B&W Y-12 SUBCONTRACTOR SUBMITTAL STATUS SHEET
SUBCONTRACT# TASK RELEASE # SSR ITEM# EXTENSION # COUNT FILE NAME
SUBCONTRACT TITLE TASK RELEASE TITLE
COMPANY NAME DATE RECEIVED
STREET ADDRESS DOCUMENT TITLE
CITY, STATE, ZIP CODE
B&W Y-12 JOB NO.
SUBCONTRACTOR/SUPPLIER DOCUMENT STATUS
1. Work may proceed. Date:
2. Work may proceed. Revise and resubmit within calendar days.
3. Work may not proceed. Revise and resubmit within calendar days.
4. Permission to proceed not required. Yes No
W. Waived. Provide justification.
S. Superseded by submittal number: Date:
THE LEAD REVIEWER should consolidate comments, DCC:
check status, sign form, and return comments with original
Status Sheet to:
Role Reviewer Review Initials
Requirement 1 2 3 4