BYRON 2010-0001, Form NIS-2 Owners Report for Repair/Replacement Actitivity as Required by the Provisions of the ASME Code Section XI
| ML100050368 | |
| Person / Time | |
|---|---|
| Site: | Byron  |
| Issue date: | 09/16/2009 |
| From: | Exelon Nuclear |
| To: | Office of Nuclear Reactor Regulation |
| Shared Package | |
| ML10050354 | List: |
| References | |
| 01120408-17, BYRON 2010-0001 | |
| Download: ML100050368 (34) | |
Text
2A DOCUMENT NO.:
REV. NO.:
0
]
FORM NI8-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT ACnvlTY As Required by the Provisions of the ASME Code section XI Date 9-16-09 1.
Owner Exelon Nuel..,
Name 4300 Wlnfteld Road, Warrenville, IL Sheet 1
of 1
Work Ord. No. 01120408-17 Repair OrganIzation, P.O. No., Job No., etc.
Unit
_0;;;.;1:..-..
Address 2.
Plant Byron Huc"', Pow. Station Name 4450 N. Gennan Church Road, Byron, IL Address 3.
Work Perfonned by Byron Mechanical Maintenance Type Code Symbol Stamp Not Applicable Name 4450 N. Gennan Church Road, Byron, IL Authorization No.
expiration Date Not Applicable Not Applicable Address 4.
Identification of System RY PRESSURIZER 5.
(a) Applicable Construction Code ASME Section III 19 71 Edition, W72 Addenda, Code Case (b) Applicable Edition of Section XI Used for Repair/Replace;nent Adlvity:
2001 Edltlonl2003 Addenda (c)
Section XI Code Case(s)
N/A 6.
Identification of Components
.-;..;;~------------------------
ASME Corrected, Code National Removed,or Stamped Name of Name of Manufacturer Board O1her Year Installed (Yea or No)
Comoonent Manufacturer Serial No.
No.
Identification Built Relief Valve Inlet Crosby Valve Valve SIN NlA 1RY8010A 1978 Removed No Stud Co.
N-56964-00-0031 Relief Valve Inlet Crosby Valve Trace IV,660B UTC' Stud Co.
AOY,CC1649 NlA 0002640178 1990 Installed No SIN'N90488 CATId 26913 7.
Description of Work REPLACED MISSING STUD Nominal Operating Pressure 0 Exempt ~
____ psi TestTemp.
OF 8.
Test Conducted:
Hydrostatic 0 Pneumatic 0 Other 0 Pressure Note: Supplemental sheets in fonn of lists, sketches, or drawings may be used, provided (1) size Is 8~ in. x 11 In., (2) Infonnatlon in items 1 through 6 on this report Is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top ot this tann.
,20..:::;0.:.9_
FORM NI8-2 (Back) 9.
Remarks WO' 0120408-17 AppllCibli MiriUfiCtUi'ii's Cifi R8POf1S to hi iH8diid VALVE REPLACED ON WO' 0120408-01, VT-2 PERFORMED ON WO' 0120408-07 CERTIFICATE OF COMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable Signed
- ~ ~
!?/L c.;;j.
Date 12*14 Owner's Designee, TIlle CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission Issued by the NatlonaJ Board 01 Boiler and Pressure Vessef Inspectors and the State or Province of 1ll1no18 and employed by "S8 CT of Hartford, CT have inspected the components described In this Owner's Report dUring the period aJIll. cA to 12.\\5cA
,and state that to the best of my knowledge and bellet, the Owner has performed examlnatlons and taken corrective measures descrfbed In this Owner's Report In accordance with the requirements of the ASME Code, SectiOn XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the examinations and corrective measures described In this Owner's Report.
Furthermore, neither Ins nor his employer shall be liable In any manner tor any personaJ Injury or p a loss of any kind arising from or connected with thls~9EM'ftiOn.
Commissions
'C.
~lltJ.
nspectDI' 9'lat1n NatIonal Boan1, State provtnce, and EndorHmenta Date: '\\}({;::iL&~ 6., 20..;;.09~__
FORM NI9-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT AC11VITY As Required by the Provisions of the ASME Code Section XI I
DOCUMENT NO.:
4-1 REV. NO.:
0 i..-
(8 Date 09128109 1.
Owner Exelon Nuel..,
Name 4300 Winfield Road, Warrenville, IL Sheet 1
of 1
Address 2.
Plant Byron Nuclea, Pow. Station Name 4450 N. Gennan Church Road, Byron, IL Address Unit _1.:..-
Work Ord. No. 01120449-01 Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by Byron Mechanical Maintenance Type Code Symbol Stamp Not Applicable Name*
4450 N. Gennan Church Road, Byron, IL Address Authorization No.
expiration Date Not Applicable Not Applicable 4.
Identification of System CV (Chemical Volume and ControQ 5.
(a) Applicable Construction Code ASME Section III 1971 Edition, WmAddenda.
None Code Case (b)
Applicable Edition of Section XI Used for Repair/Replacement Activity: 2001 Edltlonl2003 Addenda (c)
Section XI Code Case(s)
_N;..;,on~e 6.
Identification of Components ASME Corrected, Code National Removed,or Stamped Name of Name of Manufacturer Board Other Year lnatalled (Yes or No)
Comoonent ManufactUrer Serial No.
Ne.
Identification Built Body to Cover Kerotest Body P*9911-1-(1)Z 9605 1CV8368A 1978 Removed Yes Seal weld Cover P'9911'2-(1)Z SIN: 001-13 Body to Cover Keratest Body P'9911-1-(1)Z 9605 1CV8368A 1978 Installed Yes Seal weld Cover P*9911*2-(1)Z SIN: 001*13 7.
Description of Work Remove existing seal weld and re-install seal weld Nominal Operating Pressure 0 Exempt CB:J
____psi TestTemp.
OF 8.
Test Conducted:
Hydrostatic 0 Pneumatic 0 Other 0 Pressure Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8~ In. x 11 in., (2) information in items 1 through 6 on this report Is included on each sheet, and (3) each sheet is numbered and the number of sheets Is recorded at the too of !hig fnrm
FORM NI8-2 (Back) 9.
Remarks WO 0112~1 APPIiC8b1i MiriUfaetUi8i's Dati ReportS fo be 8tI8d'ISd CERnFiCATE OF COMPUANCE I certify that the statements made In the report are correct and this conforms to the requirements of the ASME Code.Section XI.
Type Code Symbol Stamp Certificate Auth rlzatlon No.
Signed
/,)" - 5.20 0 9 Owner or Owner'1 Designee. Tille CERnFlCATE OF INSEAVlCE INSPEcnON I. the undersigned. holding a vaJld commission Issued by the NationaJ Bo8rd d Boller and Pressure Vessel Inspectors and the State or Province of IIUnoIa and employed by HSB CT of Hartford, CT have Inspected the components described In this Owner's Report dUring the period
('
c:e>. '0. cR to
,2.iff. C11 I and state that to the best of my knowledge and belief, the Owner has performed examinations and taken correctfve measures described In this Owner's Report In accordance with the requirements d the ASME Code.Section XI.
By signing this certificate neither the Inspector nor his emp/oy8r makes any wan&nty. expressed or implied. concerning the examinations and corrective meaaurn described In this Owner's Report.
Furtherm th Inspector nor his employer shaJl be liable In any manner for any personaJ injUry or p or a loss of any kind arising from or connected with this l.nspectlon.
Commissions'
'L..
2~
- Slgnahn NaIIcnalBoald. State promce. and Endcnementa Date:
~g..&.&e 4_. 20...:oQ~__
c
FORM NI8-2 OWNER'S REPORT FOR REPAJRlREPLACEMENT AC11V1TY A8 Required by the Provisions of the ASME Code SectIon XI I
DOCUMENT NO.:
4A REV. NO.:
0 Date 09128109 1.
Owner Exelon Nuc.....
Name 4300 Winfield Roed, Warrenville, IL Sheet 1
of 1
Work Ord. No. 01123910-01 RepIIlr OrganIzatIon, P.O. No., Job No** ele.
Unit
_0;::.1=---
Address 2.
Plant Byron Nue'., Pow. Station Name 4460 N. German Church Road, Byron, IL Address 3.
Work Performed by Byron Mechanical Maintenance Type Code Symbol Stamp Not Applicable Name 4460 N. German Church Road, Byron, IL Authorization No.
Expiration Date Not Appllcabl.
Not Applicable Address 4.
Identification of System SD STEAM GENERATOR SLOWDOWN 5.
(a) Applicable ConstructIon Code ASME Section III 1974 Edition, W75 Addenda, NlA Code Case (b) Applicable Edition of Section XI Used for Repalr/Replace;nent Actlvity: 2001 Edltlonl2003 Addend8 (c)
SectIon XI Code Case(s)
....;N1;.;:.;..:A:....-
6.
Identification of Components fA-ASME Corrected, Code National Removed,or Stamped Name of Name of Manufacturer Board Other Year Installed (Yes or No)
Comoonent Manufacturer Serial No.
No.
Identlficatlorl Built PLUG MASONEILAN SIN NlA 1SD054H 1994 REMOVED NO W/STEM N320189-048-2 PLUG MASONEILAN SIN HTI:
1SD054H W/STEM E71945-1*1 NlA CAT 10 29440-1 2008 INSTALLED NO UTC'0002818954 7.
Description of Work REPLACE PLUG, STEM ASSEMBLY.
Nominal Operating Pressure 0 Exempt ~
____ psi Test Temp.
OF 8.
Test Conducted:
Hydrostatic 0 Pneumatic 0 Other 0 Pressure Note: Supplemental sheets in form of lists, sketches, or draWings may be used, provided (1) size is 8* in. x 11 in., (2) information in items 1 through 6 on this report is Included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
9.
Remarks WO'01123910-01 FORM NI8-2 (Back)
APPiJC8b1i M8riUf8CtUi'i(s Dili Reporti to be 8ft8Chid CERTIFICATE OF COMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate ofjfJthorizatlon No.
Not Applicable Signed --!lL4tMA
~. A;kv
. A/It t,(JOt1J)/NAfl>&
Date
/0-0..
.20 1)2
~ OY.ner's DesIgnee, TI1Ie CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission Issued by the National Board of Boller and Pressure Vessel Inspectors and the Stale or Province of IlIIno" and employed by HSB CT
~HH..E!!=!: CT hav~ ~P89l_ed the components described In this Owner's Report dUring the period
~
to
/f/~'
,and state that to the best 01 my knowledge and belief.
the Owner has performed examinations and taken correctJve measU1'88 described In this Owner's Report In accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makea any warranty, expressed or implied, concerning the examinations and corrective measures described In this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal Injury or p,:e~ or a loss of any kind arising from or connected with this inspection.
fk'V~
Commissions
_.,./_~..t....-_A_~,;o.'PI Inspecto(a SlgnatLn Nationel Baud, Stale Provlnc:e, and EndarHm...
Date:
k:tt /3 I 20......,L..,,~_
FORM NIS-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT ACnvrrv As Required by the Provisions of the ASME Code section XI I_D_O_C_U_M_EN_T_N_O_o_:__4_A R_EV_o_NO_"_:_0__]
Date 09128109 1.
Owner Exelon Nuel..
Name 4300 Wlnfleld Roadz Warrenville, IL Sheet 1
of 1
Repair Organization, P.O. No., Job No., etc.
Unit _0:.1:...-
Address 2.
Plant Byron Nuel.. Pow. Station Name 4450 N. Gennan Church Road, Byron, IL Address 3.
Work Performed by Byron Mechanical Maintenance Work Ord. No. 01123911-01 Type Code Symbol Stamp Not Applicable Name 4460 No Gennan Church Roadz Byron, IL Authorization No.
expiration Date Not Appllcabl.
Not Applicable Address 4.
Identification of System SD STEAM GENERATOR BLOWDOWN ASME Corrected, Code National Removed,or Stamped Name of Name of Manufacturer Board Other Year Installed (V. or No)
Comoonent Manufacturer SertaJ No.
No.
Identification Built PLUG MASONEILAN SIN NlA 1SOO54G 1979 REMOVED NO 02978-8 PLUG MASONEILAN SIN*HT' 1SD054G E71946-1-1 NlA CAT 10 30848-1.
2008 INSTALLED NO UTCIOOO2813484 5.
(a)
Applicable Construction Code ASME Section III 19 74 Edition, W75 Addenda, N1A Code Case (b)
Applicable Edition of Section XI Used for RepairlReplacen;e"t Activity:
2001 Edltlonl2003 Addenda (c)
Section XI Code Case(s)
...,;NI;.,;;,,;,.;A 6.
Identification of Components 7.
Description of Work REPLACE PLUG I STEM ASSEMBLY.
Nominal Operating Pressure 0 Exempt I8J
____ psi TestTemp.
OF 8.
Test Conducted:
Hydrostatic 0 Pneumatic 0 Other 0 Pressure Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size Is 8~ in. x 11 in., (2) information in items 1 through 6 on this report is Included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this fonn.
/0-/3
.20 01 FORM NI8-2 (Back) 9.
Remarks WO.01123911-o1 AppllC86le Mariufaaur8i's Data ReportS to be attaChed CERnFiCATE OF COMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of~uthorizatlon No.
Not Applicable Signed JJ4fi4 ~. ~=t4AA loO~()...;.;IAJ.:.:.~:..;::;..:,,;:Il.______
Date
~ 0M1eI'1 DesliJ1ee. TItle CERTlFlCATE OF INSERVICE INSPEcnON I, the undersigned, holding a valid commission Issued by the National Board 01 Boller and Pressure Vessel Inspectors and the State or Province of IlIIno..
and employed by HSS CT of Hartford, CT have Inspected the components described In this Owner's Report during the period
.!¢fi to
/~/"
, and state that to the best 01 my knowledge and belief, the Owner hu performed e&f);inaUons and taken correcttve measures deacrlbed In this Owner's Report In accordance with the requirements of the ASME Code,Section XI.
By signing this certlfJcate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described In this Owner's Report Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal Injury or property~age or a loss of any kind arising from or connected with this Inspection.
<J?na"'?~
Commissions
_..&./..'I'~a._-£.lIJf.m;n;;.....:.
~nspedo(,sv-n NatIonal Board. State ProvInce, and EndoBementa Date:
1bIe/N' /3 120
FORM NI8-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT ACnvrrv As Required by the Provisions of the ASME Code Section XI I
DOCUMENT NO.:
4.2 REV. NO.:
0 Date 09125109 1.
Owner Exelon Nuclear Name 4300 Wlnfleld Road, Werrenville, IL Sheet 1
of 1
Address 2.
Plant Byron Nuel., Pow. Station Name 4450 N. German Church Road, Byron, IL Address 3.
Work Perfonned by ShawlStone
- Webster Name 38400 S. Eaaex Road, Wilmington, IL 80481 Address Unit
_0;;.;1~
Work Ord'; No. 01138333-01102 Repelr OrganIzation, P.O. No., Job No., etc.
Type Code Symbol Stamp Not Applicable Authorization No.
.~N~ot~Ap~p;,;;,;ll~cab;:;;;;.;,;le;;..-.
expiration Date
-:N:.:;o::.::t:.:.Ap.:l:p;.:.:lIca=b~Ie=--
4.
Identification of System RY - REACTOR COOLANT SYSTEM ASME Corrected, Code NatlonaJ Removed,or Stamped Nameot Nameot Manufacturer Board OItIer Year Installed (Yes or No)
Comoonent Manufactlnr serial No.
No.
IdentllIcatIon Built VALVE, REUEF CROSBY VALVE N56984-000089 NlA 1RY8010B 1977 REMOVED YES VALVE, RELIEF CROSBY VALVE N56964-00-0090 NlA 1RY8010B 1977 INSTALLED YES Cat 10 1402762*1 5.
(a) Applicable Construction Code ASME Section III 1971 Edition, W72 Addenda, NJA Code Case (b) Applicable Edition of Section XI Used for RepairlReplacement Activity 2001 Edition I 2003 Addenda (c)
Section XI Code Case(s)
....:N:.::.;O:;.:N~E=--
6.
Identification of Components 7.
Description gf Work REPLACED RELIEF VALVE PER PM PROGRAM 8.
Test Conducted:
Hydrostatic 0 Pneumatic 0 Other 0 Pressure 2228 Nominal Operating Pressure 181 psi Test Temp.
649 Exempt 0 Note: Supplemental sheets in fonn of lists, sketches, or drawings may be used, provided (1) size Is 8* In. x 11 in., (2) infonnatlon in items 1 through 6 on this report Is included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this fonn.
FORM NI8-2 (Back) 9.
Remarks 01136333-01/02 AppliC8ble ManUf8dUre?s Data ReportS to be attaChed CERllFiCATE OF COMPUANCE I certify that the statements made In the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of ~th~~tlon No.
Not Applicable Signed ~ ()..A,M,t... I R.JUl.~
Date JC/3
, 20..;;.;;09~
Owner or Owner's O_1gnee. TItle CER11F1CATE OF INSERVICE INSPECTION I, the undersigned, holding a vaUd commission Issued by the National Board of Boller and Pressure Vessel Inspectora and the State or Province of Illlna" and employed by HSS cr of H!ItfonI, cr have Inspected the components described In this Owner's Report during the period C1?? ~. cA to
- 12. dl. 09
, and state that to the best of my knowledge and belief, the Owner has performed examinatJons and taken corrective measures described In this Owner's Report In accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makM any warranty, expressed or Implied, concerning the examinations and corrective measurel described In this Owner's Report.
Furthermore, r'elth e I spector nor his employer shall be liable In any manner for any personal Injury or p or Ii loss of any kind arising from or connected with this inspection.
Commissions lL. 21c.ltJ I
SV'abn Natklnal Board. state ProvInce, and EndorHmem.
Date: 'ik".l. Rk.Q q
,20..;;.09~__
(Final)
I
FORM NI9-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code section XI I
DOCUMENT NO.:
5.2 REV. NO.:
0 Date 9-18-09 1.
Owner Exelon Nue'"
Name 4300 WInfield Road, Warrenvlll.. IL Sheet 1
of 1
Address 2.
Plant Byron Nue'ea, Po.. Station Name 4450 N. Gennan Church Road, Byron, IL Address 3.
Work Performed by ShawlStonea Webster Name 38400 S. Essex Road, Wilmington, IL 80481 Address Unit
_0:.,:1:-..
WorkO"*No. 0119411~1 Repair OrganIzation, P.O. No., Job No., etc.
Type Code Symbol Stamp Not Appllceble Authorization No.
.~N~o=:t:..::A.:Ip~p;;;ll~ce::=b;;;'.~-----
expiration Date
...;N;.;,o;;.;t;.;,A.:Ip.p;;.;;lIce=b;..;.;Ie 4.
IdentifIcation of System Cv/CHEMICAL II' VOLUME CONTROL ASME Corrected, Code National Removed,or Stamped Name of Name of
'. Manufac:ttnr Board Other Year Installed (V_or No)
ComDOll8f1t Manufacturer Serial No.
No.
Identlflcatlon Built Snubber, PSA-Pacific SIN 8810 N1A 1CV25016S 1980 Removed YES (1/2)
Scientific Snubber, Usaga LISEGA SIN N1A 1CV25016S 2008 Installed NO (301856 RF2) 308003931004 (CAT 10#1033720) 5.
(a)
Applicable Construction Code ASME Section III 19 74 Edition, S74 Addenda, 1644 Rev. 7, 1651,1682,1683,1685,1686,1728,1729,1734, N-108, N-180 Code Case (b)
Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition / 2003 Addenda (c)
Section XI Code Case(s)
...;N;.;,O:.,:N:.;.;E=--
6.
Identification of Components 7.
Description of Work REPLACED EXISTING PSA SNUBBER WITH A lISEGA SNUBBER Nominal Operating Pressure 0 Exempt 0
____ psi Test Temp.
OF Hydrostatic 0 Pneumatic 0 Other I8J Pressure Test Conducted:
VT-3 8.
Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81h in. x 11 in., (2) information in items 1 through 6 on this report Is included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form.
FORM NI8-2 (Back) 9.
Remarks WO#01194116-01 AppllC8bli MiriUf8CfUii(s Dati ReportS to 6i attaa'iid CERnRCATEOFCOMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Certificate of Authorization No.
Signed 1/-3 d
, 20.-09~_
~ OM1er's Des9lee. TItle CERnRCATE OF INSERVICE INSPEcnON I, the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of IIIlnole and employed by HSB CT of Ha ant CT h:'.ed the components described In this Owner's Report during the period
_f~f"~
to /Wd-
'and state that to the best of my knowledge and belief, the wner has performed examinations and taken corrective measures described In this Owner's Report In accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damag~ra loss of any kind arising from or connected with this inspection.
~
Commissions
--,-/.='t'L---.,wb'-lol'Ja.::?I~
~
Inspector's Slg1ature National BoaId, State Province, and Endorsements Date:
Dcubl £~,. I
,20 __.09 (Anal)
FORM NI8-2 OWNER'S REPOAT FOR REPAIRS OR REPLACEMENTS Aa Required by the Provlalona of the ASME Code SectIon XI I
DOCUMENT NO.:
5.2 REV. NO.:
0
\\I Date 9-16-09 1.
Owner Ex.1on Huel....
Name 4300 Wlnfl.1d Roed, Warrenville. IL Sheet 1
of 1
Address 2.
Plant Byron Hue'.... Po..Station Name 4450 N. G.rman Church Road, Byron, IL Address 3.
Work Perfonned by SH_A~W~------
Name 38400 S. Esu. Road, Wilmington, IL 80481 Address Unit
....;0:.;:1:.....-
Work Order No. 01194117-01 Repair Organization, P.O. No., Job No., etc.
Type Code Symbol Stamp Not Applicable Authorization No.
.,..N;.;.o;;;.;t;..;A.;.Ip~p;.;,;;lI~ca~b;.;.Ie~-----
expiration Date
....;N_o_t_A.;oI;p.p_"ca-=b,;;,;;;I.~
4.
Identification of System CVI CHEMICAL VOLUME CONTROL ASME
- Conected, Code National Removed, or Stamped Name of Name at Manufacturer Board Other Year Installed (Yes or No)
Comoonent Manufacturer Serial No.
No.
Identification Built SNUBBER PSA SIN 33927 NlA (1CV28002S) 1980 Removed YES SNUBBER L1SEGA SIN NlA (1CV28002S) 2008 Installed NO 308001501037 CAT 10 1396543 5.
(a)
Applicable Construction Code ASME Section III 191!..Edition, S74 Addenda.
1644 Rev. 7, 1651, 1682, 1683, 1685, 1686, 1728, 1729, 1734, N*108, N*180 Code Case (b)
Applicable Edition of Section-XI Used for Repair/Replacement Activity 2001 Edition / 2003 Addenda (c)
Sectfon XI Code Case(s)
....;N;.:.;O;:;.:N;.:.;E=--
6.
Identification of Components 7.
Description of Work
....;R;..;.;E;;,;.P..;:LA;;.;..;:;C.=E=-O-=S;.;.;N;.;:;U.;B=-BE:::;R~
Nominal Operating Pressure 0 Exempt 0
____ psi Test Temp.
OF Hydrostatic 0 Pneumatic 0 Other ~
Pressure Test Conducted:
VT*3 8.
Not.: Supplemental sheets in tann of lists, sketches, or draWings may be used, provided (1) size is 8Y.. In. x 11 In., (2) intonnatlon in items 1 through 6 on this report Is Included on each sheet, and (3) each sheet Is numbered and the number ot sheets Is recorded at the top of this tonn.
FORM NI8-2 (Back) 9.
Remarks
..,;0;;.;;1..;.194;;..;;..;1..;.17,;..-0....;;;..;..,1---r:==rr.==rr::-r:r==~:r:::=:r::='""""::z:-PI":'::o=::z:-r.:::-r::~'.:"::'I:~---------:.
___________A_p_P_llCib
__le_Man
__Uf_a_dU_re_r'_s_o_a_ti_R_8POrt
__s_t_o_b_e_8_ft_aCh_Sd 1/-3<>
,20..;;;,.09~_
CERnACATEOFCOMPUANCE I certify that the statements made in the report are correct and this confonns to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Certificate of Authorization No.
Signed or Owner's Designee, Title
,20..;.09 Date:
DcClift ~~,. I CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission Issued by the National Board of Boller and Pressure Vessel Inspectors and the State or Province of IIIlnol.
and employed by HSB CT of =' CT
~ave In~~the components described In this Owner's Report during the period
~
to
~
, and state that to the best of my knowledge and beDef,
'ttllOwner has perform iI18ions and taken correctfve measures described In this Owner's Report In accordance with the requirements of the ASME Code, Sectlon XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the examinations and correcttve measures described In this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personaJ Injury ~ prope~d8l11~geJ>r a loss of any kind arising from or connected with this Inspection.
~~
Commissions
--£.j)L.ItIo:'L.~../.'-II',/L:5"L.t£ Inspector's Signature National Board, State Province, and Endorsements (Final)
DOCUMENT NO.:
5.2 REV. NO.:
0 FORM NI8-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code section XI Date 9-18-09 1.
Owner Exelon Nue.....
Name 4300 Wlnffeld Road, Warrenville, IL Sheet 1
01 1
Address 2.
Plant Byron Nuel.., Power Station Name 4450 N. German Church Road, Byron, IL Address 3.
Work Performed by ShawlStone
- Webster Name 38400 S. Esaex Road, Wilmington, IL 60481 Address Unit...:0:.;1:..-
Work Ord. No. 01194118-01 Repair Organlzation, P.O. No., Job No., etc.
Type Code Symbol Stamp Not Applicable Authorization No.
.":"'N~ot~A.;a:p::!=p;.;;lI~ca~b;;.;.le~-----
expiration Date
...:N:.:;ot::.:..::Ap.:J:.I:p:.::.:II.:::ca:::b:.:.;"~
4.
Identification of System CV I CHEMICAL. VOLUME CONTROL 5.
(a) Applicable Construction Code ASME Section III 191i.Edltion, S74 Addenda, 1644 Rev. 7, 1651,1682,1683,1685,1688,1728,1729,1734, N-108, N-180 Code Case (b)
Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition I 2003 Addenda (c)
Section XI Code Case(s)
...:N;.;.,O;:;,;N;.;.,E:::-
6.
Identification of Components ASME
- Cotred8d, Code Natlorwl Rernowd,or Stwnped Named Name 01 Manufactlnr 80Iud Ottw Y8#II InsaJIed (y_orNo)
C<lmpanent ManufKI1nr Sel1aJ No.
No.
Idelllllkdoh BUIt Snubber, PSA-Pacific SIN 1308 NlA 1CV29003S 1981 Removed YES (112)
Sclentlflc Snubber, Usega lISEGA SIN N1A 1CV29003S 2008 Installed NO (301856 RF2) 308003931OO5 (CAT 10'1033720) 7.
Description of Work REPLACED EXISTING PSA SNUBBER WITH A LISEGA SNUBBER Nominal Operating Pressure 0 Exempt 0
____ psi TestTemp.
OF 8.
Test Conducted:
Hydrostatic 0 Pneumatic 0 VT-3 Other ~
Pressure Note: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size is 8* In. x 11 in., (2) information in items 1 through 6 on this report Is included on each sheet, and (3) each sheet Is numbered and the number 01 sheets Is recorded at the top of this form.
Not Applicable
~lIcab" FORM NI&-2 (Back) 9.
Remarks WO#01194118-01
___________AP_P_IICib
__'e_M8n
__Uf_8CtU
__i8t"_S_O_8_fi_R_ep0rt8
__f_o_bi_attaa'I
__id
t CERllFiCATE OF COMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Certificate 01Auth~
Signed Ownei Owner's Designee, TiU.
CERTlFlCATE OF INSERVICE INSPECTlON I, the undersigned, holding a valid commission Issued by the National Board of Boller and Pressure Vessel Inspectors and the State or Province of IIIlnol.
and employed by HSB CT of tf&t'ord, CT
~:':edthe components described In this Owner's Report dUring the period mn, to ~
, and state that to the best of my knowledge and belief, t
~has pertonnSd examinations and taken correctJve meuures described In this Owner's Report In accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the examinations and corrective measures described In this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal Inju~ O!.property_d8lTUlQ~ a loss of any kind arising from or connected with this Inspection.
~
Commissions
__~..'L:..-'LI:-.'4&4'J:r:L&.?¥--=-
Insp<<:tor'l Signature National Bolud, State ProvInce, and Endcnementa Date:
J)e.C. A
.20....;;.09=--__
(Final)
FORM NI9-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT ACnvrrv As ReqUired by the Provtslons of the ASME Code Section XI I
DOCUMENT NO.:
5.1 REV. NO.:
0 1-.
C.
Date 9-28-09 1.
Qwner Exelon Hue""
Name 4300 Wlnfleld Road, Warrenville, It Sheet 1
of 1
Address 2.
Plant Byron Nuel.r Pow. Station Name 4450 H. German Church Road, Byron, It Address 3.
Work Perfonned by ShawlStone
- Web8t.
Name 38400s. ease. Road, Wilmington, It 60481 Address Unit _0.;.1.:.-
WorkOrd. No. 01218465-01 Repair OrganIzation, P.O. No., Job No., etc.
Type Code Symbol Stamp Not Applicable Authorization No.
.,..H;.;.ot~A.;Ip~p-lI~ca~b;;.;I-.------
expiration Date
...:.:Not~A;.;:Ip~p;,;lI:.;:;ca;;;;b;:;;..
- .=_
4.
Identification of System SI-Safety InJection ASME Corrected, Code National Removed,cw Stamped Nameot Nameot Manufacturer Board Other Year Inslalled (Yes or No)
Comconent Manufacturer Serial No.
No.
Identification Built PIPE, 2" SCH 160 SANDVIK HTl462460 NlA lSI18EB-2" 19n Removed NO INC.
ALLOY HT'74188 ELBOW, go., 60001 STAINLESS Code' PI NlA lSI18EB-2" 19n Removed NO PRODUCTS ALLOY COUPLING, 2", 60001 STAINLESS HTl74129 NlA 1SI18EB-2" 19n Removed NO PRODUCTS PIPE, 2" SCH 160 Consolidated HT'505112 NlA lSI18EB-2" 1981 Installed NO PowerSuDDIv Cat 10 32352*1 ALLOY HTl74188 1SI18EB-2" ELBOW, go., 60001 STAINLESS Code' PI NlA Cat 10 26875*1 19n Installed NO PRODUCTS COUPLING, 2-, 6000' Cameo Co.
HTlEEX NlA 1SI18EB-2" 1981 Installed NO Cat 10 26943-1 5.
(a)
Applicable Construction Code ASME Section III 1974 Edition, S75 Addenda, None Code Case (b)
Applicable EditIon of SectIon XI Used for RepalrlRepiacement Activity 2001 Edition I 2003 Addenda (c)
Section XI Code Case(s)
...:N:.:.:O:::,:N:.:.:E=--
6.
Identification of Components 7.
Description of Work INSTALLED PIPING{APPROX. 7.5 FT.) & FITTINGS (2 EA. ELBOWS & 1 COUPLING) 8.
Test Conducted:
Hydrostatic 0 Pneumatic 0 Other 0 Pressure 863 NomlnaJ Operating Pressure f8I psi Test Temp.
92 Exempt 0 OF Hote: SupplementaJ sheets in fonn of lists, sketches, or drawings may be used, provided (1) size is 8~ In. x 11 In., (2)
Infonnation In items 1 through 6 on this report Is included on each sheet, and (3) each sheet is numbered and the number of sheets Is recorded at the top of this fonn.
FORM NI8-2 (Back) 9.
Remarks
....;0:.:1~21.:.:646~5:..-o:.:1:--_.......~~~~~~~~~~~~~~~
---+(_
APiiIIC8bIi ManUfaetUi'if's Data Reporti to be 8HiChid CERTIFICATE OF COMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Certificate of Authorization No.
Signed
/Z-1,20...;;,,0....9_
CERTIFICATE OF INSEAVICE INSPECTION I, the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of lllinola and employed by HSB CT of]f. CT h~eJ'~~the components described In this Owner's Report during the period pilL!!-
to LJ#~",and state that to the best of my knowledge and belief, the (3"';;er has perform'~in8tionland taken correcttve measures described In this Owner's Report In accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any W8lT8J1ty, expressed or Implied, concem'lng the examinations and corrective measures described in this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal Injury::~ or a loss of any kind arising frem or connected with this I~~on.
~
Commissions dL.M"~~+'
1nspeclDr'1 51gnabn NatioMI Boetd. S~ pnwtnce,.... Endotaem-*
Date: hI!. Ir
.20..;;.09~__
(Final)
FORM NI8-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT ACnvrrv Aa Required by the Provisions of the ASME Code Section XI I
DOCUMENT NO.:
5.1 REV. NO.:
0 t.
Date 09-27-09 1.
Owner Exelon Nuclear Name 4300 Winfield Road, Warrenville, IL Sheet 1
of 1
Address 2.
Plant Byron Nuclea, Power Station Name 4450 N. Gennan Church Road, Byron, IL Address 3.
Work Performed by ShawlStone a Webster Name 38400 S. E...x Road, Wilmington, IL 80481 Address Unit
-.;0::.;1:...-
Work Order No. 01218485-15 Repair Organization, P.O. No., Job No., etc.
Type Code Symbol Stamp Not Applicable Authorization No.
~N;.;,o~t;.;,A.;.Ip~p;,;,;I,~ca~b;.;,I.;;.....-----
expiration Date
-.;N:.:;o~t:..:.A.:IP;cp=lI.:;ca=b;.:;Ie:..._
4.
Identification of System Sf (SAFETY INJECTION)
ASME Corrected*
Code National Removed, or Stamped Name of Name of Manufacturer Board Other Year Installed (Vee or No)
Comoonent Manufacturer Serial No.
No.
Identlftcatlon Built STRAP, PIPE HUNTER NlA NlA 1SI17038X 1984 Installed NO GUIDE WELDS 5.
(a)
Applicable Construction Code ASME Section III 1974 Edition, S75 Addenda, NJA Code Case (b) Applicable Edition of Section XI Used for Repair/Replacement Actlvity 2001 Edition I 2003 Addenda (c)
Section XI Code Case(s)
...;N.._O;;.;N..._E 6.
Identification of Components 7.
Description of Work MODIFIED PIPE SUPPORT 1S117038X PER EC1373832 Nominal Operating Pressure 0 Exempt 0
____ psi TestTemp.
OF 8.
Test Conducted:
Hydrostatic 0 Pneumatic 0 VT-3 Other ~
Pressure Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8~ in. x 11 in., (2) information in items 1 through 6 on this report Is included on each sheet, and (3) each sheet is numbered and the number of sheets Is recorded at the top of this form.
FORM NI8-2 (Back) 9.
Remarks
....:0:.:1.:.2.:.:1646:...:=.:5-::...:.:15:..-
r='I~~~~~~~~.._==~~~=~--------"'(.
AppllC8ble M8riUfiCtUreI"s D8fi Reporti to be 8ftiChid CERnFiCATE OF COMPUANCE I certify that the statements made in the report are correct and this confonns to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Certificate of Authorization No.
Signed a..-'2
,20..;;0.;;..9_
CERnFICATE OF INSERVICE INSPEcnON I, the undersigned, holding a valid commission Issued by the Nattonal Board 01 Boller and Pressure Vessel Inspectors and the State 01 Province of 1ll1no..
and employed by HSB CT of ~H~' CT ~av.~sed the components described In this Owner's Report during the period
~J'~
to
_~L.--
' and state that to the best of my knowledge and belief,
'£he er has perf
/nations and taken corrective measures described In this Owner's Report In accordance with the requirements of the ASME Code, SectJon XI.
By signing thls"certlf1cate neither the InspectOl nOl his employer makes any warranty, expressed or Implied, concerning thIJ examinations and correcttve measures described In this Owner's Report.
Furthermore, neither the Inspector nOl his employer shall be liable In any manner for any personal in~jU~~~~~a loss of any kind arising from 01 connected with this~.
~
Commissions Jii.1J..a..:.~~
IMJ*to(s Signabn NatlonlIl Board,S. ProYh:e, and Endorsements Date:
P~IIJeJ- $
.20...;:.;:09~_
DOCUMENT NO.:
4A REV. NO.:
0 FORM NI&-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT ACnvlTY As Required by the Provisions of the ASME Code section XI Date 9-21-09 1.
Owner exelon Nuclear Name 4300 WInfield Road, Warrenville, IL Sheet 1
of 1
Repair Organization, P.O. No., Job No., etc.
Work0.,. No. 01227248-01 Unit _0::::.;1:..-
Address 2.
Plant Byron Nuclea, Power Station Name 4450 N. Gemian Church Road, Byron, IL Address 3.
Work Performed by Byron Mechanical Maintenance Type Code Symbol Stamp Not Applicable Name 4450 N. German Church Road, Byron, IL Address Authorization No.
.,..N:.::ot=;.::Ap~p:.:.:lI.;:ca;::b::.::;I.=-------
expiration Date
~N;.:;.;ot:.:...:.;A.p,l;;pl:.:;.;lca=.;ble:.=._
4.
Identification of System CV CHEMICAL AND VOLUME CONTROL 5.
(a) Applicable Construction Code ASME Section III 1971 Edition, S72 Addenda, 1649 Code Case (b) Applicable Edition of Section XI Used for RepalrlAeplacemem Activity: 2001 Edltlonl2003 Addenda (c)
Section XI Code Case(s)
...:N:..:..O:.:N:.:;E~
6.
Identification of Components ASME Con8cted*
Code National Removed. or Stamped Nameot Nameot Manutacturw Board Other Year
- Inatalled (Yes or No)
Comoonent Manufacturer 5erfaJ No.
No.
Identification Built VALVE COPES SIN 731()"95283-525 1CVll2A 1976 REMOVED YES VULCAN 227-1 VALVE COPES 0920-164948-1*1 N1A 1CV112A 2009 INSTALLED YES VULCAN CAT 10' 1436038 7.
Description of Work
...,;R;.,,;;E;;;;,;P..,;;LA;;;.,;.;;;C..E_D..,;;V..;,.A;,;;;lV.;,.;E;;;....
8.
Test Conducted:
Hydrcstatfc 0" Pneumatic 0 Other 0 Pressure 357 Nominal Operating Pressure r8J Exempt 0 psi Test Temp.
107 OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used. provided (1) size is 8!i.t in. x 11 in., (2) information in items 1 through 6 on this report Is included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form.
FORM NI8-2 (Back) 9.
Remarks we, 01227246-01 xppllCible MiriUf8CfiJiii"s 0. ReportS to be 8lt8diid CERTIFICATE OF COMPUANCE I certify that the statements made In the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable Signed
~~
tf~e;;t Date /'l-rf""",2009
~ Owner's Designee, TItle CERTIFICATE OF INSERVICE INSPEcnON I, the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State 0( Province of II1lno18 and employed by HSS CT of Ha CT
~8Ve In the components deacrlbed In this Owner's Report during the pertod
" ~
to Z
, and state that to the best of my knowledge and belief, e
wner has perform examinations and taken corrective measures described In this Owner's Report In accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the examinations and correctfve measures described In this Owner's Report.
Furthermore, neither the InspectO( nor his employer shall be liable In any manner for any personal injury: /,~~ a loss of any kind arising from or connected with this inspection.
~
Commissions
-....tu:::'/.:.::::'L~.~hflL::.S..l.f' Inspector'. S9'at1n NadoMI Board, SIat8 Provlnce, and Enciof.-nentll Date:
QU. If
.20...;;,;09""",-__
FORM NI&-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASIIE Code section XI Owner Exelon Nuel...
Date
..;9-:::..:;28-09::..::;:::-.
Name 4300 Wlnfleld Road, Warrenville, IL Sheet 1
of 1
Address Plant Byron Nuelea, Power Station Unit
..;0:::.;1:......
Name 4450 N. German Church Road, Byron, IL Work Order No. 01283892-01 Address Rep&lr OrganIzation, P.O. No., Job No., elle.
1.
2.
DO_C_U_M_EN_T_N_O_"_:__5_.2 R_EV_"_N_O_.:_O__]
3.
Work Performed by Sha.lSloM a Webster Name 38400 S. Ease. Road, Wilmington, IL 60481 Address Type Code Symbol Stamp Nol Applicable Authorization No.
~N~ot~Ap~p:.:.;lI~ca:::=b;.:,I.;:;;.-.-----
expiration Date
_N;.;;.ot~A.;I;p;,l;p.;,;.lIca=b~..
4.
Identification of System RY* REACTOR COOLANT PRESSURIZER ASME Corrected, Code National Removed,or Stamped Name of Name of Manufacturer Board Other Year Installed (Yes or No)
ComPOOent Manufacturer Serlal No.
No.
Identlflcatlon Built Snubber Rear Pacific N1A N1A 1RY06121S 1980 Removed NO
'WAId Snubber Rear Pacific N1A N1A 1RY06121S 1980 Installed NO
- WAlrl 5.
(a) Applicable Construction Code ASME Section III 19 74 Edition, S74 Addenda, 1644 Rev. 7, 1651, 1682, 1683, 1685, 1686, 1728, 1729, 1734, N-108, N-180 Code Case (b)
Applicable Edition of Section XI Used for RepalrlAeplacement Activity 2001 Edition I 2003 Addenda (c)
Section XI Code Case(s)
....;N:.;;O:.;N;.;;E=--
6.
Identification of Components 7.
Description of Work SUPPORT MODIFICATION, REMOVE AND REWELD SNUBBER REAR BRACKET Nominal Operating Pressure 0 Exempt 0
____ psi TestTemp.
OF 8.
Test Conducted:
Hydrostatic 0 Pneumatic 0 VT*3 Other r81 Pressure t Note: Supplemental sheets in form of lists, sketches, or drawings may be used, prOVided (1) size Is 8Vl in. x 11 in., (2) information in Items 1 through 6 on this report Is Included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form.
FORM NIS-2 (Back) 9.
Remarks
...;O:;.:1:.:2:=.;838:::;,;:~92=--o~1__--r.~=r~~~~~~~I"1':.:=~~~~~
APpllC8ble MiriUfBCtUi8i's b8IB Reporti to hi 8It8Chid CERnACATEOFCOMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Certificate of Authorization Signed
/2 -(,20..;;.0;:;..9_
-r)wrwwwOM'Iw"s DesIfl1ee, TIUe CERnFlCATE OF INSERVICE INSPEcnON I, the undersigned, holding a valid commission Issued by the National Boerd of Boiler and Pressure Vessef Inspectors and the State or Province of lllinole and employed by HSB CT of~!!1f:d:CT h:W~~ the components described In this Owner's Report during the period f.
i!t......-/~
to ~
, and state that to the best of my knowledge and bell.f,.
\\
~e ner has performed examinations and taken correctfve measures described In this Owner's Report In accordance with the requirements of the ASME Code, Sectlon XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the examinations and corrective measures described In this Owner's Report.
Furthermore, neither the Inspector nor his employer shaJi be liable in any manner for any personal In~~ or a Joss of any kind arising from or connected with this Inspection.
~
Commissions dL../,{.$t(
InspeclDr'. S/fJ1at1n Natil:nI Board, State Provi1ce, and Endorsem....
Date:
IJ~MJer I
.20..;;.09 (Final)
FORM NI8-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT ACnvrrv As Required by the Provlslona of the ASME Code Sectton XI IL-_DO_C_U_M_ENT
__N_O_"_:__5-_1 R_EV_"_N_O_e_:_0__]
(I Date 09124109 1.
Owner Exelon Nucle.
Name 4300 WInfield Road, Warrenville, IL Sheet 1
of 1
Repair Organization, P.O. No., Job No., etc.
Unit _0::.;1:..-
Address 2.
Plant Byron Nuclear Pow. Station Name 4460 N" German Church Road, Byron, IL Address 3.
Work Performed by Byron Mechanical Maintenance Work Ord. No. 1287305-07 Type Code Symbol Stamp Not Applicable Name 4460 N" German Church Road, Byron, IL Address Authorization No.
Expiration Date Not Applicable Not Applicable 4.
Identification of System SI-Safety Injection ASME Corrected, Code National Removed,or Stamped Nameot Nameot Manufacturer Board Other Year Installed (YeeorNo)
Component Manufacturer Serial No.
No.
Identlflcatlon Built 1-112" KEROTEST KYA4-3 9564 1S189OOC 1978 REMOVED YES CHECK VALVE 1-112" KEROTEST PS3-12 CAT 10 #23370 CHECK VALVE
",n, UTC, 0002841493 1978 INSTALLED YES 1-1/2" SCH. 160 SANDVIK.
HT#462294 NlA 1SIO&JC 19n REMOVED NO PIPE 1-112" SCH. 160 TI Stainless HTlSU248 NlA CAT 10 #41105 1985 INSTALLED NO PIPE TubeaLTO.
UTC, 2841568 1-1/2" 90 DEQ Alloy Steet HTlG9981 NlA 1SI08JC 19n REMOVED NO 6000' ELBOW Products 1-112" 90 DEQ Guyon CAT 10139262*1 6OOO,ELBOW Alloys HTlS2838 NlA UTC2841nO 1982 INSTALLED NO HT. Code: NM 5.
6.
(a) Applicable Construction Code AS;E Section III 1911 Edition, W12 Addenda, None Code Case
--L1.r*
~
S15tI,e None (b) Applicable Edition of Section XI Used for RepairlReplacement Activity: 2 1 Edltlonl2003 Addenda (c)
Section XI Code Case(s)
....;N;.;,;oo=e Identification of Components 1.
Description of Work REPLACE CHECK VALVE AND ASSOCIATED PIPING.
8.
Test Conducted:
Hydrostatic 0 Pneumatic 0 Other 0 Pressure 2235 Nominal Operating Pressure I8J psi Test Temp.
558 Exempt 0 OF Note: Supplemental sheets in form of lists, sketches, or draWings may be used, provided (1) size is 8'J,2 in. x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
FORM NIS-2 (Back)
CERTlFlCATE OF COMPUANCE I certify that the statements made In the report are correct and this confonns to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate~~~zatlonNo.
Not Applicable Signed ~ (1.AJt<" J P.M COO!.lJuJl(ff!g..
Date 12- - 8
,20 01 Ownel; or OM1er's Designee, TItle CEJmFlCATE OF INSERVICE INSPECTlON I, the undersigned, holding a valid commission Issued by the NationaJ Board of Boller and Pressure Vesset Inspectors and the State or Province of IlIIna" and employed by HSB CT
~
of ~, CT have InsP!lCted the components described In this Owner's Report dUring the period
.,. ~1-to ~d/H
'and state that to the best of my knowledge and belief.
e Owner has performed e~lnations and taken corrective measures described In this Owner's Report In accordance with the requirements of the ASME Code,Section XI.
By signing this certfficate neither the Inspector nor his employer makea any warranty, expressed or Implied, concerning the examlnatJons and corrective measures described In this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection.
~!'lr1Ce Commissions d~*b/£..L¥ Inspector'. ~
NaIlcnal Board. Stata Promce, and Endorsem.....
Date: J)4f!. Jr
,20~
(Final)
FORM N.8-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT ACnvrrv As Required by the Provisions of the ASME Code Section XI
\\I I
DOCUMENT NO.:
5-1 REV. NO.:
0 Date 09126109 1.
Owner Ex.n Nue'"
Name 4300 Wlnfleld Road, Warrenville, IL Sheet 1
of 1
Work Order No. 1287308-01 Repair OrganIzation, P.O. No., Job No., etc.
Unit _0::.1=--
Address 2.
Plant Byron Nuclea, Power Station Name 4460 N. Gennan Church Road, Byron, IL Address 3.
Work Performed by Byron Mechanical Maintenance Type Code Symbol Stamp Not Applicable Name 4460 N. German Church Road, Byron, IL Address Authorization No.
expiration Date Not Applicable Not Applicable 4.
Identification of System SI-SAFETY INJECTION 5.
(a) Applicable Construction Code ASME Section III 19.IlEdition, W72 Addenda, NONE Code Case (b) Applicable Edition of Section XI Used for RepaJrlReplacement Activity:
2001 Edltlonl2003 Addenda (c)Section XI Code Case(s)
....:.:.NO::::.,N:..:.:E=--
6.
Identification of Components ASME Corrected, Code National Removed,or Stamped Nameot Nameot Manufacturer Board Other Year Installed (Yes or No)
ComDDr'lent Manufacturer Serial No.
No.
Identification Built CHECK VALVE KEROTEST KYA5-3 9568 lSl89000 1978 REMOVED NO CHECK VALVE KEROTEST AHM9-1 NJA CAT 10 #23370 1992 INSTALLED NO COUPLING HUNTER S-SI-Q01 lSIOBJo CORP 38 NJA 19n REMOVED NO COUPLING Consolidated Ht. code HLT CAT 10 #39134 Power Supply HUAl3858 NJA 1994 INSTALLED NO 7.
Description of Work
...;R;.;;E;:;.;P....;LA:;:..;.;::C;.;;;;E;..;C;.;.H.;,;;;E;.;:C;.;.K;..V;.;.A.;,;;:L:.;;.V=E 8.
Test Conducted:
Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure cgJ Exempt 0 Other 0 Pressure 2231.4 psi Test Temp.
556.8 OF Note: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size Is 8Y.z In. x 11
'I In., (2) information in items 1 through 6 on this report Is Included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
FORM NI8-2 (Back) 9.
Remarks wa, 01267306-01 AppllC8bli MiriUfidUiii's 0818 ReportS to be 8ft8diid
,20~
Date Not A llcable Not Applicable CERnFiCATE OF COMPUANCE I certify that the statements made in the report are correct and this confonns to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Certificate Authorization No.
Signed Owner or OMtef's Designee, TiUe CERnFICATE OF INSERVICE INSPEcnON I, the undersigned, holding a vaJld commission Issued by the National Board of BoUer and Pressure Vessel Inspectors and the State or Province of IlIIno" and empfoyed by HSB CT of ~artford,CT have Inspected the components described In this Owner's Report during the period (j
.m.S. c8 to a, "6 CB_,andstatethattothebestofmyknowledgeandbellef, the Owner has perfonned examinations and taken correctfve measuretl described In this Owner's Report In accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concernIng t examinations and corrective measures described In this Owner's Report.
Furtherm
,neith th pactor nor his employer shaJl be liable in any manner for any personal Injury or a loss of any kind arising from or connected with thJf InsP.8Ctfon:
---~~::t~;;;;;;----
Commissions
\\.,:L;.;...~'t::;.;.llc.!~'-l~
Slgnattn National Boerd. StD Pruvtnce. and EndonIamenlll Date: UrEaLj2f£ lCO,20~
FORM NI9-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code SectIon XI I
DOCUMENT NO.:
5.2 REV. NO.:
0
~-----------
Date 9128109 1.
Owner Ex.n Nuel....
Name 4300 Winfield Road, Warrenville, IL Sheet 1
of 1
Address 2.
Plant Byron Nuclea, Pow.. Station Name 4450 N. German Church Road, Byron, IL Address 3.
Work Performed by ShewlSlon. a Webster Name 38400 S. Eaaex RO!d, Wilmington, IL 60481 Address Unit....:0:.;1:-
Work Order No. 01288865-17 Repair OrganIzaUon, P.O. No., Job No., etc.
Type Code Symbot Stamp Nol Appllcabl.
Authorization No.
.~N~ot~A.:Ep:!=p;.;.:;lIca~b;;.;..;;;....-----
expiration Date
....:N:.::;o::.;:t:.:,A.:I:p:.cp=.llca:::b;.:;::I.=--
4.
Identification of System REACTOR COOLANT COLD LEG THERMOWELL ASME Corrected, Code National Removed,or Stamped Name of Name of MantJfacttnr Board Other Year Installed (V. or No)
ComDorlent Manufacturer Sertal No.
No.
IdentltlcaUon Built 2-WElDON POPE NJA NJA HEW-4418 1998 Removed NO THEAMOWELL (WELD) 2-WELDON SHAW NJA NJA 1TEW-4418 2009 Installed NO THEAMOWELL (WELD) 5.
(a) Applicable Construction Code ASME Section III 1974 Edition, 575 Addenda, Code Case (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition / 2003 Addenda (c)
Section XI Code Case(s)
.....;N~O::;.;N~E::::.-
6.
Identification of Components 7.
Description of Work REMOVED WELD ON THERMO-WELL / REINSTALLED WELD 8.
Test Conducted:
Hydrostatic 0 Pneumatic 0 Other 0 Pressure 2235 NomlnaJ Operating Pressure ~
psi Test Temp.
558 Exempt 0 OF Note: SupplementaJ sheets In form of lists, sketches, or drawings may be used, provided (1) size is 8~ in. x 11 in., (2) information In items 1 through 6 on this report is included on each sheet, and (3) each sheet Is numbered and the number of sheets Is recorded at the top of this form.
FORM NIS-2 (Back)
CERllFiCATE OF COMPUANCE I certify that the statements made In the report are correct and this confonns to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization NO.~
Not Appllcabl.
Signed
- ~
,<:<- fW4,
Date 1;C-l1
.20 09 Owner Owner"s Designee. ntIe CERllF1CATE OF INSERVICE INSPECllON I, the undersigned, holding a valid commission Issued by the National Board or Boller and Pressure Vessel Inspectors and the State or Province or Ill1nol.
and employed by HSB CT of H!!SfDrd, CT have I s the components described In this Owner's Report dUring the period
~~
to
, and state that to the best or my knowledge and belief,
';~ert18S perfotmed Inations and taken COI1'8CtIVe measures described In this Owner's Report In accordance with the requirements of the ASME Code,Section XI.
By signing this certtflcate neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the examinations and corrective measures described In this Owner's Report.
Furthennore. neither the Inspector nor his employer shall be liable in any manner tor any personal Injury ~~~ a loss of any kind arising trom or connected with thlllinspection.
Commissions
---,,1"1:.lI'LL.:-~/&~...=.c.s-.;.....qL-Inspector's sv-ture NdoNI Board, State ProvInce, IIIld Endcnement8 Date:
OM. It
,20...;;;09 (Final)
.I DOCUMENT NO.:
5.2 REV. NO.:
0
~-------
FORM NI8-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Cod.Section XI Date 9-28-09 1.
Owner Exelon Huel..
Name 4300 Winfield Road, Warrenville, It Sheet 1
of 1
Address 2.
Plant Byron Nuclear Power Station Name 4460 N. German Church Road, Byron, It Address 3.
Work Perfonned by ShawlStone
- Webster Name 38400 S. Essex Road, Wilmington, It 60481 Address Unit
..,;0;;.;1;....-
Work Order No. 01288941-01 Repair Organization, P.O. No., Job No., etc.
Type Code Symbol Stamp Not Applicable Authorization No.
~N:.:;o=:;t:.:.A.:Ip~p:.::ll;;;ca::::b:.::.le=-------
Expiration Date
..,;N;.:,;ot;;.;;".;.A,;;,Ep;,;p;.;,;lIca=b;,.;;Ie;;;..-.
4.
Identification of System RC JREACTOR COOLANT 5.
(a) Applicable Construction Code ASME Section III 19 74 Edition, S74 Addenda, 1644 Rev. 7, 1651, 1682,1683,1685, 1686,1728,1729, 1734, N-108, N-180 Code Case (b) Applicable Edition of Section XI Used for RepairlReplacement Activity 2001 Edition I 2003 Addenda (c)
Section XI Code Case(s)
.....:N:.:.;O::.;N:.:,:E=--
6.
Identification of Components ASME Con'8ded, COde NdoMI Removed,or Stamped Nameot Name of ManufIIcb.nr brd
~
V..,
In8Ided (V.orHo)
ComDOtW1t MarUacturw SeMINa.
Na.
IdIllttlQlklt!i Buill Snubber, PSA-1 Pacific 14748 NJA 1RC17012S 1981 Removed YES Snubber, PSA-l Pactflc 9829 NJA 1RC17012S 1980 InstaJled YES Cat 10 27§77-1 7.
Description of Work
_A_E;;;,;P.,.;LA;;;..;.;;;C.;;;;E_.D...,;;S;.;..N;,,;;;U,,;;;;B,;;;;,B,;;;;ER;,,;.,-.
8.
Test Conducted:
Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt 0 VT*3 Other 0 Pressure psi Test Temp.
OF
~ Note: SupplementaJ sheets in fonn of lists, sketches, or drawings may be used, provided (1) size is 8~ In. x 11 in., (2) infonnation In items 1 through 6 on this report is included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this fonn.
FORM NI&-2 (Back) 9.
Remarks
-:0:..:1.:.26::::8:=94~1:...-o.:.1=--
==~~~~~~~~=~~~=~
--,ra AppllC8bli M8riUfiCtiiiii's D8fi R8j)Qiti to 58 8ft8Chid I
f I
i,
,20....0....9_
Date /Z-z Not Applicable Not Applicable CERTIFICATE OF COMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Certificate of Authorization No.
Signed
.4f:5t(~S*
C~Owner's DesIgnee, TIUe CERTIFICATE OF INSERYICE INSPEcnON I. the undersigned. holding a valid commission Issued by the National Board 01 Boller and Pressure Vessel Inspectors and the State or Province 01 111I11018 and employed by HSB CT of Hartford, CT have Inspect d the components described In this Owner's Report during the period ill.1iR. cA to IZ. ". 0)
- and state that to the best 01 my knowledge and belief, the Owner has performed examinations and taken correctfve measures described In this Owner's Report In accordance with the requirements 01 the ASME Code, SectJon XI.
By signing this certificate neither the Inspector nor his employer makes any warranty. expressed or Implied, concerning the examinations and corrective measures described In this Owner's Report.
Furtherm r
Inspector nor his employer shall be liable In any manner for any personal Injury or or a loss of any kind arising trom or connected with th~:.
Commissions
\\L. 2't~
I
- s~
NatIonal Board, State ProvInce, and EndorMm..
Date: ~
,t
,20...;;;0~9 (Final)
DOCUMENT NO.:
5.2 REV. NO.:
0 FORM NI8-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASUE Code Section XI Work Order No. 01271770-01 Repair Organization, P.o. No., Job No., etc.
Unit
_0::.;1:..-
Type Code Symbol Stamp Not Applicable Authorization No.
.~No=:t~A~p~p:::lI;:ca;:b:.:.I.:------
expiration Date
....::.:.No:.;t:..:A.:Ip::J:p:.:.:.llca=b;.:.;I.~
1 of Sheet 1~__
Date 9-29-09 1.
Owner Exelon Nue...
Name 4300 WInfield Road, Warrenville, IL Address 2.
Plant Byron Nuclea, Pow. Station Name 4450 N. Gennan Church Road, Byron, IL Address 3.
Work Performed by She.lStone -' Webster Name 38400 S. Essex Road, Wilmington, IL 60481 Address 4.
Identification of System RY I REACTOR COOLANT 5.
(a)
Applicable Construction Code ASME Section III 19 74 Edition, S74 Addenda, 1644 Rev. 7, 1651,1682,1683,1685,1686,1728,1729,1734, N-108, N-180 Code Case (b)
Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition I 2003 Addenda (c)
Section XI Code Case(s)
~N!.:.:O~N~E=--
6.
Identification of Components ASME
~
eae.
NatlaNll Removed,or S1amped Namecl Namecl MluUactlnr ao.Id Other V.,
Insma.d (y_orNo)
Comconent MantAcbnr SertaI No.
No.
IderItJncatlon Built Snubber, PSA-PecIflc 8030 NlA 1RY06124S 1982 Removed Yes 1~
Snubber, PSA-1 Pacific.
10438 NlA 1RY06124S 1980 Installed Yes Scientiflc Cat 10 27577-1 Rear Bracket for Obtalned from ITT Grfnnell NlA NlA deleted snubber 1979 Installed No a PSA-1 2RH02024S Pipe Clamp for Obtalned from ITT Grfnnell NlA NlA Abandoned snubber 1981 Installed No a PSA-1 1RY06047S Load Stud for a Nova Htt85098 NlA Cat 10 33124-1 1998 Installed No PSA-1 Nuts (4) for a Nova Htl381170 NlA Cat 1037027-1 2007 Installed No PSA-1 TracelOW88 7.
Description of Work REPLACED EXISTING SNUBBER WITH A LARGER SNUBBER PER EC 378749 Nominal Operating Pressure 0 Exempt 0
____psi TestTemp.
OF 8.
Test Conducted:
Hydrostatic 0 Pneumatic 0 vr-3 Other 0 Pressure Note: Supplemental sheets in form of lists, sketches, or drawings may be used, prOVided (1) size is 8Y.z in. x 11 In., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form.
\\
FORM NI5-2 (Back) 9.
Remarks
....:O::.:1.::.27:..1:.:.n..:..O-O:::..=.1.:.-__ao=~~"'rr.:==:o:=:~..-::r.:""'I'I":=::O=:I::"'ll':""l:~IC'::e=:::r-t..A APPilC8bli MiriUfiCtUi8l's oifi Riiji(iti to bi 8HiChid
\\lI'
,20..;;.O~9_
Date CERnFlCATE OF COMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable Signed
.~:?E 7.f1C..Gd.
Owner or s Designee. 11tIe CEJmFlCATE OF INSERVICE INSPEcnON I, the undersigned, holding a valid commlsslan Issued by the National Board of Boller and Pressure Vessel Inspectors and the State or Province of.
IlIIno" and employ8d by HSB CT of ~, CT hav~edthe components described In this Owner's Report during the period
(.~
_~
to
/~
, and state that to the best of my knowledge and bellet,
~&ert18S performed ex8mlnatJons and taken COtT8Ctive measures described In this Owner's Report In accordance with the requirements of the ASME Code, Sectlon XI.
By signing this certfflcate neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the examinations and correctiVe measures described In this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal I~~~: or a loss of any kind arising from or connected with this Inspectlon.
~
Commissions
---oI/;..;;'-t:;;..L_*-:/.:;..JItJc..a::;5Y~
r Inspecto(a S9\\a1Ln NatlarW ao.rd, State Promc:e. and Endlnementll Date: _D<<!O' a
,20...;;.09~__
(Anal)
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