ML030370566
| ML030370566 | |
| Person / Time | |
|---|---|
| Site: | Palo Verde  |
| Issue date: | 01/29/2003 |
| From: | Bauer S Arizona Public Service Co |
| To: | Document Control Desk, Office of Nuclear Reactor Regulation |
| References | |
| 102-04884-SAB/TNW/RJR | |
| Download: ML030370566 (199) | |
Text
AScott A. Bauer 1 0CFR50.55a Department Leader Regulatory Affairs Tel: 623/393-5978 Mail Station 7636 Palo Verde Nuclear Fax: 6231393-5442 P.O. Box 52034 Generating Station e-mail: sbauer@apsc.com Phoenix, AZ 85072-2034 102-04884-SAB/TNW/RJ R January 29, 2003 U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Mail Station P1-37 Washington, DC 20555-0001
Dear Sirs:
Subject:
Palo Verde Nuclear Generating Station (PVNGS)
Unit 1, Docket No. STN 50-528 Unit I Second 10-Year Interval -Tenth Refueling Outage Inservice Inspection Summary Pursuant to 10 CFR 50.55a and IWA-6230 of Section XI of the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code, 1992 Edition, 1992 Addenda, Arizona Public Service Company (APS) hereby provides in Enclosure 1 the PVNGS Unit 1 Inservice Inspection Report for the tenth refueling outage. APS completed Unit 1's Refueling Outage on October 30, 2002. Also included in this summary report are four pressure tests performed at the end of the first inspection period that were omitted from the ninth refueling outage summary report for Unit 1.
This letter does not make any commitments to the NRC. Please contact Thomas N.
Weber at (623) 393-5764 if you have any questions or require additional information.
Sincerely, SAB/TNW/RJR/kg Enclosure cc:
E. W. Merschoff J. N. Donohew N. L. Salgado A member of the STARS (Strategic Teaming and Resource Sharing) Alliance Callaway 0 Comanche Peak 0 Diablo Canyon 0 Palo Verde
- South Texas Project 0 Wolf Creek 4 cL7
ENCLOSURE SECOND 10-YEAR ISI INTERVAL
SUMMARY
REPORT TENTH REFUELING OUTAGE PALO VERDE NUCLEAR GENERATING STATION, UNIT 1
PALO VERDE NUCLEAR GENERATING STATION UNIT I INSERVICE INSPECTION REPORT TENTH REFUELING OUTAGE ARIZONA PUBLIC SERVICE 5801 S. WINTERSBURG ROAD TONOPAH, AZ 85354 PREPARED BY:
REVIEWED BY:
APPROVED BY:
IT DATE: ZZ1.ZLa DATE: /"
$4 o.S' DATE:
COMMERCIAL SERVICE DATE:
REPORT DATE:
01/28/86 01/24/03
%01 O l a.
TABLE OF CONTENTS SECTION PAGE 1.0 Introduction 3
2.0 Examination Summary 3
3.0 Examination Techniques 4
4.0 Accessibility 4
5.0 Personnel 4
6.0 Equipment And Materials 4
7.0 Repairs And Replacements 4
APPENDICES APPENDIX PAGE APPENDIX A - Inservice Inspection Summary Report 5
APPENDIX B - Inservice Inspection Code Limitations 30 APPENDIX C - Form NIS-1 32 APPENDIX D - Forms NIS-2 35 Page 2 o035
UNIT 1 INSERVICE INSPECTION REPORT 1.0 Introduction This report is a summary of the examinations performed during the tenth refueling outage at the Palo Verde Nuclear Generating Station (PVNGS) Unit 1. This report also includes all applicable examinations conducted since the last refueling outage. This was the first refueling for Interval 2, Period 2 which was conducted from September 28, 2002 through October 30, 2002. Palo Verde Unit 1 began commercial operation on January 28, 1986.
This report identifies the components examined, the examination methods used, the examination report numbers, and summarizes the examination results for each of the following categories:
- 1. ASME Section XI, Class I and 2 pressure retaining components and their supports.
This report is a summary of the ISI examinations performed during the Second Interval. This report is a summary of the Period I examinations and examinations performed through the tenth refueling outage. All of the examination report numbers listed in Appendix A for the tenth refueling and examinations performed since the last Summary Report are in bold type. Four pressure tests performed at the end of the first period were not included in the ninth refueling outage summary report. These reports were included in this report, listed under the first period and are also in bold. CRDR 2579575 has been initiated to address this issue.
2.0 Examination Summary The evaluation of the results from the ISI examinations indicated the integrity of the systems have been maintained. All discrepancies were corrected or determined "use-as-is" in accordance with PVNGS work control practices and ASME Section XI.
Boric acid residue was detected on the tubing connected to the reactor vessel in-core instrument nozzles (ASME Class 1 Item B4.13, Zone 1). The condition was investigated under CRDR 2312850 and determined to be the result of a prior packing leak and leakage from the ICI seal table. No indications of leakage of the tubes, nozzles, or reactor vessel were detected. (Ref. CRDR 2564714 and report VT-02-705)
Visual examination of S1240H3 and S1240H5 (ASME Class 1 Item F 1.10, Zone 21) identified that the load pin spherical bearing had moved 3/16" and 1/8" beyond the edge of the paddle. The spherical bearing on S1240H3 was cracked. The cracked spherical bearing was replaced and the other spherical bearing was reworked. The supports were examined based on identified vibration during a walk down and were not scheduled for examination. The cause was vibration on the system, induced by an adjacent valve. The evaluation determined that the supports would have continued to perform their design function in the as found condition. A stress analysis was performed under CRDR 2557486 and determined that sufficient margins exist in the system and support designs to handle these increases. Therefore, the piping system was not compromised. (Ref reports VT 02-431, VT-02-605, VT-02-432 and VT-02-607)
Visual examination of SI193H3, SI175H21, SG5H5, SG5H13, SG8H8, S1202H4 and S1220H20 (ASME Class 1 & 2 Item FI.10 & F1.20, Zone 22, 26, 55, 58, 96 and 97) identified that the sway strut lock nut was not fully engaged. The lock nuts were tightened. An evaluation was performed and determined that the loose lock nuts would have no impact on the support or system and would have continued to perform their design function in their as found condition. Therefore, the piping system and supports were not compromised. (Ref CRDR's 2559339 & 2560602, Report #s VT-02-496, VT-02-652, VT-02-507, VT-02-655, VT-02-560, VT-02-656, VT-Page 3 of 35
02-563, VT-02-657, VT-02-451, VT-02-649, VT-02-469, VT-02-651, VT-02-443 and VT-02-648)
Various non-rejectable indications were detected during the performance of examinations. These indications were recorded and are maintained on file.
3.0 Examination Techniques 3.1 The three types of examinations utilized to perform the Inservice Examinations, along with the actual nondestructive examination techniques, are identified in the legend below:
VT - Visual VT-I General Condition VT-2 Leakage VT-3 Structural Condition / Operability S - Surface PT Liquid Penetrant MT Magnetic Particle VOL - Volumetric; UT Ultrasonic RT Radiographic 3.2 All of the nondestructive examinations were performed using specific techniques and procedures that are indicated in ASME Section XI, or alternative examinations that are demonstrated to be equivalent or superior to those identified.
4.0 Accessibility 4.1 All items were examined to the extent practical. Code limitations encountered during the examination that exceed the criteria of code case N490 are documented in Appendix B.
5.0 Personnel 5.1 All nondestructive examinations were performed by Arizona Public Service Co. (APS), Lambert, MacGill, Thomas, Inc. (LMT), or MQS. All personnel were certified in accordance with programs written to comply with the applicable requirements of ASME Section XI. Copies of all certifications are maintained on file.
Hartford Steam Boiler Inspection and Insurance Company of Connecticut provided the Authorized Nuclear Inservice Inspector (ANII).
6.0 Equipment and Materials 6.1 The equipment and materials utilized were certified to the requirements of ASME Section XI. Copies of all certifications are maintained on file.
7.0 Repairs and Replacements One replacement and no repairs were performed, as a result of ISI examinations performed during U2RI0. The replacement is as follows and is further addressed in the Section 2 Summary:
ZONE WO / CRDR ITEM
SUMMARY
DISCREPANCY 021 2558934 / 2557486 2-105-CH-149-H004 Cracked spherical bearing replaced The applicable records and reports for the specific maintenance repair or replacements performed after the last summary report are maintained on file at Palo Verde. The applicable NIS-2 forms are an attachment to Appendix D and are submitted for review with this report.
Page 4 oY35
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Page 5 ot 35
APPENDIX A Definition of Terms The column headings for the tables on the following pages are defined below:
ASME Item No -
The ASME Section XI Category/Item Numbers are listed in the Code, Subsections IWB and IWC. The item number prefixes are defined below:
AHE -
Augmented high energy systems piping B -
ASME Class 1 systems BFLYWH -
Reactor coolant pump flywheels BIWF -
ASME Class I supports C -
ASME Class 2 systems CIWF -
ASME Class 2 supports FR -
10 CFR 50 augmented examinations Zone No -
Area designation per PVNGS design Comp/Sys -
Component or system description Insp Per -
Inspection period Amt Reqd -
Number of items required to be completed in the period Amt Comp -
Number of required items completed Item ID -
Item identification per ISI program/zone drawings Reports (VOL) -
Volumetric exam report number (SURF) -
Surface exam report number (VIS) -
Visual exam report number Remarks -
Re-exam or replacement remarks indicate acceptable examination results rage o 01 35 I
Definition of terms continued Acc ADV Aux Atmos CEDM Circ Cont CS CSP FW HPSI HTRS ICI IEB Letdown HT Exch LPSI MS MT Press Bound PSE PSV PZR RCP RCS Reg HT Exch SD SG Snub Surf UT Vis Vol -
Accessible Atmospheric Dump Valve Auxiliary Atmospheric Control Element Drive Mechanism Circumferential Containment Containment Spray Containment Spray Pump Feedwater High Pressure Safety Injection Heaters In Core Instrumentation Inspection and Enforcement Bulletin Letdown Heat Exchanger Low Pressure Safety Injection Main Steam Magnetic Particle Test Pressure Boundary Preservice Examination Pressurizer Safety Valve Pressurizer Reactor Coolant Pump Reactor Coolant System Regenerative Heat Exchanger Shutdown Steam Generator Snubber Reduction Program Surface Ultrasonic Testing Visual Volumetric rage 7 oi 031
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp ASME Class 2 Augmented High Energy Piping AHE 5.51 47 MS SoI One 13 13 47-1
& 5.52 47-2 47-4 47-8 47-12 47-14A 47-16 47-20 47-24 47-25 47-28 47-29 47-30 51 Atmos Dump SGI One 13 13 51-1 51-2 51-3 51-4 51-5 51-6 51-7 51-BA 51-SB 51-9 51-51 51-84 51-85 53 Steam to Aux FW One 10 10 53-11 53-12 53-13 53-14 53-15 53-21 53-22 53-23 53-24 53-25 Two 9
9 53-1 53-2 53-4 53-5 53-6 53-7 53-8 53-9 53-10 56 Feedwater SGI One 7
7 56-1 56-3 56-4 56-6 56-7 56-9 56-11 60 Downcomer SGI One 9
9 60-7 60-8 60-9 60-11 60-12 60-14 60-15 60-16 60-17 66 Blowdown SGI One 9
9 66-1 66-2 66-3 99-1361 99-1360 99-1305 99-1306 99-1307 99-1356 99-1308 99-1309 99-1352 99-1350 99-1348 99-1349 99-1351 99-1345 99-1362 99-1363 99-1364 99-1365 99-1366 99-1367 99-1368 99-1369 99-1370 99-1371 99-1346 99-1347 99-1538 99-1539 99-1540 99-1541 99-1542 99-1543 99-1544 99-1545 99-1546 99-1547 IUT.02-262 UT-02-278 UT-02-263 UT-02-264 UT-02-265 UT-02-267 UT-02-268 UT-02-269 UT-02-270 UT-02-271 01-1411 01-1412 01-1429 01-1413 01-1414 01-1415 01-1416 99-1708 01-1221 01-1222 01-1223 01-1224 99-1625 99-1658 99-1666 99-1667 99-1469 99-1470 99-1471 99-1280 99-1280 99-1281 99-1281 99-1281 99-1280 99-1281 99-1281 99-1280 99-1280 99-1282 99-1282 99-1280 99-1287 99-1287 99-1287 99-1287 99-1287 99-1287 99-1288 99-1288 99-1287 99-1287 99-1287 99-1287 99-1287 99-1506 99-1506 99-1506 99-1506 99-1506 99-1506 99-1506 99-1506 99-1506 99-1506 MT-02-187 MW-02-175 MT-02-198 MT-02-189 MT-02-190 MT-02-191 MT-02-192 MT-02-193 MT-02-194 01-1328 01-1328 01-1328 01-1328 01-1328 01-1328 01-1328 99-1646 01-1230 01-1230 01-1230 01-1230 99-1646 99-1646 99-1646 99-1646 PSE PSE 99-1416 99-1416 99-1416 Page 8 of 35
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp MS SGI 66-5 66-6 66-7 66-8 66-9 66-26 One 7
6 47-3 47-7 47-11 47-15 47-19 47-23 47-27 99-1472 99-1473 99-1474 99-1475 99-1476 99-1477 99-1359 99-1358 99-1357 99-1355 99-1354 99-1353 99-1416 99-1416 99-1416 99-1416 99-1416 99-1416 99-1280 99-1280 99-1280 99-1280 99-1280 99-1280 99-1280 Closure Head One 33%
33%
2-4 Reactor Vessel One 50%
50%
1-14 Closure Head One 33%
33%
2-1 Pressurizer One 66%
66%
5-2 5-3 Two 66%
66%
5-6 5-8 B 2.31 03 Steam Generator 1 One 33%
33%
3-5 Two 33%
33%
3-5 Steam Generator I One 33%
33%
3-3 3-10 3-11 3-12 99-1466 99-1479 99-1481 99-1483 99-1465 99-1478 99-1480 99-1482 99-1448 99-1450 99-1452 99-1454 99-1449 99-1451 99-1453 99-1455 UT-02-243 UT-02-244 UT-02-245 UT-02-246 UT-02-238 UT-02-240 UT-02-241 UT-02-242 01-1200 01-1211 01-1214 01-1234 UT-02-139 UT-02-140 UT-02-147 UT-02-149 01-1199 01-1212 01-1213 01-1233 01-1203 01-1208 01-1218 01-1237 01-1200 01-1201 01-1210 01-1211 01-1214 01-1215 01-1234 01-1235 01-1201 01-1210 01-1215 99-1458 99-1458 Accessible Areas RR#14 Examined 0°-180o Examined 00-1200
- Separate Report by Wesdyne. Exam completed in IR8 Examined 00-240° 1' long seam for 5-2 1' long seam for 5 8
Examined 00.2400 Examined 0*- 120r Examined 1200 2400 Page 9 of 35 AHE 5.81 47
& 5.82 ASME Class I B 1.22 02 B 1.30 01 B 1.40 02 B2.11 5
& 2.12 B 2.32 03
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp B 2.40 03 Steam Generator I One 50%
04 Steam Generator 2 Two 50%
B 3.120 05 Pressurizer B 3.130 03 Steam Generator 1 04 Steam Generator 2 One 2
One 2
One 2
50%
3-6 50%
4-6 2
2 2
1-15 1-18 1-15 1-18 5-9 5-11 Two 2
2 5-10 5-13 One 2
2 5-9 5-11 Two 2
2 5-10 5-13 One 1
1 3-9 Two 1
1 3-7 One I
1 4-9 Two 1
1 4-7 B 3.140 03 Steam Generator I 04 Steam Generator 2 B 4.12 02 Closure Head B 4.13 01 Reactor Vessel B 4.20 05 Pressurizer B 5.40 20 PZR Surge 31 PZR Safeties One 1
Two 1
One I
Two 1
One 8
Two 9
One 5
Two 5
One 12 TWo 12 One 1
One I
1 1
1 8 8 5
S 12 12 1
3-9 3-7 4-9 4-7 CEDM CEDM Inst. Noz.
Inst. Noz Heater Heater 5-34 5-29 01-1235 01-1201 01-1210 01-1215 01-1235 UT-02-260 UT-02-280 UT.02-281 UT-02-282 01-1283 01-1284 01-1286 01-1287 01-1267 01-1268 01-1269 01-1270 UT-02-252 UT-02-253 UT-02-254 UT-02-255 UT-02-247 UT-02-248 UT-02-250 UT.02-251 01-1285 01-1406 01-1365 01-1366 UT-02-266 UT-02-272 01-1202 01-1209 01-1217 01-1236 UT-02-134 UT-02-143 UT-02-145 UT-02-146 01-1376 01-1377 01-1378 01-1379 UT-02-138 UT.02-142 UT.02-144 UT-02-148 01-1367 01-1368 UT.02-132 01-1369 01-1370 UT-02-135 01-1288 01-1232 01-1290 01-1238 01-1010 01-1239 01-1240 Examined 0'-180*
Examined 1800 3600
- Separate Report by Wesdyne. Exam completed in I R8 01-1627 VT-02-700 01-1627 VT-02-705 Reject - eval by CRDR 2312850 01-1627 CEIB 89-06 VT.02-699 CEIB 89-06 Page 10 of 35 B 3.90 01 B 3.100 01 B 3.110 05 Reactor Vessel Reactor Vessel Pressurizer
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 29 31 B 6.10 02 B 6.30 02 B 6.50 02 B 6.180 16 PZR Spray PZR Safeties Closure Head Closure Head Closure Head RCP IA 17 RCP IB 18 RCP 2A 19 RCP 2B B 6.190 18 RCP 2A B 6.200 16 RCP IA 17 RCP IB 18 RCP 2A 19 RCP 2B B 7.20 05 Pressurizer B 7.30 03 SOI 04 SG2 B 7.50 31 Pzr Safeties 37 Charging B 7.60 16 RCP IA 17 RCP IB 18 RCP 2A 19 RCP 2B Two 1
1 Two 1
1 One 18 18 Two 1i 18 One 18 18 Two 18 18 One 18 18 Two is 18 One 5
5 TWo 5
0 One 5
5 Two 5
0 One 5
5 Two 5
0 One 5
5 Two 5
0 One When Disassembled One 5
5 Two S
5 One 5
5 Two 5
5 One 5
5 Two 5
5 One 5
5 Two 5
5 One 20 20 Two 20 20 One 40 40 Two 40 40 One 40 40 Two 40 40 One 1
1 Two One 1
One 5
Two 5
One 5
Two 5
5-33 RT-02-003 PT-02-147 5-31 UT-02-257 PT-02-155 I thiru 18 99-1510 99-1589 19 thru 36 MT-02-167 VT-02-592 I thru 18 99-1511 99-1509 19 thru 36 UT-02-211 MT-02-166 I thri 18 19 thru 36 1 I11=5 99-1705 6 thru 10 I thru 5 6 thru 10 1 thin5 6 thru 10 I thru 5 6 thru 10 Flange I th5u S 6 thru 10 I thru5 6 thru 10 I thin 5 6 thru 10 I thru5 6 thru 10 20 studs/nuts 20 studs/nuts 40 studs/nuts 40 studs/nuts 40 studs/nuts 40 studs/nuts PSV200 PSV201 PSV202 PSV203 99-1706 99-1487 99-1464 99-1707 PSV200 PSV201 PSV202 PSV203 I
V435 5
lthru5 I thin 16 5
6 thru 10 5
lthru5 5
6 thru 10 One 5
5 1 hru 5 1 dhm 16 Two 5
5 One 5
5 2
6 thru 10 1 tlhm 5 99-1613 VT-02-593 99-1601 01-1654 VT-02-626 99-1603 01-1654 VT-02-630 99-1500 01-1654 VT-02-634 99-1602 01-1654 VT-02-638 99-1488 99-1601 VT-02-625 99-1603 VT-02-629 99-1500 99-1197 VT-02-633 99-1602 VT-02-637 99-1498 01-1272 MT-02-172 VT-02-596 99-1492 01-1271 MT-02-173 VT-02-594 99-1493 01-1294 MT-02-174 VT-02-595 99-1499 01-1431 99-1499 01-1431 99-1499 01-1431 99-1499 01-1431 MT-02-168 VT-02-597 MT-02-169 VT-02-598 MT-02-170 VT-02-599 MT-02-171 VT-02-600 99-1263 99-1490 01-1476 VT-02-627 VT-02-628 99-1491 VT-02-631 VT-02-632 99-1489 01-1475 01-1501 VT-02-635 VT-02-636 99-1602 IEIN 80-27 IEIN 80-27 PSE IEIN 80-27 IEIN 80-27 Rejected 6 nuts, PSE 6 nuts/clamp ring Removed IEB 82-02 Removed IEB 82-02 Removed IEB 82-02 Removed Removed Removed Removed lEB 82-02 IEB 82-02 IEB 82-02 EEB 82-02 Disassembled Disassembled /2 rejects PSE 11
-4!2cJ.
iragie U
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Reg Comp B 7.70 21 SD Cooling 1 22 SD Cooling 2 23 Sl IA 24 S! IB 25 SI 2A 26 SI 2B 27 PZRSprayIA 28 PZR Spray IB 31 Pzr Safeties 32 Drain Line IA 34 Drain Line 2A Two 5
5 6 thru 10 One I
One I
Two 1
One 1
Two 2
One I
Two 2
One I
Two 1
One 1
Two 2
Two 1
One 2
Two 1
One I
Two 1
One 2
Two 2
Charging One 1
Drain Une Loop I One 1
HPSI Long Term I One I
Two 2
HPSI Long Term 2 Two 1
RVLMS One 1
Pressurizer One 66%
B 8.30 03 SG 1 4
SG2 RCS Piping One 33%
Two 33%
I UV653 I
UV654 1
UV652 I
V237 2
V235 UV634 I
V543 2
V245 UV644 I
V540 1
V217 I
V225 2
V541 UV624 1
V100E 2
V241 V242 1
VI0OF I
PSV200 1
PSV202 2
V234 V334 2
V233 V333 I
PDV240 1
V215 1
V523 2
V522 V957 1
V532 1
2-21 66%
5-1 33%
3-1 33%
4-1 One 7
7 1-31 1-34 6-7 3-30 4-30 7-7 17-2 20 PZR Surge 21 SD Cooling 1 22 SD Cooling 2 Two 6
0 16-1 17-1 1i-i 19-1 One 1
1 20-1 One 3
3 6-11 TWo 2
2 One 2
1 21-18 21-20 21-14 21-15 22-11 99-1445 99-1446 99-1447 99-1486 01-1304 01-1330 01-1331 01-1332 UT-02-130 UT-02-136 UT-02-137 UT-02-141 01-1356 01-1359 01-1357 01-1360 01-1361 01-1362 01-1289 01-1380 01-1383 01-1381 01-1382 UT-02-190 UT-02-191 99-1600 01-1006 01-1292 MT-02-165 01-1599 01-1599 01-1599 01-1299 01-1291 01-1599 01-1291 MT-02-179 MT-02-181 MT-02-178 MT-02-180 01-1232 01-1275 01-1275 01-1275 PT-02-119 PT-02-120 99-1590 I,)
- 12 4Z.
37 38 39 40 B 7.80 02 B 8.20 5
B9.11 06
& 9.12 VT-02-639 VT-02-641 99-1224 01-1533 VT-02-514 01-1004 VT-02-516 VT-02-517 99-1228 VT-02-478 VT-02-506 99-1219 VT-02-515 99-1614 VT-02-553 PSE VT-02-518 VT-02-614 99-1283 Reject 99-1665 Re-exam 01-1024 Re-Exam 99-1283 VT-02-615 99-1713 VT-02-601 99-1588 99-1587 VT-02-539 VT-02-540 99-1263 01-1042 01-1040 VT-02421 VT-02-S78 VT-02-579 01-1600 CEDM 92 & 96 Examined 00-2400 Examined 00 1200 Examined 120%.
- Separate report by Wesdyne. Exams completed in UIR8 Aminr d U,e
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 23 SI IA 24 SI 1B 25 SI 2A 26 SI 2B 29 PZR Spray 31 PZR Safeties 36 Letdown Line B 9.21 27 PZR Spray IA
& 9.22 28 PZR Spray 1A 30 Aux PZR Spray 29-9 One 1
1 31-1 Two 2
2 31-9 31-10 Two 1
1 36-75 One 4
4 9-11 27-42 27-43 27-44 One 4
4 28-31 28-32 28-39 28-40 Two 4
4 28-9 28-11 11-11 28-20 One 2(2) 2(2) 30-7 30-13 30-1 30-2 1..
-21
.C'29
.,~L 22-14 22-23 Two 3
0 22-1 7-9 22-18 One 4
3 9-10 23-1 23-2 23-4 Two 0
0 23-6 Two 3
3 24-6 24-14 24-16 24-19 One 2
2 25-26 25-27 25-29 Two 4
4 25-1 25-4 25-6 13-10 One 2
2 26-9 26-11 Two 1
1 26-6 26-17 One 2
2 29-10 29-11 Two 1
0 29-1 29-2 99-1599 99-1590 01-1510 01-1327 01-1511 PT-02-103 PT-02-105 PT-02-112 01-1541 01-1007 01-1542 01-1543 01-1007 01-1544 01-1007 01-1545 01-1007 01-1546 UT-02-287 PT-02-172 UT-02-289 UT-02-179 PT-02-116 UT-02-182 UT-02-185 PT-02-098 UT-02-189 UT-02-177 PT-02-101 UT-02-188 UT-02-176 PT-02-099 UT-02-178 99-1512 99-1503 99-1617 99-1606 99-1618 UT-02-227 PT-02-145 U1-02-224 PT-02-146 UT-02-226 UT-02-221 PT-02-173 UT-02-222 UT-02-228 PT-02-174 99-1615 99-1586 99-1616 99-1586 UT-02-181 PT-02-114 UT-02-184 13T-02-180 PT-02-113 UT-02-183 99-1467 99-1436 99-1468 99-1436 UT-02-233 PT-02-149 UT-02-234 UT-02-235 PT-02-150 UT-02-236 UT-02-237 PT-02-148 LIT-02-239 01-1220 01-1010 UT-02-249 PT-02-156 UT-02-256 PT-02-157 UT-02-223 P7-02-144 01-1044 01-1044 01-1044 01-1044 99-1459 99-1459 99-1437 99-1437 PT-02-167 PT-02-168 PT-02-115 P7-02-169 99-1233 99-1233 01-1621 01-1640 01-1623 01-1622 01-1640 01-1624 Needs PDI re-exam Needs PDI re-exam Needs PDI re-exam Needs PDI re-exam Aug. Limited UT exam Aug. Limited UT exam Limited UT exam Limited UT exam Limited UT exam Limited UT exam Limited UT exam Aug. Limited UT exam Limited UT exam PSE, Need PDI re exam PSE, Limited UT exam, Need PDI re-exam PSE, Need PDI re exam
()Identifies augment 88-08 88-08 88-08 88-08 rage~
at t..
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Arnt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 32 Drain IA 33 Drain Line 1B 36 Letdown Line 37 Charging 38 Drain lane 1 39 HPSI A 40 HPSI B B 9.31 06 RCS Piping B 9.32 06 RCS Piping 22 SD Cooling 36 Letdown Two 2
2(2) 30-5 30-6 30-1 30-2 One 3
3 8-18 32-1 32-2 Two 3
3 33-1 33-5 10-18 One 2
2 36-8 36-9 Two 8
8 36-25 36-26 36-28 36-35 3643 3644 36-45 36-8O One 5
5 3741 37-42 3743 3745 37-46 3747 Two 7
7 13-11 37-28 37-29 37-30 37-32 37-33 37-34 Two 1
1 38.1 One 2
2 39-1 39-5 Two 3
3 39-12 39-13 39-24 One 3
3 40-1 40-2 40-3 Two 2
2 40-6 40-7 One 1
1 9-8 Two 1
One I
Two 1
One I
Two 2
One I
Two 1
Two 1
One 1
One I
0 13-8 2
2 1
1 Two 1
1 RCP 2A One When Disassembled SI 1B Two When Disassembled Reactor Vessel One 33%
33%
8-17 13-9 22-7A 3641 36-76 32-6 32-8 33-6 34-6 38-5 38-12 RC91H5 RC91H6 RC91H6 Bowl Interior VS43 Interior PT.02-153 FT-02-154 UT-02-229 PT-02-151 UT-02-230 UT-02-231 PT-02-152 UT4}2-232 99-1504 99-1504 99-1504 PT.02-106 PT-02-107 PT-02-104 01-1186 01-1186 PT-02-138 PT-02-139 PT-02-141 PT-02-142 PT-02-085 PT-02-086 PT.024O87 PT-02-088 99-1301 99-1301 99-1301 01-1045 01-1045 01-1045 PT-02-128 PT-02-122 PT}02-123 PT-02-124 PT-02.125 PT-02-126 PT-02-127 PT-02-170 99-1234 99-1234 UT-02-290 PT-02-131 UT-02-292 PT-02-175 UT-02-302 PT-02-162 UT.02-303 01-1043 01-1043 01-1043 UT-02-285 PT-02-163 UT-02-288 PT-02-164 01-1355 01-1291 01-1358 UT-02-212 MT.02-176 99-1505 MT-02-177 99-1607 PT-02-084 PT.02-143 99-1504 99-1504 PT-02-108 PT-02-171 01-1041 01-1500 99-1591 99-1591 PT.-02-89 PSE, IEB 88-08, Limited UT exam PSE, IEB 88-08, Limited UT exam Limited UT exam Limited UT exam, Re-examine weld Removed PSE 91% CC N460 99-1497 VT-02-523 Internal surfaces 01-1534 accessible areas Page 14 o0 35 Drain IA Drain Line 1B Drain Line 2A Drain I Letdown B 9.40 32 33 34 38 B 10.10 36 B 12.20 18 B12.50 24 B 13.10 01
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp B 14.10 02 Closure Head B 15.10, Various RCS Piping 20.30, 40,50.
60 & 70 B
16 RCP 1A Flywh 17 RCP IB 18 RCP 2A 19 RCP 2B F 1.10 20 PZR Surge 21 SD Cooling A 22 SD Cooling B One 2
2 2-9 2-9 2
2 2-10 2-10 Two 2
2 2-9 2-9 2
2 2-10 2-10 One ALL ALL Press Bound Two 100%
One 1
1 Two 1
1 One 1
Two 1
1 One 1
1 Two 1
1 One 1
1 Two 1
1 One 2
2 One 7
7 Two 7
7 01-11Y U1"103-65 01-1519 01-1655 01-1518 01-1655 01-1518 01-1655 UT-02-206 PT-02-136 UT-02-207 PT-02-137 UT-02-203 PT-02-134 UT-02-204 PT-02-135 Press Bound Flywheel 01-1273 Flywheel UT-02-201 Flywheel 01-1363 Flywheel UT-02-202 Flywheel 01-1364 Flywheel UT-02-208 Flywheel 01-1434 Flywheel UT-02-205 RC28HI RC28H2 S1240H10 S1240H I S1240H13 RC51HI RC51H2 RC5IH3 RC51H821 RC51H2 RC51-3 RCS1H4 RC51H5 RCS1H6 RCSIHS22 SI240H1 SI240H2 S1240H3 S1240H4 SI240H5 S1240H6 S1240H7 S1240H9 S1240M0 S1240H11 S1240H12 S1240H823 S1240H824 One 4
4 RC68H5 RC68H6 S1193H17 S1193H19 TWo 4
4 RC68H3 SI193H8 S1193H9 S1193H17 ragv IJ US.JJ CEDM 84 CEDM 88 CEDM 84 CEDM 88 CEDM 83 CEDM 91 CEDM 83 CEDM 91 99-1585 RR#11 & 12 99-1647 SIBPSVI69 disassy.
99-1711 01-1012 01-1013 01-1557 01-1627 01-1628 reject 01-1629 01-1630 01-1646 01-1647 VT-02-698
- 100% ea. outage 99-1284 99-1218 99-1227 99-1226 99-1225 01-1182 Support Deleted 01-1181 01-1180 01-1433 VT-02-640 Expansion VT-02-429 Expansion VT-02-422 Support Deleted VT-02-423 VT-02-703 PSE VT-02474 VT-02-430 Support Deleted VT-02-425 VT-02.431 Reject VT-02-605 Re-exam VT-02-433 Expansion VT-02-432 Reject VT-02-607 Re-exam VT-02434 Support Deleted VT-02-435 Expansion VTI02-659 Expansion VT-02-661 Expansion VT-02-662 Expansion VT-02424 Support Deleted VT-02-427 VT-02-428 01-1177 01-1176 Support Deleted 01-1178 01-1179 Support Deleted VT.02-663 Expansion VT-02-496 Rej VT-02-652 Re-exam VT-02497 RR #4 VT-02-664 Expansion r-age 15 of 35
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp miy.,iu PI' WI C"O 23 SI IA 24 SI IB 25 SI 2A 26 S! 2B 27 PZR Spray IA 28 PZR Spray IB 29 PZR Spray 32 Drain IA 33 Drain Line 1B Drain Uine 2A Letdown S1193**2*
sI1g3H23 SI193H25 One I
I S120715 Two 2
2 S1207H3 S1207H7 S1207H11 One 2
2 S1223H3 S1223H4 Two 2
2 S1223H1 S1223H2 One 2
2 S1156H7 S1156H9 Two 1
1 SI156H9 SI160M1 One 2
2 S1179H9 SI179HII1 Two 3
3 SI175H021 SI175F122 SII7SH23 SI179H11 One 9
9 RC62H26 RC62H27 RC62H28 RC62H29 RC62H30 RC62H3 I RC62H32 R062H33 RC62H34 Two 8
9 RC16H5 RC16H6 RCI6H7 RC16H15 RC62H35 RC62H36 RC62H37 RC62H38 One 9
9 RC17H24 RC17H34 RCI7H35 RC17H36 RCI7H38 RC17H39 RCI7H40 RCI7H41 RC17H42 Two S
S RC17H43 RC17H44 RC17H45 RC17H46 RC1SH9 RC1SmO RC1SH11 RCISH12 One 2
2 RCISHI6 RCI8HI8 One 2
2 RC60HA RC60HB Two 2
2 RC5SHA RC58HB Two 2
2 RC96HA RC96HB One 9
9 RC91HI RC91H5 RC9IH6 RC91HB RC91HD VT-02-665 VT-02-498 01-1005 VT-02-666 VT-02-509 VT-02-510 99-1230 99-1229 VT-02-475 VT-02-477 99-1221 99-1220 VT-02-667 VT-02-511 99-1223 99-1222 VT-02-507 VT-02-655 VT-02-512 VT-02-513 VT-02-669 99-1209 99-1208 99-1207 99-1206 99-1205 99-1204 99-1203 99-1202 99-1262 VT-02-537 VT-02-608 VT.02-609 VT-02-536 VT-02-610 VT-02-611 VT-02-612 VT-02-613 99-1217 99-1216 01-1172 99-1215 99-1214 99-1213 99-1212 99-1211 99-1210 VT-02-616 VT-02-617 VT-02-618 VT-02-619 VT-02-620 VT-02-534 VT-02-621 VT-02-535 99-1439 99-1440 99-1326 99-1327 VT-02-493 VT-02-494 VT-02-532 VT-02-533 99-1592 99-1593 99-1594 99-1325 99-1323 Expansion Support Deleted Support Deleted Expansion Support Deleted Support Deleted Support Deleted Expansion Support Deleted Rej Re-exam Support Deleted Expansion Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted 4-- C~2C 34 36 Page.
I,.
oI,3
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 37 Charging 39 HPSI 1 40 HPS! 2 3
SG 1 4
SG 2 5
Pressurinz 16 RCP IA 17 RCP 1B 18 RCP 2A rage i I 01 I.)
F 1.40 RC91HE RC91HY RC91HZ RC91HAA RC91HAK Two 10 3
RC91H6 RC91HAJ RC91HP One 14 14 CH5H2 CH5H3 CH5H25 CH5H26 CH5H27 CH5H28 CH5H30 CH5H34 CH5H35 CH5H36 CH5H42 CH5H43 CH5H44 CH5HAA Two 9
9 CHH13 CH5H17 C~H5H18 Cli5H19 CHSH20 CHSH21 CHSIH2 CHSHD2 CH5H37 One 4
4 S1248H26 S1248H27 S1248H28 S1248H30 S1248H25 Two 5
5 S1248H17 SI2AS48 S12481119 S1248H20 S1248H29 One 3
3 S1199H13 S1199HI4 S1199H21 Two 4
4 SIM99MS S1991H16 SI199H17 SI199H18 One 1
1 3-40 Two 1
1 4-40 One 0
0 5-40 One 2
2 16-20 16-21 Two 4
4 16-12 16-13 16-14 16-15 One 2
2 17-20 17-21 Two 4
4 17-12 17-13 17-14 17-15 One 4
4 18-12 18-13 18-14 18-15 Two 2
2 18-20 18-21 99-1319 Support Deleted 99-1321 99-1324 99-1322 99-1320 VT-02.415 VT.02.416 VT-02-417 99-1265 Support Deleted 99-1266 99-1267 99-1268 Support Deleted 99-1269 99-1270 99-1271 99-1272 99-1273 99-1274 99-1275 99-1276 Support Deleted 99-1277 99-1264 Support Deleted VT-02-580 VT-02-581 VT-02-582 VT-02-583 VT-02-584 VT-02-585 VT-02-586 VT-02-587 VT.02-588 99-1238 Support Deleted 99-1237 99-1236 99-1235 Support Deleted 99-1239 VT-02-418 VT-02-419 Support Deleted VT-02-572 VT-02-573 VT-02-420 01-1016 01-1017 01-1015 Support Deleted VT-02-574 VT-02-S7$
VT-02-576 VT-02-577 01-1329 VT-02-623 99-1712 99-1259 99-1259 VT-02-524 VT-02-525 VT-02-S26 VT-02-527 99-1260 99-1260 VT-02-528 VT-02-529 VT-02-530 VT-02-531 99-1663 99-1663 99-1663 99-1663 VT-02-643 VT-02-645
- r Page 11I I t
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone CompISys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 19 RCP 2B One 4
4 Two 2
2 19-12 19-13 19-14 19-15 19-20 19-21 99-1664 99-1664 99-1664 99-1664 VT-02-646 VT-02-647 C 1.10 41 Sol One 2
2 41-3 Examined 0°-180° 01-1384 01-1387 01-1390 01-1408 41-4 68 Regen HTEXCH Two 3
3 69 Letdown HTEXCH One I
I C 1.20 41 SO I One I
I 68 Regen HTEXCH C 1.30 41 SQ I 42 SG 2 68-3 68-5 68-7 69-1 41-5 Two 2
2 68-4 68-6 One 1
1 41-1 Two 1
1 42-1 68 Regen HTEXCH Two 4
69 Letdown HTEXCH One I
C 2.21 41 SG I One 1
42 S
2 One 1
C 3.10 41 Sol One 1
68 Regen H7EXCH Two 2
C 3.20 44 MS SG1 270 Two 1
45 MS SG2 270 One I
Two 2
64 Blowndown SO I One 3
4 68-1 68-2 68-8 68-9 1
69-2 1
41-34 1
42-35 1
41-42 2
68-10 68-11 1
SG33H16 I
SG42H14 2
SG42H15 SG42H16 1
SG5H9 3
SG39H15 01-1385 01-1388 01-1391 01-1407 UT-02-194 UT-02-196 UT-02-198 99-1485 01-1386 01-1389 01-1392 01-1393 01-1394 01-1395 01-1409 01-1410 UT-02-195 UT-02-197 01-1206 01-1207 01-1219 01-1241 UT-02-261 UT-02-258 UT-02-259 UT-02-275 U17-02-192 UT-02-193 UT-02-199 UT-02-200 99-1484 01-1279 01-1280 01-1281 01-1282 SG39H17 SG53HI Two 2
2 SG39H1 SG53H$
65 Blowdown SO 2 One 2
2 SG48H20 Examined 0°-1800 Examined 0W-180 Examined 00-1800 Examined 00-1800 Examined 00.1800 01-1008 01-1009 01-1447 PT-02-132 PT-02-133 MT-02-184 99-1430 MT-02-185 MT-02-186 01-1184 01-1185 01-1298 01-1302 01-1303 01-1002 MT-02-203 MT-02-200 PT-02-176 01-1295 Examined 0°-1800 96% CC N460 96% CC N460 Support Deleted Support Deleted Support Deleted n-IQ C,2<
rgt~v voU.
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Reg Comp LPSI Discharge CS Suction East Wrap East Wrap West Wrap 92 West Wrap 94 S1 A 99 LPSI to Loop 2B 100 LPSI Suction 102 SI Suction Refuel Suction A SI Suction B HPSI Discharge LPSI Pump A 116 HPSIPumpA Main Steam SO I Main Steam SO I Feedwater SG 1 Aux & Dwncmr SO2 71 76 88 89 91 63 Aux Feed SO 2 One 1
0 70 & 73 LPSI Suction A & B One I
I Two 1
1 82 & 85 SD Cooling A & B One 2
2 83 & 86 SD Cooling A & B One 4
4 88 & 91 East & West Wrap One 6
6 94&95 SIA&B One I
Two 2
2 63-4 70-58 70-56 72-50 73-49 74-19 74-21 74-22 74-105 78-16 74-44 76-2 76-21 77-7 77-14 74-40 74-37 74-38 S052HI One I
I S187HII One 1
1 S19H4 One I
1 S172H13 One I
I S1194H14 One 4
4 S170H9 SI7OHII Sr70H12 S170H16 One 1
1 S1241H21 Two 2
2 SI070HS SI070HS Two 1
1 SI174H13 One 1
1 SD69HI Two 1
1 84-5 One 3
3 S1307H2 S1307H3 S1307H15 Two 2
1 CH424H6 Two 1
1 SI30SH3 One I
I S1107H22 One 3
3 72-3A 72-3B 72-3C One 4
4 116-IA 116-IB 116-IC 116-ID One 20 20 UV170 One 20 20 UVISO Two 40 40 V132 V174 Two 2
2 594 59-16 59-16A 59-16C 59-34 0I-1003 99-1435 99-1373 99-1516 99-1619 99-1374 99-1256 99-1456 99-1256 99-1605 PT-02-121 PT-02-130 PT-02-129 99-1457 PT-02-178 01-1446 01-1446 01-1446 PT-02-118 PT-02-159 01-1198 01-1471 01-1471 01-1471 01-1473 01-1473 01-1473 01-1473 PT-02-140 PT-02-097 PT-02-160 PT-02-161 FT-02-091 01-1188 99-1257 PT-02-111 99-1316 01-1189 99-1315 99-1317 99-1317 99-1314 99-1515 99-1279 99-1279 01-1190 01-1371 PSE, AUG (IEB 79-13)
PSE needs PDI re-exam Limited exam Limited exam 01-1371 01-1430 PT-02-109 PT-02-110 i'age P.' 01 3) 01-1372 01-1373 UT-02-209 UT-02-210 UT-02-219 UT-02-220 UT-02-225 UT-02-159 UT-02-160 UT-02-161 UT-02-273 UT-02-274 UT-02-283 UT-02-284 01-1525 01-1526 99-1258 UT-02-174 UT-02-175 99-1372 01-1428 99-1381 99-1383 99-1384 99-1382 99-1604 99-1311 99-1310 01-1535 01-1547 01-1521 01-1540 01-1522 01-1523 01-1524 01-1427 UT-02-172 UT-02-173 UT-02-170 UT-02-171 103 104 113 C 3.30 72 C 4.40 47 48 56 C5.11 59
& 5.12 P'age 19 or 35 S......
E A J Limited exam Limited exam Limited exam 20 Studs 20 Studs PSE Support Deleted
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp Or, 0-7 080, I1 PI In-- IA IR One 3
3 78-45 99-1513 99-1502 99 2A, 2B 100 LPSI A Suction Two 2
Two 2
102 S Suction A One I
Two 1
103 Refuel. Suction A One I
Two 1
104 S$ Suction B One I
Two 1
105 Refuel. Suction B One 1
Two 1
C 5.21 106 &
HPSI Discharge A &
One 4
107 B
108 &
HPSI 109 110&
HPSI 111 78-47 79-23 2
77-22 77-27 2
70-121 84-3 0
84-12 0
94-26 1
86-57 1
86-1 1
85-46 1
1 85-31 87-23 87-37 106-1 106-21 107-11 107-42 One 2
2 109-4 109-21 One 2
2 110-6 110-39 112 &
HPSI Discharge A One 3
113
&B 114 HPSIIA, IB,2A &
One I
&115 2B Two 1
118&
HPSI Long Term Two 4
119 C 5.30 106& 107 HPSI Discharge A &
One I
B C5.41 &82&85 SD Cooling A & B One 1
5.42 88 & 91 East & West Wrap One 1
96 LPSI to Loop 1A Two 1
C 5.51 & 43 MS SGI 90 One I
3 112-1 112-33 112-34 112-45 1
1 2
1 1
115-13 115-20 118-49 119-52 107-53 72-49A 74-102 76-78 43-2 99-1514 01-1276 01-1277 UT-02-162 UT-02-163 UT-02-164 UT-02-165 UT-02-166 UT-02-291 UT}-02-293 01-1487 01-1488 UT-02-150 UT-02-169 01-1305 UT-02-186 UT-02-187 01-1307 01-1308 01-1309 UT-02-276 01-1306 UT-02-277 UT-02-279 01-1244 01-1248 01-1252 01-1254 01-1257 01-1260 01-1245 01-1249 01-1253 01-1225 01-1226 01-1227 01-1246 01-1250 01-1489 01-1247 01-1251 01-1261 01-1263 01-1265 01-1255 01-1258 01-1259 01-1256 01-1262 01-1264 01-1266 01-1310 01-1311 UT-02-298 UT-02-299 UT-02-167 UT-02-168 UT-02-300 UT-02-301 99-1443 99-1502 01-1293 PT-02-095 PT-02-096 PT-02-093 PT-02-177 01-1191 PT-02-090 01-1300 PT-02-117 01-1301 PT-02-158 01-1192 PT-02-165 01-1193 01-1193 01-1194 01-1194 01-1195 01-1502 01-1229 01-1196 01-1197 01-1197 01-1183 01-1374 01-1197 Limited UT exam Limited UT exam Limited UT exam needs PDI re-exam Limited UT exam Re-examine weld Limited UT exam Limited exam Limited exam Limited exam Limited exam Limited exam Limited exam Limited exam Limited exam Limited exam Limited exam Limited exam Limited exam Limited exam Limited UT exam Limited UT exam Limited UT exam 01-1274 PT-02-102 PT-02-094 PT-02-166 01-1194 99-1316 99-1279 P7-02-100 99-1432 rage tu 01.J rag 20 olt*
35J
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComptSys tnsp Amnt Amt Item ID Vol Surf Visual Remarks htem no Per Req Comp 5.52 44 MS SGI 270 One I
Two 2
46 MS SG2 90 One 1
1 2
Two 2
2 Two 1
58 Aux & Dwncmr SGI One 1(5) 44-1 44-5 44-30 46-25 54-41 54-10 54-1IA 54-24 54-25A 54-1 54-11A 55-1 55-15 55-10 55-11 1
55-26 1(5) 41-39 58-1 58-12 58-13 58-16 58-16A 58-6 Two 0(5) 0(4) 59 Aux & Dwncmr One 0(5) 0(5)
SG2 Two 1(5) 1(0) 64 Blowdown SG I One 1
1 65 Blowdown SG 2 One 1
1 Two 1
1 C6.10 116 HPSI Pump A by end of interval 116-2 C 7.10 N/A Pressure Vessels One All All C 7.30 NIA Piping One All AlU 58-35 58-36 58-12 58-13 58-16 58-16A 59-1 59-2 59-12 59-13 59-16 59-16A 59-6 59-35 59-36 59-12 59-13 59-25 64-1 65-28 65-52 Press Bound Press Bound "99-01447 UT-02-217 UT-02-218 99-1444 01-1520 01-1616 01-1613 01-1617 01-1614 UT-02-296 UT-02-295 01-1204 01-1205 01-1620 01-1618 01-1619 UT-02-294 99-1495 99-1494 99-1286 99-1289 01-1529 01-1528 01-1559 01-1560 01-1561 01-1562 01-1563 UT-02-157 UT-02-158 UT-02-156 UT-02-155 99-1496 01-1641 99-1292 99-1293 99-1290 01-1512 01-1514 01-1516 99-1291 01-1513 01-1515 01-1517 01-1417 01-1419 01-1421 01-1424 01-1418 01-1420 01-1422 01-1425 01-1423 01-1426 01-1527 UT-02-151 UT-02-152 01-1242 01-1243 UT-02-153 UT-02-154 01-1473 yMy-1*31 MT-02-182 MT-02-183 99-1433 01-1296 01-1610 01-1610 01-1610 01-1610 MT-02-201 MT-02-202 01-1001 01-1001 01-1532 01-1532 MT-02-196 99-1508 99-1501 99-1231 99-1231 99-1285 01-1297 99-1285 01-1297 01-1530 01-1530 01-1530 MT-02-161 MT-02-162 MT-02-163 MW-02-164 99-1507 01-1531 99-1232 99-1232 99-1198 01-1231 PSE (Vol is RT)
()Identifies augment EXAM (IEB 79-13
& SER 83-07)
AUG (IEB 79-13)
AUG (1EB 79-13)
AUG (IEB 79-13)
AUG (IEB 79-13)
PSE 99-1198 01-1231 01-1375 01-1375 01-1375 PSE PSE PSE PSE AUG (lEB 79-13)
AUG (IEB 79-13)
MT-02-197 MT-02-198 MW-02-160 01-1002 01-1003 MT-02-159
~1 Up.2c Page*
o'lu J
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp C 7.50 N/A Pumps C 7.70 N/A Valves One All One All Two One Two All All All Press Bound Press Bound AF All AF CH CH One All All CL CP DW FP GA GR HC HP Two All One All HP Ali IA NC PC RC RD SG Two All SG 0
01-1635 01-1636 VT-03-007 01-1012 01-1642 VT-03-002 VT-03-003 VT-03-005 Vr.03-004 VT-03-006 VT-03-010 VT-03-011 VT-03-012 VT-03-013 VT-03-015 VT-03-016 VT-03-017 VT-03-018 VT-03-019 VT-03-020 VT-03-021 VT-03-022 VT-03-024 VT-03-028 VT-03-031 VT-03-032 VT-03-033 VT-03-034 VT-03-035 01-1644 01-1648 01-1653 01-1485 01-1486 01-1625 01-1626 01-1319 01-1317 01-1440 01-1441 01-1432 01-1436 01-1437 01-1507 01-1536 01-1649 01-1650 01-1011 01-1496 01-1537 01-1645 VT-03-001 V'T-o3-o29 VT-03-.30 01-1320 01-1321 01-1318 01-1323 01-1324 01-1325 01-1326 01-1557 01-1627 01-1597 01-1631 01-1638 VT-03-008
- see list by system
- Period Requirement Partially completed
£L US.:1J rage,12 ot*.
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp VTl'iIJlflO One All All SI F 1.20 43 MS SG 190 44 MS SG 1270 45 MS SG 2 270 46 MS SO 2 90 47 MS SGI 270 51 Atm Dump SG1 52 Atm Dump SG2 53 Steam to Aux FW 54 Feedwater SG I 55 Feedwater SG 2 SS WC One 2
2 SG36H17 SG36H884
$G36H885 Two 1
1 SG36Hll One 2
2 SG33HI7 SG33H18 Two 3
3 SG33H16 SG33HS81 SG33H882 One I
I SG42HI4 Two 3
1 SG42H11 One 2
2 SG45H17 SG45HI8 Two 3
3 SG4'H11 SG45H887 SG45H888 One I
I SG206HI One 1
1 SG59H6 One 0
1 SG013H6 One 4
4 SG81HI SG81H2 SG83HI SG83H2 Two 2
2 SGS1H4 SG83H4 One 7
7 S02H2 SG2H4 SG2H5 SG2H12 SG2H13 SG2H14 SG2HI5 SG21803 SG13HI1 One 9
9 SG5H9 SG5HIO SG5HI1 SG5H52 SG5H14 SG5H805 SGSHB09 SG5H812 SG14HI S014H804 VT-03-023 VT-03-025 VT-03-026 VT-03-027 01-1013 01-1014 01-1312 01-1443 01-1444 01-1504 01-1508 01-1509 01-1538 01-1539 01-1615 01-1629 01-1630 01-1632 01-1633 01-1646 01-1647 01-1634 01-1445 99-1240 99-1242 99-1241 VT-02-622 99-1278 99-1243 VT-02-694 VT-02-693 VT-02-695 99-1244 VT-02-690 99-1441 99-1463 VT-02-691 VT-02-689 VT-02-692 99-1318 99-1575 01-1566 99-1679 99-1680 99-1681 99-1682 VT-02-602 VT-02-603 01-1602 01-1022 01-1021 01-1062 01-1603 01-1020 01-1019 01-1018 01-1025 01-1612 01-1173 01-1174 01-1175 01-1036 01-1477 01-1037 01-1038 01-1039 01-1034 01-1035 Re-exam VT-I RR #4 Support Deleted RR#4 RR #4 RR#4 RR#4 Support Deleted RR#4 RR #4 RR #4 PSE Support Deleted Support Deleted Expansion Reject Re-exam Expansion PSE rage h3 01 J r'age 1-3 01 JJ
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp Two 7
7 SGSH4 VT-02-559 58 Aux & Dwncmr One 7
7 SOl Two 7
7 59 Aux & Dwncmr One 6
6 SG2 Two 6
1 61 Dwncmr FW SG2 One 0
0 62 Aux FW SG1 One 1
1 63 Aux FW SG2 One 2
2 64 Blowdown SG I One 12 12 Two 13 12 SGSH5 SG5H6 SGSH7 SGSH8 SGSHI3 SGSH14 SG8H2 SG8H3 SG8H4 SG8H5 SG8H20 S08H901 SGSH903 SG8H6 SG8H7 SGSH8 SG8H9 SGSH10 SGSH11 SG8H17 AF6H1 SGUH8 SGI1H9 SO11HI0 SGIIHIl SGI IH12 SG11H3 SG11H13 SG11H14 SG11H15 SG11H18 SG1IH19 SG200H9 SG200HI3 SG200H14 SG203H13 SG203H14 AF4H3 AF6H2 AFI6HI S039HI0 SG39HI I S039H12 S039H13 SG39H 14 SG39H15 SG39H16 SG39H17 SG39H26 SG53HI SG53H2 SG53H924 SG39H1 SG39HZ SG39H3 SG39H4 SG39HS SG39H6 SG39H27 SG53H3 SG53H4 SGS3H5 VT-02-560 VT.02-656 VT-02-561 VT-02-562 VT-02-564 VT-02-563 VT-02-657 VT-02-565 01-1604 01-1606 01-1608 01-1607 01-1609 01-1448 01-1605 VT-02-520 VT-02-449 VT-02-451 VT-02-649 VT-02-452 VT-o2-453 VT-02.454 VT-02-519 99-1261 99-1201 99-1246 99-1245 99-1200 99-119999 1332 VT-02-702 VT-02-566 VT-02-567 VT-02-568 VT-02-455 VT-02-570 99-1668 99-1669 99-1670 99-1671 99-1672 99-1461 99-1462 99-1460 01-1449 01-1450 01-1451 01-1452 01-1453 01-1454 01-1455 01-1456 01-1457 01-1031 01-1032 01-1033 VT-02-480 VT-02-481 VT-02-482 VT-02-483 VT-02-484 VT-02-485 VTro2-486 VT-02-488 VT-02-489 VT-02.490 Reject Re-exam RR#4 RR#4 Reject Re-exam RR#4 RR #4 Reject Re-exam RR #4 PSE PSE PSE PSE PSE Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted ru
-£ 1A C2 rage o*tUt..
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 65 Blowdown SO 2 Regen Htexch LPSI Suction A LPS1 Discharge A 73 LPS! Suction B 76 CS Suction A 77 CS Discharge A 79 CS Suction B 80 CS Discharge B 82 SD Cooling A 83 SD Cooling A 85 SD Cooling B 86 SD Cooling B 88 East Wrap 65 Blowdown SG 2 S167H1 S167H3 One 4
4 S!79H1 S179H2 S179H3 S!79H4 One 3
3 S134H1 SD34H2 S134H3 One 3
3 S1119H7 S1119H8 SII 19H9 One 2
2 Sr78H4 S178H5 S179H10 One 4
4 S187H9 SI89H1 S189H2 S189H3 One 3
3 S1119HI0 S1123H6 S1123H7 One 3
3 S1129H10 S1129H11 SI129H12 Two 7
1 SI129H9 SI135H1 One 8
8 S172-111 rage £;1 ul ;,j 68 70 71 SG53H6 SG53H7 One 12 12 SG48H2 SG48H3 SG48H4 SG48H19 S048H20 SG481121 SG4811925 SG52H1 SG52H2 SG52H3 SG52H4 SG52H923 Two 11 11 SG48H13 SG48H14 SG48H15 SG48H16 SG48H17 SG48H18 SG48H22 SG48H23 SG48H24 SG48H25 SG48H26 Two 2
2 68-10 68-11 One 1
1 S167H4 S1307H16 One 1
1 S187H111 Two 5
5 SI78H1 SI78H2 SIS7H1 S187H2 S187143 Two 1
1 SDOSH14 One I
I S19H4 VT-02.491 Support Deleted VT-02-492 Support Deleted 01-1030 Support Deleted 01-1478 Support Deleted 01-1479 01-1480 Support Deleted 01-1481 Support Deleted 01-1482 01-1029 01-1026 Support Deleted 01-1027 Support Deleted 01-1483 Support Deleted 01-1484 01-1028 VT-02-456 Support Deleted VT-02-457 RR#4 VT-02-458 Support Deleted VT-02-459 RR #4 VT-02-460 Support Deleted VT-02-461 RR #4 VT-02-462 Support Deleted VT-02-463 RR#4 VT-02-464 RR #4 VT-02.465 Support Deleted VT-02-466 Support Deleted VT-02-590 VT-02-$91 99-1248 99-1428 PSE 99-124799 1375 VT-02-541 VT-02-542 VT-02-543 VT-02-544 VT-02-545 VT-02-546 99-1376 99-1438 99-1427 PSE 99-1426 PSE 99-1377 99-1378 99-1379 99-1380 99-1517 99-1518 99-1519 99-1527 99-1528 99-1529 99-1296 99-1595 01-1564 PSE 99-1297 01-1458 99-1312 99-1300 99-1299 99-1298 99-1530 99-1531 99-1532 99-1406 99-1405 99-1407 VT-02-672 Expansion, RR #4 VT.02-675 Expansion, RR #4 99-1533 rage/25 of 35
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Reg Comp 89 East Wrap 91 West Wrap 92 West Wrap 94 LPS! A 95 LPSI B 96 LPS1 to Loop IA S1202H6 S1202H7 S1202HI0 S1202H1l S12021112 S1202H15 S172H13 S172H14 S!72H21 S172H22 S173H1 S173H2 S173H3 Two 0
0 S172H11 S172H13 S172H14 S173H2 One 4
4 SI194H12 S1194H13 S1194H14 S11941123 Two 0
0 S1194H13 One 7
7 S170H9 8701H10 S1701111 S70H112 S170H13 S170H15 S170H16 One 5
5 S1239H1 S1239112 S1239H3 S1241H9 S1241H12 S1241H14 S1241H15 SI241H21 Two 5
1 S1241H9 S12411112 S1241H14 S12411121 One 3
3 S189H7 S189H8 S189H9 S1241115 S1241H7 S1241H8 Two 7
5 S170H4 SI70H S170H8 S1241H6 S1241H7 One 6
6 S172H8 S!72H10 S1134H11 S1134H12 S1194H3 SII94H5 Two 10 0
S1721110 SI194H5 One 3
3 S1202H7 S1202H8 S1202119 Two 8
7 S1202H11 S1202H2 S1202H3 SI202H4 r
..
- .Jn 13Kt~ f., 114J 99-1534 99-1535 01-1333 01-1334 01-1459 01-1460 01-1461 VT-02-685 VT-02-686 VT-02-687 VT-02-688 99-1536 99-1537 99-1640 99-1641 VT-02-668 99-1255 99-1254 99-1253 99-1252 99-1249 99-1251 99-1250 99-1673 99-1674 99-1598 01-1565 99-1418 99-1417 99-1419 99-1597 99-1596 VT-02-653 VT-02-654 VT-02-658 VT-02-660 99-1398 99-1399 99-1400 99-1302 99-1423 99-1421 VT.02-589 VT-02-697 VT-02495 VT-02-624 VT-02-642 99-1401 99-1402 99-1403 99-1404 99-1414 99-1415 VT-02-644 VT-02-650 99-1342 99-1343 99-1344 VT-02-670 VT-02-467 VTr02-468 VT-02-469 VT-02-651 VT-02-470 VT-02-671 VT-02-471 VT-02-472 VT-02-673 VT-02-473 Expansion, RR #4 Expansion, RR #4 Expansion, RR #4 Expansion, RR #4 Expansion, RR #4 Expansion Expansion PSE PSE PSE PSE Expansion, RR #4 Expansion, RR #4 Expansion, RR #4 Expansion, RR #4 PSE PSE PSE RR #4 RR #4 Expansion, RR #4 Expansion, RR #4 Support Deleted Support Deleted Expansion RR#4 RR#4 Reject Re-exam RR#4 Expansion Support Deleted Support Deleted Expansion RR#4
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 97 LPSI to Loop 1B One Two 98 LPSI to Loop 2A One Two 99 LPSI to Loop 2B
.Two 100 LPSI A Suction One Two 101 LPS1 B Suction Two 102 SI Suction A One Two 103 Refuel Suction A One S1202H16 S1202H18 10 10 SI220H8 S1220H9 S1220H10 S1220H111 S1220H12 S1220H13 S1220H14 S1220H15 S1220H19 SI220H22 7
7 S1220H1 SI220HS 812201116 S122OH16 S1220H17 S1220mB S1220H20 S1220H21 S1220H27 S1220H728 2
2 S1155115 S1155H6 5
1 SI155H6 5
4 SI174H4 S1174H7 S1174H8 S1174H9 S1174H111 S1174H12 S1174H13 2
2 S1241H19 S1369H1 1
1 84-5 0
0 si194H16 S1194H22 6
6 S18H4 SI9HI S1307H2 S1307H5 S1307H6 S1307H7 S1307H2 S1307H3 SD307H4 S1307115 S1307H8 S!307H15 7
7 SISH1 SISH2 SISH3 SI8H4 S1307H6 SD0O7H7 S1307H14 6
6 CHI42H3 CHI42H13 CH142HI4 CHI42H15 CHI42H19 CH142H22 CH424H1 CH424H2 CH424113 6
6 CH14218 CH142820
¥'1-U0,474 VT-02-676 01-1468 99-1333 99-1334 99-1335 99-1336 99-1337 99-1338 99-1339 99-1340 99-1341 VT-02-444 VT-02-677 VT-02-446 VT-02-447 VT-02-448 VT-02-443 VT-02-648 VT-02-445 VT-02-678 VT-02-450 99-1329 99-1328 VT-02-679 VT-02-680 VT-02-554 VT-02-555 VT-02-556 VT-02-681 VT-02-682 VT-02-558 99-1330 99-1642 01-1469 99-1331 VT-02-696 VT-02-683 VT-02-684 99-1303 99-1429 99-1422 99-1304 99-1425 99-1424 01-1462 01-1463 01-1464 01-1465 01-1466 01-1467 VT-02-436 VT-02-437 VT-02-438 VT-02-439 VT-02-440 VT-02-441 VT-02-442 99-1420 99-1408 99-1409 99-1410 99-1412 99-1411 99-1413 99-1386 99-1385 VT-02-504 VT-02-522 Expansion Support Deleted Support Deleted Support Deleted Expansion RR#4 Reject RR #4 Re-exam Support Deleted Expansion Support Deleted Expansion Expansion Support Deleted Support Deleted Expansion Expansion Reject Re-exam Re-exam Expansion Expansion PSE PSE PSE PSE PSE PSE Support Deleted RR #4 Support Deleted RR#4 RR#4 RR#4 RR #4 Support Deleted PSE PSE PSE D
')7
- f1r, age o"7*
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 104 SI Suction B 105 Refuel. Suction B 106 HPSI Discharge A 107 HPSI Discharge B 108 HPSI Discharge 109 HPSI Discharge 110 HPSI Discharge 11 HPSl Discharge 112 HPSI Discharge One 7
7 S1107-113 S1107HI4 S1107H15 SI107H16 S1107H21 S1107H47 S!107H50 One 7
7 SI103HB SII03HD SII03HE SI21SHI S1218H2 S1218H3 S1218H4 One 3
3 S1100H37 SIIOOHA SIIOOHB One 3
3 S1176Hi S1176H2 RR#4 Support Deleted Support Deleted Support Deleted
o ul.3.)C rage.48 ox 3 CH142H21 CH424H2 CH424H3 CH424H6 One 7
7 S13HI S133H2 S133H3 S1308H5 SB08H8 S1308H10 S!308H1I Two 7
6 S1308H1 S1308H2 S1308H3 S1308H4 S1308H6 SI308H7 One 7
7 CH149H9 CHI49HIO CH149H 12 CH 149H 13 CH149HI4 CH149H21 CH149H28 One 8
8 S199H1 S199H2 SII00HI SII00H2 SII00H3 SII00H5 S1100H34 SII06HI One 6
6 S1107H3 SII07HI1 SI107H12 SIt 12HC SI I 12HG S1112HH One 11 11 S1100H22 S1100H23 S1100H24 S1100H25 S100H26 SI100H27 S1100H28 SI100H29 SIi0OH31 S1100H32 SI10OH35 vTr.02.505 VT-02-499 VT-02-500 VT-02-521 99-1520 99-1521 99-1522 99-1523 99-1524 99-1525 99-1526 VT-02-547 VT-02-548 VT-02-549 VT-02-550 VT-02-571 VT-02-551 01-1396 01-1397 01-1398 01-1399 01-1400 01-1401 01-1402 01-1046 01-1047 01-1048 01-1049 01-1050 01-1051 01-1052 01-1053 01-1057 01-1056 01-1059 01-1055 01-1054 01-1058 99-1388 99-1387 99-1389 99-1390 99-1391 99-1392 99-1393 99-1394 99-1395 99-1396 99-1397 01-1335 01-1336 01-1337 01-1338 01-1339 01-1340 01-1341 01-1403 01-1404 01-1405 01-1342 01-1343 01-1344 01-1345 01-1348 01-1346 01-1347 01-1349 01-1350
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp
~II 1011.1Al I
IC 113 HPSI Discharge 115 HPSI 2A & 2B F 1.40 41 Steam Generator 1 72 LPSI Pump A 116 HPSI Pump A S11 10H.1 One 5
5 S1107H22 S1107H24 S1157H2 SI157113 S1157H4 Two 3
3 S1157H10 S1157H11 SI176H4 One 2
2 41-42 41-43 One 3
3 72-3A 72-3B 72-3C One 4
4 116-IA 116-IB 116-IC 116-ID 01-1061 01-1060 01-1352 01-1353 01-1354 VT-02-502 VT-02-503 VT-02-501 01-1498 01-1499 01-1472 01-1472 01-1472 01-1474 01-1474 01-1474 01-1474 Support Deleted RR#4 RR#4
£,7 Ul J.'
Page
%p
APPENDIX B CODE LIMITATIONS
REFUELING OUTAGE NUMBER TEN CODE LIMITATIONS 7tANl*/mMPA?.JFNT ITF.M 11D RFPORT NO_
23 S1 IA 24 SI 1B 24 SI 1B 24 Sl 1B 24 SI 1B 25 SI 2A 25 SI 2A 26 SI 2B 26 SI 2B 29 PZR Spray 30 Aux PZR Spray 30 Aux PZR Spray 39 HPSI A 100 LPSI Train A 100 LPSI Train A 102 SI Suction A 103 Refuel. Suction A 97 LPSI Loop IB 115 -PSI 2A & 2B 118 HPSI A Long Term 119 HPSI B Long Term 23-6 24-14 24-16 24-19 24-6 25-4 25-6 26-17 26-6 29-2 30-1 30-2 39-24 70-121 84-3 84-26 86-1 77-27 115-20 118-49 119-52 UT-02-287, UT-02-289 UT-02-185, UT-02-189 UT-02-177, UT-02-188 UT-02-176, UT-02-178 UT-02-179, UT-02-182 UT-02-224, UT-02-226 UT-02-221, UT-02-222 UT-02-180, UT-02-183 UT-02-181, UT-02-184 UT-02-235, UT-02-236 UT-02-229, UT-02-230 UT-02-23 1, UT-02-232 UT-02-302, UT-02-303 UT-02-165, UT-02-166 UT-02-29 1, UT-02-293 UT-02-150, UT-02-169 UT-02-186, UT-02-187 UT-02-163, UT-02-164 UT-02-298, UT-02-299 UT-02-167, UT-02-168 UT-02-300, UT-02-301 Limitation Single-sided Austenitic weld examinations less than 90% coverage based on the Section XI Appendix VIII PDI demonstration.
Page 31 of 35 A CUM ITI~LA B 9.11 B 9.11 B 9.11 B 9.11 B 9.11 B 9.11 B 9.11 B 9.11 B 9.11 B 9.11 B 9.21 B 9.21 B 9.21 C 5.11 C5.11 C5.11 C5.11 C5.11 C 5.21 C 5.21 C 5.21 7nWP/rnA4PnTJPNM ITEM ID
APPENDIX C FORM NIS-1 Page 32 of 35
APS NIS-1 FORM OWNERS' DATA REPORT FOR INSERVICE INSPECTIONS
- 1. OWNER -
ARIZONA PUBLIC SERVICE COMPANY, et al ADDRESS -
P.O. BOX 52034, PHOENIX, ARIZONA 85072
- 2. PLANT -
PALO VERDE NUCLEAR GENERATING STATION ADDRESS -
5801 SOUTH WINTERSBURG ROAD; TONOPAH, ARIZONA 85354-7529
- 3.
UNIT NUMBER -
I
- 4. OWNERS' CERTIFICATE OF AUTHORIZATION - NONE
- 5.
COMMERCIAL SERVICE DATE -
January 28, 1986
- 6. COMPONENTS INSPECTED:
COMPONENT OR MANUFACTURER SERIAL STATE OR NATIONAL APPURTENANCE OR INSTALLER NUMBER PROVINCE BOARD NO This report is a summary of the second interval second period examinations performed to date for Unit 1. The items examined, along with the examination report numbers, are listed in Appendix A.
PAGE 1 OF 2
APS NIS-1 BACK OWNERS' DATA REPORT FOR INSERVICE INSPECTIONS
- 7.
EXAM DATES 9-28-2002 TO 10-30-2002
- 8.
INSPECTION INTERVAL FROM 7-18-1998 TO 7-17-2008
- 9.
ABSTRACT OF EXAMINATIONS. INCLUDE A LIST OF EXAMINATIONS AND A STATEMENT CONCERNING STATUS OF WORK REQUIRED FOR CURRENT INTERVAL.
The items examined, along with the examination report numbers, are fisted in Appendix A. The examinations are listed by ASME Catagory and Item Numbers with the corresponding examination report numbers.
- 10.
ABSTRACT OF CONDITIONS NOTED The ten rejectable conditions documented during this outage were corrected or determine-d "use as is" in accordance with PVNGS work control practices and ASME Section XI. Two supports were damaged, seven supports had loose lock nuts and boron was on instrumentation tubes. Section 2 Examination Summary of the summary report addresses these conditions.
- 11.
ABSTRACT OF CORRECTIVE MEASURES RECOMMENDED AND TAKEN The rejectectable portion of the support was replaced on one support, the bearing was adjusted on another support and the seven supports with loose lock nuts were tightened in accordance with ASME Section XI and APS Work Control procedures. The instrumentation tubes were verified to remain essertially unchanged from the original evaluation.
Several repairs and replacements have been performed since the last summary report due to routine or corrective maintenance.
The work was performed in accordance with ASME Section XI and APS Work Control procedures. Applicable NIS-2 forms are included in Appendix D and a copy maintained on file at Palo Verde Nuclear Generating Station by Arizona Public Service WE CERTIFY THAT THE STATEMENTS MADE IN THIS REPORT ARE CORRECT AND THE EXAMINA TIONS AND CORRECTIVE MEASURES TAKEN CONFORM TO THE RULES OF THE ASME CODE, SEC TION XI.
DATE 1hV0
-SIGNED:
ARIZONA PUBLIC SERVICE COMPANY BY CERTIFICATE OF INSERVICE INSPECTION I, THE UNDERSIGNED, HOLDING A VALID COMMISSION ISSUED BY THE NATIONAL BOARD OF BORLER AND PRESSURE VESSEL INSPECTORS AND THE STATE OR PROVINCE OF ARIZONA EM PLOYED BY HSB CT OF HARTFORD, CONNECTICUT HAVE INSPECTED THE COMPONENTS DE SCRIBED IN THIS OWNERS REPORT DURING THE PERIOD
-..- ot TO I-A-o3, AND STATE THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE OWNER HAS PERFORMED EXAMINA TIONS AND TAKEN CORRECTIVE MEASURES DESCRIBED IN THIS OWNERS REPORT IN ACCOR DANCE WITH THE REQUIREMENTS OF THE ASME CODE, SECTION XI. BY SIGNING THIS CERTIFICATE NEITHER THE INSPECTOR NOR HIS EMPLOYER MAKES ANY WARRANTY, EX PRESSED OR IMPLIED, CONCERNING THE EXAMINATIONS AND CORRECTIVE MEASURES DE SCRIBED IN THIS OWNERS REPORT. FURTHERMORE, NEITHER THE INSPECTOR NOR HIS EMPLOYER SHALL BE LIABLE IN ANY MANNER FOR ANY PERSONAL INJURY OR PROPERTY DAM AGE OR A LOSS OF ANY KIND ARISING FROM OR CONNECTED WITH THIS INSPECTION.
INSPECTOR A
COMMISSIONS,- 5C
,,'8* 'IC"-
A,.241
/
NAT'L BOARD, STATE, PROVINCE DATE
'o PAGE 2 OF 2
APPENDIX D FORMS NIS-2 Page 35 of 35
ASME SECTION XI - REPAIR / REPLACEMENT
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
ASME Section mII Class 1. 1974 w/Winter 1975
- 13. Repair/Replacement Activity Construction Code/FEdition: ASME Section III Class 1. 1974 w/Winter 1975
- 14. ASME Section XI Code/Edition:
1992 Edition. 1992 Addenda
- 15. Preservice Inspection Required:
[E YES 0
NO Initial V-A Date (4z'[-*, i.
If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
E YES
[I NO Initial V
Date -- 1
/.z-If required, include a step in the W.O. for ISI & ANII Inspection.
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial k
Date U/*z/--
component.
Initial Date
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/ROS No.
4" Pipe APN 00053306 WAI I
__q!
MR# 644199 4" Elbow APN 00054113 l 1'S NI/A F'(,o MR# 644199 4" Reducing Tee APNN 5'1(A'
- /
I Z JIB MR# 644199 2" Pipe APN 43510642 A
14CS.9'7o7/4 m# 644199 1" Weldolet APN 43541147 MI A q;. TN NMJ MR# 644199
- 19. Planner tS..-
s/trC.
Printed Name:..Karl V. Savage sip=a=r Date
- 20. ISI Printed Name: _Ramakant P. Indap Signatu'e
\\
- 21. ANII 1$7--
--n-o2.
Printed Name: _Robert G. Hogstrom Sigizt*
Date
?1Ef-VA'
- 1. Component ID IPRM 44
- 2. Code Class ASME Section it Class I
- 3. Item
Description:
4" Pressurizer Spray Check Valve
- 4. N-S Data Package Number: IRC01-1
- 5. W.O.Number: 219437
- 6. Original Construction Code Edition:
1974 Edition. Winter 1975 Addenda
- 7. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 8. Work
Description:
To Remove the 4" Check Valve 1PRCEV244 perDMWO#219184
Report Number.
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Check Valve internals removed during start-uo testing, the valve is currently leaking at the body to bonnet connection and has been Furmanited. Reference DMWO 219184 evaluation.
M U M~gV p Velr* 4
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service CompaMn, et. al.
P. O. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant Palo Verde Nuclear Generating Station 5801 South WintersburR Road.. Tonopab. Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date:
6472 Sheet:
1of 2 Unit:
Work Order Number 219437 Type of Code Stamp None Authorization No. NIA Expiration Date N/A
- 4. Identification of System: RC. (Reactor Coolant) ASME Section In Class I
- 5. (a) Applicable Construction Code ASME Section III NB. Class 1 1274 Edition, Winter 1975 Addenda, Code Case (b) Applicable Edition of Section XI.Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or NO) 4" Pipe N/A
/A N/A IPRCEL018 2002' Replacement NO 4" Elbow N/A N/A IPRCEL018 2002 Replacement NO 4" Reducing Tee N/A Ilk N/A IPRCEL018 2002 Replacement NO 2" Pipe N/A
/A N/A IPRCEL018 2002 Replacement NO
- 7. Description of Work: Removal of Pressurizer Spay Check Valve 1PRCEV244
- 8. Test Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt 0 N416-1 ED Other 0 Pressure psi Test Temperature --
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 2 X 11
- Iainches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
Remarks: Pressure Test per Code Case N416l1. Removed Pressuri-r Sprev line Check Valve. Reference DMWO 219437. EDC 1998-00651.
Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XL NIA on Date:
N/A Date: 1eP-29q--
z..2-Certificate of Authorization No.
Type Code Symbol Stamp Signed.-TffE&
(
(Qn54rL ft
!Ignee, 1&ti CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described. in this Owner's report during the period of t__.-2*_-00_
to to oC.
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 connected with this inspection.
CommissionsNB 9685 "N" "I" AZ264 National Board, State, Pvince, and Fdorents Date:
,o-Z1q-o I*-
?V-E0092 Ver. 7 Bnck 73DP-917 I
m NIA Expirati V*-EDM( Ver. 7 Back 73DP-.9M17
ASME SECTION XI - REPAIR / REPLACEMENT Page of I. Component ID JE1 WHV 3
- 2. Code Class ASME Secton mI Class 3
- 3. Item
Description:
20" BUTTERFLY VALVE
- 4. N-5 Data Package Number:. IEW0-1
- 5. W.O. Number: 224907
- 6. Original Construction Code Edition:
1974 Edition, Summer 1976 Addenda
- 7. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 8. Work
Description:
REPLACEMENT OF VALVE
- 9.
1]
ISI Flaw NDE Method ofFlaw Detection:
Report Number
- 10. Evaluation of the suitability of this work as per the requirements of TWA -4150:
Like for like valve relacement. 1-iC bo
- 11. Repair/Replacement Work Organization:
Arizona Public Service
£G*
It-*--O'
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. M Cl 3. 1974 Edition 1971 Summer Addenda
- 13. Repair/Replacement Activity Construction CodeFEdition:
Sec. MII CI 3. 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:-
YES NO Initial 10, Date
/t/4?.*
If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
[o YES tic)
(
J J"
pffZ40 If required, include a step in the W.O. for ISI & ANII Inspection.
Initial Date IPA1y l omnet17.
Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
nPtalDt
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial.01 Dae X-replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/PO/WO No.
IJEWAHCV0053 45002941 D-1 12456-1-1 MR# 686795
- 19. Planner Printed Name: John Waltman Signatur DMt
- 20. ISI
(
/-*
Printed Name:
ANl.
A I I
I I I Printed Name:
I II<.IIII Si Date MOM29 Mr. 7
?DP-9=Z7
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASlM Code Section XI I
I 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529
- 3. Work Performed by-Arizona Public Service I
- 4. Identification of System: EW
- 5. (a) Applicable Construction Code ASME Section III ND. Class 3 1974 Edition, Summer 1976 Addenda, _
Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or NO)
Butterfly valve Henry Pratt Co.
D-1 12456-1-1 1JEWAHCV0 1992 Replacement YES 053
- 7. Description of Work: Complete valve replacement with new like for like.
- 8. Test Conducted: Hydrostatic 0 Pneumatic [I Nominal Operating Pressure 0 Exempt 0 N-416-1 0 Other 0]
Pressure psi Test Temperature _
T INOTE:
Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 V X I I inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
- 1. Owner: Arizona Public Service Company, et. al.
P.O. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station Date:.
I04M001 Sheet:
I of Z Unit I Work Order Number 224907 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
IFOFM NIS-2 (Back) k Remarks: Complete valve replacement with new like for like valve. WO# 224907 Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.
Type Code Symbol Stamp Certificate of Authorization No.
srlr-t
&4,--at:
Owner or Owner's Designee, Tite Signed: e5 4PCE CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford, Connecticut have inspected the components descnried in this Owner's report during the period of
,o--_-oa to
,o -,t-ov
. 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 connected with this inspection.
J
'Inspectors Signature Commissions: NB 9685 "N" "I" AZ264 Naional Board, State, Province, and Endorsements f V UU7& V.
I 731)P-9ZZ17 Date U0-qtOZ Iýa- -.
U716 V=-. I IMUL 73DP-gzz7 N/A
[I Il l[
I I
I I I II m
J I
N/A Expiration Date:.
N/A Date:
101'r10 Z.
I TASME SECTION X! - REPAIR/REPLACEMENT
- 1. Component ID 1PSGEV032
- 2. Code Class ASNM IT[ (
- 3. Item Description 2" Kerotest GLOBE VALVE
- 4. N-S Package Number ISG02-1
- 5. W.O. Number 2387151
- 6. Original Construction Code Edition ASNME MI Class 2, 1974 Ed., Summer 1976 Add.
- 7. Original Installation Code Edition ASME11;I Class 2, 1974 Ed., Winter 1975 Add.
- 8. Work Description VALVE REPLACEMENT Mlass 2
- 10. Evaluation of the suitability of this work as per the requirements of IAW-41 50.
NIA; Not a pressure boundary failue. The valve is being replaced due tb worn seat condition not allowing tight shutoff
- 11. Repair/Replacement Work Organization APS Maintenance
- 12. Replacement Item Construction or reconciled Code/Edition ASME MII Class 2, 1974 Ed., Summer 1976 Add.
- 13. Repair/Replacement Activity Construction C*de/Edition ASME IlT Class'2, i974 Ed., Winter 1975 Add.
- 14. ASME Section Xl Code/Edition 1992 Edition and 1992 Addetda
- 15. Preservice Inspection Required.
Ci YES f*
NO DMG 06/21/02 If required, include a step in the W.O. to perform Preservice Inspection.
InitialDate
- 16. ASME Section Xl Pressure Test Required I*1 YES fJ NO DMG 06/21/02 If required, include a step in the W.O. for ISI & ANII Inspection.
InGal Date DMG 06/21/02
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
Initial Date DMG 06/21/02
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or initlai Date replacement items.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MR/ROS NO.
IPSGEV032 6e" e02,-/--/
000f.3?
',crn P/h/#qp.'-n-:szAA F)
- 19. Planner 4 -Z-,2 PrintNaindbavidGoodlet Sol""w
- 20. ISI Engineer.
I21.
ANII___
Date C-2 4 Print Name Ramakant Indap Gate
,-Zc.-o2, Print Name Robert Hogzstrom PV-E0093 Vet, S 7P4lL1 7 P'V-EOO Ver. a I*atO 7"3DP-g=Z17
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bytie Provisions of the ASME Code Section XI
- 1. Owner Arizona Public Service Compoany. et. al.
rume P.O. Box 53999. Phoenix. Arizona 85072-2034 Address
- 2. Plant Palo Verde Nuclear Generatig Station Name 5801 S. Wintersbur* Rd.. Tonopah. Arizona 85354-7529 Address
- 3. Work Performed by PVNGS Maintenance Dept.
Name 5801 S. Wimtersburg Rd., Tonopah, Az. 85354-7529 Date 06/21/02 Sheet I
of 2
Unit 1
2387151 Wouk Order Nunmer Type Code Symbol Stamp None Authorizatin No.
N/A Expiration Date N/A Address
- 4. Identification of System SG-Feedwater system wet layup.
- 5. (a) Applicable Construction Code ASME 111 C1 2 19 74 Edition,. S' 76
- Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code or Stamped Item Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No)
Valve Kerotest AFE2-20 N/A IPSGEV032 1984 Replacement Yes
- 7. Description of Work Replacement of valve.
- 8. Test Conducted:
Hydrostatic (]
Pneumatic (2 Other Q2 Pressure Nominal Operating Pressure (2 Exempt (2 N-416-1 Ej psi Test Temp.
OF NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size Is 8 1/2 x 1.1 In.,
(2) Informaton In Items 1 through 6 Gn 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.
PV-E0092 Var. 7 7SOP-917 PV-EM09 Vet. 7 7"3OP-9ZZ17
FORM NIS-2 (Back)
- 9. Remarks WO# 2387151 for valve IPSGEV032 replacement due to seat condition not allowing tight shut-off.
CERTIFICATE OF INSERVICE 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 Arizo'na andemployed by HSB CT of Hartford. Connecticut
, have inspectqd the components described in this Owner's Report during the period
&-2,-4 to
,o-a",-C2.
,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 XI.
By signing this certificate, neither the Inspector nor his employer.r*akes any warranty, expressed or implied, concerning the examinations and corrective measures described irk this÷.Owners Report. Furthermore, neither the Inspector nor his employer shall be liable in'any manner'fdr any personal injury or property damage or a loss of any kind arding from oi rorine6ti'v ith thi's-isPi-ec-lon.
Sr4-....Commissions-. -ý*AteC, A
24*'(
-. ic
.. S State, Province, and Endorsements Date
- -.......,.... o.'.,S I,
Ii..
FV-E0092 var.? SACK 730P-9ZZ17 Io-lq-O*..
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.
row or rpla=ernt Type Code Symbol Stamp N/A.
Certificate of Authorization No.
-N/A Expiration Date N/A Signed *na*-,*
J64itf,'
Date V -Z7-O2...
U ow-or o,,w
- oera, Deigo. Me.'
73OP-gZZ7 PV-E09 Ver. 7 BACK
ASME SECTION XI-REPAIR REPLACEMENT Page of
- 1. Component ID _ICBNUVO500
- 2. Code Class ASME Section HI Class 2
- 3. Item
Description:
3" FISHER 3-WAY CONTROL VALVE
- 4. N-S Data Package Number: 1CH01-1
- 5. W.O.Number: 2391525
- 6. Original Construction Code Edition:
1974 Edition. Summer 1975 Addenda
- 7. Original Installation Code Edition:
1974 Edition, Winter 1975 Addenda
- 8. Work
Description:
Rework valve to correct seat leakan.
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Not a 2rssure boundary failure. The valve plug I stem assembly is beiun replaced to improve seat condition.
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 2. 1974 Edition Summer 1975 Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. HIi Cl 2, 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI CodeJEdition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
0 YES 09 NO Initial A
Date AD - JLZ, -41 Z If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
0 YES 0
NO Initial.,PE2&.Date
-t) 2-,02 If rcquird, include a stcp in the W.O. for lSI & ANI Inspection.
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial
_Date component.
Initial
- Date ),P-IDZ,,
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/PO/WO No.
PLUG
/
21953-1 MR 563601
- 19. Planner
[X...
C2~ie iJb-.7-9 Printed Name: DavidGodt Signatue Date
- 20. 151 7<#--
O/~
Printed Name:
/
Sigat*re
- 21. ANTI s6e-7 4..A Printed Name:
2 z
ligDat#'7 Date pv*'o,,6t V'.'7
- ....r........
.. c.
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company. et. al.
P.-O. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South W'Mtersburg Road.. Tonopah, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 10-12-22 Sheet:
I of 2 Unit I Work Order Number 2391525 Type of Code Stamp N=
Authorization No.
NIA Expiration Date N/A
- 4. Identification of System: CHI: Chemical and Volumn Control System
- 5. (a) Applicable Construction Code ASME Section III NC. Class 2 1274 Edition. Smmer17-Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition. 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped.
(Yes or NO)
PLUG Fisher 6552839 n/a 1JCHNUV-1984 Replacement YES 0500
- 7. Description of Work. Rework valve to correct seat leakage.
- 8. Test Conducted: Hydrostatic [
Pneumatic 0 Nominal Operating Pressure 0 Exempt [
N-416-1 0 Other [3 Pressure _
psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 % X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and t*. n,-mber of shbe.,ts JF rco.ed at the to of this form.
FORM NIS-2.(Back)
E:
II II
'*9.
Remarks: WO# 2391525 on valve IJCHNUV0500 was disassemble ano m_
icr cause oi sea, icy
- n.
was in rood shape with some wear on l1ut to seat ring sealing surface, The valve was reassembled with a new plug to i qOmOr seat condition.
x CERTIFICATE OF INSERVICE 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 Arizon and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of to-,2.-OL to
,0-,*,-aZ
.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 property damage or a loss of any kind arising from or connected with this inspection.
Commissions: NB 9685 "N" "F' AZ264 National Boarc, Stm. Province, and Eadorscments lnspec-s Signature Date:_______
73DP-9ZZI7 PV-E009 Ver. 7 Back Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASMB Code, Section XL Type Code Symbol Stamp N/A Certificate of Authorization No.
N/A Expiration Date:
N/A Signed Me{CrVt'.~
gLrjLM ate:
-2 o Sind wcror Ownces DesigiE, Tide St.-
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1PSTEV532
- 2. Code Class ASME Sect
- 3. Item
Description:
1HPSI Injection to Loop 2 check valve
- 4. N-5 Data Package Number. IRC01-C
- 5. W.O. Number: 2412331
- 6. Original Construction Code Edition:
1974 Edition, Winter 1975 Addenda
- 7. Original Installation Code Edition:
1974 Edition. Winter 975 Addenda
- 8. Work
Description:
Reolact the bonnet / disc assembly
Report Number.
- 10. Evaluation of the suitability of this work as per the requirements of IWA-4150:
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Codefidition:
Sec. III Cl 1. 1974 Edition 1975 WMinter Addenda
- 13. Repair/Replacement Activity Construction Code./Fdition:
Sec. IMI CI I. 1974 Edition 1975 Wrinter Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
[YES I
NO Initial
-T-Date /0
-/1V-Oa If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
09 YES
[I NO Initial
-Date
-/f-required, include a step in the W.O. for ISI & ANI Inspection.
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the initial -L.Z 0
Date L4.**~~
component.
Initial DateO
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Itle.replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/PO/WO No.
Bonnet/disc assembly 76356
?63m-r 2-N/A WO 00888782
- 19. P1
/'-..
/
ý"-O-OLtprmted Name: Jan
.Davis
- 20. 1S Printed Name:
A
- ,i (A
,~,,OW Signatam Date
- 21. ANI*
Printed Name:
Q'J..
sigad*
Date" PV.1= vat 7
-/
- on f Class I
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section X!
- 1. owner Arizona Public Service CoMpany, et al.
.1 Addt=St 2-Plant Pl~o Verde Nuclear Generatinig Station Name 5801 S. Wmintersburr Rd.. Tonooah. Arizona 85354-7529 Address
- 3. Work Performed by Arizona Public Service Name 5801 S. Wimtersburg Rd., Tonapah, Arizona 85354-752S Date Sheet Unit 10/14/02 1
of o 1
2412331 Work Osder Number Type Code Symbol Stamp None Authorization No.
N/A Explration Date N/A
- 4. Identification of System Safety Wection
- 5. (a) Applicable Construction Code ASME Sec III, Cl 2 19 74 Edition, W75
- Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition.
1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code or Stamped Item Manufacturer Seial No.
Board No. Identification Built Replacemen (Yes or No)
Valve Borg-Warner 27603 N/A IPSIBV532 1983 Repaired Yes Bonnet/Disc assy.
Borg-Warner qd 5-z-2 NIA 1PSIBV532 2002 Replacement Yes
- 7. Description of Work Replace the bonnet/disc assembly with the assembly removed from 1PSIEV143
- 8. Test Conducted:
Hydrostatic ja Pneumatic (a Nominal Operating Pressure Exempt Q N-416-1 2 Other [*
Pressure psI Test Temp.
OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 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.
PV-E00=2 Ver. 7 P 0 Vny 51990 Ph.enix. Arizona 85072-2034 730P-GZZ1Y A JJ....
FORM NIS-2 (Back)
- 9. Remarks Work Order 2412331 =paced the bonnet/disc assembly removed from 1PSIEV143 by Work Ard~r AflRRR7R2 *nd rewnrleed by Work Order 00917904.
CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this 'pai" of the ASME Code, Section XA.
rp or Rpment Type Code Symbol Stamp conforms to the rules N/A Certificate of Authorization No.
N/A Expiration Date N/A SCgned<CA-,
t4e
/IIL "'O>c r,
te jo-Z-.
UOwnef or Omnerresipne. The PV.E0002 Var. 7 BACK 730P4U17 CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut
, have Inspected the components described In this Owners Report during the period
,O-Y.-oCz to
,o-2-oa.
, 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 theexaminations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal injury or property damage or a loss of any kind arising from or connected with this Inspection.
Commissions Sl -
,z. 2..',-(
I Natial Board. State, Pro*nce, and Endorsements Date oae.
cl-A-r MUM and rewodmd hv Work Ordcr 0( 17904.
.=
Dateeoe Ww-wr-ez 73DP-WMZZ7 PV-IEO092 VW. 7 BACK
ASME SECTION X1 - REPAIR/REPLACEMENT C1.Component ID IPSGELO11
- 2. Code Class ASME Section m011 Class 2
- 3. Item Description Pipe Spool
- 4. N-5 Package Number 1SG02-1
- 5. W.O. Number 2417233
- 6. Original Construction Code Edition 1974 Edition, Summer 1975 Addenda
- 7. Original Installation Code Edition 1974 Edition, Wnmter 1975 Addenda
- 8. Work Description Replacement of Pipe spool due to Flow Accelerated Erosion Corsion, DIDM 2417232 EDC#
2001-00562.
- 10. Evaluation of the suitability of this work as per the requirements of IAW-4150.
Replacement of Eroded piping with Stainless Steel as Described in DIDM 2417232, EDC# 2001-00562. There was no failure of the Code Pressure Boundry.
- 11. Repair/Replacement Work Organization APS
- 12. Replacement hIem Construction or reconciled Code/Edition Sec.UI C12/74 Edition '75 Summer Addenda
- 13. Repair/Replacement Activity Construction Code/Edition Sec.MI CI.2F/4 Edition 75 Wimter Addenda
- 14. ASME Section XI Code/Edition 1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required.
la YES 0
NO 5/t7" (ii...
If required, Include a step In the W.O. to perform Preservice Inspection.
- 16. ASME Section Xl Pressure Test Required ID YES 0
NO
':-1 haez If required, include a step In the W.O. for ISI & ANII Inspection.
__in_
'bT2.7
-AA-c- 17. Include a step In the W.O. to complete NIS-2 Form prior to releasing the component Inial Date V4 127 bL--*e-
- 18. Include a step In the W.O. to record below all applicable numbers for repaired or Inot Date replacement items.
ITEM LD.
PART NO.
SERIAL NO.
HEAT NO.
MR/ROS NO.
8" Pipe S. S APN 00061187
,37I 0Z50 MR# 604197 8" Pipe CS.
APN 00064731 Al-7-5S el 4 N i 8" Elbow APN 00067691 L/LY, x--I MR# 60418 7
- 19. Planner lza..-
Print Name Karl V. Savage I2O.
151 Englnee Print Name Ramakant P. Ihdap
- 21. ANII cvI C._ -
Print Name Robert G. Hogstrom 0
8....
O cats PV.E00= Ver. 6 I
44' r*Iulp "
]i~~
f
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
)l. Owner. Arizona Public Service Company. et al, P. o. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant-Palo Verde Nuclear Generating Station 5801 South Wintersburg Road.. Tonopah. Arizona 85:
- 3. Work Performed by-Arizona Public Service Date: 05,27,2002 Sheet:
L of 2 Unit: I 554-7529 Work Order Number 2417233 Type of Code Stamp None Authorization No. NWA Expiration Date WA e-Identification of System: SG. ASME Section m. Class 2 (a) Applicable Construction Code ASME Section M NC. Class 2 174 Edition, Winter 1975 Addenda, Code Case (b) Applicable Edition of Section X2 Utilized for Repairs or Replacements: 1992 Edition. 1992 Addenda Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or NO) 8-Pipe and N/A N/A N/A 2002 Replacement NO Elbow
- 7. Description of Work-Replaced Pipe Spool due to Flow Accelerated Erosion Corrosion of the Original Pimna.
- 8. TestConducted: Hydrostatic [3 Pneumatic []
Nominal Operating Pressure 0 Exempt 0 N-416-1 0 Other 03 Pressure psi TestTemperature _
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
I
- 4.
5.
6.
wr
FORM NIS-2 (Back)
Remarks: Pressure Test per Code Case N-416-1. Work Order 2417233, Replaced 8" Pipe and Elbow in Spool S-007 of Line IPSGELOI I with Stainless Steel.
Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XM.
Type Code Symbol Stamp NIA Certificate of Authorization No.
N/A Expiratit Signed.:T a~f!CE?.rWL4 Meuýi n te Owner ~or wc%)ignee.d title.
onDate:
N/A Date:
ID-2 2.-
CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford. Connecticut. have inspected the components described in this Owner's report during the period of to
,o-2*.-ca.
, 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 connected with this inspection.
Commissions: NB 9685 "N" "I" AZ264 Nations Board, State, Province, mdEndorscm1s Date: *-- Siat Date:
PV-E0092 Ver. 7 Back 73DP-ZZ17 I
:2)9.
[lIIII I
I I III II I
S9.
73DP-g=17 PV-EO092 Ver. 7 Back
I '
ASME SECTIONX X-REPAIR/REPLACEMENT 1.ComponentID 1PSGEL011
- 2. Code Class ASME Sectionlr Class 2
- 3. Item Description Pipe Spool
- 4. N-5 Package Number 1SG02-1
- 5. W.O. Number 2417247
- 6. Original Construction Code Edition 1974 Edition, Summer 1975 Addenda
- 7. Original Installation Code Edition 1974 Edition, Wimter 1975 Addenda
- 8. Work Description Replacement of Pipe spool due to Flow Accelerated Erosion Corrosion, DIDM 2417232 EDC#
2001-00563. Additional Scope Replacing Drain Valve 1PSGEV103, which is experiancing seat leakage.
- 10. Evaluation of the suitability of this work as per the requirements of IAW-4150.
Replacement of Eroded piping with Stainles Steel as Described in DIDM 2417232, EDC# 2001-00563. There was no failure of the Code Pressure Boundry.
- 11. Repair/Replacement Work Organization APS
- 12. Replacement Item Construction or reconciled Code/Edition SecJI C02/74 Edition '75 Summer Addenda
- 13. Repair/Replacement Activity Construction Code/Edition SecJIl CL2/74 Edition '75 Winter Addenda
- 14. ASME Section XI Code/Edition 1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required.
2] YES Q NO S-h5 *ze a_ If required, Include a step In the W.O. to perform Preservice Inspection.
a Date
- 16. ASME Section XI Pressure Test Required (E[ YES
[
NO
__M _V/2"7
/
z,, -..f required, include a step in the W.O. for ISI & ANII Inspection.
- V_0__,
/_o,,__ z-17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component IntWW Date V/7-x-.
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or In" o~
replacement items.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MR/ROS NO.
8" Pipe APN 00061187 MR# 604189r7 8"X6" Reducing Tee APN 00067692
- t.
ULy.-
I MR#60418 t'
1" Valve APN 45000252 Mzlto R
-,3 MR# 641t956 19.Planr 72o z-Print Name Arl V. Savage
- 20. IS, Engineer 61'/i 9L 2-Print Name Ramakant P. Indap 1
21 ANI
<~
~DOW-Print Name Robert 0. Hogstrom FV-E=0 Var. I 72JOp4=P7
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner. Adiona Public Service Co ay. et. al.
P.O. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South W'mtersburg Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service I
II IlI I
I I III II
- 5. (a) Applicable Construction Code ASME Section lII NC. Class 2 1974 Edition, Winter 1975 Addenda, -
Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition. 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or NO) 8" Pipe and Tee NIA N/A N/A IPS&.oEL o k" 2002 Replacement NO
- 7. Description of Work: Replaced P*ie Spool due to Flow Accelerated Erosion Corrosion of the Original Piping.
S. Tea Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt E]
N-416-1 0 Other 0 Pressure psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 VX 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
I I
I I
Date: 05/27D=
Sheet:
.I of 2 Unit:. J Work Order Number 2417247 Type of Code Stamp Non=
Authorization No. N/A Expiration Date kg/A
FORM NIS-2 (Back)
.Remarks: Pressure Test er Code Cae N416-1. Replaced 8" Reducing Tee and Pie in Smcol S-004 of Line 1PSGEL1I with Stainless Steel.
Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XL N/A Type Code Symbol Stamp N/A Certificate of Authorization No.
Signed:
Cbf%-tK E
A'19YJd 9r, 3 htYj Date: to-2 '1-2002_
Owe or OmI viiuc Illl I-Expiration Date:
NIA CERTIFICATE OF INSERVICE 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 Azona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of
,,-_-__ -o to
,o-.-
,-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 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 connected with this inspection.
SiDa-ur' Date:-8 Z
o Commissions: NB 9685 "N" "I' AZ264
V.EOO92 ver. 7 Dick 7JDP-9ZZ17 I
U --
%J1-0..
2--ýkn-'.I *-k-
.;?V.F,009 Ve'. 7 Bacl "73DP-=Z17
ASME SECTION XI - REPAIR/REPLACEMENT
- 1. Component ID IPSGELDI1
- 2. Code Class ASME Section M Class 2
- 3. Item Description Pipe Spool
- 4. N-S Package Number 1SG02-1
- 5. W.Od. Number 2419643
- 6. Original Construction Code Edition 1974 Edition, Summer 1975 Addenda
- 7. Original Installation Code Edition 1974 Edition, Wimter 1975 Addenda
- 8. Work Description Replacement of Pipe spool due to Flow Accelerated Erosion Corrosion, DIDM 2417232 EDC#
2001-00561.
- 10. Evaluation of the suitability of this work as per the requirements of IAW-41 50.
Replacement of Froded piping with Stainlwss Steel as Described in DIDM 2417232, EDC# 2001-00561. There was no failure of the Code Pressure Boundry.
- 11. Repair/Replacement Work Organization APS
- 12. Replacement Item Construction or reconciled Code/Edition Sec.Ill Cl2i'74 Edition 75 Summer Addenda
- 13. Repair/Replacement Activity Construction Code/Edition Sec.ffl CL2/74 Edition 75 Wimter Addenda
- 14. ASME Section Xl Code/Edition 1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required.
El YES 0
NO V-1a 1"/r-7oz.
If required, Include a step in the W.O. to perform Preservice Inspection.
Date
- 16. ASME Section Xl Pressure Test Required El YES
[ NO V4-&
5.b-.7..0.
If required, Include a sitep in the W.O. for ISI & ANII Inspection.
to C>
o
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component
[ritaw Qate W1 7.- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Irmal.
Date
. replacement items.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MRPROS NO.
6"Elbow APN 00061184 MiCr 1 4 I
MR#604187 6" Pipe APN00061183 Foo-777 NMR# 604187 8" Pipe APN00061187
-2.7BSO J MR#604187 8" Elbow APN 00067691 LXL' -1 MR# 604187 8" X 6" Reducer APN0061185 LWYC& -I MR# 604187
- 19. Planner Print Name Karl V. Savage
- 20. ISI Engineer 6
/*;
C/
- Prnt Name Ramakant P. IndaP
- 21. ANII
.-=--_
Print Name Robert 0. HoRstrom oatw PV-E003 Vw. I6
=P4=7
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI I
5801 South Wintersburg Road.. Tononah. Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 05t27/2002 Sheet:
I of 2 Uni: I Work Order Number 2419643 Type of Code Stamp None Authorization No. NLA Expiration Date N/A
- 4. Identification of System: SG. ASME Section I. Class 2
- 5. (a) Applicable Construction Code ASME Section m NC. Class 2 IM94 Edition, Winter 1975 Addenda, -
Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition. 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or NO) 6" and 8" Pipe N/A N/A N/A t~Lz i.o 2002 Replacement NO 9
U.
4' 4
I.
4 I
I.
L
£ L
- 7. Description of Work: Replaced Pipe Spool due to Flow Accelerated Erosion Corrosion of the Original Piping.
- 8. Test Conducted: Hydrostatic 0]
Pneumatic [I Nominal Operating Pressure 0 Exempt [I N-416-1 0 Other 0 Pressure 1169 psi Test Tempmrture T
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 % X 11 inches, (2) information in items 1 thru 6 on this report-is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
- 1. Owner. Arizona Public Service Conmany. et. al.
P. O. Box 53999. Phoenix Arizona 85072-204
- 2. Plant Palo Verde Nuclear Generatine Station I
A
FORM NIS-2 (Back)
"9.
Remarks: Pressure Test ver Code Case N-416-1. Work Order 2419643. Revlaced 6" Spool S-001 and 8" Snool-,-009 o) LfLine IPSGELO01.wIth Stainless Steel.
Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of Authorization.No Signed:
[Ah N/A O~'ner or Owner's Designee. Title Expiration Date:
N/A Date: _/ 0 CERTIFCATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford, Connecticut have inspected the components described in this Owner's report during the period of
__t_-_-__
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 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 connected with this inspection.
SSignatre Date:
,o-.i-oz Commissions: NB 9685 "N" "I" AZ264.
National Board. State, Province, and Endorsements Pv-E0U92 vcr. 7 Back 73DP-9ZZ17 I
0 FV-EO09 Yet. 7 Back 4
ASME SECTION XI - REPAIR/REPLACEMENT
- 1. Component ID IPSIAVA07
- 2. Code Class I "Oya, teAWL
- 3. Item Description IJSICUVO653 PRESSURE LOCK PREVETON SYSTEM GE -IKA
,1IO
- 4. N-5 Package Number DIWO 1008568
- 5. W.O. Number 2439909
- 6. Original Construction Code Edition ASME SECT. MI CL 11974 EDITION S"76 ADD
- 7. Original Installation Code Edition ASME SECT. MI. CL 11974 EDITION *V"75 ADD
- 8. Work Description REPLACE THE STEM AND DISC ASSEMBLY (IF REQUIRED) AND THE BONNET TO BODY SEAL WELD.
- 10. Evaluation of the suitability of this work as per the require ents of IAW-4150.
- 11. Repair/Replacement Work Organization ARIZONA PUBLIC SERVICE
.6..-c2'4 I
- 12. Replacement Item Construction or reconciled Code/Edition ASME SECT. IL CLX 1974 EDMON MH2.rjADI*;'
- 13. Repair/Replacement Activity Construction Code/Edition ASME SECT. 13L CL?1974 EDITION W'75 ADD
- 14. ASME Section Xi Code/Edition 1992 EDITION, 1992 ADD.
/
- 15. Preservice Inspection Required.
0 YES ID NO NIA 06/24/02 If required, Include a step In the W.O. to perform Preservice Inspection.
- lW Date
ý
- 16. ASME Section XI Pressure Test Required El YES IE NO N/A 06/24/02 If required, Include a step In the W.O. for ISI & ANII Inspection.
k" Date JD 06M24/02
- 17. Include a step In the W.O. to complete NIS-2 Form prior to releasing the component 9
Oate JD 06/24/02
- 18. Include a step in the W.O. to record below all appflcable numbers for repaired or k"
Data replacement Items.
IEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MR/ROS NO.
- 19.
Panner06/24/01 Print Name.JAMES L DAVIS 2.-z5e-6f Print Name-.
P..
I'..
I 21. ANII ot.
Pri Nae Me=VGG a
- Z*P*17
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Arizona Public Service Company. et al.
Date 10/09/02 Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1
of 2
Address
- 2. Plant Palo Verde Nuclear Generating Station Unit 1
Nam 5801 S. W'mtersburg Rd., Tonopah, Arizona 85354-7529 2439909 SWorc Order Number
- 3. Work Performed by Arizona Public Service Type Code Symbol Stamp None Name Authorization No.
N/A 5801 S. Wintersburg Rd., Tonapah, Arizona 85354-752S Expiration Date N/A Address
- 4. Identification of System Safety Injection S. (a) Applicable Construction Code ASME Sect MI, CI I 19 74 Edition, S76
- Addenda, Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASMECode or Sapod Item Manufacturer Serial No.
Board No. Identification Built Replaceme a* or No)
Valve Borg-Warner 96SN0404 N/A 1PSIAVA07 1996 Repaired Yes
- 7. Description of Work Rework the valve to correct leakage past the seat, replace the seal weld.
- 8. Test Conducted:
Hydrostatic Q Pneumatic Q Nominal Operating Pressure []
Exempt [a N-416-1 Q Other I*
Pressure_
psi Test Temp.
OF NOTE: Supplementa sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 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 I the number of sheets is recorded at the top of this form.
PV.0I2 A
PU1 PV-ED002 Ver. 7 "73DP-07
FORM NIS-2 (Back)
- 9. Remarks Work Order 2439909 reworked the stem/disc assembly and removed and replaced the seal weld between the bonnet and body.
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this E air conforms to the rules of the ASME Code, Section XG.
epairorrelcemen Type Code Symbol Stamp Certificate of Authorization No.
NIA N/A Expiration Date N/A Signed 5, Z75*7'--f*ie-Owner or Omers Desig.e, TWle Date 1/0111a 2.-
IvE)2vr AK70-ZI I
CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CI of Hartford. Connecticut
, have inspected the components described In this Owner's Report during the period c,-2S-o, to so.
, and slate 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 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 connected with this inspection.
Commissions 4*
21,1k Nationad Bord, State, Province, and Endoremeus Date c'
(2.
I J
=
73DP-OZZ17 PV.E0092 Ver. 7 BACK
ASME SECTION XI - REPAIR / REPLACEMIENT CI.
Component ID 1PRCEL032
- 2. Code Class ASME Section m Class 1
[ Item
Description:
Reactor Coolant System Hot Leg #1 line IPRCELO32. Spool S001.
- 5. W.O.Number. 245574
- 6. Original Construction Code Edition: ASME Section I11 Class 1. 1974 w/ Summer 1974
- 7. Original Installation Code Edition: ASME Section II Class 1.1974 w/Witmer 1975
- 8. Work
Description:
Replace existing Inconel 600 thermowells with Inconel 690 thermowells. The modification includes RTDs I lJRCCTWO1 12HC. IIRCATW01 12HA-1RCETWO1 IIX. 1JRCBTW01 12BB and 1JRCDTW0112HD.
This work order anfiei to RCS H. Leg #1. Ref. DMWO 2376926 and N001-0607-097 and 00398.
Report Number.
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
eJ &eIc n
4-e 6-TO SC
. /
A WE~t&L(J~tc T-?X t6 AIL'S LL 0coýJ
'o md&J
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
ASME Section III Class 1. 1974 w/ Summer 1974
- 13. Repair/Replacement Activity Construction CodefEdition:
ASME Section III Class 1. 1974 w/Winter 1975
- 14. ASME Section XI Code/Edition:
1992 Edition. 1992 Addenda
- 15. Preservice Inspection Required:
0 YES 0 NO Initial Date a-If required, include a step in the W.O. to perform Preservice Inspection
. ASMB Section XI Pressure Test Required:
0 YES 0
NO Initial AIZ Date If required, include a step in the W.O. for ISI & ANII Inspection.
Date
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasin Initial Date component ig the initial A/-- Date&.1re2
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or replacement items.
Item ID Part No.
Serial No.
Heat No.
MIROS No.
lJRCETW0111X, Nozzle APN 00067199
-W 19
/14 LbqtM C.9 lJRCETW01 1 X, Thermoweil APN 00067116
+*A.
19 NA
- t. 4 4 lJRCATW01I2HMA Nozzle APN 00067199 G
44 CB44 L I.RCATWO112HA, Thermowell APN 00067116 44 (0 1 B L,3 UlRCCTW0112HC, Nozzle APN 00067199
.WA 0
NIA 6 S 14 t
1JRCCTrW01121C Thermowell APN 00067116 19WA Z 0 M14 (t (tr
- 19. Planner t~*fL Printed Name:
Herbert L. Green 2D. ISI 6r Printed Name:
J
~ )4 Signature d
A4. ANlHI 4-2:1.-02 Printed Name:
- r6ao-'¶ Signa4=
.LJZ3 V.
PAGE 1 OF 2
ASME SECTION XI - REPAIR / REPLACEMENT PAGE 2 OF 2
-. Component ID IPRCEL032
- 2. Code Class ASME Section I1 Class 1 Item
Description:
Reactor Coolant System Hot Lee #1 line 1PRCEL032. Spool S001. "
- 4. N-DataPackag Number: IRC01-4&1 iRC01-18A
- 5. W.O.Number 245,46
- 6. Original Construction Code Edition: ASME Section m Class 1.1974 w/ Summer 1974
- 7. Original Installation Code Edition: ASUM Section M1I Class 1. 1974 w/Winter.1975
- 8. Work
Description:
Replace existing. nconel 600thermowells with Inconel 690 therimowells. The modification includes RTDs I RCT WOJ.i*I 1.T..TC_ I IRCATWO1 I2TTA_ II'RCFTWO1 lX* IJ"RCRTWOI I1T:I and I]RCDTW01 12HD.
This work order applies to RCS Hot Leg #1. Ref. DMWO 2376926 and N001-0607-00"97 and 00398.
ReportNumber.
- 10. Evaluation of the suitability of this work as per the requiements of IWA - 4150:
- 11. Repar/Replace*nnt Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
ASME Section HI Class 1. 1974 w/ Summr 1974
- 13. Repair/Replacement A-tivity Construction Code/Edition:
ASME Section III Class 1. 1974 w/Winter f975
- 14. ASME Section XICode/Editon:
1992 Edition, 1992 Addenda
- 15. Preservice Inspection Required:
0 YES 0 NO I1 itial Ig Date If required, include a step in the W.O. to perform Preservice Inspection
-6. ASME Section XI Pressr Test Required:
0 YES
[
NO Initial 9
Date If required, include a step in the W.O. for ISI & ANIX Inspection.
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initia Dart coinponeuL S
Dat18.
Include a step in the W.O. to record below all applicable numbers for repaired or Initial V
Date replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/ROS No.
IJRCBTWO112H. Nozzle AM 00067199
-);;A-
- I4 L9 1JRCBTW0112HB, Thermoweli APN 00067116 4VA!
L Z./
(*Lt 4 4(
1JRCDTWO1 12MD, Nozzle AMN 00067199
=k4 tVIA (66 4 4 -2 b IJRMDTW01 12HD, Thermowell AM-N 00067116 a 3 t/
L'.44- 0
- 19. Planner, 2
Printed Name:
Herbert L. Green Date
- 20. MSI
-CAAis.6P V
Printed Name:
SigiztureDate
- 21. AN o2 Printed Name:_
SO at.
Mrr-rWAJI-Mr 1jRrATWAll2TTA-l-TRrF-TWn111X I]rRrRTWnll2lgB and I-TRMTWO112HD.
PV4= %r. 6
IFORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS "As Required by the Provisions of the ASMB Code Section XI
- 1. Owner. Arizona Public Service Company. et. al.
P. O. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station Date: 06114/=
Sheet:1 of 2 Unit I 5801 South Wintersburg Road.. Tonopah. Arizona 85354-7529 Work Order Number 2455746
- 3. Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: Reactor Coolant System line number IPRCEL032. Spool S001
- 5. (a) Applicable Construction Code ASME Section I11 NB, Class 1 1974 Edition, Summer 1974 Addenda, Code Case (b) Applicable Edition of Section X[ Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or NO)
RCS Hot Leg #1 Combustion 771-301 N/A IPRCEL032 1978 Repaired YES Engineering
- 7. Description of Work.
Replace a section of existing Inconel 600 RTD nozzles with a new design Inconel 690 RTD nozzles, and replace existing Inconel 600 thermowells with Inconel 690 thermowells. The modification includes RTDs JRCC`W011-2HC lJRCATW0112HA, lRCETWO111X IJRCBTWO112-B.and IJRCDTWO112HD. This work order applies to RCS Hot Leg #1. Ref. DMWO 2376926 and NOOI-0607-00397 and 00398.
- 8. Test Conducted: Hydrostatic []
Pneumatic [I Nominal Operating Pressure 0 Exempt 09 N-416-1 []
Pressure _
psi Test Temperature
- F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
Other 0 I.
Remarks:
FORM NIS-2 (Back)
JJ.o.
A.SS'1rL.
CERTIFICATE OF INSERVICE 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 rizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of C.-AG.-o0 to
,o-*,,-0a 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 X1 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 connected with this inspection.
s&4
cctar Signatrt Date:
,.-O2.
Commissions: NB 9685 'N" "F" AZ264 National Board, State, Ptovince, and Endo*sements I-PV-E0092 Var. 7 Bark 73DP-9.17 Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section X.
NIA Type Code Simbol Stamp Expiration Date:
NIA Certificate of Authorization No.
w=- or OwnMes D= g__
N/A 73DP-92M7 MUM009 Ver. 7 Back
ASME SECTION XI - REPAIR / REPLACEMENT PAGE 1 OF 2
.1. ComponentID )PRCM03
- 2. Code Class ASME Section I Class 1
. Item
Description:
Reactor Coolant System Hot Leg #2 line 1PRCEL063. Spool S001.
" 4. N-S Data Package Number: RC01-4 & 1RCOI-18A
- 5. W.O. Number:.
- 6. Original Construction Code Edition: ASME Section M Class 1. 1974 w/ Summer 1974
- 7. Original Installation Code Edition: ASME Section 1I Class 1. 1974 w/Winter 1975
- 8. Work
Description:
Replace existing Inconel 600 thermowells with Inconel 690 ther'mowells. The modification includes RTDs I
fTRCrW1TW TT2RC 1]RCATWO122HA. lRCETW0121X. 1RCBTWO122HB and 1IJRCDTWO122HD.
ThI nlr nrder nnnlie-* to RCS Hot Lea #2. Ref. DMWO 2376926 and N001-0607-00397 and 00398.
Report Number:.
- 10. Evaluation of the suitability of this work as per the requirements of IWA -4150:
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled CodeEdition:
ASME Section MI Class 1 1974 w/ Summer 1974
- 13. Repair/Replacement Activity Construction Code/Edition:
ASME Section M Class 1. 1974 w/Winter 1975
- 14. ASME Section XI Code/Edition:
1992 Edition. 1992 Addenda
- 15. PreserviceI pection Required:
0 YES
[
NO Initial Date 4 If required, include a step in the W.O. to perform Preservice Inspection
- 6. ASi e
i Pressure Test Required:
03 YES 0
NO Initial Date If required, include a step in the W.O. for ISI & ANII Inspection.
'i, 4
4/ _17.
Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date &4 I4 comnponent.
1,1
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial
~
Date replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/ROS No.
1RCETWO12 IX, Nozzle APN 00067199
+*
39c NIAL 1JRCETWO12IX, Thermowell APN 00067116 NH 39 l*!
LS IJRCATWO122HA, Nozzle AMN 00067199 0MAk Vi j%
L% 'AA -73 1JRCATWo122HA, Thermowell APN 00067116 MIA 5L//
-)t "%
1JRCCTW0122HC, Nozzle APN 00067199 W
3 2,ti rill,"LI(
IJRCCTW0122HC, Thermowell APN 00067116 f
3 Z..
A4 Lt* 7 7
- 19. Planner Printed Name:
Herbert L. Green
- 20. IS1 6107'2-Printed Name:
r fK 27J)
A4:5 121.
M Printed Name:Bate SI 44 Date]I II m
FV.WW VW. 6
°
ASME SECTION XI - REPAIR / REPLACEMENT PAGE 2 OF 2
.l. ComponentlD IPRCEL063
- 2. Code Class ASME Section mII Class I
, Item
Description:
Reactor Coolant System Hot Lee #2 line IPRCEL063, Spool S001.
4.N-5 Data Package Number:
RC01-44& 1RC01-18A
- 5. W.O.Number: 245578
- 6. Original Construction Code Edition: ASME Section HI Class 1. 1974 w/ Summer 1974
- 7. Original Installation Code Edition: ASME Section m Class 1. 1974 w/Winter 1975
- 8. Work
Description:
Replace existing Inconel 600 thermowells with Inconel 690 thermowells. The modification includes RTDs 1JRCCTWO122HC. 1JRCATWO122HA, IJRCETW0121X, 1JRCBTWO122HB and 1JRCDTWO122HD.
Thw@ Urnrl nLvm" l*sip_*
in PR4-q T-Tnt T R
p eZ 1~f f.MW01 Q76926 anid NMfnl
-407-97 and 00398.
Report Number.
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
ASME Section MI Class 1. 1974 w/ Summer 1974
- 13. Repair/Replacement Activity Construction Code/Edition:
ASME Section mI Class 1. 1974 w/Winter 1975
- 14. ASME Section XI Code/Edition:
1992 Edition. 1992 Addenda
- 15. Preservice Inspection Required:
0YES 0 NO Initial
¶ Date If required, include a step in the W.O. to perform Preservice Inspection
- 6. ASME Section XI Pressure Test Required:
0l YES
[
NO Initial Date Initial I"
Date Initial V1 Date If required, include a step in the W.O. for ISI & ANII Inspection.
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or replacement items.
la., QVe' Kk k~,
. IIa C Item ID Part No.
-fleetN".--
MR/ROS No.
1IJRCBTWO122-B, Nozzle APN 00067199 L'2441 Ll13S'(
IJRCBTWO122HB, Thermoweli APN 00067116 1w I{
- 1-7 L6144");
Lnv) ;5 IJRCDTWO122HD, Nozzle APN 00067199 9 i (69 tA L% -1 L
i1351 IJRCDTWOI22HD, Thermowell APN 00067116 N%
C 5
6 ?SJ1 -)
C1J354 19, Planner Printed Name:
Herbert L. Green
- 20. ISI____/___/__
Printed Name:
""P "7-
Signatur J
Date' 21 A-N-_
Printed Name:
Signa*,
Date W*4ar Vff.
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner. Arizona Public Service Compaiy. et. al.
P. O. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station Date: 06114Q2002 Sheet-j of 2 Unit 1*1:
5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2455748
- 3. Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No.
NIA Expiration Date N/A
- 4. Identification of System: Reactor Coolant System line number IPRCEL063. Sn*o S001
- 5. (a) Applicable Construction Code ASME Section HI NB. Class 1 974 Edition, Summer 1974 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components I
!Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or NO)
RCS Hot Leg #2 Combustion 771-501 N/A IPRCEL063 1978 Repaired YES Engineering
- 7. Description of Work: Replace a section of existing Inconel 600 RTD nozzles with a new design Inconel 690 RTD nozzles, and replace existing Inconel 600 thermowells with Inconel 690 thermowells. The modification includes RTDs 1JRCCTW0122HC. 1JRCATWO122HA. 1JRCETWO121X. 1JRCBTWO122HB and 1JRCDTWO122HD. This work order applies to RCS Hot Leg #2. Ref. DMWO 2376926 and N001-0607-00397 and 00398.
- 8. Test Conducted:- Hydrostatic [I Other 0 Pneumatic 0 Nominal Operating Pressure 0 Pressure
-psi Exempt 0 Test Temperature OF I
NOTE: Supplemental sheets in form of lists, sketches, or* drawings may be used pmvided (1) size is 8 'A X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
I N-41&1 [0
FORM NIS-2 (Back)
(I Remark: 2.5 7
CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford, Connecticut have inspected the components described in this Owner's report during the period of _
_-,___-o_
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 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 connected with this inspection.
U=Signalur Commissions: NB 9685 "N" "I" AZ264 Nador Board. Statc, Provnc and Endcrse=mts Date:
I.
FV.LJWL Vat. 7 Bact 73DP-97Z17 Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XL Type Code Symbol Stamp Certificate of Authorization No.
N/A Expiration Date:
N/A Signed-4
- fL4 A
4 Date: Io-21---'Z2.
U Cfwne or OwesW am In NIA
- k... PV-M Ver. 7 Back t
73DP-=217
ASME SICTFON X-REPAIR/REPLACEMENT
- 1. Component ID 1JRCEPSVO200
- 2. Code Class AS.M iHL CLASS 1
- 3. Item Description PRESSURIZER SAFETY VALVE; DRESSER 317091; 2460 PSIG
- 4. N-5 Package Number 1RC03-2 5.-W -
w:o. NUnmber 2456198
- 6. Original Construction Code Edition ASUE III CLASS 1. 1974 EDITIONSMMER 1975 ADDENDA
- 7. Original Installation Code Edition -SME MI CLASS 1, 1974 EDTIONN,VWINTER 1975 ADDENDA
- 8. Work Description Replace Pressurizer saf valve with recondoWned spare.
- 10. Evaluation of the suitability of this work as p*er the requirements of AW.-4150.
No failure of ASME HI psure boundary.'Spare valve is a-likW&-Il*rkeplacement and is being replaced to support vendor testing.
- 11. Repair/Replacement Work Organizatfor" ARIZONA PUBLIC SERVICE
- 14. ASME Section Xl Code/Edition 1992 EDMONAND OI2"ADD]ENDK'"
- 15. Preservice Inspection Required.
i YE, ES(
NO DMG 06/03/02 If required, Include a step in the W.O. to perform Preservice Inspection.
In*
- 16. ASME Section XI Pressure Test Required
.-I.YES --
NO DMG 06/03/02 If required, Include a step In the W.O. for ISi & ANII Inspection.
Initial Date DMG 06/03/02
- 17. Include a step In the W.O..to.domplete.!fS-2lbohn pdor to releasing he component.
IntilDate DMG 06/03/02
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Inma Date replacement ifems.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
4a_.OS NO.
IJRCEPSVO200 N/A BY-14537 N/A
)/*e gg70 - I
.l
- .t.
- 19. Planner
-i-P',, '-Print-Name David Goodlet ttue Daft
- 20. ISi Engineer PrntName Rarnakat ndap
- 21. ANII Pdnt.lame Robert Hogstrom PV-EOs3 Var. 6 r4ur-O"St
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 2. Plant Palo Verde Nuclear Generating Station 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 Date 07/10/02 Sheet of 2
Unit 1
2456198 Address
- 3. Work Performed by PVNGS Maintenance Dept.
Name 5801 S. Wimtersburg Rd., Tonopah, Az. 85354-7529 Type Code Symbol Stamp None Authorization No.
N/A Expiration Date N/A Acdd'iss
- 4. Identification of System RC - Reactor Coolant system S. (a) Applicable Construction Code ASME ITI Class 1 1974 Edition, S75
- Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code Item Manufacturer Serial No. Board No. Identification Built oR Stamped Replacement (Yes or No)
Safety Valve Dresser BY-14537 N/A RCEPSVO200 91 Replacement Yes
- 7. Description of Work Replace pressurizer safety valve with reconditioned and tested spare.
S. Test Conducted:
Hydrostatic I*
Pneumatic Q Nominal Operating Pressure I1 Exempt J[
N-416-1 Q Other El Pressure psi Test Temp.
OF NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size Is 8 1/2 x 11 In.,
(2) Information In items 1 through 6 on this report Is included on each iheet, and (3) each sheet Is numbered and the number of sheets Is recorded at the top of this form..
PV-E0002 Vu 7 7SOP-OZZ17 PV-EOM2 Ver. 7 "7WOP-9 Z7
FORM NIS-2 (Back)
- 9. Remarks Work order;, # 2456198, for the replacement of pressude safety valve IJRCEPSVO200. This valve is replaced to support off-site testing and reconditioning.
PV-E0092 var. 7 BACK 730P4ZZ17 CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and this aeplcement conforms to the rules of the ASME Code, Section XA.
rpar or Type Code Symbol Stamp N/A Certificate of Authorization No.
N/A Expiration Date N/A Signed n E2
ý CM5%9/41V) V1~
el I~
a I
4W 9;;M M-Date 10
¶ 2.W J
Owner or Ownees Dezignee. 7111.
I
.9 CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB C17 of Hartford. Connecticut
, have inspected the components described In this Owner's Report during the period s-1-o2 to 0-29'0-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 property damage or a loss of any kind arising from or connected with this Inspection.
Commissions
,%6-.,tS
.. C Ax 24-1 National Boar, State, Provnce. and Endorsements Date ecWs SoaWre
,o-2q-oT..
PV-EO=g Vet. 7 BACK*
ASME SEC1iON XI,- REPAIR/REPLACEMENT
- 1. Component ID 1JRCEPSVO201
'2. code Casi ASME IH CLASS 1
- 3. item Description PRESSURIZER SAFETY VALVE; DRESSER 3110iN; 2460 PSIG
- 4. N-5 Package Number IRC03-2
- 5. W.O. Number. 2456199
- 6. Original Construction Code Edition ASME MICLASS 1, 1974 ED*IT4O, SUMME 1975 ADDENDA
- 7. Original Installation Code Edition ASME I CLASS 1. 1974 EDIMON,;WINTER 1975 ADDENDA
- 8. Work Description Replace Pressurizerraf valve with recohditioned pare.
Report Number.-
- 10. Evaluation of the suitability of this work as per the requirements of IAW-4150.
No ftilure of ASME rM pressure boindi. Spare Valve
- a tike-for-:iEM rWpliement and is being replaced to support vendor tsti.
- 11. Repair/Replacement Work Organization ARIZONA PUBLIC SERVIdE
- 12. Replacement Item Construction or reconciled'Code/Editionr ASMEI WCLASS 1, 1974 ED., SP75 ADD.
- 14. ASME Section XI Code/Edition 1992 EDMION AND 1992 ADDENDA
- 15. Preservice Inspection Required.
'IYES I1NO DMG 06/03/02 If required, Include a step In the W.0. to pertorn Preservice Inspection.
- 16. ASME Section Xl Pressure Tes Requiredi YES "
NO DMG 06/03/02 If required, Include a step In Jhe W.0O.or.ISI& ANII Inspection.
DMG 06/03/02
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
InMal oate DMG 06/03/02
- 18. Include a step In the W.O. to record-bedloksilr alplicable numbers for repaired or WOW Date replacement Items.
ITEMI I.D.
PART NO.
SERIAL NO......
HEAT NO.
(,M OS NO.
IJRCEPSVO201 N/A:
BQ-07679:
N/A O) i7q - I
- 19. Planner _________________htNeame David Goodlet Bmnaun Date
- 20. ISI Engineer
- .O
.L---O24-Prlht.Nide Ramakant Indap 21.. ANII lure Date Date oetHgto py.4cM9 Ver. e r"14=P~7Z
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Name 5801 S. Wintersbure Rd.. Tono ah. Arizona 85354-7529 Addess
- 3. Work Performed by PVNGS Maintenance Dept.
Name 5801 S. Wntersburg Rd., Tonopah, Az. 85354-7529 Date 07/10102 Sheet-of 2
Unit I
2456199 WV',.Tl rt.4--,lu.f
ým.,
Type Code Symbol Stamp None Authorization No.
N/A Em=lraflon Date N/A
- 4. Identification of System RC - Reactor Coolant system S. (a) Applcable Construction Code ASME M Class 1 1s74 Edition, S75
- Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code N a e f
a m o t
or Stam ped Item Manufacturer Serial No. Board No Identification Buil Replacete es or No)
Safety Valve Dresser BQ-07679 N/A RCEPSV0201 78 Replacement Yes
- 7. Description of Work Replace pressurizer safety valve with reconditioned and tested spare.
- 8. Test Conducted:
Hydrostatic IJ Pneumatic I*
Nominal Operating Pressu're Ja Exempt (3 N-416-1 C]
Other Q Pressure PSI Test Temp.
OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 x 11 in.,
(2) Information In items 1 through 6 on this report Is included on each iheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form.
IV-EiA2 Vrt. 7 73DP-ZZ17 I
A
- 1. Owner Arzona Public Service Com anv et al LI I
i I................
Name 1
1 Niam
-P.O. Box 53999, Phoenix. Arizona R022q Addresa
- 2. Plant Palo Verde Nuclear Generatinw Station
FORM NIS-2 (Back)
- 9. Remarks Work order, # 2456199, for the replacement of pressurzer safety valve 1JRCEPSV0201. This valve is replced to support off-site testing and reconditioning. This valve was constructed to ASME M11 Class 1, 1971 Edition. Winter 1972 Addendum and reconciled to the 1974., S-75 Add.
PV.E0092 var. 7 BACK 730P-GZZI7 CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and this re lacement conforms to the rules of the ASME Code, Section XA.
Type Code Symbol Stamp N/A Certificate of Authorization No.
N/A Expiraton Date N/A Signed CS
,61ý4) 1ý&" M ebpý 1~ 64& Sii~rA~ate ) 0 2-c -0 2 U~
Ownieraor Owners Designee. Meo CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford. Connecticut
, have inspected the components described in this Owner's Report during the period I-%-o2_
o t o -2,%-,am-
, 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 connected with this Inspection.
Commissions j-36,*,'S "Air_ A2 X, National Board. State. Province, and Endosements
-ý
' h438nax Sio-2,-o*.
Date PV,.-ED02 Vet. 7 BACK 73DP-02ZI7
ASME SECTION Xl-REPAIR/REPLACEMENT
- 1. Component ID 1JRCEPSVO202
- 2. Code Class. ASME III, CLASS 1
- 3. Item Description PRESSURIZER SAFE.TYVALVE; DRESSER 31709N; 2460 PSIG
- 4. N-5 Package Number IRC03-2
- 5. W.O. Number 2456200
- 6. Original Construction Code Edition ASMEMIl CLASS.I, 1974 EDItION. SUMMER 1975 ADDENDA
- 7. Original Installation Code Edition ASME i-CLASS 1. 1974 D ITIWNTER 1975 ADDENDA
- 8. Work Description Replace Pressurizer safety valve with reconditioned spare.
- 9.
ISi Flaw NDE Method of Raw Detecdton _
Report Number.....
- 10. Evaluation of the suitability of this work as per the requirements of KWi-60.
No failure of ASME III pressure* §2býuir: Spaie valve is a like-f6r-likelolacement and is being replaced to support vendor testing.
- 11. Repair/Replacement Work Organizatior ARIZONA PUBLCSR -ICE
- 12. Replacement item Construction or reconciled Code/Edition ASt]ME fI CLASS 1, 1974 ED., S'75 ADD.
- 15. Preservice Inspection Required.
Y YES "
NO DMG 06/03/02 If required, include a sep In the W.O. to perform Preservice Inspection.
- 16. ASME Section XI Pressure Test Required YES U
NO DMG 06103/02 If required, Include a step in the W.O, for ISI & ANII Inspection.
Infiai Date DMG 06/03/02 17.. Include a step In the W.O. to.corplete NIS-2 Form prior to releasing the component Irntatl Date DMG 06/03/02
- 18. Includeda step in the W.O. to record bel*w el8. applicable numbers for repaired or In"a Date replacem ent item s.
I
. I ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
(!LOS NO.
1JRCEPSVO202 N/A BQ-07678 N/A I -I 1_
Planner,___
David Goodlet
- 19. Planner___________________________
Print l4'me__D____id____oo_______
- 20. ISI Engineer
,".-02--..
PrintNamne R=amkant Indap M~rsV Date
- 21. ANtI Prini.
a-Robert Hostrom aote PV-I93 Vii 3O41 IW-e=09 Vet. I 7WJP,41M7
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Arizona Public Service Connanv et at nAme Address
- 2. Plant Palo Verde Nuclear Generatine Station Name 5801 S. Wintersburg Rd., Tonovah. Arizona 85354-7529 Address
- 3. Work Performed by PVNGS Maintenace Dept.
Nam 5801 S. Wintersburg Rd., Tonopah, Az. 85354-7529 Date 07/10/02 Sheet I
of 2
Unit 1
2456200 Work OrIer Nunmer Type Code Symbol Stamp None Authorization No.
NIA Expiration Date N/A Addness
- 4. Identification of System RC - Reactor Coolant system
- 5. (a) Applicable Construction Code ASME ITM Class 1 1s 74 Edition, S'75 Addenda.
Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASMECode t
or Stamped Item Manufacturer Serial No.
Board No. Identification Built Replacement (Yes or No)
Safety Valve Dresser BQ-07678 NIA RCEPSVO202 78 Replacement Yes
- 7. Description of Work Replace pressurizer safety valve with reconditioned and tested spare.
- 8. Test Conducted:
Hydrostatic Qj Pneumatic [
Nominal Operating Pressure [l Exempt EJ N-416-1 (]
Other El Pressure psi Test Temp.
OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 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..
PV-E0092 Vet. 7 730P4ZZ17 PV-EODM Vet. 7 73DP-OZZ17 P.0 Box 53999 Phoenix Arizona RIMMOU
FORM NIS-2 (Back)
- 9. Remarks Work order, # 2456200, for the replacement of pressuizer safety valve 1JRCEPSVO202. This valve is replaced to support off-site testing and reconditioning. This valve was constructed to ASME m Class 1, 1971 Edition, Winter 1972 Addendum and reconciled to the 1974., S75 Add.
CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford. Connecticut
, have Inspected the components described in this Owners Report during the period tV-t.e2 to
,o-zR-ot.0
, 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 connected with this Inspection.
Commissions
'.6
%%S, -AkC *
(,24k Naftonal BaK Ste.Pronce. and Endomem*nft to.Z-2q*t Date PV-E0092 Var. 7 BACK 7aDP4ZZI7 1pcoS
£ natre CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.
repairor replaement Type Code Symbol Stamp NIA Certificate of Authorization No.
N/A Expiration Date N/A Signed OweveOvatl 9 --a 7_
2 PV-EO0M Ver. 7 SAMK 7WPO..ZZ17
I ASM.E.SECTION XI - REPAIRIREP.LACEMENT
- 1. Component ID IJRCEPSVO203.
.2.
Code Class ASME MIII CLASS I
- 3. Item Description PRESSURUER SAFETY VALVE; DRESSER-31 09N;. 2460 PSIG
- 4. N-5 Package Number 1RC03-2
- 5. W.O. Number 2456201
- 6. Original Construction Code Edition AL8ME M' CLASS 1, 1974E*DIT
, SUMMER 1975 ADDENDA
- 7. Original Installation Code Edition ASME m"CLASS 1, 1974 EDITION.VWINTER 1975 ADDENDA
- 8. Work Description Replace Pressurizer safety valve with reconditioned spare.
5_
- 10. Evaluation of the suitability of this wook as per the requirements'of IAW-41 50.
No failure of ASME I Eres sab'undai-y:'S arc'Wve is a*-f~r-
,placement and is being replaced to support vendor testing.
- 11. Repair/Replacement Work Orgadlzatio XI"ZONA PUBLIC S
'k..
- 13. Repair/Replacement Activity Construcdbn6.Code/Edition h*AgI&
CLASS 1, 1974 ED.,
- .*5 ADD.
- 14. ASME Secton Xl Code/dion 1992 EDITOAND 1992 ADDENDA
- 15. Preservice Inspection Required.
Y.
0,'ES I* NO DMG 06/03/02 If required, include a step In the W.O. to perform Preservice Inspection.
-Date
- 16. ASME Section XA Pressure Test Required YES Q] NO DMG 06/03/02 If required, include a step in the W.O, for ISI &' ANII Inspection.
U" Date DMG 06/03/02
- 17. Include a step.in.the W.O..to cmnplete NIS-2 Form prior to releasing the component.
INftw Date
'DMG 06/03/02 18." lrfcluoIe a' step In the W.O. to recofd.b*ilo*;li: alplicable numbers for repaired or
- Inilt, Date
-replacement items.
IEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
OS NO.
IJRCEPSVO203 N/A BY-14538 N/A zj7p-1
.:......;-:.i.i.*
- 19. Planner "3
e)"
Print Naete'-vid Goodlet
- 20. ISI Engineer N
a.makant Indap
- 21. ANII _____
__-,_________d__
.Nam.ne 'Robert Hogstrom eDat e-
,.4W-ew.?
.'oP4z0'7 I
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section X1
- 1. Owner Arizona Public Service Comoanv. et. al.
nru Adtare io
- 2. Plant Palo Verde Nuclear Generatng Station Name 5801 S. Wintersbure Rd.. Tononah. Arizona 85354-7529 Addres
- 3. Work Performed by PVNGS Maintenance Dept.
Name 5801 S. Wintersburg Rd., Tonopah, Az. 85354-7529 Date 07/10/02 Sheet I
of 2
Unit 1
456201 Work Order Number Type Code Symbol Stamp None Authorization No.
N/A Expiration Date N/A Address
- 4. Identification of System RC - Reactor Coolant system
1974 Edition, S75
- Addenda, Code Case (b) Applicable rdft;on of Section Xl Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code Item Manufacturer Serial No-. Board No. Identification Built or Stamped IafetyemrBY-14538____
_A_ RV0_0_
9Replacement (Yes or No)
Safety Valve Dresser BY-14538 N/A RCEPSVO203 91 Replacement Yes
- 7. Description of Work Replace pressurizer safety valve with reconditioned and tested spare.
- 8. Test Conducted:
Pneumatic [a Nominal Operating Pressure El Exempt (a N-41 6-1 U Other El Pressurepsi Test Temp.
&F NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size Is 8 1/2 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..
PV.E0002 Vet. 7 73DP417
)
)
PV-EO0092 Vet. 7 73DP-WM?1 5801 S.
Vvitesu Rd T
a Ar izn 8535.........
FORM NIS-2 OWNER'S REPORT FOR As Required by the Provisions of the REPAIRS OR REPLACEMENTS ASME Code Section XI I 1 A ;~ii D121ki;~
Vvs.m r
+ 01
- 2. Plant Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Adess Palo Verde Nuclear Generating Station Name 5801 S. Wintersburg Rd.. Tonovah. Arizona 85354-7529 Address
- 3. Work Performed by Arizona Public Service 5801 S Wintersburg Rd Tonopah, AZ 85354 Date 08/06/02 Sheet 1
of 2
Unit 1
2456236 Work Order Nufmber Type Code Symbol Stamp None Authorization No.
N/A Expiration Date N/A Address
- 4. Identification of System RC, ASME Section Mfl Class 1
- 5. (a) Applicable Construction Code Section MI Class 1 19 74 Edition, W"75 Addenda, N/A Code Case (b) Applicable Edition of Section Xl Utifized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code Item Manufacturer Serial No.
Board No. Identification Built or Stamped
____-______/A____
_1985 Replacement Yes or No) 3rd Stage Retainer Sulzer 9
7 N/A
+MPZEMA 1985 Replacement Yes sw
-a' _____
- 7. Description of Work Replacement of 3rd stage seal retainer on RCP 2A
- 8. Test Conducted:
Hydrostatic Q Pneumatic Q Nominal Operating Pressure [i Exempt I]
N-416-1 I*
Other Q Pressure
-22&
psi Test Temp.
-561 OF NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size Is 8 1/2 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.
PV.E0092 Vet. 7 73DP4ZZ17 I.
VlIlll*l PV-E0092 Vet. 7 73DP-gZZ17.
FORM NIS-2 (Back)
- 9. Remarks WO# 2456236 to replace mechanical seals in RCP*4A,*EPOA as part of normal mainteance.
I er,Ps-t
= *_
730P-SZZ17 PV-E0092 Ver. 7 BACK CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and this rcplacementt conforms to the rules of the ASME Code,Section XI.
rmalrormp5acemrn Type Code Symbol Stamp N/A Certificate of Authorization No.
N/A Expiration Date N/A Signed 9B1afiGyngtft NJC4JwMLo'd f-ý 4n'1(QDate ID -2.'q-2002 Owne or OwnersO~esignee. Title CERTIFICATE OF INSERVICE 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 Arjzona and employed by HSB CT of Hartford. Connecticut
, have inspected the components described in this Owner's Report during the period
',c.,-oC.
to to-l1-oz_
, 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 XI.
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 Owners 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.
Commissions
,z Az: U4 National Board. State, Province. arto tnooranwme
\\J Inpector's Signature Date_____________
Date
,o-zzo oz.
NaftW~l S=M*, State, Pmrmvice arm thdroormren=
ASME SECTION XI - REPAIR/REPLACEMENT 1' Component ID.1 GEP= J '9
,a t
.,b
&,o*
- 2. Code Class ASME Section IIM Class 1
- 3. Item Description Reactor Coolant Pump b,&-j7
- 4. N-5 Package Number IRC02-7
- 5. W.O. Number 2456237
- 6. Original Construction Code Edition ASME Section Hl, Class 1. L974 Edition, nter-- 1975 A-iddn'a I4A 'I02/,
- 7. Original Installation Code Edition ASME Section M, Class 1. 1974 Edition, Winter 1975 Addenda
- 8. Work Description Mechanical Seal Replacement as a p;rt of normal maintenance.
- 10. Evaluation of the suitability of this work as per the requirements of IAW-4150.
No failure in the ASME pressure boundry. Mechanical seals are replaced with rebuilt units as a part of normal maintenance.
- 11. Repair/Replacement Work Organization APS
- 12. Replacement Item Construction or reconciled Code/Edition ASME Section Ell, Class 1, 1974 Ed, Wintcr 9 -q
- 13. Repair/Replacement Activity Construction Code/Edition ASME Section M, Class 1, 1974 Ed. Winter 1975 Add.
- 14. ASME Section XI Code/Edition 1992 Edition. 1992 Addenda
- 15. Preservice Inspection Required.
Ci YES I
NO BV 08/06/02 if required, include a step in the W.O. to perform Preservice Inspection.
Initial Date
- 16. ASME Section XI Pressure Test Required Ij YES Ci NO BV 08/06/02 If required, Include a step in the W.O. for ISI & ANII Inspection.
Iti Date BV 08/06/02
- 17. Include a step In the W.O. to complete NIS-2 Form prior to releasing the component.
Inital Date BV 08/06/02
- 18. Include a step In the W.O. to record below all applicable numbers for repaired or InitOl Date replacement items.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MR/ROS NO.
3rd Stage Seal Retainer 1663509
(..57' J'At1 N/A
- 19. Planne-rfej VOL--"~ii 8-1,/C-dnt Name Barbara Vidal
- 20. 1SI Engineer _'*ty/,9Z.Pdrnt Name Pi P.
N--ame
,signatujre Vte
- 21. ANII
-4z
'4-1-.
PrintName (4..
-r,,
Date Da..e PV-E0093 Vet. I 73ODP4=Z17
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Arizona Public Service Com anv. et. al.
P.O. Box 53999. Phoenix. Arizona 85072-2034 Adt S
i
- Nam, 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 Addmss
- 3. Work Performed by Arizona Public Service Name 5801 S Wintrsbur Rd Tonopah, AZ 85354 Date Sheet Unit 08/06/02 1
of 2
1 2456237 Work Order Number Type Code Symbol Stamp None Authouization No.
N/A Expiration Date N/A
- 4. Identification of System RC, ASME Section IMI Class 1
- 5. (a) A*~picabie Construction Code Section IMI Class 1 1974 Edition, W'75 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code Item Manufacturer Serial No. Board No. Identification Built or Stamped
_-'_ __/A__
__19 Replacement (Yes or No) 3rd Stage Retainer Sulzer N/A 4+i4CEPO 1985 Replacement Yes (r~li
- 7. Description of Work Replacement of 3rd stage seal retainer on RCP 2B
- 8. Test Conducted:
Pneumatic l Nominal Operating Pressure IE Exempt Q N-41s-1 Q Other fJ Pressure
.225 psi Test Temp.
-4i-OF
,p-qRB14.
NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size Is 8 1/2 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.
PV-E0092 Vet. 7 730P-9ZZ17 PV-EO092 Vet. 7 73DP-9ZZ17
FORM NIS-2 (Back)
- 9. Remarks WO#2456237 to replace mechanical seals in RCP -M 0E2B-as part of normal maintenance.
PV.E0092 Va.. 7 BACK 73OP-917 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XA.
realrorreplacement Type Code Symbol Stamp N/A Certificate of Authorization No.
N/A Expiration Date N/A Signed (9,
.5 t'O, 1
J(ýT).&.
Date I/=,---!- 2ýo2-CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford. Connecticut
, have Inspected the components described in this Owners Report during the period
,q-,-K-0..
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 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 Owners 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.
Commissions
-1& 44vs t
00-.zi" Ax z*,2 spefts Signatue Date O2-NatkmnW Board, State, Province. &Wd Enom-mwfts 73DP-OM*7 PV-E0092 Vat. 7 BACK
ASME SECTION XI REPAIR/REPLACEMENT ASM
- 1. Component ID 1JSGEPSVO555
- 2. Code Class ASME M, CLASS 2
- 3. Item Description MAIN STEAM SAFET VALVE; DRESSER 3707RA*-RT25; 1290 PSIG
- 4. N-5 Package Number ISG02-6 5.W.O: Number 2456294
- 6. Original Construction Code Edition ASME III CLASS 2, 1974 EDITIONSUMER 1975 ADDENDA
- 7. Original Installation Code EdItion" ASMEb I CLASS 2. 1974
.DITON; IR 1975 ADDENDA
- 8. Work Description REplacement of main steam safety valve, with reconditioned spare, per Engineering direction following on-line.pressure tes.ng..
- 9. U ISI Flaw tpE Method of Fpw Deteqgqir)
Report Number
- 10. Evaluation of the suitability of this work as per the requirements of IAW-4150.
No failure in the ASME MIT pressure bduxidary" Spaie vae i"ii4-f1-f0f-oike replacement and is being replaced based upon pressure testing.
~.
- 11. Repair/Replacement Work Organlzatloti :AP5 I..
- 13. Repair/Replacement Activity Constructiol Code/EdItion ASME-It &LASS2i2'1974 ED., W'75 ADD.
- 14. ASME Section XI Code/Edition 1992-EDITION AND 1992 A DDNDA'.':
- 15. Preservice Inspection Required.
"JYES I
NO DMG 06/03/02 If required, include a step in the W;O. to.perforr, Preservice Inspection.
InitiaT D
- 16. ASME Section XI Pressure Test Required YES U
NO DMG 06/03/02 If required, Include a step In the W.O. for ISI & ANII Inspection.
Initial Date DMG 06/03/02
- 17. Include a..sep Inthe W.O.. to comp*pte NIS-2 Form prior to releasing the component.
Initial Date DMG 06/03/02
- 18. Include a stdp~in the W.O. to record below all applicable numbers'for repaired or Initial Date reolacement items.
ITEM I.D.
PART NO.
1 SERIAL NO.
HEAT NO.
MR/ROS NO.
IJSGEPSVO555 NIA-RS-08622.
N/A p
Z, u
Ci*
i a4R X..
- 19. Planner Print rWnm DAVID GOODLET S~ignattas Date
- 20. ~ ~
~
~
4 IS ngnek-RPý Q>
-4 P~int Natn RAMAKANT INDAP Date
- 21. ANII O-.
Pr.qt Name ROBERT HOGSTROM Signature
.ate I
I
.t i -
7OP4Ut?7
.'.Eo,.
Ver.
S
ASME SECTION X REPAIR/REPLACEMENT 2 f
- 1. Component ID IJSGEPSVO556
-2. Code Class ASME IIM, CLASS 2
- 3. Item Description MAIN STEAM SAFETY VALVE; DRESSE*P3-70RA -RT25; 1315 PSIG
- 4. N-5 Package Number 1SG02-6'
- 5. W.O. Nu.mber. 2456294
- 6. Original Construction Code Edition ASME III CLASS 2,*1974 *fDI)M N, SUMMER 1975 ADDENDA
- 7. Original Installation Code Edition ASME 1Tl CLASS 2, 1974 EDITIONW"N R 1975 ADDENDA
- 8. Work Description Replacement of main steam safety valve,.with.ecndinionedspare, per Engineering direction following on-line pressure testing..
- 9.
ISI Flaw NDE Method of Flaw Detection Report Number.........
- 10. Evaluation of the suitability of this work as.per the requirements of IAW41 50.
No failure in the ASME MI pressuriboufidary. Spiifre'VilJeis'alike:-f6f~like replacement and is being replaced basedupon pressure testing.
- 11. Repair/Replacement Work O~raniati.in.. APS
113. Repair/Replacement Activity Construcuion Code/Edition AS1LE IICLASS'2, 1974 ED.. W'75 ADD.
- 14. ASME Section XI Code/Edition 1992 EDITON AND 1 992 ADDENDA
- 15. Preservice Inspection Required.
U YES I
NO DM0 06/03/02 If required, Include a step In the W.O,.t0 peniorm Preservice Inspection.
'Initial
-Date
- 16. ASME Section XI Pressure Test Required YES El NO DMG 06/03/02 If required, include a step In the W.O. for ISI & ANII Inspection.
Initial Data DMG 06/03/02
- 17. Include a step in the W.O. to complete.NIS-2 Form prior to releasing the component.
Initial Date a DMG 06/03/02
- 18. Include a step. in the W.O..to record -below all applicable numbers for repaired or Initial Date replacement Items.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MR/ROS NO.
IJSGEPSVO556 N/A BT-01672 N/A pJr-,J6e
- -3
- 19. Planner 6
Pdrnf Natne DAVID GOODLET
- 20. ISI Engineer
-L"
.- P.nrit Name AA INDAP
- 21. ANII Print Name ROBERT HOGSTROM
",Sgnature Date 730.P
.4 7 PVE00_93 Vet. B
ASME SECTION XI-REPAIR/REPLACEMENT 2 uf-j
- 1. Component ID 1JSGEPSVO560
- 2. Code.Clais ASME IlT. CLASS 2
- 3. Item Description MAIN STEAMSAFETY VALVE; DRESSER 3767RA-kT25; 1290 PSIG
- 4. N-5 Package Number 1SG02-6
- 5. W.O. Number 2456294
- 6. Original Construction Code Edition ASMNE MI CLASS 2, 1974 EDITIo S.IM ER 1975 ADDENDA
- 7. Original Installation Code Edition ASME III CLASS 2, 1974 EDITIrONWINTER 1975 ADDENDA
- 8. Work Description Replacement of main steam safty valve, withreconditioned spare, per Engineering direction following on-line pressure testing.
- 10. Evaluation of the suitability of this work as per the requirements of IAW-41 50.
No failure in the ASMIE IM pressufe bop&Lg. Sar-vilve is a.
.ke-for_-ike replacement and is being replaced based upon pressure testing.
.2....*
- 11. Repair/Replacement Work Organiz.tIon. -AS
- 14. ASME Section XI Code/Edition 1992 EDITION AND 1992 ADDENDA
- 15. Preservice Inspection Required.
"QYES' NO DMG 06/03/02 If required, include a step in the W.O.t0 performn Pre.service Inspection.
Iniilt a"
- 16. ASME Section XI Pressure Test Required..
..YES I
NO DMG 06/03/02 If required, Include a step in the W.0 for ISI & ANII Inspection.
Initial Date DMG 06/03/02
- 17. Include a step in the W.O..to com*!ete NIS-2 Form prior to releasing the component.
Inltal Date "DMG 06/03/02
- 18. Include a step in the W.O. to record, below all applicable numbers for repaired or Initial Date replacement items.
ITEM I.D.
PART NO.
SERIAL NO.
... HEAT NO.
MR/ROS NO.
1JSGEPSVO560 N/A BT-01670.:."
N/A P*t'6
- 4.
4 t 9
/
1 /
49
- 19. Planner p
Print Name DAVID GOO sgtureDat
- 20. ISI Engineer
- /
... "P int Name RAMAKANT DAP
- 21. ANII
-'(",,,.
.Print Name R.OBER*T HOGSTROM
- \\ sigitwo -...
.rawot
ASME SECTION XI-REPAIR/REPLACEMENT pote L
- 1. Component ID 1JSGEPSVO561
- 2. Code Class ASME M, CLASS 2
- 3. Item Description MAIN STEAM SAFETY VALVE; DRESSER 3707A-RT25; 1250 PSIG
- 4. N-5 Package Number ISG02-6
- 5. W.O. Number 2456294
- 6. Original Construction Code Edition ASME I] CLASS 2, 1974 EI5IIOcN, SUMNMR 1975 ADDENDA
- 7. Original Installation Code Edition ASME il CLASS 2, 1974 EDITION, WINTER 1975 ADDENDA
- 8. Work Description Replacement of main steam safety valve,wit recondftioned'spare, per Engeering direction following on-line pressure testing.
- 9.
IS1 Flaw
..NDE Method of Flaw Detection
- 7..
Report Number._
- 10. Evaluation of the suitability of this work as per the requirements.of IAW-4150.
No failure in the ASME 111 '*7 oun'dary. Spare valve ii'a' like' for:Fike replacement and is bein replaced based'upon pressure testing,
- 11. Repair/Replacement Work Organizationr--APS'
- 14. ASME Section XI Code/Edition 1992 EDITION AND 1992!ADDENDA
- 15. Preservice Inspection Required.
03 YES
[
NO DMG 06/03/02 If required, Include a step In the W.O: -to pertform.Preservice Inspection.
Inat Date
- 16. ASME Section XI Pressure Test Required
. YES 0
NO DMG 06/03/02 If required, Include a step.In the W.O. for ISI & ANII Inspection.
InWtOal Date DMG 06/03/02
- 17. Include a step in the W.O..to complete. NIS-2 Form prior to releasing the component.
InUla Date
- DMG 06/03/02 18.- Include a step in the W.O. to record-below all applicable numbers for repaired or Initial Date replacement items.
ITEM I.D.
PART NO.
SERIALNO.
HEAT NO.
MR/RO5 NO.
IJSGEPSVO561 N/A BS-08618 N/A J/%¶?=
- J 67A,-
- 19. Planner AL2 4J2T,-
7.--
' "Print Name DAVID GOODLET Sign m
.-O*Date
=1.
,Pnt..Name ROBERT HOGSTROM l*.. "...
.. " Date PVSD9 Vat 8 V
OP-4.=Zt
ASME SECTION XI-REPAIR/REPLACEMENT 5
- 1. Component ID 1JSGEPSVO576
- 2. Code Class ASME III. CLASS 2
- 3. Rem Description MAIN STEAM SAFETY VALVE; DRESSER 3707RA-RT25; 1315 PSIG
- 4. N-5 Package Number 1SGOI-6
- 5. W.O. Numbýt 2456294
- 6. Original Construction Code Edition ASMEM]I CLASS 2, 1974.F5ITION, SU.NMR 1975 ADDENDA
- 7. Original Installation Code Edition ASME mI CLASS 2, 1974 EDITION, WINTER 1975 ADDENDA
- 8. Work Description Replacement of main steam'safety valve, with reconditioned spare, per Engineering direction following on-line pressure testing.
- 10. Evaluation of the suitability of this work as per the requirements of IAW-4i50; No failure in the ASME M pressure Voun*iary. 'Spare avgVe is a like:bor:lketiplacement and is being replaced based'upon pressure testing.
- 11. Repalr/Replacement Work Organlzatlon' APS
- 12. Replacement Item Construction or reconciled Code/Edition
-ASýM'iI CLASS 2, 1974 ED., S75 ADD.
- 13. Repair/Replacement Activity Construction Code/Edition ASMWE-I CLASS 2, 1974 ED., W'75 ADD.
- 14. ASME Section XI Code/Edition 1992 EDTON AND 1992 ADDEI4DA
- 15. Preservice Inspection Required.
YES.
[
NO DMG 06/03/02 if required, Include a step in the W.O. to perform Preservice Inspection.
Initial Date
- 16. ASME Section Xl Pressure Test Required YES NO DMG 06/03/02 If required, include a step In the W.Q,.or ISI.& ANII Inspection.
Initial Date DMG 06/03/02 17i include a step In the W.O. to completekNIS-2 Form prior to releasing the component.
bnita Date DMG 06/03/02
- 18. Includd Astep in the W.O. to record belowa'!
aapplicable numbers for repaired or inf Date replacement Items.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MRIROS NO.
1JSGEPSVO576 N/A BS-08634 N/A A?,% G&
1 51
- 19. Planner
/,4 Print Ntriie DAVID GOODLET Signature
.D te.
- 20. ISI Engineer PrintName RAMAKANT IDAP DI I
.,",-7
/
- 21. ANII I, 4?*O".
Prnt NAme.'ROBERTHOGSTROM
- I]natum-.7- -
Date PV.OC_
___f....
7..
73
_0=7 PV-IE0, Ver.
ASME SECTION XI REPAIRIREPLACEMENT fje-6 of-7
- 1. Component ID 1JSGEPSVO577
- 2. code Class "ASME I, CLASS 2
- 3. Item Description MAIN STEAM SAnETY VALVE; DRESSER 3707RA-RT25; 1315 PSIG
- 4. N-5 Package Number 1SGO1-6
- 5. W...Number 2456294
- 6. Original Construction Code Edition ASME mCLASS 2, 1974 BJITDON, SUMMER 1975 ADDENDA
- 7. Original Installation Code Edition ASME III CLASS 2, 1974 EDITION, WINTER 1975 ADDENDA
- 8. Work Description Replacement of main steam safet' valve,'with reconditioned spare, per Engineering direction following on-line pressure testing.
- 9. CISI Flaw NDE Method of Flaw Detection "
"Report Nuniber-
- 10. Evaluation of the suitability of this work as per the requirements of IAW-41 50.
No failure in the ASMIE MT pressure b6undary. Spare valve is 'likEe-'F-Uile replacement and is being replaced based'upon pressure testing.
- 11. Repair/Replacement Work Organization APS
- 13. Repair/Replacement Activity Construction Code/Edition ASME"*T I
LASS 2, 1974 ED., W'75 ADD.
- 14. ASME Section XI Code/Edition 1992 EDITION AND 1992 ADDENDA,'
- 15. Preservice Inspection Required.
YES.
i* NO DMG 06/03/02 If required, include a step In the W.O, to. perform Preservice Inspection.
Inft!W oDe
- 16. ASME Section XI Pressure Test Required.,o YES 0
NO DMG 06/03/02 If required. Include a step In the.W.O. forJSI &.ANIM. Inspection.
InitWa Date DMG 06/03/02
- 17. Include e step in the W.O. to complete NIS-2 Form prior to releasing the component.
lnltaJ Date DMG 06/03/02
- 18. Include a step in the W.O. to record below all Applicable numbers for repaired or Inirl Date replacement Items. -
7 ITEM ID.
PART NO.
SERIAL NO..
HEAT NO.
MR/ROS NO.
IJSGEPSVO577 N/A BS-08608 N/A PiY' 6 5
i:.
- 19. Planner
.PrntýNi*
DAVID GOODLET Signature Date 20.1S[ Engineer 6-La j._m RAMAKANTINDAP
~~~~~~
-U
-0t~u P-ri* nt=. N"
. ",:m Pint apiRBERT HOGSTROM
- 21. ANII
,,"Qr
-,nto_
R, siature Date PV-ED023 Vr.6
ASME SECTION XI - REPAIR/REPLACEMENT
-fae7
- 1. Component ID 1JSGEPSVO578
- 2. Code Class ASME MI[, CLASS 2
- 3. Item Description MAIN STEAM SAFETY VALVE; DRESSER 3707RA-RT25; 1290 PSIG
- 4. N-5 Package Number ISG01-6
- 5. W.O. Number 2456294
- 6. Original Construction Code Edition ASME MI CLASS 2, 1974 EEDbION, SUMMER 1975 ADDENDA
- 7. Original Installation Code Edition ASME MI[ CLASS 2, 1974 EDrIION, WINTER 1975 ADDENDA
- 8. Work Description Replacement of main steam safety valve, with reconditioned spare, per Engineering direction following on-line pressure testing.
- 10. Evaluation of the suitability of this work as.per the requirements of IAW-4150.
No failure in the ASME IM pressure boundary. Spare valve iii liIke-foi-rike replacement and is being replaced based upon pressure testing.
- 11. Repair/Replacement Work Organization' APS
- 14. ASME Section XI Code/Edition 1992 EDMTfON AND 1992 ADDENDA
- 15. Preservice Inspection Required.
0 YES 1NO DMG 06/03/02 if required, include a Step In the W.O. to perform Preservice Inspection.
Initial Date
- 16. ASME Section XI Pressure Test Required
.j YES 0
NO DMG 06/03/02 If required, Include a step in the W.O. for ISI & ANII Inspection.
Initial Date DMG 06/03/02
- 17. Include a step in the W.O. to compl.ete NIS-2.Form prior to releasing the component Initial Date
- DMG 06/03/02
- 18. Includea step In the W.O. to record.below alI.applicable numbers for repaired or Initial Date replacemernt Items.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MR/ROS NO.
1JSGEPSV0578 N/A BS-08573 N/A APK 6
- - ~. ;
- 19. Planner
'1,*
Pdnt 1iaine DAVID GOODLET Signature Date
- 20. ISI Engineer
-4_
--o 7--. PrintNameRA KANT INDAP gnaturaJ.
Date
- 21. ANII
,-- -o Print Name ROBERT HOGSTROM fgnature Date PV-IO93 Ver. 6 1
ASME SECTION XI - REPAIR/EPLACEMENT
- 1. Component ID IJSGEPSVO691
- 2. Code Class ASM* MI, CLASS 2
- 3. Item Description MAIN STEAM SAFETY VALVE; DRESSER 3707RA-RT25; 1315 PSIG
- 4. N-5 Package Number ISG01-6
- 5. W.O. Number 2456294
- 6. Original Construction Code Edition ASvM I11 CLASS 2, 1974.EbITION, SUMMER. 1975 ADDENDA
- 7. Original Installation Code Edition ASME 11 CLASS 2, 1974 EDITION. WINTER 1975 ADDENDA
- 8. Work Description Replacement of main steam sfety valve, with reconditioned spare, per Engineering direction following on-line pressure testing.
Report Number..
- 10. Evaluation of the suitability of this work as per the requirements of IAW-41 50.
No failure in the ASME iMi pressure boiLndary. Spare ialve is i liki-foi-ke replacement and is being replaced based upon pressure testing.
- 11. Repair/Replacement Work Organization APS
- 12. Replacement Item Construction or reconciled Code/Edition ASME1 Il CLASS 2, 1974 ED., S'75 ADD.
- 14. ASME Section XI Code/EdIltion 1992 EDITION AND 1992"ADDENDA 15.. Preservice Inspection Required.
YES
[D NO DMG 06/03/02 If required, Include a step In the W.O. to perform Preservice Inspection.
Initial Date
- 16. ASME Section XI Pressure Test Required
.E) YES
]
NO DMG 06/03/02 If required, Include a step In the W.O. for ISI & ANII Inspection.
IFn"al Date DMG 06/03/02
- 17. Include a step. in the W.O. to complete NIS-2 Form prior to releasing the component.
Initial Date
.DMG 06/03/02
- 18. Include a step in the, W.O. to record below all applicable numbers for repaired or Initial Date replacement Items.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MR/ROS NO.
IJSGEPSVO691 N/A BS-08587 N/A jjj j=.
- j*
j
- 19. Planner 6-V-"OL* Print N'rn9' DAVID GOODLET Signature Date
- 20. ISI Engineer
- y 1"
-LL-.-L-Prdnt Name RAMAKANT MIDAP IS -tu Date
- 21. ANII
",_-___--_. ________pint NameROBERT HOGSTROM nature
.te P,/EDM Ver. S 7"3OP4=17
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of.the ASME Code Section XI
- 1. Owner Arizona Public Service Company, et.
Date 07/10/02 Name P.O. Box 53999. Phoenix, Arizona 85072,2034 Sheet I
of 3
Address
- 2. Plant Palo Verde Nuclear Generating Station Unit 1
Name 5801 S. W'mtersbura Rd., Tonopah. Arizona 85354-7529 WO# 2456294 Address Work Order Number
- 3. Work Performed by PVNGS Maintenance Dept:
Type Code Symbol Stamp None Name Authorization No.
N/A 5801 S. Wintersburg Rd., Tonopah, Az. 85354-7529 Expiration Date N/A Address
- 4. Identification of System SG - Main Steam
- 5. (a) Applicable Construction Code AS.ME II Class 2 19 74 Edition, S*75 Addenda, 1711 Code Case (b) Applicable Edition of Section X1 Utilized for Repairs dr Replacements 19 92"Edition, 1992 Addenda
- 6. Identification of Components Repaired or Rep.laced
.ad.pe pa emqnt Components Name of Name of Manufacturer National Other.. Year oepared ASME7Code
.or Stamped Item Manufacturer Serial No.
Boa.Jrd No. Identification Built Replacement (Yes or No)
Safety Valve Dresser BS-08622 N/A SGEPSV-555-1981 Replacement Yes Safety Valve Dresser
- BT-0"1672 N/A.
SGEPSVO556 1979 Replacement Yes Safety Valve Dresser BT-01670 N/A SGEPSV0560 "1979 Replacement Yes Safety Valve Dresser BS-08618 N/A SGEPSV056l 1981 Replacement Yes Safety Valve Dresser BS-08634 N/A SGEPSV0576 1981 Replacement Yes Safety Valve Dresser BS-08608 N/A SGEPSVO577 1980 Replacement Yes Safety Valve Dresser BS-08573...
N/A SGEPSV 0578 1 1978 Replacement Yes
- 7. Description of Work Replace main steam safety. vilve...th reco ditioned and tested spares.
- 8. Test Conducted:
Hydrostatic [j Pneurmn-tLc.Q Nq°r8l Operating Pressure' [
Exempt
]
N-41 6-i Q Other [Q Pressure psi Test Temp.
OF NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size Is 8 1/2 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.
73DP-gZZ17 PV-Eo=2 Ver. 7
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of-the ASME Code Section XI iiil~lm i
II I
- 1. Owner Arizona Public Service Company. et. al.
.2
.1 5R801 S Wintersburg Rd.. Tonovah. Arizona 85354-7529 Addross
- 3. Work Performed by PVNGS Maintenance Dept.
Name 5801 S. Wintersburg Rd., Tonopah, Az. 85354-7529 Date 07/10/02 Sheet 2
of 3
Unit 1
WO# 2456294 WoNt Order Number Type Code Symbol Stamp None Authorization No.
N/A Expiration Date NIA Address
- 4. Identification of System SG - Main Steam-
- t. ;,
- 5. (a) Applicable Construction Code ASMEII.i Clas 2
.1.94 Edition, S'75 Addenda, 1711 Code Case (b) Applicable Edition of Section XA Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code Item Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No)
Safety Valve Dresser BS-08587 N/A SGEPSVO691 1978 Replacement Yes
- 7. Description of Work Replace main
- 8. Test Conducted:
Hydrostatic Q Other Q steam safety valves with reconditioned and tested spares.
Pneumatic Q Pressure Nominal Qperating Pressure, [I Exempt E psi Test Temp.
NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size Is 8 1/2 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.
PV-E0092 Ver. 7
- 2. Plant Name P.O. Box 53999. Phoenix, Arizona 85072-2034 Address Palo Verde Nuclear Generating Station
/
N-416-1 [
OF 73DP~l-w,&
I I
FORM NIS-2 (Back)
- 9. Remarks Work order # 2456294 for the replacement of man steam safety valves 1JSGEPSVO555, 556, 560, 561, 576, 577, 578 & 691. These 8 valves were selected.by maintenance engineering.
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid corpmission Issued.by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arizoiinand emiployed by*
HSB CT of Hartford. Connecticut
.. have inspected the components described in this Owner's Report during the period cy-to so -,,-oa
, 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 makesany warranty, expressed or Implied, concerning the examinations and corrective measVres described In this Omiprps 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 connectedwith this Inspection.
Commissions f4.4 A
,S "A&tc.
AL..24*'(
aoa.TBoea t
St Province, and Endorsements
,o0
-q-o2.
Date Pv.E0082 Var. 7 BACK 730P-SZZI7 POCW sSigipwtre CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and.this repkcement conforms to the rules of the ASME Code,Section XI.
r.epar or,*e*asmen Type Code Symbol Stamp N/A Certificate of Authorization No.
N/A
. Expiration Date N/A Signed owner C>,
Owner's Deine mT
,AA"*-e.&Date JO-2 R'-2602 l"
Owner or Ownsers Designpe, TId a*-t 2
,:ýX, 6.4ý 73OP-OZZ17 PV-E0982 Ver. 7 BACK
ASME SECTION XI-REPAIR/REPLACEMENT
- 1. Component ID IMRCEE0IA
- 2. Code Class ASME SECTION III 1
- 3. Item Description STEAM GENERATOR #1
- 4. N-5 Package Number IRCO1-4
- 5. W.O. Number 2458019
- 6. Original Construction Code Edition 197i EDITON & 1973 WINTER ADDENDA
- 7. Original Installation Code Edition 1974 EDITION & 1975 WINTER ADDENDA
- 8. Work Description INSTALL WESTINGHOUSE ROLL PLUGS IN IMRCEEO1A HOT LEG TUBES ENG-DFWO 2457999 EVALUATION AND DISPOSITION.
- 9. 8j ISI Flaw NDE Method of Flaw Detection EDDY CURRENT Report Number IRlO EDDY CURRENT EXAM REPORT
- 10. Evaluation of the suitability of this work as per the requirements of IAW-4150.
EVALUATION PER ENG-DFWO 2457999.
- 11. Repair/Replacement Work Organization WESTINGHOUSE
- 12. Replacement Item Construction or reconciled Code/Edition 1971 EDITION & 1973 WINTER ADDENDA
- 13. Repair/Replacement Activity Construction Code/Edition 1974 EDITION & 1975 VINTER ADDENDA
- 14. ASME Section XI Code/Edition 1992 EDITION & 1992 ADDENDA
- 15. Preservice Inspection Required.
C) YES
[2 NO 06/24/02 If required, Include a step In the W.O. to perform Preservice Inspection.
initial
-ote
- 16. ASME Section XI Pressure Test Required C3 YES 8
NO
.06/24/02 If required, Include a step In the W.O. for ISI & ANII Inspection.
Initlat Date S.
06/24/02
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
Initial Data
%¶,.
06/24/02
- 18. Include a step In the W.O. to record below all applicable numbers for repaired or Initial Date
- replacement items.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MRIROS NO.
TUBE PLUGS SEE ATTACHBED LIST SEE ATTACHED LIST SEE ATTACHED LIST SEE ATTACHED LIST
- 19. Planner.ý
ý-s S&
06/24/02 Print Name MICHAEL B. NE.WELL
- 20. IS! Engineer T
4 4
'1--
1t'/oZ Print Name A, I& &&
Pk Date
- 21. ANI-I-a3,ot Print Name ROBERT HOGSTROM S
lure Data PV-EM003 VeK. 6
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Arizona Public Service Company. et. al.
Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Addrest
- 2. Plant Palo Verde Nuclear Generating Station Name 5801 S. Wintersbura Rd.. Tonopah, Arizona 85354-7529 Addres
- 3. Work Performed by WESTINGHOUSE Name 911 W MAIN ST CHATTANOOGA TN 37402 Date Sheet Unit 08/20/22 1
of 2
I W.O.2458019 Wotk Oder Number Type Code Symbol Stamp None Authorization No.
N/A Expiration Date N/A ddroess
- 4. Identification of System REACTOR COOLANT
- 5. (a) Applicable Construction Code ASME SEC ]
CL.1 1971 Edition, W;73 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASMECode Item Manufacturer Serial No. Board No. Identification Built or Stamped Manufacturer4 Replacement (Yes or No)
S/G CE 78273-1 22499 1MRCEEO1A 1978 Replacement Yes
- 7. Description of Work PLUG STEAM GENERATOR 11 HOT LEG TUBES PER DFWO 2457999
- 8. Test Conducted:
- Pneumatic [J Nominal Operating Pressure Q Exempt i N-416-1 Q Other [
Pressure psi Test Temp.
OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 12 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.
73LP-OZZ1l7 PVoEO092 Ver. 7
FORM NIS-2 (Back)
- 9. Remarks SEE DFWO 2457999 FOR TUBES PLUGGED (PLUGGING UIST ATrACBED).
CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and this rplacement conforms to the rules of the ASME Code, Section XA.
repairor repement Type.Code Symbol Stamp N/A Certificate of Authorization No.
Signed -
_2 a N/A Expiration Date N/A Date
,,-.2--."L Ownir or Owner's Designee, TMte I
CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford. Connecticut
, have inspected the components described in this Owners Report during the period 2-2o-oC to to-_2_-O_._
, 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 property damage or a loss.of any kind arising from or connected with this inspection.
4cto~asignaturs Commissions S6 AA'c-A 2z.
.44 Nad"oWd Board. Swate, Provinc., and Endorsements 730P-OZZI.7 PV-EO092 Vat. 7 BACK Date
. 1-2c-O3 N/A i1-0NJ0e-r71'f E;Ltk U
DFWO 2457999 STEAM GENERATOR 1MRCEE01A "HOT LEG" DIWO 2458019 ASME SECTION XI-REPAIR/REPLACEMENT COMP. ID ROW COLUMN PART NO.
SERIAL NO.
HEAT NO.
MR NO.
1MRCEEOIA 8
1 0307-1601 40010925-2 JG92 691280 IMRCEEOIA 6
9 0307-1601 40010925-18 JG92 691280 1MRCEEOIA 65 12 0307-1601 40010925-25 JG92 691280 IMRCEEOIA 67 12 0307-1601 40010925-29 JG92 691280 IMRCEEOIA 28 13 0307-1601 40010925-13 JG92 691280 IMRCEE0IA 64 13 0307-1601 40010925-33 JG92 691280 IMRCEEOIA 66 13 0307-1601 40010925-24 JG92 691280 IMRCEE01A 65 14 0307-1601 40010925-37 JG92 691280 IMRCEE01A 82 15 0307-1601 40010925-47 JG92 691280 1MRCEE01A 81 16 0307-1601 40010925-45 JG92 691280 IMRCEEOIA 83 16 0307-1601 40010925-42 JG92 691280 IMRCEEOIA 80 17 0307-1601 40010925-40 JG92 691280 IMRCEEOIA 82 17 0307-1601 40010925-43 JG92 691280 1MRCEE01A 84 17 0307-1601 40010925-46 JG92 691280 1MRCEEOIA 79 18 0307-1601 40010925-48 JG92 691280 IMRCEEOIA 81 18 0307-1601 40010925-32 JG92 691280 IMRCEEOIA 83 18 0307-1601 40010925-27 JG92 691280 1MRCEEOIA 80 19 0307-1601 40010925-38 JG92 691280 1MRCEEOIA 75 20 0307-1601 40010925-14 JG92 691280 IMRCEEOIA 66 23 0307-1601 40010925-23 JG92 691280 1MRCEEOIA 90 23 0307-1601 40010925-28 JG92 691280 1MRCEEOIA 53 24 0307-1601 40010925-6 JG92 691280 IMRCEEO1A 82 25 0307-1601 40010925-49 JG92 691280 1MRCEEOIA 59 26 0307-1601 40010925-8 JG92 691280 iMRCEEOIA 69 26 0307-1601 40010925-17 JG92 691280 1MRCEEOIA 81 26 0307-1601 40010925-44 JG92 691280 1MRCEEOIA
- 72 27 0307-1601 40010925-19 JG92 691280 1MRCEEOIA 37 28 0307-1601 40010925-39 JG92 691280 IMRCEEOIA 65 28 0307-1601 40010925-1 JG92 691280 IMRCEEOIA 93 28 0307-1601 40010925-54 JG92 691280 1MRCEEOIA 90 29 0307-1601 40010925-26 JG92 691280 1MRCEE01A 58 31 0307-1601 40010925-16 JG92 691280 1MRCEE0IA 62 31 0307-1601 40010925-12 JG92 691280 IMRCEEOIA 59 32 0307-1601 40010925-3 JG92 691280 IMRCEEOIA 76 33 0307-1601 40010925-20 JG92 691280 IMRCEE01A 67 34 0307-1601 40010925-5 JG92 691280 1MRCEEO1A 60 37 0307-1601 40010925-11 JG92 691280 IMRCEEOIA 67 38 0307-1601 40010925-36 JG92 691280 IMRCEEOIA 63 42 0307-1601 40010925-34 JG92 691280 IMRCEEOIA 91 42 0307-1601 40010925-56 JG92 691280 IMRCEEOIA 66 43 0307-1601 40010925-22 JG92 691280 1MRCEEOIA 67 44 0307-1601 40010925-35 JG92 691280 1MRCEEOIA 71 44 0307-1601 40010925-31 JG92 691280 1MRCEE01A 129 44 0307-1601 40010925-55 JG92 691280 1MRCEEOIA 55 46 0307-1601 40010925-41 JG92 691280 IMRCEEOIA 37 48 0307-1601 40011047-107 NX2227HK 691280 1MRCEE01A 83 48 0307-1601 40010925-57 JG92 691280 il MRCEEOIA 119 48 0307-1601 40010925-64 JG92 691280 1MRCEE01A 17 50 0307-1601 40011047-100 NX2227HK 691280 Page I of 5
DFWO 2457999 STEAM GENERATOR IMRCEE01A "HOT LEG" DIWO 2458019 IMRCEEOIA 109 50 0307-1601 40010925-62 JG92 691280 IMRCEEOIA 40 53 0307-1601 40011047-102 NX2227HK 691280 IMRCEEO1A 54 53 0307-1601 40011047-101 NX2227HK 691280 IMRCEE01A 84 53 0307-1601 40010925-30 JG92 691280 IMRCEEOIA 88 53 0307-1601 40010925-59 JG92 691280 1 MRCEE01A 90 53 0307-1601 40010925-60 JG92 691280 1MRCEE01A 58 55 0307-1601 40011047-104 NX2227HK 691280 IMRCEEOIA 82 55 0307-1601 40010925-58 JG92 691280 1MRCEE01A 90 55 0307-1601 40010925-52 JG92 691280 1MRCEEO1A 119 56 0307-1601 40010925-51 JG92 691280 1MRCEEOIA 118 57 0307-1601 40010925-169 JG92 691280 IMRCEEOIA 111 58 0307-1601 40010925-178 JG92 691280 IMRCEE01A 10 59 0307-1601 40010925-10 JG92 691280 1MRCEE01A 42 59 0307-1601 40011047-144 NX2227HK 691280 1MRCEE01A 67 60 0307-1601 40011047-91 NX2227HK 691280 1MRCEEO1A 24 61 0307-1601 40011047-97 NX2227HK 691280 IMRCEE01A 40 61 0307-1601 40011047-200 NX2227HK 691280 IMRCEEOIA 35 62 0307-1601 40011047-197 NX2227HK 691280 1MRCEEOIA 39 62 0307-1601 40011047-106 NX2227HK 691280 1MRCEE01A 103 62 0307-1601 40010925-66 JG92 691280 IMRCEE01A 111 62 0307-1601 40010925-67 JG92 691280 IMRCEE01A 125 62 0307-1601 40010925-186 JG92 691280 1MRCEEO1A 4
63 0307-1601 40010925-7 JG92 691280 1MRCEEOIA 98 63 0307-1601 40010925-61 JG92 691280 IMRCEEO1A 35 64 0307-1601 40011047-95 NX2227HK 691280 IMRCEE01A 89 64 0307-1601 40010925-72 JG92 691280 1MRCEE01A 40 65 0307-1601 40011047-98 NX2227HK 691280 IMRCEEOIA 48 65 0307-1601 40011047-93 NX2227HK 691280 1MRCEE01A 140 65 0307-1601 40010925-177 JG92 691280 1MRCEEOIA 37 66 0307-1601 40011047-198 NX2227HK 691280 1MRCEE01A 49 66 0307-1601 40011047-92 NX2227HK 691280 1MRCEEOIA 65 66 0307-1601 40011047-105 NX2227HK 691280 1MRCEE01A 68 67 0307-1601 40010925-184 JG92 691280 1MRCEEO1A 118 67 0307-1601 40010925-179 JG92 691280 IMRCEEOIA 128 67 0307-1601 40010925-69 JG92 691280 IMRCEE01A 35 68 0307-1601 40011047-94 NX2227HK 691280 1MRCEE01A 41 68 0307-1601 40011047-89 NX2227HK 691280 IMRCEEOIA 135 68 0307-1601 40010925-63 JG92 691280 1MRCEEO1A 137 68 0307-1601 40010925-176 JG92 691280 1MRCEEO1A 56 69 0307-1601 40010925-182 JG92 691280 1MRCEEO0A 108 69 0307-1601 40010925-68 JG92 691280 1MRCEEO1A 49 70 0307-1601 40010925-192 JG92 691280 1MRCEEOIA 63 70 0307-1601 40010925-170 JG92 691280 IMRCEEOIA 113 70 0307-1601 40010925-65 JG92 691280 IMRCEE01A 82 71 0307-1601 40010925-71 JG92 691280 IMRCEEOIA 35 72 0307-1601 40011047-103 NX2227HK 691280 IMRCEE01A 51 72 0307-1601 40011047-96 NX2227HK 691280 1MRCEEOIA 81 72 0307-1601 40010925-70 JG92 691280 IMRCEEOIA 52 73 0307-1601 40011047-199 NX2227HK 691280 1MRCEEOIA 128 73 0307-1601 40010925-189 JG92 691280 1MRCEEO1A 105 74 0307-1601 40010925-50 JG92 691280 Page 2 of 5
DFWO 2457999 STEAM GENERATOR 1MRCEE01A DIWO 2458019 IMRCEE01A 125 74 0307-1601 40010925-172 JG92 691280 IMRCEEOIA 153 74 0307-1601 40010925-197 JG92 691280 IMRCEE0IA 46 75 0307-1601 40011047-90 NX2227HK 691280 IMRCEEOIA 52 75 0307-1601 40011047-196 NX2227HK 691280 IMRCEEOIA 74 75 0307-1601 40011047-109 NX2227HK 691280 IMRCEE01A 96 75 0307-1601 40010925-53 JG92 691280 1MRCEEOIA 146 75 0307-1601 40010925-175 JG92 691280 1MRCEEOIA 51 76 0307-1601 40010925-82 JG92 691280 IMRCEE01A 59 76 0307-1601 40010925-93 JG92 691280 1MRCEEOIA 61 76 0307-1601 40010925-79 JG92 691280 IMRCEEOIA 38 77 0307-1601 40010925-86 JG92 691280 IMRCEEOIA 58 77 0307-1601 40010925-90 JG92 691210 IMRCEEOIA 68 77 0307-1601 40010925-89 JG92 691280 IMRCEE01A 132 77 0307-1601 40011047-145 NX2227HK 691280 IMRCEEOIA 39 78 0307-1601 40010925-81 JG92 691280 1MRCEE01A 61 78 0307-1601 40010925-80 JG92 691280 1MRCEEO0A 63 78 0307-1601 40010925-94 JG92 691280 IMRCEE01A 117 78 0307-1601 40010925-173 JG92 691280 IMRCEEOIA 36 79 0307-1601 40010925-15 JG92 691280 IMRCEEOIA 78 79 0307-1601 40010925-74 JG92 691280 IMRCEEOIA 130 79 0307-1601 40010925-188 JG92 691280 1MRCEE01A 39 80 0307-1601 40010925-9 JG92 691280 1MRCEE01A 65 80 0307-1601 40010925-95 JG92 691280 IMRCEEOIA 117 80 0307-1601 40010925-171 JG92 691280 1MRCEEOIA 133 80 0307-1601 40010925-185 JG92 691280 1MRCEE01A 56 81 0307-1601 40010925-91 JG92 691280 IMRCEE01A 62 81 0307-1601 40010925-96 JG92 691280 1MRCEE01A 122 81 0307-1601 40010925-174 JG92 691280 IMRCEEO0A 154 81 0307-1601 40010925-200 JG92 691280 IMRCEEOIA 59 82 0307-1601 40010925-121 JG92 691280 IMRCEE01A 63 82 0307-1601 40010925-122 JG92 691280 1MRCEE01A 40 83 0307-1601 40010925-4 JG92 691280 IMRCEE01A 60 83 0307-1601 40010925-123 JG92 691280 1MRCEEOIA 112 83 0307-1601 40010925-181 JG92 691280 IMRCEEOIA 128 83 0307-1601 40010925-168 JG92 691280 IMRCEEOIA 136 83 0307-1601 40010925-187 JG92 691280 1MRCEEO1A 150 83 0307-1601 40010925-194 JG92 691280 IMRCEE01A 63 84 0307-1601 40010925-124 JG92 691280 IMRCEEO1A 67 84 0307-1601 40010925-125 JG92 691280 1MRCEEOIA 97 84 0307-1601 40010925-144 JG92 691280 1MRCEE0IA 135 84 0307-1601 40010925-190 JG92 691280 IMRCEE01A 34 85 0307-1601 40010925-191 JG92 691280 1MRCEEOIA 36 85 0307-1601 40010925-77 JG92 691280 IMRCEEOIA 62 85 0307-1601 40010925-126 JG92 691280 IMRCEE01A 68 85 0307-1601 40010925-84 JG92 691280 IMRCEEOIA 118 85 0307-1601 40011056-58 NX2227HK 691280 IMRCEEOIA 140 85 0307-1601 40011056-59 NX2227HK 691280 IMRCEE01A 148 85 0307-1601 40010925-195 JG92 691280 IMRCEEOIA 35 86 0307-1601 40010925-180 JG92 691280 1MRCEE01A 37 86 0307-1601 40010925-87 JG92 691280 IMRCEEOIA 47 86 0307-1601 40010925-75 JG92 691280.
Page 3 of 5
DFWO 2457999 STEAM GENERATOR IMRCEE01A "HOT LEG" DIWO 2458019 IMRCEE01A 59 86 0307-1601 40010925-127 JG92 691280 1MRCEEOIA 61 86 0307-1601 40010925-128 JG92 691280 1MRCEEO1A 65 86 0307-1601 40010925-129 JG92 691280 1MRCEE01A 107 86 0307-1601 40010925-145 JG92 691280 IMRCEE01A 139 86 0307-1601 40010925-157 JG92 691280 IMRCEE01A 44 87 0307-1601 40010925-92 JG92 691280 IMRCEEOIA 62 87 0307-1601 40010925-130 JG92 691280 1MRCEE01A 64 87 0307-1601 40010925-131 JG92 691280 IMRCEEOIA 150 87 0307-1601 40010925-198 JG92 691280 IMRCEEOIA 44 89 0307-1601 40010925-73 JG92 691280 IMRCEE01A 56 89 0307-1601 40010925-132 JG92 691280 1MRCEEOIA 118 89 0307-1601 40010925-156 JG92 691280 IMRCEE01A 142 89 0307-1601 40010925-167 JG92 691280 IMRCEEO1A 43 90 0307-1601 40010925-78 JG92 691280 1MRCEE01A 54 91 0307-1601 40010925-83 JG92 691280 1MRCEEOIA 56 91 0307-1601 40010925-133 JG92 691280 1MRCEEO1A 53 92 0307-1601 40010925-21 JG92 691280 IMRCEEOIA 59 92 0307-1601 40010925-134 JG92 691280 1MRCEEO1A 133 92 0307-1601 40010925-155 JG92 691280 1MRCEEOIA 141 92 0307-1601 40010925-166 JG92 691280 1MRCEE01A 104 93 0307-1601 40010925-147 JG92 691280 IMRCEEOIA 59 94 0307-1601 40010925-135 JG92 691280 IMRCEEOIA 52 95 0307-1601 40010925-88 JG92 691280 IMRCEE01A 66 97 0307-1601 40011047-147 NX2227HK 691280 IMRCEEO1A 68 97 0307-1601 40010925-137 JG92 691280 IMRCEE01A 125 98 0307-1601 40010925-154 JG92 691280 IMRCEEOIA 145 98 0307-1601 40010925-153 JG92 691260 1MRCEEOIA 91 100 0307-1601 40010925-146 JG92 691280 1 MRCEEOIA 66 101 0307-1601 40010925-138 JG92 691280 IMRCEE01A 65 102 0307-1601 40010925-139 JG92 691280 1MRCEE01A 137 102 0307-1601 40010925-152 JG92 691280 1MRCEE0IA 144 103 0307-1601 40010925-165 JG92 691280 1MRCEE01A 67 104 0307-1601 40010925-140 JG92 691280 1MRCEEO1A 119 104 0307-1601 40010925-164 JG92 691280 IMRCEEOIA 124 105 0307-1601 40010925-163 JG92 691280 1MRCEE01A 63 106 0307-1601 40010925-141 JG92 691280 1MRCEE01A 137 106 0307-1601 40010925-162 JG92 691280 1MRCEEOIA 112 107 0307-1601 40010925-151 JG92 691280 IMRCEEOIA 132 107 0307-1601 40010925-150 JG92 691280 1MRCEE01A 41 108 0307-1601 40010925-76 JG92 691280 IMRCEE01A 49 108 0307-1601 40010925-85 JG92 691280 IMRCEE01A 121 108 0307-1601 40010925-161 JG92 691280 1MRCEE01A 129 108 0307-1601 40010925-160 JG92 691280 1MRCEEOIA 149 108 0307-1601 40010925-149 JG92 691280 1MRCEEOIA 147 110 0307-1601 40010925-148 JG92 691280 1MRCEEOIA 64 111 0307-1601 40010925-142 JG92 691280 1MRCEEOIA 132 113 0307-1601 40010925-159 JG92 691280 1MRCEEOIA 140 113 0307-1601 40010925-158 JG92 691280 1MRCEEOIA 71 114 0307-1601 40010925-143 JG92 691280 IMRCEEOIA 148 115 0307-1601 40011056-53 NX2227HK 691280 1MRCEE01A 125 116 0307-1601 40011056-57 NX2227HK 691280 Page 4 of 5
DFWO 2457999 STEAM GENERATOR 1MRCEE01A "HOT LEG" DIWO 2458019 1MRCEEOIA 122 117 0307-1601 40011047-110 NX2227HK 691280 IMRCEE0IA 28 121 0307-1601 40011047-126 NX2227HK 691280 IMRCEEOIA 140 121 0307-1601 40011056-52 NX2227HK 691280 IMRCEE01A 135 122 0307-1601 40010925-193 JG92 691280 IMRCEE0IA 130 123 0307-1601 40011047-122.
NX2227HK 691280 1MRCEE01A 103 124 0307-1601 40011047-133 NX2227HK 691280 IMRCEEOIA 118 127 0307-1601 40011047-114 NX2227HK 691280 IMRCEEOIA 29 128 0307-1601 40011047-137 NX2227HK 691280 IMRCEEO1A.
115 132 0307-1601 40011047-113 NX2227HK 691280 IMRCEEI1A 94 133 0307-1601 40010925-199 JG92 691280 IMRCEEO1A 125 134 0307-1601 40011056-56 NX2227HK 691280 IMRCEEOIA 4
135 0307-1601 40011047-140 NX2227HK 691280 IMRCEEOIA 13 136 0307-1601 40011047-116 NX2227HK 691280 IMRCEEOIA 52 137 0307-1601 40011047-115 NX2227HK 691280 1MRCEEOIA 17 138 0307-1601 40011047-139 NX2227HK 691280 1MRCEEOIA 109 138 0307-1601 40011047-125 NX2227HK 691280 1MRCEE0A 14 139 0307-1601 40011047-111 NX2227HK 691280 1MRCEEO1A 66 139 0307-1601 40011047-135 NX2227HK 691280 1MRCEEOIA 17 140 0307-1601 40011047-138 NX2227HK 691280 1MRCEEOIA 137 140 0307-1601 40011056-55 NX2227HK 691280 1MRCEEOIA 16 141 0307-1601 40011047-118 NX2227HK 691280 1MRCEEOIA 78 141 0307-1601 40011056-51 NX2227HK 691280 IMRCEEOIA 128 145 0307-1601 40011056-54 NX2227HK 691280 1MRCEEOIA 122 149 0307-1601 40011047-108 NX2227HK 691280 IMRCEE01A 121 156 0307-1601 40010925-196 JG92 691280 1MRCEEOIA 63 160 0307-1601 40011047-124 NX2227HK 691280 IMRCEE01A 32 171 0307-1601 40011047-117 NX2227HK 691280 IMRCEEOIA 1
172 0307-1601 40011047-121 NX2227HK 691280 1MRCEE01A 46 173 0307-1601 40011047-132 NX2227HK 691280 IMRCEEOIA 50 173 0307-1601 40011047-119 NX2227HK 691280 IMRCEEO1A 46 175 0307-1601 40011047-136 NX2227HK 691280 1MRCEEO1A 46 177 0307-1601 40011047-123 NX2227HK 691280 IMRCEEOIA 42 179 0307-1601 40011047-134 NX2227HK 691280 1MRCEE01A 30 185 0307-1601 40011047-112 NX2227HK 691280 Page 5 of 5
ASME SECTION XI - REPAIR/REPLACEMENT Page of
- 1. Component ID lIRCEEOIA
- 2. Code Class ASME SECTION III, CLASS I
- 3. Item Description STEAM GENERATOR #1
- 4. N-S Package Number 1RCu 1
- 5. W.O. Number 2458020
- 6. Original Construction Code Edition 1971 EDrTON & 1973 WINTER ADDENDA
- 7. Original Installation Code Edition 1974 EDITION & 1975 WINTER ADDENDA
- 8. Work Descriptlon INSTALL WESTINGHOUSE ROLL PLUGS IN 1MRCEE01A COLD LEG TUBES ENG-DFWO 2458001 EVALUATION AND DISPOSITION
- 9. a*l ISI Flaw NDE Method of Raw Detection EDDY CURRENT Report Number 1R10 EDDY CURRENT EXAM REPORT
- 10. Evaluation of the suitability of this work as per the requirements of IWA-4150.
EVALUATION PER ENG-DFWO 2458001.
- 11. Repair/Replacement Work Organization WESTINGHOUSE
- 12. Replacehient Item Construction or reconciled Code/Edition 1971 EDITION & 1973 WINTER ADDENDA
- 13. Repair/Replacement Activity Construction Code/Edition 1974 EDITION & 1975 WINTER ADDENDA
- 14. ASME Section XI Code/Edition 1992 EDITION & 1992 ADDENDA
- 15. Preservice Inspection Required.
E) YES IEl NO If required, Include a step in the W.O. to perform Preservice Inspection.
Date
- 16. ASME Section XI Pressure Test Required C] YES EIt NO S
08/19/02 If required, Include a step in the W.O. for IS] & ANII Inspection.
Initial Date S08/19/02
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component I
Date 08/19/02
- 18. Include a step in the W.O. to record below all applicable numbers for replacement items.
Inltial Date ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MR/PO/WO NO.
TUBE PLUGS SEE ATTACH LIST SEE ATTACH LIST SEE ATTACH LIST SEE ATTACH LIST
- 19. Planner J4A _ý 08/19/02 Print Name MICHAEL B. NEWELL signaure N
Date
- 20. ISI Engineer I
t
- '/iVfoZ Print Name A
oeep-.
signature Data I 21. ANII
('4 Print Name ROBERT HOGSTROM Inature Date PVE VWr.
7 730NUZ17
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Arizona Public Service Corerany. et. al.
--Naeme P.O. Box 53999. Phoenix. Arizona 85072-2034 Addmss
- 2. Plant Palo Verde Nuclear Generating Station NaMe 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 Address
- 3. Work Performed by WESTINGHOUSE Narm 911 W MAIN ST CHATTANOOGA TN 37402 Addres r
M-12 f'1rf 1'Cr%-vr A Prr Date 08/20/22 Sheet I
of 2
Unit 1
W.O.2458020 Work Order Number Type Code Symbol Stamp None Authorization No.
N/A Expiration Date N/A
- 4. Identification of System z
1'L
'J~JZd1-*,I
- 5. (a) Applicable Construction Code ASME SEC IH CL.1 1971 Edition, W;73 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASMECode or Stamped Item Manufacturer Serial No.
Board No. Identification Built Replacement (Yes or No)
S/G CE 78273-1 22499 1MRCEE01A 1978 Replacement Yes
- 7. Description of Work PLUG STEAM GENERATOR 11 COLD LEG TUBES PER DFWO 2458001.
- 8. Test Conducted:
Hydrostatic (J Pneumatic [J Nominal Operating Pressure (J Exempt f*
N-416-1 1)
Other Q Pressure psi Test Temp.
OF NOTE: Supplemental sheets in form of lists, sketches, or drawings m4y be used, provided (1) size is 8 1/2 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 the number of sheets Is recorded at the top of this form, PV-E0092 Vet. 7 750P-gZZ17 PV-E0092 Ver. 7 7'3DP-OZZl17
FORM NIS-2 (Back)
- 9. Remarks SEE DFWO 2458001 FOR TUBES PLUGGED (PLUGGING LIST ATrACHED).
CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and this eplacement conforms to the rules of the ASME Code, Section Xl.
ipatr or replacement Type Code Symbol Stamp N/A Certificate of Authorization No.
Signed 1ý
ý N/A Ce I&AIJULVA& f7.eAC Owner or Owner's Dei nee. ll Expiration Date pV-Eoog2 Vet. 7 BACK 730P-VZZ17 N/A Date /a -P 1-0 Q CERTIFICATE OF INSERVICE 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 Arizona and employed by IISB CT of Hartford. Connecticut
, have inspected the components described in this Owner's Report during the period ca to
,o-to.- c
-, 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 X1.
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 connected with this Inspection.
Commissions
't'*
A'.-b
.k..24'k National Board, State, Province, and Endorsements
-;~
Ins'pa~b Signature Date M3P-gZZ17 PV-EO092 Vet. 7 BACK
DFWO 2458001 STEAM GENERATOR 1MRCEEOIA "COLD LEG."
DIWO 2458020 ASME SECTION XI-REPAIR/REPLACEMENT COMP. ID ROW COLUMN PART NO.
SERIAL NO.
HEAT NO.
MR NO.
1MRCEE01A 8
1 0307-1601 40010592-35 HB39 683821 IMRCEEOIA 6
9 0307-1601 40010592-33 HB39 683821 1MRCEEI01A 65 12 0307-1601 40010592-40 HB39 683821 IMRCEEOIA 67 12 0307-1601 40010592-39 HB39 683821 IMRCEEI01A 28 13 0307-1601 40010592-13 HB39 683821 1MRCEE0IA 64 13 0307-1601 40010592-37 HB39 683821 IMRCEE01A 66 13 0307-1601 40010592-49 HB39 683821 IMRCEE01A 65 14 0307-1601 40010592-36 HB39 683821 IMRCEE01A 82 15 0307-1601 40010592-53 HB39 683821 1MRCEEOIA 81 16 0307-1601 40010592-41 HB39 683821 1MRCEE01A 83 16 0307-1601 40010592-42 HB39 683821 IMRCEE01A 80 17 0307-1601 40010592-45 HB39 683821 1MRCEEOIA 82 17 0307-1601 40010592-48 HB39 683821 IMRCEE01A 84 17 0307-1601 40010592-43 HB39 683821 IMRCEEOIA 79 18 0307-1601 40010592-38 HB39 683821 IMRCEEOtA 81 18 0307-1601 40010592-44 HB39 683821 IMRCEEOIA 83 18 0307-1601 40010592-46 HB39 683821 1MRCEEO1A 80 19 0307-1601 40010592-54 HB39 683821 1MRCEEO1A 75 20 0307-1601 40010592-26 HB39 683821 1MRCEE01A 66 23 0307-1601 40010592-50 HB39 683821 1MRCEEOIA 90 23 0307-1601 40010592-47 HB39 683821 1MRCEEOIA 53 24 0307-1601 40010592-1 HB39 683821 1MRCEEO1A 82 25 0307-1601 40010592-25 HB39 683821 IMRCEEOIA 59 26 0307-1601 40010592-52 H839 683821 1MRCEE01A 69 26 0307-1601 40010592-51 HB39 683821 1MRCEEOIA 81 26 0307-1601 40010592-12 HB39-683821 1MRCEEO1A 72 27 0307-1601 40010592-14 HB39 683821 IMRCEEOIA 37 28 0307-1601 40010592-3 HB39 683821 1MRCEEOIA 65 28 0307-1601 40010592-34 HB39 683821 IMRCEEOiA 93 28 0307-1601 40010592-23 HB39 683821 1MRCEEOIA 90 29 0307-1601 40010592-24 HB39 683821 1MRCEEOIA 58 31 0307-1601 40010592-31 HB39 683821 1MRCEEOIA 62 31 0307-1601 40010592-15 HB39 683821 1MRCEEOIA 59 32 0307-1601 40010592-32 HB39 683821 IMRCEE01A 76 33 0307-1601 40010592-27 HB39 683821 IMRCEE01A 67 34 0307-1601 40010592-16 HB39 683821 1MRCEEOIA 60 37 0307-1601 40010592-5 HB39 683821 IMRCEEO1A 67 38 0307-1601 40010592-6 HB39 683821 1MRCEEO1A 63 42 0307-1601 40010592-17 HB39 683821 1MRCEEOIA 91 42 0307-1601 40010592-30 HB39 683821 IMRCEEOIA
.66 43 0307-1601 40010592-28 HB39 683821 IMRCEEOIA 67 44 0307-1601 40010592-10 HB39 683821 1MRCEEOIA 71 44 0307-1601 40010592-11 HB39 683821 IMRCEE01A 129 44 0307-1601 40010592-29 HB39 683821 IMRCEE01A 55 46 0307-1601 40010592-2 HB39 683821 IMRCEEO1A 37 48 0307-1601 40010592-63 HB39 683821 1MRCEEOIA 83 48 0307-1601 40010592-93 HB39 683821 1MRCEE0IA 119 48 0307-1601 40010592-78 HB39 683821 IMRCEEOI1A 17 50 0307-1601 40010592-61 HB39 683821 Page 1 of 5
DFWO 2458001 STEAM GENERATOR 1MRCEE01A "COLD LEG" DIWO 2458020 IMRCEE01A 109 50 0307-1601 40010592-85 HB39 683821 1MRCEE0IA 40 53 0307-1601 40010592-71 HB39 683821 IMRCEE01A 54 53 0307-1601 40010592-72 HB39 683821 1MRCEEO1A 84 53 0307-1601 40010592-22 HB39 683821 IMRCEEOIA 88 53 0307-1601 40010592-95 HB39 683821 1MRCEEOIA 90 53 0307-1601 40010592-99 HB39 683821 IMRCEEOIA 58 55 0307-1601 40010592-73 HB39 683821 IMRCEEOIA 82 55 0307-1601 40010592-102 HB39 683821 IMRCEEOIA 90 55 0307-1601 40010592-98 HB39 683821 IMRCEEOIA 119 56 0307-1601 40010592-86 HB39 683821 1MRCEEOIA 118 57 0307-1601 40010592-90 HB39 683821 IMRCEEOIA 111 58 0307-1601 40010592-94 HB39 683821 1MRCEEOIA 10 59 0307-1601 40010592-4 HB39 683821 1MRCEE01A 42 59 0307-1601 40010592-74 HB39 683821 1MRCEEOIA 67 60 0307-1601 40010592-76 HB39 683821 IMRCEEOIA 24 61 0307-1601 40010592-75 HB39 683821 1MRCEE0IA 40 61 0307-1601 40010592-62 HB39 683821 1MRCEEO1A 35 62 0307-1601 40010592-64 HB39 683821 IMRCEE01A 39 62 0307-1601 40010592-77 HB39 683821 1MRCEEI01A 103 62 0307-1601 40010592-82 HB39 683821 1 MRCEEI01A 111 62 0307-1601 40010592-55 HB39 683821 1MRCEE01A 125 62 0307-1601 40010592-87 HB39 683821 1MRCEE01A 4
63 0307-1601 40010592-8 HB39 683821 1MRCEE01A 98 63 0307-1601 40010592-100 HB39 683821 1MRCEE01A 35 64 0307-1601 40010592-65 HB39 683821 IMRCEEOIA 89 64 0307-1601 40010592-84 HB39 683821 1MRCEEOIA 40 65 0307-1601 40010592-66 HB39 683821 1MRCEEOIA 48 65 0307-1601 40010592-67 HB39 683821 IMRCEE0IA 140 65 0307-1601 40010592-88 HB39 683821 tMRCEEOIA 37 66 0307-1601 40010592-68 HB39 683821 1MRCEEOIA 49 66 0307-1601 40010592-60 HB39 683821 1MRCEEOIA 65 66 0307-1601 40010592-59 HB39 683821 1MRCEE01A 68 67 0307-1601 40010592-58 HB39 683821 1MRCEEO1A 118 67 0307-1601 40010592-91 HB39 683821 1 MRCEE01A 128 67 0307-1601 40010592-81 HB39 683821 IMRCEEI01A 35 68 0307-1601 40010592-69 HB39 683821 IMRCEEOIA 41 68 0307-1601 40010592-57 H839 683821 IMRCEEOIA 135 68 0307-1601 40010592-96 HB39 683821 IMRCEE01A 137 68 0307-1601 40010592-92 HB39 683821 IMRCEE01A 56 69 0307-1601 40010592-70 HB39 683821 1MRCEE01A 108 69 0307-1601 40010592-101 HB39 683821 1MRCEEI01A 49 70 0307-1601 40010592-56 HB39 683821 1MRCEEOIA 63 70 0307-1601 40010592-126 HB39 683821 1MRCEEOIA 113 70 0307-1601 40010592-80.
HB39 683821 IMRCEE01A 82 71 0307-1601 40010592-109 HB39 683821 IMRCEE0IA 35 72 0307-1601 40010592-194 HB39 683821 IMRCEEOIA 51 72 0307-1601 40010592-125 HB39 683821 IMRCEE01A 81 72 0307-1601 40010592-106 HB39 683821 IMRCEE01A 52 73 0307-1601 40010592-114 HB39 683821 1MRCEEOIA 128 73 0307-1601 40010592-79 HB39 683821 11MRCEE01A 105 74 0307-1601 40010592-105 HB39 683821 Page 2 of 5
DFWO 2458001 STEAM GENERATOR 1MRCEE01A "COLD LEG" DIWO 2458020 IMRCEE01A 125 74 0307-1601 40010592-83 HB39 683821 IMRCEEOIA 153 74 0307-1601 40010592-97 HB39 683821 1MRCEEOIA 46 75 0307-1601 40010592-103 HB39 683821 IMRCEE01A 52 75 0307-1601 40010592-123 HB39 683821 1MRCEE01A 74 75 0307-1601 40010592-120 HB39 683821 1MRCEE0IA 96 75 0307-1601 40010592-107-HB39 683821 IMRCEE01A 146 75 0307-1601 40010592-89 HB39 683821 1MRCEEOIA 51 76 0307-1601 40010592-108 HB39 683821 1MRCEEOIA 59 76 0307-1601 40010592-131 HB39 683821 IMRCEEOIA 61 76 0307-1601 40010592-136 HB39 683821 1MRCEE01A 38 77 0307-1601 40010592-197 HB39 683821 IMRCEE01A 58 77 0307-1601 40010592-137 HB39 683821 IMRCEEOIA 68 77 0307-1601 40010592-138 HB39 683821 1MRCEE01A 132 77 0307-1601 40010592-170 HB39 683821 IMRCEE01A 39 78 0307-1601 40010592-195 HB39 683821 IMRCEE01A 61 78 0307-1601 40010592-149 HB39 683821 IMRCEEOIA 63 78 0307-1601 40010592-139 HB39 683821 IMRCEEOIA 117 78 0307-1601 40010592-166 HB39 683821 1MRCEE01A 36 79 0307-1601 40010592-104 HB39 683821 1MRCEEOIA 78 79 0307-1601 40010592-134 HB39 683821 1MRCEEOIA 130 79 0307-1601 40010592-164 HB39 683821 IMRCEEOIA 39 80 0307-1601 40010592-117 HB39 683821 IMRCEE01A 65 80 0307-1601 40010592-151 HB39 683821 IMRCEE01A 117 80 0307-1601 40010592-163 HB39 683821 1MRCEE01A 133 80 0307-1601 40010592-176 HB39 683821 1MRCEEO1A 56 81 0307-1601 40010592-142 HB39 683821 1MRCEE01A 62 81 0307-1601 40010592-147 HB39 683821 IMRCEEOIA 122 81 0307-1601 40011056-9 NX2227HK 691280 1MRCEEOIA 154 81 0307-1601 40011056-10 NX2227HK 691280 IMRCEE01A 59 82 0307-1601 40010592-148 HB39 683821 IMRCEEO1A 63 82 0307-1601 40010592-146 HB39 683821 IMRCEE01A 40 83 0307-1601 40011056-36 NX2227HK 691280 IMRCEE01A 60 83 0307-1601 40010592-145 HB39 683821 IMRCEEO1A 112 83 0307-1601 40011056-11 NX2227HK 691280 IMRCEE01A 128 83 0307-1601 40010592-162 HB39 683821 1MRCEE01A 136 83 0307-1601 40011056-5 NX2227HK 691280 1MRCEEOIA 150 83 0307-1601 40011056-7 NX2227HK 691280 IMRCEE01A 63 84 0307-1601 40010592-130 HB39 683821 IMRCEE01A 67 84 0307-1601 40010592-141 HB39 683821 1MRCEEOIA 97 84 0307-1601 40010592-168 HB39 683821 1MRCEEOIA 135 84 0307-1601 40011056-24 NX2227HK 691280 IMRCEEOIA 34 85 0307-1601 40010592-124 HB39 683821 1MRCEEOIA 36 85 0307-1601 40010592-115 HB39 683821 IMRCEEOIA 62 85 0307-1601 40010592-150 HB39 683821 IMRCEEOIA 68 85 0307-1601 40010592-133 HB39 683821 1MRCEEOIA 118 85 0307-1601 40011056-28 NX2227HK 691280 IMRCEEOIA 140 85 0307-1601 40011056-16 NX2227HK 691280 IMRCEEOIA 148 85 0307-1601 40011056-13 NX2227HK 691280 IMRCEEOIA 35 86 0307-1601 40010592-113 HB39 683821 1MRCEEOIA 37 86 0307-1601 40010592-110 HB39 683821 I MRCEE01 A 47 86 0307-1601 40010592-118 HB39 683821 Page 3 of 5
DFWO 2458001 STEAM GENERATOR 1MRCEE01A "COLD LEG" DIWO 2458020 1MRCEE01A 59 86 0307-1601-40010592-127 HB39 683821 IMRCEE01A 61 86 0307-1601 40010592-143 HB39 683821 IMRCEE01A 65 86 0307-1601 40010592-128 HB39 683821 IMRCEE01A 107 86 0307-1601 40010592-153 HB39 683821 1MRCEEOIA 139 86 0307-1601 40011056-25 NX2227HK 691280 1MRCEE01A 44 87 0307-1601 40010592-119, HB39 683821 IMRCEE01A 62 87 0307-1601 40010592-144 HB39 683821 IMRCEEOIA 64 87 0307-1601 40010592-129 HB39 683821 1MRCEEOIA 150 87 0307-1601 40011056-14 NX2227HK 691280 1MRCEE01A 44 89 0307-1601 40010592-132 HB39 683821 1MRCEE01A 56 89 0307-1601 40010592-173 HB39 683821 IMRCEEOIA 118 89 0307-1601 40011056-6 NX2227HK 691260 1MRCEEOIA 142 89 0307-1601 40010592-165 HB39 683821 1MRCEEO1A 43 90 0307-1601 40010592-112 HB39 683821 IMRCEEOIA 54 91 0307-1601 40010592-122 HB39 683821 1MRCEEO1A 56 91 0307-1601 40010592-171 HB39 683821 1MRCEE01A 53 92 0307-1601 40010592-111 HB39 683821 IMRCEEOIA 59 92 0307-1601 40010592-172 HB39 683821 IMRCEEOIA 133 92 0307-1601 40011056-4 NX2227HK 691280 IMRCEEOIA 141 92 0307-1601 40010592-178 HB39 683821 1MRCEEOIA 104 93 0307-1601 40010592-156 HB39 683821 IMRCEE01A 59 94 0307-1601 40010592-152 HB39 683821 IMRCEEOIA 52 95 0307-1601 40010592-116 HB39 683821 1MRCEEO1A 66 97 0307-1601 40010592-169 HB39 683821 IMRCEEOIA 68 97 0307-1601 40010592-174 HB39 683821 IMRCEEOIA 125 98 0307-1601 40011056-12 NX2227HK 691280 1MRCEE01A 145 98 0307-1601 40011056-29 NX2227HK 691280 1MRCEEOIA 91 100 0307-1601 40010592-161 RB39 683821 1MRCEE01A 66 101 0307-1601 40010592-159 HB39 683821 1MRCEE01A 65 102 0307-1601 40010592-154 HB39 683821 1MRCEE01A 137 102 0307-1601 40011056-30 NX2227HK 691280 1MRCEE01A 144 103 0307-1601 40010592-199 HB39 683821 IMRCEE01A 67 104 0307-1601 40010592-158 HB39 683821 1MRCEEOIA 119 104 0307-1601 40010592-198 HB39 683821 IMRCEE0IA 124 105 0307-1601 40010592-179 HB39 683821 IMRCEEOIA 63 106 0307-1601 40010592-160 HB39 683821 IMRCEEOIA 137 106 0307-1601 40010592-177 HB39 683821 1MRCEEO1A 112 107 0307-1601 40011056-15 NX2227HK 691280 IMRCEEO1A 132 107.
0307-1601 40011056-1 NX2227HK 691280 IMRCEE01A 41 108 0307-1601 40010592-121 HB39 683821 1MRCEE01A 49 108 0307-1601 40010592-140 HB39 683821 1MRCEEO0A 121 108 0307-1601 40010592-196 HB39 683821 IMRCEE01A 129 108 0307-1601 40010592-192 HB39 683821 IMRCEE01A 149 108 0307-1601 40011056-17.
NX2227HK 691280 1MRCEEOIA 147 110 0307-1601 40011056-8 NX2227HK 691280 IMRCEEOIA 64 111 0307-1601 40010592-155 HB39 683821 IMRCEEOIA 132 113 0307-1601 40010592-191 HB39 683821 1 MRCEEOIA 140 113 0307-1601 40010592-193 HB39 683821 1MRCEEOIA 71 114 0307-1601 40010592-157 HB39 683821 IMRCEEOIA 148 115 0307-1601 40010592-180 1
HB39 683821 1MRCEE01A 125 116 0307-1601 40010592-181 HB39 683821 Page 4 of 5
DFWO 2458001 STEAM GENERATOR IMRCEE01A "COLDULEG" DIWO 2458020 1MRCEEOIA 122 117 0307-1601 40010592-182 HB39 683821 IMRCEE01A 28 121 0307-1601 40010592-175 HB39 683821 IMRCEEOIA 140 121 0307-1601.
40010592-189 HB39 683821 1MRCEEOIA 135 122 0307-1601 40010592-183 HB39 683821 1MRCEE01A 130 123 0307-1601 40010592-184 HB39 683821 1MRCEE01A 103 124 0307-1601 40010592-187 HB39 683821 IMRCEEOIA 118 127 0307-1601 40010592-188 HB39 683821 IMRCEEO1A 29 128 0307-1601 40010592-167 HB39 683821 1MRCEEOIA 115 132 0307-1601 40010592-200 HB39 683821 IMRCEEOIA 94 133 0307-1601 40011056-46 NX2227HK 691280 IMRCEEOIA 125 134 0307-1601 40010592-185 HB39 683821 IMRCEEO1A 4
135 0307-1601 40011056-31 NX2227HK 691280 1MRCEEOIA 13 136 0307-1601 40011056-40 NX2227HK 691280 1MRCEEO0A 52 137 0307-1601 40010592-190 HB39 683821 IMRCEEO0A 17 138 0307-1601 40011056-38 NX2227HK 691280 1MRCEEO0A 109 138 0307-1601 40010592-186 HB39 683821 1 MRCEEOIA 14 139 0307-1601 40011056-41 NX2227HK 691280 1 MRCEEOIA 66 139 0307-1601 40011056-2 NX2227HK 691280 1MRCEEOIA 17 140 0307-1601 40011056-27 NX2227HK 691280 IMRCEE01A 137 140 0307-1601 40011056-49 NX2227HK 691280 IMRCEEOIA 16 141 0307-1601 40011056-43 NX2227HK 691280 1MRCEEO1A 78 141 0307-1601 40011056-3 NX2227HK 691280 1MRCEE01A 128 145 0307-1601 40011056-44 NX2227HK 691280 IMRCEE01A 122 149 0307-1601 40011056-37 NX2227HK 691280 1MRCEEOIA 121 156 0307-1601 40011056-50 NX2227HK 691280 1MRCEEO1A 63 160 0307-1601 40011056-42 NX2227HK 691280 1MRCEEOIA 32 171 0307-1601 40011056-45 NX2227HK 691280 1MRCEEOIA 1
172 0307-1601 40011056-35 NX2227HK 691280 IMRCEEOIA 46 173 0307-1601 40011056-47 NX2227HK 691280 1MRCEEO1A 50 173 0307-1601 40011056-34 NX2227HK 691280 1MRCEEOIA 46 175 0307-1601 40011056-32 NX2227HK 691280 1MRCEEOIA 46 177 0307-1601 4001105648 NX2227HK 691280 IMRCEE01A 42 179 0307-1601 40011056-39 NX2227HK 691280 1MRCEEO1A 30 185 0307-1601 40011056-33 NX2227HK 691280 Page 5 of 5
ASME SECTION XI - REPAIR/REPLACEMENT
- 1. Component ID 1MRCEE.01/,
t
- 2. Code Class ASME SECTION 1IU, CLASS 1
- 3. Item Description STEAM GENERATOR #2
- 4. N-5 Package Number IRC01-4
- 5. W.O. Number 2458021
- 6. Original Construction Code Edition 1971 EDITION & 1973 WINtERADDENDA
- 7. Original Installation Code Edition 1974 EDITION & 1975 WINTER ADDENDA
- 8. Work Description INSTALL WESTINGHOUSE ROLL PLUGS IN 1MRCEEO1B HOT LEG TUBES ENG-DFWO 2458003 EVALUATION AND DISPOSITION.
- 9. (2ISI Flaw NDE Method of Flaw Detection EDDY CURRENT Report Number IRIO EDDY CURRENT EXAM REPORT
- 10. Evaluation of the suitability of this work as per the requirements of IAW-4150.
EVALUATION PER ENG-DFWO 2458003.
- 11. Repair/Replacement Work Organization WESTINGHOUSE
- 12. Replacement Item Construction or reconciled Code/Edition 1971 EDITION & 1973 WINTER ADDENDA
- 13. Repair/Replacement Activity Construction Code/Edition 1974 EDITION & 1975 WINTER ADDENDA
- 14. ASME Section XI Code/Edition 1992 EDITION & 1992 ADDENDA
- 15. Preservice Inspection Required.
C] YES NO S06/24/02 If required, include a step In the W.O. to perform Preservice Inspection.
Initial Date
- 16. ASME Section XI Pressure Test Required C
YES
@1 NO S06/24/02 If required, include a step in the W.O. for ISI & ANII Inspection.
Initial Date 06/24/02
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
Initial Date 06/24/02
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date replacement items.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MR/ROS NO.
TUBE PLUGS SEE ATTACHED LIST SEE ATTACHED LIST SEE ATTACHED LIST SEE ATTACHED LUIS 06/24/02 Print Name MICHAEL B. NEWELL
- 20. ISI Engineer,*
4'%-4-O-._
P
,*/z@/oi Print Name
,44'a.i.. ef,,.crr--e" te Date
- 21. ANII A
-.,.-b=.
Print Name ROBERT HOGSTROM lgnatu..
Date 730P4ZZ17 PV-E00= Vet. S
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl
- 1. Owner Arizona Public Service Company. et. al.
P.O. Box 53999. Phoenix. Arizona 85072-2034 Address
- 2. Plant Palo Verde Nuclear Generating Station Date 08/20/22 Sheet I
of 2
Unit 1
Name 5801 S. Wintersbure Rd.. Tonovah, Arizona 85354-7529 Address
- 3. Work Performed by WESTINGHOUSE Name 911 W MAIN ST CHATI'ANOOGA TN 37402 W.0.2458021 Work Order Number Type Code Symbol Stamp None Authorization No.
N/A Expiration Date N/A Address
- 4. identification of System REACTOR COOLANT
- 5. (a) Applicable Construction Code ASME SEC III CL. 1 1971 Edition, W.;73 Addenda, N/A co (b) Applicable Edition of Section Xi Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components ide Case Name of Name of Manufacturer National Other Year Repaired ASME Code IdntfiatonBult or Stamped Item Manufacturer Serial No.
Board No. Identification Replacement (Yes or No)
SIG CE 78273-2 22500 1MRCEE01B 1978 Replacement Yes
- 7. Description of Work PLUG STEAM GENERATOR 12 HOT LEG TUBES PER DFWO 2458003.
- 8. Test Conducted:
Hydrostatic I*J Other Q.
Pneumatic Q Nominal Operating Pressure I]
Exempt f N-416-1 [*
Pressure psi Test Temp.
OF NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 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.
730P-OZZ17 PV-EO092 Ver. 7
FORM NIS-2 (Back)
- 9. Remarks SEE DFWO 2458003 FOR TUBES PLUGGED LI(PLUGGG UST ATrACHED).
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.
repar o repaemnt Type Code Symbol Stamp N/A Certificate of Authorization No.
Signed -T-4L/6 N/A Explratlorn Date N/A Date
-".29-OM Owner or Owners Designee, The I
7'SP-OZZ17 PV-E0092 Ver. 7 BACK CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford. Connecticut
, have inspected the components described in this Owner's Report during the period a-o to p-a.S-oCz.
, 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 connected with this inspection:.
Commissions
'-A "Avat_
Jz.,4'k Natonal Board. Stae, Province, and Endorsements Insp r eo signature Date__________________
Le 11r..',rZ1,' 77A4 N/A If
DFWO 2458003 STEAM GENERATOR 1MRCEE01B
"."HOT LEG" DIWO 2458021 IASME S ECTION XI -REPAIR/REPLACEMENT COMP. ID ROW COLUMN PART NO.
SERIAL NO.
HEAT NO.
MR NO.
1MRCEE01B 30 7
0307-1601 40011041-106 NX2227HK 683821 IMRCEE01B 25 8
0307-1601 40011041-105 NX2227HK 683821 1MRCEE01B 1
10 0307-1601 40011041-150 NX2227HK 683821 1MRCEE01B 3
10 0307-1601 40011041-151 NX2227HK 683821 IMRCEE0IB 2
11 0307-1601 40011041-152 NX2227HK 683821 IMRCEE01B 4
11 0307-1601 40011041-153 NX2227HK 683821 1MRCEE0IB 1
12 0307-1601 40011041-154 NX2227HK 683821 1MRCEEOIB 3
12 0307-1601 40011,041-155 NX2227HK 683821 1MRCEE01B 5
12 0307-1601 40011041-156 NX2227HK 683821 1MRCEE01B 2
13 0307-1601 40011041-157 NX2227HK 683821 1MRCEE01B 4
13 0307-1601 40011041-158 NX2227HK 683821 1MRCEEOIB 17 14 0307-1601 40011041-116 NX2227HK 683821 1MRCEE01B 42 15 0307-1601 40011041-112 NX2227HK 683821 IMRCEE01B 60 15 0307-1601 40011041-111 NX2227HK 683821 1MRCEEOiB 71 18 0307-1601 40011041-173 NX2227HK 683821 1MRCEE01B 90 19 0307-1601 40011041-168 NX2227HK 683821 1MRCEE01B 25 20 0307-1601 40011041-124 NX2227HK 683821 1MRCEE01B 30 21 0307-1601 40011041-115 NX2227HK 683821 1MRCEE01B 41 24 0307-1601 40011041-108 NX2227HK 683821 1MRCEE01B 53 24 0307-1601 40011041-114 NX2227HK 683821 1MRCEE01B 101 24 0307-1601 40011041-167 NX2227HK 683821 IMRCEEOIB 58 29 0307-1601 40011041-104 NX2227HK 683821 1MRCEE01B 51 30 0307-1601 40011041-121 NX2227HK 683821 1MRCEE01B 60 31 0307-1601 40011041-113 NX2227HK 683821 IMRCEEOIB 117 32 0307-1601 40011041-162 NX2227HK 683821 1MRCEE01B 96 33 0307-1601 40011041-195 NX2227HK 683821 1MRCEE01B 118 35 0307-1601 40011041-196 NX2227HK 683821 1MRCEE01B 120 35 0307-1601 40011041-161 NX2227HK 683821 1MRCEE01B 17 36 0307-1601 40011041-102 NX2227HK 683821 1MRCEE01B 49 36 0307-1601 40011041-122 NX2227HK 683821 1MRCEEOIB 115 36 0307-1601 40011041-160 NX2227HK 683821 IMRCEE01B 110 37 0307-1601 40011041-166 NX2227HK 683821 1MRCEE01B 43 38 0307-1601 40011041-107 NX2227HK 683821 1MRCEE01B 113 38 0307-1601 40011041-165 NX2227HK 683821 1MRCEE01B 49 40 0307-1601 40011041-123 NX2227HK 683821 1MRCEEOIB 129 40 0307-1601 40011041-159 NX2227HK 683821 IMRCEEO0B 130 41 0307-1601 40011041-182 NX2227HK 683821 1MRCEE01B 77 42 0307-1601 40011041-172 NX2227HK 683821.
1MRCEEOIB 104 43 0307-1601 40011041-187 NX2227HK 683821 1MRCEE01B 120 43 0307-1601 40011041-181 NX2227HK 683821 1MRCEE01B 69 44 0307-1601 40011041-171 NX2227HK 683821 1MRCEE01B 104 45 0307-1601 40011041-192 NX2227HK 683821 1MRCEE01B 60 47 0307-1601 40011041-170 NX2227HK 663821 1MRCEE01B 114 47 0307-1601 40011041-164 NX2227HK 683821 1MRCEEOIB 116 47 0307-1601 40011041-185 NX2227HK 683821 1MRCEE01B 120 47 0307-1601 40011041-191 NX2227HK 683821 1MRCEE01B 122 47 0307-1601 40011041-190 NX2227HK 683821 1MRCEE01B 113 48 0307-1601 40011041-188 NX2227HK 683821 IMRCEEO1B 104 49 0307-1601 40011041-175 NX2227HK 683821 Page 1 of 5
DFWO 2458003 STEAM GENERATOR 1MRCEE01B "HOT LEG" DIWO 2458021 IMRCEE01B 120 49 0307-1601 40011041-174 NX2227HK 683821 IMRCEE0IB 27 50 0307-1601 40011041-117 NX2227HK 683821 1MRCEEO1B 132 51 0307-1601 40011041-189 NX2227HK 683821 IMRCEEO1B 95 52 0307-1601 40011041-194 NX2227HK 683821 1MRCEE01B 139 52 0307-1601 40011041-198 NX2227HK 683821 1 MRCEE01 B 141 52 0307-1601 40011041-7 NX2227HK 683821 1MRCEE01B 53 54 0307-1601 40011041-169 NX2227HK 683821 iMRCEE01B 129 54 0307-1601 40011041-5 NX2227HK 683821 IMRCEEOIB 141 54 0307-1601 40011041-6 NX2227HK 683821 1MRCEE01B 32 55 0307-1601 40011041-118 NX2227HK 683821 1 MRCEE01 B 103 56 0307-1601 40011041-176 NX2227HK 683821 IMRCEE01B 141 56 0307-1601 40011041-1 NX2227HK 683821 IMRCEE01B 128 57 0307-1601 40011041-199 NX2227HK 683821 1MRCEEO1B 144 57 0307-1601 40011041-8 NX2227HK 683821 1MRCEEO0B 137 58 0307-1601 40011041-10 NX2227HK 683821 1MRCEE01B 130 59 0307-1601 40011041-2 NX2227HK 683821 1MRCEEOIB 138 59 0307-1601 40011041-200 NX2227HK 683821 1MRCEEOIB 144 59 0307-1601 40011041-14 NX2227HK 683821 1MRCEE01B 103 60 0307-1601 40011041-177 NX2227HK 683821 1MRCEEO1B 113 60 0307-1601 40011047-13 NX2227HK 691260 IMRCEE01B 131 60 0307-1601 40011041-12 NX2227HK 683821 IMRCEE01B 110 61 0307-1601 40011041-128 NX2227HK 683821 IMRCEEO1B 132 61 0307-1601 40011041-13 NX2227HK 683821 1MRCEEO1B 131 62 0307-1601 40011041-4 NX2227HK 683821 IMRCEE01B 139 62 0307-1601 40011041-19 NX2227HK 683821 1MRCEEO1B 110 63 0307-1601 40011041-100 NX2227HK 683821 IMRCEE01B 144 63 0307-1601 40011041-9 NX2227HK 683821 IMRCEEO0B 117 64 0307-1601 40011041-21 NX2227HK 683821 IMRCEEOIB 129 64 0307-1601:
40011041-3 NX2227HK 683821 1MRCEEOIB 137 64 0307-1601 40011041-20 NX2227HK 683821 1MRCEEO1B 139 64 0307-1601 40011041-18 NX2227HK 683821 1MRCEE01B 143 64 0307-1601 40011041-17 NX2227HK 683821 1MRCEEOIB 96 65 0307-1601 40011041-197 NX2227HK 683821 IMRCEEOIB 130 65 0307-1601 40011041-11 NX2227HK 683821 IMRCEE01B 132 65 0307-1601 40011041-16 NX2227HK 683821 1MRCEE01B 144 65 0307-1601 40011041-15 NX2227HK 683821 1MRCEEO1B 146 65 0307-1601 40011041-39 NX2227HK 683821 1MRCEE01B 131 66 0307-1601 4001104140 NX2227HK 683821 IMRCEEOIB 137 66 0307-1601 40011041-37 NX2227HK 683821 IMRCEE01B 143 66 0307-1601 40011041-31 NX2227HK 683821 IMRCEE01B 130 67 0307-1601 40011041-43 NX2227HK 683821 IMRCEE01B 21 68 0307-1601 40011041-98 NX2227HK 683821 IMRCEEOIB 111 68 0307-1601 40011041-42 NX2227HK 683821 1MRCEEOIB 115 68 0307-1601 40011041-183 NX2227HK 683821 1MRCEEOIB 141 68 0307-1601 40011041-22 NX2227HK 683821 1MRCEEOIB 74 69 0307-1601 40011041-129 NX2227HK 683821 1MRCEEOIB 102 69 0307-1601 40011041-184 NX2227HK 683821 1MRCEEOIB 128 69 0307-1601 40011041-36 NX2227HK 683821 1MRCEE01B 134 69 0307-1601 40011041-35 NX2227HK 683821 IMRCEEO1B 140 69 0307-1601 40011041-26 NX2227HK 683821 1MRCEEO1B 144 69 0307-1601 40011041-34 NX2227HK 683821 Page 2 of 5
DFWO 2458003 STEAM GENERATOR 1MRCEE01B
,."HOT LEG" DIWO 2458021 IMRCEE01B 87 70 0307-1601 40011041-180 NX2227HK 683821 IMRCEEOIB 125 70 0307-1601 40011041-25 NX2227HK 683821 1MRCEEOIB 137 70 0307-1601 40011041-45 NX2227HK 683821 IMRCEEOIB 108 71 0307-1601 40011047-12 NX2227HK 691280 IMRCEEOIB 120 71 0307-1601 40011041-193.
NX2227HK 683821 IMRCEE01B 122 71 0307-1601 40011041-41 NX2227HK 683821 IMRCEE01B 130 71 0307-1601 40011041-29 NX2227HK 683821 IMRCEEOIB 67 72 0307-1601 40011041-64 NX2227HK 683821 IMRCEEO1B 121 72 0307-1601 40011041-178 NX2227HK 683821 IMRCEEOIB 129 72 0307-1601 40011041-30 NX2227HK 683821 IMRCEEOIB 131 72 0307-1601 40011041-28 NX2227HK 683821 1MRCEE01B 110 73 0307-1601 40011041-38 NX2227HK 683821 1MRCEE01B 66 75 0307-1601 40011041-145 NX2227HK 683821 1MRCEE01B 146 75 0307-1601 40011041-27 NX2227HK 683821 1MRCEE01B 148 75 0307-1601 40011041-23 NX2227HK 683821 1MRCEEOIB 104 77 0307-1601 40011041-186 NX2227HK 683821 1MRCEEO0B 130 77 0307-1601 40011041-33 NX2227HK 683821 1MRCEEO1B 144 77 0307-1601 40011041-24 NX2227HK 683821 1MRCEE01B 98 79 0307-1601 40011041-70 NX2227HK 683821 IMRCEEOIB 104 79 0307-1601 40011041-75 NX2227HK 683821 1MRCEEOIB 122 79 0307-1601 40011041-32 NX2227HK 683821 1MRCEEOIB 134 79 0307-1601 40011041-44 NX2227HK 683821 IMRCEEOIB 144 79 0307-1601 40011041-67 NX2227HK 683821 1MRCEE01B 148 79 0307-1601 40011041-66 NX2227HK 683821 1MRCEEOIB 69 80 0307-1601 40011041-139 NX2227HK 683821 1MRCEE01B 101 80 0307-1601 40011041-76 NX2227HK 683821 1MRCEE01B 139 80 0307-1601 40011041-49 NX2227HK 683821 i MRCEE01B 64 81 0307-1601 40011041-130 NX2227HK 683821 1MRCEE01B 134 81 0307-1601 40011041-63 NX2227HK 683821 IMRCEE01B 137 82 0307-1601 40011041-60 NX2227HK 683821 1MRCEE01B 143 82 0307-1601 40011041-59 NX2227HK 683821 1MRCEE01B 122 83 0307-1601 40011041-46 NX2227HK 683821 1MRCEE01B 128 83 0307-1601 40011041-69 NX2227HK 683821 IMRCEE01B 138 83 0307-1601 40011041-68 NX2227HK 683821 IMRCEEOIB 133 84 0307-1601 40011041-61 NX2227HK 683821 1MRCEE01B 144 85 0307-1601 40011041-58 NX2227HK 683821 IMRCEE01B 148 85 0307-1601 40011041-87 NX2227HK 683821 1MRCEE01B 117 86 0307-1601 40011041-56 NX2227HK 683821 1MRCEE01B 44 87 0307-1601 40011041-138 NX2227HK 683821 1MRCEEOIB 122 87 0307-1601 40011041-65 NX2227HK 683821 IMRCEEOIB 144 87 0307-1601 40011041-82 NX2227HK 683821 1MRCEE01B 148 87 0307-1601 40011041-88 NX2227HK 683821 1MRCEEOIB 141 88 0307-1601 40011041-57 NX2227HK 683821 1MRCEE01B 46 89 0307-1601 40011041-144 NX2227HK 683821 1MRCEEOIB 144 89 0307-1601 40011041-53 NX2227HK 683821 1 MRCEE01 B 81 90 0307-1601 40011041-71 NX2227HK 683821 IMRCEE01B 137 90 0307-1601 40011041-55 NX2227HK 683821 1MRCEE01B 120 91 0307-1601 40011041-52 NX2227HK 683821 IMRCEE01B 148 91 0307-1601 40011041,73 NX2227HK 683821 IMRCEE01B 147 92 0307-1601 40011041-83 NX2227HK 683821 1MRCEE01B 96 95 0307-1601 40011041-179 NX2227HK 683821 Page 3 of 5
DFWO 2458003 STEAM GENERATOR 1MRCEE01B "HOT LEG" DIWO 2458021 IMRCEE01B 122 95 0307-1601 40011041-48 NX2227HK 683821 IMRCEE01B 138 95 0307-1601 40011041-47 NX2227HK 683821 1MRCEE01B 96 97 0307-1601 4001,1041-51 NX2227HK 683821 1MRCEE01B 132 97 0307-1601 40011041-54 NX2227HK 683821 iMRCEEO0B 138 97 0307-1601 40011041-79 NX2227HK 683821' 1MRCEE01B 141 98 0307-1601 40011041-80 NX2227HK 683821 IMRCEEOIB 130 99 0307-1601 40011041-85 NX2227HK 683821 IMRCEEOIB 138 99 0307-1601 40011041-92 NX2227HK 683821 1MRCEE01B 148 99 0307-1601 40011041-86 NX2227HK 683821 IMRCEE01B 109 100 0307-1601 40011041-81 NX2227HK 683821 1MRCEEOIB 135 102 0307-1601 40011041-84 NX2227HK 683821 IMRCEEOIB 132 103 0307-1601 40011041-77 NX2227HK 683821 IMRCEEOIB 132 105 0307-1601 40011041-93 NX2227HK 683821 IMRCEE01B 140 105 0307-1601 40011041-89 NX2227HK 683821 IMRCEEO0B 144 105 0307-1601 40011041-74 NX2227HK 683821 1MRCEEO0B 51 106 0307-1601 40011041-62 NX2227HK 683821 1MRCEEOIB 64 107 0307-1601 40011041-140 NX2227HK 683821 IMRCEE01B 70 109 0307-1601 40011041-148 NX2227HK 683821 IMRCEE01B 45 110 0307-1601 40011041-133 NX2227HK 683821 IMRCEE01B 51 110 0307-1601 40011041-132 NX2227HK 683821 IMRCEEOIB 69 110 0307-1601 40011041-135 NX2227HK 683821 IMRCEE01B 141 110 0307-1601 40011041-91 NX2227HK 683821 1MRCEE01B 40 111 0307-1601 40011041-50 NX2227HK 683821 1 MRCEE01 B 54 111 0307-1601 40011041-147 NX2227HK 683821 1MRCEE01B 66 111 0307-1601 40011041-134 NX2227HK 683821 1MRCEE01B 70 111 0307-1601 40011041-136 NX2227HK 683821 1MRCEEO1B 53 112 0307-1601 40011041-141 NX2227HK
- 683821, 1MRCEE01B 60 113 0307-1601 40011041-131 NX2227HK 683821 IMRCEEOIB 64 113 0307-1601 40011041-143 NX2227HK 683821 1MRCEE01B 122 113 0307-1601 40011041-90 NX2227HK 683821 1IRCEE01B 53 114 0307-1601 40011041-146 NX2227HK 683821 1MRCEEOIB 97 114 0307-1601 40011041-72 NX2227HK 683821 1MRCEEOIB 117 114 0307-1601 40011041-78 NX2227HK 683821 1MRCEEOIB 100 115 0307-1601 40011047-32 NX2227HK 691280 1MRCEE01B 144 115 0307-1601 40011047-19 NX2227HK 691280 1MRCEE01B 48 117 0307-1601 40011041-142 NX2227HK 683821 1MRCEEO1B 62 119 0307-1601 40011041-126 NX2227HK 683821 1MRCEE01B 33 120 0307-1601 40011041-103 NX2227HK 683821 IMRCEEOIB 64 121 0307-1601 40011.041-127 NX2227HK 683821 1MRCEEOIB 45 124 0307-1601 40011041-137 NX2227HK 683821 1MRCEEOIB 129 124 0307-1601 40011047-37 NX2227HK 691280 1MRCEEOIB 137 124 0307-1601 40011047-14 NX2227HK 691280 1MRCEEO1B 50 125 0307-1601 40011041-125 NX2227HK 683821 1MRCEEOIB 60 125 0307-1601 40011041-149 NX2227HK 683821 1MRCEEOIB 122 125 0307-1601 40011047-18 NX2227HK 691280 1MRCEEOIB 130 127 0307-1601 40011047-20 NX2227HK 691280 1MRCEEO1B 91 130 0307-1601 40011047-34 NX2227HK 691280 1MRCEE01B 95 130 0307-1601 40011047-15 NX2227HK 691280 1MRCEEOIB 133 130 0307-1601 40011047-17 NX2227HK 691280 IMRCEE01B 135 130 0307-1601 40011047-27 NX2227HK 691280 IMRCEEOIB 122 131 0307-1601 40011047-26 NX2227HK 691280 Page 4 of 5
DFWO 2458003 STEAM GENERATOR 1MRCEE01B "HOT LEG" DIWO 2458021 iMRCEE0IB 75 132 0307-1601 40011.047-81 NX2227HK 691280 1MRCEE01B 142 133 0307-1601 40011047-28 NX2227HK 691280 IMRCEE01B 27 136 0307-1601 40011047-82 NX2227HK 691280 IMRCEE01B 117 136 0307-1601 40011047-29 NX2227HK 691280 IMRCEE01B 142 137 0307-1601 40011047-36 NX2227HK 691280 IMRCEEOIB 95 138 0307-1601 40011047-35 NX2227HK 691280 1MRCEEOIB 104 141 0307-1601 40011047-25 NX2227HK 691280 IMRCEE01B 110 141 0307-1601 40011047-16 NX2227HK 691280 1 MRCEE01 B 133 142 0307-1601 40011047-33 NX2227HK 691280 1MRCEE01B 60 145 0307-1601 40011047-83 NX2227HK 691280 IMRCEEOIB 122 145 0307-1601 40011047-21 NX2227HK 691280 1MRCEEO1B 121 146 0307-1601 40011047-30 NX2227HK 691280 IMRCEEOIB 60 147 0307-1601 40011047-88 NX2227HK 691280 IMRCEEOIB 131 148 0307-1601 40011047-31 NX2227HK 691280 1MRCEEOIB 61 150 0307-1601 40011047-85 NX2227HK 691280 1MRCEE01B 51 152 0307-1601 40011047-84 NX2227HK 691280 IMRCEEOIB 122 153 0307-1601 40011047-23 NX2227HK 691280 1MRCEE01B 121 154 0307-1601 40011047-22 NX2227HK 691280 1MRCEEO1B 60 155 0307-1601 40011041-99 NX2227HK 683821 1MRCEEOIB 76 155 0307-1601 40011047-87 NX2227HK 691280 IMRCEEOIB 87 156 0307-1601 40011041-119 NX2227HK 683821 1MRCEEOIB 115 158 0307-1601 40011047-24 NX2227HK 691280 1MRCEEO1B 58 159 0307-1601 40011041-95 NX2227HK 683821 1MRCEE01B 60 159 0307-1601 40011047-80 NX2227HK 691280 1MRCEEO1B 90 159 0307-1601 40011041-110 NX2227HK 683821 IMRCEEOIB 70 161 0307-1601 40011047-11 NX2227HK 691280 1MRCEE01B 54 163 0307-1601 40011041-109 NX2227HK 683821 1MRCEE01B 49 164 0307-1601 40011041-94 NX2227HK 683821 1MRCEE01B 32 177 0307-1601 40011,041-101 NX2227HK 683821 IMRCEE01B 25 178 0307-1601 40011041-96 NX2227HK 683821 1MRCEE01B 64 181 0307-1601 40011047-86 NX2227HK 691280 1MRCEE01B 12 189 0307-1601 40011041-97 NX2227HK 683821 Page 5 of 5
ASME SECTION XI - REPAIR/REPLACEMENT
- 1. Component ID IMRCEEO1B
- 2. Code Class ASME SECTION III, CLASS 1
- 3. Item Description STEAM GENERATOR #2
- 4. N-5 Package Number lRCO1-4
- 5. W.O. Number 2458023
- 6. Original Construction Code Edition 1971 EDITION & 1973 WINTER ADDENDA
- 7. Original Installation Code Edition 1974 EDITION & 1975 WINTER ADDENDA
- 8. Work Description INSTALL WESTINGHOUSE ROLL PLUGS IN 1MRCEE01B COLD LEG TUBES ENG-DFWO 2458004 EVALUATION AND DISPOSITION.
- 9. E1 ISI Flaw NDE Method of Flaw Detection EDDY CURRENT Report Number 1R10 EDDY CURRENT EXAM REPORT
- 10. Evaluation of the suitability of this work as per the requirements of IAW-41 50.
EVALUATION PER ENG-DFWO 24580041
- 11. Repair/Replacement Work Organization WESTINGHOUSE
- 12. Replacement Item Construction or reconciled Code/Edition 1971 EDITION & 1973 WINTER ADDENDA
- 13. Repair/Replacement Activity Construction Code/Edition 1974 EDITION & 1975 WINTER ADDENDA
- 14. ASME Section XI Code/Edition 1992 EDITION & 1992 ADDENDA
- 15. Preservice Inspection Required.
YES i
NO S06/24/02 If required, Include a step In the W.O. to perform Preservice Inspection.
Initial Oate
- 16. ASME Section XI Pressure Test Required I* YES El NO 06/24/02 If required, include a step in the W.O. for ISI & ANII Inspection.
Initial Date S
06/24/02
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component Initial Date 06/24/02
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date replacement items.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MRIROS NO.
TUBE PLUGS SEE ATTACHED LIST SEE A1TACHED LIST SEE ATTACHED LIST SEE ATTACHED LIS
- 19. Planner
-, S*._
06/24/02 Print Name MICHAEL B. NEWELL
- 20. ISI Engineer c
%....-w.
Print Name 4
s I
.. e Date
- 21. ANII 159AZ t-,o-o-o Print Name ROBERT HOGSTROM Date
-fl.--.?
PV-E=OS3 Ve. a
-I
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Arizona Public Service Company, et. al.
- 2. PLant Name P r) flny rQQQ Ph-n~nix Arizona 85072-2034 Addres Palo Verde Nuclear Generating Station Name 5801 S. Wintersbure Rd.. Tonovah, Arizona 85354-7529 Address
- 3. Work Performed by WESTINGHOUSE Name 911 W MAIN ST CHATrANooGA TN 37402 Date Sheet Unit 08/20/22 1
of 2
1 W.O.2458023 Work Order Number Type Code Symbol Stamp None Authorization No.
NIA Expiration Date N/A
- 4. Identification of System REACTOR COOLANT
- 5. (a) Applicable Construction Code ASME SEC III CL.1 1971 Edition, W;73 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code or Stamped Item Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No)
SIG CE 78273-2 22500 1MRCE1E0B 1978 Replacement Yes
- 7. Description of Work PLUG STEAM GENERATOR 12 COLD LEG TUBES PER DFWO 2458004.
- 8. Test Conducted:
Hydrostatic [*
Pneumatic Nominal Operating Pressure Q Exempt (*
N-416-1 I[
Other E*
Pressure psi Test Temp.
OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 112 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.
PV-E00M2 Ver. 7 7WDFL-OZZ17 I
FORM NIS-2 (Back) 9.- Remarks SEE DFWO 2458004 FOR TUBES PLUGGED (PLUGGING UST ATTACHED).
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this rplacement conforms to the rules of the ASME Code, Section Xl.
rer o repacement Type Code Symbol Stamp N/A Certificate of Authorization No.
Signed N/A rf
[a i/I dtfl&1 A 7NfX Owner or Owner's Designee,'Title Expiration Date N/A Date /0-,.'2-02, 73DP4-ZZ17 PV-E092 Ver. 7 BACK CERTIFICATE. OF INSERVICE 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 Arizona and employed by HSB CT of Hartford, Connecticut
, have Inspected the components described In this Owner's Report during the period 1-20o-oa.
to to -a;-oa
, 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 Owners 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.
Commissions
'A:"
A. a.u4 National Board, State, Province. and Endorsements I
,rs signature Date____________
DFWO 2458004 STEAM GENERATOR 1MRCEE01B "COLD LEG" DIWO 2458023 ASME SECTIONIXI-REPAIR/REPLACEMENT COMP. ID ROW COLUMN PART NO.
SERIAL NO.
HEAT NO.
MR NO.
1MRCEE01B 30 7
0307-1601 40011045-23 NX2227HK 683821 IMRCEE01B 25 8
0307-1601 40011045-26 NX2227HK 683821 IMRCEEO1B 1
10 0307-1601 40011045-20 NX2227HK 683821 1MRCEE01B 3
10 0307-1601 40011045-8 NX2227HK 683821 IMRCEE0IB 2
11 0307-1601 40011045-18 NX2227HK 683821 1MRCEEOIB 4
11 0307-1601 40011045-45 NX2227HK 683821 IMRCEE0IB 1
12 0307-1601 40011045-10 NX2227HK 683821 1MRCEEOIB 3
12 0307-1601 40011045-24 NX2227HK 683821 IMRCEE01B 5
12 0307-1601 40011045-18 NX2227HK 683821 1MRCEEOI1B 2
13 0307-1601 40011045-17 NX2227HK 683821 IMRCEEO1B 4
13 0307-1601 40011045-22 NX2227HK 683821 1MRCEEOIB 17 14 0307-1601 40011045-38 NX2227HK 683821 1MRCEEOIB 42 15 0307-1601 40011045-39 NX2227HK 683821 IMRCEEOIB 60 15 0307-1601 40011045-1 NX2227HK 683821 1MRCEE01B 71 18 0307-1601 40011045-35 NX2227HK 683821 1MRCEEI01B 90 19 0307-1601 40011045-34 NX2227HK 683821 1MRCEE01 B 25 20 0307-1601 40011045-27 NX2227HK 683821 1 MRCEE01 B 30 21 0307-1601 40011045-6 NX2227HK 683821 IMRCEEI01B 41 24 0307-1601 40011045-7 NX2227HK 683821 1MRCEE01B 53 24 0307-1601 40011045-12 NX2227HK 683821 1MRCEE01B 101 24 0307-1601 40011045-165 NX2227HK 683821 1 MRCEE01 B 58 29 0307-1601 40011045-5 NX2227HK 683821 I MRCEE01 B 51 30 0307-1601 40011045-2 NX2227HK 683821 1MRCEE01B 60 31 0307-1601 40011045-3 NX2227HK 683821 1MRCEE01B 117 32 0307-1601 40011045-151 NX2227HK 683821 IMRCEEI01B 96 33 0307-1601 40011045-168 NX2227HK 683821 iMRCEEOIB 118 35 0307-1601 40011045-137 NX2227HK 683821 1MRCEEOIB 120 35 0307-1601 40011045-157 NX2227HK 683821 IMRCEEO1B 17 36 0307-1601 40011045-16 NX2227HK 683821 1MRCEEOIB 49 36 0307-1601 40011045-21 NX2227HK 683821 1MRCEE=01B 115 36 0307-1601 40011045-161 NX2227HK 683821 1MRCEEO1B 110 37 0307-1601 40011045-147 NX2227HK 683821 1 MRCEE01 B 43 38 0307-1601 40011045-13 NX2227HK 683821 IMRCEEOIB 113 38 0307-1601 40011045-158 NX2227HK 683821 1MRCEEOIB 49 40 0307-1601 40011045-9 NX2227HK 683821 1MRCEE01B 129 40 0307-1601 40011045-166 NX2227HK 683821 1MRCEEO1B 130 41 0307-1601 40011045-150 NX2227HK 683821 IMRCEE01B 77 42 0307-1601 40011045-14 NX2227HK 683821 IMRCEE01B 104 43 0307-1601 40011045-164 NX2227HK 683821 IMRCEEOIB 120 43 0307-1601 40011045-160 NX2227HK 683821 1MRCEEOIB 69 44 0307-1601 40011045-4 NX2227HK 683821 IMRCEEO1B 104 45 0307-1601 40011045-167 NX2227HK 683821 1 MRCEE01 B 60 47 0307-1601 40011045-15 NX2227HK 683821 1MRCEE01 B 114 47 0307-1601 40011045-153 NX2227HK 683821 1MRCEEOIB 116 47 0307-1601 40011045-162 NX2227HK 683821 1MRCEEOIB 120 47 0307-1601 40011045-148 NX2227HK 683821 1MRCEEOIB 122 47 0307-1601 40011045-163 NX2227HK 683821 IMRCEEO1B 113 48 0307-1601 40011045-91 NX2227HK 683821 I MRCEE01 B 104 49 0307-1601 40011045-31 NX2227HK 683821 Page I of 5
DFWO 2458004 STEAM GENERATOR 1MRCEE01B "i.'COLD LEG" DIWO 2458023 IMRCEEOIB 120 49 0307-1601 40011045-72 NX2227HK 683821 IMRCEEOIB 27 50 0307-1601 40011045-36 NX2227HK 683821 1MRCEE01B 132 51 0307-1601 40011045-77 NX2227HK 683821 1MRCEEO1B 95 52 0307-1601 4001,1045-74 NX2227HK 683821 1MRCEE01B 139 52 0307-1601 40011045-96 NX2227HK 683821 IMRCEE01B 141 52 0307-1601 40011045-81 NX2227HK 683821 IMRCEE0IB 53 54 0307-1601 40011045-29 NX2227HK 683821 IMRCEEOIB 129 54 0307-1601 40011045-78 NX2227HK 683821 IMRCEEOIB 141 54 0307-1601 40011045-86 NX2227HK 683821 IMRCEEO1B 32 55 0307-1601 40011045-41 NX2227HK 683821 IMRCEEOIB 103 56 0307-1601 40011045-75 NX2227HK 683821 1MRCEE01B 141 56 0307-1601 40011045-76 NX2227HK 683821 IMRCEE01B 128 57 0307-1601 40011045-90 NX2227HK 683821 1MRCEE01B 144 57 0307-1601 40011045-89 NX2227HK 683821 1MRCEEO1B 137 58 0307-1601 40011045-64 NX2227HK 683821.
11MRCEE01B 130 59 0307-1601 40011045-59 NX2227HK 683821 IMRCEE01B 138 59 0307-1601 40011045-60 NX2227HK 683821 IMRCEEOI B 144 59 0307-1601 40011045-62 NX2227HK 683821 IMRCEE01B 103 60 0307-1601 40011045-135 NX2227HK 683821 IMRCEE01B 113 60 0307-1601 40011045-88 NX2227HK 683821 IMRCEE01B 131 60 0307-1601 40011045-64 NX2227HK 683821 IMRCEE01B 110 61 0307-1601 40011045-82 NX2227HK 683821 IMRCEE01B 132 61 0307-1601 40011045-69 NX2227HK 683821 1MRCEE01B 131 62 0307-1601 40011045-65 NX2227HK 683821 IMRCEE01B 139 62 0307-1601 40011045-67 NX2227HK 683821 IMRCEE01B 110 63 0307-1601 40011045-93 NX2227HK 683821 1MRCEE01B 144 63 0307-1601 40011045-68 NX2227HK 683821 1MRCEEOIB 117 64 0307-1601 40011045-70 NX2227HK 683821 IMRCEEOIB 129 64 0307-1601 40011045-71 NX2227HK 683821 IMRCEEO1B 137 64 0307-1601 40011045-50 NX2227HK 683821 1 MRCEE01 B 139 64 0307-1601 40011045-54 NX2227HK 683821 1MRCEEOIB 143 64 0307-1601 40011045-66 NX2227HK 683821 IMRCEEOIB 96 65 0307-1601 40011045-136 NX2227HK 683821 IMRCEE01B 130 65 0307-1601 40011045-61 NX2227HK 683821 1MRCEEOIB 132 65 0307-1601 40011045-52 NX2227HK 683821 1MRCEE01B 144 65 0307-1601 40011045-53 NX2227HK 683821 IMRCEE01B 146 65 0307-1601 40011045-55 NX2227HK 683821 1MRCEE01B 131 66 0307-1601 40011045-56 NX2227HK 683821 IMRCEEO1B 137 66 0307-1601 40011045-57 NX2227HK 683821 1MRCEEOIB 143 66 0307-1601 40011045-58 NX2227HK 683821 IMRCEE01B 130 67 0307-1601 40011045-49 NX2227HK 683821 IMRCEEOIB 21 68 0307-1601 40011047-195 NX2227HK 691280 1MRCEEOIB 111 68 0307-1601 40011045-51 NX2227HK 683821 1MRCEEOIB 115 68 0307-1601 40011045-80 NX2227HK 683821 1MRCEE01B 141 68 0307-1601 40011045-63 NX2227HK 683821 IMRCEE01B 74 69 0307-1601 40011045-179 NX2227HK 683821 1MRCEEO1B 102 69 0307-1601 40011045-92 NX2227HK 683821 1MRCEEOIB 128 69 0307-1601 40011045-47 NX2227HK 683821 IMRCEEOIB 134 69 0307-1601 40011045-42 NX2227HK 683821 1MRCEEO1B 140 69 0307-1601 40011045-25 NX2227HK 683821 IMRCEEOIB 144 69 0307-1601 40011045-46 NX2227HK 683821 Page 2 of 5
DFWO 2458004 STEAM GENERATOR 1MRCEE01 B "COLD LEG" DIWO 2458023 1MRCEEOIB 87 70 0307-1601 40011045-132 NX2227HK 683821 IMRCEE01B 125 70 0307-1601 40011045-48 NX2227HK 683821 1MRCEE01B 137 70 0307-1601 40011045-40 NX2227HK 683821 1MRCEEOIB 108 71 0307-1601 40011045-144 NX2227HK 683821 I1MRCEE01B 120 71 0307-1601 40011045-94 NX2227HK 683821 1MRCEE01B 122 71 0307-1601 40011045-30 NX2227HK 683821 1MRCEE01B 130 71 0307-1601 40011045-32 NX2227HK 683821 1MRCEEO0 B 67 72 0307-1601 40011045-190 NX2227HK 683821 1MRCEEOIB 121 72 0307-1601 40011045-79 NX2227HK 683821 1MRCEEOIB 129 72 0307-1601 4001,1045-37 NX2227HK 683821 1MRCEEOIB 131 72 0307-1601 40011045-28 NX2227HK 683821 1MRCEEOIB 110 73 0307-1601 40011045-44 NX2227HK 683821 1MRCEE01B 66 75 0307-1601 40011045-177 NX2227HK 683821 1MRCEE01B 146 75 0307-1601 40011045-33 NX2227HK 683821 IMRCEE01B 148 75 0307-1601 40011045-43 NX2227HK 683821 IMRCEEOIB 104 77 0307-1601 40011045-126 NX2227HK 683821 1MRCEEOIB 130 77 0307-1601 40011045-83 NX2227HK 683821 1MRCEEOIB 144 77 0307-1601 40011045-85 NX2227HK 683821 1MRCEE01B 98 79 0307-1601 40011045-122 NX2227HK 683821 1MRCEEOIB 104 79 0307-1601 40011045-133 NX2227HK 683821 IMRCEEOIB 122 79 0307-1601 40011045-73 NX2227HK 683821 IMRCEEOIB 134 79 0307-1601 40011045-87 NX2227HK 683821 1MRCEEOIB 144 79 0307-1601 40011045-95 NX2227HK 683821 1MRCEE01B 148 79 0307-1601 40011045-104 NX2227HK 683821 1MRCEE01B 69 80 0307-1601 40011045-146 NX2227HK 683821 IMRCEEOIB 101 80 0307-1601 40011045-127 NX2227HK 683821 IMRCEE01B 139 80 0307-1601 40011045-101 NX2227HK 683821 1MRCEE01B 64 81 0307-1601 40011045-152 NX2227HK 683821 IMRCEE01B 134 81 0307-1601 40011045-102 NX2227HK 683821 IMRCEE01B 137 82 0307-1601 40011045-103 NX2227HK 683821 1MRCEEOIB 143 82 0307-1601 40011045-108 NX2227HK 683821 IMRCEE01B 122 83 0307-1601 40011045-107 NX2227HK 683821 IMRCEEO1B 128 83 0307-1601 40011045-105 NX2227HK 683821 IMRCEE01B 138 83 0307-1601 40011045-106 NX2227HK 683821 1MRCEEOIB 133 84 0307-1601 40011045-117 NX2227HK 683821 1MRCEEO1B 144 85 0307-1601 40011045-99 NX2227HK 683821 1MRCEEO1B 148 85 0307-1601 40011045-113 NX2227HK 683821 IMRCEEOIB 117 86 0307-1601 40011045-110 NX2227HK 683821 IMRCEEOIB 44 87 0307-1601 40011045-191 NX2227HK 683821 1MRCEEOIB 122 87 0307-1601 40011045-97 NX2227HK 683821 1MRCEE01B 144 87 0307-1601 40011045-119 NX2227HK 683821 IMRCEE01B 148 87 0307-1601 40011045-120 NX2227HK 683821 IMRCEEO1B 141 88 0307-1601 40011045-109 NX2227HK 683821 IMRCEEOIB 46 89 0307-1601 40011045-170 NX2227HK 683821 IMRCEEOIB 144 89 0307-1601 40011045-115 NX2227HK 683821 IMRCEEOIB 81 90 0307-1601 40011045-131 NX2227HK 683821 1MRCEEOIB 137 90 0307-1601 40011045-112 NX2227HK 683821 1MRCEEOIB 120 91 0307-1601 40011045-111 NX2227HK 683821 IMRCEE01B 148 91 0307-1601 40011045-141 NX2227HK 683821 IMRCEEOIB 147 92 0307-1601 40011045-98 NX2227HK 683821 1MRCEE01B 96 95 0307-1601 4001.1045-121 NX2227HK 683821 Page 3 of 5
DFWO 2458004 STEAM GENERATOR 1MRCEE01B "COLD LEG" DIWO 2458023 1MRCEEOIB 122 95 0307-1601 40011045-100 NX2227HK 683821 IMRCEEOIB 138 95 0307-1601 40011045-118 NX2227HK 683821 IMRCEEO1B 96 97 0307-1601 40011045-143 NX2227HK 683821 IMRCEEOIB 132 97 0307-1601 40011045-114 NX2227HK 683821 IMRCEEOIB 138 97 0307-1601 40011045-116 NX2227HK 683821 IMRCEEOIB 141 98 0307-1601 40011045-140 NX2227HK 683821 1MRCEE01B 130 99 0307-1601 40011045-142 NX2227HK 683821 1MRCEEOIB 138 99 0307-1601 40011045-128 NX2227HK 683821 IMRCEEO1B 148 99 0307-1601 40011045-193 NX2227HK 683821 1MRCEEOIB 109 100 0307-1601 40011045-130 NX2227HK 683821 IMRCEEOIB 135 102 0307-1601 40011045-124 NX2227HK 683821 IMRCEE01B 132 103 0307-1601 40011045-125 NX2227HK 683821 IMRCEEOIB 132 105 0307-1601 40011045-139 NX2227HK 683821 IMRCEE01B 140 105 0307-1601 40011045-138 NX2227HK 683821 IMRCEEOIB 144 105 0307-1601 40011047-6 NX2227HK 691280 IMRCEEOIB 51 106 0307-1601 40011045-196 NX2227HK 683821 IMRCEEOBB 64 107 0307-1601 40011045-154 NX2227HK 683821 1MRCEE01B 70 109 0307-1601 40011045-155 NX2227HK 683821 IMRCEEOIB 45 110 0307-1601 40011045-171 NX2227HK 683821 IMRCEEOIB 51 110 0307-1601 40011045-188 NX2227HK 683821 IMRCEEOIB 69 110 0307-1601 40011045-156 NX2227HK 683821 IMRCEE01B 141 110 0307-1601 40011045-195 NX2227HK 683821 1MRCEEOIB 40 111 0307-1601 40011045-173 NX2227HK 683821 IMRCEEOIB 54 111 0307-1601 40011045-185 NX2227HK 683821 IMRCEEOIB 66 111 0307-1601 40011045-159 NX2227HK 683821 1 MRCEE01 B 70 111 0307-1601 40011045-149 NX2227HK 683821 1MRCEEOIB 53 112 0307-1601 40011045-184 NX2227HK 683821 1MRCEEOIB 60 113 0307-1601 40011045-145 NX2227HK 683821.
1 MRCEEOI B 64 113 0307-1601 40011045-192 NX2227HK 683821 1MRCEE01B 122 113 0307-1601 40011045-123 NX2227HK 683821 1 MRCEE01 B 53 114 0307-1601 40011045-187 NX2227HK 683821 1 MRCEE01 B 97 114 0307-1601 40011045-134 NX2227HK 683821 1 MRCEE01 B 117 114 0307-1601 40011045-129 NX2227HK 683821 IMRCEEOn B 100 115 0307-1601 40011045-176 NX2227HK 683821 1MRCEEOI1B 144 115 0307-1601 40011047-45 NX2227HK 691280 IMRCEEOIB 48 117 0307-1601 40011045-169 NX2227HK 683821 IMRCEEOIB 62 119 0307-1601 40011045-181 NX2227HK 683821 IMRCEE01B 33 120 0307-1601 40011045-172 NX2227HK 683821 1MRCEE01B 64 121 0307-1601 40011045-186 NX2227HK 683821 1MRCEEOIB 45 124 0307-1601 40011045-175 NX2227HK 683821 1MRCEEOIB 129 124 0307-1601 40011047-41 NX2227HK 691280 1MRCEEOiB 137 124 0307-1601 40011047-40 NX2227HK 691280 IMRCEEOIB 50 125 0307-1601 40011045-174 NX2227HK 683821 1MRCEEOIB 60 125 0307-1601 40011045-189 NX2227HK 683821 1MRCEE01B 122 125 0307-1601 40011047-39 NX2227HK 691280 1MRCEEOIB 130 127 0307-1601 40011047-38 NX2227HK 691280 1MRCEEOIB 91 130 0307-1601 40011045-198 NX2227HK 683821 1MRCEEOIB 95 130 0307-1601 40011047-4 NX2227HK 691280 1MRCEEO1B 133 130 0307-1601 40011047-44 NX2227HK 691280 1MRCEEOIB 135 130 0307-1601 40011045-199 NX2227HK 683821 IMRCEE01B 122 131 0307-1601 40011047-8 NX2227HK 691280 Page 4 of 5
DFWO 2458004 STEAM GENERATOR 1MRCEE01B "COLD LEG" DIWO 2458023 IMRCEEOIB 75 132 0307-1601 40011045-178 NX2227HK 683821 IMRCEEO1B 142 133 0307-1601 40011047-5 NX2227HK 691280 IMRCEE01B 27 136 0307-1601 40011045-200 NX2227HK 683821 1MRCEE01B 117 136 0307-1601 40011045-197 NX2227HK 683821 I1MRCEEO1B 142 137 0307-1601 40011047-1 NX2227HK 691260 IMRCEE01B 95 138 0307-1601 40011047-7 NX2227HK 691280 IMRCEE01 B 104 141 0307-1601 40011047-71 NX2227HK 691280 1IMRCEE01B 110 141 0307-1601 40011047-2 NX2227HK 691280 1MRCEEO1B 133 142 0307-1601 40011047-3 NX2227HK 691280 1MRCEE01B 60 145 0307-1601 40011047-75 NX2227HK 691280 1MRCEEOIB 122 145 0307-1601 40011047-79 NX2227HK 691280 1MRCEE01B 121 146 0307-1601 40011047-43 NX2227HK 691280 IMRCEEOIB 60 147 0307-1601 40011047-76 NX2227HK 691280 1MRCEE01B 131 148 0307-1601 40011047-10 NX2227HK 691280 1MRCEEOIB 61 150 0307-1601 40011047-47 NX2227HK 691280 1MRCEEO1B 51 152 0307-1601 40011047-68 NX2227HK 691280 IMRCEEOIB 122 153 0307-1601 40011047-70 NX2227HK 691280 1MRCEE01B 121 154 0307-1601 40011047-48 NX2227HK 691280 1MRCEEOIB 60 155 0307-1601 40011047-67 NX2227HK 691280 IMRCEEOIB 76 155 0307-1601 40011047-69 NX2227HK 691280 IMRCEEO1B 87 156 0307-1601 40011047-74 NX2227HK 691280 IMRCEE01B 115 158 0307-1601 40011047-42 NX2227HK 691280 1MRCEE01B 58 159 0307-1601 40011047-77 NX2227HK 691280 IMRCEE01B 60 159 0307-1601 40011047-73 NX2227HK 691280 IMRCEEOIB 90 159 0307-1601 40011047-46 NX2227HK 691280 IMRCEEOIB 70 161 0307-1601 40011047-78 NX2227HK 691280 IMRCEE01B 54 163 0307-1601 40011045-180 NX2227HK 683821 1MRCEE01 B 49 164 0307-1601 40011047-72 NX2227HK 691280 1 MRCEE01 B 32 177 0307-1601 40011045-183 NX2227HK 683821 IMRCEEOIB 25 178 0307-1601 40011045-194 NX2227HK 683821 IMRCEE0IB 64 181 0307-1601 40011045-11 NX2227HK 683821 1MRCEE01B 12 189 0307-1601 40011047-9 NX2227HK 691280 Page 5 of 5
ASME SECTIONXI - REPAIR i REPLACEMENT 1j. Component ID 1PSGEL002
- 2. Code Class ASIE Section Mll Class 2 Item
Description:
Main Steam Feedwater SG# 1
- 4. N-5 Data Package Number: 1800!-1
- 5. W.O. Number. 2458123
- 6. Original Construction Code Edition:
1974 Edition;.Summer 1975 Addenda
- 7. Original Installation Code Edition:
1974 Edition, Winter 1975 Addenda
- 8. Work
Description:
Replace a section of 14" pipe and fittings on line 1PSGELO02 with > 0.1% Chrome content materials.
Ref. 01-P-SGF-119.
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150.
04 L '4-rnv'i el~y Tn 0,-~
+PC3
-C&'
x
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
ASME Section III Class 2, 1974 w/Winter-1975,
- 13. Repair/Replacement Activity Construction Code/Edition:
ASME Section EIl Class 2. 1974 w/Winter 1975"
- 14. ASME Section XI Code/Edition:
1992 Edition. 1992 Addenda
- 15. Preservice on Required:
YES NO Initial r
Date 4-If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
[
YES 0
NO Initial Date
/
If required, include a step in the W.O. for ISI & ANII Inspection.
ID
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date 42 component.
- 18. Include a step-in the W.O. to record below all applicable numbers for repaired o Initial Date replacement items.
Item ID Part No.
Serial No.
Heat No.
Ml/ROS No.
14" Pipe SA 333 Gr. 6 APN 00070175 N/A cr 7
Z, 14", 900 Elbow SA 420 Cyr.
"PN 0000173 NIA(.PII3 W P L 6
- 19. Planner Printed Name:
/es7t,~
L
--Sigat
.ate
- a. /7IV Printed Name:
T Signamr Date
- 21. ANDI
~
Printed Name:
Q.~~(To Sip'ý Dafte
- r MP4=7 rV-Z"Wj V= a
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner. Arizona Public Service Company. et. al.:,
P. 0. Box 53999, Phoenix Arizona 8507242034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersbura Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 06/06/2002 Sheet:
16 of 2 Unit: I Work Order Number 2458123 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: Main Steam Feedwater
- 5. (a) Applicable Construction Code ASME Section III NC. Class 2 1974 Edition, Summer 1975 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition. 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or NO)
SG Feedwater N/A N/A N/A 1PSGEL002 2002 Replacement NO Pipe Spool S011
- 7. escito fWr:Rnaeascino 4 ieadftig nln PGLO ih>01 hoecnetmtras
- 7. Description of Work: Replace a section of 14"pipe and fittings on line 1PSCAEL002 with > 0.1% Chrome content materials.
Ref. 01-P-SGF-119.
- 8. Test Conducted: Hydrostatic Q Pneumatic 0 Nominal Operating Pressure 0]
Exempt 0]
N-416-1 Z Other []
Pressure _
psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 81/2 X 11 I
inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
I
ASME SECTION XI - REPAIR / REPLACEMENT
- 1. Component ID IPS 005
- 2. Code Class ASME Section IEI Class 2
- 3. Item
Description:
Main Steam Feedwater SQ# 2
- 4. N-5 Data Package Number: ISG02-1
- 5. W.O. Number. 2458128
- 6. Original Construction Code Edition:
1974 Edition. Summer 1975 Addenda
- 7. Original Installation Code Edition:
1974 Edition, Winter 1975 Addenda
- 8. Work
Description:
Repiace the 24" x 16" and 16" x 14" reducers and associated piping on line O1PSGELO05 with > 0.1%
Chrome content materials. Ref. 01-P-SGF-119.
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
- 11. Repair/Replacement Work Organization:
Arizona Public Service juwcr
- 12. Replacement Items Construction or reconciled. Code/Edition:
ASME Section MI Class 2.1974 w5VInter1975 *
- 13. Repair/Replacement Activity Construction Code/Edition:
ASME Section III Class 2. 1974 w/Wimter 1975 4
- 14. ASME Section XI Code/Editiorn 1992 Edition, 1992 Addenda
- 15. Preservice Inspection Required:
0 YES 0 NO Initial ~(~.Date 4t.
If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
0 YES El NO Initial.__L Date -
If required, include a step in the W.O. for ISI & ANII Inspection.
Ita
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the initial Date 2-component
//18.
Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date replacement items.
Item ID Part No.
Serial No.
Heat No.
MTROS No.
24" Pipe SA 106 Gr. C APN 00070177 N/A I
"7 (0
/'44(01l 24" x 16" Reducer SA 234 Gr.
APN 00066490 N/A 16" x14" Reducer SA 234 Gr.
APN 00070172 N/A G
WPC 16"PipeSA 106Gr. C APN 00070176 N/A W. 0 -i3
- 19. Planner PrintedName:
- 20. SI_
PrinteName)
Signawi~Date
- 21.
AN TI Printed Name:
O S R t st
-Da=
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by-Arizona Public Service Date:
606WD02 Sheet:
1 of 2 Unit: I Work Order Number 2458128 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: Main Steam Feedwater
- 5. (a) Applicable Construction Code ASME Section II NC. Class 2 1274 Edition, Summer 1975 Addenda. -
Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replace*pent Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or NO)
SG Feedwater N/A N/A N/A IPSGEL005 2002 Replacement NO Pipe Spool SOIl SG Feedwater N/A NIA N/A IPSGEL005 2002 Replacement NO Pipe Spool S010
- 7. Description of Work: Replace replace the 24" x 16" and 16" x 14" reducers and associated piping on line O1PSGEL005 with > 0.1% Chrome content materials. Ref. 01-P-SGF-119.
- 8. Test Conducted: Hydrostatic '
Pneumatic 0 Nominal Operating Pressure 0 Exempt 0 N-416-1 0 Other 0 Pressure
!2.PI Test Temperature Rd_ cF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 VX 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
-I
FORM NIS-2 (Back)
).
Remarks: Replace the 24" x 16" and 16" x 14" reducers and associated pipiwg on line 01PSG O with > 0.1%
Chrome content materials LAW work order 2458128. Ref. 01-P-SGF-119.
CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of
,-M-ozi 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 property damage or a loss of any kind arising from or connected with this inspection.
Commissions: NB 9685 "N" "T' AZ264 Nationa Board, Sta=e, Province, ad Endorsmwts Date:
,,-,qo.
I-PV-E0092 ver. 7 Back 73DP-97Z17 Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section X1 N/A Type Code Symbol Stamp Expiration Date:
NIA N/A Certificate of Authorization No.
Signpd-I lA/
P1
,jiA9-i/t9 Date:
-- 'dwnr i Owner's Designe, 'hUe Date:
1_45/,6 2,a 1
"1 w.bM*"
73DP-=17 PV-EO092 Vr. 7 Bc
-1 ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MRIROS NO.
1SG348HOOE N/A
/CP) 300 N/A N/A
- 19. Planner Print Name David Goodlet Signature Date V0. ISI Engineer IO//"S/EoZ Print Name Abt'i 0Ctv.
SigntureDate
- 21. ANII 10,-S-o.2 Print Name Robert Hoestm
-s1naUre Date rv-tiAJ~VOL 5
o09-tfam "ASME SECTION XI - REPAIR/REPLACEMENT
- 1. Component ID ISG348HOOE
- 2. Code Class SECTION M"1 Subsection NF Class 2
- 3. Item Description 1/4 KIP SNUBBER
- 4. N-5 Package Number ISG02-6
- 5. W.O. Number 2458175
- 6. Original Construction Code Edition 1974 EDITION THRU WI*TER 1975 ADDENDA
- 7. Original Installation Code Edition 1974 EDITION THRU WINTER 1975 ADDENDA
- 8. Work Description Replace Snubber
- 10. Evaluation of the suitability of this work as per the requirements of IAW-4150.
This snubber failed functional test, not a pressure boundery item. This is a like for like replacement
- 11. Repair/Replacement Work Organization APS
- 12. Replacement Item Construction or reconciled Code/Edition 1974 EDITON T-HRU WINTER 1975 ADDENDA
- 13. Repair/Replacement Activity Construction Code/Edition 1974 EDITION THRU WINTER 1975 ADDENDA
- 14. ASME Section XI Code/Edition 1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required.
C] YES El NO
-l bP.of-P,2 If required, Include a step in the W.O. to perform Preservice Inspection.
Initil Date
- 16. ASME Section XI Pressure Test Required Ci YES ID NO
_or'
/ Ap-X-O'.*d If required, Include a step in the W.O. for ISI & ANII Inspection.
- 17. Include a step In the W.O. to complete NIS-2 Form prior to releasing the component.
RnFaW Date
-7& 4'
/, -.r-o&.
- 18. Include a step In the W.O. to record below all applicable numbers for repaired or Date replacement Items.
r"4=1I 7
I Pv-"
VW. 8
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xi
- 1. Owner Arizona Public Service Comoanv. et. al.
.Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Address
- 2. Plant Palo Verde Nuclear Generating Station Name 5801 S Wintersbur* Rd.. Tononah. Arizona 85354-7529 Ad.. ess
- 3. Work Performed by Arizona Public Service Name 5801 S Wintersburg Road, Tonopah Arizona 853 Date 10/04/02 Sheet 1
of 2
Unit 1
2458175 Type Code Symbol Stamp None Authorization No.
N/A 54-752 Expiration Date N/A A*OmSS
- 4. Identification of System "SG" Steam Generator S. (a) Applicable Construction Code Subsect NF Class 2 19 74 Edition, W'75
- Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASMECode or Stamped Item Manufacturer Serial No. Board No. Identification Built Replacement es or No) 1/4 Kip Snubber Pacific Scientific 18138 N/A ISG348HOOE 81 Replacement Yes
- 7. Description of Work Snubber Replacement (No Welding)
- 8. Test Conducted:
Pneumatic Q Nomina Other [
Pressure I Operating Pressure Q Exempt 21 N-416-1 [
psi Test Temp.
OF NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size is 8 112 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.
PVEOO92r. 5 7aOP4U17 PV-E0092Vet 6 73DP-=Z17 Name
FORM NIS-2 (Back)
- 9. Remarks WO#2458175 Removed snubber Serial number 3919 and replaced it with serial number 18138 PV-E0092 Var. 6 BASK 730P-9ZZ17 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.
ireir or recent Type Code Symbol Stamp
/
Certificate of Authorization No.
Expiration Date Signed IJ r
1' C.J&)ate OwnerorOwners DbsTgnes, TRW CERTIFICATE OF INSERVICE 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 Arizona and employed by HSBI & I CO.
of Hartford. Connecticut
, have Inspected the components described In this Owner's Report during the period
,* -*-oz to 1o -'r-oZ
, 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 connected with this Inspection..
Commissions
^.36,&S9 4
"T Ax 24, Nationai Board, State, Province. end Endorsements 5-"s~nfr 1o-7-o4Z Date t i PV-EO092 Ver. 6 R 73OP-=Z17
SPa~e of
'. Component ID ISI139H007
- 2. Code Class ASME Section IH Subsection NF Class 3 Item
Description:
IKim Snubber
- 4. N-5 Data Package Number:. ICH08-1
- 5. W.O. Number. 2458196
- 6. Original Construction Code Edition:
1974 Edition, Winter 1976 Addenda
- 7. Original Installation Code Edition:
1974 Edition, Winter 1975 Addenda
- 8. Work
Description:
Replace Snubber
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Not a failure. Replaced snubber for precautionary measures. This is a like-for-like replacement.
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. MI NP Cl 3. 1974 Edition, Winter 1976 Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. III NF Cl 3. 1974 Edition, Winter 1975 Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
E' YES
[
NO Initial Date J(
I 1*
Z.,
If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XY Pressure Test Required:
El YES
[
NO nitial Date iP
/,.° z"
If required, include a step in the W.O. for ISI & ANHI Inspection.
t
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial P'
Date component.
"18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial rLt L
Date replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/PO/WO No.
ISI139H007 1801102-05 22713 n/a WO 2458196
- 19. Planner
$P -IoP 9ýM Printed Name: David Goodlet Signature Date
- 20. ISI 10 Printed Name:
Spt \\jDate*
'1l. ANI IL
""to.-k.-oZ
' Printed Name:
°'-*
signar Date PV4W9 Var. 7 7Igna pI N
I3DPIlI7
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS I
O.M As Required by the Provisions of the ASME Code Section XI i
'I' I
rr III i I
- 1. Owner:. Arizona Public Service Company. et. al.
P. 0. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 10-16-2002 Sheet:
1 of 2 Unit: 1 Work Order Number 2458196 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: SI: Safety Iniection.
- 5. (a) Applicable Construction Code ASME Section III NF, Class 3 1974 Edition, Winter 1976 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or NO) 1Kip Snubber Pacific Scientific 22713 n/a 1S1139H007 1982 Replacement YES L
I I-I t
I.
I.
I.
I.
t L
I I
I t-
t L
I I
I t
L I ________L
- z.
1
.1
- 7. Description of Worlc Replaced Snubber, no welding.
- 8. Test Conducted: Hydrostatic [-
Pneumatic El Other []
Pressure
_ psi Nominal Operating Pressure [I Exempt ED Test Temperature N-416-1 0 OF INOTE: Supplemental sheets in form of lists, sketches, ordrawings maybe used provided (1) size is 8 %X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
"Remarks: W0# 2458196 removed snubber sin 6880 and installed s/n 22713.
CERTIFICATE OF INSERVICE INSPECTION
.1, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of
__-,_-o_
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 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 connected with this inspection.
nspcctors signature Date:.
o-C. -o.2 Commissions: NB 9685 "N" ""' AZ264 National Board, State. Provinme, and Enda=s ts
- .--EO92 Ver. 7 Back Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XL N/A I Type Code Symbol Stamp Certificate of Authorization No.
N/A Expiration Date:
N/A Signed:
C ZjN5)
Ow.O Date:
rit*
o wff O w nr D csigl ce
-1tI 7flP.Q7217
ASME SECTION XI - REPAIR / REPLACEMENT
,Page of
- 1. Component ID 1PCHNV471
- 2. Code Class ASME Seceon I Class 3
- 3. Item
Description:
3" Bore Warner 300# swine check valve
- 4. N-S Data Package Number: ICHI2-1
- 5. W.O. Number: 2458786
- 6. Original Construction Code Edition:
1971 Edition, Winter 1973 Addenda
- 7. Original Installation Code Edition:
1974 Edition, Winter 1975 Addenda
- 8. Work
Description:
Inspection of valve iaw check valve program.
- 9. []
lSI Faw NDE Method of Flaw Detection:
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No pressure boundary failure. A bonnet nut is being replaced with a replacement spare.
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition: Sec I Cl 3. 1971 Edition Winter 1973 Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. Ill Cl 3. 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
0 YES
[] NO Initial Date A
-rZ-A6" If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
0 YES M
NO
&nta Date Oei r~r
_Z=
fetr'lIle--RPtTe
'Y-~lT£
°
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial
. Date.g'7""A*L component.
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/PO/WO No.
Bonnet Nut N/A N/A 41039 MR 689249
- 19. Planner
-/I'f'"Z.
Printed Name: David Goodlet Signature Date
- 20. 1 -
printed Name:
IZI "Signature
-ate
- 21. ANII H
}
Printed Name: Robert Howstrom Signa Date n'.J I
'v. 7 w
-1
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner. Arizona Public Service Company. et. al.
P. O. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by:. Arizona Public Service Date: 10-07-2002 Sheet:
I of 2 Unit 1 Work Order Number 2458786 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: CH: Chemical & Volumn Control System
- 5. (a) Applicable Construction Code ASME Section TIT ND. Cla.~s 3 1971 Fdition, Winter 1973 Addenda, (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Code Case Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or NO)
Bonnet Nut n/a n/a n/a IPCHNV471 2002 Replacement NO
- 7. Description of Work-Inspection of valve IPCHNV471 jaw check valve program.
- 8. Test Conducted: Hydrostatic C]
Pneumatic E]
Nominal Operating Pressure [I Exempt [
N-416-1 0 Other [
Pressure psi Test Temperature NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 12 X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: WO# 2458786 for valve 1PCHNV47I will replace I bonnet nut.
Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.
Type Code Symbol Stamp Certificate of Authorization No.
N/A Expirafion Date:
N/A Signed:51 -4*-AN?
I__
Date:
10
- 2I II CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford, Connecticut hv inspected the components described in this Owner's report during the period of
,-O.
to 1o -I -oZ
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures descnibed 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 or a loss of any kind arising from or connected with this inspection.
N/A "hns cct Signature Commissions: NB 9685 "N" "P' AZ264 National Board, State, Province, and Endorsements U-PV-E0092 Vet. 7 Back 73DP-9ZZ17 Date:
iO -i-1o-C6 PV-E0092 Ver. 7 Back 73DP-9ZZ17
ASME SECTION XI - REPAIR / REPLACEMENT Page _
of
- 1. Component ID IJCHNPSVO345
- 2. Code Class
- 3. Item
Description:
Crosby relief valve
- 4. N-5 Data Package Number: 1CHI3-1
- 5. W.O. Numbc
- 6. Original Construction Code Edition:
1974 Edition, Summer 1976 Addenda
- 7. Original Installation Code Edition:
1974 Edition, Winter 1975 Addenda
- 8. Work
Description:
Remove valve and test iaw with site program.
- 9. 0 ISI Flaw NDE Method of Flaw ASME Section III Class 2
-r: 2460315 Detection:
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Not a pressure boundary failure. Valve is being reolaced due to not lifting at required set pressure.
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 2. 1974 Edition 1976 Summer Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
See. M Cl 2. 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
0 YES 0 NO Initial -
"Q5 Date )o0 -
If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
0 YES 0
NO Initial Date
/
- j,.
If required'finclude a step in the W.O. for ISI & ANI Inspection.
- 17. Include-a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date /40J-
-02.
component.
Initial AWE'-- Date LO -/. -.024
- 18. -Include a step in the W.O. to record below all applicable numbers for repaired or replacement items.
Item ID Part No.
Serial No.
Heat No.
MRIPO/WO No.
1JCHNPSVO345 n/a N61149- 009-3--
n/a W-4-35(M7 6JI)0-01-&D A-1, A~9O9
- 19. Planner J1A0 Signature 20.SI
,Z
\\,_
- 21. ANTI Signature Date Date Signatkje Date Printed Name: David Goodlet Printed Name:
/Z-L Printed Name:
(Z.
4.4-941MoK PV-E0093 Vf. 7 73DP-4=17 i
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
--,,-Owner: Arizona Public Service Company, et. al.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generatine Station 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 10-11-2002 Sheet:
I of 2 Unit: 1 Work Order Number 2460315 Type of Code Stamp None Authorization No. N/A Expiration Date NIA
- 4. Identification of System: CH: Chemical and Volumn Control System
- 5. (a) Applicable Construction Code ASME Section mI NC. Class 2 1974 Edition, Summer 1976 Addenda, _.
Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition. 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components V
V V
Name of Manufacture Manufacturer Serial No.
National Board No.
Other Identification Year Built Repaired or Replacement Valve Crosby -
N6118001-n/a 1JCHNPSV-1991 Replacement YES 0009 0345
- 7. Description of Work: Installed spare valve due to existing valve not passing set pressure test.
- 8. Test Conducted: Hydrostatic El Pneumatic -]
Nominal Operating Pressure (D Exempt El N-416-1 El Other []
Pressure _
psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
I P.-
Name of Item ASME Code Stamped (Yes or NO) 1
FORM NIS-2 (Back)
Remarks: Valve 1JCHNPSV0345 was re laced with spare under wo# 2460315 due to failure of set pressure testin.
Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of Authorization No.
N/A Expiration Date:
N/A Signed:
6Zý
ý 4
,T
.:1 r
Date:
/
VO Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of to 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 requiretpents 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 connected with this inspection.
Commissions: NB 9685 "N" "I" AZ264 National Board. State, Province, and Endorsements Inspectors Signature:
Date:
i8-Ztoz.
-73DP-9Z-17 I
- "PV-E0092 Ver. 7 Back
\\
ASME SECTION XI - REPAIR / REPLACEMENT
- 1. Component IDI P AL004 TPJbk
- 2. Code lass ASMvE Secton, M Class 3 Item
Description:
DG JACKET WA MAKE-UP N-5 Data Package Number: IDW03-1
- 5. W.O. Number 2467856
- 6. Original Construction Code Edition:
1974 Edition, Winter 1975 Addenda
- 7. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 8. Work
Description:
Modify line IPDGAL004 and replace valve lJDGAUV001 with a manual operated globe valve IPDGAV063 vpr DMWO 220055. Ref. EDC 2002-0097.
Report Number.
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
- F-f<,,,**,
4p.-- *"LL4N'?"f-'y *.,,*o.
S,.
- _0 _.c -f-',*'
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
ASME Section MII Class 3. 1974 w/Winter 1975
- 13. Repair/Replacement Activity Construction Code/Edition:
ASME Section MIT Class 3. 1974 w/Winter 1975
- 14. ASME Section XI Code/Edition:
1992 Edition, 1992 Addenda
- 15. Preservice pection Required:
0 YES 0 NO Initial Date I required, include a step in the W.O. to perform Preservice Inspection
- 16. ASMESectipn XI Pressure Test Required:
0 YES 0 NO i'tial Date If required, include a step in the W.O. for ISI & ANI Inspection.
- i
./_/"
_17.
Include a step in the W.O. to complete NIS-2 Form prior to releasir Initial 9Date
£%V--
component.
_ /I//
4
- 18. Include a step in the W.O. to record below all applicable numbers Initial,
Date replacement items.
Ig the or repaired or Item ID Part No.
Serial No.
Heat No.
MRIROS No.
FLANGE APN 43580509 N/A IC= 9114S<A.Q 65A PIPE APN 43510409 NIA VALVE APN 45000258 N/A
____4_
__0
__s
___g Ap/ L-soosc j
141AP
-A 7(0B 611-29ak-ilb (AN1S.b AN ee4:3lawqd NIA N'IA____
ANJ
~
1j1j;)
19 Paner&6L Printed Name:
~
,~
- 20. ISI______________
Printed Name:
FR1
-. ýOAf>
Signamur Dame Al. ANn
--.-- ot Printed Name:
'" 6.&'ro.*
Sign
.Dat" I
1II IlI i
liI k
I PV.EWM Va. 6
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section MI
- i. Owner: Arizona Public Service Company, et. al.
P. O. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersbur= Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 06/1020 Sheet I of 2 Unit: I Work Order Number 2467856 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System:
- 5. (a) Applicable Construction Code ASME Section IlI ND Class 3 1974 Edition, Winter 1975 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or NO)
Jacket Water Target Rock 3 (2SMH-S3)
N/A lJDGAUV001 1978 Replacement YES Make-up Valve Jacket Water N/A N/A N/A IPDOAL004 2002 Replacement.
No Make-up line 4
6
.5 4
S S
I
.1
.3
.3
.3
- 4.
- 4.
4.
3
£ A ______
L ________
L I.
- 7. Description of Work: Modif line 1PDGAL004 and replace valve IJDGAUV001 with a manual operated glbbe valve 1PDGAV063 ner DMWO 220055.
- 8. Test Conducted: Hydrostatic El Pneumatic El Other El Pressure psi Nominal Operating Pressure CK Exempt El N-416-1,).
Test Temperature OF I #(
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
I I
]
FORM NIS-2 (Back)
". Remarks: Modify line 1PDGAL004 and relplace valve lJDGAUV001 with.a manual operated -lobe valve 1PDGAV063 I
er DMWO 220055. Ref. EDC 2002-4097.
Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XL Type Code Symbol Stamp NIA Certificate of Authorization No.
Signed:
N/A Expiration Date:
N/A re,.
Date:
10/ ZO Z Owner or Owne's Designee, Wide CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of
-o*
to R0
, 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 connected with this inspection.
inspectors sigature Commissions: NB 9685 "N" "T' AZ264 National Board. State, Province, and Endormeents Date:
U.-
VIE" V.7IcII I
J 73DP-9217 PV-E,0092 Vir. 7 Back
I ASME SECTON X1 - REPAIR / REPLACEMENT j I.-
Component ID 'Q LQI 4M
- 2. Code Class-ASUM Secton III Class 3
~.Item
Description:
DO AC TWTE AKE-UP
'4. N-5 Data Package Number. IDW03-1
- 5. W.O. Number 246790
- 6. Original Construction Code Edition:
1974 Edition. Winter 1975 Addenda
- 7. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 8. Work
Description:
Modify line IPDGBLO15 and ERelace valve IJDGBUTV002 with a manual go=_rted globe valve IPDGBV064 Me DMWO 220055. Ref. EDC 2002-0098.
- 9. 0 IS Flaw NDE Method of Flaw Detection:
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA -4150:
- 4ý
\\t;: v~e-
-ts eýc14 c-e.-
4-e fz'
&""'~(t
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
ASME Section III Class 3. 1974 wlWinter 1975
- 13. Repair/Replacement Activity Construction Code/Edition:
ASME Section M Class 3. 1974 w/Winter 1975
- 14. ASME Section MI Code/Eidition:
1992 Edition. 1992 Addenda
- 15. Preservice petion Required:
/
NO Initial :....Date 4k07=
If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section Y1 Pressure Test Required:
0 YES El NO Initial Date 49 If required, include a step in the W.O. for ISI & AMU Inspection.
Inital ate Z4Z
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasin Initial~
D ate W4d~~
component.
Lg the Initial 4-Date
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or replacement items.
Item ED Part No.
Serial No.
Heat No.
NMR/OS No.
RLANGE APN 43580509 N/A
&55.-x PIPE APN 43510409 NIA l)SSZ463 VALVE APN 4.500058 N/A 1A11-T4W'EP-ý (atum~s)
AP'.
'~
dotL NA:f c
APrP 4 1k 2 ac)I NIA rKWU.M
- 4.
.4.
ý6688 30 19.Plnne Printed Name: 009 jw.-Z 9!4iiP'.e
ý
ýIr7~
20.__
Printed Name:
1P L 4p P sigummDate 21._
Printed Name:-
e L..yx sig~wmDate FV4l.-a-VCAI
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Arizona Public Service Company. et. al.
Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Address
- 2. Plant Palo Verde Nuclear Generating Station Name 5801 S. W'mtersburg Rd., Tonopah, Arizona 85354-7529 Address
- 3. Work Performed by Arizona Public Service Co.
Name 5801 S. Wintersburg Rd., Tonopah, AZ 85354 Date 10/19/02 Sheet I
of 2
Unit 1
2467900 Work Order Number Type Code Symbol Stamp None Authorization No.
N/A Expiration Date NIA Address
- 4. Identification of System DG
- 5. (a) Applicable Construction Code AS1M Sect. IR Cl 3 19 74 Edition, W '75 Addenda, Code Case (b) Applicable Edition of Section X) Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code or Stamped4 Item Manufacturer Serial No. Board No. Identification Built Replacement (Yes or S
N)
Valve Kerotest ASG2-3 N/A 1PDGBV064
'91 Replacement Yes Line N/A N/A N/A 1PDGBL015
'02 Replacement No
- 7. Description of Work Modify line 1PDGBLO15 and replace valve 1JDGBUVO02 with 1PDGBV064.
- 8. Test Conducted:
Hydrostatic Q Pneumatic Q Nominal Operating Pressure (*
Exempt Q N-416-1 El Other Q Pressure psi Test Temp. _
F NOTEM Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size Is 8 1/2 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.
PV.EOoeZ r. 7 730P4ZZ17 PV-EU9 Vet. 7 73DP-gZZ17
FORM NIS-2 (Back)
- 9. Remarks: Modify line IPDGBLO15 and replace valve 1JDGBUVO02 with a manual operated globe valve IPDGBV064 per DMWO 220055. Ref. EDC 2002-0098.
Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.
N/A Type Code Symbol Stamp Expiration Date:
N/A N/A Certificate of Authorization No.
Date:
/Lf.z.
Signed:
Owner or Owner'" Designee, Title S 4 74gneeG4, 5,% SZ ve*
CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford, Connectiut, have inspected the components described in this Owner's report during the period of _
,_-e-___
to eo-'-.
. 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 property damage or a loss of any kind arising from or connected with this inspection.
Sirwr Commissions: NB 9685 "N" "1" AZ264 National Board. Statc. Province. and Endorsements Date:.
U.-
PV-E0092 Va. 7 Back 73DP-97217 I
73DP-9ZZ17 iFV-E0092 Va*. 7 Back
ASME SECTION XI - REPAIR/REPLACEMENT
- 1. Component ID IJSIBUVO631
- 2. Code Class 2
- 3. Item Description HOT LEG INECTION B CHECK VALVE LEAKOFF VALVE
- 4. N-5 Package Number IS102-1 S. W.O. Number 2470872
- 6. Original Construction Code Edition ASME SECT. I, CL 2 1974 EDITION S'75 ADD
- 7. Original Installation Code Edition ASME SECT. IM CL 2 1974 EDITION W'75 ADD
- 8. Work Description REPLACE THE PLUG TO CORRECT SEAT LEAKAGE.
- 10. Evaluation of the suitability of this work as per the requirements of IAW-4150.
- ?L!! -t 6'0D4"-,kcC4-vc ý f6ý
- 11. Repair/Replacement Work Organization ARIZONA PUBLIC SERVICE rY
- 12. Replacement Item Construction or reconciled Code/Edition ASME SECT. HI, CL 2 1974 EDMONYt75 ADD
.3. Repair/Replacement Activity Construction Code/Edition ASME SECT. II, CL 21974 EDITION VW75 ADD
- 15. Preservice Inspection Required.-/
YES
[
NO JD 06/11/02 If required, Include a step in the W.O. to perform Preservice Inspection.
-laW-t-e
- 16. ASME Section XI Pressure Test Required 0
YES f
NO JID 06/11/02 If required, Include a step in the W.O. for ISI & ANII Inspection.
k"ial oats JD 06/11/02
- 17. Include a step In the W.O. to complete NIS-2 Form prior to releasing the component.
GIOai Data JD 06/11/01
- 18. Include a step In the W.O. to record below all applicable numbers for repaired or Injal caw replacement Items.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MR/ROS NO.
- 19. Planner Print Name I*M L DAVIS 0-2-Pdnt Name i'*
j/'N-z
[)
- 21.
ANU
-m Print Name
ýk*(.WM4K 8W.".m Data
.73DP4=-.17 I*' G=O Var. 6
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xi
- 1. owner Arizona Public Service Cc~pany. et. a].
Name P.O. Box 53999. Phoenix. Arizona 85072-20"4 Adftessti
- 2. Plant Palo Verde Nuclear Generating Station Date Shee Unit 10/22/02 1
Of 2
1 Name 5801 S. Wintersbure Rd.. Tononah. Arizona 85354-7529 A....
- 3. Work Performed by Arizona Public Service Name 5801 S. Wintersburg Rd., Tonapah. Arizona 85354-7529 2470872 mj-,,.* PC
=I.=,
Type Code Symbol Stamp None Authorization No.
N/A Expiration Date N/A Address
- 4. Identification of System Safety bjection
- 5. (a) Applicable Construction Code ASME Sec M, Cl 2 1974 Edition, S75
- Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code or Stamesdro Item Manufacturer Serial No. Board No. Identification Built Replacement Yes Valve Fisher Contwls 6548723 4186 1JSIBUVO631 1979 Repaired Yes Bonnet nut Fisher Controls Ht# OE0947 N/A l$SIBUVO631 2002 Replacement No
- 7. Description of Work Replace the valve bonnet nut.
- 8. Test Conducted:
Hydrostatic E]
Pneumatic IQ Nominal Operating Pressure E3 Exempt [a N-416-1 Other Q Pressure_
psi Test Temp. _OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 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.
P.iVr 0
I PV-E0092 Ver. 7 73DP-OZE17
FORM NIS-2 (Back)
- 9. Remarks Work Order 2470872 replaced the bonnet nut lost during disassembly. There was no failure invovIed.
CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford. Connecticut
, have Inspected the components described in this Owner's Report during the period e.-M-o.._
to to-Z3-o0.2
, 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 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 connected with this inspection.
Commissions
"&.1tc"G A.- 2404.
National Board, State. Province. and Endorements inspedor's Signature Date I
Pv-Elg2 var.? BACK 73DP-QZZ17 i-.2~3-0Z CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code,Section XI.
mrpa or rep*,cment Type Code Symbol StampN Certificate of Authorization No.
N/A Expiration Date N/A Signed
>L4
,&-S):2, h!.uate 0
NIA UJ U
V
,,,j
- MJP-OZZt17 PV-EO092 Var. 7 BACK
ASME SECTION XI - REPAIRIREPLACEMENT
- 1. Component ID S/N - BS 08622
- 2. Code Class ASME III, CLASS 2
- 3. Item Description MAIN STEAM SAFETY VALVE; DRESSER - 3707RA-RT25 ; 1290 PSIG
- 4. N-5 Package Number t, /A.
- 5. W.O. Number 2511997
- 6. Original Construction Code Edition 1974 EDITION, SUMMER 1975 ADDENDA
- 7. Original Installation Code Edition 1974 EDITION, WINTER 1975 ADDENDA
- 8. Work Description Maintenance overhaul of safety valve. Code part replacement from spare valves or from approved purchased spare parts based upon inspection results.
- 9. C[ ISI Flaw NDE Method of Flaw Detection Report Number 10, Evaluation of the suitability of this work as per the requirements of IAW-4150.
No failure in the ASME Sec. UI1 boundary. The Disc replacement ihs6 enhince performance.
- 11. Repair/Replacement Work Organization NWS Technologes:
- 14. ASME Section XI Code/Edition 1992 EDITION AND 1992 ADDENDA
- 15. Preservice Inspection Required.
0 YES i*
NO DMG 06/03/02 If required, include a step in the W.O. to perform Preservice Inspection.
0itial DaTe 16 ASME Section Xl Pressure Test Required C] YES 1 No DMG 06/03/02 If required, include a step in theW.O. for ISI & ANII Inspection.
Initial Date DMG 06/03/02
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component Initial Date D'MG 06/03/02
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date replacement items.
ITEM LD.
PART NO.
SERIAL NO.
HEAT NO.
MR/ROS NO.
DISC 0OO v.4.*-90 O
45"F". A.999
?I55L.E (I9q-"1" PM532ObAI*
119. Planner
-4.02 'A Print Name David ode
- 20. ISI Engineer_ J?
/[
2--Print-Name Ramakant Indap
- 21. ANII
-t -oz.-
Print Name Robert Hogstrom
- Date, Pv-eooga Vw. 6 73DE'41T Ma/EO0M Vet. 6 73P-OM4TZ1
ASME SECTION X! - REPAIR/REPLACEMENT
- 1. Component ID S/N - BT-01672
- 2. Code Class ASME IH, CLASS 2
- 3. Item Description MAIN STEAM SAFETY VALVE; DRESSER - 3707RA-RT25 ; 1315 PSIG
- 4. N-5 Package Number
___._5.
W.O. Number 2511997
- 6. Original Construction Code Edition 1974 EDITION. SUMMER 1975 ADDENDA
- 7. Original Installation Code Edition 1974 EDITION. WINTER 1975 ADDENDA
- 8. Work Description Maintenance overhaul of safety valve. Code part replacement from spare valves or from approved purchased spare parts based upon inspection results.
10: Evaluation of the suitability of this work as per the requirements of IAW-4150.
No failure in the ASME Sec. m1 boundary. The Disc replacement is to enhkfice performance.
- 11. Repair/Replacement Work Organization NWS Technologies
- 12. Replacement Item Construction or reconciled Code/Edition ASME
, CLASS 2, 1974 ED., S'75 ADD.
- 13. Repair/Replacement Activity Construction Code/Edition ASM]E MI CLASS 2. 1974 ED., W'75 ADD.
- 14. ASME Section XI Code/Edition 1992 EDITION AND 1992 ADDENDA
- 15. Preservice Inspection Required.
[
YES
(* NO DMG 06/03/02 If required, Include a step in the W.O. to perform Preservice Inspection.
niaDate Ur ASME Section XI Pressure Test Required Q
YES ID NO DMG 06/03/02 If required, include a step in the W.O. for ISI& ANII Inspection.
MnitiaW Date DMG 06/03/02
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component Initial Date DMG 06/03/02
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date replacement items.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MR/ROS NO.
DISC 0AD a
all SP~
Fg&
- t.
owe4 AACP Bs-o856S
- 19. Planner
-/'L2 Print Name David Goodlet intre at
- 20. 151 Engineer_
C
-9/1678D 2-.
PrintNfnme Ramakant Indap j
signature Date PV-E0093 Ver 6 72OP41?
MOM00 Ver, 6 73JOP,.4Z7
ASME SECTION XI -REPAIR/REPLACEMENT
- 1. Component ID S/N - BT-01670
- 2. Code Class ASME M, CLASS 2
'31 Item Description MAIN STEAM SAFETY VALVE; DRESSER - 3707RA-T25 ; 1290 PSIG
- 4. N-5 Package Number I-A._
- 5. W.O. Numnber 2511997
- 6. Original Construction Code Edition 1974 EDITION. SUMMER 1975 ADDENDA
- 7. Original Installation Code Edition 1974 EDITION, WINTER 1975 ADDENDA
- 8. Work Description Maintenance overhaul of safety valve. Code part replacement from spare valves or from approved purchased spare parts based upon inspection results.
- 9. CISI Flaw NDE Method of Flaw Detection Report Number
- 10. Evaluation of the suitability of this work as per the requirements of IAW-4150.
No failure in the ASME Sec. Ill boundaiy. The Disc replacementis to &hance performance.
- 11. Repair/Replacement Work Organization NWS Technologies
- 14. ASME Section XI Code/Edtfion 1992 EDITION AND 1992 ADDENDA
- 15. Preservice Inspection Required.
1 YES I*
NO DMG 06/03/02 If required, Include a step in the W.O. to perform Preservice Inspection.
Inl~alDate
- 16. ASME Section XI Pressure Test Required C* YES
[*
NO DMG 06/03/02 If required, include a step In the W.O. for ISI & ANil Inspection.
Ifroal Date DMG 06/03/02
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
Initial Date DMG 06/03/02
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date replacement items.
ITEM L.D.
PART NO.
SERIAL NO.
HEAT NO.
MR/ROS NO.
DISC 00 64_____ b
~~~'
- 19. Planner 7"1-dO, Print Name David Goodlet "20, ISI Engineer
<A gh]PA 2,-Prtnt N~me Ramakant Indap Date S21.
ANII
'(d
-oe.
Print Name Robert Hogstrom
_f=
Dote PV-1009
~U~
i
,/-:,
730P-W.,(.17 FV-E0= Ver. 9
ASME SECTION XI - REPAIR/REPLACEMENT
- 1. Component ID S/N - BS08618
- 2. Code Class ASUE III, CLASS 2
- 3. Item Description MAIN STEAM SAFETY VALVE; DRESSER - 3707RA,-RT25 ; 1250 PSIG
- 4. N-5 Package Number I,'/"
- 5. W.O. Number 2511997
- 6. Original Construction Code Edition 1974 EDITION, SUMMER 1975 ADDENDA
- 7. Original Installation Code Edition 1974 EDITION, WINTER 1975 ADDENDA
- 8. Work Description Maintenance overhaul of safetPy valve. Code part-replacement from spare valves or from approved purchased spare parts based upon inspection results.
- 9. El ISI Flaw NDE Method of Flaw Detection Report Number 10: Evaluation of the suitability of this work as per the requirements of IAW-41 50.
No failure in the ASME Sec.III boundary. The Disc replacemeifltisto enhance performance.
- 11. Repair/Replacement Work Organization rNWS Technologies
- 14. ASME Section XI Code/Edition 1992 EDITION AND 1992 ADDENDA
- 15. Preservice Inspection Required.
Ci YES
[I NO DMG 06/03/02 If required, include a step in the W.O. to perform Preservice Inspection.
initial Date
- 16. ASME Section Xl Pressure Test Required
[i YES
[ i NO DMG 06/03/02 If required, include a step in the W.O. for ISI & ANII Inspection.
k" Date DMG 06/03/02
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
Inkw Date DMG 06/03/02
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date replacement items.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MRMROS NO.
DISC DOO(P SP Prin Name David Gooilet
- 20. ISI Engineer.*b2-k"/l2*
Print Niame RamakantIndap Syfla~m~JDate
- 21. ANII
, 1-',.
?-,G.-OL Print Name Robert Hogstrom Snature Date PV.E0093 Vw. 6 72OP417 7"JOP-0I2Z17 PV-E02 Va. 6I
ASME SECTION XI -REPAIRIREPLACEMENT
- 1. Component ID S/N - BS08634
- 2. Code Class ASME IM, CLASS 2
- 13. Item Description MAIN STEAM SAFETY VALVE; DRESSER - 3707RA-RT25; 1315 PSIG
- 4. N-5 Package Number _.__,
___"_5.
W.O. Number.2511997
- 6. Original Construction Code Edition 1974 EDITION, SUMMEGR 1975 ADDENDA
- 7. Original Installation Code Edition 1974 EDITION, WINTER 1975 ADDENDA
- 8. Work Description Maintenance overhaul of safety valve. Code part replacement from spare valves or from approved purchased spare parts based upon inspection results.
9.0 ISI Flaw NDE Method of Flaw Detection Report Number 10: Evaluation of the suitability of this work as per the requirements of IAW-4150.
No failure in the ASME Sec. M11 boundar*. The Disc replaceiieft is to biihance performance.
- 11. Repair/Replacement Work Organization NWS Technologies
"13. Repair/Replacement Activity Construction Code/Edition ASME tII CLASS 2, 1974 ED., W'75 ADD.
- 14. ASME Section Xl Code/Edition 1992 EDITION AND 1992 ADDENDA
- 15. Preservice Inspection Required.
0 YES ra NO DMG 06/03/02 If required, Include a step In the W.O. to perform Preservice Inspection.
Initial ate
- 16. ASME Section Xl Pressure Test Required C] YES I*
NO DMG 06/03/02 If required, include a step in the W.O. for ISI & ANII Inspection.
Initial Date DMG 06/03/02
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
Initial Date DMG 06103/02
- 18. Include a step In the W.O. to record below all applicable numbers for repaired or Initial Date replacement Items.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MR/ROS NO.
DISC 00(0r 4.9 b
-of 0*9
-3W
- 19. Planner 1
.f 7-,
A-,
Print Name David Goodlet "Signature v
Dafe P20.
ISI Engineer.
PrntNfme Ramakant Indap
- 21. ANII x
1-A.-oZ Print Name Robert Hogstrom ItkI I
Dale 4
Mp-D=.Z17 PzV-F.O Ver. 6I
ASME SECTION XI - REPAIR/REPLACEMENT
- 1. Component ID S/N - BS08608
- 2. Code Class ASME Ell, CLASS 2 tl. Item Description MAIN STEAM SAFETY VALVE; DRESSER - 3707RA-RT25; 1315 PSIG
- 4. N-5 Package Number
,_-_/A
- 5. W.O. Number 2511997
- 6. Original Construction Code Edition 1974 EDITION, SUMMER 1975 ADDENDA
- 7. Original Installation Code Edition 1974 EDITION, WINTER 1975 ADDENDA
- 8. Work Description Maintenance overhaul of safety valve. Code part replacement from spare valves or from approved purchased spare parts based upon inspection results.
9.0 ISI Flaw NDE Method of Flaw Detection Report Number....
10.' Evaluation of the suitability of this work as per the requirements of IAW-4150.
No failure in the ASME Sec. III boundaiý. The Disc replacement is t6 enhiice performance.
- 11. Repair/Replacement Work Organization NWS Technologies
- 14. ASME Section XI Code/Edition 1992 EDITION AND 1992 ADDENDA
- 15. Preservice Inspection Required.
[
YES
[*
NO DMG 06/03/02 If required, include a step in the W.O. to perform Preservice Inspection.
initial Date 1. ASME Section XI Pressure Test Required
[
YES
[I NO DMG 06/03/02 If required, include a step in the W.O. for ISI & ANII Inspection.
WWIn Date DMG 06/03/02
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component Inital Date DMG 06/03/02
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date replacement items.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MRIROS NO.
DISC (oooM40 A__o_______I
- 19. Planner
.0-,
-,1 -
Print NameDavid Goodlet sanat*e Date
- 20. ISI Engineer
- /,
Print Nime Ramakant Indap 01lgalure ADate
- 21. ANII M:.
Print Name Robert Hogstrom tu(n b~r Date PV.E0093 Var. S
?SDP4ZZI7 FVE0MVw. I 1r"D41W7
ASME SECTION XI - REPAIR/REPLACEMENT
- 1. Component ID S/N - BS08573
- 2. Code Class ASME Ill, CLASS 2
ý3. Item Description MAIN STEAM SAFETY VALVE; DRESSER,- 3707RA-RT25 ; 1290 PSIG
- 4. N-5 Package Number
- 5. W.O. Number 2511997
- 6. Original Construction Code Edition 1974 EDITION, SUMMER 1975 ADDENDA
- 7. Original Installation Code Edition 1974 EDITION, WINTER 1975 ADDENDA
- 8. Work Description Maintenance overhaul of safety valve. Code part replacement from spare valves or from approved purchased spare parts based upon inspection results.
- 9. Q ISI Flaw NDE Method of Raw Detection Report Number 10.' Evaluation of the suitability of this work as per the requirements of IAW-4150.
No failure in the ASME Sec. II boundaiy. The Disc replaci-eni is"W'inhliice performance.
- 11. Repair/Replacement Work Organization NWS Technologies
- 14. ASME Section Xl Code/Edition 1992 EDITION AND 1992 ADDENDA
- 15. Preservice Inspection Required.
[
YES
[* NO DMG 06/03/02 If required, Include a step In the W.O. to perform Preservice Inspection.
SDate
- 16. ASME Section XI Pressure Test Required C] YES El NO DMG 06/03/02 If required, include a step in the W.O. for ISI & ANII Inspection.
Inmalat Date DMG 06/03/02
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
"Initial Date DMG 06/03/02
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or WWI Date replacement Items.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MR/ROS NO.
DISC 006(p~429r-crd
-5?%Jt0Lz 4G5(*0oO_______
liq t93,45JA ftp B201l
- 19. Planner 7-1-0-40;t Print Name David Goodlet
- 20. ISI Engineer Print I~me Ramakant Intdap
- 21. ANII Print Name Robert Hogstrom ngnature D"te PV..EOO=
Ve. 6
44)a ASME SECTION XI-REPAIR/REPLACEMENT
- 1. Component ID S/N - BS08587
- 2. Code Class ASME IEl, CLASS 2
- 3. Item Description MAIN STEAM SAFETY VALVE; DRESSER-- 3707RA-RT25; 1315 PSIG
- 4. N-5 Package Number 1A,_-__"
- 5. W.O. Number 2511997
- 6. Original Construction Code Edition 1974 EDITION, SUMIvfR 1975 ADDENDA
- 7. Original Installation Code Edition 1974 EDTON, WINTER 1975 ADDENDA
- 8. Work Description Maintenance overhaul of safety valve. Code part replacement from spare valves or from approved purchased spare parts based upon inspection results.
- 9. Qi IS] Flaw NDE Method of Flaw Detection Report Number 10.' Evaluation of the suitability of this work as per the requirements of IAW-4150.
No failure in the ASME Sec. UI boufidary. The Disc replacement isto ;iance performance.
- 11. Repair/Replacement Work Organization NWS Technologies
- 14. ASME Section XI Code/EdItion 1992 EDITION AND 1992 ADDENDA
- 15. Preservice Inspection Required.
C YES
[*
NO DMG 06/03/02 If required, include a step in the W.O. to perform Preservice Inspection.
initial D
"16 ASME Section XI Pressure Test Required
- i.
YES
[*
NO DMG 06/03/02 If required, include a step in the W.O. for ISI & ANII Inspection.
InMtl Date DMG 06/03/02
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
Initial Date DMG 06/03/02
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date replacement items.
ITEM I.D.
PART NO.
I SERIAL NO.
HEAT NO.
MRIROS NO.
DISC oo(
9 Pj__
P-0 56t3-p 979 Q,
.t.-
- 19. Planner
_D-Q Print Name David Goodlet I
Signa
- Date,
- 20. ISI Engineer
' lV IC6
/l Print Name RamakantIndap l
iDa te 21 NI ri&Paznt Name RoetHato PV-E003 Vet 6 72Date1
?"WP410 7
PV..WMX Ver. 9I
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Arizona Public Service Company. et. al.
Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Addres
- 2. Plant Palo Verde Nuclear Generating Station Name 5801 S. W'mtersburg Rd., Tonopah, Arizona 85354-7529 Addmsa
- 3. Work Performed by NWS Technologies Name 131 Venture Bldg., Spartanburg, S.C., 29301
- 4. Identification of System SG - Main Steam Date 07/10W02 Sheet 1
of 3
Unit 1
WO# 2511997 Work Order Number Type Code Symbol Stamp None Authorization No.
N/A Expiration Date N/A S. (a) Applicable Construction Code ASMEImIClass2 1974 Edition, S75 Addenda, 1711 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASMECode Item Manufacturer Serial No.
Board No. Identification B or Stamped Item_____
Manuacturer Seria No.Board No.dentficaionuilt Replacement (Yes or No)
Disc Dresser ADG03 N/A BS-08608 2001 Replacement Yes Disc Dresser ADG04 N/A BS-08618 2001 Replacement Yes Disc Dresser ADE36 N/A BS-08634 2001 Replacement Yes Disc Dresser ADGOO N/A BT-01670 2001 Replacement Yes Disc Dresser ADG01 N/A BT-01672 2001 Replacement Yes Spindle Dresser N/A N/A BT-01672 2002 Replacement No Spring assembly Dresser AAC67 N/A BT-01672 2002 Replacement No
- 7. Description of Work Off-site overhaul and testing of spare main steam safety valves.
S. Test Conducted:
Pneumatic (
Nominal Operating Pressure ((
Exempt l*
N-416-1 [
Other Qk Pressure psi Test Temp.
OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size Is 8 1/2 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.
VE~
Ve.1 7 5PZ1
.. 6 _
73DP-OZZ17 PV-MO~2 Vet. 7
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI II. Owner Arizona Public Service Comnanv. et. al.
Nam P.O. Box53999. Phoenix..Arizona 85072-2034 Adftass
- 2. Plant Palo Verde Nuclear Generating Station Name 5801 5. Wintersburg Rd.. Tonopah, Arizona 85354-7529
- 3. Work Performed by NWS Technologies Name 131 Venture Bldg., Spartanburg, S.C., 29301
- 4. Identification of System Address SG - Main Steam Date Sheet Unit 07/10/02 2
of 3
1 WO# 2511997 Work Od Numbwr Type Code Symbol Stamp None Authorization No.
N/A Expiration Date N/A S. (a) Applicable Construction Code ASME Ill Class 2 19 74 Edition, 575 Addenda, 1711 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code or Stamped Item Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No)
Disc Dresser ADG02 NIA BS-08622 2001 Replacement Yes Spindle Dresser N/A N/A BS-08622 2002 Replacement No Disc Dresser ADE37 N/A BS-08573 2001 Replacement Yes Spindle Dresser N/A N/A BS-08573 2002 Replacement No Disc Dresser ADE19 N/A BS-08587 2001 Replacement Yes Spindle Dresser NIA N/A BS-08587 2002 Replacement No
- 7. Description of Work Off-site overhaul and testing of spare main steam safety valves.
- 8. Test Conducted:
Hydrostatic Q Pneumatic ([
Nominal Operating Pressure Q[
Exempt [@
N-416-1
-' Other I0 Pressure psi Test Temp.
NOTE: Supplemental sheets In form of lists, sketches, or drawings may :be used, provided (1) size Is 8 1/2 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.
PV-EO092 Ver. 7 73DP-OZZ17
~
FORM NIS-2 (Back)
'9. Remarks Work order# 2511997 for disassembly, inspection, reconditioning and testing of Main Steam safety valves. A new designed Disc will be installed to enhance performance. Other parts will be replaced as needed based upon inspection. These parts will be obtained from other spar valves or from approved purchased spare parts.
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Tplacemcnt conforms to the rules of the ASME Code, Section Xl.
spir or r*=hiint N/A Type Code Symbol Stamp Expiration Date N/A N/A Certificate of Authorization No.
Date 1*&/z."
2.
Signed Owner or Owners Oeslnge, Tite Pv-E0092 Vet. 7 BACK 7SDP4ZZ17 X-&C"41i.Cej e
/
CERTIFICATE OF INSERViCE INSPECTION I, the undersigned, holding a valid commission Issued by the Natldnal Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut
, have Inspected the components described in this Owner's Report during the period to to-'k.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 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 connected with this Inspection' Commissions
%1z
- A 2A DSatte atona, wrd, Stae Poince, and Eridorsement Date to-got-I 4
PV-E00= Ver. 7 BACK 7=DP-9= 7
ASME SECTION XI - REPAIR/REPLACEMENT
- 1. Component ID IJRCEPSVO203
- 2. Code Class ASME 1I1L CLASS 1
- 3. Item Description PRESSURIZER SAFETY VALVE; DRESSER 31709N; 2460 PSIG
- 4. N-5 Package Number 1RC03-2
- 5. W.O. Number 2511998
- 6. Original Construction Code Edition ASM 1H CLASS 1, 1974 EDIIQN, SUMMER 1975 ADDENDA
- 7. Original Installation Code Edition ASME M CLASS 1, 1974 EDITION, WINTER 1975 ADDENDA
- 8. Work Description Off site reconditioning and testing of spare valve in preparation for replacement of existing installed valve. Parts will be replaced based upon inspection.
- 10. Evaluation of the suitability of this work as per the requirements of IAW-4150.
No faMiure in the ASME Sec. HI bondary.
- 11. Repair/Replacement Work Organization NWS Technologies
- 14. ASME Section XI Code/Edition 1992 EDITON AND 1992 ADDENDA
- 15. Preservice Inspection Required.
Q YES k NO DMG 06/03/02 If required, include a step in the W.O. to perform Preservice Inspection.
- 16. ASME Section XI Pressure Test Required C
YES El NO DMG 06/03/02 If required, include a step in the W.O. for IS] & ANII Inspection.
Initta Data DMO 06/03/02
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
IRitiai Date DMG 06/03/02
- 18. Include a step. in the W.O. to record below all applicable numbers for repaired or
- inia, Date replacement, htems.
ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MR/ROS NO.
IJRCEPSVO203 N/A BY-14538 N/A N/A iC.
t~
Fo a3zo~iois
- 19. Planner 7 -
- a.
Print Nami David Goodlet F
gi~wture DaftI
'10. ISI Engineer 6-P-4 Plrnt Name Rainakant Indap S'
oate
- 21. ANII1O Print Name Robert Hoestrom 8ROU
..Date I
73WP-Ii17 PV-EOM Vera
FORM NIS-2 OWNER'S REPORT.FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Arizona Public Service Company. et. al.
Name P.O. Box53999. Phoenix. Arizona 85072-*f7Vt 1*
Addres
- 2. Plant Palo Verde Nuclear Generatina Statinn Name
.581.interbuwg R., onopah. Arizona 85354-7529
- Addrm,
- 3. Work Performed by PVNGS Maintenance Dept Name 5801 S. Wintersburg Rd., Tonopah, Az. 85354-7529 Date 07/10/02 Sheet I
of 2
Unit I
2511......8 wUon uMer Numoer Type Code Symbol Stamp None' Authorization No.
N/A Exniration Date N/A Address
- 4. Identification of System RC - Reactor Coolant system
- 5. (a) Applicable Construction Code ASME 1I Class 1 19 74 Edition," S75 Addenda, 1711 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Idenrtfication of Components Repaired or Replaced and Replacement Component's Name of Name of Manufacturer National Other Year Repaired ASME ode Item' Manufacturer Serial No.
Board No. Identificationi Built Replacement (Yes or No)
Disc Dresser ABK32 N/A BY-14538 2002 Replacement No
- 7. Description of Work Off-site overhaul and testing of spare pressurizer safety valves.
- 8. Test Conducted:
Hydrostatic I Pneumatic Q Nominal Operating Pressure I*
Exempt [
N-416-1 Other El Pressure psi Test1Tenm.
OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be bsed, provided (1) size Is 8 1/2 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 "jth-e number of sheets Is recorded at the top of this form.
"Au VIM Wt. 7
- 730P-=ZZ17
/
ýg Rd.
To h
Arzn 85.........
2511998
FORM NIS-2 (Back)
- 9. Remarks Work order #2511998, for off-site reconditioning and testing of 4 spare pressurider safety valves.
Replacement arats will be obtained from sonrnved.nmrmq CERTIFICATE OF coMPLIANCE We certify that the statements made in the report are correct and this' replacement conforms to the rules of the ASME Code, Sedtion XA.
repair or rplameni Type Code Symbol Stamp N/A Certificate of Authorization No.
.N/A Signed e-I.
4 Owner or Ownefs Designee. Toie Expiration Date N/A
-X_*_-
Date 9/z.5"/,, 7 PV-EO092 Ver. 7 BACK
/
CERTIFICATE OF INSERVICE 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 Arizona and employed by
, HSB CT of Hartford. Connecticut
, have inspected the components described In this Owner's Report during the pedod
'---o?.
to and otatc that-to the best of my kiiuwledge arid 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 Owners 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.
S,:?A Commissions
!% ý "An
- Z24, s
aMNational Board. Scale, Province. and Endoiements Date 96-,q-oz g
Relcmn part will... beotmdfo pproe i'rm N/A J
ASME SECTION Xi - REPAIR/REPLACEMENT
- 1. Component ID IMRCEA13
- 2. Code Class ASME Section IL Clus 1
- 3. Item Description REACTOR COOLANT SYSTEM PRESSURIZER HEATER
- 4. N-5 Package Number 2RC01-1A
- 5. W.O. Number 2514365
- 6. Original Construction Code Edition ASME Section ]IL Class 1, 1971 Edition, Winter 1973 Addenda
- 7. Original Installation Code Edition ASME Section MlL Class 1, 1974 Edition, Winter 1975 Addenda
- 8. Work Description Replace Defective Preurizer Heater, Make Fillet Weld between Pressurizer Nozzle and new Heater Sleeve.
- 10. Evaluation of the suitability of this work as per the requirements of IAW-4150.
Electrical Portion of Heater Failed. No Failure on ASME Pressure Retaining Boundary.
- 11. Repair/Replacement Work Organization APS
- 12. Replacement Item Construction or reconciled Code/Edition ASME SecJil C1.1I/71 Edition 73 Winter Addenda
- 1. Repair/Replacement Activity Construction Code/Edition ASME Sec. mH, Class 11P74 Edition, 75 Winter Addenda
- 15. Preservice Inspection Required.
Q YES IE NO N/A
'l, If required, include a step in the W.O. to perform Preservice Inspection.
nitial ate
- 16. ASME Section -XI Pressure Test Required C3 YES
[J NO N/A V'-1/eo If required, include a step in the W.O. for ISI & ANII Inspection.
Iritial Date KVS 5/jr/, ?..
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
Intial Pate KVS 45-/16-L
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Inal Date replaced items.
COMP I.D.
PART NO.
SERIAL NO.
HEAT NO.
MR/ROS NO.
Heater 44450049 W4E IZ.
to'? II £S
- 19. Planner ie.
Print Name Ka*l V. Savage
'.j ftnaftar Data
.3ISI Engineer
_[/
Print Name Ramakant P. Indap
=,.Date
- 21. ANII 4C Z
-.21-02 Print Name Robert G. Hogstrom S~atureDaft
..l
.PV-E0= VW-. $
"73DP4=1Z1
FORM NNIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS
'I As Required by the Provisions of the ASME Code Section Xl
- 1. Owner: Arizona Public Service Company, et. al.
P. 0. Box 53999. Phoenix Arizona 8572-20 4
- 2. Plant-Palo Verde Nuclear Generatng Station 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 06/21 Sheet:
I of 2 Unit: I Work Order Number 2514365 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: RC. ASME Section fiT. Class 1
- 5. (a) Applicable Construction Code ASME Section mI NB. Class 1 1971 Edition, W~inter 1973 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition. 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or NO)
Heater Watlow N/A N/A IMRCEA13 102 Replacement NO
- 7. Description of Work. Replace Defective Pressurizer Heater. Make Fillet Weld between PZR Nozzle and Htr.
- 8. Test Conducted: Hydrostatic []
Pneumatic '
Nominal Operating Pressure 0 Exempt N-416-1 0 Other 0 Pressure psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 V2 X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
Remarks: Work Order# 2514365 To REulace Pressurizer Back-Up Heater IMRCEA13, CERTIFICATE OF INSERVICE INSPECT[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 Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of S-.Z_-o__
to ac.-'-oZ.
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 connected with this inspection.
hn"s Sinature Commissions: NB 9685 "N" "I' AZ264 National Board. State, Province, and Endorsements P,-iOO92 viz. 7 Back 73DP-97Z17 Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XL Type Code Symbol Stamp N/A Certificate of Authorization No.
N/A Expiration Date:
N/A Sig ned.
- &{ý>
Gzp M ezi if MC0Lv or O9
-' Date:
/9 0-2 OZý!a wner's Designce, 71&%dc Date:
T-,-rX092 Ver. 7 Back 4
T3DP-=17
ASME SECTION XI - REPAIR/REPLACEMENT Page
- 1. Component ID 1PCHNV916
- 2. Code Class ASME El CLASS 2
- 3. Item Description 1-1/2" BORG WARNER "V TYPE GLOBE VALVE
- 4. N-5 Package Number ICH14-3
- 5. W.O. Number 2540753
- 6. Original Construction Code EditIon 1974 EDMTON. WIDTER 1975 ADDENDA
- 7. Original Installation Code Edition 1974 EDITION. WINTER 1975 ADDENDA
- 8. Work Description Disassemble valve, ispect for cause of seat leakage and rework as necessary. Remove and replace bonnet seal weld for access for inspection of valve internals.
- 9. C[
ISI Flaw NDE Method of Flaw Detection Report Number
- 10. Evaluation of the suitability of this work as per the requirements of IWA-4150.
No failure in the ASME Sec. MI boundary. The existing bonnet seal weld needs to be removed for access to inspect valve internals.
- 11. Repair/Replacement Work Organization PVNGS mainteance department.
- 12. Replacement Item Construction or reconciled Code/Edition ASME I., CLASS 2. 1974 Ed., W'75 Add.
- 13. Repair/Replacement Activity Construction Code/Edition ASME Im', CLASS 2, 1974 Ed., W"75 Add.
- 14. ASME Section XI Code/Edition 1992 EDION AND 1992 ADDENDA
- 15. Preservice Inspection Required.
C] YES I
NO DMG 08/26/02 If required, Include a step in the W.O. to perform Preservice Inspection.
Initial Date
.6. ASME Section X1 Pressure Test Required C] YES 6
NO DMG 08/26/02 if required, include a step In the W.O. for ISI & ANII Inspection.
Initial Date DMG 08/26/02
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component RniMia Date DMG 08/26/02
- 18. Include a step In the W.O. to record below all applicable numbers for replacement items.
Initial DaMe ITEM LD.
PART NO.
SERIAL NO.
HEAT NO.
MR/POIWO NO.
Seal Weld n/a W/a n/a n/a
- 19. Planner f-I
(¶ 0sd" ZO,,Pdnt Name DavidGoodlet Date
- 20. ISI Engineer Print Name -makzant Indap I21 ANII
-Z Prnt Name Robert Hogstrom PV-~O 3 Var?
4 7Datet PV..E=03 WVn. 7r
%I 73DP-O1M7
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Arizona Public Service Company. et. al.
Name P.O. Box 53999. Phoenix, Arizona 85072-2034 Address
- 2. Plant Palo Verde Nuclear Generating Station Date 08/26/02 Sheet 1
of 2
Unit 1
~Name S5fll S. Wintersbur* Rd.. Tononah. Arizona 85354-7529 Address
- 3. Work Performed by PVNGS Maintenance Department Name 5801 S. Wintersburg Rd., Tonopah, Az. 85354-7529 2540753 Work Order Number Type Code Symbol Stamp None Authorization No.
N/A Expiration Date N/A
- 4. Identification of System CH - Chemical and Volurin Control
- 5. (a) Applicable Construction Code ASME Mn" Class 2 19 74 Edition, V.75
- Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition.
1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code or Stamped Item Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No)
Bonnet Seal Weld n/a n/a n/a IPCBNV816 n/a Replacement No
- 7. Description of Work Remove bonnet seal weld to allow for inspection and rework of valve internals.
- 8. Test Conducted:
Hydrostatic I1 Pneumatic I Nominal Operating Pressure Q Exempt Ia N-416-1 Other Q Pressure psi Test Temp. _F J NOTE: Supplemental sheets in form of lists, sketches, or drawings may bý used, provided (1) size Is 8 1/2 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 I the number of sheets is recorded at the top of this form.
PV-E0092 Ver. 7 7SOP4ZZ17 PV-EoW2 Ve-. 7 "73DP-OZZ1 7
=..
FORM NIS-2 (Back)
- 9. Remarks WO# 2540753 will remove the bonnet seal weld to allow access to 1-1/2" globe valve 1PCHNV816 internals for inspection and rework to corrt seat leakage.
CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this rpacement conforms to the rules of the ASME Code,Section XI.
repar or replacement Type Code Symbol Stamp N/A Certificate of Authorization No.
Signed k'.
NIA ExpirationiDate N/A Date Owneror Ownmb'a Designee, IW CERTIFICATE OF INSERVICE 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 Axizona and employed by HSB CT of HartforcL Connecticut
, have inspected the components described In this Owner's Report during the period
-2.-10 -0o;L 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 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 gable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Commissions 'a6 qczZ ",-
Ax.
M
,,,4 National Board. State, Provie, and Endorsements naetra signatur Date I
PV-E0092 Var. 7 SACK 730P4U17 kO-ko-a2.
I 7=1-0=7 PV-EO092 Vet. 7 BACK
Mr-9f 4 ASME SECTION XI-REPAIR/REPLACEMENT Page..j.. of -J_
SComponent ID 1JRCEPV0100E
- 2. Code Class ASMvEf Section III Class 1
- 3. Item Description Pressurizer Spray Control Valve
- 4. N-5 Package Number 1RCOI-1
- 5. W.O. Number 2556794
- 6. Original Construction Code Editicn ASME Section ], Class 1, 1974 Edition, Winter 1975 Addenda
- 7. Original Installation Code Edition ASME Section MII. Class 1. 1974 Edtion. Winter 1975 Addenda
- 8. Work Description Replace the plug/stem assembly during valve repack.
- 10. Evaluation of the suitability of ths work as per the requirements of IWA-41 50.
No failure of ASME 1il pressure boundary.. The stem needs to be replaced. Replacing the plug/stem assembly is an ALARA effort.
- 11. Repair/Replacement Work Orgalization Arizona Public Service
- 12. Replacement Item Construction or reconciled Code/Edition ASME E01, Class 1, 1974 Edition, W 1975 Addenda
- 13. Repair/Replacement Activity Construction Code/Edition ASME M]I Class 1, 1974 Edition, W 1975 Addenda
- 14. ASME Section XI Code/Edition 1992 Edition and 1992-Addenda
- 15. Preservice Inspection Required Qi YES I*1 NO BV 09/26/02 If required, include a step in the W.O. to perform Preservice Inspection.
- 16. ASME Section Xl Pressure Test Required C] YES
[*
NO BV 09/26/02 If required, include a step in the W.O. for ISI & ANII Inspection.
Initida Date BV 09/26/02
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component Initial Date BV 09/26/02
- 18. Include a step In the W.O. to record below all applicable numbers for replacement Items.
Intl Date ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MR/PO/WO NO.
1JRCEPVo100E Plug D iA SR-3(,57--3 i5 (g65i9 iZ IZ
- 19. Plannery&I Z
/0!-7/
/Oc?-Pdnt Name Barbara Vidal Signature Oate"
- 20. ISI Engineer
/O/C?./
rdnt Name SlgnatuMW Date 21..ANII
- 0.
- 0Z Print Name
-&4r tonature Dais-PV-ED093 V..7 mr-73DP4=17
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Arizona Public Service Comtanv. et. al.
Namie P.. Box 53999. Phoenix. Arizona 85072-2034 Addrss
- 2. Plant Palo Verde Nuclear Generating Station Date 09/26/02 Sheet 1
of 2
Unit 1
Name 5801 S. Wintersbure Rd., Tonopah, Arizona 85354-7529 Adc*rs
- 3. Work Performed by Arizona Public Service Name 5801 S. W'mtersburg Rd Tonopah AZ 85354 2556794 Work Order Number Type Code Symbol Stamp None Authorization No.
N/A Expiration Date N/A Address
- 4. Identification of System RC - Reactor Coolant System
- 5. (a) Applicable Construction Code ASME Sec HI Class 1 19 74 Edition, "75 W Addenda, W '75 Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code or Stamped Item Manufacturer Serial No.
Board No. Identification Built Replacement (Yes or No)
Press Cont Vlv Plug Fisher SB3657-3 N/A IJRCEPV100E 1995 Replacement Yes
- 7. Description of Work
- 8. Test Conducted:
Hydrostatic I!
Other l*
Pneumatic I Pressure Nominal Operating Pressure Qj Exempt (*
psi Test Temp.
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 112 x 11 in.,
I (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.
PVEOO92 Vet.?
730P4ZZ17 N-416-1 I*
0F FPVE00W2 Ver. 7 73DP-OZZ17 I
FORM NIS-2 (Back)
- 9. Remarks No failure of ASME ))I pressure boundary. The stem needs to be replaced. Replacing the plug/stem assembly is an ALARA effort. WO# 2556794.
Pv-E0092 Var. 7 BAcK 73OP417 CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and this rlacement conforms to the rules of the ASME Code,Section XI.
repair or replacement Type Code Symbol Stamp N/A Certificate of Authorization No.
N/A Expiration Date N/A Signed Date l4 -2V -W23-02.
S Owner or Owne-r'aOesignee,ritlte CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford. Connecticut
, have inspected the components described In this Owner's Report during the period to-3,- COL 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 Owners 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 connected with this inspection.
Commissions
-q.x
.,t.
Az-. 27.A National Board. State. Province, and Endonsmeanta
. QnspecbrWs ignature 00-23-02.
Date
'a7 A -Z" PV-E-OMg Vet. 7 BACK "73OP-gZ=17
ASME SECTION XI - REPAIR / REPLACEMENT I _Page of Component ID IPC005H015
- 2. Code Class ASMESect
... Item
Description:
14 KIP Snubber
- 4. N-5 Data Package Number. IPC02-1
- 5. W.O. Number. 2558858
- 6. Original Construction Code Edition:
1974 Edition, Summer 1976 Addenda
- 7. Original Installation Code Edition:
1974 Edition, Winter 1975 Addenda
- 8. Work
Description:
Replace Snubber
ion MI Subsection NF Class 3 Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Not a failure. Changed for precautionary measure. This is a h'ke-fbr-like replacement.
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition: Sec. III NF Cl 3, 1974 Edition, Summer 1976 Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec III NF Cl 3, 1974 Edition, Winter 1975 Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
0 YES
[INO Initial Date /ID -F
- 'DA If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
0 YES 0
NO initial k6 Date 04FI0-CL If required, include a step in the W.O. for ISI & ANH Inspection.
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial PwI. Date
--J'-D Component Initial Date A/6 5)-
'b* '
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or replacement items.
Item ID Part No.
Serial No.
Heat No.
M(R/PO/WO No.
IPCO05HO15 1801104-05 14461 n/a MR 688817
- 19. Planner Printed Name: David Goodlet Slgnatnx*
Date
- 20. ISI '_
V___--__Da_
Printed Name:
S.
I Date
ý1 NI
ýob4 o-I6-cq Printed Name: Q.'ot 21.p~
ADa_____________________te_______________
IVV.4*_3 VIY. 7
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Arizona Public Service Company. et. al.
P. O. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant:
Palo Verde Nuclear Generating Station 5801 South Wintersburg Road.. Tonopah. Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 10/10/2002 Sheet:
J, of 2 Unit:
Work Order Number 2558858 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: PC: Pool Cooling
- 5. (a) Applicable Construction Code ASME Section mI NF. Class 3 1974 Edition, Summer 1976 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition. 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or NO) 1/4 Kip Snubber Pacific Scientific 14461 n/a IPC005H015 1980 Replacement YES
- 7. Description of Work: Snubber replacementn no welding.
- 8. Test Conducted: Hydrostatic E]
Pneumatic []
Nominal Operating Pressure 0 Exempt 0 N-416-1 0 Other 0 Pressure psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or-drawings may be used provided (1) size is 8 V2X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
Remarks: WO# 2558858 removed snubber 1PCO05HO15. s/n 38087 and renlaced with s/n 14461 Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XL Type Code Symbol Stamp t
NNIA Expiration Date:
N/A woo-Date:
&.-I/O/,*,/Z Owner or Owmes Designe, h*ie CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of i,-.-
- o.
to
.o-=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, 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 connected with this inspection.
Commissions: NB 9685 "N" "I' AZ264 Naoal Board, Stae Province, and End F
cots Date:
of-.
PV-E0092 Ver. 7 Ba*
73DF-92Z17 Signed:
S.
I I
m I
l I
N/A Certificate of Authorization No.
PV-EO092 Ver. 7 Back W.ý 73DP-=217
ASME SECTION XI - REPAIR / REPLACEMENT Page _
of 1
ComponentlD ISI2401003
- 2. Code Class ASME Section I Class I
- 3. Item
Description:
Restraint on Shutdown Cooling Loop 1 Piping
- 4. N-5 Data Package Number: 1ST07-5
- 5. W.O. Number: 2558933
- 6. Original Construction Code Edition:
1974 Edition. Winter 1975 Addenda
- 7. Original Installation Code Edition:
1974 Edition. W'mter 1975 Addenda
- 8. Work
Description:
Reolace the lpherical bearing and pin with components from the shock arrestor originally installed at 1SI159H003B. which was removed from service by WO 2325130.
Report Number:.
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Codc/Edition:
Sec. IT[ Cl 1. 1974 Edition 1975 Winter Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. MCI 1. 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/FEdition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
0 YES 0
NO Initial Date /0 -/19-0*-
If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
0 YES 0
NO Initial Date /0-q*
If required, include a step in the W.O. for ISI & ANII Inspection.
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date /O-/*-O component.
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial 47/)-
Date /L-/ý-O'ý-
replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/PO/WO No.
Bearing and pin assembly N/A 13238 N/A WO 2325130
- 19. Planner
£Printed Name: James L. Davis S iganfr0e 0
Datt
- 20. 1I Z
/o/,9/e,'.
Printed Natne:
,,t',i,&..,
Signature Date
- 21.
1-Printed Name:
S Date
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section X!
- 1. Owner Arizona Public Service omNpany. et al.
Date 10/21/02 Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet I
of 2
Address
- 2. Plant Palo Verde Nuclear Generating Station Unit 1
Name 5801 S. Wintersburg Rd., Tononah, Arizona 85354-7529 2558933 Address Work Order Numoer
- 3. Work Performed by Arizona Public Service Type Code Symbol Stamp None Name Authorization No.
N/A 5801 S. Wimtersburg Rd., Tonapah, Arizona 85354-752S Expiration Date N/A Address
- 4. Identification of System Safety Injection
- 5. (a) Applicable Construction Code ASME Sect TIT, Cl 1 19 74 Edition, W75
- Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired
'ASMECode Item Manufacturer Serial No.
Board No. Identification Bul or Stamped Item Manufacturer Seria No.
oardNo.IdentificatIonut Replacement (Yes or No)
Strut Comer & Lada ISI240H005 N/A IS1240H003 1983 Repaired Yes Bearing/Pin assy.
Pacific Scientific 13238 N/A IS1240H003 1981 Replacement No
- 7. Description of Work Replace the bearing and pin assembly in the strut paddle for 1SI240H003.
- 8. Test Conducted:
Hydrostatic Q Pneumatic Q Nominal Operating Pressure Q Exempt [@
N-416-1 EJ Other Q Pressure psi Test Temp. _OF NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 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 the number of sheets Is recorded at the top of this form.
PV.E0092 Vr. 7 73DP4ZZt7 73DP-9ZZ17 PV-EO092 Vet. 7
FORM NIS-2 (Back)
- 9. Remarks Work Order 2558933 replaced the bearing and pin assembly. These components were obtained from a shock arrestor that was removed from ISI159HO03B by work order 2325130 and had been tagged and placed in an APS storage location. The serial numbers were verified with the original N-5 Data.
CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and this eair conforms to the rules of the ASME Code,Section XI.
repairor isptacement Type Code Symbol Stamp Certificate of Authorization No.
Signed N/A N/A Expiration Date N/A S,-
",-sz-Owner or Owner' Designee. "ide Date 4lz z_
CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CI' of Hartford. Connecticut
, have inspected the components described in this Owner's Report during the period
- - v-oa to t,-a.*02
, 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 connected with this Inspection.
Commissions
,6 Az 24-k kvnpectors Signature Date 1o -2Z-o07 Natinal Board, State. Province. and Endorements pvEaag2 Vet. 7 BACK 7SDP.@ZZI7
/&,6 ýý
. 73DP*r7 PV-E0092 Vet. 7 BACK
ASME SECTION )[ - REPAIR I REPLACEMENT 1Page
(
of 2ý I1. Component ID IPRCEL051
- 2. Code Class ASME Section UI Class 1
- 3. Item
Description:
Shut Down Cooling Line
- 4. N-5 Data Package Number:. RC-01
- 5. W.O. Number. 2560340
- 6. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda
- 7. Original Installation Code Edition:
1974 Edition, Winter 1975 Addenda
- 8. Work
Description:
Blend vibration induced wear/gouges on Shut Down Cooling (SDC) line IPRCEL051 upstream of valve SIV651 per DFWO 2560318 instructions.
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA -4150:
This fretting damage is caused by the line vibration which resulted in relative movement between the pipe and the metal insulation.Preliminary inspection indicates no violation of design mrin. waliThe vibration is being addressed under CRDR#2557486
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl1I, 1974 Edition, Summer 1975 Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. II Cl I, 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Efdition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
Initial I__
Date
- 16. ASME Section XI Pressure Test Require Initial
- "/Of Date Initial Date f
Initial Date
[] YES 0 NO If required, include a step in the W.O. to perform Preservice Inspection
[] YES BNO If required, include a step in the W.O. for ISI & ANU Inspection.
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component-
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/PO/WO No.
- 19. Planner V/
I*
Printed Name:
4 6e" W-,*
- 20. IS1 S Printed Name:
L'-
Signature
- 21. AN-I 44 g-44OL Printed"Name:..
SigwvDf ts'*Is VWF.
I
ASME SECTION XI-REPAIR I REPLACEMENT Page 2-.
of 2-.
- 1. Component ID IPRCEL070
- 2. Code Class ASME Section MI Class I
- 3. Item
Description:
RC Loop #2 Drain line
- 4. N-5 Data Package Number: 1RC-01
- 5. W.O. Number:. 2560340
- 6. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda
- 7. Original Installation Code Edition:
1974 Edition, Winter 1975 Addenda
- 8. Work
Description:
Blend vibration induced wear/gouges on RC Loop #2 Drain line line 1PRCEL070 upstream of valve SIV651 per DFWO 2560318 instructions.
Report Number:.
- 10. Evaluation of the suitability of this work as per the requirements of IWA -4150:
This fretting damage is caused by the line vibration which resulted in relative movement between the pipe and the metal insulation.Preliminary inspection indicates no violation of design min. wall.The vibration is being addressed under "CRDR#2557486
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition: Sec. HI Cl 1, 1974 Edition, Summer 1975 Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. Ell C1 1, 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
[] YES 0 NO Initial
/ff Date If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required-EQ YES ED NO Initial D/
Date If required, include a step in the W.O. for ISI & ANII Inspection.
i
1 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial
~,
.Date component
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial
,4 Date replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/PO/WO No.
- 19. Planner Printed Name:
Mj, d, SSignaur Date
- 20. ISI.
-r',
'Ay 7."
PrintedName:
- 4. f'
',/
Si Date
- 21. ANI,--oZ Printed Name:
6-.
S" Date 21 AN)].ZI
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XM
- 1. Owner. Arizona Public Service Company, et. al.
Date:
10/15V2002 P. O. Box 53999, Phoenix Arizona 85072-2034 Sheet:
1 of 2
- 2. Plant:
Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2560340
- 3. Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: Shut Down Cooling line IPRCEL051 and RC drain line 1PRCEL070
- 5. (a) Applicable Construction Code ASMIE Section El NB, Class 1 1974 Edition, Summer 1975 Addenda, (b) Applicable Edition of Section XM Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or NO)
Shut Down Pullman Power N5254 (S002)
N/A IPRCEL051 1977 Repaired YES Cooling Shut Down Pullman Power N5250 (S003)
N/A IPRCEL051 1979 Repaired YES Cooling RC Loop #2 N/A N/A N/A IPRCEL070 1981 Repaired No Drain Line
- 7. Description of Work: Blend vibration induced wear/gouges on lines IPRCEL051 and 1PRCEL070 upstream of SIV651 per DFWO 2560318 instructions.
- 8. Test Conducted: Hydrostatic Q]
Pneumatic Q Nominal Operating Pressure C]
Exempt [D N-416-1 C]
Other E]
Pressure psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 V2 X 11 Sinches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each-sheet is numbered Eand the number of sheets is recorded at the to of this form.
Code Case
FORM NIS-2 (Back)
Q,
- 9. Remarks: work order 2560340 CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of io-,s-o2 to
,o-S-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 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 connected with this inspection.
It s signature Date:
0e0L Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements a-
',rD ATTtq v-turn var. I ajace
,.,ur-,LLA I
I Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.
N/A Type Code Symbol Stamp Expiration Date:
N/A N/A Certificate of Authorization No.
Signed:
0
-tk, L&_.I,*
f
- Date: J0-2 5-0-.
Owner or Owner's Designee, Tide "C
V-Ib0092 VaI. 7 B~ack 12A.1/.$-Y&.1. r
ASME SECTION XI-REPAIR/REPLACEMENT
- 1. Component ID -iEWBEOI
- 2. Code Class ASME Section MI Class 3
- 3. Item Description ESSENTIAL COOLING WATER HEAT EXCHANGER "B"
- 4. N-5 Package Number 1EW02-1
- 5. W.O. Number 2560355
- 6. Original Construction Code Edition 1974 FEdtion, Winter 1975 Addenda.
- 7. Original Installation Code Edition 1974 Edition, Wmter 1975 Addenda.
- 8. Work Description WELD BUILD-UP MATERIAL REPAIR OF DEFECTS IDENTIIED IN THE TUBE (Spray Pond) SIDE OF THE HEAT EXCHANGER.
- 10. Evaluation of the suitability of this work as per the requirements of IAW-4150.
WELD REPAIR REQUIRED AFTER INSPECTION OF THE METAL SURFACES PRIOR TO PERIODIC COATING, THERE WAS NO FAILURE OF THE CODE PRESSURE BOUNDRY.
- 11. Repair/Replacement Work Organization APS
- 12. Replacement Item Construction or reconciled Code/Edition Sec. MTC1.3n/4 Edition 75 Winter Addenda
- i. Repair/Replacement Activity Construction Code/Edition Sec. III CL3/4 Edition 75 Winter Addenda
- 14. ASME Section XI Code/Edition 1992 Fdition and 1992 Addenda
- 15. Preservice Inspection Required.
C] YES
[I NO WS 1O6S/7,"o'z. If required, Include a step In the W.O. to perform Preservice Inspection.
Initial Date
.16. ASME Section XI Pressure Test Required j
YES Ci NO t
tol"u7.z If required, include a step in the W.O. for ISI & ANIi Inspection.
Initial Date VINS ic4.ýz_. 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
Initial Date P.) A-
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or InitW Date replacement Items.
rTEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
MJRROS NO.
1MLErWBE*I N/A N/A N/A N/A
- 19. Planner 10115/02 Print Name KARL V. SAVAGE Date 21o, ISI Engineer t4.ý-
/O/16f,/L Print Name_-_A_______________ ______A
- 21. ANII "o1--oZ Print Name ROBERT G. HOGSTROM RawS V-,E= Ver. $
7"MP-SZ'7
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. owner Arizona Public Service Company. et al.
Nam a
P.O. Box 53299. Phoenix. Arizoha 85072-2034 Address
- 2. Plant Palo Verde Nuclear Generating Station Ad3yer o
- 3. work Performed byAioaPbi SrieCmai Name 5801 S.W-mtersburg Rd.,Tonopah Arizona,85354-7529 Date fo/l JZI0 z.
Sheet of Unit 1
2560355 Woik OrdV( Number Type Code Symbol Stamp None Authorization No.
N/A Expiration Date N/A Address
- 4. Identification of System EW, ASME Section LiT Class 3
- 5. (a) Applicable Construction Code Section HI, Class 3 19 74 Edition, WI'75 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code or Stamped Item Manufacturer Serial No. IBoard No.Identification Buil Replacement (Yes or No) 1B EW Ht Exch.
Struther Wells Corp.
17606329132 14441 IMEWBEO1
-78 Repaired Yes
- 7. Description of Work Weld Build-up, Material Repair.
- 8. Test Conducted:
Hydrostatic Q Pneumatic *)
Nc Other U Pressure
=minai Operating Pressure C]
Exempt Q N
psi Test Temp.
-416-121 OF NOTE. Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 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 the number of sheets Is recorded at the top of this form.
73OP-gZZ17 PV-EOM92 Ver. 6 J
580 S.
Vrtrbr Rd.
ToLR rzoa83472 I
Namlt
FORM NIS-2 (Back)
- 9. Remarks Pmssure Test per N-416-1, Performed Weld RepairfBfuld-up of Eroded areas designated by En~ineerina in the Tube (Spray Pond) Side of the Heat Exchanger.
CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and this repair conforms to the rules of the ASME Code, Section Xl.
Type Code Symbol Stamp_
1___
M/A Expiration Date Certificate of Authorization No. _______________
Date I6 /,/o7.
ISI Engineer Owner or Owners Desneef Title Signed *,;Q:-,,.-
CERTIFICATE OF INSERVICE 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 Arizona and employed by HSBI & I CO.
of Hartford. Connecticut
, have Inspected the components described In this Owner's Report during the period
,o-v*,-o to to-at-o.3
, 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 connected with this Inspection.
NB 9685 "N" "I" AZ264 National Board. State, Province. and Endorsemerds Imspactors Sounture Date to-.1t-a2.
IVE02Vr U~
3PZ1 I
Eneincerine in the Tube (Sipray Pond) Side of the Heat Exchanger.
w
':g"A W=.,-
Commissions 73DP-OZZ17 PV-EO092 Ver. 6 BACK
ASME SECTION 3a -REPAIR / REPLACEMENT
__5 Pase of
- 1. Component I IICBEPSVO345
- 2. Code Class ASME Section III Class 2
- 3. Item
Description:
Pressure Sfety Valve Nozzle and Disc Insert
- 4. N-5 Data Package Number: ICH3-1
- 5. W.O. Number. 2561273
- 6. Original Construction Code Edition:
1974 Edition. Summer 1976 Addenda
- 7. Original Installation Code Edition:
1971 Edition. Winter 1973 Addenda
- 8. WorkDesciption:
Rework valve as remuired to address set noint verification failure.
Report Number.
- 10. Evaluation of the suitability of this work as per the r e
nts of IWA 4150:
V.-/-ar,.r -o s
- ei aS
- W' -¢*
,v-i
-o
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Itms Constuction or reconciled Code/Edition:
Sec. III C12.1974 Edition 1916 Summer Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. EIl Cl 1. 1974._Edition 1975 WVinter Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
0 YES 0NO Initial
.Date 000(2d ZZ If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
El YES 0 NO ikal 1sD If required, include a step in the W.O. for ISI,& ANTIInspection.
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial &',4--
Date L
component
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/PO/WO No.
PSV Nozzle APN 45070039 R
U3 t...40-15 MR 694856 PSV Disc Insert APN 45630021 At MR 694856
- 19. Planne Aj 4
ao/*)
- Printed Name: David W. Shfer s*=*
/DaftI
- 20. ISI e-"
PrintedName:
-r*,
Sip-=I D=
- 1. ANTIH.*~~
PrintedName:
~
Date
~V.3~Q1 V-PV40M Vim 7
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner. Arizona Public Service Company, et. al.
P. O. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 10/31/2002 Sheet I of2 Unit. 1 Work Order Number 2561273 Type of Code Stamp None Authorization No. N/A Expiration Daft NIA
- 4. Identification of System: (CI) CHEMICAL AND VOLUME CONTROL
- 5. (a) Applicable Construction Code ASME Section M NC, Class 2 1974 Edition, Summer 1976 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition. 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or NO)
Nozzle Crosby N92031-40-0015 N/A UTC #355525 1978 Replacement NO Disc Insert Crosby N92032-34-0010 N/A UTC #355525 1978 Replacement NO Valve Crosby N61180-00-0008 N/A UTC #355525 1978 Repaired YES
- 7. Description of Woric Disasembled removed valve for inspection and troubishooting to correct identified deiciencies causing set point verification failure. Inspection determined the revlacement of the Nozzel and fi--n Ins ert wa W-A
- 8. Test Conducted. Hydrostatic 0 Pneumatic Q Nominal Operating Pressure 0 Exempt 19 N-416-1 0 Other 0 Pressure psi Test Temperature oF LNOTE:
Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 K X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
I I
L FORM NIS-2 (Back)
- . Riemas: Work Order #2561273:
IA spare Crosby Pressure Safety Valve (PMV* was repaired under this work order. A muimue record in the Sie Wor Management System (SWMS) for this valve is known as a "Physical Item" and is identified by a Unit Traeddn2 Code (UTCY.
This UTC number is entered as the "Other Identification" on the front of this form CERTFLICATE OF INSERVICE 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 Arizona and employed by HSB of Hartford, Connecticut have inspected the components described in this Owner's report during the period of
,o-_ _-O__
to
,-o 1-02
, 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 connected with this inspection.
Commissions: NB 9685 "N" "I" AZ264 National Board, State, Pmavinc, ad Enduncmes Date
)092 Ver. 7 Back 73DP-=ZZ17 Certificate of Compliance We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of Authorization No.
N/A Expiration Date:
N/A Signed:
Dat:
Owner or Owner's Dcsigpee Title a P-,.4 0092Vtr.
7*.iv II l l Ill a7-a= sSignature to-ZI-0,;z i
II
"ASME SECTION XI-REPAIR/ REPLACEMENT Page of
- 1. Component ID IJSgEHV004
- 2. Code Class ASME Section M Class 2
- 3. Item
Description:
ANCHORIDARLING 6"-900# PRESSURE SEAL GATE VALVE
- 4. N-5 Data Package Number:. ISQQ2-4
- 5. W.O. Number 262551
- 6. Original Construction Code Edition:
1974 Edition. Summer 1975 Addenda
- 7. Original Installation Code Edition:
1974 Edition, Wimter 1975 Addenda 8.. Work Nscription:
Replace valve bonnet to correct leak from packing
Report Number
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No failure in the ASME Sec. M bogundary.
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Fdition:
Sec. III CI 2. 1974 Edition Summer 1975 Addenda
- 13. Repair/Replacement Activity Construction Code/fEdition:
See. MI C1 2. 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
0 YES 0 NO Initial -
L. Date 10 "a If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XM Pressure Test Required:
0 YES 0
NO Initial..
Date /D--,-
If required, include a step in the W.O. for ISI & AND Inspection.
i
-17.
Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial
" Date /
-,,* A component.
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date /Q".,,L IO.
replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/POIWO No.
Bonnet k" ) 1)
MR 692949
- 19. ~~~ Plner-4-42 Printed Name: David Goodlet
- 20.
NISI Jýý Z
=
o.-0ý 6 Z-o z
Printed Name:
Z R.-rQ,.,.
Sia Date PV-WW3 ViL 7
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- i. Owne.
Arizona Public Service ComRany. et. al.
P. O. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by-Arizona Public Service
- 4. Identification of System: SG: Main Steam
- 5. (a) Applicable Construction Code ASME Section III NC, Class 2 1974 Edition, Summer 1975 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or NO)
Bonnet Anchor/Darling t.-'
n/a IJSGEHV-44 a.c*
Replacement NO I.
1
- 1.
4 i
v
- 1.
4
- 1.
4 t
1-4 1*
4 t
- 1.
4
- 4.
4 4
t
- 1.
.1
- 4.
4 4
L L
A
£
£ I.
- 7. Description of Work: Replace bonnet to correct leakage from packing.
- 8. Test Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt 0 Other 0 Pressure _
psi Test Temperature N-416-1 0 OF NOTE: Supplemental sheets in form of lists, sketches, or drawingsýzay be used provided (1) size is 8 1/2 X 11 inches, (2) information in items 1 thru 6 on this report. is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
Date: 10-26-2002 Sheet-of2 Unit: I Work Order Number 2525I Type of Code Stamp None Authorization No. NIA Expiration Date N/A
FORM NIS-2 (Back)
,.-.-.9.
Remarks: WO# 2562551 for valve JSGETHVO044. The valve bonnet was replaced due to leakage from packing.
CERTIFICATE OF INSERVICE 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 Arizona and employed by HSB C' of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of to o 2-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, 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 connected with this inspection.
Commissions: NB 9685 "N" "I" AZ264 National Board, State. Province, and Endorsemcnts Date:
PV-EM092 Ver. 7 Back I
Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI N/A Type Code Symbol Stamp Expiration Date:
N/A N/A Certificate of Authorization No.
Signed:qrýý (L'WnSDjfl:) e-A2Zd hle.
Date:
IC' t-c 2-.
S.
I I-I
]r