 -P5, Rev. 2 Boundary, Prevent Therrnal Runaway and H2

Required Safety Functions: Maintain Pressure

Explosion, Maintain Critical Function Before and . ~. .. . ~~ ~ .. .... After .. .~~ Seismic Event ~~~~ ......... . .. . ~

~~ ~. ~ Section 5 Component Functional Classification ~~~ . .

[ X ] Safety Class (SC) [ ] General Selvice [ ]Safely Significant (SS) if parUcomponent classification is different from host componentkystem, document basis

~

~~ . ~ ~~~~~~~~

. ~ ~~ ~

Safety Analysis Report (SAR): Drawings HNF-SD-SNF-SAR-002, H-1-82165. Rev. 2

HNF-SD-SNF-SEL-002, Rev. 6 A

ASME B 31.3

Vendor Manual/Manufacturer/Suppiier information

Matheson Gases and Equipment, Regulators & Gauges, P. 234.

Other: NA

Page 8: ~.EW tjCj4031 ENGINEERING CHANGE NOTICE . . . . . . . P,. 10'2 hi. …/67531/metadc741465/... · kuthorized Rep. Mgr. >A jafety I/ C. Van Katwijk Signature Design Agent PE PA Safety

ECNNo. NA Ccil No. CGI-SNF-D-13-PS-032 Title: MATHESON SCHe PRESSURE REGULATOR (SCHe TANK OUTLET)

I ' ; , ~ ~ 4 <>r I I

Cntical Charactenstics Venficahon Acceptance Cntenafloierances Arceptance ID Function

SetDoint

Nameplate - Manufacturer Matheson Gas Products ~ 1,IN 1 1. IN Component Number-

Procurement andlor Model Number Sheet1 I

8 -580 , (Per Procurement Package W- 441-P5, Rev. 2, Section G. Design Data

Maintain delivery pressure of 2 5 psig over input pressure range of 100 to 3000

X

X

Body Material 1 Brass (Note 41

Approvals: Designated Engineer:

1, IN X

Outlet Connection

Gauge Range

Weight

Pressure Boundary

3. Peflonnance Critical Characteristics (for

'h" NPT Male 1 1 . IN X

Delivery Gauge: 0-100 psig l 1. IN X

Cylinder Gauge: 0-3000 psig i Nominal 7 Ibs. 1 1, IN X

Pressure Test at 3300 psig (No Leakage-

Note 3 i

reasonable assurance that the item will perform its intended safety function s)) X

No Bubbles) 1 1, T

Environmental

Seismic Condition A -~

w i g Note 1

Note 2 ~ l , T X

I

Page 9: ~.EW tjCj4031 ENGINEERING CHANGE NOTICE . . . . . . . P,. 10'2 hi. …/67531/metadc741465/... · kuthorized Rep. Mgr. >A jafety I/ C. Van Katwijk Signature Design Agent PE PA Safety

Cominercial Grade Item Upgrade Dedication Form ~ SNF-3929. Rev. 1 ~ ~~ ~ ~~ ~~~ ~ ~ ~~~~ ~~~ ~ ~~~ ~ ~ ~ ~~~

ECNNo. NA CCil No. CGJ-SNF-D-13-PS-032 Page 5 UT I I

Title: MATHESON SCHc PRESSURE REGULATOR (SCHe TANK OUTLET) -

DETERMINATION OF FAILURE MECHANlSMSlMODES SECTION 1

Definition ADolicable to ComDonent Mechanisms Fracture

. ... .~ Separationoi a solid accompanied by little orno macroscqic plastic deformation.

Corrosion

Erosion

Open Circuit

Short Circuit

Blockage

Seizure

Unacceptable Vibration

Loss of Properties

Excess Strain

Mechanical Creep

Ductile Fracture

The gradual deterioration of a material due to chemical or electrochemical reactions, such as oxidation, between the material and its environment. Desttuction of materials by the abrasive action of moving fluids, usually accelerated by the presence of solid particles camed with the fluid. An electrical circuit that is unintentionally broken so that there is no complete path for current flow,

An abnormal connection by which an electrical current is connected to ground, or to some conducting body, resulting in excessive current flow. Clogging of a filtering medium resulting in the inability to perform its purification function or blockage of flow Binding of a normally moving i ter through excessive pressure, temperature, friction, jamming.

Mechanical oscillations produced are beyond the defined permissible iimits due to unbalancing, poor support, or rotation at criWal speeds. A loss of mechanical and physical properties of a material due to exposure to high temperatures, radiation exposure. Under the action of excessive external forces the material of the part has been deformed or distorted

From prolonged exposure to high temperature and stress, the object will show a slow change in its physical (shape and dimension] and mechanical characteristics. Fracture characterized by tearing of metal accompanied by appreciable gross plastic

, ,

under Evaluat;on ~~ . Yes [ ] No.[ X 1; If Yes, indicate failure Mode

Yes [ 1 No [ X] ; If Yes, indicate failure Mode

Yes [ j Mode

Yes [ ] Mode

Yes [ ] Mode

Yes [ ] Mode

Yes i I

No [ X j ; If Yes, indicate failure

No [ X 1 ; If Yes, indicate failure

No [ X 1; If Yes, indicate failure

No [ X 1, If Yes, indicate failure

No I X I ; If Yes, indicate failure . . . . Mode

Yes [ 1 Mode

Yes [ ] No [ X I ; If Yes, indicate failure Mode

No [ X 1; If Yes, indicate failure

Yes [ 1 No [ X 1; If Yes, indicate failure Mode

Yes [ 1 Mode

No [ X 1; If Yes, indicate failure

Yes [ ] No I X]; If Yes, indicate failure Mode

1. Regulator Body Break

___ 2 . Diaphragm Break/Failure

07/22/99

Page 10: ~.EW tjCj4031 ENGINEERING CHANGE NOTICE . . . . . . . P,. 10'2 hi. …/67531/metadc741465/... · kuthorized Rep. Mgr. >A jafety I/ C. Van Katwijk Signature Design Agent PE PA Safety

SSF-3727. Kc\. 3 Commercial Grade Item Upgrade Dedication Fonn __-~ ~ ~~ ~ ~ ~ ~~ -~~ . ~~ - ~ ~~.~ ~~~. . ECNNo. NA Ccil No. CGI-SNF-D-13-PS-032 T~tle- MATHESON SCHe PRESSURE REGULATOR (SCHe TANK OUTLET)

CHECKLIST 1

ACCEPTANCE METHOD 1 SPECIAL TESTlINSPECTlON VERIFICATION

Item Description SCHe Tank Pressure Regulator

System # 13

M'mufaclurer (Address/Plioiie)

Matheson Gas Products

8800 Utica Avenue

Cucamonga, CA 91 730

(909) 987-461 1

P O #

SECTlOlri 2 CRII'ICAL CH.ZRAC1 ---I

Equip #: SCHe-PCV-5'05, 5'23, 5 *43 , 5 * 6 3 Procurement andlor Model #: 8 - 5 8 0

Supplier (AddresslPlrone)

RISTICS TO BE VERIFIED BY METHOD 1. -

1 1. Nameplate - Manufacturer

I I 2. Component Number-Procurement and/or Model Number

I 1 3. Body Material Werification may be by either inspection or tes t )

[ 1 4. Outlet Connection

-. 1 1 5. Gauge Range

I I 6. Weight

I 1 7. Pressure Boundary

SECTION 3 BY INSPECTION

* See Attaclunent H of Dcsk lnstnlction Tor S:iinpling Size

Cllaracteristic: Nameplate - Manufacturer

Sample Size*: All Items

Acceptance Criteria: Matheson Gas Products

Receipt Inspection Plan /Report #:

References (see Section 8)

Characteristic: Component Number-Procurement andlor Model Number

Sample Size*: Al l Items

Acceptance Criteria: 8 -580 , (Per Procurement Package W-441-P5, Rev. 2, Section G, Design Data Sheet

Receipt Inspection Plan I Report #:

References (sce Section X) : ): Matheson Vendor Manual, P. 234

~

-____ _s-- sl__

__D___I_-

071221"

Page 11: ~.EW tjCj4031 ENGINEERING CHANGE NOTICE . . . . . . . P,. 10'2 hi. …/67531/metadc741465/... · kuthorized Rep. Mgr. >A jafety I/ C. Van Katwijk Signature Design Agent PE PA Safety

ECNNo. NA No. CGI-SNF-D-13-PS-U32 Title: MATHESON SCHe PRESSURE REGULATOR (SCHe TANK

Clmcteristic: Outlet Connection

Sample Size": All Items

Acceptance Criteria: % " NPT Male

Receipt Inspection Plait / Report #:

References (see Section 8):

Clmcteristic: Gauge Range

Sample Size*: All Items

Acceptance Criteria: Delivery Gauge: 0-100 psig; Cylinder Gauge: 0-3000 psi9

Receipt Inspection Plan / Report #:

References (see Section 8 ) :

Chancteristic: Weight

Sample Size*: All Items

Acceptuice Criteria: Nominal 7 Ibs.

Receipt Inspection Plan / Report #: __ References (see Section 8):

Characteristic: Body Material

Sample Size*: Normal Sampling Size

Acceptance Criteria: Brass

Receipt Inspection Plaii /Report #:

___ ~_____ - - _=E -

l?,g< 7 U T 1 I

* See Attaclunent H of Desk Instnictioii for Sampling Size P

[ 1 Purchaser

[ 1 Supp l i e r~~nufac t~ i r c r** Tcstllnspectioll Location

Acceptance Criteria: Pressure Test at 3300 psig (No Bubbles )

Sample Size*: Normal Sampling Size

Actual Test Value:

07/22/99

Page 12: ~.EW tjCj4031 ENGINEERING CHANGE NOTICE . . . . . . . P,. 10'2 hi. …/67531/metadc741465/... · kuthorized Rep. Mgr. >A jafety I/ C. Van Katwijk Signature Design Agent PE PA Safety

ECNNo NA C(il No CGI-SNF-D-13-PS-032 Tde MATHESON SCHe PRESSURE REGULATOR (SCHe TANK OUTLET)

Clmctcristic for Test: Setpoint

Acceptance Criteria: Maintain delivery pressure of 25 psig over input pressure range of 100 to 3000 psig. No Pressure increase above setpoint (w i th zero f low) for 96 hours.

Sample Size*: Normal Sampling Size

Actual Test Value:

Test Plan ,and Repon #:

Cllancteristic for Test: Seismic Condition A

Acceptance Criteria: Maintain critical function before and after seismic event

Sample Size*: W-441-P5, Rev. 2, Appendix 1, page 1-2, provides the seismic testing plan for these components. The seismic testing is conducted for one complete panel with the components assembled on the panel and tested as a complete assembly. The test seismically qualifies the entire assembly, including mountings, piping, and components. The number of components tested is dictated by the panel assembly design.

Actual Test Value:

Test Plan a id Report #:

References (see Scctioii X): _ _ ~ -

Rcfcrciices (sce Scctioii 8):-

**IISupplierlManufblcturcr or Oilier. IRet'c~ 10 Uil U ~ c c h I i u . 2 l iw Suppi,l-l Intol-nmlion

Pdgs x "1 I I

07/22/09

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Commercial Grade Item Upgrade Dedication Form ECNNo. N A CGI No. CGI-SNF-D-13-P5-032 I- IIIIC MAlllESON SCHe PRESSURE REGUI.ATOR (SCIk IANK

-. -. _.

SNF-3929, R e v 3

Page9 of 11

- Secbon 5 Test / InspecOon Slmrnary (Acceptance Method 1)

1. SUMMARY OF VERIFIED CRITICAL CHARACTERISTICS, THEIR VERIFICATION METHODS, AND RESULTS

ITEM DESCRIPTION:

Nameplate - Manufacturer

Component Number- Procurement andlor Model Number

Body Material

Outlet Connection

Gauge Range

Weight

Pressure Boundary

Setooint

Seismic Condition A

I I Characteristics ircepiance Cnlrna Toicranccr

Matheson Gas Products

8 - 5 8 0 , (Per Procurement Package W-441-P5, Rev. 2, Section G. Design Data Sheet)

Brass

%" NPT Male

Delivery Gauge: 0-100 psig; Cylinder Gauge: 0-3000 psig

Nominal 7 Ibs.

Pressure Test at 3300 psig (No Leakage-No Bubbles)

Maintain delivery pressure of 2 5 psig over input pressure range of 100 to 3000 psig

Maintain Critical Function Before and After Seismic Event.

Number Tcrted

Veri Number Failid

ation Results

07/22/99

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ECNNo. NA CGI No. CGI-SNF-D-13-P5-032 T d e MATHESON SCHe PRESSURE REGULATOR (SCHe TANK OUTLET)

Page 10 o f I I

Critical Characteristic

07/22/99

Disposition

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Commercial Grade Item Upgade Dedication Form , SN1:-3929. Rcv R ~ ~

~ -- ~- ~~~ ~ ~

ECNNo NA Ccil N o CGI-SNF-D-13-PS-032 t ' q c I I 0 1 I I

OUTLET) Tnle MATHESON SCHe PRESSURE REGULATOR (SCHe TANK

Initial Procurement Documents

I I Drawings:

Fnr Critical Chalacteiistics

- [

[ ] Design Calciilatioiis

I I Installation Instnictions

] Manuals (specify type BL niniiber):

______- -- I I Calibration Instnictioiis

I 1 Manufacturer's Recoillillcndcd Soarc Elns Llsr

07/22/09

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DISTRIBUTION SHEET

To Distribution Project TileNVork Order

Page 1 of 1

- Date 7/22/99

W-441, SNF-3929, Matheson SCHe Pressure Regulator (SCHe Tank Outlet)

A-6000-1 35 (1 0637)