ML102710228

Attachment 7, CR-3 Work Request Form Nu 0368426 (Note: Some Information in This Record Was Received by the NRC with Information Already Removed)

ML102710228
Person / Time
Site:	Crystal River
Issue date:	06/10/2002
From:	Dye L - No Known Affiliation
To:	Office of Information Services
References
FOIA/PA-2010-0116
Download: ML102710228 (183)

Text

ATTACHMENT 7 Sheet 1 of 1 Records Transmittal Form 152 3 Transmittal #

Title CR-3 Work request Form NU 0368426 Record Type Date 6/10/02 From Linda Dye

/

=

Phone # 240-3167 (Print Name)

(Signature) 0 Required for Decommissioning Yes (Circle only if for decommissioning)

List Records Below:

Dex Ref:

TENDON SP-182 CONTAINMENT INSPECTION ASME SECTION XI IWL Document Services is Received by:

Completed By:

thi Date:

Date:

(p~/O~Oe~~

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• Upon receipt of this transmittal and attached documents, please sign, date and return copy of the transmittal to: Linda Dye - PA3A Ib~atn in afti rcord was deMe In

• • d*

te Freeo of inwa AOL ffiaui

• ,11 RDC-NGGC-0001 Rev. 4

44' II I I I I

WORKING COPI WORKING C(

Florida Power CORPORATION 26 L -

TAG NO

5011 TAG DESC : PRESTRESSING SYST CR-3 WORK REQUEST FORM Page I Of 10 P A R T 1

SYS: mx DEF.

TAG NO:

EM TENDONS WR NO: NU0341602 ASME Section X1 Code Class: N BUILDING :REACTOR BUILDING ELEV:

CAL SP: N/A LOCATION : CONTAINMENT PURPOSE

SUPPORT THE 7TH TENDON SURVEILLANCE (SP-182) TO BE PERFORMED BY PRECISION SURVEILLANCE CORP.

MULTIPLE DEPARTMENT SUPPORT INITIATOR: DENNY,NATTHEW F PHONE: 240-3873 DATE: 12/07/'00 TIME: 11:17 PART 2 SAFETY RELATED: 12 PMT NO QC EQ EQUIPMENT

No PRIORITY : 3 ISI : NO SECURITY TAG ORDER:

NO NDE : NO SHOP

M BREACH NO WT

NO PARTS

[

FPWP NO IP REQU I RED WORK PROCEDURES: SP-182 XrP-806 REPEAT MAINT: NO AMS#:652000190030 HISTORY REQD: 0 RWP :[

NPRDS

[

SPV :NO R/R

NO ANII:NO KAINT RULE

NO NOCS:NO REFERENCE WORK PROCEDURES:AI-18O3 AI-1811 SP-601 CP-113A AI-607 AI-610 AI-450 POST MAINTENANCE TEST PROCEDURES: NONE EVALUATED BY:

DUNN,ROBERT C PHONE: 240-3255 DATE: 06/27/01 TIME: 19:59 IPDE APPROVAL:

DUNN,ROBERT C PHONE: 240-3255 DATE: 01/06/00 TIME: 19:59 0

ESTIMATED MANHOURS:

722.0

$23,944 WORK SUPERVISOR:.

PA R T 3 W0 THOR!4 ION D TE

(

V/

III Im DATE:

ob riefinvC ducted By/Date

WORKING COPY NU 0368426 CR-3 WOiKBQUEST FORM

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2 of 10 LIKITS A PRECAUTIONS:

THIS WORK WILL GENERATE RADWASTE VOLUME.

WORK SUPERVISOR AND/OR LEAD PERSON MUST DISCUSS, AND UTILIZE, WASTE VOLUME REDUCTION TECHNIQUES WITH ASSIGNED WORKERS.

SECURITY SUPPORT:

SECURITY SUPPORT IS REQUIRED FOR THIS WORK ACTIVITY.

CONTACT THE SECURITY SHIFT SUPERVISOR PRIOR TO COMMENCING WORK.

INITIAL RISK ASSESSMENT:

SOME ACTIVITIES SUCH AS INSTALLING/CHECKING T-POWER &

LIGHTING, HEAVY LIFTING AND MOVING OF EQUIPMENT, WORK AT NIGHT WILL MAKE THIS A MEDIUM RISK ACTIVITY.

FOR ELECTRICAL SAFETY, REFERENCE AI-610; FOR SCAFFOLD USE & SAFETY AT HEIGHTS REFERENCE AI-1803 AND AI-1811 USE GENERAL SAFETY GUIDELINES AND ALWAYS USE THE APPROPRIATE PERSONAL PROTECTIVE EQUIPMENT.

ENSURE ALL SLINGS, HARNESSES, ETC. HAVE BEEN CHECKED AND/OR TESTED AS NECESSARY.

WORK ACTIVITY CONTACT POINTS.

PROVIDE SUPPORT AS DIRECTED BY WORK SUPERVISOR TO ENSURE CONTRACTOR CAN PERFORM SURVEILLANCE IN A TIMELY AND EFFICIENT MANNER.

CONTACT MATT DENNY, ISI ENGINEERING PROGRAMS FOR SPECIFIC REQUIREMENTS.

CONTRACTOR TO PROVIDE MAINTENANCE A POINT OF CONTACT IF NECESSARY.

INITIATORS OBSEVATIONS:

THE 7TH TENDON SURVEILLANCE PER SP-182 IS TO BE PERFORMED BY PRECISION SURVEILLANCE CORP.

USE SP-182 ELEVEN (11) TENDONS ARE TO BE INSPECTED.

THE PROJECT MANAGER FOR THIS WORK IS MATT DENNY.

CONTRACTOR IS EXPECTED ON SITE 7/9/01 & SURV START 7/15/01. DURATION OF WORK IS EXPECTED TO BE EIGHT (8) TO TEN (10) WEEKS.

THE FOLLOWING SUPPORT WILL BE REQUIRED:

A.

HEALTH PHYSICS B.

SECURITY C.

MECHANICAL SUPPORT (SCAFFOLDING,

RIGGING, LIFTING)

D.

TEMPORARY POWER ON RB DOME E.

PAINTING OF REMOVED TENDON CAPS REFERENCE PREVIOUS WR 341602 & REFERENCE PREVIOUS WORK REQUESTS 301315 AND 306933 GENERATED IN SUPPORT OF THE 5TH

WORKING COPY NU 0368426 CR-3 WORK REOUEST FORM Page 3 of 10 TENDON SURVEILLANCE PERFORMED DURING THE FALL/WINTER OF 1993.

INSPECTION RS/

RELATED DOCUNENT:

SP-182, MP-806 QC TO PERFORM ANY REQUIRED SP-182 INSPECTIONS.

QC TO PERFORM INSPECTIONS PER MP-806 IF NECESSARY.

NOTE: VENDOR MAY SUPPLY OWN QC PERSONNEL.

THIS D0CUNM HAS BEM REVIEWED BY AN INSPECTION PLANNER PER CP-I13C FOR THE IDENTIFICATION OF INSPECTIONS WHICH ARE'NCSSARY TO ASSURE CGOPLIANCH WITH TuE mcINEEING DESIGN AND WITH THEm SIAL FABRICATION,

ASSEMBLY, ERECTIon, INSTALLATION, AND EKMEInATIOn AND TEST Rnounumamso RWP COMIMfES:

TENTON SURV.,

ONLY AREA OF CONCERN IS CAV-2 VA WORK DESCRIPTION:

WORK SCOPE:

PROVIDE VARIOUS ACTIVITIES IN SUPPORT OF THE 7TH TENDON SURVEILLANCE PER SP-182.

CONTRACTOR TO PERFORM SURVEILLANCE PER SP-182.

CR3 SUPPORT TO INCLUDE:

T-POWER SUPPORT TO THE RB ROOF (AI-450)

LIGHTING TO RB ROOF FOR SAFETY (WORK TO BE DONE AT NIGHT)

FORK LIFT/CHERRY PICKER DRIVERS TO SUPPORT PRE-JOB ASSEMBLY OF EQUIPMENT/RIGS, ETC.

ASSISTANCE IN MOVING EQUIPMENT UP TO WORK AREA HEALTH PHYSICS SUPPORT AS REQUIRED NFS SUPPORT BY ERECTING/REMOVING SCAFFOLDING AT VARIOUS LOCATIONS IN THE INTERMEDIATE / AUXILIARY BUILDINGS MAY INCLUDE SUPPORT FOR TENDON CAP PAINTING.

RAD WASTE SUPPORT FOR DISPOSAL OF REMOVED GREASE.

TAGGING RECOMMENDATIONS:

TAGGING OF POWER TO RB ROOF & T-POWER MAY BE REQUIRED.

FEED TO RB PLATFORM IS MTMC-10, UNIT 5BR.

DISCUSS TAGGING WITH OPERATIONS PERSONNEL AND CONTRACTOR.

WORKING COPY CR-3 W=K RZOUEST POW NU 0368426 Page 4 of 10 WORK DESCRIPTION:

CONDUCT PRE-JOB BRIEFINGS PRIOR TO EACH EVOLUTION.

ELEVEN (ii)

TENDONS ARE TO BE PROJECT MANAGER FOR THIS WORK IS EXPECTED ON SITE 8/6/01 &

WORK IS EXPECTED TO BE EIGHT INSPECTED.

THE IS MATT DENNY.

CONTRACTOR SURV START 8/13/01.

DURATION OF (B) TO TEN (10) WEEKS.

ENSURE SECURITY SHIFT SUPERVISOR IS NOTIFIED OF ANY ACTIVITIES REQUIRING SECURITY SUPPORT AS EARLY AS POSSIBLE TO ENSURE PROPER SUPPORT AND PRECLUDE DELAYS.

COORDINATE WITH PROJECT MANAGER AND CONTRACTOR.

MECHANICAL SUPPORT:

PROVIDE FORK LIFT / CHERRY PICKER DRIVERS FOR MOVEMENT OF VENDOR EQUIPMENT DURING SET UP AND ASSEMBLY IN THE YARD OUTSIDE THE PROTECTED AREA.

CONTACT M. DENNY & CONTRACTOR CONTACT FOR SPECIFIC REQUIREMENTS.

ASSIST IN MOVING EQUIPMENT & ASSEMBLIES INTO THE PROTECTED AREA TO THE BACK BERM NEAR THE REACTOR BUILDING.

PROVIDE RIGGING, MOVING SUPPORT AS NEEDED.

ELECTRICAL SUPPORT%

PROVIDE T-POWER EQUIPMENT AS NEEDED TO THE RB ROOF.

CONTRACTOR REQUIRES 2 PIGTAILS (WELDING RECPT) 480V, 60 AMP FOR EQUIPMENT.

PROVIDE LIGHTING AT THE BERM AND AT THE RB ROOF DUE TO WORK PRIMARILY BEING PERFORMED ON BACK SHIFT.

PERFORM ALL WORK PER AI-450 & CP-113A, EQUIPMENT ALTERATION LOG.

NFS SUPPORT:

ERECT SCAFFOLDING AT VARIOUS LOCATIONS IN THE INTERMEDIATE AND AUXILIARY BUILDINGS AS REQUIRED BY CONTRACTOR.

DURING THE FIRST WEEK ON SITE, CONTRACTOR WILL BE AVAILABLE TO IDENTIFY SPECIFIC SCAFFOLDING NEEDS.

AT COMPLETION OF NEED, REMOVE SCAFFOLDING.

WORKING COPY CR-3 WoRK ROEQUST PORM IF REQUIRED, PROVIDE SUPPORT FOR PAINTING TENDON CAPS.

(MAY NOT BE REQUIRED)

PROVIDE STATION AIR / HOSES AS NEEDED FOR OPERATING GREASING EQUIPMENT.

PROVIDE APPROX.

FOUR TO FIVE 55 GALLON DRUMS AT THE BACK BERN FOR DISPOSAL OF REMOVED GREASE.

HEALTH PHYSICS/CHEMRAD SUPPORT:

HP SUPPORT AS REQUIRED FOR SURVEYS ASSOCIATED WITH SCAFFOLD ERECTION/REMOVAL AND WORK AT THE RB STRUCTURE.

CHENRAD WASTE SUPPORT FOR HANDLING AND DISPOSAL OF REMOVED GREASE.

DRUMS TO BE PROVIDED BY NFS AT THE REMOVAL SITE.

AT COMPLETION:

(FOR ALL DISCIPLINES)

SUPPORT REMOVAL OF EQUIPMENT, T-POWER,

LIGHTING, SCAFFOLDING ETC.

FOLLOWING COMPLETION OF SURVEILLANCE.

DISPOSE OF WASTE GREASE AS REQUIRED.

SECURE WORK AREAS AND PROPERLY STORE ALL TOOLS, EQUIPMENT, AND UNUSED MATERIALS.

DOCUMENT ALL WORK PERFORMED, PARTS AND MATERIALS USED IN PART III, WORK

SUMMARY

NU 0368426 Page 5 of 10

WORKING COPY NU 0368426 SHOPH COMPLETION, II Page 6 of 10 HECK FAILURE CAUSE LIST t**************************

1.

AGING/CrCLIC FATIGUE.

2.

CORROSION, CRUD BUILD-UP, DIRT ACCUMULATION.

3.

BLOCKED, PLUGGED, OBSTRUCTED, FOULING.

4.

WELD RELATED.

5.

LOOSE PARS/DEFECTIVE CONNECTIONS.

6.

SEAL LEAKAGE.

7.

MATERIAL, FRMBGNo INCORRET, DEFECT.

8.

LUBRICATION -

TOO LITTLE, TOO MUCH, LACK OF.

9.

SEIZING, BINDING, STICKING.

10.

BEARING FAILURE.

11.

OY!EM:

• • • • • • • .*******************CORRECTIVE ACTION

1.

CALIBRATION.

2.

REPAnD PART/CIPOmmT.

3.

REPLACED PART/cOHPoNET.

4.

REPACK.

5.

ADD FLUID/LUBRICATE.

6.

ADJUST/REM/ALIGN.

7.

T*PORARY REPAIR.

8.

TIGHMT RE-TOREUE.

9.

MODIFY/SUBSTITUTE CONPONENTS OR PARTS, INDICATOR.

10.

REPLACED LUBRICANT.

OTEMR:

MAINT DATE

WORKING COPY FLRIDA POWER CORPORATION A

lCT TY CONTROL SYSTEM NOTES FOR WDOC

, TAG ff00368426 5011 NU 0368426 Page 7 of 10 NC91OR02 DATE: c0/o8/o0 NOTEPAD TEXT DWG.

L-001-002 THIS WR PRINTED AND GIVEN TO MATT DENNY.

PER CONVERSATION W/ MATT DENNY, VENDOR WILL BE ON SITE WK OF 7/30/01, WW807 - N TELLER 6/12/01 REV TO PLAN, VENDOR WILL BE ON SITE WK OF 8/13/01, WW809 PER MATT DENNY - M TELLER 7/10/01

WORKING COPY NU 0368426 FLORIDA POMER CORPORATION Page 8 of:

10 MC91OR04 A

ACTIVITY CONTROL SYSTMl DATE:

08/08/01 BILL OF MATERIALS FOR NU0368426 GR mu INSTALL INSTALL TAG FINIS ERm DESCR=I ON BON OTY LT. ST RR

=

DATE ENSURE REMOVAL OF AS MUCH PACKAGING FROM EACH ITEM AS POSSIBLE PRIOR TO RCA ENTRY I

WORKING COPY CR-3 WORK REBlOUST FORK PART3 NU 0368426 Page 9 of 10 TAG ORDER RNP NO:

FPWP NO:

AS FOUND:

NO I

tn oRELATE DOCUMNT TEXT:(Include reason for deficiency, if known)

(Such as REA, MAR, PR,PEERE):

I COMPLETED WORK SUD4ARY: (Add supporting details to continuation sheet)

-ni* eo*,

2,S ' o-I-,-A, s j < Q, -ý\\k,.

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of&~j CblA 4 A LESSONW LEARNED:

(May Be Used for Input for Future Planning)

AS LENT: (Address Status Such as Operable, Incomplete (UR_ ), Condition of Area, etc.)

OJT PERFORMED YES NO __

IF YES, RECIPIENT PRINT A ID SIG N

THE FOL FIELD WORK VERIFIED/APPROVED BY:

/

MAIWMAAW3 DEFICIENCY TAG REMNVED: INITIAL A-Fl B :

PACKAGE CLOSURE APPROVED BY:

(

DAE4ATE

WORKING COPY CR-3 WORK DOCUMENTATION Continuation NU 0368426 Page 10 of 10

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0 WORK PAPKAGE DOCUMENTATION NU 0388428 Related MAR No 111A-Work Request No.

Documents that are contained in a Work Package are to be identified.

The completed checksheet must be included as part of the total Work Package.

i

'Original Work Request

'Request for Engineering Assistance (REA)

WR Continuation Sheet(s)

• Engineering Instructions Work Package Documentation

• NOV Analysis/Calculation Check Sheet Sheets I

PRC-Approved Contractor Work Pre-job briefing/Training Procedure(s)

Attendance Sheet(s)

• Weld Traveler Sheet(s)

Warehouse Release Tag(s)

Material Certification(s)

Vendor Correspondence a Inspection Plan Document

• FPWP(s)= Write FPWP Evaluation Form and all number(s) on WR.

Inspection Plans

'Issue Doc(s)

Maintenance Deficiency Tag Interim Print(s), Drawing(s),

Fire Barrier Penetration Sketch(es)

Breach Report

• For EQ Euipment, EQ

• Equipment Alteration Log RequirementReview Form

-NPRDS Form

'ASKE XI Work Evaluation Request PA&TS and/or Procedure Cover

'ASME XI Replacement Sheet Evaluation Procedure Sign-Off Sheets/

• ASME XI Repair Evaluation

• Procedure Data Sheets

• Procedure Check-Off Lists NDE Test Reports

'Calibration Data Sheet(s)

• Cable Pull Data; Terminate/Determinate Sheet(s)

_ C Inspection Reports

-Instr. Data Sheets NOTH; Quality documentation to be included on the final Work Package is identified above by an asterisk(*).

COMMENTS:

Page i of I Work Request Walkdown Checklist Work Requ eat#*.

Tag #. X/G

-# L1 S LCO: Y Mat nvifce RvW: Y ACTION COMMENTS Stoisfactory WA Part I understood and conect Part 2 understood andorec Are work,nabon ac~curate Is tagout correctly Identified Clearance:

PDT:

WIll Call:

None Are there related MDT* that MOT:

should be added to work sope.

OC Hold Points identfed and

_accptable Are correct d pMe.u COS, 103 Identified Are composite Shop requirements.........

Hu adequa addressed iscpline{s):

Ho Other department's support ril'd Op.:

HP: /Rawaste:

security:

I3 dose estimate correct for high Dose at Job:

TIme In area:

tal Dose:

A+r,*kp-C,...+

i

~

I Are scaffold reqii rmegnts r

adequately address Is insulation removal I restoration" addressed adequatel Are anrequired parts verified and On-PER:

Hds tci*-r Are rigging requirements addressed adequately t[I*a* -M,+E*["

Are FME requirements adequately 1dressed

.re required fom I Permits Fire Prot

?

Con. Space:

Breach Permit' Identified is component property labeled Lw*T

• p/"e-t*J.L-Special toM idw~fl~l and Tools: -

available Ll r IL*,. g2, A Are MUE e quimemms

+';

,,adequately, addresed Are PMTs adequaly 81r" Are pro-wor training I 0

Check TPM for Infrequent tasks:

requiremets addressed Check,____forinfrequenttask$:

Am scheduled hours correct

1. Men:

S Hours:

Are adequate contingencies Included In the WJ.

Are pre-staging requirments adqUaftely addressed.

L '

I Are you ready to print a working cow of the W..

Comments: kint: fr5'Y e

10 ( ie-W.= U-0"A-q't"sTsc..

9MT: 392 Field wailidown W edze ate:

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PRE-JOB AND POST-JOB BRIEFING CHECKLIST NOTE The scope of the briefing should be based upon the scope of the job, the potential Impact on plant operation, I safety hazards associated with the task, and the individuals and organizations involved. The supervisor or pre-job

/

briefing leader should determine the items to be reviewed. Include all applicable asterisked Items (4).

Procedure/Task Description Date / Time Lead Person PRE-JOB BRIEF E] *Ensure all Personnel involved with the task present EJ Discuss Communicatdon methods including coordinating actions O As.sign Job Responsibilities and ensure personnel Qualifications O 'Discuss Job Scope including sequence of events, hold points and applicable procedures

'] Discuss applicable Cautions, Notes, and Limits and Precautions contained in the procedure(s)

O Discuss expected Plant/Equipment Response, including expected alarms E] *Discuss Reactivity Management controls to be used (ref. 01-01 Reactivity Management)

.] *Discuss impact on LCOI LCO Impairment 0 Discuss impact on Maintenance Rule

• l

• Describe conditions that would Warrant Stopping the evolution/task E] Discuss System Restoration Requirements El *Discuss any ALARA considerations (this may Include an HP/ALARA briefing)

• l

• Discuss Safety implications (e.g., heat stress, additional PPE etc)

'Discuss foreign material exclusion FME requirements

• • El Discuss requirements of the Group Test Plan Discuss Conservative Decision Maldng expectations El 'DiscussSelf Checking and expectations for PEER Checking

• l

'Human Performance Summarize Crtical Steps Review Error Precursors and human performance techniques to be applied to mitigate them Evaluate Error-likely Situations and modify task, work environment, or change indMduals, if necessary Identify Flawed Defenses and add/modify defenses Discuss Lessons Learned and operating experience (NUPOST, NUPOST Critique, External OE)

Identify potential Consequences of incorrect task performance and specify Contingency measures Specify independent/concurrent Verification, as applicable El Ensure Plant Conditions for thetask established El Ensure mechanical/electrical Isolation is Verified El Ensure Tools and Equipment obtained and properly staged El Ensure any required Notifications are made El Ensure Permission to proceed obtained POST-JOB BRIEFING El Capture Lessons learned (NUPOST critique section, etc.)

El Initiate necessary corrective actions as appropriate (PC, MDT, W/R, REA, NUPosT, Training Request, etc)

Al-607 Rev. 9 Page 15 of 20

FLORIDA POWER CORPORATION PURCHASE ORDER -

RECEIVING REPORT NUC SHIP TO: FLORIDA POWER CORPORATION CRYSTAL RIVER UNIT 3 STOREROOM 15760 WEST POWERLINE STREET CRYSTAL RIVER, FL 34428 COPY I PUYE SHPVAFo..FRCH TMSVNO I

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P - PARTIAL F - FINAL 703199 1

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A CERT*IFIED IATERTAL TEST REPORT -IS REQUIRED.

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INTERNAL DATA 061501880Z 1777-7 1If 0

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FINAL 0l SUSTITUTE REV 4190

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[] ISSUE LI ISSUE SPECIAL LI RETURN, SPECIAL LI RETURN I

R Is RS STo 140 0 RS0R_' 47543

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01 QUALITY CONTROL ISSUE Central Division Crystal River DOCUMENT NUMBER OCI 0o159266 RA : EAC ACTIVITY TASK WORK REOUEST ANDtOR MAR HUMBEMR)

STOREROOM NO, SOURCE 4 N PURCHASE WAREHOUSE QUANTITY (or QO!MIO)

I OTY U/I SLED DESCRIPTION S

NO, VENDOR ORDER NUMBER LOCATION REQUESTED SPECIAL H*ANDLING INFORMATION SPECIAL WOUDLN INFORMATION SPECIAL HANDUNO INFORMATIO SPECIAL HANLING INFORMATION REMARKS ISSUED BY S TURE DATE RECEIVED BY SIGNATURE DEPARTMENT DATE AUTHORIZED BY SIGA E

TITLE DATE

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COPY i FLORIDA POWER CORPORATION PURCHASE ORDER - RECEIVING REPORT

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SHIP TO: FLORIDA POWER CORPORATION CRYSTAL RIVER UNIT 3 STOR[RobM 1,760 WES7 MOIJRNE STREET CRYSTAL RIVERTo F

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PURCHASE ORDER - RECEIING REPORT SHIP TO: FLORIDA POWER CORPORATION CRYSTAL RIVER UNIT 3 STORfROOM 1576r) WEST POWERLi14E STREET COPY I L4 3

CRYSTAL RIVERN FL 3442k F.O.8 FREGHT TRMS ENOO fliRf I TRUICK fj I J

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LT j4.-..LT PROVIDE THJE fOLLOWINC, lON-SAFETY M~ATED MATERIAL, CREWSE GASKETS QTY 40 PIFCES CR.002,,(ATTACHEfl)

QTY 10 PIECES -CR-003 (ATTACHIED SOLVENT QTT I DRUM,~ 55 GA1LION INDUSTRIAL ý"SO'LVNT v*110 16A BY VISCOSITY-CHEMICAL COMPOSITION Of SOLVENT M1UST BE CERTIFIED T HIEET THE~ REQUIRFEeNTS FOR VISCOSITY v416 QRFf SP-lg2 NOTE BEFOIRE STFP 3.7.1-26).,

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I, FLORIDA POWER CORPORATION PURCHASE ORDER - RECEIVING REPORT SHIP TO: FLORIDA POWER CORPORATION COYSTAL RIVER UNIT 3 STOREROO$

15760 1WEST PONERLINE STREET CRYSTAL RIVER, FL 34428 2-RECEIVING REPORT SHIP VIA F,'

FRIGf 'RISVNO

. I NST hPPLICAOLF NiA I 703199 I P. PARTIAL ITEAS REQUIRING PRVTECTIVE CAPS/PLUGS; ADHEOIVES, MARKING INK, LABELS' TAPE ETC. "THAT ARE APPLIED TO OR CONTACT STAINLESS\\TEEL OR ýf6KEL ALLO :HiTfERIALS MUST C0OTAIN LESS THAN ZOO PPM *(,EA4H) 1:O"LEACA1ABLE

CLORIDES, FLUORIDES ADýSU.LFIOES',..

THIS IS A QUALITY ORDER FOR NUCLEAR SAFETY RELATED EQUIPMENT/MAT ERIALS.

-I,--

ATTACHMENT "Q" (REV-10119/00)

ATATACHEO HERETO AND HEREIN MADE A PART OF THIS PURCkH.

ORDER.

0 a /31 Al'!

PROVIDE THE FOLLOWING SAFETY RELATED MATERIAL:

07TY 10 55 GALLON DRUMS 2090-P4'GREASE BY VISCOSITY QTY '15 SETS SHIMS 3/16", 141", 3/84 AND 1/Z0 PER DRAWING NO. CR'001 (ATTACHEOD)

GREASE:

-A CERTIPIED TEST REPORT BEARING TWO SIGNATURE INDICATING WATER SOLUBLE CHLORIDE AND SULFIDE CONTENT (2PPM MAX)

AND NITRATE (4PPh MAX)

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0DI)PLICATE 2

0 ERRONEO FINAL 0SUBST1TUTI REV 4/90

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2-RECEIVING REPORT FLORIDA POWER CORPORATION PURCHASE ORDER - RECEIVING REPORT

. I 211.101MIMS11:1113; 31 I

SHIP TO: FLORIDA POWER CORPORATION CRYSTAL RIVER UNIT 3 STOREROO0 15760 VEST POWERLINE STREET CRYSTAL RIVER, FL 34428 Elm M.-

7 j F,0:8, SHIP VIA FREIGHT.TERIAS VENDOR i Alr I

RON

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71 TMI 703199 P -PARTIAL F -FINAL 6IE WATS DSCITO RUE RECE IVD COD I-'

[TEAS REQUIRING PROTECTIVE CAPS/PLUGS-ADHEtIVES, WARKING INK, LABELS TAPE ETC."THAT ARE AkPP4 E TO IR CONTACT STAINLESS*STEEL OR NibKEL ALLOY I TMATERIALS, JUST CONTAIN LESS THANK,200 PPm (

,EA I)"LO*LEACýABLE

LORIDES, FLUORIDES ANWSULFIDES".

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rHIS IS A QUALITY ORDER FOR NUCLEAR

.QUIPMENT/MATERIALS.

SAFETY RELATED TTACHMENT "Q" (REV.

10/19/00) *4ATtACHEU HERETO ANO EREIN MADE A PART OF THIS PURC-Hmli' ORDER.

ALV I-PROVIDE THE FOLLOWING SAFETY RELATEO MATERIAL:

qTY 10 55 GALLON DRUNS 2090-P4 GREASE BY VISCOSITY

'TY 15 SETS SHIMS 3/16", 1/4", 3/80 AND 1/20 PER DRAWING NO. CR'01 (ATTACHED).

GREAS'E:

A CERTIFIED TEST REPORT BEARIKG TWO SIGNATURli INDICATING WATER SOWUBLE CHLORIDE AND SULFIDE CONTENT (2PP'M MAX)

AND NITRATE (4PPN MAX)

~LzIzz RECEIVED BY II 0 DUPLICATE

• .2 ERRONEOU FINAL' 0 SUBSTITUT REV 4/9u

I I' FLORID' Wr RATION PURCHASE Okii.

IVING REPORT SHIP TO: FLORIODM POWER CORPORATION

.CRYSTAL RIVER UNIT 3*STOREROOM 15760 WEST POWERLINE STREET 2-RECEIVING REPORT

,L90,0472.0

\\

100071 CRYSTAL RIVER, FL 34428 9:lff M

FRI,.

[EM I ~~0 T

RIC OT APPLICýARLE NIA I

703199 P. PARTIAL F. FINAL DATE 6NTýTf REQUIRED ITEAS REQUIRING PRýOTECTIVE CkPý/PLUGS'; AD1HEIVES, MARKIN; INK, LA8ELS`ý TAPE ETC. 'THAT ARE 4PPLIED TO OR CONTACT STAINLIESS\\STEEL OR 4i"OEL ALLOYa'14HERIALS, MUST CONTAIN LESS TiA 4,200 PPM4(A~~omA~AL

CLORIDES, FLUORIDES A&su-LFIDESQ\\,tý--

-,~-777, THIS IS A OUALITY ORDER FOR NUCLEAR SAFETY( RELATED

-~--

~-

o1 I

4

/0

• 4-44 ATTACHMENT %Q0 (REV, 10/19/00)

TTACHEO HERETO ANV HEREIN MADE A PART OF THIS PURC*HAEt RDER.

PROVIDE THE FOLLOKING SAFETY RELATED MATERIAL:

QTY 10 55 GALLON DRUMS 2090-P4 GREASE 6Y VISCOSITY QTY 15 SETS SHIMS 3/16"s 1/4"s 3/8" AND 1/2" PER ORAWING NO.

CR-OO1 (ATTACHED).

GREASE: -A CERTIFIfD 'TEST REPORT BEAWING TWO SIGNATURE INDICATING WATER SOLUBLE CHLORIDE AND SULFIDE CONTENT (2PPM MAX)

AND NITRATE (4PPA MAX)

,'~

, 17=1 -

OE/3~tOV E V)A DUPLICAT 2

FINAL SUBST 7_

7 REV 4/9o

'1..

4 P.0,DA,,

1 tORIDA POWER CORPORATION.'

PURCHASE ORDER - RECEIVING REPORT 2-RECEIVING REPORT SHIP TO: FLORIDA POWER CORPORATION CRYSTAL RIVER UNIT 3 STOREROOM 15160 WEST'POWERLINE STREET CRYSTAL RIVER9 FL

-34428 NIP VI FRIH iEMSM ll*l flR(

I TtICKIT' fTAPPEICABLE I N/A J01 P. PARTIAL F. RNAL

'ODR P PR A--UA77 4QATTY4i NME OIRE REEIE DESCRIPTION ITEMS REUIRING PR'OTECTIVE CAPS/PLUGSI AVHESIVES, MARKING INK, LASELS?, TAPE ETC. "THAT' ARE ALPPfIEO TO OR CONTACT STAINLESSSTeEL OR hi6KEL ALLO'.:ITERIALS, MUST CONTAIN LESS THAN200 PP (EAN)* O -FEACABLE CLORiDEs# FLUORIDES ANO\\.SULFIOES4, THIS IS A QUALITY ORDER FOR NUCLEAR SAFETY RELATED Di EQUIPMiNT/MATERIkLS%

ATTACHMENT "Q" (REV-10/19/00) * *.*TTACHED HERETO HEREIN MADE A PART OF THIS PURC2HA*"E OROER.

'1 LT` ~J PROVIDE THE FOLLOWING SAFETY RELATED MATERIAL:

VTY 10 55 GALLON DRUMS Z090-P4 GREASE BY VISCOSITY QTY 15 SETS SHIMS 3/16", 1/4", 3/80 AND 11i' PER ORAWING NO. CR"O01 (ATTACHED).

GREASE:

A CERTIFIED 'TEST REPORT BEARING TWO SIGNATURE.

INDICATING WATERSOLUBLE CHLORIDE AND SULFIDE CONTENT (2PPM MAX)

AND NITRATE (4PPM MAX)

A S0 DUPUCATE 20 E

FINAL REV 4/Do I

I I

I I

I 10 s~lumm

ENCLOSURE I

~NOCS 002542. 001858 and 0074111 Procedure Approval and Transmittal Sheet Procedure #

Revision #

Title PART I PROCEDURE IMPLEMENTOR YeslNo/NIA Procedure Is complete for the intended function for which the procedure was obtained.

i Procedure is partially Complete (Due to new revision being issued, plant conditions, etc.)

Prepared By:

Position:

Date:

PART II DESIGNATED SUPERVISOR or, (this must not be the same person who performed RESPONSIBLE PERSON any steps in the procedure)

Records enclosed:

Required for Decommissioning - Yes - (Circle only if for Decommissioning)

Reason Performed (Schedule, WR#, Testing, etc.)

Reason for Partial Completion of Procedure (Fill out only if associated block in Part I is checked "Yes"):

TECHNICAL SPECIFICATION OTHER (NON-TECHNICAL Acceptance Criteria Met SPECIEICATION)

____AcceptanceCiteria Met E] YES EJNO EJN/A C YES C] NO J NIA Corrective/Follow-up Action Initiated (Precursor Card, PRR, REA, CP-102, W.R., etc.) and listed below_.

Route Original to:

Surveillance Coordinator (for SPs and PTs only)

Records Management (for all other procedures)

1. The enclosed information was reviewed and approved according to the steps outlined in this procedure.

2. Prior to returning any equipment to operable status and this is a SP or test, I have met face to face with the NSM/NSS to review the results of the SP or test.

3. 1 have reviewed the information enclosed and am satisfied that the above indicated result has been obtained, data is complete, and appropriate procedure pages and checklists are attached.

Designated Supervisor.

Position:

Date:

Received by Document Services:

Date:

ENCLOSURE 3

[NOCS 625961 TAG STATUS VERIFICATION SHEET FOR PROCEDURE:

For Operations SPs/PTs or other SPs/PTs that require logging readings from plant installed instrumentation:

o Check that all plant installed instruments are within their allowable calibration frequency by running the SP TAG STATUS report from MACS.

Initial/Date o Retain this sheet with the procedure and transmit to Records Management with the completed SP/PT.

E.NCLOSURf 2)

(Page I of 2)

CHEMICAL EVALUATION

\\Jor,"('J \\4A-2310-- IN PART I

1.

Item Description (Provide MSOS)

2.

Proposed Use(s)

(n ',

s c~orvo* *I __

4, 0 ON

+4ACor\\

AALA4

3.

Purpose of Evaluation O] a.

New purchase or new part add

[Chemistry complete Part II].

O3 b.

Evaluation of previously approved chemical for task not bounded by present color coding

[Chemistry complete Part IIr].

Zc.

Contractor supplied material for specific project use

4.

Name/Phone Number of Requestor PART II

1.

Chemical analysis available?

19 Yes 0l No

2. If no, is chemical analysis needed?

[3 Yes 03 No

3.

Color code assignment O3 Blue 03 Temporary assignment (subject to change bas4 on chemical analysis results)

El Green

[

Permanent assignment (chemical analysis aval able or unnecessary)

~,

Yellow o

Orange

[o Red

4.

Waste Disposal Code 0

W" Potentially Hazardous Waste "0"

hq.p Hazardous Waste Approved by D ate -

Disapproved by Date--------

Reason for disapproval or comments Y10-

%A*,,- +"-,.>--- 19 -e-LA-.-C-,*,

Co-,'d4r-ORIGINAL REMAINS WITH EVALUATOR FOR FILE.

COPY TO NPES IF IN RESPONSE TO NEW PART ADP REQUEST, ed Il-AI-2001 Rev.

8 Page 23

I.

Sent By: C W NOVAK<;

630 279 8881; Jun-11-01 9:54; X'.R*

L6 -..

z o

... *;... o i r -9. 9...'T T

Viscosity Oil Company 600.1 JoW Ro"d y'dlowbMLoo 11 wuS~l T.,: (630) &.50,000 fu-.: (630) 850-4=2 QUAUIY CONTROL CERTIFICATE VISCONORUST 2090 P4 CAsING FILLER NUCLEAR GRADE Petroflo, PA Customner P.O. tNurnber2 V.-.

Job Number Lot No.

Page 2/2 1-P!02 I

-I Wt. per Gofton

• a-F (15.6C) specifc Grcvtt C 60"F (i 5.61C)

Cong going Point, F CC)

Flash Point Xc)

VLscosity SUS

@ 2i*cF (98.8CM)

CorissleOncy (Cane Penetrolton)

@ 77'F (250C)

"otol Base No. (A0odlfe0)

Woter Content (% by wt)

ChemlCOl P0ooerlis 0Note: Spe' Water Sotuble ChiO1eS Water 5oluble Nitrmtes Water Soluble Sulfdes Thl; certifis complfonce With s Order.

0 By___

ASTMD-1298 ASTM D-938 ASTM D-92 ASTM 0-85 LAd 7.500 0.90 146 450 225.0 7.3 - 7.8 lbs 0.88 - 0.94 135 (57) Mn.

420 (215) Min.

150-300 ASTM D-937 199 170-200 AS1M 0-974 63.0 35 Min.

ASTM 0-95 0.1 0.4 Max.

Ulol ASME

• mple test preparatlicns and reporting required)

ASIMOD-12 1.0 2 ppm Mox.

AIM D-992-78 1,0 -

4 ppm Max.

APHA 4500S 2 ppm Max.

(17TH Ed,)

1,0 pecificattcns and requrements covered by Customers Purchase

,o t c

-~

VISCOSITY OIL 600-H Joliet Road Willowbrook, IL 60521 A Division of Pennzoil Products Company MATERIAL SAFETY DATA SHEET I EMIS Rating:

Legend:

I I0-Minimal I HEALTH I

I 1-Slight I

I FIRE 1 I 2-Moderate SREACTIVITY 0

3-Serious I

I4-Severe MSDS 06A490 DATE 04-27-98 e******e*eee*****e**

SECTION I -

MATERIAL IDENTIFICATION

• • • • • • • • • O*******

Material/Trade Name: VISCONORUST 2090P-4 Synonyms: Rust preventive EMERGENCY TELEPHONE VISCOSITY OIL DAY ONLY 708-850-4000 24 ORS 800-546-6040 Chemical Family/Formula: Petroleum Hydrocarbon CAS No.: Mixture

• • • • • t.****e~.**oeete*ee**

SECTION 2 -

INGREDIENTS Composition CAS TOXICITY DATA Solvent refinod petroleum oil Micro crystalline petrolatum Modified metal alkyl/aryl Sulfonate 64741-88-4 20-30 TLV 5mg/M3 as oil mist 40-50 NA 30-40 NA NA All ingredients in this product are list in the TSCA register.

• • • • • • • • • • • • • • • • • • • • ea**e SECTION 3 -

PHYSICAL DATA,e,*,t***~e****e*e***

Boiling Point,760mm/Bg

50OF Volatiles,% by Volume

Nil Specific Gravity,Water-l:0.885 Solubility in water,% by Volume :Insol.

Vapor Pressure,mm/Hg

ND Evaporation Rate,Butyl Acetate=l:Nil Vapor Density,Air-l

ND Appearance and Odor

Brown, thixotropic grease with petroleum odor.

• • e******************

SECTION 4 -

FIRE AND EXPLOSION DATA **************e*

Flash point and test method Auto ignition temp.

LFL UFL COC: 420F ND% P D4 Extinguishing Media:

Water spray (fog), dry chemical, foam, Halon, carbon dioxide.

Water stream may splash burning liquid, spreading the fire.

Special Fire Fighting Procedures:

Class 111B combustible liquid.

Use air supplied breathing equipment for fighting interior fires.

Cool fire exposed containers with water.

Unusual Fire and Explosion Hazards:

None.

° *-

Page 2 of 4

• @oe****e**oee*e*ee*OOO9** SECTION Stability 15DB No. 06A490 5 -

RYECTIVZTY DA7A ********************

Hazardous Polymerization X Stable Unstable

_May occur X Will not occur Conditions and Materials to Avoid:

Hazardous Decomposition Products:

Avoid strong oxidizers such as chlorine and oxygen, heat and sources of ignition.

Combustion produces carbon monoxide and carbon dioxide along with thick black smoke.- Traces of oxides of sulfur.

• • • e*******e

• • ~e, SECTrON 6 -

OCCUPATIOKAL EXPOSMRE LIMITS,

NO TLV established.

For oil mists, OSHA and ACGQI racommand TLV 5 mg/m3, 8hr TWA t****e~ee**e~oe~eo~e**e

, SECTION 7 -

HEALTH DnFORNATION

• • • ~b,**,

Inhalation: Hazard is negligible unless heated to produce vapors or as a mist.

Vapors or misted oils can irritate the mucous mambranes and cause pulmonary irritation, dizziness and nausea.

Eye Skin

Contact can cause irritation.

Prolonged or repeated contact with the skin may cause irritation of the hair follicles and block sebeceous glands causing rashes, oil acne or dermatitis.

High pressure injection of grease through the skin (a grease gun injury) can cause serious delayed damage to soft tissues.

Regardless of the size or appearance of the wound, a physician should be contacted imdiately.

Ingestion : May irritate digestive tract but is generally not harmful unless in large quantities.

Modical conditions aggravatod by this product have not bmen determined.

I.

0 6.-

Page 3 of 4 HSDS No. 06A490 SECTION 8 -

EMERGENCY AND FIRST AID PROCEDURES,ee**ee*ee****

Skin

Wash with soap and water, or use waterless hand cleaner after skin contact.

Launder contaminated clothing before reuse. If grease is injected under skin, get medical attention as soon as possible.

Eye

Flush with water for at least 15 minutes, getting under eyelids.

Contact physician if irritation persists.

Inhalation: (Mists or vapors)- Remove victim from area of exposure to fresh air. If breathing difficulty or irritation persists contact a physician for assistance.

Ingestion : DO NOT INDUCE VObITINGI Contact physician for advice.

• • • • • • ee*****t**********

SECTION 9 -EMPLOYEE PROTECTION *****************

Respiratory Protection:

Respirators acceptable for mists or particulates reconmnded for protection from oil vapors or mists.

Air supplied or self contained breathing equipment recommended for concentrations above 250 mg/M3.

Protective Clothing:

Safety glasses, goggles, or face shield recoimendad to protect eyes from mists or splashing.

Neoprene or Nitrile gloves and clothing recormnended to prevent skin contact.

Other Protective Measures:

Provide explosion proof ventilation where oils are heated,or misted to meet TLV level.

Employes must practice good personal hygiene, washing exposed skin several tima daily and laundering contaminated clothing before rause.

• • • • • • • • • • • • • e*t****

SECTION 10 -

ENVIRONMENTAL PROTECTION

• • • • • • • t,

• t Spill Clean-up Procedures:

Remove sources of ignition, contain spill to smallest area possible.

Stop leak if possible.

Pick up small spills with absorbent materials such as paper towels, "Oil Dry", sand or dirt.

Recover large spills for salvage or disposal.

Wash hard surfaces with safety solvent or detergent to remove remaining oil film.

Waste Disposal:

Waste may be disposed of by a licensed waste disposal company.

Contaminated absorbent materials may be disposed of in an approved land fill.

Federal, State, and Local disposal regulations must be followed.

Environmental Hazards:

Classified as an oil under section 311 of the clean water act.

Spills entering surface waters or ant water courses or sewers entering/leading to surface waters that cause a sheen must be reported to the National Response center, 800-424-8802.

"%i&u2-.v Page 4"of 4 MSDB No.

06A490 SECTION 11 -

SPECIAL PRECAUTIONS

• • • e**et**********

Store in clomed containers below 120 degrees F (48.8 degrees C)

Keep away from oxidizing agents, excessive heat or sources of ignition.

• • • • e****e***e**o~e*SECTION 12 -

TRANSPORTATIOM REQUIRBMENTS ************.

DOT Shipping Nam: N/A DOT Classification: N/A DOT I.D. No.: W/A UN Hazard Class: N/A

• o*e*@*e*~O*e*eeo**

e SECTION 13 -

OTHER REGULATORY CONTROLS *'k*****o**eO*

SARA Title III Statue:

This product contains the following chemicals subject to the reporting requirements of Section 313 of SARA Title III:

None.

• • • • • • O******O*********

SECTION 14 -

DATE AMD 8INATURE This information relates only to the specific material designated and may not be valid for such material used in combination with any other materials or in any process. Such information is' to the best of this company's knowledge and believed accurate and reliable as of the date indicated.

However, no representation, warranty, or guarantee is made as to it's accuracy, reliability or completeness.

It is the users responsibility to satisfy himself as to the suitableness and completeness of such information for his own particular use.

Viscosity Oil Ccpany Dati Prepared: 4-27-98 600-H Joliet Road Willowbrook, IL 60521 Approvod By: J. A.

SMKT, SR. RESEARCH CHEMIST

(Page I of 2)

PART I

CHEMICAL EVALUATION

1. Item Description AN o

(Provide MSDS)

2.

Proposed Use(s)

.A_-o f4j

3.

Purpose of Evaluation o3 a.

New purchase or new part add

[Chemistry complete Part II].

o b.

Evaluation of previously approved chemical for task not bounded by present color coding

[Chemistry complete Part-III].

1c.

Contractor supplied material for specific project use

4.

Name/Phone Number of Requestor f....

tv!

L 8/

PART II

1. Chemical analysis available?

0 Yes No

2.

If no, is chemical analysis needed?

0 Yes 0

No

3.

Color code assignment o]

Blue 0

Temporary assignment (subject to change based on chemical analysis results)

E]

Green 5f Permanent assignment (chemical analysis avail-able or unnecessary) o Yellow S

Orange 0]

Red

4.

Waste Disposal Code S

W" Potentially Hazardous Waste 0

-0 bn Hazrdous Waste Approved by-C--------------

ate----.

Disapproved by -----------------------

Date Reason for disapproval or comments

(",

G pi -

0*

ý,

_j......

ORIGINAL REMAINS WITH EVALUATOR FOR' FILE.

COPY TO NPES IF IN RESPONSE TO NEW PART ADD REQUEST.

Al-2001 Rev.

8 Page 23

~-~-

• I~%Jpy.

up:

Sent By: C W NOVAK; M30 279 0681; Mar-as.oi 1;ao; raove TO: JOHN SCMU"M Laboratory Supervisor

) /

Viscos*y Oil Co.

1. 1.630-8s0.4023 ROCZ VJALEY OIL & CUEMMCAL ROCK'ORDj, L.

QUALITY CONTROL C91" MCATE VMCOSUTTO Th CO, RU11

..Vicois 2

_il P.O.#

-55/9 55*19 bot~u!mbe 7'/

If I --..

Speclio Gravity

@ 6"07(16S.800

-4 AVMD-1298 o0.7'73 H

0.75-0.79 Flash Point F ('C)

ASTM D-86

/o6s11=

100(37) min Residual Odor I

Doctor Sawl~

Test P.8Th D-484 Neg.

IA LCorrosion Test AWTM D-130 I

Ouality Control Ch~mist Dative (P.&W /.91

/

20278 031201 gwr~w BY a ft

--Y 1

S

Auot-OT01 03:431m Fron-VISCOSITY OIL VISCOSTYT OIL 600-8 ;7oliet Road Willowbrook, ZL 60521 MATER SAETT DATA BEET 6308504020 T-SfT P.03/O F-H89 UNIS R*ating:

Legin*md:

RALT?

- 1 l-slight FIRE a 2 2-Moderate RRACTZVITY.

0 3-serious 4-sewers M1DB DATE 01L610 04-27-09 oe******,.@**

• • • t**t SECTION 1 -

MATERIAL IDMTZIZCATZON ***************

Material/Trade Name: XnDUVSTR=L 16A Synonymsa Petroleum distillate MEGNCY TELEPBOVE CEOMTRNC 800-424-9300 chemical ramily/1orwala: Petroleum hydrocarbon faction CAB Mo.: Mixture

• • • • • • • .**&*eteo***a*

o sECTION 2 - ZWRIDIZTs *wi..***Mt********..*.*

Composition CAB.

TOXZCZTY DATA Potro.Le* hyroca~rbn distillat~e 64742-48-9 100 TLV 100ppm PUL SOOppm All Lngrediants in this product are ist in the Tae& register.

• • • • b**bO~o..***~*~.DECIOZ 3

Es"XCAL D&TA ~*********.o Boiling Po.at,76G*M/g 2300-380 F Volaiilus.'% by VoIwm

100 Specific Graity,Wateor t 0.76-0.78 Solubility in water,% by Volume tinsol.

Vapor Preamre,nm/Bg s2Vm Hg Evaporation Rate, Ether = 1 O70 Vapor Density,Airwl C4.9 Appearance and Odor iWater-white liquid, iild hydrocarbon odor.

• • • • efr**.*.se6~et**

SECTION 4 - FIRE AND EXPLOSION DATA Flash point and test method Auto ignition temp.

LEL TCC=

100 F min.

NA 0.7% 6.0%

Extinguishing media:

Water sprar (fog), dry abomicai, foam, salon, carbon dioxide.

water stream may splash burning liquid, spreading the fire.

Special Pire Vighting Procedures: clasu JIM combustible liquid. Use air supplied breathing equipnn*t for fighting Interior fires. Cool fire exposed containers with water.

Unusual Pire and Explosion Hazards: A vapor accumulation would flash and/or explode if ig*ited.

Never use a welding on or near drum, even if empty.

Aug-OT-0 05:43po Fro-VISCOSITY OIL 6308904010 I T T-31T P.04/08 F-611 Page 2 of 4 MSD8 No.

01L610

• ..****~e~ett**t*.e**e**,*

SSCTION 5 -

REACTVZTT DATA ****************e Stability Hazardous Polymerization X stable Unstable may occur X Will not occur Conditions and Materials to Avoids Avoid strong oxidizer. such an chlorine and oxygen, heat and sources of ignition.

3azardous DecoaMosition Productas Combustion produces arbon monoxide and carbon dioxide along with smoke.

SUCTION 6 -

OCCMPATIONAL ZXPOSBUP LIMITS ****t**e.***

No TLV established.

For solvent vapor* or mists, ACOXR recomends TLV 100 PPM/8hr. day.

• • e**zegu*t*ete~

e..t~e*5 SECTIOR 7 MXL.Tg11RpO)jATQO

• • • • • • • • • • • k**e*.,.5

-nh&Latiomr Vapors can irritate the mucoussemmbanes and cause pulmonary irritation, dizztnesa and nausea.

Bra Skin Contact can cause irritation.

Prolonged or repeated skin contact with this product tends to remove skin oils possibly leading to irritation and dermatLitSa however, based on human experience and available toxicological data, this product is judged to be neither a corrovive* nor an "irritants by OBEA criteria.

Also, see Section 11 for additional health information.

Ingestion : This product is Judged to have an acute oral LD5O (rat) greater than 5 g/kg of body weight and an acute dermal LDSO (rabbit) greater than 3.16 g/kg of body weight.

Possible aspiration hasard exists with low viscosity products during vomiting which could cause pulmonary edema which can be fatal.

Effects of Overexposures Nigh vapor concentrations (greater zhan approximately lOOO ppm) are irritating to the eyes and the respiratory tract, may cause headaches and dizziness, are anesthetic, and may have other central nervous system effects.

Aug-OT-01 03:Ups Froa-VISCOSITY OIL 6208604020 T-3IT P.05/US F-Si; Page 3 of 4 KSUD No. 01L610

• • h****O*-******

SECTo 8 -

MR1KCY AMD FZRST AIM PROCE*DRES ***e.o*****..*

Skin YWash with soap and water, or use waterless hand cleaner after skin contact.

Launder contaminated clothing before reuse.

Rye i Flush with water for at least 15 minutes, getting under eyelids.

Contact physician if irritation persists.

Inbalationt (Oists or vapors)- Remove victim fro area of exposure to fresh air. Zf breathing difficulty or irritation persists contact a physician for assistance.

Ingestion t DO NOT MUMC VM=32li Oi Contact physician for advice.

• • t~et****O***

et*****~o#'*SECTON 9 -

DLLOYXR PROTECrTIC

• e*.******eKe**

Respiratory Protection; Respirators acceptable for mists or particulates reOmaended forL protection from oil vapors or mstte in excess of the 11,V (Sug/K3).

Air supplied or self contained breathing equipment equipment recmmended for concentrations above

2,0.*g/M3.

Protective Clothing:

Safety glasses, goggles, or face shield rsoomnended to protect eyes from mints or splashing.

Neoprene or n-trile gloves and cloting recommended if needed to prevent skin irritation.

Other Protective Measuress Use only with venatlation sufficient to prevent exceeding reoommended exposure limit or buildup of ewcplooive concentrations of vapor in air.

No smoking or open lights,*

.loyees. must practice goo4 personal hyiene, washing exposed skin several times daly-end laundering contaminated clothing before rouse.

wo~******w~f**e*

SCTIN.10 -

WVIROZIMaMTL PRtOTZCTXCIO

• w@*OI.o Spil* Clean-up Procedures:

Shut off and eliminate all ignition sources.

Keep people away.

Recover free product.

Add sand, eatrth or other suitable absorbent to spill area.

Minlmize breathing vapors.

Mnimiss skJin on,,ntact.

Ventilate confined spaces.

Open all windows and doors.

Keep product out of sewers and watercourses by diking or impounding. Advise authorities if product has entered or may enter severs, watercourses, or eQXtesive land areas.

Assure conformity with applicable govermaental regulations. - Continue" to observe precautions for volatile, combustible vapors from absorbed material.

Waste Disposal:

Waste may be disposed of by a licensed waste disposal company.

Contaminated absorbent materials may be disposed of in an approved landfill.

Federal, State, and Local disposal regulations ust be followed.

Environmental Hazardst classified as an 0il" under Coast Guard regulations and the Clean Water Act.

Spills entering a waterway that cause sheen on the water surface must be reported to the U.S. coast fuard National Resource Center- (800) 424-8802.

~

Aug-OT-01 03:44pe Fr w-VISCOSITY OIL 1308504020 T-31T P.08/06 F-681 Page 4 of 4 MSDU Io. OIL610

• • • • • • • .*h*t***O******

SECTION 11 -

SPECIAL PREC&TZON2 *****,*****OO*C***

• Egptya containers retain residue (liquid end/or vapor) and can be dangerous.

DO NOT PRESS=URZE, CUT, wZW, MRAe SOLDER, DRILL, GRnD OR-EZPOSH 8UCH 3COTAXMRS TO H=AT,

PLAU, SPARKS OR OTHER SOURCHS OF IWGMTIOi THE MNAT EXPLOD AM CAUSE INJUY OR DEATH.

Keep product away from heat, opaxks, pilot lights, static electricity, and open flame.

Peatroleum products under high pressure, if injected. through the skin (is, from a hose leak), can cause serious delayed damage to soft tissues.

Regardless of the size or appearance of the Wound, a physician should be contacted immediately.

• • • ,**eee*

SECTION 12 -

TRANSPORTATION NEQ rRM T

DOT Shipping Xames DOT Z.D. No.s Petroleum Nuphtha or Ha 1355 Petroleum Naphtha Mixture DOT cla.aLficsation UN Hazard Classe Combustible Mixture 1 Li255

• b&*~****iC*Oe*ai*** SECTION 13 - OTHER RE03TATORY NOlTO5 **C*ONTROL*****,

SARA Title 111 Status:

This product contains *the following chemicals subject to the portLig rsquireoents of Section 313 of SARA Title IrI:

None.

e....****e***e~e~

.oa*,

SECTION 14 -

DATE AND SIZGNATURE

• • • • • ite.

This information relates only to the specific material designated and may not be valid for such material used in combination with any other materials or in any process. Such information Lo to the be*t of this Company's knowledge and believed accurate and reliable as of the date indicated.

However, no representation, warranty, or guarantee Li made as to it's accuracy, reliability or caopleteness.

It is the users responnibility to satisfy himself as to the suitableness and completeness of ouch Information for his own partioular use.

Viscosity Oil Company 600-N Joliet Road Willowbrook, IL 60521 Date Prepared,3 4-27-PS Approved By: J. A. SMIT, SR.

RESEARCZ CHEMIST

Aug-0T-0U 03I4pE Fro-VISOSITY OIL 6I01!04020 T-31T P.08/06 F-68S Page 4 of 4 KSDO No.

01L610

• ,e*w~t**tewt***e~

SUCTION 11 -

SPECIAL PRECAUTIONS

• • • • • w****.****4 ampty" oantai~ners retain residue (liquid and/or vapor) and can be dangerous.

DO NOT PRNSSURIZZ, CUT, WELD, BRAZE* SOLDER, DPZLL, GaRfN OR EXPOSS SUCH CONTAINERS TO HEAT,

FLAUM, SPARKS-OR OTHER SOURCES OF IGCITION:

THEZ MAY EXPLODE AND CAUSE INJURY OR DEATH.

Keep product away from heat, sparks, pilot lights, static electrioity, and open flame.

Petroleum products under high pressure, if injected through the skin (is, from a hose leak), can cause serious delayed damage to soft tissues.

Regardless of the size or appearance of the wound, a physiolan should be contacted immediately.

S*.*et~w***eO,@**** SECTION 12 - TRANSPORTATION REQUIREMENTS *O*****.**t****

DOT Shipping Name:

DOT I.D. No.:

Petroleum Naphtha or 1M 1255 Petroleum Naphtha Mixture DOT Clasestfoatiout UN Hazard Classs Coebu9tLbLe" Miture EW 1255

• ,6,**e****s M

SCTION 13 -

OT REGULATORY CONTROLS

.u-***e~e**.**

SARK TLtL.

Iri 9tatus:

Thin product contains the following chemicals subject to the caporting requirements of Section 313 of SARA Title III:

Hong.

e******~******~*.*e*

S,*

SECTION 14 -

DATE AND SZXMATURN

• M**t***thti****

Thin Lnformation relates only to the specific material designated and may not be valid for such material used in combination with any other materials or in any process. Such information in to the beoe of this companyo.

knowledge and believed accurate and reliable as of the date indicated.

However, no representation, warranty, or guarantee is made aa to it's accuracy, reliability or oapletoeneas.

It is the users responsibility to satisfy himself as to the suitableuens and completeness of such information for his own particular use.

Viscosity Oil Company 600-8 Joliet Road Willowbrook, IL 60521 Date Prepared; 4-27-98 Approved By: J.

A.

SUIT, SR. RESEARCH CREMIST

Forida Power memo Date:

June 5, 2002 To:

Carlos Colarte (N T 2 0 From:

Matt DennY iL4-?

Subject:

Response to ANII Open It NPTS02-0049 Report # 02-002 The purpose of this memo is to provide documentation of the responses to the open items documented via ANII Open Items Report # 02-002 (attached). These items are related to the 7th Tendon Surveillance performed at Crystal River Unit 3 in the fall of 2001.

Item A: Completion inspection results (data sheet 6.0) for tendon 46H39 verification of ID numbers were not recorded (i.e. "accepted" or "rejected" was not circled on the datasheet).

Resolution: A review of the recorded information versus the original stressing information was performed and the item was verified to be acceptable. The data sheet in the work package was modified by circlingthe "accepted" option for this item.

Item B: The anchorage inspection (data sheet 8.0) for tendons 46H29, 461130, 46H36 and 46H37 was performed, but the results were not recorded on the data sheet (i.e. "accepted" or "rejected" was not circled on data sheet).

Resolution: A review of the data sheet versus the acceptance criteria and reporting criteria in SQ 8.1 was performed. All the data sheets were modified by circling the appropriate option. 46H30 was the only one which had the "rejected" option circled. This condition was reported, evaluated and the results of the evaluation recorded per the appropriate procedures via NCR FN750-017. The condition reported was determined to be acceptable as-is.

Item C (data sheet 8.3):

" Tendon 46H36 had no result circled.

Tendon 62H2 had no result circled.

" Tendon D212 was missing a NCR and/or evaluation documentation for bearing plate concrete inspection, which was rejected by QC inspection.

Memorandum Page 2 June 5, 2002 Tendon D339 had no result circled.

Resolution: A review of the information recorded on the appropriate data sheets, the acceptance criteria provided in Procedure SQ 8.3 and the supplemental information provided by the Responsible Professional Engineer (RPE) via memo dated September 4, 2001 (attached) resulted in the following:

• 46H36 was determined to be acceptable per procedure. "Accepted" was circled on data sheet.

62H2 was determined to be acceptable per guidance provided in the RPE memo. There was a spanl recorded, which was not addressed in the SQ 8.3 acceptance criteria. Based on the additional clarification provided in the memo, this spall was determined to be acceptable and a NCR was not required.

• D212 was reported to CR3 engineering via memo as required per procedure SQ 8:3. A copy of this memo is-provided in section 6.0 of the final PSC report. Per SQ 8.3 there is no requirement to generate a NCR for this condition (i.e. crack less than 0.050 inch wide). This item was evaluated by the RPE and found to be acceptable with no further actions. Evaluation is attached and was inserted into the work package.

• D339 was determined to be acceptable per procedure and the RPE memo.

"Accepted" was circled on the data sheet.

Item D: Tendon D212 did not have the result (data sheet 9.0a) recorded.

Resolution: Reviewed the information on the datasheet and determined that this sign off was for the entire 9.8.12 step (four actions). The individual actions were recorded as acceptable. Based on this review, it can be concluded that the results for the entire step were acceptable. The "accepted" option on the data sheet was circled.

Item E: No results (i.e. "rejected" or "accepted" not circled ondatasheet) recorded for retension results (data sheet 11.0) for tendons 12Vi (hold point 9.3), 45V14 (hold point 9.3) and 46H32 (hold point 9.5).

Resolution: A review of the data and the governing procedures revealed that these are stop work hold points. The signature for these hold points was provided at the time of the surveillance. With this information, it can be concluded that the hold point inspections were performed and the results were acceptable. The "accepted" option on the appropriate data sheets was circled.

Item E (second one): No results (i.e. "rejected" or "accepted" not circled on datasheet) recorded for grease can replacement (data sheet 12.0) for tendons 46H30,46H31, 46H34, 46H35, 46H36, 46H37 and 46H39.

Memorandum Page 3 June 5, 2002 Resolution: A review of the procedure and the data has resulted in the determination that these hold points are to stop work and perform inspections. The fact that the steps have been initialed by the QC representative is evidence that the inspections were performed.

Since there were no NCRs generated as a result of these inspections, it can be concluded that the results were acceptable. The "accepted" option has been circled on the appropriate datasheets.

Item F: There were no results recorded (data sheet 12.1) for tendon 45V 14 hold point 9.8.5.1.

Resolution: This hold point was for the QC representative to measure the height of the grease remaining in the barrel after pump through. Since there is a value recorded for this measurement, it can be concluded that this item was acceptable. The appropriate data sheet has been modified by circling the "accepted" option.

Based on the resolutions provided for each item, this open item report for the 7'h tendon surveiUance is considered closed with no further actions required.

MFD:Ifd Attachments:

ANfl Open Items Report # 02-002

.Memo to Matt Denny from Joe Lese dated September 4, 2001 Copy of e-mail from Joe Lese to Matt Denny dated June 4,2002 c:

IWEFIWL Program Notebook WR 368426

OPEN ITEMS.

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r Florida Power Aftv w

,WOP memo Date:

September 4, 2001 To:

Matt Denny From:

Joe A. Lese

Subject:

Visual Examination of External Reactor Building Surfaces In accordance with ASME Section XI, Subsection IWL, a visual examination of the exterior concrete-surfaces of the Reactor Building will be performed in conjunction with the 7d, Tendon Surveillance at CR3.

While Section 5.1.1 of IWL provides general guidelines for the visual examination of concrete surfaces, the following information is provided to supplement that information and is to be used to assist the examiners in documenting areas of distress.

Documentation should include, but is not limited to the following:

I) Exposed tie wires, #9 wires, or form nails

2) Bug holes greater than 2" diameter and 3/4' depth

3) Pop outs greater than 2" diameter and 3/4" depth

4) Light scaling greater than 1-1/8" deep

5) Spalling greater than 8" in any direction and 3/4"' depth

6) Grouted form ties/form tie holes (acceptable provided no spalling or corrosion staining).

7) Grouted patches over cold joints

8) Corroding eye bolts, anchors, bolts remaining from original construction, ground clips, form ties

9) Rough/uneven concrete finish with exposed rebar

10) Cracks greater than I mm in maximum width

11) Abnormal deformation of concrete from its original shape

12) Leaching/staining Documented areas of concern will be resolved on a case by case basis by Design Engineering Structural. If you require further information, please contact Joe Lese @ ext. 3898.

JAL:jal

Denny, Matthew F.

From:

Lese, Joseph A.

Sent:

Tuesday, June 04, 2002 1:28 PM To:

Denny, Matthew F.

Subject:

Tendon Surveillance The 7th tendon surveillance for CR3 revealed the existence of a crack in the vicinity of dome tendon D212. Per the inspection criteria, engineering needs to be notified when cracks greater than 1 millimeter are found. The subject crack is greater than 0.01" but less than 0.05'. When compared to the data taken for this same locationduring the 6th tendon surveillance, the crack diameter has not appreciably changed and the crack has lengthened only minimally (approximately 1"). Design engineering structural finds this condition acceptable and with no adverse affect to the structural integrity of the concrete adjacent to tendon D212. This minor hairline cracking Is consistent with other concrete structures at CR3 and does not %yarrant further investigation. This condition to be monitored again during the 8th tendon surveillance.

J eALese Design Engineering Structural 1

Florida Power memo Date:

June 5, 2002 To:

File From:

Matt Denny

Subject:

Evaluation and Acceptance of NPTS02-0050 PSC Tendon Surveillance Results (25d' Year)

The purpose of this memo is to provide documentation of the evaluation and acceptance of the 25"' Year Tendon Surveillance results. The surveillance was conducted by Precision Surveillance Corporation (PSC) between August 2001 and January 2002 with CR-3 site overview utilizing SP-182 as the controlling site procedure. The actual procedures used for testing activities were contained in the PSC In-Service Inspection Manual for FPC Ciystal River Unit 3 (N750) Revision 0. This 25" year surveillance met all the requirements of ASME Section XI, subsection IWL as modified by IOCFR50.55(a). The results ofthis surveillance have shown that the CR-3 containment structure has not experienced abnormal.

degradation and is projected to meet its minimum design criteria until the end ofthe forty-year life.

The following discussions will show the code compliance.

IWL-2400: Schedule CR-3 performed the Structural Integrity Test in November of 1976. The code required the 25'h surveillance be performed in November of 2001 +/- 1 year. Since the 25"' surveillance was performed between 8/01 and 1/02 this requirement was met.

IWL-25 10: Examination of Concrete The concrete was visually examined (VT-3C) during the 251h surveillance period. For areas that required further evaluation, a detailed visual exam (VT-I C) was performed. The data was reviewed by the Responsible Professional Engineer (RPE) and found to be acceptable.

IWL-2520: Examination of Unbonded Post-Tensioning Systems, The random selection for CR-3 resulted in three Dome, three Vertical and 5 Horizontal tendons being selected. These tendons were D212, D126, D339, 12V1, 45V14, 61V8, 46H21, 62H13, 46H36, 53H16 and 62H3. While trying to perform liftoffs on horizontal tendon 62H13, it was determined that this tendon was not accessible for testing. Per IWL-

Memorandum Page 2 June 5, 2002 2521.1, 62H09 was selected as a substitute tendon. The IWL-2524 and IWL-2525 examinations were performed on the exempted tendon (62H 13).

IWL-2522: Tendon Force Measurements Tendon force measurements were performed on the selected sample and adjacent tendons as required. The acceptance criteria of IWL-3221.1 was met for all the tendons with the exception of tendon 46H36. This tendon was found below the 90% Predicted Base Value.

The analysis of the as-found lift-off forces contained in Section II, item VIII on page 41 of the PSC final report, demonstrates that the as-found condition is acceptable for this tendon.

Part of the analysis is a discussion on the calculation of the predicted base value for each tendon. Historically CR-3 has found numerous tendons below the 95% of predicted base value, but demonstrated the acceptability of the containment with the as-found condition.

Therefore for the next surveillance, CR-3 should re-evaluate the method used for predicting the base value.

IWL-2523: Tendon Wire and Strand Sample Examination and Testing Tendons D339, 45V14 and 53H16 were detensioned and a wire removed for testing. The acceptance criteria of IWl-3221.2 was met for all wire samples.

IWL-2524: Examination of Tendon Anchorage Areas A VT-I visual examination was performed for all tendons when the end cap was removed.

There was some corrosion observed on the bearing plate outside the O-Ring that seals the tendon anchorage system on four tendons. These areas were cleaned and smoothed using an epoxy mix to ensure the seal would remain intact. There were also several instances of missing or broken wires observed. These instances were compared against the acceptance criteria contained in SP-182 and found to be acceptable, and therefore no furiher analysis was required for these conditions.

IWL-2525: Examination of Corrosion Protection Medium and Free Water There were no instances of free water in the corrosion protection medium. The acceptance criteria of IWL-3221.4 was met for all samples taken.

IWL-2526: Removal and Replacement of Corrosion Protection Medium The amount of grease removed and replaced was recorded for each tendon.

IOCFR50.55(a)(viii) Examination of Concrete Containments A. During the visual exam, all grease caps were examined for leakage and deformation. One minor leak was observed on tendon 53H40 (field end). The end cap was removed and the O-Ring gasket was replaced.

B. The evaluation of the trend data does not indicate an adverse trend.

C. The elongation of any tendon during restressing did not vary from previously recorded results by more than 10% and therefore was acceptable.

D. The following items shall be included in the RFO 13 NIS-I report:

1. The presence of water in the grease sample. There was no water recorded for this surveillance.

Memorandum Page 3 June 5, 2002

2. The absolute difference between the amount of grease removed and the amount replaced exceeds 10% of the net duct volume. Tendon D212 exceeded this value and this information must be included in the RFO 13 NISI report. The condition was reviewed and evaluated against previous evaluations (15 h and 20 surveillance) and found to be similar in nature (i.e. original greasing practices were not as precise as current practices). There was no further evaluation determined to be required.

3. Detection of grease leakage (if found). During the visual exam, grease leakage was detected on the buttresses in the intermediate building (adjacent to main steam and feedwater penetrations). The leaking material was observed and determined to be the product of the original Viconorsut P-2 grease. This grease would tend to separate into an oil product and grease product when exposed to high temperatures. The temperature in this building is usually greater that 100 degrees. In addition to this separation of the grease, the O-Rings are only designed to prevent grease leakage.

The oil will escape through the joint and appear as leakage down the buttress. In an attempt to eliminate the leakage, the end caps were packed with the replacement grease (Visconorust P-4). The P4 grease is more tolerant to the high temperatures and will not separate like the P-2 grease. The leakage in the intermediate building and on tendon 53H40 field end will be included in the RFO 13 NIS-I report.

'Based on this evaluation, the results of the 25*' tendon surveillance perforrmied at CR-3 have been determined to meet the code requirements and are determined to indicate that the CR-3 containment structure is functioning as designed. The RFO 13 NIS-I report (due within 90 days of the completion of RFO 13) will contain discussion of the grease leakage identified and replacement grease quantity exceeding 10% of the net duct volume.

Prepared By: /~

Reviewed By:

Reviewed By:

Matt Denn U

YLU IA

.I'--

ýI-Jioe Use (RPE)

Carlos Colarte (ANII)

-~

Page 1 of CONFIRMATION OF CONTRACTOR NDE MEASURING AND TEST EQUIPMENT NDEýrTE.YRM TO:.

Nuclear Quality Control (NQC)

FROM:

ISI/IST The below listed measuring and test equipment is being provided by the contractor.

Upon

receipt, NQC to review and confirm validity of certification and record results in Part II.

Upon completion, sign below and return to ISI/IST.

PART I CALIBRATION EQUIPMENT I.D.

CERTIFICATIONS NAME NUMBER ATTACHED.

M 783 e

fqoro?~y~

1 6533 C>I00 Psi gq C I *6...

C. 1 "?

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MNAGER7/AT REVIEWED BY:

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-X-Yes k *Yes Yes 4_

Yes Yes

__.-_Yes Yes

-4 Yes Yes

-*_-_Yes

\\Yes No No No No No No No No No No No Upon receipt by ISI/IST forward r~esults to Records Management.

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Page of CONFIRMATION OF CONTRACTOR NOE MEASURING AND TEST EQUIPMENT CONTINUATION PAGE PART I PART II EQUIPMENT NAME

• L&.o LA 4,

I. D.

NUMBER F463 CALIBRATION CERTIFICATIONS ATTACHED

ýeS NQC REVIEýW 4

Yes No

_K Yes No 4-Yes No k

Yes No Yes No Yes No Yes No Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No NO No No No No Rev. 397 ER*. 2 NE P 302 (Page Bof 8)

.SHIPPING RELEASE AND PACKING LIST PSC Formerly Inryco Surveillance QUALITY CONTROL DOCUMENTATION Cuistomer; PLtse'iPA ~iu~C¶eRZ#M77A)

Shipment No.

IJIA Project: 4ýy4y-,qL ejVjV-vjT 3 Contract:

1LjVo Prepared by: ;

,f*

Fabricator:

qm Inspected by:

Date:

9o4w Page lojL Documentation to satisfy the Quality Assurance requirements have been reviewed and found acceptable.

SIGNED DATE PSC QUALITY ASSURANCE REPRESENTATIVE QUANTITY

. Upin.

DESCRIPTION "L 1 II I

Total Pieces A

Total Weight

ps.cf PRECISION SURVEILLANCE CORPORATION 3468 WATLING ST.

EAST CHICAGO, IN 46312 (219) 397-5826 FAX (219) 397-5867 Precision QUALITY ASSURANCE DOCUMENTATION Srelac CERTIFICATE OF. COM*PLIANCE.

Corporation Project c

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Contract V t7_50 Date ___"__

Material Identification )4.!% IL~eAeo')

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Purchase Order No.

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/,fhR!JC4A* Zo5I',?Jb Specification and Revision No.

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Procurement Requirements WCT 7J,,JAr-H

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Deviations ____A)_

Resolution IJ/A Disposition A)14 Non-Conformance N]O A),

Q.A. Release for NCR om_

Deviations and Non-Conformances shall be attached to this form.

N/A to be written in for Not Applicable; all blanks shall be filled in.

This is to certify that the above material has been fabricated and inspected in compliance with the specified drawings, procedures, specifications,, codes, purchase order requirements, "c

Quality Assurance Manual Revision 2-Dated.

and the'attendant quality programs.

Vendor o&c!ismJ i&Q AN6C & /.4, Authorized Agent Date Title

-j d4.A PSC QUALITY CONTROL ACCEPTANCE Name Title I

Date i

OWNER OR AUTHORIZED AGENT INSPECTION WAIVER Shipment Final Inspection Waived By _

Date Agency ___________Title A/

Supplier's Authorized Representative

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4 4.A4 EFFECTIVE DATE 1-.1-81 JPREV.REV.L\\

IREvrsION/ L PAGE 1 of I

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LAX/JAC1K CALTBRATION, RECORD FO'M 12.8. G PSC Formal#

PROJECT d

L

£.....

CONTRACT/PARo NO.

/V aoS u rv duanC I

.4 4r 2!

Jack Description Sz 0

-Tn Resister N,99 Theoretical Ram Area M_______iax.

Pressure 8310 PST Calibratinig Device TL)OERegister No.-

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Date Comput ed By C hc Title_____

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JACK CALIBRATION -

LINEAR REGRESSION ANALYSIS PROJECT CRYSTAL RIVER JACK DESCRIPTION:

DUDGEON TONS:

1400 THEORETICAL RAM AREA (sq.in):

337.0 MAX PRESSURE (psi):

CALIBRATING DEVICE USED: TELEDYNE REGISTER NO.:

4734 CALIBRATING GAUGE DESCRIPTION: HEISE CONTRACT NO.

N750 REGISTER NO.:

8783 8310 CONSTANT=

32987.5 REGISTER NO.:

S927100 INPUT..............

ACTUAL GAUGE LOAD CELL READING (psi)

READOUT 1012 10.02 1516 15.12 2011 20.10 2515 25.22 3008 30.28 3510 35.36 4014 40.44 4516 45.54 5012 50.54 5715 57.68 1011 9.94 1511 15.02 2011 20.08 2513 25.16 3014 30.24 3512 35.26 4014 40.34 4512 45.42 5016 50.48 5715 57.66 1018 10.00 1514 15.00 2012 20.02 2512 25.06 3015 30.12 3515 35.12 4018 40.24 4510 45.26 5014 50.24 5712 57.32 THESE READINGS HAVE BEEN OMITTED FROM ERRORS IN JACK CALIBRATION ERROR IN STANDARD...............

INTERPOLATION IN GAUGE..........

ACCURACY OF GAUGE...............

ERRORS IN GAUGE CALIBRATION INTERPOLATION IN.MASTER.........

INTERPOLATION IN FIELD GAUGE ACCURACY OF MASTER..............

ACCURACY OF FIELD GAUGE.........

ERRORS IN FIELD USE OF GAUGE INTERPOLATION ERROR.............

ACCURACY ERROR..................

MAXIMUM GAUGE READING USED................

COMPUTED FORCE (k) 330.535 498.771 663.049 831.945 998.862 1166.438 1334.015 1502.251 1667.188 1902.719 327.896 495.472 662.389 829.966 997.542 1163,139 1330.716 1498.292 1665.209 1902.059 329.875 494.813 660.410 826.667 993.584 1158.521 1327.417 1493.014 1657.292 1890.844 THE FINAL COMPUTATIONS 0.0100 ksi 0.0000 ksi 0.0000 ksi 0.0000 0.0050 0.0100 0.0275 ksi ksi ksi ksi 0.0050 ksi 0.0275 ksi 5.7150 ksi FORCE (k) =

333.733 (sq.in.) X GAUGE READING (ksi)

-9.037 (k)

W CORRELATION =

0.99997921 N/NO-1.0000 (NOT <.66667)

MAXIMUM ERROR RATIO IN JACK...........

0056 MAXIMUM ERROR RATIO IN GAUGE..........

0073 MAXIMUM TOTAL ERROR RATIO.............

0092 ev^"lm~~~r~r~~lr% "%?.o1 o.'.IL -

V f..

I Jack Description

)IIJDcoA) size It"O

--ons Register No.-

Theoretical Ram Area 139 Max. Pressure.....UlQ...PSI Calibrating Device 1~ITPmy'w Register No-9-7Y Coustant324,M21 Calibratiti! Gau 1e-1Xj__

Regtister No.A$.;z>j60, raceILj3 RwData Byý iJIAES 1'

mea Rai Area 23.V 549? 'sq.* in.

4 ŽLIK Kp Agency I1A Date m1A Comput'ed By

/0P4 4QC Check L.

Title.

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3T

~

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'1000 toil J&

RUK.....L-POSITION ____

x50de 4

1000 RUN~...

3 ol 1~J POSITION &

27,Se)0

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25.06 4s________

350 30~ 01

'_Tq0 c,,6 Iaj

JACK CALIBRATION - LINEAR REGRESSION ANALYSIS PROJECT CRYSTAL RIVER JACK DESCRIPTION:

DUDGEON TONS:

1400 THEORETICAL RAM AREA (sq.in):

337.0 MAX PRESSURE (psi):

CONTRACT NO.

N750 REGISTER NO.:

8833 8310 CONSTANT=

32987.5 REGISTER NO.:

S927100 CALIBRATING DEVICE USED: TELEDYNE REGISTER CALIBRATING GAUGE DESCRIPTION: HEISE NO.:

4734 ACTUAL GAUGE READING (psi 1011 1514 2014 2509 3016 3514 4011 4512 5011 5715 1010 1518 2012 2514 3010 3515 4012 4512 5012 5716 1014 1511 2013 2511 3014 3510 4012 4510 5014 5710 THESE INPUT..............

LOAD CELL READOUT 10.10 15.20 20.32 25.38 30.54 35.64 40.72 45.82 50.92 58.10 10o. 16 15.32 20.34 25.44 30.46 35.60 40.64 45.72 50.80 57.92 10.16 15.18 20.24 25.26 30.34 35.34 40.38 45.40 50.46 57.44 READINGS HAVE BEEN OMITTED FROM COMPUTED FORCE (k) 333.174 501.410 670.306 837.223 1007.438 1175.675 1343.251 1511.487 1679.724 1916.574 335.153 505.369 670.966 839.202 1004.799 1174.355 1340.612 1508.189 1675.765 1910.636 335.153 500.750 667.667 833.264 1000.841 1165.778 1332.035 1497.633 1664.549 1894.802 THE FINAL

• 1 i

COMPUTATIONS ERRORS IN JACK CALIBRATION ERROR IN STANDARD...............

INTERPOLATION IN GAUGE..........

ACCURACY OF GAUGE...............

ERRORS IN GAUGE CALIBRATION INTERPOLATION IN MASTER.........

INTERPOLATION IN FIELD GAUGE....

ACCURACY OF MASTER..............

ACCURACY OF FIELD GAUGE.........

ERRORS IN FIELD USE OF GAUGE INTERPOLATION ERROR.............

ACCURACY ERROR..................

MAXIMUM GAUGE READING USED................

0.0100 ksi 0.0000 ksi 0.0000 ksi 0.0000 0.0050 0.0100 0.0275 kei ksi ksi ksi 0.0050 ksi 0.0275 ksi 5.7160 ksi FORCE (kW

=

334.599 (sq.in.) X GAUGE READING (ksi)

CORRELATION 0.99995779 N/NO= 1.0000 (NOT <.66667)

MAXIMUM ERROR RATIO IN JACK...........

0062 MAXIMUM ERROR RATIO IN GAUGE...........

0073 MAXIMUM TOTAL ERROR RATIO..............

0096 3.885 (k) **

COMPUTED BY:

DATE:

"/

CHECKED BY DATE:

,1 SHIPPING RELEASE AND PACKING LIST PSC Formeuiy Inryco Surveillance QUALITY CONTROL DOCUMENTATION Customer; FagZi-A PbuJE croag'ytic-AJ Shipment No.

A Project:

46w-tr Rvce-m,-Jgr '

Contract:

A)50sO Prepared by:

_ "43,/¶,

Fabricator:

/Y!

Inspected by; Date:

0' Page I of Documentation to satisfy the Quality Assurance requirements have been reviewed and found acceptable.

SIGNED DATE

-0/

PSC QUALITY ASSURANCE REPRESENTATIVE QUANTITY PART NO.

DESCRIPTION A

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PSc PRECISION SURVEILLANCE CORPORATION 3468 WATLING ST.

EAST CHICAGO, IN 46312 (219) 397-5826 FAX (219) 397-5867 QUA Y A C DOCUPrecision QUALTY SSURNCED0CUNTA[OHSurveillance CERTIFICATE OF COMPLIANCE Corporation Project C.4r" L.

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(met by material)

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Non-Conformance P/CA/C Q.A. Release for NCR Deviations and Non-Conformances shall be attached to this form.

N/A to be written in forNt,,Applicable; allblanks shall be filled in.

This is to certify that the above material has been fabricated and inspected in compliance with the specified drawings, procedures, specifications, codes, purchase order requirements, Mc Quality Assurance Manual Revision 2.

Dated Z

L,-2.-921 and the'attendant quality programs.

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Type or model:

Kllu ane: #

as.tr C31ibr4tlon due date:

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CAL18RATION DATA i 1 b ra t io n M e t ho d :

mater Actual Temperature V

Test Reading Temperature Csil

.an tethodo

$ aster and test: tihermometer *b

-.Immersed In agita todlquid for at I

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CALIBRATIONI DATA I

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mast.er Act.ual temperature

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fir repair or destruction.

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CALIBRATION OATA Calibration Method:

Master Ac:ual Temperature j Test Reading Temprature 1Kaster and test thlermnmecer to be

' '.Immersed In Agitated I Iquid for at least I minutes. and at least I Inches

___of sepsing or sendhig unit to be Sulbmarqe~d In liquid.

Comparison will of no less tbanSO degrees F.

1*

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'*'Accuracy must be withrin one graduation

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_f not, adjust ta same reading as master.

If there IS no adjustment, t*ermomeer will he returned to Quality Assurance

'1, fir repair or destruction.

TE:

cAucrcrac wvi" be within 5".e tb o talit guaqe face value or one unit of the uallest scale graduadtion whichever is smaller.

Condition:

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gay,.

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JP Recllibration due date: oip29'O*

Type or model:

Nitser th~ermometer 1.0.: ~p~

Range.

Master calibration due date:

Location:

CALIBRATI OATA Cal ibration Method:

master Actual Temperature Test Reading Temperature Niter and test themometer to be innersed in agitated liquid for at Ileaist I minutes. and at least 2 Inches

_of sepsing or sending unit to be j

5u~mterged in liquid. Comparison will

_be made at 3 temperature variances of a* less thana.0'degreas F.

IAccuracy must be, w Ithi n one graduation of the smallest reading an the scale.

If not, adjust to same reading as master.

If there is no adjustment, thermometer will be returned to Quality Assurance

&or repair or dtslructi on..

AcOTE; Acuracy will e within 5: 4r tie total guage face value or one unit of trie stallest sctle graduation whichlever Is smaller.

Condition:

A:

Cal bratLed By:;

te Page of

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QUALITY CONTROL Vai.BIT A PSC Fomerly inryto Surveilanc CALIBRATION FORM Project 4.gm C6.ntract

,2W Date _,-mt,-V CALIBRA-TION DATA Recal Date

-.V0_aj Gauge or Device Name

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/

Type or Model

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Project -.A.TION D..T.i CAkLIB RATION DATA Gauge or Device Name Jl$e'*

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Type Master Calibration Device r

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Date R.ecall Date -g0,x Numiber or Model zg Rangeonfr'

-.Num~ber ~-

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Reading Error

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_ I _

F-I

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EFFECTIVE DATE P REV. REV.A

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QUAUTY CONTR OL.

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~~~CA*LIBRI:AT1IO0N FORM*

PrOjetCt Jý10&

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&7s Date CALIBRATION DATA Recall Date Ap7-zý=

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Title:

1 9

-,*ra' Date: F-.Ae',"

1PAGE,.

EFFECTIVE DATE IPREY.REV.A IREVISION ýý EFFECTIVE DATE PREV.REV. /A\\

IREVISION/IN

Q.UALITY CONTROL L'OiBIT A, PSC Formerly Inryco Surveillance CALIBRATION FORM

'5 Project 4r*er, Contract

/l/7-_-n, Date CALIBRATION DATA Recall Date Gauge or Device Name OuPonI/L e*MAAWP, Nu.mber

oA2, Manifacture-s-Lem Type or Model 7X' Range

-. dpo" Master Calibration Device W_,L.f-.,

.Nunmber 4,fej -/

Master Device Calibration DateDLi'*F-,

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Title:

,Date-IREVISIONL'PAGF EFFECTIVE DATE EFFEcTIVE DATE I PREV.REV. /\\

SQUJA LITY CONTROL PSC Formery Inryto Surveillance

[

~CALIB RATION~ FORM

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Project /1oe&A*

Contract Al 7" Date

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CALIBRATION DATA Recall Date 2 "o-o:4 Gauge or Device Name

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Number:

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Error LAPecUa oh J?

Method of Calibration (Procedure number or describe other)

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Title:

t'

° Date:

.a EFFECTIVE DATE PREV. REV./

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PGIo

QUALITY CONTROL PSC Formerly CTMHInryco Surveillanc CALIBRATION FORM

" EXIBIT C" Project

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Date p-,e-a/

CALIBRATION DATA Recall Date Gauge or Device Name

&,rmy Number Manufacturer iJy~

Type or Model &ga*ps-we Range,*'-1.0-Master Calibration Device Number Master Device Calibration Date.',

,2-_g-CA, Test Range Reading Error 0601 A&iZE Method of Calibration (Procedure number or describe other)

C orn-nents:

Calibrated By: ____________A

Title:

ee.&

Date:

A o

EFFECTIVE DATE PRARV/

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`REQUEST FOR ENGINEERING ASSISTANCE(REA)

ORIGINATING DEPARTMENT I ORGANIZATION REA NUMBER MECHANICAL / CIVIL DESIGN 010597 Page:--

1 D MM (3~

0 MKING 03ýPO M

['oEm I 0 L

MMWCMMT STSTM 214H=UPNMfT TAG NO bn REFERENCES I ASSOCIATED DOCUMENTS Prob RptNo.

MAR No.

Vendor Manual No.

REA No.

_FC No.

P]z1E No.

Procedure No._WE NOAIM IOC No.

Precursor No.

Calibration Data Sheet No.

Instrument Data Sheet No.

OTMM"sTENDON SURVEILLANCE DESCRIPTION OF REQUEST REQUEST STRUCTURAL ENGINEERING ASSISTANCE FOR LIFTING AND RIGGING OF THE 4000# RAM DEVICE TO BE USED ON TENDON 62H2 (#6 BUTTRESS SIDE).

[]

Continued ATTACHMENTS Continued NONE PROP1OSED SOLUTION INSTALL RIGGING DEVICE(S)

OR PADEYE IN CEILING.

fJ Continued Does this REA appear to document an 'ADVERSE CONDITION' as defined in CP-111?

SNO -

Continue to process as an REA 0 YES -

Return the REA to the Nuclear Safety Assessment Teem for the generation of a Precursor Card.

ORIGINATORL,*-, JU,5kt-ff A Oe4-.U

-DAU

'SUPERVISOR "/ 'INAGER PHONE DATE LESE, JOSEPH A

• 240-3898L.

10/25/01 FOWR THE RATI TH "EGNERN CLR NULA ADI BLDGlthlql~hll

(--

PAGE 1 V0'

1 F

rrda REQUEST FOR ENGINEERING ASSISTANCE(REA)

REA NUMBER MECHANICAL I CIVIL DESIGN 010597 Pace:

2 Does this REA appear to document an "ADVERSE CORDITION' as defined in CP-11?

[]No - continue to Process as an MIA D]

YES-Return the RFA to the Ruclear Safety Assessment Team for the generation of a Precursor Card This REA is ASSIGNEI TO: EMSABI 0 REJTED BY Engineering; SUPERVISOR/MANAGER PHONE DATE ENGLERT JRGEORGE E 10/25/01

RESPONSE

LIFTING OF THE 4000 POUND RAM MAY BE ACCOMPLISHED BY USING 3/4" EYEBOLTS.

SEE ATTACHED FOR ADDITIONAL INFORMATION PRIDS u iM*

r0 YES.JNWo APPLICABLE Q

Continued DISPOSITIONING DOCUMENTS PR No.

MAR No.

Vendor Manual No.

REA No.

ICU NO.

P==

No.

Procedure No. _R NO.

10C No.

Precursor no.

Calibration Data Sheet No.

Instrument Data Sheet No.

OTBERS ATTACHMENTS A.

DESIGN AND EVALUATION (1 SHEET)

Q Continued Dispositioning Organization:

1,,E0 N.

D

'S, 0

NmC 0

Other ENGINEER PHONE DATE BROWNINGC ATWOOD 240-3898 10/25/01 SUPERVISOR/MANAGER PHONE DATE LESE JOSEPH A 240-3898 10/25/01 UPNRSOSEAPOA REUR THE. RE TO TH OINAI NG DEPT / 3.

PAGE 2 90'

PFlorida Power NUCLDA OPERATIOS PURCNASN, 94E, 15760 W.

FOWERIJN ST.

MRCHAL OWI R

DER4484708 Te~~oiite (3A52)03~4M PURCHASE ORDER Y*1 LI i: _

TO:

PRECISION SURVEILLANCE CORP

3468 -WATLING STREET

. 'RAST-CHICAGO, IN S0 MO:

FLORIDA POW CORPO ATION CRYSTAL RIVER UNrT 3 STOREROOM 15760 WEST POWERLINE STREET

-CRYSTAL RIVER, FL 34428 film L831015A 0C 46312 NOT APPLICABLE

• 7A ET30 URC ~

Tv~

8 1 QRCIVE MATERIALS UNDER CONTRACT N02057AD FOR ARECTOR 'BUILDING T9NDON SURVEILLANCE PROJBCT AT CRYSTAL RIVER UNIT #3, 01 1 LT ****"***EA PROVIDE THE FOLLOWING NON-SAFETY RELATED MATERIALS:

11/12/200

,00000 GREASE GASKETS (15 PIECES RA) - CR-002 (ATTACHED)

• • t***R*

LF.P,C, INTERNAL DATA

• 0615 220WK4013 0615018801 PO TOTAL

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I-MATERIAL:

NEOPRENE OR NITRILE BASE RUBBER

60. DUROMETER REF:DRA,tlVG S.X.IU6 A-AO RRE'A

.I CRYSTAL RIVER END CAP GASKET - HOOP, DOME, UPPER VERTICAL

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PRECISION Psc SURVEILLANCE CORPORAT)ON

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.SHIPPING RELEASE AND PACKING LIST PSC Formerly Inryco Surveillance QUALITY CONTROL DOCUMENTATION Customer:

e-APA fd'L-

)

Shipment No.

Project: -OYS'r-qL_ hyv -jN-i73 Contract:

AvW_

Prepared by:

F J54 ).3 Fabricator:

AJ/..

Inspected by:

[ Date:

Jj-f-*(

Page Iof Documentation to satisfy the Quality Assurance requirements have been reviewed and found acceptable.

SIGNED DATE 1 --"/

PSC QUALITY ASSURANCE REPRESENTATIVE QUANTITY DESCRIPTION i.iFPd l P.o, *4 oo....

E l Total Pieces Z

-otal Weight i

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PSo CORPORATE Precision Surveillance Corporation 3468 Watling St.

East Chicago, IN 46312 219-397-5826 P.O. Box 3027 Munster, IN 46321 CERTIFICATE OF COMPLIANCE CUSTOMER:

F64-i fewa r~V(

~7 ow-Y577W elve IVa-j4 er 3 RXýe m CeeyfrAL Ric L. i 7VqjX4 47TA-V 1.3 V0.7,1 ER No.

L5?0Oa 1) 3 13 PURCHASE ORD ITEM:

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THIS IS TO CERTIFY THAT ALL MATERIALS OR PARTS IN THE SHIPMENT AS CALLED FOR IN THE ABOVE PURCHASE ORDER COMPLY WITH THE APPROVED REQUIREMENTS, SPECIFICATIONS AND/OR DRAWINGS.

Harry F.

QendrucKson Manager, Quality Assurance I ) -.5-- 0/

SHIPPING RELEASE AND PACKING LIST PSC Formerly Inryco Surveillance I-QUALITY CONTROL DOCUMENTATION Customer: FL'e.PA p,*,,

oe,,&A,,&'r Shipment No.

Project: 4y.*"

'L-j *iV* -- MIJ/7"3 Contract:

Prepared by: fi *A 1fcr'f5*t)

Fabricator:

A)/4-Inspected by:Date:

.. o(

Page

)of Documentation to satisfy the Quality Assurance requirements have been reviewed and found acceptable.

SIGNED DATE J_-."0 PSC QUALITY ASSURANCE REPRESENTATIVE QUANTITY R

DESCRIPTION Pd*&/

tO4

ý3B 15 Total Pieces Totoal Weight

PSC Precision Surveillance Corporation 3468 Watling St.

East Chicago, IN 46312 219-397-5826 CORPORATE P.O. Box 3027 Munster, IN 46321 CERTIFICATE OF COMPLIANCE CUSTOMER:

Fw,4o~ Pewm

&Ao4e oA eAym'iL-R'lV&a u 3fP" 3.e--

aY5rAL RIVC)0.

FL VY2c PURHAS; ORDER NO.

I-ge PURCHASE ORDER NO.

I. S0oo9 THIS IS TO CERTIFY THAT ALL MATERIALS OR PARTS IN THE SHIPMENT AS CALLED FOR IN THE ABOVE PURCHASE ORDER COMPLY WITH THE APPROVED REQUIREMENTS, SPECIFICATIONS AND/OR DRAWINGS.

__I I -J-0/

Harty F.

Hendrickson Date Manager, Quality Assurance

11 /66/0'1 C8!37:43 PROJECT FLORIDA POWER CORPORATION NUCLEAR ISSUE DOCUMENT P1316461 PACE:

fet RA EAC ACT TASK 0601 220 NU01681;6 NUO368426

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Originaton Date/Time: I10/181:30:0

AM Extension: 3873 Part III - Breech Data:

Penetration #

PAB-71 Penetration Type: PettnSeal Building: *uxilia Building I Elevation: F19' 1Location INortheast Comer at RB Tendon Cap (Near Do Reason for Breach:

RB Tendon Surveillance per SP-182 requires removal of Fire Barrier Penetration Seal Planned Open Date: [ I X

Planned Closure Date:

Part IV - CCHE.Open Breach (Sq. In.):

Is Breach a CCHE ? Yes 0 No 66 (If Yes Refer to CP-147)

,Measured Breach Total Envelope Opening Openning Size:

ESizeat thisDaEel me: I 0.000 SQ.INches NSM/NSS Advised of Total Opening Size in Envelope: Yes 0 Opening Sealed: Yes U No 0 Recorded By Z

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Date/Time:

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I Part V-Related Documents:

Work Request 1388286

[ (20+ _--_IjI Deficiency Tag #III MAR # I II I Precurser Card (PC): L[

Part VI.O&erabllty Requirements:

Is Breach a Fire Barrier ? Yes 2I No[] (If Yes refer to CP-137)

IThe SSODIASSOD has Verified that Fire Detectors are Yes NA Security Notified: Yes R NA 0 Operable on at least one side of affected Barrier.

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U3 Fire Watch Assigned: tHour-y-'

i Fire Prot.Notified By: IMatt Denny Date/Time: I 10/18/01 1:30:00 AM (Houdy orConlnuous) 1Part VII Breach Reoort Closure:

Barrier Integrity has been Restored by Approved Responsible Work

,Permanent or Temporary Seals or by Repair of Barrier Ye Supervisor:

Penetration Hardware and NSM/NSS NotIfied:

Date/Time:

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Yes. ENA-ClosedBy:

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I Notes/omments:1 APR BY L..

SHIPPING RELEASE AND PACKING LIST PSC Formerly

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SIGNED DATE PSC QUALITY ASSURANCE REPRESENTATIVE QUANTITY PART NO.

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Purchase Order No.

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YC5 Deviations NO/JC Resolution A)IA Disposition Non-Conformance OA)C Q.A. Release for NCR -/__

Deviations and Non-Conformances shall be attached to this' form.

N/A to be written in for Not Applicable; all blanks shall be filled in.

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,JACK DESCRIPTION:

DUDGEON TONS:

1400 REGISTER NO.,:

THEORETICAL RAM AREA (sq.in):

337 MAX PRESSURE (psi):

5500 N7 5 8/#7 Z, 8752 CALIBRATING DEVICE USED: TELEDYNE REGISTER CALIBRATING GAUGE DESCRIPTION: HEISE INPUT..............

ACTUAL GAUGE LOAD CELL READING (psi)

READOUT 1001 9.66 1503 14.72 2000 19.76 2500 24.78 3002 29.84 3507 34.90 4006 39.92 4502 44.88 5001 49.90 5505 54.96 1001 9.70 1501 14.74 2000 19.74 2504 24.82 3001 29.80 3505 34.86 4001 39.84 4504 44.86 5002 49.88 5500 54.88 1000 9.64 1502 14.72 2003 19.74 2502 24.76 3004 29.76 3500 34.72 4005 39.80 4503 44.74 5004 49.78 5500 54.72 THESE READINGS HAVE BEEN OMITTED FROM ERRORS IN JACK CALIBRATION ERROR IN STANDARD...............

INTERPOLATION IN GAUGE..........

ACCURACY OF GAUGE...............

ERRORS IN GAUGE CALIBRATION INTERPOLATION IN MASTER..........

INTERPOLATION IN FIELD GAUGE ACCURACY OF MASTER..............

ACCURACY OF FIELD GAUGE.........

ERRORS IN FIELD USE OF GAUGE INTERPOLATION ERROR.............

ACCURACY ERROR..........

MAXIMUM GAUGE READING USED................

NO. :

4734 COMPUTED FORCE (k) 318.659 485.576 651.833 817.430 984.347 1151.264 1316.861 1480.479 1646.076 1812.993 319.979 486.236 651.173 818.750 983.028 1149.944 1314.222 1479.819 1645.417 1810.354 318.000 485.576 651.173 816.771 981.708 1145.326 1312.903 1475.861 1642.118 1805.076 THE FINAL I CONSTANT=

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CORRELATION -

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MAXIMUM ERROR RATIO IN JACK............

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0076 MAXIMUM' TOTAL ERROR RATIO..............

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SHIP TO: FLORIDA POWFR CORPq CRYSTAL RIVER UNhIT 1

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5L5 GALLON *RUMS 2090-P4 GREASE BY VISCOSITY.

QVJ'15 S.EfSSHIMS 3/16hf'1/4, 3/8" AN* 1/2" PER J,~ ORAuING No, 'CR6601 (ATTACHEV).

4tASE: -A CERTIFIEO TEST REPORT lEARING TWO SIGNAtURE INOICATING WATEW SOCUBLE CHLORIDE AND SULFIDE

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I QUALITY CONTROL ISSUE Central Division Crystal River DOCUMENT NUMBER OCI No. 159789

/5220 kv4' !I-3 WOR EUES T 3AND I S

ORM3 STOREROMi NO l~C73 21 WAREHOUSE LOCATION QUANTITY REQUESTED

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Rorida Power Pu~ftwm QUALITY CONTROL ISSUE Central Division. Crystal River QOOCUMENt NIJMOER OCI No, 159771 1051 220 101;ýWK H 6G3 WOKOUEST ANO(OR MAR NUMBF.Ra joK 44,( (44; i

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Design and Evaluation of 3/4" Eye Bolts for Lifting Ram Design:

One V" self drilling Red Head (103508) shall be installed in the ceiling directly in front of the tendons. A second Y" self drilling Red Head shall be installed approximately 4 feet (+/- 2 feet) east of the first anchor. Exact location of anchors shall be determined by field to suit lifting of the ram. A SS plate 3/4"x4"x4" (1491632) with a 7/8" diameter hole shall be installed with a 3/4" shoulder eye bolt (1083395) in each of the red head anchors. The first location is for supporting the ram in its final location, and the second eye bolt is for lifting the ram on and offof the car't.

Refer to SP-601, for additional information on lifting devices.

The minimum distance between eyebolts should be 12" and the minimum edge distance between the eyebolt and an edge shall be 12".

A third eyebolt may be installed in the vicinity as required. A single washer may also be installed between the eyebolt and the /" plate.

The plate and eye bolt shall be removed after the surveillance testing. The /4" self drilling Red Head may remain install'ed.

Eval'iatiou:

Per Matt Denny, the weight of the ram is estimated as 4000 pounds. Assuming a DLF of 1.1, and 100 pounds of rigging, the required lift is 4500 pounds.

Per Design Engineering walkdown, there is no safety related equipment in the fall path of the ram. This lift does not need to meet the requirements of NUREG-0612.

Per MDC-2, each V" red head self drilling anchor is qualified for 11575/2.5 = 4630 pounds.

Per SP-601, each 1/" eye bolt is qualified for a vertical loadof 5,200 pounds. Assuming the ram' is pulled sideways 3 feet from a point 15 feet below the ceiling, the swing angle would be approximately 11 degrees. Considering that the load will be shared between two,.pick points, both the eyebolts and the anchors are qualified for this swing angle.

The eye bolt has a shank of 2". The self drilling anchor has a threaded length of approximately 1 1/4". 2" - 1 1/4" = V". A %" shim plate is required. Since the threaded length is 1.25 and the diameter is 0.75", the amount of threaded engagement is over 1.5D. No reductidon in the capacity of the eye bolt is required.

The floor above the lift is El 119' -0" and is in the hallway near column line 340 and J. The floor is qualified for 200 psf of live load, which is equivalent to approximately a 5' x 5' area.

The hallway above the -lift is lightly loaded, and the floor at elevation 119' is qualified for the lift.

El 95' and 119' in the Auxilliary Building has a floor rating of at least 200 psf. The load path for the ram on these elevations is qualified by inspection.

Location and description of rigging points are not capture on any drawings, calculations, or other design documents. The temporary installation of this rigging is not considered a design change, equivalency nor a temporary modification.

REA 01-0597 Attachment A Page 1 of I

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NUCLEAR COMPUTER-BASED TRAINING ;. Daily Student Activity Log (cOT Rm'A o,,rRm 0)

Iln.Processing Building Dale..10 ShdotName (pdnl Stud°nt ssU PAT RWT RSP SQU FhIE 1.DWA CANE EAT i* I tb(6

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Power INTEROFFICE CORRESPONDENCE Nuclear Technical Services PA3A 240-3925 OFFICE MAC TELEPHONE FROM:

Paul A. Wright DATE: November 15, 2001 NPTS01-0106 TO:

IWE / IWL Program File

SUBJECT:

Qualification of RoboProbe Parallel Laser Projector In accordance with the 1992 Addenda of ASME Section XI, a demonstration shall be performed for alternative examination methods or newly developed techniques. The purpose of this qualification is to demonstrate the remote operating proficiency of RoboProbe Technologies DL1 Dual Parallel Laser Projector, as applied to VT-1C and VT-3C Examinations.

This qualification demonstrated equivalency of remote measurement techniques compared to standard "hands-on" measurements to perform remote visual techniques as detailed/qualified in attachment 5 -MAIL 991021.001.

As applied for.VT-1C and VT-3C examinations, it shall provide valuable supplemental information to characterize the area e.g., approximate size, shape, orientation, location, and distribution of referenced inspection conditions.

In addition, while not intended for inspection purposes, digitally produced photographs shall be.provided as informational documentation,only, giving a reasonable facsimile of actual inspection observations.

The following demonstration was performed for the ANII, Carlos Colarte, on October 18, 2001.

" A tape measure was used to measure off a distance of 137', with incremental checks performed at 25, 50, 75 and 100 ft to verify the parallel state of the DL1 RoboProbe. Initial laser point calibration was set at 2" spacing and was demonstrated as being consistent throughout the verified distance range.

" The following was used to verify consistency of spacing, and resolution of the two (2) laser points, as observed on the concrete surface:

" One (1) G.E Visual Comparator Card taped to the concrete surface (see attachment 2).

The Quality Assurance Card is of neutral gray color and has standard 1/16", 3/64", 1/32",

and 1/64" lines, as well as graduated black dots ranging from 1/8" down to 1/64". On the edges are standard scales in 1/16" and 1 MM increments.

" One (1) strip of self-adhering yellow measuring tape in 1/16" Increments was also applied.

" One (1) standard machinist scale with 1/32" graduations.

" Used: one (1) pair of pre-qualified 8-24 X 50 Bausch and Lomb Legacy Binoculars.

" Used: one (1) RoboProbe Technologies, Inc. DL1 Dula Parallel Laser Projector. Model #

QAAAKG. Serial #000024.

" Natural lighting was utilized, without the aid of artificial illumination. Resolution was found to be acceptable as delineated in ASME Section XI requirements (see Interoffice Correspondence MAIL 991021.001 dated October 21, 1999 - Attachment 5).

" Used: one (1) Tektronix Photo Meter, Model J17, equipment tag # TI-2856, &

S/N B022068. (See attachment 4.)

" In conjunction with the photometer, the sensor head attached was a Tektronix Model J181 1, equipment tag # "1-2858, & SIN B030704. (See attachment 4.)

The above supplemental technique, used as an aid for characterizing approximate size, shape, orientation, location, and distribution of referenced inspection items, adequately demonstrates the consistency of the RoboProbe Laser Projector for the Intended remote VT1 -

C, & VT3-C Visual Examinations.

The demonstration was performed In the presence of the ANII, and found to be acceptable as applied to ASME Section Xl, IWA 2240 criteria.

Jei&_0own,NVT1-C, & VT3-C NDE Level 11 T. Ran-dWilson Carlos Colarte, ANII, Hartford Steam Boiler Inspection and Insurance Co.

Paul A. Wr

, NDE Level Ill Date Date Date D1-at-e/

Date Attachments:

1 - Users Manual 0L1 Dual Parallel Laser Projector - (8 Pages) 2 - G.E. Visual Comparator. Card - (1 Page) 3 - Photo demonstration of laser target at 137 feet - (1 Page) 4 - Calibration Records - (4 Pages) 5 - IOC dated October 21, 1999, ccMail991021.001 - (2 Pages) cc: Records Management

Page 1 of 8 0C - NPTSOI-0106 TECIHNOLOCiES, INC.

IRPosiC Soumo

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J User's Manual QAAAQEMOI Revision,0 DLI Dual Parallel Laser Projector Printed 02t21 (01

[DANGER: LASER LIGHT - AVOID DIRECT EYE EXPOSURE.

1. Intr-oduction The DL1 dual laser projector was designed to project a dual dot size-reference pat-tern over surfaces and objects being viewed and video taped by the RoboProbe VT1 and VT1M long range color zoom TV cameras, no rnatter'hobwfar -frm'them. It uses two individual high power-red lasers, with perfectly circular patterns, to maxi-mize brightness and facilitate the taking of relative measuremerits.

The DLI projects two circular red dots on the surface being viewed or video taped.

These dots are clearly visible in shaded daylight, and a screw-on red dichroic filter is also supplied for the VTIlNTIM -camera to enhance their relative brightness in di-rect daylight. The center-to-center distance between both-projected dots can be calibrated from 1" to 2". In order for this calibrated distance to, remain constant over different viewing distances, both laser beams must be totally parallel.

With a calibrated distance of I" between both laser beams and: their projected dots,,

the DL1 can be used at viewing distances of up to 250feet. As the laser beams-are slightly divergent and the dots grow with viewing distance, we recommend a cali-brated.distanbe of 2" between beams for viewing distance. larger than 250 feet.

ALTHOUGH VERY RUGGED IN CONSTRUCTION, THE DLI IS A LABORAT ORY INSTRUMENT WHOSE CALIBRATION IS DELICATE AND MAY BE OFFSET BY SHOCKS AND VIBRATION. It is recommended that the dual beam parallelism should be verified, and adjusted if necessary, each time the-unit is used.

4065 Winston Drive Suite 1.00 Hotfrnan Estates, IL 60195 phone: 847-934-6567

.ax:,847-934-9434 e-mail: solutions 0 roboprobe.com website: httpo/www.roboprobe.com

Page 2 of 8 0C - NPTS01-0106

2.

Specifica~lgos:

- Heavy duty anodized aluminum construction.

- Two red lasers category fIla, 4.9 mW at 635 nm, 2.2mm diameter circular beams at faceplate, divergence 0.4 mrad.

- On-Off switch and LED indicator on rear panel directly facing the operator.

- Power 8-18 Vdc 200 mk

- Internal adjustment for distance between lasers, from 1 '125mm to 2"/5Omm, factory adjusted to 1.0'.

- External adjustments for dual beam horizontal distance and parallelism.

Internal adjustment for dual beam vertical parallelism.

- RoboProbe proprietary universal dovetail mount allows easy installation and removal.

- A light filter is supplied for screwing onto VT1 and V'17 M camera. This is a high saturation low pass Dichroic glass plate with 600 nm cutoff.

3. Installation on VT1 and VT1 M long range zoom color cameras:

2

Page 3 of 8 0C - NPrs01-0106 3.1 Mounting.

Loosen the dovetail knob and slide DlL's base into the dovetail track. Position IDL1 where needed, then tighten the-dovetail knob.

3.2 Powering

Power looping is used on the VT1 /VT1 M. Connect the DC cable from the power supply (normally goes to camera) into one of bLI's two DC jacks. Both jacks are wired in parallel. Connect the 30" DC cable (suppliedi into the other jack and into the camera's DC jack.

3.3 Aligning the projected dots within the camera's field of view:

Aim the VT1 or VT' M towards an easily recognizable "reference" area at the re-quired distance. Slightly loosen the pan and tilt knobs until the DL1 can be moved with some resistance. Aim the DL1 's dual red dots towards the reference area.

Looking at the TV image in zoom out, further adjust the DLI's position to make it's dots visible on the monitor screen. Slowly zoom-in to make sure the dots remain centered in the video image. Tighten the pan and tilt knobs.

4. Operation.

DANGER: LASER LIGHT - AVOID DIRECT EYE EXPOSURE.

The DL1 is used to perform "relative" measurements on video images. As the "cali-brated.' distance between the projected red dots is known, the user simply relates that known distance to other objects within the video field of view.

To make a video measurement of an object's size, first use a ruler to measure that object directly on the TV monitor's screen, or on a video print of the image. Then measure the distance between the centers of the projected laser dots on the same screen or print. Use the formula below, where the '!calibrated dot distance" is, from 1" to 2", as calibrated by you before use (we ship at 1 0" unless requested other-wise). Note that the units of measurement used fo" the "calibrated dot distance" de-termine the units of the object's true size (e.g. if the distance between lasers is known in centimeters, then the true object size will also be in centimeters).

True object size = measured obiect size x calibrated dot distance measured dot distance 3

Page 4 of 8 IOC. NPTSOI-0106 When imaging_.ery dark surfaces,. the laser dots may be so bright as-to overpower the camera's sensitivity, thus darkening the object being measured. In such cases, first record an image of the object with the DLU turned "off', then turn the lasers "on" and continue recording without changing the zoom position. First measure the size of the object on the video image with a ruler, then measure the distance between the centers of the projected dots as these appear in the picture.

When using the DLI in daylight, specially when looking at surfaces illuminated by direct sunlight, you may find it difficult to see the red laser dots in the video image.

If the color of the object being viewed is not important to your inspection, screw the supplied red dichroic filter in front of the VTINT1M camera. This will only allow red light to reach the camera, thus enhancing the relative brightness of the lasers.

5.

Calibration

5.1 Preamble

a) There are three calibration alignment screws, two of which have allen key heads. When the DL1 is viewed from the rear, these are in the positions indi-cated in the photo below, which shows a BL1 with the rear cover removed. The alignment screws are dedicated to the following calibrations:

- Left laser's horizontal distance (on left side of 0L1, 7/64" allen key head accessible through a hole in chassis)

Right laser's horizontal angle (on right side of DL1, 7/64" allen key head.

- accessible through a hole in chassis)

- Left lasers vertical angle (inside DL1, accessible by removing the rear panel). The adjustment of this screw is special: a very thin alleri.key may be Distance serew, lock accessible from holes in tHdo a

I'mn.

pfie..*.I"angle lac Left laser's hur-Right lases hod-Izontal distance

ý Zatat iangle inserted in one of the horizontal holes to rotate it, see photo.

b) For each alignment screw there is a corresponding "locking screw". The "lock-ing screws" are plastic tipped, and their purpose is not to lock the alignment screws, but to apply some friction to them. NEVER COMPLETELY TIGHTEN THE "LOCKING SCREWS". Their pressure is factory adjusted and should not 4

Page 5 of 8 IOC - NPTSOI-0106 normally be readjusted, however if you decide to do so, screw them in just tight enough to feel that there is some pressure against the corresponding alignment screw.

c) Shock and vibration will affect the parallelism of both laser beams, often during transportation of the DL1 to the work site..This is normal considering the pro-jection distances involved, which require alignment accuracies of up to 1/1000 of a degree. The user must verify and re-adjust beam parallelism at the work site, upon a target placed at about the same distance as the surface being pro-jected upon, before every use.

However we have found that, usually, vibration induced changes to the distance between lasers is insignificant, and changes to the left laser's vertical angle may be compensated for by readjusting the right laser's horizontal angle. It will be seen later that, even though the projected spots are not perfectly horizontal, your measurements will be valid as long as the distance between them is correct.

Hence before contemplating a complete readjustment of all three alignment screws when setting up for use at the Work site, try realigning only the right la-ser's horizontal angle.

d) A copy of the following calibration target, with 1" and 2" circles, must be used during calibration. This may be photocopied (accurate size reproduction only) on peel-off sticky labels.

5

Page 6 of 8 IOC - NPTS01-0106 5.2 Calibration task no. 1: distance between laser beams The use of laser protection glasses for 635 nm (nanometer) light Is recommended for this procedure (although not essential if care is taken no to look directly into the beams or their direct reflections). Such glasses may be purchased from optical sup-pliers such as Edmund Scientific (tel. 800-363-1992).

Place the DL1 either on the VT1 or VrT M telescope, or in a bench vise. Make certain that the top surface of the DL1 is horizontal, such that both laser sources are also horizontal.

Turn the lasers "on". Be very careful not to allow artyone to look directly into the laser beams.

Place a paper copy of the calibration target directly on the DLI's front panel.

You will see both laser dots shining through the paper. Position the target so as to center the right laser dot where the horizontal line crosses the target circle, which should be 1" or 2" as desired.

Using a 7/64" allen key, turn the left laser's horizontal distance alignment screw (on the left side of 01L1) until the left dot is centered where the left side of the calibration circle meets the.horizontal line.

5.3 Calibration task no. 2: left beam's vertical angle With the ILI still in its fixture as in 5.2 above, turn the lasers "on". Be very careful not to allow anyone to look directly into the laser beams.

For a preliminary evaluation, aim the laser beams at a distant wall, preferably as far as the work site surface to be inspected. Using a 7164" allen key, turn the right laser's horizontal angle alignment screw (on the right side of OL1) so that the right dot is far enough to the right of the other to be clearly visible.

See if both dots are horizontal relative to one another. If one is higher than the other by more than the allowable offset below, perform the left laser's vertical angle calibration.

Maximum allowable vertical offsets:

- 1" if the wall's distance is equalilarger than that to the surface to be inspected.

- 1/2" if the wall's distance is, half that to the surface to be inspected.

- 1/4" if the wall's distance is a quarter that to the surface to be inspected.

- Etc.

6

Page 7 of 8 IOC - NTIS01-0106 A truly horizontal dot pattern is always preferable, however THE IMPORTANT FACTOR IS THAT BOTH LASER DOTS MUST BE SEPARATED BY THE CALI-BRATED DISTANCE WHEN PROJECTED ON THE SURFACE BEING IN-SPECTED, EVEN THOUGH ONE MAY BE HIGHER THAN THE OTHER.

If you decide to align the left laser's vertical angle, first remove the DLI's rear cover, to expose the vertical angle alignment screw as indicated in the above photo. Insert a very small allen key or paper clip into one of the holes at the top of the screw, and rotate it until both projected laser dots on the distant wall are at the same height. Now gently tap the left laser to allow it to settle into its sta-ble position, and if this shifts the left beam vertically re-adjust the screw. Go not worry about the horizontal distance between the projected dots during this procedure.

5.4 Calibration task no. 3: right beam's horizontal angle The horizontal distance between both projected laser dots is the most likely to shift during transportation and handling, and may be the only alignment required at the worksite.

When performing this procedure, it is highly desirable to place a copy of the align-ment target (a sheet of stick-on alignment targets is supplied with 0L1-), or a circle of the same diameter as the selected target circle, at a distance equal to that of the work site surface being inspected. Shorter distances may not allow you to see slight divergences in seemingly parallel beams, which will increase with distance as the beams are projected farther.

We recommend that the horizontal angle alignment first be performed in the same environment and set-up as for the other alignments described above. Then, when you reach the work site, "fine-tune" the horizontal angle adjustment using a target placed at an accessible area of the surface being inspected.

It is not important, at the work site, to mount the DLI horizontally. As long as the distance (horizontal angle adjustment) between the dots is calibrated, they can be oriented at any relative angle from the horizon. This is the reason why our align-ment target consists of circles: the center of both laser dots must be positioned on opposing sides of the circle, but not necessarily on the horizontal line that crosses them.

Mount the DL1 on the VT1 or VTIM (it does not have to be horizontal). Aim the VT1 or VT1 M towards the distant alignment target, then focus the image.

Zoom-in until the target circle is seen clearly.

7

Page 8 of 8 IOC - NPTSOI-0106 Attachment I Slightly loosen the DL1's pan and tilt knobs so that it can be moved with some resistance,_A.im the OL1 such that the left laser dot is centered on the left side of the alignment circle, as seen on the video monitor.

To make sure that the laser beams are not crossed, place you hand in front of the DLI's left laser, and see that it is the left dot that disappears.

Using a 7/64" alien key, turn the right laser's horizontal angle alignment screw (on the right side of 0L1) until the right dot is centered over the opposite side of the calibration circle. You may have to slightly reposition the DIL1 to maintain both dots on opposite sides of the circle.

Tighten the pan and tilt knobs, making sure that this does not move the pro-jected pair of dots away from the center of the video' image.

6.

Maintenance No routine maintenance is required by the DL1.

8

Page 1 of I IOC - NPTS01-0106 Photo Scan of G.E. Visual Comparator Card

Page 1 of 1 IOC-NTrS01-0106 Photo taken at a distance of 137' with Sony Mavica, set on 20X full zoom.

Page 1 of 4 0C - NPTSO1-0106 flCLOSURE 6 1560 CALIBRATION WORK SHEET NO: 00-07-090 Teat Equipment TAG No: TI-2856-Due Date:

07/29/00 To Day: 01/02/01

==

Description:==

PHOTOMETER READOUT Manufacturer:

TEKTRONIX Range:.001 TO 5000 FOOT CANDLES Serial#:B022068 Model:J17 Check Reason:

RETURN DAMAGED (J)

NON-ROUTINE CERT.

(U)

CYCLE 12 SPECIAL CERTIFICATION (K)

FUNCTIONAL CHECK (W)

RECERTIFICATION (m)

L_

MANUFACTURERS CERT.

(X)

NEW EQUIPMENT (N)

CANNOT LOCATE (Y)

Calibration Instruction: CI 04 Calibratiom WORE SHMMT #;

232 Originator:

CAL LAB DEPT:

CALIBRATION LAB

-CALIBRATION LAB U10 ONLY-CERTIFIED PER (I)

OUT-OF-TOLERANCE (O)

CALIBRATED PER (T)

ADJUSTMENT. REQUIRED (A)

FUNICTIONAL CHECK PER (W)

REPAIR REQUIRED (S)

REMOVED BY (R)

UPDATED, NOT USED

(*)

OUT-OF-SERVICE

--_(H)

. D ac xihe.

• _rEet~or mned:...

OSC; 6(

HOURS:

_.S

/OSC:

HOURS:

151_/OSC.

H IOURS:

TEST JINSTRUMENT CAL DATE:

LL 4.Z DUE DATE:

TEST' STANDARDS USED CAL DATE DUE DATE COMMENTS"

___MMIS No:

NONE Location;: IC Approved By:

__DATE:

/-3..o/

• CP-146

• Page 2 of 4 10C-NPTS01-0106 CALIBRATION DATA SHEET Secondary Standards Lab CI-04-232 Page I of I CALIBRA7TON WORKSHEET NUMBER Oag2zaZQr24 i~~

=46 it iil I*.O. uMBER*T- "*

NODEL NUMBER:

3-17

/

11811

• ,'l" Illl l I

SPEaFICATIONS:

.001 TO 5000 FOOT CANDLES ACCURACY:

+/-

6% RNG +1-2 COUNTS W/HEAD TO BE.USED 'WITh ILULMINANCE PROSE CALIBSRATED BY: 42iC 2~*~~

DATE.

APPROVED DATE 0-*

e REVISION DATE 09/28/98

Page 3 of 4 10C - NPTS01-0106 EBNCLOSUPZ 6 16 6

1562 CALIBRATION WORK SHEET NO: 00-07-089 Test Equipment TAG No: TI-2858-Due Date: 07/29/00 To Day: 01/02/01

==

Description:==

PHOTOMETER SENSOR HEAD Manufacturer: TEKTRONIX Range:

.001 TO 5000 FOOT CANDLES Serial#:B030704 Model:J1811 Chec*c Reason:

RETURN DAMAGED (J)

NON-ROUTINE CERT.

(U)

CYCLE1 12 SPECIAL CERTIFICATION (K)

FUNCTIONAL CHECK (W)

RECERTIFICATION (M)

MANUFACTURERS CERT.

(X)

NEW ]EQUIPMENT' (N)

CANNOT LOCATE (y)___

Calibration Instruction: CI 04 Caliliration WORK SMEET #: 232 Originator-CAL LAB.

DEPT:

CALIBRATION LAB

-CALIBRATION LAB USE ONLY-CERTIFIED PER A2 (I)

OUT-OF-TOLERANCE (0)

CALIBRATED PER (T)

ADJUSTMENT REQUIRED (A)

FUNC&ICTONAL C.ECK PER ___(W)

REPAIR REQUIRED

_(S)

.REMOVED BY (R)

UPDATED, NOT USED

(*)

.. ~-.

OUT-7S-ERVICE (H)..

Describe Work Performed:

OSC.

HOURS: ~*

/OSC: ~7 HOURS: *..jý./ThsC HOURS:

TEST INSTRUMENT CAL DATE:

/

DUE DATE:

TEST "STANDARDS USED CAL DATE DUE DATE COMMENTS:

MMIS No:

NONE Location: 1A Approved By:

/

DATE:

/_.._>_-

• CP-146

• Page 4 of 4 0C - NPTS01-0106 CALIBRATION DATA SHEET Secondary Standards Lab CI-04-232 Page 1 of I CALIBRATION WORKSKEZT ýR14znER MOE WM i J-1 ile ii i

A~C3ACY /

6V RNG +/-

2 COMMWS

/HEAD TO BE USED WMn ILLUM4INANCE PROBE TEBST INSTRUMENTS TO BE USED FOR CALIBRATION-.

SUGGESTE STANDARD ACTUAL STANDARD USED MRB DAT13 I

I I

ITS-553 III II OR EQUI-VALENT AS FOUND AS LEFT STANDARD STANDARD AT DICATION IUDICATION RANGE INPUT/OUITPUT TOLERAN4CE fC

-C fC fC fc

.001 /5000 400

/

~

j 375.8 /424.2 1000 939.8 1060.2 CALIBRALTED BY;

_________,______IY____

DATE:

APPROVED DATE OAE /.

e-/

REVISION

-I.-

Page l of 2 IOC - NPTSOI -0106 FlorFd; INTER;)FFL C-SNF)EIC T:Oý R.L. HAthpin,

~AA7FV" Q

~r2:,l9.99,

'ih-,acccirdiince,wi'th.rbie4.t992 A~d~ndiofA ASE S#ELrp..

~poctr dmnstration tmrsi,' ýpe edfr'Vis a.Exartijn~on; r~'ir T71HS demnstation must-.aechhjgh~e~iun oRm c.VT.r -and, VS, sa~uj foLw)fecVVT-I q

'-Ysq~a'n~ inau*

4;, ktaojq.rneasimir sii446 14'm_!asgre! ad A.- reme~bWngt eesr upeLi~idihg ardisatance k

of9 Lhd' t~

~~~~~p TyonIoin 9ei4 _Xp e~~badbc~n~n'i to~atuwa Column:

• One.f.L):st;Ecardfa idihisi. scii~e with 1/32" gr~uatons.

-One(1

.s~dnrmfrhin~-sctale'with 11.1:1 U "d ht-'Mi

• One I`3%,Nbyg.

p _Zr4yb with 1132" and 116W4 ci*ib.d ine i~ Oe ( )1tt~nntd ctd irhloWr~c~e.haralttsmeeitýEingi he rtiaxi mum optiv31l5-ithliato qn-. Septcmeii F9

• A a.disanco'~vefy~v(~~in oe~hndrd{IO-fe. acvoamilion 000vOOO0):candIt'pdwer's opehightan;S.-24 X 5Oim-.binoculars, were Wni.zed to;~

on che'raiihs.scls 1/321 k nibed. line on the fP/V4,NeutraIGrey-Cacg, and l~nehcesmeeting.

t~e. maximum hegtetj~tso al W

-1; I

ForGeneral'VT Examinatons, lighbdng resolution shall'be sqff

-tico reso lye a

• t/32."black line on an.A8W NeutrlGe Cr.Ti eolugtion was sariscoil

.d~rionstrared atE disthrnces.up,co~and includingq one hundred. @OO)4et For-Direct VT-I Exmhtos fe1.992 Addenda to AkSMI Section'Xl requires thar.a maximum lower caecaaterbeight of Q:O44!1 ai~a d~sai

-§04'4 two ('2) feet and a~minimum lightinglleeveilo~ftifty,(50) foot candies' must be resolved. This

Page 2 of 2 0C - NPTSOI1-0106 Page 2 ccMAIL991021.001 October 21, 1999 requirement can be satisfied by resolving a 1132" (0.0312") graduation on a standard machinist scale ruler at two (2) feet. This resolution was satisfactorily demonstrated remotely at distances up to and including one hundred (100) feet.

For Direct VT-3 Examinations, the 1992 Addenda to ASMiE Section 'CI requires that a maximum lower case character height of 0. 105".at a distance of four (4) feet and a minimum lighting level of fifty (50) foot candles must be resolved.

This requirement can be satisfied by resolving a 1/10" (0.105') graduation on a standard machinist scale ruler at four (4) feet. This resolution was satisfactorily demonstrated remotely at distances up to and including one hundred (100) feet.

The above alternate techniques for verifying visual examination resolution adequacy has been demonstrated to the ANtII and found to be acceptable for ASTME Section XI applications in accordance with IWA 2240.

Bernard P. Komara, FPC NiDT Level UI Date Carlos Colarte, ANII, Hartford Steam Boiler Date Inspection and Insurance Co.

cc:

Records NManagement

Page 1 of CONFIRMATION OF NOE PERSONNEL CERTIFICATION co-NDEPC FRM TO:

Nuclear Quality Control (NQC)

FROM:

ISI/IST The following NDE certifications are included in this package for NQC confirmation.

Upon receipt. NQC to review the certifications per QAP-07 and record results in Part II.

Upon completion, sign below and return to ISI/IST.

PART I PART 1I CERTIFICATIONS NARME SSOATTACHED NOC REVIEW N 1 WLq (b)(6) 1<

Yes No Yes NO

__Yes NO

_Yes No

_Yes No

_Yes No Yes No

_Yes No Yes No Yes No

_Yes No)

TRANSMITTED BY:

6 MA/DATE REVIEWED BY:

1,A/4119, 4 ii 9/6/3/

NQC REVIEWER/DATE Upon receipt by ISI/IST complete Part III and upon completion forward results to Records Management and a copy to NQC.

w, 7-A vr3c/VT71C T..

8ddA)S~$/S-Com ~

~' P.4Z

~

~

7

~

v C 7?

F~~~uv.,3

.4 71-/c~q~mJ9/,

Rev.367 E~1NEPX2(PeW4a1&)

Page -

of CONFIRMATION OF NDE PERSONNEL CERTIFICATION PART III To be completed by 5IS/IST Program Manager.

I have reviewed certification, records and confirmed the identity of the above inspector.

\\

Printed ontract NDE Inspector ISI/IST ProgramManager

/

(b)(6)

Social Security Num6er Rev'3I7 ext""G NP=32(Popeleef)

PSC Former.Y Irmya Survillance QUALIFICATION OF QUALITY CONTROL IISPECTORS-PROC.

QA 2.10.6.1.1.

CERTIFICATION FOR1 QA 2.10.6.1.1.B.

cRTIFICATE OF QUALIFICATIOu This is to certify that (b)(6)

K vgJ K.

8ugu '

has been qualified through on-the-Job experience and formal training to meet the requirements of ANSI U45.2.6-1973 and 1978 as:

QUALITY CONTROL INSPECTOR LEVEL with the following limitations ?,'W'#,

This certification will qualify the named individual to perform quality control inspections, examinations and testing for the various manufact-ured products or services, supplied, to meet the requirements of the projects for the Precision Surveillance Corporation and within the limitations of this qualification.

This qualification becomes effective and shall remain in effect until the recertification date of 2

-1I$. 7, or until Vr,#

such time that the named individual leaves the employment of PSC, gives f14/0 just cause for termination of the certification or requires additional training to maintain a proper Quality Control disposition.

Physical Requirements: Ixam Date

'T-I.- to 9-.A,,o by "AWOhUgo-e Exam Date _-I4-OO to 9~?-1-0 by 5-~*FA4r w

Exam Date to by Approved by:_____________

Quality Control Inspector Level Date:

0025Q 1033N

PSC Fomeriy Inn=o s$rveillmCe QUALIFICATION OF QUALITY CONTROL INSPECTORS-PROC. QA 2.10.6. *1.1.

PERFORMANCE EVALUATION FORM QA 2.10.6.1.1.A.

PERFORMANCE EVALUATION FOR QUALITY CONTROL INSPECTORS To be performed at periodic intervals not to exceed three years.

This evaluation shall constitute continuation of certification wr_

1 e,

QVUALWY e OOlarl-t'JSPE~TeV LEMVL This is to certify that the performance of Quality Level Name ktVIIJ K. FL'4 #V Social security No.

____.....___has been evaluated by the undersigned on this date

- I -01

/

Performance is evaluated as follows:

IIAI r

cJIvP4t/'Z L1860i71--'

MSdhAt:?-A of

%WTI31AVAAu1

1. af~

trdcA4Jt aw siAmi-L4JWC ce zN aT(cMinJ/#V

$Y!FTC.e'r A1 GLSAM P6LLEIC P44W&I 60

-o1Wt 4444ffY f(*V4*

itenf V I 77=ex Performance is satisfactory.

-"Performance is unsatisfactory and requires additional training in the following areas:

This individual has been removed from Inspection, examination and testing activities effective

/4-.-

Signed:

Date:

2-1"*l

Title:

aIRA.- 'e,4..

Approved:

Date:

Manager, Quality Assurance This document shall be placed into the certification file for the Inspector being evaluated.

0025Q 1033Y

PHONE NO.

8N3 345 4S20 Sep. 19 2000 O8:2&qM P2 SOUTH CAROLINA ELECTRIC & GAS CO.

NUCLEAR OPERATIONS VISUAL ACUITY RECORD NAME ý3ZuAJ R"vA

• DISTANT VISION

• • NEAR VISION REMARKS Examiner & Title Date tm 3

• Snel Ion Chart, 20/30 minimum acceptable acuity level Near Vision test to be administered using a standaMd Jaeger test type chart or equivalent (Ortho-Rater). For Near Vision examinatlon, the J1 number applies.

PSC Formerly Inryco Survefllan PHiYBICAL TESTING OF INSPECTORS-PROC.

QA 2.10.6.1.1.1.

PHYSICAL TESTING FORK QA 2.10.6.1.1.1 Name ~

~

S~

"CALF01wg Title Q.

P',rfat~W Date 1-12.- O/

Retest Date Wears Glasses No

1. PHYSICAL4 CHARACTERISTICS I II I I i

i i l i I I i ii

2. yISuA

- FAR RANGE (b)(6)

Tost Device 84-.

713YI-I/I,'*

N)

Test Device lfto 71 3X~r-to #. /* -;c -40

3. VIOSUL -

NEAR ANG I

44ce 44141 oPTg4AL CO",

Tout Device P~~7-wn'euiestMTnd ftan7y?

4. COLOR PERCEPTION (b)(6)

Score shall not be less than 10 to be acceptable for perception.

1Comments

5.

OVERALL RATING Capability O#JLtIrT"MLM

• C-*97 ILrTY Examiner 70028&k,,A 0028Q Title M&A0 t

.d Date______

4 A4"L

K kk~k<

<*4~ 4 1<

~

V ~

K 02-01-00 11:20 F.i.-REFUEL TEAM 5019584147 T-000 P. 01/01 #lIZ Page 51 of 51 fiDE M ONIZL" P*YBICuZAI m MATI0N RECQPCD

Title:

~Arc.L

'~ ~

~

~

~

~

~

~~~VSo

• f,:,:~*.u.quiz, e:d'0*

• .*,,::;i~

Date:

-w 3 I(b)(6) aswR i

I

1.

Hfear Distance Exam fSnallen fraq-tIon 20/25 oar al-1 required in one (1) eye at a distance not less than 12 incrhes)

2. ar ilstance Exam (Snellen fraction' 20/30 required iin one (1) eye at A

" distance of 20-'feet, as applicable)

Uncorrected

-CorrIcted Uncorrectod:

Corrected

3.

Ability to.distinguish primay 'Colors Yes and differentiate contlaot heitieen theme colorsK.N M::ethod usod*

• shihaa*a

la,. ie -r> orO

,e

,THE ABOVE VISION REURMNSRV BEEN MET yes/No Ir5

,Pulse 4*.Blood Prest Il. i~ l

<X :* ".:

A':.

u Eavloyee Dt

.A~

L I

Date I, have verified the near distance vision test chaxt used mfeets the requiremzts of Pigiu.e 5.4.1.A at has be" Kerti*ied to meet the requiremeuts..

y-/N6,A.

OR I have verified that the near distance test chart use~d islm uvllht h

required Sneflle fractign.

te I hereby certify, that the Information contaimed on this record iaý txue and correct.

Examiner D.ate Title.

FORM TIOLE,-

Ov.

ANO NOE PERSONNEL PHYSICAL EXAMINATION RECORD QOM10DK1

• PSC Fomeuty InrTyco Surveillance MySICAL TESTING OF INSPECTORS-PROC.

QA 2.10.6.1.1.1.

PHYSICAL TESTING FORM QA 2.10.6.1.1.1 Name YAIJIEL P ~V(

Title Z eC, kJtJfcedro e

1. PHYSICAL CHARACTERISTICS Date R-____-__

Retest Date ;kt' T'-

Wears Classes 00 (b)(6)

2. VISUAL -

FAR RANGE Test Device,

7)35 91-jol (b)(6)

3.

-uA. NEAR RANGE Test Device

+.

- )' 69

((b)(6)

A,'w dAl opr~d, i. cdo~P

4. COLOR PERCEPTION Test Device OeU1-Icf-oqtArid Pt40a'E (b)(6)

\\*Score shall not be less than 10 to be acceptable for perception.

comiuents NOAIOJ

5.

OVERALL RATING Capability MUIM$7IT-4V bC'W4y-1V4f&4ry

(

Examiner 0028Q JIf STitle.

j6oe,.

Q..4.

Date 1-ZB-?2

PSC VT GENERAL EXAM APRIL 26, 1999 Page I of 4 PRECISION SURVEILLANCE CORPORATION Visual Examination Training

• 'w".

0 NAME:

,g._,

DATE:

19-09 SOCIAL SECURITY NUMBER:_(b)(6)

EXAM: VISUAL GENERAL LEVEL II FOR VT-I. VT-IC. VT-3C I have neither given, received or observed any aid or information re d

s exam prior to or during its administration that could compromise this exam's integrity. I also understand my obligation to report any exam compromise by others prior, during, or subsequent to the exam administration.

I acknowledge that this examination is a way of demonstrating my knowledge of the subject associated with this examination and that I have had the opportunity, on my request, to review this entire examination with the instructor to ensure my understanding of the subject matter.

I have read and understand the above statements:________________________

Student Signiature Date CIRCLE ONE LETTER ANSWER FOR EACH QUESTION

1.

A or B

or or D

2.

A or B

or C

or C*

3.

A or B

or or D

4.

A or U

or C

or D

5.

or B

or C

or D

6.

or B

or C

or D

7.

A or B

or C

or

8.

A or B

or or D

9.

A or B

or or D

10.

or B

or C

or D

SVtpsct-.gaM

J.

PSC VT SPECIFIC TEST APRIL 26, 1999 Page I of 4 PRECISION SURVEILLANCE CORPORATION Visual Examination Training NAME: _*aA,/'..,

DATE: *4'-wV-7F.9 SOCIAL SECURITY NUMBER: (b)(6)

EXAM: VISUAL SPECIFIC LEVEL -I FOR VT-1. VT-1C. VT-3C GRADE:

CT GRADED BY: 4/

0 i),

I have neither given, received or observed any aid or infonnation regarding this exam prior to or during its administration that could compromise this exam's integrity. I also understand my obligation to report any exam compromise by others prior, during, or subsequent to the exam administration.

I acknowledge that this examination is a way of demonstrating my knowledge of the subject associated with this examination and that I have had the opportunity, on my request, to review this entire examination with the instructor to ensure my understanding of the subject matter.

I have read and understand the above statements Student Sibnature Date CIRCLE ONE LETTER ANSWER FOR EACH QUESTION I.

A or B

or

2.

A or B

or or D

or D

3.

A or B

or C

or

4.

A or

5.

A or or C

or D

or C

or D

or C

or D

f/6.

Aor 1

7. (5 or B

or C

or D

8.

A or B

or C

or

9.

A or B

or C

or D

10.

A or or C

or D

VtPSCW9sJPeCi&c

PRECISION SURVEILLANCE CORPORATION Visual Examination Training PRACTICAL EXAMINATION CHECKLIST NAME:

Nourm P/E. OrHA DATE:

41-o-P9 SOCIAL SECURITY NUMBER:

(b)(6)

EXAM METHOD*--r VT-IC orVT-3C EXAM NUMBER: -W'J, 7-,ro I&

GRADE: 2Z

_INSTRUCTOR/ GRADED BY:,

1

.a o

PSC Level III VT-IllC/3C Epfminer I have neither given, received or observed any aid or information regarding this exam prior to or during its administration that could compromise this exam's integrity. I also understand my obligation to report any exam compromise by others prior, during, or subsequent to the exam administration.

I acknowledge that this examination is a way of demonstrating my knowledge of the subject associated with this examination and that I have had the opportunity, on my request, to review this entire examination with the instructor to ensure my understanding of the subject matter.

I have read and understand the above statements sC-::ý-/9ait-'-t..

itudent"Signature Date POINT VALUE INSPECTION POINTS POINTS GRANTED/COMNENTS 10 Select proZcure Verify revision

/o 10 Select form

___Verify revision

/

5 Select equipment Verify calibration/resolution 5

Verify adequacy of lighting Prior to and during inspection 5

Record part/item number On inspection form 15 Inspect component/part Identify discontinuities 15 15 Compare dcotniesto Recording criteria in procedure 5

25 Correctly record discontinuities 5

Sign and date form 5

Complete form Accurate and legi'ble vvsmwmc

Pqr PRnrlcn(rlw n a n ANCHORAGE INSPE DATA SHEET 8.0

pojo, a,4APRIL 2' 1999.

PýIge 1 of 1 Revision 0

.RAGE INSPECTION D0CUMENTATION U.

3

.jCT Cy,...

sqA e'or SUVE.

__LLANCENO.

No.

TENDON EM/BUTTRESS NO.

(j.3.5) ANCHORHEAD I.D.

BUSHING I.D1.

5 CTION YEA3.JS D-q.c.

Si~noff

.'8.1 ¢CORROSION INSPECTION (For Corrosion Levels refer to Procedure Sq 8.1)

_lg.1.1.1) Buttonheads Corrosion: Original Condition urrent Level J.._'

-. 0 s 8.1 (2.3) COMPARISONI 0 ACCEPTABLE 0 U1ACCEPTA3LE (8.1.2.1) Anchorage Head Level _A_

(8.2) Cracks ggdt Excess Stress (8.1.2.1) Bushing Level _,

(8.2) Cracks Excess S*ress N8.1.2.1) Shims Level ýeý (8.2) Cracks Excess Stress

(8.1.2.1) Bearing Plate Level.

(8.2) Cracks Excess Stress e.

-sq 10.1.(8.1.2) Coating: Complete e.-Tncom aete :ý Lgth. of Air POcket sq 10.2. (8.2.1) Wire: Level coating Complete. -40ýincomplete L~(.)BUTrOFVVEA.D INSPECTION J--(8.3.3) BUTTOKEAD, DATA Diseontinuous-Reamoved-000 00 00 Removed for :

0 00 00000 I

"Previously Missing 00000 000000

=Protruding 00000o0o000

[:3 Broken/,issin 000000000000 a* offsize(Nalfomed) 0000000000000 B - Bisecting Crack 00 0

00 0

0 AUAS0 Mgle=i 0000000000000000 X - Cracked. (over 0.120"

^ ^ e" 01"N PIN t-t.,

S a Slip (over 0.005")

o.

I -nterzecting Craclks 0000 000 0.00 000,0 (6.3.5) Locate Anchorage.

00000000000000 Heat Code onSketch 0000000 (8.3.6) offsiza Totals 000000000000 K0 0

0

/00,000 sA

-00000000.

(8.3.7.2) Butt*onhads Yoimd (8.3.7.3) Total Effective BX

,YA (8.4.1) Protruding B3) C H~issing B31 Total BH (8..lA1)Continuity Test Required ag Wires Identified/Markad.

Busi*i* s ThSead 3ont Line (9.0)

NotifLeation: owner Notified.

MM~ No.

fte" IrAw 0,6& - if q.C. Eeview Title Level

• Date U

ANCHORAGE INISPECTZO0 DOCUMENTATION PSC PROCEOURE SQ 8.0 ANCHORAGE INSPECTION ATA,SHEET 8.0 APRIL 2, 1999.

Page 1"1?

Revision 0 PROJECT CqAL'.-,q># X TEMMOV NO.

SURVEILLANCE 110.

_yr-U 15 Lt-TEMDON END/BU'E=.SS NO.

~

UI

~

WiSHIG I.D.

A 3i

-off (8.3.5) ANCHORHEAD I.D.

['"

(8.1) CORROSION -rTSPVERTON (For Corrosion Levels 'refer to Procedure Sq 8.1)

(8.1.1.1

'), Zuttonheads Corrosion: Original Condition A?/A&-urreht Level 3..

SQ 8.1 (.2.3) C IOMPARISON C ACCEPTBL C3 QUVACCEf'tABL2

.41/J (8.1.2.1) Anchorage Head Level L

(8.2) Cracks.

Excess Stress A (8.1.2.1) Bushing Level.A4L (8.2) Cracks Excess Stss (8.1.2.1) Shims Level A,&-

(8.2) Cracks ess Stress *2 Ba Pla(8.1.2.

Plate Level a/&_

(8.2) cracks Excess Stress 4 SQ 10.1.(8.1.2) Coating: Complete el&Incomplete e Lgh ofAroce L.

W4".*

-z-A=

mtftý-

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S= Bisecting Crack

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X Intersecting Cracks 00000 (8.3.7) Locate Anchorage OOn*O C

Heat Code on Sket~ch 0

0 (8.3.6) Offsiza Total3 000' 00 B

00004 A-

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(8.3.7.2) Buttonheads round (8.3.7.3) Total Effective rH

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Notificat~ion: Owner" Nottifed ICE No.

000 Qqo0--

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Identified/Warked

"

• 11 i

II iiiiii i 4t.. it, Q.C. Review Level -

' Date j

IIII i

iiiiii Title

PRECISION SURVEILLANCE CORPORATION Visual Examination Training PRACTICAL EXAMINATION CHECKLIST NAME:

PAVICL P, O'ý7/6,q DATE:

'4-3o19 SOCIAL SECURITY NUMBER: '(b)(6)

EXAM METHOD: VT- 0C EXAM NUMBER:

Ij or, l.0rV

.1!ý-TX EXA NUBR p.."W M

p r GRADE:

~ 7 INSTRUCTOR/ GRADED B 1A

%3?

PSC Level M VT-1/1Ct3C Examiner I have neither given, received or observed any aid or information regarding this exam prior to or during its administration that could compromise this exam's integrity. I also understand my obligation to report any exam compromise by others prior, during, or subsequent to the exam administration.

I acknowledge that this examination is a way of demonstrating my knowledge of the subject associated with this examination and that I have had the opportunity, on my request, to review this entire examination with the instructor to ensure my understanding of the subject matter.

I have read and understand the above statement/X 4(.-W39 Studentiignature Date POINT VALUE INSPECTION POINTS POINTS GRANTED/COMMENTS 10 Select procedure Verify revision

/'

10 Select form Verify revision

/

2 5

Select equipment Verify calibration/resolution 5

Verify adequacy of lighting Prior to and during inspection 5

Record part/item number On inspetiont form 15 Inspect component/part

________Identify discontinuities 15 Compare discontinuities to Recording criteria in procedure 9~

25 Correctly record discontinuities 5

Sign and date form 5

Complete form Accurate and legible S

Vta*mtalpeuti

A~ &*-

G~?A*'6/L ',~A-PSC PROCEDURE SQ 8.4 GENERAL EXTERIOR SKETCH SHEET 8.4

)"

APRIL 2, 1999 Page I of I REVISION 0 PROJECT:

CALLAWAY PLANT SURVEILLANCE NO.

5"m YEAR 15 SKETCH SHEET NO.

of

/

INSPECTION AREA a'A&c- _,',-r.m,

-,m,,fr*

Sketch each area of large spall, severe scaling, D-cracking in an area of 25 square feet or more, other surface deterioration or

.disintegration, or grease leakage as observed on the exterior surfaces of the containment. Use as many Sketch Sheets as necessary being sure to identify as many reference points on the Sketch as needed to locate and identify the observation.

I, Reviewed By:

Date:

SQB-4.667

• °".

'0/4 0

- $ýr PSCPROCEDURE SQ 8.4 GENERAL EXTERIOR SKETCH SHEET 8.4 APRIL 2, 1999 Page 1 of I REVISION 0 PROJECT:

CALLAWAY PLANT SURVEILLANCE NO. 5-I YEARj 5

SKETCH SHEET NO. /

of

/

INSPECTION AREA

,,.,,- A

,0P Sketch each arm of large spall, severe scaling, D-cracking in an area of 25 square feet or more, other surface deterioration or disintegration, or grease leakage as observed on the exterior surfaces of the coutainment. Use as many Sketch Sheets as necessary being sure to identify as many reference points on the Sketch as needed to locate andjidentify the observation.

Rvpected By:

Date;: j-36 -f Reviewed By:

Date:

SQS-4.667

PSC PROCEDURE VTI 13C.CERT' CERTIFICATION OF EXAMINERS EXHIBIT F APRIL 26, 1999 PAGE 1 OF 2 2z LEVEL 11 RECORD OF EXPERIENCE dX

.fi3i,"XL P& 1S A has worked at 9

&Arjlj4

£WAR gw'.

iO,.,g.

Location since 57 f

to date.

During that time he/she has participated in the following activities which involve visual examinations similar to the Visual inspection DIRECT (VT-IC) OR GENERAL (VT-3C) examination required by ASME.Section XI, Subsection IWL.

OPERAnING NUCLEAR STATION(S)

Visual Examination(s):,

r*, uWr &,a.-,

. L,,.._r U

M..,

A,

.,WjA,*._

L...alA r

A'.

2 I.SA, m Rfro,*f Repair/Replacement:

A' X

wkt nra.

W,,

Modification(s):

Periodic test(s):

MANUFACTURING, CONSTRUCTION, FABRICATION OR INSTALLATION Visual Examination(s): Ada-Dimensional verification:

The above also meets the following Level II PSC Procedure VTIC/3C.CERT requirement:

High School Graduate. I year Two Year Associate Degree. 6 months

-Four Year College Degree. 3 months Completed by (Candidate):

Social SecurityNumber (b)(6)

Verified and Accepted by:.

/

(PSC Level I13 VT-I *c. Examiner)

VTIc3C.FORMS A

S, Date Date Jr,(.

itA If-"-

"V'lN

4 I

PSC PROCEDURE VTIC/3C.CERT CERTIFICATION OF EXAMINERS EXHIBIT F PAGE 2 OF 2 APRIL 26, 1999 LEVEL II RECORD OF EXPERIENCE WORK EXPERIENCE RESUME Name:

()&e (Last Name)

J I)AIJIRZ-(First)

(Middle Initial)

COMPANY & LOCATION RESPONSIBILITIES FROM:

TO:

FROM:

TO:

FROM:_

FROM: _

TO:

6oStigns ate VTIC3C.FORMS Alp G~~IAW(

PSC Formerly Inryco Surveillance PHYSICAL TESTING OF INSPECTORS-PROC.

QA 2.10.6.1.1.1.

PHYSICAL TUSTIUO FORK QA 2.10.6.1.1.1 Nfam YAIJIIEL F-O.'W6 Title 9A' 1F.)(f/n'X

1. PIUSIL CHARACTERI*SZ-C (b)(6)

Date 1",L.-" o.., Re Wears Glasses NO itest Date 1-[2..o0-

2. VISUAL -

FAR RANGE Test Device Rd-L#*71301-/aI A&

3. VISUAL -

NEAR RANGE Test Device 0+L,'

713KeY-Io t

Mi-*r -it

)

M*WOC4 OPTfKALI

CORP, Test Device &kM eLP*09eAT~e "MYn.,

4. COLOR PIMCEPTION (b)(6)

Score shall not be less than 10 to be'acceptable for perception.

Cqlmnts POA

5.

OVERALL RATING Capability 9VIMt,-Ir AI (PlO LIT,Yr Examiner 0026Q Title M&00 0 4ýq,

Date I'rp-.o

• 'PSC FonncrlY inryco Sunrclltuice VPISICAL TESTING OF INSPECTORS-PROC.

QA 2.10.6.1.1.1.

PHYSICAL TESTING FORK QA 2.10.6.1.1.1 Name YRAIEL 0,

CA Title a -el.k45ted-ro*

1.* PHYSICAL C1{ARA CTERISTICS Date Retest Date Aw't

, x Wears Glasses ___

(b)(6)

2. VISUAL - FAR RANGE Test Device

+.

'Ld7)-7F9/- I10 A17 (b)(6)

3. VISUAL

-NEAR RANGE' Test Devices _Iyq. 'it 5L-o 11M)'

(b)(6)

AMCR~r-d$A1 00441-qs 60Ap

4.

COLOR PERCEPTION Test Device r'up*O -'oc*4.,.rtd Pi.Tu (b)(6)

¢ Score shall not, be less than 10 to be acceptable for perception.

Comument-s

/JoIC

5.

OVERALL RATING Capability UMLE7?(rKP &t""'MdY61Oir7Y C.

Examiner 00 2 8Q 4 X1; I

.Title,

'AjG..

Date_____

I 0

FPL Inter-Office Correspondence PTN-ENG-01-0036 To; File FEB 21 ZOUl Depsunet: PTN Engineering Fhamn:

E. A. McGuffie Subj.ut Turkey Point Units 3 & 4 Review of OC Inspector Qualifkation and Certification The purpose of this letter is to document the review and approval of the qualification and certification of Precision Surveillance Corporation (PSC) QC Inspector Daniel P. O'Shea, Social Security Number 323-54-9857. Mr. O'Shea will perform visual examinations VT-1, VT-1 C and VT-3C of Turkey Point containment structures during the 301h year containment concrete and tendon in-service inspection.

The documents to be reviewed consist of:

PSC Document "Review of VT Certification Documents" PSC Document "Certificate of Qualification" FPL Document "Nuclear Engineering Certificate of NDE Personnel Qualification".

Prepared by:

Approved by:

Accepted by:

Attachment:

Ael~c/,!PvDate:

Plant Engineea.g Date:

FPL Responsible Engineer for IWL 1X~aVV--rVA,.-Date:

ANIi V (7 z1ko/o PSC Document "Review of VT Certification Documents" PSC Document "Certificate of Qualification" FPL Document "Nuclear Engineering Certificate of NDE Personnel Qualification".

-cc: PSC D. P. O'Shea ANII File

,.eu

"-1 m Uial X-j -

NONDESTRUCTnE EXAMNATION (NDE)

WSONNEL QUALIICATION & CERTIFICATION w 3 Oft 12o Pop 24 0125 I

0 FpL NUCLEAR ENGINEERING CERTIFICATE OF NDE PERSONNEL QUALIFICATION (b)(6)

&YSHEA*., PAIE-L Y

QUAUM"ON MM IL NWE METH00 CEVnfWPAnTMo PERIO0 V'__- C

_l-RaWadl Ea.imn eN. Ynr1Jm, Ca*n Su*m, Pinn 91 DuaWun)

1.

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SuMMAMX.y (I,A4.

2I.

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£I PA4E)

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ER-AA.335 Revision 0 Page 16of 17 ATTACHMENT 3 NOE CERTIFICATION CHECKLIST Page 1 of 2 N~m~oce~NPAI416 Fds (b(6 CwrwVlc~ii UV~LA

CORP, p -

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nrl Fr MT FRTT~UT IVT.t VT.2 VT.3 VT.IC i VT.3C I CommentstNotes c*,.:.,,T P1 I eRT@

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Review:

w o

gy44j1.n* 0,0,Obj K

A*'

PSC PRECISION SURVEILLANCE CORPORATION 3468 WATLING ST.

(219) 397-5826 EAST CHICAGO, IN 46312 FAX (219) 397-5867 QUALITY ASSURANCE DOCUMENTATION OF CERTIFICATION KEVIN K. FUQUA Page 1 of 2 A.

E!L Kevin K. Fuqua B.

SOCIAL SECURITY NUMBER:

C.

CITIZEN:

U.S.A.

(b)(6)

SblI61

0.

POSITION:

Level II

- Quality Control Inspector for Post-Tensioning Containment Inspections.

per ANSI N45.2.6-1978 Tendon In-Service E.

EDUCATION:

(b)(6) wploma (b)(6)

F.

WORK EXPERIENCE:

Florida Power & Light. Jensen Beach, FL April 1998 to November 1998 @ St. Lucie Nuclear Plant QC Specialist Raytheon Engrs. (Under Contract)

February 1997 to December 1997 @ St. Lucie Nuclear Plant QC Inspector SPEC/NRT Services (Under Contract)

December 1996 to January 1997 @ Maine Yankee QC Inspector NPS (Under Contract)

October 1996 to November 1996 @ Palisades Nuclear Plant QC Inspector Raytheon Engrs. (Under Contract)

September 1996 to October 1996 @ Commanche Peak QC Inspector Raytheon Engrs. (Under Contract)

April 1996 to June 1996 @ St. Lucie Nuclear Plant OC Inspector Raytheon Engrs. (Under Contract)

September 1995 to November 1995 @ St. Lucie OC Inspector Nuclear Plant qacert.kkf

PSC PRECISION SURVEILLANCE CORPORATION 3468 WATLING ST.

EAST CHICAGO, IN 48312 (219) 397-5826 FAX (219) 397-5867 QUALITY ASSURANCE DOCUMENTATION OF CERTIFICATION KEVIN K. FUQUA Page 2 of 2 NPT Technical (Under Contract)

April 1995 to May 1995 @ H. B. Robinson QC Inspector Raytheon Engrs. (Under Contract)

January 1995 to March 1995 @ Indian Point 2 QC Inspector G.

JUSTIFICATION FOR QUALIFICATION:

ANSI N45.2.6 - 1978 Section 3.5.2(2)

Education, training and experience in Quality Control and Quality Assurance activities to meet the cited requirement.

A.

High School 'graduate plus three years of related experience in equivalent inspection, examination, or testing activities.

B.

Specific training and testing for post-tensioning containment tendon inspection and calibration.

H.

NUCLEAR JOB ACTIVITY:

The person named in this certification has been involved in various quality assurance and/or quality control activities for the following nuclear projects:

St. Lucie, Maine Yankee, Palisades, Commanche Peak, H. B. Robinson, Indian Point I.

TRAINING:

1.

Classroom training Indoctrination for 10CFR21.

10CFR5O. Appendix B.

NRC Form 3. NRC Reg. Guide 1.35 and PSC QA Program.

2.

Classroom training and testing for post-tensioning containment tendon inspection and calibration.

Reviewed and Approved:

9/iV/?j Harry F. Hendrickson Manager, Quality Assurance Level III qacert.kkf

QA PQ-10 Rev. 2 C

pAM.

Cawoina ftwerk U~gbi Canip Vision Testing Report W~eSNaM (Laslrs Piant or L044fon 3

Q5PL Contrua v;rAgm, F-PcoD (b*)(6),

_'w vision test may alterately-be peifofted using ace tl!sd-1 aeger Vision Tait Card that wet h

requiremenfts of NDEP A forNuclear, EGR-FGD-052 IFr Fosii.

1 Jaeger Vision Test Card Serlal Number Sup..emental Near Vision Test C] Pass O0 F Fal:

Level III NOE ExaminerIes.gn.-

(b)(6):

I understand that I require1 coeve lenesforthis job duty ad I am reponsible to obtain and wear fte Iob-appropriate lanses to meet re~guttory and s fetyiequirements.

Slgrnature IF

.2eg

• ?

I Tnis'maMaual hnas een screened for atoi s Visuar acuity, n visual acdy. and cotor vision In socordance with NDEP-A for Nucles or EGR-FGD-0&*2for Fossi, on t.nus 2A o Serial Number a-30479 at 8NP, o Serial Number a-31 259 at HNP.

O ~al gNumbeira-30576at RNP.o eSerial Number a-35298 CRNP. or Serial Number at i=

v ?~) rzq

-t.4a Pem~tdefNnn~ and Tile Intint deniM 1! ý I'I PreIdar Sion-affire Form a=epadby L&Mo IIH NOE Exvr~wr1QC SupentwrAaWiW Suqpmrsw Namne &Wd Wie (0"v dem1y) swlgu"u lt COARecard

£MW,4Af Il i- :.,l..

CERTIFICATION OF VT EXAMINERS APRIL 26, 1999 PAGE I OF I REVISION 0 REVIEW OF VT CERTIFICATION DOCUMENTS NAME:

q-vi, AR uj DATE:O ) /.'f / oo COMPANY:

PS&

METIIOD VT-1 VT-IC VT-3C OTHER.

CERTIFICATION LEVEL CERTIFICATION DATE D%.iy, eo O7ro. fo~

o 3.*.Y.oo RE-CERT DUE o).2V*.o) o*,L*'-,,3 o7.LY.-,3 EDUCATION/ EXPERIENCE opt'C TRAINING EVIDENCE OF CURRENT EXAM OTHER SUITABLE EVIDENCE OF QUALIFICATION PL 0__

COMPOSITE GRADE OR EVIDENCE OF GRADE o

• LEVEL III SIGNATURE EYE EXAM EXAM DATE: 1)

EXAM DUE:

2)_

3)_

CERTIFIED IN ACCORDANCE WITH - ASME SEC XI: YES

).

/ NO RESTRICTIONS: *V'T-I wi5's?,,

-,,1/-r-,D r'

",AJ,.

.T ($

t!:6

• er-i v rrivY.

PSC Mgr., Q.A.

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i

00.

/-

Lev"

-eer, VTFORMS

I.-

PSC PROCEDURE VT1.CERT CERTIFICATION OF EXAMINERS EXHIBIT A APRIL16, 1999 PAGE 1 OF 1 REVISION 0 REVISION 1, 4/28/99 REVISION 2.7/6/99 LEVEL II CERTIFICATION RECORD Name:

kE-VIAI Social Security Numt Visual Methon&

Ft FU AI/

Certification Date:

03-Zf..oi (b)(6) bw.ý7

• 1r., 4~u~cr,.. £44111

. T A'P Re*44T7 AdrolirieT,&

Examination Grades:

Level 11 Senerk D9t0:

4 7.zj2-0 Specific:

Date V7-

?-o° Practical :

Date:

8)-.Y-oo Composite:

Date:

o-.-

(The composite grade shall be an equally weighted average of all applicable examination grades for each category.)

Tram= Courses Conm1eted Type Given By Location Hours Date Instructor Gen 0 7.L3..o Specific FPSV-C 3

o3.-q-00

/f.e our-,W Practical p.d rv!

T 6#

We certify that the above namedemployce meets all of the qualification requirements of the PSC Procedure VTI.CERT for certification/recertification as a 1Vf-ifM 4'1rce Level ____

This certificate expires after Approval Signature:

2VTI.FORMS PSC Level M VT-I Exa*cr A

7-69? pae dIf$A)

7 ýý 7ý t

SW-2-OO09:5mm From-OPIERS PLUS irr F

S PSC LeIfM VT-Ewninf 151TI41MZ T-440 P.01i0 F-5t1

. __~c -

& 610^

CE,-ICAIOW OF EAM S

g£uarrBT" APRIL 26, 1999 PA0G I Or i RSSON o RE-VSION 71,4/2V99 REVISIMO 2,.716199 12 VA sock1sectwity "m" (b)(6)

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VIML New Vision Ebmaiwlon 3aootd do"e (Le., Dar of~zo new eye muhatioa)

CVV:

Contined C uiue~dnCm(I~e. Lci'ei M VT.l immiaarapproval date of visW Omina ion ua4vite usdf eenid ucaft Pa~pos),

C, The mzvyrmwwutx fvr makutning the cvtAaatiaa have beau mat be==us ths mew VER uiW CCV dams at wfthb I y'eaptir to A~daa.

S.

The reusrmums for mhualaellg to. verdic~ou have amt be= mat bammue die mw VEIL and/C CCV dons we sot withkI yewr VdT wn 6a AR dam. A -restlg Record For Ettububgn Suspexion of CcatIlaouC mut be couiple~wd lo reaslute to vkWu exminAd=o ceeatI~iCotG zirAll

.,'onz L989LOSBIZI ON XV1 L8B98~6II

'O X~d 3ON1113AMfS NOTS1038d L:13t O8-3 U:91 3ft 00-OH39

PSC PROCEDURE VTIC/3C.CERT CERTIFICATION OF EXAMINERS EXHIBIT A APRIL 26, 1999 PAGE 1 OF 1 REVISION 0 REVISION 1, 4/28/99 REVISION 2,7/6/99 LEVEL 11 CERTIFICATION RECORD Name:

K'EVIJ r, FLqqU/

Certification Date (b)(6)

Social Security Number.

Visual Method:

VT- [

C' Certification Level:

Examination Grades:

• 03-2'9.oo WL Level 1I General.

170?

Date:

0,P 0 0 o Specific:

Ma-1, Date:

o0.z.3.

j Practical: V7rc 7,) C Date:

03-Li--.

Composite: 77 7" 7a Date-e3.L-oyýd (The composite grade shl be an equally weighted average of all applicable examination grades for each category.)

Trainin Courses Comleted Type Given By Location Hours Date Instructor General F ie."

IP's-'

3; I

7-,Y-.4-R.-T oW,-.,

Specific Pre..

M E

• 2-.L3,66 Practical 3

cf-e.

We certify that the above named employee meets all of the qualification requirments of the PSC Procedure VTIC/3C.CERT for certification/recertification as a yrf-i /3d Uke IgAice

, Level _-j This certificateexpires atr Approval Signature: Z PC4 ieve /

PSC Level II VT-1cpcExaminier VTIC3C.FORMS 1?, C,.9? Are dMAA*&

Sep-20-00 03?S5sm Frov-OPIERS+ PLUS 601TU1R12T T-440 P.0"i F-HI1 Sr £AJV%,CJIAlUA V IS %d3l 0-CER*T'ICA'nON 0 XA1MRS EXH13IT 1)

APRIL 26,1999 PAGS I OF I REVISON 1, 4V" 1VWISION 2, 7.7 Ncur.

KrfAJ K,, PvIiUA ft 4Lf

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PSC Level Ml VT-iC/C 90-f-a Sigau=W Cl f'f..ere f

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VM New Vbi= Bxamisdniao RAapj dw (Lae. Dtw of Onow eye Wcunw CCV.

Cwoiud d

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• date (LO., Level andv=T-lc/3c e

a daM of vinmL ax~m ~lloa activities used fi* en#tAno w~rcadsm purpo)

C:

Mob lratemcm for molorahdoa fb ewlcalioon havcba benvi beetse omnovVE/R and CCv dates a wifbe 1 ya prim to ti AR damt S,

The mqWhvnt far-,u*,it do ecerficaon have not been met becmuse the niew VER. =at CCV damw umot wit*

I yew prim to the Al &V-a A Tsdusq Record For Uminathg Su'paunuou of Cafsdtfluon Must be COVpleed fm reins~to *a Vlobu1 uamioaion certification.,

v'tcIc.owRMs A`44 f e-oo,

• 0 'd L989L6EOIZI VtH XY 3OlMI13As flSoISIO3ad M-:91 M* CHI-C1-dS

PHOUE No.

83 345 402S Sep, 118 200 8:26FI P=2 SOUTH CAROLINA ELECTRIC & GAS CO.

NUCLEAR OPERATIONS VISUAL ACUITY RECORD

• DISTANTVISION

"" NEAR VISION (b)(6)

V PASS FAIL

1. Missed.:i"

'i REMARKS Examiner & Title Date 214 ŽL~g.2

• Snellen chart, 20(30 minimum acceptable acuity level-Near Vision test to be administered using a standardJaeger test type chart or equivalent (Ortho-Rater). For Near Vision examlnotion, the J1 number applies.

SEP-15-99 WED 08,00 AfM ANO MOOIFICATIOMS FAX NIO, 501 858 7909 P. 02 Page 51 of 51 Mr? PnERSOMNL M3SICeL tcxAxMTXO:,;MZCORD Namt.

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Un~corrt¢ted Catracted Uncorrected Correctcd

3.

Alb.lity to distinguish primary C91.0(1 rs an~d differntiaet contrast batwean tIhesI 6o1os.

Nio method usedu Ishihara Plates I-or othex Z

TKV AiBOVE: VISTO14 ADOUIMIEHNTS H{AVE DEFY KET, VXTALS (optional)

Pulso Bl_______

Dooid 'res.urel(jj)}o)

-Date.,

_ 3 /99 z have Verified the near distance Vision test chart used meets the requirements ef Figure 5.4.ItA or has beeni caitified to meet: the requirements-.

YCS/NOMkA9 \\

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I have verified thare nhe near distance tast chart used is equivalent.to tha//

required Snalleri fracziono.oYn 11 hereby acc y that the information Containcd on this record is true and correci.

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PSC VT GENERAL EXAM APRIL 26, 1999 Page 1 of 4 REVISION 0 PRECISION SURVEILLANCE CORPORATION Visual Examination Training NAME:

A'FI//4, A". F6_e I/,.

DATE: 3

-2 j (b)(6)

SOCIAL SECURITY NUMBER:

EXAM: VISUAL GENERAL LEVEL II FOR VT-1. VT-1C. VT-3C GRADE:

5VD

~7 GRADED BY:,Cvt 4 -R&tA-*

I have neither given, received or observed any aid or information regarding this exam prior to or during its administration that could compromise this exam's integrity. I also understand my obligation to report any exam compromise by others prior, during, or subsequent to the exam administration.

I acknowledge that this examination is a way of demonstrating my knowledge of the subject associated with this examination and that I have had the opportunity, on my request, to review this entire examination with the instructor to ensure my understanding of the subject matter.

I have read and understand the above statements:

-3

,Sudent Signature Date CIRCLE ONE LETTER ANSWER FOR EACH QUESTION A

or B

or or D

A or B

or C

or 05'

4.

A or B

or or D

A or or C

or D

Y".

Y or B

or C

or or B

or C

or D

7,7.

A or B

or C

or A

or B

or or D

79.

A or B -

or, or D

V*0.

(

or B

or C

or D

Vtsctcstgcn

PSC VT SPECIFIC TEST APRIL 26, 1999 Page I of 4 REVISION 0 PRECISION SURVEILLANCE CORPORATION Visual Examination Training NAME:

JA*VIA.)

1*'.

U -L4 DATE:3 o3 (b)(6)

SOCIAL SECURITY NUMBER:

EXAM: VISUAL SPECIFIC LEVEL J1 FOR VT-I. VT-IC. VT-3C GRADE:

(o0 GRADED BY:_

I have neither given, received or observed any aid or information regarding this exam prior to or during its administration that could compromise this exam's integrity. I also understand my obligation to report any exam compromise by others prior, during, or subsequent to the exam administration.

I acknowledge that this examination is a way of demonstrating my knowledge of the subject associated with this examination and that I have had the opportunity, on my request, to review this entire examination with the instructor to ensure my understanding of the subject matter.

I have read and understand the above statements:

St dent Signatur--

Date CIRCLE ONE LETTER ANSWER FOR EACH QUESTION A

or B

or C

or (P

W42.

A or B

or f

or D

4 A

or B

or C

or 4

A or

'or C

or D

p/5.

A or O

or C

or D

1A-A or B

or C

or 0

v17.

(

or B

or C

or D

,/ 8.

A -

or B

"or C -

or.....

V 9.

A or B

or (9 or D

I/ 10.

A or or C

or D

Vpictsapecfifc

PRECISION SURVEILLANCE CORPORATION Visual Examination Training PRACTICAL EXAMINATION CHECKLIST NAME:A, DATE: 3"z3"- 0 SOCIAL SECURITY NUMBER-EXAM METHOE r VT-lC or VT-3C EXAM NUMBER:

GRADE:

7, INST1RUCTOR/ GRADED BY: 9 nJ PSC Level III VT-l/1C/3C Exfniner I have neither given, received or observed any aid or information regarding this exam prior to or during its administration that could compromise this exam's integrity. I also understand my obligation to report any exam compromise by others prior, during, or subsequent to the exam administration.

I acknowledge that this examination is a way of demonstrating my knowledge of the subject associated with thisoexamination and that I have had the opportunity, on my request, to review this entire examination with the instructor to ensure my understanding of the subject matter.

I have read and understand the above statements:

• f*l f

• J Stfident Signature A

Dat6 POINT VALUE INSPECTION POINTS POINTS GRANTED/COMMNTS 10 Select procedure Verify revision

/

10 Select form Verify revision

/

5 Select equipment Verify calibration/resolution 5

Veri adequacy of lighting Prior to and during inspection 5

Record part/item number On inspection form 15 Inspect component/part Identify discontminuities

/

15 Compare discontinuities to Recording criteria in procedure

/

25 Correctly record discontinuities C0 5

Sign and date form 5

Complete form Accurate and legible VVWWPscCstrcWia

PSC PROCEDURE SQ 8.0 ANCHORAGE INSPECTION DATA SHEET 8.0 APRIL 2, 1999.

Page 1 o6 1 Revision 0 ANCHORAGE INSPECTION DOCUMMATAION PROJECT Z9L.,LA p't4,4,T SURVEILLANCE NO.

Yi YA JL TMMXNDONo.

TENDON r.NDIEUTRmSS No.

______MITr

'-q.C.

(8.3.5) ANCHORHMA I.!).

Aa357 BUSHING I.D*

Signoff (8.1) CORROSION TNSPECTION (For, Corrosion Levels refer to Procedure SQ 8.1)

(8.1.1.1) Buttonheads Corrosion: Original Condition r

Current Level v?._3

.01 SQ 8.1 (2.3) COMPARISON

[;,ICCEPTA3.

C] UNACCEPTABLE (8.1.2.1) AnchoraSe Head Level A

0 (8.2) Cracks P

Excess Stress (8.1.2.1) Bushing Level 3a.?.(8.Z) Cracks

/

Excess Stress (8.1.2.1) Shims Level

(.)C Ac d xesStes4d (8.1,2.1) Beari* Plate Lavei.l (8.2) Cracks.MI Excess Stress 'Ai SQ 10.1.(8.1.2) Coating: Complete j_ Incomplete Lgth. ofAir Pocket

f.

SQ 10.1 (8.2.1) Wire: Level Coating Complete.ýg Incomplete..4/&

W1 (8.3) BU'rTON-EAD INSPECTION (8.3.3) BUTTONREAD DATA Z Discontinuous-Removed 0 T C 000 0 11 SRemoved for Testing 0 0 0 00 00 0

e=,,e,***.

,.s*,,*

(00000 000000 S°Previously Missi ng 0000 0 00 0000 SProtruding Qm=,rokenlisins 00 000 000000

~=Offsize(1Halformed) 000000000 OOO)@&

BBisecting Crack 0 0000 00 A =450 Angle Slip 0 0 G 000 X a Cracked Cover 0.120 00-

-,^-N

ýeNr S = Slip (over 0.00S")

X'= Intersecting Cracks oooo0oooooodoo (8.3.5) Locate-Anchor-age 00000000000000 Heat Code on sketch 00000 00000000 (8.3.6) Offuize Totals 000000000000 B

00000000000 A

00000000 (8.3.7.2) But~tonheads Found.4.....

(8.3.7.3) Total Effective ag It&"&,,,,

(8.4.1) Protruding BH 3

iMssing B L Total B (8.4.1.1.1) Continuity Test Required Y wires Identified/"arked.

o O

Bushino Thread Joint Line (9.0) Notification: Owner Notified.~A..NCR No.__________

Q.C. Review Level -

Date

PRECISION SURVEILLANCE CORPORATION Visual Examination Training PRACTICAL EXAMINATION CHECKLIST NAME:

• .V A

Fu&V,,,,

PATE:

SOCIAL SECURITY NUMBER (b: 6 EXAM[ METHOD: VT-i or

-I~r VT-3C EXAM NUMBER:

A GRADE:

PJ2,oINSTRUCTOR/ GRADED BY:

PSC Level II VT-1/1C/3C Exaniner I have neither given, received or observed any aid or information regarding this exam prior to or during its administration that could compromise this exam's integrity. I also understand my obligation to report any exam compromise by others prior, during, or subsequent to the exam administration.

I acknowledge that this examination is a way of demonstrating my knowledge of the subject associated with this examination and that I have had the opportunity, on my request, to review this entire examination with the instructor to ensure my understanding of the subject matter.

-;e I).r-:,V.,ta I have read and understand the above statements:

= (/

Student Signature

-A Date '

V POINT VALUE INSPECTION POINTS POINTS GRANTED/COMMENTS 10 Select procedure Verf revision j

10 Select form Verify revision

/ 0 5

Select equipment Verify calibration/resolution 5

Verify adequacy of lightmg Prior to and during inspection Prior to and during inspection J.

j 4

• a,*.~.

5 Record part/item number On inspection form Y

15 Inspect component/part Identify-discontinuities 1Ž 15 Compare discontinuities to Recording criteria in procedure 25 Correctly record discontinuities 5

Signanddate form 5

Complete form Accurate and legible VWMPctetprCWia

VT-IC Fbp, IFT,~ab AM~"A PSC PROCEDURE SQ 8.4 GENERAL EXTERIOR SKETCH SHEET 8.4 APRIL 2, 1999 Page 1 of 1 REVISION 0 PROJECT:

CALLAWAY PLANT SURVEILLANCE NO.

5T YEAR 15TH SKETCH SHEET NO.

(

of

(

INSPECTION AREA "bF17 LA.EA M.,

"A Sketch each area of large spall, severe scaling, D-cracking in an area of 25 square feet or more, other surface deterioration or disintegration, or grease leakage as observed on the exterior surfaces of the containment. Use as many Sketch Sheets as necessary being sure to identify as many reference points on the Sketch as needed to locate and identify the observation.

SQ8-4.667 I

PRECISION SURVEILLANCE CORPORATION Visual Examination Training PRACTICAL EXAMINATION CHECKLIST NAME:

A

/,,,,,X -Aoa Q U&

DATE:

-2,; - O &

(b)(6)

]

SOCIAL SECURITY NUMBER:

I EXAM METHOD: VT-i or VT-IC o(CD EXAM NUMBER:

GRADE:

76 INSTRUCTOR/ GRADED BY:

VI Exi PSC IIIVT-II/CE~ie I have neither given, received or observed any aid or information regarding this exam prior to or during its administration that could compromise this exam's integrity. I also understand my obligation to report any exam compromise by others prior, during, or subsequent to the exam administration.

I acknowledge that this examination is a way of demonstrating my knowledge of the subject associated with this examination and that I have had the opportunity, on my request, to review this entire examination with the instructor to ensure my understanding of the subject matter.

I have read and understand the above statements:

Stddent Signature A

Date' I

il POINT VALUE INSPECTION POINTS POINTS GRANTED/COMMENTS 10 Select procedure Verify revision

/ 0 10 Select form Verify revision

/ 0 5

Select equipment Verify calibration/resolution 5

Verify adequacy of lighting Prior to and during inspection 5

Record partitem number On inspection form 3

15 Inspect component/part Identify discontinuities 15 Compare discontinuities to Recording criteria in procedure 1

25 Correctly record discontinuities Sign and date form 5

Complete form Accurate and legible

,/

1~**~.

VtpsctestpMcdeW

PSC PROCEDURE SQ 8.4 GENERAL EXTERIOR DATA SHEET 8.4 APRIL 2, 1999 Page 1 of l0 REVISION 0 PROJECT:

CALLAWAY PLANT SURVEILLANCE NO. 5 TH YEAR 15TH GENERAL EXTERIOR CONTAINMENT CONCRETE INSPECTION INSPECTION AREA ATev.2S (0,47 B

et r s s A ;

iev\\.2 4o to 2047 Inspection Method Used VT-SC_

OBSERVATIONS:

VEROM >5ofC zLUUmlAJAThPu Eknrs

1. ý o.

ý 2-.

A-

-~

I DEFICIENCIES PER ACI 201.1:

A'/SmS, SwrJNiie 169cxfks, ftr'outs cgwMeiv Cbm ca Inspected By: -i2 "k'

Reviewed By:

Date: 3-Z3-co Date:

I_

INSPECTION AREA Buttress A TO Buttress B Elev. 2000 to 2047 Inspection Method Used OBSERVATIONS:

DEFICIENCIES PER ACI 201.1:

Inspected By:

Reviewed By:

Date:

Date:

4.

INSPECTION AREA Inside Emergency Personnel Hatch Enclosure.

Room 2202 Inspection Method Used OBSERVATIONS:

DEFICIENCIES PER AC1 201.1:

Inspected By:

Reviewed By-Date:

Date:

PS84.667

PSC PROCEDURE SQ 8.4 GENERAL EXTERIOR SKETCH SHEET 8.4 APRIL 2, 1999 Page 1 of I REVISION 0 PROJECT:

CALLAWAY PLANT SURVEILLANCE NO.

5TH YEAR 1 5 TH SKETCH SHEET NO.

ofL 4-/

I.K/

INSPECTION AREA Sketch each area of large spall, severe scaling, D-cracking in an area of 25 square feet or more, other surface deterioration or disintegration, or grease leakage as observed on the exterior surfaces of the containment. Use as many Sketch Sheets as necessary being sure to identify as many reference points on the Sketch as needed to locate and identify. the observation.

Inspected By:

Reviewed By:

Date:

Date:

SQS.4.667

PSC PROCEDURE VTI.CERT CERTIFICATION OF EXAMINERS EXHIBIT F APRIL-26, 1999 PAGE I OF 2 REVISION 0 REVISION 1, 4/28/99 REVISION 2, 7/6/99 LEVEL II RECORD OF EXPERIENCE (9 s iv UL~A has worked at Loc Aation A~e Location Since

.'f, 1gg5 todate.

During that time he/she has participated in the following activities.,wh'ich involve visual examinations similar to the Visual inspection VT-i examination required by ASME,Section XI, Subsection IWL.

OPERATING NUCLEAR STATION(S)

Visual Examination(s): S7. Ls, cA r4& I

taJT,

Pr, Z

'P'[5A LISA AIV Repair/Replacement.

Modifica tio ns):

Periodic test(s):

MANUFACTURING, CONSTRUCTION, FABRICATION OR INSTALLATION Visual Examination(s):

.UfD:,

7

,'ZM-,,&.

J.'rALL,,

,DA/

~~

"-2 M M) A'XASAE 4 yp" &A g -

Dimensioadlverification:

PtPA/4

/

'MW.CA.O.i"

.7".4.77v, HdfM kL**&,"

WLIRE E a&ma The above also meets the following Level II PSC Procedure VTI.CERT requirement s

High School Graduate. I year Two Year Associate Degree. 6 months

___Four Year College egree. 3 months Completed by (Candidate earCol ege(_

Dae Social Security Number:

Verified and Accepted by:

PSCevel [ V*-IDate 2VIT*ORMS

PSC PROCEDURE VTI.CERT CERTIFICATION OF EXAMINERS EXHIBIT F PAGE 2 OF 2 APRIL 26, 1999 REVISION 0 REVISION 1, 4/28/99 REVISION 2, 7/6/99 LEVEL II RECORD OF EXPERIENCE WORK EXPERIENCE RESUME SKamm)

All Name:

FuU ),4 (Last Name)

(First)

(Middle Intial)

COMPANY & LOCATION R.ESPONSIBILITIES FROM:

i TO:

Vas#

FROM :.____"

TO:

% x.,tbl PT. 22 FRoM:

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TO:

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SignaturelDate 4

2VTI.FORMS 17.;-19 M d-Y.0'a

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PSC PROCEDURE VTIC/3CCERT CERTIFICATION OF EXAMINERS EXHIBIT F APRIL26, 1999 PAGE I OF 2 REVISION 0 REVISION 1, 4/28/99 REVISION 2,7/6/99 LEVEL II RECORD Of EXPERIENCE

/MN. FedI u,4 hasworked at VAAOU Mixf.LAs &431 Location Since :1J 5

to date.

During that time he/she has participated in the following activities which involve visual examinations similar to the Visual inspection DIRECT (VT-1C) OR GENERAL (VT-3C) examination required by ASME,Section XI, Subsection IWL.

OPERATING NUCLEAR STATION(S)

S VisualExamination(s):

g(r.ueA

_.14-

.TMZAA) P72. e4,Lts47'z)r SAAM Repair/Replacement:

Modification(s):

S Periodic test(s):

MANUFACTURING, CONSTRUCTION, FABRICATION OR INSTALLATION Visual Examination(s); SuemM ul' g7Lb" MA'V r-sAjSU M0s 7nuYD&4)

Dimens~ional verification:

• u9eT Qe&Ar f rq n.)

E-)UaJ T *.xTrAU.*AT,*4':

rx Hou I

7~r WI/'Pr L4TAM The above also meets the following Level II PSC Procedure VTIC(3C.CERT requirement

-y-High School Graduate. I year Two Year Associate Degree. 6 months Four Year College Degree. 3 months Completed by (Candidate):

1.

I/.

,/

0 (b)(6)

,:,iDate Social Security Number:

(D Verified and Accepted by:

(PSC Level II VT-IC/3,/xaminer)

Date VTIC3C.FORMS L1 CRAt

PSC PROCEDURE VTIC/3C.CERT CERTIFICATION OF EXAMINERS EXHIBIT F PAGE 2 OF 2 APRIL 26, 1999 REVISION 0 REVISION 1, 4/28/99 REVISION 2, 7/6/99 LEVEL II RECORD OF EXPERIENCE WORK EXPERIENCE RESUME Name:)&&U (Last Name)

(First)

(Middle Initial)

COMPANY & LOCATION RESPONSIBILITIES FROM:

Ole__

TO:

,IjvsP1cr-,,,A OF s) PS ~

PALi~'4 Sf6$ -rz&.41-A taEL11AJ4, ELIO-cTRkCAt iuf'f-rK~gelu-Ani#d monwic,-wri~tis. 6Or4crre-, gyp, AgSLOA FROM:

i/.94 AaftQRS TO:

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t;Xr,6Lo*

dI&,Adb. 2' FROM:

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!*l FROM:

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Signature/Date I

VTMCOC.FORMS A r.4-qNOV j4eW.&C

PPL Inter-Office Correspondence PTN.ENG-01-0037 To; File Do,,; FEB 21 2001 Dewtmwrw. PTN Engineering From:

E. A. McGuffie Subject Turkey Point Units 3 & 4 Review of QC Inspector Qualificatlon and Certification The purpose of this letter Is to document the review and approval of the quailflcatton and certification of PriCe Corporation (PSC) QC Inspector Kevin F. Fuqua, Social Security Number*j' JMr. Fuqua will perform visual examinations VT-1, VT-IC and VT-3C of Turkey Point containment structures during the 301 year containment concrete and tendon in-service inspection.

The documents to be reviewed consist of:

PSC Document 'Review of VT Certification Documentso PSC Document 'Certificate of Qualification" FPL Document "Nuclear Engineering Certificate of NDE Personnel Qualification'.

Prepared by:.

Approved by:

Accepted by:

Plant EngineesGi/,'

FPL Responsible Engineer for IWL ANII (I

Date-0 Date:

=1 1o/

Date:

Z

,o,

Attachment:

PSC Document *Review of VT Certification Documents" PSC Document *Certificate of Qualification' FPL Document 'Nuclear Engineering Certificate of NDE Personnel Qualification'.

cc: PSC K. F. Fuqua ANII File

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PERSONNEL QUAUFICATION & CERTFICATION

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II II n nc Pap 24 of 25I NUCLEAR ENGINEERING CERTIFICATE OF NOE PERSONNEL QUAUFICATION

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-PSC Fomerly, anryco Surveillance QUALIFICATION OF QUALITY CONTROL INSPECTORS-PROC.

QA 2.1o.6.1.1.

CERTIFICATION FORK A 2.10.L6.1.1. B.

CERTIFICATE OF QUALIFICATION This is to certify that V##)JIEL F'.o'1164A ssY ý(b)(6) has been qualified through on-the-job experience and formal training to meet the requirements of ANSI N45.2.6-1973 and 1978 as:

QUALIM CONTROL INSPECTOR LEVEL l with the following limitations derIFtE r-ye 4" s'*c:rF e

F tor. TCOF

.f, J7 I *; ¢0 0fPJS0 eriAE'V,

~AA1 e~t103gAT80lAJV, This certification will qualify the named individual to perform quality control inspections, examinations and testing for the various manufact-ured products or services. supplied, to meet the requirements of the projects for the Precision Surveillance Corporation and within the limitations of this qualification.

This qualification becomes effective i" 1!99-and shall remain in effect until the recertification date of D-Z'7-P2.

or until such time that the named individual leaves the employment of PSC, gives just cause for termination of the certification or requires additional training to maintain a proper Quality Control disposition.

r: y~

Physical Requirements: Exam Date,2-IL-90 to eye Exam Date

.i47--9t to Exm Date 4I-00 to e Il Z-l-9',

by..*,

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Quality Control Inspector Level

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PSC Formedy Siryco Sumr we QUALIFICATION OF QUALITY CONTROL IISPRCTORS-PROC.

QA 2.10.6.1.1.

PEFORMANCE EVALUATION FORK QA 2.10.6.1.1.A.

( )

P 0

WREANCR EVALUATION FOR QUALITY CONTROL XISPICTORS To be performed at periodic intervals not to exceed three years.

This evaluation shall constitute continuation of certification p_

Aj'f QA

~I(TY 6

,goL. lAj~fF5M j.ý~&EVL.

Jr This is to certify that the performance of Quality Control Inspector Level VMS. lpqjl(

- A 'jjgWq Social Security No.

4(b)(6) has been evaluated by the tndersigned on this date Performance is evaluated as follows:

SMErdr~

!%OLf*eA~tWTS' AIDI,rgeG OF ihyh1)Lus0uet er ryeo p.*T-7rM~AI SWEAW% AT AJu LM~Le Foos4X PL*AdAA31

• T~fa efl t 4vA L-r erk4rpA enytri&3(

A -f 914 FP P$16 1-Aje C VA I UtjI10 A 3 rFerformance is satisfactory.

Performance is unsatisfactory and requires additional training in the following areas:

This individual has been removed from inspection, examination and testing activities effective 0)d J

.A signed:

2,y* " 50"JA*Cýe%.

Date:

2/'

Title:

W, eA.,.

a e-. YE'M:72.1 Approved:

'? Z.4-744eLý Date:

2-Ic Manager, Quality Assurance

( )

• This document shall be placed into the certification file for the Inspector being evaluated.

0025Q 1033N

SPSC Formerly Inryco Sur'v*lanc PHYSICAL TiSINC OF INSPBCTORS-PROC.

QA 2.10.6.1.1.1.

PHYSICAL TESTINI FORK OA 2.10.6.1.1.1 Name~~P 020ia

%We'Mi Title 12 IA(,ArT je

1. PHYicAl. giKRcTnIISTICS Date 1-12[*o P0 Retest Date 1-I2--OL-Wears Glasses No w,

II

2. VIUAM TAR RANGE Teat Device

~.71.3 5W-101 Mb i(b)(6)

Test.

Deic 1301 lo I r*

fbVISUAL HEAR BANOR Toni Bo (b)(6)

Score shall not be less than 10 to be acceptable for perception.

Cguments

)A*

5.

OMLaLL RATNG Capability 0)O.JiqEM. A!(EPTý OILIry Examiner 0028Q Title

'm A 0 ~A A,

Date PYL-01o

PSCORPORAT PeIso SuvilacCoorto348WtrgS.

Precision Surveillance Corporation 3468 Watling St East Chicago, IN 48312 219-397-5826 P.O. Box 3021

.. Munster, IN 46321 4

QUALITY ASSURANCE DOCUMENTATION OF CERTIFICATION Daniel P.

O'Shea Page 1 of 2 Daniel P. O'Shea (b)(6)

~URITY NUMBER:

A B.

NIAME:~

SOCIAL SEC C

CITIZEN:. U.S.A.

D.

2QSITIL. Level II Quality Control Inspector per ANSI N45.2.6-1978 for all aspects of Post Tensioning Inspection and Calibration.

E.

EDUCATION:

Ottawa Township High School Graduate 1975 F.*

WORK EXPERIENCEA:

1i975 1978 Sierra Keterc PA.Paiptapt Parto bnde J-_

.1

• 9 :;9 1:985 lzkror ta Fitters zaoa4-43 --

1986 -

1989 1986 & 1990 1990 -

1991 Diversifoam Products Fabrication Department Inryco & PSC Tendon Surveillance Field Work PSC Level I Inspector (5/90 -

6/91) 3yrs.

7mos.

lyr.

G.

JUSTIFICATION FOR OUALIFICATION:

ANSI N45.2.6 -

1978Property "ANSI code" (as page type) with input value "ANSI N45.2.6 -</br></br>1978" contains invalid characters or is incomplete and therefore can cause unexpected results during a query or annotation process. Section 3.5.2(1)

Level II One year of satisfactory performance as Level I in the corresponding inspection, examination or test category or class, and A.

Specific

testing, training and on-the-job participation for Post Tensioning Inspection and Calibration.

qacert.dpo

PSC Preciaion Burvellano.e oporatlon QUALITY ASSURANCE DOCUMENTATION OF CERTIFICATION Daniel P. O'Shea Page 2 of 2 H.

NUCLEAR JOBSITE ACTIVITY:

The person named in this certification has been involved in various quality assurance and/or quality control activities at the following nuclear jobsites:

Wolf Creek -

KG&E V.C. Summer - SCE&G Braidwood -

CECo Palisades - Consumers Power I.

TRANIG

1.

On the job training in Tendon Surveillance operations and Q.C.

Hold Points at the Wolf Creek and V.C.

Summer jobsites in and 1990 by Connie Brooks.

Training documented.

2.

Classroom training Indoctrination for 10CFR21,

10CFR50, Append.B, NRC Form 3, Reg Guide 1.35 and PSC QA Program on 5/22/90 by Connie

Brooks, Level III.

Training documented.

3.

On-The-Job training in wire buttonhead inspection and use of inspection gauges by Connie Brooks, Level III on 5/30/90.

Training documented.

4.

On-The-Job training 9/11/90 through 9/26/90 in in-service inspections at the Braidwood site by Connie Brooks, Level III and Bill Carter, Level II.

Training documented.

5.

On-The-Job training 9/27/90 through 10/11/90 in pressure

?auge calibration verification and tendon wire removal at the Palisades site by Connie Brooks, Level III.

Training documented.

6.

On-The-Job training and written exam on 10/30/90 on wire corrosion evaluation, by Connie

Brooks, Level III.

Training documented.

Reviewed and Approved:

£/3/Pi Harry F. Hendrickson Mana ger, Quality Assurance Level III qacert.dpo

" r CERTIFICATION OF VT EXAMINERS APRIL 26, 1999 PAGE l OF I REVIEW OF VT CERTIFICATION DOCUMENTS NAME: ;a!.l.f'.-

P. oYMCA DATE: 4L 1701n COMPANY:

Ps'd METHOD VT-i VT-IC VT-3C OTHER.

CERTIFICATION LEVL CERTIFICATION DATE RE-CERT DUE

-EDUCATION/ EXPERIENCE EVIDENCE OF CURRENT EXAM k

it o k OTHER SUITABLE EVIDENCE OF QUALIFICATION vie o_

_0/(

COMOSITE GRADE OR EVIDENCE OF GRADE O_

o_

e LEVEL IMI SIGNATURE EYE EXAM EXAM DATE: 1)

EXAM DUE:

I-X*'-1-'Z.#-oo

2)

-',o

.o

3)

I-Xe 6-l,.ez CERTIFIED IN ACCORDANCE WITH - ASME SEC XI: YES *

/No.,_"

RESTRICTONS:

" *bT I d tf;fl.J'.o

, ffl i)

PSC Mgr., Q.A.,

re Af)..+,

.2-"""

WFITORMS

,LvFORMS A10 dM(*r,'*ejA

"m PSC PROCEDURE VTL.CERT CERTIFICATION OF EXAMINERS EXHIBIT A APRIL 26, 1999 PAGE 1 OF 1 LEVEL II CERTIFICATION RECORD Name:

?/9A~IlJt-PA 0 ý9Ný,

Certification Date*:______

Social Security Number:

__b_ _

Visual Method:

V1" I Certification Level:

• il 1 ee(*j aet# o4 '.,,rilyrr TA'4r P nite7D dloto Level H 0aL Date:

4~7 Speacifi:

7, Date:

Practical:

9 87 D Date:

i;,

Composite:

59 Date:

a.

(The composite grade shall be an equally weighted average of all applicable examination grndes for each category.)

Tminin2 CoMe Co=Lnetfd TyeGiven By Location Hours Da~te Instructor Genera FSd ps

ý t,,ZOLp

e. 1100.4 We certify that the above named employee meets all of the qualification requirements of the PSC Procedure VTl.CERT for certification/recertification as a YT-i C(w~vwP

, Level -_0 This certificate expires after 1.30.7,00?-

Approval Signature: &

i0 z

ý 4

PSC Level IIIVT-lEx~finerX VTI.FORMS 011Mg.~~1 dfa*J74,f

.4.

PSC PROCEDURE VTI.CERT CERTIFICATION OF EXAMINERS EXHIBIT D APRIL 26, 1999 PAGE 1 OF I REVISION 0 REVISION 1, 4/28/99 REVISISON2,7/6/99 ANNUAL REVIEW RECORD (b)(6)

Name: 1A4',tL P_ o l.W Social Security Number:

Categories:

Y=

Level-,

Certification Expires Aer:

PSC Level 1 VT-N Examiner Signature:

AR DATE NEW VER DA DETAILED CCV GE2NERSL CCV

..-.. "."o V'I-ou

/

Level MII Evaluation (Enter C or S)

Level III Acceptance Signature l

Remarks:PI AR DATE NEW VER DATME DETAILEDCCV GENERALCCV LeveiLIE*iluon (Enter C or S)

Level IIl Acceptance Signature

AtZ' AR DATE

, NEW VER DATE DETAILED CCV GENERAL CCV Level III Evaluation (Entr,Cor S)

-1_

Level IMI Acceptance Signature Remarks:

_A AR DATE NEW VER DATE DETAILED CCV GENERAL CCV Level m Evaluation (Enter C or S)

Level m Acceptance Signature MM/_

Remarks:

_I ARDATE NEW VER DATE DETAILED CCV GENERAL CCV Level MI Evaluation (Enter C or 8)______

Level M Acptance Signature AR.

Annual Review due date (i.e., Csent Vision Examination date phis I year)

VER New Vision Examination Record date (ie., Date of the new eye examination)

CCV:

Continued Certification Verification date (le., Level I VT-I examiner approval date of visual examination activities used for continued certification purpose)

C:

The requirements for maintaining the certification have been met because the new VER and CCV dates are within I year prior to t AR date.

S:

The requirements for maintaining the certification have not been met because the new VER and/or CCV dates are not within I year prior to the AR date. A -Te Record For Eliminating Suspension of Certification" must be completed to reistate the vvisal examination cerificaton.

2VMYFQRMS A

11-JOB n.fA~

PSC PROCEDURE VTICI3CCERT CERTIFCATION OF EXAMINERS EXHIBIT A APRIL 26, 1999 PAGE I OF I ID LEVEL II CERTIFICATION RECOR T I *......

T T--*

Name:

1)AAIWrL P. 0 !F#E&?

Cerification Date:

II..60 fl Social Security Number:

j (b)(6)

Visual Metho&k VT-14131 Certification Level:

Examination Grades:

Level II General:

70 7e5 M -

-- T Specific:

g6 70 Date:

Practical:

3 "7 76 Daw:

'/-1o-Composite:

Date (The composite grade shall be an equally weighted avenage of all applicable examination grades for each category.)

Training Commses Coumleted Type Given By Location Hours Date Instructor IGenieral I

Fd I

P.%ý 7

le.Z-9 IOL61 Specific d

uVa y-w

. 1130 Practical Pd, Holy" We certify that the above named employee meet all of theq.ali.cation requirements of the PSC Procedure VTlC13C.CERT for certificationrecertifcationas a a

-f

-g

,Level

=0 This certificate expires after

&t-30-AOO?-

Approval Signature:

m

/

PSC LevelM T-0CEpne vrI0cC.FORMS AA CfIf, rf4

• O jr

PSC PROCEDURE VT1CI3C.CERT CERTIFICATION OF EXAMINERS EXHIBIT D APRIL 26, 1999 PAGE I OF I REVISION 0 REVISION 1, 428/99 REVISION 2, 7/6/99 ANNUAL REVIEW RECORD Name:

I&,#1.,,E-P.

P. U-Social Security Number.(b)(6)

Categories:

'tIr' C/13 Level:

'=

Certificatipn Eires xpires PSC Level III VT-lC/3C miner Signature: A V 7-=

A-4 v

=

m v'r- 09 sI/r-']d AR DATE NEW VER DATE DETAILED CCV G__

__.CV, Lvel I Evaluation (Enter C or S)

L"&'-

Remarks:

i-atur/

AR DATE NEW VER DATE DETAILED CCV GENERAL CCV Z.-~

~

l a

"tit-c AM*A

/

Level III Evaluation (Enter C or S 1 -0)

Level III Acceptance Signature A)i,.a~

Remarks:

AR DATE I NEW VER DATE-DETAILED CCV GENERAL CCV Level MI Evaluation (Enter C or S)_______

Level MI Acceptance Signature______

ARDATE NEW VER DATE DETAILED CCV GENERAL CCV Level Ill Evaluation (Enter C or S)

Level HII Acceptance Signature.

Remarks_

AR DATE NEW VER DATE DETAILED CCV GENERAL CCV Level M Evaluation (Enter C or S)

Level Il Acceptance Signature._

Remarks:

ARI Annual Review due date (i.e., Current Vision Examination date plus I year)

VER:

New Vision Examination Record date (i.e., Date of the new eye examination)

CCV:

Continued Certification Verification date (Le., Level III VT-I C3C exminer approval date of visual examination activities used for contnued certification purpose)

C:

The requirements for maintaining the certification have been met because the new VER and CCV dates are within I year prior to the AR date.

S:

The repurements for maintaining the certification have not been met because the new VER and/or CCV dates are not within I year prior to the AR date. A "Testing Reord For Eliminating Suspension of Certification" must be completed to reinstat6 the visual examination certification.

• Vl C3C.FORMSO

'0

PSC PROCEDURE VTI.CERT CERTIICATION OF EXAMINERS EXHIBIT C APRIL 26, 1999 PAGE 1 OF 1 REVISION 0 REVISION 1, 4/28/99 REVISION 2,7/6(99 CONTINE CERTnCA7ION. -,VEICATION Nan

, i*i, (b)(6)

Na 01a 0r4#CA SocivlSecurity Number Crtcation

Title:

(Review Due Dat Activity Activity Date:.Lz-z!C-on)

Activity Activity rdoaddC Ar f4aew LAL Date:

Deacption!.

Activity Activity Date:

Activity Activity Date: _________

Activity Activity_______

Date:_______

==

Description:==

Activity Activity_______

Date:

I_________

==

Description:==

Activity Activity Date: ___________

Descipboim Signature (Level II):

Date:

"-,/

Apprval Signature (Level RI:

2 Date:4V 2VTl.FORMS

~#

~

PSC PROCEDURE VTlC13C.CERT CERTIFICATION OF EXAMINERS EXHIBIT C APRIL 26, 1999 PAGE I OF 1 REWSION 0 REVISION 1,4/2/99 REVISION 2,7/6/99 CON ER AION wVRn*CA 'TfO I(b)(6)

Name:

24A#),

~

0 1//

Social Securty Number:

Crtfication Title.:

3C L.l r

ReviewDueDate:

2.JO/

Activity Activity Qga'A jrr

.RA

,.Z-Decuription:

iw~~~

1AW Ihh24 amwl-Activity Activity

)AAV.XA

ý W~w,- -7=7 Date:

Descriptio=n-:

AX &&aW&AeA&

Activity ActivityZ AVjea&,W&

Date:

Decipin F-,-u'

==

Description:==

Ad &-4m.

Activity Activity.

Date:

==

Description:==

X Actvity Activity Dlate:_______

==

Description:==

Activity Activity

• Date:__

==

Description:==

Activity Activity Date:

==

Description:==

Signature (Level U)-

Date:

Approval Signature (Level I11):

~VDate:

for VTICC.FORMS

PSC PROCEDURE VTI.CERT CERTIFICATION OF EXAMINERS EXHIBIT C APRIL 26, 1999 PAGE 1 OF I REVISION 0 REVISION 1, 4/28/99 REVISION 2, 7/6/99 CONTINUED CERTIFICATION VEIICATION J(b)(6)

Name: O2 WAMML ~? 20T~f&

Social Security Number:___________

Certification

Title:

V 7" V-Z&,,z-.

Review Due Date:

/

Activity Activity rf 411zXw Date:

==

Description:==

Activity Activity Date:

==

Description:==

r.pZ-ryw Activity Activity Date:

==

Description:==

Activity Activity Date:

Description; Activity Activity Date:

==

Description:==

Activity Activity Date:

Descrptiwon:

Activity Activity________

Date: ___________

==

Description:==

Activity Activity_______

Date:________

==

Description:==

.Date-...

Signature (Level II):

at:

,-:-11 Approval Signature gevel II): 4142 e41 At Date:

L (s.o/

I PSC PROCEDURE VTI.CERT CERTIFICATION OF EXAMINERS EXHIBIT E APRIL 26, 1999 PAGE 1 OF I REVISION 0 REVISION 1, 4/28/99 REVISION 2,7/6/99 TESTING RECORD FOR ELMINATMNO SUSPENSION OF CERTIFICATION Name:

YA/ CL P..0'HP40 Certification Tide: yr /

L.evt

/(b)(6)

Social Security Nuber Review Due Date:

m I

Description of Activity Performed U

PI Ios c

Date of Activity:

I - I -00 Score (IftAny): _

__ 4.

I verify that the requirements for eliminating supension of certification have been met.

Signed (Level III):,

A Daft:_________

(.

.a zvTL.FORMS

%C.?T No dm*W.4 I

A

~

NU c~MAUG(

L

PSC PROCEDURE VTCIC3C.CERT CERTIFICATION OF EXAMINERS EXHIBIT C APRIL 26, 1999 PAGE 1 OF 1 REVISION 0 REVISION 1, 4/28/99 REVISION 2, 7/6/99 CON~M.W D CERTIICAn*0N VERnF*CAKO 7(b)

(6)

Narne:

SVAa,11ry d4&-

Social Security Number.

Certification

Title:

V T/C/.4-A'vdi.'2 - Review Due Date:

Activity Activity

~

A~

7J Date:

f'9 Dcscfiptiwn;.

&"7p~

i,vIr/ 0$

,-E'T*7 Activity Activity

,9A/)

rA D ate:

D escription:

. & Cf 1 A t '

m

, l, A, -

Activity Activity Date:

==

Description:==

Activity Activity Date:

==

Description:==

Activity Activity Date:

==

Description:==

Activity Activity Date:

==

Description:==

Activity Activity Date:

==

Description:==

Activity Activity Date:

==

Description:==

Signature (LeveliI:

Date.

/-'4L-4t Approval Signature (Levl Iii 414 ae:

I&

• 104, VnC3C.FORMS AN I'C-AN"A'

PSC PROCEDURE VT1C/3C.CERT CERTIFICATION OF EXAMINERS EXHIBIT E APRIL 26, 1999 PAGE 1 OF 1 REVISION 0 REVISION 1, 4/28/99 REVISION 2,7/6/99 TYsflNp RECORD FOR ELIMINATING SUSPENSION OF CERTIFICATION Namne:

J'AJcL.P i'e9 SocilaISecurity Numba:

Cetification

Title:

V7-ITI 1L.VL. i Review Due Date:

5-o Description of Activity Perfotmed:

3PtuA a'

0YEN po't

"' 'le*"

• cAsr ON "2

-I.19o Date of Activity:

2.-_ '

Score (If Any):

I verify that the requirements for eliminating suspension of certification have been met SignedC(Level111):

Date:

C-I 00 MOrC3CORMS Ale ano"W

PROFESSIONAL

SUMMARY

A.

Q DANIEL O'SI-EA B.

QUALITY CONTROL INSPECTOR Responsible for performance of all quality control activities.

C.

EDUCAION (b)(6)

D.

WORK EXPERIENCE 1989 - Present -

Precision Surveillance Corporation - Quality Control for surveillance of Post-Tensioning Systems 1986 - 1989 Diversifoam Products - Fabrication Department 1975 - 1986 General Construction Worker Eý NUCLEAR SUR( EILLANCE ACTI'ITY L

Responsible for the quality control activilies at the following nuclear pojecisforpost-tensioning system:

Braidwood - CECo Palisades Consumers Power Co.

Calvert Cliffs - BG&E Fort Calhoun - OPPD Wolf Creek - WCNOC LaSalle - CECo Darlington - Ontario Hydro Millstone - Northeast Utilities Callawa - Union Electric Brunswick CPL

2.

Perform operation activities on the following nudear projects for post-tensioning systems:

V. C. Summer - SCE&G Arkansas Nuclear One - AP&L Wolf Creek - WCNOC (1986)

S PSC PROCEDURE VTI.CERT CERTIFICATION OF EXAMINERS EXHIBIT F APRIL 26, 1999 PAGE 1 OF 2 Ravwlae I, flu"Y LEEL H RECORD OF EXERIENCE (Orms I"A~ 201a hasM worked~s#

atM.

-J/-

"Location Since I-to date.

During that time he/she has participated in the following activities which involve visual examinations similar to the Visual inspection VT-I examination required by ASME,Section XI, Subsection IWL OPERATING NUCLEAR STATION(S)

Visual Ex mnton(s):.

i,.

Aj*,*

w*=.La

,4,, Ae,'

,R,,a*Ifr/eplacement* &a*

&9,p,*

Airh

a.

d v-g, asa-S

-aifj..#.

Periodic test(s):

MANUFACTURIUG, CONSTRUCTION, FABRICATION OR INSTALLATION Visual Examoination(s): &&4rj&Wm&

u&gS A,,

ý/Ag MZ w

&f.

,ek

• 4.71ddar*

Dimensional verification_

The above also meets the following Level 1 PSC Procedure VTl.CERT requirement

- 4~Z High School Graduate. 1 year Two Yea Associate Degree. 6 months

-Four Year College Degree. 3 months Completed by (Candidate).

4#nAjp-1.0 1F, Social Security Nun.be(

Date Verified and Accepted by:

(PSC I evii M VT-I 4mineu)

Date Vii.FORMS

• y

PSC PROCEDURE VTL.CERT CERTIFICATION OF EXAMINERS EXHIBIT F PAGE 2 OF 2 APRIL 26,1999

,..x ftvuYEWSiw N

irtI"'4' LEVEL 11 RECORD OF EXPERIEN(

WORK EXPERIENCE RESUME tjl*

Name:

(ListName)

(First)

(Middle Initial)

COMPANY & LOCATION RESPONSIBILITIES F R O M :

f" g 0pf

. * -*..d

• t = m * "... ; c m., a TO:

-mwcwA.2

&,lg

-xr--

FROM:

TO:

FROM:

FROM:

TOM:

Signatm ate VITFORMS 4L Y-npy pg 0"4owW4 A4 m