ML031970064

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

ML031970064
Person / Time
Site:	Palo Verde
Issue date:	07/08/2003
From:	Bauer S Arizona Public Service Co
To:	Document Control Desk, Office of Nuclear Reactor Regulation
References
102-04963-SAB/TNW/RJR
Download: ML031970064 (202)

Text

I AdmrvAS Scott A. Bauer 10 CFR 50.55a Department Leader Regulatory Affairs Tel: 6231393-5978 Mail Station 7636 Palo Verde Nuclear Fax: 623/393-5442 P.O. Box 52034 Generating Station e-mail: sbauer@apsc.com Phoenix, AZ 85072-2034 102-04963-SAB/TNW/RJ R July 8, 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 3 Docket No. STN 50-530 Second 10-Year Interval -Tenth Refueling Outage Inservice Inspection Summary Pursuant to 10 CFR 50.55a and IWA-6240 of Section Xl of the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code, 1992 Edition, 1992 Addenda, Arizona Public Service Company (APS) hereby submits the PVNGS Unit 3 Inservice Inspection Report for the tenth refueling outage, provided in enclosure 1.

This is the first refueling for Interval 2, Period 2, which was conducted from March 29, 2003 through April 30, 2003.

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, 1UGU6,3#.. {0 SAB/TNW/RJR/kg t Enclosures cc: Regional Administrator, NRC Region IV (w/attachment)

J. N. Donohew (w/attachment)

N. L. Salgado (w/attachment)

ENCLOSURE 1 SECOND 10-YEAR ISI INTERVAL

SUMMARY

REPORT TENTH REFUELING OUTAGE PALO VERDE NUCLEAR GENERATING STATION UNIT 3

PALO VERDE NUCLEAR GENERATING STATION UNIT 3 INSERVICE INSPECTION REPORT TENTH REFUELING OUTAGE ARIZONA PUBLIC SERVICE 5801 S. WINTERSBURG ROAD TONOPAH, AZ 85354 PREPARED BY: DATE:

REVIEWED BY:

9W& t - DATE: 5-- 03 2.Z~~g,< io-/. >

APPROVED BY: DATE: 5-ZA'-Ze' S COMMERCIAL SERVICE DATE: 01/08/88 REPORT DATE: 05/01/03

TABLE OF CONTENTS SECTION PAGE 1.0 Introduction 3 2.0 Examination Summary 3 3.0 Examination Techniques 3 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 of 35

UNIT 3 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 3. 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 March 29, 2003 through April 30, 2003. Palo Verde Unit I began commercial operation on January 8, 1988.

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 1 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 examinations performed through the tenth refueling outage. All of the examination report numbers for the second interval are listed in Appendix A. The reports for the tenth refueling and examinations performed since the last Summary Report are in bold type.

There were no ASME Section XI Subsection IWE or IWL scheduled examinations performed during this outage and no items of degradation were observed. There are no conditions that require reporting in accordance with IOCFR50.55a(b)(2)(viii) or 10CFR50.55a(b)(2)(ix).

2.0 Examination Summary The evaluation of the results from the ISI examinations indicated the integrity of the systems have been maintained. There were no rejectable or abnormal indications found during this ISI inspection activity.

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.

Page 3 ot35

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 (ANJ).

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 No repairs or replacements were performed as a result of ISI examinations during U3RI 0. 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.

Two leaks were identified during non-ISI walk downs, a small amount of boric acid residue was observed around an RTD instrument nozzle that penetrates the Loop I hot leg and around the sleeve for Pressurizer heater AO 1.

The RTD nozzle was repaired under DMWO 2376926. The leaking Pressurizer heater sleeve was repaired using Mechanical Nozzle Seal Assemblies (MSNA) per DFWO 2594958. (CRDR's 2594999 AND 2595001)

Page 4 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Page 5 of 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 WC. The item number prefixes are defined below:

AHE - Augmented high energy systems piping B- ASME Class 1 systems BFLYWH - Reactor coolant pump flywheels C- ASME Class 2 systems F- ASME Class I and 2 supports Zone No - Area designation per PVNGS design Comp/Sys - Component or system description Insp Per - Inspection period Amt Reqd - Number of items required to be completed in the period Amt Comp - Number of required items completed Item ID - Item identification per ISI program/zone drawings Reports (VOL) - Volumetric exam report number (SURF) - Surface exam report number (VIS) - Visual exam report number Remarks - Re-exam or replacement remarks indicate acceptable examination results Page 6 of 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 Page 7 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone ComplSys Insp Amt Arnt Item ID Vol Surf Visual Remarks I Item # Per Req Comp ASME Class 2 Augmented High Energv Piping AHE 5.51 47 MS SG1 One 13 13 47-1 00-3443 00-3388

& 5.52 47-2 00-3437 00-3388 47-4 00-3454 00-3389 _

47-8 00-3453 00-3389 47-12 00-3452 00-3389 47-16 00-3451 00-3389 _

47-20 00-3450 00-3389 47-24 00-3445 00-3388 47-25 00-3446 00-3388 47-28 00-3428 00-3387 47-29 00-3427 00-3387 47-30 00-3447 00-3388 51 Atmos Dump SG1 One 13 13 51-1 00-3425 00-3205 51-2 00-3433 00-3205 51-3 00-3432 00-3205 51-4 00-3435 00-3205 51-5 00-3431 00-3205

..51-6

___________________ _ 00-3430 00-3205 51-7 00-3429 00-3205 51-8A 00-3424 00-3386 51-8B 00-3403 00-3205 51-9 00-3404 00-3205 51-51 00-3405 00-3205

.______ ______ ______ 51-53 00-3426 00-3205 51-54 00-3434 00-3205 53 Steam to Aux FW One 10 10 53-11 00-3134 00-3110

_____ _553-12 00-3138 00-3110 .

53-13 00-3137 00-3110 PSE 53-14 00-3132 00-3110 _

____ 53-15 00-3130 00-3110 53-21 00-3131 00-3110

______:.. __. 53-22 00-3133 00-3110 _

___._ 53-23 00-3129 00-3110 _ _ .

53-24 00-3136 00-3110 PSE 53-25 00-3135 00-3110 56 Feedwater SG 1 One 6 6 56-1 01-3411 01-3337 56-4 01-3412 01-3337 56-6 01-3413 01-3337 56-7 01-3414 01-3337

.______ ______ 56-9 01-3415 01-3337

_______ _____ 56-11 01-3416 01-3337 160 Downcomer SGI One 9 9 60-7 00-3284 00-3267

________ ______ 60-8 00-3285 00-3266 60-9 00-3286 00-3268

.. ______ ______ ______ _______ 60-11 00-3287 00-3267 60-12 00-3288 00-3267.

60-14 00-3289 00-3267 60-15 00-3290 00-3267

______ ___________________ 60-16 00-3291 00-3267

.____ _60-17 00-3292 00-3267 66 Slowdown SG1 One 9 9 66-1 00-3146 00-3093 66-2 00-3145 00-3093 Page 8 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks I Item# Per Reg Comp

,_____ 66-3 00-3144 00-3093 66-5 00-3143 00-3093 66-6 00-3142 00-3093 66-7 00-3140 00-3093 66-8 00-3139 00-3093 66-9 00-3141 00-3093 _ _

________ ______________________ _______ 66-25 00-3275 00-3206 AHE 5.81 47 MS SG1 One 7 7 47-3 00-3442 00-3388

& 5.82 47-7 00-3441 00-3388 _

47-11 00-3440 00-3388 47-15 00-3439 00-3388

______ 47-19 00-3436 00-3388 _

47-23 00-3444 00-3388 _

47-27 00-3438 00-3388 ASME Class I B-A B 1.22 02 Closure Head One 33% 16% 2-4 00-3417 00-3082 Accessible Areas, 00-3419 RR#14 00-3421 00-3423 B 1.30 01 Reactor Vessel One 50% 50% 1-14 Examined 0-180 B 1.40 02 Closure Head One 33% 33% 2-1 00-3416 00-3082 Examined 0-120 00-3418 00-3420 _

______ _______ 00-3422 B-B B 2.11 5 Pressurizer One 66% 66% 5-2 00-3085 Examined 0-240 00-3087 00-3089 _

00-3091 5-3 00-3086 1 long seam for 5-2

& 00-3088 00-3090 =

00-3092 B2.12 Two 66% 66% 5-8 UT-03-003 _ Examined 0-240 UT-03-006 UT-03-009 5-6 UT-03-007 1' of long seam UT-03-013 for 5-8 B2.31 3 Steam Generator 1 One 33% 33% 3-5 01-3078 Credited 0 - 120 B2.32 3-3 01-3077 3-10 01-3081 _

B2.40 3 Steam Generator 1 50% 50% 3-6 01-3079 Examined 0 -180 B-D B 3.90 1 Reactor Vessel One 2 2 1-15 . ^Separate Report 1-18 -[by Wesdyne. Exam Page 9 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks I Item# ' Per Reg Comp 8 3.100 1 Reactor Vessel One 2 2 1-15 . Completed in 3R7 1-18 8 3.110 5 Pressurizer One 2 2 5-9 01-3193 5-11 01-3273 Two 2 2 5-10 UT-03-008 UT-03-010 5-13 UT03-004 UT-03-011 UT-03-012 B 3.120 5 Pressurizer One 2 2 5-9 01-3192 5-11 01-3274 Two 2 2 5-10 UT-03-005 5-13 UT-03-014 B 3.130 3 Steam Generator 1 One 1 1 3-8 01-3080 4 Steam Generator 2 One 1 1 4-9 01-3394 B 3.140 3 Steam Generator 1 One 1 1 3-8 01-3388 4 Steam Generator 2 One 1 1 4-9 01-3387 E-E=

B 4.12 2 CEDM One 8 8 CEDM 00-3543 Two 8 8 CEDM VT-03-430 B 4.13 1 RPV ICI One 5 5 Instru 00-3543 Two 5 5 Instru VT-03-428 B 4.20 5 Pressurizer One 12 12 Heaters 00-3543 Two 12 12 Heaters VT-03-431 CEIB 89-06 B-F B 5.40 20 PZR Surge & One 2 2 5-34 01-3194 01-3083 31 PZR Safety 5-29 01-3275 01-3272 B 6.10 2 Nuts One 18 18 1 thru 18 00-3200 00-3207 Two 18 18 19 thru 36 MT-03-019 VT-03-224 B 6.30 2 Studs One 18 18 1 thru 18 01-3338 00-3200 Two 18 18 19 thru 36 UT-03-024 MT-03-018 B 6.50 2 Washers One 18 18 1 thru 18 00-3207 Two 18 18 19 thru 36 VT-03-223 B 6.180 16 RCP 1A One 5 5 1 thru 5 01-3453 00-3209 Two 5 5 6 thru 10 UT-03-035 VT-03-373 IEB 82-02, IEIN 80-27 17 RCP 1B One 5 5 1 thru 5 01-3006 01-3004 00-3210 01-3454 01-3003 01-3236 Two 5 5 6 thru 10 UT-03-036 VT-03-364 IEB 82-02, IEIN 80-27 18 RCP 2A One 5 5 1 thru 5 01-3455 00-3211 Two 5 5 6 thru 10 UT-03-037 VT-03-375 IEB 82-02, IEIN 80-27 19 RCP 28 One 5 5 1 thru 5 01-3456 00-3212 Two 5 5 6 thru 10 UT-03-038 VT-03-377 IEB 82-02, IEIN 80-27 Page 10 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone Comp/Sys Irisp Amt Amt Item ID Vol Surf Visual Remarks I Item Per Reg C omp B 6.190 17 RCP 1B One 1 1 Flange 01-3003 01-3235 B 6.200 16 RCP 1A One 5 5 1 thru 5 00-3209 Two 5 5 6thru 10 VT-03-316 17 RCP 1B One 5 5 1 thru 5 00-3210 01-3003 01-3236 Two 5 5 6 thru 10 VT-03-326 18RCP2A One 5 5 I thru 5 00-3211 Two 5 5 6 thru 10 VT-03-328 19 RCP 2B One 5 5 1 thru 5 00-3212 -

Two 5 5 6 thru 10 VT-03-354 B-G-2 B 7.20 05 Pressurizer One 20 20 20 studs/nuts 00-3187 01-3314 _ _

I ________ 01-3005 Two 20 20 20 studs/nuts MT-03-017 VT-03-210 IEB 82-02 B 7.30 03 SG1 One 40 40 40 studs/nuts 00-3188 01-3315 Two 40 40 40 studs/nuts MT.03-O11 VT-03-208 IEB 82-02 04 SG2 One 40 40 40 studs/nuts 00-3189 01-3316 Two 40 40 40 studs/nuts MT-03-012 VT-03-209 IEB 82-02 B 7.50 31 PZR Safeties One 1 1 PSV200 00-3186 01-3313

______ PSV201 00-3186 01-3313 PSV202 00-3186

__________ ________ 01-3313 PSV203 00-3186 01-3313 Two 1 1 PSV200 MT-03-013 VT-03-422 IEB 82-02 PSV201 MT-03-014 VT-03-423 IEB 82-02 PSV202 MT-03-015 VT-03-424 IEB 82-02 PSV203 MT-03-016 VT-03-425 IEB 82-02 37 Charging One I I V435 00-3254 B 7.60 16 RCP 1A One 5 5 1 thru 5 00-3209

__________ ________ 00-3113 Two 5 5 6 thru 10 VT03-317 17 RCP 1B One 5 5 1 thru 5 00-3210 00-3113

.____ 01-3002 PSE (16 studs) 01-3007 Two 5 5 6 thru 10 VT-03-327 18 RCP 2A One 5 5 1 thru 5 00-3211 00-3113 Two 5 5 6 thru 10 VT-03-345

._____ 19 RCP 2B One 5 5 I thru 5 00-3212 Page 11 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone CompJSys Insp Amt Amt Item ID Vol Surf Visual Remarks I Item Per Reg Comp 00-3113 Two 5 5 6 thru 10 VT-03-404 B 7.70 21 SD Cooling One 1 1 UV653 00-3006 22 SD Cooling One 1 1 UV654 01-3457 Two 1 1 UV652 VT-03-127 23 S 1A One 1 1 V237 01-3017 Two 2 2 V235 VT-03-141 V634 VT-03-142 24 S 1B One 1 1 V543 00-3066 Two 2 2 V245 VT-03-164 V644 VT-03-165 25 S 2A One 1 1 V540 00-3080 Two 1 1 V217 VT-03-146 26 Si 2B One 1 1 V225 00-3185 Two 2 2 V541 VT-03-181 UV624 VT-03-144 27 PZR Spray 1A Two 1 1 PV100E VT-03-054 V240 VT-03-222 28 PZR Spray One 2 2 V241 00-3028

_____________________ ____ _ 1 V242 00-3028 Two 1 1 V10OF VT-03-050 31 PZR Safeties One 1 1 PSV200 00-3035 Two I I PSV202 VT-03-188 32 Drain 1A One 2 2 V234 00-3038 V334 00-3038

_____________________ _________ 01-3512 33Drain B Two 2 2 V235 VT-03-117 V335 VT-03-119 34 Drain 2A Two 2 2 V233 VT-03-227 V333 VT-03-228 37 Charging One 1 1 PDV240 00-3208 38 Drain Une One 1 1 V215 01-3048 39 HPSI One 1 1 V-523 00-3259 Two 2 2 V522 VT-03-145 V957 VT-03-356 40 HPSI Two 1 1 V532 VT-03-204 B 7.80 2 Head One 1 1 2-21 00-3270 CEDM 92 2-21 00-3270 CEDM 96 BH B 8.20 5 Pressurizer One 67% 67% 5-1 00-3278 00-3069 Examined 0-240

_______ ______ __________ 00-3279 Code Limited

________ ______ __________ 00-3280 Relief Required

________ ______ ___________ 00-3281 B 8.30 3 SG 1 One 33% 33% 3-1 01-3325 01-3317 Examined 0 -120 B-J -

5 9.11 6 RCS Piping One 7 7 1-27 01-3506 *Sepirate report by

& 9.12 P9 1-30 01-3506 Wesdyne. Exams 6-7 01-3506 completed in U3R7 7-7 01-3506 3-29 01-3409 01-3401 4-30 01-3410 01-3401 Page 12 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks IItem# Per Reg Comp 17-2 01-3407 01-3345 Two 6 6 16-1 UT-03-023 MT-03-005 17-1 UT-03-016 MT-03-010 18-1 UT-03-018 MT-03-007 19-1 UT-03-021 MT-03-006 3-28 UT-03-019 MT-03-020 4-28 UT-03-017 MT-03-021 20 PZR Surge One 1 1 20-1 01-3195 01-3083 .-

21 SD Cooling One 3 3 6-11 01-3076 01-3196 01-3075 21-18 01-3073 01-3196 21-20 01-3074 01-3196 22 SD Cooling One 2 2 22-11 00-3148 00-3108 22-23 00-3149 00-3172 23 S A One 4 4 9-10 01-3049 01-3026 01-3050 .

23-1 01-3051 01-3026 23-2 01-3052 01-3026 23-4 01-3055 01-3026 01-3053 23-6 01-3056 01-3026 Augmented 01-3054 25 SI 2A One 2 2 25-26 00-3083 00-3033 25-29 00-3084 00-3081 26 S 2B One 2 2 26-9 00-3190 00-3176 26-11 00-3191 00-3175 29 PZR Spray One 2 2 29-10 00-3051 00-3049 29-11 00-3052 00-3049 29-7 01-3405 01-3404 PSE 29-9 01-3406 01-3404 PSE 31 PZR Safety One 1 1 31-1 01-3276 01-3272 B 9.21 27 PZR Spray One 4 4 9-11 01-3027

& 9.22 27-42 01-3027 27-43 01-3027 27-44 01-3027 28 PZR Spray IA One 4 4 28-31 00-3070 28-32 00-3070 28-39 00-3070 28-40 00-3070 30 Aux PZR Spray One 2 2 30-1 00-3053 Augmented 30-2 00-3053 Augmented 30-4 00-3068 30-7 00-3068 32 Drain A One 3 3 8-18 00-3034 32-1 00-3034 32-2 00-3034 36 Letdown One 4 4 36-8 00-3201 36-9 00-3201 36-28 00-3255 36-35 00-3255 37 Charging One 5 5 37-41 00-3202 37-42 00-3202 Page 13 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks Item# . Per Reg Comp 37-43 00-3202

_____ 37-45 00-3202 37-47 00-3202 39 HPSI A One 2 2 39-1 00-3204 39-5 00-3203 40 HPSI B One 3 3 40-1 01-3346 40-2 01-3346 40-3 01-3346 B 9.31 6 RCS Piping One 1 1 9-8 01-3408 01-3345 Two 1 1 13-8 UT-03-020 MT-03009 B 9.32 6 RCS Piping One 1 1 8-17 00-3030 Two 1 1 13-9 MT-03-008 22 SD Cooling One 1 1 22-7A 00-3107 B 9.40 32 Drain 1A One 1 1 32-6 00-3109 01-3318 PSE 32-8 01-3318 PSE 38 Drain 1 One 1 1 38-5 01-3444 IB-K-1 B 10.10 36 Letdown One 1 1 RC91H5 . 00-3255 RC91 H6 00-3255 Two 1 1 RC91 H006 PT-03-004 IB-L-1 B 12.20 17 RCP 1B One 1 1 Pump 01-3001 Disassembled iB-N-i B 13.10 1 RPV One 100% 100% N/A = 01-3397 Accessible areas

__ __ _ __ __ _ ___ _ _ __ __ _ _ _ ___ _ _ _ _ _ __ ___ __ _ _ __ __ ___ _ _ _ _ _ _0 1-3 3 98 IB-0 B 14.10 2 Head One 4 4 2-9 00-3060 00-3199 CEDM # 84

_ _ _ _ _ _ _ _ _______ ____ _ _______ ___________ 00-3061 _ _ _ _

2-9 00-3062 00-3199 CEDM# 88

.________ _______ ____________ 00-3063 2-10 00-3064 00-3199 CEDM # 84 2-10 00-3065 00-3199 CEDM # 88 Two 4 4 2-09 UT-03-026 PT-03-007 CEDM# 78 2-09 UT-03-027 PT-03-008 CEDM# 89, 2-10 UT-03-022 PT-03-005 CEDM # 78 2-10 UT-03-025 PT-03-006 CEDM #89 i3-P B 15.10, RCS Piping One ALL ALL Press Bound _ 00-3543 20,30,40, 00-3112 Bolting RR 11&12 50,60,70 _ 01-3058 01-3065

=_______ _____________________ _________ 01-3396

__ __ _____________ __ __ __ __ ___ _ _ __ _ _ _ __ _ _ _ __ _ _ _ 01-3464 01-3467 01-3508 01-3509 01-3513 I- -

Page 14 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks I Item Per Reg Comp

_____ __________ 01-3514 _ _

Two All All Press Bound VT-03-429 RR 11 & 12 N/A BFLYWH 16 RCP 1A One 1 1 FlyWheel 01-3426 =

17 RCP 1B One 1 1 FlyWheel 01-3427 _

18 RCP 2A One 1 1 Fly Wheel 01-3428 19 RCP 2B One 1 1 FlyWheel 01-3429 F-A F 1.10 20 PZR Surge One 2 2 RC28H1 00-3010 RC28H2 00-3011 Two 2 2 RC28H842 VT-03-342 RC28H844 VT-03-344 21 SD Cooling A One 7 7 S1240H10 00-3007 Sl240H11 00-3008

. S1240H13 00-3009 RC51 H1 01-3028 Support deleted RC51 H2 01-3205 RC511H3 01-3206 RC51H821 01-3204 Two 7 7 RC51H004 VT-03-347 Snubber deleted RC51 H005 VT-03-349

______ __________________ ______ _____ ______ RC51 H822 VT-03-357 RR 4 S1240H002 VT-03-350 RR 4

________ S1240H012 VT-03-352 RR 4, Snubber deleted

._______ ______ S1240H823 VT-03-353 RR 4 S1240H824 VT-03-355 RR 4 22 SD Cooling B One 4 4 RC68H5 00-3097 RC68H6 00-3197 S1193H17 00-3095 S1193H19 00-3096 Two 4 4 S1193H008 VT-03-121 51193H009 VT-03-122 RR 4

=_______

______ S1193H020 VT-03-125 S1193H025 VT-03-124 Snubber deleted 23 Si 1A One 1 1 S1207H5 01-3016 Support deleted Two 2 2 S1207H007 VT-03-140

________ S1207H01 1 VT-03-139 24 $ 1B One 2 2 S1223H3 00-3067 S1223H4 00-3002 Two 2 2 S1223H001 VT-03-162 RR 4 S1223H002 VT-03-163 Snubber deleted 25 S12A One 2 2 S1156H7 00-3076 S1156H9 00-3077

_ Two 1 1 S1160H001 VT-03-161 26 Si 2B One 2 2 S1179H9 00-3001 S1179H11 00-3198 Two 3 3 S1175H021 VT-03-160 S1175H022 VT-03-153 Support deleted

______ _S1Sl175H023 VT-03-165 27 PZR Spray 1A One 9 9 RC62H26 _ 00-3012 RC62H27 00-3013 RC62H28 00-3014

____ __ _ ____ ____ ____ ____ RC62H29

_00-3015 Page 15 of 35

APPENDIX A INSERVlCE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks I tem Per Reg Comp RC62H30 00-3016 RC62H31 00-3017 RC62H32 00-3018 RC62H33 00-3019 RC62H34 00-3020 Two 8 8 RC16H005 VT-03-049 RR 4 RC16H006 VT-03-051 RR 4 RC16H007 VT-03-052 RR 4 RC16HO15 VT-03-053 RR 4, Snubber Deleted RC62H035 VT-03-056 RR 4 RC62H036 VT-03-057 RR 4, Spring can deleted RC62H037 VT-03-058 RR 4 RC62H038 VT-03-059 RR 4 28 PZR Spray 1B One 9 9 RC17H24 00-3003 RC17H34 00-3021 RC17H35 01-3021 RC17H36 00-3022 RC17H38 00-3023 RC17H39 00-3024 RC17H40 00-3025

______ RC17H41 00-3026 RC17H42 00-3027 Two 8 8 RC17H043 VT-03-065 RR 4 RC17H044 VT-03-064 RR 4, Spring deleted RC17H045 VT-03-062 RR 4 RC17H046 VT-03-063 RR 4 RC18HOO9 VT-03-061 RR 4 RC18HO10 VT-03-070 RR 4, Spring deleted

._____ RC18H01 VT-03-060 RR 4, Snubber deleted RC18HO12 VT-03-055 RR 4 29 PZR Spray One 2 2 RC18H16 00-3037 RC18H18 00-3036 Two 1 1 RC18H017 VT-03-187 32 Drain 1A One 2 2 RC60HA 00-3039

_____ RC60HB 00-3040 33 Drain fB Two 2 2 RC58HOOA VT-03-114 RC58HOOB VT-03-116 Snubber deleted 34 Drain 2A Two 2 2 RC96HOOA VT-03-225 RC96HOOB VT-03-226 Snubber deleted 36 Letdown One 9 9 RC91H1 00-3256 RC91 H5 00-3257 RC91 H6 00-3258 RC91HB 00-3216

_______ _____ RC91HD 00-3213 RC91HE 00-3218 RC91HY 00-3214 RC91 HZ 00-3215 RC91HAA 00-3219 RC91HAK 00-3217 Two 10 10 RC91H002 VT-03-211 RR4 RC91H006 VT-03-212 RR 4 RC91HOOP VT-03-216 RR 4 RC91HOOO VT-03-217 RR 4 RC91HOOR VT-03-218 RR 4 RC91HOOS VT-03-219 RR 4 Page 16of35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks I Item Per Reg Comp RC91 HOOT VT-03-220 RR 4 RC91HOAJ VT-03-213 RR 4 RC91HOAP VT-03-214 RR 4 RC91 HOAQ YT-03-215 RR 4 37 Charging One 14 14 CH5H2 00-3231 CH5H3 00-3232 _

CH5H20 01-3473 PSE

._____ CH5H25 00-3233 CH5H26 00-3225 CH5H27 00-3224

._____ CH5H28 00-3222 CH5H30 00-3226 CH5H34 00-3220 CH5H35 00-3221 CH5H36 00-3223 CH5H42 00-3234 CH5H43 00-3486 CH5H44 00-3235 CH5HAA 00-3236 Two 9 9 CH05HO13 VT-03-240 RR 4 CH05HO17 VT-03-243 RR 4

.______ _____ CHOSHO18 VT-03-244 R 4 CH05HO19 VT-03-247 RR 4 CH05HO20 VT-03-251 RR 4 CH05H021 VT-03-242 RR 4 CH05HO22 VT-03-252 RR 4 CH05H032 VT-03-253 RR 4 CH05HO37 VT-03-241 RR 4 39 HPSI A One 4 4 S1248H26 00-3228 S1248H27 00-3227 S1248H28 00-3229 S1248H30 00-3230 Two 5 5 S1248H017 VT-03-148 V

S1248H018 VT-03-154 Snubber deleted S1248H019 ________VT-03-162 S1248H020 VT-03-416 RR 4 S1248H029 VT-03-149 40 HPSI B One 3 3 Sl199H13 01-3029 S1199H14 01-3030 S1199H21 01-3031 Support deleted Two 4 4 S1199H015 VT-03-200 RR 4 S1199H016 VT-03-201 RR 4

._______ . ___________________S S1199H017 VT-03-202 RR 4 S1199H018 VT-03-203 RR 4 F 1.40 3SG One 1 1 3-40 _ 01-3319 16 RCP 1A One 2 2 16-17 00-3489 16-18 00-3528

_ Two 4 4 16-12 VT-03-318 16-13 VT-03-319

._______ ______ 16-14 VT-03-320 16-15 VT-03-321 17 RCP 1B One 2 2 17-17 00-3527

__________________ .17-18 00-3527 Page 17 of 35 --

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone ComplSys Insp Arnt Amt Item ID Vol Surf Visual Remarks I Item Per Reg Comp Two 4 4 17-12 VT-03-322

._____ _______ 17-13 VT-03-323 17-14 VT-03-324 17-15 VT-03-325 18RCP2A One 4 4 18-12 00-3004 18-13 00-3004 18-14 00-3004 18-15 00-3004 Two 2 2 18-17 VT-03-330 18-18 VT-03-346

._____ 19 RCP 2B One 4 4 19-12 00-3005 19-13 00-3005 19-14 00-3005 19-15 00-3005 Two 2 2 19-17 VT-03-348 19-18 VT-03-351 ASME Class 2 C-A C 1.10 41 SG I One 1 1 41-3 01-3403 Examined 0-180 41-4 01-3402 Examined 0-180 68 Regen HTEXCH One 3 3 68-3 01-3328

._____ _______ 68-5 01-3330 68-7 01-3332 69 Letdown HTEXCH One 50% 50% 69-1 00-3276 Examined 0 -180 C 1.20 41 SG I One 1 1 41-5 01-3395 Examined 0 -180 68 Regen HTEXCH One 2 2 684 01-3329 68-6 01-3331 C 1.30 41 SG 1 One 1 1 41-1 01-3082 Examined 0-180 42 SG 2 Two 1 1 42-1 UT-03-002 Examined 0-180 UT-03-030 68 Regen HTEXCH One 4 4 68-1 01-3326

._____ 68-2 01-3327

______ 68-8 01-3333 68-9 01-3334 69 Letdown HTEXCH One 50% 50% 69-2 00-3277 Examined 0-180 C-B C 2.21 41 Slowdown One 1 1 41-62 01-3342 01-3324 42 Blowdown One 1 1 42-63 01-3341 01-3323 C-C C 3.10 41 SG 1 One 1 1 41-36 01-3400 68 Regen HTEXCH One 2 2 68-10 01-3311 68-11 01-3311 X C 3.20 44 MS SG1 Two 1 1 SG33H016 MT-03-027 45 MS SG2 One 1 1 SG42H14 00-3072 Two 2 2 SG42HO15 MT-03-025 SG42H016 MT-03-026 55 Feedwater n/a 1 1 SG5H6 00-3282 First Interval RR 14 One 1 1 SG5H9 01-3320 64 Blowdown One 2 2 SG39H15 01-3343 Page 18 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks I Item# Per Reg Comp SG39H17 01-3071 01-3343 Two 2 2 SG39H001 MT-03-002 SG53H005 MT-03-001 PT of inaccessible PT-03-001 MT areas 65 Blowdown nla 1 1 SG48H23 00-3283 First Interval RR 14 One 2 2 SG48H20 01-3344 SG-52H1 01-3022 Two 3 3 SG48H014 MT-03-028 SG48H016 MT-03-004 SG48H026 MT-03-003 71 LPSI Discharge One 1 1 S187H1 1 00-3392 76 CS Suction One 1 1 Sl9H4 00-3393 88 East Wrap One 1 1 S172H13 00-3055 89 East Wrap One 1 1 S1194H14 00-3054 91 West Wrap One 4 4 S170H9 00-3265 S170H11 00-3485 S170H12 00-3261 S170H16 00-3485 92 West Wrap One 1 1 S1241 H21 00-3488 99 LPSI B Two 1 1 S1174H013 PT-03-009 _

100 LPSI Suction One 1 1 S1369H1 00-3151 Two 1 1 84-5 PT-03-012 102 Si One 3 3 S1307H2 01-3242 S1307H3 01-3240 S1307H15 01-3242 103 Refueling Suction A Two 2 2 CH142H020 PT-03-011 CH424H006 PT-03-002 104 Si Suction B Two 1 1 S1308H003 PT-03-003 113 HPSI One 1 1 S1107H22 01-3244 C 3.30 72 LPSI One 3 3 72-3A 01-3213 72-38 01-3213 72-3C 01-3213 116 HPSI One 4 4 116-IA 01-3233 116-1B 01-3233 116-iC 01-3233 116-ID 01-3233 .

C-D C 4.40 56 FW SG1 Two 40 40 V132 UT-03-028 V174 UT-03-029 47 MS SG 1 One 20 20 V170 01-3469 48 MS SG 1 One 20 20 V180 01-3469 C-F-1 C 5.11 58 Aux Feedwater One 0 4 58-1 00-3524 00-3273 PSE

& 5.12 58-2 00-3521 00-3273 PSE 58-3 00-3522 00-3272 PSE 58-4 00-3523 00-3273 PSE 59 Aux Feedwater One 0 3 59-6 01-3460 01-3447 PSE 01-3463 PSE 59-37 01-3461 01-3447 PSE Page 19 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

EPPORT Reports ASME Cat Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks I Item Per Reg Comp 01-3462 l PSE Two 2 0 59-1 RT-03-001 PT-03-010 PSE 63 Aux FW One 1 1 63-4 01-3446 01-3392 70 &73LPSI Suction A & B One 1 1 70-58 00-3455 00-3448 82 &85 SD Cooling A & B One 2 2 72-50 00-3479 00-3390 73-49 01-3347 01-3245 83 &86 SD Cooling A &B One 4 4 74-19 00-3480 00-3391 74-21 00-3482 00-3391 74-22 00-3481 00-3391 74-105 00-3483 00-3391 88 &91 East &West Wrap One 6 6 78-16 00-3195 00-3147 74-44 00-3484 00-3264 76-2 00-3487 00-3263 76-21 01-3278 01-3217 77-7 01-3246 01-3217 77-14 01-3279 01-3217 94 S One 1 1 74-40 01-3216 01-3215 96,97,98,99 PSI Loop One 3 3 78-45 00-3194 00-3173 1A,1B, 2A, 2B 78-47 00-3193 00-3174 79-23 01-3335 01-3389 102 Si One 1 1 84-12 01-3277 01-3240 103 Si One 1 1 86-57 01-3252 01-3239 104 SI One 1 1 85-46 01-3468 01-3391 01-3458 PSE 105 S One 1 1 87-23 01-3253 01-3241 C 5.21 106 & 107 HPSI One 4 4 106-1 01-3199 01-3197 106-21 01-3219 01-3218 107-11 01-3248 01-3237 107-42 01-3247 01-3237 108 & 109 HPSI One 2 2 109-4 01-3202 01-3072 109-21 01-3200 01-3072 110& I11 HPSI One 2 2 110-6 01-3203 01-3071 110-39 01-3198 01-3071 112 & 113 HPSI One 3 3 112-1 01-3251 01-3238 112-33 01-3250 01 -3238 112-45 01-3249 01-3238 114 &115 HPSI One 1 1 115-13 01-3336 01-3393 C 5.30 106 & 107 HPSI One 1 1 107-53 01-3237 C 5.41 & 82 &85 SD Cooling One 1 1 72-49B 00-3390 5.42 A &B 88 &91 East &West Wrap One 1 1 74-102 00-3262 C-F-2 C 5.51 43 MS SG1 90 One 1 1 43-2 00-3111 00-3071

&5.52 44 MS SG1 270 One 1 1 44-1 00-3150 00-3073 46 MS SG2 90 One 1 1 46-25 00-3192 00-3094 54 FW SG 1 One 1 1 54-41 01-3212 01-3201 Two 2 1 54-1 UT-03-031 MT-03-022 PSE 55 FW SG 2 One 2 2 55-1 01-3024 01-3023 55-15 01-3025 01-3023 Two 1 0 55-1 UT-03-033 MT-03-023 PSE

____ 55-15 UT-03-032 MT-03-024 PSE Page 20 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone CornpSys Insp Amt Amt Item ID Vol Surf Visual Remarks I Item Per Reg Com 58 Aux Feedwater SG1 One 1(5) 1(5) 41-33 00-3526 00-3272 (58-1) 00-3524 00-3273 (58-12) 00-3048 00-3031 ( signifies

_____________________ (58-13) 00-3047 00-3031 augmented (58-16) 00-3046 00-3031 examinations (58-16A) 00-3045 00-3031 59 Aux Feedwater SG2 One 0(5) 0(5) (59-1) 00-3269 00-3260 (59-12) 00-3044 00-3032 (59-13) 00-3041 00-3032 (59-16) 00-3042 00-3032 (59-16A) 00-3043 00-3032 59-38 01-3459 01-3447 PSE 64 Blowdown One 1 1 64-1 01-3339 01-3322 65 Blowdown One 1 1 65-28 01-3340 01-3321 C-G; C6.10 116HPSI One 1 1 116-2 = 01-3243 =

C-H Periodic Pressure One N/A N/A Pressure 01-3057 C 7.10,30_ Boundary 50, &70 Test 01-3061 01-3062 01-3065 01-3066 01-3067 01-3069 01-3070 01-3220 thru 01-3232 01-3355 __

01-3360 01-3361 01-3365 thru 01-3381 01-3390 _ _ _ _ _ _ _ _ _

01-3396 01-3464 thru

= ______ 01-3467 01-3504 _ _ _ _ _ _ _ _ _

01-3505 01-3508 thru 01-3511 01-3514 01-3515 01-3516 01-3518 01 -3519 01-3520 01-3522 01-32 01-3525 Page 21 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks IItem Per Reg Comp Two N/A N/A Pressure VT-03-432 Accessible portions in Boundary containment F-A F1.20 41 SG 1 One 2 2 41-36 01-3443

& 41-37 01-3445 _

F 1.40 43 MS SG 1 90 One 2 2 SG36H17 00-3075 __

SG36H884 00-3410 _

SG36H885 00-3411 Two 1 1 SG36HO11 VT-03-359 44 MS SG1 270 One 2 2 SG33H17 00-3078 SG33H18 00-3079 Two 3 3 SG33H016 VT-03-393 SG33H881 VT-03-255 RR 4 SG33H882 VT-03-256 RR 4 45 MS SG 2 270 One 1 1 SG42H14 00-3074 Two 3 3 SG42HO1 1 VT-03-257 RR 4

__ _____ SG42HO1 5 VT-03-258 Snubber deleted SG42H016 VT-03-394 46 MS SG 2 90 One 2 2 SG45H17 00-3098

________ ______ ______SG 45H 18 00-3099 Two 3 3 SG45HO11 VT-03-362 SG45H887 VT-03-365 SG45H888 VT-03-367 47 MS SG1 270 One 1 1 SG206H1 00-3529 51 Atm. Dump SG1 One 1 1 SG59H6 00-3449 53 Steam to Aux FW One 4 4 SG81H1 00-3106

. ______ ____________________ ______ _____ SG 81H 2 00-3105 SG83H1 00-3104 SG83H2 00-3103 Two 2 2 SG81H004 VT-03-261 Snubber Deleted SG83H004 VT-03-262 Snubber Deleted 54 FW SG 1 One 7 7 SG2H4 01-3208 SG2H5 01-3209 SG2H12 01-3018 SG2H13 01-3214 SG2H14 01-3210 SG2H15 01-3211 SG2H803 01-3019 Two 6 6 SG13H001 VT-03-395 RR 4 SG13H802 VT-03-412 RR 4 SG2H009 VT-03-396 RR 4 SG2H010

_ VT-03-397 RR 4 SG2H01 1 VT-03-402 RR 4 SG2H806 VT-03-415 Support deleted 55 FW SG 2 - One 8 8 SG5H9 01-3350

_______ ____ ____ ____ ___SG5H10 01-3348 SG5H11 01-3349 SG5H12 01-3011

.___________________ SG5H805 01-3012 SG5H809 01-3014 Support deleted SG14H1 01-3013 SG14H804 01-3015 Two 7 7 SG5H004 VT-03-133 RR 4 SG5H005 VT-03-134 RR 4 Page 22 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks Item# Per RgComp

_ I lVT-03-385 l ll RR 4, Re-exam SG5H006 VT-03-259 RR 4 SG5H007 VT-03-130 RR 4 SG5H008 VT-03-132 RR 4 SG5H013 VT-03-131 RR 4 SG5H014 VT-03-260 RR 4 58 Aux FW One 7 7 SG8H2 01-3436 SG8H3 01-3435 SG81-14 01-3434 SG8H5 01-3433 SG8H20 01-3432 SG8H901 01-3431 SG8H903 01-3430 Two 7 7 SG8H006 VT-03-147 RR #4 SG8H007 VT-03-160 RR 4 SG8H008 VT-03-151 SG8H009 VT-03-158 RR 4 SG8H010 VT-03-137 RR 4 SG8H011 VT-03-138 RR 4

_____ SG8H017 VT-03-143 RR 4 59 Aux FW One 6 6 AF6H1 00-3238 SG11H8 00-3240 SG1 1H9 00-3239

_____ SG11H10 00-3241 SG11H11 00-3242 SGI1H12 00-3237 Two 6 6 SG11HO13 VT-03-358 RR4 SG11H014 VT-03-360 RR 4 SG11HO15 VT-03-361 RR 4 SG_11H016 VT-03-363 RR 4 0SG11H018 VT-03-368 RR4 SG11HO19 VT-03-370 RR 4 60 FW SG1 One 1 1 SG200H9 00-3530

_____ 7 SG200H13 7 7 7 00-3534 PSE SG200H14 00-3533 PSE 61 FW SG 2 One 0 0 SG203H13 00-3531 PSE SG203H14 00-3532 PSE 62 Aux FW SG1 One 1 1 AF4H3 00-3102 63 Aux FW SG2 One 2 2 AF6H2 00-3100

. AF16H1 00-3101 64 blowdown One 10 10 SG39H1O 01-3032 SG39H11 01-3033 Support deleted SG39H12 01-3034

______ SG39H13 01-3035 Support deleted

______ _ _ SG39H14

_ 01-3036 Support deleted SG39H15 01-3037 _ _ __

_____ SG39H16 01-3038

_________ SG39H17 01-3039 Support deleted

______ _____ SG39H26 01-3040

. _____ ______ ______ SG53H2 01-3020 Support deleted Two 12 12 SG39HOO1 . VT-03-386 Snubber deleted

________ _______ ______ ______ SG39H002 VT-03-069 Support deleted SG39H003 VT-03-104 Snubber deleted SG39H004 VT-03-105 RR 4 SG39H005 VT-03-106 RR4

. . ~~~~~Page 23 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks I Item _ Per Req Comp SG39H006 VT-03-107 Snubber deleted SG39H027 VT-03-108 Snubber deleted SG53H003 VT-03-066 Support deleted SG53H004 VT-03-109 RR 4 SG53H005 VT-03-111 SG53H006 VT-03-067 Support deleted SG53H007 VT-03-068 Snubber deleted 65 Blowdown One 10 10 SG48H2 01-3010 Support deleted

______ ____=__ SG48H3 01-3043 Support deleted SG48H4 01-3044 SG48H19 01-3045 Support deleted SG48H20 01-3046 Support deleted SG48H21 01-3047 SG52H11 01-3008 Support deleted SG52H2 01-3009 Support deleted SG52H3 01-3041 Support deleted SG52H4 01-3042 Two 11 11 SG48H013 VT-03-110 Snubber deleted

=_

__________________ 0SG48H014 _ VT-03-389 SG48H015 VT-03-113 Snubber deleted

_____ SG48H016 VT-034 15 SG48H017 VT-03-426 RR 4, Snubber deleted SG48H018 VT-03-118 SG48H022 VT-3-120 Snubber deleted SG48H023 VT-03-123 RR 4 SG48H024 VT-03-126 RR 4 SG48H025 VT-03-128 Snubber deleted SG48H026 VT-03-129 Snubber deleted 68 Regen HTEXCH One 2 2 68-10 01-3312 68-11 01-3312 70 LPSI Suction A One 1 1 S167H4 00-3249 71 LPSI Discharge A One 1 1 S187H1 1 00-3394 Two 5 5 S178H001 VT-03-335 RR 4 S178H002 VT-03-334 RR 4 S187HOOi VT-03-331 RR 4 Sl87H002 VT-03-332 RR 4 S187H003 VT-03-333 RR 4 72 LPSI One 3 3 72-3A 01-3207 72-3B 01-3207 72-3C 01-3207 73 LPSI Suction B One 0 0 S1308H12 00-3120 PSE Two 1 i S1308H014 VT-03-112 RR 4 76 CS Suction A One 1 1 S19H4 00-3395 S167H1 01-3256 PSE S167H3 01-3257 PSE 77 CS Discharge A One 4 4 S179H1 00-3243 S179H2 00-3244 S179H3 00-3246 Sl79H4 00-3245 79 CS Suction B One 3 3 S134H1 00-3169 Sl34H2 00-3168 Sl34H3 00-3167 S134H1 00-3128 PSE S134H3 00-3122 PSE

-S133H4 00-3117 PSE Page 24 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone CornpSys Insp Amt Amt Item ID Vol Surf Visual Remarks I Item # Per Req Comp

. Sl34H6 00-3196 PSE

.______ 80 CS Discharge B One 3 3 Sl119H7 00-3166 SI119H8 00-3165 S1119H9 00-3164 82 SD Cooling A One 2 2 S178H5 00-3248 Sl79H10 00-3247 83 SD Cooling A One 4 4 S187H9 00-3250 S189H1_ 00-3253 S189H2 00-3251 S189H3 00-3252 85 SD Cooling B One 3 3 Sl119H1O 00-3158 S1123H6 00-3160 S1123H7 00-3159 186 SD Cooling B One 3 3 S1129H10 00-3157 S1129H11 00-3156  :

S1129H12 00-3155 88 East Wrap One 8 8 S172H1 1 00-3056 S172H13 00-3058

______ ______ S172H14 00-3057 S172H21 01-3451 S172H22 01-3452 S173H1 01-3448

._____ S173H2 01-3449 S173H3 01-3450 89 East Wrap One 4 4 S1194H12 00-3154 S1194H13 00-3153 Sl194H14 00-3059 S1194H23 00-3152 S138H1 00-3183 PSE S1194H13 00-3177 PSE 91 West Wrap One 7 7 S170H9 00-3398 S170H10 00-3397 S170H1I 00-3413 S170H12 00-3399 S170H13 00-3414 S170H14 00-3415 S17OH15 00-3396 S170H16 00-3412 92 West Wrap One 5 5 S1239H3 00-3402 S1241H9 01-3260 PSE S1241H11 01-3261 PSE S1241H12 00-3274 01-3262 PSE S1241H14 00-3400 01-3263 PSE S1241H15 00-3401 S1241 H21 00-3490 94 LPSI A One 3 3 S189H7 00-3467 S189H8 00-3466 S189H9 00-3465 S1241H5 01-3258 PSE S1241H7 01-3259 PSE S1241HB 01-3271 PSE Two 4 4 S1241H006 VT-03-189 RR 4 S1241H007 VT-03-190 RR 4

-Page25 of 35 - _______ - ______ _____________________

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks Iftem# Per Reg Comp

_____ -____ S1241H008 VT-03-191 RR 4 S1241H017 VT-03-192 95 LPSI B One 6 6 S172H8 00-3464 S172H10 00-3459 1134H11 00-3458

= _____ S1134H12 00-3542 Sl194H3 00-3506 S1194H5 00-3511 S1194H5 00-3126 PSE S1194H7 00-3125 PSE S1194H15 00-3124 PSE S1194H21 00-3119 PSE Two 10 2 S172H007 VT-03-135 S172H009 VT-03-136 96 LPSI to Loop 1A One 3 3 S1202H7 00-3496 S1202H8 00-3495 S1202H9 00-3494 Two 8 8 S1202H002 VT-03-232 RR 4 S1202H003 VT-03-233 RR 4 S1202H004 VT-03-234 RR 4 S1202H005 VT-03-235 RR 4, Snubber deleted S1202H006 VT-03-236 RR 4 S1202H010 VT-03-237 RR 4, Snubber deleted

_____ S1202H01 1 VT-03-238 RR 4, Snubber deleted S1202H01 5 VT-03-239 RR 4 97 LPSI to Loop B One 10 10 S1220H9 00-3505 Sl220H10 00-3504 S1220H1 1 00-3503 S1220H12 00-3502 S1220H13 00-3501 S1220H14 00-3500 S1220H15 00-3499 S1220H19 00-3498 S1220H22 00-3497 S1220H8 01-3472 Two 7 7 S1220H001 VT-03-193 RR 4 S1220H016 VT-03-195 RR 4

______ S1220H017 VT-03-196 RR 4 S1220H018 VT-03-197 RR 4 S1220H020 VT-03-198 RR 4 S1220H021 VT-03-194 RR 4, Snubber deleted S1220H028 VT-03-199 RR 4, Snubber deleted 98 LPSI to Loop 2A One 2 2 S1155H5 00-3163 .

. ____ S1155H6 00-3162 Two 4 4 S1155H002 VT-03-1S6 S1155H003 VT-03-157 Support deleted S1155H004 VT-03-159 Support deleted

______ S1155H007 VT-03-166 RR 4 99 LPSI to Loop 2B Two 5 5 S1174H007 VT-03-245 RR 4, Snubber deleted S1174H008 VT-03-246 RR 4

. Sl174H009 VT-03-248 RR 4, Snubber deleted S1174H010 VT-03-249 RR 4 S1174H013 VT-03-260 RR 4, Snubber deleted 100 LPSIA Suction One 2 2 51241H19 00-3029 S1369H1 00-3161 _

Page 26 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone ComptSys Insp Amt Amt Item ID Vol Surf Visual Remarks I Item Per Reg Comp Two 1 1 84-5 VT-03-399 102 SI One 6 6 S18H4 01-3254 PSE

_____ Sl9H1 01-3255 PSE S1307H2 01-3264 PSE 01-3281 ___

S1307H3 01-3282 S1307H4 01-3470 Support deleted S1307H5 01-3265 PSE 01-3283 S1307116 01-3266 PSE S1307H7 01-3267 PSE S1307H8 01-3471 S307H15 01-3284 Two 7 7 S1008OO001 VT-03-336 RR 4

- S1008H002 VT-03-337 RR 4, Strut deleted S1008H003 VT-03-338 RR 4 Sl008H004 VT.03-339 RR 4 S130711006 VT-03-341 RR 4 S130711007 VT-03-343 RR 4 S1307H014 VT-03-340 RR 4, Snubber deleted 103 Refuel Suction A One 6 6 CH142H13 00-3519 CH142H14 00-3518 CH142H1s 00-3517 CH142H19 00-3516 CH142H22 00-3515 CH424H1 00-3520 CH424H2 01-3269 PSE CH424H3 01-3270 PSE S1142H3 01-3268 PSE Two 6 6 CH1421-1008 VT-03-176 CH142H020 VT-03-176 CH142H021 VT-03-177 CH424H002 VT-03-178 CH424H003 VT-03-179 RR 4 CH424H006 VT-03-180 104 SI Suction B One 7 7 S133H1 00-3512 S133H2 00-3513 S133H3 00-3514 S1308H5 00-3507 S1308H8 00-3508 S1308H10 00-3509 S1308H11 00-3510 S1031H1 00-3127 PSE S1308H2 00-3180 PSE S1308H4 00-3181 PSE S1308H5 00-3182 PSE S1308119 00-3115 PSE Two 7 7 S1308H001 VT-03-167 RR 4 S1308H002 VT-03-168 RR 4

___ Si308H003 VT.03-170 RR 4 S130811004 VT-03-171 RR 4 S130811006 VT-03-172 RR 4, Snubber deleted S1308H007 VT-03-173 RR 4, Snubber deleted S1308H015 VT-03-174 RR 4 105 Refueling Water One 7 7 CH149H3 00-3116 PSE Page27 of 35

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks Item# Per Req Comp

______ I____

I__l _l CH149H5 l l _ l 00-3123 PSE

______ _____ ______ CH149H7 _ 00-3121 PSE CH149H8 00-3184 PSE CH149H12 00-3179 PSE CH149H14 00-3178 PSE CH149H21 00-3118 PSE CH149H9 01-3285 CH149H1O 01-3286 CH149H12 01-3287 CH149H13 01-3288 CH149H14 01-3289 CH149H21 01-3280 CH149H28 01-3290 Two 7 7 CH149H004 VT-03-182 CH149H005 VT-03-183 CH149H006 VT-03-184 CH149H007 VT-03-185 CH149H025 VT-03-186 RR 4 CH149H026 VT-03-391 CH149H027 VT-03-392 106 HPSI One 8 8 S199H1 01-3422 S199H2 01-3423 S1100H1I 01-3417 S11001-12 01-3418 S1100H3 01-3419 S1100H5 01-3420 S1100H34 01-3421 S1106H1 01-3424 107 HPSI One 6 6 S1107H3 01-3352 S1107H1I 01-3293

_____ S1107H12 01-3292 Sl112HC 01-3353 Sl112HG 01-3351 Sl112HH 01-3291 108 HPSI Discharge One 11 11 S1100H22 00-3468 S1100H23 00-3469 S1100H24 00-3470 S1100H25 00-3471 S1100H26 00-3472 S1100H27 00-3473 S1100H28 00-3474 S1100H29 00-3475 S1100H31 00-3476 S1100H32 00-3478 S1100H35 00-3477 109 HPSI One 7 7 S1107H13 01-3437 S1107H14 01-3438 S1107H15 01-3439 S1107H16 01-3440 S11071-121 01-3441 S1107H47 01-3442

______ S1107H50 01-3425 Support deleted

_______ 110 HPSI One 7 7 S1103HB 01-3298 S1103HD 01-3299

.__ S1103HE

_ __ __ _ _ _ _ _ _ _ __ 01-3300 rage zO 5D Z

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Reports ASME Cat Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks I Item Per Re- Comp S1218H1 01-3294 S1218H2 01-3295 _

S1218H3 01-3296 _

S1218H4 01-3297 _

111 HPSI One 3 3 S1100H37 01-3302 Sl100HA 01-3354 S1100HB 01-3301 _

112 HPSI One 3 3 S1176H1 01-3303 S1176H2 01-3304 S1176H3 01-3305 113 HPSI One 5 5 S1107H22 01-3309 S1107H24 01-3310 S1157H2 01-3306 S1157H3 01-3307 S1157H4 01-3308 115 HPSI Two 3 3 S1157H010 VT-03-229 Snubber deleted S1157H011 VT-03-230 RR 4 S1176H004 VT-03-231 RR 4 116 HPSI One 4 4 116-IA 01-3234 116-lB 01-3234 116-IC 01-3234 116-ID 01-3234 Page 29 of 35

APPENDIX B CODE LIMITATIONS Page 30 of 35

REFUELING OUTAGE NUMBER TEN CODE LIMITATIONS None - All examinations were performed to obtain 100% coverage or conformed to the criteria in ASME Code Case N-460 to take full credit for the examinations.

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 PUBLICSERVICE COMPANY, et al ADDRESS - P. BOX 52034, PHOENIX,ARIZONA 85072

2. PLANT - PALO VERDE NUCLEAR GENERATING STATION ADDRESS - 5801 SOUTH WINTERSBURG ROAD; TONOPAH, ARIZONA 85354-7529

3. UNIT NUMBER - 3

4. OWNERS' CERTIFICATE OF AUTHORIZATION - NONE

5. COMMERCIAL SERVICE DATE - January 8, 1988

6. COMPONENTS INSPECTED:

COMPONENT OR APPURTENANCE l MANUFACTURER OR INSTALLER I SERIAL NUMBER l STATE OR PROVINCE NATIONAL BOARD NO This report is a summary of the second interval second period examinations performed to date for Unit 3. The items examined, along with the examination report numbers, are listed in Appendix A.

PAGE I OF 2

APS NIS-1 BACK OWNERS' DATA REPORT FOR INSERVICE INSPECTIONS

7. EXAM DATES 3-29-2003 TO 4-30-2003

8. INSPECTION INTERVAL FROM 1-11-1998 TO 1-10-2008

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 listed in Appendix A. The examinations are listed by ASME Item Number with the corresponding examination report numbers.

10. ABSTRACT OF CONDITIONS NOTED The evaluation of the results from the ISI examinations indicated the integrity of the systems have been maintained. There were no rejectable indications found during this ISI inspection activity.

11. ABSTRACT OF CORRECTIVE MEASURES RECOMMENDED AND TAKEN There were no rejectable indications found during this ISI inspection activity.

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 Company.

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 ti2< i/Zoo s SIGNED: ARIZONA PUBLIC SERVICE COMPANY BY 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 EM-PLOYED BY HSB CT OF HARTFORD, CONNECTICUT HAVE INSPECTED THE COMPONENTS DE-SCRIBED IN THIS OWNERS REPORT DURING THE PERIOD -co-ot TO -&'-os , 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

• 4 by COMMISSIONS t-* ' At ad NAT'L BOARD, STATE, PROVINCE DATE £-3o-o3 PAGE 2 OF 2

APPENDIX D FORMS NIS-2 Page 35 of 35

ASME SECTION XI - REPAIRIREPLACEMENT

1. Component ID 3MRCEP01A 2. Code Class ASME Section E[ Class

3. Item Description Reactor Coolant Pump

4. N-5 Package Number 3RC02-6 5. W.O. Number 2368965

6. Original Construction Code Edition ASME Section EI, Class 1, 1974 Edition

7. Original Installation Code Edition ASME Section El[, Class 1, 1974 Edition, Winter 1975 Addenda

8. Work Description Mechanical Seal Replacement as a part of normal maintenance.

9. I 1S 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 m, Class 1, 1974 Ed

13. Repair/Replacement Activity Construction Code/Edition ASME Section I, Class 1, 1974 Ed, Winter 1975 Add.

14. ASME Section XI Code/Edition 1992 Edition, 1992 Addenda

15. Preservice Inspection Required. fi YES la NO BV 03/12/03 If required, include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section Xl Pressure Test Required El YES I NO BV 03112/03 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date BV 03/12/03 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date BV 03/12/03 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.

3rd Stage Seal Retainer 1663509 &q5-g7 876 ,s __ _- N/A

19. Pla9 '- t3 Print Name Barbara Vidal Sina ure Da7

20. 1SI Engineer / rgu, Datp Print Name__________________

-enature J Date'

21. ANII -bz0 (gnature A4-Zo-3 Date Print Name Robert f4osa irDs

,V-E009 6 aar. 70P PV-Eoos3 Ver. 6 73DP-OZZ17

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 03112103 Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3 Narne 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 2368965 Address i Work Order Nurmr

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

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

5. (a) Applicable Construction Code Section III Class 1 19 74 Edition, Addenda, N/A 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 Item Manufacturer Serial No. Board No. Identification Built Replacement Samped 3rd Stage Retainer Sulzer IA N/ 3MRCEPOIA Replacement Yes

~#9 ___________ __________.

7. Description of Work Replacement of 3rd stage seal retainer on RCP 1A

8. Test Conducted: Hydrostatic Li Pneumatic L Nominal Operating Pressure t Exempt Q N-416-1 0]

Other Li Pressure Psi Test Temp.

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

(2) information in items 1 through 6 on this report is Included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form.

730P-gzz17 PV-E0092 Ver.

PV-E0092 7 Ver. 7 73DP-SZZ17

FORM NIS-2 (Back)

9. Remarks WO# 2368965 to replace mechanical seals in RCP 3MRCEPO1A as part of normal maintenance.

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. repair or replacement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed A P~o7;eI jr- E-S x-7

.A e Date 7o13 J/12 Owner or Owner's Designee, Tie CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut , have inspected the components described in this Owner's Report during the period s -to t--o.a , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

• J *Commissions ai B Ste, Pvc A Z A I

VJ Inspector's Signature National Board, State, Province, and Endorsements Date 730P-QZZ17 PV-EN092 Ver. 77 BACK PV-E0092 Ver. BACK 73DP-9ZZ17

ASME SECTION X - REPAIR/REPLACEMENT

1. Component ID 3MRCEPOIC 2. Code Class ASME Section m Class I

3. Item Descriotion Reactor Coolant Pump

4. N-5 Package Nu mber 3RC02-6 5. W.O. Number 2373807

6. Original Constru ction Code Edition ASME Section m, Class 1, 1974 Edition

7. Original Installati on Code Edition ASME Section Il, Class , 1974 Edition, Winter 1975 Addenda

8. Work Descriptior i Mechanical Seal Replacement as a part of normal maintenance.

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 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 I, Class 1, 1974 Ed

13. Repair/Replacement Activity Construction Code/Edition ASME Section m, Class 1, 1974 Ed, Winter 1975 Add.

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

15. Preservice Inspection Required. [ YES [lj NO BV 09/27/02 If required, include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section Xl Pressure Test Required [Ek YES I NO BV 09/27/02 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date BV 09/27/02 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

initiat Data BV 09/27/02 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.

3rd Stage Seal Retainer . 1663509 -<N/A Plann 19. / O int Name Barbara Vidal

20. ISI Engineer Or-Signature

~ c -'v /I/i3/o Date Z Print Name 4hL^ gor"go"

21. ANII 7xt * -'-Z Print Name Q06.ec GE- 4 orSow QSignature Date PV.E__ __ .er. 9Z1 PV E0093 73DP-gZZI?

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 - 08/06/02 Narie P-0. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3 Name 5801 S. Wintersbura Rd.. Tonotah. Arizona 85354-7529 2373807 Address Work Order Number

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

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

5. (a) Applicable Construction Code Section I Class 1 1974 Edition, W75 Addenda, N/A 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 Item Manufacturer Serial No. Board No. Identification Built or Stamped

______ _ _____ ____ __ ___ ______R eplac m ent (Y es or No) 3rd Stage Retainer Sulzer Qq544- I&ISa N/A 3MRCEPOIC 1985 Replacement Yes

7. Description of Work Replacement of 3rd stage seal retainer-on RCP 2A

8. Test Conducted: Hydrostatic jX Pneumatic I Nominal Operating Pressure Exempt U N-416-1 L 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.

PVE09a. _3P9Z PV-E0092 Ver. 7 73DP-9ZZ1 7

FORM NIS-2 (Back)

9. Remarks WO#2373807 to replace mechanical seals in RCP 3MRCEPO1C as part of normal maintenance.

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. repairorrepiacement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed F-ekD Po 57- .Vs 4SS iz Date Owner or Owners Designee. Title CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut , have inspected the components described in this Owner's Report during the period ________ 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.

-ZC. 47- Commissions no b /tc' Ai Zo lpector's Signature National Board, State, Province, and Endorsements Date At-5 03k 73DP-9ZZ17 Pv-Eoo92 Ver.

PV-EX092 BACK Ver. 77 BACK 73DP-9ZZ17

ASME SECTION XI - REPAIR / REPLACEMENT Page of

1. Component ID 3JSGAHV0179 2. Code Class ASME Section m Class 2

3. Item

Description:

12' CCI Atmosheric Dump Valve

4. N-S Data Package Number: 3SG02-2 5. W.O. Number: 2422467

6. Original Construction Code Edition: 1974 Edition. Winter 1975 Addenda

7. Original Installation Code Edition: 1974 Edition. Winter 1975 Addenda

8. Work

Description:

Disassemble and rework valve to correcr internal seat leakage. Replace damaged bonnet studs & nuts.

9. [ ISI Flaw NDE Method of Flaw Detection:

Report Number:

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

No failure of ASME III pressure boundary. Bonnet studs & nuts were damaged during valve disassembly.

11. Repair/Replacement Work Organization: Arizona Public Service

12. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2. 1974 Edition 1975 Winter Addenda

13. Repairfiteplacement Activity Construction Code/Edition: Sec. I Cl 2. 1974 Edition 1975 Winter Addenda

14. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda

15. Preservice Inspection Required: E YES N NO Initial ... Date y/ y-r If required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test Required:  ! NO 64M75gzM-2(ED 3 Initial _Damp Date If required, include a step in the W.O. for ISI & ANII Inspection.

Y-J Y $'3 Liy; 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial .J . Date 7'- e component.

18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial rt At Date replacement items.

Item ID Part No. Serial No. Heat No. M R/POIWO No.

Bonnet Studs APN 43161046 n/a 67255HC#F2B MR 00739190 Bonnet Nuts APN 43122024 n/a W5U MR 00739190

19. Planner __ ,__

___ __ __ Printed Name: David Goodlet Signature Date

20. ISI ZI /I~/f3 PrintedName: AI1. $ r Signature Date

21. ANII 'Z3 ^-' Printed0Name: t SignatukJ Date nVkJwJ Anyi PY-EG09 V. .!Z1

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 04/14103 Nanfe P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet I Of 2 Adtess

2. Plant Palo Verde Nuclear Generatine Station Unit 3 5801 S. Wintersburt Rd.. Tonopah. Arizona 85354-7529 2422467

- - ~~Adds s Worn 0e rNW

3. Work Performed by Arizona Public Service Co. Type Code Symbol Stamp None Name Authorization No. N'/A 5801 S. Wintersburg Rd., Tonopah, AZ 85354-7529 Expiration Date N) A Addrss BusSArt 4.4dentification of System au:iiaw ateam

5. (a) Applicable Construction Code ASME III Class 2 19 74 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 SMErode Item Manufacturer Serial No. Board No. Identification Built Replacement Yes or No)

Bonnet Studs N/A N/A N/A 3JSGAHV179 2003 Replacement No Bonnet Nuts N/A N/A N/A 3JSGAHV179 2003 Replacement No I

I_ I ________ I _ I_ _ _ _ _ I I___ _ _ _ _ _ I _ _ _ _ _ _

7.Description of Work Rework valve to correct seat leakage, studs & nuts damaged during work.

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure I Exempt Ed N416-1 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 12 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.

PV-E002 Ver. 7 73DP-OZZt7

FORM NIS-2 (Back)

9. Remarks: WO# 2422467 for valve 3JSGAHV0179 was disassembled and reworked to correct internal seat leakage.

Four (4)bonnet studs and eight (8)bonnet nuts were damaged during disassembly and will be replaced.

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:Y~hA W-/6~N 51A~nM orOnr egec i Owne _

J OwnerJ or Owner's DesIgnee, Title

' Date:

I 55b3 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 4-zs-03 , 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.

I /

Commissions: NB 9685 '""T' AZ264 National Board, State, Province, and Endorsements Dnspae rs4Sinture Date: 11-zs-o3 U-73DP-97Z17 Ver. 77 Back PV-E0092 Ver. 73DP-9ZZ17

ASME SECTION X - REPAIR/REPLACEMENT

1. Component ID 3JCHNPSVO345 2. Code Class ASME SECTION III CLASS 2

3. tem Description SAFETY RELIEF VALVE

4. N-5 Package Number 3CH13-1 5. W.O. Number 2435047

6. Oiginal Construction Code Edition 1974 EDITION, SUMMER 1976 ADDENDA

7. Oiginal Installation Code Edition 1974 EDITION, WINTER 1975 ADDENDA

8. Work Desciption REPLACEMENT OF THE PSV NOZZLE AND DISC INSERT WITH NEW DUE TO "STICKING" CONDITION DURING TESTING.

9. ISI Flaw NDE Method of Flaw Detection Report Number

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

R^f4t- -4 LZ 'f -ptotlt h~lo tX6 -2I5-

11. Repair/Replacement Work Organization APS

12. Replacement hem Construction or reconciled Code/Edition SEC. II CL.2/1974 EDITION, SUMMER 1976 ADD.

13. Repair/Replacement Acthity Construction Code/Edition SECT HI CL.2/1974 EDITION, WINTER 1975 ADD.

14. ASME Section Xl Code/Edition 1992 EDITION AND 1992 ADDENDA

15. Preservice Inspection Required. [ YES [E NO 10/25/01 If required, include a step in the W.O. to perform Preservice Inspection.

3 I ODate j

16. ASME Section Xl Pressure Test Required E31YlES-- EL NO 10/25/01 If required, include a step in the W.O. for ISI & ANII Inspection.

Date 10/25/01 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Date 1Oi25/01 18. Include a step in the W.O. to record below all applicable numbers for repaired or Date replacement items.

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

-.~~~~~~~~~i'.-nm N(.)ZZLH N. .*~~~~~~~~~~ MR 5~~,`9 16 157 PRL ,,1ss. 't_!)fi! ' yi .1 crrx ',;ta,- &X> *V1 >3IR- I &J

_ _ _ ~ __.___ _ _ _ _ _ ._/t _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 2 r _ _ _ _ _ _ _ _ _ M. 5 20zets _r 5PZ18§,

s.

k._ iclt

~' 7br .

s-v inat Ji z _>:7 3>.j...IS i ,^. ~q 1l9t. !.'iaz, > fg_ o i~i! It. Print Name JAMES G. BOULANGER Jo~ Print Name RAMAKANT INDAP,

21. ANII Iz/ac I. Print Name ROBERT HOGSTROM enatre oate PV-E0093~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3O~ ..

PV-E=3 Vera 73DP17

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 Comnanv. et. al. Date - 05/09/02 ham P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of 2 Addess

2. Plant Palo Verde Nuclear Generating Station Unit 3 Narme 5801 S. Wintersbure Rd.. Tononah. Arizona 85354-7529 ?A11ql47 7S _ V7 { _

A es Work Order Nuier

3. Work Performed by APS Maintenance Type Code Symbol Stamp None Name Authorization No. N/A 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7525 Expiration Date NIA "dress

4. Identification-of System CH: Chemical & Volume Control System

5. (a) Applicable Construction Code ASME III Class 2 19 74 Edition, S '76 Addenda, N/A 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 Item Manufacturer Serial No. Board No. Identification Built enr (Yes or No)

Spindle Crosby K76710-33-004 N/A 3JCHPSV345 2002 Replacement No Sping Crosby NX3228-0013 N/A 31CHPSV345 2002 Replacement No Washer Crosby N92034-41-028 N/A 31CHPSV345 2002 Replacement No Washer Crosby N92034-41-029 N/A 3JCHPSVJ45 2002 Replacement No Disc Crosby N92032-33-007 N/A 3JCHPSV345 2002 Replacement No Nozzle Crosby R34E-26-27 N/A 3JCHPSV345 2002 Replacement No

-.es or Rvor< pa*e safb' correct seat leakage.

Waive tro cv

8. Test Conducted: Hydrostatic ij Pneumatic:f Nominal Operating Pressure ZI Exempt N-416-1 E Other U 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) informationin 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.

PVLEM02 Ver. 7 73DP-9Z17

[.FORM NIS-2 (Back)

9. Remarks WO# 2435047 on spare valve for 3JCHNPSVO345 location was reworked to correct seat leakage condition. S/N: N61180-00-0006 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. repairor repiacement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Sgned/; t) w 4f77k4o ZtU>CC4fDate ,2,/h- / Z j Owner r Owneftl~sso~. eelf t/ -- Ie I CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut , have inspected the components described in this Owner's Report during the period t sok to tt*-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 Xl.

By signing this certiticate. neither te Inspector nor his employer rnakes any warranty, expressed or implied.

onceininfg ale _ '_; ir e neasues secr.ec Is  ; one-c.- -uiaiermore ee."raiis neither he irspeccr nor vs eirore, cinai! ce aDIe n ar! mnane forr -i erso!;ai injury cr ;roperty damage or a loss of any kind arising from r connected xth t!hIs Inspection.

Commissions - 0,&' , A ZLk Idetors Signature Natioral Boaid, State. Province, and EndorsementS Date _ _ _ __Z J

73DP-9ZZ17~~~~~~~~~

var. 7 SACK PV-E0092 PV-EtJ092 Ver. 7 BACK 73DP-9=17

ASME SECTION XI - REPAIR / REPLACEMENT Page of

1. Component ID 3PSGEV026- 2. Code Class ASME Sectioi i III Class 2

3. Item

Description:

2" Manual Kerotest Globe Valve 4.N-5DataPackageNumber: 3SG01-2 5. W.O.Number: 2437662

6. Original Construction Code Edition: 1974 Edition. Summer 1976 Addenda

7. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda

8. Work

Description:

Replace valve disc to correct problem of valve not opening fully.

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 pressure boundary failure. Replacement of code parts will be to correct a operating problem with valve.

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: Sec. 1II Cl 2. 1974 Edition 1975 Winter Addenda

14. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda

15. Preservice Inspection Required: El YES - NO Initial D~q Date 9) 2, If Irequired, include a step in the W.O. to perform Preservice Inspection

46. ASME Section XI Pressure Test Required: E YES E NO Initial on.e..Date frequired, include a step in the W.O. for ISI & ANIl Inspection.

If-Zt>

17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Pttii Date 7-/5- Zl1L component.

I lD 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial 2 Date 92- /3F>i b . replacement items.- .

Item ID Part No. Serial No. Heat No. MR/POIWO No.

Disc lAfjj) S5- y l'5Y25i

19. Planner 2 4 I&)DCCq 9'J5- m Printed Name: David Goodlet Signature Date

20. ISI cZfa° Printed Name: (as-, VOLs Signature 7 Date

21. ANII 86 iS IO-1-o2 PrintedName: 2.6 p Signature I Date.

._ ~ 1 . _

f lJur-oLL-

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS

<- As Required by the Provisions of theASME Code Section XI

1. Owner: Arizona Public Service Company. et. al. Date: 09/15/2002 P. O. Box 53999. Phoenix Arizona 85072-2034 Sheet: 1 of

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road.. Tonopah. Arizona 85354-7529 Work Order Number 2437662

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

4. Identification of System: SG: Main Steam System

5. (a) Applicable Construction Code ASME Section III 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

)

Disc Flow Serve ARZ-15 nta 3PSGEV026 2003 Replacement NO

7. Description of Work: Rework valve to correct problem of valve not opening fully.

8. Test Conducted: Hydrostatic D Pneumatic Q Nominal Operating Pressure D Exempt 0 N-416-1 0 Other a Pressure psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 '2 X 1 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)

9. Remarks: WO# 2437662 for the replacement of valve disc on valve 3PSGEV026 to correct problem of valve not opening fully.

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: NIA Signed: Otl--'4 r - iST s Date: Y1Y1 03 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut, have inspected the components described in this Owner's report during the period of 0-O-*z to _-_-_3 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

'fbi42+/-WL Commissions: NB 9685 "N" "PI AZ264 National Board, State, Province, and Endorsements lpectors Signature Date: -

w -

73DP-92Z17 PV.E0092 Ver.

PV-E0092 Back ver. 77 BackX 73DP-MIZ7

ASME SECTION XI - REPAIR/REPLACEMENT

1. Component ID 3MEWBE01 2. Code Class ASME Section El Class 3

3. Item Description ESSENTIAL COOLING WATER HEAT EXCHANGER "B"

4. N-5 Package Number3pEWO2-2 5. W.O. Number 2453612

6. Original Construction Code Ein 1974 Edition, Winter 1975 Addenda.

7. Original Installation Code Edition 1974 Edition, Winter 1975 Addenda.

8. Work Description WELD BUILD-UP MATERIAL REPAIR OF DEFECTS IDENTIHFED IN THE TUBE (Spray Pond) SIDE OF THE BEAT EXCHANGER.

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.

WELD REPAIR REQUIRED AFT7ER 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. m C1.3/74 Edition '75 Winter Addenda

13. Repair/Replacement Activity Construction Code/Edition Sec. III Cl.374 Edition '75 Winter Addenda

14. ASME Section Xl Code/Edition 1992 Edition and 1992 Addenda

15. Preservice Inspection Required. I YES [i NO I,__ ______L_ If required, Include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section Xl Pressure Test Required El YES U NO

_________ _ 3_ If required, include a step in the W.O. for ISI & ANII Inspection.

Initial pate I, 't/4 - 17. nclude a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial pati

__ .q____ 18. Include a step In the W.O. to record below all applicable numbers for repaired or Initial Date replacement items.

ITEM .D. PART NO. SERIAL NO. HEAT NO. MRIROS NO.

3MEWBE01 N/A N/A N/A N/A

19. Planner k4Q. 04/04/03 Print Name KARL V. SAVAGE ire Date

20. ISI Engineer Print Name WILEY AHLSTROM Signature Date

21. ANII 4 4 Do 5 Print Name ROBERT G. HOGSTROM Sign t.r Duli PYE09 yi.S73PZ PV-Eso03 Ver. 73DP4OZZ 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 - ° Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet of 2-.

Address

2. Plant Palo Verde Nuclear Generating Station Unit X 3 Name 5801 S. Wintersbure Rd.. TonoDah. Arizona 85354-7529X -

2453612 Address Work rdjer Number

3. Work Performed by Arizona Public Service Company Type Code Symbol Stamp None Name Authorization No. _ _ VA 5801 S.Wintersburg Rd.,Tonopah Arizona,85354-7529 Expiration Date NjfA Address

4. Identification of System EW, ASME Section I, Class 3

5. (a) Applicable Construction Code Section m, Class 3 19 74 Edition, WI75 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 or Stamped 3B EW Ht Exch. Struther Wells Corp. 17606329152 14611 3MEWBE01 '80 Repaired Yes tn rw.

7. Description of Work Weld Build-up, Material Repair.

8. Test Conducted: Hydrostatic C) Pneumatic C) No minal Operating Pressure Q Exempt [3 N-416-1 a3 Other U Pressure psi Test Temp. OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 x 11 in.,

(2) Information in Items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

PV-E0092 Ver. 6 7'3DP-gZZ17

FORM NIS-2 (Back)

9. Remarks Pressure Test per N-416-1, Performed Weld Repair/Build-up of Eroded areas designated by Engineering in the Tube (Spray Pond) Side of the Heat Exchanger.

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code, Section Xi. rrreacent Type Code Symbol Stamp Certificate of Authorization No. Expiratio n Date Signed 1ST Engineer Date 9  ?- -o3 Owner or Owner's Designee, Tide CERTIFICATE OF INSERVICE INSPECTION I,the undersigned, holding avalid 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 4-5-o to Ao-o3Z , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described inthis 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 Owners 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.

,47,4 Commissions NB 9685 "N" "I" AZ264 spector's Signature National Board, State, Province, and Endorsements Date

?3DP-9ZZ17 PV-E0092 6 BACK Ver. 6 Pv-E0092 ver. BACK 73DP-9ZZ17

ASME SECTION XI - REPAIR / REPLACEMENT PAGE 1 OF 2

1. Component ID 3PRCEL032 2. Code Class ASME Section III Class 1

3. Item

Description:

Reactor Coolant System Hot Leg #1 line 3PRCEL032, Spool Soo1.

4. N-5 Data Package Number: 3RCO-4 & 3RC01-18A 5. W.O. Number: 2455749

6. Original Construction Code Edition: ASME Section m Class 1, 1974 w/ Summer 1974

7. Original Installation Code Edition: ASME Section III Class 1, 1974 w/Winter 1975

8. Work

Description:

Replace existing Inconel 600 thermowells with Inconel 690 thermowells. The modification includes RTDs 3JRCCTW01 12HC, 3JRCATW0 12HA, 3JRCETWO lIlX, 3JRCBTW0112HB and 3JRCDTW01 12HD.

This work order applies to RCS Hot Leg #1. Ref DMWO 2376926 and N001-0607-00397 and 00398.

9. 0 1SI Flaw NDE Method of Flaw Detection:

Report Number:

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

PX 5 As +wvesece iC- 5s t ffi Rp cC- B-~ ~ T ~ cE It 2l1-J> j ,>I CEA Xyes- 4zl c;~1 ln 31? 10 A 3 Rq Y =E.p'tc h'v'.I C/~ xL~~

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 Code/Edition: ASME Section m Class 1, 1974 w/Winter 1975

14. ASME Section XI Code/Edition: 1992 Edition, 1992 Addenda

15. Preservice Inspection Required: O YES ad NO Initial N/A _ Date If'required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section Xl Pressure Test Required: D YES NO Initial _N/A Date If required, include a step in the W.O. for ISI & ANII Inspection.

,{ r / / 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial 02ae l7k 2- component.

i/ti J LI 18. Include a step in the W.O. to record below all applicable numbers for rep aired or Initial Date 7/4 replacement items.

Item ID Part No. Serial No. Heat No. MRIROS No.

3JRCETWO1I IX, Nozzle APN 00067199 N/A 7'41 Z. J L4 -

3JRCETWOI I IX, Thermowell APN 00067116 - N/A 7L1LL4 -I 3JRCATWI0 12HA, Nozzle APN 00067199 - N/A 7 V?7 3 -

3JRCATW012HA,Thermowell APN 00067116 NIA ____l___

3JRCCTWOI12HC, Nozzle APN 00067199 Z. N/A _____-_ Z lJRCCTW0112HC, Thermowell APN 00067116 2I_ N/A URVI 35

19. Planner Printed Name: Herbert L. Green atre ~~~~~~~Date

20. ISI _ 4 4,ccr 1-2-03 Printed Name: 0v'*p'Vt Signaturc Date

21. ANII l_ __ __ __ Printed Name: 2DR*a LtoK Signa Date

.- 1. - . I3)~1

ASME SECTION .

XI - REPAIR / REPLACEMENT _

PAGE 2OF 2

1. Component ID 3PRCEL032 2. Code Class ASME Section III Class 1

3. Item

Description:

Reactor Coolant System Hot Leg #1 line 3PRCEL032. Spool S001.

4. N-5 Data Package Number: 3RC01-4 & 3RC01-18A. 5. W.O. Number: 2455749

6. Original Construction Code Edition: ASME Section III Class 1. 1974 w/ Summer 1974

7. Original Installation Code Edition: ASME Section III Class 1. 1974 w/Winter 1975

8. Work

Description:

Replace existing Inconel 600 thermowells with Inconel 690 thermowells. The modification includes RTDs 3JRCCTW01 12HC. 3JRCATW1 12HA. 3JRCETWO1 1IX. 3JRCBTW01l2HB and 3JRCDTW01 12HD.

This work order applies to RCS Hot Leg #1. Ref. DMWO 2376926 and N001-0607-00397 and 00398.

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

12. Replacement Items Construction or reconciled Code/Edition: ASME Section TR Class 1. 1974 w/ Summer 1974

13. Repair/Replacement Activity Construction Code/Edition: ASME Section m Class 1. 1974 w/Winter 1975

14. ASME Section XI Code/Edition: 1992 Edition. 1992 Addenda

15. Preservice Inspection Required: 0 YES 3 NO Initial _ N/A__ Date If required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test Required: 0l YES 3 NO T.itil MIA nt.. 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 4 L/0 . component.

18. Include a step in the W.O. to record below all applicable numbers for repaired or

- Date ,tWi replacement items.

r I Item ID Part No. Serial No. Heat No. MR!ROS No.

3JRCBTW01 12HB. Nozzle APN 00067199 N/A Giitb133- 2 3JRCBTW0112HB, Thermowell APN 00067116 3 ON/A 33 3JRCDTW0112HD, Nozzle APN 00067199 2 _1 N/A 3JRCDTW01 12HD, Thermowell APN 00067116 2 N/A(+/- 8 () 3M -'

19. Planner r c S I7 Printed Name: Herbert L. Green Si ~~~~~~~~~Date

20. ISI Z _f/_-~#3 PrintedName: 4 Berg Signature Date I21. ANI LIZ tU' 2 C3 Printed Name: Qn.

rSignaa vSDate PY-EM3 Ycr. f3W17

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. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: I of 2

2. Plant Palo Verde Nuclear Generating Station Unit: 3.

5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2455749

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 3PRCEL032, Spool S001

5. (a) Applicable Construction Code ASME Section m NB, Class 1 1974 Edition, Summer 1974 Addenda, Code Case (b) Applicable Edition of Section Xl 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 3PRCEL032 1982 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 therinowells with Inconel 690 thermowells. The modification includes RTDs 3JRCCTW 12HC, 3JRCATW01 12HA, 3JRCETWO 11IX, 3JRCBTWO 12HB and 3JRCDTWO1 12HD. This work order applies to RCS Hot Leg #1. Ref. DMWO 2376926 and NOO1-0607-00397 and 00398.

8. Test Conducted: Hydrostatic Pneumatic 5 Nominal Operating Pressure [1 Exempt 0 N-416-1 5 Other [ Pressure psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 Y/2 X 1 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) 9..Remarks:

9. Remarks:

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: Tfrjp "S IkaZ9 m r1leEn Date: 4 /2 51/3 I tM-- nn- r'c Titlen .I - I

- -. ws aaEssx

.~ssu .-u 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 of 2 - -3 to "&.- o3 . 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

\ Inspectors Signature Date: 4-2r -03 B-Back Var. 77 Back PWEOO92 Ver. 73DP-9ZZ17 PV-E0092 73DP-9ZZ17

ASME SECTION XI - REPAIR 7 REPLACEMENT PAGE I OF 2

1. Component ID 3PRCEL063 2. Code Class ASME Section m Clas I

3. Item

Description:

Reactor Coolant System Hot Leg #2 line 3PRCEL063, Spool S001.

4. N-5 Data Package Number: 3RC01-4 & 3RC01-18A 5. W.O. Number: 2455750

6. Original Construction Code Edition: ASME Section III Class 1, 1974 w/ Summer 1974

7. Original Installation Code Edition: ASME Section III Class 1, 1974 wtWinter 1975

8. Work

Description:

Replace existing Inconel 600 thermowells with Inconel 690 thernowells. The modification includes RTDs 3JRCCTWO122HC, 3JRCATWO122HA, 3JRCETW0121X, 3JRCBTWO122HB and 3JRCDTWO122HD.

This work order applies to RCS Hot Leg #2. Ref. DMWO 2376926 and N0OI-0607-00397 and 00398.

9. E ISI Flaw NDE Method of Flaw Detection:

Report Number:

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

fF5 ~~~~~~~~~~~~~~~ac jvt = xaC 6 'D

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 Code/Edition: ASME Section III Class 1, 1974 w/Winter 1975

14. ASME Section XI Code/Edition: 1992 Edition, 1992 Addenda

15. Preservice Inspection Required: [1 YES NO Initial N/A Date If required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test Requi red: [ YES 0NO If required, include a step in the W.O. for ISI & ANII Inspection.

Initial N/A _ Date

17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial _ 4 Date Zdv component.

18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date , A 2- replacement items.

Item ID Part No. Serial No. Heat No. lMROS No.

3JRCETW0121X, Nozzle APN 00067199 3 N/A vZ39 B-3JRCETW0121X, Thermowell APN 00067116 31 N/A (68?93'i%

3jRCATWoI22HA, Nozzle APN 00067199 33 N/A $D 9391. 2 3JRCATWO122HA, Thermowell APN 00067116 _ 3_ _ N/A _________

3JRCCTWO122HC, Nozzle APN 00067199 - 2%4 N/A (,i° Ot 31RCCTWO122HC, Thermowell APN 00067116 e N/A

19. Planner _ <7ggY2 Printed Name: Herbert L. Green

20. ISI Signatre Date Printed Name: R P D4

21. ANII 2-t 3 Printed Name: (?G. LGoTro-Signab Dafe

~

reswYJ ~ ~ ~ ~ ~

~wer~~~~~~~~~~~~~~~~~~~~~~rvacnsl ~ vP, ~^ ~~ ~ ~ ~ ~ ~ ~ ~ 1~~.~L

-1. .... nDP 9%"t1

ASME SECTION M - REPAIR / REPLACEMENT PAGE 2 OF 2

1. Component ID 3PRCEL063 2. Code Class ASME Section III Class 1

3. Item

Description:

Reactor Coolant System Hot Leg #2 line 3PRCEL063, Spool S001.

4. N-5 Data Package Number 3RC01-4 & 3RC01-18A 5. W.O. Number: 2455750

6. Original Construction Code Edition: ASME Section III 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 3JRCCTWO122HC, 3JRCATWO122HA, 3JRCETW0121X, 3JRCBTWO122HB and 3JRCDTWO122HD.

This work order applies to RCS Hot Leg #2. Ref. DMWO 2376926 and NO01-0607-00397 and 00398.

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

Report Number: f

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

4\ 42-1. e_<sve2"-' S"CkS W 5C

• 4e

_tA cefk4 <rrJ o §

11. Repair/Replacement Work Organization: Arizona Public Service

12. Replacement Items Construction or reconciled Code/Edition: AME Section III Class 1, 1974 w/ Summer 1974

13. Repair/Replacement Activity Construction Code/Edition: ASME Section III Class 1, 1974 w/Winter 1975

14. ASME Section XI Code/Edition: 1992 Edition, 1992 Addenda

15. Preservice Inspection Required: El YES NO Initial N/A _ Date 1drequired, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test Require [] YES NO If required, include a step in the W.O. for ISI & ANII Inspection.

Initial N/A _Date Initial L. Date {via z 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial _ Date 04 02- replacement items.

Item ID Part No. Serial No. Heat No. MRROS No.

3JRCBTW0122HB, Nozzle APN 00067199 36e _-N/ N/A______

3JRCBTWO 122HB, Thermowell APN 00067116 _ 3__ _I__ A N/A___ 1 3JRCDTW0122HD, Nozzle APN 00067199 _ 2__ _ N/A °t lo° 3JRCDTWO122HD, Thermowell APN 00067116 __e_£ __ N/A a8'9L1O0-%

p - -

19. Planner -W2 edSignature

-i:=

JM' ' Date2- Printed Name: Herbert L. Green Printed Name: R'.? F J- "DA P U

Printed Name:

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: 10/07/2002 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2455750

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 3PRCEL063, Spool S001

5. (a) Applicable Construction Code ASME Section III NB, Class I 1974 Edition, Sumnmer 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 Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or

______ _ _ __ __ _ _NO)

RCS Hot Leg #2 Combustion 771-501 N/A 3PRCEL063 1982 Repaired YES Engineering

7. Description of Work: Replace a section of existing nconel 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 3JRCCTWO122HC, 3JRCATWO122HA, 3JRCETW0121X, 3JRCBTWO122HB and 3JRCDTW0122HD. This work order applies to RCS Hot Leg #2. Ref. DMWO 2376926 and NOOI-0607-00397 and 00398.

8. Test Conducted: Hydrostatic C Pneumatic Nominal Operating Pressure 5 Exempt 0 N-416-1 5 Other a 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 1 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)

9. Remarks:

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: f04 V 44Hlb- Md(fs-2 JOwner or Owner's Designee, Title c0 Q Date: 4 /2 5 /63 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 of _ _-_-_ _ _ _

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

-'-.cff 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.

GOrA I Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Insp~ors Signature Date: Y1-.2c. -aS.

73DP-9ZZ17 Pv-E0092 Ver. 77 Back

.- PV-E0092 Back 73D)P-9ZZ17

ASME SECTION X - REPAIR / REPLACEMENT Page of

1. Component ID 3PCHNV816 2. Code Class ASME Section III Class 2

3. Item

Description:

1-1/2" Borg Warner "Y" tpe manual globe valve

4. N-5 Data Package Number: 3CH14-3 5. W.O. Number: 2459150

6. Original Construction Code Edition: 1974 Edition. Winter 1975 Addenda

7. Original Installation Code Edition: 1974 Edition. Winter 1975 Addenda

8. Work

Description:

Disassemble valve. inspect for cause of seat leakage and rework as necessary. Remove and replace bonnet seal weld for access to valve internals.

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. III boundary. The existing code replacement of the bonnet seal weld is for access to valve internals for inspection.

11. Repair/Replacement Work Organization: Arizona Public Service

12. Replacement Items Construction or reconciled Code/Edition: Sec. III C1 2. 1974 Edition 1975 Winter Addenda

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

14. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda

15. Preservice Inspection Required: 2 YES 0 NO Initial , Date Y-Y-Lv If required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test Required: 0 YES 10 NO Initial _ __ Date 9 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 Y9 . Date L' 7 component.

hJL/~)7 Include a step in the W.O. to record below all applicable numbers for repaired or ty18.

Initial AddDate /L

• 3 replacement items.

Item ID Part No. Serial No. Heat No. MRIPOIWO No.

Bonnet Seal Weld n/a n/a n/a n/a

19. Planner i > - hi Printed Name: David Goodlet Signature Date

20. ISI e - O r '/Y'o5 Printed Name: 8 k'irei Signature Date

21. ANII KY 4-.-o3 PrintedName: ICGP (e.

Signature Date

-- e7Jv. 7 tV ="^Al V_ 7 , _ COLAA77 f X~~~~~~~~~~~~~

73DP-L17

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: 04/04/2003 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: 1 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529 Work Order Number 2459150

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 and Volumn Control

5. (a) Applicable Construction Code ASME Section III 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 )

Bonnet Seal n/a n/a n/a 3PCHNV8 16 n/a Replacement NO Weld

7. Description of Work: Remove bonnet seal weld to allow for inspection and rework of valve internals.

8. Test Conducted: Hydrostatic El Pneumatic 0 Nominal Operating Pressure C Exempt 0Z N-416-1 Other EQ Pressure psi Test Temperature O NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 V2 X 1 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# 2459150. for valve 3PCHNV8 16. will remove and renlace the bonnet seal weld to allow access to the 1-1/2" globe valve internals for inspection and rework to correct seat leakage.

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: Date: ___241_ 3 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of _____-_0 ___

to 4-2_4-_ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section 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 In.ectors Signature Date: 4 3 I-Ver. 77 Back 73DP-9ZZ17 PV-E0092 Ver. Back 73DP-M9Z17

ASME SECTION X - REPAIR / REPLACEMENT

1. Component ID 3PDGBL015 2. Code Class ASME Secton III Class 3

3. Item

Description:

DG JACKET WATER MAKE-UP

4. N-5 Data Package Number: 3DW03-1 5. W.O. Number: 2467922

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 3PDGBL015 and replace valve 3JDGBUVO02 with a manual operated globe valve 3PDGBV064 per DMWO 220055. Ref. EDC 2002-00102.

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: t

__} h l-e c e d ed) Lt1 Hi*1z

+(v~ e I CeA3 ^ E (J5f S4i.-i-¢ 5

11. Repair/Replacement Work Organization: Arizona Public Service

12. Replacement Items Construction or reconciled Code/Edition: ASME Section III Class 3, 1974 w/Winter 1975

13. Repair/Replacement Activity Construction Code/Edition: ASME Section III Class 3, 1974 w/Winter 1975

14. ASME Section XI Code/Edition: 1992 Edition, 1992 Addenda

15. Preservice Inspection Required: NO Initial .. _ Date %46102 If required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test Required: 3 YES 5 NO Initial 7 Date  : If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date 44*} /

/17. Include a step in the W.O. to complete NIS-2 Form prior to releasir ig the component.

Initia, Initia ate Date /4i/

Z 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.

FLANGE APN 43580509 N/A __________

PIPE APN 43510409 N/A VALVE APN 45000258 A -- NIA N/A60 l a-

19. Printed Name: /, 4 4x

20. ISI /l6/a/3 Printed Name: A' PrEs Sgnature / ate I./ 21. ANII 2%-os Printed Name: zany 6. Lrw=

Signas Date M,. Vafl-..0771 re-rJ mar.B

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

)

1. Owner Arizona Public Service Company. et. al. Date: 09/26/2002 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road.. Tonopah. Arizona 85354-7529 Work Order Number 2467922

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 III 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 2SMH-S3 N/A 3JDGBUVO02 1978 Replacement YES Make-up Valve Jacket Water N/A N/A N/A 3PDGBLO15 2002 Replacement No Make-up line

7. Description of Work: Modify line 3PDGBLO15 and replace valve 3JDGBUVO02 with a manual operated globe valve 3PDGBV064 per DMWO 220055.

8. Test Conducted: Hydrostatic I] Pneumatic Nominal Operating Pressure a Exempt N-416-1 0 Other Q Pressure psi Test Temperature - F

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

I

9. Remarks: Modify line 3PDGBLO15 and replace valve 3JDGBUVO02 with a manual operated globe valve 3PDGBV064 per DMWO 220055. Ref. EDC 2002-00102.

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: -o L0;owv L _TA sX inch Date: W/ 03 Owner or Owner's Designee, Tilde '

CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of __-_____-_____

to k-%-o 3 ,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

'G A Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements nspectors Signature Date: 4-0Z 73DF-9ZLI7 ver. 77 Back FV-E0092 Vr.

PV-E0092 Back 73D)P-9ZZ17

ASME SECTION XI- REPAIR / REPLACEMENT Pa e of

1. Component ID 3PCHNV494 2. Code Class ASME Section III Class 2

3. Item

Description:

CheckValve

4. N-5 Data Package Number: 3CH07-4 5. W.O. Number: 2469167

6. Original Construction Code Edition: 1974 Edition. Winter 1975 Addenda

7. Original Installation Code Edition: 1974 Edition. Winter 1975 Addenda

8. Work

Description:

Seal weld body/bonnet joint after disassembly for inspection.

9. Cl ISI Flaw NDE Method of Flaw Detection:

Report Number:

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

Modification of the valve did not occure per this work order.

11. Repair/Replacement Work Organization: Arizona Public Service

12. Replacement Items Construction or reconciled Code/Edition: Sec. HI Cl 2. 1974 Edition 1975 Winter Addenda

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

14. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda

15. Preservice Inspection Required: D YES 0 NO Initial k , Date / If required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test Required: El YES 3 NO Initial

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

inital Am Date I--/ZS062;

17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date .4/a../O;L component.

18 Include a step in the W.O. to record below all applicable numbers for repaired or Initial A Date replacement items.

Item ID Part No. Serial No. Heat No. MR/POIWO No.

N/A N/A N/A N/A N/A

19. Planner / 9 1J l L/0 "/$ Printed Name: David Shaffer i t -

_Signature , h V_ /DatV

20. ISI Aervn °/wY/° Printed Name: 4 tEq A-oJk/

ignature Le=

I21. ANH ,7' Signature to-i40z Date Printed Name: Q-s 46s e,&

730P-9ZZ17 PV.E0093Vc..7 PV-E11093 V. 73DP-9ZZ17

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:

I P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: I of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road.. Tonopah. Arizona 85354-7529 Work Order Number 2469167

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

4. Identification of System: CHEMICAL AND VOLUME CONTROL (CH)

5. (a) Applicable Construction Code ASME Section III 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

_ _ _ _ _ _ _ _ __ __ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _N O )

Check Valve Borg Warner 79776 N/A 3PCHNV494 1983 Replacement YES

7. Description of Work: Seal weld body/bonnet joint after disassembly for inspection.

8. Test Conducted: Hydrostatic ] Pneumatic El Nominal Operating Pressure El Exempt N416-1 0 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 /2X 1 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: i.. A 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: -NIA I5:E S>¢~~~~~~~

Signed: G Date: /* fo3 I

Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut have inspected the components described in this Owner's report during the period of _ _ __-t_- _ _

to Att. -o3 ,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.

a6,4,- Commissions: NB 9685 "N" "I"AZ264 National Board, State, Province, and Endorsements 4t pectors Signature Date: -o3 73DP-9ZZI 7 I ---E0092 Vr.

..E0092 Back Ver. 77 BJack 73DP-9ZZ1 7

ASME SECTION X - REPAIRIREPLACEMENT Pageof

1. Component ID 3PSIEV133 2. Code Class 2

3. Item Description HPSI CONTAINMENT PENETRATION CHECK VALVE

4. N-5 Package Number 3RC01-9 5. W.O. Number 2469169

6. Original Construction Code Edition ASME SECT. m, CL 2, 1974 EDIION, W75 ADD.

7. Original Installation Code Edition ASME SECT. m. CL 2. 1974 EDION. W75 ADD.

B.Work Description REPLACE DISC AND STUD ASSEMBLY TO CORRECT SEAT LEAKAGE.

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.

AlQ iMEs ct LP ) tt A PV 4/&eor .

11. Repair/Replacement Work Organization ARIZONA PUBLIC SERVICE

12. Replacement Item Construction or reconciled Code/Edition AME SECT. 1II, CL 2, 1974 EDITION, W75 ADD.

13. Repalr/Replacement Activity Construction Code/Edition ASME SECT. II, CL 2, 1974 EDION, W75 ADD.

14. ASME Section Xl Code/Edition ASME SECT. I, 1992 EDION, 92 ADD.

15. Preservice Inspection Required. U YES ID NO JD 04/12103 If required, include a step in the W.O. to perform Preservice Ispection.

--rnalU~ ---- Date

16. ASME Section XI Pressure Test Required L YES El NO JD 04/12103 If required, include a step Inthe W.O. for ISI & ANII Inspection.

Inital Date JD 04/12103 17. Include a step Inthe W.O. to complete NIS-2 Form prior to releasing the component Initial Date JD 04112/03 18. Include a step in the W.O. to record below all applicable numbers for replacement items.

Initial Date ITEM I.D. PART NO. SERIAL NO. HEAT NO. MR/PO/V(O NO.

DISC/STUD ASSY. 76347A 35 N/A MR 739676

19. Planner Print Name JAMES I. DAVIS a re Date

20. ISI Engineer ______ _____ PrintName - A. j

21. ANII $4 4 4IZO, PrintName 2 G (r'o.

S*Mture Date PV-E9 V. :7 3PZ1 PV-E093 Ver. 73DP4gZZ17

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 A °^3 Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3 5R01

---t.---.. S: Wintersbure Rd.. Tononab- Ari7ona 85354-7529 24469169 An, . A, Address Work Order Nurrwer

3. Work Performed by Arizona Public Service Type Code Symbol Stamp None Name Authorization No. N/A 5801 S. Wintersburg Rd., Tonapah, Arizona 85354-7525 Expiration Date NIA Address

4. Identification of System Safety Injection

5. (a)Applicable Construction Code ASME Sec I, Cl 2 1974 Edition, W75 Addenda, -3/A 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 Item Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No)

Valve Borg -Wamer 74380 N/A 3PSIEV133 1981 Repaired Yes Disc/stud assembly Borg -Warner 35 N/A 3PSIEV133 2003 Replacement No

7. Description of Work Replace the valve disc and stud assembly to correct seat leakage.

8.Test Conducted: Hydrostatic l- Pneumatic f Nominal Operating Pressure Q Exempt i] N-416-10 Other I Pressure psi Test Temp. OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 X 11 in.,

(2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

PV-E0092 Ver. 7 73DP-9ZZ1 7

FORM NIS-2 (Back)

9. Remarks Work Order 2469169 replaced the valve disc/stud assembly in 3PSIEV133 to correct seat leakage.

CERTIFICATE OF COMPLIANCE I

We certify that the statements made inthe report are correct and this repair conforms to the rules of the ASME Code, Section Xi. epairorreplacement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed St44 IIJA&L41 t1rDate /2* f03

' \'Ownier or Ownees INsignee, Tide CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding avalid commission issued by the National Board of Boller and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB Cr of Hartford. Connecticut , have Inspected the components described in this Owner's Report during the period e- :2- o to 4-24-o3 , and state that to the best of my knowledg9 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 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.

,4147r, ecto In es Signature Commissions ItcAS $-c-'L2A A' National Board, State, ProvAnce, and Endorsements Date 730p-gZz17 Pv-Eoog2 Vr.

PV-Eo092 BACK Ver. 77 BACK 73DP-9ZZ17

I ASME SECTION XI - REPAIR/REPLACEMENT

1. Component ID 3PSGEL0ll 2. Code Class ASME Section Em Class 2

3. Item Description Pipe Spool

4. N-5 Package Number 3SG02-2 5. W.O. Number 2486603

6. Original Construction Code Edition 1974 Edition, Summer 1975 Addenda

7. Original Installation Code Edition 1974 Edition, Winter 1975 Addenda

8. Work Description Replacement of Pipe spool due to Flow Accelerated Erosion Corrosion, DIDM 2486601 EDC#

2002-00185.

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.

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 Item Construction or reconciled Code/Edition Sec.lI C12174 Edition '75 Summer Addenda

13. Repair/Replacement Activity Construction Code/Edition Sec.M Cl.2f74 Edition '75 Winter Addenda

14. ASME Section XI Code/Edition 1992 Edition and 1992 Addenda

15. Preservice Inspection Required. E} YES U NO

.R1.......... e If required, include a step in the W.O. to perform Preservice Inspection.

InitaJ Date

16. ASME Section XI Pressure Test Required El YES U NO Iveos 9,/x If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date

____ VF',zaxc. 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date

_______ rifI1"ji_ 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date replacement items.

ITEM .D. PART NO. SERIAL NO. HEAT NO. MRIROS NO.

8" Pipe APN 00061187 3 5 '- - MR# 646606 8" Elbow APN 00067691 CR - I MR 646606 MR#

8" X 6" Reducer APN 00061185 A d d _A- 5 MR# 646606 6" Pipe APN 00061183 C 9 MR# 646606 6" Elbow APN 00061184 _______I___6A; M R #

r1 , RR---,-I 79

19. Planner vt 4 B/2AK2 iL. Print Name Karl V. Savage

\ Signature I Date

20. ISI Engineer P f/' 5 P ( (n Print Name Ramakant P. Indap Si yature Date

21. ANII -, , f Print Name Robert G. Hogstrom Silature Date PV-E0093 Ver. 6 73DP-9Z1 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: 07/05/2002 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road.. Tonopah, Arizona 85354-7529 Work Order Number 2486603

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

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

5. (a) Applicable Construction Code ASME Section III 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

_ _ __ _ __ _ __ _ __ __ __ __ _ _ __ __ _ _ _ _ _ _ _ _ _ _ _ _ _ N O )

6" and 8" Pipe NIA N/A N/A 2002 Replacement NO

7. Description of Work: Replaced Pipe Spool due to Flow Accelerated Erosion Corrosion of the Original Piping.

8. Test Conducted: Hydrostatic E Pneumatic J Nominal Operating Pressure a Exempt 0 N-416-1 Other El 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 1 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

I1 9.

FORM NIS-2 (Back)

Remarks: Pressure Test per Code Case N-416-1, Work Order 2486603. Replaced 6"Spool S-001 and 8' Spool S-009 of Line IPSGELOI 1with Stainless Steel.

Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XL Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: £ Date: 2--E 3

./le-1 I I TeW r urU vWWUFA ownmr mc 3 a Msslrplc, T

1 ~

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 't-z%-03 , 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 Instors Signature Date-_

U. -

73DP-9Z217

'V-E0092

.- 7 Back Ver. 7 V-E0092 Ver. Back 73DP-9ZZ17

ASME SECTION Xi -. REPAIR/REPLACEMENT Page of 1

1. Component D 3MRCEEO1A 2. Code Class ASME SECTION m, CLASSI

3. Item Description STEAM GENERATOR #1 COLD LEG

4. N-5 Package Number 3RCO1-2 5. W.O. Number 2486853

6. Original Construction Code Edition 1971 EDITION &1973 WINTER ADDENDA

7. Original Installation Code Edition 1974 EDITION & 1975 WINTER ADDENDA

8. Work Description Perform Steam Generator SG31 COLD LEG plugging and repair 1AW 'DFWO" 2486845

9. El ISI Flaw NDE Method of Flaw Detection Eddy Current Exam Report Number 3R10 Eddy Current Exam Report

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

EVALUATION PER ENG-DFWO -2486845

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/Edifion 1992 EDITION & 1992 ADDENDA

15. Preservice Inspection Required. l YES f31 NO B.V 02112103 If required, include a step in the W.O. to perform Preservice Inspection.

Initial D e

16. ASME Section Xi Pressure Test Required E YES E NO B.V 02/12103 If required, include a step In the W.O. for ISI &ANII Inspection.

Initial Date B.V 02112103 17. Include a step In the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date B.V 02112103 18. Include a step in the W.O. to record below all applicable numbers for replacement Items.

Initial Date ITEM lD. l PART NO. SERIAL NO. HEAT NO. MR/POMJO NO.

TUBE PLUGS See attached list See attached list See attached list See attached list

19. Plann er1 O411L- /< cj//0/i3rint Name Barbara Vidal Signature I Date

20. ISI Enginac. e,/ L1 J 3 Print Name 9 S 4A D Z Signature Date 21.ANtI Print Name_ _________

S~atre - Date PV-ED093 Ver. 73W4Z=17

I oFPA FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl 1.Owner Adzona Public Service romnanv- et. al... Date - 02/11/03 Name P-0. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of 2 Addrss

2. Plant Palo Verde Nuclear Generating Station Unit .3 Name 5801 S. Wintersburg Rd.. Tonopah, Arizona 85354-7529 WO#2486853 Address Work Order Numner

3. Work Performed by WESTINGHOUSE Type Code Symbol Stamp _ None Name Authorization No. _ _ U/A 911 W. MAIN ST. CHATTANOOGA 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 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 Item Manufacturer Serial No. Board No. Identification Built Relacement eor No)

S/G CE 65273-1 22860 3MRCEEO1A 1981 Repaired Yes Tube Plugs Westinghouse

• N/A

• Replacement No

7. Description of Work SG31 Hold Leg plugging and repair per ENG-DFWO 2486845. *See attached list

8. Test Conducted: Hydrostatic I Pneumaticf Nominal Operating Pressure 1] Exempt[ N416-1 Other Q Pressure psi Test Temp. -__ F 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.

Vet.?

PV-E0092 73DP4~~~~~~~~~~17 PV-E0092 Ver. 7 73DP-9ZZ17

I~~~~~

FORM NIS-2 (Back)

9. Remarks See DFWO #2486845 for tubes plugged. (Plugging list attached)

CERTIFICATE OF COMPLIANCE We certify that the statements made inthe report are correct and this re 1acement conforms to the rules of the ASME Code, Section Xi. om nt Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed 5C>r 'f01-fJ1-n7A CHIC/4 Date Y-23-o3 Owner or Owners DesiGnee, Tffle

' I 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 Cr of Hartford. Connecticut , have inspected the components described in this Owners Report during the period a-* -o1 to _ -2_4-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 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 Inany manner for any personal Injury or property damage or a loss of any kind arising from or connected with this nspection.

4 .

InspectorSlgnature Commissions 5 'S S Az ;2 ski'"

National Board, State. Province, and Endorsements Date 4-24 -oZ 73DP-9ZZ17 PV-E0092 var.

PV-E0092 7 BACK Ver. 7 BAK 73DP-gZZ17

S 4 STEAM GENERATOR 3MRCEE01A DIWO 2486853 "COLD LEG" DFWO 24R6845

• 1 POW U54 WM w 19POf PMW "AJM OltR WLA UlT

a. ft.*w" At- "Afte Vfts".

t_-

fit W AW tfflRM -.- - - W-9I V U: IV cT1WsOOAW--'.W -.

• e a e ~~ r kUd3s n A CjO t=LW!

. o ASME SEClON XI-REPAIRIREPLACEMENT COMP.ID ROW COLUMN PART NO. SERIAL NO. HEAT NO. MR NO.

3MRCEE01A 2 27 0307-1601 40013385-77 NX3171HK 733382 3MRCEE0IA 29 18 0307-1601 40013374-174 NX3171HK 733382 3MRCEEOIA 29 112 0307-1601 40013374-167 NX3171HK 733382 3MRCEEO1A 36 113 0307-1601 40013374-154 NX3171HK 733382 3MRCEEOIA 42 87 0307-1601 40013374-173 NX3171HK 733382 3MRCEEOIA 43 120 0307-1601 40013374-144 NX3171HK 733382 3MRCEE0IA 44 101 0307-1601 40013374-159 NX3171HK 733382 3MRCEE01A 44 109 0307-1601 40013374-172 NX3171HK 733382 3MRCEE01A 45 98 0307-1601 40013374-160 NX3171HK 733382 3MRCEE01A 45 104 0307-1601 40013374-166 NX3171HK 733382 3MRCEE01A 46 91 0307-1601 40013374-163 NX3171HK 733382 3MRCEEOIA 46 93 0307-1601 40013374-169 NX3171HK 733382 3MRCEEOIA 46 95 0307-1601 40013374-168 NX3171HK 733382 3MRCEE01A 46 113 0307-1601 40013374-161 NX3171HK 733382 3MRCEE01A 48 145 0307-1601 40013374-150 NX3171HK 733382 3MRCEE01A 49 94 0307-1601 40013374-170 NX3171HK 733382 3MRCEEOIA 50 83 0307-1601 40013374-164 NX3171HK 733382 3MRCEE01A 51 72 0307-1601 40013374-153 NX3171HK 733382 3MRCEE01A 61 146 0307-1601 40013374-135 NX3171HK 733382 3MRCEE01A 65 114 0307-1601 40013374-171 NX3171HK 733382 3MRCEEOIA 73 30 0307-1601 40013374-151 NX3171HK 733382 3MRCEEOIA 78 43 0307-1601 40013374-155 NX3171HK 733382 3MRCEEOIA 82 153 0307-1601 40013374-148 NX3171HK 733382 3MRCEEOIA 86 161 0307-1601 40013374-149 NX3171HK 733382 3MRCEEOIA 86 165 0307-1601 40013374-138 NX3171HK 733382 3MRCEEOIA 88 153 0307-1601 40013374-131 NX3171HK 733382 3MRCEEOIA 88 165 0307-1601 40013374-139 NX3171HK 733382 3MRCEE01A 102 137 0307-1601 40013374-146 NX3171 HK 733382 3MRCEEOIA 104 137 0307-1601 40013374-140 NX3171HK 733382 3MRCEEOIA 107 150 0307-1601 40013374-136 NX3171HK 733382 3MRCEE01A 110 143 0307-1601 40013374-145 NX3171HK 733382 3MRCEEOIA 113 42 0307-1601 40013374-152 NX3171HK 733382 3MRCEE01A 117 146 0307-1601 40013374-133 NX3171HK 733382 3MRCEE01A 117 148 0307-1601 40013374-141 NX3171HK 733382 3MRCEEOIA 118 111 0307-1601 40013374-130 NX3171HK 733382 3MRCEE01A 118 133 0307-1601 40013374-137 NX3171HK 733382

- 3MRCEEOIA 135 128 0307-1601 40013374-128 NX3171HK 733382 3MRCEE01A 136 99 0307-1601 40013374-143 NX3171HK 733382 3MRCEEOIA 136 103 0307-1601 40013385-78 NX3171HK 733382 Page 1 of 2

STEAM GENERATOR 3MRCEE01A DIWO 2486853 "COLD LEG" DFWO 2486845

_. Varn ms-ao0roWuR

~_ PASBORLAUMBUM kdEAC__

I 1. - .. . ._ a S _~~~~~!

I--"~~~~~~~~X HI___. T A__ ~

. nz._ __~~W F

,, flairm~-.T L

JLJ=-

I I

.1 mI M. _ _ I

-'-~t } t I . _ _ _ _ -- _ _ _ _ _

3MRCEEOIA 138 99 0307-1601 40013374-132 NX3171HK 733382 3MRCEE01A 144 89 0307-1601 40013374-162 NX3171HK 733382 3MRCEEOIA 146 75 0307-1601 40013374-165 NX3I71HK 733382 3MRCEE0IA 146 93 0307-1601 40013374-156 NX3171HK 733382 3MRCEEOIA 146 95 0307-1601 40013374-157 NX3171HK 733382 3MRCEEOIA 146 107 0307-1601 40013374-142 NX3171HK 733382 3MRCEE0IA 146 117 0307-1601 40013374-147 NX3171HK 733382 3MRCEEOIA 148 85 0307-1601 40013374-158 NX3171HK 733382 3MRCEEO1A 149 106 0307-1601 4001338576 NX3171HK 733382 3MRCEE01A 151 112 0307-1601 40013374-134 NX3171HK 733382 3MRCEEOIA 153 118. 0307-1601 40013374-127 NX3171HK 733382 3MRCEEOIA 154 101 0307-1601 40013374-129 NX3171HK 733382 Page2 of 2

ASME SECTION XI - REPAIR/REPLACEMENT Page.1.of 1

1. Component ID 3RCEEO1A 2. Code Class ASME SECTION III, CLASS1

3. Item Description STEAM GENERATOR #1 HOT LEG

4. N-5 Package Number 3RCO1-2 5. W.O. Number 2486860

6. Original Construction Code Edition 1971 EDITION &1973 WINTER ADDENDA

7. Original Installation Code Edition 1974 EDITION& 1975 WINTER ADDENDA

8. Work Description Perform Steam Generator SG31 HOT LEG plugging and repair lAW "DFWO' 2486859

9. E ISI Flaw NDE Method of Raw Detection EDDY CURRENT EXAM Report Number 3R10 Eddy Current Exam ReDort

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

EVALUATION PER ENG-DFWO 2486859

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 Xl Code/Edition 1992 EDITION & 1992 ADDENDA

15. Preservice Inspection Required. i YES ElI NO B.V 02/12103 If required, include a step in the W.O. to perform Preservice Inspection.

ina Date

16. ASME Section Xi Pressure Test Required 1t YES E] NO W

B.V 02112/03 If required, Include a step Inthe W.O. for ISI & ANII Inspection.

Initial Date B.V 02112/03 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Iniial - Date B.V 02/12103 1 . Include a step in the W.O. to record below all applicable numbers for replacement Items.

ietal Date ITEM D. PART NO. SERIAL NO. HEAT NO. MR/POJWO NO.

TUBE PLUGS See attached list. See attached fist. See attached st. See attached ist.

19. Plannerln I a* *f/(CA/Al.4'&)rint Signature Name Barbara Vidal 20.1SI Engincr CR Print Name  ? F DAP Signature Date 21.ANII 't Print Name E('&

nturme - Date PV00113 VW. 7 r30P-GZZ17

I oF 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 02/11/03 Nafie -

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

2. Plant Palo Verde Nuclear Generating Station Unit 3 Name 5801 S. Wintersburg Rd.. Tonopah, Arizona 85354-7529 WO#2486860 Address - Work Order Number

3. Work Performed by WESTINGHOUSE Type Code Symbol Stamp Igone Name Authorization No. NIA.

911 W. MAIN ST. CHATTANOOGA TN. 37402 Expiration Date N/A Address

4. Identification of System REACTOR COOLANT

5. (a) Applicable Construction Code ASME SEC M CL.1 1971 Edition, W;73 Addenda, N/A 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 Item Manufacturer Serial No. Board No. Identification Built r Sacement sorNod Steam Generator CE 65273-1 22860 3MRCEEOIA 1981 Repaired Yes Tube Plugs Westinghouse

• N/A

• Replacement No FL _________________

=-=______________________________________________

__________=-__________________ __________________________________

7. Description of Work SG31 Hot Leg plugging and repair per ENG-DFWO 2486859. *See attached list.

8. Test Conducted: Hydrostatic [ Pneumatic f Nominal Operating Pressure Q Exempt [] N-416-1 Other [i 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.

_VE09Ie.770.21 PVYE0092 Ver. 7 73OP-ZZ17i

FORM NIS-2 (Back)

9. Remarks See DFWO #2486859 for tubes plugged. (Plugging list attached)

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. repairorrep acement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed - I s ttrt7W LI4i Date qi2--5 -03 Owner or Owners Designee, Ttle 5-7g..'.,..

CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut , have inspected the components described in this Owner's Report during the period .2-YA-o: to 4-2-- o3 , 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 Inthis Owners 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 nob 4AS AtC A2 2eA Inspe s Signature National Board. State, Province, and Endorsements Date OP-9ZZI7 PV-EOOg2 Ver.

PV-EO0W2 BACK Vet. 77 BACK 73DP-gZZ17

Z.3 STEAM GENERATOR 3MRCEE01A DIWO 2486860 "HOT LEG" DFWO 2486859 ASME SECTION XI-REPAIRIREPLACEMENT COMP. ID ROW COLUMN PART NO. SERIAL NO. HEAT NO. MR NO.

Powin X:~x mWOW~lTft AM.w.cah

-. A rn 3* --

- w~- I- __

-- _ - __.l~

3MRCEE01A 2 27 0307-1601 40013385-73 NX3171HK 733382 3MRCEE01A 29 18 0307-1601 40013374-106 NX3171HK 733382 3MRCEE0IA 29 112 0307-1601 40013374-107 NX3171HK 733382 3MRCEE01A 36 113 0307-1601 40013374-103 NX3171HK 733382 3MRCEEOIA 42 87 0307-1601 40013374-175 NX3171HK 733382 3MRCEE01A 43 120 0307-1601 40013374-116 NX3171HK 733382 3MRCEEOIA 44 101 0307-1601 40013374-112 NX3171HK 733382 3MRCEE01A 44 109 0307-1601 40013374-120 NX3171HK 733382 3MRCEE01A 45 98 0307-1601 40013374-108 NX3171HK 733382 3MRCEEOIA 45 104 0307-1601 40013374-105 NX3171HK 733382 3MRCEE01A 46 91 0307-1601 40013374-102 NX3171HK 733382 3MRCEE0IA 46 93 0307-1601 40013374-114 NX3171HK 733382 3MRCEEOIA 46 95 0307-1601 40013374-117 NX3171HK 733382

) 3MRCEE01A 46 113 0307-1601 40013374-101 NX3171HK 733382 3MRCEEOIA 48 145 0307-1601 40013374-122 NX3171HK 733382 3MRCEE01A 49 94 0307-1601 40013374-176 NX3171HK 733382 3MRCEE01A 50 83 0307-1601 40013374-88 NX3171HK 733382 3MRCEEOIA 51 72 0307-1601 40013374-92 NX3171HK 733382 3MRCEE01A 61 146 0307-1601 40013374-113 NX3171HK 733382 3MRCEE01A 65 114 0307-1601 40013374-100 NX3171HK 733382 3MRCEEO1A 73 30 0307-1601 40013374-94 NX3171HK 733382 3MRCEEOIA 78 43 0307-1601 40013374-75 NX3171HK 733382 3MRCEE01A 82 153 0307-1601 40013374-115 NX3171HK 733382 3MRCEE01A 86 161 0307-1601 40013374-121 NX3171HK 733382 3MRCEEOIA 86 165 0307-1601 40013374-118 NX3171HK 733382 3MRCEEOIA 88 153 0307-1601 40013374-119 NX3171HK 733382 3MRCEE01A 88 165 0307-1601 40013374-99 NX3171HK 733382 3MRCEE01A 102 137 0307-1601 40013374-110 NX3171HK 733382 3MRCEEOIA 104 137 0307-1601 40013374-104 NX3171HK 733382 3MRCEEOIA 107 150 0307-1601 40013374-82 NX3171HK 733382 3MRCEE01A 110 143 0307-1601 40013374-98 NX3171HK 733382 3MRCEE01A 113 42 0307-1601 40013374-84 NX3171HK 733382 3MRCEE01A 117 146 0307-1601 40013374-77 NX3171HK 733382 3MRCEE01A 117 148 0307-1601 40013374-97 NX3171HK 733382 3MRCEEOIA 118 111 0307-1601 40013374-86 NX3171HK 733382 3MRCEEO1A 118 133 0307-1601 40013374-91 NX3171HK 733382 3MRCEE01A 135 128 0307-1601 40013374-87 NX317HK 733382 3MRCEE01A 136 99 0307-1601 40013374-93 NX3171HK 733382 3MRCEEO1A 136 103 0307-1601 40013385-74 NX3171HK 733382 Page 1 of 2

STEAM GENERATOR 3MRCEEOIA DIWO 2486860 "HOT LEG" DFWO 2486859 Ffmmm om maNUSp oa Uop rEParuwdTS A~~__ ____ ___ __

_________________ ~-~

t -b-f-- 3 3MRCEEOIA 138 99 0307-1601 40013374-76 NX3171HK 733382 3MRCEE01A 144 89 0307-1601 40013374-85 NX3171HK 733382 3MRCEE01A 146 75 0307-1601 40013374-83 NX3171HK 733382 3MRCEE01A 146 93 0307-1601 40013374-79 NX3171HK 733382 3MRCEEOIA 146 95 0307-1601 40013374-78 NX3171HK 733382 3MRCEEOIA 146 107 0307-1601 40013374-96 NX3171HK 733382 3MRCEEOIA 146 117 0307-1601 40013374-81 NX3171HK 733382 3MRCEEOIA 148 85 0307-1601 40013374-89 NX3171HK 733382 3MRCEEOIA 149 106 0307-1601 40013385-75 NX3171HK 733382 3MRCEE01A 151 112 0307-1601 40013374-80 NX3171HK 733382 3MRCEE01A 153 118 0307-1601 40013374-95 NX3171HK 733382 3MRCEEOIA 154 101 0307-1601 40013374-90 NX3171HK 733382 Page 2 of 2

ASME SECTION X - REPAIR/REPLACEMENT

- ~~~~~Page 1 of

1. Component ID 3MRCEEOIB 2. Code Class ASME SECTION II. CLASS1

3. Item Description STEAM GENERATOR #2 COLD LEG

4. N-5 Package Number 3RCO1-2 5. W.O. Number 2486862

6. Original Construction Code Edition 1971 EDITION &1973 WINTER ADDENDA

7. Original Installation Code Edition 1974 EDiTION &1975 WINTER ADDENDA

8. Work Description Perform Steam Generator SG32 COLD LEG plugging and repair 1AW "DFWO" 2486861

9. ISI Flaw NDE Method of Flaw Detection Eddy Current Exam Report Number 3R10 Eddy Current Exam Remrt

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

EVALUATION PER ENG-DFWO 2486861

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 Xl Code/Edition 1992 EDITION & 1992 ADDENDA

15. Preservice Inspection Required. - YES ( NO B.V 02/13/03 If required, include a step in the W.O. to perform Preservice Inspection.

Inftial Date

16. ASME Section Xi Pressure Test Required U YES E NO B.V 02113/03 Ifrequired, include a step in the W.O. for ISI &ANII Inspection.

nital -Date B.V 02/13/03 17. Include a step inthe W.O. to complete NIS-2 Form prior to releasing the component.

Inta Date B.V 02/13/03 18. Include a step in the W.O. to record below all applicable numbers for replacement Items.

Initial Date ITEM LD. PART NO. SERIAL NO. HEAT NO. MR/POJWO NO.

TUBE PLUGS See attached list See attached list See attached list See attached list

19. Planner / L<lj Ah// 3/D3 rint Name Barbara Vidal Signature 'ate

20. SI Engineer _ __ / 3Print Name _ _ _ _ _ - _ _

Signature Date

21. ANII 5 S10ture Date Print Name e *&.

PV-EDCS3 er. 7 73OP4ZZ17

I OF S 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 02/13/03 Nam P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3 Name 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 WO#2486862 Address Work Order Number

3. Work Performed by WESTINGHOUSE Type Code Symbol Stamp None Name Authorization No. N IA 911 W. MAIN ST. CHATANOOGA TN. 37402 Expiration Date NI A Address

4. Identification of System REACTOR COOLANT

5. (a) Applicable Construction Code ASME SEC III CL.1 19 71 Edition, W;73 Addenda, N/A Code Case (b) Applicable Edition of Section Xi Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code Item Manufacturer Serial No. Board No. Identification Built Replacement Starpe SIG CE 65273-2 22861 3MRCEEOIB 1981 Repaired Yes Tube Plugs Westinghouse N/A Replacement No

7. Description of Work SG32 Cold Leg plugging and repair per ENG-DFWO 2486861. *See attached list.

8. Test Conducted: Hydrostatic i Pneumatic j Nominal Operating Pressure Q Exempt El N416-1 I Other IE 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.

3PZ

VEcQ --. -

PV;EO092 Wm 7 73DP-9Z7

2 oF S FORM NIS-2 (Back)

9. Remarks See DFWO #2486861 for tubes plugged. (Plugging list attached)

CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and this Elacement conforms to the rules of the ASME Code,Section XI. rirorelcmnt Type Code Symbol Stamp_ N/A Certificate of Authorization No. N/A Expiration Date N/A Signed St Uf.

L17,CA qE Date q-z 3 -03 Owner or Owne's Designee, TlUer 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 ad employed by HSB C' of Hartford. Connecticut , have inspected the components described in this Owner's Report during the period .2-K -o'S to 4 -2a -Z c , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report In accordance with the requirements of the ASME Code, Section 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 At '{ - "5 HAXI' At .2S I- - pers I Signature National Board, State, Province, and Endorsements Date - os T3DP-OZZI7 Pv-EoO92 Ver.

PV-E00g2 er. 7 BACK 7 BACK 73DPOZ17

,3 of STEAM GENERATOR 3MRCEE01B DIWO 2486862 "COLD LEG"2 DFWO 2486861 ASME SECTION XI-REPAIR/REPLACEMENT MR NO.

COMP. ID ROW COLUMN PART NO. SERIAL NO. HEAT NO.

- a r- - -

3MRCEE01B 2 63 0307-1601 40013374-193 NX3I71HK 733382 3MRCEEOIB 4 13 0307-1601 40013374-200 NX3171HK 733382 3MRCEEOIB 14 27 0307-1601 40013374-187 NX3171HK 733382 3MRCEE0IB 21 116 0307-1601 40013385-71 NX3171HK 733382 3MRCEE01B 23 122 0307-1601 40013385-69 NX3171HK 733382 3MRCEE01B 24 121 0307-1601 40013385-65 NX3171HK 733382 3MRCEE0IB 25 56 0307-1601 40013374-186 NX3171HK 733382 3MRCEEOIB 26 117 0307-1601 40013385-68 NX3171HK 733382 3MRCEEOIB 29 134 0307-1601 40013385 NX3171HK 733382 3MRCEEOIB 30 45 0307-1601 40013374-190 NX3171HK 733382 3MRCEEOIB 35 78 0307-1601 40013385-49 NX3171HK 733382 3MRCEEOIB 35 114 0307-1601 40013385-70 NX317IHK 733382 3MRCEEOIB 41 104 0307-1601 40013385-12 NX3171IHK 733382 3MRCEEOIB 41 116 0307-1601 40013385-57 NX317IHK 733382 3MRCEEOIB 43 90 0307-1601 40013385-58 NX3171 HK 733382 3MRCEEOIB 44 87 0307-1601 40013385-8 NX3I71HK 733382-3MRCEEOIB 44 105 0307-1601 40013385-3 NX3171HK 733382 3MRCEEOIB 45 92 07-61 40013385-10 NX3171HK 733382 3MRCEEOIB 46 101 0307-1601 40013385-7 NX3171HK 733382 3MRCEE01B 49 74 0307-1601 40013385-33 NX317IHK 733382 3MRCEE01B 55 108 0307-1601 40013385-9 NX31 71 H-K 733382 3MRCEEOIB 58 37 0307-1601 40013374-181 NX3171HK 733382 3MRCEEO1B 58 71 0307-1601 40013385-43 NX3171HK 733382 3MRCEE01IB 58 79 0307-1601 40013385-15 NX3171HK 733382 3MRCEEOIB 60 75 0307-1601 4001 3385-41 NX3171IHK 733382 3MRCEE01B 61 78 0307-1601 40013385-6 NX3171HK 733382 3MRCEE018 62 79 0307-1601 40013385-19 NX317IHK 733382 3MRCEEO1B 63 86 0307-1601 40013385-11 NX3171HK 733382 3MRCEEOIS 65 84 0307-1601 40013385-4 NX3I7IHK 733382 3MRCEEOIB 65 104 0307-1601 40013385-13 NX3171HK 733382 3MRCEEOIB 65 128 0307-1601 40013385-66 NX3171HK 733382 3MRCEEOIB 67 40 0307-1601 40013374-196 NX317IHK 733382 3MRCEEOIB 68 15 0307-1601 40013374-188 NX3171IHK 733382 3MRCEEOIB 68 19 0307-1 601 4001 3374-1 77 NX3171 HK 733382 3MRCEEO1B 68 81 0307-1601 40013385-23 NX3171IHK 733382 3MRCEEOIB 68 83 0307-1601 40013385-22 NX3171HK 733382 3MRCEE01B 69 22 0307-1601 40013374-183 NX3171HK 733382 3MRCEEOIB 70 111 0307-1601 40013385-18 NX3171HK 733382

,3MRCEEOIB 71 26 0307-1601 40013374-179 NX3171HK 733382 Page 1 of 3

STEAM GENERATOR 3MRCEE01 B DIWO 2486862 "COLD LEG" DFWO 2486861 NMI' ml-Bn

_ en 30-maz .-

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3MRCEEOI B 71 74 0307-1601 40013385-44 NX3171 HK 733382 3MRCEEOIB 71 102 0307-1601 40013385-14 NX3171HK 733382 3MRCEEOIB 71 104 0307-1601 40013385-2 NX3171HK 733382 3MRCEE0IB 75 30 0307-1601 40013374-194 NX3171HK 733382 3MRCEEOIB 75 36 0307-1601 40013374-195 NX3171HK 733382 3MRCEEOIB 76 21 0307-1601 40013374-182 NX3171HK 733382 3MRCEE01B 76 103 0307-1601 40013385-5 NX3171HK 733382 3MRCEEOIB 77 136 0307-1601 40013385-52 NX3171HK 733382 3MRCEE01B 77 150 0307-1601 40013385-63 NX3171HK 733382 3MRCEEOIB 78 75 0307-1601 40013385-30 NX3171HK 733382 3MRCEEOIB 78 87 0307-1601 40013385-1 NX3171HK 733382 3MRCEEO1B 80 143 0307-1601 40013385-51 NX3171HK 733382 3MRCEEO1B 81 22 0307-1601 40013374-180 NX3171HK 733382 3MRCEE01B 81 68 0307-1601 40013385-32 NX3171HK 733382 3MRCEEO1B 83 26 0307-1601 40013374-178 NX3171HK 733382 3MRCEE01B 83 30 0307-1601 40013374-189 NX3171HK 733382 3MRCEE01B 83 90 0307-1601 40013385-37 NX3171HK 733382 3MRCEE01B 83 96 0307-1601 40013385-34 NX3171HK 733382 3MRCEE01B 85 154 0307-1601 40013385-80 NX3171HK 733382 3MRCEE01B 89 58 0307-1601 40013374-192 NX3171HK 733382 3MRCEEOIB 92 33 0307-1601 40013374-185 NX3171HK 733382 3MRCEEOIB 92 111 0307-1601 40013385-6 NX3171HK 733382 3MRCEE0IB 92 151 0307-1601 40013385-50 NX3171HK 733382 3MRCEE01B 93 46 0307-1601 40013374-198 NX3171HK 733382 3MRCEEOIB 95 82 0307-1601 40013385-45 NX3171HK 733382 3MRCEEOIB 95 94 0307-1601 40013385-26 NX3171HK 733382 3MRCEEOIB 95 96 0307-1601 40013385-20 NX3171HK 733382 3MRCEEOIB 96 137 0307-1601 40013385-61 NX3171HK 733382 3MRCEE01B 99 98 0307-1601 40013385-17 NX3171HK 733382 3MRCEEOIB 100 31 0307-1601 40013374-184 NX3171HK 733382 3MRCEEOIB 100 87 0307-1601 40013385-36 NX3171HK 733382 3MRCEEOIB 100 115 0307-1601 40013385-53 NX3171HK 733382 3MRCEEOIB 100 117 0307-1601 40013385-60 NX3171HK 733382 3MRCEE01B 102 65 0307-1601 40013385-40 NX3171HK 733382 3MRCEE01B 102 73 0307-1601 40013385-27 NX3171HK 733382 3MRCEEOIB 102 83 0307-1601 40013385-47 NX3171HK 733382 3MRCEEOIB 102 143 0307-1601 40013385-62 NX3171HK 733382 3MRCEE01B 103 98 0307-1601 40013385-24 NX3171HK 733382 3MRCEE01B 103 124 0307-1601 40013385-59 NX3171HK 733382 3MRCEE01B 104 33 0307-1601 40013374-199 NX3171HK. 733382 3MRCEEO1B 104 87 0307-1601 4001338548 NX3171HK 733382 Page 2 of 3

STEAM GENERATOR 3MRCEE01 B DIWO 2486862 "COLD LEG" nFWQ 24BR6R1 13MRCEEOIB 106 79 l0307-1601 40013385-42 NX3171HK 733382 ftW4OIRAF.Wil II*C4 Id ow~w- XL

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3MRCEE01B 108 63 0307-1601 40013385-29 NX3171HK 733382 3MRCEEOIB 108 91 0307-1601 40013385-31 NX3171HK 733382 3MRCEE01B 108 123 0307-1601 40013385-54 NX3171HK 733382 3MRCEE01B 109 38 0307-1601 40013374-191 NX3171HK 733382 3MRCEEOIB 109 80 0307-1601 40013385-35 NX3171HK 733382 3MRCEEOIB 109 122 0307-1601 40013385-55 NX3171HK 733382 3MRCEEOIB 109 124 0307-1601 40013385-72 NX3171HK 733382 3MRCEEOIB 111 154 0307-1601 40013385-79 NX3171HK 733382 3MRCEE01B 113 120 0307-1601 40013385-67 NX3171HK 733382 3MRCEE01 114 67 0307-1601 40013385-38 NX3171HK 733382 3MRCEEOB 117 130 0307-1601 40013385-64 NX3171HK 733382 3MRCEEOIB 120 59 0307-1601 40013374-197 NX3171HK 733382 3MRCEE01B 120 89 0307-1601 40013385-46 NX3171HK 733382 3MRCEEOIB 121 86 0307-1601 40013385-28 NX3171HK 733382 3MRCEEO1 130 101 0307-1601 40013385-25 NX3171HK 733382 3MRCEE01B 150 63 0307-1601 40013385-39 NX3171HK 733382 3MRCEEO1B 151 88 0307-1601 40013385-21 NX3171HK 733382 Page 3 of 3

[ ASME SECTION Xi- REPAIRIEPLACEMENT1

1. Component ID 3MRCEE01B 2. Code Class ASME SECTION m CLASSi

3. Item Description STEAM GENERATOR #2 HOT LEG

4. N-5 Package Number 3RC01-2 5. WO. Number 2486868

6. Original Construction Code Edition 1971 EDITION &1973 WINTER ADDENDA

7. Original Installation Code Edition 1974 EDiTION &1975 WINTER ADDENDA 8.Work Description Perform Steam Generator SG32 HOT LEG plugging and repair 1AW "DFWO" 2486865

9. El ISI Flaw NDE Method of Flaw Detection Eddy Current Exam Report Report Number 3R10 Eddy Current Exam Report

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

EVALUATION PER ENG-DFWO 2486865

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 EDTION &1975 WINTER ADDENDA

14. ASME Section Xi Code/Edition 1992 EDITION & 1992 ADDENDA

15. Preservice Inspection Required. U YES !3 NO B.V 02/13/03 If required, Include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section Xi Pressure Test Required LI YES Ia NO B.V 02113/03 If required, include a step in the W.O. for ISI & ANII Inspection.

Intial Date B.V 02113/03 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

initial Date B.V 02113/03 18. Include a step in the W.O. to record below all applicable numbers for replacement items.

Initial Date ITEM I.D. PART NO. SERIAL NO. HEAT NO. MR1POWO NO.

TUBE PLUGS See attached list See attached list See attached list See attached list

19. Planne As V-i-Signature A//3/3 Date Print Name Barbara Vidal

20. IS[ Engineer Signature t 1 Date Print Name  :§ - pA P

21. ANII r Print Name_ __ _ _ _ _

S19tp4re Dale PV-EM03 Ver, 7 73DP417 I

t 6 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 02/13/03 Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet I of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3 Name 5801 S. Wintersburg Rd., Tonovah, Arizona 85354-7529 WO#2486868 Address Work Order Number

3. Work Performed by WESTINGHOUSE Type Code Symbol Stamp None, Name Authorization No. Ni/A 911 W. MAIN ST. CHATTANOOGA TN. 37402 Expiration Date N) A Address

4. Identification of System REACTOR COOLANT

5. (a)Applicable Construction Code ASME SEC El[ CL. 1 19 71 Edition, W;73 Addenda, N/A 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 Item Manufacturer Serial No. Board No. Identification Buit rcement (es or No)

S/G CE 65273-2 22861 3MRCEEO1B 1981 Repaired Yes Tube Plugs Westinghouse N/A* Replacement No

7. Description of Work SG32 Hot Leg tube plugging and repair per ENG-DFWO 2486865. *See attached lis 8.Test Conducted: Hydrostatic [ Pneumatic l Nominal Operating Pressure ) Exempt [a N-416-10 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.

3PZ1 VE09e. 7 FV-E0092 Ver. 7 73DP¢9Z17

2 oS S FORM NIS-2 (Back)

9. Remarks See DFWO #2486865 for tubes plugged. (Plugging list attached)

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. repir rlaoerent Type Code Symbol Stamp N/A Certificate of Authorization No. - N/A Expiratior i Date N/A Signed - it t(u a L-r ,veAt f g Date A-L303 Owner or Owner's Designee. Tide f

7-7

.z.

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CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding avalid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB Cr of Hartford. Connecticut , have inspected the components described in this Owner's Report during the period .2- 04-3 to '-o3 ,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 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 5 IUdS G Aoe z &

\Inspector's Signature National Board, State, Province, and Endorsements Date 2*'+

V3DP-QZZ17 var. 7VBACK pv-oog Ver.

PV-E0092 SACK 73DP-OZZ17

STEAM GENERATOR 3MRCEE01 B 3 5 DIWO 2486868 "HOT LEG" DFWO 2486865 ASME SECTION XI-REPAIRIREPLACEMENT COMP.ID ROW COLUMN PART NO. SERIAL NO. HEAT NO. MRNO.

lIlw.MAflOIw AJWWAu

. _ ,~~~ - _.

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3MRCEE01B 2 63 0307-1601 40013374-11 NX3171HK 733382 3MRCEEOIB 4 13 0307-1601 40011047-124 NX2227HK 691280 3MRCEE0IB 14 27 0307-1601 40013374-73 NX3I71HK 733382 3MRCEEO1B 21 116 0307-1601 40013374-70 NX3171 HK 733382 3MRCEE01B 23 122 0307-1601 40013374-49 NX3171HK 733382 3MRCEEOIB 24 121 0307-1601 40013374-52 -NX3171HK 733382 3MRCEE01B 25 56 0307-1601 40013374-14 NX3171IHK 733382 3MRCEE0I B 26 117 0307-1601 40013374-56' NX3171IHK 733382 3MRCEEO1B 29 134 0307-1601 40013374-67 NX3171HK 733382 3MRCEEOIB 30 45 0307-1601 40013374-17 NX3171HK 733382 3MRCEEOIB 35 78 0307-1601 40013374-53 NX3171HK 733382 3MRCEE01IB 35 114 0307-1601 40013374-43 NX3171HK 733382 3MRCEEOIB 41 104 0307-1601 40013374-39 NX3171IHK 733382 3MRCEEOIB 41 116 0307-1601 40013374-69 NX3171H-K 733382 3MRCEEOIB 43 90 0307-1601 40013374-74 NX3171HK 733382 3MRCEE01B 44 87 0307-1601 40013374-32 NX3171HK 733382 3MRCEEOIB 44 105 0307-1601 40013374-40 NX3I71HK 733382 3MRCEEO1B 45 92 0307-1601 40013374-30 NX3171HK 733382 3MRCEEO1B 46 101 0307-1601 40013374-46 NX3171HK 733382 3MRCEEOIB 49 74 0307-1601 40013374-22 NX3171IHK 733382 3MRCEE01B 55 108 0307-1601 40013374-126 NX3I71HK 733382 3MRCEEOIB 58 37 0307-1601 40013374-10 NX3I71HK 733382 3MRCEEOIB 58 71 0307-1601 40011047-165 NX2227HK 691280 3MRCEEOIB 58 79 0307-1601 40013374-23 NX3171HK 733382 3MRCEE018 60 75 0307-1601 40013374-16 NX3171HK 733382 3MRCEEOI B 61 78 0307-1601 40011047-192 NX2227HK 691280 3MRCEEOIB 62 79 .0307-1601 40011047-190 NX2227HK 691280 3MRCEEOI B 63 1 86 0307-1601 4001 3374-31 NX3171IHK 733382 3MRCEEO1B .65 84 0307-1601 40011047-1 91 NX2227HK 691280 3MRCEEOIS 65 104 0307-1601 40013374-48 NX3171H-K 733382 3MRCEEOIB 65 128 0307-1601 40013374-62 NX3171IHK 733382 3MRCEE01B 67 40 0307-1601 40013374-12 NX3171HK 733382 3MRCEEOIB 68 . 15 0307-1601 40011047-166 NX2227HK 691280 3MRCEEO1B 68 19 0307-1601 40011047-146 NX2227HK 691280 3MRCEEOIB _68 81 0307-1601 40011047-156 NX2227HK 691280 3MRCEEOIB 68 83 0307-1601 40011047-152 NX2227HK 691280 3MRCEE01B 69 22 0307-1 601 40011047-168 NX2227HK 691280 3MRCEEOIB 70 111 03D7-1601 4001 3374-34 NX3171HK 733382 3MRCEE01B 71 26 0307-1601 40011047-1 93 NX2227HK 691280 Page 1 of 3

STEAM GENERATOR 3MRCEE01 B -4* S DIWO 2486868 "HOT LEG" DFWO 2486865 POW a OWOMS3EPOTF ME=CM FUEftNE

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3MRCEEOIB 71 74 0307-1601 40013374-15 NX3171HK 733382 3MRCEEOIB 71 102 0307-1601 40013374-45 NX3171HK 733382 3MRCEE0IB 71 104 0307-1601 40013374-44 NX3171HK 733382 3MRCEEOIB 75 30 0307-1601 40013374-123 NX3171HK 733382 3MRCEE01B 75 36 0307-1601 40013374-2 NX3171HK 733382 3MRCEE01B 76 21 0307-1601 40011047-148 NX2227HK 691280 3MRCEE01B 76 103 0307-1601 40011047-151 NX2227HK 691280 3MRCEEO1B 77 136 0307-1601 40013374-64 NX3171HK 733382 3MRCEEOIB 77 150 0307-1601 40013374-71 NX3171HK 733382 3MRCEEOIB 78 75 0307-1601 40013374-19 NX3171HK 733382 3MRCEE01B 78 87 0307-1601 4001 3374-37 NX3171HK 733382 3MRCEE01B 80 143 0307-1601 40013374-72 NX3171HK 733382 3MRCEE01B 81 22 0307-1601 40011047-155 NX2227HK 691280 3MRCEEOIB 81 68 0307-1601 40013374-9 NX3171HK 733382 3MRCEEOIB 83 26 0307-1601 40011047-194 NX2227HK 691280 3MRCEEOIB 83 30 0307-1601 40011047-189 NX2227HK 691280 3MRCEEOIB 83 90 0307-1601 40013374-25 NX3171HK 733382 3MRCEEOIB 83 96 0307-1601 40013374-35 NX3171HK 733382 3MRCEE01B 85 154 0307-1601 40013374-58 NX3171HK 733382 3MRCEEOIB 89 58 0307-1601. 40013374-6 NX3171HK 733382 3MRCEE01B 92 33 0307-1601 40013374-4 NX3171HK 733382 3MRCEE01B 92 111 0307-1601 40011047-149 NX2227HK 691280 3MRCEEO1B 92 151 0307-1601 40013374-50 NX3171HK 733382 3MRCEEOIB 93 46 0307-1601 40013374-7 NX3171HK 733382 3MRCEEOIB 95 82 0307-1601 40013374-42 NX3171HK 733382 3MRCEE01B 9s 94 0307-1601 40013374-27 NX3171HK 733382 3MRCEEOIB 95 96 0307-1601 40013374-47 NX3171HK 733382 3MRCEEOIB 96 137 0307-1601 40013374-66 NX3171HK 733382 3MRCEE01B 99 98 0307-1601 40013374-33 NX3171HK 733382 3MRCEE01B 100 31 0307-1601 40013374-1 NX3171HK 733382 3MRCEEO1E 100 87 0307-1601 40013374-29 NX3171HK 733382 3MRCEE01B 100 115 0307-1601 40013374-51 NX3171HK 733382 3MRCEEOIB 100 117 0307-1601 40013374-59 NX3171HK 733382 3MRCEEOIB 102 65 0307-1601 40013374-20 NX3171HK 733382 3MRCEE01B 102 73 0307-1601 40013374-18 NX3171HK 733382 3MRCEEOIB 102 83 0307-:1601 40011047-154 NX2227HK 691280 3MRCEEOIB 102 143 0307-1601 40013374-65 NX3171HK 733382 3MRCEEOIB 103 98 0307-1601 40013374-38 NX3171HK 733382 3MRCEE01B 103 124 0307-1601 40013374-60 NX3171HK 733382 3MRCEE01B 104 33 0307-1601 40013374-5 NX3171HK 733382.

3MRCEEOIB 104 87 0307-1601 40011047-153 NX2227HK 691280 Page 2 of 3

STEAM GENERATOR 3MRCEE01B DIWO 2486868 "HOT LEG" DFWO 2486865 te._________________ _

"_ S_._ __. "a an 3MRCEEOIB 106 79 0307-1601 40013374-24 NX3171HK 733382 3MRCEE01B 108 63 0307-1601 40013374-8 NX3171HK 733382 3MRCEEOIB 108 91 0307-1601 40011047-169 NX2227HK 691280 3MRCEE01B 108 123 0307-1601 40013374-63 NX3171HK 733382 3MRCEEOIB 109 .38 0307-1601 40013374-3 NX3171HK 733382 3MRCEEOIB 109 80 0307-1601 40011047-167 NX2227HK 691280 3MRCEEO1B 109 122 0307-1601 40013374-57 NX3171HK 733382 3MRCEEOIB 109 124 0307-1601 40013374-55 NX3171HK 733382 3MRCEEOIB 111 154 0307-1601 40013374-65 NX3171HK 733382 3MRCEEOIB 113 120 0307-1601 40013374-61 NX3171HK 733382 3MRCEE01B 114 67 0307-1601 40013374-21 NX3171HK 733382 3MRCEEOIB 117 130 0307-1601 40013374-54 NX3171HK 733382 3MRCEEOIB 120 59 0307-1601 40013374-13 NX3171HK 733382 3MRCEEO1B 120 89 0307-1601 40013374-36 NX3171HK 733382 3MRCEEO1B 121 86 0307-1601 40013374-26 NX3171HK 733382 3MRCEEO1B 130 101 0307-1601 40013374-41 NX3171HK 733382 3MRCEE01B 150 63 0307-1601 40013374-125 NX3171HK 733382 3MRCEE018 151 88 0307-1601 40013374-28 NX3171HK 733382 Page 3 of 3

ASME SECTION XI - REPAIR / REPLACEMENT Page of

1. Component ID 3MDGAE05 2. Code Class ASME Secton m Class 3

3. Item

Description:

Diesel Jacket Water Cooler 4.N-SDataPackageNumber 3DGOl-I1 5. W.O.Number: 2511167

6. Original Construction Code Edition: 1974 Edition. Sunmer 1976 Addenda

7. Original Installation Code Edition: 1974 Edition. Winter 1975 Addenda

8. Work

Description:

Weld repair of corroded areas on the Jacket Water Cooler-return cover inside at the Monel to Carbon Steel interface.

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:

Weld repair the corroded areas between the Monel and Carbon Steel interface to original condition. Condition caused by Holiday in coatings, renair areas to be coated with Beizona material which has proven to protect the surfaces of the coolers.

11. Repair/Replacement Work Organization: Arizona Public Service

12. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 3. 1974 Edition 1976 Summer Addenda

13. Repair/Replacement Activity Construction Code/Edition: Sec. II Cl3 1974 Edition 1975 Winter Addenda

14. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda- "' -

15. Preservic spection Required: a YES 3 NO Initial 2 . Date 04/14/2003 If required, include a step in the W.O. to perform Preservice Inspection

16. ASME S tion XI Pressure Test Required: 3 YES E NO Initia Date 04/14/2003 If required, include a step in the W.O. for IS & ANII Inspection.

17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date 04/14/2003 component.

18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date 04/14/2003 replacement items.

Item ID Part No. Serial No. Heat No. MR/PO/WO No.

Jacket Water Heat 4-500-19-515-001 OH0601 Exchanger

19. Plann A L Signature 04/14/2003 Date Printed Name: f:-~ Oct

20. ISI H7 04/14/2003 Printed Name: -: tIeEZ o7S Signature Date

21. ANII 794 04/14/2003 Printed Name: Ma (

Signae -Date b~~~~~~~enf~~~~~~~~~~~~o v_ s si~~~~~~~~~~~~~~~~~~~~~

-17 v=' I 7}DP9'17

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: 04/14/20031 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: 1 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road.. Tonopah. Arizona 85354-7529 Work Order Number 2511167

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

4. Identification of System: Diesel Generator "A"

5. (a) Applicable Construction Code ASME Section HI 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

__________ _____ ~~~~~~~~~~~~

Jacket Water American OH0601 35334 3MDGAE05 1980 Repaired YES Heat Exchanger Standard

7. Description of Work: Weld repair Jacket Water Cooler Monel to Carbon interface weld

8. Test Conducted: Hydrostatic E Pneumatic E] Nominal Operating Pressure 0 Exempt El N-416-1 0 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 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.

/

FORM NIS-2 (Back)

9. Remarks: Rework erroded area between Monel and Carbon Steel interface area on the Diesel Generator "A"Jacket Water Cooler Channel Cover asC,. (2/5( 71 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: NIA Signed: .,5-7 hŽLdL Date: 'f/,f/o3 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of _____ 03 to 6- lt-c , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section 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 Ins~ctors Signature Date:

U. -

73DP-9ZZ17 PV-E0092 Ver. Back Var.?7 Back 73DP-9ZZ17

ASME SECTION X - REPAIR/REPLACEMENT Page - of

1. Component ID 3MDGBE05 2. Code Class ASME SECTION IIfl CLASS 3

3. Item Description DIESEL JACKET WATER COOLER

4. N-5 Package Number 3DG02-10 5. W.O. Number 2511168

6. Original Construction Code Edition ASME SECTION III, CLASS 3, 1974, SUMMER 1976 ADD.

7. Original Installation Code Edition ASME III. CLASS 3, 1974 WINTER. 1975 ADD

8. Work Description Weld build up of corroded areas on the Jack Water cooler return cover ssA A4 a. e -

+tkfete an ;A14/ovl(tJ -no1,A1"> 11. a &/AH..LI A

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

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

Weld build up required due to exceeding minimium wall thickness of cover due to corrosion caused by holiday in coatings, repair areas to be coated with Beizona which has been proven to protect the surfaces of the coolers.

11. Repair/Replacement Work Organization APS

12. Replacement Item Construction or reconciled Code/Edition 1974 EDITION, SUMMvER 1976 ADDENDA

13. Repair/Replacement Activity Construction Code/Edition 1974 EDITION WINTER 1975 ADDENDA

14. ASME Section XI Code/Edition 1992 EDITION, 1992 ADDENDA

15. Preservice Inspection Required. O YES E NO S.E 04/03/03 ". If required, include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section Xi Pressure Test Required ID YES L NO S.E 04/03/03 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date S.E 04/03/03 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date S.E 04/03/03 18. Include a step in the W.O. to record below all applicable numbers for replacement items.

Initial Date ITEM l.D. PART NO. SERIAL NO. HEAT NO. MR/POIWO NO.

Heat Exchanger 4-500-19-515-001 OH0602

19. Planner nalue =a Print Name 5 i Q . l

20. ISI Enginee - -o3 Print Name k/( CScw, Signature Date

21. ANII ^ 0 cr 4/ VO Print Name_____________________

Signature Date

_VE09 ar 7 __0.. AA1 PV-Erm93 Vf. 73DP 9Z17

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 Comnanv. et. al Date 04/03/03 Name- I I - - - -

P.O. Box 53999, Phoenix. Arizona 85072-2034 SheerIt 1 of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit Name 5801 S. Wintersburg Rd.. Tonopah, Arizona 85354-7529 2511168 Address Work Order Number

3. Work Performed by APS Type Code Symbol Stamp None Name Authorization No. N[IA 5801 S.Wintersburg Rd., Tonopah, Arizona 85354-752S Expiration Date N.'A Address

4. Identification of System DG

5. (a) Applicable Construction Code ASME Sect. 3, CL 3 1974 Edition, S'76 Addenda, N-242 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 it or Stamped Item Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No)

Heat Exchanger American Standard OH0602 35335 3MDGNE05 1980 Repaired Yes

7. Description of Work Weld repair of jacket water cooler channel cover.

8. Test Conducted: Hydrostatic Q Pneumatic Q Nominal Operating Pre ssure 1l Exempt Q 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 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-9ZZ1 7

FORM NIS-2 (Back)

9. Remarks Rework of eroded areas of DG "B" Jacket water cooler Channel Cover cg / ,9*Ff1z 14foe CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ;____________ conforms to the rules repair or replacement of the ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiratiori Date N/A I Signed _

I~~~~~~~~~-5-c "fig Date 'ift1'13 Owner or Owners Designee. 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 Owner's Report during the period -L-a0s to _ -it____-____ , 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.

rlzi--,

Ins ector's Signature Commissions a-S 'Am, 'Ac 2 National Board, State, Province, and Endorsements Date 1-03 73DP-9ZZ1 7 PV-20092 Ver.

PV-E0092 BACK ver. 77 BACK 73DP-9ZZ1 7

ASME SECTION XI - REPAIR / REPLACEMENT Page of

1. Component l 3IDGAE04 2. Code Class ASME Secton III Class 3

3. Item

Description:

LUBE OIL COOLER

4. N-5 Data Package Number: 3DG0l-1 1 5. W.O. Number: 2511172

6. Original Construction Code Edition: 1974 Edition. Summer 1976 Addenda

7. Original Installation Code Edition: 1974 Edition. me4 197Mdenda 3

8. Work

Description:

REPAIR BASE METAL WITH WELD BUILD UP

9. E ISI Flaw NDE Method of Flaw Detection:

Report Number:

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

WELD BUILD UP OF BASE MATERIAL REQUIRED DUE TO EXCEEDING MINIMUM WALL THICKNESS.

REPAIRED AREAS TO BE AqgCTED WITH COATINGS.

11. Repair/Replacement Work Organization: Arizona Public Service

12. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 3, 1974 Edition 1976 Summer Addenda

13. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 3. 1974 Edition 1975 Winter Addenda

14. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda

15. Preservic Inspection Required: E YES 0 NO Initial A Date ..I (t(/..0 If required, include a step in the W.O. to perform Preservice Inspection

16. ASME Stion XI Pressure Test Required: 0 YES E] NO Initial ,A1 f Date fgl If required, include a step in the W.O. for ISI & ANI Inspection.

Initial InitialG D

Date ate TlnrlAr ytw aJ

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

/ 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date replacement items.

Item ID Part No. Serial No. Heat No. MR/PO/WO No.

3MDGAE04 5-046-19-108-003 OH0603 l _

19. Planner nr - Printed Name: Glenn Moore Signature ate'

20. [SI HG,45 Printed Name: __ __ _

Signature Date

21. ANII IZ O. Printed Name: t &

SignatuM Date PV'BB0139V. 7 73DP-9'Z17

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

1. Owner: A izona Public Service Company. et. al. Date: 04112/2003 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: I of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road.. Tonopah, Arizona 85354-7529 Work Order Number 2511172

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

4. Identification of System: 3MDGAE04

5. (a) Applicable Construction Code ASME Section III 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

_ _ __ _ __ _ _ _ _ __ __ __ _ _ __ _ _ _ N O)

DG "A" lube oil American 5-046-19-108- 35423 3MDGAE04 1980 Repaired YES cooler Standard 003

7. Description of Work:

8. Test Conducted: Hydrostatic D Pneumatic El Nominal Operating Pressure aJ Exempt a N-416-1 0 Other 01 Pressure psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided () size is 8 2X 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.

U

FORM NIS-2 (Back)

9. Remarks: WELD REPAIR OF BASE METAL W.O. # 2511172 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 NIA Certificate of Authorization No. N/A Expiration Date: N/A Signed: ,Zt'- J T7'a-r go., .e Date: 4/ 1 ,A -4 Owner or Owner's Designee, Title .11 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-\-o3 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 Inspectws Signature Date:

U-73DP-9ZZI *1 PV-E0092 ver.r. 77 Back PV-E092 Back 73DP-9ZZ1 7

ASME SECTION XI - REPAIR / REPLACEMENT Page I of -

I Component ID 3MDGBE04 2. Code Class ASME Sect on III Class 3

3. Item

Description:

DG LUBE OIL COOLER

4. N-5 Data Package Number: 3DG02-1O 5. W.O. Number: 2511173

6. Original Construction Code Edition: 1974 Edition. Summer 1976 Addenda

7. Original Installation Code Edition: 1974 Edition. Su4 .e 7Addenda

8. Work

Description:

WELD BUILD UP OF CORRODED AREAS 7

9. l S Flaw NDE Method of Flaw Detection:

Report Number:

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

RETURN BASE MATERIAL TO ORIGINAL CONFIGURATION.

11. Repair/Replacement Work Organization: Arizona Public Service

12. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 3. 1974 Edition 1976 Summer 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 V13

15. Preservice Inspection Required: a YES 0 NO Initial A Date 4/ b/83 If required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test Required: 0 YES 5 NO Initial/kQ Date /Y/dv If required, include a step in the W.O. for ISI & ANII Inspection.

_ I3 /17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date q component.

Init(al Date z /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. MRIPO/WO No.

CHANNEL ASSEMBLY 4-321-19-815-008 NIA N/A N/A

19. Planner L.

- Signature C L 1ZI 7 P d Date Printed Name: Glenn Moore

20. ISI Y//o3 V 0 Printed Name: A(v po*'ow Signature Date

21. ANII 6 A Printed Name: Bsch-r -.

Signature Date PV-EU093 Ve. 7 73DP.97211 1j!

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: 04/04/03 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: 1 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road.. Tonopah, Arizona 85354-7529 Work Order Number 2511173

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

4. Identification of System: Diesel Generator (DG)

5. (a) Applicable Construction Code ASME Section II1-NE. Class 3 1974 Edition, Summer 1976 Addenda, _ Code Case 7f-/e3 rl -<~3 (b) Applicable Edition of Section XI Utilized for Repairs or eplacements: 1992 Edition. 992 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

_ _ _ _ __ _ _ __ _ _ _ _ __ _ _ __ _ _ _ _ __ __ _ _ _ _ _ _ _ _ _ _ _ _N O)

Reversing spool American 9-02216-02-6 35424 3MDGBE04 1980 Repaired YES lube oil cooler Standard

7. Description of Work: Weld build up of corroded area

8. Test Conducted: Hydrostatic El Pneumatic I] Nominal Operating Pressure El Exempt a N-416-1 Z Other n Pressure _ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 /2X 1 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)

9. Remarks: W.O number 2511173 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: S ,c 44v- 2Z r Date: Y/9Io3 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of _ _ _ __ _

to - - , 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 Uspectors Signature Date:

Back Ver. 77 Back 73DP-9ZZ17 PV-E0092 Ver. 73DP-9ZZ17

ASME SECTION XI - REPAIR / REPLACEMENT Page of

1. Component ID 3JSGEPSVO578 2. Code Class ASME Section III Class 2

3. Item

Description:

Main Steam Safety Valve; Dresser 3707RA-RT25: 1290 DSig

4. N-S Data Package Number: 3SG01-2 5. W.O. Number: 2511189

6. Original Construction Code Edition: ASME III Class 2, 1974 Edition, Summer 1975 Addenda

7. Original Installation Code Edition: ASME III Class 2, 1974 Edition. Winter 1975 Addenda

8. Work

Description:

Replacement of main steam safety valve, with reconditioned and tested spare per Engineering direction following on-line pressure testing.

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 failure in the ASME HI pressure boundary. Spare valve is a like-for-like replacement and is being replaced based upon pressure testing.

11. Repair/Replacement Work Organization: Arizona Public Service

12. Replacement Items Construction or reconciled Code/Edition: ASME III Cl 2. 1974 Edition 1975 Summer Addenda

13. Repair/Replacement Activity Construction Code/Edition: ASME Sec. III Cl 2. 1974 Edition 1975 Winter Addenda

14. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda

15. Preservice Inspection Required: D YES 0 NO Initial .. .. Date 3"5 D.' If required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test Required: 0 YES al NO If required, include a step in the W.O. for ISI & ANII Inspection.

Initial &.., f Date '-11V

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 1-J-6' replacement items.

Item ID Part No. Serial No. Heat No. MR/PO/WO No.

3JSGEPSVO578 Apn#45003639 BS08600 N/A MR# 00736415

19. Planner Printed Name: David Goodlet Signature Date

20. ISI (/3/"3 Printed Name: Age 44G u't s O '

Signature Date

21. ANII < '- Printed Name: _ __________

signae Date

_YkAA . _

-PAWE09er. Jur-w wis

ASME SECTION XI- REPAIR I REPLACEMENT Page of

1. Component ID 3JSGEPSVO577 2. Code Class ASME Section III Class 2

3. Item

Description:

Main Steam Safety Valve: Dresser 3707RA-RT25; 1315 psig

4. N-5 Data Package Number 3SG01-2 5. W.O. Number: 2511189

6. Original Construction Code Edition: ASME III Class 2, 1974 Edition, Summer 1975 Addenda

7. Original Installation Code Edition: ASME III Class 2, 1974 Edition. Winter 1975 Addenda

8. Work

Description:

Replacement of main steam safety valve, with reconditioned and tested spare, per Engineering direction following on-line pressure testing.

9. E 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 failure in the ASME HI pressure boundary. Spare valve is a like-for-like replacement and is being replaced based upon pressure testing.

11. Repair/Replacement Work Organization: Arizona Public Service

12. Replacement Items Construction or reconciled Code/Edition: ASME III Cl 2. 1974 Edition 1975 Summer Addenda

13. Repair/Replacement Activity Construction Code/Edition: ASME Sec. HI Cl 2. 1974 Edition 1975 Winter Addenda

14. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda

15. Preservice Inspection Required: E YES [ NO Initial > Date 5 - ?- Iff required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test Required: 0 YES C NO Initial , Date - D3 I ,?required, include a step in the W.O. for ISI & ANI Inspection.

7. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial 4. Date 3- -3N> I'3mponent.

18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial .% Date 3*-L. replacement items.

Item ID Part No. Serial No. Heat No. MR/PO/WO No.

3JSGEPSVO577 Apn# 45003638 BS08606 N/A MR# 00736407

19. Planner ______ 3;___ Printed Name: David Goodlet Signature Date

20. ISI Y A/ " 3 Printed Name: A (arva Signature Date

21. ANII S 4:;Z. 0 Printed Name: t?.6o.

Siatuq Date pV93 4Vf. 7

(

ASME SECTION XI- REPAIR I REPLACEMENT Page . .of_____

1. Comnponent ED 3SGEPSVO559 2. Code Class ASME Section HII Class 2

3. Item

Description:

Main Steam Safety Valve: Dresser 3707RA-RT25: 1315 psig

4. N-5 Data Package Number: 3SG02-2 5. W.O. Number: 2511189

6. Original Construction Code Edition: ASME III Class 2, 1974 Edition, Summer 1975 Addenda

7. Original Installation Code Edition: ASME III Class 2, 1974 Edition. Winter 1975 Addenda

8. Work

Description:

Replacement of main steam safety valve, with reconditioned and tested spare. per Engineering direction following on-line pressure testing.

a

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:

Not failure in the ASME m pressure boundary. Spare valve is a like-for-like replacement and is being replaced based upon pressure testing.

11. Repair/Replacement Work Organization: Arizona Public Service

12. Replacement Items Construction or reconciled Code/Edition: ASME I Cl 2. 1974 Edition 1975 Summer Addenda

13. Repair/Replacement Activity Construction Code/Edition: ASME Sec. III Cl 2. 1974 Edition 1975 Winter Addenda

14. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda

15. Preservice Inspection Required: l YES 0 NO Initial X;; Date 3-3 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 A S; Date - If required, include a step in the W.O. for ISI & ANM Inspection.

17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial ,dJCZ Date 3. L component.

18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Amp Date .-2-C*3 replacement items.

Item ID Part No. Serial No. Heat No. MR/PO/WO No.

3JSGEPSVO559 Apn# 45003638 BT01667 N/A MR# 00736404

19. Planner Printed Name: David Goodlet Signature Date

20. ISI z '~ - 1/ 3/3 PrintedAName: Akt't c"f Signature Date l 21. ANII ZV-3 S - Printed Name: Q a ILSrR6o

.- Vu I _ flpr.,aDat PV4-UM V 7 73UD4Z77

ASME SECTION XI - REPAIR / REPLACEMENT Page - of

1. Component ID 3JSGEPSVO694 2. Code Class ASME Section III Class 2

3. Item

Description:

Main Steam Safety Valve: Dresser 3707RA-RT25: 1315 psig

4. N-5 Data Package Number: 3SG02-2 5. W.O. Number: 2511189

6. Original Construction Code Edition: ASME III Class 2, 1974 Edition, Summer 1975 Addenda

7. Original Installation Code Edition: ASME III Class 2, 1974 Edition. Winter 1975 Addenda

8. Work

Description:

Replacement of main steam safety valve, with reconditioned and tested spare. per Engineering direction following on-line pressure testing.

9. E ISI Flaw NDE Method of Flaw Detection:

Report Number: J

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

Not failure in the ASME III pressure boundary. Spare valve is a like-for-like replacement and is being replaced based upon pressure testing

11. Repair/Replacement Work Organization: Arizona Public Service

12. Replacement Items Construction or reconciled Code/Edition: ASME III Cl 2. 1974 Edition 1975 Summer Addenda

13. Repair/Replacement Activity Construction Code/Edition: ASME Sec. 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 J Date 3- 3 D . If required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test Required: 0 YES E NO Twit..l >! n 3-7-DIf required, include a step in the W.O. for ISI & ANII Inspection.

A SSLI a .4 ! Z 3 dr . L~d.LV __ __ __ __ __ __ _

17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial j Date 3 - component.

18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial A Date 3-,F D replacement items.

Item ID Part No. Serial No. Heat No. MR/PO/WO No.

3JSGEPSVO694 Apn# 45003638 BS08585 N/A MR# 00736409

19. Planner JUV Printed Name: David Goodlet Signature Date

20. ISI 6E I/31C)3 PrintedName: 6 Vov Signature Date 121 ANII Signaih ^1-*Printed Name: 2 &

l ~~~~Signa re Date 11EW9 Vet 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: 03/03/2003 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: 1 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529 Work Order Number 2511189

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

4. Identification of System: SG: Main Steam System

5. (a) Applicable Construction Code ASME Section 111 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)

Safety Valve Dresser BS08585 n/a 3JSGEPSV694 1978 Replacement YES Safety Valve Dresser BT01667 n/a 3JSGEPSV559 1979 Replacement YES Safety Valve Dresser BS08606 n/a 3JSGEPSV577 1980 Replacement YES Safety Valve Dresser BS08600 n/a 3JSGEPSV578 1980 Replacement YES

7. Description of Work: Replace main steam safety valves with reconditioned and tested spares.

8. Test Conducted: Hydrostatic a Pneumatic D Nominal Operating Pressure Exempt El NA416-1 0 Other Q 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 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

I FORM NIS-2 (Back)

• Remarks: WO# 2511189 for the replacement of main steam safety valves 3JSGEPSVO694. 559. 577 and 578. These four valves were selected by maintenance engineering following on-line set pressure testing.

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: Fi P f- 2 See. $.L 6al Date: 5t/,*Fo 3 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of A_-__-_ _ _

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.

,-92L i Commissions: NB 9685 "N""fir AZ264 National Board, State, Province. and Endorsements hIpectors Signature Date: 1-2s-o3 73DP-9ZZI '7 PV-E0092 Ver. 77 Back PV-E0092 Ver. Back 73DP-9ZZ17

ASME SECTION Xi - REPAIR/REPLACEMENT Peo

1. Component ID 3JRCEPSVO200 2. Code Class ASME Section III Class 1

3. Item Description Pressurizer Safety Relief Valve

4. N-5 Package Number 3RC03-3 5. W.O. Number 2511513

6. Original Construction Code Edition ASME Section I, Class 1, 1974 Edition, Summer 1975 Addenda

7. Original Installation Code Edition ASME Section III, Class 1. 1974 Edition. Winter 1975 Addenda

8. Work Description Replace the Pressurizer safety valve with a reconditioned spare.

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

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

No failure of ASME m pressure boundary. Spare valve is a like-for-like replacement and is being replaced to support Vendor testing. The replacement valve is SN BS-08590.

11. Repair/Replacement Work Organization Arizona Public Service

12. Replacement Item Construction or reconciled Code/Edition ASME III, Class 1, 1974 Edition, S 1975 Addenda

13. Repair/Replacement Activity Construction Code/Edition ASME HI, Class 1, 1974 Edition, W 1975 Addenda

14. ASME Section Xl Code/Edition 1992 Edition and 1992 Addenda

15. Preservice Inspection Required. L YES Ed NO BV 09/16/02 If required, include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section Xl Pressure Test Required [El YES U NO BV 09/16/02 If required, include a step in the W.O. for ISI &ANII Inspection.

Initial Date I BV 09/16/02 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date BV 09/16102 18. Include a step in the W.O. to record below all applicable numbers for replacement items.

Initial Date ITEM l.D. PART NO. SERIAL NO. HEAT NO. C8ONWO NO.

3JRCEPSVO200 N/A BS-08590 N/A 19..PlannePr e -[

Signature L7 /t/aZtm' Dfte Name Barbara Vidal

20. ISI Engineer ea 4 ffse/crz0- Print Name lip l A &-"L A(ro,)

Signature Date 21.ANII 4 Print Name Robert Hogstrom

.1 PV-E0093 Ver.77nature Date PV-E0093 Vr. 7 3VF41ZZt 7

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 09/16/02 NaMe P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 213 Name 5801 S. Wintersburg Rd.. Tonopah, Arizona 85354-7529 2511513 _

Address Work Order Number

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

4. Identification of System RC - Reactor Coolant System

5. (a) Applicable Construction Code ASME Sec I Class 1 1974 Edition, '75 S Addenda, 1711 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 Item Manufacturer Serial No. Board No. Identification Built or (Yes or No)

PSV Dresser BS-08590 N/A 3JRCEPSV200 1979 Replacement Yes

_~~~~~~~~~~~

J. L L J .4. 4 1 4 4 I L.....J _ _____I I.________

7. Description of Work

8. Test Conducted: Hydrostatic Pneumatic E Nominal Operating Pressure E Exempt l N-416-1 Q Other Pressure -246(- psi Test Temp. I } OF

. -&/oC ZlbeZ 7 -21wt 1< Eb--Z-NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 x 11 in.,

(2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

PV-E0092 Ver. 7 73DP-9ZZ 7

FORM NIS-2 (Back)

9. Remarks WO # 2511513. PSV being replaced as part of routine maintenance. (SN BS-08590)

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. repair or replcement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A SignedR k. )vZe, Ae Jt I. (< 1A Date - Z 3-?-Ž deifer or Owner's Designee. Title CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut , have inspected the components described in this Owner's Report during the period .o o - to -t-z -o3 , 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.

1'-'-6 Commissions ,As -'(.s c A 24 Insper's Signature National Board. State, Province, and Endorsements Date 4-Z1-oa 730P-9ZZ17 PV-E0092 Ver. 7 PV-E0092 Ver. BACK 7 BACK 73DP-9ZZ17

ASME SECTION X - REPAIRIREPLACEMENT Page _ of _

1. Component ID 3RCEPSVO201 2. Code Class ASME Section III, Class I

3. Item Description Pressurizer Safety Relief Valve

4. N-5 Package Number 3RC03-3 5. W.O. Number 2511514

6. Original Construction Code Edition ASME Section III, Class 1, 1974 Edition, Summer 1975 Addenda

7. Original Installation Code Edition ASME Section m, Class 1, 1974 Edition. Winter 1975 Addenda

8. Work Description Replace the Pressurizer safety valve with a reconditioned spare.

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 of ASME I pressure boundary. Spare valve is a like-for-like replacement and is being replaced to support Vendor testing. The replacement valve is SN BS-08566.

11. Repair/Replacement Work Organization Arizona Public Service

12. Replacement Item Construction or reconciled Code/Edition ASME m, Class 1, 1974 Edition, S 1975 Addenda

13. Repair/Replacement Activity Construction Code/Edition ASME aTL Class 1, 1974 Edition, W 1975 Addenda

14. ASME Section Xi Code/Edition 1992 Edition and 1992 Addenda

15. Preservice Inspection Required. Q YES i NO BV 09/16/02 If required, include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section Xl Pressure Test Required fX YES IQ NO BV 09/16/02 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date BV 09/16/02 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date BV 09/16/02 18. Include a step in the W.O. to record below all applicable numbers for replacement items.

Initial Date ITEM .D. PART NO. SERIAL NO. HEAT NO. (MFVPO/WO NO.

3JRCEPSVO201 N/A BS-08566 N/A 731 353

19. Planner A// 9 0*0,rint Name Barbara Vidal Signature [fate

20. ISI Engineer G o zcot-1(e4 l/24Z. PrintName 4M 4w Signature Date

21. ANII <J '2t Print Name Robert Hogstrom (4ignature Date

__E09 7 ,ar _3PZ1 IPV-Eoo93 Vn 7 73DP,9ZZ17

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 09/16/02 Name P.O. Rnx 53999. Phoenix. Ari7ona R5072-2034 L Sheet 1 of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3 Name 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 2511514 Address Work Order Number

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

4. Identification of System RC - Reactor Coolant System

5. (a) Applicable Construction Code ASME Sec III Class 1 19 74 Edition, '75 S 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 or ASME Code Stamped Item Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No)

PSV Dresser BS-08566 N/A 3JRCEPSV201 1979 Replacement Yes 4- + .t 1- t--t I 4 4- + 4- 4

7. Description of Work

8. Test Conducted: Hydrostatic E Pneumatic Nominal Operating Pressure j3 Exempt N-416-10 Other 1j Pressure -241O 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.

3P9Z

,VEO2Vr PV-E0092 Ver. 7 73DP-9Z 7

FORM NIS-2 (Back)

9. Remarks WO # 2511514, PSV being replaced as part of routine maintenance. (SN BS-08566)

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. or replacement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expjratiori Date N/A Signed .4 / L' _ Date Y-0 Owr &wn4irs Deslg5 ibe 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 -o ga to U-xa-o3 , 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.

".k.A Commissions ,:25 ,ta sA A 2.4 InsIctor's Signature National Board, State, Province, and Endorsements Date_

73DP-9ZZ17 PV-E0092 Ver. 7 PV-E0092 Var. BACK 7 BACK 73DP-9ZZ1 7

ASME SECTION X - REPAIR/REPLACEMENT Page of_

1. Component ID 3JRCEPSVO202 2. Code Class ASME Section III. Class I

3. Item Description Pressurizer Safety Relief Valve

4. N-5 Package Number 3RC03-3 5. W.O. Number 2511515

6. Original Construction Code Edition ASME Section III, Class 1, 1974 Edition, Summer 1975 Addenda

7. Original Installation Code Edition ASME Section H. Class 1, 1974 Edition. Winter 1975 Addenda

8. Work Description Replace the Pressurizer safety valve with a reconditioned spare.

9. U 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 of ASME III pressure boundary. Spare valve is a like-for-like replacement and is being replaced to support Vendor testing. The replacement valve is SN BS-08592.

11. Repair/Replacement Work Organization Arizona Public Service

12. Replacement Item Construction or reconciled Code/Edition ASME III, Class 1, 1974 Edition, S 1975 Addenda

13. Repair/Replacement Activity Construction Code/Edition ASME III, Class 1, 1974 Edition, W 1975 Addenda

14. ASME Section Xl Code/Edition 1992 Edition and 1992 Addenda

15. Preservice Inspection Required. O YES Et NO BV 09/16102 If required, include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section Xl Pressure Test Required Ed YES L NO BV 09/16/02 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date BV 09/16/02 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date BV 09/16/02 18. Include a step in the W.O. to record below all applicable numbers for replacement items.

Initial Date ITEM I.D. PART NO. SERIAL NO. HEAT NO. 1lAO/WO NO.

3JRCEPSVO202 N/A BS-08592 NIA 73g36,4 I

19. Plannn 4 9I1//bZ) Print Name Barbara Vidal

20. ISI Engineer A1- O r 1Y26/oZ Print Name /4/4~e rpo Signature Date 21.ANII Zt7 t ' - Print Name Robert Hogstrom signature Date p/.g3 7 yin. 7 730P-BZZI7 PV-EDos3 Ver. 73OP-OZZ17

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 09/16/02 Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3 Name 5801 S. Wintersburp Rd.. Tononah. Arizona 85354-7529 2511515 Address VVOrk Urder Nufltber

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

4. Identification of System RC - Reactor Coolant System

5. (a)Applicable Construction Code ASME Sec III Class 19 74 Edition, '75 S Addenda, 1711 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 Item Manufacturer Serial No. Board No. Identification Built RSment(Y ampeNd PSV Dresser BS-08592 N/A 3JRCEPSV202 1979 Replacement Yes I II II II_

Jo

7. Description of Work

8. Test Conducted: Hydrostatic l Pneumatic ii Nominal Operating Pressure a Exempt U N-416-1 El Other l Pressure psi Test Temp. -653- IF 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.

a 73DP-9ZZ17 PV-E0092 PV-E0092 Ver 7 Ver. 7 73DP-9ZZ17

FORM NIS-2 (Back)

9. Remarks WO # 2511515, PSV being replaced as part of routine maintenance. (SN BS-08592)

CERTIFICATE OF COMPLIANCE We certify that the statements made Inthe report are correct and this replacement conforms to the rules of the ASME Code, Section Xi. repair or rep acement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signe d  ! /7? A.'kL-4 Date A/-2 Sk -Q

\3 Owner or Owner's Designee. Tie 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 to-2-e. to At_ ____ , 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 ME, -A-5

" -" Ax 2(-"A Inspe s Signature National Board, State, Province, and Endorsements Date 73DP-gzz17 PV-E0092 Ver.

PV-EX092 BACK Vet.?7 BACK 73DP-9ZZ17

XI- REPAIR/REPLACEMENT ASME SECTION ASME SECTION X - REPAIR/REPLACEMENT Page _ of

1. Component ID 3JRCEPSVO203 2. Code Class ASME Section III, Class 1

3. Item Description Pressurizer Safety Relief Valve

4. N-5 Package Number 3RC03-3 5. W.O. Number 2511516

6. Original Construction Code Edition ASME Section m, Class 1, 1974 Edition, Summer 1975 Addenda

7. Original Installation Code Edition ASME Section I. Class 1. 1974 Edition. Winter 1975 Addenda

8. Work Description Replace the Pressurizer safety valve with a reconditioned spare.

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 of ASME III pressure boundary. Spare valve is a like-for-like replacement and is being replaced to support Vendor testing. The replacement valve is SN BS-08568.

11. Repair/Replacement Work Organization Arizona Public Service

12. Replacement Item Construction or reconciled Code/Edition ASME m, Class 1, 1974 Edition, S 1975 Addenda

13. Repair/Replacement Activity Construction Code/Edition ASME III, Class , 1974 Edition, W 1975 Addenda

14. ASME Section Xl Code/Edition 1992 Edition and 1992 Addenda

15. Preservice Inspection Required. U YES El NO BV 09/16/02 If required, include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section Xl Pressure Test Required 0 YES E NO BV 09/16/02 If required, Include a step in the W.O. for ISI & ANII Inspection.

Initial Date BV 09/16/02 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date BV 09/16/02 18. Include a step in the W.O. to record below all applicable numbers for replacement items.

Initial Date ITEM I.D. PART NO. SERIAL NO. HEAT NO. Q&POIWO NO.

3JRCEPSVO203 N/A BS-08568 N/A 73936q

19. Plannnv. . /1i 1/t/ rint Name Barbara Vidal Signature Pate

20. ISI Engineer C 1A6

%11 fe Print Name ItfnHInd, A"o Baths Signature . Date

21. ANII Dat Print Name Robert Hogstrom

-En Veature Date PV-EO093 Ver. 7 73DP4OZZ1 7

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 09/16/02 Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet I of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3 Name 5801 S. Wintersbure Rd.. Tonopah, Arizona 85354-7529 2511516 Address Work urger Number

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

4. Identification of System RC - Reactor Coolant System

5. (a) Applicable Construction Code ASME Sec III Class 11974 Edition, 75 S Addenda, 1711 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 Item Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No)

PSV Dresser BS-08568 N/A 3JRCEPSV203 1979 Replacement Yes

7. Description of Work

8. Test Conducted: Hydrostatic El Pneumatic Q Nominal Operating Pressure El Exempt I N-416-1 Q Other Q Pressure_'. psi' - Temp. . 1 IF 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.

?30P-9ZZI 7 PV-EOO92Ver.7 PV-E0092 Ver. 7 73DP-9Z17

FORM NIS-2 (Back)

9. Remarks WO # 2511516, PSV being replaced as part of routine maintenance. (SN BS-08568)

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 Signed ,Al

-7 Date CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut , have inspected the components described in this Owner's Report during the period a-2-oa to _ _-2_ ___ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

Commissions P,,G6C- A,? .ZGq Instor's Signature National Board, State. Province, and Endorsements

- Date _ _ _ _ __

73DP-9ZZ17 PV-E0092 Ver. 7 PV-E0092 Ver. BACK 7 BACK 73DP-9ZZ17

ASME SECTION X - REPAIR/REPLACEMENT

1. Component ID 3RCEPO1D 2. Code Class ASME Section I Class

3. Item Description Reactor Coolant Pump

4. N-5 Package Number 3RC02-6 5. W.O. Number 2511550

6. Original Construction Code Edition ASME Section III, Class 1, 1974 Edition

7. Original Installation Code Edition ASME Section m, Class 1, 1974 Edition, Winter 1975 Addenda

8. Work Description Mechanical Seal Replacement as a part of normal maintenance.

9. 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 m, Class 1, 1974 Ed

13. Repair/Replacement Activity Construction Code/Edition ASME Section Im, Class 1, 1974 Ed, Winter 1975 Add.

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

15. Preservice Inspection Required. l YES [d NO BV 09/18/02 If required, Include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section Xl Pressure Test Required iD YES J NO BV 09/18/02 If required, Include a step Inthe W.O. for ISI & ANII Inspection.

Initial Date BV 09/18/02 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date BV 09/18/02 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.

3rd Stage Seal Retainer 1663509 0%-.574- N - N/A

19. Plan r Signature

- OkP~jnt Name Barbara Vidal

20. ISI Engineer - ///3A2 Print Name A°;t coK 7 Signature Date

21. ANII '-'3-oZ Print Name Ps 6 G-,zrT Signature Date 730P4ZZ17~~~~~~A Vw. S PV EOM9PV-C0093 Ver 6 73DP4=Z1 7

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 09/18/02 Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet I of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3 Name 5801 S. Wintersburg Rd.. Tonovah, Arizona 85354-7529 2511550 Address Work Order Number l 3. Work Performed by Arizona Public Service Type Code Symbol Stamp None Name Authorization No. N/A 5801 S Wintersburg Rd Tonopah, AZ 85354 Expiration Date N/A Address

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

5. (a) Applicable Construction Code Section I Class 1 1974 Edition, W'75 Addenda, N/A 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 Item Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No) 3rd Stage Retainer Sulzer r NN/A 3MRCEPO1D 1985 Replacement Yes

7. Description of Work Replacement of 3rd stage seal retainer on RCP 2B

8. Test Conducted: Hydrostatic I Pneumatic U Nominal Operating Pressure a Exempt Q N-416-1 E Other Q Pressure psi Test Temp. OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 x 11 In.,

(2) information In Items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

73DP-BZZ17 PV-E0092 Ver. 7 PV-E0092 Ver. 7 73DP-9ZZ17

FORM NIS-2 (Back)

9. Remarks WO# 2511550 to replace mechanical seals in RCP 3MRCEPO1D as part of normal maintenance.

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. repair or replacement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed Flebb po7MS- 01- 5fZ. .Zr S &qv& Date .3 Owner or Owners Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut , have inspected the components described in this Owner's Report during the period it-tz- a to _ 4-z__ S_ _ , 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.

14-2:1

,:Or '6 In tector's Signature Commissions sub 'ztA -A Az. 2GA National Board, State, Province, and Endorsements Date 'a-Zs-OS 730P-9ZZ17 Pv-E0092 Ver.

PV-EXD92 BACK 7 BACK Ver. 7 73DP-9ZZ1 7

ASME SECTION XI - REPAIR REPLACEMENT Page 1 of v

1. Component ID 3PCHNV471 2. Code Class ASME Section 111 Class 2

3. Item

Description:

3" SWING CHECK VALVE

4. N-5 Data Package Number: 3CH122 5. W.O. Number. 2533773

6. Original Construction Code Edition: 1974 Edition. Winter 1975 Addenda

7. Original Installation Code Edition: 1974 Edition. Winter 1975 Addenda

8. Work

Description:

REWORK 3" CHECK VALVE TO CORRECT LEAKAGE PAST THE SEAT.

9. a 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 of the code boundary. Replacing disc to correct seat leakage.

11. Repair/Replacement Work Organization: Arizona Public Service

12. Replacement Items Construction or reconciled Code/Edition! Sec. 1II Cl 2. 1974 Edition 1975 Winter Addenda

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

14. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda

15. Preservice Inspection Required: E YES 0 NO Initial A Date 9-A; 'Amp6A If required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test Required: a YES s NO Initial .LI Date /f - ZX 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 Daeyz;'-/;-Z Date component.

18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial y....... Date 9-/;t-L

• replacement items.

Item ID Part No. Serial No. Heat No. MRJPO/WO No.

DISC & STUD ASSY APN 45020877 190697 8654138 MR 681427

19. Planner -j 9 leVZPrinted Name: David Goodlet Date

20. ISI _ _ ___ Printed Name: iZ Signature Date

21. ANTI A-IZ-o PrintedName Q-4 '(

I signature De

-- v.W nDP-9Z117

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: 09/12/2002 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: I of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road.. Tonopah, Arizona 85354-7529 Work Order Number 2533773

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: Volume and Chemical control

5. (a) Applicable Construction Code ASME Section III 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 I. C I Y 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)

Disc & Stud Borg-Warner 190697 N/A 3PCHNV471 2002 Replacement NO Ass'y

7. Description of Work: Rework 3" check valve to correct leakage past.the.seat.

S. Test Conducted: Hydrostatic 0 Pneumatic C Nominal Operating Pressure 0 Exempt 3 N416-1 0 Other 0 Pressure psi Test Temperature OF I NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 '/2 X II 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)

9. Remarks: WO# 2533773 for the rework of 3" check valve. 3PCHNV47 1.to correct leakage past the seat.

I .,%r a-t Ca It F-i,A Vus , i.Z X k,.&VeveM 14: 6X631 I ,(. in 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: . Se - Zs. _, to Date: //6/02

/ / ~ 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 of q-g2-o2 to t-o.2 ,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section 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 qnspectors Signature Date: ' IieCl2 I-Bac

-Va.7 Back

- E00---9 73 P9Z PV-E0092 Vr. .73DP-9ZZ17

ASME SECTION X - REPAIR/REPLACEMENT

1. Component ID 3MEWAEO1 2. Code Class ASME Section III Class 3

3. Item Description ESSENTIAL COOLING WATER HEAT EXCHANGER "B"

4. N-5 Package Number 3EW01-1 5. W.O. Number 2537300

6. Original Construction Code Edition 1974 Edition, Winter 1975 Addenda.

7. Original Installation Code Edition 1974 Edition, Winter 1975 Addenda.

8. Work Description WELD BUILD-UP MATERIAL REPAIR OF DEFECTS IDENTIFIED IN THE TUBE (Spray Pond) SIDE OF THE HEAT EXCHANGER.

9. LI Is1Flaw 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 INSPECION 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. m CI.3/74 Edition 75 Winter Addenda

13. Repair/Replacement Activity Construction Code/Edition Sec. m Cl.3/74 Edition '75 Winter Addenda

14. ASME Section Xl Code/Edition 1992 Edition and 1992 Addenda

15. Preservice Inspection Required. El YES El NO 1t '/04iz-0oel If required, include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section XI Pressure Test Required [El YES El NO Ky<-s If required, include a step in the W.O. for ISI & ANII Inspection.

Inlial Date g4S _ l____a_ 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

initial Date Ears 4___1_____ 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.

3MEWAEO1 NIA N/A N/A N/A Planner _9. 04/14/03 Prnt Name KARL V. SAVAGE Si a 1 gqap~g-3/Date

20. SI Engineerk 7tj Print Name WIEY AHLSTROM Signature Date

21. ANII .6 'f-s-03 Print Name ROBERT G. HOGSTROM O 16y6ululu Dud PV4E=93 er. 73DP 9217.

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 04/14/03 Name P.O. Box 53999- Phoenix- Arizona 85072-2034 Sheet 1 of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3 Name 5801 S. Wintersbure Rd.. Tonoriah. Arizona 85354-7529 2537300 -~~

ads____ WAS N~~~~~-PL worlf Wn.r su. e Address

3. Work Performed by Arizona Public Service Company Type Code Symbol Stamp None Name Authorization No. N/A 5801 S.Wintersburg Rd.,Tonopah Arizona,85354-7529 Expiration Date N/A Address

4. Identification of System EW, ASME Section III, Class 3

5. (a) Applicable Construction Code Section III, Class 3 1974 Edition, WP75 Addenda, Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code Item Manufacturer Serial No. Board No. Identification Built or Stamped Item Rep~~~~~~~~~~(Yes or No)

~~~~~~lacemrent 3A EW Ht. Exch. Struther Wells Corp. 17606329151 14610 3MEWAEo1 '80 Repaired Yes

7. Description of Work Weld Build-up, Material Repair.

8. Test Conducted: Hydrostatic I Pneumatic la Nominal Operating Pressure I Exempt Q N-416-1 El Other 3 Pressure psi Test Temp. OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 x 11 in.,

(2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

73DP-9ZZ17 PV-E0092 Ver.

PV-E0092 6 Var. 6 73DP-gZ17

FORM NIS-2 (Back)

9. Remarks Pressure Test per N-416-1, Performed Weld Repair/Build-up of Eroded areas designated by Engineering in the Tube (Spray Pond) Side of the Heat Exchanger.

Wac>. .2s3To0o 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. repairorreplacement Type Code Symbol Stamp Certificate of Authorization No. Expiration Date Signed IS Fn vineer Date W/i Vfo 3 Owner or Owner's Designee, Tile 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 HSBI & I CO.

of Hartford. Connecticut , have inspected the components described in this Owners Report during the period <-'s-o. to <-'k-o3 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described Inthis Owners Report In accordance with the requirements of the ASME Code, Section Xl.

By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners 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.

'0 '6 Z'el-Inspe 3rs Signature Commissions NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Date .

73DP-gzzll PV-EX092 BACK Vet. 66 BACK PV-E0092 Ver. 73DP-9ZZ17 7

ASME SECTION XI - REPAIR REPLACEMENT

1. Component ID 3PSGEL005 2. Code Class ASME Section III Class 2

3. Item

Description:

Main Steam Feedwater SG# 2

4. N-S Data Package Number: 3SG02-1 5. W.O. Number: 2541395

6. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda

7. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda

8. Work

Description:

Replace the 450 Elbows and associated piping on line 03PSGELOO5, Spool S012, with > 0.1% Chrome content materials. Ket. 03-P-SGF-1 19.

9. 11SI Flaw NDE Method of Flaw Detection:

Report Number:

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

mtq71S/ ~04/ 1 sIhntt Wotr q a

11. Repair/Replacement Work Organization: Arizona Public Service

12. Replacement Items Construction or reconciled Code/Edition: ASME Section III Class 2, 1974 w/ Summer 1975

13. Repair/Replacement Activity Construction Code/Edition: ASME Section III Class 2, 1974 w/Winter 1975

14. ASME Section XI Code/Edition: 1992 Edition, 1992 Addenda

15. Preservice Inspection Required: E YES NO Initial K Date RA r 11'required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test Required: 3 YES NO Initial o Date a$4  :. Ifrequired, include a step in the W.O. for ISI & ANII Inspection.

7. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial 4*./ Date Dt I )mponent.

18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial a Date . / replacement items.

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

14" Pipe SA 106 Gr. B APN 00070175 N/A 7 03 14", 450 Elbow SA 420 Gr. APN 00070174 N/A WPL6 _ __ __ R _

20. Plann5/er 3 Printed Name: i B Signature Date

.I

21. ANII Signatu#

/4rAi 6 Date Printed Name: e (4sG Mtww9 Ver.6 73DYr-9771

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: 10/21/2002 P. O. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2541395

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 3PSGEL005 2003 Replacement NO Pipe Spool S012

7. Description of Work: Replace replace Spool S012 and associated piping on line 03PSGEL005 with > 0.1% Chrome content materials. Ref. 03-P-SGF-1 19.

8. Test Conducted: Hydrostatic a Pneumatic 5 Nominal Operating Pressure a Exempt a N416-1 3 Other 5 Pressure - psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 /2 X 1 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)

9. Remarks: Replace the 450 Elbows and associated iing online 03PSGELOO5, Spool S012, with > 0.1% Chrome content materials AW work order 2541,ff55. Rtef.03-P-SGF-1 19.

-t-r 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. I NA - Expiration Date: NIA Signed: Date: 4/- a Jom Owner -*Wde~s Desi~e-e, 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 '-'4-o3 to '4- Z%-o3 , 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.

AZt, Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Ifl4ectors Signature Date: '4-Z1-oT I-

- ~ v r i - ci y -ru r -E00u.2 vcr. Back 3 U - LL 73D)P-9ZZ I7

ASME SECTION XI- REPAIR / REPLACEMENT

1. Component ID 3PSGEL013 2. Code Class ASME Section III Class 2

3. Item

Description:

Main Steam Feedwater SG# I

4. N-5 Data Package Number: 3SGOI-1 5. W.O. Number: 2541396

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 3PSGEL013 with > 0.1% Chrome content materials.

Ket. U3-P-S(UF-l lY.

9. D ISI Flaw NDE Method of Flaw Detection:

Report Number:

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

fye1Cdt ~ iM~~'(A#

t a It'do Al aI-^ Cl -,IXr me>1~~~~~~~~"V IIu'KN"4YFol

11. Repair/Replacement Work Organization: Arizona Public Service

12. Replacement Items Construction or reconciled Code/Edition: ASME Section III Class 2, 1974 w/ Summer 1975

13. Repair/Replacement Activity Construction Code/Edition: ASME Section III Class 2, 1974 w/Winter 1975

14. ASME Section XI Code/Edition: 1992 Edition, 1992 Addenda

15. Preservice Inspection Required: [D YES [l NO Initial __ Date d: required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test RequiresI: 0 YES E NO If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Dat 4 ate

17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date 0/o/02- component.

18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial D Date ,4/O* replacement items.

Item ID Part No. Serial No. Heat No. MRIROS No.

14" Pipe SA 106 Gr. B APN 00070175 N/A - 3 1 53c'3 14", 450 Elbow SA 420 Gr. APN 00070174 N/A WPL6

19. Planner ja Printed Name: e- cc;zo

20. ISI 5/ 3 Printed Name :____ ____ ___

Signature Date

21. ANII gf 4 Printed Name: e. &*

Signature Date PV*W091 vet 6 sour 71 E

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: 10/21/2002 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet; I of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2541396

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 111 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 3PSGEL013 2003 Replacement NO Pipe Spool S002

7. Description of Work: Replace a section of 14" pipe and fittings on line 3PSGELO13 with > 0.1% Chrome content materials.

Ref. 03-P-SGF-I 19.

8. Test Conducted: Hydrostatic [ Pneumatic [J Nominal Operating Pressure E] Exempt [ N-416-1 0 Other Pressure psi Test Temperature oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 '/2 X inches, (2) information in items 1thru 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. Kefirarks: Replace a section of 14" pipe and tittings on line 3PSGEL0I3 with> O.1% Chrome content materials. Ret:

03-P-SGF-1 19.

Q. 0. o2S48k 3COe Certificate of Compliance We certify that the statements made in the report are correct and thisreplacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp INIA.I' Certificate of Authorization No. N/A Expiration Date: _ N/A Signed: 2-A ~

Owner or 0"s1 A~i

/514-/ -,/2 5

esignee, iie' AL/ Date: / - -o3 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 4-_______

to k-Zt-c , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied conlce-rning the examninatios~ a-nc corrective mrneasu descbed~ in-this O~iier s report. Furffhe-rmore, nitei 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 4 National Board, State, Province, and Endorsements Insp rs Signature Date:

U-Ver. / Bsackc rv-tuuI2 ver. klacic iiur-iiI I MEM-O 73jP-YLL] 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: 10/21/2002 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2541397

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

_ __ _ _ __ __ __ _ N O)

SG Feedwater N/A N/A N/A 3PSGEL014 2003 Replacement NO Pipe Spool S002

7. Description of Work: Replace replace Spool S002 and associated piping on line O3PSGELO14 with > 0.1% Chrome content materials. Ref. 03-P-SGF- 119.

8. Test Conducted: Hydrostatic 5 Pneumatic a Nominal Operating Pressure 5 Exempt 5 N-416-1 0 Other 5 Pressure psi Test Temperature 0F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 /2 X 1 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 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: 10/21/2002 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: I of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2541397

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 Xl 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 I Stamped (Yes or

_ _ _ _ _ _ _ _ __ __ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~NO )

SG Feedwater N/A N/A N/A 3PSGEL014 2003 Replacement NO Pipe Spool S002

7. Description of Work: Replace replace Spool S002 and associated piping on line 03PSGEL014 with > 0.1% Chrome content materials. Ref. 03-P-SGF-1 19.

8. Test Conducted: Hydrostatic Q Pneumatic a] Nominal Operating Pressure a Exempt N-416-1 0 Other [l Pressure - psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 /2 X 11 inches, (2) information in items 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: Replace te 45° Elbows and associated piping on line 03PSGEL014, Spool S002, wit > 0.1% Chrome content materials IAW work order 25416w97. Ref. 03-P-SGF-119.

. <~~~~~~4 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: 12 1er A3 /*,& Date: 7f @ -t Wner's Iesignee, e 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 - c-o2.

to 'q-21-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.

':o

/4;r Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements 1spectors Signature Date:

Back Ver. 77 Back 73DP-9ZZI 7 PV-E0092 Ver. 73DP-9ZZ1I7

ASME SECTION X - REPAIR/REPLACEMENT

1. Component ID 3JEWALVO091 2. Code Class ASME Section III CL3,74 EDW75 ADD 0.J. It-m nrri-tion ItV.VI 6vW0>11IUMI CrWJI Rnrre TankI AT el Maelmin Volve

4. N-5 Package Number 3EWO1-2 5. W.O. Number 2550099

6. Original Construi ction Code Edition ASME Sect m CL3, 74 ED, W75 ADD

7. Original Installaffon Code Edition ASME Sect m CL3, 74 ED, W75 ADD

8. Work Descriptior 7 Rework valve internals to correct the problem with the valve not opening. ke. &

DrO n*4~t aS~ 2-s-o_

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 of ASME boundry.

11. Repair/Replacement Work Organization APS

12. Replacement Item Construction or reconciled Code/Edition ASME Sect m CL3, 74 ED, W75 ADD

13. Repair/Replacement Activity Construction Code/Edition ASME Sect m CL3, 74 ED, W75 ADD

14. ASME Section Xl Code/Edition 1992 EDMON and 1992 ADDENDA

15. Preservice Inspection Required. E YES E3 NO

'-1k 07 SS-/5 E If required, include a step In the W.O. to perform Preservice Inspection.

16. ASME Section Xl Pressure Test Required E YES E NO

/,.0 57- S 2.I required, include a step in the W.O. for ISI & ANII Inspection.

Date sf. 9

• 5;A 20 17. Include a step Inthe W.O. to complete NIS-2 Form prior to releasing the component.

bniial Date

,ffi,4Pg .5_o . 18. Indude a step in the W.O. to record below all applicable numbers for repaired or InitiaF Date replacement items.

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

20. SI Engineer (~J6

.~Z Dat Print Name__

• signaure] Date

21. ANII 4- 0--C, Z PrintName k-le. T7 -

21.EO~ ANIV e7tB-- Signature Date ?cz!f 7SPritN-nZZ 'c:

FV-EoC-4Ver a 73C-P-377Z 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: 08/29/02 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529 Work Order Number 2550099

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

4. Identification of System: 3EWOI-2

5. (a) Applicable Construction Code ASME Section m ND. Class 3 1974 Edition, Winter 1975 Addenda, n/a 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 Ni'ni of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code

, .. .. . __ .__ .~. .. ... . _ __ .

Hi,

>,-.- , . ., * ... .or< , .-. ., v.A

, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.__ ._,_: NO) valve target rock 9 n/a 3jewalv-91 1978 Repaired YES

7. Description of Work. remove bonnet tackreworked internals, replaced bonnet tack

8. Test Conducted: Hydrostatic 5] PneumaticEI] Nominal Operating Pressure 51 Exempt 0 N-416-1 5j Other - Pressure psi Test Temperature 0'___

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided () size is 8 A 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: ref wo# 2550099. removed the tack weld . reworked valve internals. sec xi internal parts were not replaced.

just reworked. reinstalled the tack weld 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. NIA Expiration Date: N/A Signed: __ ___ ____t______

_ _m St__ ___ )_ _ Date: 10 - 2 2- 2-a2.

(ner or Owner's Desljpe, Title I I

• J

• I j I

• p i .S.C CERTIFICATE OF INSERVICE INSPECTION;i- -I 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 io- 2-o2 ,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.

- . t Sna_

Commissions: NB 9685 "NT' AZ264 National Board, State, Province, and Endorsements Xw sigreu Date:- -- a-C L U-73DP-9l7 PV-E0092 Ver.

PV-E0092 Back Ver. 77 Back 73DP-9ZZ17

.I ASME SECTION XI - REPAIR/REPLACEMENT

1. Component ID S/N - BS 08585 2. Code Class ASME m, CLASS 2

3. Item Description MAIN STEAM SAFETY VALVE; DRESSER - 3707RA-RT25; 1315 PSIG

4. N-5 Package Number N/A 5. W.O. Number 2552261

6. Original Construction Code Edition 1974 EDITION, SUJMMER 1975 ADDENDA

7. Original Installation Code Edition 1974 EDITION, WINTER 1975 ADDENDA 8.!Work Description Maintenance overhaul of Main Steam safety 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-4150.

No failure in the ASME Sec. m boundary. The Disc replacement is to enhance 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.

1,3. Repair/Replacement Activity Construction Code/Edition ASME III CLASS 2, 1974 ED., W'75 ADD.

14. ASME Section Xl Code/Edition 1992 EDITION AND 1992 ADDENDA

15. Preservice Inspection Required. z YES i( NO DMG 01/27/03 If required, include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section Xl Pressure Test Required u YES E NO DMG 01/27/03 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date DMG 01/27/03 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date DMG 01/27/03 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 Act P42(J49O PADWOB

._ A N ".__ _ '__.

19. Planner /-2 7-,3 - Print Name David Goodlet

,:4x

,320. ISI Engineer_

Signature IA

,- I "I I Date 3 Print Name Ramakant Indap

21. ANII AS an 2-'( - Print Name Robert Hogstrom tignature Date 730P-OZZI7 PV-E0093 Var. Ss PV-i00g3 Vw. 73DP-OZZ17

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 Comnanv. et. al. Date 01/27/03

-____ - Narfme -

P-0. Box 53999. Phoenix. Arizona 85072-2034 SheeIt 1 of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit N/A Name 5801 S. Wintersburg Rd.. Tonopah, Arizona 85354-7529 2552261 Address Work Order Number

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

4. Identification of System SG - Main Steam S. (a) Applicable Construction Code ASME III Class 2 1974 Edition, S'75 Addenda, Code Case (b)Applicable Edition of Section Xi Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASMECode Item Manufacturer Serial No. Board No. Identification Built Replacemen YtampeNd DISC Dresser A NA NA 2003 Replacement No 5n2i )%5iJB Dee s idA_ gJA SgjZIq5 w3PELAje ______

7. Description of Work Overhaul & testing of Main Steam safety valve SIN BS-08585 8.TestConducted: Hydrostatic Pneumatic U Nominal Operating Pressure Q Exempt Ed N-416-1 Other Q Pressure psi Test Temp. F

-4~ NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 x 11 in.,

) (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

PV-E0092 Ver. 7 73DP-9ZZ17

FORM NIS-2 (Back)

9. Remarks Work Order #2552261 for disassembly, inspection, reconditioning and testing of spare Main Steam safety valve. A new design Disc will be installed to enhance performance. Other parts will be replaced on an as-needed basis based upon the inspection. These parts will be obtained from other spare valves or from approved purchased spare parts.

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this 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 Datee N/A Signed j&1z 9n C SLtKM 1(1 t'al _

_~~~~~~.S~ _deed ce Date L#I 1 o3 Owner or OwifTs Designee, Title J '

CERTIFICATE OF INSERVICE INSPECTION I,the undersigned, holding avalid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT N of Hartford, Connecticut , have inspected the components described in this Owners Report during the period A-'-o3 to <-I-o3 ,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 inany manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

-A-,A 411-,

1rnectors signature Commissions SAtc At Z &

National Board, State. Province, and Endorsements Date v." .

730P-9ZZ17 Pv-E0092 Ver.

PV-EO092 BACK Ver. 77 BACK 73DP-OZZ17

I 1-ASME SECTION XI - REPAIRIREPLACEMENT I

1. Component ID SIN - BS 08600 2. Code Class ASME m, CLASS 2

3. Item Description MAIN STEAM SAFETY VALVE; DRESSER - 3707RA-RT25; 1290 PSIG

4. N-5 Package Number N/A 5. W.O. Number- 2552261

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 Main Steam safety valve. Code part replacement from spare valves or from approved purchased spare parts based upon inspection results.

9. LI 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 replacement is to enhance performance.

11. Repair/Replacement Work Organization NWS Technologies

12. Replacement Item Construction or reconciled Code/Edition ASME m, CLASS 2, 1974 ED., S75 ADD.

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

14. ASME Section Xl Code/Edition 1992 EDITION AND 1992 ADDENDA

15. Preservice Inspection Required. U YES El NO DMG 01127/03 If required, include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section Xl Pressure Test Required 12 YES . tX NO DMG 01/27/03 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date DMG 01/27/03 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date DMG 01/27/03 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 -p"j 64Zqo 4 1~ct: _ _ _ 50,c23 g4e 1

19. Planner }>3 27 Print Name David Goodlet

~...~ S~ t

.. I Date Azt;;

20. ISI Engineer($e r 2 14 (°3 Print Name Ramakant Indap Signature x a

21. ANII <'4Z .2-A-03 Print Name Robert Hogstrom Signature Date

_.. E003 . . 6

_____ Ver. _ wren-~ A 7 PV r3UV 94Z117

! 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 Comranv. et. al. Date 01/27/03 Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet - - of 2 r Address

2. Plant Palo Verde Nuclear Generating Station Unit N/A -:

Name .

5801 S. Wintersburg Rd., Tonopah. Arizona 85354-7! 529 2552261 .

Address Work Order Number

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

4. Identification of System SG - Main Steam

5. (a) Applicable Construction Code ASME III Class 2 19 74 Edition, S'75 Addenda, Code Case (b) Applicable Edition of Section Xi Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda

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

DISC Dresser NA NA 2003 Replacement No

7. Description of Work Overhaul & testing of Main Steam safety valve SIN BS-08600

8. Test Conducted: Hydrostatic Q Pneumatic C] Nominal Operating Pressure C] Exempt N-416-1 0 Other Q Pressure 4 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.

PVI;Eo092 er. 7 73DP-OZZ17

-,-.FORM NIS2 (Bck)'

9. Remarks Work Order #255226 1 for disassembly, inspection, reconditioning and testing of spare Main Steam safety valve. A new design Disc will be installed to enhance performance. Other parts will be replaced oin in as-needed basis based upon the inspection. These parts will be obtained from other spare valves or from approved purchased spare parts.

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. Tepairetcnii f Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed C 4f1 5)meirlkn, 9IC4 ftAtetDate 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 Inthis Owner's Report during the period 2 -' oto __________ 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 inany manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

.,,',7 A ex 141t_1 I1pector's Signature Commissions N.b A-zvC. ks. aLak National Board. State. Province, and Endorsements Date At - %_ OZ 73DP-gZZ17 Pv-Eoog2 Ver PV-EO092 BACK Var.?7 BACK 730P-9ZZ17

ASME SECTION X - REPAIRIREPLACEMENT

1. Component ID S/N - BS 08606 2. Code Class ASME mll, CLASS 2

3. Item Description MAIN STEAM SAFETY VALVE; DRESSER - 3707RA-RT25; 1315 PSIG

4. N-5 Package Number N/A 5. W.O. Number 2552261

6. Original Construction Code Edition 1974 EDITIONSUMMER 1975 ADDENDA

7. Original Installation Code Edition 1974 EDITION, WINTER 1975 ADDENDA

8. Work-Description Maintenance overhaul of Main Steam 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. III boundary. The Disc replacement is to enhance performance.

11. Repair/Replacement Work Organization NWS Technologies

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 m CLASS 2, 1974 ED., W'75 ADD.

14. ASME Section Xl Code/Edition 1992 EDITION AND 1992 ADDENDA

15. Preservice Inspection Required. U YES ij NO DMG 01/27/03 It required, include a step in the W.O. to perform Preservice Inspection.

Inibal Date

16. ASME Section Xl Pressure Test Required L YES Ed NO DMG 01/27/03 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date DMG 01/27/03 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date DMG 01/27/03 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date replacement items.

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

DISC ApQ'- 6clqO 4 ha 5X ScE-J23JP99

19. Planner AW /I;Jfi Print Name David Goodlet

.1- Signature Date v%. 20. SI Engineer m) c  ! Vp 'f 14 16

-5gte

2) Print Name Ramakant Indap 3

I j'nature

_I ZZ 2 a3

21. ANII Print Name Robert Hogstrom

- $nature Date I PV-EOog3 730P-OZZ17 PV EcOMVetver. S M3P41ZZ17

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 Comnanv. et. al. Date 01/27/03 Narie -

P.O.

_ Box 53999. Phoenix.-Arizona _ 85072-2034 Sheet - 1 of I 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit N/A Name .: .

5801 S. Wintersbure Rd.. Tonooah. Arizona 85354-7529 -- 2552261 - -

Address WorkOrder Number

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

4. Identification of System SG - Main Steam

5. (a) Applicable Construction Code ASME m11 Class 2 19 74 Edition, S'75 Addenda, Code Case (b) Applicable Edition of Section Xi Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired Smed Item Manufacturer Serial No. Board No. Identification Built Replacement arNped s

DISC Dresser F1E 3 NA NA 2003 Replacement No

N

_____ _____ ____ ___ ___ ___ 2~~~~~

7. Description of Work Overhaul & testing of Main Steam safety valve S/N BS-08606

8. Test Conducted: Hydrostatic (a Pneumatic 0 Nominal Operating Pressure [3 Exempt 3 N-416-1 [

Other O. Pressure_ psi Test Temp. . .OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 x 11 in.,

(2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

PV-E0092 Ver. 7 73DP-gZZ 7

FORM NIS-2 (Back)

9. Remarks Work Order #2552261 for disassembly, inspection, reconditioning and testing of spare Main Steam safety valve. A new design Disc will be installed to enhance performance. Other parts will be replaced on an as-needed basis based upon the inspection. These parts will be obtained from other spare valves or from approved purchased spare parts.

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. repair or rep acement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed QCrt4Crv' mej1 1cd j J ~ 7ErDate it f 03 Jo Owner or Owners Designee, Title 7 ., .

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut , have inspected the components described in this Owner's Report during the period to t- -- - 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 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 xA euts sync M Aa InspedoI ignature National Board, State, Province, and Endorsements Date 73DP4ZZ17 ver. 7 BACK Pv-Eo02 Ver.

PV-E0092 BACK - 73DP OZZ17

- :1 -. 0 ASME SECTION Xi- REPAIRIREPLACEMENT I1.Component ID S/N - BT 01667 2. Code Class ASME m, CLASS 2

3. Item Description MAIN STEAM SAFETY VALVE; DRESSER - 3707RA-RT25; 1315 PSIG

4. N-5 Package Number N/A 5. W.O. Number 2552261

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 Main Steam 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-41 50.

No failure in the ASME Sec. m boundary. The Disc replacement is to enhance 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 m CLASS 2, 1974 ED., W75 ADD.

-14. ASME Section Xi Code/Edition 1992 EDITION AND 1992 ADDENDA

15. Preservice Inspection Required. ID YES (E NO DMG 01/27/03 If required, include a step in the W.O. to perform Preservice Inspection.

initial Dt

16. ASME Section XI Pressure Test Required U YES fl NO DMG 01/27/03 If required, include a step in the W.O. for ISI & ANII Inspection.

Init Date DMG 01/27/03 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

G.ial Date DMG 01/27/03 18. Include a step in the W.O. to record below all applicable numbers for repaired or nital Date replacement items.

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

DISC Ae a,4qo ___I____ _ 4F'5O 2327fl

19. Planner Pi/ Print Name David Goodlet Signature Date 0.. ISI Engineer Ax R Print Name Ramakant Indap

~~~ / ~~~~~Signature D\t

21. ANII 'Q 2-4-o3 Print Name Robert Hogstrom (Signature Date 73POZ

_.50g PV-Eo0s3 Vwa.. 73DPMZI

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS A Requited by the Provisions of the ASME Code Section Xi 1.Owner Arizona Public Service Company, et. al. Date 01/27/03 Name P.O. Box 53999. Phoenix. Arizona -85072-2034 - Sheet 1 -- of 2 Address--.: -

2. Plant Palo Verde Nuclear Generating Station tJnit _  : N/A

-. - Name - - -

5801 S. Wintersburg Rd.. Tonopah. Arizona 85354-7529- 2552261 Address Work roder Number I ffi

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

4. Identification of System SG - Main Steam

5. (a) Applicable ConstrVction Code ASME m Class 2 1974 Edition, S'75 Addenda, Code Case (b) Applicable Edition of Section Xi Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda

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

DISC Dresser NA NA 2003 Replacement No

7. Description of Work Overhaul & testing of Main Steam safety valve SN BT-01667

8. Test Conducted: Hydrostatic iQ Pneumatic 0 Nominal Operating Pressure Q Exempt [t N-416-1 0 Other Pressure psi Test Temp. __ OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 X 11 in.,

(2) information In items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of-sheets is recorded at the top of this form.

PV-E0092 Ver. 7 73DP-gZZ17

. FORM NIS-2 (Back) -: ' I

9. Remarks Work Order #2552261 for disassembly, inspection, reconditioning and testing of spare Main Steam safety valve. A new design Disc will be installed to enhance performance. Other parts will be replaced on an as-needed basis based upon the inspection. These parts will be obtained from other spare valves or from approved purchased spare parts.

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. repair or replacement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed ,C, 3/ate 4- O3 Owner or Owner's gnee, Tide r..-

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-o0 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 Ai S cao Aa.

insPl~oesSignature National Board, State, Province, and Endorsements Date 4-l -e.*,

730P-OZZ17 PV-E092 Ver. 77 BACK PV.E0092 Ver. BACK 73DP 92Z17

ASMESECTION Xi- REPAIR/REPLACEMENT

? ~~Page o

2. Code lass ASME Section El[ Class

-1.Component ID 3JTRCEPSV0O2

3. Item Description Pressurizer Safety Relief Valve; Dresser 31790R

4. N-5 Package Number 3RC03-3 5. W.O. Number 2552272

6. Original Construction Code Edition ASME Section II, Class 1, 1974 Edition, Sunmer 1975 Addenda

7. Original Installation Code Edition ASME Section III. 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 to be replaced based on inspection.

9. Ci ISI Flaw NDE Method of Flaw Detection

- I - Report Number _ _

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

No failure of ASME ml pressure boundary.

11. Repair/Replacement Work Organization Arizona Public Service

12. Replacement Item Construction or reconciled Code/Edition ASME m, Class 1, 1974 Edition, S 1975 Addenda

13. Repair/Replacement Activity Construction Code/Edition ASME El[, Class 1, 1974 Edition, W 1975 Addenda

14. ASME Section Xl Code/Edition 1992 Edition and 1992 Addenda

15. Preservice Inspection Required. U YES Ia NO BV 03/17/03 If required, include a step in the W.O. to perform Preservice Inspection.

Initbal Date

16. ASME Section Xi Pressure Test Required O YES i] NO BV 03/17/03 If required, include a step in the W.O. for ISI & ANII Inspection.

InitGl Date BV 03/17/03 17. Include a step In the W.O. to complete NIS-2 Form prior to releasing the component.

inial Date BV 03/17/03 18. Include a step in the W.O. to record below all applicable numbers for replacement items.

Initial Date ITEM I.D. PART NO. SERIAL NO. HEAT NO. MRIPOJWO NO.

3JRCEPSVO202 N/A BS-08592 N/A N/A Spring Assy APN 00066798 SS0735EUN 96565-2 PO# 500249344.07.001

19. Planner- _

Signature

\Y 25 'V/77Date Name Barbara Vidal

20. ISI Engineer 31t Signature

/'

~~~Date 3 Print Name k P 9 rp

21. ANII 0 %3-2o-o3 Print Name Robert Hogstrom gnature Date PV-E0093 Ver. 7 73DP4ZZ17 a -

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xi 1.Owner Arizona Public Service Company. et. al. Date 03/17/03 Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of - - 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3 Name 5801 S. Wintersburg Rd.. Tonopah. Arizona 85354-7529 ...

2552272 NWue Ue Amoress Wor1fAWW1 h

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

4. Identification of System RC - Reactor Coolant System I

5. (a) Applicable Construction Code ASME Sec m Class 119 74 Edition, '75 S Addenda, n4j' iH (b)Applicable Edition of Section Xl Utilized for Repairs or Replacements 19 92 Edition, 1992 -Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASMeCode Item Manufacturer Serial No. Board No. Identification Built Replacemen s or No)

Spring Assy Dresser SS0735EUN N/A BS-08592 2002 Replacement Yes I I .I II

7. Description of Work Off-site reconditioning and testing of spare Pressurizer Safety Valve.

I __ I _

8. Test Conducted: Hydrostatic El Pneumatic 1 Nominal Operating Pressure 0 Exempt E N-416-1 U 4

Other Pressure psi Test Temp. __ OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 x 11 in.,

(2) Information In Items 1 through 6 on this report Is included on each sheet, and (3) each sheet Is numbered and the number of sheets Is recorded at the top of this form.

PV-E0 0 9 2 Va r. 7 7 30P.5 U17~~~~~~~~~~~

PV-E0092 Ver. 7 73DP-9ZZ17

FORM NIS-2 (Back) ' "  ;

9. Remarks WO # 2552272 for off-site reconditioning and testing of spare PSV. Replacement parts to be obtained from approved spares. (SN BS-08592)

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 Signed_! 7h& 4 . l D 5 Date " - .# 0 Jwner or Ownees Designee, Tile CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut , have Inspected the components described In this Owner's Report during the period - -a -o to t-oa , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described In this Owners Report In accordance with the requirements of the ASME Code, Section Xl.

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

, AH FZ In st:r Snature Commissions -3,S 44 A-ve-T Af 244 National Board. State, Province, and Endorsements Date (-t--0,3 730P-gzz17 PV-E0092 vet. 7 BACK Pv-E0092 Ver. 7 BACKC 73DP-9ZZ17

ASME SECTION X - REPAIR/REPLACEMENT Page - of_

1. Component ID 3JRCEPVO100E 2. Code Class ASME Section Emf Class 1

3. Item Description Pressurizer Spray Control Valve

4. N-5 Package Number 3RC01-2 5. W.O. Number 2557057

6. Original Construction Code Edition ASME Section m1, Class 1, 1974 Edition, Wit~tf 1975 Addenda

7. Original Installation Code Edition ASME Section m. Class 1. 1974 Edition, Winter 1 75 ddenda

8. Work Description Replace the plug/stem assembly during valve repack.

9. U 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 of ASME I pressure boundary. The stem needs to be replaced. Replacing the plugtstem assembly is an ALARA effort.

11. Repair/Replacement Work Organization Arizona Public Service

12. Replacement Item Construction or reconciled Code/Edition ASME l[, Class 1, 1974 Edition, 1 Addendir

13. Repair/Replacement Activity Construction Code/Edition ASME m, Class 1, 1974 Edition, W 1975 Addenda

14. ASME Section XI Code/Edition 1992 Edition and 1992 Addenda

15. Preservice Inspection Required. O YES E NO BV 01/10/03 If required, include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section X Pressure Test Required O YES E NO BV 01/10/03 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date BV 01/10/03 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date BV 01/10/03 18. Include a step in the W.O. to record below all applicable numbers for replacement tems.

Initial Date ITEM I.D. PART NO. SERIAL NO. HEAT NO. MRIPO/WO NO.

100E Plug/Stem Assy qg-tI Cn 9 g A cz'4 sp -3 to __ _L__ co___

19. Plannerne l / "I/f/nt Name Barbara Vidal Signature DI

20. ISI Engineer a* ee- 'c ///7/03 Print Name A~to of-. o 4-Signature Date

21. ANII s ' t-Z-O3 Print Name QeSr 6C-nature Date PV.E0093 Var.? 730P-OZZI7~~~

PV-ED093 Ver. 7 730P-9ZZ17

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: 01/10/03 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: I of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 S. Wintersburg Rd.. Tonopah. Arizona 85354-7529 Work Order Number 2557057

3. Work Performed by: Arizona Public Service Comany Type of Code Stamp None 5801 S. Wintersbura Rd.. Tonopah, Arizona 85454-7529 Authorization No. N/A I

Expiration Date N/A

4. Identification of System: RC-Reactor Coolant

5. (a) Applicable Construction Code ASME Section I NB. Class 1 1974 Edition, Winter 1975 Addenda, NA 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 Valve Fisher 6558899 N/A 3JRCEPV100E 1979 Repair Yes Plug/Stem Fisher AC2452-3 N/A 3JRCEPVIOOE 2003 Replacement Yes

7. Description of Work: Replaced plug/stem assembly

8. Test Conducted: Hydrostatic E] Pneumatic 0 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 % X I1 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: W.O. 2557057. No failure of ASME m pressure boundary. The stem needs to be replaced. Replacing the Dluglstem assembly is an ALARA effort.

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: <to a P e.: 5;  ; p S ' Date: 1/z C)?g Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of t-__-_ 3 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" T' AZ264 National Board, State, Province, and Endorsements InspAors Signature Date:

- 73DP-9ZZ17 PV-E0092 Ver. 7 PV-E0092 Ver. 7 Back Back - 73DP-9ZZ17

ASME SECTION X - REPAIR/REPLACEMENT Page of

1. Component ID 3JRCEPVO100F 2. Code Class ASME Section m Class 1

3. Item Description Pressurizer Spray Control Valve

4. N-5 Package Number 3RC01-2 5. W.O. Number 2557063

6. Original Construction Code Edition ASME Section m((, Class 1, 1974 Edition, Wfee 1975 Addenda

7. Original Installation Code Edition ASME Section m. Class 1. 1974 Edition. Winter 1975 Addenda

8. Work Description Replace the plug/stem assembly during valve repack.

9. LI 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 of ASME m pressure boundary. The stem needs to be replaced. Replacing the plugstem assembly is an ALARA effort.

11. Repair/Replacement Work Organization Arizona Public Service

12. Replacement Item Construction or reconciled Code/Edition ASME Im, Class 1, 1974 Edition. 1975 Addenda

13. Repair/Replacement Activity Construction Code/Edition ASME m, Class 1, 1974 Edition, W 1975 Adel'da

14. ASME Section XI Code/Edition 1992 Edition and 1992 Addenda

15. Preservice Inspection Required. L YES IlJ NO BV 01/10/03 If required, include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section Xl Pressure Test Required L YES IE NO BV 01/10/03 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date BV 01/10/03 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date BV 01/10/03 18.- Include a step in the W.O. to record below all applicable numbers for replacement items.

Initial Date ITEM I.D. PART NO. SERIAL NO. HEAT NO. MR/PO/WO NO.

lOOF Plug/Stem Assy _1______ A______ t L53 4 1

19. Planner Signature o/4//o03 Daie Print Name Barbara Vidal

20. ISI Engineer Signature u ///7o3 1Ze1 ,

Date Print Name A& A pc

21. ANII 4 S Iature 2-cs Date Print Name Qua 6 O.

PV-ED093 ver. 7 73DP-OZZI?

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 Comoany. et. al. Date: 01/10/03 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: I of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 S. Wintersbure Rd.. Tonopah, Arizona 85354-7529 Work Order Number 2557063

3. Work Performed by: Arizona Public Service Companv Type of Code Stamp None 5801 S. Wintersburg Rd.. Tonopah. Arizona 85454-7529 Authorization No. N/A Expiration Date N/A

4. Identification of System: RC-Reactor Coolant

5. (a) Applicable Construction Code ASME Section III NB. Class 1 1974 Edition, Winter 1975 Addenda, N/A 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)

Valve Fisher 6558900 N/A 3JRCEPV100F 1979 Repair Yes Plug/Stem Fisher AC2452-4 N/A 3JRCEPV100F 2003 Replacement Yes

7. Description of Work: Replaced plug/stem assembly

8. Test Conducted: Hydrostatic I Pneumatic 5 Nominal Operating Pressure a Exempt 0 N-416-1 l Other a Pressure psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 Y2 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.

FORM NIS-2 (Back)

9. Remarks: W.O. 2557063. No failure of ASME III pressure boundary. The stem needs to be replaced. Replacing the plug/stem assembly is an ALARA effort.

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: Zig-11-410yvt44 .277J Date: AL 7-641L.

Owner or Owner's Designee, Title 0 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 _ -__s-__3 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.

'a 4 = Commissions: NB 9685 "N" IT' AZ264 National Board, State, Province, and Endorsements InspLtors Signature Date: 4--2e. -

73L)k'-9ZZIJ PV-E0092 Ver. Back Ver. 77 Back 73DPF-9Z17-

ASME SECTION X - REPAIR/REPLACEMENT

1. Component ID 3MRCEB05 2. Code Class ASME Section I, Class 1

3. Item Description REACTOR COOLANT SYSTEM PRESSURIZER HEATER

4. N-5 Package Number 3RCO1-2 5. W.O. Number 2558065

6. Original Construction Code Edition ASME Section III, Class 1, 1971 Edition, Winter 1973 Addenda

7. Original Installation Code Edition ASME Section II, Class 1, 1974 Edition, Winter 1975 Addenda

8. Work Description Replace Defective Pressurizer Heater, Make Fillet Weld between Pressurizer Nozzle and new Heater Sleeve.

9. 0ISI Flaw NDE Method of Flaw 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 Sec.llT CL.171 Edition 73 Winter Addenda

13. Repair/Replacement Activity Construction Code/Edition ASME Sec. m, Class 1,/74 Edition, 75 Winter Addenda

14. ASME Section XI Code/Edition ASME Section 3A, 1992 Edition, 1992 Addenda

15. Preservice Inspection Required. Q YES E NO N/A A)__ _ If required, include a step In the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section XI Pressure Test Required v YES - NO N/A M/4 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date KVS id/ ze e 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date KVS l/2 I Ue ' 18. Include a step In the W.O. to record below all applicable numbers for repaired or Initial Date replaced items.

COMP I.D. PART NO. SERIAL NO. HEAT NO. MRIROS NO.

Heater 44450049 z $1,e 5 jjEqsq-o

19. Planner- 'S Print Name Karl V. Savage tIgnature Date

20. ISI Engineer S~~phature Q

j/15 Date It 3 Print Name Ramakant P. Indap

21. ANII A-S-c3 Print Name Robert G. Hogstrom tl~are Date 5 Var PV-E003 730-OZZu PVEX93 Ver. 5 731:P4ZZ17

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 01/08/03 P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet I or 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3 Nare 5801 S. Wintersburg Rd.. Tonovah. Arizona 85354-7529 2558065 Adess Wrk 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 85354-7529 Expiration Date N/A Adorns

4. Identification of System RC

5. (a)Applicable Construction Code ASME I Class 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 ASIE Code Item Manufacturer Serial No. Board No. Identification Bul Replacement (Yes or No)

Pzr. Heater Combustion Eng. 1 N/A 3MRCEBO5 1985 Replacement Yes

7. Description of Work Replace defective Pzr. Htr, make fillet weld between Pzr. nozzle and ht.

8.TestConducted: Hydrostatic C Pneumatic Nominal Operating Pressure 1 Exempt la N-416-10 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.

PV-EO092 Ver. 7 73DP-OZZI17r

FORM NIS-2 (Back)

9. Remarks WO# 2558065 To Replace Pressurizer Proportional Heater 3MRCEB05.

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. rieacemnt Type'Code Symbol Stamp NA Certificate of Authorization No. NA Expiration Date Signed 21~~~ ISI Engineer Date Y/z l/o Owner or Owner's Designee. Tte 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 HSBI & I CO.

of Hartford. Connecticut , have inspected the components described in this Owner's Report during the period i- is-oz to '-2s- , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described In this Owners Report in accordance with the requirements of the ASME Code, Section Xl.

By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this 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.

-:T 4 4=, Ilnspector's Signature Commissions NB 9685 "N" "I" AZ 264 National Board, State, Province, and Endorsements Date 4-2S -03 73DP-9fl17 vet. 6S B3ACK PV-E0092 Ver.

PV-E0092 BAOK 73DP-9ZZ17

ASME SECTION XI - REPAIR / REPLACEMENT Pac of I 1. Component ID 3JCHELVO II OP 2. Code Class ASME Section m Class 2

3. Item

Description:

Level Control Valve. Stem/Plue assembly

4. N-S Data Package Number: 3CHI 5-1 5. W.O. Number: 2560407

6. Original Construction Code Edition: 1974 Edition. Summer 1975 Addenda

7. Original Installation Code Edition: 1974 Edition. Winter 1975 Addenda

8. Work

Description:

Disassemble spare valve (APN 45003056) to use the Stem/Plug assembly in 3JCHELVO1 lopdue to defects identified in the stem resulting in packing leakage.

9. 0iSt Flaw NDE Method of Flaw Detection:

Report Number.

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

No ressure boundary flaw identified. Stem/Plug assembly replaced to address defects in existing stem.

I 1. Repair/Replacement Work Organization: Arizona Public Service

12. Replacement Items Construction or reconciled Code/Edition: Sec. m C1 2. 1974 Edition Summer 1975 Addenda

13. Repair/Replacement Activity Construction Code/Edition: Sec. II Cl 2. 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 If required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test Required: 0 YES CD NO Initial Initial eft, Date Date L

A!2 4%

rAy/~

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

• 1~~ 7 ~T _ BAA-_- A A - _- - nors -AAtbs-e-CA AM I i. Incluae a step in mhe w.u. to complete N1S-.Z Form pnor to releasing me Initial a Date /0 V& Z component.

18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial A Date 1e/;4f/o replacement items.

Item ED Part No. Serial No. Heat No. lMR/POIWO No.

Stem/Plug assembly 14A3722X122 N/A N/A WO 2560407 h'ou a A arkk'D5 A//A ____

Z £ ~~- - ., 4 i r 4 4D4. . 0 z L 4 cs a -o

19. Planner 4hJ o/ /J/oz Printed Name: David Shaffer Signature D

20. IS B B O W A1'4t'Yo 2 PrintedName: fat Signature Date ANII ________

_21 Date Printed Name: Z6a. Avows F.¶Sg A N II7 FV.EU093 V ad Date 73DP-9ZZII

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: 10-26-2002 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: 1 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersbura Road., Tonopah. Arizona 85354-7529 Work Order Number 2560407

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 and Volumn Control System

5. (a) Applicable Construction Code ASME Section m 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

__________ __________ ~~~~~~~~~~N Stem /Plug ass'y Fisher n/a n/a 31CHPLV- 1979 Replacement NO Bonnet Studs n/a n/a n/a 3JCBELV- 2002 Replacement NO Ollop

7. Description of Work: Disassembled spare valve from stores to obtain stern/plus assembly. Replaced stemlplu2 assembly due to defects identified on the stem causing packing leakage.

8. Test Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure Q Exempt 0 N 416-1 Other a Pressure psi Test Temperature _ F I NOTE: Suplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 hi X 11

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 FORM NIS-2 (Back)

9. Remarks: Work Order # 2560407 for valve 3JCHELVO1 lOP. Disassembled and replaced stem/plug assembly and bonnet studs. Stem was found with scratches and pitting and bonnet studs were damaged during maintenance.

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: NIA Signed: Date: /0/d3'/o 2 Owner or Owner's Designee, Tile 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 _ _ -Z_(-_ _ _

to -30o , 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.

~s~  ?< Commissions: NB 9685 '" I"T' AZ264

- National Board, State, ProvinMc, and Endorsements Ins aSignature IDate: to O U-73DP-flZl7 PV-E0092 Var. 77 Back PV.E0092 Vur. Back 73DP-9ZZ17

ASME SECTION XI - REPAIR / REPLACEMENT Page _ of v

1. Component ID 3CHNPSVO345 2. Code Class ASME Section III Class 2

3. Item

Description:

Crosby relief valve

4. N-5 Data Package Number: 3CH13-1 5. W.O. Number: 2560420

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 replace with tested spare.

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:

Not a pressure boundary failure. Valve is being replaced due to lifting during pressure transients.

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. m Repair/Replacement Activity Construction Code/Edition: Sec. Cl 2. 1974 Edition 1975 Winter Addenda

14. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda

15. Preservice Inspection Required: El YES 3 NO Initial 2J~L4~IDate Ad f.;L' If required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test Required: R YES E] NO Initial Date /P.-J 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 ¢,5 Date At JS{>t component.

Dae~~~18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial r 74 Date /0-/J-L replacement items.

Item ID Part No. Serial No. Heat No. MR/PO/WO No.

3JCHNPSVO345 7;2 Ace___. IR/?69 4

19. Planner 34 7~7/-) Printed Name: David Goodlet im ature bte D

20. ISI /$ / B . PrintedName: /2  !- 9 Signature Date

21. ANII C i42;L PrintedName: 2 Gc Ad M Signatu6) Date rlA,,

PV-=WC9 Va. 7Z r

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: 10-15-2002 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529 Work Order Number 2560420

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 and Volumn Control System

5. (a) Applicable Construction Code ASME Section III 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

_ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ ~~~~~~~~~N Valve Crosby N61 180 n/a 31CHNPSV- 1979 Replacement YES 0002 0345

7. Description of Work: Installed spare valve. Existing valve was subjected to pressure transients.

8. Test Conducted: Hydrostatic Cl Pneumatic I Nominal Operating Pressure 0 Exempt 0 N416-1 Other El Pressure psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 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.

FORM NIS-2 (Back)

9. Remarks: Valve 3JCHNPSVO345 was replaced with sare under wo# 2560420 due to possible damage during pressure transient..

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: NIA Signed: St-7-S 9 Date: /0//7/oZ Owner or Owner's Designee. Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of _ o-__-oZ to 1o-11-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" IT' AZ264 National Board, State, Province, and Endorsements Insanors Signature Date: to - i7-oZ 73DP-9ZZ17 PV-20092 Ver.

PV-E0092 Back.

Ver. 77 Back 73DP-9ZZ17

ASME SECTION X - REPAIR/RtPLACEMENT

1. Component ID 3MRCEPOIB 2. Code Class ASME Section m1 Class 1

3. Item Description Reactor Coolant Pump

4. N-5 Package Number 3RC02-6 5. W.O. Number 2576892

6. Original Construction Code Edition ASME Section m, Class 1, 1974 Edition

7. Original Installation Code Edition ASME Section m, Class 1, 1974 Edition, Winter 1975 Addenda

8. Work Description Mechanical Seal Replacement as a part of normal maintenance.

9. ISI Flaw NDE Method of Flaw Detection Report Number

10. Evaluation of the suitability of this work as per the requirements of IAW-41150.

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 m, Class 1, 1974 Ed

13. Repair/Replacement Activity Construction Code/Edition ASME Section m, Class 1, 1974 Ed, Winter 1975 Add.

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

15. Preservice Inspection Required. El YES E NO BV 02/07/03 If required, include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section Xi Pressure Test Required El YES 0 NO BV 02/07/03 If required, Include a step in the W.O. for ISI & ANII Inspection.

Initial Date BV 02/07/03 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the 6omponent.

InitW Date BV 02/07/03 18. Include a step in the W.O. to record below all applicable numbers for repaired or Intal Date replacement Items.

ITEM .D. PART NO. SERIAL NO. HEAT NO. MRIROS NO.

3rd Stage Seal Retainer 1663509 N/A PV-E0093 Var.6

19. PlanfY 1 VA Sgna 49 6

/

A:

rte Print Name Barbara Vidal 730P-9ZZ1 7~~~~~~

20. 151 Engineer stueae2,Print Name 1Ž24) F,2 4

21. ANlII~t2-i Print Name oS Si natufe ~~~Date PV-E093 Vr. 73DP49Z1 7

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 ComDanv. et. al. Date - 02/07/03 Name' P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheel 1 of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3 Name 5801 S. Wintersburg Rd., Tononah. Arizona 85354-7529 2576892 Address Work Order Number

3. Work Perfonmed by Arizona Public Service Type Code Symbol Stamp None Name Authorization No. _ _ VA 5801 S Wintersburg Rd Tonopah, AZ 85354

.: r Expiration Date Nj 'A Address

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

5. (a) Applicable Construction Code Section Class 1 19 74 Edition, 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 Starped 3rd Stage Retainer Sulzer - SrN/A 3MRCEPO1B Replacement Yes JV1 . _

7. Description of Work Replacement of 3rd stage seal retainer on RCP 1B B. Test Conducted: Hydrostatic [J Pneumatic Nominal Operating Pres;sure El Exempt 1 N-416-1 Q Other LI 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.

PVEOOG2 Ve_.? _3DP-9U17 PV-E0092 Ver. 7 73DP-gZZ17

FORM NIS-2 (Back)

9. Remarks WO# 2576892 to replace mechanical seals in RCP 3MRCEPOIB as part of normal maintenance.

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. rirorreaement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed Epics ?o7  ; 7 2e.

Zs5 6E Date 942J/o5 Ow er rOwner's Designee. Tie / ,~~

CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut , have inspected the components described In this Owner's Report during the period 2- - o to c-%zn - , 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 Inthis 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 He Akac.- c" 2(.'4 Intector's Signature National Board, State, Province, and Endorsements Date 73DP-9ZZIT PV-E0092 Ver.

PV-E0092 BACK Ver. 77 BACK 73DP-9ZZ17

ASME SECTION X - REPAIR/REPLACEMENT Pageof

1. Component ID 3JSIBUVO648 2. Code Class I

3. Item Description SI LINE TO RC LOOP 1A DRAIN VALVE

4. N-5 Package Number 3RC01-3 5. W.O. Number 2579445

6. Original Construction Code Edition ASME SECT. III, CL 1, 1974 EDITION, S75 ADD.

7. Original Installation Code Edition ASME SECT. I. CL 1. 1974 EDMON. W75 ADD.

8. Work Description REPLACE VALVE PLUG TO CORRECT SEAT LEAKAGE AND REPLACE THE LEAKOFF PIPE PER THE REQUIREMENTS OF 13-PN-204..

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

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

TiS1 s ~T A Pa s-- BoeA4y i. VALVE P-4Ag& A EAA.A4ri7-

/ S XD "boltSe- fedA &R4KAL-.g- AI* f2.T I. - I I

11. Repair/Replacement Work Organization ARIZONA PUBLIC SERVICE -9 Vh/ t

12. Replacement Item Construction or reconciled Code/Edition ASME SECT. HI, CL 1, 1974 EDITION75 M%.

13. Repair/Replacement Activity Construction Code/Edition ASME SECT. m, CL 1, 1974 EDITION, W75 ADD.

14. ASME Section Xi Code/Edition ASME SECT. m, 1992 EDITION, 92 ADD.

15. Preservice Inspection Required. I YES [E NO JD 02/21/03 If required, include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section XI Pressure Test Required u YES E3 NO JD 02/21/03 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date JD 02/21/03 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date JD 02/21/03 18. Include a step in the W.O. to record below all applicable numbers for replacement items.

Initial Date ITEM I.D. PART NO. SERIAL NO. _ HEAT NO. MRIPO__O NO.

?C355 F 0 /D y 4 C9A -o02s o53 o0 92

19. Planner -  ? -3OPripnt Name JAMES I. DAVIS Sign4 Date 2

20. ISI Engineere 4 Cod2Y /'2C/o3 Print Name Ah Ac Signature Date

21. ANII__________________ PrintName ( 6R-r IZGrEzsp" Soature Date PV-Eo6s3 Ver. 7 73DP-9ZZ17

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 Comnanv. et. al. Date 02/21/03 Naimie P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3 Name 5801 S. Wintersburg Rd.. Tonovah. Arizona 85354-7529 2579445 Address Wori 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 85354-7529 Expiration Date N/A Address

4. Identification of System Safety Injection

5. (a) Applicable Construction Code Section mH Cl. 1 19 74 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

_ _ _ _ _ _ _ __ ___ _ _ _ _ _ _ _ _ _R ep laor Stamped c em e n t (Y es or No )

Valve Fisher Controls 6540519 5086 3JSEBUVO648 1979 Repaired Yes Pipe Cap N/A N/A N/A 3JSIBUVO648 2003 Replacement No

7. Description of Work Replace leakoff line

8. Test Conducted: Hydrostatic U Pneumatic U Nominal Operating Pressure L Exempt id N-416-1 0 Other U Pressure psi Test Temp. OF NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 x 11 in.,

(2) information in items 1 through 6 on this report Is Included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

PV-E0092 Ver. 7 73DP-9Z17

FORM NIS-2 (Back)

9. Remarks Work Order 2579445 replaced the valve plug/stem assembly in 3JSIBUVO648 to correct seat leakage and replaced the leakoff pipe per the requirements of 13-PN-0204.

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code, Section Xl. repair or replacement Type Code Symbol Stamp_ N/A Certificate of Authorization No. N/A Expiration Date N/A Signed 14 f 7 c;~-eow Date- 'f/i ylo3 Owner or Owner's Designee, Tlte 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-21-o3 to 'L%- k-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 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 '36 qeS Cact A 2l spetors Signature National Board. State, Province, and Endorsements PvtL art, 2os Date 73DP-9ZZI7 PV-E0092 7 BACK Ver. 7 Pv-EOOg2 Ver. BACK 73DP-9ZZ1 7

ASME SECTION Xi REPAIRIREPLACEMENT Page of

1. Component ID 3PRCEV240 2. Code Class ASME Section m Class 1

3. Item Description Bonnet and Bonnet Retainer

4. N-5 Package Number 3RCO1-2 5. W.O. Number 2593614

6. Original Construction Code Edition 1974 Edition Winter 1975 Addenda

7. Original Installation Code Edition 1974 Edition Winter 1975 Addenda

8. Work Description Replaced Bonnet, Replaced Retainer

9. [l ISI Flaw NDE Method of Flaw Detection Report Number

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

ALie.,A i jO.J re0b ^)r.

11. Repair/Replacement Work Organization Arizona Public Service

12. Replacement Item Construction or reconciled Code/Edition Sec. m Class 1, 1974 Edition Winter 1975 Addenda

13. Repair/Replacement Activity Construction Code/Edition Sec. m Cl 1, 1992 Edition 1992 Addenda

14. ASME Section Xi Code/Edition 1992 Edition 1992 Addenda

15. Preservice Inspection Required. El YES 1 NO pwi V - P5 y- If required, include a step in the W.O. to perform Preservice Inspection.

In Date

16. ASME Section Xl Pressure Test Required la YES E NO A j 4 -07 If required, include a step in the W.O. for ISI & ANII Inspection.

Initi - Date J+. 4-li P5 t 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Inia] Date AX/ -/ -I/ IT 18. Include a step in the W.O. to record below all applicable numbers for replacement items.

Initi Date ITEM I.D. PART NO. SERIAL NO. HEAT NO. MR/POIWO NO.

BbAAX&T7 _ _ 3 6 6 _t I2

_eA) m 7379 U/

D oanXg1 bo% 7j7 ____7 ___ 3j-tA H. a I

19. Planner S 2gnaSignature 4 'i 9i/P3 Date Print Name PWvo 4 ip~ f)L 7

20. 1SI Engineer Je- - //I/o Print Name La M noro Signature Date

21. ANII ' d Print Name Q Signste . Dale ver 7- 730,4ZZ_

FV-E0093 vet. 7 73DP4OZ17

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 Comnany. et. al. Date: 4/28/03 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: I of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 S. Wintersburg Rd.. Tononah. Arizona 85354-7529 Work Order Number: 2593614

3. Work Performed by: Arizona Public Service Type of Code Stamp: None 5801 S. Wintersburg Rd., Tonopah, AZ 85454-7529 Authorization No. N/A Expiration Date: N/A

4. Identification of System: Reactor Coolant

5. (a) Applicable Construction Code:ASME Section III NB. Class 1 1974 Edition, Winter 1975 Addenda, N/A 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

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~~~~~~~~~~~

)

Valve Borg-Warner 51717 N/A 3PRCEV240 1979 Repaired Yes Bonnet Borg-Warner RS 221260 SN 12 N/A 3PRCEV240 1992 Replacement Yes Bonnet Retainer Borg-Warner N/A N/A 3PRCEV240 2003 Replacement No

7. Description of Work: Replaced bonnet and bonnet retainer.

8. Test Conducted: Hydrostatic E Pneumatic D Nominal Operating Pressure 0 Exempt N-416-1 0 Other El Pressure psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 /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: Replace bonnet and bonnet retainer per work instructions of WO# 2593614.

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: ki-6el soyo _ , A, _,_

Date: / Z goS.3 Owneror Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of _ -_t- 03 to _______3 and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

-sU'A Commissions: NB 9685 "ANIC" AZ264 National Board, State, Province, and Endorsements Ins tctors Signature Date: .q -zIS-o3 I-73DP-9ZZI 7 PV-E009 v.

PV-EOO9 Vr. 77 Back Backc 73DP-9ZZ1 7

ASME SECTION X - REPAIR/REPLACEMENT

. . ~~~~~~~~~~~~~~~Page of

1. Component ID 3RCEA01 2. Code Class ASME Section III, Class 1

3. Item Description REACTOR COOLANT SYSTEM PRESSURIZER HEATER

4. N-5 Package Number 3RC01-2 5. W.O. Number 2595493

6. Original Construction Code Edition ASME Section m, Class 1, 1971 Edition, Winter 1973 Addenda

7. Original Installation Code Edition ASME Section m, Class 1, 1974 Edition. Winter 1975 Addenda

8. Work Description Install a Mechanical Nozzle Seal Assembly (MNSA) on the Pressurizer Heater Nozzle 3MRCEA01 to stop RCS leakage. Reference DFWO# 2594958.

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

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

Evaluation of the installation of the MNSA is describes in Engineering DFWO 2594958. (>e he -

n' (esu kA oh a e d c,=tA e NI44 hA 'io-n 4 fr M LJ-a_

11. Repair/Replacement Work Organization Arizona Public Service

12. Replacement Item Construction or reconciled Code/Edition ASME Sec. m Cl 1, 1989 Edition

13. Repair/Replacement Activity Construction Code/Edition ASME Sec. m,Cl 1, 1974 Ed.,Winter 1975 Addenda

14. ASME Section Xl Code/Edition 1992 Edition, 1992 Addenda,NRC Relief RequestNRC Docket NQ. STN-50-530

15. Preservice Ins ection Required. E YES Q NO Us11X ) If required, include a step in the W.O. to perform Preservice Inspection.

W/Z Initial Date

16. ASME Section XI Pressure Test Required El YES i NO ksS ____m__ If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date V;, 6/tt hoSi. 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date t4rs l/kh/ce_ 18. Include a step in the W.O. to record below all applicable numbers for replacement items.

Initial Date ITEM I.D. PART NO. SERIAL NO. HEAT NO. MRIPOMWO NO.

MNSA Assembly APN# 00064921 N/A - /*121

19. Planner 4 Q- t4- Print Name Karl V. Savage Signature a Date

20. ISI Engineer c T V Y// ,3 Date Print Name RamekIndap A ,. /tfiw Signature

21. ANII 7AC > 3 Print Name Robert G. Hogstrom Signs reDate V-03Va.?7D-Z1 PV EX093 Ve 7 V 73DP-9ZZ17

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: 4/15/03 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 S. Wintersburg Rd., Tonopab, Arizona 85354-7529 Work Order Number 2595493

3. Work Performed by: Arizona Public Service Company Type of Code Stamp None 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 Authorization No. N/A Expiration Date N/A

4. Identification of System: Reactor Coolant

5. (a) Applicable Construction Code:ASME Section III NB, Class 1 1971 Edition, 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

__________ - ~~~~~~~~~~~

Pressurizer Combustion Eng. 65373 22254 3MRCEX02 1981 Repaired Yes MNSA Westinghouse 1 N/A 3MRCEA01 2003 Replacement No

7. Description of Work: Install a Mechanical Nozzle Seal Assembly (MNSA) IAW DFWO 2594958.

8. Test Conducted: Hydrostatic a Pneumatic E Nominal Operating Pressure 0 Exempt 0 N-416-1 0 Other D Pressure psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 '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: Install a Mechanical Nozzle Seal Assembly (MNSA) on the Pressurizer Heater location 3MRCEA01 to stop RCS leakage. Reference DFWO 2594958. NRC Relief Request #17, NRC Docket Number STN-50-530.

Work performed under W.O. 2595493.

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: ,/ ,-Rtk, in@&

MWncr us ai2-rD wner's Designee, Tibe le' , £ Date: - Z q -03 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_ _ __3 to 4 -Zo-3 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

6 4t,- Commissions: NB 9685 "ANIC" AZ264 National Board, State, Province, and Endorsements Inspecus Signature Date: I-za-cs U-73DP-9ZZ17 PV-E0092 Ver.

PV-E0092 Back Var. 77 Back 73DP-9ZZ17

ASME SECTION XI - REPAIRIREPLACEMENT Pageof

1. Component ID 3MRCEA15 2. Code Class ASME Section m, Class 1

3. Item Description REACTOR COOLANT SYSTEM PRESSURIZER HEATER

4. N-5 Package Number 3RC01-2 5. W.O. Number 2596122

6. Original Construction Code Edition ASME Section mH, Class 1, 1971 Edition, Winter 1973 Addenda

7. Original Installation Code Edition ASME Section m. Class 1. 1974 Edition. Winter 1975 Addenda

8. Work Description Install a Mechanical Nozzle Seal Assembly (MNSA) on the Pressurizer Heater Nozzle 3MRCEA15 to stop RCS leakage. Reference DFWO# 2594958.

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.

Evaluation of theinstallation of theMNSA is describes in Engineering DFWO 2594958 _  : sr7 L61:-n!E ihs+.,,fq ex -I cc e 8 t A  ; -w@ p~~~~~~~~~~~~~~~~~~~~~~~~~~~~-

e+a>D

11. Repair/Replacement Work Organization Arizona Public Service

12. Replacement Item Construction or reconciled Code/Edition ASME Sec. m Cl 1, 1989 Edition

13. Repair/Replacement Activity Construction Code/Edition ASME Sec. HICI 1, 1974 Ed.,Winter 1975 Addenda

14. ASME Section XI Code/Edition 1992 Edition,1992 Addenda,NRC Relief RequestNRC Docket NQ. STN-50-530

15. Preservice Inspection Required. El YES I NO tr ___Y/1/2_ If required, include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section XI Pressure Test Required E] YES O NO

,S ct/ic4tC' If required, Include a step in the W.O. for ISI & ANII Inspection.

Inimai Date 1h S _/1____ 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initial Date Vs. I/K1i2t-) 18. Include a step In the W.O. to record below all applicable numbers for replacement Items.

Initial Date ITEM I.D. PART NO. SERIAL NO. HEAT Nq. MRIPOIWO NO.

MNSA Assembly APN# 00064921 N/A o t p _DoW

19. Planner Va QSignature QDate Print Name Karl V. Savage

20. IS! Engineer 6 tZA-&t LIIS/3

'%Il t-cr Print Name Racay/.~ J 6r Signature Date

21. ANII lj -s-o. Print Name Robert G. Hogstrom SignaxuJle Date PV-Eo0s3 Ver. 7 7313P anti

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: 4/15/03 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 Work Order Number 2596122

3. Work Performed by: Arizona Public Service Company Type of Code Stamp None 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 Authorization No. N/A Expiration Date N/A

4. Identification of System: Reactor Coolant

5. (a) Applicable Construction Code:ASME Section III NB, Class 1 1971 Edition, 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

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ ~ ~~~~~~~~N

)

Pressurizer Combustion Eng. 65373 22254 3MRCEX02 1981 Repaired Yes MNSA Westinghouse 2 N/A 3MRCEA15 2003 Replacement No

7. Description of Work: Install a Mechanical Nozzle Seal Assembly (MNSA) IAW DFWO 2594958.

8. Test Conducted: Hydrostatic El Pneumatic Nominal Operating Pressure ED Exempt 0 N-416-1 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 2 X 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: nstall a Mechanical Nozzle Seal Assembly (MNSA) on the Pressurizer Heater location 3MRCEA15 to stop RCS leakage. Reference DFWO 2594958. NRC Relief Request #17, NRC Docket Number STN-50-530.

Work performed under W.O. 2596122.

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: '-, ,?Z Ut) h- Date: A- 08-0 3 Owner or Owner's 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 Arizona and employed by HSB CT of Hartford. Connecticut, have inspected the components described in this Owner's report during the period of -k-c 3 to _ -__

__2_ and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section 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.

.C1-4;1

,e111?

I Commissions: NB 9685 "ANIC" AZ264 National Board, State, Province, and Endorsements iisectors Signature Date:_

I-Pv-Eo092 ver. 77 Back Back 731JP-9ZZI 7 PV-E0092 Ver. 73DP-9ZZ1 7

ASME SECTION ) - REPAIR / REPLACEMENT Page of

1. Component ID 3MRCEA01 2. Code Class ASME Section m Class I

3. Item

Description:

Reactor coolan t system Pressurizer Backu beater

4. N-5 Data Package Number: 3RC01-2 -5. W.O. Number: 2597249

6. Original Construction Code Edition: 1971 Edition. Winter 1973 Addenda

7. Original Installation Code Edition: l974 Edition. Winter 1975 Addenda

8. Work

Description:

Bolace Pressurizer Heater

9. 0 ISI Flaw NDE Method of Flaw Detection:

Report Nunber:

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

Replace pressurizer heater on a like for like basis

11. Repair/Replacement Work Organization: Arizona Public Service

12. Replacement Items Construction or reconciled Code/Edition: Sec. m Cl 1. 1971 Edition 1973 Winter Addenda

13. Repair/Replacement Activity Construction Code/Edition: Sec. II C1 1. 1974 Edition 1975 Winter Addenda

14. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda

15. Prese icleInspection Required: a YES NO Initia r Date Ai It (03 If required, include a step in the W.O. to perform Preservice Inspection

16. ASME ction XI Pressure Test Required: 0 YES 0 NO Initial Date D 1 If required, include a step in the W.O. for ISI & ANII Inspection.

Initi Date g'/["tx 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initialk<< Date 411 *(03 component.

18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date 1 replacement items.

Item ID Part No. Serial No. Heat No. lMRPO/WO No.

Pressurizer Heater 44450049 52 I S D /&j .e 7fX2 4 -q ly Ml? g(,

19. P laern. .j6. If PrintedName: Ck &t4 /WadrO c

Signature Date

20. ISI 5 - -c (3 Printed Name: 4 cg Signatue Date

21. ANII Signature

. Ai 4- -o3 Date Printed Name: SRr & lo 4(

FV.Eeos V.

~

PV.E0093 ~ ~ 3PW _

__~

n-MxA=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 04111/03 Narie -

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

2. Plant Palo Verde Nuclear Generating Station 7 Unit 3 Name 5801 S. Wintersburg Rd.. Tonopah. Arizona 85354-7529 2597249 Address Wornuer Nwber

3. Work Performed by Arizona Public Service Co. Type Code Symbol Stamp - None Name Authorization No. N/A 5801 S. Wintersburg Rd., Tonopah, AZ 85354-7529 Expiration Date N/A Address

4. Identification of System RC

5. (a) Applicable Construction Code ASME m Class 1 19 71 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 e d Stmped Item Manufacturer Serial No. Board No. Identification Bult cement Yes or No)

Pzr. Heater Combustion Eng. 931 N/A 3MRCEAO1 1982 Replacement Yes

7. Description of Work Remove Pzr Htr.,perform eddy current testing & install new ht.

8. Test Conducted: Hydrostatic [X Pneumatic I2 Nominal Operating Pressure ] Exempt I3 N416-1 1 Other I 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.

73PQZ P ,a.

lEO9 P\FE0092 We. 7 73DP7

1 (k)

FORM NI- j FORM NIS-2 (Back)

9. Remarks: Remove Dressuizer heater perform eddy current testing and install new Pressurizer heater I Q..-. .2S'kJ7.A 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: flf / UGk?f~t(u@ J9'e Date: q /R 5 b.

) Owner or Owner's Designee, Title f CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a valid commission issued by the National Board of boiler and-Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford Connecticut, have inspected the components described in this Owner's report during the period of -k- t-O to 4- S-o3 , 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.

orA tL. Commissions: NB 9685 "N" "1"AZ264 National Board. State, Prvince, and Endorsements

'nsp'eors Signature Date:  : t~~ a U,-

73DP-9ZZ17 PV-E0092 Ver. 77 Back PV-E0092 Back 73DP-9ZZ17

ASME SECTION X - REPAIR/REPLACEMENT Page - of_

1. Component ID 3PRCEV241 2. Code Class 1

3. Item Description RCEFV100F INLET ISOLATION VALVE

4. N-5 Package Number 3RCO1-2 5. W.O. Number 2598405

6. Original Construction Code Edition ASME SECT. m, CL , 1974 EDITION, W75 ADD.

7. Original Installation Code Edition ASME SECT. m. CL 1, 1974 EDITION, W75 ADD.

8. Work Description REPLACE VALVE ITEMS AS REQUIRED TO CORRECT SEAT LEAKAGE.

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.

No AaiI., .0 ,.w$ i-. ASSURE AOs^ 6 as /

11. Repair/Replacement Work Organization ARIZONA PUBLIC SERVICE

12. Replacement Item Construction or reconciled Code/Edition ASME SECT. III, CL 1, 1974 EDITION, W75 ADD.

13. Repair/Replacement Activity Construction Code/Edition ASME SECT. Ill, CL 1, 1974 EDITION, W75 ADD.

14. ASME Section Xl Code/Edition ASME SECT. III, 1992 EDITION, 92 ADD.

15. Preservice Inspection Required. El YES E@l NO JD 04/18/03 If required, include a step in the W.O. to perform Preservice Inspection.

Initial Date

16. ASME Section Xl Pressure Test Required ID YES [a NO JD 04/18/03 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date JD 04/18/03 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

Initia Date JD 04/18/03 18. Include a step in the W.O. to record below all applicable numbers for replacement items.

Initial Date ITEM I.D. PART NO. SERIAL NO. HEAT NO. MRIP ONO

19. Planner 04/18/03 Print Name JAMES I. DAVIS

<do ~~~Signature Date

20. ISI Engineer e 'ht43 I2-e0 Print Name /4i14..L 044,00rtii Signature Date

21. ANII - "' -- Print Name e;5 g.

Date PV-EDW93 Ver. 7 73DP-9ZZ1 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: 4/26/03 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: I of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road.. Tonopah, Arizona 85354-7529 Work Order Number 2598405

3. Work Performed by: Arizona Public Service Type of Code Stamp None 5801 S. Wintersburg Rd., Tonopah, AZ 85454-7529 Authorization No. N/A Expiration Date N/A

4. Identification of System: Reactor Coolant

5. (a) Applicable Construction Code ASME Section III NB. Class 1974 Edition, Winter 1975 Addenda, N/A 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

_ _ _ _ _ __ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _N O )

Valve Borg-Warner 80142 N/A 3PRCEV241 1983 Repaired Yes Bonnet Borg-Warner RS 221260 SN 13 N/A 3PRCEV241 1992 Replacement Yes Gate Borg-Warner 225210 N/A 3PRCEV241 1993 Replacement Yes Stem Borg-Warner N/A N/A 3PRCEV241 N/A Replacement No

7. Description of Work: Relace items as required to correct seat leakage.

8. Test Conducted: Hydrostatic a Pneumatic E Nominal Operating Pressure Exempt 0 N416-1 0 Other a Pressure psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (I) size is 8 /2X 1 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)

9. Remarks Work Order 2598405 replaced items as required to correct seat leakage.

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. repair or replacement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed %2 Designe/, TARC Date A/ zg,

,, Oei or 0iperas Designee, Tle CERTIFICATE OF INSERVICE INSPECTION 1,the.undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut , have inspected the components described in this Owner's Report during the period -(- 1%-cO3 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 no -11LS >AC, Ai. 2"4" Instr rs Signature National Board, State, Province, and Endorsements Date 730P-9ZZ17 PV-E0092 Ver.

PV-E0092 BACK Ver. 77 BACK 73DP-9ZZ17