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| DOESTD107393
ATTACHMENT A
COMPONENT CONFIGURATION DATA SHEET
"SAMPLE"
VALVES
Drawing Number
Plant
Unit Number
Component Number
System
Manufacturer
Style/Type
Model Number
Serial Number
Pipe Size
Cv
Pressure
Temperature
Material
Operator Type
Remarks/Comments:
Collected by (first party)
Date
Verified by (second party)
Date
Approved by (CM Coordinator)
Date
II-C-9
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