ML042290494
| ML042290494 | |
| Person / Time | |
|---|---|
| Site: | Palo Verde  |
| Issue date: | 08/06/2004 |
| From: | Bauer S Arizona Public Service Co |
| To: | Document Control Desk, Office of Nuclear Reactor Regulation |
| References | |
| -RFPFR, 102-05136-SAB/TNW/RJR | |
| Download: ML042290494 (192) | |
Text
L Scott A. Bauer 10CFR 50.55a Department Leader Regulatory Affairs Tel: 623/393-5978 Mail Station 7636 Palo Verde Nuclear Fax: 6231393-5442 P.O. Box 52034 Generating Station e-mail: sbauer~apsc.com Phoenix, AZ 85072-2034 102-05136-SAB/TNW/RJR August 6, 2004 U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Mail Station P1-37 Washington, DC 20555-0001
Dear Sirs:
Subject:
Palo Verde Nuclear Generating Station (PVNGS)
Unit 1, Docket No. STN 50-528 Unit 1 Second 10-Year Interval - Eleventh Refueling Outage Inservice Inspection Summary Pursuant to 10 CFR 50.55a and IWA-6230 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 1 Inservice Inspection Report for the eleventh refueling outage, provided in Enclosure 1.
APS completed Unit 1's Refueling Outage on May 10, 2004.
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, CDM/SAB/RJR/
Enclosure cc:
B. S. Mallett M. B. Fields N. L. Salgado
.,---.ON
ENCLOSURE SECOND 10-YEAR ISI INTERVAL
SUMMARY
REPORT ELEVENTH REFUELING OUTAGE PALO VERDE NUCLEAR GENERATING STATION, UNIT 1
II PALO VERDE NUCLEAR GENERATING STATION UNIT 1 INSERVICE INSPECTION REPORT ELEVENTH REFUELING OUTAGE ARIZONA PUBLIC SERVICE 5801 S. WINTERSBURG ROAD TONOPAH, AZ 85354 PREPARED BY:
DATE:
72i/z 7 j$:
REVIEWED BY:
APPROVED BY:
&I1 fs DATE: 7-z z Ž en DATE:
/7 o COMMERCIAL SERVICE DATE:
REPORT DATE:
01/28/86 07/14/2004
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 36 APPENDIX C - Form NIS-1 38 APPENDIX D - Forms NIS-2 41 Page 2 of 41
UNIT 1 INSERVICE INSPECTION REPORT 1.0 Introduction This report is a summary of the examinations performed during the eleventh refueling outage at the Palo Verde Nuclear Generating Station (PVNGS) Unit 1. This report also includes all applicable examinations conducted since the last refueling outage. This was the second refueling for Interval 2, Period 2 which was conducted from April 4, 2004 through May 10, 2004. Palo Verde Unit I began commercial operation on January 28, 1986.
This report identifies the components examined, the examination methods used, the examination report numbers, and summarize the examination results for each of the following categories:
- 1. ASME Section XI, Class I and 2 pressure retaining components and their supports.
This report is a summary of the ISI examinations performed during the Second Interval. This report is a summary of the Period I and 2 examinations performed through the eleventh refueling outage. All of the examination report numbers listed in Appendix A for the eleventh refueling and examinations performed since the last Summary Report are in bold type.
2.0 Examination Summary The evaluation of the results from the ISI examinations indicated the integrity of the systems has been maintained.
All discrepancies were corrected or determined "use-as-is" in accordance with PVNGS work control practices and ASME Section XI.
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 ECT Eddy Current 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 of 41
4.0 Accessibility 4.1 All items were examined to the extent practical. Code limitations encountered during the examination that exceed the criteria of code case N490 are documented in Appendix B.
5.0 Personnel 5.1 All nondestructive examinations were performed by Arizona Public Service Co. (APS), Lambert, MacGill, Thomas, Inc. (LMT), or MQS. All personnel were certified in accordance with programs written to comply with the applicable requirements of ASME Section XI. Copies of all certifications are maintained on file.
Hartford Steam Boiler Inspection and Insurance Company of Connecticut provided the Authorized Nuclear Inservice Inspector (ANII).
6.0 Equipment and Materials 6.1 The equipment and materials utilized were certified to the requirements of ASME Section XI. Copies of all certifications are maintained on file.
7.0 Repairs and Replacements No repairs or replacement were performed as a result of ISI examinations performed during ULRI 1. The applicable records and reports for the specific maintenance repair or replacements performed after the last summary report are maintained on file at Palo Verde. The applicable NIS-2 forms are an attachment to Appendix D and are submitted for review with this report.
Page 4 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Page 5 of 41
APPENDIX A Definition of Terms The column headings for the tables on the following pages are defined below:
ASME Item No -
The ASME Section XI Category/Item Numbers are listed in the Code, Subsections IWB and IWC. The item number prefixes are defined below:
AHE -
Augmented high energy systems piping B -
ASME Class 1 systems BFLYWH -
Reactor coolant pump flywheels BIWF -
ASME Class 1 supports C -
ASME Class 2 systems CIWF -
ASME Class 2 supports FR -
10 CFR 50 augmented examinations Zone No -
Area designation per PVNGS design Comp/Sys -
Component or system description Insp Per -
Inspection period Amt Reqd -
Number of items required to be completed in the period Amt Comp -
Number of required items completed Item ID -
Item identification per ISI program/zone drawings Reports (VOL) -
Volumetric exam report number (SURF) -
Surface exam report number (VIS) -
Visual exam report number Remarks -
Re-exam or replacement remarks indicate acceptable examination results Page 6 of 41
Definition of terms continued Acc -
ADV -
Aux -
Atmos -
CEDM -
Circ -
Cont -
Cs -
CSP -
FW -
HPSI -
HTRS -
ICI -
IEB -
Letdown HT Exch -
LPSI -
MS -
MT -
Press Bound -
PSE -
PSV -
PZR -
RCP -
RCS -
Reg HT Exch -
SD -
SG -
Snub -
Surf -
UT -
Vis -
Vol -
Accessible Atmospheric Dump Valve Auxiliary Atmospheric Control Element Drive Mechanism Circumferential Containment Containment Spray Containment Spray Pump Feedwater High Pressure Safety Injection Heaters In Core Instrumentation Inspection and Enforcement Bulletin Letdown Heat Exchanger Low Pressure Safety Injection Main Steam Magnetic Particle Test Pressure Boundary Preservice Examination Pressurizer Safety Valve Pressurizer Reactor Coolant Pump Reactor Coolant System Regenerative Heat Exchanger Shutdown Steam Generator Snubber Reduction Program Surface Ultrasonic Testing Visual Volumetric Page 7 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp ASME Class 2 Augmented High Enerev Piping AHE 5.51 47 MS SGI
& 5.52 48 NIS SG1 East 51 Atmos Dump SG1 53 Steam to Aux FW One 13 13 47-1 99-1361 99-1280 47-2 99-1360 99-1280 47-4 99-1305 99-1281 47-8 99-1306 99-1281 47-12 99-1307 99-1281 47-14A 99-1356 99-1280 47-16 99-1308 99-1281 47-20 99-1309 99-1281 47-24 99-1352 99-1280 47-25 99-1350 99-1280 47-28 99-1348 99-1282 47-29 99-1349 99-1282 47-30 99-1351 99-1280 Two 12 12 48-01 UT-04-006 MIT-04-009 48-02 UT-04-007 AIT-04-010 48-04 UT-04-009 NIT-04-012 48-08 UT-04-011 NIT-04-014 48-12 UT-04-013 MIT-04-016 48-14A UT-04-014 NIT-04-017 48-16 UT-04-016 NIT-04-019 48-20 UT-04-018 NIT-04-021 48-24 UT-04-020 NIT-04-023 48-25 UT-04-021 NIT-04-024 48-28 UT-04-023 NrT-04-026 48-29 UT-04-024 MT-04-027 48-30 UT-04-025 NIT-04-028 One 13 13 51-1 99-1345 99-1287 51-2 99-1362 99-1287 51-3 99-1363 99-1287 51-4 99-1364 99-1287 51-5 99-1365 99-1287 51-6 99-1366 99-1287 51-7 99-1367 99-1288 51-8A 99-1368 99-1288 51-8B 99-1369 99-1287 51-9 99-1370 99-1287 51-51 99-1371 99-1287 51-84 99-1346 99-1287 51-85 99-1347 99-1287 Two 14 14 51-26 UT-04-028 NIT-04-031 51-27 UT-04-029 NIT-04-032 51-28 UT-04-030 MIT-04-033 51-29 UT-04-031 MIT-04-034 51-30 UT-04-032 MIT-04-035 51-31 UT-04-033 MIT-04-036 51-32 UT-04-034 MIT-04-037 51-33 UT-04-035 MIT-04-038 51-34 UT-04-036 NIT-04-039 51-37 UT-04-037 MIT-04-040 51-49 Ur-04-038 NIT-04-041 51-86 UT-04-039 MIT-04-042 51-87 UT-04-040 MIT-04-043 51-88 UT-04-041 IT-04-044 One 10 10 53-11 99-1538 99-1506 53-12 99-1539 99-1506 53.13 99-1540 99-1506 53-14 99-1541 99-1506 53-15 99-1542 99-1506 53-21 99-1543 99-1506 53-22 99-1544 99-1506 53-23 99-1545 99-1506 53-24 99-1546 99-1506 53-25 99-1547 99-1506 Two 9
9 53-1 UT-02-262 MT-02-187 UT-02-278 53-2 UT-02-263 MT-02-175 53-4 UT-02-264 MT-02-188 No credit PSE PSE Page 8 of4l
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 56 FeedwaterSGI 60 Downcomer SGI 61 DowncomerSGI 66 Blowdown SGI 53-5 53-6 53-7 53-8 53-9 53-10 One 7
7 56-1 56-3 564 56-6 56-7 56-9 56-11 One 9
9 60-7 60-8 60-9 60-11 60-12 60-14 60-15 60-16 60-17 Two 5
5 60-02 60-03 60-04 60-05 60-06 Two 5
5 61-02 61-03 61-04 61-05 61-06 One 9
9 66-1 66-2 66-3 66-5 66-6 66-7 66-8 66-9 66-26 Two 6
6 66-10 66-11 66-12 66-13 66-14 66-15 Two 21 21 51-101 51-102 51-103 51-104 51-105 51-106 51-107 51-108 51-109 51-1 10 51-111 51-112 51-113 51-114 51-115 51-116 51-117 51-118 51-119 51-120 51-121 One 7
6 47-3 47-7 UT-02-265 MT-02-1 89 UT-02-267 MT-02-190 UT-02-268 MT-02-191 UT-02-269 MT-02-192 UT-02-270 MT-02-193 UT-02-271 MT-02-194 01-1411 01-1328 01-1412 01-1328 01-1429 01-1328 01-1413 01-1328 01-1414 01-1328 01-1415 01-1328 01-1416 01-1328 99-1708 99-1646 01-1221 01-1230 01-1222 01-1230 01-1223 01-1230 01-1224 01-1230 99-1625 99-1646 99-1658 99-1646 99-1666 99-1646 99-1667 99-1646 UTJ-04-67 MIT-04-066 UT-04-068 IT-04-067 UT404-069 IT.04-068 UT-04-070 IT-04-069 UT-04-071 IT-04-070 UT-04-072 IT-04-071 UT-04-073 MIT-04.072 UT-04-074 IT-04-073 UT-04-075 MIT-04.074 UT-04-076 5T-04-075 99-1469 99-1416 99-1470 99-1416 99-1471 99-1416 99-1472 99-1416 99-1473 99-1416 99-1474 99-1416 99-1475 99-1416 99-1476 99-1416 99-1477 99-1416 UT-04-080 IT-04-080 UT-04-081 MT-04-081 UT-04-082 5T-04-082 UT-04-083 5IT-04-083 UT404-084 hT-04-084 UT-04-085 5T-04-085 Ur-04-042 IT-04-045 UT-04-043 IT-04-046 Ur-04-044 IT-04-047 UT-04-045 IT-04-048 UT-04-046 IT-04-049 Ur-04-047 hIT-04-050 UT-04-048 IT-04-051 UT-04-049 IT.04.052 UT-04-050 IT-04.053 UT-04-051 NIT-04.054 UT-04-052 IT-04.055 UT-04-053 IT-04-056 UT-04-054 MIT-04.057 UT-04-055 5IT04-058 UT-04-056 IT-044059 UT-04-057 IT-04-060 UT-044058 5IT-04-061 UT-04-059 IT-04-062 UT-04-060 MIT-04.063 UT-04-061 hIT-04-064 UT-04-062 5IT-04-65 99-1359 99-1280 99-1358 99-1280 AIIE 5.61 51 ADVI Bypass UVI8O
& 5.62 AIIE 5.81 47 NIS SGI Wcst
& 5.82 Page 9 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req CoWp 48 MIS SG1 East 47-11 47-15 47-19 47-23 47-27 Two 0
1 47-27 Two 8(1) 8(1) 48-03 48-07 48-11 48-15 48-19 48-23 48-27 48-34 48-35 99-1357 99-1355 99.1354 99-1353 UT-04-005 UT-04-008 UT-04-010 UT-04-012 UT-04-015 UT-04-017 UT-04-019 UT-04-022 UT-04-026 UT-04-027 99-1280 99-1280 99-1280 99-1280 99-1280 NIT-04-008 MT-04-01 1 MT-04-013 NIT-04-015 MT-04-018 NIT-04-020 NIT-04-022 NIT-04-025 NIT-04-029 MT-04-030 99-1458 99-1458 MT-04-001 ASNIE Class 1 B 1.22 B 1.30 B 1.40 B 1A0 B 2.11 &
2.12 B 2.31 B 2.32 02 Closure Head 01 Reactor Vessel 02 Closure Head 02 Closure Head 5
Pressurizer One 33%
33%
2-4 99-1466 99-1479 99-1481 99-1483 One 50°/e 50 0/h 1-14 One 33%
33%
2-1 99-1465 99-1478 99-1480 99-1482 Two 33%
33%
2-1 UT-04-107 One 66%
66%
5-2 99-1448 99-1450 99-1452 99-1454 5-3 99-1449 99-1451 99-1453 99-1455 Two 66%
66%
5-6 UT-02-243 UT-02-244 UT-02-245 UT-02-246 5-8 UT-02-238 UT-02-240 UT-02-241 UT-02-242 One 33%
33%
3-5 01-1200 01-1211 01-1214 01-1234 Two 33%
33%
3-5 UT-02-139 UT-02-140 UT-02-147 UT-02-149 One 33%
33%
3-3 01-1199 01-1212 01-1213 01-1233 3-10 01-1203 01-1208 01-1218 01-1237 3-11 01-1200 01-1201 01-1210 01-1211 01-1214 01-1215 01-1234 01-1235 Aug, Limited UT exam Accessible Areas RR# 14 Examined 0°-180° Examined 0°-120° Separate Report by Wcsdyne. Exam completed in IR8 Examined 120-240° Examined 0°-240° 1' long seam for 5-2 1' long seam for 5-8 Examined 0°-240° Examined 0°-120° Examined 120°-240° 03 Steam Generator I 03 Steam Generator I Page IO of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp B2.40 03 Steam Generator I 04 Steam Generator 2 B 3.90 B 3.100 B 3.1 10 01 Reactor Vessel 01 Reactor Vessel 05 Pressurizer 3-12 01-1201 01-1210 01-1215 01-1235 One 50%
50°/h 3-6 01-1201 01-1210 01-1215 01-1235 Two 50%
500/h 4-6 UT-02-260 UT-02-280 UT-02-281 UT-02-282 One 2
2 1-15 1-18 One 2
2 1-15 1-18 One 2
2 5-9 01-1283 01-1284 01-1286 01-1287 5-11 01-1267 01-1268 01-1269 01-1270 Two 2
2 5-10 UT-02-252 UT-02-253 UT-02-254 UT-02-255 5-13 UT-02-247 UT-02-248 UT-02-250 UT-02-251 One 2
2 5-9 01-1285 01-1406 5-11 01-1365 01-1366 Two 2
2 5-10 UT-02-266 5-13 UT-02-272 One I
1 3-9 01-1202 01-1209 01-1217 01-1236 Two I
1 3-7 UT-02-134 UT-02-143 UT-02-145 UT-02-146 One I
1 4-9 01-1376 01-1377 01-1378 01-1379 Two I
1 4-7 UT-02-138 UT-02-142 UT-02-144 UT-02-148 One I
1 3-9 01-1367 01-1368 Two I
1 3-7 UT-02-132 One I
1 4-9 01-1369 01-1370 Two I
1 4-7 UT-02-135 B 3.120 05 Pressurizer B 3.130 03 Steam Generator I 04 Steam Generator 2 B 3.140 03 Steam Generator I 04 Steam Generator 2 B4.11 01 Reactor Vessel B 4.12 02 Closure Head B4.13 01 Reactor Vessel B 4.20 05 Pressurizer Examined 0°-180° Examined 1800-3600 Separate Report by Wesdyne. Exam completed in IR8 ECT-*
04-235
VT-02-700 04-235 All (EA-03-009)04-236 01-1627 VT-02-705 Reject - eval by CRDR 2312850 VTI4431 All (EA-03-009) 01-1627 CEIB 89-06 Two 0
One 8
Two 8
0 RPV Vent 8
CEDM Noz 8
CEDM Noz UT-*
One S
5 Inst. Noz.
Two 5
5 Inst. Noz One 12 12 Heater Page 11 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComPISys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req ComP B 5.40 20 PZR Surge 31 PZR Safeties 20 PZR Surge 29 PZR Spray 31 PZR Safeties Two 12 12 Heater One I
1 5-34 01-1288 01-1232 01-1290 One I
1 5-29 01-1238 01-1010 01-1239 01-1240 01-1278 VT-02-699 CEIB 89-06 VT-04433 B 6.10 B 6.30 B 6.50 B 6.180 02 Closure Head 02 Closure Head 02 Closure Head 16 RCP 1A 17 RCP IB 18 RCP 2A Two 0
0 5-34 VT-04-386 Aug. VT Two I
1 5-33 RT-02-003 PT-02-147 VT-04-387 Aug. VT Two I
1 5-31 UT-02-257 PT-02-155 VT-04-390 Aug. VT 5-29 7T-04-388 Aug. VT 5-30 VT-04-389 Aug. VT 5-32 VT-04-391 Aug. VT One 18 18 I thru 18 99-1510 99-1589 Two 18 18 19 thru 36 MT-02-167 VT.02-592 One 18 18 I thru 18 99-1511 99-1509 Two 18 18 19thru36 UT-02-211 MT-02-166 Two 0
0 45 92-725 92-724 PSE In W One 18 18 I thru I8 99-1613 Two 18 18 19thru36 VT-02-593 One 5
5 I thru 5 99-1705 99-1601 01-1654 Two 5
5 6 thru 10 VT-02-626 UT-04-116 VT-04430 IEIN 80-2 One 5
5 1 thru 5 99-1706 99-1603 01-1654 Two 5
5 6 thru 10 VT-02-630 UT-04-117 VT-04-429 IEIN80-2 One 5
5 1 thru 5 99-1487 99-1500 99-1464 PSE
'arehouse 27 All 27 All Two 5
5 6thru 10 B 6.190 B 6.200 19 RCP 2B 18 RCP 2A 16 RCP IA 17 RCP IB 18 RCP 2A 19 RCP2B 05 Pressurizer 03 Steam Generatorl 04 Steam Generator2 31 PZR Safeties One 5
5 Two 5
5 One When Disassembled One 5
5 Two 5
5 One 5
5 Two 5
5 One 5
5 UT-04-118 I thru 5 99-1707 6 thru 10 UT-04-119 Flange I thru 5 6 thru 10 I thru 5 6 thru 10 I thru 5 B720 B 730 B 7S0 Two 5
5 6 thru 10 One 5
5 I thru5 Two 5
5 6 thru 10 One 20 20 20 studs/nuts Two 20 20 20 studs/nuts One 40 40 40 studs/nuts Two 40 40 40 studs/nuts One 40 40 40 studs/nuts Two 40 40 40 studs/nuts One I
I PSV200 PSV201 PSV202 PSV203 01-1654 VT-02-634 N'T-04427 IEIN 80-27 All 99-1602 01-1654 VT-02-638
'VT04-428 IEIN 80-27 All 99-1488 99-1601 VT-02-625 99-1603 VT-02-629 99-1197 Rejected 6 nuts, 99-1500 PSE 6 nuts/clamp ring VT-02-633 99-1602 VT-02-637 99-1498 IEB 82-02 01-1272 Removed MT-02-172 VT-02-596 IEB 82-02 VT-04-394 99-1492 IEB 82-02 01-1271 Removed MT-02-173 VT-02-594 IEB 82-02 VT-04405 99-1493 IEB 82-02 01-1294 Removed MT-02-174 VT-02-595 IEB 82-02 T-04-406 99-1499 IEB 82-02 01-1431 Removed 99-1499 IEB 82-02 01-1431 Removed 99-1499 IEB 82-02 01-1431 Removed 99-1499 IEB 82-02 01-1431 Removed Page 12 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req COmp Two I
I PSV200 PSV201 PSV202 PSV203 37 Charging B 7.60 16 RCP IA 17 RCP IB 18 RCP 2A 19 RCP2B B 7.70 21 SD Cooling I 22 SD Cooling 2 23 SIIA 24 SIIB 25 SI 2A 26 SI 2B 27 PZR Spray IA 28 PZR Spray IB 31 PZR Safeties 32 Drain Line IA 33 Drain Une IB 34 Drain Line 2A 37 Charging 38 Drain Line Loop 1 39 HPSI Long Term I 40 HPSI Long Term 2 B 7.80 02 RVLMS B 8.20 5
Pressurizer B 830 03 Steam Generator I One I
I One 5
5 Two 5
5 One 5
5 Two 5
5 One 5
5 Two 5
5 One 5
5 Two 5
5 One I
I One I
I Two I
I One I
I Two 2
2 One I
I Two 2
2 One I
I Two I
I One I
I Two 2
2 Two I
I One 2
2 Two I
I One I
I Two I
I One 2
2 Two 2
2 Two 2
2 One I
I One I
I One I
I Two 2
2 Two I
I One I
I One 66%
66%
One 33%
33%
V435 I thru 5 I thru 16 6 thru 10 I thru 5 6 thru 10 I thru 5 I thru 16 2
6 thru 10 I thru 5 6 thru 10 UV653 UV654 UV652 V237 V235 UV634 V543 V245 UV644 V540 V217 V225 V541 UV624 VIOOE V241 V242 VIOOF PSV200 PSV202 V234 V334 V'235 N'335 V233 V333 PDV240 V215 V523 V522 V957 V532 2-21 5-1 MT-02-168 VT-02-597 IEB 82-02 VT-04-395 Removed MT-02-169 VT-02-598 IEB 82-02 VT-04-396 Removed MT-02-170 VT-02-599 IEB 82-02 VT-04-397 Removed MT-02-171 VT-02-600 IEB 82-02 VT04-398 Removed 99-1263 99-1490 01-1476 Disassembled VT-02-627 VT-02-628 99-1491 VT-02-631 VT-02-632 99-1489 01-1475 Disassembled {2 rejects 01-1501 PSE VT-02-635 VT-02-636 99-1602 VT-02-639 VT-02-641 99-1224 01-1533 VT-02-514 01-1004 VT-02-516 VT-02-517 99-1228 VT-02-478 VT-02-506 99-1219 VT-02-515 99-1614 VT-02-553 PSE VT.02-5 18 VT-02-614 99-1283 Reject 99-1665 Re-cxam 01-1024 Re-Exam 99-1283 VT-02-615 99-1713 VT-02-601 99-1588 99-1587 VT-04-313 VT-04-314 VT-02-539 VT-02-540 99-1263 01-1042 01-1040 VT-02-421 VT-02-578 VT-02-579 01-1600 CEDM 92 &96 01-1006 Examined 0°-240° 99-1445 99-1446 99-1447 99-1486 3-1 01-1304 01-1292 01-1330 01-1331 01-1332 Examined 0°-120° Page 13 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 4
Steam Generator2 Two 33%
33%
B 9.11
& 9.12 06 RCS Piping One 7
7 1-31 1-34 6-7 3-30 4-30 UT-02-130 MT-02-165 UT-02-136 UT-02-137 UT-02-141 01-1599 I
- 01-1599 01-1599 01-1356 01-1299 01-1359 01-1357 01-1291 01-1360 01-1599 01-1361 01-1291 01-1362 MT-02-179 MT-02-181 MT-02-178 MT-02-180 Examined 120°-240°, MT on OD only.
- Separate report by Wcsdyne. Exams completed in UIR8 7-7 17-2 Two 0
0 16-1 17-1 18-1 19-1 20 PZR Surge 21 SD Cooling 1 22 SD Cooling 2 23 SI IA 24 SI1B One I
1 20-1 01-1289 01-1232 One 3
3 6-11 01-1380 01-1275 01-1383 21-18 01-1381 01-1275 21-20 01-1382 01-1275 Two 2
2 21-14 UT-02-190 PT-02-119 21-15 UT-02-191 PT-02-120 21-1 PT-04-063 21-3 PT-04-050 214 UT-04-127 PT-04-053 21-5 UT-04-128 PT-04-054 21-6 PT-04-048 6-11 PT-04-059 21-7 UT-04-129 PT-04-057 21-8 UT-04-130 PT-04-058 21-9 UT-04-131 PT-04-049 21-10 UT-04-132 PT-04-051 21.11 PT-04-055 21.1IA PT-04-060 21-12 UT-04-126 PT-04-052 21-12A PT-04-042 21-13 PT-04-043 21-13A PT-04-066 21-14 UT-04-120 PT-04-056 21-15 UT-04-122 PT-04-064 21-16 UT-04-121 PT-04-062 21-17 UT-04-123 PT-04-067 21-18 UT-04-124 PT-04-045 21-19 UT-04-125 PT-04-046 21-20 PT-04-047 One I
1 22-11 99-1600 99-1590 22-14 99-1599 99-1590 22-23 01-1510 01-1327 01-1511 Two 0
0 22-1 PT-02-103 7-9 PT-02-105 22-18 PT-02-112 One 3
3 9-10 01-1541 01-1007 01-1542 23-1 01-1543 01-1007 23-2 01-1544 01-1007 23-4 01-1545 01-1007 01-1546 Two I
1 23-6 UT-02-287 PT-02-172 UT-02-289 234 UT-04-001 Two 3
3 24-6 UT-02-179 PT-02-116 UT-02-182 24-14 UT-02-185 PT-02-098 UT-02-1 89 24-16 UT-02-177 PT-02-101 UT-02-188 Aug.
Aug.
Aug.
Aug.
Aug.
Aug.
Aug.
Aug.
Aug.
Aug.
Aug.
Aug.
Aug. Limited UT exam Aug.
Aug.
Aug.
Aug.
Aug.
Aug.
Aug.
Aug.
Aug.
Aug.
Needs PDI re-exam Needs PDI re-exam Aug. Limited UT exam PDI re-exam, Limited UT exam Limited Aug. UT exam Limited UT exam Limited UT exam Page 14 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 25 Si2A 26 Si2B 29 PZR Spray 31 PZR Safeties 36 Letdown Line 27 PZR Spray IA B 9.21
& 9.22 24-19 UT-02-176 PT-02-099 UT-02-178 One 2
2 25-26 99-1512 99-1503 25-27 99-1617 99-1606 25-29 99-1618 Two 4
4 25-1 UT-02-227 PT-02-145 254 UT-02-224 PT-02-146 UT-02-226 25-6 UT-02-221 PT-02-173 UT-02-222 13-10 UT-02-228 PT-02-174 One 2
2 26-9 99-1615 99-1586 26-11 99-1616 99-1586 Two I
1 26-6 UT-02-181 PT-02-114 UT-02-184 26-17 UT-02-180 PT 13 UT-02-183 One 2
2 29-10 99-1467 99-1436 29-11 99-1468 99-1436 Two I
1 29-1 UT-02-233 PT-02-149 UT-02-234 UT-04-002 29-2 UT-02-235 PT-02-150 UT-02-236 UT-04-003 29-9 UT-02-237 PT-02-148 UT-02-239 UT-04-004 One I
1 31-1 01-1220 01-1010 Two 2
2 31-9 UT-02-249 PT-02-156 31-10 UT-02-256 PT-02-157 Two I
1 36-75 UT-02-223 PT-02-144 One 4
4 9-11 01-1044 2742 01-1044 2743 01-1044 2744 01-1044 One 4
4 28-31 99-1459 28-32 99-1459 28-39 99-1437 2840 99-1437 Two 4
4 28-9 PT-02-167 28-11 PT-02-168 11-11 PT-02-115 28-20 PT-02-169 One 2(2) 2(2) 30-7 99-1233 30-13 99-1233 30-1 01-1621 01-1640 01-1623 30-2 01-1622 01-1640 01-1624 Two 2
2(2) 30-5 PT-02-153 30-6 PT-02-154 30-1 UT-02-229 PT-02-151 UT-02-230 30-2 UT-02-231 PT-02-152 UT-02-232 One 3
3 8-18 99-1504 32-1 99-1504 32-2 99-1504 Two 3
3 33-1 PT-02-106 33-5 PT-02-107 10-18 PT-02-104 One 2
2 36-8 01-1186 36-9 01-1186 Two 8
8 36-25 PT-02-138 36-26 PT-02-139 36-28 PT-02-141 36-35 PT-02-142 3643 PT-02-085 3644 PT-02-086 Limited UT exam Limited UT exam Limited Aug. UT exam Limited UT exam PSE, Need PDI re-exam Re-exam PSE, Limited UT exam, Need PDI re-exam Re-exam, Limited UT exam PSE, Need PDI re-exam Re-exam Oldentifies augment 88-08 88-08 88-08 88-08 PSE, IEB 88-08, Limited UT exam PSE, IEB 88-08, Limited UT exam Limited UT exam 28 PZR Spray IA 30 AuxPZR Spray 32 Drain IA 33 Drain Line IB 36 Letdown Line Page 1S of41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 37 Charging 38 Drain Line I 39 HPSI A 40 HPSI B 06 RCS Piping B 9.31 B 9.32 06 RCS Piping 21 SD Cooling I 22 SD Cooling 36 Letdown B 9.40 32 Drain IA 33 Drain Line IB 34 Drain Line 2A 38 Drain I B 10.10 36 Letdown B 12.20 18 RCP2A B12.50 21 SD Cooling I 24 SI IB 25 SI 2A B 13.10 01 Reactor Vessel B 14.10 02 Closure Head B 15.10 02 Closure Head 36-45 PT-02-087 36-80 PT-02-088 One 5
5 37-41 99-1301 37-42 99-1301 37-43 99-1301 37-45 01-1045 37-46 01-1045 37-47 01-1045 Two 7
7 13-11 PT-02-128 37-28 PT-02-122 37-29 PT-02-123 37-30 PT-02-124 37-32 PT-02-125 37.33 PT-02-126 37-34 PT-02-127 Two I
1 38-1 PT-02-170 One 2
2 39-1 99-1234 39-5 99-1234 Two 3
3 39-12 UT-02-290 PT-02-131 39-13 UT-02-292 PT-02-175 39-24 UT-02-302 PT-02-162 UT-02-303 One 3
3 40-1 01-1043 40-2 01-1043 40-3 01-1043 Two 2
2 40-6 UT-02-285 PT-02-163 40-7 UT-02-288 PT-02-164 One I
1 9-8 01-1355 01-1291 01-1358 Two 0
0 13-8 UT-02-212 MT-02-176 One I
1 8-17 99-1505 Two I
1 13-9 MT-02-177 Two 0
0 21-IA PT-04-065 21-13B PT-04-044 One I
I 22-7A 99-1607 Two 2
2 36-41 PT-02-084 36-76 PT-02-143 One I
1 32-6 99-1504 32-8 99-1504 Two I
1 33-6 PT-02-108 Two I
1 34-6 PT-02-171 One I
1 38-5 01-1041 38-12 01-1500 One I
I RC-91H5 99-1591 RC-91H6 99-1591 Two I
I RC-91H6 PT-02-089 One When Bowl Interior Disassembled Two When V653 Disassembled Two When V543 Disassembled Two When V215 Disassembled One 33%
33%
Interior Two 33%
33%
Interior One 2
2 2-9 01-1519 01-1655 2-9 01-1519 01-1655 2
2 2-10 01-1518 01-1655 2-10 01-1518 01-1655 Two 2
2 2-9 UT-02-206 PT-02-136 2-9 UT-02-207 PT-02-137 2
2 2-10 UT-02-203 PT-02-134 2-10 UT-02-204 PT-02-135 Two ALL ALL Head Limited UT exam Limited UT exam, Aug Aug Removed PSE 91%CCN460 99-1497 IT-04-286 Internal surfaces VT-02-523 Intemal surfaces
'T-04-297 Internal surfaces 01-1534 accessible areas VT-04-317 accessible areas CEDM 84 CEDM 88 CEDM 84 CEDM 88 CEDM 83 CEDM 91 CEDM 83 CEDM 91 04-235 Aug BNI, NRC Order EA-03-009 04-236 Page 16 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp B 15.10, 20,30, 40, 50, 60
& 70 RCS Piping One ALL ALL Press Bound 99-1585 99-1647 99-1711 01-1012 01-1013 01-1557 01-1627 01-1628 01-1012 01-1013 01-1557 01-1627 01-1628 01-1629 01-1630 01-1646 01-1647 VT-02-698*
- 'T-04414 VT-04432 VT.04436 VT-04.438 VN44-447 VT-04466*
RR#II & 12 SIBPSVI69 disassy reject 1*
100% RCS ca. Outage Two ALL ALL Press Boundary B
Flywheel 16 RCP IA 17 RCP IB 18 RCP 2A 19 RCP2B 20 PZR Surge One I
I Flywheel 01-1273 F 1.10 Two I
I Flywheel One I
I Flywheel Two I
I Flywheel One I
I Flywheel Two I
I Flywheel One I
I Flywheel Two I
I Flywheel One 2
2 RC-28-H I RC-28-1-12 Two 2
2 RC-28-11842 RC-28-11844 One 7
7 SI-240-H10 SI-240-H1 I SI240-H113 RC-5 11-HI RC-51-H2 RC-5 1--H3 RC-51 H821 Two 7
7 RC-51.112 UT-02-201 01-1363 UT-02-202 01-1364 UT.02-208 01-1434 UT-02-205 21 SDCooling I RC-51-113 RC-51-H4 RC-51-115 RC-5 1--16 RC-5 I -H822 Sl-240-HI S1-240-112 Sl-240-113 SI-240-114 SI-240-115 SI-240-H6 SI-240-117 S1-240-118 SI-240-119 99-1284 99-1218 VT-04-01 RR#4 V1-04-002 RR#4 99-1227 99-1226 99-1225 01-1182 Support Dc 01-1181 01-1180 01-1433 VT-02-640 Expansion VT-04-324 VT-02-429 Expansion VT-04-325 VT-02-422 Support Dc VT02-423 VT-04-326 VT-02-703 Support De VT.02-474 VT-02-430 Support De VT.02-425 VT-04-323 VT-02-431 Reject VT-02-605 Re-exam VT-04-315 VT-02-433 Expansion VT-04-327 VT-02-432 Rcject VT.02-607 Re-exam VT-04-316 VT-02-434 Support De VT-02-435 Expansion VT-04-328 VT104-329 VT-02-659 Expansion VT-04-330 eleted leted leted eleted leted Page 17 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComplSys Insp Amt Arnt Item ID Vol Surf Visual Remarks Item no Per Req Comp SI-240-1110 SI-240-1111 22 SD Cooling B 23 SI IA 24 SI IB 25 SI 2A 26 SI 2B 27 PZR Spray IA 28 PZR Spray IB Sl-240-H12 SI-240-1113 SI-240-H823 SI-240-H824 One 4
4 RC-68-H5 RC-68-116 SI-193-H17 SI-193-H19 Two 4
4 RC-68-113 SI-193-118 SI-193-H9 Sl-193-H17 SI-193-H20 SI-193-1123 Sl-193-1125 One I
I SI-207-H5 Two 2
2 SI-207-H3 Sl-207-H7 SI-207-HI I One 2
2 SI-223-113 SI-223-H4 Two 2
2 Sl-223-HI SI-223-H2 One 2
2 S1-156-H7 SI-156-H9 Two I
I S1-156-119 SI-60-HI One 2
2 SI-179-H9 Sl-179-HI I Two 3
3 Sl-175-121 SI-175-H22 Sl-175-1123 SI-179-HI I One 9
9 RC-62-1126 RC-62-1127 RC-62-1128 RC-62-H29 RC-62-H30 RC-62-H31-RC-62-H32 RC-62-H33 RC-62-H34 Two 8
8 RC-16-H5 RC-16-H6 RC-16-117 RC-16-H15 RC-62-H35 RC-62-H36 RC-62-H37 RC-62-1-138 One 9
9 RC-17-H24 RC-17-H34 RC-17-H35 RC-17-H36 RC-17-H38 RC-17-H39 RC-17-H40 RC-17-H41 RC-17-H42 Two 8
8 RC-17-H43 RC-17-H1144 RC-17-H1145 RC-17-H46 RC-18-H9 VT-02-661 VT-04-331 VT-02-662 VT-04-332 VT-02-424 VT-04-333 VT.02-427 VT-02-428 01-1177 01-1176 01-1178 01-1179 VT-02-663 VT-02-496 VT-02-652 V;T-02-497 VT-02-664 VT-02-508 VT-02-665 VT-02-498 01-1005 VT-02-666 VT-02-509 VT-02-5 10 99-1230 99-1229 VT-02-475 VT-02-477 99-1221 99-1220 VT-02-667 VT-02-511 99-1223 99-1222 VT-02-507 VT-02-655 VT-02-512 VT-02-513 VT-02-669 99-1209 99-1208 99-1207 99-1206 99-1205 99-1204 99-1203 99-1202 99-1262 V1 02-537 VT.02-608 VT-02-609 VT-02-536 VT-02-610 VT-02-611 VT-02-612 VT-02-613 99-1217 99-1216 01-1172 99-1215 99-1214 99-1213 99-1212 99-1211 99-1210 VT-02-616 VT-02-617 VT-02-618 VT-02-619 VT.02-620 Expansion Expansion Support Deleted Support Deleted Support Deleted Expansion Rej Re-exam RR #4 Expansion Expansion Support Deleted Support Deleted Expansion Support Deleted Support Deleted Support Deleted Expansion Support Deleted Rej Re-exam Support Deleted Expansion Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Page 18 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComplSys Insp Amt Arnt Item ID Vol Surf Visual Remarks Item no Per Req Comp 29 PZR Spray 32 Drain IA 33 Drain Line IB 34 Drain Line 2A 36 Letdown 37 Charging 39 HPSI 1 40 HPSI 2 RC-18-H10 RC-18-HI I RC-18-H112 One 2
2 RC-18-H16 RC-18-HI8 Two I
I RC-18-1117 One 2
2 RC-60-HA RC-60-HB Two 2
2 RC-58-HA RC-58-HB Two 2
2 RC-96-HA RC-96-HB One 9
9 RC-91-HI RC-91-H5 RC-91-H6 RC-91-HB RC-91-HD RC-91-HE RC-91-HY RC-9 1-HZ RC-91 -HAA RC-91-HAK Two 10 10 RC-91-H6 RC-91-HAJ RC-91-HP RC-91-112 RC-91-IIAP RC-91-}IAQ RC-91-.IQ RC-91-IIR RC-91-IIS RC-91-IIT One 14 14 CH-5-H2 CH-5-H3 CH-5-H25 CH-5-H26 CH-5-H27 CH-5-H28 CH-5-H30 CH-5-H34 CH-5-H35 CH-5-H36 CH-5-H42 CH-5-H43 CH-5-H44 CH-5-HAA Two 9
9 CH-5-H13 CH-5-HI7 CH-5-H18 CH-5-1H19 CH-5-H20 CH-5-H21 CH-5-H22 CH-5-H32 CH-5-H37 One 4
4 SI-248-H26 SI-248-H27 SI-248-H28 Sl-248-H30 Sl-248-H25 Two 5
5 SI-248-1117 SI-248-H18 SI-248-H19 S1-248-H20 SI-248-H29 One 3
3 S1-199-H113 Sl-199-114 Sl-199-H21 Two 4
4 S-199-HIS VT-02-534 VT-02-621 VT-02-535 99-1439 99-1440 VT-04-003 99-1326 99-1327 VT-02-493 VT-02-494 VT-02-532 Vr-02-533 99-1592 99-1593 99-1594 99-1325 99-1323 99-1319 99-1321 99-1324 99-1322 99-1320 VT-02-415 VT-02-416 VT-02-417 VT4-004 VT-04-005 VT-04-006
- T04J-007 NT-04-008 VT-04-009
- 'T-04-010 99-1265 99-1266 99-1267 99-1268 99-1269 99-1270 99-1271 99-1272 99-1273 99-1274 99-1275 99-1276 99-1277 99-1264 VT-02-580 VT-02-581 VT-02-582 VT-02-583 VT-02-584 VT-02-585 VT-02-586 VT-02-587 VT-02-588 99-1238 99-1237 99-1236 99-1235 99-1239 VT-02-418 VT-04-334 VT-02-419 VT-02-572 VT-02-573 VT-02-420 01-1016 01-1017 01-1015 VT-02-574 Support Deleted Support Deleted RR#4 Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted RR#4 RR#4 RR#4 RR#4 RR#4 RR#4 RR#4 Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Support Deleted Page 19 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp F 1.40 3
Steam Generator 1 4
Steam Generator 2 5
Pressurizer 16 RCP IA 17 RCP IB 18 RCP 2A 19 RCP2B SI-199-H16 SI-199-H17 SI-199-H18 One I
1 340 Two I
1 4-40 One 0
0 5-40 One 2
2 16-20 16-21 Two 4
4 16-12 16-13 16-14 16-15 One 2
2 17-20 17-21 Two 4
4 17-12 17-13 17-14 17-15 One 4
4 18-12 18-13 18-14 18-15 Two 2
2 18-20 18-21 One 4
4 19-12 19-13 19-14 19-15 Two 2
2 19-20 19-21 VT-02-575 VT-02-576 VT-02-577 01-1329 VT-02-623 99-1712 99-1259 99-1259 VT-02-524 VT-02-525 VT-02-526 VT-02-527 99-1260 99-1260 VT-02-528 VT-02-529 VT-02-530 VT-02-531 99-1663 99-1663 99-1663 99-1663 VT-02-643 VT-02-645 99-1664 99-1664 99-1664 99-1664 VT-02-646 VT-02-647 ASMtE Class 2 C 1.10 41 Steam Generator I 68 Rcgen HTEXCH 69 Letdown HTEXCH 84 SD Cooling A C 1.20 41 Steam Generator I 68 Regen HTEXCH C 1.30 41 Steam Generator I 42 Steam Generator 2 68 Regen HTEXCH 69 Letdown HTEXCH One 2
2 41-3 01-1384 01-1387 01-1390 01-1408 41-4 01-1385 01-1388 01-1391 01-1407 TWO 3
3 68-3 UT-02-194 68-5 UT-02-196 68-7 UT-02-198 One I
1 69-1 99-1485 Two 50%
50%
74-123 UT-04-111 One I
1 41-5 01-1386 01-1389 01-1392 01-1393 01-1394 01-1395 01-1409 01-1410 Two 2
2 68-4 UT-02-195 68-6 UT-02-197 One I
1 41-1 01-1206 01-1207 01-1219 01-1241 Two I
1 42-1 Ur-02-261 UT-02-258 UT-02-259 UT-02-275 Two 4
4 68-1 UT-02-192 68-2 UT-02-193 68-8 UT-02-199 68-9 UT-02-200 One I
1 69-2 99-1484 Examined 0°-180° Examined 0-.180° Examined 0°-180° Examined 00-1800 Examined 0°-1 80° Examined 0°-180° Examined 0°-1800 Examined 0°-180° Page 20 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 84 SD Cooling A C 2.21 41 Steam Generator I 42 Steam Generator 2 84 SD Cooling A C 2.22 41 Steam Generator 1 84 SD Cooling A C 3.10 41 Stearn Generator 1 42 Steam Generator 2 68 Regen HTEXCH C 3.20 44 MS SGI 270 45 MS SG2 270 55 Fcedwater SG 2 62 Aux FW'VSGI 64 Blowdown SG I 65 Blowdown SG 2 71 LPSI Discharge 76 CS Suction 83 SD Cooling 1 88 East Wrap 89 East Wrap 91 West Wrap 92 West Wrap 93 CS Discharge 1 94 LPSI A 99 LPSI to Loop 2B 100 LPSI Suction A 102 SI Suction A 103 Refuel. Suction A 104 S1 Suction B 113 HPSI Discharge C 3.30 72 LPSI Pump A 75 LPSI A 78 CSA Two 50%
50%
One I
I Two 2
One I
Two I
Two 2
Two I
One I
Two I
Two 2
Two I
One I
Two 2
One I
2 2
2 1
I 74-124 UT-04-112 41.34 01-1279 01-1008 01-1280 41-9 UT-04-108 MT-04.006 41-10 UT-04-109 MT-04-007 42-35 01-1281 01-1009 01-1282 74-122 UT-04-110 IT-04-088 41-9 UT-04-113 41.10 UT-04-114 74.122 UT-04-115 Examined 00°-1800 41-42 42-43 01-1447 MT-04-090 2
68-10 68-11 I
SG-33H16 I
SG-42H14 2
SG-42H15 SG-42H16 I
SG-5H9 Two I
1 AF-18-11 One 3
3 SG-39H15 SG-391-117 SG-53HI Two 2
2 SG-39HI SG-53H5 One 2
2 SG-48H20 SG-52HI Two 3
3 SG-48-1114 SG-48-1116 SG-48-1126 One I
I Sl-87HI I One I
I SI-9H4 Two 2
2 Sl-87-114 Sl-90-}11 One I
I Sl-72H13 One I
I Sl-194H14 One 4
4 Sl-70H9 Sl-7011 1 Sl-70H12 SI-70H16 One I
I Sl-241H21 Two 2
2 SI-239-111 SI-24-1116 Two 1
1 SI-89-1113 Two 2
2 SI-070H5 Sl-070-118 Two I
I SI-174H13 One I
I S1-369HI Two I
1 84-5 One 3
3 SI-3071-12 SI-307H3 Sl-307H15 Two 2
2 CH424H6 C}11421120 Two I
I Sl-308H3 One I
I SI-107H22 One 3
3 72-3A 72-3B 72-3C Two 3
3 73-3A 73-3B 73-3C Two 3
3 80-3A 80-3B 80-3C PT-02-132 PT-02-133 MT-02-1 84 99-1430 MT-02-1 85 MT-02-1 86 01-1184 01-1185 PT.04-040 01-1298 01-1302 01-1303 01-1002 MT-02-203 MT-02-200 PT-02-176 01-1295 01-1003 IT-04-077 IIT-04-078 IT-04-079 99-1435 99-1373 PT-04-061 PT-04-041 99-1516 99-1619 99-1374 99-1256 99-1456 99-1256 99-1605 PT-04-017 PT-04-018 PT-04-020 PT-02-121 PT-02-130 PT-02-129 99-1457 PT-02-178 01-1446 01-1446 01-1446 PT-02-1 18 PT-04-069 PT-02-1 59 01-1 198 01-1471 01-1471 01-1471 PT-04-004 PT-04-005 PT-04-006 PT-04-007 PT-04-008 PT-04-009 Inner Radius (ID) RR8 Inner Radius (ID) RR8 Inner Radius (ID) RR8 96% CC N460 96% CCN460 Support Deleted Support Deleted Support Deleted Support Deleted Limited exam Page 21 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 116 HPSI Pump A One 117 1IPSIPumpB Two C 4.40 47 Main Steam SG I One 48 Main Steam SG I One 56 Feedwater SG I Two C 5.11 &
58 Aux FeedSG I Two 5.12 59 Aux Feed SG 2 Two 62 Aux Feed SG I Two 63 Aux Feed SG 2 One Two 70 & 73 LPSI Suction A & B One Two 82&85 SD Cooling HX A & B One 83 & 86 SD Cooling HX A & B One 88 & 91 East & West Wrap One 4
4 4
4 20 20 20 20 40 40 0(1) 0(1) 2(4) 2(4)
I 1
0 0
1(1) 1(1)
I I
1 1
2 2
4 4
6 6
116-IA 116-lB 116-IC 1 16-ID 117-IA 117-lB 117-IC 117-ID UVI70 UVISO V132 V174 58-1 01-1473 01-1473 01-1473 01-1473 PT-04-034 PT-04-035 PT-04-036 PT-04-037 01-1372 01-1373 UT-02-209 UT-02-210 RT-04-001 PT-04-001 59-1 UT-02-219 PT-02-140 UT-02-220 UT-02-225 59-12 UT-04-134 PT-04-068 59-16 UT-02-159 PT-02-097 UT-02-1 60 UT-02-1 61 59-16A UT-02-273 PT-02-160 59-16C UT-02-274 PT-02-161 59-34 UT-02-283 PT-02-091 UT-02-284 62-6 UT-04-077 PT-04-002 63-4 01-1525 01-1188 01-1526 634 UT-04-078 63-23 UT-04-079 PT-04-003 70-58 99-1258 99-1257 70-56 UT-02-174 PT-02-111 UT-02-175 72-50 99-1372 99-1316 73-49 01-1428 01-1189 74-19 99-1381 99-1315 74-21 99-1383 99-1317 74-22 99-1384 99-1317 74-105 99-1382 99-1314 78-16 99-1604 99-1515 74-44 99-1311 99-1279 76-2 99-1310 99-1279 76-21 01-1535 01-1 190 01-1547 77-7 01-1521 01-1371 01-1540 77-14 01-1522 01-1371 01-1523 01-1524 Limited exam Limited exam 20 Studs 20 Studs IEB 79-13 PSE PSE PSE, AUG (IEB 79-13)
PSE Needs PDI re-exam Aug, PDI re-exam Limited exam Limited exam Two 7
7 76-7 UT-04-089 PT-04-013 76-8 UT-04-090 PT-04-014 77-8 UT-04-091 PT-04-015 77-16 UT-04-092 PT-04-016 78-9J UT-04-086 PT-04-010 78-11 UT-04-087 PT-04-011 79-14 UT-04-088 PT-04-012 90 & 93 Si East & West Wrap Two 0(1) 0(1) 84-9 UT-04-093 PT-04-019 94&95 SIA&B One I
1 74-40 01-1427 01-1430 Two 2
2 74-37 UT-02-172 PT-02-109 UT-02-1 73 74-38 UT-02-170 PT-02-110 UT-02-171 96,97,98& LPSI Loop IA, 113, One 3
3 78-45 99-1513 99-1502 99 2A, 2B 78-47 99-1514 99-1502 79-23 01-1276 01-1293 01-1277 Limited UT Exam Limited UT Exam Limited UT Exam Aug, Limited UT exam Page 22 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req COmp Two 100 LPSI Suction A Two 102 SI Suction A One Two 103 Refuel. Suction A One Two 104 SI Suction B One Two 105 Refuel. Suction B One Two C5.21 106& IIPSI Discharge A & One 107 B
Two 108 &
IIPSI Discharge One 109 Two 110 &
HPSI Discharge One Ill 2
2 2
2 0
0 1(1) 1(1)
I I
I I
I I
I I
1 1
I 1
4 4
4 4
2 2
3 3
2 2
77-22 UT.02-162 PT-02-095 77-27 UT-02-163 PT-02-096 UT-02-164 70-121 UT-02-165 PT-02-093 UT-02-166 84-3 UTr02-291 PT-02-177 UT-02-293 84-12 01-1487 01-1191 01-1488 84-26 UT-02-150 PT-02-090 UT-02-169 UT-04-095 PT-04-022 84-12 UT-04-094 PT-04-021 86-57 01-1305 01-1300 86-1 UT-02-186 PT-02-117 UT-02-187 85-46 01-1307 01-1301 01-1308 01-1309 85-31 UT-02-276 PT-02-158 87-23 01-1306 01-1192 87-37 UT-02-277 PT-02-165 UT-02-279 106-1 01-1244 01-1193 01-1248 01-1252 106-21 01-1254 01-1193 01-1257 01-1260 107-11 01-1245 01-1194 01-1249 01-1253 10742 01-1225 01-1194 01-1226 01-1227 106-64 UT-04-096 PT-04-024 106-68 UT-04-097 PT-04-025 107-1 UT-04-098 PT-04-026 107-22 UT-04-099 PT-04-027 109-4 01-1246 01-1195 01-1250 109-21 01-1489 01-1502 108-1 UT-04-100 PT-04-028 1084 UT-04-101 PT-04-029 108-25 UT-04-102 PT-04-030 110-6 01-1247 01-1229 01-1251 110-39 01-1261 01-1196 01-1263 01-1265 Limited UT exam Limited UT exam Limited UT exam Limited UT exam Limited UT exam Aug, Limited UT exam Limited UT exam Limited exam Limited exam Limited exam Limited exam Limited exam Limited UT exam Limited UT exam Limited exam Limited exam Limited exam 112 &
IIPSI Discharge A & One 3
113 B
Two 2
114 HPSIIAIB,2A&2B One I
& 15 Two I
118&
IIPSI LongTerm Two 4
119 3
112-1 112-33 112-34 112-45 2
113-21 113-28 1
115-13 1
115-20 4
118-49 119-52 01-1255 01-1197 01-1258 01-1197 01-1259 01-1183 01-1256 01-1374 01-1262 01-1197 01-1264 01-1266 UT-04-103 PT-04-031 UT-04-104 PT-04-032 01-1310 01-1274 01-1311 UT-02-298 PT-02-102 UT-02-299 UT-02-167 PT-02-094 UT-02-168 UT-02-300 PT-02-166 UT-02-301 Limited exam Limited exam Limited exam Limited UT exam Limited UT exam Limited exam Limited UT exam Limited UT exam Limited UT exam Page 23 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp C 530 106&107 }IPSI Discharge A&B C 5.41 &
82 & 85 SD Cooling HX A & B 5.42 88 & 91 East & West Wrap 96 LPSI to Loop IA C 5.51 &
43 MS SGI 90 5.52 44 MS SGI 270 46 MS SG2 90 54 Feedwater SG I 55 Fcedwater SG 2 58 Aux&DwncmrSGI 119-26 UT-04-105 PT-04-038 119-53 UT-04-106 PT-04-039 One I
1 107-53 01-1194 Two 1
1 106-61 PT-04-023 One I
I 7249A 99-1316 One I
1 74-102 99-1279 Two I
1 76-78 PT-02-100 One I
1 43-2 99-1443 99-1432 One I
1 44-1 99-1442 99-1431 Two 2
2 44-5 UT-02-217 MT-02-182 44-30 UT-02-218 MT-02-183 One I
1 46-25 99-1444 99-1433 One I
1 54.41 01-1520 01-1296 54-10 01-1616 01-1610 54-llA 01-1613 01-1610 54-24 01-1617 01-1610 54-25A 01-1614 01-1610 Two 2
2 54-1 UT-02-296 MT-02-201 54-1 IA UT-02-295 MT-02-202 One 2
2 55-1 01-1204 01-1001 55-15 01-1205 01.1001 55-10 01-1620 01-1532 55-11 01-1618 01-1532 01-1619 Two I
1 55-26 UT-02-294 MT-02-196 One 1(5) 1(5) 41-39 99-1495 99-1508 58-1 99-1494 99-1501 58-12 99-1286 99-1231 58-13 99-1289 99-1231 58.16 01-1529 99-1285 01-1297 58-16A 01-1528 99-1285 01-1297 58-6 01-1559 01-1530 01-1560 01-1561 58-35 01-1562 01-1530 58-36 01-1563 01-1530 Two 0(4) 0(4) 58-12 UT-02-157 MT-02-161 58-13 UT-02-158 MT-02-162 58-16 UT-02-156 MT-02-163 58-16A UT-02-155 MT-02-164 One 0(5) 0(5) 59-1 99-1496 99-1507 59-2 01-1641 01-1531 59-12 99-1292 99-1232 59-13 99-1293 99-1232 59-16 99-1290 99-1198 01-1512 01-1231 01-1514 01-1516 Limited UT exam PSE (Vol is RT)
PSE Oldentifies augment EXAM (IEB 79-13
& SER 83-07)
AUG (IEB 79-13)
AUG (IEB 79-13)
AUG (IEB 79-13)
AUG (IEB 79-13)
PSE 59 Aux & Dwncmr SG2 59-16A 99-1291 99-1198 01-1513 01-1231 01-1515 01-1517 59-6 01-1417 01-1375 01-1419 01-1421 01-1424 59-35 01-1418 01-1375 01-1420 01-1422 01-1425 59-36 01-1423 01-1375 01-1426 01-1527 59-12 MT-02-197 59-13 UT-04-066 MT-02-198 59-25 UT-02-151 MT-02-160 UT-02-152 PSE PSE PSE PSE NowC5.11 AUG (IEB 79-13)
Two 1(1) 1(1)
Page 24 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 64 Blowdown SG 1 65 Blowdovn SG 2 One I
One I
Two I
1 64-1 01-1242 01-1002 1
65-28 01-1243 01-1003 1
65-52 LIT-02-153 MT-02-159 UT-02-154 C6.10 116 HPSI Pump A 117 IIPS1 PumppA C 7.10 N/A Pressure Vessels C 730 N/A Piping C 7.50 N/A Pumps C 7.70 N/A Valves by end of 116-2 interval by end of 117-1 Interval One All All Press Bound 01-1473 PT-04-033 01-1011 01-1012 01-1013 01-1014 01-1312 01-1317 01-1318 01.1319 01-1320 01-1321 01-1323 01-1324 01-1325 01-1326 01-1432 01-1436 01-1437 01-1440 01-1441 01-1443 01-1444 01-1445 01-1485 01-1486 01-1496 01-1504 01-1507 01-1508 01-1509 01-1536 01-1537 01-1538 01-1539 01-1557 01-1597 01-1615 01-1625 01-1626 01-1627 01-1629 01-1630 01-1631 01-1632 01-1633 01-1634 01-1635 01-1636 01-1638 01-1642 01-1644 01-1645 01-1646 01-1647 01-1648 01-1649 01-1650 01-1653 VT-03-001 VT-03-002 VT-03-003 VT-03-005 Page 25 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp Two ALL ALL Press Vr-03-004 Boundary VT-03.006 VT-03-007 VT-03-008 VT-03-009 VT-03-017 VT-03-011 VT-03-012 VT-03-013 VT-03-015 VT-03-016 VT-03-0213 VT-03-018 VT-03-019 VT-03-020 VT-03-021 VT-03-022 VT-03-023 VT-03-024 Vr-03-025 VT-03-026 VT-03-027 vr-03-028 VT-03-029 VT-03-030 VT-03-03 1 VT-034.32 VT-03-033 VT-03-034 VT-03-035 VT-04-33S VT-04-336 VT-04-337 VT-04-343 VT-04-345 VT-04-346 VT-04-348 VT-04-349 VT-04-350 ST-04-351 VT-04-352 VT-04-353 VT-04-354 VT-04-365 VT.04-356 VT-04-357 VT-04-358 VT-04-359 VT-04-362 VT-04-364 VT-04-365 VT-04-366 VT-04-368 VT.04-369 VT-04-370 VT-04-371 VT-04-374 VT-044375 VT04-377 Vl-04-382 VT-04-383 Vl-04-384 Vl-04I-385 VT-W4-392 Vl-04-409 VT-04411 VT-04-412 VT-04-419 VT-04-420 Page 26 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp F 1.20 43 MS SG 190 44 MS SGI 270 45 MIS SG 2 270 46 MSSG290 47 MS SGI 270 48 NIS SGI 270 51 AtmDumpSGI 52 Atm Dump SG2 53 Steam to Aux FW 54 Feedwater SG I 55 Feedwater SG 2 One 2
2 SG-36-H17 SG-36-H884 SG-36-H885 Two I
I SG-36-HII One 2
2 SG-33-H17 SG-33-H18 Two 3
3 SG-33-H16 SG-33-H881 SG-33-H882 One I
I SG-42-H14 Two 3
3 SG-42-HII SG42-1115 SG42-1116 One 2
2 SG-45-H17 SG-45-H18 Two 3
3 SG45-HII SG45-H887 SG-45-H888 One I
I SG-206-HI Two I
1 SG-207-111 One I
I SG-59-H6 Two I
1 SG-70116 One 0
I SG-103-116 One 4
4 SG-81-HI SG-81-H2 SG-83-HI SG-83-H2 Two 2
2 SG-81 -H4 SG-83-H4 One 7
7 SG-2-H2 SG-2-H4 SG-2-H5 SG-2-H12 SG-2-H13 SG-2-H14 SG-2-H15 SG-2-1-1803 SG-13-HI Two 7
7 SG-02-1109 SG-02-1110 SG-02-1111 SG-02-11806 SG-02-11811 SG-13-111 SG-13-11802 One 9
9 SG-5-H9 SG-5-H10 SG-5-HII SG-5-H12 SG-5-H14 SG-5-H805 SG-5-H809 SG-5-1812 VT-04421 VF-04422 VT-04432 VT-04434 VT-04436 VF-04437 VT-04438 VT-04439 VF-04440 VT-04441 VT-04442 VT-04443 VT-04444 VT-04446 VT-04447 VT-04451 99-1240 99-1242 99-1241 VT-02-622 99-1278 99-1243 VT-02-694 VT-02-693 VT-02-695 99-1244 VT-02-690 VT-04-014 VT-04-015 99-1441 99-1463 VT-02-691 VT-02-689 VT-02-692 99-1318 VT-04-016 99-1575 VT-04-017 01-1566 99-1679 99-1680 99-1681 99-1682 VT-02-602 VT-02-603 01-1602 01-1022 01-1021 01-1062 01-1603 01-1020 01-1019 01-1018 01-1025 01-1612 VT-04-018 VT-04-019 VT-04-020 VT-04-021 VT-04-022 VT-04-023 VT-04-024 01-1173 01-1174 01-1175 01-1036 01-1477 01-1037 01-1038 01-1039 RR #4 Support Deleted RR #4 RR #4 RR #4 RR #4 RR#4, Removed RR#4 Support Deleted RR #4 RR #4 RR #4 PSE Support Deleted Support Deleted Expansion Reject Re-exam Expansion RR#4 RR#4 RR#4 RR#4 RR#4 RR#4 PSE Page 27 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp SG-14-HI SG-14-H804 Two 7
7 SG-5-H4 SG-5-H5 SG-5-H6 SG-5-117 SG-5-118 SG-5-H13 56 FVSGI Two 58 Aux& Dwncmr SGI One 59 Aux&DwncmrSG2 One SG-5-H14 I
I SG-202-111 7
7 SG-8-H2 SG-8-H3 SG-8-H4 SG-8-H5 SG-8-H20 SG-8-H901 SG-8-H903 7
7 SG-8-H6 SG-8-H7 SG-8-H8 SG-8-H9 SG-8-H10 SG-8-HI I SG-8-H17 6
6 AF-6-HI SG-1 1-118 SG-1-1H9 SG-II-HI1 SG-1-HII SG-11-H12 6
6 SG-II-H3 SGO-I 1-13 SG-11 -H14 SG-I 1-HI5 SG-11-1116 SG-11-1117 SG-I I-HI8 SG-I I-HI9 I
I SG-200H9 SG-200-H 13 SG-200-H14 0
0 SG-203-H13 SG-203-H14 2
2 SG-203-1113 SG-203-1114 I
I AF-4-H3 I
I AF-18-111 2
2 AF-6-H2 AF-16-HI 2
2 AF-6-113 AF-6-115 12 12 SG-39-H10 SG-39-H 11 SG-39-H12 SG-39-H13 SG-39-H14 SG-39-H-15 SG-39-1116 SG-39-H17 SG-39-H26 SG-53-HI SG-53-112 SG-53-H924 13 13 SG-39-HI SG-39-H2 SG-39-H3 01-1034 01-1035 VT-02-559 VT-02-560 Reject VT-02-656 Re-exam VT-02-561 RR #4 VT-02-562 VT-02-564 RR #4 VT-02-563 Reject VT-02-657 Re-exam VT-02-565
'T-04-025 01-1604 01-1606 01-1608 01-1607 01-1609 01-1448 01-1605 VT-02-520 RR #4 VT-02-449 RR #4 VT-02-451 Reject VT-02-649 Re-exam VT-02452 VT-02-453 VT-02-454 VT-02-519 RR#4 99-1261 99-1201 99-1246 99-1245 99-1200 99-1199 99-1332 VT-02-702 PSE VT-02-566 VT-02-567 VT-02-568 VT-04-026 VT-04-408 RR#4, PSE VT-02-455 VT-02-570 99-1668 99-1669 PSE 99-1670 PSE 99-1671 PSE 99-1672 PSE VT-04-027 VT-04-028 99-1461 VT-04-042 99-1462 99-1460 VT-04-043 RR#4 VT-04-044 RR#4 01-1449 01-1450 Support Delc 01-1451 01-1452 Support Delc 01-1453 Support Delc 01-1454 01-1455 01-1456 Support Del(
01-1457 01-1031 Support Delc 01-1032 Support Delc 01-1033 VT-02-480 Support Delc VT-02-481 Support Dele VT-02-482 Support Delc 60 D1wncmrFWSGI 61 Dwncmr FWV SG2 62 Aux FWV SGI 63 Aux F'V SG2 64 Blowdown SG I lted lted lted lted lted lted lted lted lted Page 28 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 65 Blowdown SG 2 68 Regen Htexch 70 LPSI Suction A 71 LPSI Discharge A 73 LPSI Suction B 76 CS Suction A 77 CS Discharge A 79 CS Suction B 80 CS Discharge B 82 SD Cooling HX A SG-39-H4 SG-39-H5 SG-39-H6 SG-39-H27 SG-53-113 SG-53-114 SG-53-H5 SG-53-H6 SG-53-H7 SG-39-11922 One 12 12 SG-48-H2 SG-48-H3 SG-48-H4 SG-48-H19 SG-48-H20 SG-48-H21-SG-48-H925 SG-52-HI SG-52-H2 SG-52-H3 SG-52-H4 SG-52-H923 Two 11 11 SG-48-1113 SG-48-H14 SG-48-H-15 SG48-H16 SG-48-H17 SG-48-H-18 SG-48-H22 SG-48-H23 SG-48-H24 SG-48-H25 SG-48-H26 Two 2
2 68-10 68-11 One I
I SI-67-H4 SI-307-H116 One I
I SI-87-HII Two 5
5 Sl-78-HI Sl-78-H2 SI-87-HI S1-87-112 SI-87-H3 Two I
I Sl-308-H14 One I
I SI-9-H4 Sl-67-HI SI-67-H3 One 4
4 SI-79-HI Sl-79-112 Sl-79-H3 Sl-79-H4 Two 3
3 SI-79-115 Sl-79-116 SI-82-112 One 3
3 Sl-79-H4 Sl-34-H2 Sl-34-H3 Two I
1 SI-33-114 One 3
3 Sl-119-H7 S11 19-H8 S-1 19-H9 Two 4
4 SI-119-111 SI-119-112 SI-119-113 SI-I19-114 One 2
2 SI-78-H4 SI-78-H5 VT-02-483 VT-02-484 VT-02-485 Supp VT-02-486 Supp VT-02-488 Supp VT-02-489 VT-02-490 VT-02-491 Supp VT-02-492 Supp VT-04-029 RRM 01-1030 Supp 01-1478 Supp 01-1479 01-1480 Supp 01-1481 Supp 01-1482 01-1029 01-1026 Supp 01-1027 Supp 01-1483 Supp 01-1484 01-1028 VT-02-456 Supp VT-02-457 RR#
VT-02-458 Supp VT-02459 RR#
VT-02-460 Supp VT-02-461 RR#
VT-02-462 Supp VT-02-463 RR #
VT-02-464 RR#
VT-02-465 Supp VT-02-466 Supp VT-02-590 VT-02-591 99-1248 99-1428 PSE 99-1247 99-1375 VT-02-541 VT-02-542 VT-02-543 VT-02-544 VT-02-545 VT-02-546 99-1376 99-1438 99-1427 PSE 99-1426 PSE 99-1377 99-1378 99-1379 99-1380 VT-04-033 RR#
Vr-04-034 RR#
VT-04-035 RR#,
99-1517 99-1518 99-1519 VT-04-039 99-1527 99-1528 99-1529 VT-04-040 MP#
VT-04-041 RR#'
VT44-045 RR#
VT-04-046 RR#
99-1296 99-1595 01-1564 PSE ort Deleted ort Deleted ort Deleted ort Deleted ont Deleted poct Deleted poct Deleted poct Deleted poct Deleted poct Deleted pont Deleted pont Deleted oon Deleted 4
oon Deleted or4 oon Deleted 4
oct Deleted ont Deleted ont Deleted 4
4 4
I t
I I
Page 29 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 83 SD Cooling IIX A 85 SD Cooling IIXB 86 SD Cooling IIXB 88 East Wrap 89 East Wrap 90 East Wrap 91 West Wrap 92 West Wrap SI-79-HIO One 4
4 S1-87-119 Sl-89-HI S1-89-112 S1-89-1-13 Two 3
3 SI-87-114 SI-90-111 SI-90112 One 3
3 SI-119-H10 Sl-123-H6 SI-123-H7 Two 6
6 Sl-119-1111 SI-119-1113 SI-119-1114 SI-123-112 SI-123-115 Sl-123-118 One 3
3 S1-129-H10 SI-129-HI I SI-129-H12 Two 7
7 S1-072-115 Sl-072-116 SI-129-117 SI-129-118 S1-129-119 Sl-135 -H1I SI-135-112 SI-135-113 One 8
8 S1-72-HII SI-72-H13 SI-72-H114 S1-72-H21 Sl-72-H22 Sl-73-HI SI-73-H2 Sl-73-H3 Two 0
0 S1-72-Hl I Sl-72-H13 Sl-72-H14 Sl-73-H2 One 4
4 S1-194-H12 SI-194-H13 S1-194-H14 Sl-194-H23 Two 0
0 S1-194-1113 Two 2
2 SI-134-1109 SI-134-1110 One 7
7 Sl-70H9 S-70-H10 Sl-70-HI I Sl-70-H112 S1-70-1 13 Sl-70-H15 S1-70-1-116 Two 2
2 Sl-71-112 SI-71-113 One 5
5 SI-239-HI Sl-239-H2 Sl-239-H3 Sl-241-H9 SI-241-1-H12 Sl-241-H14 S1-241-H115 SI-24 1-H21 Two 5
5 SI-241-119 Sl-241-H12 Sl-241-1 14 SI-241-1121 99-1297 01-1458 99-1312 99-1300 99-1299 99-1298 v'T-04-047
'T-04-320
- T-04-321 RR#4 99-1530 99-1531 99-1532 VT-04-050 RR#4 VT-04-051 RR#4 VT-04-052 RR#4 VT-04-053 RR#4 VT-04-054 RR#4 VT-04-455 RR#4 99.1406 99-1405 99-1407 VT-04-056
- 'T-04-057 RR#4 YT-04-058 RR#4 VT-04-059 RR#4 VT-02-672 Expanr VT-02-675 Expan VT-04-060 RR#4 VT-04-061 99-1533 99-1534 99-1535 01-1333 01-1334 01-1459 01-1460 01-1461 VT-02-685 Expan!
V1T-02-686 Expans VT-02-687 Expans VT-02-688 Expans 99-1536 99-1537 99-1640 99-1641 VT-02-668 Expans VT-04-062 VT-04-063 99-1255 99-1254 99-1253 99-1252 99-1249 99-1251 99-1250 VT-04-064 VT-04-065 99-1673 Expans 99-1674 Expans 99-1598 01-1565 PSE 99-1418 PSE 99-1417 PSE 99-1419 PSE 99-1597 99-1596 VT-02-653 Expans VT-02-654 Expans VT-02-658 Expans VT-02-660 Expam sion, RR #4 sion, RR #4 sion, RR #4 sion, RR #4 sion, RR #4 sion, RR #4 sion, RR #4
- ion
- ion sion, RR #4
- ion, RR #4 Page 30 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComptSys Insp Amt Amnt Item ID Vol Surf Visual Remarks Item no Per Req Comp 93 West Wrap 94 LPSI A 95 LPSI B 96 LPSI to Loop IA 97 LPSI to Loop IB SI-239-111 SI-239-112 Sl-241-1111 SI-241-1116 Two 2
2 SI-89-1110 SI-89-1113 One 3
3 Sl-89-H7 SI-89-H8 SI-89-H9 SI-24 1-HS S1-241 -H7 S1-24 1-H8 Two 7
7 SI-070-H4 SI-070-HS SI-070-H8 SI-241-H6 Sl-241-H7 Sl-241-1108 SI-241-1117 One 6
6 SI-72-H8 SI-72-H10 SI-134-HI I Sl-134-H12 SI-194-H3 SI-194-H5 Two 10 10 SI-72-H10 SI-194-H5 SI-072-117 S1-072-119 SI-194-114 Sl-194-117 SI-194-118 SI-194-119 Sl-194-1110 Sl-194-1111 Sl-194-1115 Sl-194-1121 One 3
3 SI-202-H7 Sl-202-H8 SI-202-H9 Two 8
8 SI-202-HI Sl-202-112 Sl-202-113 SI-202-H4 Sl-202-H6 SI-202-H7 SI-202-H10 Sl-202-H II SI-202-H12 S1-202-H15 Sl-202-H16 Sl-202-H18 Sl-202-115 One 10 10 S1-220H8 Sl-220H9 SI-220-H10 SI-220-HI I SI-220-H 12 SI-220-H13 SI-220-H14 S1-220-H15 Sl-220-H19 Sl-220H22 Two 7
7 Sl-220-HI Sl-220H5 Sl-220-1116 S1.220-HI7 Sl-220-H I8 VT-04-066 VT-04-067 VT-04-068 RR#4 VT-0J-069 VT-04-070 RR#4 Vlr-04-071 99-1398 99-1399 99-1400 99-1302 PSE 99-1423 PSE 99-1421 PSE VT-02-589 VT-02-697 VT-02-495 VT-02-624 RR #4 VT-02-642 RR #4 VT-04-072 RR#4 VT-04-073 RR#4 99-1401 99-1402 99-1403 99-1404 99-1414 99-1415 VT-02-644 Expansion, VT-02-650 Expansion, IT-04-074 RR#4 VT-04-075 RR#4 VT-04-076 RR#4 VT-04-077 RR#4 VT-04-078 RR#4
'V7-04-079 RR#4 VT-04-080 RR#4 VT-04-081 RR#4 VT-04-082 RR#4 VT-04-083 RR#4 99-1342 99-1343 Support Dc 99-1344 Support Dc VT-02-670 Expansion VT-02-467 RR #4 VT-02-468 RR #4 VT-02-469 Reject VT-02-651 Re-exam VT-02-470 RR #4 VP-02-671 Expansion VT-02-471 Support De VT-02472 Support De VT-02-673 Expansion VT-02473 RR #4 VT-02-674 Expansion VT-02-676 Expansion VT-04-084 Snubber de 01-1468 99-1333 99-1334 99-1335 Support De 99-1336 99-1337 99-1338 Support De 99-1339 99-1340 99-1341 Support De VT-02444 VT-02-677 Expansion Vl-02446 RR #4 VT-02-447 VT-02-448 RR #4 RR #4 Icted leted eleted leted leted leted leted leted Page 31 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone Comp/Sys Insp Amt Arnt Item ID Vol Surf Visual Remarks Item no Per Req Comp 98 LPSI to Loop 2A 99 LPSI to Loop 2B 100 LPSI Suction A 101 Cont LPSI Train B Suction 102 Sl Suction A 103 Refuel Suction A 104 SI Suction B SI-220H20 SI-220H21 S 1220H27 SI-220H28 One 2
2 SI-155-H5 SI-155-H6 Two 5
5 Sl-155-H6 SI-155-111 SI-155-112 SI-155-113 SI-155-114 SI-155-117 Two 5
5 SI-174-1-14 SI-174-H7 SI-174-H8 Sl-174-H9 Sl-174-HII SI-174-H12 SI-174-H13 SI-174-1110 One 2
2 SI-241-H19 VT-02-443 Reject RR I VT-02-648 Re-exam VT-02-445 Support De VT-02-678 Expansion VT-02-450 Support De 99-1329 99-1328 VT-02-679 Expansion Vr-04-085 VT-04-086 Snubber de VT-04-087 Snubber de VT-04-088 Snubber de VT-04-089 VT-02-680 Expansion VT-02-554 Support De VT-02-555 VT-02-556 Support De VT-02-681 Expansion VT-02-682 Expansion VT-02-558 IT-04-090 RR#4 99-1330 Reject 99-1642 Re-exam 01-1469 Re-exam 99-1331 VT-02-696 VT-02-683 Expansion leted eleted leted leted leted leted leted SI-369-HI Two I
1 84-5 Two 0
0 SI-194-1116 Sl-194-1122 One 6
6 SI-8-H4 SI-9-HI SI-307-H2 SI-307-H5 SI-307-H6 SI-307-H7 SI-307-H-12 Sl-307-113 SI-307-H4 Sl-307-H5 SI-307-H8 Sl-307-HIS Two 7
7 Sl-8-HI1 SI-8-H2 SI-8-H3 SI-8-H4 SI-307-H6 SI-307-H7 Sl-307-1114 One 6
6 CH-142-H3 CH-142-H13 CH-142-H14 CH-142-H15 CH-142-H19 CH-142-H22 CH-424-HI CH-424-H2 CH-424-H3 Two 6
6 CH-142-118 CH-142-1120 CH-142-H21 CH-424-H2 CH424-H3 CH-424-H6 One 7
7 SI-33-HI SI-33-112 SI-33-113 SI-308-H5 SI-308-H8 SI-308-HIO Sl-308-HI I VT-02-684 99-1303 99-1429 99-1422 99-1304 99-1425 99-1424 01-1462 01-1463 01-1464 01-1465 01-1466 01-1467 VT-02-436 VT-02-437 VT-02-438 VT-02439 VT-02-440 VT-02-441 VT-02-442 99-1420 99-1408 99-1409 99-1410 99-1412 99-1411 99-1413 99-1386 99-1385 VT-02-504 VT-02-522 VT-02-505 VT-02-499 VT-02-500 VT-02-521 99-1520 99-1521 99-1522 99-1523 99-1524 99-1525 99-1526 Expansion PSE PSE PSE PSE PSE PSE Support Deleted RR #4 Support Deleted RR #4 RR #4 RR #4 RR #4 Support Deleted PSE PSE PSE RR #4 Support Deleted Page 32 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComplSys Insp Amt Arnt Item ID Vol Surf Visual Remarks Item no Per Req Comp 105 Refuel. Suction B 106 IIPSI Discharge A 107 IIPSI Discharge B 108 IIPSI Discharge Two 7
7 Sl-308-HI Sl-308-1-12 Sl-308-H3 SI-308-H4 SI-308-H6 S1-308-1-17 SI-308-1115 One 7
7 CH-149-H9 CH-149-HIO CH-149-H12 CH-149-H13 CH-149-H14 CH-149-H21 CH-149-H28 Two 7
7 CII-149-114 CI-149-115 C1-149-116 C11-149-117 C11-1491125 CII-1491126 C11-1491127 One 8
8 SI-99-HI Sl-99-H2 SI-100-HI SI-100H2 Sl-10OH3 SI-IOOH5 SI-10OH34 SI-106-HI Two 7
7 SI-100-119 SI-100-1110 SI-100-1111 SI-105-IIB SI-105-llC S1.105-llD SI-105-llE One 6
6 SI-107-H3 S1-107-HII SI-107-H12 SI-1 12-HC SI-112-HG SI-1 12-HH Two 6
6 SI-107-115 Sl-107-116 Sl-107-117 SI107-118 SI-107-119 SI-107-1110 One 11 II SI-10OH22 SI-10OH23 SI-I0OH24 SI-10OH25 SI-10OH26 SI-10OH27 SI-I0OH28 SI-I0OH29 SI-10OH31 SI-10OH32 Sl-IOOH35 Two 11 11 SI-100-1112 SI-100-1113 SI-100-1118 SI-100-1119 S1-100-1120 Sl-100-1121 SI-118-HlA Sl-118-llB SI-118-1lD SI-118-HlR Sl-118-llS VT-02-547 VT-02-548 VT-02-549 VT-02-550 VT-02-571 Support Deleted VT-02-551 Support Deleted VT-04-091 01-1396 01-1397 01-1398 01-1399 01-1400 01-1401 01-1402 VT-04-092 VT-04-093 VT-04-094 VT-04-095 VT-04-096 VT-04-097 VT-0--098 01-1046 01-1047 01-1048 01-1049 01-1050 01-1051 01-1052 01-1053 VT-04-099 VT-04-100 VT-04-101
- 'T-04-102 RR#4 VT-04-103 RR#4 VT-04-104 RR#4 VT-04-105 RR#4 01-1057 01-1056 01-1059 01-1055 01-1054 01-1058 Vr-04-106 RR#4 VT-W-107 VT-04-108 VT-04-109 VT-04-1 10 VT-04-111 99-1388 99-1387 99-1389 99-1390 99-1391 99-1392 99-1393 99-1394 99-1395 99-1396 99-1397 VT-04-112 RR#4 VT-04-113 RR#4 VT-04-114 RR#4 VT-04-115 RR#4 VT-04-116 RR#4 VT-04-117 RR#4 VT-04-118 RR#4 VT-04-119 RR#4 V7-04-120 RR#4 VT-04-121 RR#4 V-04-122 RR#4 Page 33 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComplSys Insp Amt Amnt Item ID Vol Surf Visual Remarks Item no Per Req COmp 109 lIPSI Discharge 110 IIPSI Discharge 111 IIPSI Discharge 112 IIPSI Discharge 113 IIPSI Discharge 115 HPSI 2A & 2B F 1.40 41 Steam Generator I One 7
7 S1-107-H13 S1-107-H14 SI-107-H15 Sl-107-H116 Sl-107-H21 SI-107-H47 S1-107-H50 Two 7
7 SI-1071119 SI-107-1120 S1-107-1125 Sl-107-1126 S1-107-1127 SI-107-1128 S-107-1129 One 7
7 SI-103-HB SI-103-HD S1-103-HE SI-218-HI Sl-218-H2 Sl-218-413 SI-2181H4 Two 7
7 SI-107-1139 Sl-107-1141 SI-107-1142 S1-107-1143 Sl-107-1144 Sl-107-1145 Sl-107-1149 One 3
3 Sl-I-0H37 SI-100HA SI-IOOHB Two 4
4 SI-236-111 Sl-236-112 SI-236-113 SI-236-114 One 3
3 SI-176-HI Sl-176-H2 Sl-176-H3 Two 3
3 SI-100-1117 Sl-102-llA Sl-102-JIB One 5
5 SI-107-H22 Sl-107-4124 SI-157-H2 Sl-157-H3 Sl-157-H4 Two 4
4 SI-106-IlA SI-109-IIA Sl-157-IIA SI-176-IIA Two 3
3 Sl-157-H1O Sl-157-HI I Sl-176-H4 One 2
2 41.42 41-43 Two 2
2 4242 42.43 One 3
3 72-3A 72-3B 72-3C Two 3
3 73-3A 73-3B 73-3C Two 3
3 80-3A 80-3B 80-3C One 4
4 116-lA 116-lB 116-IC 116-ID 01-1335 01-1336 01-1337 01-1338 01-1339 01-1340 01-1341 VT-04-123 RR#4 VT-04-124 RR#4 VT-04-125 RR#4 VT-04-126 RR#4 VT-04-127 RR#4 VT-04-128 RR#4 VT-04-129 RRB4 01-1403 01-1404 01-1405 01-1342 01-1343 01-1344 01-1345 VT-04-130 RR#4 VT-04-131 VT-04-132 VT-04-133 VT-04-134 RR#4 VT-04-135 RR#4 VT-04-136 RR#4 01-1348 01-1346 01-1347 VT-04-137 VT-04-138 RR#4 VT-04-139 RRJ14 VT-04-140 01-1349 01-1350 01-1351 VT-04-141 VT-04-142 VT-04-143 01-1061 01-1060 01-1352 01-1353 01-1354 VT-04.144 VT-04-145 VT-04-146 VT-04-147 VT-02-502 Support Deleted VT-02-503 RR #4 VT-02-501 RR #4 01-1498 01-1499 VT-04-011 VT-04-013 01-1472 01-1472 01-1472 VT-04-030 VT-04-031 VT-04-032 VT-04-036 VT-04-037 VT-04-038 01-1474 01-1474 01-1474 01-1474 42 72 Steam Generator 1 LPSI Pump A 75 LPSI Pump B 78 CS Pump A 116 HPSI Pump A Page 34 of 41
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT Reports ASME Zone ComplSys Insp Amt Amt Item ID Vol Surf Visual Remarks Item no Per Req Comp 117 1IPSI Pump B Two 4
4 117-1A VT-04-148 117-IB VT-04-149 117-1C VT-04-150 117-ID VI-04-151 Page 35 of 41
APPENDIX B CODE LIMITATIONS Page 36 of 41
REFUELING OUTAGE NUMBER ELEVEN CODE LIMITATIONS ASME ITEM ZONE/COMPONENT ITEM ID REPORT NO.
B 9.11 23 SI IA 23-4 UT-04-001 B 9.11 29 PZR Spray 29-2 UT-04-003 C 5.11 88 SI East Wrap 76-7 UT-04-089 C 5.11 88 SI East Wrap 77-16 UT-04-092 C 5.11 88 SI East Wrap 79-14 UT-04-088 C 5.11 102 SI Suction A 84-26 UT-04-095 C 5.21 106 HPSI Discharge A 106-64 UT-04-096 C 5.21 107 HPSI Discharge B 107-1 UT-04-098 C 5.21 113 HPSI Discharge B 113-21 UT-04-103 C 5.21 113 HPSI Discharge B 113-28 UT-04-104 C 5.21 119 HPSI Long Term 119-53 UT-04-106 Limitation Single-sided Austenitic weld examinations less than 90% coverage based on the Section XI Appendix VIII PDI demonstration.
Page 37 of 41
APPENDIX C FORM NIS-1 Page 38 of 41
AP S NIS-1 FORM OWNERS' DATA REPORT FOR INSERVICE INSPECTIONS
- 1. OWNER -
ARIZONA PUBLICSERVICE COMPANY, et al ADDRESS -
RO. BOX 52034, PHOENIX, ARIZONA 85072
- 2. PLANT -
PALO VERDE NUCLEAR GENERATING STATION ADDRESS -
5801 SOUTH WINTERSBURG ROAD; TONOPAH, ARIZONA 85354-7529
- 3. UNIT NUMBER -
1
- 4. OWNERS' CERTIFICATE OF AUTHORIZATION - NONE
- 5. COMMERCIAL SERVICE DATE -
January 28,1986
- 6. COMPONENTS INSPECTED:
COMPONENT OR MANUFACTURER SERIAL STATE OR NATIONAL APPURTENANCE OR INSTALLER NUMBER PROVINCE BOARD NO This report is a summary of the second interval second period examinations performed to date for Unit 1. The items examined, along with the examination report numbers, are listed in Appendix A.
PAGE I OF 2
APS NIS-1 BACK OWNERS' DATA REPORT FOR INSERVICE INSPECTIONS
- 7.
EXAM DATES 4-4-2004 TO 5-10-2004
- 8.
INSPECTION INTERVAL FROM 7-18-1998 TO 7-17-2008
- 9.
ABSTRACT OF EXAMINATIONS. INCLUDE A LIST OF EXAMINATIONS AND A STATEMENT CONCERNING STATUS OF WORK REQUIRED FOR CURRENT INTERVAL.
The items examined, along with the examination report numbers, are listed in Appendix A. The examinations are listed by ASME Catagory and Item Numbers with the corresponding examination report numbers.
- 10.
ABSTRACT OF CONDITIONS NOTED The evaluation of the results form the ISI examinations indicate 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 rejectectable 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 Xl 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 EXAMINATIONS AND CORRECTIVE MEASURES TAKEN CONFORM TO THE RULES OF THE ASME CODE, SECTION XI.
DATE 3/
44 X/,t 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 EMPLOYED BY HSB CT OF HARTFORD, CONNECTICUT HAVE INSPECTED THE COMPONENTS DESCRIBED IN THIS OWNERS REPORT DURING THE PERIOD \\°-3-oa TO
. AND STATE THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE OWNER HAS PERFORMED EXAMINATIONS AND TAKEN CORRECTIVE MEASURES DESCRIBED IN THIS OWNERS REPORT IN ACCORDANCE WITH THE REQUIREMENTS OF THE ASME CODE, SECTION XI. BY SIGNING THIS CERTIFICATE NEITHER THE INSPECTOR NOR HIS EMPLOYER MAKES ANY WARRANTY, EXPRESSED OR IMPLIED, CONCERNING THE EXAMINATIONS AND CORRECTIVE MEASURES DESCRIBED IN THIS 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.
INSPECTOR COMMISSIONS 6.
'TC A.-, c A7..aW NAT'L BOARD, STATE, PROVINCE DATE 7-23-O0A PAGE 2 OF 2
APPENDIX D FORMS NIS-2 Page 41 of 41
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID IJCHEPSVO345
- 2. Code Class ASME Section III Class 2
- 3. Item
Description:
Pressure Safety Valve Nozzle and Disc Insert
- 4. N-5 Data Package Number: ICH13-1
- 5. W.O. Number: 2561273
- 6. Original Construction Code Edition:
1974 Edition. Summer 1976 Addenda
- 7. Original Installation Code Edition:
1971 Edition. Winter 1973 Addenda
- 8. Work
Description:
Rework valve as required to address set point verification failure.
Report Number.
- 10. Evaluation ofthe suitabilityofthis work as perthe requirements of IWA -4150:
L
.74it No~g1 X, d.
I4 X(d
.s; 1
- 13. 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. IlI Cl 1. 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 Date
.L A
2 If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
D YES 0 NO Initial B y Date,&
If required, include a step in the W.O. for ISI & ANII Inspection.
/
o
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial &j4=
Date component.
X#
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial sadL.
Date e4/526/-7 replacement items.
Item ID Part No.
Serial No.
Heat No.
M1RPOIWO No.
PSV Nozzle APN 45070039
<M03,40-0015 MR 694856 PSVDisclnsert APN 45630021 D.omJO X_______MR 694856
- 19. Planner Printed Name: David W. Shaffer Signature
/Date J
- 20. ISI C
/0/1 I/oL Printed Name:
A Signature Date
- 21. ANII 0a.
Z-O2-o Printed Name: _
Signere Date rveol vet I
.w.,
....._..
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company et. al.
P. 0. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road.. Tonopah. Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 10/31/2002 Sheet:
I of 2 Unit: I Work OrderNumber 2561273 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: (CH) CHEMICAL AND VOLUME CONTROL
- 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 Nozzle Crosby N92031.40-0015 N/A UTC #355525 1978 Replacement NO Disc Insert Crosby N92032-34-0010 N/A UTC #355525 1978 Replacement NO Valve Crosby N61 180-00-0008 N/A UTC #355525 1978 Repaired YES 7.Dsrpino or:Dssmldrmoe av o npcto n
rulhotn ocretieniidd=cece
- 7. Description of Work: Disasembled removed valve for inspection and troubishooting to correct identified deficiencies causing set point verification failure. Inspection determined the replacement of the Nozzel and Disc Insert was required.
- 8. Test Conducted: Hydrostatic []
Pneumatic D]
Nominal Operating Pressure 0 Exempt 0 N-416-1 0 Other a Pressure psi TestTemperature IF 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: Work Order #2561273:
A spare Crosby Pressure Safety Valve (PSV) was repaired under this work order. A unique record in the Site Work Management System (SWMS) for this valve is known as a "Physical Item" and is identified by a Unit Tracking Code (UTC).
This UTC number is entered as the "Other Identification" on the front of this form.
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.
Signed:
4
~-i N/A Expiration Date:
N/A Date:
/0/13/1102 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
_-_:z to Jo-.3 1-02
,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
, -e -Z=,
Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements fpectors Signature Date:
io-.51-02 I-Pv-E0092 Vet. 7 Back 73DP-9ZZ17 PV-E0092 Ver. 7 Back 73DP-9ZZ17
ASME SECTION XI - REPAIR / REPLACEMENT Page of_____
- 1. ComponentID IJSGEUVOI83
- 2. CodeClass ASMESectionIIIClass2 Item
Description:
ANCHOR/DARLING 4"-900# PRESSURE SEAL GATE VALVE
- 4. N-5 Data Package Number: ISG02-1
- 5. W.O. Number: 2564303
- 6. Original Construction Code Edition:
1974 Edition. Summer 1975 Addenda
- 7. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 8. Work
Description:
Replace valve bonnet due to steam cutting from bonnet seal leak.
I9. 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.
eto) hex e _ts Ize he Ls
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 2. 1974 Edition Summer 1975 Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. m Cl 2. 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition:
.1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
I] YES 0 NO Initial a
Date ________
If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
0 YES C NO itial Date
.!7 If required, include a step in the W.O. for ISI & ANII Inspection.
a De
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasir Initial Iffy<;
Date component.
ng the Initial Date
~7.
.Pp
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/PO/WO No.
Bonnet APN 45060267 3
A180 MR 734246
- 19. Planner Printed Name: DavidGoodlet Signature Date
- 20. ISI 3/TIt-S Printed Name:
K t
'4
- 7) f Signature J Date
.ANI a3-2s
-o3 Printed Name:
(e. t Signatu.
Date PV.EOU93 V,,. 7 7!DP w 211
IU FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company. et. al.
P. 0. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road.. Tonopah, Arizona 85354-7529
- 3. Vfrk Performed by: Arizona Public Service Date: 3/28/03 Sheet:
I of 2 Unit: i Work Order Number 2564303 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: SG: Main Steam
- 5. (a) Applicable Construction Code ASME Section III NC. Class 2 1974 Edition, Summer 1975 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition. 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Item Narne of Manufacture Manufacturer Serial No.
National Board No.
Other Identification Year Built Repaired or Replacement ASME Code Stamped (Yes or NO)
Bonnet Anchor/Darling 3
n/a 1JSGEUV183 l
Replacement NO
- 7. Description of Work: Replace bonnet to correct steam cut caused from pressure seal leak.
- 8. Test Conducted: Hydrostatic E Pneumatic El Nominal Operating Pressure.
Exempt N-416-1 El Other Cl Pressure Ai25 psi Test Temperature 3a0 OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 l/2 X 1 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.
I FORM NIS-2 (Back)
Remarks: WO# 2564303 for valve IJSGEUVOI83. The valve bonnet was replaced due to steam cuts caused from pressure seal Qasket 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 Signed:
7 TAL AN, Expiration Date:
N/A
/E},
- /O-Date:
3/13116>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 _
to 1 -6t-CL
, 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.
6Commissions:
NB 9685 "N" "I" AZ264 1Iectors Signature National Board, State, Province, and Endorsements Date:-
Z-at -0.3 a-J92 Ver. 7 Back 73DP-9l7 P N.J92 Ver. 7 Back 73DP-9ZZ17
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID IMRCEEOIB 2.. ItemDescription: SteamGenerator-#2
- 3. N-5 Data Package Number: IRC01-4
- 4. W.O. Number: 2564536
- 5. Original Construction Code Edition:
i971 Edition. Winter 1973 Addenda
- 6. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Install Westinghouse plugs in IMRCEEOIB Cold Leo tubes per DFWO 2564535
IRI I Eddy Current Exam Report
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Per DFWO 2564535
- 10. Repair/Replacement Work Organization:
Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 1. 1971 Edition 1973 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. III ClT. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
l] YES 0 NO Initialvlz Date 4ll 32/- o If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required:
F] YES 0 NO Initial Date
/
y If required, include a step in the W.O. for ISI & ANII Inspection.
Date J /
X
- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial ri7 Date component.
Initial
/Date l o
./10V
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date //9replacement items.
Item ID Part No.
Serial No.
Heat No.
MRIPO/WO No.
Tube Plugs See Atteched List See Atteched List See Atteched List See Atteched List i8. Planner 6 1,d i/-c' "
// Printed Name: Barbara Vidal Signature Dat
- 19. ISI
,/3'o/;
ui<7 Printed Name:
7F f
-.til ?DAP Signature Date
- 20. ANTI 4 '
my to'4 Printed Name:
Q6.
locks. ae Signlire Date PY1LU9 V-7 73DLw9ZZ17 I &t
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant:
Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopab. Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service/Westinghouse Date: 1/21/2004 Sheet:
I of 2 Unit: I WVork Order Number 2564536 Type of Code Stamp None 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, 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 or Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or N O )
Steam Generator CE 78273-2 22500 lMRCEEOlB 1978 Repaired YES Tube Plugs Westinghouse N/A
° 2
Replacement NO
- 7. Description of Work: SG12 Cold Leg plugging and repair per DFWO 2564535.
- See attached list.
S. Test Conducted: Hydrostatic D Pneumatic 5 Nominal Operating Pressure EJ Exempt Z 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 I 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: See DFWO 2564535 for tubes plugged. (Plugging list attached)
J. o.
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:
EF, C-60sq(4&19 tf:M0LWC)r&1 c Cf rA Date:
i Owner or Owner's Designee, Title t-'
£5 - 3,-0 f-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 S-3 -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. Furthermnore, 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.
4pectors Signature Date:
g5-3^c04 Commissions: NB 9685 "N" "I" AZ264 National Board. State, Province, and Endorsements I-PV-E0092 v. 7 Back 73DP-9l7 Rev S PV'-EO092 Ver. 7 Back 73DP-9ZZ17 Rev 8
STEAM GENERATOR IMRCEEOIB "COLD LEG" WORK ORDER 2564535 WORK ORDER 2564536 ASME SECTION XI-REPAIR/REPLACEMENT COMP. ID I ROW I COLUMN PART NO.
SERIAL NO.
HEAT NO.
MR NO.
1MRCEE01B 17 4
1971E18 1M889 NX3171HK 850392 FORM NS-1 OWNR'S REORT FOR REPA!RS OR RLEPLACtESf 1MRCEE01B 46 5
0307-1601 40013388-92 NX3171HK 733382 AsR "Wd bydrbi..ofd.
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1M989 NX3171HK 850392 Page 1 of 8
STEAM GENERATOR 1 MRCEEOI B "COLD LEG" WORK ORDER 2564535 WORK ORDER 2564536 1MRCEE01Bl69 l 28 l 1971E18 I 1M880 l NX3171HK [
850392 1MRCEE01B 112 31 1971E18 1M884 NX3171HK 850392 1
1MRCEE01B 48 31 1971E18 1 P085 NX3188HK 850392 FOR-t NI1S-2 OWNER'S REPORT FOR REPAIRS OR RFPLACM. MS 1MRCEE01B 47 32 1971E18 1P090 NX3188HK 850392 b
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STEAM GENERATOR 1MRCEE01B "COLD LEG" WORK ORDER 2564535 WORK ORDER 2564536 1MRCEE01BI137I 50 1971E18 1N137 NX3171HK 850392 1 MRCEE01B 8
51 1971E18 1 M833 NX3171 HK 850392 1
1 MRCEE01 B 90 51 1971 E18 1 N155 NX3171 HK 850392 FORM NIS-2 ONER'S RFPORT FOR RPrAIRS OR REPLACEME5NTS 1MRCEE01B 98 51 1971E18 1N157 NX3171HK 850392 A. "bd by ths
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STEAM GENERATOR 1MRCEE01B "COLD LEG" WORK ORDER 2564535 WORK ORDER 2564536 1MRCEE01B[129 l
60 l 1971E18 I 1N197 I
NX3171 HK l
850392 11MRCFF01B 1133 60 1971E18 1N179 NX3171HK 850392 1MRCEEO1B 24 61 1971;E8 1 M879 NX3171 HK 850392 FORMt IS-2 OWER'S REPORT FOR RYPAIRS OR REPLACESMMS 1MRCEEO1B 52 6 1 1971E18 1 M895 NX3171HK 850392 A. Puqb by ft PbUh 1 dAS11M C. S311 2 1MRCEE01B 130 61 1971E18 1 M821 NX3171 HK 850392 1MRCEE01B 97 62 1971E18 1N153 NX3171HK 850392 l
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NX3171HK 850392 1MRCEEO1B 112 71 1971E18 1N165 NX3171HK 850392 1MRCEE01B 128 71 0307-1601 40013388-85 NX3171HK 733382 1MRCEEO1B 142 71 1971E18 1P050 NX3188HK 850392 1MRCEE01B 144 71 1971E18 1P042 NX3188HK 850392 1MRCEEOIB 17 72 1971E18 1M878 NX3171HK 850392 1MRCEE01B 40 73 1971E18 1M887 NX3171 HK 850392 1MRCEE01B 64 73 1971E18 1 M894 NX3171HK 850392 1MRCEE01B 80 73 1971E18 1 N886 NX3188HK 850392 1MRCEEO1B 96 73 1971E18 1N138 NX3171HK 850392 1MRCEE01B 116 73 1971E18 1N173 NX3171 HK 850392 1MRCEE01B 138 73 1971E18 1P048 NX3188HK 850392 1MRCEE01B 39 74 1971E18 1 M877 NX3171 HK 850392 1MRCEEO1B 111 74 1971E18 1 N887 NX3188HK 850392 1MRCEE01B 129 74 1971E18 1N191 NX3171HK 850392 1MRCEEO1B 30 75 1971E18 1N176 NX3171 HK 850392 1MRCEEO1B 90 75 1971E18 1N139 NX3171HK 850392 Page 4 of 8
STEAM GENERATOR 1 MRCEE01 B "COLD LEG" WORK ORDER 2564535 WORK ORDER 2564536 1MRCEE01B[102 l
75 l 1971E18 I 1N894 I
NX3188HK l
850392 1MRCEEO1B 1104 75 1971E18 1N891 NX3188HK 850392 1 MRCEE01 B 128 75 1971 E18 1 N178 NX3171 HK 850392 F'OP NIS-2 OWNER'SREPORTFORREPAIRSOR REPIACENCUNTS 1MRCEE01B 144 75 1971E18 1 P041 NX3188HK 850392 Atqd by lrmbW ASME C.& Sskl )a 1MRCEE01B 91 76 1971E18 1 N892 NX3188HK 850392 vo.u't.RdIQYW 13A 1MRCEE01B 138 77 1971E18 1N189 NX3171HK 850392
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87 1971E18 1N865 NX3188HK 850392 1MRCEEO1B 98 87 1971E18 1N162 NX3171HK 850392 1MRCEE01B 110 87 1971E18 1N880 NX3188HK 850392 1MRCEE01 B 138 87 1971E18 1N975 NX3188HK 850392 1MRCEE01B 59 88 1971E18 1N868 NX3188HK 850392 1MRCEE01B 65 88 1971E18 IN871 NX3188HK 850392 1MRCEE01B 87 88 1971E18 1N159 NX3171HK 850392 1MRCEE01B 135 88 0307-1601 40013388-101 NX3171HK 733382 1MRCEE01B 143 88 1971E18 1N962 NX3188HK 850392 1MRCEE01B 102 89 0307-1601 40013388-102 NX3171HK 733382 1MRCEE01B 104 89 1971E18 1N893 NX3188HK 850392 1MRCEE01B 148 89 1971E18 1N977 NX3188HK 850392 Page 5 of 8
STEAM GENERATOR 1MRCEE01B WORK ORDER 2564535 "COLD LEG" WORK ORDER 2564536 1MRCEE01B 133 I
90 I 1971E18 I 1N028 I
NX3171HK T
850392 1MRCEE01Bl140 l
91 l
1971E18 I 1N958 I
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n 176 93' Q71971R IN17A NYX171HK 8F503Q92 1MRCEE01B 98 93 1971E18 1 N895 NX3188HK 850392 o
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1MRCEEO1B 144 101 1971E18 1 N972 NX3188HK 850392 1MRCEEO1B 131 102 1971E18 1N963 NX3188HK 850392 1MRCEE01B 110 103 1971E18 1 N952 NX3188HK 850392 6 U C
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STEAM GENERATOR 1MRCEE01B "COLD LEG" WORK ORDER 2564535 WORK ORDER 2564536 1MRCEE01 B 8
1 119 1971E18 I 1 N867 E
NX3188HK 850392 1MRCEE01B 7
120 1971E18 1 P012 NX3188HK 850392 1
1 MRCEE01 B 39 120 1971 E18 1 N872 NX3188HK 850392 FORt N1S52 OVNTFR'S RFIORT FOR MSiAIRS OR REPtACFMS 1MRCEE01B 47 120 1971E18 1 N862 NX3188HK 850392 Alr*Ay l
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"v,"IcCU I D liU I 4;j lt 11:10 INVUa NA.3 I00nN ODUaUZ 1MRCEE_1B 101 126 1971E18 1.N943 NX3188HK 850392 1MRCEE01B 117 126 1971E18 1N940 NX3188HK 850392 1MRCEE01B 96 127 197i1E18 1N951 NX3188HK 850392 1MRCEE01B 136 127 1971E18 1 N939 NX3188HK 850392 1MRCEEO1B 57 128 1971E18 1 N029 NX3171HK 850392 1MRCEE01B 63 128 1971E18 1N035 NX3171HK 850392 1MRCEEO1B 115 128 1971E18 1P014 NX3188HK 850392 1MRCEE01B 56 129 1971E18 1N019 NX3171HK 850392 1MRCEE01B 25 130 1971E18 1 N026 NX3171 HK 850392 1MRCEE01B 115 130 1971E18 1P013 NX3188HK 850392 1MRCEE01B 110 131 1971E18 1 N025 NX3171HK 850392 1MRCEEO1B 78 131 1971E18 1N032 NX3171 HK 850392 1MRCEE01B 102 133 1971E18 1N949 NX3188HK 850392 1MRCEE01B 551 134 1971E18 1N027 NX3171HK 850392 1MRCEE01B 69 134 1971E18 1 N020 NX3171 HK 850392 1MRCEE01B 58 135 1971E18 1 P091 NX3188HK 850392 1MRCEEOIB 92 137 1971E18 IP091 NX3188HK 850392 1MRCEE01B 94 137 1971E18 1 N038 NX3171HK 850392 1MRCEE01B 122 137 1971E18 1 N046 NX3171 HK 850392 1MRCEE01B 33 138 1971E18 1 N041 NX3171 HK 850392 1MRCEE01B 55 138 1971E18 1N052 NX3171HK 850392 1MRCEE01B 30 139 1971E18 1 N051 NX3171 HK 850392 1MRCEE01B 132 139 1971E18 1 P009 NX3188HK 850392 1MRCEE01B 38 141 1971E18 1N018 NX3171 HK 850392 Page 7 of 8
STEAM GENERATOR 1MRCEE01B "COLD LEG" WORK ORDER 2564535 WORK ORDER 2564536 1 MRCEE01B 160 141 1971E18 1 N053 NX3171HK 850392 1 MRCEE01 B 186 141 1971E18 1P015 XNX31z88HK 850392 1MRCEE01B 122 141 1971E18 iP010 NX3188HK 850392 FORMNI s.2 OWR'S REPoRT FOR RLrPAIRS OR RF.PLACEWITS 1MRCEEO1B 53 142 1971E18 1N049 NX3171HK 850392 A,
.tRr___ by__ ft
______of O__AS
__C.&
3-i-)a 1MRCEE01B 69 142 1971E18 1 N057 NX3171HK 850392 M
° 21CM4 IMRCEE01B 34 143 1971E18 1N036 NX3171HK 850392 l
'hAn v
'I 1MRCEEO1B 105 144 1971E18 1P003 NX3188HK 850392 l.-
- shH, v-5 1MRCEE01B 98 145 1971E18 1P018 NX3188HK 850392 W.QW4ti iiY.m 1MRCEEO1B 106 145 1971E18 1P007 NX3188HK 850392 3
W f' br Admj tW T
kP",
1MRCEE01B 63 146 1971E18 1 N045 NX3171HK 850392 M
1MRCEE01B 132 147 0307-1601 40013388-80 NX3171HK 733382 l
"'h 1MRCEE01B 102 149 1971E18 1 P006 NX3188HK 850392 1MRCEEO1B 110 149 1971E18 1P004 NX3188HK 850392 1
b F
1MRCEE01B 55 150 1971E18 1N050 NX3171 HK 850392 1MRCEE01B 95 150 1971E18 1 P005 NX3188HK 850392 1MRCEE01B 42 151 1971E18 1 N024 NX3171 HK 850392 Z
I 0
ASn 1MRCEE01B 82 151 1971E18 1P016 NX3188HK 850392 1MRCEE01B 84 151 1971E18 1N998 NX3188HK 850392 CT V"
t
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i 1 MRCEEO1 B 66 1 53 1971E18 1 N042 NX3171 HK 850392 T*.rtp W
IA NO lMRCEE=lB 186 141 Lpl.
197 I
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I~
ltIC oi 1NU.3U NVAJ13 IIK1r c;3UJY~Z 1MRCEE01B 84 155 1971E18 1 N056 NX3171 HK 850392 1MRCEE01B 30 157 1971E18 1 N034 NX3171 HK 850392 1MRCEE01B 84 157 1971E18 1P017 NX3188HK 850392 1MRCEE01B 60 163 1971E18 1 N047 NX3171HK 850392 1MRCEE01B 92 163 1971E18 1POll NX3188HK 850392 1MRCEE01B 59 164 1971E18 1 N039 NX3171 HK 850392 1MRCEE01B 83 168 1971E18 1 P002 NX3188HK 850392 1MRCEE01B 58 171 1971E18 1 N054 NX3171 HK 850392 1MRCEE01B 61 172 1971E18 1 N040 NX3171 HK 850392 1MRCEEO1B 61 174 1971E18 1N055 NX3171HK 850392 1MRCEE01B 58 175 1971E18 1N048 NX3171 HK 850392 1MRCEE01B 8 177 1971E18 1P045 NX3188HK 850392 1MRCEE01B 53 182 1971E18 1 N044 NX3171 HK 850392 1MRCEE01B 35 186 0307-1601 40013388-99 NX3171 HK 733382 1MRCEE01B 21 188 0307-1601 40013388-81 NX3171HK 733382 Page 8 of 8
ASME SECTION XI - REPAIR / REPLACEMENT Pae e of
- 1. Component ID IMRCEEOlB 2.. ItemDescription: SteamGenerator#2
- 3. N-5 Data Package Number: IRC01-4
- 4. W.O. Number: 2564537
- 5. Original Construction Code Edition:
1971 Edition. Winter 1973 Addenda
- 6. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Install Westinghouse plugs in IMRCEEOIB Hot Leg tubes per DFWO 2564534
- 8.
3 ISI Flaw NDE Method of Flaw Detection: Eddy Current Report Number:
IRI I Eddy Current Exam Report
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Per DFWO 2564534
- 10. Repair/Replacement Work Organization:
Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 1. 1971 Edition 1973 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. I'1 Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
El YES 3 NO Initial -A 1 Date
/
/
za/o V
If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required:
El YES 3 NO Initial
- II/
Date //"./o j
If required, include a step in the W O. for ISI & ANII Inspection.
Date '/
I/
- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial
- i.
Date component.
. //.
,, X
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial -1W Date Lo
/
IyiO replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/PO/WO No.
Tube Plugs See Atteched List See Atteched List See Atteched List See Atteched List
- 18. Planner e
Vx:124L 4 J
'1/<c/O 5 Printed Name: Barbara Vidal S ignat ure Date
- 19. 15111 0/
Printed Name:
R P?
T h12)AP Signature Date
- 20. ANII q
Printed Name:
Sigture Date PV.LWKW3 Vff. 7 730MMS 7 P 3
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al.
P. 0. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road.. Tonopah, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service/Westinghouse Date: 1/21/2004 Sheet:
I of 2 Unit: 1 Work Order Number 2564537 Type of Code Stamp None 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, 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 )
Steam Generator CE 78273-2 22500 1MRCEE0lB 1978 Repaired YES Tube Plugs Westinghouse N/A
- DC 14-Replacement NO
- 7. Description of Work: SG12 Hot Leg plugging and repair per DFWO 2564534.
- See attached list.
- 8. Test Conducted: Hydrostatic a Pneumatic a Nominal Operating Pressure E]
Exempt 0 N-416-1 a 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 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: See DFWO 2564534 for tubes plugged. (Plugginge list attached) 0,0. ai,<3 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 Expiratii Signed: Cc 1
.(( h-n 13 c7*d gn e n cAd Ownero Owner's Designce, Title ion Date:
N/A Date:
5
-3 0 Lf 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 s-.3-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.
i Commissions: NB 9685 "N" AI" AZ264 National Board. State, Province, and Endorsements nspectors Signatur Date:
&.S-04 Pv-E0092 ver. 7 Back 73DP-9t7 Rev S pV-E0092 Vcr. 7 Back 73DP-9ZZ17 Rev 8
STEAM GENERATOR I MRCEE01 B "HOT LEG" WORK ORDER 2564534 WORK ORDER 2564537 ASME SECTION XI-REPAIR/REPLACEMENT COMP. ID I ROW I COLUMNI PART NO.
SERIAL NO.
HEAT NO.
MR NO.
1MRCEE01B 17 4
1971E18 1 M963 NX3171 HK 850392 FORNI NIS-2 OWNER'S REPORT FOR REPAIRS OR REPrLAtEENiT 1MRCEE01B 46 5
1971E18 1M931 NX3171HK 850392 Assd 7 brfrim ASMSCo5eaoX 1MRCEE01B 5
6 1971E18 1M968 NX3171HK 850392 L-uI
,' te/
1MRCEE01B 27 6
1971E18 1M918 NX3171 HK 850392 AAtSO722 ShF Idi 1MRCEE01B 33 6
1971E18 1M927 NX3171 HK 850392
" r Ud, 1MRCEE01B 47 6
1971E18 1M925 NX3171HK 850392 S
TY W d4N&
Zq4fl 1MRCEE01B 49 6
1971E18 1 M933 NX3171 HK 850392 W. &q FCU.W l
1MRCEE01B 24 7
1971E18 1 M928 NX3171 HK 850392 VA 1MRCEEO1B 21 8
1971E18 1M922 NX3171HK 850392 1MRCEE01B 58 9
1971 E1 8 1 M919 NX3171 HK 850392i.
V~t&,t>fY 1MRCEE01B 23 10 1971E18 IM966 NX3171HK 850392 r
r 1MRCEE01B 33 10 1971E18 1M923 NX3171HK 850392 1MRCEE01B 1 6 11 1971E18 1 M967 NX3171 HK 850392
,~,
I M
A 1MRCEE01B 58 11 1971E18 1M924 NX3171 HK 850392
- - p5 d S...3..'
ft 1MRCEE01B 19 12 1971E18 1 M958 NX3171 HK 850392 I
1MRCEEO1B 21 12 1971E18 1 M969 NX3171 HK 850392 21 CZ l
u nInumi4 s Iin MP" 1MRCEE01B 49 12 034-01 ECEW-67 J-9161-5 533616 T"'
Wl d.d, -MA 1 MRCEE01 51 12 1971E18 1M917 NX31(1 HK 185U392 1MRCEE01B 55 12 1971E18 1M932 NX3171HK 850392 1MRCEE01B 48 13 1971E18 1 M936 NX3171 HK 850392 1MRCEE01B 45 14 1971E18 1 M921 NX3171 HK 850392 1MRCEE01B 58 15 1971E18 1M929 NX3171HK 850392 IMRCEE01B 45 16 1971E18 iM930 NX3171 HK 850392 1MRCEE01B 47 16 1971E18 1M934 NX3171HK 850392 1MRCEE01B 61 16 1971E18 1 N259 NX3171 HK 850392 1MRCEE01B 58 17 1971E18 1 M935 NX3171 HK 850392 1MRCEE01B 43 18 1971E18 1 M920 NX3171 HK 850392 1MRCEE01B 59 18 1971E18 1 N265 NX3171HK 850392 1MRCEEO1B 48 19 1971E18 1 N254 NX3171HK 850392 1MRCEEO1B 58 21 1971E18 1 M926 NX3171 HK 850392 1MRCEE01B 53 22 1971E18 1N274 NX3171HK 850392 1MRCEE01B 48 23 1971E18 1 N253 NX3171HK 850392 1MRCEE01B 90 23 1971E18 1 N273 NX3171 HK 850392 1 MRCEE01 B 43 24 1971E18 1 N250 NX3171 HK 850392 1MRCEE01BB 55 24 1971 E18 1 N270 NX3171HK 850392 1MRCEEO1B 79 24 1971E18 1 N266 NX3171HK 850392 1MRCEEO1B 60 25 1971E18 1 N275 NX3171 HK 850392 I1MRCEE01B 17 26 1971E18 1 M964 NX3171HK 850392 1MRCEE01B 33 26 1971E18 1 N242 NX3171 HK 850392 1MRCEE01B 45 26 1971E18 1N248 NX3171HK 850392 1 MRCEE01 B 36 27 1971 E18 1 N256 NX3171 HK 850392 1MRCEEO1B 58 27 1971E18 1 N261 NX3171 HK 850392 Page 1 of 8
STEAM GENERATOR 1MRCEE01B "HOT LEG" WORK ORDER 2564534 WORK ORDER 2564537 1MRCEE01Bl 69 l 28 1971E18 1N272 NX3171HK
[
850392 1MRCEEO1Bl 12 l 31 1 1971E18 1N246 NX3171 HK 850392 1MRCEFl1RI 48 1 31 1971E18 1 N252 NX3171 HK 850392
-I.
- 4.....
FORU NIS2 OWNER'S REPORT FOR REPAIRS OR REPLACEUENTS A. R"..d by Ih Pft'vinwd 0(th. A5ME Codc Sftfio XI 1MpCrFnlnI 47 I
32 1971E1R 1 N257 NX3171HK 850fl392 1MRCEE01B 108 33 1971E18 1 P060 NX3188HK 850392
,.o i~ h r~lr s saL 1MRCEE01B 114 33 1971E18 1N222 NX3171HK 850392 r
___fi w
s l
1MRCEE01B 6
35 1971E18 1 N239 NX3171 HK 850392 We 1MRCEE01B 57 36 1971E18 1 N298 NX3171 HK 850392 WAWt.,&." 2:'4:Z 1MRCEEO1B 119 36 1971E18 I N223 NX3171 HK 850392
- 3.
W
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1MRCEE01B 60 37 1971E18 1 N263 NX3171 HK 850392 M &
1MRCEE01B 116 37 1971E18 1 N225 NX3171 HK 850392 r_
1MRCEE01B 120 37 1971E18 1N224 NX3171HK 850392 1MRCEE01B 27 38 1971E18 1N245 NX3171 HK 850392 A1...EkmlM tAdsr..
1MRCEE01B 49 38 0307-1601 40013388-131 NX3171HK 733382 A
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- d.
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.Op NSo 1MRCEEO1BI 79 I 40 1971E18 1 N260 NX3171HK 850392 1MRCEE01B 91 40 1971E18 1 N276 NX3171 HK 850392 1MRCEE01B 60 41 1971E18 1 N317 NX3171 HK 850392 1MRCEE01B 80 41 1971E18 1 N271 NX3171 HK 850392 1MRCEE01B 112 41 1971E18 1P071 NX3188HK 850392 1MRCEEO1B 41 42 1971E18 1N299 NX3171 HK 850392 1MRCEE01B 115 42 1971E18 1 P070
.NX3188HK 850392 1MRCEE01B 16 43 1971E18 1 N240 NX3171HK 850392 1MRCEE01B 106 43 1971E18 1 P065 NX3188HK 850392 1MRCEE01B 101 44 1971E18 1 P067 NX3188HK 850392 1MRCEE01B 121 44 1971E18 1 P064 NX3188HK 850392 1MRCEE01B 60 45 1971E18 1 N302 NX3171 HK 850392 1MRCEE01B 80 45 1971E18 1N258 NX3171HK 850392 1MRCEEO1B 90 45 1971E18 1 N262 NX3171 HK 850392 1MRCEE01B 132 45 1971E18 1 N219 NX3171 HK 850392 1MRCEE01B 134 45 1971E18 1 N218 NX3171HK 850392 1MRCEE01B 97 46 1971E18 1 P068 NX3188HK 850392 1MRCEE01B 115 46 1971E18 1P063 NX3188HK 850392 1MRCEE01B 24 47 1971E18 1 N244 NX3171 HK 850392 IMRCEE01B 53 48 1971E18 1 N308 NX3171 HK 850392 1MRCEE01B 95 48 1971E18 1P078 NX3188HK 850392 1MRCEE01B 32 49 1971E18 1N316 NX3171HK 850392 1MRCEE01B 54 49 1971E18 1 N307 NX3171 HK 850392 1MRCEE01B 138 49 1971E18 1 N220 NX3171 HK 850392 1MRCEE01B 51 50 1971E18 1N303 NX3171HK 850392 Page 2 of 8
STEAM GENERATOR 1 MRCEE01 B "HOT LEG" WORK ORDER 2564534 WORK ORDER 2564537 1MRCEE01BI 137 1 50 l 197E18 I 1N221 I
NX3171HK l
850392 1MRCEEO1BI 78 l 51 1971E18 1N269 NX3171 HK 850392 1 MRCEE01 B 90 51 1971 E18 1 P077 NX3188HK 850392 FORaM NIS-2 OWNERS REPORT FOR REPAIRS OR REMACE.NIENTS 1MRCEEO1B 98 51 1971E18 1 P076 NX3188HK 850392 AsRmoid ?by*, PWrd.dlle ASME COd SeCIIXl 1MRCEE01B 122 51 1971E18 1 M859 NX3171HK 850392
, o.z 1MRCEE01B 39 52 1971E18 1 N309 NX3171 HK 850392 t
P 1J1 1MRCEE01B 43 52 1971E18 1N301 NX3171 HK 850392 2,.
Udr 1MRCEE01B 45 52 1971E18 1 N306 NX3171 HK 850392 W.5§N...
IMAM2X 1MRCEE01B 53 52 1971E18 1N313 NX3171HK 850392 rn..fc.&"
mm 1MRCEE01B 58 53 1971E18 1N300 NX3171 HK 850392 AlN.W 1MRCEE01B 60 53 1971E18 1N312 NX3171HK 850392 W
1MRCEE01B 98 53 1971E18 1 P075 NX3188HK 850392
" 5 1MRCEE01B 110 53 1971E18 1 M874 NX3171 HK 850392 1MRCEE01B 124 53 1971E18 1 N806 NX3188HK 850392 1MRCEE01B 140 53 1971E18 1 N736 NX3188HK 850392 N.-.(
- d.
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ptS
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1MRCEE01B 39 54 1971E18 1N315 NX3171 HK 850392 I__
w 1MRCEE01B 137 54 1971E18 1 N726 NX3188HK 850392 5-h-M 7"2fl2 211W I>1CT713 11 h.Wd M
1MRCEE01BB 90 55 1971E18 1..A NX31716HK 850392 p"'
Wr NM
=
1 NO 1MRCEE01BI 98 I 5
1971E18 1N799 NX31 88HK 85U39Z 1MRCEE013 102 55 1971E18 j 1M864 NX3171HK 850392 1MRCEE01B 104 55 1971E18 1M862 NX3171HK 850392 1MRCEE01B 120 55 1971E18 1 P073 NX3188HK 850392 1MRCEE01B 136 55 1971E18 1 N718 NX3188HK 850392 1MRCEE01B 138 55 1971E18 1 N731 NX3188HK 850392 1MRCEE01B 140 55 1971E18 1 N733 NX3188HK 850392 1MRCEE01B 105 56 1971E18 1 N804 NX3188HK 850392 1MRCEE01B 121 56 1971E18 1 P074 NX3188HK 850392 1MRCEE01B 135 56 1971E18 1 N722 NX3188HK 850392 1MRCEE01B 137 56 1971E18 1 N719 NX3188HK 850392 1MRCEE01B 132 57 1971E18 1 N233 NX3171HK 850392 1MRCEE01B 47 58 1971E18 1N311 NX3171HK 850392 1 MRCEE01 B 153 58 1971E18 1 N304 NX3171HK 850392 1MRCEE01B 57 58 1971E18 1N305 NX3171HK 850392 1MRCEE01B 81 58 1971E18 1N268 NX3171HK 850392 1MRCEE01B 107 58 1971E18 1 N807 NX3188HK 850392 1MRCEE01B 113 58 1971E18 1N802 NX3188HK 850392 1MRCEE01B 30 59 1971E18 1 N251 NX3171HK 850392 1MRCEE01B 92 59 1971E18 1 M858 NX3171HK 850392 1MRCEE01B 112 59 1971E18 1M865 NX3171HK 850392 1MRCEE01B 124 59 1971E18 1 N728 NX3188HK 850392 1MRCEE01B 132 59 1971E18 1N729 NX3188HK 850392 1MRCEE01B 67 60 1971E18 1M960 NX3171HK 850392 1MRCEE01B 123 60 1971E18 1 N724 NX3188HK 850392 Page 3 of 8
STEAM GENERATOR 1 MRCEE01 B "HOT LEG" WORK ORDER 2564534 WORK ORDER 2564537 1MRCEE01B 129 60 l
1971E18 I 1N730 NX3188HK l
850392 1MRCEE01B 133 60 1971E18 I 1N737 l
NX3188HK l
850392 1MRCEE01B 24 61 i 1971E18 I lN249 NX3171HK 850392 FORM NIS2 OW'NER'S REPORT FOR REPAIRS OR REPLACEMENTS As RtqTud by CM ?roiam of tbe ASME C.do Suof XI 1 MRCEE01 B 52 61 1971E18 N247 NX3171HK 850392 1MRCEE01B 130 61 1971E18 IN809 NX3188HK 850392 8
1MRCEE01B 97 62 1971E18 1N803 NX3188HK 850392 Lffl£223S S1 1 1 1MRCEE01B 115 62 1971E18 1 M857 NX3171 HK 850392 nrd.,j 1MRCEE01B 129 62 1971E18 1 N721 NX3188HK 850392
=5mki1524 v*E.
N S~
l 1MRCEE01B 133 62 1971E18 1N725 NX3188HK 850392 S. W.& od_
Tsr 1MRCEE01B 137 62 1971E18 1N720 NX3188HK 850392 ANW -.
P 1MRCEE01B 141 62 1971E18 1N732 NX3188HK 850392 A,
1MRCEE01B 94 63 1971E18 1 M873 NX3171HK 850392 850392 BLAed 1MRCEE01B 118 63 1971E18 1N801 NX3188HK 850392 1.) A SX-CtL=Mn Jl7IMJ r-1173"afCM 1MRCEE01B 124 63 1971E18 1 N723 NX3188HK 850392 J
MURCIA 1MRCEE01B 71 64 1971E18 1P059 NX3188HK 850392 t
Y AS~4S 1MRCEE01B 113 64 1971E18 1 N812 NX3188HK 850392 s
t_
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1MRCEE01B 95 66 1971E18 1 P069 NX3188HK 850392 CM m2
- _io I~rrl, 147 A
ts 1MRCEE01B 74 67 1971E18 1M959 NX3171HK 850392 WA
=
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NO 4 RArfR1n4rnR 41n n7 C14 4kr1',A Kflt't O OL0t ffnnq I-I I -
I I 01I I -1 I -
I Nl.54 15 Iv1511N nnu. 1-1MRCEE01B 132 67 1971E18 1 N234 NX3171HK 850392 1MRCEE01B 138 67 1971E18
.1 N735 NX3188HK 850392 1MRCEE01B 113 68 1971E18 1N808 NX3188HK 850392 1MRCEE01B 123 68 1971E18 1 N727 NX3188HK 850392 1MRCEE01B 139 68 1971E18 1N237 NX3171 HK 850392 1MRCEE01B 92 69 1971E18 1M869 NX3171HK 850392 1MRCEE01B 113 70 1971E18 1 M870 NX3171 HK 850392 1MRCEE01B 110 71 1971 E18 1 M876 NX3171HK 850392 1MRCEE01B 112 71 1971E18 1 N800 NX3188HK 850392 1MRCEE01B 128 71 1971E18 1N235 NX3171HK 850392 1MRCEE01B 142 71 1971E18 1 N232 NX3171HK 850392 1MRCEE01B 144 71 1971E18 1 N230 NX3171HK 850392 1MRCEE01B 17 72 1971E18 1N241 NX3171HK 850392 1MRCEE01B 40 73 1971 E18 1 N255 NX3171 HK 850392 1MRCEE01B 64 73 1971E18 1 M974 NX3171HK 850392 1MRCEE01B 80 73 1971E18 1 M971 NX3171 HK 850392 1MRCEE01B 96 73 1971E18 1 P062 NX3188HK 850392 1MRCEE01B 116 73 1971E18 1N810 NX3188HK 850392 IMRCEE01B 138 73 1971E18 1 N228 NX3171 HK 850392 1MRCEEO1B 39 74 1971E18 1 N243 NX3171 HK 850392 1MRCEE01B 111 74 1971E18.
1 M860 NX3171 HK 850392 1MRCEE01B 129 74 1971E18 1 N236 NX3171HK 850392 1MRCEE01B 30 75 1971E18 1N238 NX3171 HK 850392 1MRCEE01B 90 75 1971E18 1 P061 NX3188HK 850392 Page 4of8.
STEAM GENERATOR. I MRCEE01B "HOT LEG" WORK ORDER 2564534 WORK ORDER 2564537 1MRCEE01B 102 75 1971 E18 1 M866
' NX3171HK 850392 1MRCEE01B 104 75 1971E18 1M871 NX3171HK 850392 1MRCEE01B 128 75 1971E18I 1 N285 NX3171 HK 850392 FOPM NIS-2 OWNF.R'S RF.PORT FOR REPAIRS OR REPLACMENTS As F..,.d by IF Pmflime ot dte ASNM Code S Iho XI 1 MRCEE01 B 144 75 1971E18 1 N229 NX3171HK 850392 1MRCEE01B 91 76 1971E18 1M861 NX3171HK 850392 z
o Ar 1MRCEE01B 138 77 1971E18 1N227 NX3171HK 850392 S'-l 5
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NX3171HK 850392 1MRCEE01B 58 85 1971E18
- 1NN668, NX3171HK 850392 1MRCEE01B 80 85 1971E18 1N814 NX3188HK 850392 1MRCEE01B 142 85 1971E18 1N282 NX3171HK 850392 1MRCEE01B 95 86 1971E18 1M972 NX3171HK 850392 1MRCEE01B 52 87 1971E18 1N669 NX3171HK 850392 1MRCEE01B 68 87 1971E18 1M970 NX3171HK 850392 1MRCEE01B 78 87 034-01 ECEW-64 J-9161-5 533616 1MRCEE01B 98 87 1971E18 1M961 NX3171HK 850392 1MRCEE01B 110 87 1971E18 1N646 NX3171HK 850392 1MRCEE01B 138 87 1971E18 1N290 NX3171HK 850392 1MRCEE01B 59 88 1971E18 1N671 NX3171HK 850392 1MRCEE01B 65 88 1971E18 1M976 NX3171HK 850392 1MRCEE01B 87 88 1971E18 1M957 NX3171HK 850392 1MRCEEO1B 135 88 1971E18 1N283 NX3171HK 850392 1MRCEE01B 143 88 1971E18 1N288 NX3171HK 850392 1MRCEE01B 102 89 1971E18 1N798 NX3188HK 850392 1MRCEE01B 104 89 1971E18 1N811 NX3188HK 850392 1MRCEE01B 148 89 1971E18 1N280 NX3171 HK 850392 Page 5of8
STEAM GENERATOR 1MRCEE01B "HOT LEG" WORK ORDER 2564534 WORK ORDER 2564537 1 MRCEE01B 1331 90 1971E18 I 1 N296 I
NX3171 HK l
850392 1MRCEE01BI 140 1 91 1971El8 1 N278 NX3171 HK 85,0392 1MRCEEO1B 146 91 1971E18 1 N279 NX3171 HK 850392 FORNM NSS 2 OWNEKS RTPORT MR REPAIRS OR RP=LACEMENS 1MRCEE01B 52 93 0307-2801 FRI01 J-9161-5 533616 A RM*Wd by S)
P Cofd CSCo&7imXI 1MRCEE01B 76 93 1971E18 1N676 NX3171HK 850392 1.o.
rLA 1MRCEE01B 98 93 1971E18 1N805 NX3188HK-850392 r11 2di 1MRCEE01B 40 95 1971E18 1N665 NX3171 HK 850392 n.vI.
vr Th-1MRCEE01B 88 95 1971E18 1 N660 NX3171 HK 850392 i
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1MRCEE01B 124 95 1971E18 1N291 NX3171HK 850392 1MRCEE01B 91 96 1971E18 1N659 NX3171HK 850392 n
MIA 1MRCEE01B 116 97 1971E18 1N289 NX3171HK 850392 1MRCEE01B 95 98 1971E18 1N674 NX3171HK 850392 s
J,,A 7AM I
1MRCEE01B 144 101 1971E18 1 N295 NX3171 HK 850392 A(toirAdS.XI 1
1 1MRCEE01B 131 102 1971E18 1 N651 NX3171 HK 850392 N._ t N._tO v..,
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W uiu(-lbu 4uU1J3388-13.4 NX371 (IHK 733382 iMRCEEOIB 80 105 1971E18 I N623 NX3171 HK 850392 1MRCEE01B 101 106 1971E18 1PO55 NX3188HK 850392 1MRCEE01B 32 107 0307-1601 40013388-130 NX3171HK 733382 1MRCEE01B 74 107 1971E18 1 N620 NX3171 HK 850392 1MRCEE01B 85 108 1971E18 1 N628 NX3171 HK 850392 1MRCEE01B 96 109 1971E18 1 N636 NX3171 HK 850392 1MRCEE01B 128 109 1971E18 1 N638 NX3171HK 850392 1MRCEE01B 111 110 1971E18 1P054 NX3188HK 850392 1MRCEE01B 117 110 1971E18 1 N624 NX3171 HK 850392 1MRCEE01B 125 110 1971E18 1 N637 NX3171HK 850392 1MRCEEO1B 56 1il 1971E18 1 N658 NX3171HK 850392 1MRCEEOIB 62 111 1971E18 I N666 NX3171HK 850392 1MRCEE01B 96 111 1971E18 1 N634 NX3171HK 850392 1MRCEE01B 104 111 1971E18 1 P057 NX3188HK 850392 1MRCEE01B 138 111 1971E18 1N286 NX3171 HK 850392 1MRCEE01B 148 111 1971E18 1 N297 NX3171 HK 850392 1MRCEE01B 65 112 1971E18 1 N667 NX3171 HK 850392 1MRCEE01B 98 113 1971E18 1N621 NX3171 HK 850392 1MRCEE01B 118 113 1971E18 1 N657 NX3171 HK 850392 IMRCEE018 140 113 1971E18 1 N294 NX3171 HK 850392 1MRCEEO1B 56 115 1971E18 1 N672 NX3171 HK 850392 1MRCEE01B 47 116 1971E18 1 N670 NX3171 HK 850392 1MRCEE01B 117 116 1971E18 1 N656 NX3171HK 850392 1MRCEEO1B 96 117 1971E18 1 N625 NX3171 HK 850392 Page 6of8
STEAM GENERATOR 1MRCEEOIB "HOT LEG" WORK ORDER 2564534 WORK ORDER 2564537 1MRCEE0B 17 118 1971EI8 11132 NX2227HK B
856414 IMRGEE01B 58 1 119 1 1971E18 1 N661 NX3171HK 850392 1 MRCEE01 B 27 120 1971 E 18 11134 NX2227HK 856414 FORMNI N!S-2 OWNER'S RErORT FOR REPAIRS OR REPLACEMENTS 1MRCEE01B 39 120 1971E18 11129 NX2227HK 856414 As tdby Me ft desio ASMEC. StimXl 1MRCEE01B 47 120 1971E18 1N675 NX3171HK 850392 5.o a 4 1MRCEEO1B 71 120 1971E18 1N652 NX3171HK 850392 tI d
2 1MRCEE01B 106 121 1971E18 1 N631 NX3171HK 850392
- 2. l 1MRCEE01B 108 121 1971E18 1 N635 NX3171 HK 850392 W- (W.
SZIw 1MRCEE01B 7
122 1971E18 11123 NX2227HK 856414 Tyt-cms-
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1MRCEEO1B 47 122 1971E18 1 N662 NX3171 HK 850392 A
N.
N A 1MRCEE01B 97 122 1971E18 1 N626 NX3171HK 850392 1MRCEE01B 105 122 1971E18 1 N629 NX3171 HK 850392 1MRCEE01B 22 123 1971E18 11135 NX2227HK 856414
]
A"8
1MRCEE01B 132 123 1971E18 11113 NX2227HK 856414 1MRCEE01B 138 123 1971E18 1N648 NX3171HK 850392 N.d N.-.(
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I8nUJYz 1MRCEE.1B 140 125 1971218 1 N647 NX3171HK 850392 1MRCEE01B 101 126 1971E18 1N633 NX3171HK 850392 1MRCEEO1B 117 126 1971E18 1N653 NX3171 HK 850392 1MRCEE01B 96 127 1971E18 1N630 NX3171HK 850392 1MRCEEO1B 136 127 1971E18 1N639 NX3171HK 850392 1MRCEE01B 571 128 1971E18 11109 NX2227HK 856414 1MRCEE01B 63 128 1971E18 11119 NX2227HK 856414 1MRCEE01B 115 128 1971E18 1N642 NX3171HK 850392 1MRCEE01B 56 129 1971E18 11110 NX2227HK 856414 1MRCEE01B 25 130 1971E18 11131 NX2227HK 856414 1MRCEE01B 115 130 1971E18 1N654 NX3171HK 850392 1MRCEE01B 10 131 1971E18 11124 NX2227HK 856414 1MRCEE01B 78 131 1971E18 11104 NX2227HK 856414 1MRCEE01B 102 133 1971E18 11102 NX2227HK 856414 IMRCEEO1B 55 134 1971E18 1N655 NX3171 HK 850392 1MRCEE01B 69 134 1971E18 11105 NX2227HK 856414 1MRCEE01B 58 135 1971E18 1N650 NX3171 HK 850392 1MRCEE01B 92 137 1971E18 11101 NX2227HK 856414 1MRCEEO1B 94 137 1971E18 11100 NX2227HK 856414 1MRCEEO1B 122 137 1971E18 11116 NX2227HK 856414 1MRCEE01B 33 138 1971E18 11125 NX2227HK 856414 1MRCEE01B 55 138 1971E18 1 N643 NX3171 HK 850392 1MRCEEO1B 30 139 1971E18 11138 NX2227HK 856414 1MRCEE01B 132 139 1971E18 11117 NX2227HK 856414 Page 7 of 8
STEAM GENERATOR IMRCEEO1B "HOT LEG" WORK ORDER 2564534 WORK ORDER 2564537 1MRCEE01B 38 141 1971E18 l 11120 NX2227HK I
856414 1MRCEE01B 160 141 1971E18 11108 NX2227HK 856414 1MRCEEO1B 86 141 1971E18 11103 NX2227HK 856414 FORML NS-2 OWNER'S REPORT FOR REPAIRS OR RMACLMENTS As ftwqodby t. Pmo.idb othe AtIMiC6 S-ctib XI 1MRCEE01Bi 122 141 1971E18 11115 NX2227HK 856414 1MRCEE01B 53 142 1971E18 1N640 NX3171HK 850392 1.0.
1MRCEE01B 69 142 1971E18 11106 NX2227HK 856414
'e LW:
1MRCEEO1B 34 143 1971E18 11137 NX2227HK 856414 U.Il 1MRCEE01B 105 144 1971E18 11099 NX2227HK 856414 51 r
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. IiL3_
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.WA 1MRCFF1Rl fi6 I 6 1071 IR 1i1'6 MYV2'7Wt 2R2A1A IMRCEE01B 28 155 1971218 11122 NX2227HK 856414 1MRCEE01B 84 155 1971E18 11126 NX2227HK 856414 IMRCEEO1B 30 157 1971E18 11119 NX2227HK 856414 1MRCEE01B 84 157 1971E18 11127 NX2227HK 856414 1MRCEE01B 60 163 1971E18 11154 NX2227HK 856414 1MRCEE01B 92 163 1971E18 11149 NX2227HK 856414 1MRCEE01B 59 164 1971E18 11156 NX2227HK 856414 1MRCEEO1B 83 168 1971E18 11148 NX2227HK 856414 1MRCEE01B 58 171 1971E18 11142 NX2227HK 856414 1MRCEE01B 61 172 1971E18 11141 NX2227HK 856414 1MRCEE01B 61 174 1971E18 11140 NX2227HK 856414 IMRCEE01B 68 175 1971E18 11139 NX2227HK 856414 1MRCEE01 8
177 1971E18 11147 NX2227HK 856414 1MRCEE01 53 182 1971E18 11143 NX2227HK 856414 1MRCEE01E 35 186 1971E18 11144 NX2227HK 856414 1MRCEE01B 21 188 1971E18 11145 NX2227HK 856414 F
I I
I 4
Page 8 of 8
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1MRCEEOIA 2.. Item
Description:
- 3. N-5 Data Package Number: IRCO1-4
- 4. W.O. Number: 2564541
- 5. Original Construction Code Edition:
1971 Edition. Winter 1973 Addenda
- 6. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Install Westinghouse plugs in IMRCEE01A Cold Leg tubes per DFWO 2564533
IR1 Eddy Current Exam Report
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Per DFVO 2564533
- 10. Repair/Replacement Work Organization:
Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 1. 1971 Edition 1973 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
El YES Z NO Initial Date I// -
/
If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required:
a YES 0 NO Initialj:iZ/
Date //a A/C If required, include a step in the W.O. for ISI & ANII Inspection.
XA4 /l
- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial
- 1.
Date
-L component.
, //
og
/
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial I J Date LO replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/PO/WO No.
Tube Plugs j
See Atteched List j See Atteched List See Atteched List j See Atteched List
- 4.
- 4.
- 4.
4.
- 4.
- 4.
- 4.
4.
I.
- 4.
1
- 1.
Plnnr
- z=
a Via
- 18. Planner1
/
G
/ Printed Name: Barbara Vidal Signature Date
- 19. ISI
<I
/3/ V/0Lj Printed Name:
Rt-Pf Signature I
Date
- 20. ANII_____-_a-__
Printed Name:
A I. toc.ssjz*t Signalrc Date P.....3 V. X 1L.!iIs K......IA...a FV.-
DWJ VW-. 7 73DP 9ZZ7I Rev a
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant:
Palo Verde Nuclear Generating Station 5801 South Wintersburg Road.. Tonopah, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service/Westinghouse Date: 1/21/2004 Sheet:
I of 2 Unit: I Work Order Number 2564541 Type of Code Stamp None 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, 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 )
Steam Generator CE 78273-1 22499 1MRCEE01A 1978 Repaired YES Tube Plugs Westinghouse N/A 20 0 4 Replacement NO
- 7. Description of Work: SGI 1 Cold Leg plugging and repair per DFWO 2564533.
- See attached list.
- 8. Test Conducted: Hydrostatic El Pneumatic El Nominal Operating Pressure Ea Exempt N N-416-1 E0 Other M 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 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: See DFWO 2564533 for tubes plugged. (Pluc-ing list attached)
W. C) gE,( ak 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 Signe eC
, GhSL I k9_1'4.
_r
__ate:
5_3 d Owner or Owner's Designee, Title'a-CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut, have inspected the components described in this Owner's report during the period of I_-_-_A_______
to 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 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.
,;d7
( Inspectors Signaturc Date:
-.3-°*
Commissions: NB 9685 "N" "I" AZ264 National Board. State, Province, and Endorsements I-PV-E0092 Ver. 7 Back 73DP-97Z17 Rev S
- PV-E0092 Vcr. 7 Back 73DP-9ZZ17 Rev 8
STEAM GENERATOR 1 MRCEE01A "COLD LEG" DFWO 2564533 DIWO 2564541 ASME SECTION XI-REPAIR/REPLACEMENT COMP. ID ROW I COLUMN PART NO. I SERIAL NO.
I HEAT NO.
I MR NO.
IMRCEE01A 7
2 4 0307-1601 40013388-105 4 NX31711HK 733382 FORM NIS I OWNTRFS RIPORTFOR REPAtRS OR RtErLACMEMTS Al Acpud hi ft 11.IIkd d. AtStt M.- XI 1MRCEE01A 9
6 1971E18 1 N980 NX3188HK 850392 1MRCEE01A 12 9
1971E18 1N979 NX3188HK 850392 1MRCEE01A 1
12 0307-1601 40013388-120 NX3171HK 733382 Los 1MRCEE01A 43 16 1971E18 1N933 NX3188HK 850392 M 1 -h
- -4 r A tL&t5H LUAM 1MRCEE01A 38 17 1971E18 1N928 NX318BHK 850392 h
1MRCEE01A 44 17 1971E18 1N935 NX3188HK 850392 1MRCEE01A 59 20 1971 E18 1N918 NX3188HK 850392 1MRCEE01A 67 20 1971E18 1 N934 NX3188HK 850392 1MRCEE01A 10 21 1971 E18 1 N990 NX3188HK 850392 1MRCEE01A 63 22 1971 El8 1 N927 NX3188HK 850392
_._I 1MRCEE01A 100 23 0307-1601 40013388-110 NX3171 HK 733382
'* I.T 1MRCEE01A 38 25 1971E18 1N923 NX3188HK 850392 r
1MRCEE01A 80 25 1971E18 1 N911 NX3188HK 850392 1MKt~ttU1A I O
odo IrUI t t
IN'J37 NAX1tWHK 850392 1MRCEE01A 75 26 1971E18 1N909 NX3188HK 850392 1MRCEE01A 39 28 1971E18 1N106 NX3171HK 850392 1MRCEE01A 78 29 1971 E18 1 N929 NX3188HK 850392 1MRCEE01A 99 32 1971 E18 1N900 NX3188HK 850392 1MRCEE01A 20 33 1971 E18 1N921 NX3188HK 850392 IMRCEE01A 90 33 1971E18.
1N898 NX3188HK 850392 1MRCEE01A 98 33 1971 E18 1 N907 NX3188HK 850392 IMRCEE01A 22 35 1971E18 1 N829 NX3188HK 850392 1MRCEE01A 51 36 1971 E18 1 N926 NX3188HK 850392 1MRCEE01A 22 37 1971E18 1N825 NX3188HK 850392 1MRCEE01A 70 37 1971E18 1N922 NX3188HK 850392 1MRCEE01A 82 37 1971E18 1 N904 NX3188HK 850392 11MRCEE01A 96 37 1971E18 1 N920 NX3188HK 850392 1MRCEE01A 124 37 0307-1601 40013388-115 NX3171HK 733382 1MRCEE01A 91 38 1971E18 1 N913 NX3188HK 850392 IMRCEE01A 52 39 1971E18 1N107 NX3171 HK 850392 1MRCEE01A 127 40 0307-1601 40013388-117 NX3171HK 733382 1 MRCEE01A 18 41 1971E18 1N834 NX3188HK 850392 1MRCEE01A 108 41 1971 E18 1N936 NX3188HK 850392 1MRCEE01A 128 41 1971E18 1N924 NX3188HK 850392 1MRCEEOIA 87 42 1971 E18 1 N931 NX3188HK 850392 IMRCEE01A 103 42 1971E18 1N901 NX3188HK 850392 1MRCEE01A 16 43 1971 E18 IN818 NX3188HK 850392 1MRCEE01A 22 43 1971E18 1N104 NX3171HK 850392 Page 1 of 6
STEAM GENERATOR 1MRCEE01A "COLD LEG" DFWO 2564533 DIWO 2564541 1MRCEE01A 16 45 l
1971E18 1N836 I
NX3188HK 850392 1MRCEE01A 20 45 1971E18 1 N115 I
NX3171 HK 850392 1MRCEE01A 63 46 4 1971E18 4 1N932 4
NX3188HK 850392 FORM NIS.? OWN0R'S RMORT FOR REPAIRA OR RELAMDIENT3 AS xr Jd by *
.-,k-AS)4Llmd.S.Vl xi 1MRCEE01A 87 46 1971E18 1N916 NX31988HK 850l3n79 1MRCEE01A 95 46 1971E18 1 N914 NX3188HK 850392 itez-WI I
1MRCEE01A 135 46 0307-1601 40013388-113 NX3171HK 733382 V-I 1MRCEE01A 10 47 1971E18 1N823 NX3188HK 850392 St-,i, 1MRCEE01A 20 47 1971E18 1N835 NX3188HK 850392 l
P, 1MRCEE01A 90 47 1971 E18 1N903 NX3188HK 850392 PM 1MRCEE01A 4
49 1971E18 1 N831 NX3188HK 850392 1MRCEE01A 14 49 1971E18 1N837 NX3188HK 850392 f
HIM RA 1MRCEE01A 137 50 1971E18 1N925 NX3188HK 850392 I
1MRCEE01A 139 50 0307-1601 40013388-108 NX31711HK 733382
- 1MRCEE01A 14 51 1971E18 1 N828 NX3188HK 850392 I
1MRCEE01A 54 51 1971 E18 1N906 NX3188HK 850392 1MRCEEO1A 96 51 1971 E18 1N899 NX3188HK 850392 lMKt'stU1A vZ 0 -v lutititi lN919 NX3188bHK 850392 1MRCEE
_1A 59 54 1971_E8 lN910 NX3188HK 850392 1MRCEE01A 65 54 1971E18 1 N912 NX3188HK 850392 1MRCEE01A 75 54 1971E18 1N917 NX3188HK 850392 1MRCEE01A 105 56 1971Ei8 1 N985 NX3188HK 850392 1MRCEE01A 2
59 1971E18 1N930 NX3188HK 850392 1MRCEE01A 128 59 1971E18 1N902 NX3188HK 850392 1MRCEE01A 80 61 1971E18 1N905 NX3188HK 850392 1MRCEE01A 46 63 1971E18 1N826 NX3188HK 850392 1MRCEE01A 130 63 1971E18 1N877 NX3171HK 850392 1MRCEE01A 37 64 1971E18 1 N822 NX3188HK 850392 1MRCEE01A 109 66 1971E18 1N997 NX3188HK 850392 1MRCEE01A 127 66 1971E18 1N90B NX3188HK 850392 1MRCEE01A 2
67 0307-1601 40013388-116 NX3171 HK 733382 1MRCEE01A 30 67 1971E18 1N830 NX3188HK 850392 1MRCEE01A 38 67 1971E18 1N819 NX3188HK 850392 1MRCEE01A 1
68 0307-1601 40013388-114 NX3171 HK 733382 1MRCEE01A 3
68 0307-1601 40013388-109 NX3171 HK 733382 1MRCEE01A 5
68 0307-1601 40013388-104 NX3171HK 733382 1MRCEE01A 129 68 1971 E18 1N069 NX3171HK 850392 1MRCEE01A 106 69 1971 E18 1M850 NX3171 HK 850392 1MRCEE01A 138 69 1971E18 1 N915 NX3188HK 850392 1MRCEE01A 142 69 1971 E18 1 N067 NX3171 HK 850392 1MRCEE01A 150 69 1971E18 1N059 NX3171HK 850392 1MRCEE01A 1
70 0307-1401 SCEW-09 J-9161 -1 533616 Page 2 of 6
STEAM GENERATOR 1MRCEEOIA "COLD LEG" DFWO 2564533 DIWO 2564541 1MRCEE01 A 93 70 1971E18 1 N992 NX3188HK 850392 I
A I
1MRCEE01A 16 71 1971 El 1 1 N827 NX3188HK 850392g 1MRCEE01A 42 71 1971 El 8 1N821 NX3188HK 850392 1MRCEE01A 148 71 1971 E18 1N071 NX3171 HK 850392 ro bl*ls b
nE RF-d
- rrlE< OR R XI 1MRCEEO1A 150 71 1971E18 1N073 NX3171HK 850392 1MRCEE01A 67 72 1971E18 1N833 NX3188HK 850392
'o' 1MRCEE01A 133 72 1971E18 1N062 NX3171HK 850392 1MRCEEO1A 149 72 1971E18 1N986 NX3188HK 850392 1MRCEE01A 65 74 1971E18 1N820 NX3188HK 850392 1MRCEE01A 148 75 1971E18 1 N058 NX3171 HK 850392 1MRCEE01A 150 75 1971E18 1 N068 NX3171 HK 850392 r
1MRCEE01A 90 77 1971E18 1 N987 NX3188HK 850392 1MRCEE01A 96 77 1971 E1 8 1 N978 NX3188HK 850392 I
1MRCEE01A 42 79 1971E18 1N832 NX3188HK 850392 I
I I
I 1MRCEE01A 149 80 1971E18 1N066 NX3171HK 850392 1MRCEE01A 129 82 1971 E1 8 1M848 NX3171 HK 850392 1 fA rAfnlA ne I
n Q
-k
-l l
I IVMKIEttU I 101 Oz IntI It-1 I N 0z
[NSIA ivvtstiA v5U 3I IYZA.4 1MRCEEo1A 62 83 1971E18 1 N824 NX3i88HK 850392 1MRCEE01A 144 83 1971E18 1 N065 NX3171 HK 850392 1MRCEE01A 103 84 1971E18 1M851 NX3171 HK 850392 1MRCEE01A 133 84 1971 E18 1N075 NX3171HK 850392 1MRCEE01A 147 84 1971E18 1M844 NX3171 HK 850392 1MRCEE01A 130 85 1971 E18 1 M841 NX3171 HK 850392 1MRCEE01A 133 86 1971 E18 1 M842 NX3171 HK 850392 1MRCEE01A 149 86 1971E18 1M843 NX31711HK 850392 1MRCEE01A 112 87 1971E18 1N981 NX3188HK 850392 1MRCEE01A 138 87 1971 E18 1M849 NX3171 HK 850392 1MRCEE01A 148 87 1971E18 1 N213 NX3171 HK 850392 1MRCEEO1A 39 88 1971E18 1N989 NX3188HK 850392 1MRCEE01A 121 88 1971E18 1M845 NX3171 HK 850392 1MRCEE01A 133 88 1971E18 1N076 NX3171 HK 850392 1MRCEE01A 137 88 1971 E18 1 N074 NX3171 HK 850392 1MRCEE01A 122 89 1971 E18 1 M846 NX3171 HK 850392 1MRCEE01A 130 89 1971 E18 1M840 NX3171 HK 850392 1MRCEE01A 74 91 1971 E18 1M914 NX3171 HK 850392 1MRCEE01A 84 91 1971 E18 1 N108 NX3171 HK 850392 1MRCEE01A 124 91 1971 E18 1M847 NX3171 HK 850392 IMRCEEO1A 97 92 1971E18 1M853 NX3171HK 850392 1MRCEE01A 40 93 1971E18 1N996 NX3188HK 850392 1MRCEE01A 106 93 1971E18 1 M852 NX3171 HK 850392 1MRCEE01A 150 93 1971 E18 1 N776 NX3188HK 850392 Page 3 of 6
STEAM GENERATOR 1MRCEE01A "COLD LEG" DFWO 2564533 DIWO 2564541 1MRCEEO1A 1 152 1 93 l
1971E18 I 1N763 I
NX3188HK l
850392 1 MRCEE01A 127 94 1971E18 1 N060 NX3171 HK 850392 1MRCEE01A 138 95 1971 E18 1 N064 NX3171 HK 850392 1 M RC E EO01A 91 96 1971E18 1N116 NX31711HK 850392 15.2 t_____ by RFPO F
ASE O.
R 1MRCEE01A 129 96 197.1E18 1M856 NX3171HK 850392 L
Uum 1MRCEE01A 157 96 1971E18 1N983 NX3188HK 850392
,.1 1MRCEE01A 88 97 1971E18 1N098 NX3171HK 850392 i
.4mr
__M.
IMRCEE01A 143 98 1971 E1 8 1 N764 NX3188HK 850392
, ^
W
&M 1MRCEE01A 99 100 1971E18 1M854 NX3171HK 850392 WA 1MRCEE01A 125 100 1971E18 1M837 NX3171HK 850392 1MRCEE01A 133 100 1971 E18 1 M839 NX3171HK 850392
. N MUn.S-2rn~lfec 1MRCEE01A 139 100 1971 E18 1N063 NX3171HK 850392 1MRCEE01A 128 101 1971E18 1M838 NX3171HK 850392
_I 1MRCEE01A 51 102 1971 E18 1N079 NX3171HK 850392 I
I 1MRCEE01A 61 102 1971E18 1N097 NX3171HK 850392 I
I I
l 1MRCEEO1A 101 102 1971E18 1M855 NX3171HK 850392
._-l e
flt'C C n4 A 4 - :
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L
- -I-1 MIr-r-1. IA IOL IUJ I
IClO I N II z N14A.31 oun ri ts:u;1HZ 1MRCEE01A 146 103 1971E18 1 N770 NX3188HK 850392 1MRCEE01A 154 103 1971E18 1N758 NX3188HK 850392 1MRCEE01A 121 104 1971 E18 1 N061 NX3171 HK 850392 1MRCEE01A 149 104 1971 E18 1N769 NX3188HK 850392 1MRCEE01A 148 105 1971E18 1N771 NX3188HK 850392 1MRCEE01A 96 107 1971E18 1 M911 NX3171 HK 850392 1MRCEEOIA 128 107 1971 E18 1 N070 NX3171 HK 850392 1MRCEE01A 153 108 1971E18 1N777 NX3188HK 850392 1MRCEE01A 32 109 0307-1601 40013388-128 NX3171 HK 733382 1MRCEE01A 42 109 1971E18 1 N089 NX3171 HK 850392 1MRCEE01A 131 110 1971 E18 1N072 NX3171HK 850392 1MRCEEO1A 76 111 1971E18 1M910 NX3171 HK 850392 1MRCEE01A 96 111 1971E18 1M901 NX3171HK 850392 1MRCEEO1A 49 112 1971E18 1N087 NX3171HK 850392 1MRCEE01A 125 112 1971E18 1 M905 NX3171HK 850392 1MRCEE01A 28 113 1971E18 1N113 NX3171 HK 850392 1MRCEEO1A 83 114 1971E18 1M195 NX3171HK 850392 1MRCEE01A 95 114 1971 E18 1M908 NX3171 HK 850392 1MRCEE01A 153 114 1971E18 1N995 NX3188HK 850392 1MRCEEO1A 32 115 1971E18 IN101 NX3171HHK 850392 1MRCEE01A 112 115 1971 E18 1M900 NX3171 HK 850392 1MRCEE01A 130 115 1971 E18 1 M909 NX3171 HK 850392 1MRCEE01A 146 115 1971E18 1N760 NX3188HK 850392 1MRCEE01A 152 115 1971 E18 1N984 NX3188HK 850392 Page 4 of 6
STEAM GENERATOR 1MRCEE01A "COLD LEG" DFWO 2564533 DIWO 2564541 1MRCEE01A 154 115 1971E18 1N994 NX3188HK J
850392 1MRCEE01A 25 116 1971E18 1 N100 NX3171 HK 1
850392 1MRCEE01A 137 116 1971E18 1 N774
_NX3188HK 1
850392 FORM NllS-OWNER'S REPORT FOR REPAIRS OR ILEPIACFMENI-A-2R"b7 by 0- P--ID
- g1b, Am7I C._
AAx 1MRCEE01A 52
'is 1971E18 1 N085 NX3171HK 850392 1MRCEE01A 17 120 1971E18 1N109 NX3171 HK 850392 Iim 1MRCEE01A 46 121 1971E18 1N112 NX3171HHK 850392 1MRCEE01A 96 121 1971E18 1M902 NX3171HK 850392
.N....
B, 1MRCEE01A 59 122 1971E18 1 N090 NX3171 HK 850392 1MRCEE01A 14 123 1971 E18 1N103 NX3171 HK 850392 1MRCEE01A 64 127 1971E18 1M913 NX3171HK 850392 1MRCEE01A 128 127 1971E18 1N768 NX3188HK 850392 nn"Bc*-
1MRCEE01A 12 129 1971E18 1
N105 NX3171HK 850392 1MRCEE01A 124 129 1971E18 1N765 NX3188HK 850392 1MRCEE01A 128 129 1971E18 1N775 NX3188HK 850392 I
I I I
1MRCEE01A 130 129 1971E18 1N773 NX3188HK 850392 1MRCEE01A 146 129 1971E18 1N762 NX3188HK 850392 w
i 1 MKUttU1A I iJ 1JU lutitlO IN76b NX3188tHK 8bU392 1MRCEE01A 12 131 1971E18 1N102 NX3171HK 850392 1MRCEE01A 8
133 1971E18 1N099 NX31711HK 850392 1MRCEE01A 137 134 1971 E18 1N761 NX3188HK 850392 1MRCEE01A 42 135 1971E18 1N1ll NX3171HK 850392 1MRCEE01A 140 135 1971E18 1N759 NX3188HK 850392 1MRCEE01A 84 137 1971E18 1 M916 NX3171 HK 850392 1MRCEE01A 112 137 1971E18 1 N991 NX3188HK 850392 1MRCEE01A 136 137 1971 E18 1 N993 NX3188HK 850392 1MRCEE01A 71 138 1971E18 1M912 NX3171HK 850392 1MRCEEOIA 135 138 1971E18 1N767 NX3188HK 850392 1MRCEE01A 76 139 1971 E18 1 M899 NX3171HK 850392 IMRCEE01A 106 139 1971E18 1M903 NX3171HK 850392 1MRCEE01A 93 140 1971E18 1M898 NX3171HK 850392 1MRCEE01A 1
142 0307-1601 40013388-124 NX31711HK 733382 1MRCEE01A 25 142 1971E18-1N110 NX3171 HK 850392 1MRCEE01A 111 142 1971E18 1M907 NX3171 HK 850392 1MRCEE01A 14 143 1971E18 1 N98B NX3188HK 850392 1MRCEEO1A 105 144 1971E18 1M904 NX3171HK 850392 1MRCEE01A 48 145 1971 E18 1N117 NX3171HK 850392 1MRCEE01A 39 146 1971 E18 1N114 NX3171 HK 850392 1MRCEE01A 93 148 1971 E18 1M897 NX3171 HK 850392 IMRCEEO1A 65 150 1971E18 1N093 NX3171HK 850392 1MRCEE01A 65 154 1971E18 1 N080 NX3171HK 850392 1MRCEE01A 96 157 1971E18 1 M906 NX3171HK 850392 Page 5 of 6
STEAM GENERATOR 1MRCEE01A "COLD LEG" DFWO 2564533 DIWO 2564541 1MRCEE01AT 33 ] 158 1971E18 1N078 NX3171HK l
850392 1MRCEE01A 14 159 1971E18 1N082 NX3171HK 850392 1MRCEEO1A 39 162 1971E18 1N083 NX3171HK 850392 NtS.2 OWS PrPRT rOR IFPAIRS OR REPLAMS 1MRCSEEO1A 44 165 1971E18 1 N094 NX3171HK 850392 m
NtS_ _
by OW h___
FOR 011 Rxi 1MRCEE01A 56 165 1971E18 1N086 NX3171HK 850392 L
r_.-
IMRCEE01A 102 167 0307-1601 40013388-111 NX3171HK 733382 U. I, 1MRCEE01A 23 168 1971E18 1NO81 NX3171 HK 8539 850392 Adw&WHM,.
mrr 1MRCEE01A 80 169 1971E18 1N088 NX3171HK 850392 Tt4r$_ m 1MRCEE01A 14 171 1971E18 1NO95 NX3171 HK 850392 MA 1MRCEEO1A 31 174 1971E18 1N092 NX3171HK 850392 1MRCEE01A 40 179 1971E18 1N091 NX3171 HK 850392 m sru" ffnn n
=tl&
1MRCEE01A 32 181 1971 E18 1N084 NX3171 HK 850392 1MRCEE01A 43 182 1971E18 1N096 NX3171HK 850392 "u s r
1 M RC EE01 A 11 186 0307-1601 40013388-112 NX3171 HK 733382 1MRCEE01A 13 186 0307-1601 40013388-107 NX3171HK 733382 I
1MRCEE01A 39 186 0307-1601 40013388-118 NX3171HK 733382 MRCEO 1A<
39 186 0307-10 40138811 NX3171HK 7338 2..
A-2--
1 MK(;ttUlA lZ 10 I UJ /-1 tUW
_4UU13388 0-1 I U NX3171IHK 7;33:382 1MRCEE01AI 11 188 I 0307-1601 I 40013388-106 NX3171HK 733382 Page 6 of 6
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. ComponentID lMRCEEOIA 2.. ItemDescription: SteamrGenerator#1 3.N-5DataPackageNumber: IRC01-4
- 4. W.O.Number: 2564544
- 5. Original Construction Code Edition:
1971 Edition, Winter 1973 Addenda
- 6. Original Installation Code Edition:
1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Install Westinghouse plugs in IMRCEEOIA Hot Lee tubes per DFWO 2564532
IRI1 Eddy Current Exam Report
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Per DFWO 2564532
- 10. Repair/Replacement Work Organization:
Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 1. 1971 Edition 1973 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
I] YES 0 NO Initial t4I4 Date /A a/o y If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required:
El YES E NO Initial
/
Date //?g/C So If required, include a step. in the W.O. for ISI & ANII Inspection.
Initial Date
//k a Z47/
- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Inital J.LA*........
Dae
~component.
- 17. 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/IPO/W'O No.
Tube Plugs See Atteched List See Atteched List See Atteched List See Atteched List
- 18. Plan ned Z-IM P: o//)
s Printed Name: Barbara Vidal Signature D te
- 19. IS' (/
7-t1/
i Printed Name: 4N> P -
CD A?
Signature I
6 ate
- 20. ANII3O Printed Name:
R.. do.rtoœ Si~ature Date PV EODW3 Va 7 73DP.9ZZ17 Ret3
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company. et. al.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant:
Palo Verde Nuclear Generating Station 5801 South Wintersburg Road.. Tonopab, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service/Westinghouse Date: 1121/2004 Sheet:
I of 2 Unit: I Work Order Number 2564544 Type of Code Stamp None 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, 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 )
Steam Generator CE 78273-1 22499 IMRCEEO1A 1978 Repaired YES Tube Plugs Westinghouse N/A
-20 o
Replacement NO
- 7. Description of Work: SG I I Hot Leg plugging and repair per DFWO 2564532.
- See attached list.
- 8. Test Conducted: Hydrostatic El Pneumatic E Nominal Operating Pressure E Exempt 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 1I1 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: See DFWO 2564532 for tubes plugged. (Plugging list attached) 0.0 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:
Oe Ocer)skIfgn
!e(4271 ChTbDate:
5 15 J
Owner or Ow/ner's I5esignce, Title 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 I-30-O~-
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.
lupectors Signture Date:
-Z -o'(
Commissions: NB 9685 "N"I" AZ264 National Board, State. Province, and Endorsements U-
'i rB73DP-9ZZ17 Rev 8
STEAM GENERATOR 1MRCEE01A "HOT LEG" DFWO 2564532 DIWO 2564544 ASME SECTION XI-REPAIRIREPLACEMENT.
COMP. ID ROW COLUMN PART NO.
SERIAL NO.
HEAT NO.
MR NO.
1MRCEE01A 7
2 1971E18 1 N697 NX3171 HK 850392 1MRCEE01A 9
6 1971E18 1N692 NX3171 HK 850392 1MRCEE01A 12 9
1971E18 1 N695 NX3171 HK 850392 1MRCEE01A 1
12 0307-1601 40013388-121 NX3171HK 733382 1MRCEE01A 43 16 1971E18 1N855 NX3188HK 850392 1MRCEE01A 38 17 1971E18 1 N694 NX3171 HK 850392 1MRCEE01A 44 17 1971E18 1 N849 -
NX3188HK 850392 1MRCEE01A 59 20 1971 E18 1 N752 NX3188HK 850392 1MRCEE01A 67 20 1971E18 1N742 NX3188HK 850392 1MRCEE01A 10 21 1971E18 1N845 NX3188HK 850392 1MRCEE01A 63 22 1971E18 1 N854 NX3188HK 850392 1MRCEE01A 100 23 1971 E18 1NO10 NX3171 HK 850392 1MRCEE01A 38 25 034-01 ECEW-61 J-9161-5 533616 1 MRCEE01A 80 25 1971 E18 1N853 NX3188HK 850392 1MRCEE01A 57 26 1971 E18 1N750 NX3188HK 850392 4tflr
-rfl1A 7r*
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i I MRLEEU1A 39 28 1971 El B 1N848 NX318BHK 850392 1MRCEE01A 78 29 1971E18 1N014 NX3171 HK 850392 1MRCEE01A 99 32 1971E18 1 N756 NX3188HK 850392 1MRCEEO1A 20 33 1971E18 1 N838 NX3188HK 850392 1MRCEEOIA 90 33 1971 E18 1N748 NX3188HK 850392 1MRCEE01A 98 33 1971E18 1 N755 NX3188HK 850392 1MRCEEO1A 22 35 1971E18 1N846 NX3188HK 850392 1MRCEE01A 51 36 1971 E18 1 N754 NX3188HK 850392 1MRCEE01A 22 37 1971E18 1N847 NX3188HK 850392 1MRCEE01A 70 37 1971 E18 1 N739 NX3188HK 850392 1MRCEE01A 82 37 1971E18 1N740 NX3188HK 850392 1MRCEE01A 96 37 1971 E18 1 N741 NX3188HK 850392 1MRCEE01A 124 37 1971E18 1M998 NX3171HK 850392 1MRCEE01A 91 38 1971 E18 1 N744 NX3188HK 850392 1MRCEE01A 52 39 1971E18 1N746 NX3188HK 850392 1MRCEE01A 127 40 1971 E18 1 N207 NX3171 HK 850392 1MRCEE01A 18 41 1971E18 1 N839 NX3188HK 850392 1MRCEE01A 108 41 1971E18 1N745 NX3188HK 850392 1MRCEE01A 128 41 1971E18 1 N212 NX3171 HK 850392 1MRCEE01A 87 42 1971 E18 1 N743 NX318BHK 850392 1MRCEE01A 103 42 1971E18 1 N757 NX3188HK 850392 1MRCEE01A 16 43 1971E18 1N851 NX3188HK 850392 1MRCEE01A 22 43 1971 E18 1 N840 NX3188HK 850392 Page 1 of 6
STEAM GENERATOR 1MRCEE01A "HOT LEG" DFWO 2564532 DIWO 2564544 1MRCEE01A 16 45 1971E18 1N843 NX3188HK 850392 1MRCEE01A 20 45 1971E18 1 N852 NX3188HK 850392 1MRCEEO1A 63 46 1971 E18 I_1 P029 NX3188HK 850392 FORM NtS-2 OWNE.RS Rr.PORT FOR RErAIRS OR REPLAUCEMENTS A. RftIad by aM Pi.ofd tabe ASP M Ct S.w1 XI P.ADftCpln4 A R
07 AC 4 n741c 4 K I713 IVI411 OORILf oramn.,
Ml~lIN'....LU I
of 4u 101 ILZIV 1.U _._
I_ '-4 _lOUuri.
I.uo MRCEE01A 95 46 1971 E18 1 N753 NX3188HK 850392 I,,
1MRCEE01A 135 46 1971 E18 1 N217 NX3171 HK 850392 1MRCEE01A 10 47 1971 E18 1N842 NX3188HK 850392 1MRCEE01A 20 47 1971E18 1N850 NX3188HK 850392 1MRCEE01A 90 47 1971E18 1N747 NX3188HK 850392 1MRCEE01A 4
49 1971E18 1N857 NX3188HK 850392 1MRCEE01A 14 49 1971E18 1N844 NX3188HK 850392 1MRCEE01A 137 50 1971E18 1NO16 NX3171 HK 850392 1MRCEE01A 139 50 1971E18 1N012 NX3171 HK 850392 1MRCEE01A 14 51 1971E18 1N841 NX3188HK 850392 1MRCEE01A 54 51 1971E18 1P116 NX3188HK 850392 1MRCEE01A 96 51 1971 E18 1 N749 NX3188HK 850392
- 1. r*
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1 MRCEE01A 62 53 1 1971E18 1PI05 NX318BHK 850392 T
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i 1 MRCEE01A 59 54 1971E18 IPil0 NX3188HK 850392 1MRCEEO1A 65 54 1971 El 8 1P117 NX3188HK 850392 1MRCEE01A 75 54 1971E18 1P107 NX3188HK 850392 1MRCEE01A 105 56 1971 E18 1 N751 NX3188HK 850392 1MRCEEO1A 2
59 1971E18 1N700 NX3171HK 850392 1MRCEE01A 128 59 1971E18 1 M950 NX3171 HK 850392 1MRCEE01A 80 61 1971E18 1P109 NX3188HK 850392 1MRCEE01A 46 63 1971E18 1 P033 NX3188HK 850392 1MRCEE01A 130 63 1971E18 1 M952 NX3171 HK 850392 1MRCEE01A 37 64 1971E18 1 P038 NX3188HK 850392 1MRCEE01A 109 66 1971E18 1 P024 NX3188HK 850392 1MRCEEO1A 127 66 1971E18 1P019 NX3188HK 850392 1MRCEE01A 2
67 0307-1401 SCEWl0 J-9161-1 533616 IMRCEE01A 30 67 1971 E18 1 P027 NX3188HK 850392 1MRCEE01A 38 67 1971 E18 1 P023 NX3188HK 850392 1MRCEE01A 1
68 0307-1401 SCEW08 J-9161-1 533616 1 MRCEE01A 3
68 1971E18 1 N698 NX3171 HK 850392 1MRCEE01A 5
68 1971 E18 1N699 NX3171HK 850392 1MRCEE01A 129 68 1971 E18 1 M946 NX3171HK 850392 1MRCEE01A 106 69 1971 E18 1P100 NX3188HK 850392 1MRCEE01A 138 69 1971E18 1M954 NX3171HK 850392 1MRCEE01A 142 69 1971E18 1M955 NX3171HK 850392 1MRCEE01A 150 69 1971E18 1M937 NX3171HK 850392 1MRCEE01A 1
70 0307-1401 SCEW07 J-9161 -1 533616 Page 2 of 6
STEAM GENERATOR IMRCEE01A "HOT LEG" DFWO 2564532 DIWO 2564544 1MRCEE01A 93 70 1971E18 1N017 NX3171HK 850392 1MRCEE01A 16 71 1971E18 1 P028 NX3188HK 850392 1MRCEE01A 42 71 1971E18 1 P036 NX3188HK 850392 1MRCEEOIA 148 71 1971E18 1M942 NX3171HK 850392 1MRCEE01A 150 71 1971E18 1 M949 NX3171HK 850392 1MRCEE01A 67 72 1971E18 1P102 NX3188HK 850392 1MRCEE01A 133 72 1971E18 1 M947 NX3171 HK 850392 1MRCEE01A 149 72 1971 E18 1M938 NX3171 HK 850392 1MRCEE01A 65 74 1971 E18 1P118 NX3188HK 850392 1MRCEE01A 148 75 1971 E18 1M943 NX3171HK 850392 1MRCEE01A 150 75 1971E18 1M940 NX3171 HK 850392 1 MRCEE01A 90 77 1971 E18 1P103 NX3188HK 850392 FORM NIS.2 OWNER'S RrORT FOR REPAIRS OR REPLACFfFNTS A. ReqSed by 0% PmAd1-8 of ft ASME Co. 3ftnim XI
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iMRCEEO1A 144 83 1971E18 1M948 NX3171 HK 850392 1MRCEEO1A 103 84 1971 E18 1 P099 NX3188HK 850392 1MRCEE01A 133 84 1971E18 1 N202 NX3171 HK 850392 1MRCEE01A 147 84 1971E18 1M951 NX3171 HK 850392 1MRCEE01A 130 85 1971E18 1N216 NX3171HK 850392 1MRCEE01A 133 86 1971 E18 1M953 NX3171 HK 850392 1MRCEE01A 149 86 1971 E18 1 M939 NX3171 HK 850392 1MRCEE01A 112 87 1971 E18 1P112 NX3188HK 850392 1MRCEE01A 138 87 1971E18 1 M944 NX3171 HK 850392 1MRCEEO1A 148 87 1971E18 1N688 NX3171HK 850392 1MRCEE01A 39 88 1971E18 1 P035 NX3188HK 850392 1MRCEE01A 121 88 1971E18 1 N208 NX3171HK 850392 1MRCEE01A 133 88 1971E18 1 M941 NX3171 HK 850392 1MRCEE01A 137 88 1971E18 1 M956 NX3171 HK 850392 1MRCEE01A 122 89 1971 E18 1 N203 NX3171 HK 850392 1MRCEE01A 130 89 1971E18 1N210 NX3171 HK 850392 1MRCEE01A 74 91 1971 E18 1P104 NX3188HK 850392 1MRCEE01A 84 91 1971E18 1P114 NX3188HK 850392 1MRCEE01A 124 91 1971E18 1N198 NX3171HK 850392 1MRCEEo1A 97 92 1971E18 1P106 NX3188HK 850392 1MRCEE01A 40 93 1971E18 1 P026 NX3188HK 850392 1MRCEE01A 106 93 1971E18 IPlO1 NX3188HK 850392 1MRCEE01A 150 93 1971E18 1 N678 NX3171HK 850392 Page 3 of 6
STEAM GENERATOR 1MRCEE01A "HOT LEG" DFWO 2564532 DIWO 2564544 1MRCEEO1A 152 93 1971E18 1N687 NX3171 HK 850392 1MRCEE01A 127 94 1971E18 1 N204 NX3171 HK 850392 1MRCEE01A 138 95 1971E18 1N205 NX3171HK 850392 1MRCEE01A 91 96 1971E18 1P113 NX3188HK 850392 1MRCEE01A 129 96 1971E18 1 N201 NX3171 HK 850392 1MRCEE01A 157 96 0307-1601 40013388-122 NX3171 HK 733382 1MRCEE01A 88 97 1971E18 1P108 NX3188HK 850392 1MRCEEO1A 143 98 1971E18 1 N209 NX31711HK 850392 1MRCEE01A 99 100 1971 E18 1NO05 NX31711HK 850392 1MRCEE01A 125 100 1971E18 1N199 NX3171HK 850392 1MRCEE01A 133 100 1971E18 1 N211 NX3171 HK 850392 1MRCEE01A 139 100 1971E18 1N215 NX3171HK 850392 FORM N1S-1 OWNVER'S RrToRT FOR REPAIRS OR REPLACMIENTS A. Rcq.md by.
oe Pv-n ol ft ASMS Cod. Sinfl Xi 1,
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1 MRCEE01A 51 102 1971E18 1 P032 NX3188HK 850392 1MRCEE01A 61 102 1971E18 1 P034 NX3188HK 850392 1MRCEE01A 101 102 1971E18 1 N004 NX3171HK 850392 1MRCEE01A 136 103 1971E18 1NO15 NX3171 HK 850392 1MRCEE01A 146 103 1971E18 1N693 NX3171IHK 850392 1MRCEE01A 154 103 1971E18 1N681 NX3171 HK 850392 1MRCEE01A 121 104 1971E18 1 N007 NX3171 HK 850392 1MRCEE01A 149 104 1971E18 1 N679 NX3171 HK 850392 1MRCEE01A 148 105 1971E18 1 N682 NX31711HK 850392 1MRCEE01A 96 107 1971 E18 1 N001 NX3171HK 850392 1MRCEE01A 128 107 1971 E18 1N013 NX3171 HK 850392 1MRCEEO1A 153 108 1971E18 1N685 NX3171HK 850392 1MRCEE01A 32 109 1971E18 1 N796 NX3188HK 850392 1MRCEE01A 42 109 1971E18 1 P021 NX3188HK 850392 1MRCEE01A 131 110 1971 E18 1 N781 NX3188HK 850392 1MRCEE01A 76 111 1971E18 1 M997 NX3171 HK 850392 1MRCEE01A 96 111 1971 E18 1 N002 NX3171 HK 850392 1MRCEE01A 49 112 1971E18 1 P025 NX318BHK 850392 1MRCEEO1A 125 112 1971E18 1N011 NX3171HK 850392 1MRCEE01A 28 113 1971 E18 1 N787 NX3188HK 850392 1MRCEE01A 83 114 1971E18 1 N003 NX3171 HK 850392 1MRCEE01A 95 114 1971E18 1M999 NX3171HK 850392 1MRCEE01A 153 114 0307-1601 40013388-127 NX3171HK 733382.
1MRCEE01A 32 115 1971E18 1 N778 NX3188HK 850392 1MRCEE01A 112 115 1971E18 1 N009 NX3171 HK 850392 1MRCEE01A 130 115 1971E18 1 N008 NX3171 HK 850392 1MRCEE01A 146 115 1971 E18 1 N788 NX3188HK 850392 1MRCEE01A 152 115 1971 E18 1 N703 NX3171 HK 850392
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STEAM GENERATOR 1 MRCEE01A "HOT LEG" DFWO 2564532 DIWO 2564544 1MRCEE01A 154 115 0307-1601 40013388-123 NX3171HK 733382 1MRCEE01A 25 116 1971E18 1N711 NX3171 HK 850392 1MRCEEO1A 137 116 1971E18 tN792 NX3188HK 850392 1MRCEE01A 52 119 1971 E18 1P037 NX3188HK 850392 1MRCEE01A 17 120 1971E18 1 N712 NX3171 HK 850392 1MRCEE01A 46 121 1971 E18 1 P022 NX3188HK 850392 1MRCEE01A 96 121 1971E18 1 N006 NX3171HK 850392 1MRCEE01A 59 122 1971E18 1 P031 NX3188HK 850392 1MRCEE01A 14 123 1971E18 1N704 NX3171HK 850392 1MRCEE01A 64 127 1971E18 1 P020 NX3188HK 850392 1MRCEE01A 128 127 1971E18 1 N795 NX3188HK 850392 1MRCEE01A 12 129 1971E18 1N717 NX3171HK 850392 FORM NtS42 OWNIR'S RtpoRnr FOR REPAIRS OR REtLACEMENTS A. Rtqubsd by O. P.A.W.o4lf" Ad d
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133 1971E18 1N713 NX3171HK 850392 1MRCEE01A 137 134 1971E18 1N786 NX3188HK 850392 1MRCEEOIA 42 135 1971E18 11065 NX2227HK 856414 1MRCEE01A 140 135 1971E18 1 N705 NX3171 HK 850392 1MRCEE01A 84 137 1971 E18 1N797 NX3188HK 850392 1MRCEE01A 112 137 1971E18 1N790 NX3188HK 850392 1MRCEE01A 136 137 1971E18 1 N716 NX3171 HK 850392 1MRCEE01A 71 138 1971E18 1 N785 NX3188HK 850392 1MRCEE01A 135 138 1971 E18 1N710 NX3171 HK 850392 1MRCEE01A 76 139 1971 E18 1 N782 NX3188HK 850392 1MRCEE01A 106 139 1971E18 1 N783 NX3188HK 850392 1MRCEE01A 93 140 1971E18 1N779 NX3188HK 850392 1MRCEE01A 1
142 0307-1601 40013388-126 NX3171HK 733382 1MRCEE01A 25 142 1971 E18 1N706 NX3171 HK 850392 1MRCEEO1A 111 142 1971 E18 1 N794 NX3188HK 850392 IMRCEE01A 14 143 1971E18 1 N707 NX3171 HK 850392 1MRCEE01A 105 144 1971E18 1 N789 NX3188HK 850392 1MRCEEO1A 48 145 1971E18 11062 NX2227HK 856414 1MRCEE01A 39 146 1971E18 11066 NX2227HK 856414 1MRCEE01A 93 148 1971E18 1 N715 NX3171HK 850392 1MRCEE01A 65 150 1971E18 1 N701 NX3171 HK 850392 1MRCEE01A 65 154 1971E18 1 N708 NX3171HK 850392 1MRCEE01A 96 157 1971E18 1 N702 NX3171 HK 850392 N-.d M...of M.N..o Ndm O4,%
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STEAM GENERATOR 1MRCEE01A "HOT LEG" DFWO 2564532 DIWO 2564544 1MRCEE01A.
33 158 1971E18 1N680 NX3171HK 850392 1MRCEE01A 14 159 1971E18 1N686 NX3171HK 850392 1MRCEE01A 39 162 1971E18 1N689 NX3171HK 850392 1MRCEE01A 44 165 1971 E18 1N684 NX3171 HK 850392 1MRCEE01A 56 165 1971 E18 1 N683 NX3171 HK 850392 1MRCEE01A 102 167 1971E18 11063 NX2227HK 856414 1MRCEE01A 23 168 1971E18 1N696 NX3171 HK 850392 1MRCEE01A 80 169 1971E18 11068 NX2227HK 856414 1MRCEE01A 14 171 1971E18 1 N691 NX3171HK 850392 1MRCEE01A 31 174 1971E18 1 N690 NX3171 HK 850392 1MRCEE01A 40 179 1971 E18 11067 NX2227HK 856414 1MRCEE01A 32 181 1971E18 11060 NX2227HK 856414 1MRCEE01A 43 182 1971E18 11097 NX2227HK 856414 1MRCEEO1A 11 186 1971E18 11096 NX2227HK 856414 1MRCEEO1A 13 186 1971E18 11061 NX2227HK 856414 1MRCEE01A 39 186 1971E18 11098 NX2227HK 856414 FORMS N15-2 OWNRR'S R1PORT FOR RErAIRS OR REPIACFI.fENTs A. Rtqisi by 13W925 1
0W,ltM AS).!E CS& SWIO XI
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"'f SECTX
'K l-li ASME SECTION.,-
REPAIR.' REPLACEMEiNT Paze o.
- 1. ComponentID 1PSIAL510
- 2. Cod--Class ASMESec:
- 3. Item
Description:
Inlet Pipinn to IJSIAPSV754
- 4. N-5 Data Package Number: N/A
- 5. W.O. Number: 2566554
- 6. Original Construction Code Edition:
1974 Edition, Winter 1975 Addenda
- 7. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 8. Work
Description:
Replace Iniet Piping to IJSIAPSV754 per WO 2566554
ion III Class I Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Piping modified to reduce pipe stress at the inlet of the PSV. No failure of the ASME code boundry.
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. II Cl 1. 1974 Edition 1975 Winter Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
D YES
.1" NO Initial.2/A-Date. wI A If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
El YES ED NO Initial I'A Date 5' / AIf required, include a step in the W.O. for ISI & ANII Inspection.
(
Da
/17.
Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial/M Date 'I f /r. 8t/ ccomponent.
InitiayA___
Date
/ r/bZ
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or InitaH Dte z l/6>
replacement items.
Item ID Part No.
Serial No.
Heat No.
MIR/POI'O No.
3/4" Pipe APN 43510518 437 Y72 MR 698404 3/4" Reducing Coupling APN 43561403 MT_____11 6,983L54 1/2" Flange, SORF APN 43581508
_3o__X_
PI ( (Q 7
- 19. Planners a
/'
PrintedName: C/a.
6 Signature Dae
- 20. ISI 7
/'
Printed Name:
D
'P.4-N 2ZAP Signature 2
Date
- 21. ANII A
"Ae-e Printed Name:
K z.
s Signatur~\\
Date PV-.BN3 V".7 I3P'Z1
FORIM INIS-2 OWNER'S REPORT FOR REPAIRS OR REPLA CEMENTS As Requtired. by the Provisions of.L the ASECode Section X-1
- 1. owner: Arizona Public Service Company: et. al.
P. 0. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant:
Palo Verde Nuclear Generatina Station 5801 South Wintersburg Road.. Tonopah. Arizona 85354-7529
- 3. )York Performed by: Arizona Public Service Date: 11/08/2002 Sheet:
I of 2 Unit: 1 Work, Order Number 2566554 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: SI. (Safety Iniection) ASME Section II Class 1
- 5. (a) Applicable Construction Code ASME Section III NB. Class 1 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.
Identirication Built Replacement Code Stamped (Yes or
_N O )
3/4" Pipe N/A N/A N/A IPSIAL510 2002 Replacement NO 3/4" Reducing N/A N/A N/A IPSIAL510 2002 Replacement NO Coupling 1/2" Flange N/A N/A N/A IPSIAL510 2002 Replacement NO
- 7. Description of Work: Replace inlet piping and Flange to IJSIAPSV754.
- 8. Test Conducted: Hydrostatic El Pneumatic El Nominal Operating Pressure El Exempt 0 N-416-1 El Other E]
Pressure psi Test Temperature
'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 l/2 X I11 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.
FF 0R NTTS-2 (Back)I
- 9. Remarks: Repiace Pioinz and Inlet Flanoe to IJSIAPSV754. Reference EDC#4 2002-00481. Work Order 2566554.
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 Signed:
g 7
- CFe, fIMZVe Expiration Date:
N/A Date: //-//- 0 I
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 IISB CT of Hartford. Connecticut, have inspected the components described in this Owner's report during the period of "t- %- e2 to
'-tv-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.
ectors Signature Commissions: NB 9685 "N" 'T' AZ264 National Boanl, State, Province, and Endorsements Date:
tit-at I,-
PV-E0092 Ver. 7 Back 73DP-9ZZ17 PV-E0092 Ver. 7 Back 73DP-9ZZ17
i Am ;p. P.tŽ4 X;. -
X
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.r
- C 1
___e _u __
- 1. Component ID iMDGBE04
- 2. Code Class ASME Section III Class 3
- 3. Item
Description:
Diesel Lube Oil Cooler
- 4. N-5 Data Package Number: Not Available
- 5. W.O. Number: 2577145
- 6. Original Construction Code Edition:
1974 Edition. Summer 1976 Addenda
- 7. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 8. Work
Description:
Weld build up of corroded area on the Lube Oil cooler cooling water plenum
Report Number:
104 Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Weld build up required due to through wall leak due to corrosion caused by failure of coatings. repair area to be coated with Belzona which has been 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. m Cl 3. 1974 Edition 1976 Summer Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. m Cl 3. 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Pieserv e spection Required:
El YES E NO Initial h
Date 01/08/2003 If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
3 YES a
NO Initial Ap Date 01/08/2003 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 01/08/2003 component.
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial >I Date 01/08/2003 replacement items.
Item ID Part No.
Serial No.
Heat No.
MIRIPO/WO No.
Channel Assembly 4-321-19-815-008 9-20016-02-4
- 19. Planneer I/1/c, o Printed Nam eiAii7
/:
Symture Date
- 20. ISI 1//a
°3 Printed Name:
Fi?
Hi)
S nature
' D/ ate
- 21.
P Z 2 73S i 9 Z- :1 7 PrintedName:
,'s
~
Signatare
,4 A
_q..3 Date rv4S00s3 Vet 7 73DP.9ZZ17
=~R NS2OWE' P'CRPARSORELA MNT As Required by the Provisions of the ASME Code Section XI i
- 1. Owner: Arizona Public Service Coimpany, et. al.
P. 0. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant:
Palo Verde Nuclear Generating Station 5801 South Wintersburn Road.. Tonopah. Arizona 85354-7529 Date: 01/08/2003 Sheet:
I of 2 Unit: 1.
Work Order Number 2577145 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 3. aWork Performed by: Arizona Public Service
- 4. Identification of System: Diesel Generator (DG)
- 5. (a) Applicable Construction Code ASME Section m 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
_ _N O )
DG Lube Oil Cooler America-Standard 9-20016-02-4 IMDGBE04 Repaired YES
- 7. Description of Work: Weld repair of leaking area on Channel Assembly
- 8. Test Conducted: Hydrostatic E Pneumatic El Nominal Operating Pressure El Exempt E1 N-416-1 Z Other El Pressure V2-psi TestTemperature *2Z.
0F 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.
. ft.A -
FORIM i NIS-2 (Back)
- 9. Remarks: W.O. 2577145 is to repair leaking Channel Head Assembly and recoat with Belzona.
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.
Signed:
N/A Expiration Date:
NIA Date:
Alz/D %
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 J,.3 R, 2co.
to J
', 2.2
, 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.
4 Inspectors Signature Commissions: NB 9685 "N" aI" AZ264 National Board, State, Province, and Endorsements Date:_______
PV-E0092 Ver. 7 Back 73DP-9ZZ17 PV-E0092 Ver. 7 Back 73DP-9ZZ17
I ASME SECTION XI-REPAIR/REPLACEMENT
. 42
- 1. Component ID IPSGEL011
- 2. Code Class ASME Section III Class 2
- 3. Item Description Pipe Spool
- 4. N-5 Package Number ISG02-1
- 5. W.O. Number 2581743
- 6. Original Construction Code Edition 1974 Edition, Summer 1975 Addenda
- 7. Original Installation Code Edition 1974 Edition. Winter 1975 Addenda
- 8. Work Description Ieplhnernet nf Pipe. cponl fine tn nlow Arrelefrntet-PFrnqion (oi-riviion nT)TTM 9O5R 174? TM-174
- 10. Evaluation of the suitability of this work as per the requirements of IAW-4150.
Re-plncnetme-nt nf PFrnded pping with Mtnin1ec Rte-e.1 sc nTh'evihe~r in T)MM 95R1749 FTC# ?Af)-ffl1 14 There.
wng,n fniqlilrf nf the C'odle Pressure RBnindr3
- 11. Repair/Replacement Work Organization, APS
- 12. Replacement Item Construction or reconciled Code/Edition Sec.fl C12/74 Edition 75 Summer Addenda
- 13. Repair/Replacement Activity Construction Code/Edition SecMl CI.2/74 Edition '75 Winter Addenda
- 14. ASME Section XI Code/Edition 1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required.
[El YES E
NO r
9/zhv0/2.o>
If required, include a step in the W.O. to perform Preservice Inspection.
Initial Date
- 16. ASME Section Xl Pressure Test Required Ed YES E
NO TV__
__/____
Spa If required, Include a step in the W.O. for ISI & ANII Inspection.
Initial Date
&yr$
B
, 17. Include a step In the W.O. to complete NIS-2 Form prior to releasing the component.
Initial D te k5 Wo!A.3.18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date replacement items.
a
\\A ITEM I.D.
PART NO.
SERIAL NO HEAT NO.
MRIROS NO.
8" Pipe APN 00061187
-O 3:50 YO MR#753958 8" Elbow 9O Deg.
APN 00067691 M19 14 I
M# 753958 8" Elbow 45 Deg.
APN 00075952
_-I MR# 753958 to iIp~jE A idNOOOUI l
. 5 D_ 3£ V^ :a-A?
ovo(o73I C
S if I
76'f7t7
- 19. Planner 0AA19-4m..
Print Name Karl V. Savage signature Date
.0. ISI Engineer q/ ql/3 Print Name Rarnakant P. Indap Signature
\\
Daie
- 21. ANII 7 90%:
/00 ° Reviewed Previous Data:
- /1/4 Examiner Level Signature Date Reviewer Signature Date
_YT
/
r0-
- A;/o fl/A Examiner Level Signature Date Site Review Signature Date Othe F. 1794=Fx 46 wo3 Olher Level Signature Date ANII Review ign t
'Date yX:C_
C r!
-22,07 4
ASME SECTION XI - REPAIR I REPLACEMENT Page of
- 1. Component ID lMRCEX01 2.. Item
Description:
Reactor Vessel
- 3. N-5 Data Package Number: IRC01-4
- 4. W.O. Number: 2609564
- 5. Original Construction Code Edition:
1971 Edition, Winter 1973 Addenda
- 6. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Replacement of RV stud as part of routine maintenance.
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No failure of the ASME III pressure boundry. Stud is being replaced as part of routine maintenance.
)K J
ccau v(w7 resease~~~/ < mx4-Z s/Sa
- 10. Repair/Replacement Work Organization:
Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 1. 1971 Edition 1973 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
Z YES
[E NO Init ial Date 4;// i Ar If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required:
El YES 0
NO Initiarl-Date q// A/° If required, include a step in the W.O. for ISI & ANII Inspection.
Date
/
/
s
- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasin.
Initial /
at
//5/
A comnonent.
g the Init
~
Dat 4
/
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initih
.Date v 1 9 f
replacement items.
Item IDI Part No.
Serial No.
Heat No.
MR/POIWONo.
Reactor Vessel Stud APN 43160052 42 M-7821-4 MR 853874
- 18. PlanA1g l&
1 S ;
Printed Name: Barbara Vidal Signature Dat
- 19. IS]
4er//f/
Printed Name:
O 4NLZ7At Signature Date
- 20. ANII sig44;i e-t1-0 Printed Name:
2&. 4Sr h
l SidiJr Date P-V EtO9 Va. 7 73DPSZZ17 RevI
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.
P. 0. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant:
Palo Verde Nuclear Generating Station 5801 South Wintersbur2 Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 4119/2004 Sheet:
I of 2 Unit: I Work Order Number 2609564 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: RC
- 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 I
Y Y
I
.
I Name of Item Name of Manufacture Manufacturer Serial No.
National Board No.
Other Identification Year Built Repaired or Replacement ASME Code Stamped (Yes or NO)
RVStud CE 42 N/A NIA 2004 Replacement NO
- 7. Description of Work: Stud is being replaced as a precautionarM measure for ease of installation.
- 8. Test Conducted: Hydrostatic E Pneumatic a3 Nominal Operating Pressure a Exempt 0 N-416-1 Other El 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 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
[
FORM NIS-2 (Back)
- 9. Remarks: WO# 2609564. No failure of the ASME mH pressure boundrv. Stud is being replaced as a precautionary measure for ease of installation.
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 gW+7A&i-5, 1E NtZ Date:/o CR I -we or uxne --
es gnee t
eI u wner or uwners Designee,I Wze 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 __
__0_
, and state that to the best of my knowledge 'and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
.'Aem41--
nspectors Signature Commissions: NB 9685 '"N "I" AZ264 National Board, State, Province, and Endorsements Date-,
U.-
rV-E0092 Ver. 7 Back 73DP-9Z217 RevS rV-E0092 Ver. 7 Back 73DP-9ZZ17 Rev 8
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1JRCEPSVO200 2.. Item
Description:
Pressurizer Safety Relief Valve
- 3. N-5 Data Package Number: IRC03-2
- 4. W.O. Number: 2609574
- 5. Original Construction Code Edition:
1974 Edition. Summer 1975 Addenda
- 6. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Replace the Pressurizer safety relief valve with a reconditioned spare.
- 8. 0 IS Flaw NDE Method of Flaw Detection:
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No failure of ASME HII pressure boundary. Valve is being rotated to support vendor testing. Replacement valve is SN BS-08614.
- 10. Repair/Replacement Work Organization:
Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition:
Sec.M Cl 1. 1974 Edition 1975 Summer Addenda
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
a YES 0 NO Initial
/L
/
Date Cf/I /0 t/
If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure est Required:
0 YES El NO Initial J I/
Date lo9
/
C If required, include a step in the W.O. for ISI & ANU Inspection.
Initial D t e
- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Inital Date f
component.
/i/
D te
, /
- 17. 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.
lMR/PO/WO No.
1JRCEPSVO200 N/A BS-08614 N/A
- 18. Planner G
7/
t Printed Name: Barbara Vidal Signature Date
- 19. ISI 5R Printed Name: i Pi'i @;tt Signature Date
- 20. ANII J-6' C
' r '
Printed Name:
a 6-(
Signatve Date PV.EVS9 V=r. 7 73DP4=17 K"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.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 04/01/2004 Sheet:
I of 2 Unit: 1 Work Order Number 2609574 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: RC
- 5. (a) Applicable Construction Code ASME Section III NB. Class 1 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 )
PSV Dresser BS-08614 N/A IJRCEPSVO200 1978 Replacement YES
- 7. Description of Work: Valve being replaced as part of routine maintenance.
- 8. Test Conducted: Hydrostatic ED Pneumatic [l Nominal Operating Pre Other [D Pressure psi ssure I Exempt El N-416-1 E Test Temperature 0F I
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 V2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
1 FORM NIS-2 (Back)
'. Remarks: WO# 2609574. PSV being replaced as part of routine maintenance. SN BS-08614.
.~,20 e.
q1/3DC/fy
-ft 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:
Owner or Owner's Designee, Title Date:
5 /7/° (
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut, have inspected the components described in this Owner's report during the period of A-'-'
to 5 k
, 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.
'5A tr kilispectors Signature Date:
S-7-oA Commissions: NB 9685 'IN" T' AZ264 National Board, State, Province, and Endorsements U-r'V.E0092 ver. 7 Back 73DP-9Z217 Rev 8 eV-E0092 Ver. 7 Back 73DP-9ZZ17 Rcv 8
ASME SECTION XI - REPAIR / REPLACEMENT Page t
of
- 1. Component ID I JRCEPSVO201 2.. Item
Description:
Pressurizer Safety Relief Valve
- 3. N-5 Data Package Number: IRC03-2
- 4. W.O. Number: 2609575
- 5. Original Construction Code Edition:
1974 Edition. Summer 1975 Addenda
- 6. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Replace the Pressurizer safety relief valve with a reconditioned spare.
8.E] ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No failure of ASME III pressure boundary. Valve is being rotated to support vendor testing. Replacement valve is SN BS-08565.
- 10. Repair/Replacement Work Organization:
Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition:
Sec.1T1 Cl I. 1974 Edition 1975 Summer Addenda
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
E YES O NO Initial Date LIlo. Dae
/
If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required:
0 YES
[a NO Initial L
[
Date (/ I/ rLo If required, include a step in the W.O. for ISI & ANII Inspection.
-ll,{
/l
/a
- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial L
Date 7 /,/
/.
component.
- 17. 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.
1JRCEPSVO201 NIA BS-08565 N/A
- 18. an.
~
l_~
~ L
. 18.
PlanneAO A
'ri
,t
/
Printed Name: Barbara Vidal Signature Dt
- 19. ISI 4/
I f
Printed Name:
F P.
Signature Date
- 20. ANII "4
t ° Printed Name:
R
'4,CRor Sig"a#
Date
-j I
73DP %,G9717 VWt 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.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 04/01/2004 Sheet:
I of 2 Unit: I Work Order Number 2609575 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: RC
- 5. (a) Applicable Construction Code ASME Section III NB, Class 1 1974 Edition, Summer 1975 Addenda, (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition. 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Code Case Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or N O )
PSV Dresser BS-08565 NIA IJRCEPSVO201 1978 Replacement YES
- 7. Description of Work: Valve being replaced as part of routine maintenance.
- 8. Test Conducted: Hydrostatic a
Pneumatic 5 Nominal Operating Pressure s
Exempt 5 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: WO# 2609575. PSV being replaced as part of routine maintenance. SN BS-08565.
-~
7~A94 Y/ 3FL7, ft Certificate or 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: 6
-~51
'1-Ie Date:
S/1/I Owner or Owner's Designe, 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 G on
, 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 reporL Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
\\ Inspectors Signature Date:
S--I°K(
Commissions: NB 9685 "NI IT' AZ264 National Board, State, Province, and Endorsements I.-
?V-E0092 Ver. 7 Back 73DP-9Z217 Rev 8 tV.E0092 Ver. 7 Back 73DP-9ZZ17 Rev 8
ASME SECTION XI - REPAIR / REPLACEMENT Page -- L of
- 1. Component ID IJRCEPSVO202 2.. Item
Description:
Pressurizer Safety Relief Valve
- 3. N-5 Data Package Number: IRC03-2
- 4. W.O. Number: 2609576
- 5. Original Construction Code Edition:
1974 Edition. Summer 1975 Addenda
- 6. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Replace the Pressurizer safety relief valve with a reconditioned spare.
Report Number:
- 9. &valuation of the suitability of this work as per the requirements of IWA - 4150:
No failure of ASME III pressure boundary. Valve is being rotated to support vendor testing. Replacement valve is SN BS-08616.
- 10. Repair/Replacement Work Organization:
Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition:
Sec.1II Cl 1. 1974 Edition 1975 Summer Addenda
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. HII Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
[
YES 0 NO Initial
/t I
Date
/! /° cf If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required:
0 YES 5 NO Initial
/M/
Date If required, include a step in the W.O. for ISI & ANI Inspection.
k A/
/ /
/o
- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing Initial Date I
/ID L/
component the i / I/ ID, yr
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or I Initial Date
/
D (
replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/PO/WO No.
IJRCEPSVO202 N/A BS-08616 N/A
- 18. Planner n
n r
S I/OF Printed Name: Barbara Vidal Signature Date
- 19. ISI d?4 t&
Printed Name:
I
£ I
Signature l/ Date
- 20. ANII aq1 0 '{
Printed Name:
&.lSr ROK Signatuld Date rv~wfl Va.v F-v.%~ffl Ie, 13UP.9ZJU7 Rv3a
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 04/01/2004 Sheet:
I of 2 Unit: I Work Order Number 2609576 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: RC
- 5. (a) Applicable Construction Code ASME Section In NB. Class 1 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)
PSV Dresser BS-08616 N/A 1JRCEPSVO202 1978 Replacement YES
- 7. Description of Work: Valve being replaced as part of routine maintenance.
- 8. Test Conducted: Hydrostatic Cl Pneumatic a
Nominal Operating Pressure 3
Exempt N-416-1 a Other 5 Pressure psi Test Temperature F
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 'A X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
I. Remarks: WO# 2609576. PSV being replaced as part of routine maintenance. SN BS-08616.
-~-!-p KCAQW,6..
141S,10 1-7%
Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of Authorization No.
N/A Expiration Date:
_/
N/A
- 5/71-oY Signed
Si gn e:Date:
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 __-_______Om 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 X.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
ipectors Signature Commissions: NB 9685 ""' IT' AZ264 National Board, State, Province, and Endorsements Date:
U.-
J-E0092 Va. 7 Bark 73DP-9Z217 Rev S
- -E0092 Ver. 7 Back 73DP-9ZZ17 Rey 8
ASME SECTION XI - REPAIR / REPLACEMENT Page o
Of v
- 1. Component ID IJRCEPSVO203 2.. Item
Description:
Pressurizer Safety Relief Valve
- 3. N-5 Data Package Number: IRC03-2
- 4. W.O. Number: 2609577
- 5. Original Construction Code Edition:
1974 Edition. Summer 1975 Addenda
- 6. Original Installation Code Edition:
1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Replace the Pressurizer safety relief valve with a reconditioned spare.
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No failure of ASME m pressure boundary. Valve is being rotated to support vendor testing. Replacement valve is SN
- BS-08567.
- 10. Repair/Replacement Work Organization:
Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition:
Sec.TII Cl 1. 1974 Edition 1975 Summer Addenda
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. m Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
5 YES 0 NO Initial LII/ Date _Y /, ID Y If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required:
ED YES El NO Initial /31/
Date q/, A y If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial a
Date 4 /A /
component.
Inital D
/ It, d
- 17. 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.
l MRPO1WO No.
IJRCEPSVO203 N/A BS-08567 N/A
- 18. Planne'r4d Ll/
f T//
/OPrinied Name: Barbara Vidal Signature Date
- 19. ISI1 4-//1;V4f Printed Name:
)>- At TrzAt Sig ature Date
- 20. ANH_
Printed Name:
R4.
do6STob L.Signalde Date 73DP.91E17 RovI
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required b' the Provisions of the ASME bode Section XI
- 1. Owner: Arizona Public Service Company, et. al.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road.. Tonopah, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 04/01/2004 Sheet:
I of 2 Unit: 1 Work Order Number 2609577 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: RC
- 5. (a) Applicable Construction Code ASME Section m NB. Class 1 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 Nameof Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or
_ _ _ _N O )
PSV Dresser BS-08567 NIA IJRCEPSV2O3 1978o Replacement YES
- 7. Description of Work: Valve being replaced as part of routine maintenance.
- 8. Test Conducted: Hydrostatic [Z Pneumatic a
Nominal Operating Pressure 3
Exempt El N-416-1 Other D Pressure psi TestTemperature F
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 foirn.
I FORM NIS-2 (Back)
). Remarks: WO# 2609577. PSV being replaced as part of routine maintenance. SN BS-08567.
P2~;K r\\&
y Y
2 J Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of Authorization No.
N/A Expiration Date:
N/A Signed:
0 O
Z1r
-#-ce Owner or Owner's Designee, Title Date:
SL7zL5 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 5
- S-o
,and state that to the best of my knowledge.and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Inspectors Signature Date:
s-n_
Commissions: NB 9685 'N" "I" AZ264 National Board, State, Provincc, and Endorsements PV-E0092 Ver. 7 Back 73DP-917 Rev S
- PV-E0092 Ver. 7 Back 73DP-9ZZ17 Rcv8
X II ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID IMDGAE05
- 2. Code Class ASME Secton III Class 3
- 3. Item
Description:
JACKET WATER COOLER
- 4. N-5 Data Package Number: I DG02-8
- 5. W.O. Number: 2609600
- 6. Original Construction Code Edition:
1974 Edition, Summer 1976 Addenda
- 7. Original Installation Code Edition:
1974 Edition, Winter 1975 Addenda
- 8. Work
Description:
REPAIR BASE METAL WITH WELD BUILD UP
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
WELD BUILD UP OF BASE MATERIAL REOUIRED DUE TO EXCEEDING MINIMUM WALL THICKNESS.
REPAIRED AREAS TO BE PROTECTED WITH COATINGS.
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. IIT 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 Addend
- 15. Preservice Inspection Required:
-E -YESS 1 9,,
NO Initial Date 9(-(7-0 Y If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
0 YES 0 NO Initial Date e(-/7o
(
If required, include a step in the W.O. for ISI & ANII Inspection.
Initial Date 917- ° It
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the J~t.L~--.component.
Initial
£ Date r ?
/
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initia Datereplacement items.
Item ID Part No.
Serial No.
Heat No.
MR[POIWO No.
IMDGAE05 REV COVER 4-500-19-515-001 9-20016-01-1 I MDGAE05 INLET 4-305-19-215-018 9-20016-01-1 SPO O L._
IMDGAE05 REV. SPOOL 4-321-19-815-007 9-20016-01-1 IMDGI E5 INLET 4-500-19-515-001 9-20016-01-1 COVER__
- 19. Planner 6
4
./,Aiy Printed Name: Martin J. Sullivan Signature Date
- 0. ISI L2/
4L/ d7'.
- PrintcdName:
/'?,L-Z c9/,J L
I-"Signature Date
- 21. ANII
-Q g
Printed Name:
(Z.6.
Signthre Date I
rV-tOW3 Vas. I 7Jur-." u
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.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 04/17/2004 Sheet:
I of 2 Unit: I Work Order Number 2609600 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: IMDGAE05 12.195#
- 5. (a) Applicable Construction Code ASME Section 111iX.5Class 3 1974 Edition, Summer 1976 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 I
Y
.v -y T
I Name of Item Name of Manufacture Manufacturer Serial No.
National Board No.
Other Identification Year Built Repaired or Replacement ASME Code Stamped (Yes or NO)
DG "A"jacket American 9-20016-01-1 31978 IMDGAE05 1978 Repaired YES water cooler Standard
- 7. Description of Work: Weld build up of corroded wall of the cooler, and covers.
- 8. Test Conducted: Hydrostatic a Pneumatic El Nominal Operating Pressure '
Exempt El N-416-1 El 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 1I1 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is:uumbered' and the number of sheets is recorded at the to of this form.
- VI FORM NIS-2 (Back)
.. Remarks: WELD REPAIR OF BASE METAL W.O. # 2609600 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:
A m
i
&USE w/!
Date:
!4/?
V/zeS Owner or Owner's Designee, Title e
CERTIFICATE OF 1NSERVICE 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 sign-ing this cerfificate, 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
.7, Inspectors Signature Commissions: NB 9685 'IN" "I" AZ264 National Board, State, Province, and Endorsements Date:
"4-n7-ofl PV.F.0092 Ver. 7 Back 73DP-9ZZ17 PV-E0092 Ver. 7 Back 73DP-9ZZ17
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID I MDGBE05
- 2. Code Class ASME Secton III Class 3
- 3. Item
Description:
JACKET WATER COOLER
- 4. N-S Data Package Number: IDG02-8
- 5. W.O. Number: 2609601
- 6. Original Construction Code Edition:
1974 Edition. Summer 1976 Addenda
- 7. Original Installation Code Edition:* 1974 Edition. Winter 1975 Addenda
- 8. Work
Description:
REPAIR BASE METAL WITH WELD BUILD UP
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 PROTECTED WITH COATINGS.
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. IIH Cl 3. 1974 Edition 1976 Summer Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. IH Cl 3. 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
-N
'YFS NO'RA-"
90 Dnitia L
D ate Of &SoY 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 z
Date 4
If required, include a step in the W.O. for ISI & ANII Inspection.
'.41/
Arn.,Ad
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial /gh zZ Date 7
component fly/
~
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial,L.
Date
/v replacement items.
Item ID Part No.
Serial No.
Heat No.
MIR/PO/WO No.
IMDGBE05 REV. COVER 4-500-19-215-001 9-20016-01-3 IMDGBE05 INLET 4-500-19-515-001 9-20016-01-3 COVER IMDGBE05 REV SPOOL 4-321-19-815-007 9-20016-01-3
- 19. Planner g
Printed Name: Martin J. Sullivan to re Datc
- 20. ISI 4
X aPrinted Name: /_Z Z-Signature Date 219. ANII a
x o
PrintedVNa.e:
73D
.intt)Dt PV.EWY93 V.. 7 73DP-VZ 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.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant:
Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529
- 3. work Performed by: Arizona Public Service Date: 04/08/2004 Sheet:
I of 2 Unit: I Work Order Number 2609601 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: IMDGBE05
/ZIP-Ov.
- 5. (a) Applicable Construction Code ASME Section III< Class 3 1974 Edition, Summer 1976 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 Y
Y.
I I
Name of Item Name of Manufacture Manufacturer Serial No.
National Board No.
Other Identification Year Built Repaired or Replacement ASME Code Stamped (Yes or NO) 9-01-0-14-~
MDGBE05 Repaire DG "B" J.W.
American 9-20016-01-3 paired cooler Standard
- 7. Description of Work: Weld build up of corroded wall of the cooler, and covers.
- 8. Test Conducted: Hydrostatic El Pneumatic El Nominal Operating Pressure* 0 Exempt E N-416-1 El Other E 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 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.n,
I FORM NIS-2 (Back)
). Remarks: WELD REPAIR OF BASE METAL W.O. # 2609601 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/
N/A 12,1-fplz Q ed Signed: i44 Date:
Y-Aglow A_
l_
v s
He of.
Owner or Owwncs'gn ee7 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 4-t-ao4 to I-%--oA
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
\\ Inspectors Signature Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsernents Date:
'(_
-ot4A a-PV-E0092 Ver. 7 Back 73DP-9ZZ17 PV-E0092 Ver. 7 Back 73DP-9ZZ17
ASME SECTION XI-REPAIR / REPLACEMENT Page l
of I
I 1. Component ID IMDGAE04
- 2. Code Class ASME Seci
- 3. Item
Description:
LUBE OIL COOLER
- 4. N-5 Data Package Number: IDG02-8
- 5. W.O. Number: 2609604
- 6. Original Construction Code Edition:
1974 Edition. Summer 1976 Addenda
- 7. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 8. Work
Description:
REPAIR BASE METAL WITH WELD BUILD UP
- on III Class 3 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 PROTECTED 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. m Cl 3. 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. PreserviceInspection Required:
YES NO Initial Date
£f /7 ° If required, includestep in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
ED YES
[] NO
-initial4..
. Date r 7 0 y(
If required, include a step in the W.O. for ISI & ANII Inspection.
InitialDate C,
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Datcomponent.
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Ad 1o.. Date
_______'a___
replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/POIWO No.
IMDGAE04 REV COVER 4-500-19-515-002 9:20016-02-1 IMDGAE04 INLET 4-305-19-215-019 9-20016-02-1 SPOOL.
IMDGAE04 REV. SPOOL 4-321-19-815-008 9-20016-02-1 IMDGAE04 INLET 4-500-19-215-001 9-20016-02-1 COVER
- 19. Planner PrintedName: Martin J. Sullivan Signatutf Date
. ISI
?Z Y-/)1 PrintedName:
/2L?
Ge _W A
£"Signa yre Dat=
- 21. ANII
.qid -O'(
Printed Name:
?.6.
4jWRoa Signtrc Date rvtIIL U...
L..J rv-timi Vet 7 13DP Y177
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company. et. al.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant:
Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah. Arizona 85354-7 Date: 04/17/2004 Sheet:
I of 2 Unit: I
'529 Work Order Number 2609604 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 3. Wrk Performed by: Arizona Public Service
- 4. Identification of System: IMDGAE04 V6-k
- 5. (a) Applicable Construction Code ASME Section III VKI1CIlass 3 1974 Edition, Summer 1976 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 Item Name of Manufacture Manufacturer Serial No.
National Board No.
Other Identification Year Built Repaired or Replacement ASME Code Stamped (Yes or NO)
DG "A"L.O.
American 9-200164f-31980 IMDGAE04 1978 Repaired YES cooler Standard
- 7. Description of Work: Weld build up of corroded wall of the cooler, and covers.
- 8. Test Conducted: Hydrostatic E]
Pneumatic al Nominal Operating Pressure '
Exempt El N416-1 E]
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 V/2 X 1 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: WELD REPAIR OF BASE METAL W.O. # 2609604 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:
r-i-t~ee Date:
'/z7/csf 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 _
to e-a' -on
. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Inspectors Signature Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Date:
ei-zero-3-
PV-E0092 v. 7 Back 73DP-9ZZ17 PV-E0092 Ver. 7 Back 73DP-9ZZ17
ASME SECTION XI - REPAIR / REPLACEMENT Page or
- 1. Component ID I MDGBE04
- 2. Code Class ASME Secton III Class 3
- 3. Item
Description:
LUBE OILCOOLER
- 4. N-5 Data Package Number: I DG02-8
- 5. W.O. Number: 2609605
- 6. Original Construction Code Edition:
1974 Edition. Summer 1976 Addenda
- 7. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 8. Work
Description:
REPAIR BASE METAL WITH WELD BUILD UP
Report Number
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
WELD BUILD UP OF BASE MATERIAL REOUIRED DUE TO EXCEEDING MINIMUM WALL THICKNESS.
REPAIRED AREAS TO BE PROTECTED 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. Preservi pe/nspection Required:
--E-YES
,XNO Initiall Date 'f
'k If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
s YES 5 NO Initial Date 'Y °o C/
If required, include a step in the W.O. for ISI & ANII Inspection.
Date,9 q y'
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date component Initial Date
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Intal Dt_____
replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/P0/W0 No.
IMDGBE04 REV. COVER 4-500-19-215-001 9-20016-02-4
- 19. Planner Printed Name: Martin J. Sullivan wj~1 ~urc
)
Date
- 20. ISI
(,K
/ t/
Printed Name:
i2 L - /Ag Signature z1. ANII_
Printed Name:
f SL.
r Signatur Date rv.
Y D a
.t 7_3 dP4__.ZI_
PV-Lr73 Ve. I 73DP SZZ17
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Arizona Public Service Company, et. al.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant:
Palo Verde Nuclear Generating Station 5801 South Wintersburg Road.. Tonopah. Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 04/08/2004 Sheet:
I of 2 Unit: I Work Order Number 2609605 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: IMDGBE04 yr oygH
- 5. (a) Applicable Construction Code ASME Section 11
. Class 3 1974 Edition, Summer 1976 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 I
Y Y
Y Y
I Name of Item Name of Manufacture Manufacturer Serial No.
National Board No.
Other Identification Year Built Repaired or Replacement ASME Code Stamped (Yes or NO) f DG "B" lube oil American 9-20016-024
- IMDGBE04 4_7 Repaired YES cooler Standard 3MD BEO R pie
- 7. Description of Work: Weld build up of corroded base metal of the cooler reversing cover.
- 8. Test Conducted: Hydrostatic 5 Pneumatic 5]
NominalOperatingPressure § Exempt E3 N416-1 El 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 V/2 X 1 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.
I FORM NIS-2 (Back)
Remarks: WELD REPAIR OF BASE METAL ON THE REVERSING COVER W.O. # 2609605 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 12 --22,,U M
IlAt/
Expiration Date:
/4/
- 4iJ1, Date:
N/A Signed: jIL Owner or Owner's Vesignec, tite 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 _
_-t__-__
_,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section M.
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.
"spectors Signature Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Date:
w -
PV-E0092 Ver. 7 Back 73DP-9ZZ17 PV-E0092 Ver. 7 Back 73DP-9ZZ17
ASMIE SECTION XI - REPAIR / REPLACEMENT Page A
of r
- 1. Component ID IJSGEPSVO574
- 2. Code Class ASME Section III Class 2
- 3. Item
Description:
Main Stean Safety Valve: Dresser 6" 3707RAX-RT-25: 1315 psiz
- 4. N-5 Data Package Number: ISG01-6
- 5. W.O. Number: 2609622
- 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 main steam safety valve with reconditioned and tested spare.
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Not a 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:
Sec. III Cl 2. 1974 Edition Summer 1975 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 S NO Initial..
Date ________
If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
3 YES 0 NO Initial..
Date 3 -. 2PiX 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 L6 J. Date P Y component.
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date X Jo? P replacement items.
Item ID Part No.
Serial No.
Heat No.
MRIPO/NIO No.
IJSGEPSVO574 APN 45003638 BT-01680 N/A MR 7P53
- 19. Planner Q
,'dJt2Y Printed Name: David Goodlet Signature Date
- 20.
3SI f
Printed Name: R 'P IW7o7Ap Signature Date
- 21. ANII 14 Printed Name:
Signa(ire*
Date
?V.tEN3 V=, 7 7juP qazzl
F ASME SECTION XI - REPAIR / REPLACEMENT Page R
of 4
- 1. Component ID IJSGEPSV0561
- 2. Code Class ASME Section I1 Class 2
- 3. Item
Description:
Main Stean Safety Valve: Dresser 6" 3707RAX-RT-25: 1250 osig
- 4. N-5 Data Package Number: ISG02-6
- 5. W.O. Number: 2609622
- 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 main steam safety valve with reconditioned and tested 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 TWA - 4150:
Not a failure in the ASME III pressure boundary. Spare valve is a like-for-like replacement and is beinc replaced based upon thermography testing.
- 11. -Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 2. 1974 Edition Summer 1975 Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. ITT Cl 2. 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
a YES s
NO Initial H
Date./-
.. 2.
If required. include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
Z YES M NO Initial Date J- /-
9 If required, include a step in the WV.O. for ISI & ANII Inspection.
Initial D17.
Include a step in the W.O. to complete NIS-2 Form prior to releasing the Intal_
z
~Date component.
Initial
$ft
.Date 4-)
-C>/
- 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.
lMR1;V'POJW/NO No.
IJSGEPSVO561 APN 45003640 BS-08620 NIA iR i 53 9')
- 19. Planner 4.4 f 9St alf Printed Name: David Goodlet Signature Date
- 20. ISI Z7//I/O'f Printed Name:
4 A
t Signature Date
- 21. ANII i4 A4
- A-°0 Printed Name:
?
Signalie Date PV EL )3 V. 7
ASME SECTION XI - REPAIR / REPLACEMENT Page 3
of I. ComponentID IJSGEPSVO691
- 2. Code Class ASMESectionlllClass2
- 3. Item
Description:
MainSteanSafetyValve:Dresser 6" 3707RAX-RT-2-5:
1315psitz 4.N-SDataPackageNumber: ISG01-6
- 5. W.O.Number: 2609622
- 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 main steam safety valve with reconditioned and tested spare.
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Not a failure in the ASME III pressure boundary. Spare valve is a like-for-like replacement and is being replaced based upon thermographv testing.
11.. Repair/Replacement Ivork Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. liI Cl 2. 1974 Edition Summer 1975 Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. IlIl Cl 2. 1974 Edition 1975 \\\\'inter Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
El YES 3 NO Initial.&
Date f-}y-b If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
Z YES LI NO Initial Date 9-J 1
If required, include a step in the W.O. for ISI & ANII Inspection.
Initial
~
Date
-a,
- 17. Include a step in the WV.O. to complete NIS-2 Form prior to releasing the Iniia component.
Initial IZ; Date LI.NV 18r Include a step in the W.O. to record below all applicable numbers for repaired or Item ID Part No.
Serial No.
Heat No.
lIRJPOIWO No.
IJSGEPSVO691 APN 45003638 BS-OS583 N/A MR 8
- 19. Planner H
o 51'lL t zc Printed Name: David Goodlet Signature Date
- 20. ISI D Zt C
Y//Y/iOY Printed Name:
/4Z%.
H e'd Signature Date
- 21. ANII-t 4 1 PrintedName: RG 4 o6SC-'1 Signatur Date
.......-.. E V..
.L PV-Ut)9 V.r. 7 13)DP9Z I
- Ce
I ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID IJSGEPSVO573
- 2. Code Class ASMF Section 111 Class 2 3.- Item
Description:
Main Stean Safety Valve: Dresser 6" 3707RAX-RT-25: 1290 psig
- 4. N-5 Data Package Number: ISG01-6
- 5. W.O. Number: 2609622
- 6. Original Construction Code Edition:
1974 Edition, Summer 1975 Addenda
- 7. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 8. WVork
Description:
Replacement of main steam safety valve with reconditioned and tested spare.
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Not a failure in the ASME III pressure boundary. Spare valve is a like-for-like replacement and is being replaced based upon thermography testing.
11.. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 2. 1974 Edition Summer 1975 Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. III 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 7
Date
- d. /9Y-C'V If
- 16. ASME Section XI Pressure Test Required:
Initial Z
Date Q-JYiJ If required, include a step in the WV.O. to perform Preservice Inspection ER YES E NO required, include a step in the W.O. for ISI & ANII Inspection.
Initial
,D Date i -) 9 -aY
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date A.
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or i
Vreplacement items.
Item ID Part No.
Serial No.
Heat No.
MIR/PO/WNO No.
IJSGEPSVO573 APN 45003639 BT-01683 N/A MR
- 5 3 9 90
- 19. Planner
- Y-6./
Printed Name: David Goodlet Signature Date
- 20. IS!
eei-
^47t
~
'//Y"0' Printed Name:
414&to 4oc/
Signature Date
- 21. ANI H
4
'a Printed Name:
Signage Date.
PIV.ELAJN3 V.a. 7
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company. et. al.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 04/14/2004 Sheet:
I of 2 Unit: I Work Order Number 2609622 Type of Code Stamp None Authorization No.
N/A Expiration Date N/A P
- 4. Identification of System: SG - Main Steam
- 5. (a) Applicable Construction Code ASME Section III NC. Class 2 1974 Edition, Summer 1975 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No.
Board No.
Identification Built Replacement Codc Stamped (Yes or N O )
Safety Valve Dresser BT-01680 n/a IJSGEPSV574 1979 Replacement YES Safety Valve Dresser BS-08620 n/a IJSGEPSV561 1981 Replacement YES Safety Valve Dresser BS-08583 n/a IJSGE}'SV691 1978 Repla'cement YES Safety Valve Dresser BT-01683 n/a IJSGEPSV573 1979 Replacement YES
- 1.
.L __________
I I _____
.L _________
L
- 7. Description of Work: Replace four (4) Main Steam Safety Valves with reconditioned & tested spares.
- 8. Test Conducted: Hydrostatic El Pneumatic E Nominal Operating Pressure 3
Exempt a
N-416-1 0 Other f Pressure psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (I) size is S 1/2 X 11 inches, (2) information in items I thru 6 on this report is included on each sheet. and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: WO# 2609622 will be used to replaced four (4) main steam safety valves IJSGEPSVO574. 561. 691 & 573.
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:
Go d
Date:
5L7/L 7
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 HSIS CT of Hartford. Connecticut, have inspected the components described in this Owner's report during the period of
`A-t-o c to _
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 XI.
By signing this certificate, neither the Inspector nor his employer makes any warranty. expressed or implied.
concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Inspectors Signature Date:
-S-7-o-k Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements PV.E0092 Vet. 7 Back 73DP-9ZZI 7 PV-E0092 Vcr. 7 Back 73DP-9ZZ17
ASME SECTION XI - REPAIR / REPLACEMENT Page of'
- 1. Component ID IJRCEPVOIOOF 2.. Item
Description:
Pressurizer Sprav Control Valve
- 3. N-5 Data Package Number: IRCOI-19
- 4. W.O. Number: 2615478
- 5. Original Construction Code Edition:
1974 Edition. Summer 1976 Addenda
- 6. Original Installation CodeEdition:
1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Report Number:
9..Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No failure of ASME III pressure boundry. The stem needs to be replaced. Replacing the plug/stem assembly is an ALARA effort.
- 10. Repair/Replacement Work Organization:
Arizona Public Service B
- 11. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 1. 1974 Edition 1975-Wint~enda 5
7,6
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. IlII Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
El YES 0 NO Initial v
Date/,Z AL/3/.%3 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required:
Ea YES 0 NO Initial -6
/
Date Initial 16 /
Date
/;L/3/03
/ /3/3 If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
Initial it Date I
Dat
- 17. 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/POIWO No.
Plug/stem assy AORV-I 1
? a 7Z20L
/4q85 o
- 18. Plan9 n1 V/1 3
3Printed Name: Barbara Vidal Signature Date
1k/3 /t'3 Printed Name: R Signature Date
- 20. ANII
<G 42-a-03 Printed Name:
4 4 X z
Sig u
Date F-3 I
-7JLDP-YZZ17 Pi
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company. et. al.
P. 0. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road.. Tonopah. Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 12/03/2003 Sheet:
I of 2 Unit: I Work Order Number 2615478 Type of Code Stamp None Authorization No. N/A*
Expiration Date NIA
- 4. Identification of System: RC - Reactor Coolant System
- 5. (a) Applicable Construction Code ASME Section lII NB. Class 1 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 Identification Built Replacement Code No.
Stamped (Yes or N O )
Plug/stem assy Fisher AC8402-1 N/A 11RCEPV0100F 2003 Replacement YES
- 7. Description of Work: Replace plug/stem assembly
- 8. Test Conducted: Hydrostatic Ea Pneumatic E Nominal Operating Pressure El Exempt 0 N-416-1 El Other E Pressure _
psi TestTemperature _
IF 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)
- 9. Remarks: WO# 2615478 No failure of ASME III pressure boundry. The stem needs to be replaced. Replacing the plus/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: EEk
, CctFk\\t 9 rvCe-Date: 5 3/ ef 4 J
Owner or Owner's Designee, Title 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
. 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.
Vlaspectors Signature Date:
S-A(.ok Commissions: NB 9685 "N" "I" AZ264 National Board, State. Province, and Endorsements U-PV.E0092 Ver. 7 Back 73DP-97Z17 Rev 8 PV-E0092 Ver. 7 Back 73DP-9ZZ17 Rev 8
ASME SECTION XI - REPAIR / REPLACEMENT Page I
of I
- 1. Component ID 1PRCEV240 2.. Item
Description:
RCE-PV100E Inlet Isolation Valve
- 3. N-5 Data Package Number: IRC01-1
- 4. W.O. Number: 2626507
- 5. Original Construction Code Edition:
1974 Edition. Winter 1975 Addenda
- 6. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Replace Bonnet Retainer as part of maintenance.
Report Number:
9 Evaluiation of the suitabilitv of this work a ier the renuirements of rWA -4150:
No failure of ASME IET pressure boundry. The bonnet retainer needs to be replacedas t K 4 c
_F
+(6 10 Y
- 10. Repair/Replacement Work Organization:
Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition:
Sec. III C1 1 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
El YES 0 NO Initial
/
Date s.h/2k 7)/
If required, include a step in the W.O. to perform Preservice Insp,
- 15. ASME Sectiyn XI Pressure Test Required:
0 YES a
NO Initial
/
Date I//
Y' If required, include a step in the W.O. for ISI & ANII Inspection.
IDat '/zID
- 16. Include a step in the W.O. to complete NIS-2 Form prior to r Initial DateJ1L...
component.
ection eleasing the Initial Date
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or i6/LfdP-~*
replacement items.
Item ID Part No.
Serial No.
Heat No.
MRIPO/WO No.
Bonnet Retainer APN 45151392 b/f 3
1 S/Printed Name: Barbara Vidal
- 18. Planner Signt~UrC at
- 19. ISI
_/__/___1____
Printed Name:
?'
Signature Date
- 20. ANII
°
-6
-'fC-tL.-O Printed Name:
Signakk Date avow -e I
-JWeS
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company. et. al.
P. 0. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 4/16/2004 Sheet:
I of 2 Unit: I Work Order Number 2626507 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: RC
- 5. (a) Applicable Construction Code ASME Section III NB. Class 1 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 )
Bonnet Retainer Borg Warner X
T N 0.34 Ft 4
N/A IPRCEV240 2004 Replacement NO
- 7. Description of Work: Replacement of bonnet retainer as part of maintenance.
- 8. Test Conducted: Hydrostatic E Pneumatic El Nominal Operating Pressure 0 Exempt El N-416-1 0 Other a Pressure psi Test Temperature TF 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
I
[
FORM NIS-2 (Back)
- 9. Remarks: WO# 2626507. Replacement of bonnet retainer as part of routine maintenance.
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:
Owner or Owner's Designem Title Date:
_5/7_
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of __'_-_k__
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.
,-1,4.,C<j -,
Inspectors Signature Commissions: NB 9685 "Ny "I" AZ264 National Board. State, Province. and Endorsements TDate
£S-1-oq U. -
- /-E0092 Ver. 7 Back 73DP-917 Rev 8
, /-E0092 Ver. 7 Back 73DP-9ZZ17 Rev 8
ASME SECTION XI - REPAIR / REPLACEMENT Page _
of
- 1. Component ID 1MCHAX07
- 2. Code Class ASME Section III Class 2
- 3. Item
Description:
Charging nump pulsation dampner 4.N-5DataPackageNumber: ICH04-1
- 5. W.O. Number: 2656261
- 6. Original Construction Code Edition:
1977 Edition, Winter 1977 Addenda
- 7. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 8. Work
Description:
Weld build-up of scratches or prooves in the bore of the flange block caused during previous disassembly.
9.0 ISI Flaw NDE Method of Flaw Detection:
Report Number.
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Not a failure of the code pressure boundary.
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 2. 1977 Edition. 1977 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:
5 YES 0 NO Initial
^
Date.A7-120L.
If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
a YES 0D NO Initial.
L. Date
/b If required, include a step in the W.O. for ISI & ANII Inspection.
Date
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial acomponent.
InitialDate
/
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Item ID Part No.
Serial No.
Heat No.
MRIPO/WO No.
IMCHAX07 N/A 6125 NIA N/A
- 19. Planner
/;./O
-2b3 Printed Name: David Goodlet Signature Date
- 20. ISI CELL_
-&r 1/11/03 Printed Name:
A s
J Signature Date
- 21. ANII i i4.
a2-ag-o3 Printed Name:
Z4c~ r 6c.
Sigl~ture Date "V.EaN Vet I 73DP 9ZZI7
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl
- 1. Owner: Arizona Public Service Company, et. al.
P. 0. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant:
Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service 12/10/2003 Sheet:
1 of 2 Unit: I Work Order Number 2656261 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: CH: Charging and volumn control system
- 5. (a) Applicable Construction Code ASME Section In NC. Class 2 1977 Edition, Winter 1977 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 )
Flange Block Greer Hydraulics 6125 N/A IMCHAX07 1980 Repaired YES
- 7. Description of Work: Weld build-up of scratches or grooves in the bore of the flanpe block caused during previous disassembly.
- 8. Test Conducted: Hydrostatic 5 Pneumatic E]
Nominal Operating Pressure a Exempt Z N-416-1 0 Other 5 Pressure psi Test Temperature OF I
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 12 X 11 inches, (2) information in items 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# 2656261 for pulsation dampener. Weld repair to sciatches or grooves in flange block caused during previous disassembly.
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 Certificite of Authorization No.
N/A Expirati Signed:
AL 1,r-
/ S I s-As, Owner or Owner's Designee. Titcle on Date:
N/A D2 aEsL Date:
9-z)
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of _
to I-
,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Inspectors Signature Date:
Z c> A Commissions: NB 9685 "'N "I" AZ264 National Board, State, Province, and Endorsements I-PV-E0092 Ver. 7 Back 73DP-9fl17 PV-E0092 Ver. 7 Back 73DP-9ZZ17
ASME SECTION XI - REPAIR / REPLACEMENT Page '
of J
- 1. Component ID SIN: BT-01680
- 2. Code Class ASME Section HI Class 2
- 3. Item
Description:
Main Steam Safety Valve: Dresser - 6" 3707RAX-RT-25 1315 psig
- 4. N-5 Data Package Number: n/a
.5. W.O. Number: 2660178
- 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 & testing of spare valve. Code part replacement from other spare valves or from approved purchased spare parts based upon inspection results.
Report Number:
10.5Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No failure in the ASME Section III boundary. The disc will be replaced with preoxidized ASME SB637 OR ASTM B637 INCONEL X-750 material to enhance performance.
- 11. Repair/Replacement Work Organization:
NWS Technologies
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. m Cl 2. 1974 Edition Summer 1975 Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. HI Cl 2, 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
[:]-.YES 0 NO Initial 99:;Z.i.. Date / 5 1 V If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
Q YES 0 NO Initial J Date
/.5 - D If required, include a step in the W.O. for ISI & ANII Inspection.
Ii
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial,
Date cormponent.
Initial _
Date 1-54Y
- 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/POIWO No.
DISC Apn# 00064290 P C N/A PO# 500238999
- 19. Planner Y
-5ZOO PrintedName: David Goodlet Signature Date
- 20. ISI IP2Ot4 PrintedNarne:
?
Signature J
Date
- 21. ANI r
i&.
Printed Name:
a_
Signature Date rev en 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.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant:
Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by: NWS Technologies Date: 01/05/2004 Sheet:
I of 2 Unit: 1 Work Order Number 2660178 Type of Code Stamp None Authorization No.
N/A Expiration Date N/A 4.
5.
6.
Identification of System: SG - Main Steam (a) Applicable Construction Code ASME Section IIn 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 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 )
Disc Dresser ADG42 N/A IJSGEPSV574 2004 Replaced NO
- 7. Description of Work: Overhaul & testing of spare Main Steam Safety Valve S/N BT-0 1680
- 8. TestConducted: Hydrostatic E Pneumatic El Nominal Operating Pressure E Exempt 0 N-416-1 El Other Pressure psi Test Temperature 0F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 1I1 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: Work Order# 2660178 for off-site disassembly, inspection. reconditioning and testing of spare Main Steam Safety Valve: s/n# BT-01680. A new design Disc will be installed to enhance performance.
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: <TEn64.
-1C M dAeLte:
3 /3 t /
If
_ft
~
5-Al-k 0-1V tW Tf1AI 1
dwner or Owner's Designeeftile 7
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 IISB CT of Hartford. Connecticut, have inspected the components described in this Owner's report during the period of _
-_-_O__
to ik- '- 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.
-::?A4 &
Inspectors Signature Date:
A -
°o Commissions: NB 9685 "'N "I" AZ264 National Board. State, Province, and Endorsements I-V-E0092 Ver. 7 Back 73DP-97217 V-E0092 Ver. 7 Back 73DP-9ZZ17
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID IJRCEPSVO200 2.. Item
Description:
Pressurizer Safety Relief Valve
- 3. N-5 Data Package Number: IRC03-2
- 4. W.O. Number: 2660182
- 5. Original Construction Code Edition:
1974 Edition. Summer 1975 Addenda
- 6. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Valve rotation to perform offsite testing and rework per WO 2660182
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA -4150:
No failure of ASME pressure boundary. Valve is being rotated to perform testing. Replacement valve is SN BS08614 LwhV3) gf cc. a% b q G4-d v~-
- 10. Repair/Replacement Work Organization:
Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. m Cl 1. 1974 Edition. Summer 1975 Addenda
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
E YES 0
NO Initial 6
I Date 3/A v q/v Y If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required:
i
/-
I NO Initial Date 4
)z E/sY If required, include a step in the W.O. for ISI & ANx Inspection.
t 4 / /
- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Datesk)--y&9 component.
Initial
_Date 3I;/>
' 17. Include a step in the W.O. to record below all applicable numbers for repaired or anta DaeY
/
replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/PO/WO No.
IJRCEPSVO200 N/A BS-08614 N/A N/A Spring Assembly APN 00066798 96565-3 N/A MR 735255
- 18. Plankel rinted Name: Barbara Vidal
- 19. ISI __ __ __ __ __ __ __
PrintedName:
e Af Sigature J
Date
- 20. ANI 25-o9 PrintedName:
i.'
5 Signa ie Date V E0W3) V-, 7 73D-YZZ11 K"S
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.
P. 0. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road.. Tonopah, Arizona 85354-7529
- 3. Work Performed by: NWS Technologies Date: 03/25/2004 Sheet:
I of I Unit: I Work Order Number 2660182 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: RC
- 5. (a) Applicable Construction Code ASME Section III NB. Class 1 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 Y
I I
- 1 Name of Item Name of Manufacture Manufacturer Serial No.
National Board No.
Other Identification Year Built Repaired or Replacement ASME Code Stamped (Yes or NO)
Spring Dresser 96565-3 N/A IJRCEPSVO200 2004 Replacement No
- 7. Description of Work: Valve rotation to perform offsitetesting and reworkperW.O. 2660182
- 8. TestConducted: Hydrostatic E Pneumatic a Nominal Operating Pressure Q Exempt ED N416-1 El Other E Pressure psi Test Temperature F
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 1 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. RemarksW.O. 2660182. Valve rotation to perform offsite testing and rework as part of routine maintenance.
Valve s/n BS08614.
I.Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of Authorization No.
N/A Expiration Date:
N/A Sign e d: qW
, &-t, 6
t,I N9 MW f:
l e#11) ate: 3 9& 5 1) 4 Oner or Owner's Dcsignee, Tide
/
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-2S-__
to a-zs-.
. and state thatto the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section X.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
-5714--.,j 4-1 Inspectors Signature Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Date:
3 2S-oq U-V-E0092 Ver. 7 Back 73DP-9ZZ17 Rev8
-V-E0092 Vcr. 7 Back 73DP-9ZZ17 Rev 8
ASIDE SECTION XI-REPAIR / REPLACEMENT Page of
- 1. ComponentID IJSIBUVO616 2.. Item
Description:
2 INCH Y GLOBE VALVE (BORG WARNER)
- 3. N-5 Data Package Number: IRC01-5
- 4. W.O. Number: 2663388
- 5. Original Construction Code Edition:
1974 Edition. Winter 1975 Addenda
- 6. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
DISSASSEMBLE VALVE. INSPECT INTERNALS FOR CAUSE OF SEAT LEAKAGE. POSSIBLE STEM & DICK REPLACEMENT
Report Number.
- 9. EvIaluation of the suitability of this work as per the requirements of IWA - 4150:
SEAT LEAKAGE: NO FAILURE IN ASME PRESSURE RETAINING BOUNDARY
- 10. Repair/Replacement Work Organization:
Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 2. 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. III Cl 2. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
[] YES 0 NO Initial./A (n
_ Date f1?3/0!4Z.
If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section Xl Pressure Test Required:
El YES 0 NO Initial,Q.
Date If required, include a step in the W.O. for 1SI & ANII Inspection.
X1at e 3
- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial ace Date 3component.
6'i
/
- 17. 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.
lMR/PO/WO No.
- 18. Planner WE,
/
D Printed Name: C'. OS hA hepSO JiS Signantre e
- 19. ISI 7
Printed Name:
9 P-4 g
Signature UDate
- 20. ANII.3 GlzZ
-2'i Printed Namne:Q&
6.
lSi Date A
ant U_
I1 K _
rVv-LQ3 v=..;
"LW-YsZ1 by-
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: 03/24/04 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet:
I of 2
- 2. Plant Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road.. Tonopah. Arizona 85354-7529 Work Order Number 2663388
- 3. Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: ST
- 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)
- 7. Description of Workl DISASSEMBLE VALVE, INSPECT INTERNALS FOR CAUSE OF SEAT LEAKAGE.
LAPPED AND POLISHED SEATING SURFACES, REPERFORMED BONNET SEAL WELD
- 8. Test Conducted: Hydrostatic a Pneumatic El Nominal Operating Pressure El Exempt 3
N-416-1 El 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 12X 1 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.
I FORM NIS-2 (Back)
). Remarks: wo 2663388. disassembled valve. lapped and polished seating surfaces.(no parts replaced) reperformed l
Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section X.
Type Code Symbol Stamp N/A Certificate of Authorization No.
Signed:_
N/AN Expiration Date:
N/A Date:
^
Owner Dwncr's Decifm Mtle 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 A-2A-0-,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Inspectors Signature Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorserents Date:
U-rV.E0092 Ver. 7 Back 73DP-9ZZ17 Rev 8 riV-E0092 Ver. 7 Back 73DP-9ZZ17 Rev S
ASME SECTION XI - REPAIR / REPLACEMENT Page l
of I
- 1. Component ID IPSIAV056
- 3. Item
Description:
"A" Train HPSI Header Drain Valve
- 4. N-5 Data Package Number: 1RC01-IC
- 5. W.O. Number: 2669420
- 6. Original Construction Code Edition:
1974 Edition. Winter 1975 Addenda
- 7. Original Installation Code Edition:
1974 Edition, Winter 1975 Addenda
- 8. Work
Description:
Replace the valve and piping.
9.- l ISI Flaw NDE Method of Flaw Detection:
Repoctlumr.
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
c_ Visa 4.
1kce)eh LAeutr~ ByW z-4 r'ei a
wae\\
hY1Kc?1.W tw awl'
~
~
4J.'~9~- 'q ft ~
I l
w-roe l'c 1oc4,--7zC,4 5vt-raAv-ckpot/
-,,I/b
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
a YES 3 NO Initial LLL.
J 7
Date If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
El YES 2 NO Initial.
L.o. Date St If required, include a step in the W.O. for ISI & ANII Inspection.
Date *,-
y
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the' Initial _ Ad.
Date component.
nD/
X C(
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initia]-y2 Date -.) - ^'
replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/POIWO No.
Valve APN 45000244 E489R-1-3 N/A MR 8292SQ_
Pipe APN 43510515 N/A 449272 MR 829200 Flange APN 43580811 N/A 187WNE
-MR 829200
- 19. Planner
%7Printed Name: James I. Davis gn at Date
- 20. ISI 4/o Printed Name:
?-
A s.
'F' Signature Date 2 1. ANI l--o Printed Name :
Sigqture Date PV.E1"03 Vat. 7 73DP.9Z7 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.
P. 0. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersbura Road.. Tonopah. Arizona 85354-7529
~ ~.
- 3. Work Performed by: Arizona Public Service Co.
5801 S. Wintersburg Rd., Tonopah. Az 85354-7529 Date: 02/06/04 Sheet:
I of 2 Unit: 1 Work Order Number 2669420 Type of Code Stamp None Authorization No.
N/A Expiration Date N/A
- 4. Identification of System: Safety Injection
- 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
_N O )
Valve Flowserve E489R-1-3 N/A lPSIAV056 2001 Replacement Yes,
es Pipe N/A N/A N/A IPSIAL248 2004 Replacement No Flange N/A NIA N/A IPSIAL248 2004 Replacemernt No
- 7. Description of Work: Replace the valve and piping, and modified existing socket welds on this drain line to give 2 to I taper.
- 8. Test Conducted: Hydrostatic a Pneumatic N
Nominal Operating Pressure E Exempt 0 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 1 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 2669420 replaced valve IPSIAV056 and the associated piping due to a leak the valve inlet.
ft 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 MNA Certificate of Authorization No.
N/A Expiration Date:
N/A Signed:
l f) a il 7J'£lh
.Date: 2-G - 04.
'J Owner or Owner's Dmtgnee, Title L--
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
.2-
-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.
Inspectors Signature Date:
Z- -° Ad Commissions: NB 9685 "'N "I" AZ264 National Board, State. Province, and Endorsements M
PV-E0092 Ver. 7 Back 7.,DP-9l7 PV-E0092 Vcr. 7 Back 73DP-9ZZ17
ASME SECTION Xi - REPAIR/REPLACEMENT Page.Lof
- 1. Component ID lPSIEV247
- 2. Code Class 1
- 3. Item Description SIT 1B Discharge Check Valve to RC Loop 1B
- 4. N-5 Package Number IRC01-IC
- 5. W.O. Number 2685285
- 6. Original Construction Code Edition 1974 Edition, Winter 1975 Addenda
- 7. Original Installation Code Edition 1974 Edition, Winter 1975 Addenda
- 8. Work Description Replace valve parts as needed to correct seat leakage and binding.
- 10. Evaluation of the suitability of this work as per the requirements of IWA-4150.
No structural failure within the ASME boundary. Replacement is to correct seat leakage and binding.
- 11. Repair/Replacement Work Organization Arizona Public Service Co.
- 12. Replacement Item Construction or reconciled Code/Edition 1974 Edition, Winter 1975 Addenda
- 13. Repair/Replacement Activity Construction Code/Edition 1974 Edition, Winter 1975 Addenda
- 14. ASME Section Xl Code/Edition 1992 Edition, 1992 Addenda
- 15. Preservice Inspection Required.
0 YES Ei NO j>4
.$ ^.Wo'(
If required, Include a step in the W.O. to perform Preservice Inspection.
Initial Date
- 16. ASME Section Xl Pressure Test Required El YES ID NO 3-.S/O Y If required, include a step in the W.O. for ISI & ANII Inspection.
Initial Date
.T 3 -0Y117. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
Initial Date
.. g..o~
3 V-6 St 18. Include a step In the W.O. to record below all applicable numbers for replacement Items.
Inital Date ITEM I.D.
PART NO.
SERIAL NO.
HEAT NO.
M RO NO sts l 5 13 1
7 -
0 I
34 2 0I 317 VI
- 19. Planner.-
3 C)-i)
Print Name James I. Davis Slgna Date
- 20. ISI Engineer 3
5'(
0 Print Name Ra makant P. Indap Signatu e Date
- 21. ANII
'ikG d
.r..
Print Name Robert G. Hogstrom Si
\\
7gnature Date PV E0093 Vrer. 7 730P49Z17
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.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant:
Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Date: 04/21/2004 Sheet:
I of 2 Unit: I Work Order Number 2685285 Type of Code Stamp None Authorization No.
N/A Expiration Date N/A
- 3. Work Performed by: Arizona Public Service
- 4. Identification of System: Safety Iniection (SI)
- 5. (a) Applicable Construction Code ASME Section III NB. Class 1 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 Sta mped (Yes or
_N O )
Valve Borg Warner 26222 N/A IPSIEV247 1977 Repaired YES Disc Assy Borg Warner 211972-1 N/A IPSIEV247 2004 Replacement NO
- 7. Description of Work: Replace the Disc assembly to to correct leakage and binding.
- 8. Test Conducted: Hydrostatic E Pneumatic E Nominal dperating Pressure E Exempt s
N416-1 E 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 I I inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
_1,
^
CCI 1v.
AP_
-^
t A
ii J
e I2 fl-.t
- n. Dn,
r o
- 1.
I
-1 1-1 1-1.
-Y I -4 I I.
-slllh> rev
- r-o r
1-~us tilt IW.aw-ll
- u-
-uzo
- --t
---~a~ _-uu~u
- -. a s
ft 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: _Bok GROWn o'er -
w
~i/
/
Date:
Owner wner'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
_5-8-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.
Inspetors Signature Date:
S-8-oi Commissions: NB 9685 "NM "I" AZ264 National Board, State. Province. and Endorsements V.E0092 v. 7 Back 73DP-9ZZ17 Rev S V-E0092 Ver. 7 Back 73DP-9ZZ17 Rev 8
ASME SECTION XI-REPAIR / REPLACEMENT Page of
- 1. Component ID IJRCBHV-109 2.. Item
Description:
PRESSURIZER VENT VALVE TO RDT
- 3. N-5 Data Package Number: IRC03 -2
- 4. W.O. Number: 2686607
- 5. Original Construction Code Edition:
1977 Edition. Winter 1978 Addenda
- 6. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Replace internal parts to correct seat leakage.
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
ALL PPCsvse S S nV oy g
ur,-
4t ors Lk K
kwr~
etple g>0 6t
- 10. Repair/Replacement Work Organization:
Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl. 1, 1989 Edition No Addenda
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. m CI 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
l YES O NO Initial jZ'-r)
Date %42
/6 <
If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section X Pressure Test Required:
El YES 0 NO Initial Date Y15110'y If required, include a step in the W.O. for ISI & ANII Inspection.
I a De
- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the lnitial.,r4d (
Date qlflln IV component.
Initial,
Date
- 17. Include a step in the W.O. to record beloNv all applicable numbers for repaired or n Z,/.
T replacement items.
Item ID Part No.
Serial No.
Heat No.
lNM O/WO No.
Main Disc APN 00055319 T
V3 N/A
- 18. Planner Printed Name:
0S t-)
J tU 6DS Ox Se A
Dat
- 19. ISI _/__
Printed Name:
z
- LF Signature iate
- 20. ANII t'Z5
'id4 Printed Name:
. G Signature Date P....3 V. -
731-
.I.
EPV-esO9 V.. J Mr1-WZ4
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.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 04/21/2004 Sheet:
I of 2 Unit: I Work Order Number 2686607 Type of Code Stamp None Authorization No. N/A Expiration Date N/A 4.
5.
6.
Identification of System: RC ASME Section III Class I (a) Applicable Construction Code ASME Section III NB. Class 1 1974 Edition, Winter 1975 Addenda, Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda Identification of Components Repaired or Replaced and Replacement Components I
I Y
Y Name of Item Name of Manufacture Manufacturer Serial No.
National Board No.
Other Identification Year Built Repaired or Replacement ASME Code Stamped (Yes or NO)
Main Disc Target Rock 203 N/A IJRCBHV109 2002 Replacement YES
- 7. Description of Work: Replace valve internals to correct seat leakage.
- 8. Test Conducted: Hydrostatic [
Pneumatic a Nominal Operating Pressure E]
Exempt Z N-416-1 0 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 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)
Remarks: Replacement of main disc. WO# 2686607.
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.
Signed:
(/?>/-
rl-90,D93411-Y/
[/A Expiration Date:
N/A
/s 5/< D; Date:
-eW In Oener or Owner's Designee Tide 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
<-a,-_o.
to e-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.
Inspecirs signature Commissions: NB 9685 '"N "I" AZ264 National Board, State, Province, and Endorsements Date:
-E0092 Ver. 7 Back 73DP-9ZZ17
-E0092 Ver. 7 Back 73DP-9ZZ17
ASME SECTION XI - REPAIR / REPLACEMENT Page l
of
- 1. ComponentID IMEWBE01 2.. Item
Description:
ESSENTIAL COOLING WATER HEAT EXCHANGER
- 3. N-5 Data Package Number: IEW02-1
- 4. W.O. Number: 2687856
- 5. Original Construction Code Edition:
1974 Edition. Winter 1975 Addenda
- 6. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Perform base material weld repairs on the Channel Heads and Channel Head Covers of the Essential Cooling, Water (EW) Heat exchanger, as identified bv Engineering.
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
ENGINEERING INSPECTION DETERMINED WELD REPAIRS REOUIRED PRIOR TO RE-COATING. THERE WAS NO FAILURE OF THE PRESSURE BOUNDARY.
- 10. Repair/Replacement Work Organization:
Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 3. 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. Hi Cl 3. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
a YES 0 NO Initial Date 4X /6A If required, include a step in the W.O. to perform Preservice Inspection
- 15. AS Section XI Pressure Test Required:
0D YES Dl NO Initial 7
Date If required, include a step in the W.O. for ISI & ANII Inspection.
'IA L /16.
Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date component.
/JIA JLL A
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial
/
Date H
replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/POIWO No.
IMEWBEOI N/A N/A N/A N/A
- 18. Planner Z
Printed Name: Herbert Green
- 19. ISI
/- /_//
Printed Name:
Robert Browning Signature Date I420.
ANII 4-ot Printed Name: _Robert Hogstrom Signrqe Date 1Jur-......KC..
=. I ljur-"7
~
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company. et. al.
P. 0. Box'53999. Phoenix Arizona 85072-2034
- 2. Plant:
Palo Verde Nuclear Generating Station 5801 South Wintersburg Road.. Tonopah. Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service
- Date: 04/09/2004 Sheet:
1 of 2
- Unit: I Work Order Number 2687856 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: Essential Cooling Water (EW)
- 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 N O )
EW Heat Struther Wells 17606329132 14441 JMEWBEOI 1978 Repaired YES Exchanger Corporation
- 7. Description of Work: Perform base material weld repairs on the Channel Heads and Channel Head Covers of the Essential Cooling Water (EW) Heat exchanger, as identified bv Engineering.
- 8. Test Conducted: Hydrostatic ED Pneumatic a Nominal Operating Pressure 0 Exempt El NA416-1 0l Other Ea Pressure psi Test Temperature OF I
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X I 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:
I Q.0 A-
-I -%E &5 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.
Signene N/A Expiration Date:
N/A Date: {-/6-oy 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
-L-tC -ox
. and state that to the best of my knowledge.and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Inspectors Signature Commissions: NB 9685 'IN" "I" AZ264 National Board, State, Province, and Endorsements Date:
I-
.'V-E0092 ver. 7 Back 73DP-9ZZ17 Rev S
.'V-E0092 Ver. 7 Back 73DP-9ZZ17 Rey 8
ASME SECTION XI - REPAIR / REPLACEMENT Page ofi
- 1. Component ID IJRCEPSVO203 2.. Item
Description:
Pressurizer Relief Valves
- 3. N-5 Data Package Number: IRC03-2 & 3RC03-3
- 4. W.O. Number: 2689459
- 5. Original Construction Code Edition:
1974 Edition, Summer 1975 Addenda
- 6. Original Installation Code Edition:
- 1971 EdiLtion. WXiter 1973 Addznda EJ
.Z1tO-'t.
t'.4%.
v vs LA Jvt
- 7. Work
Description:
Cut off Capped PSV Leak Off Line and Weld New Cap on the Shortened Line
N/A
- 9. Evaluation of the suitability of this work as per the requirements of IWA -4150:
No Failure of the ASME Sec III Code Boundrv
- 10. Repair/Replacement Work Organization:
Arizona Public Service I 1. Replacement Items Construction or reconciled Code/Edition:
Sec.111 Cl I. 1974 Edition 1975 Summer Addenda
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
E] YES 0 NO Initial 5
Date
' (Zb 1 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required:
El YES 0 NO Initial Ii$
Date t/z01oY If required, include a step in the W.O. for ISI & ANII Inspection.
i D16.
Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial ki t, Date 4VzaoY component.
i D17.
Include a step in the W.O. to record below all applicable numbers for repaired or Initial WS Date Y/replacement items..
Item ID Part No.
Serial No.
Heat No.
lMR/PO/WO No.
IJRCEPSVO203 N/A BS08567 N/A N/A 1/2" Pipe Cap APN 43550865
.VIA
__l
_Adz/
___MR 850639
- 18. Planner AQ Date Siga9.1
- 19. ISI A,
a
/Date
,V-12TIC74 Printed Name: Karl V. Savage Printed Name: ADOS)MD Signature t
IA2 4
DG o
6-rt II 11 H4
-2ass Printed Name:
R.& 4 4STg.o'K4 I 20. AN Sighjrc aroo5~l-ads~
&-Date tz-o
?V.AXrI3 Vif. 2 73DP.ZLfl
PV-EAM Va. 7 73DP-ZY'17 Pwvg
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 04126/2004 V
Sheet:
I of 2 Unit: I Work Order Number 2689459 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: RC Reactor Coolant
- 5. (a) Applicable Construction Code ASME Section 11,Div I Classl 1974 Edition, S'75 Addenda, 1711 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 Item Name of Manufacture Manufacturer Serial No.
National Board No.
Other Identification Year Built Repaired or Replacement ASME Code Stamped (Yes or NO)
IJRCEPSVO203 Dresser f
BS08567 N/A 1 11978 1 Repaired YES
- 7. Description of Work: Cut Off Capped Leak Off Line and Installed New Cap on the shortened Leak Off Line.
- 8. Test Conducted: Hydrostatic El Pneumatic E Nominal Operating Pressure a
Exempt Z 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 1/2 X I I inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
Remarks: Work Order 2689459: Cut Off Capped Leak Off Line and Installed New Cap on the Shortened Leak Off Line.
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:qa6~?9",Co-nsdkV(-~s) trqII ]
%sL'e~c Date: 4/;7/04 I
Owner or Owner's Designee, Tztle J
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 t-t2-c-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 XM 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.
p ztSg Inspectors Signature Commissions: NB 9685 '"N" "I" AZ264 National Board, State, Province, and Endorsements Date:
r i.EOO92 Ver. 7 Back 73DP-9ZZ17 RevS
. %,-E0092 Ver. 7 Back 73DP-9ZZ17 Rev 8
ASME SECTION XI - REPAIR / REPLACEMENT Page ____of
- 1. Component ID IS1248H00A
- 3. Item
Description:
Pipe support for "A" Train HPSI Header lDrain Valve IPSIAV056
- 4. N-S Data Package Number: IRC01-IC
- 5. W.O. Number: 2691334
- 6. Original Construction Code Edition:
1971 Edition, Winter 1973 Addenda
- 7. Original Installation Code Edition:
1971 Edition. Winter 1973 Addenda
- 8. Work
Description:
Repair the hanner per DFVO 2691331.
Report Number:
O,,Eyata1utinn of the suit...il.ty...
his oka q
uirements of TWA - 4150:
The broken portion of the hanger was removed per DFWO 2691331. Replacement or reinstallation. if required. will be performed after Engineering Root Cause Analysis.
- 11. Repair/Replacement Work Organization:
Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. Ill NF Cl 1, 1974 Edition Winter 1975 Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. III NF Cl 1. 1974 Edition Winter 1974 Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. PreserviceInspection Required:
El YES 0 NO Initial
-- Date 3?/Yo (
If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
E YES 0 NO Initial I.
J Date g - /9f L/
If required, include a step in the W.O. for ISI & ANII Inspection.
Iniia
- 17. Include a step in the WV.O. to complete NIS-2 Form prior to releasing the Initial
.r...... Date component.
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial -I-, /.
Date
?-/9-6 replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/PO/WO No.
- 19. Planner Printed Name: James 1. Davis Signature Date
- 20. ISI Sintr ae PrintedName: Ad, /XJ,6jif/ v e
Etr
- 21. ANI PrintedName:
2,f/065tO20'i Et'
° 0
Signature Date 3
IvJve 73DP~~c I1
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: 03/19/2004 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet:
I of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2691334
._V.Wark-Pcrto zued by; ATiza rIuitcService
-ype ot code Stamp None Authorization No. N/A Expiration Date N/A I
- 4. Identification of System: Safety Injection
- 5. (a) Applicable Construction Code ASME Section III NF. Class 1 1971 Edition, Winter 1973 Addenda, (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Code Case Name of Name of Manufacturer National Other Year Repaired or ASME 1
Item Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or l_
_ ;NO)
Pipe Hanger N/A N/A N/A 1S1248H100A
,J.
Repaired NO
- 7. Description of Work: Repair the hanger per DFWO 2691331.
- 8. Test Conducted: Hydrostatic D Pneumatic !Z Nominal Operating Pressure E Exempt 3
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 1/22 X 1I1 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 2691334 removed the ciamp portions of the hanger per DFWO 2691331.
.I 1
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.
NIA Expiration Date:
N/A Signed:
Gk 4
, xS 'At R Le i
Late:
-3 L,0°4 Orvncr or Owner's Desigti4.Title -
L-/
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 _
-24_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.
Inspectors Signature Commissions: NB 9685 '"I "I" AZ264 National Board, State. Province, and Endorsements Date:
V-E0092 ver. 7 Back 73DP-9ZZ17 E0092 Ver. 7 Back 73DP-9ZZ17
ASME SECTION XI - REPAIR / REPLACEMENT Page
.of
- 1. Component ID IJCHNPSVO345
- 2. Code Class ASME Section III Class 2
- 3. Item
Description:
Crosby relief valve 4.N-SDataPackageNumber: ICH13-1
- 5. W.O. Number: 2694617
- 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 install spare. existing valve lifted mulitiple times during plant shutdown.
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 muliple actuations during plant shutdown..
- 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. III Cl 2. 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
a YES Z NO Initial 1bM Date V-4 'Z if
.16.
ASME Section XI Pressure Test Required:
X initial 7
Date Y Y=
If frequired, include a step in the W.O. to perform Preservice Inspection YES l NO frequired, include a step in the W.O. for ISI & ANII Inspection.
I17.
Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial t
Date 8LLOX component.
Initial D
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date
-L Y
replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/POJWO No.
IJCHNPSVO345 APN 45000476 NPiie--i-"
nla WO ;
- 19. Planner Printed Name: David Goodlet Signature Date
- 20. ISI V 4'/C Y Printed Name:
A/Ao-t.Se ou, Signature Date
- 1. ANII _44O'4 Printed Name:
R.6c -
lOTo l Signatq Date rea-l vr
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al.
P. 0. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 04/06/2004 Sheet:
I of 2 Unit: I Work Order Number 2694617 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 HII NC. Class 2 1974 Edition, Summer 1976 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 Y
.Y
.T Y
T
-1 Name of Item Name of Manufacture Manufacturer Serial No.
National Board No.
Other Identification Year Built Repaired or Replacement ASME Code Stamped (Yes or NO)
Valve Crosby N61180.00-n/a IJCHNPSV-1984 Replacement YES 0005 0345
- 7. Description of Work: Installed spare valve due to e xisting valve lifting multiple times during plant shutdown.
- 8. Test Conducted: Hydrostatic E]
Pneumatic Q Nominal Operating Pressure,
Exempt f N-416-1 0 Other El Pressure psi Test Temperature cF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 t/2 X 1 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.
II FORM NIS-2 (Back)
.". Remarks: Valve lJCHNPSVO345 was replaced with spare iinder.wo# 2694617 due to existing valve lifting multiple times during plant shutdown.
Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.
Type Code Symbol Stamp Certificate of Authorization No.
N/A Expiration Date:
N/A Signed:
Owner or Owner's Designee. Title e
Date:
5/14/
'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 ______
, 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 warrantyiexpressed 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 L
.vectors Signature Date:
s-t-ok Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province. and Endorsements PV.E0092 Ver. 7 Back 73.Vn97. 1'7.
ASME SECTION XI - REPAIR / REPLACEMENT Page of _
I 1. Component ID SIN: BS-08583
- 2. Code Class ASME Section III Class 2
- 3. Item
Description:
Main Steam Safety Valve: Dresser - 6" 3707RAX-RT-25 1315 psie
- 4. N-S Data Package Number: n/a
- 5. W.O. Number: 2694975
- 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 & testing of spare valve. Code part replacement from other spare valves or from approved purchased spare parts based upon inspection results.
Report Number:
- 10. Evaluation of the'suitability of this work as per the requirements of IWA - 4150:
No failure in the ASME Section m boundary. The disc will be replaced with preoxidized ASME SB637 OR ASTM B637 INCONEL X-750 material to enhance performance.
- 11. Repair/Replacement Work Organization:
NWS Technologies
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 2. 1974 Edition Summer 1975 Addenda
- 13. Repair/Replacement Activity Construction CodeiEdition:
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 4
Date
/-/Y D,
If required, include a step in the W.O. to perform Preservice Inspection
- .16. ASME Section XI Pressure Test Required:
C YES 0 NO Initial Date y,
1 If required, include a step in the W.O. for ISI & ANII Inspection.
Initial B
Date 5
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial 7
Date
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or replacement items.
Item ID Part No.
Serial No.
Heat No.
MRIPO/WO No.
DISC Apn# 00064290 ADG-48 N/A PO# 500238999
- 19. Planner
- Y-J Printed Name: David Goodlet Signature Date 20 7L.2u/
Printed Name:
727B ignatureDae Printed Name:
l21. ANI 4-2o-oa:
LSigoure Date PrndNae PV.UXQ91 Vo. I 7.19>V9ZZ1-7
ASME SECTION XI - REPAIR / REPLACEMENT Page of I 1. Component ID SIN: BS-08620
-2. Code Class ASME Section III Class 2
- 3. Item
Description:
Main Steam Safety Valve: Dresser-6".3707RAX-RT-25 1250 psig
- 4. N-5 Data Package Number: n/a
- 5. W.O. Number: 2694975
- 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 & testing of spare valve. Code part replacement from other spare valves or from approved purchased spare parts based upon inspection results.
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No failure in the ASME Section III boundary. The disc will be replaced with preoxidized ASME SB637 OR ASTM B637 INCONEL X-750 material to enhance performance.
- 11. Repair/Replacement Work Organization:
NWS Technologies
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 2. 1974 Edition Summer 1975 Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. 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 7
Date 9s) 7 fig If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
5 YES 0 NO Initial. 7.LZ Date LJ./2.
a Initial
- s.
Date jb.2 Date Initial I
Date 'Z,/ 5-by If required, include a step in the W.O. for ISI & ANII Inspection.
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or replacement items.
Item ID Part No.
Serial No.
l Heat No.
MR1POJWO No.
DISC Apn#00064290 ADG-45 N/A PO# 500238999
- 19. Planner Printed Name: David Goodlet Signature Date
- 20. ISI (049 l1/fr Printed Name:
R {
3NctA Signature I
Date
- 21. ANII t
'b*2Ad Printed Name:
R&*
LsIoi Signa e
Date PV-EUMJ VWr. 7 73DP iZZI 7
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID SIN: BT-01683
- 2. Code Class ASME Section Ill Class 2
- 3. Item
Description:
Main Steam Safetv Valve: Dresser-6" 3707RAX-RT-25 1290 psig
- 4. N-S Data Package Number: n/a
- 5. W.O. Number: 2694975
- 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 & testing of spare valve. Code part replacement from other spare valves or from approved purchased spare parts based upon inspection results.
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No failure in the ASME Section III boundary. The disc will be replaced with preoxidized ASME SB637 OR ASTM B637 INCONEL X-750 material to enhance performance. The spindle was replaced due to walling.
- 11. Repair/Replacement Work Organization:
NWS Technologies
- 12. Replacement Items Construction or reconciled Code/Edition:
Sec. III Cl 2. 1974 Edition Summer 1975 Addenda
- 13. Repair/Replacement Activity Construction Code/Edition:
Sec. IIn Cl 2. 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required:
5 YES 0 NO Initial P
Date V-19"Y
- 16. ASME Section XI Pressure Test Requirei Initial DaeH
. Date,-b Initial.J Date Y-J5-kY Initial
^
L Date __-/____
If required, include a step in the W.O. to perform Preservice Inspection 1:
E YES Z NO If required, include a step in the W.O. for ISI & ANII Inspection.
- 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or replacement items.
Item ID Part No.
Serial No.
Heat No.
l MRPO/WO No.
DISC Apn# 00064290 ADG-46 N/A PO# 500238999 Spindle Apn#
45560003 A19374 PO# 33207018
- 19. Planner VW:!g 5
Printed Name: David Goodlet Signature Date
- 20. ISI ___
_41_
Printed Name:
- i
) ?.
Signature Date l 21. ANII Q
h aoz Printed Name:
Q? 6i6W S
Signawuic Date
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company. et. al.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant:
Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by: NWS Technologies Date: 04/19/2004 Sheet:
I of 2 Unit: I Work Order Number 2694975 Type of Code Stamp None
. Authorization No.
N/A Expiration Date N/A
- 4. Identification of System: SG -Main Steam
- 5. (a) Applicable Construction Code ASME Section III NC. Class 2 1974 Edition. Summer 1975 Addenda.
Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Item Name of Manufacture Manufacturer Serial No.
National Board No.
Other Identification Year Built Repaired or Replacement ASME Code Stamped (Yes or NO)
Disc Dresser ADG-48 N/A BS-08583 2004 Replaced NO Disc Dresser ADG45 N/A BS-08620 2004 Replaced NO Disc Dresser ADG46 N/A BT-01683 2004 Replaced NO Spindle Dresser N/A BT-01683 2004 Replaced NO
- 7. Description of Work: Overhaul & testing of spare Main Steam Safety Valves
- 8. Test Conducted: Hydrostatic a Pneumatic 5 Nominal Operating Pressure 5 Exempt 0 N-416-1 D Other a Pressure psi Test Temperature
'F
.SOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 1I1 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: Work Order# 2694975 for off-site disassembly. inspection, reconditioning and testing of spare Main Steam Safety Valves: s/n# BT-01683, BS-08620 & BS-08583. A new design Disc will be installed to enhance performance. A spindle was replaced due to galling.
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.4h71eZ&,
GnltJfyl!S r tqt CDate:
.14v8/D J
owner or uwners DeCSignCC, I LUe 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 _
_20-__\\
to q-23-0
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
, %5 ii, 4, Commissions: NB 9685 "N" "I" AZ264 National Board. State, Province, and Endorsements Q
Inspectors Signature Date:
,A-A5-0-1
.iOO92Vcr.7 Back 73DP-9ZZ17 iM02 Ver. 7 Back 73DP-9ZZ1 7
ASME SECTION XI - REPAIR / REPLACEMENT Page of I
- 1. Component ID IPSIAV056/IPSIAL248 2.. Item
Description:
"A" Train HPSI Header Drain Valve 3.N-5DataPackageNumber: IRCOI-IC
- 4. W.O.Number: 2695338
- 5. Original Construction Code Edition:
Section HII CII, 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: Section III Cl,1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
See Item 9 for Work Description.
Report Number.
- 9. evaluation of the suitability of this work as per the requirements of IWA -4150:
- 1. 2:1 Taper being added to existinn welds per EDC# 2004-00324.2. Line with drain valve IPSIAV056 is being shortened pertheEDC. 3.Rentying Sabbe, iST245H00L.
em 3
EVALUATION - These changes being made in response to the fatigue failure of the upstream weld on I PSIAVO56. More details per Eng-DM 2692447, EDC# 2004-00324..
- 10. Repair/Replacement Work Organization:
Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition:
Sec III CL, 1974 Edition, Winter 1975 Addenda
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
D YES NO Initial
) 5 Date Y 4/l.b/° If required; include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required:
D YES 0 NO Initial Date If required, include a step in the W.O. for ISI & ANII Inspection.
/J
/
- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial t..r.
Date
't(b c
component.
Initial tbx)
Date ttlep Go Y
- 17. 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.
MIR/PO/WO No.
- 18. Planner Q
C4 S-.-
q41(eZ Printed Name: Karl V. Savage Signature Date
- 19. Is1 Printed Name:
4 i>'
$ 2A Signature V
Date
- 20. ANII _
atu 4
e D
Printed Name:
iE 6c 4 o e
D.S
- u.
.a e
MEANxis Vff. 7 73D?-9Z'17 lFvS
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
'1. Owner: Arizona Public Service Company, et. al.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 04/30/2004 Sheet:
1 of 2 Unit: I Work Order Number 2695338 Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: SI: Safety Iniection
- 5. (a) Applicable Construction Code ASME Section III 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
_ _ _N O )
IPSIAL2401-"
n/a n/a n/a n/a n/a Repaired NO IPSIAL248-l" n/a n/a n/a n/a n/a Repaired NO
- 7. Description of Work: Changes to piping and supports adiacent to 1JSIAUV65 1 in response to Weld failure.
- 8. Test Conducted: Hydrostatic E]
Pneumatic El Nominal Operating Pressure Q Exempt Z N-416-1 0l Other Ea Pressure psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) 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)
Remarks: Work Order# 2695338. 1. Drain line containing IPSIAV056 shortened to mitigate the affects of vibration.
k
- 2. 2:1 taper added to existing welds on lines IPSIAL240 and IPSIAL248 per EDC# 2004-00324 and DMWOI#
2692447.
ft 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:131
'7 r orOrs enee.)
N Date:
/at J /wner or Owner's Designee, Title I
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
-t__-O_
to fi-I-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. Ferthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
' Inspectors Signature Date:
5-'- °k Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements I-
- E0092 ver. 7 Back 73DP-9I7 RevS
-E0092 Ver. 7 Back 73DP-9ZZ17 Rev 8
ASME SECTION XI - REPAIR / REPLACEMENT Page of _
I 1. Component ID IPSIAV997 L.. Item
Description:
Press lock prevention check valve
- 3. N-5 Data Package Number: None available
- 4. W.O. Number: 2703909
- 5. Original Construction Code Edition:
1974 Edition. Summer 1976 Addenda
- 6. Original Installation Code Edition:
1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Seal weld Body / Cover mint after seat repair.
- 8. E ISI Flaw I
NDE Method of Flaw Detection:
Report Number-
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
- 10. Repair/Replacement Work Organization:
Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: -4ff t4t-i S.""
- 12. Repair/Replacement Activity Construction Code/Edition:
Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition:
1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:
El YES NO Initial _DWS_ Date _04/25/2004_
- 15. ASME Section XI Pressure Test Requires initial ___N/A _
Date Initial -
DWS_
Date 04/25/2004 Initial ___DWS_
Date -.04t25/2004-If required, include a step in the W.O. to perform Preservice Inspection d:
E YES C NO If required. include a step in the W.O. for ISI & ANII Inspecti0on.
- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
- 17. Include a step in the W.O. to record below all applicable numbers for repaircd or replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/PO/WO No.
IPSIAV997 APN 45004448 96SN0403 N/A WO 1008658
- 18. Planner 1661 A
dYsow Printed Name: David Shatfer Signature Da
- 19. IS1
/41F&Cz Printed Name: h/J-A
,4iI1o'z Signature Date
- 20. ANII__
Printed Name:
SignatWi Date MvUMw} va. I
'40PV~l R..,
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl
- 1. Owner: Arizona Public Service Company. et. al.
P. 0. Box 53999, Phoenix Arizona 85072-2034
- 2. Plant:
Palo Verde Nuclear Generating Station 5801 South Wintersburm Road.. Tonopah. Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date:
,-oc Sheet:
I of 2 Unit: I Work Order Number 2703909 Type olf Code Stamp None Authorization No.
N/A Expiration Date N/A 4.
5.
6.
Identification of System: Safety Iniection (SI)
(a) Applicable Construction Code ASME Section III NB. Class 1 1974 Edition, S -1( Addenda. _
Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda Identification of Components Repaired or Replaced and Replacement Components Name of Item Name of Manufacture Manufacturer Serial No.
National Board No.
Other Identification Year Built Repaired or Replacement ASME Code Stamped (Yes or NO)
Check Valve Kerotest 96SN0403 N/A IPSIAV997 Kl/6 Repaired YES
- 7. Description of Work: Seal weld body /cover ioint after seat repair to correct identified leakage.
- 8. Test Conducted: Hydrostatic 0 Pneumatic D Nominal Operating Pressure E Exempt 3 N-4 16-I El 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 I 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)
Q. Remarks: WO 2703909. Seal weld body/cover ioint after repair sealing surfaces.
-t 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.
Signed:
9 RL-t5/ZeV-VL N/A Expiration Date:
N/A
/S / £7A)(-
Date:
i /3 Loic Owif or Owner's Designkyitle CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by IISB CT of Hartford, Connecticut. have inspected the components described in this Owner's report during tfie period of A-z s-o".
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.
Inspectors Signature Commissions: NB 9685 "N" "I" AZ264 National Board. State, Province. and Endorsemnents Date:-
I-
- E0092 vet. 7 Back 73DP-9ZZ17 Rv8
-E0092 Ver. 7 Back 73DP-9ZZ17 Rcv 8
ASMIE SECTION XI-REPAIR / REPLACEMENT Page of
- 1. Component ID S/N N6118av-go (7o 7 4Aq
- 3. Item
Description:
Crosby relief valve r
an,
- 4. N-5 Data Package Number: ICH13-1
- 5. W.O. Number: 2704509
- 6. Original Construction Code Edition:
1974 Edition. Summer 1976 Addenda
- 7. Original Installation Code Edition:
1974 Edition, Winter 1975 Addenda
- 8. Work
Description:
Disassemble and rework spare valve, replace parts as necessary and then test iaw 73ST-9ZZ20.
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Not a pressure boundary failure. Parts are being replaced to correct seat leakage identified during testing..
- 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. 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 ED NO Initial Date S33 2(e2L.
If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required:
El YES 0
NO Initial Date q-a5/
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 component.
AL zO
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial JŽ2.i Date replacement items.
Item ID Part No.
Serial No.
Heat No.
MR/PO/WVO No.
Nozzle APN 45070039 A/ 7a P7 I-Wo-mb
- /4 MR 859407 Disc Insert APN 45630021 49
- 2 -
J
/MR 859407
- 19. Planner B
5 Printed Name: David Goodlet Signature Date
- 20. ISI5 Printed Name:
- p.
9-Signature Date
- 21. ANII _____;
Printed Name:
¶btix°o Sigl ure Date PV.~109 V 7 1 7310D 77.7 FV.L003 Vera
-1 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: Arizona Public Service Company, et. al.
P. 0. Box 53999. Phoenix Arizona 85072-2034
- 2. Plant: Palo Verde Nuclear Generating Station 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529
- 3. Work Performed by: Arizona Public Service Date: 05/03/2004 Sheet:
I of 2 Unit: I Work Order Number 2704509 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 Itiii Manufacture Serial No.
Board No.
Identification Built Replacement Code Stamped (Yes or
_ _ _N O )
Nozzle Tyco Valves N92031 NO CH-PSV0345 2004 Replacement NO 0020 Disc Insert Tyco valves N92032 NO CH-PSV0345 2004 Replacement NO 0016
- 7. Description of Work: Rework spare valve. s/n# N61180-01-0009. to correct seat leakage. Replace parts as necessary.
- 8. Test Conducted: Hydrostatic D Pneumatic a Nominal Operating Pressure E]
Exempt E NA416-1 0 Other Cl 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 1I1 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 rm.--
FORM NIS-2 (Back)
- 9. Remarks: WO# 2704509 for overhaul of spare valve. sfn# N61180-01-0009. Valve was removed from IJCHNPSV0345 location durine IRI I and will be stored as "SPARE" for future use. Nozzle and disc insert is being replaced to correct seat leakage identified during 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:
G
'vZ Co Date: _______
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-ak to S-t%-oc
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
,-I Q
Inspectors Signature Date:
5 -and Commissions: NB 9685 "N" "I" AZ264 National Board. State, Province, and Endorsements PV-E0092 Ver. 7 Back 73DP-9ZZ17 Rev 8 FV-E0092 Ver. 7 Back 73DP-9ZZ17 Rev 8