ML020920355
| ML020920355 | |
| Person / Time | |
|---|---|
| Site: | Palisades  |
| Issue date: | 03/21/2002 |
| From: | Harden P Nuclear Management Co |
| To: | Document Control Desk, Office of Nuclear Reactor Regulation |
| References | |
| Download: ML020920355 (147) | |
Text
NMCPaiaeNulaPln Committed to Nuclear Excellence Palisades Nuclear Plant Operated by Nuclear Management Company, LLC March 21, 2002 U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC 20555-0001 DOCKET 50-255 - LICENSE DPR PALISADES NUCLEAR PLANT ASME SECTION Xl INSERVICE INSPECTION 90-DAY REPORTS The ASME Boiler and Pressure Vessel Code,Section XI, Article IWA-6000 requires that inservice inspection reports be submitted within 90 days following the completion of the most recent refueling outage. Nuclear Management Company, LLC (NMC) is providing the reports associated with the following programs for the Palisades Plant:
- 1. Inservice Testing Program of Palisades Technical Specification 5.5.7.
- 2. Containment Structural Integrity Surveillance Program of Palisades Technical Specification 5.5.5.
The most recent refueling outage was completed on May 10, 2001. The Palisades Plant was in a forced outage beginning on June 20, 2001, and remained shut down until January 21, 2002. NMC notified the Nuclear Regulatory Commission by letter dated August 13, 2001, that the subject reports would be delayed and committed to provide them no later than 60 days following the completion of the forced outage. The commitment also included providing the results of relevant inspections or examinations completed during the forced outage. The enclosed reports satisfy this commitment.
27780 Blue Star Memorial Highway 0 Covert, Ml 49043 Telephone: 616.764.2000
SUMMARY
OF COMMITMENTS This letter contains no new commitments and no revisions to existing commitments.
Paul A. Harden Director, Engineering CC Regional Administrator, USNRC, Region III Project Manager, USNRC, NRR NRC Resident Inspector - Palisades Enclosures
ENCLOSURE1 NUCLEAR MANAGEMENT COMPANY PALISADES NUCLEAR PLANT DOCKET 50-255 March 21, 2002 INSERVICE INSPECTION (ISI) OF CLASS 1, 2 AND 3 SYSTEMS ISI Report 3-5 263 pages follow
PALISADES NUCLEAR PLANT ENGINEERING PROGRAMS DEPARTMENT Review and Approval Summary TITLE: ISI REPORT 3-5 Corrosion Programs Supe6isor / THFouty Date Engneeling Programs Manager/ MHCarlson Date
PALISADES NUCLEAR PLANT 2001 INSERVICE INSPECTION REPORT Submitted in accordance with the ASME Boiler and Pressure Vessel Code, Section Xl, Article IWA-6000, 1989 Edition.
- 1. Date:
March 7, 2002
- 2. Plant Owner Consumers Energy 212 West Michigan Avenue Jackson, Michigan 49201 Palisades Nuclear Plant 27780 Blue Star Memorial Highway Covert, Michigan 49043 Unit No:
Commercial Service Date:
Major Components Inspected:
1 December 31, 1971 Manufacturer National Component Manufacturer Serial No.
State No.
Board No Pressurizer Combustion Eng.
CE-66601 M96728M NB20851 RPV Head Combustion Eng.
CE-66110 M96725M NB20827
- 7. Completion Date for Inspections: April 20, 2001
- 8.
Code Inspector:
Kenneth L Blake
- 9. Authorized Inspection Agency:
Factory Mutual Insurance Company
- 10. Abstract:
See ISI Report
- 3.
Plant:
- 4.
- 5.
6.
2001 INSERVICE INSPECTION 3-5 PALISADES NUCLEAR PLANT Sum mary Inservice Inspection 3-5 was conducted during the period of March 22, 2001 through April 20, 2001 in accordance with Section 5.5.7 of the Palisades Nuclear Plant Technical Specifications. The ASME Boiler and Pressure Vessel Code,Section XI 1989 Edition controlled the inspections and provided the acceptance criteria for these examinations. Included in this report are two separate sections. The first section details the examinations that were performed and provides the final inspection results.
The second section provides a listing of the repairs and replacements that have been performed over the last operating cycle, refueling outage and the extended forced outage which concluded on January 21, 2002. The attached NIS-2 forms document these repairs and replacements.
Inspection Activities This was the second examination of the second period of the third inspection interval.
Areas examined during this inspection included the reactor vessel head welds and the pressurizer vessel welds. Various components of the primary coolant system, engineered safeguards system, main feedwater system and support systems as identified in the attached NDE Results Summary Report, were also examined.
The examinations were performed using ultrasonic (UT), liquid penetrant (PT),
magnetic particle (MT) and visual (VT) techniques. The examinations were conducted by Consumers Energy, Nondestructive Testing (NDT) Services Department examination personnel using site approved procedures. Examinations were performed by personnel qualified in the NDT process, used in accordance with the requirements of ASME Section Xl, IWA-2300.
FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules
- 1. Owner Consumers Energy, 212 West Michigan Ave.,
- Jackson, MI 49201 (Name and Address of Owner)
- 2. Plant Palisades Nuclear Plant, 27780 Blue Star Memorial Hwy.,
- Covert, MI (Name and Address of Plant) 4904 3
- 3. Plant Unit 1
- 4. Owner Certificate of Authorization (if required)
N/A
- 5. Commercial Service Date 12/31/716. National Board Number for Unit NB20827
- 7. Components Inspected Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8K 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.
This Form (E00029) may be obtained from the Order Dept., ASME, 345 E. 47th St.. New York, N.Y. 10017 Manufacturer Component or Manufacturer or Installer State or National Appurtenance or Installer Serial No.
Province No.
Board No.
Pressurizer Combustion Eng.
CE-66601 M96728M NB20851 RPV Head Combustion Eng.
CE-66110 M96725M NB20827 SEE "NDE RESULTS S MMARY" REPORT (attached)
I I
I ___
I ___
J (12/82)
FORM NIS-I (Back)
- 8. Examination Dateto
/_
- 9. Inspection Interval fromr n5/AA to 5
/5
- 10. Abstract of Examinations. Include a list of examinationsand a statement concerning status of work required for current interval. 5ty.*
- $L K ýckT--r
'ON E E't$LJT gt 4
- 5w
.,'A t
- 11. Abstract of Conditions Noted
- 12. Abstract of Corrective Measures Recommended and Taken We certify that the statements made in this report are correct and the examinations and corrective mea sures taken conform to the rules of the ASME Code,Section XI.
Certificate of Authorization No. (if applicable)
- r41A, Expiration Date A
Date 3
J _
Signed C V 4 By Owner CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the N~ational Board of Boiler and Pressure Vessel Inspect6rs and the State or Province of ________A_
lnd employed by E'v'-\\
of K'oT-Z:
- have inspected the components described in this Owner's Report during the period ZI I/Zto
-to O3o14/ 6
, and state that to the best of my knowledge and belief, the Owner 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 damage or a loss of any kind arising from or c nnected with this inspection.
____________Commissions (V\\L--
7*
A N Inspector's Signature National Board, State, Province, and Endorsements (12/82)
Date LŽ 4
k c?
SECTION 1 EXAMINATION DETAILS AND FINAL INSPECTION RESULTS
Palisades NDE RESULTS
SUMMARY
NIS 1 CATEGORY SYSTEM REFERENCE ID DISPOSITION EXAM COMMENTS Aug ESS ESS-24-SIS-SH1-207 ESS-24-SIS-SH2-207 FWS-18-FWL-2S1-242 FWS-18-FWL-2S1-243 B-A RVH 6-118A B-B PR 2-982C 5-988 B-D PR 1-986 1-986-IRS 8-986 8-986-IRS 8-986A 8-986A-IRS 8-986B 8-986B-IRS 8-986C 8-986C-IRS B-F PCS PCS-12-SCS-2H1I-1 PCS-12-SCS-2H1 -2 Report: rptNDEResultsSummary Sorted: Cat/System/ReferencelD FWS Acceptable Acceptable Acceptable Acceptable UT PT UT PT UT PT UT PT Acceptable UT MT Acceptable Acceptable UT UT Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable UT UT UT UT UT UT UT UT UT UT Acceptable Acceptable UT PT UT PT Page 1 of 6
CATEGORY SYSTEM REFERENCE ID DISPOSITION EXAM COMMENTS PCS-12-SIS-2AI-14 Acceptable UT PT PCS-12-SIS-2A1-15 Acceptable UT PT PCS-4-PSS-1P1-20 Acceptable UT PT PCS-4-PSS-lPi-21 Acceptable UT PT B-G-2 ESS CK-3103-BT Acceptable VT-1 CK-3131-BT Acceptable VT-i CK-3132-BT Acceptable VT-i P2A 2A-2BT-B-1-16 Acceptable VT-1 2A-2BT-W-1-16 Acceptable VT-1 P2B 2B-2BT-B-1-16 Acceptable VT-1 2B-2BT-W-1-16 Acceptable VT-1 PCS PCS-6-PRS-1A1-lBT Acceptable VT-1 PCS-6-PRS-1B1-lBT Acceptable VT-i PCS-6-PRS-1C1-1BT Acceptable VT-1 RVH RPVCH PENT NO 46 NUT Acceptable VT-1 RPVCH PENT NO 47 BOLT Acceptable VT-1 RPVCH PENT NO 47 NUT Acceptable VT-1 RPVCH PENT NO 48 BOLT Acceptable VT-1 RPVCH PENT NO 48 NUT Acceptable VT-i RPVCH PENT NO 49 BOLT Acceptable VT-1 RPVCH PENT NO 49 NUT Acceptable VT-1 RPVCH PENT NO 50 BOLT Acceptable VT-i RPVCH PENT NO 50 NUT Acceptable VT-i RPVCH PENT NO 51 BOLT Acceptable VT-1 RPVCH PENT NO 51 NUT Acceptable VT-i RPVCH PENT NO 52 BOLT Acceptable VT-1 RPVCH PENT NO 52 NUT Acceptable VT-1 Report: rptNDEResultsSummary Sorted: Cat/System/ReferencelD Page 2 of 6
CATEGORY SYSTEM REFERENCE ID DISPOSITION EXAM COMMENTS RPVCH PENT NO 53 BOLT Acceptable VT-i RPVCH PENT NO 53 NUT Acceptable VT-1 RPVCH PENT NO.46 BOLT Acceptable VT-i B-N-1 RPV RPV-VESSEL INTERIOR Acceptable VT-3 C-F-1 ESS ESS-12-SIS-2Al-11 Acceptable UT PT C-F-2 FWS FWS-18-FWL-1S1-258 Acceptable UT PT FWS-18-FWL-lS1-259 Acceptable UT PT FWS-18-FWL-ISi-260 Acceptable UT PT FWS-18-FWL-iSl-261 Acceptable UT PT FWS-18-FWL-2S1-262 Acceptable UT PT FWS-18-FWL-ISI-257 Acceptable UT PT MSS MSS-36-MSL-2S 1-213 Acceptable UT PT MSS-36-MSL-2S1-213LD Acceptable UT PT MSS-36-MSL-2S1-213LUI Acceptable UT PT MSS-36-MSL-2S 1-213LUO Acceptable UT PT MSS-36-MSL-1S1-211/6A Acceptable PT MSS-36-MSL-lS1-21 lA/6J Acceptable PT MSS-36-MSL-2S1-212 Acceptable UT PT MSS-36-MSL-2S 1-212LDI Acceptable UT PT Report: rptNDEResultsSummary Page 3 of 6 Sorted: Cat/System/ReferencelD
CATEGORY SYSTEM REFERENCE ID DISPOSITION EXAM COMMENTS MSS-36-MSL-2S 1-212LDO Acceptable UT PT MSS-36-MSL-2S 1-212LU Acceptable UT PT D-B CCS CCS-16-CPU-1PC-PS Acceptable VT-3 CCS-20-CPU-1PC-PS Acceptable VT-3 CCS-20-SCH-1P 1-PS Acceptable VT-3 FWS FWS-6-AWS-1 Si -PR-DB Acceptable VT-3 FWS-6-AWS-1 S 1-PS Acceptable VT-3 SwS SWS-24-CCS-RLH-PR2-DB Acceptable VT-3 SWS-6-CRS-3R2-PS3 Acceptable VT-3 SWS-6-CRS-4S2-PS2 Acceptable VT-3 SWS-6-CRS-4S2-PS3 Acceptable VT-3 SWS-6-EPS-SLA-PR9-DB Acceptable VT-3 SWS-6-EPS-SLB-PS Acceptable VT-3 F-A CCS CCS-16-CPU-1PC-PSS Acceptable VT-3 CCS-18-RHC-1P1-PR3 Acceptable VT-3 CCS-20-CPU-1PB-PSS Acceptable VT-3 CCS-20-CPU-1PC-PSS Acceptable VT-3 CCS-20-SCH-1P1-PSS Acceptable VT-3 CVC CVC-2-CHL-2AI-IPR Acceptable VT-3 CVC-2-PSS-1P 1-44PRB Acceptable VT-3 DMW DMW-6-CST-AWS-PSS 1 Acceptable VT-3 ESS ESS-10-SDC-XIB-204PR Acceptable VT-3 ESS-12-SIS-2A1-4PRB Acceptable VT-3 ESS-14-CSS-1PA-204PR1 Acceptable VT-3 ESS-14-SDC-LPC-203PR Acceptable VT-3 ESS-14-SDC-LPD-204PR1 Acceptable VT-3 Report: rptNDEResultsSummary Sorted: Cat/System/ReferencelD Page 4 of 6
CATEGORY SYSTEM REFERENCE ID DISPOSITION EXAM COMMENTS ESS-18-SIS-SH1-216PR Acceptable VT-3 ESS-18-SIS-SH1-224PR Acceptable VT-3 ESS-18-SIS-SH1-228PRA Acceptable VT-3 ESS-18-SIS-SH2-214PR Acceptable VT-3 ESS-2-SIS-1B1-7PR Acceptable VT-3 ESS-24-SIS-SH2-21 IPR2 Acceptable VT-3 ESS-3-SIS-3HP-20IPR Acceptable VT-3 ESS-3-SIS-3HP-202PS Acceptable VT-3 ESS-3-SIS-HPA-237PR Acceptable VT-3 ESS-3-SIS-HPA-238PS Acceptable VT-3 ESS-3-SIS-HPB-207PR Acceptable VT-3 ESS-3-SIS-HPB-214PR Acceptable VT-3 ESS-4-SIS-2HP-201PS Acceptable VT-3 ESS-4-SIS-HIPB-204PR Acceptable VT-3 ESS-4-SIS-HPB-208PR Acceptable VT-3 ESS-4-SIS-HPB-212PR Acceptable VT-3 ESS-4-SIS-HPB-213PS Acceptable VT-3 ESS-6-SIS-2HP-236PR4 Acceptable VT-3 FWS FWS-1.5-AWS-OLA-PR Acceptable VT-3 FWS-1.5-AWS-OLB-PR Acceptable VT-3 FWS-18-FWL-1Si -249PR Acceptable VT-3 FWS-2-AWS-OLC-PR4 Acceptable VT-3 FWS-4-AWS-1 S3-PR1 Acceptable VT-3 FWS-6-AWS-LS 1-PR Acceptable VT-3 FWS-6-AWS-11 S-PSS Acceptable VT-3 P2B 2B-SS Acceptable VT-3 PCS PCS-12-SCS-2Hl-10PRB Acceptable VT-3 PCS-4-PSS-1Pl-10PRA Acceptable VT-3 PCS-4-PSS-1P1-lPR Acceptable VT-3 RGA E-56A-S-02 Acceptable VT-3 E-56A-S-03 Acceptable VT-3 SFP Report: rptNDEResultsSummary Sorted: Cat/System/ReferencelD Page 5 of 6
CATEGORY SYSTEM REFERENCE ID DISPOSITION EXAM COMMENTS SFP-14-FPF-RLl-PR1 Acceptable VT-3 SFP-8-FPP-1PB-PR2 Acceptable VT-3 SWS SWS-16-CRS-RHI1-PR Acceptable VT-3 SWS-24-CCS-RLH-PR2 Acceptable VT-3 SWS-6-CRS-2S2-PR Acceptable VT-3 SWS-6-CRS-3R2-PSS2 Acceptable VT-3 SWS-6-CRS-3R2-PSS3 Acceptable VT-3 SWS-6-CRS-3 S 1-PSS2 Acceptable VT-3 SWS-6-CRS-4S2-PSS2 Acceptable VT-3 SWS-6-CRS-4S2-PSS3 Acceptable VT-3 SWS-6-EPS-SLA-PR9 Acceptable VT-3 SWS-6-EPS-SLA-PR9A Acceptable VT-3 SWS-6-EPS-SLB-PSS Acceptable VT-3 Report: rptNDEResultsSummary Sorted: Cat/System/ReferencelD Page 6 of 6
SECTION 2 ASME SECTION XI REPAIRS AND REPLACEMENTS
ASME Section Xl Repairs and Replacements The following is a list of repairs or replacements which have been performed through the restart from the 2001 - 2002 maintenance outage for which NIS-2 Forms are attached:
Work Order
- 1.
24512564
- 2.
24811823
- 3.
24811824
- 4.
24811841
- 5.
24811846
- 6.
24812399
- 7.
24812400
- 8.
24910965
- 9.
24912285
- 10.
24913131
- 11.
24913211
- 12.
24913883
- 13.
24010303
- 14.
24010423
- 15.
24010424
- 16.
24010425
- 17.
24010492
- 18.
24010493
- 20.
24010534
- 21.
24010610
- 22.
24010955
- 23.
24010956
- 24.
24011090
- 25.
24011231
- 26.
24011232
- 27.
24011233
- 28.
24012008
- 29.
24012169
- 30.
24012538
- 31.
24012596
- 32.
24012632
- 33.
24012633
- 34.
24012637
- 35.
24012960
- 36.
24013187
- 37.
24013347 Description of Work Plugged tubes and replaced fasteners on heat exchanger, E-53B Rebuild service water pump P-7B Replaced engineered safeguards room cooler, VHX-27B Replaced engineered safeguards room cooler, VHX-27A Replaced manway fasteners on pressurizer, T-72 Added brace on tank T-1 3A, per EA-98-0453 Added brace on tank T-13B, per EA-98-0453 Plugged tubes and replaced fasteners on heat exchanger, E-53A Replace fasteners on spent fuel cooling pump, P-51A, inlet pipe Replaced engineered safeguards manual valve, MV-ES3179 Replace fasteners on manual valve, MV-SFP1 06 Replaced disc insert for relief valve, RV-0718 Replaced chemical volume control charging pump cylinder block, on pump, P-55B Removed the internals from service water check valve, CK-SW409 Removed the internals from service water check valve, CK-SW408 Removed the internals from service water check valve, CK-SW407 Replaced the fasteners on steam generator, E-50A manway Replaced a stud on steam generator, E-50B manway Install flanges and blank in steam pipe, EB-13-4 Replaced a stud on steam generator, E-50A manway Install new control rod drive seal housings onto reactor head, N-52 Install new control rod drive seal housings onto reactor head, N-52 Replaced service water manual valve, MV-SW281 Replaced piping snubber, SNB-71 Replaced piping snubber, SNB-64 Replaced piping snubber, SNB-42 Replaced service water manual valve, MV-SW280 Replace fasteners on manual valve, MV-SFP1 32 Replace one nut on heat exchanger, E-54A Seal weld bonnet to valve body Plug 14 tubes in steam generator, E-50A Plug 15 tubes in steam generator, E-50B Replace steam generator secondary hand hole studs and nuts Replace high pressure safety injection pump, P-66A, recirculation check valve Replace high pressure safety injection pump, P-66B, recirculation check valve Replace service water control valve, CV-0821
- 38.
24014040
- 39.
24014811
- 40.
24014887
- 41.
24110011
- 42.
24110189
- 43.
24110469
- 44.
24110950
- 45.
24110974
- 46.
24111057
- 47.
24111225
- 48.
24111229
- 49.
24111288
- 50.
24111353
- 51.
24111944
- 52.
24111949
- 53.
24111996
- 54.
24112500
- 55.
24112972
- 56.
24113483
- 57.
24113484
- 58.
24114093
- 59.
24114160
- 60.
24114430
- 61.
24114431 Replaced studs and nuts on manual valve, MV-SFP131 Replaced fasteners on containment air cooler, VHX-3 Replace fasteners on manual valve, MV-SFP131 Replaced fasteners on containment air cooler, VHX-2 Replaced fasteners on containment air cooler, VHX-1 Plug worn tubes and replace south endbell on spent fuel pool cooling heat exchanger Install new control rod drive seal housings onto reactor head, N-52 Install new control rod drive seal housings onto reactor head, N-52 Replaced a swing-bolt on containment equipment hatch, MZ-51 Replace shutdown cooling relief valve, RV-3164 Replaced piping snubber, SNB-79 Install new control rod drive seal housings onto reactor head, N-52 Replaced piping snubber, SNB-80 Install containment air cooler tube plugs Install new control rod drive seal housings onto reactor head, N-52 Replace heat exchanger end bell on E-55A Replaced service water manual valve, MV-SW266 Replaced reactor vessel control rod drive upper housings onto reactor head, N-52 Modify packing gland on engineered safeguards check valve, CK-ES3166 Modify packing gland on engineered safeguards check valve, CK-ES3181 Replace fastener on pipe hanger, HGR/HC4-R87.1 Install new control rod drive seal housings onto reactor head, N-52 Replace studs and nuts on refrigerating condensing unit, VC-10 Replace studs and nuts on refrigerating condensing unit, VC-1 1
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code, Section Xl
- 1. Owner Cr%.1giafloy-ft An&=
Cg pang Plant Pal1a60-1*,6,T,. PIwMeP 277SAf) 111no Skrn N
Work Performed by fnl t -vim,,,e*
pv--y 27780 Blue Star Hwy. Covert. MT Shee 1
of Unit P
.piriRkptam Ow Ga.zr kn P.O. No.. Job No.. e..
Type Code Symbol Stamp VIA Authorintion NO.
- 2.
- 3.
- 5.
6.
- 7. Description of Worit
~ ~
A.
i-K ~ -.
S 3 S.Tests Conducted:
Hydro~std U Prosumedet 0 Nomminl Operating Pressu~re; Exempt 0 Other D' Prlus pIm Teot Temp.
- F NOTE Supplemental slf In from of 1W sktches, or drawings may be used, provkded (1) size is 8% In. x I1 In.. (2) information in items I through 6 on this eat Is Included on each sheeto and (3) each sheet is numbered and number of sheets is recorded at the top of this form.
(7/96)
This form MO0020 may be obtained hram the Order Dept,. ASMdE n law Drive, 9o. =%00 Pa~nfed. NW 700-2300 fl0 flflf E00030
- )
Sc-A
.~.4-k~
3~oo~~~Z W7 t 0(=
Identofcation of System
)
(a)Applicable Construction Code
~
A
~Edition, 12Addenda,
"'Code Case (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity 6<3 Yew (c) Applicable Section Xl Code Cases
" /'.
Identification of Components:
ASidE National cSW4Cade Alan of Nao. of Maroeluraer Board Yewr Removact or Staemped Component Manufacture Seri" N&
N06 Othe kbdntficdaon a,"_
Irstalled (ee or No)
P
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I$9PV~
O C f 3,
~ hV
-7/C o
CS 6 3,2 H 8 1
'M4 tzk'
___4 1P-i i3 2-8L-vN/
Gosie~s-j.2 i-m -7 ~SA Go 1680~ 4 9-4(
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11
JL145/c 54 FORM NIS-2 (Back)
Applicable Manufacturer's Data Reports to be attached CERTIICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of_,ý rization No.
N/A Expiration Daft N/A SignedOwe 6 O
'ltk' Date Tit7e Owner or Owner's Designee.Titl.
CERIiRCATE OF PNSERVICE INSAWECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vesset Inspectors and the State or Province Of Miritnn andempioyedby FAC
ry Mirtial Tnanuranen C6om=&
of R-
- 11/20/99 to have inspected the components described in this Owner's Report during he period 11/20/99and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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 Owners Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or prope d
ag oraloss of any kind arising from or connected with this inspectiok "Commissions bi
-76*2 ABNT Inspecr's Signaare lIktional Board, State, Province. and Endorsenent.
Date t/3.
,7,2.oz 9 Remarks T-
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner Creinang 9nergy Cgmpany 9772n ut..
Plant PA1INAta 1tllgor.
Vlelg Name 27780 Blnu Sr'm
- w.
t Couvert.
XI Work Peformed by rn"6wenal,,np,.
27780 Blue Star Hwy, Covert-MT M-k
Y\\. 2xc72 Sheet 1
of
\\
Unit 1
WA,........A
,¶,pr*Itjeoemit Ufgmktabo. P.O. No.. Job No.. fr..
Type Code Symbol Stamp Nth Authorization No.
NI/A Exniration Date N/A Aadm
- 4. Identification of System
!'k--A\\
ik'-
(J'%jC~
- 5. ia) Applicable Construction Code
- adto, V.
- ded, Code Case Yew (b) Applicable Edition of Section Xl Utilized for Repair/Replacement Activity 92 Yew (c) Applicable Section Xl Code Cases
- 6. Identification of Components:
ASME National Corrected.
Code Name of Nmne of Manufactrer Board Yew Removed, or Stamped Component Manuacbr Soa No.
No.
Other kentficad Built Inslled (Yes or No) ck y A(lF2Z
?/1-.
G 0 21 S 2-~
-a(,
. -V I, C,1 I-L i i
~
iPC
- 7. Description of Work.,
- 8. Tests Conducted: Hydrows 0-Pneumnaft 0 Nominal Operating Presaur'e.
Exempt 3 Other a-Preure psl Test Temp.
.F NOTE. Supplements gmet in lam of lNets, aeh or drawings may be used, provided (1) siz ia eY2 In. x 11 in., (2) information in items I through 6 on Ot report is Included on each sheet, and (3) each sheet is numbered and number of sheets is recorded at the top of this form, (7/9)
Ths frmJEOMmay be obtained ftm the Order Oept. ASME. 22 Low Oily. Box 2300. Fairfield, NJ 07007-23006 101l1111I EUOO03
- 2.
3.
g H 6g)-3 FORM NIS-2 (Back) 9 Rnmarks Applicable Manufacturoers Data Reports to be attached CERTFICATE OF COMPUANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section XA.
Type Code Symbol Stamp N/A Certificate of 'orization No N/A Expiration Dote N/A Signe dO
-'o Datea CK Z__.
_,_t Owner or Owns's aDesinee Title
- IDITWfATE OF INSWMRCE WNSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Premure Veesel Inspectors and the State or Province of Min-h4i*zn demployedby WAettin= Mithual TnntrAineg Company of nhinat'n, R T-
- 0. have inspected the components described in this Owner's Report during thperiod 11/20/99 to 03/1.1AA A.
and state that to the beet of my knowledge and belief, the Owner has performed examinations and taken correctiv measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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. Furthermoro, neither the Inspector nor his employer shell be liable in any manner for any personal injury or prolat.lss of any kind rising from or connected with this inspection.
Comissions*
I-6 U¶ Iscr
,pwe Date I
A1 h
I 1Itlonal Board, State. Province. and Endorsement.
,94 9 Remarks
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner rnnastmor
- noTgy Crampany N2.e
- 77R RI..
a-..
,.Ai as Plant Pnlleam4..p
,,xnlanr Plavit 2777R OI.
RMie
- n-
'*__/av.r_, "I Work Performed by
(!niiW....pa c..jsy 27780 Blue Star H=y. Covert-IT Sheet.
of Unit 1
RftP8rfeplamnt' Orguaizarn P.O. No. Job No.. am Type Code Symbol Stamp MIA Authorization No.
- 4. Identificatlon of System Ccg-e 5
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S. (a) Applicable Construction Code N'
<N--
- Edition, 14O PVDtA-..Ar Addenda,.
Code Case (b) Applicable Edition of Section Xl Utilized for Repair/Replacement Activity (c) Applicable Section XI Code Cases N
_ i 1 (0 -'
- 6. Identification of Components:
ASME National Corrected, Code Name of Name of Manufactuwer Board Yew' Removed, or Stamped Component Manufacturer serial N&
No.
Other kdentifceaon Buil Inswiled (Yee or Noi V 14)- 1Z PO l co~:ý O
Cr 1,i n 13 10Z Go -21 11TAA.ý Vt
- 7. Description of Work
-e 8 Tests Conducted Hydrusao a Pneumnaft 0 Nominal Operating Preaur'e<
Exempt 0 Othe Psreeu pa Tedt Temp.
O NOTE: Supplemwentl dmet in fkrmr of N.
sIeftche, or drwkn may be used, provided (1) szin ie 8/ in. x 11 in., (2) information in items I through 6 on thie report Is Included on each sheeL and (3) each sheet s numbered and number of sheets is recorded at the top of this form.
(/11 This form (E00=01 may be obtained from the Order Dept., AMLU 22 Law Drive Bor 2300. FairkKafid.
07007-2300.
lEhlhhhlI E00030
- 2.
3.
FORM NIS-2 (Back)
- 9. Remarks Applicable Manufactureres Data Reports to be attached CERTIFICATE OF COMPJANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of nrizatlon No.
N/A Expiration Date N/A Signed Date 4
Dt zooZ..
Owror Ownsesa Designee, Title ClRTCATE OF INBSWICE 9dSPEClION I, the undersigned, holding a valid commission ismsed by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mtehi nn and empw led by FVntny Mtiuthal TnaJrante Com=any of Jnhinafln" - R.T.
have inspected the components described in this Owner's Report during the period 11/20/99 tand state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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 Owners Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injuryorporty damage or a loss of any kind arising from or connected with this inspection.
Commissions NX -762 AINT Inspector's Signature Ntional tord, State. Province, and Endonemens Date A
I. mamlcbmwe end amUed by I AERQAf4
ý CQk*)4p¶ JRY PLACE, LYNCHUJft: VAk 24m 7-Menshckold far CONSUNM DOWEERY JAQWKSCN M4WI~
- 3. Location ofttelPa CONSLJPER POWER PO., PALIAOIPL T COVERT, Pi. 4W043.
- 4. Type.
HORIZ HEAT lowNER~-14PI7 0lu~erut (ie6omt nnawi)
S. ASME Codx Secan IN. obi~ln t:
16 NO.ADCENOA 3
loom 6-10 kklndi.wM 10e amqlebIW atig* WN A
ore~ss~JdbI5J aStUs Wfhe at edimgm SB-WIC-7040 INS
.40
______r__
7.'Seanie SWNLE 65-8.& ae SS-1ý71.C-70600 40,000
()
END
.375!
FLAT FLAT If rmnovabI bobe LeoWwh~
(nom apw. no-. aim gpewI~
deerm~
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-$or-lbo.. 0yemuatue de'bekiw)
- 10. Design PressRe 21 150 atmmc.
mw.
200 Wh P*Usaue~aatmp ta 5
PAWe. hydo.. or semA ispouswe 225 (Psi) rF)
(F)
Mtms I1I and 12 to be com*Mete for' ft"e secant 11.- Tubesheets:
IZ Tubes:
SS-75,C12200
.625*
.049" 110 STRAIGHT NItens 13 to 16 indu&ve to be Canl"~s jibr innr chsnbe,,&aCW ofsktdVOUSies or channes Whea exchange Ua Shme:
(nulL spec no.)
( Twwee sWeioI)
Ift. Niues(,)
(fne. deepN~
Ulimeetmg (d.0 R.1.)
INU~mm~~
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- 14. Seams:
- 15. Heals:
K'yono (T
Iswnl pc no.]
(Wotentsqmn~)
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((ade eeg) 1(c) frnulse. no I teuesig cira~
KnatsJe Epbci Comme Heodephnce Fig 1d SM@
oo Mgj Location Thk~qaes p~dis IRSINUS Roo6 Apex Angie meanu Otst.'
Csemm or concawe)
'a) Too. btt~m. Wd bI) ChamvWe PC) Floatin I eoasbfusd(null.
spec no., smss quantiy) tio aanig(desoibe or aldi AMMtt) 16 Design Piressure at max. bmwn. _____
Min. prmsuretest temp.
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001091)
MINIMl COM"raIon LylCtIric" Virginia
FORK. -1 Waak - ft2 at.J CUUUW New $eria Numiner
- 17. No*zles. -k edlN-. and salely va-. e ouW-Pups (1101A "M
madmoiem Newe INLET I
3rN.
-,.ri:ED OUTLET 1
3*r'n MUM VENT/DRMJ V11 W WPS KI ýcQPt VENTMRAIN IMl 1A'S NP
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u 240.PaE CLEAN OUTS 30 W
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- 19. Raenire ERPNSF969C -0 MAW ME SAFEGUAM-UNIT V " ENIS OF SAME MATERIAL S T, ENDS OF S&171. C-M=000,.OW NO THICK. /(3) HEX Ho. PLUGS OF SA.i8.GR.304 L LP JOINT FLANG-1 B0 LB 6.105 WITH STru END SA-M, G.WP caWr7CAION OF D1EMO1 DOWgn sPecilcatlon certified by JIM AWERINK P.R. So"l AI.
R No.
6201026473 Design '
tcre by Nso
"..Sl R.No CERI1FICATIE OF 1140W COMPLIAIIC We ocW tet thetaements made In oft report a r
c and d
'i i nu vesselconfio t
rles for cometion ol dftASMECode sefa UL Okision 1.
N Certificate of Authorization No.
N-2814 E*..
MARCH 30. 2W02 Date
~z i4 Name AEROFIN CORPORATION sowne CI~ilPICqATE OF SHOP 013SPUCTION I. he undersgned. holding a valid commsaion issued by the National Boad of Boier and Pressure Veseel Inpectlos and the Stale or Provinc of VA and emplyed by
- ALLENDALE MUTUAL INSURANCE of NORWOOO. MA laeeinspected the component described in this Data Report on
//
.e i
and stewlatUMto doe best of my knowledge and belief, 1ie CedlAM111e24 Holder has constructed fts component in accordance with the ASME C Section Ill. Division 1.
By signing this certificate neithe the inspector nor his employer makes any warranty.,
expressed or impl*ed, concergng the component described in this Oats Report Furthermore. nether the inspector nor his employer shal be I any manner any personal infy or property darmag or a os of an kind rdina front or connected with this inspection.m u
Date VA, 774
- FACTORY MUTUAL (Mnt 01ud1 WiCL 41idaiseneI VAI ftowic and Wa)
SCERTIFMA711 *F h D ASSEMBLY COWIL.UIAMM We certify that the statements on this report are correct and that the field assembly construction of all parts of this nucear vessel conforms to the rules of construction of the ASME Code.Section III. Division 1.
N Certificate of Authorization No.
Expires Date Name
______________mWe)_
Signed (N Ca*i Hddu (audlalud rsmmv)
CERliFICATE OF FIELD ASSEMBLY 1W4SPUCTON I. the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vesel Inspeclt and the State or Province of and employed by.
of have compared the statements in this Oats report with the described component and state that parts referred to as data items
. not included in the certificate of shop inasption. have been inspected by me on and that to the best of my knowledge and belief the Certificate Holder has consbtucted and assembled this component in accordance with ASME Code. Section ili.
Division 1.
By signing this certificate neither the inspector nor his employer makes any warranty, expressed or Implied, concerning the component described in Ot Dafa Report Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal inury or property damage or a loss of any kind arising from or connected with this inspection.
Daie Signed Comnislorks (CAuaiorrd Inspedor)
(Nall Od n. adarsement. SAe Prow-ce Wd No.)
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FORM NI (Back-Pg. 2 of 2.J sWie 1'0ldei SeOW N~nber 991073 is. Suppoft Ski NO ULA LW Oter AIw.
fth
,OES1o1 lrEou tpoes*l (eWnUv)
(qirety (DeS) eslimmal
- 19. Remas AEROFIN SO# 906298.CW,.W4 MARK WEST SAFEGURD UNIT
% U" BENDS OF SAME MATERIAL AS TUBES.-If BENDS OF S1-171. C-70600,.065 NOM. THICK. 1(3) HEX HO. PLUGS OF SA-182.GR304 LAP JOINT FLANGE. 150 LB.,SA-105 WITH STUB END SA-234. GR.WF8
- CuVWCATMo OF DESMN De IP
'lcr by JIM ALDERINK PRE Soat Am.
Ro No 6201026473 Design report ce11ed by NR P.. Sate R0. No CURlI1ICAIU OF S"OP COMPUANCE We cerrly that the statements made in this mrept we corrct an d that thie nuidsa'rvesel conifms to the rules facon uction dftASME Code. Secon, M. Dvision 1.
N Certat of Authoriation No.
N-2814 ExIrPes MARCH 30.2002 Oate 1ZA..7'?5F N
AEROFIN CORPORATION signe (N C*uMWme 10W)
(m i
i" CERTIFICATE OF SHOP ISPECTION
- 1. the undersigned, holding a valid commission issued by the Nadonal Board of Boier and Pressure Vessel Inspcos and ithe Sta or Provime of VA a
eAw~ b
-ALLENDALE MUTUAL INSURANCE of NORWOOO MA the component describedl in this Oate Report on
/. -/
anld state, OWtto the begt of my knowledge and belief. Use Cartlialsts Holder has constructed this component in accordance with the ASME Codas. Section Ill, Division 1.
By signing this certificate neither the inspector nor his emplce*r any wsmrnty. expressad or imple, concerning the component described in this Oats P eit Furthermoree. n~
the inspector nor his employer at ibe any mam any perso injury or property dimate or a lmo of any kind arising from or connected with this Inspection.
7z N
7W NMSI MA Date igndVA 774 "FACTORY MUTUAL It.1 i
k n
t a
Nt We certify that the statements on this report are correct and that the field assembly construction of all parts of this nuclear vassal conforms to the rules of construction of the ASME Code. Section Ill, Division 1.
N Certificate of Authorization No.
Expires Date Name Signed (N Colksis ItcW"~)
(SUilVzd t
ssm we CERTWICATE OF FIELD ASSEMBLY INSPECTION" I. the undersigned, holding a valid comtmiasson issued by the National Board of Boiler and Pressure Vessel Inspectors and the Stai or Province of and employed by of have compared the statements in this Data report with the described component and state that parts referred to as data items
. not included in the ceirtificate of shop inspection, havow ben inspected by me on and that to the best of my knowledge and belief the Certificate Holder has constructed and assembled this component in accordance with ASME Code,Section III.
Division t By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied. concering the component described in ti Daft Report Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a Woss of any kind arising from or connected with this inspection.
Date Signed ConmissiIon's 0.N1a1.
Ohmn.)
QUWay fti.r
- roe, MM 7hktam i
- n.
INLET 1
rF "FS WELDED eA0 tr END OuTLET I
3-rNPS WELDED
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VEWIDRAIN I/1
&4,KGn* - 311W.L.L.
NMi W
VENTIDRAIN III 1,C NPS PIPE PLUG THREADS SA-105.
30 L.B.
NM END CLEAN OUTS 30 W NPS HEX HI. PLUG THREAOS SA-lU
.3" NU END (NMr 80a" W. wwarfmoL, SlA prow"e and No.)
lAuthin lrsec)
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner rinanf21V~e -"nnr C67RA~ng Name 9)77RO 111119 qtniV wai~~st; Work Performed by rno-,,e.
V1167-,
Neme flnta 2-1
- ý Z
oo cz 2-Sheet Of Unit RapeIRieplacamem Orvarizadon P.O. No.. Job N.. *t.
Type Code Symbol Stamp IA/
Authorization No.
ffA 27780 Blue Star m
%ry.
Covert-MI ExrtionDae MIA Identification of System t
S AJS..C JN SL (a) Applicable Construction Code SLL... I
- Edition, hAddenda.
IN Code Case Yew (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity Yew (c) Applicable Section X1 Code Cam e s
- t (=
( --
- 6. Identification of Components.
ASME Natinal orreted.Code Noeo o fnnftte oard Yew Removed, or Stamped Component Manufacturer Seriail N& ~
NO.
Other Identiflcadon Bulls Installed (ye or No)
WV~A otO r$
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7-00Q
- 7. Desiption of Work e
A'4(--
& Tests Conducted: HydrVOsd a Pneumeft 0 S ~j2~,eo~Ca4 u&1..
c0A.
Nominal Operating Prwsur;ý Exempt 0 Othea Prsnues p
Tem Temp, F.
NOTE: Suplemena e in fr of W smtshe, or drawings may be used, provided (1) size is 8/2 In. x 11 in., (2) Information in items 1 through 6 on this upewt In Included on each she, and (3) each ahe is numbered and number of sheets Is recorded at the top of this form.
(7/9) Ths ormIE000)maybeobaied ro te rde DpL AML22 Low 0meBo 23006 Fakrffeld FU 070-2 30(L 101lhhhll E00030
- 3.
- 4.
5.
4.
FORM NIS-2 (Back)
)69q! I c4 fl o^-.,
,OO*
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section X1.
Type Code Symbol Stamp N/A Certifimate of Authoriza No.
N/A Expiration Date N/A Signed/,
Date
¶"-.'
.0 "2-.
Owner or Owne's Oedgnes, Tite CElRTrICATE OF dSERVIICE 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 M'leh4g&nI andempioyedby Ftatnry Mutual Tnaurance Company of Tnhia'r~n 1_ _T_
have inspected the components described in this Owner's Report during the pelod 11/20/99 to P 3l,,
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code. Section XL 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 pro y dams" or a los of any kind arising from or connected with this inspection.
Commission.
MI -762 A1tHT Inpectors Signawe Mlonal Board, State. Province, and Endorsements Date A kc..3 A -
U.r
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner -.
ningme-i
- -ner CQmRAny No" 2.
Z IMII Sll r.at m
"i-.Iv*'rt, XT Plant P
.lm p
2777Rf Bi mb ny, ty onex_"a.y x
- 3. Work Performed by Mmnew-R,,,-ag Name Date L -2.00 z_
Sheet 1
of I' Unit 1
Ree*rlfep@muwp geflmatiof P.O. Nft. Job N, ar Type Code Symbol Stamp m A 27780 Blue Star Hwv Covert, NM Expirmton Dte M/A 4ý IdentWIcaton of System C
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- 5. (a)Applicable Construction Code Edition.
- Addenda, F
Code Case
~A ~
Yewr (b) Applicable Edition of Section Xi Utilized for Repair/Replacement Activity yeer (c) Applicable Section Xl Code Cases
\\
- 6. Identification of Components:
ASME Nedonat
- Corrcted, Code Name of Name of Manuftrer oard Y
Remove, or Stamped Componen Mmufacw Seoa Nof NO.
Oe Identificadon own Installed (rY or No)
%J
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- 7. Description of Work 4ý--rCCL z¶L~
K1 i~~r%
c~m CoA
\\JA)4'I(a A
- 8. Tests Conducte: Hydmwte 0a Preumrana 0
Nominal OpervaMn Presaurs1l Exempt 0 OdtIIhW
.uuem pa Teo Temp.
T NOTM Supplemental In li t of Is* aketwist o dra wngs. may be used, provided (1) sho is 8% In. x 11 In.. (2) information in items I thrugh 6 on th is irput W Included on each sheet, and (3) each sheet Is numbered and number of s is recorded at the top of this form.
(7/WS This form IE0003I may be obtaind from the Ordw erOPt. ASML 22 Law Orýve lox nW Fakrffeld. NJ 0WOW-230.L E00030
,*-qSi 1?41 FORM NIS-2 (Back)
Applicable Manufacturer's Data Reports to be attached CURT11CATE OF INS10431E 1MW4SETON I1 the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mti-hfgnn inmd loyedby WArttnlryX Mntiual Tnauranei Company of Tnhnia inn, R-T-have inspected the components described in this Owner's Report during the period 11/20/99 to a031110z and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code. Section XL 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 personalinjury or dm s" or a loss of any kind arising from or connected with this inspection.
?
teCommissions XT -._.')
AUNT Inspector's Signatwe Date
/A,,, /
11066W 81 Board, State. Province and Endorsments 0
0 marks~
CERTFICATE OF COMPLANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp N/A Certificate of A thorization No.
N/A Expiration Date N/A Signed or Owner'sOnee,2%'0o Date' Owner or Owner's Osuignes, ife
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- UGSOF Sk411 GR.V4 "LAP JOIN FLAMM. 150 La.,A-IS WITH STUB END SM 234. GR.WPS FC11TA70 OF DUUGN Design apecdcali ceed by JIM ALOERiNK P.E. Sae MN No.
6201026473 Oemo Nowpactceed by NR P.E.SW R.%N cIFICAIU OF tOP S
COMWUN We cer fat thsoont madetin U mr t amr ctandVh ali nhlearveae
- emt I
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@.* n 1.
N Ceutiicate of Autoztn No.
14-2814 Ex;"a MARCH 30, 2002 Date Namne AEROFIN CORPORATION sogne CETIFICATE OF 3140P WISPEC11OP
- 1. the undersigned, haling a valid commission suend by the Nalionan o lo eit e and PrssumVowVel I radteSUtae or Proicot VA and empk by
- ALLENDALE MUTUAL INSURANCE of NORWOOD. MA have Finpece lt.e component described in tOn Date Rep otan
/
.:Or 9
aid shilte tha to Uie bade d my krnawledge and belief. fte Carliflcae Holder has constructed this component in accord with the AS:M Code Section Ill. Division 1.
By signing ti certicifcte neither the inspector nor his employer makes any waomanty s;pressed or implied, concerring the component described in ths Daft Report Furthermore, neither the inspector nor his employer shall he in any anner personal intuy or pmpey damage or a Ime of any kind asing *ram or connected with this inspection.
NU 7=2 NMIJ ISO Date Isod VA 774 "FACTORY MUTUAL (W emd VI 5L Rawc U8W No.)
IFICATE ASSEMBLY COMPANCE We certily that the statements on this report are correct and that the field assembly construction of all parts of this nuclear vessal conforms to the rules of construction of the ASME Code. Section Ill. Division 1.
N Certificate of Authorization NO.
Fxpir Date Name Signed (N Culsmse Holer)
(a5iJMl*t55 Wpsetle)
CERTIICATE OF FIELD ASSEMBLY 91SPECTION I. the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vesell Inspectr and the Slate or Pmvince of and employed by of have compared the statements in this Data report wilth the described component and state that parts referred to as data items
. not included in the certiflcate of shop inspection, have beon inspectod by me on and that to the best of my knowledge and belief the Certificate Holder has constructed and assembled this component in accordance with ASME Code. Section Ill.
Division 1.
By signing thO certificate neither the Inspector nor his employer makes any warranty, expressed or implied. conceming the Component described in ofs Data 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.
Date Signed Commissions 0
Outlaln DIS OIL)
W am" ft cU..
OUTLET I
TI M-3 O
~7 YI-al
__MEA N WM 30_
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FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 2. plant Pim Ap l~'
iwe Mm 27750 Rim. fn
Wh.w
Date
~
8 2c Sheet 1
of Unit Rp,'r/Rgi&,W,&In t Orastiuof P.O No. Job No.. a..
WOrk Perormed by
,,=,
1,,.r Type Code Symbol Stamp Ii 27780 Blue Star n.Covert NIT ExpirationMDte N/A ldent~flcatlortof System SZ60u-A \\-\\o
\\'4 k NI IVs (a) Applicable Construction Code Yw
- Edition, Addend.
V\\
Code Case Ywe IbI Applicable Edition of Section XI Utilized for Repair/Replacement Activity 1--*
Year (c) Applicable Section XI Code Cases 16
( - I
- 6. Identification of Components:
ASME n
Correce Code NO"e of NO"e of An01ufackxwe Bo Yew" Removed. or stf" Component MANu Sandl No.
No.
Other Ideanlcadon Insii-ed
(
or "m 1 J;bt*-L..
L2zz"6't GO3Z".g1S",
ZO'6-
__)
I V
14 5U
~~~~1 Pal
.I-"
_15333ý_
- 7. Dowcrgpton of Wort 2
&. Tesm Conducted:
CLm 0
Pnomiado 0 s
g c-i C.A V-*-".
A A
Nomninal Operating PressureO.OL Exempt 0 Okher~-W PiMIAw pal Teom Temnp.
NOTEM Supplementel smmbf b t of NW demtschee, or drawings may be used, provided (1) silia lis In. x 11 Ki.4 2) informa.ko in "itemo through 6 on this mprepot Included on each aIhet and (3) each sheet Is numbered and number of ebeeta is recorded at the top of tis form.
(
This form 000030- may be I
from the Order o0e.. A-M,,
22 Law Dv.e, Bo 2300.
-a-fa W 0W-230-l0llll llll E00030
. ]a
- 4.
5.
,AIV 5
10
9;491 13'4 I FORM NIS-2 (Back) neriurKw Applicable Manufacturer's Data Reports to be attached CHERIT1MATIE OF MISERVICE W4IPECrION I, the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure VsWel Inspectors and the State or Province of MJI-h4Znzs andemployedby Prtit-ry Mui,*.1 Tnairanee Company of TnlhnaýQy, R_ T_
have inspected the components described in this Owner's Report during the perod 11/20/99 to 'O//,*Ag
,andstatethat to the best of my knowledge and belief, the Owner has performed examinations and taken correcjve measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL By signing this certificate neither the Inspector nor his employeir 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=p loss of any kind arising from or connected with this inspection.
~
MT 7~C A 121W Datetos swistw 10460" Board, State, Province, and Endorsernents CERTiFICATE OF COMPUANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp N/A Certificate O h*on No.
N/A Expiration Date N/A Owner or Own...
Datews TideZ V.
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner (nm,,,1 mI-LV Cinnv "Name Plant Pa11ad1e WhId.-1pp* 2110,1 N2me 27780 RI,., gtp=*
1 ',v: Pnw-_--r_
MT Work Performed by r.nn a 27780 Blue Star H Date 0I.ý Unit 1
W 0 4 Ap LL 2, zool 1
A
~
I RepmirlRelacermnt Organization P.O. No.. Job No.. emc Ity"OT'*
m"el"s*
Type Code Symbol Stamp N/A Name Authorization No.
N$1A LW-. Covert.
MT Expiration Date MNA
- 4. Identification of System A
a If A.*
(COL-A-_L
- 5. (a) Applicable Construction Code
- Edition, Addenda, (J
Code Case Yew 1b) Applicable Edition of Section X1 Utilized for Repair/Replacement Activity Year (c) Applicable Section Xl Code Cases
- 6. Identification of Components:
ASME National Corrected.
Code Name of Name of Manufacturer Board Year Removed, or Stamped Component Manufacturer Serial No.
No.
Other Identification Built InstalIed (Yes or No)
V'J LA
'!-ce s
fO TA-=sAU*
- ..i6
- 7. Description of Work ;
)ei L c-P/sT-mcp-co P
- .,2.mfoTPA
-4.
"*P)'*A.
- 8. Tests Conducted:
Hydrostaut El Pneumatic 0 Nominal Operating Pressurs.X Exempt 0 Other 2 Pressure psi Test Temp.
F NOTE: Supplemental sha i form of lits, sketches, or drawings may be used, provided (1) size is 8/ 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 number of sheets is recorded at the top of this form.
f7/90)
This form (E031may be obtained from the Order DepL. ASME. 22 Law Drime Box 2300, Fairfield. NJ 07007-2300.11 11 1 E00030
- 2.
3.
I
'=) q I LFzk FORM NIS-2 (Back)
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol N/A Certificate ofýuthorization No.
N/A Expiration 1
S-,,,
o=,r Signed k(:4" Dot Owner or Owner's DesignecTe.ts Date N/A tii-zX 12 7CA:-Z CEfRTICATE OF INSERVICE IWSPEClION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mit-h4ann and employed by Waet~nry Ntiunl Tna.uranee Company of
- rnhnarnn. 'RT.
have inspected the components described in this Owner's Report during the period 11/20/99 to 0 -,I/310J and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
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 o rt age or a loss of any kind arising from or connected with this inspection.
'.Ummmtuuw
- Bord,
-. X62 A
Ntqtonal Board, State, Province, and Endorsmets Inspector's Signture Date
- 9. Remarks_
CF.
01
- tnmn
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI C-pj.
ý 1.wr g
u impainy NaMe 777An l1 Qtm
- ur
_n 2777RO RInT. Rqrp mm;,Cwgevrt Work Performed by rn!Iss,,m,-e.t"Ifty Nnse Date 7/i
/
Shoot t
Of, Unit 1
IRWa n"e M
orgAtowm P.O. No. Job Na.. e..
Type Code Symbol Stamp MIA Authorization No.
MA 27780 Blue St:ar MI%,
CnVe-t,M Expiration De
- 4. Identificatlon of System IMJkC J
N T L
)Z S
~ '
- 5. Jai Applicable Construction Code A
- Edition, Yew (b} Applicable Edition of Section Xl Utilized for Repair/Replacement Activity Yw Ic) Applicable Section XI Code Cases
- 6. Identification of Components:
MIA Addendas,.P6~...
Code Case
- 7. Description of Work
- 8. Tests Conducte: Hydrtok 11 Pneumetc 0 Nominal Operating Preaurs.0 Exempt 8 OtherW PutseursýJ&
pal Teo Temp.V NOTE: Supplemntial eti in stmn of Of daltchee or drawings may be used, provided (1) site is $/2 in. x 11 In., (2) Information in items I through 6 on this spoee Is Incxdd en each shsta.
and (3) each sheet is numbered and number of sheets Ii recorded at the top of this form.
(7/9%
This form ROOM may be obtained fom doe Ore Wpt. AS--L n Law Drive. @= 2300.
"ad.
NJ 0 0I2l3lLll VKowK141 2.
3.
ASME Naionad Correctede Name Of Name of Mamnuibmter oard Yew Removed, or Stamped Manufacmur Seo" No.
No.
Other ldifUCkUon hilt
&Astalled Yes or No) i ac', t
'jzLo.
J AŽ
/A 57
- i ZIýCQz 5IŽU C
- 1. Owner_
riallm
FORM NIS-2 (Back) 4Cq(
399
- 9. Remarks Acoilcabie Manufactrar's Data Reports to be attached CERTI1CATE OF COWVLUANCE I certify that the statements made in the report am correct and that this conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp N/A Cer*t ofAim.,rization No.
NIIA Expiration ate N/A Own or Owners Osui*gne Tile COmU1CATIE oF I1VlICE mVCTIo I, the undersigned, holdings valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MJrh4, A1 nd emtployed by.1Ff-nft MuktTal Tnmurane-A Coupa=
of
_nhnniri-,o V.T.
have inspected the components described in this Owner's Report during the period 11/20/99 to
. and state that to the beet of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requiremments of the ASIME Code, Section XL By signing this certificate neither the Inspector nor his emiployw makes any warranty, expressed or Implied, conceming the examinations and corrective measures described In this Owners Report Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or prrty do a loss of any kind arising from or connected with this inspection.
__mmisslon@
H1
"[aq AIIIT Insepctor's Sinis lftiea 13ard, State Praovince, and Endorsemnwts Date
./~r 2001
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner Ci*
la.,,,.- ;lmtrg eg6a1iany Room Plant Pnl4en,,..
U,,1*il-Plnup
- 777fl 1it,. RP*n-Wlsw*
p^..*
M Work Performed by
- nn112,mg Z-a ltnes 27780 Blue Star Hwy. cnverte MT Date -
lh4/2e~et'(
Sheeo Of__________
Unit RwRapwvr/mgmmt orguuigarm P.O. 4o., Job No.. w-c Type Code Symbol Stamp
"/A Authorizetlon No.
111A Expiration Deaf
/A ldentification of System rnT W~Q S
- g~
a) Applicable Construction Code S
11010 Edition.
- Addendas, Code Case (b) Applicable Edition of Section Xl Utilized for RepairlReplacement Activity Yewr (c) Applicable Section Xl Code Cae k
./4 Identification of Components:
- 7. Description ot Work ADD) p ca e
-3~~v~JFZ
~
- 8. Teats Conductedl: Hydro o 11 Pneumatic 0 Nominal Operating Pressurs.0 Exempt
- OtheV Prsumie P/
pa TeatuTmp...... LL&.
NOTE Suppigm slent iwmi of UrnIdln.twe or drawinwg may be used" provided (11) she is $12 in. x 11 in., (2) information in items 1 through 6 on this repr is Included on seec sek and (3) each sheet i numbere and number of sheet is recorded at the top of this form.
(7MU) Ti~s form 50002) mlay be obtained lfrot doe Order Dept.. ASIMS 22 Law Drive. Bu 2300. PsknIISM 14 07007-23 lh0lhL EO0030
- 2.
- 3.
- 4.
5.
6.
ASME Nationd Corrected.
Code Name of Name of MenfAsorerUrd YaW Removed, or Slamped Component Mamufoetwer Seria NI.
No.
Other dentiladon 111ll Inhtalled fime or No)
9/-ttA6
FORM NIS-2 (Back)
A lrt..6e Appllcable Manufacturers Data Aspofla to be attached CERTIFICATE OF COMIUANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code. Section Xh.
Type Code Symbol Stamp N/A Csr tlmnft hOlcat* t No.
N/A Expn Date N/A Si w
M'
.it
& At4 eIMys r
Dat 171H le Owner or Owner's Osaignee Title CEURTIICATE OF WdSEKVICE NUECnTO I. the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mi,,-h4ffn and employed by.PA,-Pnt.'
MNintiAl Tin-,riaie, CaMna*V.
of
.nh-Tataim.
T have inspected the components described in this Owner's Report during the period 11/20/99 to
.'-/"
.and state that to the best of my knowledge and belief, the Owner has perflrwned examinatione and taken corrective measures described in this Owners Report in accordance with the requirements of the ASid Code. Section XL 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 rtydo i or a loss of any kind arising from or connected with this inspecton.
_______ _Commissions XI -7il AfliT nsatme Sk donaI Board, Stm. Pr*oi*e and Endorsements U.
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code, Section Xl
- 1. Owner nn..alnn,11,a
- n.=ry Cnmnpany No"".
Plant P.14*.
n ?&d-l,.n.
Plaint 277RO Ritip. grar XT',t, Work Performed by
.ni,,,IMA-a "rm Name 27780 Blue Star Hwy. Covert, MI Date 2P1L 2 Sheet I
of -
Unit I
W 0 p4 C
I Relpir/Reolwam*net Orgaization P.O. No., Job No., et.
Type Code Symbol Stamp MIA Authorization No.
NIA Expiration Date MIA
/c rn\\
- 4. Identification of System t--
/ C (LA,_ t-L)
- 5. (a) Applicable Construction Code
/
,-Edition,
- Addenda, V1 Code Case YeW (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity 8Q Year (c) Applicable Section Xl Code Cases
- 6. Identification of Components:
ASME National Corrected.
Code NomeOf Name of ManufLcturer Board Year Removed, or Stamped S component Manufacturer soufil NO.
No.
Other Identification Built Installed (Yes or Nol
- 7. Description of Work 'L(444ey 7163Eý 2EPL4CWy k-A5Ta)XPS ex) 4~rKciA1 5Th4.
- 8. Tests Conducted.
Hydratoet
' 0 Pneumatc 0 Nominal Operating Pressure.)
Exempt 0 Other 0 Pressure-ps-Test Temp.
F NOTE: Supplemental shefts fvar of Rs, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items 1 through 6 on this repat is Included on each sheet, and (3) each sheet is numbered and number of sheets is recorded at the top of this form.
(7/99 This form (
,00030) may be obtained from the O.dr DepL.. ASM 22 Low DOIW Box 2300. Fairfeld, NJ 07007-23=0.
lillllll E00030 2.
3.
,,1749 (09 &5 FORM NIS-2 (Back)
- 9. Remarks AJ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp N/A Certificate o Authioizatiro N/A Expiration Date N/A "Signed fwr
ýroI wrA,'n_
Date AeL Owne or -Owner's eelgriee. Title CERTEATE OF INSlWVICE 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 Mit-1hfAn andemployedby PFatfVjnU Mitnal Tnauranee Company of Jnhnatn 2 -T have inspected the components described in this Owner's Report during the period 11/20/99 to /&74._ 30 2go t
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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 Owners Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any "per a* *dmage or a loss of any kind arising from or connected with this inspection.
___Commissions X1 -762 AIVT "Inspecto's Signiaue fltlonal Board, State, Provilncs and Endorsements
- Dat,
-ZOO I
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner-dn.nni*a,,m.-a
- tCXnWrg Cnmpany Nam
- 2.
3.
7277RI) RIM-P qt*....
ft;&vari.
XT Plant Pn14al epi
-01laq.1m.
PlJ 277RO Rlita Spar Xvrf T
Work Performed by (rvnawlmare Name 27780 BlueStarHwy._C~vert._M Date APQ iL L Sheet of Repri~e~Aacement Orgaization p.O. No.. job No.. ecm Type Code Symbol Stamp M.1h Authorization No.
N(A Expiration D*tae W/A
- 4. Identification of System S IPfA-)T-TZE PC~L
(,S P )
- 5. (a) Applicable Construction Code l3R? K
- Edition, Addenda, Code Case Yewr (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity 8'q Year (c) Applicable Section Xl Code Cases
[
- 6. Identification of Components:
- 7. Description of Work P~e-PLA 6 FAz5-eu es oA) 5Ff2 (ýfA
/lw :1,
$L A
J?'UWF 111 R iý,A
- 8. Test Conducted: HydrostatIc 0 Pneumatic 0 Nominal Operating Pressure.v' Exempt 03 Othr 3 Pressure psi Test Temp.
"F NOTE: Supplemental she in form of N sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items I through 6 on this rpot is included on each sheet, and (3) each sheet is numbered and number of sheets is recorded at the top of this form.
i/SO)
This form MEOM30 may be obtained orom the Order Dept,. ASME. 22 Law Drive, Box 2300, Fairfield. N.J 070072300.
1011111111 E00030 ASME National Corrected.
Code Name of Name of Manufacturer Board Yew Removed, or Stamped Component Manufacturer Seilo No.
No.
Other Identification Built Installed (Yes or No) i 412 -q)
~
~24i
~F1-Th-trLeO k3 k~~u4114
~
6 L 4Z 6~74L*i
?-?q8LWO A.)o
FORM NIS-2 (Back)
- 9. Remarks Applicable Manufacturer's Oats Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp N/A Certificate Authorizatio N/A Expiration Date N/A Sig.s 79,4
-0&
6 Date A/zL2____________
CNITIKATE OF INSERVICE WdSPECTONM I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of M4--1hilin andemployedby F'atntor Mutnal TnauLrane-e Company of Jelhninnt-drs
- RT-have inspected the components described in this Owner's Report during the period 11/20/99 to q.P&L.',5 olbO/
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
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 injur or p;ertydamage or a loss of any kind arising from or connected with this inspection.
Commissions
-7612 ABT Inspector's Signature Itional Board, Stats, Province, and Endorsements Date ZOi
'Z 3
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner
- ,*nalnmece n-t]=
C*mlanX Neni Mauto
. Zool Plant Mf~n4.
Vt1n.Pae-g 27790Rf Imp qpar aftz'pwjrtf XT Work Performed by rnn-.'w sV.,v.
27780 Blue Star v_. Corvert. MT Aad.m K
Sheet of__________
unit-1 RqmWptevrwpibeww OrWgaft~dn P.O. No.. Job Me, *or Type Code Symbol Stamp VIA Eurh!ltkn oa.
N/A
- 4. Identillication of System L../VJ LA-Q (CL S. (a),Applcable Construction Code 4A
_331 I
- AEddenda, Cod C
Yeer Editso6,L Code Cas 1b) Applicable Edition of Section Xl Utilized for Repair/Replacement Activity sq Yer (c) Applicable Section XI Code Cases rA 4
- 6. Identification of Components:
ASNI NationalCdrc Code Name of Name of Manufacturer Board Yew RemoVd, or Stamped Mauacr~er Sea No.
NO.
Other Ikhdcedon Bunt Insalled (Yea or No)
__IPE 7 -"9rO-84D A\\&
.63416 1 C? 1%.J C- 0;v~j' C/ %04O%
soot__
St
-f25 T
~
c
- 7. DescrptionofWork WC,
-)
/tL s.S V
V 4j-ES 3
- 8. Tests Conducted:
Hvydm o Ct Pneumati D Nominal Operating Prmmre'se.
Exempt 0 Odier hme
-pal Teet Temp.
F NOTM Supplemental sbM In tam of ObU altaches, or drawhngs may be used, provided 41) sim Is 8Y2 in. x II In., 12) Information in items I thd ugh 6 on this report is included on seac shoot, end (3) each sheet is numb and number of she*t Is recorded at th top of this forL.
(7195 This form (UN=O may be obtained Item t heOder aspi.. ASME. 22 Low Orle% ams 23006 Fasrfiel NJ 0700-2300.1 11 g~ tAC~~
4 t=,
2.
3.
FORM NIS-2 (Back)
ApOlicable Manufacturer's Data Reports to be attached CERTIRCATE OF COMPLIANCE I certify that the statements made in the report am correct and that this conforms to the requirements of the ASME Code, Section XA Type Code Symbol Stamp N/A Certifies f
No.
N/A Expiration Dato N/A SOgnodwn' Date 040*in'.
c 21 C
1MINUTE OF WISERVICE ISPIWl1ON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of M4*.h4tnn andemployedby Vag-ttr= NtItua1 Tnairane. Company of
..- xnhnaPno R T- _have Inspected the components described in this Owne's Report during the perl 11/20/99 to 03400d and two tha to the best of my knowledge and belief, the Owner has performed examinations and taken corrctive measures described in this Owner's Report in accordance with the requirements of the ASME Code, Secion XL 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 Owners Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or propsy damage or a lose of any kind arising from or connected with this inspectlon.
Commissions NX -261 ANYT Inspector's Slgnat~ur MtkonaI -Board, Stat@, Province, and Endorsement.
Oateo
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner a.nwiv.mi
- "-ergy Cempainy
- qq*A N..
Plant Pa14eae.em lblip,,
Planp 27780 RliBn.
Spty m"
ow=,..
X[
Work Performed by C.,na,,m-Wa.
Name 27780 Blue Star lhvy. Covert, MI Date 2 ELLŽ5'L 2.cc, I Sheet of Unit 1
n, Rear/Aplelwnemnt OrgWiizaoon P.O. No., Job No.. ec.
Type Code Symbol Stamp MIA Authorization No.
N/A Expiration Date WN/A
- 4. Identification of System SpoAL Iý.A~D SFP\\
- 5. (a) Applicable Construction Code I 1.
- Edition,
/
- Addenda, lV\\ I Code Case year (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity SIR Year (c) Applicable Section Xl Code Cases VA
- 6. Identification of Components:
- 7. Description of WorkQZ L L e--C tCf--Z-- 5
/ýý ihý V-tA SSP, 0 1
- 8. Tests Conducted: Hydlrotat [3 Pneumatic 0 Nominal Operating Pressure.K Exempt 0 Other 0 Pressure--
Pi Test Temp.
=
NOTE: Supplmnental stw in foWm of NAOsalsihes, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items 1 through 6 on this eo Is Included on each sheet, and (3) each sheet is numbered and number of sheets is recorded at the top of this form.
(7/99)
This form may be obtained frm the Order DepL. ASME. 22 Low Drkv, Box 2300, FaIrfd NJ I
I072IIII EO0030 2.
3.
ASME National Corrected, Code Name of Name of Manufactrer Board Yw Removed, or Stamped Component Manufacturer Serual No.
No.
Other Identification Built Installed (Yes or No)
AiLAT o
r e57Z4Z4A
/
14 0 03M ~
6,0h?
4
~
YA~Ic Q
6430 14 14c3 ý77 CCq AJ__
t 4
4 4
- 4.
I I
- 1.
L I
I
FORM NIS-2 (Back) 9 Remarks o(
0 {
- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stnmn N/A Certificate of Aý horzationIp.
7 */
./A Expiration Date o,._
i-OnrorOn-TDsge il N/A 5j19r; I 15-200 1 cumICTE OF OW Cu 1INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Minh4igain andernployedby Warrnrv Mirtiial Tnsturanc.p Compiany of Jrnhnarnn-T_
have inspected the components described in this Owner's Report during the perio 11/20/99 to A4&L6. Jog (
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
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 pperty d me or a loss of any kind arising from or connected with this inspection.
Commissions ba -7612 AUT Inspector's Signature Nltional Board, State. Province, and Endorsements Date PAO Stamp I JIMIll
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner-rnniumnere gneriff flmpAnX' Name Plant Palfa
,imep ,n1ppT P1.,n, 277RO RImbht ftm",;U ovep.rt-XI Work Performed by
".nna,,m,",-
Rnjo-sy 27780 Blue Star Hwy. Covert, MI Date Zo,
.Ox l Sheet of Unit w 0 ReRelflapmanit Orgawinzan P.O. No., Job No., em.
Type Code Symbol Stamp NIJ Authorization No.
N(A Exniratinn Dlta W /A Addree.
- 4. Identification of System A ~b CLA-
/6'ý
~
- 5. (a) Applicable Construction Code O c'S Li q='
- Edition, lAddenda, Code Case Yea (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity S (c) Applicable Section Xl Code Cases YA
-Y
- 6. Identification of Components:
ASME National Corrected, Code Name of Name of Mamufacture Board Year Removed, or Stamped Component Manufacturer Serial No.
No.
Other Identifieaon Built Installed (Yes or No)
-r~
~
~
~~~~~0 PC 4
t*___
~~sq3 I).JA~LC
- 7. Descition of Work P (~CfA(LCC
(,1-11:ýC JA7ýrf
ý;r-Q V
- 8. Tests Conducted HydruftlsU Pneumratd 0 Nominal Operating Prssur*e.
Exempt
,3 0dm 1 Remwre-pei Test Temp.
lF NOTEM Supplemnentl e
in Imm of K sketches or drawings may be used, provided (1) size is 81/2 In. x 11 in., (2) Information in items 1 through 6 on this report Is Incil on each sheet, and (3) each sheet Is numbered and number of sheets is recorded at the top of this form.
(99)
T Eb dllllI E00030 2.
3.
FORM NIS-2 (Back)
- 9. Remarks,*
0' Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of uthorization NL/A Expiration Date N/A Signe 45W Date 66&/M4--_________
CERTIrCATr E OF INSERVICE WdSPECflON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of M4*rh4in andemployedby Var-nttnr3y Muttil Tnaitranee Company of
,have inspected the components described in this Owner's Report during the period 11/20/99 to 01 and state that to the best of my knowledge and belief, the Owner 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 pro rt d or a loss of any kind arising from or connected with this inspection.
Commissions NZ -261 A..IT Inspector's Signature Rrtional Board, State. Province, and Endorsements Date r
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner-r,,nnt.vtea AI-rg Compang Date Z
I
/
00 Nae 277Rfl n,
t q
mj yT cx.
1 mr M
- 2. Plant Palleprle4a eW.ildo.
Plat,.
277RO Ritt. Reap cg,-C**,_rt.
XT Unit trn#0 3C
- rgg RenrirReplacemet Organizanon P.
N.. Jo. No., etc.
- 3. Work Performed by 1,1=,m,*-
W.**Nay Type Code Symbol Stamp MIA 27780 Authorization No.
NIA 27780 Blue Star Ry.
- Covert, MI Expiration Date W/A
- 4. Identincation of System C
1'2/LitCa-CLAL)
-Q(0L*MrC (Q t Yr--b O JA
... A MJ A
-A
- 5. (a) Applicable Construction Code -
- Edition, Addenda, Code Case Year (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity Year (c) Applicable Section XI Code Cases A IA
- 6. Identification of Components:
ASME National Corrected, Code Name of Name of Manufacturer Board Year Removed, or Stamped Component Manufacturer Sewial NO.
No.
Other Identification Built installed (Yes or No) 6VLIA.J04ý JAi%-I51 f3oc~c- (ýA UL 3C Ji7cZ
)JJ A
0B5
'8k LO5 A)(!:
- 7. Description of Work PLACCf (1-,426Aeeý,
dWfv 4 11 5,56(3 6Vu/1t
&0Cct 01/77-1 AJC~t S. Tests Conducted-Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure.X Exempt 0 Other C Pressuru pes Test Temp.
F NOTE: Supplemental shee In fonr of Hets, skltches, or drawings may be used, provided (1) size is 8'/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 number of sheets is recorded at the top of this form.
(7/99)
This form (E000301 may be obtained from the Order Dept, ASME 22 Law Drive, Box 2300. FaIrfield NJ 0707-2300.
6AAuF,46Te-O Pe 6
E00030
c3:440 1303 FORM NIS-2 (Back)
Remarks..
LCL SUPPLJ67/2 1K)-ACC6LjW6C UX7hI THE Applicable Manufacturer's Data Reports to be attached 2~L6~c6U~
~
TITLE-/O
&,c-~ 7716-Cl:-
Qf*4A ro1.r PAP-CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp N/A Certificate of futhorization No.
N/A Expiration Date N/A Signed/
9 4
Date (~~.(
?IZoe)O Ownwor wnse Delone.
Ttla 9.
CEfIfnCATE OF INSERVICE MUSPIC[
ON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of M4,h4
~n andemployedby Var'rnz(
%ittinal Tnn
-rancne+/- Compann of RTnhnfrn
-T have inspected the components described in this Owner's Report during the period 11/20/99 to fhla.L a. aoo I and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section Xl.
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 pro
.damge or a ls of any kind arising from or connected with this inspection.
Nftlonal Board, State, Province, and Endorsements Inspectors Signature Oats CAnvomlaskins 014ý
-. 060A "a".6
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner Can arne.-V
- no=-y Compa=n Nmom LIA B-2 R*.Kaa
,,t..C, iiu'm *.._
ct.
XT Plant Pn14.-,,Ahf Vi199.faeDle2e.
97 7 90 1%,,,. R tJ*-
H %,,. o va,.
X TH Work Performed by cinnal
-a "m41-g 27780 Blue Star Rvy.
Covert.
WIT Date O Pr;u Zool Sheet 1
of, Unit Repuirlflepemmt Ofganma P.O. No-Job No. W.
Type Code Symbol Stamp VIA Authorization No.,
__A Enirstion !De W/A
- 4. Identi~lation of System Scr ýCr~C~ Lc i
~ J&
5.(a)Applicable Construction Coda Z155 Edition,.
C.
- Addend, V\\
Code Case Yew (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity Ye Yew (c) Applicable Setion Xl Code Cas A
- 6. Identification of Components:
ASME Nationa Corac"W1 Code Name Of Name of Manufaetl bald Yew Removed, or Stamped Component Manufacturer Seria NI.
No.
Ote lduflcedon Bulk Installel (yes or No)
~~~~~~~~~~Z Ll~~__
V4L
'~~
- 7. Deow ption of Work (~ifeLV~rA d
SOZX~c4 T ýzrlxcj
- 8. Tm Conducted: Hydrostf U Peumelld D Nominal Operating Prenusr.#
Exempt 0 OdurP Pmue pml Test Temp.
-F NOT'E SupikmWil" sheeUt l10 of Ii*
4thes. or drawings may be usd, provided (1) alas sB 8Y i. x 11 in., (2) information in items I through 6on this repe is inclded on each sheet, and (3) each sheet is numbered and nu mberof sheft Is.e at the top of ths form.
(7/ge, This form W=005) may be obtained from the Order Dept.. AiSME n Law Drive Du 2300 Fa~sKld NJ @7007-rnL 10 lhhh0 l E00030 2.
3.
ci§(o10L4 o3 FORM NIS-2 (Back)
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPUANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of, iN
/A Expiration Date
/A Signe ODaft;O 2~
2*cz1 Owner or Owner~s Desgnee. Til~ezo 9
Reanirksn A<
CORMFIr.ATE OF IdSERVICU IUFECTIOI I, the undersigned, holding a valid commission Issued by the National Board of Soler and Pressure Vesael Inspectors and the State or Province of M4t.h4M nn andemployedby EIet*Ont Mutual Tnsurance Compiny of Jt*h,,-
RT.
have inspected the components described In this Owner's Report during the period 11/20/99 to f/3eZ..l'
/
,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken correctiv measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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 damage, a loss of any kind arising from or connected with this inspection.
Commissions NX -.7*o_
AU)XT Inspectr's Sipnabr milond Board, State. Provkne and Endorsernents Date
.a 4401
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner Cn*aml'a C
neL Vg Cnmpany Name Q
I11C1
.QtiR* _nx l
V T*
Ma_
Plant PnAl MIC-l,92-
- Plni, 277RO R1I11 Stay fTh,",*.rt,-
MT Work Performed by Crnna,,mav@r-a R,=*'s, 27780 Blue Star Hwy.
Covert-MT Date q
Z.oo)
Sheet
]
of _
Unit 1
Repair/Reaacement Orgaization P.O. No., Job No., etc.
Type Code Symbol Stamp Wll Authorization No.
NIA "rý I/A
- 4. Identification of System t rR Cc )c.zr 6SL
- 5. (a) Applicable Construction Code
- Edition, Addenda, Code Case Yer (b) Applicable Edition of Section Xl Utilized for Repair/Replacement Activity Bq Yeir (c) Applicable Section Xl Code Cases
- 6. Identification of Components:
ASME National Corrected.
Code Name of Name of Manufacturer Board Year Removed, or Stamped Component Manufacturer Serial No.
No.
Other Identificalion j.!ilt Installed (Yes or No)
- 1. e I r%-i-io(of Wrk Octz..,.-L 6I.
So-0'8L cbs'5c.
- 8. Tests Conducted:
Hydrosatfc 0 Pneumatic 0 Nominal Operating Pressu.re Exempt 0 Other CI Pressure-psi Test Temp.
"IF NOTE: Supp*lemental shefts In form of lis, seches or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) Information in items I through 6 on this reo is Included on each shoe, and (3) each sheet is numbered and number of sheets is recorded at the top of this form.
(7/99)
This form (EO0030) may be obtained from the Ofder Dept, ASML 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300.
l ll l
E00030
- 2.
3.
9L40/0L4)14 FORM NIS-2 (Back)
- 9. Remarks A C/.
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section X1.
Type Code Symbol Stamp N/A Certificate of thorization No.
NA.
Expiration Date N/A Sie Owner or Owner's Daesgne., Tte D
Date 4/Aez/o.o11?0 /
CIRTICAFTE OF INSERVICE WJSFECT1O I, the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of M4t h4 nn andempkioyedby Far-trn=- Miutnal Tnauranee Company of Tnhntia1n, R-T have inspected the components described in this Owner's Report during the period 11/20/99 to 4P8;L/-0 020,0 1
, and state that to the best of my knowledge and belief, the Owner 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 omage or a loss of any kind arising from or connected with this inspection.
Commissions DI_ -7Z62 ARtT Inspoctor's Slgnlture Nkllonal Board, State, Province, and Endorsements
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner rim
,mor nArg C;m-CX 9777Rn itffli.
ot.
- 2. Plant P J1Nklmd.
Unclet.91 A.%*.
""777 O
I p......
I Add~m
- 3. Work Performed by
(!rsaleiv..-0 u-y F1me 27780 Blue Star Hw.-
Covrt~. MT Date 6,0r;l
-2 zcX.
Sheet I
of Unit 1
vop0 214if o 44A Jer"WIOecimme OUuwmeon P.O. No.. Job No.. ev.
Type Code Symbol Stamp VIfJA Authorization No._
Exmiration Data
/
- 4. identification of System -S frvicc-J~ U 5
- 5. (a) Applicable Construction Coda E
I
- dition, i\\
- Addenda, Code Case Yew (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity (Q
Yeaw (c) Applicable Section XI Code Cases VA
- 6. Identification of Components:
ASME Natonal Code Njme of Name of Manufaiier' Board Yw Removed, or Stamped Componen Manuef ter Sekd No.
No.
Odwir Identillcadon Bi IntaIbt-(Yes or No)
J7T~t Oa~r(574?
Z qs.
V4 14 AJO
- 7. Do=crptlon ofWork Vc~O&vk k.
-- 5
-14 0-+
/ýlýu(-a ('s, 8.Tests Conducted Hydrosde M~
Pwwnseuai 0 Nominal Operating Pressure.
Exempt 0 OduesaG Puesmim Pei Tedt Tamp.
NOTE: Suppleetal alebm iof E
smlchee. or drawings. may be usd, provided (1) sin ie 8 in. x 11 in, (2) information in items I through 6 on this rport is included on seeh shest* and (3) each sheet is numbered and number of sheets is recorded at the top of this form.
(7/91 This fm I=000) be obained from the ore D L 22 Loaw Ode..
Ir 231 F--
NIl lll llll EO003=
)4olo4b&
FORM NIS-2 (Back) 9Remarks I I CA/ z-C Applicable Manufacturer's Data Reports to be attached CERTlFICATE OF COMPIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp N/A Certificate of #uhrizaton N N/A Expiration Oate N/A s igneýd OwnS 6Ve 2311tie SignesOaine.-d Date-,
/
ICATE OF MISHRVICU WNO ECnM I, the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mith4-,AT andemployedby FAnt, n*
Mu(tual TnauraneQ CQomatn of
_TXnhapnn.
V.T.
have inspected the components described In this Owner's Report durlng the period 11/20/99 to
., iL.
2../
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code. Section XL 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 personsl"*u~
or a loss of any kind arising from or connected with this Inspection.
Commissions UT -7.2 AIlIST
-- MUOOn"-Board, State. Pravkns and Endorsements Inspetofs nsre
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI I.
OJwnrir
.. rn..........
rrlrr Lomknpany NHm 277790 RI1-1 R-m Htr Uw ftp7.r XT
- 2. Plant Pallitala-l2lo.1pp, P21myst 277RO Rid-Renvr ft 9.ý,ezt "X Date A
I L-2t Z oo(
Sheet L
.of Unit 1
RepgiriReopnlconit Orgaeiizat*on P.O. No., Job No.. emc.
- 3. Work Performed by -rina,,,Imaa Energy Type Code Symbol Stamp Name Authorization No.
27780 Blue Star Hwy. Covert-. MI Expiration Date
- 4. Identifcation of System d
Pdre
_.I/ee ek (CO LAOUTT P6S>
ff{A MIA
- 5. (a) Applicable Construction Code A
-SME I (*
3 -
- Edition, t
- Addenda, A I a Code Case Yaw (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity Year (c) Applicable Section XI Code Cases
- 6. Identification of Components:
ASME National Corrected.
Code Name of Name of Manufacturer Board Year Removed, or Stamped Component Manufacturer Serial No.
No.
Other Identification Built Installed Yes or No)
ST_____
4
__._1
_/
q(+.
C1jI4 L__
.D pn-.
o*for oP A
r 'oQA tot 6403773ZI 9A CZ
.-TLUr,4aao AJ.AD
- 8. Tests Conducted: Hydrostatic 0 Pneumatic [3 Nominal Operating Pressum.x Otr 0 Proemure psi Test Temp.
- F NOTE: Supplemental 1e In form of net sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items I through 6 on this report Is included on each sheet, and (3) each sheet is numbered and number of sheets is recorded at the top of this form.
(7/991 This form EaS)may be obtained from the Order Dept,. ASAE, 22 Law Drive. Box 2300. Fairfield NJ 07007-23 Ml~h l
E00030 Exempt 03
,D o) z FORM NIS-2 (Back)
Applicable Manufacturer's Data Reports to be attached CURT1MCATE OF INSEIReWCE 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 M-t'h4nn andemployed by Vlr-t!ttnr Muital_ Tnautranee Comnpany of Tnhnati ;
T_
have inspected the components described in this Owner's Report during the period 11/20/99 to A7&
'/
,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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 persona or a loss of any kind arising from or connected with this inspection.
31~~ layM UW Inspector's Signaus Date az?
lItional Board, State, Province, and Endorsements 0 0 ak c
CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of thoization No.
N/A Expiration Date N/A Signe d Owna wne Dater's
,'/
I /
W"Wor Owner's 0someelne ltme
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner r.ninaisimert-a ni'rgy Cenm**iny 777Rs un..
a.--
u r',I E,
Plant PA1I m
I,,,dT P1 0"t 277Rf Rllt.,c RAr L
ft;;*,muv,rt "MXT Work Performed by er~n talimA1-o WRiaY.gys Nove 27780 Blue Star Hwv.
Covert, MT Date A PPt L-2 Zooi Sheet I
of Unit 1
Repairt/Fiawnlnmt Orgauizaocn P.O. No.. Job No., etc.
Type Code Symbol Stamp l1/A Authorization No.
N/A r
, ;:r%
Wi/A
- 4. Identifcation of System
- ;Ii L_\\
L.
L f
I.
L
. (a)nApplicable Construction Code
!on,
- Addenda, Code Case Yew (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity Year (C) Applicable Section X, Code Cases i" - t
- 6. Identification of Components:
ASME National Corrected.
Code Name of Name of Manufacturer Board Year Removed, or Stamped Component Manufacturw Serial No.
No.
Other Identification Built Installed (Yes or No)
(3 7-4./ O 3 C-c
~
1 a c /
1.
~ 7 4 ~
- 7. Description of Work
,6PLA*
l-A-"L1 0,-JI 6ý,,ATh) 6 M
OYA O.),WY4 S. Tests Conducted:
Hydrostatic 0 Pneumatic 0 Nominal Operating Pressur e.
Exempt Other Preseure pel Test Temp.
- F NOTE: Supplemental she In form of Ne.
altaches, or drawings may be used, provided (1) sie Is 81/2 in. x 11 In., (2) information in items 1 through 6 on this re is included on each sheet, and (3) each sheet is numbered and number of sheets is recorded at the top of this form.
(7/99)
This form (5O00309) may be obtained horom dhe Order Oept.. ASDAE 22 Law Drive, Box 2300, FairkKld NJ 07w07-2300.
M0 iii III E00030
- 2.
3.
IIJ" I1
-ý4o Io z413 FORM NIS-2 (Back)
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of thonzation N-N Expiration Date N/A Sigd
?
2-
-ZOO(
CER1TOCATE OF INSERVICE WISPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mirehigni andemphoyedby Faernl:ry Mnt,* ial Tnamurance Compain of Tnrhinann -12
- T have inspected the components described in this Owner's Report during the period 11/20/99 to APAL 3.
oo/
,and state that to the best of my knowledge and belief, the Owner 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 injurya or a loss of any kind arising from or connected with this inspection.
Commissions NI -762 A"UT Inspctoes SignatWur Ntional Board, Stats, Province, and Endorsements Date AO/L
.'3
-ZOO/
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner riIJ m*'er.
1Rry nr
... e
-7 e777R ghe gigWp MT~
Irb0 I"
- 2. Plant PAi JlN lhl4 abluie
-l Pa*,..
277RO UhT.,
RP--r 3
.j
_..r K,
Sneet I
O Unit I
- _jZ'-.Wo\\ Gs
-S-ftmpalriflgpiamge OqWi~zadw P.O. No.. Job P&3,
- 3. Work Performed by.
-m Wvna,-gu Type Code Symbol Stamp 3!l Authorization No.
I(
27780 Blue Star TH%%Covert:.
- 4. Identification of System t4(~ ~ ~~i
- 5. (a) Applicable Construction Code
~Edition, IS Addenda..
Code Case (b) Applicable Edition of Section Xl Utilized for Repair/Replacement Activity a ct (c) Applicable Section Xl Code Cases,
A
- I
- 6. Identification of Components:
ASME Natona Corracta*
Code Name of Name of Mafter Board Year Removed r Stamped Component Manufactue So" N&.
No.
Other kIdeaton Will Installed (yes or No)
CA -
4 ýr ca__?
b" I
\\
^
G~c;s illI~
1Oa
~~s L.W PC.~
it___
~e k~.
~
Z0 - ?'
075
~~
-O.
J4-Poo3 13 ~
zco_
7.Description ofWork -
o..7:
'Et'g, 3
- 8. Tests Conducted: Hydroso 0.
Pneumnsd 0 Nominal Operating Pressure.1(
Exempt 0 Othe 12 Pressure Pal Test Temp.
NOTE-Supplementer hs In ftm of IW dietchee or drmawngs may be used, provided 11) size in Y2 in x 11 in., (2) information in items 1 through 600 tho s rpoet is Included en each shedK, and (3) each sheet is numbered end number of sheets Is recorded at the top of this form.
(7/99)
This form (50002) may be obtained from the Order Dept.. ASME. 22 Law Orive. Box 23006 Fairfield, NJ 07W0-2200.
l01lh1hhl E00030
FORM NIS-2 (Back)
- 9. Remarks APP11cable Manufacturer's Oats Reports to be attacthed CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section XA.
Type Code Symbol Stamp N/A Certificate of rization No.
N/A Expiration Date N/A sIgned I'Xz le se kt-Date -
vA~
82C Owne or Owner's Oseigneef '
CEITInRCATE OF IwSERVICE mp*inon I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel IpectorS and the State or Province of M4ghsa"n andemployedby raeU-nr-= M tual na1 suranen Colmany of~xhnmnn-
-T-have inspected the components described in this Owner's Report during the period 11/20/99 ao "a
t hat to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASMRE Code, Section XG.
By signing this certificate neither the Inspector r his employer makes any warranty, expresped 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 propey damage or a loss of any kind aising from or connected with this inspection.
wý-#54U Commissions -
N
-'762, A UST Irspdmco's Signature Ftione Board, State, Provincs and Endorsements Date
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI "1.
Owner
".mimn r
Date Apr; 1 3 oc
?77R la u Star. W t'
XT of
-BL H-- -A&& --.-
Sheet 1
o
- 2. Plant Pnl epA.l, i,,*ilia*.
l"'dl Unit _
Name neRpairjt*ecreuit Organization P.O. No., J-b No., etc.
- 3. Work Performed by -
lngi,,m-'ra PneyT ol m
NetWa TypeCodeSymbol Stamp VIA Authorization No.
N(A 27780 Blue Star RwUy Covert' MT Expiration Date N/A Adyd"ee
- 4. Identification of System 61 1
/xCAA
/
- 5. (a) Applicable Construction Code 6Y) j
[
I
- Edition, A 1l4.
- Addenda, 4 lzýL Code Cs (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity sq "1*
Year (C) Applicable Section X, Code Cases __
Yr
- 6. Identification of Components:
ASME National Corrected.
Code Name of Name of Manufacturer Board Year Reoved, or Stamped Component Manufaturr Serial No.
No.
Other Identification Buit Installed (Yee o Nal a
Ct4,&4~ ~-4 v't kL Ila o3 oo32/L A
Uc I
1
- 7.
Description of Work nWS+/-f rt
- f. rYIALA3Lý
~
SIC.
46 Sb)A
- 8. Tests Conducted.
Hydrostat* C Pneumatic 0 Nominal Operating PressureX Exempt 0 Other (C3.
Prssure ps I
Test Temp.
- F NOTE: Supplemental shee I form of NOW sketches. or drawings may be used, provided (1) sie is 81/2 in. x 11 in., (2) information in items 1 through 6 on this rpt is Included on each shoee, and (3) each sheet is numbered and number of sheets is recorded at the top of this form.
(7/99)
This form (E00030) may be obtained from the Order Depm. ASM., 22 Law Drive, Box 2300 Fairlield, NJ 07007-2300.
01 11 ll1 E00030 0ý7 "0
Hoi-*
S714 0
&4 EA..
,,zwn7*. /,
t
-/,L.-
I
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- 9. Remarks 0AFORM NIS-2 (Back)
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of Ithorin t
N/A Expiration Date N/A Signed,;
Owe Dat Owner's Oehe T, S'4,0 Dat CERTNWIATIE OF INSERVICE IINSPECflON I, the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessal Inspectors and the State or Province of Mit-h4i!an andemployed by VFAa-tor Mutiual Tnautrancte Com1ian of Tnhiiat'nn R-T-have inspected the components described in this Owner's Report during the period 11/20/99 to V&-.L 1% *:*°o
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
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 rpworty dams or a loss of any kind arising from or connected with this inspection.
Commissions
.XI -762 AUUT Inspector's Signiaue.
rltional Board, State, Province, and Endorsements Date A4ZLL /
(
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner-C...,...
r1-ergy C1..1-*an Date r cCL.AC IC c*
2777nARflR..
.P--rart.
X Sheet L
Vof._
- 2. Plant PpliadeA.
W.u1*n*- Plawl.
II.,'.
277AO ut.s"v1T~tiyrtN Work Performed by rn"a1."P 27780 Blue Star Hw. Covert MT VA*
HeP&_Pae_,
n Omg&&*o P.O. NoJ No..
Type Code Symbol Stamp NI&
Authorization No.
-N/
- 4. Identification of System AaiVe~m_
(ckc <! (i S. (a)Applicable Construction Code SM
/.
Edition Addenda,.
K Code Case Yeaw (b) Applicable Edition of Section Xl Utilized for Repair/Replacement Activity Yw (c) Applicable Section X. Code Cases J/L
- 6. Identification of Components:
ASME Nationalcfetd Code Name of Noms of Manufactourr Board Yew Removed, or Stamped Compone Manufacturer Serial No.
No.
Other Identification
-Built italled (Yes or Nol
- ZAAI, Z f2 cSzýj LUf9?c C.-. *(f,4 c.--b. E19.
po*
Z 2 -__--
_ Go?2i L5-3 d* I
._n
ýllrc_
,1t
'*x
- 7. Description of Work 'fl3n i
l2 C
0- U OCr-4L15/Iqjs (L511 1(CZV r 753c. (J'c
&. Tests Conducted: Hydsoda 0 El Pwneft 0 Nominal Operating Premsure.
Exempt 0 Othera Preemure pei TeTemp.
F NOTE: Supplmnrdtal In i feM of NOW. bsdchws, or drawings may be use", provided (1) size Is 81/2 i x 11 in. (2) information in items 1 through 6 on this repoti Is Inchided on each shevs, and (3) each sheet is numbered and number of sheets is recorded at the top of this form.
(7/9W This form (E0003) may be obtalned from the Order Ospi. ASME. 22 Law Drime Box 2300. arfteld NIJ 07W0-2300.
l~IM hhhll E00030 3.
ý4o0t6 55 FORM NIS-2 (Back)
- 9.
Remarks do 6oa Fk k
po176di&Cc Applicable Manufacturer's Data Reports to be attached CERliFICATE OF CORMPLLANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp N/A Certificate Authorization No.
N/A Expiration Date N/A pi 71 i
Zt
,~
S-~'61'-
Date-II5ýlU.
CERWiWATE-C OP~ n WdE VGC dP~lN~
I, the undersigned, holding a valid commiss*on issued by the National Board of Boiler and Pmssure Vessel Inspectors and the State or Province of M4 eh n
andemployedby Wsttr.r M.
utual
]injuraneg Co01aTS!
Of
.I?-T-have inspected the components described in this Owner's Report during the period 11/20/99 to
, and stated to the best of my knowledge and belief, the Owner has performed examinations and taken correctve measures described in this Owner's Report in accordance with the requirements of the ASME Code. Section XL 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 personap dernage or a loss of any kind arising from or connected with this inspection.
Commissions X
'762 a*r Inspectos Shinture dtonal Board, Stats. Province, and Endorsements Date
FORM N-2 OR NPT CERTIFICATE HOLDERs' DATA IEPORT FOR IDENTICAL NUCLEAR PARTS AND APPURTENANCES As Required by She ProhIjow "f the ASIWE Code, Seedam 111, Dlvhio I Not to Exceed oem bay's ProductS.
pg Iof I L. MameeemIW mad tes Wkd by CE NklerPos LLC. 55 Old ovRadNeke.NH owlS.
- 3. Londons eflusiallaien Comummn Enery onoa PawlasSlom ch
- 4. Tyrpe CND.E.4996 Rev. 05SE BAC WA (DrawAno..)
(Mal spec no.)
slobhigm)
(Cm) ywbi)
S.ASMNE Cede, Iell..I: 1916
-129 1
Nowe
"(ddomy tmddend)
(elme)
(code cue
- 6. Fabdriated o*crdeaee wfth Came. Spec. (Dlv. 2 only)
N/A Revision NWA Dme WA
- 7. Reuania:
CRDM Soad Housing Asse"Ies L N om d d b m pm
( i ) 0 S e e f a c m bi s d e s lm d
- c k
a 0 S e e ~c S cki
.I f
e m
k v v r l k & k 2 !~
- 9. Wham epplimaeCerdlimaee Raders' dfta reperts are for each kern of ibis repert
- 10. Desgn pressmr 2$00 psi Tep -22q.
-f HYdm1sesapon9mmjwe It" elwe 70 Of
CE Nuclear Power LLC 2M0 Day HMl ROad Windeor, CT 06095.00 CERTIFICATE OF CONFORMANCE This order h been proceed in accordance with me CE Nuclear Power (CENd) Quality Assuranc Mman (QAM.100), Fft dto, Rev.-'
, dated 12flI/0O
-; and other controls as indiate:
Adilanl, me above items were oSe under ASME Cefcate Of Auhoin N-2037, whic expires February 13,2002.
The above items(s) comply with ASME
,P&V Code Section III, Subsection No.Clas.
Ca 16..6, EdW n IncdinFmg O lendo through 198 Addenda.
Q"UatY Procedure Manul (QPM-101, Revision 5)
SSystem -Saing Gr QuWy Asumm e Progm (OAM-400), Revision T
ther___________
The above item(s) has sMa"rtiacoly pasWsed fnlProduct acceptance by CENP as follws&
X-Sourc Verifcatio; X Drop ShipRecaWIvi Inbp.;
X Poet Asaa ToU kim-a.*a,.
V~r W
U CENP hereby cerafle that the It"s) anor srvces descrIbed~
mee mtcnca eurmens vncluding rference Ode. scfitm*:ns and standards, of te referem d cusoer and evalted by propel executed deantion notSces.
Shipment of this item(s) is from CENP or from a supplier f b C Diatributloný
-a-tCovoia (OR" Fib Copy PmOJcU~esk Magnager D.L Momig T.J. linHey IS.T. SIMwic
- 1.
I~uie theof NO. P-NME-SPoom CND.E-4m0. Rev. 03 2Z The poIsioWN, of IOCFR Pt21 and OCRM Put 50 Append&x B ~pl
- 3.
ftewmns faictdPer rsqlrmenga of CENP ndsWOr W0N.2020 to CENP Neiaon
ý Amerati 2010009.con.2.doe Caning-w-ift-I UrAfte I
CE Nulea Power LLC Westinghouse Electri Comporly 55 Old Dover ROad Newingito, NH 03801 Page I of I CERTIFICATE OF CONFORMANCE PROJECT INFORMATION NEWINGTON INFORMATION PROJECT NAME:
Consumers Energ Company JOB NO.
5596 Shipment No. 2 CONTRACT NO.:
N/A P.OJM.O. NO.:
20002289 CUSTOMER ORDER NO.:
00321653 SUPPLEMENT NO.:
9 QUANTT DOR #
P.O. ITEM ORDER SHIP PART NUMBER DESCRIPTIONJDENTIFICATION.
N/A 1.0 45 8
TAD CRDM Seal Housing Assembly, consisting of:
CND-E-468& Rev. 09, Items 7. 9. and 13 (Dowe Pin, Dw& CND-E4996 Item 5, included not arnctbled)
Ident.: SIN's 216 tbm 220 & 23,232, 235 DEVIATION OF CONTRACT REQUIREMENTS (OCR)
TECHNIAL CHANGE REQUEST (TCR)
DCR No.: 2000229-1 thru 19 TCR No. I NOTES To Wboon i May yCore:
Wc hereby cmif6 th rn barn(s) described was brlie tested. examined and meeots die relUirmeas of Ow contract. Any exceptlon to da bove requiremeft have been documemed by propery executed Devation of CoMeMc Requirements (DCR) mad TedW Choup Requests (ICR) appved by the Customer.
This oder was mumheted In wcod
- 00. Doed Juy I?.2000. MAe.
suppled Is hIn accodwc wihb de Qualiy Asaumace Mamie wid If applicable upgraded per ASME Sectiom M, NCA.38S5.3 ASMdE Cadotitcl of Autioeiadlc N.2041. Expins 2M1V1. TIh pmovIs of OCFR Put 21 mid IOCFR PutS0, Appenix B Apply.
CERTFE BY Quality Assuance:
Dale:
2_/V Project Enguieenyl Date: ZZ1 Design Engineerin Date:
COCONFORMANCEDOT (7/1199)
FORM N-2 OR NPT CERTIFICATE HOLDERS'DATA REPORT FOR IDENTICAL NUCLEAR PARTS AND APPURTENANCES As Required by the Provlloimmf She ASME Code, Sectim III. DivIisa I Not to Exceed oue Day's Production pg I of I Moaaufatured &Wd wille by CE Nuckea Power LWC. Ss Omd Dove ROMd eiaon H081
J. Locatin or Iinstailem Consumev EPum Con
. waiae StAtin ici.
- 4. Type CNDE-4906 fev. 05 SE.E BACK
'SEE BACK NA20 (Thawing no.)
(mat' spec. no.)
(lemok sisugl)
(c/A (ye2bu0t
_LSE Ce e ee h 11 96 I96 W B Now C )
ew b it
.(ckimo)
(adde~nd)
(casTsbscin cd cue C FahiUSo Is aeerdage ifth CAaL. Spec. (Dlv. 2 s*~) WA Revisio WA Dame'WA
- 7. RlmarhIW CRDM Seat Homing Assamblle L P4Nsrn66*, amJ*)
- See Back gWiadflg ahlcum (&a)
See Back DhLaID (11 &1..)
See Back kghvrlf&a)'e~c
- 9. Wham applkcabke Cerdikage Halder data reporwe fmaftr eah
. of thsreot (3) 226MM
()
227
()
226
()
229 (IS) 2437
[m')
244 (13) 243
- 10. Design pmusw 130 psi I
U I
I MFG SERIAL NUMBER T
U 2906W 2907 2908 2909 2910 2931 (23)
U z
Pmt or Appuatngu Seam Num"o ASSEMBLY NUMBER
.00) 246 tot) 247 (01)
MFG SERIAL rNUMa 2924 2913 I
- w14 (25)
I 2915
[27) 2916 (30) 2918 (30) 2919 0II) 2920 (33) 292 (33)
.RAM Ir Temp 600 of lHydro.tmsm 3125 pilj~ ww"enp O0f 0
2916 (30 2917 z
z 2912 04) 2913 2914
c2S.eS
,qg CE Nuclear Power LLC 2000 Day HM Road Windsor, CT 000g5)000 CERTIFICATE OF CONFORMANCE
" I CUSTOMER I CENP Name:
Consumers Energy Certificate No.:
3 Page 1 of I
Plant Site:
Pahades Generating Plant Certificate is:
Condtional -
]
Order is: Inomplete'I I Order No.:
G032 1853 Uncondtonal X I Complete M
x LatestRev.:
001-dated S/24100 CENP Project No.:
2010009 Supp.
NA
_ X J Additional Records Attached Customer CENP Ouanti.
Item Rom Order Ship Part Number -
u crli_
l 001 1
45 19 CND-E-4688 C0463)
CRDM Seal Housin Asse..b.
_Items
- 7, 9. 13
-ANoy-600 CRUM Seel Hous~
S/N's 224. 225. 226, 227. 228,229, 230. 236, Consumers Energy Stock No.
237, 238. 239, 240, 241,242, 243, 244, 2402451 245,246.247 This order has been processed in accordance with the CE Nuclear Power (CENP) Quality Assurance Manual (QAM-100), Ff Edition, Rev.
1
,dated 12M11/00
- and other controls as indicated
Additonaly, the above items were processed under ASME Certificate of Authoization N-2037. which expires Febuary 13,2002.
The above items(s) comply with ASME BP&V Code Section IN, Subsection NB. Class 1, 1986 Edition including
'denda through 1968 Addenda.
X Quasy Procedures Manuel (QPM-101, Revision 5)
Systeam St GroupQ OQuay Assurance Program (
400). Revision Other The above item(s) has satisfcorify passed final product acceptamce by CENP as follows:
X Soure Vedifation; X Drop Ship/Receiving Insp.;
X Poet Asay TWt n*section; X Document review CENP hereby ceodies that the item(s) anor service(s) described hereon meet he tnica requirements,. incudn reftrenced codes, specfications and standerds, ofthe refrenced cutomer Any o said requirements he been documented and evaluated by proprly mxtd deviation notices.
Shipment f this i at
) Is from CENP or fRom a supplier sp Date:
tE NP-(.
Quality Control RepreenftatveU Dte.r2 0
Co~ EOnn_
Dat: ?'
lZ - 0 Distribution Conmments I Hobs cuay Control (ORI)
Pile Copy
.1.
Items supld" Ler the requiements of Se.No. P-NOME-SP-0078 PrMWarTosk Manager (Cert Pkg)
Rev. 00,and 4 ro ngs:.
D.L SUb CND-E--.8, Rev. 09 PucMhing (Cod Pkg)
CND-E-4899, Rev. 05 T.J. Hunchey Cognaqnt Engineer S.T. Slonk (Ctn Pkg)
(Coit Pkg) to CENP Newinaton Ooerationis.
20! #jiJ9-cej-3doc
- 2.
The pOVisions of 10CFR Part 21 and IOCFR Pad 50. Appendix applies.
a.3.
Items fabricated now the reaulrements of CENP Wndsor PO No. 20002289
CE Nuclea Power LJ Weastn me Electric Compay 55 Old Dover Road Newilpw NH 03501 Page I of I CERTIFICATE OF CONFORMANCE
- ROJECT INFORMATION WESTINGHOUSE INFORMATION CUSTOMER/PROJECT:
Consumers Energy Company CERTIFICATE NO.:-
01-002 CONTRACT NO.:
N/A JOB NO.:
5596 Shipment No. 3 CUSTOMER ORDER NO.:
G0321653 P.O./M.O. NO.:
20002289 ASME CODE EDITION:
1986 SUPPLEMENT NO.:
9 ADDENDA:
1983 SUBSECTION:
NB QUANTITY DOR #
P.O. ITEM ORDER SHIP PART NUMBER DESCRPTION/IDENTIFICATION.
N/A 1.0 45 19 T0463 CRDM Seal Housing Assembly, Consisting of:
CND-E.4688 Rev. 09, Items 7,9, and 13 (Dowd Pin, DWG. CND-E4996 Itan 5, included not resembled)
IdeaL: S/N's 224 thin 230 & 236 thru 247 DEVIATION NOTICES DEVIATION OF CONTRACT REQUIREMENTS TECHNICAL CHANGE REQUESTS, DCR No.: 20002289-I thru 19 TCR No. I NOTES We hereby ceutify did the materl Iem md/o servim described hereon meet ie-quality ad Weba r**,Aquk ie iding relb0recM codes&
spedfamiom ad stmadds, of tie referenced customer crder. Any exccptidom td*
ms have bem docveumatd md evauatd by propeety executed devon mdec This onler wa mawbetuied in accrdmace with the CE Nuclear Power LLC. Newhn Operatimc. Quality Asmmm Mialud, Revision 00. Dfted July 17,2000. Material sappki eds iancc n i-with the Quality Assance Muarl "d. irvpoicmbe. upgpai per ASME Section In. NCA-34$5.5 ASME Catificate of Authorhaton N-2041. Expre 2/oz ACERTIFIED BY Quality Assurance:
D:e:
Project Enginerin:
Dae:
Design Enginceerin.-
Date:
COCONFORMASME.DOT (2/ 1 OI) 4.
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code, Section Xl
- 1. Owner r~Vinna~l!V exim g
An~c mPan3y oP772n plant P2MArlit Mygfd..~
2 P'ai.
277O Rh1i.
qtp' WT'?
1 V'__r."I Work Performed by Cn,.'sti,.-ua 1,*,
27780 Blue Star, Cover-t. MT Date FQA 1, Z-C L Sheet 1
of I
Unit
-W-0
- ear~p~amn Ot'ga4sof I
.O ao.
Job N..
Type Code Symbol Stamp
/JA Authorization No. __
0-d-imt.
ft..
V1I A
- 4. Identification of System UVO6Z /W
~
~
(pXD t VA
- 5. (a)
Applicable Construction Code CtYn 27j1 AL__
- Edition, Addenda, C
Code Case YAw (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity 8e Yew (c) Applicable Section Xl Code Cases
'2 4}
e
- 6. Identification of Components:
ASME yfcn-Corretd Code NameoffNmo Yewr Remnove. or Stamped Serial NoNO.
0 Iden i
Intlld
(
or No)
- ______a, Z*..
Z q 1e,.2J&* I/ _fs
-cc'( V6$_S Z-58 I.
POCt
- 7. Description ofWork f'C(-41 I,
n-3 9
62,0 Icu1sr1ý OA& Qcac4cs&,4)
- 8. Tests Conducted: Hydreoea
[
Pneownadf 0 Nominal Operating Pre
- ur.4 Exempt 0 OtherO Premure pal Tem Temp.
IF NOTE. Supplemena IbeIt l for a "
of %"6 d*Whee or drawng may be use provided f1) Size is 81/ in. x 11 in., (2) information in items 1 trough 6 on this reWt Is InChAdId on each Sheet. and (3) each sheet is numbered and number of shets is recorded at the top of this form.
(7i191 This f--n 1E00030) May be obtained from the Orinr OepL. ASME.L 22 Law 0,1w. Box 2300. FairKld Au 070-2300.
lM hhhhlI E00=
- 2.
3.
9'4Oc OI5 0-S'-
FORM NIS-2 (Back)
Applicable Manufacturer's Oata RF'1prts to be attached CERTFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Cartiflcateofutho 7 1 Tio o
N/A Expiration Dat N/A Signed__
Date__
Owe or2 OwssDsgne il CE11CATE OF WNSERVICE W WSPECTlIM I, the undersigned, holding a valid commission Issued by the National Board of Boiler and Presar Vessel Inspectors and the State or Province of Mitrhiln and employed by Tglery Nujial Tnauranee ComanV of.
Xnhrnrn,-
R. T.
have inspected the components described in this Owners Report during the period 11/20/99 and sa tha to the best of my knowledge and belief, On Owner has performed examinations and taken correctiv measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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 aroperty damage or a loss of any kind arising forn or connected with this inspection.
_Com missions NX -762 AU)NT Inspector's Sgnature tional Board, State. Province. and Endoremens Dateo v
w v
FORM N-2 OR NPT CERTIFICATE NIOWERS' DATA REPORT FOR IDENTICAL NUCLEAR PARTS AND APPURTENANCES As Required by the Prov ision of die ASME Code, Sect.. III,, Divbio I Not to Exceed one Day's Production pg Iof I I*
I. Pmhubar"jmdcgje bY -CE Nuclw IerLC.S l Deve Rost.Newluggog NH 0380.
- 4. Typ -CNDE.4994 Rev. 0S*SE AC
/
(me ape o) usuk amqh)(CM)
(yinbulk (edh m )'
(i
( i )
4.Fabrkma is b accrdin wil COWL SPmc (Dlv. 2 uy) _MA ReWoes WA De tWA
- 7. Rcmerftwa CUDWt &.1 Iloah Asesmbfin 9-Wi.. OPPikab Cerltulue Raider daft repwa awe for e"c *ta of abl report 4;
- 10. DeSign pnmsur
-2W Psi Temp Go0 Of Hyd M.4ctwesuuj312L pMa "
70 IF PtOr Appwnsmmm ae Apma saipW~
FM aed Apaumb.
ASSEMBLY NUMBER MFSEILNMMAKBVtj=
MFG SEIAL NUDER
-SERIAL NUmtUR (1,
201 28802(3)2223 (2) 202 2881(U (3) 203 28 (n)
(4) 204 2883 1(21)
- 45) 205 2884 (22 (6) 206 2885
- 03)
(7) 207 2886
('
(5 208 2887@5 m 209 2888 (21 (210220 (14) 214 (11 m 1 2894 0
0 L
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code, Section Xl
- 1. Owner-Qnnaum paz l
- Ttirg tnmpaw I~"
7N i
g
- 2. Plant PziaA,,,
n 1,.*1
,.. Ploap
'4-Ill.
- 3. Work Performed by
(,nOhI..-
IN, -. F 27780 Blue Star HMrv. Coverta NIT
- 4.
6.
Date I~
~
shoot 1
of __
Unet o
o-*"%-
'Ho;--_,,-, On-,wft__.on P.O. No, JobNo. eW.ý Type Code Symbol Stamp X/A Authorization No.
N/A Expiration Domt NIA Identification of System,
l...u
- 3L-._L*,
)
(a) Applicable Construction Code 133 I y_
Addenda.,
Code Case (b) Applicable Edition of Section XI Utilind for Repair/Replacement Activity Yew (c) Applicable Section XI Code Cases VA14ý 1
- 6. Identification of Components:
ASME Naina or*W Code Norns O
No of anuaduer Bardyew Rentved or Stamped Cmoet Manufactiare Seo" NIL NIL Other Idendficatian 31*l Inastawe (Yes or No)
AV.LocVC. ______
Pp P6
______c
~
AsA 5ifq-/-m9 3svitce-lo t,)6 T___
UZ 9e AJIA 463eazI I
______o 0A N___
A
&q:e1I q8 JZ~rU&V~
A-b
- 7. Description of Workdr
- 8. Tests Conducted:
Hydrosudof a~
V9AI-v MV-SO281 Pneumolk 0 Nominal Operating Prsum.1Z Exempt 0 Othsr*
Pnoommw psi Test Temp.
IF NOTE: SuPplemena s in tam of Iso. atches, or drawings may be used, provided (1) ame Is 812 in. x 11 In.. (2) information in item I hrough 6 on this iponr iel-hA on *a@h shoot, and (3) each sheoo is numbered and number of ses i reo d at the top of this form.
(7/We This form MOW=30 mnay be obntaktd from doi Order Dept., AWWU 22 Law Dr% Box Z1K 2300 Pa NJg4 WW4 =
0707236.
1hh E00030 awO &Y'mo MneA~eA~
rhape*flo&.
- 06.
3101 A"
A~I.7
.Dt
~FORM NIS-2 (Back)
- 9. Remarks
'UP4 2LY CdC Applicable Manufacturer's Data Reports to be attached CERTWFICATE OF COMPUANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section XA.
Type Code Symbol Stamp N/A Cent"lc At/
.ut o,;oo1, N/A t
DateN/A
.t
- e.
E x i at o D o,?
5 C~iTN**~OF wNSwcI INSPCTION 1, the undersigned, howldin a vali~d qommieslon Issued by the National Board! of Boile and Pressure Vesse Inspectors and the State or Province of Hi -hi Stn'u andemployWdby Ity n~a Ttnaursttce Compny Ofi 'tnhis Ownet*n_
tdgT.
1 hev Inspected the components described In this Owneres Repor during the period 1'1/201'99' to
- a.
tteta to the best of my knowlege and bele the Ownnr has pefrmed examinatilon and taken cor"rective messure described, in this Owner's Report in accordance with the'requiremenits of the ASME Code. Secdet XA By signing this certificate neither the Inspector nor his employer makes any warranty, expresse or implied, concerning the examinations and correct ve measures described in this Ownser Report Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury o erty do or a loss of any kind wising from or connected with this inspection.
Commiss~lr Jionsll lUTr
- ,)
lir Mbtlona Board, State, Pirovnce, and Endorsements Inspeciv-s Snature Date
FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR N.UCLEAR PUMPS OR VALVES As Required by the Provisions of the ASME Code,Section III, Dlsio...
n 1
- 1. Manufactured and cortifiled by Velan Inc. 550 Mc Arthur
-l.......
H....
- a.
(nammend address of N Cetificate Holder)
- 2. Manufactured for Cons-M.e" Power. P" "
e ern-.
P--.. 27780. Bue-St--
Ma---
1Hwv; Covert-MI. 49043.
Un_-ed-sta-_-.
- 3. Location of Installation Palisades Genem,-*
nlant. 27780. Blue Star.Me....a.w
,. MI. 490-3. Unitd states.
-A sal i
- 4. Model No., Series No., or Type B1.0904C.02T5 Drawing P012.013210-N101 Rev._L. CRN W/A
- 5. ASME Code,Section III, Division 1:
1980 2
THRU 1981 SUMMER 3__
WA ledlitio) leddenda date)
(des.)
(Code Case no.)
- 6. Pump or valve
,,oted Bonnet Ga Valve ICaItQ Nomilnal Inlet size-3".
Outlet size..
- i. )
(In.)(in.)
- 7. Material: Body Gr, WCB. ASME SA 216 Bonnet Gr. WCB-ASME SA 216 Wefts eNA&iL Bolting On_ AM IN Hiard Face:Sir.11TE 6
.21.
AMEA (a)
(b)
(c)
(d)
(e)
Cert.
Natl Body Bont WE Holder's Board Serial Serial Serial Serial No.
No.
No.
No.
No.
012131 -1" 012131-2 012131-3 012131-4 132645-"1 1HIC - F10460 132645-2 (If¢ - F.82796 1 32-M4--3 --
(HIC - F10401, WC/ - FIQ-4771 1481 f AC-F-3 "Supplemental information In form of Nets, sketches, or drawings may be used provided (1) size is W x 11, (2) Rnoimtl In 1.ý10` tlOuilh 4 on this Data Report Is Included on each sheet, (3) each sheet is numbered and the number of sheet Is recded at the top of this form.
(12188)
This form (E00037) maybe obtained from the Order Dept, AME, 22 Law Drive, Box 2300, FirfIeld, N J 07007"2300.
- 012131 - ITHRU 4
`7
%Vnemw-
-uw ww, 62977 Room
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. O w ner C n n ei ig gg.1 gn wrgw (C - 0p n x 2 77Rfl R11,.,
@iMVu lRum &
WT.,p 2.
277RO 1Ip RtAy" m.
- 3. Work Performed by t~wrImus Ren~
Date
,2Ly 2
60/
Shoee I.......L of__________
Unit v g a 2-4,112301 Tye rloideSym orl OrgSft p
P.. Na. Job No., aL Type Cods Symbol Stamp MIA Authorization No.
l/A Z7780 Blue Star Hw oCovert.. MT ExpiaionDate MIA
- 4. Identification ofSytem S. Ia) Applicable Constructon Cods AM.__.13 1
Edition.
Addenda.
Code Case YeO' (b) Applicable Edition of Section Xl Utilized for Repair/Replacement Activity 128.9 Yew (C) Applicable Section Xl Code Came_
6 Identification of Components:
- 7. Description of WorkREPI.A&W SAc)Bv&9Z 228-7/ 60 1T14 A3FL) t2),07T
.Tests Conducted:
Hydme0oadeO Pnoweumti 0 Nominal Operating Preauwrs.1 Exempt 0 Othr
~ Prssre....~L....pal Test Temp. A1f
- O NOTE Supplemental am in t of la16 skehee, or drawings may be used. provided (1) sine s 8'/ in. x II in.. (2) information in items I through 6 on this mpo Is inchdedd on each sheet, and (3) each sheet is numbered and nmuber of sheeft Isrod at the top of this for"m.
(7/01 This form (EMao2) may be obtained from die Order Ompe., ASMIL 2 Law Orive Sm 2360k Falilhe NJ 0760-2268.
l011 llhl E0030 ASE National Corrected.
Code Nerne of Narne of mauacue Bo Yew Removet or Ste P d M__Cf So" N&.
N.
Orimther I
(Ye or No)
I*A-e
, 4I454 ClA 2c' e( ITtL
- /A I
A I
FORM NIS-2 (Back)
- 9. Remarks Applicabto Manufacturer's Data Reorts to be attached CERT=ICATE OF COMPUIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code. Section Xi.
Type Code Symbol Stamp N/A Certificate of Authorzi No.
N/A Expiraton Date N/A Sig,...
.f 06/
f,/
'**o 0wnw or Ownsers Deigee Tite
-CERIPICATE OF BIISERVICE IN094ECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessal Inspectors and the State or Province of mia-hh4l*t, and employed by -VA&-tnrX Mu*tAl Tnaurane Coioanv of Jn*hn atn" 1RT-have inspected the components described in this Owner's Report during the perod 11/20/99 and state that to the best of my knowledge and belief. the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirmenmt of the ASME Code. Section XL 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 d*
d or a loss of any kind arising from or connected with this Inspection Commissions XT -762 ARUT Inspemos Sgnaur onal Board. State. Proalc. and Endorsements Date
~
~
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code, Section Xl
- 1. Owner rnatimeya ;nrg C pni N=
19MPe 277Rf RI,.
Q...
Ra E',wfa.
III
- 2. Plant P*li*.a djen,,1eJ
- PIa mint.
277RO IRtlit Repv am-,
Date 0r;k2 I7, Zool Sheet of _
Unit 1
hdueoe 7
Atepairlfteo cet Crguiszaloui P.O. No.. Job No., emc
- 3. Work Performed by lnna,,n,,w e-z ry Type Code Symbol Stamp MIA Authorization No.
N/A 27780 Blue Star Ivy. Covert. MI Expiration Date W/A
- 4. Identification of System 1/)
aCtC)
S 6ýcJ-CLS"
- 5. (a) Applicable Construction Code Z73 [.
- Edition, l
- Addenda, L
Code Case (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity Year (c) Applicable Section XI Code Cases n
- 6. Identification of Components:
ASME National Corrected.
Code Name of Name of Manufacturer Board Year Removed, or Stamped Component Mamfackt~ue Serial No.
No.
Other Identification Built Installed (Yea or No) bar_1;4
~rýb e)a0-
/~4 1 60 I
A~c r%
A D4
__0
__-a
_____~a4Za AIOZýI(
Y~
_~
T~1 JO
- 7. Description of Work qemAo)A1& 9A364 611dF)VC
)+/-t c2
- 8. Tests Conducted Hydroete1 t El Pneumatic 0 Nominal Operating Peres*ur.'
ExemplkA 4.iZL.(
Other essmU.
psi Test Temp.
IF NOTE: Supplemental 11e1W f
M of Blk sketches, or drawings may be used, provided (1) size is 8*/2 in. x 11 in., (2) information in items I through 6 on this rport is Included on each sheek and (3) each sheet is numbered and number of sheets is recorded at the top of this form.
(7/9)
This form IE00) may be obtained frm the Ordar Dept.. MM!. 22 Law Drk% Box 2300. Faired._
J l0 7l0l lll E00030
FORM NIS-2 (Back)
p4ol L3
Applicable Manufacturers Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate Authorzation NA Expiration Date N/A Signed-
.SC q~
Date 6 ~
6 /1 2 C CUVITFlAATE OF MISERVICE 114SPEC11ON I, the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mit-hiltg n
andemploy*edby Vnaetn-ry Mnltial Tnsutraneg Company of "l'nhtiatl'*,
- T have inspected the components described in this Owner's Report during the period 11/20/99 to
(..L I/ a'?.
,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, conceming 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 inj Ifdms" or a loss of any kind arising from or connected with this inspection.
Commissions HI -7*6 AUUXT Inspector's Signateta rbtona, Board, State, Province, and Endorsements Date.
4W..L I 2l 9 Remarks n
0 A (2ý,
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner -
.ann n....
- -an=
T MPf 177anw
.7
- 2. Plant Pn14.n.4ap~g 1&*it.-?&
9"Who 27780 RIno Spar lia_
E_......
"tY
- 3. Work Performed by I*ona,,-
Nrl-,.83K 27780 Blue Star afly Civert-MT Date -APR I L 2e) 2 I
J Sheet of I I,,It UA6 241I-2?Z
R*Pair1K*0* cnM Oncganaca ".. W4..
Job fam, eta.
Type Code Symbol Stamp VIA Authorizton No.
NIA Expiration Deft MIA
- s. (a)Applicable Constuction Code 31, 9
- Edition, Zi/A
- Addenda,
.kJ A
- Code Case Yw (b) Applicable Edition of Section Xi Utilized for Repair/Replacement Activity 9
YOM (c) Applicable section xi code Cases
/A
- 6. Identification of Components
- 7. Decito ofQ WorkP~w ovo~Ae_& AAN
'qZ
. Tess Conducted: Hydrao a-Pneumatik 0 Nominl Operating Preeure.O Exempt 0 er$
Pressmure I
Test Temp.
"IF NOTE: Supplements shem In fm of Km. dmichee. or drawings may be used, provided (1) sin is 8% in. x 11 in., (2) Information in items I through 6 on "il rpot is included on eascs shei and (3) each sheet Is numbered and number of sheels Is recorded at the top of this form.
U )
This form EOUU.)
may be obtained from te Ordr Dept.. ASMId 22 Low ODe, &m 2300. Pairfim NJ 00-230L lMhhhhh1 E00030 ASME Name of Name of Manufacmr Natonlo'c cdSae B~ar Yew Reoeor Staqmed Co ent Maiw S
NO.
No.
Other dendfcation Bu ietalled (Ye or No)
/Ac1-iec A.03-7%6A/I e5(
,S Utz>
K")
b a
a a
a L
L
FORM NIS-2 (Back)
- 9. Remarks Applicable Manufacturer's Data Reports to be attached CERTnFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of Authorization No.
N/A Expiration Dae N/A Sig,.
4
.Owner r s;,a me AtjA.
s r
- o.
-4he._Ti Owner or Ownes Dsdgnee. fue
- COm
.ATIN OP SIRVIC1 IOPECTIOM I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mg-h4MIns andemployedby aetnr-Mi-tral T inurance Comp any of -nhfiat',in have inspected the components described In this Owner's Report during the period 11/20/99 to /4
/
. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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 cgopefty damage or a loss of any kind arising from or connected with this inspection.
Commissions NX -7*2 A
?NT Inspemts Sigature Utional bard. Stats. Province, and Endorsaents Date A.Z.,3 I
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner Cai,-ev,..
Ainega.y CMRmAD Date C-ToA"O r4,
7
.Nam..
-AWNme.
Plant PAIIiAZ~A& Mglig**l~ly Plna11t Work Performed by rona,,.pw-
- t*.Or Name 27780 Blue St~ar w.*.
Ct~vert:.
MT Sheet j
of I
Unit I
ROpir*eplemmm Oft4edao P.O. No.,Jo Ný., etc.
Type Code Symbol Stamp xIA Authorization No.
N/A S-
- .-*V OL Wl A*. aIr
- 4. Identification of System tc~
jc
ýb-r (A.SO
- 5. (a)Appicable Construction Code
., i
- Edition, Addenda, V\\
0(*
Code Case Yewr (b) Applicable Edition of Section X1 Utilized for Repair/Replacement Activity Year (c) Applicable Section X, Code Cases
- 6. Identification of Components:
ASME National Correted.
Code Name of Name of Manufactue Boaod Year Removed, or Stamped Component Manuft Serial No.
No.
Ote Identification Bul*l Inatadled (Yea or No) 4*1.
p t
C~-
A_
I AlaJ Vi V11c4 flIS
(
I a.T A.LW
- 7. Description of Work O C
&CC.
b(
- 8. Tests Conducted: Hydroemits 0
Pnewmaul 0 Nominal Operating Pressure.
Exempt 0 Othert Pr=mm Pai Test Temp.
F NOTE. Supplemental h I fks nm at NeW k*etmee. or drawing. may be used, provided (1) size is 81/2 In. x 11 in.. (2) information in items I through 6 on this rspat is ide on each shest, and (3) each shoe is numbered and number of sheet Is recorded at the top of this form.
17/99)
This form (E000301 may be obtained from the Order Dept.. ASME. 22 Law Drive. kat 2300. Peirkied, NJ 07007-230(L I01lhhh1l E00030
- 2.
3.
cAo 1 Ž&
FORM NIS-2 (Back)
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp N/A Certificate of uthorization M
NLA Expiration Oate N/A Sined oweiror ownses Oemig,.w
'me no A41
-49A i:O, r
E Inspelora ignatre ltional Board. State, Province and Endorsemnents 0
-ar 0
(1xcA.,
CERTIICATE OF INSERVIC 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 M-I4jhiltan andempIoyedby PArt, Mnz-X lit-nnAl Tn*antrance Company of
_Jnlh~af-ni. ;
-T-have inspected the components described in this Owner's Report during the period 11/20/99 tand state that to the best of my knowledge and belief, the Owner has performed examinations and taken covrective 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 inju rpi rty damage or a Ios of any kind arising from or connected with this inspection.
Inpco' Sgitr
, 1:k.
I
- q
FORM NIS-2 OWNER'S REPORT FOR As Required by the Provisions o
- 1. Owner-i*.natmr-a Anrgy C(aln3ne
" Name 277RfLR 1,,
Uw,~.v ta-Plant P]allfa.An Vi'**1agil PL nj-.
277O Rli *RpBi " IP.,t T- )r Work Performed by
-?rnvtanRmrv 27780 Blue Star Hwy. Covert.
MT REPAIR/REPLACEMENT ACTIVITY of the ASME Code,Section XI Date ooI Sheet of Unit Repair/Renecement Organizetion P.O. No., Job No., etc.
Type Code Symbol Stamp MIA Authorization No.
IA S-r-Aplration Dat~e
-M / A
- 4. Identification of System SPEA.)-, F.,
EL PO0L uejW.I" I A
- 5. (a)Applicable Construction Code
- Addenda, ACode Case Year (b) Applicable Edition of Section Xl Utilized for Repair/Replacement Activity SC?
Year (c) Applicable Section XI Code Cases.
I '
- 6. Identification of Components:
ASME National Corrected, Code Name of Name of Manufacturer Board Year Removed, or Stamped Component Manufacturer Serial No.
No.
Other Identification Built Installed (Yea or No)
[BOT c)oCAN~
.2 (li6t.
1-4b 2f1 0
S-*~V
- 7. Description of Work 1&PACCCAJ*(T4 FA5?(UXQ-S Ck) P'AL&L-e f't1-SFf)0i3&
- 8. Tests Conducted:
Hydrostatic 0 Pneumatic 0 Nominal Operating Presaureu.
Exempt 0 Other a Pesure psi Test Temp.
F NOTE: Supplwmental shest In form of
- e. alketches, or drawings may be used, provided (1) siz is 81/2 in. x 11 in., (2) information in items I through 6 on this repaot is included on each sheet, and (3) each sheet is numbered and number of sheets is recorded at the top of this form.
(7/99)
This form (E00030) may be obtained from the Order Dept.. ASM.
22 Law Drive, Box 2300, Fairfield, NJ 07007.2300.
Wl lh ll ll eUOEUU
- 2.
3.
FORM NIS-2 (Back)
Applicable Manufacturer's Data Reports to be attached Ml l
n 4
00644 npeitona Board, Stsw, Province, and Endorsements
- 9. Remarks CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section X1.
Type Code Symbol Stamp N/A Catiic~$utho~ri3eio
/AExpiration DateN/
/
AOnro OD.____
ZCoT Owne orOwnr'sDesignee. nTis CERNFICATE OF INSERVICE WSPECfION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mti-bhian and employed by 7ae-nlt: Mitual TnRtiranee Company of jnhnasnnI_
R, T have inspected the components described in this Owner's Report during the period 11/20/99 to AM-.L 3.o*o
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corretive measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
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 rpropertV damage or a loss of any kind arising from or connected with this inspection.
di~i M
lur'l
-, £J
- .1 A lUl3T 1 C_ý 169 Inspectoe's swutwe
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner ReimamRa-.
C1J=ie,--,
C
,,p t
I
(!I 277 nRim&t.
q..
n's Plant PA114eApD~
Witn&m,. 91100,.
277Rfl lItio S~PV._W~
Hi nUW.tXT Sheet 1_
of I
Unit Zn RspekJR*PimGvW Orawfluzaof P.O. No.Job No,.se Work Performed by Type Code Symbol Stamp VIA 27780 Blue Star Mw. Cgoverte MT hrizatons NIl/A Identification of System K A-0 3 A
~
c z i~ L L~~
(a) Applicable Construction code O-.
Adea I(CCoe as s~diton, r/
_,.A (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity Year (ci Applicable Section XI Code Cases -
\\
Identlification of Components:
- 7. Desonwort, C
aca
/A&-
0n u, bxokca SiA.
- 8. Tests Conducted: Hydrodo a Pneumatic 0 Nominal Operating Prnssurg.)
Exempt 03 Odter Prmue Pei TeTo Temp.
F NOTE Supplemental abiaeam Is in o of WW dichee or drawing. may be used, provided 11) sin is 8Y in. x 11 in., (2) information in items 1 through 6on thbs repmpo Ieb ifded on each shee, and (3) each sheet is numbere nd number of show is recorded at the top of this form.
(7MU)
This form MEOMa) may be obtained from to.
order Oept.. ASMF. 22 Law Drie. BOX 2MS Warield, NJ 07007-L230(.
lM hhhhll E00030 2.
I
- 4.
- 5.
6.
ASME Name of Name of ManufaoCurer Board Yaor Removed, or Stamped Component Mnufwckbre Serial No.
No.
Oithe Bun--l--
lk,,o..N.)
n
.q-l (4orN rL__
J 0___ 3___
/14 q444I AJ0
FORM NIS-2 (Back) 9 Re.marksr
\\
of e__.
Applicable Manufacturer's Data Reports to be attached CERTiWCATE OF COMPUAICE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NI/A Certificate oAuthorIzatiopo.N.
N/A Expiration Date N/A Signe Date~&~~Sto-~#cz
/Z CinrmllcATE OF DISERVICU IdSP46PECT 1, the undersigned, holding a valid commission imsed by the National Board of Boiler and Pressure Veesel Inspectors and the State or Province of Mit-hfInn and employed by lS*l*leyn Mutnial Tnsuranen Comg anv of Xnhiatn" T_
have inspected the components described in this Owner's Report during the period 11/20/99 to 5-/0 -0, and state that to the best of my knowledge and belief, the Owner has perfme examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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 prop.gr-daemna r
loss of any kind arising from or connected with this inspection.
_mmissions XT -176'2 A UNT Inspe*tor's Slgnure ntioal Boa-,rd. Stats. Provlice, and Endorsements atoe 7,-
cýýo I cý55'9
- t II*III+IH
FORM NIS-2 OWNER'S REPORT FOR REPAIR/IREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI 1._owner________________________
Date -Ju[L-y 2-770
(
i77sn s
plant PA 14 nIen.Wilm lj.
277RO Allua 51Pni. UE.7 Shoot 0
Unit I
Aa~m
-G*F0wA
-mfto F 0.Fa-cafý 3I Work Performied by rnns.W s trn-'ar Type Code Symbol Stomp N A 27780ito No..
-~n llA 2770 lu Str ww (Ivr.MT Expiration DftMI
- 4. klade'flcation of Systern -A i X FEV-T-) UJA rE ~~*2 (Izzo'
& (al Applicable8 Construction Code Yew
- Edition, Addnda, L
Code Case (b) Applicable Edition of Section XI Util[Lzedfor Repairlfeplacement Activity 19 89 Yew (c) Applicable Section XI Code Caise
/) A 6& IdentifiatIon of Components:
NatndCoarrc Code Name of ogame of Mm~ansakwe laud Yew 4ese or Stamped Componen Moulcwdemre Saut No.
No.
0kmW
-'uafele Sm 11101e1 (Yes or NOl rIzL-
-1;
'Re;L)rAR.
tJ 1A-66 6t~~46414 Ifl8
/l57-WS 2)J 7.oeecipti of %wort 9-4L-L-w-*Ln 2 6 P,)UAX r 7-. VL/LVAE Riny
&.Tests Conducts*Hyud G
Pnemmls, 0 Nom"na Operatin ftrsueXus Exmp3 OMW).(
nolusie pal T"a Temp.
V WM.t Suppemen
- ota ab 0%foM of 3m, ebafthes or drawIng may beusedpmvldsd(1)s abe s k.x ilkl..(2) Infomation an item. I fthruh on fthi report Is Inehidd on seach shea andl (3) each Amea Is numbrdw and number of sheets Is rsccordsd at fte top Of itis form.
(71W Thisftrma=
may be obtained Su. die Order 0@pt. ANAS 22 Law Drive, lio 23006. al Witd NJ @107-2205.1 111 E00030 2.
w a
a' I:
I I o I 0
a S
L)
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner fr,..,m-w-,..
,,arg..
C,-MAn, Date Og5 p':
24 2-001 77 7 R fl R I.
q
- s l~ lw*,'
1.- w. mr tl, N T S h e....... L........ f _ _ _ _ _ _ _ _ _ _ _ _
7 n it--
Sheet Of
- 2. Plant Pq1IpnA.p Wlr1,Dl..
Unit 277,0 A,,,
qtp asset,-
uX, I Z 3Z
- u--;s,',,
- -W
---,,,,@,'M Ot g, '= P.O. No.. Job N W,
3Work Pefrmed by rriian..,-'p Type Code Symbol Stamp VI.A Auoriza'on No.
/L~A 1rL 6736[
(P6 5CEdition,
- Addends, Code Case (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity Yew (c) Applicable Section XI Code Cass
-CL Identification of Components:
ASME Nati o wonalCYorrected Code Name Of Name of ManudurYr or I
lI-
_____nen Mw~anuhcw So"e NIL NO._
Ote
-fkoo i
Niad8n!
-I-i ~
~
Ic~~
C;O/Z JL3,365
ý 7.~ ~
~
~
~
3 0ecitoo~r L
- 7.
_A SLra,6.
rc-OSo AS.
8.Test Conducted: Hydromf a Pneumatc 03 Nomina Operating Pressuie.0 Exempat 0 Othwo ft.Pmum pW Test Temp.
- F NOT: Supplementa sba I mosl' of Oft *016Ie or drawings may be used, provided (1) size is 8Y2 inL. x I in., 12) Information in items I through 6 On rkpoNe Is inchmdid on esah alh*e and (3) each sheet is numberedl an nmber of ý h-ee Is rcorded at the top of this form.
(M/US) This form (100030) may be obtained from do order Dspt. ASMW 22 Law Oive. Du. 2300. Pu~rlu. NJ a07-IM7 E0003
%M or no) 4LIW AJ o
FORM NIS-2 (Back)
- 9. Remarks Applicable Manufacturer's ODa Reparts to be attached CERTIFICATE OF COMPLUANCE I certify that the statements made in the report are correct and that this conforms to therequirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of~uthorlzatj*
o Expiration Note N/A
_____
A Expiration. Deft_'
C1RCIT ATE OF RISERVICN W6SPECflOf I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MirlhiAn and employed by Vnr-t'nry Mutual Tnhuraneo Compana of Jnhiinptaial U T have Inspected the components described In this Owner's Report during the period 11/20/99 to c (0' 'a. e7o /
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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 ip.ty goor a loss of any kind arising from or connected with this inspection.
__mmissions NI -762 AItNT Inspector's Signature
-'-1,onal Board, State, Provine an Endorsements Date
-xO'L.a,,
I
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner -
rnn.'m.a-
]Inerg C1mp-ixy M" Nm Date-0" QO-4' 2, Zoot Unit 1
Plant PA1lf8eniae t~p, ZnPlm 27780 1lne Rtem ftAG 3
d'
- v.
=
Work Performed by un.X,,n0v.
9 27780 Blue Star Ruv. Covert. MT WT,n 24oIZ- ( 33 RPAirPO/Rgp~eggmu Ovgae~liaf P.O. No.. Job No.. oW.
Type Code Symbol Stamp X/A Authorization No.
N/A C.,.j,.
I%--
I
- 4. Identification of System Pri'mara C00161 1)csý
- 5. (a) APlicable Construction Code ASA//"
&-6,
- Edition, k1
- Addends, Code Case Yw (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity (c) Applicable Section Xl Code Cases
' /
YW
- 6. Identification of Components:
ASME Naiona Corrfect Code Nane of Nme of Manufmcter Yw Removed, or Stamped Comonet Manufmmaftur Sera No.
No.
Ohw IdmaitW.mlon Dul-Instal-e-(Yes or No) q L oq Ilei
)
7.Do O WrkP14 I
-j 6cA,5 in (ZvttA6nctrs&(
5ZQ
&. Tests Conducted Hydreolo 0.
Pneumade 0 Nominal Operating Pmreurs.O Exempt 0 Othe*
Psu'ems pdi Test Temp.
- F NOTE-Suppkementd sheaf in fbm of itW skelews, or drawings may be used, provided (1) sin Is 8%Y in. x I InL. (2) information in Items 1 through 6 on this repeut Is Ineuhdad on esah sihet. and (3) each shet Is numb
&a number of sheet is. re e at the top of this fom.
(7/9-)
Thi form (00) may be obtained fom toe Order epL. ASM6 22 Law Drie Ba 23006 Famrlu Ni 0700742300.
I lM h
hlI E00=
- 2.
3.
FORM NIS-2 (Back)
- 9. Remarks C
Applicable Manufacturers Data Reports to be attached CERTiFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certiflcate sAuthourizntio d a
N/A Expiration Date N/A Sign 2,.'9' LS*
Cll*MrATE OF WUBERVICE IWCSiEC1ON I, the undersigned, holding a valid commission Issued by the National Board of Boler and Pressure Vessel Inspectors and the State or Province of M4tehi zAn and employeby Vb*atin-MtiILtual Tnaiurane-Company of Xnhna.rt*t U T have inspected the components described In this Owner's Report during the period 11/20/99 to AP.,L,',v2.(goo
,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code. Section XA 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 propeyAsmage oraloss of any kind rising from or connected with this inspection.
Commissions XI -_*
AtUjT Inspector's
-igneass, ltlaal Board. Stats Province, and Endorseme Oat.
A 6A...2<
'oROO
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner-(',nnmo*eu-
- nutgy CQmany 7m Plant PalladA..
lhaisaw,- P1lani.
777Rl RI.
Rnv-W*-
7o"..t MIX Work Performed by r
En"vgyf 27780 Blue Star Hny.
Covert-1, MI Date noc 2"C202..
Sheot of Unit 1
- v.,.
-21Z31G 6*3-p.i.apiaamu 0rgbzaon P.O. Nf. Job No. ev.
Type Code Symbol Stamp v A/A Author*ation No.
Expiration Data I/A Addý
~
- 4. Identification of System
- 5. (a),Appicable Constuction Code k*
1 1 -11 Edition.,
- Addenda, y-,
Code Case Yew (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity.
Yw (c) Applicable Section Xl Code Cases N let
- 6. Identification of Components; ASME National Corrected, Code Name of Name of, Manufacturer Board Year Remowve. or Stamped Component Manufacturer Serial No.
No.
Other Idanficadon BuIlA Intaled (Ys or No)
'K 8l"-
18
- -_.___K4 1_
_*a IN h2
~o o~-'
'~
~ 4
~
n)
- 7. Dm ln of Work 5`5--
~
~
- 8. Tests Conducted HydvasIle 3 Pnemmtic 0 Nominal Operating Preusui.*i Exempt 03 Othe Q Pumm p psi Test Temp.
NOTE. Supplemenrt"i in lmonr of lisA% dwmt or drang may be Used, provided (1) Sie is 814 in. x 11 in., (2) information in items 1 through S on this rapefl is Included on each shqet, and (3) each shem is numbherd and number of sheets is recorded at the top of this forn (70)
Ths o-MM My eobtained from the OdrDept.. ANAE. 22 Dz rkve, lo. 2300. arfldW4 NJ 07007-230&
I011l11ll E00030 2.
9Z4o 6S7 FORM NIS-2 (Back)
- 9. Remarks Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp N/A Certificate utho No.
N/A Expiration Date N/A Owne~r o wnersDesignee,Tiidek CERTVWATE OF MWNSWCE MdSPECflON I, the undersigned, holding a valid commission isued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mirth4an andemployadby Va,-tnry Mntual Tnaiiurancg Company of Ihintt-nn 2
Thave inspected the components described in this Owner's Report during the period 11/20/99 to and statet to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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 propeyarnage or a lose of any kind arising from or connected with this inspection.
Commissions H1_ -79 A1UT Insacto's Signature Mrtional Board, Stat. Provlnc, and Endorsements Date
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner
(*%..,.,,,-.
n,.,__
c-mpny Date A,
l._
L.e:c-I 777Rfl gi, Str ffE0Z XT
- 2. Plant PnllenArhm Mi_-Ip,.1
- P1_,
Name
- 77RO RI,,- Ri=a" fl.,y ovt,..-
MI
- 3.
- 4.
- 5.
6.
Sheet
.of Unit Wn S.....
Repair/Rei acement Organizaton P.O. No., Job No.. etc.
Work Performed by flnal,,m,.-a 7.n, Type Code Symbol Stamp VIA Authorization No.
N/A 27780 Blue Star RHW.
Covert. MT Expiration Date N/A Identification of System
'Cr~~
~(-~:
(a)Applicable Construction Code 1331. 1
[Q!S"_
- Edition,
/110-Addendas,
Code Case Yew (b) Applicable Edition of Section Xl Utilized for Repair/Replacement Activity a
1 Year (c) Applicable Section Xl Code Cases Identification of Components:
- 7. Desription of Work OpL.Ccv. 664A~
A~e/
Cr~A~A(~
L' 7 U
- 8. Tests Conducted:
Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure.X Exempt 0 Other a2 Pressure pal Test Temp.
F NOTE: Supplemental sheets in form of Outs, sketche, or drawings may be used, provided (1) a is 8%
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 number of sheets is recorded at the top of this form.
(0/99)
This form (00030) may be obtained from the Order Dept., ASME, 22 Law Drive, Box 2300. FaIrfield, NJ 07007.2300.
nl0 l nnlll F00030 ASME National Corrected.
Code Name of Name of Manufacturer Board Year Removed, or Stamped Component Manufacturer Serial No.
No.
Other Identification Built Installed (Yea or No)
ýVc.
,,*,-z1 fl l&
4n3 7_f~/_
FORM NIS-2 (Back)
- 9. Remarks ________
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of uthor N
Expiration Date N/A Sigud.s" Date i -4 :,
2 I CERTfCATE OF INSERVICE dSPEgCTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mie-higann andemployedby Fa-t~nry Mtt.al TnIntrane* Company of Jnhintn".
. T __
have inspected the components described in this Owner's Report during the period 11/20/99 to 00*-,**,20/
and state that to the best of my knowledge and belief, the Owner has performed examine
-a 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 inury or party damage or a Ioss of any kind arising from or connected with this inspection.
Commissions 3_T -76.9 AU)XT Inspectors Signatwue Ntonal Board, State. Province, and Endorsements Date J
/2
FORM NIS-2 OWNER'S REPORT FOR REPAIR/ REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner -
r~rjnai.*,.. ;ieearg CAcMnPAUt WMw Aedmee 2.
27790 RInA gRpv W
3orkWPerformed by (1inam.,
Date M cw - ~L Z-jooI Sheet Oft__________
unit RepeIr/Rgpe..w" Orgaflam, P.O. No.. Job No., Wec Type Code Symbol Stamp MIA Authorization No. -
fjA
~
Z 7780 Blue Star Tam.1Covert 1 MT Exiato DanIA
- 4. IdenvtificatIon, of System - CD111;4rC1/Cd 2&
LA44 r S (Es-s
- 5. (a) Applicable Cosruto Cod A,
0i JU IL8
- Edition, It~q Addenda r
od C
(b) Applicable Edition of Section XI Utilized for Repair/Replacement Acti"t (c) Applicable Section Xl Code Cawses 4
e B.Identification of Components:
7.Decritionof Work PP ITP PL-m 414?,,
va1o cKvL S. Tests Conducted: Hydroaft a Pneumief 0 Nominal Operatin Preseur'?/
xep Othr iuwuPal Teat Temp.
NOTE S
dwMitift~nOf fif 5b5SleW"1 Or draw n9s "fWf be used, Provided (1) Size Is 81/z IlL x I1I in.. (2) Information in items 1 through 6 on this wrtpe Is included on each shoot and (3) each sheet Is numbered and unuber of sheetis I.recorded at the top ot this form.
(71W5 This form (=30000 may be obtalned from the Order 0ePt.. ASMS. 22 Law W^ve Usw 23006 Falhid.K NJ 0707-230 101111111 E00030 Name of Name of Manuffacturer National Corrected.
Code ordYewr Removed, or Con~de Com"Ponent Manufacbxer Ser"a NM.
No.th 0dm Ideifict Bolt I"Nagud (YesrNo It&
a&.r.
IV-r.#-
A" vtvgf-?ýMý Dim
.)40)? 3 1 7 Cb 0 4
V(ýaA&SýaC FORM NIS-2 (Back) 0 0, c
2a 0r i ex)
CL L
Applicable Manufacturers Data Reports to be attached CERTMCATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of thorization lfi..
.N
/AExpiration Date N/A Signe ZOOe/e ILOw_________,
CERTC11ATE OF INERVICE WASPEflO I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vesel Inspectors and the State or Province of M4j'h4t nn and employed by 1*AIttn=. Mit*lnal Tnanranee+/- Comg any of Jnhnatgn UT-have Inspected the components described in this Ownees Report during the perlod 11/20/99 to AY I
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section X 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 p da or a loss of any kind arising from or connected with this inspection.
Commissions 341 -76)
A, NT Inspectea Sienature 10tional Bard State, Province, and Endorsements Dateo
~
~
,~
I
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner -
r~ngituum4Xgi_;gA C.MOmARX Nmen 97725lnw.
- a.
rir
-ru*-
Pl.ant 1P*14nead 16n'la4mv, IA'fij.
27790 Alti. S~PP ENw poze~tf XT Work Performed by r
yName 27780 Blue Star lH.._GCovert _MT Date -
'L&A r
S Sheet of__
Unit 1
Raprmftr Orwftadm P.O. No. Job 1o., e1r.
Type Code Symbol Stamp MIA Ah riation No._
Expiraion Dn MIA 4.LIdentificationof System
~C ~
e ~ 6 Cd' (L
S'
- 5. (a)Applicable Construction Code 03 t,____-s
- Edition, Addendas,
~
CdeCs
- r Code Case (b) Applicable Edition of Section Xl Utilized for Repair/Replacement Activity Yeaw (c) Applicable Section Xl Code Cases
"'n I
- 6. Identification of Components:
- 7.
Descriptio ofWr L IjlCCC kaL CC &'0 ccK-e&
r vaIr Ct-V 082
& Tens Conducted:
y CL PnematIc 0 Nominal Operating Pressure.0 Exempt 0 Other rsu pei Teo Temp.
NOTh Supplemental b in ftm Of Ofat k
1m.
s0tlehe or drawings may be us"e, provided (1) size is 8% In. x 11 in., 12) information in items I through 6 on this reprt Is included on each sheest and (3) each sheet is numberd end number of sheets is recorded at the top of this form.
(7/99)
This form (1000 may be obtained from the Ordar Ospe. ASME. 22 Law MrOMe SOu 2MW0 PalrkK NJ 07007-2300.
lM hhlhhl E00030
- 2.
3.
Name of Nlan of Mafiluafaduer Bor arc4Code Yew Pmvov4 or Stamped Component~~~~__
________era ILN.Ow lfliiaon 8"Intle (Yin or No) s/i PC
- ltV'a~~F~-cr 2sýoqajis(
n [ -
6 -03.737--Q 8 5
l7r all r%
.1 I.
.1 L
.1 _______
C;ý/-401 FORM NIS-2 (Back)
- 9. Remarks Applicable Manufacturer's Data Reports to be attached CERTFICATE OF COMPIUNCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp N/A Crii ateof thoji0d
/AEprtionDt N/A Owrw~
o r Oner'os DenesflueV CURTIPATE OF WdSERVICN WSPECTION 1, the undersigned, holding a valid commission Isued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mi -h4iMn and employed by VAet.nry Milttiil Tnan-ane-e Company of
.]nhmnaton-V. T.
have inspected the components described In this Owner's Report during the period 11/20/99 to 0'"-M (,: *io I
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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 r!Nty damage or a loss of any kind arising from or connected with this inspection.
_ _ ___Commissions NX -762 AUNT Inspecto's Signature Mltlonal Board, Stats. Province, and Endorements Date
- Jd0ae co N/A 334-/
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code, Section Xl
- 1. Owner ninalpya*-m C=
Knerg Qiompany Nam*
'77 fAn ni 1 a-
]a
- 2. Plant PWl~f-,a.a Wiiegir 2P1-ai.
I I Nome 27780 11i.
RpAm-fth,,,(vr't XTN
- 3. Work Performed by (n'ima.
w lzinevsg 27780 Biue Star Hy,.
Cnvert. MT Mm Date M}'Xcvc-1 Z~2-002 Shoeet 1.... of________________
Unit R.pa...
IfAPW nt" Ofmkswz n P.O. Ki.abNa..
Type Code Symbol Stamp MIA Authoarzaon No. _
__ A Expiration Date N/A
- 4. Identification of System
- PZ~t-*
t uJCL VJoý- L 470
- 5. (a) Applicable Construction Code Yew
- Edition, t
- Addenda, I
Code Case You (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity.
Yar (c) Applicable Section Xl Code Cams
- 6. Identification of Components:
ASME National Correctedo Code Name of Name of Manufacturer Board Year Removed, or Stamped Component Manufacturer Sea No.
NO.
Other I-de,-fcaon Bulk tinstalled (Yes or No)
I"
~~~
-~Lis 3
__25_ Z'%(ZZ..1 20c-a
\\
~ra It
~
12 L't1 l~fX G03o0 GSj~ k
- 7. Description of Work -<e~A~)~hI Av\\,ý c*%~ vyV-r'--31
- 8. Tests Conducted: tydr*sald Et Pnewmatik 0 Nominal Operating Presure.k Exempt 0 Other Pressure psi Test Temp.
IF NOTE. Supplemental efl in "
of VsN. sketcheis or drawings may be used, provided (1) size is 8/2 In. x 11 in., (2) information in items I through 6 on this report Is Inckuded on each sheet, and (3) each sheet is numbered and number of sheets is recorded at the top of this form.
17/99)
This form (E0N03) may be obtained from the Order Oept,. ME 22 Law Drvem Box 230. Falrfel NJ 07007-2300.
I0 11 11 E003 W0. j Z,-"kO 1
-ko-i
9:)404- )Q0q FORM NIS-2 (Back)
- 0.
4, CY.)
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPUANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp N/A Certificate of Authorintion No.
N/A Expiration Date N/A Signed
.V,)'"
Date.
o
_007 Owner or Owner's DeWsi*ee, Tfl CEuTImrATE OF INSWVICE mNWaECTnO I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of M4 -h4t *n and employed by 1 rnUt 1-Mrttual Tnaurance Company of Tlhn an" R
T- _have inspected the components described in this Owner's Report during the period 11/20/99 to
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken correct:lv measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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 p"l msgs~r aoss of any kind arising from or connected with this inspection.
Com missions NX -762 AUNT Io.,ecto.s ftnat" Mional Board, State, Powince, and Endorsenmnts Date X
0'z U. am.
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner neutheve
.nen,__g-a mpnny 77R o
Plant PAleAAp Wa lft&1 9
tn-P1,..
1.
27771 lito SPnr E "overt
- 3. Work Performed by
,n" 27780 Blue Star A62odo 0.fn aS Hrqrw. *nv*t_
?ET Date10.
&idL Sheet of___
Unit 1
it*_
0
~
t mpiru-oawmewmt Oni1Uofn P-.u. NO.. Jo No.. ae.
Type Code Symbol Stamp Authorization No.
T A Expiration nowt V IA
- 4. Ientification of System Code Case S.(a) Applicable Construction Code
,Edition, AddendsCdeCs (b) Applicable Edition of Section Xl Utilized for RepairlReplacement Activity 89 (C) Applicable Section XI Code Cases C
- 6. Identification of Components:
- 7.
Description of Work C I o v GA WAwYVCJCLri;C %IýK -VPIX -3 h4r3 L Tests Conducted Hydro El Pneumad; 3 Nominal Operating Pmemsre Exempt 0 Othr0 Prssure p
Tes Temp.
OF NOTE-Supplermnt1 shel l
fewin of 0s. duodws. or driawngs may be used, provided 41) size is 8Y/ in. x 11 In., (2) information in items 1 through 6 on this @po is Included on each shoet, and 13) each shee is numbered and number of sheets is recorded at the top of this form.
Q/9ý hi frm(E000)ma b obakadfrm o rdr ep..AS La2 Lw ODes. Box 200, eldle NJ?W7-2200 101lhhh1l E0030 2.
ASME National r
Code Name of Nam of Mnufactwuor Board Year Removed, or Somped Component Manufracturer Serial No.
No.
Other Identification SUN Irnhaledl (Yes or No)
C3 j -9 1 W§WzTizcI Yb S.........
"[mill L*
c 49O - t I FORM NIS-2 (Back)
- 9. Remarks 0K()/-I C-Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section X1.
Type Code Symbol Stamp N/A L
ae N/A Signed Date__
I_________Z I
Owerw or Ownees Desgns., Title (I
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 or Province of M4teh4znn and employed by P'Aetnry MiiuniA1 Tnsrrance Com pan of Jnhinjtnn -
2-T
,have inspected the components described in this Owner's Report during the period 11/20/99 to 0
.2-9"0
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken correctliv measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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 *p y da e/gor a loss of any kind arising from or connected with this inspection.
Commissione
_-7, A
7UT_
Inspector's Signa*t-e ltioual Board, Stats, Province, and Endorsements Dote.
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner flifieim o Anerge C Ov R "X Date A p p(L Plant Palftae,.
Mieple.m v1jini.
277R0 Rll-. SPA P Work Performed by CAnal,,ms.a Rnd.
Name 27780 Blue Star Hwy. Cever-s-MI Sheet I
of _
Unit I
ePSrlReImPlacem.t Organization P.O. No., Job No.. etc.
Type Code Symbol Stamp VI&
Authorization No.
N/A
- 4. Identification of System -
I7.--
ET-P00
-L--* 'd_
L
' SrL F"14
- 5. (a) Applicable Construction Code 83 1.1 s
- Edition,
- Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity Yeer (c) Applicable Section XI Code Cases
- 6. Identification of Components:
ASME National Corrected, Code Name of Name of Manufacturer Board Year Removed, or Stamped Component Manufactuarr Serial No.
No.
Other Identification Built Installed (Yes or No)
Pýý 14)k S3 A to
-ýZ'q a/
&'2
.jTAZwo
/Vo KJ&VjA 1441vic ULAF MC9 PciD
-- ý 4 V CfL 5 o
£~6 304,Sqq USPAL9
- 7. Description of Work REPLACE -VAL"
/Mtv SFP 13 1 00 A.OC - 6__
3i-C7T j-.
,0 A 5'd)L A
_S
- 8. Tests Conducted:. Hydroeatlc 0 Pneumatic 0 Nominal Operating Pressure;.
Exempt 0 Other 0 P.reeu pel Test Temp.
F NOTE: Supplemental shemft In form of As% ukAtche., or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items 1 through 6 on this report is included on each shoet, and (3) each sheet is numbered and number of sheets is recorded at the top of this form.
(7/9 This form (E000301 may be obtained from the Order Depam. ASME. 22 Law Drive. Box 2300, Faield. NJ 0707-2300.
10111i IIII 2.
3.
ox4o14997 FORM NIS-2 (Back)
- 9. Remarks Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of Authorization No.
NI Expiration Date N/A Signe Date A ic 13AZoo I
?
Ownr orOwnss Deirms Tid CERFCATE OF INSERVICE INSPECTION I. the undersigned, holding a valid commission issued by the National Board of Boiler and Pressur Vassal Inspectors and the State or Province of Mfeh*gnn and employed by EMU=y Mltual Tnauranee Company of jnthnatrn,
]?- T-have inspected the components described in this Owner's Report during the period 11/20/99 to,P,-4 L &.ool
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
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 "n D
9 y*,mage or a lons of any kind arising from or connected with this inspection.
Commissions MH -762 AUNT Inspector's Sinature
-N-onl B-oard, State, Province, and Endorseme.nts Date
, 00 (
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner-
.l m
En*.*rgV Cimpnnv
- 2. Plant RP-lanA
- hitA _
I mi.n 27750 liiiRPV Ip~ saw
- 3. Work Performed by
.,nneu..
27780 Blue Star olwv.
w Date o p,*. 30? -CD Sheet 1
of__
Unit 1
U._-,_
Z ' --
I
+&I 009.=- 00.l.,I---.-.--.smg O"gw,,-,m, P.O. No., Job 14M. sc..
B*c Type Code Symbol Stamp N A Ahriza.tion No.
NI.A Auh E. ration Deft
_!A
- 4. IdentiflIcation of System S
e C;.
(9.
U c4-6.'
(
U-3 S
- 5. (a) Applicable Corsdtruction Code 1io A
C Case (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity Yew (c) Applicable Section XI Code Cases
' /
- 6. Identification of Components:
ASME National Cact@4 Code Nane of Name of Manufacwuer Board Ve Removed, or Sftmp Comonent Manufawrer Seral No.
No.
Other kandflcadon 11h0 I-staed-
- e. or No) n 177' H
,4t 1-3 nIEs____cl V1 LCk.
6& ) -+ )3
?4, JZisia'It A3 C) I L-ý
.c M-fqq TA
- 7. Des5crpdoofl~ofW rI 6-i CCLA rF-a(ý 6a;x~ AA.CtL-;rC O(!CZ7-b
. Tests Conducted:
Hdresa 0:
Pneumrnaf 0 Nominal Operating Premur.*
Exempt 0 OUwr a.
Preemee ps Tes Temp.
"OF NOTEA spen in fOnS of 98 OAMIN-or dra*wings may be ued, provided (1) sIze is 80 2 in. x 11 in.. (2) Information in items I through 6 on thi" nport Is knhdcmd on eaIh sheet and 13) each setet Is numbered and number of shets Is recorded at ft top of this form.
(mThsform lUOOM~ may be obtained from the Order Dept., AWAL n2 Law DrIMe Box 230k Pairleld NJ 0=7=&7 l011101lI euuau
-"-.I.
9L~W ooil RFORM NIS-2 (Back)
Applicable Manufacturer's Data R*eprts to be attached CERTIFICATE OF COMPLUANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp N/A Certificate of athriaton A
N/A Expiration Date N/A Slned A
/
a
-ZO-Oz_
Owimor OnssDamgemos.
Tkde
.CmE1INATE OF NsIRVICE WdSPECNOI1 I, the undersigned, holding valid commission issued by the National Board of BSaer and Pressure Vessel Inspectors and the State or Province of Mi&hltAn and employed by W f-nt,- Mitnal Tninaranc-Coa any Of.
Tn n
I,,T-J have inspected the components described in this Owner's Report during the period 11/20/99 to 07712 z
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken dorrct measures described In this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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 damageor of any kind arising from or connected with this Inspection.
-P.7
.r, Commissions Xx -.76 AST_
.nspors Slgnstwe Mitionsi Board, State. Provhns and Endorsermnts
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner
(,rnneametu-pi-nex Crnminv NaMe Plant PAIIfII-ets Wtti160y PlIOnw 27780 111,,i-
.tn-v BThMpfvr Work Performed by r'n,"02,,a.,
,-sy Name Date F3/'Y64cqls Z1, ZdAz Sheet of__
Unit 1
- fl
-RweparlRapkearfime Ovgansdont P.O. No.. Job Na.. air Type Code Symbol Stamp MIA Autwizetion No.
W/A Expirat.- Deat 1 A
- 4. Identification of System rA6d9-. cj z
- 5. (a)Applicable Construction Code
- Edition, Addends, Code Case Yew (b) Applicable Edition of Section Xl Utilized for Repair/Replacement Activity Yea (c) Applicable Section X1 Code Cases
- 6. Identification of Components:
ASME National Corrected.
Code Name of Namm of Manufactuer Board Yew Rermoved, or Stamped Componlent Manufacturer Seria No.
No.
Other Identification lk"l Instalect Mae or Not n.~Z t~
AZ~bw
()Ott 4P yjz 5Ij io i 1
- 7. Descriptionof Work (xCzwt rcv -VP.~
X~
6-o~
1' X A b 8, Tests Conducte& Hydrodo Ot Pneumatc 0 Nominal Operating Pressure.J Exmpt 0 Otherwo Pre r
pd Test Temp.
'F NOTE Supplemental in I m of 11W skelches, or drawing. may be used, provided (1) siz Is 8Y% in. x 11 in., (2) information in items 1 through 6 on this report Is Incklded on each sheet. and (3) each sheet is numbered and number of sheets is recorded at the top of this form.
(/)
This form (100030) may be obtained from the Order Dept.. ASIVIL 22 Law Drive Ilox 2300. FaIrfield NJ 0700-23006 I0h1u1huI E00030
- 2.
3.
FORM NIS-2 (Back)
- 9. Remartks Applicable Manufacturer's Data Reports to be attached CERTI=ICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of uthorir No.
N/A."
Expiration Date N/A Own-or__________
Title CtTCr~rATE OF WJSERVICE INISPECTION I, the undersigned, holding a valid commission issued by the National Board of Boier and Pressure Vessel Inspectors and the State or Province of Mierh1ltn andemployodby 1PAWnny Mnutual Insurance Company Of.
Jnlhna,1 2 -_T -
have inspected the components described in this Owner's Report during the period 11/20/99 t
QQ/W,.*0Z and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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 Owners Report. Furthermore, neither the Inspector nor his employer shell 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.
Commissions
_X -762 A tNT Inspectors Signature 1tionWl Board, State, Province, and Endorsements Date
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner rflinaawmava lener CX mpany "rNan, 277lgn R1.14 Star. 11 ~ "Ret* XT Plant PAltJ.4es.
M-lea.p 1.21an.
Work Performed by Cnnall,,m, re-V.
l,-y Name 27780 Blue Star Hwy.
Covert. MI nntat 0
S.-. 2loo I Sheet of Unit Re"arireacement Organi4a*on P.O. No., Job No., etc.
Type Code Symbol Stamp W/
Authorization No.
NIA Expiration Dlate M/A
- 4. Identification of System
-S aC-tA e~~~
1J00II oo
( S R6')
- 5. (a) Applicable Construction Code /A'S W)- 1 C' S5"
- Edition, l
- Addenda, 10-Code Case Year (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity Year (c) Applicable Section XI Code Cases
"'J/"
- 6. Identification of Components:
- 7. Description of Work PI t~o rvý. tZL 4
'tkic
-,.Ctc..
SCLA:tLL E vAcJ t( cji&fK AcL-L
- 8. Tests Conducted: Hydrostat E Pneumnatr 0 Nominal Operating PressureK Exempt 0 Other a Preemsue Pei Test Temp.
- F NOTE: Supplemental heeto in form of PAsh Wstchs or drawings may be used, provided (1) size is 81/2 in. x 11 in.. (2) information in items I through 6 on this report is incuded on each sheet, and (3) each sheet is numbered and number of sheets is recorded at the top of this form.
(7/90)
This form (E00030) may be obtained from the Order Dept.. ASME. 22 Law Drive, Box 2300. FairkKld NJ l7W230Lllhll11 E00030 2.
3.
ASME National Corrected, Code Name of Name of Manufacturer Board Yea Removed, or Stamped Component Manufacturer Serial No.
No.
Other Identlcadon Bult Installed (Yes or No) i~4b-i 4-rGI qzsýq Y-1 )Z5-3S-65 yC4 YrCs iL4y.b 4Icct T16Ck 142/g'4-n 1X01 q 7.
FORM NIS-2 (Back) 9 4;IoWt
- 9. Remarks a
e)/"
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate N/A Expiration Date N/A Signed 2Z ~ ~.
~
I4d~
Date ZI 1 24oi CETIFIRCATE OF ISERVICE IINSPECflON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of MianhStnn and employed by Vaettn]= Multual Tnaiuranee Company of 2 -hnaf*i.
, T have inspected the components described in this Owner's Report during the period 11/20/99 to
-/O and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
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 prop~e I
e, as of any kind arising from or connected with this inspection.
Commissions H
.-7.6 AUNT Inspector's SIgnatars Rltlonal Board, State, Province, and Endorsements Date L
2 L
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner
(.naiaHes-.
-TI~rgy Cnmpany 9772Nn Plant PnmArlpa v,,-1lan,. Plp4m,.
277RO RhIM qt~~iv~t.r Work Performed by Criwa,,p-e 27780 Blue Star H-Cave.rt1 NI Sheet
- 1.
of 1
Unit I
RxWRepekftp P
OrgmkodnP.O. No.-.Job Alm am.
Type Code Symbol Stamp MIA A..tkw..t,6..1 M^
MIA Exoration Dat__
MliA
- 4. Identification of System I
C'.
.L LL "L-
- 5. (a) Applicable Construction Code 4 Uiy~la-ý
- 191~ Edition, Addenda, nCode Case Yew" (b) Applicable Edition of Section Xl Utilized for Repair/Replacement Activity Yew (c) Applicable Section Xl Code Camse
- 6. Identification of Components:
ASME National Corrected.*
ode Name of Nome of Manufacturer Board Yew Removed, or Stamped Component Manufactkir Serial NO.
NO.
Other Identification
-OR Installed (Yew or No) 77-7 1
~
~
A 62 45 JY0I+/-A j
- 7. Decription of Work tZ a6 Sýa/f 5 4fC)4fb Q jr 4!IA s c Se?
- 8. Tests Conducted:
RIldroeed U-Pneumedk 0 Nominal Operating Prvssurme.3 Exempt 0 OdwhrO Pressure psi Teso Temp.
F NOTE: Supplemetarl sb in fIn of Nub. dowtse or drawings may be used, provided (1) sine is 81/ in. x 11 in., (2) information in items 1 through Gon this report is included on aeasc sheet, and (3) each sheet is numbered and number of shets is recoedat th top of this form.
(7090)
Thi form (O0)may be obtained from die Order DePt. ASML 22 Law Drive. Box 2300. FslrftK NJ 070023006 l0hImm lll E00030 2.
3.
Wn&
zl-illaqýTýZ A d r m
y44)C1 51'
-c FORM NIS-2 (Back) 9.Remarks 0,. 2 OcI Qbcy&6htc-c Applicable hvanufacturer's Oata Reports to be attached CERTIFCATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certifica Zteof rIZ1tiN.
N/A Expiration Date N/A
~~ignewne or Ownr' 7Ysia,-cL Me_______
C11ACr.ATE OF INSERVWCE INSPECTION I. the undersigned, holding a valid commission iud by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province Of Mtph4lta" and ployed by V nlLttttr Mutual Tnaslu nee Compan!
of -
n r
@_T-have inspected the components described in this Owners Report during the period, 11/20/99 to Q
/o0-
, and sate that to the best of my knowledge and belief, the Owner has performed examinations and taken cor6ctive measures described in this Owner's Report in accordance with the requirements of the ASME Code. Section XL 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 ReporL Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury orpperw damage or a loss of any kind arising from or connected with this inspection.
-A Commissions
-X"762 U1 ART M
$ SigWnature ftfiona Board, State. Province, and orsment Date
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner
- rekna, nPC@
rVy Cnmpany 277RfQ R1g Sta*-
UwX*._oUyt NJ
'Z. 1r18u1K 972 i21r ai
- 3. Work Performed by -
,4,,a,,,,ge li,,.,-g "am 27780 Blue Star am*. Covert, MT Date -0 CK 1L Z70 Z
Sheet I
of.__
Unit I
Rah*r9rumeme ftuOv n P.O. No. Job No.. e.
Type Code Symbol Stamp N A Authorization No.
f/A Expiration Dat NZA
- 4. Identification of System
-fi fi)"A461L1 6PcL{LA&(P
- 5. (a) Applicable Construction Code q
E ll
-)W)
Ediion Yew (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity Y)S C
- Addends, Code Case 6 Identification of Components:
- 7. Description of Work I' 1/
ýý:~
(f -D srcal %LkUS1'67,S 05 4tfb 433'-16 5~5 Z7'5
&. Tests Conduct*
Hydrao s El Pneumaeti 0 Nominal Operating Presure}ý(
Prsmsur Tea Temp.
F NOTE. Supplemnent shea t In o of %W uimchee. or drawings may be used, provided (1) sin is 8/2 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 number of shoet is recorded at the top of this form.
(79)This form (E00030) may be obtained from the Order Oept.. ASME. 22 Law Drive. &o= 2300. Fakrfeld NJ 07W0-2300.
lIMhhhll E00030 ASME National
- Correted, Code Nam of Nam of ManufactrerSod Yew Reovd or Stamped Component Manufachurer Serial N.
No.
Other kdentifaton SUi Ietlled (Yea or No) 707 JT
.4T A_
Z C I Z II&
3_
OtherOr Exempt 0 ID 1.8
-2 W..
I
4 l o t74 FORM NIS-2 (Back)
- 9. Remarks MSCanuf111n cestcL crs e Rert to atbtace1d Applicable Manufacturer
ýData Reports to be attached CURTiRCATE OF INSWERICE WsPECr111o I. the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mtrhmain
-andernployedby
]n!et-nry Mittal_ TInsLLrance CoQnany of Xn~hin a nns ;
-T.
have inspected the components described in this Owner's Report during the period 11/20/99 t
OA.*/Oo*
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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 Ownes Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or prp damage or a loss of any kind arising from or connected with this inspection.
Commissions XT -'49 AlWT Irnpeco S nsatre Date 14ý
-zn Ititna Board, State, Province, and Endornments CERTIFICATE OF COMPUANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of
'thorzao No
/A Expiration Date N/A Signed D ate M L1IA cL ZOO z__
Ow. mm or Ownses Osaignee, T(fe
I Llcý I tje a -a rr.
Lqr-j I L i iurluuz)z
-C.=
i I r-Ocjý L
FM"K-ZOR "PTCERTIFICATE HOLD&WDAYA RMRlr FOR.WKM.WXL NUCLEAR PARTS-AND APPMENANM As *"*kj4* tho PrQvbfow of th* ASMIE CAI,% $Mkg HL Divbim I Not to ExceW one Dsyls Prod"Wa P9 t of I
I-csnUW by cri MWM Pe-W Lm 51 Old tmva Ro" 03WI.
2-M*m"ftcftrtdfwcFk"ckwvbWLLc 2wDWII!Ll Ito", WM&OCCT 06M.9m 3-LxaftwogwýIM16ýibw C E-W t rype 9ALL-M an 05 SU BACK
ýsujlO" (Mmingm.)
2001 (Mal swc mo-ý (a*
ovwb")
S. AMIE C*d4-*Ac*aw M_.:
19" t9w Nff NOW Odom)
(-MC"4 (dus)
(swiTcWý TZW"-")
NIA oft IW4
- 7.
L M*, Ok""I Wk%_pm4 to.- Desipvrcuwe M
va TW#
-f Wtdm. W* pe-mc 1121, psi a "
70
- f
I 0
-n (1)
C) m m
-o Cý
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner en.olnl,,..-m
- nr%&N CAmPany 1772n ul Plant PA14jAmpbf R,,_ItIr Plarif.
277R0 RIno stir
' XT Work Performed by
'"a-m* -a m
tnevp 2ume 27780 Blue Star
~vy.
Covert. MT Date
~L4AZU id.=(Z~
Shoe
.of tlnit ___
1 u-n.a 24105-Repaik/Rosmem Oamiiudo P.O.
Job
.o No. e.
Type Code Symbol Stamp VIA Authorization No.
MA Expiration Date N/A
- 4. identification of System L
A. M A., IV-c UnA.
.L,
J.,CUfL L
o J
- 5. (a) Applicable Construction Code AA I, l' IQ "s
- Edition,
/10A1C.-
- Addenda, Y1QAC_.
Code Case Yew (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity YeOr (c) Applicable Section XI Code Cases
- 6. Identification of Components:
ASME National Corrected.
Code Nam of Name of Manufacturer Board Year Removed, or Stamped Component Manufactur Serial No, No.
Othew kId cation Bilt Inmtalled (Yes or No) se y
i 0
Nominal Operating
- i.
Exempt 0 O(herO Piuewls pal TestTemp.
NOTE: Supp1*lemntl ee in ktee of His ak*he or drawing. may be used, provided (1) ala. i. 8Y2 in. x 11 in., (2) information in items I through S on this repot is inchideid en aedlshe ehetnd (3) each sheet ii numbered and number of shees iirecorded at the top of this form.
E00030
- 2.
3.
Unit V*g@*
m
FORM NIS-2 (Back)
- 9. Remarks
()
( A, r_
AP~ficable Manufacturer's Data Reports to be attached C11" WATE OF dSWICE WASPEC11ON I, the undersigned, holding s valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mir-h4inn and employed by Fantsinr-WNitiAl Tnsuiranco Comt=an Of-
.Jnh~nm Pn 2 _ T have inspected the components described in this Owner's Report during the period 11/20/99 to Qlas 7-,
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
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 age or a loss of any kind arising from or connected with this inspection.
CoImmissions UT A UNIT Inspectoots Signate Date os oanooz
--Paton rd, Stali, Province, and Endorsements CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp N/A Certificate/f Authorizati No.
N/A Expiration Date N/A Sig..
Date r~
ia Z
L..
04-L C7-t 11 (05`7
FORM NIS-2 OWNER'S REPORT FOR REPAIR/ REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code, Section X1
- 1. Owner
- !jlum~
nrgzjy QNQ=3[w~
"Wome
- 2.
3.
-.&AB Ma-a~on R~~~,
A&
Plant IllegjstaMn~101.me
~777ftn 11t". RP~v flUTy
'nxec:
Work Per foin ed by r'
-27780 Bluok Sta1 A. I -
-7 "),~ I Date-
~
Shee".
of,
/ .
L.'('
J tz n 6 2411 w2-265 MO~rn
-R~dVIRI~mpen OquWMbaMe P.O. Mu.. J"b '..OI "N
w"'.'gyf Type Code Symbol Stamp v A r Hwy. C~overt, N1 ampinedu-f Do
/A
- 5. (a)Applicablie Coutructlon Codie MI~g2 4,&Yg b6
&mon, j10.
YOU ib) Applicable Edition ofSection XIUtilied forRepair/ReplacmentAcvtivty '98.~
1c) Applicable Section Xl Code Caseso A)
IZA
- 6. Identfiation of Components:
-5Y57RA'I 6Ess-)
Addenda.
Y) "O-Code Case
- 7. Description gaf WW*r 4d"1dj
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Tomt Conducted: I dislle G Pneumeds 13 Nominal Operatng Preuure.U Exempt 0 O11110r Pminý Pil Tomt Temp.
NOTE: Supplementsl she lle b ~em of ftf adiea.iss or drawings may be use" provided 11) slowla in.% x II in., (2) information In hams I thjoug 6Son this report is Included on seash sheet, a&d (3) each
~he Is numnbred and number of sOean IS r'corded at fte top of this form.
wW This betm M00311 may be inabst doe.
OrdOer ePt.. AWLS n2 Law 0& B 200 Fdfddl. NJ @100-CM 1.111111 ASME Natioal CwecNAcode Name of Nameo ManufomarerA neat Yew Reniovs or shopped Contponent MUNufeOGNMe Seria "06 No.
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FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner
_nnai..ains g
rAMlp~n Nmom d....
..14 A.
a 1b.
ttXT Shoo i
-of_
Unit I
u* !q RaudrIPApeammew OqWAfikofi P.O. Nc. Jab No.. OIL
- 3. Work Performed by Ce,~me.W aIte y 6'3-g Type Code Symbol Stomp WA 27780 Blue Star HS.
- CIvere, NI Eion DsMA
- 4. Identification of System LVIQ~EREP)'.S24$E (*UAiŽ2Z*
-72 A/1 (E 5 S. (a) Applicable Construction CodeAA 651 t'IYew Edition.
ALA-...
- Addenda, Code Case Yaw (b) Applicable Edition of Section XI Utilized for Repair/Replacoment Activity I Yew (c) Applicable Section Xl Code Cases______________
S Identification of Components National code Name Of Name0 of Manufaftwor Barld Yew Remloed or Stampend Compnent Mormfanarer sewiam No.
No.
Otherd wdnfledon laml fnstalled (yes or No) 41___4Z6 NIA. -&X15,TZ /7 Z~
W-AJ~L&Ie W~A4
- 7. Descaption of Wo*k)PLPAC'9JD GANQRBEPZ !ý;AJ-79YWI/I-VKUIVA'7 S. Toest Conducted: Hydromde U Psnesameds 0 Nomninal Operating ProssureD0 Exempt 03 Other'-
Proeemie LiA.. ps Teat Temp.F NOTE Supplemental ahe hasI tm at oftUr dwhaa. or drawing may be used, provilded (1) *ine is 8%~ In. x I1I In.. (2) Information in items I through 6 on thie report is included on each sheet,. and (3) each sheot Is numbered and number of sheets is recrde at the top of this form.
(7/WS This form, (30020 may be obtauined from the OnWa Oept. ASME. 22 Low Pales Sw Eft0 Palfleld.4 MJ 070072206 l01 l1lhll E00030 2.
FORM NIS-2 (Back)
- 9. Remarks Appcable Manufacturer's Data Reports to be attached CERTIFICATE OF COMK.JANCU I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp N/A Certficat of Authornation No.
N/A Expiration Oef N/A Sig OwuerI e Own A',
A-;11nee, TLeT Owner or Owies Osaignee Tide SC1liR1CATE OF IUnPRVICE 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 Mtrh4Xnn andemnplyevy.dbyVAr-ftnzt r MLtnAl Tnernnee Coman'a=
of Tlh~ns
%-,.m T
have inspected the components described in this Owne,"s RqCpo during the*perri 11/20/99 to s'/o* I and sta tha to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirments of the ASME Code. Section XL 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. Furthernom, neithe the Inspector nor his employer shall be liable in any manner for any personal iniur* oPrt or a loss of any kind arising from or connected with this inspectio Com missions Ir. -76)
A11T Inspector's Sinaur Ntonal Board, State. Proviincs. and Endorsements Cate
,2ao
FORM NIS-2 OWNER'S REPORT FOR REPAIRIREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner rift"12Iaer.v
- i¶.rgy CrIMIAny Plant Pallsarf.a PI.1*,I.-Pla.r 277)R Rlup Rtm-
"Xvsrt,
_I Work Performed by Cnnp,,,,,,,
W,,,*,-.gy Name 27780 Blue Star Hwy. Covert. Mr Date G(V&CL (Pit. i1' Sheet L
of I
Unit 1
_l 24 11 1 SRepe..R...eeemn O gur*uen P.O. No. Job No..
Type Code Symbol Stamp MIA Authorization No.
N/A E-miration Dlate
/A
- 4. Idntlifcatlon of System(c W
t O S )
- 5. (a) Applicable Construction Cod*
~
- Edition, 18S
- Addenda, 00'C Code Ca3e Yew (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity Yew (c) Applicable Setion XI Code Cams L
- 6. Identification of Components:
ASME Nationa Corrected, Code Name of Name Of Manufactrer Board Yew Removed, or Stamped component Manutchfer Serial No.
No.
Other 1dentitcagdon But InIlled (Yes or No) 20 B8 60Z&-
6p I L zika(ccI Ye 7~T 2-2-14 2-qL 02~7 LP
- 7. Description of Work AL if
'3 C 10 5)Y C
(
7 J(P S2
- 8. Teots Conductedt Hydred 0 G Peumadc 0 Nominal Operating Preaur.*'
Exempt 0 Other-o puw.e psi Teat Temp.
IF NOTE: Suplwementd dWm 10 "
of Nse aketshee, Or draWNg may be used provIded (1) sin 8% In. x 11 In., 12) information in items i through 6 on thie report Is Included on each sheet and (3) each sheet is numbeld and number of sheets is recorded at the top of this form.
(7I Thsform (100030) may be obtained from dhe Order Dept.. ASME.L 22 Law Ovtve Box 2300. Palulald NJ 0700-23006 lM hhhhll E0030
- 2.
3.
Žý4 1) (ASS 81 FORM NIS-2 (Back)
- 9. Remarks Scr-
,A*WCA'-Cz.*JCFS 5
.- t ntfzzwCLJ.
Applicabie Manufacturer's Data Reports to be attached C017nFICATE OF W4S16V1CE 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 Mie-hilnii andemployed by I fnt,-y=
%itual Tnauranee Company Of-Tjnhnlarnn 1
T-0.3.have inspected the components described in this Owners Report during the period 11/20/99 to
,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code. Section XL 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 proper mag or alose of any kind arising from or connected with this inspection.
Commissions
-_ -_761__
A__NT Inspector Signature Date A?'
. -h
-Mona Board, Staet, Province. and Endorsements CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate Authorizatk*
O.
N/A Expiration Date N/A Owners 0~-
ne Tide
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FORMi M~-2 OR NFTCERTIFICATE ROWERS' DATA REPORT MOR IDENTICAL NIUCLEAR PARTS AND APPURTENAN4CES As Required by the Pftvhisio of the ASME Cpde Scdai Ilk, Di%.. 4 Not to Exceed one Day's Production I. Mmgshgj ma cerdfiby CE Nucdw Pawni LLC. 55 Od Oovev Road, Ngwkies. NH03801.
- 2. Maomf*-wed Oar CEwI~ew I'wan LLC.. 2000 Ony Ho1 Reat WinsftWZT 06*V09S.SO t 4Type -CND-E-i996Rev. 0 SEE BACK
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FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code, Section Xl
- 1. Owner ei.inp11utm
!nArj
tmpany 777Rfl Allwg
@q-r. RMuCOy~t X1If
'jPlant PAis"di 1772nl Ul i.i n*_v WT
,*,rw.e, I
- 3. Work Performed by 977An Rlsw%
Nam 0 ar v, I ZL
-- Ir mn w oJ wU AeV<u Dateo,.
JuL awl Shee of__
un-t 1
RgPlAWlSWms Orwgwumuo P.O. Nm. Job Na.. or.
Type Code Symbol Stamp VIA Authorization NO.
HILA
- 4. Identification ofSystem
~
rL
- d.
'V-~-
~r~.t-..u'
~
. i) Applicable Construction Code 1973 Edition.
t Addenda.
N/A Code Case Yew Ib) Applicable Edition of Section XI Utilized for Repair/Replacement Activity 1989 YOw jc) Applicable Section Xl Code Cases W / A
- 6. Identification of Components:
AMM!
National
- Conuctd, Code Name of Name of M
a Yw Remove or Stamped CompOn-,
M-.
uf.~ae-Seria Nl.
No.
Otherl Wdenfa 3t Io (Yes or No)
~a(C-POP-~1 T:-947, 2Ae'1 M36TAafD) ?4I
- 7. Description of Work B
R G 08C t r N IO
'gc 6 Tes Coducted: HydrmolOa Pnsumeat
)
Nominal Operating Pressure.C Exempt 0 OthJPo Pressure Pal Tesm TeMp IP6 A~
NOTE. SupplmentW Stim lb form of MW dmuihee or dwing may be usd provIded (1) 8 is SY2 In. x 11 in.. (2) information in items I through 6 on this report is Included on each shoek and (3) each sheet Is numberd and number of sheets Is recorded at the top of this form.
wwSS This torm 600 m
ay n
be obuined ftrnomw~ Orwde Dwp. AsME 22 Law Drive. Eam 23w0 Fairfaild. NJ ~70-230L.1 11 1 1 i
N 10 1
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r Natmý tdyw se*
E00030 AI 6o I
A j !1353 FORM NIS-2 (Back)
- 9. Hemarfs Applicable Manufacturers oata Reports to be attached CERTIFICATE OF COMPIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Cods Symbol Stamp N/A Certificate of Authorization No.
N/A Expiration Dow N/A Owner or Owner's Oedgeel.
fTle Date.Z22 ClRTIFICATI OF Wd8ERYSCI iS*UECIION I,
the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of M4rlhi~4 n
&ndemnpyt dlWby.PAn6tVn Tit:t.Al Tntaranee Company of jnhnmtma-,
V T_
have inspected the components described in this Owner's Report during the perlod 11/20/99 ito M14Y 2
,ad an mte that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Codes Section XL 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 orforty d 7 r a loss of any kind arisng from or connected with this inspection Comm issions X1_ -72 ABUTI Inspector's Snturlme Ntonal Bard, State, ProvInc. and Endorsemn*t
FORM NIS-2 OWNER'S REPORT FOR REPAIRIREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner (Ananm e
nr.V CnpMInJAv 9777Rn l U 1a-
@tils~
MTst'
- 2. Plant P14*l..
W,1bar. 2131 977RO BuI-9PAy Hwwa n-z3w
" rr
- 3. Work Perforned by 27780 Blue St
- 4. Identification of System Date -
/ (!FZI-id I Sheet 1
of Unit A bam m......
- Rdap rI~ap~ um t Or l iaz ~ P.O. No, Job No. aW.
i.'mn W,,,*m l
Type Code Symbol Stamp WlA
"""-o No.
1A ar Hwy.. Covert.
MT Expiration Date MIA MkmJ
- 5. Ia)Appl*eable Construction Code ASA 0.,L I,
1
-vo Edition,
- Addenda, a
Code Case (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity G I
YeOr 1c) Applicable Section XI Code Cases r
- 6. Identification of Components:.
ASME National tCorect@,
Code Nmen of Nam.of Manufacturer
- Boaid Yew Removed, or Stamped Component Mlmlen brer Serial No, No.
Other Identl icon InBukile (Yen or NoW Peoocwp. si&
- D UIA Sr
- 7. Description ofWork JAsCL o"-A,1,olvewr Ate 60L,59~ 7a PLUC &
- 8. Tests Conductedt Hydrostatic Pneumatic 0 Nominal Operating Prmesur.
Exempt 0 Odwera
. Press"ur psI Test Temp.
F NOTE. Supplemental in fosm of ISM scWhes, or drawings may be used, provided 11) size n
8* in.x In. (2) information in items I through 6 on tie epant is Included on each shsea, and (3) each sheet Is numbered and number of shmets Is recorded at the top of this form.
17/99)
This form Oll may be obained from th Cier Dept., ASMI 22 Law Orks Oft 23a00 Faiufiuld. 14J 00-23S 100 1 l l E00030 I
a F
F
[
1
9;ý IW 16111+
FORM NIS-2 (Back)
Kem arltS A
M D
R Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made inthe report are correct and that this conforms',to the requirements-of the ASME Code, Section Xl.
Type Code Symbol Stamp N/A Certf.ate ofA-the o,
N Expir ate Dat/
Signe Owner or ownses Designee. Tide 9.
c*rnmlrATI OF NmmmC. 0VA4MTWN I, the undersigned, holding a valid commission issued by the National Board of Boiler endPressure Vessel Inspectors and the State or Province of 144-h41An Mnwempkroyelsd:byl*.-trnrXt MNttial Tnitrane C(oma*
Of
_R-T to
,,,have Inspected the components described inthisOwneesReportduringtheperlod 11/20/99 0
andstetthat to the best of my knowledge and belief, the Owner has performed examinations and taken rrctive measures described in this Ownees Report in accordance with the requirements of the ASME Code, Section XL 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 Owners Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury wopiarty daga or a ions of any kind arising from or connected with this inspection.
Commissions NX -"62 A
,*T Inspetoea SnRat tklonBard, Staft, Province, and Endorsements oate 4.
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code,Section XI
- 1. Owner
- ennamyev,
.nergy Cenmpny Noae 7771 R],11__RE,-
&M&
3 Ic.t.
BT Plant Pal4,-4-0CM 2,-1-ra.
P12,1412
- 7 7 7 R0 l~ ti,,
R rJ, y H`
,= C Q W Z-* "
x" Work Performed by (nnanm,-a v
-m 27780 Blue Star Ehw.
Covert, MI Date 1q. ?C02 Sheet of-Unit I
efairlR*olmomt Or'gnization P.O. No.. Job No.. *M.
Type Code Symbol Stamp N A Authorization No.
NZA
.-..e._
n_
V IA 4.Identification Of SYstem Addtaf
ý
( 9
,ý 6
- 5. (a)Applicable Construction Code Yew Ed tion,
- Addenda, Code Case Yar (b) Applicable Edition of Section XI Utilized for Repair/Replacement Activity Yea (c) Applicable Section Xi Code Cases r'.
- I
- 6. Identification of Components:
- 7. Decrption of Workc-ZI~l U
i1~ (~3/i) 6C2f1~~J (S?
- 8. Tests Conducted: Hydrostic E
Pneumatic 0 Nominal Operating Pressunm Exempt 0 Other 0 Pressurem p
Tem Temp6.1=
NOTE: Supplemental shm 1 i*amr of NW dstche, or drawings may be used, provided 41) size is 81/4 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 number of sheets is recorded at the top of this form.
(7/991 This for, (E00030) may be obtained from the Order Ot ASME. 22 Law Orm. Box 2300.,rfeld, NJ 07007-2300.Iglll E00030
- 2.
3.
ASME National Corrected, Code Name of Nae of Manufactumr Soe1 Yew Removed, or Stamped Component ManufactMu Soa" No.
No.
Other Identificatin Built Imtalled (Yea or No)
C MO~tz Coi~6Aq pLz-/
(l(,ictcad4 2-112-1 60~
~37-1,5-3 eC/
§5IL1cý(
- "F "*
-11,1 nW M
/l
9'+4111949 FORM NIS-2 (Back)
- 9. Remarks SaALAýZtCL*VýU/-CyS RI)Izi Dpr+ Ok icJ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of uthorization N--
N/A Expiration Date N/A Sign D
Owat. or z
/er a______n___"
Owner or Ownees D Ti~t@4rie CEPTVWATE OF INSEIMM INSPCTM I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of M4phizAn andemployedby V-tlnry Milit-uAl Trnmurance Company Of Twn-R _ T.-,,
have inspected the components described in this Owner's Report during the period 11/20/99 to
ý,*O,
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
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 injurydamage or a loss of any kind arising from or connected with this inspection.
Commissions NX -76.
ABUT Inspector's SigMnr flMtionst Board, State. Province, and Endorseme Date A
1-s",X Z=X