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JOINT FLEET MAINTENANCE MANUAL

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APPENDIX H2<br />

SAMPLE SUPERVISING AUTHORITY<br />

TO NAVSEA REQUEST FOR<br />

INITIAL CRITICALITY<br />

From: (Supervising Authority), USN, (Location)<br />

To: Commander, Naval Sea Systems Command (08)<br />

COMFLTFORCOMINST 4790.3 REV A CH-3<br />

Subj: AUTHORIZATION REQUEST FOR (Ship Name and Hull No.) INITIAL CRITICALITY<br />

Ref: (a) (Plant Type) Initial Criticality Prerequisite List<br />

(b) COMNAVSEASYSCOM letter Ser (Serial Number and Date)<br />

1. Request authorization required by reference (a) to perform test procedure with TPI incorporated.<br />

2. The reactor core installed in (Ship Name and Hull No.) as specified in reference (b).<br />

3. Estimated time to perform all critical testing is days. All critical testing will require a maximum<br />

of effective full power hours. This estimate includes Critical Over-the-Side-Noise testing.<br />

4. The shipyard has certified that all the prerequisites for Initial Criticality required by reference (a) are met and the<br />

ship is ready for Initial Criticality and subsequent Power Range Testing.<br />

5. The following reactor plant work item(s) is (are) not completed and does (do) not involve safety of the reactor<br />

plant.<br />

a.<br />

b.<br />

6. The Prospective Commanding Officer and Naval Reactors Representative concur.<br />

7. The event is scheduled for (Date) at (Time).<br />

Copy to:<br />

PCO (Ship Name and Hull No.)<br />

NRRO (Location)<br />

TYCOM (N43)(N9 for CVN)<br />

ISIC<br />

(Signature)<br />

I-2H-3

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