ML051720491
| ML051720491 | |
| Person / Time | |
|---|---|
| Site: | Byron  |
| Issue date: | 06/20/2005 |
| From: | Exelon Generation Co |
| To: | Document Control Desk, Office of Nuclear Reactor Regulation |
| References | |
| Download: ML051720491 (50) | |
Text
FORM NIS-2 (Back)
Remarks006l 7555-01 Appiicable Manutacturers Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section Xl.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable Expiration Date Not Applicable Signed
~
Date 3 -
~
,20 ~5~
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 Illinois and employed by HSB CT.
of Hartford, CT have inspepted)he components described in this Owners Report during the period
~fI~~4~9 to and state that to the best of my knowledge and belief, the OwrT~rhas performed examinatfons~ndtaken corrective measures described in the Owners Report in accordance with the requirements of the ASME Code, Section Xl.
By signing this certificate neither the Inspector nor his employer makes anywarranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report. Furthermore, neither the Inspector nor his employer sl1~lIbe liable in any manner for any personal injury or property damage or a loss of any kin i
fro Co ed with this inspection.
Commissions S S
~
Date ~~rA.~i22,20 O
DOCUMENT NO.:
6.2 REV. NO.:
0 FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl Owner Exelon Nuclear Date 3/16/05 Name 4300 Winfield Road, Warrenville, IL Sheet 1
of 1
Address 2.
Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, IL Work Order No. 00695995-03 Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by Byron Mechanical Type Code Symbol Stamp Not Applicable Maintenance Name Authorization No.
Not Applicable 4450 N. German Church Rd, Byron IL Expiration Date Not Applicable Address 4.
Identification of System CV Chemical Volume Control 1986 Edition, 1987 Addenda {New Valve)*
1974 Edition, S75 Addenda (Piping) 5.
(a) Applicable Construction Code ASME Section III 19 71 Edition, S72 Addenda, 1540-1 Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacement Components 19 89 (c) Section Xl Code Cases used, N-416-2 6.
Identification of Components Repaired or Replaced and Replacement Components I
- Repaired, Code National
- Replaced, Stamped Nameof Nameof Manufacturer Board Other Year orReplacement (Yes orNo)
Comoonent Manufacturer Serial No.
No.
Identification Built
- VALVE, DIAPHRAM, 2 ITT GRINNELL 74-1657-14-23 N/A 1CV8518 1976 Replaced YES VALVE, GATE 2 800 LB Flowserve 67BBJ N/A Cat Id #1398879 2005 Replacement YES 2 Sch. 40 pipe Hunter Corp Ht #462147 N/A ICV6OA-2 S-CV-100-23-3 1984 Replaced No 23000# S,W. 90 degree Elbow Hunter Corp Ht #RA N/A ICV6OA-2 S-CV-100-23-3 1984 Replaced No 2 Sch. 40 pipe Exelon Corporation HT # 29628 N/A Cat Id #26883 1 CV6OA-2 2001 Replacement No 2 3000# S.W. 90 degree Elbow Exelon Corporation HT# EF N/A Cat Id #26740 ICV6OA-2 2005 Replacement No 7.
Description of Work REPLACE VALVE WITH NEW DESIGN PER MODIFICATION EC 341851
- MODIFICATION CHANGED DESIGN SPECIFICATION TO REQUIRE NEW VALVE TO BE BUILT TO THE 1986 EDITION, 1987 ADDENDA OF ASME SECTION III 8.
Test Conducted:
Hydrostatic LI Pneumatic Li Nominal Operating Pressure ~
Other LI Pressure 150 psi TestTemp.
110
°F
~~Jote: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8~/2in. x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
FORM NIS-2 (Back) 9.
Remarks WO# 00695995-03 Applicable Manufacturers Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT conform to the rules of the ASME Code,Section XI.
repair or replacement Type Code Symbol Stamp Not Applicable Certificate of,~thorizationNo.
Not Applicable Signed j~J(1wL~A(A. AAA7L~.
/~/~Co oLOini /~-i~
Date
$~-~5
,20 05 Owner or Owners Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid Commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by HSB CT of Hartford, CT have inspected the components descrIbed in this Owners Report during the
_____________perio to
, and state that to the best of my knowledge and belief, th 0 ner has performed examinations and taken corrective measures described in this Owner s Report in accordance with the requirements of the ASME Code Section XI By signing this certificate neither the Inspector nor his employer makes any warranty expressed or implied, concerning the examinations and Corrective measures described in this Owners Report Furthermore neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection Commissions
/tZ- /25~V 6
Inspectors Signature National Board State Province and Endorsements Date: 21/4*~f
,20 ~
1~
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section XI I.
Owner Exelon Nuclear Name 4300 Winfield Rd. Warrenville, II. 60555 Address 2.
Plant Byron Nuclear Power Station Name 4450 N. German Church Road, Byron, II.
Date 3/15/05 Sheet I Unit 01 of I
Work Order No. 00706874-01 Address Repair Organization, P.O. No., Job No.,etc.
3.
Work Performed by Byron Mechanical Maintenance Type Code Symbol Stamp Not Applicable Name Authorization No. NotApplicable 4450 N. German Church Road, Byron, II.
Expiration Date NotApplicable Address 4.
Identification of System CV - CHEMICAL AND VOLUME CONTROL 5.
(a) Applicable ConstructionCode Section III 1971 Edition, W/72 Addenda, None (b) Applicable Edition of Section XI Utilized for Repairs or Replacement Components 19 89 (c) Applicable ASME Section XI Code Cases:
~
Code Case 6.
Identification of Components Repaired or Replaced and Replacement Components Name of Con~,onent Name of Manufacturer Manufacturer Serial No.
Nationat Board No, Other tdenriflcatton Year Built
- Repaired, Replaced, or Replacement ASME Code; Stateped (Yesor No)
I~~VE SEALWELD KEROTEST UP-9911-i-(i)Z
--()
9436 v i 1CV8377 ave 1976 REPLACEMENT YES 7.
Description of Work GRIND OFF SEAL WELD, INSPECT INTERNALS, RE-APPLY SEAL WELD. NO PARTS WERE REPLACED 8.
Test Conducted:
Hydrostatic Eli Pneumatic ~
Nominal OperatingPressure Li N/A Pressure Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in.,
(2) information in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
This form has been etectronically generated.
Other LI psi Test Temp.
FORM NIS-2 (Back)
Remarks Work Order No. 00706874-01 Appticabte ManufacturersData Reports to be attached CERTIFICATE OF COMPLIANCE Wecertify that the statements made in the report are correctand this Replacement conforms to the rules of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable Expiration Date Not Applicable Signed
~
C~7~~L Date
~/~-/
,20 oç 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 Illinois and employed by HSB CT.
of Hartford, CT have inspe9,ted)he components descnbed in this Owners Report during the period to
, and state that to the best of my knowledge and belief, th1O~erhas performed examinations and (~ke~
corrective measures described in the Owners Report in accordance withthe requirements of the ASME Code,Section XI.
By signing this certificateneither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report. Furthermore, neitherthe Inspector nor his employer shall be liable in any manner far any personal injury or property damage or a loss of any kind arising from or connected with this ins Commissions___________________________
tnspectcr~rSrgnaure NaOona a Pm,,aea. ~d Eadona,na,tn
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FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Name Date 03/19/05 2.
Plant 4300 Winfleld Rd. Warrenville, IL 60555 Address Byron Nuclear Power Station Name Sheet 1
of Unit 01 4450 N. German Church Rd. Byron, IL 61010 Work Order 00719869-01 Address Repair Organization P.O., Job No., etc 3.
Work Performed By Byron Mechanical Maintenance Type Code Symbol 4450 N. German Chruch Rd.
Byron, IL 61010 Authorization No.
Address Expiration Date 5.
(a)
Applicable Construction Code Section III 19 71 Edition, W72Addenda, NoneCode Case (b)
Applicable Edition of Section Xl Utilized for Repairs or Replacements 19 89 (c)
Section XI code Cases used, None 6
Identification of Components Repaired or Replaced and Replacement Components 4.
Identification of System CV-CHEMICAL & VOLUME CONTROL Name of Component Name of Manufacturer Manufacturer Serial No.
National Board 0.
Other Identification Year Built Repaired
~
ASME Code
~mp&1 No)
PLATE AIRCOVIKiNG 81 8398-32-AB 201 1CVO1 PB-S/N:49771 1976 REPLACED NO THRUST SEAL AIRCO ViKING 81 8398-36-AD 201 icvoi PB-S~N:49771 1976 REPLACED NO SEAL PLATE FLOWSERVE RLSA06769 N/A 1CVOIPB-SIN:49771 2005 REPLACEMENT YES SEAL PLATE FLOWSERVE RLSAO677O N/A 1CVO1PB-S/N:49771 2005 REPLACEMENT YES 8.
Test Conducted:
Hydrostatic LI Pneumatic Other LI Pressure 2600 LI Nominal Operating Pressure psi Test Temp.
76
°F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 in. x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the numberof sheets is recorded at the top of this form.
Stamp Not Applicable Not Applicable Not Applicable 7.
Description of Work REPLACE BOTH RADIAL & THRUST SEAL PLATES TO ACCOMMODATE NEW SPLIT SEALS.
FORM NIS-2 OWNERS.REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl (Back) 9.
Remarks 719869-01 Applicable Manufacturers Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT conform to the repair or replacement rules of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable Signed
~
CI~~
Date
,20 ~
vw~~e~~tetior Owne?s Destgnee Tttle 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 of Province of Illinois and employed by H S B CT of Hartford, CT Hayejpspected the components described in this Owners Report during the period to s/e43 and state that to the best of my knowledge and belief the Ow~erhas perf6rrf~edexaminations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section Xl By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property dam~g or a loss of any kind arising from or connected with this inspection Commissions
/LL.. /~(~f Inspectors Signature National Board, State. Province, and Endorsements Date
,20
~
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 4300 Winfield Rd. Warrenville, IL 60555 Address Byron Nuclear Power Station Name Sheet I
of 1
4450 N. German Church Rd. Byron, IL 61010 Address 3.
Work Performed By Byron Mechanical Maintenance Work Order 00719869-01 Repair Organization P.O., Job No., etc Type Code Symbol 4450 N. German Chruch Rd.
Byron, IL 61010 Authorization No.
Address Expiration Date 4.
Identification of System CV-CHEMICAL & VOLUME CONTROL 5.
(a)
Applicable Construction Code Section III 19 71 Edition, W72Addenda, None Code Case (b)
Applicable Edition of Section Xl Utilized for Repairs or Replacements 19 89 (c)
Section XI code Cases used, None 6.
Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No.
Other Identification Year Built
- Repaired, Replaced, or Replacement ASME Code Stamped (Yes or No)
RADIAL SEAL AIRCO VIKiNG 69430-98-AB 201 ICVOIPB-S/N:49771 1976 REPLACED NO RADIAL SEAL HOUSING FLOWSERVE CORP.
RLSA06847 N/A lcvOlPB-S/N:49771 2005 REPLACEMENT YES THRUST SEAL AIRCO VIKING 69430-107-AB 201 1CVO1PB-SIN:49771 1976 REPLACED NO THRUST SEAL HOUSING FLOWSERVE CORP.
RLSA06846 N/A 1CVO1PB-SIN:49771 2005 REPLACEMENT YES 7.
Description of Work REPLACE RADIAL & THRUST SEAL HOUSINGS TO ACCOMMODATE NEW SPLIT SEALS.
8.
Test Conducted:
Hydrostatic LI Pneumatic Other LI Pressure ZL~Or3 LI Nominal Operating Pressure psi Test Temp.
°F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 in. x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the numberof sheets is recorded at the top of this form.
1.
Owner 2.
Plant Exelon Nuclear Name Date 03/19/05 Unit 01 Stamp Not Applicable Not Applicable Not Applicable
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl (Back) 9.
Remarks Work Order 0071 9869-01 Applicable Manufacturers Data Reports to be attached CERTIFICATE OF~COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT conform to the repair or replacement rules of the ASME Code, Section Xl.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable Signed
~
6
- ~
Date
, 20
~(~r~e,rOwners Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Province of Illinois and employed by H.S.B. CT.
of Hartford, CT.
Haye inspected the components described in this Owners Report during the period to
~/~/,f
, and state that to the best of my knowledge and belief, the Ovi~ierhas perk*nled examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report.
Furthermore, neither the,,Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Commissions
. /LZ_ /jSV InspectorsStgnature Nattonal Board, State, Province, and Endorsements Date
,20
~i~
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Name Date 03/03/05 4300 Winfield Rd. Warrenville, IL 60555 Address Sheet I
of 1
Byron Nuclear Power Station Name 4450 N. German Church Rd. Byron, IL 61010 3.
Work Performed By Address Byron Mechanical Maintenance Work Order 00719871-01 Repair Organization P.O., Job No., etc Type Code Symbol Stamp Not Applicable 4450 N. German Church Rd. Byron, IL 61010 Authorization No.
Not Applicable Address Expiration Date Not Applicable 4.
Identification of System CV-CHEMICAL & VOLUME CONTROL 5.
(a)
Applicable Construction Code Section III 19 71 Edition, W72Addenda, None Code Case (b)
Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 (C)
Section XI code Cases used, None 6.
Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manufacturer Serial No.
National Board
~
Other Identification Year Built
- Repaired,
~
ASME Code
~
No)
RA~ALSEAL AIRCO VIKING 818398-80-AA 198 1CVO1PA-5/N:49770 1976 REPLACED NO THRUST SEAL AIRCOVIKING 818398-34-AC 198 1CVOIPA-S/N:49770 1976 REPLACED NO SEAL PLATE FLOWSERVE RLSAO64O9 N/A ICVO1PA-S/N:49770 2004 REPLACEMENT NO SEAL PLATE FLOWSERVE RLSAO64O9 N/A 1C/OlPA-SIN:49770 2004 REPLACEMENT NO 7.
Description of Work REPLACE BOTH RADIAL & THRUST SEAL PLATES TO ACCOMMODATE NEW SPLIT SEALS.
8.
Test Conducted:
Hydrostatic LI Pneumatic Other LI Pressure 2700 LI Nominal Operating Pressure psi Test Temp.
78
°F NOTE: Supplemental sheets in form of lists, sketches, ordrawings may be used, provided (1) size is 8 1/2 in. x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the numberof sheets is recorded at the top of this form.
2.
Plant Unit 01
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI (Back) 9.
Remarks Work Order 00719871-01 Applicable Manufacturers Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this_REPLACEMENT conform to the repairor replacement rules of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable Signed
(~ç-~~
~
Date 5//~
,20 ~rg
\\.J~)
~.Dwnet)rOwners Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Province of Illinois and employed by H.S.B. CT.
of Hartford, CT.
Have inspected the components described in this Owners Report during the period to
, and state that to the best of my knowledge and belief, theOWi~erhas perf6rrtIed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report.
Furthermore, neither the Inspector nor his employer shall be liable in any mannerfor any personal injury or roperty dama e or a loss of any kind arising from or connected with this inspection.
Commissions
/~C% /~4~f Inspectors Signature National Board State Province and Endorsements Date
/5
,20
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Date 03/03/05 Name 4300 Winfield Rd. Warrenville, IL 60555 Sheet 1
of Address 2.
Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Rd. Byron, IL 61010 Work Order 00719871-01 Address Repair Organization P.O., Job No., etc 3.
Work Performed By Byron Mechanical Maintenance Type Code Symbol Stamp Not Applicable 4450 N. German Church Rd. Byron, IL 61010 Authorization No.
Not Applicable Address Expiration Date Not Applicable 4.
Identification of System CV-CHEMICAL & VOLUME CONTROL 5.
(a)
Applicable Construction Code Section III 19 71 Edition, Wl2Addenda, None Code Case (b)
Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 (c)
Section XI code Cases used, None 6.
Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No.
Other Identification
~
Year Built I ASME
- Repaired, Code Replaced, or Stamped Replacement (Yes or No)
RADIAL SEAL AIRCO VIKING 69430-96-,~A 198 IcVO1PA-S/N:49770 1976 REPLACED NO THRUST SEAL AIRCOVIKING 69430-104-.~A 198 ICVOIPA-S/N:49770 1976 REPLACED NO RADIAL SEAL HOUSING FLOWSERVE CORP RLSA06328 N/A ICVOIPA-SIN:49770 2004 REPLACEMENT NO THRUST SEAL HOUSING FLOWSERVE CORP RLSA06329 N/A 1CVO1PA-S/N:49770 2004 REPLACEMENT NO 7.
Description of Work REPLACE BOTH RADIAL & THRUST SEAL HOUSINGS TO ACCOMMODATE NEW SPLIT SEALS.
8.
Test Conducted:
Hydrostatic LI Pneumatic LI Nominal Operating Pressure Other LI Pressure 2700 psi Test Temp.
78
°F NOTE: Supplemental sheets in form of lists, sketches, ordrawings may be used, provided (1) size is 8 1/2 in. x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl (Back) 9.
Remarks Work Order 00719871-01 Applicable Manufacturers Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT conform to the repair or replacement rules of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable Signed 5/~ 9~-~~
Date S//?_
,20 ~
~
~wn~or Owners Designee Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Province of Illinois and employed by H S B CT of Hartford CT Have In9pected the components described in this Owners Report during the period to ~ç~i/,c,and state that to the best of my knowledge and belief, the OW~erhas perfcfm~dexaminations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section Xl By signing this certificate neitherthe 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 roperty dama e or a loss of any kind arising from or connected with this inspection Commissions Inspecto s signature National Board State Province and Endorsements Date
,Z%i7~ /3
,20
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section Xl 1.
Owner Exelon Nuclear Date 3--~,3-o~
Name 4300 Winfield Rd. Warrenville, II. 60555 Sheet 1
of 1
Address 2.
Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, II.
Work Order No. 00793536-01 Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by Byron Mechanical Maintenance Type Code Symbol Stamp Not Applicable Name Authorization No. Not Applicable 4450 N. German Church Road, Byron, II.
Expiration Date Not_Applicable Address 4.
Identification of System
[CV] CHEMICAL AND VOLUME CONTROL 5.
(a) Applicable Construction Code Section III 1971 Edition, W/72 Addenda, None (b) Applicable Edition of Section Xl Utilized for Repairs or Replacement Components 19 89 (c) Applicable ASME Section XI Code Cases:
None 6.
Identification of Components Repaired or Replaced and Replacement Components National Repat~ed, ASME Name of component Name of Manufacturer Manufacturer Serial No.
Board No.
Other Identification Year Boift
- Replaced, or Replacement Code; Stamped (Yes or No)
VALVE KEROTEST S/N N01-17 9607 1CV8368B 1976 REPAIR YES Code Case 7.
Description of Work REPAIR LEAKING SEAL WELD 8.
Test Conducted:
Hydrostatic El Pneumatic0 Nominal Operating Pressure LI N/A Other ~j Pressure_______ psi Test Temp.______________
Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in.,
(2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
This form has been electronically generated.
FORM NIS-2 (Back) 9.
RemarksWO# 00793536-01 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR conforms to the rules of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable Expiration Date Not Applicable Signed Q~atL~411~~SDeaQ~~ f20/AJ47tIQ Date 3-29
,20O~
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Ves~el Inspectors and the State or Province of Illinois and employed by HSB CT of Hartford, CT have inspeqted tJ)e Components described in this Owners Report during the period i/zz4~
to
, and state that to the best of my knowledge and belief, the Ocwn~rhas performed examinati6ns~ndtaken corrective measures described in the Owners Report in accordance with the requirements of theASME 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 arisin from connected with this inspection.
~
Commissions
,iI- /169 S~e Na~er8o~Setep~
aia Date~~
, 20 j23
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisionsof the ASME Code Section XI Date 3/16/05 Sheet I
Unit 00 Work Order No. 98120699-01 Address 4.
Identificationof System CV Chemical Volume Control 5.
(a) Applicable Construction Code ASME Section III 1971 Edition, S/72 Addenda,NONE (b) Applicable Edition of Section XI Utilized forRepairs or Replacement Components 1989 6.
Identification of Components Repaired or Replaced and Replacement Components of 1
i Name of Name of Corrçonent Manufacturer National Manufacturer Board Serial No.
No.
I Other Year identification Built Repaired.
- Replaced, or Rcplacement ASME Code; Stanpcd (Yes or No) 2 ReliefValve Crosby N5690l-0O-0007 N/A lCV8ll9 1975 Replaced YES 2 ReliefValve Crosby N5690l-OO-0024 N/A Cat ID43644 1978 Replacement YES 7.
Description of Work Replace relief valve per PM program 8.
Test Conducted:
Hydrostatic El Pneumatic El Nominal Operating Pressure
~
Other El Pressure 150 psig Test Temp.
110 °F Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in.,
(2) information in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recordedat the top ofthis form.
This form has been electronically generated.
1.
Owner Exelon Nuclear Name 4300 Winfield Rd. Warrenville, II. 60555 Address 2.
Plant Byron NuclearPower Station Name 4450 N. German Church Road, Byron, II.
Address 3.
Work Performed by Byron Mechanical Maintenance Name 4450 N. German Church Road, Byron, II.
Repair Organization, P.O. No., Job No., etc.
Type Code Symbol Stamp Not Applicable Authorization No. Not Applicable Expiration Date Not Applicable Code Case
FORM NIS-2 (Back)
Remarks: Relief valve replaced per WO 98120699-01.
AppItcable Manufacturers Data Reports to beattached CERTIFICATE OF COMPLIANCE We certify that the statements madein the report are correct and this replacement conforms to the rules ofthe ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable Expiration Date Not Applicable Signed
(?J~24~a.A~I~
~p~/,4J14cJ7j/~
Date
~,
,20a CERTIFICATE OF INSERVICE INSPECTION I the undersigned, holding a valid commission issued by the National Board ofBoiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by
}ISB CT of Hartford, CT have inspectedbe components described inthis Owner s Report during the period to 5~Ø%
, and state that to the best ofmy knowledge and belief, the Owifer has performed examinations and takef~o&rective measures describedin the Owners Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificateneither the Inspector nor his employermakes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report. Furthermore, neither the Inspector nor hisemployer shall be liable in any majinerfor any personal injury or property damage or a loss ofany kind arising from or connectedwith this inspçcti~~~
Commissions_________________________
taspeoursStgaatsee Beard, ~e presas~,m,d Sadarasasems Date
, 20
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Date 01131/05 Name 4300 Winfield Rd. Warrenville, II. 60555 Sheet 1 of 1
Address 2.
Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, II.
Work Order No. 00354570-01 Address Repair Organization. P.O. No., Job No., etc.
3.
Work Performed by Byron Mechanical Maintenance Type Code Symbol Stamp Not Applicable Name Authorization No. Not Applicable 4450 N. German Church Road, Byron, II.
Expiration Date Not Applicable Address 4.
Identification of System DC ~LUBE OIL 5.
(a) Applicable Construc~tionCode Section III. 1974 Edition, S76
- Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacement Components 19 89 (c) Applicable ASME Section Xl Code Cases:
None 6.
Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer I
National Manufacturer I
Board Serial No.
J No.
Other Identification Year Built
- Repaired, ASME
- Replaced, Code; Stamped or Replacement (Yes or No)
RELJEF VALVE CROSBY N60542-00-0006 N/A 1DG5O3OB 1978 REPLACED YES RELIEFVALVE CROSBY N60542-O0-0015 N/A
~
CATID#0000019979 IDG5O3OB 2002 REPLACEME/~4T YES 7.
Description of Work REPLACE RELIEF VALVE 8.
Test Conducted:
Hydrostatic L~Pneumatic El Nominal Operating Pressure
~
Other El Pressure 7
psi Test Temp.
140 Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in.,
(2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
This form has been electronically generated.
FORM NlS-2 (Back)
- 9.
Remarks Work Order No. 00354570-01 Applicante Manulacturers Uata Steports to tar attacried COMPLIANCE correct and this Replacement conforms to the rules of the rot rep~eement Expiration Date Not Applicable Date ~
,20 o..c~
INSERVICE INSPECTION by.the National Board of Boiler and Pressure Vessel and employed by HSB CT.
have inspe~ted)hecomponents described in this Owners to c~2//~
, and state that to the l~estof xamina~ion~and taken corrective measures described in the the ASME Code, Section Xl.
employer makes any warranty, expressed or implied, described in this Owners Report. Furthermore, neither the forany personal injury or property damage or a loss of Commissions
,/~L~/~J~5~(
Natenat Been.
PTO.i~e,e~ctCrstoseme~s
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section XI I.
Owner Exelon Nuclear Name 4300 Winfield Rd., Warrenville, II, 60555 Address 2.
Plant Byron Nuclear Power Station Name 4450 N. German Church Road, Byron, II.
Address 3,
Work Performed by Energy Steel.& Supply Co.
Name 2715 Paldan Drive, Auburn Hills, MI Address 4.
Identification of System Service Water(SW)
DG 5.
(a) Applicable Construction Code Section III 1974 Edition, S175 Addenda, None Code Case 4l6~2*
(b) Applicable Edition of Section XI Utilized for Repairs or Replacement Components 19 89 6.
Identificationof Components Repaired or Replaced and Replacement Components of Name of Component Manufacturer Manufacturer Serial No.
National board No, Other Identification Year Built
- Repaired, ASME
- Replaced, Code; Stamped or Replacensent (Yes or No)
Water Penn Inn Works 992 1-2 438 N/A 2004 Replaced Yes Water Energy Steel HT# UI 900, Slab 9A, HC# K14 N/A Rib Plate 2004 Replacement No Description of Work: Replace Rib Plate on Jacket Water Channel Test Conducted:
Hydrostatic LI Pneumatic Li Nominal OperatingPressure fl See Remarks Other LII Pressure psi Test Temp.
Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in.,
(2) information in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
This form has been electronically generated.
Date 7-16-04 Sheet I of I
Unit 02 Purchase Order # 0075082 Repair Organization, P.O. No.,Job No., etc.
Type Code Symbol Stamp NPT Authorization No. N-2928 Expiration Date 6-21-OS 7.
8.
N/A
- FORM NIS-2 (Back)
P.O. 0075082 9.
Rerndrks Rib plate is not pressure retaining but is attached to a pressure-retaining component.
Applicable Manufacturers E)ata Reports to be attached
- Jacket Water Channel will be installed on Work Order 596755-01, VT-2 to be performed in accordance with Code Case N-416-2.
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are k~orrectand this replacement conforms to the rules of the ASME Code, Section Xl.
tn~uirotrtptautment Type Code Symbol Stamp Not Applicable Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed Scott Esposito
~
Date 7-16
,20 04
~Oss,,ers Designee. Tote 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 Illinois and employed by HSB CT.
of Hartford, çT
~.
have inspecte4~.the onents described in this Owners Report during the period
~.
~
.~to 7//b fi
, and state that to the best ofmy knowledge and belief, the ~wt~erhas performed examinations and tak~ico4ective measures described in the Owners Report in accordance with the requirements ofthe ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employermakes 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
~
Commissions Na,nutR~~vrnue~ndEn~ornemen,s Date
, 20 p/
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Name 4300 Winfield Road, Warrenville, IL 60555 Address 2.
Plant Byron Nuclear Power Station Name 4450 N. German Church Road. Byron, IL 61010 Address Work Performed by Energy Steel & Supply Co.
Name 2715 Paldan Dr., Auburn Hills, Ml 48326 Address Date 05/12/05 Unit 0
I Purchase Order No. 00084875 TypeCode Symbol Stamp Not Applicable Authorization No.
Not Applicable Expiration Date Not Applicable 4.
Identification of System Diesel Generator IDG1 - Scare 5.
(a)
Applicable Construction Code Section Ill 1974 Edition, S75
- Addenda, None Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacement Components 19 89 (c)
Section Xl Code Cases used, None 6.
Identification of Components Repaired or Replaced and Replacement Components F
I National Name of Name of Manufacturer Board Other Component Manufacturer Serial No.
No.
identification I
Year Built ASME
- Repaired, Code
- Replaced, Stamped or (Yes or No)
Replacement Jacket Water Cooler Cover Cooper Energy Services NBN 33533-1 N/A JW CoolerS/N 9-20003-06-5 Cat ID 1390433-1 1979 Repaired No Jacket Water Cooler Cover Cooper Energy Services NBN 33537-1
N/A JW Cooler S/N 9-20003-07-5 Cat ID 1390433-1 1979 Repaired No Jacket Water Cooler Cover Cooper Energy Services NBN 33537-2 N/A JW Cooler S/N 9-20003-075 Cat ID 1390433-1 1979 Repaired No Jacket Water Cooler Cover Cooper Energy Services NBN 33538-2 N/A JW Cooler S/N 9-20003-07-6 Cat ID 1390433-1 1979 Repaired No 7.
Description of Work Machine Spare Diesel GeneratorJacket Water Cooler Covers 8.
Test Conducted:
Hydrostatic LI Other LI Pneumatic LI Nominal Operating Pressure LI psi Test Temp
°F Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/z in. x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
Sheet 3.
of I
Repair Organization, P.O. No., Job No., etc.
N/A Pressure
FORM NIS-2 (Back) 9.
Remarks Purchase Order No. 00084875 Applicable Manufacturers Data Reports to be attached CERTIFICATE OF COMPLIANCE I
We certify that the statements made in the report are correct and this REPAIR conform to the rules of the ASME Code, Section Xl.
repair or replacement Type Code Symbol Stamp Not Applicable Certificate of Au orization No.
Not Applicable Signed
~1~E~j_
Date
.c/1?
, 20 v5~
Owners Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by HSB CT of Hartford, CT have inspected the components described in this Owners Reportduring the period to
,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section Xl.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report.
Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property çiamage or a loss of any kind arising from or connected with this inspection.
Commissions Inspectors Signature National Board, State Province, and Endorsements Date:
/1 20 __________
(Final)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section XI Address 3.
Work Performed by Byron Mechanical Maintenance Name 4450 N. German Church.Roa~j~yron,II.
Date 2/2/05 Sheet I
Unit 01 Work Order No. 00734956-01 of I
Repair Organization, P.O. No., Job No,, etc.
Type Code Symbol Stamp Not Applicable Authorization No. Not Applicable Expiration Date Not Applicable 7.
Description of Work REPLACE RELIEF VALVE WITH NEW BENCH TESTED RELIEF VALVE 8.
Test Conducted:
Hydrostatic Eli Pneumatic Eli Nominal Operating Pressure
~
Other Eli Pressure 30.5 psi Test Temp.
70
°F Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (I) size is 8-1/2 in. x II in.,
(2) information in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
This form has been electronically generated.
1.
Owner Exelon Nuclear Name 4300 Winfield Rd. Warrenville, IL 60555 Address 2.
Plant Byron Nuc!ear Power Station Name 4450 N. German Church Road, Byron, II.
Address 4.
Identification of System
[DOJ DIESEL OIL 5.
(a) Applicable Construction Code Section III 1977 Edition, S/77 Addenda,N/A (b) Applicable Edition of Section XI Utilized for Repairs or Replacement Components 19 89 (c) Applicable ASME Section XI Code Cases: _~p~_
6.
Identification of ComponentsRepaired or Replaced and Replacement Components Code Case Name of Coeeponent Nameof Manufacturer Manufactwcr Serial No.
National Board No.
Other Identification
- Yea, Balk
- Repaired,
~
or Replacement ASME Code; St~p~j (Yes or No)
RELIEF CROSBY N62578-OO-0012 N/A ETh:IDO2OB 1980 REPLACED YES VALVE VALVE RELIEF CROSBY N62578-0O-00I3 N/A CAT ID# 27081 1980 REPLACEMENT YES VALVE VALVE ETN:IDO20B
FORM NIS-2 (Back) 9.
Remarks Work Order No. 00734956-01
~asu~urersataepoflstoattac CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Replacement conformsto the rules of the ASME Code,Section XI.
Type Code Symbol Stamp NOT APPLICABLE Certificate of Authorization No.
NOT APPLICABLE Expiration Date NOTAPPLICABLE Signed
~
~
~
Date
,20 ~(
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 ILLINOIS and employed by H S B CT of Hartford, CT have inspect9d t)e components described in this Owner s Report during the period
~
ç(
to
, and state that to the best of my knowledge and belief, the gwnef has performed examinations and taf~etcorrectivemeasures described in the Owners Report in accordance with the requirements ofthe ASME Code,Section XI.
By signingthis certificate neitherthe 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 shallbe liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
~,,9
/e4~iii~~(
Commissions
/11 -,~f5V I Spector Sgtuuue Nat,ceul am d.
atePrmu,c, mdEadnuente,,
Date ~
b
,20,~5
FORM NIS.-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section XI Date 11/11/04 Sheet I
Unit 00 Work Order No. 00628982-01 of I
7.
Description of Work REPLACE VALVE WITH A NEW LIKE-FOR-LIKE VALVE 8.
Test Conducted:
Hydrostatic El Pneumatic fl Nominal Operating Pressure
~
Other Eli Pressure 175 psi Test Temp. 70
°F Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x II in.,
(2) information in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
This form has been electronically generated.
1.
Owner Exelon Nuclear Name 4300 Winfield Rd. Warrenville, II. 60555 Address 2.
Plant Byron Nuclear Power Station Name 4450 N. German Church Road, Byron, II.
Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by Byron Mechanical Maintenance Type Code Symbol Stamp Not Applicable Name Authorization No. Not Applicable 4450 N. German Church Road, Byron, II.
Expiration Date Not Applicable Address 4.
Identification of System FIREPROTECTION {FP]
5.
(a) Applicable Construction Code Section III 1974 Edition, W76 Addenda,N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacement Components 19 89 (c) ApplicableASME Section XI Code Cases:
N-416-1 6.
Identification of Components Repaired or Replaced and Replacement Components Nameof Nameof Component Manufacturer Secial No National Board No Other
,a....:n.....~.
1 I
f
- Repaired, J
ASME Year
- Replaced, Code Stamped Built
~
(Yes or No)
VALVE GREENWOOD A-4226 N/A EPNO;P378 1978 R;PLAc;D YES VALVE GREENWOOD N2435I N/A CAT ID# 25887 1988 REPLACEMENT YES
FORM NIS-2 (Back)
Remarks Work Order No. 00628982-01 e
anu cturera ala e~flsto attac CERTIFICATE OF COMPLIANCE Wecertify that the statements made in the report are correct and this REPLACEMENT conforms to the rules of the ASME Code,Section XI.
rnpatrorreptacemn,t Type Code Symbol Stamp NOT APPLICABLE Certificate of Authorization No.
NOT APPLICABLE Expiration Date NOT APPLICABLE Signed
~
~
~
Date j
,20 Q CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Provinceof ILLINOIS and employed by H.S.B. CT.
of Hartford, CT have inspect~1th~,componentsdescribed in this Owner s Report during the period to
, and state that tothe best of my knowledge and belief, the Ocvnef has performed examinations and t~ken4orrectivemeasures described in the Owijers Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificateneither the Inspector nor his employermakes 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 forany personal injury or propertydamage or a loss ofany kind arising from or connected with thisi ec
~
Commissions
///..,,~%b ~(
ort i I sport Sgnat NattenalBunt. ame Prsnuce~ant Eadotsemntta Date 3529
,20 ~79?
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section XI I.
Owner Exelon Nuclear Name 4300 Winfield Rd. Warrenville, II. 60555 Address 2.
Plant Byron Nuclear Power Station Name 4450 N. German Church Road, Byron, II.
Address 3.
Work Performed by Byron Mechanical Maintenance Name 4450 N. German Church Road, Byron, II.
Date 03/01/04 Sheet I
Unit 01 Work Order No. 00402733-01 of I
Repair Organization, P.O. No., Job No., etc.
Type Code Symbol Stamp Not Applicable Authorization No. Not Applicable Expiration Date Not Applicable 7.
Description of Work REPLACEMENT OF VALVE PLUG - IMSO18A 8.
Test Conducted:
Hydrostatic El Pneumatic El Nominal Operating Pressure El N/A Other El Pressure psi Test Temp.
°F Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x II in,,
(2) information in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recordedat the top ofthis form.
This form has been electronically generated.
Address 4.
Identification of System IMS] MAIN STEAM 5.
(a) Applicable Construction Code Section III 1974 Edition, S/74 Addenda,N/A (b) Applicable Edition of Section XI Utilized for Repairs or Replacement Components 19 89 (c) ApplicableASME Section XI Code Cases:
None______
6.
Identification of Components Repaired or Replaced and Replacement Components Code Case Nameof Component Name of Manufacturer Manufacturer Serial No.
National Board No.
Other identification I
- Repaired, Year
- Replaced, Built or Replacement ASME I
Cede; Stamped (Yes or No)
PLUG ANCHOR DARLING S/N: 6 HT: 99730 N/A ETN;1MSOI8A VLVS/N:70-117591 1991 REPLACED YES PLUG FLOW SERVE S/N: Q0092-50-1 N/A ETN;IMSO18A CAT_ID#_29378 2003 REPLACEMENT YES
FORM NIS-2 (Back)
Remarks WORK ORDER 00402733-01 Appitcable Masutacturers Uata Keports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT conforms tothe rules ofthe ASME Code,Section XI.
~
reptaaetttettt Type Code Symbol Stamp Not Applicable Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed c~)~
~0~ar~9~
Date 7/~L//c~a~/,2O~/
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and tj~i~.
State or Province of Illinois and employed by
}ISB CT.
of Hartford, CT have inspected)he 9mponents described in this Owners Repos.
during the period
~/
~,iç/
to
, and state that to the best ofmy knowledge and belief, the O~n has performed examinations andtak(n cofrective measures described in the Owners Report in accordance withthe requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makesany warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report. Furthermore, neitherthe Inspector nor his employer shall be liable in any mannerfor any personal injury or property damage or a loss ofany kind arising from or connected with this ins ction.
~-$~~4 Commissions
/L~ /.ISY I spector a Beast t~tatnal Board, Sene Pwetsc~~
and Ettdorsntantt Date 9%*~/.~
,20 e~i
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section XI I.
Owner Exelon Nuclear Name 4300 Winfield Rd. Warrenville, II. 60555 Address 2.
Plant Byron Nuclear Power Station Name 4450 N. German Church Road, Byron, II.
Address 3.
Work Performed by NWS Technologies, LLC Name 13 IVenture Boulevard, Spartenburg, SC 29306 Date 3/18/05 Sheet I
Unit 01 Work Request No. 00543636-01 of I
Repair Organization, P.O. No., Job No., etc.
Type Code Symbol Stamp VR/NR Authorization No. 632/81 Expiration Date April 3, 2006/April 9, 2006 7.
Description of Work Vendor rebuilt valve, including disc replacement 8.
Test Conducted:
Hydrostatic 111 Pneumatic El Nominal Operating Pressure fil Other El Pressure psi Test Temp.
°F Note: Supplemental sheets in form oflists, sketches, or drawings may be used, provided (I) size is 8-1/2 in. x II in.,
(2) information in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
This form has been electronically generated.
Address 4.
Identification of System MS (MAIN STEAM) 5.
(a) Applicable Construction Code Section III 1974 Edition, N/A Addenda,N/A (b) Applicable Edition of Section XI Utilized forRepairs or Replacement Components 19 89 6.
Identification ofComponents Repaired or Replaced and Replacement Components Code Case Name of Nameof Manufacturer Component Manufacturer Serial No.
National board No.
Other identification Year Built
- Repaired, J
- Replaced, Code; Stamped or Replacement (Yes Sr No)
DISC, VALVE DRESSER IND.
VALVE G/EIAAF56 N/A EPN:
IMSOI5A 1977 REPLACED NO
~J YES DISC, VALVE DRESSER IND.
VALVE ADG24 N/A CAT. JD#
0000016492 2001 REPLACEMENT
FORM NIS-2 (Back)
Remarks W/O# 00678355-01, see attached NVR-I for description of vendor work activities.
Applicable Manufacturers Data Reports to be attached CERTIFICATE OFCOMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT conforms to the rules of the ASME Code,Section XI.
Type Code Symbol Stamp NOT APPLICABLE Certificate ofAuthorization No. NOT APPLICABLE Expiration Date NOT APPLICABLE Signed fJa4A~CA.
Date
~
3o
,20 cç CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectp(rs and the State or ProvInce of JLLINOIS and employed by H S B CT of Hartford, CT have inspectedthe components described in this Owner s Report during the period 9/~~9,//t7 to
, and state that to the best of my knowledgeand belief, the ~wner has performed examinations and ta~en~corrective measures described in the Owners Report in accordance with the requirements ofthe ASME Code,Section XI.
By signingthis 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, neitherthe Inspector nor his employer shall be liable in any manner forany personal injury or propertydamage or a loss of any kind arising from or connected with this ins ection.
Commissions
/11 -.
tssportars Sigrataor Na.ho.tat Based. Sane Pasutsen. and Endennesnettts Date
/
,20
~
FORM NVR-1 REPORT OF REPAIRW REPLACEMENT OF NUCLEAR PRESSURE RELIEF DEVICES Wo oc.~~
- 1. Work performed by:
NWS Technologies, LLC Purchase Order# 00083250 Rev. 1 131 Venture Boulevard, Spartanburg, SC 29306
- 2. Work performed for:
Exelon Corporation, Byron Nuclear Station 3/4. Owner - name, address and identification of nuclear power plant:
Exelon Corporation, Byron Nuclear Station 4450 N. German Church Road Byron, IL 61010 5.. a: Repaired pressure relief device:
Main Steam Safety Valve b: Name of manufacturer:. Consolidated / Dresser c: Identifying nos.
~
3707R BR09598 n/a steam*
6 77
(~~)
fr SIN)
.~
(NB#)
(service)
~SiZ~i.
(yr.built) d: Construction Code:
ASME Section III 1974 n/a n/a 2
(name/section/divIsion)
(edition)
(addenda)
(Code Cases(s))
(Code Class)
- 6. ASME CodiSection Xl applicable forinserviceinspéction:
J9~9
.~
n/a n/a (edition)
(addenda)
(CodeCase(s))
7 ASME Code Section Xl used for repairs, replacements 1989 n/a n/a
- (edition)
(addenda)
(Code Case(s))
11974 n/a
~
.~i::~/a (edition)
(addenda) ~.(CodeCase(s))..._~
- 9. Design iesponsibilities:
n/a
.~....~~
.~~
. ~.
~.
10 11~
Opening pressure 1205 psig Set-pressure adjustment made at NWS Technologies LLC using steam Descnption of work (include name andidentifying numberof replacement parts)
Disassembled, cleaned inspected, lap~4d
&.~W~t
~
ár~iri~t~j1ed t~ti~iiidéni~me
~.i~iodiflcatiohEC#340678,installed
~:.*
anti-vibrationmoditlçatioh.EIC#339-376, installed pre-oSddized X75GØisc,~8Ssembled.
Certified s~t-pressure
andset tighthéss U&n~ti~i~~
.~
~
- 12. Remarks: New disc s/n~ADG24installed.
. NVVS Travéler# 05-34.
CERTIFICATE OF COMPL~NCE I
Cesar V Sierra certify that to the best of my knowledge and belief the statements made in this report are correct and the repair, modificabon or replacement of the pressure reliefdevices described above conforms to Section Xl of the ASME Code and the National Board Inspection Code NVRN and MNR rules National Board Certificate oo,~
632
~touse the VR stamp exphes.
April 3, 2oo6.
Na9onal Board Certificate ofAuthonza~onNo 81 to use MNRM stamp expires
~pril 9,2006
~
~
Manager, QA Date Repair Organization
.f~ithorizedrepr tative Title
- CERTIFICATE OF ~SPEC~O I,
Charles F. ToegelJr.
. holding a yalid;commission issued by The NationalBoard of Boilerand Pressure Vessel Inspectors and certificate of óompetency issued by the jurisdiction of North Carolina arid employed by Hartford Steam Boiler of CT..
....~
of Hartford, CT have inspected the repair, modification or replacement described in this report on *Qmae. ~z~c~ndstate that to the best of my knowledge and belief, this repair, modification or replacement has been completed in accordance with Section Xl of the of the ASME Code and the Nationa! Board Inspection Code VR and ~NRrules.
By signing this certificate; neither the undersigned nor my employer makes any warranty, expressed or implied, concerning this repair, modification orrép!acement described in this report. Futhermore, neitherthe undersigned nor my employer shall be liable in any mannerfor any personal injury, property damage orloss of any kind arising from or connecte is I s n.
NB#8462,A,N,I NC#1073 te ct rsSi
- ure, Commissions (NB (md endorsements),Jurisdiction,& no.)
toR IN~bPMATIONONLY
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section XI Date 3/17/05 Sheet I
of 2 Unit 01 Work Request No. 00627648-01 7.
Description of Work REPLACE VALVE DISC - IMSOI7C 8.
Test Conducted:
Hydrostatic El Pneumatic El Nominal Operating Pressure N/A Other El Pressure psi Test Temp.
Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in.,
(2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
This form has been electronically generated.
1.
Owner Exelon Nuclear Name 4300 Winfleld Rd. Warrenville, II. 60555 Address 2.
Plant Byron Nuclear Power Station Name 4450 N. German Church Road, Byron, II.
Address 3.
Work Performed by NWS Technologies, LLC Name 131 Venture Blvd, Spartanburg, SC 29306 Repair Organization, P.O. No., Job No., etc.
Type Code Symbol Stamp YR / NR Authorization No. 632/81 Expiration Date 4-3-06 /4-9-06 Address 4.
Identification of System MS MAIN STEAM 5.
(a) Applicable Construction Code Section III 1974 Edition, N/A Addenda,N/A (b) Applicable Edition of Section Xl Utilized for Repairs or Replacement Components 19 89 (c) Applicable Section XI Code Cases:_j~~_
6.
Identification of Components Repaired or Replaced and Replacement Components Code Case Nameof Component
Name of Manufacturer Manufacturer Serial No.
Nat,onal board No.
Other Identification I
- Repaired, I
ASME Year i
Replaced.
I Code; Stamped Built or Replacement (Yea orNo)
DISC, VALVE DRESSER IND.
AANOO N/A
~~~908 1981 REPLACED NO DISC, VALVE DRESSER IND.
VALVE ADGI5 N/A IMSOI7C CAT. ID# 0000016492
~2ooI REPLACEMENT YES
FORM NIS-2 (Back)
Remarks WIO# 00627648-0 1, see attached Form NVR-l.
Applicable Manufacturers Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made inthe report are correct and this REPLACEMENT conformsto the rules of the ASME Code,Section XI.
repasrorruplacement Type Code Symbol Stamp NOT APPLICABLE Certificate of Authorization No. NOT APPLICABLE Expiration Date NOT APPLICABLE Signed
~A~
f/~,477~l/~
Date 4/~7
,20 c2(
r CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Boardof Boiler and Pressure Vessel Inspectors and the State or Province of ILLINOIS and employed by ILS.B. CT of Hartford, CT.
/
have inspectejl th,e components described in this Owners Report during the period
~//~~/~V to 4/7/~
,and state that to the best of my knowledge and belief, the (5wn~rhas performed examinations and t~1(eiforrectivemeasures described in the Owners Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificateneither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described inthis Owners Report. Furthermore, neitherthe Inspector nor his employer shall be liable in any manner forany personal injuryor property damage or a loss ofany kin~1arising from or connected with this in~i.~
Commissions
~
/~iV ln~uctoe~s Si~mWre imul S~c u,d Eadormmasa, Date 7
,20 o3
FORM NVR-1 REPORT OF REPAIR~ REPLACEMENTjgi OF NUCLEAR PRESSURE RELIEF DEVICES Wu.bo7~q~j I Work performed by NWS Technologies, LLC Purchase Order # 00083250 Rev 1
131 Venture Boulevard, Spartanburg, SC 29306
- 2. Work performed foC Exelon Corporation, Byron Nuclear Station 3/4. Owner - name, address and identification of nuclear powerplant Exelon Corporation, Byron Nuclear Station 4450 N. German Church Road Byron, IL 61010
- 5. a: Repaired pressure relief device:
Main Steam Safety Valve b: Name of manufacturer:
Consolidated I Dresser c: Identifying nos.
- 3707R BR09608 n/a steam 6
77 (type)
(mfrs S/N)
(NB#)
(service)
- (size)
(yr.built) d: Construction Code:
ASME Section Ill 1974 n/a n/a 2
(name/section/division)
~
(adder~a) ~.
. ~
iCode Class) 6;ASME Code Section Xl applicable for inservice inspection:
1989 n/a ri/arn (edition)
(addenda)
(code Case(s))
- 7. ASME Code Section XI used for repairs, replacements
,Q 1989
. n/a n/a (edition)
(addenda)
(Code Case(s))
- 8. Construction Code used for repairs, replacements:
.~.
1974 n/a n/a (edition)
(addenda)
(Code Case(s))
- 9. Design responsibilities:
n/a
,~.
- 10. Opening pressure:
1175 psi~
Set-pressure adjustment made at:
using steam
- 11. Description ofwokIi nan and iden~ifyingnumbei-of rep ace nent parts):
Disassembled, cleaned, inspec~ted, lapped nozzle & passivated seat area, installed anti-guide-movement modification EC#340678, installed pre-oxidized X750 di,~ssembled,..
Certified set-pressure and seat tightness using steam.
- 12. Remarks: New disc s/n ADG15 installed. NWS Traveler# 05-37.
CERTIFICATE OF COMPLIANCE I,
Cesar V. Sierra certify that to the best of my knowledge and belief the statements made in this report are correct and the repair, modification or replacementof the pressure reliefdevices described above conforms to Section )U*of the ASME Code and the National Board Inspection Code I~VRNand NR rules National Board Certificate of Authorization No.
. 632
.~ to use the !VR stamp expires April 3, 2006.
Na9onal Board Certificate of Authorization No.
81 to use sta p expires April 9, 2006.
NWS Technologies, LLC Manager, QA Date
.Repair Organization
~horized ntative Tide CERTIFICATE OF INSPECTION I,
Charles F. Toegel Jr.
holding a valid commission issued by The National Board of Boiler and Pressure Vessel Inspectors and certificate of competency issued by the jurisdiction of North Carolina and employed by Hartford Steam Boiler of CT of Hartford, CT have inspected the repair, modification or replacement described in this report on g1iZaR. Zeso~andstate that to the best of my knowledge and belief, this repair, modification or replacement has been completed in accordance with Section Xl of the of the ASME Code arid the National Board Inspection Code VR and NR rules.
By signing this certificate, neither the undersigned nor my employer makes any warranty, expressed or implied, concerning this repair, modification or replacement described in this report. Futhermore, neither the undersigned.
n6r my employer shall be liable in any manner for any personalinjury, prope~rtydamage or loss of any kind arising from or connected~ithtJ?is ins n.
4 NB # 8462, A, N, I NC# 1073 te I
pe ors Sign~ ure Commissions (NB (md endorsements), Jurisdiction,& no.)
~
I, D?
110761
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Name 4300 Winfield Rd, Warrenville, II. 60555 Address 2.
Plant Byron Nuclear Power Station Name 4450 N. German Church Road, Byron, II.
Date 3/17/05 Sheet I Unit 01 Work Reanest No. 00629713-01 Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by NWS Technologies, LLC Type Code Symbol Stamp VRJNR Name Authorization No. 632/81 131 Venture Blvd, Spartanburg, SC 29306 (See Remarks) Expiration Date 4/3/06 / 4/9/06 Address 4.
Identification of System MS
- MAIN STEAM 5.
(a) Applicable Construction Code Section III 1974 Edition, N/A Addenda,N/A (VALVE) Code Case 1974 SJW N/A (PIPE)
(b) Applicable Editionof Section XI Utilized forRepairs or Replacement Components 19 89 6.
Identification of Components Repaired or Replaced and Replacement Components Description of Work REPLACE VALVE DISC & REPLACE INLET FLANGE STUD/NUTS Test Conducted:
Hydrostatic fl Pneumatic LI Nominal Operating Pressure fl N/A Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (I) size is 8-1/2 in. x II in.,
(2) information in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
of I
Name of Cona~,onent DISC, VALVE National Nameof Manufacturer board Manufacturer SerialNo.
No.
DRESSER IND.
- Repaired, I
ASME Other Year
- Replaced, Code; Stanq,ed Identification Built orReplacement (Yes4,rNo)
EPN:IMSOI5D VALVE ADB69 N/A 2000 REPLACED YES DISC, VALVE DRESSER IND.
VALVE ADG32 N/A EPN:IMSOI5D 2001 REPLACEMENT YES ROD THREADED SA193/B7 TEXAS BOLT CO KV-42 HT# 11260 N/A EPN:IMSOI5D 1981 REPLACED NO RODTHREADED SA193/B7 NOVA MACH.
PROD.
HTCODE D422 HT# 13853 N/A EPN:IMSOI5D 2002
REPLACEMENT NO NUT SA194 2H TEXAS BOLTCO KV-46 HT# Y12439 N/A EPN:IMSOI5D 1981 REPLACED NO NUTSAI942H CARDINAL IND.
PROD.
HTCODE4 -
HT# 507699 N/A EPN:IMSOI5D 1981 REPLACEMENT NO 7.
8.
Other El Pressure psi Test Temp.
This form has been electronically generated.
FORM NIS-2 (Back) 9.
Remarks W/O# 00629713-01 Applicable Manutacturers Data Reportsto be attached NOTE: Byron Mechanical Maintenance performed the replacement of the Inlet Studs/Nuts Address: Byron Mechanical Maintenance 4450 N. German Church Rd, Byron IL 61010 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT conforms tothe rules ofthe ASME Code,Section XI.
repan o,,,ptacemna Type Code Symbol Stamp NOT APPLICABLE Certificate of Authorization No.
NOT APPLICABLE Expiration Date NOT APPLICABLE Signed
~c~r-(
Date
,20 c9.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 ILLINOIS and employed by II.S.B. CT of Hartford, CT.
have inspected the components descnbed in this Owners Report during the period
.ØD/# V ~
to 4/,,/f
, and state that to the best of my knowledge and belie~th(Ownerhasjefformed examinations and tak~ncorrective measures described in the Owners Report in accordance with the requirements ofthe ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report. Furthermore, neither the Inspector nor his employer shall be liable in any mann~rfor any personal injury or property damage or a lossof any kind arising from or connected with this ~
Commissions
<~~zs-q Inspectors Sipeatwr atienat ucard.
asePro,ince, usdEadorsrm,nts Date
,j
,20 ~5
FORM NVR-1 REPORT OF REPAIR ~
REPLACEMENT ~
OF NUCLEAR PRESSURE RELIEF DEVICES
~ai.
VYt)
Ou~g-~v~-o,
- 1. Work performed by:
NWS Technologies, LLC Purchase Order # 00083250 Rev. 1 131 Venture Boulevard, Spartanburg, SC 29306
- 2. Work performed for:
Exelon Corporation, Byron Nuclear Station 3/4. Owner - name, address and identification of nuclearpower plant:
Exelon Corporation, Byron Nuclear Station 4450 N. German Church Road Byron, IL 61010 5~a: Repaired pressure relief device:
Main Steam Safety Valve b: Name of manufacturec.
Consolidated/ Dresser c: Identifying nos.
3707R BR09601 n/a steam 6
77 (type)
(mfrsS/N)
(NB#)
(service)
(size)
(yr.built) d: Construction Code:
ASME Section III 1974 n/a
- nk 2
~name/seWdnnsion)
(edj~On1
.. (addenda),
. (Code Cases(s))
(Code C!ass)
- 6. ASME COde SectionXl applicable for inservice inspec~:
1989 0
. (edition)
(~jep4a) *.~
(Code Case(s)).
- 7. ASME Code Section Xl used for repairs, replacem~Is~
.~
1989
. n/a
.~
nia (edition)
(addenda)
((~~Case(s))
8 Construction Code used for repairs replacemQ~
-~
--~-1974___.~
-n/a
~--
n/a (editiOn)
(adCtsflda)
~
(COdeCase(s))_~_
- 9. Design responsibilities:
ri/a
~
...~
~..
~.
10 Opening pressure 1205 pslg Set-pressure adjustment made at
~
NWS Technologies, LLC using steam 11 Descnption of work (Include name and klentifyfrig numberofre~,ceme0tparts)
Disassembled, cleaned, Inspected, lapped nozzle & p~ssivatedseat area, Installed anti-guide-movement modification EC#340678, installed
-~~~--~--r---*
pce-oxidi+/-edX750 disc.assérflbied:.
.~.
..s~.
...~
Certified set-pressure and seattightness usingsteam.
- 12. Remarks: New disc s/n ADG32 installed. NWS Tra~eler# G5-38.
i~.
CERTIFICATE OF COMPLIANCE I,
Cesar V. Sierra
.: certify thatto the best of my knowledge and belief the statements made in this report are correctand the repair,~modification or replacement ofthe pressure roriefdevices desOribéjj above..
conforms to Section Xl of the ASME Code and the National Board Inspection CodeVR and NR rules.
National Board Certificateof Authorization No.
. 632
.. to use the !VR stamp expires April 32006 Nati n I Board Certificate ofAuthorizaticn No.
- Øj
.~ to use th NRM sta expires April 9, 2006.
NWS Technologies,.LLC Manager, ~
Date RepairOrganization A~ythotIzedrep ntative Title CERTIFICATE OF. INSPECTION Charles F. Toegel Jr.
holding a valid commission Issued by The National Board of Boilerand Pressure Vessel Inspectors and certificate of cOmpetency issued by the jurisdiction of North Carolina and employed by Hartford Steam Boiler of CT of Hartford, CT have inspected the repair, modification or replacement described in this report on 99R,~o.5orandstate that to thebestof my knowledge.and belief, this repair, modification orreplacement has been completed in accordance with Section Xl of the of the ASME Code and the National Board Inspection Code VR~and NR rules.
By signing this certificate, neither the undersigned r~ormy employermakes any warrarity, expressed or implied, concerning this repair, modification or replacement descnbed in this report Futhermore neitherthe undersigned nor my employershall be liable in any mannerfor any personal injury, property damage or loss of any kind arising from oiconnected~yith~isi on.
EJgJc~
NB # 8462, A, N, I NC# 1073
/ rate (S Si atüre~
. Commissions (NB (mciendorsements), Jurlsdlction,& no.)
~.
-iO761~
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section Xl Address 2.
Plant Byron Nuclear Power Station Name 4450 N. German Church Road, Byron, II.
Address 3.
Work Performed by NWS Technologies, LLC Name 131 Venture Blvd, Spartanburg, SC 29306 Date 3/18/05 Sheet 1
Unit 01 Work Order No. 00645648-01 of 1
Repair Organization, P.O. No., Job No. etc.
Type Code Symbol Stamp VRJNR Authorization No. 632/81 Expiration Date 4/3/06 I 4/9/06 Test Conducted:
Hydrostatic jj PneumaticEl Nominal Operating Pressure
~
Other El Pressure 1071 psi Test Temp.
555 Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in.,
(2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
This form has been electronically generated.
1.
Owner Exelon Nuclear Name 4300 Winfield Rd. Warrenville, II. 60555
~ooress 4.
Identification of System MS MAIN STEAM 5.
(a) Applicable Construction Code Section ill 1974 Edition, NO Addenda,N/A (b) Applicable Edition of Section Xl Utilized for Repairs or Replacement Components 19 89 6.
Identification of Components Repaired or Replaced and Replacement Components Name of Nameof Manufacturer Component Manufacturer Serial No, DISC, VALVE DRESSER IND.
ADG19 VALVE Code Case Nat,onol Board No.
N/A Other
- Repaired, Year
YES DISC, VALVE DRESSER 1ND.
VALVE ADG44~
N/A IMSOI7A VLV S/N BR09606 2001 REPLACEMENT YES SPRING DRESSER IND.
VALVE D N/A 1MSOI7A VLV S/N BR09606 1977 REPLACED NO SPRING DRESSER IND.
VALVE 44802-1..
N/A 1MSOI7A VLV S/N BR09606 2004 1977 2004 REPLACEMENT NO SPRING WASHER DRESSER IND.
VALVE 6016027 N/A 1MSOI7A VLV S/N BR09606 REPLACED NO SPRING WASHER DRESSER IND.
VALVE HN#78799 N/A 1MSOI7A VLV S/N BR09606 REPLACEMENT NO SPRING WASHER DRESSER IND.
VALVE 114711 N/A IMSOI7A VLV S/N BR09606 1977 REPLACED NO SPRING WASHER DRESSER IND.
VALVE HN#78799 -
N/A 1MSO17A VLV S/N BR09606 2004 REPLACEMENT NO Description of Work REBUILD VALVE, REPLACE DISC, SPRING & WASHERS 7.
8.
FORM NIS-2 (Back)
RemarksWO# 00645648-01 I~pplIcaoIe~anu~ac,urer S uaza ~eportsto ye at,acneo CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT conforms to the rules of the ASME Code,Section XI.
rep*orrepiacame,d Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable Expiration Date Not Applicable Signed
ç~~
~
Date_________,2Oc~ç 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 Illinois and employed by__HSB CT.
of Hartford, CT have inspepte~.the components ciescribecl in this Owners Report during the period
- ~/~,ç to
,and state that to the best of my knowledge and belief, the cD~nerhas performed examinatton~and taken corrective measures described in the Owners Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report. Furthermore, neither the Inspector nor his employpr shall be liable in any manner for any personal injury or property damage or a loss of any kind ising fr m or c nected with this inspection.
~
Commissions Date ~
3/
,20 /~
FORM NVR-1 REPORT OF REPAIRg REPLACEMENT OF NUCLEAR PRESSURE RELIEF DEVICES Wi)
~
i
- 1. Work performed by:
NWS Technologies, LLC Purchase Order# 00083250 Rev: I 131 Venture Boulevard, Spartanburg, SC 29306
- 2. Work performed for:
Exelon Corporation, Byron Nuclear Station 3/4. Owner - name, address and identification of nuclear power plant:
E~eIonCorporation, Byron Nuclear Station 4450 N. German Church Road Byron, IL 61010
- 5. a: Repaired pressure relief device:
Main Steam Safety Valve b: Name of manufacturer:.
Consolidated/ Dresser c: Identifying nos.
- 3707R BR09606 n/a steam 6
77 (type)
(mfrsS/N)
(NB#)
(service)
(size)
(yr.built) d: Construction Code:
ASME Section Ill 1974 n/a fl/a
~
2 (name/section/division)
- (edition)
- ~addenda)
(Code Cases(s))
. (Code Class) 6 ASME Code Section Xl applicable for inservice Inspection 1989 n/a n/a
,~.
(edition)
(addenda)
(Code Case(s))
- 7. ASME Code Section Xl used for repairs, replacements~
0 1989 n/a n/a (edition)
(addenda)
(Code Case(s))
- 8. Construction Code used for repairs, replacements:
1974 r,a ri/a (edition)
(addenda)
-~ (Code Case(s))
- 9. Design responsibilities:
n/a
~
.1
- 10. Opening pressure:
1175 psig Set-pressure adjustment made at:
NWS Techno~iés,LIC using
- steam 11 Description of work (include name and Identifying numberof replacement parts)
Disassembled cleaned, Inspected i~pednozzle & passivated seat~rea,installed anti-guide-movement modification EC#340678t.rnstaljed
~..
.anti-vibratin mc$di~cationEC#339376 installed pre-oxidized.X.750 disc, replacedspring/washers, assembled. -.
- Certified set-pressure and seat tightness using steam.
- 12. Remarks: New discs/n A0G44 & spring s/n 442802-1 installed. NWSTraveler #05-35.
CERTIFICATE OF COMPLIANCE I,
Cesar V. Sierra certify that to the bóstof piy knowledge and beliefthe Ctatements made in this report are correct and the repair, modification or replacement of the pressure re!iefdevices described above conforms to Section Xl of the ASME Code and the National Board Inspection CodeVR and nNRN rules.
National Board Certificate of Authorization No.
632 to use theVR stamp expires ApiiI 3,2006.
Nati n I Board Certificate of Authoriz~tionNo.
81 to useth NRstamp expires April 9,2006.
NWS Technologies, LIC Manager, QA Date RepairOrganization.
~JthOthed rep ntative.
r~tje CERTIFICATE OF4NSPECTION I,
Charles F, Toegel Jr.
holding a valid commission issued by The National Board of Boiler and Pressure Vessel Inspectors and certificate of competency issued by theJurisdiction of North Carolina andemployed by Hartford Steam Boiler of CT..
~.
of Hartford, CT have inspected the repair, mOdification or replacement described in this report on ?~~2,zo~c and state that to the best of my knowledge and belief, this repair, modification or replacement has been completed in accordance with Section Xl of the of the ASME Code and the National Board Inspection Code VR and NR rules.
By signing this certificate, neither the undersigned nor my employer makes any warranty, expressed or implied, concerning this repair, modification or replacement described in this report. Futhermore, neither the undersigned nor my employer shall be liable in any mannerfor any personal injury, property damage or loss of any kind arising from or connecte~~ith t~pisinJpec~n..
~ lo S
~
NB # 8462, A, N, I NC# 1073 D~te
~V spe r Sig~ture
~
Commissions (NB (mci endorsements),Jurisdiction,& no.)
)
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl 1.
Owner Exelon Nuclear Name Date 03/17/05 4300 Winfield Rd. Warrenville, IL 60555 Address Sheet 1
of 1
Byron Nuclear Power Station Name 4450 N. German Chruch Rd. Byron, IL 61010 Address 3.
Work Performed By NWS Technologies, LLC WORK ORDER 00732377-01 Repair Organization P.O., Job No., etc Type Code Symbol Stamp VR, NR Authorization No.
632 /81 Expiration Date 04/03/06 / 04/09/06 4.
Identification of System MS - MAIN STEAM 5.
(a)
Applicable Construction Code Section Ill 19 74 Edition, N/AAddenda, N/A Code Case (b)
Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 (c)
Section XI code Cases used, N/A 6.
Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No Other Identification Year Built
- Repaired, Replaced, or Replacement ASME Code Stamped (Yes or No)
- DISC, VLV.
DRESSER IND ADG16 N/A EPN:1MSOI7B 2001 REPLACED YES DISC, VLV.
DRESSER IND ADG29 N/A 1
EPN:IMSO17B 2001 1
REPLACEMENT YES 7.
Description of Work SB-637 INCONNEL X-750 MATERIAL 8.
Test Conducted:
n/a Hydrostatic LI Pneumatic Other LII Pressure LII Nominal Operating Pressure psi Test Temp.
LI NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size isS 1/2 in. x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the numberof sheets is recorded at the top of this form.
2.
Plant Unit 01 131 Venture Blvd. SDartanbum, SC 29306 Address REBUILD VALVE & TEST AT VENDOR, INSTALL NEW DISC MATERIAL,
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Back 9.
Remarks WO#00732377-01 Applicable Manufacturers Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT conform to the repair or replacement rules of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable Signed
~3~
S~&~C~-~
Date 3JJ CI
,20 V5
\\~J
(~~~or Owner~sDesignee 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 of Province of Illinois and employed by H S B CT of Hartford CT Ha,ve jpspected the components described in this Owners Report during the period to
~
, and state that to the best of my knowledge and belief, the O~erhas per(orthed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code Section Xl By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property,Øam~g~
or a loss of any kind arising from or connected with thisjnspection.
Commissions
,J1 ~-/l~Y Inspectors Signature National Board, State, Province, and Endorsements Date 7/f&111(.3/
,20
~73
FORM NVR-1 REPORT OF REPAIR ~
REPLACEMENT OF NUCLEAR PRESSURE RELIEF DEVICES
~
- 1. Work performed by: NWS Technologies, LLC Purchase Order# 00083250 Rev. 1 131 Venture Boulevard, Spartanburg, SC 29306
- 2. Work performed for:
Exelon Corporation, Byron Nuclear Station 3/4. Owner - name, address and identification of nuclear power plant Exelon Corporation, Byron Nuclear Station 4450 N. German Churnh Road Byron,IL 61010
- 5. a: Repaired pressure relief deviç&
Main Steam Safety Valve b: Name of manufacturer~ Consolidated / Dresser c: Identifying nos.
3707R (type)
BR09607 n/a (NB#)
steam (service) 6 (size)
(mffs S/N) d Construction Code ASME Section III (name/section/division) 1974 n/a (edition)
(adaenda)
(cod n/a e Cases(s))
77 (yr.built) 2.
- 1 (Code Class)
- 6. ASME Code Section Xj applicable for inservice insp~Jion:
1989 n/a n/a (edition)
(addenda)
(Code Case(s))
- 7. ASME Code Section Xl used for repairs, repIacernent~
1989
- n/a n/a (edition)
(addenda)
(Code Case(s))-
8 Construction Code used for repairs, replacements
-n--
~
1974 -----
n/a
~_
nJa~J~
(edition)
(addenda)
(Code Case(s))
- 9. Design responsibilities:
n/a 0
10.
11.
Opening pressure:
1175 psig Set-pressure adjustment made at N~ Technologies, ~C using steam Description of ~vrk(indude,name a de~tiIS,ingnumber of,epia*erp4atts):
Disassembled, cleaned, inspected, lapped nozzle & assivate~starea, installed anti-.guide-movem nt mo~JificationEC#34067$, installed pre-oxidized X750 disc, assembled.
Certified set-pressure and seat tightness using steam.
- 12. Remarks: New disc s/n ADG29 installed. NWS Traveler #05-36.
-- CERTIFICATE OF COMPLIANCE I,
Cesar V. Sierra
.: certify thatto the bestof my knowledge and belief the St tementsmade in this reprt are correct and the repair, modification or replacement of the pressure relief devices described above conforms to Section Xl of the ASME Code and the National Board Inspection Code VRand NRrules National Board Certificate of Authorization No.
- 632.
to use the VRstamp expires April 3, 2006.
Na~onalBoard Certificate of Authorization No.
81
-to expires
~~p~rll 9,2006.
NWS Technologies, LLC Date Repair Organization I,
Charles F. Toegel Jr.
holding a valid commission issued by The National Board of-Boiler and Pressure Vesiel Inspectors and certificate of-competency issued by the jurisdiction f North Carolina and employed by Hartford Steam Boiler of CT of Hartford, CT have inspected the repair, modification or replacement described in this report on 9 /44R. 2~ocndstate.that to the best of my knowledge and belief, this repair, modification or replacement has been completed in accordance with Section Xl of the of theASME Code and the National Board Inspection Code VR and NR rules By signing this certificate, neither the undersigned nor my employer makes any Warranty, expressed or implied, concerning this repair, modification orreplacement described in this report. Futhermore, neither the undersigned nor my employer shall be liable in any manner for any personal injury, prperty damage oi loss of~n~
kind -
arising from or NB # 8462, A, N, I NC# 1073 ssions (NB (mci endorsements), jurisdiction,& no.)
~ 110761
- Manager, QA Tide
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section XI CORRECTED 1.
Owner Exelon Nuclear Narre 4300 Winfield R& Warrenville, IL 60555 Address 2.
Plant Byron Nuclear Power Station Nan~
4450 N. German Church Road, Byron, Ii.
Address 3.
WorkPerformed by NWS Technologies,LLC Name 131 Venture Blvd, Spartanburg, SC 29306 of 1
RepairOrganizalum, P.O. No.. Job No.. etc.
Type Code Symbol Stamp NR Authonzation No. NB-81 Expiration Date 4/9/03 Address 4.
Identification of System MAIN STEAM EMS]
5.
(a)
Applicable Construction Code Section III 1974 Edition, No
- Addenda, None Code Case (b) ApplicableEdition of Section XI Utilized forRepairs or Replacement Components 19 89 Identification of Components Repaired or Replaced and Replacement Components 6.
7.
Description of Work: REPLACE VALVE DISC IMSO15D 8.
Test Conducted:
Hydrostatic 0 Pneumatic [J Nominal Operating Pressure 0 N/A Other 0 Pressure psi Test Temp.
°F Note: Supplemental sheetsin form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in.,
(2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numberedand the number of sheets is recorded at the top of this form.
This form hasbeen eIectromcally generated.
Date 10106/00 Sheet I Unit
- 01 Work ReauestNo.
990033305-01
CORRECTED FORM NIS-2 (Back) 0 9.
0 Remarks THIS NIS-2 IS BEING RESUBMITTED TO CORRECT THE REPLACEMENT VALVE DISC AppIicab~eManufactttrers Data Reports to ~ attachal SERIAL NUMBER.
WO 990033305-01 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT conforms to the rules of the ASME Code,Section XI.
r.pI.c.m~e~
t Type Code Symbol Stamp Not Applicable Certificate of Authorization No. NotApplicable Expiration Date Date Not Applicable Signed (~~)
5(;2:*~-~--
~
z/r~
,20 Ot~/
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 Provinceof Illinois and employed by HSB CT of Hartford, Ct.
have inspected,the~pomponentsdescribedin this Owners Report during the period to
, and state that to the best of my knowledge and belief, thlOwlcer has performed examinations and takofi c~frectivemeasures described in the Owners Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report. Furthermore, neither the Inspector nor his employer shall be liable in any mannerfor any personal injury or propertydamage or a loss of any kind arising from or connected with this inspection.
Qt~7 Commissions
,/X1-/~~f h~
~
~
B~d. SI.L, Pflw,,~..d E,,d,e,,,.,nc.
Date,41. /5
,20
~
FORM NVR-1 REPORT OF REPAIR ~
REPLACEMENT ~J OF NUCLEAR PRESSURE RELIEF DEVICES W~) 4Wo~33e5or
131 Venture Boulevard, Spartanburg, SC 29306
- 2. Work performed for~Commonwealth Edison Company, Byron Nuclear S~tion 3/4. Owner - name, address and identification of nuclear power plant:
Commonwealth Edison Company, Byron Nuclear Station 4450 N. German Church Road Byron, IL 61010
- 5. a: Repaired pressure relief device:
Main Steam Safety Valve b: Name of manutacturer~ Consolidated / Dresser C: Identifying nos.
0 3707R BRO 9601 n/a steam 6
77 (type)
(mfrs S/N)
(NB$)
(service)
(size)
(yr.built) d: Construction Code:
ASME Section III 1974 n~a n/a 2
(name/section/division)
(edition)
(addenaa (Code Cases(s))
(Code Class)
- 6. ASME Code Section Xl applicable for inservice inspection:
1989 n/a n/a (editicn)
(addenda)
(Code Case(s))
- 7. ASME Code Section Xl used for repairs, replacements:
1959 n/a n/a (ed~cn)
(addenda)
(Code Case(s))
8 Construction Code used for repairs replacements 1974 n/a n/a (edlmn)
(addenda)
(Code Case(s))
9 Design responsibilities n/a 10 Opening pressure 1205 psig Set-pressure ad~ustmeritmade at NWS Technologies LLC using steam 11 Description of work (include name and identif~ingnumber of replacement pans)
Disassembled replaced disc inspected lapped cleaned lubricated reassembled set-pressure & trnhtness certified 12 Remarks New disc s/n AD869 installed NWS Traveler#00-173 CERTIFICATEOF COMPLIANCE Cesar V Sierra certify that to the best of my knowledge aria beliefthe statemerts made in this report are correct and the repair modification or replacemtn of the pressure relief devices described above conforms to Section Xl of the ASME Code and the National Board lnspectzoi Code VR and NR rules National Board Certificate of Authorization No 632 to use the VR stamp expires April 3 2003 National ~oardCertificate of Authorization No 81 to use the)NR s~szp-exptres April 9 2003 I
I n~
~
~/.~C0ic,~7 Manager. QA date Repair Organization Au9(onzed repte~tative ride CERTIFICATEOF INSPECTI I.
Charles F. Toegel Jr.
holding a valid commission issued by The National Board of Boiler and Pressure Vessel Inspectors and certificate of competency issued by thejurisdiction of North Carolina and employed by Hartford Steam Boiler Inspection & Insurance Co. of Hartford. CT have inspected the repair, modification or replacement described in this report on 3.gp1~2~andstate that to the best of my knowledge and belief, this repair, modification or replacement has been completed in accordance with Section Xl of the of the ASME Coca and the National Board Inspection CodeVR~and HNR rules.
By signing this certificate, neither the undersigned nor my employer makes any warranty, expressed or implied.
concerning this repair, modification or replacement described in this report. Futhermore, neither the undersigned nor my employer shall be liable in any mariner for any personal injury, property damage or loss of any kind arising from orconnected v t this in~,~pctin.
i NB # 8462. A, N, I NC# 1073 Dates ins~ect~es Sig lure Commissions iNS (mci endorsements. gun~&4no.)
~
I i::
FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section XI CORRECTED 1.
Owner Exelon Nuclear Name 4300 Winfield Rd, Warrenville, IL 60555 Address 2.
Plant Byron Nuclear Power Station Name 4450 N. GermanChurch Road, Byron, II.
Address 3.
Work Performed by NWS Technologies, LLC Name 13T Venture BIvd, Spartanburg,SC 29306 Address MAINSTEAM [MS1 Date 10/06/00 Sheet 1
Unit
- fli
~q~tNo~990073554O1
-~
of 1
Repair Organization~P.O. No., JobNo., etc.
Type Code Symbol Stamp NR Authonzation No. NB-Si Expiration Date 4/9/03 7.
Description of Work: REPLACE VALVE DISC IMSO16A 8.
Test Conducted:
Hydrostatic 0 Pneumatic fl Nominal Operating Pressure D N/A Other
~
Pressure psi Test Temp
°F Note Supplemental sheets in form of lists sketches or drawings may be used provided (1) size is 8-1/2 in x 11 in (2) information iii Items 1 through 6 on this report is included on each sheet and (3) each sheet is numbered and the number of sheets is recorded at the top of this form This form has beenelectronically generated.
4~
Identification of System 0
5.
(a)
Applicable Construction Code Section III 1974 Edition, No
- Addenda, None Code Case (b) Applicable Edition of Section XI Utilized forRepairs or Replacement Components 19 89 6.
Identification of Components Repaired or Replaced and Replacement Components Name of Component Nameof Manufacturer Manufacturer Setial No.
National board No.
Other Identification Year Built Repaired.
Replaced.
or Replacement ASME Code. Stamped (Yesor No)
DISC AAM29 N/A 1979 REPLACED NO DISC DRESSER VALVE DIV.
ADCO7 N/A IMSOI6A BR09602 2000 REPLACEMENT NO
CORRECTED FORM NIS-2 (Back) 9.
Remarks THIS NIS-2 IS BEING RESUBMITTED TO CORRECT THE REPLACEMENT VALVE DISC Applicabic Manufacturers Data keports to be attaclatd SERIAL NUMBER.
WO 990073554-01 CERTIFICATE OF COMPLIANCE We certify that the statements madein the report are correct and this REPLACEMENT conforms to the rules of the ASME Code,Section XI.
repair ropiarenunt Type Code Symbol Stamp Not Applicable Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed
~
~
0 Date 7_/13
,20 ~4 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board ofBoiler and PressureVessel Inspectors and the State or Provinceof Illinois and employed by HSB CT of Hartford, Ct.
have inspected the components described in this OwnersReport during the period to
, and state that to the best of my knowledge and belief, the Owneilias performed examinations and i~ke~
corrective measures described in the OwnersReport in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neitherthe 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 forany personal injury or propertydamage or a loss of any kind arising from or connected with this inspection.
Commissions
~
,~q Bnes~StataP,uaee. ~
Date,6. /3
,20 #4
FORM NVR-1 REPORT OF REPAIR ~
REPLACEMENT I~i OF NUCLEAR PRESSURE RELIEF DEVICES wo c~
~
o,
- 1. Work performed by:
NWS Technologies, LLC Purchase Order# 00017280 Rev. 002 131 Venture Boulevard. Spartanburg, SC 29306
- 2. Work performed for~ Commonwealth Edison Company. Byron Nuclear Station 3/4. Owner - name, address and identification of nuclear power plant Commonwealth Edison Company.
Byron Nuclear Station 4450 N. German Church Road Byron, IL 61010
- 5. a: Repaired pressure relief device:
Main Steam Safety Valve b: Name of mariufacturec Consolidated /Dresser c: Identifying nos.
3707R (type)
BRO 9602 n/a
. (NB#)
steam (service) 6 (size) 77 (yi.budt)
(mfrs S/N) d: Construction Code:
ASME Section UI 1974 (edition) n/a (addenca)
(Cod n/a e Cases(s))
2 (Code Class)
(name/section/division)
- 6. ASME Code Section XI applicable for inservice inspection:
1989 n/a (edition)
(addentia
- 7. ASME Code Section Xl used for repairs, replacements:
1989 n/a (eO~tion)
(addenda)
- 8. Construction Code used for repairs, replacements:
1974 n/a (eastion)
(adcenaa)
- 9. Design responsibilities:
n/a,
- 10. Opening pressure:
1190 psig Set-pressure adjustment madeat NWS Technologies. LLC using steam
- 11. Descnption of work (include name and identifying number ofreplacement parts):
Disassembled, replaced disc, inspected. láoped. cleaned, lubricated, reassembled, set-pressure & tightness certified.
- 12. Remarks: New disc s/n ADCO7 installed. NWS Traveler #00-174.
CERTIFICATE OF COMPLIANCE I.
Cesar V. Sierra certify that to the best of my knowledge and beliefthestatements made in this report are correct and the repair, modification or replacemtri of the pressure relief devices descnbed above conforms to Section Xl of the ASME Code and the National Board Inspection Code VR and NR rules.
National Board Certificate of Authorization No.
632 to use the /R stamp expires April 3. 2003.
National1~oardCertificate of Authorization No.
81
,ço,~ethe ~9sta~R,~~ires April 9, 2003.
NWS Technologies, LLC Manager. OA Date Repair Organ*zauon rifle CERTIFICATE OF I,
Charles F. Toegel Jr.
holding a valid commission issued by The National Board of Boilerand Pressure Vessel Inspectors and certificate of competency issued bythe jurisdiction of North Carolina and employed by Hartford Steam Boiler Inspection & Insurance Co. of Hartford. CT have inspected the repair, modification or replacement described in this report on 3o~
2~~andstate that to the best of my knowledge and belief.
this repair, modification or replacement has been. completed in accordance with Section XI of the ofthe ASME Code and the National Board Inspection Code VRu and NR rules.
By signing this certificate, neither the undersigned nor my employermakes any warranty, expressed or implied.
concerning this repair. modification or replacement described in this report. Futhermqçe. neitherthe undersigned nor my employer shall be liable in any mannerfor any personal injury, prope~ft~eor loss of any kind arising from or connected~Itthis insp~tion
/
~
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9/Jo/ac
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NB #8462
,~, I NC# 1073 Date n/a (Code Case~s~)
n/a (Coce Case~s)}
n/a (Coce Case(s))
I Commissions (NB (md endorsements. junsolctxon.& no.;