HNP-05-018, Inservice Inspection Summary Report

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Inservice Inspection Summary Report
ML050600144
Person / Time
Site: Harris Duke Energy icon.png
Issue date: 02/15/2005
From: Corlett D
Progress Energy Co
To:
Document Control Desk, Office of Nuclear Reactor Regulation
References
HNP-05-018
Download: ML050600144 (205)


Text

CJ Progress Energy Serial: HNP-05-018 IOCFR50.55a FEB 1 5 2005 U.S. Nuclear Regulatory Commission ATTN: NRC Document Control Desk Washington, DC 20555 SHEARON HARRIS NUCLEAR POWER PLANT UNIT I DOCKET NO. 50-4001LICENSE NO. NPF-63 INSERVICE INSPECTION

SUMMARY

REPORT Ladies and Gentlemen:

The enclosed Inservice Inspection (ISI) Summary Report for the Harris Nuclear Plant (HNP) of Carolina Power and Light Company, doing business as Progress Energy Carolinas, Inc., is submitted in accordance with the reporting requirements of the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code, 1989 Edition,Section XI, Article IWA-6220(c). This report includes the inspections performed at HNP during Cycle 12 operations and Refueling Outage No. 12 of the second 10-year ISI interval.

Please refer any questions regarding this submittal to Mr. Dave Corlett, Supervisor -

Licensing/Regulatory Programs, at (919) 362-3137.

Sincerely, D. H. Corlett Supervisor - Licensing/Regulatory Programs Harris Nuclear Plant DHC/jpy Enclosure c: Mr. R. A. Musser (HNP Senior NRC Resident)

Mr. C. P. Patel (NRR Project Manager, NRC)

Dr. W. D. Travers (NRC Regional Administrator, Region II)

Mr. J. M. Givens, Jr. (NC Department of Labor, Boiler Safety Bureau)

Progress Energy Carolinas. Inc.

Harris Nuclear Plant P.O.Box 165 New Hill, NC 27562

CAROLINA POWER AND LIGHT COMPANY dba PROGRESS ENERGY CAROLINAS, Inc.

SHEARON HARRIS NUCLEAR POWER PLANT Unit One Inservice Inspection (1SI)

Summary Report For RFO-12 Carolina Power and Light PO Box 1551 Raleigh, NC 27602-1551 Shearon Harris Nuclear Power Plant 5413 Shearon Harris Road New Hill, NC 27562 Date of Commercial Service May 2,1987 Document Completion Date February 08, 2005

INDEX

SUMMARY

............................................... Section 1 NIS-1 FORM, REPORT OF INSERVICE INSPECTIONS ...................... Section 2 WELD EXAMINATION RESULTS ............................................... Section 3 COMPONENT SUPPORTS ............................................... Section 4 NIS-2 FORMS, REPORT OF REPAIRS AND REPLACEMENTS ............ Section 5

SECTION 1

SUMMARY

SUMMARY

The Shearon Harris Nuclear Power Plant, Unit 1, Ten Year Inservice Inspection Plan was developed to comply with 10CFR50.55 a (g), which implemented, by reference, the ASME Boiler and Pressure Vessel Code,Section XI, 1989 Edition with no Addenda.

The following Summary Report is being submitted pursuant to the reporting requirements of Section XI, Subarticle iWA-6220 (c).

This Summary Report contains the results of the Inservice Inspection (ISI) examinations performed on selected Class 1 and 2 pressure retaining components and their supports at Harris Nuclear Plant from 05/02/04 to 11/15/04. The RFO-12 examinations were performed during the third period in the second inspection interval. The typical designation is 2-3-12, (Second Interval, Third Period, Twelfth Refueling Outage). This is the first outage of the third inspection period.

The components selected were from the HNP ISI Program Plan - 2 nd Interval, HNP-ISI-002. The components selected for examination consisted of piping welds, vessel welds, component welds, component supports, and integral attachments.

ASME Section XI examinations were completed as scheduled in the HNP ISI Program Plan. The minimum and maximum percentage requirements for examinations completed meet the requirements of ASME Section XI, Tables IWB-2412-1 and 1WC-2412-1.

NDE of Welds Summary Nondestructive examinations were performed using Magnetic Particle (MT), Liquid Penetrant (PT), Ultrasonic (UT), and Visual (VT) methods. Performance Demonstration Initiative (PDI) ultrasonic techniques were utilized where required. No rejectable indications were noted. Any indications identified during examinations were evaluated and documented as applicable on each weld examination data report. Code Case N-460 was invoked where the examination achieved greater than 90%, but less than 100% code coverage. Weld Examinations are summarized in Section 3 of this Report.

Bare Metal Visual (BMV) examinations of the pressurizer steam space piping were performed as required by NRC Bulletin 2004-01, "Inspection of Alloy 82/182/600 Materials Used in the Fabrication of Pressurizer Penetrations and Steam Space Piping Connections at Pressurized-Water Reactors." The results of these examinations were submitted with Harris Nuclear Plant's 60-Day report (HNP-04-166) of the RFO-12 inspections for NRC Bulletin 2004-01. No relevant conditions indicative of boric acid leakage were found.

The BMV examinations of the Bottom Mounted Instrumentation (BMI) of the Reactor Vessel lower head were performed as required by NRC Bulletin 2003-02, "Leakage from Reactor Pressure Vessel Lower Head Penetrations and Reactor Coolant Pressure Boundary Integrity." The results of these examinations were submitted with Harris Nuclear Plant's 60-Day summary report (HNP-04-154). No relevant conditions indicative of boric acid leakage were found.

BMV examinations were performed from the OD surface on all reactor vessel nozzle to pipe welds and the pressurizer surge nozzle to pipe weld. No evidence of leakage was detected.

Personnel performing the ISI examinations used isometric drawings in conjunction with tagged valves, component supports, points of connection, vessels, wall/floor penetrations, and floor elevations to locate and identify components subject to examination. Permanent component identification reference points were established and marked on the component in accordance with ASME Section XI, Article III-4000 during Preservice Inspection (PSI). The NDE examination reports, personnel certifications, examination equipment, NDE procedures, calibration standards and the ISI isometrics are listed in the RFO-12 Outage Examination Results Report. The RFO-12 Outage Examination Results Report is available upon request.

Component Support and Snubber Examination Summary ASME Section XI component support examinations were completed as scheduled in the HNP-ISI-002 Program Plan for outage 2-3-12 (RFO-12). All ASME Section XI component support exams are complete as scheduled for the current ISI interval. Exam results were satisfactory.

In RFO-12, the Technical Specification Augmented Snubber Examination and Testing program included visual examination of 265 snubbers. No visual examination failures were observed in the mechanical snubber scope. One hydraulic snubber was observed with a low fluid level and the source of the fluid loss was corrected. The visual examinations were performed in accordance with the 10-year snubber examination interval described in ASME OM Code Case OMN-13, as implemented by procedure ISI-202, Revision 17, Safety-Related Component Support (Hangers and Snubbers)

Examination and Testing Program.

RFO-12 snubber testing activities included functional testing of 37 mechanical snubbers and 5 large bore hydraulic snubbers in the representative sample plans, and hand stroke testing of 27 mechanical snubbers in the "harsh environment" test group. Testing results for the mechanical snubbers in the representative sample plan were satisfactory with no failures or snubbers characterized as degraded. All 5 hydraulic snubber test results were satisfactory. Of the harsh environment snubbers, one was observed to stroke freely, but exhibited excessive noise and was replaced. Per ISI-202, testing scope expansion for failed or degraded harsh environment snubbers is not required.

Component Support and Snubber Examinations are summarized in Section 4 of this Report.

Steam Generator ISI Summary 20% of the open Steam Generator (SG) tubing in SG 'C' was inspected using Eddy Current Technology (bobbin exam) during the May 2004 outage. There was no evidence of tube degradation detected from the eddy current data analysis. The examination results for the SGs are classified as Category C-1 per the Harris Technical Specifications and EPRI NDE Examination Guidelines. Category C-1 has the following criteria: "Less than 5% of the total tubes inspected are degraded tubes and none of the inspected tubes are defective". This inservice inspection followed the plugging of 3 tubes damaged by a loose part which had caused a small primary to secondary leak.

System Pressure Tests ASME Class 1, 2 and 3 Pressure Tests were performed during RFO-12 in accordance with ASME Section XI, Articles IWA-5000, IWB-5000 and IWC-5000.

Code Case N-533 was invoked to allow insulation removal at bolted connections while the system was not at operating pressure. Code Case N-522 was invoked where appropriate to allow use of Appendix J Testing in lieu of ASME Pressure Tests for penetration piping. Relief Request 2RG-009, was invoked to allow evaluation of leakage at bolted connections in lieu of removing one bolt.

Where leakage was identified, it was either evaluated in accordance with Relief Request 2-RG-009 or, in most cases, measures were taken to correct the condition. The Pressure Test records and supporting documentation are on file at the site and can be made available for review.

Containment Inspections IWE examination of the ASME Class MC Components was performed. The examination scope included the entire Containment liner, the Moisture Barrier, 2 RHR and 2 CT valve chamber internals, and bolting from the 4 valve chambers, the Equipment Hatch and the Refueling Access Sleeve.

No recordable conditions were observed on the Containment liner from the Moisture Barrier to the center of the dome. A number of non-recordable conditions were observed such as scattered mechanical damage, blisters with no resulting material loss, and small areas with flaking coatings.

A recordable condition of blistering was observed in the lower regions (5 o'clock to 7 o'clock) of each of the valve chambers. The coatings were removed from the affected areas and visual and ultrasonic examinations were performed. The results indicated no significant material thickness reduction and the surfaces were recoated. (AR 142301)

No IWL examinations were scheduled or performed in RFO-12.

Repair and Replacement Summary The repair and replacement summary and the attached ASME Section Xl, NIS-2 forms detail the component, system, Work Order number, component description and the description of the Work Order activity. Complete repair and replacement documentation for the specific component is maintained on site as a permanent record and is retrievable through the WR (Work Request) /WO (Work Order) document package, which is identified on the NIS-2 form. Please see Section 5 of this report for Repair Replacement documentation.

SECTION 2 NIS-1 FORM REPORT OF INSERVICE INSPECTIONS

FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules

1. Owner Progress Energy Carolinas, Inc. P.O. Box 1551, Raleigh, N.C. 27602 (Name and Address of Owner)
2. Plant Shearon Harris Nuclear Plant, 5413 Shearon Harris Rd., New Hill, N.C. 27562 (Name and Address of Plant)
3. Plant Unit One (1) _4. Owner Certificate of Authorization (if required) N/A
5. Commercial Service Date 5/2/87 6. National Board Number for Unit 65
7. Systems/Components Inspected (See Systems listed below and Section 3, 4, 5, and 6)

Manufacturer State or Component or Manufacturer or Installer Province National Appurtenance or Installer Serial No. No. Board No.

Reactor Vessel CB & I T40 NC212410 4 Auxiliary Feedwater CP&L AF N/A 49 Blowdown CP&L BD N/A 44 Chemical & Volume Control CP&L CS N/A 48 Containment Spray CP&L CT N/A 63 Feedwater CP&L FW N/A 54 Excess Letdown Heat Exchanger Atlas NA NC203942 1999 Main Steam CP&L MS N/A 59 Reactor Coolant CP&L RC N/A 55 Residual Heat Removal CP&L RHR N/A 38 Steam Generator - A Westinghouse 12243 NC301552 63 Steam Generator - B Westinghouse 12244 NC301553 64 Steam Generator - C Westinghouse 12245 NC301554 65 Pressurizer Westinghouse 1641 NC212409 W11306 Safetv Injection CP&L Si N/A 46 Service Water CP&L SW N/A 64 RHR Heat Exchanger- 1A-SA Joseph Oat Corp. 2168-1B7 NC203028 740

FORM NIS-1

8. Examination Dates 5/02/04 to 11/15/04
9. Inspection Period Identification: Third Inspection Period
10. Inspection Interval Identification: Second Inspection Interval
11. Applicable Edition of Section Xl: 1989 Edition Addenda: None
12. Date/Revision of Inspection Plan: January 26, 1998/Revislon 0
13. Abstract of Examinations and Tests. Include a list of examinations and a statement concerning status of work required for current Interval. (See Sections 1, 3 & 4)
14. Abstract of Results of Examinations and Tests. (See Sections 1, 3 & 4)
15. Abstract of Corrective Measures. (See Sections 3 & 4)

We certify that a) the statements made In this report are correct, b) the examinations and tests meet the Inspection Plan as required by the ASME Code, Section Xl, and c) corrective measures taken conform to the rules of the ASME Code, Section Xi.

Certificate of Authorization No. (if applicable) N/A Expiration Date N/A Date ru go 2005 Signed Progress Energy Carolinas. Inc. 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 North Carolina and employed by HSBCT of Hartford, CT.

have inspected the components described in this Owner's Report during the period 5/02/04 to 11/15/04 , and state that to the best of my knowledge and belief, the Owner has performed examinations and tests and taken corrective measures described in this Owner's Report in accordance with the Inspection Plan as required by the ASME Code, Section Xi.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations, tests, 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 X2 (Commissions YO67. .NC1 507 onspecig y~ture National Board, State, Province, and Endorsements Date :2/A 2005

SECTION 3 WELD EXAMINATION RESULTS

Section 3 Weld Examination Results Summary Comp ID Category Item Procedure Method/Sheet/Results System ISO Num Exam Date No Class 1 H-01787 II-CS-094RC-FW-442 B-J B9.21 NDEP-0425 UT UT-04-016 SAT RC -2005 1-ISI-CS-94 10/22/2004 NDEP-0425 UT UT-04-017 SAT RC -2005 1-lSl-CS-94 10/22/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no indications noted.

H-01 789 1l-CS-094RC-SW-A3 B-J B9.21 NDEP-0425 UT UT-04-015 SAT RC -2005 1-ISI-CS-94 10/22/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no indications noted.

H-01790 1I-CS-094RC-SW-A4 B-J B9.21 NDEP-0425 UT UT-04-014 SAT RCO-2005 1- SI-CS-94 10/22/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no Indications noted.

H-02989 II-PZR-01NSEW-15 B-F B5.40 NDEP-0612 VT VT-04-005 SAT RC -2050 1-ISI-PZR-1 10/22/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no Indications noted. This examination consisted of a bare metal visual exam on the alloy 600 surface for evidence of boric acid residue of which none was detected.

H-02990 I1-PZR-01NSEW-16 B-F B5.40 NDEP-0612 VT VT-04-006 SAT RC -2050 1-lSI-PZR-1 10/22/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no Indications noted. This examination consisted of a bare metal visual exam on the alloy 600 surface for evidence of boric acid residue of which none was detected.

H-02991 Il-PZR-01NSEW-17 B-F B5.40 NDEP-0612 VT VT-04-007 SAT RC -2050 1-lSI-PZR-1 10/22/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no indications noted. This examination consisted of a bare metal visual exam on the alloy 600 surface for evidence of boric acid residue of which none was detected.

H-02992 II-PZR-01NSEW-18 B-F B5.40 NDEP-0612 VT VT-04-008 SAT RC -2050 1-1SI-PZR-1 10/22/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no Indications noted. This examination consisted of a bare metal visual exam on the alloy 600 surface for evidence of boric acid residue of which none was detected.

H-02993 Il-PZR-01NSEW-19 B-F B5.40 NDEP-0612 VT VT-04-009 SAT RC -2050 1-ISI-PZR-1 10/22/2004 NDEP-0201 PT PT-04-009 SAT RC -2050 1-lSI-PZR-1 10/22/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no Indications noted. This examination consisted of a bare metal visual exam on the alloy 600 surface for evidence of boric acid residue. A dry/powdery substance was identified on the surface of this weld covering an area of approximately 1.0- wide by 4.5" long. The substance was photographed but no sample could be taken due the limited amount of material. The substance was removed wirh liquid penetrant cleaner. A direct visual of the area did not reveal any indications. A liquid penetrant exam was performed on the affected area and there were no indications identified.

Section 3 Weld Examination Results Summary Comp ID Category Item Procedure Method/SheetlResults System ISO Num Exam Date No.

H-02994 1l-PZR-O1NSEW-20 B-F B5.40 NDEP-0612 VT VT-04-010 SAT RC -2050 1-ISI-PZR-1 10/22/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xi with no indications noted. This examination consisted of a bare metal visual exam on the alloy 600 surface for evidence of boric acid residue of which none was detected.

H-03004 II-PZR-O1SBW-A2A B-H B8.20 NDEP-0301 MT MT-04-005 SAT RC -2050 1-lSl-PZR-1 10/22/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xi with no Indications noted.

H-03005 Il-PZR-01 SBW-A2B B-H 88.20 NDEP-0301 MT MT-04-006 SAT RC -2050 1-lSl-PZR-1 10/22/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted.

H-03006 ll-PZR-01SBW-A3A B-H B8.20 NDEP-0301 MT MT-04-007 SAT RC -2050 I -ISI-PZR-1 10/22/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xi with no indications noted.

H-03007 1l-PZR-O1SBW-A3B B-H B8.20 NDEP-0301 MT MT-04-008 SAT RC -2050 1-ISI-PZR-1 10/22/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted.

H-03008 1l-PZR-O1SBW-A4A B-H B8.20 NDEP-0301 MT MT-04-009 SAT RC -2050 1-ISI-PZR-1 10/22/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xi with no Indications noted.

H-03009 Il-PZR-01SBW-A4B B-H 88.20 NDEP-0301 MT MT-04-010 SAT RC -2050 1-lSl-PZR-1 10/22/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xi with no indications noted.

H-03024 Il-RC-022RC-149-1-SW-2 B-J B9.11 NDEP-0425 UT UT-04-010 SAT RC -2005 1-ISI-RC-22 10/20/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xi with no indications noted.

H-03033 Il-RC-022RC-149-3-SW-8 B-J B9.21 NDEP-0425 UT UT-04-012 SAT RC -2005 1-ISI-RC-22 10/20/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted.

H-03048 II-RC-022RC-SW-A6 B-J B9.11 NDEP-0425 UT UT-04-009 SAT RC -2005 1-lSl-RC-22 10/20/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xi with no indications noted.

H-03057 II-RC-022RC-SW-C19 B-J 89.21 NDEP-0425 UT UT-04-013 SAT RC -2005 1-ISI-RC-22 10/20/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no Indications noted.

Section 3 Weld Examination Results Summary Comp ID Category Item Procedure Method/Sheet/Results System ISO Num Exam Date No.

H-03059 Il-RC-022RC-SW-C8 B-J B9.11 NDEP-0425 UT UT-04-011 SAT RC -2005 1-ISI-RC-22 10/20/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted.

H-03112 II-RC-024RC-H-00751(8) B-K-1 B10.10 NDEP-0201 PT PT-04-008 SAT RC -2005 1-ISI-RC-24 10/24/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no Indications noted.

H-03136 I1-RC-027RC-113-F-01 (1- B-G-2 B7.50 NDEP-0611 VT VE-04-002 SAT RC -2005 1-1Sl-RC-27 10/19/2004 12)

Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted.

H-03138 I1-RC-027RC-115-F-01(1- B-G-2 B7.50 NDEP-0611 VT VE-04-003 SAT RCO-2005 1-ISl-RC-27 10/19/2004 12)

Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted.

H-03139 Il-RC-027RC-123 VBB(1-8) B-G-2 B7.70 NDEP-0611 VT VE-04-004 SAT RC -2050 1-ISI-RC-27 10/1812004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no Indications noted.

H-03140 I1-RC-027RC-125 VBB(1-8) B-G-2 B7.70 NDEP-0611 VT VE-04-005 SAT RC -2050 1-ISI-RC-27 10/18/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no Indications noted.

H-03141 II-RC-027RC-127VB8(1-8) B-G-2 B7.70 NDEP-0611 VT VE-04-006 SAT RC -2050 1-lSI-RC-27 10/1812004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted.

H-03142 II-RC-027RC-FW-329 BJ B9.11 NDEP-0425 UT UT-04-020 SAT RC -2005 1-ISl-RC-27 10/23/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted.

H-03144 ll-RC-027RC-FW-334 B-J B9.11 NDEP-0425 UT UT-04-021 SAT RC -2005 1-ISI-RC-27 10/23/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted.

H-03183 II-RCP-01RCPA-SBOLT(1- B-G-2 B7.60 NDEP-0611 VT VE-04-030 SAT RC -2025 1-ISI-RCP-1 10/2212004 12)

Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no Indications noted.

H-03185 II-RCP-01RCPB- B-G-2 B7.60 NDEP-0611 VT VE-04-029 SAT RC -2025 1-lSI-RCP-1 10/24/2004 CSSOLT(1-8)

Section 3 Weld Examination Results Summary Comp ID Category Item Procedure Method/Sheet/Results System ISO Num Exam Date No.

Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted.

H-03660 11-RH-009RH-39 VBB(1.18) B-G-2 B7.70 NDEP-0611 VT VE-04-031 SAT RH -2085 EMDRAC 4528 10/19/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted.

H-03661 Il-RH-009RH-40 VBB(1-18) B-G-2 B7.70 NDEP-0611 VT VE-04-018 SAT RH -2085 EMDRAC 4529 10/19/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted.

H-03689 I1-RH-O0ORH-1 VBB(1-18) B-G-2 B7.70 NDEP-0611 VT VE-04-016 SAT RH -2085 EMDRAC 4529 10/17/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no Indications noted.

H-03690 Il-RH-OORH-2 VBB(1-18) B-G-2 B7.70 NDEP-0611 VT VE-04-017 SAT RH -2085 EMDRAC 4528 10/17/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no Indications noted.

H-03794 Il-RV-O01RV-BMI A600 A600 NDEP-0612 VT VE-04-028 SAT RC -1005 1l-RV-001 10/17/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no Indications noted.

H-03806 Il-RV-001RVNOZAI-N- B-F B5.10 NDEP-0612 VT VT-04-011 SAT RC -1005 li-RV-001 10/31/2004 01SE Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no Indications noted. This examination consisted of a bare metal visual exam on the alloy 600 surface for evidence of boric acid residue of which none was detected.

H-03808 Il-RV-001RVNOZAO-N- B-F B5.10 NDEP-0612 VT VT-04-012 SAT RC -1005 Il-RV-001 10/31/2004 06SE Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted. This examination consisted of a bare metal visual exam on the alloy 600 surface for evidence of boric acid residue of which none was detected.

H-03810 Il-RV-001RVNOZBI-N- B-F B5.10 NDEP-0612 VT VT-04-013 SAT RC -1005 Il-RV-001 10/31/2004 03SE Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted. This examination consisted of a bare metal visual exam on the alloy 600 surface for evidence of boric acid residue of which none was detected.

H-03812 Il-RV-OO1RVNOZBO-N- B-F B5.10 NDEP-0612 VT VT-04-014 SAT RC-1005 1l-RV-001 10/30/2004 02SE Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted. This examination consisted of a bare metal visual exam on the alloy 600 surface for evidence of boric acid residue of which none was detected.

H-0381 4 Il-RV-OOIRVNOZCI-N- B-F B5.10 NDEP-0612 VT VT-04-015 SAT RC -1005 ll-RV-001 10/31/2004 05SE

Section 3Weld Examination Results Summary Comp ID Category Item Procedure Method/Sheet/Results System ISO Num Exam Date No.

Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no indications noted. This examination consisted of a bare metal visual exam on the alloy 600 surface for evidence of boric acid residue of which none was detected.

H-03816 ll-RV-001RVNOZCO-N- B-F B5.10 NDEP-0612 VT VT-04-016 SAT RC -1005 ll-RV-001 10/31/2004 04SE Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no Indications noted. This examination consisted of a bare metal visual exam on the alloy 600 surface for evidence of boric acid residue of which none was detected.

H-03849 Il-SG-001SGA-TSTHW B-B B2.40 NDEP-0450 UT UT-04-023 SAT RC -3005 1-lSI-SG-1 10/25/2004 1

Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted. Examination was limited due to component configuration. 70.11% Code Required Volume was achieved for the weld material scans and 74.20% Code Required Volume was achieved for the base material scan.

H-04300 1I-Si-017RC-SW-A3 B-J B9.11 NDEP-0425 UT UT-04-007 SAT RC -2005 1-ISI-SI-17 10/20/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted.

H-04301 1l-SI-17RC-SW-A4 B-J B9.11 NDEP-0425 UT UT-04-008 SAT RC -2005 1-ISI-SI-17 10/20/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no Indications noted.

H-04302 Il-SI-017SI-138 VBB(1-16) B-G-2 B7.70 NDEP-0611 VT VE-04-009 SAT Si -2080 EMDRAC 4470 10/19/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no Indications noted.

H-04472 Il-SI-021SI-249VBB(1-18) B-G-2 B7.70 NDEP-0611 VT VE-04-010 SAT SI -2085 EMDRAC 4479 10/19/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xi with no Indications noted.

H-04504 1l-SI-022SI-251 VBB(1-18) B-G-2 B7.70 NDEP-0611 VT VE-04-012 SAT SI -2085 EMDRAC 4479 10/19/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no indications noted.

H-04537 Il-SI-023SI-253VBB(1-18) B-G-2 B7.70 NDEP-0611 VT VE-04-011 SAT SI -2085 EMDRAC 4479 10/18/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no Indications noted.

H-04567 Il-SI-024SI-356VBB(1-16) B-G-2 B7.70 NDEP-0611 VT VE-04-013 SAT SI -2085 EMDRAC 4470 10/19/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xi with no indications noted.

H-04568 Il-SI-024SI-81 VBB(1-16) B-G-2 B7.70 NDEP-0611 VT VE-04-026 SAT SI -2080 EMDRAC 4470 10/19/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xi with no indications noted.

Section 3 Weld Examination Results Summary Comp ID Category Item Procedure Method/Sheet/Results System ISO Num Exam Date No.

H-04600 I1-SI-025SI-357 VBB(116) BG-2 B7.70 NDEP-0611 VT VE-04-014 SAT SI -2090 EMDRAC 4470 10/19/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no Indications noted.

H-04601 1l-SI-025SI-82 VBB(1-16) B-G-2 B7.70 NDEP-0611 VT VE-04-019 SAT SI -2085 EMDRAC 4470 10/19/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted.

H-04656 1l-SI-026SI-358 VBB(1-16) B-G-2 B7.70 NDEP-0611 VT VE-04-015 SAT SI -2085 EMDRAC 4470 10/19/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no indications noted.

H-04657 1l-SI-026SI-83 VBB(1-16) B-G-2 B7.70 NDEP-0611 VT VE-04-027 SAT SI -2085 EMDRAC 4470 10/22/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no Indications noted.

H-04701 II-SI-027SI-135 VBB(1-16) B-G-2 B7.70 NDEP-06t1 VT VT-04-003 SAT SI -2085 EMDRAC 4470 10/19/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with Indications noted. WO 628247 was generated to remove the boric acid and reinspect the bolting.

H-04702 1l-SI-027SI-137VBB(1-16) B-G-2 B7.70 NDEP-0611 VT VT-04-004 SAT SI -2085 EMDRAC 4470 10/19/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with Indications noted. Three studs had minor thread damage and were evaluated as acceptable per IWB-3122.

H-04755 Il-SI-028SI-134VBB(1-16) B-G-2 B7.70 NDEP-0611 VT VT-04-002 SAT SI -2085 EMDRAC 4470 10/19/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted.

H-04756 1l-SI-028SI-136VBB(1-16) B-G-2 B7.70 NDEP-0611 VT VE-04-007 SAT SI -2085 EMDRAC 4470 10/19/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no indications noted.

Class 2 H-01239 Il-AF-010AF-H-03201(8) C-C C3.20 NDEP-0301 MT MT-04-003 SAT AF 1-ISI-AF-10 10/26/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no indications noted.

H-01240 II-AF-010AF-H-03281(8) C-C C3.20 NDEP-0301 MT MT-04-004 SAT AF 1-ISI-AF-10 10/26/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section XI with no Indications noted.

H-01353 1I-BIT-01NTHW-03 C-B C2.21 NDEP-0201 PT PT-04-006 SAT SI -2080 1-lSI-BIT-1 10/16/2004

Section 3 Weld Examination Results Summary Comp ID Category Item Procedure Method/Sheet/Results System ISO Num Exam Date No.

NDEP-0448 UT UT-04-001 SAT Si -2080 1-ISI-BIT-1 10/16/2004 NDEP-0448 UT UT-04-002 SAT SI -2080 1-1SI-BIT-1 10/16/2004 NDEP-0448 UT UT-04-003 SAT SI -2080 1-ISI-BIT-1 10/16/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xi with no Indications noted. Examination was limited due to component configuration.

H-01354 11-BIT-01NTHW-04 C-B C2.21 NDEP-0201 PT PT-04-007 SAT SI -2080 1-SI-BIT-1 10/16/2004 NDEP-0448 UT UT-04-004 SAT SI -2080 1-ISI-BIT-1 10/16/2004 NDEP-0448 UT UT-04-005 SAT SI -2080 1-1Sl-BIT-1 10/16/2004 NDEP-0448 UT UT-04-006 SAT Si -2080 1.1SI-BIT-1 10/16/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no Indications noted. Examination was limited due to component configuration.

H-01653 II-CS-021CS-H-0011l(4) C-C C3.20 NDEP-0201 PT PT-04-001 SAT CS -2060 I-ISI-CS-21 10/14/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no Indications noted. Examination was limited due to component configuration. Code Case N-460 Invoked for this exam.

H-01858 II-CSIP-1CSIP-A-WA1 C-C C3.30 NDEP-0201 PT PT-04-002 SAT CS- 1-lSI-CSIP-1 10/14/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no Indications noted. Examination was limited due to component configuration.

H-01859 Il-CSIP-1CSIP-A-WA2 C-C C3.30 NDEP-0201 PT PT-04-003 SAT CS- 1-1SI-CSIP-1 10/14/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no indications noted. Examination was limited due to component configuration.

H-01860 II-CSIP-1CSIP-A-WA3 C-C C3.30 NDEP-0201 PT PT-04-004 SAT CS- 1-ISI-CSIP-1 10/14/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xi with no Indications noted. Examination was limited due to component configuration.

H-01861 II-CSIP-1CSIP-A-WA4 C-C C3.30 NDEP-0201 PT PT-04-005 SAT CS- 1-ISI-CSIP-1 10/14/2004 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no Indications noted. Examination was limited due to component configuration.

H-02452 II-FMR-01MS-H-00051(4) C-C C3.20 NDEP-0437 UT UT-04-019 SAT MS -3020 1-lSI-FW-MS- 10/27/2004 RC-1 NDEP-0301 MT MT-04-001 SAT MS -3020 1-1SI-FW-MS- 10/23/2004 RC-1 NDEP-0201 PT PT-04-010 SAT MS -3020 1-1SI-FW-MS- 10/23/2004 RC-1

Section 3 Weld Examination Results Summary Comp ID Category Item Procedure Method/Sheet/Results System ISO Num Exam Date No.

Comments: Examination performed to meet the requirements of ASME section Xl, 1989 Edition. During the magnetic particle examination, a thin line of particles was held at the toe of the weld on lug 'B1. A liquid penetrant exam was performed and did not reveal any indications. An ultrasonic examination with a full V calibration was performed in the area of the magnetic particle exam and there were no indications. The magnetic particle was evaluated to be a permability change in the materials between the pipe to weld to interface.

H-02453 II FMR-O MS-H-00061(2) C-C C3.20 NDEP-0301 MT MT-04-002 SAT MS -3020 1-lSI-FW-MS- 10/23/2004 RC-1 Comments: This examination was completed to the requirements of the 1989 Edition of ASME Section Xl with no indications noted.

H-02675 Il-FW-001 FW-FW-500 C-F-2 C5.51 NDEP-0437 UT UT-04-018 SAT FW -3050 1-ISI-FW-1 10/26/2004 I

SECTION 4 COMPONENT SUPPORTS

ASME Section XI Class 1 and 2 Component Support Examination Program Category F-A Item F O.1OB Class 1 Hanger - Box Type Support Support ID Location Exam Type Exam Date Exam Results Examiner None scheduled n/a n/a n/a n/a n/a Category F-A Item F1.1 OR Class 1 Hanger - Rigid Strut Support Support ID Location Exam Type Exam Date Exam Results Examiner RC-H-245 RCB 307' @ PZR VT-3 10/21/2004 SAT GDL SI-H-31 7 RCB 246' Az-161 R-41' VT-3 10/20/2004 SAT GDUMDH Sl-H-325 RCB 248' Az-1 60 R-22' VT-3 10/20/2004 SAT GDUMDH Category F-A Item F1.1OV Class 1 Hanger - Variable (Spring Can) Support Support ID Location Exam Type Exam Date Exam Results Examiner CS-H-2891 RCB 255' Az-240 R-39' VT-3 10/20/2004 SAT GDUMDH RC-H-1 99 RCB 307' @ PZR VT-3 10/20/2004 SAT GDL RC-H-226 RCB 309' @ PZR VT-3 10/20/2004 SAT GDL Category F-A Item F1.20A Class 2 Hanger - Anchor Support ID Location Exam Type Exam Date Exam Results Examiner None scheduled n/a n/a n/a n1a n1a

ASME Section XI Class 1 and 2 Component Support Examination Program Category F-A Item F1l.206 Class 2 Hanger - Box Type Support Support ID Location Exam Type Exam Date Exam Results Examiner RH-H-1 2 (6' ladder) RAB 246' 4'S/39 5'W/E VT-3 5/10/2004 SAT GDUSAB SI-H-1 65 RCB 247' AZ-6 R-47' VT-3 10/17/2004 SAT GDUJDS RH-H-1 85 RAB 240' 2'N/36 9'E/E VT-3 10/24/2004 SAT RPS Category F-A Item F1l.20R Class 2 Hanger - Rigid Strut Support Support ID Location Exam Type Exam Date Exam Results Examiner CS-H-2603 RAB 255' 6'N/16 1'W/GY VT-3 5/10/2004 SAT GDUSAB CS-H-2853 RCB 255' AZ-1 83 R-50' VT-3 10/20/2004 SAT GDUMDH CS-H-2948 RCB 255' AZ-341 R-48' VT-3 10/20/2004 SAT GDUMDH Category F-A Item F1.20V Class 2 Hanger - Variable (Spring Can) Support Support ID Location Exam Type Exam Date Exam Results Examiner RH-H-349 RAB 193' 8'N/32 5'W/FZ VT-3 10/23/2004 SAT RPS Category F-A Item F1.40 Class 1 and 2 Equipment Supports Support ID Location Exam Type Exam Date Exam Results Examiner RHR Pump 1B-SB Cooler (1 examination point ) - Class 2 I1-RHPC-1 B-H-001 RAB 195'N 4'S/34 1O'W/FZ VT-3 10/24/2004 SAT GDL RHR Heat Exchanger 1B-SB ( 8 examination points ) - Class 2 Il-RHR-01 RHRB-H-001-008 RAB 236' 4'S/36 13'E/E VT-3 10/24/2004 SAT RPS

ASME Section Xl Class 1 and 2 Component Support Examination Program Steam Generator 1B-SN ( 4 examination points on vertical support columns ) - Class 1 II-SG-001SGB-H-001-004 RCB 255'Az-265 R-32' VT-3 10/25/2004 SAT SAB Comment: Exam resulting from visual failure in 2-2-11 (RF 11) - loose bolting Category F-A Item F1.40 Class 1 and 2 Equipment Supports - continued Support ID Location Exam Type Exam Date Exam Results Examiner Steam Generator 1B-SN Upper Lateral Support ( 2 examination points Including ULS bolting ) - Class 1 1l-SG-001 SGB-H-007-008 RCB 302'Az-265 R-32' VT-3 10/28/2004 SAT NLC/JVW Comment: Exam resulting from visual failure in 2-2-11 (RFQ 11) - loose bolting Steam Generator 1C-SN Upper Lateral Support ( 2 examination points Including ULS bolting) - Class 1 II-SG-001SGC-H-007-008 RCB 302' AZ-140 R-32' VT-3 10/28/2004 SAT NLC/JVW Comment: Exam resulting from visual failure in 2-2-11 (RF0 11) - loose bolting Reactor Vessel 1X-SN Nozzle Supports (6 examination points) - Class 1 Il-RPV-01 H-001 -006 RCB 255' Center VT-3 10/30/2004 SAT M. DUGAN Comment: Exam included in RFE 12 scope to coincide with ISI visual exams of nozzle welds Comments:

PSI performed on CE-H-1 1 IAW WO 397803 KMK 10/24/04- SAT PSI performed on SW-H-2539 IAW WO 89126 RPS 10/28/04 - SAT

SECTION 5 NIS-2 FORMS REPORT OF REPAIRS AND REPLACEMENTS

( c (

Class 1 WR/JO NUMBER TAG EC NUMBER ASME CODE CLASS REPAIR OR REPLACEMENT 428494 1RC-127 NA l _ 1 l REPLACEMENT 434624 CS-H-4418A NA __REPLACEMENT 434696 SI-H-503 NA 1 _ REPLACEMENT 434701 RC-H-80 NA 1 REPLACEMENT 434702 RC-H-37B NA 1_ REPLACEMENT 434726 CS-H-4418B NA 1 REPLACEMENT 442789 RC-H-75 NA 1 REPLACEMENT Page 1

Attachment I REPAHIUREPLACEMENT SYNOPSIS Sheet 1 of 1 DATE 01/06/05, REV. 0

<> Repair El Replacement M .. R/R No. 04-01-001 Suitability Evaluation Required aLYes rl No EC No. N/A (including failed items)

W/O No. 428494

1. SYSTEM NAME RC - Reactor Coolant NB No. 55 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 1 CODE CASE See N-5 Data Report
2. COMPONENT NAME Valve Tag No. 1RC-127 OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. 72852767 P.O. NoJCatalog ID. 72852767 Year Built Code Stamp Yes Year Built Code Stamp Yes Const. Code ASME III Edition 971 Addenda W72 Const. Code ASME IlIl Edition 1971 Addenda W72 Code Class I Code Cases Code Class 1 Code Cases NB No. 207 NB No. 224 Manufacture Name Crosby Manufacture Name CrosbV Manufacture Serial No. N56964-00-0046 Manufacture Serial No. N56964-00-0052
3. DESCRIPTION OF WORK Replaced Pressurizer Safety valve I RC- 127. Like for like replacement. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQuIRED El MT - Mag. Part. Complete El ISI El Supports El E PT - Penetrant Complete El IST El ILRTILLRT El

[] RT - Radiography Complete El FAC El Other_

[I UT - Ultrasonics Complete El Check Valve El E VT-2 Visual Complete 01

6. SYSTEM PRESSURE TEST REQUIREMENT 0 Leakage Nominal Operating Pressure 0 Yes El No El Functional Elevated Pressure N/A psi E Inservice Test Temperature N/A 0 F

El Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A 7.ANI/ANII Review 10/18/04 PreWorkStart 10/19/04 Work Complete 11/05/04

8. NIS-2 Prepared 01/11/05 ANI/ANII 01/11/05 In Package 01/12/05 Note: Upon completion of the document, it is a completed OA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 428494 R/R# 04-01-001 ASME Xi, CLASS 1 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl

1. Owner Proaress Enerav Date 01/1 1/05 Name P.O. Box 1551. Raleigh, N.C. 27602-1551 Sheet 1 of 4 Address
2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 428494 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy - Type Code Symnbol Stamp N/A Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A
4. Identification of System RC - Reactor Coolant 5 (a) Applicable Construction Code ASME Section III 1974 Edition. Winter '76 Addenda, See Ni Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No.:'.' Board No. Identification Built Or Replacement _yes or No)

Relief Valve Crosby N56964-00-0046 207 PN 72852767 Replaced Yes 1RC-127 Relief Valve Crosby N56964-00-0052 _224 PN 728152787 Reptacemert Yes

.. . RC-127 A. .

7. Description of Work: Replaced Pressurizer Safety valve 1RC-1 27.
8. Tests Conducted: Hydrostatic El Pneumatic E] Nominal Operation Pressure Z Other El Pressure ___psi Test Temp. Nominal QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WO# 428494 R/R# 04-01-001 ASME Xi, CLASS 1 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-2 on 1RC-1 27 after replacement. VT-2 performed under EST-227.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certificate-0 Authorization N . N/A Expiration Date N/A Sig n > e d o 9"'5 INS 40 Equigment Performance Sunervisor Date I//85 Owner or r4er's Desiglh*e Tye/ v 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford. Connecticut have inspected the components described in this Owner's Report during the period of fZ/is to i/i//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.

/2r e ,u 2 yL-ODD Commissions NC 1507. ABIN NS Insp tor's Signature National Board. State, Province, and Endorsements nftn vase ,, . -, __

(12/82)

I- s I Allow Man 9131K Act r- _ - _ , CiR O S CY VA LVEE; Ai CO M PAN Y C R L JI'll WRE£TH AM, MA SS FO~tU NV-1 roat SArETY AND SArETY RELIEF VALVES a.C.*14C As uequared by lb* provisions Of tht ASUE ICO.4 WCul$

DATA REPORT Safety ar~d Safety Vellef Valves

.Crosy Valve & Gage Company, 43 Kendrick St. Wrentham, Mass; 02093 Mime nd Addvess 6 4 tietN . :BS C N30315S _Ccntract D3ce 3 ':3tional Board No. 224

'^estin:.-ouse lecetric Corp., NJuclear 2 uinufactured Fo- Enerzy: Svstte-s, Pittsburi-h. Pa. '1530 O'der No. 546-CCK-178-358-UN Namne arid Addregs Caroli.a ? & Light Com.p:any, Shearon Harris Nticlcar Power Plant Swer 42 Name and Addre6s 4, Lluc~ttuf or FPlAnt !1JL ". w.X. Ws l 6.1 S. Valve :&r:trf:.ttuwn 1 6R'V38MSB .Serial .4oN56964-00-0052 Dra2Inx Sn, OS-C-56964 Rev. C Saf ety ~~Ortfice size 2______ P.-Pe SIZe! - inlet k-j6 M 6

-I .-t% S-- tv ;- i-f P160t. pnWer AC ua ed Inch ~ Inrch It 0~.

Se,ur r'~'P iC~2485 6500 __ _ __ _ _

Rated Terjieritut e StiArnued Cji.Acitv 42O00C'; Lbs/HIr. - 3 - overpressure 5% flowdiown (PSI(;i 125 Lg--

i's c, f~:~ Co pl te V alv-e - 7 50 ps i The mnatcrail. deslr. cu:.5,-uctiec and workr nship comply with A.SE Cc-e. Section 11I.

Cuass T .. ditica+/-2L.......Addenda Dat Winter 1972 'a e No. _

Pressure Conzaining cr Pre-,sinM. Retaining ComnponanLit Serial No. Uat~ersal Sperl ification a -Bar Stock & F.orgLrf-- Identification including Type or Grxde ASTM-A182-71 Ty -pe F-316 Body N09-3 4 ASMI:-SA182 TVDC e F-316 .

Bonnet N90353-38-0086 ASME-SA105 Cr. 2 b.

Supp-oft Rads _ _ _ _ _ _ _ _ _ _

Nozzle N90555-36-0059 ASIHE-SAMS Tvnei F-316, ASI-iX-A637-70 rGr. 7 lo Disc HotIdLIr -, iP): =R ?

Sprir.g Wasbers KL632" -'JO9.  :)J 0- 37-0 IS ASH.1E-SA105 rr. 2 Adlustinic Bolt N90351-' 1-0101 Q~~-L: G rJ i Sp:ndle J)3"i1-40-0103 ŽI2Oj5'4-4 1-0Q9Q Diu'- 71i.,..'rt N903`0-4o4-0053 Haynes Stcllite No. 6IE

  • ASM~-A,276-73 Tv) 4 -.Ia-r, S II N9035-5-'MtJ3 ASME-SA276 TyPL 4-40-C

.1 woopoop i/11!,;

I Serl 1No. or Maiterial Spec if icaticin Idernl fication Including Tape of Crakde

  • . Sprirc NX-2761-00S9 ASTM-A304- Cr. 51B60H1

'. Belting e --- her P'aris .~Cfl aS pia et t>.-nf S~ion j~Ž LSd 100987 ASM17F-9A451 (r. 660 one n . ASE,11 -AJ.93-7.1 Gr. Rb Sud/u OVVY AS!IE-SA193 Cc. PC' 1D 1:9$04 81-01717- thru 0 7 28 A ~ "C ",I Inlet Stud NUt  !;904 S9-0717 thru 0 72 8 AS~M-SAI.93 Gr. E6____

wo. certify u !ate ead in this ref-cr, ae cvr~eC'.

-:a.3*:

__ S;e _ _ Crosby Valve & Gage Co. By A i Z 1 :x~. - -

e_ _ _ __l ___ _ Ig - , ___ ___ __ ___ _ -

M-I nmraet urer Cev:ttifjc-e 0. Au~hrrizj.:it~r N.. 926 .?xpir-% -QlctLLe-r:Ls..-1977 CERT!FICATE OF SHOP INSPECTION I. tte mi . 'd . 'm  :- d!=n a~ ! d ~ i~ I% !Iec1 &bythe ~ Ii n Hoamrd *): flh.:ter n pressurp Ve-'%t. :n '.ct,-r%',~ ::. S..ii. .r oil.'i3'AS o- - ndicem~p.L'ttd b%

F.cq:LvNrwoj ~ uo insp.er-ed ttre e i,r. ui.: Data ikep"'r fin. 19........ 3nt su te that tin the '%e~l '.1 nu.-. 0L* a1A I~o j-f Mti:i,.:u .I.a rnn%I:'.1p7ed ~h&. t ll meta.-z rc+/-f-.a-zq withi trme appiic a nd. if ASXIJ Set~citn III (u'.~in D3Y %ii'niss: tC-. certniri vte. npiIt'e! Ih'%-Ir.- le m r r..': ra%- e-m plrn ir mako.. .Ini ' .ral. .

r.

%. r i- .:.*  : *.r rM r~ ~ et. r ~p'~C.qI:~i It., in I ~ ~D, t. R .g,..r I. F :n . r n --atih e.r

h- Ir %~ p"' ~ ~ .. b ~ ~.J i i r Aji. :::a micr !.,! .-:iv po-r -'.iias an pi-7v I~r fim e riv i -or da a !r t art/ .r.i .riz. I r . .a t ,nr~ecttd ot.ih tisi ms.pe~rti.n.

D a t ep . " ' ' 1 _ _ _

  • A i,;r.1.- .;' r.  :: . .:i:'~ ~ u I n:uranct:t. Conapainy M 'utu~al or!AP'fl'V7/

L-

Attachment I REPAIR/REPLACEMENT SYNOPSIS Sheet 1 of I DATE 01/06/05, REV. 0 Repair[I Replacement 0 RIR No. 04-01-002 Suitability Evaluation Required E3_Yes ELNo EC No. N/A (including failed items)

W/O No. 434624

1. SYSTEM NAME CS - Chemical Volume Control NB No. 48 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 1 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. CS-H-4418A OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. 76100700 P.O. NoiCatalog ID. 76100700 Year Built 1981 Code Stamp No Year Built 1980 Code Stamp No Const. Code ASME IlIl Edition 1977 Addenda S78 Const. Code ASME IlIl Edition 77 Addenda S78 Code Class 1 Code Cases 1644-6 Code Class 1 Code Cases 1644-6 NB No. N/A NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Pacific Scientific Manufacture Serial No. 16401 Manufacture Serial No. 12540
3. DESCRIPTION OFWORK Replaced snubber on hanger CS-H-4418A. The replacement snubber meets or exceeds the original code and design spec requirements. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED ElMT - Mag. Part. Complete El ISI El Supports El El PT - Penetrant Complete El IST El ILRT/LLRT El El RT - Radiography Complete El FAC E Other_

El UT- Ultrasonics Complete El Check Valve El 0VT-3 Visual Complete 0

6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure El Yes El No ElFunctional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF El Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANI/ANII Review 10/22/04 Pre Work Start 10/22/04 Work Complete 11/03/04
8. NIS-2 Prepared 01/11104 ANI/ANII 01,11/05 In Package 01/12/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 434624 R/R# 04-01-002 ASME Xi, CLASS 1 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Progress Energy Date 01/11/05 Name P.O. Box 1551, Raleigh. N.C. 27602-1551 Sheet 1 of 4 _

Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WOlf 434624 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy Type Code Symbol Stamp N/A Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A
4. Identification of System CS - Chemical Volume Control 5 (a) Applicable Construction Code ASME Section III 1974 Edition, Winter '76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xi Utilized for Repairs or Replacements 1989 , Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components

. = Repaired, ASME Code Name of Nameof Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. - -- Board No. Identification Built Or Replacement (Yes or No)

Snubber Pacific Scientific 16401 N/A CS-H-4418 A 1981 Replaced No Snubber Pacific Scientific 12540 N/A CS-H-44t8A 1980 Replacenent No

7. Description of Work: Replaced snubber on hanger CS-H-4418A.
8. Tests Conducted: Hydrostatic C] Pneumatic El Nominal Operation Pressure E Other El Pressure psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/22 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WOK 434624 R/Rit 04-01-002 ASME Xl, CLASS 1 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certific tIf Authorizaton . N/A Expiration DatepiA........

O aFouinment Performance SuDervisor Date or e's ee.*1 r CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford, Connecticut have irsncted the components described in this Owner's Report during the period of /jh/j9;IjI to A/1A/05 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

a..-'

lnspyor's Signature Commissions NC 1507, ABIN NS National Board, State, Province, and Endorsements Date /

(12182)

AsA~ufrdbV .~ n'~'I~sA8MECod Ifuln 89ctlon M, Wiaoisn I

1. Measufacturd Pacific Scientific 1346 S. State Coll" Blvd. Anahoimj Cai. 92803 tIaV rand droll of4NPT Certificate Solditl utetur fr 10 st Fbicatim& 1din Co., !Ic. P.O. -° 9449 llousbn, Texas 77011 Ea ServtiKes,ii. A (  : (Nae nd add*r. DUthS OPown 27562
  • . Identification (a) b) l@ I. IdJ ItJ tt(9 h)

Component Canaden AoxDcable Sitess Report Type of Support R1g9tration Drowings with or Load Cap- Component N60l Board 1.0. No. No. Last Rev. & Date city Data Sheet Support Class No. Year Built

.}12473-1,2,614__bn~e,_1,801106-C5-H VR-1350<-FRev. B lSswar 1 tse 1980

  • I4)_..__.........___......_.. . .. _ _ ............ _ ............ .. . __ _ . .................... .. __ _

t Remarks: __ .,, . _ _.._.- .

CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that these components supports conform to the rutes ot construction of the ASME Code for Nuclear Power Plant Components. Section ll Division 1. Edition. !77 , Addenda _SI _TI7 t _

C ode Cawe No. 1644-613so Cde Case No.ZSigned Pacific Scientific . ,Le SNPT Certificate Holder/

Our ASME Certificate of Authorization No_. 1 ... _. to use the - Stds -

NPT)

Symbol xpires.. g 4, 1980 tD1ael CERTIFICATION OF DESIGN Design Information on F 'e a Psacific Scientific Stress Report or Load Capacity Data Sheets on File at Pacific-Scientific Filed Per I' 3256 California DesignSpecificationsCetXifiedby ll._. o E. Ay PE StuIlet_--.

Reg. No 13533 Stress Analysis Report or Load Capacirv Date Shoets Certified by 't rLeo E. Ay PE State.

California . ._ Reg No _.

13533 III Las na" onlv. swiciure not ou-red "W Supplemental sheets in form of lists sketches or drawings ma -be used provided I lsIete is 8, in 12) information in items 1.2.

_ c. 4g on this Dats Report is included on each sheet. and 13) each sheet is numbered and number of sheets is recorded at top of thu form G74; 7Aa 1/1P5 (101771 This form (E000751 may be obtained from the Order Dept. ASME, 345 E. 47th St., New York. N.Y. 10017

ry. ~k4 I! -(~

K ~2I VD-v -e vor

-414ew-t

>3 4 6 Z l t K?4IA6ZCf -

CERTIFICATE OF SHOP INSPECTION I. the undersigned, holding a valid corrwninion issued by the National Board of 8o.1cr and Prtiqum. Vessot lisuoctorx ancn the State or Provirnce of CaOI Onia - and smo o 01 .bY.. t artfrrd (n..

hav. Insireeted the conpionent SuiDvorts described in this ODta Attert on t9 ) and state that to the best of my knowledge and btiliet the NPT Cerltifcate Holder has constructed the,.. comPonet SuDPorItS In accordance w*tth the ASME Code for Nuclear Powit Plant Compornents Br Signing this clrtificate. nether the Inipector nor his employer makes any warranty, expressed or implied, concerning the consponent suppiorts described In thiji Data Report. Furthermore, neither the Inspector not his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind erising from or connected with thia inipt' titO Dat...e o

-v-e iit - - __

b1 .

T .)JA irI__ _ .

_2 ( n +

thist' Od .State. Prov, and No I L.

CERTIFICATION OF FIELD INSPECTION I. the undersigned. holdinP a valid commission issurd by the National Board of Bolicr and Presistr Vrssol Inuspctors ind the State or IV Province f_ and employed b_.

o have compared the statements in this Data Report with the described component supports nrid state that the parts referred to as data items _ not included in the cenificate of shop inspection, have been

,nsipectrd by me A3id thaw to tIne best of my Knowertae and belief the mPt Certificate Holder has constructed these component Suportl in *ccor a ance with the ASME Code for Nuclear Power Plant Components.

By signin7 this certificate neither the Inspector nor his employer maker any warranty. *xpremsed or implieod concerning the component supports desrrbed in this Data Report. Furthermore. neher tre inspcector nor his employer shall be liable in an. manne' rvr any personal inrurr or Proper'ty damage or a loss of inr tind arsin;fonm rr,orinnerted with this inspection.

Datc __

Signed *_ Commissionsi.

(ASit" 0Za Slate Prov . na No C/ V;2AftVI

Attachment I.

REPAIRIREPLACEMENT SYNOPSIS Sheet I of I DATE 01/06/05. REV. 0

<> Repair [I Replacement 1 3 R/R No. 04-01-003 Suitability Evaluation Required ELYes aNo EC No. N/A (including failed items)

W/O No.434696

1. SYSTEM NAME SI - Safety Injection NB No. 46 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 1 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. SI-H-503 OLD COMPONENT NEW COMPONENT P.O. NoiCatalog ID. 76100742 P.O. NoXCatalog ID. 76100742 Year Built 1979 Code Stamp No Year Built 1980 Code Stamp No Const. Code ASME IlIl Edition 1974 Addenda W76 Const. Code ASME IlIl Edition 1977 Addenda S78 Code Class 1 Code Cases 1644-5 Code Class 1 Code Cases 1644-6 NB No. N/A NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Pacific Scientific Manufacture Serial No. 7789 Manufacture Serial No. 10924
3. DESCRIPTION OF WORK Replaced snubber on hanger Sl-H-503. The replacement snubber meets or exceeds the original code and design spec requirements. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT - Mag. Part. Complete [I ISI El Supports El El PT - Penetrant Complete El IST El ILRT/LLRT El E] RT - Radiography Complete El FAC E Other El UT - Ultrasonics Complete El Check Valve El

_ VT-3 Visual Complete 0

6. SYSTEM PRESSURE TEST REQUIREMENT

[] Leakage Nominal Operating Pressure a Yes [I No El Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF

[] Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A

7. ANI/ANII Review 10/22/04 Pre Work Start 10/22/04 Work Complete 11/03/04
8. NIS-2 Prepared 01/11/05 ANI/ANII 01/11/05 In Package 01/12/05 Note: Upon completion of the document, it is a completed OA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17of30

WO# 434696 R/R# 04-01-003 ASME XI, CLASS 1 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Progress Energqv Date 01/11/05 Name P.O. Box 1551, Raleigh. N.C. 27602-1551 Sheet 1 of 4 Address
2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO4 434696 Address _. - Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy  ; Type Code Symbol Stamp N/A Name ...

5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A

4. Identification of System SI - Safety Iniection 5 (a) Applicable Construction Code ASME Section III 1974 Edition. Winter '76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced. Stamped Component Manufacturer Serial No. - Board No. Identification Built Or Replacement (Yes or No)

Snubber Pacific Scientific 7789. NIA SI-H-503 1979 Replaced No Snubber Pacific Scientific 10924 N:A SI-H-503 1980 Reptacement No I_ .

7. Description of Work: Replaced snubber on hanger Sl-H-503.
8. Tests Conducted: Hydrostatic El Pneumatic E] Nominal Operation Pressure El Other a Pressure ___psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WO# 434696 RIR# 04-01-003 ASME Xi, CLASS 1 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturer's Data Reports to be attached.

N 1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xi.

Type Code Symbol Stamp N/A Certificate-0 Authorization Np. N/A Expiration Date N/A n

Sirned I / / e Eauioment Performance Supervisor Date 1/ 5 0Lo ONFMr oro er's Des1ine?,)Ale .

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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford. Connecticut have i nspected the components described in this Owner's Report during the period of /_/6a2/1 I/ 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 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.

_ __ 2 go Commissions NC 1507, ABIN NS 1 I Inspe; or's Signature National Board, State, Province, and Endorsements (12/82)

Is, ,

AtRo~u~d by the Pilini of t ASM C 161, ftu 2tf N. Dwaitn I

1. ifatuftured I9bne anidl6 5,NPan C l

_2 Manut ctum tot, 0 S StImest Fabicatin & >-

r P.O. _n c 9449 Texas 77011 Mns= Servics, nc. Agents far: INesl and add'r,* of ourchow o orl caroIna Por & Light

3. Location of Installation- SyaroHrris ? ce- Cari na 6.2 4 Iglentf ication Ib) la) ICI Idl Ce) (11 IJI Ih)

Component Canadian Applicable Stress Report Type of support Registration Drasrvngs *itht or Load Capa* Component Natl Board I. D. No. No. Last Rev. & Date City Data She*? Support Class No. Year Bull?

(1110913- Norne 1801102-05-.T DR1351-A Linear 1 None _ 1980 12,11117 __,,_.-..... -_

(71___.______ ..

I I 0)

S u. - -- - .

5. Remarks .... . .. . ... . .

CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that these cornponents supports conform to the rules of construction of the ASME Code for Nuclear Power Plant Components. Section 111. Diwision 1. Edition 1977 . Addenda SUImrTr '78 Code Cas No. 1644-6 4 .4 ' Di Date 43 Md V 190 Signed Pacific Scientific .

INPi CertilCale ilolderl tou te 3 P en ~ rs Our ASME Certificate of Authorization No _

INPTI Symbol expires . A1g.

'Del e___

4, 1981 CERTIFICATION OF DESIGN Dgn, Information on F le atPacific Scientific Stress Report of Load Cpacitv Oata Sheets on File at Zacif ic_ Scientif ic Filed Per b 3256 Design Specifications Cautified by M_. Leo E. t y PE State_ California Reg. No 13533 Stresu Anal sis Report or Load CapaCiry Data Shoots Certified by 11I LeO E. '.y PE Stt.. California _, Reg No . i3533 _

iIII Litt nui-e only. tS,,nsfre o01not .. redJ

'Supplemental sheets irn forr of lists. skeltches or drawing: may be used provided It) size as 8' on. 12) inlormation intinems 1 2.

dc. 4g on this Data Report is included on each sheet, and 131 each sheet is numbered and number of sheets is recorded at top of this form a I07 -

(10/771 . This form (E000751 may beobtained from the Order Dept.. ASME. 345 E.47t'i St.. New york, NY. 10017

7.-:x [

z:. , I.'. -; .

  • I

." t.-1'_,Cy 7P !. . % . ,

4 Fow W -1.1111111A) .

. , , -1.) ..

(JP6 3q~q A - C~~ERtTIICATE' OF SHOP INSPF.CTION ~5 I. the urld..kpwiV4. holding a valid comissiori is~suli by the Ndationat BOafd of 1Iitif .d 11ofssels Volti n$*.tt .t an h. 51111Of Pvvn*o i . . andtaingmpoyed tiv I- I&Lfr...........d 1'4vo 11110"lod it. (oClOMPMInt ougsonris dCKirstb lin thls Dialssta rnepon lots Pay tha lo%*

nowldgeanel'Poilolho~lll bil Corlfl~ao "loeSS CflcivroillKld th5Witrnpeum~fitet Spitylprti Inilaij,e'jiaew "eth the ASMI! Codir tilt NuCiflf.'Powrer Plant Components DV signing this cetilicate. nlethef the Inspec'o nothis e enily., makes any wvoafntv olopiresto or implied. u cnrvrning the compuwleno suports descrebed in this Data iReport Furtherm'e-, neither the Inspector nor his vniplnyrr shall eiliable in eny manntir lt oany personal injury or property damage or a loss of any kind arising Itron at connecterd wvith this Inspeclion gnet.._ - J . ___ Commolltons .. ce,- ~-

IN., ' lisi-i sue. Pipov . anuS NoW CERTIFICATION OF FIELD INSPECTION I. the undersegned. holding a valid commrss'on issued by the National Boontle tt,'ie. andi V',ssute Vessel inspectors Jnud the Stale of Province oa -nd enmiloved by.. .._ . of -

_ _. havt. compared the' siteirmltS in this Data Report with the described component supports and state that the parts referred to as data items .. _ . not included in the certificate of Shop inspection. have been nsipeced by le and tnat to the best of My knowiedgi and belief the NPT Coflificate Hidce' hi% *onhtrutead itte componenr surporis in accord.

once with the ASME Code for Nucla, Pow., Plant Components By signing this cettiticate neither the Infwctlor not his amPloe, makes any r~riltnV. *itaprtit or imphlied. concerning the component su pport (,S4,ibd r^ thiS Ulata Wis ' FuC thermore. neil-, IC.' oito' i,? ,o ht Fool -pI,,i.. Shilt h till. en *an nian .ro, i' *, r per wrinal injury or Protreti damage or a los%%o ant hind Aoriing tri, -..r i.ilnrei .lt with this onr *wetI...

Dole Signetiq - I. .. I llw111118s@41111

,Nag I 11.1 -. lot, Pool. aml Nov I 6° ,//

Attachment 1 REPAIR/REPLACEMENT SYNOPSIS Sheet I of 1 DATE 01/06/05, REV. 0 Repair a Replacement M R/R No. 04-01-004 Suitability Evaluation Required ZLYes ELNo EC No. N/A (including failed items)

W/O No. 434701

1. SYSTEM NAME RC - Reactor Coolant NB No. 55 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 1 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. RC-H-80 OLD COMPONENT NEW COMPONENT P.O. NoXCatalog ID. 76100742 P.O. NoJCatalog ID. 76100742 Year Built 1981 Code Stamp No Year Built 1980 Code Stamp No Const. Code ASME IlIl Edition 1977 Addenda S78 Const. Code ASME IlIl Edition 1977 Addenda S78 Code Class 1 Code Cases 1644-6 Code Class 1 Code Cases 1644-6 NB No. N/A NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Pacific Scientific Manufacture Serial No. 15657 Manufacture Serial No. 11052
3. DESCRIPTION OF WORK Replaced snubber on hanger RC-H-80. The replacement snubber meets or exceeds the original code and design spec requirements. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT - Mag. Part. Complete El ISI a Supports 0

[I PT - Penetrant Complete El IST El ILRT/LLRT El

[] RT - Radiography Complete El FAC D Other El UT - Ultrasonics Complete El Check Valve []

CD VT-3 Visual Complete El

6. SYSTEM PRESSURE TEST REQUIREMENT E Leakage Nominal Operating Pressure El Yes El No El Functional Elevated Pressure NIA psi El Inservice Test Temperature N/A OF El Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANI/ANII Review 10/22104 Pre Work Start 10122/04 Work Complete 11/03/04
8. NIS-2 Prepared 01/11/05 ANI/ANII 01/11/05 In Package 01/12/05 Note: Upon completion of the document, It is a completed QA record and is to be transmitted In accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 434701 R/R# 04-01-004 ASME Xi, CLASS 1 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl

1. Owner Progress Energy Date 01/11/05 Name P.O. Box 1551, Raleigh, N.C. 27602-1551 Sheet 1 of 4 Address
2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WOH 434701 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy Type Code Symbol Stamp N/A Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A -
4. Identification of System RC - Reactor Coolant 5 (a) Applicable Construction Code ASME Section III 1974 Edition, Winter 76 Addenda, See Ni Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 , Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components Repaired. ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No)

Snubber Pacific Scientific 15657 . NA RC-H-80 1981 Replaced No Snubber Pacific Scientific 11052 - A RC4--80 1980 Reptacement No 1- I t 1 1- I

7. Description of Work: Replaced snubber on han ger RC:H80.
8. Tests Conducted: Hydrostatic E Pneumatic El Nominal Operation Pressure El Other El Pressure psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WOf 434701 R/R# 04-01-004 ASME XI, CLASS 1 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement I

I ASME Code,Section XI.

Type Code Symbol Stamp N/A Certific Authorization Do. N/A Expiration at N/A Signed )4& /1I Affi g4'tEauirment Performance Supervisor Date I 0 Uvwer orf>ner's Debignee, V 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford, Connecticut have inspected the components described in this Owner's Report during the period of zo/:Ip Co/ to ___/__5 , 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.

i 02 aoCommissions pectq s Signature NC 1507, ABIN NS National Board, State, Province, and Endorsements Date A/Ls (12/82)

-0 W

~ ~CE~3RCAh N~l HO~ iAtA~0mOb0Foft:c~)m~QE~tfT smmm~Tse, Qj(

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As; Rfsqulrmd by th. Provlslomr of the ASME Cod* RtUNSw 5#tfmft WI Dfliektn I

.. A _10- 0 N-AT%

0190 . PO. Boxc 9449 Ibusbon Texal 77011 Nor 2. m.*,ufscturee fo 4 0c~uthA,7t rabricating ct1dro.~.rj

_C SerVices, Inc. ZjqgentS for: 4N*flU and .dal's. Of orsurhi ato*.fotw2lxPor&

Of ih

3. Location of Ins ta'fat 54_Iaoirrsb1tJojLJebi3n-tyNCuiaJ~

!4 ctIentifecatgon -

(a) WIb (ci Idl lei (( ' III LJC

- q -q9O Component Ca.,'3disn Applicable Stftero Report Type of no.rg"traclon of Load Cas- Coniponent Nat'l 8otrd

.0D.No. No. -Lost Rev. St Oaf. Cory Data Sheet Support Clats No. . Year Suitt, -

i,10913- or 1e 1801102-05-.T DR135 1-A Linear I None 1980 (ii19I3 No..1012 .

(42

_ _ _ _ __ _0_

(7 1 __ __

C%(92)~~~

C  : (101 _ _ __ ....

S~* . Roernsrkt - .

CERTIFICATE OF COMPLIANCE . .

Wr certify that the statemens, snideon thns revosr are correct and that thewe components supports conform to th2 *utes of CileisttuctiO. I of the ASME Code for Nuclejr Powe, Plant Comoonernst. Section M. Division 1. Edition 1977 . Adcrnda SEzuItnr '78 Code Cato No. UAf4- {i doaloer@

8ode J N JL6k S9e+/-.d _ Pacific Scientific _ b /by

.rqv-t -,z.--,, _ _".. / I

.a _.,

1.198 tCaaS onnenS p~ x~4rPTO rts Our ASME (prtoti~ale of Authorization No . -. he_to _ i%.- V Symbol 0.oires Nucj. 4, 1981 O.0a.i CERTIFICATION OF DESIGN Oiqgon Intoomes.on on I ofeat Pacific: Scientific .

Stress Regoft or Load Caoacsctv oats Sheets on ri-e at Pacific. Scien-tific Filed Per NZA 3256 DOl,,in Stox-cifcatnors Certified fy Ill_ 11 - E.. *y "C State-.._._. Caiifornie.

Reg No _ 13533 Stress Analysri Rle.o2.3t or Lo-ia C o ~city Daet Sh..et Cot-t.Ised by III Lco E. Ay PE Slatit. Ca, I f .-.; -A.g Ill i3533 L (III tiES If 4-4 O-fli i*Q9 'jIII. * ~o Of O.'to

  • Suoolemen el sheets in form of lItsts. skefchcs or slioirng:. isay be uSCd provilied 11J size is H-, *^n 21 infiat ion if itns5 ' '

AC. 4V on this Data ReDon iSis fuded on each sheel. rsd 131 -eaCh sheet is nuambered atnd nurmber of sheets is reCt)#cjed at Itri 0f this forn i (101771 Thn tofm IE000751 m twobtainei be lfrom the Order DePt.. ASfME. 345 E. C7th St.. New Yok. N.V. 10017

_-e 114ffAffn i I It r !

I El! A . Elm, -

I 4.%,

.X,

- 4V~l MCA *T2111 .R54 l nr^ do l AJL 4 .3 4 qo/

CERTIFICATE OF SHOP INSPE.CTION ""F -I- Vt1 -. T I. the undkovtind. holdirig a Valsd cowwnittiofl ISeU IjY the National Co-ald at 11IT"r0 And it vtgult Vette In~owiqtt"I an~ti 1r Stilte of

> l J And itI,fal that ItoIlte beef t r'E lihtawtiedVC And "II#? lb. Nia! Cmilis at. wolti hat cotri'fliouItwo t lmnmlurxi- ne~~iaf vit jiha ASMI Cottl In? Nu~lest Povvtt Plant CoinmponWn1 fly itigninq Mhet Cottificeci. nitttwf ithe Ino~ctrif~ i ~0~. asiay~'at.j.i.l~ titid fern (ti: irn~itillen personal injury or property damage or a loss of any aemnd ermsng Ircurti or connectr-d with this inspectihsee Signed

-- - )/1 L-6" -, .'4 IN.0 I 11,1~. -;lai q4. v * .4. N,,i I CERTlWICAT',3Ni OF FIELD INSPECT1ON 1

..§

.-.. g Plovince Ot. and es-nilov! i try..-. . ..-. ..

At

-. hitve conineteri thi' 5tnteft- - in this Oatn flevori w.ith theC de(scritS4(d i(SfliDoflet Vale!.~Y lsat she paris referrcd to As data tienis .. no inclutletd in ti-s certificate! of shop inspec:t.

tct *'-s OV mi and tfhat t0 V~l- ov the best %il 4",

ar-ce wilt' the ASPAE Cock to, Nuclei. Povwt Plane Co-vClo,it:stil kflu.i.4Q4 ao,...45 ?s its. 14Pt Ceriifit ate iHs~ttle ha% its'iSrus Sff1 lh-.~e COMIC)snrnt s.~

0 By signintj ilmi juav.sfit

  • Ofvif w4 c.4 ift.cate ncs.thef~ (the Intipectl.

,Se,.fift'., ." Shl.% 53.1.8 o..'n-flh C1ia-lig. 04 1.3%%

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IC, v-..Iltyrf iS't.s'1 Ally wAlfintV.

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c.)fcerflifl A4', 4.SJfl4ri ht. cturni~~Lnent

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Attachment I REPAIR/REPLACEMENT SYNOPSIS Sheet 1 of 1 DATE 01/06/05, REV. 0 Repair a] Replacement M R/R No. 04-01-005 Suitability Evaluation Required E.Yes D No EC No. N/A (including failed items)

W/O No. 434702

1. SYSTEM NAME RC - Reactor Coolant NB No. 5 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 1 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hancer/Snubber Tag No. RC-H-37B OLD COMPONENT NEW COMPONENT P.O. NoiCatalog ID. 76100718 P.O. NoJCatalog ID. 76100718 Year Built 1979 Code Stamp No Year Built 1980 Code Stamp No Const. Code ASME IlIl Edition 1977 Addenda S78 Const. Code ASME IlIl Edition 1977 Addenda S78 Code Class 1 Code Cases 1644-6 Code Class 1 Code Cases 1644-6 NB No. N/A NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Pacific Scientific Manufacture Serial No. 7300 Manufacture Serial No. 8777
3. DESCRIPTION OF WORK Replaced snubber on hanger RC-H-37B. The replacement snubber meets or exceeds the original code and design spec requirements. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED D MT - Mag. Part. Complete El ISI E Supports E

[] PT - Penetrant Complete El IST a ILRTILLRT a al RT - Radiography Complete El FAC E Other El UT - Ultrasonics Complete _l Check Valve El 0 VT-3 Visual Complete 0

6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure El Yes El No El Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF El Hydrostatic Ea Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANI/ANII Review 10/24/04 Pre Work Start 10/24/04 Work Complete 11/03/04
8. NIS-2 Prepared 01/11/05 ANVANII 01/11/05 In Package 01/12/05 Note: Upon completion of the document, it Is a completed OA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 434702 R/R# 04-01-005 ASME XI, CLASS 1 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl

1. Owner Progress Energy Date 01/11/05 Name i -

P.O. Box 1551, Raleigh. N.C. 27602-1551 Sheet 1 of 4 _ .

Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 434702 Address - Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy Type Code Symbol Stamp N/A Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A
4. Identification of System RC - Reactor Coolant (a) Applicable Construction Code ASME Sectionh1111974 Edition, Winter '76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 , Addenda NIA
6. Identification of Components Repaired or Replaced and Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced. Stamped Component Manufacturer Serial No.
  • Board No. Identification Built Or Replacement (Yes or No)

Snubber PacificScientific 7300 NIA RC-H-378 1979 Replaced - No Snubber Pacific Scientific 8777 N/A RC-H-37B 1980 Replacernent No

7. Description of Work: Replaced snubber on hanger RC-H-37B.
8. Tests Conducted: Hydrostatic E Pneumatic 0 Nominal Operation Pressure E Other E Pressure psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2/2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WO# 434702 R/R# 04-01-005 ASME Xl, CLASS 1 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xi.

Type Code Symbol Stamp NIA Certific e uthorization No./A Expiration Da N/A Signed )(/o; 4 Equipment Performance Super~visor Date /I?

ror +/-fees Deetg§,jity //

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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance CompanV of Connecticut of Hartford, Connecticut have insppcted the components described in this Owner's Report during the period of V/S/05" to A cted , 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.

0~i . V~ Commissions NC 1507. ABIN NS JInspec r's Signature National Board, State, Province, and Endorsements Date vcsev ,/ylln

  • *, c,,

(12/82)

7. . ~ ~ I CEPflRh-CATE HDLEMS DA~TA fAEPOMT FOR COMP'ONEN~T SUPWORTz~o

~Ac Req~uired bly Oie Provisions of tha ASME Codet fRul'&.-ectoni !1I. Division~I lo J srif.o:?Pacif ic Scientific 1346 S. State.CollogeI3D.krd. Anaheimjj-, C.92803 LAfAl~:1 &S M Ageant for: Monte and iaddes.0t. ouc'. .owne*I 27' a hris1u~e.Pats Wur hll:heCounty, i.' Caml1ina i fU3/4 Cosptinf Canadian .~Appl cablet, 'r~fr~ yeo Surioort .. oadr110- Nat'l Boarie: ea (uiw

o. No. ... -.- ~ q~P el ClssSupYeaortfl M 8756-3803- ~bne 1801104-07-IH DR 1347-1Nv Llnc9r0 (2hL ___ __
  • (4. i-'jf

.b24. Z. *,.,Jjp~

4 pet, 1 'N4 CERTIFICATE OF COMPLIANICE Vg., certify that rInns t~axmemts made in thus report ari correct and that thws compitonents supports contorm to the rules of Constiuctuon of :ha ASME Ccod4ftp ofuPowof Plant Components. Section Ill. Division 1. E977tiorrAdden'7 t C::o . AddeCa -- at. -

C~i- C8~

JA______-- Pac-fic Scientific L~.i~e Ai~h~y .1upt Ce~rtificate HoI~erl 1198 ,.6.m _SUpports I Out ASME Ck.-Ai1:ite ot A~u~thcizatiton N~o.. . *Jo use h. .---..---

Pag. ,1980 O,~gri t

~'ct~~tuiionir if ic. Scientif ic ________.-

i\aci.-ic Sciantiric re30 x 1 E. Ay CaI iforn iz

~ *i~d5 s Lood' or.t1 C.>L'City Oeta Shoots Cert~find tiw (II Lco E- . A-V3533 f it 8 -- ~f Supplcifni1W sheets in form rof lists. slketchis or drawings may be tosed provided (1) size is 8' ,ui'. (29 unformnatuon ill itenms I '

PnaFeoi sucld'Jus r),,on'u i~shee't. and (31 rach sheert is nijritbrred en(1 number tit sheet:s is ri'cord#rd at top (

!te rt. ... C M .foi.ne.lr'.ntie rrtja. AiJb zl

- - . - . . - , - - lOt

. A £#*549oz, it>,

.~. '3- J CERTIFICATE OF SHOP' INSPECTION.' r

  1. %we.c*lt.C tF, Itir t4at,.onai src,.sa of "Omier boll .iitI e Iiici thei 33,ip.

,n.lovexI by..

Ampn j..sv-'Ac. i...d pi. ciiuiv.,re.vi t.piow33*$ rdtv,,tin th..- uOA ifec't o SIt. 1)t%! 4.i my ~iin-cig* and tirimI Ihe mp? Ceftl-lt.at N...def WSj Connhtful1ed It%(-Sr Cw.no.,n.nt supr'orts oil jpCfmmri-&uan I *.*... 'j J I 'L31n3el1301 v .

va,,ia53 y'mCm'p, srved'i-iti

  • .:'t1oC:..~tfdI this 0m~a Report F urth tfm5,re fqpitht'r nj'tua Io e hi eir shait uitw meiinnr for ally mwmub:i
  • . so35flf '.If-1f1iV y oetv at c IrL a 'o-S IL)flt nry kinla *isigap i 18vnwjdwIh hVvs~.Lin I a .. . . -. 3.3.. f . , . 4_-

"J2....Commiismons 3i

~ ~ ~ NemI tcl bito. S"iv ond N i,

!' . '5, f .. .

i i

CERTIFICTION cv FIELD INSPECTe Ves0N

  • ..have Compared :hi' sttmnssIis Dmia Report with the described conipoheht upotndtalte i  !!,ai the parts rclerrcd to as-dita iterns . ~.no: included enlthe ceirtificate of Shop in~speto ' ee
  • ' oey 3? 43Cl 1zt I?, Sh' bCII of 3-nv nd gilici th NPI cc'If,.Ale Nfiadrl 'as constructed Slhese e 1nv~d com ivonen uv ol n ac o 'd.

1 . .

.4-ce iroigh :lie A-S.! Codec cwNuclear Pov~e' Pli.mnComponents.

';y signmr.3 this cwei'3mcvat "eqhis3' the nor hit :employer maikes fny *vaiffinty. expressed o' imrpficd. concernmng the comiionenl 3,,

I 1 ?A,%*. *)AA~Ilept . * '3' -r .W . nelthe ~rIN c orss-terit r 3-.. tw % . 4~5;, shljl be 1.Sii. or. any min3f3 l*'r any* i33-4..n l~

.443ss w fl rt r4 i I

434 iwf'r i1i t 2 A31,igQ . '3? a 43 %¶ i A n y) k .in d (3 t, tt .. 5 (Ofln lS 3 3- 1 -4 .3i

  • F - nS l

I oa! '-

i I

. .- .... - .. . . - - ~. . - C .nv 33S'. 3 13334 .

-I !I,!  !: t'sto,". A""Cl N, 11.1 J

I

. . . " . 4 I t

I I

fi.

, IifIII R.,

i ___ ___________________________________

Attachment 1 REPAIRIREPLACEMENT SYNOPSIS Sheet I of I DATE 01/06/05, REV. 0 Repair . Replacement ..] R/R No. 04-01-006 Suitability Evaluation Required 0-Yes ELNo EC No. NIA (including failed Items)

WIO No. 434726

1. SYSTEM NAME CS - Chemical Volume Control NB No. 48 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 1 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. CS-H-4418B OLD COMPONENT NEW COMPONENT P.O. NoiCatalog ID. 76100700 P.O. NolCatalog ID. 76100700 Year Built 1980 Code Stamp No Year Built 1981 Code Stamp No Const. Code ASME IlIl Edition 1977 Addenda S78 Const. Code ASME Ill Edition 1977 Addenda S78 Code Class 1 Code Cases 1644-6 Code Class 1 Code Cases 1644-6 NB No. N/A NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Pacific Scientific Manufacture Serial No. 12559 Manufacture Serial No. 17522
3. DESCRIPTION OF WORK Replaced snubber on hanger CS-H-441 8B. The replacement snubber meets or exceeds the original code and design spec requirements. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT - Mag. Part. Complete El ISI E Supports E

[] PT - Penetrant Complete El IST al ILRT/LLRT El El RT - Radiography Complete El FAC E Other El UT - Ultrasonics Complete El Check Valve El E VT-3 Visual Complete 0

6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure ElYes 0 No El Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF ElHydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANI/ANII Review 10/22104 Pre Work Start 10/22/04 Work Complete 11/03/04
8. NIS-2 Prepared 01/11/05 ANI/ANII 01/11/05 In Package 01/12/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP 605 Rev. 23 Page 17 of 30

WO# 434726 R/R# 04-01-006 ASME Xl, CLASS 1 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Proaress Enerav Date 01/11/05 Name P.O. Box 1551, Raleiqh. N.C. 27602-155i Sheet 1 of 4 Address
2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 434726 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy Type Code Symbol Stamp N/A Name .

5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A

4. Identification of System CS - Chemical Volume Control 5 (a) Applicable Construction Code ASME Section III 1974 Edition, Winter '76 Addenda, See N1 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1989 , Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No)

Snubber Pacific Scientific 12559 NfA CS-H-4418B3 1980 Reptaced No Snubber Pacific Scientific 17522 NiA CS-H-4418B 1981 Replacement No

7. Description of Work: Replaced snubber on hanger CS-H-4418B.
8. Tests Conducted: Hydrostatic E Pneumatic E] Nominal Operation Pressure El Other El Pressure ___psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WOt 434726 R/R# 04-01-006 ASME XI, CLASS 1 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code,Section XI.

Type Code Symbol Stamp N/A Certific Authorizationlo. N/A Expiration ate iA Signe -M, d  ! b Equipment Performance Supervisor Date l v OwTer oypwners Detnei 010~t 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford, Connecticut have inspected the components described in this Owner's Report during the period of  ; to /X6 , 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.

0. U-d. Commissions NC 1507, ABIN NS
n. ector'iSignature National Board, State, Province, and Endorsements Date /1/ S (12/82)

N-." 8aatrd aifcSientific".1346 B' .State-CollegeBlvd'. .. naheim, Ca. 92803 wfttjrtidbeaoPaolfir d1eft southwest Fabricatings: Weg""o Mairufacturerfo qW. IP1f1 BO 9AA91- T1r-nnq'pined 77Q11of, ovwnari

  • drees of pqesert
3. Location of Installation Unkn~own
4. ldentification

.: .I Wa 11 IC) Id) (a) IM) IQ) (h1 Component Camsedian Applicable Straws Report Type of Support Rgitt'rt~ont Drawings with or Load Cape- Corponent Nat'l Board

1. 0. No. No. Last Rev. a Date city Deai Set Supoort Clau No. Year Built

, 17438-17587 Nom 1801106-O0!- R-1350-Pev. B L .. ii 1 O 1981 (21 (3)

  • 47; (SI-19)

(10)

5. Remarks CERTIFICATE OF COPLIANCE Certlify that the statements made in this report era correct and that these components supports conform to the rules of construction t

of the ASME Code for Nuclear Power Plant Components. Section 111 Division 1. Ed-tion..9.. Addnd ' l 7fl CodrC . 644 6Pci ie f I (NPT Certfticate Holderl Our ASME Certificate of Authorization No N 98 to use the Cclrponent supports INPTI Symbol expires. -t 4 A ICqI

'I Dol.

CERTIFICATION OF DESIGN.

Dsign Information on File at PacifiC Scientifi; Stress Report or Load Capacity Data Sheets on File at Pacific Sciii nt SE Filt d Per Nh 3256 L A CaWifornia Desgn S"clc ations Certified by M. L

  • y PE State, Rog. ?4^ o.W.,w 1 C1212 Stres Analysis ReFort or Load Capacity Data Shets Certified bf MII Leo E. Ay PE State Rog No _13533 11 Lost no" only. 6rgnutut not .eauNd '

Supplemental sheets in form of lists, sketches or drawisigs iay be used provided 1I) size is 8I, in. 12J information in items 1.2.

4C. 4g on this Data Report is included on each sheet, and (3) each sheet is numbered and number of sheets is recorded at top of this form.

0d7hN Y 9ok N. //1/075 MM)n7 This fo-mInE000751 rrubo obtinod frornmich Orkr D*pt. ASME,345 Z.J7th St. N York.N.Y. 10017 uirMi1u1un j uj j rjIh m r I I I EI l Fi q

-;*  :.;r6-'

< ,:  ;-; - *** . f i .

8 ) CS~i~iW M Cie)O CEoRTdiCAT OF SHOP INSPECTION

t. the u ril9 d. hodinga valid commission isnvOe by the National Board of Bor and Pressure Vessel Inspectors and the State or Provinice cit cnd)enmpal yd by H I CI C o o. t la$, CT

_ ha"_ Insotled the component Supports dried In thIs Data Report on +

IBI and state tht to the test ot my knowlede ard belef th *NP Certifcate oldter has consttucted these component supports In accordance with the ASME Code goe Nuclear Power Plant Components.

By signing this certificate, neither the Inspector nor his employer make any vratrrnty. expressed or Implied, concerning the component supports described in this Data Report. Funthermo.e. neither the Inspector nor his employer shall be liable in any manner for any personal injtry or property damage or a loss of any kind arising from or connected with this inspection.

5,, -14 ,, I

_____________Cormmtnions____________

(Nat'l SO.. Strto, Prow., and No.l CERTIFICATION OF FIELD INSPECTION I, the undersigned, holding a valid commission issued by the National Board of 1oiler and Pressure Vessul Inspectors and the State or Province of and employed by of-_ _

have compared the statements in this Data Report with the described component supports and state

[hat the potns referred to as data items not included in the certificate of shop inspection have been Spected by me and that to the best of my knowledge and belief the Ntp Certificate Holder has constructed these component supports In accord.

ance with the ASME Code for Nuclear Power Plant Components.

By signing this certificate neither the Inspector nor his emptoyer makes any warranty. expressed or implied, concerning the component suppoots descrIbed in this Data Rrpo't. Furthermore. neither the inSpector nor hiS emplorer shall be h5able in any manner for any personal inmurr or property damage or a loss of any kind rising from or connected with this Inspection Date Signed Commiss1ons __

(Net'l ed Stas,. Prov., and No.)

-, R

__I _II_ izui 111

Attachment I REPAIRERPLACEMENT SYNOPSIS Sheet 1 of 1 DATE 01/06/05, REV. 0 Repair [ Replacement M R/R No. 04-01-007 Suitability Evaluation Required RI Yes ELNo EC No. N/A (including failed items)

W/O No. 442789

1. SYSTEM NAME RC - Reactor Coolant NB No. 55 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 1 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. RC-H-75 OLD COMPONENT NEW COMPONENT P.O. NoXCatalog ID. 73286304 P.O. NoJCatalog ID. 73286304 Year Built NIA Code Stamp No Year Built N/A Code Stamp No Const. Code ASTM Edition N/A Addenda N/A Const. Code ASTM Edition N/A Addenda N/A Code Class Code Cases N/A Code Class Code Cases N/A NB No. N/A NB No. N/A Manufacture Name Coloc Industries Manufacture Name Coloc Industries Manufacture Serial No. N/A Manufacture Serial No. N/A
3. DESCRIPTION OF WORK Replaced coloc nut on hanaer RC-H-75. Nut is ASTM A194 Gr. 2H. PO# 39451 and 9A3441. The replacement part meets or exceeds the original code and design spec reguirements. Therefore.

suitable for replacement.

4. PRESERVICE INSPECTION REOUIREMENT 5. PROGRAM UPDATES REQUIRED El MT - Mag. Part. Complete El ISI l Supports El El PT - Penetrant Complete El IST E ILRTILLRT El El RT - Radiography Complete El FAC El Other El UT - Ultrasonics Complete El Check Valve El 0 VT-3 Visual Complete 0
6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure [3 Yes El No El Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF E Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANI/ANII Review 10/24/04 Pre Work Start 10/24/04 Work Complete 11/03/04
8. NIS-2 Prepared 01/11/05 ANI/ANII 01/11/05 In Package 01/12/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 442789 R/R# 04-01-007 ASME Xl, CLASS 1 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl

..De

1. Owner Progress Energy 1.IDate 01/111/05 Name P.O. Box 1551. Raleigh. N.C. 27602-1551 Sheet 1 of 2 Address
2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 442789 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy Type Code Symbol Stamp N/A Name - *;

5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A

4. Identification of System RC - Reactor Coolant 5 (a) Applicable Construction Code ASME Section III 1974 Edition, Winter 76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 , Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components Repaired. ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No)

Nut Coloc Industries N/A - N/A PNN 73286304 N/A Replaced No

.__ .__ . _.. _. _ -PO# 39451 & 9A3441 .

Nut Coloc Industries N/A N/A PNN 73286304 N/A Replacement No PO#' 39451 & 9A3441

7. Description of Work: Replaced coloc nut on hanger RC-H-75.
8. Tests Conducted: Hydrostatic ai Pneumatic E] Nominal Operation Pressure E Other El Pressure ___psi Test Temp. _ F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 2 WO# 442789 R/R# 04-01-007 ASME Xl, CLASS 1 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after coloc nut replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certificatof Authorization?\1o. N/A Expiration Dat N/A Signed edA% 7> E Eguipment Performance Supervisor Date / I 05 6v~6er opwiner's begnee79fle 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford, Connecticut have insp ted the components described in this Owner's Report during the period of _ lelo/1i 9Z i to // %as- , 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.

7'i Q_2.C. Commissions NC 1507, ABIN NS IrhpecworX Signature National Board, State, Province, and Endorsements (12/82)

c C c Class 2 WRIJO NUMBER TAG ESR NUMBER ASME CODE CLASS REPAIR OR REPLACEMENT 417434 1AMS-43 NA 2 REPLACEMENT 434393 AF-H-320B NA 2 REPLACEMENT 434394 AF-H-3281 NA 2 REPLACEMENT 434395 AF-H-670 NA 2 REPLACEMENT 434673 MS-H-971 NA 2 REPLACEMENT 434697 SI-H-334 NA 2 REPLACEMENT 434699 SW-H-1897 NA 2 REPLACEMENT 434710 MS-H-76B NA 2 REPLACEMENT 434711 MS-H-76A NA 2 REPLACEMENT 434712 MS-H-15 NA 2 REPLACEMENT 434719 CS-H-1 594B NA 2 REPLACEMENT 434720 CS-H-1594A NA 2 REPLACEMENT 434721 CS-H-1 099 NA 2 REPLACEMENT 434722 MS-H-10A NA 2 REPLACEMENT 434727 BD-H-364 NA 2 REPLACEMENT 436969 1CS-E035 NA 2 REPLACEMENT 442338 1MS-49 NA 2 REPLACEMENT 442785 MS-H-3 NA 2 REPLACEMENT 443120 AF-H-320 NA 2 REPLACEMENT 443122 AF-H-328 NA 2 REPLACEMENT 455266 1MS-51 NA 2 REPLACEMENT 625527 AH-2 59454 2 REPLACEMENT 631507 AF-H-318 NA 2 REPLACEMENT 635706 1FW-217 59606 2 REPAIR 636475 1FW-159 59606 2 REPAIR 636476 1FW-277 59606 2 REPAIR 208776-07 1SI-327 59441 2 REPLACEMENT 208776-16 SI-H-009 NA 2 REPLACEMENT 472742-03 SI-H-1 185 NA 2 REPLACEMENT 496154-04 1RH-HXA NA 2 REPLACEMENT 591194-04 1SP-217 NA 2 REPAIR 627537-08 MS-H-67 NA 2 REPLACEMENT 633001-04 CS-H-356 NA 2 REPLACEMENT 635682-02 1FW-216 NA 2 REPLACEMENT 636016-10 1FW-159-:009 NA 2 REPAIR Page 1

Attachment I REPAIRIREPLACEMENT SYNOPSIS Sheet I of I DATE 01(06/05, REV. 0 Repair.E ReplacementM R/R No. 04-02-004 Suitability Evaluation Required ELYes Q..No EC No. N/A (including failed items)

W/O No. 417434

1. SYSTEM NAME MS - Main Steam NB No. 59 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 COAF CASEF Spa N-S Data Ranort
2. COMPONENT NAME Valve Tag No. 1MS-43 OLD COMPONENT NEW COMPONENT P.O. NoXCatalog ID. 9220092246 P.O. NoiCatalog ID. 9220092246 Year Built NIA Code Stamp Yes Year Built N/A Code Stamp Yes Const. Code ASME Ill Edition 1971 Addenda W72 Const. Code ASME il Edition 1971 AddendaZ2.

Code Class 2 Code Cases NIA Code Class 2 Code Cases N/A NB No. 834 NB No. 832 Manufacture Name Crosby Manufacture Name Crosby Manufacture Serial No. N57374-00-0006 Manufacture Serial No. N57374-01-0004

3. DESCRIPTION OFWORK Replaced safety relief valve 1MS-43. Inlet studs (SA193. GR B7), nuts (SA194 GR 2H). disc Insert, and nozzle. The replacement components are like-for-like, or meets/exceeds original design requirements.

Therefore. suitable for replacement.

4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED OMT - Mag. Part. Complete ] ISI El Supports El D PT - Penetrant Complete E IST El ILRT/LLRT El El RT - Radiography Complete El FACI] Other El UT - Ultrasonics Complete El Check Valve El 0 VT-2 Visual Complete 0
6. SYSTEM PRESSURE TEST REQUIREMENT 0 Leakage Nominal Operating Pressure 0 Yes ElNo El Functional Elevated Pressure N/A psi El Inservice Test Temperature Nominal OF El Hydrostatic D Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANI/ANII Review 10/18104 Pre Work Start 10/17/04 Work Complete 12/02/04
8. NIS-2 Prepared 01112/05 ANVANII 01/13/05 In Package 01/17/05 Note: Upon completion of the document, it is a completed OA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 417434 R/R# 04-02-004 ASME Xi, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl

1. Owner _ Progress Energy Date 01/12/05 Name P.O. Box 1551. Raleigh, N.C. 27602-1551 Sheet 1 of 4 Address
2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name - ... .--

5413 Shearon Harris Rd., New Hill. N.C. 27562-0165 WO# 417434 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed By Progress Energy Type Code Symbol Stamp N/A

.Name I- . - .. I 5413 Shearon Harris Rd., New Hill. N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A

4. Identification of System MS - Main Steam 5 (a) Applicable Construction Code ASME Section III 1974 Edition. Winter'76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xl Utilized for Repalrs or Replacements 1989 Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, - Stamped Co Manufacturer Serial No. ' i Board No. Identification Built Or Replacement (Yes or No) valve Crosby N57374-00-0006 834 1MS-43 NWA Replaced Yes

- PN 9220092246 . . ,_..

Valve Crosby NS7374z01-00004 832 IMS-43 , I N/A Replacement Yes

_ _:_. _. _- _._. _' __ .

  • PN
9220092246 Stud Nova Mad*ie N1A N/A - PN 51411767 N/A Replacement No PO$ 87526

,__-,__.___-________H T M 19639 . . , . . .

. Nut Texas Bolt Co. N/A N/A PN 72741481 N/A Replacemert NO

, *,..PO# 8M#2.42 Disc Insert Consolidated Power N99449-31-00,; N/A PO# 164067 NA W Replacement No Su p ply _ _ _ _ _I__ _I _ _ _ _ _ _ _ _ _ _ _

Nozzle Universal Stainless &Alloy N99450-31-01 N/A PO# 164087 N/A Replacement No Products. Inc. HT# G6858

7. Description of Work: Replaced safety relief valve 1MS-43, inlet studs, nuts, disc insert, and nozzle.
8. Tests Conducted: Hydrostatic a Pneumatic El Nominal Operation Pressure 0 Other El Pressure ____psi Test Temp. Nominal QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2k in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WOU 417434 R/R# 04-02-004 ASME XI, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed VT-2 on valve flange connection after valve replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certifica NAuthorizption N I/A Expiratio Date N/A Signed \ n4 e d {e Equioment Performance Supeisor Date O;97i~r o 7=.'ees Deslan~e, Titt() -

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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford Connecticut have inspected the components described in this Owner's Report during the period of ,I/Z2/ III to /A 5 , 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.

Insp 9

or's Signature Commissions NC 1507. ABIN NS National Board, State, Province, and Endorsements Date '3 (12/82)

M I-, I I I . -: " - .. .

. I t "rl AtO'N amp ri 1 :000-MM"i I 0 CQ E Y CRO0SB3Y VA LVE aGA GE COWMPANY W~WR E NTHA M I M AS S I'ORM NV-1 FOR SAFETY AND SAFETY RELIEF VALVFS QC.C-44C

-As requ::,d by the P'rovsioons Of the AS&M~ Code Rules DATA REPORT Safety anti Safety ROWft Valves

  • Croiiby Vve6Gage Co., 43 Kendrick St.. W~rentham, 11A 02093 Name and Address 6 3

..  : o'der . .~O Contract ate 1 2 1 '~Ljp110ord , 832

'bn.b-o'Services Inc., 2 Rector St., N-~53 iiczm 840, Now York, New York __Y-435038d ~.

Ntrit and dd%

S-i~~Xro; ina Poe S Lighit - Shearon IHarrls Nuclear Power Plant Nlm!r and AcI,¶rvss

' ill11, Wake County N. Carolina
357374-00-00

.ftt Relief enmer

)?w,,4 1972 Na.

Size.

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I:onnet Sttud N90913: ASME. SAlI( l .7 Bonnet Nut N909 1] ASME. Sf41!4 Gr. 211 I1ler 8tt,(d N90915 ASME SA193 Cr. jt, Cru':b;Iv VAV: (:;':,c- -

II,1., .,....... _ _

if. - .' A -,r, .. *-rI.:.t:*.eI N1, 1 8 783 rxtp,: ... ';eRt.-! 3LQ er '3i, 1 9IV C(I:I t'rI'I'AlI OY :;11 :Ns1- II; IN:4 0

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Attachment I REPAIRIREPLACEMENT SYNOPSIS Sheet 1 of 1 DATE 01/06/05, REV. 0 Repair a Replacement l R'R No. 04-02-005 Suitability Evaluation Required idYes ELNo EC No. N/A (including failed items)

WIO No.434393

1. SYSTEM NAME AF - AuxiliarV Feedwater NB No.49 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. AF-H-320B OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. 76097344 P.O. NoJCatalog ID. 76097344 Year Built 1979 A. Code Stamp Yes Year Built 1979 Code Stamp Yes Const. Code ASME IlIl Edition 1977 Addenda S78 Const. Code ASME IlIl Edition 1977 Addenda S78 Code Class 1 Code Cases 1644-6 Code Class 1 Code Cases 1644-6 NB No. N/A NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Pacific Scientific Manufacture Serial No. 6244 Manufacture Serial No. 6382
3. DESCRIPTION OFWORK Replaced snubber on hanger AF-H-320B. The replacement snubber meets or exceeds the original code and design spec requirements. Therefore. suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED a MT - Mag. Part. Complete El ISI E Supports a El PT - Penetrant Complete El IST D3 ILRT/LLRT El El RT- Radiography Complete El FAC E Other El UT - Ultrasonics Complete _ Check Valve El E VT-3 Visual Complete 0
6. SYSTEM PRESSURE TEST REQUIREMENT

[] Leakage Nominal Operating Pressure 0 Yes 0 No El Functional Elevated Pressure N/A Psi El Inservice Test Temperature N/A OF El Hydrostatic

[] Pneumatic Applic. Code Ref. (or Code Case) N/A

7. ANI/ANII Review 10/21/04 Pre Work Start 10/21/04 Work Complete 11/03/04
8. NIS-2 Prepared 01/14/05 ANI/ANII 01/14/05 In Package 01/17/05 Note: Upon completion of the document, it is a completed GA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

-1 WO# 434393 R/RU 04-02-005 ASME Xl, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xi

1. Owner Progress EnergqV Date 01/14/05 Name

- P.O. Box 1551, Raleigh. N.C.'27602-1551 Sheet 1 of 4 Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 434393' Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy Type Code Symbol Stamp N/A Name, 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A
4. Identification of System AF - Auxiliary Feedwater 5 (a) Applicable Construction Code ASME Section III 1974 Edition. Winter '76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced. Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacernent (Yes or No)

Snubber Pacfic scientficf. 6244 N/A PN 76097344 1979 eplaced Yes

__ __ _ __ __ _ __ _ _ _ _ _ _ _ _ _ AF-H -3208 ---- ----

Snubber Pacific Scientific 6382

  • NA PN 76097344 1979 Re.acement Yes

.__ .__ . ._ _ AF4i-320B . . _ .

7. Description of Work: Replaced snubber on hanger AF-H-320B3.
8. Tests Conducted: Hydrostatic El Pneumatic El Nominal Operation Pressure El Other El Pressure . .. psi Test Temp. .'

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 81/2/in.X I11 in., (2)information in htems 1 through 6 on this report is included on each sheet, and (3)each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WOU 434393 R/R# 04-02-005 ASME XI, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certificat uthorizatioQ No. NI Expiration Date N/A Signed NO ) 4' Eauilement Perforrreance Sul~ervisor Date lbll/Of Own~e-r or Irer's Designt,'Titea J 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford Connecticut have irispected the components described in this Owner's Report during the period of ZIZi to t/wo j ,IVIOS,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.

V Commissions NC 1507. ABIN NS

' Inspeykrms Signature National Board. State, Province, and Endorsements Date Zlj;gE5 (12/82)

FIXIM NF-1 tIPT CER~TIM~ATE HOLDERS%.DATA R4EPORT FOR.~COMPONENT SUPPORTS" ~.,~

k; Roquircsd by the Provisions of t e 4k.ME'Code Rul6e.z. S.tection 111.Division 1 of 3' 4...18n~,ufocturd try, Pacif ic scientif icl-34t S. State College Blv"2. Anaheim' Ca. 93fl02 Southiwes'tE'a-Fri-cat~ing&T- *~p 4~Addresso NPI.Certificate Mol1der)

`2 u Tuerm~.~]~i~eo, LO 4j~49 Houston,..Texas 77101'

-- basco Services, Incylgntarr 0~:'" nIar rlii

& Light+. w , Wa r C'ounty North o~n Comiponent Canadizn Appf.czbie Stress ReportI Typo! of Suryvo'f Relpstra:ion ortwvqfngs With or .Load Capa- Component NWtf Poaord.

I IN'No. Last Rev. & Date city-Data Sheet- Sajpport CIA-$ No. ~. Yei Bjuilt 6364 6396 None 1801103-07-H DR-41352-.Linear I -NIOne 1 9Th 2)~~~ Rev.~D ~ .I W...

IM,

  • . . . CERTIFICATE 'Or- COMPLPUANCIE M e'i that -.1e rren adr eor r orct fati and ha, thes components supportIs confor tote u~fconssrucsion 1:

<?,h S ECece o Nu tT,' - ni o pn tSection 'ff1.Diviston'I. E tcinn.2......__...... Adsenda'S t 781 LKI ode CasZ No.-..---1 6 4 4+6 Sinii .

J CerPT pffiNoi119 ASIAS Ctf-auiori No Cerl Coryn Iodr I

CERlTIFICATION OF DESIGN

'~l.tor~~a c.,File at P.~cqf iC Scientific_____

. L.3256

.* -)fy:o~ ~ i ?;. T. ~ . A _ _ PE S:Att... Californias -

- ~Le, 13533 a

.V77orni45E.. .7.th33St.. . rk .. I A*

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CERTIFICATE OF SHOP INSPECTION . ,

1. D et ^-s jnrr. holding a valid corninniszon ,ssued by the National Board of Bol!rr and Pressure Vessel Inspectors and the Statte o

_ndmnploycdby JISBI&I Co.

11cSPotCaljforia y rLford . _

__ __h to _ _

Mris ay' srctd the crvnent *ur des. bed ,n thu Oata nepoa . __ con

  • otj7 a st',r and t to th- ts <t tt n.y knqj*tedge and belief the NPt Certifirate Holder has constructed Ih-. ,r.,-,n.r t suorti *n accorijanry u,!et. tim ASMIE Coda for Nuclear Povver Plant Components.

t Bv s.nng *h-S ce!ri IcaIe. t n ht, the In soctror norlis ernployer makes any. virranty. expressed or grn Ilrr'l concerning the onmponent

  • '.i A' suppof rts descrbeI in this Data Rfepo.-t Furthermore, ncither the Inspector nor his employer shall br lisable In artn manner for any pirsonal inliry or pfopenty damage or a loss of any kind arising from or connected with this inspection.

J..

I ___ CommissionsC4ZL 15

I N' at' Sd - nd NoI a'o I li' I

CERTIFICATION OF FIELD INSPECT1ON 6;

he unrlersT Je holdug aval'd commtssson Issued by the Natronal Board ot er.nd Pressure Veswt lnspectorinom and the State c' P'ovmci u' _ . -_and employed by. --

'. Of

____ _eve compared the statements in this Data Report with the described criroponent supports and sate that tie par 'drre t s data itenis . not included in the certlificate of shop inspection. have been "rwOeCted by r *P.,. that rd w best f in, hnoideag and bwetet the NPT Cerj.t-cate Holder has cOnStructerl II-- irX.fMonent supports .n accord

,-ce woth the ASME Code N cletr Powver Plant Comnponents

'3v sqn-nrj h I rtrirfcate neither the Inspactof nor his employer rnakes any wartianty. expretsod or -mpsreJ. concerning the cocrmponent

-S a l ;W t-c In this, DOa nPrrxr rul-'ermore. neithe, the nsImo~lr nor his emiloyer 1hati tbr Imatini, Any manner for any. 'srSsonaI o.,:1r o .- cv0er - .'.* a tnss *It any rin1 ar,.sng trfo- or c nnrhted _n -. this nsprwcttnr tlC s .l d rommissions ._  !

nl. Star.. Pfo : and No I.i Sc.'

  • in.,- CV 4

C.

Attachment I REPAIR/REPLACEMENT SYNOPSIS Sheet I of I

-1 DATE 01106/05, REV. 0 Repair D Replacement 3 R/R No. 04-02-006 Suitability Evaluation Required .0_.Yes rLNo EC No. N/A (including failed items)

W/O No. 434394

1. SYSTEM NAME AF - Auxiliary Feedwater NB No. 49 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. AF-H-328B OLD COMPONENT NEW COMPONENT P.O. NoiCatalog ID. 76097344 P.O. NoJCatalog ID. 76097344 Year Built 1978 Code Stamp Yes Year Built 1985 Code Stamp Yes Const. Code ASME III Edition 1977 Addenda W78 Const. Code ASME iIl Edition 1977 Addenda W78 Code Class 1 Code Cases 1644-5 Code Class 1 Code Cases 1644-7 NB No. N/A NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Pacific Scientific Manufacture Serial No. 4397 Manufacture Serial No. 17077
3. DESCRIPTION OF WORK Replaced snubber on hanger AF-H-328B. The replacement snubber meets or exceeds the original code and design spec requirements. Therefore. suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT- Mag. Part. Complete El ISI El Supports El a PT- Penetrant Complete Dl IST El ILRT/LLRT El D RT - Radiography Complete El FAC El Other El UT - Ultrasonics Complete El Check Valve El

_ VT-3 Visual Complete 3

6. SYSTEM PRESSURE TEST REQUIREMENT

[I Leakage Nominal Operating Pressure El Yes El No El Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF

[] Hydrostatic E Pneumatic Applic. Code Ref. (or Code Case) N/A

7. ANI/ANII Review 10/21/04 Pre Work Start 10/21104 Work Complete 11/03104
8. NIS-2 Prepared 01/14/05 ANI/ANII 01/14/05 In Package 01/17/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WOU 434394 R/Rit 04-02-006 ASME Xl, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xi

1. Owner Proaress Enerav Date 01/14/05 Name Pr Rny I ;91 -Pnatciih Ni C' 97Fnn9-i tri- - qhckt I irf A Address
2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO4 434394 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy Type Code Symbol Stamp N/A Name .r 5413 Shearon Harris Rd.. New Hill. N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A
4. Identification of System AF - Auxiliary Feedwatel 5 (a) Applicable Construction Code ASME Section III974 Edition. Winter-76 Addenda, See Ni Code Case.

(b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 Addenda N/A

6. Identification of Components Repaired or Replaced and Replacement Comrponents

- . Repaired. ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No)

Snubber Pacific Scientific 4397 MA PN 76097344 . 1978 Replaced Yes

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _A F-H -3288_ _ _

Snubber Pacific scientific .17077 , IWA PN 76097344 1985 Replacement Yes

.__ .,. AF4 . -, . -A.H-328B

7. Description of Work: Replaced snubber on hanger AF-H-328B.
8. Tests Conducted: Hydrostatic El Pneumatic El Nominal Operation Pressure El Other 5 Pressure ___psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WO# 434394 R/Rff 04-02-006 ASME XI, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certificate ofAuthorization No. N/A Expiration Date N/A Signed \ m f s ner or Hier's Designes t::: - . Eauioment Performance Suoervisor Date lb  ::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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford, Connecticut have inspected the components described in this Owner's Report during the period of JoZ IIIZ to / and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

/2ga '. Commissions NC 1507, ABIN NS

- Insp tor's Signature National Board, State. Province, and Endorsements Date 111Z/°S (12/82)

-. -, :?," .. 12, 11 P,,t - .,-N, 11'0 ,.-.R".-I 11:4 tii ti Pi--w6ni-6f`- . wpvr%

ov 0 an'1,,, -X- "-. _'. :.I.,I - ....

1in-l-.n VIVISfn - -

1-Nuuditued hW

-1 Pacific Scientific Co. 1346 S. State Collece Blvd. Anaheim. CA 92803

(-..2. - -IName ande rfesmi t HPI Ceitlticat, tHldef "SnutIsel w

  • ird -Itt Grinnell Corp. 62i Dana Street N.E. Warren,. Co 44481 lNevme GaO 46410114 of VbfutOhas Of aw~ottf Location Of Instetlation m 4 Identif icat ion Idl (of II to)~ I I(hi C'O"Vonentl Cerdtdan APOlecabi a Signsi Report Type of support Po'atration Drew'wttgt ith. -of LoandCape- ~Component Clei WIllNo.oard ..

l.O. No. No04. Laat Afiv. I Ue: ,city Dole Sheert Support yea. Suilt IN= 1801103-07-J DR 1416- .Rev.0 Linear 1  ??14c 31.9.w t thru 161 r71 0 (101 SP nri Iflsrectla lTest Recorts

  • C2IMW n f ~ p C ~ f ~ r a I

'7certi~ie to iwvet ASM1 Sec. III -1974- Edition, Su-.rmar '76 Addend~a ay-e Code Case 1644-6.

I k~}I CERWiICATE OF COMPLIANCE bila civilty1 that th. sltatensentsi ma* in¶ thus repo, I a,. cotrrctI ad that thewc cov'iMenefIs swpoo-ts Calif eM'to the rules Of Coniffuet#0on I i a' the ASME Code to' Noclissa Poor,' Puant Comporwents. Section lll* Duivison 1. Ed-lion 1977 Addenaa. winter '78 -

~oe'i~e c s e 16 4 4 7 - P a c if ic S c i en Pj : C _ _ _ _ _ _ _ _ _ _ _ _

OwCuASME Coflofacet.e Of Awthoriqaseon No ~9 to Oise "t' S.mtof apir~t kaj. 4, 1987 CERTIFICATION OF DESIGN C.".gn Intorm atuon on File atof __ _ _ __ _ _ _ 1-i"'; scient-i - P. - -

StaeuA Repoet o. Losa Caioac.ty Data Sheets onFile at Pacif-ic Scientific Co.

-. ilc-; -erJ'-ZA -3256-~

Design So-ec-t-c~ations C't.l-... by lI) 1Ino E. Ay PE State California Reg No. 135333 Si'eu Ansly'sitl Rempo't O, toaZ CapaCiry Oslo Sheet, Certified by' (II .oeo E. Ay PE Stat.. 31I4!C flRog No 13533 III List -4m. 0^1wy Ig-V.8.ie no. f~,...a

-Supplemental shee:s in form o lOst5 sketches or drewings may bc used proicded (1) s#:e is V's in .121 informelio on items I.

> c.z 4A on this Da:s Reporn is included on each sheet, and (31 each sheet is numbtreC and number of sheets is recorded Jt to this tufmlt 11177l 'This 1rm (E000751 may be obtained from the Orde' Dept., ASME,345 E 47th St.. Neu' York. N.Y. I 1),°

. .. - . . ... q

,o s-NF.1 (Boh)'

CERTIFICATE OF SHOP INSPECTION

1. thle ift*#tonld. holding a valid commiiorttl lsued by tha NotiaooIl BoaUd of loiter and Presure Vessel Insvoc1orn Ind the Stlst or andndemployed by HISBI&I CO. fArttort CT 7),

POVVC of aof ,.....

_ te

__ vIsMeelt the coM9 e00 uo1ot sugeale deacribed In this 0.18 At ort v on /

  • IS _ avid ste tt to te best ot me ta'.ledge and belief tit t Ceilitlcat. 14010Cr tas conitructad the,. con oncnt sueovil in 5ccor01nc0

_tr the ASME Code tot NucIhaf Power Plant Componrents.

By ugrng this CertilwcStI. neither the Intctor nor his employer makes any warranty. Impressed or inolled. concerning the componort supporQs described in this Data Repoot. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any persona mnjury or property damage or 8 toss of any kind arisinC from or connected with this inspection.

flat. t- -L "5T S ,2=f Comnmisltons, /5 24 / L///& a - / .

Ia Od . las i.e ^ 0. and No I CERTIFICATION OF FIELD INSPECTION the indesiigntd. hold-ng a valid commrssion .%evyd by the Nat-onal 80cud of Sole. and P'ttsufi Vestet Intoectos and the State oi orm nco of and employed by ot have compared the statements in this Data Report with the described component suoports and state that the paris referred to as data items not included in the Certificate Of shop inspection. have been J&wCeld b? Met i'd that to t% bhe b of my *noi14s, a'd tllit tnt NPT CirI.fity M.olids hit C0.lon1tictd tIKe CO-iOA0.n S.oori5 *n &cCOrd.

t ance "ith the ASME Code ot Nuclear PowP Plsnt Components.

Pr t.gn.ng thiS cctc I'calf neithet the Inspector notr h.t employte maike any .arAntIV. e'wirsad o0 -mpiled, conce~n-ng tht component ivOeorts dyrcr"o in C-AMs Oaa Prepoit Viuqsruoe. ^rtrir 1ri ,nspyctoer or mIs *iieio,1e mIll De Ia0ie ,^ 4i ..uanf Aor any oteScnai

euwroOP .OVI Ca"-agt or a l*%%of any %,nd h fn of. tor cned .alh thu Asio.Ct.C.

1 t.D d Slate. Pov a.^d No I 0

I

, ._ 7-

Attachment I REPAIR/REPLACEMENT SYNOPSIS Sheet I of I DATE 01/06/05, REV. 0 f *.

Repair E Replacement. R/R No. 04-02-007 Suitability Evaluation Required 0 Yes E No EC No. N/A (including failed items)

W/O No.434395

1. SYSTEM NAME AF - Auxiliary Feedwater NB No. 49 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. AF-H-670 OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. 76100700 P.O. NoJCatalog ID. 76100700 Year Built 2000 Code Stamp No Year Built Unknown Code Stamp No Const. Code ASME Ill Edition 1974 Addenda W76 Const. Code ASME III Edition 1971 Addenda S73 Code Class 1 Code Cases None Code Class 1 Code Cases None NB No. N/A NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Bergen-Paterson Manufacture Serial No. 41153 Manufacture Serial No. 11918
3. DESCRIPTION OFWORK Replaced snubber on hanger AF-H-670. The replacement snubber meets or exceeds the original code and design snec requirements. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED D MT - Mag. Part. Complete a IS D Supports E Ea PT - Penetrant Complete El IST D ILRT/LLRT El D RT - Radiography Complete El FAC E Other_

El UT - Ultrasonics ,Complete al Check Valve El 0D VT-3 Visual Complete 0

6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure al Yes al No El Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF El Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANVANII Review 10/26/04 PreWorkStart 10/26/04 Work Complete_ 11/03/04
8. NIS-2 Prepared 01/17/05 ANI/ANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted In accordance with RDC-NGGC-0001.

.PLP-605 Rev. 23 Page 17 of 30

WO# 434395 R/R# 04-02-007 ASME XI, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS Y) As Required by the Provlil6ris of the ASME Code Section Xl

1. Owner Progress Enercy -  :- '- -- Date 01/17/05 Name P.O. Box 1551. Raleigh, N.C. 27602-1551 - Sheet 1 of 2 Address
2. Plant' Shearon Harris Nuclear Power Plant ' Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WOP 434395 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy ' ' Type Code Symbol Stamp N/A Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A
4. Identification of System AF - Auxiliary Feedwater 5 - (a) Applicable Construction Code ASME Section III 1974 Edition. Winter '76 Addenda, See Ni Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1989 Addenida N/A
6. Identification of Components Repaired or Replaced and Replacement Components'

Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No)

Snubber Pacificsientific 41153 NIA PN76100700 2000 Replaced No

  • J ..... , .. T . i. .AF-H-670 Snubber Bergen-Paterson 11918 ., .N/A PN 76100700 Unknown Replacement No

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _A F-H-670 _ _ _ _ _ _ _ _ _ _ _ _ _

7. Description of Work: Replaced srbbFn '.ig- A'F-. *. ' '.- ---
8. Tests Conducted: HydrostaticE0PneumaticE0Nominal Operation Pressure 0 Other . Pressure ................-Psi Test Temp. OF.,.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 1h In. X 1 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 2 WO# 434395 R/R# 04-02-007 ASME Xi, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturers Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certifica f Authorization No. A Expiration ate N/A Signed l < 40 Equipment Performnance Sul~ervisor Dt //a ow-ner 2!!wer s Design-6v ,itle Cat /

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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford, Connecticut have inspected the components described in this Owner's Report during the period of YdiiiiiI to /Y- 12//x -. -, 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.

oat61aCommissions nspe or's Signature NC 1507. ABIN NS National Board, State, Province, and Endorsements Date //D s1 (12/82)

Attachment I REPAIRIREPLACEMENT SYNOPSIS Sheet I of I DATE 01/06/05, REV. 0 Repair D, Replacement 0Ml R'R No. 04-02-008 Suitability Evaluation Required ,3 Yes EINo EC No. N/A (including failed items)

W/O No. 434673

1. SYSTEM NAME MS - Main Steam NB No. 59 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. MS-H-971 OLD COMPONENT NEW COMPONENT P.O. NoiCatalog ID. 76100742 P.O. NoJCatalog ID. 76100742 Year Built 1981 Code Stamp Yes Year Built 1980 Code Stamp Yes Const. Code ASME IlIl Edition 1977 Addenda S78 Const. Code ASME IIl Edition 1977 Addenda S78 Code Class 1 Code Cases 1644-6 Code Class 1 Code Cases 1644-6 NB No. N/A NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Pacific Scientific Manufacture Serial No. 14286 Manufacture Serial No. 10972
3. DESCRIPTION OFWORK ReDlaced snubber on hanger MS-H-971. The replacement snubber meets or exceeds the original code and design spec requirements. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT - Mag. Part. Complete El ISI El Supports E El PT - Penetrant Complete El IST El ILRTILLRT a El RT- Radiography Complete El FAC El Other El UT - Ultrasonics Complete _ Check Valve El 0 VT-3 Visual Complete 0
6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure ElYes El No El Functional Elevated Pressure N/A psi E Inservice Test Temperature N/A OF El Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANIVANII Review 10/17104 PreWorkStart 10/17/04 Work Complete 11/03/04
8. NIS-2 Prepared 01/14/05 ANI/ANII 01/14/05 In Package 01/17/05 Note: Upon completion of the document, it Is a completed OA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WON 434673 R/Rff 04-02-008 ASME Xl, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Progress Energqy Date 01/14/05 Name P.O. Box 1551. Raleigh; N.C. 27602-1551"- -- -- Sheet 1 of 4 Address
2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd.. New Hill. N.C. 27562-0165 -

W0ff 434673 Address - Repair Organization P.O. No., Job No., etc.

3. Work Performed By Progress Energy - Type Code Symbol Stamp N/A

-- . Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 - Authorization No. N/A I Address Expiration Date N/A

4. Identification of System MS 'Main Steam 5 (a) Applicable Construction Code ASME SectionI 1111974 Edition, Winter'76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 . Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components Repaired. ASME Code Name of Name of Manufacturer National Other Year Replaced. Stamped Component Manufacturer Serial NO. - ` Board No. Identification Built Or Replacement (Yes or No)

Snibber Paclfic Scientific 14286 . N/A PN76100742 1981 Replaced Yes

_ _ _ __ __ _ _ _ _ _ _M S-H -9 7 1 _ _ _ _ _ _ _ _

Snbber Pacfic Scentifc 10972 N/A PN76100742 1980 - Replacement Yes MS-H-971 . .

J.

7. Description of Work: Replaced snubber on hanger MS-H-971.
8. Tests Conducted: Hydrostatic El Pneumatic a] Nominal Operation Pressure El Other El Pressure _ Psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2/2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WOI 434673 R/R# 04-02-008 ASME Xi, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement. .

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certificate of Authorization No. ,WA Expiration Date N/A Signedg D Gz gh.&~-Z ?l* Eguioment Performance Suervisor Date a 0%ier oVryner's Designee. Titlel/) -- _ 7 L`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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford. Connecticut have inspected the components described in this Owner's Report during the period of 1,i17/1.' VI to //W.0/O9A ,. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xi.

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

^ -a ,

~spectqs Signature Commissions NC 1507. ABIN NS National Board, State, Province, and Endorsements D ate /, Y)7, (12/82)

  • I N1F' BTIAEH W ATc~OTlf O~tEJ Ul Ai tsReqfrod by th. Prwovilons of thifi ASME Cod. RItus. Scttivot W.044ettf I

.,t. Mtnfctuttr ed gg_> f

__. (aMet Std address d tPT CertfftC41tv $tdel W _ S Smthweat ¢.c,.,.o. Fabricatir &t2.dirsQ.,_Ic. P.O. BDC 9449 Houston Texas 77011' Ebasc Services, Iw' 1cAents for: tNa.

  • anid Odd'"1 04 OIhuosst at owrfl Carolina Per & t
3. Location of IntlallatOtnSheamn flari5 4 .tenfiication (a) lb) IC )c Idl 1M) II) (Iy Ihl Conoonent Cansan AoC0001OW Stress Report Type of Support Ritrtciton Drewoings fwth or Load Caoa- Component Nat'l Boafd 1.0. No. No. -Last Rev. & Data Ciry Data Sheet Support Class No. Year Built (t)10913- None 1801102-05-.T DR1351-;A Linear, 1_ None_- ' 180 12111117

_311__7___

16 1 __ _ _. . . _-  :- -- -, .

I?)____ ..- . - . -.

___ 7-7-7 (S1....

.-i 1

_..lm k -

CERTIFICATE OF COMPLIANCE We certify that the ttatemnents ptade in this revor! are co'rrct and that these components supports conform to *t: rutel of C(11-.t',cteor.

of the ASME Code for Nuclear Povvev Plant Components. Section Ill. Divei.on 1. Edition 1977 . Addenda _T 78 Code Cas" No..1l44.; / 40.,.

Date 41 LYBD. Signedt Pacific Scientific

.s~ i rCetf.s§ . ree

_ by .

Our ASME Cert.#ecate of Authsorizations No 1193 ... to use the O3 fQ14 S port

NP I I Svenbol e *C)1es Aug.t4,19 CERTIFICATION OF DESIGN Dwan Inntomataon on I -to t Pacific Scientific Stress Reoort of Load Caac.ty Oat. Sheeti o-n role at racific. Scie.ntific Filed Per UN 3256 Des.1Q' Soectflcallons Certtbed by fII).. LCO IE. *yv _ PE Stlte__... Californiia Reg No _ 13533 Stefss Ana lyss Rei,0.tI of Load Crpacity VOta SheetI Coeoerd by ll Leo E. Ay PE Slate. Ca-liformia 13533 Ill 5...i "en- oni. SiQner.,a no, *w.u...*e a

'SupplemenrtaI sheets in If o oI lists. sketches or draeWvngs may be usedi provided 111 site is 8 Io n 21 tnin(,c!iaon .rc itenS

_11 dC. 4g on this Data Report is included on each shede. artd (31 *octh sheet is numbered ond nurterr ont Sheets iS recorder tt tI this form t 10/771 This form (1E000751 may te obtavneot tfrom tie Order Dept.. ASME. 345 E. 47t0 St.. New Yoirk. N.Y.

I

CERTIFICATE Of SHOP INSPE.CTION

1. thev undat'gneeJ. holding A valid Comtcimnsto stowed Ity tho National Ooj'd of 1elode, and fe".,euto V.iettl lntpicti~t" ad (hp State at Prov'fK# 0 i. C0.lLOrziA... ... and tinwtoved Lby.... .. .-.ILMT&T. CM.of..........

h'aw I Iructod Ih# ti on9V#flt P#. %up poti d.iicrited.d Inithst Data 114qlrt sIn

&Otee tat to the bethistofmw ItOwutilto alil "ilet thie bPt COMt titi t Holdtf 1`4?i foreletKIPKte thow I get~porivri %U~uJs'1 ' I, sster vvith1e ASME Cotti trnt Nucleat Poinvot i tnt CirPteonre!

By vsqnitiq chit certiicate, nifithat the Ilfloeti mot hit ur'Ioyff ei meekel Any V.eie ty.v ePgiefqed of iIitif04f, confretningJ thr c"'pientupnI supporis descrtibed in this Oats Report Furlhierrni-'., teiether thet (Inapiclot not his vtiel"oym' %hillties liabtloen siny imicintnr tim any personal injury or properly darviage or a lost of any kind aritong ftImm or connerird with theis tflsprccitn 0 jel CERTIFICATKJN Of FIELD ItNSPECTiON I

1. the und~tfugmed. hotd-Aq i ~ald comenmssion 'issute L-~ ti~, Njt-OnaI l1t.,.5. ,iC t Ansi I~'l ,, VesIii l4,~(~ is Ihp tt Provsnce of- 4nd e'nio -. (!i ______

I _________. -hAvt. coompareu'd thi* it4tvit. z in thus Data Report v.,sth thu. Itiescritml ~'on'pntnt stit ,;,, .

that the paris refetredl to as d.,ra aetsnIM. .11Ctuded& in the~Certificate' Of shop inlspct:,-(r*.. vn*f

'ivsIcted Uy .- 1 &nd Ma11tOtofew OPSC.,t i',- s.lii .- th NP? OHi0VaI% ^ siossItus ?C 'ti~e cnn-O.-rnt sun. ... "(1 ance evit?5 the ASME Cod~e to, Nuclei, Vovvie Mitni Ct.'ox-vits By signingj th,%cuisl.fcalf' ne-1hthiCe I liij,-s sy. mat'"s~ 411y -. 4A.iflt. 0-11*011"di m5 if5ii~~cwwr"C m iflmpoln

  • uDP.5'it tftu

-tnsi~t tatML.u ,h]1. . .. **, .WFr .tI s '.siiiV S i 1 rs~i t t

-I's , i p".(,Irt. tn.rr ii'ii n uiiIuugf... r.- i 5l i 1

Ddtee i ...... ". "......

l.. * *.i* . ** i. .. "I N ,*

Attachment I REPAIRIREPLACEMENT SYNOPSIS Sheet I of I DATE 01/06/05, REV. 0 Repair [ Replacement s RIR No. 04-02-009 Suitability Evaluation Required 0_..Yes EI.No EC No. N/A (including failed items)

W/O No. 434697

1. SYSTEM NAME Si - Safety Injection NB No. 46 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. Sl-H-334 OLD COMPONENT NEW COMPONENT P.O. Noi~atalog ID. 76100742 P.O. NoiCatalog ID. 76100742 Year Built 1981 Code Stamp Yes Year Built 1983 Code Stamp Yes Const. Code ASME IlIl Edition 1977 Addenda S78 Const. Code ASME IlIl Edition 1977 Addenda W78 Code Class 1 Code Cases 1644-6 Code Class 1 Code Cases 1644-7 NB No. N/A NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Pacific Scientific Manufacture Serial No. 15630 Manufacture Serial No. 24883
3. DESCRIPTION OF WORK Replaced snubber on hanger Sl-H-334. The replacement snubber meets or exceeds the original code and design spec requirements. Therefore. suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT - Mag. Part. Complete El ISI a Supports E

[I PT - Penetrant Complete El IST D ILRT/LLRT El Dl RT - Radiography Complete El FAC El Other al UT - Ultrasonics Complete El Check Valve El 0 VT-3 Visual Complete 0

6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure El Yes El No El Functional Elevated Pressure NIA psi El Inservice Test Temperature N/A OF

[] Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A

7. ANI/ANII Review 10/18/04 Pre Work Start 10/18/04 Work Complete 11/04/04
8. NIS-2 Prepared 01/14/05 ANI/ANII 01/14105 In Package 01/17/05 Note: Upon completion of the document, it is a completed GA record and is to be transmitted in accordance with RDC-NGGC-000 1.

PLP-605 Rev. 23 Page 17 of 30

WO#l 434697 R/R# 04-02-009 ASME XI, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl

1. Owner Procress Enerqy Date 01/14/05 Name A,' ' ';

P.O. Box 1551. Raleigh, N.C.-27602-1551- - - Sheet 1 of 4 Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WOlf 434697 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy ' Type Code Symbol Stamp N/A Name 5413 Shearon Harris Rd.. New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A
4. Identification of System Si - Safety Injection 5 -(a) Applicable Construction Code ASME Section III 1974 Edition.'Winter'76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, - Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No) snubber Pacfic scentific 15630 N/A PN 76100742 1981 Replaced Yes

_______ 5S1-H-334_ _ _ _ _ _

Sntbber Pacific Scienbfic 24883 . NA PN 76100742 1983 Replacement Yes

.. ' ,, ' ' S14S-H334

7. Description of Work: Replaced snubber on hanger SI-H-334.
8. Tests Conducted: Hydrostatic a Pneumatic D Nominal Operation Pressure a Other 0 Pressure ___psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2k in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WO# 434697 R/R# 04-02-009 ASME Xl, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturers Data Reports to be attached.

NI - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certificate of Authorization y \ N/A Expiration Date N/A Sioned

_ *Z*- God/ or ,9,.

_- -ordainer's ofesiree, lye)

Owner r v V

Ago Eauioment Performance Supervisor Date - I LI 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford, Connecticut have inspected the components described in this Owner's Report during the period of i/o iz7ov to ________ ,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xi.

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

________________Commissions NC 1507. ABIN NS lnspect Fs signature National Board, State, Province, and Endorsements Date //CM/D5 (12/82)

l f ,

I *1 FORM NF-1 NPT CERTIFICATE HOLDERS' DATA REPORT FOR COMPONENT SUPPORTS*

. As Required by the Provisions of ihe'ASME Code Rules.Section III. Division I I -

.i t, pacl21.jn 3c jMh tRi s bl'6 S. - -'STa iecAie;qe Blvtl. iImr

- 1__

Ca. 92803 - -

i
:6 1.1.U -I ; (Karne and &ddrq 9 01FINIFT C*rIll(kaft Holder) .

= Grinneii rpora on62jbi6aMeetN.E.%rrenOhjo 44481- - -

M usnufactuter for ___ -- _. - _- ---. _. - -

%-.1- W- ., %1, U--Wj urknown '

M Location of tri!Its"atton I 4L tzscritification .

(a) (b) _ (#I Component Canadian AW;cable Stress Report Type of S4JPPDrt 110041146on Drarv;n9siovoth ow Load Caps- Component:: Nat'l Board

1. 0. No. No. Last Rev &Vat* city oafs Sheet Support Class No. Year Built '. I

... 24R42 None 1801102-05-L DR-1414-Rev. 0 Linear 3. Nom , .'I QR .2 -

%aa th=

24930 QM'S ard -Cerfificata of Con ISO Cer ed to r&-_et A-ST- Seq IrI 19-74'Edition;' Sxwer 176 k1denda and Code Case 1644-6.

ULM 1111f.;Alt; Ul' U(J"FLIANUL IVV4 cottify that the sts'eme.nts mide in this report ss Correctand that these compononit supports conform to jhq rWfet of Construction of 04 ASME Code for Nuclear Powet Plant Compoftontl. SoCtion Ill. Division 1. Ediliom Q77 .-. Addend* Wint r 1'78- .

S.g fostill C.-ide Caw _lt:ifiC OFT cerlit.C311 #46fd*fj 0ASME C.,wic.t. of Authotorst.on No. 11918 to uw thor (NPT)

Trbcl faPitas ;Iuqt 4, (0;101 CERTIFICATION OF DESIGN coes ;-%Infolenst-an on File at-par-if in scip tju S:-ru Popoel or Load CKAcoty Data Sheets on File at:

1ZaCiflc I'Scient -1f i

.r..

-;-er- . Per '.XA 3256 7At 7' SC-00-16CAI-04%11 V4rtlf-od by (1).

Ieo E. Ay PE State- California POS No. I- 13S33 S,-ru Aptsyirs Popoff or Load CaPacitY Data Sh"Is Carlsf-ed try (II rjW E. Ay PE Flog No 1 533 .

C.-. 24-0 only. FOQV.r.a.

lb

I-,ernen-sl SI, eel sin form of lists. %Ietches of de S-inos maybe used provided (1) size is 8t,,j in.. (2) Information in items 1.2.

on this C)&:& Report it included an each sheet. and (31 each sheet is numbered and number of shtels ;% recorded at top of "us ;M.

CH , .5 I t1arm Th;. ire-M ffma7sl rn.&V he rhtAnAd Gam t,%& Order bam- ASL4F_ _149 r- 47th --tv P"_ Y-A, IJ V_ IhM17

II I

FORM NF-1 (Back) i CERTIFICATE OF SHOP INSPECTION C. the u.~devs-grd. hotdnmg a vatid cownvnl;on .issued by the Nateonal 0oa'd of Bfoiler and Picssutu Vgtil 4 lnapector& and the State Of

nocg of- OtffO and ernPlo'ed by B.JSAI&L.00 ofEalitf~or1d.

___________________ ha.,. .nttect~rd the component supports described In this Oata Report On ae I~ .~-"a-d ValethIat to the best~o f mp knIo-fedle and belief the flPf Cert;r;cste Holder has constructed these com¶p.onenft SujpOrll In acCCQdarce

-f ithe ASME Cotle for Nucfear Pov'.er Ptjnt Con-ponents.

by si.E^g ths cetftitcate. neither the lnspectot not hit employer mak-l any wvariinty. eprettied or implited. concesning the component swuppots described in thWs Oata Report. Furthermore. ncilher the Inspector nor his employer shall be liable in any manner for any atesoeal injury or properly damage or a loss of dny *ini ar;sng from or connected with this inspecton.

//f-iRA-S3 n

/'t_

/. L4A t t __ -~ -

--- sCnfllm.iinnt Iennnnso.ns_ - A4 '- e"j(Not. ad.. State. Prow.. and No1.

CERTIFICATION OF FIELO INSPECTION I ::hgr unde-s;ostd. hofdng a vafid corrm;u;on issued tbY the Nat6onst foard of Bostae and Preuure Vcise4 Intp-ctort and the State or vwaircq a and employed by of

__ have compared the statements in this Data Report with the described componer supports and stale

%:W-ls,parts referred to as data items . not included in the certificate of shop inspection, have been wsawcod b, me And that to the best of m, kno.dlede and belue the i4T C* t;r;lcst Holder Ass construCted these component sueports IA accord.

ktuiatft thl ASME Codc foe Nuctia, Poter Plant Compoments.

9V s;Vni^6 this cartificat ne ther the tnsp ecsor not hisI pnloyet maI" a*ny I vJrranty. anpoted or im PI;d. conce ning the comoonotn t.401s d3crfibed in this Cata prepaor. Furthermore. ^nether the ilopt~to nor Ws employer St1tll be liable in anr manner tor any erIo4141

. 0' t*roPert da- g r atolt Ot ani kind arisut'S from of conn 'tted .t h this inspection.

9&o Scrdt t Comnmssoens.

IN4.t1t 8d, Stat.. Frov.. and No.)

IAA~

I . .

i; IfPIRRELAEM

-N SY NPSS Attachment 1 REPAIR/REPLACEMENT SYNOPSIS Sheet I of 1 DATE 01/06/05, REV. 0 Repair D Replacement l R/R No. 04-02-010 Suitability Evaluation Required ELYes ELNo , ECNo. N/A (including failed Items)

W/O No. 434699

1. SYSTEM NAME SW - Service Water NB No. 64 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. SW-H-1897 OLD COMPONENT NEW COMPONENT P.O. NolCatalog ID. 76100742 P.O. Noioatalog ID. 76100742 Year Built 1980 Code Stamp Yes Year Built 1981 Code Stamp No Const. Code ASME IIl Edition 1977 Addenda S78 Const. Code ASME lII Edition 1977 Addenda 78_

Code Class 1 Code Cases 1644-6 Code Class 1 Code Cases 1644-6 NB No. N/A NBNo.N/A Manufacture Name Pacific Scientific Manufacture Name Pacific Scientific Manufacture Serial No. 9209 Manufacture Serial No. 15591

3. DESCRIPTION OF WORK Replaced snubber on hanger SW-H-1897. The replacement snubber meets or exceeds the original code and design spec requirements. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED OMT - Mag. Part. Complete El 1SI El SupportseI ED PT- Penetrant Complete 0 IST 0 ILRT/LLRT Dl D] RT - Radiography Complete El FAC El Other El UT- Ultrasonics Complete _l Check Valve El E VT-3 Visual 'Complete 1
6. SYSTEM PRESSURE TEST REQUIREMENT oLeakage Nominal Operating Pressure El Yes El No

] Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF al Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A

7. ANI/ANII Review 10/22/04 Pre Work Start 10/22/04 Work Complete 11/03/04
8. NIS-2 Prepared 01114105 ANI/ANII 01/24/05 In Package 01126/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 434699 R/R# 04-02-010 ASME Xl, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provislons of the ASME Code Section Xl

1. Owner Progress Energy -.;'- Date 01/14/05. - -

Name P.O. Box 1551. Raleigh. N.C.-27602-1551 - Sheet 1 of 4 -

Address

2. Plant Shearon Harris'Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 434699 Address , . . . Repair Organization P.O. No.,-Job No., etc.
3. Work Performed By Progress Ener6y ':Type Code Symbol Stamp N/A Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A 4.- Identification of System SW - Service Water -

5 (a) Applicable Construction Code ASME Section III 1974 Edition, Winter '76 Addenda, See Ni Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 , Addenda N/A

6. Identification of Components Repaired or Replaced and Replacement Components'

- , . Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer - Serial No. - Board No. Identification - Built Or Replacement(Yes or No)

-Snubber Pacific Scientific 9209 ,NA PN 76100742. 1980: Replaced, Yes

.1>_______ SW -H-1897 _ _ _ _ _ _

Srnbber PacficScientific _ 15591, j-' MNA PN76100742 1981 Replacement Yes

. . . . __ SW-H.1897 __._._.._-_._

7. Description of Work: Replaced snubber on hanger SW-H-1 897.
8. Tests Conducted: Hydrostatic 0 Pneumatic D Nominal Operation Pressure D Other 0 Pressure _ _psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. X 11 in., (2) information in items 1 through 6 on this report Is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WO# 434699 R/R# 04-02-010 ASME Xi, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xi.

Type Code Symbol Stamp N/A CertificatP Authorization No. A Expiration Date N/A Signed 0orir 6:VlVY U 2< 9 or Knee's Design-ee, Title J an Eauipment Performnance Sup~ervisor-I Date 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford. Connecticut have inspected the components described in this Owners Report during the period of ,,/Z2 Ao/ to //.0s , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

,-e. X", Commissions NC 1507, ABIN NS

' tor Signature National Board, State, Province, and Endorsements Dat 2/Dad (12/82)

  • AS Riquired b-~tho Prov9ionaorifI W~ASPAE Code Ruteul Stdion Mi. Dilsion I MntatuteBv T1 Co ibei~ ~ ~92803 Fa.-tccat~ng si~~ tPf4ad address of NPT Ceritifcate Holder)

H ~ ,jnij~juct , I~M Co, 1z  ?.O49 Rston, T~cas Q. gf q 11'5e'.14i and addeafis of putecha.o of owneti 1L:ro f lvntteflation .- ¶,2 4 Idantifickitio'. .. ..

.Cs fbI. d)) le .. lF (..,(hI ..

4- Coenoct'Jnt Casnadmsi, Applicable Stress Rrvcrt Typt of .

4. *pcwoi Ce~IvA'io Drewangsvvith &c;Losd Caps - - Cornpnet - ai or *. -.

N. UzLit Rev. & Date.". Sheet upotti.J.Yrduel%

3) -a Of V IfCt~F 2565CMINC

...... 1 As;fy*."-

crif-that til %latenmisnt made in this raport a'a thew.ct-*nonthat supports conf orm to the rulift of cntuto Pc2l;o~*~

Sw.dlant3.fCo Sientt i .i~o '. Ed-tion de dai,~~L ____

IM tPI Certif icsW~oldcot Our ASME Cc-tmacate'cf Autharizmtcon tjo. to Use the CcpnetSpp-orts Symo 9p~f Ang. 4, 1981

f. mb..i.arci . - .. .IDate CEO XFIOiN 'OF DIESIGN .

siln Ino. mcton on*** F41So!3*2L .. *:1

~St R-eport or Lo~id Cf:t-zcity Oct& heets an File et J.gn Pacific Scientif-ic _________ ___________

SmoocvfecaiaonsCctif oad by (1)--- I.eQLE..i -. P

':ircos Ansiyvs Reri~r or Looct CaaiyOt he: C yt~lt M1 Leo E. Ay rIm-a 3533,___

'upemnl h!hets in form of li;;s. sketches or drawingspa busdpoie(1si Al;; on this Data Report is. included orn eachi "het.and (31 eafch sheet is numbered and number of sheets is recorded at top of.,~4 s8Vin.()informatio n in items 1 2.

>-thgs form .> . . - '

  • ~(071Thisform dE)73) ruy bccbt6 nao from' tho O.de( Dept.. ASME. 345 C. 47th St.. New Y'er k'.N.YI. l~

MMRMT RON

II rS A

. .. .. .' I , . '.. .- "- - I- - . _. -.-- -

.. ..I . . .. . . .. . .. I -W' 0-K_+. 31,Lqq 7V FG" N, I (06ck)

. I '.. . 51,Z4 4,

.: .. a'. _ ..

.' FCTE 0f SHOP INSPECTION ,f.27 I1112 t-o; cfd. ho-dn; a .tiod comr-tsiin su..ed tt-t National Board of Boiler end Preitur. Ve.arcl lnspectorrtcrd thet State Of

~. I,

--- -ff r~~hae Inspected ti' ce npwnenl suo. orts de Csc~rob in thiS Data Airport on _S t: __

Si t t -d staile that to the best of my knro-ledqe iands belief the NPT Certificate Holder haS constfucttd tltw* component L,,'soitS ifr ectoi(IAce

  • ..~ i1 wth the AS-ME Codip foy Nuclear Fowar Plant Components By 5esin 1 ttis Csrtificate. neith-f the l.utctor nor his trnploytt -nakes any warranty5 experssed or -mrtisd. conCerning the conponant LI I s3.pp;'ts described in thtIs Data Report. Funhermnore. neither the Inspector nor his employer shall be lisible in any mainnea for cny erzonril injury or p-eterty damage or a ICSS of any kind arising from cr connected with this inspection.

. . , l~f; -,*i I

Diate S-gned-Uix-__V WLt'-) .. vc.^nanlsslope

/I _t%. if-J4-q 4 ,

% - e

  • S £
I (Na'I bd.. Stats.. ~!o an&dNo.I I

I

.-i ,;

4 I'U. .l~t .4.

.**.*i1: t I f..r . - .4_ ". .I "

II

... .. . -il'. .1,F" .V .,: ';. .

I CERTIFICAT.ON Cq: FIELD. INSPE-C1o0N i *t, uider;igned. holding a vD!id comm;:sion itsued by the Nationaul Soard of Oolair end Pressure Vestl Inftc5Ctof end the Stite of Province o' and emp-oyed by- _ of _ -

have ccrnpared the statements in this Dr.s, Fepon with the desrlib:d compunern suppers aend state t~hat thie parts referred to as data items _ not included in the certificate of shop inspection, have been insoected by ne ,na tiat to the best of my knowledie and belef the NPT Cerlificale Ho;der has constructed tetse comronent supports in accord-ire vwith the ASME Code for Nuclear Povor Plaot.Conponents.

I 0i ,i9nir2otis crtlificate neither the lnrzpctor nor his emp oyef mikas any w.rranty. expreued of iir-ptiod* concerning the cownponenr u~r-IS described in this Oets AReoi. Furthermore. t.efttr the nsr'ector nor hits emrployer slal be liable in ary manner tfr arty peronaI I I

,frju-y Cr p'Cor.ty dnramaCe of a loss of any kind arising fiom or conrcteJ w.th this, .$nrwCcn II I

wMllI.

C0,:r_.. '. i I

.".I- lNat'i Od . '.11e* Ptov . Ans No !

I 4

I i.

II I

Attachment I REPAIRIREPLACEMENT SYNOPSIS Sheet I of 1 DATE 01/06/05, REV. 0 Repair [I Replacement [3 R/R No. 04-02-011 Suitability Evaluation Required ZYes ELNo EC No. NIA (including failed items)

W/O No.434710

1. SYSTEM NAME MS - Main Steam NB No. 59 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. MS-H-76B OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. 76100700 P.O. NoJCatalog ID. 76100700 Year Built 1981 Code Stamp Yes Year Built 1981 Code Stamp Yes Const. Code ASME IlIl Edition 1977 Addenda S78 Const. Code ASME ilI - Edition 1977 Addenda 878 Code Class 1 Code Cases 1644-6 Code Class 1 Code Cases 1644-6 NB No. N/A -NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Pacific Scientific Manufacture Serial No. 17512 Manufacture Serial No. 18595
3. DESCRIPTION OFWORK Replaced snubber on hanger MS-H-763. The replacement snubber meets or exceeds the original code and design spec requirements. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED D MT - Mag. Part. Complete El ISI El Supports El

[I PT - Penetrant Complete a IST El ILRT/LLRT El D RT - Radiography Complete El FAC El Other El UT - Ultrasonics Complete El Check Valve El E VT-3 Visual Complete l

6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure El Yes ElNo El Functional Elevated Pressure NIA psi El Inservice Test Temperature N/A OF El Hydrostatic 0 Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANIIANII Review 10/18/04 Pre Work Start 10/18/04 Work Complete 11/03/04
8. NIS-2 Prepared 01114/05 ANIIANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

.. -11, -101---le.

WO# 434710 R/R# 04-02-011 ASME Xi, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl

.1. Owner - ProgressEner-gy - -'  : ' I Date 01/14/05 Name P.O. Box 1551; Raleigh. N.C.27602-1 551 Sheet 1 of 4 Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name .

5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO 434710 Address Repair Organization P.O. No., Job No., etc.:

3. Work Performed By Progress Energy Type Code Symbol Stamp N/A-iame  ;;  :. .

5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A

4. Identification of System MS - Main Steam

'5 (a) Applicable Construction Code ASME Section II11974 Edition. Winter '76 Addenda, See'Nl Code Case' (b) Applicable Edition of Section Xi Utilized for Repairs or Replacements' 1989 , Addenda N/A -

6. Identification of Components Repaired or Replaced and Replacement Components Repaired. ASME Code Name of Name of Manufacturer National Other -Year , Replaced, Stamped Component Manufacturer Serial No.' 1Board No. Identification Built Or Replacement (Yes or No)

Snubber PacficSifentific 17512 A N/A PN76100700 1981 Replaced Yes

_-__ _ _ _..- . _ . ._ M S- H1761 l_'_ _ _. _

Snubber Pacific Scientific 18595 N/A PN 76100700 1981 Replacement Yes

  • ,' _______ MS-H-76B ____
7. Description of Work: Replaced snubber on hanger MS-H-76B1.
8. Tests Conducted: Hydrostatic .' Pneumatic '] Nominal Operation Pressure .,

Other E Pressure ................

__ psi Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WO# 43471 0 R/R# 04-02-011 ASME XI, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturer's Data Reports to be attached.

Ni - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certificate, fAuthorization No N/A Expiration Date N/A Signed o / Perfornance Su.ervisor../ Dati .E.uiment Ow-ner or Qf~7ner's Desikpee, rdniA, ) W 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford. Connecticut have inspected the components described in this Owner's Report during the period of 2AO/7o to j...... , 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 fro or connected with this inspection.

c v. ( / Commissions NC 1507, ABIN NS JIns ctor's Signature National Board, State, Province, and Endorsements Date //5 (12182)

As R#Oid y~ Proviol~oft tNAM 10

~o;SCtoim MIn' "' SJf

  • ~~-~' Pacific Scienitific- 1346 S. State College 'Blvd. ArAhefrt, Ca.92803 &f- j OUhETF~ICATING. &WELDING'4"'n"' vs G NpI C~mtlttcme HldrI COMPANY, INC.

P.O. Box.9449, Houston, -Texaa '77011 EBASCO SERVICES, XNC.. h gents for-Carolina P'ower 3.Liase~o ht,1 Shearon Harris.-Nuclenr Plant~ Newhill. 'Wake Coun~ty, --

.IdrtftonN. Tnae 27562 Cal ' Ib It) Ii) (1. N cornponenit Cee~dtan Apooacovir StreeltRepor Type of

  • Suppot Regrutration" Orawingi with, or Load Capa- 'Corv' oan? Nat'l Board 0..No. No. Last Stv &J Dot# city Data Shittf SUC4OP11 -CI399 NO. Yuea ufilt Itl 18593-18 650 Nlne 1801106-05-J *DR-1415-Fev. 0 l44jneparj Noml 1981 ';'

. 1_' -

i4I1 (4I5.~. .. - _ _ _ _ _ _ _ _ _

(Si, _ _ _ .___....___ _,__-_._._._.. .. a 0 (83 4101 . .. . . ............

r-(91 (79 - -., '.... ._

({102 .. __ __ _-- _._-

' es:. ar 'sj ..... . -- - ,-

.; ,I

__ _.,,_,,___,_____ -.- e~.Pa CERTIFICATE i.~Cli OF COMPLIANCE

. .. . I cerhst th~at the ittetments mock in this upson are cotooCt and that thete component%supot confoam to the rules ot conrtruction

. . I 11 ofthe ASME Code foe Nuclso, Pow'e; Plant Coenroginerets. Section Itt. Division 1. Eein17 Adeioonci~a __

.Code C-aw No...1644 6 .t-t.

Date__ __ _ _ ____.. . _

otuthASME Cef ofoAut aoiPlnt Cpo n . S n 1198

  • 1 Et__________ 1977 .4t7 0jr ASME Certificate of Authorization No . 1198 (NP TI Symbol *1,,p, tAug. 4, 1981 m

.. ADotel .  ;. ... ~ ~~ - --.- t '1 I - -

CERTIFICATION Cf DESIGN Design Information on Fele at Pacific &_Sicntific Stratit neott or Load Capacity Data Sheets on Fite at p-Pacific.Scientif _.c. _. _ .. _

Filed Per NA 3256 Design speciticitons Certied by Itl_ __._ O E. PE af P State qalifpmi 13533 Steau naatysit Re&port or Load Capacity DaIs Sheets Certified by 1113 hC O E. Ay PE Statio_-California _ _nag N 13N Ist en's only. Igeliw'e not bquited.

I . .. I pppementat shects in form ol lists sketches or drawings may be used provided 01) s;w is 8e/ in.. (2 information in items 1 2.,

4- . 4 on this Ds!s Report is included on esch sheet. nd (31each sheet is nunbered and number of sheets is recorded at top of(

this form ..

  • L
  • le10m) Thhtorn Ifor E000751 msay be obtaindfro ttonth O-fer DepL. ASME 3JS E. 47th St.. Nw York. N.Y. 10017

I efI I CERTIFICATE OF SHOP INSPECTION i.th undirttsrwtd. hoid-4 a valid commticinf iIsIud byfth Notional Board of gouiter and Ptit54re Vessel tnsplictort adthe State of Pt ovince of California _antf gnptoytd by.- KqRTLT O... ......... (A

__________________________have Inspected the* complonrent sup~owls dirtilrbed In thisf Data Atoi r 11Cand state thtat to I"twwbet of -r knowatedge ard belief the MP? Cerill~icaie Holder t... conitructed INhi$e component sueaocrls In accowdaalce rv'th the ASME Cod.f for Nuvteae I'urer Plant CompnenCTs1.

By signing this certificate. neithet the Inspector not his e*ploye trtikes any wafill'itY. xepresied of iri'pted. concatning the component supports deecribed in this Data Report. Furthetmore. neither the Inspector not his employer £hall be liable in any manner fot any personel injury or property darnage or a loss of any kind aising from. or connected with this inspection.

1381t 19 --4--?J - - (-, C\

- ?;'I( S~~gne

%-ormM1%sonsr=

CiOI 1i3As*.

I -

(NAI'l Od . Star.. P'O- . and No.)

CERTIFICATION OF FIELD INSPECTION

)

1. the undersrgnd, h-,d.ng a vatri commission issued by the Natronal Board of Boiler and Poetsurc Vessel Inmpectots and the State or

'Provinco of and etrrployed by. of'

.... have compared the statements in this Data Report with the described component supports and state that the paris Wecrred to as data items , not inctuded in the certificate of shop inspection, have been inirwcted by me and that to the obet of my r'c-taedor and brtSt the rrPt Ceroicate iOtdr haf *-nitre.lrd lieuts co'oter.nt suoouts in accord-f arc, with tha ASME Cocd o' Nucteat Pontr Ptant Componen, PI By signing this cartrr.cate neither the lntCictot not his tnployrr mais anv warttvanty. oxPtvresd of wnpbeta concerning the compontnt Supports ir,.crrbd *n th.s Data RrpOrt Curwihrmo'r. nther the rri"c*to nor *i!t nutet &ha!' b- liable in arn manner to, an, perio,,ai njur or Prope1rty daraer or a loss of any t-nd arstng lett of ConncteO .. ti thu tt nspecttnr Date.

. - - C w~rrmrsotns - 1- -- .- .--- -* -

Itiart Gd. S1~.:1 1`1 ,, . nd N o I

Attachment 1 REPAIRIREPLACEMENT SYNOPSIS' Sheet I of 1 DATE 01/06/05, REV. 0 Repair [I Replacement Mg RIR No. 04-02-012 Suitability Evaluation Required ELYes rlNo EC No. N/A (including failed items)

WIO No.434711

1. SYSTEM NAME MS - Main Steam _

NB No. 59 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report

2. COMPONENT NAME Hanger/Snubber Tag No. MS-H-76A OLD COMPONENT NEW COMPONENT P.O. NoiCatalog ID. 76100700 P.O. NoJCatalog ID. 76100700 Year Built 1981 Code Stamp Yes Year Built 1981 Code Stamp Yes Const. Code ASME IlIl Edition 1977 Addenda S78 Const. Code ASME lII Edition 1977 Addenda S78 Code Class 1 Code Cases 1644-6 Code Class 1 Code Cases 1644-6 NB No. N/A NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Pacific Scientific Manufacture Serial No. 16258 Manufacture Serial No. 17480
3. DESCRIPTION OFWORK ReDlaced snubber on hanaer MS-H-76A. The reolacement snubber meets or exceeds the original code and design sDec requirements. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT- Mag. Part. Complete El 1SI El Supports El E PT - Penetrant Complete E IST D ILRT/LLRT El El RT - Radiography Complete El FAC D Other Ea UT - Ultrasonics Complete El Check Valve El C VT-3 Visual Complete ED
6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure El Yes El No El Functional Elevated Pressure N/A psi E Inservice Test Temperature N/A OF El Hydrostatic D Pneumatic Applic. Code Ref. (or Code Case) N/A 7.ANI/ANII Review 10/18/04 PreWorkStart 10/18/04 Work Complete 11/03/04
8. NIS-2 Prepared 01/14/05 ANIIANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, It Is a completed OA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 434711 R/R# 04-02-012 ASME Xi, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provislons of the ASME Code Section Xi

1. Owner Progress Energy . 2', A Date 01/14/05 - - '

Name - -

P.O. Box 1551, Raleigh. N.C.-27602-1551 Sheet 1 of 4 Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 434711 Address Repair Organization P.O. No., Job No., etc.

'3. Work Performed By Progress Energy' Type Code Symbol Stamp N/A Name 5413 Shearon Harris Rd.. New Hill. N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A

4. Identification of System MS' Main Steam 5 (a) Applicable Construction Code ASME Section III 1974 Edition. Winter '76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xi Utilized for Repairs or Replacements 1989 , Addenda N/A
6. 'Identification of Components Repaired or Replaced and Replacement Components

- .:1 , .Repaired, I . . ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No)

Snubber Paciic Scientilic 16358 ','N/A . PN 76100700 1981 Replaced - es

-___ __ __ ._,; MS-H-76A Snubber Pacific Scientific 17480 N/A PN 76100700 1981 Replacement Yes MS-H-76A

7. Description of Work: Replaced snubber on hanger MS-H-76A.
8. Tests Conducted: Hydrostatic El Pneumatic Ea Nominal Operation Pressure El Other [] Pressure ___psi Test Temp. OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 811/2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

I---- - - -- - ---- - -

Sheet 2 of 4 WO#t 434711 R/R# 04-02-012 ASME Xi, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certificat thorization No I/A Expiration Date N/A SigneduipmentPerformanceSwervisor Date 4A4L Owner or Owr te D5, 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford. Connecticut have inspected the components described in this Owner's Report during the period of .. /ei/ii i to o/ MDS and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xi.

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

Commissions NC 1507, ABIN NS J nspJtorns Signature National Board, State, Province, and Endorsements Date//<{

(12/82)

%...I-f;^

. T -* - . -.

J1. 61ontictidb acfc citii 3  ; teCO.eld .flO5?.Ca. 92803 Southwest Fabricatinj i f Clfctsdl 4 Moofi~fcftfr (or DV. -- iw A JQ ttttinNWR `771)1I1

3. Locaioiii of Instaftrtion. Tflnknlo~f lM bIO Icd (di .1 f1P f f 'i C -aeda .Applcles Stres newt Typ of R.

pghstfrtion, . DOewingi with or Load Coe Component Nat'l Board

- I.0. No. No. . Lit" Rev. A Date city Deta Sheet Supcoe t Clots - No. - Yeer 6ulti (i17438-17587 NOM 180UO6-05-J rM-1350-Pev. B. Lirar 1 b 1981 (21 (31 (41 (101

5. Remaorks

- . L- , t ! , -'. I, , , . I - . . . _L i1 7 , - I . ,, I CERTIFICATE OF. COMPLIANCE certlfy that the statements mae in this reportara correct and that these components upports conform to the rulet of construction of the ASME Code or Nucel Powr Plant Components Section til. Diviion 1. Edtlion-l7927 . Add dd. nd qT- 417 Oe toSle d Pacif ic SCi b bii -

A CM ertiCfrilc ftc u.d._ _ - '

Our ASME CrtiflCate of Autho Itat on No.N19 to u" thoe Cal1~ordmt SrqIorts A5NPTI Symbol expores. hitA- QlAL ID*I§ CERTIFICATION OF DESIGN 0o.sign Intotmation on File at Pacific Sciritif i.

Stres R por; or Load Capacity Data Shetls on Filt at bc4 cj;Pr 36f ;r Dsiogn boecilicla isons rtified try (tII moj E. Ay PE Slais.

California IRog. No. 14-Streu Analys s Report or Load Cooiciry Data Sheets Cetiteid br ( I1 Leo E. Ay 13533 fIt Ltel. nav"%e only. 41gnelute not foqvu#eel AN 11A LI 11

_ llSupplemental sheets in form of Ils. sketches or drawings mqv be used provided (II size is e3'.' on. (21 information in items 1.2.

KJ Ac. 4g on this Data Report is included on each sheet. and (31 each sheet is numbered and number of sheets is recorded et top of this form 3 (10o77 This to- IEO0075 I r b obt2;Md fromn te Qr Deot. ASItt. t45 . 47th St.. w York. N.Y. 10017 IF" Igum= 12-IN-021 11 1 am

CIERTWCATE OF~ SHOP INSPECT10N I. se vwdlegned. hoFdi" a vai~d coEmmhoUloi I d by thMaNvto 1 Boaed of dlef end Preseur. Vese Innectoes and tht Stsic of Peo~vlnee of Ca~lforna nd emfoyed by' MI I CC). of Hartfodj7 Cr la _ _

ad inoth tte ASME Code for

_ lAS Ctp the Comfontnt uPoWiI dtwUft*d In this Pata Atoft on s".t that to the boot of my knowldge and bWl$ the MPI C*rtlfcae aHold-r MIi Cons fucted these comoonsnt sueaorts In &cCenecf Nudefr Powet Plant CoMronents.

By sgnling this certficate. nether the tndpector nor his erpIoyer maktet any warranty. eprensd owImplied. concerning the component supports described in this Data Report. Furthermore. neither the Inspectot not his employer shall be liable in any msnner for any personal injury or property damage or a loss of cny kind atiging from or connected with this inspection.

Dote -i44- I S_ __ __ __ Commisswons ('2 14 (Nest 8d.. St':.. Prov., and No.)

CERTIFICATiON 0f FIELD INSPECTION

1. te undcrsigned. holding a valid cornmoitton fuued by the National Board of Boiler and Pressure Vetsel Inspectors and the State or Province of and employed by of z have compared the statements in this Data Report with the described component supports and state that the parts referred to as data items . not included in the certificate of shop inspectiotv. have been 1n5pqct*d by me and that to the brt of my knowledge and btief the IPT Certificate Holder bag constructed these component suoports In accord.

_nce with the ASME Code for Nuclear Power Plant Componernts.

By signing this certificate nither the Inspector nor his esnpfoyer rmike: any warranty. expressed or implied. concerning the component

.- 5Aeorts described in this Oats Rypotf. Furlbr-nore. Arither the intmcwtor nor his empiortr shalt be lubie in any manner br *anr pesonal Inaurr or property damage or a loss of say kind afisin; from or connected with this . nr..ction.

.Date

_. Signed Commsestona -________-______________

l"I Sd.a Sta.r. o,0

  • na No.1

Attachment I REPAIR/REPLACEMENT SYNOPSIS Sheet I of I DATE 01/06/05, REV. 0 Repair D Replacement M R/R No. 04-02-013 Suitability Evaluation Required ZYes QNo EC No. N/A (including failed items)

W/O No.434712

1. SYSTEM NAME MS - Main Steam NB No. 59 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. MS-H-15 OLD COMPONENT NEW COMPONENT P.O. NoiCatalog ID. 76153626 P.O. NoiCatalog ID. 76153626 Year Built Unknown Code Stamp No Year Built Unknown Code Stamp No Const. Code ASME IlIl Edition 1974 Addenda W76 Const. Code ASME IlIl Edition 1974 Addenda W76 Code Class 1 Code Cases 1644-5 & Code Class 1 Code Cases 1644-5 &

1686 1686 NB No. N/A NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Pacific Scientific Manufacture Serial No. 649 Manufacture Serial No. 665

3. DESCRIPTION OF WORK Replaced snubber on hanger MS-H-15. The replacement snubber meets or exceeds the original code and design spec requirements. Therefore. suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT - Mag. Part. Complete a] ISI a Supports D EaPT - Penetrant Complete Ea IST O ILRT/LLRT a El RT - Radiography Complete [I FAC E Other El UT - Ultrasonics Complete El Check Valve E E VT-3 Visual Complete 0
6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure El Yes ElNo a Functional Elevated Pressure N/A psi a Inservice Test Temperature N/A OF E Hydrostatic a Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANI/ANII Review 10/27/04 Pre Work Start 10/24/04 Work Complete 11/03/04
8. NIS-2 Prepared 01/14/05 ANI/ANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605

  • Rev. 23 Page 17 of 30

WO# 434712 R/R# 04-02-013 ASME Xl, CLASS 2 FORM NIS-2 OWNER'S REPORT FOA REPAIRS OR REPLACEMENTS As Required by the Prokvslons of the ASME Code Section Xi

1. Owner Proaress Enerav Date 01/14/05 Name -

P.O. Box 1551, Raleigh. N.C. 27602-1551 Sheet 1 of 2 Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 434712 Address . -. .. Repair Organization P.O. No., Job No., etc.
3. W.ork Pe e By P. -
3. Work Performed By Progress Energy ' -'i Type Code Symbol Stamp N/A Name ,,,t,. isH , N . 2756 . 6.21 5413 Shearon Harris Rd., New Hill. N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A
4. Identification of System MS - Main Steam 5 (a) Applicable Construction Code ASME Section-lII 1974 Edition. Winter '76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xi Utilized for Repairs or Replacements 1989 , Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components

, - IRepaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. . Board No. Identification Built Or Replacement (Yes or No)

Snubber Pacific Scientific 649 N/A.,

W PN 76153626 Unknown Replaced No

_ __ _ _ _ __ __ _ _ __ _ ___ _ _ _ _ _ _ _ _M S -H-i15_ _ _ _ _ _ _

Snubber Pacific Scientific 665 N/A PN 76153626 Unknown Replacement No

.__ _ __ _ _MS-H-15 ._._  :

7. Description of Work: Replaced snubber on hanger MS-H-1 5.
8. Tests Conducted: Hydrostatic El Pneumatic El Nominal Operation Pressure El Other E] Pressure ____psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 2 WOt 434712 R/R# 04-02-013 ASME Xl, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice Vr-3 on hanger after snubber replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certificate of AuthorizatijoNo. N/A Expiration/Date N/A Signedg[ 2 e {a 1t -gi .Equigment Performance Supervisor Date G;ner ) ner'sDesigned l9ey V~n .

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 North Carolina and employed by Hartford Steam Boiler InsDection and Insurance Company of Connecticut of Hartford, Connecticut have inspected the components described in this Owner's Report during the period of i/ Zi My to o/A M/rs 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" 4 2 0"i. Commissions NC 1507. ABIN NS

)lnspeCFr's Signature National Board, State, Province, and Endorsements Date a

.Z (12/82)

Attachment 1 REPAIRIREPLACEMENT SYNOPSIS Sheet 1 of 1 DATE 01/07105, REV. 0 y Repair [ , Replacement s R/R No. 04-02-014 Suitability Evaluation Required 0_1Yes ElNo EC No. N/A (including failed items)

W/O No. 434719

1. SYSTEM NAME CS - Chemical Volume Control NB No. 4 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. CS-H-1 594B OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. 76100262 P.O. NoJCatalog ID. 76100262 Year Built 1985 Code Stamp Yes Year Built 1980 Code Stamp Yes Const. Code ASME IiI Edition 1977 Addenda W78 Const. Code ASME IlIl Edition 1977 Addenda W77 Code Class 1 Code Cases 1644-7 Code Class 1 Code Cases 1644-7 NB No. N/A NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Pacific Scientific Manufacture Serial No. 37070 Manufacture Serial No. 14969
3. DESCRIPTIONOFWORK Replaced snubberon hangerCS-H-1594B. The replacement snubbermeets or exceeds the original code and design spec requirements. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED al MT - Mag. Part. Complete a] ISI a Supports a D] PT - Penetrant Complete El IST [1 ILRT/LLRT E El RT - Radiography Complete El FAC El Other_

El UT - Ultrasonics Complete El Check Valve El E VT-3 Visual Complete 3

6. SYSTEM PRESSURE TEST REQUIREMENT E Leakage Nominal Operating Pressure El Yes El No El Functional Elevated Pressure N/A Asi El Inservice Test Temperature N/A OF a Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) NIA
7. ANI/ANII Review 10/16/04 Pre Work Start 10/16/04 Work Complete 11/03/04
8. NIS-2 Prepared 01/14/05 ANI/ANII 01124/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

. . . .1...I... I. . --. -- _. -

WO# 434719 RIR# 04-02-014 ASME XI, CLASS 2 FORM NIS-2 OWNER'S REP~ORT FOR REPAIRS OR REPLACEMENTS As Required by the Proisions6 of the ASME Code Section XI

1. Owner Progress Ener-gy _____ _____ ___ I..___ Date 01 /1 4/05 U-.

$10111.

--P.O. Boxl1551. Raleigh.-N.C. 27602-1551 Sheet 1of 4 Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 W04~43.4719q Address.- Repair Organization P.O., No., Job No., etc.
3. Work Performed By Progress Energy Type Code Symbol StampN/A Name-5413 Shearon Harris Rd.,, New Hill, N.C. 27562-01 65 Authorization No. N/AI Address Expiration Date N/A
4. -Identificationof System CS- Chemical Volume Contr_1-
5 (a)Applicable Construction Code ASME Sectionl11l 1974 Edition. WihterK76 Addenda, See Ni Code Case.

(b)Applicable Edition of Section XI Utilized for Repairs or Replacements 198 Addenda N/A

6. Identification of Components Repaired or Replaice~d and Replacement Compbnents,
I. I ....-_- Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced. Stamped Component Manufacturer Serial No. - - Board No. Identification . Built Or Replacement (Yes or No)

Snubber Pacific Scientific 37070. WA PN 76100262 1985 Replaced Ye

_ _ __ _ __ _ _ _ __ _ __ _ _ __ _ __ _ __ _ _ _ _ __ _ _ _ _ _C S-H - I 59 4 B _ _ _ _

Snubber Pacific Scientific . 14969 W/A PN 76100262 1980 -Replacement Yes

_ _ __ __ __ __ _ _ __ _ _ __ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _C S -H- 1 59 48 _ _ _ _ _

7. Description of Work: 'Replaced snubber on hanger CS-H-I 594B.
8. Tests Conducted: Hydrostatic El, Pneumatic El 'Nominal Operation Pressure Other[El Pressure ___psi Test Temp. Q NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is81/2/ in.X 11 in., (2)information in items 1through 6 on this report Is included on each sheet, and (3)each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WO# 434719 R/R# 04-02-014 ASME XI, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certifica of Authorization No. N/A Expiration Date N/A Signed iL . ver/ & Equioment Performance Supervisor 0T- Date Ow.lr or/ Wner's Desigree, 'I -t 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford. Connecticut have inspected the components described in this Owner's Report during the period of .1 2201 Y ZiII to 1h / - and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

/T I -hA-I , - Commissions NC 1507. ABIN NS

' lnspecs6rs Signature National Board, State, Province, and Endorsements Date /A 51/i95 (12/82)

I FORM NF.1' NPT CERTIFiCATE HOLDERS' DATA REPORT FOR COMNPONENT SUPPORTSy As Roquired'by the Provisions of the ASME Code Rules. Section In, Dlvision 1 7y aifc:Szietil--

Moufcwviw "A 9J 43q"+.cl 1e= je .; 70 (Nbi2* Cfn0 h44dri of NP'PG-IVillCAit 1Maiderj ManufactuMre I-i111'1 Grinnell Corp. 621 Dan St~eat N.E. Ch-io 444SA2.

. . . IN .Y. anda o d 's,. of o,.rcisse, v, 0..rio.I Un~c~c~

. Location of I"1141.4111J.,

- . - - I--- -

I AIdecietificauionm i

(Al fdl (6i*, ((I igi III) cortOfleflt Cjnadien Aioli~cable Streis Relport Typeq of sumoovt Rog~atration' Deawringi wiUm of Load-Caca- Companton.' Nat'l Board 1.0. No. No. LIeu St b Oate city Data ShIet SJoc:Of CIS" No. Year Built 1 9 :_ - .34 . T ,_

.,, 14.95- ' 180U04-05-J DR-148-P.ev. 3 r j 1o M2I 011 MI-tjl

!9I

  • .ni.

S1. Rematt-s.

1 ~. CERTIFICATE OF COM1PLLANCE

~'

tiythat the sts:..,iantl made in this report are corroce ar, that 1'ese czmTpO¶eflts suppor~ts cenfiorm to the rules of con-.trvcioni j hte ASME Coot fo' Nu~e'sr Poo-it, Plant C~:mmelnlst. Section tIl. 0i-iiiouA t. Edition -977 Addnds ": 7

  • t L0 / l0 !L s Pacific S ciePntif 'A c ,*U'0=4I INIPI E.nl~f~i.l

't

_lur ASME Certificate of A&uthorilation No 1198 in ut ,

tth. C=p=.part Sq.=ccrtts

.w ...

INPT I

--or Am. 4, 1981 r;__1-av rn wn *rlrpr IDStIV CERTIFICATION OF DESIGN r*~g ItnlormatioK n0F lto at r.it ___ _ _ _ _ _ _ _ __ _ _ _ _- _

Stress Report 0' 1.04o Ca~mz-CV Oas Sh--tS 0o F.It at Fe Per 325E.I6E Pi S,.ate Califcr.'iz I 1.3 E33

f-w.. Amlvo po r of L.S Ci aiv Zal Sh*411 C artiied --v f II _. Av si Sta te - i
  • ,- . i ,

_;uoo~tf-ental sneets .n lorn of lits: sitetchies or orav~in s av Ze usec arcwidec !'I site .s8 in . siinotmaton in t m 4c. Ag on this Ca,& Rtoot- is icltudce on each shee!. anc i~I each sheet 5snumerec anc: numoer cf shees s feccratec at tco cf

-iq form .*

T M0I-7l 7h. form tE00751 'nay tw attaiiitc from ve Creoe0*ot.. ASME.3.45 E. 47th St.. Ne~w Yoei. N.f..Je4

  • . . .. o.,

MEN 010f% qm

ii"- -I , A II

.1 f r7tq ,

I-FOAM NF-1 (Back) Acd __q_ c&-f-I r_

CERTIFICATE OF SHOP INSPECTION

i. the. undarticnid. holding a valid Cornmiuiorn issued by the National Board Of SCiter tind Protture Vessel Insoactors and the State or P-OvInct of Ca' rea . nd employed by EMS!r rT of- Arf~_

- -lh have ri~ce the consccnriitr soijobrit derscribed ii' tnils Data Airort¶ or -n/1 11 ad stte tat t t~woirs 2* v kno..ledge ArKI belief ith Ps0TCertificate Molder ON&& coiitrucied thIe. corrionont suopoflt In accoo'aflce w..rh met ASME Code f Nuclear Porrot Plant Corrictonevils.

By signing this Certificate. neither tie InseCtor nor hit crnolover makes any vraranty. exoressed of irioliect. conr.ie..,r: .ie comnoonant supports described ih, this Data ReDorn. Furshermore. neither the Inspector nor his employer shall be liable in any manner for any oersonal injury or property damage or a loss of any kind arising from or ccnnec:ed with this inspection.

Date f /l ,j , -

AA I _~ /I '_-

1' P /i k_

I Sign'ed Comimissions -L~ F-i44 q-I (NRVesod. stage. Pray

  • andi No I CERTIFICATION OF FIELD INSPECTION
t. the unCgrsugnid holding a valid comirnuion Ssued by the National 5caro of Eoiter and P w-surc Vessel frpOe.tots and Ith State o.

Proice ct of and etnployed by_ Of I hive compared the statements in this Data Report with the described component supDorts and slate that the parts referred to as da'a items . not included in the certificate of shot inspection. have been

  • fflowead by -i anrd -ha to the best :t myi .1nc-IeCd ad belief ttMeNPs ertiidcate Ptolwer has nsrctrd thew4 copOnIrit suworos% in *cccrdC arict wim, the AS-ME Code foe Nuiceasr Pc-vr Plant Components.

By signing this cett-ficate neither the IrscwIctor nor his emoloyer makes any warranty. ,aDrOtsoc cr irmled. concerning the Cornoonent swomos .irsctrien i' thins _a;a Aercr.. FiSuefMore. neither ther insiector ^or hits toic,. Shalt be 1t.ibie In any nian-er bto, 41 "r1onai iniury or Pi'eberty 1an3as or a lisi ,f aSI, K.nd arising from Of CCnnitCOea -. 1t this Inspection 1ri.

Commisijons (Nat" So State Po. . Anc o.50. I

\, ..\.Is t'\p

Attachment I REPAIRIREPLACEMENT SYNOPSIS Sheet I of I DATE 01/07/05, REV. 0 Repair D] Replacement 12 R/R No. 04-02-015 Suitability Evaluation Required _Yes aLNo EC No. N/A (including failed items)

W/O No. 434720

1. SYSTEM NAME CS - Chemical Volume Control NB No. 48 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. CS-H-1594A OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. 76100262 P.O. NoiCatalog ID. 76100262 Year Built 1985 Code Stamp Yes Year Built 1985 Code Stamp Yes Const. Code ASME IlIl Edition 1977 Addenda W78 Const. Code ASME il Edition 1977 Addenda W78 Code Class 1 Code Cases 1644-7 Code Class 1 Code Cases 1644-7 NB No. N/A NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Pacific Scientific Manufacture Serial No. 37079 Manufacture Serial No. 37006
3. DESCRIPTION OF WORK Replaced snubber on hanger CS-H-1 594A. The replacement snubber meets or exceeds the original code and design soec requirements. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED EaMT - Mag. Part. Complete El ISI E Supports El ElPT - Penetrant Complete El IST El ILRT/LLRT El E] RT - Radiography Complete El FAC El Other_

El UT - Ultrasonics Complete _l Check Valve El 0 VT-3 Visual Complete ED

6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure El Yes ElNo El Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF El Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANI/ANII Review 10/16/04 Pre Work Start 10/16/04 Work Complete 11/03/04
8. NIS-2 Prepared 01/14/05 AN[/ANII 01124/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed OA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 434720 R/R# 04-02-015 ASME Xi, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions-of the ASME Code Section XI

1. Owner Progress Energy - '. -:' ' -_' ;Dat6 01/14/05 '

Name .- - j P.O. Box 1551. Raleigh, N.C. 27602-1551 Sheet 1 of 4 '

Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 434720 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy' '--i'  ; ' '. Type Code Symbol Stamp N/A Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A
4. Identification of System CS - Chemtcal Volume Control' '

5 (a) Applicable Construction Code ASME Section III 1974 Edition, Winter'76 Addenda, See Ni Code Case (b) Applicable Edition of Section Xi Utilized for Repairs or Replacements 1989 Addenda N/A

6. 'Identification of Components Repaired or Replaceid and Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No.
  • Board No. Identification ' 'Built Or Replacement (Yes or No)

Snubber Pacfic Scientific 37079; - IVA PN 76100262 -t1985 Replaced Yes

-. _ iCS-H-1594A Snubber Pacific Scientific 37006 N/N/A PN 76100262 1985 Replacement Yes

_ CS-H-1594A - _-

7. Description 'of Work: Replaced snubber on hanger CS-H-i 594A.
8. Tests Conducted: Hydrostatic El Pneumatic E Nominal Operation Pressu're 0 Other E Pressure .. Test Temp. ',:.'

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 82 in.X 1 in., (2)information in items 1 through 6 on this report is included on each sheet, and (3)each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WOO 434720 R/R# 04-02-015 ASME XI, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturers Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate uthorization No. W Expiration Date N/A Signed 1Date o O. r'sDesiah#i Owner /o Equiment Performance Supervisor 1&6 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford. Connecticut have inspected the components described in this Owner's Report during the period of A//. /1hSt to jIlgMobs , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

G_ _ __ag_

Inspes fashignature Commissions NC 1507, ABIN NS National Board, State, Province, and Endorsements I

(12/82)

s~~~~w.IB  ; *^S 302[° FOnM Nf-1 NPT CERTIFCAtE HOLDERS'-DATA REPORT FOR COMPONENT SUPPORTS" As Required by the Provisions of the ASME Code Rules. Section 111. Division 1 a Scientific1346 So. state College Blvd. Anahei C 92803

. Ifeo rsO d. X8ess of T Ceilt zcale 040o1ef 2.MnfIT ~ Grinnell Corp. 621..Dana, St.- N.E.

Nar. arind addrins Of trnOo448 PwCfifswr of O_ r'-

3. Locatlon of Installtioa. Unknow.-
4. Isentfccationf I bi  : . - Icl '(d 1e 7' M} gals} >

Cc'!'P0 n"nIt Canadian ADPIfcablir. . -Sireis Report

  • Type of snoonr Rocistialjon Dr&,%,nCS wvst or Lwsd Cape- Comnoons"t NA1it Rnu r 1.O. No. No. Last Rev. & Date Cory Oata Sheet Suppot Clan No. Year Built 137006 None 1801104- o-- DR-14;2-Rev.0 Linear 1 None 1985 121 thrU 13 37055 n (43

'53 (51 (S7I . _

0

-rrt a1dCet-0r S. Remarks:J1ns .. t1a: l Ts.hst-tcrp. C'"F'S a Certificate m of Cono.I .aa nce _ae< _

certifiec to meet .S*EDU Sec III 1974 Edition, SL-urer '76 _ddendia andi Code -

Case 1644-6 CERTIFICATE OF COMPLIANCE Q We certify that the %!stermntlmet in thus *reool awecorrect and that these COMPonDnts suIPPOrtS conform to the rueis of consteucton of the ASME Codie for Nuclear Poyicr Plint Components. Section ill. Division 1. Eiitcst 1977 ~ .Wcc,,mWinter '78 7

.C60de Cas..POvJ44- .. -

-.. - ., .j.. .. :. I (i*,)C 9 .  !,1ws~e-^-

I~

5,9^< Pacific Scientific IPSpt Ceft.ifcate "4OIder

- bw */{7a/-: -!A.6'/?J Our ASME Crwlf.-cj:e of Authorization No. N 198 o use the (N PT)

SymtbOjptre AUC. 4, 1987 CERTIFICATION OF DESIGN 06mern Infoemat2on on File at Pacific Scientific Streu rteooft o Lesc C~ascty Data Sheets on File at Pacific Scientif'ic F-iled Per NC;-3256 Detgr soecifisatzons Cditified by (33. .Ž. P"Es'.t .. *Ca" Z; a _

Reg No 13533 Streu Asaytit Reoort or Load CADXiry Cis. S"tl Cvtifed by II L.O r-. AV

E Siee Caiiorr.ia _ fg No 13533
  • S.eJplementsa Shtems in formoflists. stetches or davngs may be USeC provided (1I size s B91i n. (2i nformanon in temns 1. 2iN1 Y>)

Ac 4g on thus oata Report is included on each sheet. and 131 each sheet is nurmbered and number of sheets is recoiCed at toV, A /

thu form 5 I * .1'7

-l.77) *: .. Thet (cnn IEOOCQ751 may be obtainedC fromrit'. Ordcer lOet.. A5MfE. 3.5 E. 47th St.. hew York. N.Y. li~td .

FORM NF-1 (Back) 5 t CERTIFICATE OF SHOP INSPECTION 1 the undersigned. holding a vatld comnmiuion issued by the National Board of Boiltr and Presture Veattl InsorctorS and the Stale Of Province of OHIO and remployed by HO3TT CI of inrffnvrY,_

________________*_ thvf inprec ed tM cown onerit tupOrtdott arhbqd *nlthis Cili feotroftrn J/-  ? t5 .-.

is _ and state tht to the bert of my knctiedge and belief the NPT Certsf-cte Holder ha$ Conttructed these Coliponer~l tyoporl%in aCCoe1AACe

_ith the ASME Code for Nucleia Pow., Plant Components.

By signing tho certf'fcatc. neither the InsCoecto' nor ht emptoyer mates any arrantry. evocised or rnpliel. concerninj the consVL0'ent supports described *n this Data Zepcrn. Furthermore. neither the Inspector nor his mttnloyer shalt be liable ;n any manner f-jr any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

Date *

¢r) e;neor= Cormmssions _ &><

  • Et CERTIFICATION OF FIELD INSPECTION thr undertigned. hold;ng a valid covrniuion issued by the National Board of Boiler and Pieuue Veis.l inspectors and the StAte or Province of and employed b of° have compared the s:atements in thus Data Report with the described component suppor.s and State that the parts referred lo as data items not included in the certificate of shop insp*ec-on. have been "t;tectid C v mt ard l?!at to the t est of mr kncwleCgr and belief the NP? CelifuicAtt Holder tNs COcislri.4ter these comn,,nent suDports .- accord.

4.ice with the ASME Coce for Nuclear Power Plant Comnponents.

' s;gnir.g this cisttif-ciae neither tht Inrgector nor his rrnoloytr mrakts any warranty. wper- . l--d. concetning tie cornmonnt 1vDPoiS described .r trhis Olt& RePOrt. Furthermore, neither the insrCwtor nor iSi emploter sJali t- *.aze in an, marner t, b c-sl

i. CrE 2lip OforPer1y da.Tr or a loss of nh kind arising tinrom o connectecd _-Ih this. nSpection.

Date___________

.; ad t _

Eff, if

Attachment I REPAIR/REPLACEMENT SYNOPSIS Sheet I of I DATE 01/07/05, REV. 0 Repair [ Replacement 1 R/R No. 04-02-016 Suitability Evaluation Required ELYes 1 No EC No. N/A (including failed items)

W/O No. 434721

1. SYSTEM NAME CS - Chemical Volume Control NB No. 48 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanqer/Snubber Tag No. CS-H-1 099 OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. 76100742 P.O. NoiCatalog ID. 76100742 Year Built 1981 Code Stamp Yes Year Built 1981 Code Stamp Yes Const. Code ASME IlIl Edition 1977 Addenda S78 Const. Code ASME IlIl Edition 1977 Addenda S78 Code Class 1 Code Cases 1644-6 Code Class 1 Code Cases 1644-6 NB No. N/A NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Pacific Scientific Manufacture Serial No. 14405 Manufacture Serial No. 16099
3. DESCRIPTION OF WORK Replaced snubber on hanaer CS-H-1099. The replacement snubber meets or exceeds the original code and design spec requirements. Therefore. suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED D MT - Mag. Part. Complete El ISI El Supports El E] PT - Penetrant Complete El IST El ILRT/LLRT [E1 El RT - Radiography Complete a FAC El Other_

El UT - Ultrasonics Complete El Check Valve E 0 VT-3 Visual Complete 0

6. SYSTEM PRESSURE TEST REQUIREMENT E Leakage Nominal Operating Pressure 3 Yes ElNo El Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF El Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANI/ANII Review 10/18/04 Pre Work Start 10/18/04 Work Complete 11/04/04
8. NIS-2 Prepared 01/14/05 ANVANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 434721 R/R# 04-02-016 ASME XI, CLASS 2 I I.. I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl

1. Owner Progress Energy I- i; Date 01/14/05 ' -

Narme- . , .:

--P.O. Box 1551. Raleigh. N.C. 27602-1551 Sheet 1 of 4 Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 434721 Address - Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy - Type Code Symbol Stamp N/A

,Name. i .

5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A

4. Identification of System CS Chemical Volume'Coitrol '

5 (a) Applicable Construction Code ASME Section'111 1974 Edition. Winter'76 Addenda, See Ni Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1989 Addenda N/A 6.-Identification of Components Repaired or Replaced and Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component . Manufacturer Serial No. - - Board No. Identification Built Or Replacement (Yes or No)

Snubber Pacific Scientific .14405 ' N/A PN76100742 19819 Replaced -Yes

_ _ __ __ _ _ _ _ _ _ _ _ CS-H.1099 _ _ _

Snubber . Pacific Scientific 16099 '.;N/A PN 76100742 1981 Replacement Yes

_________CS-H.1 099 _ _ _

7. Description of Work: Replaced snubber on hanger CS-H-i 099.
8. Tests Conducted: Hydrostatic El Pneumatic El Nominal Operation Pressure E Other 'lPressure:-;.._ _ps Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8= in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WO# 434721 R/R# 04-02-016 ASME XI, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A CertificaoAuthorizatiDnI) N/A Expiration Date N/A Sign ed or er's Desi

?2t~

e ), Ti 4L EDuiaement Performance Supervisor Date lb 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Companv of Connecticut of Hartford, Connecticut have inspected the components described in this Owner's Report during the period of eJ i/i--- to //h YMs . 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.

6 J JQ

  • @., 7 Inspfctor's Signature Commissions NC 1507. ABIN NS National Board, State, Province, and Endorsements Date 1A t1/° (12/82)

I .

II N11111 mm %RMQ MMQ01131K WMEN ON. IM As - SM od *%

1.Ibeaecued i'fic E-ijtlfl. 1346 Go"Sti bSQUel Blvd. kolhaittil, Ca. 92803 t wm a11"Od o1,1 ofete NP? C fIiafiCt Hotdrl 041-Douthwezt F xicating &Wair Cb. P.O. Box 9449 H~uton 7La 70

__ (t2e. gMogarmoaiucctue o'ownrfolin

2. M a~s ~iuer 2Si~s MMll WaeC=jN Caro~iIn 27562' 4 Identification' el(i(ci (di I Coniponertt Cenad..n Asptmicabie Streits RfepoorI Type of Support Regniatirson Drawings Wilt or Load Coos. Componint Nat'l 8oerd I 0. No. No. Lost Rlev. Ii Date city Data Shooes Support Class No. Year Suits u'..-~~g.&_1010-5K DR-1414-Rev. Q.. Linar -1 _______ 1981.

491....

  • r~ 102- . -- . .. . ...... --- . -

-. .eak--..-..--.-.-...-..-..--.-.--

2 5 -CERTIFICATE'OF COMPLIANCE c.eertify that thz statenents made in this report are correct and that these components supports conlorm to the lules of construction of thZ ASME Code for Nuclear Power Plant Components.Section III. Division 1. Ed tion_1977_.. Addenda .;

Codo Cas to. 1644-6 c 0Dl Signed _ Scientific,_

INPT Certificate Holdtrr Our ASME Certificate of Authorization No _ r - tO t o198use the...__a.. x t &u Orts INMY

'wl *XIrm 1o ....A Ig.

4, r

..1981

. I . - . ., V . , I., : , - - : - . . -

I

- -- CERTIFICATION-Of:DESIGN -.  ;-

eign Information on Fit. *,Pacific Scientific StresoReport or Load CapacitY Dots Sheets on rile at

'Pacific Scientific

Filed per NA 3256 Dosogn ScctlfcationtCetifiedby (II-,ld 1.1_ E...Ay. PE S Reg No 13533 Sleu Anelytis nevcrt or Load Capacity Date Sheots Certified by III ,0e E. Ay 4 B.
E SI.... California 1 333 ii Ligt #%am*SonliY. 1ignelurO nOt ieo-,id

".S.upptementil sheets In form of lists, sketches or drawings may be used provided (1i size is8 aio. (2m 1 information in tems 1. 2.

t 4c. 4A on this Date Repor is incJuded on each sheet. and (3) each sheet is numbered and number of sheets is recorded ot op of this form Thf fr~m IEO00751 rsy bobined from the Order opt..ASME. 345 . 47t St.. Nw Yowk N.Y. l;Xtl7

...- 1. .,,

1-1 W I

r .- , y I I, ,A -. ....

' l f . . 4

.FORM NF.1 (Bod) If3f-47Z4 e+~

Poc_ Cif _ _ _ _

CERTMCATE OF SHOP INSPECTION

1. the undersigned, holding a valid comnmi'son enged by the NationaltOard of Boiler and Prossu~t ard emplotoed b c U rC, - of ..

Visef Intiectors and the State or I rf&rtf, I..4',

I t'vo Inspected the Comeonont suositS deicribed in this Date Report on C _ - -

it 4i and state that to lht boot of my knvew1 dle Ind belief the NPr CertifIcate Holtder Ise conaructrd theHe conprint suliports In accordance with theo ASME Cd* for Nuclw Power Plant Comoonents By Sagn ng this cordOicete. rnaither the Inspector nor hi. employer maes anry warranty. expressed or implied. coneeenitg the component supports described in this Data Report. Furthermore, neither the Inspector not his employer shall be liable in anv mannur for any personal injury of property damagt or a loss of any kind arising flom or connected with thi; inspection.

Delte 6 19-81E-

>.gneo_ tommsssrlnt _ O.4ko'. ::j4q 4 IN&ti t d. State. Prowv and No I CERTIFICATION OF FIELD INSPECTION

1. the undersigned, holding a valid commission issued by the National Board of Bolter and Pressure Vessel Inspectors and the State or P ovince of- _ _ .. _ __ and employed ty ._°'

have compared the statements in Ihis Data Report with the described L,. ponent supports and stale that the pans referred to as data items . not included in the certificate of shop inspection. have been inspcted by Ae and that to the best of my ktnoledoe and belief the NPT Certificate Holder has constructed these componentsuopOrls tr- accord.

ance with the ASME Coat for Nuclear Power Plant Components.

BY signing this certificate neither the Inspector nor his employer makes any warrinty. expressed or implied. concerning the corrporient SuprortS deCribed in this Data eroort Furthermore. neitr the AnlrTClor nor hits em1oert Shall be liablr in any manner fir any i'erso'al iniury or propertr damaoe or a loss of any kind arising from or connected with this inPetctIOn fsla Signed INe't 'cd. Slate, Prov -nta'No

Attachment I REPAIRIREPLACEMENT SYNOPSIS Sheet 1 of 1 DATE 01/07/05, REV. 0 Repair a Replacement s R/R No. 04-02-017 Suitability Evaluation Required l Yes rl No EC No. N/A (including failed items)

WIO No. 434722

1. SYSTEM NAME MS - Main Steam NB No. 59 CONSTRUCTION CODE ASME Section Iil Edition 1974 Addenc Ia W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag tNo. MS-H-1OA OLD COMPONENT NEW COMPONENT P.O. NoiCatalog ID. 72898125 P.O. NoJCatalog ID. 728981125 Year Built 1979 Code Stamp Yes Year Built 1985 Code Stamp Yes Const. Code ASME IlIl Edition 1974 Addenda W76 Const. Code ASME IlIl EEdilion 1977 Addenda W78 Code Class 1 Code Cases 1644-5 Code Class 1 Code Cases 1644-7 NB No. N/A NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Pacific EScientific Manufacture Serial No. 4978 Manufacture Serial No. 125E13
3. DESCRIPTION OF WORK Replaced snubber on hanger MS-H-10A. The replacement snubber meets or exceeds the original code and design spec requirements. Therefore. suitable for replacement.
4. PRESERVICE INSPECTION RECUIREMENT 5. PROGRAM UPDATES REQUIRED E MT - Mag. Part. Complete El ISI El Supports El D] PT- Penetrant Complete El IST El ILRT/LLRT I

[I RT - Radiography Complete El FAC El Other_

a3 UT - Ultrasonics Complete El Check Valve El 0 VT-3 Visual Complete ED

6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure El Yes El No El Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF El Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANI/ANII Review 10/26/04 Pre Work Start 10/24/04 Work Complete 11/02/04
8. NIS-2 Prepared 01/17/05 ANI/ANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 434722 R/R# 04-02-017 ASME XI, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Progress Enermy ' .I ; ' ' ' ' Date 01/17/05 Name .  :;

P.O. Box 1551, Raleigh. N.C. 27602-1551 Sheet l'of 4 Address

2. Plant Shearon' Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 434722 Address .

Repair Organization P.O. No., Job No., etc.

3. Work Performed By Progress Energy Type Code Symbol Stamp N/A Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A
4. Identification of System MS - Main Steam 5 (a) Applicable Construction Code ASME Section III 1974 Edition, Winter '76 Addenda, See Ni Code Case (b) Applicable Edition of Section Xi Utilized for Repairs or Replacements 1989 Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components

.-. . Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. Board No. Identification Buit Or Replacement (Yes or No)

Snubber Pacific Scientific 4978 N/A PN 72898125 1979 D Replaced Yes

_,__.,._,__,_ M S. .1 OA .____ .__.

Snubber Pacific Scientific 12583 WNA PN 72898125 .11985 Replacement Yes

._ . . . -, E-:MS-H-..A _ .- .. _OA

7. Description of Work: Replaced snubber on hanger MS-H-i OA.
8. Tests Conducted: Hydrostatic [] Pneumatic E] Nominal Operation Pressure El Other, Pressure-........ s TestTemp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 81/2/in.X 11 in., (2) information in items s through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WO# 434722 R/R# 04-02-017 ASME Xl, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certificatapf Authorization r4b. N/A Expiratio Dat N/A Signed )o a /n e 21:3:-- A- Egauioment Performance SuoDervisor Date Owner or 5Zner's 6e-swnN-

?XV 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford Connecticut have insp ted the components described in this Owner's Report during the period of .. / 1 Z jj to //../05 .. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

Commissions NC 1507, ABIN NS d ' Ilns ktor's Signature National Board, State, Province, and Endorsements Date ak V/M, (12/82)

. FORM NF-1 NPT CERTIFICATE HOLDERS DATA REPORT FOR COMPONENT SUPPORTSO As Required by the Provisions of the ASME Code Rules.Section III, Division I

t. Manufactured b Pacific Scientific Co.- :1346 S. State College Blvd. Anaheim, C 92803 INS 0earia ada rtsaofo 1 C ent1Icat. Hotae ,I .Ho- 4 .4ider 1 i

_2. MnufCtu O 7. rinnell Corp. 621 Dana Street N.E. Warre, 0'O-w.rI Ohio 44481 i)* . - -. (Nam. OfnoClOOddt o.ou,,ltafror

. Localton of Instaliation TW3Xi -

4. Identification -

1 . b) I(cl Itl (ft (hi91 Component Canadian Applicable Strosl Report Type ol SUDDOt Registration Drwingp with . Or Load Cwaoa Component Natl BoSrd 1.D. No. No. Last Rev. & Date city Data Sh"t Support ClaJl NO. Year BuOIt tt 12580 NCNE 1801112-09-E .DR-1417 Rev; 0 Linear 1 1985 12585 14)

(SI 161 17 ).

(81 ...

(9; Rerk l nSs ecticn Test Reports, 0MR 's and Certificate cf Contormance are also certi.ied to Aet A; Sec i11 LY -i4 rJ1tlon, SuMnrr l~4 /lb.. RMa arna..

-CZ Ce T644_6.. .. .. . ..--

- CERTIFICATE OF COMPLIANCE -.

'Noc* tifY that tht statements mrn on this report tae correct and that those components supoorts conform to trhe rules of construction the ASME Code for NucIcaU Power Ptant Cornponits. Section Ill. Division 1. Edition thof 1977 . Addenda Winter 1978

  • T Pacific Scientific Co. b ¢/. ,/74(

_ tPT Cipnifcate Holderl Our ASME Certificate of Authorization No. N-1198 to use the IN PT

. SymtboI estes August 4, 1987 .

tRote.

CERTIFICATION Of DESIGN Oesign Information on File a Pacific Scientific Co.

St.eu Reportor Lod Capacity Dsta Sheets on File at Pacific Scientific Co.

Filed Per ~A3256 Desgn Socifications CerIfIIld by III Leo E. Ay PE State. California Reg. No- 13533 Streu Analysis Reoort or Load Capacity Oaua Shetts Certified by (1f Leo E. Ay Pf Sta..e .Califgonia Rag No 13533 III tLWst non,* onew l~4r^tU, nOt *"U.

- Supplemental sheets in form of lists. sketches or drawings may be used provided (1)size Is 8'"in. I2 inf ormation in items I 2 Ac 4g on this Data Repor is included on each sheet. and (3)each sheet is numbered and number of Sheets is recorded at too Of I>his form ' .

MM)r7* This orm (ED0075) may b obtained rom he Order Dept.. ASP.4E, 345 E. 47th St., New York. N.Y. 10017 I

. 0tes r J1  : *- z.  :~z;L.1 .~ - * ,-.-4

-- *. -~ y - ,T..r m FORM NF-1 (Back)

,41-eet -:~ o~Ate.

CERTIFICATE OF SHOP INSPECTION.

- .e. s-srgned. holding a valid commission issued by the National Board of BoWlar and Preuure Vessel Inspectors and the State or Pcw z- OMIO and onmloytd tby HSBI&I Co . Hartford, cr o

have inspercted the component 5uprfOl described In this Data e4port on c C! * / I

  • r 9 _ Anedstate that to tIe best of my hrowledge and tWise? -he NPT Certlficat. Holder has Construct.d tINs, component supports in accordance

_s -w AS-E Code for Nuclear Pover Plant Comoonents.

9u, r this certificate. neither the Inspector nor his emlor yer makes any warranty. xptressed or *mpli d. concerning the component

s described in this Oata Report Furthermore. neither the Inspector nor his employer shalt be liable in any manner for any

-ar. l injury or properly damage or a losS of any kind arising from or connected with this inspection.

--- S] r'  ; - . a-A. ir', / 4P/`I (7 0,121JL4.

QC O . ~ -. I*.,' C___________________________________tommissisons INet' 8d. State. Ptov. and No.)

CERTIFICATION OF FIELD INSPECTION

. e wrdersigned. holding a valid comrnmssion issued WYthe Nationa Board of Boiler and Pressure Vessel Inmsectors and the State or

-etr of and employed by of have ccmpared the statements in this Oata Report with the described component supports and state 71 1a parts referred to as data items _ _. not included in the certificate Of shop inspection, have been

- 1 b y me ana tnat to the best of my kO*-leC!e and twlefit tne 4PT Cerifcate Kolder has constructed these Component supports in accOrd-m:rC the ASME Code for Nuclear Power Plant Com ioenis

'-I,,

31 ging

-. this cortificate neither the Inspector nor his emotoyer makes any varranty. exOressed of implied. concerning the component s.¶5 described in this -at& nport. Futhern-orv. ne,tme. Ih inspector nor niis emolower small be Tibie in an, manner For amy oersonal

, pr:opert camage or a loss ot anm i^ aris.ri from or connected dth this rispection Comm-stions

'Nat'l so Siate V-o.. and No I (I

,A 4, I

Attachment I REPAIRIREPLACEMENT SYNOPSIS Sheet I of I DATE 01107/05, REV. 0 Repair El Replacement Ml RIR No. 04-02-018 Suitability Evaluation Required iYes aNo EC No. N/A (including failed items)

WlO No. 434727

1. SYSTEM NAME BD - Steam Generator Blowdown NB No. 44 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. BD-H-364 OLD COMPONENT NEW COMPONENT P.O. NoiCatalog ID. 76100742 P.O. NoiCatalog ID. 76100742 Year Built 1980 Code Stamp Yes Year Built 1980 Code Stamp Yes Const. Code ASME Ill Edition 1977 Addenda S78 Const. Code ASME IlIl Edition 1977 Addenda-S78 Code Class 1 Code Cases 1644-6 Code Class 1 Code Cases 1644-6 NB No. N/A NB No. N/A Manufacture Name Pacific Scientific Manufacture Name Pacific Scientific Manufacture Serial No. 10941 Manufacture Serial No. 11073
3. DESCRIPTION OF WORK Replaced snubber on hanger BD-H-364. The replacement snubber meets or exceeds the original code and desian spec requirements. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED E MT - Mag. Part. Complete El ISI El Supports El El PT - Penetrant Complete D IST D ILRTILLRT E El RT - Radiography Complete E FAC O Other_

El UT- Ultrasonics Complete Cl Check Valve El ED VT-3 Visual Complete 0D

6. SYSTEM PRESSURE TEST REQUIREMENT E Leakage Nominal Operating Pressure E Yes al No E Functional Elevated Pressure N/A Psi El Inservice Test Temperature N/A OF El Hydrostatic

[] Pneumatic Applic. Code Ref. (or Code Case) N/A

7. ANIVANII Review 10/19104 Pre Work Start 10/19/04 Work Complete 11104104
8. NIS-2 Prepared 01/14/05 ANI/ANII 01/24/05 In Package 01/26105 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 434727 R/R# 04-02-018 ASME Xi, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl

1. Owner Progress Enery- - .- -- Date 01/14/05 Name -:

-P.O. Box 1551, Raleigh.-N.C. 27602-1551 -- - Sheet 1 of 4 Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 434727 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy - Type Code Symbol Stamp N/A Name - L!.i 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A
4. Identification of System BD - Steam Generator Blowdown 5 (a) Applicable Construction Code ASME Section-111 1974 Edition, Winter '76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 , Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No)

Snubber PacificScientific 10941 .NA PN 76100742 -1980 .- Replaced. . . Yes

, : .-.:.  : . - ._  ; i., . .- ,.BD-H-364 .. _. _ ._._._

Snubber Pacific Scientific 11073 IVA PN 76100742 1980 Replacement Yes

- BD~~~11-1-1364_ _ _ _ _ _ _ _ _ _

_' ,,' - . , ) '  ; l  !' . . . ': ' .... _

7. Description of Work: Replaced snubber on hanger BD-H-364.
8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operation Pressure Cl Other Al Pressure __psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WO# 434727 R/R# 04-02-018 ASME Xi, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certificate-eAuthoriz!iony. N/A Expiration Date N/A Sign ed uwrlur Qr1VF eo~__

U WU51ullefil air 4n Equipment Performance Sunervisor Date /

V V 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford. Connecticut have inspected the components described in this Owner's Report during the period of ZVO/IV - to /_, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this 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.

@. gCommissions NC 1507, ABIN NS Jlnspefors Signature National Board, State, Province, and Endorsements Data V/A'/s (12182)

A%7f?;W~r~d by Mhe ~tl SE~~Rf~ ~to [Hvtj~I f.Wri.o ph Skav'w S,_d addess0 P 2* ManUf ecturev orL0 t1wast Fabricatirg a Z O.- 449 Ibs1 t I1XS77011 Ebaa=~Sexvices,, Ix.:24ent for: 4NCxei dfi@toW oari via-_PomZ3r & Lig-ht

3. Lo-cation ot ntrstltafa io__h1L1-Iari I A fcdenitretictoe . ,.

Ia b c? Idl te I) hi cg I Compoonent CS^3dion A40iCabWe Sttore R.po't Type of I regitisation I'-----Sup'. Dreewingt With or Load Caoa- .Component Nat'l Ooard i C.O.NO.' 'No. 'Lett Rev. & Oats, city Date Shoot Support cuits No. Yoar Budit I

tulO9 13- Norne 1801102-05-. 0R1351-A Linear 1 i ,one 1980 (2111117_- ..  :

I.,

(41 ___. .. -. ..

(721 .. _ ... _ . __-

( 8 1 _... . -. -. . ..... __ _ _..

(101 _ ___.

'77.

t I II COP _ .-

CERTIFICATE ~OF -COMPLIANCE

, ,--,- O, - _

( We cattily that the Sttaemyents made in thus refoort are cocrre~t jnd ihat'thete components %upoortsconform to tht 'Ute% ol Cneisse~utijOr` . .

I .i I.

II of the ASME Code .r Nuclea Poer Plant Cooonents.Section III. Division 1. Edition 197.Addenda UTI 7 Datd... _ _ . by-

_utASME Cetticate of Authoriat on N. . .. ..to . t e cncn Symnbol hai ocs% Aug. 4, 1931 otmito C9@ _o J_ _fa ificPaFclnSfc t i ,. y /

- Desin Int inonieatCERTIFICATION -OF DESIGN ..

Struti Rvocft of Load CaoscitY Data Sheets on Vi'e 41 Pacific Scienttiic Filtd Per Ila 3256 Dosiir Soeitclcations Caititiee bty Itl_- Leo E. 1v ____ CT S13le-__ _. Caiiforniai Reg No 13533 Str ets Ana lviis`Reppa, Ior I.Oad Q.o0city OCtta She.. it Cortifier by I t Leo E. Ay PE Steat.. ~allforrL.4. -4.g N.. 053.

ki III Liii i.i.- O0iv ies.-'*i~ 'O .4*1 i

-Supolernientel shects in form of ltsts. sketchvs Of dreavig-, tetay be us CO 0oovieod 1II sitC is H', i :21 infc:rtsation n *tes 7 AC. AQ on ihi OData Reoort is included on each sheet. ant 131 4-acn sheet is nrnberted and numibir of sheets i reCris C ei trip of this fornil a

(10tr7l This IC)cm Q000751 m.v tm obts.ned from iht Order 0eot..A5f.4C-.j4!j E. IC70 St.. Nir, Yu, k. N.Y. tOO17

1. .

I-am i F 1 I M . il RIENSOMMEN&

V 4:

CERTIFICATE OF SHOP INSPECTION

1. this udliti"nJ. tto~dttq a valid comnmilliont uttued tly the National ao4id a' *ai 1(of ed reviiuiv Vvt%*l ttIM40cl(MI er1 (hp Still ot Plaoloce of W lrni . anti Oonloye o4 y...... Uli&IT.A.............. at .. 1nrtcordiu.

14 I',"lt~e t to the besit os mv kf~awIted4* uSNts"li0l (N NPt COutMt at. Holff tIl C04itttlod ttw ttimgrio-----d. 1 "Is~s the ASME (Cad. Int NuCEita Po*.qt lrant Comptifte~s fly tqfliflQ Ihit colliftcalf. t~fifhdf the ln~octot niji hit lt.10e make% any %iraftattty.fl-tiftoiqd of Impited.c (conrfeninq tChr nu~iginqgl supporfls dethscbed in this Data Rep~ort Furthcimnt-. orithger tho hist-mctor not his tt-tgliyeu I~i saltill liatak4 I itaty ttilami-lf list it paersonal injury at ptop~ery datnage of a lots of any sttnd &ariing (Itortl of connected with (tilt insptlctimiw IN., I II, ';iate 1-94iw. atil Nit I 0)

CEATIFICAT.3N OF FIELD IMSPECTION

1. ithe undef.rt.ed. hotd,ng a vatlid con-'nmgtmon isits"I tv-. IIZe NAtIOM0.1 110ujid Of i~~~ Andt 1*EISkfC Vetlef ItuiOectujq Ji's thce to ci POvunci Of- a.nd cmso'iu!o,' ~ . to.o.

-ii____

V. _________ cvt* cnig'nsti.ci the stAlro': in 'hi-s Odin flevort ssith tict- deiscritiei componeflntsuu,: .1 that the parts tefetrcd to As data ,tionis . - 1(i1 n intcluded in the certificate of shop insnec::z *-

in';octed Of, .'. ad InAl to tfets# est ccl -.. ki;Inqt(l. ,,ac t-. ?c Itr4 f4P1 Ccc:,.rlr(t *4utitle 9%4%*.illrut ted lrite compinntct t:~.*c- Ltfl

- ance s.vith tht ASME Code to, Nucteat P'osve P~dlans 4I Bly %agninrj tihc Coritf-cate neithet the Inihgc.C nt."

fh..* ITI,-.1~4yrf IT14ijsq cisy ",ct-~fatv.

  • sliicii, (it nflig~i1*d c.3ncetning
  • com.~nent tuac5.jg, c d~cr%-cl, uec.Or 1cM I in'. q If *cc (thc,l ict

.. ~c.....cc cIC Ic~ -fii tni. IIr -*t il1 . .

-Wtq .. r w a:1 .c.c,, .. c1tc1.

EMU 5M KNIM P QW

- - - NS

Attachment I REPAIR(REPLACEMENT SYNOPSIS Sheet I of I DATE 01/07/05, REV. 0 RepairQD , Replacement 0 R/R No. 04-02-034 Suitability Evaluation Required EL.Yes 1No EC No. N/A (including failed items)

W/O No. 436969

1. SYSTEM NAME CS - Chemical Volume Control NB No. 48 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Heat Exchanger Tag No. 1CS-E035 OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. 51411767/51410983 P.O. NoJCatalog ID. 51411767/51410983 Year Built Unknown Code Stamp No Year Built Unknown Code Stamp No Const. Code
  • Edition N/A Addenda N/A Const. Code
  • Edition N/A Addenda N/A Code Class Code Cases N/A Code Class 1 Code Cases N/A NB No. N/A NB No. N/A Manufacture Name Unknown Manufacture Name Nova Machine Manufacture Serial No. NIA Manufacture Serial No. N/A
3. DESCRIPTION OFWORK Renlaced studs and nuts on Letdown Hx 1CS-E035. 'Stud is ASME SA193 GR B7 (PO#

87526). Nut is ASME SA194 GR 2H (PO# 101672). The replacement narts meet or exceed the original code and design specification requirements. Therefore, suitable for replacement.

4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT- Mag. Part. Complete El lSI O Supports El El PT - Penetrant Complete El IST El ILRT/LLRT El ElRT- Radiography Complete El FAC [ Other_

EUT - Ultrasonics Complete E3 Check Valve E El VT- Visual Complete El

6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure ElYes ElNo EFunctional Elevated Pressure N/A psi E Inservice Test Temperature N/A OF El Hydrostatic E Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANI/ANII Review 07/13/04 Pre Work Start 09/07/04 Work Complete 09/27/04
8. NIS-2 Prepared 01/17/05 ANI/ANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed OA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 436969 R/R# 04-02-034 ASME Xi, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl

1. Owner Progress EnergV Date 01/17/05 Name P.O. Box 1551. Raleigh, N.C. 27602-1551 Sheet 1 of 2 Address
2. Plant Shearon Harris Nuclear Power Plant Unit 1 '

Name 5413 Shearon Harris Rd., New Hill, N.C 27562-0165 WO 436969 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed By Progress Energy Type Code Symbol Stamp N/A Name 5413 Shearon Harris 'Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A
4. Identification of System CS - Chemical Volume Control 5 (a) Applicabli Construction Code ASME Section III 1974 Edition, Winter '76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xi Utilized for Repairs or'Replacements 1989 , Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No)

Stud Unknown N/A . NIA PN51411767 Unknown Replaced No Stud Nova Machine N/A N/A PN 51411767 Unknown Replacement. No

_ _ _ _ __ _ _  : _ _ _. _ :_. _ ,: _ _ ._ .PO # 87526 . .

Nut Unknown N/A . N/A PN 51410983 Unknown Replaced No Nut Nova Machine N/A N/A PN 51410983 Unknown Replacement No

.__.__ ,:.PO

_ _ _ _ _ _ _ _ __ _ _ # 101672 . . .

7. Description of Work: Replaced studs and nuts on Letdown Hx 1CS-E035.
8. Tests Conducted: Hydrostatic [ Pneumatic o Nominal Operation Pressure E Other[] Pressure _ _psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Is Sheet 2 of 2 WOO 436969 R/R# 04-02-034 ASME Xl, CLASS 2 FORM NIS-2 (Back)

9. Remarks Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate thorization N A Expiration Date N/A Signed o ) 4wG EcuiDment Performance Supervisor Date IL2/o Owner or Owyers Designee Titll /

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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford, Connecticut have in pe ted the components described in this Owner's Report during the periodngo of to / m//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 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.

_ _ 2,_ __ Commissions NC 1507. ABIN NS Insper's Signature National Board. State, Province, and Endorsements Date /J V /-

(12/82)

Attachment I REPAIR/REPLACEMENT SYNOPSIS Sheet I of I DATE 01/06/05, REV.0 Repair Replacement M R/R No. 04-02-019 Suitability Evaluation Required ZYes 2No EC No. N/A (including failed items)

WIO No. 442338

1. SYSTEM NAME MS - Main Steam NB No. 59 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Valve Tag No.1 MS-49 OLD COMPONENT NEW COMPONENT P.O. NoiCatalog ID. 9220092242 P.O. NoJCatalog ID. 9220092242 Year Built N/A Code Stamp Yes Year Built N/A Code Stamp Yes Const. Code ASME III Edition 1971 Addenda W72 Const. Code ASME IlIl Edition 1971 Addenda W72 Code Class 2 Code Cases N/A Code Class 2 Code Cases N/A NB No. 849 NB No. 848 Manufacture Name Crosby Manufacture Name Crosby Manufacture Serial No. N57374-00-0014 Manufacture Serial No. N57374-01-0013
3. DESCRIPTION OFWORK Replaced safety relief valve 1MS-49, inlet studs (SA193. GR B7). nuts (SA194 GR 2H), disc insert, and nozzle. The replacement components are like-for-like, or meets/exceeds original design requirements.

Therefore, suitable for replacement.

4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED O MT - Mag. Part. Complete El ISI E Supports El El PT - Penetrant Complete El IST El ILRT/LLRT El E RT - Radiography Complete El FAC El Other El UT - Ultrasonics Complete El Check Valve El 0 VT-2 Visual Complete ED
6. SYSTEM PRESSURE TEST REQUIREMENT 0 Leakage Nominal Operating Pressure 0 Yes El No El Functional Elevated Pressure N/A psi El Inservice Test Temperature Nominal OF El Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANI/ANII Review 10/18/04 PreWorkStart 10/17/04 Work Complete 12/02/04
8. NIS-2 Prepared 01/12/05 ANI/ANII 01/13/05 In Package 01/17/05 Note: Upon completion of the document, it is a completed OA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 442338 R/R# 04-02-019 ASME Xl, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xi

1. Owner Progress Energy - . Date 01/12/05 Name P.O. Box 1551. Raleigh, N.C. 27602-1551 Sheet 1 of 4 Address
2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 442338 Address -a Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy - Type Code Symbol Stamp N/A Name 5413 Shearon Harris Rd.. New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A
4. Identification of System MS - Main Steam 5 (a) Applicable Construction Code ASME Section lII 1974 Edition. Winter'76 Addenda, See Ni Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 , Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. - Board No. Identification Built Or Replacement (Yes or No)

Valve Crosby N57374-0-0014 - 849 1MS-49 N/A Reptaced Yes

__ PN 9220092242 Valve Crosby N57374-01-0013 848 1MS-49 - N/A Replacemert Yes PN 9220092242 St au btose National N/A. N/A. PN 76172030 N/A Replacement No PON 90386-1

- -, HTA_ ASK Nut Nova Machine N/A PN 76114834 N/A Replacement No

.__ POO 8N8338 Disc Insert Consolidated Power N99449-33-0005 N/A PO 164102 N/A Replacement No Nozzle Universal Stainless & Alloy N99450-31-0003 N/A PO 164102 N/A Replacement No Products, Inc. G6858 yTN 4 4 4 4 4 4 4 4 1 &

7. Description of Work: Replaced safety relief valve 1MS-49, inlet studs, nuts, disc insert, and nozzle.
8. Tests Conducted: Hydrostatic E Pneumatic a Nominal Operation Pressure C Other E] Pressure ____psi Test Temp. Nominal QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WOlf 442338 R/R# 04-02-019 ASME Xl, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed VT-2 on valve flange connection after valve replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certifice Authorization No IA Expiratio Date N/A Signed d,~ cupet Perforance Sulpervisor Date l /31°5-wrr or -ChessDesiwel. rnio 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford Connecticut have inspected the components described in this Owner's Report during the period of i s/0i/0/0 to ZWA/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 Xl.

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

__ _ _(; _ _ _ __. Commissions NC 1507. ABIN NS L fnspetor's Signature National Board, State, Province, and Endorsements Date p §/7 (12/82)

..:  : I - o. > -; q e'

  • Corrected Report 11-3-80 a, l RO CRf3Y SS l CROseY VA LV E S GAGE CO M PAN Y C..SBY WRENTHAM, MA SS

. . .I A

VOUMdif NV* I OIR St.ZgrTY ANI) SA'rTl' REIlEF VAL.VE S1.C..44C As roluirerd by the Istoviri5s10% s-f thlr ASNI: COde Ilull s IDATA REPORT

- SSafvly arid Safety Relief Valves

-m.iweand Addlr-s

_Order  :;o. t __Contrznct

.. - D;gIL 1o -i *!i t):,] 3ourd o0_,

!':bI:.**.!: .c: v.:. Is ., 2 i'Rctc-- :t.. - R'oomr  ?',1;,

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.. ":rre r:z Ire,. rz  :i:)t 1'*S ez:+l[te tlea ;:ce:':: C*:.e.,c........ ,:

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Ser.il No. ________ _______ ________:::-.:,

w.. F.' . . .dr fi I.. ..... ..t ..:  :.. _..e. ................... ...._

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rm iI NX°.'Ir M..1:4 rll I-vi-- vats.*ll;!

I'!'titifica (irit Im lbuttlig1:;- ... Ctm;.!.

v . sp~rwg .V.',";: C)i ,. ::-CO - ... . , . .. ,, . . - _ ....... .. 1 It

_S -l~ I-!.- _ 7 ___

  • ! -."I klA-Al. :t~ " I '-  :  :' ! i :-'S'-  :'
J;C -r2-0 ' 7  ;.; . Cr*'-- .

v . (11!Ier 1' ,: l 1,.^-

. .e0l 1 lrl'.1111:s

  • :.' '. _L, -_ 'n 1*-

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its~*"Rcj)jrt corrwcted ducl to AJijs;tim. il~olc Sei.lha.we *.lle. .__

,srfrto shipmrellL.

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  • is

,e S¢. - .  %~-____

I:: ;;,: #_

I _,'

J I

I .,I Nl-. -  : . %:1:_t,_,::.:z_.-- -_ . - , .

I CE:RTIFICATE O). S-iJ;' IXS:R.':(TR.N

1:It "4fdanv;sets%vtla.lOle sullt ~vrclve ioll,.; ce)l.A..nfZt: .

%wwn i:olit~s c ertifivas-..  : 1.%::In::pecter no r II:% aI--r -. >  : wz-::

ef *cir rlgIlev d. co: ist:;aii  :!1{- t do:;: cnrtlwd ::I s!.zs, 1.1 :; Re:-::7.  ::-:.: .- .

*;:*;f  : r:or-. Si: en:10-,s~.-fr li:l:; he ;:Islel II; .ras: Ilan;n:el fin  ;  ;-I.... : , . ...

,1,:: a .i :- ,,% SS . mv Virr l ::ar -; -.. *t t-n~nnE c-- d.! x;t; ut , 1,

  • .;:_.__ __p I i( -.
  • ,,:.r ht-Bostl:::;  :'ac::X: 1; e: s .:-:;t:::.:  ::s:;:,:;e .'s. - e"; :t.M:;

. oi er .' 11'aLChjiles. '- :s'.:

Attachment I REPAIRIREPLACEMENT SYNOPSIS Sheet I of I DATE 01/07/05, REV. 0 Repair Q Replacement > R/R No. 04-02-020 Suitability Evaluation Required ZYes ELNo EC No. N/A (including failed items)

WIO No. 442785

1. SYSTEM NAME MS - Main Steam NB No. 59 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. MS-H-3 OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. 73286320/73720559 P.O. NoJCatalog ID. 73286320/73720559 Year Built N/A Code Stamp No Year Built N/A Code Stamp No Const. Code ASME IlIl Edition 1974 Addenda W76 Const. Code ASME IlIl Edition
  • Addenda*

Code Class Code Cases N/A Code Class Code Cases NIA NB No. N/A NBNo.NA --

Manufacture Name N/A Manufacture Name Coloc Industries Manufacture Serial No. N/A Manufacture Serial No. NIA

3. DESCRIPTION OF WORK Replaced coloc nut on hanger MS-H-3. Coloc nut is ASTM Al 94 Gr. 2H. PO# 7D6478 and 8P0076. *The replacement part meets or exceeds the original code and design spec requirements. Therefore.

suitable for replacement.

4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED al MT - Mag. Part. Complete El ISI a Supports El El PT - Penetrant Complete El IST El ILRTILLRT El ElRT - Radiography Complete [l FAC El Other El UT - Ultrasonics Complete D Check Valve El

_ VT-3 Visual Complete O

6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure [] Yes ElNo 0 Functional Elevated Pressure NIA psi El Inservice Test Temperature N/A OF El Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANI/ANII Review 10/19/04 Pre Work Start_ 10/19/04 Work Complete 11/02/04
8. NIS-2 Prepared 01/17/05 ANIIANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed OA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 442785 R/R# 04-02-020 ASME Xi, CLASS 2 FORM NIS-2'OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Progress Energy '  ; ' ' ': ' ' ' " Date 01 /17/05 - - '- ' '

Name _.  :-  ;.I - .

- P.O. Box 1551. Raleigh, N.C. 27602-1551 'Sheet 1 of 2 Address

2. Plant Shearon' Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd.. New Hill. N.C. 27562-0165 WOf 442785 Address I - Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy '-, " - Type Code Symbol Stamp N/A Name  ; ,,*

5413 Shearon Harris Rd.; New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A

4. Identification of System MS - Main Steam - - - '

5 (a) Applicable Construction Code ASME Section 1111974 Edition, Winter'76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 , Addenda N/A

6. Identification of Components Repaired or Replace'd and Replacement Components

--. 1Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. , Board No. Identification Built - Or Replacement (Yes or No)

Coloc Nut Coloc Industries 'N/A N/A PN 73720559 &73286320 N/A Replaced . No

_ _ _ _ _ _ _ C _ _ _ _M S-H -3 Coloc Nut Coloc Industries - N/A N/A. PN 73720559 & 73286320 N/A Replacement No MS-H-3

- --. PO# 7D6478 & 8PO076 _ _ __-
7. Description of Work: .Replaced coloc nut on hanger MS-H-3. .
8. Tests Cond ucted: Hydrostatic E Pneumatic Nominal Operation Pressure ,

Other E. Pressure _psi Test Temp. OF___

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 81/2h in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 2 WO# 442785 R/R# 04-02-020 ASME Xi, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after coloc nut replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A CertificqkrstAuthorizatio 91o. N/A Expiration ate N/A Signed \1 64:' Enuipment Performrance Stinervisor Date Owner Vowner's D&Anee7ty 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford Connecticut have iqspepted 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.

ev& . G 2. il.

(-J Inspfor's Signature Commissions NC 1507. ABIN NS National Board, State, Province, and Endorsements Dlate 1A/:Is61 (12/82)

Attachment I REPAIRIREPLACEMENT SYNOPSIS Sheet I of I DATE 01/07/05, REV. 0 k_ Repair Q Replacement 3 R/R No. 04-02-021 Suitability Evaluation Required ELYes ELNo EC No. N/A (including failed items)

W/O No. 443120

1. SYSTEM NAME AF - Auxiliary Feedwater NB No. 49 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. AF-H-320 OLD COMPONENT NEW COMPONENT P.O. NoiCatalog ID. 73286270/73889073 P.O. NoJCatalog ID. 73286270/73889073 Year Built N/A Code Stamp No Year Built N/A Code Stamp No Const. Code ASME Ill Edition 1974 Addenda W76 Const. Code ASME liI Edition
  • Addenda'*

Code Class _ Code Cases N/A Code Class Code Cases L .A NB No. N/A NB No. NWA Manufacture Name N/A Manufacture Name Coloc Industries Manufacture Serial No. N/A Manufacture Serial No. N/A

3. DESCRIPTION OFWORK Replaced coloc nut on hanger AH-H-320. Coloc nut is ASTM A194 Gr. 2H. PO# 8P3545 and 7L7975. *The replacement Dart meets or exceeds the original code and design spec requirements. Therefore.

suitable for replacement.

4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT - Mag. Part. Complete El ISI El Supports El El PT - Penetrant Complete El IST El ILRT/LLRT El El RT - Radiography Complete El FAC l Other El UT - Ultrasonics Complete El Check Valve E

_ VT-3 Visual Complete ED

6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure El Yes El No El Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF El Hydrostatic El Pneumatic - Applic. Code Ref. (or Code Case) N/A
7. ANI/ANII Review 10/27/04 Pre Work Start 10/21/04 Work Complete 11/02/04
8. NIS-2 Prepared 01/17/05 ANI/ANII 01/24/05 In Package 01/26/05 V,_.) Note: Upon completion of the document, it is a completed GA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17.of 30

WOf 443120 R/R# 04-02-021 ASME Xl, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Pro'Isions of the ASME Code Section Xl

1. Owner Progress Energy DateI01/17/05-'

Name . --x  ;, . I P.O. Box 1551, Raleigh, N.C;27602-1551 Sheet I of 2 Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 443120 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy;; Type Code Symbol Stamp N/A Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A
4. -Identification of System AF - Auxiliary Feedwater -

5 (a) Applicable Construction Code ASME Sectionill 1974 Edition. Winter 16 Addenda, See Ni Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 , Addenda N/A 6; Identification of Components'Repaired or Replaced arid Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No)

Coloc Nut Coloc Industries NIA  ! N/A PN 73286270 &73889073 N/A Replaced No

_ __ __ __ _ _ _ __ __ __ _ _ _ _ _ _ _ _A F-H-320 _ _ _ _ _ _ _ _ _ _

Coloc Nut Coloc Industries A! .. N/A PN 73286270 & 73889073 N/A Replacement No AF-H-320

________ :__c_-P_

Poo *.

sP3545 &7L7975  : ,_-

I~ -'-"_

7. Description of Work: Replaced coloc nut on hanger AF-H-320.
8. Tests Conducted: Hydrostatic E] Pneumatic ED Nominal Operation Pressure D Other E Pressure psi Test Temp. F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2k in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 2 WO# 443120 R/R# 04-02-021

  • ASME Xl, CLASS 2 FORM NIS-2 (Back)
9. Remarks Performed preservice VT-3 on hanger after coloc nut replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorization N N/A Expiration Date N/A SigcnedXLI-w

_ _ ,_ IMLJ _ A, l<- ~- h2/-Equioment Performance Supervisor Date IL12k 5 Oqner oprner's Desilre, T-27 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford. Connecticut have inspected the components described in this Owner's Report during the period of ... to z/n/2ZJ-i_, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

(2t (J. Insp7(o's Signature Commissions NC 1507. ABIN NS National Board, State, Province, and Endorsements Date / /Qc (12/82)

Attachment I REPAIRIREPLACEMENT SYNOPSIS Sheet I of I DATE 01/07/05, REV. 0 i Repair [I Replacement §3 R/R No. 04-02-022 Suitability Evaluation Required aLYes aNo EC No. NIA (including failed items)

WIO No. 443122

1. SYSTEM NAME AF - Auxiliary Feedwater NB No.49 CONSTRUCTION CODE ASME Section liI Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. AF-H-328 OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. 73286270 P.O. No./Catalog ID. 73286270 Year Built N/A Code Stamp No Year Built N/A Code Stamp No Const. Code ASME IlIl Edition 1974 Addenda W76 Const. Code ASME IlIl Edition
  • Addenda
  • Code Class Code Cases NIA Code Class Code Cases NIA NB No. N/A NB No. N/A Manufacture Name N/A Manufacture Name Manufacture Serial No. NIA Manufacture Serial No. N/A
3. DESCRIPTION OF WORK Replaced coloc nut on hanger AF-H-328. Coloc nut is ASTM Al 94 Gr. 2H. PO# 8P3545.
  • The replacement Dart meets or exceeds the original code and design spec requirements. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED al MT - Mag. Part. Complete El ISI El Supports El El PT- Penetrant Complete El IST El ILRTILLRT El D RT- Radiography Complete El FAC E Other El UT- Ultrasonics Complete El Check Valve El I VT-3 Visual Complete 0
6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure [I Yes El No El Functional Elevated Pressure N/A vSi El Inservice Test Temperature N/A OF El Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A 7.ANI/ANII Review 10/21/04 Pre Work Start 10/21/04 Work Complete 11/02104
8. NIS-2 Prepared 01/17/05 ANI/ANII 01/25105 In Package 01/26/05 K.. Note: Upon completion of the document, it Is a completed OA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 443122 R/Rff 04-02-022 ASME XI, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Progress Energy Date 01/17/05 Name

.P.O. ._ _ .. .Raleiah.

Box.. 1551.

._ . _ ._, , ,,. ,, _ _27602-1551 N.C. _ Sheet 1 of 2 Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill,-N.C.-27562-0165 WO# 443122 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy Type Code Symbol Stamp N/A Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A
4. Identification of System AF - Auxiliary Feedwater 5 (a) Applicable Construction Code ASME Section III 1974 Edition, Winter '76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No) coboc Nut Coloc Industries NWA N/A PN 73286270 N/A Replaced No

. _ _ _ _ .AF-H-328 .

Coloc Nut Coloc Industries N/A N/A PN 73286270 N/A Replacement No

  • ~AF-H-328'

.__ . .PO# 8P3545

7. Description of Work: Replaced coloc nut on hanger AF-H-328.
8. Tests Conducted: Hydrostatic ED Pneumatic El Nominal Operation Pressure ED Other EJ Pressure _psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 2 WO# 443122 R/R# 04-02-022 ASME Xl, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after coloc nut replacement.

Applicable Manufacturers Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certificete-f Authorization m . N/A Expiration Date N/A Rinnedl A,lsu 1 4

-, AM,, ,1k^z 21-5j<

A d"- Equipment Performance Supervisor W

Date 1&

/o Oner 0ysneese 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Companv of Connecticut of Hartford Connecticut have inspected the components described in this Owner's Report during the period of ih A2. i totoII ,shr . and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

Commissions NC 1507. ABIN NS J nspecfs Signature National Board, State, Province, and Endorsements nDal ,/A as' (12/82)

Attachment I REPAIRIREPLACEMENT SYNOPSIS Sheet I of I DATE 01/07/05, REV. _

Repair ,Q Replacement , R/R No. 04-02-025 Suitability Evaluation Required 0_Yes ELNo EC No. N/A (including failed items)

W/O No. 455266

1. SYSTEM NAME MS - Main Steam NB No. 59 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Valve Tag No. 1MS-5S OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. 9220092242 P.O. NoiCatalog ID. 9220092242 Year Built N/A Code Stamp Yes Year Built N/A Code Stamp Yes Const. Code ASME liI Edition 1971 Addenda W72 Const. Code ASME (it Edition 1971 Addenda W72 Code Class 2 Code Cases N/A Code Class 2 Code Cases NIA NB No. 837 NB No. 846  :

Manufacture Name Crosby Manufacture Name Crosby Manufacture Serial No. N57374-00-0009 Manufacture Serial No. N57374-01 -0011

3. DESCRIPTION OF WORK Replaced safety relief valve 1MS-51. inlet studs (SA193. GR B7). nuts (SA194 GR 2H). disc insert, and nozzle. The replacement components are like-for-like, or meets/exceeds original design requirements.

Therefore, suitable for replacement.

4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT - Mag. Part. Complete El ISI a Supports [

El PT - Penetrant Complete El IST D ILRT/LLRT E El RT - Radiography Complete l FAC a Other E UT - Ultrasonics Complete 0 Check Valve El 0VT-2 Visual Complete 0

6. SYSTEM PRESSURE TEST REQUIREMENT 0 Leakage -- - Nominal Operating Pressure 0 Yes Al No El Functional Elevated Pressure N/A psi El Inservice Test Temperature Nominal OF El Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A 7.ANI/ANII Review 10/19/04 PreWorkStart 10/17/04 Work Complete 12/02/04
8. NIS-2 Prepared 01/13/05 ANI/ANII 01/13/05 In Package 01/17/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30 -

WOU 455266 R/R# 04-02-025 ASME XI, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Progress Energ - Date 01/I3105 Name P.O. Box 1551, Raleigh. N.C. 27602-1551 Sheet 1 of 4 Address
2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 455266

-. Address- - - Repair Organization P.O. No., Job No., etc.

3. Work Performed By Progress Energy Type Code Symbol Stamp N/A Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A
4. Identification of System MS - Main Steam 5 (a) Applicable Construction Code ASME Section III 1974 Edition, Winter '76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xi Utilized for Repairs or Replacements 1989 , Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year. Replaced, Stamped Component Manufacturer Serial No. ;.,.Board No. Identification -Built Or Replacement (Yes or No)

Valve Crosby N57374-0O009 837 1MS-49 N/A Replaced Yes PN 9220092242 X Valve Crosby N57374-01.0011 846 1MS-49 N/A Replacement Yes

_PN 9220092242 Stud Dubose National N/A N/A PN,76172030 N/A Reptacemen No

  • . PO#9C386-1
  • ~~~HT#ABK__ _ _ _ _

Nut . Mackson Inc. N/A N/A , PN 51410983 N/A Replacement No PO# 6H6551 Nut Nova Machine N/A NA W- PN 76114834 N/A Replacement No

_ _ PO# 8N8338 Disc Insert Consolidated Power N9449-10003 N/A PO# 164105 N/A Replacement No Nozzle Universal Stainless & Alloy N99450-31.002 N/A PO# 164105 N/A Replacement No Products, Inc. HT# G6858 _

7. Description of Work: Replaced safety relief valve 1MS-51, inlet studs, nuts, disc insert, and nozzle.
8. Tests Conducted: Hydrostatic 0 Pneumatic E] Nominal Operation Pressure 0 Other [ Pressure ___psi Test Temp. Nominal QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2kin. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 2 WO# 455266 R/R#f 04-02-025 ASME Xl, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed VT-2 on valve flange connection after valve replacement.

Applicable Manufacturer's Data Reports to be attached.

Ni - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code,Section XI.

Type Code Symbol Stamp N/A Certific f Authorization No A Expiration Date N/A Signed i d 4 K EDuaement iG Performance Supervisor Date a t/D~e ewn- or K r%-:l_-oeh YMJ SIg 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford Connecticut have inspected the components described in this Owner's Report during the period of AO// MPII/ to 1h//o.,5 , 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.

,Q.

9 . 07X Commissions NC 1507. ABIN NS Insp tor's Signature National Board, State, Province, and Endorsements Date //S/as (12/82)

ECHaSV CA O SY VALVE 19 GAE CO M PAN Y

__ J - W ItNRNT 1AM M M AS3

, _,_,r, .- . . . . . . . -...............I . . . . . . . . -...... ..-- - -... I.........................

I 0 FORM NV-t FOR SAFETY AND SAFETY RELIEF VALVES O.C.-44C As required by the provisions of the ASME Code P.ules II DATA REPORT Safety and Safety Relief Valves

.m,,tslaeturcd By Crosby Valve £ Gage Co., 43 Kendrick St., Wrontham, MEA 02093 0 - N- aNme and Addrons IIA-75-FN Order No N40643 - Contract Date _1 1 2 8 7 _3Nntionrel80ardYtI. 846 Ebasco Services Inc. - 2 Rector St., Room 840
miMtmictured For New York, New York- Order No. -NY-435038 Name and Address Carolina Power & Light-Co.-

Shearon 1jarris Nuclear Power Plant Na.. and Addresa

.itun otfPlant New H11p, WaKe County, NO. Carol na V;aIve Identificataon SPARE Serial No. N57374-00-0011 Dawink No. D-C-57374 Rev. D O %0 II Safety Orifice SizaP Pipesize inlet6 outlet 10 Salety.Safety Reliel.pilot.power Actuated Inch Inch Inch Inch

%St pres'ure tPSIC) 1200 R 30 r i

  • Rated Teraperature StnIet1;rd C.alACrIty -904,331 lbs/hr-sat e 3 - %Overreosur Blowdown 5 Of S.P.

Q-)

0 I 1Iri '%tjtw Tet (PSIGI Inlet - 1850 complei:c V~ive _ __A Ah- The* :'u:erl31. design. construction and workmanship comply with ASME Ccde. Section Ill.

Ns

.2 Edition 1971 ,Addenda Date Winter 1972 ,Case No.

p-w.%utr Containing or Pressure Retaining Components II Serial No. Material Specification cutxxwx Forgings Identlfication Ircluding Type or Grade i

II N90909-32-0014. ASME SA105

  • N90917-33-0014; . AStM SA105 I Is,r St wk and Forgings - -

8e.-Ar clapter N900R7-46-0271- ASME SA193 Gr. E6 r

  • :;nie N90911-32-0001 ASmtE sAie2 Gr. F316 j Insert N91167-33-0050! , ASME SA182 Gr. F316'

'9,N0919-32-0010 I;:in g Washers K57295-33-0017 1490920-32-0003 ISME ShlOS 7 Adl using Bolt N93335-36-0132 ASME SA193 Gr. B6

  • Spindle K57208-47-0255 N88895-64-0360 ASME .SA193r. BC' I I;  ; 4., . I - ..

°I

Im-r' V- t *'!'; se,  ;,!

I S Serial No. or Material Slit-4i1i ls thill Identitication Including I1y*t* i"or :ra.e c.Spring K57295-33-0017 NX2780-0094- ACSA A6n.-7A

d. Bolting
e. Other prtas %ich am pilot Components Studs (Bonnet) N90913 ASME SA193 Gr._17 Nuts (Bonnet) N90914 ASME SA194 Gr. 211 Studs (Inlet) 0 N90915 ASME SA193 Gr. B7

.-n C

. We certify that the statements made In this report are correct.

Date 5/12// l9 (F Signed Crosby Valve & GaaLe Co. Bv_ _

y- l . E - . _ . _

mtanuhacturer 0

Certificate of Authorization No. 1878 expirex Septenber 30, 1980 0

CERTIFICATE OF SHOP INSPECTION

1. the undersigned, holding a valid commission issued by the fttlonizl Board nf Bnioir Ari Prelsure Vessol Inspectors and the State or Province or ________-_ - and ernp.oe- 1-Factory Mutual Systems*, Norwood. Mass. I a e inspected the equipment described in this Data Repont on - 19.O U'Dd state that to the best of my knowledge and belief. the Manufactuwer han constr cled this i-",up-ment in accordance with the applicable Subsections or ASMF Sectinn 111.

'By signing this certificate, neither the Inspector nor his employer makes any warrtanty* 5-x.

pressed or implied. concerning the equipment described In this Data Report.Furthero;z aniciether the Inspector nor his employer shall be liable in any manner !or any plersonal Injury --r properir damage or a loss of any ki d arlsing from or connected witn this Inspectian.

Da2_1 / , Sft, I, 9 f1 C)

/&bld 22YX 1---tn-ip ctm) ommitislone 2 7

-National Board. State Province d \N. I

  • Arkwright-Boston Manufacturers Mutual Insurance Company - Mutual Boiler & Machinery Division.

Attachment I REPAIRIREPLACEMENT SYNOPSIS Sheet 1 of I DATE 01/18105, REV. 0 Repair [] Replacement Mi R/R No. 04-02-028 Suitability Evaluation Required EYes EaNo . *1-.EC No. 59454 (including failed items)

W/O No. 625527

1. SYSTEM NAME SW - Service Water NB No. 64 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Piping Tag No. AH-2 OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. N/A P.O. NoiCatalog ID. 51414498/51417244 Year Built N/A Code Stamp Year Built N/A Code Stamp No Const. Code ASME III Edition 1974 Addenda W76 Const. Code ASME IlIl Edition
  • Addenda '

Code Class 2 Code Cases N/A Code Class 2 Code Cases N/A NB No. N/A NB No. N/A Manufacture Name N/A Manufacture Name Dubose National Manufacture Serial No. N/A Manufacture Serial No. N/A

3. DESCRIPTIONOFWORKWelded2' pipe cap on Air HandlerAH-2. The pipe Is SA106 GR B. ASME IlIl Class2 (PO#

8N5485. HT# 454874). The cap is SA105. ASME Ill Class 2 (PO# 9C0854 HT# 04P). The replacement part meets or exceeds the original code and design spec requirements. Therefore, suitable for replacement.

4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT - Mag. Part. Complete El ISI E Supports 0 E PT - Penetrant Complete El IST El ILRT/LLRT El

[I RT - Radiography Complete [I FAC El Other I UT - Ultrasonics Complete El Check Valve El 0 VT-2 Visual Complete 0

6. SYSTEM PRESSURE TEST REQUIREMENT 0 Leakage Nominal Operating Pressure 0 Yes [I No El Functional - Elevated Pressure N/A psi E Inservice Test Temperature N/A OF E Hydrostatic E Pneumatic. Applic. Code Ref. (or Code Case) N416-2
7. ANIMANII Review 10/19/04 Pre Work Start 10/27/04 Work Complete 11/06/04
8. NIS-2 Prepared 01/18/05 ANI/ANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted In accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WOK 625527 R/R# 04-02-028 ASME Xl, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Progress Energy - Date 01/18/05 Name.-.

P.O. Box 1551. Raleigh. N.C. 27602-1551 - Sheet 1 of 2 -

Address

2. Plant Shearon Harris Nuclear Power Plant- '- -- - Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO4 625527 and EC# 59454 Address Repair Organization P.O. No., Job No., etc.

'3. Work Performed By Progress Energy - . X-2 '! ' Type Code Symbol Stamp N/A 5413 Shearon Harris Rd.; New Hill. N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A

4. Identification of System SW - Service Water -

5 (a) Applicable Construction Code ASME Section III 1974 Edition. Winter'76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xi Utilized for Repairs or Replacements 1989 ,Addenda N/A

6. Identification of Components Repaired or Replaced and Replacement Components' Nam f o Nae ~' .Repaired, ASME Code Name of Nameof Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. . Board No. Identification Built Or Replacement (Yes or No)

Pipe Dubose National NWA - N/A PN 51414498 NIA Replacement No PO#8N5485

______________ ~HT# 454874 _ _ _ _ _ _

Cap Dubose National N/A ' N/A PN 51417244 N/A Replacement.: No PO# 9C08547

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _H T # 04P ; _ _ _ _ _ _ _ _ _

7. Description of Work: Modified Air Handler AH 2 by welding a 2 pipe ap.
8. Tests Conducted: Hydrostatic El Pneumatic E] Nominal Operation Pressure El Other E Pressure __................psi Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 811/2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 2 WO# 625527 R/R# 04-02-028 ASME Xi, CLASS 2 FORM NIS-2 (Back) '-

9. Remarks VT-2 performed in accordance with Code Case N-416-2.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xi.

Type Code Symbol Stamp N/A Certificat Authorization o. N/A Expiration ate N/A Signed de od ee X !t Equipment Performance Supervisor Date ) 0 Our or Ofer's Desgnes 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford, Connecticut have in pected the components described in this Owner's Report during the period of I/A/47/ V to / / . and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

,- ?.Commissions NC 1507. ABIN NS Inspect s Signature National Board, State, Province, and Endorsements Date // 05-(12/82)

Attachment I REPAIR/REPLACEMENT SYNOPSIS Sheet I of I DATE 01107105, REV. 0 Repair a Replacement .l R/R No. 04-02-049 Suitability Evaluation Required aYes D No EC No. N/A (including failed items)

W/O No. 631507

1. SYSTEM NAME AF - Auxiliary Feedwater NB No. 49 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. AF-H-318 OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. 73286296 P.O. NoJCatalog ID. 73286296 Year Built N/A Code Stamp No Year Built N/A Code Stamp No Const. Code ASME IlIl Edition 1974 Addenda W76 Const. Code ASME IlIl Edition
  • Addenda
  • Code Class Code Cases N/A Code Class Code Cases NIA NB No. N/A NB No. N/A Manufacture Name N/A Manufacture Name Coloc Industries Manufacture Serial No. N/A Manufacture Serial No. N/A
3. DESCRIPTION OFWORK Replaced coloc nut and cap screw on hanger AF-H-318. Coloc nut is ASTM A194 Gr. 2H.

PO# 1029144. Can Screw is ASME SA193 B7. PO# 78055 and 254048. 'The replacement part meets or exceeds the original code and design spec requirements. Therefore. suitable for replacement.

4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT - Mag. Part. Complete El ISI D Supports El 0 PT - Penetrant Complete al IST El ILRT/LLRT El D RT - Radiography Complete El FAC El Other D UT - Ultrasonics Complete al Check Valve El 0 VT-3 Visual Complete 03
6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure El Yes El No El Functional Elevated Pressure N/A psi E Inservice Test Temperature N/A OF El Hydrostatic El Pneumatic - Applic. Code Ref. (or Code Case) N/A -
7. ANI/ANII Review 11/03/04 Pre Work Start 11/03/04 Work Complete 11/05/04
8. NIS-2 Prepared 01/17/05 ANI/ANII 01/25/05 In Package 01/26/05 k< Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 631507 R/R# 04-02-049 ASME Xl, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Progress Energy m:  : Date 01/17/05 Name I -- -

P.O. Box 1551. Raleiah. N.C. 27602-1551- -Sheet 1 of 2 Address Ui .1

2. Plant Shearon Harris Nuclear Power Plant Unit 1-Name 5413 Shearon Harris Rd.. New Hill. N.C. 27562-0165 WO# 631507 Address - . -.. Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy ' ' ' '; -Type Code Symbol Stamp N/A Name , .,

5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A

44. Identification of System AF -'Auxiliary Feedwater--

5 (a) Applicable Construction Code ASME Section III 1974 Edition, Winter'76 Addenda See N1 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1989 .'Addenda NIA

6. Identification of Components Repaired or Replaced and Replacement Comporients '

Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced. Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No)

Coloc Nut Coloc Industries N/A N/A PN 73286296 N/A Replaced No

. AF-H.318 ._. _; _-:

Coloc Nut Coloc industries N/A . ,:N/A

,  ;. PN 73286296 N/A
. Replacement No AF-H.318

.__ i .__ .. , .. PO# 1029144 .. ., .

Cap Screw NA .A N/A A *. AF41-318 N/A Replaced No Cap Screw Nova Mactrne N/A N/A PN 72740715 N/A Replacement No

_ _ _ ___ '_.'_._.,____-__ I .' . HTR CR200220 .._._,_,  :

Cap Screw Texas Bolt N/A N/A PN 72740731 N/A Replacement No

7. Description of Work: Replaced coloc nut and cap screw on hanger AF-H-318.
8. Tests Conducted: Hydrostatic El Pneumatic E Nominal Operation Pressure 0 Other E Pressure _____psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2/in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 2 WO# 631507 R/R# 04-02-049 ASME Xl, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after coloc nut and cap screw replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code,Section XI.

Type Code Symbol Stamp N/A Certific44of Authorization o. N/A Expiration Qate NIA Signed nd V t~2-~ Of Equipment Performance Sugervisor Date / LS Owner or Design,4,dTrte

'ne's 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford. Connecticut have inspected the components described in this Owner's Report during the period of 41y I Iid to A and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xi.

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

_ _ _ _ _ __0 _________ Commissions NC 1507. ABIN NS Lispectort Signature National Board. State. Province, and Endorsements Date /./X!

(12/82)

i-- I

,f.I ,t 1 ' Attachment I REPAIR/REPLACEMENT SYNOPSIS Sheet I of I DATE 01/21/05, REV. 0 Repair 03 Replacement 0 R/R No. 04-02-040 Suitability Evaluation Required ELYes 2 No -, ,.>-EC No. 59606 (including failed items)

W/O No. 635706

1. SYSTEM NAME FW - Feedwater NB No. 54 CONSTRUCTIONCODEASMESectionill Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Valve Tag No. 1FW-217 OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. NY435193. P.O. NoiCatalog ID. N/A Year Built 1980 Code Stamp Yes Year Built N/A Code Stamp Const. Code ASME Ill Edition 1974 Addenda.W76 Const. Code ASME IlIl Edition N/A Addenda N/A Code Class 2 Code Cases None Code Class Code Cases NIA NB No. 2284 { -NB No. N/A Manufacture Name Borg-Warner Manufacture Name N/A Manufacture Serial No. 58826 Manufacture Serial No. N/A
3. DESCRIPTION OF WORK Welded new seat ring to valve body. All welding performed under HNP welding procedures and ASME Code requirements. Therefore, suitable for repair.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED E MT - Mag. Part. Complete El ISI [l Supports El El PT - Penetrant Complete El IST El ILRT/LLRT D

[] RT - Radiography Complete El FAC El Other E UT - Ultrasonics Complete El Check Valve El EVT- Visual Complete .[

6. SYSTEM PRESSURE TEST REQUIREMENT E] Leakage Nominal Operating Pressure El Yes 0 No

..,.r El Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF El Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A

7. ANI/ANII Review 11/09/04 PreWorkStart 11/16/04 Work Complete 01/20/05
8. NIS-2 Prepared 01/21/05 ANI/ANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, It is a completed OA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WOM 635706 R/R# 04-02-040 ASME Xl, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl

1. Owner Progress Energy Date 01/21/05 -

- - Name P.O. Box 1551. Raleiah. N.C. 27602-1551 Sheet 1 of 4 Address

2. -Plant Shearon Harris Nuclear Power Plant -- -- - Unit 1 Name 5413 Shearon Harris Rd.,-New Hill, N.C.'27562-0165 WO# 635706 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy . *

' . -. Type Code Symbol Stamp N/A Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A

4. Identification of System FW - Feedwater .-- .-. -. .. ..

5 (a) Applicable Construction Code ASME Section III1974 Edition. Winter '76 Addenda, See Ni Code Case (b) Applicable Edition of Section Xl Utilized for'Repairs or Replacements 1989 ,Addenda NIA

6. Identification of Components Repaired or Replaced and Replacement Components
-. . ,Repaired. ASME Code Name of Name of Manufacturer.National Other Year Replaced, Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No)

Valve Borg-Warner 5-58826 2284.. 1FWV217 .1980 Repaired Yes,

.________ _ .__. _. _ - _. _. __._. PO# NY435193 -

. . a ... . . .-. . - .

7. Description of Work: Welded new seat ring to valve body. . .
8. Tests Conducted: Hydrostatic El Pneumatic[]l Nominal Operation Pressure El Other[ Pressure'_:. __.'psi

' Test Temp. .

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 8 in.X 11 in., (2) information In items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WO# 635706 R/R# 04-02-040 ASME Xl, CLASS 2 FORM NIS-2 (Back)

9. Remarks Applicable Manufacturers Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certifica of Authorization N .NA Expiration ate N/A Sige i (g4 a uip uimenl Performance Sup~ervisor Date /;/<

r or sner s esigne, 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford. Connecticut have inspected the components described in this Owner's Report during the period of /91I f to _______ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

G 0. Go7>Commissions

- NC 1507. ABIN NS Insp7tor's Signature National Board, State, Province, and Endorsements Dn /

(12/82)

_.auOK O F i 7 8:

FORM ~NP1 N CERiRCATE HOLDERS# DATA RE;'QRT FORt NUCLEAR PUMPS OR VALVES.

As R;equird by the Provisions of the ASAE Code. Sction I1,Dlv. 1 ie I 1. Manufactured by Nuclear Valve Div./Borg Warner, 7500 Tyrone Avo., Yan Nuys, CA 91409

2. M:nuf6tureK fr(t

-EbSBA'l (Nameand adresstfNuertflcatefotderi Carolina Power & Light Co./ -

Q le- P 0 1ex 101 iewai11. . 27597 1N4me srn Address of Purtichasr Or Ok l - - - - Cu N

3. Locition tinstalation S_1egron aRrris Nuclear Plnnts. New Hill, Wake County, NC -

IName and AdressIl

4. Pump'or Valve . --. Nominal 1 (ine Outlet Sze

- -- (inch)liu (a!Model No.. (b) N Certificate Holder's (c) Canadian ,.-

Series No. Serial Registration .- -Id) Oreing - II) Nat'l.- I Year orTp. No.Tp No. . - No. let Class - d. No. Built

--_ 921# 58826 - N/A --- 435QBB5-001 -2 '2284 1980 (2)

(4) -

(7)

(9)

(101 The valves are designed to handle a fluid -media-which includes steam,'water 5 ernriensate borated water, etc., associated with-a PWR and BWR.-- The - -' ' -

(Bnef des~nfIOtJn Of SOMCV¶for whidh su'nmeM~ we, c.amgn~d

6. Design Conditions 2000 450 f ;or Valve Pressure Class 11)

(Prvs ITemersturel

7. Cold Working Pressure psi at 100 -.

EL Pressure Retaining Pieces

-- - f....... ,

Mark No. Mateial Sp.c. Y No. Manufacturer I Remarks

.. I ... . . - . - - - I" -- '

ga) Castings --

Body-Code 4D01 .

CA-311C WM

... ..... - -. 1 Vnrc4-f ic l- a

. . I. I n---- *-rA. Arlan SA91fi WCR - - iD_Vn4 .P4 ,-f.~ .1I. I

.1. L__

______ I______ _____.___

.I. . I -

Gate-Code 4D03 SA216 iVCB ,L--- Pacifijc-,etalsq -

. ...I... _ I.. _ .. . . .......

. o . -

I ~_.. . -- -. . .. . - .1 .. . --

.: . . I. - i

- --- f-___ ____ __ ______ ________

bIbForgings , .-.- ..

Retainer-Code 4D07 SA 105 Compton Forge

_ _ __ _ _ _ I '. .1, ..- I _ _ _ _ _ _ _ . . i, ..

I I____

. . I -_

I

_ _I_-_

.j:

.. , .j .. I*

1 .,

II

_I_.-_

_I s

_ _ _ _ _ .1 .. I_ _ _ _

I i I _ _ _ _ _ _

________________I____I____________I____________-____ r, ____________________________I I1.-II II

'I III $Cnr mannnAi~u eiarifed valves 40n~v.-

Sumolemental sheets in form of lists sketches or dravwngs may be used provided (1l size is 8.1l2 1t1. 121information in items 1. 2 and* 5 on this Data Report is included on each sheeT. and t3) each sheet is numbered and number of sh is recorded at top of this form. _ - --

(Ifon1 i ~n f l_ n _;i 7

_o

.EO ma r e ,e fo Thisform(EO0037)mwboobuinedfroc"t"Ofoof-Oom..ASME.346E.47thSt..N*wYork.N.Y.

~ _oa e . A_1,r_et_ ,E_4_ _7t St . N w . NY 0 10017

1. . ;;_ I. . . I.

__ _ _ -- - r7 -. ,- -. 7- - . -- -

. . . . s.. - .

Anj%# 0 F 17 8 FO1M NFV1 19.01, 5 hi 0--b*

Mark No. j Material Spoc. No. j Manufacturer Remnarts I

I I id) Other Pont N/A __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

9. Hydrtitrtle en 34 25 'ps Oisic Oifferantial t prssure 1700 03; CEHIMIFICATE OF COMPUANCE We certify that the statements made in this report are correct and that this pump. or valve, conforms to the rules of construction of the ASME Code for Nucleur Power Plant Components. Sectinar . D' y. Edin 1974 Addenda WVinter 1976 . Code Cae No.t 7 Signed Nucl ar Valve Divlsion/Borg Warner (NCartticrl. Holder? N-1254l tolau -srt xie 8 Our ASME Certificate of Authorization No. the / 10-27 (M) tO}i CERTRFCATION OF DESKIN Design information on file at Ntucear V3lye Dv-. /Bore Warner, 7500 T7vrpre. Vrn Vuvy. CA Stress analysis report (Class I onlyl on file at N/A Design specifications certified by t1 RalpDh a. Giorcio PE State N. Carolina Reg. No. 8330 Stres analysis certified by (1 V/A PE State X/A - Peg. No. X/A 11)Signature not recuired. List name only.

CERT-CATE OF SHOP INSPECTION

i. the undersigned. holding a valid commission issued by the National Board of Boiler and Presure Vessel Inspectors 1

and the State or Province of Californtia and employed by ibernen s Mutual Casualt of Long Grove, Illinois have inspected the Dump. or valve. described n this Data Report on 9 AR 19 YO andstatethattothebesgtofmyknowledgeendbelief theNCertificateHolderhaxcon.

structed this pump. or valve, in accardance with the ASME Code. Section Ill.

By signing this certificate. neither the Inspector nor his emolover maker any warranty, exoressed or implied. concerning the ertuipment described n tnis Data Report. Furthermore. neither the Inscector nor hi emrlover shall be liable in any manner for any oersonal injury or property damege or a lose of any kind ansing from or connected with this insnectiorn.

ate - - 19 90. C s

_ __ _ _ _ _ _ _ _ _ _ _ _ _ Com missions - 7 ,te t'l i M3X

80. Slug ;t and NO.

/ ' (lroSOVA (Nat'l Ba. Stint. Pl*ov and oI T

Attachment I REPAIRIREPLACEMENT SYNOPSIS Sheet I of I DATE 01/21/05, REV. 0 Repair 0 Replacement r] R/R No. 04-02-042 Suitability Evaluation Required ZLYes ELNo EC No. 59606 (including failed Items)

W/O No. 636475

1. SYSTEM NAME FW - Feedwater NB No. 54 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Valve Tag No. 1FW-159 OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. NY435193 P.O. NoJCatalog ID. N/A Year Built 1980 Code Stamp Yes Year Built N/A Code Stamp Const. Code ASME IlIl Edition 1974 Addenda.W76 Const. Code ASME iIl Edition NIA Addenda NIA Code Class 2 Code Cases None Code Class Code Cases N1A NB No. 2296 NB No. N/A Manufacture Name Borg-Wamer Manufacture Name N/A Manufacture Serial No. 58828 Manufacture Serial No. N/A
3. DESCRIPTION OF WORK Welded new seat ring to valve body. All welding performed under HNP welding procedures and ASME Code requirements. Therefore, suitable for repair.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED al MT - Mag. Part. Complete El ISI E Supports El El PT - Penetrant Complete El IST El ILRT/LLRT E El RT- Radiography Complete El FACEl Other El UT - Ultrasonics Complete ] Check Valve El El VT- Visual Complete D
6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure El Yes El No E Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF El Hydrostatic D Pneumatic Applic. Code Ref. (or Code Case) NIA 7.ANIIANII Review 11/10/04 PreWorkStart 11/10/04 Work Complete 01/19/05
8. NIS-2 Prepared 01/21/05 ANIZANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WOlf 636475 R/R# 04-02-042 ASME Xi, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl

1. Owner Progress Energy Date 01/21/05 Names P.O. Box 1551. Raleigh. N.C. 27602-1551 Sheet 1 of 4 Address
2. Plant Shearon Harris Nuclear Power Plant.- Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 - WOlt 636475- - -

Address Repair Organization P.O. No., Job No., etc.

3. Work Performed By Progress Energy . > Type Code Symbol Stamp N/A' Name

- 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A

4. Identification of System FW - Feedwater  :

5 (a)Applicable Construction Code ASME Section III 1974 Edition. Winter '76 Addenda, See N1 Code Case (b)Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 - ,Addenda NIA -'

6. Identification of Components Repaired or Replaced and Replacement Components

- "..~. .Repaired, ASME Code Name of Name of Manufacturer- Nationa Other Year Replaced, Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No)

Valve  ; Borg-warner - 58828 2296 IFW-159 .. 1980 Repaired Yes

. _.PO# _ NY435193 -___'-_ ._

7. Description of Work: Welded new seat ring to valve body.
8. Tests Conducted: Hydrostatic 0] Pneumatic E] Nominal Operation Pressure El Other, , :.Pressure ___. ' psi Test Temp.  ; __.:

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 82 in. X 11 in., (2) information in iems 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WO# 636475 R/R# 04-02-042 ASME XI, CLASS 2 FORM NIS-2 (Back)

9. Remarks Applicable Manufacturer's Data Reports to be attached.

NI - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certificat" Authorization N/A Expiration Date N/A Signed I9 !e~auirment Owner or,,0ee's Designe~e, fiM9e)

Performance Supervisor Date 12 I/O,;

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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford. Connecticut have inspected the components described in this Owner's Report during the period of _.111 iiiiiiii to At,///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 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 r connected with this inspection.

Commissions NC 1507. ABIN NS V ' spects Signature National Board, State, Province, and Endorsements Date a r (12/82)

'BOOK#r OF4 3 5 FORM NPV.1 N CERTFCATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VA.LVES!

As Rquired by the Provislons of the ASME Code. Section IPl, Div. 1 I I-  ;>,4-f

1. Manufactured b.tJclear Valve Div./Borg Warner, 7500 Tyrrone Ave., 'Van Nzys, CA - 91409

.I Nl"4."ZndAO0rvss OrN CortiftIcate "aloof)t Carolina Power, &-Ligt.-CO./

2. Manufaictured for Ehue Sou4rle.c P PT-,rr 1Vol 7OW ;411 NC 2Z7"F;Z

- ie nd 'aress- -. .r 9itI . _ , I

3. Location of Instahllaton Shearon H~arris Nuclear Plants, New Hill, W-ake Cotmtv. NC
4. Puma of Valve Gate - - Nominflet S -ze 16 -Cutlet S;ze

, _ _ - .-. .... . __ . lincil - . - n!

(a) Model No.. (b) N Certificate Holder's Icl Canadian Series No. Srial -Registration - Id)

I- OrawIng .- ( Natl. Jg) Year or Typ -- o. - -- No. - No. - el Calus Sd. No. Built 921#^ . . 58828 - .. N/A -- 435QBB5-O0^ 2 2296 1 80 (2) ' --

(3)

14) -

(5)I (a)

(7)

Is) -

(9)

(10)

The valves-are designed to handle-a -fluid-.media which includes stea3, water.-

- condensate. borated -eter. etc.. associnted with a MR and BWR. The _

trief ocneotnom of serv or wfwor ehuaprneut wen -as cdsne trmner-tur& oressure rntins oi the--mediaiAs stated below. -

Oesagn Conditions 2000 Dsu 450 F or Valve Fresiure C asz N/A -

;p rat _

051 I'aTeofrtur t.i orVale Pessre

7. Cold Working Pressure N/A sa t t F -.

Pressure Retaining Pieces T . ..

Mark No. Mtetil Spec. No. Manufacurer - Remarf-(a) Castings i _

Bod y -Code 4D01 I SA216 WVCB Pacific Mfetals - --

~~~ .. *,,

_:._ r._ .

Bonn pt-Code

. i 4C99 SA216 WCB Paci.1

____ . - - - - i . .

Gate-Code--4D03- - I- A216 WYCB -----

_1Pacifi1 C .Metals .. . -. .


I.-I -..-.-.-..

,.I--.....

-I I .-

ibI Forgings

.-I-.-

. ~ I. .

I

. .I..

- ....- . Compton Forgc -. --*.

nrontirier-Code gW W_ A .. ^

4DX)7 SA '105 i Compton Forge -,

_______________ I ____________________________

..:..i.i1i71?'  !.a, I. . .

1% *

  • -17,.

Agm\

W \ (1) For manusily operated vaiv onl I  ? Sutiotemental sheets in form of lists. sketches or drawtngs may bol usad provided (t) size is 8.1(2 x 11t 12) informaton in arms 1. 2 and 5 on this Oata Report is included on each sheet and (33eacha sheet is ntumbtred and number of iheetr recorded at top of this form. - -

71 . ._ ......

TthI h Ifoa tEOOO7i Mty be robtained frome the Odr Det. ASME. 348 E. 47tti St.. N* York. N.Y. 10017 4/

I

- Thu I tvot( 6364-95 1 SC10K#0 F435 MAort No. Ahsarrill Somc. No. MauatrrRemrnars4 (cl Cftvn;i N/A _ _ _ _ _ _ _ _ _ _

id) Other Porto .'

52 5 3.4drftl 1700

9. Hydostarle:

tert M. DtChiioitfayertiM ris Drwaurw ~

CERTIFICATE OF COMPUANCE Wer Certify th~at Irhe statemlents msde in tnis re~rOl are corrircr arid that tlhia muno. or je.conkirms to theo rules of construction of thuo ASME Code for Nucleair Powmer Plant Compo.rrntsL Section III. . Edition 1974 Addends Wite 1976 .Code Cie* No.

S;grnd 2holenr Vlve Div-15ion/BorM Warnler ..

Cut ASME Certificate of Atithonzotion No. __1_4_o___th________~p.ra Design information on file at Stresa Inalvarsi fegrt (C:asV I onlty? on 610 e Doeaign voecifloAtions cartifiredO (1 xCl~s CERTIRCATION OF OF-SIGN V-1I:7S" Dtlv t!S0rr2 WSn1 e -

Ra3oh j.

-A Gircrio 7500 r ynvni Iu PESaeN. Carolina Ftq o 8330 Strves analysis Cornfield by (1I N1 (1i Signature not reoulnrcd. List naimoe onty.

CERIIFICATE OF SHOP INSPECT1ON

1. the undersigned. holding a valid commission isued by the National Bcoar of Boiler and P-ssuro Vessel Intcnaton ard the State or Province of Callfornia 1and merDolyed -by1:b0Mornos 'tututil Casxttalt Ot LonK Grov". Illinois have nso4cted the oumo. or valve. Jescnbod n this Oats Report on

// ____19_______d state triat to the bestt omy knowledge and tetief.t:he N Carnflcsta Holder hIecon.

nnructed thils Dumo. or valve. .n rrccordance w th the ASME Coda. Secton Ill.

BV signing this cartificait. neither the Instecior nor his vmrolyer mnakesii any warranty. expressed or -mlied. COncenning the equipment doeicnbed in this Oneto Fezrt'.'erew. neither tht !nscector nor hiasomotover Sh.Jil te liable in any manner for any oersonal njuiy or :rtcer-y damaqe orJ !Cs' Of 3ny kind ansing from or connecteo _.i.  :

ttr Oars1 / < fl //1 < ~Comrnmistsons 5p1G< 8 _S P r tn fireeaw -I-- burls. P-Ov. Ar4 NO.)

Attachment 1 REPAIR/REPLACEMENT SYNOPSIS Sheet 1 of I DATE 01/21/05, REV. 0 Repair A Replacement l R/R No. 04-02-045 Suitability Evaluation Required ZYes aI.No EC No. 59606 (including failed items)

W/O No. 636476

1. SYSTEM NAME FW - Feedwater NB No. 54 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Valve Tag No. 1FW-277 OLD COMPONENT NEW COMPONENT P.O. NoiCatalog ID. NY435193 '.O. NoiCatalog ID. N/A Year Built 1980 Code Stamp Yes (ear Built N/A Code Stamp Const. Code ASME IlIl Edition 1974 AddendaW76 Caonst. Code ASME IlIl Edition N/A Addenda N/A Code Class 2 Code Cases None Code Class Code Cases N!A NB No. 2282 QB No. N/A Manufacture Name Borg-Warner Manufacture Name N/A Manufacture Serial No. 58827 Aanufacture Serial No. N/A
3. DESCRIPTION OFWORK Welded new seat ring to valve body. All welding performed under HNP welding procedures and ASME Code requirements. Therefore, suitable for repair.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT - Mag. Part. Complete El ISI El Supports al Ea PT - Penetrant Complete El IST El ILRT/LLRT El El RT - Radiography Complete El FAC El Other_

El UT - Ultrasonics Complete El Check Valve E El VT- Visual Complete _

6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure El Yes E No El Functional Elevated Pressure N/A psi Ea Inservice Test Temperature N/A OF El Hydrostatic E Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANI/ANII Review 11/10/04 Pre Work Start 11/10/04 Work Complete 12/14/04
8. NIS-2 Prepared 01/21/05 ANI/ANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 636476 R/R# 04-02-045 ASME Xl. CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by thie Provisions of the ASME Code Section Xi

1. Owner Progress Energy Date 01/21/05 Name . ;..-:

r% rf% r9... 4DAY 4 l%.I!--L RI f' -- - - " -

- r.u. box I UZI1. rnalelqn.1~. r- 1D4-13 9 x Am4

-0 Sheet 1 of 4 Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WOf 636476 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy Type Code Symbol Stamp N/A Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A
4. Identification of System FW - Feedwater -

5 (a) Applicable Construction Code ASME Section III 1974 Edition, Winter'76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 , Addenda N/A 6.' Identification of Components Repaired or Replaced and Replacement Components Repaired. ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. - Board No. Identification Built Or Replacement (Yes or No)

VaWve Borg-Warner S8827 2282 1FW-277 1980 Repaired Yes

.____..-..____ _._ PO# NY435193

. . . ' ' '" .4 ' . . .'

7. Description of Work: Welded new seat ring to valve body.
8. Tests Conducted: Hydrostatic El Pneumatic ED Nominal Operation Pressure E Other [] Pressure __psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WO# 636476 R/R# 04-02-045 ASME XI, CLASS 2 FORM NIS-2 (Back)

9. Remarks Applicable Manufacturer's Data Reports to be attached.

NI - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the repair or replacement ASME Code,Section XI.

Type Code Symbol Stamp N/A CertificaterQIAuthorization Ng, N/A N/A Expiration pate N/A Signed A_ -/t . ' Eauipment Performance Supervisor Date 2-I 5 Owner orner's Designee ie CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford Connecticut have ipspected the components described in this Owner's Report during the period of L ZiI i 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.

_____ 2- Commissions NC 1507, ABIN NS I- luspectpf%signature National Board, State, Province, and Endorsements (12/82)

-~~ -6361;z77t

-ed" 5 -'# . BOOK0F2'44 4 FORM NPV-1 N CERTfFtCATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES9*

As Require;d by the Provisions of the ASME Code, Section 1II. Dlv. 1

~1.M¶UtaCtUred by uclear-Valve Div./Borg-Warner, 7500 Tyrone Ave., Van.Nuys, CA 91409

- N e and Adoressoft t Cenrflcate Holder) Carolina Power & Light -Co./

__411) 2. Menufactured for 7hcero Sar 1 0 P

amenssd AdaOrt of Purenfw or ownerl P.-t 101 NAW rlil NC 27562 I Location of Installation Shenron Hntris Nuclear Plants, New Hill. -Wake County, NC itimn* an Adr*o "

4. Pumo or Valve Gate . Nominal Inlet S;ze 16 Outlet Size 16 (inch) loncni (a) Model No.. Mb)N CertIficate Holder's- (cl Canadian - - - -- -

Series No. Serial .-- Registration - - Id) Orawing - - - -li Natl. - (g) Year or Type - - - No. - - No. -- - - -- - - -- No. - - -lel Class - - 8d. No. - Built 0II 921# 58827 N/A 4350BT5-:0. 2 2282

  • 12) 131 I_"

(7)

!a).

19)

(10)

The Valves are designed to handle .a fluid media which includes steam, water

5. condensate. borated water. etc.. associated with a PWR and BYR. The len t cecrition of s$rA" toe wni,. ecusomemt wi Cbstnedi - . -

-- rmerttu-- tressure ratinz of the-nmedia is'stated below.

6. Design Conditions 2000 osi 50 f or Valve Pressure Casa. N/A
7. Cold Worting Pressure Pati tI- (1F Pressure Rttaining Pieces Mart No. l Mattnal Soec. No. - --- Manufacturer Remarks 0 * (SI Castings Bodv-Code 4D01 SA216 '%CB' .' - PnecifIC Met Bonnet-Code 4C99 ISA236 WCB .-- "I Ptcific-Metrils Gate-Code 4DW3 SA216 WVCB. - - I Paciftc %etals.- -- -

- - . - I - Ir I _ _ _ _ _ _ __ _ _ _ _ _ _ I I I _________________________ I blForgings Comaton Frn-ti"e n-+4---- -<4- Ao 4`17 cs in . 1-1 . . I L II Cnrnntnn Fnrrp VA; 6" _- .

I__ _ _

I_ _ _ _ I .- .. . I _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

I

  • i _

.. ffi ll --- - __1 Foei-O manuaiiy coerseuec vssewu urwy.;

Sucolemental sheets in form oi jsts. sketches or dt..n.:-., Fe us- "ned s1Isie is 8.212 x 11 1-I information in items 1. 2 and S on this ODta Reort is included on each sheet. and (3) each sheet is numbered and numter of shetws is recrded at too of this form. - - - -

IIU hts form IE0t 371 may tY besined t n*the Cror eot. ASME. 345 E. 47th St.. New Yorkc N.Y. lCC17 tioml

- z ^

.11-BOox#O F244 MAM N V-1 (eack4 Mark No. Matenel Soec. No. Manufactuer j Remarks (cl Saling . /A i I I I _ ._______________________

tId Other Parns N/A Ii 9.Hvlt~l -- Itpi. Dif, o "D.mw ,hi .p CEflF1CATE OF COMPUJANCLE

  • we certify :rtat the statements I made in this recart are correct and t that this ounria. or valve. conforms to the rules :f construjcoon of Mhe ASME Code for Nuclear POwerf Plant Co ts.f S .nlt I. s 1974
  • Addenda -Vinter 1976 .Code Cise No. 7 Os

-= Signed Nuclear ValVe Di,745ico/Borm Warner Our ASME Carmticae of Authorization No. ___ 54_____ use the symb~ol easiresio 6 COR1WCA11ON OF DESIGN Dessgn infcrmatton on file at Ni,,lpn'- V-11v7 :Dt'7. lq-o,~r 'V-I 7500 Van' ';1i7v3 (-~

Stress ansyivat reoort !Caas I onlv) on rite at It/A~

Cosin so~cificztions cartified ty (1) - PRa1nh J. Gicraic PS Stat,. N. carolinna Peq. No. 8330 Strssta analyia csrtfied by (1) N

= Sis N/AA P.eq. No. N/A il) s;gnature not reouired. 1Ust name only.

1. the undersigned. holding a valid commission issued wy the National Board ef Boiler and Pressure Vessed insmectori and the Stuate or Province f C311!ornl+/-3 and emoloyed bvYDAbez--en s .MUtt31 CaSu31t i

of Txh Grave. Illinois heve insoected the pumo. or valve. descnbed *n tnts Date Reoort on

'-/S 4 O .. nd st etethattc the OestotmY knowledge and belief. the N Carnfictat Holdera- con-strueted Mis oumV. or valve. ,n accordance -ith the ASME Code. Section Ill.

ay signing thi certificate. neitner the Insoector nor ,is emoloyer makes any warranty. exaressed -r molied. concerning the eCuioment detccibed in this Oats Recort. t jrthrrnioe. neithe-r te Intoetor nor his "roiover sneal :>e !iatbtl .n any i nanner *tr any  ::nr-:

Mec or prooerry damage or a loss of any kind arising from or connected this insoect:on cnih l__________________________ _ oCommissions / Nari . Si. P6G' a .

Datline Nf Ya_ Sla. PI . *na N.1

Attachment 1 REPAIRIREPLACEMENT SYNOPSIS Sheet I of 1 DATE 11/11/04, REV. 0 Repair [I Replacement 12 R/R No. 04-02-001 Suitability Evaluation Required ELYes l No EC No. 59441 (including failed items)

WIO No. 208776-07

1. SYSTEM NAME Si - Safety Iniection NB No. 46 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Valve Tag No.1 SI-327 OLD COMPONENT NEW COMPONENT P.O. NoiCatalog ID. 9220104635 P.O. NoJCatalog ID. 9220104635 Year Built NA Code Stamp Yes Year Built NA Code Stamp Yes Const. Code ASME Ill Edition 1974 Addenda S74 Const. Code ASME IlIl Edition 1974 Addenda S74 Code Class 1 Code Cases 1553-1/1649 Code Class 1 Code Cases 1553-111649 NB No. W22649 NB No. W23459 Manufacture Name Westinghouse Manufacture Name Westinghouse Manufacture Serial No. 10001GM95FEB02000S740002 Manufacture Serial No. 10001GW9500002000S740004
3. DESCRIPTION OF WORK Valve replaced due to repetitive packing leak. This is a like for like replacement. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED al MT - Mag. Part. Complete El ISI El Supports [

[] PT - Penetrant Complete El IST El ILRT/LLRT El Ea RT - Radiography Complete El FAC El Other El UT - Ultrasonics Complete El Check Valve El 0 VT-2 Visual Complete ED

6. SYSTEM PRESSURE TEST REQUIREMENT ED Leakage Nominal Operating Pressure El Yes ElNo El Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A DF E Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N-416-2
7. ANI/ANII Review 10/21/04 Pre Work Start 1 )/22/04 Work Complete 11/05/04
8. NIS-2 Prepared 11/11/04 ANI/ANIl< almeJog In Package _1j Ii 0I _

Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 208776-07 R/R# 04-02-001 ASME Xl, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl

1. Owner Carolina Power & Light Company Date 11/11/04
  • I- - - ---Name -  :

P R. ..h ..N ... . I P-O. Box 1551. Raleinh. N-.C. 27602-1551 Sheet 1 of 2 Address

. . . nit 1.. . . I

2. Plant.-ShearonHarrisNuclearPowerPlant -. v C_

Name

- -- - P.O.-Box 165:

New Hill:N.C. 27562-0165 -WO# _ . 208776-07

= --- -

Address Repair Organization P.O. No., Job No., etc.

3. Work Performed By Progress Energy, .. -.I - ..--

> -_ Type Code Symbol Stamp N/A Name

.* P.O. Box 165, New Hill, N.C. 27562-0165 ---a -  : Authorization No. N/A -

. Address Expiration Date N/A I-. -

4. Identification of System SI - Safety Iniection 5 (a) Applicable Construction Code ASME Section Il11974 Edition. Winter'76 Addenda, See Ni Code Case -

(b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1989 , Addenda N/A

6. Identification of Components Repaired or Replaced and Replacement Components .

' Ne e f o. . .. . _ .. .- . .. l. . Repaired. ASME Code Name of Name of -Manufacturer National Other,- Year Replaced, Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No)

Valve Westinghouse 1I?01GM95FEB02000S74OU W22649 PN 9220104635 1980 Replaced Yes

. '-.- _______. 02. ,.d
' ._. .1SI.327 I SI-=

Valve Westnghouse I 0O01 GW9500002000S7400 . W23459 PN 9220104635 1981 Replacement . .Yes

- -- 04  : ___ 1SI.327-

7. Description of Work: Valve replaced due to repetitive packing leak.
8. Tests Conducted: Hydrostatic El Pneumatic [] Nominal Operation Pressure Z Other El Pressure __ psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

El Sheet 2 of 2 WO# 208776-07 R/R# 04-02-001 ASME XI, CLASS 2 FORM NIS-2 (Back)

9. Remarks VT-2 performed in accordance with Code Case N-416-2.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorizatio to. N/A Expiration ate N/A Signed == Da tetess1 Owner o wner's Design . ile 6 ,

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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford Connecticut have inspected the components described in this Owner's Report during the period of ioiitt/oiii to e and state that to the best of my

. IzJI/

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.

C-( a Commissions NC 1507. ABIN NS n r's Signature National Board, State, Province, and Endorsements Data i/A/// _

(12/82)

F N IINAIR . DAT R T FOR

' NUCI.ER M K- F()R^ NPV-I MIAN'UFAC13tiJR1IS' l)A'l' REI'ORT FOlt \L( IT'.&R PUMPS Oil V9ALV'ES*

As Required by the Provlslins of the AS11E Code Rules I',' 1315C Westinghouse Electro-Mechanical Division S/O - lHOO9

1. Manufacturted by_ Cheswick Avenue. Cheswick. PA 15D2? -Order No.RE.,2311X3-ARa_.ARl (Name & Address of UMiufacturer)

Westinghouse Nuclear Equipment Division

2. Manufacrtured for Nucle cr ROL. 55_,EittSbmrM, PA -153n Order No. ,$46.-NCj1.613S-BN (Name and Address)

Carolina Power & Light Co.

  • . O ner -__ Bnma.enl KLrth nn.Lalin..
  • 1. I.ocation of Plant. ant:urnnn-Harrin sNo- ?n_ Rnns JNOrth (7nrnl inn S. I'ump or Valvc ,-nn. An'%ennc tI V t1- T n I nrn uon IurnaIIcI. I

.^rbrw ' J  : fI' ),'II U6 V dU_ 4

.I z (SAA of-;q" ip - Gate Valve Iai Drsing No. -0B,79D,7 . PPrepared by ------- O--us-et ELtti. Cu i I Ref. Drawing. 8378D54 I

.f (b.: National Board No. W.;459

6. Design Conditmons psi - F

-. The material, design, cosrtruction, and wotkrnanw. p cwnplics %th ASE :t C!:.U.34 .. -

Edition 1974 , Addenda late__ _______3-,_Case 74 1C i

Mark so. Material Spec. No. MUnutctuter

- . I Rernark.

II fa1 Castings I

_ _ _ _ .I __ __ _ _ __ _ _ _ _ _

___ _ __ Li_ v Y ~ ii

_ _ _ _ _ _ t _ _ .1 __

lb) Forxings I I y .u .Y taTnerQT UT Vrrwi _ I R7 ^U r _._7 2TZ , ",

-eonnet JfN 0366 . -F3 -ParroprgIV ti-I.t 6V_

Disc S/N 6315 -SA-82-CR -F Cal I1& Lu -aH,. Nu. 854 74S-I_____________________________ _____________________________________

I I

'Suppleenntatl *seets In form of liats, aketche. otrdrwings may be used provided (1) se [a 8S4' Ax 11' (2) information in Iterns, 1, 2. Sp and 5b on this dots report Is Included on each sheet, and (3) etch sheet io nurnbered and nwnber of aheete is rvcorded at top of this for.

FOR INFORMATON ONLY

0!:rI-. ..

Mrk Nto. ISAor.1 g~.4rer. rto. Manufftetivtr t, ) llvilt ing J_4ain-.langeStud.. SA 453.GR..GR660. PlaiolleMfgCo t.o._295353_

_ Main lanige-uts SA 194, GR6. - fWYitcoNiJclear.'_ -_ Ht.-N.949.47 Main FlaneStuds JSA 453 GR 660_ YitcoNuclear Ht. No.27133 h1J Ot)lter Parts

_ .... I , _ _

__ L

. ___ I.......... .. __1

_ _ ____ _-i.

F. c tes.

clrWati 12Q; ri.

P. Min.

Ih-viFn information on file at -W WesUnghouse. Electr.-Mecnani-cal--iiisio ---.

St

_ . . .inalysis report on file at west4nghouse- Electro-M4echanical-Qivisiza- -

cjgt Specifications certified by. -lenr*y-P. -Leonard-

  • -i). (I, Prof. En:. St-rc-.PA Rcg.e.No..239E

_N' analsi%report certified h

--- G,.PL-45c.No..23963E (I) Prof.bny

  • U. certify that the scatements made in this report are erarrvct.

J I~ 9 ...~ SpedWestinghouse Electro-i tDate A ut 18fF3 iSigned o.. 8epicrs. 4aI y t(2i.vI.io 3.t12--

C.If etitiiCaM of Authorization No._ 3 S expiresay1 l-CERTrIFICATE OF SIOP INSPECTION

,I the undersigned, ho:ding a valid commission iswed by the National Board i.f Boiler and Prrsure Vessel Inspectors and!or the State of Province of Pennsylvania anJ eniphlryed byLu3ermegs-.'4 uaLCasua .Co oty

.oner o- i have insp-cred the equipment described in this Data

.Rprort on ..... 1 A ° 1$ , and state that to the bvst oi my knowledge and belief, the Manufacturer nas oorstructed this eq VM fni'a tL'ncc With the applicable Subsections of ASME (.odc, Section 111.

11y signing this certificater neither the Inspector nor his employer makes any warranty, expressed or implied. concern-ing the equipmerst described in this Data Report. Furthermore, neither the Inspector nor his employer shall be liable in any marner for any personal injury or property damage or a loss of any kind arising from or connectzd w;ith this inspection.

I I

i te JUN I 9 tj8 I

I CF 'ry~iffeir" (Inspector)

_ rrtamisssons NB 4349 PA.1784 (National Board. Srtae. Province and No.)

I I

III l',int-e In U.S.A. t6/72) This Item (E37) Is obtain.ble from the ASME. 345 E. 47*h Si.. lie. York, N.Y. 10037 SOR INFORATIO LY

Attachment I REPAIR/REPLACEMENT SYNOPSIS Sheet I of 1 DATE 01/07/05, REV. 0 X Repair E ReplacementM RFR No. 04-02-048 Suitability Evaluation Required ELYes Q.No EC No. NIA (including failed items)

W/O Nto. 208776-16

1. SYSTEM NAME Si - Safety Iniection NB No. 46 CONSTRUCTION CODE ASME Section III Edition 1974 Addendla W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag l No. Sl-H-009 OLD COMPONENT NEW 00MPONENT P.O. NoiCatalog ID. 73286288 P.O. NoiCatalog ID. 73286' ;88 Year Built N/A Code Stamp No Year Built N/A Code Stamp No Const. Code ASME IlIl Edition 1974 Addenda W76 Const. Code ASME IlIl EEdition
  • Addenda' Code Class Code Cases NIA Code Class Code Cases NIA NB No. N/A NB No. N/A Manufacture Name NIA Manufacture Name Coloc Industries Manufacture Serial No. N/A Manufacture Serial No. N/A
3. DESCRIPTION OF WORK Replaced coloc nut on hanger Sl-H-009. Coloc nut is ASTM A194 Gr. 2H. PO# 1027796.

'The replacement part meets or exceeds the original code and design spec requirements. Therefore, suitable for replacement.

4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT - Mag. Part. Complete El ISI El Supports El E] PT - Penetrant Complete El IST a ILRT/LLRT El Dl RT - Radiography Complete El FAC El Other El UT - Ultrasonics Complete El Check Valve E

_ VT-3 Visual Complete _

6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure El Yes El No El Functional Elevated Pressure N/A psi El Inservice Test Temperature NWA OF El Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A 7.ANI/ANII Review 10/21/04 PreWorkStart 10/21/04 Work Complete 11/05/04
8. NIS-2 Prepared 01/17/05 ANI/ANII 01/24/05 In Package 01/26/05

`,-J Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 208776-16 R/R# 04-02-048 ASME Xl, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl

1. Owner Progress Energy .. ... . I .

Date 01/17/05 Name - :.-

- P.O. Box 1551. Raleigh. N.C. 27602-1551 Sheet 1 of 2 Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 208776-16 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy Type Code Symbol Stamp N/A Name .*.  :

5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A

4. Identification of System SI - Safety Iniection 5 (a) Applicable Construction Code ASME Section 1111974 Edition, Winter'76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 ,Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. - Board No. Identification Built Or Replacement (Yes or No)

Coloc Nut Coloc Industries N.A N/A PN 73286288 N/A Replaced No

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _S5 -H -00 9_ _ _ _ _ _

Coloc Nut Coloc Industries NANIA PN 73288288 N/A Replacement No

. ' . ..-., ,,,. P0# 1029144

7. Description of Work: Replaced coloc nut on hanger Sl-H-009.
8. Tests Conducted: Hydrostatic E] Pneumatic [] Nominal Operation Pressure E Other D] Pressure _--psi Test Temp. -'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81 2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 2 WO# 208776-16 RIR# 04-02-048 ASME XI, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after coloc nut replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificat Authorizationaio. N/A Expiration pate N/A Signed k ) e-14? / a *2Equigment tle Performance Supervisor Date I

loh7/o Ovier or fner's Desne ftwe V - S 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford Connecticut have inspected the components described in this Owner's Report during the period of _/D/ Z/ov to L/mJL , 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.

C7- Commissions NC 1507. ABIN NS tqfs Signature National Board, State, Province, and Endorsements Date h i (12/82)

Attachment I REPAIR/REPLACEMENT SYNOPSIS Sheet I of I DATE 01/07/05, REV. 0

,, Repair El Replacement 12 RIR No. 04-02-035 Suitability Evaluation Required aYes n No EC No. N/A (including failed items)

W/O No. 472742-03

1. SYSTEM NAME Si - Safety Iniection NB No. 46 CONSTRUCTION CODE ASME Section III _ Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. Sl-H-1185 OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. 73286262 P.O. NoiCatalog ID. 73286262 Year Built N/A Code Stamp No Year Built N/A Code Stamp No Const. Code ASME Ill Edition 1974 Addenda W76 Const. Code ASME IlIl Edition ' Addenda_*

Code Class Code Cases N/A Code Class Code Cases NIA NB No. N/A NB No. N/A Manufacture Name N/A Manufacture Name Coloc Industries Manufacture Serial No. N/A Manufacture Serial No. N/A

3. DESCRIPTION OF WORK ReDlaced coloc nut on hanger SI-H-1185. Coloc nut is ASTM A194 Gr. 2H. PO# 31809.
  • The replacement part meets or exceeds the original code and design spec requirements. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT - Mag. Part. Complete [I ISI 0 Supports E a PT - Penetrant Complete El IST 0 ILRT/LLRT El El RT - Radiography Complete a FAC El Other_

El UT - Ultrasonics Complete D] Check Valve El E VT-3 Visual Complete 0

6. SYSTEM PRESSURE TEST REQUIREMENT al Leakage Nominal Operating Pressure El Yes El No El Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF El Hydrostatic Cl Pneumatic Applic. Code Ref. (or Code Case) NIA
7. ANI/ANII Review 02/25/04 Pre Work Start - 02/25/04 Work Complete 03109104
8. NIS-2 Prepared 01/17/05 ANI/ANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 472742-03 R/R# 04-02-035 ASME Xi, CLASS 2 FORM NIS-2 OWNER'S REPORT, FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xi

1. Owner Prociress Eneray ...I- I - - - . Date 01/17/05 -I 2 Name P.O. Box 1551. Raleiah. N.C. 27602-1551 - Sheet 1 of 2 Address
2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd.. New Hill. N.C. 27562-0165 WO# 472742-03 Address ., ....-
  • Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy Type Code Symbol Stamp N/A Namer 5413 Shearon Harris Rd., New Hill. N.C. 27562-01 65 Authorization No. N/A Address Expiration Date N/A
4. Identification of System SI - Safety Iniection 5 (a) Applicable Construction Code ASME Section' II 1974 Edition, Winter '76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xi Utilized for Repairs or Replacements 1989 , Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components

. - .Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. . Board No. Identification Built Or Replacement (Yes or No)

Coloc Nut Coloc Industries N/A N/A PN 73286262 N/A Replaced No

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 51. H-1 I 8 5 _ _ _ _ _ _ _

Coloc Nut Coloc Industnes N/A NA PN 73286262 N/A Replacement No S.-1H-111185 PO# 31809

, .:.:r = . ,'-. = . =

7. Description of Work: Replaced coloc nut on hanger SI-H-i 185.
8. Tests Conducted: Hydrostatic El Pneumatic El, Nominal Operation Pressure El OtherE Pressure __.......psi Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2h in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 2 WO# 472742-03 R/R# 04-02-035 ASME XI, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after coloc nut replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code,Section XI.

Type Code Symbol Stamp N/A CertificatrLfuthorization1 N/A Expiration Qate N/A Signed \ Equipent Perforrnance suiervisor Date f/ZL27 Owneror - erPe'q n0 . Tne 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford. Connecticut have inspected the components described in this Owner's Report during the period of .. 5-v ovv to //____/O_ _ ._and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

t Q.

a Jinspere6r's signature Commissions NC 1507, ABIN NS National Board, State, Province, and Endorsements Date /tS/

(12/82)

Attachment I REPAIRIREPLACEMENT SYNOPSIS Sheet 1 of I DATE 01107/05, REV. 0 Repair D , Replacement l R/R No. 04-02-026 Suitability Evaluation Required ELYes ELNo EC No. N/A (including failed Items)

W/O No. 496154-C

1. SYSTEM NAME RH - Residual Heat Removal NB No.38 CONSTRUCTION CODE ASME Section III _Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Heat Exchanger Tag No. 1RH-HXA OLD COMPONENT NEW COMPONENT P.O. NoiCatalog ID. 72853112/51411031 P.O. NoJCatalog ID. 72853112\51411031 Year Built Unknown Code Stamp No Year Built Unknown Code Stamp No Const. Code N/A Edition N/A Addenda N/A Const. Code ASME ill Edition
  • Addenda
  • Code Class Code Cases N/A Code Class 2 Code Cases NI/A NB No. NB No. N/A Manufacture Name NIA Manufacture Name Nova Machine/Dubose National Manufacture Serial No. N/A Manufacture Serial No. N/A
3. DESCRIPTION OF WORK Replaced studs and nuts on RHR Hx 1RH-HXA. *Stud is ASME SA193 GR B7 (PO# 44522.

HT# AOO. 1974 Edition with W76 Addenda). Nut Is ASME SA1 94 GR 2H (PO# 188503, HT# VAS, 1986 Edition with no Addenda). The replacement parts meet or exceed the original code and design specification requirements.

Therefore, suitable for replacement.

4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED 5 MT - Mag. Part. Complete El lSI O Supports O 5 PT - Penetrant Complete [I IST 5 ILRT/LLRT El El RT - Radiography Complete El FAC 0 Other El UT - Ultrasonics Complete El Check Valve 5

_ VT- Visual Complete El

6. SYSTEM PRESSURE TEST REQUIREMENT

[ Leakage Nominal Operating Pressure El Yes 5 No 5 Functional Elevated Pressure N/A psi 5 Inservice Test Temperature N/A OF El Hydrostatic 5 Pneumatic Applic. Code Ref. (or Code Case) N/A

7. ANI/ANII Review 09/22/04 Pre Work Start 09/22/04 Work Complete 09/30/04
8. NIS-2 Prepared 01/17/05 ANI/ANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed OA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

- . .  : . . . I . . .

WOP 496154-04 R/R# 04-02-026 ASME Xi, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl

1. Owner Progress Energy Date 01/17/05 Name -

-P.O. Box 1551, Raleigh; N.C. 27602-1551 Sheet 1 of 2 Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 496154-04 Address ,I . . . ^ ,. - Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy ;; 'Th? i I Type Code Symbol Stamp N/A

. Name . ., -

5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A

4. Identification of System RH - Residual Heat Removal 5 (a) Applicable Construction Code ASME Section-1111974 Edition, Winter '76 Addenda, See Ni Code-Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1989 Addenda N/A
6. Identification of Components Repaired or Re'paed and Replacement Components

, . .1.. _ Repaired, ASME Code

Name of Name of Manufacturer National Other Year Replaced, Stamped Component . Manufacturer I Serial No. - Board No. Identification Built Or Replacement (Yes or No)

Stud NIA  ! N/A .I.N/A,, PN 72&53112 WtA . Replaced No . -

w I -- - .

Stud . Nova Machine N.A, NIA PN 72853112 N/A Replacement No

. PO# 44522

_ _ __ _ _ _ __ _ __ _ __ _ __ ___ _ _ _ _ _ _ _ _ _ _ _H T# A QOO_ _ _ _ _

Nut N/A N/A WNA PN 51411031 N/A Replaced No Nut Dubose National N/A NIA PN 51411031 N/A Replacement No PO# 188503

.__. HTI VAS - .

7. Description of Work: Replaced studs and nuts on' RHR Hx 1RH-HXA.
8. Tests Conducted: Hydrostatic El Pneumatic E] Nominal Operation Pressure El Other E] Pressure psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2h in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 2 WOJ 496154-04 R/R# 04-02-026 ASME XI, CLASS 2 FORM NIS-2 (Back)

9. Remarks Applicable Manufacturer's Data Reports to be attached.

NI - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certificate of Authorization . N/A Expiration ate N/A Signed g 4; Equipment Perfornance Supervisor Date / 17 5 Owner orPAwner's DebgIe.Tit) L/ I 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford. Connecticut have irjspqcted the components described in this Owner's Report during the period of _ 9lIhol I ii to //n /o5 , 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.

'Q 1Pi2;7 Commissions NC 1507, ABIN NS A Inspq tor's Signature National Board; State, Province, and Endorsements (12/82)

Attachment I REPAIRIREPLACEMENT SYNOPSIS Sheet I of I DATE 01/07/05, REV. 0 Repair [D Replacement n R/R No. 04-02-050 Suitability Evaluation Required ELYes D1 No EC No. N/A (including failed Items)

W/O No. 591194.0

1. SYSTEM NAME SP - Sampling NB No. 45 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Valve Tag No. 1SP-217 OLD COMPONENT NEW COMPONENT P.O. NoiCatalog ID. 73218422 P.O. Noioatalog ID. N/A Year Built N/A Code Stamp Yes Year Built N/A Code Stamp No Const. Code ASME Ill Edition 1974 Addenda W76 Const. Code N/A Edition N/A Addenda N/A Code Class Code Cases N/A Code Class Code Cases NIA NB No. N/A NB No. N/A Manufacture Name Target Rock Manufacture Name IN/A Manufacture Serial No. 203 Manufacture Serial INo. N/A
3. DESCRIPTION OF WORK Disassembled and reassembled 1 Target Rock valve by seal welding. All weldinq performed under HNP welding procedures and ASME Code requirements. Therefore. suitable for repair.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT - Mag. Part. Complete El ISI E Supports O

_] PT - Penetrant Complete El IST El ILRT/LLRT El

[I RT - Radiography Complete El FACEl Other_

El UT - Ultrasonics Complete El Check Valve El El VT- Visual Complete El

6. SYSTEM PRESSURE TEST REQUIREMENT

[: Leakage Nominal Operating Pressure El Yes El No El Functional Elevated Pressure N/A Vsi El Inservice Test Temperature N/A OF El Hydrostatic EPneumatic Applic. Code Ref. (or Code Case) N/A

7. ANI/ANII Review 07/28/04 Pre Work Start 07/28/04 Work Complete 08/31/04
8. NIS-2 Prepared 01/17/05 ANI/ANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 591194-04 R/R# 04-02-050 ASME XI, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the PioVislons of the ASME Code Section XI

1. Owner Progress Energy Date 01/1 7/05 NameI  ; i -

P.O. Box 1551. Raleiah. N.C. 27602-1551 - __ I Sheet 1 of 2 Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-01 65 WO# 591194-04 Address - .... . ... Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy i . - Type Code Symbol Stamp N/A Name
  • 5413 Shearon Harris Rd.. New Hill. N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A A

I1rkpntifinntinn nf -Iv-ctrpm 5qP vv ... , zvvvw . vz ,_.s, .,

- 5nmnlinn 5 (a) Applicable Construction Code ASME Section III 1974 Edition. Winter '76 Addenda, See N1 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1989 , Addenda N/A

6. Identification of Components Repaired or Replaced and Replacement Components
, -Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. . Board No. Identification Built Or Replacement (Yesor No)

Valve Target Rock 203 N-A PN 73218422 NIA Repaired Yes

7. Description of Work: Disassembled and rea'ssembled l Target Rock valve by seal welding.
8. TestsConducted: Hydrostatic E Pneumatic[] NominalOperation Pressure 0 Other [] Pressure --- Psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 2 WO# 591194-04 R/R# 04-02-050 ASME XI, CLASS 2 FORM NIS-2 (Back)

9. Remarks Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the repair or replacement ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificattek uthorization N" IA Expiration D te NI Signed \ GL aouinment Performance Supervisor -- Date- 1/7/os Owner or Mnr's De ig+/-de, TV 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford. Connecticut have inspected the components described in this Owner's Report during the period of b.IZi/I 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.

A2 . Commissions NC 1507, ABIN NS J Inspttor's Signature National Board, State, Province, and Endorsements Date A 1//4S (12182)

Attachment I REPAIR/REPLACEMENT SYNOPSIS Sheet I of I DATE 01/19/05, REV. 0 Repair D] Replacement Mi R/R No. 04-02-036 Suitability Evaluation Required .0..Yes QlNo EC No. N/A (including failed items)

W/O No. 627537-08

1. SYSTEM NAME MS - Main Steam NB No. 59 CONSTRUCTION CODE ASME Section III - Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanger/Snubber Tag No. MS-H-67 OLD COMPONENT NEW COMPONENT P.O. NoiCatalog ID. 73891210 P.O. NoiCatalog ID. 73891210 Year Built N/A Code Stamp No Year Built N/A Code Stamp No Const. Code ASME Ill Edition 1974 Addenda W76 Const. Code ASME ilI Edition
  • Addenda*^

Code Class Code Cases N/A Code Class Code Cases NIA NB No. N/A NB No. N/A Manufacture Name N/A Manufacture Name Coloc Industries Manufacture Serial No. N/A Manufacture Serial No. N/A

3. DESCRIPTION OFWORK Replaced coloc nut on hanger MS-H-67. Coloc nut is ASTM A194 Gr. 2H. PO# 7D6297.
  • The replacement Dart meets or exceeds the original code and design snec requirements. Therefore, suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED E MT - Mag. Part. Complete El ISI El Supports El Dl PT - Penetrant Complete El IST D ILRT/LLRT E D] RT - Radiography Complete El FAC El Other_

_ UT - Ultrasonics Complete _] Check Valve El 0 VT-3 Visual Complete 0

6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure ElYes ElNo El Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF El Hydrostatic E Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANI/ANII Review 10/23/04 Pre Work Start 10/23/04 Work Complete 01/18/05
8. NIS-2 Prepared 01/19/05 ANI/ANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 627537-08 R/R# 04-02-036 ASME Xl, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Pr6vislons of the ASME Code Section Xl

1. Owner Proaress Enerav  ; _ ;: Date 01/19/05 Name . I- - i . . .

- P.O. Box 1551. Raleiah. N.C. 27602-1551- --- Sheet 1 of 2 Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 WO# 627537-08 Address ,.... Repair Organization P.O. No., Job No., etc.
3. Work F'erformed By Progress Energy 'Type Code Symbol Stamp N/A Name. , .. -;

5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A

.4. iaentiiication ot system MS- Main Steam 5 (a) Applicable Construction Code ASME Section III 1974 Edition, Winter 76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 1989 Addenda N/A

6. Identification of Components Repaired or Replaced and Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No)

Co01c Nut Coloc Industries N/A N/A PN 73891210 .A Replaced No Coloc Nut Coloc Industries N/A N/A PN 73891210 N/A Replacement No

- . MS-H-67

._________________ . PO#

,.. 7D6297

... _I 4~~~~~~. _ ... .. _- . .

7. Description of Work: Replaced coloc nut on hanger MS-H-67.
8. Tests Conducted: Hydrostatic El Pneumatic EC Nominal Operation Pressure El Other [] Pressure psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 2 WO# 627537-08 RIR# 04-02-036 ASME Xl, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after coloc nut replacement.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certifica f Authorization SN/A Expiration Date N/A Si;nd \ It )z~, 4L G eA"-Fatiinmpnt Prfonrmancp Stintrvisor Date Oiner opZner's Designiee, ?9 IV 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Companv of Connecticut of Hartford. Connecticut have inspe ted the components described in this Owner's Report during the period of _1/n3/0 V to // i/os , 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.

fT 1 l@. 2 o va- Commissions NC 1507. ABIN NS Inspect9fs Signature National Board, State, Province, and Endorsements (12/82)

Attachment I REPAIR/REPLACEMENT SYNOPSIS Sheet I of I DATE 01/07/05, REV. 0 Repair .Q1 Replacement M R/R No. 04-02-038 Suitability Evaluation Required ZLYes Q No EC No. N/A (including failed items)

W/O No. 633001-04

1. SYSTEM NAME CS - Chemical Volume Control NB No. 48 CONSTRUCTION CODE ASME Section lIl Edition 1974 Addenda W76 CMode Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Hanqer/Snubber Tag No. CS-H-356 OLD COMPONENT NEW COMPONENT P.O. NoiCatalog ID. 76100718 P.O. No./Catalog ID. 76100718 Year Built 1979 Code Stamp Yes Year Built Unknown Code Stamp No Const. Code ASME IlIl Edition 1977 Addenda S78 Const. Code ASME IlIl Edition 1977 Addenda.878 Code Class 1 Code Cases 1644-6 Code Class 1 Code Cases 1644-6 NB No. N/A NB No. NIA Manufacture Name Pacific Scientific Manufacture Name PacifiC Scientific Manufacture Serial No. 7271 Manufacture Serial No. 17342
3. DESCRIPTION OF WORK Replaced snubber on hanger CS-H-356. The replacement snubber meets or exceeds the original code and design spec requirements. Therefore. suitable for replacement.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT - Mag. Part. Complete El ISI C Supports El El PT - Penetrant Complete E [ST Dl ILRT/LLRT E ED RT - Radiography Complete El FACE Other_

ElUT - Ultrasonics Complete El Check Valve [I 0 VT-3 Visual Complete 0D

6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure El Yes El No El Functional Elevated Pressure N/A psi El Inservice Test Temperature NIA OF

[:l Hydrostatic D3 Pneumatic Applic. Code Ref. (or Code Case) N/A

7. ANI/ANII Review 11/02/04 Pre Work Start 11/02/04 Work Complete 11/04/04
8. NIS-2 Prepared 01/14/05 ANI/ANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 633001-04 R/R# 04-02-038 ASME Xi, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Prowress Enermv Date 01 /14/05 Name P Rry ISM Rqlpinh- N-r.- 97R09.-1' 5 1 Sheet 1 of 2 Address
2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 W.4 633001-04 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy Type Code Symbol Stamp N/A Name.,:.

5413 Shearon Harris Rd., New Hill, N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A

4. Identification of System CS - Chemical Volume Control---

5 (a) Applicable Construction Code ASME Section III 1974 Edition. Winter'76 Addenda, See N1 Code Case (b) Applicable Edition' of Section Xl Utilized for Repairs or Replacements 1989 Addenda N/A

6. Identification of Components Repaired or Replaced and Replacement Components

-. Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No)

Snubber Pacific Scie ific 7271 N/A PN76100718 1979 Replaced Yes

____________________ CS-H -356 _ _ _ _ _ _ _

Snubber *Pacific Scentific .17342 N/A PN 76100718 Unknown Replacement No

_ __ __ _ _ _ __ __ _CS-H .356_ _ _ _

7. Description of Work: Replaced snubber on hanger CS-H-356.
8. Tests Conducted: Hydrostatic El Pneumatic [] Nominal Operation Pressure ED Other El Pressure ____psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 2 WO# 633001-04 RIR# 04-02-038 ASME Xi, CLASS 2 FORM NIS-2 (Back)

9. Remarks Performed preservice VT-3 on hanger after snubber replacement.

Applicable Manufacturer's Data Reports to be attached.

Ni - See N-5 Data Reiport for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the repair or replacement ASME Code, Section Xi.

Type Code Symbol Stamp N/A CertificatnAuthorization Ny.VIA Expiration Date I/A Signed g Euir~nn efrac u~ri Date z4 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartord Connecticut have inspected the components described in this Owner's Report during the period of ..... 4?1A IiiIIiito lAg/is .,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xi.

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

Commissions NC 1507. ABIN NS J Inpeers SgnaureNational Board, State. Province, and Endorsements n nta I/

(12/82)

Attachment I REPAIRJREPLACEMENT SYNOPSIS Sheet I of I DATE 01/20/05, REV. 0 Repair[: Replacement 12 R/R No. 04-02-039 Suitability Evaluation Required EI Yes IJ.No EC No. N/A (including failed items)

W/O No. 635682-02

1. SYSTEM NAME FW - Feedwater NB No. 54 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Valve Tag No. 1FW-216 OLD COMPONENT NEW COMPONENT P.O. NoJCatalog ID. 72491566/72681919 P.O. NoiCatalog ID. 72491566/72681919 Year Built N/A Code Stamp No Year Built N/A Code Stamp No Const. Code ASME IlIl Edition 1974 Addenda W76 Const. Code ASME IlIl Edition ^ Addenda*

Code Class 2 Code Cases N/A Code Class 2 Code Cases N/A NB No. N/A NB No. N/A Manufacture Name Jorgensen Manufacture Name Flowserve/BWIP International Manufacture Serial No. 4C87.4C64 Manufacture Serial No. N/A

3. DESCRIPTION OF WORK Replaced canopy seal and Divot Din on valve 1FW-216. Canopy Seal - PO# 1027145, HT#

30697, and PO# 9A4846. HT# G2086. Pivot Pin - PO# 9C4075. HT# 2075261. and PO# 28742. HT# H4460. 'The replacement Dart meets or exceeds the original code and design spec reauirements. Therefore, suitable for replacement.

4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED E MT - Mag. Part. Complete El ISI El Supports El EPT - Penetrant Complete El IST E ILRT/LLRT E El RT - Radiography Complete El FAC _ Other El UT - Ultrasonics Complete El Check Valve El 0 VT-2 Visual Complete 0
6. SYSTEM PRESSURE TEST REQUIREMENT 0 Leakage Nominal Operating Pressure [0 Yes [] No El Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF El Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N-416-2
7. ANI/ANII Review 11/09/04 Pre Work Start 11/09/04 Work Complete 01/14/05
8. NIS-2 Prepared 01/20/05 ANI/ANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, it is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 635682-02 R/R# 04-02-039 ASME XI, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

- -. I. . - r .

1. Owner Pronress Enery -Date 01/20/05 Name ,1 .

P.O. Box 1551, Raleigh, N.C. 27602-1551 - Sheet 1 of 4 Address

2. Plant Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd., New Hill. N.C. 27562-0165 WO# 635682-02 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy Type Code Symbol Stamp N/A Name , . .

5413 Shearon Harris Rd., New Hill. N.C. 27562-0165 Authorization No. N/A Address Expiration Date N/A

4. Identification of System FW - Feedwater 5 (a) Applicable Construction Code ASME Section 'I '1974 Edition. Winter '76 Addenda, See Ni Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1989 , Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Component Manufacturer Serial No. . - Board No. Identification - Built Or Replacement (Yes or No)

Pivot Pin Jorgensen 4C87, , , N/A , PN 72491566 N/A Replaced No Pivot Pin F owserve/BWIP N/A NtA PN 72491566 N/A Replacement No Intemational PO#9C4075

.HT# 2075261

,. .. PON 28742

.,,__ _ ___.' _.,H T# H4460  : _ ._ ._ . :_,_,_

canopy Seal Jorgensen 4C64 NIA PN 72681919 N/A Replaced No CanopySeal Flowserve/lWIP N/A -. *,, NA PN 72681919 N/A Replacement No International PO09A4846

.HT# G2086 1 PO# 1027145.  :.

_ ___ __ _ _ __ _ __ ___ __ __ __ __ _ _ _ _ _ _ _ ___ HT# 306 9 7 _ _ _ _ _ _

7. Description of Work: Replaced canopy seal and pivot pin on valve 1FW-216.
8. Tests Conducted: Hydrostatic E Pneumatic D] Nominal Operation Pressure Z Other [] Pressure psi Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2/2 in. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 4 WO# 635682-02 RIR# 04-02-039 ASME XI, CLASS 2 FORM NIS-2 (Back) k-I~

9. Remarks VT-2 performed in accordance with Code Case N-416-2.

Applicable Manufacturer's Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this reDlacement conforms to the rules of the repair or replacement ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorizatio o. N/A Expiration Date N/A Sign ed )Ii A; A= Equipment Performance Supervisor Date I &Z v

Owier o mner's Dergine T/le 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 North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Company of Connecticut of Hartford, Connecticut have iqspqcted the components described in this Owner's Report during the period of _ Z ZIIIZoj to__A j/s5 ___, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

,' Commissions NC 1507, ABIN NS

'(Yspec~t~s Signature National Board, State, Province, and Endorsements Date //h AdoPs (12/82)

LM I I Zr FORM N-2 1 CrFCATE HOLDERS' DATA REORT FOR NUCLEAR PART AND APF'wrENANCE~s*

As required by the Provision of the ASME Code Rules. Section Ill. Div. I 1 63s6f <, .

  • - Sheec s o Ln BW/IPInternational, Inc. Valve Division, 701 First St., Williamsport, PA lHamt s.M ~am yTCrusal ~d (b))Maed for Carolina Power & Light Co., P.O. Box 870, Raleigh, NC. 27602.

(Rams"&adm "dv of Cnrducai. u$oIr tr eumpdMtu"4 maft.. ew

. JdelcsUCe Holdrs .l r

_ SN 4, SN 5, SN 7 Na'I Bd. No/A BW/IP International, Inc.

(a) Co raccted cordiSo DrN 7 975 4 R/F Drswig Prepared by 'rIl %ni¶71 on (b) Deses cofPan pcted (3) Three Pivot Pins.

97 6 (c) AppliceblASMECoeSecsioaUI,Edhtiocl974 1 1.d.dd(W)C.&,NJA/A Class 2

3. RuIrs Material: SA105, HtR 207S261, *Job 32 E-171P-I.

(N4ot 4sar~crtl et snw-t tsr _atr ewpoa -.. dLas4 )

Parts for 16"-921;- Tilting Disc Valve. No Hydro-test performed.

Ve certuy thatshe ztipeemets sade in this report we cortect and tis vesscl pan or "anrroane as defined in the Code coo-fortas to the ruler of cosruetico of the ASME Code Section IIM.

(The appieCble 5 s5n SpreiczUon and St Report aeot tbe sponslbULIttr of te NPT Certifleate Holder for pras. An NPT Cenif.

icate Holder for appunrezaces is responsible for fusishing a separate De zn Sp'eificaiioa and Stres Reprn if Ute ppurtenance is not Inclu:ded In thte zom= t Vntxr Spec~cat an StIss Report)

BW/IP International, Inc. -

Date 2' 0 i 9 Sipnd Valve Division .

tttfl Crefleat Hod~er, Certificate of Mthotiatien Expites 4/15/nl Certificate of.Authorixdzao No. N1713 CERMFICAMON OF DESiGN FOR APPURTENANCE (when spplicable)

DesCig inC!errQvioo en filee: N/

N/A Stress analsiYs trport onl file a: N'/A Dcsio specificitions cenified by N/A Prof. Ea. .State Reg.No.

Stress &ZMiYnis report cCtified by /A Prof. E;.S5 te Reg. No.

CERP1FICATE OF SHOP INSPECTION of

1. the utdrrsiga-d. Lolding a veald cocrission issued by the Nxtiooal Bozd of Boiler and Prezg:Le Vessel Inspectors anod/or the State $

Psruzl Data 80ston. MaS; t on0

~o( Pennsylvania ad employed by Commercial Union insurance ComDan3

,he ad belief. the NfPT Certlflste Holder ha- construeted this Part In accordance wit the ASM4E Code Section Ul.

pan of a prex re tarsel described in this ig _. 2nds2nte thatiton h bertore my kowl~et 19 By signing this cenificare. neither the InspeCtor nor his exaployer makes May wreaity, CeprCsaed or irplied. coacerf-j Ing the part described In this Parlial Data Report. Furthermore. neither the Inspector nor his employer shlIl be liable in any manner fat any personal injjury ot prepety d8sage or a less oft ay kied sesssg tro ot conne-cted

  • ith this itirptetioca n.s.

RComissions Pennsylvania 2392 . l> SA rhji.H5rlps- Yo'i`- Yo5-". SI.:.. dI .J` I

  • SCSI.,U.,,,l .I, *A*I aft I 1,,,. ,,*,._,.a. _ 4n.aq v <- ... 4 *n..c l *ts-. a'. tO . 11. 11 _ s i.e. U.S- II ..

> tton7) 1o0m1E0OG!'m8v be obtsoned from me Orce, CDot.. AS&ME.

Th-1s 345 E. 47t.s S,. NewsYort.r.MY 'CO*

F" I k---9 71 is I Wca-I 1-Mall S-i i

.2 0, 9

O'

&V wnP.,Jin

roMm F-2mNTC!1TIVlCAIZ NOLDUS' DATA REPORT FOR N'UCLEAR PART AND AflVX4ANrv'"~,

As Mcutirud by- the pmuvbisi of the ASidE Codc Rules. Section 111. Div. I _4J'Ct3W1"'z L. Flowserve Corporation, 701 Tirst Street, Williansport. PA 17701 Carolina Power & Light. P.O. Box 870, Raleigh, NC. 27602.

fiu) ma._au" S._

1)1W gm aids o 9 rnCsMU*&. M fdremmob afe..,g mId~eca-CtacattHlers Stew MeNa. ofrl SN: 4 Neel a N/A

2079754011 R/G (a) Ctjuced McGusg t Dtawisg No. Dramwsg PITpead bY rlowserve Cort .

Pivot Pin (1) One Each (b) Dog-va . Pat InsPecte

{c) Applcabe ASEC edoeiii, 1974 () 197% 6 N N/A 2 (c) pplia~eSME~diEiiaea...r..-- . Addesnda daCas______ ______

Replacement pivot pin for 16"-921#-T-Hinge disc check valve.

3. (aft" ieouvU" a_ "rle. f. WIl C Wd Material: Pivot pin: SA105; HT# H4460 No Hydro-test performed. Job# E569R-1 we Certify thatthe sttewsaumade 'am tkist".am cn ctwsad t~ix vasagi part oe apparwas"Ce as dei..d ;ae be Cad. cow-bnms. to tbe Mael *( camsemracuiam of the ASME Code Sectio. 11L (The appUctibit Drem Speec~sloanc a"d Stim Reps are Mt the rusoedh~ib't of tht X" CretuknAte Holdst ta paru. An .4" Centl-kcae Hqlde for appanicuma is rpommAib (or n' Imiiu a s ua Duzigs Specflcaaom and Sruas Rcpoi if tbe appnareame is stot lAtciaded in.th c~ouioo Desim 3PecCWUCI. a SU'= RCWat.

De -:3 - ~plowserve Corporation*, /, ki-'.

4/15/04 N1713 r

Certificate.( Am~g~tjstizati Expifte -Centufcase oAudIotiatiod a N CERTIFICATION OF DESGX FOR APPURTENANCE (wLes applicable)

Desgn Wof~adon on We N/A Saw.mss saslsi) report ad ilea N/A De.psig *ecircsaiama cwstified N/A Prf Eng.State ~ ~ eg.Hi..

N/A Stress analysis report cwcrtied yPteL EagStcue KJeg. No..~

CEFMIFICATE OF SHOP INSPECTI0(M I%* U0eerogavcd holdig a Vejid commissuo ;assid boythe Itatseel Dseied V1 "leat end Presmre Vessel Znspectevs seleteS&m4AXXW, Pennsylvania Comuircial Union Insurance Companj Ipt ostn, ass. V*W Inspec ebeC PM te a Pressure VC5sel describedo is this Part DRURIS~ an - ~6 1 -. sa" s~te that to the be= at my' Imw ~tz and belld. tht NIT CerrUflemI heider Mut commce Uis Varl '- *cwwt the ASNE Code Section Il.

by signiag th" c~tertiiaf. awithr the Ins~eCtof *Oa his Omapiepe "*~s miy qrstmaty. expressad a 60plied, ceuctnu-ta" (be part decrtbird In Wst fstmta Data Retort. Furbf~thertor. meither t)he tasoector see his favloyte sthall bogliable is myneaet for eNW ,4rV-p~,dia*o os fsyk~ i~gIm aoe with this asapect.....

Coiamaui~s Pennsylvania 2392 To ufuz~G 25+/-f=

n..

Gha..e.

"90 . b.q. ~~ .... CI..

M..~ W 4'4. 11It. (2) Wn~~s.. - stin t.z - 1.

73

- - - Thiseo' sFeOCUMWW0V OI00~i,. VOrOee OsO.. ASME. 34S E.47itieSt.Nw YorL. N.Y. 100f7

Attachment 1 REPAIR/REPLACEMENT SYNOPSIS Sheet I of 1 DATE 01/07/05, REV. 0 Repair ID Replacement El R/R No. 04-02-044 Suitability Evaluation Required 0 Yes rl No EC No. N/A (including failed Items)

W/O No. 636016-10

1. SYSTEM NAME FW - Feedwater NB No. 54 CONSTRUCTION CODE ASME Section III Edition 1974 Addenda W76 Code Class 2 CODE CASE See N-5 Data Report
2. COMPONENT NAME Valve Tag No. 1FW-159:009 & :010 OLD COMPONENT NEW COMPONENT P.O. NoXCatalog ID. N/A P.O. No/Catalog ID. N/A Year Built N/A Code Stamp Yes Year Built N/A Code Stamp Const. Code ASME III Edition 1974 Addenda W76 Const. Code N/A Edition N/A Addenda N/A Code Class Code Cases N/A Code Class__ Code Cases NtA NB No. N/A NB No. N/A Manufacture Name Borg-Wamer Corp. Manufacture Name N/A Manufacture Serial No. N/A Manufacture Serial No. N/A
3. DESCRIPTIONOFWORK Removed and reinstalled 3/4 vent valves (1FW-159:009 and 1FW-159:010). All weldinq performed under HNP welding procedures and ASME Code requirements. Therefore, suitable for renair.
4. PRESERVICE INSPECTION REQUIREMENT 5. PROGRAM UPDATES REQUIRED El MT - Mag. Part. Complete [ ISI El Supports El

[] PT- Penetrant Complete El IST 5 ILRT/LLRT El E] RT - Radiography Complete O FAC El Other E] UT - Ultrasonics Complete El Check Valve El

_] VT- Visual Complete El

6. SYSTEM PRESSURE TEST REQUIREMENT El Leakage Nominal Operating Pressure El Yes El No E Functional Elevated Pressure N/A psi El Inservice Test Temperature N/A OF E Hydrostatic El Pneumatic Applic. Code Ref. (or Code Case) N/A
7. ANI/ANII Review 11/10/04 Pre Work Start 11/10/04 Work Complete 12/06/04
8. NIS-2 Prepared 01/17/05 ANI/ANII 01/24/05 In Package 01/26/05 Note: Upon completion of the document, it Is a completed QA record and is to be transmitted in accordance with RDC-NGGC-0001.

PLP-605 Rev. 23 Page 17 of 30

WO# 636016-10 R/R# 04-02-044 ASME XI, CLASS 2 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl

1. Owner Progress Energy .Date 01/17/05 Name ,- i -I P.O. Box 1551. Ralelih. N.C. 27602-1551 - - - Sheet 1 of 2 Address
2. -Plant 'Shearon Harris Nuclear Power Plant Unit 1 Name 5413 Shearon Harris Rd.. New Hill, N.C. 27562-0165 WO# 636016-1 0 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed By Progress Energy Type Code Symbol Stamp N/A Name 5413 Shearon Harris Rd.. New Hill. N.C. 27562-0165 -

Authorization No. N/A Address Expiration Date N/A

4. Identification of System FW - Feedwater 5 (a) Applicable Construction Code ASME Section III 1974 Edition. Winter '76 Addenda, See N1 Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacemrents 1989 , Addenda N/A
6. Identification of Components Repaired or Replaced and Replacement Components
;. - . Repaired, ASME Code Name of Name of Manufacturer National Other Year Replaced, Stamped Componet Manufacturer Serial No. Board No. Identification Built Or Replacement (Yes or No)

Vatve Borg:Wamer Corp. WA NA IFW-159:009 N-A Repaired... Yes

_____ __ __ ___ ____ ___ ___ __IFW -159:010

7. Description of Work: Removedandreinstalled3/4 vent ives(IFW-159:009 andIFW-1 59:01 0).
8. Tests Conducted: HydrostaticE0 Pneumatic[]l Nominal Operation PressureE]

Otherl Pressure ...... psl Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1)size is 81/2 in.X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet in numbered and the number of sheet is recorded at the top of this form.

Sheet 2 of 2 WO# 636016-10 R/R# 04-02-044 ASME Xl, CLASS 2 FORM NIS-2 (Back)

9. Remarks Applicable Manufacturers Data Reports to be attached.

N1 - See N-5 Data Report for Code Cases CERTICATION OF COMPLIANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the repair or replacement ASME Code, Section Xl.

Type Code Symbol Stamp N/A Certificat f Authorizati~n N, /A Expiration at N/A Signed0tv G o d aguip~ment Performnance SuI~ervIsgor Date 1/2° CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of North Carolina and employed by Hartford Steam Boiler Inspection and Insurance Companv of Connecticut of Hartford. Connecticut have inspected the components described in this Owner's Report during the period of LI AZ oIY to I j , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section Xl.

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

Commissions NC 1507. ABIN NS In Signature National Board, State, Province, and Endorsements Date(1 /

(12/82) i/