ML062280244

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

ML062280244
Person / Time
Site:	Palo Verde
Issue date:	08/10/2006
From:	Bauer S Arizona Public Service Co
To:	Document Control Desk, Office of Nuclear Reactor Regulation
References
102-05545-SAB/TNW/RJR
Download: ML062280244 (259)

Text

10 CFR 50.55a ZLAM A subsidiaryof Pinnacle West CapitalCorporation Scott A. Bauer Department Leader Regulatory Affairs Tel. 623-393-5978 Mail Station 7636 Palo Verde Nuclear Fax 623-393-5442 PO Box 52034 Generating Station e-mail: Scott.Bauer@aps.com Phoenix. Arizona 85072-2034 102-05545-SAB/TNW/RJR August 10, 2006 U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC 20555-0001

Subject:

Palo Verde Nuclear Generating Station (PVNGS)

Unit 3, Docket No. STN 50-530 Unit 3 Second 10-Year Interval - Twelfth Refueling Outage Inservice Inspection Summary Pursuant to 10 CFR 50.55a and IWA-6230 of Section XI of the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code, 1992 Edition, 1992 Addenda, Arizona Public Service Company (APS) hereby submits the PVNGS Unit 3 Inservice Inspection Report for the twelfth refueling outage, provided in the enclosure.

APS completed Unit 3's Refueling Outage on May 12, 2006.

This letter does not make any commitments to the NRC. Please contact Thomas N.

Weber at (623) 393-5764 if you have any questions or require additional information.

Sincerely, SAB/TNW/RJR oix4c."l, Enclosure '51f0 ?ýaup&"/l cc: B. S. Mallett NRC Region IV Regional Administrator M. B. Fields NRC NRR Project Manager G. G. Warnick NRC Senior Resident Inspector for PVNGS Ac)v--l A member of the STARS (Strategic Teaming and Resource Sharing) Alliance Callaway 0 Comanche Peak 0 Diablo Canyon 0 Palo Verde 0 South Texas Project 0 Wolf Creek

ENCLOSURE SECOND 10-YEAR ISI INTERVAL

SUMMARY

REPORT TWELFTH REFUELING OUTAGE PALO VERDE NUCLEAR GENERATING STATION, UNIT 3

PALO VERDE NUCLEAR GENERATING STATION UNIT 3 INSERVICE INSPECTION REPORT TWELFTH REFUELING OUTAGE ARIZONA PUBLIC SERVICE 5801 S. WINTERSBURG ROAD TONOPAH, AZ 85354 PREPARED BY: DATE: 9Z2-Aa6

' " A, .-'

REVIEWED BY: At.&.a DATE: F~r (All except B15.XX and C7.XX Pressure Testing)

REVIEWED BY: PQ41L._ DATE:a&A (BI5.XX and C7.XX Pres~sdre Testing)

APPROVED BY: *9 _.* ,K'L DATE: 770 gob COMMERCIAL SERVICE DATE: 01/08/88 REPORT DATE: 08/02/2006

TABLE OF CONTENTS SECTION PAGE 1.0 Introduction 3 2.0 Examination Summary 3 3.0 Examination Techniques 3 4.0 Accessibility 4 5.0 Personnel 4 6.0 Equipment and Materials 4 7.0 Repairs and Replacements 4 APPENDICES APPENDIX PAGE APPENDIX A - Inservice Inspection Summary Report 5 APPENDIX B - Inservice Inspection Code Limitations 35 APPENDIX C - Form NIS-1 37 APPENDIX D - Forms NIS-2 40 Page 2 of 46

UNIT 3 INSERVICE INSPECTION REPORT 1.0 Introduction This report is a summary of the examinations performed during the twelfth refueling outage at the Palo Verde Nuclear Generating Station (PVNGS) Unit 3. This report also includes all applicable examinations conducted since the last refueling outage. This was the first refueling for Interval 2, Period 3, which was conducted from April 1, 2006 through May 12, 2006. Palo Verde Unit 3 began commercial operation on January 8, 1988.

This report identifies the components examined; the examination methods used, the examination report numbers, and summarize the examination results for each of the following categories:

1. ASME Section XI, Class I and 2 pressure retaining components and their supports.

2. Augmented High Energy Piping systems in accordance with PVNGS UFSAR Section 6.6.8.

This report is a summary of the ISI examinations performed during the Second Interval. This report is a summary of the examinations performed through the twelfth refueling outage. All of the examination report numbers for the second interval are listed in Appendix A. The reports for the twelfth refueling and examinations performed since the last Summary Report are in bold type.

2.0 Examination Summary The evaluation of the results from the ISI examinations indicated the integrity of the systems has been maintained.

There were no rejectable or abnormal indications found during this ISI inspection activity.

Various non-rejectable indications were detected during the performance of examinations. These indications were recorded and are maintained on file.

3.0 Examination Techniques 3.1 The three types of examinations utilized to perform the Inservice Examinations, along with the actual nondestructive examination techniques, are identified in the legend below:

VT - Visual VT-I General Condition VT-2 Leakage VT-3 Structural Condition / Operability S - Surface PT Liquid Penetrant MT Magnetic Particle VOL - Volumetric UT Ultrasonic RT Radiographic 3.2 All of the nondestructive examinations were performed using specific techniques and procedures that are indicated in ASME Section XI, or alternative examinations that are demonstrated to be equivalent or superior to those identified.

Page 3 of 46

4.0 Accessibility 4.1 All items were examined to the extent practical. Code limitations encountered during the examination that exceed the criteria of ASME Code Case N490 are documented in Appendix B.

5.0 Personnel 5.1 All nondestructive examinations were performed by Arizona Public Service Co. (APS), Lambert, MacGill, Thomas, Inc. (LMT), Intech Inc, Westinghouse, Jamco or MQS. All personnel were certified in accordance with programs written to comply with the applicable requirements of ASME Section XI. Copies of all certifications are maintained on file. Hartford Steam Boiler Inspection and Insurance Company of Connecticut provided the Authorized Nuclear Inservice Inspector (ANII).

6.0 Equipment and Materials 6.1 The equipment and materials utilized were certified to the requirements of ASME Section XI. Copies of all certifications are maintained on file.

7.0 Repairs and Replacements No repairs or replacements were performed as a result of ISI examinations during U3R1 2. The applicable records and reports for the specific maintenance repair or replacements performed after the last summary report are maintained on file at Palo Verde. The applicable NIS-2 forms are an attachment to Appendix D and are submitted for review with this report.

Page 4 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Page 5 of 46

APPENDIX A Definition of Terms The column headings for the tables on the following pages are defined below:

ASME Item No - The ASME Section XI Category/Item Numbers are listed in the Code, Subsections IWB and IWC. The item number prefixes are defined below:

AHE - Augmented high energy systems piping B- ASME Class 1 systems BFLYWH - Reactor coolant pump flywheels C- ASME Class 2 systems F- ASME Class I and 2 supports Zone No - Area designation per PVNGS design Comp/Sys - Component or system description Insp Per - Inspection period Amt Reqd - Number of items requiredto be completed in the period Amt Comp - Number of requireditems completed Item ID - Item identification per ISI program/zone drawings Reports (VOL) - Volumetric exam report number (SURF) - Surface exam report number (VIS) - Visual exam report number Remarks - Re-exam or replacement remarks indicate acceptable examination results Page 6 of 46

Definition of terms continued Acc - Accessible ADV - Atmospheric Dump Valve AF- Auxiliary Feedwater Aux - Auxiliary Atmos - Atmospheric Bldn - Blowdown CEDM - Control Element Drive Mechanism Circ - Circumferential Cont - Containment CS- Containment Spray CSP - Containment Spray Pump Dsch - Discharge Dwncmr - Downcomer FW- Feedwater HPSI - High Pressure Safety Injection HTRS - Heaters ICI - In Core Instrumentation IEB - Inspection and Enforcement Bulletin Int - Interval Letdown HT Exch. - Letdown Heat Exchanger LPSI - Low Pressure Safety Injection MS - Main Steam MT- Magnetic Particle Test Press Bound - Pressure Boundary PSE - Preservice Examination PSV - Pressurizer Safety Valve PZR - Pressurizer RCP - Reactor Coolant Pump RCS - Reactor Coolant System Reg HT Exch. - Regenerative Heat Exchanger RF- Refueling RPV- Reactor Vessel SD- Shutdown SG- Steam Generator Snub - Snubber Reduction Program Suct - Suction Surf- Surface UT- Ultrasonic Testing Vis - Visual Vol - Volumetric Page 7 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Reports Remarks Item no Per Req Comp Vol Surf Visual ASME Class 2 Augmented High Energy Piping AHE5.51 47 MS SG1 One 12 12 47-1 00-3443 00-3388

& 5.52 47-2 00-3437 00-3388 47-4 00-3454 00-3389 47-8 00-3453 00-3389 47-12 00-3452 00-3389 47-16 00-3451 00-3389 47-20 00-3450 00-3389 47-24 00-3445 00-3388 47-25 00-3446 00-3388 47-28 00-3428 00-3387 47-29 00-3427 00-3387 47-30 00-3447 00-3388 48 MS SG 1 Two 12 12 48-1 UT-04-169 MT-04-099 48-2 UT-04-170 MT-04-1 00 48-4 UT-04-172 MT-04-102 48-8 UT-04-174 MT-04-104 48-12 UT-04-176 MT-04-106 48-16 UT-04-178 MT-04-108 48-20 UT-04-180 MT-04-1 10 48-24 UT-04-182 MT-04-112 Code case N-460 48-25 UT-04-183 MT-04-113 48-28 UT-04-185 MT-04-115 48-29 UT-04-186 MT-04-116 48-30 UT-04-187 MT-04-117 51 ADV SG1 One 13 13 51-1 00-3425 00-3205 51-2 00-3433 00-3205 51-3 00-3432 00-3205 51-4 00-3435 00-3205 51-5 00-3431 00-3205 51-6 00-3430 00-3205 51-7 00-3429 00-3205 51-8A 00-3424 00-3386 51-8B 00-3403 00-3205 51-9 00-3404 00-3205 51-51 00-3405 00-3205 51-53 00-3426 00-3205 51-54 00-3434 00-3205 Two 16 16 51-26 UT-04-190 MT-04-120 51-27 UT-04-191 MT-04-121 51-28 UT-04-192 MT-04-122 51-29 UT-04-193 MT-04-123 51-30 UT-04-194 MT-04-124 51-31 UT-04-195 MT-04-125 51-32 UT-04-196 MT-04-126 51-33 UT-04-197 MT-04-127 51-34 UT-04-198 MT-04-128 51-35 UT-04-199 MT-04-129 51-36 UT-04-200 MT-04-130 51-37 UT-04-201 MT-04-131 51-49 UT-04-202 MT-04-132 151-55 UT-04-203 MT-04-133 Page 8 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone ComplSys Insp At IAmt Item ID Reports Remarks Item no Per Req Comp Vol Surf Visual 51-56 UT-04-204 MT-04-134 51-57 UT-04-205 MT-04-135 53 Steam to AF One 10 10 53-11 00-3134 00-3110 53-12 00-3138 00-3110 53-13 00-3137 00-3110 PSE 53-14 00-3132 00-3110 53-15 00-3130 00-3110 53-21 00-3131 00-3110 53-22 00-3133 00-3110 53-23 00-3129 00-3110 53-24 00-3136 00-3110 PSE 53-25 00-3135 00-3110 Two 9 9 53-1 UT-04-226 MT-04-156 53-2 UT-04-227 MT-04-157 53-4 UT-04-228 MT-04-158 53-5 UT-04-229 MT-04-159 53-6 UT-04-230 MT-04-160 53-7 UT-04-231 MT-04-161 53-8 UT-04-232 MT-04-162 53-9 UT-04-233 MT-04-163 53-10 UT-04-234 MT-04-164 56 FW SG1 One 6 6 56-1 01-3411 01-3337 56-4 01-3412 01-3337 56-6 01-3413 01-3337 56-7 01-3414 01-3337 56-9 01-3415 01-3337 56-11 01-3416 01-3337 60 Dwncmr SG1 One 9 9 60-7 00-3284 00-3267 60-8 00-3285 00-3266 60-9 00-3286 00-3268 60-11 00-3287 00-3267 60-12 00-3288 00-3267 60-14 00-3289 00-3267

.60-15 00-3290 00-3267 60-16 00-3291 00-3267 60-17 00-3292 00-3267 Two 5 5 60-2 UT-04-248 MT-04-178 60-3 UT-04-249 MT-04-179 60-4 UT-04-250 MT-04-180 60-5 UT-04-251 MT-04-181 60-6 UT-04-252 MT-04-182 61 FWNSG 2 Two 5 5 61-2 UT-04-253 MT-04-183 61-3 UT-04-254 MT-04-184 61-4 UT-04-255 MT-04-185 61-5 UT-04-256 MT-04-186 61-6 UT-04-257 MT-04-187 66 Bldn SG1 One 9 9 66-1 00-3146 00-3093 66-2 00-3145 00-3093 66-3 00-3144 00-3093 66-5 00-3143 00-3093 66-6 00-3142 00-3093 66-7 00-3140 00-3093 166-8 00-3139 00-3093 166-9 00-3141 00-3093 Page 9 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Item no 1 Zone Comr pSys ITnspIAmt AmVI.emoI Per IReq ICompI Vol Reports Surf I Visual I Remarks 66-25 00-3275 00-3206 AHE5.61 51 ADV SG1 Two 20 20 51-65 UT-04-206 MT-04-136 51-66 UT-04-207 MT-04-137 51-67 UT-04-208 MT-04-138 51-68 UT-04-209 MT-04-139 51-69 UT-04-210 MT-04-140 51-70 UT-04-211 MT-04-141 51-71 UT-04-212 MT-04-142 51-72 UT-04-213 MT-04-143 51-73 UT-04-214 MT-04-144 51-74 UT-04-215 MT-04-145 51-75 UT-04-216 MT-04-146 51-76 UT-04-217 MT-04-147 51-77 UT-04-218 MT-04-148 51-78 UT-04-219 MT-04-149 51-79 UT-04-220 MT-04-150 51-80 UT-04-221 MT-04-151 51-81 UT-04-222 MT-04-152 51-82 UT-04-223 MT-04-153 51-83 UT-04-224 MT-04-154 51-84 UT-04-225 MT-04-155 AHE 5.81 47 MS SG1 One 7 7 47-3 00-3442 00-3388

& 5.82 47-7 00-3441 00-3388 47-11 00-3440 00-3388 47-15 00-3439 00-3388 47-19 00-3436 00-3388 47-23 00-3444 00-3388 47-27 00-3438 00-3388 48 MS SG 1 Two 9 9 48-3 UT-04-171 MT-04-101 48-07 UT-04-173 MT-04-103 48-11 UT-04-175 MT-04-105 48-15 UT-04-177 MT-04-107 48-19 UT-04-179 MT-04-109 48-23 UT-04-181 MT-04-1 11 48-27 UT-04-184 MT-04-114 48-34 UT-04-188 MT-04-118 48-35 UT-04-189 MT-04-119 Limited UT ASME Class I B 1.22 02 Closure Head One 33% 16% 2-4 00-3417 00-3082 Accessible Areas, RR#14 00-3419 00-3421 00-3423 B 1.30 01 RPV One 50% 50% 1-14 Examined 0-180. *Separate Report by Wesdyne. Exam Completed in 3R7 B 1.40 02 Closure Head One 33% 33% 2-1 00-3416 00-3082 Examined 0*-120*

00-3418 00-3420 00-3422 Two 33% 33% 2-1 UT-04-143 MT-04-092 Examined 120*-240°, UT Code Case N-460 Three 34% 34% 2-1 UT-06-015 MT-06-001 Code case N-460, 240 to 360 deg Page 10 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASMEI Zone Comp/Sys InspI Amt Amt Item ID Reports I Remarks Item no Per Req Compj Vol Surf Visual B 2.11 05 PZR One 66% 66% 5-2 00-3085 Examined 00 - 2400

& 2.12 00-3087 00-3089 00-3091 5-3 00-3086 1' long seam for 5-2 00-3088 00-3090 00-3092 Two 66% 66% 5-8 UT-03-003 Examined 00-2400 UT-03-006 UT-03-009 5-6 UT-03-007 inc 1' long seam for 5-8 UT-03-013 Three 34% 34% 5-2 UT-06-016 Examined 240 - 3600 5-8 UT-06-017 Examined 240° - 3600 Code case N-460 B2.31 03 SG 1 One 33% 33% 3-5 01-3078 Examined 0*-120°

& 2.32 3-3 01-3077 3-10 01-3081 Two 33% 33% 3-5 UT-04-144 Examined 1200 -240° B2.40 03 SG 1 One 50% 50% 3-6 01-3079 Examined 0°-180*

04 SG 2 Two 50% 50% 4-6 UT-04-147 Examined 180°-360*

B 3.90 01 RPV One 2 2 1-15 *Separate Report by Wesdyne.

Exam Completed in 3R7 1-18 B 3.100 01 RPV One 2 2 1-15 1-18

• B3.110 05 PZR One 2 2 5-9 01-3193 5-11 01-3273 Two 2 2 5-10 UT-03-008 UT-03-01 0 5-13 UT-03-004 UT-03-011 UT-03-012 Three 2 2 5-12 UT-06-018 Code case N-460 5-14 UT-06-019 Code case N-460 B3.120 05 PZR One 2 2 5-9 01-3192 5-11 01-3274 Two 2 2 5-10 UT-03-005 5-13 UT-03-014 Three 2 2 5-12 UT-06-007 Code case N-460 5-14 UT-06-008 Code case N-460 B3.130 03 SG 1 One 1 1 3-8 01-3080 Two 1 1 3-7 UT-04-145 Code case N-460 04 SG 2 One 1 1 4-9 01-3394 Two 1 1 4-7 UT-04-148 Code case N-460 B 3.140 03 SG 1 One 1 1 3-8 01-3388 Two 1 1 3-7 UT-04-135 04 SG 2 One 1 1 4-9 01-3387 Two 1 1 4-7 UT-04-136 B 4.11 02 RPV Two 0 0 Vent Noz

• VT-04-725 Aug. (EA-03-009), *Separate report by Westinghouse Three 0 0 Vent Noz UT* ECT* VT-06-006 Aug BMI, NRC Order EA 009

• Report # WDI-PJF-1303192-FSR-001 84.12 02 CEDM One 8 8 CEDM Noz 00-3543 Page I I of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Item ASMEno Zone CompiSys Per IAm Insp Req Comp Amt em Vol Surfrts Repo Visual Remarks Two 8 8 CEDM Noz VT-03-430 VT-04-797 Aug. all (EA-03-009)

Three 9 9 CEDM-Noz VT-06-706 ISI UT

• ECT

• VT-06-004 Aug BMI All, NRC Order EA-03-009,

• Report # WDI-PJF-1303192-FSR-001 B 4.13 01 RPV ICI One 5 5 Instru 00-3543 Two 5 5 Instru VT-03-428 VT-04-669 Aug. all (IEB 2003-02)

VT-04-805 Three 6 6 ICI VT-06-705 ISI VT-06-003 Aug BMI All, NRC Order EA-VT-06-686 03-009 B 4.20 5 PZR One 12 12 Heaters 00-3543 Two 12 12 Heaters VT-03-431 Aug. All standpipe & heater noz.

VT-04-796 CE INFO Bulletin 89-06 Three 12 12 Heaters VT-06-007 ISI & All for CE lB 89-06 B 5.40 20 PZR Surge One 2 2 5-34 01-3194 01-3083 31 PZR Safety 5-29 01-3275 01-3272 20 PZR Surge Two 2 2 5-34 VT-04-765 Aug. BMI VT 29 PZR Spray 5-33 UT-04-159 PT-04-082 VT-04-683 Aug. UT and VT (BMI)

RT-04-002 31 PZR Safety 5-29 UT-04-160 PT-04-083 VT-04-729 Aug Vol, Surf & VT (BMI) 5-30 UT-04-161 PT-04-084 VT-04-726 Aug Vol, Surf & VT (BMI) 5-31 UT-04-162 PT-04-085 VT-04-727 Aug. BMI VT RT-04-005 5-32 UT-04-163 PT-04-086 VT-04-728 Aug Vol, Surf & VT (BMI)

B 5.40 20 PZR Surge Three 2 0 5-34 VT-06-008 AUG BMI (IN 2004-11) 29 PZR Spray 5-33 VT-06-017 AUG BMI (IN 2004-11)

VT-06-614 Aug VT for Thermal Sleeve Integrity 31 PZR Safeties 5-29 VT-06-018 AUG BMI (IN 2004-11) 5-30 VT-06-019 AUG BMI (IN 2004-11) 5-31 VT-06-020 AUG BMI (IN 2004-11) 5-32 VT-06-021 AUG BMI (IN 2004-11)

B 6.10 02 RPV Nuts One 18 18 1 thru 18 00-3200 00-3207 Two 18 18 19 thru 36 MT-03-O19 VT-03-224 Three 18 18 37 thru 54 MT-06-017 VT-06-615 B 6.30 02 RPV Studs One 18 18 1 thru 18 01-3338 00-3200 Two 18 18 19 thru 36 UT-03-024 MT-03-01 8 Three 18 18 37 thru 54 UT-06-001 MT-06-002 B 6.50 02 RPV Washers One 18 18 1 thru 18 00-3207 Two 18 18 19 thru 36 VT-03-223 Three 18 18 37 thru 54 VT-06-617 B 6.180 16 RCP 1A One 5 5 1 thru 5 01-3453 00-3209 Two 5 5 6 thru 10 UT-03-035 VT-03-373 + Aug. incl all - IEIN 80-27 &

VT-04-623 IEB 82-02 Three 6 6 11 thru 16 UT-06-003 VT-06-622 Aug all (IEIN 80-27 & IEB 82-02) 17 RCP 1B One 5 5 1 thru 5 01-3006 01-3004 00-3210 01-3454 01-3003 01-3236 Two 5 5 6 thru 10 UT-03-036 VT-03-364 + Aug. incl all - IEIN 80-27 &

VT-04-626 IEB 82-02 Three 6 6 11 thru 16 UT-06-004 VT-06-625 Aug all (IEIN 80-27 & IEB 82-1 1 _ 02) 18 RCP 2A One 5 5 1 thru 5 01-3455 00-3211 Page 12 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Item no Zone Comp/Sys Insp Amt IPer IReq Amt Compj Item ID Vol Reports Surf Visual Remarks Two 5 5 6 thru 10 UT-03-037 VT-03-375 + Aug. incl all - MEIN 80-27 &

VT-04-629 IEB 82-02 Three 6 6 11 thru 16 UT-06-005 VT-06-628 Aug all (IEIN 80-27 & IEB 82-02) 5 1 thru 5 01-3456 00-3212 19 RCP 2B One 5 Two 5 .5 6 thru 10 UT-03-038 VT-03-377 + Aug. incl all - IEIN 80-27 &

VT-04-632 IEB 82-02 Three 6 6 11 thru 16 UT-06-006 VT-06-631 Aug all (lEIN 80-27 & IEB 82-02)

B 6.190 17 RCP 1B One 1 1 Flange 01-3003 01-3235 B 6.200 16 RCP 1A One 5 5 1 thru 5 00-3209 Two 5 5 6 thru 10 VT-03-316 Three 6 6 11 thru 16 VT-06-621 17 RCP 18 One 5 5 1 thru 5 00-3210 01-3003 01-3236 Two 5 5 6 thru 10 VT-03-326 Three 6 6 11 thru 16 VT-06-624 18RCP2A One 5 5 1 thru 5 00-3211 Two 5 5 6 thru 10 VT-03-328 Three 6 6 11 thru 16 VT-06-627 19 RCP 2B One 5 5 1 thru 5 00-3212 Two 5 5 6 thru 10 VT-03-354 Three 6 6 11 thru 16 VT-06-630 B 7.20 05 PZR One 20 20 20 studs/nuts 00-3187 01-3005 01-3314 Two 20 20 20 studs/nuts MT-03-017 V'1-03-210 IEB 82-02 VT-04-621 Aug IEB 82-02, removed Three 20 20 20 studslnuts VT-06-620 ISI & Aug (IEB 82-20)

B 7.30 03 SG1 One 40 40 40 studs/nuts 00-3188 01-3315 Two 40 40 40 studs/nuts MT-03-011 VT-03-208 IEB 82-02 VT-04-619 Aug IEB 82-02, removed Three 40 40 40 studslnuts VT-06-618 ISI & Aug (IEB 82-20) 04 SG 2 One 40 40 40 studs/nuts 00-3189 01-3316 Two 40 40 40 studs/nuts MT-03-012 VT-03-209 IEB 82-02 VT-04-620 Aug IEB 82-02, removed Three 40 40 40 studs/nuts VT-06-619 ISI & Aug (IEB 82-20)

B 7.50 31 PZR Safeties One 1 1 PSV200 00-3186 01-3313 PSV201 00-3186 01-3313 PSV202 00-3186 01-3313 PSV203 00-3186 01-3313 Two 1 1 PSV200 MT-03-013 VT-03-422 IEB 82-02 VT-04-654 Aug IEB 82-02, removed PSV201 MT-03-014 VT-03-423 IEB 82-02 VT-04-656 Aug IEB 82-02, removed PSV202 MT-03-015 VT-03-424 IEB 82-02 VT-04-658 Aug IEB 82-02, removed Page 13 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Zone Comp/Sys Insp Amt Amt Item ID Reports Remarks ASMEI Item no Per Req Comp Vol Surf Visual PSV203 MT-03-016 VT-03-425 IEB 82-02

'VT-04-660 Aug IEB 82-02, removed Three 2 2 PSV200 VT-06-633 ISI & Aug (IEB 82-02),

Installed PSV201 VT-06-634 ISI & Aug (IEB 82-02),

Installed PSV202 VT-06-636 ISI & Aug (IEB 82-02),

Installed PSV203 VT-06-637 ISI & Aug (IEB 82-02),

Installed 37 Charging One 1 1 V435 00-3254 B 7.60 16 RCP 1A One 5 5 1 thru 5 00-3209 00-3113 Two 5 5 6 thru 10 VT-03-317 Three 6 6 11 thru 16 VT-06-623 17 RCP 1B One 5 5 1 thru 5 00-3210 00-3113 PSE (16 studs) 01-3002 01-3007 Two 5 5 6 thru 10 VT-03-327 Three 6 6 11 thru 16 VT-06-626 18RCP2A One 5 5 1 thru 5 00-3211 00-3113 Two 5 5 6 thru 10 VT-03-345 Three 6 6 11 thru 16 VT-06-629 19 RCP 2B One 5 5 1 thru 5 00-3113 00-3212 Two 5 5 6 thru 10 VT-03-404 B 7.60 19 RCP 2B Three 6 6 11 thru 16 VT-06-632 B 7.70 21 SD Cooling A One 1 1 UV653 00-3006 22 SD Cooling B One 1 1 UV654 01-3457 Two 1 1 UV652 VT-03-127 23 SI 1A One 1 1 V237 01-3017 Two 2 2 V235 VT-03-141 V634 VT-03-142 24 Si 1B One 1 1 V543 00-3066 Two 2 2 V245 VT-03-164 V644 VT-03-165 RR #4 25 SI 2A One 1 1 V540 00-3080 Two 1 1 V217 VT-03-146 26 SI 2B One 1 1 V225 00-3185 Two 2 2 V541 VT-03-181 UV624 VT-03-144 27 PZR Spray Two 1 1 PV1 00E VT-03-054 V240 VT-03-222 28 PZR Spray One 2 2 V241 00-3028 V242 00-3028 Two 1 1 V10OF VT-03-050 31 PZR Safeties One 1 1 PSV200 00-3035 Two 1 1 PSV202 VT-03-188 Three 2 2 PSV201 VT-06-635 PSV203 VT-06-638 32 Drain 1A One 2 2 V234 00-3038 V334 00-3038 01-3512 33 Drain 1B Two 2 2 V235 VT-03-117 Page 14 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone ComplSys I nsp Amto AmI item ID Reports I Remarks Item no I Per Req jCompj Vol Surf Visual V335 VT-03-119 34 Drain 2A Two 2 2 V233 VT-03-227 V333 VT-03-228 35 Drain Line 2B Three 2 2 V232 VT-06-653 V332 VT-06-654 36 Letdown Line Three 2 2 V515 VT-06-655 V516 VT-06-656 37 Charging One 1 1 PDV240 00-3208 38 Drain Line One 1 1 V215 01-3048 38 Drain Line I Three I I V216 VT-06-657 39 HPSI One 1 1 V-523 00-3259 Two 2 2 V522 VT-03-145 V957 VT-03-356 40 HPSI Two 1 1 V532 VT-03-204 B 7.80 02 Closure Head One 1 1 2-21 00-3270 CEDM 92 2-21 00-3270 CEDM 96 Three 1 1 2.21 VT-06-616 CEDM 96 B 8.20 05 PZR One 67% 67% 5-1 00-3278 00-3069 Examined 0°-240° 00-3279 Code Limited 00-3280 Relief Required 00-3281 Three 33% 33% 5-1 UT-06-002 MT.06-003 240 to 360 deg, Limited UT Coverage and MT OD only.

B 8.30 03 SG 1 One 33% 33% 3-1 01-3325 01-3317 Examined 0° -1200 04 SG 2 Two 33% 33% 4-1 UT-04-146 MT-04-093 120' to 2400, Surf ID & OD B 9.11 06 RCS Piping One 7 7 1-27 01-3506 *Separate report by

& 9.12 1-30 01-3506 Wesdyne. Exams 6-7 01-3506 completed in U3R7 7-7 01-3506 3-29 01-3409 01-3401 4-30 01-3410 01-3401 17-2 01-3407 01-3345 Two 6 6 16-1 UT-03-023 MT-03-005 100%

17-1 UT-03-016 MT-03-010 100%

18-1 UT-03-018 MT-03-007 100%

19-1 UT-03-021 MT-03-006 100%

3-28 UT-03-019 MT-03-020 100%

4-28 UT-03-017 MT-03-021 100%

20 PZR Surge One 1 1 20-1 01-3195 01-3083 Two 0 0 6-10 VT-04-743 Aug. BMI VT Three 3 0 6-10 VT-06-009 AUG BMI (IN 2004-11) 21 SD Cooling A One 3 3 6-11 01-3076 01-3196 01-3075 21-18 01-3073 01-3196 21-20 01-3074 01-3196 Two 0 0 6-11 VT-04-673 Aug. BMI VT Three 2 0 6-11 VT.06-010 AUG BMI (IN 2004-11) 21-14 UT-06-026 21-15 UT-06-027 22 SD Cooling B One 2 2 22-11 00-3148 00-3108 22-23 00-3149 00-3172 Two 1 1 7-9 UT-04-153 PT-04-070 VT-04-761 Aug. BMI VT Three 3 0 22-1 UT-06-028 22-6 UT-06-029 7-9 VT-06-061 AUG BMI (IN 2004-11)

Page 15 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone Comp/Sys sp AmtI Amt Item ID Reports Remarks Item no Per Req Compi Vol Surf Visual I 23 SI 1A One 4 4 9-10 01-3049 01-3026 01-3050 23-1 01-3051 01-3026 23-2 01-3052 01-3026 23-4 01-3055 01-3026 01-3053 23-6 01-3056 01-3026 Aug.

01-3054 Two 0 0 9-10 VT-04-678 Aug. BMI VT Three 2 0 9-10 VT-06-011 AUG BMI (IN 2004-11) 24 SI 1B Two 0 0 24-6 UT-04-154 PT-04-071 Aug IN 97-19, Limited UT 11-10 VT-04-762 Aug. BMI VT Three 5 0 24-1 UT-06-030 11-10 VT-06-012 AUG BMI (IN 2004-11) 25 SI 2A One 2 2 25-26 00-3083 00-3033 25-29 00-3084 00-3081 Two 1 1 13-10 UT-04-156 PT-04-073 VT-04-682 Aug. BMI VT 25-6 UT-04-155 PT-04-072 Aug IN 97-19, Limited UT Three 3 0 25-1 UT-06-031 13-10 VT-06-013 AUG BMI (IN 2004-11) 26 SI 2B One 2 2 26-9 00-3190 00-3176 26-11 00-3191 00-3175 Two 0 0 26-6 UT-04-158 PT-04-074 Aug IN 97-19, Limited UT 15-9 VT-04-746 Aug. BMI VT Three 3 0 26-1 UT-06-032 15-9 VT-06-014 AUG BMI (IN 2004-11) 29 PZR Spray One 2 2 29-10 00-3051 00-3049 29-11 00-3052 00-3049 29-7 01-3405 01-3404 PSE 29-9 01-3406 01-3404 PSE Three 3 3 29-1 UT-06-033 PT-06-003 PSE 29-2 UT-06-034 PT-06-004 PSE 29-3 UT-06-035 PT-06-005 PSE 29-4 UT-06-036 PT-06-006 PSE 29-5 UT-06-037 PT-06-007 PSE 29-9 UT-06-038 PT-06-008 PSE 31 PZR Safety One 1 1 31-1 01-3276 01-3272 Three 2 0 31-6 UT-06-041 31-10 UT-06-042 B 9.21 27 PZR Spray One 4 4 9-11 01-3027

& 9.22 27-42 01-3027 27-43 01-3027 27-44 01-3027 Two 3 3 27-8 PT-04-075 27-10 PT-04-076 27-16 PT-04-077 9-11 VT-04-677 Aug. BMI VT Three 4 0 9-11 VT-06-015 AUG BMI (IN 2004-11) 28 PZR Spray One 4 4 28-31 00-3070 28-32 00-3070 28-39 00-3070 28-40 00-3070 Two 4 4 28-9 PT-04-078 28-11 PT-04-079 11-11 PT-04-080 VT-04-674 Aug. BMI VT Page 16 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone ComplSys I Insp Amt Amt Item ID Reports Remarks Item noI Per Req Comp Vol Surf Visual 28-20 PT-04-081 Three 3 0 11-11 VT-06-016 AUG BMI (IN 2004-11) 30 Aux PZR Spray One 2 2 30-1 00-3053 Aug.

30-2 00-3053 Aug.

30-4 00-3068 30-7 00-3068 Three 2 0 30-1 UT-06-039 PT-06-012 PSE, AUG UT (IEB 88-08 & IN 1 _97-19) Limited UT 30-2 UT-06.040 PT-06-009 PSE, AUG UT (IEB 88-08 & IN 97-19) Limited UT 32 Drain 1A One 3 3 8-18 00-3034 32-1 00-3034 32-2 00-3034 Two 0 0 8-18 VT-04-675 Aug. BMI VT Three 0 0 8-18 VT-06-022 AUG BMI (IN 2004-11) 33 Drain 1B Two 3 3 33-1 PT-04-087 33-5 PT-04-088 10-18 PT-04-089 VT-04-676 Aug. BMI VT Three 0 0 10-18 VT-06-023 AUG BMI (IN 2004-11) 34 Drain 2A Two 0 0 12-18 VT-04-679 Aug. BMI VT Three 3 0 12-18 VT-06-024 AUG BMI (IN 2004-11) 36 Letdown One 4 4 36-8 00-3201 36-9 00-3201 36-28 00-3255 36-35 00-3255 Two 0 0 14-18 VT-04-763 Aug. BMI VT Three 9 0 14-18 VT-06-025 AUG BMI (IN 2004.11) 37 Charging One 5 5 37-41 00-3202 37-42 00-3202 37-43 00-3202 37-45 00-3202 37-47 00-3202 Two 1 1 13-11 PT-04-177 VT-04-680 Aug. BMI VT Three 6 0 13-11 VT-06-026 AUG BMI (IN 2004-11) 39 HPSI A One 2 2 39-1 00-3204 39-5 00-3203 Two 3 3 39-12 UT-04-164 PT-04-091 Aug UT 39-13 UT-04-165 PT-04-092 Aug UT 39-24 UT-04-166 PT-04-093 Aug UT, Limited UT 40 HPSI B One 3 3 40-1 01-3346 40-2 01-3346 40-3 01-3346 Two 2 2 40-6 UT-04-167 PT-04-094 Aug UT 40-7 UT-04-168 PT-04-095 Aug UT B 9.31 06 RCS Piping One 1 1 9-8 01-3408 01-3345 Two 1 1 13-8 UT-03-020 MT-03-009 Three 3 0 6-8 UT-06-024 11-8 UT-06-025 B 9.32 06 RCS Piping One 1 1 8-17 00-3030 Two 1 1 13-9 MT-03-008 22 SD Cooling B One 1 1 22-7A 00-3107 B 9.40 32 Drain 1A One 1 1 32-6 00-3109 01-3318 PSE 32-8 01-3318 PSE 38 Drain 1 One 1 1 38-5 01-3444 Page 17 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASMEI Zone ComplSys Ilnsp Amt Amt Item ID eports Remarks Item no Per Req Comp Vol Surf Visual B10.10 22 SD Cooling 2 Three I I S1193H023 PT-06-001 26 SI 2B Three I I S1179H010 PT-06-002 36 Letdown One 1 1 RC091H005 00-3255 RC091 H006 00-3255 Two 1 1 RC0911H006 PT-03-004 B 12.20 17 RCP 1B One 1 1 Pump 01-3001 Disassembled B12.40 31 PZR Safeties Three I I PSV200-Welds RT-06-007 Dresser PSV - SN BS-08614 B12.50 24 SI 1B Interval 2 2 V543-Internals VT-04-644 Dissassembled 25 SI 2A V2117-Internals VT-04-647 Dissassembled 31 PZR Safeties Three 1 1 PSV200- VT-06-649 Dresser PSV - SN BS-08614 Internals B 13.10 01 RPV One 100% 100% Internal 01-3397 Accessible areas 01-3398 Two 100% 100% Internal VT-04-764 Accessible areas Three 1 1 INTERNALS VT-06-640 Accessible areas B 14.10 02 Closure Head One 4 4 2-9 00-3060 00-3199 CEDM # 84 00-3061 2-9 00-3062 00-3199 CEDM # 88 00-3063 2-10 00-3064 00-3199 CEDM # 84 2-10 00-3065 00-3199 CEDM # 88 Two 4 4 2-09 UT-03-026 PT-03-007 CEDM # 78 2-09 UT-03-027 PT-03-008 CEDM # 89, 2-10 UT-03-022 PT-03-005 CEDM # 78, Limited 2-10 UT-03-025 PT-03-006 CEDM # 89, Limited Three 6 6 CEDM-10-71 UT-06-009 CEDM-10-79 UT-06-010 CEDM-10-82 UT-06-011 CEDM-9-71 UT-06-012 CEDM-9-79 UT-06-013 CEDM-9-82 UT-06-014 B 15.10, RCS Piping One ALL ALL Press Bound 00-3543 Bolting RR 11&12 20, 30, 00-3112 40, 50, 01-3058 60, 70 01-3065 01-3396 01-3464 01-3467 01-3508 01-3509 01-3513 01-3514 Two ALL ALL Press Bound VT-03-429 *100% ea. Outage VT-04-686 Bolting RR 11&12 VT-04-691 VT-04-778 VT-04-790 VT-04-798 VT-04-801 VT-04-802 VT-04-804 Closure Head Three 0 0 Head VT-06-005 Aug BMI All, NRC Order EA-03-009 RCS Piping Three 1 RCS Pres Test VT-06-027 *100% ea. Outage, Code Case N-498, Bolting RR 11 &

___________ _________12 2 2 RC028HOO1 00-3010 F 1.10 20 PZR Surge One RC028H002 00-3011 Two 2 2 RC028H842 VT-03-342 RC028H844 VT-03-344 Page 18 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone Comp/Sys [ Insp Amti I Amt I item ID Reports Remarks Item no I Per Req jCompj Vol Surf Visual Three 3 3 RC028H003 VT-06-050 RR #4 RC028H004 VT-06-051 RC028H843 VT-06-052 RR #4 21 SD Cooling A One 7 7 S1240H010 00-3007 S1240H01 1 00-3008 S1240H013 00-3009 RC051H001 01-3028 Support deleted RC051H002 01-3205 RC051H003 01-3206 RC051H821 01-3204 Two 7 7 RC0511H004 VT-03-347 Snubber deleted RC051 H005 V--03-349 RC051 H822 VT-03-357 RR #4 S1240H002 VT-03-350 RR #4 S1240H012 VT-03-352 RR #4, Snubber deleted S1240H823 VT-03-353 RR #4 S1240H824 VT-03-355 RR #4 Three 8 8 S1240H001 VT-06-053 Removed S1240H003 VT-06-054 RR # 4 S1240H004 VT-06-055 RR # 4 S1240H005 VT-06-056 RR # 4 S1240H006 VT-06-057 Removed S1240H007 VT-06-058 RR #4 S1240H008 VT-06-059 RR #4 S1240H009 VT-06-060 RR #4 22 SD Cooling B One 4 4 RC068H005 00-3097 RC068H006 00-3197 S1193H017 00-3095 S1193H019 00-3096 Two 4 4 S1193H008 VT-03-121 S1193H009 VT-03-122 RR4 S1193H020 VT-03-125 S1193H025 VT-03-124 Snubber deleted Three 5 5 RC068HOOl VT-06-062 RC068H002 VT-06-063 Removed RC068H003 VT-06-064 RC068H004 VT-06-065 S1193H023 VT-06-066 23 SI 1A One 1 1 S1207H005 01-3016 Support deleted Two 2 2 S1207H007 VT-03-140 S1207H01 1 VT-03-139 Three 2 2 S1207H001 VT-06-067 S1207H003 VT-06-068 24 SI 1B One 2 2 S1223H003 00-3067 S1223H004 00-3002 Two 2 2 S1223H001 VT-03-162 RR #4 S1223H002 VT-03-163 Snubber deleted Three 1 1 S1223H008 VT-06-069 RR #4 25 SI 2A One 2 2 S1156H007 00-3076 S1156H009 00-3077 Two 1 1 SI160HOO1 VT-03-161 Three 1 1 S1160H004 VT-06-070 26 SI 2B One 2 2 S1179H009 00-3001 S1179H011 00-3198 Two 3 3 S1175H021 VT-03-150 Page 19 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone ComplSys InspI Amt I Amt I Item ID I Reports Remarks Item no I Per Req ICompi Vol Surf I Visual S1175H022 VT-03-153 Support deleted S1175H023 VT-03-155 Three 2 2 S1179H008 VT-06-071 S1179H010 VT-06-072 Removed 27 PZR Spray 1A One 9 9 RC062H026 00-3012 RC062H027 00-3013 RC062H028 00-3014 RC062H029 00-3015 RC062H030 00-3016 RC062H031 00-3017 RC062H032 00-3018 RC062H033 00-3019 RC062H034 00-3020 Two 8 8 RC0116H005 VT-03-049 RR #4 RC01611006 VT-03-051 RR #4 RC016H007 VT-03-052 RR #4 RCO16H015 VT-03-053 RR #4, Snubber Deleted RC062H035 VT-03-056 RR #4 RC062H036 VT-03-057 RR #4, Spring can deleted RC062H037 VT-03-058 RR #4 RC062H038 VT-03-059 RR #4 Three 8 8 RC062H020 VT-06-073 Removed RC062H021 VT-06-074 RC062H022 VT-06-075 Removed RC062H023 VT-06-076 RR #4 RC062H024 VT-06-077 RR #4 RC062H025 VT-06-078 Removed RC062H039 VT-06-079 RR #4 RC062H040 VT-06-080 Removed 28 PZR Spray lB One 9 9 RC017H024 00-3003 RC017H034 00-3021 RC017H035 01-3021 RC017H036 00-3022 RC017H038 00-3023 RC017H039 00-3024 RC017HO40 00-3025 RC017HO41 00-3026 RC017H042 00-3027 Two 8 8 RC017H043 VT-03-065 RR #4 RC017H044 VT-03-064 RR #4, Spring deleted RC017H045 VT-03-062 RR #4 RC017H046 VT-03-063 RR#4 RC018H009 VT-03-061 RR #4 RC018H010 VT-03-070 RR #4, Spring deleted RC018H011 VT-03-060 RR #4, Snubber deleted RC018HO12 VT-03-055 RR #4 Three 11 11 RC017H025 VT-06-081 Removed RC017H026 VT-06-082 RC017H027 VT-06-083 Removed RC017H028 VT-06-084 Removed RC017H029 VT-06-085 RC017HO30 VT-06-086 RC017HO31 VT-06-087 RC017H032 VT-06-088 RC017H033 VT-06-089 Page 20 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone Comp/Sys fInspI Amt Amt Item ID Reports Remarks Item no I PerI Req Compj Vol Surf visual I RC017HO47 VT-06-090 RC017HO48 VT-06-091 29 PZR Spray One 2 2 RC018HO16 00-3037 RC018HO18 00-3036 Two 1 1 RC018H017 VT-03-187 30 PZR Spray Three 2 2 CH-521 HOOA VT-06-092 RR #4 CH-521H00B VT-06-093 RR #4 32 Drain 1A One 2 2 RC06OH00A 00-3039 RC060HOOB 00-3040 33 Drain 1B Two 2 2 RC058HOOA VT-03-114 RC058HOOB VT-03-116 Snubber deleted 34 Drain 2A Two 2 2 RC096HOOA VT-03-225 RC096HOOB VT-03-226 Snubber deleted 35 Drain Line 2B Three 1 1 RC089HOOE VT-06-094 36 Letdown One 9 9 RC091HO01 00-3256 RC091H005 00-3257 RC091H006 00-3258 RC091HOOB 00-3216 RC091HOOD 00-3213 RC091HOOE 00-3218 RC091HOOY 00-3214 RC091HOOZ 00-3215 RC091HOAA 00-3219 RC091HOAK 00-3217 Two 10 10 RC091H002 VT-03-211 RR#4 RC091H006 VT-03-212 RR#4 RC091HOOP VT-03-216 RR#4 RC091HOOQ VT-03-217 RR #4 RC091HOOR VT-03-218 RR #4 RC091HOOS VT-03-219 RR #4 RC091 HOOT VT-03-220 RR #4 RC091HOAJ VT-03-213 RR #4 RC091HOAP VT-03-214 RR #4 RC091HOAQ VT-03-215 RR #4 Three 11 11 CHI-OOIH00A VT-06-095 RC091HOAB VT-06-096 RR #4 RC091HOAC VT-06-097 RR #4 RC091HOAD VT-06-098 RR#4 RC091HOAM VT-06-099 RR #4 RC091HOAN VT-06-1 00 RR #4 RC091HOOF VT-06-101 RR #4 RC091HOOJ VT-06-102 RR #4 RC091HOOU VT-06-103 RC091HOOV VT-06-104 RR#4 RC091 HOOW VT-06-105 RR #4 37 Charging One 14 14 CH005H002 00-3231 CH005H003 00-3232 CH005HO20 01-3473 PSE CH005H025 00-3233 CH005H026 00-3225 CH005H027 00-3224 CH005H028 00-3222 CH005HO30 00-3226 CH005H034 00-3220 CH005H035 00-3221 Page 21 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone ComplSys Tlnsp IAmtImtI item ID Reports I______Remarks Item no Per Req jCompj Vol Surf Visual CH005H036 00-3223 CH005H042 00-3234 CH005H043 00-3486 CH005H044 00-3235 CH005HOAA 00-3236 Two 9 9 CH005H013 VT-03-240 RR #4 CH005H017 VT-03-243 RR #4 CH005HO18 VT-03-244 RR #4 CH005HO19 VT-03-247 RR #4 CH005H020 VT-03-251 RR #4 CH005HO21 VT-03-242 RR #4 CH005H022 VT-03-252 RR #4 CH005H032 VT-03-253 RR #4 CH005H037 VT-03-241 RR #4 Three 10 10 CH005H004 VT-06-106 CH005H007 VT-06-107 CH005H008 VT-06-108 CH005H009 VT-06-109 CH005H011 VT06-1O10 RR#4 CH005HO12 VT-06-111 RR#4 CH005HO14 VT-06-112 CH005H033 VT-06-113 CH005H038 VT-06-114 RR#4 CH005H039 VT-06-115 RR#4 38 Drain Line I Three 1 1 RC070HOOB VT-06-116 RR#4 39 HPSI A One 4 4 S1248H026 00-3228 S1248H027 00-3227 S1248H028 00-3229 S1248H030 00-3230 Two 5 5 S1248H017 VT-03-148 S1248H018 VT-03-154 Snubber deleted S1248H019 VT-03-152 S1248H020 VT-03-416 RR #4 S1248H029 VT-03-149 Three 5 5 S1248H021 VT-06-117 S1248H022 VT-06-118 S1248H023 VT-06-119 S1248H024 VT-06-659 S1248H025 VT-06-660 40 HPSI B One 3 3 S1199H013 01-3029 S1199H014 01-3030 S1199H021 01-3031 Support deleted Two 4 4 S1199H015 VT-03-200 RR #4 S1199H016 VT-03-201 RR#4 S1199H017 VT-03-202 RR#4 S1199H018 VT-03-203 RR #4 Three 2 2 S1199H022 VT-06-120 S1199H023 VT-06-121 F 1.40 01 Reactor Vessel Three 4 4 1-40 VT-06-028 RR#4 1-41 VT-06-029 RR #4 1-42 VT-06-030 RR #4 1-43 VT-06-031 RR#4 03 SG 1 One 1 1 3-40 01-3319 04 SG 2 Two 1 1 4-40 VT-04-471 05 PZR Three 1 1 5-40 VT-O6-032 Page 22 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Item no I Zone Com pSys : Req jComp I AmtlIo IPerI Amt I ItemOIDI Vol I Reports Surf Visual I Remarks 16 RCP 1A One 2 2 16-17 00-3489 16-18 00-3528 Two 4 4 16-12 VT-03-318 16-13 VT-03-319 16-14 VT-03-320 16-15 VT-03-321 Three 4 4 16-19 VT-06-033 16-20 VT-06-034 16-21 VT-06-035 16-22 VT-06-036 17 RCP 1B One 2 2 17-17 00-3527 17-18 00-3527 Two 4 4 17-12 VT-03-322 17-13 VT-03-323 17-14 VT-03-324 17-15 VT-03-325 Three 4 4 17-19 VT-06-037 17-20 VT-06-038 17-21 VT-06-039 17-22 VT-06-040 18 RCP 2A One 4 4 18-12 00-3004 18-13 00-3004 18-14 00-3004 18-15 00-3004 Two 2 2 18-17 VT-03-330 18-18 VT-03-346 Three 4 4 18-19 VT-06-041 18-20 VT-06-042 18-21 VT-06-043 18-22 VT-06-044 19 RCP 2B One 4 4 19-12 00-3005 19-13 00-3005 19-14 00-3005 19-15 00-3005 Two 2 2 19-17 VT-03-348 19-18 VT-03-351 Three 4 4 19-19 VT-06-045 19-20 VT-06-046 19-21 VT-06-047 19-22 VT-06-048 BFLYWH 16 RCP 1A One 1 1 Fly Wheel 01-3426 Two 1 1 Fly Wheel UT-04-149 Three I I FLY WHEEL UT-06-020 ET-06-001 17 RCP 1B One 1 1 Fly Wheel 01-3427 Two 1 1 Fly Wheel UT-04-288 Three 1 1 FLY WHEEL UT-06-021 ET-06-002 18 RCP 2A One 1 1 Fly Wheel 01-3428 Two 1 1 Fly Wheel UT-04-289 Three 1 1 FLY WHEEL UT-06-022 ET-06-003 19 RCP 2B One 1 1 Fly Wheel 01-3429 Two 1 1 Fly Wheel UT-04-290 Three 1 1 FLY WHEEL UT-06-023 ET-06-004 Page 23 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone Comp/Sys I Insp Amt I Amt I Item ID Reports Remarks Item no Per Req jCompI Vol Surf Visual ASME Class 2 C 1.10 41 SG 1 One I 1 1 41-3 01-3403 Examined 0° -180° 41-4 01-3402 Examined 0° -1800 68 Reg Ht Exch. One 3 3 68-3 01-3328 68-5 01-3330 68-7 01-3332 69 Letdown Ht Exch One 50% 50% 69-1 00-3276 Examined 0°-180° 84 SD HT Exch Two 50% 50% 74-123 UT-04-141 Examined 180"-360° C 1.20 41 SG 1 One 1 1 41-5 01-3395 Examined 0° -1800 68 Reg Ht Exch. One 2 2 68-4 01-3329 68-6 01-3331 C 1.30 41 SG 1 One 1 1 41-1 01-3082 Examined 0° -1800 42 SG 2 Two 1 1 42-1 UT-03-002 Examined 0' -180*

UT-03-030 68 Reg Ht Exch. One 4 4 68-1 01-3326 68-2 01-3327 68-8 01-3333 68-9 01-3334 69 Letdown Ht Exch One 50% 50% 69-2 00-3277 Examined 0°-180° 84 SD HT Exch Two 50% 50% 74-124 UT-04-142 Examined 180°-360° C 2.21 41 SG1 One 1 1 41-62 01-3342 01-3324 Two 2 2 41-9 UT-04-150 MT-04-094 41-10 UT-04-151 MT-04-096 42 SG 2 One 1 1 42-63 01-3341 01-3323 84 SD HT Exch Two 1 1 74-122 UT-04-140 MT-04-189 C2.22 41 SG1 Two 2 2 41-9 UT-04-137 41-10 UT-04-138 84 SD HT Exch Two 1 1 74-122 UT-04-139 C 3.10 41 SG 1 One 1 1 41-36 01-3400 42 SG 2 Two 1 1 42-37 MT-04-098 68 Reg Ht Exch. One 2 2 68-10 01-3311 68-11 01-3311 C 3.20 43 MS (East) SGI Three 2 2 SG036H016 MT-06-008 SG036H017 MT-06-009 44 MS SG1 Two 1 1 SG033H016 MT-03-027 45 MS SG2 One 1 1 SG042H014 00-3072 Two 2 2 SG042H015 MT-03-025 SG042H016 MT-03-026 Three I 1 SG042H017 MT-06-010 46 MS (West) SG2 Three 1 1 SG045H016 MT-06-011 54 FW SG I Three I I SGO02HOOl MT-06-012 55 Feedwater One 1 1 SG005H009 01-3320 SG005H006 00-3282 First Interval RR 14 Three 1 1 SGO05HOOl MT-06-013 62 AF SG1 Two 1 1 AF018HOO1 PT-04-119 64 Blowdown One 2 2 SG039H015 01-3343 SG039H017 01-3071 01-3343 Two 2 2 SG039H001 MT-03-002 SG053H005 MT-03-001 PT performed for inaccessible PT-03-001 MT areas Three 2 2 SG039H022 MT-06-014 Code case N-460, 92.79%

Page 24 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASM,,E Zone ComplSys Insp1I Amt IAmt Item ID Reports Remarks Item no I PerI Req iCompi Vol Surf Visual SGO53HOO MT-06-015 65 Blowdown One 2 2 SG048H020 01-3344 SG052H001 01-3022 SG048H023 00-3283 First Interval RR 14 Two 3 3 SG048H014 MT-03-028 SG048H016 MT-03-004 SG048H026 MT-03-003 Three 1 1 SG052H005 MT-06-016 71 LPSI Dsch One 1 1 SI087HO1 1 00-3392 76 CS Suct One 1 1 S1009H004 00-3393 83 SD Cooling A Two 2 2 S1087H004 PT-04-128 SI090HOO1 PT-04-129 88 S1 East Wrap One 1 1 S1072H013 00-3055 89 SI East Wrap One 1 1 S1194H014 00-3054 91 SI West Wrap One 4 4 S1070H009 00-3265 S1070H011 00-3485 S1070H012 00-3261 S1070H016 00-3485 92 West Wrap One 1 1 S1241H021 00-3488 Two 2 2 S1239H001 PT-04-140 S1241H016 PT-04-141 93 SI West Wrap Two 1 1 S1089H013 PT-04-144 94 SI Pipe Chase Two 2 2 S1070H005 PT-04-147 S1070H008 PT-04-148 96 LPSI to Loop 1A Three I I S1202H017 PT-06-010 99 LPSI B Two 1 1 S1174H013 PT-03-009 100 LPSI A Suct One 1 1 S1369H001 00-3151 Two 1 1 84-5 PT-03-012 101 LPSI Sump B Three 1 1 85-5 PT-06-011 102 St A One 3 3 S1307H002 01-3242 S1307H003 01-3240 S1307H015 01-3242 103 RF SuctA Two 2 2 CH142H020 PT-03-011 CH424H006 PT-03-002 104 SI Suct B Two 1 1 S1308H003 PT-03-003 113 HPSI One 1 1 S1107H022 01-3244 C 3.30 72 LPSI One 3 3 72-3A 01-3213 72-3B 01-3213 72-3C 01-3213 75 LPSI B Two 3 3 73-3A PT-04-122 73-3B PT-04-123 73-3C PT-04-124 78 Cont Spray A Two 3 3 80-3-A PT-04-125 80-3-B PT-04-126 80-3-C PT-04-127 116 HPSI A One 4 4 116-1A 01-3233 116-1B 01-3233 116-1C 01-3233 116-1D 01-3233 117 HPSI B Two 4 4 117-1A PT-04-168 Limited PT 117-11B PT-04-169 117-1C PT-04-170 117-1D PT-04-171 Limited PT C 4.40 47 MS SG 1 One 20 20 V170 01-3469 48 MS SG 1 One 20 20 V180 01-3469 Page 25 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone ComplSys I[nsp Amt I Amt I Item ID I Reports Remarks Item no Per Req ICompl Vol Surf Visual 56 FW SGI Two 40 40 V132 UT-03-028 Vi 74 UT-03-029 C 5.11 58 AF One 0 4 58-1 00-3524 00-3273 PSE

& 5.12 58-2 00-3521 00-3273 PSE 58-3 00-3522 00-3272 PSE 58-4 00-3523 00-3273 PSE Two 0(1) 0(1) 58-1 RT-04-004 PT-04-176 Aug IEB 79-13 & SER 83-07 Three 2(1) 0 58-19 RT-06-008 59 AF One 0 3 59-6 01-3460 01-3447 PSE 01-3463 59-37 01-3461 01-3447 PSE 01-3462 Two 2(1) 2(1) 59-1 RT-03-001 PT-03-010 PSE, Aug IEB 79-13 & SER 83-07 59-16C RT-04-003 PT-04-116 59-34 UT-04-247 PT-04-117 62 AF SG1 Two 1 1 62-24 UT-04-258 PT-04-118 Limited UT 63 AF One 1 1 63-4 01-3446 01-3392 Two 1 1 63-30 UT-04-259 PT-04-120 Limited UT 70 & 73LPSI One 1 1 70-58 00-3455 00-3448 Suct A& B Two 1 1 70-61 UT-04-261 PT-04-121 82 & 85 SD One 2 2 72-50 00-3479 00-3390 Cooling A & B 73-49 01-3347 01-3245 83 & 86 SD One 4 4 74-19 00-3480 00-3391 Cooling A & B 74-21 00-3482 00-3391 74-22 00-3481 00-3391 74-105 00-3483 00-3391 88 & 91 East & One 6 6 78-16 00-3195 00-3147 West Wrap 74-44 00-3484 00-3264 76-2 00-3487 00-3263 76-21 01-3278 01-3217 77-7 01-3246 01-3217 77-14 01-3279 01-3217 Two 7 7 78-9J UT-04-262 PT-04-132 78-11 UT-04-263 PT-04-133 79-14 UT-04-264 PT-04-134 Limited UT 76-7 UT-04-265 PT-04-136 Limited UT 76-8 UT-04-266 PT-04-137 77-8 UT-04-267 PT-04-138 77-16 UT-04-268 PT-04-139 Limited UT 93 SI West Wrap Two 1 1 84-9 UT-04-269 PT-04-143 Limited UT 94 & 95 S1 One 1 1 74-40 01-3216 01-3215 Two 2 2 74-37 UT-04-270 PT-04-145 74-38 UT-04-271 PT-04-146 96 - 99 LPSI Loop One 3 3 78-45 00-3194 00-3173 1A,1B, 2A, 2B 78-47 00-3193 00-3174 79-23 01-3335 01-3389 Two 2 2 77-22 UT-04-272 PT-04-149 77-27 UT-04-273 PT-04-150 Limited UT 100 & 101 LPSI Suct Two 2 2 70-121 UT-04-274 PT-04-151 Limited UT 84-3 UT-04-275 PT-04-152 Limited UT 102 SI A One 1 1 84-12 01-3277 01-3240 103 RF Suct A One 1 1 86-57 01-3252 01-3239 Page 26 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone CompiSys I nsp AmtIAm I ItemoI Reports Remarks Item no I Per Req jCompj Vol I Surf Visual 104 SI Suct B One 1 1 85-46 01-3468 01-3391 01-3458 _PSE 105 RF Suct B One 1 1 87-23 01-3253 01-3241 C 5.21 106 & 107 HPSI One 4 4 106-1 01-3199 01-3197 106-21 01-3219 01-3218 107-11 01-3248 01-3237 107-42 01-3247 01-3237 108 & 109 HPSI One 2 2 109-4 01-3202 01-3072 109-21 01-3200 01-3072 Two 3 3 108-1 UT-04-276 PT-04-159 108-4 UT-04-277 PT-04-160 108-25 UT-04-278 PT-04-161 110 & 111 HPSI One 2 2 110-6 01-3203 01-3071 110-39 01-3198 01-3071 Two 3 3 110-17 UT-04-279 PT-04-162 Limited UT 110-52 UT-04-280 PT-04-163 Limited UT 111-34 UT-04-281 PT-04-164 Limited UT 112 & 113 HPSI One 3 3 112-1 01-3251 01-3238 112-33 01-3250 01-3238 112-45 01-3249 01-3238 Two 2 2 113-21 UT-04-282 PT-04-165 Limited UT 113-28 UT-04-283 PT-04-166 Limited UT 114 & 115 HPSI One 1 1 115-13 01-3336 01-3393 118 & 119 HPSI Two 4 4 118-49 UT-04-284 PT-04-172 Limited UT 119-26 UT-04-285 PT-04-173 119-52 UT-04-286 PT-04-174 Limited UT 119-53 UT-04-287 PT-04-175 Limited UT C 5.30 106 & 107 HPSI One 1 1 107-53 01-3237 C 5.41 82 & 85 SD Cooling One 1 1 72-49B 00-3390

& 5.42 88 & 91 Wraps One 1 1 74-102 00-3262 C 5.51 43 MS SG1 90 One 1 1 43-2 00-3111 00-3071

& 5.52 44 MS SG1 270 One 1 1 44-1 00-3150 00-3073 46 MS SG2 90 One 1 1 46-25 00-3192 00-3094 54 FWSG 1 One 1 1 54-41 01-3212 01-3201 Two 1 1 54-1 UT-03-031 MT-03-022 PSE 55 FV SG 2 One 2 2 55-1 01-3024 01-3023 55-15 01-3025 01-3023 Two 1 1 55-1 UT-03-033 MT-03-023 PSE 55-15 UT-03-032 MT-03-024 PSE 55-26 UT-04-235 MT-04-165 58AF SG1 One 1(5) 1(5) 41-33 00-3526 00-3272 (58-1) 00-3524 00-3273 (58-12) 00-3048 00-3031 0 signifies Aug.

(58-13) 00-3047 00-3031 examinations (58-16) 00-3046 00-3031 (58-16A) 00-3045 00-3031 Two 1(4) 1(4) 58-12 UT-04-236 MT-04-167 Aug IEB 79-13 & SER 83-07 58-13 UT-04-237 MT-04-168 Aug IEB 79-13 & SER 83-07 58-16 UT-04-238 MT-04-169 Aug IEB 79-13 & SER 83-07 58-16A UT-04-239 MT-04-170 Aug IEB 79-13 & SER 83-07 58-25 UT-04-240 MT-04-171 59 AF SG2 One 0(5) 0(5) (59-1) 00-3269 00-3260 (59-12) 00-3044 00-3032 Page 27 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone ComplSys Insp: Amt I AmtI Item ID Reports I I Remarks Item no I Per Req ICompi Vol Surf I Visual I (59-13) 00-3041 00-3032 (59-16) 00-3042 00-3032 (59-16A) 00-3043 00-3032 59-38 01-3459 01-3447 PSE Two 1(4) 1(4) 59-12 UT-04-242 MT-04-173 Aug IEB 79-13 & SER 83-07 59-13 UT-04-243 MT-04-174 Aug IEB 79-13 & SER 83-07 59-16 UT-04-244 MT-04-175 Aug IEB 79-13 & SER 83-07 59-16A UT-04-245 MT-04-176 Aug IEB 79-13 & SER 83-07 59-25 UT-04-246 MT-04-177 Three 1(4) 0 59-18 UT-06-043 64 Blowdown One 1 1 64-1 01-3339 01-3322 Two 1 1 64-30 UT-04-260 MT-04-188 65 Blowdown One 1 1 65-28 01-3340 01-3321 Three 2 0 65-52 UT-06-044 C 6.10 116 HPSIA One 1 1 116-2 01-3243 117 HPSI B Two 1 1 117-1 PT-04-167 C 7.10, Periodic One n/a n/a n/a 01-3054 7.30, Pressure 01-3057 7.50, 7.70 Test 01-3061 01-3062 01-3065 to 01-3067 01-3069 01-3070 01-3220 to 01-3232 01-3355 01-3360 01-3361 01-3365 to 01-3381 01-3390 01-3396 01-3464 to 01-3467 01-3504 01-3505 01-3508 to 01-3511 01-3514 to 01-3516 01-3518 to 01-3520 01-3522 01-3523 01-3525 02-3010 to 02-3013 02-3015 02-3021 02-3022 02-3024 to 02-3040 02-3047 Two n/a n/a n/a VT-03-432 VT-04-685 VT-04-687 to VT-04-697 VT-04-701 to VT-04-706 VT-04-709 VT-04-718 to VT-04-720 VT-04-722

_VT-04-739 to Page 28 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT Item no IPer Req jCompj Vol Surf Visual I VT-04-741 VT-04-744 VT-04-745 VT-04-747 to VT-04-752 VT-04-767 VT-04-768 VT-04-770 to VT-04-772 VT-04-776 to VT-04-779 VT-04-786 VT-04-788 to VT-04-795 VT-04-799 to V17-04-804 VT-05-1143 to VT-05-1146 VT-05-600 VT-05-604 to VT-05-606 VT-05-608 VT-05-615 to VT-06-618 VT-06-021 to VT-06-630 VT-06-632 to VT-05-638 VT-05-640 F1.20 41 SG 1 One 2 2 41-36 01-3443

& F1.40 41-37 01-3445 42 SG 2 Two 2 2 42-36 VT-04-472 42-37 VT-04-473 43 MS SG 1 90 One 2 2 SG036H017 00-3075 SG036H884 00-3410 SG036H885 00-3411 Two 1 1 SG036HO11 VT-03-359 Three 2 2 SG036HO0l VT-05-558 RR # 4, Aug VT-06-687 RR # 4, PSE SG036H016 VT-05-559 RR #4 SG036H017 VT-05-560 RR #4 44 MS SG1 270 One 2 2 SG033H017 00-3078 SG033H018 00-3079 Two 3 3 SG033H016 VT-03-393 SG033H881 VT-03-255 RR #4 SG033H882 VT-03-256 RR #4 Three 1 1 SGO33HO0l VT-05-561 RR#4 SG033H016 VT-05.562 RR # 4, Aug SG033H017 VT-05-563 RR # 4, Aug VT-06-688 RR # 4, PSE 45 MS SG 2 270 One 1 1 SG042H014 00-3074 Two 3 3 SG042HO11 VT-03-257 RR #4 SG042H015 VT-03-258 Snubber deleted VT-04-670 SG042H016 VT-03-394 VT-04-671 RR #4 Three 3 3 SG042HOl1 VT-05-564 RR # 4, Aug VT-06-689 RR # 4, PSE SG042H016 VT-05-565 RR # 4, Aug SG042H017 VT-05-566 RR #4 SG042H890 VT-06-122 Page 29 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone Comp/Sys ý ,nsp7Amt Amt Item ID Reports Remarks Item no IPer I Req Comp Vol I Surf Visual SG042H891 VT-06-123 46 MS SG 2 90 One 2 2 SG045H017 00-3098 SG045HO18 00-3099 Two 3 3 SG045H01 1 VT-03-362 SG045H887 VT-03-365 SG045H888 VT-03-367 Three 1 1 SG045HOll VT-05-567 RR # 4, Aug SG045H016 VT-05-568 RR #4 SG045H017 VT-05-569 RR # 4, Aug VT-06-690 RR # 4, PSE 47 MS SG1 270 One 1 1 SG206HOO1 00-3529 48 MS SG 1 Two 1 1 SG207HOO1 VT-04-474 51 ADV SG1 One 1 1 SG059H006 00-3449 Two 1 1 SG070H006 VT-04-475 53 Steam to AF One 4 4 SGO81HOO1 00-3106 SG081H002 00-3105 SGO83HOO1 00-3104 SGO83H002 00-3103 Two 2 2 SG081H004 VT-03-261 Snubber Deleted SG083H004 VT-03-262 Snubber Deleted 54 FW SG 1 One 7 7 SG002H004 01-3208 SG002H005 01-3209 SG002H012 01-3018 SGO02HO13 01-3214 SGO02HO14 01-3210 SGO02HO15 01-3211 SG002H803 01-3019 Two 6 6 SGO13HOO1 VT-03-395 RR #4 SG013H802 VT-03-412 RR #4 SG002H009 VT-03-396 RR #4 SGO02HO10 VT-03-397 RR #4 SGO02HO1I1 VT-03-402 RR #4 SG002H806 VT-03-415 Support deleted Three 6 6 SGO02HOOl VT-06-124 SGOO2HOO2 VT-06-125 RR # 4 SG002H003 VT-06-126 RR#4 SGO02HOO6 VT-06-127 SGO02HOO8 VT-06-128 SG002H807 VT-06-129 RR #4 55 FW SG 2 One 8 8 SG005H009 01-3350 SGO05HO10 01-3348 SGO05HO1 1 01-3349 SG005H012 01-3011 SG005H805 01-3012 SG005H809 01-3014 Support deleted SGO14HOO1 01-3013 SG014H804 01-3015 Two 7 7 SG005H004 V-17-03-133 RR #4 SG005H005 VT-03-134 RR #4 VT-03-385 RR #4, Re-exam SG005H006 VT-03-259 RR #4 SG005H007 VT-03-130 RR #4 SG005H008 VT-03-132 RR #4 SG005H013 VT-03-131 RR #4 SG005HO14 VT-03-260 RR #4 Page 30 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone ComnpSys Insp Amt Amt Item ID Reports Remarks Item no Per Req Comp Vol Surf Visual Three 4 4 SGO05HO01 VT-06-130 SG005H002 VT-06-131 RR #4 SG005H003 VT-06-132 RR#4 SG005H808 VT-06-133 56 FW SG1 Two 1 1 SG202HOO1 VT-04-476 RR #4 58 AF One 7 7 SG008H002 01-3436 SG008H003 01-3435 SGO08HOO4 01-3434 SGO08HOO5 01-3433 SGO08HO20 01-3432 SGO08H901 01-3431 SG008H903 01-3430 Two 7 7 SGO08HOO6 VT-03-147 SGO08HOO7 VT-03-160 RR #4 SGO08HOO8 VT-03-151 SGO08HOO9 VT-03-158 RR #4 SGO08HO10 VT-03-137 RR #4 SGO08HO1 1 VT-03-138 RR #4 SGO08HO17 VT-03-143 RR #4 Three 8 8 AF004HOOl VT-06-134 SGO08HO12 VT-06-135 SGO08HO13 VT-06-136 SGO08HO14 VT-06-137 SGO08HO15 VT-06-138 SGO08HO16 VT-06-139 SGO08HO18 VT-06-140 SGO08HO19 VT-06-141 59 AF One 6 6 AF006HOO1 00-3238 SGO11H008 00-3240 SGO11H009 00-3239 SGO11HO10 00-3241 SGO11HO11 00-3242 SGO11HO12 00-3237 Two 6 6 SGO11HO13 VT-03-358 RR #4 SGO11HO14 VT-03-360 RR #4 SGO11HO15 VT-03-361 RR#4 SGO11HO16 VT-03-363 RR#4 VT-04-477 SGO11HO18 VT-03-368 RR#4 SGO11HO19 VT-03-370 RR#4 Three 9 9 SGO11HOO2 VT-06-142 SGO11HOO3 VT-06-143 RR#4 SGO11HOO4 VT-06-144 RR#4 SGO11HOO5 VT-06-145 RR#4 SGO11H006 VT-06-146 SGO11H007 VT-06-147 SGO11HO17 VT-06-148 SGO11H020 VT-06-149 SGO11H902 VT-06-150 RR#4 60 FW SG1 One I 1 SG200HOO9 00-3530 SG200HO13 00-3534 PSE SG200HO14 00-3533 PSE 61 FWSG2 One 0 0 SG203H013 00-3531 PSE SG203H014 00-3532 PSE Two 2 2 SG203H013 VT-04-478 Page 31 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone ComplSys i nsp lIAmtI Amt Iem I Reports Remarks Item no Per Req Comp Vol Surf Visual SG203H014 VT-04-479 62 AF SG1 One 1 1 AF004H003 00-3102 Two 1 1 AF018HOO1 VT-04-480 63 AF SG2 One 2 2 AF006H 002 00-3100 AF016HOO1 00-3101 Two 2 2 AF006H003 VT-04-481 AF006H005 VT-04-482 64 Blowdown One 10 10 SG039H010 01-3032 SG039H01 1 01-3033 Support deleted SG039H012 01-3034 SG039H013 01-3035 Support deleted SG039H014 01-3036 Support deleted SG039H015 01-3037 SG039H016 01-3038 SG039H017 01-3039 Support deleted SG039H026 01-3040 SG053H002 01-3020 Support deleted Two 12 12 SG039HOO1 VT-03-386 Snubber deleted SG039H002 VT-03-069 Support deleted SG039H003 VT-03-104 Snubber deleted SG039H004 VT-03-105 RR #4 SG039H005 VT-03-106 RR #4 SG039H006 VT-03-107 Snubber deleted SG039H027 VT-03-108 Snubber deleted SG053H003 VT-03-066 Support deleted SG053H004 VT-03-109 RR #4 SG053H005 VT-03-1 11 SG053H006 VT-03-067 Support deleted SG053H007 VT-03-068 Snubber deleted Three 6 6 SG039H009 VT-06-151 RR#4 SG039H018 VT-06-152 RR#4 SG039H022 VT-06-153 SG039H024 VT-06-154 SG039H025 VT-06-155 RR #4 SGO53HOOl VT-06-156 65 Blowdown One 10 10 SG048H002 01-3010 Support deleted SG048H003 01-3043 Support deleted SG048H004 01-3044 SG048H019 01-3045 Support deleted SG048H020 01-3046 Support deleted SG048H021 01-3047 SG052H001 01-3008 Support deleted SG052H002 01-3009 Support deleted SG052H003 01-3041 Support deleted SG052H004 01-3042 Two 11 11 SG048H013 VT-03-110 Snubber deleted SG048H014 VT-03-389 SG048H015 VT-03-113 Snubber deleted SG048H016 VT-03-115 SG048H017 VT-03-426 RR #4, Snubber deleted SG048H018 VT-03-118 SG048H022 VT-03-120 Snubber deleted SG048H023 VT-03-123 RR #4 SG048H024 VT-03-126 RR #4 SG048H025 VT-03-128 Snubber deleted Page 32 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone ComplSys Insp I AmI Amt tem ID oRpo rts Remarks Item no Per[ Req JCompJ Vol Surf Visual SG048H026 VT-03-129 Snubber deleted Three 6 6 SG048H005 VT-06-157 RR#4 SG048H010 VT-06-158 SG048HOl1 VT-06-159 SG048H027 VT-06-160 RR #4 SG048H028 VT-06-161 RR#4 SG052H005 VT-06-162 RR #4 68 Reg Ht Exch. One 2 2 68-10 01-3312 68-11 01-3312 70 LPSI Suct A One 1 1 S1067H004 00-3249 71 LPSI Dsch A One 1 1 S1087H011 00-3394 Two 5 5 S1078H001 VT-03-335 RR #4 S1078H002 VT-03-334 RR #4 S1087H001 VT-03-331 RR #4 S1087H002 VT-03-332 RR #4 S1087H003 VT-03-333 RR #4 72 LPSI One 3 3 72-3A 01-3207 72-3B 01-3207 72-3C 01-3207 73 LPSI Suct B One 0 0 S1308H012 00-3120 PSE Two 1 1 S1308H014 VT-03-112 RR #4 75 LPSI B Two 3 3 73-3A VT-04-483 73-3B VT-04-484 73-3C VT-04-485 76 CS Suct A One 1 1 S1009H004 00-3395 S1067H001 01-3256 PSE S1067H003 01-3257 PSE 77 CS Dsch A One 4 4 S179H001 00-3243 S179H002 00-3244 S1079H003 00-3246 S1079H004 00-3245 Two 3 3 S1079H005 VT-04-486 RR #4 S1079H006 VT-04-487 RR #4 S1082H002 VT-04-488 RR #4 78 Cont Spray A Two 3 3 80-3A VT-04-489 80-3B VT-04-490 80-3C VT-04-491 79 CS Suct B One 3 3 S1034H001 00-3169 S1034H002 00-3168 S1034H003 00-3167 S1034H001 00-3128 PSE S1034H003 00-3122 PSE S1033H004 00-3117 PSE S1034H006 00-3196 PSE Two 1 1 S1033H004 VT-04-492 RR #4 80 CS Dsch B One 3 3 S1119H007 00-3166 S1119H008 00-3165 S1119H009 00-3164 Two 4 4 SI119HOO1 VT-04-493 RR #4 S1119H002 VT-04-494 RR #4 S1119H003 VT-04-495 RR #4 S1119H004 VT-04-496 RR #4 82 SD Cooling A One 2 2 S1078H005 00-3248 S1079H010 00-3247 83 SD Cooling A One 4 4 S1087H009 00-3250 Page 33 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone CompiSys Ilnsp I tAmt I tem Reports I Remarks Item no I PerI Req jCompj Vol I e Surf visual R SI089HOO1 00-3253 S1089H002 00-3251 S1089H003 00-3252 Two 3 3 S1087H004 VT-04-497 S1090H001 VT-04-498 S1090H002 VT-04-499 85 SD Cooling B One 3 3 SI119HO10 00-3158 S1123H006 00-3160 S1123H007 00-3159 Two 6 6 S1119H011 VT-04-500 RR #4 S1119H013 VT-04-723 RR#4 S1119H014 VT-04-724 RR#4 S1123H002 VT-04-501 RR #4 S1123H005 VT-04-502 RR #4 S1123H008 VT-04-503 RR #4 86 SD Cooling B One 3 3 S1129H010 00-3157 S1129H011 00-3156 S1129H012 00-3155 Two 7 7 S1072H005 VT-04-504 RR #4 S1072H006 VT-04-505 RR #4 S1129H007 VT-04-506 RR #4 S1129H008 VT-04-507 RR #4 S1135H001 VT-04-508 RR #4 S1135H002 VT-04-509 RR #4 S1135H003 VT-04-510 RR #4 88 East Wrap One 8 8 S1072H01 1 00-3056 S1072H013 00-3058 SI072H014 00-3057 S1072H021 01-3451 S1072H022 01-3452 S1073H001 01-3448 S1073H002 01-3449 S1073H003 01-3450 89 East Wrap One 4 4 SI194H012 00-3154 S1194H013 00-3153 SI194H014 00-3059 SI194H023 00-3152 SI194H013 00-3177 PSE 90 SI East Wrap Two 2 2 S1134H009 VT-04-511 RR#4 S1134H010 VT-04-512 RR #4 91 West Wrap One 7 7 S1070H009 00-3398 SI070HO10 00-3397 SSI070HO11 00-3413 S1070H012 00-3399 S1070H013 00-3414 S1070H014 00-3415 S1070H015 00-3396 S1070H016 00-3412 Two 2 2 S1071H002 VT-04-513 RR #4 S1071H003 VT-04-514 RR #4 92 West Wrap One 5 5 S1239H003 00-3402 S1241H009 01-3260 PSE S1241H011 01-3261 PSE S1241H012 00-3274 01-3262 PSE Page 34 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone ComplSys Insp Amt I Amt Item ID Reports Remarks Item no _I PerI Req jCompj I Vol ISurf IVisualI S1241H014 00-3400 01-3263 PSE S1241HO15 00-3401 S1241H021 00-3490 Two 5 5 S1239H001 VT-04-515 SI239H002 VT-04-516 S1241H009 V'-04-517 RR #4 S1241H011 VT-04-518 RR #4 S1241HO16 VT-04-519 Support deleted 93 S1 West Wrap Two 2 2 S1089H010 VT-04-520 RR #4 S1089H013 VT-04-521 RR #4 94 LPSI A One 3 3 S1089H007 00-3467 S1089H008 00-3466 S1089H009 00-3465 S1241H005 01-3258 PSE S1241H007 01-3259 PSE S1241 H008 01-3271 PSE Two 6 6 S1241H006 VT-03-189 RR #4 S1241H007 VT-03-190 RR #4 S1241H008 VT-03-191 RR #4 S1241H017 V'-03-192 S1070H004 VT-04-522 RR #4 S1070H008 VT-04-524 95 LPSI B One 6 6 S1072H008 00-3464 S1072H010 00-3459 SI134H011 00-3458 S1134H012 00-3542 S1194H003 00-3506 S1194H005 00-3511 S1194H005 00-3126 PSE S1194H007 00-3125 PSE S1194H015 00-3124 PSE S1194H021 00-3119 PSE Two 10 10 S1072H007 VT-03-135 S1072H009 VT-03-136 S1194H004 VT-04-525 RR #4 S1194H007 VT-04-526 RR#4 S1194H008 VT-04-527 RR #4 S1194H009 VT-04-528 RR #4 S1194H010 V'-04-529 RR#4 S1194H011 VT-04-530 RR#4 S1194H015 VT-04-531 RR #4 S11 94H021 VT-04-532 96 LPSI 1A One 3 3 S1202H007 00-3496 S1202H008 00-3495 S1202H009 00-3494 Two 8 8 S1202H002 Vr-03-232 RR #4 VT-04-533 S1202H003 VT-03-233 RR #4 VT-04-534 S1202H004 VT-03-234 RR #4 V'-04-535 S1202H005 VT-03-235 RR #4, Snubber deleted VT-04-536 Page 35 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone CompiSys ýnspý mt IAmt Item ID Reports Remarks Item no [Per ]Compj IReq Vol Surf Visual S1202H006 VT-03-236 RR #4 VT-04-537 S1202H010 VT-03-237 RR #4, Snubber deleted VT-04-538 S1202H011 VT-03-238 RR #4, Snubber deleted VT-04-539 S1202H015 VT-03-239 RR #4 VT-04-540 Three 5 5 S1202H01 VT-06-164 RR#4 S1202H012 VT-06-165 RR#4 S1202H016 VT-06-166 RR#4 S1202H017 VT-06-167 S1202H018 VT-06-168 97 LPSI to Loop 1B One 10 10 S1220H009 00-3505 S1220H010 00-3504 S1220H011 00-3503 S1220H012 00-3502 S1220H013 00-3501 S1220H014 00-3500 S1220H015 00-3499 S1220H019 00-3498 S1220H022 00-3497 S1220H008 01-3472 Two 7 7 S1220H001 VT-03-193 RR #4 S1220H016 VT-03-195 RR #4 S1220H017 VT-03-196 RR #4 S1220H018 VT-03-197 RR #4 S1220H020 VT-03-198 RR #4 S1220H021 VT-03-194 RR #4, Snubber deleted S1220H028 VT-03-199 RR #4, Snubber deleted Three 7 7 S1220H003 VT-06-169 Removed S1220H005 VT-06-170 S1220H007 VT-06-171 S1220H023 VT-06-172 S1220H024 VT-06-173 S1220H027 VT-06-174 S1220H029 VT-06-175 98 LPSI to 2A One 2 2 S1155H005 00-3163 S1155H006 00-3162 Two 4 4 S1155H002 VT-03-156 S1155H003 VT-03-157 Support deleted SI155H004 VT-03-159 Support deleted S1155H007 VT-03-166 RR#4 99 LPSI to 2B Two 5 5 S1174H007 VT-03-245 RR #4, Snubber deleted S1174H008 VT-03-246 RR #4 SI174H009 VT-03-248 RR #4, Snubber deleted S1174H010 VT-03-249 RR#4 S1174H013 VT-03-250 RR #4, Snubber deleted Three 4 4 S1174H004 VT-06-176 S1174H005 VT-06-177 S1174H011 VT-06-178 S1174H012 VT-06-179 100 LPSI A Suct One 2 2 S1241H019 00-3029 S1369H001 00-3161 Two 1 1 84-5 JV--03-399 Page 36 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID I Reports Remarks Item no Per Req Comp Vol Surf Visual I 101 LPSI B Suct Three 8 8 85-5 VT-06-180 S1194H016 VT-06-181 S1194H018 VT-06-182 S1194H022 VT-06-183 S1194H025 VT-06-184 S1194H026 VT-06-185 S1368H001 VT-06-186 S1368H002 VT-06-187 102 SI A One 6 6 S1008H004 01-3254 PSE SI009HOO1 01-3255 PSE S1307H002 01-3264 PSE 01-3281 S1307H003 01-3282 S1307H004 01-3470 Support deleted S1307H005 01-3265 PSE 01-3283 S1307H006 01-3266 PSE S1307H007 01-3267 PSE S1307H008 01-3471 S1307H015 01-3284 Two 7 7 S1008HOOl VT-03-336 RR #4 S1008H002 VT-03-337 RR #4,Strut deleted S1008H003 VT-03-338 RR #4 S1008H004 VT-03-339 RR #4 SI307H006 VT-03-341 RR #4 S1307H007 VT-03-343 RR #4 S1307H014 VT-03-340 RR #4,Snubber deleted 103 Refuel SuctA One 6 6 CH142H013 00-3519 CH142H014 00-3518 CH142H015 00-3517 CH142H019 00-3516 CH142H022 00-3515 CH424H001 00-3520 CH424H002 01-3269 PSE CH424H003 01-3270 PSE S1142H003 01-3268 PSE Two 6 6 CH142H008 VT-03-175 CH142H020 VT-03-176 CH142H021 VT-03-177 CH424H002 VT-03-178 CH424H003 VT-03-179 RR #4 CH424H006 V'-03-180 104 SI Suct B One 7 7 S1033H001 00-3512 S1033H002 00-3513 S1033H003 00-3514 S1308H005 00-3507 S1308H008 00-3508 S1308H010 00-3509 S1308H011 00-3510 S1031 H001 00-3127 PSE S1308H002 00-3180 PSE S1308H004 00-3181 PSE S1308H005 00-3182 PSE S1308H009 00-3115 PSE Two 7 7 S1308H001 VT-03-167 RR #4 Page 37 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASME Zone ComplSys I nsplAmt At I Iem I Reports Remarks Item no I PerI Req Comp Vol Surf Visual S1308H002 VT-03-168 RR #4 S1308H003 VT-03-170 RR #4 S1308H004 VT-03-171 RR #4 S1308H006 VT-03-172 RR #4, Snubber deleted S1308H007 VT-03-173 RR #4, Snubber deleted S1308H015 VT-03-174 RR #4 VT-04-731 105 RF Water One 7 7 CH149H003 00-3116 PSE CH149H005 00-3123 PSE CH149H007 00-3121 PSE CH149H008 00-3184 PSE CH149H012 00-3179 PSE CH149H014 00-3178 PSE CH149H021 00-3118 PSE CH149H009 01-3285 CH149H010 01-3286 CH149H012 01-3287 CH149H013 01-3288 CH149H014 01-3289 CH149H021 01-3280 CH149H028 01-3290 Two 7 7 CH149H004 VT-03-182 V--04-732 CH149H005 VT-03-183 VT-04-733 CH149H006 VT-03-184 VT-04-734 CH149H007 VT-03-185 VT-04-735 CH149H025 VT-03-186 RR #4 VT-04-736 CH149H026 VT-03-391 RR #4 VT-04-737 CH149H027 VT-03-392 RR #4 V'-04-738 106 HPSI A Dsch One 8 8 S1099H001 01-3422 S1099H002 01-3423 SI100HOOl 01-3417 SI100H002 01-3418 SI100H003 01-3419 SI1OOH005 01-3420 S1100H034 01-3421 S1106H001 01-3424 Two 7 7 S1100H009 VT-04-557 SI100HO10 VT-04-558 SI1OOH011 VT-04-559 SI105HB VT-04-560 SI105HC VT-04-561 S1105HD VT-04-562 SI105HE VT-04-563 107 HPSI B Dsch One 6 6 S1107H003 01-3352 S1107H011 01-3293 S1107H012 01-3292 S1112H00C 01-3353 SI112HOOG 101-3351 Page 38 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT IVASME Zone CompiSys I nsp Amt Amt Item ID Reports I Remarks Item no Per Req Comp Vol Surf VisualI SI112HOOH 01-3291 Two 6 6 S11071-1005 V'-04-564 RR #4 S1107H006 VT-04-565 RR #4 S1107H007 VT-04-566 RR #4 S1107H008 VT-04-567 RR #4 S1107H009 VT-04-568 RR #4 S1107HO10 VT-04-569 RR #4 108 HPSI Dsch One 11 11 S1100H022 00-3468 SI100H023 00-3469 S1100H024 00-3470 S1100H025 00-3471 S1100H026 00-3472 S1100H027 00-3473 S1100H028 00-3474 SI100H029 00-3475 SI100H031 00-3476 S1100H032 00-3478 S1100H035 00-3477 Two 11 11 SI100HO12 VT-04-570 RR#4 SI100HO13 VT-04-571 SI100HO18 VT-04-572 RR#4 S1100HO19 VT-04-573 RR#4 S1100H020 VT-04-574 RR#4 SI100H021 VT-04-575 SIi118H00A VT-04-576 SI118HOOB VT-04-577 SI1 18HOOD VT-04-578 SI118HOOR VT-04-579 SIl18HOOS VT-04-580 109 HPSI One 7 7 S1107H013 01-3437 S1107H014 01-3438 S1107H015 01-3439 S1107H016 01-3440 S1107H021 01-3441 S1107H047 01-3442 S1107H050 01-3425 Support deleted Two 7 7 S1107H019 VT-04-581 RR#4 S1107H020 VT-04-582 RR#4 SI107H025 VT-04-583 S1107H026 VT-04-584 RR#4 SI107H027 VT-04-585 SI107H028 VT-04-586 SI107H029 VT-04-587 110 HPSI One 7 7 SI103HOOB 01-3298 SI103HOOD 01-3299 SI103HOOE 01-3300 S1218H001 01-3294 S1218H002 01-3295 S1218H003 01-3296 S1218H004 01-3297 Two 7 7 SI107H039 VT-04-588 RR #4 S1107H041 VT-04-589 RR #4 S1107H042 VT-04-590 RR #4 S1107H043 VT-04-591 RR #4 S1107H044 VT-04-592 RR #4 Page 39 of 46

APPENDIX A INSERVICE INSPECTION

SUMMARY

REPORT ASMEoInspI Zone Comp/Sys Amt CAmtp Item ID Reports Remarks Item no . IlReq Comp Per I Vol Surf Visual S1107H045 VT-04-593 RR #4 SI107H049 VT-04-594 111 HPSI One 3 3 S1100H037 01-3302 S1100H00A 01-3354 SI100HOOB 01-3301 Two 4 4 S1236H001 VT-04-595 S1236H002 VT-04-596 S1236H003 VT-04-597 S1236H004 VT-04-598 112 HPSI One 3 3 S1176H001 01-3303 S1176H002 01-3304 S1176H003 01-3305 Two 3 3 SI100HO17 VT-04-599 S1102HOOA VT-04-600 SI 102HOOB VT-04-601 113 HPSI One 5 5 S1107H022 01-3309 S1107H024 01-3310 S1157H002 01-3306 S1157H003 01-3307 S1157H004 01-3308 Two 4 4 SI108HOOA VT-04-602 SI109HOOA VT-04-603 S1157H00A VT-04-604 SI176HOOA VT-04-605 114 HPSI IA & 1B Three 2 2 S1218H005 VT-06-188 S1236H005 VT-06-189 115 HPSI Two 3 3 S1157H010 VT-03-229 Snubber deleted S1157H011 VT-03-230 RR #4 S1176H004 VT-03-231 RR #4 116 HPSI A One 4 4 116-1A 01-3234 116-lB 01-3234 116-1C 01-3234 116-1D 01-3234 117 HPSI B Two 4 4 117-1A VT-04-606 117-11B VT-04-607 I117-1C VT-04-608 117-1 D VT-04-609 Page 40 of 46

APPENDIX B CODE LIMITATIONS Page 41 of 46

REFUELING OUTAGE NUMBER TWELVE CODE LIMITATIONS ASME ITEM ZONE/COMPONENT ITEM ID REPORT NO.

B 8.20 5 PZR 5-1 UT-06-002 & MT-06-003 Limitation The weld for the Pressurizer skirt is limited due to geometrical configuration. Volumetric examination of the weld is estimated at 75% coverage of the code required examination volume. The surface examination is limited to the OD.

Page 42 of 46

APPENDIX C FORM NIS-1 Page 43 of 46

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

1. OWNER - ARIZONA PUBLIC SERVICE COMPANY, et al ADDRESS - P.O. BOX 52034, PHOENIX,ARIZONA 85072

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

3. UNIT NUMBER - 3

4. OWNERS' CERTIFICATE OF AUTHORIZATION - NONE

5. COMMERCIAL SERVICE DATE - January8,1988

6. COMPONENTS INSPECTED:

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

PAGE I OF 2

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

7. EXAM DATES 12-8-2004 TO 5-12-2006

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

9. ABSTRACT OF EXAMINATIONS. INCLUDE A LIST OF EXAMINATIONS AND A STATEMENT CONCERNING STATUS OF WORK REQUIRED FOR CURRENT INTERVAL.

The items examined, along with the examination report numbers, are listed inAppendix A. The examinations are listed by ASME Item Number with the corresponding examination report numbers.

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

I1. ABSTRACT OF CORRECTIVE MEASURES RECOMMENDED AND TAKEN There were no rejectable indications found during this ISI inspection activity.

Several repairs and replacements have been performed since the last summary report due to routine or corrective maintenance.

The work was performed inaccordance with ASME Section XI and APS Work Control procedures. Applicable NIS-2 forms are included in Appendix D and a copy maintained on file at Palo Verde Nuclear Generating Station by Arizona Public Service Company.

WE CERTIFY THAT THE STATEMENTS MADE IN THIS REPORT ARE CORRECT AND THE EXAMINA-TIONS AND CORRECTIVE MEASURES TAKEN CONFORM TO THE RULES OF THE ASME CODE, SEC-TION XI.

DA TEV SIGNED: ARIZONA PUBLIC SERVICE COMPANY BY CERTIFICATE OF INSERVICE INSPECTION I, THE UNDERSIGNED, HOLDING A VALID COMMISSION ISSUED BY THE NATIONAL BOARD OF BOILER AND PRESSURE VESSEL INSPECTORS AND THE STATE OR PROVINCE OF ARIZONA EM-PLOYED BY HSB CT OF HARTFORD, CONNECTICUT HAVE INSPECTED THE COMPONENTS DE-SCRIBED IN THIS OWNERS REPORT DURING THE PERIOD '.-*- o.- TO s- i-o*,, AND STATE THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE OWNER HAS PERFORMED EXAMINA-TIONS AND TAKEN CORRECTIVE MEASURES DESCRIBED IN THIS OWNERS REPORT IN ACCOR-DANCE WITH THE REQUIREMENTS OF THE ASME CODE, SECTION XI. BY SIGNING THIS CERTIFICATE NEITHER THE INSPECTOR NOR HIS EMPLOYER MAKES ANY WARRANTY, EX-PRESSED OR IMPLIED, CONCERNING THE EXAMINATIONS AND CORRECTIVE MEASURES DE-SCRIBED IN THIS OWNERS REPORT. FURTHERMORE, NEITHER THE INSPECTOR NOR HIS EMPLOYER SHALL BE LIABLE IN ANY MANNER FOR ANY PERSONAL INJURY OR PROPERTY DAM-AGE OR A LOSS OF ANY KIND ARISING FROM OR CONNECTED WITH THIS INSPECTION.

INSPECTOR ", COMMISSIONS -J36 ,8 ,. f" -" Ax Z'-

NAT'L BOARD, STATE, PROVINCE DATE oeD PAGE 2 OF 2

APPENDIX D FORMS NIS-2 Page 46 of 46

ASME SECTION XI- REPAIR / REPLACEMENT

__Page -t of

1. Component ID 3PRCELOI8 "_ 771 2.. Item

Description:

4" Pressurizer Spray Line

3. N-S Data Package Number. 3RC03-2 . 4. W.O. Number: 219337

5. Original Construction Code Edition: ,61974 Edition, Summer 1975 Addenda

6. Original Installation Code Edition: '1974 Edition. Winter 1975 Addenda

7. Work

Description:

To remove the 4" Pressurizer Svray line adjacent to the Pressurizer per Eng-DM 219184

8. 1] ISI Flaw NDE Method of Flaw Detection:

-- -- -. Report Number:

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

The Pressurizer Sprav Line and Aux. Spray Line are subiected to the highest Thermal Stress Loading in the Reactor Coolant System; the nining is bein* renlaced to ensure continued safe oneration of the Pressurizer. Reference En*-DM 21918R4

... .... . e.. i ... gi .... .. .. ce .. to .. -- r e continued. saf one .. o .. of . Pr.. su . ie . ... ..... nic . .... 21 .... 1 Evaluation.

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or-reconciled Code/Edition: Sec.m C1 1. 1974 Edition 1975 Summer Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III CI 1. 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: 0 YES [ NO Initial KM Date t0 1'-.('zLoe5 Ifrequired, include a step in the W.O. to perform Preservice Inspection 15: ASME Section XI Pressure Test Required: 0 YES 0 NO Initial

• Date Lb/2'(01 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date l/."7*- component.

16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the

'5,.

nD ...o/ 17. Include a step in the W.O. to record below all applicable numbers for repaired or Iitial Vf Date 65 replacement items.

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

4"Pipe APN 00053306 _ HT_ 1/0&/o MR 1006793 4"Elbow APN 00054113 " Ma, A-UMR 1006793 4" Reducing Tee APN 00054469 __L_ _. _ MR 1006793 2"Pipe APN 43510642 _ _ __ _ h -6 AfIMR 1006793

" Weldolet APN 43541147 4)J5,A. MR 1006793 18..Planner 4 a Ipamumw

. i -

Date Printed Name: Karl V. Savage Printed Name: " : L4!*,.L g Entry______

Printed Name: ~~OSOS

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

,As Required by the Provisions of the ASME Code Section XI

1. Owner: Arizona Public Service Company, et. al. Date: I0/26/2001 P. 0. Box 53999, Phoenix Aizona85072-2034 Sheet: 1 of .2"

2. Plant: Palo Verde Nuclear Generating Station unit:

5801 South Wintersburg Road., Tonopah. Arizona 85354-7529 Work Order Number 219337

3. Work Performed by- Arizona Public Service Type of Code Stamp Nonne Authorization No. N/A Expiration Date N/A

4. Identification of System: RC (Reactor Coolant) ASME Section III Class I

5. (a) Applicable Construction Code ASME Section III NB. Class 1. 1974 Edition, Summer 1975 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition. 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of 'Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code -

No. Stamped (Yes or 4" Pipe N/A N/A N/A 3PRCELO 18 2005 Replacement NO 4" Elbow N/A N/A N/A 3PRCELO 18 2005 Replacement NO 4" Reducing Tee N/A N/A N/A 3PRCEL018 2005 Replacement NO 2" Pipe N/A N/A N/A 3PRCEL018 2005 Replac ement NO

7. Description of Work: Replacementof the Pressurizer Spray and Aux Spray lines adiacent to the Pressurizer

8. Test Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0@ Exempt E]

N-416-2 0 Other Pressure '2&. psi TestTemperature , F I NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 VX 11 inches, (2) inforniation in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at tihe to of this form.

S

U I FORM NIS-2 (Back)

9. Remarks: Work Order 219337. Renlacement of Pressurizer SýraV Aux. Snrav Diping and vent valve assembly.

Reference Eng-DM 219184.

1. -ý e: V-S lbF

. V, Pre-Pressured Test WO Review'- ISI L ANII Certificate of Compliance We certify that the statements made'in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of orization No. N/A Expiration Date: N/A Signed: Date:  :/i, /Wi 0, er orOwner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION

//

(

I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut have inspected the components described in this Owner's report during the period of to-ac.-o I to S-k.-oC.. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements .otheASME Code, Section Xl.

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

NTB 9685 "N" "I" AZ264 Commissions: National Board, Statt, Province, and Endorsements 13pectors, signature Date: '.-'a-w..

U-73DF-W.~l 7 KCV Y PV216-OSNI (848)

PV216-08N1 (848) 73DP-9ZZ17 Revy

ASME SECTION XI - REPAIR /REPLACEMENT Pae I of .I

1. Component ID 3JSIBFE0348  : "g . 1

.... 't Item

Description:

Conatinmefit Spray Pumo "B" Discharge Flow Element

3. N-5 Data Package Number: 3I507-6 4. W.O. Number. 2591421

5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda

6. Original Installation Code Edition: l974*Elition, Winter 1975 Addeinda" .

17. Work

Description:

Remove flow element and approximately 2 foot of upstream piping. install new flange. spool and annubar IAW DMWO 2316467.

S. IS Flaw. NDE Method of Flaw Detection:

. Report Number.

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

Replacement is IAW DMWO 2316467

10. Repair/Replacemerit Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. M11 Cl 21974 Edition 1975 Winter AddeAda

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

13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda' 'j q.,.,~ A~s'iroe.,%

14. Preserv"I~pection Required: " NO ,AT7at//.bl01 Initial Date 11/05/2005 If required, include a step in the W.O. to perform Preservice Inspection

!5 ASME eeon XI Pressure Test Required: 0 YES 0 NO

.nitial!A V Date 11/05/2005 If required, include a step in the W.O. for ISI & ANII Inspection.

• 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Date 11/05/2005 component.

17. Include a step in the W.O. to record below all applicable numbers for repaired or Date 11/05/2005 replacement items.

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

Flanged Pipe Section 7 Ig 1p3-",.,

7/g, c, A "

AAnnubar Flow Element ____5'__ __7 /. Z/ /A-1

/37.2 5--Q 10".RFFlange  : A90___*_15.14X _/ _ JA_&____"

i' Uo. L i71 ..-Ong"' TC. -Z __

"18. Planner I L .51J0 Printed Name: Glenn E. Moore Signature Date

19. ISI - / (Printed Name: Ramaka_ t nda .

i. a . ,u*e. *w.e

.0. ANII /-*- * . $ . Printed Name: Robert Hogstrom si ,i Date PV-FW3 Ver.1

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

' Owner: Arizona Public Service Company, et. al. Date: 12/06/05 P. 0. Box 53999, Phoenix ArizoLa 85072-2034 Sheet: I of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road.., Tonopah. Arizona 85354-7529 Work Order'Number 2591421

3. Work Performed by: Arizona Public Service Co. Type of Code Stamp None 5801 S. Wintersburg Rd., Tonopah, Arizona, 85354-7529 Authorization No. N/A Expiration Date N/A

4. Identification of System: Safety Injection System (SI) ASME Sect. III Class 2

5. (a) Applicable Construction Code ASME Section flI NC. Class 2 1974 Edition, Winter 1975 Addenda, N/A,Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda' 6: Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code I tM f r Sa o o N dn ai B t pStamped (Yes or

"'4'- NO)

Flanged Pipe Section Dietrich Standard 13715.2.2 N/A 3JSIBFE0348 2006 Replacement Yes Aigiubar Flow Dietrich Standard 13715.1.2 N/A- 3JSIBpE0348 2006 Replacement Yes Element 10" RF Pipe Flange N/A HL#CQX N/A 3JSIB3FE0348 2006 Replacement No Threaded Rod 1.125" N/A HL # MYM N/A 3.SIBFE0348 2006 Replacement No Heavy Hex Nut

• N/A HL # TCK280 NIA 3]SIBFE0348 2006 Replacement No 1.125"

7. Description of Work: Remove flow element and section of pipe and install new spool and annubar element.

-8. Test Conducted: Hydrostatic Q Pneumatic 0 Nominal Operating Pressure E] Exempt 03 N.416-2 0 Other'-0 Pressure 40 psi Test Temperature 72 OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 4 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

FRoMy Ns-2 (Mick)

9. Remarks: Flow lment JSIBFM 0348to be removed along with upstreani flange and anvroximately 2 feet of vivink.

This will be reolaced with a new flanýe and snool assembly containing an annubar element TAW EPft 291fl1-4R7 and T---T -.-- .... * ..... .... 1 ...... ,It---.

.E "'02591421.

• re*Pressured Test WO Review - IST LP 17 /.

ANHI Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI..

Type Code Symbol Stamp N/A Certificate of Au tionz N/A Expiration Date: N/A Signed: /. / *LZf- Date:- -Y 2 5--2 II CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectqrs and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut have inspecded the components described in this Owner's report during the period of ,z-7-o.ý to '4 -Z5 -o , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

Commissions: Aa ' ."

2&.&'

SImspectors Signuur Date:

I-73DP-9ZZI 7 Ver. 77Back; PV-E0092 Vu.

PV-E0092 Back 73DP-9ZZ17

4 Pg. I of 2

• FORM NPP-1 CERTIFICATE HOLDERS= DATA REPORT FOR-FABRICATED NUCLEAR PIPING SUBASSEMBLIES*

As Required.by the°Provlsions of the ASME Code,Section III, Division I

• 1. Fabricated and certified by Dieterich Standard Inc., Box.9000, 5601 North 71st Street, Boulder, CO 80301

2. Fabricated for Pinnacle West Capital Corp. PO Box 53940 Phoenix Az. 85072-3940

3. Location ofInstallation: APS- Palo Verde 5801 South Wintersburg Rd. Tonopah.Az 85354

-*-4:--.ldehtifiC'ation "13715.1.2 CRN-nla SU-10348 AB Natl Bd. #- n/a

• 2006

• 5. ASME Code, Section I1, 1974 Edition, Winter 1975 Addenda. Class 2 Code Case- N/A

6. Shop hydrostatic test 1512_ps1 at Ambient room temperature degrees F. (if performed)

7. Description of piping- Annubar flow sensor model NFF+26S

8. Certificate Holders= Data Report properly identified and signed by Commissioned Inspectors haye been furnished for thefollowing items-of this Report: N/A

9. Remarks: NA CERTIFICATE OF SHOP COMPLIANCE We certify that the statements made in this Report are correct and that the fibrication of the described piping conforms to the rules for construction of the ASME Code, Section II1.

NPT Certificate of Authorization No. N-1 728 Expires: April 29, 2007

',D~ate: 2/28/2006 Dieterich Standard Corp. Signed:

CERTIFICATE OF SHOP INSPECTION I,the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Colorado, and employed by One Beacqn America Insurance Company of Boston have ln~oected the component described In this Data Report~on 2/28/2006 and state that, to the best of my knowedge and belief, the Certificate Holder has constructed this component In accordance with the ASME Code, Section II1.

By signing this certificate neither the Inspector nor his employer makes anywarranty, expressed or implied, concerning the component described In this Data Report. Furthermore, neither the Inspector nor his employer shall be Iiable in any manner for any personal injury or property damage or a loss of any' kind arising from or connected with this inspection.

Date: 2/28/2006 Signed . Commissions: NB 9625, ANB Colo. 326 Supplemental Information In form of lists, sketches, or drawings may be used provided (1) size Is8-1/2 x 11, (2) information in Items 1 through 4 on this Data Repbrt Isincluded on each sheet, (3)each sheet Isnumbered and the number of sheets is recorded at the top of this form.

x-.

Pg 2 of 2 I. Dieterich Standard Inc.*,IBox 9000, 5601 North 71 Street, Boulder CO 803C0i

2. Pinnacle West Capital Corp. PO Box 53940 Phonex AZ. 85072-3940

3. APS- Palo Verde 5801 South Wintersburgh Rd. .Tonopah AZ 85354

4. N13715.1.2 CRN- n/a SU-10348 BA Nat'l Bd. - n/a Code Case- n/a 2006

5. Annubar flow sensor model NFF+26s 316/316Lss Head SA-479 Transition SA-312 Support disc & Sensor Flange SA-182 Velocity probe (sensor) & tip. SA-240 Sensor tubes SA-213 Weld filler, Tag ring SFA 5.9 1,'

4 Certificate holder ,i'

• date 22 8/06 Auf:horized inspector "hrz"in'*. '." date ..2/28/06.

7

Pg. I Of FORM NPP-1 CERTIFICATE HOLDERS= DATA REPORT FOR FABRICATED NUCLEAR PIPING SUBASSEMBLIES'-

As Required by the Provisions of the ASME Code, Section i11, Division .

1. Fabricated and certified by Dieterich Standard Inc., Box.9000, 5601 North 71st Street, Boulder, CO 80301

2. Fabricated for Pinnacle West Capital Corp. PO Box 53940 Phoenix Az. 85072-3940

3. Location of Installation: APS- Palo Verde 5801 South Wintersburg Rd. Tonopah Az 85354

..-4. -de ntific~tion 137"5.2.2 CRN-nra SU-10348 AB" Nat'l Bd. #- n/a 2006

5. ASME Code, Section I1, 1974 Edition, Winter'1975 Addenda. Class 2 Code Case- N/A

6. Shop hydrostatic test 1512_psi at Ambient room termperature degrees F. (if performed)

7. Description of piping- Model MCJSFN01 Flanged pipe section

8. Certificate Holders= Data Report properly Identified and signed by Commissioned Inspectors have been furnished for the following items of this Report: NIA

9. Remarks: - NA II I

CERTIFICATE OF SHOP COMPLIANCE i"

We certify that the statements made in this Report are correct and that the fabrication of the described piping conforms to the rules for construction of the ASME Code,Section III.

NPT Certificate of Authorization No. N-1 728 Expires: April 29, 2007 Abate:. 2/28/2006 Dieterich Standard Corp. Signed: -___- ____411___________

CERTIFICATE OF SHOP INSPECTION I,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Colorado, and employed by One Beacqn America lnsurance Company..of Boston have i%.pected the component described In this Data Report, on'2J28/2006 and state that, to the best of my khowIedge and belief, the Certificate Holder has constructed this component in accordance with the ASME Code, Section Ill.

Bysigning this certificate neitherthe Inspectornorhis employermakes anywarranty, expressed orimplied, concerning the component described In this Data. 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.

Date: 2/28/2006 Signed Commissions: NB 9625, ANB Colo. 326 Supplemental inrmation in form of lists, sietches, or drawings may be used provided (1) size is 8-1/2 x 11, (2) information in items I through 4 on this Data Report is included on each sheet, (3) each sheet isnumbered and the number of sheets Is recorded at the top of this form.

Pg 2 of 2 I. Dieterich Standard Inc.QBox 9000, 5601 North 71" Street, Boulder CO 80301

2. Pinnacle West Capital Corp. PO Box 53940 Phoenix AZ. 85072-3940"

3. APS- Palo Verde 5801 South Wjnersburg Rd. Tonopah AZ. 85384

4. 13715.2.2 CRN- n/a SU- f0348 AB Nat'l Bd.'#- n/a Coae Case- n/a 2006

5. Flanged pipe section MCJSFN01 Pipe section 10" sch 40 SA-312 Flanges 10" 400#, Flanged pipet, Socket weld fitting, Opposite Side support plug SA-182 Studs SA-564 Nuts SA-194 Weld filler, Tag ring. SFA 5.9 Certificate 1bldei" dte 2/28/06 Authorized inspector date 2/28/06

ASME SECTION XI - REPAIR / REPLACEMENT Page of

1. Component ID 3MCHEX07 2.. Item

Description:

Chargin pump'pulsation dampener

3. N-5 Data Package Number: 3CH04-1 4. W.O. Number: 2607584

5. Original Construction Code Edition: 1977 Edition, Winter 1977 Addenda

6. Original Installation Code Edition: 19t/4 Edition, Winter 1975 Addenda.

7. Work

Description:

5 year PM for replacement of bladder and rubber seals.

8. ] ISI Flaw NDE Method of Flaw Detection:

Report Numberi

9. Evaluation of thF suitability of this work as per therequirements of IWA - 4150:

Nat a failure of the ASMF nre~~ure boundary. The ASME retaining ring is beina renlaced hecaiie it i* nart of an aenmhlv with the rubber anti-extrusion rin

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. mI Cl 2, 1977 Edition 1977 Winter Addetnda

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

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

14. Preservice Inspection Required: El YES ED NO Initial .... Date /- i,- - '"If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: -' YES to NO Initial . Date  ;-" 4*5 If required, include a step in the W.O. for ISI & ANII Inspection.

A1 -

Initial Date / 10. include a step in Ene w.u. to compiete ,*N*S-rorm prior to releasing me

/ component.

17. Include a step in the W.O. to record below all applicable numbers for repaired or Initi'"i N Date 14 #,5" replacement items.

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

Retaining Ring APN 45150602 n/a 865884 MR 249657

18. Planner ______._________ Printed Name: David Goodlet Signature Date 19.1S Signature i &~-5 Printed Name:' 1'2dtFhjýrgEntry_5

.q~~i__si jt= .j" Dam.

20. A.NI _ __-__ Printed Name: '

sigatq Date 7iflP."I Ra rrwl-um k-0

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

1. Owner Arizona Public Service Company. et. al. Date: 1-6-2005 P. 0. Box 53999. Phoenix Ari;4bna 85072-2034 Sheet: 1. of 2.,

2. Plant: Palo Verde Nuclear Generating Station Unit:3 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2607584

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

4. Identification of System: CH: Chemical and Volumn Control system

'I

5. (a) Applicable Construction Code ASME Section III NC, tlass 2 " 1977 Edition, Winter 1977 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition. 1992 Addenda

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

Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or NO)

Retaining Ring ABB- Greer hyd n/a n/a 3MCIEX07 2005 Replacement NO

7. Description of Work:

E Nominal Operating Pressure 0 Exempt IK

8. Test Conducted: Hydrostatic V] Pneumatic []

N-416-20 Other Pressure - psi Test Temperature - OF

.'l NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 Y2 X 11

..inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of iWs form.*:.

FORM NIS-2 (Back)

9. Remarks: The retaining ring for 3MCHEX07 was reviaced as part of the 5 year PM under wo# 2607584.

Pre-Pressured Test WO Review - ISI M "/A ANfl N Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.

-Type Code Symbol Stamp N/A

/

Certificate of Authorization No. N/A ' Expiration Date: N/A Signed:*5zw.(-4" ftYp) - *J5 (. I 1' ' Date: I- 2o' Own or Owner's lignee, Title CERTIFICATE OF INSERVICE INSPECTION I; the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut, have inspected the components described in this Owner's report during the period of ,-6-°ims to , -.- o4 . and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements'of ft ASME Code,Section XI.

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

"/

", -~ *- Commissions: NIB 9685 "N" "I' AZ264 Inspectors Signaure National Board, State, Province, and Endorsenents" Date:*-c. S m-iaur-~L.LA I Z~VY PV216-OSNI (S-SB)

PV2I6-08N* (8-88) I.,3lDl-"//./ 7I clv7

ASME SECTION XI- REPAIR ] REPLACEMENT Page A of I'

1. ComponentID 3JCHNPSV0115 2.. Item-Description: CROSBY RELIEF VALVE

3. N-5 Data Package Number. 3CH03-3 4. W.O. Number: 2636962

5. Original Construction Code Edition: 1974 Edition, Summer 1976 Addenda

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

7. Work

Description:

VALVE REPLACEMENT

8. 0] ISI Flaw NDE Method of Faw Detection: N/A

. Report Number: N/A

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

Not a failure of the ASME presure boudary. Spare valve is being installed to expedite work.

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition 1976 Summer Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. M C 2, 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: E YES 0 NO Initial J ' Date L1'8 "5 If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: 0 YES 0 NO Initial

• Date 5-._p*- If required, include a step in the W.O. for 1S[ & ANII Inspection.

Initial "A y IntialDate Date P.;-° I'.

16. Icmoet Include a step in the W.O. to complete.NIS-2 Form prior to releasing the component.

Dateial Date17. Include a step in the W.O. to record below all applicable numbers for repaired or replacement items.

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

3JCHNPSVO115 APN 45000473 N61177-00-0003 n/a WO rJI*.,,,.2

.21

18. Planner Printed Name: DAVID GOOLDET Signature. Date

! 19. iSI , o Printed Name: 41"t- ,toe,-*, Log Entry..4+/-t.

I* 20. AI.. Signature Date S-23 "t S: Printed Name: " 1*2.-. .01o..

~agri~~ireLJV=

pV2*OSMq*4

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR:REPLACEMENTS As Required by the Provisions of the ASME Code SectionXi ma"k.

.* - .m - - -

1. Owner: Arizona Public Service Company. et. al. Date: 05/18/2005 P. 0. Box 53999. Phoenix Arizbla 85072-2034 Sheet:  ! of 2

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

.DU1 ,AUULl VIIILI-bNJUfM nnUiU.. I U

h. Arizona 85354-7529 2IDI:I Work Order Number 2636962 A .rz .. n .. . . .

85354-752rS-.. ..

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

4. Identification of System: CHEMICAL AND VOLUME CONTROL

5. (a) Applicable Construction Code ASME Section mI NC, Class 2 1974 Edition. Summer 1976 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name ot Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code F Stamped (Yes or NO)

VALVE, CROSBY N61177 n/a 3JCHNPSV .1979 Replacement YES

/"0003. 0115 7.. Description of Work. REPLACEMENT OF VALVE

8. Test Conducted: Hydrostatic E "Pneumatic E] Nominai Operating Pressure 0 Exempt 5 N-*416-2 [I Other Pressure psi Test Temperature OF I NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 1i inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recoided at the to of this form.

U

I

.4 I FORM NIS-2 (Back)

9. Remarks: VALVE 3JCHNPSVO 15 WAS REPLACED WITH A SPARE VALVE UNDER 2636962 TO EXPIDiTE WORK ACTIVITY.

• . V. "

Pre-Pressured Test WO Review - ISI Zi/A-ANI Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rulesiof the ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: Date: 4/2.:?345" Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of _ o-_ ,__-_

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

examinations andtaken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section X.

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

Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsevents

.= spectors Signature e- -2.3 -o S-Date:-

U-731J1'41ZZ11 KeY Y PV216-05N1 (8-88)

PV216--08I (3-88) 73DP-9ZZ17 Rev 9

ASME SECTION XI - REPAIR / REPLACEMENT Page of

1. Component ID 3PEWBV225 2.. Item

Description:

2"Globe Valve  ;*

3. N-5 Data Package Number: 3EW02-1 4. W.O. Number: 2732624

5. Original Construction Code Edition: 1974 Edition. Summer 1975 Addenda

6. Original Installation Code Edition: 1974 Edition. Winter 197I Addenda

7. Work

Description:

Replace valve disc 8.0 ISI Flaw NDE Method of Flaw Detection:

Report Number

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

Replacement of disc is to stoo seat leakage, No failure in the ASME boundary.

!I

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 3. 1974 Edition 1975 Summer Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III CI 3. 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: 0 YES " NO Initial <X Date 4/c/ & If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: 0l YES R NO Initial 4T Date / If required, include a step in the W.O. for ISI & ANII Inspection.

16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Iitial ~Date / component.

Initial Date 7. Include a step in the W.O. to record below all applicable.numbers for repaired or Initia - replacement items.

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

Disc and stem assembly 70277300S407 ,4.L*7 /3 T 7// MR 906353

18. Planner IZK4 41 Dat 09 Printed Name: John Waltman Printed Name: 4 1ko.. 04f4rrm Log Entry Printed Name: IZ6.

7 Am

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

1. Owner Arizona Public Service Company, et. al. Date: 09/24/2004 P.O. Box 53999, Phoenix A!rizona 85072-2034 Sheet: I of 2"

2. Plant: Palo Verde Nuclear Generating Station Unit: 2 5801 South Wintersburg Road.. Tonovah. Arizona 85354-7529 Work Order Number 2732624

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

4. Identification of System: EW. ASME Section III. Class 3

5. (a) Applicable Construction Code ASMEE Section i11ND. Class 3 1974 Edition, Summer 1975 Addenda, -/ Code Case

• (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or

- _ _ NO)

Disc & stem Dresser N/A 3PEWBV225 Replacement Ye assembly A6t t3

7. Description of Work: Replaced the Disc and stem assembly

8. Test Conducted: Hydrostatic El Pneumatic El Nominal Operating Pressure E] Exempt 10 N-416-2 0 Other Pressure - psi Test Temperature -

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form..

FORM NIS-2 (Back)

9. Remarks: WO# 2732624 for replacing disc and stem assembly.'

Pre-Pressured Test WO Review- ISI AIIA \ 1, ANII Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp N/A, Certificate of Authorization No. N/A Expiration Date: N/A ..

Signed: YA/. F- oy "& i,, Date: 8 *. *--

f I -Owner or Owner's Designee, Tide CERTIFICATE OF INSERVICE INSPECTION

//

//

1,the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford; Connecticut, have inspected the components described in this Owner's report during the period of ,0 0-k to 's-tt-os , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements qkthe ASME Code,Section XI.

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

Commissions: NB 9685 "N" "I" AZ264 2

National Board, State, Province, and Endorsements DaIn sptors Siawne Date: -

I II I II -

PV2 16-08NI (848) 73DP-9ZZI7 iev 9

_____ N S-~-..-----.------.----.

~LIA#

IA LLuWAK QUALITY DOCUM~~T FOW N-2 N 094PTt FICATE HOLDERS' VATA REPORT FOR - f NUCLEAR PARTS AOPUTNJCS As Roquired by the Provisions of the MW Code. Section 111. Div. I Not To Wood 0ne vays PPo*o 1*of I Dresser Industries. Inc., Dresser Valve &Controls.blv., Incustrlal Valve

-1ff`anuftctured antd certified by Qrwatgns, intersectlen Haiy. 1574 $22 SUENot Aloitandria. LA 71309-1430

.. Pbl .. (nmeand address ofrceMtificate holder)

2. Publicure Sgrvy Ce CP.0.: SOX 53940', Ph~eioi. AZ .86672

. . ~(num arof and address 3., Location of istillation Irizoa Pub*p ic Se. n. z Of PWrchas~r!

ar Ia ) 43 4,TvJ

-0S07 Roy. 1:3 -,***51§7* _,...°* Own. and ad*r.ss)

• __* WA -* - 1992 "

It. Type DUý *' 38 /A

.(driving m.) (am,'l .spe no.) . (terole strength) (CR1) (Year built)

5. ASIE Code. Section 111. i24 $Ert a 297 (edition) (addulA&) (class)- (Code Case*INo.)

S..Pbricrtod In accordance with Const. Spec. (Div. 2 only) " /A _Ivlisoron WA Oata M6A 00(.)

7. Remarks: MHIA- " _ . . . . . . .. .. . . . .

6. Nom. thickress(inA ,NWn. design thickness (In.)-IA P4. . 3 .&i.. .)I!_ L t v r I . )!.

9. When applicable. CtrtlfIcate Hotders'. data reports are attached for.each tem. of this report.

Part or Appurtenance National Board Ko.

.Part or Appurtenance National Board No.

Serial Numer in Numerical Order Serial Wkebr in Numerical Order (1) AT1 _ - ,

(2) *AT - (274) -_ .. . .

(3) AST13________ ___ (28)

(29)

(5)

(6) (3O0)

(9) (33) _ _ _ _ _

(35),____________

(10) . .. . . . .. .. .. . _ ___

(13)

(124 (38)__ _ __ _ _

(3 ) . . . .

18, .

((41) d .-  : . . .

(25) _

(42)

(19 (13)). . . . .. . _ .. . . . . . . _. . . .

i(20) ___* .- _- .. (45)_

(21) .. . . .. _.____.... . .___

(22: . . . . _: . (46)_____ _____

(23)_* .: _ _ . .. .

(24:.:__ _: . _

10. Design prssr __jý Rydra test Press ara /Att~

information in form of sketches or drawings my be used provided. (1) sIze is 8-1/2 x

• SuppleMental

,t11(2) inforatlon In Ites 2 &3 on this ,ists. data report Is included on eao sliee, (3).shsot Is .roobed aN

• vbr of shetts is racord* at top of this fore. and (4) ach additional sheet shall be signed by the Certificate Holder and the AXI.

-,d 3

5

• M. ..

CERTIFICATE OF DESIGN o

Desig specifications certified by NMIA P.". / _A eg. X,.1/A (when applicable)

' 'sgd'rarort*lcertified by - Nli P.E. N/A Reg. no.. NR/A

• - ETrlICArC OF SW0 CQOLUANCE W, certif~y that the steatments made in this .repot are correct and that this (these) discs at.Iy.

conform to the rules of construction of.the'ASE Code, Section IIl.

NPT Certificate of AuthorlZation No. M-2"43 . .. Expires may 20. 199S Oote6 Nam* Sao Line I gned I SNPT Certificate )Holder) (authorized representative)

CERTIFICATE OF S" C*4PLIJcE I. thu undorstgned, holding a valid comission b0 the Niational Board of Boiler ald Pressure Vessel Inspector and the state or province of Louisiana and eployad by The Hartford Stam Boiler Inspection 4 Insurance Co.. of Hartford, CT. halve inspecte. these Items descrlbid in this data report on _,-___-__,

_____ -and xtato that to the best of xy -knowl*dge Ond boli1f, the Certificate Holder has fabricated these parts or appurtenances in aScordance with the ASE Code.Section III. Each part listed has been authorized for staxping oi0 Vt*q date shown above.

By sIgnIng tnls certificate, neither "tjw inspector nor his eployer sakes any warranty. woressed or Iplied concerning the equ.ipu.nt describ*ed In this Wata report. Furthermore. neither the inspector.nor his ap)oyer shall be liable in any minner for any personal injury or property damage or loss of arv kind arising from or connected with this fi4section. - -.

Date~(~.. Sign;, 1 ~ commiss ions_______________________

(Authorized'.lnsieotor) (Nat'l.Dd.(Inci.wWonrstents)state or proy.an no)

UIT.

No.6 -- 2 OUUYDOCIUM4hJTS IT/se

ASME SECTION XI - REPAIR / REPLACEMENT Page -- of,

1. Component ID 2JEWALVO091 2.. Item

Description:

Essential Chill Water ys3tem Surge Tank "A"Level Makeup Valve.

3. N-5 Data Package Number. 2EW01-3

• 4. W.O. Number: 2744635

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

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

7. Work

Description:

Remove and replace valve body I bonnet and perform internal rework..,

8. ISI Flaw NDE Method of Flaw Detection:

Report Number:

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

No failure in th .eASME boundry. 1$ 4oep0 ~ #' -'

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. III C13. 1974 Edition 1975 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 3. 1974 Edition 1975 Winter Addenda

13. ASME Section Xl Code/Edition: 1992 Edition and 1992 Addenda..

14. Preservice Inspection Required: .0 YES

• NO Initial,*~.t.. Date Z~2i~Y If required, include a step inthe W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: 0 YES 0 NO.

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

• 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date I41- ,S11component.

Inital SDate* /2 _ A Date Zg/l r/o

/ * ~.. 17. Include aitemis.

y replacement step in the W.O. to . record below all applicable numbers for repaired or Item ID Part No. Serial No. Heat No. MR/POIWO No.

76 jqc c _ 7o _15_ ITic-_owl

'9fq .rr_,_

Mown Pos e.. ,1 o oo0

.so 7 _ "4

_,_,_*_ q 0 w_ __a_ _ _ _V_.

118. Planner. zA161!VAY 1 Printed Name:~ sm..~o~

si-natur Date.

15S% J/L Printed Name:RP -114ML P ogntry_ýý Signatres Date ANII "atvj ,4-7': Printed Name: -1..

, l I-*.".Daft W=I =.4) 73DP-9ZZ?It" 9

FORM NIS-2 OWNER'S REPORT FOR REPAIRSOR*REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner. Arizona Public Service Compan*,,et. al. Date: 2/3/2004 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: I of Z. -.

2. Plant:. Palo Verde Nuclear Generating Station Unit: 2 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number -2744635

3. Work Performed by: Arizona Public Service Co. Type of Code Stamp None 5801 S. Wintersburj Rd., Tonop&b, Arizona. 85354-7529 Authorization No. N/A Expiration Date N/A

4. Identification of System: 2EWOI-3

5. (a) Applicable Construction Code ASME Section III NB. Class 3 1974 Edition, Winter 1975 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped

.(Yes or

._ _NO)

Valve Target Rock 5 N/A 2JEWALVO091 1978 Replaced Yes

,,Valve Body Target Rock 7441 N/A 2JEWALVO091 2005 Replacement Yes Bonnet Target Rock 327 N/A 2JEWALVO09i 1990 Replacement Yes Main Disc Target Rock 21A N/A 2JEWALVO091 1991 Replacement. Yes

• -V.

7. Description of World Remove/replace valve body & bonnet, rework valve internals, reinstall bonnet tack weld.

8. Test Conducted: Hydrostatic [I Pneumatic E" Nominal Operating Pressure 0 Exempt 0 N-416-2 Other El Pressure fl2 psi Test Temperature 20 F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 Y X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

I

1FO1M NIS-2 (Back)

F9. :Remarks: remoe bonnet tack . remove internals. revlace valve body and bonnet rework valve internals antd reinstall bonnet tack Pre-Pressured Test WO Review - ISI _/__-.

ANiI 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 NIA N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: 'C~r)-Q) 0, M& IIUc// ia'( ke#I5ate: A &

CERTIFICATE OF INSERVICE INSPECTION i*the undersigned, holding'a valid commission issued by the National, Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of ,2-2"-6-A to .06 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

'Commissions: NB'9685 "N" "I" AZ264 National Board, State, Province. and Endorsements Date:::: .2-.3-0 PV216-OSNI (S-ss) 73DP-9ZZ17 Rev9

'.4.0. X4J1(0.7 FORM N-2 CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAL NUCLEAR PARTS AND APPURTENANCES' As Required by the Provisions of the ASME Code,Section III Not to Exceed One Day's Production Pg. I of 2

1. Manufactured and certified by TargetT Rock.: 1966E a8oadhollow Rd.: E. Farmingdale. NY 11735 , , ...

-; (name and address of NPT Certificate Holder)

A.4,nn*, Pamhlli. .*u~ ("jn

• Dhnmniv A7 R*NT7)

2. Manufactured for Arlwn; P"hIl AakAt, IA Phoenix A7 Agn79 (name and address of Purchaser)

3. Location of Installation Palo Verde Nuclear Generating Station: Wintersbura Rd.: Tonooah. AZ (name anr address) 4:-.--7,W 206134-1 '__A1 82f31L' 75 sl -*'UNIA 25 2:

(drawing no.) no.) (tensile strength) -ear buit)

5. ASME Code,,Section Ill, Division 1: 1974 .nter ' 1952 1 None (edition) (addenda date) (class) (Code Case no.)

6. Fabricated In accordance with Const. Spec. (Div. 2 only VA " Revision N/A Date NIA 7 m l(no.) 1

7. Rearks: Valv e Body, p/in 200921-1 with .SleeveUlp 102178-1 Ins~le Q A fnru Kin mMaInn 7AWW"I Nom. Thickness (in.) N/A Min. design thickness (in.)

• N/A Dia. ID (ft & ln.).+/-A Length overall (ft & in.) N/A

9. When applicable, Certificate Holders' Data Reports are attached for each item of this report:

Part or Appurtende National Part or Appurtenance National Seral .

• nBoard No.

nNumber Serial Number Board No.

InNumerical Order In Numerical Order 11 7441 NA 2

3 4

5 6

7 8

/-

9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

____________________________ A ____________________________ A

10. Design pressure .VIlA psi. Temp. N/A F Hydro. Test pressure 425 psia at temp. OF (vvh- appkab.) Ambiern Supplemental Wnormation in form of lsts. sketh. ordrawing"may be used provided (1) size Is BAx 11x, (2) Information In items I through 4onthisDataReportisIncludedoneachsheet(3) eacnsheeInumbeate mb f h 3 eo dat top of this form.

(f2a8) -Thisform (E00040) may be obtained from the Order Dept., ASME. 22 Law Drive, Box 2300, Fairfield, NJ 07007.2300 REPRINT

FORM N-2 (BACK - Pg. 2 of 2)

Certificate Holder's Serial Nos. 206134-1 s/n 7441 14 CERTIFICATION OF DESIGN ."

Design specifications certified by V. Naladan/A.I. Pressman P.E. State AZ Reg. No. 10746110409 (w.hen applicable)

Design report* certified by Albert J, Bradicich P.E. State NY Reg. No. 025990

• (ven *)appfab CERTIFICATE OF COMPLIANCE We certify that the statements made In this report are correct and that this (these) Pars conforms to the rules for construction of the ASME Code, Section.Ill, Division 1.

NPT Certificate of Authorization No. N-1 948 Expires 03/11/2005 Date / Name Tage c Signed (NPT Certificate Holder) atR.

E.iUzied reApsanager

• (authoze rpresentative)

IClh IIirl; II ur IIuor'.G IuN O

I,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Province of New York and employed by OneBeacon America !nsui~nece Co.

of MA have Inspected the pump. or valve, described Inthis Data Report on /7 '0b.m and state that to the best of my knowledge and belief, the Certificate Holder has fabricated-Ihera pas or appurtenances in accordance with the ASME Code,Section III, Division 1. Each part listed has been authorized for stamping on the date shown above.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied.

concerning the equipment described Inthis Data Report. Furthermore, neither the Inspector nor his employer shall be liable Inany manner for any personal Injury or property damage or loss of any kind arising from or connected with this Inspection.

Dat//11JY-4S Sgner-ý Commissions_____________

ns(Narl.

(Aulfhorried ns' Jincl. endorsements) and state or prov. and no.)

Bd..on.

P,.A. '

a ~~~~

S FORM N-2 CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAL Is NUCLEAR PARTS AND APPURTENANCES* I-.

As Required by the Pirvlslons"of t0e ASME Code.Section III Ut Is Not To Exceed O,4 Day. Production Pg. I 'of I

• a.

I-

1. Menufactured andceraifiedby

• Target Kock Corp., I'03b lUroaSdhOLLOw K4, L. IrarmingoaLe, Ny jLjl5

. .. lie II- .delmi @1NPT CI l.N~iS 414*ii M

11 2. Manufacturedfor Arizona Public Service Co.,

3.

Phoenix,

. Loctiod t aof.

a Arizona aetPG.IG St~ation, Wint~ersburg.

Ar Arizona

-=a, -

to I-3.'IoC-Iao.l~,'t." i Palo Verde" Nuclear Generating 5A 479 410 10 KS ffSww'uI

4. Type 200861-1 SA 479 316L 70 KSI H/A 1990 3 N/A

5. ASME Code. Sect;on II1: 1974 ,I *-1'7*--

111110001d da "Im 1975 14:11010 icl c*ase go .1 6.. Fabricatedin accordance with Conat. Spec. IDly. 2 only) N/A R o /A Date N/A 7 ., .m Spare Parts for a completed valve - Model 76HH-001

'Bonnet Assly

_____NIA 018.1 NIA 94't.

. Noam. thicknts (j.. N/A Min. design thick-as On.1) Di_. to I & N/A Length overalll(ft Iii.I. I N/A

9. When applicable. Certificate Hoders' Data Reporrs.e attached for each Item of this repo11 :1:

N

'I N

Pon or Appurtenance National 00 Serial Number Board Number In Numerical Order 1261 (27) ,

(281 1291 r-1301 (311 6 (321 _ _,

(331 _.

(341 (351

1. tS 1361

/ / "1 21

• '" (371 1381 114) 1391

~I'15l

.1161 -1 (401 (41) 7 142) j11 ) ~I 11181) 1431 1441 ____ ..... - ti 1451 121201I 1461 11221 - I. 1471 1123)"1 , _ 148) 11241 T 1491

@1125)1 . .. _. (501

10. Design pressure N/A psi.Temp. N/A OF. Hydro. test pressure 425 attemp.'*F 10140%lobagabc AUR SuPoamentul Iftlotmation in the Woi of h4t:s seiches. at dnwinge maw be.uwed pcovklod III sin Is 814 ME11.121 Infomation In kems 2 ard 3 an "as Datel PRepo is eWicudod on each shoot. 131 oach sheet is numbered and the number of shoeot ii recuodld at the too of t*is Wnm.

112'1as This torm 11000401 may be obtained Itom the Order Dept.. ASME. 22 Law Dir... bos 2300. Fewfold. NJ 07007.2300.

• o

toi Vi r) r ,

.,I I Desin specifications certified by Design report* certified by

. NaJaran

. FORM N-2 (back)

CERTIFICATION OF DESIGN S2 05~

P.E. State P.E. State, Mfr. SerialNo.-

S AZ Reg. no

_ Rg. no.

See Front CERTIFICATE OF SHOP COMPLIANCE We certify that the statements made in this report are correct end that this Ithesel Part confgyns to %be rules of construction of the ASME Code Section Ill.

NPT Certificate of Authorsation No. 1948 Expires 12-12-92 Signed 4 Date, ,11/1 , Name- Target Rock Corporation I 091 Cen~i..ate bob".)

E. BaJida, Q.A. teoManager

. CE.IcFICATE OF SHOP INSPECTION I. the undersigned, holding a valid commission issued -w the National Board of Boiler and Pressure Vessel Inspectors and the State ol Province of New York' andemployedby_ Comm:.-CLal Union Insurance Company ,*

o B6os ton.. Ma . hoe. inspected these Itrms described In this Data Report on. f and stete that to the best of my knowledge and belief. the Certificate Holder has fabricated these parts or appurtenances inaccordance with the ASME Code. Section Ill. Each part listed has been authorized forstamping on the date shown ebove.

8signing this IBy certificate,neither the inspector not hisemployer makes any warranty. expressed or Implied, concerning the equipment described..

in this Data Report. Furthermore, neither the inspector nor hisemployer shell be liableInany manner forany personal injury or property damage Iloss of any kind aring from or connected with h"s Inspec N(Y.y. _-TA T,-, - '-.; .

liew "ALSO COMMISSIO,) ~

,1

,ED T liOt

,EN-..

• • o Q. &4-4 0ill11m*l e

,*,i

-0l 1 ,

Dot Signed4 &

ý - thnt W.

l!2ýommit Cf alons 10481's.Md. I-KLi.

I-

4. 4001 i!

IDoF~

,0.5 0.0. X7'A'k(--1S

• 1'* FORM N-2 CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAL NUCLEAR PARTS AND APPURTENANCES*

As Required by.the Proviilons of tioiASME Code.Section III 415 S "Not To ExceedbOneDay's Priduction Pg. L__ of I

1. Manufacturedandcertifiedby Target Rock Corp., 1966E Broadhollow Rd, F, Farmingdale, NY 11735

• rmew.e nd ad el0NP?' Celiflui~e Hokeit

2. Manufacturedfor Arizona Public Service Co.; Phoenix, AZ .85072 *,

• 3. Locationofinstailation Pale Ve'rde NCS! Wintersburm. AZ 95343

4. Type 200931-1 SA-564 630 140,000 . N/A .. " 1991 Idekl-- no.) (marl. Spec. no.) Iteneft Stiength) ICRNi SI byo"a 5.ASMECode, Sectionl1h: 1974 Winter 1975 3 N/A 190..in00 addendadate 10o661 ICod. Caseno.1

6. Fabricated In accordance with Conast. Spec. (Dlv. 2 only) N/A Revision N/A Date N/A hio.I

7. Remarks: Spare Parts for a completed valve assembly, Model Nos. 76HH-001 and 76HH-004, P/N 20*931-11

8. Nom. thickness (in.) N/A Min. design thickness (in.) N/A Die. ID(ft &In.) N/A Length overall (ft &In.) N/A

9. When applicable, Certificate Holders' Data Reports are attached for each item of this report:

Part or Appurtenance Natiunal Part or Appurtenance National Serial Number Board No. Serial Number Board Number In Numerical Order In Numerical Order 0 (1) 121 17A 18A N/A N/A (26)

(27) 131 19A N/A (28) P-(4) 20A N/A (29) CNIA-inu -2 (St" 21A N/A (30)

16) " 77 N/A (311 rPAJE

17) 23A N/A (32)

(8) N/A N/A (331

19) (34)

(101 (35)

(11) (35)

(121 (37)

(13) (38) l141)____________

(39) 115l 1-1e'*

t-1*

1165) - ,

1411 117)1 -

(42)

(181 143)

(19)

(201 (45)

(211- (461 1221 " (47) 123) 148) 1241 (49)

(25) (50)

V 10. Design pressure N/A psi. Temp. NIA, OF. Hydro. test pressure 305 psig at temp. °F (When sopiablel AHB

• Supplomeltal inlsnntlion in the form of ists. sketches, or drowings may be used provided III size Is 8 Y x 11. (21Information In tems 2 and 3 on this Date Report is included on each sheet. 131 each sheet is numbered and the number of sheots is recorded at the top of this form.

(121861..+: This form IE000401 may be obtained from the Order Dept.. ASME. 22 Law Drive. Box 2300. Fairfield. NJ 07007.2300.

Pt . .. *...*.-.. NOW A1 oP

FORM N-2 (back)

Mfr. Serial No. NIA CERTIFICATION OF DESIGN Design specifications vertlfled by N/A P.E..State NIA Reg. no. N/A Design repor, certified by N/A P.E. State.N7' Reg. no. N/A CERTIFICATE OF SHOP COMPLIANCE We certify that the statements made In this report are correct and that this (these) Part*

-conforms-To the rules of construction of the ASME Code. Soction Ill.

NPT Certiflcate of Authorization No. 1948 Expires 12-12-92 Datea (/bAA L Name Tarnet Rock Corporation Signed 11T Cwntn~ue H~ idlf "Z .a. O.A. Manager CERTIFICATE OF SHOP INSPECTION I. the undersigned. holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and thl State or Province of

..New York and employed by Commercial Union Insurance Company of Bos~ton. Masi. have Inspectd these ---ms described Inthis Data Report on ..... J e ZI2Z. and state that to the best of my knowledge and belief, the Certificate Holder has fabricated these parts or appu"enances in accordance with the ASME Code. Section itI. Each part listed has been authorized for stamping on the date shown above.

By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied. concerning the equipment described In this Data Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal Injur or property damage or loss of any sri from or conneqed with this inspect - 22,

,-.N.Y. STATE COMMISSION NO. 2288 ate . ,.Signed Comrrihh" MM!SSIONEo IN PENN., 04O0 & CONN.

• I '. ..- * * "

• mAhoil- s~e l .4pcv INSt0. ad. 1wid. a We seflntsial6164Wplov. ,*d no.i

.4 4

• _____..___*

P.0. No'

. .," . O U* ,, . , .. .

, . ".. . : * . LIM I

ASVE SECTION XI- REPAIR! REPLACEMENT Page. of L. Component ID 45000471

-. 2.. Item

Description:

Crosby Safety Valve

• 3. N-5 Data Package Number: 3CHI3-3 4. W.O. Number: 2749800

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

6. Original Installation Code Edition: 1t0 Edition, Winter 1975 Addenda

7. Work

Description:

Re-conditioninQ of spare valve removed from 3JCHNIPSV0354 location at 3R1 1.

8. (] ISI Flair NDE Method of Flaw Detection:

Report Number:

9. -Evaluationt of the suitability of this work as per the requirements of IWA - 4150:

Not a failure of the ASME pressure boundary. Spare valve is being re-worked. Will replace nozzle and disc to correct sear 10"Repair/Replacement Work Organization: Arizona Public Service I. Replacement Items Construction or reconciled Code/Edition: Sec. TI C1 2_ 1974 Edition 1976 Summer Addenda

12. Repair/Replacement Activity Construction Code/Edition:

• Sec. III Cl 2. 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: E] YES Z NO Initial% .Date' ./,- -0Y

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

15. ASMBIE Section XI Pressure Test Required: E9 YES 0 NO Initial at .' If required, include a step in the W.O. for ISI & ANII Inspection.

16. Include a step in the W.O. to complete NIS-2 Form prior to releasing Initial *I Ll Date cla 1/.i-jn th .t" a n rsr the id

17. Include a step. in the W.O. to record below all applicable numbers for repairedor InidlDate1.4 - -0V replacement items.

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

nozzle APN 45070034 N92013-34-0007 n/a MR 929749 Disc assembly APN 45020265 __ _ _1 , n/a MR *299;* ,-V

18. Planner Printed Name: David Goddlet Signature Dite '

19. isix.Zf 4 .14~OC 1-7-05 Printed Name: A/.-... $<o.*tq Log Entrye,"-.2-Signature it Dam

.120. ANII ,-1 ,- oS Printed Name: " - ,

Sign4hre Date WWAWWý "ltV I 6-00l4"1)

K.

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

-. As Required by the Provisions of the ASME Code Section XIJ A~..

SI. Owner: Arizona Public Service Company, et. al. Date: 12/14/2004 P. 0. Box 53999. Phoenix Ariiona 85072-2034 Sheet: I of 2.

2. Plant: Palo Verde Nuclear Generating Station Unit: a 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2749800 3."Wor-kPerformed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A

4. (dentification of System: CH- Chemical and volumn control system

5. (a) Applicable Construction Code ASME Sectioni III NC. Class 2 1974 Edition, Summer 1976 Addenda,. Code Case

• (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer

• National . Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or NO)

Nozzle Crosby N92013-34-007 -n/a 3JCHNPSV- 2004 Replacement NO 0354 Disc/D assembly Crosby K60886-38-016 n/a JCHNPSV354 2004 Replacement NO 7 Description of Work: Rework of spare valve (s/n# N61 175-00-005), apn# 45000471, to correct seat leakage.

8 Test Conducted: Hydrostatic [-] Pneumatic El Nominal Operating Pressure E -Exempt 0 N-,416-2 El Other Pressure psi Test Temperature OF I:-

• • . NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/22 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form. .

a

FORM NIS-2 (Back)

• .). Remarks: WO# 2749800 for spare valve removed from 3JCHNPSVO354 during. 3Ri lIs being reworked to correct seat

".1. leakage. The nozzle and disc are being replaced. This spare valve is s/n# N61175-00-0005 p.,

Pre-Pressured Test WO Review - IS I  ?"I__'-

., ....... _._......_AN__I_ _ _

Certificate of Compliance We certify that the statements made in the report are correct arid this replacement conforms to the rules of the ASME Code.Section X)I.

Type Code Symbol Stamp . N/A #

Certificate of Authorization No. N/A Expiration Date: N/A Signed:.<;ý, ýe<*L> GitW OcA m- -N 15ýWo6ate: $ t'V 5 b ,Jown r roOwner's Dc e J~ ,Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of _ -_- ___

to 3 -o -o0 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance .. ith the requirements 0fie ASME Code,Section XI.

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

• Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endontnients "nspectors Signature I" Date 2 --0-C br.,

U-I PV216OSNI 3-33 73DP9ZZ17KCVY PV216-08NM (9-88) 73DP-97_Z 17R

ASME SECTION XI- REPAIR / REPLACEMENT

-Page of

1. Component ID APN 45002024.

2.. Item

Description:

PESV

3. N-5 Data Package Number. 3SP02-3 4. W.O. Number. 2753321

5. Original Construction Code Edition: 1.274 Edition.,Summer 1976 Addenda

6. Original Installation Code Edition: 1674 Edition, Winter 1975 Addenda 7, Work

Description:

valve seat changed out due to seat leakage. This valve will be returned to stock. Valve serial number 24.

8. 0 ISI Flaw NDE Method of Flaw Detection:

Report Number:

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

• vi~1ve q*et tchan~ed nut dune tn seat leaka'e.

valve seat chanved out due to seat leakape I I

10. Repair/Replacement Work Organization: Arizona Public Service

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

12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 3. 1974 Edition 1975 Winter Addenda

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

14. Preservicejnspection Required: - YES [ NO Initial Date If required, include a step in the W.O. to perform Preservice Inspection 15.. AS&'E Section XI Pressure Test Required: . 5 YES [ NO Initial Date -0 If required, include a step in the W.O. for iSI & ANII Inspection.

Date -o "/ "16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date/M17-'

__7 component .

4, I

/ý Initial

/Li 6ý Date -CO

17. Include astep in the W.O. to record below all applicable numbers for rep~aired or replacement items.

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

seat nozzle 200872 106 n/a 2753321

18. Planner ",.O Printed Name: Martin ..Sullivan

19. ISI . W jf Printed Name: ettý oter Log Entry_!!ý signat. Da*

20. ANII ' ' *"2-M-e, Printed Name: Z&.. gootai ,,.

Si.Date tMWW'q0t4*..

FORM NIS-2 OWNER'S REPOR T FOR REPAIRSORRE Code Section XI PLACEMENTS As Requiredby the Provisions of the ASME

1. Owner Arizona Public Service Company, et. a]. Date: 12/08/2004 P. 0. Box 53999, Phoenix Ari6na 85072-2034 Sheet:. I of 2-"

2. Plant: Palo Verde Nuclear Generating Station Unit: a 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2753321

3. Work Performed by: Arizona Public Service Co. Type of Code Stamp None 5801 S. Wintersbur* Rd.. Tononah. Arizona. 85354-7529 Authorization No. N/A 5801 S. Wintersburp Rd. Tononah Arizona- 85354-7529 Expiration Date N/A

4. Identification of System: SP

5. (a) Applicable Construction Code ASME Section III ND, Class 3 1974 Edition, Summer 1976 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda 6.. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or NO)

Sfey Valve Target Rock 24 N/A APN45002024 1980 Repaired Yes Nozzle Seat Target Rock 106 N/A APN45002024 .2004 Replacement No

7. Description of Work: Valve seat changed out due to seat leakage. This valve will be returned to stock.

S. Test Conducted: Hydrostatic Q Pneumatic E] Nominal Operating Pressure 0 Exempt 13 N-416-2 0.

Other 0 Pressure psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 %X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is number~ed and the number of sheets is recorded at the to of this form.

FORM NIS-2 (Back)

9. Target Rock valve s/n 24, removed from location 3JSPBPSVO144, repaired under W.O. 2753321 and returned to the warehouse for restock.

Certificate of Compliance We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed. i2 d'*.-.L' "A .,

.Z 1(,/' i Date: I/n Owner or Owner's Designee, Tide * '

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

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

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

S'<. .. Commissions: NB 9685 "N" "I" AZ264 ins s Sigture NadonWl Board, State, Province, and Endorsernents Date:______ _____ ____ _

PV-E0092 Ver. 7 Back . . 73DP-9ZZ17 Rey8

ASME SECTION XI- REPAIR I REPLACEMENT

• .. .. .. a L.."P _ _ _ gee . of

1. Component ID 3JSGBIH(.'

I....

2.. Item

Description:

12"-9DJ-n. CCI -L.'nosAkeri.D,,no Valve

3. N-5 Data Package Number: 3SGOI-2 4. W.O.Number: 2760019

5. Original Construction Code Edition:. .4 974 Edition, Winter 1975 Addenda

6. Original Installation Code Edition: '1974 Edition. Winter 1975 Addenda

7. Work

Description:

Disassemble valve and recondition to correct seat leakage.

8. [] ISI Flaw NDE Method of Flaw Detection:

Report Number:

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

Not a failure of the ASME IMl pressure boundary. Plug is being replaced to expidite work completion.

10. Repair/Replacement Work Organization: Arizona Public Service

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

12. Repair/Replacement Activity Construction Code/Edition: Sec. RI C] 2, 1974 Edition 1975 Winter Addenda

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

14. Preservice InspectionRequired: 0 YES 0 NO Initial Date _,__.- __ If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Require QYES ONO If required, include a step in the W.O. for ISI & ANII Inspection.

Initial .*  : Date -.Y .234 f-Initial ,*F'" -Date I6. Include a step in the W.O. to complete NIS-2 Form prior to releasing the 1-2-7 component.

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

Item 1ID Part No. Serial No.* Heat No. MR/PO/WO No.

Valve N/A 21408-7-2 N/A N/A plug APN 45021282 2 N/A MR 1090814

.1 a- Printed Name'David Goodlet Signature Da

19. ISI 0(f-

/A Printed Name: .r Log Entt' -

20. ANII-. $i~ih*: Dafte Printed Name:-

IFORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI L:.

1. Owner. Arizona Public Servict Company, et. al.. Date: 4/2312006 P. 0. Box 53999, Phoenix Aizona 85072-2034 Sheet: of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road.. Tonopah, Arizona 85354-7529 Work Order Number 2760019

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

4. Identification of System: SG: Main Steam

5. (a) Applicable Construction Code ASME Section III NC, Class 2 1974 Edition, Winter 1975 Addenda; &A.. Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code.

No. Stamped (Yes or

,___ No)

Valve B&W 21408-7-2 N/A 3JSGBHV0178 1981 Repaired YES Plug Control 2 N/A 3JSGBHV0178 2004 Replacement YES Components Inc.

PLU Ae .*ffel e-- ._.vYe IJ y

7. Description of Work: Disassembled and reconditioned valve to correct seat leakage.

8. Test Conducted: Hydrostatic } Pneumatic I] Nominal Operating Pressure j] Exempt 0 N-416-2 0 Other Pressure - psi Test Temperature 'F inches, (2) information in items 1thru 6 on this report is included on each sheet, and (3) each sheet is numbered.

and the number of sheets is recorded at the to of this form.

"S

.F "Is9. stem/nlu*

Remarks: assembly Work Orderr Z7h0019 to FORM NIS-2 '3ack

.Sisassembled valve 3JSGBHVO. ct seat leakage. The replacement

.. to con nlue was installed exoidite work romnletion. The removed will be reworked later and s*aved aq a stem/bluz spare. assembiv w installed to emidite work romnletion. Theremovýd n1up will be'reworked later and saved a--, a Pre-Pressured Test WO Review - ISI &Ai ANU/VA' Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: 4000 Owner or Owner's Designee,'Title

_Date:

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

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

By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied.

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

v.- 4r- Commissions: NB 9685 "N" 'T' AZ264 National Board, State. Province, and Endorsements bspedorsSignature Date: oc o..

FV21"NI(S-88) 73DP-9ZZ17 Rev9

Form N-2 FORM N-2 CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAL NUCLEAR PARTS AND APPURTENANCES'

.-As Requirem, by the Provisions of the ASMECode,Section III Not to Exceed One Day's ProduCtion Pa. 1 of 2

1. Manufac~tred andcertltled by *Contro Compon'ents Inc. 22591 Avenida Emprasa,tRancho Santa Margarita, CA 92688

_ (name and address df Cerflhfcate Holder)

2. ucturedaor ARIZONA PUBLIC SERVICE COMPANY, PHOENIX AZ Iname and address -of purchaser) 3..Location mnstallafon d PALO.VERDE NUCLEAR GENERATING STiT7ON .VWINTERSBURG, AZ" (name and address)

4. Type 320601240 SA152-Fil 70 KSI N/A 2004 (drawing no.) (matl spec. no.) " (tensile Strength) (CRN)  ;,:(year built)

5. ASME Code,Section III, Division 1: 1974 WINTER 975 2 N1/A

........ d tlki "*.ei -!C,*e-Gas-e.-fta.

6. fabricated inaccordance with Const. Spec. (dlv. 2 only) N/A Revision WA Date N/A (no.)

7. Remarks PLUG FOR 12-,900t ATMOSPHERIC DUMP VALVE COI PROJECT ORDER 10805a, CCI SFC-600144

a. Nom. twckness (n.) 3.2r Min. design thdoaes 3.25' Dia.ID(ft&hn.) N/A Length overall (ft & In.)' 16.3"

9. When applicable, Certficate Holders' Data Reports are attached for each Item of the thIs report Part or Appurtenance National Part or Appurtenance -National Serial Nuiiiberý Eoaid N6.

• SeiftNumber. Board'No;"

/ inNumerical Order. In Numerical Order

/

(1;;) 600144- S/N I N/A (26. )

(2. I 600144-SIN2 ________________ (27.

(3. ) ______________________________________________

_____________________________________________(28.)

. (4. ) ___________ __________ I _____________________________________________________

(5. ) ____________________________________________________ (30.)I _______________ ______________

(6.: (31.)

(7.:I ___________

(a.)I __________________ (32.)

(33.)

(10.) -(346)

(11.) (35.)

(12.) (36.)

(13.) (37.)

(38.)

(14.)

P39.)

(15.) (40.1 (16.) (41.)

-(42*)

(18.) (43.)

(19.) (44.)

(20.) (45.)

(21.) (46.)

M22.) (47.)

(23.) (48:)

(49.)

(24.)

I (50.)

I I 10..Design pressure 1333 " p3 'emp. 575 Deg. F Hydro test pressure N/A at temp. Deg.f

• Supplemsdl Infri*maon inthoform of Ists, alcdc'es or dravlngs may be used provided (1)sze IsA1/2 x11. (2) hnrmnaon InHtas I trough 4 n this Data Repod sIncded aeach shee (3)each sheet ub e and th numbldahaet I w at the kop o this bor.

7.is form (E.037) maybe tA**d ham the Order DePL. ASW 22 Law Driv Box 2 Fairfield, NJ 07007-2300.

• * .. . , . . o FORM N-2 (Back- Pg.2 of.)

Certificate Holder's Serial No. 600144- S/N I through S/N -2 CERTIFICATE OF DESIGN Design Spedficafion certified by ADA I. PRESSMAN P.Z. Slate AZ Reg. no. 10409 Design Report ertified N/A PZ State N/A' Reg. no. WA (when applicable)

CERTIFICATE OF COMPUANCE W6 certify that the statements made in this report are correct and that this (these) PLUGS conforms to the rules of construction of the ASME Code, Section I1I, Division 1.

I NPT Certificata of Authorization N-2696 Expires /1/_1 ST 14,2006 AUGUST "__

No. _ _

Date ,< -'J Name Control Components Inc. (CCI) Sine (NPT Cerfcate Holder) g. t todzet fepresenta.ie)

CERTIFICATE OF INSPECTION I, the underslgned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of CALIFORNIA and employed by H S BQ T of HARTFORD. CONN,=CT1CUT have hnspecteý these items described In tis Data Report on . -,:A - , , and state that to the best of my knowledge and belief. the Certificate Holder has fabricated these parts or appurtenances In accordance with ASME Section It1, Division 1. Fich partlisted has been authorized for stamping on the date shown above.

By sining this certificate. neither the Inspector nor his employer makes waranty. expressed or Implied, concerning the equipment described In this Data Report. Furthermore, neither the Inspector nor his employer ihall be rwbte in any manner for any personal Injury nr property damage or Iks of any kind arising fro or connected with this Inspec-ion.

• Date Az Ct/, 4q- Signed &L 7,6moi missions 2--a, L t L (Auftrird thmspeorT-- (Nat1 d.L(inclUding endorsement) and ste orpOv.. and no.)

I

4 ASME SECTION XI - REPAIR I REPLACEMENT Page,_ of

_"Pag

1. Component ID 3JSIAUVO673 2.. ItemDescription: A TRAIN SDC SUCTION VALVE FROM CONTAINMENT RECIRC SUMP

3. N-5 Data Package Number: '3S101-6 4. W.O. Number: 2767649

5. Original Construction Code Edition: 1014 Edition, Winter 1975 Addenda

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

7. Work

Description:

Replace the gasket retainer bolts per EDC 2005-00035 8.0 ISI Flaw NDE Method of Flaw Detection:

-. Report Number:

9. Evalutionof ihe suitability of this work as per the requirements of IWA - 4150:-

60 7-i!h .&* '-

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. M CI 2, 1974 Edition 1974 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. II Cl 2, 1974 Edition 1975 Winter Addenda

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

[]YES

14. Preservice Inspection Required: ZNO Initial ,/j_ ,.*Zi Date - If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: El YES Z NO If required, include a step in the W.O. for ISI & ANII Inspection.

Initial d,/ , Date -

16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date component.

,/,

17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial _ _Date replacement items.

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

Gasket retainer bolts APN 00090043 N/A N1412 MR 975495

18. Plarn"--*"*

• Printed Name: James I. Davis si a. .. Date

19. ISI " , 5/& ff " Printed Name: 44ta, *Log Entryte!+/-,..

Signatue Date

20. AN_ ' e

• SiSO*.

• S-.os Date Printed Name: 6L,-*

-. o rvawaP.1.-, ,.lp77 3 M16-afflo-U)

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

.As Required by the Provisions of the ASME Code Section MI

1. Owner: Arizona Public Service Company, et. al. Date:

P. 0. Box 53999, Phoenix Ath6na 85072-2034 Sheet: 1. of .2.

2. Plant: Palo Verde Nuclear Generating Station* Unit: 3 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529! Work Order Number 2767649

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

4. Identification of System: Safety Iniection

5. (a) Applicable Construction Code ASME Section III NC, Class 2 1974 Edition, Winter 1975 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year iRepaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or NO)

• Vave Posi -Seal 14338-3A N/A 3JSIAUV0673 1979 Repaired YES Gasket retainer N/A HT# N1412 N/A 3JSIAUVO673 2005 Replacement NO bolts

7. Description of Work: Replace the gasket retainer bolting as required per EDC 2005-00035

8. Test Conducted: Hydrostatic - Pneumatic 0 Nominal Operating Pressure E] Exempt ED

.N-416-2 - Other Pressure . psi Test Temperature 'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 laX 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at thelI to of this form.

N.

I FORM NIS-2 (Back)

9. Remarks: Work Order 2767649 replaced the original 410 Stainless steel gasket retainer bolts with more corrosion resistant SA564, Gr 630 bolts pgr EDC-~~~~ 2005-00035

. V' and DMWO 2760330. . . '

Pre-Pressured Test WO Review - ISI gIIA ANII -

Certificate of Compliance Wq certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XL Type Code Symbol Stamp -

N/A NIA Certificate of Authorization No. - . N/A Expiration Date: N/A Signed:C Date: 5262'7 ow oro-usDsvceii I.-.

/

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid comxnssjon issued b atijaIJBoard of boiler and Pressure Vessel Inspectors and the State or Province of emp o'dj 1 CT of Hartford. Connecticut, have inspected the comaonents described in this Owner's report during the period of '- :-.

to .*'- 7 C. ~ r- , and state that to the best of my knowledge and belief, the Owner has performed examinations an,. taken corrective measures described in this Owner's Report in accordance with the requirements of t1i ASME Code, Section XL By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

z"Az dg8*"¢ 'o-National Board, Statte Province, and Endorsements Inspectors signature Diate: -Z U-7~L)F-~LZUI KCVY PV2l6~O8NI (845)

PVY216-08NI (8-88) 73DP-9ZZ17 Rev Y

.1ASME SECTION XI- REPAIR / REPLACEMENT.

Page of

1. Component ID ,3JSIBU.V0675 .. .

2_2 Item

Description:

B TRAIN SDC SUCTION VALVE FROM CONTAINMENT RECIRC SUMP

3. N-5 Data Package Number: 3SI01-6 4. W.O. Number: 2767650

5. Original Construction Code Edition: 1974 Edition. -Winter 1975 Addenda

6. Original Installation Code Edition: 19g4 Edition. Winter 1975 Addenda

7. Work

Description:

Replace the gasket retainer bolts per EDC 2005-00036

8. [] ISI Flaw . NDE Method of Flaw Detection:

Report Number:

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

10. ,Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. III CI 2. 1974 Edition 1974 Winter Addenda

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

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

14. Preservice Inspection Required: [I YES (0 NO InitialWAJ/A9.4 Date 45--6 2 If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: E5 YES 0 NO i.,;-.e JALUU4lL+'-

e VA-#. -r-...,

,t i,- LJaL*

C "-o T- If required, include a step in the W.O. for ISI & ANTI Inspection.

16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial _*__", __ Date S"-4 component.

/

17. Include a step in the W.O. torecord below all applicable numbers for repaired or Ini*1 . a _ Date ' ' replacement items.

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

Gasket retainer bolts APN 00090043 NIA N1412 MR 975496

18. Plann - $ Z

• Printed Name: James I. Davis

-.... Signaturc

s. Datze

19. ISI'" -

• 5,'/'o5 Printed Name: r bt, $'LoggEntry_*!'!!!!-

Signature Date

20. ANII .s-c.-os Printed Name:....I- t- ,. (.ro.--.

sigju Date Tnj~jr "7 Pffl r++ll'l+l*lll+llJ

_Z

FORM NIS-2 OWNER'S REPORT FOR REPAIRS ORREPLACEMENTS Ag Required by the Provisions of the ASME Code Section XM

1. Owner: Arizona Public Service Company, et. al. Date:c5r. _-45 P. 0. Box 53999, . Phoenix Arizona 85072-2034 Sheet: 1 of

2. Plant: Palo Verde Nuclear Generating Station Unit: 2 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2767650

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

4. Ientification of System: Safety Injection

5. (a) Applicable Construction Code ASME Section III NC, Class 2 1974 Edition, Winter 1975 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Mvanufactuier National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or

_-._ _ ._.. NO)

Valve Posi -Seal 14337-3B N/A 3JSIBUV0675 1979 Repaired YES Gasket retainer N/A HIT# N1412 N/A 3JSIBU..V0675 2005 Replacement NO bolts

7. Description of Work: Replace the easket retainer bolting as recuired per EDC 2005-00036

8. Test Conducted: Hydrostatic[] .Pneumatic [] Nominal Operating Pressure 0 Exempt "

N-416-2 .0 Other Pressure - psi Test Temperature *F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 / X 11 inches, (2) informationg in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

FORM NIS-21(Back)

9. Remarks: Work Order 2767650 replaced the original 410 Stainless steel gasket retainer bolts with more corrosion resistant SA564. Gr 630 bolts per EDC 2005-00036 and DMWQ 2760330.

Pre-Pressured Test WO Review - ISI AIIA.

ANIIlA Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: ' 41 '""'* , Date: ___________

Owner or Owner's Desigee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid com" sojissue dd th3 jt'oi!.,oard of boiler and Pressure Vessel Inspectors and the State or Province o ',7-2 -nd employed by L-SIVCT of Hartford. Connecticut, have inspected the components described in this Owner's report during the period of to , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance .with the requirements 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 Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

4z__________________ Commissions: B68" 72lg', -

Inspector Signature National Board, State, Province. and Endorwsments Date:" C50-ZZ"Y:

I -

PV216-08N!.(8.88) .73DP-9ZZ-.17¢v

• 12..ASME SECTION XI-REPAIR REPLACEMENT P" /

1. Component ID 3MRCEE01A item Desciption: Steam Generator #1Cold Lee

3. N-5 Data Package Number: 3RCO1-2 4. W.O. Number: 2778624

5. Original Construction Code Edition: 1971 Edition.'Winter 1973 Addenda

6. Original Installation Code Edition: &f74 Edition, Winter 1975 Addenda

7. Work

Description:

.PerformSG31 Cold Leg plugging and repair iaw DFWO 2778612 ;

8. 0 ISI Flaw NDE Method of Flaw Detection: Eddy Cfirrent Exam Report Number: 3R12 Eddy Current Exam Report

9. talu-aaion of the suitability of this work as per the requirements of IWA - 4150:

Evaluation per ENG DFWO 2778612

10. Repair/Replacement Work Organization: Arizona Public Service/Westinghouse, I I. Replacement Items Construction or reconciled Code/Edition: Sec. III CI 1, 1971 Edition 1973 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III C l1. 1974 Edition 1975 Winter Addenda-

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

14. Preservice Inspection Required: E] YES NO Initial 4 Date / f If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: 0 YES [ NO

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

,/,*./0, 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial . Date V component.

Initi"t~a~4j1Z......

a Date I

t/

/

Ob

17. Include a step in the W.O. to redord below all applicable numbers for repaired or replacement items.

Item ID Part No. Serial No. Heat No.M* MRIPO/WO.0W1. No.

Tube plugs See apa'dlist" See attaeeld list" -See V list See Aed list**

/vA N 1v, 4 143-)/4.

M<. ? _3'2 NA . NA m 1 31f M

Printed Name: Barbara Vidal Sig"= Date

19. ISI I4./IcH'O~ Printed Name: " ?-i'tJP AP LogEntryu Z-

. Signature - I Ir Date i 20. ANI. PrintedName: -__ d.__.-ra..

Iipvore Date PV1- AMI1M-M, .IP4WI I..9

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

1. Owner Arizona Public Service Combanv. et. a1 Date 04/27/06

,Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of 3 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3 Name

--5801_S. Wintersburg Rd., Tonopal, Arizona 85354-7529 2778624 Address Work Order Number

3. Work Performed by Westinghouse Type Code Symbol Stamp None Name Authorization No. N/A 911 W Main St Chattanooga. TN 37402 Fxnirafian Data N/A *'

Address

4. Identification of System Reactor Coolant (SG #1)

5. (a) Applicable Construction Code ASME Section HI 19 71 Edition, W73 Addenda, N/A Code Case (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 92 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other* "Year Repaired ASME Code or Stamped Item:.. Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No)

Seam Generator CE 65273-1 22860 3MRCEEOIA 1981 Repaired Yes

","Tube Plugs Westinghouse NA NA Tube Plugs NA Replacement No

7. Description of Work 'See remarks on sheet 2

8. Test Conducted: Hydrostatic [ Pneiumatk - Nominal Operating Pressure,'I Exempt [* N-416-1 [a~

Other [ Pressurt _ _ psi Test Temp. OF NOTE: Supplemental sheets In form of lists, sketches, or drawngs may be used, provided (1) size Is 8 1/2 x 11 In.,

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

PV-EOO92 Vet. 7 73OP-gZZ17.

N

FORM NI.S-2 (Back)

9. Remarks plnj th, =pcht.-rni.nt 0# 4 1ii~~n RWf1A ~1~ ih ~

_277R61) aind TliwA 977R67A Pro-Pressure Test ReWw. NA CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and this replacement conforms to theirules of the ASME Code, Section XA. ri*r ori*.memnt

• /!

Type Code Symbol Stamp N/A Certificate of Authorization No. IN/A . Expiration Date

-EpiaiolatI/ N/A '

Signed AWZV AI

~~2/t A' Date ý-** 9L.

Signed 76ie ror Ownees DNslgii..T&

CERTIFICATE OF INSERVICE INSPECTION I,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of k=.. and employed by HSB CT of Hartford. Connecticut , have inspected the components described in this Owner's Report during the period '4-t,1 - 0c. to - , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code,Section XI.-

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

M

• InD'ec*-

-o

. "Commissions Signature

.1 '.G ,, , AL Z,.LL Naftnal 8oat, State. Province, and Endomements I'-

Date 7-C 730P.OZZI7 Ver. 77BACK PV-E0092 Vor.

PV-EO092 BACK i=-*o=1zz

I. = *¢q A U,.t. i* P *--

Pa V.'"

IL*.P% v. ,.*-*- *

• 4" qwm,-,-, ww IUk ? . I . l to.fl .*.. 7-, ._24 _

m o WA

,,q! wa .5.c4-ua. m'r ,a WA DFWO 2778612 and DIWO 2778624 Steam Generator (3MRCEE01A) Cold Leg, had mechanical plugs (Oart # 0307-1601) obtained via MR -733382 installed in the following locations:

Row Col 50 89 39 110 8 189 These plugs were from heat NX3171HK.

Steam Generator (3MRCEEOIA) Cold Leg, had ribbed plugs (part # 1971 El 8) obtained via MRs -

1076478 installed in the following locations:

Row Col 10 165 33 72 37 64 39 160 46 125 48 113

/ *" 54 115 55 112 55 114 58 57 60 175 62 157 95 134 100 '; 41 101 136 126 49 131 48 131 .134 133 118 136 59 139 60 139 128 143 108 144 83 151 106 These plugs were from heat NX4418HK,

ASME SECTION XI -REPAIR / REPLACEMENT Page

1. Component ID 3MRCEE AI (7 2.. Item

Description:

Steam Generator #I Hot Lei..

3. N-5 Data Package Number: 3RC01-2 , 4. W.0. Number: 2778626

5. Original Construction Code Edition: J971 EditionWinter 1973 Addenda

6. Original Installation Code Edition- 1974 Edition, Winter 1975 Addenda

7. Work

Description:

Perform SG31 Hot Les PlUgging and repair law DFWO 2778612 '

8. ED ISI Flaw NDE Method of Flaw Detection: Eddy Current Exam Report Number: 3R12 Eddy Current Exam Report

9. EValkfi6i of lfie suitability of this work as per the requirements of IWA - 4150:

Evaluation Ur ENG DFWO 2778612

10. Repair/Replacement Work Organization: Arizona Public Service/Westinghouse,

11. Replacement Items Construction or reconciled Code/Edition: Sec. III C11. 1971 Edition 1973 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cli 1. 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: E5 YES 0 NO Initial i Date q 1 If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: El YES 09 NO initial 6 . Date 4 1. O10 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial &DateInitia *L~16.

Datecomponent.

Include a step in the W.O. to complete NIS-2 Form prior to releasing the

17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial £21 .*Date replacement items.

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

Tube plugs ,B",1,'-

attached %e H*-t S artai. ,t -,.See atta "Iso _ ._4_ v 1Am 7/ 33,7,Z" 0,7//. 9

__,________- _____________ /,. " l~ /1 1. /o26Y?fg,'o?6' .o

18. Planne,0- r J--- Printed Name: Barbara Vidal Signature r fDaft-10 6*B TIT Printed Name: '*- kD Log Entryt'*

Signature .J Date

20. .. e8 -tc. Printed Name: __ __ _ __ __-__ __,

~1 Sip+~r

~~~~~~~I Daze

... .. . .i . . . .

noý_ V PVI li-OINI ill-ill)

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner Arizona Public Service Comnany. et. al. Date 04/27/06 Nate P.O. Box 53999. Phoenix2 Arizona 85072-2034 Sheet 6f 3 Address

2. Plant Palo Verde Nuclear Generatina Station Unit 3 Name 5801 S. Wintersburg Rd., Tonopah,. Arizona 85354-7529 2778626 Address WorK Order Number

3. Work Performed by Westinghouse Type Code Symbol Stamp None Name Authorization No. N/A 911 W Main St Chattanooga, TN 37402 Expiration Date NIA -

Address

4. Identification of System Reactor Coolant (SG #1) 5: (a) Applicable Construction Code ASME Section Hm 19 71 Edition, W73 Addenda, N/A Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 19 92 Edition, 92 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year "Repaired ASME Code Buil or Stamped Item.. Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No)

Steam Generator CE 65273-1 22860 3MRCEEOIA 1981 Repaired Yes

./

,'rube Plugs Westinghouse NA NA Tube.Plugs NA Replacement No

7. Description of Work See remarks on sheet 2

8. Test Conducted: Hydrostatic I* Pneumatic [*1] Nominal Operating Pressure Q . Exempt [1 N-416-1 Other I Pressure _ _ psi Test Temp. OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size Is 8 1/2 x 11 In.,

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

7~3DP.9ZZt7 PV-EOM0 PV.E0002 Ve'.

Vef. 7 7 73DP-9=17

FORM NIS-2 :(Back)

,.:°..

9. Remarks Ping tht VPpamthPPTnt -O4 keneratr IMM1RCFAl A hnt 1l..g tuh&,h r n~'.ruTFW

'V77~19rmmlWA V777R676 Pro-Pressaur Test Raview. NA CERTIFICATE OF COMPLIANCE We cerfify that the statements made Inthe report are correct and this replacement conforms to the7 nules of the ASME Code,Section XI. rel~rT Ireplacement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed . nt L4-1/- jp~mtt l Date ,a-.. ?7-o.

.1 'Owner or Owners Designee, Mi 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 k.L and employed by HSB CT of Hartford. Connecticut , have inspected the components described in this Owner's Report during the period ,I-tl-o(. to A-2T-oc. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described In this Owner's Report In accordance with the requirements of the ASME Code, Section XA.

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

Commissions_. .,'t.% "A, , T-.zc'-A

~ispectora Signature NationalJ Bard. State, Province. and Ennorsements27-046 1 Date-PV-E0o2 Vet. 7 BACK 73DP-9ZZ17 N

• -AN -'N" _________

e,- NfWA 9t1VM~.34O,- 6..T WA U.. CsJamugsa DFWO 2778612 and DIWO 2778626

Steam Generator (3MRCEEOIA) Hot Leg, had mechanical plugs (part # 0307-1601) obtained via MR -733382 installed in the following locations:

Row Col

• 50 89 39 110 8 189 These plugs were from heat NX3171HK.

Steam Generator (3MRCEE01A) Hot Leg, had ribbed plugs (part# 1971E18) obtained via MRs -

1076478 and 1076480 installed in the following locations:

Row Col II 10 165 72 I 33 I 37 64

-39 160 46 125 48 113

/

A' 54 115

/ 55 112 55 114 58 57 60 175 62 157 95 134 100 " 41 101 136 126 49 131 48 131 .134 133 118 136 59 139 60 139 128 143 108 144 83

-.. 151 106 These plugs were from heat NX4418HK i

ASME SECTION XI -REPAIR /REPLACEMENT Page - of

1. Component ID 3MRCEE01B"

,2.. Item

Description:

Steam Generator #2 Cold Leg

3. N-5 Data Package Number: 3RCO 1-2 4. W.O. Number: 2778633

5. Original Construction Code Edition: 1971 Edition. Winter 1973 Addenda

6. Original Installation Code Edition: *N74 Edition, Winter 1975 Addenda

7. Work

Description:

Perform SG32 Cold Leg vlugging and revair iaw DFWO 2778629 8.0 ISI Flaw NDE Method of Flaw Detection: Eddy Current Exam Report Number: 3R12 Eddy Current Exam Report

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

Evaluation per ENG DFWO 2778629

10. Repair/Replacement Work Organization: Arizona Public Service/Westinghouse,

11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 1. 1971 Editi 1973 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. M Cl I. 1974 Edition 1975 Winter Addenda

13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda 4o/

14. Preservice Inspection Required: 0 YES 0 NO Initial IV Date 2' If required, include a'step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: 0 YES 0 NO Initial *I . Date / 0 If required, include a step in the W.O. for ISI & ANII Inspection.

g the InitAIa'"iL. Inita . Dae Date' '/x/0o/0

,component. 16. Include a step in the W.O. to complete NIS-2 Form prior to releasin

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

Item ID Part No. Serial No. Heat No. MRIPO/WO No.

Tube plugs __ _______"__- list. Se .... H--s"-

/7/ I ... '_/_______I 18' Planner Signature 4 * -ll9 io Date rinted Name: Barbara Vidal P"L.

19. ISI Printed Name: P -N2AP Log En si..at Darte

20. ANIl______________ Printed Name: (.CX. S*.or

" 4Dam m*mni w-u~ 73D.llgIM Roglt*

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

As Required by the Provisions of the ASME Code Section XI t

1.Owner Arizona Public Service Comanv. et. al,IInI Date 04127/2i6 Name P.O. Box 53999. Phoenix. Arizona 85fl72-20344 Sheet *O 3o Mddrm

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

%Rn1 q W4z

.. fl3.J wjin rikr tJ .VV~ 6v Cl&b.,4

• t' F.

AP Tnnni

,'.t

• tJL*,W~a/I hl Ar-7fnna tU 4 £4 *A/t*t.AA Lf J...3/4J.,.rT O

,,./,~,,

2778633.-

Work Order Number

3. Work P"erformed by Westinghouse Type Code Symbol Stamp None Name Authorization No. N/A 911 W Main'St Chattanooga, TN 37402 Expiration Date N/A Address

4. Identification of System Reactor Coolant (SG #2)

5. (a) Applicable Construction Code ASME Section IM 19 71 Edition, W73 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 92 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Nameof Name of Manufacturer National Other Year Repaired

• or ASME Code Stamped Item- Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No)

Steam Generator CE 65273-2 22861 3MRCEEOIB 1981 Repaired Yes

/",:Tube Plugs Westinghouse NA NA TubePlugs NA Replacement No

7. Description of Work See remarks on sheet 2

8. Test Conducted: Hydrostatic ID Pneumatic Q - Nominal Operating Pressure I) Exempt [* N-416-1 Ej Other l Pressure psi Test Temp. OF.

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

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

I.

7~0P.9ZZ17 PIV-EOWg2 PV.E0092 Ver.

Ver. 7 7'30P-92Z17

FORM NISM2 .(Back)

9. Remarks plu1g tbk- r~p:1 m,.t~~ irtr f~Ff1 r~~t~~pr g~~~gTFC ThTWA V778611 a'79Oind Pre-Pmsse Test Review. NA CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replaceent conforms to ther'ules of the ASME Code, Section XA. rvar orlep.acement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed Signed"/'2/or or Owners Desigee,'ni= f Date -

CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of kZ- and employed by HSB CT of Hartford. Connecticut , have inspected the components described Inthis Owner's Report during the period ,,-At- 0(. to _________, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report Inaccordance 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 Inthis Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection.

< Commissions , 'TC.* ,A ,&. Av. 24,,

" nvlpectors g~ntut.. National Board. Stats. Province, and Endorsement$

Date______________

7~OP-9ZZI7 PV-EW92 vet. 7 BACK PV-E0MV@r.7BACK 73DP-gZZ17

FORU NtS-2 OW?4M RIOWTFOR RIPAIRS OR ROP CEM04TS 12MIq W6-kft. R3LEM" AI... i 4.1= 2" DFWO 2778629 and DIWO 2778633

'-ýj6-fte Generator (3MRCEE01 B) Cold Leg, had mechanical plugs (part #0307-1601) obtained via MR -733382 installed in the following locations:

Row Col 12 '1 35 80 64 9 65 10 140 51 These plugs were from heat NX3171HK Steam Generator (3MRCEEO1 B) Cold Leg, had ribbed plugs (part.# 1971 E18) obtained via MRs -.

1076478 and 1076480 installed in the following locations:

Row Cal 21 ..18 117 56 21 -20 117 72 96 33 121 74

,104 59 122 73

'"106 61 133 .70 114 69 135 52 These plugs.were from heat NX3171HK Row Col Row Col Row Col Row Col Row Col 7 - ,F42 58 119 76 151 .102 97 119 144 12 141 60 123 81 92 102 135 127 82.

14 *59 63 98 81 .172 .103 78 14 175 64 107 82 139 105 58 16 15 64 117 83. .134 105 90 16 19 65 12 85 34 106 145 22 157 65 22 86 135 109 86 27 120. 67. 52 92 115: 109 98 40 67 67 -94 92 .157 109 158 40 117 69 34 95 46 92 45 160 69 110 95 120 94 48 - 97 69 142 96 65 112 93 48 101 70 101 96 157 112 .113 48 159 70 103 97 64 112 131 55 94 71 100 100 79 117 116 57 96 74 35 100 161 117 *132 57 110 76: 129 102 69 These plugs were from heat NX4418HK

• .* ° .

ASME SECTION.XI- REPAIR/ REPLACEMENT Page ofo _r; I. ComponentID 3MRCEE01B

,2.. Item

Description:

Steam Generator #2 Hot Leg

3. N-5 Data Package Number: 3RC1-2 4. W.O. Number: .2778635

5. Original Construction Code Edition: 4.971 Edition, Winter 1973 Addenda

6. Original Installation Code Edition: '1974 Edition, Winter 1975 Addenda

7. Work

Description:

Peiform SG32 Hot Leg Rluging and repair iaw DFWO 2778629

8. [ ISI Flaw NDE Method of Flaw Detection: Eddy Current Exam Report Number:. 3R12 Eddy Current Exam Report

9. EValdatidn-of fie suitability of this work as per the requirements of IWA- 4150:

Evaluation per ENG DFWO 2778629

10. Repair/Replacement Work Organization: Arizona Public Service/Westinghouse,

11. Replacement Items Construction or reconciled Code/Edition: Sec. IIIlC1i. 1971 Edition 1973 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. Ill Cl I, 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: 0 YES 0 NO Initial ...6Z.....Date f//i *104b If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: E] YES 0 NO Initial ______Date L//'/V4 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date I/' 16. Include a step in the W.O. to completdNIS-2 Form prior to releasing the Dateial Date component.

IntalDt

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

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

Tube plugs '3- 3ttatz'- .... , e, '.#-,chh..d!st .3-.. 1te

.EIN

_.,3,7-" 131 &-

3 H I-t

• 73.J73 If 2.

___ _. 1-79"Io

18. Plannr I//./£ ** Printed Name: Barbara Vidal Signature . f Dim o T.qT'"

19

• A4- fI7iCý Printed Name: P- Log Entryl Signature 4 Date

20. AN.I -t: Printed Name: r&.L .- O, SigntjreDate rV~IMUlII 1545)

.FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner Arizona Public Service Company. et. al. Date 04/27/06 P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 bf 3 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3 Name 5801 S. Wintersburg Rd., Tonopah, An zona 85354-7529 2778635

- Wor

- -. Poe WAddress WoAlc Order Number

3. Workc Performed by Westinghouse Type Code Symbol Stamp None Name Authorization No. N/A

. 911 W.Main St Chattanooga, TN 37402 Expiration Date N/A '

Address

4. Identification of System Reactor Coolant (SG #2)

5. (a) Applicable Construction Code ASME Section I 1971 Edition, W73 Addenda' N/A Code Case (b)Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 92 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repairedor ' ASME Code Stamped Item... Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No)

Steam Generator CE 65273-2 22861 3MRCEEOIB 1981 Repaired Yes

,<.Tube

/

Plugs Westinghouse NA NA Tube Plugs NA Replacement No

7. Description of Work 'See remarks on sheet 2

8. Test Conducted: Hydrostatic (J Pneumatic [J Nominal Operating Pressure (* Exempt I* N416-1 6

Other IU Pressure psi Test Temp. OF NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size is 8 1/2 x 11 In.,

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

730P.DZZI7 Vet. 77 P~EOO92 Ver.

PV-EO092 73OP-gZZ17

FORM NIS-2 (Back).

9. Remarks Phiii t-.rt-.1artm*.nt 0e~ma&r. gt-.rntnIUr 'Fn1Rf1hnt1&leith- vrnn..jcElWA 977R~';9o ~nATfli~I~ -,

Pro-Pressure Test Review-. NA CERTIFICATE OF COMPLIANCE We certify that the statements made Inthe report are correct and this replacement conforms to the rules of the ASME Code, Section Xl. rpa orreptacament Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed - Date/ 2-nDate Owner COwndrs Designee, Trde 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 Az. and employed by HSB CT of Hartford. Connecticut , have inspected the components described in this Owner's Report during the period .,t-r'-o. to _ __-Z__-- _ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described Inthis Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

Commissions Az*z*.'

.National Board. Sta. Province, and Endorsements 730P.9ZZ17 PV-E0092 ver. 77 BACK PV.E~g2 Ver. BACK "3013-9=Z7

a.

• 21150 ."

P.,. V.. '1.w..V,..4 4. *..____-_.,__... __.

~ WA M-; 2MS"' WA 4A..

• lzmrs m IL r L ,..Ae.. ... = . .*m.,,m..=* 3 m*.*..*..

DFWO 2778629 and DIWO 2778635

. Steam Generator (3MRCEEO0 B) Hot Leg, had mechanical plugs (part # 0307-1601) obtained via

'-MR -733382 installed in the following locations:

Row Col 12 1.

35 80

',64 9 65 10 140 51 /i These plugs were from heat NX3171 HK Steam Generator (3MRCEE01 B) Hot Leg, had ribbed plugs (part# 1971E18) obtained via MRs -

1076478 and 1076480 installed in the following locations:

-- =

Row Col Kow

.... -- 3 L

Row Col 7 42 69 110 105 58 12 141 69 142 105 90 14 59 70 101 106 61.

14 175 70 103 106 145 16 15 71 100 .109 86 16 19 74 35 109'. 98 21 18 76 129 109 158 21 20 76 151 111

• 92 22 157 81 92 111 94

• 27 120 81 172 112 93 40 67 82 139 112 113 40 1i7 83 134 112 131 45 160 85 34 114 69 48 97 86 135 117 56 48 101 92 115 117 72 48 159 92 157 117 116 55 94 95 .46 117 132 57 96 95 120 119 144 57 110 96 33 121 74 58 119 96 65' 122 73 60 123 96 157 127 .82 63 98 97 64 133 70 64 107 100 79 135 52

."64- 117 1o00 161 65- 12 102 69 65 22 102  : 97 67 52 102 135 67 94 103 78 69 34 104 59 These plugs were from heat NX4418HK

ASME SECTION XI - REPAIR IREPLACEMENT

..... _Page V of k

• .I .. Component MD 3JSIBPSVO069 Item

Description:

"B"Shutdown Cooling Relief Valve

3. N-5 Data Package Number: 3S.07-9 4. W.O. Number: 2783665

5. Original Construction Code Edition: 197"4 Edition, Summer 1975 Addenda

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

7. Work

Description:

Replace the valve to correct seat leakage.

8. 0 ISI Flaw NDE Method of Flaw Detection:

. Report Number:

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

Seat leakage, no failure of ASME Code boundary /

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec.1II C! 1. 1974 Edition 1975 Summer Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. M Cl 1. 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: 0 YES 0 NO Initial AJ/, Date If required, include a step in the W.O. toperform Preservice Inspection

15. ASME Section XI Pressure Test Required: E0 YES ED NO

!initial , D~ate _____If required, include a step in the W.O. for ISI & ANTI Inspection.

Initial .--J. ':* Date 4 .~o,2 16. Include a step inthe W.O. to complete NIS-2 Form prior to releasing the c56 component.

or

,Date -' 17. Include a step in the W.O. to record below all applicable numbers for repaired Item ID Part No. -Serial No. Heat No. I MR/PO/WO No.

Relief Valve APN 45000465 N61169-01-0011 I N/A rapK 1uOWL"u Printed Name: James I. Davis Printed Name: Log Entryza-"9;ý,

Printed Name: 0. ."

I20. -AH Date FV2I4S~ l-U)73DP.9ZZI? 319 N

I FORM NIS-2 OWNER'S REPORT-FOR REPAIRS ORREPLACEMENTS. *-

As Required by the Provisions of the ASME Code Section XI I :.

I1. Owner: Arizona Public Service*Company, et. al.Q Date: 04/12/2006 P. 0. Box 53999, Phoenix Ariiona 85072-2034 Sheet: _I of 2

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

.geAt V.G+ ' fully: UT,,,. D^ .A "l^. *l Au*- k-2.,Qq

_..Jo, .JUU.& , , UUL=[,Ua.,

uV UiUpj!I ,I iL.Uila OJ 54-7529 Work Order Number 2783665

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

4. Identification of System: Safety Iniection

5. (a) Applicable Construction Code ASME Section III NB. Class 1 1974 Edition, Winter 1975 Addenda, ' Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement  : Code No. Stamped (Yes or No)

Valve ,., Crosby N61169-00-0006 N/A 3JSIBPSV0169: 1980 Replaced YES Valve Crosby N61169-00011 N/A 3JSIBPSVO169 1991 Replacement YES

7. Description of Work: Replace the valve to correct seat leakage.

8. Test Conducted: Hydrostatic EQ Pneumatic 0l Nominal Operating Pressure El Exempt 0 N-416-2 El OtherPressure '.b." psi Test Temperature *F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 1I inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

.tFORM NIS-2 (Back)

Remarks: WO 278366;5 replaced the pressure relief valve due to leakage during its pressuire, test. Spare parts for rework were not available at the time. -

Pre-Pressured Test WO Review - ISI ANIT

.° A-.

Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules bf the ASME Code,Section XI.

1 1 Type Code Symbol Stamp -

N/A N/A Certificate of ý4orizatiq.I. N/A Expiration Date: N/A Signed: Date: 45-V Kneror SOwner's Designee, Title

"- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of 'a-oc, ta-to U.. - oC 0G- , and state that to the best of my knowledge and belief, the Owner has performed examinations and: taken Corrective measures described in this Owner's Report in accordance With the requirements of the ASME Code, Section XL By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be'liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

Commissions: NB 9685 "N" ,'I AZ264 National Board, State. Province, and Endorsements

.. pects Signature i 1 Date:_________

i

" PV216-08NI (8-88) 73DP.9ZZ17 ReY9 11

ASME SECTION XI- REPAIR/ REPLACEMENT Page.._ of k 1..-omponent ID 3JSIBPSVO755 2.. Item

Description:

PRESSURE LOCK PREVENTION SYSTEM RELIEF VALVE

3. N-5 Data Package Number: PCWO 00677792 4. W.O. Number: 2783726

5. Original Construction Code Edition: 19t4 Edition, Summer 1976 Addenda

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

7. Work

Description:

Replaced Disc 1,

8. [] ISI Flaw NDE Method of Flaw Detection' Report Number:

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

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec.TII Cli. 1974 Edition 1975 Summer Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. II CIi . 1974 Edition 1975 Winter Addenda..

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

14. Preservice Inspection Required: DYES .NO Initial , Date If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: I] YES 0 NO If required, include a step in the W.O. for ISI & ANII Inspection.

Initial ,, L./,.....Date Initial ,

• Date ¢-/* ~G 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

. /!/ replacement step in the W.O. to record below all applicable numbers for repaired or

17. Include aitems.

Initial . "V' Date .

Item ID Part No. Serial No. Heat No. MRIPO/WO No.

Disc APN 45020261 N-91988-38-0022 N/A MR 1085731

18. Plan- " Printed Name: James I. Davis sipatureDate 19: IST,,<, *-/- 0 Printed Name: W4'01 o,/5/,frd4oq) Log Entry-"

Signature Date

20. ANTI < " ,-*- Printed Name: P.-,

Signat Date -

.... . .. ... ,I I .*

mr*tt4&O"W ".)

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

1. Owner: Arizona Public Service Company, et. al. Date: 04 /16/2006 1

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

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

5801 South Wintersburg Road., Tonopah, Arizona 8535' 4-7529 Work Order Number 2783726

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

4. Identification of System: Safety Iniection

5. (a) Applicable Construction Code ASME Section M NB, Class 1 1974 Edition, Summer 1976 Addenda' ,4 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification -Built Replacement .. Code No. Stamped (Yes or No)

Valve Crosby N-61169-02-0013 N/A 3JSIBPSVO755. 1995 Repaired YES Disc Crosby N-91988-38-0022 N/A 3JSIBPSVO755 , Replaced NO

7. Description of Work: Replaced valve disc.

8. Test Conducted: Hydrostatic El Pneumatic El Nominal Operating Pressure El Exempt 0 N-416-2 El Other Pressure 1A... psi Test Temperature -blk OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2i X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

I - - -__ - -

FORM NIS'2 (Back) 4....

9. Remarks: WO# 2783726 replaced the valve disc to correct ieakape.

..2*

Pre-Pressured Test WO Review - ISI.

• "-ANII' Certificate of Compliance We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code, Section XL`

Type Code Symbol Stamp N/A Certificate of AtlhorizationNp. N/A Expiration Date: N/A

)-.<'( 4-, *~.#Qe-

,*.:*/ Date:

Cwner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION

/ o I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel

.Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut, have ins*pected the components described in this Owner's report during the period of _ -__-"-

to '-*9-o¢ ,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner'.s Report in accordance with the requirements of thi ASME Code,Section XI. -

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

• '~4 4~ Commissions: NB 9685 "N" "I" AZ264 National Board. State, Province, and Endorsements

%spectors Signature Date:

I -

73DP-9ZZ17 Rev~i PVZI6-08N1 (8.88)

PV216-08N.1 (8-88) 73DP-9ZZ17

. . . ReY9 I

ASME SECTION XI REPAIR/REPLACEMENT go Page of

1. Component ED 3PSIEV245 2.. Item

Description:

HPSIILPSI Header Loop Injection Check Valve

3. N-5 Data Package Number: 3RCOI-3 4. W.O. Number: 2783999

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

6. Original Installation Code Edition: '1974 Edition. Summer 1975 Addenda

7. Work

Description:

Rework or repflace the bonnet and assembly disc to correct seat leakage 8.0 ISI Flaw NDE Method of Flaw Detection:

Report Number:

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

Seat leakage - No ASME boundary failure

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. Tm CI 1. 1974 Edition 1975 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III Ci 1, 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: Q3YES 0NO Initial --- , Date , If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: Z YES E0 NO Initial - "Date /- ..* If required, include a step in the'W.O. for ISI & ANII Inspection.

Initial = Date 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

17. Include a step in the W.O. to record below all applicable numbers for repaired or Initiial--J2-2 Date !/46 ,x-2o replacement items.

Item ID Part No. Serial No. Heat No. N1*PO lt , 5 ,:S060/70 ooc s2A'z 9 64,O7*?

. Printed Name: James I. Davis

19. ISIV 9~~ Printed Name: &/*V4 Lg ntryfI.

fi x Date

20. ANII-- Printed Name: R& 4,srkK if SszureDaft PV2I~eM 041) 730F-.9ZI1 NW, Z"S

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl 1.OwerA..oa . Se.

.bi c Co* pan. . t. . Dat ...

1.Owner Arizona Public Service Compbany, et. Al. Date 04/27/06

'Name P.O. Box 53999. Phoenix. Arizona 85072-2034 She(,t 1 of 2 Address

2. Plant Palo Verde Nuclear GeneratingStation Unit 3 Name

.-Z801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 2783999 Address Work Order Number

3. Work Performed by Arizona Public Service I Type Code Symbol Stamp None 1

Authorization No. N/A 5801 S. Wintersburg Rd., Tonopah, Az 85354-7529 Expiration Date N/A Address

4. Identification of System Safety Injection I

5. (a) Applicable Construction Code ASME Section T[ .19 74 Edition, W75 Addenda, N/A Code Case (b) Applicable Edition of Section Xi Utilized for Repairs or Replacements 19. 92 Edition, 92 -Addenda

6. Identification of Components Repaired or Replaced and Replacement Components

.1 Y I I Name of Name of Manufacturer National Other Year Hepaired or ASME Code Stamped Item Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No)

,; Valve- Borg-Warner 32614 1056 3PS1EV245 1978 Repaired Yes Disc- removed Borg-Warner NA NA HT # 2X51 1978 Repaired Yes Bonnet- removed .Borg-Warner NA NA T# 2X58 1978 Repaired Yes Disc - installed Borg-Warner SN2 NA HT # 2E69

• Replacement No Bonnet- installed,* Borg-Warner" SN5 NA HT # 2E76

• Replacement ' No

7. Description of Work Replaced the bonnet and disc assembly. (*note remarks on Page 2}

8.Test Conducted: Hydrostatic I Pneumatic I Nominal Operating Pressure I* Exempt Qj N-416-1 E O

Other C3 Pressure azt> psi Test Temp. A,*T F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size Is 8 1/2 x 11 In.,

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

73DP-9ZZ¶7 Wr. 77 PYEOOG2 Vot.

PV-EO092 73DP-OZZ17

FORM NIS-2 (Back).

9. Remarls Wnrk Wir 97R llgrQ the. hrnnm'.t nijel rdjcr n_-, h~ with t p mhly f'nm 1PqT13V945 "t-~irncta11p r.t-n.mw~ rwMnv by uwnyk nrdtli ?'737251 gin, refni +~hr yuk nrdi-.

?R~flA72 Pre-PressureTest Review: ISI DIN q-"AANIi "J CERTIFICATE OF COMPLIANCE'.

We certify that the statements made In the report are correct and this replacement. conforms to the rules

.of the ASME Code,Section XI. repair or replacement t

Type Code Symbol Stamp N/A N/A Expiration Date , NIA Certificate of AuthorizNa o.No Signed U. 11 SZ V) mw i vw__

Date 4A//40

'W - Owner or Owne rs 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 , and employed by HSB CT of Hartford. Connecticut , have Inspected the components described in this Owner's Report during the period R-21,-os to 6-1e-oc. , and state that to the best of my knowledge and belief, the O er has performed examinations and taken corrective measures described in this Owiier's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied,

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

Commissions ,-Aq.1&SA,. Ar z&n

-- tq~ctorsSignattre National Board, State, Province, and Endorsements Date 1 730P-9ZZ17 PvE0082 var. 77 BACK PV.ZOO92 Ver. BACK 73DP-9zzl7

ASME SECTION XI - REPAIR / REPLACEMENT Page I of

1. Component ID 3SG033H017 & 3SG036H011 2.. Item

Description:

PIPE HANGERS

3. N-5 Data Package Number: 3SG0.1-2 . " 4. W.O. Number:.2789761

5. Original Construction Code Edition:, 1974 Edition. Winter 1975 Addenda

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

7. Work

Description:

Repair Pipe Hangers per DFWO 2788864 Disposition 8.J949fff]w., NDE Method of Flaw Detection:

---f-w -- .Report Number

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

10. Repair/Replacement Work Organization: Arizona Public Service "d"

11. Replacement Items Construction or reconciled Code/Edition: Sec. IIN NF Cl 2. 1974 Edition Winter 197* Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. M NF Cl 2. 1974 Edition Winter 1975 Addenda 13.- ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda

14. Preseri c pection Required: 0 YES 1 F $4*/t/

5 1 Initial,.* Date

• I , If required, include a step in the W.O. to perform Preservice Inspection

15. AS e XI Pressure Test Required: 0 YES 09 NO Initial Date 7_(? klo . If required, include a step in the W.O. for ISI & ANH Inspection.

Dat 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Iniia* Date "I "" component.

17. Include a step in the W.O. to record below all applicable numbers forrepaired or Initial _.L< Date -- _ _ replacement items.'

• Item ID Part No. . Serial No. Heat No. AMR/PO/WO No.

-,.,.

• IM Vo go.2g,

?:,- "- C' 13-j7o M poI07/1 '

i* ou -mj**,0,e7,1.'*- , 4 .

18.'"P lann e yrk:~~ I q  %  ; ~ q Zýf-u_ P/ci6 Printed Name: Glenn E, Moore Signature Date

19. 1ST Printed Name: Ramakant Indap_ " Log Entry .. *-

2 Signature ýj Date j20. Al Printed Name: -Robert G. Hogstrom_______

Si e Date 71flP.~7Z17 bv~

M.- p-"j N-

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required oy the Pr.,visionr, cC.,he ASHE Code Section.XI

1. Owner: Arizona Public Service Company. et. al.. Date: 01l=06- 43-.6-P- O. Tnox 5!QQ9- Phoeniy'Arivnnn R51)72.?2.l4 Sheet: I of':*

2. Plant: Palo Verde Nuclear Generating Station Unit: I 5R01 qouth Winterchnro RnRd_ Tnnnnah- Arizona 85354-7529 Work Order Number 2789761

3. Work Performed by:. Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A 4.. Identification of System: SG - Steam Generating - ASME Section I1 Class 2

/

5. (a) Applicable Construction Code ASME Section III NF, Class 2 1974 Edition, Winter 1975 Addenda, J.. Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture - Serial No. Board Identification Built Replacement. Code No. Stamped (Yes or No)

PipeSupport Pullman Power 3SG033H017. NA 3SG033H017 1979 Repaired YES Pipe Support ITT Grinnell 3SG036H011 NA 3SG036H011 1982 Repaired YES NA.

7. Description of Work: Repair Pipe Supports 3-SG-033-H-017 and 3-SG-036-H-01 I Rer DFWO 2788864

8. Test Conducted: Hydrostatic U Pneumatic U Nominal Operating Pressure UI Exempt D9 N-416-2 E] Other Piessure psi Test Temperature I[ 0 F

I NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 Y2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

I

. FORM NIS-2 (Back)

9. Remarks: Work Order 2789761 - Repaired Pipe Supports 3-SG-033-H-017 & 3-SG-036-H-01 I er EDC# 2005-00281-DFWO 278886 Dispositio~n,.

Pre-Pressured Test WO Review - ISI A/5 ANII_______________

Certificate of Compliance We certify that the statements made in the report are correct and this repair conforms to the rules ofthe ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorization"No. N/A Expiration Date: N/A Signed: -. ' 6/

'Owner or Owner's Designee, Title

• 0&

U-

) Date:

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 Ariz'ona and employed by HSB CT of Hartford, Connecticut. have inspected the components described in this Owner's report during the period of 5,-2-0&

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

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

• 4 ý Commissions: NB 9685 "N" "I" AZ264

- ._pctrS Signature National Board, State, Province, and Endorsemrents Date:_ _ _ _ _ _ _ _ _

I-7~IL)r-yL.L1j 1wY Y PV216-08NI (3-88)

PVZI6O8NI (-88) 73DPo-9.,17 R tY9

• .. V.,- S

• .*~ ,: ~.: -'.. :Li ~i, -*L*!/

-?

i!*" \i ~ -

• V.

E-pK-9M4IMIN TIAE :aHO FORM NF42 MANUFACTURERS' PARTIAL DATA. REPORT FOR PARTS 'FOR "'ComPONEra. sMpa 3442 1~

As Required by the Provisions, of ttmASME 'Code Rules. Secdon HIl Division I I In7 Grinnell Corppration. 62.1 Dana'Arre., N.E., WJarren. Ohio' 444'81 Imefi. and aaww of manute.wrers

2. Aftnunm=M9 I Bechtel. Powuer Cor,.',-P,.O,. IN=.*60860, Terminal. Mnex, .Los Angeles, CA 9006 I -- .

- , ,, Palo Verde: XUC. Gen. Sti., 3 M~iles S. of Wiacersburg,'Arizora

4. 10) lb) (d) 143~ 19)

Caiwdimi Part Dra"Ning cadon Year Md. .No. of Pas" Built iOG2501/ N/A E-1394 Rev I S8""Fig a 1-H 2 NIA A9R It" "I wlt+lh +ITS--,, "T JIE'*' Itl*'t .'*" -- 01_1.I N/A I.

IS82

• 1 t~O'~

G2503, N/A E-1394 Fev' I 056 "3" Fig 81-H 2 N/A 1982 JAIG2504 1 N/A E-1394 Rev 1 95 "B" Fig 81-H 2 N/A 1982 35 3G2505 N/A E-86S Rev L 01 "B" Fig.81-H 2 N/A 1982 4 I91 N (¶. .

CE1IMCATE OF WWI6PUANCE 0

We CWuy xhat Orw tut~wrie #mom inl cis r~oon JIM UcoVIt a1ndMAC 7ft C&Mb~en luaort oar= confor am UWuJ.of

%he conw~ric-ooan of um.AWE Co*w to- NudiwvPo~rP~at Comoneanu. Secdon IIIOMs~io 1. Edh~on1974 *A.W,,.~ 1Wi-t~r 197-5.

-L c1da.. 4 RA, -7 1685', 1686, 1728, 1729;. 1734-, 1683, Vr-i0 Mate) l antuzary 14, 19 82, m Grinnell Cat-.

OuiASAMCCardflna of Au onuz~ron N._ 2"-l *ou"'e N? - Smtdt expm Sept, 8 1984 Data report covers welded items only.

- 4 0 (f1l76 Thit form 1E0=071 is swuilable fnxm the Order Clopt-A5L4S 3.45 E. 47 Stý Nowv York, N.Y. 10017.

1 .-1 -.

I ommommil- -- -

FRm W1.2 MBack)

CMM1FICATE OF SHOP INSPECTIN

1. V* unclorunae. ?iosainv a vwid commtdi~on iuuea by " National5cn oft Balogir and llatmro Venael lmoeszra and the Stm'rn, plavbc ~ 7~ Fr4T, Ca. of' Hartford. Cpnn.

hFweJ~I1 ~ Ownp for the com~'ufl aiaaam 9sorbed in this M "ticizims" cats. Accon an 1=14~m to the bas of aw knowledge and WHOieV4 -ManulAcrwhu c~atsiavcm outevt thoe.

~no~t ucooort 04m in ad ic dimASME Cod for Nuctom Pavww Plant Carnoomrien Aed my Vmgnw'q ?ula camficat. neither dIe lmaesmo nor ha mfltloYvr makes anY ,wrronty,.w ermad or (nalitled. cenw,'inq uieo'cm ponent uaimmr in this MmufvICWws' Nu Ftaoart F~u1~m.ffvaco n'ider die Insoc.c-r not liarma i snall be iadi.

a any nmwv for m'y peronal injury or orcow-y dam"a or a Icas of any kind warisq from or connec.nd %vit11 Inii in=*crLn s~e ~ ~Commrviu "Ohio Co~zdssion" INati loara. Slut.. Pvuvme. a4~aNo.3 C'I 0'

C)

C0 DCN 9NPAG cat

FORM NF-1 CERTIFICATE HOLDERS' DATA REPORT FOR"COMPONENT SUPPORTS-AsReiulred by the Provisions of the ASME Code, Section IIDIvIsIon 1. Pg. 1 of ..2

1. Manufactured by Anvil Intemational, Inc. - 160 Frenchtown Rd. No.Kingstown, RI 02852 (name and afdess of NPT Carlfllcate Holder)

2. Manufactured for Arizona Public ServIce Co. Palo Verde 5801 South Wlntersburg Road Tonopah. AZ 85354 (name and address of Pur&Asw=)

3. Location of Installation Arizona Public Service Co. Palo Verde 5801 South Wintersburg Road Toholpah, AZ 85354 (name and adress)

4. Type: C.S.S. DRS 66 REV.9 2005 (describe) (Design Report or Load Capacity Data Sheet) . (year built)

-5. ASME CoderSedlon Ill. Division 1: 1974 Winter 1975 2 NIA (edation) (addenda date) (class) (Coda Case no.)

6. Identification (a) (b) (c.) (d) (e)

Component Material Canadian Applicable Natonal Support Specification RegIstr;tion Drawings Wth Board

.LD. No. No. No. Last Rev. & Date -;.- No.

(1) 2005- 45 SA36 N/A 066-10025/F 3/20/00 WA "2005-46 SA36 N/A 066-10025/F 3/20/00 N/A (2) 2005- 47 SA36 N/A 066-10025/F 3/20100 N/A (3) 2005- 48 SA36 N/A 066-10025/F 3/20100 NIA (4)

(5) 2005.49 SA36 NIA 066-10025/F 3/20100 N/A AQ "!005- SA36 N/A 066-10025/F 3/20/00 WA

,K" (8)

, (9)

(

(10

7. Rama~rks:

PO#: 500289081 Rev.01 8O#A 41-70575 -

'Supplemental Information In the form of Psts, sketches, or drawings may be used provided (1)sze Is 81/2 x 11. (2) Information inItems hrough 4 on .t$ Data Report Is Included on each sheet, and 1(3) each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/8) " This form (E00075) may be obtained fimnrthe Order Dept. ASME. 22 Law Drive, Box 2300. Fairfield, NJ 07007-2300.

FORM NF-1 (Back.- Pg. 2 of 2 )

Component Support I.D. Nos. 2005-45 through 2005-50 CERTIFICATE OF DESIGN Design Specification certified by H. RkTlorideregger- P.E. State RI*l Reg, no ."""3537 Design Report certified by Frank J. Birch p.F_ State R. 1 Reg. no 4149 CEBTIFICATE OF COMPLIANCE We certify that the statements made In this report are correct and that these component supports conform to the rules for construction of the ASME Code,Section III. Division 1.

NPT Certificate of Authorization No. N-2802- Expires 9/29/2007 Date *....-. ["j Name Anvil International, Inc. .Signed_*_...._-

(NPT Certificate Holder)

I CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission Issued by the National Board of Bbiler and Pressure Vessel Inspectors and the State or Province of Rhode Island and employed by H.S.B. C.T.

of ' , Hartford, C.T. have Inspected the component supports described In this Data Report on t / , and state that to the best of my knowledge and belief, the Certificate Holder has constructed these component supports In accordance wth the ASME Code,Section III. Division 1. .-- -..

By signing this. certificate, neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the component supports described In this Data Report. Furthermore, neither the inspector nor his imployer shall be liable In any manner for any personal Injury or prope damage or loss of any kind arising from or connected with this Inspection.

/ 4 ,

ate*Dr nigne Commissions A-17 ( Z .e n n t .d (Aufhrized Inspection) (Nati. 8d. (mct. endorsements) and state or prov. and no.)

N N

ASME SECTION Xi!- REPAIR I REPLACEMENT Page -of k

1. Component ID 3SG045H017 & 3SG042H01 1 2.. Item

Description:

PIPE HANGERS

3. N-5 Data Package Number 3SG02-2 4. W.O. Number: 2790468

5. Original Construction Code Edition: I R74 Edition. Winter 1975 Addenda -.

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

7. Work

Description:

Repair Pipe Hangers per DFWO 2788864 Disposition 8.0 IS Flaw NDE Method of Flaw Detection:

Report Number

9. Evialuiatiorn-0f the suitability of this work as per the requirements of IWA- 4150:,

This repair/replacement of the Suoport with a better design is in response to identical support that failed in Unit 2R12 per DFWO 2788864 contains all the details.

10. Repair/Replacement Work Organization: Arizona Public Service 1i. Replacement Items Construction or reconciled Code/Edition: Sec. III NF Cl 2. 1974 Edition Winter 1975 Addenda

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

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

14. Pres ice Inspection Required:

• YES 0 NO Initial Date *'*}3)0 _ If required, include a step in the W.O. to perform Preservice Inspection

15. AS Section XI Pressure Test Required: 0l YES 0 NO 1I lniiADt 931 t, C if required, include a step in the W.O. for ISI & ANII Inspection.

Initial ,I Date 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the n ate aD .. comp o nent.

/nit'a/r . Date } ' 17. Include a step in the W.O. to record below all applicable numbers for repaired or Inita Lo Date replacement items.

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

ROD, THREADED, 21N 00090366 /.

2" WELDED BEAM 00090383 ATTACHMENT _________.____

18. Planner

• Printed Name: Glenn E. Moore 1 Signature Daue

19. 151 -1 106 Daue Printed Name: Ramakant Indap__ Log Entz -

Signature

20. ANIIT ' . -io-o(., Printed Name: Robert G. Hogstrom_

si6, Sign 1Date T3vr.l1RVR

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

-As Required by the Provisions of the ASME Code Section XM NMU- -'

1. Owner. Arizona Public Service Company, et. al. Date: 01/26/2006 P. 0. Box 53999. Phoenix" Arizona 85072-2034 Sheet: 1 of"

2. Plant:' Palo Verde Nuclear Generating Station Unit: .. --

.... . 5801 South Wintersburg Road., TonopaLh, Arizona 85354-7529 Work Order Number 2790468

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

4. Identification of System: SG - Steam Generating - ASME Section III Class 2 5.. (a) Applicable Construction Code ASME Section III NF. Class 2 1974 Edition, Winter 1975 Addenda, Code Case

"(b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition,. 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or No) ,

Pipe Support Pullman Power 3SG045H017 NA 3SG045H017 1979* Repaired YES

/i Pipe Support ITT Grinnell 3SG042H011 NA 3SG042H011 1982 Repaired YES

7. Description of Work: Repair Pipe Support 3-SG-04.5-H-017 and 3-SG-042-H-01 I per DFWO 2788864

8. Test Conducted: Hydrostatic 0 Pneumatic Nominal Operating Pressure El 1l Exempt 0 N-416-2 0 Other Pressure - psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 1 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbeied and the number of sheets is recorded at the to of this form.

N N

FORM NIS-2 (Back).

'*' 19. Remarks:275RR64 i'* -DFlWO Work Order 2790468. Repaired Pipe Supports 3-SG042-H-01 land 3-SG-045-H-017 per EDC# 2005-00282 flisnoqitinn.

DFW

.... 258864 D . Yisn .......

.'aV, Pre-Pressured Test WO Review - ISI .A/ l1>ý ANH 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 X.

Type Code Symbol Stamp N/A Certificate of 0rizat o. N/A Expiration Date: N/A Signed: ~* /

J  %~A4ci Date: .5'-2.-(04

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

to Z-,-oz4 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective, measures described in this Owner's Report in accordance-with the requirements 'fthe ASME Code,Section XI.

By signing this certificate, neither the Inspector not his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

Commissions: NB 9685 "N" "I"AZ264 National Board, State, Province, and Endorsements Inspectors Signature Date . -S-Z-Cwu -

U. -

PVZ6O8l.8.8)....ZZ .Ke PV216-08NI (8-88) 73DP-9ZZ] 7. Rcv

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

As Required by the Provisions of the ASME Code,Section II., Division I Pg. 1 of 2

1. Manufactured by Anvil international. Inc. - 16u i-rencntown Rd. No.Kingstown, R:2I 852 (nesn "ndaddressofNPT Ceftlifcate Holder)

2. Manufactured for Arizona Public Service Co. Palo Verde 5801 South Wintersburg Road Tonopah. AZ 85354

(,em, W address of Puactlar),,

3. Location of installa tion Arizonp#iiblic Service Co. Palo Verde 5801 South Wintersburg Road Tonopah, -AZ 85354 (name eW address)

4. Type: C.S.s. ORS 66 REV.9 2005 (deswibe) (Design Report or Load Capaity Data Sheet) (year builh) 5, ASME Code,Section III, Division 1: 1974 Winter 1975 2 N/A .

. -. - - "- (edition) (addenda date) (Wass) (Code Case no.)

6. Identification (a) (b) (c0) . (d) . (e)

Component Material Canadian Applicable National Support Speclifcation RegistratJon Drawings With Board I.D. No. No. No. Last Rev. & Date No.

.°

',(1) 2005- 51 SA36 N/A 066-10025/F 3/20/00 N/A (2) 2005- 52 SA36 N/A 066-100251F 3120/00 It N/A (3).

(4)J (5)

(6)

(7)

(9)

(10)

7. Remarks:

PO# 500289081 Rev.02 SOt# 41-70881

• Supplemental kdormation bI the form of fAts, sketches. or drawings may be used provided (1) size is B 1/2x11. (2)fIformationInl items I through 4 on tis Data Report is included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of atfom.

(Ns form (ED0075) may be obtained from the Order Dept. ASME, 22 Law Drive. Box 2300. FaIrfield. NJ 07007.2300.

FORM NF-1 (Back - Pg. 2 of.2 )

Component Support I.D. Nos. 2005-51 through 2005-52 I CERTIFICATE OF DESIGN Design Specification certified by H. R. Sonderegger P.E. State R.I. Reg. no 3537 Design Report certified by Frank J..8irch P.E. State RPI. Reg. no -4.149 CERTIFICATE OF COMPLIANCE We certify that-the stitements made In this report are correct and that these component supports conform to the rules for construction of the ASME Code,Section III, Division 1.

NPT Certificate of Authorization No. N-2802 Expires 9/29/2007 Date 2Ž f-01 Name Anvil International. Inc. Signed (NPT Cedificate Holder)

CERTIFICATE OF 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 Rhode Island and employed by H.S.B. C.T.

of / ,# Hartford. C.T. have inspected the component supports described In this Data Report on .$i'*.KI*9! r ., and state that to the best of my knowledge and belief, the Certificate Holder has constructed thlse component supports In accordance with the ASME Code.Section III, Division 1.

By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the zomponent supports described In this Data Report. Furthermore, neither the Inspector nor. his employer shall be liable inany manner for any pe'rsnal Injury or proetdamage or loss of any kind arising from or connected with this Inspection.

Date Signed Commissition)Nst .n a (Autitorized Inspection) (Nat1L 8d. ond. endorsements) and state or prov. and no.)

ASME SECTION XI - REPAIR / REPLACEMENT Page I of

1. Component ID 3MRCEX02 2.. Item

Description:

REACTOR COOLANT SYSTEM PRESSURIZER HEATERS

3. N-5 Data Package Number 3RCOI-2 p,. - 4. W.O. Number 2797822 -.

5. Original Construction Code Edition: 1071 Edition, Winter 1973 Addenda "

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

7. Work

Description:

Replace Defective Pressurizer Heaters, Perform Fillet Weld between Pr~ssurizer and the New Heater

8. ISI Flaw NDE Method of Flaw Detection:

---

.- " Report Number:

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

Electrical -Portionof theHeaters have failed, No Failure of'the ASME-Code Boundry.

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl I. 1971 Edition 1973 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III CI I. 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: 0 YES -Z NO Initial "/ Date 5'/*,b*4ý" If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: -YES 0 NO Initial 14- t` Date s,".- If requiied, include a step in the W.O. for ISI & ANHI Inspection.

_____Dt 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date C_1 I "5" component.

/,

Initial , Date ' , ep17.

Include a step in the W.O. to record below all applicable numbers for repaired or Inital JS1 ate51-I~ze replacement items.

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

50 KW Pressurizer Heater APN 00076277 MR 976866 A09 MR6976866 50KW Pressurizer Heiter APN 00076277 00 IV MR 976866 All A 50 KWPressurizer Heater APN 00076277 -/" A(4'/ MR 976866.

B02 'W 50 KW Pressurizer Heater APN 00076277 MR 976866 B05 S0 KW Pressurizer Heater APN 00076277

• i' 1 MR 976866 9786 B08V#/tM

18. Planner F.- --, '"/'/(4., Printed Name: Karl V, Savage

19. 1s1 S / 1.f0/,5 Printed Name: 416o... Akevbor.' LogEntrya Signatme Date

_2...... Printed Name:."r .L c' t sigrldure Date rViWasm ")

• ASME SECTION XI - REPAIR / REPLACEMENT Page 2- of

1. Component ID 3MRCEX02 2.. Item

Description:

REACTOR COOLANT SYSTEM PRESSURIZER HEATERS 3.N-5 Data Package Number: 3RCOI-2 - 4. W.O. Number: 2797822 -.

5. Original Construction Code Edition: .9 Edition. Winter 1973 Addenda

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

7. Work

Description:

Replace Defective Pressurizer Heaters. Perform Fillet Weld between Pressurizer and the NewHeater 8.0 ISI Flaw NDE Method of Flaw Detection:

.. .. Report Number:

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

Electrical Portion of the Heaters have failed, No Failure ofthe ASME.Code Boundry.

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. III CI 1. 1971 Edition 1973 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. HI CI 1. 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: 0 YES .* NO Initial P IA k-$ Date sT , /ZA-*" If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: 0l YES [ NO Initial 0/*.,.* Date '/u/z*4 If required, include a step in the W.O. for ISI & ANII Inspection.

Initial I*~ Date *i L//-*g" 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the i Dcomponent.

Initial L, Date SI,..:, S 17. Include a step in the W.O. to record below all applicable numbers for repaired or replacement items.

Item II) Part No. Serial No. Heat No. MR/PO/WO No.

50 KW Pressurizer Heater APN 00076277" MR 976866 50 KW Pressurizer Hater APN 00076277 MR 976866 B13 et AN 06 _ )Vsre

____/ /A/_____.

____ 976866 50 KW Pressurizer Heater APN 00076277 MR 976866 B14 __ __ _ 4 A___

_14 _ _ __

50 KW Pressurizer Heater' APN 00076277 Sl4 All M 766

18. Planner - Printed Name: Karl V. Savage si.,.. ki Dat

19. ISI 6.Z 5/11(05 PrintedName: Alt, $Zo . Log ,tryA.L Signatuae Date 20.. ANII Printed Name: IZ.6:. S, 'c-Sign Date

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

1. Owner Arizona Public Service Company, et. a]. - Date: 05/12/2005 P. 0. Box 53999, Phoenix Ari'zona 85072-2034 Sheet: 1 of

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

-5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2797822

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

4. Identification of System: Reactor Coolant - RC - ASME Section III, Class 1

5. (a) Applicable Construction Code ASME Section III NB, Class 1 1971 Edition, Winter 1973 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or NO)

Pressurizer Heater Framatome 023 N/A 3MRCEA09 2004 Replaced YES Pressurizer Heater GE 1603 N/A 3MRCEA09 1977 Replacement YES Pressurizer Heater Framatome 002 N/A 3MRCEAI 1 2004 Replaced YES Pressurizer Heater GE 1608 N/A 3MRCEA11 1977 Replacement YES Pressurizer Heater Framatome 004 N/A 3MRCEB02 2004 Replaced YES Pressurizer Heater GE 1639 N/A 3MRCEB02 1977 Replacement YES Pressurizer Heater Framatome 010 N/A 3MRCEB05 2004 Replaced YES Pressurizer Heater GE 1605 or 1607 N/A 3MRCEB05 1977 Replacement YES Pressurizer Heater Framatome 030 N/A 3MRCEB08 2004 Replaced YES

7. Description of Work: Replace 9 Failed/Failing Pressurizer Heaters

8. Test Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt 0 N-416-2 0l Other Pressure " psi Test Temperature OF

• NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 V2 X 11,i inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.'

i i i ."'

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

.. 7 U

1. Owner Arizona Public Service Company, et. al. Date: 05/12/2005 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: I of o

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

5801 South Wintersbure Road. Tononah..................

l-w 1 Arizona 85354 ,-7529 Work Order Number 2797822

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

4. Identification of System: Reactor Coolant - RC - ASME Section III. Class 1

i

5. (a) Applicable Construction Code ASME Section MINB, Class 1 1971 Edition, Winter 1973 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition. 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME' Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or NO)

Pressmizer Heater GE 1601 N/A ,3MRCEB08 1977 Replacement YES Pressurizer Heater Framatome 032 N/A !3MRCEB 11 2004 Replaced YES Pressurizer Heater GE 1628 N/A 3MRCEBI 1 1977 Replacement YES Pressurizer Heater Framatome 015 N/A 3MRCEB13 2004 Replaced YES Pressurizer Heater QE 1604 N/A 3MRCEBI3 1977 Replacement YES Pressurizer Heater Framatome 017 N/A 3MRCEB14 -2004 Replaced YES Pressurizer Heater GE 1629 N/A 3MRCEB14 1977 Replacement YES Pressurizer Heater Framktome 020 N/A 3MRCEB17 2004 Replaced YES Pressurizer Heater GE. 1605 or 1607 N/A 3MRCEB17. *1977. Replacement YES

7. Description of Woric Replace 9 Failed/Failing Pressurizer Heaters

8. Test Conducted: Hydrostatic Q Pneumatic IJ Nominal Operating Pressure [ Exempt 0 N-416-2 0 OtherPressure_ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 2 X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

N N'

FORM NIS-2 (Back)

9. Remarks: Work Order 2797822. Replaced 9Failed/Failing Pressurizer Heaters.

Pre-Pressured Test WO Review ISI / _____

AN__

Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: or Date: '

Owner or e*mer's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of 6-it-os to e.- t and state that to the best of my knowledge and belief, the Owner has performed examinations -and taken corrective measures described in this Owner's Report in accordance with the requirements of tA ASME Code,Section X).

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

_ _ _ _ _ _ _Commissions: NB 9685 "N" "I"AZ264 National Board, State, Province. and Endorsements

"(Inspe ors Signature Date:

'V216-08N1 (8-38). 73DP-9ZZ17 Rev 9

ASME SECTION XI- REPAIR I REPLACEMENT Page t of

1. Component ID 3PCHNV363-2.. Item

Description:

Borg Warner 3" Gate Valve, model 77650-3&4

3. N-5 Data Package Number: .107-14. W.O. Number: 2797958

5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda

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

7. Work

Description:

Replace valve bonnet gasket and reolace the SA540 Gr B-23 studs with SA564 Gr 630 material.

8. 0l ISI Flaw NDE Method of Flaw Detection:

............. , Report Number:

9. -Evauation of the suitability of this work as per the requirements of IWA - 4150:

Notiafailure in the ASME Im oressure boundary. The bonnet studs are beina replaced to enhance boric acid corrosion resistance. The nuts are also being Trplaced to reduce contamination & radiological dose.

10. RepairlReplacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addehda

12. Repair/Replacement Activity Construction Code/Edition: Sec. I.I Cl 2, 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: " C YES . NO Initial Date ' -," If required, include a step in the W.O. to perform Preservice Inspection .,

15. ASME Section XI Pressure Test Required: -] &. _ Q ,

Initial e ,l. Date j , If required, include a step c in the W.O. for ISI & ANHI Inspection. S,.

16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date 5component.

17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial -Date -' Z , replacement items.

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

bonnet studs APN 43115009 n/a 4 ? MR 980239 bonnet nuts U 0A, APN 43126009 n/a HLk"

(-:w MR 979836" I3DtEr A. IA. 9ML(_W~t _________ A _________

18. PlanerD. Printed Name: David Goodlet*.

I fjIC4*6 ýPrinted Name: .i.DAP TogEntry L -

Signatre 1*

Date

20. ANTI ',4t. . S-LoS Printed Name: U.. ýoe-r*, o i iF-li.xt iA si. .Ire Date

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI I. Owner: Arizona Public Service Company. et. al. Date: 05/20/2005 P. 0. Box 53999, Phoenix ArilZna 85072-2034 Sheet: 1 of 2...

2. Plant: Palo Verde Nuclear Generating Station Unit: 2 con ,.,+.ix:...... .3.. r.. Li A . OCA 'C'OA Work Order Number 2797958

• Jou1

" .JUI V 11Llb

.- 1U1LXLU.4 A onoIIJ4I. zona8,5UU4 0J117

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

4. Identification of System: CH: Chemical and Volumn Control System

5. (a) Applicable Construction Code ASME Section IIl NC, Class 2 1974 Edition, Winter 1975 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yts or No) bonnet studs n/a n/a n/a 3PCHNV363 2005 Replacement NO bonnet nuts n/a n/a n/a 3PCHNV363 2005 Replacement NO

7. Description of Work: Disassemble valve for leaking bonnet gasket. Replace bonnet studs & nuts.

.8. Test Conducted: Hydrostatic El Pneumatic E Nominal Operating Pressure El Exempt 0 N-416-2 El Other Pressure - psi Test Temperature

• It NOTE: Supplemental sheets in form of lists, sketches, or drawings maybe used provided (1) size is 8 1/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to.of this form.

9. W#

emrks29758 FOrRvlv 3C- NV33elcdteSA50O -2 3 std(wtBack)r 3 mtrilt enhanse corrosion ability. Also replaced bonnet nuts with like for like to contain contamination.

• iI9. Remarks: WO# 2797958 .forvalve 3PCHNV363. Replaced the SAJ40 Gr B-23 studs withLSA564 Or. 630 material'to I,** .Iv, Pre-Pressured Test WO Review - ISI 9/A ANIT MI/A Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp N/A Eprto ae Certificate of Aigth No. N/A Expiration Date: NIA

• Date: / f' Sio(Alllklfle1J wo*..vw.

'V. V~ OG -FrUw-nees Designee, 'ride 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 Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of s- ,t-os to S-.L-os . and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI. L By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

Commissions: N-B 9685 '.N" "1"AZ264 National Board, State, Provice, and Endorsements

.l cton Signature Tha1tp.

iJur-YLLII 1.CV Y PV216.08N1(S-SS)

FV216-08NI(8-88) ijurF-y4.IJI x%*v Y

ASME SECTION XI - REPAIR REPLACEMENT Page 0i of 1

1. Component ID 3PCHNV8 18.

2.. Item

Description:

i-1/2" Borg Warner 1586# Y Tye Manual Globe Valve

3. N-5 Data Package Number 3CH14-3. - 4. W.O. Number: 2799480

5. Original Construction Code Editionw. 1974 Edition. Winter 1975 Addenda

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

7. Work

Description:

• Disassemble valve to correct seat leakage. Body to bonnet seal weld'will need to be removed and later replaced.

8.1] 1SIFlaw- .. NDE Method of Flaw Detection:

Report Number:.

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

Not a failure of the ASME pressure boundary. Seal weld is required to be removed to allow for valve disassembly.

.10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. M] CI 2, 1974 Edition 1975 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. II Cl 2, 1974 Edition 1975 Winter Addenda

13. ASME Section XI Code/Edition: 1992 Editionand 1992 Addenda

14. Preservice Inspection Required: . 3YES Z NO Initial .... . Date . If required, include a step in the W.O. to perform Preservice Inspection i"4-?*,

15. ASME Section XI Pressure Test Required: 0 YES 0 NO Initial , Date J/-*71 " If required, include a step in the W.O. for ISI & ANH Inspection.

Initfial

,.M ... ;2L Date //.97-5 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component,.*

17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial _ '_ Date ,*.j replacement items.

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

l-I2" Borg Warner Valve N/A 67166 N/A --N/A Body/Bonnet Seal:Weld N/A N/A N/A N/A 18..Planner _________________ _____Name: David Goodlet

" - Signa

..- e Date

19. ISI e2Agt2 1 4ý i/?10 Printed Name: 4" t4 $tPO#,UA/ Tog Entryýý.

i siiatn Date

20. ANI .. ..

Daft Printed Name:  :

iM1ll* i8 m"-ll S.'.

FORM NIS-2 OWNER'S REPORT FOR REPAIRS ORREPLACEMENTS As Required by the Provisions of the ASME Code Section XI P

1. Owner Arizona Public Service Compiny, et. al. Date: -. 1127/2005 P. O. Box 53999, Phoenix,-izona 85072-2034 Sheet: 1 of "

2.'Plant: Palo Verde Nuclear Generatine Station Unit: 3_-,

...... 5801.South Wintersburg Road., Tonopah, Arizona 853.54-7529 Work Order Number 2799480

3. Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Pxnirntinn T)*tA ?'q7A .;..

4. Identification of System: CH: Chemical & Volumn Control System

5. (a) Applicable Construction Code ASME Section M NC, Class 2 1974 Edition, Winter 1975 Addenda, Code Case (b) Applicable Edition of Section XM Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National ..:'Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. . Stamped (Yes or No)

Valve Borg Warner 67166 N/A 3PCHNV818 1981 Repaired YES Seal

/ Weld N/A N/A . N/A 3PCHNV8 18 2006 Replacement 'NO

7. Description of Work: Disassembled valve to rework to correct seat leakage. Removed & replaced seal weld.

8. Test Conducted: Hydrostatic 0 Pneumatic E0 Nominal Operating Pressure E] Exempt ED N-416-2 0 Other Pressure !Lt psi Test Temperature " F

• NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2s X 11 inches, (2) information in items 1 dthu 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

FORM NIS-2 (B ck) 9

,9. Remarks: Per wo# 2799480 on valve 3PHNV18 the body to bonnet seal weld will ne.ed to be removed to disassemble the valve to correet seat leakaee. Following rework the seal weld will be kgplaced.

S.2 Pre-Pressured Test WO Review - ISI ,

/

4 ý--,0ý -

ANII .P .

Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the

'ASME Code, Section XL Type Code Symbol Stamp N/A f

Certificate of Authorization No. N/A Expiration Date: N/A Signed: -$ F- ,wv,,v-. Date: .1

.Ownror Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION

/

I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of it-ac-os to At-Q-oC., , and state that to the best of my knowledge and belief, the Owner has performed examinations. and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

Commissions: NB 9685 "NI"I" AZ264 Natkioal Board, Stae Province, and Endorsements lnpcmSipat Date: "t-%'i - oc.

I-PV216-08NI (8-38) . .73DP-gTZ17 Rev 9

ASME SECTION XI - REPAIR I REPLACEMENT

1. Component ID 3ýRCEPSVo200 2.. Item

Description:

Pressurizer Safety Relief Valve

3. N-5 Data Package Number: 3RC03-3" 4. W.O. Number:. 2805436

5. Original Construction Code Edition: 1974 Edition. Summer 1975 Addenda

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

7. Work

Description:

Replace the Pressurizer safety relief valve with a reconditioned snare.,

8. 5 ISI Flaw NDE Method of Flaw Detection:

Report Number:

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

No failure of ASMF. ml nressure hotundrv. Valve is haini rotated to sunnort vendor testing..

Replacement valve is SN BS-08614.

I/

10. Repair/Replacement Work Organization: . Arizona Public Service 11 Replacement Items Construction or reconciled Code/Edition: Sec.M CI 1. 1974 Edition 1975 Summer Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. M Cl 1. 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: . YES 0 NO Initiarjj t... Date 3 If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Sec ion XI Pressure Test Required: 0 YES 0 NO Initial Date 3A* 3//o4 If required, include a step in the W.O. for ISI & ANDI Inspection.

Initial Initial Date Date

-A3 I 6 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

A D( 17. Include a step in the W.O. to record below all applicable numbers for repaired or replacement items.

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

3JRCEPSVO200. N/A BS-08614 N/A N/A "18. Plannerr

, O-' Printed Name: Barbara Vidal SignaturevDt

19. .*= t* /SIDateIfc4/ Printed Namejt* -Zýi'i Log Entry~ee-

20. ANi " ,inPtedName:

-I a ~Date PVn64H 041 73DIP.41*Z7 ffl'I

I..As r..

FORM NIS-2 OWNER'S REPORT FOR REPAIRs OR REPLACEMENTS Required by the Provisions of.the.ASME Code Seiction XI 1

Owner: Arizona Public Service Company, et..al. Date: 03/16t2006 P. 0. Box 53999, Phoenix Arizbna 85072-2034 Sheet: of 2.

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

• 5801 South Wintersburg Road:., Tonopah, Arizona 85354-7529 Work Order Number 2805436

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

4. Identification of System: RC

5. (a) Applicable Construction Code ASME Section III NB, Class 1 197.4 Edition, Summer 1975 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda.'

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National' Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or

, __No)

PSV Dresser BS-08614 N/A 3JRCEPSVO200 1981 Replacement YES PSV/ Dresser BY-14537 N/A 3JRCEPSVO200 1991 Replaced YES

7. Description of Work: Valve being replaced as part of routine maintenance.

• 8.Test Cdnducted: Hydrostatic - Pneumatic 5 Nominal Operating Pressure 0 Exempt 0 N-416-2 0l Other Pressure

• psi Test Temperature ,..;'" 'F

-NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1A X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered

.and the number of sheets is recorded at the to of this form.

FORM NIS-2 (Back)

% Remarks: WO# 2805436. Valve being replaced as part of routine maintenance. SN BS-08614 Pre-Pressured Test WO Review - Isi___

AN I ' .

Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authori n No. NIA Expiration Date: N/A Signed: It" X4 -- _ Date:

Owner or Owner's.Designee. Title CERTIFICATE OF INSERVICE INSPECTION

/

// ,

I, the undersigned, holding a valid commission issued by the National'Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and empldyed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of -

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

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

"'*"* *'*,-Commissions: NBl 9685 "N" 'I" AZ264 National Board, State, Province, and Endorsements Iupectors Signature Date: -

1-1....216-08NI (8-88) 73DP-9ZZ17 Rev.9

ASMIE SECTION XI - REPAIR I REPLACEMENT Page I of-L. Component ID 3JRCEPSV!0201 2.. Item

Description:

Pressurizer Safety' Relief Vaiv..

3. N-5 Data Package Number: 3RC03-3 -" 4. W.O. Number 2805437

5. Original Construction Code Edition:' 1974 Edition, Summer 1975 Addenda

6. Original Installation Code Edition: 1974 Edition; Winter 1975 Addenda

7. Work

Description:

Replace the Pressurizer safety relief valve with a reconditioned spare.

8.0 ISI Flaw NDE Method of Flaw Detection:

-- - Report Number

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

No failure of ASME ITT pressure boundry. Valve is being rotated to suvPort vendor testing.

Replacement valve is SN BS-08565.

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec.m Cl 1. 1974 Edition 1975 Sumner Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. M Q 1. 1974 Edition 1975 Winter Addenda

13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda'

14. Preservice Ipspection Required: 0 YES 0 NO Initial .- Date

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

15. ASME Section XI Pressure Test Required: YES 0 NO Initial Date If required, include a step in the W.O. for ISI & ANTI Inspection.

Inxt/al 16.. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial.,.-/ Date / i component.

/ ..

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

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

3JRCEPSVO201 N/A BS-08565 N/A N/A 6

18. Planner**1"--*/'/A3/OL Printed Name: Barbara Vidal Sipatue Date

19. ISI__ _ _ _ _ _ _ _ _ Printed Name: 4 L>APIog Entry-Et

• e. Prin ted N ame : ~ I & r~ i 1

~

2 A0N. TI I _:3-2:c Sip j Dole

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

1. Owner Arizona Public Service Company. et. a]. Date: 03/16/2006 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: I of 2

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

-. --5801-South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2805437

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

]V t~rttnn nnfp M*/A

4. Identification of System: R-

/

5. (a) Applicable Construction Code ASME Section III NB, Class 1 1974 Edition, Summer 1975 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or No)

PSVY Dresser BS-08565 N/A 3JRCEPSVO201 1978 Replacement YES

/

PSV Dresser BQ-07679 N/A 3JRCEPSVO201 1978 Replaced YES

7. Description of Work: Valve being replaced as part of routine maintenance.

8. Test Conducted: Hydrostatic 0 Pneumatic E35. Nominal Operating Pressure 0 Exempt 0 N-416-2 - Other Pressure I. psi Test Temperature -30r OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 Y2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

q I U I

-- '-U FORM NIS-2 (Back)

Remarks: WO# 2805437. Valve being epMlaced as part of routine maintenance. SN BS-08565 I

'zctf-S&.5~

,.*I;

.41 e 11 Pre-Pressured Test WO Review - ISI A10I Certificateof Coeopliance" We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code', Section MI.

Type Code Symbol Stamp N/A /

Certificate of Authorizatin No. N/A -Expiration Date: N/A Signed: do 7C Owner or Owner's Designee, Tile Date: C/

,, /,

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

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

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

,,7 *Commissions: NB 9685 "N" 'T' AZ264 Natioaal Board, State, Province, and Endocsements

-- Pecto Signature Date:

73DP-9~17 KeY ~J PY'216-0ONI (S.SS)

Py216-08N1 (8-88) 73DP-9=217..Rev

I ASME SECTION XI- REPAIR / REPLACEMENT Page  !* of X

1. Component ID 3MRCEPSV0202 S-.vn.-.T 2.. Item

Description:

Pressurizer Safety Relief Valve

3. N-5 Data Package Number: 3 .Q- " - . 4. W.O. Number:. 2805438

5. Original Construction Code Editiofi? 1974 Edition. Summer 1975 Addenda

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

7. Work

Description:

Replace the Pressurizer safety relief valve with a reconditioned spare.

8. [3.ISI Flaw NDE Method of Flaw Detection:

-......... .. Report Number.

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

No failure of ASME mHpressure boundry. Valve is being rotated to stivport vendor testing.

Replacement valve is SN BS-08616.

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec.HM CI I. 1974 Edition 1975 Summer ýddenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. M CI I. 1974 Edition 1975 Winter Addenda

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

14. Preservice nspectionRequired:. El YES 0 NO Initial _ ___Date .* 3]/O " If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test.Required: 0 YES 0 NO

'!imtia'l* Date 3 o-If

1Z..... required, include a step in the W.O. for ISI&ANIIInspetion.

.*-, L 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial .,,"._ Date -/4 k component.

/ " " *17. Include a step in the W.O.'to record below all applicable numbers for repaired or Initial Date replacement items.

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

3JRCEPSV0202 N/A BS-08616 N/A N/A "18. Planner* L * - 3/0*X.*-3*/. 0 6 Printed Name: Barbara Vidal

19. 1ST 3/A49 Printed Name: E:2A

~W~ I. g Entr-TA Y SigIM u Dam

20. ANTI , si-" - .D Printed Name: " ..o . .

szpialt Dame Mwam-p-I 141 . 7xx"=1 -

N

FORM NIS-2 OWNER'S REPORT FOR REPAIRS ORREPLACEMENTS As Required by the Provisions of the ASME Code Section XI

":'*?.!..'.

1. Owner: Arizona Public Service Company, et. a].. Date: .03/6/2006 P. 0. Box 53999, Phoenix'Arizona 85072-2034 Sheet: 1 of°2.*

2: Plant: Palo Verde Nuclear Generating Station Unit: "

....-- 5801-South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2805438

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

4. Identification of System: RC

/

5. (a) Applicable Construction Code ASME Section ImI NB, Class I 1974 Edition, Summer 1975 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired. or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or NO)

PSV Dresser BS-08616 N/A 3JRCEPSVO202 1981 Replacement YES PSV Dresser BQ-07678 N/A 3JRCEPSVO202 1978 Replaced YES Valve heln' renlaced as nart of routine maintenance.

7. Description of Work-Valve beino, renlaced as nart of routine maintenance

8. Test Conducted: Hydrostatic 5 Pneumatic C Nominal Operating Pressure 03 Exempt EJ

.N-416-2 5] Other Pressure ?'.... psi Test Temperature "10-r OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 %X 11

(.j* inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

FORM NIS-2 (Back)

9. Remarks: WO# 2805438. Valve being replaced as part of routine maintenance. SN BS-08616 1016 Pre-Pressured Test WO Review - ISI

.ANHUA-Certificati of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Autho zation No. N/A Expiration Date: N/A Si gned. V PJLV

ýM 7jd11 .

I Date: r//( -

'Owner or Owner's Designee, Tide

,/

CERTIFICATE OF INSERVICE INSPECTION

/

I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of 1__-2__k_-__'_-

to S-80 -0 , and state that to the best of my knowledge and belief, the Owner has performed examinations. and taken corrective measures -described in this Owner's Report in accordanceeýwith the requirements 6f the ASME Code,Section XI -

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

*,L /I.

",<,< 4 y-*a,, Commissions: NB 9685 "N" 'I" AZ264 National Board, State, Province, and Endorsements IriJkor Signature Date:.

'I- U-A m . . *

• ..

• 73DP-9ZZIJ i~eV Y PV216-OSNI(S-88)

PV216MNI (8-88) 73DP.7JI7te

ASME SECTION XI - REPAIR /REPLACEMENT

~Page 1 of..

1. Component ID 3JRCEPSVO203 2.. Item

Description:

Pressurizer Safety Relief Valve

3. N-5 Data Package Number: 3RC03-3 - 4. W.O. Number. 2805439

5. Original Construction Code Edition 11974 Edition, Summer 1975 Addenda

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

7. Work

Description:

Replace the Pressurizer safety relief valve with a reconditioned spare.

8. 0l ISI Flaw NDE Method of Flaw Detection:

... .... Report Number.

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

No failure of ASME mI pressure boundry. Valve is beihg rotated to-supnort vendor testing.

Replacement valve is SN B5-08567,.

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec.III Cl 1. 1974 Edition 1975 Summer Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 1. 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: YES 0 NO iinitial '~ Date 1 If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Secti n XI Pressure Test Required: 0 YES C NO Initial, . Date If required, include a step in the W.O. for ISI & ANII Inspection.

Iniial t/ //Dat O L__ net. a step in the W.O. to complete NIS-2 Form prior to releasing the

. c16. Include Initi DateJ

17. Include a step in the W.O. to record below all applicable numbers for repaired or Initiai..wx, .......... DateI . replacement items.

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

3JRCEPSVO203 N/A BS-08567 N/A NI/A

18. P3lanner []Io.

L P-inted Name: Barbara Vidal

""Sigaturm lDe

19. ISI 3 (t'1' Printed Name: ..

Entryx.

51pawe VDate

20. ANTII  ;ýý " Printed Name:-  ?

Sip4 Daft JMwz"Mzol-

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

1. Owner: Arizona Public Service Company, et. al. Date: 03/16/2006 P. 0. Box 53999, Phoenix'Arizona 85072-2034 Sheet: I of '2

2. Plait: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2805439

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

4. Identification of System: RC

5. (a) Applicable Construction Code ASME Section III NB. Class 1 1974 Edition, Summer 1975 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or

':_ _No)

PSV/ Dresser BS-08567 N/A 3JRCEPSVO203 1978 Replacement -YES PS'V Dresser BY-14538 N/A 3JRCEPSVO203 1991 Replaced. YES

7. Description of Work: Valve being replaced as part of routine maintenance.

8. Test Conducted:' Hydrostatic E] Pneumatic 5 Nominal Operating Pressure Exempt E]

N-416-2 5 Other Pressure "*20%0 psi Test Temperature OF

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

[ .'inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

N

I

,9. Remarks: WO# 2805439. Valve being replaced FORM NI.S-2 (Back) part of routine maintenance. SN BS-08567 tscrr C S4.F

.1 Pre-Pressured Test WO Review - ISI ANII 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 XY Tvne

......JIV Code Symbol

-- d 7 .........

Stanin J7 N/A Certificate of Autho ation No. N/A ExpiratioriDate: NIA Signed: aIG Date:

V * "Owner or Owners Designee, Tidle I

U 7./ CERTIFICATE OF INSERVICE INSPECTION

/

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

to , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance--with the requirements o6fthe ASME Code,Section XI By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examiinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

Commissions: NB 9685 "N" "I" AZ264 National Board. State, Province, and Endonrsnets Ltors Signatre Date:

I. -

PV."

.1i6-08N1 (8.S8) 73DP79ZZ17 Rev 9

ASME SECTION XI- REPAIR I REPLACEMENT Page of.

U I 1. Component ID 3MDGBE04 2. Code Class ASME Sect on III Llass 3

• 1 3. Item

Description:

LUBE OIL COOLER

4. N-5 Data Package Number: 3D-G2-1 - - 5. W.O. Number: 2805530 6.. Original Construction Code Edition:" 1974 Edition. Summer 1976 Addenda

7. Original Installation Code Edition: 1974 Edition, S*v'1975 Addenda 8: Work

Description:

REPAIR BASE METAL WITH WELD BUILD UP

9. EJ ISI Flaw NDE Method of Flaw Detection:

......... .. _ Report Number:

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

Routine repair of the base metal due to small defects in ihe coating

11. Repair/Replacement Work Organization: Arizona Public Service

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

13. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 3, 1974 Edition 1975 Winter Addenda

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

15. PreserviceIsPection Required: Y-r-ýRYES XNO Initial / '1 Date . 1" " If required, include a step in the W.O. to perform Preservice Inspection

16. ASME Section XI Pressure Test Required: [ YES Q NO Initial)W!<'ý" Date " If required, include a step in the W.O. for IS & ANII Inspection.

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

Initia Date -"7' " 18. Include a step in the W.O. to record below all applicable numbers for repaired or IDita replacement items.

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

3MDGBE04 reversing spool 4-321-19815-008 9-20016-02-6

• WO 2805530 I

Printed Name: Martin J. Sullivan Printed Name: . F Xý"47)A *L

'21. ANIL Printed Name: .

si&= Date S -V4*MJV6.7

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

1. Owner: Arizona Public Service Come/any, et. al. Date: 04/07/2006 P. O. Box 53999. Phoenix Arzona 85072-2034 Sheet: _1of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2805530

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

4. Identification of System: 3MDGBE64

/

5. (a) Applicable Construction Code ASME Section lIf ND, Class 3 1974 Edition, Summer 1976 Addenda, N.A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name-of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or

______NO)

DG,"B"Lube oil American 9-20016-02-6 35424 3MDGBE04 1980 Repaired YES co&*'er Standard

7. Description of Work. Weld build up of base metal on the reversing channel spool..

S. Test Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Exempt 0)

- N-416-2 0 OtherPressure 2.. psi Test Temperature G.(. TF NOTE: Supplemental sheets in form0f lists, sketches, or drawings may be used provided (1) size is 8 V*X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

U

jFORM NiS-2 (Back)

':9. Remarks: Weld build up of base metal on the reversine channel spool.. W.O. 2805530

• V.

.4 11 Pre-Pressured Test WO Review - ISI A/I ANII Certificate .of Compliance We certify that the statements made in the report are correct and this repair conforms to the rules of ihe ASME tode,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: 'Date: -04 Owner or Owner's Designee, Title U

I

/

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

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

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

>L A Commissions: NTB 9685 "N" "I"AZ264 Natioal Board. State, Province, and Endorsements

• Z' I nspetors Signature ii Date:-- ri-CC.

U.-

1*PVI 6-S..(..).....Z1 Rv

. 'FV216-NNI(S-88) 73DP-9ZZ17 Rey 9

ASME SECTION XI- REPAIR I REPLACEMENT Page 1 of _3 I. Component ID 3.SGEPSVO557 2.. Item

Description:

Main Steam Safety Valve: Dresser 6" 3707RAX-RT-25: 1315 psig

3. N-5 Data Package Number: 3SG02-2 - 4. W.O. Number: 2805544

5. Original Construction Code Edition:. '4 .Edition.-*Summer1975 Addenda-,

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

7. Work

Description:

Replacement of main steam safety valve with a reconditioned and tested spare.

8.0 ISI Flaw NDE Method of Flaw Detection:

.. ......... Report Number:

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

Not a failure in the ASME III pressure boundary. Spare valve is a like-for-like replacement and is being replaced based upon trevitesting.

10. Repair/Replacement Work Organization: Arizona Public Service 1i. Replacement Items Construction or reconciled Code/Edition:. Sec. II Cl 2_.1974 Edition Summer 1975 A/ddenda

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

13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda 14.. Preservice Inspection Required:. YES 0 NO Initial..O*. Date 74Y

- 4*- If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: 0 YES 0 NO Initial A/wgý Date ,/.. 0

1. . If required, include a step in the W.O. for ISI & ANI Inspection.

Initial r-;

Inital Date -,'-'16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the atecomponent.

/ ...

Initial __A 6_"Date -. -f replacement

17. Include aitems.

step in the W.O. to record below all applicable numbers for repaired or Item ID Part No. Serial No. Heat No. MR/PO/WO No.

3JSGEPSVO557 APN 45003638 BS-08635 N/A MR 1075680

18. Planner ~*-f,-.

• Printed Nime:

S.* David Goodlet Sinature Daee 10 TOT Printed Name: P Tog9F"J' Signatur DMW I.'-

.20. AN Printed Name: rV sip& Da=

?V21~69M P4W) 73vp.WJ7 -,

ASME SECTION XI.- REPAIR/ REPLACEMENT

1. Component ID 3JSGEPSVO576 "age* "o" 2.. Item

Description:

Main Steam Safety Valve: Dresser 6" 3707RAX-RT-25: 1315 Dsig

3. N-5 Data Package Number: 3SGO1-2 4. W.O. Number: 2805544

5. Original Construction Code Edition:' 21974 Edition, Summer 1975 Addenda

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

7. Work

Description:

Replacement of main steam safety valve with a reconditioned and tesied spare.

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

. *.....Report Number:

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

Not a failure in the ASME III pressure boundary. Spare'valve is a like-for-like replacement and is being replaced based upon trevitesting.

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. lI CI 2,1974 Edition Summer 1975 Addenda

12. Repair/Replacement Activity Construction Code/Edition: See. III Cl 2, 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: 0 YES 0 NO Initial " Date 5 ' b If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: 0D YES E] NO Initial , Date 3 x-r-, If requiied, include a step in the W.O. for ISI & ANJI Inspection.

16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial ,L . Date .1-.JY-L0 component.

//'I

/ , £.. ( 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial ) Date -):$I-replacement items.

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

3JSGEPSVO576 APN 45003638 BS-08581 N/A MR 1075681

18. Planner . Printed Name: David Goodlet

-ignaturc Date

19. ISI Printed Name:g

.Sigature Date 20:. ANII ""'* i£ 1 4

' .s-_o Printed Name: &.. '(,CC'r,.,F sign4ý Date

ASME SECTION XI- REPAIR / REPLACEMENT Pae 3 of

1. Component iD 3JSGEPSVO692

-..*. j.

• 2.. Item

Description:

Main Steam Safet Valve: Dresser 6" 3707RAX-RT-25: 1315 psig

3. N-5 Data Package Number: 3SGOI-2 4. W.O. Number: 2805544

5. Original Construction Code Edition:.'*if74 Edition, Summer 1975 Addenda

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

7. Work

Description:

Replacement of main steam safety valve with a reconditioned and tested spare.

8. 0] ISI Flaw NDE Method of Flaw Detection:'

......... - -Report Number:

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

Not a failure in the ASME M1pressure boundary. Spare valve is a like-for-like replacement and is being replaced based upon trevitesting.

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. In Cl 2. 1974 Edition Summer 1975 Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. IM CI 2, 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: 0 YES 0 NO Initial / Date .T-JYr If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: 0 YES ' NO Initial " Date $ If required, include a step in the W.O. for ISI & ANLI Inspection.

16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the initial Date component.

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

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

3JSGEPSVO692 APN 45003638 BS-08587 N/A MR 1075678 SGE*.-%

[

18. Planner Printed Name: David Goodlet Signture=. Date I 19. 1ST

-- SiaU 131//9-11046 1ate Printed Name: "P " AP Log EntryWg I 20. AN I.e Si.

il twre Date - -.- Printed Name: Z.&. Lc-lsl,0

?V21640m "4) 7TDPra1 Rff9 N

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

1. Owner: Arizona Public Serice Company, et. al. Date: 3V13/2006 F.-

P. 0. Box 53999, Phoenix Arzona 85072-2034 Sheet: .1. of 2

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

.. .5801South Wintersbure Road., Tonopah, Arizona 85354-7529 Work Order Number 2805544

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

4. Identification of System: SG: Main Steam System

/

5. (a) Applicable Construction Code ASME Section mI NC, Class 2 1974 Edition, Summer 1975 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or No)

Safety Valve Dresser BS-08635 N/A 3JSGEPSVO557 1981 Replacement YES Safety Valve Dresser BS-08581 N/A 3JSGEPSVO576 1978 Replacement YES Safety Valve Dresser BS-08587 N/A 3NSGEPSV0692 1978 Replacement YES

7. Description of Work: Replace thiee main steam safety valves with a reconditioned & tested spare.

8. Test Conducted: Hydrostatic .] Pneumatic 0 Nominal Operating Pressure 0 Exempt 0 N-416-2 0 Other Pressure .,Lbja psi Test Temperature ,40T OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 ;1 X 11 1

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

IF E7 OM NIS-2 .(Back) .*

,6*. 9. Remarks: WO# .805544 will be used to replace Main Steam Safety Valve 3JSGEPSV0557. 576 & 692 during 3R12.

I ".2 ° ,,

Nre-Pressured Test WO Review - ISI P7IN INMJr " lP A-

"p , 1 gb.*tjop

• 1-1.q*

5 ANTI ~ ~

Certificateof Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section X.

Type Code Symbol Stamp N/A Certificate of Authorization No. .N/A Expiration Date: N/A Siomed /5, -T97 ASVe-11VrA-E Date: 5E4-/0a161 I

/ Owner or Own*r's Designee, TiMe

... i f"

L CERTIFICATE OF INSERVICE INSPECTION

/x /

/

I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of S-aS-c.*

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

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

v~ 4- .Ispectors Signature Commissions: NB 9685 "N" "I" AZ264 .'

Natioal Board, State, Province, and Endorsements Date:. -'-O -Or,.,

I -

73DP-9ZZ17 KeY ~'

PV216-OBNI (8.88)

PV216-08N1 (8-88) 73DP-9ZZI7 Ry.

ASME SECTION XI - REPAIR REPLACEMENT Page I of "

M-I IIIII -

1. Component ID k" 2.. item

Description:

Reactor Coolant System Presurzer ,

3. N-5 Data Package Number: 3RCO1-jf 4. W.O. Number. 2 ,, -ZN

5. Original Construction Code Editioti: 1971 Edition. Winter 1973 Addenda

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

7. Work

Description:

Remove the remainine Framatone Pressurizer Heaters (27) and install the original heaters removed by 2614246 durinr U3R I if inspected and verified cce&ptable or use replacement heaters from Korea.

Perform fillet weld between the Heater and bressurizer sleeve.

8. 0 ISI Flaw NDE Method of Flaw Detection:

Report Number:

9. Evaluation of the suitability of this work as per the equimme of IWA - 4150:

Mectrical nortion of the heaters have failed or re susnect. Not a failure at the ASME code vressre boundar,

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. MI Cl 1.1971 Edition 1973 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: "Sec III CI 1. 1974 EFdition 1975 Winter Addenda

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

14. Preservice Inspection Required: Q YES 0 NO Initial , -Va Date 4 -0., If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section Xl Pressure Test Required: 0 YES 0 NO Inifial .ate d-5"-2>. If required, include a step in the W.O. for ISI & ANII Inspection.

Date '16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the

/hiz~i ______ -- componrwirt.

17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial b'W Date -' - replacement items.

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

Pr Htr 3YMCEA0o *_/_ N/A ..... _

Prir t3MRCEAO2 A/116Z~'-17 A .7- q..L/W Pr Htr 3MCEAo3 N/A NZ ¢? -,

Pr Htr 3MRCEAo4 NI/A .

Pzr Htr 3MRCEA05 PzrHtr 3MRCEA06 9lX"7 17-l*24)"Z N/A N/A "' 7../

Pr Htr 3MRCEA07 " . r7 a -7 a Z N/A 77177Z7/

Pr Htr 3MRCEAo8 _NA N/A J

18. Planner'- L*,-44

$11alMn

,6-y- AF,* Printed Name: vid Goodle DMW

19. 151, 4Z .A0A -V~ 0A Printed Name: ._Ramakant Indap-.Log Entry -

.Slpardrt I20. AAI , -

SIgatura J

,4rxAPov m DWt Printed Narne: Robert Horstrom

• ASME SECTION XI - REPAIR I REPLACEMENT Page 2 of: 2 Component Continuation: Work Order Number:. 2806586 Item ID Part No. Serial No. Heat No. MR/PO/WO No.

PZR HTR 3MRCEA10 N/A . - 17 13'N/A A3 V' N7/ -/

PZR HTR 3MRCEA12 PZR HTR 3MRCEAI4 NIA,* ./

PZR HTR 3MRCEA15 ____:__N/A PZR HTR 3MRCEA16 "q.? 7e N/'-6'1 NA 9'1%7-7,L-/

PZR HTR 3MRCEA17 dr'.? 7 N/A N/A.

PZR HTR 3MRCEA1 8 _______ ____ _

PZ HTR 3MRCEB01 7 " .0W7O, eL2d sr N/A _________

PZR HTR 3MRCEB03 _ _ __N/A q/.2 7V", 1030 N/A 7'?r/

PZR HTR 3MRCEB04 PZR HTR 3MRCEB06 N/A ,

PZR HTR 3MRCEB07 N/A PZR HTR 3MRCEB09 _ __ _ N/A PZR HTR 3MRCEB 10 /.s 7VyO AI.-_ 9 N/A 967 PZR HTR 3MRCEB 12 _ _ _ _ N/A PZR HTR 3MRCEB15 qa z O- N/A iS-/s.

PZRHTR 3MRCEB 16 N/A FZR ITER 3MRCEB 18 17 0N/A 7F-N/A Ge YY-0z-Ir1,num ( nzýT MO0-L =te 71ýI-fC

18. Planner . * '- -5 Printed Name: David Ooodlet

. Signature Date

19. ISI AX. A2',$4P .. 4

. a . F#,F Printed Name: _Ramakant Indap...ogEntry.

Signature Date

20. ANII, Z. )k rfr-. ,ý'OV4- * *.fr

"* Printed Name. Robert Hogstrom Signature Date 7JW47L"15 FV-IrW" V4r.7 -

N

FORM NIS-2 OWNER'S REPORT FOR REPAIRS ORREPLACEMENTS As Required by the Provisions of the ASME Code Section X1

1. Owner. Arizona Public Service Company, et. al. Date: 06/05/2005 P. 0. Box 53999, Phoenix Ai'zona 85072-2034 Sheet: 1 of 4 *

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

-. 5801

.. South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2806586

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

4. Identification of System: Reactor Coolant System (R10, ASME Section III, Class 1

5. (a) Applicable Construction Code ASME Section III NB, Class 1 1971 Edition, Winter 1973 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or NO)

Pressijrizer Heater Watlow 14B N/A 3MRCEAO 1. 1981 Replacement YES Pressurizer Heater Doosan N03028M01-17 N/A 3MRCEA02 2004 Replacement YES Pressurizer Heater Doosan N03028M01-11 N/A 3MRCEA03 2004 Replacement YES PressurizerHeater watlow 118 N/A 3MRCEA04 1981 Replacement YES Presiurizer Heater' ýGeneral Electric 1625 N/A 3MRCEA05 1977. Replacement YES Pressurizer Heater Doosan N03028M01-12 N/A 3MRCEA06 2004 Replacement YES Pressurizer Heater Doosan N03028MOI-14 N/A 3MIRCEA07 2004 Replacement YES Pressurizer Heater Watlow 7B .BN/A 3MRCEA08 1981 Replacement YES Pressurizer Heater Doosan N03028MEe-13 N/A 3MRCEA05 2004 Replacement YES Pressurizer Heater Doosan N03028M01-16 N/A 3MRCEA12 2004 Replacement YES Pressurizer Heater Doosan N03028M01-15 N/A 3MRCEA03 2004 Replacement- YES Pressurizer Heater Watlow 23B N/A 3MRCEA14 1981 Replacement YES Pressurizer Heater Watlow 26B N/A 3MRCEAI15 1981 Replacement YES

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

1. Owner: Arizona Public Service Company, et. al. Date: 06/05/2005 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 2 of 4

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road., Tonogah, Arizona 85354-7529 Work Order Number 2806586

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

4. fdentification of System: Reactor Coolant System (RC), ASME Section II. Class I

5. (a) Applicable Construction Code ASME Section III NB. Class I 1971 Edition, Winter 1973 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year. Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or.

,_ ,., NO)

Pressurizer Heater Doosan N03028M01-09 N/A 3MRCEA16 2004 Replacement YES Prsgunrizer Heater Doosan N03028M01-04 N/A 3MRCEA17 2004 *Replacement YES Pressurizer Heater Watlow . 37B N/A 3MRCEA18 1981 Replacement YES Pressurizer Heater Doosan N03028M01-05 N/A 3MRCEB01 2004 Replacement YES Pressurizer Heater Watlow 25A N/A. 3MRCEB03 1981 Replacemnint YES Pressurizer Heater Doosan N03028M01-10 N/A 3MRCEB04 2004 Replacement YES PressurizerHeater Watlow 813 N/A 3MRCEB06 1981 Replacement YES Pressurizer Heater Watlow 30B N/A 3MRCEB07 1981 Replacement YES Pressurizer Heater Watlow 18B N/A 3MRCEB09 1981 Replacement YES Pressurizer Heater Doosan N03028M01-06 I3MRCEBI N/A 2004 Replacement YES Pressurizer Heater Watlow ý1B N/A 3MRCEB12 1981 .Replacement YES Pressurizer Heater Doosan N03028M01-08 N/A 3MRCEB 15 2004 Replacement YES Pressurizer Heater Watlow 601 N/A 3MRCEB16 1981 Replacement YES

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

1. Owner: Arizona Public Service Company, et. al. Date: 06/05/2005 P. 0. Box 53999, Phoenix A'iiona 85072-2034 Sheet: 3 of 4

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

• 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529 Work Order Number 2806586

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

4. identification of System: Reactor Coolant System (RC). ASME Section III. Class 1.

5. (a) Applicable Construction Code ASME Section III NB, Class 1 1971 Edition, Winter 1973 Addenda, . Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or

____ _NO)

Pressurizer Heater Doosan N03028M01-07 N/A. 3MRCEB 18 2004 Replacement YES N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A" N/A N/A N/A N/A N/A N/A N/A N/A

7. Description of Work: Replace Framatone Pressurizer heaters installed during U3RI 1.

8. Test Conducted: Hydrostatic 5 Pneumatic E] Nominal Operating Pressure I] Exempt 0 N-416-2 0 Other Pressure - psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 Y2 X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

FORM NIS... (Bak) Sheet4 of 4

9. Remarks: W.O. 2806586 replaced 27 Framatone Pressurizer heaters (installed during 3R1 I under W.O. 2614246) due' to poor life expectancy. The 27 Fra=atone heaters were replaced with a combination of 12 original Watlow heaters (which were rermoved during 3R1 I under W.O. 2614246). 1 spare heater mfg. by Genei-l Electric, and 14 new replacement heaters mfg. by Doosan HeMv Industries.

Pre-Pressured Test WO Review - ISI N/A ANII 1 n/A Certificate of Compliance We certify that the statements made in the report are correct.and this replacement conforms to the rules of the ASME Code, Section Xi.

Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: [,.*~~19er or Owner's De~sirnie Title XiCQnWl

-fully" "CA_.{-* Date: ." 2-/0 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 Arizona and employed by HSB CT of Hartford. Connecticut, have inspected the components described in this Owner's report during the period of G.-.6-os to 6- K.-o4 , and state that io the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements fthe ASME Code,Section XI.

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

_ _ _-_ _Commissions: NB 9685 "N" "I"AZ264 Inspectors Signature National Board, State, Province, aEndorsements Date: __.___-_- 0S I -

II I 3D-9Z1I.8) ReI II

.. PV216-08NI (8-88) 73DP-gZZI7 ReY 9

005 FORM N-2 CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAL IIUCLEAR PARTS AND APPURTENANCCES, As Rqualrd by the Provisions of the ASME Code,Section III Not to Exceed One Day's Production Pa. 1 of 2 1.Lbnti~xadbm by DOOSAN HEAVY MOMSRIS & MOWMIJTInM CO.;I-M. 585,5GUGOl(4OnG, 0MAGWVaL Mff+/-!gN KOREA

2. Mux&&vu for KOREA HYDRO &NUCLEAR POWER CO., LTD. 167,SAMSUNG-DONG,KANGNAM-KU,SEOULKOREA.

3. Lo= cdo lowko, UtnLLONUCN.ER -POWER PLANT UNIT 5. 6 1844 BIGU-M BUKAUYN ULCtN-GUN KYUHMAWAL-00

4. Tyw: D-N03021-22185-UOI RsV.0 SA213.TP316SS47U-TP316 75kal N/A 2004

, 5.ASIE Cede.Se-io I0Dvam 1: 1992 A04(DEC.31.'94) 1 N/A

. i.Fbka*atd Inaccnrnm ,4h Crail SlC (DIv. 2 MWy) WA Revisi N/A Dole WA 7YRwuks: 1. ITEM NAME: PRESSURIZER HEATER L 2.( r: Doos No.

.8.Nom. ldmm (h.) 0.190" kiW.deignlzdd a (i.) 0.1W Oi. InD (t&hn.) 0.ag" Lw wCa*w(ft &hi) 98.74 S9.Wren applookl,. Co*,inca H~OIdut. Rapb w ab,:ld foer ch hmn & ,ftrort:

/

I/ r A*p~pan*B

• PartSoftl Mundi a No. Seram Nuffb - Bowd No.

.In Numrkel Orde in Numeric Oider (1) N03028M-01 WA (DN-22" ()

cm)

(2) N0302BM01-02 N/A (DN-123r (27)

(3) N03028M1D-03 N/A (DN-124r (28)

(4) N03028M01-04 N/A EON-I25) ()M (5) NO3W211M01-05 N/A (DN-126r (pl0)

• (6) N0302B,1.-08 N/A (DW-127) (31)

S* (7) N03128M1 WA (DW-12g)r (M) ....

• (9) N03(2SA01-09 WA IDN-130r (34)

(10) N302BM01-140 N/A (DN-131 (35) _

(11) N03028M1-11 N/A (DN-132r (36)P Z(12 NO3028MO1-12 WA (D.-133). (37)

(13) N03O28M01-1,3 N/A (DN-134r (P8)_

(14) N0302Md01-14 N/A (ODN-135).s)

(15) N03028M01-15 WA (DW13°Y (40)

(16M N03028M*1-16 WA (DW-137)' (41)

(1in NF30M01-17 N/A (DN3-8)r (42)

(16) (43)

(1g (44) .. ,

___(45) _

(21) _(46)

. _ _ __...._ _,_ (47)

(23) .,,_ _ _ _ _ (48) "_

(24) (49)

-. (25) _ _ _ _ _ _ (5o) _ _ _ _ _ _ _ _ _ _ _

.10.esign prmmu 250 Psi. TaMp. 800 T. Hydm.Attp=uMe 3125pai1 tamp.. 70 1 "Suppilnia" Inhtm.Uon kIdo lorm of Nalu. aktdhs. or adn b Iya be used proaided (1) dza Is 1 X11. (2)Whfmion In Mom 2 mi 3 ai No Dab PAP0r Is nckuie an ach sheet. (3) adsh Imis, numnbmwd and gowmamdr of WSsts IsMwodd 91 0 tOP @fUb bN.

006 FORMHN-2 (Back- Pg. 2 of..

CeticasHokes Seral Nds. NO3y M01i-l thrugh N03028M01.17 CERtIFICATiON OF DESIGN

- Piloeby Aeiipe&o J.YLEE _ PE.Slal '-M QLO Regno, 19M Demign report oWfied by J.Y.P ( "" , PE.Sa GEORGIA Ragio. 20M7 CERTIFICAE OF COMPIJMCE We certify that the statements made In s report are correct and that this (these) PART aoxbis toltie rles ofc uion oftoe ASSE Code. Section Ill. Division 1.

r cmtib"

• tAuthodzalozn No. N-2767 Evin" JANIIuARY. 8. 2006

• . Dido _ _ /z Nam DOOSAN HEAVY INDUSTRIES &CONT.CO.LTD. Signed J.K S OrrCMU~f ilm 4~01 CERTIFICATE OF SHOP INSPECTION I. the undermlgied. holding a valid commission Issued by the National Board ot.Bollsr and Pressure Vessel Inspectors and

/, ,the Slate or Province of T:LL1 oi s and employed by 1teHaftdSlaem BorlnoAmdnAnd I Co, Ltd.

of CONN. have Inspected these items described in this Data Report'on S1/7/&1 -and state that to the best of my knowledge and belief, the Certificate Holder has fabricated these parts or appurtenances In accordance with ASME Code, Section Ill, Diviulon 1. Each part listed has been authorlzed for stamping on the date shown above.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or Impled, con ceming

• the equipment described In this Data Report. Furthermore, neither the Inspector nor his employer slall be liable In any manner for any per-onal Injury or property damage or a loss of any kind aising from or connected with this Inspection.

- X " Signed -o Commissions-(________l ______________ d

-(Au~thetzd INS9Qe~tD) IMW1.0d.0ifd.uWW6dei'.t&aunb d zwae or plec.Md "G.

N

1. -Component ID 3PSIBVA06 ASME SECTION XI - REPAIR I REPLACEMENT Page of I I

2.. Item

Description:

SID-UV-654 PRESSURE LOCK PREVENTION SYSTEM VENT VALVE

3. N-5 Data Package Number: DIWO 1008663 4. W.O. Number: 2815022

5. Original Construction Code Edition: i0l74 Edition, Summer 1976 Addenda

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

7. Work

Description:

Replace the stem and disc assembly (if required) to correct seat leakage and replace the body to bonnet seal weld

8. E IS1 Flaw NDE Method of Flaw Detection:

Report Number:

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

• Renlacement to correct seat leaka~e. No failure in the AsME boundav.

Renlacement to correct seat leakam. No failure in the ASME boundirv.

10. Repair/Replacement Work Organization: Arizona Public Service 11, Replacement Items Construction or reconciled Code/Edition: Sec. mII Cl 1. 1974 Edition 1976 Summer Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III C1 i. 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: [JYES X NO

.1 Initial ___N/A__ Date If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section. XI Pressure Test Required: YES X NO If required, include a step in the W.O. for ISI & ANTI Inspection.

Initial N/A_ Date n - Date / " 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Date component.

Initial ~ Date V-i 7 -0 C - 17. Include a step in the W.O. to record below all applicable numbers for repaired or replacement items.

Item ED Part No. Serial No. Heat No. MRJPO/WO No.

18. Planner /A"

/ '-65 Printed Name: James I. Davis Sinaturt Date Ar/r 2 nte d Name: PV/-/-0Y 4*2.J7,01-L og Entry-

19. 151 Si*gnature j-Date

' ki3V.

/

20. ATL o* Printed Name:

20. AN Dar.

N N

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

1. Owner: Arizona Public Service Company, et. al. Date:. 04/17/2006 P. 0. Box 53999, Phoenix Atriona 85072-2034 Sheet: I of 2.

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529 Work Order Number 2815022

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

4. Identification of System: Safety Injection System

5. (a) Applicable Construction Code ASME Section III NB, Class 1 1974 Edition, Winter 1975 Addenda, . Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or NO)

,Yalve Flowserve/ 96SN0421 N/A 3PSIBVA06 1996 Repaired YES Kerotest Seal Weld N/A N/A N/A .3PSIBVA06 2006 Replacement NO

7. Description of Work: Rework the valve to correct seat leakage and replace the seal weld.

8. Test Conducted: Hydrostatic E] Pneumatic El Nominal Operating Pressure El Exempt ED N-416-2 0J Other Pressure ,L psi Test Temperature *F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 '/ X. 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

N N

m ..

FORM NIS-2 (Back) m

9. Remarks: Work Order 2815022 reworked the valve seat leakage, Which required removal and replacement of the body to bonnet seal weld.

.. f;"

Pre-Pressured Test WO Review - ISI LV/A ANIlIt 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 XM.

Type Code Symbol Stamp N/A Certificate of Autho tion No. NIA Expiration Date: N/A Signed: * -7 -' --. s ,- -, Date: Y.'- "

Owner or Owner's Designee. Title I'.

CERTIFICATE OF INSERVICE INSPECTION

/

I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of  %,-2-o5 to . and state that to the best of my knowledge and belief, the Owner has performed

.examinations and. taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

-Commissions: NB 9685 "N" "I" AZ264 Ispe*p*ors Signature National Board, State, Province. and Endorsements Date:

I-d LiL)F-9~Zi/ KCV ~i PV216-08N1 (8-88)

PV216-08NCI 73DP-9Z-.1 Rey"

ASME SECTION XI- REPAIR REPLACEMENT.

Page_ ofr_

L Component ID 3JRCEPSVO203 2.. Item

Description:

Pressurizer Safety Relief Valve

3. N-5 Data Package*Number: 3RC03-3. 4. W.O.'Number: 2817230

5. Original Construction Code Editioriý 1974 Edition. Summer 1975 Addenda

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

7. Work

Description:

Valve reworked as a part of routine maintenance during vendor testing.

8. ISI Flaw NDE Method of Flaw Detection:

..-. - -. Report Number:

9. Evaluation of the suitability of this work as per the requirements of 1WA- 4150:

No failure of ASME III pressure boundry. Valve reworked as a part of routine maintenance during vendor testing.

Replacement valve is SN BS-08567.

10. Repair/Replacement Work Organization: NWS Technologies

11. Replacement Items Construction or reconciled Code/Edition: Sec. II Cl 1. 1971 Edition 1973 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. Il Cl 1. 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: 0 YES ' 0 NO Initial I

• Date ¶// "f0 If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: . YE]0NO Initial bate (,///if_/g If required, include a step in the W.O. for ISI & ANTI Inspection.

intil://g 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the intl Date + component.

/"/. Da17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date replacement items.

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

33JRCEPSVO203 NIA BS-08567 N/A NIA Disc APN 45020245 ADPI4 NIA NM 889439

18. Planner' Printed Name: Barbara Vidal Signat=rI Dak Printed Name: " A. Log Entry -

I.

Printed Name:' Ri6.a IXMIX"11 Aw.

ASME SECTION XI- REPAIR REPLACEMENT Page

• ofr -

1. Component ID 3]RCEpSVO200 2.. Item

Description:

Pressurizer Safety Relief Valve

3. N-5 Data Package Number: 3RC03-3 . - 4. W.O. Number: 2817230

5. Original Construction Code Edition-, 1974 Edition, Summer 1975 Addenda

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

7. Work

Description:

Valve reworked as a part of routine maintenance during vendor testifi.

8. 0 iSI Flaw NDE Method of Flaw Detection:

.... "- - -Report Number:

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

No failure of ASME MI pressure boundry. Valve reworked as a Dart of routine maintenance during vendor testing.

Replacement valve is SN BS-08614.

10. Repair/Replacement Work OFrganization: NWS Technologies/

11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl I, 1971 Edition 1973 Winter Addenda

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

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

14. Preservice Inspection Required: Q YES " NO Initial / Date ] " If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Sejtion XI PressUre7Test Required: "0 NO l . I o .1,*,1 Initial . . Date (v/, k 2"/ý. If required, include a step in the W.O. for ISI & ANII Inspection.

Initial D .L/

te rL~ o 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date component.

/:/:" / JI/c L 17. Include a step in the W.O. to record below all applicable numbers for repaired or Item ID Part No. Serial No. Heat No. MR/PO/WO No.

3JRCEPSVO200 NIA BS-08614 N/A NIA Bellows APN 45490005 01060102 N/A MR 820816

18. Planner\A . L&6ý Signature Dakc Printed Name: Barbara Vidal

19. 151 Printed Name: 'L2AP P _Log Entry Date

~~~PrintedName.: ~ o

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

As Required by the Provisions of the ASME Code Section XI

'*:*i*

1. Owner: Arizona Public Service Company, et. al. Date: 4-17-2006 P. 0. Box 53999, Phoenix 'Aizona 85072-2034 Sheet: 1 of'2""2

2. Plant: Palo Verde Nuclear Generatine Station Unit: 3 --

5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2817230

3. Work Performed by:. NWS Technologies Type of Code Stamp None Authorization No. N/A Exoiration Date N/A

4. Identification of System: RC: Reactor Coolant System

/

5. (a) Applicable Construction Code ASME Section MINB, Class 1 1974 Edition, Summer 1975 Addenda, n/a Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or

""_ No)

PSV, Dresser BS-08614 N/A 3JRCEPSVO200 1981 Repaired YES Bellows Dresser 01060102 N/A 3JRCEPSVO200 2006 Replacement NO PSV Dresser BS-08567 N/A 3JRCEPSVO203. 1978 Repaired YES Disc -!Dresser ADP14 N/A 3JRCEPSVO203 2003 Replacement NO

7. Description of Work: Valve overhaul and testing of spare pressurizer safety valves at off-site test facility.

8. Test Conducted: Hydrostatic Q Pneumatic ' Nominal Operating Pressure 0 Exempt "

N-416-2 E] OtherPressure. psi Test Temperature -F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 Y2 X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to Of this form.

k*.*

1 FORM NIS-2 (Back)

9. Remarks: WO# 2817230 used on spare pressurizer safety valves to overhaul and test at a off-site repair facility.

S/N BS-08567 & BS-08614 had code parts replaced.

..2 V.

Pre-Pressured Test WO Review -ISI W/A ANII Certificate' of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorization No. N/A

• Expirat ion Date: N/A Signed:d (;., .vyiz Date: , L a go Onror Owner's 7tie Teig

/

CERTIFICATE OF INSERVICE INSPECTION

/

I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of " '-i-to , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance -with the requirements of-the ASME Code,Section XI. .

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

~-"7L I Commissions: NB 9685 "N" "I" AZ264 National Board. State, Province, and Endorsements Dat: 4-Si-atr Date:

I. -

73DP-97Z17 aev 9 PV216-08NI (8-38)

PV216-08N1 (8-88) 73DP-9ZZ17 Rev 9

. '. %-'- i.; L-,) .. Cý' I FORM M-2 CEPRTIFICATE HOLD-RS' DAA REPORT FOR IDEN1TICAL NUCLEAR PARTS A,.D APPURT-ANCES'.

As Required by the Provisions cf the ASME Code,Section III Not to Exce*d On- DaY's FrPCucron P9.ioIOf 2 Drass ar FiwCrtrl 'sr-'Ic. La. 222 COUS H '18? 7 2w

'*~~~~* -. -=M -.- 4 ~ en 23-::

3. L: '-"-

f s ts a.'W..icn A.-izcn-a PcLi.'C Ser!ics Co Fa,. 'lard..... cI Generzs'cn 5.-901 S ','jnft-.' P.!. Tcrncch. .rizona 538.4

. Ty.=e OS.*3 AS.E S55_=37 INCONEL X78ý. 170 r]SI N, 2003

,.:.,- ccde Sectcn III, Divisfcn 1:

A. 1 ^74 WIV liTE , 1G75 l'MA (editccn) lnd..eacnza--) zis

(-.(C: Cas

6. F-,r..a"ad In acc-rdercsvfith Ccnst. Spc=. (ODv. 2 on'y) Ravisicn PV,.. _ _Data N.-

7. F .t< a  : Ser.al 'uimbers Are Usad In Lieu Of NT Sta-cin:.

8. Ncm. thlcknelss (in.) NIA Min. design thickness(in.) N/A Dia. ID(ftL&In.) N/A Length overall (ft. & In.) N/A

9. V/hen applicable, Certificate;Holders' Data Reports ara artached fcr each item of this report:

Part or Appurtenance Part or Appurtenance National Part or Appurtenance National Serial Number Board No.

Serial Number' Board No.

In Numerical Order - -... ,.In Numerical Order ADP13 (26) L (3)

(27)

(28)

(29)

_ _ __ __ _ _ _ _ _ I ,

(4)

(30)

/ (31)

(1) (32)

(1) (33)

(1) (34) __ _ _ _ ~i ___

(10) (35)

I (36)

(37)

(12)

(13) (3&)

(11) (39)

(14)

(40) ____

(41) __ _ _ _ _ _ _ _ I, (17) (42) ___________________________I (43)

(44)

(21) ________________________ 1'_______________________ (45)

(46)

(24) _ _ __ _ _ _ _ _ ~I_ _ _ _ _ (47) __ _ _ _ _ _ _I _ __ _ _ "__

(23) (43)

______________________________________I._________________________

(49)

(25) (50)

I I.__________________________________________________

Ssr A as! ps1

"a~ss(M-na-F

zcQ Ternp.i k.,A *F. H-ycro. Test pressure 40PSGPS ) at tenrp. 'F

~e crm:1 ss.S~e-~e, o rvr.s aye s';rcv&Zed (1)Size is!-W~ x 11, i2

• ~~l n~a~cnin -Mci1 "-lans 2ard 3cn ihis DEata Raccrt A4 Ci. 3ach Ch~at. (1)a e.1 - S 1 isnLu'-' d a--s7 rtr: ks1- i c

• FORM M'-2 (Back-Pg. 2of 2 )

• ~~:H~'~,:..c.'.

~ ~ ~ ~ C 3 A.';D A

'a II I M!C j 'a B

.P-.. sta~a IN.,11 Reg. No. NWA CE!TvIFCA-1E CF CCWLIUMCE cr.:-3cs tj,".- j"3 c :r 3t.idl'c r0 1a A.1.CA) Ccds S C!Cn IlCi~ I.

,-;= Ca 1-caaf-!h5 z~ No. M1-2-134 Expiras 5120/2004 (NPT Car~fatkaHedr) (~.rzcrpeattz CERTIFICATE OF INSPECTION I, the unders'igned, holding a valid omrnmisslon Issued by the Nafional BoWrd of Boiler and Pressure Vessel Inspectcrs and the State or Province of LOUISIANA CT. and employed by HSB CT of HA.RVTFORD, have Inspected these Iterms described in this Data Report on ,3 and stae that to the

• .ofmy knowledge end beief, the Certificate Holder has fabricated thes. parts or appurtenances lV'ccordance with the ASMIE Code, Section

,ivision'. Each part listed has been authorized for sta'ping on the dale shown above.

• A by signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the equipment described in this Data Report. Furthermore, neither the Inspector nor his employer sha!l be liable in any manner for any personal Injury 'orproperty damage or loss of any kind aelsing from or connected vw lis ln5 ecton.

Date Sn "- (ZE*h1. IL) Commissions ,__a.___._____,_n______d___e___.__.___n._

St ~(A~tiUCcrfzd NucteAr Inspecz) (Nat'L 8d. (mci. endcreiaments) and state orprov. and no.)

-I.

N

ASME SECTION XI _ REPAIR I REPLACEMENT Page of I N

1. Component ID 3MEWAE01 2.. Item

Description:

Essential Cooling Water Heat Exchanger "A"

3. N-5 Data Package Number: 3EW0-1 . - 4. W.O. Number: 2823753

5. Original Construction Code Edition.:.

• 1974 Edition, Winter 1975 Addenda

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

7. Work

Description:

Perform Weld Repair to Heat Exchanger Channel Area

8. El ISI Flaw NDE Method of Flaw Detection:

...... .... - -Report Number:

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

Weld repair reauired after inspection of the metal surfaces prior to periodic coating, there was no failure of the Code Pressure Boundary.

I

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 3. 1974 Edition 1975 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III C i:1974 Edition 1975 Winter Addenda

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

14. Preserviceyspction Required: 0 YES 0 NO Initial Date . If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: 0 YES El NO Initial Date If required, include a step in the W.O. for ISI & ANIL Inspection.

'lD.o16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date rcomponent.

'. .. //.. 17. Include a step in the W.O. to record below all applicable numbers for repaired or initial DDate replacement items.

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

3MEWAE01 N/A N/A N/A N/A 1 n-" Printed Name: :v2

19. 15 It{,

Siature.Date c Printed Name: P J'c~ciP Log Entry,~P

20. ANInj ?M (_.20. AII. . *'*]S* a-,-O¢, O, Prited Name:

Printed Nme: R iD-r.- t, -* _ai-6 C.Sx,,""

Sign tlir, Date = P

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

1. Owner: Arizona Public Service Company, et. al. Date: 04/21/2006 P. 0. Box 53999, Phoenix'Arizona 85072-2034 Sheet: I of- 2

2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2823753

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

4. Identification of System: Essential Cooling Water System, ASME Section 1., Class 3

5. (a) Applicable Construction Code ASME Section.III ND, Class 3 1974 Edition, Winter 1975 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition. 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture

• i~i~i*;Stamped Serial No. Board No. Identification Built Replacement Code (Yes or NO)

AEW Ht Ex. Struthers Wells Corp. 1-76-06-32915-1 N/A 3MEWAE01 1980 Repaired YES

7. Description of Work: -Material Repair

8. Test Conducted: Hydrostatic - Pneumatic-' Nominal Operating Pressure 0 Exempt 0 N-416-2 [ OtherPressure - psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

FORM NIS-2(Back) 9.... Remarks: Perform weld repair to corroded areas of the Ht Ex. Channel area lAW W.O. 2823753 after Engineering Insections.

Pre-Pressured Test WO Review -15 IrSAI

..-...-.-.- AN.__________.________*__

ANIIi Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the 4SME Code, Section XL.

Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: ____.____ ____ ____ ____ Date: (

Owner or Owner's Designee. WiecI CERTIFICATE OF INSERVICE INSPECTION

/

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

to ___________, and state that to the best of my knowledge and belief, the Owner has performed examinations.and taken corrective measures described in this Owner's Report in accordancemwith the requirements of.the ASME Code,Section XI.

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

".Commissions: NB 9685 "N" "I"AZ264 "se.. .. Signre National Board. State, Province, and Endorsements Date:_ _ _ _ _ _ _ _

I.-

PVI-81(.8 7D.Z1 e PV21.6-08NI (8-88)

• 73DP.-977-I7 Rey 9

ASME SECTION XI*-REPAIR REPLACEMENT Page .i of I.

1. Component ID 3MEWBEOI 2.. Item

Description:

Essential Cooling Water Heat Exchanger "B"

3. N-5 Data Package Number: EW02-2..- .4. W.O. Number: 2823757

5. Original Construction Code Edition:2 1974 Edition, Winter 1975 Addenda

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

7. Work

Description:

Perform Weld Repair to Heat Exchanger Channel and Flange Area' 8.0 ISI Flaw NDE Method of Flaw Detection:

Report Number:

9. Evaluation of the suitability of this work as per the requirements of iWA - 4150:

Weld repair required after inspection of the metal surfices prior to periodic coating, there was no failure of the Code Pressure Boundary.

10. Repair/Replicement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 3, 1974 Edition 1975 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. m CI 3, 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: E0 YES 0 NO Initial , Date If required, include a step in the W.O. to perform Preservice Inspection I *

15. ASME Section XI Pressure Test Required: Z YES El NO l

Initial

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

16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the aate component.

/ /dj1,a/ 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date .44216 - replacement items.

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

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

18. Planner 06A67 4

• " Printed Name: ,A?-r7"'7

19. ISI Printed Name: En Lmogature Date

20. ANII' Printed Name:

Sigatu Date "JI&e-MMt")-u

FORM NIS-2 OWNER'SREPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner: Arizona Public Service CompQany, et. al. Date: 04/07/2006 P. 0. Box 53999. Phoenii'Arizona 85072-2034 Sheet: I. 0f-2

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

.-..5801. South Wintersburg Road., Tonopah, Arizona 85354-7529. Work Order Number 2823757

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

4. Identification of System: Essential Cooling Water System, ASME Section m1, Class 3 j

5. (a) Applicable Construction Code ASME Section III ND, Class 3 1974 Edition, Winter 1975 Addenda, . Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other. Year Repaired or ASME

,t"" "" Item Manufacture Serial No. Board No. Identification Built Replacement Code x

Stamped (Yes or NO)

B/EW Ht Ex. Struthern Wells Corp. 1-76-06-32915-2 14611 3MEWBEO1 1980 Repaired YES

7. Description of Work. Material Repair

8. Test Conducted: Hydrostatic El Pneumatic El Nominal Operating Pressure 5 Exempt.

N-416-2 0 Other Pressure 't psi Test Temperature , oFF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

"I. FORM NIS-2:(Back)

9. Remarks: Perform weld repair to corroded areas of the Ht Ex. Channel Head, Channel Flange and Channel Door on the West end JAW W.O. 2823757 after Engineering Inspections.

Pre-Pressured Test WO Review - ISI ANI*-

Certificate of Compliance" We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: 9L*J/4",-* ate: '/- /7-,P 6 Owner or Owner's Designee, Title

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

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

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

Commissions: NB 9685 "N" "T' AZ264 National Board, State, Province, and Endorsements

. .. nspectorTs Signature Date: -%- 0c, U. -

iiL)r*YLsd I F~CVY PV216-08N1 (8.88)

PV216-08NI (8-88) .73DE'oVZ.,l I ev y

ASME SECTION XI- REPAIR I REPLACEMENT Page 'of

1. ComponentID 3PCHBV331 2.. Item

Description:

2" Borg Warner Lift Check valve

3. N-5 Data Package Number: 2CH04-1 .1 - 4. W.O. Number 2824134

5. Original Construction Code Edition:. a 1974 Edition, Winter 1975 Addenda

6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda'

7. Work

Description:

Remove seal weld to allow for rework of seats to correct leakage. "

8. ISI Flaw NDE Method of Flaw Detection:

---

-:.:. -.- Report Number:

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

Not a failure of the ASME mI nressure boundary. Need to remove and restore bonnet seal weld for insnection and rework of Nnt a failure of theASME M nressure hnnndmv. Need to remove and restore bonnet seal weld for insnection and rework of check valve internals.

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. MI CI 2. 1974 Edition 1975 Winter Addenda

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

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

14. Preservice Inspection Required: 0 YES 0 NO Initial jatff Date J2 -9 "DY If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section X Pressure Test Required: 0 YES 0 NO

• S Initial j014: Date j -; - If required, include a step in the W.O. for ISI & ANII Inspection.

i D16. Include a step in the W.O. to complete NIS-2 Form prior to releasinig the Initial ... .Date . - -L?,.L component.

17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial _j607.Date replacement items.

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

Valve N/A 69642 N/A N/A Seal Weld N/A N/A N/A ..NIA

___4_5_0'; oata,P 33 c.571"A -_A

18. Planner 44*xý Sigpatur of; 4ý5 Date Printed Name: David Goodlet 19 isi " ei..,. /2/f/CP5 Printed Name: -/,o. Mf.)Vfo') Log Entry - -

Signaure Dat I120. AN2 tjo Printed Name: ',aCa 4. oo'*j

- r v - sinaý6Datf

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

As Required by the Provisions of the ASME Code Section XI

1. Owner: Arizona Public Service Company, et. al. Date: 12/09/2005 P. 0. Box 53999, Phoenixb)Arizona 85072-2034 Sheet: .1 of . ..

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

5801 South Wintersburg Road.. Topopah, Arizona 85354-7529 Work Order Number 2824134

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

4. Identification of System: CH: Chemical and Volumn Control System

5. (a) Applicable Construction Code ASME Section 111 NC, Class 2 1974 Edition, Winter 1975 Addenda, - Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code i

No. Stamped (Yes or Valve Borg Warner 69642 N/A 3PCHBV331 1981 Repaired YES Seal Weld N/A N/A N/A 3PCBBV331 2006 Replacement NO

____t_. PAV/,4..

GO-94-J~a4 3 Pc)ý 031) ZP0 ___

7. Description of Work: Removal of seal weld for valve iinternal insnection & rework for seat leaka e.

8. Test Conducted: . Hydrostatic EJ Pneumatic 5 Nominal Operating Pressure 5 Exempt 0 N-416-2 5 Other Pressure -/4 psi Test Temperature ,-1/k -F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 %X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

d

FORM NIS-2 (Back)

9. Remarks: Work Order# 2824,34 on valve 3PCHB'l.31 for rework due to seat leakage. The bonnet seal weld needs to be removed and replaced to support this work.

Pre-Pressured Test WO Review - ISI __

Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section X.

Type Code Symbol Stamp N/A Certificate of Authorizatio NAExpiration Date: N/A

____ 1*1 '= Date: _ _ _ _ _

Owner or Owne's Designee, Title CERTIFICATE OF INSERVICE INSPECTION

/

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

Ito -o. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance, with the requirements 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 Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

_ ,__ _ _ _ _ _ _"Commissions: NB 9685 "N" "I" AZ264

... Signature Natoail Board, State, Province, and Endonements Date: _ _ _ _ _ _ _ _ _ _

PV216-OSNI (8-88) 73DP-9ZZ17 Rev 9

I,,.Page

1. Component ID 3PSiEV541 ASME SECTION XI- REPAIR I REPLACEMENT

... L of.

2.. Item

Description:

HPSI/LPSI Header Loop Injection Check Valve

3. N-5 Data Package Number: 3RCOI-3 4. W.O. Number: 2824821

5. Original Construction Code Edition:.'% 974 Edition, Winter 1975 Addenda

6. Original Installation Code Edition: 1 1974 Edition. Summer 1975 Addenda

7. Work

Description:

Rework or replace the bonnet and assembly disc to correct seat leakage 8.0 ISI Flaw NDE Method of Flaw Detection:

.:--------- _Report Number:

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

Seat leakage - No ASME boundary failure

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 1, 1974 Edition 1975 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. m CI1. 1974 Edition 1975 Winter Addenda

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

.1

14. Preservice Inspection Required: 5. YES 0 NO Initial .. 2" . Date ,/.)-OS If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: 0 YES 0 NO I.

Initial-r Date / _ . If required, include a step in the W.O. for ISI & ANII Inspection.

Initial "7",,,

Initil Date Dat /&7!component.

,. " 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the

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

Item ID Part No. Serial No. Heat No. MRIPO/WO No.

fLý5C4-gV4 45Z3r 0/9s z--7 .34I 0&64o 00 75

18. Planner C "/-.' 0 Printed Name: James I. Davis

19. IS I, ,//' .2** J Printed Name: /,,,1 if"r ff Log Entrylý

1. • '*atumDate

/

20. ANII D'."2,-OS Printed Name: e'obrc 6-a°C°"

Sib~t= Date n ri, r lUt* ]*

FORM NIS-2 OWNER'S REPORT FOR' REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner Arizona Public Service CQidfpany. et.a!.@ Date 04/28/06

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

2. Plant Palo Verde Nuclear Generating Station Unit 3 Name

---5801VS. Wintersburt Rd.. Tonopah. Arizona 85- ~54-7529 2824821 Addr,* *Work Order Number

3. Work Performed by Arizona Public Service Type Code Symbol Stamp None Name Authorization No. N/A

• 5801 S. Wintersburg Rd., Tonopah, Az 85354-7529 Expiration Date N/A Addre.s

4. Identification of System Safety Injection

5. (a) Applicable Construction Code ASME Section I1 19 74 Edition, W75 Addenda, N/A- Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 19 92 Edition, 92 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name6f Name of Manufacturer National Other Year Repaired ASME Code or Stamped Item Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No)

/4 Valve Borg-Warner 51031 .1608 3PSIEV541: 1979 Repaired Yes Disc - removed Borg-Warner SN8 NA HT # 3L96 1979 Repared Yes Bonnet - removed Borg-Warner SN18 NA HT # 3C67 1979 Repaired Yes Disc - installed Borg-Warner SN8 NA HT # 2G70

• Replacement No Bonnet - installed: Borg-Warner SN14 NA HT # 3C62

• Replacement No

7. Description of Work Replaced the bonnet and disc assembly. {* note remarks on Page 2)

8. Test Conducted: Hydrostatic Il Pneumatic [l Nominal Operating Pressure [~ Exempt l N-416-1 l Other I Pressure " t-2Lco psi Test Temp. ,.io-r OF NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size Is 8 1/2 x 11 in.,,

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

730P-9zz17 PV-EOO92'Ai~7 PV-EO092 Ver. 7 1.73P-OZZ17

FORM NIS-2 (Back)

I

9. Remarks ~Work CkdrA9jr;5112 W*lae thn-,ne an ace1by P.t V.k~A'hpa

-h installedl vicsmbly wag r n#tih nr1r nrder 77R5766 vinr =fofirbihpih3; b wnrk nrdt-r Pre-Pressure Test Review: ISI 0 Y . ANLi .

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. repair or replacement

+ 4 Type Code Symbol Stamp N/A..

Certificate of Authorizati NIA Expira ation DateA N A_

Signed * * .Datte

. Owner or Owner's Designee, Title

/

CERTIFICATE OF INSERVICE INSPECTION

-/

I, the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of _and employed by HSB CT of Hartford. Connecticut , have inspected the components described in this Owner's Report during the period it-ii-os to _ ,-__-____ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Omer'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 Am. Q&-t I-116,1e.,16 '*A.'311 C_ "

. ... tor's Signature National Board. State, Province. and Endorsements Date . 0(.

ff PV-EO092 Ver. 7 BACK 73DP-gZZ17

ASME SECTION XI- REPAIR / REPLACEMENT Page 11f

1. Component ID 3PSIEV542.

2.. Item

Description:

HPSLILPSI Header Loop Iniection Check Valve

3. N-5 Data Package Number: 3RCOI-3 4. W.O. Number. 2824825

5. Original Construction Code Edition:.'j k974 Edition, Winter 1975 Addenda

6. Original Installation Code Edition: 1974 Edition, Summer 1975 Addenda

7. Work

Description:

Rework or replace the bonnet and assembly disc to correct seat leakage

8. 0 ISI Flaw NDE Method of Flaw Detection:

.... *. .* .- Report Number

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

Seat leakage - No ASME boundary failure

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. IUT CI 1. 1974 Edition 1975 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. TI! Cl 1. 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: 0 YES 0 NO 1nitiaL--.'--,2 Date !-..Z.'..-O* If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: [ YES - NO IInitial-*...O..* . Date i/-**'Oll If required, include a step in the W.O. for ISI & ANU Inspection.

16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the InitiaL*---O - Date /A.-*,-o- component.

/". 17. Include a step in the W.O. to record below all applicable numbers for repaired or InitiaL,*.ý... Date //-- . L replacement items.

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

892006+4- Ace. +titsc O01,5q.S gag- 9 /07fZ2-7 dA2A~~'~C76965 g213L-21,7 4-T 7-I

-1.-0-- . Printed Name: James I. Davis

Ž~2 ?aC Printed Name: , -,ttY Log Entry Y,$9 I

• .. 20. ANT. ll-23-o5 Printed Name: 2. &.

sijWrc -

?VZIE.~4 -UJ 73D~-~I1 A~.9

FORM NIS-2 OWNER'S REPORT FORREPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner: Arizona Public Service Company, et..al. Date: 04/28/2006 P. 0. Box 53999, Phoenix4 ..rizona 85072-2034 Sheet: I "of "2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road.. Tonopah, Arizona 85354-7529 Work Order Number 2824825

3. Work Performed by: Arizona Public Service Co. Type of Code Stamp None 5801 S. Wintersburg Rd., Tonopah. Arizona, 85354-7529 Authorization No. N/A Expiration Date N/A

4. Identification of System: Safety Injection (SI) /-

5. (a) Applicable Construction Code ASME Section III NB. Class 1 1974 Edition, Winter 1975 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition: 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture .Serial No. Board No. Identification Built Replacement Code Stamped.

(Yes or NO) 12" Check Valve Borg Warner 63870 2286 3PSIEV542 1980 Repaired Yes Disc - removed Borg Warner S/N 12 N/A Ht # 3L96 1980 Repaired Yes Bonnet - removed Borg Warner S/N 20 N/A Ht # 3L97 1980 Repaired Yes Disc - installed Borg Warner S/N 212828-8 N/A RS213340-7 1991 Replacement. Yes Bonnet - installea* Borg Warner S/N 212828-8 N/A RS212708-8 1991- Replacement Yes

7. Description of Work: Replaced the bonnet and disc assembly with a new assembly

8. Test Conducted:Hydrostatic Q Pneumatic 'E] Nominal Operating Pressure 0 Exempt El N-416-2 0 Other 0 Pressure -41 psi TestTemperature -- 0 F

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1)'size is 8 K X 11I inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

'FORM NIS-2 (Back)

9. Remarks Wnrk flirier '7RURTiR95' a th. hnni¶t rnrd ,icrn zm1b1y with..iw An ,hly Pre-Pressure Test Review: ISlI(Hv* !L ANII --

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section X. repair or replacement Type Code Symboi Stamp N/A Certificate of Auprization No. N/A Expiration Date N/A Signed _,,....Z" v Z,-

':* Date a A 1:/O, Owner or Owners Designee, .Tle 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 k.. and employed by HSB CT of Hartford. Connecticut , have inspected the components described in this Owner's Report during the period .,-z2,-os to s--o-o0. , and state that to the best of my knowledge and belief, the Qwner has performed examinations and taken corrective measures described In this Okner's Report In acdordance with the requirements of the ASME Code,Section XI.

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

Commissions 11 '16, 4*,i,, Az 24A v emes signature National Boerd, Stat., Province, and Endorsements Date________ _

730P-9ZZ17 PV-EOWg2 Var. 77BACK PV-E0092 Vet. BACK " 73DP-OZZ17

ASME SECTION XI- REPAIR / REPLACEMENT Pake ' of

1. Component ID 3JSIAUVO674 2.. Item

Description:

A TRAIN CONTAINMENT RECIRC SUMP TO SI TRAIN 'A CONTAINMENT ISOLATION VALVE

3. N-5 Data Package Number: 3SI01-6 .. 4. W.O. Number: 2830289

5. Original Construction Code Edition: Vi974 Edition, Winter 1975 Addenda

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

7. Work

Description:

Replace the gasket retainer bolts per EDC 2005-00665 8.0 ISI Flaw NDE Method of Flaw Detection:

S-.- - - Report Number.

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

c~P~~fN -W~~9OCS BC3e.3 85C.v.- ,24*eA<X W17'f 1AqdjA COR-./b ,ý10"W'L

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. II C! 2. 1974 Edition 1974 Winter A~tdenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. MI C1 2. 1974 Edition 1975 Winter Addenda

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

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

15. ASME Section XI Pressure Test Requireo -YES 0NO Initial A-)/// ' Date If required, include a step in the W.O. for ISI & ANIT Inspection.

16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial 00.7 , Date //-/K -I component.

17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial ---T . Date L/L/.3"E- replacement items.

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

Gasket retainer bolts APN 00090043 NIA MR 1039838 L ____________

Printed Name: James I. Davis Printed Name: ,?-'- /W 7 Log Entry ... -

-.20. ANIT. 4-17-aS Da~ Printed Name: , coCF £_,. S/o, to1, I

Sign~

. Signat4r Dale ll*lll* ll.lll) 7 Rog

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

1. Owner: Arizona Public Service Company, et. a]. Date: ,

P. 0. Box 53999, Phoenix'f\'izona 85072-2034 Sheet: I of .2_.-

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

..... 5801.South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2830289

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

.. "*Expiration Date NIA

4. Identification of System: Safety Iniection j /

5. (a) Applicable Construction Code ASME Section III NC, Class 2 1974 Edition, Winter 1975 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components q .*

Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture. Serial No. Board No. Identification Built Replacement Code Stamped (Yes or NO)

/Valve Posi -Seal 14338-4A N/A 3JSIAUV0674 1979 Repaired YES Gasket retainer N/A N/A 3JSIAUVO674 2006 Replacement NO bolts

7. Description of Work: Replace the gasket retainer bolting as required per EDC 2005-00665

8. Test Conducted: Hydrostatic - Pneumatic [I Nominal Operating Pressure El Exempt .0 N-416-2 -j Other Pressure :JL psi Test Temperature NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 2 X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the nýmber of sheets is recorded at the to of this form.

FORMKNIS,2 (BaCk)

9. Remarks: Work Order 2830289 replaced the origjinal 410 Stainless steel gasket retainer bolts with more corrosion resistant SA564. .Gr 630 bolts Rer EDC 2005-00665 and DMWO 2760330.

Pre-Pressured Test WO Review - ISI____"

.3/A.

ANII Certificate of Compliance We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Au,:" tion N N/A Expiration Date: N/A Date: __ _ __ _.-- _

SiLyne d: L- o0.'ncr C&6w~ers Designee, Tilde

/,

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

to - and state that to the best of my knowledge and belief, the Owner has performed examinations.-d ..taken corrective measures described in this Owner's Report in accordance T*ith 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 Ownier's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for anry personal injury or property damage or a loss of any kind arising from or connected with this inspection..

Commissions: NB 9685 "N" 91" AZ264 Natiocal Board, State. Province, and Endorsme~nts

",. ( I-nspectos Signatu Date: -t-z-O I.-

PV216-08N1 (8-8) 73DPo9ZZ17 ReYI 8

\.

ASME SECTION XI REPAIR /REPLACEMENT Page _ of_ _

1. Component ID 3JSIBUV0676 2.. Item

Description:

B TRAIN CONTAINMENT RECIRC SUMP TO SI TRAINB' CONTAINMENT ISOLATION VALVE

3. N-5 Data Package Number: 3SI01-6 4. W.O. Number. 2830290

5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda

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

7. Work

Description:

Replace the gasket retainer bolts per EDC 2005-00666

8. [] ISI Flaw NDE Method of Flaw Detection:

Report Number.

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

e C,4 30 Ad 4,71 .fN6 L or 0- 6 1. C. *

10. ikepair/Replacernent Work Organization: Arizona PIublic Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. IMCI 2, 1974 Edition 1974 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III CI 2, 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: [IYES 0 NO Initial - Date ,_ If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: EQ YES 0 NO If required, include a step in the W.O. for ISI & ANII Inspection.

Initial _.-S/A Date Initial .. Date " 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Iniia 0

-770mpoen/ent&

Initi";7a-.at //Z S". 17. Include a step in the W.O. to record below all applicable numbers for repaired or

_______ Date replacement items.

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

Gasket retainer bolts APN 00090043 N/A MR 1039837

18. Plazne igmture Printed Name: James I.Davis Signature Date

19. '51 7 Printed Name: 5 725 Log Entry-

..-. .... fl..e

'TlilFat2711

20. ANI J_ - O " Printed Name: ('ames Dati 1.

Signlr Date * "

ý ý-M W-)

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

1. Owner: Arizona Public Service Company, et. al. Date: ,

P. 0. Box 53999, Phoenix Arifha 85072-2034 Sheet: 1 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Winterburs Road., Tonopah. Arizona 8535, 4-7529 Work Order Number 2830290

3. Work Pýe*ro*ned-by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A

4. Identification of System: Safety Injection

5. (a) Applicable Construction Code ASME Section M NC, Class 2 1974 Edition, Winter 1975 Addenda, ._ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or

"____NO)

Valve Posi -Seal 14338-4-B N/A 3JSIBUV0676 1979 Repaired YES Gaskýetretainer N/A N/A 3JSIBUV0676 2006 Replacement NO bolts

7. Description of Work: Replace the gsket retainer bolting as reauired Mer EDC 2005-00666

8. Test Conducted: Hydrostatic Q Pneumatic Q Nominal Operating Pressure El Exempt 0 N-416-2 0 Other Pressure . psi Test Temperature 4'- OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the.number of sheets is recorded at the to of this form.

SFORM NIS-2 (Back) I 29.

S'..

Remarks: Work Order 2830290 replaced the original 410 Staihless steel gasket retainer bolts with more corrosion resistant SA564, Gr 630 bolts per EDC 2005-00666 and DMWO 2760330..

i , * .

Pre-Pressured Test WO Review- ISI Certificate of Compliance We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Coo1e,Section XI.

Type Code Symbol Stamp N/A I Certificate of Autf1gn ation N " N/A Expiration Date: N/A' I~0~~

• icned: Date: __ -____- __

6 I.-" =nr'~ wner's Deigee, Title I CERTIFICATE OF INSERVICE INSPECTION

/

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

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

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

Commissions: NB 9685 "N" "I" AZ264 National Board. State. Province, and Endorsements

ý\ Inspectors Sipzatire

'i-vt -*;*

Date:

I-73DF-9LZI7 *(CV Y PV'21 6-O8NI (S-U)

PVZl6-05N1 (9-98) 73DP-9ZZ17 Re.v 9

I I

-.. i. Component ID 3PSIAV459 ASME SECTION XI ,REPAIR REPLACEMENT Pive 1 ,f. \

".. Item

Description:

SIT Fill and Drain Header Isolation Valve

3. N-5 Data Package Number:;3CH02-8 4. W.O. Number: 2834252

5. Original Construction Code Edition: 1,74 Edition, Winter 1975 Addenda

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

7. Work

Description:

Rework the valve to correct seat leakage. remove and replace the bonnet to body seal weld

8. El ISI Flaw NDE Method of Flaw Detection:

.... . Report Number:

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

Seat leakage only, no failure of the ASME loundary -

Seat leakave onlv no failure of the AS?ýE bound i." Repair/Replacement Work Organization: Arizona Public Service /

11. Replacement Items Construction or reconciled Code/Edition: See. II Cl 2, 1974 Edition 1975 Winter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. m Cl 2. 1974 Edition 1975 Winter Addenda'

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

14. Preservice Inspection Required: [J YES E) NO Initial

• Date If required, include a step in the W.O. to perform Preservice Inspection

.15. ASME Section XI Pressure Test Required: 'J YES 0 NO initial - Date .If required, include a step in the W.O. for ISI & ANII Inspection.

16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initia-.,I O , Date /6 ~component.

//.

nitial*- c,°< D17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial _ Date eb. - I/-replacement items.

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

Serial_£ No. Heat No...____

oAL( f, 85 18RPlanner

"- - Sigiatuire

• .. , ')-

Date Printed Name: James 1.Davis

............... V .............

19. Printed Name: 2 LogEntry,2 ,,.

Sigmm Date

" 20. Printed Name: (2.6g i.o -rI "

Sisk~e Date PV1w6e4m 0 7=Z41=7 X- I

FORM NIS-2OWNER'S REPORT FOR REPAIRS ORWREPLACEMENTS

-. j As Required by the Provisions of the'ASME Code Section XI

1. Owner. Arizona Public Service Company, et. al. - Date: '-/A  !

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

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

-. 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2834252

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

4. Identification of System: Safety Iniection

5. (a) Applicable Construction Code ASME Section III NC, Class 2 197_4 Edition, Winter 1975 Addenda, N/A Code Case.

(b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Item 1 Name of Manufacture 1'

Manufacturer Serial No.

1 National Board No.

Other Identification Year Built Repaired or Replacement ASME

.Code Stamped (Yes or I No)

Valve." Borg-Warner 67185 N/A 3PSIAV459 1981 Repaired YES

7. Description of Work: Rework the valve to correct seat leakage, remove and replace seal weld

8. Test Conducted: Hydrostatic 0 Pneumatic El Nominal Operating Pressure 0 Exempt 0 N-416-2 ' Other Pressure TestTemperature ",psi NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11.

inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded it the to of this form.

FORM NIS-2 (Back)

$' Remarks: WM 2834252 removed and replaced the bonnet to body seal weld and reworked eemeed-the stem and disc assembly to correct seat leakage.

Pre-Pressured Test WO Review -SI ___ ___

N I.A Certificate of Compliance We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorization 0. N/A Expiration Date: N/A Signed: . L. 6- Date:

Owner or Owner's Designee, Tile

/ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of I"b-%.-f to -, ,-and state that to the best of my knowledge and belief, the Owner has performed examinations ahd. taken corrective measures described in this Owner's Report in accordance. frith the requirements of the ASMIE Code,Section XI.

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

Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsemnts Date:c-or S- oatUre I I Date:

FV21a-08NI (848)

PV216-OSNJ 73DP-9ZZ17 Rev 9 N

ASME SECTION XI- REPAIR / REPLACEMENT Page  % of 1I. Component ID 3PSGEV952 1 2.. Item

Description:

12" Anchor Darling Gate valve

3. N-5 Data Package Number: - - 4. W.O. Number: 2835375

5. Original Construction Code Edition" '1974 Editioh, Summer 1975 Addenda .

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

7. Work

Description:

Rework pressure seal gasket sealing surface on the bonnet by weld base metal repair and then rermachining surface to restore surface at steam cut area.

8:0 ISI-Flaw- NDE Method of Flaw Detection:

Report Number:

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

No failure of the ASME Section III boundary. Need to rework sealina area (base metal weld revair) on the bonnet to correct leakaic.

10. Repair/Replacement Work Organization: ..Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. MCI 2, 1974 Edition Summer 1975 Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. M C1 2, 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: El YES Z NO Initial ' Date .- L) L... If required, include a step in the W.O. to perform Preservice Inspection I." 15. ASME Section XM Pressure Test Require(d: Q YES 0NO Initial , Date.y],'* If required, include a step in the W.O. for ISI & ANI Inspection.

Initial - Date 1 -16. Include a step in the W.O. to complete NIS-2 Form prior'to releasing the

• -component.

Initial Date 0(,/f°Ar-Dat 7ireplacement step in the W.O. to record below all applicable numbers for repaired or

17. Include aitems.

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

Valve N/A E6162-49-10 N/A :__N/A_ .

Bonnet N/A 3 N/A "___N/A I____S._____Planner________ Printed Name: David Goodlet

- Signature Date

19. IS1 /I i Printed Na me: I -W/'Log Entry..j

20. ANII .0 . Printed Name:

Sigure Date I w7 M6U0" tra

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

-j 1. Owner: Arizona Public Service Company, et. al. Date: 4/17/2006 P. 0. Box 53999, Phoenix'rizona 85072-2034 Sheet: 1 of 2

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

-... 5801South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2835375

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

4. Identification of System: SG: Main Steam

5. (a) Applicable Construction Code ASME Section mI NC, Class 2 1974 Edition, Summer 1975 Addenda, 4N Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacemefit Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or No'I Valve Anchor Darling E6162-49-10 N/A. 3PSGEV952 Repaired YES Bo'nnet Anchor Darling 3 N/A 3PSGEV952 ,j/q Repaired YES

7. Description of Work: Base metal repair to bonnet due to steam cut in gasket sealing area.

8. Test Conducted: Hydrostatic 0 Pneumatic 5 Nominal Operating Pressure 0l Exempt 0 N-416-2 0 Other Pressure ,.... psi Test Temperature -3/A- OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 V X 11 "1 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

I

FORM NIS-2 (Back) 9Remarks: Work Order# 2835375 for valve 3PSGEV952. Valve was disassembled and inspected. Bonnet has steam cut

'"i in gasket sealing area. Will base metal repair and remachine. This valve was installed in the 1988 time frame.

Pre-Pressured Test WO Review - ISI A.

Certificate of Compliance We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code,Section XI. -

Type Code Symbol Stamp N/A Certificate of Authorization N/A. Expiration Date: N/A Signed: ."/

• Date: _ P. ,_:26 Owner or Owner's Dcsignccm Thid CERTIFICATE OF INSERVICE INSPECTION

//

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

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

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

,_ "Commissions:

_ _ __,_ NB 9685 "N" 'T" AZ264 Date:

-. sctots Sipnar National Board, Stat, Province., and Endoisements Date., (88 -- 7Rv PV216-NNI* (8-W8 73DP-9ZZ17 Rev 9

ASME SECTION XI- REPAIR REPLACEMENT Page . of '

1. Component ID 3PSPALO79 2.. Item

Description:

FLOW INDICATOR S.P.

3. N-5 Data Package Number 3SPOI-2 ,. 4. W.O. Number: 2852135

5. Original Construction Code Edition:.1974 Edition. Summer 1975 Addenda

6. Original Installation Code Edition:' 1974 Edition. Winter 1975 Addenda

7. Work

Description:

To remove the annubar for engineering inspection. during this evoludion the flange fasteners will be removed and replaced due to corrosion of the fasteners for ease of re-installation.

8. E0 ISI Flaw

• NDE Method of Flaw Detection:

Report Number:

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

This annubar is being removed for an engineering inspection. Fastener replacement is NOT due to failure.

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. IH CI 3, 1974 Edition 1975 Summer Addenda

12. .Repair/Replacement Activity Construction Code/Edition: Sec. M CI 3, 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: 0] YES ' I NO Initial Date If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: 0] YES 0' NO Imitial* ~ Date . o If required, include a step in the W.O. for ISI & ANII Inspection.

Itfa

• al Date t '1'

• /T*" ( component.

16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the

17. Include a step in the W.O. io recbrd below all applicable numbers for repaired or ini-ia , Date replacement items.

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

j IFwo STUDS APN 43110014 N/A -gop/,17 MR 1088535 NUTS APN 43122013 N/A Z-4v# MR 1088535 1Printed Name: Martin I Sullivan sipaureDate

19. 51 *I71t,6 .C Printed Name:t WAP -Log Entry -

siam j .g 1.

20. ANII _-:,A .- PrintedName: ,C-(-o-SiguatA Date

?V214.~I 01*

FORM NIS-2 OWNER'S REPORT FOR REPAIRS ORREPLACEMENTS As Required by the Provisions of the ASME Code Section XI 4-.

1. Owner. Arizona Public Service Company, et. aL. Date: 04/17/2006 P. 0. Box 53999, Phoeni*Arizona 85062-2034 Sheet: I ot.f.-

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

......... 5801- South Wintersburg Road., Tonopah. Arizona 85354-752 :9 m m Work OrderNumber 2852135

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

4. Identification of System: SP

/

5. (a) Applicable Construction Code ASME Section IMI ND. Class 3 1974 Edition, Summer 1975 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or

,__NO)

/Fla.Nge studs N/A H. # 731500 N/A 3JSPAFE0007 2006* Replacement NO

/ .S 5 Flange nuts N/A Ht. # LSP N/A 3JSPAFE0007 2006 Replacement NO 3 Flange nuts N/A Ht. # LVH N/A 3JSPAFEO007 2006 Replacement NO

7. Description of Work. To remove for en~ineering inspection, and to replace flange fasteners.

8. Test Conducted: -Hydrostatic 0 Pneumatic Q Nominal Operating Pressure E] Exempt 0 N-416-2 0 OtherPressure K psi Test Temperature N/A *F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 %X I I inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

N

I FORM NIS -2 ' "(Back)

- ~ Rmaks rdr 85135 t rmoe 9Wok nnuarfo e~ieein~invetin.andtorelae laneIasenrsfo

," .1 'Renmarks: Work Order 2852135. to remnove Annubarfor engineernge inspection, and to replace flarige fasteners for t

"Annubar Flow Element 3JSPAFE0007 on line 3PSPAL079, Pre-Pressured Test WO Review- ISI ANH Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the

'ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: Date: f-.7-,o Owner or Owner's Degnee,, Title CI I CERTIFICATE OF INSERVICE INSPECTION

/o" I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of ----. o.,

to ,t-27t-at, , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance, with the requirements" the ASME Code,Section XI.

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

-~ Commissions: NB 9685 "N" "I"AZ264

. \Inspectors Signature National Board, State, Provinece and Endorsements Date: " 4-.7-oC.

• .1 U-I

[ PV21l0l 11(-........ 7 .. ev FV21"M (8-88) 73DP-9ZZI17 Rev 9

ASME SECTIONXI.- REPAIR !REPLACEMENT I

,.I.

Component ID 3PSPBLO25

, ,Page C of.L -

,2.. Item

Description:

DISCHARGE FLOW INDICATOR S.P.

3. N-5 Data Package Number: 3SP02-2 -- 4. W.O. Number: 28 243-6 44T-061

15. Original Construction Code Edition: 1074 Edition, Summer 1975 Addenda

16. Original Installation Code Edition: *1974 Edition. Winter 1975 Addenda

7. Work

Description:

To remove the annubar for engineering inspection. during this evolution the flange fasteners will be removed and replaced due to corrosionof the fastenersfor ease of re-installation.

8. 5 ISI Flaw - NDE Method of Flaw Detection:

Report Number:

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

This annubar is being removed for an engineering inspection. "fZ 's4-'3 h / C65WIC- 1

10. Repair/Replacement Work Organization: Arizona Public Service /

11. Replacement Items Construction or reconciled Code/Edition: Sec. I7 Cl 3. 1974 Edition 1975 Summer Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III CI 3. 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: -E YES . NO Initial A!1..." Date Ž..6~..6 If required, include a step in the W.O. to perform Preservice Inspection

-'5. ASME SS tion XI Pressure Test Required: 0] YES NO Initial// ./ . Date 0j:g* If required, include a step in the W.O. for ISI & ANII Inspection.

InitialInitial

/A//"/ Date Date 7 '16.-o* Include a step in the W.O. to complete NIS-2 Form prior to releasing the cojnet cI~-rr---- -~P -- oponent.

Intal Date 17. Include a step in the W.O. to record below all applicable numbers for 'repaired or Initial ~ Date *"/,*"*' ~ replacement items.

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

STUDS APN 43110014 N/A ýOT.7i 8 LF. -'03 NUTS APN 43122013 N/A iot'T[94-01ý

18. PlannerZ Printed Name: Martin J Sullivan Date Jo

.. 19. ISI ~Y4&PQA Date Printed Name: R AE..P.P Log Entry

~gnaiure J

I20. ANII. -~

! I Date Printed Name: *" "" Xa o'.,

?SD?.UI1 ~

?~2I444m ~fl)

1.

.1. V -

.i.

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Owner: Arizona Public Service Company, et. al. Date: 04/12/2006 P. 0. Box 53999, Phoenix Ar4=ona 85072-2034 Sheet: I of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 4-%S 2O4,N

• 5801 South Wintersburg Road., Tonopah, Arizona 8535 4-7529 Work Order Number -2H-2436-

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

4. Identification of System: SP

5. (a) Applicable Construction Code ASME Section III ND, Class 3 1974 Edition, Summer 1975 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or

_ _NO)

S.P. flow meter Pullman power N/A 3PSPBLO25 2006 Replacement NO fasteners products

7. Description of Work: To remove for engineering inspection, and to replace flange fasteners. .. =.

8. Test Conducted: Hydrostatic Q Pneumatic 5 Nominal Operating Pressure 5 'Exempt0

'N-416-2

• F C OtherPressure psi Test Temperature NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X Ii inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

FORM NIS-2 (Back)

Remarks: To remove forengineering inspection, and to replace flange fasteners. w.o.-2436 .2 *:6Z 4*a3

• *F .. . . . - "

Pre-Pressured Test WO Review - ISI IA

. . ...... "T'

- 4 '/r Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XL I

SI Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed:c

• I .-- Date: 4._-_ 7-_ _

J Owner or Owner's Designm Itiie

/

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

to - and state that to the best of my knowledge and belief, the Owner has performed-examinations andstaken corrective measures described -in this Owner's Report in accordance with the requirements of tASME Code,Section XI..

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

"Inspectors Signatre Commissions: NB 9685 "N" '"I AZ264 National Board, State, Province, and Endorsements Date:

/.jur-~ILLI I I(CV 'J PV2!6-08N1 (8.88)

PV21I6-08NI (8-89) 7,,DPl.-9/Z.Z,7 Re

ASME SECTION XI - REPAIR I REPLACEMENT Page , of 1.11. Component ID 3JSIBUVO679

-2.. Item

Description:

."B" Train Containment Spray to "B" Shutdown Heat Exchanger Valve

3. N-5 Data Package Number 3SI07-6 4. W.O. Number: 2861195 4

5. Original Comtruction Code Edition: 104 Edition, Winter 1975 Addenda

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

7. Work

Description:

Replace the gasket retainer bolts per the requirements of NOO 1-1104-00279 8.0 ISI Flaw NDE Method of Flaw Detection:

.Report . Number:

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

No failure of the ASME code boundary

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. MCI 2, 1974 Edition 197"fWinter Addinda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cf2. 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: El YES 0 NO Initial / Date If required, include a step in the W.O. to perform Pieservice Inspection

15. ASME Section XI Pressure Test Required: El YES 0 NO initial _____ Date If required, include a step in the W.O. for ISI & ANTI Inspection.

Initial, * *Date --*- 7- *g 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the

/ component.

or Initial/Date 17. Include a step in the W.O. to record below all applicable numbers for repaired replacement items.

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

Gasket retainer bolts APN 43141195 N/A ___" __ MR 1074008

18. Planner - Printed Name: James I. Davis a Signature Date

19. ISI h- Ot PrintedName:R'P XN.T .Pt LogEntry -_.

SipatureDate

20. ANII *24 Printed Name: 1.

Sigp,+ " Date 71flP.9=I1 Rot rliAWOM 04ri N

FOR REPAIRS OR REPLACEMENTS FORM NIS-2OWNER'S As Required byREPORT] the Provisior is of the ASME Code Section XI

1. Owner Arizona Public Service Company, et. al. Date: -

P. 0. Box 53999, Phoenix Arizona P..3i 85072-2*034 Sheet: I of 2

2. Plant: Palo Verde Nuclear Generating Station Unit: 2 cQRl Qe.th W.;n*keer~r lDcr%, Tr"P^ ~ah At4,wvna RQýAIZ."/;1 Work Order Number 2861195 UfJ!QS , UASfL 4..

3... .JUrJL PefoJmd.J AiLon YT ulic ServLic .L

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

4. Identification of System: Safety Injection

5. (a) Applicable Construction Code ASME Section III NC, Class 2 1974 Edition, Winter 1975 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or.Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or NO)

V4 ve Posi -Seal 14337-1-B N/A 3JSIBUVO679 1980 Repaired YES Gasket retainer N/A N/A 3JSIBUV0679 2006 Replacement NO bolts

7. Description of Work: Replace the gasket retainer bolting as required per N001-1 104-00279

8. Test Conducted: Hydrostatic [I Pneumatic EQ Nominal Operating Pressure 0 Exempt 0 N-416-2 0 OtherPressure At.. psi Test Temperature 'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11 inches, -(2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

FORM NIS-2 (B.ack)..

' Remarks: Work Order 2861195 replaced the original gasket retainer bolts with identifiable 410 Stainless steel bolts per NOOI -1104-00279.

Pre-Pressured Test WO Review - ISI N/A AN__

Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rulesof the ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: 4 x"t q r~ipee.

h t .At* Date: q"/"'*

JJ h OwnerS.or Owneres CERTIFICATE OF INSERVICE INSPECTION

/"

I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of 3-'- Ot to A-%cc. , and state that to the best of my knowledge and belief, the Owner has performed examinations an-d,, taken corrective measures described in this Owner's Report in accordance with the requirements of t ASME Code,Section XI.

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

',- tas Signature Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Date: I-r-oC.

a. -

1~L)k'-YL.~I I KeY ~'

PV216-08NI (8.88)

PV216-08N1 (8-88) 73DP-9/ZZI-/ Rev 9

ASME SECTION XI - REPAIR REPLACEMENT -. i ,Page.- -of

1. Component ID 3PSIEV247 2.. Item

Description:

SIT 1B Discharge Check Valve

3. N-5 Data Package Number: 3RCOI-3 . - 4.. W.O. Number: 2861512

.Original Construction Code Edition:-' 1974 Edition. Winter 175 Addenda

6. Original Installation Code Edition: 1974 Edition, Summer 1975 Addenda

7. Work

Description:

Rework or replace the bonnet and disc assembly to correct seat leakage

8. 0 ISI Flaw NDE Method of Flaw Detection:

Report Number:

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

Seat leakage - No ASME boundary failure

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. M Cl I. 1974 Edition 1975 Winter Addenda

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

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

14. Preservice Inspection Required: El YES 0 NO Initial ,L*../,/ Date r If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure TestRequired: [ YES El NO i

InitiaL, ..,J-L 'Date 3 *-9

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

16. Include a-step in the W.O. to complete NIS-2 Form prior to releasing the Initial

• Date Zr-9-bC component.

/P 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial . Date ."-9-0iCL - replacement items.

Item ID Part No. Serial No. Heat No. MR/PO 0O

0) / C. (B G 4::?

i5jg1NI .271 -7

18. Pl"anner C Printed Name: James I. Dav'is S-- "- DMw ZI z

• 30/0e~'prnte Nae: Z LogEntyr (P PitdN e

19. ISI DaWe

,I0S -; L nr_

Sigzan

\20. ANIIV_ _ -______ . Printed Name: 1Z .6, SigamurJ IJ'W FV2l4IM (41 73DP.OUI1ItWV

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner Arizona Public Service Cdiitpanv. et. al. Date 04/27/06 Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet I of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3

--- _25801--S. Wintersburg Rd., Tonopah,Name A5 Atri.zona 85354-7529 2861512 Address worx Order Number

3. Work Performed by Arizona Public Service Type Code Symbol Stamp None Name Authorization No. N/A 5801 S. Wintersburg Rd., Tonopah, Az 85354-7529 Expiration Date N/A Address

4. Identification of System Safety Injection I

5. (a) Applicable Construction Code ASME Section ifi 19 74 Edition, W75 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 92 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASMECode Item Manufacturer Serial No. Board No. Identification Built Re or Stamped Itm __'it__ R eplaemet (Ysor No)

Valve Borg-Warner 32613 1055 3PSIEV247. 1978 Repaired Yes Disc - removed Borg-Warer NA NA HT # 2K45 1978 Repaired Yes Bonnet - removed Borg-Warner NA NA HT # 2X61 1978 Repaired Yes Disc - installed Borg-Warner SNI NA HT # 2E691 Replacement No Bonnet - installedt Borg-Warner SN8 NA HT # 2E76

• Replacement No

7. Description of Work Replaced the bonnet and disc assembly. (* note remarks on Page 2) 8.Test Conducted: Hydrostatic IQ Pneumatic.IQ Nominal Operating Pressure El Exempt Q* N-416-1 Q]

Other IJ Pressure A St6 -psi Test Temp. , Or oF

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

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

U 730P.9ZZ17 PV-E0092 PV-E0092 Ver.

~r. 77 . 730P-9ZZ17

FORM NIS-2 (Back)

U.

9. Remarks Workr W,,srR11 ~ite nnit~r ir~.~hywt t~2ehyfnn1~TV~

Tht in-,taillA ~c~hy crp-mnvy'i by wnr1c nrrlpr ?73??i5 -,nfirhirbS hy nrkr nrAdt-bV~'

28600f77 Pre-Pressure Test Review: lSl.OMX4)Z.. ANII.-~ .

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. rmnt Ipar Type Code Symbol Stamp N/A Certificate of Au orization No. N/A Expiratiorn Date N/A' Signed 5R.-. X "-SZ 6,v61-, . Date

/~ I. 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 AiLm,, and employed by HSB CT of Hartford. Connecticut , have Inspected the components described in this Owner's Report during the period 1-10-owc, to s-0-c)G , and state that to the best of my knowledge and belief, the OWner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

Commissions ,AL , ,.,c.' A.Z

~~Inspe~toI~s Signature National Board, State, Province, and Endorsements Date 4-to-

-I 730P-9ZZ17 PV-EO092 BACK Ver. 77BACK Pv-E~92 Ver. 73OP-OZZ17 .

• ASMiE SECTION xI- REPAIR I REPLACEMENT Paeo - of 1! 'N 1. Component ID S/N:. BS-08581 IU 2.. Item

Description:

Main Steam Safety Valve: Dresser -6" 3707RAX-RT-25 1315 psig

3. N-5 Data Package Number: na .- 4. W.O. Number: 2874095

5. Original Construction Code Edition:, 4 1974 Edition. Summer .1975 Addenda .

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

7. Work

Description:

Maintenance overhaul and testing of spare valve. Code part replacement from other spare valves or from approved purchased spare parts based upon inspection results.

8. 0 ISI Flaw - NDE Method of Flaw Detection:

Report Number.

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

No failure of the ASME IlI boundary. The disc will be replaced with preoxidized ASME SB637 or ASTM B637 INCONEL X-750 material to enhance performance. Other parts will be replaced on a as needed basis.

10. Repair/Replacement Work Organization: NWS Technologies

11. Replacement Items Construction or reconciled Code/Edition: Sec. CI.(21 2,1974 Edition Summer 1975 Addenda

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

13. ASME Section XI Cide/Edition: 1992 Edition and 1992 Addenda

14. Preservice Inspection Required: 5 .YES 0 NO.

Initial / Date '32rf"0C, If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: 0 YES 0 NO Initial Date 3-o.'zfa0 - If required, include a step in the W.O. for ISI & ANII Inspection.

al" Date ,1 16. Include a step in the W.O. to complete NIS-2 Form prior to releasin ig the

,n ,a , -, Datcomponent.

./P Initial De .- step in the W.O. to record below all applicable numbers fior repaired or

17. Include aitems.

IitiDate replacement Item ID Part No. Serial No. Heat No. "RPNW-Disc APN 00064290 A . N N/A

18. Planner -Printed Name: David Goodlet

~. Signature Date

19. IS! /Io Printed Name: ~ > ~ g Entry-K-Pý Date

20. ANII Z4 -O Printed Name: ( 4

-C'kR.oj szguanI Date

~

mwmm"l-l{-)

N

ASME SECTION XI - REPAIR / REPLACEMENT

__Page '2. of

1. Component ID SIN: BS-08635 2.. Item

Description:

Main Steam Safety Valve: Dresser- 6" 3707RAX-RT-25 1315 psig

3. N-5 Data Package Number: n/a

• 4. W.O. Number: 2874095

5. Original Construction Code Edition:'. .1974 Edition; Summer 1975 Addenda

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

7. Work

Description:

Maintenance overhaul and testing of spare valve. Code part replacenient from other spare valves or from annrnveil nuirrha~ed .nare narts hased unntn insnection results.

finnrn jiurchned -snarenuts b ed unnn insnection results.

8. 0 ISI-Flaw - NDE Method of Flaw Detection:

Report Number.

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

No failure of the ASME III boundary. The disc will be replaced with preoxidized ASME SB637 or ASTM B637 INCONEL X-750 material to enhance performance. Other parts will be replaced on a as needed basis.

10. Repair/Replacement Work Organization: NWS Technologies

11. Replacement Items Construction or reconciled Code/Edition: Sec. M CI 2, 1974 Edition Summer 1975 Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. HII Cl 2, 1974 Edition 1975 Winter Addenda

13. ASME Section XI Code/Edition: 1992I Edition and 1992 Addenda

14. Preservice Inspection Required:. [IYES Z NO Initial " Date " If required, include a step in the W.O. to perform Preservice Inspection

/

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

.Initial ,Azf Date _--,___

Initial Date -16.* Include a step in the W.O. to complete NIS-2 Form prior to releasing the

. Dae component.

17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial ;11,4 Date __-

replacement items.

Item ID Part No. Serial No. Heat No. MX.PWO-Na.

Disc -APN 00064290 AlkN/A 931

18. Planner Printed Name: David Goodlet Signature Date

19. ISI_ "______ PrintedName:  %---4T.1*.*)PLogEntryQýý Date

20. ANIl - -04 Printed Name: "'""

Signal Daft

-Výr-wj 7"-9=7 A" 9

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

1. Owner: Arizona Public Service Company, et. al. Date: 04/10/2006 P. 0. Box 53999, PhoenixArizona 85072-2034 Sheet: I of`2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3" 5801_South Wintersburm Road.. Tononah. Arizona 85354-7529 Q

Work Order Number 2874095

3. Work Performed by: NWS Technologies Type of Code Stamp None Authorization No. N/A

4. Identification of System: SG: -Main Steam

5. (a) Applicable Construction Code ASME Section mI NC, Class 2 1974 Edition, Summer 1975 Addenda, . Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code I. No. Stamped (Yes or No)

Disc Dresser ADG64 n/a BS-08635 2001 Replacement NO

/"

Disc Dresser ADG62 n/a BS-08581 2001 Replacement NO Spindle Dresser n/a n/a BS-08581 2006 Replacement NO

7. Description of Work: Overhaul and testing of three spare Main Steam Safety Valve.

8. Test Conducted: Hydrostatic 0 Pneumatic 0 " Nominal Operating Pressure 0 Exemp t0 S* NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 / X 11

" inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numhbered and the number of sheets is recorded at the to of this form.

U- II

FORM NIS-2 (Back)

9. Remarks: Work order #2874095 for off-site disassembly, reconditioning and testing of three spare Main Steam Safety Valves. s/n BS 08635, BS-08581 and BS-08587. The first two need the new material for the valve disc. The third has new tye disc already. On valve BS-0.581 a new Spindle was installed, the existing spindle had excessive runout;.

Pre-Pressured Test WO Review - ISI ANTI MIA Certificate of.Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expirati on Date: N/A Signed:" o-o, c tA-4t5, Date: J710-6 CERTIFICATE OF INSERVICE INSPECTION

/

I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of 3-'It- o.."

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

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

-vi /1 Commissions: NB 9685 "N" 'T' AZ264 National Board, State, Province, and Endorsements iaspcto- Sig tu-*e Date:---- -- la i I. -

73DF-9?a~ZUI KCY Y PV216-OSNI (S-US)

PY2I -08NI (8-88) .73Dp-gTII7 Rev 9

FORM N1-2 CERTIFICATE HOLDs' .--, REHPORT FOR 1DZNTICAL NUCLEAR PARTS A APURTENA.CES, P;J As Required by the Provisions of the ASiME Code,Section III Not to Exceed One Day's Prcduc'ion t: .:.'? =.',

.* - Pg.1of 2 DrasserA/e3Ve Di'A.,scr.; Dres-er Eu:.tGc Or In=

~ ~.'~- ...

• .. 2ed': n~sa~:~Hv.':. 1:37 325':rn.

• 2

-7.Cefa~ - IA (.- h-Xr

.+ - ---..... .Zo..  ; ..

• i . .-A .':. 1.-...

ý!3Lr:w ='.11 -.

tlZr:

'. T:.~ 4 S2537 (lnconel X-750) , .

• 201

.. ,:.;,-I C.:de S- Il!.l:nDi-Aisicn 1: 1.74 -rrer 1575 2 NIA

• (G *J.cn ) . je: :=2 =2-3, Cz.zss* ( c-ce Cast nz. )

. Fazecatsd in z:cr~nca v Ccnst. Scec. ( Div. 2 only) N/A ".Re-!s*.:n C,._

a te NIA

7. .-. :s : Setal Naers Are Used In Ueu Of N?,TSt*:'.,:.

8. Ncm. t~hickness (in.) N/A Min. designthickness (in.) N/A Dia. ID ( ft. & in.) N/A Length overall (ft. & in.) N/A

9. When applicable, Certificate Holders' Dat§Repcrts are attached fr each item of this report:

National Pa,'t or Appurtenance

• Part or Apourt"nance National Serial Number ". "...... oard No. Serial Number Board No.

in Nvrjeudcal Order In Numerical Order ADG6O (26)

(2) "ADGB1 (27)

(3) ADGS2 ~(Q*~'I I (28)

(4) ADG84 t3~,oe~5-I _____________ (29)

_______________________I.

(5) ADG8S _________________ (30)

(5)" (31)

(7) I ____________________________________________________ ___________________________________________________(32)

(8) (33)

• (34)

_______________ I. (35) -_ _ _ _ _I_ i -i (36)

_________ It_________

I (37)

(38)

I.

(IS) ____________________________________________________ ___________________________________________________

(39)

(40)

_ _ _ _ _ _ I _ _ _ _ _ j I

___________________________________________________________________ (41)

(22) ____________ i ____________ (42) __ _ _ _ I _ _ ,,,__

________ .1 ________

(43)

__ _ __ _ _ _ _ _ _ I I

____________ .1 (44)

_________ I _________ .1 (4 5')

(21) ________ I ________ I _ _ I"__

_________ I _________ I

.(23)

(24)

I T_________

(418)

(49)

__ _ _ _ I_ _ _ _ _

(25)

_________________ .1 (5c)

_ _ _ _ _ _ I I I I. _ __ __ _ _ _ _ _ _ I.

• 10. oesiGn pre~sure "I A P Terho. N/A '. Hydro. Test pressure 2250 PSIG at temp. *F

.:~~~~a :racn* e~r :i~s .c~ecrrw~.S ny~ sd:vcd  !;ei-117X 11.(2) !n!cs.,~afcr.- 'L--.,s 2 ard 3cn Vis Dz~a Reccfl

~~~~re* r:- t9-A~tei.t uner ci sV1Ceets .S :th ~s.

. * .-- .C a'?,.

i "Ml -.- ',7/-Fsc .

FORM,iN.2 (!Back,- Pg. 2of 2)

A_C G.o 0.5__

by.. .

JA " c._.'S

'.*- IA RgIo.N/A C-=TiF!CAT-; C'F C.C.'J 1-11A.

iCE Cisc N7 Cz?.c~ cA..1U-:riza-=1cn

. Mo N*4 E~:ras ~i2OI2CC4 Date , arne M- SEE LInE I S;gnsd

-%~FT Cen.icamu Xcider) (a~Lhcr~ad r~tasant2Uve)

CERTIFICATE OF INSPECTION I, the undersigned, holding a varid commission Issued by te Natiacnal Board of Boclr and Pressure Vessel lnspectcrs and the State cr Province cf LOUISIANA and employed by H.S. B.L&1.Co.

of HARTFORD, CT. have inspected these items described in this Data Report on _ /e 1/o , and state that to the

-. t of my knowledge and belief, the Certificate Holder has fabricated these parts or appurtenances Inaccordance with the ASME Code; Section Iisicn 1"Each part listed has been authorized fcr stamping on the data shown above.

Bi signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concerning the equipment described In this Data Report. Furthermore, neither the inspector nor his employer she!! be liable in any manner for any perscnal injury or property damage or'0css ofany kind arising from or connected wih. pec Date / Signed Ccmmmissicns_

(Autwcdzd NiTrcýear Ihlecor) a Sd. (inc. endcrsenents ) and state coprov. and no.

Nat.

c

?2i:CU rzsanac-;)

Id%

ASME SECTION XI- REPAIR I REPLACEMENT Page of

1. Component ID RPS1AL248 2.. Item

Description:

Spool piece Downstream of 3PSIAV056

3. N-5 Data Package Number: 3RC01-3 - 4. W.O. Number: 2881980

5. Original Construction Code Edition: ' 1974 Edition, Summer 1975 Addenda

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

7. -WorkDescription: Install T-Mod 2881770

8. 0 ISI Flaw NDE Method of Flaw Detection:

---

.. Report Number:

9. Evaluation of the suitability of this work as per the requirements of TWA -.4150:

Installation of Temp6orary Modification, no ASME Code failure

10. Repair/Replacement Work Organization: Arizona Public Service /

11. Replacement Items Construction or reconciled Code/Edition: Sec.Ill CI 1. 1974 Edition 1975 Summer Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. M Cl . 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: Dl YES O NO Initial UL .. Date If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: El YES 0 NO Initial "nta J/,. Date Dt If required, include a step in the W.O. for ISI & ANII Inspection.

16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial - Date - component.

17. Include a step in the W.O. to record below all applicable numbers for repaired or Initiab,,t',ý'3 Date A/" C replacement items.

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

Flange APN 43580760 P- 4/2  ?-1Y

"/ qj MR 1084907 Orifice (fabricated from APN 43640489

~Stock)

Studs APN 43115015 N "A ".-MR 1084908 Nuts APN 43126003 IYA A MR 1084908 I'

• 18. Plan " 9 Signature, .. ) 'L " Date " Printed Name: James I. Davis

19. IST ./ Signatuic 6--C..

Date Printed Name: 24 L on2t.j A)NLog Entryv

20. ANTII -'__,,-- Printed Name: , 6_.

Signatuk . Date

.......... I7 R.'

Mz.44M"(-)

FORM NIS-2 OWNER'S'REPORT FOR REPAIRS OR-REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.Owner Arizona Public Service dGpipanv. et. al. Date 05106106 NaMe P.,o. Box 53999. Phoenix. Arizona 85072-2034 Sheet I of 2 Address

2. Plant Palo Verde Nuclear Generating Station Unit 3 Nam '

_5801 S. Wifitersburg Rd., Tonopab, Arizona 85354-7529 2881980 Address Work Order Number

3. Work Performed by Arizona Public Service Type Code Symbol Stamp None Name Authorization No. NIA

, " 5801 S. Wintersburg Rd., Tonopah, Az 85354-7529 Expiration Date N/A-Addressc

4. Identification of System Safety Injection

5. (a) Applicable Construction Code ASME Section III 19 74 Edition, VW75 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 92 Addenda

6. identification of Components Repaired or Replaced and Replacement Components Vo Name of Name of Manufacturer National Other Year Repaired ASME Code

.or Stamped Item Manufacturer Serial No. Board No. Identification Bulit Replacement (Yes or No)

Pipe Spool Pullman Power 3SI248N001 NA 3PSIAL248. 1983 Repaired Yes

/ Flange NA N5542-3-4 NA HT # 965RNE 2006 Replacement No Orfice NA NA NA HT # U7052 2006 Replacement No Studs NA NA NA HT# 726516 2006 Replacement No Nuts NA N. NA NA HTI# D5 2006 Replacement No-

7. Description of Work Implement TMod 2881770

8. Test Conducted: Hydrostatic El Pneumatic Q Nominal Operating Pressure 0 Exempt @ N-416-1 I0 0

Other El Pressure ,.tI, psi Test Temp. O/"

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

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

7SDP-9ZZ17 PIV-EO2 P¶,LE0092 Ver.

Var.?7 . *

• 73DP-gZZ1 7

FORM NIS-2 (Back)

9. Remarks Wnrk- Ardjr9R2R1280 l mple~m~nte T Mndilrflntn 9RR 1770 nn IP5qTAT 974R dnuct wnm nr '

WRTAVA56 by imtaing an fhn erf,ind ya1vp. nc..nihly Thir.WOA gdn illga-dn" ,fIng' studs find wmtc Pre-Pressure Test Review: ISlNA___ ANI_ NA' CERTIFICATE OF.COMPLIANCE We certify that the statements made Inthe report are correct and this replacement conforms to the rules of the ASME Code,Section XI. repýr or replacernent Type Code Symbol Stamp N/A Certificate of Authorization No. N/A .Expiration Date N/A Signed Date

>S.rE~eor owner's Designee. Uisl CERTIFICATE OF INSERVICE INSPECTION I,the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors of and the State or Province of Hartford. . Az and employed by HSB CT Connecticut , have Inspected the components described Inthis Owner's Report during the period ",'24-o.. to C-c.-oc. , and state that to the best of my knowledge and belief, the.Owner has performed examinations and taken corrective measures described Inthis Owner's Report In ccordance with the requirements of the ASME Code,Section XI.

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

-:7 4r- Commissions *, t,,is -A,., Az 2e'.A Itý ois Signature National Board. State. Province. and Endorsements Date 730P.9ZZ17 Pv-E0092 Vor.

PV-ED092 7 BACK Ver. 7.8ACK 73DP-gZZ17

ASME SECTIONXI - REPAIR REPLACEMENT

• . o .Page ['of

~~*2~ 1. Component ID 3PSIBLI99 r.

2.. ItemDescription: SRool miece Downstream of 3PSIBV057

3. N-5 Data Package Number: 3RC I . - 4. W.O. Number: 2881982

5. Original Construction Code Edition:;4 1'974 Edition. Summer 1975 Addenda

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

7. Work

Description:

Install T-Mod 2881770

8. 0 ISI Flaw NDE Method of Flaw Detection:

... . - - - Report Number:

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

Tnctallatinn nfTmrn*innrv M*ivfrntinn ntn ARMP r'*t-e fainre."

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec.m ClI 1. 1974 Edition 1975 Summer Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. m C I1. 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection ReqI~ired: OYES 0 NO InitialAP Date 4 If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section X Pressure Test Required: [] YES 0 NO Tnitial ,

• Date 4'1"'J-C C.. If required, include a step in the W.O. for ISI & ANII Inspection.

16. Include a step in the W.O. to complete NIS 2 Form piior to releasing the Initial __Date. 44S--1-04 component.

/ .

Initial Ina "a17.

.__77e D ate'/-/* replacement a step in the W.O. to record below all applicable numbers for repaired" or Include items."

Item ID 1 Part No. Heat No. MR/POIWO No.

Flanee F.ý *t4- IMR 1084905 4 Odfice (fabricatedfrom MR -@905 cc1 "I .I A A _TW1 Stock) . . . -. . , ." ,,, ,-., .-.

Studs APN 43115015 2 "MR 1084906

-Nuts " APN 43126003 # 4A.- je=D6 MR 1084906 "PN Aie e9S/7a NA -s// a1.l

________ AN q551oq/ , ~gy

/dr_____a

18. at . "7""'Ž *cC " Printed Name: James I. Davis Da*e t'C.) 2

19. 151  : Printed Name: ac_Ul. i.og Entry : .--

r gignature' Date Io20. -~

.signatAA It-24 -0 e.

Dute Printed Name: __ . _. _ _ _ __ _ _ _ __"

FV-ali

.HUt)

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

1. Owner Arizona Public Service C.bmpany. et. al.

Date 05/06/06

. Nanm P.O. Box 53999. Phoenix. Arizona85072-2034 Sheet 1 of 2 Addiress

2. Plant Palo Verde Nuclear Generating Station Unit 3 Name

-ii 5801 S. Wintersburg Rd., Tonoph, Arizona 85354-7529 2881982 Adftes Work Order Number

3. Work Performed by Arizona Public Service Type Code Symbol Stamp None Name Authorization No. N/A 580U1 S. Wintersburg Rd., Tonopah, Az 8*4-7.29 Expiration Date NI853:5 Address

4. Identification of System Safety Injection

5. (a) Applicable Construction Code ASME Section m 1974 Edition, W75 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 92 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components I. Name of Name of Manufacturer National Other Year Repaired ASME Code Bit or Stamped Item Manufacturer Serial No. Board No. Identification BuReplacemen (Yes or No)

Pipe Spool Pullman Power 3SI199N001 NA 3PSIBLI99 1983 Repaired Yes

• Flange NA N5542-3-1 NA HT # 965RNE 2006 Replacement No Orfice NA NA NA HT # U7052 2006 Replacement No Studs NA NA NA HT #726516 2006 Replacement No Nuts NA NA NA HT # D5 2006 Replacement No.

7. Description of Work Implement TMod 2881770

8. Test Conducted: Hydrostatic'E0 Pneumatic 0 Nominal Operating Pressure 0 Exempt

• N-416 -10 Other 0 Pressure_______ psi Test Temp. , O____

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

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

73DP-9ZZ17 PV-EO092 PVEOOQ2 Ver.

Var. 77 73DP-OZZ17

d.

FORM NIS-2 (Back)

9. Remarks W~nrl prdt9*RRIQR'>Imnletmente'ATMrvdifierainn 9RRl77flnn 1PSIRTR1g 1QQ nu Eam nf WN~TRVfl571hyitln~~ nirfirid flangi- and valve seol Thic WA gicn ingtalled tnPwngngge.~

Pre-Pressure Test Review: ISI NA. ANII NAl CERTIFICATE OF COMPLIANCE We certify that the statements made Inthe report are correct and this replacement conforms to the rules of the ASME Code, Section XA. epair or reprlacmnt Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed Cr) i'L{ COine Date *-* -0t

-- Oner or Owners Designee. Thie

• 1 CERTIFICATE OF INSERVICE INSPECTION

/j I,the undersigned, holding a valid commission Issued by the Nationai Board of Boiler and Pressure Vessel Inspectors and the State or Province of A. and employed by HSB CT of Hartford. Connecticut , have Inspected the components described Inthis Owner's Report during the period -- to S-.-oC. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described Inthis Owner's Report Iniccordance 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 Inthis Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable Inany manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection.

%~

Commissions ,S* 'r(.* ",,,.,.." kz 244, National Board. State. Province. and Endorsementis I~specovs Signature Date 730P-9ZZ¶7 Pv.E0092 ver.

PV-E009 Ver. 7 BACK 7 BACK 73DP-9ZZ17

ASME SECTION XI ;-REPAIR / REPLACEMENT Pa i PaI I of- __

J I:?

t, Component ID -3PSPBL030

....Item

Description:

FLOW INDICATOR S.p.

3. N-5 Data Package Number: 3SP02-2 - 4. WO. Number: 2882966

5. Original Construction Code Edition: 19"4,Edition, Summer 1975 Addenda

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

7. Work

Description:

To remove the annubar for engineering inspection, during this ev0lutiorn'the flange fasteners will be removed and replaced due to corrosion of the fasteners for ease of re-installation.

8. 5ISI SFlaw _ - NDE Method of Flaw Detection:

Report Number:

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

This annubar is being removed for an engineering inspection. -:-*g e d 4% A-"

_.jFX * ) E. .

• C *',

I

10. Repair/Replacement Work Organization: Arizona Public Service .

11. Replacement Items Construction or reconciled Code/Edition: Sec. HI CI 3. 1974 Edition 1975 Summer Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. mICI 3. 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: 5 YES [ NO Initial t Date eK If required, include a step in the W.O. to perform Preservice Inspection

5. ASME Section XI Pressure Test Required: El YES 0 NO Initial* **i... Date * "Io jC If required, include a step in the W.O. for ISI & ANII Inspection.

i Date 4-*,*  ? " O *; 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the

a. De Qcomponent.

InDate ,4"' -o 17. Include a step in the W.O. to record below all applicable numbers fo*r repaired or Initial Date replacement items.

Item ID Part No. Serial No. Heat No. MRIPO/WO No.

STUDS APN 43110014 N/A togt26t&..-o3 NUTS

• APN 43122013 N/A I 72.. --- O L*-

7P Z_,__

. M "_,_.

18. Planner Printed Name: Martin J Sullivan Date

19. ISI Printed Name: .. ' ,-) .mF-"Log Entry Signature -J Date I

I

20. ANITI_____

Shiature Date Printed Name: I.- "

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

1. Owner Arizona Public Service Company, et. al. Date: 04/12/2006 I P. 0. Box 53999, Phoenix Akona 85072-2034 Sheet: I of 2'.

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

5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2882966

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

4. Identification of System: SP

5. (a) Applicable Construction Code ASME Section mI ND. Class 3 1974 Edition, Summer 1975 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or

"_ NO)

S.P. flow meter Pullman power I/^ N/A 3PSPBLO30 2006 Replacement NO fasteners products lINIA.

/-

.7. Description of Work: To remove for en inering insnection, and to renlace flanee fasteners.@

8. Test Conducted: Hydrostatic El Pneumatic El Nominal Operating Pressure El Exempt [

N-416-2 El Other Pressure,_. Test Temperature P3/% OF INOTE:. Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

I N

FORM NIS-2 (Back)

I

." Remarks: To remove for engineering inspection, and to replace flange fasteneis. w.o. 2882966.

Pre-Pressured Test WO Review - ISI ANITW Certificate of Compliance Wecertify that the statements made in the report are correct and this replacement conforms to the rules "ofthe ASME Code,Section XI.

I Type Code Symbol Stamp N/A -

Certificate of Authorization No. N/A Expirati on Date: N/A Signed: ~ ~ .Lf 1 4 e v Date: L4/17/*-!

IOwner or Owner's Design7ecý itle CERTIFICATE OF INSERVICE INSPECTION

//

\ .

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

-_z-o_ _ .

to -?-,'- and state that to the best of my knowledge and belief, the Owner has performed examinations andý:.taken corrective measures described in this Owner's Report in accordance with the requirements of tlheASME Code, Section XL By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

/-*

Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Date:

U-n*rT. - C -.. 1%

PV216-08NI (8-88) I.Jur-7Z.1.11 Kev

ASME SECTION XI, REPAIR / REPLACEMENT

.. . .Page of

1. Component ID .3PSPAL068.

I.,

2.. Item

Description:

FLOW INDICATOR S.P.

3. N-5 Data Package Number. 3SPOI-2 - 4. W.O. Number: 2882968

5. Original Construction Code Edition" 1Y1974 Edition, Summer 1975 Addenda

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

7. Work

Description:

To remove the annubar for engineering inspection, during this evoluifion the flange fasteners will be removed and replaced due to corrosion of the fasteners for ease of re-installation.

8. 0l ISI Flaw - - NDE Method of Flaw Detection:

Report Number:

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

This annubar is boingremoved for an engineering insection. The fasteners-wheze not replaced due to failure.

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. M11 Cl 3, 1974 Edition 1975 Summer Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 3. 1974 Edition 1975 Winter Addenda

13. ASME Section XI Code/Edition: . 1992 Editior and 1992 Addenda

14. Preservice Inspection Required: 0 YES [ NO Initialz a Date .7I*t'L.. If required, include a step in the W.O. to'perform Preservice Inspection

15. ASME Section XI Pressure Test Required: EQ YES 19 NO Initial *Date - If required, include a step in the W.O. for ISI & ANII Inspection.

l" *Dae, o Include a step in the W.O. to complete NIS-2 Form prior to releasing the component16.

Initial 1

/al d z. Date component.

17. Include a step in the W.O. to record below all applicable numbers for repaired or Initia/ !5AK Date 0ISL --Py' replacement items.

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

STUDS APN 43110014 N/A

__le ___-_ MR 1088684 NUTS APN 43122013 NIA _ .Y MR 1088684 Printed Name: Martin J Sullivan Printed Name: P -TND4lAP Log Entry-E -

Printed Name: I2.6~. dac~re.op~

FORM NIS-2 OWNER'S REPORTFORREPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI j 'U I. Owner. Arizona Public Service Company. et. al, Date: 04/17/2006 P. 0. Box 53999, Phoenix: Arizona 85072-2034 Sheet: I *of .2

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburg Road.. Tono.ah. Arizona 85354-7529 Work Order Number 2882968

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

4. Identification of System: SP

5. (a) Applicable Construction Code ASME Section III ND, Class 3 1974 Edition, Summer 1975 Addenda 'N/A Code Case, (b) Applicable Edition of Section XI Utilized for Repairs or Replacdments: 1992 Edition, 1992 Addenda

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

Y Y I Y I Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or NO)

Flange studs N/A Ht. # 731500 N/A 3JSPAFE0005 2006 Replacement NO

/

Flange nuts N/A Ht. # LVH N/A 3JSPAFE0005 2006 Replacement NO

7. Description of Worki To remove for engineering inspection. and to replace flange fasteners.

8. Test Conducted: Hydrostatic 0 Pneumatic E0 Nominal Operating Pressure C Exempt 0 N416-2 E0 Other Pressure. N/A psi Test Temperature N/A OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size'is 8 1/2 X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, 'and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

FORM MS -2 (Back) I

':. 0 'R &nrlc. areUfr-rlm" riARRI0OAR tt%remnvo- AnmilhArgf #-nq~ner;nco meno--.t n n An ten -klans-flaino- faqot^"niro fý

'~~j Annubar Flow Element 3JSPAFEOOO5 on line 3PSPALO68.

PAE.0

... on lin .. S---

. A...

.... ba F lo Element... 3J

,U.

• ~

Pre-Pressured Test WO Review - ISI or- %_

ANJI 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 XM.

Type Code Symbol Stamp N/A

/

Certificate of Authorization No. N/A Expiration Date: N/A Signed'__A1****----______________-____'__-_ Date: Y- ?;>-

r Ch or uwnc s IceIplc, D Ii

/

CERTIFICATE OF INSERVICE INSPECTION

"/

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

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

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

-;;ýi -42ý--, Commissions: NB 9685 "N" "I"AZ264 National Board, State, Province, and Endorsemrents

&pcctozs Signatur FJate*"

J(-27-of, Date:

73DP-91117 KcY~'

PV216-08N1 (8.88)

"".PV216-08NI (8-88) 73DP-9ZzI7 Rey 9

ASME SECTION XI - REPAIR I REPLACEMENT

.. Page [ of.

1. Component D'3PSPAL079

'.. 2.. Item

Description:

S.P. Return line

3. N-5 Data Package Number: 3SPO-2 . 4. W.O. Number: 2882969

5. Original Construction Code Edition: .'674 Edition. Summer 1975 Addenda

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

7. Work

Description:

To remove the code data name plate to inspect the corrosion on the piping that is behind the name plate.

8. 0l ISI Flaw NDE Method of Flaw Detection:

......... . " - Report Number:

9. Evafuation of the suitability of this work as per the requirements of IWA - 4150:

This name plate is being removed for an engineering inspection of the section of pipe directly behind the name plate. The name plate will be moved to a location will not hamer the inspetions and will be reattached in a fashoin that will not effect the structural intergity of the piping system..

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 3. 1974 Edition 1975 Summer Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 3. 1974 Edition 1975 Winter Addenda

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

14. Preservice Inspection Required: . YES NO Initia :I Date...." 2O If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XM Pressure Test Required: l YES "NO Iaitial~ Date *,* ,oi* If required, include a step in the W.O. for ISI & ANTI Inspection.

Irital

• Date , 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the I Dat.e,- component

• -*.0/-Date ' o'° " 17. Include a step in the W.O. to record below all applicable numbers for repaired or.

r 7 replacement items.

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

Code data name plate N/A N/A N/A N/A

-Si Dat Is.Plne Printed Name: Martin J Sullivan

19. 151 2O*OtDategEn

`0 -- Printed Name: Matnup f Log Etry siagnuure

20. ANII__ _ _*____ __ Printed Name: .

si = Daz-

,lrtlf f..

730MZZ17 V-4

ASME SECTION XI- REPAIR IREPLACEMENT Page . .

. t..'

.t'7":". 1.. Component ID 3PSPAL079 2.. Item

Description:

S.P. Return line

3. N-5 Data Package Number: 3SP61-2 4. W.O. Number:. 2882969

5. Original Construction Code Edition:. (i-74Edition. Summer 1975 Addenda

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

7. Work

Description:

Remove the corrosion damaged area and protect the area with coatings 8.0 ISI Flaw NDE Method of Flaw Detection:

---

. .. Report Number:

9. R~E~vaion of the suitability of this work as per the requirements of IWA - 4150:

Remove the corrosion damaeed area and protect the area with coatings. Did not exceed the min wall thickenss.

Corroded area was not coated previously I

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 3, 1974 Edition 1975 Summer Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 3. 1974 Edition 1975 Winter Addenda'

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

14. Preservice Inspection Required:. YES Y 0 NO Initialdo Date ___-____ If required, include a step in the W.O. toperform Preservice Inspection

15. ASME S tion XI Pressure Test Required: 0 YES 0 NO Initial Date '7' O( If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Datet '-e 7- O 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

lDae '"- 7- o 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial 06 Date replacement items.

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

Code data name plate N/A N/A N/A N/A

18. Plannerzdm* Printed Name: Martin I SullNan Wetd/C_/-Date

- ivLu I

19. ISI Printed Name: fLog En'rr*_gnt.Ry 7Sigatur D.

S20.

Printed Name: .

Sigxk4ure. Date

- - - 17 Pý9

,v2I4KMWWSa

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

'V

1. Owner. Arizona Public Service Company, et. al... Date: 04/20/2006 P. 0. Box 53999, Phoenix Ai*'zona 85072-2034 Sheet: I of .2*

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 SRAI Rnnth Winti'.r~hnro' Rn~tL Tnnoni~h Ari7nna R5~54-7529~

I Arizona 85354-7529 Work Order Number 2882969 5801 South Wintemb, a Road Tononah l

3. Work Performed by: Arizona Public Service Type of Code Stamp. No'n_

Authorization No. N/A Py n;ratinn latA. W/~A

4. Identification of System: SP

5. (a) Applicable Construction Code ASME Section m ND, Class 3 1974 Edition, Summer 1975 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer Other Year National Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or NO)

Code'data name Pullman power 3SP079S061 N/A 3PSPAL079 2006 Repaired YES plate" products S-61..

7. Description of Work: Remove the name plate to inspect the corrosion on the piping that is behind the name plate.

8. Test Conducted: Hydrostatic 0 Pneumatic Q Nominal Operating Pressure 0- Exempt Z N-416-2 0 Other Pressure _ psi Test Temperature OF I inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11 and the number of sheets is rec:orded at the to of this form.

FORM NIS-2 (Back)

9. Remarks: This name plate is being removed for"an engineerinn insvection of the section of vipe directly behind the name plate. The name plate will be moved to a location that will not hamner the inspections and will be reattached in a fashion that will not effec the structurdinter itv of the piving system.. W.O. 2882969

• 'r%.w*. bucr * . h$ "k4 xe-a1co -" W. P

-06. TAMPLO £ L--rl. t ."

Pre-Pressured Test WO Review - ISI

.. ATMN At Certificate of Compliance We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp N/A - I Certificate of Auth zattion N. NIA Expiration Date: N/A Signed: 5.Ard-Mlez 4ýzweor;~u - Date: .

orOwnr'sDesignee, Title Owne

/ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of ._-%_2t-04.

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

By signing this cerificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a.

loss of any kind arising from or connected with this inspection.

Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province. and Endorsements Inspector Signature Date: C-2, 0(.

73DP.9ZZ17 Kevu PV216-08N1 (848)

PV216-08141(8-.98) - 73DP-9ZZ17 Rev9

ASME SECTION XI - REPAIR I REPLACEMENT Page of

1. Component ID 3JSIDUV0654 2.. Item

Description:

Shutdown Cooling from Loop 1 Isolation Valve

3. N-5 Data Package Number: 3SI07-9 . - 4. W.O. Number: 2884382

5. Original Construction CodeEdition:. 1974 Edition, Winter 1975 Addenda

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

7. Work

Description:

Replace the bonnet and install a cap in the leakoffoprt

8. El ISI Flaw NDE Method of Flaw Detection:

........ . Report Number:

9. Ehvafiaon of-the suitability of this work as per the requirements of IWA - 4150:

/CfE 2e~DA-,/

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement ItemIs Construction or reconciled Code/Edition: Sec. III CI. 1974 .Edition 1975 inter Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III CI 1974 Edition 1975 Winter Addenda 1.

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

14. Preservice Inspection Required: E] YES Z NO Initial . Date If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: . YES El NO Initial--,.'O Date , If required, include a step in the W.O. for ISI & ANII Inspection.

Initiaal * ,- Date  ;/t / 4 c- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.

17. Include a step in the W.O. to record below all applicable numbers for repaired or b Date Vreplacement items.

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

Bonnet APN 45060309 *2-*1 7 - 13 tALA MR 1087798 Cap APN 43550612 _ _ _ _ .4 MR 1087798

18. Planner "Printed Name: James I. Davis

19. ISI -- Z-/.1"*i ". Date Printed Name: .- 2L,&A /9/&]Log Entry

20. ANII IOC Printed Name: ~ C~.~

Signatu Date

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

'U

1. Owner:. Arizona Public Service Company, et. al.. Date: 05/04/2006 P. 0. Box 53999. Phoenix Rizona 85072-2034 Sheet: 1 of '7

2. Plant: Palo Verde Nuclear Generating Station Unit:,,-"'*, "

.... South Wintersburg Road., Tonopah, Arizona 85354-7529

.5801 Work Order Number. 2884382

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

4. Identification of System: Safety Iniection S. /

5. (a) Applicable Construction Code ASME Section III NB, Class 1 1974 Edition, Winter 1975 Addenda', " Code Case (b) Applicable Edition of Section Xi Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or

_ No)

Valve Borg-Warner 31458 1022 3JSIDUV0654 1978 Repaired YES

/

Bonnet Borg-Warner 212371-B N/A 3JSIDUVO654 2006 Replaced YES Cap NIA Ht# 149ZNA N/A 3JSIDUV0654 2006 Replaced NO

'A.=

7. Description of Work: Replace the bonnet assembly

8. Test Conducted: Hydrostatic[] Pneumatic [] Nominal Operating Pressure 0 Exempt 0 N-416-2 Other Pressure Z-40 psi Test Temperature 1ao9 NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/22 X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

U I FORM NIS-2 (Back)

Remarks: WO 2884382 replaced the valve bonnet because of damage in the stuffing box and welded a pipe cap in the leakoiff port per the requirements of 13-pN-0220 arid 13-PN-204.

"'WL'ckt It..,Cr v %W-Vow.. - ,.- c.T.bk.&

CA.P A." CA.'

Pre-Pressured Test WO Review - ISI ANIT P-*%

Certificate of Compliance We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code, Section XL Type Code Symbol Stamp N/A N/A Certificate of Authorization No' N/A Expiration Date: N/A Si Dgngnd. Title Date: "-Fo, h

U U

• 1 CERTIFICATE OF INSERVICE INSPECTION

/

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

to _ -'_--___ ,and state that to the best of my knowledge and belief, the Owner has performed examinations 6d taken corrective measures described in this Owner's Report in accordance 'with the requirements of the ASME Code, Section XL By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

-;?A -Le- Commissions:- NB 9685 "N" 'I" AZ264 National Board. State, Province, and Endorsements S - nspectors Signature Date:

F-0 - - rEMILM PV216-08NI (8-88) 73DF-9ZZ17 CYv N

ASME SECTION XI - REPAIR /REPLACEMENT Page Lý 'of I..

1. Component ID 3JC-BHV0255 2.. Item

Description:

1-1/2". 1500 lb, "Y" type Borg Warner Globe Valve, Motor 0perated

3. N-5 Data Package Number 3CH14-3 ." 4. W.O. Number: 2886052

5. Original Construction Code Edition:. Y1974 Edition, Winter 1975 Addenda

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

7. Work

Description:

Disassemble valve to replace stem".due to damaged threads where stem extension connects. Will also need to remove and replace the bonnet seal weld.

8. 0 IS!1 Flaw NDE Method of Flaw Detection:

Report Number:

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

No failure of the ASME Section Im boundary. Seal weld( is re.,uired to be removed to replace valve stem. The stem is nart of to replace valve stem. The stem is nart o No ilure of the ýSME Section III boundarv. Seal wild is reauirea to be removed

• a stem/disc assembly>

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Cbnstruction or reconciled Code/Edition: Sec. M Cl 2. 1974 Edition 1975 Winter Addenda 12.' Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2. 1974 Edition 1975 Winter Addeta

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

14. Preservice Inspection Required: YES NO Initial . Date 'YO-'4-_ If required, includet step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: Y 01NO Initial 0 ý -Date Y/'2'0 " If required, include a step in the W.O. for ISI & ANII Inspection.

Initial - Dat - - c16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the IiilDate component Initial- . 17. Include a step in the W.O. to record below all applicable numbers for repaired or initial Date replacement items. o Item ID Part No. Serial No. Heat No. MR/PO/WO No.

Valve N/A N/A N/A..

Plug/stem ass'y .Qb APN 45020247 5481 5186 MR 1090010 Seal Weld *N/A N/A N/A N/A 341 A)A-)&rr-__ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _

. I I- 'A? fYi-

18. Planner . 7 #e:t 'Y-,2jD--,"4D6 Printed Name: David Goodlet Signature Date

19. 1s5 DI1 e Printed Name: P______

Sipgate J Date I20. ANII -;F4-e signah:

af-2,-oC.

Date Printed Name: ZC-." -

II - N.'

I atmt*t [*uI 7301"M 7 ft.#

FORM NIS-2 OWNER'S REPORT FOR REPAIRS ORREPLACEMENTS As Required by the Provisions of the ASME Code Section XI lie

1. Owner: Arizona Public Service Company, et. al. Date: 4/20/2006 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of"g..

2. Plant: Palo Verde Nuclear Generating Station Unit: 3 5801 South Wintersburi Road.. Tonooah. Arizona 85354-7529 Work Order Number 2886052

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

4. 'Identification of System: CH: Chemical & Volumn Control System 5.' (a) Applicable Construction Code ASME Section III NC. Class 2 1974 Edition, Winter 1975 Addenda, A.& Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements:- 1992 Edition. 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASM E Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or

__ _No)

Valve Borg Warner 51718 NIA 3JCHBHV0255 1979 Repaired YES Se/aI Weld NIA NIA NIA 3JCHBHV0255 2006 Replacement NO Plug/Stem Ass'y Borg Warner 5481 N/A 3JCHBHV0255 2006 Replacement NO Bonnet Borg Warner 218257-2 N/A 3JCHBHV0255 2006 Replacement YES

7. Description of Work: Disassembled valve to rework to replace stem/disc ass'y. Removed & replaced seal weld, and also replaced bonnet due to galling during assembly.

8. Test Conducted: Hydrostatic 5 Pneumatic 5 Nominal Operating Pressure 0 Exempt 0 N-416-2 [ Other Pressure a. psi Test Temperature 103 TF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 82/ X I I inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each.sheet is numbered and the number of sheets is recorded at the to of this form.

I

FORM NIS-2 (Back)

9. Remarks: Per wo# 2886052 on valve 3JCHBHV0255 the body to bonnet keal weld will need to be removed to disassemble the valve for item/disc ass'y replacement.. Following rework the seal weld will be replaced. The plug/stem assembly was replaced due to damaged threads on end of stem.

Pre-Pressured Test WO Review - ISI C-

/5"-*/-"'6

/

ANII_________________

Certificate of Compliance'

-We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XL Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: Se. .ZS"-,.-- ,vS_-v A Date: :Zho Owner or Owner's Designee, Title / /

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

to 9-o-0o4. , and state that to the best of my knowledge and belief, the Owner has.performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

_ _"_ _ _ _Commissions: NB 9685 "N" 'T" AZ264 b spetrignatue National Board, State, Province, and Endorsements nate-" --- o.

I-7JDP.9ZZ17 KCV V PV216-08N1 (8.88)

FýV216-08NI (8-88) 73DP.9ZZI7. Rev 93

ASME SECTION XI- REPAIR I REPLACEMENT Pag of Y'2..1I. Component ID 3PRCEV236 Item

Description:

RCPV100E By-pass Valve N.5 Data ackage Number: 3RCO-2 4. W.O. Number: 2886121

5. Original Construction Code Edition: 1974 Edition, Summer 1976 Addenda

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

7. Work

Description:

Replace the valve plug/ seat ring assembly

18. [] ISI Flaw NDE Method of Flaw Detection:

Report Number:

9. Evaluation of the suitability of this work as per the-requirements of IWA - 4150: ",,1

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec.1l C1 1. 1974 Edition 1976 Summer Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. ImII. 1, 1974 Edition 1975 Winter Addenda&'

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

14. Preserviceinspection Required: ' YES 0 NO Initial 031'4 Date . If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: 0 YES 0 NO Nitial Date If required, include a step in the W.O. for ISI & ANII Inspection.

16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the I niti a".-)',X . Date §'/. -6C component.

17. Include a step in the W.O. to record below all applicable numbers for repaired or Initia* /

,T-O Date ' --0 replacement items. .

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

Plug /Seat Ring Assembly APN 45540048 ,C.16 4/c.,'

-/,q MR 1090333

18. PI Y -V 6 Printed Name: James I. Davis Printed Name:

119.is og Entr

)3.ANI[I "*'* 4

"(-2i,-O*, Printed Name: &*L: ',oe Slgt _ Daze UDP-Mi

I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section X1

- - -a. m

-Owner: Arizona Public Service Company, et. al. Date: 04/21/2006 P. 0. Box 53999. Phoenix Arizezia 85072-2034 Sheet: 1 of 2

2. Plant: Palo Verde Nuclear Generating Station Unit:

• 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2886121

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

4. Identification of System: Safety Injection

5. (a) Applicable Construction Code ASME Section ITW NB, Class 1 1974 Edition, Summer 1976 Addenda, ' Code Case.

(b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Mahufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or

• __ _ _No)

Valve ITT Hammer 77-0636-001 N/A 3PRCEV236 1979 Repaired YES Dahl Valve Plug ITT Hammer Ht. # 4G1OA-IA N/A 3PRCEV236 2006 Replacement YES Dahl

7. Description of Work: Replace the Rlug /seat ring assembly

8. Test Conducted: Hydrostatic - Pneumatic 0 Nominal Operating Pressure 0 Exempt 0 N-416-2 Other Pressure O - psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 /2 X 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

FORM NIS-2 (Back)

Remarks: WO 2886121 remlaced the t1ug and seat ring assembly in 3PRCEV236.

Pre-Pressured Test WO Review - IsI . .,

ANI __-__,_.. ... . .

Certificate of Compliance We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificatedf Authorization No. N/A Expiration Date: N/A Signed: A01 I ',',,V *- Date: 9 *- e Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION

//,

/ .

I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the.State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of A_-_2_-_O_.

to ',-3o-oC. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of th4 ASME Code,Section XI.

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

"*A, /* rnmmi~innv: Nil 9685 "IN"' "1" AZ264 National Board. State. Province, and Endorsements Date:

U-73DP-97Z17 Rev 9 (8.88)

PV216.08N1 (8-88)

PV216-08NI 73DP-9ZZ17 Rev 9

ASME SECTION XI- REPAIR I REPLACEMENT Pape of

1. Component ID 3SG036H011.

2.. Item

Description:

Steam Generator 1 Main Steam Line 2 Constant Spring Hanger

3. N-5 Data Package.Number: 3SG0I-2 . . 4. W.O. Number: 2888460

5. Original Construction Code Edition:. 'A974Edition, Winter 1975 Addenda

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

7. Work

Description:

Replace the load coupling and anti-friction collar removed from ISGO36HOI I (Serial Number G2502) by WO 2888427

8. []I SI Flaw NDE Method of Flaw Detection:

Report Number .

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

, pe #Ct.e 4=e~yq/ 4l

10. Repair/Replacement Work Organization: Arizona Public Service/

11. Replacement Items Construction or reconciled Code/Edition: Sec. III NF CI 2. 1974 Edition Winter 1975 Addenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. III NF CI 2. 1974 Edition Winter 1975 Addenda

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

14. Preservice Inspection Required: 0 YES Q NO Initial . Date fl-df- C If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Require 0QYES [DNO If required, include a step in the W.O. for ISI & ANII Inspection..

Initial . Date 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the I/ component.

Initialý 7.Z, Date

• 17. Include aitems.

replacement step in the W.O. to record below all applicable numbers or repaired or Item ID Part No. Serial No. Heat No. MR/PO/WO No.

Load coupling CSLCWS5063BN N/A N/A WO 2888427 Anti Friction Collaý A5676 N/A N/A WVO 2888427 18.i Pmann ý/ - Printed Name: James 1. Davis

19. 151 6 6-L9,{/- -Signat6 G1,'.' - D'ate Printed Name: -4 Log En 4

20. ANfl -- z---, Printed Name:- " S-i*,I Si Date

. I7 AW9 Fnl&4M tF-U)

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI t !";.'.

4

1. Owner -Arizona Public Service Company, et. al.. Date: -s-P. 0. Box 53999, Phoenix'zna 85072-2034 Sheet: I of" 2 .

2. Plant: Palo Verde Nuclear Generating Station Unit: _3' 5801 South Wintersburg Road., Tonropah. Arizona 85354-7529 Work Order Number 2888460

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

4. Identification of System: Main Steam

5. (a) Applicable Construction Code ASME Section III NF. Class 2 1974 Edition, Winter 1975 Addenda, a-%Code Case (b) Applicable Edition of Section XM Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components

.Name of Name of Manufacturer National Other Year Repaired or ASME s* ....

Item Manufacture Serial No. Board Identification Built Replacement Code l ' No. Stamped (Yes or

"_ _No)

Spring Support ITT Grinnell G3756 N/A 3SGO36H01 1 1982 Repaired YES Load Coupling ITT Grinnell G2502 N/A 1SG036H011 1983 Replacement NO Anti-friction ITT Grinnell G2502 N/A ISGO36H0I11 1983 Replacement NO Collar

7. Description of Work: Replace the load coupling and anti-friction collar.

8. Test Conducted: Hydrostatic [I Pneumatic E'-- Nominal OpeArating Pressure 0 Exempt 0

".j. -- N-416-2 El Other Pressure -,-4. psi Test Temperature , oF T"'

I I

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

'inches, (2) information in items I thiu 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

I FORM NIS-2 (BaCk)

- 9.Remarks: Work Order 2888460 installed the load coupling and anti-friction collar in 3S0G33H0 11 that was removed fr~om IS06H0!1 by WO 2888427.

• It &^ec-..U rn,.Q1k A , ,t aýZ Pre-Pressured Test WO Review - ISI

,4A~

.... ....... ANI 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 XM.

Type Code Symbol Stamp I/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: ---- YZý 2 Date: 5 - , -

Owner or Owne's Dcsip*eTitle a

1 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 Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of _ -- _- ___

to S -t- c. . and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance -with the requirements ot&he ASME Code,Section XI.

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

2A Commissions: NB 9685 "N" "I" AZ264 National Board. State. Province, and Endorsements Date:

• signature Date--* o

.11 U-I I 73DP.9ZZ17 Rev'I (8.88)

PV216-05N1 (8-88)

PV216-OSNI 73 DP.977--i7 Rev 9

ASME SECTION XI- REPAIR / REPLACEMENT Page I of k

1. Component ID 3PCHAV190 2.. Item

Description:

3, Bore Warner Check Valve

3. N-5 Data Package Number: 3CH03-8 . . 4. W.O. Number: 2889081

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

6. Original Installation Code Edition" 1974 Edition, Winter 1975 Addenda

7. Work

Description:

Disassemble valve for inspection of cause of leakage past the seat. May replacecode parts such as bonnet disc assembly to expidite work completion.

8.5 ISI Flaw NDE Method of Flaw Detection:

........... Report Number:

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

No failure of the ASME Section MTboundary. Code pahrs are being replace to limit the time the valve is out of service.

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sec. III CI 2, 1974 Edition 1975 Winter Addenda

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

13. ASME Section XI Code/Edition: 1992 Editiof and 1992 Addenda

14. Preservice Inspection Required: Ci YES 0 NO Initial _____Date .-. If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Require OYES EJNO If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Date

16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial ' Date f') -'/ component.

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

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

Valve N/A 63868 N/A N/A Bonnet & arm & disc APN 45060209 see below n/a MR 1094093 Assembly .__

Bonnet from assembly 80724 3 n/a same bisc from assembly 76327 2 n/a same

18. Planner- "" . / ure 'Sipgn "7*Date

,-.2 6 Printed Name: David Goodlet I-..

19. ISi - 2-""/-- Printed Name: .. g -L- Log EntryR SSignpaue Date

20. ANII Si 4",'c1- Date Printed Name: _ - ..____,_-_._.,__.. .__-

'4wompW-M

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

1. owner: Arizona Public Service Company, et. al.. Date: 5/112006 P. 0. Box 53999, Phoenix kizona 850_2-2034 Sheet: I ofZ

2. Plant Palo Verde Nuclear Generating Station Unit: 3

..........5801-South WintersburgRoad., Tonopah, Arizona 85354-7529 Work Order Number 2889081

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

4. Identification of System: CH: Chemical & Volumn Control System

5. (a) Applicable Construction Code ASME Section mI NC, Class 2 1974 Edition, Winter 1975 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement. Code No. Stamped (Yes or No)

Valye Borg Warner 63868 N/A 3PCHAV190 1980 Repaired YES Bonnet & arm & Borg Warner 213336-B3 N/A 3PCHAV190 1991 Replacement YES disc Assembly Bont from above Borg Warner 3 N/A 3PCHAV 190 1991 Replacement YES Disc from above Borg Warner 2 N/A 3PCHAV190 1991 Replacement NO

7. Description of Work: Disassembled valve to rework to correct seal leakage.

8. Test Conducted: Hydrostatic E- Pneumatic 0 Nominal Operating Pressure 0 Exempt E0

.. N-416-2 E0 Other Pressure .L... psi Test Temperature OF

" NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11 I inches,' (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.

I

FORM NIS-2 (Back) 9"'."9.

Remarks: Per wo# 2889081 on valve 3PCHAV190. Disassemble the valvefdr inspecti6n and rework to correct seat leakage. A complete bonnet & arm & disc assembly ill replaced to minimize the time the valve is out of service..

Pre-Pressured Test WO Review - IS1 _"-__ ._-_ _

• i:- ll----- ASII

• 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 XL Type Code Symbol Stamp N/A .

Certificate of Authorization No.' N/A Expiration Date: NiA Signed: #(5*, /** Date: ,..J-.c'.

Sigd Owner or Owner's Designee. Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler aand Pressure Vessel Inspectors and the State or Province of Arizona and employed by.HSB CT of Hartford. Connecticut, have inspected the components described in this Owner's report during the period of _ _-t-__ _

to _-__-_ _ ,and state that to the best of my knowledge and belief, the Owner has performed examinations -iid taken corrective measures described in this Owner's Report in accordance* with the requirements 6tthe ASME Code,Section XI.

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

<?A4 Conmmissions: NB 9685 "N" 'T' AZ264 National Board, State. Province. and Endorsements a 1-p-ctors sintre Date:

1~

U.

7JDP.9ZZ17 RevY PV21"-0NI (8-88)

PV216-08N1 (8-88) 73DP.9ZZ17 Rev9

ASME SECTION XI- REPAIR IREPLACEMENT PageR ..... of

1. Component ID 3MRCEP01C

. 2v.. Item

Description:

Reactor Coolant Pump

3. N-5 Data Package Numb&r. RC .. - 4. W.O. Number: 2889226

5. Original Construction Code Edition:* "974 Edition

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

7. Work

Description:

Replace missing nut on #1 kitty bone external flange.

8. [3 ISI Flaw NDE Method of Flaw Detection:

-. Report Number.

9. Evaluation of the suitability of this work as per the requirements of IWA - 4180:

No failure of Section XI pressure b6undry. Mssing nut being reolaced/

10. Repair/Replacement Work Organization: Arizona Public Service

11. Replacement Items Construction or reconciled Code/Edition: Sic. III CI1. 1974 Edition 1975 Winter A~ddenda

12. Repair/Replacement Activity Construction Code/Edition: Sec. mICl 1.1974 Edition 1975 Winter Addenda

13. ASMIE Section XI Code/Edition: 1992 Edition and 1992 Addenda

14. Pieservice Inspection Required: 0 YES 0 NO Initial 4 V Date I If required, include a step in the W.O. to perform Preservice Inspection

15. ASME Section XI Pressure Test Required: [0 YES 0 NO Initial Date 5C/a../r If required, include a step in the W.O. for ISI & ANII Inspection.

Initial Intili-*..Dte, Date 16. Include a step in the W.O. to complete NIS-2 Form'prior to releasing the component.

aDt/ r17. Include a step in the W.O. to record below all applicable numbers for repaired or t Date replacement items.

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

Nut. SA194 GR 7 APN 43120487 .AO 0 1094445

18. Plan ' LZ:~ 4i Signature mI

• dim Date

.In Printed Name: Barbara Vidal

19. ISI Printed Name: 09,51940"L'.jE-, Log.Entry-29L Aip~imr Date

- " D 20 AI 00o. sijoa .J: j .. ntdName: 80 / v4evin

~frsfc~

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

1. Owner: Arizona Public Service Company, et. al. *Date: 05/0212006 P. 0. Box 53999, Phoeni* Arizona 85072-2034 Sheet: 1 of-2_"

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

5801 South Wintarsbur*' Road.. Tononah, Arizona 85354-'

85354 7529 Work Order'Number 2889226 5801 South Winte burcy Road Tononah. Arizona

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

4. Identification of System: RC

- /

5. (a) Applicable Construction Code ASME Section III NB, Class 1 1974 Edition, 4- Addenda, NiA Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year. Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or

.... Inc _ _ _ __4247__Relmn No)

Nut KSB Inc ,.1, .*A APN 43120487 2z* Replacement f,

7. Description of Work: No failure of Section XI pressure baundry. Mssin~ nut being renlaced

.. ... r. ... M s ...i L ut

......... epl- ce-... .

8. Test Conducted: Hydrostatic El Pneumatic El Nominal Operating Pressure E] Exempt 0 N-416-2 0" Other Pressure ,-/A, psi Test Temperature -Iff, OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 %X 11 I .and inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered the number of sheets is recorded at the to of this form.

FORM NIS-2 (Back)

9. Remarks: WO# 2889226. Missing nut being replaced.

Pre-Pressured Test WO Review - ISI __!_ ,-

AN__ _

Certificateof Compliance We -certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed:. Z Date: P.-,-

OG Owner or Owner's Designee. Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report'during the period of 5-2-oc.

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

• examinations.and taken corrective measures described in this Owner's Report in accordance".with ihe requirements of the ASME Code,Section X.

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

• - Commissions: NB 9685 "N" IT' AZ264 National Board, State, Province, and Endors*mnts 1 InspectL Signature Date: -- OG.

U-1* 73LW-91Z17 i(CY Y

• PV216-08N1 (5-88)

"PV216-0UNI(8-88) .. 73DF-97ZZ17 ReY