DESIGN CHANGE NOTIFICATION (DCN)

PROJECT NAME: Logistics Storage Warehouse Project DATE:

CONTRACT NO. W192ER-09-C-0035 NOTIFICAT

DCN REQUESTED BY: MAPCO STEEL FAB COMPANY IAPWS

NAME: DEPT.

THIS NOTIFICATION IS TO BE DISTRIBUTED TO:

MAPCO QC MANAGER QC CIVIL

STEEL FAB COMPANY QC MECHANICAL QC ARCHITECT
QC ELECTRICAL QC COMM/TELECOM

1. THE PURPOSE OF THIS NOTIFICATION IS:

DESIGN & CONSTRUCTION CHANGE USACE APPROVAL REQ

DESIGN & CONSTRUCTION HOLD, Explain Why?

2. APPLICABLE DRAWING(S) (Dwg. No./ Rev. No/ Description)

3. DESCRIPTION OF CHANGE OR HOLD

4. REASON FOR CHANGE OR HOLD

5. QCM AND QC ENGINEERING REVIEW ASSESSMENT OF CHANGE:

APPROVED COST IMPACT YES NO If YES, Submit

APPROVED AS NOTED SCHEDULE IMPACT YES NO If YES, Submit
REJECTED

NON-COST & SCHEDULE IMPACT (NO) COST & SC

REVIEWER POSITION SIGNATURE DATE REVIEWER
6. ATTACHMENTS:
CN)
DATE: 22-Mar-17
NOTIFICATION NO. FY09-DCN-

PROJECT MANAGER
CONSTRUCTION MANAGER
OTHER____________

OVAL REQUIRED? YES NO

S, Submit COP
S, Submit Recovery Schedule

OST & SCHEDULE IMPACT (YES)

R POSITION SIGNATURE DATE