ML11178A033

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2011 Inservice Inspection Summary Report
ML11178A033
Person / Time
Site: Kewaunee Dominion icon.png
Issue date: 06/13/2011
From: Scace S
Dominion, Dominion Energy Kewaunee
To:
Document Control Desk, Office of Nuclear Reactor Regulation
References
11-222
Download: ML11178A033 (34)
v • d • e


Text

Dominion Energy Kewaunee, Inc.

N490 Highway 42, Kewaunee, WI 54216-9511 4 JUN 13 2011 U. S. Nuclear Regulatory Commission Serial No.11-222 Attention: Document Control Desk KPS/LIC/JG: R1 Washington, DC 20555 Docket No. 50-305 License No. DPR-43 DOMINION ENERGY KEWAUNEE, INC.

KEWAUNEE POWER STATION 2011 INSERVICE INSPECTION

SUMMARY

REPORT As required by American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code Section XI, 10 CFR 50.55a, and Wisconsin Administrative Code, Department of Commerce, Comm 41.55(3), various inservice inspection (ISI) examinations were performed during the 2011 refueling outage at the Kewaunee Power Station (KPS). The refueling outage took place from February 26, 2011 through March 26, 2011. This letter transmits the ISI Report as required by paragraph IWA-6230 of ASME Section Xl. IS3 activities performed at KPS during the period between November 17, 2010 and February 25, 2011 are also covered by this report.

Two separate ASME Section XI ISI programs are implemented at KPS. One program is for pressure retaining piping/vessels and component supports, and the other program is for the metal containment (MC). The 2011 refueling outage inservice inspections met the requirements of these two distinct inspection program intervals as listed below:

a. Class 1, Class 2, and Class 3 component inspections were performed for the first inspection outage of the third period of the fourth interval. These inspections met the requirements of ASME Boiler and Pressure Vessel Code Section Xl, 1998 Edition, 2000 Addenda with implementation in accordance with the KPS Fourth Ten-Year ISI Program 2004-2014.
b. Class MC component inspections were performed for the first inspection outage of the second period of the second interval. These inspections met the requirements of ASME Boiler and Pressure Vessel Code Section X1, 2001 Edition, 2003 Addenda with implementation in accordance with the KPS Second Ten-Year ISI Class MC Program 2006-2016.

The following examinations and tests were performed for Class 1, Class 2, and Class 3 components and their supports:

  • Reactor vessel closure head bare metal
  • Reactor vessel closure head control rod drive mechanisms
  • Reactor vessel closure head studs, nuts and washers
  • Reactor vessel bottom mounted instrumentation 4 Q,"

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Serial No.11-222 Page 2 of 3

" Pressurizer nozzle inner radius and pressurizer heater penetrations

" Reactor coolant pump main flange bolting and No. 1 seal housing bolting

" Class 1, Class 2, and Class 3 piping and component supports and hangers

  • Class 1 valves

" Class 2 preservice of containment spray piping and supports

" Class 2 safety injection pumps integrally welded attachments

" Class 1 system leakage test

" Class 2 and Class 3 system leakage tests

  • Steam generator 1A and 1B tubing eddy current examinations The following items were examined for the Class MC reactor building containment vessel:
  • Accessible surface areas

" Moisture barriers

" Bolted connections Hydraulic snubbers were examined as required by the KPS Snubber Program.

Documentation summarizing the ISI activities performed during the KPS 2011 refueling outage and associated results is provided in Attachments 1-6 of this letter. The final reports for each of these examinations are maintained in the Quality Assurance/Quality Control Records Vault at KPS. provides additional "Form NIS-2 Owner's Report For Repair/Replacement Activity" (5 total) that were inadvertently omitted from the 2008 and 2009 ISI Summary Reports (references 1 and 2).

The next refueling outage at KPS is tentatively scheduled for the Spring of 2012.

If you have questions or require additional information, please feel free to contact Mr. Jack Gadzala at (920) 388-8604.

Very truly yours,

/Steph kcace Site Vice President Kewaunee Power Station

Serial No.11-222 Page 3 of 3

References:

1. Letter from Gerald T. Bischof (DEK) to Document Control Desk (NRC), "2008 Inservice Inspection Summary Report," dated July 29, 2008 [ADAMS Accession No. ML082180656].
2. Letter from J. Alan Price (DEK) to Document Control Desk (NRC), "2009 Inservice Inspection Summary Report," dated January 4, 2010 [ADAMS Accession No. ML100070554].

Attachments:

1. Summary of Relevant Conditions and Disposition.
2. Examination Summary for Class 1, Class 2, and Class 3 Inservice Inspection Program for Fourth Ten-Year Interval.
3. Examination Summary for Class MC Inservice Inspection Program for Second Ten-Year Interval.
4. Examination Summary for Steam Generator Tubing Eddy Current Examinations.
5. Summary of Examinations that were Limited by Geometric, Metallurgical, or Design/Access Restrictions (30 Total).
6. Form OAR-1 Owner's Activity Report; Table 1 Items with Flaws or Relevant Conditions that Required Evaluation for Continued Service; Table 2 Abstract of Repair/

Replacement Activities Required for Continued Service.

7. 2008 and 2009 Inservice Summary Reports Additional "Form NIS-2 Owner's Report for Repair/Replacement Activity" (5 Total).

Commitments made by this letter: NONE cc: Regional Administrator U. S. Nuclear Regulatory Commission Region III 2443 Warrenville Road Suite 210 Lisle, Illinois 60532-4352 Mr. K. D. Feintuch Project Manager U.S. Nuclear Regulatory Commission One White Flint North, Mail Stop 08-H4A 11555 Rockville Pike Rockville, MD 20852-2738 NRC Senior Resident Inspector Kewaunee Power Station

Serial No.11-222 ATTACHMENT 1 2011 INSERVICE INSPECTION

SUMMARY

REPORT

SUMMARY

OF RELEVANT CONDITIONS AND DISPOSITION KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.

Serial No.11-222 Docket No. 50-305 Attachment 1 Page 1 of 1

SUMMARY

OF RELEVANT CONDITIONS AND DISPOSITION Type or Location of Examination No. of Relevant Relevant Conditions Method Conditions (Description)

1. Valve Bonnet Bolting, Reactor Visual 5 (Items)

Coolant Pump Bolting and (VT-1, VT-3)

Flange Bolting

2. System Leakage Pressure Tests Visual (VT-2) 17 (Items)

Dispositioning of Class 1, Class 2, and Class 3 relevant conditions has been completed in accordance with the rules of American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code Section XI, 1998 Edition, 2000 Addenda for Fourth Ten-Year Interval examinations. Dispositioning of Class MC relevant conditions has been completed in accordance with the rules of ASME Boiler and Pressure Vessel Code Section Xl, 2001 Edition, 2003 Addenda for Second Ten-Year Interval examinations. Applicable codes, standards, and engineering criteria were used to disposition indications associated with the non-code-required examinations. Relevant conditions for Class 1, Class 2, Class 3, and Class MC components have been summarized with disposition as noted below:

1. Visual (VT-1, VT-3) relevant conditions recorded on valve bonnet bolting (two valves), reactor coolant pump bolting (main flange and No. 1 seal housing bolting),

flange bolting (one flange) were (1) evaluated and accepted, or (2) corrected, reexamined, and accepted by Kewaunee Power Station (KPS) Engineering or Inservice Inspection (ISI) personnel. All dispositioned relevant conditions were reviewed by the Authorized Nuclear Inservice Inspector.

2. Visual (VT-2) relevant conditions recorded during system leakage pressure tests (17 items) were evaluated and accepted by KPS Engineering or ISI personnel. All dispositioned relevant conditions were reviewed by the Authorized Nuclear Inservice Inspector.

Serial No.11-222 ATTACHMENT 2 2011 INSERVICE INSPECTION

SUMMARY

REPORT EXAMINATION

SUMMARY

FOR CLASS 1, CLASS 2, AND CLASS 3 INSERVICE INSPECTION PROGRAM FOR FOURTH TEN-YEAR INTERVAL KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.

KEWAUNEE POWER STATION 4TH INTERVAL: 3RD PERIOD: 1ST OUTAGE 2011 EXAMINATION

SUMMARY

INTRODUCTION An Inservice Inspection (ISI) Program (Scheduled and Augmented) was performed at the Kewaunee Power Station from November 17, 2010 through February 25, 2011 (Non Refueling Outage) and from February 26, 2011 through March 26, 2011 (Closing of GI following Refueling Outage) by Kewaunee Power Station, Lambert, MacGill, and Thomas, Inc.(LMT Inc.)

and ITLS examination personnel.

Examinations were performed to satisfy the requirements of:

  • ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 Addenda

" Westinghouse NASL-06-8: Pressurizer Heater Sleeve Cracking The Inservice Inspection Program Plan and Augmented Inspection Program Plan located under Tab C were prepared by Kewaunee Power Station for the 4th Interval: 3rd Period: 1st Outage as identified in the Kewaunee Power Station Fourth 10-Year Inservice Inspection (ISI) Program 2004 - 2014. Examinations during this Refueling Outage were performed to commence 4th Interval; 3rd Period Examination Requirements of ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 Addenda and Kewaunee Power Station Fourth 10-Year Inservice Inspection (ISI) Program 2004-2014.

The following items were examined:

" Reactor Vessel Closure Head Bare Metal

" Reactor Vessel Closure Head Control Rod Drive Mechanisms

" Reactor Vessel Closure Head Studs, Nuts and Washers

" Reactor Vessel Bottom Mounted Instrumentation

" Steam Generator Nozzle Inner Radius

" Pressurizer Nozzle Inner Radius and Pressurizer Heater Penetrations

" Reactor Coolant Pump Main Flange Bolting and No. 1 Seal Housing Bolting

" Class 1, Class 2 and Class 3 Piping and Component Supports and Hangers

" Class I Valves

" Class 1 and Class 2 Steam Generator Primary Manway Bolting, Pressurizer Manway Bolting, Flange Bolting and Valve Bonnet Bolting Page 1 of 3

" Class 2 Preservice of Auxiliary Feedwater Piping and Supports

" Class 2 Preservice of Containment Spray Piping and Supports

" Class 2 Safety Injection Pumps Integrally Welded Attachments

" Class 1 System Leakage Test

" Class 2 and Class 3 System Leakage Tests EXAMINATIONS The examinations performed were in accordance with an approved Inservice Inspection Program Plan located under Tab C of the final report. Examination Procedures were approved prior to the start of examinations and certification documents relative to personnel, equipment and materials were reviewed and determined to be satisfactory.

Some of the arrangements and details of the Kewaunee Power Station Components and Piping Systems were designed and fabricated before ASME Boiler and Pressure Vessel Code Section XI Code requirements were established. Examinations performed were intended to examine 100% of the required surface or volume. In some cases, examinations were limited by geometric, metallurgical or design/access restrictions. In each case, the occurrence and cause of the limitation was documented. In all cases the maximum amount achievable was examined.

Witnessing and surveillance of the examinations were conducted by personnel from: Nuclear Regulatory Commission and Hartford Steam Boiler Inspection and Insurance Company of CT.

RESULTS Examinations resulted with the following Relevant Conditions being noted on the basis of procedure recording criteria.

Relevant Conditions detected during the 2011 Refueling Outage are listed in Table 1 with a brief summary following. Specific data relative to all Relevant Conditions and their dispositions by either corrective measures or acceptance by ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 Addenda Acceptance Criteria or Evaluation are located in Tab F of the Final Report.

Page 2 of 3

TABLE 1 TYPE OR LOCATION OF NO. OF RELEVANT RELEVANT CONDITIONS METHOD CONDITIONS

  • System Leakage Pressure Tests Visual (VT-2) 17 Items
1. Visual (VT-1,VT-3) Relevant Conditions recorded on Valve Bonnet Bolting (2 Valves),

Reactor Coolant Pump Bolting (Main Flange and No. 1 Seal Housing Bolting) and Flange Bolting (1 Flange) were: (1) Evaluated and Accepted or (2) Corrected, Reexamined and Accepted by: Kewaunee Power Station Engineering or Inservice Inspection Personnel and reviewed by the Authorized Nuclear Inservice Inspector.

2. Visual (VT-2) Relevant Conditions recorded during System Leakage Pressure Tests (17 Items) were: (1) Evaluated and Accepted by: Kewaunee Power Station Engineering or Inservice Inspection Personnel and reviewed by the Authorized Nuclear Inservice Inspector.

SUMMARY

An Inservice Inspection Program was performed at the Kewaunee Power Station from November 17, 2010 through February 25, 2011 (Non Refueling Outage) and from February 26, 2011 through March 26, 2011 (Closing of GI following Refueling Outage). Examinations were performed as scheduled in the Kewaunee Power Station Fourth 10-Year Inservice Inspection (ISI) Program 2004 -2014 to commence examinations for the 4th Interval; 3rd Period. A total of 22 Relevant Conditions were detected. All Relevant Conditions were corrected or accepted by ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 Addenda Acceptance Criteria or Evaluation requirements.

Phillip t. Bukes Date Engineering Programs Inservice Inspection Program Owner Page 3 of 3

Serial No.11-222 ATTACHMENT 3 2011 INSERVICE INSPECTION

SUMMARY

REPORT EXAMINATION

SUMMARY

CLASS MC INSERVICE INSPECTION PROGRAM SECOND TEN-YEAR INTERVAL KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.

KEWAUNEE POWER STATION 2ND INTERVAL: 2ND PERIOD: 1ST OUTAGE 2011 EXAMINATION

SUMMARY

INTRODUCTION An Inservice Inspection (ISI) Program for the Class MC Reactor Building Containment Vessel was performed at the Kewaunee Power Station from February 26, 2011 through March 26, 2011 (Closing of GI following Refueling Outage) by Kewaunee Power Station and Lambert, MacGill and Thomas Inc. examination personnel.

Examinations were performed to satisfy the requirements of:

- ASME Boiler and Pressure Vessel Code Section XI 2001 Edition 2003 Addenda The Inservice Inspection Program Plan located under Tab C was prepared by Kewaunee Power Station for the 2nd Interval; 2nd Period; 1st Outage as identified in the Kewaunee Power Station Second 10-Year Inservice Inspection (ISI) Program 2006-2016. Examinations during this Refueling Outage were performed to commence the 2nd Interval, 2nd Period examination requirements of ASME Boiler and Pressure Vessel Code Section XI 2001 Edition 2003 Addenda and Kewaunee Power Station Second 10-Year Inservice Inspection (ISI) Program 2006-2016.

The following items were examined for the Class MC Reactor Building Containment Vessel:

"Accessible Surface Areas "Moisture Barriers "Bolted Connections EXAMINATIONS The examinations performed were in accordance with an approved Inservice Inspection Program Plan located under Tab C of the final report. Examination Procedures were approved prior to the start of examinations and certification documents relative to personnel, equipment and materials were reviewed and determined to be satisfactory.

Page 1 of 2

Some of the arrangements and details of the Kewaunee Power Station Components and Piping Systems were designed and fabricated before ASME Boiler and Pressure Vessel Code Section XI Code requirements were established. Examinations performed were intended to examine 100% of the required surface or volume. In some cases, examinations were limited by geometric, metallurgical or design/access restrictions. In all cases the maximum amount achievable was examined.

Witnessing and surveillance of the examinations were conducted by: Hartford Steam Boiler Inspection and Insurance Company of CT.

RESULTS Examinations resulted with No Relevant Conditions being noted on the basis of procedure recording criteria.

SUMMARY

An Inservice Inspection Program for the Class MC Reactor Building Containment Vessel was performed at the Kewaunee Power Station from February 26, 2011 through March 26, 2011 (Closing of G1 following Refueling Outage). Examinations were performed as scheduled in the Kewaunee Power Station Second 10-Year Inservice Inspection (ISI) Program 2006-2016.

Examinations resulted with No Relevant Conditions being noted on the basis of procedure recording criteria.

LLýZ~oJI Phillip t!. Bukes Date Engineering Programs Inservice Inspection Program Owner Page 2 of 2

Serial No.11-222 ATTACHMENT 4 2011 INSERVICE INSPECTION

SUMMARY

REPORT EXAMINATION

SUMMARY

STEAM GENERATOR TUBING EDDY CURRENT EXAMINATIONS KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.

Kewaunee Power Station Steam Generator Eddy Current Inspection Summary During the Spring 2011 KPS refueling outage, a steam generator inspection in accordance with KPS Technical Specification 5.5.7 was completed for both steam generators lA and lB.

Each of the following was performed in BOTH steam generators 1A and lB

  • 100% Full-Length Inspection utilizing Bobbin Coil
  • 20% Hot Leg Top of Tubesheet (+/- 3") utilizing Rotating Coil
  • 20% Row 1 u-bend region utilizing Rotating Coil
  • Special Interest - 60 locations / SG
  • As Found Bowl Scans
  • Divider Plate Visual Inspection
  • FME Bowl Closeouts No active degradation mechanisms were discovered during the Spring 2011 inspection.

No tubes required plugging or in situ pressure testing during the Spring 2011 inspection.

To date, following the Spring 2011 inspection, there are zero total tubes plugged in both steam generator lA and lB.

Condition Monitoring was completed. Neither steam generator 1A nor lB exceeded any performance criteria during the last inspection cycle (since fall 2006 inspection). No damage mechanisms were required to be evaluated due to the lack of a degradation mechanism being found during the inspection. Steam Generator Operational Assessment from fall 2006 inspection was concluded to be conservative and no corrective actions were required.

There are zero tubes plugged and zero sleeves installed in both steam generator IA and 1B. Therefore, effective plugging is 0% (zero) in both steam generator 1A and lB.

SIJJ 6e /.321 Michael J. B4ckus Date Engineering Programs Steam Generator Program Owner

Serial No.11-222 ATTACHMENT 5 2011 INSERVICE INSPECTION

SUMMARY

REPORT

SUMMARY

OF EXAMINATIONS THAT WERE LIMITED BY GEOMETRIC, METALLURGICAL, OR DESIGN/ACCESS RESTRICTIONS (30 TOTAL)

KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.

Serial No.11-222 Docket No. 50-305 Attachment 5 Page 1 of 3

SUMMARY

OF EXAMINATIONS THAT WERE LIMITED BY GEOMETRIC, METALLURGICAL, OR DESIGN/ACCESS RESTRICTIONS

% Recorded as Not Year Component Identification Examination Examined and Limitation 6.3%

6.3%

2011 Replacement Steam Generator 1A Nozzle Inside Radius Section SG-IR27 UT Integrally Welded Attachment 6.3%

2011 Replacement Steam Generator 1A Nozzle Inside Radius Section SG-IR28 UT Integrally Welded Attachment 25%

2011 Circumferential Pipe Weld AFW-W201 UT Pipe To Valve Weld on 3" Auxiliary Feedwater Configuration 25%

2011 Circumferential Pipe Weld AFW-W202 UT Valve To Pipe Weld on 3" Auxiliary Feedwater Configuration 25%

2011 Circumferential Pipe Weld AFW-W205 UT Pipe To Valve Weld on 3" Auxiliary Feedwater Configuration 25%

2011 Circumferential Pipe Weld AFW-W206 UT Valve To Pipe Weld on 3" Auxiliary Feedwater Configuration 25%

2011 Circumferential Pipe Weld AFW-W214 UT Pipe To Valve Weld on 3" Auxiliary Feedwater Configuration 25%

2011 Circumferential Pipe Weld AFW-W215 UT Valve To Elbow Weld on 3" Auxiliary Feedwater Configuration 25%

2011 Circumferential Pipe Weld AFW-W218 UT Pipe To Valve Weld on 3" Auxiliary Feedwater Configuration 25%

2011 Circumferential Pipe Weld AFW-W219 UT Valve To Elbow Weld on 3" Auxiliary Feedwater Configuration

Serial No.11-222 Docket No. 50-305 Attachment 5 Page 2 of 3

% Recorded as Not Year Component Identification Examination Examined and Limitation 2011 Circumferential Pipe Weld AFW-W221 UT 0%. Valve to Valve on 3" Auxiliary Feedwater Weld Configuration.

25%

2011 Circumferential Pipe Weld AFW-W222 UT Valve To Pipe Weld on 3" Auxiliary Feedwater Configuration 25%

2011 Circumferential Pipe Weld AFW-W233 UT Pipe To Valve Weld on 3" Auxiliary Feedwater Configuration 25%

2011 Circumferential Pipe Weld AFW-W234 UT Valve To Pipe Weld on 3" Auxiliary Feedwater Configuration.

50%

2011 Circumferential Pipe Weld PR-W8 on UT Tee to Pipe Weld 3" Reactor Coolant Configuration 50%

2011 Circumferential Pipe Weld ICS-W183 UT Pipe to Valve Weld on 6" Containment Spray Configuration 50%

2011 Circumferential Pipe Weld ICS-W184 UT Pipe to Valve Weld on 6" Containment Spray Configuration 50%

2011 Circumferential Pipe Weld ICS-W185 UT Pipe to Valve Weld on 6" Containment Spray Configuration 50%

2011 Circumferential Pipe Weld ICS-W186 UT Pipe to Valve Weld on 6" Containment Spray Configuration 50%

2011 Circumferential Pipe Weld ICS-W189 UT Pipe to Valve Weld on 6" Containment Spray Configuration 50%

2011 Circumferential Pipe Weld ICS-W190 UT Pipe to Valve Weld on 6" Containment Spray Configuration

Serial No.11-222 Docket No. 50-305 Attachment 5 Page 3 of 3

% Recorded as Not Year Component Identification Examination Examined and Limitation 50%

2011 Circumferential Pipe Weld ICS-W191 UT Pipe to Valve Weld on 6" Containment Spray Configuration 50%

2011 Circumferential Pipe Weld ICS-W192 UT Pipe to Valve Weld on 6" Containment Spray Configuration 8%

2011 Circumferential Pipe Weld FW-W24 on UT Pipe to Valve Weld 16" Feedwater Configuration 50%

2011 Circumferential Pipe Weld RTD-W81 UT Pipe to Flange Weld on 3" Reactor Coolant Configuration 50%

2011 Circumferential Pipe Weld RTD-W83 UT Pipe to Valve Weld on 3" Reactor Coolant Configuration Circumferential Branch Connection 50%

RC-W3BC on 8" Reactor Coolant Configuration 4.5%

Nozzle To Safe End Weld RC-W78DM 4 - 4.5" x 3.5" 2011 on Steam Generator 1B Hot Leg UT Welded Lugs and Nozzle to Safe End Weld Configuration 4.2%

Nozzle To Safe End Weld RC-W79DM 4 - 4.5" x 3.5" 2011 on Steam Generator 1B Crossover Leg UT Welded Lugs and Nozzle to Safe End Weld Configuration Circumferential Branch Connection 50%

RC-W34BC on 8" Reactor Coolant Configuration

Serial No.11-222 ATTACHMENT 6 2011 INSERVICE INSPECTION

SUMMARY

REPORT FORM OAR-1 OWNER'S ACTIVITY REPORT TABLE 1 ITEMS WITH FLAWS OR RELEVANT CONDITIONS THAT REQUIRED EVALUATION FOR CONTINUED SERVICE TABLE 2 ABSTRACT OF REPAIR/REPLACEMENT ACTIVITIES REQUIRED FOR CONTINUED SERVICE KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.

SD ominio"if Form OAR-1 Owner's Activity Report Report Number: 2011 Refuelinq Outage Class 1, Class 2 and Class 3 Plant Kewaunee Power Station, N490 Hiqhway 42, Kewaunee, Wisconsin 54216-9511 Unit No. No.1 Commercial service date June 16, 1974 Refueling outage no. K1R31 (if applicable)

Current inspection interval 4th (1st, 2 nd, 3 r, 4 t, other)

Current inspection period 3rd (1st, 2 nd 3 rd)

Edition and Addenda of Section XI applicable to the inspection plans 1998 Edition 2000 Addenda Date and revision of inspection plans September 14, 2010 Revision 4 Edition and Addenda of Section XI applicable to repair/replacement activities, if different than the inspection plans Not Applicable Code Cases used: N-460, N-532-4 and N-566-2 (if applicable)

CERTIFICATE OF CONFORMANCE I certify that (a) the statements made in this report are correct; (b) the examinations and tests meet the Inspection Plan as required by the ASME Code,Section XI; and (c) the repair/replacement activities and evaluations supporting the completion of KR31 conform to the requirements of Section XI.

(refueling outage number)

Signed 7ý21 c'/3 MM .**4/, Q J W7UV Date a-PAJA8,1 .1,1 Owner 6r Owner's Designee, Title 1 1 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of W/Sc1USiiJ and employed by HS,6cT7 of CON*crXI,, C0 T have inspected the items described in this Owner's Activity Report, and state that, to the best of my knowledge and belief, the Owner has performed all activities represented by this report in accordance with the requirements of Section Xl.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the repair/replacement activities and evaluation described in this report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or S erd with this inspection.

( CV*,"_ft* Commissions /tV8//e.,9,6/4j 6l.,/d0l/3/

Inspector's Signature National Board, State, Province and Endorsements Date z'e' 'p/'L///

S. Dommnion' Form OAR-1 Owner's Activity Report Report Number: 2011 Refueling Outage Class MC Plant Kewaunee Power Station, N490 Hiqhway 42, Kewaunee, Wisconsin 54216-9511 Unit No. No.1 Commercial service date June 16, 1974 Refueling outage no. KIR31 (if applicable)

Current inspection interval 2nd (V% 2 "u, 3- 4 , other)

Current inspection period _ 2nd (1 st, 2 na , 3ra)

Edition and Addenda of Section XI applicable to the inspection plans 2001 Edition 2003 Addenda Date and revision of inspection plans March 9, 2009 Revision 3 Edition and Addenda of Section XI applicable to repair/replacement activities, if different than the inspection plans Not ADplicable Code Cases used: Not Applicable (if applicable)

CERTIFICATE OF CONFORMANCE I certify that (a) the statements made in this report are correct; (b) the examinations and tests meet the Inspection Plan as required by the ASME Code,Section XI; and (c) the repair/replacement activities and evaluations supporting the completion of KR31 conform to the requirements of Section XI.

(refueling outage number)

Signed f3~L 6~ r~AA~IA~h 9 AA~ ~fl~N~7b Own&r or Owner's Designee, Title I

&'u).m~ Date aMA* ,'01 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of W1S*i* ,A/ and employed by /Y56 of C'.-

have inspected the items described in this Owner's Activity Report, and state that, to the best of my knowledge and belief, the Owner has performed all activities represented by this report in accordance with the requirements of Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the repair/replacement activities and evaluation described in this report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or nected with this inspection.

( __.:._a_____ __ Commissions I6 /16?-.4,1/,'V / tW/ /1003/

Ing'pector's Signature National Board, State, Province and Endorsements Date __ API?__//

Kewaunee Power Station Table 1 -4th Interval: 3rd Period: 1st Outage - KR31 Items With Flaws or Relevant Conditions That Required Evaluation For Continued Service Examination Item Number Item Description Evaluation Decsription Category B-G-2 B7.60 REACTOR COOLANT PUMP 1A MAIN FLANGE BOLTING. EVIDENCE OF ACCEPTABLE PER ENGINEERING EVALUATION.

COOLANT LEAKAGE.

B-G-2 B7.70 3" VALVE PS-lB. EVIDENCE OF COOLANT LEAKAGE. ACCEPTED PER ENGINEERING EVALUATION.

B-P B15.70 6" VALVE SI-302B. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ASME SECTION XI CODE CASE N-566-2.

B-P B15.70 0.75" VALVE PR-51. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ENGINEERING EVALUATION.

B-P B15.70 6" VALVE SI-303B. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ASME SECTION XI CODE CASE N-566-2.

B-P B15.70 0.375" VALVE RC-440-3. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ENGINEERING EVALUATION.

B-P B15.70 0.375" VALVE RC-402. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ASME SECTION XI CODE CASE N-566-2.

B-P B15.70 0.375" VALVE LD-332. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ENGINEERING EVALUATION.

C-H C7.10 8" VALVE RHR-6B. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ASME SECTION XI CODE CASE N-566-2.

C-H C7.10 SAFETY INJECTION PUMP 1A. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ENGINEERING EVALUATION.

C-H C7.10 6" FLANGE FE-928. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ASME SECTION XI CODE CASE N-566-2.

C-H C7.10 8" FLANGE FE-27136. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ASME SECTION XI CODE CASE N-566-2.

C-H C7.10 8" VALVE RHR-100A. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ASME SECTION XI CODE CASE N-566-2 C-H C7.10 8" VALVE RHR-10B. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ASME SECTION XI CODE CASE N-566-2.

C-H C7.10 8" VALVE RHR-7A. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ENGINEERING EVALUATION.

C-H C7.10 8" VALVE RHR-7B. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ENGINEERING EVALUATION.

C-H C7.10 8" VALVE RHR-8B. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ENGINEERING EVALUATION.

C-H C7.10 1/2" VALVE SI-39A-2. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ENGINEERING EVALUATION.

C-H C7.10 4" VALVE SI-7A. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ENGINEERING EVALAUTION.

C-H C7.10 3" FLANGE FE-924. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ASME SECTION XI CODE CASE N-566-2.

C-H C7.10 6" VALVE ICS-7A. EVIDENCE OF COOLANT LEAKAGE. ACCEPTABLE PER ASME SECTION XI CODE CASE N-566-2.

D-B D2.10 6" VALVE SW-1500 LIGHT BROWN BORIC ACID ON VALVE BODY TO VALVE ACCEPTABLE PER ASME SECTION XI CODE CASE N-566-2.

BONNET INTERFACE. RECORDED 2ND PERIOD.

NA NA 14" VALVE SW-IA1 DEGRADATION ON VALVE BONNET STUDS. ACCEPTABLE PER ENGINEERING EVALUATION.

Page 1 - 1

Kewaunee Power Station Table 2 - 4th Interval: 3rd Period: 1st Outage - KR31 Abstract of Repair/Replacement Activities Required For Continued Service Code Item Description Description of Work Date Complete Repair/ Replacement Plan Class Number 1 0.375" VALVE RC-402 CORRECTED DUE TO EVIDENCE OF COOLANT LEAKAGE. 03/21/2011 F100 2 RSI-H100 REPAIRED HYDRAULIC SNUBBER RSI-H100 DUE TO OIL LEAKAGE. 03/29/2011 KW100584482 2 FDW-H236 CORRECT BY INSTALLING JAM NUT. 03/24/2011 KW100773136 2 SAFETY INJECTION PUMP 1A REPAIRED LINEAR INDICATIONS ON SAFETY INJECTION PUMP 1A 03/24/2011 KW100276680 INTERIOR CASING CLADDING.

3 SW-IA1 REPLACED 12 VALVE FLANGE STUDS ON 14" VALVE SW-IAI. 11/06/2009 KW100452502 3 SW-1A2 INSTALLED REPLACEMENT VALVE SW-1A2 AND 12 VALVE FLANGE 11/20/2009 KW100452503 REPLACEMENT STUDS ON 14" VALVE SW-1A2.

Page 1 - 1

Serial No.11-222 ATTACHMENT 7 2011 INSERVICE INSPECTION

SUMMARY

REPORT 2008 AND 2009 INSERVICE

SUMMARY

REPORTS ADDITIONAL "FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY" (5 TOTAL)

KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner: Dominion Energy-Kewaunee Date : May 9, 2008 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Sheet: 1 of 2 Address
2. Plant: Kewaunee Power Station Unit : No. 1 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Work Order Number: KW07-004148 Address
3. Work performed by: Dominion Energy-Kewaunee Type Code Symbol Stamp Not Applicable Name Authorization No. Not Applicable N490 Highway 42, Kewaunee Wisconsin 54216-9511 Expiration Date Not Applicable Address
4. Identification of System: 23 Class 2 Containment Spray System
5. (a) Applicable Construction Code : 1967 ASME B31.1 (b) Applicable Edition of Section XI used for Repair/Replacement Activity: 1998 Edition 2000 Addenda (c) Applicable Section XI Code Case: NA
6. Identification of Components ASME Corrected, Code Name of Name of Manufacturer National Board Other Year Removed, or Stamped Component Manufacturer Serial No. No. Identification Built Installed (Yes or No)

ICS-H9 Lake 1371 NA NA 2007 Installed No Engineering Co.

7. Description of Work Install replacement Class 2 Containment Spray System 6" Piping Hydraulic Snubber ICS-H9 due to maintenance activity.
8. Tests Conducted : Hydrostatic 0I Pneumatic El Nominal Operating Pressure E] Exempt Other EI Pressure NA psi Test Temp NA OF
9. Remarks: Not Applicable Applicable Manufacturer's Data Reports to be attached

FORM NIS-2 (Back)

Sheet 2 of 2 Date : May 9, 2008 Name of Component: ICS-H9 Work Order Number: KW07-004148 CERTIFICATE OF COMPLIANCE I certify that the statements made in this report are correct and that this conforms to the requirements of the ASME Code,Section XI Type Code Symbol Stamp Not Applicable Certificate of Authorization No. C Not Applicable Expiration Date Not Applicable Signed & &YQL 6'. " ,

Owner or Owner's Designee, Title' t

V

~O,1 W12 Date aq.zolo CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of ,l5e aoms*,A and employed by -/8s c-of ,Y,,-rIC*oA CoNV T77cor- have inspected the components described in this Owner's Report during the period Z7 -OCr-06 to I Pf4'Oe , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations, tests, and corrective measures described in this Owner's Report.

Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection Cý ao4w &- >ý-"-&Uf Commissions /IS 1/6Z?. 4681/,V, AV/I /3]

(Inspector's Signatl!16 ) National Board, State, Province, and Endorsements Date *2Z 9 J7-alyzo1 -c9

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner: Dominion Energy-Kewaunee Date : May 9, 2008 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Sheet: 1 of 2 Address
2. Plant: Kewaunee Power Station Unit : No. 1 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Work Order Number: KW07-004148 Address
3. Work performed by: Dominion Energy-Kewaunee Type Code Symbol Stamp Not Applicable Name Authorization No. No)tApplicable N490 Highway 42, Kewaunee Wisconsin 54216-9511 Expiration Date Not Applicable Address
4. Identification of System: 36 Class 1 Reactor Coolant System
5. (a) Applicable Construction Code : 1967 ASME B31.1 (b) Applicable Edition of Section XI used for Repair/Replacement Activity: 1998 Edition 2000 Addenda (c) Applicable Section XI Code Case: NA
6. Identification of Components ASME Corrected, Code Name of Name of Manufacturer National Board Other Year Removed, or Stamped Component Manufacturer Serial No. No. Identification Built Installed (Yes or No)

RTD-H11 Lake 1378 NA NA 2007 Installed No Engineering Co.

7. Description of Work Install replacement Class 1 Reactor Coolant System 2" Piping Hydraulic Snubber RTD-H11 due to maintenance activity.
8. Tests Conducted: Hydrostatic [I- Pneumatic I1 Nominal Operating Pressure EI Exempt Z Other El Pressure NA psi Test Temp NA OF
9. Remarks: Not Applicable Applicable Manufacturer's Data Reports to be attached

FORM NIS-2 (Back)

Sheet 2 of 2 Date : May 9, 2008 Name of Component: RTD-H11 Work Order Number: KW07-004148 CERTIFICATE OF COMPLIANCE I certify that the statements made in this report are correct and that this conforms to the requirements of the ASME Code,Section XI Type Code Symbol Stamp Not Applicable Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed . /444W V &OQXIT.g' -fAt WA, Date Owner or Owner's Designee, "ritle W3AJL~~

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of w/s-oAP,^. and employed by W!;a e7" of ..#7",*,e cosv ecf7ecT7 have inspected the components described in this Owner's Report during the period  ?.7 ei" o to 9 ,- , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations, tests, and corrective measures described in this Owner's Report.

Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection C -) 04L. e st'*.*Ivl(/, Commissions ,'8//6?,a'A', LW OO/

(Inspector's Si In3re) National Board, State, Province, and Endorsements Date 7- 9-7101*`Z41/

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner: Dominion Energy-Kewaunee Date : October 22, 2009 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Sheet: 1 of 2 Address
2. Plant: Kewaunee Power Station Unit : No. 1 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Work Order Number: KW100277696 Address
3. Work performed by: Dominion Energy-Kewaunee Type Code Symbol Stamp Not Applicable Name Authorization No. Not Applicable N490 Highway 42, Kewaunee Wisconsin 54216-9511 Expiration Date Not Applicable Address
4. Identification of System: 36 Class 1 Reactor Coolant System
5. (a) Applicable Construction Code : 1967 ASME B31.1 (b) Applicable Edition of Section XI used for Repair/Replacement Activity: 1998 Edition 2000 Addenda (c) Applicable Section XI Code Case: NA
6. Identification of Components ASME Corrected, Code Name of Name of Manufacturer National Board Other Year Removed, or Stamped Component Manufacturer Serial No. No. Identification Built Installed (Yes or No)

RTD-H2 Lake 36988 NA NA 2009 Installed No Engineering Co.

7. Description of Work Install replacement Class 1 reactor Coolant System 2" Piping Hydraulic Snubber RTD-H2 due to maintenance activity.
8. Tests Conducted: Hydrostatic E1i Pneumatic El] Nominal Operating Pressure L] Exempt Z Other -] Pressure NA psi Test Temp NA OF
9. Remarks: Not Applicable Applicable Manufacturer's Data Reports to be attached

FORM NIS-2 (Back)

Sheet 2 of 2 Date : October 22, 2009 Name of Component: RTD-H2 Work Order Number: KW100277696 CERTIFICATE OF COMPLIANCE I certify that the statements made in this report are correct and that this conforms to the requirements of the ASME Code,Section XI Type Code Symbol Stamp Not Applicable Certificate of Authorization No. C Not Applicable Expiration Date Not Applicable Signedvo%&, Owner or Owner's Designee, & -r]ide WewDe Date ~,q ~oio CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of &vlc*olv1Aj and employed by -/Y' c7r of ,9$'6'12, co.,vjren7c have inspected the components described in this Owner's Report during the period 6 M*-Y oS to Z Z -oc7VOg"E*. 0? , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations, tests, and corrective measures described in this Owner's Report.

Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection

  • -*-7w 4 G'f"L)/c'Ssg Commissions , . a ', /

(Inspector's Signatu$ National Board, State, Province, and Endorsements Date 7--9 ra 2/0o

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner: Dominion Energy-Kewaunee Date : October 22, 2009 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Sheet: 1 of 2 Address
2. Plant: Kewaunee Power Station Unit : No. 1 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Work Order Number: KW100277696 Address
3. Work performed by: Dominion Energy-Kewaunee Type Code Symbol Stamp Not Applicable Name Authorization No. Not Applicable N490 Highway 42, Kewaunee Wisconsin 54216-9511 Expiration Date Not Applicable Address
4. Identification of System : 35 Class 1 Chemical and Volume Control System
5. (a) Applicable Construction Code : 1967 ASME B31.1 (b) Applicable Edition of Section XI used for Repair/Replacement Activity: 1998 Edition 2000 Addenda (c) Applicable Section XI Code Case : NA
6. Identification of Components ASME Corrected, Code Name of Name of Manufacturer National Board Other Year Removed, or Stamped Component Manufacturer Serial No. No. Identification Built Installed (Yes or No)

RCVC-H36 Lake 36991 NA NA 2009 Installed No Engineering Co.

7. Description of Work Install replacement Class 1 Chemical and Volume Control System 2" Piping Hydraulic Snubber RCVC-H36 due to maintenance activity.
8. Tests Conducted: Hydrostatic [I Pneumatic D Nominal Operating Pressure E- Exempt 0 Other ED Pressure NA psi Test Temp NA OF
9. Remarks: Not Applicable Applicable Manufacturer's Data Reports to be attached

FORM NIS-2 (Back)

Sheet 2 of 2 Date : October 22, 2009 Name of Component: RCVC-H36 Work Order Number : KW100277696 CERTIFICATE OF COMPLIANCE I certify that the statements made in this report are correct and that this conforms to the requirements of the ASME Code,Section XI Type Code Symbol Stamp Not Applicable Certificate of Authorization No. C Not Applicable Expiration Date Not Applicable Date Lh Jq.,20 10 Owner or Owner's Designee, 1t1ee CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of 1$pc^*,o/J and employed by /_.6 c4"-

of /MR702".e MvCo27cuT have inspected the components described in this Owner's Report during the period 6 */-I'08 to ZZ , e'* , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations, tests, and corrective measures described in this Owner's Report.

Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection awowerwS. (* Commissions #V461144 7P461As I W400/l (Inspector's Signatur4 National Board, State, Province, and Endorsements Date -Z 9 -7ake e' z

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner: Dominion Energy-Kewaunee Date : October 22, 2009 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Sheet: 1 of 2 Address
2. Plant: Kewaunee Power Station Unit: No. 1 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Work Order Number: KW100277696 Address
3. Work performed by: Dominion Energy-Kewaunee Type Code Symbol Stamp Not Applicable Name Authorization No. Not Applicable N490 Highway 42, Kewaunee Wisconsin 54216-9511 Expiration Date Not Applicable Address
4. Identification of System : 33 Class 2 Safety Injection System
5. (a) Applicable Construction Code : 1967 ASME B31.1 (b) Applicable Edition of Section XI used for Repair/Replacement Activity: 1998 Edition 2000 Addenda (c) Applicable Section XI Code Case: NA
6. Identification of Components ASME Corrected, Code Name of Name of Manufacturer National Board Other Year Removed, or Stamped Component Manufacturer Serial No. No. Identification Built Installed (Yes or No)

RSI-H98 Lake 36987 NA NA 2009 Installed No Engineering Co.

7. Description of Work Install replacement Class 2 Safety Injection System 2" Piping Hydraulic Snubber RSI-H98 due to maintenance activity.
8. Tests Conducted: Hydrostatic LI Pneumatic L] Nominal Operating Pressure El Exempt E Other [I- Pressure NA psi Test Temp NA OF
9. Remarks: Not Applicable Applicable Manufacturer's Data Reports to be attached

FORM NIS-2 (Back)

Sheet 2 of 2 Date : October 22, 2009 Name of Component: RSI-H98 Work Order Number: KW100277696 CERTIFICATE OF COMPLIANCE I certify that the statements made in this report are correct and that this conforms to the requirements of the ASME Code,Section XI Type Code Symbol Stamp Not Applicable Certificate of Authorization No. C Not Applicable Expiration Date Not Applicable Signed *LP4a,*n.m 6W,*'LI Date LLq aaoio I Owner or Owner's Designee, Title I CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of '

,,S$e*uAAo and employed by H-Sd c7-of /1V~F&/d* hd CVIVo ,rehco' have inspected the components described in this Owner's Report during the period a AV-IfYOI to -Z- 0c/1--6 e 0? , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations, tests, and corrective measures described in this Owner's Report.

Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection C* Z/ aw cc, 7 t" Commissions /1491M6 ZZeIA/',,wl /3/001 (Inspector's Signaire) National Board, State, Province, and Endorsements Date z 9 v'*Oe '2O/z)

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