BVY 13-061, VY-RPT-12-00019, Revision 1, Vermont Yankee Seismic Walkdown Submittal Report for Resolution of Fukushima Near-Term Task Force Recommendation 2.3: Seismic, Page 160 of 505 of Attachment C Through Page 369 of 505 of Attachment C

VY-RPT-12-00019, Revision 1, Vermont Yankee Seismic Walkdown Submittal Report for Resolution of Fukushima Near-Term Task Force Recommendation 2.3: Seismic, Page 160 of 505 of Attachment C Through Page 369 of 505 of Attachment C

ML13200A162
Person / Time
Site:	Vermont Yankee
Issue date:	06/20/2013
From:	Buckley S M Entergy Nuclear Operations
To:	Office of Nuclear Reactor Regulation
References
BVY 13-061 VY-RPT-12-00019, Rev 1
Download: ML13200A162 (210)

Text

l Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 160 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet I of 5 Status: YO NEI UrI Seismic Walkdown Checklist (SWC) SWELl- 034 Equipment ID No. LT-107-5A Equip. Class' 18 Equipment Description CST/LEVEL TRANSMITTER Location:

Bldg. CST Valve Floor El. 252' Room, Area Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraae 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YO N[-]2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Y[] N[J UE] N/AE]YN N[-] UEI N/A["]YZ N] U[J N/A[A' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 161 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: Y0 NEl UL-I Seismic Walkdown Checklist (SWC) SWELl- 034 Equipment ID No. LT-107-5A Equip. Class 1 18 Equipment Description CST/LEVEL TRANSMITTER

5. Is the anchorage configuration consistent with plant documentation?

YZ NC] U[-] N/A[](Note: This question only applies If the item is one of the 50% for which anchorage configuration verification Is required.)

See drawing 5920-6041 6. Based on the above anchorage evaluations, is the anchorage free of YO NE] U[]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from Impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic Interaction effects?YO NEI U-] N/A[]YZ NI] ur] N/A"]YO NI] U"I N/AD-'YZ N["] U5-EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 162 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: Y0 N[-O] ur-]Seismic Walkdown Checklist (SWC) SWELl- 034 Equipment ID No. LT-107-5A Equip. Class 1 18 Equipment Description CST/LEVEL TRANSMITTER Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Y[E NEI U[:]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-6041 A46/IPEEE-Screening Evaluation Work Sheet, SSEL Line No. 000176 Evaluated by: Marcus Hecht-Nielsen

'-K- /crW/, ., Date: 10-02-2012 Raymond Tworek 4si o/vt 10-02-2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 163 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FoRm Sheet 4 of 5 Status: Y0 NEI U[]Seismic Walkdown Checklist (SWC) SWELl- 034 Equipment ID No. LT-107-5A Equip. Class' 18 Equipment Description CST/LEVEL TRANSMITTER Photographs NO PHOTO Note: Note: LT-107-5A EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 164 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: N-J uL-]Seismic Walkdown Checklist (SWC) SWELl- 034 Equipment ID No. LT-107-5A Equip. Class 1 18 Equipment Description CSTILEVEL TRANSMITTER NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 P Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 165 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet I of 5 Status: Y0 NE] Ur" Seismic Walkdown Checklist (SWC) SWELl- 035 Equipment ID No. LT-107-5B Equip. Class' 18 Equipment Description CSTILEVEL TRANSMITTER Location:

Bldg. CST Valve Floor El. 252' Room, Area Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraae 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL Items requiring such verification)?

YO N[3 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YN NEI UE] N/Ar-]Y0 N[-] Ur] N/A["]YO NO' Ur- N/AEI' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0

)Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 166 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 2 of 5 Status: Y; NE] UM Seismic Walkdown Checklist (SWC) SWELl- 035 Equipment ID No. LT-107-5B Equip. Class 1 18 Equipment Description CST/LEVEL TRANSMITTER

5. Is the anchorage configuration consistent with plant documentation?

YZ ND3 U[] N/AD-(Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

See drawing 5920-6041 6. Based on the above anchorage evaluations, is the anchorage free of Yo ND3 UD']potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YO ND3 uD" N/AD Y0 NED UD1 N/ADI Y(@ NDI UD1 N/A[D1 YZ NDE Ur EN-DC-168 REV 0 Attachment C Engineerin~

ATTACHMENT 9.6 SE Sheet 3 of 5 Seismic Walkdown Checklist (SWC) SWELl- 035 Equipment ID No. LT-107-5B Equip. Class' 18 Equipment Description CST/LEVEL TRANSMITTER Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could adversely affect the safety functions of the equipment?

g Report No. VTY-RPT-12-00019 Rev. 1 Page 167 of 505 EISMIC WALKDOWN CHECKUST FORM Status: Y; NEI UL]Y[RNEIUQI Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-6041 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000177 Evaluated by: Marcus Hecht-Nielsen

-Date: 10-02-2012 Ravmond Tworek 9 .1 b L MIC I 10-02-2012 EN-DC-168 REV 0 I Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 168 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 4 of 5 Status: Y0 NEI] U]Seismic Walkdown Checklist (SWC) SWELl- 035 Equipment ID No. LT-107-5B Equip. Class 1 18 Equipment Description CST/LEVEL TRANSMITTER Photographs Note: L7 EN.DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 169 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 5 of 5 Status: Y0 NEI U-" Seismic Walkdown Checklist (SWC) SWELl- 035 Equipment ID No. LT-107-5B Equip. Class' 18 Equipment Description CST/LEVEL TRANSMITTER NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 170 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 1 of 5 Status: Y0 Nr] UF]Seismic Walkdown Checklist (SWC) SWELl- 036 Equipment ID No. PT-I0-IO0A Equip. Class' 18 Equipment Description DW PRESSURE ECCS Location:

Bldg. RB Floor El. 280' Room, Area Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraae 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y0 NI]2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that Is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Attached to rack.YZ NIl U[] N/A'I]Y0 NI] Ur] N/A[I Yr] NI] u] N/AU ]I Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0

.1 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 171 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: Y0 NO] Ur Seismic Walkdown Checklist (SWC) SWELl- 036 Equipment ID No. PT-10-1O1A Equip. Class' 18 Equipment Description DW PRESSURE ECCS 5. Is the anchorage configuration consistent with plant documentation?

Y[0 Ni] U[] N/Ar](Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

See SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks 6. Based on the above anchorage evaluations, is the anchorage free of Yj@ NEI u"]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YO NEI Ui] N/AD]YER NDI UD" N/A[D Y0 NDI UD3 N/A[-D]Y[@ NM UE" EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 172 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 3 of 5 Status: YED NEI U0-Seismic Walkdown Checklist (SWC) SWELl- 036 Equipment ID No. PT-IO-1OA Equip. Class' 18 Equipment Description DW PRESSURE ECCS Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YS N[] UI-]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-3016, 5920-3017, 5920-3018, and sketch no. SK-VY-944 11-1 A461IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000178 SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks Evaluated by: Marcus Hecht-Nielsen

-'--C9, Date: 10-09-2012 Raymond Tworek 10-09-2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 173 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 4 of 5 Status: Y0 NEI Ur-Seismic Walkdown Checklist (SWC) SWELl- 036 Equipment ID No. PT-10-101A Equip. Class' 18 Equipment Description DW PRESSURE ECCS Photographs Note: ;EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 174 of 505 Attachment C ArTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YZ NEI U-'Seismic Walkdown Checklist (SWC) SWELl- 036 Equipment ID No. PT-10l-10A Equip. Class' 18 Equipment Description DW PRESSURE ECCS NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 175 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 1 of 5 Status: Y0 NO U0 Seismic Walkdown Checklist (SWC) SWELI- 037 Equipment ID No. PT-10-101C Equip. Class' 18 Equipment Description DW PRESSURE ECCS Location:

Bldg. R9 Floor El. 280' Room, Area Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraoe 1. Is the anchorage configuration verification required (i.e., is the Item one of the 50% of SWEL items requiring such verification)?

Y0 NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Attached to rack.Y0 NO uO N/AU YZ NOI U- N/A-YO NO U" NWAS' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 r./o Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 176 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECK=ST FORM Sheet 2 of 5 Status: YO NEI Ur" Seismic Walkdown Checklist (SWC) SWELl- 037 Equipment ID No. PT-10-101C Equip. Class' 18 Equipment Description DW PRESSURE ECCS 5. Is the anchorage configuration consistent with plant documentation?

Y0 NEI U' N/A[](Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

See SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks 6. Based on the above anchorage evaluations, is the anchorage free of Y0 N[] u[]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YO NEI ur] N/A0 Y0 NEI UE] N/A[O Yv N[3 U- N/AQ]YO NEI U-I EN-DC-168 REV 0 I-Engineering Report No. VTY-RPT-12-00019 Rev. I Page 177 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 3 of 5 Status: YZ NO ULJ Seismic Walkdown Checklist (SWC) SWELl- 037 Equipment ID No. PT-10-IOIC Equip. Class' 18 Equipment Description DW PRESSURE ECCS Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YZ N[O U[-]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-3016,5920-3017,5920-3018, and sketch no. SK-VY-94411-1 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000180 SOUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks Evaluated by: Marcus Hecht-Nielsen Date: 10-09-2012 Raymond Tworak -f,6oueJ-,-

I 10-09-2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 178 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YZ NEI Ur-Seismic Walkdown Checklist (SWC) SWELl- 037 Equipment ID No. PT-10-1I0C Equip. Class' 18 Equipment Description DW PRESSURE ECCS Photographs NO PHOTO Note: Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 179 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 5 of 5 Status: NCl UE-Seismic Walkdown Checklist (SWC) SWELl- 037 Equipment ID No. PT-1O-101C Equip. Class' 18 Equipment Description DW PRESSURE ECCS NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 180 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 5 Status: YN NEI UOI Seismic Walkdown Checklist (SWC) SWELl- 038 Equipment ID No. PT-16-19-29A Equip. Class' 18 Equipment Description DW PRESSURE INDICATION Location:

Bldg. RB Floor El. 280' Room, Area Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraae 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y[ NE 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Attached to rack.Yv NO U' WA/O Y9 NO ur N/Af YOJ NO U- N/AN' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 181 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 2 of 5 Status: YS Nr] U-'Seismic Walkdown Checklist (SWC) SWELl- 038 Equipment ID No. PT-16-19-29A Equip. Class 1 18 Equipment Description DWPRESSURE INDICATION

5. Is the anchorage configuration consistent with plant documentation?

YIN NE] UE] N/AEI (Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

See SQUG, November 9-13, 1992, Section V87, Equipment Category 7 Instruments on Racks 6. Based on the above anchorage evaluations, is the anchorage free of YV NE] UD-potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YN N[] Ui'-i N/AE YED N[] U-C N/AC1 YZ N[] UE- N/AE]YZ N[] UE3 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 182 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 3 of 5 Status: Y0 NO U-Seismic Walkdown Checklist (SWC) SWELl- 038 Equipment ID No. PT-16-19-29A Equip. Class 1 18 Equipment Description DW PRESSURE INDICATION Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Yo NIO U-adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-3016, 5920-3017, 5920-3018, and sketch no. SK- VY-9441 1-1 A461IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000182 SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks Evaluated by: Marcus Hecht-Nielsen Raymond Tworek '~&g. uui Date: 1.0-09-2012 10-09-2012 EN-DC-168 REV 0

.Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 183 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: Y0 NEI UI--Seismic Walkdown Checklist (SWC) SWELl- 038 Equipment ID No. PT-16-19-29A Equip. Class' 18 Equipment Description DW PRESSURE INDICATION Photographs NO PHOTO Note: Note: EN-DC-168 REV 0 Attachment C Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 184 of 505 SEISMIC WALKOOWN CHECKLIST FORM ATTACHMENT 9.6 Sheet 5 of 5 Status: YZ N-] U-]Seismic Walkdown Checklist (SWC) SWELl- 038 Equipment ID No. PT-16-19-29A Equip. Class' 18 Equipment Description DW PRESSURE INDICATION EN-DC-168 REV 0 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 185 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 5 Status: YN NO UO Seismic Walkdown Checklist (SWC) SWELl- 039 Equipment ID No. PT-5-12C Equip. Class' 18 Equipment Description DW PRESSURE SCRAM Location:

Bldg. RB Floor El. 280' Room, Area Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YO NEI 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Attached to rack.Y0 N- UE- N/AQ-Y[0 NOI U-I N/A[3 YE] NEI u- N/AO'Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 if Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 186 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 2 of 5 Status: Y0 NEI U0 Seismic Walkdown Checklist (SWC) SWELl- 039 Equipment ID No. PT-5-12C Equip. Class 1 18 Equipment Description DW PRESSURE SCRAM 5. Is the anchorage configuration consistent with plant documentation?

YZ N[] U[] N/A[-'(Note: This question only applies If the item is one of the 500/6 for which anchorage configuration verification is required.)

See SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks 6. Based on the above anchorage evaluations, is the anchorage free of YZ NO1 UO]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, Is equipment free of potentially adverse seismic interaction effects?YZ NOI U[-] NIAO-Y0 NOI UE] N/Ar-YZ N[] U[-' N/AD]YZ NEI-U]u EN-DC-168 REV 0 f Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 187 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 3 of 5 Status: Y0 NIl U-_]Seismic Walkdown Checklist (SWC) SWELl- 039 Equipment ID No. PT-5-12C Equip. Class 1 18 Equipment Description DW PRESSURE SCRAM Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YZ N[l U[]adversely affect the safety functions of the equipment?

Comments Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-3016, 5920-3017, 5920-3018, and sketch no. SK-VY-944 11-1 A46/IPEEE-Screening Evaluation Work Sheet, SSEL Line No. 000186 SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks Evaluated by: Marcus Hecht-Nielsen Date: 10-09-2012 Rnvmond Twnrmk 10-09-2012 Ravmnnd Tworek EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 188 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Shoet 4 of 5 Status: Yv NEI U[J Seismic Walkdown Checklist (SWC) SWELl- 039 Equipment ID No. PT-5-12C Equip. Class 1 18 Equipment Description DW PRESSURE SCRAM Photographs NO PHOTO Note: EN-DC-1 68 REV 0 Attachment C Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 189 of 505 SEISMIC WALKDOWN CHECKLIST FORM ATTACHMEI Sheet 5 of NT 9.6 5 Status: YZ NEI l-I .Seismic Walkdown Checklist (SWC) SWELl- 039 Equipment ID No. PT-5-12C Equip. Class 1 8.Equipment Description DW PRESSURE SCRAM EN-DC-168 REV 0 J!Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 190 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 5 Status: Yv NEI UL" Seismic Walkdown Checklist (SWC) SWELl- 040 Equipment ID No. PT-5-12D Equip. Class 1 18 Equipment Description DW PRESSURE SCRAM Location:

Bldg. RB Roor El. 280' Room, Area Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YO NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Attached to rack.YO Nn U'- N/AD-YZ N[O UEI NIA-Q Y-" NI Ur- N/AS' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of EquipmenL EN-DC-168 REV 0 I Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 191 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 2 of 5 Status: YZ NEI UM Seismic Walkdown Checklist (SWC) SWELl- 040 Equipment ID No. PT-5-12D Equip. Class 1 18 Equipment Description DW PRESSURE SCRAM 5. Is the anchorage configuration consistent with plant documentation?

Y10 NEI UC N/AC (Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

See SQUG, November 9-13, 1992,. Section VB7, Equipment Category 7 Instruments on Racks 6. Based on the above anchorage evaluations, Is the anchorage free of Y(@ NO Ur potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Yv NO U[] N/AC YN u[-] N/AC Y0 NEI UO N/AC Y9 NEI Ur]EN-DC-168 REV 0 i Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 192 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YS NJ- UM-Seismic Walkdown Checklist (SWC) SWELl- 040 Equipment ID No. PT-5-12D Equip. Class 1 18 Equipment Description DW PRESSURE SCRAM Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Y0 NC] U0 adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-3016, 5920-3017, 5920-3018, and sketch no. SK- VY-9441 1-1 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000187 SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks r-waniantor hu ttarv-ia I4at-hi-Ahate 00 NO-1/)Date: 10-09-2012 Raymond T-wo rek iz/Ji.-10-09-2012 EN-DC-168 REV 0

/Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 193 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 4 of 5 Status: YN Nn U]Seismic Walkdown Checklist (SWC) SWELl- 040 Equipment ID No. PT-5-12D Equip. Class 1 18 Equipment Description DW PRESSURE SCRAM Photographs NO PHOTO Note: Note: EN-DC-168 REV 0 I I Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 194 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YO NEI UnII Seismic Walkdown Checklist (SWC) SWELl- 040 Equipment ID No. PT-5-12D Equip. Class' 18 Equipment Description DW PRESSURE SCRAM NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 f Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 195 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 5 Status: YZ NEI UM Seismic Walkdown Checklist (SWC) SWELl- 042 Equipment ID No. LT-2-3-72A Equip. Class' 18 Equipment Description RV LEVEL FOR RHR, DG, HPCI, PCIC, ADS, CS Location:

Bldg. FB Floor El. 280' Room, Area Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space Is provided at the end of this checklist for documenting other comments.Anchoraae 1. Is the anchorage configuration verification required (i.e., Is the item one of the 50% of SWEL items requiring such verification)?

YO NC]2. Is the anchorage free of bent, broken, missing or loose hardware?Two alignment screws have no nuts attached, however, all other screws are secure. No seismic issue by engineering judgment.3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Attached to rack.Y9 NEI Ur N/AC Yv NEI UEJ N/A[YI- NO UE1 N/AS' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 ti-J Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 196 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 2 of 5 Status: NEJ UE-'Seismic Walkdown Checklist (SWC) SWELl- 042 Equipment ID No. LT-2-3-72A Equip. Class' 18 Equipment Description RVLEVEL FOR RHR, DG, HPCI, PCIC. ADS, CS 5. Is the anchorage configuration consistent with plant documentation?

Y0 NEI UEJ N/A](Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

See SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks 6. Based on the above anchorage evaluations, Is the anchorage free of YZ NEI u[-]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y0 Nr U-] N/Al]Y0 NM U-] N/Al]Y0 NO Ul- N/A-I YZ NEI U[-EN-DC-168 REV 0 1*J Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 197 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 3 of 5 Status: YN NEI UO Seismic Walkdown Checklist (SWC) SWELl- 042 Equipment ID No. LT-2-3-72A Equip. Class' 18 Equipment Description RV LEVEL FOR RHR, DG, HPCI, PCIC, ADS, CS Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YO N[] U[-]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-3016, 5920-3017,5920-3018, and sketch no. SK-VY-9441 1-1 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000203 SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks Evaluated by: Marcus Hecht-Nielsen , /Date: 10-09-2012 IaLM~pj !P'T' LOll Ir/1--Raymond Tworek 10-09-2012 EN-DC-168 REV 0 r Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 198 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YZ NEI U-1 Seismic Walkdown Checklist (SWC) SWELl- 042 Equipment ID No. LT-2-3-72A Equip. Class 1 18 Equipment Description RV LEVEL FOR RHR, DG, HPCI, PCIC, ADS, CS Photographs Note: LT-2-3.EN-DC-168 REV 0 P J Attachment C Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 199 of 505 SEISMIC WALKDOWN CHECKLIST FORM ATTACHMENT 9.6 Sheet 5 of 5 Status: YZ NEI UC3 Seismic Walkdown Checklist (SWC) SWELl- 042 Equipment ID No. LT-2-3-72A Equip. Class 1 18 Equipment Description RV LEVEL FOR RHR, DG, HPCI, PCIC, ADS, CS EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 200 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 5 Status: YZ NEI U"1 Seismic Walkdown Checklist (SWC) SWELl- 043 Equipment ID No. LT-2-3-72C Equip. Class 1 18 Equipment Description RV LEVEL FOR RHR, DG, HPCI,. PCIC, ADS. CS Location:

Bldg. RB Floor El. 20'.. Room, Area Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y0 NEI 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Attached to rack.YO NO U[-] N/AC" YZ NEI U[Q] N/A-YO' NO U- N/AZ' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 V Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 201 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: Y] NEI U-Seismic Walkdown Checklist (SWC) SWELl- 043 Equipment ID No. LT-2-3-72C Equip. Class 1 18 Equipment Description RV LEVEL FOR RHR, DG, HPCI, PCIC, ADS, CS 5. Is the anchorage configuration consistent with plant documentation?

YO NCI U[] N/AD (Note: This question only applies If the item is one of the 50% for which anchorage configuration verification is required.)

See SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks 6. Based on the above anchorage evaluations, Is the anchorage free of Y0K N[- UE]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YZ NOI Ur- N/AO Y0 NrO UO1 N/A[D Y] NOI UO- N/A[]YZ NEI OUr-]EN-DC-168 REV 0

.I Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 202 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: Y0 NE] UC" Seismic Walkdown Checklist (SWC) SWELl- 043 Equipment ID No. LT-2-3-72C Equip. Class 1 18 Equipment Description RV LEVEL FOR RHR. DG, HPCI, PCIC, ADS, CS Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Y0 NE] UO_]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-3016, 5920-3017, 5920-3018, and sketch no. SK-VY-9441 1-1 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000205 SQUG, November 9-13, 1992, Section V87, Equipment Category 7 Instruments on Racks Evaluated by: Marcus Hecht-Nielsen Date: 10-09-2012 J m I Ravmond Tworek %V,- b/ -t-10-09-2012 EN-DC-1 68 REV 0

,I Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 203 of 505 Attachment C ATTACHMENT 9.6 SEiSMiC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YZ NEI ur-Seismic Walkdown Checklist (SWC) SWELl- 043 Equipment ID No. LT-2-3-72C Equip. Class' 18 Equipment Description RV LEVEL FOR RHR, DG, HPCI, PCMC. ADS, CS Photographs Note: LT-2-3-72C EN-DC-168 REV 0 f 91 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 204 of 505 Attachment C ATTACHMEI Sheet 5 of 5T 9.6 SEISMIC WALKDOWN CHECKLIST FORM 5 Status: YZ NoL Ur-Seismic Walkdown Checklist (SWC) SWELl- 043 Equipment ID No. LT-2-3-72C Equip. Class 1 18 Equipment Description RV LEVEL FOR RHR, DG, HPCI, PCIC, ADS, CS EN-DC-168 REV 0 if Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 205 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 5 Status: Y(9 NE] UE]Seismic Walkdown Checklist (SWC) SWELl- 044 Equipment ID No. LT-2-3-58A Equip. Class 1 18 Equipment Description RV LEVEL SCRAM AND PCIS Location:

Bldg. RB Floor El. 280' Room, Area Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraae 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YO N[-]2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Attached to rack.Y0 NE] UE] N/A--Y0 NE] U['] N/AE1 YEI] NEI UE] N/AZ' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 a.A'Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 206 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: Y0 NE] U0]Seismic Walkdown Checklist (SWC) SWELl- 044 Equipment ID No. LT-2-3-58A Equip. Class 1 18 Equipment Description RV LEVEL SCRAM AND PCIS 5. Is the anchorage configuration consistent with plant documentation?

YZ N[] U[3 N/Ar-](Note: This question only applies if the Item is one of the 50% for which anchorage configuration verification Is required.)

See SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks 6. Based on the above anchorage evaluations, is the anchorage free of YV NEI UI-potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y; NEI U!r] N/A!]YZ NE] U!-] N/A!]YZ NEI U[-!] N/A!]YZ N!] UE]EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 207 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 3 of 5 Status: Y0 N[] U[]Seismic Walkdown Checklist (SWC) SWELl- 044 Equipment ID No. LT.2-3-58A Equip. Class 1 18 Equipment Description RV LEVEL SCRAM AND PCIS Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YZ1 N[] U-adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-3016, 5920-3017, 5920-3018, and sketch no. SK-VY-944 11 -1 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000209 SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks Evaluated by: Marcus Hecht-Nielsen

.7 /o. Date: 10-09-2012 RavmondTWorek (41111- i-/t(~10-09-2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 208 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 4 of 5 Status: YZ NEI U-Seismic Walkdown Checklist (SWC) SWELl- 044 Equipment ID No. LT-2-3-58A Equip. Class' 18 Equipment Description RV LEVEL SCRAM AND PCIS EN-DC-168 REV 0

/Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 209 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: Y0 N"] UM Seismic Walkdown Checklist (SWC) SWELl- 044 Equipment ID No. LT-2-3-58A Equip. Class 1 18 Equipment Description RV LEVEL SCRAM AND PCIS NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 210 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 5 Status: Nr" UO--Seismic Walkdown Checklist (SWC) SWELl- 045 Equipment ID No. LT-2-3-58B Equip. Class' 18 Equipment Description RV LEVEL SCRAM AND PCIS Location:

Bldg. RB Floor El. 280' Room, Area Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an Item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YZ NEI 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Attached to rack.YZ NEI UE' NWAr]Y0 NO] U[-] N/A[Y[-1 N[] UiE N/AZ' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 211 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 2 of 5 Status: Y0 NEI U[]Seismic Walkdown Checklist (SWC) SWELl- 045 Equipment ID No. LT-2-3-58B Equip. Class 1 18 Equipment Description RV LEVEL SCRAM AND PCIS 5. Is the anchorage configuration consistent with plant documentation?

Y] NI[] U["1 N/A[I (Note: This question only applies if the item is one of the 50% for which anchorage configuration verification Is required.)

See SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks 6. Based on the above anchorage evaluations, is the anchorage free of YV NI] Ur]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YZ NEI U-] N/AI-YZ NI] Ut] N/At]Y0 NI] U'] N/AI]YZ NI] Url EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 212 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKOOWN CHECKUST FORM Sheet 3 of 5 Status: Y3 Nn] UrJ Seismic Walkdown Checklist (SWC) SWELl- 045 Equipment ID No. LT-2-3-588 Equip. Class' 18 Equipment Description RV LEVEL SCRAM AND PCIS Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YZ NE] UI-]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-3016, 5920-3017, 5920-3018, and sketch no. SK-VY-944 11-1 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000210 SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks Evaluated by: Marcus Hecht-Nielsen RavmondTworek i'd4Iw-'P f: .wL.- i°J'rIts Date: 10-09-2012 10-09-2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 213 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 4 of 5 Status: YO NEI UE]Seismic Walkdown Checklist (SWC) SWELl- 045 Equipment ID No. LT-2-3-58B Equip. Class' 18 Equipment Description RV LEVEL SCRAM AND PCIS Photographs Note: L T-2-3-588 EN-DC-168 REV 0 p Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 214 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YZ NE] U-I]Seismic Walkdown Checklist (SWC) SWELl- 045 Equipment ID No. LT-2-3-58B Equip. Class 1 18 Equipment Description RV LEVEL SCRAM AND PCIS NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 215 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: Yv NE] UM]Seismic Walkdown Checklist (SWC) SWELl- 046 Equipment ID No. PT-2-3-56A Equip. Class 1 18 Equipment Description RV PRESSURE ECCS Location:

Bldg. fB Floor El. 280' Room, Area Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an Item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraae 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YO NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Attached to rack.YZ NEI uE] N/ADl YO N[] UI] N/AD YO] NO UI- NIAO'Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 216 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: Y] NEI UM Seismic Walkdown Checklist (SWC) SWELl- 046 Equipment ID No. PT-2-3-56A Equip. Class 1 18 Equipment Description RV PRESSURE ECCS 5. Is the anchorage configuration consistent with plant documentation?

YN N[] UD"] N/A[-(Note: This question only applies if the item Is one of the 50% for which anchorage configuration verification is required.)

See SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks 6. Based on the above anchorage evaluations, is the anchorage free of YV N[] U--potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YZ NEI Ur-D N/AD YV NC" UD' N/ADI YZ ND- UD' N/AD-1 Y[ NC" UD EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 217 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 3 of 5 Status: Y0 NEI UE]Seismic Walkdown Checklist (SWC) SWELl- 046 Equipment ID No. PT-2-3-56A Equip. Class 1 18 Equipment Description RV PRESSURE ECCS Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YU NEI U!]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-3016, 5920-3017, 5920-3018, and sketch no. SK-VY-94411-1 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000213 SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks Evaluated by: Marcus Hecht-Nielsen

....X Date: 10-09-2012 r If-%+ 4ýý W I I?Ravmond Tworak 10-09-2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 218 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FoRM Sheet 4 of 5 Status: YZ NEI UE]Seismic Walkdown Checklist (SWC) SWEL1- 046 Equipment ID No. PT-2-3-56A Equip. Class' 18 Equipment Description RV PRESSURE E0CS Photographs Note: PT-2-3.EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 219 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: Y0 NE] U[Seismic Walkdown Checklist (SWC) SWELl- 046 Equipment ID No. PT-2-3-56A Equip. Class 1 18 Equipment Description RV PRESSURE ECCS NO PHOTO NO PHOTO Note: Note: EN-DC-1 68 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 220 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKusT FORM Sheet I of 5 Status: YN NEl UQ-1 Seismic Walkdown Checklist (SWC) SWELl- 047 Equipment ID No. PT-2-3-56C Equip. Class 1 18 Equipment Description RV PRESSURE ECCS Location:

Bldg. RB Floor El. 280' Room, Area Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YZ NE]2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Attached to rack.YZ NEI UO' N/ADI YC9 ND- UE- N/ADl YFI NEI UE- N/AZ I Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 221 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YO NEI UD Seismic Walkdown Checklist (SWC) SWELl- 047 Equipment ID No. PT-2-3-56C Equip. Class 1 18 Equipment Description RV PRESSURE ECCS 5. Is the anchorage configuration consistent with plant documentation?

Y0 ND- UE"I N/AD" (Note: This question only applies if the item Is one of the 50% for which anchorage configuration verification is required.)

See SQUG, November 9-13, 1992, Section V87, Equipment Category 7 Instruments on Racks 6. Based on the above anchorage evaluations, is the anchorage free of YO NDI Ur]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y] NDI UD- N/AD YO N[3 UQ3 N/AD" YO ND U[3 N/AEO YZ NEI Ur-EN-DC-168 REV 0 r, Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 222 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: Y[0 NE] Ut" Seismic Walkdown Checklist (SWC) SWELl- 047 Equipment ID No. PT-2-3-56C Equip. Class' 18 Equipment Description RV PRESSURE ECCS Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YZ( NI] U[]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-3016, 5920-3017, 5920-3018, and sketch no. SK-VY-944 11-1 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000215 SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks Evaluated by: Marcus Hecht-Nielsen

-Raymond Tworek r, TW¶4-tV/i jf7.Date: 10-09-2012 10,-09-2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 223 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 4 of 5 Status: Y0 NEI UEJ Seismic Walkdown Checklist (SWC) SWELl- 047 Equipment ID No. PT-2-3-56C Equip. Class' 18 Equipment Description RV PRESSURE ECCS Photographs Note: PT-2-3-56C Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 224 of 505 Attachment C ATTACHMEN Sheet 5 of 9.6 SEISMIC WALKDOWN CHECKLIST FORM 5 Status: YZ] N[: UOl Seismic Walkdown Checklist (SWC) SWELl- I Equipment ID No. PT-2-3-56C Equip. Class 1 Equipment Description RV PRESSURE ECCS EN-DC-168 REV 0 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 225 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: Y[N NEI UI Seismic Walkdown Checklist (SWC) SWELl- 048 Equipment ID No. PT-2-3-55C Equip. Class 1 18 Equipment Description RV PRESSURE SCRAM Location:

Bldg. RB Floor El. 28.0' Room, Area Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraae 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y[ N[-]2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Attached to rack.Y[9 NEi UE-] N/AE]Y[O NEI] UE N/AF-Y[-] NEI LE] WNAS I Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0

.1 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 226 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 2 of 5 Status: NEJ UE"J Seismic Walkdown Checklist (SWC) SWELl- 048 Equipment ID No. PT-2-3-55C Equip. Class 1 18 Equipment Description RV PRESSURE SCRAM 5. Is the anchorage configuration consistent with plant documentation?

Y0 NI] U[] N/At](Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

See SOUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks 6. Based on the above anchorage evaluations, is the anchorage free of YN NI] U-]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YO NI] U-] N/A[]Y(@ NI] Ut] N/At]YO NI] U-] N/A']Y[9 NI] Ut]EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 227 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 3 of 5 Status: Y0 NEl UL-Seismic Walkdown Checklist (SWC) SWELl- 048 Equipment ID No. PT-2-3-55C Equip. Class' 18 Equipment Description RV PRESSURE SCRAM Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Y[@ N[] U[]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-3016, 5920-3017, 5920-3018, and sketch no. SK- VY-94411-1 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000219 SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks Evaluated by: Marcus Hecht-Nielsen Date: 10-09-2012 Raymond Tworek -am ) f 4ehf,"'10-09-2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 228 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 4 of 5 Status: YN NEI UM Seismic Walkdown Checklist (SWC) SWELl- 048 Equipment ID No. PT-2-3-55C Equip. Class' 18 Equipment Description RV PRESSURE SCRAM Photographs Note: PT-2-3-5, Note: PT-2-3-55C EN-DC-168 REV 0

.4 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 229 of 505 Attachment C ATTACHMEI Sheet 5 of f5 9.6 SEiSMIC WALKDOWN CHECKLIST FORM 5 Status: YED NEI UQI Seismic Walkdown Checklist (SWC) SWELl- 048 Equipment ID No. PT-2-3-55C Equip.Equipment Description RV PRESSURE SCRAM Class 1 18 EN-DC-1 68 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 230 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheeot I Of 5 Status: YZ NOi U0 Seismic Walkdown Checklist (SWC) SWELl- 049 Equipment ID No. PT-2-3-55D Equip. Class 1 18 Equipment Description RV PRESSURE SCRAM Location:

Bldg. RB Floor El. 280' Room, Area Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one YN N[]of the 50% of SWEL items requiring such verification)?

2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that Is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Attached to rack.Y0 NO U[-' N/A[']YN NOI U- N/AE-YO NO UO N/A0D' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 14 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 231 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKIuST FORM Sheet 2 of 5 Status: Y0 NEI UM Seismic Walkdown Checklist (SWC) SWELl- 049 Equipment ID No. PT-2-3-55D Equip. Class 1 18 Equipment Description RV PRESSURE SCRAM 5. Is the anchorage configuration consistent with plant documentation?

YO NOI UE-- N/AD"](Note: This question only applies if the Item is one of the 50% for which anchorage configuration verification is required.)

See SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks 6. Based on the above anchorage evaluations, is the anchorage free of YO ND3 U-I potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YO NDI UD- N/ADi YZ N[3 UD N/AD YO NDI UD- N/A[-D Y9 NEI- Ur EN-DC-168 REV 0 I-'Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 232 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKOOWN CHECKuST FORM Sheet 3 of 5 Status: Y0 NEI U-]Seismic Walkdown Checklist (SWC) SWELl- 049 Equipment ID No. PT-2-3-55D Equip. Class 1 18 Equipment Description RV PRESSURE SCRAM Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YO NO- UQ-adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-3016, 5920-3017,5920-3018, and sketch no. SK-VY-944 11-1 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000220 SQUG, November 9-13, 1992, Section VB7, Equipment Category 7 Instruments on Racks Evaluated by: Marcus Hecht-Nielsen

.Raymond Tworek -rP 1 Date: 10-09-2012 10-09-2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 233 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Shoot 4 of 5 Status: Yv NO Ur Seismic Walkdown Checklist (SWC) SWELl- 049 Equipment ID No. PT-2-3-55D Equip. Class' 18 Equipment Description RV PRESSURE SCRAM Photographs Note: PT-2-3 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 234 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: Y[9 NEI ULI Seismic Walkdown Checklist (SWC) SWELl- 049 Equipment ID No. PT-2-3-55D Equip. Class 1 18 Equipment Description RV PRESSURE SCRAM NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 V Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 235 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: Nil OU Seismic Walkdown Checklist (SWC) SWELl- 050 Equipment ID No. LT-2-3-73A Equip. Class' 18 Equipment Description RV SHROUD LEVEL, CONTSPRAYPERMISSIVE Location:

Bldg. RB Floor El. 252' Room, Area Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SW EL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YZ NEI 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Equipment has a steel attachment.

YN NEI UO N/A" YZ NO Ur- N/Af" YEO NO! UEl N/AI' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 236 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 2 of 5 Status: Y10 NO U-Seismic Walkdown Checklist (SWC) SWELl- 050 Equipment ID No. LT-2-3-73A Equip. Class 1 18 Equipment Description RVSHROUD LEVEL. CONT SPRAY PERMISSIVE

5. Is the anchorage configuration consistent with plant documentation?

YZ No UEO N/A](Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

See drawing 5920-6200 6. Based on the above anchorage evaluations, is the anchorage free of Y0 NO] U[]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y0 NO3 UE- N/AO YZ NE IU NWADINF-'I UC'I N/ACl YZ N['] uF-I EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 237 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 3 of 5 Status: YN NEI UL-Seismic Walkdown Checklist (SWC) SWELl- 050 Equipment ID No. LT-2-3-73A Equip. Class1 18 Equipment Description RV SHROUD LEVEL, CONT SPRAY PERMISSIVE Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Y] N[l U[]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Reference Documents:

Drawing 5920-6200, Rev. 0 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000221 Evaluated by: Marcus Hecht-Nielsen 7.Date: 10-04-12 Raymond Tworek IP (C'/ rrf I 04-12 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 238 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YZ NEI UFO Seismic Walkdown Checklist (SWC) SWELl- 050 Equipment ID No. LT-2-3-73A Equip. Class 1 18 Equipment Description RV SHROUD LEVEL, CONT SPRAY PERMISSIVE Photographs NO PHOTO Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 239 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 5 of 5 Status: Y0 N[-] ur"1 Seismic Walkdown Checklist (SWC) SWELl- 050 Equipment ID No. LT-2-3-73A Equip. Class 1 18 Equipment Description RV SHROUD LEVEL, CONT SPRAY PERMISSIVE NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 240 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet I of 5 Status: Y1Z NEI UE-Seismic Walkdown Checklist (SWC) SWELl- 051 Equipment ID No. PS-104-53A Equip. Class' 18 Equipment Description SW/PUMP A PRESSURE SWITCH Location:

Bldg. IS Floor El. 237' Room, Area SWI ROOM Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchomae 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y0 NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Yv NO UO N/AF-Y0 NEI ur N/A[-]Y0 NO Ur N/AD-1'Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 241 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 2 of 5 Status: Yv NEI U-]Seismic Walkdown Checklist (SWC) SWELl- 051 Equipment ID No. PS-104-53A Equip. Class 1 18 Equipment Description SW/PUMP A PRESSURE SWITCH 5. Is the anchorage configuration consistent with plant documentation?

YZ ND- U" N/A[](Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

See calculation 93-09 (SSEL Line No. 000227)6. Based on the above anchorage evaluations, is the anchorage free of YZ N[] U!]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y0 NEI U[O N/AD-YZ NEI U!] NIA-Y0 N[I UO3 N/A[-]YZ NEI U-]EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 242 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: Y0Z NEI UL-Seismic Walkdown Checklist (SWC) SWELl- 051 Equipment ID No. PS-104-53A Equip. Class' 18 Equipment Description SW/PUMP A PRESSURE SWITCH Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YZ NC] U-I adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Calculation 93-09 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000227 Evaluated by: KiritParikh

,,.a .'J lI 0 & 2-o I Date: 10/02/2012 Rantdy Stephens & '51 .. 10/0212012 EN-DC-1 68 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 243 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 4 of 5 Status: YZ N[] UO-l Seismic Walkdown Checklist (SWC) SWELl- 051 Equipment ID No. PS-104-53A Equip. Class' 18 Equipment Description SW/PUMP A PRESSURE SWITCH Photographs EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 244 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 5 of 5 Status: Y0 NC] U-]Seismic Walkdown Checklist (SWC) SWELl- 051 Equipment ID No. PS-104-53A Equip. Class' 18 Equipment Description SW/PUMP A PRESSURE SWITCH NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 245 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet I of 5 Status: YZ NDI Uj-D Seismic Walkdown Checklist (SWC) SWELl- 056 Equipment ID No. TK-55-1A Equip. Class' 21- TANKS & HEAT EXCHANGERS Equipment Description N2 AIR RECEIVER Location:

Bldg. RB Floor El. 303' Room, Area NWCR Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an Item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YE] NZ 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YZ NO- U[" N/AD Y[9 NEI UE] N/A[D-YZ N- U"- N/A["]I Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 246 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YZ NEI UEr Seismic Walkdown Checklist (SWC) SWELl- 056 Equipment ID No. TK-55-1A Equip. Class' 21- TANKS & HEAT EXCHANGERS Equipment Description N2 AIR RECEIVER 5. Is the anchorage configuration consistent with plant documentation?

YOI NQ- urI N/AS (Note: This question only applies If the item Is one of the 50% for which an anchorage configuration verification Is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YO Ni' UrI potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from Impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YN NEI UD-- N/Ar-YZ NEI UD- N/AD-Y0 NEI UDl N/ADl YN NEI-' U EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 247 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 3 of 5 Status: Y0 NEI U-Seismic Walkdown Checklist (SWC) SWELl- 056 Equipment ID No. TK-551A Equip. Class' 21 -TANKS & HEAT EXCHANGERS Equipment Description N2 AIR RECEIVER Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YO Nr] U[]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Note: A gasket, not part of TK-55-1A is lying on a short section of pipe between the tank and flange (see photo page 4). No seismic concern.Reference Documents:

A46/IPEEE

-SSEL Line No. 000266 Drawing 5920-5017 Evaluated by: Kirit Parikh Di Ran i7e gsR-~ ~~m 11 -2)dte: 10/10/2012 10/10/2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 248 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YZ NiO UM]Seismic Walkdown Checklist (SWC) SWELl- 056 Equipment ID No. TK-55-1A Equip. Class' 21 -TANKS & HEA T EXCHANGERS Equipment Description N2 AIR RECEIVER Photographs Note: Gasket lying on pipe between tank and flange.EN-DC.168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Attachment C Page 249 of 505 ATTACHMENT 9.6 SEiSMIC WALKDOwN CHECKLIST FORM Sheet 5 of 5 Status: Yv NO UD" Seismic Walkdown Checklist (SWC) SWELl- 056 Equipment ID No. TK-55-1A Equip. Class 1 21- TANKS & HEAT EXCHANGERS Equipment Description N2AIR RECEIVER EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 250 of 505 Attachment C ATrACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of.5 Status: Nr- uF-]Seismic Walkdown Checklist (SWC) SWELl- 058 Equipment ID No. P-10-ID Equip. Class' 06 Equipment Description RHR/D RHR PUMP Location:

Bldg. RB Floor El. 213' Room, Area SECR Manufacturer, Model, Etc. (optional but recommended)

Bingham 16x18x26 CVIC Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

2. Is the anchorage free of bent, broken, missing or loose hardware?One of the bolts on base plate, in extreme left near the wall, is Inaccessible due to insulated gaskets around the pipe and scaffolding built around it. All other bolts are found well secured on base plate. No seismic impact.3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?C"A.W,6i, F la YZ ND3 U[: N/A[D YN NDI UD- N/AD YN N[3 uD- N/AD-,J -/o.,/d/7 r/a I Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 251 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 2 of 5 Status: YZ Nr-] U-]Seismic Walkdown Checklist (SWC) SWELl- 058 Equipment ID No. P-O-1D Equip. Class 1 06 Equipment Description RHR/D RHR PUMP 5. Is the anchorage configuration consistent with plant documentation?

.1*NE] UE-I N/WO vJ, (Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

Ref: Drawing 5920-1611.

6. Based on the above anchorage evaluations, is the anchorage free of YO N[] UD"]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YZ N[3 UO N/AO Y0 NEI u[D N/AQ1 Y0 NDI U'] N/AD-YO NEI UiD EN-DC-168 REV 0 Engineering Report No. V-Y-RPT-12-00019 Rev. 1 Page 252 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKOOWN CHECKUST FORM Sheet 3 of 5 Status: Y[ NEI UD-Seismic Walkdown Checklist (SWC) SWELl- 058 Equipment ID No. P-10-ID Equip. Class 1 06 Equipment Description RHR/D RHR PUMP Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Yo NO"] U[]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Reference Documents:

Drawing 5920-1611, Sheet 1, Rev.8 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000279 One of the bolts on base plate is inaccessible due to area scaffolding and pipe insulation.

3 Bolts are accessible and fully secured on base plate. No seismic impact.Evaluated bv: Kirit Parikh Date: 10/11/2012 Randy Steohens L ML WiV-1/2 ( ?.--l. 10/11/2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 253 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YZ NOi UrI Seismic Walkdown Checklist (SWC) SWELl- 058 Equipment ID No. P-10-1D Equip. Class' 06 Equipment Description RHRID RHR PUMP Photographs EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 254 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 5 of 5 Status: YZ NEI U" Seismic Walkdown Checklist (SWC) SWELl- 058 Equipment ID No. P-10-ID Equip. Class 1 06 Equipment Description RHR/D RHR PUMP Note: Left rear anchorage near visible.EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 255 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: Y0 NEI U0J Seismic Walkdown Checklist (SWC) SWELl- 059 Equipment ID No. V1O-65B Equip. Class' 08A Equipment Description RHR/HEA TXC BYPASS MOV Location:

Bldg. RB Floor El. 232' Room, Area SECR Manufacturer, Model, Etc. (optional but recommended) 20"300# Globe Valve with Limitorque SMB-4-200 Actuator Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchora-,e

1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y[J NO 2. Is the anchorage free of bent, broken, missing or loose hardware?In-line valve, no anchorage.

3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YEI] NE] UE] N/A0 YE] NEI UE] WNIA YEI NC] U0I N/AI I Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 256 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: Y0Z NE-I UO Seismic Walkdown Checklist (SWC) SWELl- 059 Equipment ID No. VIO-65B Equip. Class 1 08A Equipment Description RHR/HEA TXC BYPASS MOV 5. is the anchorage configuration consistent with plant documentation?

YEI NEn U[' N/AS (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YZ N[3 UEr potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?Y0 NEI UE] N/AE"]Y0 NEI ur"] N/AE]YZ NE-] UE] N/Ar]10. Based on the above seismic interaction evaluations, is equipment free Y0 NEi U--]of potentially adverse seismic interaction effects?EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 257 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YZ NEI U-Seismic Walkdown Checklist (SWC) SWELl- 059 Equipment ID No. V10-65B Equip. Class' 08A Equipment Description RHR/HEATXC BYPASS MOV Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YZ N[:1 Ur]adversely affect the safety functions of the equipment?

Comments Additional pages may be added as necessary)

Reference Documents:

A461IPEEE-SSEL Line No. 000281%n-C, 1011912012-Evaluated bv: Kirit Parikh Date: 10/11/2012 Randy Stehn ?OM A4~.~iL 4 10/11/12012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 258 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YZ NI] UO Seismic Walkdown Checklist (SWC) SWELl- 059 Equipment ID No. VIO-65 -Equip. Class' 08A Equipment Description RHR/-EATXC BYPASS MOV Photographs EN-DC-1 68 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 259 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 5 of 5 Status: Y[] NU- UL-I Seismic Walkdown Checklist (SWC) SWELl- 059 Equipment ID No. VIO-65B Equip. Class' 08A Equipment Description RHR/HEATXC BYPASS MOV EN-DC-168 REV 0 V Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 260 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: YZ NEI Ur Seismic Walkdown Checklist (SWC) SWELl- 060 Equipment ID No. V1O-27A Equip. Class' 06A Equipment Description RHR/LPCI INJECTION MOV Location:

Bldg. RB Floor El. 252' Room, Area Manufacturer, Model, Etc. (optional but recommended) 24" 600 Series Rockwell Globe Valve Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraqe 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YE] NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YEr NEI uE] N/A0 YE-] NE U N/AWS I Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 261 of 505 Attachment C ATrACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: Y0 NM U0-Seismic Walkdown Checklist (SWC) SWELl- 060 Equipment ID No. V1O-27A Equip. Class 08,A Equipment Description RHR/LPCI INJECTION MOV 5. Is the anchorage configuration consistent with plant documentation?

YO No UOl N/A[9 (Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Y0 NEI UO-potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y0 NOi UE N/Afl YZ NE- ur- N/Ar-]YZ NOI U-- N/A--YS NUI ur" EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 262 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: Y0 NEI U-]Seismic Walkdown Checklist (SWC) SWELl- 060 Equipment ID No. V1O-27A Equip. Class 1 08A Equipment Description RHRILPCI INJECTION MOV Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YO NEI U[]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Evaluated by: Marcus Hecht-Nielsen

.Date: 10-04-2012 Raymond Tworek iii 10-04-2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 263 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Shoot 4 of 5 Status: YZ No- UL-Seismic Walkdown Checklist (SWC) SWELl- 060 Equipment ID No. V1O-27A Equip. Class' 08A Equipment Description RHR/LPCI INJECTION MOV Photographs NO PHOTO Note: Note: V10-27A EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 264 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YN NE] UQ-Seismic Walkdown Checklist (SWC) SWELl- 060 Equipment ID No. VIO-27A Equip. Class 1 08A Equipment Description RHRILPCI INJECTION MOV NO PHOTO NO PHOTO Note: Note: EN-DC-1 68 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 265 of 505 Attachment C ATTACHMENT 9.6 SEISMIc WALKDOWN CHECKuST FORM Sheet I of 5 Status: YZ NO U[-Seismic Walkdown Checklist (SWC) SWELl- 061 Equipment ID No. P-8-1C Equip. Class' 06 Equipment Description RHRSW/C RHRSW PUMP Location:

Bldg. RB Floor El. 232' Room, Area NECR Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchora.-e

1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y0 NEI 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Y9 NEI U- N/A-Y0 NO UE- N/A" Y[@ NEI UO N/A[-]I Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 266 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YZ NiO U[-Seismic Walkdown Checklist (SWC) SWELl- 061 Equipment ID No. P-8-1C Equip. Class 1 06 Equipment Description RHRSW/C RHRSW PUMP 5. Is the anchorage configuration consistent with plant documentation?

YZ NO U-] N/At (Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

See SSEL Line No. 000306 and drawing 5920-3855.

6. Based on the above anchorage evaluations, is the anchorage free of YN NI Ur]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YZ NEI] Ut N/At]Y0 NEI Ut-] N/At]YN NE] Ut] N/At]YZ NEI U" EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 267 of 505 Attachment C ATTACHMEI Sheet 3 of 5T 9.6 SEISMIC WALKOOWN CHECKLIST FORM 5 Status: YZ N[] UL--Seismic Walkdown Checklist (SWC) SWELl- 061 Equipment ID No. P-8-IC Equip. Class' 06 Equipment Description RHRSW/C RHRSW PUMP Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could adversely affect the safety functions of the equipment?

YZ N[QUQ Comments (Additional pages may be added as necessary)

Reference Documents:

Drawing 5920-3855 A46/IPEEE

-SSEL Line No. 000306 Evaluated by: KWrt Parikh r4gP,,.Y-e--

101191-2012-Date: 10/11/2012 RAndvif tahga &Wr t 1 C44261X--10/11/2012 VI EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 268 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: Yv NEI UC-" Seismic Walkdown Checklist (SWC) SWELl- 061 Equipment ID No. P-8-1C Equip. Class 1 06 Equipment Description RHRSWIC RHRSW PUMP Photographs EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 269 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FoRM Sheet 5 of 5 Status: Y0 NE] Url Seismic Walkdown Checklist (SWC) SWELl- I Equipment ID No. P-8-4C Equip. Class 1 Equipment Descdpton RHRSW/C RHRSW PUMP NO PHOTO Note: 1G EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 270 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet I of 5 Status: YI NE] UM-Seismic Walkdown Checklist (SWC) SWELl- 062 Equipment ID No. VIO-89A Equip. Class 1 08B Equipment Description RHRSW/SW SUPPLY MOV Location:

Bldg. RB Floor El. 232' Room, Area NECR Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YED NO 2. Is the anchorage free of bent, broken, missing or loose hardware?In-line valve, no anchorage.

3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YE] NEI U[J N/A0 YE] NE] UE] N/AS YE] NE] uE] N/AO' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of EquipmenL EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 271 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: Y0 ND] U-'Seismic Walkdown Checklist (SWC) SWELl- 062 Equipment ID No. VIO-89A Equip. Class 1 08B Equipment Description RHRSW/SW SUPPLY MOV 5. Is the anchorage configuration consistent with plant documentation?

YEI NE] u[] N/A0 (Note: This question only applies if the item is one of the 50% for which anchorage configuration verification Is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Y0 N-] U[]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YZ NE] U[3 N/A[]Y[ NI U[-] N/A[]Y[ NE"] Ut] N/At]YZ N"I Ur]EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 272 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: Y0D NM U0 Seismic Walkdown Checklist (SWC) SWELl- 062 Equipment ID No. V.O-89A Equip. Class 1 08B Equipment Description RHRSW/SW SUPPLY MOV Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Yj@ NO] UE-adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Reference Documents:

A46/IPEEE

-SSEL Line No. 000312 Evaluated by: KiritParikh

-'0 I i' 2 Date: 10/11/2012 Randy StePhens 'o ,-494J- 0 IT 10/11/2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 273 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 4 of 5 Status: Y0 NI UMI Seismic Walkdown Checklist (SWC) SWELl- 062 Equipment ID No. V10-89A Equip. Class 1 08B Equipment Description RHRSW/SW SUPPLY MOV Photographs Note: EN-DC-1 68 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 274 of 505 Attachment C ATrACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 5 of 5 Status: Y0 N[" urEJ Seismic Walkdown Checklist (SWC) SWELl- 062 Equipment ID No. VIO-89A Equip. Class' 08B Equipment Description RHRSW/SW SUPPLY MOV NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 275 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 5 Status: YZ Nil UL-Seismic Walkdown Checklist (SWC) SWELl- 063 Equipment ID No. SP-70-3A Equip. Class 1 07 Equipment Description BACK WASH FLOW CONTROL VALVE Location:

Bldg. IS Floor El. 237' Room, Area SW ROOM Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y[" N[9 2. Is the anchorage free of bent, broken, missing or loose hardware?In-line valve, no anchorage.

3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YO NOI U-I N/A0 YI- NO-' ur- YrI Nil UDi N/A[9 IEnter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 276 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 2 of 5 Status: YO NO UL]Seismic Walkdown Checklist (SWC) SWELl- 063 Equipment ID No. SP-70-3A Equip. Class' 07 Equipment Description BACK WASH FLOW CONTROL VALVE 5. Is the anchorage configuration consistent with plant documentation?

YrO N1 U[r] N/AN (Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Y0@ NC] UF-potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

Small light bulb with light fixture hanging above. Fixture is firmly attached to the ceiling. Bulb Is very light in weight to damage any component on the switch.9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YZ NO U-- N/AD" YO NO U[ N/AD Yv NO uIU N/AD YZ N[3 U[: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 277 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: Yv NEI UL-Seismic Walkdown Checklist (SWC) SWELl- 063 Equipment ID No. SP-70-3A Equip. Class 1 07 Equipment Description BACK WASH FLOW CONTROL VALVE Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YO NO] U[-]adversely affect the safety functions of the equipment?

Area Is clean.Comments Additional pages may be added as necessary)

Referenced Documents:

Drawing 5920-1811 A46/IPEEE-Screening Evaluation Work Sheet, SSEL Line No. 000314 t26F'ý Zt.-( It 9/12 01 Evaluated bv: Kirit Parikh D 1..........

j Randy Ste ens Q t 131(1 2.0 1 -ate: 10/02/2012 10/02/2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 278 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FoRM Sheet 4 of 5 Status: Y; NE] U']Seismic Walkdown Checklist (SWC) SWELl- 063 Equipment ID No. SP-7W3A Equip. Class' 07 Equipment Description BACK WASH FLOW CONTROL VALVE Photographs EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 279 of 505 Attachment C ATTACHMENT 9.6 Sheet 5 of 5 SEISMIC WALKOOWN CHECKLIST FORM Status: YZ NI U-i Seismic Walkdown Checklist (SWC) SWELl- 063 Equipment ID No. SP-70-3A Equip. Class 1 07 Equipment Description BACK WASH FLOW CONTROL VAL VE EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 280 of 505 01 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 1 of 5 Status: YZ NI] UEL Seismic Walkdown Checklist (SWC) SWELl- 064 Equipment ID No. P-7-iC Equip. Class 1 06 Equipment Description Intake SW PUMP Location:

Bldg. IS Floor El. 237" Room, Area SW ROOM Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraae 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YN NEI 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YZ NI] UI-[ N/AE!Y19 N[-] UI] N/A[]YZ NEI UE] N/A[]The grout pad has cracks, but does not affect seismic performance or reliability.

IEnter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 281 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YZ NEI U]Seismic Walkdown Checklist (SWC) SWELl- 064 Equipment ID No. P-7-1C Equip. Class 1 06 Equipment Description Intake SW PUMP 5. Is the anchorage configuration consistent with plant documentation?

YO Ni] Ur] N/A["](Note: This question only applies if the Item is one of the 50% for which anchorage configuration verification is required.)

See drawing 5920-3947 6. Based on the above anchorage evaluations, is the anchorage free of YN NEI UJ-'potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?There are some small gaps in the insulation at the connection of the line to the pump, however, not a seismic concern.10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YO N[O U"- NIAr]Y0 NO: U[3 N/A[:]YO N[O1 U-] N/A[O YZ N[ ur'EN-DC-168 REV 0 Engineering Report No. VTY-RPT-1 2-00019 Rev. 1 Page 282 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: Yv NO U[-Seismic Walkdown Checklist (SWC) SWELl- 064 Equipment ID No. P-7-1C Equip. Class 1 06 Equipment Description Intake SW PUMP Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Y[D NO-] U[]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-3947 and 5920-4602 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000320 Evaluated by: Marcus Hecht-Nielsen

¶ Date: 10-02-2012 Ravmond~worek A Lw4 1/I 10-02-2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 283 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 4 of 5 Status: YZ N[-'] UI]Seismic Walkdown Checklist (SWC) SWELl- 064 Equipment ID No. P-7-1C Equip. Class' 06 Equipment Description Intake SW PUMP Photographs Note: P-7-1C EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 284 of 505 Attachment C ATTACHMENT 9.6 Sheet 5 of 5 SEISMIC WALKDOWN CHECKLIST FORM Status: YZ NO- U-Seismic Walkdown Checklist (SWC) SWELl-Equipment ID No. P-7-1C Equip. Class'Equipment Description Intake SW PUMP EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 285 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKIUST FORM Sheet I of 5 Status: YZ NEI U"I Seismic Walkdown Checklist (SWC) SWELl- 065 Equipment ID No. ,.108-03 A) Equip. Criss' 08-B SOLENOID OPERATED VALVES Equipment Description FUEL OIL TANK VALVE Location:

Bldg. F.O. Floor El. 242' Room, Area FUEL OIL TANK Manufacturer, Model, Etc. (optional but recommended)

A6 fc- 70-/4-27-12#

-00g 1 wq Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an Item of equipment on the Jr/1 I SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the Item one of the 50% of SWEL items requiring such verification)?

YI- NO 2. Is the anchorage free of bent, broken, missing or loose hardware?

Y-In-line valve, no anchorage.

3. Is the anchorage free of corrosion that is more than mild surface YE oxidation?

4. Is the anchorage free of visible cracks in the concrete near the YE anchors?R-o J NEI iE] N/AZ J NEI UEI WIAS]NEI UEi WIAS oP (F__' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 286 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: Y0 NOi U[-Seismic Walkdown Cthecklist (PWC) SWEL- 65 Equipment ID No. ---- 1 3 .quip. Class 1 08-B SOLENOID OPERATED VALVES Equipment Description FUEL OIL TANK VALVE 5. Is the anchorage configuration consistent with plant documentation?

Y[] N] Ur N/AS (Note: This question only applies If the item Is one of the 50% for which anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YO No UEJ potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YO NO-1 U-1 N/Afl YO N[3 u[3 N/A--YZ NEI UO" N/A[O YZ NE-U]u EN-DC-1i68 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 287 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: Y[@ N[] U-'Seismic Walkdown Checklist (SVVC) SWELl- 065 Equipment ID No. 16e-108-03 X1 Equip. Class' 08-B SOLENOID OPERATED VALVES Equipment Description FUEL OIL TANK VALVE Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Y0 N[] U["]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Note: Original inspection completed 10/15/2012.

Photo taken 10/16/2012.

Referenced Documents:

A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000394 Evaluated by: Kirit Parikh 161 l2--.. Date: 10/16/2012 Randy Stephens '9 LV J 11 '/2Ol. 10/1 6/2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 288 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YZ N- UF-]Seismic Walkdown C 5 ecklist (SSC) WELI- M Equipment ID No. L-W-108-03 iv Equip. Class 1 08-B SOLENOID OPERATED VALVES W-27-12.Equipment Description FUEL OIL TANK VALVE Photographs EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 289 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 5 of 5 Status: YZ N[- UMI Seismic Walkdown C cklist SWELl- 065 Equipment ID No. L-WQ"O-108-03 Equip. Class' 08-B SOLENOID OPERATED VALVES Equipment Description FUEL OIL TANK VALVE NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 V.Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 290 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 5 Status: Y; NEI UE)Seismic Walkdown Checklist (SWC) SWELl- 066 Equipment ID No. FCV-104-28A Equip. Class 1 07- Fluid Operated Valves Equipment Description SW/DG Cooling Location:

Bldg. TB Floor El. 252 Room, Area EDGR A Manufacturer, Model, Etc. (optional but recommended)

ACFIndustries.

1. 70-14-2RRT Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraoe 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YEr] N 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that Is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YEI NEI UE'- NIAS YE- N[-] UE] N/AS YE- NEI UE] NIA0' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 291 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: Yv Nl] UL]Seismic Walkdown Checklist (SWC) SWELl- 066 Equipment ID No. FCV-104-28A Equip. Class 1 07- Fluid Operated Valves Equipment Description SW/DG Cooling 5. Is the anchorage configuration consistent with plant documentation?

Y[-] NE] UrI N/A[@(Note: This question only applies if the item Is one of the 50% for which anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Y[9 NEI U[-_potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?YZ NEI Ul] N/Al]YO NE! U-l] N/A[!YZ NEI UE] N/AE]Electrical conduit has flexible line.10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YO NO U E EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 292 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: Yv NEL UE]Seismic Walkdown Checklist (SWC) SWELl- 066 Equipment ID No. FCV-104-28A Equip. Class 1 07- Fluid Operated Valves Equipment Description SW/DG Cooling Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YI N[Q] UrI adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Reference Documents:

A46/IPEEE

-SSEL Line No. 000324 Evaluated by: Marcus Hecht-Nielsen , Date: 10-01-2012 Raymond Tworek !R E&n i./r&Ij.-L 10-01-12 EN-DC-1 68 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 293 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 4 of 5 Status: Y0 N-' Ur Seismic Walkdown Checklist (SWC) SWELl- 066 Equipment ID No. FCV-104-28A Equip. Class' 07- Fluid Operated VaWes Equipment Description SW/DG Cooling Photographs EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 294 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FoRM Sheet 5 of 5 Status: YS NEI Ur]Seismic Walkdown Checklist (SWC) SWELl- 066 Equipment ID No. FCV-104-28A, Equip. Class 1 07- Fluid Oerated Valves Equipment Description SW/DG Cooling NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 295 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet I of 5 Status: Y0 NEI UD-" Seismic Walkdown Checklist (SWC) SWELl- 067 Equipment ID No. V70-20 Equip. Class 1 08A -MOTOR OPERATED VALVES Equipment Description SW/TURB BLDG ISOL MOV Location:

Bldg. RB Floor El. 246' Room, Area TORUS CW Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraae 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YI" NS 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YZ NEI U-- N/AD-YED N[3 UED N/AD-YO NDI UD- N/AD' Enter ihe equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 296 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: Yv N'] U-]Seismic Walkdown Checklist (SWC) SWELl- 067 Equipment ID No. V70-20 Equip. Class 1 08A -MOTOR OPERATED VALVES Equipment Description SW/TURB BLDG ISOL MOV 5. Is the anchorage configuration consistent with plant documentation?

YE]" NE] U[I N/AZ (Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Y0 NE] U-]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YZ NEI UE] N/AE]YZ NE] uE] N/AO Y[D NEI U'-D N/Ar]Y0 NO U"]EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 297 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: Y0 NOI ul-Seismic Walkdown Checklist (SWC) SWELl- 067 Equipment ID No. V70-20 Equip. Class 1 08A -MOTOR OPERATED VALVES Equipment Description SW/TURB BLDG ISOL MOV Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Yo NE] U[]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Reference Documents:

A46/7PEEE

-SSEL Line No. 000335 Evaluated by: KrltParlkh

!1L -lo Date: 10/1012012 Randy hens 1011012012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 298 of 505 Attachment C ATTACHMENT 9.6 SEiSMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YZ NEI U" Seismic Walkdown Checklist (SWC) SWELl- 067 Equipment ID No. V70-20 Equip. Class 1 08A -MOTOR OPERATED VALVES Equipment Description SW/TURB BLDG ISOL MOV Photographs EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 299 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: Y0 NO U-'Seismic Walkdown Checklist (SWC) SWELl- 067 Equipment ID No. V70-20 Equip. Class 1 08A -MOTOR OPERATED VALVES Equipment Description SW/TURB BLDG ISOL MOV NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 300 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 5 Status: YZ NE] U[M Seismic Walkdown Checklist (SWC) SWELl- 068 Equipment ID No. TU-1-1A Equip. Class 1 05- HORIZONTAL PUMPS Equipment Description HPCI-HPCI TURBINE Location:

Bldg. RB Floor El. 213' Room, Area HPCI Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an Item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraae 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

No grouting under north center and south center mounting points.South east mount is missing grout and the mounting bracket is slightly bent. In reviewing the document SSEL line no. 000353 and its associated calc for HPCI turbine TU- I-la, page 9 of 9, the interaction ratio for shear = 0. 118 and 1.R. for bolt pull out = 0.040. Hence the bolts are ok and loss of grout has no seismic impact on it.Ref: CR-VTY-2012-05091

2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Very small hair line crack in the north east comer of concrete pad. 1.5'from the mounting.

No seismic Impact.See the comments above in column 1 Yj@ NE-]YO N[- UL] N/AD Y; Nr] UE] N/A[-]Y0 NEI Ur'] N/A[-' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-1 68 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 301 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 2 of 5 Status: YO NEO Ur Seismic Walkdown Checklist (SWC) SWELl- 068 Equipment ID No. TU-!-1A Equip. Class 1 05- HORIZONTAL PUMPS Equipment Description HPCI-HPCI TURBINE 5. Is the anchorage configuration consistent with plant documentation?

YO NEI ULE] N/AI (Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

See SSEL Line No. 000353 and its associated calculation.

6. Based on the above anchorage evaluations, is the anchorage free of YZ NE] U'potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from Impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic Interaction effects?Y0 NEI ur N/Ar-Y0 NE] UE] N/A-YZ NE] U[-] N/AE" YZ NEI UE'EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Attachment C Page 302 of 505 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YZ NEI UI-Seismic Walkdown Checklist (SWC) SWELl- 068 Equipment ID No. TU-1-1A Equip. Class 1 05- HORIZONTAL PUMPS Equipment Description HPCI-HPCI TURBINE Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YZ N["] U[3 adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000353 CR-VTY-2012-05091 Evaluated by: Kirit Parlkh t -to j0 1 e1 f.2- Date: 10/09/2012 Randv Stephens RC 44- 0 1ITS /2bI z-- 10/o9/o12 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 303 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 4 of 5 Status: YZ NEI ULI Seismic Walkdown Checklist (SWC) SWELl- 068 Equipment ID No. TU-1-1A Equip. Class 1 05 -HORIZONTAL PUMPS Equipment Description HPCI-HPCI TURBINE Photographs Note: North East end anchorage bracket. Missing a small amount of grout.EN-DC-1 68 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 304 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: Y0 NEI] U-I Seismic Walkdown Checklist (SWC) SWELl- 068 Equipment ID No. TU-1-1A Equip. Class' 05 -HORIZONTAL PUMPS Equipment Description HPCI-HPCI TURBINE miote: bourn -asr enca ancnorage.

EN-DC-168 REV 0 Engineering Report No. VTY-RP.T-12-00019 Rev. 1 Page 305 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: YZ NI] U-'Seismic Walkdown Checklist (SWC) SWELl- 069 Equipment ID No. DG-1B-INTAKE-1-6 Equip. Class 1 0- OTHER Equipment Description DG ROOM VENTILATION/DG ROOM B LOUVERS (6 TOTAL)Location:

Bldg. TB Floor El. 252' Room, Area EDGR B (ROOF INTAKE STRUCTURE)

Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one Y[ NE]of the 50% of SWEL items requiring such verification)?

2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Y0 NI] U[- N/A[-Y0 NEI] U[] N/A-]Y0 NI] Ur] N/AO' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 306 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 2 of 5 Status: YZ NEI UF1 Seismic Walkdown Checklist (SWC) SWELl- 069 Equipment ID No. DG-1B-INTAKE-1-6 Equip. Class 1 0 -OTHER Equipment Description DG ROOM VENTILATION/DG ROOM B LOUVERS (6 TOTAL)5. Is the anchorage configuration consistent with plant documentation?

Y0@ NEI Ui] N/AC (Note: This question only applies if the item is one of the 50% for which anchorage configuration verification Is required.)

See SSEL Line No. 00371and drawing 5920-9096.

6. Based on the above anchorage evaluations, is the anchorage free of Y0 NE] UD potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

No overhead items near this equipment.

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic Interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y[@ NE] uC N/AE]YE] NE] u N/AWA YZ NE] UE] N/AC Y9 ND UC EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 307 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: Y0 NEI U--Seismic Walkdown Checklist (SWC) SWELl- 069 Equipment ID No. DG-lB-INTAKE-1-6 Equip. Class 1 0- OTHER Equipment Description DG ROOM VENTILATION/DG ROOM B LOUVERS (6 TOTAL)Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YO NE] U[]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Reference Documents:

A46/IPEEE

-SSEL Line No. 000371 Drawing 5920-9096 Evaluated by: Kirit Parikh tt:... 10 1 2- _ Date: 10/03/12 Randy SteDhens Z L, (C1 'ZO 1-L-- 10/03/12 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 308 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: Y0 N[] UE]Seismic Walkdown Checklist (SWC) SWELl- 069 Equipment ID No. DG-18-INTAKE-1-p Equip. Class' 0- OTHER Equipment Description DG ROOM VENTILATION/DG ROOM B LOUVERS (6 TOTAL)Photographs NO PHOTO Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 309 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: Y0 NEI UM Seismic Walkdown Checklist (SWC) SWELl- 069 Equipment ID No. DG-1B-INTAKE-1-6 Equip. Class' 0 -OTHER Equipment Description DG ROOM VENTILATION/DG ROOM B LOUVERS (6 TOTAL)NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 a Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 310 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FoRM Sheet 1 of 5 Status: YZ NEI UM Seismic Walkdown Checklist (SWC) SWELl- 070 Equipment ID No. ES-23-110 Equip. Class' 20 Equipment Description HPCI INST PWR SUPPLY Location:

Bldg. CB Floor El. 272' Room, Area CONTRM Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraae 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YED NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YE] NF- ULEI NWAS YE] NE] UE] N/A0 YE] NE] U- N/AS' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 311 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: Y0 NEI Ur-Seismic Walkdown Checklist (SWC) SWELl- 070 Equipment ID No. ES 110 Equip. Class' 20 Equipment Description HPCI INST PWR SUPPLY 5. Is the anchorage configuration consistent with plant documentation?

YE-) NO] UE N/AZ (Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YZ N[] UE-potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YZ NE) U[3 N/AE)-YZ NEI UE- N/AE)YN NEI UE- N/A[-]YZ N[ -UE-EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 312 of 505 Attachment C ATrACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FoRM Sheet 3 of 5 Status: Y[9 NF-] UM" Seismic Walkdown Checklist (SWC) SWELl- 070 Equipment ID No. ES 110 Equip. Class' 20 Equipment Description HPCI INST PWR SUPPLY Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YE] N[] U[]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-2678 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000401 Evaluated by: Marcus Hecht-Nielsen Date: 10-15-2012 Raymond Tworek ' AIir~~i/fL 10-15-2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-1 2-00019 Rev. 1 Page 313 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: Y0 NEI UM]Seismic Walkdown Checklist (SWC) SWEL1- 070 Equipment ID No. ES-23-110 Equip. Class 1 20 Equipment Description HPCI INST PWR SUPPLY Photographs EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev, 1 Page 314 of 505 Attachment C AI-rACHMENT 9.6 Sheet 5 of 5 SEISMIC WALKDOWN CHECKusT FORM Status: Y9 N[] U[3 Seismic Walkdown Checklist (SWC) SWELl- I Equipment ID No. ES-23-!10 Equip. Class'Equipment Description HPCI INST PWR SUPPLY EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 315 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 5 Status: Y0 NO UL-I Seismic Walkdown Checklist (SWC) SWELl- 071 Equipment ID No. FTA-23-118 Equip. Class' 20 Equipment Description HPCI SQ RT CONV-FLOW Location:

Bldg. CB Floor El. 272' Room, Area CONTRM Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraoe 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YE-I N 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YO] NE] ur] N/A0 YE] NEI U- N/AO YE] NO] UE- N/AO I Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0

• I Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 316 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 2 of 5 Status: Y0 NiO U-'Seismic Walkdown Checklist (SWC) SWELl- 071 Equipment ID No. FTA-23-118 Equip. Class' 20 Equipment Description HPCI SQ RT CONV-FLOW 5. Is the anchorage configuration consistent with plant documentation?

YE] NEI Ur] N/A (Note: This question only applies if the Item is one of the 50% for which anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Y0 NE U-'potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?Y] NEI UM N/A[D Yv NEI UEi N/AD]Y[9 NEI U[3 N/A"1 10. Based on the above seismic interaction evaluations, is equipment free Yo NE] U'-of potentially adverse seismic interaction effects?EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 317 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 3 of 5 Status: Y0 NEI UM]Seismic Walkdown Checklist (SWC) SWELl- 071 Equipment ID No. FTA-23-118 Equip. Class' 20 Equipment Description HPCI SQ RT CONV-FLOW Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YN N[] U[]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-3258 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000402 Evaluated by: Marcus Hecht-Nielsen " ,, Date: 10-15-2012 RavmondTworek 11 Lryl~ iIrV-i-10-15-2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 318 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 4 of 5 Status: Y; NO U0-Seismic Walkdown Checklist (SWC) SWELl- 071 Equipment ID No. FTA-23-118 Equip. Class' 20 Equipment Description HPCI SQ RTCONV-FLOW Photographs EN-DC-1 68 REV 0 4-,1.Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 319 of 505 Attachment C ATTACHMEF Sheet 5 of T 9.6 SEISMIC WALKI)OWN CHECKUST FORM 5 Status: YZ NiO UO]Seismic Walkdown Checklist (SWC) SWELl- 071 Equipment ID No. FTA-23-118 Equip. Class' 20 Equipment Descrption HPCI SQ RT CONV-FLOW EN-DC-168 REV 0 r o Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 320 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 5 Status: Y0 NEI] U[Seismic Walkdown Checklist (SWC) SWELl- 072 Equipment ID No. ES-23-94 Equip. Class 1 20 Equipment Description HPCI/DC/AC INVERTER Location:

Bldg. QB Floor El. 272' Room, Area CONTRM Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL Items requiring such verification)?

YE-I NZ 2. Is the anchorage free of bent, broken, missing or loose hardware?Could not see all the anchors, however, the anchors that were visible were in good condition.

3. Is the anchorage free of corrosion that is more than mild surface oxidation?

Could not see all the anchors, however, the anchors that were visible were in good condition.

4. Is the anchorage free of visible cracks in the concrete near the anchors?YZ NEI U'- N/A[" Y] NE] U[] N/AE1 YE"] NEI Ui5 N/AS' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-1 68 REV 0 f, ,/Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 321 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: Y0 NE] UEI Seismic Walkdown Checklist (SWC) SWELl- 072 Equipment ID No. ES-23-94 Equip. Class 1 20 Equipment Description HPCI/DC/AC INVERTER 5. Is the anchorage configuration consistent with plant documentation?

YE] NEI ur-i N/AZ (Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YZ NEI UE]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YO NEI UE- N/AEr YZ NEI uQ" N/AE-YN NEI UEr N/AEr YZ Nr U0-EN-DC-168 REV 0

/Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 322 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: Yv NEI U'-Seismic Walkdown Checklist (SWC) SWELl- 072 Equipment ID No. ES-23-94 Equip. Class 1 20 Equipment Description HPCI/DC/AC INVERTER Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YO N'-] U[]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-3258 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 000404 Evaluated by: Marcus Hecht-Nielsen c Date: 10-15-2012 Ravmond Tworek 10-15-2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 323 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 4 of 5 Status: YZ NOi UEr Seismic Walkdown Checklist (SWC) SWELl- 072 Equipment ID No. ES-23-94 Equip. Class' 20 Equipment Description HPCI/DC/AC INVERTER Photographs EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 324 of 505 Attachment C ATACHMENTt 9 SEISMIC WALKDOWN CHECKLIST FoRM Sheet 5 of 5 Status: YZ NEI U-]Seismic Walkdown Checklist (SWC) SWELl- 072 Equipment ID No. ES-23-94 Equip. Class 1' 20 Equipment Description HPCI/DC/AC INVERTER EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 325 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 1 of 5 Status: Y0 NEI UM Seismic Walkdown Checklist (SWC) SWELl- 078 Equipment ID No. VG-22A Equip. Class 1 08A -MOTOR OPERATED VALVES Equipment Description CAD MOV VENT ISOLATION (OUTBD)Location:

Bldg. RB Floor El. 303' Room, Area NORTH CENTER Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraae 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Yl- NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YO NOI uO' N/Afl YO NEI U["] N/AOI YN NEI U-' NIA-I' Enter the equipment class name from EPRI 1025286. Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. I Page 326 of 505 Attachment C ATrACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: Y0 NOI U-'Seismic Walkdown Checklist (SWC) SWELl- 078 Equipment ID No. VG-22A Equip. Class' 08A -MOTOR OPERATED VALVES Equipment Description CAD MOV VENT ISOLATION (OUTBD)5. Is the anchorage configuration consistent with plant documentation?

Y[-] NO] U[] N/AZ (Note: This question only applies if the Item is one of the 50% for which anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Yo N[] UO-potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?Y9 NOI U-- N/AO'Yv NOI UO- N/AO-1 Yv NO UEr N/AO-]10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?EN-DC-1 68 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 327 of 505 Attachment C ATTACHMEI Sheet 3 of NT 9.6 SEISMIC WALKDOWN CHECKLIST FORM 5 Status: YZ NEI UEI Seismic Walkdown Checklist (SWC) SWELl- 078 Equipment ID No. VG-22A Equip. Class' 08A -MOTOR OPERATED VALVES Equipment Description CAD MOV VENT ISOLATION (OUTBD)Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could adversely affect the safety functions of the equipment?

YO NO UE Comments (Additional pages may be added as necessary)

Reference Documents:

A46/IPEEE

-SSEL Line No. 000512 Evaluated by: Kirit Parikh tzP,-,, 1011,q) .20te-Date: 10/10/2012 Randy Stephens R b 4 i i /ij*.10/10/2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 328 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 4 of 5 Status: YO NE] U[]Seismic Walkdown Checklist (SWC) SWELl- 078 Equipment ID No. VG-22A Equip. Class' 06A -MOTOR OPERATED VALVES Equipment Description CAD MOV VENT ISOLATION (OUTBD)Photographs Note: ID# VG-22A Exposed wires are test connection plugs.EN-DC-168 REV 0 Engineering Report No. VTY-RPT-1 2-00019 Rev. 1 Page 329 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 5 of 5 Status: Y0 NEI UD-Seismic Walkdown Checklist (SWC) SWELl- 078 Equipment ID No. VG-22A Equip. Class' 08A -MOTOR OPERATED VALVES Equipment Description CAD MOV VENT ISOLATION (OUTBD)NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 330 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet I of 5 Status: YZ NEI UM Seismic Walkdown Checklist (SWC) SWELl- 079 Equipment ID No. NG-13A Equip. Class' 08B -SOLENOID OPERATED VALVES Equipment Description CAD SOV AIR ISOLATION (INBD) INJECTION TO DW PNL A Location:

Bldg. RB Floor El. 222' Room, Area TORUS AREA Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraae 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y[-] NO 2. Is the anchorage free of bent, broken, missing or loose hardware?In-line valve, no anchorage.

3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YEI NI UE] NWAS YEI NEI u[] N/AZ Y[- NO- ul-' ' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 331 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 2 of 5 Status: YZ NEI UE]Seismic Walkdown Checklist (SWC) SWELl- 079 Equipment ID No. NG-13A Equip. Class 1 08B -SOLENOID OPERATED VALVES Equipment Description CAD SOV AIR ISOLATION (INBD) INJECTION TO DW PNL A 5. Is the anchorage configuration consistent with plant documentation?

YE! NE" U-' N/AZ (Note: This question only applies if the Item is one of the 50% for which anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Y[0 NE] UE!potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y0 NEI Ut] N/At]Yv NE1 Ut] N/At]YZ NEI Ut-] N/At]YZ NEI U"]EN-DC-1 68 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 332 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FoRM Sheet 3 of 5 Status: YZ NI] U-]Seismic Walkdown Checklist (SWC) SWELl- 079 Equipment ID No. NG-13A Equip. Class' 08B -SOLENOID OPERATED VALVES Equipment Description CAD SOV AIR ISOLATION (INBD) INJECTION TO DW PNL A Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Y10 N[] U[-]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Reference Documents:

A46/IPEEE-SSEL Line No. 000515 Evaluated by: Kirit Parikh Qý. t-e- 10 1 Igi 20 1 ?-Da Rnndv qtanhannc Rawc,4-, lj xýi oiD.& ah.ic lzso -2.te: 10/11/2012 10/11/2012

~1 --EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 333 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YI0 Nr] UE-Seismic Walkdown Checklist (SWC) SWELl- 079 Equipment ID No. NG-13A Equip. Class 1 08B -SOLENOID OPERATED VALVES Equipment Description CAD SOV AIR ISOLATION (INBD) INJECTION TO DW PNL A Photographs NO PHOTO Note: In-line valve, ID# NG-13A Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 334 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: Ni-' UE Seismic Walkdown Checklist (SWC) SWELl- 079 Equipment ID No. NG-13A Equip. Class 1 08B -SOLENOID OPERATED VALVES Equipment Description CAD SOV AIR ISOLATION (INBD) INJECTION TO DW PNL A NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 335 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: YO NEl UEI Seismic Walkdown Checklist (SWC) SWELl- 080 Equipment ID No. SB-16-19-6 Equip. Class 1 07 -FLUID OPERATED VALVES Equipment Description PRIMARY CONTAINMENT VENT TO SBGT ISOLATION (OUTBD) AOV Location:

Bldg. R8 Floor El. 30' Room, Area W Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one Y-] NN of the 50% of SWEL items requiring such verification)?

2. Is the anchorage free of bent, broken, missing or loose hardware?In-line valve, no anchorage.

3. Is the anchorage free of corrosion that Is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Y[-- NEI url N/A0@YEI N[] U-I NWAS YDI NEI U-1 N/AC@' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 336 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: Y; NEI UM Seismic Walkdown Checklist (SWC) SWELl- 080 Equipment ID No. SB-16-19-6 Equip. Class 1 07- FLUID OPERATED VALVES Equipment Description PRIMARY CONTAINMENT VENT TO SBGT ISOLATION (OUTBD) AOV 5. Is the anchorage configuration consistent with plant documentation?

YE- NCi U' N/AZ (Note: This question only applies if the item Is one of the 50% for which anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YZ NE! UE!potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic Interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YZ NEI U-] N/An Y0 NEI UF" N/AC Yv NE! UE! N/AC YZ NEI u-EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 337 of 505 Attachment C ATrACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YZ NO] U["]Seismic Walkdown Checklist (SWC) SWELl- 080 Equipment ID No. SB-16-19-6 Equip. Class 1 07- FLUID OPERATED VALVES Equipment Description PRIMARY CONTAINMENT VENT TO SBGT ISOLATION (OUTBD) AOV Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YZ N[-] U0 adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Reference Documents:

A46/IPEEE-SSEL Line No. 000554 Evaluated by: Kirit Parikh Pý-k4-- lolIR'12012-Date: 10/10/2012 Rand Steghens -gJtu% " i i 10/10/20 12 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 338 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 4 of 5 Status: YZ NEI UE-Seismic Walkdown Checklist (SWC) SWELl- 080 Equipment ID No. SB-16-19-6 Equip. Class1 07- FLUID OPERATED VALVES Equipment Description PRIMARY CONTAINMENT VENT TO SBGT ISOLATION (OUTBD) AOV Photographs EN-DC-1 68 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 339 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: Y[9 NEI UM Seismic Walkdown Checklist (SWC) SWELl- 080 Equipment ID No. SB-16-19-6 Equip. ClassI 07- FLUID OPERATED VALVES Equipment Description PRIMARY CONTAINMENT VENT TO SBGT ISOLATION (OUTBD) AOV NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-0001 9 Rev. 1 page 340 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Shoot I of 5 Status: YO NEI UEI Seismic Walkdown Checklist (SWC) SWELl- 081 Equipment ID No. CRP 9-03 Equip. Class' 20 Equipment Description CONTROL ROOM PANEL Location:

Bldg. -B Floor El. 272' Room, Area CONTRM Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YO NEI 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YO NC"] url NIACI Y0 NF-] UCI N/A[YZ Ni UfL] N/A[-]' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 341 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: Yv NEI U0 Seismic Walkdown Checklist (SWC) SWELl- 081 Equipment ID No. CRP 9-03 Equip. Class 1 20 Equipment Description CONTROL ROOM PANEL 5. Is the anchorage configuration consistent with plant documentation?

Y0 NEI UD N/AD (Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

See VYC-1354 6. Based on the above anchorage evaluations, is the anchorage free of Yv ND U-potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y0 ND UD N/AD Y0 ND U-] N/A'Y0 ND UD N/AD" YZ N-' U EN-DC-168 REV 0 Attachment C Engineering Report No. VTY-RPT-12-00019 Rev. I Page 342 of 505 SEISMIC WALKDOWN CHECKLIST FORM ATTACHME Sheet 3 of 5T 9.6 5 Status: Y23 NC"] U-Seismic Walkdown Checklist (SWC) SWELl- i Equipment ID No. CRP 9-03 Equip. Class 1 Equipment Description CONTROL ROOM PANEL Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could adversely affect the safety functions of the equipment?

YO N[] UE Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-3258 A46/IPEEE-Screening Evaluation Work Sheet, SSEL Line No. 001210 Calculation:

VYC- 1354 Evaluated by: Marcus Hecht-Nielsen e-Date: 10-_15-2012 10-15-2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 343 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YC:< NE]"UIur'Seismic Walkdown Checklist (SWC) SWELl- 081 Equipment ID No. CRP 9-03 Equip. Class 1 20 Equipment Description CONTROL ROOM PANEL Photographs Note: C Note: CRP 9-03 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 344 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Shoot 5 of 5 Status: Y0 NEI UE]Seismic Walkdown Checklist (SWC) SWELl- 081 Equipment ID No. CRP 9-03 Equip. Class' 20 Equipment Description CONTROL ROOM PANEL NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 I Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 345 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FoRM Sheet I of 5 Status: Y0 N[3 U[1 Seismic Walkdown Checklist (SWC) SWELl- 082 Equipment ID No. CRP 9-19 Equip. Class' 20 Equipment Description CONTROL ROOM PANEL Location:

Bldg. CB Floor El. 272' Room, Area CONT RM Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL Items requiring such verification)?

YEI NZ 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YO NEI U[- N/AS Y[-] N[O U[-] N/A0 YV- NCi U"- N/A[3 I Enter the equipment class name from EPRI 1025286. Appendix B: Classes of Equipment.

EN-DC-168 REV 0 F Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 346 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: Y9 N[3 U-I Seismic Walkdown Checklist (SWC) SWELl- 082 Equipment ID No. CRP 9-19 Equip. Class 1 20 Equipment Description CONTROL ROOM PANEL 5. Is the anchorage configuration consistent with plant documentation?

YE] No UCI N/AZ (Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YZ NE] U-'potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?YO NCI UC1 N/AC]Y0 NC-1 uC- N/AC-YZ NCI UC- N/AC 10. Based on the above seismic interaction evaluations, is equipment free YZ Nr3 UE-of potentially adverse seismic interaction effects?EN-DC-168 REV 0 6/Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 347 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKOOWN CHECKLIST FORM Sheet 3 of 5 Status: Y[ NO UI-Seismic Walkdown Checklist (SWC) SWELl- 082 Equipment ID No. CRP 9-19 Equip. Class' 20 Equipment Description CONTROL ROOM PANEL Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YO N[] U[adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-2678 A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. ooi22i Evaluated by: Marcus Hecht-Niels e... "-&, ._ ,, Date: 10-15-2012 Raymond Tworek 9md lAiIfaA-10-15-2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 348 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 4 of 5 Status: Y9 NE] U-I Seismic Walkdown Checklist (SWC) SWELl- 082 Equipment ID No. CRP 9-19 Equip. Class' 20 Equipment Description CONTROL ROOM PANEL Photograwhs Note: C EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 349 of 505 Attachment C ATTACHMENT 9.6 Sheet 5 of 5 SEISMIC WALKDOWN CHECKUsT FORM Status: YZ NIJ U--Seismic Walkdown Checklist (SWC) SWELl-Equipment ID No. CRP 9-19 Equip. Class 1 Equipment Description CONTROL ROOM PANEL EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 350 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: Y[] NOl UC Seismic Walkdown Checklist (SWC) SWELl- 083 Equipment ID No. CRP 9-20 Equip. Class 1 20 Equipment Description CONTROL ROOM PANEL Location:

Bldg. CB Roor El. 272' Room, Area CONTRM Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an Item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y[NZ 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YO- NO Ur- N/AS Y[-Q NO UO N/AS YO NO UO NIAS I Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0

,/Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 351 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 2 of 5 Status: YO NO UL]Seismic Walkdown Checklist (SWC) SWELl- 083 Equipment ID No. CRP 9-20 Equip. Class 1 20 Equipment Description CONTROL ROOM PANEL 5. Is the anchorage configuration consistent with plant documentation?

YE NO U- N/AS (Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Yo NO UO potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YZ NEI uE N/A-Y0 NEI u- NIA-Yv NEI uE] N/AQ YO NO U-EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 352 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 3 of 5 Status: Y9 NE] U-'Seismic Walkdown Checklist (SWC) SWELl- 083 Equipment ID No. CRP 9-20 Equip. Class 1 20 Equipment Description CONTROL ROOM PANEL Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YZ Ni] U[]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawings:

5920-377o A 4 6/IPEEE -Screening Evaluation Work Sheet, SSEL Line No. 001222 Evaluated by: Marcus Hecht-Nielsen e xDate: 10-15-2012 Ravmond Tworek (i-- g1'11rh-10-15-2012 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 353 of 505 Attachment C ATTACHMENT 9.6 SEiSMIC WALKDOWN CHECKUST FORM Shoee 4 of 5 Status: NrQ U!"]Seismic Walkdown Checklist (SWC) SWELl- 083 Equipment ID No. CRP 9-20 Equip. Class 1 20 Equipment Description CONTROL ROOM PANEL Photographs Note: C EN-DC-1 68 REV 0 I, Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 354 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: Y; NO U-]Seismic Walkdown Checklist (SWC) SWELl- 083 Equipment ID No. CRP 9-20 Equip. Class 1 20 Equipment Description CONTROL ROOM PANEL NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 355 of 505 Attachment C ArTACHMEI Sheet 1 of N 9.6 SEISMIC WALKDOWN CHECKLIST FORM 5 Status: Y0 N[] UL--Seismic Walkdown Checklist (SWC) SWELl- 084 Equipment ID No. Equip. Class 1 20 Equipment Description DG RM B VOLTAGE REGULATOR CAB Location:

Bldg. TB Floor El. 252' Room, Area EDGR B Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y[ NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YO NOI UM N/Au YCK NE! U-] N/AE1 Y; N[-] u[] N/A[-]' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of Equipment.

EN-DC-168 REV 0 r Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 356 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 2 of 5 Status: Y0 NEI UEI Seismic Walkdown Checklist (SWC) SWELl- 084 Equipment ID No. Equip. Class 1 20 Equipment Description DG RM B VOLTAGE REGULATOR CAB 5. Is the anchorage configuration consistent with plant documentation?

YEI N[] U[] N/A0 (Note: This question only applies If the item is one of the 50% for which anchorage configuration verification is required.)

See drawing SK 92403-03B 6. Based on the above anchorage evaluations, is the anchorage free of Y0 NEI UE-potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YN NEI U[E NIAE]Y[ NEI UE1 N/A["]YO NO3 UE] N/A[E Y; Nil U[1 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 357 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 3 of 5 Status: Y0 NEI UM Seismic Walkdown Checklist (SWC) SWELl- 084 Equipment ID No. Equip. Class 1 20 Equipment Description DG RM B VOLTAGE REGULATOR CAB Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Y0g NO] U[--adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

Drawing 5920-3911 and 5920-4592, and SK 92403-03B sheets 1-4.A46/IPEEE-Screening Evaluation Work Sheet, SSEL Line No. 001242 Date: 10-03-2012 Evaluated by: Marcus Hecht-Nielsen Raymond Tworek 'JaNq, 1~L.. O/? L 10-03-2012 EN-DC-168 REV 0 9F Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 358 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YN NO] U[3 Seismic Walkdown Checklist (SWC) SWELl- 084 Equipment ID No. Equip. Class 1 20 Equipment Description DO RM B VOLTAGE REGULATOR CAB Photographs EN-DC-168 REV 0 I./Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 359 of 505 Attachment C I ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 5 of 5 Status: YO NEI UE]Seismic Walkdown Checklist (SWC) SWELl- C Equipment ID No. Equip. Class 1.Equipment Description DO RM B VOLTAGE REGULATC I, I WýEN-DC-168 REV 0 f Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 360 of 505 Attachment C ATrACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 5 Status: YU NEI UC-Seismic Walkdown Checklist (SWC) SWELl- 085 Equipment ID No. Equip. Class 1 20 Equipment Description DG RMA NEUTRAL TRANSFORMER CAB Location:

Bldg. T8 Floor El. =... Room, Area EDGRA Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchora-ae

1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y N-J 2. Is the anchorage free of bent, broken, missing or loose hardware?Was able to visually verify attachment of unit to anchors on 10/11/12.Anchors are undamaged.

3. Is the anchorage free of corrosion that is more than mild surface oxidation?

Was able to visually verify angle attachment on 10/11/12.

The anchors do not show signs of corrosion.

4. Is the anchorage free of visible cracks in the concrete near the anchors?Hairline cracks on the wail sufficient distance from anchor to have no affect on seismic performance.

YZ NO ULI N/A-YZ NEI U[ N/AC YO NO UC N/A[' Enter the equipment class name from EPRI 1025286, Appendix B: Classes of EquipmenL EN-DC-168 REV 0 r Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 361 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YS ND U--Seismic Walkdown Checklist (SWC) SWELl- 085 Equipment ID No. Equip. Class' 20 Equipment Description DG RMA NEUTRAL TRANSFORMER CAB 5. Is the anchorage configuration consistent with plant documentation?

Y(@ ND] U[-] N/A[D (Note: This question only applies if the item is one of the 50% for which anchorage configuration verification is required.)

See SK 92403-02-A

6. Based on the above anchorage evaluations, is the anchorage free of YZ ND] U[]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic Interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y0 NDI UrD N/AD YZ NDl ur"] N/AD'-YV ND: UE- N/AD"]Y[@ N[D UDI EN-DC-168 REV 0

.0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 362 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: Yv Nil Ur Seismic Walkdown Checklist (SWC) SWELl- 085 Equipment ID No. , Equip. Class' 20 Equipment Description DG RMA NEUTRAL TRANSFORMER CAB Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YNI NDl U[--adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Reference Documents:

5920-4593, sht. 1, Rev. 0 5920-4593, sht. 2, Rev. 0 A46/IPEEE

-SSEL Line No. 001243 SK 92403-02-A Evaluated by: Marcus Hecht-Nielsen

/ Date: 10-11-2012 ez Aa4 R.1 -7 ýRavmond Tworek 10-11-2012

-I EN-DC-168 REV 0

/Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 363 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YZ NEI Ul'Seismic Walkdown Checklist (SWC) SWELl- 085 Equipment ID No. Equip. Class 1 20 Equipment Description DG RMA NEUTRAL TRANSFORMER CAB Photographs NO PHOTO Note: EN-DC-1 68 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 364 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKOOWN CHECKUST FORM Sheet 5 of 5 Status: Y0D NEI UEr Seismic Walkdown Checklist (SWC) SWELl- 085 Equipment ID No. Equip. Class' 20 Equipment Description DG RMA NEUTRAL TRANSFORMER CAB NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 365 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKIUST FORM Sheet I of 5 Status: YJZ NOI U']Seismic Walkdown Checklist (SWC) SWELl- 086 Equipment ID No. L-17 Equip. Class 1 0 Equipment Description DG "B" RM DAMPER MOTOR Location:

Bldg. T9 Floor El. 252' Room, Area EDGR B Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an Item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchoraae 1. Is the anchorage configuration verification required (i.e., Is the item one of the 50% of SWEL items requiring such verification)?

Y[- NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3 fan mounting bolts were visible, one bolt not visible. No Seismic impact.3. Is the anchorage free of corrosion that is more than mild surface oxidation?

Same as above 4. Is the anchorage free of visible cracks in the concrete near the anchors?Mounted to steel frame.Y0 NOI UO- NIA[-'O YO NOI U-' N/Au YI- NEI U-' N/AO Enter the equipment class name from EPRI 1025286. Appendix B: Classes of Equipment.

EN-DC-1 68 REVO0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 366 of 505 Attachment C A"IACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YIN NEI U[-Seismic Walkdown Checklist (SWC) SWELl- 086 Equipment ID No. L-17 Equip. Class 1 0 Equipment Description DG 'B" RM DAMPER MOTOR 5. Is the anchorage configuration consistent with plant documentation?

YE"] NEI U[-'] N/A0 (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Yo NEI U-'potentially adverse seismic conditions?

1 Fan mounting bolt is not visible from outside of the fan. No seismic impact.Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic Interaction effects?YO NE] U- N/AD Y0 NE] U- N/Ar Y0 NE] U1 N/AO Yv N] U-]EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 367 of 505 Attachment C AITACHMENT 9.6 SEISMIC WALKOOWN CHECKuST FORM Sheet 3 of 5 Status: YZ NEI UE]Seismic Walkdown Checklist (SWC) SWELl- 086 Equipment ID No. L-17 Equip. Class 1 0 Equipment Description DG 'B" RM DAMPER MOTOR Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YO N[-] u[-]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Referenced Documents:

A46/IPEEE

-Screening Evaluation Work Sheet, SSEL Line No. 001354 Note: 3 Fan mounting bolts are visible, one bolt not visible. Based on the firmness of the fan assembly no seismic impact.Evaluated by: Kirit Parikh let-.. 101.. o IkI 2012.. Di RandyvSleohMEs C 4 9 L (t]2u-ate: 10/03/12 10/03/12 EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 368 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKuST FORM Sheet 4 of 5 Status: YEI N[3 UrD Seismic Walkdown Checklist (SWC) SWELl- 086 Equipment ID No. L-17 Equip. Class' 0 Equipment Description DG "B" RM DAMPER MOTOR Photographs Note: Damper motor (# L-17) not visible from outside of the fan/shroud assy.EN-DC-168 REV 0 Engineering Report No. VTY-RPT-12-00019 Rev. 1 Page 369 of 505 Attachment C ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKUST FORM Sheet 5 of 5 Status: YD NEI UEr Seismic Walkdown Checklist (SWC) SWELl- 086 Equipment ID No. L-17 Equip. Class 1 0 Equipment Description DG "B" RM DAMPER MOTOR NO PHOTO NO PHOTO Note: Note: EN-DC-168 REV 0