ML030370566

Second 10-Year Interval-Tenth Refueling Outage Inservice Inspection Summary

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

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: DATE: ZZ1.ZLa REVIEWED BY: IT DATE: /" $4 o.S' APPROVED BY: %01 Ol a . DATE: " -- .

COMMERCIAL SERVICE DATE: 01/28/86 REPORT DATE: 01/24/03

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.

2. Augmented High Energy Piping systems in accordance with PVNGS UFSAR Section 6.6.8.

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

1. 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 requiredto be completed in the period Amt Comp - Number of requireditems 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 I

rage o 01 35

Definition of terms continued Acc Accessible ADV Atmospheric Dump Valve Aux Auxiliary Atmos Atmospheric CEDM Control Element Drive Mechanism Circ Circumferential Cont Containment CS Containment Spray CSP Containment Spray Pump FW Feedwater HPSI High Pressure Safety Injection HTRS Heaters ICI In Core Instrumentation IEB Inspection and Enforcement Bulletin Letdown HT Exch Letdown Heat Exchanger LPSI Low Pressure Safety Injection MS Main Steam MT Magnetic Particle Test Press Bound Pressure Boundary PSE Preservice Examination PSV Pressurizer Safety Valve PZR Pressurizer RCP Reactor Coolant Pump RCS Reactor Coolant System Reg HT Exch Regenerative Heat Exchanger SD Shutdown SG Steam Generator Snub Snubber Reduction Program Surf Surface UT Ultrasonic Testing Vis Visual Vol - 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 99-1361 99-1280

& 5.52 47-2 99-1360 99-1280 47-4 99-1305 99-1281 47-8 99-1306 99-1281 47-12 99-1307 99-1281 47-14A 99-1356 99-1280 47-16 99-1308 99-1281 47-20 99-1309 99-1281 47-24 99-1352 99-1280 47-25 99-1350 99-1280 47-28 99-1348 99-1282 47-29 99-1349 99-1282 47-30 99-1351 99-1280 51 Atmos Dump SGI One 13 13 51-1 99-1345 99-1287 51-2 99-1362 99-1287 51-3 99-1363 99-1287 51-4 99-1364 99-1287 51-5 99-1365 99-1287 51-6 99-1366 99-1287 51-7 99-1367 99-1288 51-BA 99-1368 99-1288 51-SB 99-1369 99-1287 51-9 99-1370 99-1287 51-51 99-1371 99-1287 51-84 99-1346 99-1287 51-85 99-1347 99-1287 53 Steam to Aux FW One 10 10 53-11 99-1538 99-1506 53-12 99-1539 99-1506 53-13 99-1540 99-1506 PSE 53-14 99-1541 99-1506 53-15 99-1542 99-1506 53-21 99-1543 99-1506 53-22 99-1544 99-1506 53-23 99-1545 99-1506 53-24 99-1546 99-1506 PSE 53-25 99-1547 99-1506 Two 9 9 53-1 IUT.02-262 MT-02-187 UT-02-278 53-2 UT-02-263 MW-02-175 53-4 UT-02-264 MT-02-198 53-5 UT-02-265 MT-02-189 53-6 UT-02-267 MT-02-190 53-7 UT-02-268 MT-02-191 53-8 UT-02-269 MT-02-192 53-9 UT-02-270 MT-02-193 53-10 UT-02-271 MT-02-194 56 Feedwater SGI One 7 7 56-1 01-1411 01-1328 56-3 01-1412 01-1328 56-4 01-1429 01-1328 56-6 01-1413 01-1328 56-7 01-1414 01-1328 56-9 01-1415 01-1328 56-11 01-1416 01-1328 60 Downcomer SGI One 9 9 60-7 99-1708 99-1646 60-8 01-1221 01-1230 60-9 01-1222 01-1230 60-11 01-1223 01-1230 60-12 01-1224 01-1230 60-14 99-1625 99-1646 60-15 99-1658 99-1646 60-16 99-1666 99-1646 60-17 99-1667 99-1646 66 Blowdown SGI One 9 9 66-1 99-1469 99-1416 66-2 99-1470 99-1416 66-3 99-1471 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 66-5 99-1472 99-1416 66-6 99-1473 99-1416 66-7 99-1474 99-1416 66-8 99-1475 99-1416 66-9 99-1476 99-1416 66-26 99-1477 99-1416 AHE 5.81 47 MS SGI One 7 6 47-3 99-1359 99-1280

& 5.82 47-7 99-1358 99-1280 47-11 99-1357 99-1280 47-15 99-1355 99-1280 47-19 99-1354 99-1280 47-23 99-1353 99-1280 47-27 99-1280 ASME Class I B 1.22 02 Closure Head One 33% 33% 2-4 99-1466 99-1458 Accessible Areas 99-1479 RR#14 99-1481 99-1483 B 1.30 01 Reactor Vessel One 50% 50% 1-14 Examined 0°-180o B 1.40 02 Closure Head One 33% 33% 2-1 99-1465 99-1458 Examined 00-1200 99-1478 *Separate Report by 99-1480 Wesdyne. Exam 99-1482 completed in IR8 B2.11 5 Pressurizer One 66% 66% 5-2 99-1448 Examined 00-240°

& 2.12 99-1450 99-1452 99-1454 5-3 99-1449 1' long seam for 5-2 99-1451 99-1453 99-1455 Two 66% 66% 5-6 UT-02-243 1' long seam for 5 UT-02-244 8 UT-02-245 UT-02-246 5-8 UT-02-238 Examined 00.2400 UT-02-240 UT-02-241 UT-02-242 B 2.31 03 Steam Generator 1 One 33% 33% 3-5 01-1200 Examined 0*- 120r 01-1211 01-1214 01-1234 Two 33% 33% 3-5 UT-02-139 Examined 1200 UT-02-140 2400 UT-02-147 UT-02-149 B 2.32 03 Steam Generator I One 33% 33% 3-3 01-1199 01-1212 01-1213 01-1233 3-10 01-1203 01-1208 01-1218 01-1237 3-11 01-1200 01-1201 01-1210 01-1211 01-1214 01-1215 01-1234 01-1235 3-12 01-1201 01-1210 01-1215 Page 9 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 01-1235 B 2.40 03 Steam Generator I One 50% 50% 3-6 01-1201 Examined 0 '-180*

01-1210 01-1215 01-1235 04 Steam Generator 2 Two 50% 50% 4-6 UT-02-260 Examined 1800 UT-02-280 3600 UT.02-281 UT-02-282 B 3.90 01 Reactor Vessel One 2 2 1-15 *Separate Report 1-18 by Wesdyne. Exam B 3.100 01 Reactor Vessel One 2 2 1-15 completed in I R8 1-18 B 3.110 05 Pressurizer One 2 2 5-9 01-1283 01-1284 01-1286 01-1287 5-11 01-1267 01-1268 01-1269 01-1270 Two 2 2 5-10 UT-02-252 UT-02-253 UT-02-254 UT-02-255 5-13 UT-02-247 UT-02-248 UT-02-250 UT.02-251 B 3.120 05 Pressurizer One 2 2 5-9 01-1285 01-1406 5-11 01-1365 01-1366 Two 2 2 5-10 UT-02-266 5-13 UT-02-272 B 3.130 03 Steam Generator 1 One 1 1 3-9 01-1202 01-1209 01-1217 01-1236 Two 1 1 3-7 UT-02-134 UT-02-143 UT-02-145 UT-02-146 04 Steam Generator 2 One I 1 4-9 01-1376 01-1377 01-1378 01-1379 Two 1 1 4-7 UT-02-138 UT.02-142 UT.02-144 UT-02-148 B 3.140 03 Steam Generator I One 1 3-9 01-1367 01-1368 Two 1 1 3-7 UT.02-132 04 Steam Generator 2 One I 4-9 01-1369 1

01-1370 Two 1 1 4-7 UT-02-135 B 4.12 02 Closure Head One 8 8 CEDM 01-1627 Two 9 8 CEDM VT-02-700 One 5 5 Inst. Noz. 01-1627 B 4.13 01 Reactor Vessel Two 5 S Inst. Noz VT-02-705 Reject - eval by CRDR 2312850 One 12 12 Heater 01-1627 CEIB 89-06 B 4.20 05 Pressurizer TWo 12 12 Heater VT.02-699 CEIB 89-06 20 PZR Surge One 1 1 5-34 01-1288 01-1232 B 5.40 01-1290 31 PZR Safeties One I 5-29 01-1238 01-1010 01-1239 01-1240 Page 10 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 Two 1 1 5-33 RT-02-003 PT-02-147 29 PZR Spray PT-02-155 PZR Safeties Two 1 1 5-31 UT-02-257 31 99-1589 One 18 18 I thiru 18 99-1510 B 6.10 02 Closure Head Two 1i 18 19 thru 36 MT-02-167 VT-02-592 One 18 18 I thru 18 99-1511 99-1509 B 6.30 02 Closure Head Two 18 18 19 thru 36 UT-02-211 MT-02-166 Closure Head One 18 18 I thri 18 99-1613 B 6.50 02 VT-02-593 Two is 18 19 thru 36 1I11=5 99-1705 99-1601 B 6.180 16 RCP IA One 5 5 01-1654 VT-02-626 IEIN 80-27 TWo 5 0 6 thru 10 I thru 5 99-1603 17 RCP IB One 5 5 99-1706 01-1654 6 thru 10 VT-02-630 IEIN 80-27 Two 5 0 1 thin5 99-1487 99-1500 18 RCP 2A One 5 5 PSE 99-1464 01-1654 VT-02-634 IEIN 80-27 Two 5 0 6 thru 10 I thru 5 99-1707 99-1602 19 RCP 2B One 5 5 01-1654 VT-02-638 IEIN 80-27 Two 5 0 6 thru 10 Flange 99-1488 B 6.190 18 RCP 2A One When Disassembled I th5u S 99-1601 16 RCP IA One 5 5 B 6.200 6 thru 10 VT-02-625 Two S 5 I thru5 99-1603 17 RCP IB One 5 5 6 thru 10 VT-02-629 Two 5 5 Rejected 6 nuts, PSE I thin 5 99-1500 18 RCP 2A One 5 5 6 nuts/clamp ring 99-1197 6 thru 10 VT-02-633 Two 5 5 99-1602 One 5 5 I thru5 19 RCP 2B VT-02-637 Two 5 5 6 thru 10 99-1498 One 20 20 20 studs/nuts Removed B 7.20 05 Pressurizer 01-1272 MT-02-172 VT-02-596 IEB 82-02 Two 20 20 20 studs/nuts 40 studs/nuts 99-1492 03 SOI One 40 40 01-1271 Removed B 7.30 MT-02-173 VT-02-594 IEB 82-02 Two 40 40 40 studs/nuts 40 studs/nuts 99-1493 04 SG2 One 40 40 Removed 01-1294 40 studs/nuts MT-02-174 VT-02-595 IEB 82-02 Two 40 40 99-1499 One 1 1 PSV200 B 7.50 31 Pzr Safeties 01-1431 Removed PSV201 99-1499 01-1431 Removed PSV202 99-1499 01-1431 Removed PSV203 99-1499 01-1431 Removed MT-02-168 VT-02-597 lEB 82-02 Two PSV200 VT-02-598 IEB 82-02 PSV201 MT-02-169 MT-02-170 VT-02-599 IEB 82-02 PSV202 MT-02-171 VT-02-600 EEB 82-02 PSV203 99-1263 One 1 I V435 37 Charging lthru5 99-1490 One 5 5 B 7.60 16 RCP IA 01-1476 Disassembled I thin 16 5 6 thru 10 VT-02-627 Two 5 VT-02-628 lthru5 99-1491 One 5 5 17 RCP IB VT-02-631 Two 5 5 6 thru 10 VT-02-632 99-1489 18 RCP 2A One 5 5 1 hru 5 01-1475 Disassembled /2 1 dhm 16 rejects 01-1501 PSE 2

6 thru 10 VT-02-635 Two 5 5 VT-02-636 One 5 5 1 tlhm 5 99-1602 19 RCP 2B 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 Two 5 5 6 thru 10 VT-02-639 VT-02-641 99-1224 B 7.70 21 SD Cooling 1 One I I UV653 01-1533 One I I UV654 22 SD Cooling 2 VT-02-514 Two 1 1 UV652 I V237 01-1004 23 Sl IA One 1 VT-02-516 Two 2 2 V235 UV634 VT-02-517 99-1228 One I I V543 24 S! IB VT-02-478 Two 2 2 V245 UV644 VT-02-506 V540 99-1219 One I I 25 SI 2A VT-02-515 Two 1 1 V217 99-1614 One 1 I V225 26 SI 2B VT-02-553 PSE Two 2 2 V541 UV624 VT-02-518 VT-02-614 Two 1 1 V100E 27 PZRSprayIA 99-1283 Reject One 2 2 V241 28 PZR Spray IB 99-1665 Re-exam 01-1024 Re-Exam V242 99-1283 VT-02-615 Two 1 1 VI0OF 99-1713 One I I PSV200 31 Pzr Safeties VT-02-601 Two 1 1 PSV202 99-1588 One 2 2 V234 32 Drain Line IA V334 99-1587 VT-02-539 Two 2 2 V233 34 Drain Line 2A V333 VT-02-540 99-1263 I PDV240 37 Charging One 1 01-1042 One 1 1 V215 38 Drain Une Loop I 01-1040 One I 1 V523 39 HPSI Long Term I VT-02421 Two 2 2 V522 V957 VT-02-S78 VT-02-579 Two 1 1 V532 40 HPSI Long Term 2 01-1600 CEDM 92 & 96 One 1 1 2-21 B 7.80 02 RVLMS Examined 00-2400 66% 66% 5-1 99-1445 01-1006 B 8.20 5 Pressurizer One 99-1446 99-1447 99-1486 01-1304 01-1292 Examined 00 1200 33% 3-1 B 8.30 03 SG 1 One 33% 01-1330 01-1331 01-1332 UT-02-130 MT-02-165 Examined 120%.

Two 33% 33% 4-1 4 SG2 UT-02-136 240%, MT on OD UT-02-137 only.

UT-02-141 *Separate report by 01-1599 B9.11 06 RCS Piping One 7 7 1-31 01-1599 Wesdyne. Exams 1-34

& 9.12 6-7 01-1599 completed in UIR8 3-30 01-1356 01-1299 01-1359 01-1357 01-1291 4-30 01-1360 7-7 , 01-1599 17-2 01-1361 01-1291 01-1362 MT-02-179 Two 6 0 16-1 MT-02-181 17-1 1i-i MT-02-178 MT-02-180 19-1 01-1289 01-1232 20 PZR Surge One 1 1 20-1 01-1275 3 6-11 01-1380 21 SD Cooling 1 One 3 01-1383 01-1381 01-1275 21-18 21-20 01-1382 01-1275 21-14 UT-02-190 PT-02-119 TWo 2 2 UT-02-191 PT-02-120 21-15 22-11 99-1600 99-1590 22 SD Cooling 2 One 2 1 I,) - 12 4Z.

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 22-14 99-1599 99-1590 22-23 01-1510 01-1327 Needs PDI re-exam 01-1511 Needs PDI re-exam Two 3 0 22-1 PT-02-103 7-9 PT-02-105 22-18 PT-02-112 01-1541 01-1007 23 SI IA One 4 3 9-10 01-1542 23-1 01-1543 01-1007 23-2 01-1544 01-1007 01-1545 01-1007 Needs PDI re-exam 23-4 01-1546 Needs PDI re-exam UT-02-287 PT-02-172 Aug. Limited UT Two 0 0 23-6 exam UT-02-289 UT-02-179 PT-02-116 Aug. Limited UT 24 SI 1B Two 3 3 24-6 exam UT-02-182 UT-02-185 PT-02-098 Limited UT exam 24-14 UT-02-189 UT-02-177 PT-02-101 Limited UT exam 24-16 UT-02-188 UT-02-176 PT-02-099 Limited UT exam 24-19 UT-02-178 2 2 25-26 99-1512 99-1503 25 SI 2A One 25-27 99-1617 99-1606 25-29 99-1618 Two 4 4 25-1 UT-02-227 PT-02-145 U1-02-224 PT-02-146 Limited UT exam 25-4 UT-02-226 UT-02-221 PT-02-173 Limited UT exam 25-6 UT-02-222 13-10 UT-02-228 PT-02-174 2 2 26-9 99-1615 99-1586 26 SI 2B One 26-11 99-1616 99-1586 UT-02-181 PT-02-114 Aug. Limited UT Two 1 1 26-6 exam UT-02-184 13T-02-180 PT-02-113 Limited UT exam 26-17 UT-02-183 2 2 29-10 99-1467 99-1436 29 PZR Spray One 29-11 99-1468 99-1436 UT-02-233 PT-02-149 PSE, Need PDI re Two 1 0 29-1 exam UT-02-234 UT-02-235 PT-02-150 PSE, Limited UT 29-2 UT-02-236 exam, Need PDI re-exam UT-02-237 PT-02-148 PSE, Need PDI re 29-9 exam LIT-02-239 1 1 31-1 01-1220 01-1010 31 PZR Safeties One 2 2 31-9 UT-02-249 PT-02-156 Two 31-10 UT-02-256 PT-02-157 1 1 36-75 UT-02-223 P7-02-144 36 Letdown Line Two 4 9-11 01-1044 B 9.21 27 PZR Spray IA One 4 27-42 01-1044

& 9.22 27-43 01-1044 27-44 01-1044 4 28-31 99-1459 28 PZR Spray 1A One 4 28-32 99-1459 28-39 99-1437 28-40 99-1437 4 4 28-9 PT-02-167 Two 28-11 PT-02-168 11-11 PT-02-115 28-20 P7-02-169 99-1233 ()Identifies augment 30 Aux PZR Spray One 2(2) 2(2) 30-7 30-13 99-1233 30-1 01-1621 01-1640 88-08 01-1623 88-08 01-1622 01-1640 88-08 30-2 01-1624 88-08

-21

.,~L .C'29 1..

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 Two 2 2(2) 30-5 PT.02-153 30-6 FT-02-154 30-1 UT-02-229 PT-02-151 PSE, IEB 88-08, UT-02-230 Limited UT exam 30-2 UT-02-231 PT-02-152 PSE, IEB 88-08, UT4}2-232 Limited UT exam 32 Drain IA One 3 3 8-18 99-1504 32-1 99-1504 32-2 99-1504 33 Drain Line 1B Two 3 3 33-1 PT.02-106 33-5 PT-02-107 10-18 PT-02-104 36 Letdown Line One 2 2 36-8 01-1186 36-9 01-1186 Two 8 8 36-25 PT-02-138 36-26 PT-02-139 36-28 PT-02-141 36-35 PT-02-142 3643 PT-02-085 3644 PT-02-086 36-45 PT.024O87 36-8O PT-02-088 37 Charging One 5 5 3741 99-1301 37-42 99-1301 3743 99-1301 3745 01-1045 37-46 01-1045 3747 01-1045 Two 7 7 13-11 PT-02-128 37-28 PT-02-122 37-29 PT}02-123 37-30 PT-02-124 37-32 PT-02.125 37-33 PT-02-126 37-34 PT-02-127 38 Drain lane 1 Two 1 1 38.1 PT-02-170 39 HPSI A One 2 2 39-1 99-1234 39-5 99-1234 Two 3 3 39-12 UT-02-290 PT-02-131 39-13 UT-02-292 PT-02-175 39-24 UT-02-302 PT-02-162 Limited UT exam UT.02-303 40 HPSI B One 3 3 40-1 01-1043 40-2 01-1043 40-3 01-1043 Two 2 2 40-6 UT-02-285 PT-02-163 40-7 UT-02-288 PT-02-164 B 9.31 06 RCS Piping One 1 1 9-8 01-1355 01-1291 01-1358 Two 1 UT-02-212 MT.02-176 Limited UT exam, 0 13-8 Re-examine weld B 9.32 06 RCS Piping One I 8-17 99-1505 Two 1 2 13-9 MT-02-177 22 SD Cooling One I 22-7A 99-1607 36 Letdown Two 2 2 3641 PT-02-084 36-76 PT.02-143 B 9.40 32 Drain IA One I 32-6 99-1504 32-8 99-1504 Two 1 1 33-6 PT-02-108 33 Drain Line 1B Two 1 1 34-6 PT-02-171 34 Drain Line 2A Drain I One 1 38-5 01-1041 Removed 38 38-12 01-1500 PSE B 10.10 36 Letdown One I RC91H5 99-1591 RC91H6 99-1591 91% CC N460 Two 1 1 RC91H6 PT.-02-89 RCP 2A One When Bowl 99-1497 B 12.20 18 Disassembled Interior SI 1B Two When VS43 VT-02-523 Internal surfaces B12.50 24 Disassembled Reactor Vessel One 33% 33% Interior 01-1534 accessible areas B 13.10 01 Page 14 o0 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 One 2 2 2-9 01-11Y U1"103-65 CEDM 84 B 14.10 02 Closure Head 2-9 01-1519 01-1655 CEDM 88 2 2 2-10 01-1518 01-1655 CEDM 84 2-10 01-1518 01-1655 CEDM 88 CEDM 83 Two 2 2 2-9 UT-02-206 PT-02-136 CEDM 91 2-9 UT-02-207 PT-02-137 CEDM 83 2 2 2-10 UT-02-203 PT-02-134 CEDM 91 2-10 UT-02-204 PT-02-135 99-1585 RR#11 & 12 B 15.10, Various RCS Piping One ALL ALL Press Bound 99-1647 SIBPSVI69 disassy.

20.30, 99-1711 40,50. 01-1012 60 & 70 01-1013 01-1557 01-1627 01-1628 reject 01-1629 01-1630 01-1646 01-1647 VT-02-698 *100% ea. outage Two 100%

• Press Bound B 16 RCP 1A Flywheel 01-1273 One 1 1 Flywh UT-02-201 Two 1 1 Flywheel One 1 Flywheel 01-1363 17 RCP IB Two 1 1 UT-02-202 Flywheel One 1 1 Flywheel 01-1364 18 RCP 2A Two 1 1 Flywheel UT-02-208 One 1 1 Flywheel 01-1434 19 RCP 2B Two 1 1 Flywheel UT-02-205 RC28HI 99-1284 F 1.10 20 PZR Surge One 2 2 99-1218 RC28H2 S1240H10 99-1227 21 SD Cooling A One 7 7 99-1226 S1240H I S1240H13 99-1225 RC51HI 01-1182 Support Deleted RC51H2 01-1181 RC5IH3 01-1180 RC51H821 01-1433 RC51H2 VT-02-640 Expansion Two 7 7 VT-02-429 Expansion RC51-3 RCS1H4 VT-02-422 Support Deleted RC51H5 VT-02-423 VT-02-703 PSE RCS1H6 RCSIHS22 VT-02474 SI240H1 VT-02-430 Support Deleted SI240H2 VT-02-425 S1240H3 VT-02.431 Reject VT-02-605 Re-exam S1240H4 VT-02-433 Expansion SI240H5 VT-02-432 Reject VT-02-607 Re-exam VT-02434 Support Deleted S1240H6 VT-02-435 Expansion S1240H7 VTI02-659 Expansion S1240H9 S1240M0 VT-02-661 Expansion S1240H11 VT-02-662 Expansion S1240H12 VT-02424 Support Deleted S1240H823 VT-02-427 S1240H824 VT-02-428 01-1177 22 SD Cooling B One 4 4 RC68H5 Support Deleted RC68H6 01-1176 S1193H17 01-1178 S1193H19 01-1179 Support Deleted VT.02-663 Expansion TWo 4 4 RC68H3 Rej VT-02-496 SI193H8 VT-02-652 Re-exam VT-02497 RR #4 S1193H9 S1193H17 VT-02-664 Expansion ragv IJ US .JJ 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 S1193**2*

sI1g3H23 VT-02-665 Expansion VT-02-498 Support Deleted SI193H25 Support Deleted 01-1005 23 SI IA One I I S120715 VT-02-666 Expansion Two 2 2 S1207H3 VT-02-509 S1207H7 VT-02-510 S1207H11 99-1230 24 SI IB One 2 2 S1223H3 99-1229 Support Deleted S1223H4 VT-02-475 Two 2 2 S1223H1 Support Deleted VT-02-477 S1223H2 Support Deleted 99-1221 SI 2A One 2 2 S1156H7 25 99-1220 S1156H9 Expansion VT-02-667 Two 1 1 SI156H9 VT-02-511 SI160M1 Support Deleted 99-1223 26 S! 2B One 2 2 S1179H9 99-1222 SI179HII1 Rej VT-02-507 Two 3 3 SI175H021 VT-02-655 Re-exam VT-02-512 Support Deleted SI175F122 VT-02-513 SII7SH23 VT-02-669 Expansion SI179H11 99-1209 27 PZR Spray IA One 9 9 RC62H26 99-1208 RC62H27 99-1207 RC62H28 99-1206 Support Deleted RC62H29 99-1205 RC62H30 99-1204 Support Deleted RC62H3 I 99-1203 RC62H32 99-1202 R062H33 Support Deleted 99-1262 RC62H34 VT-02-537 Two 8 9 RC16H5 VT-02-608 RC16H6 VT.02-609 RCI6H7 Support Deleted VT-02-536 RC16H15 VT-02-610 RC62H35 VT-02-611 Support Deleted RC62H36 VT-02-612 RC62H37 VT-02-613 RC62H38 99-1217 28 PZR Spray IB One 9 9 RC17H24 99-1216 RC17H34 01-1172 RCI7H35 99-1215 RC17H36 99-1214 RCI7H38 Support Deleted 99-1213 RC17H39 99-1212 RCI7H40 99-1211 Support Deleted RCI7H41 99-1210 RC17H42 VT-02-616 Two S S RC17H43 VT-02-617 Support Deleted RC17H44 VT-02-618 RC17H45 VT-02-619 RC17H46 VT-02-620 RC1SH9 VT-02-534 Support Deleted RC1SmO VT-02-621 Support Deleted RC1SH11 VT-02-535 RCISH12 99-1439 29 PZR Spray One 2 2 RCISHI6 99-1440 RCI8HI8 99-1326 Support Deleted 32 Drain IA One 2 2 RC60HA 99-1327 Support Deleted RC60HB VT-02-493 Drain Line 1B Two 2 2 RC5SHA VT-02-494 Support Deleted 33 RC58HB VT-02-532 34 Two 2 2 RC96HA VT-02-533 Support Deleted Drain Uine 2A RC96HB 99-1592 36 Letdown One 9 9 RC91HI 99-1593 RC91H5 99-1594 RC9IH6 99-1325 Support Deleted RC91HB 99-1323 RC91HD 4-- C~2C 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 RC91HE 99-1319 Support Deleted 99-1321 RC91HY 99-1324 RC91HZ 99-1322 RC91HAA 99-1320 RC91HAK VT-02.415 Two 10 3 RC91H6 VT.02.416 RC91HAJ VT-02-417 RC91HP Support Deleted 99-1265 37 Charging One 14 14 CH5H2 99-1266 CH5H3 99-1267 CH5H25 99-1268 Support Deleted CH5H26 99-1269 CH5H27 99-1270 CH5H28 99-1271 CH5H30 99-1272 CH5H34 99-1273 CH5H35 99-1274 CH5H36 99-1275 CH5H42 99-1276 Support Deleted CH5H43 99-1277 CH5H44 Support Deleted 99-1264 CH5HAA VT-02-580 Two 9 9 CHH13 VT-02-581 CH5H17 VT-02-582 C~H5H18 VT-02-583 Cli5H19 VT-02-584 CHSH20 VT-02-585 CHSH21 VT-02-586 CHSIH2 VT-02-587 CHSHD2 VT.02-588 CH5H37 99-1238 Support Deleted 39 HPSI 1 One 4 4 S1248H26 99-1237 S1248H27 99-1236 S1248H28 99-1235 Support Deleted S1248H30 99-1239 S1248H25 VT-02-418 Two 5 5 S1248H17 Support Deleted VT-02-419 SI2AS48 VT-02-572 S12481119 VT-02-573 S1248H20 VT-02-420 S1248H29 01-1016 40 HPS! 2 One 3 3 S1199H13 01-1017 S1199HI4 01-1015 Support Deleted S1199H21 VT-02-574 Two 4 4 SIM99MS VT-02-S7$

S1991H16 VT-02-576 SI199H17 VT-02-577 SI199H18 01-1329 3 SG 1 One 1 1 3-40 F 1.40 VT-02-623 4 SG 2 Two 1 1 4-40 99-1712 5 Pressurinz *r One 0 0 5-40 99-1259 16 RCP IA One 2 2 16-20 99-1259 16-21 VT-02-524 Two 4 4 16-12 VT-02-525 16-13 VT-02-S26 16-14 VT-02-527 16-15 99-1260 17 RCP 1B One 2 2 17-20 99-1260 17-21 VT-02-528 Two 4 4 17-12 VT-02-529 17-13 VT-02-530 17-14 VT-02-531 17-15 99-1663 18 RCP 2A One 4 4 18-12 99-1663 18-13 99-1663 18-14 99-1663 18-15 VT-02-643 Two 2 2 18-20 VT-02-645 18-21 rage i I 01 I.)

Page 11I I t

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports Zone CompISys Insp Amt Amt Item ID Vol Surf Visual Remarks ASME Item no Per Req Comp 19 RCP 2B One 4 4 19-12 99-1664 19-13 99-1664 19-14 99-1664 19-15 99-1664 Two 2 2 19-20 VT-02-646 19-21 VT-02-647 One 2 2 41-3 01-1384 Examined 0°-180° C 1.10 41 Sol 01-1387 01-1390 01-1408 41-4 01-1385 Examined 0°-1800 01-1388 01-1391 01-1407 68-3 UT-02-194 68 Regen HTEXCH Two 3 3 UT-02-196 68-5 68-7 UT-02-198 99-1485 Examined 0W-180 69-1 69 Letdown HTEXCH One I I 01-1386 Examined 00-1800 41-5 C 1.20 41 SO I One I I 01-1389 01-1392 01-1393 01-1394 01-1395 01-1409 01-1410 UT-02-195 68 Regen HTEXCH Two 2 2 68-4 68-6 UT-02-197 01-1206 Examined 00-1800 SQ I One 1 1 41-1 C 1.30 41 01-1207 01-1219 01-1241 UT-02-261 Examined 00.1800 42 SG 2 Two 1 1 42-1 UT-02-258 UT-02-259 UT-02-275 U17-02-192 68 Regen HTEXCH Two 4 4 68-1 68-2 UT-02-193 68-8 UT-02-199 68-9 UT-02-200 1 69-2 99-1484 Examined 0°-1800 69 Letdown HTEXCH One I 01-1279 1 41-34 01-1008 C 2.21 41 SG I One 1 01-1280 1 42-35 01-1281 01-1009 42 S 2 One 1 01-1282 1 41-42 01-1447 C 3.10 41 Sol One 1 PT-02-132 96% CC N460 2 68-10 68 Regen H7EXCH Two 2 PT-02-133 96% CC N460 68-11 1 SG33H16 MT-02-184 C 3.20 44 MS SG1 270 Two 1 99-1430 I I SG42H14 45 MS SG2 270 One MT-02-185 Two 2 2 SG42H15 SG42H16 MT-02-186 1 SG5H9 01-1184 55 Feedwater SG 2 One 1 01-1185 3 SG39H15 01-1298 64 Blowndown SO I One 3 01-1302 01-1303 Support Deleted SG39H17 01-1002 Support Deleted SG53HI MT-02-203 Two 2 2 SG39H1 SG53H$ MT-02-200 PT-02-176 01-1295 Support Deleted 65 Blowdown SO 2 One 2 2 SG48H20 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 S052HI S......

0I-1003

• *

• E A J Support Deleted S187HII 99-1435 71 LPSI Discharge One I I 1 S19H4 99-1373 76 CS Suction One 1 1 S172H13 99-1516 88 East Wrap One I I S1194H14 99-1619 89 East Wrap One I 4 S170H9 99-1374 91 West Wrap One 4 SI7OHII 99-1256 Sr70H12 99-1456 S170H16 99-1256 1 S1241H21 99-1605 92 West Wrap One 1 2 SI070HS PT-02-121 94 S1 A Two 2 SI070HS PT-02-130 99 LPSI to Loop 2B 1 SI174H13 PT-02-129 Two 1 1 SD69HI 99-1457 100 LPSI Suction One 1 1 84-5 PT-02-178 Two 1 S1307H2 01-1446 102 SI Suction One 3 3 S1307H3 01-1446 S1307H15 01-1446 1 CH424H6 PT-02-118 103 Refuel Suction A Two 2 1 1 SI30SH3 PT-02-159 104 SI Suction B Two S1107H22 01-1198 Limited exam 113 HPSI Discharge One I I 72-3A 01-1471 C 3.30 72 LPSI Pump A One 3 3 72-3B 01-1471 72-3C 01-1471 01-1473 Limited exam 116 HPSIPumpA One 4 4 116-IA 116-IB 01-1473 116-IC 01-1473 01-1473 Limited exam 116-ID Main Steam SO I One 20 20 UV170 01-1372 C 4.40 47 01-1373 48 Main Steam SO I One 20 20 UVISO 20 Studs Two 40 40 V132 UT-02-209 56 Feedwater SG 1 20 Studs V174 UT-02-210 UT-02-219 PSE Aux & Dwncmr Two 2 2 594 PT-02-140 C5.11 59 UT-02-220

& 5.12 SO2 UT-02-225 59-16 UT-02-159 PT-02-097 PSE, AUG (IEB UT-02-160 79-13)

UT-02-161 UT-02-273 PT-02-160 PSE, AUG (IEB 59-16A 79-13)

UT-02-274 PT-02-161 PSE 59-16C 59-34 UT-02-283 FT-02-091 UT-02-284 01-1525 01-1188 needs PDI re-exam 63 Aux Feed SO 2 One 1 0 63-4 01-1526 70-58 99-1258 99-1257 70 & 73 LPSI Suction A & B One I I 70-56 UT-02-174 PT-02-111 Two 1 1 UT-02-175 99-1372 99-1316 82 & 85 SD Cooling A & B One 2 2 72-50 01-1189 73-49 01-1428 74-19 99-1381 99-1315 83 & 86 SD Cooling A & B One 4 4 99-1317 74-21 99-1383 74-22 99-1384 99-1317 74-105 99-1382 99-1314 78-16 99-1604 99-1515 88 & 91 East & West Wrap One 6 6 99-1311 99-1279 74-44 76-2 99-1310 99-1279 76-21 01-1535 01-1190 01-1547 77-7 01-1521 01-1371 Limited exam 01-1540 01-1522 Limited exam 77-14 01-1371 01-1523 01-1524 74-40 01-1427 01-1430 94&95 SIA&B One I PT-02-109 Two 2 2 74-37 UT-02-172 UT-02-173 UT-02-170 PT-02-110 74-38 UT-02-171 i'age P.' 01 3)

P'age 19 or 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 0-7 080, Or, I1PI In-- IA IR One 3 3 78-45 99-1513 99-1502 99 2A, 2B 99-1514 99-1502 78-47 79-23 01-1276 01-1293 01-1277 2 77-22 UT-02-162 PT-02-095 Two 2 77-27 UT-02-163 PT-02-096 Limited UT exam UT-02-164 UT-02-165 PT-02-093 Limited UT exam Two 2 2 70-121 100 LPSI A Suction UT-02-166 UT-02-291 PT-02-177 Limited UT exam 84-3 UT}-02-293 01-1487 01-1191 needs PDI re-exam 0 84-12 102 S Suction A One I 01-1488 UT-02-150 PT-02-090 Limited UT exam 1 0 94-26 Two UT-02-169 Re-examine weld 1 86-57 01-1305 01-1300 103 Refuel. Suction A One I UT-02-186 PT-02-117 Limited UT exam Two 1 1 86-1 UT-02-187 01-1307 01-1301 Limited exam 1 85-46 104 S$ Suction B One I 01-1308 01-1309 UT-02-276 PT-02-158 Two 1 1 85-31 01-1192 87-23 01-1306 105 Refuel. Suction B One 1 1 UT-02-277 PT-02-165 1 87-37 Two UT-02-279 106-1 01-1244 01-1193 Limited exam C 5.21 106 & HPSI Discharge A & One 4 01-1248 107 B 01-1252 01-1254 Limited exam 106-21 01-1193 01-1257 01-1260 01-1245 01-1194 Limited exam 107-11 01-1249 01-1253 01-1225 01-1194 Limited exam 107-42 01-1226 01-1227 01-1246 01-1195 Limited exam 108 & HPSI One 2 2 109-4 01-1250 109 01-1489 01-1502 109-21 Limited exam 01-1247 01-1229 110& HPSI One 2 2 110-6 01-1251 111 Limited exam 01-1261 01-1196 Limited exam 110-39 01-1263 01-1265 01-1255 01-1197 Limited exam 112 & HPSI Discharge A One 3 3 112-1 01-1258 113 &B 112-33 01-1197 01-1259 01-1183 Limited exam 112-34 01-1256 01-1374 01-1262 01-1197 Limited exam 112-45 01-1264 01-1266 01-1310 01-1274 Limited exam 114 HPSIIA, IB,2A & One I 1 115-13 01-1311

&115 2B UT-02-298 PT-02-102 Limited UT exam 1 115-20 Two 1 UT-02-299 UT-02-167 PT-02-094 Limited UT exam 2 118-49 118& HPSI Long Term Two 4 UT-02-168 119 UT-02-300 PT-02-166 Limited UT exam 119-52 UT-02-301 107-53 01-1194 C 5.30 106& 107 HPSI Discharge A & One I B 72-49A 99-1316 C5.41 &82&85 SD Cooling A & B One 1 1 99-1279 74-102 5.42 88 & 91 East & West Wrap One 1 1 P7-02-100 76-78 96 LPSI to Loop 1A Two 1 43-2 99-1443 99-1432 C 5.51 & 43 MS SGI 90 One I rage tu rag 20 01 .J 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 1 44-1 44-5 "99-01447 yMy-1*31 Two 2 2 UT-02-217 MT-02-182 44-30 UT-02-218 MT-02-183 46-25 99-1444 99-1433 46 MS SG2 90 One 1 01-1520 01-1296 54-41 54 Feedwater SO I One 1 01-1616 01-1610 54-10 PSE 01-1613 01-1610 PSE (Vol is RT) 54-1IA 01-1617 01-1610 PSE (Vol is RT) 54-24 01-1614 01-1610 PSE 54-25A UT-02-296 MT-02-201 PSE Two 2 2 54-1 54-11A UT-02-295 MT-02-202 55-1 01-1204 01-1001 55 Feedwater SO 2 One 2 2 01-1205 01-1001 55-15 01-1620 01-1532 PSE (Vol is RT) 55-10 01-1618 01-1532 PSE (Vol is RT) 55-11 01-1619 UT-02-294 MT-02-196 PSE Two 1 1 55-26 99-1495 99-1508 ()Identifies augment 1(5) 1(5) 41-39 EXAM (IEB 79-13 58 Aux & Dwncmr SGI One 99-1494 99-1501 58-1 & SER 83-07) 58-12 99-1286 99-1231 58-13 99-1289 99-1231 58-16 01-1529 99-1285 01-1297 58-16A 01-1528 99-1285 01-1297 01-1559 01-1530 PSE (Vol is RT) 58-6 01-1560 01-1561 01-1562 01-1530 PSE (Vol is RT) 58-35 01-1530 PSE (Vol is RT) 58-36 01-1563 UT-02-157 MT-02-161 AUG (IEB 79-13) 58-12 AUG (1EB 79-13)

Two 0(5) 0(4) 58-13 UT-02-158 MT-02-162 UT-02-156 MT-02-163 AUG (IEB 79-13) 58-16 AUG (IEB 79-13)58-16A UT-02-155 MW-02-164 59-1 99-1496 99-1507 59 Aux & Dwncmr One 0(5) 0(5)

SG2 01-1641 01-1531 PSE (Vol is RT) 59-2 59-12 99-1292 99-1232 59-13 99-1293 99-1232 59-16 99-1290 99-1198 01-1231 PSE 01-1512 01-1514 01-1516 59-16A 99-1291 99-1198 01-1513 01-1231 PSE 01-1515 01-1517 01-1417 01-1375 PSE 59-6 01-1419 01-1421 01-1424 01-1418 01-1375 PSE 59-35 01-1420 01-1422 01-1425 01-1423 01-1375 PSE 59-36 01-1426 01-1527 59-12 MT-02-197 AUG AUG (lEB (IEB 79-13) 79-13)

Two 1(5) 1(0) MT-02-198 59-13 59-25 UT-02-151 MW-02-160 UT-02-152 64-1 01-1242 01-1002 64 Blowdown SG I One 1 1 01-1243 01-1003 65-28 65 Blowdown SG 2 One 1 1 UT-02-153 MT-02-159 1

65-52 Two 1 UT-02-154 01-1473 C6.10 116 HPSI Pump A by end of interval 116-2 Press Bound

• C 7.10 N/A Pressure Vessels One All All AlU Press Bound C 7.30 NIA Piping One All Page*

~1 Up .2c 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 One All All Press Bound 0 One All All Press Bound

• see list by system C 7.70 N/A Valves 01-1635 AF 01-1636 VT-03-007 **Period Two All ** AF 01-1012 Requirement One CH 01-1642 Partially completed VT-03-002 VT-03-003 VT-03-005 Vr.03-004 Two All CH 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 One All All CL 01-1648 01-1653 01-1485 CP 01-1486 01-1625 01-1626 01-1319 DW 01-1317 FP 01-1440 GA 01-1441 01-1432 GR 01-1436 HC 01-1437 01-1507 01-1536 01-1649 01-1650 01-1011 HP 01-1496 01-1537 01-1645 VT-03-001 V'T-o3-o29 Two All HP VT-03-.30 01-1320 One All Ali IA 01-1321 01-1318 NC 01-1323 PC 01-1324 01-1325 01-1326 RC 01-1557 01-1627 01-1597 RD 01-1631 SG 01-1638 VT-03-008 Two All SG

£L US .:1J rage ,12 ot*.

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports Insp Amt Amt Item ID Vol Surf Visual Remarks ASME Zone Comp/Sys Item no Per Req Comp VTl'iIJlflO VT-03-023 VT-03-025 VT-03-026 VT-03-027 01-1013 One All All SI 01-1014 01-1312 01-1443 01-1444 01-1504 01-1508 01-1509 01-1538 01-1539 01-1615 Re-exam VT-I 01-1629 01-1630 01-1632 01-1633 01-1646 01-1647 01-1634 SS 01-1445 WC 99-1240 MS SG 190 One 2 2 SG36H17 99-1242 F 1.20 43 SG36H884 99-1241

$G36H885 VT-02-622 RR #4 Two 1 1 SG36Hll 99-1278 MS SG 1270 One 2 2 SG33HI7 99-1243 Support Deleted 44 SG33H18 VT-02-694 RR#4 Two 3 3 SG33H16 VT-02-693 RR #4 SG33HS81 VT-02-695 RR#4 SG33H882 99-1244 MS SG 2 270 One I I SG42HI4 VT-02-690 RR#4 45 Two 3 1 SG42H11 99-1441 One 2 2 SG45H17 99-1463 Support Deleted 46 MS SO 2 90 SG45HI8 VT-02-691 RR#4 Two 3 3 SG4'H11 VT-02-689 RR #4 SG45H887 VT-02-692 RR #4 SG45H888 99-1318 MS SGI 270 One I I SG206HI 99-1575 47 51 Atm Dump SG1 One 1 1 SG59H6 01-1566 PSE Atm Dump SG2 One 0 1 SG013H6 99-1679 52 One 4 4 SG81HI 99-1680 53 Steam to Aux FW SG81H2 99-1681 SG83HI 99-1682 SG83H2 VT-02-602 Support Deleted Two 2 2 SGS1H4 VT-02-603 Support Deleted SG83H4 01-1602 Expansion Feedwater SG I One 7 7 S02H2 01-1022 54 SG2H4 01-1021 SG2H5 01-1062 Reject SG2H12 01-1603 Re-exam 01-1020 SG2H13 01-1019 SG2H14 01-1018 SG2HI5 01-1025 SG21803 01-1612 Expansion SG13HI1 01-1173 Feedwater SG 2 One 9 9 SG5H9 01-1174 55 SG5HIO 01-1175 SG5HI1 01-1036 SG5H52 01-1477 PSE SG5H14 01-1037 SG5H805 01-1038 SGSHB09 01-1039 SG5H812 01-1034 SG14HI 01-1035 S014H804 rage h3 01 J r'age 1-3 01 JJ

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks ASME Zone Item no Per Req Comp Two 7 7 SGSH4 VT-02-559 SGSH5 VT-02-560 Reject Re-exam VT.02-656 RR#4 SG5H6 VT-02-561 SGSH7 VT-02-562 RR#4 SGSH8 VT-02-564 VT-02-563 Reject SGSHI3 Re-exam VT-02-657 VT-02-565 SGSH14 01-1604 SG8H2 58 Aux & Dwncmr One 7 7 SOl 01-1606 SG8H3 01-1608 SG8H4 01-1607 SG8H5 SG8H20 01-1609 S08H901 01-1448 01-1605 SGSH903 VT-02-520 7 7 SG8H6 RR#4 RR #4 Two VT-02-449 SG8H7 Reject SGSH8 VT-02-451 VT-02-649 Re-exam VT-02-452 SG8H9 VT-o2-453 SGSH10 VT-02.454 SGSH11 RR #4 VT-02-519 SG8H17 99-1261 AF6H1 59 Aux & Dwncmr One 6 6 SG2 99-1201 SGUH8 99-1246 SGI1H9 99-1245 SO11HI0 99-1200 SGIIHIl 99-119999 SGI IH12 1332 VT-02-702 PSE SG11H3 Two 6 5 VT-02-566 SG11H13 VT-02-567 SG11H14 VT-02-568 SG11H15 VT-02-455 SG11H18 VT-02-570 SG1IH19 99-1668 SG200H9 PSE 60 Dwncmr FW SGI One 1 1 99-1669 SG200HI3 PSE SG200H14 99-1670 99-1671 PSE SG203H13 PSE 61 Dwncmr FW SG2 One 0 0 99-1672 SG203H14 99-1461 62 Aux FW SG1 One 1 1 AF4H3 99-1462 AF6H2 63 Aux FW SG2 One 2 2 99-1460 AFI6HI 01-1449 S039HI0 Support Deleted 64 Blowdown SG I One 12 12 01-1450 SG39HI I 01-1451 S039H12 Support Deleted 01-1452 S039H13 Support Deleted 01-1453 SG39H 14 01-1454 SG39H15 01-1455 SG39H16 Support Deleted 01-1456 SG39H17 01-1457 SG39H26 Support Deleted 01-1031 SG53HI Support Deleted 01-1032 SG53H2 01-1033 SG53H924 Support Deleted VT-02-480 Two 13 12 SG39H1 Support Deleted VT-02-481 SG39HZ Support Deleted VT-02-482 SG39H3 VT-02-483 SG39H4 VT-02-484 SG39HS Support Deleted VT-02-485 SG39H6 Support Deleted VTro2-486 SG39H27 Support Deleted VT-02-488 SG53H3 VT-02-489 SG53H4 VT-02.490 SGS3H5 ru-£ 1A C2 rage o*tUt..

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks ASME Item no Per Req Comp SG 2 SG53H6 VT-02.491 Support Deleted Blowdown SG53H7 VT-02-492 Support Deleted 65 SG48H2 Support Deleted 65 Blowdown SO 2 One 12 12 01-1030 SG48H3 01-1478 Support Deleted SG48H4 01-1479 01-1480 Support Deleted SG48H19 Support Deleted S048H20 01-1481 01-1482 SG481121 01-1029 SG4811925 Support Deleted SG52H1 01-1026 01-1027 Support Deleted SG52H2 01-1483 Support Deleted SG52H3 01-1484 SG52H4 01-1028 SG52H923 Support Deleted VT-02-456 Two 11 11 SG48H13 VT-02-457 RR#4 SG48H14 VT-02-458 Support Deleted SG48H15 RR #4 SG48H16 VT-02-459 VT-02-460 Support Deleted SG48H17 RR #4 SG48H18 VT-02-461 VT-02-462 Support Deleted SG48H22 VT-02-463 RR#4 SG48H23 RR #4 SG48H24 VT-02-464 VT-02.465 Support Deleted SG48H25 Support Deleted SG48H26 VT-02-466 VT-02-590 68 Regen Htexch Two 2 2 68-10 VT-02-$91 68-11 99-1248 LPSI Suction A One 1 1 S167H4 99-1428 PSE 70 S1307H16 99-124799 71 LPS1 Discharge A One 1 1 S187H111 1375 VT-02-541 Two 5 5 SI78H1 VT-02-542 SI78H2 VT-02-543 SIS7H1 VT-02-544 S187H2 VT-02-545 S187143 VT-02-546 73 LPS! Suction B Two 1 1 SDOSH14 99-1376 76 CS Suction A One I I S19H4 99-1438 99-1427 PSE S167H1 99-1426 PSE S167H3 99-1377 77 CS Discharge A One 4 4 S!79H1 99-1378 S179H2 99-1379 S179H3 99-1380 S!79H4 99-1517 79 CS Suction B One 3 3 S134H1 99-1518 SD34H2 99-1519 S134H3 99-1527 80 CS Discharge B One 3 3 S1119H7 99-1528 S1119H8 99-1529 SII 19H9 99-1296 82 SD Cooling A One 2 2 Sr78H4 99-1595 S178H5 01-1564 PSE 99-1297 S179H10 01-1458 99-1312 83 SD Cooling A One 4 4 S187H9 99-1300 SI89H1 99-1299 S189H2 99-1298 S189H3 99-1530 85 SD Cooling B One 3 3 S1119HI0 99-1531 S1123H6 99-1532 S1123H7 99-1406 86 SD Cooling B One 3 3 S1129H10 99-1405 S1129H11 99-1407 SI129H12 Expansion, RR #4 VT-02-672 Two 7 1 SI129H9 VT.02-675 Expansion, RR #4 SI135H1 99-1533 88 East Wrap One 8 8 S172-111 rage £;1 ul ;,j rage/25 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks ASME Item no Per Reg Comp S172H13 99-1534 S172H14 99-1535 S!72H21 01-1333 S172H22 01-1334 S173H1 01-1459 S173H2 01-1460 S173H3 01-1461 VT-02-685 Expansion, RR #4 Two 0 0 S172H11 VT-02-686 Expansion, RR #4 S172H13 Expansion, RR #4 VT-02-687 S172H14 Expansion, RR #4 VT-02-688 S173H2 99-1536 One 4 4 SI194H12 89 East Wrap 99-1537 S1194H13 99-1640 S1194H14 99-1641 S11941123 Expansion, RR #4 VT-02-668 Two 0 0 S1194H13 99-1255 91 West Wrap One 7 7 S170H9 99-1254 8701H10 99-1253 S1701111 99-1252 S70H112 99-1249 S170H13 99-1251 S170H15 99-1250 S170H16 99-1673 Expansion West Wrap One 5 5 S1239H1 99-1674 Expansion 92 S1239112 99-1598 S1239H3 PSE 01-1565 99-1418 PSE S1241H9 PSE 99-1417 S1241H12 99-1419 PSE S1241H14 99-1597 S1241H15 99-1596 SI241H21 Expansion, RR #4 VT-02-653 Two 5 1 S1241H9 VT-02-654 Expansion, RR #4 S12411112 VT-02-658 Expansion, RR #4 S1241H14 Expansion, RR #4 VT-02-660 S12411121 99-1398 94 LPS! A One 3 3 S189H7 99-1399 S189H8 99-1400 S189H9 99-1302 PSE S1241115 99-1423 PSE S1241H7 PSE 99-1421 S1241H8 VT.02-589 Two 7 5 S170H4 VT-02-697 SI70H VT-02495 S170H8 VT-02-624 RR #4 S1241H6 VT-02-642 RR #4 S1241H7 99-1401 LPSI B One 6 6 S172H8 99-1402 95 S!72H10 99-1403 S1134H11 99-1404 S1134H12 99-1414 S1194H3 99-1415 SII94H5 Expansion, RR #4 VT-02-644 Two 10 0 S1721110 VT-02-650 Expansion, RR #4 SI194H5 99-1342 96 LPS1to Loop IA One 3 3 S1202H7 99-1343 Support Deleted S1202H8 99-1344 Support Deleted S1202119 VT-02-670 Expansion Two 8 7 S1202H11 VT-02-467 RR#4 S1202H2 VTr02-468 RR#4 S1202H3 VT-02-469 Reject SI202H4 VT-02-651 Re-exam VT-02-470 RR#4 S1202H6 VT-02-671 Expansion S1202H7 Support Deleted S1202HI0 VT-02-471 VT-02-472 Support Deleted S1202H1l VT-02-673 Expansion S12021112 VT-02-473 RR#4 S1202H15 r .. *.Jn 13Kt~ f., 114J

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 S1202H16 ¥'1-U0,474 VT-02-676 Expansion S1202H18 01-1468 One 10 10 SI220H8 99-1333 97 LPSI to Loop 1B S1220H9 99-1334 S1220H10 99-1335 S1220H111 99-1336 Support Deleted S1220H12 99-1337 S1220H13 99-1338 Support Deleted S1220H14 99-1339 S1220H15 99-1340 S1220H19 99-1341 Support Deleted SI220H22 VT-02-444 Two 7 7 S1220H1 VT-02-677 Expansion SI220HS 812201116 RR#4 VT-02-446 S122OH16 VT-02-447 S1220H17 VT-02-448 S1220mB VT-02-443 Reject RR #4 S1220H20 VT-02-648 Re-exam VT-02-445 Support Deleted S1220H21 VT-02-678 Expansion S1220H27 VT-02-450 Support Deleted S1220H728 99-1329 One 2 2 S1155115 99-1328 98 LPSI to Loop 2A S1155H6 VT-02-679 Expansion Two 5 1 SI155H6 VT-02-680 Expansion 99 LPSI to Loop 2B .Two 5 4 SI174H4 VT-02-554 Support Deleted S1174H7 VT-02-555 S1174H8 VT-02-556 Support Deleted S1174H9 VT-02-681 Expansion S1174H111 VT-02-682 Expansion S1174H12 VT-02-558 S1174H13 99-1330 Reject LPSI A Suction One 2 2 S1241H19 99-1642 Re-exam 100 01-1469 Re-exam 99-1331 S1369H1 VT-02-696 Two 1 1 84-5 Expansion VT-02-683 LPS1 B Suction Two 0 0 si194H16 VT-02-684 Expansion 101 S1194H22 99-1303 PSE SI Suction A One 6 6 S18H4 99-1429 PSE 102 SI9HI 99-1422 PSE S1307H2 99-1304 PSE S1307H5 99-1425 PSE S1307H6 99-1424 PSE S1307H7 01-1462 S1307H2 01-1463 S1307H3 01-1464 Support Deleted SD307H4 01-1465 S1307115 01-1466 S1307H8 01-1467 S!307H15 VT-02-436 RR #4 Two 7 7 SISH1 VT-02-437 Support Deleted SISH2 RR#4 VT-02-438 SISH3 RR#4 VT-02-439 SI8H4 RR#4 S1307H6 VT-02-440 VT-02-441 RR #4 SD0O7H7 Support Deleted S1307H14 VT-02-442 99-1420 PSE Refuel Suction A One 6 6 CHI42H3 99-1408 103 CHI42H13 99-1409 CH142HI4 99-1410 CHI42H15 99-1412 CHI42H19 99-1411 CH142H22 99-1413 CH424H1 99-1386 PSE CH424H2 99-1385 PSE CH424113 VT-02-504 6 6 CH14218 VT-02-522 CH142820 D age ')7 o"7*

f1r,

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 CH142H21 vTr.02.505 CH424H2 VT-02-499 CH424H3 VT-02-500 RR#4 CH424H6 VT-02-521 99-1520 Support Deleted SI Suction B One 7 7 S13HI 104 S133H2 99-1521 S133H3 99-1522 S1308H5 99-1523 SB08H8 99-1524 99-1525 S1308H10 99-1526 S!308H1I VT-02-547 Two 7 6 S1308H1 S1308H2 VT-02-548 S1308H3 VT-02-549 VT-02-550 S1308H4 Support Deleted VT-02-571 S1308H6 Support Deleted VT-02-551 SI308H7 01-1396 105 Refuel. Suction B One 7 7 CH149H9 01-1397 CHI49HIO 01-1398 CH149H 12 01-1399 CH 149H 13 01-1400 CH149HI4 01-1401 CH149H21 01-1402 CH149H28 01-1046 106 HPSI Discharge A One 8 8 S199H1 01-1047 S199H2 01-1048 SII00HI 01-1049 SII00H2 01-1050 SII00H3 01-1051 SII00H5 01-1052 S1100H34 01-1053 SII06HI 01-1057 HPSI Discharge B One 6 6 S1107H3 107 01-1056 SII07HI1 01-1059 SI107H12 01-1055 SIt12HC 01-1054 SI I 12HG 01-1058 S1112HH 99-1388 HPSI Discharge One 11 11 S1100H22 108 99-1387 S1100H23 99-1389 S1100H24 99-1390 S1100H25 99-1391 S100H26 99-1392 SI100H27 99-1393 S1100H28 99-1394 SI100H29 99-1395 SIi0OH31 99-1396 S1100H32 99-1397 SI10OH35 01-1335 109 HPSI Discharge One 7 7 S1107-113 01-1336 S1107HI4 S1107H15 01-1337 SI107H16 01-1338 S1107H21 01-1339 S1107H47 01-1340 S!107H50 01-1341 01-1403 110 HPSI Discharge One 7 7 SI103HB 01-1404 SII03HD SII03HE 01-1405 SI21SHI 01-1342 S1218H2 01-1343 S1218H3 01-1344 S1218H4 01-1345 01-1348 11 HPSl Discharge One 3 3 S1100H37 01-1346 SIIOOHA SIIOOHB 01-1347 01-1349 112 HPSI Discharge One 3 3 S1176Hi 01-1350 S1176H2 o ul .3.)

rage.48 ox 3 C

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks ASME Item no Per Req Comp S11 10H.1

~II 1011.1Al I 01-1061 IC One 5 5 S1107H22 01-1060 113 HPSI Discharge S1107H24 01-1352 S1157H2 01-1353 SI157113 01-1354 S1157H4 VT-02-502 Two 3 3 S1157H10 Support RR#4 Deleted 115 HPSI 2A & 2B VT-02-503 S1157H11 VT-02-501 RR#4 SI176H4 01-1498 One 2 2 41-42 F 1.40 41 Steam Generator 1 01-1499 41-43 01-1472 One 3 3 72-3A 72 LPSI Pump A 01-1472 72-3B 01-1472 72-3C 01-1474 HPSI Pump A One 4 4 116-IA 01-1474 116 116-IB 01-1474 116-IC 01-1474 116-ID

£,7 Ul J.'

Page %p

APPENDIX B CODE LIMITATIONS

REFUELING OUTAGE NUMBER TEN CODE LIMITATIONS A CUM ITI~LA 7tANl*/mMPA?.JFNT ITF.M 11D RFPORT NO_

7nWP/rnA4PnTJPNM ITEM ID B 9.11 23 S1 IA 23-6 UT-02-287, UT-02-289 B 9.11 24 SI 1B 24-14 UT-02-185, UT-02-189 B 9.11 24 SI 1B 24-16 UT-02-177, UT-02-188 B 9.11 24 Sl 1B 24-19 UT-02-176, UT-02-178 B 9.11 24 SI 1B 24-6 UT-02-179, UT-02-182 B 9.11 25 SI 2A 25-4 UT-02-224, UT-02-226 B 9.11 25 SI 2A 25-6 UT-02-221, UT-02-222 B 9.11 26 SI 2B 26-17 UT-02-180, UT-02-183 B 9.11 26 SI 2B 26-6 UT-02-181, UT-02-184 B 9.11 29 PZR Spray 29-2 UT-02-235, UT-02-236 B 9.21 30 Aux PZR Spray 30-1 UT-02-229, UT-02-230 B 9.21 30 Aux PZR Spray 30-2 UT-02-23 1, UT-02-232 B 9.21 39 HPSI A 39-24 UT-02-302, UT-02-303 C 5.11 100 LPSI Train A 70-121 UT-02-165, UT-02-166 C5.11 100 LPSI Train A 84-3 UT-02-29 1, UT-02-293 C5.11 102 SI Suction A 84-26 UT-02-150, UT-02-169 C5.11 103 Refuel. Suction A 86-1 UT-02-186, UT-02-187 C5.11 97 LPSI Loop IB 77-27 UT-02-163, UT-02-164 C 5.21 115 -PSI 2A & 2B 115-20 UT-02-298, UT-02-299 C 5.21 118 HPSI A Long Term 118-49 UT-02-167, UT-02-168 C 5.21 119 HPSI B Long Term 119-52 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

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 - January28, 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

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

9. [1 ISI Flaw NDE Method ofFlaw Detection:

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.

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 NMJMR# 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 M U M~gV p Velr*4 ?1Ef- VA'

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. Date: 6472 P. O. Box 53999. Phoenix Arizona 85072-2034 Sheet: 1of 2

2. Plant Palo Verde Nuclear Generating Station Unit:

5801 South WintersburR Road.. Tonopab. Arizona 85354-7529 Work Order Number 219437

3. Work Performed by: Arizona Public Service 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 --

Iainches, NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 2 X 11 (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 m

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 Type Code Symbol Stamp NIA Certificate of Authorization No. NIA Expiration Date: N/A Signed.-TffE& ( (Qn54rL ft !Ignee, 1&ti Date: 1eP-29q-- z..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 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*-

Bnck Ver. 77 Back 73DP-917

• ?V-E0092 V*-EDM( Ver. 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. ISI1] Flaw NDE Method ofFlaw Detection:

Report Number

10. Evaluation of the suitability of this work as per the requirements ofTWA -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 -, Include a step in the W.O. to complete NIS-2 Form prior to releasing the omnet17.

component.

Initial .01 Dae nPtalDt _ X- 18. Include aitems.

replacement step in the W.O. to record below all applicable numbers for repaired or 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: >

A ANl. I I II I Printed Name: I II<.IIII Si Date MOM29 Mr. 7

?DP-9=Z7

II FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASlM Code Section XI I

1. Owner: Arizona Public Service Company, et. al. Date:. I04M001 P.O. Box 53999. Phoenix Arizona 85072-2034 Sheet: I of Z

2. Plant: Palo Verde Nuclear Generating Station Unit I 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529 Work Order Number 224907

3. Work Performed by- Arizona Public Service Type ofCode Stamp None Authorization No. N/A Expiration Date N/A

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 II 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.

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 N/A Certificate of Authorization No. N/A Expiration Date: . N/A Signed: e5 4PCE srlr- t &4,--at: Date: 101'r10Z.

Owner or Owner's Designee, Tite 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. m II I I I J I Commissions: NB 9685 "N" "I" AZ264 I Naional Board, State, Province, and Endorsements J 'Inspectors Signature Il l[

Date U0-qtOZ

[I Iýa--.

f V UU7&

U716 V.

I V=-. I IMUL 731)P-9ZZ17 73DP-gzz7

I TASME SECTION X! - REPAIR/REPLACEMENT

1. Component ID 1PSGEV032 2. Code Class ASNM IT[ (Mlass 2

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

9. IQ 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.

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,-/--/ ',crn000f.3?

P/h/#qp.'-n-:szAA F)

19. Planner 4 -Z-,2 PrintNaindbavidGoodlet Sol""w Date

20. ISI Engineer. C-2 4 Print Name Ramakant Indap I21. ANII___

P'V-EOO Ver. a Gate

,-Zc.-o2, I*atO Print Name Robert Hogzstrom 7P4lL1 7 Vet,S PV-E0093 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. Date 06/21/02 rume P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet I of 2 Address

2. Plant Palo Verde Nuclear Generatig Station Unit 1 5801 S. Wintersbur* Rd.. Name Tonopah. Arizona 85354-7529 2387151 Address Wouk Order Nunmer

3. Work Performed by PVNGS Maintenance Dept. Type Code Symbol Stamp None Name Authorizatin No. N/A 5801 S. Wimtersburg Rd., Tonopah, Az. 85354-7529 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 Nominal Operating Pressure (2 Exempt (2 N-416-1 Ej Other Q2 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 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.

7SOP-917 PV-EM09 PV-E0092 Vet.

Var. 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 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*-,* U ow- or o,,w Deigo. Me.'

oera, J64itf

,' Date V -Z7-O2...

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, 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 Io-lq-O*..

....... o.'.,S I, Ii..

730P-9ZZ17 PV-E09 FV-E0092 Ver. SACK var.?7 BACK 73OP-gZZ7

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.

9. 0 ISI Raw NDE Method of Flaw Detection:

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 Summer 1975 Addenda

12. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2. 1974 Edition Addenda

13. Repair/Replacement Activity Construction Code/Edition: Sec. HIi Cl 2, 1974 Edition 1975 Winter

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 Inspection.

Initial .,PE2&.Date -t) 2-,02 If rcquird, include a stcp in the W.O. for lSI & ANI the

17. Include a step in the W.O. to complete NIS-2 Form prior to releasing 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.

/ , 21953-1 MR 563601 PLUG

19. Planner [X...

Signatue C2~ie iJb-.7-9 Date Printed Name: DavidGodt

20. 151 O/~ 7<#-- Printed Name: /

Sigat*re 2 z

21. ANTI s6e- 7 - 4..A Printed Name:

ligDat#'7 Date pv*'o,,6t V'.'7

-. -. *.. .. c . ...............

. - .. . *....r........

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Date: 10-12-22

1. Owner: Arizona Public Service Company. et. al.

Sheet: I of 2 P.-O. Box 53999. Phoenix Arizona 85072-2034 Unit I

2. Plant: Palo Verde Nuclear Generating Station Work Order Number 2391525 5801 South W'Mtersburg Road.. Tonopah, Arizona 85354-7529 Type of Code Stamp N=

3. Work Performed by: Arizona Public Service Authorization No. NIA Expiration Date N/A

4. Identification of System: CHI: Chemical and Volumn Control System 1274 Edition. Smmer17- Addenda, Code Case

5. (a) Applicable Construction Code ASME Section III NC. Class 2 Edition. 1992 Addenda (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992

6. Identification of Components Repaired or Replaced and Replacement Components National Other Year Repaired or ASME Name of Name of Manufacturer Board No. Identification Built Replacement Code Item Manufacture Serial No.

Stamped.

(Yes or NO) n/a 1JCHNUV- 1984 Replacement YES PLUG Fisher 6552839 0500

7. Description of Work. Rework valve to correct seat leakage.

Pneumatic 0 Nominal Operating Pressure 0 Exempt [ N-416-1 0

8. Test Conducted: Hydrostatic [

Pressure _ psi Test Temperature - OF Other [3 may be used provided (1) size is 8 % X 11 NOTE: Supplemental sheets in form of lists, sketches, or drawings each sheet, and (3) each sheet is numbered inches, (2) information in items I thru 6 on this report is included on and t*. n,-mber of shbe.,ts JF rco.ed at the to of this form.

FORM NIS-2 .(Back) II II E:

'*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 Compliance replacement conforms to the rules of We certify that the statements made in the report are correct and this the ASMB Code, Section XL Type Code Symbol Stamp N/A N/A Expiration Date: N/A Certificate of Authorization No.

Me{CrVt'.~ gLrjLM ate: 1u-I -2 o Signed wcror Ownces DesigiE, Tide Sind CERTIFICATE OF INSERVICE INSPECTION Board of boiler and Pressure Vessel I, the undersigned, holding a valid commission issued by the National CT of Hartford, Connecticut, have Inspectors and the State or Province of Arizon and employed by HSB to- ,2.-OL during the period of inspected the components described in this Owner's report to ,0-,*,-aZ and state that to the best of my knowledge and belief, the Owner has performed Report in accordance with the examinations and taken corrective measures described in this Owner's requirements of the ASME Code, Section XL any warranty, expressed or implied, By signing this certificate, neither the Inspector nor his employer makes this Owner's report. Furthermore, neither concerning the examinations and corrective measures described in any personal injury or property damage or a the Inspector nor his employer shall be liable in any manner for loss of any kind arising from or connected with this inspection.

Commissions: NB 9685 "N" AZ264 "F'

National Boarc, Stm. Province, and Eadorscments lnspec-s Signature Date:_______ St.-

73DP-9ZZI7 PV-E009 Ver. 7 Back

ASME SECTION XI - REPAIR / REPLACEMENT Page of

1. Component ID 1PSTEV532 2. Code Class ASME Sect *onf Class I

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

9. 0 ISI Flaw NDE Method of Flaw Detection:

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 *,i Printed Name: A (A ,~,,OW Signatam Date

21. ANI* _ _ _ _ _ Printed Name: Q'J.. &

sigad* Date" PV.1= vat 7

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section X!

.1 Date 10/14/02

1. owner Arizona Public Service CoMpany, et al.

P0 Vny51990 Ph.enix. Arizona 85072-2034 Sheet 1 o of Addt=St 2- Plant Pl~o Verde Nuclear Generatinig Station Unit 1 Name 5801 S. Wmintersburr Rd.. Tonooah. Arizona 85354-7529 2412331 Work Osder Number Address Type Code Symbol Stamp None

3. Work Performed by Arizona Public Service Name Authorization No. N/A N/A 5801 S. Wimtersburg Rd., Tonapah, Arizona 85354-752S Explration Date A JJ ....

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 Manufacturer National Other Year Repaired ASME Code Name of 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.

730P-GZZ1Y PV-E00=2 Ver. 7

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.

cl-A-r MUM and rewodmd hv Work Ordcr 0( 17904.

CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this 'pai" conforms to the rules of the ASME Code, Section XA. rp or Rpment Type Code Symbol Stamp N/A NIA Certificate of Authorization No. N/A Expiration Date N/A SCgned<CA-, /IIL "'O>c t4e .=

r, . te jo- Z-.

UOwnef orOmnerresipne. The 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 Ww-wr-ez Dateeoe Date oae.

730P4U17 BACK 73DP-WMZZ7 PV-IEO092 Var. 7 BACK PV.E0002 VW.

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.

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.

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 Inthe W.O. to perform Preservice Inspection.

16. ASME Section Xl Pressure Test Required ID YES 0 NO

_ _ _ ':-1 haez If required, include a step Inthe W.O. for ISI & ANII Inspection.

__in_ 'bT2.7 -AA- c- 17. Include a step Inthe W.O. to complete NIS-2 Form prior to releasing the component Inial Date V4 Inot 127DatebL--*e- 18. Include a step Inthe W.O. to record below all applicable numbers for repaired or replacement items.

I 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 44'

19. Planner -* , lza..- Print Name Karl V. Savage 151 I2O. Englnee Print Name Ramakant P. Ihdap

21. ANII cvIC._- Print Name Robert G. Hogstrom 0 8.... cats O

PV.E00= Ver. 6 r*Iulp " ]i~~

f

I wr 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, Date: 05,27,2002 P. o. Box 53999. Phoenix Arizona 85072-2034 Sheet: L of 2

2. Plant- Palo Verde Nuclear Generating Station Unit: I e-5801 South Wintersburg Road.. Tonopah. Arizona 85:554-7529 Work Order Number 2417233

3. Work Performed by- Arizona Public Service Type of Code Stamp None Authorization No. NWA Expiration Date WA

4. Identification of System: SG. ASME Section m. Class 2

5. (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

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 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 FORM NIS-2 (Back)

III II S9. Remarks: Pressure Test per Code Case N-416-1. Work Order 2417233, Replaced 8" Pipe and Elbow in Spool S-007

2)9. [lIIII I I I I

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 ExpiratitonDate: N/A Signed.:T a~f!CE?.rWL4 Meuýi n te Date: - *ID-2 2.-

Owner ~orwc%)ignee.d 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 ,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: 90-2R-0Z.

73DP-ZZ17 PV-EO092 PV-E0092 Ver.

Ver. 77 Back Back 73DP-g=17

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.

9. 1 ISI lRaw NDE Method of Flaw Detection Report Number

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 '75Winter 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 R -,3 Mzlto MR# 641t956 72o z- Print Name 19.Planr Arl V. Savage

20. IS, Engineer 61'/i 9L 2- Print Name Ramakant P. Indap 121 ANI

<~ ~DOW- Print Name Robert 0. Hogstrom FV-E=0 Var. I 72JOp4=P7

I I

1.

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS I I I As Required by the Provisions of the ASME Code Section XI III Owner. Adiona Public Service Co II IlI II ay. et. al. Date: 05/27D=

P.O. Box 53999. Phoenix Arizona 85072-2034 Sheet: .I of 2

2. Plant: Palo Verde Nuclear Generating Station Unit:. J 5801 South W'mtersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2417247

3. Work Performed by: Arizona Public Service Type of Code Stamp Non=

Authorization No. N/A Expiration Date kg/A

4. Identification of System: SG. ASME Section M. Class 2

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 I

I 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 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.

%J1-0.. 2--ýkn-' .I *-k-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: NIA Signed: Cbf%-tK E A'19YJd 9r, 3 htYj Date: to- 2 '1- 2002_

Owe or OmI viiuc - Illl 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 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.

Commissions: NB 9685 "N" "I' AZ264 SiDa-ur' Date:-8 Z o U --

7JDP-9ZZ17 V.EOO92 ver.

.;?V.F,009 Ve'. 77 Dick 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.

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-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 MR#604187 I

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

I I

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 Conmany. et. al. Date: 05t27/2002 P. O. Box 53999. Phoenix Arizona 85072-204 Sheet: I of 2

2. Plant Palo Verde Nuclear Generatine Station Uni: I 5801 South Wintersburg Road.. Tononah. Arizona 85354-7529 Work Order Number 2419643

3. Work Performed by: Arizona Public Service 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.

I "9.

FORM NIS-2 (Back)

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 N/A Expiration Date: N/A Signed: [Ah Date: _/ 0 .

O~'ner or Owner's Designee. Title 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.

Commissions: NB 9685 "N" "I" AZ264.

National Board. State, Province, and Endorsements SSignatre Date: ,o-.i-oz

-- -- 0 4

vcr. 7 Back 73DP-9ZZ17 Pv-E0U92 Yet.

FV-EO09 73DP-gZZI7

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.

9. E) ISI Flaw NDE Method of Flaw Detection Report Number

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 Repairedor ASMECode 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.

.... PU1 A

PV.0I2 PV-ED002 Ver. 7 "73DP-07

I 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 epairorrelcemen of the ASME Code, Section XG.

Type Code Symbol Stamp NIA Certificate of Authorization No. N/A Expiration Date N/A Signed = _,

5, Z75*7'--f*ie- Date 1/0111a 2.-

J Owner or Omers Desig.e, TWle 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 AK70-ZI 73DP-OZZ17 PV.E0092 Ver. 7 BACK IvE)2vr

ASME SECTION XI - REPAIR / REPLACEMIENT PAGE 1 OF 2 CI.

Component ID 1PRCEL032 2. Code Class ASME Section m Class 1

• [

Description:

Reactor Coolant System Hot Leg #1 line IPRCELO32. Spool S001.

Item

4. N-5 Data Package Number. 1RCO-4& 1RC01-18A 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 IlJRCCTWO1 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.

9. 0 ISI Flaw, NDE Method of Flaw Detection:

Report Number.

10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:

'-- eJ &eIc 4-e n 6- TO- SC . A/

WE~t&L(J~tc t6 LL 'o md&J T-?X AIL'S0coýJ

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 releasinig the Initial Date component

18. Include a step in the W.O. to record below all applicable numbers for repaired or initial A/-- Date&.1re2 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 1B 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 Signature 6r d Printed Name: J ~ )4 A4. ANlHI 4-2:1.-02 Printed Name: *- &. *r6ao-'¶ Signa4=

.LJZ3 V.

ASME SECTION XI - REPAIR / REPLACEMENT PAGE 2 OF 2

-. Component ID IPRCEL032 2. Code Class ASME Section I1Class 1 Item

Description:

Reactor Coolant System Hot Lee #1 line 1PRCEL032. Spool S001. "

4. N-DataPackag Number: IRC01-4&1iRC01-18A 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 1 .T..TC_ I IRCATWO1 I2TTA_ II'RCFTWO1 lX* IJ"RCRTWOI I1T:I and I]RCDTW01 12HD.

WOJ.i*I Mrr-rWAJI-Mr 1jRrATWAll2TTA-l-TRrF-TWn111X I]rRrRTWnll2lgB and I-TRMTWO112HD.

This work order applies to RCS Hot Leg #1. Ref. DMWO 2376926 and N001-0607-00"97 and 00398.

9. 0 ISI Flaw NDE l~&*etLod of Flaw Detection.

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 I

1 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 *I4

-);;A- L9 1JRCBTW0112HB, Thermoweli APN 00067116 4VA! L4( Z./ . (*Lt 4 1JRCDTWO1 12MD, Nozzle AMN 00067199 =k4 tVIA (664 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.

PV4= %r. 6

IFORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS "AsRequired by the Provisions of the ASMB Code Section XI

1. Owner. Arizona Public Service Company. et. al. Date: 06114/=

P. O. Box 53999. Phoenix Arizona 85072-2034 Sheet:1 of 2

2. Plant: Palo Verde Nuclear Generating Station 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 I11NB, 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 []

Other 0 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 I. and the number of sheets is recorded at the to of this form.

FORM NIS-2 (Back)

. Remarks:

JJ.o.

A.SS'1rL.

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.

Type Code Simbol Stamp NIA Certificate of Authorization No. N/A Expiration Date: NIA w=- or OwnMes D= g__

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 Commissions: NB 9685 'N" "F"AZ264 National Board, State, Ptovince, and Endo*sements cctar Signatrt Date: ,.-O2.

I-73DP-9.17

. PV-E0092 MUM009 Ver. Bark Var. 77 Back 73DP-92M7

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 nlrnrder nnnlie-* to RCS Hot Lea #2. Ref. DMWO 2376926 and N001-0607-00397 and 00398. °

9. 0 ISI Flaw NDE Method of Flaw Detection:

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 MIClass 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 replacement items.

Initial ~ Date Item ID Part No. Serial No. Heat No. MR/ROS No.

1RCETWO12 IX, Nozzle APN 00067199 +* 39c NIAL 1JRCETWO12IX, Thermowell APN 00067116 NH 39l*! 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.. A4Lt* 7 7

19. Planner , Printed Name: Herbert L. Green

20. IS1 6107'2- Printed Name: fK r 27J) A4:5 121. M Printed Name:Bate II Date]I m SI 44 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" in PR4-q T-Tnt Tp l*sip_* 1~f R eZ f.MW01 Q76926 anid NMfnl -407-97 and 00398.

9. 0 ISI Flaw NDE Method of Flaw Detection:

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 MIClass 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 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial # Date

17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial I" Date component.

18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial V1 Date 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 9i (69tA L%-1 L i1351 IJRCDTWOI22HD, Thermowell APN 00067116 N% C 6 ?SJ1 5-) 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 I As Required by the Provisions of the ASME Code Section XI

1. Owner. Arizona Public Service Compaiy. et. al. Date: 06114Q2002 P. O. Box 53999, Phoenix Arizona 85072-2034 Sheet- j of 2

2. Plant: Palo Verde Nuclear Generating Station 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 Item of Name of Manufacture Manufacturer Serial No.

National Board No.

Other Identification Year Built Repaired or Replacement ASME 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 Pneumatic 0 Nominal Operating Pressure 0 Exempt 0 N-41&1 [0 Other 0 Pressure -psi Test Temperature OF inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered I and the number of sheets is recorded at the to of this form.

NOTE: Supplemental sheets in form of lists, sketches, or*drawings may be used pmvided (1) size is 8 'AX 11

FORM NIS-2 (Back)

(I Remark: 2.5 7 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. N/A Expiration Date: N/A Signed- *fL4 UCfwne or OwesW' Aam 4In 4 " Date: Io-21---'Z2.

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.

Commissions: NB 9685 "N" "I" AZ264 Nador Board.- Statc, Provnc and Endcrse=mts U=Signalur Date:

I. _________

t Bact Vat. 77 Back FV.LJWL Ver. 73DP-97Z17 k... PV-M 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 w:o.

5.-W - NUnmber 2456198

6. Original Construction Code Edition ASUE III CLASS 1. 1974 EDITIONSMMER 1975 ADDENDA

7. Original Installation Code Edition -SMEMI CLASS 1, 1974 EDTIONN,VWINTER 1975 ADDENDA

8. Work Description Replace Pressurizer saf valve with recondoWned spare.

9. [* ISI Raw NDE Method of Flaw Detectidon "ReportNumber"

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

12. Replacement Rem Construction or reconciled Code/Edition!' AIE.HI bL*ASS i, 1974 ED., S'75 ADD.

13. Repair/Replacement Activity Construiction Clde/Edlttin" ASME Mi CLASS 1, 1974 ED., W-75 ADD.

14. ASME Section Xl Code/Edition 1992 EDMONAND OI2"ADD]ENDK'"

15. Preservice Inspection Required. ."" iYE,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 IntilDate 06/03/02 17. Include a step In the W.O..to .domplete.!fS-2lbohn pdor to releasing he component.

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 gg70)/*e

- I

• . . .l .  ;.t. . ,

19. Planner * " -i-P',, '-Print-NameDavid Goodlet Daft ttue

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

1. Owner Arizona Public Service Comoanv. et al Date 07/10/02 Name P 0. Box 53999. Phoenix. Arizona R57-23 Sheet of 2 Adfesw

2. Plant Palo Verde Nuclear Generating Station Unit 1 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 2456198 Address

3. Work Performed by PVNGS Maintenance Dept. Type Code Symbol Stamp None Name Authorization No. N/A 5801 S. Wimtersburg Rd., Tonopah, Az. 85354-7529 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..

7SOP-OZZ17 PV-EOM2 Vu 7 PV-E0002 Ver. "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.

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~ I a 9;;M M-Date 10 4W '2-

¶- 2.W J Owner or Ownees Dezignee. 7111.

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 C17 of Hartford. Connecticut , have inspected the components described Inthis 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 Inthis 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 ecWs SoaWre National Boar, State, Provnce. and Endorsements Date ,o-2q-oT..

.9 730P4ZZ17 PV-EO=g var. 77BACK PV-E0092 Vet. BACK* 73P-OZ7

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.

9. Ei ISI Raw . NDE Method of Raw Detdction-.

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.

13. Repair/Replacement Activity Construction Code/Eitlon: AM' i S'E dASSI'1974 ED., W-75 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 InJhe 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 Bmnaun Date David Goodlet

20. ISI Engineer *.O .. .L---O24- - Prlht.Nide Ramakant Indap 21.. ANII lure - Date oetHgto r"14=P~7Z Date py.4cM9 Ver. e

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner Arzona Public Service Com anv et al Niam

-P.O. Box 53999, Phoenix. Arizona R022q Date Sheet-07/10102 1

of 2 Addresa

2. Plant Palo Verde Nuclear Generatinw Station Unit I Name 5801 S. Wintersbure Rd.. Tono ah. Arizona 85354-7529 LI I i I ................ 2456199ým.,

WV',.Tl rt.4--,lu.f Addess

3. Work Performed by PVNGS Maintenance Dept. Name 1 Type Code Symbol Stamp None Name Authorization No. N/A 5801 S. Wntersburg Rd., Tonopah, Az. 85354-7529 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 N am Name a eofo f Manufacturer National Other Yeart Repaired or ASME Code 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.

I A

IV-EiA2 Vrt. 7 73DP-ZZ17

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.

CERTIFICATE OF COMPLIANCE We certify that the statements made Inthe 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 ,61ý4)

CS 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_ ot o-2,%-,am- , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described Inthis Owner's Report inaccordance 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 inthis Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable inany 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_ A 2 X,

-ý ' h438nax National Board. State. Province, and Endosements Date Sio-2,-o*.

730P-GZZI7 var. 77 BACK PV.E0092 Vet.

PV,.-ED02 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.

13. Repair/Replacement Activity Constructi6n Code/Edltion ASME i-f CLASS1,1974 ED., W'75 ADD.

14. ASME Section Xi Code/Edition 1992 EDITION AD.1992 ADTYENDA

15. Preservice Inspection Required. YYES " 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 .corpleteNIS-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 Date 07/10/02 nAme Arizona RIMMOU Sheet I of 2 P.0 Box 53999 Phoenix Address

2. Plant Palo Verde Nuclear Generatine Station Unit 1 Name 5801 S. Wintersburg Rd., Tonovah. Arizona 85354-7529 2456200 Address Work OrIer Nunmer

3. Work Performed by PVNGS Maintenace Dept. Type Code Symbol Stamp None Nam ,

Authorization No. NIA 5801 S. Wintersburg Rd., Tonopah, Az. 85354-7529 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 tRepairedor ASMECode 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..

730P4ZZ17 PV-EODM Vet. 77 PV-E0092 Vet. 73DP-OZZ17

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 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_

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

£ natre Naftonal BaK Ste . Pronce. and Endomem*nft 1pcoS Date to .Z-2q*t 2

7aDP4ZZI7 PV-EO0M Ver. 77 BACK PV-E0092 Var. SAMK 7WPO..ZZ17

I

1. Component ID IJRCEPSVO203.

ASM.E.SECTION XI - REPAIRIREP.LACEMENT

.2. Code Class ASME MIII CLASS I 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.

9. 0 ISI Flaw NDE Method of Raw Detection .

Report Number._5_ _ _ _

10. Evaluation of the suitability of this wook as per the requirements'of IAW-41 50.

No failure of ASME I Eressab'undai-y:'S arc'Wve is a*-f~r- ,placementand is being replaced to support vendor testing. ,.' ; .. .... . ,

11. Repair/Replacement Work Orgadlzatio XI"ZONA PUBLIC S 'k ..

12. Replacement Item Construction or reconciled Code/Editioni ASME TI' CLASS 1, 1974 ED., S'75 ADD.

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. 0,'ES Y. I* NO DMG 06/03/02 Ifrequired, 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 e-eDat

,.4W- ew.? . ' .'oP4z0'7

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. Date 07/10/02 nru Sheet I of 2 Adtare io

2. Plant Palo Verde Nuclear Generatng Station Unit 1 Name 5801 S. Wintersbure Rd.. Tononah. Arizona 85354-7529 456201 a Ar izn 8535......... ...

Rd T 5801 S. Vvitesu Addres 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 RC - Reactor Coolant system

5. (a) Applicable Construction Code ASME IT Class I - 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: Hydrostatic [ 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..

73DP417 PV-EO0092 Vet. 77 PV.E0002 Vet. 73DP-WM?1

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI I1 I. VlIlll*l A ;~ii D121ki;~ Vvs.m r + 01 Date 08/06/02 Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of 2 Adess

2. Plant Palo Verde Nuclear Generating Station Unit 1 Name 5801 S. Wintersburg Rd.. Tonovah. Arizona 85354-7529 2456236 Address Work Order Nufmber

3. Work Performed by Arizona Public Service Type Code Symbol Stamp None Authorization No. N/A 5801 S Wintersburg Rd Tonopah, AZ 85354 Expiration Date N/A Address

4. Identification of System RC, ASME Section Mfl Class 1

5. (a) Applicable Construction Code Section MIClass 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 Manufacturer National Other Year Repaired ASME Code Name of or Stamped Item Manufacturer Serial No. Board No. Identification Built

____-______/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.

73DP4ZZ17 PV-E0092 PV.E0092 Vet.Vet. 77 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 = *_

CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and this rcplacementt conforms to the rules rmalrormp5acemrn of the ASME Code,Section XI.

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.

oz. Commissions ,z * -.-&.-* Az: U4 zzo National Board. State, Province. arto tnooranwme

,o- NaftW~l S=M*, State, Pmrmvice arm thdroormren=

\J Inpector's Signature Date Date_____________

730P-SZZ17 73DP-9ZZ17 PV-E0092 Ver. 7 BACK

ASME SECTION XI - REPAIR/REPLACEMENT 1' Component ID .1 GEP= J '9 ,at .,b &,o* 2. Code Class ASME Section IIM Class 1 Reactor Coolant Pump b,&-j7

3. Item Description

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.

9. E) 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 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 Pi Name N--ame P.

,signatujre Vte

21. ANII -4z '4-1-.

Da..e Date PrintName (4.. -r,,

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. Date 08/06/02 P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of 2 Adt S i Nam, Unit 1 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 2456237 Addmss Work Order Number

3. Work Performed by Arizona Public Service Type Code Symbol Stamp None Name Authouization No. N/A 5801 S Wintrsbur Rd Tonopah, AZ 85354 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: Hydrostatic j 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 Inform 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-9ZZ17 PV-EO092 PV-E0092 Vet.

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.

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 NatkmnW Board, State, Province. &WdEnom-mwfts Date O2- .

73OP-917 PV-E0092 Va.. 7 BACK PV.E0092 Vat. 73DP-OM*7

ASMEASM SECTION .XI REPAIR/REPLACEMENT -. . ,

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..

12. Replacement Item Construction or reconciled Code/Edition ASM mT- CASS. 2, 1974 ED., S'75 ADD.

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' .':

"JYES I NO

15. Preservice Inspection Required.

DMG 06/03/02 If required, include a step in the W;O. to.perforr, Preservice Inspection.

InitiaT D

. YES U NO

16. ASME Section XI Pressure Test Required DMG 06/03/02 If required, Include a step Inthe 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. -

PART NO. 1 SERIAL NO. HEAT NO. MR/ROS NO.

ITEM I.D.

NIA- RS-08622. N/A p Z, ui a4R Ci*

IJSGEPSVO555 X..

.; Print rWnm DAVID GOODLET

19. Planner Date S~ignattas

20. ~ ~ ~ Q> ~ IS ngnek-RPý 4 4- P~int Natn RAMAKANT INDAP S

• Date

21. ANII " O-. Pr.qt Name ROBERT HOGSTROM Signature . .ate . .... ' ... .: .. . I

. . I.. .ti - 7OP4Ut?7 Ver. .'.Eo,. ..

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

12. Replacement Item Construction or reconciled Code/Edition' AS*E HIr CASS 2, 1974 ED., S175 ADD.

113. Repair/Replacement Activity Construcuion Code/Edition AS1LE IICLASS'2, 1974 ED.. W'75 ADD.

14. ASME Section XI Code/Edition 1992 EDITON AND 1992 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 Datea 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 **-3 pJr-,J6e

19. Planner 6 ,-., Pdrnf Natne DAVID GOODLET

-L" .- P.nrit Name AA INDAP

20. ISI Engineer

21. ANII " ,.. '-- Print Name ROBERT HOGSTROM

",Sgnature Date 730.P .47 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 MICLASS 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.

9. Q ISI Flaw NDE Method 9f Flaw Det.qctbn -"

Report -Number-. :

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_-ikereplacement and is being replaced based upon pressure testing. .2....* ,

11. Repair/Replacement Work Organiz.tIon.-AS " ... .

12. Replacement Item Construction or reconciled Code/Edition AS.M Iff CLASS 2, 1974 ED., S75 ADD.

13. Repair/Replacement Activity Construction Code/Edition ASME III CLASS 2, 1974 ED., W"75 ADD.

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 "DMG Date 06/03/02 18. Include a step in the W.O. to record, below all applicable numbers for repaired or 1/

Initial Date replacement items.

49

/

ITEM I.D. PART NO. SERIAL NO. ... HEAT NO. MR/ROS NO.

1JSGEPSVO560 N/A BT-01670.:." "- N/A P*t'6 4 t 9 4.

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'

12. Replacement Item Construction or reconciled Code/Edition ASME U, CLASS 2,1974 ED., S'75 ADD.

13. Repair/Replacement Activity Construction Code/Edition ASME)I &CkSS2, 1974 ED., W'75 ADD.

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 J2T 4 ,- 7.-- ' "Print Name DAVID GOODLET Sign m .-O*Date

20. ISI Engineer ' Print Name RAMA4KANT ]NDAP "21 ANI IC =1. ,Pnt..Name ROBERT HOGSTROM

• l* .. ". . . . . " Date -...

.  :.. V. -. ,, .. OP-4.=Zt PVSD9 Vat 8 .

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.

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-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'iICLASS 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. ANIII, , 4?*O". Prnt NAme.'ROBERTHOGSTROM

• I]natum- .7- - - Date PV.OC_ ___f.... . , . .. 7.. .. .

PV-IE0, Ver. 73 _0=7

ASME SECTION XI REPAIRIREPLACEMENT fje-6 of-7

1. Component ID 1JSGEPSVO577 2. code Class "ASMEI, 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 " _"_

"ReportNuniber-

10. Evaluation of the suitability of this work as per the requirements of IAW-41 50.

No failure in the ASMIE MTpressure b6undary. Spare valve is 'likEe-'F-Uile replacement and is being replaced based'upon pressure testing. .. . .

11. Repair/Replacement Work Organization APS

12. Replacement Item Construction or reconciled Code/Edition ASM IIIE CLASS 2, 1974 ED., S'75 ADD.

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 Inthe 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 Inthe .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 RAMAKANTINDAP j._m

~~~~~~ -U -0t~u P-ri*nt=.N". " ,:m ..

21. ANII ,,"Qr -,nto_

. Pint apiRBERT HOGSTROM 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 MICLASS 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.

9. Q 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 IMpressure boundary. Spare valve iii liIke-foi-rike replacement and is being replaced based upon pressure testing. " - *""

11. Repair/Replacement Work Organization' APS

12. Replacement Item Construction or reconciled Code/Edition ASME IHI CLASS 2, 1974 ED., S-75 ADD.

13. Repair/Replacement Activity Construction Code/Edition ASME M1l CLASS'2, 1974 ED., W-75 ADD.

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 . --o 7--.

-4_ PrintNameRA KANT INDAP 1

gnaturaJ . Date

21. ANII - ,-- -o Print Name ROBERT HOGSTROM fgnature Date '

PV-IO93 Ver. 6 .. -,.

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.

9. Ci 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 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 ASME1Il CLASS 2, 1974 ED., S'75 ADD.

13. Repair/Replacement Activity Construction Code/Edition ASME M CLASS 2, 1974 ED., W'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 .- -LL-.-L-1" 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, AddressArizona 85072,2034

• Sheet I of 3

2. Plant Palo Verde Nuclear Generating Name Station

" " Unit 1 5801 S. W'mtersbura Rd., Tonopah. Arizona 85354-7529 WO# 2456294 Address Work Order Number Dept: Type Code Symbol Stamp None

3. Work Performed by PVNGS Maintenance 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 19 74 Edition, S*75 Addenda, 1711 Code Case

5. (a)Applicable Construction Code AS.ME II Class 2 (b)Applicable Edition of Section X1 Utilized for Repairs dr Replacements 19 92"Edition, 1992 Addenda

6. Identification of Components Repaired or Rep.laced pa emqnt Components

.ad.pe Manufacturer National Other .or.. Year oepared ASME7Code Stamped Name of Name of Item Manufacturer Serial No. Boa.Jrd No. Identification Built Replacement (Yes or No)

Dresser BS-08622 N/A SGEPSV-555- 1981 Replacement Yes Safety Valve Dresser *BT-0"1672 N/A. SGEPSVO556 1979 Replacement Yes Safety Valve Safety Valve Dresser BT-01670 N/A SGEPSV0560 "1979 Replacement Yes 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 Safety Valve tested spares.

7. Description of Work Replace main steam safety. vilve...th reco ditioned and Pneurmn-tLc .Q Nq°r8l Operating Pressure' [ Exempt ] N-41 6-i Q

8. Test Conducted: Hydrostatic [j

[Q Pressure psi Test Temp. OF Other be used, provided (1) size Is 8 1/2 x 11 In.,

NOTE: Supplemental sheets In form of lists, sketches, or drawings may on each sheet, and (3) each sheet Is numbered and (2) Information In items 1 through 6 on this report Is Included the number of sheets Is recorded at the top of this form.

73DP-gZZ17 PV-Eo=2 Ver. 7

.2 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 Date 07/10/02

1. Owner Arizona Public Service Company. et. al.

Name Sheet 2 of 3 P.O. Box 53999. Phoenix, Arizona 85072-2034 Address Unit 1

2. Plant Palo Verde Nuclear Generating Station WO# 2456294 5R801 S Wintersburg Rd.. Tonovah. Arizona 85354-7529 WoNtOrder Number Addross Type Code Symbol Stamp None

3. Work Performed by PVNGS Maintenance Dept.

Name Authorization No. N/A 5801 S. Wintersburg Rd., Tonopah, Az. 85354-7529 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 XAUtilized for Repairs or Replacements 19 92 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components

.1 Manufacturer National Other Year Repaired ASME Code Item of Name Name of 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 steam safety valves with reconditioned and tested spares.

Q Pneumatic Q Nominal Qperating Pressure, [I Exempt E N-416-1 [

8. Test Conducted: Hydrostatic psi Test Temp. OF Other Q Pressure (1) size Is 8 1/2 x 11 In.,

NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided Is numbered and

/ Is Included on each sheet, and (3) each sheet (2) information In Items 1 through 6 on this report the number of sheets Is recorded at the top-of -this form.

73DP~l-w,& II PV-E0092 Ver. 7

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 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 C>, owner Owner's DeinemT ,AA"*-e.&Date JO-2 R'-2602 l" Owner or Ownsers Designpe, TId a*-t 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.

,:ýX, 6.4ý POCW sSigipwtre Commissions f4.4 A ,S "A&tc.

aoa.TBoea St t AL..24*'(

Province, and Endorsements Date ,o0

-q-o2.

2 730P-SZZI7 PV-E0982 73OP-OZZ17 Pv.E0082 Ver.

Var. 77 BACK 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 06/24/02 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component. S.

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 4 4 '1-- . 1t'/oZ T 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. Date 08/20/22 Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of 2 Addrest

2. Plant Palo Verde Nuclear Generating Station Unit I Name 5801 S. Wintersbura Rd.. Tonopah, Arizona 85354-7529 W.O.2458019 Wotk Oder Number Addres

3. Work Performed by WESTINGHOUSE Type Code Symbol Stamp None Name Authorization No. N/A 911 W MAIN ST CHATTANOOGA TN 37402 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 Manufacturer National Other Year Repaired ASMECode Name of Serial No. Board No. Identification Built or Stamped Item Manufacturer 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: Hydrostatic

• 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 Inthe report are correct and this rplacement conforms to the rules of the ASME Code, Section XA. repairor repement Type.Code Symbol Stamp N/A N/A Certificate of Authorization No. N/A Expiration Date N/A Signed - _2 a - i1-0NJ0e-r71'f E;Ltk Date ,,-.2--."L U

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 Inthis 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 S6 AA'c- A 2z. .44 Nad"oWd Board. Swate, Provinc., and Endorsements 4cto~asignaturs Date . 1-2c-O3 PV-EO092 Vat. 7 BACK 730P-OZZI.7

STEAM GENERATOR 1MRCEE01A DFWO 2457999 "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

STEAM GENERATOR IMRCEE01A DFWO 2457999 "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 1MRCEE01A 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

STEAM GENERATOR 1MRCEE01A DFWO 2457999 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

STEAM GENERATOR IMRCEE01A DFWO 2457999 "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 1MRCEEOIA 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

STEAM GENERATOR 1MRCEE01A DFWO 2457999 DIWO 2458019 "HOT LEG" 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 Ifrequired, 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 t I

• '/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. Date 08/20/22

--Naeme P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet I of 2 Addmss

2. Plant Palo Verde Nuclear Generating Station Unit 1 NaMe 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 W.O.2458020 Work Order Number Address

3. Work Performed by WESTINGHOUSE Type Code Symbol Stamp None Narm Authorization No. N/A 911 W MAIN ST CHATTANOOGA TN 37402 Expiration Date N/A Addres r M-12 f'1rf 1'Cr%-vr A Prr

4. Identification of System z1'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 or ASMECode 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, 750P-gZZ17 Vet. 77 7'3DP-OZZl17 PV-E0092 Ver.

PV-E0092

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. or replacement ipatr Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed 1ý ý . Ce I&AIJULVA& f7.eAC Date /a -P 1-0 Q Owner or Owner's Dei nee.ll 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 to.- c

,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 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

-;~ Ins'pa~b Signature National Board, State, Province, and Endorsements Date 730P-VZZ17 pV-Eoog2 Vet.

PV-EO092 BACK Vet. 77BACK M3P-gZZ17

STEAM GENERATOR 1MRCEEOIA DFWO 2458001 DIWO 2458020 "COLD LEG."

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 90 29 0307-1601 40010592-24 HB39 683821 1MRCEEOIA 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 76 33 0307-1601 40010592-27 HB39 683821 IMRCEE01A IMRCEE01A 67 34 0307-1601 40010592-16 HB39 683821 60 37 0307-1601 40010592-5 HB39 683821 1MRCEEOIA 67 38 0307-1601 40010592-6 HB39 683821 IMRCEEO1A 63 42 0307-1601 40010592-17 HB39 683821 1MRCEEO1A 91 42 0307-1601 40010592-30 HB39 683821 1MRCEEOIA 43 0307-1601 40010592-28 HB39 683821 IMRCEEOIA .66 67 44 0307-1601 40010592-10 HB39 683821 IMRCEEOIA 71 44 0307-1601 40010592-11 HB39 683821 1MRCEEOIA 44 0307-1601 40010592-29 HB39 683821 IMRCEE01A 129 55 46 0307-1601 40010592-2 HB39 683821 IMRCEE01A 37 48 0307-1601 40010592-63 HB39 683821 IMRCEEO1A 83 48 0307-1601 40010592-93 HB39 683821 1MRCEEOIA 48 0307-1601 40010592-78 " HB39 683821 1MRCEE0IA 119 683821 IMRCEEOI1A 17 50 0307-1601 40010592-61 HB39 Page 1 of 5

STEAM GENERATOR 1MRCEE01A DFWO 2458001 "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 40 65 0307-1601 40010592-66 HB39 683821 1MRCEEOIA 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 49 66 0307-1601 40010592-60 HB39 683821 1MRCEEOIA 1MRCEEOIA 65 66 0307-1601 40010592-59 HB39 683821 68 67 0307-1601 40010592-58 HB39 683821 1MRCEE01A 118 67 0307-1601 40010592-91 HB39 683821 1MRCEEO1A 128 67 0307-1601 40010592-81 HB39 683821 1 MRCEE01A 35 68 0307-1601 40010592-69 HB39 683821 IMRCEEI01A 41 68 0307-1601 40010592-57 H839 683821 IMRCEEOIA 135 68 0307-1601 40010592-96 HB39 683821 IMRCEEOIA 137 68 0307-1601 40010592-92 HB39 683821 IMRCEE01A 56 69 0307-1601 40010592-70 HB39 683821 IMRCEE01A 108 69 0307-1601 40010592-101 HB39 683821 1MRCEE01A 49 70 0307-1601 40010592-56 HB39 683821 1MRCEEI01A 63 70 0307-1601 40010592-126 HB39 683821 1MRCEEOIA 113 70 0307-1601 40010592-80. HB39 683821 1MRCEEOIA 82 71 0307-1601 40010592-109 HB39 683821 IMRCEE01A 35 72 0307-1601 40010592-194 HB39 683821 IMRCEE0IA 51 72 0307-1601 40010592-125 HB39 683821 IMRCEEOIA 81 72 0307-1601 40010592-106 HB39 683821 IMRCEE01A 52 73 0307-1601 40010592-114 HB39 683821 IMRCEE01A 128 73 0307-1601 40010592-79 HB39 683821 1MRCEEOIA 74 0307-1601 40010592-105 HB39 683821 11MRCEE01A 105 Page 2 of 5

STEAM GENERATOR 1MRCEE01A DFWO 2458001 "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

STEAM GENERATOR 1MRCEE01A DFWO 2458001 "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 1MRCEEOIA 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

STEAM GENERATOR IMRCEE01A DFWO 2458001 "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 1MRCEEOIA 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 If required, include a stepS06/24/02 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 ,* te 4'%-4-O-._ P ,*/z@/oi Date Print Name ,44'a.i.. ef,,.crr--e"

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. Date 08/20/22 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. Wintersbure Rd.. Tonovah, Arizona 85354-7529 W.0.2458021 Address Work Order Number

3. Work Performed by WESTINGHOUSE Type Code Symbol Stamp None Name Authorization No. N/A 911 W MAIN ST CHATI'ANOOGA TN 37402 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 coide 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 IdntfiatonBult Replacement or Stamped (Yes or No)

Item Manufacturer Serial No. Board No. Identification 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 Pneumatic Q Nominal Operating Pressure I] Exempt f N-416-1 [*

Other Q . Pressure psi Test Temp. OF NOTE: Supplemental sheets Inform 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 UST ATrACHED).

LI(PLUGGG 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. N/A Explratlorn Date N/A Signed -T-4L/6 Date -".29-OM N/A 77A4 If Owner orLeOwners Designee, The 11r..',rZ1,' 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 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 Insp r eosignature Natonal Board. Stae, Province, and Endorsements Date__________________

7'SP-OZZ17 PV-E0092 Ver. 7 BACK

STEAM GENERATOR 1MRCEE01B DFWO 2458003 "."HOTLEG" 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

STEAM GENERATOR 1MRCEE01B DFWO 2458003 "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 1MRCEE01 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 1MRCEE01 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

STEAM GENERATOR 1MRCEE01B DFWO 2458003 ,."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 1MRCEE01 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

STEAM GENERATOR 1MRCEE01B DFWO 2458003 "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 1MRCEE01 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

STEAM GENERATOR 1MRCEE01B DFWO 2458003 DIWO 2458021 "HOT LEG" 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 1MRCEE01 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 If required, Include a stepS06/24/02 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.

-I 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 '  %....-w. c Print Name , 4 ,,

sI .. e Date

21. ANII 159AZ . t-,o-o-o Print Name ROBERT HOGSTROM Date PV-E=OS3 Ve. a -fl.--.?

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 08/20/22 Name P r) flny rQQQ Ph-n~nix Arizona 85072-2034 Sheet 1 of 2 Addres Unit 1

2. PLant Palo Verde Nuclear Generating Station Name 5801 S. Wintersbure Rd..I Tonovah, Arizona 85354-7529 W.O.2458023 Work Order Number Address Type Code Symbol Stamp None

3. Work Performed by WESTINGHOUSE Name Authorization No. NIA Expiration Date N/A 911 W MAIN ST CHATrANooGA TN 37402

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 Other Year Repaired ASME Code Name of Name of Manufacturer National 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 is 8 112 x 11 In.,

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size numbered and (2) information in items 1 through 6 on this report Is included on each-sheet, and (3) each sheet is the number of sheets Is recorded at the top of this form.

7WDFL-OZZ17 PV-E00M2 Ver. 7

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. N/A - Expiration Date N/A Signed rf [a i/I dtfl&1 A7NfX Date /0-,.'2-02, 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 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 I signature

,rs National Board, State, Province. and Endorsements Date____________

73DP4-ZZ17 PV-E092 Ver. 7 BACK

STEAM GENERATOR 1MRCEE01B DFWO 2458004 DIWO 2458023 "COLD LEG" 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 1MRCEE01 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 1MRCEE01 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 35 0307-1601 40011045-157 NX2227HK 683821 1MRCEEOIB 120 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 1MRCEE01 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 41 0307-1601 40011045-150 NX2227HK 683821 1MRCEEO1B 130 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 47 0307-1601 40011045-15 NX2227HK 683821 1 MRCEE01 B 60 47 0307-1601 40011045-153 NX2227HK 683821 1MRCEE01 B 114 116 47 0307-1601 40011045-162 NX2227HK 683821 1MRCEEOIB 120 47 0307-1601 40011045-148 NX2227HK 683821 1MRCEEOIB 47 0307-1601 40011045-163 NX2227HK 683821 1MRCEEOIB 122 48 0307-1601 40011045-91 NX2227HK 683821 IMRCEEO1B 113 49 0307-1601 40011045-31 NX2227HK 683821 I MRCEE01 B 104 Page I of 5

STEAM GENERATOR 1MRCEE01B DFWO 2458004 "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 1MRCEE01 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

STEAM GENERATOR 1MRCEE01 B DFWO 2458004 "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

STEAM GENERATOR 1MRCEE01B DFWO 2458004 "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 1MRCEE01 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.

1MRCEEOI B 64 113 0307-1601 40011045-192 NX2227HK 683821 1MRCEE01B 122 113 0307-1601 40011045-123 NX2227HK 683821 1MRCEE01 B 53 114 0307-1601 40011045-187 NX2227HK 683821 1MRCEE01 B 97 114 0307-1601 40011045-134 NX2227HK 683821 1MRCEE01 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

STEAM GENERATOR 1MRCEE01B DFWO 2458004 "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 1MRCEE01 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.

9. C0 ISI Flaw NDE Method of Flaw Detection:

Report Number:

10. Evaluation of the suitability of this work as per the requirements of IWA - 4150.

L '4- rnv'i 04 el~y Tn 0,-~ -C&'

+PC3 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.

Initial ID 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Date 42 , component.

Initial Date S,4 4i 18. Include a step-in the W.O. to record below all applicable numbers for repaired o*r replacement items.

Item ID Part No. Serial No. Heat No. Ml/ROS No.

14" Pipe SA 333 Gr. 6 APN 00070175 N/A cr Z, 7 14", 900 Elbow SA 420 Cyr. "PN 0000173 NIA(.PII3 __ _

WPL6

19. Planner Printed Name: /es7t,~ L Sigat

-- -. .ate

a. /7IV Printed Name: T Signamr Date

21. ANDI ~ ' Printed Name: Q.~~(To Sip'ý Dafte rV-Z"Wj V= a MP4=7

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI I

1. Owner. Arizona Public Service Company. et. al.:, Date: 06/06/2002 P. 0. Box 53999, Phoenix Arizona 8507242034 Sheet: 16 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersbura Road., Tonopah, Arizona 85354-7529 Work Order Number 2458123

3. Work Performed by: Arizona Public Service 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 81/2X 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.

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.

9. [] ISI Flaw NDE Method of Flaw Detection:

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 MIClass 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.

initial Ita Date 2- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component Initial

//18. Date 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. 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 Printed Name: ' O S R t AN TI

21. st -Da=

-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. Date: 606WD02 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2458128

3. Work Performed by- Arizona Public Service 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.

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 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 Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: NIA Signpd- IlA/ P1

,jiA9-i/t9 Date:

Date: 1_45/,6 2,a 1 "1 w.bM*"

-- 'dwnri Owner's Designe, 'hUe 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-73DP-97Z17 PV-E0092 Vr.

PV-EO092 ver. 77 Bc Back 73DP-=17

I

-1 "ASMESECTION 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

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.

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.

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 rv-tiAJ~VOL

-s1naUre 5 Date o09-tfam Pv-" VW. 8 r"4=1I 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 Comoanv. et. al. Date 10/04/02

.Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 1 Name 5801 S Wintersbur* Rd.. Tononah. Arizona 85354-7529 2458175 Ad.. ess

3. Work Performed by Arizona Public Service Name Type Code Symbol Stamp None Name Authorization No. N/A 5801 S Wintersburg Road, Tonopah Arizona 853 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 Manufacturer National Other Year Repaired or ASMECode Stamped Name of Name of 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: Hydrostatic [ Pneumatic Q Nomina I Operating Pressure Q Exempt 21 N-416-1 [

Other [ Pressure psi Test Temp. OF NOTE: Supplemental sheets Inform of lists, sketches, or drawings may be used, provided (1) size is 8 112 x 11 in.,

(2) Information Initems 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.

7aOP4U17 PVEOO92r. 65 PV-E0092Vet 73DP-=Z17

i t

FORM NIS-2 (Back)

9. Remarks WO#2458175 Removed snubber Serial number 3919 and replaced it with serial number 18138 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 *.. r IJ 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 "T Ax 4 24, 5-"s~nfr Nationai Board, State, Province. end Endorsements Date 1o- 7-o4Z 730P-9ZZ17 PV-E0092 Ver.

PV-EO092 BASK Var. 66R 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

9. El ISI Flaw NDE Method of Flaw Detection:

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. MINP 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 XYPressure 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 L Date replacement rLt 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 Spt \jDate* 10 - Printed Name: _

'1l. ANI IL -

""to.-k.-oZ ' Printed Name: **- °'-*

signar Date N  : 7Igna PV4W9 Var. 7 ...... .. pI I3DPIlI7

I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS 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. Date: 10-16-2002 Sheet: 1 of 2 P. 0. Box 53999. Phoenix Arizona 85072-2034 Unit: 1

2. Plant: Palo Verde Nuclear Generating Station Work Order Number 2458196 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529

3. Work Performed by: Arizona Public Service 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 Nominal Operating Pressure [I Exempt ED N-416-1 0 Other [] Pressure _ psi Test Temperature 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 Compliance of We certify that the statements made in the report are correct and this replacement conforms to the rules the ASME Code, Section XL I Type Code Symbol Stamp N/A N/A Expiration Date: N/A Certificate of Authorization No.

Signed: - - Ow.O C ZjN5) rit* " Date: ,*

D csiglce

-1tI owff O wnr CERTIFICATE OF INSERVICE INSPECTION Vessel

.1, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure have Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, 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 the examinations and taken corrective measures described in this Owner's Report in accordance with requirements of the ASME Code,Section XI.

or implied, By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither or a the Inspector nor his employer shall be liable in any manner for any personal injury or property damage loss of any kind arising from or connected with this inspection.

Commissions: NB 9685 "N" ""' AZ264 National Board, State. Provinme, and Enda=s ts nspcctors signature Date:. o-C. -o.2 7flP.Q7217

• .--EO92 Ver. 7 Back

ASME SECTION XI - REPAIR / REPLACEMENT

,Page of

2. Code Class ASME Seceon I Class 3

1. Component ID 1PCHNV471

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 _Z=r~r - 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. IZI 1- printed Name: -

"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. Date: 10-07-2002 P. O. Box 53999. Phoenix Arizona 85072-2034 Sheet: I of 2

2. Plant Palo Verde Nuclear Generating Station Unit 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2458786

3. Work Performed by:.Arizona Public Service 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 TITND. Cla.~s 3 1971 Fdition, Winter 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)

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 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.

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 N/A Certificate of Authorization No. N/A Expirafion Date: N/A Signed:51 -4*-AN? I__ _ __ II Date: 10 - 2I 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.

Commissions: NB 9685 "N" "P' AZ264 National Board, State, Province, and Endorsements "hns cct Signature Date: iO -i-1o-C6 U-73DP-9ZZ17 PV-E0092 Ver. 7 PV-E0092 Vet. Back 7 Back 73DP-9ZZ17

ASME SECTION XI - REPAIR / REPLACEMENT Page _ of i

1. Component ID IJCHNPSVO345 2. Code Class ASME Section III Class 2

3. Item

Description:

Crosby relief valve  :.

4. N-5 Data Package Number: 1CHI3-1 5. W.O. Numbc-r: 2460315

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 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.

18. -Include a step in the W.O. to record below all applicable numbers for repaired or Initial AWE'-- Date LO -/. -.024 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 Printed Name: David Goodlet Signature Date 20.SI ,Z Printed Name: /Z- L Signature Date

\,_ 21. ANTI Printed Name: (Z. 4.4-941MoK Signatkje Date PV-E0093 Vf. 7 73DP-4=17

1 I

P.-

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. Date: 10-11-2002 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: I of 2

2. Plant: Palo Verde Nuclear Generatine Station Unit: 1 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529 Work Order Number 2460315

3. Work Performed by: Arizona Public Service 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 Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or NO)

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 FORM NIS-2 (Back) wo# 2460315 due to failure of set pressure testin .

Remarks: Valve 1JCHNPSV0345 was re laced with spare under Certificate of Compliance and this replacement conforms to the rules of We certify that the statements made in the report are correct the ASME Code,Section XI.

Type Code Symbol Stamp N/A N/A Expiration Date: N/A Certificate of Authorization No.

.:1 r Date: / VO Signed: 6Zý - ,T ý4 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION by the National Board of boiler and Pressure Vessel I, the undersigned, holding a valid commission issued have employed by HSB CT of Hartford, Connecticut, Inspectors and the State or Province of Arizona and period of ,_-_ -_

inspected the components described in this Owner's report during the and belief, the Owner has performed to to , and state that to the best of my knowledge in this Owner's Report in accordance with the examinations and taken corrective measures described requiretpents of the ASME Code,Section XI.

his employer makes any warranty, expressed or implied, By signing this certificate, neither the Inspector nor described in this Owner's report. Furthermore, neither concerning the examinations and corrective measures or a manner for any personal injury or property damage the Inspector nor his employer shall be liable in any 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

• "PV-E0092 Ver. 7 Back

I I

ASME SECTION XI - REPAIR / REPLACEMENT i liI 1II IlI

1. Component IDI P AL004 TPJbk 2. Code lass ASMvE Secton, MClass 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.

9. Q ISI Flaw NDE Method of Flaw Detection:

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 MIIClass 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 releasirIg the Initial 9Date £%V-- component.

_ /I// 4, * '. 18. Include a step in the W.O. to record below all applicable numbers or repaired or Initial , Date - " replacement items.

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_

Ap/ L- soosc j 141AP -A 7(0B k 611-29ak-ilb

__0 __s ___g (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" PV.EWM Va. 6

._ FORM NIS-2As Required byREPORT OWNER'S FOR REPAIRS OR REPLACEMENTS the Provisions of the ASME Code Section MI I i. Owner: Arizona Public Service Company, et. al. Date: 06/1020 P. O. Box 53999, Phoenix Arizona 85072-2034 Sheet I of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersbur= Road., Tonopah, Arizona 85354-7529 Work Order Number 2467856

3. Work Performed by: Arizona Public Service 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 Nominal Operating Pressure CK Exempt El N-416-1,) .

OF I#( '

Other El Pressure - psi Test Temperature 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.

] FORM NIS-2 (Back)

". Remarks: Modify line 1PDGAL004 and relplace valve lJDGAUV001 with.a manual operated -lobevalve 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. N/A Expiration Date: N/A Signed: J 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.

Commissions: NB 9685 "N" "T'AZ264 National Board. State, Province, and Endormeents inspectors sigature Date:

U.-

VIE" V .7IcII I PV-E,0092 Vir. 7 Back 73DP-9217

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 MeDMWO 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 Lg the Initial~ D ate W4d~~ component.

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 rKWU.M - 4.

APrP 4 1k 2 ac)I

- .4.

NIA -

ý6688 30 19.Plnne --- Printed Name: 009 jw.-Z 9!4iiP'.e

ý ýIr7~

20.__ __

sigummDate

___ __ __ Printed Name: 1P L 4p P 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.

Date 10/19/02 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. W'mtersburg Rd., Tonopah, Arizona 85354-7529 2467900 Address Work Order Number

3. Work Performed by Arizona Public Service Co. Type Code Symbol Stamp None Name Authorization No. N/A 5801 S. Wintersburg Rd., Tonopah, AZ 85354 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 or ASME Code Stamped4 Item Manufacturer Serial No. Board No. Identification Built Replacement (Yes S or 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.

730P4ZZ17 PV-EU9 PV.EOoeZ Vet.

r. 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.

Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: S 4

74gneeG4, 5,% SZ ve* Date: /Lf.z.

I Owner or Owner'" 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, 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.

Commissions: NB 9685 "N" "1" AZ264

'" Sirwr National Board. Statc. Province. and Endorsements Date:.

U.-

73DP-97217 PV-E0092 Va*.

iFV-E0092 Va. 77 Back Back 73DP-9ZZ17

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.

9. E3 ISI Flaw NDE Method of Flaw Detection Report Number

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

14. ASME Section Xl Code/Edition ASME SECT. & L6-2992 EDITION 92 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 I*' G=O Var. 6 .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 Cc~pany. et. a]. Date 10/22/02 Name P.O. Box 53999. Phoenix. Arizona 85072-20"4 Shee 1 Of 2 Adftessti

2. Plant Palo Verde Nuclear Generating Station Unit 1 5801 S. Wintersbure Rd.. Name Tononah. Arizona 85354-7529 2470872 mj-,,.* PC =I.=,

A.... .

3. Work Performed by Arizona Public Service Type Code Symbol Stamp None Name Authorization No. N/A 5801 S. Wintersburg Rd., Tonapah. Arizona 85354-7529 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 or ASME StamesdroCode 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 I 0 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 COMPLIANCE We certify that the statements made inthe report are correct and this repair conforms to the rules of the ASME Code,Section XI. mrpa or rep*,cment Type Code Symbol StampN NIA Certificate of Authorization No. N/A Expiration Date N/A Signed ,&-S):2, - >L4 h!.uate 0 UJ U V

,,,j 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.

inspedor's Signature National Board, State. Province. and Endorements Date i-.2~3-0Z I Var. 7 BACK PV-EO092 var.?

Pv-Elg2 BACK 73DP-QZZ17

• MJP-OZZt17

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:

12. Replacement Item Construction or reconciled Code/Edition ASME M, CLASS 2, 1974 ED., S'75 ADD.

13. Repair/Replacement Activity Construction Code/Edition ASME 11 CLASS 2, 1974 ED., W'75 ADD.

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 1No 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 45"F". A.999 O

?I55L.E (I9q-"1"

____,______ __ PM532ObAI*

119. Planner -4.02 'APrint Name David ode

20. ISI Engineer_ J?

• .*.: /[ 2--Print-Name Ramakant Indap

21. ANII -t -oz.- Print Name Robert Hogstrom Date, 73DE'41T Pv-eooga Ma/EO0M Vw. 66 Vet. 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.

9. U 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. 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 MICLASS 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

20. 151 Engineer_ C -9/1678D at 2-. PrintNfnme Ramakant Indap j signature Date 72OP41?

MOM00 Ver PV-E0093 Ver, 6 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

12. Replacement Item Construction or reconciled Code/Edition ASME inl, CLASS2, 1974 ED., S'75 ADD.

13. Repair/Replacement Activity Construction Code/Edition ASME III CLASS 2, 1974 ED., W'75 ADD.

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 Dote

-oe. Print Name Robert Hogstrom

_f= _

PV-1009 ..... ... ~U~ 730P-W.,(.17 i

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

12. Replacement Item Construction or reconciled Code/Edition ASME III, CLASS 2, 1974 ED., S'75 ADD.

13. Repair/Replacement Activity Construction Code/Editlon ASME Im CLASS 2, 1974 ED., WV75 ADD.

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 72OP417 PV-E02 Va. 6 PV.E0093 Vw. 6I 7"JOP-0I2Z17

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

12. Replacement Item Construction or reconciled Code/Edition ASME [I],CLASS 2, 1974 ED., S'75 ADD.

"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 -of0*9 -3W 4

19. Planner 1 .f "Signature v 7-,

Dafe A-, Print Name David Goodlet ISI Engineer. P20.

PrntNfme Ramakant Indap

21. ANII x 1- A.-oZ Print Name Robert Hogstrom ItkI I Dale PzV-F.O Ver. 6I Mp-D=.Z17

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

12. Replacement Item Construction or reconciled Code/Edition ASME II, CLASS 2, 1974 ED., S'75 ADD.

13. Repair/Replacement Activity Constructioni Code/Edition ASME III CLASS 2, 1974 ED., VW'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.

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 Var. S ?SDP4ZZI7 PV.E0093 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

12. Replacement Item Construction or reconciled Code/Edition ASME III 'CLASS 2, 1974 ED., S'75 ADD.

13. Repair/Replacement Activity Construction Code/Edition ASME III CLASS 2, 1974 ED., W75 ADD.

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 Inthe 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

12. Replacement Item Construction or reconciled Code/Edition ASME HI; CLASS 2, 1974 ED., S'75 ADD.

13. Repair/Replacement Activity Construction Code/Edition ASME III CLASS2, 1974 ED., W'75 ADD.

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( Pj__9 P-0 56t3-p 979 Q, .t.-

19. Planner _D- Q Print Name David Goodlet I Signa Date,

20. ISI Engineer " ' lVIC6/l Print Name RamakantIndap iDa te l

21 NI Name RoetHato ri&Paznt PV-E003 Vet 6 72Date1 PV..WMX Ver. 9I  ?"WP410 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. Date 07/10W02 Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of 3 Addres

2. Plant Palo Verde Nuclear Generating Station Unit 1 Name 5801 S. W'mtersburg Rd., Tonopah, Arizona 85354-7529 WO# 2511997 Addmsa Work Order Number

3. Work Performed by NWS Technologies Type Code Symbol Stamp None Name Authorization No. N/A 131 Venture Bldg., Spartanburg, S.C., 29301 Expiration Date N/A

4. Identification of System SG - Main Steam 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

.. 6_ 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: Hydrostatic ( 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.

5PZ1

- VE~ Ve.17 PV-MO~2 Vet. 7 73DP-OZZ17

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. Date 07/10/02 Nam P.O. Box53999. Phoenix..Arizona 85072-2034 Sheet 2 of 3 Adftass

2. Plant Palo Verde Nuclear Generating Station Unit 1 Name 5801 5. Wintersburg Rd.. Tonopah, Arizona 85354-7529 WO# 2511997 Work Od Numbwr

3. Work Performed by NWS Technologies Type Code Symbol Stamp None Name Authorization No. N/A 131 Venture Bldg., Spartanburg, S.C., 29301 Expiration Date N/A Address

4. Identification of System SG - Main Steam 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 Repairedor ASME Code 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 Inform 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. spiror r*=hiint Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed X-&C"41i.Cej Date 1*&/z." 2.

Owner or Owners Oeslnge, Tite 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 4 DSatte atona, wrd, Stae Poince, and Eridorsement Date to-got-I 7SDP4ZZ17 PV-E00=

Pv-E0092 Ver. BACK Vet. 77BACK 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.

9. Q 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 faMiure in the ASME Sec. HI bondary.

11. Repair/Replacement Work Organization NWS Technologies

12. Replacement Item Construction or reconciled Code/Edition ASME M]I CLASS 1, 1974 ED., S'75 ADD.

13. Repair/Replacement Activity Constructibn Code/Edition ASME HI CLASS 1. 1974 ED., W'75 ADD.

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.

I 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

'10. ISI Engineer gi~wture DaftI 6-P-4 '"*--. Plrnt Name Rainakant Indap S' oate

21. ANII1O Print Name Robert Hoestrom 8ROU . .Date PV-EOM Vera 73WP-Ii17

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 Name 07/10/02 P.O. Box53999. Phoenix. Arizona 85072-*f7Vt Sheet I of 2 1* Addres

2. Plant Palo Verde Nuclear Generatina Statinn Unit I

.581 . interbuwg Name R.,onopah. Arizona 85354-7529 85.........

2511998

ýg Rd.

Addrm, To h Arzn 2511......8 wUon uMer Numoer

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 Address Exniration Date N/A

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-enumber of sheetsIs recorded at the top of this form.

"Au Wt. 7 VIM

• 730P-=ZZ17

FORM NIS-2 (Back)

9. Remarks Work order #2511998, for off-site reconditioning and testing of 4 spare pressurider safety valves.

g Replacement arats will be obtained from sonrnved .nmrmq Relcmn part will... beotmdfo pproe.... i'rm 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 N/A Certificate of Authorization No. .N/A Expiration Date N/A Signed e-I. 4 * ,. -X_*_- Date 9/z.5"/,,7 J

Owner or Ownefs Designee. Toie 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 --,s aMNational Commissions *  !%ý "An Z24, Board. Scale, Province. and Endoiements Date 96-,q-oz PV-EO092 Ver. 7 BACK . 73DP-9ZZ17

..l 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.

9. El ISI Raw NDE Method of Raw Detection N/A Report Number N/A

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

14. ASME Section Xl Code/Edition ASME Section XIM, 1992 Edition, 1992 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

.PV-E0= VW-.$ "73DP4=1Z1

'I FORM NNIS-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. Date: 06/21 P. 0. Box 53999. Phoenix Arizona 8572-20 4 Sheet: I of 2

2. Plant- Palo Verde Nuclear Generatng Station Unit: I 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529 Work Order Number 2514365

3. Work Performed by: Arizona Public Service 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 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and NOTE:the number of sheetssheets Supplemental is recorded in formatofthe to of lists, this form.

sketches, or drawings may be used provided (1) size is 8 V2 X 11

FORM NIS-2 (Back)

Remarks: Work Order# 2514365 To REulace Pressurizer Back-Up Heater IMRCEA13, 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> orGzp O9 Mezi if MC0Lv -' Date: /9- 0-2 OZý!awner's Designce, 71&%dc 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.

Commissions: NB 9685 "N" "I' AZ264 hn"s Sinature National Board. State, Province, and Endorsements Date:

4 73DP-97Z17 T-,-rX092 viz. 77 Back P,-iOO92 Ver. Back 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 Ifrequired, 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 Inthe 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. Date 08/26/02 Name P.O. Box 53999. Phoenix, Arizona 85072-2034 Sheet 1 of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 1 S5fll S. Wintersbur* Rd..~Name Tononah. Arizona 85354-7529 2540753 Address Work Order Number

3. Work Performed by PVNGS Maintenance Department Type Code Symbol Stamp None Name Authorization No. N/A 5801 S. Wintersburg Rd., Tonopah, Az. 85354-7529

= ..

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.,

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.

7SOP4ZZ17 PV-EoW2 PV-E0092 Ve-.

Ver. 7 7 "73DP-OZZ17

I 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 repar or replacement of the ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorization No. NIA ExpirationiDate N/A Signed k'. . 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 ",- M ,,,4 Ax.

naetra signatur National Board. State, Provie, and Endorsements Date kO-ko-a2.

I PV-EO092 PV-E0092 Vet.

Var. 7 BACK SACK

- 730P4U17 7=1-0=7

Mr- 9f 4 ASME SECTION XI- REPAIR/REPLACEMENT Page ..j.. of -J_

mr-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.

9. Q ISI Flaw NDE Method of Flaw Detection Report Number

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 DiA SR-3(,57--3 i5 (g65i9 iZ IZ

19. Plannery&I # -

Signature Z ., /0!-7/

Oate"

/Oc?-Pdnt Name Barbara Vidal

20. ISI Engineer * /O/C?./ rdnt Name ',

SlgnatuMW Date 21..ANII . 0. - 0Z Print Name -&4r tonature Dais-PV-ED093 V. .7 73DP4=17

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI I

1. Owner Arizona Public Service Comtanv. et. al. Date 09/26/02 Namie P.. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of 2 Addrss

2. Plant Palo Verde Nuclear Generating Station Unit 1 Name 5801 S. Wintersbure Rd., Tonopah, Arizona 85354-7529 2556794 Work Order Number Adc*rs

3. Work Performed by Arizona Public Service Type Code Symbol Stamp None Name Authorization No. N/A 5801 S. W'mtersburg Rd Tonopah AZ 85354 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, "75W 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! Pneumatic I Nominal Operating Pressure Qj Exempt (* N-416-1 I*

0 Other l* Pressure psi Test Temp. F I 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.

730P4ZZ17 FPVE00W2 Vet.?7 PVEOO92 Ver. 73DP-OZZ17

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.

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.

'a7 A-Z" . QnspecbrWs ignature Commissions , -q.x .,t. Az-. 27.A National Board. State. Province, and Endonsmeanta Date 00-23-02.

73OP417 PV-E-OMg Var. 77BACK Pv-E0092 Vet. BAcK "73OP-gZ=17

ASME SECTION XI - REPAIR / REPLACEMENT I _Page of Component ID IPC005H015 2. Code Class ASMESect ion MI Subsection NF Class 3

... 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

9. 0 ISI Flaw NDE Method of Flaw Detection:

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 If required, include a step in the W.O. for ISI & ANH Inspection.

initial k6 Date 04FI0-CL

17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial PwI . Date --J'-D Component

18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial * ' Date A/6 5)-'b* ' - 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

ý1ýob4 NI - 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. Date: 10/10/2002 P. O. Box 53999, Phoenix Arizona 85072-2034 Sheet: J, of 2

2. Plant: Palo Verde Nuclear Generating Station Unit:

5801 South Wintersburg Road.. Tonopah. Arizona 85354-7529 Work Order Number 2558858

3. Work Performed by: Arizona Public Service 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 S. removed snubber 1PCO05HO15. s/n 38087 and renlaced with s/n 14461

.. . . I I m I l 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 XL Type Code Symbol Stamp N/A Certificate of Authorization No. t NNIA Expiration Date: N/A woo- Date: &.-I/O/,*,/Z Signed:

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 , and state that to the best of my knowledge and belief, the Owner has performed

.o-=a--.

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-.

W.ýPV-E0092 Ver. 7 Ba* 73DF-92Z17 PV-EO092 Ver. 7 Back 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.

9. 0 ISI Flaw NDE Method of Flaw Detection:

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-S Date Printed Name:

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.

73DP4ZZt7 PV-EO092 PV.E0092 Vet.

Vr. 7 73DP-9ZZ17

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 N/A Certificate of Authorization No. N/A Expiration Date N/A Signed S,- " ",-sz- Date 4lz ." z_

Owner or Owner' Designee. "ide 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.

/&,6 ýý Commissions ,6 , '* "- Az 24-k Natinal Board, State. Province. and Endorements kvnpectors Signature Date 1o -2Z-o07 7SDP.@ZZI7 pvEaag2 Vet.

PV-E0092 Vet. 77 BACK BACK . 73DP*r7

ASME SECTION )[ - REPAIRI 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.

9. [] ISI Flaw NDE Method of Flaw Detection:

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: [] YES 0 NO Initial I__ Date If required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test Require [] YES BNO .

If required, include a step in the W.O. for ISI & ANU Inspection.

Initial **"/Of Date

17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date f 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.

19. Planner I*

V/ Printed Name: 4 &, 6e" W-,*

20. IS1S L'- Signature Printed Name:

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 MIClass 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.

9. [] ISI Flaw NDE Method of Flaw Detection:

Report Number:.

10. Evaluation ofthe 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 117. 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 SSignaur Date Printed Name: , Mj, d, ,

20. ISI. " -r', , 'Ay 7." PrintedName: ,

&- 4.f' ',/

Si Date

21. ANI,--oZ 21 AN)].ZI Printed Name: 6-.

S" Date

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, Code Case (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.

I I 9.

Q, Remarks: work order 2560340 FORM NIS-2 (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 XI.

Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: 0 -tk, L&_.I,* f

• Date: J0-2 5-0-.

Owner or Owner's Designee, Tide "C

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.

Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Itssignature Date: 0e0L a-

',rD ATTtq

,.,ur-,LLA V-Ib0092 var. 7I ajace v-turn VaI. 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.

9. 0i ISI Flaw NDE Method of Flaw Detection Report Number

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 J

1.owner Arizona Public Service Company. et al. Date fo/l JZI0 z.

Nam a P.O. Box 53299. Phoenix. Arizoha 85072-2034 Sheet of Address Unit 1

2. Plant Palo Verde Nuclear Generating Station Namlt 2560355 rzoa83472 Woik OrdV(Number 580 S. Vrtrbr Rd.

Ad3yer ToLR o

Type Code Symbol Stamp None 3.work Performed byAioaPbi SrieCmai Name Authorization No. N/A 5801 S.W-mtersburg Rd.,Tonopah Arizona,85354-7529 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 Manufacturer National Other Year Repaired ASME Code Name of Name of 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.

Nc=minai Operating Pressure C] Exempt Q N-416-121

8. Test Conducted: Hydrostatic Q Pneumatic *)

psi Test Temp. OF Other U Pressure 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.

I 73OP-gZZ17 PV-EOM92 Ver. 6

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.

Eneincerine in the Tube (Sipray Pond) Side of the Heat Exchanger.

CERTIFICATE OF COMPLIANCE We certify that the statements made Inthe report are correct and this repair conforms to the rules of the ASME Code, Section Xl.

Type Code Symbol Stamp_ 1___ __

Certificate of Authorization No. _______________

Expiration Date M/A Signed *,;Q:-,,.- ISI Engineer Date I6 /,/o7.

w Owner or Owners Desneef 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 HSBI & I CO.

of Hartford. Connecticut , have Inspected the components described Inthis 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 Inthis 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 Inthis Owner's Report Furthermore, neither the Inspector nor his employer shall be liable Inany manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection.

':g"A W=.,-

- Imspactors Sounture Commissions NB 9685 "N" "I" AZ264 National Board. State, Province. and Endorsemerds Date to-.1t-a2.

I U~

PV-EO092 Ver. 6 BACK IVE02Vr 3PZ1 73DP-OZZ17

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.

9. [] ISI Flaw NDE Method of Flaw Detection:

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 U3t...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

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. Date: 10/31/2002 P. O. Box 53999. Phoenix Arizona 85072-2034 Sheet I of2

2. Plant Palo Verde Nuclear Generating Station Unit. 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2561273

3. Work Performed by: Arizona Public Service 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

L IA*. Riemas: Work Order #2561273:

FORM NIS-2 (Back) spare Crosby Pressure Safety Valve (PMV* was repaired under this work order. muimue Management System (SWMS) for this valve is known as a "Physical Item" and isA This UTC number is entered as the "Other Identification" on the front of this form record in the Sie Wor identified by a Unit Traeddn2 Code (UTCY.

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 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-_

to ,-o 1-02 _-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.

a7-a= sSignature Commissions: NB 9685 "N" "I" AZ264 National Board, State, Pmavinc, ad Enduncmes Date l Ill to-ZI-0,;z l II 7*.iv 0092Vtr. ' i II a

P-,.4 )092 Ver.

7 Back 73DP-=ZZ17

"ASMESECTION 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

9. 0 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. 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. MIC1 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.-0ý6 z Z-o Printed Name: Z R.-rQ,.,.

Sia Date 7

PV-WW3 ViL

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. Date: 10-26-2002 P. O. Box 53999, Phoenix Arizona 85072-2034 Sheet- of2

2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2525I

3. Work Performed by- Arizona Public Service Type of Code Stamp None Authorization No. NIA Expiration Date N/A

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 N-416-1 0 OF Other 0 Pressure _ psi Test Temperature 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.

I

,.-.-.9.

FORM NIS-2 (Back)

Remarks: WO# 2562551 for valve JSGETHVO044. The valve bonnet was replaced due to leakage from packing.

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 Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed:qrýý (L'WnSDjfl:) e-A2Zd hle. Date: IC' t- c 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 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: -

S. ... . . . . I I-

]r PV-EM092 Ver. 7 Back