ML051720500

Day Inservice Inspection Report for Interval 2, Period 3, Outage 1 (B1R13). Part 5

ML051720500
Person / Time
Site:	Byron
Issue date:	06/20/2005
From:	Exelon Nuclear
To:	Document Control Desk, Office of Nuclear Reactor Regulation
References
Download: ML051720500 (40)

Text

FORM NIS-2 (Back)

Remarks Work Order 00624836-01 t~ppocaoleManuracturer S sara Keports to Seatracneo 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 Not Applicable Signed

~

Date

,20 ~

CERTIFICATE OFINSERVICE 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, CT have inspected,thecomponents descnbed inthis Owners Report during the period

,/j~4~

to

, and state that to the best ofmy knowledge and belief, the ø~vnefhas performed examinations and tak(n4orrective measures described inthe Owners Report 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, neitherthe Inspector nor his employer shall be liable in any manner fQr any personal injuryor property damage or a loss of any kindarising from or connected with this inspection.

Commissions___________________________

Date 5~ 3

,20 ~75~

ii

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 03/19/04 Name 4300 Winfield Rd. Warrenville, Ii. 60555 Sheet I of 1

Address 2.

Plant Byron NuclearPower Station Unit 01 Name 4450 N. German Church Road, Byron, II.

Work Order No. 676010..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 ESSENTIAL SERVICEWATER ISXJ 5.

(a) Applicable Construction Code Section III 1974 Edition, S75 Addenda,NONE Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacement Components 19 89 (c) Applicable ASME Section XI Code Cases: _j~4J6-2 6.

Identification of Components Repaired or Replaced and Replacement Components I

Name of Name of Con~oornt Manufacturer Maulkctwer SerialNo.

National Board No.

Other IdentifIcation Year Bulk p~frM~

Replaced.

or Replacement

~5$~{~

Code; Stanqtcd (Yea orNo)

STRAINER DRN HUNTER CORP AAIBNO2 N/A 1WER7AB 1983 REPLACED NO LINE WELD STRAINER DRN EXELONCORP AAJBNO2 IWER7AB 2003 REPLACEMENT NO LINE WELD N/A 7.

Description ofWork CUT PIPE FOR INTERNAL INSPECTION AND RE-WELD SAME PIPE BACK INTO PLACE (PIPE TO COUPLING WELD) 8.

Test Conducted:

Hydrostatic LI Pneumatic 0 Nominal Operating Pressure

~

Other D Pressure 93 psi Test Temp. 71

°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 number of sheets is recorded at the top of this form.

This form has been electronically generated.

FORM NIS-2 (Back)

Remarks Work Order 00676010-01 Applicable Manutacturers Liata Keports to be attaches CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Replacement conformstothe rulesof the ASME Code,Section XI.

Type Code Symbol Stamp Not Applicable Certificate o Authorization No. Not Applicable Expiration Date Not Applicable Signed

~

Date 9/-?

,20 £~4 CERTIFICATE OFINSERVICE 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 mspect,d t)e components described intlus Owner s Report during the period to

, and state that to the best of my knowledge and belief, the ~wnef has performed examinations and t~kei1corrective measures described inthe Owners Report in accordance with the requirements ofthe ASME Code,Section XI.

By signing this certificate neitherthe Inspector nor his employermakes any warranty, expressed or implied, concerning the examinations and corrective measures describedin this Owners Report. Furthermore, neitherthe Inspector nor his employer shallbe liable in any mannet for any personal injuryor propertydamage or a loss of any kind arising from or connected with this Commissions

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~Wrnaat8a~SitePmvarw. rad ha~nnaarnt p4 Siganwe Date~

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FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section XI 1.

Owner F.xelon Nuclear Name 4300 Winfield Rd. Warrenville, II. 60555 Address 2.

Plant Byron Nuclear Power Station Name 4450 N. German Church Road, Byron, II.

Date 08/13/04 Sheet 1

Unit 01 of 1

Work Order No.

00724553-01 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.

Identificationof System Essential Service Water [SX]

5.

(a) Applicable Construction Code Section III 1974 Edition, S76*

Addenda, 1677 (b) Applicable Edition of Section XI Utilized for Repairs or Replacement Components 19 89 6.

Identification of Components Repaired or Replaced and Replacement Components Code Case 7.

Description of Work REPLACE BACK COVER, GLAND PLATE AND CASING STUD FROM PP 822101 AND INSTALL REPLACEMENTS FROM PP 822102-I SXO4P 8.

Test Conducted:

Hydrostatic El Pneumatic 0 Nominal Operating Pressure Other El Pressure 76 psi Test Temp. 75 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.

GLAND PLATE HAYWARD-TYLER GLAND PLATE 386068 HAYWARD-TYLER 147 I

Name of Name of Coteponcri Manufacturer Manufacturer Serial No.

National

~

Other Identification Year Built Repaired.

Replaced, or Replacement ASME Code; S (Yes or No)

BACK COVER HAYWARD-TYLER 75770 147 ISXO4P S/N: 822101 1980 REPLACED No BACK COVER HAYWARD-TYLER 75770 148 ISXO4P S/N 822102 1980 REPLACEMENT No CASING STUD HAYWARD-4252E 147 S/N: 822101 1980 REPLACED No CASING STUD HAYWARD-4252E 148 S/N 822102 REPLACEMENT No 386068 1SXO4P S/N: 822101 148 1980 1SXO4P S/N 822102 REPLACED 1980 No REPLACEMENT No

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This form has been electronically generated.

FORM NIS-2 (Back)

Remarks WORK ORDER 00724553-01 Applicabir Mann heturers Data Reports to be attached

• Originally installed pump was 1974/S76 Ad. This pump was previously replaced with 1977/W77 pump that was reconciled. Replacement activities underThis Work Order 00724553-01 is forthe 1977/W77 pump reconciled to original 1974/S76 code.

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT conforms to the rules ofthe ASME Code,Section XI.

~upirrwr~,taeemeid Type Code Symbol Stamp Not Applicable Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed

~

~

~i,vc~t Date 41/10

,20 j9(

T 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 HSB CT.

of Hartford, CT have inspect~dthpcomponents describedin this Owners Report during the period 5

6#

to

~3Ø~//J

, and state that to the best ofmy knowledge and belief, th erhas performed examinations and ta1~en~orrective measures described inthe Owners Report in accordance withthe requirements ofthe ASME Code,Section XI.

By signing this certificate neitherthe 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 mannerfor any personal injuryor propertydamage or a loss of any kindarising from or connected with this ins cti

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Commissions

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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 11/11/04 Name 4300 Winfield Rd. Warrenville, II. 60555 Sheet 1

of 2

Address 2.

Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Rnad, Byron, II, Work Order No.

00724553-04 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 Essential Service Water [SX]

5.

(a) Applicable Construction Code Section Ill 1977 Edition, W77 Addenda, 1677 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacement Components 19 89 6.

Identification of Components Repaired or Replaced and Replacement Components 7.

Description of Work REPLACE BACK COVER, GLAND PLATE FROM PP 822102 AND INSTALL REPLACEMENTS FROM PP 822101

- 1SXO4P REPLACE CASING STUD AND NUTS FROM STOCK MATERIAL - SPARE PUMP TO BE RETURNED TO STORE ROOM.

8.

Test Conducted:

Hydrostatic El PneumaticEl Nominal Operating Pressure

~

N/A Other El Pressure_______ psi Test Temp.______________

°F Note: Supplemental sheets inform of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in.xll 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.

RemarksWORK ORDER 00724553-04 Appircabte Manutacturers Data Reporta b 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________,20___

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued bythe National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by__HSB CT.

of Hartford, CT have inspecjed th9 components described in this Owners Report duringthe period

/4~#9 to

/4t9/~*7

, and state that to the best of my knowledge and belief, the ~wfierhas performed exafriin~tionsand 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 employer shall be liable in any manner for any personal injury or pro~p~r~y~ama9q,Qr a Ioss~pfany kind arising from or connected with this inspection.

Commissions

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E,~neme,as Date~~~29

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FORM NIS-2 SUPPLEMENTAL SHEET 1.

Owner:

Exelon Nuclear 4300 Winfield Rd.

Warrenvilie, ii. 60555 2.

Plant Byron Nuclear Power Station 4450 N. German Church Road Byron, Illinois 61010 3.

Work Performed by: Byron Mechanical Maintenance Name 4450 N. German Church Rd., Byron, IL 61010 Address Sheet2 of 2

Date Unit 00 Work Order 00724553-04 P.O. No., WO No., etc.

Type Code Symbol Stamp Not Applicable Authorization No.

Not Applicable Expiration Date Not Applicable 4.

Identification of SystemSX

- ESSENTIAL SERVICE WATER 5a. Applicable Construction Code 1977 Edition W77 Addenda Code Cases 1677 5.b Applicable Edition of Section Xl utilized 19 89 Edition NP Addenda 6.

Identification of Components Repaired or Replaced and Replacement Components.

Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No.

Other tdentiflcation Year Built Repaired.

Replaced.

or Replacement ASME Cede; Stamped (Yesor No)

CASING STUD HAYWARD-TYLER 4252E N/A 1/2SXO4P SPARE S/N: 822102 1980 REPLACED NO CASING STUD NOVA Machine Products HI #: 7404456 CODE: F469 N/A 1/2SXO4P SPARE S/N: 822102 2002 REPLACEMENT NO CASING NUTS HAYWARD TYLER 7104K N/A 1/2SXO4P SPARE S/N: 822102 1980 REPLACED NO CASING NUTS NOVA Machine Products HEAT#: 8970515 CODE: TBQ N/A 1/2SXO4P SPARE S/N: 822102 2000 REPLACEMENT NO CASING NUTS NOVA Machine Products HT#: 83038 CODE: FBG N/A 1/2SXO4P SPARE S/N: 822102 1997 REPLACEMENT NO (Final)

FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section Xl 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 11/18/04 Sheet I

Unit 00 of I

Work Order No. 00729039-01 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 SX-Essential Service Water 5.

(a) Applicable Construction Code Piping ASME Section Ill 1974 Edition, W/74 Addenda,NONE Valve ASME Section Ill 1986 EdiE~I987Addenda, NONE Code Case (b) Applicable Edition of Section XI Utilized forRepairs or Replacement Components 1989 6.

Identification of Components Repaired or Replaced and Replacement Components Code Case Name of Name of ConWonent Manufacturer I

Nationat Manufacturer Board Serial No.

No.

Repaired, ASME Other Year

Replaced, Code; Stamped tdentiftcation Buitt or Replacement (Yes or No) 2 Gate Valve Flowserve S/N# 73BAF N/A Cat ID 1398879 0SX255A 2004 Replacement YES 2 Seamless Pipe Consolidated Power Supply HT# 29628 N/A Cat ID 26883 OSXM2A-2 2002 Replacement NO Sockolet, Pipe, Flat x 2 Condolidated Power Supply FIT# 3 I46ANB N/A Cat ID 1401166 OSXM2A-2 2004 Replacement NO 7.

Description of Work Install piping and vent valve 8.

Test Conducted:

Hydrostatic El Pneumatic El Nominal Operating Pressure

~

Other Eli Pressure 92% basin level, see remarks Test Temp. 71.2 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,

FORM NIS-2 (Back)

Remarks WO #00729039-01, VT-2 leak test performed with 92% SX basin level with SX in normal lineup.

Applicable Manufacturers Data Reports to be anached I

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms tothe rules of the ASME Code,Section XI.

Type Code Symbol Stamp Not Applicable Certificate of Authorization No.

Not Applicable Expiration Date Not Applicable Signed (j~ja~n-d~

/~i~Ac!ooiqi~/)4rr?fr...

Date

/2

- 3

,20 g CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National BoardofBoiler and PressureVessel Inspectors and the State or Province of Illinois and employed by HSB CT.

of Hartford, CT have inspected the 9omponents described in this Owners Report during the period

/j~ /1p~

to

~

4/

, and state that tothe best ofmy knowledge and belief, the has performed examinations and takenco,fective measures described inthe Owners Report in accordance with the requirements ofthe ASME Code,Section XI.

By signingthis certificate neitherthe Inspector nor his employermakes 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 ofany kind arising from or connected with this ins ti n.

Commissions

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taspecs sSigauflee

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Date

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,20 1~q

FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section XI Owner Exelon Nuclear Date 3/12/05 Name 4300 Winfield Rd. Warrenville, II. 60555 Sheet 1

of 2

Address 2.

Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, II.

Work Order No. 00741160-01 Address RepairOrganization, 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 SX ESSENTIAL SERVICE WATER 5.

(a) Applicable Construction Code Section Ill 1974 Edition, S75 Addenda,N/A Code Case (PIPE) a)

Applicable Construction Code Section III 19 77 Edition,WTh Addenda,N/A Code Case (1SX210212103A) a)

Applicable Construction Code Section III 1980 Edition, S80 Addenda,N/A Code Case (1SX1O1A) a)

Applicable Construction Code Section III 19 86 Edition, 87 Addenda,N/A Code Case (Replacement Valves 1SX2102/2103A)

(b) Applicable Edition of Section Xl Utilized for Repairs or Replacement Components 19 89 (c) Applicable ASME Section Xl Code Cases:

N-416-2 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) 1-1/2 GLOBE VALVE TARGET ROCK S/N 1 N/A ISXIOlA 1982 REPLACED YES 1-1/2 BALL VALVE ITT GRINNELL 80-52894-4-19 N/A 1SX2102 1981 REPLACED YES 1-1/2 BALL VALVE ITT GRINNELL 80-52894-4-20 N/A 1SX2IO3A 1981 REPLACED YES 1-1/2, SCH. 80 PIPE HUNTER CORP S-SX-100-66 HT#AE N/A 1SX68AA 1984 REPLACED NO 1-1/2, 3000#,

S.W. ELBOW HUNTER CORP S-SX-100-66 HT #1<976 N/A ISX68AA 1984 REPLACED NO 1-1/2, 3000#,

SW. CPLG.

HUNTER CORP S-SX-100-66 HT#BN27 N/A 1SX68AA 1984 REPLACED NO 1-1/2, SCH. 80 PIPE HUNTER CORP S-SX-100-65 HT#AE N/A 1SX67AA 1984 REPLACED NO 1-1/2, 3000#,

SW. ELBOW HUNTER CORP S-SX-100-65 HI #K976 N/A 1SX67AA 1984 REPLACED NO 7.

Description of Work ELIMINATE VALVE 1SX1O1A, REPLACE VALVES 1SX2102 & 1SX21O3A ANDASSOCIATED PIPING 8.

Test Conducted:

Hydrostatic El PneumaticU Nominal Operating Pressure

~

Other El Pressure J~O psi Test Temp.

7 (

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)

Remarks Work Order No. 00741160-01 Appicable Mcsnutaclurers Data Reports le he 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

~1~4fi4~

~W,~A~

o~~J/,U47?j6~-

Date 3~3/

,20 e25 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 described in trns Owners Report during the period to 4/4t/~5

, and statethat to the best of my knowledge and belief, the Owhephas performed examina~n~

and taken 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 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 anyj~ii~d

~ising fr co ed with this inspection.

~, ~J Commissions tflSt*OOtS BO~

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Date

-1

,20 ~6

FORM NIS-2 SUPPLEMENTAL SHEET 1.

Owner:

Exelon Nuclear 4300 Winfield Road Warrenville, Illinois 60555 Sheet2 of 2

Date 3/12/05 2.

Plant Byron Nuclear Power Station 4450 N. Greman Church Road Byron, Illinois 61010 3.

Work Performed by: Byron Mechanical Maintenance Name 4450 N. German Church Rd., Byron, IL 61010 Unit 01 Work Order No. 00741160-01 P.O. No., WO No., etc.

Type Code Symbol Stamp Not Applicable Authorization No.

Not Applicable Expiration Date Not Applicable 4.

Identification of SystemSX ESSENTIAL SERVICE WATER Applicable Construction Code Section Ill 19 74 Applicable Construction Code Section III 19 77 Applicable Construction Code Section III 1980 Applicable Construction Code Section Ill 19 8~

1 SX2102/2103A)

Applicable Edition of Section Xl Utilized for Repairs or Replacement Components 1989 Applicable ASME Section XI Code Cases:

N-416-2 6.

Identification of Components Repaired or Replaced and Replacement Components.

Name of Component Nameof Manufacturer Manufacturer Serial No.

National Board No.

Other Identification Year Built

Repaired, Replaced, or Replacement ASME Code; Stamped (Yes or No) 1-1/2, 3000#,

S.W. CPLG.

HUNTER CORP S-SX-100-65 HT# BN27 N/A 1SX67AA 1984 REPLACED NO 2 GATEVALVE FLOWSERVE UTC-2711963 S/N: 68BBJ N/A CAT ID #1398879

-~

1SX2102 2005 REPLACEMENT YES 2 GATE VALVE FLOWSERVE UTC-2709324 S/N: 87BAS N/A CAT ID #1398879 1SX2IO3A 2005 REPLACEMENT YES 1-1/2, SCH. 80 PIPE EXELON S-SX-100-65 &

S-SX-100-66 HT #98766 N/A CAT ID #24415 (ISX68AA &

1 SX67AA) 2005 REPLACEMENT NO 1-1/2, 3000 #,

SW. ELBOW EXELON S-SX-100-65 &

S-SX-100-66

~

HT #75722 &

75807 N/A CAT ID #25010 (1SX68AA &

1 SX67AA) 2005 REPLACEMENT NO 2 X 1-1/2 SW.

RED. INSERT EXELON S-SX-100-65 &

S-SX-100-66 N/A CAT ID #27291 (1SX68AA&

2005 REPLACEMENT NO 1-1/2, 3000#

SW. CPLG EXELON HT#9410 S-SX-100-66 HT #9410 N/A 1SX67AA)

CAT ID #25082 (1SX68~AA) 2004 REPLACEMENT NO Address 5.(a) a)

a) a)

(b)

(c)

Edition, S75 Addenda,N/A Code Case (PIPE)

Edition, W78 Addenda,N/A Code Case (1SX2102/2103A)

Edition, S80 Addenda,N/A Code Case (ISX1OIA)

Edition, 87 Addenda,N/A Code Case (Replacement Valves (Final)

FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section Xl 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 3.

Work Performed by Byron Mechanical Maintenance Stamp Not Applicable Date

~-I2.--C~

Sheet 1

of 1

Unit 01 Work Order No. 00741160-01 Name Authorization No. Not Applicable 4450 N. German Church Road, Byron, II.

Expiration Date Not Applicable Address 4.

Identification of System SX ESSENTIAL SERVICE WATER 5.

(a) Applicable Construction Code Section Ill 1974 Edition, S75 Addenda,N/A Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacement Components 19 89 6.

Identification of Components Repaired or Replaced ?fld Replacement Components 7.

Description of Work REPLACE U-BOLTS 8.

Test Conducted:

Hydrostatic El Pneumatic0 Nominal Operating Pressure El 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.

Repair Organization, P.O. No., Job No.. etc.

Type Code Symbol a

Name of Name of

• --~--~---~

National Manufacturer Board Serial No.

No.

U-BOLT HUNTER CORP NIA N/A 15X92010R 1984 REPLACED Other

Repaired, Year

Replaced,

~Built or Replacement ASME Code; Stamped Yes or No)

NO U-BOLT HUNTER CORP N/A N/A 1SX93009R 1984 REPLACED NO U-BOLT HUNTER CORP N/A N/A 1SX93OIOR REPLACED NO U-BOLT HUNTER CORP N/A N/A 1SX93014R REPLACED NO U-BOLT EXELON N/A N/A CAT ID #32395 1SX92O1OR 2005 REPLACEMENT NO U-BOLT EXELON N/A N/A CAT ID #32395 1SX93009R 2005 REPLACEMENT NO U-BOLT EXELON N/A N/A CAT ID#32395 1 SX93OIOR 2005 REPLACEMENT NO U-BOLT EXELON N/A N/A CAT ID #32395 1SX93014R 2005 REPLACEMENT NO VT-3 Other ~

Pressure psi Test Temp.

This form has been electronically generated.

FORM NIS-2 (Back)

• 9.

Remarks Work Order No. 00741160-01

~~~~.

~

,~~ be attacfleo 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 Signed liv~c4C~.~

/~i~~e CoO Date cMne~sD~,

ISe Not Applicable

- 3/

,20 05 CERTIFICATE OF INSERVICE INSPECTION 1

I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vess~l Inspeótors 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 period

//J,/~S to

,and state thatto the best of my knowledge and belief, the O4~ne(hasperformed examinatiónIand taken corrective measures described in the Owners Report in accordance with the requirements of the ASME Code, Section Xl.

By signing this certificate neitherthe 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 shall be liable in any manner for any personal injury or property damage or a loss of any kind ~çisingfr m or c nected with this inspection.

Commissions

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iV s Signaure

~

fronr.ce and Endo,sementa Date~~~i

, 20 ~i

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 12-9-04 Name 4300 Winfield Rd. Warrenville, Il. 60555 Sheet I of 1

Address 2.

Plant Byron Nuclear Power Station Unit 00 Name 4450 N. German Church Road, Byron, II.

Work Order No. 00762354-01 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 SX ESSENTIAL SERVICE WATER 5.

(a) Applicable Construction Code Section III 1974 Edition, S/75 Addenda,None Code Case (b) Applicable Edition of Section Xl 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

Manufacturer SerialNo.

National Board No.

Other Identification j

Repaired, Year Replaced.

Built or Replacement ASME Code; Stamped (Yea or No)

VALVE JAMESBURY CORP.

ND-48858-34B N/A 0SX174 1978 REPLACED YES VALVE JAMESBURY CORP.

11334 N/A 0SX174 2004 REPLACEMENT YES 7.

Description of Work VALVE REPLACEMENT.

8.

Test Conducted:

Hydrostatic El Pneumatic El Nominal Operating Pressure

~

VT-2 Other Li 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 number of sheets is recorded at the top of this form.

This form has been electronically generated.

FORM NIS-2 (Back) 9.

RemarksWO# 00762354-01 Applicable Manufacturers Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT 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

~

3c~erso~ee,i~

C~1~4.

Date_______

,20 i9~

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 ~e components described in this Owners Report during the period to

,~f5/f~

, and statethat to the best of my knowledge and belief, the Owfiefhas performed examina~i6nsIndtaken 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 shail be liable in any manner for any personal injury or property damage or a loss of any kin risi from conn with this inspection.

Commisskns

/11~I.cf a

Nat,ona& ~oad.

~t~mce, ad Date

~

20 ~L

FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section XI of 1

Repair Oi~anization,P.O. No., Job No., etc.

Type Code Symbol Stamp Not Applicable AuthorizationNo. NotApplicable Expiration Date Not An~IicabIe Address ESSENTIAL SERVICE WA~T~Dr~y1 7.

Description of Work:

REPLACE CHECK VALVE AND REMOVE CHECK VALVE INTERNALS. SEAL WELD HINGE PIN BUSHINGS TO VALVE BODY Hydrostatic [1 Pneumatic [I]

Nominal Operating Pressure

~

Other Li Pressure 99 psi Test Temp. 74

°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 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 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 05/04/04 Sheet I Unit

. 01 Work Refluest No. 97046300-01 4.

Identification of System

~

5.

(a) Applicable ConstructionCode Section III 1974 Edition, W75

Addenda, NONE Code Case (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 ComponentsRepaired or Replaced and Replacement Components Name of Conço,amt Name of Manithciurer Mnthctwer Serial No.

National board No.

Other Identifleadon Year Built

Repaired, Repbeed, orRcp~ean~

ASME Code; Stazx~,cd JYmorNo)

CHECK VALVE ANDERSON GREENWOOD S/N N26910 N/A ISXII6B 1992 REPLACED YES CHECK VALVE ANDERSON GREENWOOD S/NN26911 N/A 1SXII6B 1992 REPLACEMENT YES HINGE PIN BUSHINGSEAL WELDS ANDERSON GREENWOOD S/NN2691 I N/A ISXI16B 1992 REPLACEMENT NO VALVE DISC ANDERSON GREENWOOD 8069-4 N/A ISXI 16B S/N N2691 I 1992 REPLACEMENT NO HEX HEAD BOLT ANDERSON GREENWOOD N/A N/A ISXI 168 S/N N2691 I 1992 REPLACEMENT NO SLO1TED HEX NUT ANDERSON GREENWOOD N/A N/A ISXI 16B S/NN26911 1992 REPLACEMENT NO 8.

Test Conducted:

FORM NIS-2 (Back) 9.

Remarks Work Request No.

97046300-01 Applicable Manul~cturersData Reports to be attached CERTIFICATE OF COMPLIANCE

~~~1 We certify that the statements made inthe 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 Date Not Applicable Signed

(~yJI~.

t~)~

,20 v.~

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by HSB CT of Hartford, Ct.

have inspected~/he1omj,onentsdescribed in this Owners Report during the period el to ______________________

, and state that to the best ofmy knowledge and belief, th r has performed examinations and takef~c6rrective measures described in the Owners Report in accordance with the requirements ofthe 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, neitherthe Inspector nor his employer shall be liable in any mannerfor any personal injury or property damage or a loss of any kind arising from or connected with

~

Commissions

///-/jcq Date 7

,20 ____

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 Road, Byron, Il.

of I

Repair Organization, P.O. No., Job No., etc.

Type Code Symbol Stamp Not Applicable Authorization No. Not Applicable Expiration Date Not_Applicable Address 4.

Identification of System ESSENTIAL SERVICE WATER [SX}

5.

(a)

Applicable Construction Code Section III 1974 Edition, W75 Addenda,NONE Code Case (b) Applicable Edition of Section XI 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 J

Name of Name of Con~,onent Manufacturer Manufacturer Serial P4o.

National Board No.

I Other Identification Year Built

Repahed, Replaced, or Replacement ASME Code; Sta~eped (Yes or No)

CHECK VALVE ANDERSON GREENWOOD A-I30 N/A ISX0O2B 1978 REPLACED YES CHECK VALVE ANDERSON GREENWOOD A-I091 N95I50-0l-0004 N/A CATID# 1034815 ISXOO2B 1978 REPLACEMENT YES 7.

Description of Work REPLACE VALVE PER PM SCHEDULE 8.

Test Conducted:

Hydrostatic Jill Pneumatic fl Nominal Operating Pressure

~

Other El Pressure 100 psi Test Temp. 68 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.

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 4/5/04 Sheet I

Unit 01 Work Order No. 99223884-01

FORM NIS-2 (Back)

Remarks Work Order No. 99223884-01 Applicable Manufacturers Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Replacement 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 ~

~

~

Date

,20_t9~.$,~

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 inspect~it components descnbed in tius Owners Report during the period to 4~~5

, and state that to the best ofmy knowledge and belief, th~O4~ner has performed examinations and talce corrective 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, neitherthe 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 inspecti Commissions

/II ~.iW In~0O,SSiguatar,

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B,ard.~

P,o~~oe.

aad tudni,,nuas Date )~wf41

,20 ~3

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No.0894

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~N1)ERSOJ~ GREENWOOD CROSBY 982~8 WREI\\~THAM, MASS.

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OF R~L.~C~~ZIT TO NtJCLZA~tCt~tCN7ThTSAlt!) SYETS~NS TN N(h~1~AP~

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(na~ue)

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ILcsssJ.Lic~t.ian~g syatome________________________________________________________________________________

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~od~jod or replau~ed:_~t.i~ (~)IP~V,4L.VG~-

~t. lh.ae of ~e~ufactu~rer~.

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thia report or* correct and ths~zall design ~stez1u].

and wo~tesg~a1zjpan the

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Crepai.r, tr.~d.t~lcatianor repls~anant) confori.a to the iIpi~c.bL,section of

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thc tm~.sraLgned.holdinj a valid coon~ssi.a~isauad

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of ccm~et~7i~zia.4by the state u.~p..a.ei.zsceo~ i~1frc)$

and raaplo7ed by

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Of HOU520fl~TtXt~~

hove i~tpect.dthe repaLr, t~o~1ification or

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--~ ar~atethat to t.ha beat of n.y ~ur~aaLad~. and boUef.

thia repair, iaodiftc~tion or econent ~

L059fl teAde or conai~..rtictedin accordatos with $,ct.jon XI and

~sc~.iom fl~of the ~.5lZ Code and the ~Jationa3. Boar~ieti1.~ aa C1~eLne~1Lt the pu v4osra ~JB-S5 and $B102 curr~ac 14.tiontt.

~y aigning this certificate, neither the in~a~actarnor hi~ ~~mpLoyerashes soy warranty ~preaaed or impliod c~carniflS the repair,

~odirie~tio~

or ra4sca~scnt described i~athis report.

Ftarthernoee, neither tb.

Thtapeccar. ~iorlsis antt,i.o~rer~~t~lL be L.table in tny wanncr for any ~erao~aij injury or property datasge or a of any

~:°nd a~a5.~sgfzoo or cotnactcd ith this inspe tan.

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(.~utbori~odInspectnx)

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I~

DOCUMENT NO.:

11.0 REV, NO.:

0 FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl 1.

Owner Exelon Nuclear Date 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. 99261176-01 Address Repair Organization, P.O. No., Job No., etc.

3.

Work Performed by N P S & W VENTURE Type Code Symbol Stamp Not Applicable Name Authorization No.

Not Applicable 555 S. Joliet Rd, Bolingbrook, IL 60440 Expiration Date Not Applicable Address 4.

Identification of System SX-ESSENTIAL SERVICE WATER 5.

(a)

Applicable Construction Code Valve ASME Section III 19 74 Edition, W75 Addenda, 1567/1682 Code Case Piping ASME Section Ill 1974 Edition S75 Addenda (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

ASME

Repaired, Code National

Replaced, Stamped Name of Name of Manufacturer Board Other Year or Replacement (Yes or No) component Manufacturer Serial No.

No.

Identilication Built 4-150# Gate E-6220-2-34 N/A 1SX177 1978 Replaced YES 4-150# Gate FLOWSERVE AV644 N/A 1SX177 2003 Replacement YES 7.

Description of Work REPLACE VALVE 1SX177 8.

Test Conducted:

Hydrostatic D Other U Pressure Pneumatic fl 5Q~

psi Nominal Operating Pressure ~

Test Temp.

71

°F Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

FORM NIS-2 (Back) 9.

Remarks Work Order No. 99261176-01 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 rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp Not Applicable Certificate of Authorization No.

Not Applicable Signed 7)W~( Ct. Li~&~MR Co/i~)47Z),Q_

Date q -~

,20 Q2 Owner or Owners Designee, Title 5

~//2~I~3 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 i sp cted the components described in this Owners Report during the period to

, and statethat to the best of my knowledge and belief, the Owner has perform~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 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 da age b a loss of any kind arising from or connected with this inspection.

Commissions

/Ls~-/~P~5V Inspectors Signature National Board, State Province, and Endorsements Date:

ZZ

,20 ~2ti 9~4ØØF~

(Final)

FORM NlS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section Xl Date Sheet 1

Unit 01 Work Order No. 792665-01 1VQ5001A CAT tO #23~OO 1975 1975 of 1

7.

Description of Work REPLACE OUTSIDE EQUALIZATION VALVE 8.

Test Conducted:

Hydrostatic El Pneumatic U Nominal Operating Pressure U

~

Appendix J Leak Rate Test 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 11 in.,

S (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, Il. 60555 Address 2.

Plant Byron Nuclear Power Station Name 4450 N. German Church Road, Byron, II.

Address 3.

Work Performed by Byron Mechanical Maintenance Stamp Not Applicable Name 4450 N. German Church Road, Byron, II.

Repair Organization, P.O. No.. Job No., etc.

Type Code Symbol Authorization No. Not Applicable Expiration Date Not Applicable Address 4.

Identification of System VQ 5.

(a) Applicable Construction Code Section III 1971 Edition, W73 Addenda,1682 (b) Applicable Edition of Section XI Utilized for Repairs or Replacement Components 19 89 (C) Applicable ASME Section Xl Code Cases:

N-522 6.

Identification of Components Repaired or Replaced and ReplacementComponents W~E7~IoN VALVE Code Case JAMESBURY CORP.

EQUALIZATION VALVE NC1 7016-02S JF~ivu~oLJr~

I CORP NC17O1~-O2T N/A N/A REPLACED Y~S Name of

~

Name of

~

Manufacturer 5an~jNo National Board No.

Other

~

Year Built

Repaired, Replaced, or Reolacement ASME code: Stamped (Yes or Not REPLACEMENT YES

FORM NIS-2 (Back) 9.

Remarks Work Order No. 792665-01

\\ppncao~e S LJaLU OLL9UILS CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT conforms to the ASME Code,Section XI.

the rules of Type Code Symbol Stamp Not Applicable Certificate of Authorization No.

Not Applicable Expiration Date Signed azad/AJA7V/Z Date Not Applicable 5- ~ 9

,20 05 r

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 F

have inspeqted)he components described in this Owners Report during the period to

,and state that to the best of my knowledge and belief, the Own& has performed examinatiofis~ndtaken 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 anywarranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report. Furthermore, neither the Inspector nor his emptpyer shall be liable in any manner for any personal injury or propertydamage or a loss of any kind ~risingf m or nected with this inspection.

ç~

Commissions N~~Z tn~pedOrsS4~Lat,ue

~

P~cvince.a~

Date J(45~l4~,20 c5

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.

Address 3.

Work Performed by Byron Mechanical Maintenance Stamp Not Applicable Name 4450 N. German Church Road, Byron, II.

Repair Organization, P.O. No., Job No., etc.

Type Code Symbol Authorization No. Not Applicable Expiration Date Not Applicable 7.

Description of Work REPLACE OUTSIDE EQUALIZATION VALVE 8.

Test Conducted:

Hydrostatic El Pneumatic LI Nominal Operating Pressure

~

~

Appendix J Leak Rate Test Other 0 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 (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.

Date Sheet 1

of 1

Unit 01 Work Order No. 792668-01 Address 4.

Identification of System VQ 5.

(a) Applicable Construction Code Section III 1971 Edition, W73 Addenda,1682 (b) Applicable Edition of Section XI Utilized for Repairs or Replacement Components 19 89 (c) Applicable ASME Section XI Code Cases:

N-522 6.

Identification of Components Repaired or Replaced and Replacement Components Code Case Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No.

Other ktentiflcation Year Built Repa~ed, I

ASME~I

Replaced, Code; Stamped orReplacement (Yes or No)

EQUALIZATION VALVE JAMESBURY CORP.

NC17016-02P N/A 1VQSOO1B 1975 REPLACED YES EQUALIZATION VALVE JAMESBURY CORP NC17016-02R N/A CAT ID #23800 1975 REPLACEMENT YES

FORM NIS-2 (Back)

Remarks Work Order No. 792668-01 Applicable Manutacturers Data Reports s~ae aLLac.,u~

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

Type Code Symbol Stamp Not Applicable Certificate of Authorization No.

Not Applicable Expiration Date Not Applicable Signed

~

£~A~/~t~

~oo/4J4rT~

Date 3

- ~

,2005 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vess~l Inspectors and the State or Province of Illinois and employed by_HSB_CT.

of Hartford, CT have insp~ctedthe components described in this Owners Report during theperiod 3/i//bc to ______________________

,and state that to the best of my knowledge and belief, the Owr~erhas performed examinations and taken 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 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 ora loss of any kind arising from orc nnected with this inspection.

Commisskns _________________________

Date ~

~?

FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section Xl Date

~

Sheet 1

of 1

Unit 01 Work Order No. 00729040-01 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

[WE]Aux Bldg Equipment Drains.

5.

(a) Applicable Construction Code Section Ill 19 74 Edition, S/75 Addenda none Code Case N/A;[Fitting/Pipe]

Applicable Construction Code Section III 19 74 Edition, W/75Addenda none Code Case N/A ;[Old Valve]

Applicable Construction Code Section III 19 86 Edition, 1 987Addenda none Code Case N/A; [New Valve]

(b)Applicable Edition of Section Xl Utilized for Repairs or ReplacementComponents 1989 (c)Applicable ASME Section Xl Code Cases:

N-416-2 Identification of Components Repaired or Replaced and Replacement Components Nameof Component Name of Manufacturer Manufacturer Serial No.

National Board No.

Other Identification Year Built

Repaired, Replaced, or Replacement ASME Code; Stamped (Yes or No) 2Globe Valve Anderson Greenwood A1615 1 N/A ETN:1WEO1OA 1979 REPLACED YES 2 Gate Valve Flowserve S/N; 85BAS N/A CAT ID; 1398879 2005 2002 2002 REPLACEMENT YES Swage reducer 3X2 Consolidated Power HT75IZNF2 N/A ETN:IWER7AA-3 REPLACED NO 3 SCH. 40 PIPE CARBON STEEL Consolidated Power HTB25985 N/A CAT ID; 1402565 REPLACED NO 2SW. ELBOW Consolidated Power HT 75187 N/A ETN: 1WE82AA 2002 REPLACED NO 2 SCH. 80 PIPE Consolidated Power HT 7202541 N/A ETh: 1WE82AA 2002 REPLACED NO Swage reducer 3X2 Consolidated Power HT# MCBL-1 N/A CAT ID; 1402565 ETN: 1WE82AA 2004 REPLACEMENT

,J,~,

3 SCH. 40 PIPE CARBON STEEL Consolidated Power HT#A21439 N/A CAT ID. 24878 ETN: 1WE82AA 2002 REPLACEMENT

,Ck 8.

Test Conducted:

Hydrostatic 0 PneumaticEl Nominal Operating Pressure

~

Other El Pressure /QQ psi Test Temp. ~75 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.

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.

7.

Description of Work Replace Drain Line Pipe, Fitting and Isolation Valve Per Ec# 350058 This form has been electronically generated

FORM NIS-2 (Back) 9.

Remarks~~~2272904001 Applicable Manutacturers Data Reports to be attached 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.

repairerrepiacement Type Code Symbol Stamp Not Applicable Certificate of Authorization No.

Not Applicable Expiration Date Not Applicable Signed

~AW)d~

~

C&o/Z4 IA/A gji/t.

Date 3-2 /

,20 S CERTIFICATE OF INSERVICE INSPECTION I

I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by__HSB CT.

of Hartford, CT have insp~pte~.

the components described in this Owners Report during the period to

~

, and state that to the best of my knowledge and belief, the O~w~(erhas performed examina~ioR~

and taken 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 any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report. Furthermore, neither the Inspector nor his employer slIaII be liable in any manner for any personal injury or property damage or a loss of any k~

r g fro co ed with this inspection.

Commissions Inspectols I~atUf~

Na~OneJgoad. ta~e re~E,~semer~s Date___________

20

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.

ANDERSON GREENWOOD CO.

7.

Description of Work REPLACE VALVE - OWO111A 8.

Test Conducted:

Hydrostatic El Pneumatic0 Nominal Operating Pressure

~

Other El Pressure g~

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 number of sheets is recorded at the top of this form.

This form has been electronically generated.

FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section Xl Date 4-22-05 Sheet 1

Unit ~00 Work Order No. 00657945-01 of 1

3.

4.

5.

Address Repair organization, P.O. No., Job No., etc.

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 Identification of System WO CHILLED WATER (a) Applicable Construction Code Section III 1974 Edition, S/76 Addenda, None Code (b) Applicable Edition of Section XI Utilized for Repairs or Replacement Components 19 89 (c) Applicable ASME Section XI Code Cases:

N-41 6-a.

6.

Identification of Components Repaired or Replaced and Replacement Components I

Name of Component VALVE Nameof Manufacturer Manufacturer Serial No.

A3249 National Board No.

N/A Other Identification OWO111A Year Built 1978

Repaired, Replaced, or Replacement REPLACED ASME Code; Stamped J~s orNo)

YES VALVE ANDERSON GREENWOOD CO.

B5032 N/A OWO111A CAT ID 40410-1 1980 REPLACEMENT YES

FORM NIS-2 (Back) 9.

RemarksWO~.22657945-01

~.pplicableManutacturers Data Reports to bai anached 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.

reorreptacement Type Code Symbol Stamp Not Applicable Certificate of Authorization No.

Not Applicable Expiration Date Not Applicable Signed Scott Esposito ~

Date S~/ ~

,20O~

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued bythe National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by__HSB CT.

of Hartford, CT have inspec)edjhe components described in this Owners Report during the period to

, and state that to the best of my knowledge and belief, the O*n~thas performed examinatidns ~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 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 kin an ing fro or nected with this inspection.

Commissions

/1/ -/2~(

inspecto s Signature nel ~ai, rereo reov,em, ~d En,brsen,e,Us Date

/3

,20~c

FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section Xl Owner Exelon Nuclear Name 4300 Winfield Rd. Warrenville, II. 60555 Address Plant Byron Nuclear Power Station Name 4450 N. German Church Road, Byron, II.

7.

Description of Work REPLACE RELIEF VALVE 8.

Test Conducted:

Hydrostatic El Pneumatic0 Nominal Operating Pressure

~

Other El Pressure 42 psi Test Temp.

75

°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 number of sheets is recorded at the top of this form.

This form has been electronically generated.

2.

Date 04/21/05 Sheet 1

Unit 00 Work Order No. 0071 81 24-01 of 1

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 WO CHILLED WATER 5.

(a) Applicable Construction Code Section III 1980 Edition, S/80 Addenda,N/A Code Case (b) Applicable Edition of Section Xl 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 I

of Nameof Manufacturer component Manufacturer Serial No.

National Board No.

Other Identlllcation Year Built

Repaired, Replaced, or Replacement ASME Code; Stamped (Yea or No)

RELIEF TARGET ROCK S/N: 1 N/A OWOO28A 1982 REPLACED YES RELIEF TARGET ROCK S/N 5 N/A OWOO28A 2004 REPLACEMENT YES I

FORM NIS-2 (Back)

• 9.

Remarks WO# 00718124-01

~ippi,cau~e,aanu,acturer 5 ua~a~eporis ~ous auacneo 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 Signed

~

~

~

Date Not Applicable Date_________,20 9.~c 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 described in this Owners Report during the period 4443 to

, and state that to the best of my knowledge and belief, the ~wner has performed examinat~nt~

and taken Corrective measures described in the Owners Report in accordance with the requirements of the ASME Code, Section Xl.

Bysigning 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 an ing fr m orc nected with this inspection.

Dat I

o,f J

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...p~,L Name 4300 Winfield Rd. Warrenville, Il. 60555 Sheet I of 1

M&ess 2.

Plant Byron Nuclear Power Station Unit 00 Name 4450 N. German Church Road, Byron, II.

Work Order No. 00732378-01 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, Il.

Expiration Date Not Applicable Address 4.

Identification of System WO CHILLED WATER 5.

(a) Applicable Construction Code Section Ill 1977 Edition, W/78 Addenda,N/A Code Case (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 RepaIred.

ASME Name of Name of tutanufacturer Board Other Year Replaced.

Code; Stamped Comoofleflt

~

Serial No.

No.

Idenllkafion Built or R~~~n~sa jV~

BALL VALVE SEMTEC INC&

ENERGYPROD.

80-52894-5-61 N/A 0WO2142B 1981 REPLACED NO BALL,VALVE ill GRINNELL S/N 728227-1-1 N/A 0WO2142B HT# 718053 REPLACEMENT NO 7.

Description of Work REBUILD VALVE

- REPLACE BALL IN VALVE 0W02142B 8.

Test Conducted:

Hydrostatic El PneumaticEl 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 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)

S

~,

RemarksWO# 00732378-01 Apptcable Manufacturers Data Repo~tsto 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

~)~4j7)q~ ~X~A~g6M edo4~,,uA-i~4.

Date //- 3o

,2OO~Z CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by HSB CT.

of Hartford, CT have inspected)h~components descnbed in thIS Owners Report during the period 17 ~Q to

,~i/~/~q

, and state that to the best of my knowledge and belief, the r has performed examination~aP(dtaken 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 any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report. Furthermore, neither the Inspector nor his employeI~shall be liable in any manner for any personal injury or property damage or a loss of any d a ising fro or con ted with this inspection.

Commissions mCe~~$

Slgns*um eo~e, peawic..am Date

.2 20 t7~?

ER-AA-330-009 Revision 2 Page 28 of 36 FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section XI Owner Exelon Nuclear Date 3/14/05 Name 4300 Winfield Rd. Warrenville, II. 60555 Sheet I of 1

Address 2.

Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, II.

Work Order No. 538310-01 Address RepairOrganization, P.O. No., JobNo., 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 XX (spare plug/stem assembly) 5.

(a) ApplicableConstruction Code Section III 1974 Edition, W75 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:

_~~_

Identificationof Components Repaired or Replaced and Replacement Components Name of Component Nameof Manufacturer Manufact,,rer Serial No.

National Board No.

Other hteotifieation Year Built Repaired.

Replaced.

orReplacement ASME Code Stamped (Yes or No)

Plug/Stem assembly MASONEILAN DRESSER S/N S37946~8 N/A CAT ID #30848 (plug)

CAT ID #1405248 (plug/stem assembly) 2004 REPLACEMENT Yes 7.

Description of Work: Welded plug and stem togetherto make spare assembly CAT ID 1405248 8.

Test Conducted:

Hydrostatic El Pneumatic 111 Nominal Operating Pressure El 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 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 ofthis form.

ER-AA-330-009 Revision 2 Page 28 of 36 FORM NIS-2 (Back) 9.

Remarks WO 00538310-01 Applicable Manufacturers Osta Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT conforms tothe rules of the ASME Code, Section Xl.

Type Code Symbol Stamp Not Applicable Certificate of Authorization No.

Not Applicable Expiration Date Not Applicable Signed (fJ1t4M74t ~

~

1Zjf~f~CO~2i~,j IA),1-~7?j1Q-Date 4/ -/

,20 #S~

CERTIFICATE OFINSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board ofBoiler and Pressure Vessel Inspectors and the State or Provinceof Illinois and employed by HSB CT.

of Hartford, CT have inspectejl the components descnbed in this Owners Report during the period 4.~Ø4~

to ________________________

, and state that to the best of my knowledge and belief, the Owrler }t~isperformed examinations and taken.corrective measures described in the 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, neitherthe Inspector nor his employer shall be liable in any mannerfor any personal injury or property damage or a loss of any kind arising from or connected with this inspe ion.

Commissions

/4~1_/~5~(

tnspec,otsSignal e

National Board. State Province, end Endorsements Date

1

,20,.c~

FORM NIS-2 OWNERS REPORT FOR REPAIRS OR REPLACEMENT As Required by the Provisions of the ASME Code Section Xl Date 4-6-05 Sheet 1 Unit N/A P.O. 76085 ER-AA-33O-009 Revision 2 Page 29 of 36 Address 4.

Identification of System N/A 5.

(a) Applicable Construction Code Section III 19 74

Edition, S75 Addenda l7OL/77~Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacement Components 19 89 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Component Manufacturer Manufacturer Serial No.

National Board No.

Other Identification Year Butt

Repaired, ASME

Replaced, Code; Stamped or Replacement (Yes ~ No)

Valve Body Jamesbury ND-48858-I1B N/A N/A 1978 Replaced Yes Valve Body Enertech DS29643-002A N/A N/A 2002 Replacement Yes Valve Disc /

Jamesbury CKN-1 N/A N/A 1978 Replaced Yes Valve Disc /

Jamesbury PHH-1 N/A N/A 1986 Replacement Yes Valve Body Jamesbury ND-48858-22B N/A N/A 1978 Replaced Yes Valve Body Enertech DS29643-002B N/A N/A 2002 Replacement Yes Valve Disc /

Jamesbury CSZ-1 N/A N/A 1978 Replaced Yes Valve Disc /

Jamesbury PSN-1 N/A N/A 1987 Replacement Yes 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 3.

Work Performed by Enertech Name 2950 Birch Street, Brea, CA 92821 of 1

Repair Organization, P.O. No.. Job No., etc.

Type Code Symbol Stamp NPT Authorization No. N-2827 Expiration Date 10/11/05 7.

Description of Work Refurbushed Valves 8.

Test Conducted:

Hydrostatic D PneumaticEl Nominal Operating Pressure

~

Seat Leakage Other

~

Pressure 275 psi Test Temp.

N/A

°F

?~r~t-vce~L

~-IIoA,)

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)

ER-AA-330-009 Revision 2 Page 30 of 36 9.

Remarks P.O. 76085 Applicable Manufacturers Data Reports to be attached Parts supplied to Enertech (valve body and disc / wafer) for machining and complete valve assembly.

1.) KKI-003 body, PHH-1 disc / wafer, new s/n DS29643-002A 2.) KKl-004 body, PSN-1 dics / wafer, new s/n DS29643-002B These valves will be sent to Braidwood Station.

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and replacement conforms to the rules of the ASME Code,Section XI.

repairorreptacement Type Code Symbol Stamp Not Applicable Certificate of Authorization No.

Not Applicable Expiration Date Not Applicable Signed Scott Esposito Date 4-6-05

,20 05 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 inspec)ed the components descnbed In this Owners Report during the period to

, and state that to the best of my knowledge and belief, the GwRrhas performed examinatión9and 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 emplgyer shall be liable in any manner for any personal injury or property damage or a loss of any kinq,arising from or c nected with this inspection.

Commissions nspeBotsSignature reaoa~atBoaau. stem Province, and Er~seme,sts Date~~~/ ~

,20 o