ML072990427
| ML072990427 | |
| Person / Time | |
|---|---|
| Site: | Palo Verde  |
| Issue date: | 10/18/2007 |
| From: | Weber T Arizona Public Service Co |
| To: | Document Control Desk, Office of Nuclear Reactor Regulation |
| References | |
| 102-05759-TNW/RJR | |
| Download: ML072990427 (408) | |
Text
{{#Wiki_filter:10 CFR 50.55a Thomas N. Weber Mail Station 7636 Palo Verde Nuclear Department Leader Tel. 623-393-5764 PO Box 52034 Generating Station Regulatory Affairs Fax 623-393-5442 Phoenix, Arizona 85072-2034 102-05759-TNW/RJR October 18, 2007 ATTN: Document Control Desk U.S. Nuclear Regulatory Commission Washington, DC 20555-0001
Dear Sirs:
Subject:
Palo Verde Nuclear Generating Station (PVNGS) Unit 1, Docket No. STN 50-528 Unit I Second 10-Year Interval - Thirteenth Refueling Outage Inservice Inspection Summary Report Pursuant to 10 CFR 50.55a and IWA-6230 and IWA-6240 of Section Xl of the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code, 1992 Edition, 1992 Addenda, Arizona Public Service Company (APS) hereby submits the PVNGS Unit 1 Inservice Inspection Report for the thirteenth refueling outage, provided in the Enclosure. APS completed Unit l's Refueling Outage on July 19, 2007. This letter does not make any commitments to the NRC. If you have any questions or require additional information, please contact Glenn A. Michael at (623) 393-5750. Sincerely, , TNW/GAM/RJR/gt C)~V~A~LJdI6/L. Enclosure cc: E. E. Collins, Jr. NRC Region IV Regional Administrator M. T. Markley NRC NRR Project Manager G. G. Warnick NRC Senior Resident Inspector for PVNGS A&f7 A member of the STARS (Strategic Teaming and Resource Sharing) Alliance Callaway 'Z Comanche Peak D]Diablo Canyon ,z Palo Verde , South Texas Project 1 Wolf Creek
PALO VERDE NUCLEAR GENERATING STATION UNIT 1 INSERVICE INSPECTION REPORT THIRTEENTH REFUELING OUTAGE ARIZONA PUBLIC SERVICE 5801 S. WINTERSBURG ROAD TONOPAH, AZ 85354 PREPARED BY: DATE: 11/k? REVIEWED BY: _ _ _ _Z DATE:i -7 (All except B 15.XX and C7XXX Pressre TesTing) REVIEWED BY: _______ __ DATE: 0/ (B15.XX and C7.XX Pressure 'testing) APPROVED BY: DATE:/0/ 0 COMMERCIAL SERVICE DATE: 01/28/1986 REPORT DATE: 10/13/2006
TABLE OF CONTENTS SECTION PAGE 1.0 Introduction 3 2.0 Examination Summary 3 3.0 Examination Techniques 4 4.0 Accessibility 4 5.0 Personnel 4 6.0 Equipment and Materials 4 7.0 Repairs and Replacements 4 APPENDICES APPENDIX APPENDIX A - Inservice Inspection Summary Report APPENDIX B - Inservice Inspection Code Limitations APPENDIX C - Form NIS-1 APPENDIX D - Forms NIS-2 Page 2 of 4
UNIT 1 INSERVICE INSPECTION REPORT 1.0 Introduction This report is a summary of the examinations performed during the thirteenth refueling outage at the Palo Verde Nuclear Generating Station (PVNGS) Unit 1. This report also includes all applicable examinations conducted since the last refueling outage. This was the second refueling for Interval 2, Period 3 which was conducted from May 19, 2007 through July 19, 2007. Palo Verde Unit 1 began commercial operation on January 28, 1986. This report identifies the components examined, the examination methods used, the examination report numbers, and summarize the examination results for each of the following categories:
- 1. ASME Section XI, Class 1 and 2 pressure retaining components and their supports.
- 2. Risk Informed - Inservice Inspection in accordance with EPRI TR-1006837 (Relief Request 32)
- 3. Risk Informed - Break Exclusion Region in accordance with PVNGS UFSAR Section 6.6.1.
This report is a summary of the ISI examinations performed during the Second Interval. This report is a summary of the Period 1, 2 and 3 examinations performed through the thirteenth refueling outage. All of the examination report numbers listed in Appendix A for the thirteenth refueling and examinations performed since the last Summary Report are in bold type. 2.0 Examination Summary 2.1 The evaluation of the results from the ISI examinations indicated the integrity of the systems has been maintained. All discrepancies were corrected or determined "use-as-is" in accordance with PVNGS work control practices and ASME Section XI. 2.2 Various recordable indications were detected during the performance of examinations. These indications were recorded, evaluated found to be acceptable and are maintained on file. 2.3 It was identified that bare metal examinations of non-resistant bolting was not performed with insulation removed during the first and second periods. Corrective action documents (CRDR's) were initiated to address the first and second period examinations. Operability determinations were performed pending completion of the examinations during the third period and the examinations were scheduled. During the third period, examinations were performed and indications of leakage were identified at several locations. The bolting was removed for further examination and evaluation in accordance with relief request 12. All conditions were found to be acceptable. 2.4 The remainder of the second interval examinations are scheduled for completion during 1R14, this is within the one year extension allowed by ASME Section XI IWA-2430(d) Page 3 of 4
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-1 General Condition VT-2 Leakage VT-3 Structural Condition / Operability S - Surface PT Liquid Penetrant MT Magnetic Particle VOL - Volumetric UT Ultrasonic RT Radiographic ECT Eddy Current 3.2 All of the nondestructive examinations were performed using specific techniques and procedures that are indicated in ASME Section XI, or alternative examinations that are demonstrated to be equivalent or superior to those identified. 4.0 Accessibility 4.1 All items were examined to the extent practical. Code limitations encountered during the examination that exceed the criteria of code case N490 are documented in Appendix B. 5.0 Personnel 5.1 All nondestructive examinations were performed by Arizona Public Service Co. (APS), Lambert, Mac Gill, Thomas, Inc. (LMT), Structural Integrity, Westinghouse 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 7.1 No repairs or replacement were performed as a result of Section XI ISI examinations performed during U 1R13. The applicable records and reports for the specific maintenance repair and replacements performed after the last summary report are maintained on file at Palo Verde. The applicable NIS-2 forms are attached to Appendix D and are submitted for review with this report. 7.2 During an Augmented visual examination, a broken load collar / coupling was identified on hangers 3SG042H01 1 and 3SG045H01 1. Scope was expanded and the damaged load coupling was replaced under work order 3021090 and 3022219. Page 4 of 4
APPENDIX A INSERVICE INSPECTION
SUMMARY
REPORT
APPENDIX A DefJnition 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 (RI-BER) B- ASME Class 1 systems C- ASME Class 2 systems 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, all examinations are acceptable unless stated otherwise.
Definition of terms continued Acc - Accessible ADV- Atmospheric Dump Valve Aux - Auxiliary Atmos - Atmospheric CEDM - Control Element Drive Mechanism Circ - Circumferential Cont - Containment CS- Containment Spray CSP - Containment Spray Pump FW - Feedwater HPSI - High Pressure Safety Injection HTRS - Heaters ICI - In Core Instrumentation IEB - Inspection and Enforcement Bulletin 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 SD- Shutdown SG- Steam Generator Snub - Snubber Reduction Program Surf- Surface UT- Ultrasonic Testing Vis - Visual Vol - Volumetric
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp AHE 47 MS SG1 One 13 13 47-1 99-1361 99-1280 5.51 & 47-2 99-1360 99-1280 5.52 47-4 99-1305 99-1281 47-8 99-1306 99-1281 47-12 99-1307 99-1281 47-14A 99-1356 99-1280 47-16 99-1308 99-1281 47-20 99-1309 99-1281 47-24 99-1352 99-1280 47-25 99-1350 99-1280 47-28 99-1348 99-1282 47-29 99-1349 99-1282 47-30 99-1351 99-1280 48 MS SGI East Two 12 12 48-01 UT-04-006 MT-04-009 48-02 UT-04-007 MT-04-010 48-04 UT-04-009 MT-04-012 48-08 UT-04-011 MT-04-014 48-12 UT-04-013 MT-04-016 48-14A UT-04-014 MT-04-017 48-16 UT-04-016 MT-04-019 48-20 UT-04-018 MT-04-021 48-24 UT-04-020 MT-04-023 No credit
*48-25 UT-04-021 MT-04-024 48-28 UT-04-023 MT-04-026
- 48-29 UT-04-024 MT-04-027 48-30 UT-04-025 MT-04-028 50 MS (West) SG Three 5 5 50-16 UT-05-174
- Risk Informed BER per EPRI 50-20 UT-05-176 TR-1006834 implemented in 50-24 UT-05-178 Period 3, replacing AHE 50-25 UT-05-179 requirements 50-28 UT-05-181 51 Atmos Dump SGI One 13 13 51-1 99-1345 99-1287 51-2 99-1362 99-1287 51-3 99-1363 99-1287 51-4 99-1364 99-1287 51-5 99-1365 99-1287 51-6 99-1366 99-1287 51-7 99-1367 99-1288 51-8A 99-1368 99-1288 51-8B 99-1369 99-1287 1 51-9 99-1370 99-1287 51-51 99-1371 99-1287 51-84 99-1346 99-1287 51-85 99-1347 99-1287 Two 14 14 51-26 UT-04-028 MT-04-031 51-27 UT-04-029 MT-04-032 1 51-28 UT-04-030 MT-04-033 51-29 UT-04-031 MT-04-034 51-30 UT-04-032 MT-04-035 51-31 UT-04-033 MT-04-036 51-32 UT-04-034 MT-04-037 51-33 UT-04-035 MT-04-038 51-34 UT-04-036 MT-04-039 51-37 UT-04-037 MT-04-040 51-49 UT-04-038 MT-04-041 51-86 UT-04-039 MT-04-042 51-87 UT-04-040 MT-04-043 51-88 UT-04-041 MT-04-044 53 Steam to Aux FW One 10 10 53-11 99-1538 99-1506 53-12 99-1539 99-1506 53-13 99-1540 99-1506 1 PSE 53-14 99-1541 99-1506 Page Al of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp 53-15 99-1542 99-1506 53-21 99-1543 99-1506 53-22 99-1544 99-1506 53L23 99-1545 99-1506 53-24 99-1546 99-1506 PSE 53-25 99-1547 99-1506 Two 9 9 53-1 UT-02-262 MT-02-187 UT-02-278 53-2 UT-02-263 MT-02-175 53-4 UT-02-264 MT-02-188 53-5 UT-02-265 MT-02-189 53-6 UT-02-267 MT-02-190 53-7 UT-02-268 MT-02-191 53-8 UT-02-269 MT-02-192 53-9 UT-02-270 MT-02-193 53-10 UT-02-271 MT-02-194 56 FeedwaterSG1 One 7 7 56-1 01-1411 01-1328 56-3 01-1412 01-1328 56-4 01-1429 01-1328 56-6 01-1413 01-1328 1 56-7 01-1414 01-1328 56-9 01-1415 01-1328 56-11 01-1416 01-1328 57 Feedwater SG 2 Three 2 2 57-1 UT-05-187 57-3 UT-05-188 60 Downcomer SGI One 9 9 60-7 99-1708 99-1646 1 60-8 01-1221 01-1230 1 60-9 01-1222 01-1230 60-11 01-1223 01-1230 60-12 01-1224 01-1230 60-14 99-1625 99-1646 60-15 99-1658 99-1646 60-16 99-1666 99-1646 1 60-17 99-1667 99-1646 Two 5 5 60-02 UT-04-067 MT-04-066 60-03 UT-04-068 MT-04-067 60-04 UT-04-069 MT-04-068 60-05 UT-04-070 MT-04-069 60-06 UT-04-071 MT-04-070 61 Downcomer SG I Two 5 5 61-02 UT-04-072 MT-04-071 61-03 UT-04-073 MT-04-072 61-04 UT-04-074 MT-04-073 61-05 UT-04-075 MT-04-074 61-06 UT-04-076 MT-04-075 Three 4 4 61-14 UT-05-189 61-15 UT-05-190 61-16 UT-05-191 61-17 UT-05-192 66 Blowdown SGI One 9 9 66-1 99-1469 99-1416 66-2 99-1470 99-1416 66-3 99-1471 99-1416 1 66-5 99-1472 99-1416 66-6 99-1473 99-1416 66-7 99-1474 99-1416 66-8 99-1475 99-1416 66-9 99-1476 99-1416 66-26 99-1477 99-1416 Two 6 6 66-10 UT-04-080 MT-04-080 66-11 UT-04-081 MT-04-081 66-12 UT-04-082 MT-04-082 1 66-13 UT-04-083 MT-04-083 66-14 UT-04-084 MT-04-084 Page A2 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Reg Comp 66-15 UT-04-085 MT-04-085 AHE 51 Atmos Dump SG1 Two 21 21 51-101 UT-04-042 MT-04-045 5.61 & 51-102 UT-04-043 MT-04-046 5.62 1 1 51-103 UT-04-044 MT-04-047 51-104 UT-04-045 MT-04-048 51-105 UT-04-046 MT-04-049 51-106 UT-04-047 MT-04-050 51-107 UT-04-048 MT-04-051 51-108 UT-04-049 MT-04-052 51-109 UT-04-050 MT-04-053 51-110 UT-04-051 MT-04-054 51-111 UT-04-052 MT-04-055 51-112 UT-04-053 MT-04-056 51-113 UT-04-054 MT-04-057 51-114 UT-04-055 MT-04-058 51-115 UT-04-056 MT-04-059 51-116 UT-04-057 MT-04-060 51-117 UT-04-058 MT-04-061 51-118 UT-04-059 MT-04-062 51-119 UT-04-060 MT-04-063 51-120 UT-04-061 MT-04-064 51-121 UT-04-062 MT-04-065 AHE 47 MS SGI West One 7 6 47-3 99-1359 99-1280 5.81 & 47-7 99-1358 99-1280 5.82 47-11 99-1357 99-1280 47-15 99-1355 99-1280 47-19 99-1354 99-1280 47-23 99-1353 99-1280 47-27 99-1280 Two 0 1 47-27 UT-04-005 MT-04-008 48 MS SGI East Two 9 9 48-03 UT-04-008 MT-04-011 48-07 UT-04-0 10 MT-04-013 48-11 UT-04-012 MT-04-015 48-15 UT-04-015 MT-04-018 48-19 UT-04-017 MT-04-020 48-23 UT-04-019 MT-04-022 48-27 UT-04-022 MT-04-025 48-34 UT-04-026 MT-04-029 48-35 UT-04-027 MT-04-030 Aug, Limited UT exam 50 MS (West) SG Three 4 4 50-15 UT-05-173
- 50-19 UT-05-175 50-23 UT-05-177 50-27 UT-05-180 ASME Class 1 B 1.22 2 Closure Head One 1 1 2-4 99-1466 99-1458 Accessible Areas RR#14 99-1479 99-1481 99-1483 B 1.30 1 Reactor Vessel One 50% 50% 1-14
- Examined 0°-180" B 1.40 2 Closure Head One 33% 33% 2-1 99-1465 99-1458 Examined 00-1200 99-1478 *Separate Report by Wesdyne. Exam 99-1480 completed in 1R8 99-1482 Two 33% 33% 2-1 UT-04-107 MT-04-001 Examined 120-240' Three 33% 34% 2-1 07-UT-1001 07-MT-100l Examined 240-360' B 2.11 & 5 Pressurizer One 66% 66% 5-2 99-1448 Examined 0'-240*
2.12 99-1450 99-1452 99-1454 Page A3 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys lnsp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Reg Comp 5-3 99-1449 1' long seam for 5-2 99-1451 99-1453 99-i455 Two 66% 66% 5-6 UT-02-243 1' long seam for 5-8 UT-02-244 UT-02-245 UT-02-246 5-8 UT-02-238 Examined 0-240* UT-02-240 UT-02-241 UT-02-242 B 2.31 3 SO I One 33% 33% 3-5 01-1200 Examined 0'-120* 01-1211 01-1214 01-1234 Two 33% 33% 3-5 UT-02-139 Examined 120*-240° UT-02-140 UT-02-147 UT-02-149 Three 0 0 3-108 UT-05-102 PSE 4 S0 2 Three 0 0 4-108 UT-05-140 PSE B 2.32 3 SG I One 33% 33% 3-3 01-1199 01-1212 01-1213 01-1233 3-10 01-1203 01-1208 01-1218 01-1237 3-11 01-1200 01-1201 01-1210 01-1211 01-1214 01-1215 01-1234 01-1235 3-12 01-1201 01-1210 01-1215 01-1235 B 2.40 3 SG 1 One 50% 50% 3-6 01-1201 Examined 0°-180' 01-1210 01-1215 01-1235 Three 0 0 3-106 UT-05-101 PSE 3-107 UT-05-100 PSE 4 S02 Two 50% 50% 4-6 UT-02-260 Examined 180'-360' UT-02-280 UT-02-281 UT-02-282 Three 0 0 4-106 UT-05-138 PSE 4-107 UT-05-139 PSE B 3.90 1 Reactor Vessel One 2 2 1-15 * *Separate Report 1-18
- by Wesdyne. Exam B 3.100 1 Reactor Vessel One 2 2 1-15
- completed in 1R8 1 1-18
- B 3.110 5 Pressurizer One 2 2 5-9 01-1283 01-1284 01-1286 01-1287 Page A4 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp 5-11 01-1267 01-1268 01-1269 01A270 Two 2 2 5-10 UT-02-252 UT-02-253 UT-02-254 UT-02-255 5-13 UT-02-247 UT-02-248 UT-02-250 UT-02-251 B 3.120 5 Pressurizer One 2 2 5-9 01-1285 01-1406 5-11 01-1365 01-1366 Two 2 2 5-10 UT-02-266 5-13 UT-02-272 B 3.130 3 SG I One 1 1 3-9 01-1202 01-1209 01-1217 01-1236 Two 1 1 3-7 UT-02-134 UT-02-143 UT-02-145 UT-02-146 Three 0 0 3-100 UT-05-103 PSE 3-101 UT-05-107 PSE 3-102 UT-05-105 PSE 4 SG2 One 1 1 4-9 01-1376 01-1377 01-1378 01-1379 Two 1 1 4-7 UT-02-138 UT-02-142 UT-02-144 UT-02-148 Three 0 0 4-100 UT-05-135 PSE, 0 - 6 & 14 - 19, UT CC N-460 UT-05-218 PSE 6 - 14, UT CC N-460 4-101 UT-05-136 PSE, UT CC N-460 4-102 UT-05-137 PSE, UT CC N-460 B 3.140 3 SG 1 One 1 1 3-9 01-1367 01-1368 Two I 1 3-7 UT-02-132 Three 0 0 3-100 IR UT-05-104 PSE 3-101 IR UT-05-108 PSE 3-102 IR UT-05-106 PSE 4 SG 2 One 1 1 4-9 01-1369 01-1370 Two 1 1 4-7 UT-02-135 Three 0 0 4-100 IR UT-05-203 PSE 4-101 IR UT-05-204 PSE 4-102 IR UT-05-205 PSE B 4.11 2 Closure Head Two 0 0 RPV Vent ECT-* 04-235 Aug exam NRC Order EA-03-009, 04-236 *Wesdyne Report Three 0 0 Vent Nozzles UT-* ECT-* VT-05-644 Aug exam, NRC Order EA-03-009 07-VT-1092 *Wesdyne Report B 4.12 2 Closure Head One 8 8 CEDM Noz 01-1627 Two 8 8 CEDM Noz UT-* ECT-* VT-02-700 All (EA-03-009) 04-235 *Wesdyne Report 04-236 Page A5 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys lnsp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp Three 9 9 CEDM-Nozzles *
- VT-05-642 All, NRC Order EA-03-009
*
- 07-VT-1111 *Wesdyne Rpts B 4.13 1 Reactor Vessel One 5 5 Inst. Noz. 01-1627 Two 5 5 hist. N&Z VT-02-705 Reject- eval by CRDR 2312850 All VT-04-431 (EA-03-009)
Three 6 6 ICI VT-05-641 All ICI's, includes ISI & Aug BMI. VT-05-1158 NRC Bulletin 2003-02 07-VT-1171 B 4.20 5 Pressurizer One 12 12 Heater _ _._ 01-1627 CEIB 89-06 Two 12 12 Heater VT-02-699 CEIB 89-06 VT-04-433 Three 12 12 HEATERS VT-05-645 All and Aug, CE-lB 89-06 07-VT-1204 B 5.40 20 PZR Surge One 1 1 5-34 01-1288 01-1232 01-1290 31 PZR Safeties One 1 1 5-29 01-1238 01-1010 01-1239 01-1240 01-1278 20 PZR Surge Two 0 0 5-34 VT-04-386 Aug. VT 29 PZR Spray Two 1 1 5-33 RT-02-003 PT-02-147 VT-04-387 Aug. VT 31 PZR Safeties Two 1 1 5-31 UT-02-257 PT-02-155 VT-04-390 Aug. VT 5-29 VT-04-388 Aug. VT 5-30 VT-04-389 Aug. VT 5-32 VT-04-391 Aug. VT 20 PZR Surge Three 0 0 5-34 UT-05-159 VT-05-646 Aug Vol & VT (bare metal - MRP 07-VT-1126 139) 5-34-OL 07-UT-1004 07-PT-1001 PSE post overlay. (MRP 139) 29 PZR Spray Three 0 0 5-33 UT-05-168 VT-05-656 Aug Vol & VT (bare metal) Limited 07-VT-1138 UT exam (MRP 139) 5-33-OL 07-UT-1006 07-PT-1003 PSE post overlay. (MRP 139) 31 PZR Safeties Three 0 0 5-29 RT-05-011 VT-05-657 Aug UT & Aug VT (bare metal) (MRP UT-05-169 07-VT-1139 139) 5-29-OL 07-UT-1007 07-PT-1004 PSE post overlay. (MRP 139) 5-30 RT-05-012 VT-05-658 Aug Vol & Aug VT (bare metal - UT-05-170 07-VT-1140 MRP 139) 5-30-OL 07-UT-1008 07-PT-1005 PSE post overlay. (MRP 139) 5-31 RT-05-013 VT-05-659 Aug Vol & Aug VT (bare metal - UT-05-171 07-VT-1141 MRP 139) 5-31-OL 07-UT-1009 07-PT-1006 PSE post overlay. (MRP 139) 5-32 RT-05-014 VT-05-660 Aug Vol & Aug VT (bare metal - UT-05-532 07-VT-1142 MRP 139) 5-32-OL 07-UT-1010 07-PT-1007 PSE post overlay. (MRP 139) B 6.10 2 Closure Head One 18 18 1 thru 18 99-1510 9941589 Two 18 18 19 thru 36 MT-02-167 VT-02-592 B 6.30 2 Closure Head One 18 18 1 thru 18 99-1511 99-1509 Two 18 18 19 thru 36 UT-02-211 MT-02-166 45 92-725 92-724 PSE in Warehouse B 6.50 2 Closure Head One 18 18 1 thru 18 99-1613 Two 18 18 19 thru 36 VT-02-593 B 6.180 16 RCP1A One 5 5 1 thru 5 99-1705 99-1601 01-1654 Two 5 5 6 thru 10 UT-04-116 VT-02-626 IEIN 80-27 All VT-04-430 Three 6 6 Flange Studs UT-05-124 VT-05-1I II ISI and Aug (IEIN 80-27& IEB 82-02) 07-VT-1120 17 RCP1B One 5 5 1 thru 5 99-1706 99-1603 01-1654 Two 5 5 6 thru 10 UT-04-117 VT-02-630 lEIN 80-27 All I_ I I VT-04-429 Three 6 6 Flange Studs UT-05-125 VT-05-1113 ISI and Aug (IEIN 80-27& IEB 82-02) 1 _07-VT-1121 Page A6 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp 18 RCP 2A One 5 5 1 thru 5 99-1487 99-1500 99-1464 01-1654 PSE Two 5 5 6 thru 10 UT-04-118 VT-02-634 I I VT-04-427 IEIN 80-27 All Three 6 6 11 thru 16 UT-05-126 VT-05-1115 ISI and Aug (IE1N 80-27& IEB 82-02) 07-VT-1122 19 RCP 2B One 5 5 1 thru 5 99-1707 99-1602 01-1654 Two 5 5 6 thru 10 UT-04-119 VT-02-638 I VT-04-428 IEIN 80-27 All Three 6 6 11 thru 16 UT-05-127 VT-05-1117 IS1 and Aug (1EIN 80-27& 1EB 82-02) 07-MT-1004 07-VT-1123 B 6.190 18 RCP 2A One 16 16 Flange 99-1488 Flange surface around each stud B 6.190 19 RCP 2B Three 16 16 Flange 07-VT-1124 Accessible flange surface around each stud B 6.200 16 RCP IA One 5 5 1 thru 5 99-1601 Two 5 5 6 thru 10 VT-02-625 B 6.200 16 RCP IA Three 6 6 11 thru 16 07-VT-1120 17 RCP lB One 5 5 1 thru 5 99-1603 Two 5 5 6 thru 10 VT-02-629 B 6.200 17 RCP 1B Three 6 6 11 thru 16 07-VT-1121 18 RCP 2A One 5 5 1 thru 5 99-1197 Rejected 6 nuts, 99-1500 PSE 6 nuts/clamp ring Two 5 5 6 thru 10 VT-02-633 B 6.200 18 RCP 2A Three 6 6 11 thru 16 07-VT-1122 19 RCP2B One 5 5 1 thru 5 99-1602 Two 5 5 6 thru 10 VT-02-637 B 6.200 19 RCP 2B Three 6 6 11 thru 16 07-VT-1123 B 7.20 5 Pressurizer One 20 20 20 studs/nuts 99-1498 IEB 82-02 01-1272 Removed Two 20 20 20 studs/nuts MT-02-172 VT-02-596 IEB 82-02 1_ 1 VT-04-394 Three 20 20 20 studs/nuts VT-05-1109 PSE 07-MT-1003 07-VT-1117 IEB 82-02 B 7.30 3 SG1 One 40 40 40 studs/nuts 99-1492 [EB 82-02 01-1271 Removed Two 40 40 40 studs/nuts MT-02-173 VT-02-594 IEB 82-02 VT-04-405 Three 40 40 40 studs/nuts VT-05-1107 PSE, IEB 82-02 07-MT-1002 07-VT-1114 4 SG2 One 40 40 40 studs/nuts 99-1493 IEB 82-02 01-1294 Removed Two 40 40 40 studs/nuts MT-02-174 VT-02-595 IEB 82-02 VT-04-406 Three 40 40 40 studs/nuts VT-05-1108 IEB 82-02 07-MT-1002 07-VT-1115 B 7.50 31 PZR Safeties One 1 1 PSV200 99-1499 IEB 82-02 01-1431 Removed PSV201 99-1499 IEB 82-02 01-1431 Removed PSV202 99-1499 IEB 82-02 01-1431 Removed PSV203 99-1499 IEB 82-02 01-1431 Removed Two I I PSV200 MT-02-168 VT-02-597 IEB 82-02 VT-04-395 Removed PSV201 MT-02-169 VT-02-598 IEB 82-02 I VT-04-396 Removed Page A7 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp PSV202 MT-02-170 VT-02-599 IEB 82-02 VT-04-397 Removed PSV203 MT-02-171 VT-02-600 IEB 82-02 VT04-398 Removed Three 2 2 PSV200 VT-05-1118 8 studs and 16 nuts (IEB 82-02) PSV201 VT-05-1162 8 studs and 16 nuts (IEB 82-02) PSV202 VT-05-1119 8 studs and 16 nuts (IEB 82-02) PSV203 VT-05-1163 8 studs and 16 nuts (IEB 82-02) 37 Charging One 1 1 V435 99-1263 B 7.60 16 RCP IA One 5 5 1 thru 5 99-1490 I thru 16 01-1476 Disassembled Two 5 5 6 thru 10 VT-02-627 VT-02-628 17 RCP 1B One 5 5 1 thru 5 99-1491 Two 5 5 6 thru 10 VT-02-631 VT-02-632 18 RCP2A One 5 5 1 thru 5 99-1489 1 thru 16 01-1475 Disassembled / 2 rejects 2 01-1501 PSE Two 5 5 6 thru 10 VT-02-635 VT-02-636 19 RCP 2B One 5 5 1 thru 5 99-1602 Two 5 5 6 thru 10 VT-02-639 VT-02-641 B 7.70 21 SD Cooling 1 One 1 1 UV653 99-1224 Three 1 1 UV651 07-VT-1130 22 SDCooling2 One 1 1 UV654 01-1533 Two 1 1 UV652 VT-02-514 23 SIlA One .1 1 V237 01-1004 Two 2 2 V235 VT-02-516 UV634 VT-02-517 24 SI 1B One 1 1 V543 99-1228 Two 2 2 V245 VT-02-478 UV644 VT-02-506 25 S! 2A One 1 1 V540 99-1219 Two 1 1 V217 VT-02-515 26 SI 2B One 1 1 V225 99-1614 Two 2 2 V541 VT-02-553 PSE UV624 VT-02-518 27 PZR Spray IA Two 1 1 PVIOOE VT-02-614 28 PZR Spray lB One 2 2 V241 99-1283 Reject 99-1665 Re-exam 01-1024 Re-exam V242 99-1283 Two 1 1 VIO1F VT-02-615 30 Aux PZR Spray Three 2 2 HV203 VT-05-1136 PSE, Installed HV205 VT-05-1137 PSE, Installed 31 PZR Safeties One 1 1 PSV200 99-1713 Two I I PSV202 VT-02-601 Three 2 2 PSV200 07-VT-1199 Aug PSV201 07-VT-1199 PSV202 07-VT-1199 Aug PSV203 07-VT-1199 32 Drain Line 1A One 2 2 V234 99-1588 V334 99-1587 33 Drain Line lB Two 2 2 V235 VT-04-313 V335 VT-04-314 34 Drain Line 2A Two 2 2 V233 VT-02-539 V333 VT-02-540 37 Charging One 1 1 PDV240 99-1263 38 Drain Line One I I V215 01-1042 39 HPSI Long Tenn One I I V523 01-1040 Page A8 of A41
1 APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys lnsp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp Two 2 2 V522 VT-02-421 V957 VT-02-578 40 HPSI Long Term Two 1 1 V532 VT-02-579 B 7.80 2 RVLMS One 1 1 2-'21 01-1600 CEDM 92 & 96 B 8.20 5 Pressurizer One 66% 66% 5-1 99-1445 01-1006 Examined 0°-240° 99-1446 99-1447 99-1486 B 8.30 3 SG 1 One 33% 33% 3-1 01-1304 01-1292 Examined 0*-120' 01-1330 01-1331 01-1332 Three 34% 34% 3-104 MT-05-100 PSE ID & OD, MT Coverage 99.8%, 4 SG2 Two 33% 33% 4-1 UT-02-130 MT-02-165 Examined 120'-240°, MT on OD UT-02-136 only. UT-02-137 UT-02-141 B 9.11 6 RCS Piping One 7 7 1-31
- 01-1599 *Separate report by
& 9.12 1-34
- 01-1599 Wesdyne. Exams 6-7
- 01-1599 completed in U1 R8 3-30 01-1356 01-1299 01-1359 4-30 01-1357 01-1291 01-1360 7-7
- 01-1599 17-2 01-1361 01-1291 01-1362 Two 0 0 16-1 MT-02-179 17-1 MT-02-181 18-1 MT-02-178 19-1 MT-02-180 Three 8 0 6-1 UT-05-143 PT-05-056 _PSE, P3 RR32 3-103 UT-05-144 MT-05-1 10 PSE 4-103 UT-05-145 MT-05-111 PSE 7-1 UT-05-146 PT-05-057 PSE 8-13 UT-05-147 MT-05-113 PSE 8-16 UT-05-148 PT-05-058 PSE 8-19 UT-05-149 PT-05-059 PSE 10-13 UT-05-150 MT-05-116 PSE 10-16 UT-05-151 PT-05-060 PSE 10-19 UT-05-152 PT-05-061 PSE 12-13 UT-05-153 MT-05-119 PSE 12-16 UT-05-154 PT-05-062 PSE 12-19 UT-05-155 PT-05-063 PSE 14-13 UT-05-156 MT-05-122 PSE 14-16 UT-05-157 PT-05-064 PSE 14-19 UT-05-146 PT-05-065 PSE 20 PZR Surge One 1 1 20-1 01-1289 01-1232 Three 0 0 6-4 UT-05-160 VT-05-647 Aug VT (bare metal - pre-overlay),
07-VT-1127 (MRP 139) 6-4-OL 07-UT- 1005 07-PT-1002 T-', PWSCC - PSE post overlay. (MRP 139) 20-1-OL 07-UT- 1004 07-PT-1001 Tr - PSE, post overlay. (MRP 139) 20-11-OL 07-UT-1005 07-PT-1002 TT - PSE, post overlay. (MRP 139) 21 SD Cooling I One 3 3 6-11 01-1380 01-1275 01-1383 21-18 01-1381 01-1275 21-20 01-1382 01-1275 Two 21-14 UT-02-190 PT-02-119 21-15 UT-02-191 PT-02-120 Page A9 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys lnsp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp 21-1 PT-04-063 IAug. 21-3 PT-04-050 Aug. 21-4 UT-04-127 PT-04-053 Aug. 21-5 UT-04-128 PT-04-054 Aug. 21-6 PT-04-048 Aug. 6-11 PT-04-059 Aug. 21-7 UT-04-129 PT-04-057 Aug. 21-8 UT-04-130 PT-04-058 Aug. 21-9 UT-04-131 PT-04-049 Aug. 21-10 UT-04-132 PT-04-051 Aug. 21-11 PT-04-055 Aug. 21-11A PT-04-060 Aug. 21-12 UT-04-126 PT-04-052 Aug. Limited UT exam 21-12A PT-04-042 Aug. 21-13 PT-04-043 Aug. _ _21-13A PT-04-066 Aug. 21-14. UT-04-120 PT-04-056 Aug. 21-15 UT-04-122 PT-04-064 Aug. 21-16 UT-04-121 PT-04-062 Aug. 21-17 UT-04-123 PT-04-067 Aug. 21-18 UT-04-124 PT-04-045 Aug. 21-19 UT-04-125 PT-04-046 Aug. 21-20 PT-04-047 Aug. Three I I 6-11 UT-05-161 PT-05-1Il VT-05-648 Aug Surf, Vol & VT (bare metal - 07-VT-1128 MRP-139) 21-14 UT-05-223 PT-05-112 P3= RR32 21-15 UT-05-224 PT-05-113 Aug exams UT-06-045 PT-06-013 21-16 UT-05-225 PT-05-114 Aug exams UT-06-046 PT-06-014 21-17 UT-05-226 PT-05-115 Aug exams UT-06-047 PT-06-015 21-20 UT-05-222 PT-05-110 Aug exams UT-06-048 PT-06-016 21-21 UT-06-050 PT-06-017 PSE 21-22 UT-06-051 PT-06-018 PSE 21-23 UT-06-052 PT-06-019 PSE 21-24 UT-06-053 PT-06-020 PSE 21-25 UT-06-054 PT-06-021 PSE 21-26 UT-06-055 PT-06-022 PSE 22 SD Cooling 2 One 1 1 22-11 99-1600 99-1590 22-14 99-1599 99-1590 22-23 01-1510 01-1327 Needs PDl re-exam 01-1511 Two 0 0 22-1 PT-02-103 7-9 PT-02-105 22-18 PT-02-112 Three 2 0 7-9 UT-05-162 VT-05-649 Aug Vol & VT (bare metal - MRP 07-VT-1131 139), P3 = RR32 23 SI1A One 3 3 9-10 01-1541 01-1007 01-1542 23-1 01-1543 01-1007 23-2 01-1544 01-1007 23-4 01-1545 01-1007 Needs PDl re-exam 01-1546 Two 1 1 23-6 UT-02-287 PT-02-172 Aug. Limited UT exam UT-02-289 23-4 UT-04-001 PDI re-exam, Limited UT exam Three 0 0 9-10 VT-05-650 Aug VT (bare metal - MRP-139), 07-VT-1132 P3 = RR32 24 SI lB Two 3 3 24-6 UT-02-179 PT-02-116 Aug. Limited UT exam I__ _UT-02-182 I Page Al0 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Reg Comp 24-14 UT-02-185 PT-02-098 Limited UT exam UT-02-189 24-16 UT-02-177 PT-02-101 Limited UT exam UT-02-188 24-19 UT-02-176 PT-02-099 Limited UT exam UT-02-178 Three 1 0 11-10 UT-05-163 VT-05-651 Limited UT, Aug VT (bare metal - 07-VT-1133 MRP-139), P3 = RR32 25 SI2A One 2 2 25-26 99-1512 99-1503 1 25-27 99-1617 99-1606 25-29 99-1618 Two 4 4 25-1 UT-02-227 PT-02-145 25-4 UT-02-224 PT-02-146 Limited UT exam. UT-02-226 25-6 UT-02-221 PT-02-173 Limited UT exam UT-02-222 13-10 UT-02-228 PT-02-174 Three 0 0 13-10 VT-05-652 Aug VT (bare metal - MRP-139), 07-VT-1134 P3 = RR32 26 S12B One 2 2 26-9 99-1615 99-1586 26-11 99-1616 99-1586 Two 1 1 26-6 UT-02-181 PT-02-114 Limited Aug. UT exam UT-02-184 26-17 UT-02-180 PT-02-113 Limited UT exam UT-02-183 Three 0 0 15-9 UT-05-164 VT-05-653 Limited UT exam, Aug VT (bare 07-VT-1135 metal - MRP-139), P3 = RR32 29 PZR Spray One 2 2 29-10 99-1467 99-1436 1 1 1 29-11 99-1468 99-1436 Two 1 1 29-1 UT-02-233 PT-02-149 PSE, Need PDI re-exam UT-02-234 Re-exam UT-04-002 29-2 UT-02-235 PT-02-150 PSE, Limited UT exam, UT-02-236 Need PDI re-exam UT-04-003 Re-exam, Limited UT exam 29-9 UT-02-237 PT-02-148 PSE, Need PDI re-exam UT-02-239 UT-04-004 Re-exam Three 2 2 29-1-OL 07-UT-1006 07-PT-1003 TT' - PSE, post overlay. (MRP 139) 29-2 UT-05-165 Limited UT exam 29-4 UT-05-166 P3 = RR32 29-5 UT-05-167 31 PZR Safeties One 1 1 31-1 01-1220 01-1010 Two 2 2 31-9 UT-02-249 PT-02-156 31-10 UT-02-256 PT-02-157 36 Letdown Line Two 1 1 36-75 UT-02-223 PT-02-144 B 9.21 27 PZR Spray IA One 4 4 9-11 01-1044 & 9.22 27-42 01-1044 27-43 01-1044 27-44 01-1044 Three 0 0 9-11 VT-05-654 Aug VT (bare metal - MRP 139), 07-VT-1136 P3 =RR32 28 PZR Spray 1A One 4 4 28-31 99-1459 28-32 99-1459 28-39 99-1437 28-40 99-1437 Two 4 4 28-9 YPT-02-167 28-11 PT-02-168 11-11 PT-02-115 28-20 PT-02-169 Page Al1 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Reg Comp Three 0 0 11-11 VT-05-655 AugVT(baremetal-MRP 139), 07-VT-1137 P3 = RR32 30 Aux PZR Spray One 2(2) 2(2) 30-7 99-1233 ()Identifies augment 30-13 99-1233 30-1 01-1621 01-1640 88-08 01-1623 30-2 01-1622 01-1640 88-08 01-1624 Two 2 2(2) 30-5 PT-02-153 30-6 PT-02-154 30-1 UT-02-229 PT-02-151 PSE, IEB 88-08, UT-02-230 Limited UT exam 30-2 UT-02-231 PT-02-152 PSE, IEB 88-08, UT-02-232 Limited UT exam Three 0 0 30-4 PT-05-083 PSE, P3 = RR32 30-5 PT-05-084 PSE 30-6 PT-05-085 PSE 30-7 PT-05-100 PSE 30-9 PT-05-087 PSE 30-10 PT-05-088 PSE 30-11 PT-05-089 PSE 30-12 PT-05-090 PSE 30-13 PT-05-091 PSE 32 Drain IA One 3 3 8-18 99-1504 32-1 99-1504 32-2 99-1504 Three 0 0 8-18 VT-05-669 Aug VT (bare metal - MRP 139), 07-VT-1143 P3 = RR32 33 DrainLine lB Two 3 3 33-1 PT-02-106 33-5 PT-02-107 10-18 PT-02-104 Three 0 0 10-18 VT-05-661 Aug VT (bare metal - MRP 139), 07-VT-1144 P3 = RR32 34 Drain Line 2A Three 0 0 12-18 VT-05-652 Aug VT (bare metal - MRP 139), 07-VT-1145 P3 = RR32 36 Letdown Line One 2 2 36-8 01-1186 36-9 01-1186 Two 8 8 36-25 PT-02-138 36-26 PT-02-139 36-28 PT-02-141 36-35 PT-02-142 36-43 PT-02-085 36-44 PT-02-086 36-45 PT-02-087 36-80 PT-02-088 Three 4 0 14-18 VT-05-663 Aug VT (bare metal - MRP 139), 07-VT-1146 P3 =RR32 37 Charging One 5 5 37-41 99-1301 37-42 99-1301 37-43 99-1301 37-45 01-1045 37-46 01-1045 37-47 01-1045 Two 7 7 13-11 PT-02-128 37-28 PT-02-122 37-29 PT-02-123 37-30 PT-02-124 37-32 PT-02-125 37-33 PT-02-126 37-34 PT-02-127 Three 2 0 13-11 VT-05-1142 AugVT(baremetal-MRP 139), I_ I_ I 07-VT-1147 P3 = RR32 Page A12 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys lnsp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp 38 Drain Line I Two 1 1 38-1 PT-02-170 39 HPSI A One 2 2 39-1 99-1234 39-5 99-1234 Two 3 3 39-12 UT-02-290 PT-02-131 39-13 UT-02-292 PT-02-175 39-24 UT-02-302 PT-02-162 Limited UT exam UT-02-303 Three 0 0 39-26 UT-05-219 PT-05-103 Aug exams, P3 = RR32 39-27 UT-05-220 PT-05-104 Aug exams 39-30 UT-05-214 PT-05-105 Aug exams 39-31 UT-05-216 PT-05-106 Aug exams 39-32 UT-05-215 PT-05-107 Aug exams 39-33 UT-05-217 PT-05-108 Aug exams 39-33-A UT-05-221 PT-05-109 Limited UT exam 39-53 PT-06-023 PSE 39-54 PT-06-024 PSE 39-55 PT-06-025 PSE 39-56 PT-06-026 PSE 39-57 PT-06-027 PSE 39-58 PT-06-028 PSE 39-59 PT-06-029 PSE 39-60 PT-06-030 PSE 39-61 PT-06-031 PSE 39-62 PT-06-032 PSE 39-63 P1-06-033 PSE 39-64 PT-06-034 PSE 39-65 PT-06-035 PSE 39-66 PT-06-036 PSE 39-67 PT.06-037 PSE 39-68 UT-06-056 PT-06-038 PSE 39-69 UT-06-057 PT-06-039 PSE 39-70 UT-06-058 PT-06-040 PSE 39-71 UT-06-059 PT-06-041 PSE 39-72 UT-06-060 PT-06-042 PSE 40 HPSIB One 3 3 40-1 01-1043 40-2 01-1043 40-3 01-1043 Two 2 2 40-6 UT-02-285 PT-02-163 40-7 UT-02-288 PT-02-164 B 9.31 6 RCS Piping One 1 1 9-8 01-1355 01-1291 01-1358 Two 0 0 13-8 UT-02-212 MT-02-176 Limited UT exam B 9.32 6 RCS Piping One 1 1 8-17 99-1505 Two 1 1 13-9 MT-02-177 21 SD Cooling I Two 0 0 21-IA PT-04-065 Aug 21-13B PT-04-044 Aug 22 SD Cooling One 1 1 22-7A 99-1607 36 Letdown Two 2 2 36-41 PT-02-084 36-76 PT-02-143 B 9.40 32 Drain 1A One 1 1 32-6 99-1504 32-8 99-1504 33 Drain Line 1B Two 1 1 33-6 PT-02-108 34 Drain Line 2A Two 1 1 34-6 PT-02-171 38 Drain 1 One I 1 38-5 01-1041 Removed 38-12 01-1500 PSE 36 Letdown One I I RC-91-H5 99-1591 RC-91-H6 99-1591 1 Two 1 1 RC-91-H6 PT-02-089 91% CC N460 B 12.10 19 RCP 2B Three 2 2 19-3 07-UT-1002 I I 1 19-4 07-UT-1003 I I B 12.20 18 RCP 2A One 1 1 Bowl Interior 1 99-1497 Page A13 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys lnsp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no _ Per Req Comp B 12.20 19 RCP 2B Three 1 1 Bowl Interior 07-VT-1125 Examined to extent practical B12.50 21 SD Cooling 1 Two 1 1 UV653 VT-04-286 Internal surfaces 24 SI 1B Two I 1 V543 VT-02-523 Internal surfaces 25 SI 2A Two 1 1 V215 VT-04-297 Internal surfaces B 13.10 1 Reactor Vessel One 33% 33% Interior 01-1534 accessible areas Two 33% 33% Interior VT-04-317 accessible areas Three 34% 34% Interior VT *
- Separate Wesdyne Report B13.50 1 Reactor Vessel Three 100% 100% Beltline VT *
- Separate Wesdyne Report Attachment B 13.60 1 Reactor Vessel Three 100% 100% AttachmentBeyo VT *
- Separate Wesdyne Report
_ _ nd Beltline B13.70 1 Reactor Vessel Three 100% 100% Core Support VT *
- Separate Wesdyne Report B 14.10 2 Closure Head One 2 2 2-9 01-1519 01-1655 CEDM 84 2-9 01-1519 01-1655 CEDM 88 2 2 2-10 01-1518 01-1655 CEDM84 2-10 01-1518 01-1655 CEDM 88 Two 2 2 2-9 UT-02-206 PT-02-136 CEDM 83 2-9 UT-02-207 PT-02-137 CEDM 91 2 2 2-10 UT-02-203 PT-02-134 CEDM 83 2-10 UT-02-204 PT-02-135 CEDM 91 B 15.10 2 Closure Head Two ALL ALL Head 04-235 Aug BMI, NRC Order EA-03-009 04-236 Three 100% 100% Head VT-05-643 Aug BMI, NCR Order EA-03-009 07-VT-1111 B 15.10, Variou RCS Piping One ALL ALL Press Bound 99-1585 RR#1 I & 12 20, 30, 40, s 99-1647 SIBPSV 169 disassy 50, 60 & 99-1711 70 01-1012 01-1013 01-1557 01-1627 reject 01-1628 01-1012 01-1013 01-1557 01-1627 01-1628 01-1629 01-1630 01-1646 01-1647 Two ALL ALL Press Boundary VT-02-698* *100% RCS ea. Outage VT-04-414 VT-04-432 VT-04-436 VT-04-438 VT-04-447 VT-04-466*
Three 100%
- RCS Pressure VT-05-664
- RCS 100% each outage Boundary VT-06-725 N-498-4 07-VT-1104 07-VT-1163 07-VT-1 165 07-VT-1 166 07-VT-1167 07-VT-1204 07-_T-1207 Flywheel 16 RCP IA One I I Flywheel 01-1273 Two 1 1 Flywheel UT-02-201 17 RCP 1B One 1 1 Flywheel 01-1363 Two 1 1 Flywheel UT-02-202 18 RCP 2A One 1 1 Flywheel 01-1364 Page A14 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Reg Comp Two 1 1 Flywheel UT-02-208 19 RCP 2B One I I Flywheel 01-1434 Two 1 I Flywheel UT-02-205 Spare Flywheel Three 0 0 Flywheel UT-06-061 PSE Spare Flywheels UT-06-062 UT-06-063 UT-06-064 F 1.10 20 PZR Surge One 2 2 RC-28-HI 99-1284 RC-28-H2 99-1218 Two 2 2 RC-28-H842 VT-04-001 RR#4 RC-28-H844 VT-04-002 RR#4 Three RC-028H001 07-VT-1152 Aug pre-overlay 07-VT-1153 Aug post-overlay RC-028H002 07-VT-1 154 Aug pre-overlay 07-VT-1155 Aug post-overlay RC-028H003 07-VT-1156 Aug pre-overlay 07-VT-1157 Aug post-overlay RC-028H004 07-VT-1158 Aug pre-overlay 07-VT-1159 Aug post-overlay 21 SD Cooling 1 One 7 7 SI-240-H1O 99-1227 SI-240-H 11 99-1226 SI-240-HI 3 99-1225 RC-51-HI 01-1182 Support Deleted RC-51-H2 01-1181 RC-51-H3 01-1180 RC-51-H821 01-1433 Two 7 7 RC-5 1-H2 VT-02-640 Expansion VT-04-324 RC-5 I-H3 VT-02-429 Expansion VT-04-325 RC-5 1-H4 VT-02-422 Support Deleted RC-51 -H5 VT-02-423 VT-04-326 RC-5 I -H6 VT-02-703 Support Deleted RC-5 I-H822 VT-02-474 SI-240-H1 I VT-02-430 Support Deleted SI-240-H2 VT-02-425 VT-04-323 SI-240-H3 VT-02-431 Reject VT-02-605 Re-exam VT-04-315 SI-240-H4 VT-02-433 Expansion VT-04-327 SI-240-H5 VT-02-432 Reject VT-02-607 Re-exam VT-04-316 SI-240-H6 VT-02-434 Support Deleted S1-240-H7 VT-02-435 Expansion VT-04-328 SI-240-H8 VT-04-329 SI-240-H9 VT-02-659 Expansion VT-04-330 SI-240-H10 VT-02-661 Expansion VT-04-331 SI-240-H 11 VT-02-662 Expansion VT-04-332 SI-240-H12 VT-02-424 Support Deleted SI-240-H13 VT-04-333 SI-240-H823 VT-02-427 SI-240-H824 VT-02-428 Three 2 0 SI-240-H3 VT-05-667 Re-exam CRDR 2564714, RR #4 SI-240-H5 VT-05-668 Re-exam CRDR 2564714, RR#4 SI-240-H002 VT-06-755 PSE Page A15 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp SI-240-H014 VT-06-713 PSE SI-240-H015 VT-06-714 PSE SI-240-H016 .... __..... 07-VT-1129 Aug SI-240-H017 VT-06-716 PSE 22 SDCooling B One 4 4 RC-68-H5 01-1177 RC-68-H6 01-1176 Support Deleted SI-193-H17 01-1178 SI-193-H19 01-1179 Support Deleted Two 4 4 RC-68-H3 VT-02-663 Expansion SI-193-H8 VT-02-496 Reject VT-02-652 Re-exam SI-193-H9 VT-02-497 RR #4 SI-193-H17 VT-02-664 Expansion SI-193-H20 VT-02-508 SI-193-H23 VT-02-665 Expansion SI-193-H25 VT-02-498 Support Deleted 23 SI IA One 1 1 SI-207-H5 01-1005 Support Deleted Two 2 2 SI-207-H3 VT-02-666 Expansion SI-207-H7 VT-02-509 SI-207-HI I VT-02-510 24 SI lB One 2 2 SI-223-H3 99-1230 SI-223-H4 99-1229 Support Deleted Two 2 2 SI-223-H1 VT-02-475 SI-223-H2 VT-02-477 Support Deleted 25 SI 2A One 2 2 S1-156-H7 99-1221 Support Deleted SI-156-H9 99-1220 Two 1 1 SI-156-H9 VT-02-667 Expansion SI-160-HI VT-02-511 26 SI2B One 2 2 SI-179-H9 99-1223 Support Deleted SI-179-HI 1 99-1222 Two 3 3 SI-175-H21 VT-02-507 Reject VT-02-655 Re-exam
'_SI-175-H22 VT-02-512 Support Deleted SI--175-H23 VT-02-513 SI-179-HI I VT-02-669 Expansion 27 PZR Spray IA One 9 9 RC-62-H26 99-1209 RC-62-H27 99-1208 RC-62-H28 99-1207 RC-62-H29 99-1206 Support Deleted RC-62-H30 99-1205 RC-62-H31 99-1204 Support Deleted RC-62-H32 99-1203 RC-62-H33 99-1202 RC-62-H34 99-1262 Support Deleted Two 8 8 RC-16-H5 VT-02-537 RC- 16-H6 VT-02-608 RC- 16-H7 VT-02-609 RC-16-HI_5 VT-02-536 Support Deleted RC-62-H35 VT-02-610 RC-62-H36 VT-02-611 Support Deleted RC-62-H37 VT-02-612 RC-62-H38 VT-02-613 28 PZRSpray lB One 9 9 RC-17-H24 99-1217 RC-17-H34 99-1216 RC-17-H35 01-1172 RC-17-H36 99-1215 RC-17-H38 99-1214 RC-17-H39 99-1213 Support Deleted RC-17-H40 99-1212 RC-17-H41 99-1211 Support Deleted RC-17-H42 99-1210 Two 8 8 RC-17-H43 VT-02-616 Page A16 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp RC-17-H44 VT-02-617 Support Deleted RC- 17-H45 VT-02-618 RC-17-H46 .... ___ VT-02-619 RC-18-H9 VT-02-620 RC-18-H10 VT-02-534 Support Deleted RC-18-HI I VT-02-621 Support Deleted RC-18-H12 VT-02-535 29 PZR Spray One 2 2 RC-18-H16 99-1439 RC-18-H18 99-1440 Two 1 1 RC-18-H17 VT-04-003 RR#4 Three RC-018H016 07-VT-1160 Aug pre-overlay 07-VT-1161 Aug post-overlay 32 Drain IA One 2 2 RC-60-HA 99-1326 Support Deleted RC-60-HB 99-1327 Support Deleted 33 Drain Line lB Two 2 2 RC-58-HA VT-02-493 RC-58-HB VT-02-494 Support Deleted 34 Drain Line 2A Two 2 2 RC-96-HA VT-02-532 RC-96-HB VT-02-533 Support Deleted 36 Letdown One 9 9 RC-91-HI 99-1592 RC-91-H5 99-1593 RC-91 -H6 99-1594 RC-91-HB 99-1325 Support Deleted RC-91-HD 99-1323 RC-9 1-HE 99-1319 Support Deleted RC-91-HY 99-1321 RC-91-HZ 99-1324 RC-91 -HAA 99-1322 RC-91 -HAK 99-1320 Two 10 10 RC-91 -H6 VT-02-415 RC-91 -HAJ VT-02-416 RC-91-HP VT-02-417 RC-91-H2 VT-04-004 RR#4 RC-91-HAP VT-04-005 RR#4 RC-91-HAQ VT-04-006 RR#4 RC-91-HQ VT-04-007 RR#4 RC-91-HR VT-04-008 RR#4 RC-91-HS VT-04-009 RR#4 RC-91-HT VT-04-010 RR#4 37 Charging One 14 14 CH-5-H2 99-1265 Support Deleted CH-5-H3 99-1266 CH-5-H25 99-1267 CH-5-H26 99-1268 Support Deleted CH-5-H27 99-1269 CH-5-H28 99-1270 CH-5-H30 99-1271 CH-5-H34 99-1272 CH-5-H35 99-1273 CH-5-H36 99-1274 CH-5-H42 99-1275 CH-5-H43 99-1276 Support Deleted CH-5-H44 99-1277 CH-5-HAA 99-1264 Support Deleted Two 9 9 CH-5-H13 VT-02-580 CH-5-H 17 VT-02-581 CH-5-H 18 VT-02-582 CH-5-H19 VT-02-583 CH-5-H20 VT-02-584 CH-5-H21 VT-02-585 CH-5-H22 VT-02-586 CH-5-H32 VT-02-587 CH-5-H37 VT-02-588 39 HPSI 1 One 4 4 SI-248-H26 99-1238 Support Deleted Page A17 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys lnsp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Reg Comp SI-248-H27 99-1237 SI-248-H28 99-1236 SI-248-H30 99-1235 Support Deleted Sl*248-H25 99-1239 Two 5 5 SI-248-H17 VT-02-418 VT-04-334 SI-248-H1I8 VT-02-419 Support Deleted SI-248-H 19 VT-02-572 SI-248-H20 VT-02-573 SI-248-H29 VT-02-420 Three I1 0 SI-248-H-18 VT-06-717 PSE SI-248-H-32 VT-06-719 PSE SI-248-H-34 VT-06-721 PSE SI-248-H-35 VT-06-722 PSE SI-248-H-37 VT-06-724 PSE 40 HPSI 2 One 3 3 SI-199-H13 01-1016 SI-199-H14 01-1017 SI-199-H21 01-1015 Support Deleted Two 4 4 SI-199-H 15 VT-02-574 SI-199-H 16 VT-02-575 SI-199-1117 VT-02-576 S1-199-H 18 VT-02-577 F 1.40 3 SG 1 One 1 1 3-40 01-1329 Three 0 0 3-140 VT-05-665 PSE 4 SG 2 Two 1 1 4-40 VT-02-623 Three 0 0 4-140 VT-05-666 PSE 5 Pressurizer One 0 0 5-40 99-1712 16 RCP IA One 2 2 16-20 99-1259 16-21 99-1259 Two 4 4 16-12 VT-02-524 16-13 VT-02-525 16-14 VT-02-526 16-15 VT-02-527 17 RCP 1B One 2 2 17-20 99-1260 17-21 99-1260 Two 4 4 17-12 VT-02-528 17-13 VT-02-529 17-14 VT-02-530 17-15 VT-02-531 18 RCP 2A One 4 4 18-12 99-1663 18-13 99-1663 18-14 99-1663 18-15 99-1663 Two 2 2 18-20 VT-02-643 18-21 VT-02-645 19 RCP 2B One 4 4 19-12 99-1664 19-13 99-1664 19-14 99-1664 19-15 99-1664 Two 2 2 19-20 VT-02-646 19-21
- VT-02-647 N/A 6 RCS Piping Three 0 0 RC31 Inst. 07-VT-1118 Aug BMI VT-2 (IN 2004-11)
Nozzles RC34 Inst. 07-VT-1118 Aug BMI VT-2 (IN 2004-11) Nozzles I RC79 Inst. 07-VT-1118 Aug BMI VT-2 (IN 2004-11) Nozzles RC93 Inst. 07-VT-1118 Aug BMI VT-2 (IN 2004-11) Nozzles Page A18 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME IZone Comp/Sys Insp Amt Amt Item ID Vol Reports Sur Visual Remarks Item no Per Reg Corn ASME Class 2 C 1.10 41 SG 1 One 1 1 41-3 01-1384 Examined 0*-180* 01-1387 01-1390 01-1408 41-4 01-1385 Examined 0°- 180* 01-1388 01-1391 01-1407 Three 0 0 41-105 UT-05-115 PSE 41-106 UT-05-118 PSE 41-118 UT-05-109 PSE 68 Regen HTEXCH Two 3 3 68-3 UT-02-194 68-5 UT-02-196 68-7 UT-02-198 69 Letdown HTEXCH One 50% 50% 69-1 99-1485 Examined 0*-180' Three 50% 50% 69-1 UT-05-133 Examined 180 to 360°, Limited UT exam CC N-460 84 SD Cooling A Two 50% 50% 74-123 UT-04-1 11 Examined 0°-180o 87 SD Cooling HX B Three 50% 50% 75-78 UT-05-201 180 to 360 Deg C 1.20 41 SG I One 1 1 41-5 01-1386 Examined 0*-180' 01-1389 01-1392 01-1393 01-1394 01-1395 01-1409 01-1410 Three 1 1 41-107 UT-05-121 PSE 68 Regen HTEXCH Two 2 2 68-4 UT-02-195 _! 68-6 UT-02-197 C 1.30 41 SG 1 One 1 1 41-1 01-1206 Examined 0*-180' 01-1207 01-1219 01-1241 Three 1 1 41-104 UT-05-1 10 PSE, Limited UT exam CC N-460 42 SG 2 Two 1 1 42-1 UT-02-261 Examined 00-180o UT-02-258 UT-02-259 UT-02-275 68 Regen HTEXCH Two 4 4 68-1 UT-02-192 68-2 UT-02-193 68-8 UT-02-199 68-9 UT-02-200 69 Letdown HTEXCH One 50% 50% 69-2 99-1484 Examined 00-180' Three 50% 50% 69-2 UT-05-134 Examined 180' to 360° 84 SD Cooling A Two 50% 50% 74-124 UT-04-112 Examined 0'-180' 87 SD Cooling HX B Three 50% 50% 75-79 UT-05-202 Examined 1800 to 360° C 2.21 41 SG I One 1 1 41-34 01-1279 01-1008 01-1280 Two 2 2 41-9 UT-04-108 MT-04-006 41-10 UT-04-109 MT-04-007 Three 3 3 41-102 UT-05-111 MT-05-101 PSE 41-103 UT-05-113 MT-05-102 PSE 41-109 UT-05-119 MT-05-105 PSE 41-110 UT-05-120 MT-05-106 PSE 41-114 UT-05-122 MT-05-107 PSE 41-115 UT-05-123 MT-05-108 I PSE Page A19 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Sur Visual Remarks Item no Per Reg Comp 42 SG 2 One 1 1 42-35 01-1281 01-1009 01-1282 Three 0 0 42-100 RT-05-026 PT-05-034 PSE UT-05-198 42-101 RT-05-027 PT-05-035 PSE UT-05-199 84 SD Cooling A Two 1 1 74-122 UT-04-1 10 MT-04-088 87 SD Cooling HX B Three 1 1 75-76 UT-05-200 MT-05-147 C 2.22 41 SG I Two 2 2 41-9 UT-04-113 Inner Radius (ID) RR8 41-10 UT-04-114 Inner Radius (ID) RR8 Three 3 3 41-102-IR UT-05-112 PSE 41-103-IR UT-05-114 PSE 41-114-1R MT-05-129 PSE RR#8 41-115-IR MT-05-130 PSE RR#8 84 SD Cooling A Two 1 1 74-122 UT-04-115 Inner Radius (ID) 87 SD Cooling DX B Three 1 1 75-76 UT-05-206 C 3.10 41 SG I One 1 1 41-42 01-1447 Three 0 0 41-112 UT-05-117 MT-05-103 PSE 41-113 UT-05-116 MT-05-104 PSE 42 SG 2 Two 1 1 42-43 MT-04-090 68 Regen HTEXCH Two 2 2 68-10 PT-02-132 96% CC N460 68-11 PT-02-133 96% CC N460 44 MS SG1 270 Two I 1 SG-33-H16 MT-02-184 45 MS SG2 270 One 1 1 SG-42-H14 99-1430 Two 2 2 SG-42-H15 MT-02-185 SG-42-H16 MT-02-186 55 Feedwater SG2 One 1 1 SG-5-H9 01-1184 1 01-1185 62 Aux FW SGI Two 1 1 AF-18-HI PT-04-040 64 Blowdown SG 1 One 3 3 SG-39-H15 01-1298 01-1302 SG-39-H17 01-1303 Support Deleted SG-53-HI 01-1002 Support Deleted Two 2 2 SG-39-HI MT-02-203 SG-53-H5 MT-02-200 PT-02-176 65 Blowdown SG 2 One 2 2 SG-48-H20 01-1295 Support Deleted SG-52-HI 01-1003 Support Deleted Two 3 3 SG-48-H14 MT-04-077 SG-48-H 16 MT-04-078 SG-48-H26 MT-04-079 71 LPSI Discharge One 1 1 SI-87-HII 99-1435 76 CS Suction One 1 1 S1-9-H4 99-1373 77 Cont Spray A Three 1 1 SI-79-H7 PT-05-038 80 Cont Spray B Three 1 1 SI-I 19-H5 PT-05-039 83 SD Cooling 1 Two 2 2 SI-87-H4 PT-04-061 SI-90-H __1 PT-04-041 Three 2 2 SI-70-HI _ PT-05-102 S1-70-H6 PT-05-043 86 SD Cooling HX B Three 2 2 SI-72-H1 PT-05-044 S1-72-H112 PT-05-045 1 88 East Wrap One 1 1 SI-72-H13 99-1516 89 East Wrap One 1 1 SI-194-H14 99-1619 91 West Wrap One 4 4 SI-70-H9 99-1374 SI-70-HI 1 99-1256 SI-70-H12 99-1456 SI-70-H16 99-1256 1 92 West Wrap One 1 1 S1-241-H21 99-1605 Two 2 2 SI-239-HI PT-04-017 SI-241-H 16 PT-04-018 93 CS Discharge 1 Two 1 1 SI-89-H13 PT-04-020 94 LPSI A Two 2 2 SI-070-H5 PT-02-121 Page A20 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp S1-070-H8 PT-02-130 95 Train B Chase Three 1 1 SI-194-H6 PT-05-049 99 LPSI to Loop 2B Two 1 1 SITj74-H13-_ PT-02-129 100 LPSI Suction A One 1 1 SI-369-H1 99-1457 Two 1 1 84-5 PT-02-178 101 LPSI Sump B Three 1 1 85-5 PT-05-050 102 SI Suction A One 3 3 SI-307-H2 01-1446 SI-307-H3 01-1446 SI-307-H15 01-1446 103 Refuel. Suction A Two 2 2 CH-424-H6 PT-02-118 CH-142-H20 PT-04-069 104 SI Suction B Two 1 1 SI-308-H3 PT-02-159 105 SIB Three 3 3 CH-149-H2 PT-05-051 CH-149-H8 PT-05-052 CH-425-H6 PT-05-053 113 HPSI Discharge One 1 1 S1-107-H22 01-1198 Limited exam C 3.30 72 LPSI Pump A One 3 3 72-3A 01-1471 72-3B 01-1471 72-3C 01-1471 75 LPSI A Two 3 3 73-3A PT-04-004 73-3B PT-04-005 73-3C PT-04-006 78 CS A Two 3 3 80-3A PT-04-007 80-3B PT-04-008 80-3C PT-04-009 81 Cont Spray B Three 3 3 81-3A PT-05-040 81-3B PT-05-041 81-3C PT-05-042 116 HPSI Pump A One 4 4 116-IA 01-1473 Limited exam 116-lB 01-1473 116-IC 01-1473 116-ID 01-1473 Limited exam 117 HPSI Pump B Two 4 4 117-lA PT-04-034 117-lB PT-04-035 117-4C PT-04-036 117-ID PT-04-037 C 4.40 47 Main Steam SG 1 One 20 20 UV170 01-1372 48 Main Steam SG 1 One 20 20 UV180 01-1373 49 MS (East) SG Three 20 20 V171 UT-05-128 20 Studs Installed - no rejects, UT-05-213 PSE of 3 studs for CRDR 2842463. 50 MS (West) SG Three 20 20 V181 UT-05-129 20 Studs Installed 56 Feedwater SG I Two 40 40 V132 UT-02-209 20 Studs V174 UT-02-210 20 Studs 57 Feedwater SG 2 Three 20 20 V137 UT-05-130 20 Studs Installed Three 20 20 V177 UT-05-131 20 Studs Installed C 5.11 58 Aux Feed SG I Two 0(1) 0(1) 58-1 RT-04-001 PT-04-001 IEB 79-13 & 5.12 Three 1 0 58-1 RT-05-019 PT-05-036 PSE 59 Aux Feed SG 2 Two 2(4) 2(4) 59-1 UT-02-219 PT-02-140 PSE UT-02-220 UT-02-225 59-12 UT-04-134 PT-04-068 PSE 59-16 UT-02-159 PT-02-097 PSE, AUG (IEB 79-13) UT-02-160 UT-02-161 59-16A UT-02-273 PT-02-160 PSE, AUG (IEB 79-13) 59-16C UT-02-274 PT-02-161 PSE 59-34 UT-02-283 PT-02-091 UT-02-284 Three 0 0 59-1 RT-05-020 PT-05-037 PSE 62 Aux Feed SG I Two 1 1 62-6 UT-04-077 PT-04-002 Three 3 3 62-5 UT-05-193 Page A21 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys lnsp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp _ 62-6 UT-05-194 UT-05-195 _ 62-12 _62-13 ..... UT-05-196 63 Aux Feed SG 2 One 0 0 63-4 01-1525 01-1188 Needs PDI re-exam 01-1526 Two 1(1) 1(1) 63-4 UT-04-078 Aug, PDI re-exam 63-23 UT-04-079 PT-04-003 70/73 LPSI Suction A & B One 1 1 70-58 99-1258 99-1257 Two 1 1 70-56 UT-02-174 PT-02-111 UT-02-175 82/85 SD Cooling HX A/B One 2 2 72-50 99-1372 99-1316 73-49 01-1428 01-1189 83/86 SD Cooling HX A/B One 4 4 74-19 99-1381 99-1315 74-21 99-1383 99-1317 74-22 99-1384 99-1317 74-105 99-1382 99-1314 88/91 East & West Wrap One 6 6 78-16 99-1604 99-1515 74-44 99-1311 99-1279 76-2 99-1310 99-1279 76-21 01-1535 01-1190 01-1547 77-7 01-1521 01-1371 Limited exam 01-1540 77-14 01-1522 01-1371 Limited exam 01-1523 01-1524 Two 7 7 76-7 UT-04-089 PT-04-013 Limited UT Exam 76-8 UT-04-090 PT-04-014 77-8 UT-04-091 PT-04-015 77-16 UT-04-092 PT-04-016 Limited UT Exam 78-9J 'UT-04-086 PT-04-010 78-11 UT-04-087 PT-04-011 79-14 UT-04-088 PT-04-012 Limited UT Exam 90/93 SI East/West Wrap Two 0(1) 0(1) 84-9 UT-04-093 PT-04-019 Aug, Limited UT exam 94/95 SI A & B One 1 1 74-40 01-1427 01-1430 Two 2 2 74-37 UT-02-172 PT-02-109 UT-02-173 74-38 UT-02-170 PT-02-1 10 UT-02-171 Three 1 1 74-30 UT-05-197 96 LPS1 Loop IA, IB, 2A, One 3 3 78-45 99-1513 99-1502 thru 2B 99 78-47 99-1514 99-1502 79-23 01-1276 01-1293 01-1277 Two 2 2 77-22 UT-02-162 PT-02-095 77-27 UT-02-163 PT-02-096 Limited UT exam UT-02-164 100 LPSI Suction A Two 2 2 70-121 UT-02-165 PT-02-093 Limited UT exam UT-02-166 84-3 UT-02-291 PT-02-177 Limited UT exam UT-02-293 102 Sl Suction A One 0 0 84-12 01-1487 01-1191 01-1488 Two 1(1) 1(1) 84-26 UT-02-150 PT-02-090 Limited UT exam UT-02-169 UT-04-095 PT-04-022 Limited UT exam 84-12 UT-04-094 PT-04-021 Aug, Limited UT exam 103 Refuel. Suction A One 1 1 86-57 01-1305 01-1300 Two 1 1 86-1 UT-02-186 PT-02-117 Limited UT exam UT-02-187 Page A22 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Reg Comp 104 SI Suction B One 1 1 85-46 01-1307 01-1301 Limited exam 01-1308
-01,,1309 Two 1 1 85-31 UT-02-276 PT-02-158 105 Refuel. Suction B One 1 1 87-23 01-1306 01-1192 Two 1 1 87-37 UT-02-277 PT-02-165 UT-02-279 C 5.21 106 / HPSI Discharge A/ B One 4 4 106-1 01-1244 01-1193 Limited exam 107 01-1248 01-1252 106-21 01-1254 01-1193 Limited exam 01-1257 01-1260 107-11 01-1245 01-1194 Limited exam 01-1249 01-1253 107-42 01-1225 01-1194 Limited exam 01-1226 01-1227 Two 4 4 106-64 UT-04-096 PT-04-024 Limited UT exam 106-68 UT-04-097 PT-04-025 107-1 UT-04-098 PT-04-026 Limited UT exam 107-22 UT-04-099 PT-04-027 108 HPSI Discharge One 2 2 109-4 01-1246 01-1195 Limited exam 109 01-1250 109-21 01-1489 01-1502 Two 3 3 108-1 UT-04-100 PT-04,028 108-4 UT-04-101 PT-04-029 108-25 UT-04-102 PT-04-030 110/ HPSIDischarge One 2 2 110-6 01-1247 01-1229 Limited exam 111 01-1251 110-39 01-1261 01-1196 Limited exam 01-1263 01-1265 112/ HPSIDischargeA&B One 3 3 112-1 01-1255 01-1197 Limited exam 113 01-1258 112-33 01-1197 112-34 01-1259 01-1183 Limited exam 01-1256 01-1374 112-45 01-1262 01-1197 Limited exam 01-1264 01-1266 Two 2 2 113-21 UT-04-103 PT-04-031 Limited UT exam 113-28 UT-04-104 PT-04-032 Limited UT exam 114/ HPSI1A, IB, 2A&2B One 1 1 115-13 01-1310 01-1274 Limited exam 115 01-1311 Two 1 1 115-20 UT-02-298 PT-02-102 Limited UT exam UT-02-299 118 / HPSI Long Term Two 4 4 118-49 UT-02-167 PT-02-094 Limited UT exam 119 UT-02-168 119-52 UT-02-300 PT-02-166 Limited UT exam UT-02-301 119-26 UT-04-105 PT-04-038 119-53 UT-04-106 PT-04-039 Limited UT exam C 5.30 106/ HPSI Discharge A&B One 1 1 107-53 01-1194 107 Two 1 1 106-61 PT-04-023 Three 0 0 107-65 07-PT-1008 PSE C 5.41& 82/85 SD Cooling -X A/B One 1 1 72-49A 99-1316 5.42 88/91 East & West Wrap One 1 1 74-102 99-1279 96 LPSI to Loop I Two 1 1 76-78 PT-02-100 Page A23 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp C 5.51& 43 MS SG1 90 One 1 1 43-2 99-1443 99-1432 5.52 44 MS SG1 270 One 1 1 44-1 99-1442 99-1431 Two 2 2 .44-5 ,_.UT:02-217 MT-02-182 44-30 UT-02-218 MT-02-183 Three 0 0 44-1 RT-05-015 MT-05-131 PSE 46 MS SG2 90 One 1 1 46-25 99-1444 99-1433 54 FeedwaterSG 1 One 1 1 54-41 01-1520 01-1296 54-10 01-1616 01-1610 PSE (Vol is RT) 54-11 A 01-1613 01-1610 PSE 54-24 01-1617 01-1610 PSE (Vol is RT) 54-25A 01-1614 01-1610 PSE Two 2 2 54-1 UT-02-296 MT-02-201 PSE 54-11 A UT-02-295 MT-02-202 Three 0 0 54-1 RT-05-016 PT-05-066 PSE 54-15 RT-05-017 PT-05-067 PSE 55 FeedwaterSG2 One 2 2 55-1 01-1204 01-1001 55-15 01-1205 01-1001 55-10 01-1620 01-1532 PSE (Vol is RT) 55-11 01-1618 01-1532 PSE (Vol is RT) 01-1619 Two 1 1 55-26 UT-02-294 MT-02-196 PSE Three 0 0 55-1 RT-05-025 PT-05-069 PSE 55-15 RT-05-018 PT-05-070 PSE 55-16 UT-05-182 PT-05-071 PSE 55-17 UT-05-183 PT-05-072 PSE 55-18 UT-05-184 PT-05-073 PSE 55-19 UT-05-185 PT-05-074 PSE 55-20 UT-05-186 PT-05-075 PSE 57 Feedwater SG 2 Three 2 2 57-1 UT-05-187
- 57-3 UT-05-188 58 Aux & Dwncmr SGI One 1(5) 1(5) 41-39 99-1495 99-1508 ()Identifies augment 58-1 99-1494 99-1501 EXAM (IEB 79-13 58-12 99-1286 99-1231 & SER 83-07) 1 58-13 99-1289 99-1231 58-16 01-1529 99-1285 01-1297 58-16A 01-1528 99-1285 01-1297 58-6 01-1559 01-1530 PSE (Vol is RT) 01-1560 01-1561 58-35 01-1562 01-1530 PSE (Vol is RT) 58-36 01-1563 01-1530 PSE (Vol is RT)
Two 0(4) 0(4) 58-12 UT-02-157 MT-02-161 AUG (IEB 79-13) 58-13 UT-02-158 MT-02-162 AUG (IEB 79-13) 58-16 UT-02-156 MT-02-163 AUG (IEB 79-13) 58-16A UT-02-155 MT-02-164 AUG (IEB 79-13) Three 0 0 41-111 UT-05-227 MT-05-142 PSE 59 Aux & Dwncmr SG2 One 0(5) 0(5) 59-1 99-1496 99-1507 59-2 01-1641 01-1531 PSE (Vol is RT) 59-12 99-1292 99-1232 59-13 99-1293 99-1232
.59-16 99-1290 99-1198 01-1512 01-1231 PSE 01-1514 01-1516 59-16A 99-1291 99-1198 01-1513 01-1231 PSE 01-1515 01-1517 Page A24 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Reg Comp 59-6 01-1417 01-1375 PSE 01-1419 01-1421 01-1424 59-35 01-1418 01-1375 PSE 01-1420 01-1422 01-1425 59-36 01-1423 01-1375 PSE 01-1426 01-1527 Two 1(1) 1(1) 59-12 MT-02-197 Now C 5.11 59-13 UT-04-066 MT-02-198 AUG (IEB 79-13) 59-25 UT-02-151 MT-02-160 UT-02-152 Three 4 4 61-14 UT-05-189 61-15 UT-05-190 61-16 UT-05-191 61-17 UT-05-192 Three 0 0 64-1 RT-05-021 MT-05-143 PSE 64-30 RT-05-022 MT-05-144 PSE 65 Blowdown SG 2 One 1 1 65-28 01-1243 01-1003 Two 1 1 65-52 UT-02-153 MT-02-159 UT-02-154 Three 0 0 65-1 RT-05-023 MT-05-145 PSE 65-28 RT-05-024 MT-05-146 PSE C 6.10 116 HPSI Pump A by end ofinterval 116-2 01-1473 117 HPSI Pump A by end of interval 117-1 PT-04-033 C6.20 49 MS (East) SG2 Three 1 1 V554 MT-05-132 V556 MT-05-133 86 SD Cooling HX B Three 1 1 V464 PT-05-046 89 East Wrap Three 1 1 V656 PT-05-048 106 HPSI A Three I I V404 PT-05-054 107 HPS1 B Three I I V478 PT-05-055 C 7.10 N/A Pressure Vessels One All All Press Bound 01-1011 C 7.30 Piping 01-1012 C 7.50 Pumps 01-1013 C 7.70 Valves 01-1014 01-1312 01-1317 01-1318 01-1319 01-1320 01-1321 01-1323 01-1324 01-1325 01-1326 01-1432 01-1436 01-1437 01-1440 01-1441 01-1443 01-1444 01-1445 01-1485 01-1486 01-1496 01-1504 Page A25 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys lnsp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp 01-1507 01-1508 01-1509 01-1536 01-1537 01-1538 01-1539 01-1557 01-1597 01-1615 01-1625 01-1626 01-1627 01-1629 01-1630 01-1631 01-1632 01-1633 01-1634 01-1635 01-1636 01-1638 01-1642 01-1644 01-1645 01-1646 01-1647 01-1648 01-1649 01-1650 01-1653 VT-03-001 VT-03-002 VT-03-003 VT-03-005 Two ALL ALL Press Boundary VT-03-004 VT-03-006 VT-03-007 VT-03-008 VT-03-009 VT-03-010 VT-03-011 VT-03-012 VT-03-013 VT-03-015 VT-03-016 VT-03-017 VT-03-018 VT-03-019 VT-03-020 VT-03-021 VT-03-022 VT-03-023 VT-03-024 VT-03-025 VT-03-026 VT-03-027 VT-03-028 VT-03-029 VT-03-030 VT-03 -031 VT-03-032 Page A26 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no I Per Req I Comp I I I I I VT-03-033 VT-03-034 VT-03-035 VT-04-335 VT-04-336 VT-04-337 VT-04-343 VT-04-345 VT-04-346 VT-04-348 VT-04-349 VT-04-350 VT-04-351 VT-04-352 VT-04-353 VT-04-354 VT-04-355 VT-04-356 VT-04-357 VT-04-358 VT-04-359 VT-04-362 VT-04-364 VT-04-365 VT-04-366 VT-04-368 VT-04-369 VT-04-370 VT-04-371 VT-04-374 VT-04-375 VT-04-377 VT-04-382 VT-04-383 VT-04-384 VT-04-385 VT-04-392 VT-04-409 VT-04-411 VT-04-412 VT-04-419 VT-04-420 4-4-1 .4. 4. 1 4 4 ThreeI All*I
- Press Bound VT-05-1 168
- Period requirement - partial VT-07-022 Code Case N-498-4, RR 12, 15, 16.
VT-07-023 Re-exam / evaluation per Relief VT-07-026 Request 12 VT-07-034 07-VT-1016 Re-exam Ace. 07-VT-1195 07-VT-1038 Re-exam Acc. 07-VT-1179 07-VT-1042 Re-exam Acc. 07-VT-1179 07-VT-1073 Acc. by RR 12 evaluation 07-VT-1074 07-VT-1077 07-VT-1089 07-VT-1090 07-VT-1092 07-VT-1099 07-VT-1101 07-VT-1102 07-VT-1103 Page A27 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp 07-VT-1105 07-VT-1106 07-VT-1107 07-VT-1109 07-VT-1162 07-VT-1163 07-VT-1166 07-VT-1 167 07-VT-1 178 07-VT-1179 Rej. Ref. 07-VT-1038 & 1042. 07-VT-i180 07-VT-1181 07-VT-1182 Rej. Ref. 07-VT-1193. 07-VT-1183 07-VT-1184 07-VT-1185 Rej. Ref. 07-VT-1192 07-VT-1186 07-VT-1188 Rej. Ref. 07-VT-1196 & 1198 07-VT-1189 07-VT-1190 07-VT-1191 07-VT-1192 Re-exam Acc. 07-VT-1185 07-VT-1193 Re-exam Acc. 07-VT-1182 07-VT-I194 07-VT-1195 Rej. Ref. 07-VT-1016 07-VT-1196 Re-exam Acc. 07-VT-1188 07-VT-1198 Re-exam Acc. 07-VT-1188 07-VT-1204 07-VT-1206 VT-2 and bolt removal. 07-VT-1209 07-VT-1211 07-VT-1221 F 1.20 43 MS SG 1 90 One 2 2 SG-36-H17 99-1240 SG-36-H884 99-1242 SG-36-H885 99-1241 Two 1 1 SG-36-HI I VT-02-622 RR #4 Three 2 2 SG-36-H II VT-05-546 VT AUG RR#4 1 05-1150 PSE SG-36-HI6 VT-05-547 RR#4 SG-36-HI7 VT-05-548 RR#4 F 1.20 43 MS SG 1 90 Three 2 0 SG-36-HII VT-06-752 AUG RR 4 07-VT-1148 AUG 07-VT-1177 Expansion 07-VT-1203 PSE SG-36-H16 07-VT-1177 Expansion SG-36-H885 07-VT-1177 Expansion 44 NMSSG1 270 One 2 2 SG-33-HI7 99-1278 SG-33-HI8 99-1243 Support Deleted Two 3 3 SG-33-H16 VT-02-694 RR#4 SG-33-H881 VT-02-693 RR#4 SG-33-H882 VT-02-695 RR #4 Three I I SG-33-H I I VT-05-549 RR44 07-VT-1149 AUG 07-VT-1177 Expansion 07-VT-1203 PSE SG-33-H16 VT-05-550 AUG RR#4 07-VT-1177 Expansion SG-33-H17 VT-05-551 VT AUG RR#4 05-1152' PSE, RR#4 SG-33-H882 07-VT-1177 Expansion 45 MS SG 2 270 One 1 1 SG-42-HI4 99-1244 Two 3 3 SG-42-H1 VT-02-690 RR #4 SG-42-H15 VT-04-014 RR#4, Removed SG-42-HI6 VT-04-015 RR#4 Page A28 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp Three 3 1 SG-42-H-1 1 VT-05-552 AUG RR#4 07-VT-1150 Aug Reject - WO 3021090 07-VT-1177 Aug 07-VT-1203 PSE SG-42-H-16 VT-05-553 AUG RR#4 07-VT-1177 Expansion SG-42-H-17 VT-05-554 RR#4 SG-42-H891 07-VT-1177 Expansion 46 MS SG2 90 One 2 2 SG-45-H17 99-1441 SG-45-HI8 99-1463 Support Deleted Two 3 3 SG-45-H11 VT-02-691 RR #4 SG-45-H887 VT-02-689 RR #4 SG-45-H888 VT-02-692 RR #4 Three 1 1 SG-45-H- I I VT-05-555 AUG RR#4 07-VT-1151 Aug. Reject - WO 3022219 07-VT-1177 Aug 07-VT-1203 PSE SG-45-H-16 VT-05-556 RR#4 07-VT-1177 Expansion SG-45-H-17 VT-05-557 AUG RR#4 VT-05-1155 PSE, RR #4 SG-45-H-888 07-VT-1177 Expansion 47 MS SGI 270 One 1 1 SG-206-H1 99-1318 48 MS SGI 270 Two 1 1 SG-207-H1 VT-04-016 49 MS (East) SG Three 1 1 SG-208-H1 VT-05-674 RR #4 50 MS (West) SG Three I I SG-209-H1 VT-05-675 51 Atm Dump SG1 One 1 1 SG-59-H6 99-1575 Two 1 1 SG-70-H6 VT-04-017 52 Atm Dump SG2 One 0 1 SG-103-H6 01-1566 PSE Three 2 1 SG-84-H6 VT-05-676 53 Steam to Aux FW One 4 4 SG-81-HI 99-1679 SG-81-H2 99-1680 SG-83-HI 99-1681 SG-83-H2 99-1682 Two 2 2 SG-81-H4 VT-02-602 Support Deleted SG-83-H4 VT-02-603 Support Deleted Three 2 2 SG-81-H1 VT-05-677 SG-81-H3 VT-05-1156 SG-83-H3 VT-05-678 54 Feedwater SG I One 7 7 SG-2-H2 01-1602 Expansion SG-2-H4 01-1022 SG-2-H5 01-1021 SG-2-H12 01-1062 Reject 01-1603 Re-exam SG-2-H13 01-1020 SG-2-H14 01-1019 SG-2-H15 01-1018 SG-2-H803 01-1025 SG-13-HI 01-1612 Expansion Two 7 7 SG-2-H09 VT-04-018 RR#4 SG-2-H1 10 VT-04-019 RR#4 SG-2-H11 VT-04-020 RR#4 SG-2-H806 VT-04-021 SG-2-H811 VT-04-022 RR#4 SG-13-H1 VT-04-023 RR#4 SG-13-H802 VT-04-024 RR#4 55 Feedwater SG 2 One 9 9 SG-5-H9 01-1173 SG-5-H10 01-1174 SG-5-H1 1 01-1175 SG-5-H12 01-1036 SG-5-H14 01-1477 PSE SG-5-H805 01-1037 SG-5-H809 01-1038 Page A29 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys lnsp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp _ SG-5-H812 01-1039 SG-14-HI 01-1034 SG-14-H804 01-1035 Two 7 7 SG-5-H4 VT-02-559 SG-5-H5 VT-02-560 Reject VT-02-656 Re-exam SG-5-H6 VT-02-561 RR #4 SG-5-H7 VT-02-562 SG-5-H8 VT-02-564 RR #4 SG-5-H13 VT-02-563 Reject VT-02-657 Re-exam SG-5-H14 VT-02-565 56 FW SGI Two I I SG-202-H1 VT-04-025 57 Feedwater SG 2 Three I I SG-205-H2 VT-05-679 58 Aux&DwncmrSGI One 7 7 SG-8-H2 01-1604 SG-8-H3 01-1606 SG-8-H4 01-1608 SG-8-H5 01-1607 SG-8-H20 01-1609 SG-8-H901 01-1448 SG-8-H903 01-1605 Two 7 7 SG-8-H6 VT-02-520 RR #4 SG-8-H7 VT-02-449 RR #4 SG-8-H8 VT-02-451 Reject VT-02-649 Re-exam SG-8-H9 VT-02-452 SG-8-H10 VT-02-453 SG-8-HI I VT-02-454 SG-8-H17 VT-02-519 RR#4 59 Aux / Dwncmr SG2 One 6 6 AF-6-H_1 99-1261 SG-1 1-H8 99-1201 SG-11-H9 99-1246 SG-11-HIO 99-1245 _ SG-11-H11 99-1200 SG-11-H12 99-1199 99-1332 Two 6 6 SG-1 l-H3 VT-02-702 PSE SG- 11-H13 VT-02-566 SG-1 1-H14 VT-02-567 SG- 11-H15 VT-02-568 SG- 11-H116 VT-04-026 SG-II-H17 VT-04-408 RR#4, PSE SG- I-H 1--18 VT-02-455 SG-I 1-H19 VT-02-570 F 1.20 59 Aux /Dwncmr SG2 Three 10 SG-11-H4 07-VT-1205 PSE 60 Dwncmr FW SG1 One 1 1 SG-200-H9 99-1668 SG-200-H13 99-1669 PSE SG-200-H14 99-1670 PSE Three 2 2 SG-200-H9 VT705-680 SG-200-H 13 VT-05-681 SG-200-H14 VT-05-682 61 Dwncmr FW SG2 One 0 0 SG-203-H13 99-1671 PSE SG-203-H14 99-1672 PSE Two 2 2 SG-203-H13 VT-04-027 SG-203-H14 VT-04-028 Three I I SG-203-H8 VT-05-683 62 Aux FW SG1 One I I AF-4-H3 99-1461 _ _Two 1 1 AF-18-HI VT-04-042 Three 2 2 AF-18-H2 VT-05-684 AF-18-H3 VT-05-685 63 Aux FW SG2 One 2 2 AF-6-H2 99-1462 AF-16-H1 _ ___ _t__ 99-1460 Page A30 of A41
APPENDIXA 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp Two 2 2 AF-6-H3 VT-04-043 RR#4 AF-6-H5 VT-04-044 RR#4 Three 1 1 AF-6-H4 VT-05-686 64 Blowdown SG 1 One 12 12 SG-39-H1O 01-1449 SG-39-HI 1 _ 01-1450 Support Deleted SG-39-H12 01-1451 SG-39-H13 01-1452 Support Deleted SG-39-H14 01-1453 Support Deleted SG-39-H15 01-1454 SG-39-H16 01-1455 SG-39-H17 01-1456 Support Deleted SG-39-H26 01-1457 SG-53-HI 01-1031 Support Deleted SG-53-H2 01-1032 Support Deleted SG-53-H924 01-1033 Two 13 13 SG-39-H1 VT-02-480 Support Deleted SG-39-H2 VT-02-481 Support Deleted SG-39-H3 VT-02-482 Support Deleted SG-39-H4 VT-02-483 SG-39-H5 VT-02-484 SG-39-H6 VT-02-485 Support Deleted SG-39-H27 VT-02-486 Support Deleted SG-53-H3 VT-02-488 Support Deleted SG-53-H4 VT-02-489 SG-53-H5 VT-02-490 SG-53-H6 VT-02-491 Support Deleted SG-53-H7 VT-02-492 Support Deleted SG-39-H922 VT-04-029 RR#4 Three 5 0 SG-39-H38 VT-05-687 PSE 65 Blowdown SG 2 One 12 12 SG-48-H2 01-1030 Support Deleted SG-48-H3 01-1478 Support Deleted SG-48-H4 01-1479 SG-48-H19 01-1480 Support Deleted SG-48-H20 01-1481 Support Deleted SG-48-H21 01-1482 SG-48-H925 01-1029 SG-52-HI 01-1026 Support Deleted SG-52-H2 01-1027 Support Deleted SG-52-H3 01-1483 Support Deleted SG-52-H4 01-1484 SG-52-H923 01-1028 Two 11 11 SG-48-H13 VT-02-456 Support Deleted SG-48-H14 VT-02-457 RR#4 SG-48-HI 5 VT-02-458 Support Deleted SG-48-H16 VT-02-459 RR #4 SG-48-HI 7 VT-02-460 Support Deleted SG-48-H18 VT-02-461 RR#4 SG-48-H22 VT-02-462 Support Deleted SG-48-H23 VT-02-463 RR #4 SG-48-H24 VT-02-464 RR #4 SG-48-H25 VT-02-465 Support Deleted SG-48-H26 VT-02-466 Support Deleted 68 Regen Htexch Two 2 2 68-10 VT-02-590 68-11 VT-02-591 70 LPSI Suction A One 1 1 S1-67-H4 99-1248 _ SI-307-H16 99-1428 PSE Three 4 4 SI-241l-H20 VT-05-694 RR #4 SI-241-H22 VT-05-695 Removed SI-307-H16 VT-05-696 RR#4 S1-307-H17 VT-05-697 71 LPSI Discharge A One 1 1 SI-87-HI 1 99-1247 1_ 1 99-1375 Page A31 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp Two 5 5 SI-78-HI VT-02-541 SI-78-H2 VT-02-542 SI-87-H1. ...... _____,VT-02-543 S1-87-H2 VT-02-544 SI-87-H3 VT-02-545 Three 1 1 S1-78-H3 VT-05-698 RR #4 73 LPSI Suction B Two I I SI-308-H14 VT-02-546 Three 4 4 SI-34-H4 VT-05-699 RR #4 S1-194-H1-1 VT-05-700 RR#4 SI-308-H12 VT-05-701 RR #4 SI-308-H13 VT-05-702 RR#4 74 LPSI B Three 6 6 SI-129-HI VT-05-703 RR#4 SI-129-H2 VT-05-704 RR #4 SI-129-H3 VT-05-705 RR #4 S1-129-14 VT-05-706 RR #4 SI- 129-H5 VT-05-707 SI-1 29-H6 VT-05-708 76 CS Suction A One 1 1 SI-9-H4 99-1376 99-1438 S1-67-H1 99-1427 PSE S1-67-H3 99-1426 PSE Three 3 3 SI-67-H 1_VT-05-709 S1-67-H2 VT-05-710 1S-67-H3 VT-05-711 77 CS Discharge A One 4 4 SI-79-H1 99-1377 SI-79-H2 99-1378 SI-79-H3 99-1379 SI-79-H4 99-1380 Two 3 3 SI-79-H5 VT-04-033 RR#4 S1-79-H6 VT-04-034 RR#4 SI-82-H2 VT-04-035 RR#4 Three 3 3 SI-79-H7 VT-05-712 RR #4 SI-79-H8 VT-05-713 RR#4 SI-79-H9 VT-05-714 79 CS Suction B One 3 3 S1-79-H4 99-1517 S1-34-H2 99-1518 S1-34-H3 99-1519 Two 1 1 S1-33-H4 VT-04-039 Three 2 2 SI-34-H5 VT-05-715 SI-34-H6 VT-05-716 RR #4 80 CS Discharge B One 3 3 S1-1 19-H7 99-1527 SI-119-H8 99-1528 SI-i 19-H9 99-1529 Two 4 4 SI- 19-HI VT-04-040 RR#4 SI-1 19-H2 VT-04-041 RR#4 SI- 119-H3 VT-04-045 RR#4 SI- 119-H4 VT-04-046 RR#4 Three 3 3 SI-1 19-HS VT-05-717 SI-119-H6 VT-05-718 RR#4 SI-147-H1 VT-05-719 RR #4 82 SD Cooling HX A One 2 2 SI-78-H4 99-1296 SI-78-H5 99-1595 01-1564 PSE SI-79-HI0 99-1297 01-1458 Three I I SI-78-H4 VT-05-723 RR #4 83 SD Cooling HX A One 4 4 S1-87-H9 99-1312 SI-89-H1 99-1300 SI-89-H2 99-1299 SI-89-H3 99-1298 Two 3 3 S1-87-H4 VT-04-047 SI-90-HI VT-04-320 Page A32 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp S1-90-H2 VT-04-321 RR#4 Three 12 12 SI-70-H1 VT-05-724 SI-70-H2 VT-05-726 RR #4 SI-70-H3 _ _ VT-05-727 RR #4 SI-70-1-16 VT-05-728 SI-70-H7 VT-05-729 S1-82-HI VT-05-730 RR#4 SI-87-H5 VT-05-731 RR#4 SI-87-H6 VT-05-732 RR #4 S1-87-H7 VT-05-733 RR #4 SI-87-H8 VT-05-734 RR #4 SI-89-H5 VT-05-735 RR #4 SI-90-H4 VT-05-736 RR #4 85 SDCooling HXB One 3 3 SI-119-H10 99-1530 SI-123-H6 99-1531 S1-123-H7 99-1532 Two 6 6 SI-1 19-HI 1 VT-04-050 RR#4 SI- 119-H13 VT-04-051 RR#4 SI- 19-H114 VT-04-052 RR#4 S1-123-H2 VT-04-053 RR#4 SI-123-H5 VT-04-054 RR#4 SI-123-H8 VT-04-055 RR#4 Three 1 1 SI-123-H1 VT-05-737 RR #4 86 SDCooling HXB One 3 3 SI-129-H10 99-1406 SI-129-HII 99-1405 SI-129-H12 99-1407 Two 7 7 S1-072-H5 VT-04-056 S1-072-H6 VT-04-057 RR#4 S1-129-H7 VT-04-058 RR#4 SI-129-H8 VT-04-059 RR#4 SI-129-H9 VT-02-672 Expansion, RR #4 SI-135-H1 I VT-02-675 Expansion, RR #4 SI-135-H2 VT-04-060 RR#4 SI-135-H3 VT-04-061 Three 15 15 SI-72-HI VT-05-738 RR #4 S1-72-H2 VT-05-739 RR #4 SI-72-H3 VT-05-740 RR #4 SI-72-H4 VT-05-741 RR #4 SI-72-H12 VT-05-742 SI-129-H9 VT-05-743 RR#4 SI-129-H13 VT-05-744 RR#4 SI-134-H1 VT-05-745 RR#4 SI-134-H2 VT-05-746 RR#4 SI-134-H3 VT-05-747 SI-134-H5 VT-05-748 RR#4 SI-134-H6 VT-05-749 RR #4 SI-134-H7 VT-05-750 RR #4 SI-134-H8 VT-05-751 RR #4 SI-147-H2 VT-05-752 RR#4 88 East Wrap One 8 8 SI-72-H1 1 99-1533 SI-72-H13 99-1534 SI-72-H14 99-1535 SI-72-H21 01-1333 SI-72-H22 01-1334 SI-73-H1 01-1459 SI-73-H2 01-1460 SI-73-H3 01-1461 Two 0 0 SI-72-HI I VT-02-685 Expansion, RR #4 SI-72-H13 I VT-02-686 Expansion, KR #4 S1-72-H 14 VT-02-687 Expansion, RR #4 SI-73-H2 VT-02-688 Expansion, RR#4 Three 6 6 SI-72-H15 I VT-05-753 RR#4 Page A33 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp SI-72-H16 VT-05-754 RR#4 S_-72-H17 VT-05-755 RR#4 S I -,72-H18 __________ VT-05-756 RR #4 SI-72-H19' VT-05-757 SI-72-H20 VT-05-758 89 East Wrap One 4 4 SI-194-H12 99-1536 SI-194-H13 99-1537 SI-194-H14 99-1640 SI-194-H23 99-1641 Two 0 0 Sl-194-H13 VT-02-668 Expansion, RR #4 Three 1 1 SI-173-HI VT-05-759 RR#4 SI-194-H23 VT-05-760 RR #4 90 East Wrap Two 2 2 SI-134-H09 VT-04-062 SI-134-HIO VT-04-063 91 West Wrap One 7 7 SI-70-H9 99-1255 SI-70-HIO 99-1254 SI-70-HI 1 99-1253 SI-70-H12 99-1252 SI-70-H 13 99-1249 SI-70-H15 99-1251 SI-70-H16 99-1250 Two 2 2 S1-71 -H2 VT-04-064 SI-71 -H3 VT-04-065 Three 1 1 SI-70-H14 VT-05-761 92 West Wrap One 5 5 SI-239-HI 99-1673 Expansion S1-239-H2 99-1674 Expansion S1-239-H3 99-1598 01-1565 PSE SI-241-H9 99-1418 PSE SI-241-H12 99-1417 PSE SI-241-H14 99-1419 PSE SI-241-H_15 99-1597 SI-241l-H21 99-1596 Two 5 5 SI-241-H9 VT-02-653 Expansion, RR #4 SI-241-H12 VT-02-654 Expansion, RR #4 SI-241-H14 VT-02-658 Expansion, RR #4 SI-241-H21 VT-02-660 Expansion, RR #4 S1-239-HI VT-04-066 I SI-239-H2 VT-04-067 S1-241-HI I VT-04-068 RR#4
$I-241-HI 6 VT-04-069 Three 2 2 S1-2-HI VT-05-762 Removed SI-2-H5 VT-05-763 Removed 93 West Wrap Two 2 2 SI-89-H10 VT-04-070 RR#4 S1-89-H 13 VT-04-071 Three 2 2 SI-89-H 11 VT-05-764 S1-89-H 12 VT-05-765 94 LPSIA One 3 3 SI-89-H7 99-1398 SI-89-H8 99-1399 SI-89-H9 99-1400 S1-241-H5 99-1302 PSE SI-241-H7 99-1423 PSE S1-241-H8 99-1421 PSE Two 7 7 SI-070-H4 VT-02-589 SI-070-HS VT-02-697 S1-070-H8 VT-02-495 SI-241-H6 VT-02-624 RR#4 SI-241-H7 VT-02-642 RR #4 S1-241--H08 VT-04-072 RR#4 SI-241-H17 I VT-04-073 RR#4 Three 5 S SI-89-H6 _ _ VT-05-766 SI-241-H2 I VT-05-767 RR#4 Page A34 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Reg Comp SI-241-H3 VT-05-768 RR #4 SI-241-H4 VT-05-769 RR #4 SI-241-H5, _ _, _ ____ VT-05-770 RR #4 95 LPSI B One 6 6 SI-72-H8 99-1401 SI-72-H1O 99-1402 SI-134-HI1 99-1403 S1-134-H12 99-1404 SI-194-H3 99-1414 SI-194-H5 99-1415 Two 10 10 SI-72-H10 VT-02-644 Expansion, RR #4 SI-194-H5 " VT-02-650 Expansion, RR #4 S1-072-H7 VT-04-074 RR#4 SI-072-H9 VT-04-075 RR#4 SI-194-H4 VT-04-076 RR#4 SI-194-H7 VT-04-077 RR#4 SI-194-H8 VT-04-078 RR#4 SI-194-H9 VT-04-079 RR#4 SI-194-H10 VT-04-080 RR#4 SI-194-H11 VT-04-081 RR#4 S1-194-H15 VT-04-082 RR#4 SI-194-H21 VT-04-083 RR#4 Three 3 3 SI-134-H4 VT-05-771 SI-194-H2 VT-05-772 SI-194-H6 VT-05-773 96 LPSI to Loop IA One 3 3 SI-202-H7 99-1342 SI-202-H8 99-1343 Support Deleted SI-202-H9 99-1344 Support Deleted Two 8 8 SI-202-H_1 VT-02-670 Expansion SI-202-H2 VT-02-467 RR #4 SI-202-H3 VT-02-468 RR #4 SI-202-H4 VT-02-469 Reject VT-02-651 Re-exam SI-202-H6 VT-02-470 RR #4 SI-202-H7 VT-02-671 Expansion S1-202-HIO VT-02-471 Support Deleted SI-202-H11 VT-02-472 Support Deleted S1-202-H 12 VT-02-673 Expansion S1-202-H15 VT-02-473 RR #4 SI-202-H16 VT-02-674 Expansion SI-202-H18 VT-02-676 Expansion SI-202-H5 VT-04-084 Snubber deleted 97 LPSI to Loop IB One 10 10 SI-220-H8 01-1468 SI-220-H9 99-1333 SI-220-HI10 99-1334 SI-220-HI 1 99-1335 Support Deleted S1-220-H12 99-1336 S1-220-H13 99-1337 SI-220-H14 99-1338 Support Deleted SI-220-HI5 99-1339 SI-220-H 19 99-1340 SI-220-H22 99-1341 Support Deleted Two 7 7 SI-220-HI VT-02-444 S1-220-H5 VT-02-677 Expansion SI-220-H16 VT-02-446 RR #4 S1-220-H 17 VT-02-447 SI-220-H 18 VT-02-448 SI-220-H20 VT-02-443 Reject RR #4 VT-02-648 Re-exam SI-220-H21 VT-02-445 Support Deleted SI-220-H27 VT-02-678 Expansion SI-220-H28 ' VT-02-450 Support Deleted 1 98 LPSI to Loop 2A One 2 2 S1-155-H5 99-1329 1 Page A35 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Reg Comp SI-155-H6 99-1328 Two 5 5 SI-155-H6 VT-02-679 Expansion S17155-H11 ________ VT-04-085 SI-155-H2 VT-04-086 Snubber deleted SI-155-H3 VT-04-087 Snubber deleted SI-155-H4, VT-04-088 Snubber deleted SI-155-H7 VT-04-089 99 LPSI to Loop 2B Two 5 5 SI-174-H4 VT-02-680 Expansion SI-174-H7 VT-02-554 Support Deleted SI-174-H8 VT-02-555 SI-174-H9 VT-02-556 Support Deleted SI-174-HI I VT-02-681 Expansion SI-174-H 12 VT-02-682 Expansion SI-174-H13 VT-02-558 SI-174-H1O VT-04-090 RR#4 100 LPSI SuctionA One 2 2 SI-241-H19 99-1330 Reject 99-1642 Re-exam 01-1469 Re-exam SI-369-HI 99-1331 Two 1 1 84-5 VT-02-696 101 Cont LPSI B Suction Two 0 0 SI-194-H16 VT-02-683 Expansion SI-194-H22 VT-02-684 Expansion Three 8 1 85-5 VT-05-774 102 SI Suction A One 6 6 SI-8-H4 99-1303 PSE SI-9-HI 99-1429 PSE SI-307-H2 99-1422 PSE SI-307-H5 99-1304 PSE SI-307-H6 99-1425 PSE SI-307-H7 99-1424 PSE SI-307-H2 01-1462 SI-307-H3 01-1463 SI-307-H4 01-1464 Support Deleted SI-307-H5 01-1465 SI-307-H8 01-1466 SI-307-H15 01-1467 Two 7 7 SI-8-H1 VT-02-436 RR #4 SI-8-H2 VT-02-437 Support Deleted SI-8-H3 VT-02-438 RR #4 SI-8-H4 VT-02-439 RR #4 SI-307-H6 VT-02-440 RR #4 SI-307-H7 VT-02-441 RR #4 SI-307-H14 VT-02-442 Support Deleted Three 7 7 SI-8-H5 VT-05-775 RR #4 SI-9-H1 VT-05-776 RR #4 SI-9-H2 VT-05-777 RR #4 SI-9-H5 VT-05-778 RR #4 SI-307-H9 VT-05-779 RR #4 SI-307-HIO VT-05-780 RR#4 SI-307-HI I VT-05-781 RR#4 103 Refuel Suction A One 6 6 CH-142-H3 99-1420 PSE CH-142-HI3 99-1408 CH-142-HI4 99-1409 CH-142-HI5 99-1410 CH-142-HI9 99-1412 CH-142-H22 99-1411 CH-424-HI 99-1413 CH-424-H2 99-1386 PSE CH-424-H3 99-1385 PSE Two 6 6 CH-142-H8 VT-02-504 I CH-142-H20 VT-02-522 CH-142-H21 VT-02-505 CH-424-H2 VT-02-499 Page A36 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys lnsp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Reg Comp CH-424-H3 VT-02-500 RR #4 CH-424-H6 VT-02-521 Three 6 6 CH-142-HI VT-05-782 CH-142-H2 VT-05-783 CH-142-H3 VT-05-784 CH-142-H4 VT-05-785 CH-142-H5 VT-05-786 Removed CH-142-H6 VT-05-787 104 SI Suction B One 7 7 SI-33-HI - 99-1520 Support Deleted S1-33-H2 99-1521 S1-33-H3 99-1522 SI-308-H5 99-1523 SI-308-H8 99-1524 SI-308-HIO 99-1525 SI-308-H1 1 99-1526 Two 7 7 SI-308-H1 VT-02-547 SI-308-H2 VT-02-548 SI-308-H3 VT-02-549 SI-308-H4 VT-02-550 SI-308-H6 VT-02-571 Support Deleted SI-308-H7 VT-02-551 Support Deleted S1-308-H 15 VT-04-091 Three 6 6 SI-31-H1 VT-05-788 RR #4 SI-3 1-H2 VT-05-789 SI-31 -H3 VT-05-790 Removed S1-3 1-H4 VT-05-791 RR #4 SI-31-H5 VT-05-792 RR#4 SI-308-H9 VT-05-793 RR #4 105 Refuel. Suction B One 7 7 CH-149-H9 01-1396 CH-149-H1O 01-1397 CH-149-H12 01-1398 CH-149-H13 01-1399 I CH-149-H14 01-1400 CH-149-H21 01-1401 CH-149-H28 01-1402 Two 7 7 CH-149-H4 VT-04-092 CH-149-H5 VT-04-093 CH-149-H6 VT-04-094 CH-149-H7 VT-04-095 CH-149-H25 VT-04-096 CH-149-H26 VT-04-097 CH-149-H27 VT-04-098 Three 8 8 CH-149-H1 VT-05-794 CH-149-H2 VT-05-795 CH-149-H3 VT-05-796 I CH-149-H8 VT-05-797 CH-425-HI VT-05-798 CH-425-H6 VT-05-799 CH-425-H7 VT-05-800 CH-425-H8 VT-05-801 106 HPSI Discharge A One 8 8 SI-99-HI 01-1046 SI-99-H2 01-1047 SI-100-H1 01-1048 S1-100-H2 01-1049 SI-100-H3 01-1050 S1-100-H5 01-1051 SI-100-H34 01-1052 SI-106-HI 01-1053 Two 7 7 SI-100-H9 VT-04-099 SI-100-H10 VT-04-100 SI-100-HII VT-04-101 SI-105-HB I VT-04-102 RR#4 Page A37 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp SI-105-HC VT-04-103 RR#4 SI-105-HD VT-04-104 RR#4 SI-105-HE .__-.__ VT-04-105 RR#4 Three 7 7 SI-100-H4 VT-05-802 SI-100-H6 VT-05-803 RR#4 SI-100-H7 VT-05-804 RR #4 SI-100-H8 VT-05-805 RR #4 SI-100-H1__5 VT-05-806 SI-100-H16.. VT-05-807 SI-100-H36 VT-05-808 RR #4 107 HPSI Discharge B One 6 6 SI-107-H3 01-1057 SI-107-HI 1 01-1056 SI-107-H12 01-1059 SI-1 12-HC 01-1055 SI-1 12-HG 01-1054 SI-112-HH 01-1058 Two 6 6 S1-107-H__5 VT-04-106 RR#4 SI-107-H6 VT-04-107 SI-107-H7 VT-04-108 SI-107-H8 VT-04-109 SI-107-H9 VT-04-1 10 SI-107-H1O VT-04-111 Three 6 6 SI-107-HI VT-05-809 RR#4 SI-107-H2 VT-05-810 RR#4 SI-107-H4 VT-05-811 RR#4 SI-107-H46 VT-05-812 RR#4 SI-107-H48 VT-05-813 RR#4 SI-1 12-HD VT-05-814 108 HPSI Discharge One II 11 SI-100-H22 99-1388 SI-100-H23 99-1387 SI-100-H24 99-1389 SI-100-H25 99-1390 S1-100-H26 99-1391 SI-100-H27 99-1392 SI-100-H28 99-1393 SI-100-H29 99-1394 SI-100-H31 99-1395 SI-100-H32 99-1396 SI-100-H35 99-1397 Two 11 11 SI-100-H12 VT-04-112 RR#4 SI-100-H13 VT-04-113 RR#4 SI-100-H1I8 VT-04-114 RR#4 SI-100-H19 VT-04-115 RR#4 SI-100-H20 VT-04-116 RR#4 SI-100-H21 VT-04-117 RR#4 SI-118-HA VT-04-118 RR#4 SI-118-HB VT-04-119 RR#4 SI-118-HD VT-04-120 RR#4 SI-118-HR VT-04-121 RR#4 SI-118-HS VT-04-122 RR#4 Three 11 11 SI-118-HE VT-05-815 RR#4 SI-118-HF VT-05-816 RR#4 SI-118-HG VT-05-817 RR#4 SI-118-HH VT-05-818 RR#4 SI-118-HJ VT-05-819 RR #4 SI-I 18-HK VT-05-820 RR #4 SI-1 18-HL VT-05-821 RR #4 SI-118-HM VT-05-822 RR #4 SI-1 18-HN VT-05-823 RR#4 SI-1 18-HP I VT-05-824 RR#4 SI-118-HQ I VT-05-825 RR#4 109 HPSI Discharge One 7 7 SI-107-H13 1 01-1335 Page A38 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp SI-107-H14 01-1336 SI-107-H15 01-1337 SI-107-H16 _._,__,___- 01-1338 SI-107-H21 01-1339 SI-107-H47 01-1340 SI-107-H50 01-1341 Two 7 7 SI-107-H19 VT-04-123 RR#4 SI-107-H20 VT-04-124 RR#4 SI-107-H25.,, VT-04-125 RR#4 S1-107-H26 VT-04-126 RR#4 SI-107-H27 VT-04-127 RR#4 SI-107-H28 VT-04-128 RR#4 SI-107-H29 VT-04-129 RR#4 Three 7 7 SI-107-H30 VT-05-826 SI- 107-H31 VT-05-827 SI-107-H32 VT-05-828 SI-107-H34 VT-05-829 SI-107-H35 VT-05-830 SI-107-H36 _ VT-05-831 SI-107-H37 VT-05-832 110 HPSIDischarge One 7 7 SI-103-HB 01-1403 SI-103-HD _ _ 01-1404 SI-103-HE 01-1405 SI-218-HI 01-1342 SI-218-H2 01-1343 SI-218-H3 01-1344 SI-218-H4 01-1345 Two 7 7 S1-107-H39 VT-04-130 RR#4 S1-107-1H41 VT-04-131 S1-107-H42 VT-04-132 SI-107-H43 VT-04-133 SI-107-H44 VT-04-134 RR#4 SI-107-H45 VT-04-135 RR#4 SI-107-H49 VT-04-136 RR#4 Three 6 6 SI-103-HA VT-05-833 RR #4 SI-107-HA VT-05-834 RR #4 SI-110-HA VT-05-835 RR #4 SI-218-HA VT-05-836 RR #4 SI-218-HB VT-05-837 SI-236-HB VT-05-838 RR #4 111 HPSI Discharge One 3 3 SI-100-H37 01-1348 SI-100-HA 01-1346 SI-100-HB 01-1347 Two 4 4 SI-236-HI VT-04-137 SI-236-H2 VT-04-138 RR#4 SI-236-H3 VT-04-139 RR#4 SI-236-H4 VT-04-140 Three 3 3 SI-100-H30 VT-05-839 SI-100-H38 VT-05-840 RR #4 SI-100-H40 VT-05-841 RR#4 112 HPSIDischarge One 3 3 SI-176-H1 01-1349 SI-176-H2 01-1350 SI-176-H3 01-1351 Two 3 3 SI-100-H17 VT-04-141 SI-102-HA VT-04-142 SI-102-HB VT-04-143 Three 4 4 SI-101-HA VT-05-842 SI-101-HB VT-05-843 RR#4 SI-101-HC VT-05-844 SI-101-HD VT-05-845 113 HPSI Discharge One 5 5 SI-107-H22 01-1061 SI-107-H24 01-1060 Page A39 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp SI-157-H2 01-1352 S1-157-H3 01-1353 SI-157-H4 . _01-1354 Two 4 4 SI-106-HA VT-04-144 SI-109-HA VT-04-145 SI-157-HA VT-04-146 SI-176-HA VT-04-147 Three 4 4 SI-157-H1 VT-05-846 RR #4 SI-157-H5 VT-05-847 RR#4 SI-157-H6 VT-05-848 SI-157-H9 VT-05-849 RR#4 115 HPSI 2A & 2B Two 3 3 SI-157-H1O VT-02-502 Support Deleted SI-157-HII VT-02-503 RR#4 SI-176-H4 VT-02-501 RR #4 118 HPSIA Recirc Three 24 24 SI-106-H2 VT-05-850 SI-106-H3 VT-05-851 SI-106-H4 VT-05-852 SI-106-H5 VT-05-853 SI-106-H6 VT-05-854 SI-106-H7 VT-05-855 S1-106-H8 VT-05-856 RR #4 SI-106-H9 VT-05-857 SI-106-H10 VT-05-858 RR#4 SI-106-HII VT-05-859 RR#4 SI-106-H12 VT-05-860 RR #4 SI- 106-H 13 VT-05-861 SI-106-H14 VT-05-862 SI-106-H115 VT-05-863 SI-106-H 16 VT-05-864 S1-106-H18 VT-05-865 SI-106-H119 VT-05-866 SI-106-H20 VT-05-867 SI-106-H21 VT-05-868 SI-106-H22 VT-05-869 SI-106-H23 VT-05-870 SI-106-H24 VT-05-871 SI-106-H25 VT-05-872 S1-106-H26 VT-05-873 119 HPSI A Recirc Three 30 30 SI-I 14-HI VT-05-874 SI-1 14-H2 VT-05-875 SI- 114-H3 VT-05-876 S1-114-H4 VT-05-877 SI- 114-H5 VT-05-878 SI- 114-H6 VT-05-879 SI- 114-H7 VT-05-880 SI- 114-H8 VT-05-881 SI-114-H9 VT-05-882 SI-114-H10 VT-05-883 RR#4 SI-114-H12 VT-05-884 RR#4 SI-1 14-H13 VT-05-885 SI-1 14-H14 VT-05-886 SI-1 14-H-15 VT-05-887 SI-i 14-H 16 VT-05-888 SI- 114-H17 VT-05-889 SI-1 14-H18 VT-05-890 SI- 114-H21 VT-05-891 SI- 114-H22 VT-05-893 SI-1 14-H25 VT-05-894 SI-1 14-H26 VT-05-895 SI-114-H27 VT-05-896 RR#4 SI-319-HA VT-05-897 RR #4 SI-319-HB VT-05-898 Page A40 of A41
APPENDIX A 1R13 INSERVICE INSPECTION
SUMMARY
REPORT ASME Zone Comp/Sys Insp Amt Amt Item ID Vol Reports Surf Visual Remarks Item no Per Req Comp SI-319-HC VT-05-899 SI-319-HD VT-05-900 SI-319-HE VT-05-901 SI-319-HF VT-05-902 SI-319-HG VT-05-903 SI-319-HH VT-05-904 F 1.40 41 SG I One 2 2 41-42 01-1498 41-43 01-1499 Three 0 0 41-41
- VT-05-1166 PSE 41-42 VT-05-1167 PSE 42 SG I Two 2 2 42-42 VT-04-011 42-43 VT-04-013 Three 0 0 42-41 VT-05-672 PSE 42-42 VT-05-673 PSE 72 LPSI PumpA One 3 3 72-3A 01-1472 72-3B 01-1472 72-3C 01-1472 75 LPSI Pump B Two 3 3 73-3A VT-04-030 73-31B VT-04-031 73-3C VT-04-032 78 CS Pump A Two 3 3 80-3A VT-04-036 80-3B VT-04-037 80-3C VT-04-038 81 Cont Spray B Three 3 3 81-3A VT-05-720 81-3B VT-05-721 81-3C VT-05-722 116 HPSIPumpA One 4 4 116-IA 01-1474 116-lB 01-1474 116-IC 01-1474 116-ID 01-1474 117 HPSIPumpB Two 4 4 117-lA VT-04-148 117-lB VT-04-149 117-IC VT-04-150 117-ID VT-04-151 Page A41 of A41
APPENDIX B CODE LIMITATIONS
REFUELING OUTAGE NUMBER THIRTEEN CODE LIMITATIONS A5~M1~ TTI~M 7ONP/COMPONFNT ITT1M 113 R]Pf'P*bPT Nf'l ASME ITEM ZONE/COMPONENT ITEM ID REPORT NO No limited examinations during the IR13 reporting cycle
APPENDIX C FORM NIS-1
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 - 1
- 4. OWNERS' CERTIFICATE OF AUTHORIZATION -NONE
- 5. COMMERCIAL SERVICE DATE - January28,1986
- 6. COMPONENTS INSPECTED:
COMPONENT OR MANUFACTURER SERIAL STATE OR NATIONAL APPURTENANCE OR INSTALLER NUMBER PROVINCE BOARD NO This report is a summary of the second interval third period examinations performed to date for Unit 1. The items examined, along with the examination report numbers, are listed in Appendix A. PAGE 1 OF 2
APS NIS-1 BACK OWNERS' DATA REPORT FOR INSERVICE INSPECTIONS
- 7. EXAM DATES 12-25-05 TO 07-19-07
- 8. INSPECTION INTERVAL FROM 7-18-1998 TO 7-17-2008
- 9. ABSTRACT OF EXAMINATIONS. INCLUDE A LIST OF EXAMINATIONS AND A STATEMENT CONCERNING STATUS OF WORK REQUIRED FOR CURRENT INTERVAL.
The items examined, along with the examination report numbers, are listed in Appendix A. The examinations are listed by ASME Category and Item Numbers with the corresponding examination report numbers.
- 10. ABSTRACT OF CONDITIONS NOTED The evaluation of the results form the ISI examinations indicate the integrity of the systems have been maintained.
There were several cases of leakage at non-resistant bolting connections and two supports that had a broken load collar.
- 11. ABSTRACT OF CORRECTIVE MEASURES RECOMMENDED AND TAKEN The non-resistant bolting at leaking locations was removed and further inspected, as required by relief request 15.
While several bolts were replaced, the bolting maintained its pressure integrity. The support load collars were replaced. Several repairs and replacements have been performed since the last summary report due to routine or corrective maintenance. The work was performed in accordance with ASME Section 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 EXAMINATIONS AND CORRECTIVE MEASURES TAKEN CONFORM TO THE R ES OF THE ASME CODE, SECTION XI. / DATE /b-/S'- 7 SIGNED: ARIZONA PUBLIC SERVICE COMPANY BY___-- __" CERTIFICATE OF INSERVICE INSPECTION I, THE UNDERSIGNED, HOLDING A VALID COMMISSION ISSUED BY THE NATIONAL BOARD OF BOILER AND PRESSURE VESSEL INSPECTORS AND THE STATE OR PROVINCE OF ARIZONA EMPLOYED BY HSB CT OF HARTFORD, CONNECTICUT HAVE INSPECTED THE COMPONENTS DESCRIBED IN THIS OWNERS REPORT DURING THE PERIOD ,Q-a- os TO '-,-C.-". ,AND STATE THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE OWNER HAS PERFORMED EXAMINATIONS AND TAKEN CORRECTIVE MEASURES DESCRIBED IN THIS OWNERS REPORT IN ACCORDANCE WITH THE REQUIREMENTS OF THE ASME CODE, SECTION XI. BY SIGNING THIS CERTIFICATE NEITHER THE INSPECTOR NOR HIS EMPLOYER MAKES ANY WARRANTY, EXPRESSED OR IMPLIED, CONCERNING THE EXAMINATIONS AND CORRECTIVE MEASURES DESCRIBED IN THIS OWNERS REPORT. FURTHERMORE, NEITHER THE INSPECTOR NOR HIS EMPLOYER SHALL BE LIABLE IN ANY MANNER FOR ANY PERSONAL INJURY OR PROPERTY DAMAGE OR A LOSS OF ANY KIND ARISING FROM OR CONNECTED WITH THIS INSPECTION. INSPECTOR -COMMISSIONS _-I-%
' A,,-, k, C. 2&,1k NAT'L BOARD, STATE, PROVINCE DATE ,o-'i.-o-?
PAGE 2 OF 2
APPENDIX D FORMS NIS-2
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1JCHNPSV0354 2.. Item
Description:
Crosby relief valve
- 3. N-5 Data Package Number: 1CH13-2 4. W.O. Number: 2739965
- 5. Original Construction Code Edition: 1974 Edition, Summer 1976 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Remove valve and install spare.
- 8. F] 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 ASME pressure boundary failure. Valve is being replaced to expidite 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. 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 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 [] NO gS~: Initial Date Date ,,pf If required, include a step in the W.O. for ISI & ANII Inspection.
Initial D16.
/ Include a step in the W.O. to complete NIS-2 Form prior to releasing the component.
Initial Date 7" , 17. Include a step in the W.O. to record below all applicable numbers for repaired or Ireplacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. 1JCHNPSV0354 APN 45000471 4/5J/O -CX")() N/A WO N15'
- 18. Planner Signature
/ /-)455 Date Printed Name: David Goodlet
- 19. iSI J7/ D Printed Name: ý ,'P, Log Entr3 -
SignatureJ Date
- 20. ANII a -Printed Name: (-&- Tzo'rt Signat- Date pV216-08%1(8-881 73DM-ZZ17 R., 9
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI II
- 1. Owner: Arizona Public Service Company, et. al. Date: 6-4-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., TonoDah, Arizona 85354-7529 Work Order Number 2739965
- 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 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 V Y V V V 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)
Relief Valve Crosby N61175-00-000i N/A 1JCHNPSV0354 1978 Replaced YES Relief Valve Crosby N61175-00-0005 N/A 1JCHNPSVO354 1986 Replacement YES
- 7. Description of Work: Remove PSV and install tested spare. Test removed valve and rework & save as spare.
- 8. Test Conducted: Hydrostatic 0] Pneumatic El Nominal Operating Pressure Z Exempt LI N-416-2 0] Other Pressure 6 psi Test Temperature Z 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'*" m
+1
,I FORM NIS-2 (Back)
- 9. Remarks: WO# 2739965 for valve 1JCHNPSVO354. Removed existing PSV and installed tested spare. Test the removed valve and save as spare.
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 N/A Certificate of Authorization No. U N/A Expiration Date: N/A Signed: i Date: 7 / Owner7 or Owner'sDesignee, Title N/A Y 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_9_-_0 ___ to .A 7 , 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 V National Board, State, Province, and Endorsements Inspectors Signature Date: U- . v2 6-SI(88)73P9Z1 e PV21 6-08NI (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI- REPAIR / REPLACEMENT Page of
- 1. ComponentID 280366, .JI *CH Y07 qW ?4',,/64 2.. Item
Description:
Charging pump Pulsation dampener
- 3. N-5 Data Package Number: 1CH04-1 4. W.O. Number: 2803667
- 5. Original Construction Code Edition: 1977 Edition, Winter 1971 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
PM activity for replacement of rubber parts such as bladder, o-rings and anti-extrusion ring.
- 8. 0l ISI Flaw NDE Method of Flaw 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 III pressure boundary. Parts replaced are approved spare parts for this component.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1977 Edition 1977 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: D1 YES Z NO Initial 0 '/7 Date 00-,2YcM4 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: E]'YES Z NO Initial Date If required, include a step in the W.O. for ISI & ANI1 Inspection.
Initial Date - 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Icomponent for permanent service or power operation. Itl f'tg" Date °k*'*
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or nta
.. replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Plug & Poppet Assy APN 00093298 14 n/a MR 1132237 Bag & Gas Valve Assy APN 45000617 1126-7 n/a MR 1103473 Retaining Ring APN '45150602 .1356-04 n/a .- MR 1103473
- 18. Planner
- rt!O Printed Name: ,2,,AJ)J,0dO21K Signature Date PrneNae AJO M Gr
- 19. ISI_ _ _ ___ Printed Name: A2Zf'> LogEntry<P o"
Signature Date
- 20. ANII "'<-,d Printed Name: .. -
Sign'ýure Date PV216 08NI 8 88
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: 8/24/2006 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: I of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tononah, Arizona 85354-7529 Work Order Number 2803667
- 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 III NC, Class 2 1977 Edition, Summer 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 Identification Built Replacement Code No. Stamped (Yes or No) Plug & Poppet Greer 14 n/a 1MCHBX07 2006 Replacement NO Bag &Gas Valve Greer 1126-7 n/a 1MCHBX07 2006 Replacement NO Assy Retaining Ring Greer 1356-04 n/a IMCHBX07 2006 Replacement NO
- 7. Description of Work: Routine maint. for replacement of rubber parts; o-rings, bladder and extrusion ring.
- 8. Test Conducted: Hydrostatic F1 Pneumatic El Nominal Operating Pressure El Exempt Z N-416-2 LI 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 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: WO# 2803667 for pulsation dampener (1MCHBX07). This work order is a 5 year PM for replacement of rubber parts. The Bag & Gas Valve Assy has the valve stem as a pressure retaining part. The Plug & Poppet Assy has both the plug and the poppet as pressure retaining parts. The existing assembly was replaced due to scratches in the poppet.This assembly was obtained from WPPSS under PO# 500291254. The retaining ring was replaced because it is vulcanized to the rubber anti-extrusion ring a.
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 N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: nerior ((&t,**l-*St"
-IW, CL r)C Date: .
Qtner 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 anrid the State or Province of Arizona. and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of -
to ____________, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
-~ Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Q Inspectors Signature Date: -2.W-oA ,
I w I-
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1JEWBLVO092 2.. Item
Description:
ECWS SURGE TANK B MAKEUP SOLENOID VALVE
- 3. N-5 Data Package Number: IEW02-3 4. W.O. Number: 2860070
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
REWORK VALVE INTERNALS OR REPLACE VALVE INTERNALS TO ELIMINATE SEAT LEAKAGE, REPLACE BODY TO BONNET TACK WELD
- 8. LI 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 PRESSURE BOUNDARY
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 3, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III C1 3, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: El YES M NO Initialv ,* (. Date 3 -- - If required, include a step in the W.O. to perform Preservice Inspection 71,
- 15. ASME Section XI Pressure Test Required: El YES Z NO
'j Initial Date 3 - - o 7 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 O Date - 07 Q- component.
Date ,-
- 7 . 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.
__ qoocA -: 3' A S"1O. 3(U-Io
- 18. Planners 6 ~ ~ ~ ~ .?- Oc~ Printed Name: L /)S ~
SS i**r e Date
- 19. ISI 3 /o 7 Printed Name: /5ýtEb bo -7"6,5- Log Entry *
"Signature Date
- 20. ANII "Z - , Printed Name: (X- , c..
Signat re Date P~V21-OMN (8488) 73DP.9ZZ 11 P- 9
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section X1
- 1. Owner: Arizona Public Service Company, et. al. Date: 02/15/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburu Road., Tononah, Arizona 85354-7529 Work Order Number 2860070
- 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: IEW-02-3
- 5. (a) Applicable Construction Code ASME Section III ND. 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)
Main Disc Target Rock 30A N/A IJEWWBLVO092 2001 Replacement Yes
- 7. Description of Work: Rework/Replace valve internals to eliminate seat leakage.
- 8. Test Conducted: Hydrostatic E] Pneumatic [] Nominal Operating Pressure [] Exempt [ N-416-2 Dl Other L0 Pressure N/A Test Temperature N/A 'F 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.
FORM NIS-2 (Back)
- 9. Remarks: WO 2860070
"'!, 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 XI.
Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A " Signed: I *~/ -v~~2~ Date:
/ .................
Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 4, 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-t2-o01 to ___________, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Commissions: NB 9685 "N" "I" AZ264 K Inspectors Signature National Board, State, Province, and Endorsements Date: A
ýi U. -
-'4 73DP-9ZZ17 Rev 9 PV216-08NI (8-88)
PV216-OSNI (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 45060185 2.. Item
Description:
Bonnet. Arm and Disc Assembly
- 3. N-5 Data Package Number: IRC01-IC 4. W.O. Number: 2860072
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Retlace and weld a new stud in the disc
- 8. C3 ISI Flaw P NDE Method of Flaw Detection:
Ik, 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 Cl 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: El YES Ej NO Initial ,A-., . Date 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 _. 7 Date . - If required, include a step in the W.OC.for ISI & ANII Inspection.
- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial 00_,, Date /0 - ( component for permanent service or power operation.
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial- Date /6) -,-J -0 replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. 1: Disc 76347 SN 2 IQ90 WO 2837012 Disc Stud APN 00093014 Trace # CL70 N/A MR 1015735 d I I Printed Name-< rF--" --- k7-, Aature Date j/ Printed Name:W-4A-- L,-60A t#- Log Entry - gnture t bate Printed Name: R_ - ature Date 73DP-9ZZ17 RW9
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 11/03/06 Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet I of 2 Address
- 2. Plant Palo Verde Nuclear Generating Station Unit 2 Name 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 2860072 Address 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 Address
- 4. Identification of System NA
- 5. (a) Applicable Construction Code ASME Section I11 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 or ASME Code Stamped Item Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No)
DISC Borg-Warner SN 2 NA NA 1978 Repaired Yes
* + I +
* + + 4 +
t + + I +
- 7. Description of Work Note remarks in Section 9 on Page 2.
- 8. Test Conducted: Hydrostatic IJ Pneumatic Q Nominal Operating Pressure
- Exempt [ N-416-1 U 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. 73DP-9ZZ17 PV-E0092 PV-EOOG2Ver. Ver. 77 73DP-gZZ17
FORM NIS-2 (Back)
- 9. Remarks WA.nMlr RAM'~71 u,2e iitili7pdi tn rpnlnrA tho c~tiif in thip dk;ý Ilgp Trhk W(- finpc nnt mn,~tsI thý dViq intn n Antlp Pre-Pressure Test Review: ISI NA_ ANII NA_
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 XA. repair of replacement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed aT 8d Wi Date/- 3 -O0 0or "- Owner or Owner's Designee. Title r" CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Ax.L.& and employed by HSB CT of Hartford. Connecticut , have Inspected the components described in this Owner's Report during the period ,o ' to __________, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report In accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ___ ____-_ Commissions Az 2&Ak TJae or's Signature National Board, State, Province, and Endorsements Date____________ 730P-9Z217 PV-E0092 Ver. 77 BACK Pv-E0092 Vet. BACK 73DP-gZZ17
AS ; Ii ITiN ---IEPAIR R / RIPL-ACL:NIE'T I '-I Page oI
- 1. Component ID 45060185 2.. Item
Description:
Bonnet, Arm and Disc Assembly (removed from IPSIBV532)
- 3. N-5 Data Package Number: IRCOI-IC 4. W.O. Number: 2860073
- 5. Original Construction Code Edition: 1974 Edition. Winter 1975 Addenda
- 6. Original Installation Code Edition: i974 Edition. Winter .1975 Addenda
- 7. Work
Description:
Rep!ace the disc stud and weld due damge to the stud durinD disassembl,
- 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 of the ASME pressure boundary. Like for like replacementto refurbish spare assembly.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III CI 1. 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:. El YES Z NO Initial Ijl.,q- Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASNE Section XI Pressure Test Required: IZ YES Z NO If required, include a step in the W.O. for ISI & ANII Inspection.
Initial A-)' 44' Date ______
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial - 2J Date IS[ & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for lnitilaf-'.../. -j Date y->. replacement items.
Item ID Part No. Serial No. Heat No. 1MI O/WO No. Q g e)0___*_______ 2_.72 -- _t 4/A 1_ _ 2-.--
- 18. Planner .---- <--('- -2 Printed Name: -'-#-*-'
-.- : Signature , Date
- 19. ISI "d* A' 3 k..-.. '. / 7" Printed Name: . r ;--.: Log Entry Signature . Date
- 20. ANII "-Printed Name: "*L SigL re Date PV...
S-78 . .O.... 1( *. 73DP.*Z7 ..... PV216-O8NI(3-381.
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
... "M
- 1. Owner: Arizona Public Service Company, et. al. Date: 07-12-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: I of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2860073
- 3. Wotk Performed~by: Arizona Public Service Co. Type of Code Stamp None 5801 S. Wintersbura 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)
Bonnet, Disc & Borg Warner 5 N/A APN 45060185 1977 Repaired Yes Arm Assembly Disc Flowserve 27240-6 N/A 1PSIBV532 2007 Replacement Yes
- 7. Description of Work: Reworked the bonnet, disc & arm assembly for use as spare.
- 8. Test Conducted: Hydrostatic [] Pneumatic Li Nominal Operating Pressure Li Exempt Z N-416-2 [1 Other E] Pressure __ psi Test Temperature or, 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) '1
- 1. W.O. 2860073 reworked the bornet, disc & arn assembly removed from valve IPSIBV532.
Pre-Pressure Test work order review - IST ANTI: -t41A 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: FrýDneey Date: 7 112. /07 Idner 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:- o-to 1-&,2 - 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 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.
-21 -4~
ký Inspectors Signature Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Date: '1-2 1 U. - m 73DP-9ZZ17 Rev 8 PV-E0092 Ver.
"PV-E0092 Back Ver. 7 Back 73 DP-9ZZI17 Rev 8
FORfvl N-Z CERTIFICATE HOLDERS' DATA REPORT FOR iDENTICAL NUCLEAR PARTS AND APPURTENANCES ý As Required by the Provisions of the ASME Code, Section ill Not to Exceed One Day's Production Pg. 1 of 2 Flowserie Corpottion 1900 S. Saunders St. Raleigh, NC 27603
- 1. Man ufactured and :e F e d byv -*;*,
iname era, adjress of NPT Certificae Hoe: Pinnaoe West Capita) Corp/Disbursement Accounting, MIS 95/P.0 Box 53940, Phoenix, AZ .,_,72-3-9-401 APSam,an PdPdrekss of purch2serA APS- PALO VERDE/Arizona Public Service Palo VerdeiPanb ' 'P.O. Box -52034,.. Phoenix AZ 55072-2034
- 3. LcOca-Don 0f ristallat tion name and adwress)
-.77700, P,/K- 5Ai82 F316 N/A N/A 2007 T ypeMinter I. 1975 1974 Winter 1975i N/A
{ndarit iaocerisa Cale) sass; 1.-va C . c. .I N/A N/AN/ Revision N/A Date N/A
- 6. Fabricated in accordance with Const. Spec. (Div. 2 only)
Remar ks: Disc/Stud Assy for a 3" 1521# Swing Check Valve P. Nom. thickness (in.) N/A _ Min. design thickness (in.) Per #4 Din. ID (ft & in.) N/A 'Legth overa, (ft & in.) N/A
- 9. When applicable, Certificate Holders' Data Reports are attached for each item of this report:
National National Part or Appurtenance Board No. Part or Appurtenance Board No. Serial Number I in Numerical Order Serial Number in Numerical Order (1) 27240-3 N/A 126) (2) 27240-4 N/A (27) (3) 27240-5 N/A (28)
*(4V 27240-6 N/A 27240-7 N/A (31)
(7) _ -- 132)- (34) (35) .1 110) (36) (13) ________________ (37) (38) (14) (39) .-~~~1 __________________ (15) ______________ _ (40) (16) (41) 117) ____________ (42) (43) (44) 120) ______________ (45) (21) _______________ ________________ I. (46) ________________________________________________________________ (221 (47) L_____________________________________________________________ (23)-__________ _____________ (48) (24) (49) (251) (50)
- 10. Design pressure psi, Temp. ',,
-F, Hydro. test pressure (wehen asolkahabl*
at temp. 'F 0 jpplemental information in the form of iists, sketches, or drawings may be used provided iil size is Ell',x 11, (2l information in items 2 and 3 on this Data Repont is ded on each sheet, (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
FUPM N -2 (B a k ,Pg. 2 of 2 Cs tificate Hoidser's Serial Njos. 27240__ ____ 27240-7 CERTIFICATION OF DESIGN John C. Nunnery P.. r Stae StalePeg. inois no, 062-043270 snzcfictjon ý,er~fd by s N/A -. E. Stte NiA N . _ N/A CERTIFICATE OF COMPLIANCE Parts VWe certify, hat the statements made in this reo-t are correct and that this ithecse cnn-fms to the rules of construction of the ASME Code, Section i'1, Division 1. N- 1563 1l-26-0~ ,- [' r-e'- f AuthDrization No. Flowse rve Corporation Date , 6 Name Signed (NPT -- rtific-att -ioijer) 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 NC and employed by HSR MC of Hartford. CT have inspected these items described in this Data Report on _ 2-//Z-/"07 , and state that to the best of my knowledge and belief, the Certificate Holder has fabricated these parts or appurtenances in accordance with the ASME Code, Section Ml, 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 in this Data Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal iniury or property damage or loss of any kind arising from or connected with this inspection. Date /" , 1 ,rr
~dors~m~rr-Ol andd. szar,ýor P, v. arnd no I
- CO_ __or_ _ _ _ _
CSi(n- 1 . 4 (Aut2Oor'zeNuc~aarInp'tr Naf'I e
ASME SECTION XI- REPAIR / REPLACEMENT Page . of .. I. Component ID 45060170 2.. Item
Description:
Bonnet, Arm and Disc Assembly (removed from IPSIEV247)
- 3. N-5 Data Package Number: IRCO0-IC 4. W.O. Number: 2860076
- 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 disc / stud assembly due to cracks found in the stellite 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: No failure of the ASME pressure boundary. Like for like replacement to refurbish spare assembly.
- 10. 'Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cli 1, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III CI ., 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: , 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [ YES Z NO Initial ,,-/ /1 Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: El YES [ NO Initial .. ji.. Date 4/ - If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial ",- / 9 Date ISI & ANII prior to approving INP525 Status.
Initia- , Date Y o 17. Include a step in the W.O. to record below all applicable numbers for naD replacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. Disc and Stud Assembly APN 45020875, 193724 83334 MR 1209684
- 18. Planner 7. Printed Name:
Sg~re Date
- 19. 1 -/,'i. /" Printed Name: _ L,. : 1"1-14iAiog Entry Signature Et*te
- 20. ANII .- c.-o Printed Name: Q- ,
Sighqt re Date PV216-08NI (8-83) 73DP-9ZZI7 R~v 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: 04/05/2007 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 2860076
- 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 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)
Bonnet, Arm, Borg-Warner SN 6 N/A 45060185 1977 Repaired YES Disc assembly Disc Borg-Warner 211972-1 N/A RS21 1930-1 1991 Replaced YES Disc Borg-Warner 193724 N/A 83334 1991 Replacement YES
- 7. Description of Work: Replace the disc stud assembly in the spare bonnet / arm / disc assembly
- 8. Test Conducted: Hydrostatic 0 Pneumatic E] Nominal Operating Pressure Z Exempt ED N-416-2 F] Other Pressure psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/22 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.
FORM NIS-2 (Back)
- 9. Remarks:. Work Order 2860076 replaced the disc / stud assembly in the bonnet / arm / disc assembly removed from IPSIEV247 by Work Order 2791139, which will be stored for future use.
Pre-Pressured Test WO Review - IS[ A/N ANII/ - Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the A5ME Code, Section XI. Type Code Symbol Stamp N/A Certificate of uthorization No. N/A Expiration Date: N/A S'igrned: or Owner's Designee, Title Date: . -- rf 7 kWner[ 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-7 to ___-__ 0-7-_ , 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 Inspectors Signature Date: - - o01 73DP.9ZZ17 Rev 9 PV216-08NI (8.88) PV216-08N1 (8-88) 73DP-9ZZI7 Rev 9
I 1. Component ID 1PSIEV124 I ASME SECTION XI - REPAIR / REPLACEMENT Item
Description:
HPSIJLPSI Header Loop Injection Check Valve
~Page of __ ,) N-5 Data Package Number: 1RCOt-5 4. W.O. Number: 2864182
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Rework or replace the bonnet and disc assembly to correct seat leakage
- 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 - No ASME boundary failure
- 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 i2. 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: F1 YES Z NO Initial ,iJ 4 Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: Z YES D NO
;tl , 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*, ,T - Date Ao *vcomponent for permanent service or power operation.
- 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. __ __m_ _____ ____ __ __ __ _ ____ 'pr _ _ L49-*3 -k- 0 __ N o7, 857 s S13,3 ý2q3aoo f 1.8. Pln=&-,Q ' Printed Name: -=27 2,itA C Signature Date
- 19. ISI(. Sgau [/ Printed Name:'f- P' D-DAP Log EntrýR -k Signature bate 1). ANII , - Printed Name: Q" ,
Si ature Date PV'I*..lRNTtR~~ a73DP-97717 R-v 9
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: 06-27-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2864182
- 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 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 Stamped (Yes or
_ _ _ _ _ _ _ _ _ _NO) 12" Check Valve Borg Warner 27605 744 lPSIEV124 1978 Repaired Yes BRonnet Borg Warner S/N 20 N/A Ht # 3L97 N/A Replaced Yes Disc Borg Warner S/N 12 N/A Ht # 3196 N/A Replaced Yes Bonnet Borg Warner S/N 5 N/A Ht # 2B63 N/A Replacement Yes Disc Borg Warner S/N I N/A Ht # 2C14 N/A Replacement Yes
- 7. Description of Work: Replaced the bonnet and disc assembly with a refurbished assembly.
- 8. Test Conducted: Hydrostatic F1 Pneumatic El Nominal Operating Pressure Z Exempt 0 N-416-2 F]
Other FE Pressure __ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
w I FORM NIS-2 (Back) I u O. W.O. 2864182 replaced bonnet & disc assembly in valve IPSIEVI24, with refurbished bonnet & disc assembly that was removed from valve IPSIEV134 during U1M13 under W.O. 2864185 and refurbished under W.O. 2932001. I;'-A/ Pre-Pressure Test work order review - ISI : (-27-0-7 ANII: -ý,6 4-- 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 N/A Expiration Date: N/A Signed: Z& ._ Date: ft Ow`56-r 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 o0o-to ck*. , , 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 Inspectors Signature Date: R-2,-ol U. - 73DP-9ZZ17 Rev 8 IE0092 Ver,
'~OO92 Back Ver, 77 Back 73DP-9ZZI7 Rev 8
ASM--E SECTION XI- REPAIR / REPLACEMENT I-.I"Page of
'4. Component ID 1PSIEV134 '2.. Item
Description:
HPSIJLPSI Header Loop Injection Check Valve 3, N-5 Data Package Number: IRC01-5 4. W.O.Number: 2864185 5, Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition. Winter 1975 Addenda 7, Work
Description:
Rework or replace the bonnet and disc assembly to correct seat leakage
- 8. D] ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. EValuation-of thie 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 CI 2, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASvME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [1 YES Z NO Initial A--) - -Date If required,
" include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: M YES F1 NO
*required, include a step in the W.O. for ISI & ANII Inspection.
,;nitial /0>J Date /0- f
- 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date /0Date -
- component for permanent service or power operation.
't/ 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial ~Date A replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. 130 NNr -7&70 60 6 301 5Lq , U-1 yQ/: 1
- 2"la-Printed Name: '~~"~s iLl s9~~~t 4 ~
Printed Name: - AP -Log Log n P, (::ý. a 20. ANII $* Printed Name: q,;. (' S.7ZOA Signature Date PaV21608NI (8-8) 73DP-9ZZ17 R.-9
I? I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company. et. al. Date: 10/11/2006 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: I of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburp Road.. Tonopah- Ari7ona 85354-7529 Work Order Number 2864185
- 3. Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: SI: 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 Identification Built Replacement Code No. Stamped (Yes or No)
Valve Borb Warner 27606 745 IPSIEV134 1978 Repaired YES Disc Borg Warner 1 N/A HT# 2C14 1978 Replaced YES Bonnet Borg Warner 5 N/A HT# 2B63 1978 Replaced YES Disc Borg Warner 12 N/A HT# 3L96 N/A Replacement YES Bonnet Borg Warner 20 N/A HT# 3L97 N/A Replacement YES
- 7. Description of Work: Replaced the bonnet and disc assembly to correct seat leakage.
- 8. Test Conducted: Hydrostatic 0 Pneumatic [] Nominal Operating Pressure [ Exempt E N-416-2 D 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 11 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back) Remarks: Work order# 2864185 replaced the bonnet and disc assembly originally installed in 3PS1EV542, removed by wo# 2824825 and refurbished by wo# 2912180. Pre-Pressured Test WO Review - ISI IC, lit ý&-4
-4
_ - 10- tt- o01, ANII Certificate of Compliance We certify that the statements made in the report are correct and this repair conforms to the rules of the ASMIE Code, Section XI. Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Date: 10-13-6 Siý,ned: Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION
,' 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.- -k-to ,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 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 1Inspectors Signature Date: Ed*- 73DP-9ZZ17 Rev 9 PV216-OSNI (8-88) PV216-08N1 (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page ' of
- 1. Component ID lPSIBV1O26
-,,2.. Item
Description:
1" Vent Valve with blind flange.
- 3. N-5 Data Package Number: 4. W.O. Number: 2864979
__V6_ 7 .-
- 5. Original Construction Code Edition: 1974 Edition, Summer 1976 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Install a vent valve in line 1PSIBLI93 iaw design change DM# 2824546.
- 8. E] ISI Flaw NDE Method of Flaw 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 III pressure boundary. The 1' valve and piping are a new design change to add a vent to the existing system piping. 10., Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 1, 1974 Edition. 1976 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: [] YES [ NO Initial k'* Date 0 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: El YES I ] NO Initial k $ Date to/*I:b .Z , 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 Sd Date / 2.o , component for permanent service or power operation.
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial *J-$ Date L*//2-c(2d2 b replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WVO No. Valve APN 45000244 14BGG N/A MR 1143012 16"xl" Weldolet APN 00098057 N/A 3 415 1" Pipe APN 43510515 N/A St1 MR 444+6 1" SW Flange APN 43580760 N/A ,2 (-!S MR 1143016 I"Blind Flange APN 43580943 N/A 't('o-s(_ MR 1143016 Studs- 7/8" dia. APN 43115015 N/A "1 L, ýs MR 1143016 Nuts - 7/8" APN 43127016 N/A _______MR 1143016
- 18. Planner ntu to S/236 Printed Name: -_KarlV. Savage_ _ _ _
SignatuiY Date-
- 19. ISI PrintedName: LogEntry --P_
-Signature Date
- 20. ANII ', - ,-o-o- Printed Name: . *oc--g0 oA Signa e Date
?~v2z1-0iN 1 (8-881) 73oP-gZZi7 R-w9
I I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company. et. al. Date: 10/28/2006 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2864979
- 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) Valve Flowserve 14BGG N/A 1PSIBV1026 2006 Replacement Yes 16"X 1" Weldolet N/A N/A N/A Ht: N041694-1-1 2007 Replacement No I" Pipe N/A N/A N/A Ht: 503173 2007 Replacement No 1"Flange N/A N/A N/A Ht: 26545-5 2007 Replacement No I" Blind Flange N/A N/A N/A Ht: 860756 2007 Replacement No Studs - 7/8" N/A N/A N/A Ht: 726516 2007 Replacement No Nuts - 7/8" N/A N/A N/A Ht: 1Y r 2007 Replacement No
- 7. Description of Work: Install new high point vent valve per EDC 2006-0081.
- 8. Test Conducted: Hydrostatic El Pneumatic F] Nominal Operating Pressure [ Exempt 0 N-416-2 El Other E] Pressure _ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 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.
[ F OR.M NIS-2 (Back)
"'. Remarks: WO# 2864979 installs a new 1" vent valve, 1PSIBVIO26 iaw design mod DM# 2824546& EDC# 2006-00081. iIj-f,- ,A F i*p e, , ev,'y vLoae4.o.2 Sgb7 Pre-Pressured Test WO Review - ISI M /A ANII WIA 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/4 Signed: 1 .S Lr" ' Yk)P e)l " Date: Z--2oo7' Jwner or Owner's Designee, Tfl're 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-,o-01 to - c* -ci , 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 Inspectors Signature Date: C.-o-U- 730P-9ZZI7 Rev 9 PV216-08N1 PV2 (8-88) 16-08NI (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI- REPAIR / REPLACEMENT Pae I of
- 1. Component ID IPSGEL011 2.. Item
Description:
Pipe Spools S-004 and S-005
- 3. N-5 Data Package Number: ISG02-1 4. W.O. Number: 2865102
- 5. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Replace erroded piping with new Stainless Steel pipe and fittings IAW DMWO 2865100.
- 8. 13 ISI Flaw NDE Method of Flaw 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 III pressure boundary. The subject pipe spools have been evaluated as erroded due to Flow Accelerated Corrosion, The Carbon Steel Piping is being replaced with Stainless Steel piping of the same wall thickness.
- 16. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition, 1975 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: 0 YES E3 NO Initial t'& Date 2[b~l-LJ*r- If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: Ej YES 13 NO Initial Date /. 7 If required, include a step in the W.O. for ISI & ANII Inspection.
a/ 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial
- Date 7 1 ,t 2,*o 7 component for permanent service or power operation.
~/ ,
'17. ,-'t Include a step in the W.O. to record below all applicable numbers for repaired or Initial Dt 2 1z4i replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. 8"Pipe-SchS0 APN 00061187 N/A D'[XI( MR 1092551 _,q4 8" Elbow - 90 Degree APN 00067691 N/A MLW-3 sNtJ MR ________ APN A_ _______ ______'R Mc~~ Jdq26'5i E__l___-________ APWe N etLe'l& ) Al____,__ Z)VSjig5T-
- 18. Planner ure Sit. 2.1/Z,(Z-? 'I Printed Name: _Karl V. Savage_
Signatur& Date
- 19. ISI H e'2//- 2 7 Printed Name: FKIT'AF?
P Log Entry____ Signature" Date
- 20. ANII ' 74 " *Printed Name: Robert G. Hogstrom Signlre Date pV216-()hNj(6-66) 73DP-9'ZZI7 R,,9
ASME SECTION XI REPAIR / REPLACEMENT 3 Page 2 - of
- 1. Component ID 1PSGEL011 2.. Item
Description:
90 Degree Elbow
- 3. N-5 Data Package Number: 1SG02-1 4. W.O.Number: 2865102
- 5. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Perform Weld Build-up/Repair of the I.D. of the Elbow where counterbore end prep. violated Min. Wall.
- 8. [] ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. -Evaluation ofthe suitability ofthis work as per the requirements -_ ofIWA- 4150: -
4- " c_ (PW (z+ 7
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition Summer 1975 Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Editiond 1992,Addenda _, f3 1E 1 .- ',,
r* p4E-,z7-
- 14. Preservice Inspection Required: YES NO ,,,'-V6-Z_, 2--- o Initial l-* Date /i.. 7 if required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: E3 YES F NO If required, include a step in the W.O. for ISI & ANII Inspection.
Initial K-rS Date 5]h'h
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial W-SYO Date 5'1j 7 ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial KL-' Date replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. 8" Elbow - 90 Degree APN ooo000-- "767i o-14 \/_ * MR 1092551
- 18. Planner ________________ , Printed Name: V*A-tZL !VAu*-3 CetfA -6Fi.
Signature Date
- 19. ISI e Printed Name:l" ' '4%t -'AP-LogEntry_*
Signature Dte
- 20. ANII .',. Printed Name: _ roci-t Signat.r . Date PV2 I6-08N] (8-88) 7.,urP. ! RCC IZ
ASME SECTION XI - REPAIR / REPLACEMENT Page of 3
- 1. Component ID 1SG011H004 2.. Item
Description:
PIPE SUPPORT
- 3. N-5 Data Package Number: __ 4. W.O. Number: 2865102
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Relocate the spring can rear bracket and reset the spring can loading.
- 8. F 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 nipine stress calculation was re-analysed after the U 1R12 Steam Generator renlacement. The reanalvsis reauired that the rear bracket for the snring can be moved aonroximatelv 2 inches toward the Bin-wall and that the settinv he adjusted_ reference EDC# 2006-00153 to 13SG01 1H004. There was no failure of the pipe support.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III NF C1 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. Preservice Inspection Required: [ YES E NO Initial V Date ,__/_______-_ If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: El YES [ NO r ..
- 1 Tr% ]-/,.,A I,, -7 If required, include a step in the W.O. for ISI & ANII Inspection.
Date 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial b ._ Date _/2_ Q_ _ " ISI & ANII prior to approving INP525 Status. I/ Date Vz zo 17. Include a step in the W.O. to record below all applicable numbers for replacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No.
- 18. Planner 1 aQ... s s-- /j-o? 7 Printed Name: _Karl V. Savage_
SignatureQ.- 6 Date
- 19. iSIc 5 'Deb7 Printed Name: "- -Qt2AP Log Entryv(!
ognlaLm* r Date' N.J
- 20. ANI'4- Printed Name: _Robert G. Hogstrom_ _ _
Sigh~ure Date 'VZ I (,-LINNI~-M) 73DP-9ZZ17 R~'~ PV216-OHNI (9-89) 73DP-9ZZ17 RK'v9
I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al. Date: 06/29/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2865102
- 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 Generatino
- 5. (a) Applicable Construction Code ASME Section III NC, Class 2 1974 Edition, Summer 1975 Addenda,; Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or No) 8" Pipe - Sch 80 N/A N/A N/A PSGELOI 1 2007 Replacement NO 8",Elbow - 90 D. N/A N/A N/A PSGELO 11 2007 Replacement NO
- 7. Description of Work: Replace Eroded Pipe with Stainless Steel, I.A.W. EDC 2006-00153
- 8. Test Conducted: Hydrostatic F1 Pneumatic 0 Nominal Operating Pressure E Exempt E N-416-2 10 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 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)
- 0. Remarks: WO# 2865102 - I. Replaced existing erroded Carbon Steel pipe and fittings with Stainless Steel IAW Design Mod DM# 2865100 & EDC# 2006-00153. 2. Performed Weld Build-up of inside of one of the replacement Stainless Steel Elbows that was damaged while performing machining for the weld end preparation. 3. Relocated the ASME NF Spring Can rear end bracket of support ISGOI 1H004 to place the support over the centerline of the reworked pipe.
Pre-Pressured Test WO Review - ISIA 6",R /07. ANIL______7______________E__ 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: , i*/ 6-6"V'3P"- Date: 7 );7 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 .2-*-ol to -Z- L3-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 Ispectors Signature National Board, State, Province, and Endorsements Date: Pvl-81(-803P9Z7Rv 73DP-9ZZI 7 Rev9 PV216-08NI (8-88)
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID IPSGEL005 and 1PSGEL014 2.. Item
Description:
FEEDWATER HEADER TO STEAM GENERATOR 1MRCEE01B
- 3. N-5 Data Package Number: 1SG02-1 4. W.O. Number: 2871246
- 5. Original Construction Code Edition: 1974 Edition. Summer 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Replace spool S-001 of line 1PSGEL014, and a portion of spool S-010 of line IPSGEL005 (24x16 reducer and pipe between reducer and 24" tee). Use DLBB material with a minimum of 0. 1%chromium.
- 8. [ ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. Evaluation of tihe suitability of this work as per the requirements of IWA - 4150:
Reolacement with more corrosion resistant material to counter effect of flow accelerated corrosion.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III C1 2, 1974 Edition Summer 1975 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: xESO 12 1-Initial . Date Date UZ If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME c ion XI Pressure Test Require d: E YES MI NO If required, include a step in the W.O. for ISI & ANII Inspection.
Initial
- Date
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial I Date ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial
- Date replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/VO No. 14" pipe SA 106 Gr. B APN 00070175 N/A Cl A CA L\
- 14" elbow SA-2*4Gr. APN 00070173 N/A WPL-6 \-AZo 14" x 16" reducer SA234 APN 0007017 N/A A/PML2 Gr. WPC __ _ P -2,;IqI 16" pipe SA106 Gr. C APN 00070176 N/A (.)7e q 16" x 24" reducer SA234 APN 00066490 N/A Gr. WPC _ _ _ _ __"__ _ _ _ _ i__
. Pi Pe 6*A1oh.&,-r1 API 69767177 O/I4 /6.f-'3 7/ "A 71 ).q
- 18. Planner '/A&,.-
, Printed Name: -
'fignatur9 " Date
- 19. ISI 3°23-"? Printed Name: - , LogEntry "Signature Date
- 20. ANII '<< 4 Printed Name: .- d- o-o.
Sign re Date PV21-' CE-t NI ka-98,*) ;3UVP-9LL1'IRKv
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: 01/29/2007 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 2871246
- 3. Work Performed-by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: FEEDWATER HEADER TO STEAM GENERATOR 1MRCEE01B
- 5. (a) Applicable Construction Code ASME Section III NC, Class 2 1974 Edition, Summer 1975 Addenda, N416-2 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)
SG Feedwater N/A N/A N/A 1PSGEL014 2007 Replacement NO Line SGEL0 14, Pipe Spool S-001 SG Feedwater N/A N/A N/A 1PSGEL005 2007 Repaired NO Line SGEL005, Pipe Spool S-010. (24" x 16" red. and pipe between red and 24" Tee only)
- 7. Description of Work: Replace spool S-001 of line IPSGEL014, and a portion of spool S-010 of line IPSGEL005 (24x16 reducer and pipe between reducer and 24" tee). Use DLBB material with a minimum of 0.1% chromium.
- 8. Test Conducted: Hydrostatic [] Pneumatic El Nominal Operating Pressure El Exempt FI N-416-2 [ 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 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: Work order 2871246. Replace spool S-001 of line IPSGEL014. and a portion of spool S-010 of line 1PSGEL005 (24x16 reducer and pipe between reducer and 24" tee). Use DLBB material with a minimum of 0.1%
chromium. jzx-s Pre-Pressured Test WO Review - ISI
/
e-- 3o -o1 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: / 5( J//E Date: 2-3-1-02 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 _ - _-_a-_ to o-7 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ___ _ _t;__ _ Commissions: NB 9685 "N" "I" AZ264 pectors Signature National Board, State, Province, and Endorsements Date:__ _ _ _ __ _ _ _ mos-t.1 I"
?V216-O8NI (8-88) 730P-9ZZl7 Rev 9 i.' ?V216-08NI (8-88) 73DP-9ZZI7 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT
-Page -of
- 1. Component ID IJSIAUVO651
@2.. Item
Description:
Piping and Support Modification associated with relocating valve 1JSIAUVO65 1.
- 3. N-5 Data Package Number: 4. W.O. Number: 2882735
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Modification of lines IRC-A-051-BCAA-16", ISI-A-240-BCAA-16", 1SI-A-248-BCAA-3", (cont. blk. 9)
- 8. fj ISI Flaw N/A NDE Method of Flaw Detection: N/A Report Number: N/A
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Work Description continued: 1SI-A-510-BCAA -3/4", supports IRC05 lH005, 1S1240H-0 14, 1SI-248-H-018, 1SI-248-H-032, 1SI-248-H-034, 1-SI-248-H-035 In accordance with WP&IR's P-SI1-1010, P-SIl-10 11, P-SII-1012, P-SII-1013, P-SII-1014,
& P-SII-1015.
- 10. 'Repair/Replacement Work Organization: Bechtel Construction CA I oj:?'-(
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. II!Cl, 1974 Edition, Winter 1975 Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III CIZ 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: Z YES [] NO Initial 1) 64 Date '17"I frequired, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: 0 YES r- NO yý,Initial _ Date `tý )1 0(
frequired, 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 d(a component.
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial j Date -"//4./L' & replacement items.
Item ID Part No. Serial No. Heat No. MR/POIWO No. I1PRCL051 I PSIAL240 1JSIAUV0651 ___ ___ 1PSIAL248 1RC05 I1H005 1S1240H014 1SI248H018 1S1248H032_
- 18. Planner - .- '7'/, "//0 Printed Name: Dale Preslar Signature De
- 19. IS1 Date Printed Name: t-9A*jjt-i3 "
Log Entryq,6fi-
/ -/igrnature Date i;
120. ANII -7,* Z'1*-1-27-O0(. PrintedName: -t("o. Signal+~3 Date PV216-08N! (6-M8 73DP-g9=7 Rý9V
ASME SECTION XI - REPAIR I REPLACEMENT Page 2of A ItePat I o. eral o.Hea N. M/PNVONo Item ID Part No. Serial No. Heat No. MRIPOIWO No. 1S1248H034 1S1248H035 ___ ___ 1. ___ 1 ___ ___ 1~ -I- -~ +
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Arizona Public Service Company, et. al. Date 06/02/06 Name P.O. Box 53999, Phoenix, Arizona 85072-2034 Sheet 1 of 2 Address
- 2. Plant Palo Verde Nuclear Generating Station Unit 1 Name
-580-1 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 2882735 Address Work Order Number
- 3. Work Performed by Bechtel Construction Type Code Symbol Stamp None Name Authorization No. N/A 5801 S. Wintersburg Rd., Tonopah, AZ 85354 Expiration Date N/Ak Address
- 4. Identification of System Safety Injection
- 5. (a) Applicable Construction Code ASMLF, Section III 19 74 Edition, W 75 Addenda, *N-249 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 Item Manufacturer Serial No. Board No. Identification Bu or Stamped Replacement (Yes or No)
Reactor Coolant NA NA NA 1PRCEL051 NA Replacement No
/ Safety Injection NA NA NA lPSIAL240 NA Replacement No Safety Injection ANVIL 2006-53 NA 1SI240H014 2006 Replacement Yes Safety Injection ANVIL *2006-56 NA 1SI240H017 2006 Replacement Yes Reactor Coolant NA NA NA 1RC051H005 NA * - No
- 7. Description of Work See remarks on sheet 2. (* indicates that the NT-I references the above code case)
- 8. Test Conducted: Hydrostatic F_ Pneumatic [ Nominal Operating Pressure l Exempt [J N-416-2 EJ Other EJ Pressure a;Z-ko psi Test Temp. O 0F 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. PV-E0092 Ver. 7 73DP-9ZZ17
FORM NIS-2 (Back)
- 9. Remarks The work included moving I TSTATTV0651 (with glpproximatedy 6" of pipe,n each end) and the etxtfing 16" pipe with the 3" 1 £IAT. 94 hrncnh connection tan locntinn clo~er to the reac1ctr rnnlnnt
. ht leg Twp new -cippnrtz .. ere nrilded and 1Rl*05T405 wa- remnvdri Thi work Wnz performed per TIWoC 2)88735 DFWO 2882666 Wp&IrPP - SI 1013 Pre-Pressure Test Review: ISI, r."
, ,A N,,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 Xl. repair or replacement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiratiorn Date N/A Signed " Date -*-0lO 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 A- -z7-o. to '-I -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 -*.t& 9?4-li A,,,), I, kC spectors Signature National Board, State, Province, and Endorsements Date_______0__________ 730 P-9Z21 7 PV-E0092 Ver. 77 BACK PV-E0092 Ver. BACK 73DP-9ZZ17
ASME SECTION XI - REPAIR / REPLACEMENT Page 1 of 2
- 1. ComponentID IJSIAUV065 1 2.. Item
Description:
Piping and Support Modification associated with relocating valve 1JSIAUV065 1.
- 3. N-5 Data Package Number: 1S107-5 4. W.O. Number: 2882735
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Modification of lines 1RC-A-051-BCAA-16", ISI-A-240-BCAA-16", 1SI-A-248-BCAA-3", (cont. blk. 9)
- 8. R] ISI Flaw N/A NDE Method of Flaw Detection: N/A Report Number: N/A
- 9. Evaluation of the suitability of this work as per the requirements of IWA7- 4150:
Work Description continued: 1SI-A-510-BCAA -3/4", supports IRC05IH005, 1SI240H-014, 1SI-248-H-018, 1SI-248-H-032, 1SI-248-H-034, 1-SI-248-H-035 In accordance with WP&IR's P-SI1-1010, P-S11-101 1, P-SI1-1013, P-SI1-1014, P-SII-1015, and NCR-25030-820-001 issued to resolve an existing out of plumb condition.
- 10. Repair/Replacement Work Organization:. Bechtel Construction
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 1, 1974 Edition, Winter 1975 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: [ YES [ NO Initial 0 04+ Date .5-6,6 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Requiredd: [ YES [] NO 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 Date f-'
- component.
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or replacement items.
Initial L Date * "h' Item ID Part No. Serial No. Heat No. MR/PO/WO No. IPRCLO51 _ 1PSIAL240 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ________ 1JSIAUVO6511______- 1PSIAL248 '1RC051IH005 1SI240H014 .. ....... . IS1248HO18 1S1248H032
- 18. Plannere - - (0- Printed Name: Dale Preslar Signature Date 4
- 9. ISI Z2...-- $ O, Printed Name: , 1, 'l",. LogEntryO0* ..
/ST"'iatire Date
- 20. ASa Printed Name:- Q Signa+/-dr Date PV216-09NI (88) 73DP-gZZ17 R-v9
ASME SECTION XI - REPAIR / REPLACEMENT Page 2 of 2 Item ID Part No. Serial No. Heat No. MR/POIWO No. 1S1248H034 1S1248H035
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section X1
- 1. Owner Arizona Public Service Company. et. al. Date 06/02/06 Name P.O. Box 53999, Phoenix, Arizona 85072-2034 Sheet 1 of 2 Address
- 2. Plant Palo Verde Nuclear Generating Station Unit Name 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 2882735 Address Work Order Number
- 3. Work Performed by Bechtel Construction Type Code Symbol Stamp None Name Authorization No. N/A 5801 S. Wintersburg Rd., Tonopah, AZ 85354 Expiration Date N/A Address
- 4. Identification of System Safety Iniection
- 5. (a) Applicable Construction Code ASME Section III 19 74 Edition, W 75 Addenda,
- or ** 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 or ASME
*StampedCode Item Manufacturer Serial No. Board No. Identification Built Replacement (Yes or No)
Safety Injection NA NA NA 1PSIL248 NA Replacement No Safety Injection ANVIL *2006-54 NA 1S1248H018 2006 Replacement Yes Safety Injection ANVIL *2006-48 NA 1S1248H032 2006 Replacement Yes Safety Injection ANVIL *2006-49 & 50 NA 1S1248H034 2006 Replacement Yes Safety Injection ANVIL ** 2006-51 NA 1S1248H035 2006 Replacement Yes,
- 7. Description of Work See remarks on sht 2. (* indicates that the NF-1 references N249; ** indicates N-71)
- 8. Test Conducted: Hydrostatic [J Pneumatic J Nominal Operating Pressure [J Exempt UJ N-416-2 E Other [J Pressure =224O psi Test Temp. 5(,o 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-92Zt7 PV-E0092 Ver. 7 PV-E0092 Vet. 73DP-9ZZ1,7
FORM NIS-2 (Back)
- 9. Remark Th~ wrwkinclttdi riprntttina 1 STAT '149 in conjunotion xxith ynlyp. 11,STATTV06S] heinR mnvyc1 Three new sulpports, werxp richdd- and thi'. pippe rcnmp inztn11pc1 on I SDT?4Rfl1 9 tcn-ippnrt APR inoalla1tinn of gnihher Thc uiC~rk uric,ýPrfnrme.i per nTWfl 1991215 DEWO 2~8926f66 WP&IR S~l101010111,1014 Pre-Pressure Test Review: ISlQ 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. repair or replacement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiratior Date N/A 6- 'E, , Signed Date 7-/-O6 Z ... ,.y T 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 A.,;,.,ý,, and employed by HSB CT of Hartford, Connecticut , have inspected the components described in this Owner's Report during the period S-(- to -- t-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 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 S - A, I-, ,k c," A7 26 Inspector's Signature National Board, State, Province, and Endorsements Date 7- - ocý 73DP-gzzl 7 Ver. 77 BACK PV-E0092 Ver. PV-E0092 73DP-gZZ17
ASME SECTION XI - REPAIR / REPLACEMENT Page 1- of 2
- 1. Component ID IJSIAUVO651 2.. Item
Description:
Piping and Support Modification associated with relocating valve 1JSIAU-V0651.
- 3. N-5 Data Package Number: 1S107-5 4. W.O. Number: 2882735
- 5. Original Construction Code Edition: 1974 Edition. Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Modification of lines 1RC-A-051-BCAA-16". 1SI-A-240-BCAA-16". 1SI-A-248-BCAA-3". (cont. blk. 9)
- 8. 1] ISI Flaw N/A NDE Method of Flaw Detection: N/A Report Number: N/A
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Work Description continued: 1SI-A-510-BCAA -3/4", supports IRC051H005, 1SI240H-014, 1SI-248-H-018, 1SI-248-H-032, 1SI-248-H-034, 1-SI-248-H-035 In accordance with WP&IR's P-SI1-1010, P-SI1-1011, P-SII-1013, P-SII-1014, P-SI1-1015, and NCR-25030-820-001 issued to resolve an existing out of plumb condition.
- 10. Repair/Replacement Work Organization: Bechtel Construction
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 1, 1974 Edition, Winter 1975 Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [ YES I] NO Initial 0 t644 Date 5-(-06 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: N YES [] NO Initial * .Date ,'-6-e *, If required, include a step in the W.O. for ISI & ANHI Inspection.
Initil D16. 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 %NI Date -d o replacement items.
r-' Item ID Part No. Serial No. Heat No. MR/PO/WO No. IPRCLO51 IPSIAL240 IJSIAUV0651 1PSIAL248 1RC05111005 IS1240H014 1SI248H018 151248H032
- 18. Planner9 ----
Signature I-ZI " ,-7 -"'G Date Printed Name: Dale Preslar
- 19. ISI i -/&.. ,-6 0(a Printed Name: 4anje' L Log EntryO6/it
,-Sgature Date
- 20. ANII U ' , Printed Name: f-&. .S-Ro.
Signahtre Date Mv16.eM(S.) 73DP-9ZZI7 R-'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: 5/19/06 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 2882735
- 3. Work Performed by: Bechtel Construction Type of Code Stamp None 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Authorization No. N/A Expiration Date N/A-
- 4. Identification of System: SI & RC
- 5. (a) Applicable Construction Code ASME Section fIIIetan2 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 Identification Built Replacement Code No. Stamped (Yes or No) 01-RC-051-H-004 N/A N/A N/A Pipe Support N/A Permanently NO
___________ _____Removed 01-RC-070-H-OOA N/A N/A N/A Pipe Support N/A Permanently NO ___________ ______________________________Removed Permanently 01-RC-051-H-001 N/A N/A N/A Pipe Support N/A Removed NO ________ _ermovedtl P__________ 01-CH-008-H-OAG N/A N/A N/A Pipe Support N/A PeRanently NO ___ ____ ____ _______ ____ ____ _ _ ____ _ __ ____ ____ ___Removed _ _ _ _
*Permanently 01;-RC-051 -H-822 N/A N/A N/A Whip Restraint N/A Pemanenl NO
-PRemoved NO 01SI-240-H-823 N/A N/A N/A Whip Restraint N/A Removed NO
- 7. Description of Work: Piping design modification associated with the relocation of valve IJSIAUVO651, lines # 1RCýA-051-BCAA- 16" and # 1SI-A-240-BCAA- 16" and associated supports in accordance WPIR P' SI 1-1014.
- 8. Test.Conducted: Hydrostatic [] Pneumatic El Nominal Operating Pressure [] Exempt 0 N-416-2 [] Other Pressure __ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2/2 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: Work is to be performed in accordance with DFWO 2882666, DIWO 2882735 and WPIR P-SII-1012 Pre-Pressured Test WO Review - ISI /YA ANII W"
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: fl aJY-O4ner or Owner's Designee, Title Date: 5___ 3"-0_ _ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut, have inspected the components described in this Owner's report during the period of _ -__- ___ to s--c. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for anypersonal injury or property -damage or a loss of any kind arising from or connected with this inspection. Commissions: "k,", , C' kkZ 2(ý _ National Board, State, Province, and Endorsements K,Inspectors Signature Date: am-73DP-9ZZ17 Rev9 PV216-08NI (8-88) PV216-OSNI (8-88) 73DP-9ZZ17 Rev 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: 5/19/06 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529 Work Order Number 2882735
- 3. Work Performed by: Bechtel Construction Type of Code Stamp None 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Authorization No. N/A Expiration Date N/A
- 4. Identification of System: SI & RC
- 5. (a) Applicable Construction Code ASME Section IfIe 2 [974 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 Identification Built Replacement Code No. Stamped (Yes or No) 01-RC-051-H-004 N/A N/A N/A Pipe Support N/A Permanendy NO.
____ _____ ___ ___ ____ _ _ ____ ___ ___Removed 01-RC-070-H-OOA N/A N/A N/A Pipe Support N/A Permanendy NO _ __ ____ ____Removed _ _ _ _ 01-RC-051-H-001 N/A N/A N/A Pipe Support N/A Permanendy NO ____ ____ ___ ___ __ _ ____ ____ ___Removed _ _ _ _ 01-CH-008-H-OAG N/A N/A N/A Pipe Support N/A Permanendy NO ____ ____ ___ ___ __ _ ____ ____ ___Removed _ _ _ _ 01-RC-051-H-822 N/A N/A N/A Whip Restraint N/A Permanenly NO Removed NO 01SI-240-H-823 N/A N/A N/A Whip Restraint I N/A Permanenby NO 01_2_--83_/_/ _p__ N/A__________Wh___ Restraint_ _ / Removed NO
- 7. Description of Work: Piping design modification associated with the relocation of valve I1JSIAUVO65 1, lines # I RC-A-051I-BCAA-16" and # 1SI-A-240-BCAA-16" and associated supports in accordance WPIR P- SI1-1014.
- 8. Test Conducted: Hydrostatic El Pneumatic El Nominal Operating Pressure El Exempt [
N-416-2 [I Other Pressure - psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/22 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.
FORM NIS-2 (Back)
- 9. Remarks: Work is to be performed in accordance with DFWO 2882666, DIWO 2882735 and WPIR P-SII-1012 re-Pressured Test WO Review - ISI NA ANII MAA 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: n lNf- iwrd,tt Date: 5__A3-04__, Oier 6r 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 S-. -oC,, to S-Q0.
*, 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: .4 . *,, .¢ Az
- npctr 5 ignature National Board, State, Province, and Endorsements Date U. -
A 73DP-9ZZ17 Rev 9 PV216-08NI (8-85) PV216-OSNI (8-88) 73DP-9ZZ17 Rev 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 06/02/06
- V V1 * * . . . * ... ... .. . ...e. ... .. . .
rizona 85072-2034 Sheet 1 of 2 P Rnx 5199() Phoenix Address
- 2. Plant Palo Verde Nuclear Generating Station Unit 1 Name 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 2882735 Address Work Order Number
- 3. Work Performed by Bechtel Construction Type Code Symbol Stamp None Name Authorization No. N/A 5801 S. Wintersburg Rd., Tonopah, AZ 85354 Expiration Date N/A Address
- 4. Identification of System Safety Injection
- 5. (a) Applicable Construction Code ASME Section III 19 74 Edition, W 75 Addenda, *N-249 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 Manufacturer National Other Year Repaired ASME Code Item of Name Manufacturer Serial No. Board No. Identification Built Replacement Repaceent(Yes e or No)
Reactor Coolant NA NA NA 1PRCEL051 NA Replacement No Safety Injection NA NA NA 1PSIAL240 NA Replacement No Safety Injection ANVIL 2006-53 NA 1SI240H014 2006 Replacement Yes Safety Injection ANVIL *2006-56 NA ISI240H017 2006 Replacement Yes Reactor Coolant NA NA NA 1RC051H005 NA No
- 7. Description of Work See remarks on sheet 2. (* indicates that the NF-1 references the above code case)
- 8. Test Conducted: Hydrostatic [ Pneumatic I* Nominal Operating Pressure lJ Exempt [ N-416-2 El Other [* Pressure :ZaAo psi Test Temp. (.o 0 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. PV-E0092 Ver. 7 73DP-9ZZ17
FORM NIS-2 (Back)
- 9. Remarks -Th. wrk ind'ifieiid mnving 1T.TATTVM561 (with approxima~tely 6" nf pi=f nn esich endc) a~nd the~
existincg 1A" ininp with thi- T'" JRTAT UR hriqr,-h ornpptinn tn n lnrntmnn rln~r the ma~ctnr nt CO~1~ft ~gTwo inew cllppws were addedf and I RC051WAXIS was remnued Thi s wnrb wnc 4ef~r& e hW)~87 ThFWO 881666
=P&MI?- S11.l 1013 Pre-Pressure Test Review: IS (ll. 7 ..AANII G4ar 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. repair or replacement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expirationn Date N/A Signed A-Wrt , Date #?sl-0 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 4-21-o0 to 1 -t -e ,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section 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 Pit . A,- ,', '"z
" z(6 Ispectors Signature National Board, State, Province, and Endorsements Date "1-t-O*,
73DP.9ZZ1 7 PV-E0092 Ver. 7 PV-E0092 ver. 7 BACK BACK 73DP-9ZZ17
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID Removal of Hanger Components 2.. Item Description- Support Removal associated with relocating valve 1JSIAUJV0651.
- 3. N-5 Data Package Number: 1SI07-5 4. W.O. Number: 2882735
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addeiida
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Modification of deactivated supports, (cont. blk. 9)
- 8. F IS Flaw N/A NDE Method of Flaw Detection: N/A Report Number: N/A
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Work Description continued: supports IS1240H0 12, (2) pipe clamps, IRC051-H-004 (1) Rear bracket and pipe clamp, 1CH-008-H-OAG (1) Rear bracket and pipe clamp, 1RC-070-H-OOA (1) Rear bracket, IRC-05 l-H-001 (1) Rear bracket and pipe clamp, 1RC062H020 (2) Rear brackets, 1RC071H-00E (1) Rear bracket, In accordance with WP&IR P-SHt-1012.
- 10. Repair/Replacement Work Organization: Bechtel Construction
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 1, 1974 Edition, Winter 1975 Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. HI Cl 1, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: II YES Z NO Initial 133 1 Date - If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: [] YES [ NO Initial Date _ - If required, include a step in the W.O. for ISI & ANII Inspection.
Initial __ Date ,-S---? %16. Include a step in the W.O. to complete NIS-2 Form prior to rel easing the Inital atecomlnonent.
- 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. 1SI240H012 1RC051H004_.._ _ 1 CH008HOAG 1 RC070H00A 1 RC051 H001 1 RC062H020 1RC071HOOE
- 18. plunnm e. --- (9 Printed Name: Dale Preslar Signature Date
- 19. ISI 7")4/Z-"5 Printed Name: DL? 1/-4,ae.j Log EntrytIJ I-f
/ Sigiaiure Date
- 20. AN "-7--- Printed Name: l&. to6-*',
Signatiiiý Date P"V 2 6:-08N1,/ kS-gS) 73D?-9ZZ!7
ASME SECTION XI - REPAIR I REPLACEMENT Page 2 of 2 Item ID Part No. Serial No. Heat No. MR/PO/WO No. 1SI248H034 1S1248H035
ASME SECTION XI - REPAIR / REPLACEMENT I 1. Component ID 1JSIBUVO652 Page 0of 2.. Item
Description:
Shutdown Cooling from Loop 2 Isolation Valve
- 3. N-5 Data Package Number: 1S107-5 4. W.O. Number: 2885960
- 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 valve components as required to correct leakage
- 8. E] ISI Flaw j/ NDE Method of Flaw Detection:
A Renort Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
/- )j: p L /
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cli 1, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: El YES E NO Initial _,(-.ý'l Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: [ YES F] NO Initial §,2 -- Date _____,______- 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 Initial- Da4 component.
- 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. MR/PO/WO No. ___________ At/A A, AIV7 PI3-4'06 -31 ;1937 Z~*1C~3e S-18____ 7.f$ /073 7//-/
- 18. Planner-- - Printed Name: James I. Davis
-i ature Date
- 19. ISI Printed Name: X Entry Signat'ure V Date
- 20. ANII "-6 Printed Name: /_.4, Date pV216,D8NI(8-98) 73DP-gZ.ZI7 Rý,v9
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: 05/04/2006 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road.. Tonopah, Arizona 85354-7529 Work Order Number 2885960
- 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 NB, Class 1 1974 Edition, Winter 1975 Addenda, YV( 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 26234 719 1JSIBUV0652 1978 Repaired YES Bonnet Borg-Warner 215873-2 N/A 1JSIBUV0652 2006 Replaced YES Cap N/A Ht# 149ZNA N/A 1JSIBUV0652 2006 Replaced NO
- 7. Description of Work: Replace the bonnet assembly
- 8. Test Conducted: Hydrostatic E] Pneumatic Li Nominal Operating Pressure Z Exempt Li N-416-2 Li Other Pressure *Zz'.4 psi Test Temperature Sr-qo "F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (I) size is 8 112X II 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 2885960 replaced the bonnet assembly due to damage found when the valve was disassembled. A cap was installed in the bonnet leakoff port per the requirements of Specificatioji I3-PN-204.
Pre-Pressured Test WO Review - ISI A , ANII /yA Certificate of Compliance We certify that the statements made in the report are correct and this repair conforms to the rdiles of the ASME Code, Section XI. Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: 9 Date: 9-i-04 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_2- r_, to t- o, 0- , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the' requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore. neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
"4, Commissions: NB 9685 "N" "I" AZ264 Inspectors Signature National Bai' d, State, lrouvincc, and Endoiscmcnts Date:_ _ _ _ _ __
13l)l~-9ZZl7 Rev 9 ?VZW-08N1 (8-88) P'V216-08NI (8-88) 731)1)-9ZZI7 Roy9
FORM N-2 C*FICATE HOLDERS' DATA REPORT F(O EN-iCAL NUCLEAR PARTS AND APPURTENANCES As Required by the Provisions of the ASME Code., Section III Not to Exceed One Day's Production Pg. 1 of 2 4
- 1. autacued
% and cartni ed by BK/1P tDrEhMICMORL 2G-. ?WP DIV. LO5 AN1M
!-a .aý Of twy c.wufio01 no.'
20 =KmH VlC AVE. vmm. Qk 90058 MCFPUraCTUIJS9 Tor IN~O 1DTW~~V LMUW.k Yf. ~7VfY slm~d A
-'ý 1
5111111a 1 YjjL Y V I V W ¶!
*'-A-IfY WD 2 9" 2A 1I Wo mote of PtoiW
<WYWIm7Y* ryW W y WhW U W bUsm m7I rW C 0? ifnhtaIutor --mh~b kmm~LA 3ftftAlnk4 RA&ftZ %52!J AL Mt hbW!! * - ai5aJ* I '
flW 4d s@*gOai 7693
*V Sr'4S2 M36 75,000Q MS WI/ 19mQ o1ImetI.
e'wq 5006. no.) Itefme strw~ftq ;CRNI 1~i DAMti
'SECode. Section Ill. Division 1: L974 WIN= 1975 I I/A OCIWmwmi Gnp am~ Cimj I~ca.t Ce.Wn
ýYr~cted in accordance with Conat. Spec. (Div. 2 orlty) Vh/ Revision 9(/A Data (I
=fTV m~m ian 9M-Cef-217 mr umm- Bm"~. No- Oe,2D23 '
QUALI TYýD9CUMENTS UhJ~ZAIJ+/-.. Lr~1+/-UIZ 10.11 rZ.Kr~aZd,. -W - F-111ZIC-e ýQ,2 Ofr
- 1 dit. ne (in.) I1[VA Min. dein thickness (in.) VA. Die. 10 (ft & in.) I/A Length overall (ft & in.) NA ap'-plicable. Certnficae HoIders' Doa* Reports are attached for each item of this report:
ftm or Aopurtenence National Part or Appurtenance Naliora! Saeria Numher Board No. Serial Number Board No. in Numerical Order in Numerical Order fl L%73-I.3/ t4 1 (2).. f2L573-2 3A (271 (28) (29) (301 (31) 7' (32) T2" - (34) (3*) I' 1in 7 71 4 (231 . I 51-.... (25)2___ ___1 (4*1 . " .... N, (42) (44) N (45) N (47) (48) (48) (___________________________________ 0)________________________________ I I I 10 09,mppeslvo. Trem.. OF.LoHydra. teat pressurea I - -o O
%paMOYOWm hW4wation In the foim of flew. xkapi e. or m swiv~ mey be uad crov4g (1) sia ia 8% -X 11. 12) Wnoqnation ipnu 2 mid 3 on thko Oato Reawr i a.ded on emaphet. 13) each ~ha is nurmbere pawdVe nwfier of snap Iam io ea d at the tog of Vhiletormf.
1121811l a, tfOilpaye ~~a fmfralVaOrdarOca?..ASM~. 22 Law Or~e. fce2300. PefWf.ld.NJ 7007-2300.
*W ORM N-2 (Back - Ng.2o f 2)
Cernficate Holders Senal Nos. 2158973-1 rhroihg . 2 CERTIFICATON OF DESIGN Demgn specifIcations certifled by K/A P.E. State VA qeg. no. N/A, Desbgn ragoiV certified by K/A P.E. State VA . R"g. no. IVA CERTIFICATE OF COMPUANCE We certify that itm statemenwts made in trIs report are correct and that 4 (thesal confoqman to the rules of consmtuction of t ASME Code. Section III. Division 1. NPT Certficate of Authoritation No. N- L131 c..ý.r Wa -_-r-- -- --- Oa V Name- Ef/. - lzodca D-- ~ ~ .J. A7~9~ - r CERTWICATE OF INSPECTION
- 1. the undersigned. ?ieidlingl a alid commaiaslon issued by the Ne oneABoard of Boller a"d Pressure Vessli nmoactors and the State or Province of and ontployaby Z1 Ngf' XM. CO. XCf= WIL SM ML .KM of hae" inepectad thaee Items deecril bad In this Data Report on A'J ¶ia~State t"M To the been of my krmewlelge and belief. thle Cordicaote lolder ha. tsbrl =ts theme parts or appurtenances in accordance with The ASME Code, .3ectloon m11. D1visa 0nI:ech pert Hatedss beew authorited for stampnbii cm the datesahown above.
Sy ipsin 1019us criflapes. neilthe the inspeaWo nor his amefoyar makes any warraqy., expressed or Implied. concernirn the equipment linithis 6ýliiPpirt.F~w eimor; ule tho lInspco nor hais ploVer sh be goble In anm manner for any personal binuy or property dama"g or
'ia.on 44 l kndl ais~n is 1a164, or aomweta with this Wpeton.
.-,/*- . *
- i * ~ * *
~~~
~~comminssionsd7 INml. ad. Ikh.
34.MWi Re"iNs a""WDraw...WW I P.0. No. QUAGITY D o 6
.44/
ASME SECTION XI - REPAIR / REPLACEMENT Page of -
- 1. Component ID 1JSIAUVO651 2.. Item
Description:
Shutdown Cooling from Loop I Isolation Valve
- 3. N-5 Data Package Number: 1S07-5 4. W.O. Number: 2886503
- 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 valve components as required to correct leakage
- 8. FI 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 f--- paPjy+
- 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. III Cl1!, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [I YES 0 NO Initial ,/2-J!Z.. Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: . , NO InitiaL__-7,,,2 Date - 06 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 C Date -z!5)6 component.
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial -* Date replacement items.
(0Item ID Part No. Serial No. Heat No. MR/PO/WO No. 0aAeý( Pný450 q '44 4a.ý/012-733
- 18. P] - ..- - -Printed Name: James I. Davis
___ i__________ Printed Name: Entryv.. 2
- 19. IS1i_____________ __-____________d Signature Date
- 20. AJNH .1Ic Printed Name: Z~
Signa&.l Date
-3DP-9Z71-, R,\,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: 06/30/2006 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-75229 Work Order Number 2886503
- 3. Work Performed by: Arizona Public Service Co. Type of Code Stamp None 5801 S. Wintersburg Rd., Tonopah, Arizona, 85354-75 29 Authorization No. N/A Expiration Date N/A
- 4. Identification of System: Safety Injection System (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)
Valve Borg-Warner 26233 675 1JSIAUVO651 1978 Repaired Yes Gate Borg-Warner 19 N/A 1JSIAUVO651 2006 Replacement Yes
- 7. Description of Work: Replaced valve disc.
- 8. Test Conducted: Hydrostatic [i Pneumatic DI Nominal Operating Pressure F1 Exempt Z N-416-2 LI Other L] 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 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. W.O. 2886503 replaced gate in valve 1JSIAUV651.
Pre-Pressure Test W.O. Review - ISI: .2(/ \ ANIT : 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: L "-IV Date: 7 - Oondr",r 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 -__-_ZZ_-_of___ to %-0(_, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
;; 4- , -
.- Commissions: NB 9685 "A.N,IC" AZ264 National Board, State, Province, and Endorsements Inspectors Signature Date: _ 7- 1 OC, U. -
E09 PV V t 7 Back.. ...........Rev.8 IPV-E0092 Ver. 7 Back 73DP-9ZZI7 Rev 8
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1SG036H011 2.. Item
Description:
Steam Generator 1 Main Steam Line 2 Constant Spring Hanger
- 3. N-5 Data Package Number: 1SG01-1 4. W.O. Number: 2888427
- 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 load coupling and anti-friction collar removed for installation into 3SG036H0 11.
- 8. nl 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 pressure boundary. Parts are being replaced that were previously removed to support woik in another unit.. P&ol- C~w-& t 3 -f t~tlu *, -- "~ f nVqsfý t
,iv- J A e
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. 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. Preservice Inspection Required: E] YES E] NO
./"
Initial A Date 5'j3 'CA If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: El YES [ NO Initial , Date *'%) 4&*, 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 Inta ae elcmn items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Load couplingi APN 00095949 9/ - 74; a i MR 1095118 Anti Friction Collar APN 00095950 IV/A l tJ ,& a 9 60 MR 109511S
- 18. Planner _______________ Printed Name: David Goodlet Signature Date
- 19. ISI Signature A'/3,/L Date
'b Printed Name: 1'ý2 P-T-P Log Enty-iyj\
- 20. ANII , /4 - Printed Name: Q.
Signatu- Date PV216-ORN1 oIII .. . .. . PV21648NI (8-88) 73UP-gZzI7 Ro ý I'
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASMIE Code Section XI
- 1. Owner: Arizona Public Service Company, et. al. Date: 6/13/2006 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2888427
- 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 NF, Class 2 1974 Edition, Winter 1975 Addenda, -fA- 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 No.(Yes or
_____No) Spring Support ITT Grinnell G2502 N/A 1SG036H011 1982 Repaired YES Load.Coupling Anvil 41-74722 N/A 1SG036H011 2006 Replacement YES Anti-friction Anvil N/A N/A 1SG036H011 2006 Replacement NO Collar
- 7. Description of Work: Replaced the load coupling and anti-friction collar.
- 8. Test Conducted: Hydrostatic E Pneumatic E] Nominal Operating Pressure [I Exempt Z N-416-2 F] 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 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: The existing load coupler and anti-friction collar was removed from unit-i and installed in unit-3 under wo#
2888460. Work order 2901355 (shop work) weld replaced a new adjuster nut on the new purchased load coupler with one that has 4.5 threads per inch. WO# 2888427 installed the new load coupling assembly in unit-1 at spring support 1SG036H011. Pre-Pressured Test WO Review - ISI I /A ANII W/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: 93L~~
- r. 60-r5jh\ýý~-ew Dae Date.: (0 1 3ý ~oZo e; K)
.Owner or Owner's Designee, Tfl1e
/ 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 5-3k -C,<
to e_-'3 -cw< , 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 Inspectors Signature Date:
- 1 73DP-9ZZ17 Rev 9 PV:216-08NI (8-88)
PV216-08N1 (8-88) 73DP-9ZZ17 Rev 9
FORM NF-1 CERTIFICATE HOLDERS' DATA REPORT FOR COMPONENT SUPPORTS* As Required by the Provisions of the ASME Code, Section 111,Division I Pg. 1 of 2
- 1. Manufactured by Anvil International, Inc. - 160 Frenchtown Rd. No.Kingstown, RI 02852 (name and address of NPT Certificate Holder)
- 2. Manufactured for Arizona Public Service Co. Palo Verde 580.1 South Wintersburg Road Tonopah, AZ 85354 (name and address of Purchaser)
- 3. Location of installation Arizona Public Service Co. Palo Verde 5801 South Wintersburg Road Tonopah, AZ 85354 (name and address)
- 4. Type: C.S.S. DRS 80 Rev.0 2006 (describe) (Design Report or Load Capacity Data Sheet) (year built)
- 5. ASME Code, Section III, Division 1: 1974 Winter 1975 2 N/A (edition) (addenda date) (class) (Code Case no.)
- 6. Identification.
(a) (b) (c.) . (d) (e) Component Material Canadian Applicable National Support Specification Registration Drawings With Board I.D: No. No. No. Last Rev. & Date No.
* (1) 2006- 94 Note 1 N/A BH1586/A 2/3/05 N/A (2) 2006- 95 Note 1 N/A BH1586/A 2/3/05 N/A (3)
(4)
*(5)
(6) (7)
*(8)
(9) (10'
- 7. Remarks:
Note 1: SA36, SA106 GR.B Note 2: Material Supplied to ASME Section II, 1992 Edition, 1993 Addenda PO#: 500299678 SO#: 41-74722
*Supplemental information in the form of lists, sketches, or drawings may be used provided (1) size is 8 1/2x 11, (2) information in items 1 through 4 on this Data 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.
(12188) This form (E00075) may be obtained from the Order Dept.. ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300.
JRM NF-1 (Back - Pg. 2 of 2 ) Component Support I.D. Nos. 2006-94 through 2006-95 CERTIFICATE OF DESIGN Design Specification certified by H. R. Sonderegger P.E. State R.I. Reg. no 3537. Design Report certified by Ronald T Wisniewski PE. State R.I. Reg. no 4108 CERTIFICATE 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 . - Name Anvil International, Inc. Signed , I , (NPT Certificate 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 7' on - ' 6)- , and state that to the best of my knowledge and belief, the Certificate Holder has constructed these 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 component supports 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 6 Signed Commissions i - ,- z:rt(T
/ (Authorized Inspection) (Nat'l. Sd. (incl. endorsements) and state or prov. and no.)
ASME SECTION XI - REPAIR/REPLACEMENT
- 1. Component ID 1SI248H018 2. Code Class SECTION IIl Subsection "NF"
- 3. Item Description 1 KIP SNUBBER
- 4. N-5 Package Number IRCO0-IC 5. W.O. Number 2889018
- 6. Original Construction Code Edition 1974 EDITION THRU WINTER 1975 ADDENDA
- 7. Original Installation Code Edition 1974 EDITION THRU WINTER 1975 ADDENDA
- 8. Work Description Insta11 Snuhher to suppnrt .qT-651 mon per )FWC) 4#2.9866*6
- 9. J ISI Flaw NDE Method of Flaw Detection _ _.._.
Report Number ____ _ _ _
- 10. Evaluation of the suitability of this work as per the requirements of IAW-4150.
This is a like for like rnlacement -nuhhr wgf rmoved duiring -nnhher rTedncon aind is heing reinstalledl per 299RR0.I R Thi* qinhher */N 2139Q camre from HRanger S13n7HOTl-j4fBnttnm
- 11. Repair/Replacement Work Organization APS
- 12. Replacement Item Construction or reconciled Code/Edition 1974 EDITION THRU WINTER 1975 ADDENDA
- 13. Repair/Replacement Activity Construction Code/Edition 1974 EDITION THRU WINTER 1975 ADDENDA
- 14. ASME Section XI Code/Edition 1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required. [*l YES J NO 1
.*. i.., 5' 2_/6. If required, include a step in the W.O. to perform Preservice Inspection.
Initial Date
- 16. ASME Section XI Pressure Test Required [J YES ID NO 1E4.
£ 5/7,,-/oo If required, include a step in the W.O. for ISI &ANII Inspection.
Initial / Date 5*. L. 5/Z.!c. 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the component. Initial Date S/.*l. /of- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial .-- Date replacement items. ITEM I.D. PART NO. SERIAL NO. HEAT NO. MR/ROS NO. 1S1248H018 1801102-05 23895 N/A N/A
- 19. Planner f'si,, i sjzr,/Z4, Print Name Steven Eich sign~y 1 Date
- 20. ISI Engine-s . Print Name Doug B. Hansen
, . Signature Date '
- 21. ANII 4 , Print Name Robert Hogstrom Signature Date PV-E0093 Vet. 6 73DP-9ZZI 7
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xl
- 1. Owner Arizona Public Service Company, et. al. Date 05/22/06 Name P.O. Box 53999. Phoenix. Arizona 85072-2034 Sheet 1 of 2 Address
- 2. Plant* Palo Verde Nuclear Generating Station Unit 1 Name 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 2889018 Address Work Order Number
- 3. Work Performed by Arizona Public Service Type Code Symbol Stamp None Name Authorization No. N/A 5801 S Wintersburg Road, Tonopah Arizona 85354-752' Expiration Date N/A-Address
- 4. Identification of System "SI" Safety Iniection
- 5. (a) Applicable Construction Code Subsection "NTF" 19 74 Edition, W'75 Addenda, p A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 92 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired ASME Code Item Manufacturer Serial No. Board No. Identification Built or Stamped Replacement Yes or No 1 Kip Snubber Pacific Scientific 23895 N/A 1S1248H018 1983 Replacement Yes
- 7. Description of Work Snubber installation per DFWO #2882666 (No Welding).
- 8. Test Conducted: Hydrostatic j Pneumatic [j Nominal Operating Pressure [j Exempt [a N-416-1 Ej Other [J Pressure -- 11ý- psi Test Temp. - !A 01F 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. 7SDF-9ZZ17 FV-E0092 Ver. 6 PV-E0092 Ver. 6 73DP-9ZZ17
FORM NIS-2 (Back)
- 9. Remarks R inctn1lc oniifh-r qerianl m~ hrt~r i')k-t4 -nl icA tl-hipi hi nZ~1 ThIXXTfl 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 Type Code Symbol Stamp Certificate of Authorization No. Certiicat-OfnuthoizatigoneN. tlte Expiratior Date 5,*41 N
Signed Date S.,..** 1~4~L/*i LAW
/"FIer 6r 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 HSBI & I CO.
of Hartford. Connecticut , have inspected the components described in-this Owner's Report during the period' 0-.-cc. to .5-a,1 - , 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 X1. 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 , , "',A,-.*,tc Mk.2.-
- 4 spector's Signature National Board, State, Province, and Endorsements Date IV II9 AC.
.er
..... I IP......
PV-E0092 Ver. 6 BACK 73^DP-9ZZ17
ASME SECTION XI- REPAIR / REPLACEMENT Page 4 of
- 1. Component ID IMRCEA05 2. Code Class ASME Section III Class I
- 3. Item
Description:
Reactor Coolant system Pressurizer Backup Heater
- 4. N-5 Data Package Number: IRC01-4 5. W.O. Number: 2892613
- 6. Original Construction Code Edition: 1971 Edition, Winter 1973 Addenda
- 7. Original Installation Code Edition: . 1974 Edition, Winter 1975 Addenda
- 8. Work
Description:
Replace Pressurizer Heater
- 9. rD ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Replace pressurizer heater on a like for like basis. The heater installed has failed electrically and has been "iumpered out" of the electrical circuit. there is no failure of the code boundry.
- 11. Repair/Replacement Work Organization: Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition: Sec. II CI 1, 1971 Edition 1973 Winter Addenda
- 13. Repair/Replacement Activity Construction Code/Edition: Sec. Ill CI 1. 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required: F- YES Z NO
/
Initial 3/14 W. Date if required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required: [:j YES Z NO If required, include a step in the W.O. for ISI & ANII Inspection.
Initial W". Date (ý4t1 6
- 17. Include a step in the W.O. to:complete NIS-2 Form prior to releasing the Initial blS Date Vi Ic( component.
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Vw( Date replacement items.
Item ID Part No. Serial No. Heat No. MR/POIWO No. Pressurizer Heater APN 44450049 A'P29* 0,/* 79 Pa.0,9
/-."27_g?.4t- MR 1097661
- 19. Planner V ý -. d,,a .
- Printed Name: Karl V. Savagte Signature Date
- 20. ISI Printed Name: /PC)EEE i Tb 406ý1ý;W;Mt-' A::'
* / Sigr~ature -, / Ddie
- 21. ANII "'<r - Printed Name: -
Signil{ore Date PVInt~r Pa
-EW93 ký, 73oD-,ýi11
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: 05/18/2006 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2892613
- 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: Reactor Coolant System (RC)
- 5. (a) Applicable Construction Code ASME Section II NB, Class 1 1971 Edition, Winter 1973 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or
_NO) Pressurizer Heater lonics RP-2090-79 N/A IMRCEA05 2005 Replaced Yes
- 7. Description of Work: Remove failed Pressurizer heater and install a replacement heater .
- 8. Test Conducted: Hydrostatic [ Pneumatic [ Nominal Operating Pressure 0 Exempt Z N-416-2 F]
Other [ Pressure N/A psi Test Temperature N/A 'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X I I inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
I I FORM NIS-2 (Back) Remarks: Work Order 2892613 Remove failed Pressurizer heater I MRCEA05 and install a new replacement Pressurizer heater 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 Authori tion No. N/A Expiration Date: N/A Signed: Date: / v-
*, -- v Aý 70Wier or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of _ -__-_,_
to ,-1-t-0. ., and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the, requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. 4~2z~ Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements J Inspectors Signature Date: ~-~~-0~ 3.- 730P-9zzl 7
- VE0092 Ver. 77 Back.
N-E0092 ver. Back. 73 DP-9ZZ 17
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 Ionics. Incorporated. Bridgeville Division, 30 Curry Road Canonsburg, Pennsylvania, 15137 (name and address of NPT Certificate Holder)
- 2. Manufactured for Westinghouse Electric Co. LLC 1000 Westinghouse Drive New Stanton PA 15672 (name and address of purchaser)
- 3. Location of installation Arizona Public Service 5801 South Wintersburg Road Tonopah, Arizona 85354 (name and address)
Tubing: SA-213 TP316/316 5L 81,000 Psi
- 4. Type WDC-3580-1530 Rev. 3 End Plug: SA-479 TP 316/3 16L 81,400 Psi N/A 2005
( drawing number) (marl, spec no.) (tensile strength) (CRN) (year built)
- 5. ASME Code, Section I11,Division 1: 1971 Edition. Winter 1973 Add. I N/A (edition) (addenda date) (class) (Code case no.)
- 6. Fabricated in accordance with Const. Spec. (Div. 2 only) N/A Revision N/A Date N/A (no.)
- 7. Remarks Heater Assembly comprised of tubing welded to an end plug
...- C f t 1-539 . ..
Sunnlied on Westinghouse P.O. # 4500169118
**. 180" min Wall (Tubing)
Nom. Thickness (in.) 0.500" +/- 0.005" End Plug in. design thickness (in.) Same ** Dia. OD (ft & in.) 0' 1.252" Length overall ( ft & in.) 8' 0.625" Min. WAhen a ,nntlihle Certificate Holder ' Data Renn rt r e attacfhed fnr eanh item of this mreprt: Part or Appurtenance National .Part or Appurtenance National Serial Number Board No. Serial Number Board No. in Numerical order in Numerical Order 1).- PU*_2090-76 (26)
) RP-2090-77 (27)
(3) RP-2090-78 _ (28) (4) RP-2090-79 _ (29) (5) RP-2090-80 _ (30) (6) RP-2090-81 -- (31) (7) RP-2090-82 (32) (8) RP-2090-83 (33) (9) RP-2090-84 (34) (10) RP-2090-85 (3_) (11) RP-2090-86 --- (36) (12) RP-2090-87 (37) (13) (38) (14) __ (39). (15) ________________________ (40) (16) ___________ _____________ (41) (17) (42) (43) (19) (44) (20) (45) (21) (46) (22) (47) (23) _ (48) (24) _ (49) (25) _ (50)
- 0. Design pressure 2500 psi. Temp. 800 'F. Hydro. Test pressure 3200 PSIG at temp. 78" F (when applicable)
Sup.:, ,enal information in the form of lists, sketches, or drawings may be used provided (1) size is 8 1/ xl1, (2) information in items 2 and 3 on this Data Report is Icluded On each sheet, (3) each sheet is numbered and the number of sheets is recorded at the top of this form. "eg8) This form (E00040) may be obtained from the Order dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300. FORM N -2 (Front - Pg 1 of 2)
Certificate Holder's Serial Nos. RP-2090-76 through RP-2090-87 CERTIFICATION OF DESIGN Design specifications certified by KH Haslinoer P.E. State Connecticut Reg. No. 10990 (when applicable ) Design report* certified by N/A P.E. State N/A Reg. No. N/A (when applicable) CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that this (these) Heater Pressurizer Assembly Conforms to the rules of construction of the ASME Code, Section I1I, Division 1. NP.T Certificate of Authorization No. N-2974 Expires March 26, 2008 " Date. Zq Name Ionics, Incorporated - Bridgeville Division Signed __ " (NPT Certificate Holder) (authonzed representative) CERTIFICATE OF INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State and Provihce of Pennsvlvania and employed by One Beacon America Insurance Co. of Boston, Mass. have inspected these items described in this Data Report on - "' , and state that to the best of my knowledge and belief, the Certificate Holder has fabricated these .parts or appurtenances in accordance with the ASME Code, Section I>>TjviMsion 1. Ezch part listed has been authorized for stamping on the date shown above. (*(*.r*, ;ning this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concerning the equipment described I si,.4ý,,iS Data Report Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or loss of any kind arising from or connected, with this ins ,tion. Date */ k Signed " 1, / Commissions A ,, 2 ' (Authorized Nuclear"Inspector) [Nat'l. Bd. (incl. endorsements) and state or prov, and no] FORM N-2 (Back - Pg 2 of 2)
ASME SECTION XI - REPAIR / REPLACEMENT Page of _
- 1. Component ID 1JRCEPSV0200 2.. Item
Description:
Presurizer safety relief valve
- 3. N-5 Data Package Number: 1RC03-2 4. W.O. Number: 2894340
- 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 Presurizer Safety Valve with a reconditioned spare
- 8. F- ISI Flaw NDE Method of Flaw Detection: N/A Report Number: N/A
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No failure of the ASME III presure boundary. The spare replacement valve, which was reworked and tested at NWS Technolocv. is being installed to minimize time system is out of service.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec.III C1 I. 1974 Edition 1975 Summer Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 1, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: El YES Z NO Initial . Date 1f required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: Z YES F- NO Initial / Date 1 07 If required, include a step in the W.O. for ISI & ANII Inspection.
Initial * , Date k-)'- 7*16. Z Include a step in the W.O. to complete NIS-2 Form prior to releasing the component for permanent service or power operation.
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial ,Date h ) 7 "7 replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Spare Valve APN # 45003560 BS- 0 N/A MR 1149573
- 18. Planner " -"-, Printed Name: M.-)-4 I ý.ýDoC--
Signature Date
- 19. ISI tu b 7 Printed Name: /-i " Log Entry___
Si~gnature Date "i', ?:
- 20. ANII ,C-1ý .4-,/,- -cý7 Printed Name: 'gj _, ,7!1_f7-Y.T Signature Date Zj ~UThfl (~-44)
Pý216-,i
-NI' (8-88) 73DP-gZZ7I R-ev9
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: 06/17/2007 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: I of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road.. Tononah. Arizona 85354-7529 Work Order Number 2894340
- 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 Reactor Coolant System
- 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 /
I I I Y Y 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-08615 N/A 1JRCEPSV0200 1981 Replaced YES PSV Dresser BS-08590 N/A 1JRCEPSVO200 1979 Replacement YES
- 7. Description of Work: Valve to be replaced with a reconditioned and tested spare.
- 8. Test Conducted: Hydrostatic E] Pneumatic D Nominal Operating Pressure Z Exempt []
N-416-2 [ 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 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 I H 9. FORM NIS-2 (Back) Remarks: WM 2894340 to replace 1JRCEPSVO200 with a reconditioned and tested spare. Pre-Pressured Test WO Review - ISI 1QP~ 6/Q7/0 7 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
.Sicyned:
Z17 6 _ _-- Date: - 7 (AOwner or wner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut, have inspected the components described in this Owner's report during the period of (- -C-% to , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section 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 employershall 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: A- - o-7 I-73DP-9ZZ17 Rev 9 PV216-08N1 (8-8S) Pv216-OSNI (8-88) 73DP-9ZZI7 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page m of
- 1. Component ID 1JRCEPSVO201 2.. Item
Description:
Presurizer safety relief valve
- 3. N-5 Data Package Number: IRC03-2 4. W.O. Number: 2894341
- 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 Presurizer Safety Valve with a reconditioned spare
- 8. [ 1SI Flaw NDE Method of Flaw Detection: N/A Report Number: N/A
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No failure of the ASME Il nresure boundary. The snare reolacement valve, which was reworked and tested at NWS Technolovy. is beinm, installed to minimize time system is out of service.
- 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. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: L] YES [NO
,/-
Initial A-) 4- Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: [ YES F] NO Initial ______ Date Iif 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 Y Date component for permanent service or power operation.
Initial # 4 Date a~z"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. Spare Valve APN # 45003560 BS- cb S'Zo(0 N/A MR 1149573 18 lne Printed Name:__ _ _ _ _ _ _ _ _ _ _ Signature Date 19.__I________-____-______* *"JJ7 Printed Name: -"', "AP LogEntry____ K Signature Date
- 20. ANII gf 7-6-7.-- -' Z -8, 7 Printed Name: - .
V Signature Date PV216-08M (8-88)
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI f
- -. )
- 1. Owner: Arizona Public Service Company, et. al. Date: 06/17/2007 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road.. Tonorah. Arizona 85354-7529 Work Order Number 2894341
- 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 Reactor Coolant System
- 5. (a) Applicable Construction Code ASME Section II 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-08591 N/A 1JRCEPSVO201 1979 Replaced YES PSV Dresser BS-08566 N/A 1JRCEPSVO201 1978 Replacement YES
- 7. Description of Work: Valve to be replaced with a reconditioned and tested spare.
- 8. Test Conducted: Hydrostatic F] Pneumatic E] Nominal Operating PresSsure 0 Exempt 0 N-416-2 D Other Pressure __ psi Test Temperature OF 1 NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
i I 9. FORM NIS-2 (Back) Remarks: WM 2894341 to replace 1JRCEPSV0201 with a reconditioned and tested spare. Pre-Pressured Test WO Review - ISI 1,2 t, f
/ /
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. N/A Type Code Symbol Stamp N/A Certificate of Authorization No. -NN/A Expiration Date: N/A Signed: /L~ Date: 7- -1 _n)- Owner wner's D i , 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 ' ___-____-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 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 ora loss of any kind arising from or connected with this inspection.
~4~' Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements
ýnspectors Signature 7I -,4I - o"1 Date:
e PV1-SI(88)7D-9l 73DP-9ZZI7 Rev 9 PV216-08N1 (8-88)
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1JRCEPSVO202 2.. Item
Description:
Presurizer safety relief valve
- 3. N-5 Data Package Number: 1RC03-2 4. W.O. Number: 2894342
- 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 Presurizer Safety Valve with a reconditioned spare
- 8. Li ISI Flaw NDE Method of Flaw Detection: N/A Report Number: N/A
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No failure of the ASME III presure boundary. The spare replacement valve, which was reworked and tested at NWS Technology. is being installed to minimize time system is out of service.
- 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 C! 1, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [] YES Z NO Initial /) 4 Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: Z YES [ NO Initial _____"_ Date -"P 7 If required, include a step in the W.O. for ISI & ANII Inspection.
Date I- -J ' " 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the initial Date_ component for permanent service or power operation. initil D17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial k'~ Date *"]I" " replacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. Spare Valve APN # 45003560 BS- o 5"x N/A MR 1149573
- 18. Planner -- 7 Printed Name: LL3'.7" Signature Date
- 19. ISI * ,ŽC.-* "* - -- Printed Name: ; -7/ Log Entry_
Signature Date
- 20. ANII _ 4_______-"_
"Y_ Printed Name: , '-
PV2Signature Date PV216-0ONI f8-88) 73DP-9ZZ17 R., 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: 06/17/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2894342
- 3. Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identificafion of System: R.C Reactor Coolant System
- 5. (a) Applicable Construction Code ASME Section Ill 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-08617 N/A 1JRCEPSVO202 1981 Replaced YES PSV Dresser BS-08592 N/A 1JRCEPSVO202 1979 Replacement YES
- 7. Description of Work: Valve to be replaced with a reconditioned and tested spare.
- 8. Test Conducted: Hydrostatic E] Pneumatic E] Nominal Operating Pres sure E Exempt F]
N-416-2 [] Other Pressure __ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 2 X 11 .. inches, (2) information in items 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)
- 9. Remarks: WM 2894342 to replace IJRCEPSVO202 with a reconditioned and tested spare.
Pre-Pressured Test WO Review - ISI FfhAýftp C1.27107 ki ANII *-ý6 1r_ c.- 2 o,7 Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp N/A Certificate of Authorization No N/A Expiration Date: N/A Signed: ,/6; / ý_i 96-ý Date: 7 57 I Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of " . -'1 to - - ý- ol 0 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. K7~ Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Inspectors Signature Date: k -o0 W*_ 73DP-9ZZl7 Rev 9 PV216-08NI (8-ES) PV216-08N1 (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page ' of
- 1. Component ID 1JRCEPSVO203 2.. Item
Description:
Presurizer safety relief valve
- 3. N-5 Data Package Number: IRC03-2 4. W.O. Number: 2894343
- 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 Presurizer Safety Valve with a reconditioned spare
- 8. [] ISI Flaw NDE Method of Flaw Detection: N/A Report Number: N/A
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No failure of the ASME III presure boundary. The spare replacement valve, which was reworked and tested at NWS Technology, is being installed to minimize time system is out of service.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec.1II Cl 1, 1974 Edition 1975 Summer Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. Ill C11, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: F] 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 D NO JInitial /7 Date (0- '" 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 Ia Dcomponent for permanent service or power operation. Initial D ate - J -,,- ' 17. Include a step in the W .O . to record below all applicable num bers for repaired or replacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. Spare Valve APN # 45003560 BS- o
- N/A MR 1149573
__ _. _ _ __.._ A P ,V C .D1H 5 A x',2 5_3 ^ / /91 )1 Z)17 7
- 18. Planner I J7 *7* Printed Name:
-Signature Date
- 19. 1ST 3
/4ý-tZ e-ýCV Printed Name: ____ _-_--Log Entry Signature Date '0. ANI /4-t / I. -J 7 -,(-L7 Printed Nam e: A _ -7 , ,
01 Signature Date PV216 06NI(8-88) 73DP-9ZZ17 Reý,9
U
.1I Real 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: 06/17/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersbura Road.. Tonooah. Arizona 85354-7529 Work Order Number 2894343
- 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 Reactor Coolant System
- 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 I. Y V V V 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-08593 N/A 1JRCEPSVO203 1979 Replaced YES PSV Dresser BS-08568 N/A IJRCEPSVO203 1978 Replacement YES Disc Dresser ADV35 N/A IJRCEPSVO203 2005 Replacement YES
- 7. Description of Work: Valve to be replaced with a reconditioned and tested spare.
- 8. Test Conducted: Hydrostatic E] Pneumatic E] Nominal Operating Pressure Z Exempt LI N-416-2 [ Other Pressure __ psi Test Temperature OF
- NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/1/2 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.
U I FORM NIS-2 (Back) _... Remarks: WM 2894343 to replace IJRCEPSVO203 with a reconditioned and tested spare. Pre-Pressured Test WO Review - ISI 9_-aM4,D(;I 7b 1 657 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 N . N/A Expiration Date: N/A Signed: /,S/ *-/3 (,/ Date: 7 - O
" QOwferor 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 Ci-'
-&-l to *-1--k-0 , and state that to the best of my knowledge and belief, the Owner has performed examination's 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.
-ý7A
" 4j Commissions: NB 9685 "N" "I" AZ264 Y Inspectors Signature Nauional Board, State, Province, and Endorsements Date:
73DP-9ZZ17 Rev9 V216-08N1 (8-88)
'*=i* 216-08NI (8-88) 73DP-9ZZ17 Rev 9
FORM N-2 CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAL NUCLEAR PARTS AND APPURTENANCES* As Required by the Provisions of the ASME Code, Section IfI Not to Exceed-One Day's-Pr*duction- -.. .. Pg. 1 of 2 Dresser Flow Control, Dresser Inc. La. Hwy 3225 @ US Hwy 167 N
- 1. Manufactured and certified by P. 0. Box 1430 Alexandria, Louisiana 71309-1430 (name and address of NPT Certificate Holder)
- 2. Manufactured for Arizona Public Service Company P.O. Box 53940 Phoenix, Arizona 85072-3940
( name and address of purchaser)
- 3. Location of installation Arizona Public Service Co Palo Verde NucI Generation 5801 S Wintersburg Rd. Tonopah, Arizona 85354 (name and address)
- 4. Type. OS413 ASME SB637 INCONEL X750 170 KSI N/A 2005 (drawing no.) (mat'l spec. no.) (tensile strength) (CRN) (year built)
- 5. ASME Code Section III, Division 1: 1974 WINTER 1975 1 . N/A
( edition) (addenda date) (class) (Code Case no.)
- 6. Fabricated in accordance with Const. Spec. (Div. 2 only) N/A Revision N/A ate N/A (no)
- 7. Remarks:
- 8. Nom. thickness (in.) N/A Min. design thickness (in.) N/A Dia. 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 National Serial Number Board No. in Numerical Order (1) ADV34 (2) ADV35 0 g-0 .
'(3)
(4) (5) (6) (7) (8) (9) (10) (11T) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23) (24) (25) I.________________________________________________________________
,.--.esign pressure N/A psi Temp. N/A *F. Hydro. Test pressure 4500 PSIG at temp. 'F (when applicable)
Supplemental information in the form of lists. Sketches, or drawings may be used provided (1) size is 8-1/2 x 11, (2) information in items 2 and 3 on this Data Report is included on each sheet. (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
FORMN-2 (Back Pg. 2of 2 ) Certificate Holder's Serial Nos. ADV34 AND ADV35 CERTIFICATION OF DESIGN Design specifications certified by N/A P.E. State N/A Reg. No. N/A (when applicable) Design report* certified by N/A P.E. State N/A Reg. No, N/A (when applicable) CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that this ( these) DISC conforms to the rules of construction of the ASME Code, Section III, Division 1. NPT Certificate of Authorization No. N-2434 Expires 5/20/2007 Date ?L? _ Name SEE LINE 1 Signed (NPT Certificate Holder) (authorized representative) 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.,:,v!.OUISIANA and employed by , HSB CT
*!>,ARTFORD, CT. have inspected theseiitems described ir this Ebhta Report on z.la / .and state that to the
,.of my knowledge and belief, the Certificate Holder has.fabricated trie.;e parts or appurtenances i. accordance with the ASME Code, Section Ill, 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 equipmeni 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 loss of any kind arising from or connected with this inspection. Date _ Signed _.. _ _,_._ _ _ _ Commissions _..__-_ _
' (Authorized Nuclear Inspector) (Nat'l. Bd. (incl. endorsements ) and state or prov. and no.)
C ý,
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1MRCEP01B 2.. Item
Description:
Reactor Coolant Pump iB
- 3. N-5 Data Package Number: 1RC02-3 4. W.O. Number: 2894427
- 5. Original Construction Code Edition: 1974 Edition
- 6. Original Installation Code Edition: 1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Replace the mechanical seals.
- 8. F- ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No failure of ASME III pressure boundary. Mechanical seal replacement as a part of normal maintenance.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III C1 1, 1974 Edition
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: Z YES [ NO Initial IJ , Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: N YES El NO Iitil aIf required, include a step in the W.O. for ISI & ANII Inspection.
- :.:iInitial-,- - Date * ,57 0 :7 In0 Date -- ) c3 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial-s-/-'7-'- Date _,_- _ ISI & ANII prior to approving INP525 Status.
I - 17. Include a step in the W.O. to record below all applicable numbers for Initial .=J Date replacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. 3 d Staoe SealRetainer APN 45110762 Q95-1876 SN2A N/A WO 2960457
- 18. Planne- - ,. z
- 7 Printed Name: , -
- 19. ISI ' Printed Name: 1.2Z Log Entry.-A-
"- 2 AN Printed Name:
Signatu4\ Date P . I 08 1 (............ ... . R' PV216-08N1 (8-88) 73DP-9ZZ17 R-y9
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: 06-28-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: I of. 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersbur* Road.. Tonon~ah. Arizona 85354-7529 WorkOrder Number 2894427
- 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: Reactor Coolant
- 5. (a) Applicable Construction Code ASME Section III NB, Class 1 1974 Edition, 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 A22.
Stamped (Yes or NO) Reactor Coolant Combustion 1109-lB 23440 IMRCEP0IB 1983 Repaired Yes Pump lB Engineering 3 'd Stage Seal Sultzer Q95-1876 SN2A N/A IMRCEPOIB 2007 Replacement No Retainer _ _ _ _ I _ _ _ I _ _ _ I_ _ I _ _ _ I _ _ I __ I._ _
- 7. Description of Work: Mechanical Seal Replacement
- 8. Test Conducted: Hydrostatic D] Pneumatic El Nominal Operating Pressure Z Exempt Li N-416-2 F]
Other F] 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 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: 2894427 replaced the mechanical seal in IMRCEP01B. Mechanical seal replacement is part of normal maintenance. Replacement seal was rebuilt by WO 2960457.
Pre-Pressured Test WO Review - ISI ftmw OC-20-7 S- z -07 ANII K~ 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 N _ N/A Expiration Date: N/A Signed: 15 /1 5;__Jjeý_ O1iner 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 (- Z'%-01 to __-_ __ _____, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements qspectors Signature Date: I. -I 73DP-9~17 Rev 9 P\'216-PSNI (8-88) PV,216-08NI 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID' IMRCEP01C 2.. Item
Description:
Reactor Coolant Pump 2A
- 3. N-5 Data Package Number: 1RC02-3 4. W.O. Number: 2894428
- 5. Original Construction Code Edition: 1974 Edition
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Replace the mechanical seals.
- 8. F- ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No failure of ASME III pressure boundary. Mechanical seal replacement as a part of normal maintenance.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cli 1, 1974 Edition
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III C1 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [- 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: Z YES [I NO Initial --. J "- Dbate (-) 76 "2 If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial __"_., _ Date * -,* >--5 "' ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial -Date replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. 3 rd Stage Seal/Retainer APN 45110762 Q96-574 SN19 N/A WO 2960472
- 18. Plan )- -.'" 07 Printed Name: - 2 7 -,'
S atur Date
- 19. ISI "- -' Printed Name: -/ O '/2 Log Entr Signature" /Date k
- 20. ANII - Printed Name:
Si ture Date PV216-OSNI(8ý98) 73Dp-gZZ1I7R., 9
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: 06/27/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2894428
- 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
- 5. (a) Applicable Construction Code ASME Section III NB. Class 1 1974 Edition, __ Addenda, __ Code Case (b) Applicable Edition of Section X1 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) Reactor Coolant Combustion 1109-2A 23441 1MRCEPO1C 1983 Repaired YES Pump 2A Engineering 3rd Stage Seal Sultzer Q96-574 SN19 N/A 1MRCEPO1C 2007 Replacement NO Retainer .7. Description of Work: Mechanical Seal Replacement
- 8. Test Conducted: Hydrostatic F1 Pneumatic [ Nominal Operating Pressure Z Exempt E]
N-416-2 F] 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 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: 2894428 replaced the mechanical seal in 1MRCEPOIC. Mechanical seal replacement is part of normal maintenance. Replacement seal was rebuilt by WO 2960472.
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 N/A Certificate of Authorizi n No.-: N/A Expiration Date: N/A Signed: A/ / Date: 7-- J7 SOwer oThwner'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 - V-o-T ZE to _ -_-_-_ _, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. __Commissions: NB 9685 "N" "I" AZ264
ý\.spectors Signature National Board, State, Province, and Endorsements Date: "_- _-_-_,-_
N . . .. 8. . . . . . . . ... . . . . . . . . . . . . .R ev. 9 PV216-08NI (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID IMRCEPOID 2.. Item
Description:
Reactor Coolant Pump 2B
- 3. N-5 Data Package Number: 1RC02-3 4. W.O. Number: 2894429
- 5. Original Construction Code Edition: 1974 Edition
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Replace the mechanical seals.
- 8. II ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No failure of ASME III pressure boundary. Mechanical seal replacement as a part of normal maintenance.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 1, 1974 Edition
- 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: El YES [ 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 [- NO
~QInitial* -, Date * ,& :
- If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial 77 *0 Date c , '- _ ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for initial ;' Date e' a7 -7 replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. 3 rd Stage SealtRetainer APN 45110762 Q96-574 SN 10 N/A WO 2960474
- 18. Plan - - - ' 7 Printed Name: 4-c ,, 27./" ,< 2 ,--',-,
Signature Date
- 19. IS1 'i Printed Name: 'ZOg Entry/*
Signature Date IL
- 20. / -. o Printed Name:
- Signatu*, Date pV216-08NI (8-88) 73DP-9ZZ17 Rýý9
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section X1 A
- 1. Owner: Arizona Public Service Company, et. al. Date: 06/27/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road.. Tonopah. Arizona 85354-7529 Work Order Number 2894429
- 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
- 5. (a) Applicable Construction Code ASME Section lII NB. Class 1 1974 Edition,_ 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)
Reactor Coolant Combustion 1109-2B 23442 IMRCEPO1D 1983 Repaired YES Pump 2B Engineering 3rd Stage Seal Sultzer Q96-574 SN10 N/A 1MRCEP01D 2007 Replacement NO Retainer
- 7. Description of Work: Mechanical Seal Replacement
- 8. Test Conducted: Hydrostatic El Pneumatic El Nominal Operating Pressure Z Exempt E]
N-416-2 F1 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 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: 2894429 replaced the mechanical seal in 1MRCEPO1D. Mechanical seal replacement is part of normal maintenance. Replacement seal was rebuilt by WO 2960474.
Pre-Pressured Test WO Review - ISI _ _ _ _ __-__"_7
ý.-zliý- C,-7 ANII Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms toathe rules of the ASME Code, Section XI.
Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: /~i *Z}(- Date: " o_-__ _-_'7 Ownx(or Owner's Des-ignee. 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 _.-z1 -C-- to I -A- - -1 , 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 Y.Inspectors Signature
ý 7 Date:
1- U-(8-88) 73DP-9ZZ17 Rev 9 Pv21&osNt (8-88) PV216-08NI 73DP-9ZZI7 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1JSIAUVO651 2.. Item
Description:
Shutdown Cooling from Loop 1 Isolation Valve
- 3. N-5 Data Package Number: 1S107-5 4. W.O. Number: 2894693
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Machine the valve bonnet per DFWO 2894586
- 8. Fl1 ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements ofTWA - 4150:
___ ijrl-C'7- i +, ipr>C'JEc o c-* -r'- ., "-
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III C1 1, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 1, 1974 Edition 1975 Winter Addenda
- 13. ASME Section X1 Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [1 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: LI YES Z NO Initial // 3
// 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 a
Initial -J . .. Date - 6 component. t ,C D17. 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. Bonnet 1 76933 1 Code# 2B58 1 4 4 4. 4~ 4 4 4. 4.
.9 .9 t t
.9 .9 t t
.1 L A.
- 18. Planne z -- "- Printed Name: James I. Davis Signature Date
- 19. ISI _ _ _ _ _ _ _ _ _ _ _ _ _ _ Printed Name: "" -- ,A -Lo gEntry Signature Date
- 20. ANII Ste Printed Name:
Si,-ýture Date PV216-08NI (8-88) 73DP-g9=17 R-v9
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: z-Z(.-C(.
P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2894693
- 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 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 I .T Y I I *I.
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 26233 675 IJSIAUVO651 1978 Repaired YES Bonnet Borg-Warner Code # 2B58 N/A IJSIAUV0651 1978 Repaired YES
- 7. Description of Work: Machine the bonnet stem bore per DFWO 2894586.
- 8. Test Conducted: Hydrostatic 0 Pneumatic E] Nominal Operating Pressure El Exempt 0 N-416-2 El Other Pressure -1[1 psi Test Temperature -3 'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 /2X 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 9. FORM NIS-2 (Back) Remarks: WO 2894693 machined the bonnet assembly to provide additional clearance for the stem per DFWO 2894586. A',eL - c . ,' L_) L ,1Z-,r AS --- Pre-Pressured Test WO Review - ISI 7/i 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 Authorizat n No. N/A Expirati[on Date: N/A Signed: - I , JT Date: -z12 5/
- - "ý 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 s-to -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 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
\Jnispectorg'Signature Date: 's-2 ý_ -0 (ý 5-2 _ _
P'V21608NI (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1MDGAE05 2.. Item
Description:
JACKET WATER COOLER
- 3. N-5 Data Package Number: 1DG01-2 4. W.O. Number: 2894807
- 5. Original Construction Code Edition: 1974 Edition, Summer 1976 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
REPAIR BASE METAL WITH WELD BUILD UP
- 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:
ROUTINE WELD BUILD UP TO CORRECT CORRODED AREAS DUE TO COATING FAILURE.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III 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. PreserviceInspectionRequired: [E- YES E] NO Initial Date - a 7 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: 91 YES F NO Initial L*K Date 6-6.-a " If required, include a step in the W.O. for ISI & ANII Inspection.
lniti/IK Date *'--t 16. Include a step in the W.O. to verify NIS-2 Form has been complete d by t ,a 1ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial~f¢/ Date _--_____
replacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. 1MDGAE05 rev spool 4-321-19-815-007 9-20016-01-1 N/A WO 2894807
- 18. Planner,,4-o 00! Printed Name: ,1 "A, .1 /
Signature Date
- 19. IS6-11"-0* *-//i-7 Printed Name: A W,*) Z-Z5og i4 Entryt-'*z2
. Signature Date
.20. ANII ,O Printed Name: , Signate Date F Y... . ... . . . . . .... ... . . . ... ....... . . . PV-,10-tAN! (5-98) 73DP-ý441L7 Rev9
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: 6/11/07 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: I of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2894807
- 3. Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: lMDGAE05
- 5. (a) Applicable Construction Code ASME Section III ND, Class 3 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 SY: Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or No)
Jacket water American 9-20016-01-1 31978 1MDGAE05 1978 Repaired YES cooler standard
- 7. Description of Work: Weld build up of corroded area on the reversing spool flange. W.O. 2894807
- 8. Test Conducted: Hydrostatic El Pneumatic El Nominal Operating Pressure [ Exempt E N-416-2 E] Other Pressure ,-___ psi Test Temperature '12 OF 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.
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11
FORM NIS-2 (Back)
- 9. Remarks: Weld build up of corroded area on the reversing spool flange. W.O. 2894807 Pre-Pressured Test WO Review - ISI _ ,.__,_
A NII -t , - * --,* o7 Certificate of Compliance We certify that the statements made in the report are correct and this repair conforms to the rulesý of the ASME Code, Section XI. Type Code Symbol Stamp N/A Certificate of Authorization No. N/A ExpirationDate: N/A Signed: 6 / i9," * ',,Cd, Date: r, - Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding arvalid 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-,i-o to *-o1 -.-, 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. Z? 7-- Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements S Inspectors Signature Date: r--0% -01 -j *
- m __.-
. . .. . . .(8. -8. 8..). .. .. .. ... .... .. .. . . . .. .. ... .. .... .. . . . ... . .. . .. .. .R . . . . ev.. 9.
PV216-08NI (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page 1 of
- 1. Component ID 1MDGBE05 2. Code Class ASME S;ection III Class 3
- 3. item
Description:
JACKET WATER COOLER
- 4. N-5 Data Package Number: 1DG02-8 5. W.O. Number: 2894808
- 6. Original Construction Code Edition: 1974 Edition, Summer 1976 Addenda
- 7. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 8. Work
Description:
REPAIR BASE METAL WITH WELD BUILD-UP
- 9. [] ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
THE WELD BUILD-UP OF BASE MATERIAL REQUIRED FOR MINIMUM WALL THICKNESS. REPAIRED AREAS TO BE COVERED/PROTECTED WITH COATING
- 11. Rcpair/epl acement Work Organi;zation: 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 C1 3, 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required: El YES (Z NO Initial Date , 7o If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required: 0 YES F] NO Initial2& '0§ Date 1 7 If required, include a step in the W.O. for ISI & ANII Inspection.
Inital "Dat /f* j*'-,* "07 component. initial 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the
- 18. 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. 1MDGBE05' SPOOL 4-321-19-815-007 9-20016-01-3 N/A W.O.# 2894808
- 19. Planner t dcZ- Printed Name: GORDON QUINN Signatu Date
- 20. ISI m /1 '7 Printed Name: /3 L.. ,*A"/.*.[ i" Signature / / Date 2 1. ANII 9 C(an 4%0oý*i c's Printed Name: --'-1~~i~-A Signature I
Date 73DP-9ZZ17 PV~EOO93 P\1E0093 V*', 7 V~r. 7 73DP-9ZZ17
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: 05/26/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersbura Road., Tonoinah, Arizona 85354-7529 Work Order Number 2894808
- 3. Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: 1MDGBE05 ow
- 5. (a) Applicable Construction Code ASME Section III)~. 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)
DG "B" J.W. American 9-20016-01-3 33116 1MDGBE05 1979 Repaired YES COOLER standard
- 7. Description of Work: Weld build up of cooler flange & pipe area. W.O. 2894808
- 8. Test Conducted: Hydrostatic E] Pneumatic E] Nominal Operating Pressure E Exempt E] N-416-1 E]
Other Fl Pressure __. psi Test Temperature OF 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.
I I 9. FORM NIS-2 (Back) Remarks: Weld build up of Jacket water cooler reversing spool flance & pipe area. W.O. 2894808 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: e Date: ,'- '/ "c-
"I Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of S_-______-7-o to e--,q-0-7 , 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 Inspectors Signature Date *-q-o'l
... . . ..... . .. .. . . .. . . .. .. .. . . . . .. .. ,I -
Ver. 77 Back 73DP-9ZZI 7 1'V-frAJU92 Ver. PV-Ev-,092 Back 73DP-9ZZ17
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1MDGBE04
- 2.. Item
Description:
LUBE OIL COOLER
- 3. N-5 Data Package Number: 1DG02-10 4. W.O. Number: 28948 o-
- 5. Original Construction Code Edition: 1974 Edition, Summer 1976 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
REPAIR BASE METAL WITH WELD BUILD UP
- 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:
WELD BUILD UP OF BASE MATERIAL REQUIRED DUE TO EXCEEDING MINIMUM WALL THICKNESS, REPAIRED AREAS TO BE PROTECTED WITH COATINGS. C, L 4 &eJ "1
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III 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. Preservice Inspection Required: [ YES [. NO Initial/* K_. Date - 07'" If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: C YES El NO Initial D Date /-,;L. 7? If required, include a step in the W.O. for ISI & ANII Inspection.
I rnia --. Date 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial. DateISI & ANII prior to approving INP525 Status. Initial Date , 17. Include a step in the W.O. to record below all applicable numbers for Date . ,replacement items. Item ID Part No. Serial No. Heat No. MR/POIWO No. 1MDGBE04 INLET 4-305-19-215-019 9-20016-02-4 N/A WO 28948___"__,,_ LL. 1MDGBE04 REVERSING 4-305-19-215-019 9-20016-02-4 N/A WO 28948080 "-,Fisv
- 18. Planner ___i _____________ Printed Name: SU. .
1 , Signa t'e Date
- 19. 6a5 /ST Printed Name: 1Log Entry-
- 20. ANII S _
.Z'-O0 Printed Name: -
Si ature Date PV216-08NI(8.88) 13DPa-9ZZI RCýg"
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASMLE Code Section XI
- 1. Owner: Arizona Public Service Company, et. al. Date: 05/24/07 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: I of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersbury Road., Tonopah, Arizona 85354-7529 Work Order Number 2894812
- 3. Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: 1MDGAE04
- 5. (a) Applicable Construction Code ASME Section III ND. Class 3 1974 Edition, Summer 1976 Addenda, _ CodeCase (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)
Lube oil cooler American 9D2703 33119 1MDGBE04 1979 Repaired YES standard
- 7. Description of Work: Weld build up of corroded area on the inlet outlet spool and reversing channel. W.O. 2894812
- 8. Test Conducted: Hydrostatic E] Pneumatic E Nominal Operating Pressure E Exempt LI N-416-2 0I Other Pressure _ psi Test Temperature OF f.
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 /2 X 11 I h 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: Weld build up of corroded area on the inlet outlet spool and reversing channel. Area to be coated to protect against corrosion. w.o.2894812 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 XI.
Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: Date: !-T *, 7 Owner or Owner's Designee, Title
- .*,vi"r:;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 ___________, 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 Inspectors Signat Date: PV216_ 08N (8. 8. ... .... .. .. .. . .. . ... . . .. .. . . . . . . ... ... .. . .. ..7..
... .. .9
-.....7 Re.v PV216-08NI (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page of -4"
- 1. Component ID 1JSGEPSV0694 2.. Item
Description:
Main Steam Safety Valve; Dresser 6"- 3707RAX-RT-25; 1315 PSIG
- 3. N-5 Data Package Number: 1SG02-6 4. W.O. Number: 2894829
- 5. Original Construction Code Edition: 1974 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. F1 ISI Flaw NDE Method of Flaw 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 III pressure boundary. Spare valve is a like-for-like replacement and is being replaced based unon in service pressure testing (trevitesting).
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition Summer 1975 Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III C1 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [] YES [ NO Initial A/9 ' Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: [ YES [] NO Initial /'ý"'7"7 Date '5-- If required, include a step in the W.O. for ISI & ANII Inspection.
by Initial /2k-_717 Date f ,*-Z,7 16. Include a step in the W.O. to verify NIS-2 Form has been completed ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial Date
- 7 replacement items.
Item ID Part No. Serial No. Heat No. MR/POIWO No. Safety Valve APN 45003638 BT-01679 N/A MR /.,3-5-2C
- 18. Planner * /.7 -5 Printed Name: J L D-LLLI-Signature Date
- 19. ISI (_<
) " 7 Printed Name: L TA'* Log Entry-ý Signature Date
- 20. ANII <<;t0 Signau+/-e Date Printed Name: _
PV216-OSNI(8-88) 73DP-gZZ17 Rev9
ASME SECTION XI - REPAIR / REPLACEMENT Page -- of
- 1. Component ID IJSGEPSVO557 2.. Item
Description:
Main Steam Safety Valve- Dresser 6"- 3707RAX-RT-25. 1315 PSIG
- 3. N-5 Data Package Number: 1SG02-6 4. W.O. Number: 2894829
- 5. Original Construction Code Edition: 1974 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. n ISI Flaw NDE Method of Flaw 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 III pressure boundary. Spare valve is a like-for-like replacement and is being replaced based upon in service pressure testing (trevitesting).
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition Summer 1975 Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [] YES 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 Li NO Initial
- Date 5,* 5 " ." If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial
- Date 5 , ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for ItDereplacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Safety Valve APN 45003638 BS-08602 N/A MR/,c,3 5-;&
- 18. Planner Printed Name: L9 . M, 9 -2L&Y Signature Date
- 19. ISI 5 if/)-¢)l7Printed Name: *? . PAP Log Entry Signature Date
- 20. ANII d4 S--&-2-, Printed Name: '0 SignaiJe Date PV216-08N1(8-88) 73DP-9ZZI7 R-v9
ASME SECTION XI - REPAIR / REPLACEMENT Page of -
- 1. Component ID 1JSGEPSV06923-75 /* . -
2.. Item
Description:
Main Steam Safety Valve: Dresser 6"- 3707RAX-RT-25; 1315 PSIG
- 3. N-5 Data Package Number: 1SG01-6 4. W.O. Number: 2894829
- 5. Original Construction Code Edition: 1974 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. F1 ISI Flaw NDE Method of Flaw 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 III pressure boundary. Spare valve is a like-for-like replacement and is being replaced based upon in service pressure testing (trevitesting).
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III C1 2, 1974 Edition Summer 1975 Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III C1 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [ YES [ NO Initial A/10- Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: [ YES [ NO Initial Date , - ,' 7 If required, include a step in the W.O. for ISI & ANII Inspection.
Initial IŽ Date Date -' -7 16. Include a step in the W.O. to verify NIS-2 Form has been completed by ISI & ANII prior to approving INP525 Status. Initial *Date - 17. Include a step in the W.O. to record below all applicable numbers for
~
Inital Datereplacement items. Item ID Part No. Serial No. Heat No. MR/POJWO No. Valve APN 45003638 BS-086 5-ýZ5W N/A MR la 395 -)
- 18. Planner _ _ _ __ _ -__
_ _ _ Printed Name: 4)4 A4, ,tL *27' Signature Date
- 19. ISI -_
- ________Date/___ 4e___,___ Printed Name: " .. Log Entryf. -
Signature Date
- 20. ANII '* /$7-*... Printed Name: -
Sigr ire Date PV216-08NI (8-88) 73DP-9ZZI7 R-v9
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1JSGEPSVO692 2.. Item
Description:
Main Steam Safety Valve; Dresser 6"- 3707RAX-RT-25, 1315 PSIG
- 3. N-5 Data Package Number: 1SG01-6 4. W.O. Number: 2894829
- 5. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda '4
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Replacement of Main Steam Safety Valve with a reconditioned and tested spare.
- 8. M ISI Flaw NDE Method of Flaw Detection: N/A Report Number: N/A
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Not a failure of the ASME III pressure boundary. Snare valve is a like-for-like renlacement and is being renlaced based unon in service oressure testing (trevitesting).
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III C1 2, 1974 Edition Summer 1975 Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required:. [I YES Z NO Initial iY/,- Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: Z YES F1 NO If required, include a step in the W.O. for ISI & ANII Inspection.
Initial Date 7
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial JkL$L Date 5'5-D7 ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial ,*"d-/r Date _______
replacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. Safety Valve APN 45003638 BS-08604 N/A MR /-d3 1/5,.
- 18. Planner 5-- {i Printed Name: 22At'iP fr, $ D* T Signature Date
- 19. ISI - / 7 Printed Name: '2_41Y f Log Entry_
Signature . Date
- 20. ANLII-o'T "-..,,_ Printed Name: /.6d. QoG-io, Signatk _ Date PV216-08NI (8-88) 73DP-9ZZI7 R-v9
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: 6/21/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: I of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersbura Road.. Tononah, Arizona 85354-7529 Work Order Number 2894829
- 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 Systemr
- 5. (a) Applicable Construction Code ASME Section III NC, Class 2 1974 Edition, Summer 1975 Addenda, __ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or No)
Safety Valve Dresser BT-01679 N/A 1JSGEPSVO694 1979 Replacement YES Safety Valve Dresser BS-08602 N/A 1JSGEPSVO557 1980 Replacement YES Safety Valve Dresser BS-08603 N/A 1JSGEPSVO575 1980 Replacement YES Safety Valve , Dresser BS-08604 N/A 1JSGEPSVO692 1980 Replacement YES
- 7. Description of Work: Replace four (4) main steam safety valves with A reconditioned & tested spares.
- 8. Test Conducted: Hydrostatic E] Pneumatic [] Nominal Operating Pressure Z Exempt D]
N-416-2 F1 Other Pressure __ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/22 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.
S I m I 9. FORM NIS-2 (Back) Remarks: WO# 2894829 will be used to replace Main Steam Safety Valves 1JSGEPSVO557; 575, 692 & 694 with reconditioned and tested spares during 1R13. Pre-Pressured Test WO Review - ISI C 1'2-Z 10 7 ANII & -2 Z 0-O7 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: - 4/"- Date: 7 -T? - 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 -S-a. -01 to __________, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Snspectors Signature Date: -,_-ol Pv2l6-O8Ni (8-88) 73DP-9zz17 Rcv9 IPV216-08NI (8-88) 73DP-gZZI7 Rev9
ASME SECTION XI- REPAIR / REPLACEMENT Page _ of
- 1. Component ID 1PSIAL248 2.. Item
Description:
Spool piece Downstream of IPSIAV056
- 3. N-5 Data Package Number: IRC01-IC 4. W.O. Number: 2895711
- 5. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Reinstall the blind flange removed by 2895705 to restore T-Mod 2886678
- 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:
Restoration of Temporary Modification, no ASME Code failure
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec.IHI Cl 1, 1974 Edition 1975 Summer Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III ClI 1, 1974 Edition 1975 Winter Addendas
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: El YES M NO Initial A-) / 14 Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: [I YES Z NO Initial iL . 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 -. j Date 7- - component.
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initi~al' =-,<4 Date -'- replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Blind Flange /-/WO 14J 2895705
- 18. Planner - _ -* Printed Name: James I. Davis Signature / Date
- 19. ISI 4 e '- 7 ) )- Printed Name: -/.*L,.,i ZL Log EntryAt Signature Date
- 20. AM Printed Name: __ 6_1-- 0______'P-_ _ __k Sign!re Date PV216-OSNI(8-88) 73DP-9YU17 Rt9
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 Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2895711
- 3. Wbrk-PefformeU 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 NB, Class 1 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)
Pipe Spool Pullman Power 1SI248N001 N/A 1PSIAL248 1983 Repaired NO Flang N/A N5542-3-6 N/A 1PSIAL248 2006 Replaced NO Orifice N/A Ht# U7052 N/A 1PSIAL248 2006 Replaced NO Blind Flange N/A Ht# D3485 N/A 1PSIAL248 1983 Replacement NO
- 7. Description of Work: Restore T-mod 2886678 on 1PSIAL248, downstream of 1PSIAV056 .
- 8. Test Conducted: Hydrostatic 0 Pneumatic D Nominal Operating Pressure [] Exempt Z N-416-2 El Other Pressure ,-- psi Test Temperature I O-n F
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 '/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number, of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: Work Order 289571 Irestored Temporary Modification 2886678 on IPSIAL248, downstream of IPSIAV056 by removing the orificed flange and valve assembly, previously installed by Work Order 2895705, and reinstalling the original blind flange.
Pre-Pressured Test WO Review - ISI '/AL 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: 5 -- * ,,,r/ , Date: C?
/.z .2-OA g6wd:er 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 'Z.-ZZ-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: NiB 9685 "N" "I"AZ264
~Inspectors Signature National Board, State, Province, and Endorsements Date: "
73DP-9ZZ17 Rev 9 PV216-08NI (8-88) PV216-08NI (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page k of
- 1. Component ID IPSIBLI99 2.. Item
Description:
Spool piece Downstream of 1PSIBV057
- 3. N-5 Data Package Number: 1RCO1-IC 4. W.O. Number: 2895713
- 5. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Reinstall the blind flange removed by 2895708 to restore T-Mod 2886678 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:
Restoration of Temporary Modification, no ASME Code failure
- 10. Ikepair/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: El YES 0 NO Initial AJ,14 Date If required, include a step in the W.O. to perform PreserVice Inspection
- 15. ASME Section XI Pressure Test Required: El YES [ 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 Initial ,* o0 Date "26 - ccomponent.
n
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date -eplacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Blind Flange /c t,,-;-Q 9-/,.3 ,WO 2895708
- 18. Plan6ne Printed Name: James I. Davis
- 19. ISI L
z-~1-. -
/
Signature 7 19-Z6 Date Printed Name: F-1.- /?ZQ/Lo)AJ4(J6ogEntryAa
- 20. ANII
- Printed Name: -2, L n P20. AONII (igna*l- ate PintedRame:9 7" Signature Date PV216-4*NI ("-8) 73DP-9ZZ17 Rev 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:
P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529 Work Order Number 2895713
- 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 NB, Class 1 1974 Edition, Winter 1975 Addenda,
- I. 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 Spool Pullman Power 1S1199N00J N/A IPSIBL199 1983 Repaired NO Flange N/A N5542-3-5 N/A 1PSIBL199 2006 Replaced NO Orifice N/A Ht# U7052 N/A 1PSIBL199 2006 Replaced NO Blind Flange N/A Ht# D3485 N/A 1PSIBL199 1983 Replacement NO
- 7. Description of Work: Restore T-mod 2886678 on 1PSIBL199, downstream of IPSIBV057 . ..
- 8. Test Conducted: Hydrostatic El Pneumatic El Nominal Operating Pressure El Exempt 0 N-416-2 E] Other Pressure *' psi Test Temperature ,--A OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 /2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: Work Order 2895713 restored Temporary Modification 2886678 on 1PSIBL199, downstream of IPSIBV057 by removing the orificed flange and valve assembly, previously installed by Work Order 2895708, and reinstalling the original blind flange.
Pre-Pressured Test WO Review - ISI //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 Au orization No. N/A Expiration Date: N/A
*0ed:~
f .... r *
- r 51,-Z 5x- Z I64C4ý- Date: ?A /l,96
/ I Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION
/
I,/'the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of "_-_-0__-_ 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 Inectors Signature Date: I o0,
.__A.-
PV2I6-OSNI (8-88) 73DP-9ZZl7 Rev 9 PV216-08N (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI- REPAIR / REPLACEMENT 1MCHAX05
- 1. Component ID 2.. Item
Description:
Greer Hydraulics Suction Stabilizer
- 3. N-5 Data Package Number: 1CH04-3 4. W.O. Number: 2897217
- 5. Original Construction Code Edition: 1977 Edition, Winter 1977 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Disassembly of charging pump suction stabilizer for 5 year annual bladder replacement.
- 8. fl ISI Flaw f/A NDE Method of Flaw Detection: n/a lt1 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 III pressure boundary. The valve stem is a code part that is part of the bladder.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec III C1 2, 1977 Edition 1977 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: 0 YES Z NO
/"
Initial d,"%L7 Date J/ - . If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: El YES [ NO Initial i-i-2a* 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 verify NIS-2 Form has been completed by ISI & ANII prior to approving INP525 Status. Initial Date - 17. Include a step in the W.O. to record below all applicable numbers for replacement items. Item ID 'Part No. Serial No. Heat No. MR/PO/WO No. Suction Stabilizer N/A 6117 N/A N/A Valve Stem APN 45004042 . -( 110 MR.
- 18. Planner '* Printed Name: Z)A-010 "A &0- 07T Signature Date
- 19. ISI 1) jJl' Printed Name: ' Log Entry D3 Date
- 20. ANII - Printed Name: _______- ___o__
Signarn5 Date PV216"RSNI (8-88) 73DP-Z9717 R- 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: 12/13/2006 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2897217
- 3. Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Exniration Date N/A
- 4. Identification of System: CH: Chemical & Volumn Control System 5.-.(a) . Applicable Construction Code ASME.Section III NC. Class 2 1977 Edition, Winter 1977 Addenda,_ .Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Y 1 V 1 1 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)
Suction Greer Hydraulics 6117 N/A 1MCHAX05 1980 Repaired YES Stabilizer Valve Stem Westinghouse 1208A-20 N/A IMCHAX05 . 2003 Replacement NO
- 7. Description of Work: Disassemble the suction stabilizer for 5 year annual bladder replacement.
- 8. Test Conducted: Hydrostatic El Pneumatic E Nominal Operating Pressure E] Exempt Z N-416-2 [ 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/ 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 I 9. FORM NIS-2 (Back) Remarks: WO# 2897217 for suction stabilizer 1MCHAX05. The 5 year annual bladder replacement includes the stem m ' as a code Dressure retaining nart. Pre-Pressured Test WO Review - ISI N /A ANII q.IA Certificate of Compliance We certify that the statements made in the report are correct and this replacement conformsto the rules of.the . ASME Code, Section XI. Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: qýFý . Date: iJ2- *-2-D*2*6 ner or Owner's Designee, TfAJ CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of bqijer and Pr¢essure 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 _ -,,*-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 X1. 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 cofinected with this inspection.
-~ Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Inspectors Signature Date: 4,2 -1 q-0 (,
I-730P-9ZZ17 Rev9 PV216-08NI (8-88) I-'V216-08N1 (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI- REPAIR / REPLACEMENT _Page of
- 1. Component ID 1MDGAE0IA I.Item
Description:
DG Intercooler
- 3. N-5 Data Package Number: 1DGOI-2 4. W.O. Number: 2899057
- 5. Original Construction Code Edition: 1974 Edition.-Summer 1976 Addenda
- 6. Original Installation Code Edition: 1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Fastener replacement
- 8. E] IST Flaw NDE Method of Flaw Detection:
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Renlacinq the ton tolate fasteners on a as needed basis due to minor corrosion of the studs. Fasteners are not bein2 replaced due to failure..4-i"
- pD - , j% '"r LV,-t2}Y) C
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 3. 1974 Edition 1976 Sumfmer 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 /
Initial, i 1 Date ( to-, 7 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: El YES [ NO Initial Date j - 7 If required, include a step in the W.O. for ISI & ANII Inspection.
d by Initial Date & *2 . 16. Include a step in the W.O. to verify NIS-2 Form has been completet Dateial ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial AAXýt* Date 1¢--a,> replacement items.
Item ID Part No. Serial No. Heat No. MR/POIWO No. 1MDGAE01A&B APN 43110010 8B1602
- Io L' MR 1235277 4 0, za 6ý-0-0 7 49
- 18. Planner Printed Name: /' %, *-
;P, SSigndure' Date
- 19. 151 Printed Name: -- Log Entryj*D-Signature Date
- 20. AN Printed Name:- "
sipk/re Date Rev') 73DP-~)Z.Z17 PV216.O~NJ(8-8~) PV216-08NI (8-88) 73DP-92"17 Rev 9
4 -I7 FORM NIS-2 OWNERýS REEPORT FOR, REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASIME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al. Date: 06/-12/2007 P. O. Box 53999, Phoenix Aurizona 850'72-2034 Sheet: I of 2
- 2. Plant: Palo Verde Nuclear Generatinz Station Unit: I 5801 South Wintersburg Road.. Ton.onai-. Arizona 85354-7529 Work Order Number 2899057
- 3. Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: 1MDGAEOIA&B
- 5. (a) Applicable Construction Code ASME Section III ND, Class 3 1974 Edition, Summer 1976 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or No)
E.D.G. Cooper Energy 8B 1602 N/A 1MDGAEO1A&B 1978 Repaired YES intercoolers Cover studs N/A N/A N/A N/A 2006 Replacement NO
- 7. Description of Work: Replacement of cover fasteners due to minor corrosion. Not replaced due to failure. 2899057
- 8. Test Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure [- Exempt 0 N-416-2 El Other Pressure __ psi Test Temperature OF
- NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 '/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
t FORM NIS-2 (Back)
.Remarks: Replacement of cover fasteners due to minor cos-jon. Not reolacedj due to ai'lure.W.O._#2899057 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 XI.
Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Sig~ned:
- 5 *,cY,*,_ Date: A-14-,7".
Siged Owner or Owner's Designee, Title D/ 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, Conmecticut, have inspected the components described in this Owner's report during the period of c-to c, - i q-0-'t , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the, requirements of the ASME Code, Section 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, and Endorsements Date:
.. .. . . . . .. . . . .. . .. . . .L 730P-9ZZ17 Rev 9 PV216-OSNI (8-88)
PV216-08N1 73DP-9ZZ17 Rev 9
W .' ASME SECTION rAT - REPAIR / REPLACEMENT Page of
- 1. Component ID 1PSPAL067 2.. Item
Description:
18" "A" train Sray Pond cooling water line to EWAE0I.
- 3. N-5 Data Package Number: 1SP02-4 4. W.O. Number: 2899455
- 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 carbon steel fasteners (studs & nuts) with stainless equivalent.
- 8. W] ISI Flaw NDE Method of Flaw 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 III pressure boundary. Replacement being done due to the appearance of rust. c:F/7/'d0
- 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: F-1 YES [ NO Initial 4?D" Date - If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Require d: [E YES 0 NO If required, include a step in the W.O. for ISI & ANII Inspection.
Initial 7 Date -*"-54
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial - Date ],*" -' 4 ISI & ANII prior to approving INP525 Status.
Initial Iii[%flz Date Dreplacement 17. Include a stepitems. in the W.O. to record below all applicable numbers for Item.ID Part No. Serial No. Heat No. MR/PO/WO No.
,qppvu,25 tdF,,f Studs 1-1/8"-8 x 6.5"Ig APN 43140308 N/A YA MR 1170630 Nuts APN 43120595 N/A MR 1170630
- 18. Planner ____ "_________-_______ Printed Name: -. , ' -
Signature Date
- 19. ISI "Dae Printed Name: : LogEntry
- i
- 20. ANII 'Si ,'.-,q-o Printed Name: __._____________,--_
.. Signa e Date PV216-0 NJ ( .88) 73DP-9/ZZl R-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: 6/12/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road.. Tononah. Arizona 85354-7529 Work Order Number 2899455
- 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: Spray Pond System
- 5. (a) Applicable Construction Code ASME Section III ND, 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 Identification Built Replacement Code No. Stamped (Yes or No)
Studs - 10 Cardinal N/A N/A IPSPAL067 1991 Replacement NO Nuts Nova N/A. N/A 1PSPAL067 2004 Replacement NO Studs - 22 Dubose Steel N/A N/A 1PSPAL067 1991 Replacement NO
- 7. Description of Work: Replace the carbon steel fasteners with the stainless equivalent, minor rusting.
- 8. Test Conducted: Hydrostatic E3 Pneumatic 0 Nominal Operating Pressure fl Exempt [
N-416-2 Fl Other Pressure __ psi Test Temperature OF 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. b
FORM NIS-2 (Back)
- 9. Remarks: WO# 2899455 on line 1PSPAL067. Will replace the 1-1/8"-8 x approx. 6.5" long studs and nuts. The existing fasteners are carbon and have minor rusting. Will install the stainless equivalent (SA564 Gr. 630 HI 100) on two 18" flanges ioints.
Pre-Pressured Test WO Review - ISI ANII Certificate of Compliance We certifythat 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 Signedo-r-* -- Date: /'*{Zy" Oý0er' or O wner's Designee, Titleý CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of ,- ' ,- to ___________, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
-,,7A YJ Commissions: NB 9685 "N" "I" AZ264 K Inspectors Signature National Board, State, Province, and Endorsements Date: C-.5-0-7 U-PV1-8N 88) 3P9Z1 e PV216-08NI (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page_ -of
- 1. Component ID 1PSPBLO25 2.. Item
Description:
DISCHARGE FLOW INDICATOR S.P.
- 3. N-5 Data Package Number: 1SP02-3 4. W.O. Number: 2899597
- 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 evolution the flane astcnrs will be removed and replaced due to corrosion of the fasteners for ease of re-installation.
- 8. n 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 periodic maim.',,-, mitigate minor corrosion.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 3. 1974 Edition 1975 Smm*r Adtda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 3. 1974 Edition 1975 Winter AoiJe1d:i
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [] YES Z NO Initial ,V/A Date ___,,__-____ If required, include a step in the W.O. to perform Preservi.e .
- 15. ASME Section XI Pressure Test Required: LI YES [ NO Initial _ _,__ Date *-o6'
- If required, include a step in the W.O. for ISI & ANII Inspecui!,.
- 16. Include a step in the W.O. to complete NIS-2 Form prior !ccasing CL, the Initial Date component.
step in the W.O. to record below all applicab!c *!w,
- 17. Include aitems. '*.* for repaired or In itial *Date replacement Item ID Part No. Serial No. Heat No. N11iV/PO/WO No.
STUDS APN 43110014 N/A Lb/C'T *5
&I .J >_ .-
NUTS . APN 43122013 N/A I{ (oZ...
- 18. Plannera Printed Name: Martin J Sullivan Signore Date
- 19. ISI - Date Printed Name: " "-k -
Signature 0Date
- 20. ANII 1P______- ________"___- __ Printed Name: ,E.-.-
Sign~re .Date P-216-')SNI (K-88)
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEN4ENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Arizona Public Service Company, et. al. Date 06/21/,.,
Name P.O. Box 53999, Phoenix, Arizona 85072-2034 Sheet 1 of 2 Address
- 2. Plant Palo Verde Nuclear Generatina Station Unit Name 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 289959?
Address Work Order Nu,:je
- 3. Work Performed by Arizona-Public Service Type Code Symbol Stamp Name Authorization No. N/.
1
.5801 S. Wintersburg Rd., Tonopah, AZ 85354 Expiration Date ,_i..N 7
Address
- 4. Identification of System Npray t'ona
- 5. (a) Applicable Construction Code ASME Section 111 19 74 Edition, W 75 Addenda, NA .,de Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 19 92 Edition, 92 Ad;
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaire d ASMECode Item Manufacturer Serial No. Board No. Identification Built Repacen Sramped etl ;-es or No Spray Pond NA NA NA IPSPBLO25 NA Replacerm. No
- 7. Description of Work See remarks on sheet 2.
- 8. Test Conducted: Hydrostatic [j Pneumatic -j Nominal Operating Pressure -j Exempt I+/-"j -.. 6-2 FA Other iJ Pressure psi Test Temp. _-
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is B /2 x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is ;ur-1. :.,ed and the number of sheets is recorded at the top of this form. PV-E0092 Ver. 7 73DP-9ZZ17
FORM NIS-2 (Back)
- 9. Remarks The wocrk included repl31cin-g the. fan-ge. sh d- and niit., on 1PIPBi O25 In theI mimii Pre-Pressure Test Review: ISI NA ANiI NA CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforrn* tot rules of the ASIM E Code, Section Xl. repair or replacement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date IN/)%
Signed Date 2m Owner or Owner'a 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 M17- and employed by HSB CT of Hartford, Connecticut , have inspected the components described in this Owner's Rco, :;ring the period - to __ -___-o _ ,and state that to the best of my knowvelii.', and belief, the Owner has performed examinations and taken corrective measures described in this OtS,: 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, expresseA ,plied, 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 propretry damage or a loss of any kind arising from or connected with this inspection.. . Commissions ,--N8 t,," . National Board, State, Province. and _irt;; anltS
'J Inspector's Signature Date 73LIP 9ZZ17 PV-EO092 7 SACK Vel. 7 PV-E0092 Ver BACK 73DP-9ZZ17
ASME SECTION XI - REPAIR / REPLACEMENT Page. of
- 1. Component ID 1SGO36HO1l 2.. Item
Description:
Steam generator I main steam Line 2 Constant Spring Hanger
- 3. N-5 Data Package Number: 1SG01-1 4. W.O. Number: 2901355
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
weld replace the nut on the load coupler with one that has the correct threads.
- 8. LI ISI Flaw NDE Method of Flaw Detection: n/a Report Number: n/a
- 9. Eyaluation of the suitability of this work as per the requirements of IWA - 4150:
Not a ASME pressure boundary failure. Rod coupler was ordered with the incorrect threads and is being reworked to correct.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. 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. Preservice Inspection Required: F1 YES Z NO Initial 71&./,4 Date C-- *" If required, include a step in the W.O. to perform Preservice Inspection,
- 15. ASME Section XI Pressure Test Required: El YES Z NO Initial 4_ 'v' Date _ --
__-,__- If required, include a step in the W.O. for ISI & ANII Inspection. Initial 1 '* Date " 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the i Dcomponent. or Initit, 2 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. 1SG036Hl011 APN 00096419 B-495 MR //6 "
- 18. Planner rinted Name: David Goodlet Signature -Qa-o
- 19. 15 i. J A'/ý1 W e1-Jf --- P Printe Name: /k g Enr Signature 11 ý ' .9
- 20. ANII IA-, jW6 1K t 7"-&,0dO-tJf i 4 nted Name: ___________.______,__
Signature Date PV216-OBNI(8-86) 73DP-9ZZ17 Rv 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: 6/13/2006 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2901355
- 3. Work Peff6rmed 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 NF, Class 2 1974 Edition, Winter 1975 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). Spring Support ITT Grinnell G2502 N/A ISG036H011 1982 Repaired YES Loadtoupling Anvil 41-74722 N/A ISG036H011 2006 Repaired YES Adjuster Nut Anvil n/a N/A 1SG036H011 2006 Replacement YES
- 7. Description of Work: Reworked the load coupling by replacing the adjusting nut with one with 4-5 threads per inch.
- 8. Test Conducted: Hydrostatic E] Pneumatic E] Nominal Operating Pressure El Exempt Z N-416-2 F] 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 inches, (2) information in items I thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: Work order 2901355 (shop work) will weld replaced the adjuster nut on the load coupler with one that has 4.5 threads per inch. WO# 2888427 will install in unit-1 Pre-Pressured Test WO Review - ISI M/A ANII N/AI 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 Expirati on Date: N/A Signed:. C eOwner or Owner's 4 Designee,-e tle Date: 6'1(3 (09 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 ( 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 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 Inspectors Signature Date: - o 73DP-9~17 Rev 9 PV21!6-08NI (8-88) PV216-08N1 (8-88) 73DP-9ZZI7 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page of 1i. ComponentID BS- .O{..
- 2. Item
Description:
Main Steam Safety Valve; Dresser - 6" 3707RAX-RT-25 1 p3-1rsig
- 3. N-5 Data Package Number: n/a' 4. W.O. Number: 2901738
- 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 replacement from other spare valves or from annroved niirohnsed znnre nirt- hqsed iinnn insnectinn reunlts.
- 8. F3 ISI Flaw NDE Method of Flaw Detection: n/a Report Number: n/a
- 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 peiformance. 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. III Cl 2, 1974 Edition Summer 1975 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: LI YES 0 NO Initial .ge-Date ___ It required, include a step in the W.O. to perform Preservice Inspection
,15. ASME Section XI Pressure Test Required: 13 YES 0 NO Initial k Date " * .7- e24 If required, include a step in the W.O. for ISI & ANII Inspection. the Intial n
- Date . 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing component.
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial " Date 4-___ _e-6 replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Disc APN 00064290 (0 N/A MR
- 18. Planner __i.gnature Date.i,2 L)6= Printed Name: DAi..V.tJb *ZL*i*.*7 Signature Pate, 1f 19.IS Date Printed Name: 1K" t"-)ADA* Log Entry._
Signature 20 . A N II * '-" - , z t ,x* P rinted N am e : f Signue Date PV216-O08'tE-89) 73D)P-9TZ1I7Keý9 iI
U I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company. et. a]. Date: 9/22/2006 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 85354-7529 Work Order Number 2901738
- 3. Work Performed by: NWS Technologies Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: CH: Chemical and Volumn Control System
- 5. (a) Applicable Construction Code ASME Section III NC, Class 2 1974 Edition, Summer 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) Disc Dresser ADG60 N/A BS-08623 2001 Replacement NO
- 7. Description of Work: Overhaul and test spare Main Steam Safety Valve.
- 8. Test Conducted: Hydrostatic 0] Pneumatic E] Nominal Operating Pressure U] Exempt [
N-416-2 U] Other Pressure. n/a psi Test Temperature n/a 'F , NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 V/ X II 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.
VFORM NIS-2 (Back) Remarks: Work order #2901738 for off-site disassenblyv reconditioning and testing of a spare Main Steam Safety Valve; s/n BS-08623. The new type (material) disc was installed. Pre-Pressured Test WO Review - ISI. N/ ANII _ /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 Siowed: (Jl lý.er or Owner's Desigee, Title D CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of -.- . - to ___________ _, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage.or a loss of any kind arising from or connected with this inspection. ZIA Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements pectors Signature Date: 3-73DP-9ZZ17 Rev 9 PV216-08NI (8-88) PV216-08N1 (8-88) 73DP-9ZZ17 Rev 9
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 Dresser Valve Division; Dresser Equipment Group, inc.
- 1. Manufactured and certifiedjby Intersection Hwy. 167 @ 3225 North, Alexandria, Louisiana 71309"W
- 2. Manufactured for Arizona ýublic Service Company P. 0. Box.53940 Phoenix, ArizonaoN e 85t72-d "
- 3. Lo(oname aNuaddression 58f01ser)R
- 3. Location*_of installaton ,An'zona Public Service Co Palo Verde Nucl Generation 5801 S Wintersburgj Rd. Tonopah. Arizona 85354
- 4. Type OS414 SB63 7 (Inconel X-750) N/A N/A ;B1
- 2001 (aw* g) (matl pec. no.) (trOI 3W'V) (CRN) (year bW)
- 5. ASME Code Section III, Division 11 1974 -. Summer 1975 2 N/A
- 6. Fabricated in accordance with Const. Spec. ( Div. 2 only) " NA Revision N/A Date N/A (no)
- 7. Remarks: Serial Numbers Are Used In Lieu Of NPT Stamping.
. "44 - - ... .... . . - --
*t I.
is (in.) N/A .*Dia.D(tL&in.) N/A Length overall (fL & in.) N/A eareattaciied oft h- repor.-" . .each.
-tern-Part or Appurtenance .
[Order:: (31) (32)
-- (33) ._
.(34)
-(35)
(36) (37) __ _ _ _ __ _ _________ (38) .. __ (39) (46)
*(41)
(42) (43) (44) L(45) (46) (47) (48) (49) (50)
)esign pressure N/A psi Temp. N/A -F. Hydra. Test pressure 2250 PSIG at temp. "F or mybNsdpoidd()sz s812 i,()nomt,J(ff aPO.Icble) 3upplementa information in the fo of lists. Sketches, or drawings may be used provkled (t) size is 8-1/2 x 11, (2) infomation in items 2and 3 on this Data Report is included on each sheet (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (
I ..- FORM N-2' (Back- Pg. 2 of 2 ) Certificate Holder's Serial Nos. ADG60,61,62,64 through. ADG65 CERTIFICATION OF DESIGN Design specifications cerfied by N/A .__ P.E. State Reg. No. N/A (when apphlc4e) " Design report* certified by./ N/A P.E--State N/A Reg. No. NIA (when appkca"e T -r CERTIFICATE OF.COMPLUANCE We certfy that the statements made in this report are correct and that this (tlh se)_ Disc conlrmsto the rules of construction of the ASME Code, Section III, Divw*&1. NPT Certificate of Authorization No. N-2434 - __ Expires 5r2612004-D~ -- o Name SEE UNE 1 Sligne S- - ~CERTIFICATE OF INSPECTION - - it mthe. uholding a valid commission issued by the Natinal Board of Boiler and ...Z....re Vessel ins.SaE-"; "r ce
>~. \an empoyed by H.S.B1.l1.& 1~
..HARTFORD, inspectd -CT::....
these itmshave tis ttemshdesc Data Report on /r.,A r: and state that to thef estmywed~e~ he ertficte oldr hs tbnct~IseParts OF. appurtenarices Ina a¶c hlh ieAS Code, Section ill,.Division f Eactt as benauthorized for stamping on---aeson bv.---~~- - --- By signing this wclrt, r the insc nor his employer makeany warranty, expressed or implied, concening the equipet descrbed Inthis Data ReWp.trwumor, neither theinspector nor his employsha be abe in any manner for any personal injury or property damage or loss of any kind arsing fko or connected wjW:e . . . Date -Signed j.. ___________Commissions ______________
.(Aulotdz=d Nuclear Inspector) (PNatt Bd. (id. endorsenvenm) and state or prov. and no.)
¶4
-' ".):
ASME SECTION XI - REPAIR / REPLACEMENT Page _ of _ _
- 1. Component ID IMEWBE01 2.. Item
Description:
ESSENTIAL COOLING WATER HEAT EXCHANGER
- 3. N-5 Data Package Number: 1EW02-1 4. W.O. Number: 2904130
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Perform base material weld repairs on the Channel Heads and Channel Head Covers of the Essential Cooling Water (EW) Heat exchanger, as identified by Engineering.
- 8. E] ISI Flaw NDE Method of Flaw Detection:
(F' Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
ENGINEERING INSPECTION DETERMINED WELD REPAIRS REQUIRED PRIOR TO RE-COATING. THERE WAS NO FAILURE OF THE PRESSURE BOUNDARY. .- r-LJ-t>e l r
- 10. Repair/ReplacementWork 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 Cl 3, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [ YES 23 NO Initial,_____"_- Date 6, - - -, 6 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: 0 YES F1 NO Initial _._--7.o Date 6 0 -. 06 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 ... *2 -O m e
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial , .- Date k0 - Or, replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. IMEWBE01 N/A N/A N/A N/A
- s. Plan-,
.
- Signature -
Date Printed Name: James I. Davis
- 19. ISI -/ ¢ Printed Name: og entry Signature Date
- 20. ANII "'-2o-' Printed Name- j2. T* -rI,,
Signa 4re Date PV-E0091 %e-.7 73IDP-9Z717RWv8
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section X1
- 1. Owner Arizona Public Service Company, et. a]. Date 06/23/06 P.O. Box 53999, Phoenix, Arizona 85072-2034 Sheet 1 of 2 Address
- 2. Plant Palo Verde Nuclear Generating Station Unit 1 Name 5801 S. Wintersburg Rd., Tonopah, Arizona 85354-7529 2904130 Address 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 Expiration Date N/A Address
- 4. Identification of System Spray Pond & IMEWBEOI
- 5. (a) Applicable Construction Code ASME Section I11 19 74 Edition, W 75 Addenda, NA Code Case (b) Applicable Edition of Section X1. 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 Item Manufacturer Serial No. Board No. Identification Built Replacement Yes or No SP/EW Struther Wells Corp 17606329132 14441 IMEWBE0I 1978 Repaired Yes
- 7. Description of Work See remarks on sheet 2.
- 8. Test Conducted: Hydrostatic tj Pneumatic J Nominal Operating Pressure [a Exempt tj N-416-2 1j Other [j Pressure 54.5 psi Test Temp. 76 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. 73DP-gzzl 7 PV-E0092 Ver. 77 PV-EOO92Ver. 73DP-9ZZ17
FORM NIS-2 (Back)
- 9. Remarks The wark includled Verfnrrfed hse, ninterin1 weld repairs on the Channel H-eatds and s)" nozz7les, Pre-Pressure Test Review: IS1 NA ANH1 NA 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. repair or replacement Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date N/A Signed Date _____T6 _
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 A,-- and employed by HSB CT of Hartford, Connecticut , have inspected the components described in this Owner's Report during the period c-.2 -o, to c-7-3-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.
-ýý Zt,- Commissions ,o q 8S ",-z' AZ 2(_'A National Board, State, Province, and Endorsements spector's Signature Date 73DP-9ZZ1 7 PV-E0092 Ver. 77 RACK PV-EO092 BACK 73DP-9ZZ1 7
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID IPSIEV217 2.. Item
Description:
SIT 2A Discharge Check Valve to Loop 2A
- 3. N-5 Data Package Number: 1RC01-19B 4. W.O. Number: 2904627
- 5. Original Construction Code Edition: 1974 Edition. Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Rework or replace the bonnet and disc assembly to correct seat leakage
- 8. F-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:
Seat leakare - 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. III Cl 1, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: F] YES Z NO Initial ^ f.. .3 Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: Z YES El NO Initial .,=I*... Date /' -LC--,* 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 Dcomponent for permanent service or power operation.
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial_ To Date - replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. q2506O o 170 34" 2Z 9
- 18. Planner /O -- Printed Name: .J-9 '4?. , . /,,f.J
... Signmature 7 Date
- 19. iSI f Printed Name: ] "P I,4JtkA LogEntry Signature J Date d 200 ANI_
L AI _ Signatir _ _ _ _ _ _ _bate Printed Name: - PV21608NI (.8-89) 73DP-9ZZO1 Re,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: 06-16-2007 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 2904627
- 3. Work Performed by: Arizona Public Service Co. Type of Code Stamp None 5801 S. Wintersburg Rd.. Tononah. 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) 14" Check Valve Borg Warner 26224 615 IPSIEV217 1977 Repaired Yes Bonnet Borg Warner S/N 3 N/A Ht # 2E76 N/A Replaced Yes Disc Borg Warner S/N 5 N/A Ht # 2E69 N/A Replaced Yes Bonnet Borg Warner RS 213449-10 N/A N/A 1991 Replacement Yes SN CF-881 Disc Borg Warner RS 213466-863 N/A N/A 1991 Replacement Yes
- 7. Description of Work: Replaced the bonnet and disc assembly with a new assembly
- 8. Test Conducted: Hydrostatic Fj1 Pneumatic [] Nominal Operating Pressure Z Exempt L] N-416-2 El Other F] 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 numbered and the number of sheets is recorded at the to of this form.
I _._ __ -- . FORM NIS-2 (Back) I - ý- -1.1.- ý- I- 11 i ý I, , ý-_ I -- I -I~-- A
- 9. W.O. 2904627 replaced bonnet & disc assembly in valve 1PSIEV217, with refurbished bonnet & disc assembly that was removed from valve 3PSIEV247 during U3R12 under W.O. 2861512 and refurbished under W.O. 2912172.
Pre-Pressure Test work order review - ISI 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 Expiration Date: N/A Signed: _ .... /L.)--Date: 7
ý// Owner of OI#rt's Designee, Title
.1 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of ,*- *- o. to i-"-o- , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. 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 Mspectors Signature Date: '7- -o-PV0 02Vr ak7D-Z1 e PV-E0092 Ver. 7 Back 73DP-9ZZ]7 Rev 8
ASME SECTION XI - REPAIR / REPLACEMENT Page _L of
- 1. Component ID 1SI122H003
(. 2.. Item
Description:
1/4 KIP SNUBBER
- 3. N-5 Data Package Number: 1CH02-8 4. W.O. Number: 2909551
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
REPLACE SNUBBER
- 8. [] ISI Flaw NDE Method of Flaw 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 III pressure boundary. Snubber is being replaced as a percautionary measure. This is a like for like replacement. No welding.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. 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. 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 Required: [I YES Z NO Initial
- Date t %(
4C/+ If required, include a step in the W.O. for ISI & ANII Inspection. Inta Date 16 Include a step in the W.O. to verify NIS-2 Form has been completed by Date ISI & ANII prior to approving INP525 Status. Initial Date / ,7 Include a step in the W.O. to record below all applicable numbers for t -- Dreplacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. Snubber ' APN 45350024 14736 N/A MR 1235960
- 18. Planner IPOb '!V* rinted Name: i 7
- I ZC
- 0. ANII Printed Name: A?.< Log Entry.-
Signature Date P20. NII Printe Name: PV216-08Nl(8-88) 73DP-gZZI7 R.ý 9
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI V,-*i-
- 1. Owner: Arizona Public Service Company, et. al. Date: 06/13/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2909551
- 3. Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: SI
- 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 PSA 1/4 Snubber Pacific Scientific 14736 N/A 1S1122H003 1981 Replacement YES
- 7. Description of Work: Replaced Snubber NO WELDING
- 8. Test Conducted: Hydrostatic L] Pneumatic [] Nominal Operating Pressure [] Exempt E N-416-2 E] 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 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 I I ":'; 9. FORM NIS-2 (Back) Remarks: WO# 290955 removed and will replace 1S1122H003. ITT Grinnell changed to PSA Modification Change
,. Notice #58504.
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 Sym bol Stamp N/A Certificate of Authorization No. N/A Expirati on Date: N/A Sig-edy* /56 o'cy-Da-- Date: 4 g 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 r.- 1k- 0-t to (.7-S-o7, 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. r~74 Commissions: NB 9685 "N" "I" AZ264 National Board, State. Province, and Endorsements Q Inspectors Signature Date: a.- 73DP-9ZZ17 Rev 9 PV216-08NI (8-88) PV2l6-OSNI (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1PC0O6HO16 2.. Item
Description:
1/4 KIP Snubber
- 3. N-5 Data Package Number: PC02-1 4. W.O. Number: 2909582
- 5. Original Construction Code Edition: 1974 Edition, Summer 1976 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Replace Snubber
- 8. F1 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 is not a failure. Snubber is being replaced for precautionary measures. This is a like for like replacement. NO WELDING.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec.III NF C13.1974Edition Summer1976 Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III ClI3IT74* Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda '
- 14. Preservice Inspection Required: [ YES N ¶ '
Initial DateQL A41Zr- If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: fl YES [ NO Initial _/_
Datecfx LA &,W-1" If required, include a step in the W.O. for ISI & ANII Inspection. Date 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Date - ISI & ANII prior to approving INP525 Status. Datec>/4hpp-:ý-
/ ,"17. Include a step in the W.O. to record below all applicable numbers for Date 6replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. 1PCO06HO16 APN 45350024 15456 N/A WO# 2909582
- 4. I. 4 4.
- 4. I 4 6 I I 4 I Printed Name: Scott R. Baize Printed Name: .. ,AP Log Entry -
I Printed Name: __ ._ _ _ _ __-_ _ _ 73DP-9ZZI7 Re 9
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASMv Code Section X!
- i. Owner: Arizona Public Servirce Company. et. a]. Date: 06/14/2007 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 2909582
- 3. Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A,
- 4. Identification of System: PC
- 5. (a) Applicable Construction Code ASME Section I11NF, Class 3 1974 Edition, Summer 1976 Addenda, 3 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
- 'Noý I i I(Yes Stamped No) or 1/4 KIP Snubber PSA 15456 N/A 1PCO06HO16 80 Replacement YES
/y
- 7. Description of Work: Snubber repaced with like for like. No welding.
- 8. Test Conducted: Hydrostatic 0 Pneumatic El Nominal Operating Pressure D Exempt Z N-416-2 fl Other Pressure __ psi Test Temperature OF
-NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size. is 8 /2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and'(3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back) Remarks: WO# 2909582 removed and reolaces the 1/4 KIP snubber ii is beina chanaed out for rrecautionarv measurcs.
'The snubber eing placed into service serial number is 15456.
Pre-Pressured Test WO Review - ISI 1A11-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:, ,* , Sine -d:D aeZ Date: C, Ir,7 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, Conmecticut, 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 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 4 pectors Signature Date: ( - k(a- O1 73DP9ZZ17 Rev 9 PV216-08NI (8-88) l'V216-t)8N1 (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1PCHNV835 Item
Description:
1-1/2" Borg Warner 1665# Y type lift check valve
- 3. N-5 Data Package Number: 1CH14-1 4. W.O. Number: 2912076
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Disassemble check valve for inspection. The body to bonnet seal weld will need to be removed and later replaced. Other parts will be replaced if necessary based upon inspection.
- 8. F] ISI Flaw NDE Method of Flaw 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 III pressure boundary. Seal weld is required to be removed for check valve inspection.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: El YES M NO Initial g!?2L Date /z' .- - If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: [ YES [ NO SInitial 4 ¢ Date fb '(,,
..- ~ If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial k5"/r Date 1 <-7i-fJ ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial ,-'*' Date -, . replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. 1-1/2" Borg Warner Valve N/A 26454 N/A N/A Body/Bonnet Seal Weld n/a n/a n/a n/a 4 4 4 4. 4 4 4 4 4 4 4 9 4 4 4 9
- 18. Planner
- iA¢z1e'- /L-7-6zJ Printed Name: jyjD M (>961bL-4-I7-Signature Date
/0 -~'6 Printed Name: V ".--- ),-" Log Entry R'iý
- 19. 151 Signature Date
- K,4.
4-ý4 idA -IR-0 Printed Name:
- 20. ANII Sighkture Date F 73DP-97217 R~v 9 PV216-OSNI(8-88) 73DP-gZZI17 R-v 9
U 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: 10/6/2006 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road.. Tonopah, Arizona 85354-7529 Work Order Number 2912076
- 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 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 I Y I Y I I 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 26454 N/A 1PCHNV835 1979 Repaired YES Seal Weld N/A N/A N/A IPCHNV835 2007 Replacement NO
- 7. Description of Work: Removal of seal weld for check valve internal inspection.
- 8. Test Conducted: Hydrostatic E] Pneumatic 0 Nominal Operating Pressure [] Exempt [
N-416-2 D] Other Pressure /aa psi Test Temperature n/a 'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X lI 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.
IFORM NIS-2 (Back) I . Remarks: Work Order# 2912076 on check valve 1PCHNV835 for inspection per the check valve program.. The bonnet seal weld needs to be removed and replaced to support this inspection. Pre-Pressured Test WO Review - ISI ANN ý./4-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: 4L' - 2V07 OwJer or Owner's Designee, Tht' 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-_-o_. to ,1- -- 0_ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the.ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property _damage.or a loss of any kind arising from or connected with this inspection. Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements ln.spectors Signature Date: U-73DP-9ZZ17 Rev 9
,v2160N (8-88) 1~* ~2I6-O8N1 (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI -REPAIR /REPLACEMENT Page . of0____
- 1. Component ID 1PIAEV073 2.. Item
Description:
Containment Service Air Supply Check Valve
- 3. N-5 Data Package Number: 1IA19-1 4. W.O. Number: 2912105
- 5. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Tack Weld Hinge Support to the Bonnet per P221B-00145
- 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 of the ASME Pressure Boundary
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. Ill CI 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 Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: ED YES (Z NO Initial ./4- Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: El YES [9 NO If required, include a step in the W.O. for 1SI & ANII Inspection.
Initial /___- Date
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial Date ___' _____- ____.
ISI & ANII prior to approving INP525 Status. Initial'-* a1i ' De Date C/, 7-&/('// 17. Include a step in the W.O. to record below all applicable numbers for replacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. Tack Welds ' N/A N/A N/A WO I 9 4. .9 I, ~
- 18. Planner 'l /.1/4 ?.I Printed Name: !,211W 4~*$&
- Signature" Date
- 19. , .
Signature
\,1 7
A;s?~ Date Printed Nam'e:NJ.I'4-)AY, Log Entry__-_____
- 20. AN Printed Name: -*
SiAt re Date 73DP.9ZZI7 Rev ~ PV216,08NI ~8-~S) PV216OSNi(8-88) 73DP-9ZZ17 Rev 9
ipmom I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al. Date: 03/22/2007 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 2912105
- 3. Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: IA
- 5. (a) Applicable Construction Code ASME Section III NC, Class 2 1974 Edition, Summer 1975 Addenda, **** Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components /
1* I 1" Y 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 Anchor Darling E-6374-3-1 NA 1PIAEV073 1979 Repaired YES
- 7. Description of Work: Note remarks on Page 2.
- Code cases listed on NPV-1
- 8. Test Conducted: Hydrostatic [ Pneumatic E] Nominal Operating Pressure F] Exempt M N-416-2 [ 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 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
I .FORM NIS-2 (Back) Remarks: Work Order 2912105 replaced the tack welds between the Check Valve hinge support and the bonnet. 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 XI. Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: -.. 2 ,-/.,V6,Q Date: @ ,7 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 -k-0-1 to _________-_c-_-7 , 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. Conmnissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements I Inspectors Signature Date: I-m (8-88) 73DP-9ZZ17 Rev 9 PV216-08N1 (8-88) PV216-08NI 73DP-9ZZ17 Rev9
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1PSIEV540 2.. Item
Description:
HPSI/LPSI Header Loop Injection Check Valve
- 3. N-5 Data Package Number: IRC01-1C 4. W.O. Number: 2912115
- 5. Original Construction Code Edition: 1974 Edition. Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Rework or replace the bonnet and disc assembly to correct seat leakage
- 8. r] 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 leakaae - 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. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: E] YES Z NO_, -
Initial ,.-), Date If required, include a stýp in the W.O. to perform Preservice Inspection -/
- 15. ASME Section XI Pressure Test Required: S 10 7 O NO A*A,, e./ L Initial . 4 Date o - -/o, 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 .. ,l Date /0 ( 6 component for permanent service or power operation.
or Initial *,*, O 2 Date 16 - ý/- oc 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/POIWO No.
- 18. P/I*; < Printed Name: Jf~r-,'-- ,Ti q*-Z&
Signature Dt
- 19. ISJDa~te1)
Signature *JDate Printed Name: T f"4"P' Log Entry
- 20. ANII ________________________ Printed Name: k" - --
s-ig ture . Date PV16o-08 NJ(3.988) 73DP-9g2117 -9
U
'I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al. Date: 06-16-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801l South Wintersbur* Road.. Tononah. Arizona 85354-7529 Work Order Number 2912115
- 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 Y W I. Y 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 31972 1018 1PSIEV540 1978 Repaired Yes Disc Borg Warner S/N 10 N/A Ht # 2G71 N/A Replaced Yes Disc Borg Warner S/N 5 N/A Ht # 2C18 N/A Replacement Yes
- 7. Description of Work: Replaced the disc.
- 8. Test Conducted: Hydrostatic El Pneumatic LI Nominal Operating Pressure [] Exempt [ N-416-2 LI Other LI Pressure __ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11
- inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
vf"
- 0. Y All .
I
.410 1 1.1 1 s.1c 0A 11/4
~FOIRMI 1A; V_ 1 VI,11 L.
T)Q TM during U2R13 under W.O. 2934428 and refurbished under W.O. 2990311. I
<1.AIA11 ; LI NIS-2 (Back)
.4;,S 1,f0;A-4 Ai-1110-tS
-+/- - - 14 Sf
- 1- ')
lVU- C :V 11 Pre-Pressure Test work order 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 N/A Certificate of Authorization o. N/A Expiration Date: N/A Signed: Owner's r. Date: e'sDesignee, Title
/"
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State 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 go - I- oc,, to c, 7'C,,-o7 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. -
~2Z~
Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements KInspectors Signature Date: cý- I (. 1 a-
,T 73DP-9ZZ17 Rev 8 -. " PV-E0092 Ver. 7 PV-E0092 Ver. 7 Back Back 73DP-9ZZ17 Rev 8
ASME SECTION XI - REPAIR / REPLACEMENT
'P d ~ of k.
- v -z 1. Component ID 1PRCEL146 2.. Item
Description:
Reactor Head Vent Piping Support Bracket
- 3. N-5 Data Package Number: IRC01-4 4. W.O. Number: 2914914
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Fabricate and Install Upgraded Design Reactor Head Vent Line Support Bracket
- 8. [] ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements .ofIWA - 4150:
The Unit-I Reactor head vent line support bracket was inspected during UI R)2 and found to be out of configuration. The bracket was replaced during UI R12, however the bracket was fabricated from Non-ASME material. The head vent bracket will be replaced with a newly fabricated bracket per the details on drawing N001-0301-00168, utilizing ASME material..
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III NF C1 1, 1974 Edition Winter 1975 Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III NF Cl 1,1974 Edition Winter 1974 Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [] YES Z NO Initial jgr<, Date tY/0 7 if required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: F-1 YES Z NO q11 -Zý6 7 If required, include a step in the W.O. for ISI & ANI! Inspection.
Initial kysS, Date Initial Da.te 7 7 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 1 C( Date 07ý6 7_ replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Channel, Structural SA36 APN 00097095 ___ V:'-7 MR 1151657 Tubing, Structural SA36 APN 00097093 V 60 I 1(. MR 1151657 Plate, 1/2" ýA36 APN 00100085 7/0.?- A1/t* MR 1200428 Bolt, 1/2" SA 193 Gr.B7 APN 43103081 ;L_3l *" MR 1151657 Nut, 1/2" SA 194 Gr.B7 APN 00097094 A/1t MR 1151657
- 18. Planner - -- j-- -.
Printed Name: Karl V. Savage Signature U Date ISI ffg10 7 Printed Name: Q '* , Log Entry_____
- 19. Signature J Date
- 20. ANII .Z 4; q-,*o7 Printed Name: ax Pate Sign~re Signa~re Date Ih PV216-U08NI(84-8*) 73DP-9ZZ17 R,,9
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1
- 1. Owner: Arizona Public Service Company, et. al. Date: 04/25/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: of
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2914914
- 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 - Reactor Coolant
- 5. (a) Applicable Construction Code ASME Section III NF, 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
- U U U Y 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)
Channel, N/A N/A N/A NOOI-0301-168 N/A Replacement NO Structural SA36 Item 656-03 Tubing, N/A N/A N/A NOOI-0301-168 N/A Replacement NO Structural SA36 Item 656-04 Plate SA36 N/A N/A N/A NOOI-0301-168 N/A Replacement NO Item 656-05 Bolts N/A N/A N/A NOOI-0301-168 N/A Replacement NO SA193GrB7 Item 656-12 Nuts N/A N/A N/A NOO1-0301-168 N/A Replacement NO SA194GrB7 Item 656-13
- 7. Description of Work: Replace the head vent piping support bracket to updated design shown on NOO1-0301-00168
- 8. Test Conducted: Hydrostatic [] Pneumatic 0 Nominal Operating Pressure [:1 Exempt Z N-416-2 [ Other Pressure __ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back) I
- 9. Remarks: Work Order 2914914. Fabricated and installed updated design of head vent piping support bracket as shown on drawing NOO1-0301-00168.
Pre-Pressured Test WO Review - ISI NiA/ ANII 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: or Owner's Date: 6ý--27-2(707 Otner or Owner's Design6ritle 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 ____ _2_- 07 _ _, 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.
*~ Nspectors Signature Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Date: G,.- -- -o-I'- I-(8-R8) 73DP-9Z.Zt7 Rev 9 Pv2l6-08N1 (8-88)
PV216-OSNI 73DP-9ZZ17 Rev9
ASME SECTION XI- REPAIR / REPLACEMENT Page of I. Component ID 1MDGBP04 " 2.. Item
Description:
Diesel generator lube oil piping
- 3. N-5 Data Package Number: 1DG02-10 4. W.O. Number: 2924849
- 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 missing nut on the pipe u-bolt
- 8. Li ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Nut is identical to the original
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 3, 1974 Edition 1976 Summer Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III C!,,1974 Edition 1975 Winter Addenda
- 13. ASME Section Xi Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [ YES [ NO Inial ,____________ D at /_______
Initial Dte___________ If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section X1 Pressure Test Required: Ri YES [ NO
- .nitial te 16).a Q;,'/(" o 07 If required, include a step in the W.O. for ISI & ANII Inspection.
. 4/-o 16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date _______" component for permanent service or power operation.
InitiaDate ' o' 17. Include a step in the W.O. to-record below all applicable numbers for repaired or Initial' Datereplacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. lube oil u-bolt nut APN 43122008 N/A ?RC P1 1"
- 18. Planner Sinawtur Printed Name: i '1
- IX V , //V', .
Signauril'Date
- 19. ISI - / /Printed Name: P"i - AR Log Entry . T-Signature / Date
- 20. ANII I*4*O(* Printed Name: * " - ,
Stature Date PV116 08- .88) 73DP-17 R-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: 09/14/2006 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2924849 3.- Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: DG lube oil system
- 5. (a) Applicable Construction Code ASME Section III NF, 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 Identification Built Replacement Code No. Stamped (Yes or No)
L. 0 u-bolt nut *CooperEnergy N/A N/A IMDGBPO4 2006 Replacement NO
/
- 7. Description of Work: Replace the missing nut on the u-bolt on the lube oil system on the E.D.G. work order 2924849
- 8. Test Conducted: Hydrostatic F1 Pneumatic [] Nominal Operating Pressure D Exempt Z 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 V1/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: Replace the missing nut on the u-bolt on the lube oil system on the E.D.G. work order 2924849 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 N/A Certificate of Authorization No. N/A Expiration Date: N/A Date: 9/// (a Sicned: Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION
/
1,/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 __________, 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 Inspectors Signature Date: - .... U. - 73DP-9ZZ17 Rev 9 ,.PV216-08NI (8-88) .cPV2I6~O8NI (8-88) 73DP-9ZZI7 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page 1 of 2
- 1. Component ID 1MRCEX02 2.. Item
Description:
Reactor Coolant System Pressurizer
- 3. N-5 Data Package Number: IRC01-1A 4. W.O. Number: 2926509
- 5. Original Construction Code Edition: 1971 Edition, Winter 1973 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Remove & install 36 new Pressurizer Heaters at the following Pressurizer Nozzle/Heater locations 1MRCEAO1 thru A18 and BO1 thru B18.
- 8. LI 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 heaters are being replaced as a proactive measure to prevent IGSCCof heater sheaths.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III ClI 1, 971 Edition 1973 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: ASME Sec. 1II, 1974 Ed., Winter 1975 Addenda, & Relief Request 30
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: LI YES Z NO Initial _N/A Date _ If required, include a step in the W.O. ý-p-rf -o, Preservice hnspec-.I.;.
- 15. ASME Section XI Pressure Test Require d: El YES Z NO Tfrpnilir~rt inc1,,de a *zten in thP..W C). for IRI &r ANTI 1nsn~ctionn Initial _N/A_ Date Dat 16. Include a step in fhe W'O. to complete NIS-2 Form prior to releasing the Initial Date component.
I17. Include a step in the W.O. to record below all applicable numbers for rep aired or Initial .rz.... Date replacement items. Item ID Part No. Serial No. Heat No. MR/POIWO No. PzrHtr 1MRCEAO1 APNOOO6 3/7 /ldVc/7-a c7 NIA MR /ti-J"j, Pzr.Htr-IMRCEA02 APNO00 9/ 3'v-7 ./ICJdi 3c'3 N/A MR //'*/i"Y2$., PzrHtrIMRCEA03 APN....
- j7/3 .. 7 "o""
.. ... '- ... N/A VT. 9 Pzr Htr 1MRCEA04 APN 0,o07I j 97 /L/f ,-/ 2. N/A MR qo"2, PzrHtr 1MRCEA05 APN o00q13537 Mn.NO3;B MoI-pl N/A MR Li Y9.?
Pzr Htr 1MRCEA06 APN ()40 fJ )32S. A/O, 9 / - Y N/A - MRYL-/>l 5? Pzr Htr 1MRCEA07 .J ,3 M032).
",f/6,6 - 2 1/ N/A MR Y'7 )7 PzrHtrlMRCEA08 APN6. /O - ,/72 N/A MR /IY7297
- 18. Planner %-- Printed Name: Herbert L. Green
'/1' ignat~re vDate 2
- 19. ISI pcAe,Ate" Z. Z;-c-14-4./-4 -7t7,6 Printed Name: h X T,1,-Z7. P Log Entry -
>0"--I ISig*afure Date
- 20. ANIIJJ 44 ,a 19,6*/Cr.printed Name: ___________________
- ig ture / Date U 73DP-97Z1; K~' ~
PV2I 6-OSNI(6-68) FV216-08Nt (8-88) 73DP-9ZZ17'Rev Y
ASME SECTION XI - REPAIR / REPLACEMENT Page 2 of 2 Component Continuation: Work Order Number: 2926509 Item ID Part No. Serial No. Heat No. MR/PO/WO No. PZRHTR IMRCEA09 APN voo-9i307 M0,50133- 07 N/A MR oII45911 PZRHTR 1MRCEA10 APN600 9'4,8 /$VCOf6,/ - 2? N/A MR //JLq PZRHTR 1MRCEAll APN OOo6/-,- N/A MR [i[Y7.27 7 PZRHTR IMRCEA12 APN 00 JO I,,- 6 /-27 6/./ N/A MR 1/97,277 PZRHTR 1MRCEA13 APN( 4C7 ?gQj,?,g I V,/Ori&& -C'ý6 N/A MR [jq 7.2? 7 PZRHTR 1MRCEA14 APN ooQ9130*7 Noo5013- /5 N/A MR 0119 PZR HTR IMRCEA15 APN po IlJQ-5VJ3-Qt N/A MRp0/gq5qo PZRHTR 1MRCEA16 APNd060 Fg,2, ,tlof6/-1I- N/A MR I It-77 17 PZR HTR'1MRCEA17 APN OOo ?9j. 7 /loJ"-/- t ,J N/A MR ILL2.,i" PZR HTR 1MRCEA18 APN O0'c ,j.), //'-Oyc'/- c' 7 N/A MR i ?,,17 PZR HTR 1MRCEB01 APN o00013137 NQOS 1 3 N/A MR O1) 5.4);L PZRHTR 1MRCEB02 APN o!p*1['7 .uO5pii'-f- N/A MR 0 11,14 PZRHTR1MRCEB03 APN 1387.7 sYo
,50/- 10 N/A MR t14/q -5,7,2&
PZR HTR 1MRCEB04 AiPNOaI-Y63J28 -j06*jJ,,"3 , MR 1/117.2T7 PZRHTRIMRCEB05 APN o00q J5,q7 uhsouEg-V4 N/A MR )1I5q,ý) 8 PZRHTR1MRCEB06 APN OoO 7*BJ2,9 1,10rd"/-[. N/A MR / it 72 T -7 PZRHTR1MRCEa07 APN 0cq19.3B7 mO 36,p8tbi.-,.t N/A MR tlIq 5q,.?) PZR HTR 1MRCEB08 APN Q QQ 138"7 mM-, N/A MR 90118 PZR HTR 1MRCEB09 APN (5)6qi3p7 ND/r /3 J -j N/A MR D q5 1.) PZRHTR 1MRCEB10 APN ,Dj"',gI387 MO,*',,'*ol-t9 N/A MR 1211 q 619 , PZRHTRIMRCEB11 APN (6,'9(qj_.,37 A/ 5"0)3-tgZ N/A MR (*111,571cg PZRHTR IMRCEB12 APN CO" ?,,,- 61 -t*c
*i/'7 N/A MR. L// 7,717 PZR HTR:1MRCEB13 APN. po 3jj!j*,7 vo 1o3- r,>5 N/A MR PZRHTRIMRCEB14 APN toýgg/ -,67 4o o-() N/A MR 61)q5 PZR HTR 1MRCEB 15 APN OO a'0,.?- I/OJ-,O 6M1- O'? N/A MR []q 7 - 7 PZR HTR 1MRCEB 16 APN 7O7C~ ?g07,
- _IO_"_ _ N/A MR .._.9'7" PZRHTR1MRCEB17 APN 67,0 lv'7 1*f"-26 /-o&- e N/A MR (972? 7 PZR HTR 1MRCEB18 APN ( N/A MR 6)
- 18. Planner "lA'j_, /e',. Printed Name: Herbert L. Green
.. ...Sig tur Date
- 19. ISI .4 /ýre.a . T,. ?V/'i rinted Name:
.. dSignature I Date 40.04A7- J114~o- Enry
- 20. A? /1.v-U,. Y/,urinted Name:
F' E(FY93Xer I()
/ý 'Tgnature
~ e~L1~~i~ U1 .JO&V~ ~
w Date -V I> 73DP.9ZZ17 e,~~k
L F 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: 09/22/2006 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 5
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2926509
- 3. Work Performed by: Arizona Public Service Company 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 1361-2 (b) Applicable Edition of Section X I 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 N05013-09 N/A 1MRCEAO0 N/A Replacement YES Pressurizer Heater Doosan N05013-03 N/A 1MRCEA02 N/A Replacement YES Pressurizer Heater Doosan N3028M01-18 N/A 1MRCEA03 N/A Replacement YES Pressurizer Heater Doosan N05013-02 N/A 1MRCEA04 N/A Replacement YES
- 7. Descriptiin of Work: Remove 35& install 35 new Pressurizer Heaters at the following Pressurizer Nozzle/Heater locations IMRCEAOI thru A 8.andBO1 thtu Bl 7.
- 8. Test Conducted: Hydrostatic El Pneumatic E Nominal Operating Pressure FI Exempt 0 N-416-2 F] 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 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 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: 09/22/2006 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 2 of 5
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2926509
- 3. Work Performed by: Arizona Public Service Company 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 I
- 5. (a) Applicable Construction Code ASME Section III NB. Class 1 1971 Edition, Winter 1973 Addenda, Code Case 1361-2 (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 N03028M01-21 N/A 1MRCEA05 N/A Replacement YES Pressurizer Heater Doosan N05061-13 N/A 1MRCEA06 N/A Replacement YES Pressurizer Heater Doosan N05061-24 N/A 1MRCEA07 N/A Replacement YES Pressurizer Heater Doosan N05061-21 N/A IMRCEA08 N/A Replacement YES Pressurizer Heater Doosan N05.013-07 N/A I MRCEA09 N/A Replacement YES Pressurizer Heater Doosan N05061-26 N/A 1MRCEA00 N/A Replacement YES Pressurizer Heater Doosan N05061-25 N/A IMRCEA I N/A Replacement YES Pressurizer Heater Doosan N05061-27 N/A 1MRCEA12 N/A Replacement YES Pressurizer Heater Doosan N05061-06 N/A IMRCEA13 N/A Replacement YES Pressurizer Heater Doosan N05013-15 N/A IMRCEA14 N/A Replacement YES Pressurizer Heater Doosan N05013-04 N/A IMRCEA15 N/A Replacement YES Pressurizer Heater Doosan N05061-01 N/A IMRCEA16 N/A Replacement YES Pressurizer Heater Doosan N05061-03 N/A 1MRCEA17 N/A 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: 09/22/2006 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: . 3 of 5
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2926509
- 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 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 1361-2 (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 N05061-07 N/A 1MRCEA18 N/A Replacement YES Pressurizer Heater Doosan N05013-13 N/A 1MRCEB01 N/A Replacement YES Pressurizer Heater Doosan N05013-11 N/A IMRCEB02 N/A Replacement YES Pressurizer Heater Doosan N05013-10 N/A IMRCEB03 N/A Replacement YES Pressurizer Heater Doosan N05061-29 N/A 1MRCEB04 N/A Replacement YES Pressurizer Heater Doosan N05013-14 N/A 1MRCEB045 N/A Replacement YES Pressurizer Heater Doosan N05061-23 N/A 1MRCEB06 N/A Replacement YES Pressurizer Heater Doosan N050123 N/A 1MRCEB07 N/A Replacement YES Pressurizer Heater Doosan N03028M01-20 N/A 1MRCEB08 N/A Replacement YES Pressurizer Heater Doosan N05013-12 N/A IMRCEB09 N/A Replacement YES Pressurizer Heater Doosan N03028M1I-19 N/A 1MRCEB0 N/A Replacement YES VA 2 Pressurizer Heater Doosan N05013-05 N/A 1MRCEBl 1 N/A Replacement' YES Pressurizer Heater Doosan N05061-19 N/A 1MRCEB 12 N/A Replacement YES
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI A
- 1. Owner: Arizona Public Service Company, et. al. Date: 09/22/2006
/P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 4 of 5
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2926509
- 3. Work Performed by: Arizona Public Service Company Type of Code Stamp None Authorization No. N/A Expiration Date N/l -
- 4. Identification of System: Reactor Coolant System (RC), ASME Section III, Class I
- 5. (a) Applicable Construction Code ASME Section III NB, Class 1 1971 Edition, Winter 1973 Addenda, Code Case 1361-2 (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components I 1 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)
Pressurizer Heater Doosan N05013-08 N/A IMRCEB13 N/A Replacement YES Pressurizer Heater Doosan N05013-01 N/A IMRCEB14 N/A Replacement YES Pressurizer Heater Doosan N05061-09 N/A 1MRCEB15 N/A Replacement YES Pressurizer Heater Doosan N05061-04 N/A IMRCEB16 N/A Replacement YES Pressurizer Heater Doosan N05061-10 N/A 1MRCEB17 N/A Replacement YES Pressurizer Heater N/A Plugged N/A N/A 1MRCEB 18 N/A Replacement YES IAW DIWO 2928459
'I FORM NIS-2 (Back) Sheet 5 of 5 Remarks: Remove 35 & install 35 new Pressurizer Heaters at the following Pressurizer Nozzle/Heater locations 1MRCEA01 thru Al1 and BOl thru B17. Work to be performed IAW work order 2926509. 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 N/A Certificate of Authopz)ion N. N/A ExpiratiionDate: N/A Signed: /*x*_/* . 7/*/ 2 Date: 41*/*(* S ne:O/vner'or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have
,inspected the components described in this Owner's report during the period of -*-Z_-01_
to __-_-0_ _ _ , and state that to the best of my knowledge and belief, the Owner has performed
,examinations and taken corrective measures described in this Owner's Report in accordance with the requiremnents of the ASME Code, Section XI.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
<1-A Commissions: .. c Az.. .4 National Board, State, Province, and Endorsements 4d~spectors Signature Date:
1..! a.- 73DP-9ZZI 7 Rev 9 PV216-08N1 (8-88) P\'216-OSNI (8-88) 73 DP-9ZZ 17 Rev 9
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. Mnufactdued by DOOSAN HEAVY INDUSTRIES &CONSTRUCTION CO.,LTD. 555,GUYGOK4.)4NG, CKAVNGWOH, KYUNGNAM. KOREA.
(M-. -M WddS -f "PT Coref-A 94a"I
- 2. Manufactured tr KOREA HYDRO &NUCLEAR POWER CO., LTD. 167,SAMSUNG-DONGKANGNAM-KU,SEOUL,KOREA.
- 3. Location of Ikstaation ULCHIN NUCLEAR POWER PLANT UNIT 5, 6 184-4 BUGU,-RI BUK-MYUN ULCHMN-GUN KYUNtGSANGBUK-OO
- 4. Type: D-N03028-22185-MOI Rev.0 SA213-TP316/SA479-TP316 75 ksi NJA 2004 Id-n M0 ) fuI ~ (VýAe suiengt ICOW) (6f b,#1 5ASME Code.Seion III.LI'L-Am 1': 1992 A94(DEC.31.94) I NIA
$.Fabricated in accordnce with Const Spec. (Div. 2 only) N/A Revisionx WA Date WA I-., 7.Retaks: 1. ITEM NAME : PRESSURIZER HEATER
- 2. ( )" - DOOSAN No.
8.14M. dickness (In.) -0.190' Ufrt. design Uliltness (in.) 0.180r Dia. 10 (ft & in.) 0,19T' Length overAl (ft & in-) 98.74' 9.WhOri a POaesble, CedotficaHi! a Reporis are attached for each item of this report: C4de-- Part or Appurbaenance Serialar oiN. No.er I Part or Appurtenarnce Social Number 1 I National Boar~d ueia Nc. re Socil Nuber.In Numerical Order () N030231001-19 NWA (DN-139) t) (213) _ _ _ _ _ _ _ _ (2) N0302BM01-19. NIA LDN-140Y* (27) (3) 'NO302BMD1 -20 NIA (ON-141Y' (4) NO3028MWi.21 WA (DN-142)' 0 (29) _ _ _ _ _ _ (5) N03028M01 -22 W/A (DN-.143Y o (30)__ _ _ _ _ _ __ _ _ _ (6) N00a28M01-23 NWA (ON-14.4)- (7) N0302816401-24 NWA (D)N-145)' (33) _ _ _ _ _ _ _ _ _ _ _ _ _ (9) (34) _ _ _ _ _ (10) _____________ ___________ _ (35) _ _ _ _ _ _ (11) _______________ ______________ (37)__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (12) (39)__ _ _ _ _ _ _ J40) _ _ _ _ _ _ _ _ _ _ _ (41) _____________ ____________ (17) (18) (19) ___________ (44) _ _ _ _ _ _ _ _ _ _ _ _ _ (20)__ _ _ _ _ _ __ _ _ _ _ _ (45) ______________ __________ (21) (46) _ _ _ _ _ _ _ _ _ _ _ _ _ (22) (47) _____________ ___________ _ (23) (48)__ _ _ _ _ _ (24) (49])______________ (25)__ _ _ _ _ _ _ _ _ _ _ _ (50)__ _ _ _ _ _ I 10.13essW pressure 2500 psi. Temp. M0 Iydro. test pressure HF 2125 psi at temp. 70
*Supplemtental einormation in the form of lisis. sketches, or O..inqs ,maybe used pfo~ded (1) size isa8 ,( 11, (2) infeSorrtlo in s.e 2 artd 3 on this Data Repftt is included on each stret. (3) each sheet is erume4d and the numbher a of t-eetu is rctrded at thretop of lIre on This form (EPO0dO) may be obtaitned trotS the Order Dept., ASIAE. 22 LaweDrive. Boo 2300. Fairfmied.NJ 07007-2300 5
FORM N-2 (Back - Pg. 2 ofD Gmtficate Holders Sert Nos. N03O208M0-18, through N03028MA1-24 CERTFICATION OF DESIGN Design specifications certified by J.Y.LEE PE.Stato OREGON Rag.noý 19235 f- ,l Design repop* certified by J.Y.PARK P.E.Slate GEORGIA Regxno. 20667 CER"nFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that this (these) PART cainmrs to emsruls of consuon the ASME Code. Section III, Divislon 1. NWT Certificate of Autlho No. N-2767 Exprs JANUARY. 8. 2006
/'
Daft'e , Name DOOSAN HEAVY INDUSTRIES & CONT.CO.LTD. Signed WPT Cee4.WAbf -- CERTIFICATE OF.SHOP INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Geller and Pressure Vessel Inspectors and the Stale or Province of 7t.LU *JO( and employed by Hardr t~dem" BoileroCT of CONN. have inspected these items described In this Data Report on ,nd a//?i%state that to the best of my knowledge and belief, the Cerlificate Holder has fabricated these parts or appurtenances in accordance with ASME Code. Section Ill, Division 1. Each part listed has been authorized for stampitig on the date-shown above. By signing 'this certificate, neither the inspector nor his employer makes any warranrty, expressed or implied, concerning the equipment descrtbed 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 trom or connected with this inspection. oate &MAUI/ Signed, , *mmissions (Aulhoized 4-9p6cWr I~a1t't.d.tlocl.&ndor;m-ntsl nod stall or worr*.aord rwo.] 6
40 .- 008 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 by DOOSAN HEAVY INDUSTRIES & CONSTRUCTION CO.,LTD. 555,GUYGOK-DONG, CHANGWON, KYUNGNAM, KOREA (nam "n* ddrwesof NPT Cerlitifte Hddwi
- 2. Manufactured for KOREA HYDRO & NUCLEAR POWER CO.. LTD. 167,SAMSUNG-DONG,kANGNAM-KU,SEOUL.KOREA.
(name and addrVss d purdc8"r)
- 3. Location of instafatijon ULCHIN NUCLEAR POWER PLANT UNIT 5,6. M4-4 BUGU-RI 8UK-MYUN ULCHIN-GUN KYUNGSANGBUK-DO (mrme and ddrasa)
- 4. Type: D-N05013-22185-MOI Rev.1 SA213-TP316/SA479-TP31B 75 ksl N/A 2006 (drowoMi no.) (man. spee.o.) (terage seNalhi) (R) (year bubil) 5.ASME Code,Section 1li.Division 1 1992 A94(DEC.31.'94) 1 N/A (edltlon) lddidee data) (ca.a) (Cade oSdeMT.
$.Fabricated in accordance with Const. Spec. (Div. 2 only) N/A Revision N/A Date N/A (no.)
7.Remarks: 1. ITEM NAME: PRESSURIZER HEATER
- 2. ( )*: DOOSAN No.
- 3. -: EXTERNAL TEST FINAL ACCEPTANCE TESTING IS SYSTEM PRESSURE TEST
/
B.Nom, thickness (in.) 0.190" Min. design thickness (in.) 0.180, DOa. ID (ft & in.) 0.B92 Length overall (ft & In.) 98.74" 9.When applicable, Certificate Holder' Data Reports are attached for each item of this report-National' National Part or Appurtenanceo Nation Part or Appurtenance Serial Number Board No. Board No. Seria! Numiber in Numericna Order In Numerical Order (1) N05013-01 N/A (DN-2705), (26) (2) N05013-02 WNA (DN-2706)* (27) (3) N05013-03 NIA (DN-2707)* (28) (4) N05013-04. N/A .(DN-2708)" (29) (5) N05013-05 N/A (DN-2709) (30) (D) N05013-05 N/A (DN-271 0)" (31) (7) N05013-07 N/A (DN-2711)" (32) (1) N05013-08 N/A (DN-2712r (33) (91 N05013-09 N/A (DN-2713) (34)
+
(10) N05013-10 N/A (DN-2714) (35) (11) N05013-11 N/A (DN-2715)- (38) _ _ _ _ _ _ _ (12) N05013-12 N/A (DN-2716). (37) _______________ _______________ (13) N05013-.13 N/A (DN-2717) * (14) N05013-14 N.A (DN2718)- (39) __________________ (15) N05013-15 N/A (DN-2719).. (40) _____________ ____________ (16) N05013-16' NIA (DN-2720)" (41) _____________ ____________ (17) N/A (DN-2721)r N05013-17 (42) ____________ ___________ N05013-18 N/A (DN-2722)" (43) ______________ _____________ (19) (44). _ _ _ (20) (4.5) _____________ ___________ _ (21) t46) __ _ _ _ _ _ __ _ _ _ _ _ (22) (47)j (23) (46) ______________ _____________ (24) (49) ______________ _____________ (25) (50)__ _ _ _ _ _ __ _ _ _ _ _ 10.Design pressure 2500 psi. Temp. 800 'F. Hydro. test pressure- 3125 psi at temp. 70 'F "Supplemenltal Information in the form of lists, sketches, or drawings may be used provided (1) size Is 8 ' X 11, (2) information In it*mes 2 and 3 on this Data Repon, is Included on each sheet. (3) each sheet Is numbered and the number of sheeta Is recorded at the top of this form. This fort (EO040) may be obtained fromnthe Order Dept, ASME. 22 Law Drive, Box 2300, fairfield. NJ 07007.230C
009 FORM N-2 (Back - Pg. 2 of ?J Certificate Holders Serial Nos. N05013-01 through N05013-18 CERTIFICATiON OF DESIGN Design specifications cartiled by J.Y.LEE P.E.State O)REGONý Reg.no. 19235 (hwheapaile) Design repor" certified by JY.PARK P.E.State GEORGIA Reg.no, 20667 CERTIFICATE OF COMPUANCE W6 certify that the statements made in this report are correct and that this (these) PART confomns to the rules of construction of the ASME Code, Section ill, Division 1. NFPT Certificate of Authorization No. N-2767 Expires JANUARY. 8. 2009 Date./~~ Name DOOSAN HEAVY INDUSTRIES & CONT.CO.LTD. Signed s7
'( rGf~aeHolder) (2uthanzedmpn~seret~veIl 1 CERTIFICATE OF SHOP INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the Stats or Province of i j/d.i-'*,- and employed by Hatord StmBOW ofCT of CONN. have inspected these items described In this Data Report on - 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 IU1,Division 1. Each part listed has been authorized for stamping on the date shown above.
By signing this certlficate/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 I o rty da'ge or a loss of any kind arising from or connected with this inspection. Date_____ Signq,_ Commissions 4Z 3 (Aulhorized Inspe*tor) jNaI'I.9d.(lnc1:endoramansl and state or Prov.and no.)
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. 1 of 2
- 1. Manufactured by DOOSAN HEAVY INDUSTRIES &CONSTRUCTION CO.,LTD. 555,GUYGOK-DONG, CHANGWON, KYUNGNAM, KOREk (name and address of NPT Certificate Holder)
- 2. Manufactured for KOREA HYDRO & NUCLEAR POWER CO., LTD. 167,SAMSUNG-DONG,KANGNAM-KU,SEOUL,KOREA.
(name and address of purchaser)
- 3. Location of installation YONGGWANG NUCLEAR POWER PLANT UNIT 3A4 / 517 KYEMA-RI HONGNONG-EUP YONGGWANG-GUN (name and address)
- 4. Type: D-N05061-22185-M01 Rev.0 SA213 TP316/SA479 TP316 75 ksi N/A 2006 (drawing no.) . (marL spez. no.) (tensile strength) (CRN) (year built) 5.ASME CodeSection Ill,Division 1 1992 A93(DEC.31.'93) 1 N/A (edition) (addenda data) (class) (Code Case no.)
6Fabricated in accordance with Const. Spec. (Div. 2 only) N/A Revision N/A Date N/A (no.) 7.Remarks: 1. ITEM NAME : PRESSURIZER HEATER
- 2. ( )*: DOOSAN No.
- 3. -: EXTERNAL TEST FINAL ACCEPTANCE TESTING IS SYSTEM PRESSURE TEST B.Nom. thickness (it.) 0.190' Min. design thickness (in.) 0.180" Dia. ID (ft & in.) 0.892" ; Length overall (ft & in.) 98.74" 9.When applicable, Certificate Holder' Data Reports are attached for each Item of this report :
National National Part or Appurtenance Board No. Part or Appurtenance Board No. Serial Number Serial Number In Numerical Order In Numerical Order. (1) N05061-01 N/A (DN'2723)* (26) (2) N05061-03 N/A (DN-2725)- (27) I (3) N05061-04 N/A-(DN-2726)* (28) (4) N05061-06 N/A (DN-2728)* (29) (5) N05061-07 N/A (DNz2729)- (30) (6) N05061-09 N/A (DNt2731)* (31) (7) N05061-10 J N/A.(DN-2732)* (32) (8) N05061-13 N/A (DN-2735)* (33) (9) N05061-19 N/A (DN-2741)* (34) (10) N05061-21 N/A (DN-2743)* (35) (11) N05061-23 N/A (DN-2745)* (36) (12) N05061-24 N/A (DN-2746)" 1 (37) (13) N05061-25 N/A (DN-2747)* (38) (14) N05061-26 N/A (DN-2748)* (39) (15) N05061-27 N/A(DN-2749) . (40) (16) N05061 *29 N/A (DN-2751)* (41) (17) (42) (18) ______________ ____________ (43) (19) _____________ ___________ _ (44)
.4.
(20) (21) (22) (23)j (45) (46) (47) ____ ____ _ I (48) (24) (49) (25) "F. (50) 10.Design pressure 2500 psi. Temp. 800 "F. Hydro. test pressure ** 3125 psi at temp. 70 " iupplemental information in the form of lists, sketches,'or drawings may be used provided (1) size is 8 %X 11, (2) information in itents 2 and 3 on this Data Report included on each sheet, (3) each sheet is numbered and the number of sheets is recorded at the top of this form. This form (F00040)may be obtained from the Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300
.06
FORM N-2 (Back - Pg. 2 of2.J Certificate Holder's Sedal Nos. N05061-01.03,04,06.07,09.10,13,19.21.23 through N05061-27.29 CERTIFICATION OF DESIGN Design specifications certified by DONALD.R.WADE P.E.State PENNSYLVANIA Reg.no. PE-008129-E (when applicable) Design report* certified by FRANK.P.HILL P.E.State TENNESSEE Reg.no. 5275 (when applicable) CERTIFICATE OF 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, Section ItI, Division 1. NPT Certificate of Authorization No. N-2767 Expires JANUARY. 8. 2009 Date ~ 2 Name DOOSAN HEAVY INDUSTRIES & CONT.CO-LTD. Signed ~ ~ (NPT Certlfica--Rolder) . (authorizec representative) 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 or Province of *jJ, 4J 4 , and employed by Hartford Steam Boiler of CT of CONN. have inspected these items described in this Data Report on 2z:,-I 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, Sectionillt, Division 1. Each part listed ha-s 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 injurm a loss o any kind arising from or connected with this inspection.
- Date. Sgndw ýfff C:oinmissions P )-,E-* -3 (Authorized Irispector) [Nat'l.5d.(i ni.endorsements) and state or prov.and no.)
007
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1MRCEX02 2.. Item
Description:
Pressurizer
- 3. N-5 Data Package*Number: 1RC01-4 4. W.O. Number: 2928459
- 5. Original Construction Code Edition: 1971 Edition, Winter 1973 Addenda
- 6. Original Installation Code Edition: 1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Install a plug in the Pressurizer at IMRCEB18 location per ENG-DF01 2928426
- 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:
Electrical portion of the heater failed. No failure of the ASME pressure boundary
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III ClI 1, 1971 Edition 1973 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [ YES [ NO Initial /J/*4 Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: , q-Ox- 'ýYEs $ 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 for permanent service or power operation.
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial .Z Date 4 -9 6
-replacement C items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Shop Fabricated Heater APN 00076370 N/A 417310 MR 1147301 Plug 4 4. 4 4 t 6 4 4 t 6 9 4. Printed Name: - .A , Printed Name: oF./*ec'JA,ýc.',,-'. Log Entry Z:4-1..
- 20. ANII *~/~ q-..30 -
Printed Name: Signattl Date n~. PV211641bNI (8-98) FVZj9.VUPl (8-86) -. 73DP.9Z2 7 R~ 9 73DP-g.9Z17 P-v9
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 Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2928459
- 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
- 5. (a) Applicable Construction Code ASME Section III NB, Class 1 1971 Edition, Winter 1973 Addenda, 1361-2 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)
Pressurizer Combustion 78373 22234 1MRCEX02 1978 Repaired YES Engineering
- 7. Description of Work: Install.a Pressurizer Sleeve plug per DFWO 2928426
- 8. Test Conducted: Hydrostatic FI Pneumatic [l Nominal Operating Pressur Exempt4 N-416-2 F] Other Pressure __ psi Test Temperature __O_ 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) inforination 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) 0 U7n
- 9. Remarks: Work Order 2928459 fabricated and installed a sleeve plug in the Pressurizer at heater 1MCEB 18 per the requirements of ENG-DF01 2928426.
Pre-Pressured Test WO Review - ISI ,Al>/ ANII Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to:1the rules of the ASME Code, Section XI. Type Code Symbol Stamp N/A Certificate of Authoriza ' No. N/A Expiration Date: N/A Signed: / - /6/ eJ/ ) Date: 6 0 "Ownlo--wner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut, have inspected the components described in this Owner's report during the period of - to ,o-.- Zx- , 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 National Board, State, Province, and Endorsements Inspectors Signature IB Date: I-PV216-08N1 (8-88) 73DP-9ZZ17 Rev 9 PV216-08NI (8-88) 73DP-9ZZ17 Rev9
ASME SECTION XI - REPAIR / REPLACEMENT Page L of
- 1. Component ID IPSIBLI12 2.. Item
Description:
Safety Injection (SI) piping.
- 3. N-5 Data Package Number: 1SI09-3 4. W.O. Number: 2932479
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Replace a section of pipe 1PSIBLI 12, spool N0OD, downstream of valve 1JSIBUV0667 in accordance with instructions provided in work order 2932479
- 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:
The pipe is being replaced due to leaking hole most likely caused by cavitation. CRDR #2932504 will provide additional evaluation once completed. luation
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2. 1974 Edition 1975 Winter Addenda
/
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [] YES [ NO Initial _ Date 1_01116 6ý If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: [ YES FE 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 verify NIS-2 Form has been complete d by Initial Date £690t0 & - ISI & ANII prior to approving INP525 Status.
Initial
- 6 Date __"__3__0
- 17. Include a step in the W.O. to record.below all applicable numbers for replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. 1PSIBLl112 APN 43510414 N/A NI_'__-- I__ A______ ___
- 18. Planner "4i77I,7 Printed Name: *ei -c ,e-'
,O Signature Date
- 19. 1SIT /O/3 /06 Printed Name: POT&--ý 10 Log Entry Signature - sate
- 20. ANII A Printed Name: _
Signatk Date PV216 08NI 5 88
ASME SECTION XI - REPAIR / REPLACEMENT Page . of ý
- 1. ComponentID 1-SI-112-H-00A 2.. Item
Description:
Safety Injection (SI) pipe support.
- 3. N-5 Data Package Number: 1SI09-3 4. W.O. Number: 2932479
- 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 install Dummy pipe on pipe support 1-SI-i 12-HOOA to support pipe replacement on pipe line 1PSIBL 112, spool NOOD in accordance with instructions provided in work order 2932479
- 8. F- ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Rewelding of this weld is due to replacement of the SI pipe section leak most likely due to cavitation.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservic Ispection Require& -"'YES " NO NO L'jr'
"/-P.. .
Initial Date A1 -c If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Se tion XI Pressure Test Required: [:1 YES Z NO Initial
- Date MX ,k , If required, include a step in the W.O. for ISI & ANII Inspection.
Initial Dat Date
,16. Include a step in the W.O. to verify NIS-2 Form has been completed by ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial
- Date replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No.
- 18. Planner * "'at f~re . 11/z312g E
Dte Printed Name: 2!k-,A?%de7 *
- 19. ISI 1_____/0Z111__0(-_ PrintedName: ___/__________Log Entry. Q
/Sinature date
- 20. ANII__ ig_____re ______-____ate Printed Name: _
Si xaure Date P\'v216-ONl (81-88) 73DP-9ZZI 7 R.v9
w I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code. Section XI
- 1. Owner: Arizona Public Service Company, et. al. Date: 10/15/2006 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2932479
- 3. Work Performed by: Arizona Public Service Co. Type of Code Stamp None 5801 S. Wintersburv Rd.. TonoDah. Arizona, 85354-7529 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, 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) Pipe Bechtel Power ISII 12N00D N/A 1SI 112NOOD-0 1983 Repaired YES Hanger Bechtel Power N/A N/A 1SII 12HOOA 1983 Repaired YES
- 7. Description of Work: Replace pipe spool and reweld hanger dummy pipe to baseplate
- 8. Test Conducted: Hydrostatic [ Pneumatic E] Nominal Operating Pressure [ Exempt N N-416-2 E Other 0 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 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.
IFORM NIS-2 (Back)
. W.O. 2932479 replaced piDe spool ISI 1I2NOOD between valve 1JSIBUVO667 and the downstream pipe tee. The dummy pipe on 1IS112HOOA was replaced. The dummy leg to base plate weld was also performed under W.O. 2932479.
The pipe to dummy leg weld was accomplished under W.O. 2932705., 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: .5,e , -T7.*. x_aV,,,,,v' Date: /9 !/F,5 -, 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 ,t- ,- o. to ko- IS-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.
-$z~s -
Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements 3 Inspectors Signature Date: '0i>-(EOL( 1,.ýý 7........Rev.
-'V-E092 Ve 7 Bak
`V-E0092 Ver. 7 Back 73DP-9ZZ1 7 Rev 8
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. ComponentID 1SI112HOOA 2.. Item
Description:
Hanger for HPSI Pump 2 Discharge Header To Refuel Water Tank
- 3. N-5 Data Package Number: 1SI09-3 4. W.O. Number: 2932705
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Fabricate and install a new hanger support pipe per EDC 2006-00961 and DMWO 2932663
- 8. 13 ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Replacing the support pipe in support of CMWO 2932479
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: YES "NO Initial ,VJ Date / U / .'*' If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Requiredd: El YES [Z NO If required, include a step in the W.O. for ISI & ANII Inspection.
Initial . Date
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial e--2 Date /0..-/ ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial 4* *_ Date ./O q-'-O6 replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Hanger Support Pipe APN 43510414 _/T77C2 -' MR 152114
- 18. Planner 1 -"i S:-
iý
% K,_/ ,..- /z /'
Date
. Printed Name: -!5- "40'.7411S
- 19. ISI ,_ i-t 1 , , ,- , Printed Name: 12, /A/JV/o,, Log Entry _
Signature. Date q I 20. ANII I PV216-OSNI(8-88)
,- 7- &Q6 Signature 7-k--' 6/V ,/7/ 7-,
Date Z <J Printed Name: 73DP-9ZZI? R-~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: 10/13/2006 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road.. Tononah. Arizona 85354-7529 Work Order Number 2932705
- 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 Identification Built Replacement Code No. Stamped (Yes or No)
Hanger Bechtel Power N/A N/A 1SI112HOOA 1983 Repaired YES 4 4 4 4 4 4. 4. 4 4 4 4 4 4. 4.
- 7. Description of Work: Renlace the hanger sunnort nine
- 8. Test Conducted: Hydrostatic El Pneumatic R. Nominal Operating Pressure [ Exempt [
N-416-2 L1 Other Pressure _ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/22 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered E and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back) '9. Remarks: Work order 2932705 replaced the Support Pipe on 1I1 12H00A per 13-SI-I 12-H-00A, DFWO 2932663 and EDC 2006-00961. Pre-Pressured Test WO Review - ISI Al 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 Authorization No. N/A Expiration Date: N/A Signed: /~/ ~Date: #7/ 40;6 Ow2 ner 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 io- ,-o , to 6 - k-0-, , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or-a loss of any kind arising from or connected with this inspection. _24 Commissions: NB 9685 "N" "I" AZ264 Inspectors Signature National Board, State, Province, and Endorsements Date:___ ___ ___ __ _ I-(8-8) Pv21-08N 7DP-9Z17 evI PV216-08NI (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT I1. Component ID 1JSIBUV667 l Ul Page of I 2.. Item
Description:
Safety Iniection (SI) HPSI "B" to the RWT isolation valve.
- 3. N-5 Data Package Number: 1SI09-3 4. W.O. Number: 2932833
- 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 1JSIBUV667 on line 1PSIBLI 12 in accordance with instructions provided in work order 2932833.
- 8. F- 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 this component is most likely due to cavitation.Structural intgrity of the replacement valve will be monitored as per CRDR 2932507 disposition.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2. 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: E YES F- NO SInitial** ae*/,*
If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Require d: [ YES El NO
'IInitial Date 1'e Z.- If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial Date ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial Date replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. IJSIBUV667 APN 00050507 N/A
- 18. Planner ,QnL.4 emv_ý ý - ý Printed Name: 0 7ýý ý co 7ý Date
- 19. 1ST Printed Name: 4' 14d0Y 1S. Log Entry &2 f Signature Date
- 20. ANII 4; -2.32--0 Printed Name: ZfE- " 0e. ? -
Signatkl Date pV21(,-nBNI (9.88) P\'2,-flNI (-89)731)P.9ZZ17 R- 9
ComponentID 1-SI-112-H-00A ASME SECTION XI- REPAIR / REPLACEMENT IPage ý of 2.. Item
Description:
Safety Injection (SI) pipe support.
- 3. N-5 Data Package Number: IS109-3 4. W.O. Number: 2932833
- 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 reinstall 3/16" Fillet Weld for the Dummy pipe to plate weld on pipe support 1-SI-1 12-HOOA to support valve 1JSIBUV667 in accordance with instructions provided in work order 2932833
- 8. LI ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Rewelding of this support weld is due to replacement of valve 1JSIBUV667.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III CI 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: X NO
.0-ýe A4V YES Initial - Date '!l 47 If required, include a step in the W.O. to perform Preservice Inspection
.15. ASME Section XI Pressure Test Require d V YES A r 00'A-V6&O~~p If required, include a step in the W.O. for ISI & ANII Inspection.
*Initial *___ Date ,4/02
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial Date ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial Dae Date4 Z-7 replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No.
.9 .t .9
.9 .9 6 18 Planner ~ .9 Date
.9 4 9 Printed Name:_____________
19ature1"_____ ___ Date
- 19. ISI ; -".;-07 Printed Name:14e' I /PZ5 I/Xa"R Log Entry Sipnatuire Date
- 20. ANIIia Z -233-o7 Printed Name:
ISicmatu
'VI-ih. t& )7D-9Z7R
) Date PV2l6-0Nl (8-88) 711DP-97717 R-v9
ASME SECTION XI- REPAIR / REPLACEMENT Page _ of S,
- 1. Component ID 1-SI-112-H-00A
.2.. Item
Description:
Safety Injection (SI) pipe support.
- 3. N-5 Data Package Number: 1SI09-3 4. W.O. Number: 2932833
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda'
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Remove Dummy pipe on support 1-SI-1 12-HOOA and replace with a new pipe JAW EDC 2006-00961 in accordance with instructions provided in work order 2932833.
- 8. R 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 the support Dummy pipe is due to replacement of valve 1JSIBUV667.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2. 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: 0 YES [I NO Initial * / Date, 'S _
If required, include a step in the W.O. to perform Preservice Inspection ,1,15. ASME Section XI Pressure Test Require d: D YES ER 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 verify NIS-2 Form has been completed by Initial Date 444" ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial/,*l./ Date replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. 1-SI-112-H-00A APN 43510414 N/A 474900 MR 1232912
- 18. Planner/ Printed Name:
-Y-ý- &Date
- 19. ISI Printed Name: k.~T FPNALog EntryW-Signature Date
[2INN1 -7A SienatuKý
-Z-Date mVWmVin24.
, *ie. 1N:1mc:
PV21'-0:! '1 (8-88) Rý' 9 73DP-927Z17
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: 06-27-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number: 2932833
- 3. Work Performed by: Arizona Public Service Co. Type of Code Stamp: None 5801 S. Wintersburg Rd.. Tononah. Arizona. 85354-7529 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, 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 Borg Warner 51 N/A 1JSIBUVO667 1997 Replacement Yes Hanger N/A N/A N/A IS1 !12HOOA 2007 Replacement Yes
- 7. Description of Work: Replace valve IJSIBUVO667 and reinstall hanger ISI1 12HOOA dummy pipe.
- 8. Test Conducted: Hydrostatic El Pneumatic D Nominal Operating Pressure [ Exempt D N-416-2 E Other El Pressure __ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 /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.
IFORM NIS-2 (Back)
- 9. Remarks: Replace valve IJSTBUV667 and remove and reinstall hanger 1SI 12HOOA dummy pipe to plate weld. Ref work order 2932833.
Pre-Pressured Test WO Review - ISI aE~hý Lc;?7I107 ANII Certificate of Compliance We certify that the statements made in the report are correct and this repair conforms to the riles of the ASME Code, Section XI. Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: ______ f Date: *-<-I "Z::i O*xfefor 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 3-a-o-to ,.- Xb--? , 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 Inspectors Signature Date: Z*-o-I.- I PV.. (8. 8.. .. .... . .. ..... . . .. . . .. .. .. . ..... .. ... ... .. . . ....- 9Z 1- R ev....9 PV216-08NI (8-88) 73DP-9ZZI7 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page t of
- 1. Component ID 1PSIBL1I12 2.. Item
Description:
Safety Injection (SI) piping.
- 3. N-5 Data Package Number: 1S109-3 4. W.O.-'Nmber: 2932834
- 5. Original Construction Code Edition: 1974 Edition, Winter.1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Replace a 900 elbow and section of pipe on 1PSIBL112, spool NOOD. downstream of valve 1JSIBUV0667 in accordance with instructions provided in work order 2932834.
- 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:
Replacement of this comnonent is most likely due to cavitation. Structural intiritv of the renlacement nine will be mnonitoredas oer CRDR 2932507 disnosition.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [-] YES 0 NO Initial A'/4" Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Sec *on XI Pressure Test Required: Z YES . -1 NO Initial Date..
De If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to verify NIS-2 Form has been complete d by Initial / Date 74I 7,/- ISI & ANII prior to approving INP525 Status.
initial a "/ 17. Include a step in the W.O. to record below all applicable numbers f(or Initial
- Date *L/-,/0.L-.- replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. IPSIBL112 APN 43510414 N/A IPSIBLlI2 APN 43540474 N/A MCv, -I Mgfj(3jQ0j
- 18. Planner / -- 2/., Printed Name: - , -
&OV'Scigature .6"t,"
- 19. isI ' ,* 7 Printed Name:4/Z': ,/*9' Log Entry.
Signature Date 2
- 20. ANII -:Z6- ,--- Printed Name: P-.0 ,5.-rz ccrsoZ Signat Date PV'216-08N). f8-89) 73DP-9Z7]7 Re- 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: 02/17/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529 Work Order Number 2932834
- 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 Identification Built Replacement Code No. Stamped (Yes or No)
Pipe Bechtel Power 1SI112N00D N#A IPSIBL1 12, Spool 1983 Repaired YES NOOD
- 7. Description of Work: Replace a 900 elbow and section of pipe on 1PSIBL112. spool NOOD, downstream of valve 1JSIBUVO667 in accordance with instructions provided in work order 2932834
- 8. Test Conducted: Hydrostatic F-1 Pneumatic ] Nominal Operating Pressure E] Exempt D N-416-2 Z Other Pressure -")9 psi Test Temperature RO OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: eplace a 900 elbow and section of pipe on IPSIBLI 12, spool NOOD. downstream of valve 1JSIBUVO667 in accordance with instructions provided in work order 2932834 Pre-Pressured Test WO Review - ISI /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 rizationrN D-) N/A Expiration Date: N/A Sipned: 1J/ /
/'65 / !;;- 14 )/" . Da Date: - (-,-- - /, (/, -(;ý?
Owner or Owner's Designee, Title j CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid comunission 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'sreport during the period of _ _-2_Z-o ___ to C__-_____-_ -_ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his' employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage-or a loss of any kind arising from or connected with this inspection.
,ý7 Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements nspectors Signature Date:
I-73DP-9ZZ17 Rev 9 PV216-08N1 (8-88) Pv2l6-08N1 (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page k of
- 1. Component ID 1PSPAL098 2.. Item
Description:
Jacket water cooler inlet elbow
- 3. N-5 Data Package Number: 1SP01-2 4. W.O. Number: 2942222
- 5. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Weld repair of the flange area due to corrosion. 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:
Periodic weld build up of corroded area of the flange due to coating unbonding. After weld build up, the coating will be re-applied.
- 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: E YES [ NO
!nitialt/_45 Date 6 ".,../ 7' If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: [ YES F] NO Initial *./ 1Date /-- 07 If required, include a step in the W.O. for ISI & ANII Inspection.
Initia Date 11-, 7 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial ,Z /4,, Date 7"' ISI & ANII prior to approving INP525 Status. 4,De ,-' 17. Include a step in the W.O. to record below all applicable numbers for Initial ,, D replacement items. Item ID Part No. Serial No. Heat No. MR/POJWO No. 1PSPAL098 N/A 1SP098S004 WO 2942222
- 18. Planero*(#'ýJt Printed Name: J$1'a -A -f Sr&AV Signature Date
- 19. ISI Printed Name: t-*/-,f .,,*4,,i 4.!"Iog EntryA-Signature Date 220. ANII * -to* Printed-Name: *.*.*xo*
Signatui* Date FV,16-usm (8-8s) 13DP-q9zi7 Rev
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: 6/11/07 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2942222
- 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 NB, Class/' 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) Jacker water Pullman Kellog 1SP098S004 N/A 1PSPAL098 1979 Repaired YES inlet elbow
- 7. Description of Work: Weld build un of corroded area due to coating senaration from the flange. W.O. 2942222
- 8. Test Conducted: Hydrostatic fl Pneumatic [] Nominal Operating Pressure t Exempt [j N-416-2 R] - Other Pressure __ psi Test Temperature -7 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) -i-9. Remarks: Weld build up.of corroded area due to coating separation from the flange. W.O. 2942222 Pre-Pressured Test WO Review - ISI bWj,9 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 Authorization No. N/A Expiration Date: N/A Signed: Date: 6-49-7? 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 . - L--0 to .- t%-oi , 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
~Inspectors Signature Date: ;-ti-o7 I.-
73DP-9ZZ17 Rev 9 P-V216-08NI (8-88) k'v21t,-u8Nl (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1PCHAVM41 2.. Item
Description:
1" Dresser valve model 7250W
- 3. N-5 Data Package Number: 1RC03-1 4. W.O. Number: 2942937
- 5. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Weld replacement of valve.
- 8. El ISI Flaw NDE Method of Flaw 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 III pressure boundary. The valve is being replaced to correct repeated packing leakage.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec.III ClI 1, 1974 Edition 1975 Summer Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III C1 1, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: E- YES [ NO
/
Initial APZ:G Date 5-Jt7 -0 7 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: El YES [ NO Initial
- Date f- - If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in-the W.O. to verify NIS-2 Form has been completed by Initial. Date ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial Date -/Z,- replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Valve APN 45000244 5 MR 1222747
- 18. Planner - Printed Name: r,,A L).MlD f1,
- 19. ISI 4 Signature Date 2 Printed Name: -LogEntry 2413//2.ca/
4 Signature Date
- 20. ANII "2 -01 Printed Name: 6 Signatliý Date PVZI6-OSNI g18) 73DP-9ZZI7 Re 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: 6/17/2007 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersbur- Road.. Tonooah, Arizona 85354-7529 Work Order Number 2942937
- 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 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 No)
Valve Dresser H013AAP N/A 1PCHAVM41 1980 Replaced YES Valve Flowserve 59BGY N/A 1PCHAVM41 2006 Replacement YES
- 7. Description of Work: Weld replacement of valve.
- 8. Test Conducted: Hydrostatic fl Pneumatic El Nominal Operating Pressure [- Exempt Z N-416-2 [] Other Pressure __ psi Test Temperature OF C NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 V2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
ý9. Remarks: WO# 2942937 for valve 1PCHAVM41 will be weld replaced due to repeated packing leakage.
Pre-Pressured Test WO Review 1-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. XT/ A Type Code Symbol Stamp I N/ 2-% Certificate of Authorization No. N/A Expiration Date: N/A Signed:
- Date: ",*
`9c .- 7 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 C1(-_0-o7 to G-Q-, -71 , 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.
.,-7 L Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements
\1apectors Signature 6 0-7 Date:
U-73DP-9ZZ17 Rev 9 PV216-08NI (8-88) Pv216-08N1 (8-88) 73DP-9ZZ17 Rev 9
FORM NPV-1 N CERTIFI[- E HOLDERS' DATA REPORT FOR NUI.- -AR PUMPS OR VALVES* As Required by the Provisions of the ASME Code, Section III, Div. 1 Pg. I of 2 Manufactured by Flowserve Corporation, 1900 S. Saunders St., Raleigh, NC 27603 (Name and Address of N Certificate Holder)
- 2. Manufactured for Arizona Public Service P0 Box 52034 Phoenix, AZ 85072-2034 (Name and Address of Purcthaser or Owner)
- 3. Location of Installation APS- Palo Verde 5801 South Wintersburz Rd. Tonopah, AZ 85354 (Name and Address)
- 4. Pump or Valve. Valve Nominal Inlet Size Outlet Size 1I" (inh) (inch)
(a) Model No. (b) N Certificate (c) Canadian Series No. Holder's Registration (d) Drawing (f) Nat'l (g) Year or Type Serial No. No. No. (e) Class Bd. No. Built (1) 1690# 58BGY N/A ARZ-21508-(1) Rev. C 1 N/A 2006 - (2) 1690# 59BGY N/A ARZ-21508-(1) Rev. C I N/A 2006 (3) 1690# 60BGY N/A ARZ-21508-(l) Rev. C 1 N/A 2006 (4) (5) (6) (7) (8). (9) (10)
- 5. 1"-Class 1690# Stainless Steel Packed Y-Globe Valve (Brief description of service for which equipment was designed) 38809 Item 002 S. Design Conditions 2775 psi 650 I- or Valve Pressure Class 1690 (1j (P res.*,u'e) (Temperature)
- 7. Cold Working Pressure 4056 psi at 100 OF.
8.. Pressure Retainino Pieces Mark No. Material Spec. No. Manufacturer Remarks (a) Castings (b) Forgings . ....... 84703 SA182 Gr. F316 Larson Body Al SA182 Gr. F316 Trinity Bonnet 26594-1 SA479-316 DuBose Disc (1) For manually operated valves only
*Supplemental sheets in form of lists, sketches or drawings may be used provided (1) size is 8-1/2' x 11', (2) information in items 1, 2 and 5 on this Data Report is included on each sheet, and (3) each sheet is numbered and number of sheets is recorded at top of this form.
FORM NPV-1 (Back) Pg. 2 of 2 Valve S/N 58BGY throuqh 60BGY Mark No. Material Spec. No. Manufacturer Remarks (c) Bolting (d) Other Parts
- 9. Hydrostatic. test 6100 psi. Disk Differential test pressure 4465 p.*L CERTIFICATE OF COMPLIANCE WNe certify that the statements made in this report are correct and that this pump, or valve, conforms to the rules of construction of the ASME C,::*J fow Nudeai PowF. Piaitt .- omponents. S=ticn 11. Div. 1,., Edition Addenda Summer 1976 Code Case No. N/A Date /1- _
Signed Flowservt Corp. by . . - (N Certificate Holder) 41 Our ASME Certificate of Authorization No. N-1562 to use the N symbol expires 11-26-09 (N) (Date) CERTIFICATION OF DESIGN Design information on file at Fiowserve Corporation Raleigh, NC Stress analysis report (Class 1 only) on file at Flowserve Corporation Raleigh, NC Design specifications certified by (1) A. Bhattacharya PE State AZ Reg. No. 27603 Stress analysis certified by (1) T.C. Bartlett PE State PA Reg. No. 039036-E (1) Signature not required. List name only. CERTIFICATE OF SHOP INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of North Carolina and employed by HSB CT of Hartford Connecticut have inspected the pump, or valve, described in this Data Report on . jl 3 I C,_ C ( , and state that, to the best of my knowledge and belief, the N Certificate Holder has constructed this pump, or valve, in accordance with ASME Code, Section III. By. signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the equipment described in this s 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. A. Date ,// l _,]*. Signed' . Commissions C /./ ( (in spectnr) (Nat' Bd., State, Prey. arid No.)
ASMIE SECTION XI - REPAIR / REPLACEMENT Page of L4-
- 1. Component ID BS-08604 2.. Item
Description:
Main Steam Safety Valve: Dresser - 6"- 3707RAX-RT-25 1315 psig
- 3. N-5 Data Package Number: 1SG01-6 4. W.O. Number: 2945305
- 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. Based upon inspection results, may replace code parts using other spare valves or from approved spare parts.
- 8. F-1 ISI Flaw NDE Method of Flaw 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 III pressure boundary. The disc will be replaced with a preoxidized ASME SD637 or ASTM B637 Inconel X-750 material to enhance performance. Other parts will be replaced based upon inspection results.
- 10. Repair/Replacement Work Organization: NWS Technologies
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition Summer 1975 Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda ,
- 14. Preservice Inspection Required: [ YES [ NO Initial .. 4 Date J-K*-C 7 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required:. D YES [ NO Initial Date "; -3 7 If required, include a step in the W.O. for ISI & ANII Inspection.
initial a16. Include a step in the W.O. to verify NIS-2 Form has been completed by aDate ISI & ANII prior to approving INP525 Status.
- 3D ID 7 17. Include a step in the W.O. to record below all applicable numbers for Initial Date replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Disc APN 00064290 ,,t*.- N/A ____,____9_
- 18. Planner Printed Name: ,
Signature Date
- 19. is Printed Name: ___________-___ LogEntry 6J-9 Signature Date
- 20. ANTI 'Z -o-o7 Printed Name: __ -'_ __-__-
2.Ngityre Date P%216-08NI (8-88) /JL)C'.91t1/ ReV9 73DP-9ZZI7 k- 9
ASM1E SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID BS-08603 2.. Item
Description:
Main Steam Safety Valve: Dresser - 6"- 3707RAX-RT-25 1315 psig
- 3. N-5 Data Package Number: 1SG 4. W.O. Number: 2945305
- 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. Based upon inspection results, may replace code parts using other spare valves or from approved spare parts. Will be installed at lJSGEPSVOlocation under wo# 2894829.
- 8. [] ISI Flaw NDE Method of Flaw 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 III pressure boundary. The disc will be replaced with a preoxidized ASME SD637 or ASTM B637 Inconel X-750 material to enhance performance. Other parts will be replaced based upon inspection results.
- 10. Repair/Replacement Work Organization: NWS Technologies
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition Summer 1975 Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [ YES [ NO Initial _____ Date *-h' - ' 7' If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: YES No NO Initial / Date b -J -" If required, include a step in the W.O. for ISI & ANII Inspection.
1" 1 Initial Date 9L 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Ii ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial - Date ik-6j-Z... replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Disc APN 00064290 /9P.2 9 N/A .R5LTO,3.* *l
- 18. Planner -.5-i"- b 7 Printed Name: z9,,/il JM, Y..c*--
Signature Date
- 19. ISI @
S' //'* J// '/' Printed Name: "N. L "i ./AP Log Entry Signature Date
- 20. ANII C'ý Z 4*-
Signature S-'S-, Date Printed Name: oO,, - - PV'216-08N](9-M8 73DP-9ZZI7 R-v9
ASME SECTION XI - REPAIR / REPLACEMENT Page '* of j-
- 1. Component ID BS-08602 2.. Item
Description:
Main Steam Safety Valve: Dresser - 6"- 3707RAX-RT-25 1315 psig
- 3. N-5 Data Package Number: 1SG 4. W.O. Number: 2945305
- 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. Based upon inspection results, may replace code parts
*using other spare valves or from approved spare parts. Will be installed at 1JSGEPSVO *location under wo# 2894829.
- 8. [] ISI Flaw NDE Method of Flaw 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 III pressure boundary. The disc will be replaced with a preoxidized ASME SD637 or ASTM B637 Inconel X-750 material to enhance performance. Other parts will be replaced based upon inspection results.
- 10. Repair/Replacement Work Organization: NWS Technologies
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2. 1974 Edition Summer 1975 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: ED YES 0 NO Initial
- Date f Jy ,7 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Require d: D1 YES Z NO If required, include a step in the W.O. for ISI & ANII Inspection.
Initial /....A Date 5-i)-L "
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial / Date '),Date ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial Z Date 5-h'- '. 7 replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Disc .: APN 00064290 ,4}D*>f 7'. N/A _______,____
- 18. Planner Printed Name: ,A ), .
.J.)...... ,
Signature Date
- 19. ISI 5/l DatOe Printed Name: F) .? __jiJZLAfP Log Entry Sinaur Date
- 20. ANII N',* 1 -,-ol Printed Name: to&-Z 6-.o 4 v,*o Signat Date PV216-08NI (8-89) 73DP-9M*.7 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page iL of
- 1. Component ID BT-01679 2.. Item
Description:
Main Steam Safety Valve: Dresser - 6"- 3707RAX-RT-25 1315 psig
- 3. N-5 Data Package Number: ISG 4. W.O. Number: 2945305
- 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. Based upon inspection results, may replace code parts using other spare valves or from approved spare parts. Will be installed at 1JSGEPSV0"'location under wo# 2894829.
- 8. E] ISI Flaw NDE Method of Flaw 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 III pressure boundary. The disc will be replaced with a preoxidized ASME SD637.or ASTM B637 Inconel X-750 material to enhance performance. Other parts will be replaced based upon inspection results.
- 10. Repair/Replacement Work Organization: NWS Technologies
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition Summer 1975 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: El YES [ NO Initial # Date 5-lb t7 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: El YES Z NO Initial /* ' Date 5" -'1 -z If required, include a step in the W.O. for ISI & ANII Inspection.
initial Date 16. Include a step in the W.O. to verify NIS-2 Form has been completed by ISI & ANII prior toapproving INP525 Status. _Date - 17. Include a step in the W.O. to record below all applicable numbers for Initial Date replacement items. Item ID Part No. Serial No. Heat No. MiR/PO/WO No. Disc APN 00064290 /-& N/A _____r__A,30_9
- 18. Planner !,______. _____ -____ Printed Name: ,J)4)C 4, &-) L.T" Signature Date
- 19. ISI ___ __ __._'__ __ __ __ ___ __ _ate Printed Name: Jt ').'4 Log Entry-Signature Date
- 20. ANII -,-o-r Printed Name: o8EJ 6,. ,
Signatu r&. Date PV216-.SNI,,(8-88) 73DP-9Z17 R-v9
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: 6/11/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 3
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2945305
- 3. Work P erformed by: NWS Technologies Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: SG- Main Steam System
- 5. (a) Applicable Construction Code ASME Section III NC, Class 2 1974 Edition, Summer 1975 Addenda, __ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Y .Y Y Y I Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or Noel Valve Dresser BS-08604 N/A 1JSGEPSVO692 1980 Repaired YES Disc Dresser ADH-30 N/A BS-08604 2001 Replacement NO Valve Dresser BS-08603 N/A 1JSGEPSVO575 1980 Repaired YES Disc Dresser ADH-29 N/A BS-08603 2001 Replacement NO
- 7. Description of Work: Overhaul and test four (4) spare Main Steam Safety Valves.
- 8. Test Conducted: Hydrostatic F1 Pneumatic El Nominal Operating Pres,sure El Exempt Z N-416-2 [I Other Pressure _ psi Test I -emperature OF I NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 V2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
B
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: 6/11/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 2 of 3
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2945305
- 3. Work Performed by: NWS Technologies Type of Code Stamp None Authorization No. N/A Expiration Date N/A_
- 4. Identification of System: SG- Main Steam System
- 5. (a) Applicable Construction Code ASME Section III NC, Class 2 1974 Edition, Summer 1975 Addenda, __ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or No)
Valve Dresser BS-08602 N/A 1JSGEPSV0557 1980 Repaired YES Disc Dresser ADE-76 N/A BS-08602 2001 Replacement NO Valve Dresser BT-01679 N/A IJSGEPSVO694 1979 Repaired YES Disc Dresser ADH-32 N/A BT-01679 2001 Replacement NO
- 7. Description of Work: Overhaul and test four (4) spare Main Steam Safety Valves.
- 8. Test Conducted: Hydrostatic --] Pneumatic E] Nominal Operating Pressure [] Exempt [
N-416-2 El 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 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.
II I '9. FORM NIS-2 (Back) Remarks: Work order# 2945305 for off-site disassembly, reconditioning and testing of four (4) spare Main Steam Safety Valves, S/N BS-08604, BS-08603, BS-08602 and BT-01679. These spare valves will be installed at 1JSGEPSV0692, 694, 557 & 575 under wo# 2894829 during 1R13 refuelink outage. The new type (material) disc will be installed during rebuild at NWS. 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 toI 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: (2 311*SXZ Date: 2_-2. cO7 jDwner or Owner's Designee, Thfd 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 10-0-7 to C--tA0-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 Inspectors Signature Date: I P ...... 2.. (8.88) . . .. ..... ... . .... . 7 R ev.... PV216-08NI (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR I REPLACEMENT Page t of
- 1. Component ID 1PSIEV144 2.. Item
Description:
LPSI Header Containment Penetration Check Valve
- 3. N-5 Data Package Number: IRC01-5 4. W.O. Number: 2945354
- 5. Original Construction Code Edition: 1974 Edition. Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Rework or replace the bonnet and disc assembly to correct seat leakage
- 8. F- 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 ASME boundary failure, ..- -
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: FD YES 0 NO Initial . *J Date 5-.0-C - If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: Z YES R 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 for permanent service or power operation. 1 7. Include a step in the W.O. to record below all applicable numbers for repaired or Initial Date Date I - replacement items. Item ID ,* pA) Part No. Serial No. Heat No. MR/PO/WO No.
&.,c et S,r-1-9 1ý.
. ' 01pi"ý1
- 18. Planner
- _. D 9 -OG
- Printed Name: _Z7 -*,-V/
- u'Sre / Date
- 19. ISI 3 -476 Printed Name- Log Entry
- Signature 1 Date
- 20. ANII 4
,2-2o-o(, Printed Name: " ._. oLC',-
. Signle 1 .Date PV216-O8NI (8-88) 73DP-.9MZ7 Rev 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: 06-16-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit:
5801 South Wintersburg Road. Tononah. Arizona 85354-7529 Work Order Number 2945354
- 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 IIl 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 27608 747 1PSIEV144 1978 Repaired Yes Bonnet Borg Warner S/N 1 N/A Ht # 2B62 1978 Replaced Yes Disc Borg Warner S/N 6 N/A Ht # 2C19 1978 Replaced Yes Bonnet Borg Warner S/N 15 N/A Ht # 3C64 N/A Replacement Yes Disc'ý Borg Warner S/N 11 N/A Ht # 3L96 N/A Replacement Yes
- 7. Description of Work: Replaced the bonnet and disc assembly with a refurbished assembly
- 8. Test Conducted: Hydrostatic RI Pneumatic E] Nominal Operating Pressure Z Exempt LI N-416-2 L Other F-1 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 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. W.O. 2945354 replaced bonnet & disc assembly in valve IPSIEV144, with refurbished bonnet & disc assembly that was removed from valve 2PSIEV543 during U2RI 3 under W.O. 2863671 and refurbished under W.O. 2934532, Pre-Pressure Test work order review - ISI ý7 c~~ -~-~
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/tA _Expiration Date: N/A Signed: J Z16 " Date: __ -_____
' Q'wner 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 ,- -oc-.
to - -, -& ~ and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. - ... Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Inspectors Signature Date 1( -07 I-73DP-9zz17 Rev 8
- PV-E0092 Ver. 7 Back PV-E0092 Ver. 73 DP-9ZZ 17 Rev 8
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1PSIEV541 2.. Item
Description:
HPSIILPSI Header Loop Injection Check Valve
- 3. N-5 Data Package Number: IRCO0-IC 4. W.O. Number: 2945386
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Rework or replace the bonnet and disc assembly 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:
No ASME boundary failure
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cli 1. 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: 0I YES 0 NO Initial - ,'D Date ,/ -c *-0 C- If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: ,A YES
- NO / /Z3 /,M'ZJ7 5, 14 Initial.*'[..L2*2. Date /i * -i 06 If required, include a step in the W.O. for ISI & ANII Inspection. )Ja 3,b, Inil 7 D16. Includefor component a step in the W.O. to complete NIS-2 Form prior to releasing the permanent service or power operation.
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial _,__,__ Date / -- 9 -66 replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No.
- 18. Planner Printed Name: ':-/A'--*1 ...- 7"-- 6. j,//
Signature Date
- 19. ISI Dae Printed Name: *' "*J,4f Log Entr-o --
Signaure ADate
- 20. ANE1 't ,2-2o-o(. Printed Name: '-6.
SigaUre . Date
- sigLI PV216-08NI (8-89i) 73DP-gZZI7 Rý'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: 06-14-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: I of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit:
5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2945386
- 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 31970 1001 IPSIEV541 1978 Repaired Yes Disc - removed Borg Warner S/N 7. N/A Ht # 2G66 N/A Replaced Yes Disc - installed Borg Warner R/S 216313 S/N 6 N/A N/A 1991 Replacement Yes
- 7. Description of Work: Replaced the bonnet and disc assembly with a new assembly
- 8. Test Conducted: Hydrostatic E] Pneumatic D Nominal Operating Pressure F Exempt Z N-416-2 E]
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 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. W.O. 2945386 replaced disc on valve IPSIEV541 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: ,:'* -- Z9 /6 -' A2-., Date: - Ovner or Ow'ner'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 '* - 20o -0. to c. - k-, , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section 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
ýInspectors Signature Date: e-, - k-A - o-1 I-73DP-9ZZ17 Rev 8 PV-E0092 ver. 77 Back pv-E0092 Ver. 73DP-9ZZI7 Rev 8
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID IPSIEV543 2.. Item
Description:
HPSIILPSI Header Loop Injection Check Valve
- 3. N-5 Data Package Number: IRC01-IC 4. W.O. Number: 2945392
- 5. Original Construction Code Edition: 1974 Edition. Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Rework or replace the bonnet and disc assembly to correct seat-leakage
- 8. F- 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 ASME boundary failure
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III C1 1. 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 1, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: El YES Z NO Initial --- I; "-J Date /1-2 - O' If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: F YES,] e_- NJNON 5 Initial -. '.J1/J- Date 05 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 for permanent service or power operation.
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or In'itial --- I. Date -replacement items.
Item ID -Part No. Serial No. Heat No. MR/PO/WO No. 1 5ic
-* k -777, _ _OD -
- 18. Planner- f -. 6 Printed Name:
Signature Date
- 19. ISI, * '*- [220-L. Printed Name: PIP ,o Entry Signature Date
- 20. ANII 122 -o PrintedName: s- M.-
- Signaturi Date PV216-0HNI(9.98) 73DP-gZ* 1 R-v9
F I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al. Date: 06-16-2007 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. Tononah_ Arizona 85354-7529 Work Order Number 2945392
- 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 31971 1017 1PSIEV543 1978 Repaired Yes Disc Borg Warner S/N 12 N/A Ht # 2G69 N/A Replaced Yes Disc Borg Warner S/N 9 N/A Ht # 2G68 N/A Replacement Yes
- 7. Description of Work: Replaced the disc.
- 8. Test Conducted: Hydrostatic U Pneumatic LI Nominal Operating Pressure El Exempt Z N-416-2 LI Other nl Pressure __ psi Test Temperature _ OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 '/2 X 1 l 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. WO. 2945392 replaced disc in valve 1PSIEV543, with refurbished disc that was removed from valve 2PSIEV134 during U2R13 under W.O. 2721742 and refurbished under W.O. 2990288, Pre-Pressure Test work order review - ISI : Al>ý 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:. "i , 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 ,. -c-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.
<Z6 Commissions: NB 9685 "N" 'T" AZ264 National Board, State, Province, and Endorsements k\ Inspectors Signature Date: (-f(- -o7
-0 a.-
PV-E092 er.7 Bak /3W-9L17 ev /,ý'PV-E0092 Ver. 7 Back 73DP-9ZZ17 Rev 8
ASME SECTION XI - REPAIR / REPLACEMENT Page of _
- 1. Component ID 1PSIEV225 2.. Item
Description:
SIT 2B Discharge Check Valve
- 3. N-5 Data Package Number: IRC01-IC 4. W.O. Number: 2945394
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Rework or replace the bonnet and disc assembly to correct seat leakage
- 8. [] ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. --Evahi ation of the suitability of this work as per the requirements of IWA - 4150:
No ASME boundary failure
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 11 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: [] YES Z NO Initial- L*"2*. Date -X_*Z 2 ._ If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: z YES EZ NO Initial---.- J. Date / - C) C If required, include a step in the W.O. for ISI & ANII Inspection, Ia D16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the initial .-4 Date /Q component for permanent service or power operation.
/ 17. Include a step in the W.O. to record below all applicable numbers for repaired or Initial - 40 Date " replacement items.
Item ID ,,Part No. Serial No. Heat No. MR/PO/WO No. Ite IA 10< 2)777
- 18. Planr *- Printed Name: /,< .Z 7-/qr , 1[//S Signature Date
- 19. ISI -_ -_ _ _ _Date__ _ _-__ f__ _ _ _ Printed Name: _",--____ogEntr_
Signature Date
- 20. ANII 8-- - Printed Name: _ . , '
Signaturdý Date PV216-08NI(8-8) 73DP-9ZZ17 Rýv9
I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al. Date: 06-27-2007 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2945394
- 3. Work Performed by: Arizona Public Service Co. Type of Code Stamp None 5801 S. Wintersbure Rd., Tononah, 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) 14" Check Valve Borg Warner 26225 681 1PSIEV225 1977 Repaired Yes Bonnet Borg Warner S/N 2-, N/A Ht # 2E76 N/A Replaced Yes Disc Borg Warner S/N 8. N/A Ht # 2E69 N/A Replaced. Yes Bonnet Borg Warner S/N 10 N/A Ht # 2X58 N/A Replacement Yes Disc : Borg Warner S/N 19 N/A Ht # 2X51 N/A Replacement Ye6
- 7. Description of Work: Replaced the bonnet and disc assembly with a refurbished assembly
- 8. Test Conducted: Hydrostatic LI Pneumatic El Nominal Operating Pressure Z Exempt E] N-416-2 El Other LI 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.
3 FORM NIS-2 (Back) I c.( W.O. 2945394 replaced bonnet & disc assembly in valve 1PSIEV225, with refurbished bonnet & disc assembly that was removed from valve 3PSIEV245 during U3R12 under W.O. 2783999 and refurbished under W.O. 2912177. C-12-710-2 Pre-Pressure Test work order review - ISI* f
,;7 ANII: *~ C.- 7 o-"
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 Authn rization No. N/A Expirati on Date: N/A Signed: _ s z" , Date: A/ 7
/ I Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of ,_-__o-o__
to -oi , 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. L Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements 1ýpectors Signature
-t 0-*
Date: U-73DP-9ZZ17 Rev S I-E0092 Ver. 7 Back 1-E0092 Ver. 73DP-9ZZ17 Rev 8
ASME SECTION XI - REPAIR / REPLACEMENT Pace of
- 1. Component ID 1PSIEV227 2.. Item
Description:
SIT 2A Discharge to RC Lo6p Check Valve
- 3. N-5 Data Package Number: IRC01-IC 4. W.O. Number: 2945408
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Rework or replace the bonnet and disc assembly to correct seat leakage
- 8. E] ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No 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. III CI 1, 1974 Edition 1975 Winter Addenda'
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [ YES [ NO Initial - Date - - -C(* If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: Z YES [] NO Initial,--i2,, 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 component for permanent service or power operation.
Ii - Date ,~- ~, 17. Include aitems. replacement step in the W.O. to record below all applicable numbers for repaired or Item ID Part No. Serial No. MR/PO/WO No. 11A,-,hZV/P A-a j LIS 6:O 70
)i~ i 4
4 4 4 4 4 4
- 18. Planne Printed Name:
Signatur~e
- 19. ISI / ~-;v-A 64 Printed Name: " _,-"Log Entry_ _
Signature I Date
- 20. ANII Printed Name:
Signatu(e Date PV216.09NIf998 73DP-97717 R,-~9
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI _)M T I ." .
- 1. Owner: Arizona Public Service Company, et. al. Date: 06-16-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: I of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit:
5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2945408
- 3. Work Performed-y: 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 26226 702 1PSIEV227 1977 Repaired Yes
.Bonnet Borg Warner S/N 1 N/A Ht # 2E76 1977 Replaced Yes Disc Borg Warner S/N 6 N/A Ht # 2E69 1977 Replaced Yes Bonnet Borg Warner S/N 15 N/A Ht # 2X63 1978 Replacement Yes Disc Borg Warner S/N 17 N/A Ht # 2X49 1978 Replacement Yes
- 7. Description of Work: Replaced the bonnet and disc assembly with a refurbished assembly
- 8. Test Conducted: Hydrostatic [] Pneumatic [ Nominal Operating Pressure Z Exempt F] N-416-2 0 Other [] Pressure __ psi Test Temperature OF Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 X 11
!I NOTE: V2 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.
BI I U _ý9. FORM NIS-2 (Back) W.O. 2945408 replaced bon-net & disc assembly in valve 1PSIEV227, with refurbished bonnet & disc assembly that was removed from valve 2PSIEV227 during U2R12 under W.O. 2692582 and refurbished under W.O. 2822086. Pre-Pressure Test work order review - ISI
- I e-ANII:
N~j Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp N/A tte of Au horization No. N/A Expiration Date: N/A Signed: 72 SR _ __ , V Date: Z A:
-5/2
/ - 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 Ins pectors 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 9- Q -0<.
to 7-e- -C7 , 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. _11,Q
,ý2 L 4-;.,;, Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements ln~Jctors Signature 1-4~01 Date:
Back 73DP-9ZZ17 Rev 8 PV-EO092 Ver. 77 Back PV-E0092 Ver. 73DP-9ZZ17 Rev 8
ASME SECTION XI - REPAIR / REPLACEMENT Page of .
- 1. Component ID 1PSIEV235 2.. Item
Description:
SIT 2B Discharge Check Valve
- 3. N-5 Data Package Number: 1RCOI-IC 4. W.O. Number: 2945409
- 5. Original Construction Code Edition: 1974 Edition. Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Rework or replace the bonnet and disc assembly to correct seat leakage
- 8. E' ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
No 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. III Cl 1, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [] YES Z NO Initial .. *"-"0 . Date J 5'-O- If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: Z YES [I 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 component for permanent service or power operation.
- 17. Include a step in the W.O. to record below all applicable numbers for repaired or Iitial , Date ,/ -C- replacement items.
Item ID Part No. Serial No. Heat No. MR/POeqNo. 4'0207 5ccj54,' 4_e_1____ ___eP15c
-_______ID__ a74o 2- W'3 h-f9 Y 60___76_
1q3 7 eZ
- 18. Planner , -- C, Printed Name: .. '" ;,.., Z'7. /2,,zt'_ <
S ignature Date
- 19. ISI - - i- Printed Name: Log Entry Signature J Date
- 20. ANII -_ 4 Printed Name: -
Szgn4tie Date PVI[6-08NI(8-88) 73DP-gZZi7 Rev 9
U I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al. Date: 06-27-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road.. Tononah. Arizona 85354-7529 Work Order Number 2945409
- 3. Work Performed by: Arizona Public Service Co. Type of Code Stamp None 5801 S. Wintersburg Rd.. Tononah. 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) 14" Check Valve Borg Warner 26219 607 1PSIEV235 1977 Repaired Yes Bonnet Borg Warner 193801 N/A N/A N/A Replaced Yes Disc Borg Warner SN 3 N/A Ht # 2E69 N/A Replaced Yes Bonnet Borg Warner SN 6 N/A Ht # 2E76 N/A Replacement Yes Disc - Borg Warner 193722 N/A Ht # 8334 N/A Replacement Yes
- 7. Description of Work: Replaced the bonnet and disc assembly with a refurbished assembly
- 8. Test Conducted: Hydrostatic [] Pneumatic El Nominal Operating Pressure Z Exempt E] N-416-2 [I Other EJ 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 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)
W.O. 2945409 replaced bonnet & disc assembly in valve IPSIEV235, with refurbished bonnet & disc assembly that was removed from valve IPSIEV247 during UlR12 under W.O. 2791139 and refurbished under W.O. 2860076. Pre-Pressure Test work order review - ISI V-t j - 1-29 cý- Zb -C)7 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 Ex piration Date: N/A' Signed: '46,-IYAF Date:
* / Owner or Owner's Designee, Title "V /
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 ,ao-oc, to 1-c -o07 , 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 nspectors Signature Date: I -(_ - :>- U. - Back 73DP-9ZZ17 Rev 8 V-E0092 Ver. 77 Back v'-E0092 Ver. 73 DP-9ZZ 17 Rev 8
ASME SECTION XI - REPAIR / REPLACEMENT Page US= __ of
- 1. Component ID IPCHBV305 2.. Item
Description:
20"-300# Borg Warner check valve
- 3. N-5 Data Package Number: 1SI01-IA 4. W.O. Number: 2945411
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Disassemble the check valve for Engineering inspection.
- 8. E] ISI Flaw NDE Method of Flaw 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 Section XI pressure boundary. .- ,Ns22
- Kj*'
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: EL YES [ NO Initial ," Date 'I" ' - 7 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: LI YES [ NO Initial ___- _ Date 3 .62- L57 If required, include a step in the W.O. for ISI & ANII Inspection.
Initial _ _ Date -16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial Date_ ISI & ANII prior to approving INP525 Status.
/
Initial Date " - 17. Include a step in the W.O. to record below all applicable numbers for Dreplacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. Disk APN 45021043 1
- _ MR -t-996
- 18. Planner *," L7 Printed Name: L^*5,4a 7 C,<-",.
`0.
Signature Date
- 19. ISI 3 - 1--7 Printed Name: 1 Jh---Žj" ..... Log Entry Signature~ Date
_O. ANII -- Printed Name: . ro, Si'ýaa Date P'V216508NI(8-88) 73DP.9ZZI? R-9
p 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: 6/15/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529 Work Order Number 2945411
- 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 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 Identification Built Replacement Code No. Stamped (Yes or No)
Check Valve Borg Warner 30018 N/A IPCHBV305 1978 Repaired YES Disk / Borg Warner 4 N/A 1PCHBV305 n/a Replaced YES Disk Borg Warner 212290-A N/A 1PCHBV305 1991 Replacement YES
- 7. Description of Work: Disassemble the 20" check valve for Engineering inspection.
- 8. Test Conducted: Hydrostatic I] Pneumatic [ Nominal Operating Pressure E] Exempt Z N-416-2 [ 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 11
.inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered L and the number of sheets is recorded at the to of this form.
I FORM NIS-2 (Back) Remarks: WO# 2945411 for valve 1PCHBV305. The Disk & Stud Assembly is being replaced to minize the time that the valve is out of service. The removed disk will be reworked as an assembly for future spare part. Pre-Pressured Test WO Review - ISI MIA ANII NA Certificate of Compliance We certify that the statements made in the report are correct and this replacement conformsto the rules of the ASME Code, Section XI. Type Code Symbol. Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: c____t__ _T: _ 0i e__" _( _ _ _" Date: *-1*-2o¢7
ýJbwner 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 - _ _-_,-k_-_ 0 _1 to ___-,k__-c __ , and state that to the best of my knowledgeand 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 nspectors Signature 4,- i~-o1 Date: 73DP-9ZZ17 Rev 9 A6-08N1 (8-88)
.16-08NI 73DP-9ZZ17 Rev 9
FO N. FICAT. HOLDERS' DATA .REPORT.* IOENTIC#3 . 2. CLEAR PARTS AND APPURTENANCE QIJAjITy CU N As Required by the Provisions of the ASME Code, Section III ,9,. .EZ Not to Exceed, OneDay ' Production PlE
- 1. Manufactured and certified by BV/ri tRTWICML 1kC. P, W -DrVo DIV. W*6N , OZ!-S 2300 VI A. MMi CA_
mamiteand 6ddressaV NPT C4491'1ts Kde* .
- 2. Manufactured for ARIZOa PUBLIC SERVICE 4 S sc m OF UnappaqG, mm m nRIO ss343 awwreddrisa of pu~haaer (nariaci ARIZON PUBLIC SERVICE 4 ILSSOmT OF UZnim~sumwwtm A =as 3 Location of Installation (name aMdaddressl
- 4. Type: -76553.U REV._ B SA-182-F316 75000. PSI N/A 199%.
(dra~l~'~n.) imat'l. Spec. no.) 1Ie Irenglhl iCRN) (yew bumit)
- 5. ASME Code, Section Ill, Division 1: 1974 WD1T= 1975 2i.N/A ledltien) tlade*did da*t) IWieas) lCds case no.)
- 6. Fabricated in accordance with Const. Spec. (Div. 2 only) N/A - Revision N/A Date N/A (no.I B9/IP JOB NO. 901-L-2120 PART XAME- DISK AND STaD ASSY.
- 7. Remarks:
YMDIMSTATIC TEST= NOT PERFORME. N/A ~N/A A
- 8. Noa. thickness (in.) _ _A Min. design thickness (in.) Die. ID (ft & in.) Length overall (ft & in.) , /A
- 9. When applicable, Certificate Holders' Data Reports are attached for each item of this report:
Part or Appurtenance National Part or Appurtenance National Serial Number Board No. Serial Number Board No. in Numerical Order in Numerical Order ( 11. 212290-A N/A (26) (27) I) (21 (28) (29) (30) (3 (31) / (4C (32) ... (51 (33) (6 (35) 5) (9Z (107) (391 (11 (120) (40) t 1" (42) (4 7) (12 (43) (44) "'. 4,) (45) (41) (12 (2I (47) (2~ (48) (50)
- 10. Design pressure 720 psi. Temp. 100 OF. Hydro. test pressure N/A at temp. OF w.nen atioicaiel Sup0lemental information in the form of lists, sketches, or drawings may be used provided (11 size is 8's x 11, 12) information in items 2 and 3 on this Oats Report cluded on each sheet, (31 each sheet is numbered and the number of sheets is recorded at the top of this form.
a.el ,*18This form ME00040) may be obtained from the Order Dept., ASME, 22 Law Ornve. Box 2300. Fairfield. NJ 07007-2300.
"~. ....
.W*
FORM N- Zftack - Pg. 2f0."L-.)
~rIfIcate Holdar'a Serial Nos.
CERTIFICATION OF DESIGN Design specifications. certified by Y/A P.E. State N/A Reg. no.
/
__/A_ W/A Design report certifled by N/A P.E. State.,W, Reg. no. CERTIFICATE OF COMPLIANCE We certify that the~statements made in this report are correct and thatthis 4t1e) DISK AND. STD ASST.. conforms to.the rules of construction of the ASME Code, Section III, Division 1. NPT Certificate of Authorization No. H-l31 Expires 10, 1 Oat Name /IP Z C rSigned4 iii.:i 1NPTCiiiisfiests Howeri CERTIFICATE OF INSPECTION I, the undersigned, holding, a valid commission issued by, thezNationalaBoard.of Boiler-and;Pressure. Vesselinspectors and the State or Province of CALIORNTa. and employed by A G~T *NT 'I :, CO. FATOYNU .. ... of *o. have inspected these items described in this Data Report on . and 3 statesthat tothe best of my knowledge and belief, the Certificate Holder has fabricated these parts or appurtenances in accordance with the ASME Code. Section III,Division 1..iEachpart 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
-his Oata Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal Injury or property damage or
.,,)f any kind arising from or connected with this inspection.
Date 4 Signed Commissions M27.X. '. MIail. ad. (Lodt.*tSdfmenli andistat oKwxow and no.1
ASME SECTION XI - REPAIR / REPLACEMENT Page of _ I1.ComponentID IPCHAV306 2.. Item
Description:
20"-300# Borg Warner check valve
- 3. N-5 Data Package Number: 1SI01-1A 4. W.O. Number: 2945414
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Disassemble the check valve for Engineering inspection.
- 8. D] ISI Flaw NDE Method of Flaw 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 Section XI pressure boundary. F~eb,-wy- ) 4- V Y Y-C -
- 10. Repair./Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2. 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [ YES Z NO Initial 4 '47 Date -Q- " If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: ElI YES E] NO initial 4 Date 7 d_.
,zaF- If required, include a step in the W.O. for ISI & ANNI Inspection.
- 16. Include a step in the WaO. to verify NIS-2 Form has been completed by Initial )ýýlC1 Date /27 ~ ISI & ANTI prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial Date ,W- replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Disk APN 45021043 ___ _ __ __ __ ___ __16, - 6*7A c(l MR44T46 MR__-____- _
- 18. Planner Printed Name: P*z-kg. /A Signature Date I I , Printed Name: - L+/-L-*)+/-..Log Entryj"-.
Signature J Date . 20. ANII- ,-7-dq-OC.e Printed Name: 12.(x-4c-t.*: P-I QR~ture Date IjIW.SLLI I K~' S YV2l~-(J~NL(8-SB) Fv216-OSNI (8-8B) 13DF-g9Z77 R.y 9
F, I 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: 6/15/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road.. TonoDah. Arizona 85354-7529 Work Order Number 2945414
- 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 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 Identification Built Replacement Code No. Stamped (Yes or
_ _No) Check Valve Borg Warner 30017 N/A 1PCHAV306 1978 Repaired YES Disk Borg Warner 3 N/A 1PCHAV306 n/a Replaced YES Disk Borg Warner 15 N/A 1PCHAV306 1985 Replacement YES
- 7. Description of Work: Disassemble the 20" check valve for Engineering inspection.
- 8. Test Conducted: Hydrostatic ED Pneumatic E Nominal Operating Pressure [ Exempt Z N-416-2 El Other Pressure __ psi Test Temperature OF NOTE: Supplemental sheets in form of 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.
[ FORM NIS-2 (Back) N ,1. Remarks: WO# 2945414 for valve 1PCHAV306. The Disk & Stud Assembly is being replaced to minize th6 time that the valve is out of service. The removed disk will be reworked as an assembly for future spare part. 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. ype Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed:<Jý ý, *- .* 3]*-A-* Date: -( ,O SignedO:r or Owner's Designee, TitDe-'( CERTIFICATE OF INSERVICE INSPECTION
/
I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of ,a-*-- to ___________, 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 ASMIE 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 lns~ctors Signature National Board, State, Province, and Endorsements Date:_ _ _ _ _ _ _ _ U. -
?v216-08N1 (8-88) Y3Vk'-9LL1 I Rev 9 xV216-08NI (8-88) 73DP-9/-ZI/ Rev 9
2 ,,otm N.2 N OR NP? CERTfiCATr H-O RS, OATA REORi' FOR IDENTiCAL NUCLEAR PART~S AIAPREAC As Required -by the Povisioru ft1he ASME Code, Section I It, Oivision I Nat To-Excee O-ne P;Ys productlan i.Mmenutaredandcorttield ty NIcliar 7alve_1Division of Bollz VJater.7500 11rone kvenae,7= n uvs,CA 91409
- 1. ma-ja-us Combustion Enaineering, P.O. Box 488, Windsor, Conn. 06095
- 3. Loca.-on of installation Arizona Public Services,, Palo Verde, Arizona 4, Typo 76553-11 c ,qo 80,200 N!A 1985
- V".na)(
(au~w Ow $" mnj (CAN)
- 5. ASME Code, Section 111* 1974. Winter P75 2 N/A
- 6. Fabricated ia accordance wien Conzt. Spec. (Div. 2 only) N/X Revizion NiA Date NI/
! . 1 a14 /.
- 7. Remarks: Parts supplied herein may not have the NPT symbol stamp due to size or other considerations as allowed in NCA-8230.
- 8. Non. thickcness (in.) N/ Min. design thickness (in.) N/A Dia. ID (ft. & in.) N/A Lengtmoverall(ft.&in.) N/.
- 9. When apolicable. Certificate Holders' data reportx are attached for each item of this repaor Part or Aocurtewnence National Pant of Aourlenance National SAAIi Number Boar No. Serlia Number Board Number In Numerical Order In Numerical Orter
/ Disc " N/C 5K02 S/N 15 N/A 1(26)
(27, (29) 44) (5) (9) 1_ _ _ _ _ __ _ _ _ _ _ (29) (30) (31) (321 (33)
"I1.
(10) (3s) (36)i (371 (38) .... .
*(124)
(13)..... (15*). . (39) (40) _ . .. .. (211 (41) ,_,_,,__ (42) 419)
.(20)-* , , ., ,,
(44) (45) (45) 1 (21) (47) (48) (.24). (49.) (25 ) .. ... ,. , , ,,. , (50) 1 ..... 10iO.,Diqn: pressure rN/A
,...,,,",. ,.PSI Tamp. N/A
*; *" F Hy ,otest presure Ce.. ...t/, 0C........ at temp. *F W~~4 I F. ~. JW~ 1W.iflJ@ R~SdUtql,.~l.~~uh~d21 MUll
ASME SECTION Xi - REPAIR /REPLACEMENT Page
- of 4ý
- 1. Component ID IPCHAV190 2.. Item
Description:
3" - 300# Swing Check Valve model 77680-1
- 3. N-5 Data Package Number: 1CH03-5 4. W.O. Number: 2948910
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Disassemble the check valve for Engineering inspection.
- 8. F- ISI Flaw NDE Method of Flaw 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 Section XIpressure boundary. The disc/stud assembly is being replaced to rework fit-up of washer to arm gap.
- 10. 'Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [] YES Z NO Initial JiŽ1L. Date 7 -' If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: 1] YES C9 NO JI Initial
- Date C 6/ If required, include a step in the W.O. for ISI & ANII Inspection.
n" a "16. Include a step in the W.O. to verify NIS-2 Form has been complete d by InitialISI & ANII rior to arovin INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initi* , Date 5 94 replacement items.
Item ID Part No. Serial No. Heat No. MR/POJWO No. Disc APN 45020877 199225-3 M7988 MR 1190113
- 18. Planner . . )-9& / Printed Name: -29/, /'.
Signature Date
- 19. ISI .(, ,-__ *.('/ / Printed Name: K fl ý..-.--APLog Entry Signature Date
- 20. ANII . - Printed Name:
Signa uee Date PV216-OSNI(8-88) 3DP-9ZZI Rýý
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI L. Owner: Arizona Public Service Company, et. al. Date: 5/4/2007 P. 0. Box 53999, Phoenix.,Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2948910
- 3. Work.Perfdrmed 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 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 Identification Built Replacement Code No. Stamped (Yes or No)
Check Valve Borg Warner 27615 N/A 1PCHAV 190 1978 Repaired YES Disc'. Jorgensen Steel N/A 1PCHAV190 1978 Replaced YES Disc BW / TP 199225-3 N/A IPCHAV190 1988 Replacement YES
- 7. Description of Work: Disassemble the 3" check valve for Engineering inspection.
- 8. Test Conducted: Hydrostatic Ej Pneumatic [ Nominal Operating Pressure fl Exempt [
N-416-2 EJ Other Pressure _ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back) q Remarks: WO# 2948910 for valve IPCHAV190.. The Disc & Stud Assembly is being replaced to minize the time that
- the valve is out of service. The removed disk will be reworked as an assembly for future spare part.
Pre-Pressured Test WO Review - ISI N/ýA 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: ___** _______________- ____ Date: 6-6-2-007 Owndr or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION
/7 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-t- 0-1 to _ _ -_____- ___-7 , 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
\h4spectors Signature Date: C.- - - 07' 73DP-9ZZ17 Rev 9 Pv2l6-08N1 (8-88)
PV216-08NI 73DP-97-ZI17 Rev 9
+~~~ j:,fr Z 0.fd7A1 0
FOMN-2 CERTIFiCATE HO~LDERS- ýD'ATA REPORT FOR IDEIN ITiCAL NUCLEAR PARTS, AND 'APFURTEINANCES.* Aa Required by-the Provisiont of the ASME Code, Sectibnij:I1 Not To. Exceed One Day 's Production g.fi.of 1Manuf acturd: and ýcer-iitled by: i 1ý IL in.,i~ead d ,*atoINPT CenlcificjoiaHidin
'0' "
2Mauactured for 47 tdrs OV Ml (nm and paaer ,.3;; Locationalo installation -4 M ~I 54 (n~iiii ind raaidrisil Type. -741 133.*V -7C 5k.'12 P- f:1,6 75 ia-~ ~ N A I 1_____ ldraiingfinol miali. ibec. 60A Iin~~snniCANt iyeaý buiniil ASME Code, Section II: 1.4WNK75Z____ N/A~ ledilion) adenda date) I)siiCwde Cae'o ,) Fabrýicated in accordance with Const. Spec. (Div. 2 only) NIA Revision NMIA Date N/ . R3 "/ h " *NN016I) o) ... & . ,- Hp:n;rjf :'*B;,O. 8 1,.'+Z 5 ,, ,P A`::iP
- ..... D:ý*.& '**i : ... *,:: ..
11ESTIjNG NOTP.ERF0W*M.-ETPIAIt~SPRC-20I LE FNdPA~ thickness uin.). N.... Min. design thickness; (in.) .NL . Dia. 10 (ftv&.injl,. :NLA Length overalS(ft-&rin.) n 2LA . appiicabI&- .Certifi*cate Holders' Data Reports are atta*hed foreach it'ernof thisireport: Part or Appurtenance National Paer or Appurtenahce National Serial Number Board No. Serial Number Board'Number in Numerical Order in Numeirical-Order
._ 225-Mi N/A (26) - ,__
1422,2 - 2 INk/A- (27) ' _ /_ ____ L2L.A-NI'A .. . .. 128) , i,,:,q; . .4: ./ (29), __ (301r) (3:1) - (32) . 1331:* -+ .. . ... .. (3*) (/35) ... I,'
.(37)..
138+'::) . . *: .,! 2;. (401-__ _ __ _
-124,:.....
(41)
- (42) _
(45)r (47) . - . - (5 ) . .... tura 2 psi. Temp. too OF. Hydro. test pre~ssure. _J'A_ . _ :ttr'. ntfoeim ofiS.it. ketches;. mvaybe .9sed prowde, n~m 2 antd 3 ort t~iis 04t Aeoort d 'and or drewvinqs at ,(1ifrmto Orain numrri nhet.3)eakh;'ihe~istiIihL the~liie shaeex is recordedi at theahtpo sS~x - of this fofrm. wutber mix form' I E06040), nev be ob tainid ffrorn the, 0 (de, 0ept.,- A SME-. 22"'"O' Dr0e BX 2300. Faifi Nj 0 700 7 2300, Lw
PA4ý & Otl 'I FOAM N-2 (back) Mfr.~ Seria Nol CERTIFICATION OF DESIGN n specifications cortified by * ......... PE. State ..ŽLA... Reg. no. N/A n teporl. certilied by P.E. State 1A__. Reg. no. __!LA__ CERTIFICATE OF SHOP COMPLIANCE irtify that the statements made in this report are correct and that ykjQtthese) - m j 5. A y2I
- conto rrns to the rules of construction of the ASME Code, Section Ill.
NPT Certificate of Authorization No. N-. 1S 1' Expires J a< -0 8 8 (I4ýý,ý/C - Date. .31 AUG _ Name1311I1P INT1R-AT OINL INC. Signed,
;NPT Cerlificate Holdell -A CERTIFICATE OF SHOP INSPECTION "I, I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Prodince of CAL1 EQLjA and employed by AI(R IG T MUTUAL INS, CO.*
of .i" ......#.. have inspected these items described in this Data Report on A -h% .L..3.;L- d and state that to the bistof my knowledge and belief, the Certificate Holder has fabricated these parts or appurtenances in accordance with the ASME Code, Section II.I Each part listed has been authorized for stamping on the date shown above.
.8y signihg this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concerning the equipment descibed iLthis Data Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damar of any kind arising from or connected with this inspection. *FACTCr- MUTUAL SYSTEM Date !Signed Commissions ?-1 !
/ (A*.Ithoflzl*d Insoaclot) (Nat'l Pd- Oncl. erdwsem(-isi staxe. o, p,,), -- ý -ý
ASME SECTION XI -REPAIR / REPLACEMENT Page " of
- 1. Component ID 1JSIBUV0667
,2.. Item
Description:
HPSI "B" TO THE RWT ISOLATION VALVE
- 3. N-5 Data Package Number: 1SI09-3 4. W.O. Number: 2952358
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
INSTALL NEW VALVE INTERNALS (VALVE MOD KIT) INTO NEW VALVE BODY AND SEAL WELD
&.M 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 ASMF BROTINDARY I/tNSTAITING NEW INTERNALS INTO NEW VALVE BODY AND SEAL WELD
- 10. Repair/Replacement Work Organization: Arizona Public Service I1. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [] YES Z NO Initial - Date .I -/" - 7 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: t9 YESq.= -Ea-NO Initial. ., Date - c- "7 If required, include a step in the W.O. for ISI & ANII Inspection.
I16. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial Date - - 7 component for permanent service or power operation. a,-, 17. Include a step in the W.O. to record below all applicable numbers for repaired or l1itiial 0Q- Date ,1/ 0 / replacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. LiAU I Ab0 =.0051*JsC DSLC SIOO (41 Q 1iA _______ SSI_0___69 ___I IS. Planner ,-" ( -. 2-/2 { 7 Printed Name: (9 u n-C' 5 rnt2 -- Signature Date
- 19. ISI _-(--Printed Name: J- ,'Li _ Log Entry ý3 Signature Date
- 20. ANII .2-1 -o'1 Printed Name: C' Zi, o.
Sigýture Date PV216-08NI (S-99) Z17 Rev9 73LDF-9Z
p 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: 06-27-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit:
5801 South Wintersbura Road., Tonooah, Arizona 85354-7529 Work Order Number 2952358
- 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: 1SI09-3
- 5. (a) Applicable Construction Code ASME Section III 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 Stamped (Yes or NO)
Valve body Borg Warner 51 N/A 1JSIBUVO667 1997 Replacement Yes Valve modification Flowserve 56060-11 N/A IJSIBUVO667 2004 Replacement Yes kit (bonnet) Valve modification Flowserve N/A N/A Ht N M8818 2004 Replacement No kit (disc)
- 7. Description of Work: Installed new valve internals (valve modification kit) into new valve body and reweld seal weld.
- 8. Test Conducted: Hydrostatic [ Pneumatic [ Nominal Operating Pressure [ Exempt E] N-416-2 El Other [] Pressure __ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 /2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and I
a the number of sheets is recorded at the to of this form.
I FORM NIS-2 (Back) Remarks: 2952358 INSTALL NEW VALVE INTERNALS (VALVE MOD KIT) INTO NEW VALVE BODY AND SEAL WELD tE o 'J Pre-Pressured Test WO Review - ISI 6 hR;r 107 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: a ,1/=(R / Date: ____-_. Owrer or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION
/
I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of Z-ý- ol to - _7 a-o1 , 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 Reporttin accordance with the reujLtirements 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.
*Z~ Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements
ýJ Inspectors Signature Date: c(- %-o0 U. -
I~V2 (8-88) 73DP-9ZZ17 Rev 9 PV2 16-OSNI
-08NI (8-88) 7DP-9ZZI7 Re9
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. 1 of 2
- 1. Manufactured and-certified by Flowserve Corporation, 1900 (name S. Saunders St., Raleigh, NC 27603 and address of NFT Certificta Holder)
- 2. Manufactured for Arizona Public ?; Service, P. 0.Box 52034, Phoenix, AZ 85072 (name and address of purchaser)
- 3. Location of installation APS - Palo Verde Nuclear Station, 5801 S. Wintersburg Rd., Tonopah, AZ 85354
("~ma and address)
- 4. Type306FCB3-010& 011 SA182,F316 N/A N/A 2004 (drawing no.) imarl. apec, no.) (tensile strength) (CRN) (year built)
- 5. ASME Code, Section III, Division 1: 1974 Summer, 1975 2 "None (edition) laddends date) Wdass) (Code Case no.)
- 6. Fabricated in accordance with IConst. Spec. (Div. 2 only) .
N/A (no.) Revision N/A Date N/A
- 7. Remarks:
Bonnet for 2" 1500# Y-Globe Valve (Qty. 2)
*R-vikion A S. 0. 27694
- 8. Nom. thickness (in.) N/A Min. design thickness (in.) Per #4 Dia. 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:
National National PartSerial or Appurtenance Number Board No.Order in Numerical P,;or Appurtenance Board No. Seial Number in Numerical Order (1) 56060-11 N/A (26) (2) 56060-12 N/A (27)
"(3) (28)
(4) (29) (5) (30) (6) (31) (7) (32) (8) (33)
- 19) 134)
(10)...- (35) _ (11) (36). _ _ (12) (13) (38) (14) (39) (15) (40) (16) (41) (17) (42) (18) (43) (191 (44) (20) (45) (21) (46) (22)- (47) (23) (48) -_ _ _ _ _ _ _ (24) -_ (49) (25) (50)
- 10. Design pressure 2050 psi. Temp. 350 'F. Hydro. test pressure N/A (when apphCar,.a;
- Supplemental information in the form of lists, sketches, or drawings may be used provided (1) size is 8'/2 x 11, (2) inlormation in items 2 and 3 on this Data Report is included on each sheet, (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
17/el This form (E00040) may be obtained from the Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield. NJ 07007-2300.
FORM N-2 (Back - Pg 2 of - 2 Certificate Holder's Serial Nos. 56060-11 through 56060-12 CERTIFICATION OF DESIGN Design specifications certified by (when epplicalble) P.E. State Reg. no. Design report* certified by ( P.E. State Reg. no. CERTIFICATE OF COMPUANCE We certify that the statements made in this report *e correct and that this (these) Part(s) conforms to the rules of construction of the ASME Code, Section III, Division 1. NPT Certificate of Authorization No. N-1563 Expires November 26, 2006 Date ,-Flowserve N e Corporation Signed (NPT Centificate Holder) (authorized representative. 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 North Carohi and employed by HSR aT of Hartford. CT have inspected, these items described in this Data Report on 4 - . 1 , and state that to the best of my knowledge and belief, the Certificate Holder has fabricated these parts or appurtenances in accordance with the ASME Code, Section Ill, Division 1. Each part listed has been authorized for stamping on the date shown above.
,igning this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concerning the equipment described vhis Data Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal ir;jury or property damage or loss of any kind a:'rising from or connected with this insp tion.
Date Signed Commissions - lAuthorio Nu Inspeclorj [Naft'l. ad. {incl. endorsements) and stlte or prov. and no.1
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1PCHEVM70 2.. Item
Description:
3"Borg Warner Swing Check Valve
- 3. N-5 Data Package Number: 1CH04-1 4. W.O. Number: 2967330
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Disassemble check valve for inspect per ASME program.
- 8. E] ISI Flaw NDE Method of Flaw Detection: N/I 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 pressure boundary. Disassembly of check valve for inspection, will remove the stud & disc assembly for inspection and will install spare to expedite valve reassembly..
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: El YES Z NO Initial /i/,,1- Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: [E YES Z NO Initial /_j-*ir Date d -z If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial
, . Date $' - 7 ISI & ANII prior to approving INP525 Status.
Iritial Date * - 7 17. Include a step in the W.O. to record below all applicable numbers for replacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. (diPNta Bi* 00088601 95N29 j--+-140-------- - AU y5o ,o)'T/a o60?3q? 5 12Z40- 7-q6 00 7.3
- 18. Planner Printed Name: A9.
f".,,t Signature 19 S *")intret'//**~t Date ritdNme °* d'/L>A* Log Entry. -
- 19. ANII 6/ - '7 Printed Name:
Signature Date 20 - NI Printed Name: Signat-ýDate PV216-08NI (848*) 73DP.9ZZ17 R 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: 07/12/2007 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintershurg Roacd Tononah- Arizona 85354-7529 Work Order Number 2967330
- 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 III NC. Class 2 1974 Edition, Winter 1975 Addenda, WAI 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)
Check Valve Borg Warner 73531 N/A IPCHEVM70 1984 Repaired YES Disk & stud ass'y Borg Warner 31 N/A IPCHEVM70 1984 Replaced YES Disk & stud ass'y Borg Warner 27240-6 N/A IPCHEVM70 2007 Replacement YES Bonnet Borg Warner 18 N/A IPCHEVM70 1984 Replaced YES Bonnet "Borg Warner 5 N/A' 1PCHEVM70 1978 Replacement YES
- 7. Description of Work: Disassembled 3" Check Valve per ASME check valve inspection program.
- 8. Test Conducted: Hydrostatic El Pneumatic ED Nominal Operating Pressure [ Exempt 041 N-416-2 F] 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 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 recorded at the to of this form.
I,' 1. W.O. 2967330 replaced the bonnet, disc & arm assembly in valve 1PCHEVM7O with bonnet, disc & arm assembly I FORM NIS-2 (Back)
- 1. W.O. 2967330 replaced the bonnet, disc & arm assembly in valve IPCHEVM70 with bonnet, disc & arm assembly removed from valve IPSIBV532 and reworked under W.O. 2860073.
Pre-Pressure Test work order review - ISI VAA ANII: N.4 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: 7-1-T-o07 i~w;ýro-rýwar'sDesignee, Title CERTIFICATE OF INSERVICE INSPECTION
/
I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State 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 e. - -- to - -,5-ol , 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, concenting 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
ýJ Inspectors Signature 1- t.3- o01 Date:
I-73DP-9ZZ17 Rev 8 PV-E0092 Ver. PV-E0092 Ver. 7 Back 73DP-9ZZ17 Rev 8
ASME SECTION XI - REPAIR / REPLACEMENT PRgP of__..... __
- 1. Component ID 1PSIEV123 2.. Item
Description:
HPSI Injection Header Containment Check Valve
- 3. N-5 Data Package Number: 1RCOI-5 4. W.O. Number: 2967332
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Rework or replace the bonnet and disc assembly as required to correct seat leakaze
- 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 pressure boundary. Like for like replacement to correct seat leakage.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda'
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [ YES [ NO Initial ,,,,_/_q Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: [ YES [ NO Initial - < Date 11/-1"-C-7 If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial ...=2f-. ,: Date i,'-/c.,"- o ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial.,t;.*,. Date Z 7-L- replacement items.
Item ID Part No. Serial No. Heat No. ( 0-t*PO/WO No.
,Ar________ A rP! oo_ q- 31' I_ITt_ __
--CYof "l4n0 x - 2 o iz t+- 3 7Lk.--
- 18. Planner -.
Signature Z_-4o - Date 7)- PrintedNae .. L
- 19. ISI __ _ __ _ _ __ _ __ _ _ Printed Name: do Log Entry 20.
"* ANII "*_* -'-""
Signature /-*-o-Date Printed Name: " °'-z'
- 20. ANTI Printed Name:
Stgni e Date PV'216-0"N1(3-38) 73[)P-92*I- K17e9
p I m a FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al. Date: 07-12-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generatin, Station Unit:
5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2967332
- 3. WorkPerformed-by: Arizona Public Service Co. Type of Code Stamp None 5801 S. Wintersburc 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 II1NC, 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 7 ., 7 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) 3" Check Valve Borg Warner 49479 N/A IPSIEV123 1979 Repaired Yes
/
Bonriet, Disc & Flowserve RJL-2 N/A 1PSIEV 123 2006 Replacement Yes Arm Assembly
- 7. Description of Work: Replaced the bonnet, disc & arm assembly, to correct seat leakage.
- 8. Test Conducted: Hydrostatic [] Pneumatic [ Nominal Operating Pressure [ Exempt [ N-416-2 El Other [ Pressure __ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 2X 11 the number inches, (2) of sheets is recorded information in items at the to 1 thru of this form.
6 on report is included on each sheet, and (3) each sheet is numbered and
ý7. w.0. 296 1.3322 replace onneL, sc FORM NIS-2 (Back) arrn assern L_ ; 11I y n va A
- Pýt~i Pre-Pressure Test work order review - ISI qA24-9AD r / 124>77 kJ ANI: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 X1. Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A' Signed: 64i /S'/ ?5V6r'6142 Date: 7-I'34 ? 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 tile period of 2-o1 to _ 7-,t_ _ , and state that to tlhe 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 1nspectors Signature i-(3 -o0-Date: Date: U-73DP-9ZZ17 Rev 8 .V-E0092 Ver. 7 Back
.'V-E0092 Ver. 73DP-9ZZ 17 Rev8
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. 1 of 2-Flowserve Corporation 1900 S. Saunders St. Raleigh, NC 27603
- 1. Manufactured and certified by
- . (name and address of NPT Certificate Holder)
- 2. Manufactured for Pinnacle West Capital Corp/Disbursement Accounting, MS 95/P.O Box 53940, Phoenix, AZ 85072-3940 (name and address of purchaser)
APS-PALO VERDE/Arizona Public Service Palo Verde Plant/P.O. Box 52034, Phoenix AZ 85072-2034
- 3. Location of installation (name and address) 77700 REV H SA182 GR. F316 N/A N/A 2006
- 4. Type
. )drawing-no.) (mat'l. spec. no.) (tensile stength) (CRN) (year built) 1974 Winter 1975 1 N/A
- 5. ASME Code, Section 11I,Division 1: (edition) (addenda date) (class) (Code Case no.)
N/A N/A N/A
- 6. Fabricated in accordance with Const. Spec. (Div. 2 only) Revision Date (no.)
- 7. Remarks: Bonnet Disc & Arm Assembly for a 3" 1521# SC Valve Disc Material SA182 Gr. F316, Heat Numbers 27240-1 and 27240-2
- 8. Nom. thickness (in.) N/A Min. design thickness (in.) Per t4 Dia. ID (ff & in.) N/A Length overall (ft & in.) N/A -
- 9. When applicable, Certificate Holders' Data Reports are attached for each item of this report:
National National Part or Appurtenance Board No. Part or Appurtenance Board No. Serial Number - in Numerical Order Serial Number in Numerical Order RJL-1 N/A (26) (2) RJL-2 N/A (27) (3)___ . . ___ - (28) (29) (4) (5) l30) I (6) (31) 4 - (7) (32) (8) (33) i (9., (34) i 01(0) ________________________ __________________________ (35) (1 (36) (12) i - (37) (13) (38) I (14) (39) (15) i - (40) ÷ (16) (41) 4. (17) (42) 1 118) i - (43) I (19) (44) ! (20) (45) I (21) i (46) 4-
-r i - (47) i
\
(233) i (48) (24 *'I I 1,401 4.- I 1'10 4 *f. (50) 2500 650
- 10. Design pressure psi. Temp. °F. Hydro. test pressure - e (when applicable) at temp. *F
- Supplemental information in the form of lists, sketches, or drawings may be used provided (1) size is 81/2 x 11, (2) information in items 2 and 3 on this Data Report is
- ncluded on each sheet, (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
j/05)
FORM N-2 (Back - Pg. 2 of 2 Certificate Holder's Serial Nos. RJL-1 through RJIL-2 CERTIFICATION OF DESIGN Design specifications certified by John C. Nunnery P.E. State ILL Reg. no. 062-043270 (when applicabte) Design report* certified by N/A PE. State N/A Reg. no. N/A (when applicablel CERTIFICATE OF COMPLIANCE Parts are correct and that this (these) We certify that the statements made in this report conforms to the rules of construction of the ASME Code, Section Ill, Division 1. N-1563 1-60 NPT Certificate of Authorization No. Expires 6 Date Name -lowserve Corporation Signed (NPT Certifcate Holder) (lauthaiied-reprefentalve) A 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 NC and employed by HSR CT of Hartford. CT have inspected these Items described in this Data Report on ,and state that to the best of my knowledge and belief, the Certificate Holder has fabricated these parts or appurtenances in accordance with the ASME Code, Section ill, 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 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 loss of any kind arising from or connected with this inspection. Date Ze Signed A6 u
'p"" N .Z/p Com ms5!ons ail , n e an dstare o r
*(AuOtorized Nuclear- n_...
4 r) Wat. 50. mci. erdoraemnenur) an t rprov. and no.]
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. ComponentlD IPSIEV133 2.. Item
Description:
HPSI Injection Header Containment Check Valve
- 3. N-5 Data Package Number: 1RC01-5 4. W.O. Number: 2967333
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Rework or replace the bonnet and disc assembly as required to correct seat leakage
- 8. F1 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 pressure boundary. Like for like replacement to correct seat leakage.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2. 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: El YES [ NO Initial -. //Y Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: Z YES El NO Initial c
!: 7-,,r, Date 4/<"-
- 07 If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initialz . ,O-. Date / _ ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for initial - Date replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. _)_i__ _ 4P' oi o f01. 2__Z__ _-______,' *l/y,2, o -7
- 18. Planu"-.AZC) Printed a Z ?,,-'.,"
SSignature Date
- 19. IS1 £ /-/ /67 Printed Name: Log Entry-Signature .JDate S20. ANII */-/ --. Printed Name: .
SignQure Date
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al. Date: 07-12-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2967333
- 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 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 F -' I 3 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) 3" Check Valve Borg Warner 49480 N/A IPSIEV133 1979 Repaired Yes Disc Borg Warner RS-213306-1 N/A 1PSIEV133 1979 Replaced Yes Bonnet Borg Warner RS212938-4 N/A 1PSIEV133 1979 Replaced Yes Disc Flowserve 25292-6 N/A 1PSIEV133 2006 Replacement Yes Bonnet Flowserve 5 N/A 1PSIEV133 1993 Replacement Yes
- 7. Description of Work: Replaced the bonnet, disc & arm assembly, to correct seat leakage.
- 8. Test Conducted: Hydrostatic [] Pneumatic EJ Nominal Operating Pressure Z Exempt [] N-416-2 El Other F1 Pressure __ psi Test Temperature OF I NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 inches, the (2) of number information sheets is recorded in items at 1 thru the to 6 onof this form.
/2 X 11 report is included on each sheet, and (3) each sheet is numbered and
I I ,9. FORM NIS-2 (Back) W.O. 2967333 replaced bonnet, disc & arm assembly in valve IPSIEV133. Replacement bonnet was removed from spare Borg Warner valve s/n 3013 11. Pre-Pressure Test work order review - ISI : 7112-1072 ANTI: Z \J7-12-0-7 Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of theASME Code, Section XI. type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: ;x-1. Date: 7- 3- -)c 2 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 4-20-01 to 7-Q0 --- , 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 Inspectors Signature 1- i3 -o-1 Date: I-73DP-9~l7 Rev 8 ver. 7 Back
*Ill Pv-E0092 73 DP-9ZZ 17 Rev 8
( ýý`PV-E0092 Ver. 7 Back
FORM N-2 CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAL NUCLEAR PARTS A.ND APPURTENANCES* As Required by the Provisions of the ASME Code, Section III Not to Exceed One Day's Production Pg. 1 of 2
- 1. Manufactured and certified by Flowserve Corporation/ 190; South Saunders Street Raleigh NC 27603 (Name and Address a' NPT Certificate Holder)
- 2. Manufactured for Pinnacle West Capital Corp/ Disbursement ACCTG/ PO Box 53940 Phoenix. AZ. 85072-3940 (Name and Address of Purchaser)
- 3. Location of Installation APS Palo Verde/ Palo Verde Wareht.ase/ 5801 South WintersburE Road Tonopah, AZ. 85354 (Name :m.dAddress)
- 4. Type:_ 700 Rev. H SA 182 grade F316 N/A N/A 2006 (drawing no.) (mat'l. spec. no.) (tensile strength) (CRN) (year built)
- 5. ASME Code, Section III, Division 1: 1974 Winter, 1975 1 N/A (edition) (addenda date) (class) (Code Case no.)
- 6. Fabricated in accordance with Corst. Spec. (Div. 2 N/A Revision N/A Date N/A only)
(no.)
- 7. Remarks: Disk for 3" 15219 Swing Check Valve S.0. 33861
- 8. Nom. Thickness (in.) N/A Min. design thickness (in.) PER#4 Dia. 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 National Part or Appurtenance National Serial Number Board No. Serial Number Board No. In Numerical Order In Numerical Order
-4 25292-6 N/A (26)
(2) 25292-7 N/A (27) , !*;,(3) 25292-8 N/A (28) (4) (29) (5) (30) (6) (31) (7) (32) (8)' (33) (9) (34) (10) (35) (11) (36) (12) (37) i (13) (38) i (14) (39) (15) (40) (16) (41)
-i (17) (42)
(18) (43) (19) (44) 4-(20) (45) 4-(21) (46) (22) (47) (23) (48) (24) (49) (25) (50)
- 10. Design pressure - psi. Temp. 'F. Hydro. Test pressure N/A At temp. 'F Supplemental information in form of lists, sketches or drawings may be used provided (1) size is 8-1/2" x 11", (2) information in items 2 and 3 on this Data Report is included on each sheet, (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
FORM N-2 (Back-Pg. 2 of 2) Certificate Holder's Serial Nos. 25292-6 THRU 25292-8 CERTIFICATION OF DESIGN Design specification certified by P.E. State' Reg. no. Design Report
- certified by P.E. State Reg. no.
CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and thE-.: this (these) PARTS Conforms to the rules of construction of the ASME Code, Section III, Division 1. NPT Certificate of Authorization N1563 Expires 1.1/26/2006 No. Date 27 0 Name Flowserve, Corporation Signed (NPT Certificate Holder) (authorized represeritative) 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 North Carolina and employed by HSB CT of Hartford, Connecticut have inspected these items described in this Data Report on / 1 3:0 / ' , and state that, to the best of my knowledge and belief, the Certificate Holder has fabricatedd4hese parts or appurterancs in acCordance with the ASME Ccde, Section III, Division 1. Each part listed has been 2uthorized 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 injury or property damage or loss of any kind arising from or connected with t s In action. Date J 3j 10(ýSigne " 'j Commissions pJj'/9'-/ (Authorized Inspector) (Nat'l. Bd_(irid. Endorseffients) and state, piov. and no.)
ASM'E SECTION XI - REPAIR / REPLACEMENT Page of_____
- t. Component ID 1PSIBV533 2.. Item
Description:
HPSI Header Containment Isolation Check Valve
- 3. N-5 Data Package Number: IRCO0-IC 4. W.O. Number: 2967337
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Rework or replace the bonnet and disc assembly as required to correct seat leakage
- 8. EI ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. Evaluation ofthe suitability of this work as per the requirements of IWA - 4150:
No failure of the ASME pressure boundary. Like for like replacement to correct seat leakage.
- 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. III ClI 1. 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: YES E NO Initial li 5 'k Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: El YES Mi NO Initial .-l"oz Date / /i--- 1- required, include a step in the W.O. for ISI & ANII Inspection.
' If
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial -11<2 Date '1V ' ' ISI & ANII prior to approving INP525 Status.
i 17. Include a step in the W.O. to record below all applicable numbers for InitiaLY- Date ~~? replacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. U_7t,,/AD 1 e ,i,.4* 0 _ __._ __ _ _______ iv,3-i.-c G
*1
- 18. PlaPlan7 Printed Name<- - , _ - C Signature e Date
- 19. ISI ae* 7** Printed Name:* "p'ANP x@: P Log Entry. ** A
- 20. ANII "'<i D Printed Name: IZ-x -
Sign.re. Date P'\'216-08Nl (8-818) 73DP-9ZZ17 R-v9
I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al. Date: 06-27-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road.. Tononah. Arizona 85354-7529 Work Order Number 2967337
- 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) 3" Check Valve Borg Warner 27604 N/A 1PSIBV533 1978 Repaired Yes Bonnet, Disc & Flowserve RJL-1 N/A 1PSIBV533 2006 Replacement Yes Arm Assembly
- 7. Description of Work: Replaced the bonnet, disc & arm assembly, to correct seat leakage.
- 8. Test Conducted: Hydrostatic 0 Pneumatic El Nominal Operating Pressure Z Exempt [] N-416-2 Z Other F] Pressure __ psi Test Temperature OF 1
a NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 V 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) -I W.O. 2967337 replaced bonnet, disc & arm assembly in valve lPSIBV533 Pre-Pressure Test work order review - ISI: /x/, //ý" 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. Iype Code Symboll Stamp IN/A Certificate of Authorization No. Expiration Date: N/A Signed: _ ,_ /W- Date: 7- ,-62 41 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 o-o-* to I -,-* -7, ., 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 Inspectors Signature 7-- -A o7 Date: . 1 a.- 73LW-9ZL1 1 Rev ~ PV-E0092 Ver. 77 Back PV-E0092 Ver. Back 73DP-gZZI 7 Rev8
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. 1 of 2 Flowserve Corporation 1900 S. Saunders St. Raleigh, NC 27603
- 1. Manufactured and certified by (name and address of NPT Certfficate Holder)
- 2. Manufactured for Pinnacle West Capital Corp/Disbursement Accounting, MS 95/P.O Box 53940, Phoenix, AZ 85072-3940 (name and address of purchaser)
APS-PALO VERDE/Arizona Public Service Palo Verde Plant/P.O. Box 52034, Phoenix AZ 85072-2034
- 3. Location of installation iname and address)
. 77700-REV H SA182 GR. F316 N/A N/A 2006
- 4. Type ldrawing no.) (matI. spec. no.) (tensile strength) JCRN) (year built)
- 5. ASME Code, Section III, Division 1:
1974 Winter 1975 1 N/A (edition) (addenda aate) (class) (Code Case no.) N/A N/A N/A
- 6. Fabricated inaccordance with Const. Spec. (Div. 2 only) (no.)
Revision NADate Bonnet Disc & Arm Assembly for a 3" 1521# SC Valve
- 7. Remarks:
Disc Material SA182 Gr. F-316, Heat Numbers 27240-1 and 27240-2
- 8. Nom. thickness (in.) N/A Min. design thickness (in.) Per #4 Dia. 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:
National National Part or Appurtenance Board No. Part or Appurtenance Board No. Serial Number in Numerical Order Serial Number in Numerical Order (1) RJL-1 N/A (26) RJL-2 N/A 127) (2) (3) (4i) ___________________________ _______________________________ I 1101 (29i (5) (30) (6) (31) (7) (32) 0(8) (33) (9) (34) (10) (11) (12) (13) 114) (35) (36) (37) (36) (39)
'-I ___________________
(15) t401 116) (38) (39)I (41 + (17) t A'5 i 14-1 (18) (43) (19) tin) (45) ____________ (21) 1".,.,'
-1 (48)__ _ _ _ _ _ _
!nA (49) ______________ _______________
(25) (50) ______________ _______________ 2500 650
- 10. Design pressure psi. Temp. TF. Hydro. test pressure at temp. TF (when applicable)
;upplemental information in the form of lists, sketches, or drawings may be ured provided (1) size is 81/2 x 11. (2) information in items 2 and 3 on this Data Report is
-. -cluded on each sheet, (3) each sheet is numbered and the number of sheets is recorded at the top of this form. 111/051
FORM N-2 (Back - Pg. Z of 2 Certificate Holder's Serial Nos. RIL-1 through PL-2 CERTIFICATION OF DESIGN Design specifications certified by John C. Nunnery RE. State ILL Reg. no. 062-043270 (when applicable) Design report* certified by N/A P.E. State N/A Reg. no. N/A (when applicable) CERTIFICATE OF COMPLIANCE Parts We certify that the statements made in this report are correct and that this (these) conforms to the rules of construction of the ASME Code, Section III, Division 1. N-1563 11-26-06 NPT Certificate of Authorization No. Expires Flowserve Corporation Sge
~
Dae ~ ' 'Name (NPT Cerilficate Holder) Signed_____________ _______ (authorised reprefenlativ
- 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 NC - and employed by H.R CT of Hartford, CT have inspected these items described in this Data Report on .101-31/-1, and state that to the best of my knowledge and belief, theCertificate Holder has fabricated these parts or appurtenances in accordance with the ASME Code, Section IIl, 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 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 loss of any kind arising from or connected with this inspection. Signed (ADtaorez-d IdConmmissiorns 'r-an (Auth~orized Nuclear Inspector) ICatl. Bd. (1=1.errdoraements) and stale or prov. an-dno.1
ASME SECTION XI - REPAIR / REPLACEMENT Page _ of
- 1. Component ID IPRCEL001 2.. Item
Description:
Piping from Pressurizer 1MRCEX02 to PSV 1JRCEPSV200
- 3. N-5 Data Package Number: 1RC03-2 4. W.O. Number: 2967764
- 5. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda-
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line 1PRCELOOI (PSV 200) to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC) IAW DMWO 2940436. S. r 'SI Flaw NDE Method of Flaw Detection: Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
The weld overlay repair is a preemptive mitigation measure to prevent potential failure due to PWSCC. The suitability of this repair is fully discussed in DMWO 2940436
- 10. Repair/Replacement Work Organization: Welding Services Incorporated
- 11. Replacement Items Construction or reconciled Code/Edition: N/A
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Class 1, 2001 Edition, 2003 Addenda
- 13. ASME Section Xl Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: Z YES LI NO D eIn initial Date If required, include a step in the WO. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: Z YES [: NO Initial 2 _ Date / 7 If required, include a step in the W.O. for ISI & ANII Inspection.
D 16. Include a step in the W.O. to verifyNIS-2 Form has, been complete d by In-ial Date ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial * -- Date -Tx-01a2 replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No.
- 18. Planner Printed Name: -. z, g6iiga(ure LD ' aate' 4
- 19. ISI .- //r 7 Printed Name: P O725F-- LogEntry Signature / bate
- 20. ANII s"i - -Zt-O-t Printed Name: _ -__- _____-___,-_
SignaQge Date pý116-O8NI(8-S8) 73DP-gZZ17 Rý 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: 05/10/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529 Work Order Number 2967764
- 3. Work Performed by: Welding Services Incorporated Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: Reactor Coolant System (RC)
- 5. (a) Applicable Construction Code ASME Section IIi NB, Class 1 2001 Edition, 2003 Addenda (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components 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) RC pipe line Pullman Power IRC001SO01 N/A IPRCELOO 1979 Repaired YES
/ Products
- 7. Description of Work: Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line 1PRCEL001 (PSV 200) to mitigate susceptibilitv to Primary Water Stress Corrosion Crackina (PWSCC) IAW DMWO 2940436.
- 8. Test Conducted: Hydrostatic LI Pneumatic El Nominal Operating Pressure Z Exempt L]
N-416-2 [] 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 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back). f
- 9. Remarks: DIWO 2967764- Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line IPRCEL001 (PSV 200) to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC)
AW DMWO 2940436. 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 XI. Type Code Symbol Stamp N/A' Certificate of Authorization No. N/A Expiration Date: N/A SiPned: ý. 5,-ss*. -Zs, Date: Owner or Owner's Designee, Title f CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford. Connecticut, have inspected the components described in this Owner's report during the period of 6-Zk -0 to "-s-o 0 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance -with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Inspectors Signature Date: M-I 73flP-9ZZ17 Rev 9 PV216-08N1 (8-88) PV216-08NI (8-88) 73D)P-97Z]I7 Rev9
ASME SECTION XI - REPAIR / REPLACEMENT Page [ of L Component ID 1PRCEL003 2.. Item
Description:
Piping from Pressurizer 1MRCEX02 to PSV IJRCEPSV201
- 3. N-5 Data Package Number: IRC03-2 4. W.O. Number: 2967769
- 5. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line IPRCEL003 (PSV 201) to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC) IAW DMWO 2940436.
- 8. r-] 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 weld overlay repair is a preemptive mitigation measure to prevent potential failure due to PWSCC. The suitability of this repair is fully discussed in DMWO 2940436
- 10. Repair/Replacement Work Organization: Welding Services Incorporated
- 11. Replacement Items Construction or reconciled Code/Edition: N/A
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Class 1. 2001 Edition. 2003 Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preserviceynspection Required: 0 YES F] NO Initial Date 7 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: N YES D] NO Initial :I . Date 02 If required, include a step in the W.O. for ISI & ANII Inspection.
IaDt 16. Include a step in the W.O. to verify NIS-2 Form has been complete d by In~i*(al ~ Date ISI & ANII prior to approving INP525 Status.
. 17. Include a step in the W.O. to record below all applicable numbers fi"r Initial Date replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No.
- 18. Planner .f"'**VrO V _1 11, Date Printed Name: _________________
- 19. ISI 6-,21107 Printed Name: W64-, /"0 I Log Entry --
Signature Date
- 20. ANII g-Zt-a Printed Name: .
Signatuýj Date FV216-08N1 (M-8) 73DP-gZzI7 R.v9
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: 05/10/2007 P. 0. Box 53999. Phoenix Arizona 85072-2054 Sheet: I of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road.. Tonopah, Arizona 85354-7529 Work Order Number 2967769
- 3. Work Performed by: Welding Services Incorporated Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: Reactor Coolant System (RC)
- 5. (a) Applicable Construction Code ASME Section III NB, Class 1 2001 Edition, 2003 Addenda (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components 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)
RC pipe line Pullman Power 1RC003SO01 N/A 1PRCEL003 1979 Repaired YES
/ Products
- 7. Description of Work: Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line IPRCEL003 (PSV 201) to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC) JAW DMWO
_, *l i i 2940436.,
- 8. Test Conducted: Hydrostatic [] Pneumatic DZ Nominal Operating Pressure Z Exempt E1 N-416-2 [] 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 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: DIWO 2967769- Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line 1PRCEL003 (PSV 201) to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC)
JAW DMWO 2940436. Pre-Pressured Test WO Review - ISI
... ........ . A N II 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 horization No. N/A Expiration Date: N/A Si-ned: C'e.-__SZ5 £,A / **R_. Date: *07 t,
/ I I 6wner 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 4 Z '-0o-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 6f 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~ Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Ip ectors Signature I-S T Date:
I--I ENAI-73DP-9ZZ17 Rev 9 PV216-08N1 (8-88) PV216-08NI (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page of I. Component ID 1PRCEL005 2.. Item
Description:
Piping from Pressurizer IMRCEX02 to PSV 1JRCEPSV202
- 3. N-5 Data Package Number: 1RC03-2 4. W.O. Number: 2967774
- 5. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line 1PRCEL005 (PSV 202) to mitigate suscentibilitv to Primary Water Stress Corrosion Cracking (PWSCC) JAW DMWO 2940436. 8.-F1 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 weld overlay repair is a preemptive mitigation measure to prevent potential failure due to PWSCC. The suitability of this repair is-fully discussed in DMWO 2940436
- 10. Repair/Replacement Work Organization: Welding Services Incorporated
- 11. Replacement Items Construction or reconciled Code/Edition: N/A
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Class 1, 2001 Edition, 2003 Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. PreserviceyIspection Required: [ YES El NO Initial *I.... Date . If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: [ YES [Z NO Initial Date If required, include a step in the W.O. for ISI & ANII Inspection.
Iitial
/ ..z/ . D16.
Date -, , Include a step in the W.O. to verify NIS-2 Form has been complete d by ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial .f~- . Date ,. fJ replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No.
- 18. Planner 104 Printed Name: .____ --
e -ate
- 19. ISI Z-1.-21 A7 Printed Name: , /
A,7) LogEntry, - Signature Date
- 20. ANII S<2, o, Printed Name: _ .__ .__ __, _ __T___,--_
Sign* re Date PV216-09NI (8-98) 73DP-9Z~t,I / ý9
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: 05/10/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road.. Tonovah. Arizona 85354-7529 Work Order Number 2967774
- 3. Work Performed by: Welding Services Incorporated Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: Reactor Coolant System (RC)
- 5. (a) Applicable Construction Code ASME Section III NB, Class 1 2001 Edition, 2003 Addenda (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components 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)
RC pipe line Pullman Power IRC005SO01 N/A 1PRCEL005 1979 Repaired YES Products
- 7. Description of Work: Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line 1PRCEL005 (PSV 202) to mitigate suscentibilitv to Primary Water Stress Corrosion Cracking (PWSCC) IAW DMWO 2940436.
- 8. Test Conducted: Hydrostatic F] Pneumatic 0I Nominal Operating Pressure [ Exempt LI N-416-2 [ Other Pressure __ psi Test Temperature OF I
U NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: DIWO 2967774- Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line 1PRCEL005 (PSV 202) to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC)
IAW DMWO 2940436. 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 XI. Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: Date: Owner cir Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of _ -__-_-_ to __________, 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 requirements6f the ASMIE Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
~Q Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements
ýn spectors Signature 1-iat&. "I- o&-7 Date: U-I 73DP-92Z17 Rev 9 PV216-08NI (8-88)
Pv2l6-08N1 (8-88) 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1PRCEL007 2.. Item
Description:
Piping from Pressurizer IMRCEX02 to PSV 1JRCEPSV203
- 3. N-5 Data Package Number: 1RC03-2 4. W.O. Number: 2967779
- 5. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line 1PRCEL007 (PSV 203) to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC) IAW DMWO 2940436. 8: El7 -SI Flaw- NDE Method of Flaw Detection: Report Number:
- 9. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
The weld overlay repair is a preemptive mitigation measure to prevent potential failure due to PWSCC. The suitability of this repair is fully discussed in DMWO 2940436
- 10. Repair/Replacement Work Organization: Welding Services Incorporated
- 11. Replacement Items Construction or reconciled Code/Edition: N/A
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Class 1. 2001 Edition, 2003 Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Ispection Required: 0 YES [E NO Initial I Date " If required, include a step in the W.O. to perform Preservice Inspection
- 15. Section XI Pressure Test Required: [ YES E NO Initial Date If required, include a step in the W.O. for ISI & ANII Inspection.
Ifiial )Date. 16. Include a step in the W.O. to verify NIS-2 Form has been complete d by Intal f Date - ,ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial Date replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No.
- 18. Planner Printed Name: .
- 19. ISI 7 Printed Name: ti 5-i ,POLog / Entr 4
/ Signature bate
- 20. ANJI 4 -- Printed Name: _'_-_"_______--______,,
Signatdr Date PV216-08NI (8-88) 73DP-gZZ17 R.v9
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: 05/10/2007 P. O. Box 53999, Phoenix Arizona 85072-2034ý . Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Winte~rghur* Road._ Tononah. Arizona R5354-7529 Work Order Number 2967779
- 3. Work Performed by: Welding Services Incorporated Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: Reactor Coolant System (RC)
- 5. (a) Applicable Construction Code ASME Section III NB, Class 1 2001 Edition, 2003 Addenda (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components 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) RC pipe line Pullman Power 1RC007SO01 N/A 1PRCEL007 1979 Repaired YES Products
- 7. Description of Work: Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line IPRCEL007 (PSV 203) to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC) LAW DMWO 2940436.
- 8. Test Conducted: Hydrostatic El Pneumatic El Nominal Operating Pressure Z Exempt [L]
N-416-2 [] 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/ X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: DIWO 2967779- Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line 1PRCEL007 (PSV 203) to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC)
IAW DMWO 2940436. 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 XI. Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: 6ý, 22s
-- 6,-A' ",ed~. Date: //-/07
/.,-- / 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 5-2t-ol to -I - S- 0-7 , 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.
*?,6 Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Inspectors Signature Date: 1-" 1 U-I 73DP-9ZZ17 Rev 9 PV2IG-OSNI (8-88)
PV216-08NI 73DP-9ZZ1 7 Rev 9
ASMIE SECTION XI - REPAIR / REPLACEMENT Page- of 1/4
- 11. Component ID 1PRCEL018
ý2.. Item
Description:
RC piping loop 1B header to Pressurizer IMRCEX02
- 3. N-5 Data Package Number: 1RC01-1 4. W.O. Number: 2967789
- 5. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line 1PRCEL01 8 to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC) IAW DMWO 2940436.
- 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:
The weld overlay renair is a nreemntive mitigation measure to Prevent potential failure due to PWSCC. The suitability of this repair is fully discussed in DMWO 2940436
- 10. Repair/Replacement Work Organization: Welding Services Incorporated
- 11. Replacement Items Construction or reconciled Code/Edition: N/A
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Class 1. 2001 Edition, 2003 Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preserv e2nspection Required: Z YES E[ NO Initial _ Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. A ME Section XI Pressure Test Required: Z YES [:1 NO Initial Al Date VW 07 if required, include a step in the W.O. for ISI & ANII Inspection.
- 6. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial Date ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial Date replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No.
- 18. Planner I.X Printed Name:____________________
,or' gntre CPO, .. . . ... .
- 19. 1SI ~~ .- %A//07 Printed Name: P d --LogEntry.'T Signature '/Date
- 20. ANII -- 2i-o1 Printed Name: ,
Date Siggnmtxre VV2'1b-O8N1 (8-88) 73DP-97-1/ R.v*9
I1 U 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: 05/10/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529 Work Order Number 2967789
- 3. Work-Performed-by: Welding Services Incorporated Type of Code Stamp None Authorization No. N/A ExpirationDate N/A
- 4. Identification of System: Reactor Coolant System (RC)
- 5. (a) Applicable Construction Code ASME Section III NB, Class 1 2001 Edition, 2003 Addenda (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components 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)
RC pipe line Pullman Power N9367 N/A 1PRCEL018 1979 Repaired YES Products
- 7. Description of Work: Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line IPRCEL018 to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC) JAW DMWO 2940436.
- 8. Test Conducted: Hydrostatic [] Pneumatic [ Nominal Operating Pressure E Exempt El N-416-2 [] 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 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 19. Remarks: DIWO 2967789- Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line 1PRCEL018 to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC) TAW DMWO 2940436.
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 XI. Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Sipgned:
-- C----.
- -;X/A.' Date: Z/, 7
/ 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 S-__-O-_
to - s-o' , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
<ý4 /4 z,- Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements In~pectors Signature S-1-S Date:
73DP-9ZZ17 Rev 9
~2l6-O8Nl (8-88) '216-08NI (8-88) 73DP-9ZZI7 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1PRCEL028 2.. Item
Description:
RC piping from Pressurizer IMRCEX02 to Hot Lea
- 3. N-5 Data Package Number: 1RC01-2 4. W.O. Number: 2967794
- 5. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line 1PRCEL028 to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC) JAW DMWO 2940436.
- 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:
The weld overlay repair is a preemptive mitigation measure to prevent potential failure due to PWSCC. The suitability of this repair is fully discussed in DMWO 2940436
- 10. Repair/Replacement Work Organization: Welding Services Incorporated I1. Replacement Items Construction or reconciled Code/Edition: N/A
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Class 1, 2001 Edition, 2003 Addenda
- 13. ASME Section XI Code/Editions 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: 0 YES F- NO Initial 7 Date / If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: Z YES [] NO Initial l kl , Date a'.- fIC,, If required, include a step in the W.O. for ISI & ANII Inspection.
i l .ini
./..] AVL 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial Date ISI & ANII prior to approving INP525 Status.
'-17. Include a step in the W.O. to record below all applicable numbers for Initial Date replacement items.
Item ID Part No. Serial No. Heat No. MRIPO/WO No.
- 18. Planner g'atue f Si 'JDafe Printed Name: -A4 'e,,I Z. "f'e.'..
- 19. ISI___ __ ___O_ Printed Name: . Po i -- Log Entry ..
Signature 'die 20: ANII s2-o Printed Name: __"_" Signate
*Y 7
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al. Date: 05/10/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034. Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintershiur* Road..~--~----~
Tonnnah. Arizona 85354-7529 Work Order Number 2967794
- 3. Work Performed by: Welding Services Incorporated Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: Reactor Coolant System (RC)
- 5. (a) Applicable Construction Code ASME Section III NB, Class 1 2001 Edition, 2003 Addenda (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components 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)
RC pipe line Pullman Power N5251 N/A IPRCEL028 1977 Repaired YES Products
- 7. Description of Work: Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line IPRCEL028 to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC) LAW DMWO 2940436.
- 8. Test Conducted: Hydrostatic 0 Pneumatic E] Nominal Operating Pressure Z Exempt [I N-416-2 LI Other Pressure __ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 '/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: DIWO 2967794- Install a weld overlay (WOL) on Pressurizer Dissimilar Metal Weld (DMW) on line IPRCEL028 to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC) TAW DMWO 2940436.
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 XI. Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: - 2? S*-/A-fJ~ _ý,R - -E-SZ eE1V&1A1A6-,-12_ Date: 7/'- 7 Signed: / , ! 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 S-Z%-oI-to 7-S-ox , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASMIE 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 Signature Date: -,- S-o-1 Md1--
I V 1-8 1(-8I7 D -Z 1 e PV216-08NI (8-88) 73DP-9ZZI7 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page of I'
- 1. Component ID 1PRCEL028 2.. Item
Description:
RC piping from Pressurizer IMRCEX02 to Hot Leg
- 3. N-5 Data Package Number: 1RC01-2 4. W.O. Number: 2967797
- 5. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Install a weld overlay (WOL) on Dissimilar Metal Weld (DMW) on line lPRCEL028 to Hot Leg to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC) lAW DMWO 2940436.
- 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:
The weld overlay repair is a preemptive mitigation measure to prevent potential failure due to PWSCC. The suitability of this repair is fully discussed in DMWO 2940436
- 10. Repair/Replacement Work Organization: Welding Services Incorporated
- 11. Replacement Items Construction or reconciled Code/Edition: N/A
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Class 1, 2001 Edition, 2003 Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: Z YES D] 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 ýDate If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to verify NIS-2 Form has been complete d by Initial Date ISI & ANII prior to approving INP525 Status.
* / . / .
- 17. Include a step in the W.O. to record below all applicable numbers for Initial Date V o 10 replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. 9 1 4 9 t I 4
$ 4. I 4 Printed Name:104 4eý-,-7Z. 61-Printed Name: /7'S. /v 7 Log Entry -
Printed Name: Z(,s. L -( c e. glia
ýje Date PV216-08NIf8-38) 73DP-9ZZ17 Rev9
A I U FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASMIE Code Section XI Al. Owner: Arizona Public Service Company, et. al. Date: 05/10/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 12. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2967797
- 3. Work. Performed-by: Welding Services Incorporated Type of Code Stamp None Authorization No. N/A Expiration Date N/A
- 4. Identification of System: Reactor Coolant System (RC)
- 5. (a) Applicable Construction Code ASME Section III NB, Class 1 2001 Edition, 2003 Addenda (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components 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)
RC pipe line Pullman Power N5279 N/A 1PRCEL028 1977 Repaired YES Products
- 7. Description of Work: Install a weld overlay (WOL) on Dissimilar Metal Weld (DMW) on line 1PRCEL028 to Hot Leg to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC) IAW DMWO 2940436.
- 8. Test Conducted: Hydrostatic El Pneumatic El Nominal Operating Pressure Z Exempt El N-416-2 El 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 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. IFORMM NIS-2 (Back) Remarks: DIWO 2967797- Installa weld overlay (WOL) on Dissimilar Metal Weld (DMW) on line IPRCEL028 to Hot Le2 to mitigate susceptibility to Primary Water Stress Corrosion Cracking (PWSCC) JAW DMWO 2940436. 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 ASMIE Code, Section XI. Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Sirrned: -- p*'f ' Date: 7 Signed: Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of _ -z__-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 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 Signature 7- S-o-Date:
N-2 (8-88) 73DP-9ZZ17 Rev 9
~V2l6-O8Nl (8-88)
ý"*/216-08NI 73DP-9ZZ17 Rev 9
ASME SECTION XI - REL A IR / REPLACEMENT P2~'~
- 1. Component ID IPSGEV026 2.. Item
Description:
2"-1500# Y- Globe Valve
- 3. N-5 Data Package Number: 1SGOI-1 4. W.O. Number: 2979249
- 5. Original Construction. Code Edition: 1974 Edition, Summer 1976 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Disassemble and inspect valve due to seat leakage. Rework / replace parts as necessary.
- 8. El ISI Flaw NDE Method of Flaw 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 III pressure boundary. If disc is required to be replaced it will be due to normal wear
- 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. III Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [] YES Z NO Initial AP-NVC Date _.57Y If required, includee VA74a step in the W.O. to perform Preservice Inspection If..7
- 15. ASME Section XI Pressure Test Require d: ,e YES ý' X NO Initial . Date 5"-Y 1 7/ If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial 2 4P Ze7 Date 5- y" Zy ISI & ANII prior to approving INP525 Status.
Initial Date """O 17. Include a step in the W.O. to record below all applicable numbers for replacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. Disc APN 45050084 .2,, '-' - -, 7' _ "_-____ MR 1220395
- 18. Planner AX 5"- - / Printed Name: ,,,iJ0 A. *9*M*bLC T Signature Date
- 19. ISI -- /7 Printed Name: LogEntry 5/b"/-
Signature Date
- 20. ANII 'ý, 4 Signai*e 5-'-t-07 Printed Name: .6, Zl-o.
. Date P'V216-OSNI (8-88), 73DIP-9Z.]7 e 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: 6/17/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1, 5801 South Wintersburg Road.. Tonopah, Arizona 85354-7529 Work Order Number 2979249
- 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 System
- 5. (a) Applicable Construction Code ASME Section III NC. Class 2 1974 Edition, Summer 1976 Addenda,!___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code
,,.<< ; No. Stamped (Yes or No) Valve Kerotest ASG3-10 N/A IPSGEV026 1981 Repaired YES Disc' Flowserve .23500-1-19 N/A 1PSGEV026 2006 Replacement '-Cs
- 7. Description of Work: Disassemble valve, inspect and rework to correct seat leakage.
- 8. Test Conducted: Hydrostatic F] Pneumatic El Nominal Operating Pressure E] Exempt Z N-416-2 r] Other Pressure _ psi Test Temperature __ °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: WO# 2979249 for valve 1PSGEV026. Disassemble valve, inspect and rework to correct seat leakage. The stem/disc assembly was replaced to correct seat leakage.Existing valve was installed in 1996 under wo# 777528.
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 N/A Certificate of Authorization No. N/A Expirat ion Date: N/A Signed: , /s, " Date: 6-f,0-0? 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 6-A-D-7 to 6-,1 -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 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.
-z6 4z--Q Inspectors Signature Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Date: '-
I-73DP-9ZZ17 Rev 9 PV216-08NI (8-88) PV216-08N1 (8-88) 73DP-9ZZI7 Rev 9
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. 1 of 2 Flowserve Corporation 1900 S. Saunders St. Raleigh, NC 27603
- 1. Manufactured and certified by (name and address of NPT Certificate Holder)
- 2. Manufactured for Pinnacle West Capital Corp/Disbursement Accounting, MS 95/P.O Box 53940, Phoenix, AZ 85072-3940 (name and address of purchaser)
- 3. Location of installation APS-PALO VERDE/Arizona Public Service Pdle Verde Plant/P.O. Box 52034, Phoenix AZ 85072-2034
[name and address) 72599749 REV C SA479, TP 316 N/A N/A 2006 T
- 4. yp&e --
(drawing no,) (mat'). spec. no.) !tensile strength) (CRN) (year built) 1974 SUMMER 1976 2 1539-1 .(N-30-1), 1976
- 5. ASME Code, Section III, Division 1:
(edition) (addenda date) (class) (Code Case no.) N/A N/ANA Revision N/A Date N/A
- 6. Fabricated in accordance with Const. Spec. (Div. 2 only)
(no.)
- 7. Remarks: STEM/DISK ASSY FOR A 1" 600# KEROTEST Y-GLOBE VALVE
- 8. Nom. thickness (in.) N/A Min. design thickness (in.) Per #4 Dia. 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:
National National Part or Appurtenance Board No. Part or Appurtenance Board No. Serial Number in Numerical Order Serial Number in Numerical Order (I) 23500-1-19 N/A (26) (2) 23500-1-20 N/A (27) (3) (28 ) .. .. ... . (4) (29) (5)_ (30) (6) (31) (7) (32) . (33) (9),
- 0) (34)
(10) (35) (11) (36) (12) (37) (13) (38) (14) (39) (15) (40) (16) (41) (17) (42) (18) . (43)_ (19) (44) (20) (45) (21) 146) (22) (47) (23) (24) (48). (25) 1;;n% 1030 650
- 10. Design pressure psi. Temp. 'F. Hydro. test pressure at temp. 'F (when applicable)
ýplemental information in the form of lists, sketches, or drawings may be used provided (1) size is 811 x 11, (2) information in items 2 and 3 on this Data Report is
.Jed on each sheet, (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
111/055
2 FORM N-2 (Back - Pg. 2 of -___ 23500-1-192 Certificate Holder's Serial Nos. through. 23500-20 CERTIFICATION OF DESIGN Design specifications certified by Aritava Bhattacharya P.E. State" Reg. no. 27603 (when applicable) Design report* certified by N/A P.E. State N/A Reg. no. N/A (when applicable) CERTIFICATE OF COMPLIANCE Parts We certify that the statements made in this report are correct and that this (these) conforms to the rules of construction of the ASME Code, Section I11,Division 1. NPT " N-1563' Epires . 11-26-06/ NPT Certificate of Authorization No. Expires Date //Name Date NameFlowserve Corporation. Signed (NaT Certificate Holder)auhreye CERTIFICATE OF 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 NC -and employed by HSR CT of Hartford, CT have inspected these items described in this Data Report on .
//I C, and state that to the best of my knowledge and belief, the Certificate Holder has fabricated these parts or appurtenances in accordance with the ASME Code, Section Ill, 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 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 loss of any kind arising from or connected with this inspection. DateILI gn d __ _ __ _ _ __ __ __ _ _ __ _ _ IDate " Signe / (Authorized Nuciear Inspector) Commissions t'-!C Bd. (incl* drndorsernents) and state or prov. and no.)
-[Neol.
n tt rpa.adn. I.(u&rzdNceiIaetr ~ti d (c.ddrenns
ASME SECTION XI - REPAIR I REPLACEMENT Page of
- 1. ComponentID 1JRCBHV0109 2.. Item
Description:
PRESSURIZER VENT VALVE
- 3. N-5 Data Package Number: 1RC03-2 4. W.O. Number: 2991357
- 5. Original Construction Code Edition: .1977 Edition, Winter 1978 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
REWORK INTERNALS REPLACE MAIN DISC
- 8. LI ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 9. -Evaluation oTthe suitability of this work as per the requirements of IWA - 4150:
REWORK VALVE INTERNALS, NO FAILURE OF ASME SECTION III BOUNDARY
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: SECTION III CLASS 1 ,1989 EDITION
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. IIICI 1, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [] YES [ NO Initial Date '//'17 Q If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: El YES , NO Initiall-ýQOr Date , If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by initial Date Z 71
'," 7 ISI & ANII prior to approving INP525 Status.
nitial O Date 7- " 0 C7 17. Include a step in the W.O. to record below all applicable numbers for i Dreplacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. AAA t t__C- L 0 1,% ?-GIC?
- 18. Planne r~-, 6,i.-. t A-.- '7 / Printed Name:(
v
/{$)b u r2-YZ Signature Date'
- 19. ISI 6.
]/ -
Signature,
,,,a_ Date Date Printed Name: . - , , Log En
- 20. ANII Printed Name:
Signatdkk Date 73DP-9ZZ17Re~9 PV216-08N[ (8.88) PV2 6-OSNI(8-48) 73DP-9ZZ17 Rtw9
I I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner: Arizona Public Service Company, et. al. Date: 06-27-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 2991357
- 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: 1RC03-2
- 5. (a) Applicable Construction Code ASME Section III NB, Class 1 1977 Edition, Winter 1978 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)
Main Disc Target Rock 338 N/A 1JRCBHV0109 2005 Replacement Yes
- 7. Description of Work: Rework internals, replace main disc.
- 8. Test Conducted: Hydrostatic El Pneumatic LI Nominal Operating Pressure F1 Exempt Z N-416-2 LI Other FI 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 the number in items 1atthru of sheets is recorded 6 on the to of this this report form. is included on each sheet, and (3) each sheet is numbered and
FORM NIS-2 (Back)
- 9. Remarks: WO 2991357 REPLACED MAIN DISC AND REASSEMBLED VALVE Pre-Pressured Test WO Review - ISI /t/7I 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 Authorizati No. N/A Expiration Date: N/A Signed: /S/ *Xi- Date: /2'2? ) L-- -Owner o¢Owner's lesignee, 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 -,-k- - - to c. -z' -o01 , 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. _ý714
<-/,j r- Commissions: NB 9685 "N" "I" AZ264
ýJ Inspectors Signature National Board, State, Province, and Endorsements Date: 6, co-7 U0-73DP-9ZZ17 Rev 9 PV216-08NI (8-88)
Pv216-08N[ (8-88) 73DP-9ZZ17 Rev 9
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. 1 of 2
- 1. Manufactured and certified by Target Rock.: 1966E Broadhollow Rd.: E. Farmingdale, NY 11735 (name and address of NPT Certificate Holder)
- 2. Manufactured for _ Arizona Public Service Co.: Phoenix. AZ 85072 (name and address of Purchaser)
- 3. Location of installation Palo Verde Nuclear Generatinq Station: Wintersburg Rd.: Tonopah. AZ (name and address)
- 4. Type 204751-1 SA564 630 140 ksi N/A 2005 (drawing no.) (mat'l. spec. no.) (tensile strength) (CRN) (year built)
- 5. ASME Code, Section III, Division 1: 1989 None 1 None (edition) (addenda date) (class) (Code Case no.)
- 6. Fabricated in accordance with Const. Spec. (Div, 2 only) ' NIA Revision N/A Date iN/A (no.)
- 7. Remarks: Main Disc (Part of Main & Pilot Disc Set p/n 204855-2)
Spare part for valve model no. 98F-001 Nom. Thickness (in.) N/A Min. design thickness (in,) NIA Dia. 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 Appurtenanct-. National Part or Appurtenance National Serial Number Board No. Serial Number Board No. In Numerical Order In Numerical Order (1) 316 NA (26) (2) 319 (27) (3) . . 25 (4)..3 (29) (5)- 338 (30), (6) 343 (31) (7) (32) (8) (33) (9) (34) (10) (35)_.- (11) (36)_ (12) (37)_ (1 3) _ (38), (14) (39)_ (15) (40) (16) (41) (17) (42) (18) (43) (19) (44) (20) (45) (21) (46) (22) (47)
'23) (48)
(24) (49) (25) (50)
- 10. Design pressure N/A _psi. Temp. N/A 'F Hydro. Test pressure 4810 psia at temp. °F (when applicable) Ambient
- Supplemental information in form of lists, sketches, or drawings may be used provided (1) size is 8% x 11, (2) information in items 1 through 4 on this Data Report is included on each sheet, (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/88) This form (E00040) may be obtained from the Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300 REPRINT (71911
FORM N-2 (BACK - Pg. 2 of 2) Certificate Holder's Serial Nos. 204751-1 sin 316, 319, 325, 333, 338 & 343 CERTIFICATION OF DESIGN Design specifications certified by Jose Aquila Daza P.E. State AZ Reg. No. 24485 (when applicable) Design report* certified by W. R. D. Kerr P.E. State VA Reg. No. 024868 (when applicable) CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that this (these) Parts conforms to the rules for construction of the ASME Code, Section III, Division 1. NPT Certificate of Authorization No. N-1948 Expires 12/12/2007 Date X/_* .i't Name TargetRock Signed 7 -L4- t . .. (NPT Certificate Holder) R. E lazier; Q Manager (authorized representative) CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Province of New York and employed by OneBeacon America Insurance Co, of Boston, MA have inspected the pump, or valve, described in this Data Report on 4911171 and state that to the best of my knowledge and belief, the Certificate Holder has fabricated these" parts or appurtenances in accordance withthe ASME Code, Section III, Division 1. Each part listed has been authorized for stamping on the date shown above. By siqning this certificate, neither the inspector nor his emDloyer makes any warranty, Pypressed 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 injury or property damage or loss of any kind arising from or connected with this ins pection. Dateý/'/O-< Signed Commissions _________-_'______ uthorize oIn or) (Nat'l. Bd. (incl. endorsements) and state or prov. and no.)
i ASNMTE SECTION X. - REPAIR / REPLACEMENT Page - of !Q2..1. Component ID 1MCHAX05 Item
Description:
Greer Hydraulics Suction Stabilizer
- 3. N-5 Data Package Number: 1CH04-3 4. W.O. Number: 3014269
- 5. Original Construction Code Edition: 1977 Edition, Winter 1977 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Disassembly of charging pump suction stabilizer for bladder replacement.
- 8. 3] ISI Flaw NDE Method of Flaw Detection: n/a Report Number: n/a
- 9. Evaluation.of the suitability of this work as per the requirements of IWA - 4150:
TIoT a - C. 4T- 11 faii~LHýp~Ij. Auiia TTY .I~I taiv At2I ir I L AU" ut 11 U t Jt,~ 1U AAUII
$ ~. " .... .!~<'* -* 7 14 (c*Y
- 10. 'Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec III Cl 2, 1977 Edition 1977 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III C1 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [I YES [E NO Initial ______ Date 5"--*z ' If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: [] YES E NO If required, include a step in the W.O. for ISI & ANII Inspection.
ý`Initial Date
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by It DISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial 5/- Date -_____.__ replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Suction Stabilizer N/A 6117 N/A N/A Valve Stem APN 45004042 -7 MR 1224488
- 18. Planner 14,-Z'/ 5-/ -P2 Printed Name: 2A /- I. - T Signature Date
- 19. ISI, C Printed Name: -Log Entry Signature ,. Date 1,20. ANII "'Nq , Printed Name: ,-. .. -
Signatdre Date 73DP-9ZZ17 Ruvg
I 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: 5-18-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: I of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: [
5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 3014269
- 3. Wotk Performelr 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 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 I I. I. Y Y 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) Suction Greer Hydraulics 6117 N/A IMCHAX05 1980 Repaired YES Stabilizer Valve Stem Westinghouse 1208A- 17 N/A IMCHAX05 2003 Replacement NO
- 7. Description of Work: Disassemble the suction stabilizer for bladder replacement.
- 8. Test Conducted: Hydrostatic E] Pneumatic LI Nominal Operating Pressure LI Exempt Z N-416-2 LI Other Pressure __ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, 'sketches, or drawings may be used provided (1) size is 8 1/22 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 recorded at the to of this form.
FORM NIS-2 (Back) Remarks: WO# 3014269 for suction stabilizer 1MCHAX05. The bladder replacement includes the stern as a code pressure retaining part. The bladder was replaced due to noise from the wear plate (button) at bottom of the bladder being loose. Pre-Pressured Test WO Review - IS I_/ \\ 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. NIA Expiration Date: N/A Signed: ,ZL0Zý ~ Ž 7-'1~ N/A S/1 */-J---- Date: - -67 Ownet-e O~*er's Designee-Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of $Z- 7 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 oqf 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 National Board, State, Province, and Endorsements Wspectors Signature Date:
I-a PV1-0N (-8...-9Z7 e PV216-08NI (8-88) 73DP-9ZZI7 Rev 9
f ASME SECTION XI - REPAIR IREPLACEMENT Page k of L. Component ID IPCHEV335 Item
Description:
2" - 1500 lb Borg Warner Gate Valve model 77580
- 3. N-5 Data Package Number: 1CH04-1 4. W.O. Number: 3017458
- 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 (seal weld) and rework to correct seat leakage.
- 8. [] ISI Flaw NDE Method of Flaw 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 III pressure boundary. The seal weld is required to be replaced for valve disassembly and code parts such as bonnet or gate will be replaced as needed due to normal wear based upon inspection.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III C1 2, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III C1 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: El YES [ NO Initial __,A1J4 Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: Z YES L] NO
-'aitial _-___ Date b -Jp ýýZ If required, include a step in the W.O. for ISI & ANII Inspection.
.Initial Date 4 -4 7 16. Include a step in the W.O. to verify NIS-2 Form has been completed by I ISI & ANII prior to approving INP525 Status.
Initial,v ,/1
/Date '* -O -. q 17. Include a step in the W.O. to record below all applicable numbers for at replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No.
.Bonnet seal weld N/A N/A N/A N/A Gate APN 45050154 I -. ,-4. MR 1237738 MR -12&-ý 45e< 20'0
/
APN Boet * /L '1~ 18. Planner __ __ __ __ __ __ __ __/ Printed Name: .DJrno ,1, Gc* 96Lc.- Sign ure Date
- 19. 15 f - ,Y /6 Printed Name: R? /~2t/2 og EntrQ 5 -
Signature Date
- ANII <
- Printed Name: _._, _______-____
Signature\, Date PV2t6-08.N1(8-83) 73DP.9ZZ17 Rýý9
I 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: 6/26/2007 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo-Verde Nuclear Generating Station Unit: I 9801 South Wintershur* Road.. Tononah. Arizona 85354-7529 Work Order Number 3017458 5801 South Wintersburp, Road Tononah Arizona 85354-7529
- 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 Volume Control System
- 5. (a) Applicable Construction Code ASMIE 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 Identification Built Replacement Code No. Stamped (Yes or
_ _ _ _ __._ ___/_No) Valve Borg Warner 26957 N/A IPCHEV335 1978 Repaired YES Seal Weld N/A N/A N/A IPCHEV335 2007 Replacement NO
/
Gate Borg warner 1884 N/A 1PCHEV335 2007 Replacement NO 1 1- "A I.
- 7. Description of Work: Disassemble and rework to correct seat leakage.
- 8. Test Conducted: Hydrostatic [] Pneumatic E] Nominal Operating Pressure-*- Exempt CK NOe Tsps r e1_7
-N-416-2 [] 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 V2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered I and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back) -9. Remarks: WO# 3017458 foe valve 1PCHEV335. The bonnet seal weld will be replaced to allow for valve disasembly. Code parts such as gate was replaced due to wear. Pre-Pressured Test WO Review -ISI _/A ANII 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:- *I "e.r ) Date: C-2*--.OO
,wner or Owner's Designee, Tilte 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 C].- k-0i 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 damageor a loss of any kind arising from or connected with this inspection. _ __-_Commissions: NB 9685 "N" "I" AZ264 Inspectors Signature Ins National Board, State, Province, and Endorsements Date:__ _ _ _ __ _ _ _ (8-88)
- 16-08N1 (8-88) 73DP-9ZZ17 Rev 9
'I-16-08NI 73DP-9ZZI7 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT
- 1. Component ID tPCH1EV334
'92.. Item
Description:
2" - 1665 lb Borg Warner "Y" type check valve model 81630 & 1
.3. N-5 Data Package Number: 1CH04-1 4. W.O.'Number: 3017459
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974Edition, Winter 1975 Addenda
- 7. Work
Description:
Disassemble check valve (seal weld) and rework to correct seat leakage.
- 8. F] ISI Flaw NDE Method of Flaw 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 III pressure boundary. The seal weld is required to be replaced for valve disassembly and code parts such as bonnet or disc will be replaced as needed due to normal wear based upon inspection.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [] YES [ NO Initial A A-"Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: Pi ] NO n/tial Date .,,-f.. 0 If required, include a step in the W.O. for ISI & ANII Inspection.
nilDate - 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial Date ISI & ANII prior to approving INP525 Status. Initial. Date 17. Include a step in the W.O. to record below all applicable numbers .for InitalK.~~ Dae ~' /replacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. Bonnet seal weld N/A N/A N/A N/A Disc APN 45020217 *C5. _ _ _ _ MR 1237901
.Agri,ff. APN 45_t60__)/_,/_--_-/Thz9_
- 18. Planner Printed Name: ..2-,O'x /"-
Si turePate
- 19. ISI SSignature *
&/ 6l~' Date Printed Name: 2619-ckJI/'4 Log Entry 12Lj3 R1.-
- 0. ANII _ _ _ _ __ Printed Name: ___,__ _ _ _,_
Signatu1r Date PV:16-08Nmt8-88) 73DP-9gL17 Rev 9
I -t. 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: 6/26/2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah. Arizona 85354-7529 Work Order Number' 3017459
- 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 Volume Control System
- 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 Identification Built Replacement Code No. Stamped (Yes or No)
Valve Borg Warner 31766 N/A IPCHEV334 1978 Repaired YES Seal Weld N/A N/A N/A 1PCHEV334 2007 Replacement NO Disc Borg Warner 805 1 N/A IPCHEV334 2007 Replacement NO
- 7. Description of Work: Disassemble and rework to correct seat leakage.
- 8. Test Conducted: Hydrostatic [ Pneumatic E Nominal Op'erating Pressure-' Exempt to N-416-2 [] Other Pressure _ psi Test Temperature __O°F NOTE: Supplemental sheets in form of ligts, sketches, or drawings may be used provided (1) size is 8 1/2 X II Jinches, (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.
11.9. I FORM NIS-2 (Back) Remarks: WO# 3017459 foe valve 1PCHEV334. The bonnet seai weld will be replaced to allow for valve disasembly. Code partssuch as disc was replaced due to wear. Pre-Pressured Test WO Review - ISI W/A ANII N1Pt; 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 i Certificate of Authorization No. N/A Expiration Date: N/A Signed: ,6 c*k, n .e- Date: 6 /Z '{'07 wner or Owner's Desi~rt'e, 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 c-z0.-01 , 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. 1pcosSignature Commissions: NB 9685 "N" "'" AZ264 National Board, State, Province, and Endorsements k,-2(. -o-7 Date: d1-730P-9ZZ17 Rev 9 216-08N1 (8-88)
' "216-08NI 73DP-9ZZ17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1SG042H01 1 2.. Item
Description:
Steam Generator #2 Main Steam Line Constant Spring Hanger
- 3. N-5 Data Package Number: 1SG02-1 4. W.O. Number: 3021090
- 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 damaged load coupling and anti-friction collar.. 8.M ISI Flaw NDE Method of Flaw Detection: " Report Number: c> -I-, Ao
.9. Evaluation ofthe suitability of this work as per the requirements of IWA - 4150:
CRDR# 2887685 provides the evaluation and suitability of this replacement.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. 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. Preservice Inspection Required: [ YES D1 NO Initial / Date $- $/-z'7 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: El YES Z NO Initial / Date "/ 7 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 verify NIS-2 Form has been completed by t DISI & ANII prior to approving INP525 Status.
Initial ,Date ' - 17. Include a step in the W.O. to record below all applicable numbers for
/ replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Load Coupling APN 00096412 2006-182 N/A MR 1231398 Anti-Friction Collar APN 00095950 N'A PL-526 MR 1231398
- 18. Planner Printed Name: PAL) /v -' M, 0--
Signature Date
- 19. ISI Date Printed Name:;- Log Entry(]Pk*---
- 20. ANII , - Printed Name: Q_(,.. ro*
Signat4 Date PV36OSI(88)13P911 PV216-OSNI(8-88) 73DP-gZZI7 Rýý9
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: 6-3-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South WintersburE Road., Tonooah, Arizona 85354-7529 Work Order Number 3021090
- 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 System
- 5. (a) Applicable Construction Code ASMIE 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)
Hanger ITT Grinnell G2503 N/A 1SG042H011 1983 Repaired YES Load Coupling Anvil 2006-182 N/A 1SG042H011 2006 Replacement YES Anti-Friction Anvil N/A N/A 1SG042H011 2006 Replacement NO Collar
- 7. Description of Work: Replace the load coupling and anti-friction collar.
- 8. Test Conducted: Hydrostatic Dl Pneumatic D] Nominal Operating Pressure fl Exempt Z N-416-2 El Other Pressure __ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 '/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: WO# 3021090 for hanger 1SGO42HOI 1. The load coupling was found broken. CRDR# 2887685 is evaluating the condition and provides for the replacement of the load coupling and anti-friction collar.
Pre-Pressured Test WO Review - IS! //_ __ _ _ _ _ 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 Au *zatio o. N/A Expiration Date: N/A Signed:
*// - O*/or Owner's Designee, titfle-4 Date: - 22 -I2 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 r.- 1k 1 to r. -ZZ- 0-1 , 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 SInspectors Signature National Board, State, Province, and Endorsements Date: - -ZZ -o-7 I 73DP-9ZZ17 Rev 9 PV216-08N1 (8-88) PV216-08NI (8-88) 73DP-9ZZ17 Rev 9
FORM NF-1 CERTIFICATE HOLDERS' DATA REPORT FOR COMPONENT SUPPORTS* As Required by the Provisions of the ASME Code, Section III, Division 1 Pg. 1 of 2
- 1. Manufactured by Anvil International, Inc. - 160 Frenchtown Rd. No.Kingstown, RI 02852 (name and address of NPT Certificate Holder)
- 2. Manufactured for Arizona Public Service Co. Palo Verde 5801 South Wintersburg Road Tonopah, AZ 85354 (name and address of Purchaser)
- 3. Location of installation Arizona Public Service Co. Palo-Verdle 5801 South Wintersburg Road Tonopah, AZ 85354 (name and address)
- 4. Type: C.S.S. DRS 80 Rev.0 2006 (describe) (Design Report or Load Capacity Data Sheet) (year built)
- 5. ASME Code, Section III, Division 1: 1974 Winter 1975 2 N/A (edition) (addenda date) (ciass) (Code Case no
- 6. Identification (a) (b) (c.) (d) (e)
Component Material Canadian Applicable National Support Specification Registration Drawings With Board I.D. No. No. No. Last Rev. &Date No.
p (1) 2006- 182 Note 1 N/A BH 1586/A 2/3/05 N/A (2) 2006- 183 Note 1 N/A BH 1586/A 2/3/05 N/A (3) 2006- 184 Note 1 N/A BH1586/A 2/3/05 N/A (4) 2006- 185 Note 1 N/A BH1586/A 2/3/05 N/A (5)
(r) (7) (8) (9) (10)
- 7. Remarks:
Note 1: SA36, SA106 GR.B, Note 2: Material Supplied to ASME Section II, 1992 Edition, 1993 Addenda 500305883 41-76968 PC)#: PO#: 500305883 SO#: SO#: 41-76968
*Supplemental information in the form of lists, sketches, or drawings -nay be used provided (1) size is 8 1/2 x 11, (2) information in items 1 through 4 on this Data 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.
(12/88) This form (E00075) 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. 2006-182 through 2006-185 CERTIFICATE OF DESIGN Design Specification certified by H. R. Sonderegger P.E. State R.I. Reg. no 3537 Design Report certified by Ronald T. Wisniewski P.E. State R.I. Reg. no 4108 CERTIFICATE 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 I11, Division 1. NPT Certificate of Authorization No. N-2802 Expires 9/29/2007 I-*,: Date //1-1 70 o Name Anvil International, Inc. Signed _ _ -_" _ _ .... (NPT Certificate 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 / j Hartford, C.T. have inspected the component supports described in this Data Report on ///,7 * , and state that to the best of my knowledge and belief, the Certificate Holder has 6 constructed tiese c mponent 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 component supports 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 Signed 2* _*....ommissions /4l- , , (Authorized Inspection) (Nat'l. Bd. (incl. endorsements) and state or prov. and no.)
ASME SECTION X1 - REPAIR / REPLACEMENT Pate 1 of t 1; Comr.onentiD !_ME'WBECI 2. ASMIE Section III Class 3 Item
Description:
ESSENTIAL COOLING WATER 2EAT EXCHNTGER
- 4. N-5 Data Package Number: iEW02-1 5. W.O. Number: 3022004
- 6. Original Construction Code Edition: 1974 Edition. Winter 1975 Addenda
- 7. Original Installation Code Edition: 1974 Edition. Winter 1.975 Addenda
- 8. Work
Description:
Perform Base Material Weld Repairs on the Channel Head Covers of the essential Cooling
- 9. D ISI Flaw NDE Method of Flaw Detection:
Report Number:
- 10. Evaluation of the suitability of this work as per the requirements of IWA - 4150:
Base Material Weld Repairs' on the Channel Head Covers of the essential Cooling, as Identified by ,Engineering. Repaired Areas to be Covered/Protected with Coating
- 11. Repair/Replacement Work Organization: Arizona Public Service
- 12. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 3. 1974 Edition 1975 Winter Addenda
- 13. Repair/Replacement Activity Construction Code/Edition: See. III Cl 3. 1974 Edition 1975 Winter Addenda
- 14. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 15. Preservice Inspection Required: IZ YES Z NO Initial ,,ý Date ý"* -Z E If required, include a step in the W.O. to perform Preservice Inspection
- 16. ASME Section XI Pressure Test Required: Z YES [] NO Initial , Date i:a - -
If required, include a step in the W.O. for ISI & ANII Inspection. 1 17. Include a step in the W.O. to complete NIS-2 Form prior to releasing the Initial"i__, ..- Date - component.
- 18. Include a step in the W.O. to record below all applicable numbers for repaired or Initial~-~'a-,a' .. Date * . {.*-" replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. IMEWBE01 / N/A N/A N/A N/A
- 19. Planner 7sT_ < Printed Name: James I Davis Signature Date
- 20. ISI
/ Signature " /Date Printed Name: _/C, -Z--) R_1767 21nANIT l e Printed Name: _ ,__ -_____,_,.___-
IS ignal e Date PV-E.0093V-r 7 73DP-)Z.Z I
F 0,WNE NIS-2 AsIer REPORT tS FOR REPAIRS OR REPLA CEo ENTS As Required by the Pro\ is] ohs of the ASMINE Code Sec~tion X!
- i. Owner: Arizooa Public Service Companv. et. al. Date: 06/02/2007 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: I of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South WintersbUrg Road.. Tonopah. Arizona 85354-7529 Work Order Number 3022004
- 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 (EW)
- 5. (a) Applicable Construction Code ASME Section III ND. 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 I tem Manufacture Serial No. Board No. Identification Built Replacement Code Stamped (Yes or 4 NO)
EW Heat Struther Wells 17606329132 14441 1MEWBEOI 1978 Repaired YES Exchanger Corporation
- 7. Description of Work: Base Material Weld repair of Channel Heads & Channel head Covers of EW Heat Exchanger
- 8. Test Conducted: Hydrostatic [D Pneumatic E] Nominal Operating Pressure Z Exempt [ N-416-1 D Otfier n Pressure __ psi Test Temperature OF 2
I NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 11/2 X 11 inches, (2) information in items t 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) 19, Remarks: Work Order 3022004 uerifrmned Base Material renair on Base Material Weld reoair of Channei Heads & Channel head Covers of ETW Heat Exchanqer. as identified by Engineering. 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 X1. Type Code Symbol Stamp N/A Certificat e of Authorization No. N/A Expiration Date: N/A Signed: Date: L --1ýi- 7 Owner or Owner's Designee, Title V -> 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 t1he components described in this Owner's report during the period of (- - ci-, 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 requiremefhts 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 propertyT 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 Q) inspectors Signature Date: Back
\'er. 77 Back 73DP~97.Z1 7 PV-E0092 Ver.
PV-E0092 73DP-97-Z17
ASMIE SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1SG045H011 2.. Item
Description:
Steam Generator #2 Main Steam Line Constant Spring Hanger
- 3. N-5 Data Package Number: 1SG02-1 4. W.O. Number: 3022219
- 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 damaged load coupling and anti-friction collar..
- 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:
CRDR# 2887685 provides the evaluation and suitability of this replacement.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. 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. Preservice Inspection Required: [ YES Z NO
/
Initial ___-_____ Date '- 3 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: [E YES Z NO Initial. ! Date 63- *'D t If required, include a step in the W.O. for ISI & ANII Inspection.
Initial d*7* r Date -3. 7 16. Include a step in the W.O. to verify NIS-2 Form has been completed by ISI & ANII prior to approving INP525 Status. Initial
- " Date 4/ -0/1,* 17. Include a step in the W.O. to record below all applicable numbers for Initial D replacement items.
Item ID Part No. Serial No. Heat No. MRIPO/WO No. Load Coupling APN 00096412 2006-185 N/A MR 1231779 Anti-Friction Collar APN 00095950 N/A PL-526 MR 1231779
- 18. Planner7 Printed Name: !Mi/./ ,/' C e7- T Signature Date
- 19. 181 a/Pte/7 Printed Name: It T f LogEntry Signature ,JDate
_20._!ISigat__ ..................... -" oPrinted Name: 1 - OS2Date V21"SNJ(8.88) ,3DP-97.ZI7 *, 9,l
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: 6-3-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road.. Tononah. Arizona 85354-7529 Work Order Number 3022219
- 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 System
- 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) Hanger ITT Grinnell G2504 N/A 1SG045H011 1982 Repaired . YES Load Coupling Anvil 2006-185 N/A 1SG045H011 2006 Replacement YES Anti-Friction Anvil N/A N/A ISG045H011 2006 Replacement NO Collar
- 7. Description of Work: Replace the load coupling and anti -friction collar.
- 8. Test Conducted: Hydrostatic El Pneumatic 0 Nominal Operating Pressure fl Exempt [
N-416-2 U Other Pressure __ psi . Test Temperature OF . NOTE: Supplemental. sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each.sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back) 9 Remarks: WO# 3022219 for hanger ISGO45HOI 1. The load coupling was found broken. CRDR# 2887685 is evaluating the condition and trovides for the renlacement of the load counling and anti-friction collar-Pre-Pressured Test WO Review - ISI N4/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 Expiration Date: N/A Signed:( -", ..- * - Date: 6- 2.-- Zc00 SOwner or Owner's Designe~e, Title o" CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of .- k-o0t to - -*-ol , 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 Inspectors Signature Date: C.-ZZ -07 -.I rV2to-trnNl (8-8S) 73DP-9~l7 Rev 9 PV21608NI (8-88) 73DP-9ZZ17 Rev9
FORM NF-1 CERTIFICATE HOLDERS' DATA REPORT FOR COMPONENT SUPPORTS* As Required by the Provisions of the ASME Code, Section III, Division 1 Pg. 1 of 2
- 1. Manufactured by Anvil International, Inc. - 160 Frenchtown Rd. No.Kingstown, RI 02852 43/4 ~ (name and address of NPT Certificate Holder)
- 2. Manufactured for Arizona Public Service Co. Palo Verde 5801 South Wintersburg Road Tonopah, AZ 85354 (name and address of Purchaser)
- 3. Location of installation Arizona Public Service Co. Palo Verde 5801 South Wintersburg Road Tonopah, AZ 85354 (name and address)
- 4. Type: C.S.S. DRS 80 Rev.0 2006 (describe) (Design Report or Load Capacity Data Sheet) (year built)
- 5. ASME Code, Section I11,Division 1: 1974 Winter 1975 2 N/A (edition) (addenda date) (class) (Code Case no.)
- 6. Identification (a) (b) (c.) (d) (e)
Component Material Canadian Applicable National Support Specification Registration Drawings With Board I.D. No. No. No. Last Rev. &Date No. (1) 2006- 182 Note 1 N/A BH1586/A 2/3/05 N/A (2) 2006- 183 Note 1 N/A BH1586/A 2/3/05 N/A (3) 2006- 184 Note 1 N/A BH1586/A 2/3/05 N/A (4) 2006- 185 Note 1 N/A BH1586/A 2/3/05 N/A (5) (7) (8) (9) (10)
- 7. Remarks:
Note 1: SA36, SA106 GR.B, Note 2: Material Suvplied to ASME,Section II, 1992 Edition, 1993 Addenda PO#: 500305883 SO#: 41-76968
*Supplemental information in the form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 x 11, (2) information in items 1 through 4 on this Data 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.
(12/86) This form (E00075) may be obtained from the Order Dept., ASME, 22 Law Drive, Boy 2300. Fairfield, NJ 07007-2300.
FORM NF-1 (Back - Pg. 2 of 2 ) Component Support I.D. Nos. 2006-182 through 2006-185 (.
~CERTIFICATE Design Specification certified by H. R. Sonderegger P.E. OF StatE DESIGN R. 1. Reg. no 3537 ..
Design Report certified by Ronald T. Wisniewski P.E, StatE R.I1. Reg. no 4108 CERTIFICATE 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 , '2-,/ i>"0, Name Anvil International, Inc. Signed _ _ _ _ _ _ (NPT Certificate 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 /,/17 ' , and state that to the best of my knowledge and belief, the Certificate Holder has constructed these 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 component supports 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 Signed e ,,. ?mmisSions
?6 0 W**#f - 11/1:
(Authorized Inspection) (Nat'l. Bd. (incl. endorsements) and state or prov. and no.)
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1SG033H011 2.. Item
Description:
Steam Generator #1 Main Steam Line Constant Spring Hanger
- 3. N-5 Data Package Number: ISGO1-1 4. W.O. Number: 3022220
- 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 load coupling and anti-friction collar as part of CRDR 2887685 evaluation.
- 8. F1 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 III pressure boundary or suports.
~IL;q16 7
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. 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. Preservice Inspection Required: Z YES El 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 Z NO required, include a step in the W.O. for ISI & ANII Inspection.
Initial ANY Date - " " If
- 6. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial ,i* Date 2 7 1i ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial -ft -"Date L L replacement items.
Item ID Part No. Serial No. Heat No. MLR/PO/WO No. Load Coupling APN 00096412 2006-183 N/A MR 1231790 Anti-Friction Collar APN 00095950 N/A PL-526 MR 12317P0
- 18. Planner Printed Name: 2,4k/", *2:bLL.*7-*
SigntureDate
- 19. 1I S!____________________ Printe Name: C", 'IT P~ A P .Log Entry Signature Date 12 . SI" "i Printed Name: _______-_________Lg _ntry i N Signatr -Date r V216-08lNI(8-99) 73DP.ZZ*I17 R-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: 6-3-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road.. Tonopah, Arizona 85354-7529 Work Order Number 3022220
- 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 System
- 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)
Hanger ITT Grinnell G2501 N/A 1SGO33HO11 1983 Repaired YES Load Coupling Anvil 2006-183 N/A 1SG033H011 2006 Replacement YES Anti-Friction Anvil N/A N/A 1SG033H011 2006 Replacement NO Collar
- 7. Description of Work: Replace the load coupling and anti-friction collar.
- 8. Test Conducted: Hydrostatic E] Pneumatic E] Nominal Operating Pressure El Exempt [0 N-416-2 F1 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 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# 3022220 for hanger 1SGO33HOI 1. The load coupling and anti-friction collar are being replaced for CRDR# 2887685 evaluation.
Pre-Pressured Test WO Review - ISI MA 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 Authorization No. N/A Expirati on Date: N/A Signed: - or O ers ýLef_
- Oiner-or Owner's Design&v--ftle Date: (-Z2--07 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 c.-'-t-o to .- 2Z-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. F 4,, Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements
ýJInspectors Signature Date:
"I: 73DP-9ZZ17 Rev 9 PV216-08NI (8-88) PV216-08N1 73DP-9ZZ17 Rev 9
FORM NF-1 CERTIFICATE HOLDERS' DATA REPORT FOR COMPONENT SUPPORTS* As Required by the Provisions of the ASME Code, Section III, Division 1 Pg. 1 of 2
- 1. Manufactured by Anvil International, Inc. - 160 Frenchtown Rd. No.Kingstown, RI 02852 (name and address of NPT Certificate Holder)
- 2. Manufactured for Arizona Public Service Co. Palo Verde 5801 South Wintersburg Road Tonopah, AZ 85354 (name and address of Purchaser)
- 3. Location of installation Arizona Public Service Co. Palo Verde 5801 South Wintersburg Road Tonopah, AZ 85354 (name and address)
- 4. Type: C.S.S. DRS 80 Rev.0 2006 (describe) (Design Report or Load Capacity Data Sheet) (year built)
- 5. ASME Code, Section III, Division 1: 1974 Winter 1975 2 N/A (edition) (addenda date) (class) (Code Case no.)
- 6. Identification (a) (b) (c.) (d) (e).
Component Material Canadian Applicable National Support Specification Registration Drawings With Board I.D. No. No. No. Last Rev. & Date No-(1) 2006- 182 Note 1 N/A BH1586/A 2/3/05 N/A (2) 2006- 183 Note 1 N/A BH1586/A 2/3/05 N/A (3) 2006- 184 Note 1 N/A BH1586/A 2/3/05 N/A (4) 2006- 185 Note 1 N/A 8H 1586/A 2/3/05 N/A (5) (7) (8) (9) (10)
- 7. Remarks:
Note 1: SA36, SA106 GR.B, Note 2: Material Supplied to ASME Section II, 1992 Edition, 1993 Addenda PO#: 500305883 SO#: 41-76968
*Supplemental information in the form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 x 11, (2) information in items 1 through 4 on this Data 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.
(12/88) This form (E00075) may be obtained from the Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300.
FORM NF-I (Back - Pg. 2 of 2 ) Component Support I.D. Nos. 2006-182 through 2006-185 CERTIFICATE OF DESIGN Design Specification certified by H. R. Sonderegger P.E. StatE RI. Reg, no 3537 Design Report certified by Ronald T. Wisniewski P.E. State RI. Reg. no 4108 CERTIFICATE 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 //-/7"06 Name Anvil International, Inc. Signed __,_,_ _ _ _ (NPT Certificate 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 j Hartford, C.T, have inspected the component supports described in this Data Report on ////7 " , and state that to the best of my knowledge and belief, the Certificate Holder has constructed t~ese 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 component supports 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 Signed Z, ý mm issions 47 ?*' " " . (Authorized Inspection) (Nat'l. Bd. (inc). endorsements) and state or prov. and no.)
ASME SECTION XI - REPAIR / REPLACEMENT Page of
- 1. Component ID 1SG036H011 2.. Item
Description:
Steam Generator #1 Main Steam Line Constant Spring Hanger
- 3. N-5 Data Package Number: 1SG01-1 4. W.O. Number: 3022221
- 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 load coupling and anti-friction collar as part of CRDR 2887685 evaluation.
- 8. [Z 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 III pressure boundary or supports. , j * *24 "
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III NF C1 2, 1974 Edition Winter 1975 Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III NF C1 2, 1974 Edition Winter 1975 Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: Z YES [] NO Initial -16 Date $3-3'7 If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Requiredd: [: YES Z NO i) Initial . r76 Date - -3 D_7 If required,*include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial Date 2.,-z
'7 ISI & ANII prior to approving INP525 Status.
- 17. Include a step in theW.O. to record below all applicable numbers for Initial
- Date - replacement items.
Item ID Part No. Serial No. Heat No. MRIPO/WO No. Load Coupling APN 00096412 2006-184 N/A MR 1231792 Anti-Friction Collar APN 00095950 N/A PL-526 MR 1231792
- 18. Planner J Y d--/ Printed Name: )/q))iO ,4 6
,:6tLIO7 Signature Date
- 19. ISI ___ ___ ___ ___ ___ Printed Name: ' ',¢g AnLogEntryv Signatr Date
- 20. ANII , , c--o Printed Name: __ .. ___,_,_- ___,___
Signatt . Date iVV216býHNI (8-83) 73DP-9ZZ17 R-s 9
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI N,
- 1. Owner: Arizona Public Service Company, et. al. Date: 6-3-2007 P. O. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-75229 Work Order Number 3022221
- 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 System
- 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)
Hanger ITT Grinnell G2502 N/A 1SG036H011 1983 Repaired YES Load Coupling Anvil 2006-184 N/A 1SG036H011 2006 Replacement YES Anti-Friction Anvil N/A N/A ISG036H011 2006 Replacement NO Collar
- 7. Description of Work: Replace the load coupling and anti-friction collar.
- 8. Test Conducted: Hydrostatic F1 Pneumatic E] Nominal Operating Pressure El Exempt Z 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 1/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
FORM NIS-2 (Back)
- 9. Remarks: WO# 3022221 for hanger 1SGO36HO1 1. The load coupling and anti-friction collar are being replaced for CRDR# 2887685 evaluation.
Pre-Pressured Test WO Review -1IS N/I ANII i__//,&- Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to."the rules of the ASME Code, Section XI. Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: J! " --- "Date: 6 _ Own* or Owner's Designee, Titl'-" 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 C.-k- -o1 to (-2z-o-1 , 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 ASMvIE 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 ,* --- Commissions: NB 9685 "N" "I" AZ264 o SNational Board, State, Province, and Endorsements Inspectors Stgnature SDate: -zo-a.- 73DP-9ZZ17 Rev 9 PV216-08NI (8-88) PV216-08N1 (8 -88) 73DP-9ZZ17 Rev 9
FORM NF-1 CERTIFICATE HOLDERS' DATA REPORT FOR COMPONENT SUPPORTS* As Required by the Provisions of the ASME Code, Section III, Division 1 Pg. 1 of 2
- 1. Manufactured by Anvil International, Inc. - 160 Frenchtown Rd. No.Kingstown, RI 02852 I' - *(name and address of NPT Certificate Holder)
- 2. Manufactured for Arizona Public Service Co. Palo Verde 5801 South Wintersburg Road Tonopah, AZ 85354 (name and address of Purchaser)
- 3. Location of installation Arizona Public Service Co. Palo Verde 5801 South Wintersburg Road Tonopah, AZ 85354-(name end address)
- 4. Type: C.S.S. DRS 80 Rev.0 2006 (describe) (Design Report or Load Capacity Data Sheet) (year built)
- 5. ASME Code, Section !11,Division 1: 1974 Winter 1975 2 N/A (edition) (addenda date) (class) (Code Case no.)
- 6. Identification (a) (b) (c.) (d) (e)
Component Material Canadian Applicable National Support Specification Registration Drawings With Board I.D. No. *No. No. Last Rev. & Date No. (1) 2006- 182 Note 1 N/A BH1586/A 2/3/05 N/A (2) 2006- 183 Note 1 N/A BH1586/A 2/3/05 N/A (3) 2006- 184 Note 1 N/A BH 1586/A 2/3/05 N/A (4) 2006- 185 Note 1 N/A BH1586/A 2/3/05 N/A (5) (6) (7) (8) (9) (10)
- 7. Remarks:
Note 1: SA36, SA106 GR.B, Note 2: Material Supplied to ASME Section II, 1992 Edition, 1993 Addenda PO#: 500305883 SO#: 41-76968
*Supplemental information in the form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 x 11, (2) information in items 1 through 4 on this Data 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.
(12/88) This form (E00075) 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. 2006-182 through 2006-185 CERTIFICATE OF DESIGN Design Specification certified by H. R. Sonderegger P.E. State R.1. Reg. no 3537 Design Report certified by Ronald T. Wisniewski P.E. State R.I. Reg. no 4108 CERTIFICATE 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 1i1, Division 1. NPT Certificate of Authorization No. N-2802 Expires 9/29/2007 Date // /2-O
- Name Anvil International, Inc. Signed - -.
(NPT Certificate 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 L Hartford, C.T. have inspected the component supports described in this Data Report on ////7 /L!> and state that to the best of my knowledge and belief, the Certificate Holder has constructed t~ese c~mponent supports in accordance with the ASME Code, Section M1,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 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 Signed CNatn % B.ic W n (Authorized Inspection) (Nat'l. Bd. (inc. endorsements) and state or prov. and no.)
ASME SECTION XI - REPAIR / REPLACEMENT Page I of I
.V;P ,Mfl!A
- 1. Component ID IPSIA.V997 2.. Item
Description:
Pressu.c c*,:.n ,).:I -,Iteck valve f:,r 13.SICUV0653
- 3. N-5 Data Package Number: PCWO 0007 17991 4. W.O. Number: 3022457
- 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. [] 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 valve is being replaced due to the bonnet cannot be removed from the body, there is no failure of the ASME pressure boundary.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 1, 1974 Edition, 1976 Summer 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: D YES [ NO Initial 0,* Date '/"-t/ 7 ' If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: 0 YES R] NO Initial Date '-...-- 7 If required, include a step in the W.O. for ISI & ANI1 Inspection.
Initia4"*Dt (7- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by nitaDate .ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial '.WX7Date 40/-l'g'0'r replacement items.
Item ID Part No. Serial No. Heat No. MNR/PO/WO No. valve APN 45004448 rZIZZ'p3 "IAJ MR 1237234
- 18. Planner 7 Printed Name: ,- S ((c ,a.
Signature Date
- 19. ISI "AJ-1*"-AI - (174 07 Printed Name: (.t- L046/ýALog Entry_
Signature / " Date 20-1"0 NI II UoF1 9 4iot Signature 0 d 4r1Ccqm- DateJ( Printed Name: ________________ PV216-OSNI'S 88 13 DP.-9Z,17 kev9
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: 06-27-2007 P. 0. Box 53999, Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 3022457
- 3. Work Performed by: Arizona Public Service Co. Type of Code Stamp None 5801 S. Wintersbury 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, 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
*i!*:Stamped (Yes or NO)
Check Valve Borg Warner 96SN0403 NI/A IPSIAV997 1996 Replaced Yes Check Valve Borg Warner E122P-3-4 N/A 1PSIAV997 1998 Replacement Yes
- 7. Description of Work: Replaced check valve, remove and replace cover to body seal weld.
- 8. Test Conducted: Hydrostatic E] Pneumatic El Nominal Operating Pressure El Exempt [R N-416-2 F-1 Other F] Pressure __ psi Test Temperature OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 1/2 X 11 inches, (2) information in items 1 thru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
U I I S.9. WO. 3022457 replaced check valve 1PSIAV997. FORM NIS-2 (Back) Pre-Pressure Test work order 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 N/A Certificate of Authorization No. N/A Expiration Date: N/A Signed: _6/ ý2z_ -- Date: Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of boiler and Pressure Vessel Inspectors and the State or Province of Arizona and employed by HSB CT of Hartford, Connecticut, have inspected the components described in this Owner's report during the period of (_- k-- 01 to (-z-1-o-7 , 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.
*&~l Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements Insý4tors Signature Date: c. 1-o 73DP-9ZZ1 7 Rev 8
,V-E0092 Ver. 7 Back V-E0092 Ver. Back 73DP-gZZ1 7 Rev 8
FORM NPV-1 MANUFACTURERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES-(As Required by the Provisions of the ASME Code, Section III, Div. 1) Intprnaionnq1. Tnc... Valve Division, 701 First St., Williamsport, PA 1.Manufactured byBW/TP (Name and Address of Manufacturer) Phoenix, A2
- 2. Manufactured for Arizona Public Service Co., P.O. Box 53940, Mail Station 9540, (Name and Address of Purchaser or Owner)
Palo Verde, 5801 So. Wintersburg Rd., Tonopah, AZ 85354
- 3. Location of Installation (Name and Address) ill
- 4. Pump or Valve Valve . Nominal Inlet Size (inch) Outlet Size (a) Model No., (b) Manufacturers' (c) Canadlan Series No. Serial Registration (d) Drawing (f) Nat'l. (g) Year No. No. No. (e) Class Bd. No. Built or Type Y-Pattern Check E-122P-3-1 N/A 7500000487 R/B 1 N/A 1998
() Y-Pattern Check E-122P-3-2 N/A 7500000487 RIB I NIA 98 E-122P-3-3 N/A 7500000487 R/B 1 N/A 1998 (4) Y-Pattern Check N/A 7500000487 R/B I N/A 1998 (5) Y-Pattern Check E-122P-3-4 (6) (7) (8) (9) (10)
- 5. 1"-1605# Y-Pattern CHeck Valve (Brief description of service for which equipment was designed)
- 6. Design Conditions 2485 psi 700 'F or Valve Pressure Class 1605 (1)
(Pressure) (Temperature)
- 7. Cold Working Pressure 3852 psi at 1007F.
- 8. Pressure Retaining Pieces Mark No. Material Spec. No. Manufacturer Remarks (a) Castings N/A N/A I r I (b) Forgings Body S/N 10, 11 SA182-F316 BW/IP International, Inc. Pump Div.
12, 13 Cover HT.#715891 SA479-316 Carpenter Technology Corp. Disc HT.#713514 SA479-316 Carpenter Technology Corp. S/N 15, 16, 17 18 1 -+/- _________________________________ (1) For manually operated valves only. Supplemental sheets in form of lists, sketches or drawings may be used provided (1) size is 8-1/2" x 11", (2) information in items 1, 2 and 5 'on this data report is included on each sheet, and (3) each sheet is numbered and number of sheets is recorded at top of this form. (1/76) This form (E000371 may be obtained from the Order Dept., ASME, 345 E. 47 St., New York, N.Y. 10017
FORM NPV-1 (Back) I Mark No. Material Spec. No. Manufacturer Remarks fr'i Rttinn 01ý_. N/A _ (d) Other Parts N/A
- 9. Hydrostatic test 5800 psi.
CERTIFICATE OF COMPLIANCE* We certify that the statements made in this report are correct and that this pump, or valve, conforms to the rules of construction of the ASME Code for Nuclear Power Plant Components. Section III, Div. I., Edition 19.74 Addenda Summer 1976 _ Code Case No. N/A Date-- . Signed BW/IP Inate)rnational, Inc., Valve DiviSionl ,,Z4 - (Manufacturer) Our ASME Certificate of Authorization No. N1 712 to use the N symbol expires 4q5/01 (N) (NFV) (Date) CERTIFICATION OF DESIGN Design information on file at BW/IP International, Inc. Valve Div. , Williamsport, PA Stress analysis report (Class 1 only) on file at BW/IP International, Inc. Valve Division Williamsport, PA Design specifications certified by (1) Vasken Naj arian PE State AZ Reg. No. 10746 Stresýsanalysis certified by (1) Ronald S.. Farrell PE State PA Reg. No. 035216"E (1) Signature not required. List name only. CERTIFICATE OF SHOP INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the , Pen 1tateirK-%Xoyf l lnii and employed byCommercial Union Insuranc of A have inspected the pump, or valve, described in this Data Report on 7 - e1 and state that to the best of my knowledge and belief, the Manufacturer has con-structed this pump, or valve, in accordance with the ASME Code, Section Ill. 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 injury or property damage or a loss of any kind arising from or connected with this inspection.
.)sp* e.*2*<_
_Commissions rv,*, Pennsylvania IlNat'I Bd., State, 2392 Provy and No.)
ASME SECTION XI - REPAIR / REPLACEMENT Page ' of
- 1. Component ID 1PSGEV642 2.. Item
Description:
8" - 900# Anchor Darling Pressure Seal Check Valve so Z*-at
- 3. N-5 Data Package Number: ISG01 4. W.O. Number:- 6 *- ,*
- 5. Original Construction Code Edition: 1974 Edition, Summer 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Repair / modify hinge pin joint IAW "DF" 3025597 & MNCR 92-SG-1036 8: [] ISI Flaw NDE Method of Flaw 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 III pressure boundary. DFWO# 3025597 evaluated the modification of the hinge pin ioints.
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2, 1974 Edition Summer 1975 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: fl YES [ NO Initial - Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: [ YES. F1 NO Initial ýý r) Date - - If required, include a step in the W.O. for ISI & ANII Inspection.
I ll . Date 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial Date /ISI & ANII prior to approving INP525 Status. A lfj" Date initial " 17. Include a step in the W.O. to record below all applicable numbers for Initial / e replacement items. Item ID Part No. Serial No. Heat No. MR/PO/WO No. Modified Hinge Pin Bonnet APN 45060244 AII/A ('9 MR 1234617 Modified Hinge Pin Bonnet APN 45060244 VAi 0'9 MR 1234617
- 18. Planner vl'JI-17 Printed Name: ] -PO *.
Signature Date
- 19. ISI " Printed Name: 'J4 ZE' /42 Log Entry Signature Date
'20. ANII . '-67 Printed Name: _____,______________,___, Signatd* Date PV216-OSNI(8-89) 73DP-9ZZ17 Re-9
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASMiE Code Section XI
- 1. Owner: Arizona Public Service Company, et. a]. Date: 6/20/2007 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South Wintersburg Road., Tonopah, Arizona 85354-7529 Work Order Number 3028129
- 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 System
- 5. (a) Applicable Construction Code ASME Section III NC. Class 2 1974 Edition, Summer 1975 Addenda, __ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements: 1992 Edition, 1992 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components /
Name of Name of Manufacturer National Other Year Repaired or ASME Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped (Yes or No) Valve Anchor Darling 2N1513 N/A 1PSGEV642 1979 Repaired YES Modified Hinge Anchor Darling N/A N/A 1PSGEV642 2007 Replacement NO Pin Bonnet Modified Hinge Anchor Darling N/A N/A 1PSGEV642 2007 Replacement NO Pin Bonnet
- 7. Description of Work: Repaired hinge pin joint iaw DFWO# 3025597
- 8. Test Conducted: Hydrostatic E] Pneumatic LI Nominal Operating Pressure Z Exempt E]
N-416-2 FI Other Pressure 0 __ 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
I and the number of sheets is recorded at the to of this form. I FORM NIS-2 (Back)
- 9. Remarks: WO# 3028129 for valve 1PSGEV642. The hinge pin bonnet assembly was repaired to a welded configuration from a pressure seal design iaw DFWO# 3025597. The replacement hinge pin bonnets were machined and installed iaw the DFWO disposition.
Pre-Pressured Test WO Review - ISI (AF-"A-) 6 ~' c'7'~ KI ANII
\"J Certificate of Compliance We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI.
Type Code Symbol Stamp N/A Certificate of Authorization No. N/A Expirati on Date: N/A Date: ; -- -. 7 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 4-L'-O1 to *-,3,- , 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. 41ý Commissions: NB 9685 "N" "I" AZ264 National Board, State, Province, and Endorsements kinspectors Signature
-, -(3 Date:
ASME SECTION XI - REPAIR / REPLACEMENT Page of O
- 1. Component ID 1JSIAHV0687 2.. Item
Description:
LPSI / CS from SDHX'A' Crosstie Isolation Valve
- 3. N-5 Data Package Number: 1SI06-1 4. W.O. Number: 3028361
- 5. Original Construction Code Edition: 1974 Edition. Winter 1975 Addenda
- 6. Original installation Code Edition: 1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Remove the bonnet studs and replace with corrosion resistant material per MEE 04002. Replace the nuts if required..
- 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 pressure boundary. Inspection based upon dry boric acid at bonnet ioint
- 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 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [] YES [ NO Initial ,,<,3 //7 Date -J-, 6 * <* 'If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: F] YES [ NO Initial ' /1 Date *-. (* - If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial __J . Date /y"-F 7- ISI & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial -- I' - Date L-ic-c: 7 replacement items.
Item ID Part No. Serial No. Heat No. MR/PO/WO No. Fabricated Bonnet Studs APN 43115015 ,3 A2 1-'"4 Bonnet Nuts-. APN 43120053 //IA 17" , /4'-
- 18. Plan ne*- <'..- 6_-/y-07 Printed Name:,7/,,y 1,-;"9.)
Signature Date
- 19. ISI Printed Name: & . Entr Signature " Date 20 ANI1__________"____-_,_-_-___ Printed Name: _.____.______.___" ______,_,_,
i PJV2160N 1t9g9 Signatlie Date
i FOR!M NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS
,s Required by The Provisions of the ASME Code Secli*-n X!
1 Owner: Arizona Public Service Comoanv, et. a]. Date: 06/'9/2007 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: I of ' 2 Plant: Palo Verde Nuclear Generating Station Unit: 1 5801 South Wintersburg Road.. Tononah. Arizona 85354-7529 Work Order Number 3028361
- 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 I 1 1 .7 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 28639 896 1JSIAHV0687 1978 Repaired YES Bonnet Studs N/A N/A N/A Heat# OP29 2007 Replacement NO Bonnet Nuts N/A N/A N/A Heat# 301372 2007 Replacement NO
- 7. Description'of Work: Replace the bonnet studs with corrosion resistant material.
- 8. Test Conducted: Hydrostatic 0 Pneumatic E] Nominal Operating Pressure El Exempt 0 N-416-2 [ Other Pressure __ psi Test Temperature F F__
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.
FORM NIS-2 (Back) Remarks: WO# 3028361 reniaced the bonnet boitiný in valve IJSIAHV068,7 with corrosion resistant materials as allowed oer MEE 04002. 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 N/A Certificate of Authorization N/A Expiration Date: N/A Sisned: a T),"2 Date: ___-
/
j/,'/ Owe or Owner's Designee, fiile N/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 (- t*-o - to 1- , 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 Inspectors Signature Date: L- k -iCur I s"t PV1-0N (-8"7D-9Z7 e PV216-08NI (8-88) 73DP-9ZZ 17 Rev 9
ASME SECTION XI - REPAIR / REPLACEMENT
*Pau of
- 1. ComponenriD 1PSIAV43a
- 2. Item
Description:
- CHECK VA!LVEP N LPSI A' DISCH-A4RGE
- 3. N-5 Data Package Number: 1S107-7 4. W.O. Numb er: 3029281
- 5. Original Construction Code Edition: 1974 Edition, Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition, Winter 1975 Addenda
- 7. Work
Description:
Replacement of bonnet fasteners 8 E- IST Flaw NDE Method of Fla w 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. Inspection based upon dry boric acid at bonnet joint
- 10. Repair/Replacement Work Organization: Arizona Public Service 1t. Replacement Items Construction or reconciled Code/Edition: Sec. 111 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 Edition and 1992 Addenda
- 14. Preservice Inspection Required: E] YES [ NO Initial ,t//, Ddte iffrequired, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: [1 YES E NO
'.9> D a te Iffrequired, include a step in the W.O. for ISI & ANII Inspection. In itial _ _ _ _ _ _
- 6. Include a step in the W.O. to verify NIS-2 Form has been completed by Initial " Date c / IST & ANII prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial ____ Date (- /1"' /O7 replacement items.
Item ID Part No. Serial No. Heat No. LMPPO/WO No. Bonnet studs APN 4_.... ___t _ t15 Bonnet nuts APN 43120053 _ -_
-312_ 14 c E703214k
- 18. Plarner i1"' - 1 Printed Name:
Signature Date
- 19. IS! 6-40-07 Printed Name: i41ýOtog o,45'ý Entry .C:-*
Signature Date I'-;-'20ANi t r Signature' C c C1 " a Date Printed Name: ISL)V-9LLI9 Re. 9 PV216418N1 ('3-Sg) 73DP-YZZI7 Rev 9
_1 FOkMM N1S-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section X1
. Owner- Ahlzota Public Service Comoanx'. et. ad. Date: 06/! 7/2007). .
, 0. Box )539.9.
Phoenix Arizona 85072_-20.34 Sheet: I of 2
- 2. Plant: Palo Verde Nuclear Generatiniz Station Unit: 1
.580l South W\intersbur2 Road.. Tonopah. Arizona 85354-7529 Work Order Number -
- 3. Work Performed bv: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A 71._
- 4. Identification of System: SI: Safetv 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 I Item Manufacture Serial No. Board Identification Built Replacement Code No. Stamped I(Yes or No)
Valve Borg Warner 24663 567 IPSIAV434- 1977 Repaired YES Bonnet Studs N/A N/A N/A 1PSIAV434 2007 Replacement NO Bonnet Nuts N/A N/A N/A IPSIAV434 2007 Replacement NO
- 7. Description of Work: Remove and inspect bonnet bolting to perform 1SI inspection. Replace if req-uired.
- 8. Test Conducted: Hydrostatic El Pneumatic [ Nominal Operating Pressure [ Exempt [
N-416-2 El 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/ X 11 inches. (2) information in items I thru 6 on this report is included oin each sheet, and (3) each sheei is numbered and the number of sheets is recorded at the to of this form.
C I Remarks: WO 302928 i renlaced.bhe FORM, NIS-2 (Back) bonnet boiting in valve I PSIAV434 as reauired based on ISI inspection. Pre-Pressu.red Test WO Review - IST, ANI1 t 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 X1. Type Code Symbol Stamp N/A Certificate of Authorizatiot , No. N/A Expiration Date: N/A Signed: ~:; / (-'~% Date: ___ ___ __ V - 'ý'(U;wner or Owner's Oeitgnee. Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holaling 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 __.-_V<,_-__.-_ to - , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the. ASME Code, Section XI. By signing this certificate, neither the Inspector nor his eniployer 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
ýýlnspectors Signature Date:
C; M-y~. 730P-9ZZ17 Rev 9 16-08NI (8-88) PV2 t6-08N[ (8-88) 73 DP-9ZZ 17 Rev9
ASME SECTION X1 - REPAIR / REPLACEMENT SPapse k of
- 1. Component ID IJSIA.HV0684 2.. Item
Description:
CNTMT SPRAY PUMP A DISCHARGE TO SD CLG HX A VALVE
- 3. N-5 Data Package Number: IS106-01 4. W.O. Number: 3029330
- 5. Original Construction Code Edition: 1974 Edition. Winter 1975 Addenda
- 6. Original Installation Code Edition: 1974 Edition. Winter 1975 Addenda
- 7. Work
Description:
Replacement of bonnet fasteners
- 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 of the ASME pressure boundary. Inspection based upon dry boric acid at bonnet joint
- 10. Repair/Replacement Work Organization: Arizona Public Service
- 11. Replacement Items Construction or reconciled Code/Edition: Sec. IIl CI 2, 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. 1II Cl 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [ YES [ 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
- Initial ,-* [*"~ Date ( /, '7 If required, include a step in the W.O. for ISI & ANII Inspection.
Ia 16. Include a step in the W.O. to verify NIS-2 Form has been complete d by Inta )Y1Dt _' /07 1SI & ANJI prior to approving INP525 Status.
- 17. Include a step in the W.O. to record below all applicable numbers for Initial , Date 6 //j &? replacement items.
Item ID 6 'Part No. Serial No. Heat No. MR/PO/WO No. Bonnet studs .6____. __APN _*_/_ 1,23.- 72 E, - c5.c/ Bonnet nuts .. Ai -fw
- 18. Planner C.. z
-Signature
' (f /7cc7 -' Printed Name:
Date
- 19. 1"1.,, Date Printed Name: _v/4 !'Ere*,-L.og Entry"ý Date AN /- Signature Date Printed Name:
P*V.2 164hUNI(8-88) 73DP-97717 R,,*9
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As z Required by the Provisions of the -SME Code. Section XI J. Owner: Arizona Public Service Companv. et. al. Date: 06/16/2007 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: I of 2
- 2. Plant: Palo Verde Nuclear Generating Station Unit: I 5801 South WintersburQ Road.. Tonopah. Arizona 85354-7529 Work Order Number 3029330
- 3. Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A:..
- 4. Identification of System: SI: Safetv Iniection
- 5. (a) Applicable Construction Code ASME Section I11 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 andReplacement 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 Valve Borg Warner 28636 893 IJSIAHV0684 1978 Repaired YES Bonnet Studs N/A N/A N/A 1JSIAHV0684 2007 Replacement NO Bonnet Nuts N/A N/A N/A 1JSIAHV0684 2007 Replacement NO
- 7. Description of Work: Remove and insnect bonnet bolting to Derform ISI insnection. Retlace if reauired
- 8. Test Conducted: Hydrostatic El Pneumatic E] Nominal Operating Pressure [ Exempt 0 N-416-2 n Other Pressure __ psi Test Temperature OF
'NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8 /2 X 11 inches, (2) information in items Iithru 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the to of this form.
I FORM NIS-2 (Back)
!.Remarks: WO4 3029330 'eulaced the bonnet boltinL in valve iJSTAHV0684 as required based on.[Si inspection.
Pre-Pressured Test WO Review - ISI. ANII /4 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. 41-/0I N/A Expiration Date: N/A Signed: --
*i G- Date: _ _ _2 1Y - Owi*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 --6' to , -,- , and state that to the best of my knowledge and belief, the Owner has performed exaniinations 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 enmployer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a-loss of any kind arising from or connected with this inspection.
*1 4-7 Commissions: NB 9685 "N" "I" AZ264 Nationa! Board, State, Province, and Endorsements
(\I inspectors Signature Date: I-I 6:08N1 (8-88) 73DP-9ZZ17 Rev9 PV2 PV216-08NI'(8-88) 73DP-9ZZ17 Rev 9
I,. Component ID I PSIAV485 I AS.E SECTION X1- REPAIR I REPLACEMENT Item
Description:
Lontamndnent Scrav Pmno "A" Discharge Check Valve Page t of N-5 Data PackageNumber: 1SI06-1 4. W.O. Number: 3029356
- 5. Original Construction Code Edition: 1974 Edition. Winter 1975 Addenda
- 6. Original installation Code Edition: 1974 Edition. Winter 1975 Addenda
- 7. Work Desc~ription: Reolacement of bonnet fasteners
- 8. It 1SI 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 pressure boundary. Inspection based upon dry boric acid at bonnet ioint
- 10. Repair/Replacemaent Work Organization: Arizona Public Service 11i. Replacement Items Construction or reconciled Code/Edition: Sec. III Cl 2. 1974 Edition 1975 Winter Addenda
- 12. Repair/Replacement Activity Construction Code/Edition: Sec. III C1 2, 1974 Edition 1975 Winter Addenda
- 13. ASME Section XI Code/Edition: 1992 Edition and 1992 Addenda
- 14. Preservice Inspection Required: [] YES M NO Initial ___"_i__ Date If required, include a step in the W.O. to perform Preservice Inspection
- 15. ASME Section XI Pressure Test Required: El YES E NO Initial A/ Date If required, include a step in the W.O. for ISI & ANII Inspection.
- 16. Include a step in the W.O. to verify NIS-2 Form has b*een completed.by Initial P jL Date /c ISI & ANII prior to approving FNP525 Status.
Dateial6 " Pf Dnta ~ (710 17. replacement in the W.O. to record below all applicable numbers for Include a stepitems. Item ID Part No. Serial No. Heat No. MR/PO/WO No. Bonnet studs APN 017P 2- 1. 1v93-" Bonnet nuts APN 43120053 / .- L L4.".(.. o
- 18. Planner .- Vx.C... 6 //2Ž2 Printed Name:
Signature Date
- 19. ISI 6/1-" 7 Printed Name: PIL e ,,
e!!ý Z5,CLd*ap crEntry Signature Date
- 20. ANiI C o,-, /,- -- 6*lC, 4--{-7 Printed Name:
Signature Date PV!216-0SN1(8-88) 73,DP-97ZZ7 R-v9
U I 1. Owner:. FORM NIS'2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section Xi Aiizona Public Service Company. et. al. Date: 06/17/2007 P. 0. Box 53999. Phoenix Arizona 85072-2034 Sheet: 1 of 2
- 2. Plant: Palo Verde Nuclear Generatinz Station Unit: 1 5801 South Wintersburg Road.. Tonopah. Arizona 85354-7529 Work Order Number 3029356
- 3. Work Performed by: Arizona Public Service Type of Code Stamp None Authorization No. N/A Expiration Date N/A.:
- 4. Identification of System: SI: Safety Iniection
- 5. (a) Applicable Construction Code ASME Section l[l 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)
Valve Borg Warner 27306 605 IPSIAV485 1977 Repaired YES Bonnet Studs N/A N/A N/A lPSIAV485 2007 Replacement NO Bonnet Nuts N/A N/A N/A 1PSIAV485 2007 Replacement NO ____ I____ I._____ I __ I_____ I __ I ___ I__
- 7. Description of Work: Remove and inspect bonnet bolting to perform ISI inspection. Replace if required.
S. Test Conducted: Hydrostatic M Pneumatic E] Nominal Operating Pressure F] Exempt Z N-416-2 F] Other Pressure ___ psi Test Temperature __O_ F NOTE: Supplemental. sheets in form of 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 forn.
[ FORIM NIS-2 (Back) Remarks: WO# 3e029356 re!niaced the bonnet boltirni in valve 1PSIAV485 as required based on ISI insnection. Pre-Pressured Test WO. Review - ISI ANII Certificate of Compliance We certif* that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section X1. Type Code Symbol Stamp N/A Certificate of Auth/pzation N N/A Expiration Date: N/A S ign ed:___ Date: 7-- <5
/ O(vwr-ror 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 (-_-,%-d--_---___
to - ,- CL., ., and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage ora-loss of any kind arising from or connected with this inspection. Commissions: NB 9685 "N" "I" AZ264
ýi*{spectors Signature National Board, State, Province, and Endorsements Date: Cý - 1 PV160N1(88)l3P-ZZ7Re PV216-08N1 (8-88) 73DP-9ZZ1 7 Rev 9}}