20051474 Ver 2_Triage Check List_20091113

Use this form instead of writing inside the folder
DWQ#
Triaged By:
Reviewer 1
Reviewer 2
Reviewer 3
. Triage Comment Sheet
. E1 l1 -
Rw
Date: l l - 12 -'2D09'
Date: l 1 3 0
Date:
2,' Issue Project (Reviewer 1) 12/Issue Project (Reviewer 2)
? Issue with conditions (Reviewer 1)
? Issue with conditions (Reviewer 2)
? More Information (Reviewer 1) ? More Information (Reviewer 2)
? Return Application (Reviewer 1) ? Return Application (Reviewer 2)
? Send to Regions (Reviewer 1)
? Send to Regions (Reviewer 2)
SATriage Forms\Triage Issue Sheet.doc
PLEASE PRINT CLEARLY