DRC-2024-007067

CLIVE SITE
LETTER OF TRANSMITTAL

DATE: 09/24/2024
ATTN: LLRW
CC; Treesa Parker
Karen Kirkwood
RE: Transmittal 2024-068

Description of Documents Transmitted Qty

See attached for update to Qualification Cards.
Q2243 Rev 0, Pneumatic Railcar Access Platform 1

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Please replace your current procedure revisions with the documents within this Transmittal.

You are not required to sign any documents to verify receipt of this distribution. However, you
should make every effort to ensure that your copy of the License is current.

FROM: EnergySolutions
Document Control
Clive Facility

CL-TN-PR-100-F7
Revision 1
QUALIFICATION CARD
Page 1 of 3
EMPLOYEE NAME ___________________________________________
QUALIFICATION #: QUALIFICATION TITLE:
QUALIFICATION APPROVAL:

SCOPE:
THIS DOCUMENT APPLIES TO PERSONNEL WHO ARE OR MAY BE REQUIRED TO OPERATE A
PNEUMATIC RAILCAR PLATFORM THAT IS OWNED BY ENERGYSOLUTIONS DURING WORK ACTIVITIES.
PREREQUISITE TRAINING/QUALIFICATIONS: DATE COMPLETED INITIALS
None
PREREQUISITE READING MATERIALS: DATE COMPLETED INITIALS
CL-CH-PR-109 Rotary Dump Facility Operations
JHA-CL-LLRW-RR-24377 Rail movement and dumping at the East Rotary.
JHA-CL-LLRW-RR-24153 Inside the Rail Rotary building associated with the
normal day activities.
JHA-CL-LLRW-DLRW-23465 Pneumatic Railcar Access Platform Operation
QUALIFICATION CRITERIA: Page No (if applicable) SME SIGNATURE DATE COMPLETED INITIALS
All Required Reading Completed
Practical Evaluation Completed
Q2243 PNEUMATIC RAILCAR ACCESS PLATFORM
Qual Manager _Roger Ekins________________ ___________________________ Date_________
PRINTED NAME SIGNATURE
Radiation Thomas A. Brown_____________ ___________________________ Date_________
Safety Officer PRINTED NAME SIGNATURE
Yes
Practical Evaluation (included) Yes/No
This SECTION is filled out by DOCUMENT CONTROL.
Effective Date: 09/25/2024
________________
Revision No.: __0_
CL-TN-PR-100-F7
Revision 1 QUALIFICATION CARD

Page 2 of 3
PRACTICAL CRITERIA:

Task
(Description) Satisfactory
(Check Mark) SME Date
(Completed) Initials
Demonstrate working knowledge of control
panel

Demonstrate Smooth safe operation of the
Pneumatic platform

ALL REQUIRED ITEMS HAVE BEEN COMPLETED AND THIS QUALIFICATION IS VALID:

EMPLOYEE _______________________ ______________________ DATE_________
PRINTED NAME SIGNATURE
EMPLOYEE MANAGER _______________________ ______________________ DATE_________
PRINTED NAME SIGNATURE
RSO _______________________ ______________________ DATE_________
PRINTED NAME SIGNATURE

Verification of Completed Documentation

QUAL MANAGER _______________________ ______________________ DATE_________
PRINTED NAME SIGNATURE

***ONCE COMPLETE, SCAN AND PLACE IN FOLDER FOR DATA ENTRY AND DOC CONTROL***

CL-TN-PR-100-F7
Revision 1 QUALIFICATION CARD

Page 3 of 3