ML120660335

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Inservice Inspection Report # 17
ML120660335
Person / Time
Site: Summer South Carolina Electric & Gas Company icon.png
Issue date: 06/13/2011
From:
South Carolina Electric & Gas Co
To:
NRC/RGN-II
References
QSP-214
Download: ML120660335 (99)
v • d • e


Text

{{#Wiki_filter:aSP-214 ORIGIIAL ATTACHMENT I PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code SectIon XI

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _--!1~/1~4~/2~Ow.1...!..1_ _ _ _ __

Name COLUMBIA. SOUTH CAROLINA 29218 Sheet:___1.:.....-__of _ _ _ _1.:....-_ _ Address

2. Plant: V. C, SUMMER STATIQN Unit: _ _ _ _ _-"#...:.1_ _ _ _ _ __

Name P,O. BOX 88 JENKINSVILLE, SC 29065 MWA 0913915 Address Repair/lReplaoemAnt Organization, P.O. No., Job No ., etc.

3. Work Performed by: _ _......:.:SC~E&~G'--_ _ __ Type Code Symbol Stamp _ _...:.N=/A:....:...._ _

Name COLUMBIA, SOUTH CARQLlNA 29218 Authorization No. _ _ _~N!!.!/A.!....-_ _ __ Address Expiration Date _ _ _ _.!.!N:L.!./A.!....-_ _ __

4. Identification of System _ _ _ _----I.:(C~S~)L..:C~h~e'_!.!mc!!ica~l~an:!.!.d~V~o~lu~m~e~C~on=tr~o:!,.iI.~A~S~M!.!:E...::C>!.!I.!:!<ass~2!:__ _ _ _ _ __
5. (a) Applicable Construction Code: ASME III 1971 Edition, S 1973 Addenda, N/A Code Case (b) Applicable Edition of Section XI Used for Repairs! Replacement Activity: ~ Edition 2000 Addenda 6, Identification of Components:

Name of Manot National (nherldentification Year Corrected, ASMECode Name of Component Mantd'actorer Board No. /Work Documents Built Removed Or ~tamped (Yes Serial No. Installed or No) Valve Components Maintenance N/A N1A XvroSI02C N/A Removed No Valve Components Maintenance N/A N/A XVT08102C N/A Installed No D Continued

7. Description of Work: Maintenance replacement of component
8. Tests Conducted: HydrostaticiPneumatic 0 Nominal Operating Pressure ~ Exempt 0 Other 0 [Pressure N/A psi Test Temp. N/A OF ]

NOTE: Supplemental sheets In form of liSts, sketches, or drawings may be used, provided (1) sIZe 18 8~ In. X '1 in., (2) information In items 1 through 6 on this report is included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form.

aSP-214 

                                                                                 .Ill FORM NIS-2 (back)

ATTACHMENT I PAGE 2 OF 2 REVISION 5

9. Remarks: Manufacturers data report in Owners records Applicable Manufacturer's Data Reports to be attached Post maintenance test oedormed on wack order 0812038 Replaced yalve disc NIS-2 Prepared By: .)k~ ~ Signature Adam R. caban CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _....JDL....L.wR~e=pa~iJ.LrJtXI~..LRl.:Jie:.ltplll:lal!l!c~em~e!.l.nt~

conforms to the rules of the ASME Code, Section XI. T~eCodeS~boISffimp ________~~~A~________________________________________ Certificate of ~~ NlA Expiration Date N/A Signed __~-==-=~I&... ___________....:.:.M~an~aq::s.:e~r of Maintenance Date ~- Z 0 ,2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commiS6):ssued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of ~ and employed by HSB CT of Hartford, Connecticut have inspected the components described in this Owner's Report during the period February 2010 to May 2011 , and state that to the best of my knowledge and belief, the Owner has pedormed 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 nOf" his employer makes any warranty, expressed or implied, conceming the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal Injury or property damage or a loss of any' arising from or connected with this Inspection. 

 ~~~~~~~~~___ Commissions CA'lie 7                                                                           A!t ~ /s Inspector's Signature                                                          National Board, State, Province and Endorsements Date  _~:::::..L..:/;:...:=3::......j,L.:/-=-'/_ _ __

aSP-214 ATTACHMENT I PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASM E Code Section XI 0 RIG INAL

1. Owner. SOUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _....:.1.<...J/1'-'4L.11/2...

0'-'-1.!...1_ _ _ __ Name COLUMBIA. SOUTH CAROLINA 29218 Sheet:. ___1"--__of _ _ _ _1'--_ _ Address

2. Plant V. C. SUMMER STATION " Unit: _ _ _ _ _....!!#-'-1_ _ _ _ _ __

Name P.O, BOX 88 JENKINSVILLE. SC 29065 MWR 0903706 Address Repair/lReplacement Organlzatlon. P.O. No., Job No., etc.

3. Work Performed by: _ _----"'SC""'-'=E&""G"'"--_ _ _ __ Type Code Symbol Stamp _ _...'.:N/!t,;A'-!....-_ _

Name COLUMBIA. SOUTH CAROLINA 29218 Authorization No. NIA Address Expiration Date NlA

4. Identification of System reS) Chemical and Volume Control.ASME Class.2
5. (a) Applicable Construction Code: ASME III 1971 Editioo, S 1973 Addenda, N/A Code Case (b) Applicable Edition of Section XI Used for Repairs/ Replacement Activity: 1998 ~ moo Addenda
6. Identification of Components:

Name of Manuf NatiOnal ~erldentification Year Corrected, ASMECode Name of Component Manufacturer Board No. !Work Documents Bullt Removed or Stamped (Yes Serial No. 1nstal1ed or No) Piping Maintenance N/A NiA XVA18500B N/A Installed No Bolrin~ Maintenance N/A N/A XVA18500B N/A lnslalled No [J Continued

7. Description of Work: Added new component per Engineedog direction B. Tests Conducted: Hydrostatic/Pneumatic 0 Nominal Operating Pressure [8] Exempt 0 Other 0 {Pressure N/A psi Test Temp. NJA OF]

NOTE: Supplemental sheats In lorm of lists, skeb:has, or drawings may be used, provided (1) size Is 8~ In. X 11 In., (2) Information in Hems 1 through 6 on this report is included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form.

aSP-214 ATTACHMENT I PAGE2 OF 2 REVISION 5 FORM NIS-2 (back)

9. Remarks: Manufacturers data report in Owners records ORIGINAL Applicable Manufacturer's Data Reports to be attached Post maintenance test performed on wods order 0912333, Installed new vent piping per ECR-S0Z23 NIS-2 Prepared By: ~ * ~Signature Adam R. Caban CERTIFICATE OF COMPLIANCE We certify that the statements made in the (eport are correct and this _ _--'O . . . . . ..:...;R""e,..;pa:c:i""'........

rll8l ...:...RJ.:Ie""'p""'la""'ce=m:..:..:..:z8,,-<nt>-- conforms to the rules of the ASME Code, Section XI. TypeCOdeS~boIStamp ________~N/~A~____________________________________________________ C.ertificate of Authori~ f-Q_+_~N!..!../A~ _ _ _ _ _ _ _ _ _ _ _ _ Expiration Date N/A Signed m~ Manager of Maintenance Date I - 2.. 0 - , 2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of 6/4 and employed by HSB CT of Hartford. Connecticut have inspected the components described in this Owner's Report during the period Februarv 2010 to May 2011

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

 ~                   ~1tRA/

Inspector's Signature Commissions -:-'M~I.i1I1Z:.-:-~~::II:,;~~----::--L/~~-----: National Board, State, Province and Endorsements __  :-=--:--_ _ Date ~de::.....A~~:....!..7~/....:....J./I~_ __ 

                                                                                                                                                                                               \

aSP-214 ATIACHMENT I PAGE 1 OF2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Gode Section X L

1. Owner: .sQ.UTH CAROLINA ELECTRIC AND GAS Date _ _ _ _~6t.:oI2:!1t8,..,,12'-"-O..L11"___ _ _ __

Name CQLUMBIA. SOUTH CAROLINA 29218 Sheet _ _. . . .:. .1_ _ of _ _ _ _"--_ _ Address

2. Plant: V. C. SUMMER STATION Unit: _ _ _ _ _...:.#:...:1'---_ _ _~_ __

Name P.O. BOX S8 JENKINSVI LLE. SC 29065 MWR 0808423 Address Aepalrl/Replacement Organization. P.O. No.. Job No., etc.

3. Work Performed by. _ _-"'SC""'-'=E&"..",G'--_ _ __ Type Code Symbol Stamp ~_-,-NJ",-,A,-,--_ _

Name COLUMBIA. SOUTH CAROLINA 29218 Authorization No. _ _ _----'-'N'-'../A.>--_ _ __ Address Expiration Date _ _ _-..J.N"'/.!..lA'--_ _ __

4. Identification of System _ _ _ _ _- __(wV[..!:U~)...:.C"_I.h.l:.!il-""e'-"'d'_'W~at'_"e~r.r.!...A!.:.S!J..:M:.i.lE~C""la"",s",,-s-,,3,--_ _ _ _ _ _ _ __
5. (a) Applicable Construction Code: ASME III 1971 Edition. S 1973 Addenda, NJA Code Case (b) Applicable Edition of Section XI Used for Repairs/ Replacement Activity: 1998 Edition gQQQ Addenda
6. Identification of Components; Name of Manu! National ~erIdentificatlon Year Corrected, ASMECode Name of Component Manufacturer &ard No. !Work DocwnenLs Built Removed O£ ~tamped (Y £s Serial No. or No)

Installed Valve Flowserve AZ743 NJA XVA06353A 2006 Installed Yes VaJve Flowserve AZ745 N/A XVA06358A 2006 InstaJled Yes Piping Maintenance N/A N/A XVA06353A N/A Installed No Piping Maintenance N/A N/A XVA06358A N/A Installed No o Continued

7. Description of Work: Maintenance replacement of component
8. Tests Conducted: Hydrostatic/Pneumatic 0 Nominal Operating Pressure t8J Exempt 0 Other 0 [Pressure N/A psi Test Temp. NJA of 1 NOTE: Supplemental sheets in form of lists, sketches, Of drawings may be used, provided (1) size is 8\o!.t in. X 11 In., (2) information in Items 1 Ihrough 6 on this report is included on each sheet, and (3) each sheel is numbered and the number of sheets is recorded at the top 01 this form.

QSP-214'--' ATTACHMENT I PAGE 2 OF 2 REVISION 5 FORM NIS-2 (back) ORIGINAL

9. Remarks: Manufacturers data report in Owners records Applicable Manufacturer's Data Reports to be attached Post maintenance lest pedormed on Work Order 0914087 and 0812086 Installed valve and aSSOCiated piping pec ECR 50585, NIS-2 Prepared By: ~,e,,~ Signature Adam R, Csban CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _....JD . . . . . .:...:R""e""'paJ"" ' ' r/.....I5<I.oo....:...R.:.,:::e ' p' ' 'la' ' c.::.,em:.:..:.=e.:..:,nt-

conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _. . .:. . :!N/....A.:-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ C~rtificate ~rizati1~ ___---:.NI""-'-'A'-_ _ _ _ _ _ _ _ _ _ _ _ Expiration Date N/A Signed _~""'""":'::;..==-""~~ _ ___:___=---~----......:.:;M.:::ano:...:.>::!oag::o.:e=r of Mainfenance Date "-7 /1 ,2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPEC1l0N I, the undersigned, holding a valid comm~issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of and employed by HSB CT of Hartford. Connecticut have inspected the components described in this Owner's Report during the period February 2010 to July 2011 , 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 th is certiticate neither the Inspector nor his employer makes any warranty, expressed or implied, conceming the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any *nd arising from or connected with this inspection. ILA',(.&.~~~~.o:LJ~~~_Commissions ~4..5 /S 4 d /d l Inspector's Signature National Board, State, Province and Endorsements Date _ -,-7_0.....:1~~/'--'- 

                             /I_ _ __

QSP-214 ATTACHMENT I PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI ORIGI NAL

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _--->6"'-'/2=8.,.,/2=0.....,1......1_ _ _ _ __

Name COLUMBIA. SOUTH CAROLINA 29218 Sheet _ _---'-1_ _ of _ _ _ _-'--_ _ Address

2. Plant: V. C. SUMMER STATION Unit_ _ _ _ _..:.#!...!l:-...._ _ _ _ _ __

Name P.O . BOX 88 JENKINSVILLE, SC 29065 MWR 0910109 Address Repair/lReplacement Organization. P.O. No., Job No., etc.

3. Work Performed by: _ _....;SC~E&""""'G"'--_ _ __ Type Code Symbol Stamp _ _-,-,N",-,/A~_ _

Name 

              .c.QLUMBIA, SOUTH CAROLINA 29218                                       Authorization No. _ _ _---=-::N.....            /A.>--_ _ __

Address Expiration Date _ _ _ _....l.N.:l,/£.:A_ _ _ __

5. (a) Applicable Construction Code: ASME 111 1971 Edition, S 1973 Addenda, NlA Code Case (b) Applicable Edition of Section XI Used for Repairs/ Replacement Activity: ~ Edition gQQQ. Addenda
6. Identification of Components:

Name of Manuf National Q{nerJdentlfication Year Corrected, ASMECode Name of Component Manufacturer Board No. !Work Doctunents Built Removed or ~tamped (Yes Serial No. or No) Installed Support Componenls Maintenance N/A N/A VUH-0210 N/A InSlailed No Support Coml1Qneots Main(enance N/A N/A VUH-llOO N/A Installed No o Continued

7. Description of Work : Modified existing component per ECR
8. Tests Conducted: Hydrostatic/Pneumatic 0 Nominal Operating Pressure 0 Exempt 0 Other ~ [Pressure N/A psi Test Temp. N/A OF]

NOTE: Supplemental sheets in lonn of lists, sketches, Of' drawings may be used, provided (1) size is 8Yl In. X 11 In., (2) inlonnatlon In items 1 through 6 on this report Is included 00 each sheet. and (3) each sheet Is numbMld and the number 01 sheets Is recorded at the top of this form.

aSP-214 ATTACHMENT I PAGE 2 OF 2 REVISION 5 FORM NIS-2 (back)

9. Remarks: Manufacturers data report in Owners records ORIGINAL Applicable Manufacturer's Oata Reports to be attached Post maintenance test performed 00 Work Order 091 0109 Modified exsisting supPOrts per ECA 50585 NIS-2 Prepared By:

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _-,OI.-&...l-"A.:.:e.l:::.Da=:::.:i::.r.r!txl.lllO..:.l...I...Alo.l:e~p::!:la~c~em~e:!..!n!:....t_ conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _"......-_ _....l.NJ=A'-'--_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _....!N-'/.I....,A'--_ _ _ _ _ _ _ _ _ _ _ _ Expiration Date NlA Signed ~~~c...:~::.--=::===-- _______MMSav.nagmeUr of Maintenance Date ., / / ,2011 Owner or Owner's Oesignee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of and employed by HSB CT of Hartford. Connecticut have inspected the components described in this Owner's Report during the period February 2010 to July 2011 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss ot any kind arising fr~ or cOMected with this inspection. 

 ~d~~                                             Commissions         Yd'£ cST tU-/C 7 Inspector's Signature                                       National Board, State, Province and Endorsements Date     lis/II

aSP-214 ATTACHMENT I PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI ORIGJNAL

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date ________~Y~3~O~~~O~11~__________

Name CQLUMBIA, SOUTH CAROLINA 29218 Sheet ___--L..._ _ _,of _____-'--_ __ Address

2. Plant: v. C. SUMMER STATION Uni1: _____--'#:u1'--_ _ _ _ _ __

Name P,O. BOX 88 JENKINSVILLE. SC 29065 MWR 1012747 Address Repalr/lAeplacement Organization, P.O. No., Job No., etc.

3. Work Performed by: _-~S"""C=E&=G===------_- Type Code Symbol Stamp _-..!.:N!L,!/A..!..-____

Name COLUMBIA, SOUTH CAROLINA 29218 Authorization No. N/A Address Expiration Date N/A

4. Identification of System (VU) Chilled Water .ASME Class 3
5. (a) Applicable Construction Code: ASME III 1971 Edition, S 1973 Addenda, N/A Code Case (b) Applicable Edition of Section XI Used for Repairs! Replacement Activity: 1998 Edition 2000 Addenda
6. Identification of Components:

Name of Mannf National Other Identification Year Corrected, ASMECode Name of Component Manufacturer Board No. /Work Documents Built Removed or Stamped (Yes Serial No. Installed or No) Support COffi,,-ooents Maintenance N/A N/A VUH-OI6 N/A Removed No Support Components Maintenance N/A N/A VUH-OIS N/A Installed No SuPPOrt CompollCnlS Maintenance N/A N/A VUH-SI08 N/A Installed No o Continued

  • 7
           . DescrIption of Work: Modified existing component per ECR
8. Tests Conducted: Hydrostatic/Pneumatic 0 Nominal Operating Pressure 0 Exempt 0 Other ~ [Pressure N/A psi Test Temp, NlA OF]

NOTE: Supplemental sheets in form of lists, sketches, 0( drawings may be used, proVided (1) size is 8~ In. X 11 in., (2) Information in items I through 6 on this report is included on each sheet, and (3) each sheet Is nwnbered and the number of sheets is recorded at the top of this 'onn.

QSP-214 ATTACHMENT I PAGE 2 OF 2 REVISION 5 FORM NIS-2 (back) ORIGINAL

9. Remarks: Manufacturers data report in Owners records Applicable Manufacturer's Data Reports to be attached Post m aiotecance test pedorm ed on work order 1012747 VU H-O 16. Deleted support per ECR, Work Order 1012747 -021 VUH-Q15. Modified sYPport per ECA. Work Order 1012747:030 VUH-5108. Added new supPOrt per ECR, Work Order 1012747-007
                        ~

N1S-2 Prepared By. ---'J....... - /~*-I.l;2'--. . .7f l~. . .___ A,.-..: .:;. .~-.. . Signature 

                                                                        ===::A<=dam"""'-'R.!I..,..><;Ga...OO"""",n CERTlFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _---'-O.a....:...;Ro..:::e"""'p""ai........"-'-rl ..:..A.:.::e""p.:.::lao::c~e:..:..m=e"_'nt"__

conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _~NJ~A.!-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ C.ertificate OfAu:ri;~o. _ _ _....!.N1~A"--_ _ _ _ _ _ _ _ _ _ _ _ Expiration Date N/A Signed ~ ManaQer Qf Maintenancf! Date /I1/#tU-( :1 0 , 2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the underSigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of VC and employed by HSB CT of Hartford. Connecticut have inspected the components described in this Owner's Report during the period February 2010 to May 2011 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind ari . 9 ff on ted with this inspection . ~ ~\ Commissions A)8 13!JP;Z / N ~ J671$ 

 -.....:....,.-.:-~~-+....:..&---------                                            National Board, S\ate, Province and Endorsements Date     '-/- 'f 0 f I

aSP-214 ATTACHMENT I PAGE 1 OF2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XORJGI NAL ,

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _....:7""'/9""/~20~1~1_ _ _ _ __

Name COLUMBIA. SOUTH CAROLINA 29218 Sheet___1"--__ ot ____--'--_ __ Address

2. Plant V. C. SUMMER STATION Unit _ _ _ _ _. . :.#. . ,1_ _ _ _ _ _ __

Name P.O. BOX 88 JENKINSVILLE, SC 29065 MWR 0912632 Address Repair/lReplacement Organization, P.O. ~., Job No., etc.

3. Work Performed by: _ _....;SC~E=>&""G'"---_ _ __ Type Code Symbol Stamp _ _-,-Nl,"",A~_ _

Name Q.OLUMBIA. SOUTH CAROLINA 2921B Authorization No. _-_--'..NI""'A'-'-_ _ __ Address Expiration Date _ _ _ _....:.N""/.:...:A'--_ _ __

4. Identification of System _ _ _ _~---'(-"'C""'C'-'-)...",C=o""m.!.OD<..:zon:.:..:..::.en:..:.:t~C",-,QQ"-"=Ii.:..:.ng:o..c...,A.!.:IIS"",M,""E:o-=C"",'as",,.,,.,s""'3=--_ _ _ _ _ _ __
5. (a) Applicable Construction Code: ASME III 1971 Edition. S 1973 Addenda. NlA Code Case (b) Applicable Edition of Section XI Used for Repairs/ Replacement Activity: ~ Edition 2000 Addenda
6. Identification of Components:

Name or Manu{ National ~erIdentiftcatlon Year Corrected, ASMECode Name of Component Manufacturer Board No. !Work Documents Built Removed or ~tamped (Yes Serial No. Installed or No) Support Com2Ql\ents Maintenance N/A N/A CCH-0188 N/A Installed No Support Components Maintenance N/A NlA CCH-1695 N/A Installed No Support Components Maintenance N/A N/A CCH-S207 N/A Installed No Support Components Maintenance N/A N/A CCH-5208 N/A Installed No Support Components Maintenance N/A N/A CCH-OI91 N/A Removed No Su~ort Coml'QOent1 Maintenance NIA N/A CCH-OI93 N/A Removed No o Continued

7. Description of Work: Added new component per ECR B. Tests Conducted: Hydrostatic/Pneumatic 0 Nominal Operating Pressure 0 Exempt 0 Other ~ [Pressure N/A psi Test Temp. N/A OF 1 NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, proVided (1) siZe is 8Y.z In. X 11 In., (2) information in Items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of $heets is recorded al the top of this torm.
                                                                ,~ '  ~
                                                                                           .;                                                                    QSP*214 ATTACHMENT I PAGE 2 OF 2 REVISION 5 FORM NIS-2 (back)
9. Remarks: Manufacturers data report In Owners records ORIGINAL Applicable Manufacturer's Data Reports to be attached post maintenance test performed on Work Order 0912632, Installed new and modified exsjstjng supports per ECR
50585, N IS*2 Prepared By: "--oFr*",'I--+~~-:-4-~~...ec:=:::=--="""",,-,-,,-.:.:;w~n CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _...,;O ........."-'R""e....p8J""'*""'r/.....rxI......",R",.e""'p.!!::la~ce~m=e.:..:.ntl-conforms to the rules of the ASME Code, Sectioo XI ,

Type Code Symbol Stamp _ _ _ _ _N"..... IA:....-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ c.ertificate ~:~o. N/A Expiration Date N/A Signed ~'-~ ~~:IIiC~IOi_~.._7=-__:_~~--~~---...,;M~an!..!Ja~qe~r of Maintenance Date :T~ ~ /1 

            ...                                                                                                                                                    ,2011 OWner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I. the undersigned, holding a valid commiS6:!4ssued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of                         and employed by HSB CT of Hartford, Connecticut have inspected the components described in this OWner's Report during the period February 2010                                                                            to Julv 2011        , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described In this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

 ~M      Inspect~s
                  )Jallak Signature jJ,fV          Commissions        ~'l.?f,.J-=4?-- : "'___

5' /75~~~~/l:'-......It.....l~~-- National Board, State. Province and Endorsements Date 743//1

QSP-214 ATTACHMENT f PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _..:.<1/'-'.1..:.L4I=2Q
                                                                                                                     ....1:..:1 _ _ _ _ __

Name COLUMBIA, SOUTH CAROLINA 2921 B Sheet _ _---'-_ _of _ _ _ _"--_ _ Address

2. Plant: V. C. SUMMER STATION Unit: _ _ _ _ _-"#-=-1_ _ _ _ _ __

Name P.O. BOX 88 JENKINSVILLE, SC 29065 MWR 0902272 Address Repair/lReplacement Organizatiofl. P.O. No., Job No., etc.

3. Work Performed by. _ _---7':SC..:.:..=E&""'G""'-_ _ _ __ Type Code Symbol Stamp _ _...:..N=/A'-'--_ _

Name COLUMBIA, SOUTH CAROLINA 29218 Authorization No. N/A Address Expiration Date NlA

4. Identification of System (SP) Reactor Building Spray ,ASME Class 2
5. (a) Applicable Construction Code: ASME III 1971 Edition, S 1973 Addenda, N/A Code Case (b) Applicable Edition of Section XI Used for Repairsl Replacement Activity. l.ru!a Edition 2.QQQ Addenda 6, Identification of Components:

Name of MllI1Ilf National ~e~ldentification Yea~ Corrected, ASMECode Name of Component Manufacturer Board No.. /Work Docaments Buflt Removed or Stamped (Yes Serial No. or No) Installed Bolting Maintenance N/A N/A XPSOO63A NlA Removed No Boltin~ Maintenance N/A N/A XPS0063A NlA Installed No o Continued

7. Description of Work: Maintenance replacement of component
8. Tests Conducted: Hydrostatic/Pneumatic 0 Nominal Operating Pressure [8J Exempt 0 Other 0 [Pressure N/A psi Test Temp. N/A OF 1 NOTE: SUpplemental sheets in form of lists. sketches, or drawings may be used, provided (1) size Is BY.! In. X 11 In.. (2) information in items 1 through 6 on this report is included on each sheet. and (3) each sheet is numbered and the number of sheets Is (ecorded at ihe top of this form.
                                                                                                .         I
                                                                                                            ,                                                                          QSP-214 ATTACHMENT I PAGE 2 OF 2 REVISION 5 FORM NIS-2 (back)
9. Remarks; Manufacturers data report in Owners records Applicable Manutacture(s Data Reports to be attached Post maintenance test performed on work order 0812080. Replaced flange bolting.

NIS-2 Prepared By: ~~:.w"""""1_f',.w¥----LlJt~~==--= 

                                  "7           Signature

___ """Ad",,,amIlJJ...l.R..!L.-"'Qaba:>tO<loWn CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this _ _....JD . . . . . ..wR""'e""pa..,iJ.Lr/fXI.l<...>l...l..R....e""pJ.lrOla""c""'emc:..:..><eL.!.ot,--- conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _---'-"NlI.!..Al....-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ C~rtificate o~zatio~ N/A Expiration Date N/A Signed _----"~==::..~"""""-_ _ _ _ _ __=_-------'-"M..,.an""""'aq:as:Bl<J..r of Maintenance Date /- eo ,2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commiSWSUed by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of and employed by HS8 CT of Hartford. Connecticut have Inspected the components described In this Owner's Report during the period February 2010 to May 2011

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

  ~              M~,Jl.g..a Inspector's Signature Commissions         -=a:...L.<~:...L.:Y~~_=__1__LM~~~;;t~.

National Board. State, Province and Endorsements 

                                                                                                                           ~~-,,-/~*S:--*,----_

Date ttA3 hi

QSP-214 ATTACHMENT I PAGE 1 OF 2 ORIGINAL REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _....:.I1/~1..!.t1/2..:::.Qlt...1!..>10'__ _ _ _ __

Name COLUMBIA, SOUTH CAROLINA 29218 Sheet _ _. . :.1_ _of _ _ _ _1!....-_ _ Address

2. Plant v. C. SUMMER STATION Unit _ _ _ _ _..ll.#..:...1_ _ _ _ _ __

Name P.O. BOX 88 JENKINSVILLE, SC 29065 MWR 0900626 Address AepairllReplacamenl Organization, P.O. No .* Job No., etc.

3. Work Performed by. _ _~SC~E~&G~_ _ _ __ Type Code Symbol Stamp _ _....:..N=IA'-'--_ _

Name COLUMBIA, SOUTH CAROLINA 29218 Authorization No. N/A Address Expiration Date N/A

4. Identification of System (AC) Reactor Coolant .ASME Class 1
5. (a) Applicable Construction Code: ASME III 1971 Edition, S 1973 Addenda, N/A Code Case (b) Applicable Edition 01 Section XI Used for Repairs! Replacement Activity. 1998 Edition gQQQ Addenda
6. Identification 01 Components:

Narneof Manu! National Other Identification Year P>rrecte4 ASMECode Name of Component Manufacturer Board No. /Work Documents Built Removed or Stamped (Yes SeriaJ No. Installed or No) Bolting Maintenance N/A N/A XSGOO02C N/A Installed. No o Continued

7. Description of Work: Maintenance replacement of component
8. Tests Conducted: HydrostaticlPneumatic D Nominal Operating Pressure [g] Exempt [ ]

Other D [Pressure N/A psi Test Temp. N/A OF ] NOTE: Supplemental sheets in form of lists. sketches, or drawings may be used, provided (1) size is 8Yl in. X 11 In., (2) information in items 1 through 6 00 this report Is included on each sheet, and (3) each sheet is numbered and the numb91 of sheets Is recorded at the top ollhls foon.

U;:W-~I~ ATIACHMENT I PAGE 2 OF 2 REVISION 5 FORM NIS-2 (back) ORiGINAL

9. Remarks: Manufacturers data report in Owners records Applicable ManufactUl8f"9 Data Reports to be attached post maintenance test performed on work order 0900626. Replaced washer misplaced dlldog scheduled maintenance. Steam generator Secondary sjde hand hole flange -HH".

N IS-2 Prepared By: -+-6-- 

                                     ~~

_//~:L...::;--~1Z'====-I::I7Il~~~~ __- -!:I:Adam~:. .&.B.L:. '~Cal1l bM=.! CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are coccect and Ihis _ _--.JOI-..I...L.JR..,.e.... pa...,i.... rttXI 

                                                                                                                           ...........!..R..,.e""p""'la""cs"..m!..!..!.><e!.!.nt.!....-

conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _....!.N.....I'-'-A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ N _ _---.::.~..:..:...------------ Expiration Date_--,N,-"/<.!..A.!....-_ Signed _-+-r--¥-_~~ _ _ _ _+-____....!.:.!!ti!.!.:=:..r of Maintenance Date I II J \ 1<> , 2010 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 GeQrgla and employed by HSB CT of Hartford, ConnectiCut have inspected the components described in this Owner's Report during the period September 2008 to January 2010 , 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, conceming the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection . 

 ..w£u.
    ' uu;.wQj""~7/~zIz.u.
                     ' "".£6~~~~~z..o'Ldw.::::...._ _ _ _ Commissions _ _ _~~G~e~0~rgll.:;ia~1:.:..67!-..,;<AL...,..,~t-2~VC-""(/:LJ'~~--L/..:::S"---

Inspector's Signature National Board, State, Province and Endorsements Date _-=i--l!,--,~-=3<-/,--,-I-,-/_ _ _-" 2010.

QSP-214 ATIACHMENT I PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XIORIGI NAL

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _-'1'-'--/1-'..::4"'-'/2""0"""'1'-'1 _ _ _ _ __

Name COLUMBIA. SOUTH CAROLINA 29218 Sheet _ _---!...._ _.of _ _ _ _-'--_ _ Address

2. Plant: v, C. SUMMER STATION Unit _ _ _ _ _...:.:.#...:.,1_ _ _ _ _ __

Name P.O. 80X 88 JENKINSVILLE. SC 29065 MWR 0711142 Address Repalr/lReplacement Organization, P.O. No., Job No., etc.

3. Work Performed by: _ _---7'SCE&==G'-_ _ __ Type Code Symbol Stamp _ _......NI....,A'-'--_ _

Name COLUMBIA. SOUTH CAROLINA 29218 Authorization No. _ _ _---':-'NI""A-:-'-_ _ __ Address Expiration Date _ _ _ _..:..;N=/A~_ _ __

4. Identification of System _ _ _ _ _ _......(=C=C.L..),JI<Com""""",, , ,D.:.oo:.:.,:e: .:. n:.:,t""'COO=I::.:..in.",c.....,.A'-"S...,M=E-"C=las"""""s'-"3'---_ _ _ _ _ _ __
5. (a) Applicable Construction Code: ASME III 1971 EditIon, S 1973 Addenda. NIA Code Case (b) Applicable Edition of Section XI Used fOf Repairs! Replacement Activity: ~ Edition g,QQQ. Addenda
6. Identification of Compooents:

Name of Manuf National Other ldeutlftcatlOD Year Corrected, ASMECode Name of Component Manufacturer Board No. 1W0l'k Docwnents Built Removed or ~tamped (Yes Serial No. or No) Imta.Oed N60734-Valve Crosby 00-0001 N/A XVV09688 1978 Removed Yes N60734-Valve Crosby 00-0005 N/A XVV09688 2009 Installed Yes o Continued

7. Description of Work: Maintenance replacement of comoonent
8. Tests Conducted: HydrostaticJPneumatic D Nominal Operating Pressure 0 Exempt [8J Other D [Pressure NlA psI Test Temp. NlA OF 1 NOTE: Supplemental sheets in fOffll of lists, sketches, or drawings may be used, provided (1) size Is 8~ In. X 11 in., (2) infonnatlon In Items 1 through 6 on this report Is Included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this lonn.

QSP-214 ATTACHMENT I PAGE20F 2 REVISION 5 FORM NIS-2 (back) Ol Ult{ 2* aO / 

                                                                                                   <flRI_GINAL
9. Remarks: Manufacturers data report attached Applicable Manufacturer's Data Reports to be attached Replaced vacuum relief yalve.

NIS-2 Prepared By. ~+ c:P ....... Signature Adam R. Caban CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _.....JOI....L..!..JR~epa~i.:..!.rltXl.K..llL.!..Rl-"'e""'p""la!:::ce:=:.m:..:..:..=e.!..:.nt"' conforms to the rules 01 the ASME Code. Section XI. Type Code Symbol Stamp _ _ _ _---'-"N/"'-A~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ C~rtificate of A~tion ~_ ____INI..:c...;A:.....-_ _ _ _ _ _ _ _ _ _ _ _ Expiration Date N/A Signed s-.~ Manaa6rflfMaintenanceDate / - LO .2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of and employed by HSB CT of Hartford. Connecticut have inspected the components described in this Owner's Report during the period February 2010 to Mav 2011 , 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, conceming the examinations and corrective measures described In this Owner's Report. Furthermore. neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind conn ad with this inspection. 

 ~~~~J-~""_____ Commisslons At& f'~unAlfJ,I.                                                         /Pt, IS78 Inspect    r,  Signature                                            National Board, State, ~rovlnce and Endorsements Date  _D-.,..6~lf-l/'U=-..;.J"'--

I I

aSP-214 ATIACHMENT I PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT A<;tIVITY As Required by the Provisions of the ASME Code Section XIU RI G' NAL

1. Owner: ~UTH CAROLINA ELECTRIC AND GAS Date _______~W~2~8=~~0~11~__________

Name COLUMBIA. SOUTH CAROLINA 29218 Sheet _ _..........___of _ _ _ _-=-1_ __ Address

2. Plant: v. C. SUMMER STATION Unit,_ _ _ _ _-:#.:....;1:...-_ _ _ _ _ __

Name P.O. BOX 88 JENKINSVILLE SC 29065 MWR 09067§ Address Repair/IReplaC8lTlent Organization, P.O. No., Job No., etc.

3. Work Performed by: _ _----"SGE&:..z..:=G'----_ _ __ Type Code Symbol Stamp ~_-'-Nl=A'-'--___

Name COLUMBIA. SOUTH CAROLINA 29218 Authorization No. N/A Address Expiration Date NIA

4. Identification ot System lAC) Reactor CoolanLASME Class 1
5. (a) Applicable Construction Code: ASME III 1971 Edition, S 1973 Addenda. N/A Code Case (b) Applicable Edition of Section XI Used for Repairs/ Replacement Activity: ~ Edition 2000 Addenda
6. Identification of Components:

Name of Manuf National CKberldentlftcation Year Corrected, AS ME Code Name of Component Manufacturer Board No. /Work Documents Built Removed or ~tamped (Yes Serial No. or No) Installed Bolting Maintenance N/A N/A XPPOO30A N/A Removed No Bolling Maintenance N/A NJA XPPOO30A N/A Installed No U Continued

7. Description of Work: Maintenance replacement of component
8. Tests Conducted: Hydrostatic/Pneumatic 0 Nominal Operating Pressure i2J Exempt D Other 0 [Pressure N/A psi Test Temp. N/A OF 1 NOTE: Supplemental sheets in form of lists, sketches, Of drawings may be used, provided (1) size Is 8~ in. X 11 in., (2) information in items 1 through 6 on Ittls report is Included 00 each sheet, and (3) each sheet Is numbered and the n~ber 01 sheets Is reoo<<led at the top 01 this loon.

QSP-214 ATTACHMENT I PAGE20F2 REVISION 5 FORM NIS-2 (back) ORIGINAL

9. Remarks: Manufacturers data report in Owners records Applicable Manufacturer's Data Reports to be attached Post maintenance test performed on Work Order 0815696, lostalled rotatjooal set of seal housing bolts during schedyled majntenance" NIS-2 Prepared By:

I' 

                           ~          '1% dL  ignature AdamR Caban CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _....O                     ..........:...:R""'ep.o:;a=.:i"-'-r~"-"-..:..R""'e"""p.:..=la:.::ce""-m:..:.=e!..!nt.l....

conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _---=..,:,N/:..:...A.:.....-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ C~rtificate of ~~ati~-----'-N/-=:...;A'-------------- Expiration Date_.....:NC..!!/..:,.,A,--_ Signed ~~ Manager of Maintenance Date 7/1 ,2011 Owner or Owner's Designee. Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commissio~ued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of &/ and employed by HSB CT of Hartford, Connecticut have inspected the components described in this Owner's Report during the period February 2010 to Julv 2011 , and state that to the best of my knowledge and belief. the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of an 'nd arising from or connected with this inspection. 

                 ~         v-'

or's Signature Comm isslons _~--L...:!~tOI:..-=--;:"---:5-"-----' 4-~ A----"A....;:~;.....,Z'-------- NatiOnal Board. State, Province and Endorsements Date 2/s/;/

QSP-214 ATTACHMENT I ORIGINf~L PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _......6"-"/6. .,/2:. :10<.. :.,1-=-1_ _ _ _ __

Name COLUMBIA. SOUTH CAROLINA 29218 Sheet: ___1"---__of _ _ _ _--'--_ __ Address

2. Plant: v. C. SUMMER STATION Unit: _ _ _ _ _....!#~1~_ _ _ _ _ __

Name P.O. BOX 88 JENKINSVILLE. SC 29065 PMTS 081 0488 Address RepalrllReplacement Organization, P.O. No., Job No., etc.

3. Work Performed by: ___S::s:;CE&~:e.:=G==----_ _ __ Type Code Symbol Stamp _ _-=-NJ~A~_ _

Name COLUMBIA. SOUTH CAROLINA 29218 Authorization No. _ _ _---!..N::s..IA!....l...-_ _ __ Address Expiration Date _ _ _ _...!N.,!I;/~A"___ _ __

4. Identification of Sys1em _ _ _ _ _ _ _1.!.(R..L:lC""')L..!R...!.:elCa~ct:..L:Q.:.!.r~CcOQ=lan~t.L!..,A.!.:lISo:..:.M~E~C:.!3la~s/..ll:S-'1~_ _ _ _ _ _ _ __
5. (a) Applicable Construction Code: ASME 111 1971 Edition, S 1973 Addenda, N/A Code Case (b) Applicable Edi1ion of Section XI Used for Repairs! Replacement Activity: mru! Edition gQQQ Addenda
6. Identification at Components:

NlUDeof Manuf National Other Identification Year Corrected, ASMECode Name of Component Manufacturer Board No. !Work Documents Built Removed or Stamped (Yes Serial No. Installed or No) Bolting Maintenance N/A N/A XRE-OOOI N/A Removed No Bolting Maintenance N/A N/A XRE-OOOI N/A Installed No o Continued

7. Description of Work: Maintenance replacement of component
8. Tests Conducted: Hydrostatic/Pneumatic D Nominal Operating Pressure D Exempt 0 Other [8J [Pressure N/A psi Test Temp . N/A OF]

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8Y.:! io. X 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the numbet' of sheets is recorded at the top of this form.

QSP*214 ATIACHMENT I PAGE 2 OF 2 REVISION 5 FORM NIS-2 (back) ORIGINAL

9. Remarks: Manufacturers data report In Owners records Applicable Manutacture(s Data Reports to be attached Replaced hydranuts during scheduled refueling actiyitjes, N1S-2 Prepared By:

CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this _ _...JO . . . . . :....:R=eo""'ac.:,i:..<..r/l........ 5<l ..:..;R=e=D=la=ce=m.J...:..:::,en""tt....- conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _~N/"'_A"'--- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of AuthOri~_ _ _....!.N.l!./.:...:A'--_ _ _ _ _ _ _ _ _ _ _ _ Expiration Date__N"-"I,,,-A,--_ Signed J?lt).., Manaqer of Maintenance Date ~- G:, ,2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commi~ion issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of ({C,dIUUA and employed by HSB CT of Hartford, Connecticut have inspected the components described in this Owner's Report during the period Februarv 2010 to July 2011 , and state mat 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. j By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, , conceming the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. 

   " ,"a~'H;=.;¢" "t!2t:L. . .IC.~-,*~r.c:.~I/A.," LS.~",-" -L.O/LfLJ" " ", ,-= ,-.J_ _ CommiSSions .LIAiLI Ao<. . . <. 7- <:t~"=S'- - :~=iI:. . : . /. . :.". . . :_  '1 _15_ _A_(1_I_I/_ _

Inspector's Signature National Board, State, Province and Endorsements Date _ _ ~_----,1,---_1_1 _ _ __

QSP-214 ATTACHMENT I PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section x'ORIGl NAL

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date _________1~/~1~==20~1~1~__________

Name COLUMBIA. SOUTH CAROLINA 29218 Sheet:, _____1.:......-___,of ________1"--___ Address

2. Plant: V, C. SUMMER STATION Unit: __________. .:.t#. . !. 1_____________

Name P.O. BOX 88 JENKINSVILLE, SC 29065 MWR 0811634 Address Repair/lReplacement OrganIzation. P,O. No.* Job No.* etc.

3. Work Performed by. ____---7':SCE&==G~_______ Type Code Symbol Stamp _ _L.:lN/"'-'AL--__

Name COLUMBIA. SOUTH CAROLINA 29218 Authorization No. ______---=-:N":'A..!-______ / _ Address Expiration Date ________~N1!LA:!....-______

4. Identification of System ____________---J(....R=C!.L)..!..R=e"",a"",ct"",oL..[C:>o<..><:oo"'-'I""ao"-'t....,.A-'-'S...,M=E=..30C=la=s=s....1___________________
5. (a) Applicable Construction Code: ASME 111 1971 Edition, S 1973 Addenda, N/A Code Case (b) Applicable Edition of Section XI Used for Repairs/ Replacement Activity: ~ Edition 2000 Addenda
6. Identification of Components:

Name of Manuf National Otber ldentifk:atioo Year ~~ ASMECode Name of Component Manufactorer Board No. /Work Documents Built Removed or Stamped (Yeg fSeria1No. Installed or No) Boltin~ Maintenance N/A NiA XPPOO30B N1A Removed No Bolling Maintenance N/A N/A XPPOO30B N/A Installed No [J Continued

7. Description of Work: Maintenance replacement of component
8. Tests Conducted: Hydrostatic/Pneumatic 0 Nominal Operating Pressure ~ Exempt 0 Other 0 {Pressure N/A psi Test Temp . N/A OF]

NOTE: Supplemental sheets in form of lists. sketches, or drawings may be used, provided (1) size Is 8~ In, X 11 In" (2) Informatloo In items 1 through 6 on this report Is Included on each sheet. and (3) each sheet is nOO1bered and the number of sheets Is recorded a1 the top of this form.

QSP-214 ATTACHMENT I PAGE 2 OF 2 REVISION 5 FOAM N IS-2 (bac'k) ORIGINAL

9. Remarks: Manufacturers data report in Owners records Applicable Manufacturer's Data Reports to be attached Post maintenance test performed on Work Order 0811634. Replaced pump seal hguslng bolts wjth rotational set NIS-2 Prepared By: -¥-"""""'
                               ~/

U~_,;2-Y~'- "'-'@o : :;. .Jo" ,-_J. _=- ->A" "dam" "-'L. '-"R'-"'caba" " " "n Signature CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _-'D ..........:. . :R=e=paJ=*.:. :. r/.....~r&...:...R=e=p=la=c=emc..:..:..:e.:....:.nt'- conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _......:....:NI<.:..A-=---_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of AuthOrih~o. _ _ _-'N""I""Al....-____________ Expiration Date N/A Signed ~ ~ Manager of Maintenance Date /- z. 0 , 2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTlON I, the undersigned, holding a valid com mission iss ued by the National Board ot Boiler and Pressu re Vessel Inspectors and the State or Province of Nt and employed by HSB CT ot Hartford. Connecticut have inspected the components described in this Owner's Report during the period February 2010 to May 2011 , 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, conceming the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal Injury or property damage or a loss of any kind ansin from or c nected with this inspection. _2:laJ!~~~~=---_Commlsslons Ni3 13tt?Z- A,";I/ ljJe 1~7B Inspector's ignature National Board, State. Province and Endorsements Date _Lf4-f/---;S/L...-2_8 . :. .L.,1!_ __

aSP-214 ATTACHMENT I PAGE10F2 ORIGINAL REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner: ~OUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _-->5<-<-/1-'-'81...,2...,0....,1.....1 _ _ _ _ __

Name COLUMBIA, SOUTH CAROLINA 2921 e Sheet _ _--'-_ _ of _ _ _ _-'--1_ __ Address

2. Plant: V. C. SUMMER STATION Unit:. _ _ _ _ _...:#'-'1'--_ _ _ _ _ __

Name E.,.O. BOX 88 JENKINSVILLE, SC 29065 STTS 1009127 Address RepailllReplacement Organizatloo, P.O. No., Job No., etc.

3. Work Performed by: _ _~SC",,-,=E&~G!....-_ _ __ Type Code Symbol Stamp _ _-'--N=/A->-_ _

Name COLUMBIA. SOUTH CAROLINA 2921 B Authorization No. _ _----'-"NI<..<,A-'--_ _ __ Address Expiration Date _ _ _ _..!.NI~A _ _ _ __

5. (a) Applicable Construction Code: ASME III 1971 Edition, S 1973 Addenda, NJA Code Case (b) Applicable Edition of Section XI Used for Repairs! Replacement Activity: ~ Edition gQQQ. Addenda
6. Identification of Components:

Name of Manuf National Other ldentif'lcation Year Corrected, ASMECode Name or Component Manufacturer Board No. fWork Documents Built Removed or Stamped (Yes Serial No. Installed orNoL Support Components Pacific Scientific 1232 N/A RCH-219 N/A Removed No Support Components Pacific Scientific lOS33 N/A RCH-219 N/A Installed No o Continued

7. Description of Work: Maintenance replacement of component
8. Tests Conducted: HydrostaticlPneumatic 0 Nominal Operating Pressure D Exempt 0 Other ~ [Pressure NlA psi Test Temp . N/A OF 1 NOTE: Supplemental sheets in foon of lists, sketches, or drawings may be used, provided (1) size is 81h In. X 11 In., (2) information in items 1 through 6 on this reporlls included on each sheet, and (3) each sheet Is numbered and the number of sheets Is reGOf'ded at the top of this fonn.

QSP-214 ATTACHMENT I PAGE 2 OF 2 REVISION 5 FORM NIS-2 (back) ORIGINAL

9. Remarks: Manufacturers data report in OWners records Applicable Manufacturer's Data Reports to be attached Post maintenance test performed on STTS, OOS, 27-005 Replaced snubber NIS-2 Prepared By: ~t? 122. ~

Signature Adam R. Csban CERTlFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _..JD . . . . . . .!....!R~e.lO!!pa!o!!!i.!.Lr!l5<l~..!..Rl.:.:e:t:::pl.l:ila~c~em~e!,l;ntL... conforms to the rules of the ASME Code, Section XI. TypeCodeS~boIS~mp~~ _ _~~~A~_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _-'~"""'-A'--_ _ _ _ _ _ _ _ _ _ _ _ Expiration Date N/A Signed _-!~~~~=====-- _______..MWli~r Owner or Owner's Designee, Title gf MaintenanCB Date S ~ l,;O . 2011 CERTIFICATE OF INSERVICE INSPECT'ON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of ~k and employed by HSB CT of Hartford. Connecticut have inspected the components described in this Owner's Report during the period February 2010 to July 2011

  • 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, conceming the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind a . . ted with this inspection. _A~~~~=== Insp r's Signature ___ Commissions Aj#J 13(aqJ, p..,rJ, L National Board, State, Province and Endorsements Date _fS~I:.....%~6r'JS=-..;..l..:....(___'

aSP-214 ATTACHMENT I PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section X'ORIGfNAL

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _---'--'7/""9<-=/2'-'1:0. . :. .1. :. 1_ _ _ _ __

Name COLUMBIA. SOUTH CAROLINA 29218 Sheet ___1.:...-._ _of _ _ _ _. . :.1_ __ Address

2. Plant v. C. SUMMER STATION Unit _ _ _ _ _....:;#'-'1_ _ _ _ _ _ __

Name P.O. BOX 8a JENKINSVILLE. SC 29065 MWR 0612909 Address Repalrl/Replacement Organizatloo, P.O. No., Job No., etc.

3. Work Performed by. _ _....;SC~E=&""G"---_ _ __ Type Code Symbol Stamp _ _...!..;N:!..!/A'-!.-_ _

Name COLUMBIA, SOUTH CAROLINA 29218 Authorization No. _-----'-N,../A'-'--_ _ __ Address Expiration Date _ _ _ _--'-Nl""-'-'A'----_ _ __

4. Identihcation of System _ _ _ _ _ _ _.lR-'-'C"'")'-'R-"e...,a,."ct'-"or:!.!.....:lCOO~:.I:;la~n:_>__t
                                                              ...                                         c...A.!.lIS~M:.:.:E=C=la""s""s-'1-_ _ _ _ _ _ _ __
5. (a) Applicable Construction Code: ASME III 1971 Edition, S 1973 Addenda, NlA Code Case (b) Applicable Edition of Section XI Used for Repairs! Replacement Activity: ~ Edition 6QQQ Addenda
6. Identification of Components:

Name of Manuf National Other Identification Year Corrected, ASMECode Name of Component Manufacturer Board No. !Work Documents Bollt Removed or ~tamped (Yes Serial No. or No) Installed Support Coml!onents PacifiC Scientific 3865 NJA RCH-0306 NJA Removed No Support Components Pacific Scientific 21262 NJA RCH..()306 NJA Installed No U Continued

7. Description of Work: Maintenance replacement of component
8. Tests Conducted: HydrostaticlPneumatic 0 Nominal Operating Pressure 0 Exempt 0 Other I:8l [Pressure N/A psi Test Temp. NlA OF]

NOTE: Supplemental sheets in form 01 lists, sketches, or drawings may be used, provided (1) size Is 8~ in. X 11 in., (2) Iniormatioo in items 1 through 6 on this report Is included 00 each sheet, and (3) each sheet is numbered and the nwnber of sheets Is r9CQrded at the top of this form.

QSP-214 ATTACHMENT I PAGE 2 OF 2 REVISION 5 FORM NIS-2 (back)

9. Remarks: Manufacturers data report in Owners records ORIGINAL Applicable Manufacturer's Data Reports to be attached post maintenance test performed on SUS1009129 Replaced snubber NIS-2 Prepared By: ~.~ cF- - 'L-L.L=9-.,. . iJ!._~: ;:o. .__~Adl 2al .! mUB.IL'. !I Cab -.!n
                                            .              /Signature CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _..JD......L..!..JR~epl:!.!aO!.!i!.!..r/~~:lIL!....R!.!:::e:.t:!:p~la~ce~m~e!,!;nt~

conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _......:....::N!.!,./A.:.....-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate ~ N/A Expiration Date N/A Signed _....:::~".,..~"'"""'::...-_-='__ _ _ _ _ _ _ _ __:.:;Ma=n.:::.a~qe=r of Maintenance Date .:f'... u( / / ,2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commissjpp Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of (C:J It and employed by HSB CT of Hartford. Connecticut have inspected the components described In this Owner's Report during the period February 2QlO to July 2011 , and state that to the best of my knowledge and belief. the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code. Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty. expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore. neither the Inspector nor his employer shat! be liable in any manner for any personal injury or property damage or a loss of any . d arising from or connected with this inspection. 

 ~~~t".GI.~~~~~- Commissions                                                                   7i~S-15                 t1A/~ 7' Inspector's Signature                                                             National Boarn. State, Province and Endorsements Date ---L..

1..,L-J;_J& 

                 .....b<........:.I.....LI_ _ __

aSP-214 ATIACHMENT I PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XORIGINAL

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _--"'6....,/2'-"'8......

12'-'<0.11-'--_ Name COLUMBIA, SOUTH CAROLINA 29218 Sheet_ _......:..._--,of _ _ _ _...!.-_ __ Address

2. Plant: V. C. SUMMER STATION Unit: _ _ _ _ _...2-#'--J1_ _ _ _ _ _ __

Name P,o. BOX 88 JENKINSVILLE. SC 29065 MWR 1013977 Address Repair/lReplacement Organization, P.O. No., Job No., etc.

3. Work Performed by: ~__SC"""",E&"""""G~_ _ __ Type Code Symbol Stamp _ _--'--N"-'/A~_ _

Name COLUMBIA, SOUTH CAROLINA 29218 Authorization No. N/A Address Expiration Date NJA

4. Identification of System (51) SafelY Injection .ASME Class 2
5. (a) Applicable Construction Code: ASME III 1971 Edition, S 1973 Addenda, NJA Code Case (b) Applicable Edition of Section XI Used for Repairs/ Replacement Activity: ~ Edition gQQQ Addenda
6. Identification of Components:

Name of Manuf Naoonal OtberldentiflcadoD Year Corrected, ASMECode Name or Component Manufacturer BOIlI'd No. !Work Documents Built Removed 01' ~tamped (Yes Serial No. InstaBed or No) Support Components Maintenance N/A N/A ILT-0926 N/A Removed No SUllPort COffi,,-onents Maintenance NJA N/A ILT*0926 N/A Installed No o Continued

7. Description of Work : Maintenance replacement of component
8. Tests Conducted: Hydrostatic/Pneumatic [J Nominal Operating Pressure 0 Exempt 0 Other ~ [Pressure NlA psi Test Temp. N/A OF ]

NOTE: Supplemental sheets In form of lists, sketches. or drawings may be used, provided (1) size is 8~ In. X 11 in., (2) infonnation in items 1 through 6 on this raport is included on each sheet, and (3) each sheet is numbered and the number of sheets is r900fded at the top 01 this form.

aSP-214 ATTACHMENT I PAGE 2 OF 2 REVISION 5 FORM NIS-2 (back) ORIGINAL

9. Remarks : Manufacturers data report in Owners records Applicable Manufacturer's Data RepOfts to be attached Post maintenance test performed 00 Wgrk Order 1Q13977. Rewgrked tubing support during scheduled maintenance.

NIS-2 Prepared By: ~, ~dam Signature R. """'" CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _....JD .........:..:R""ell!!Cpa".,i::.!.r~ 

                                                                                                                         ........:..R'""'e""p"""la""ce""'m:.:.:.::e:..:.nt'--

conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _~N/!.!.A!....-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorl~ No. _ _ _...!N~/,!,;A!....-_ _ _ _ _ _ _ _ _ _ _ _ Expiration Date NlA Signed ~ Manaqerof Maintenance Date 7/1/1/ ,2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commis2 issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of ~ and employed by HSB CT of Hartford. Connecticut have inspected the components described in this Owner's Report during the period February 2010 to July 201' , 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, conceming the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personaJ injury or property damage or a loss ot any ' arising fro,? o!':onnect d with this inspeC~ion. 

~JW~~~~~A~*£:':l<<3~~_Commlsslons                                     ~~t'~ oS I                  t$'/I/t-7 Oat. Ins;z:; finatur.                                           Nallonal Board, Slate, Province and Endorsements

QSP-214 ATIACHMENT I PAGE 10F 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section X'QRf GIN AL

1. Owner'. ~UTH CAROLINA ELECTRIC AND GAS Date _ _ _ _~61...,2""'8J!...!:2""'Q...!..11'__ _ _ _ __

Name COLUMBIA. SOUTH CAROLINA 29218 Sheet _ _--'-l_ _of _ _ _ _..1...-_ _ Address

2. Plant: V, C, SUMMER STATION Unit: _ _ _ _ _---'#LJ1_ _ _ _ _ _ __

Name P,O. BOX 88 JENKINSVILLE, SC 29065 PMTS 1009927 Address RepairllReplacement Organization, P.O. No., Job No., etc.

3. Wor!< Performed by: _ _-'SC"""""E&=G"--_ _ __ Type Code Symbol Stamp _ _..:..NI::,:A'-'--_ _

Name COLUMBIA. SOUTH CAROLINA 29218 Authorization No. _ _ _-:--:N~/A:>---_-- Address Expiration Date _ _ _ _...!.N.!i,/l-JA-_ _ __

4. Identification of System _ _ _ _ _ _ _-'(-"'SC!..W.....)w.Sce!.!.lV.:!.!i:lCce.:.....!..:W~a~te~r~,A:..!:S~M=E~C~'~as,..,s.....,3=<--_ _ _ _ _ _ _ __
5. (a) Applicable Construction Code: ASME '" 1971 Edition. S 1973 Addenda. NlA Code Case (b) Applicable Edition of Section XI Used for RepaJrs! Replacement Activity: 1998 Edition gQQQ Addenda
6. Identification of Components:

Name of Manuf National CHberlden~tion Year Corncted. ASMECode Name or Component Manufacturer Board No. !Work Documents Built Removed or ~tamped (Y~ Serial No, Installed or No) Valve Components Maintenance NJA N/A XVG03L42A N/A Removed No Valve Com!l(,lnents Maintenance N/A N/A XVG03142A N/A Installed No o Continued

7. Description of Work : Maintenance replacement of component
8. Tests Conducted: Hydrostatic/Pneumatic 0 Nominal Operating Pressure ~ Exempt 0 Other 0 (Pressure NlA psi Test Temp. N/A OF]

NOTE: Supplemental sheets in form of lists, sketches, Of drawings may be used, provlded (1) s~e is 8¥.t In. X 11 In., (2) information In Items 1 through 6 on this report Is included on each Sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form.

QSP-214 ATTACHMENT I PAGE 2 OF 2 REVISION 5 FORM NIS*2 (back) 9, Remarks: Manufacturers data report in Owners records ORIGINAL Applicable Manufactural's Data Reports to be attached post maintenance test pedormed on Work Order 1009927, Replaced valve disc during scheduled maintenance N 15-2 Prepared By. ~7;~7 L:. _~oi:.!lJtI1~.~ y.~Zd~7r-: Io.o!:. .- ~A:Jljdam!IiW.L.R!:.!:. ~Ca:bW a~n Signature CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _--'-D..I...!..R~e~p:!:!:ai::..£r&<1~..:..R~e~p~la~c~em~e:!.!nt!_ conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _~N/!.!..A!....-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ C~rtificate~~ N/A Expiration Date N/A Signed ---':~~~",",~IC:I_~_----:---=_:--_-=:--:--_ _ _~Man~.!:!.aatce~r Q! Maintenance Date 7 /1 ,2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commissi~SSUed by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of G~ and employed by HSB CT of Hartford. Connecticut have inspected the components described in this Owner's Report during the period Februarv 2010 to July 2011 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty. expressed or implied. concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any k' arising from or connected with this inspection, 

 ~~~L.£.~ca~rzA.~L_ _ Commissions                                                           Al& 7~S=:             /.5:'  ~ 7' Inspector's Signature                                                         National Board, State, Province aridEndorsements Date   --'?;'--4--\.~"""f-L-!t,,--1_ __

aSP-214 ATTACHMENT I PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI ORIGINAL

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _ _7!.J-/~9/'-"=2"'-O-'-11"__ _ _ _ __

Name COLUMBIA. SOUTH CAROLINA 29218 Sheet:_ _~_ _o.f _ _ _ _. 1 -_ _ Address

2. Plant: V. C. SUMMER STATION Unlt: _ _ _ _ _-'-'-#..I.-1_ _ _ _ _ __

Name P.O. BOX 88 JENKINSVILLE, SC 29065 MWR 1106148 Address Repair/lReplacemeot Organization, P.O. No.. Job No., etc.

3. Work Performed by: ___SC::..=E&~G",--_ _ __ Type Code Symbol Stamp _ _....:..N::,.!/A'-'--_ _

Name 

              .QQLUMBIA. SOUTH CAROLINA 29218                                                   Authorization No. _ _ _----'-N""/A'-'--_ _ __

Address Expiration Date _ _ _ _-'-N1~A'____ _ __

4. Identification of System _ _ _ _ _ _ _-I.(~SW..:..:....£)~S"_"e'_'_rv"_lice><><_W.!..!...>:a>>.:te~r..&.!,A~S:.:.M=E'-'C~la...,s.."s'-'3"--_ _ _ _ _ _ _ __
5. (a) Applicable Construction Code: ASME III 1971 Edition, S 1973 Addenda. N/A Code Case (b) Applicable Edition of Section Xl Used for Repairs! Replacement Activity: 1998 Edition ~ Addenda
6. Identification of Components:

Name of Manuf National Other Identlftcation Year Corrected, ASME Code Name of Component Manufacturer Board No. /Work Documents Built Removed or ~tamped (Yes Serial No. or No) Installed Valve Components Maintenance N/A N/A XVC031358 N/A Removed No Valve Components Maintenance N/A N/A XVC031358 N/A Installed No D Continued

7. Description of War!< : Maintenance replacement of component
8. Tests Conducted: HydrostaticlPneumatic 0 Nominal Operating Pressure 0 Exempt 0 Other ~ [Pressure N/A psi Test Temp. N/A OF)

NOTE: Supplemental sheets io form of lists, sketches. or drawings may be used, provided (1) size is 8~ in, X 11 In., (2) infomlallon in item a 1 through 6 on this report Is Included on each sheet, and (3) each sheet Is numbered and the number 01 sheets Is recorded a1 the top of this form .

QSP-214 ATTACHMENT I PAGE20F2 REVISION 5 FORM NIS-2 (back) ORIGINf-\L

9. Remarks: Manufacturers data report in Owners records Applicable Manufacturets Data Reports to be attached post maintenance tAst performed on Work Order 1106148 Replaced yalve disc NIS-2 Prepared By. _/-7JLc. . :J,j:. . . a:". . LI._7Zf[- I-. .; :; ~
                                                          .........a...-===-A""ds"""-"m'-!.R"'-."",Ca,..ban
                                            ~

CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this _ _--'D ........"-'A""'eJ::r..pa~jC!..!.r~ 

                                                                                                                                        ........_'_R'""'e:.t<p'_"la""ce~m~e.:.:.nt~

conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _Nl:....:L.<..A>..--_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of AuthorjzatiCJl1~ _ _ _--'-N""/A ......_ _ _ _ _ _ _ _ _ _ _ _ Expiration Date N/A Signed ~ Manager of Maintenance Date .:TuU( 1/ , 2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commiSC; ~sued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of ~ and employed by HSB CT of Hartford, Connecticut have inspected the components described in this Owner's Report during the period February 2010 to July 2011 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described In this Owner's Report in accordance with the reqUirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore. neither the Inspector nor his employer shall be liable in any manner for any personal Injury or property damage or a loss of an 'nd arising from r connected with this inspection . 

~f4J!.'Il!Zl'-1L-4~~~~~- Commissions 74~ / 5                                                                  & ;1/67 Ins7tor's Signature                                                           National Board, St.t., Province and Endorsements Date      7E~ /1/

QSP-214 ATTACHMENT I PAGE 1 OF 2 ORIGINAL REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date ____________________~lV~2~9/~2~O~10~______________________

Name COLUMBIA. SOUTH CAROLINA 29218 Sheet _ _....:l_ _of ________1-=--_ _ Address

2. Plant: V, C. SUMMER STATION Un it: _________________"""#...L..1___________________________

Name P.O. BOX 88 JENKINSVILLE, SC 29065 MWR 1009628 ~ ~ 'V Address Aepair/lReplacement Organization, P.O. No., Job No., etc.

3. Work Performed by: __________...-.SC=E&..,G=-_____________________ Type Code Symbol Stamp ______""-'NI"""A'-'-_ _

Name COLUMBIA. SOUTH CAROLINA 29218 Authorization No. _______________-'-'N!LJ.IA-'--________________ Address Expiration Date ________..:..:N"""/A.!.-_ _ __

4. Identification of System _______________________....,(S=W'-'-'-)S""'e=rv....:.=ic=e...:.W....a""'t:er.....,.!..:A"""S!.!,M...,E...,C...,I....

as""'s'-'3"'--_ _ _ _ _ _ _ __

5. (a) Applicable Construction Code: ASME III 1971 Edition, S 1973 Addenda, N/A Code Case (b) Applicable Edition of Section XI Used for Repairs! Replacement Activity: ~ Edition gQ.QQ. Addenda
6. Identification of Components:

Name of Manuf National Ot.berIdeotification Year ~ ASMECode Name of Compooent Manufacturer Board No. !Work Docwnents Built Removed or ~tAmped (Yes Serial No. Installed or No) Support Components Maintenance N/A N/A SWH-l094 N/A Removed No D Continued

7. Description of Work: Deleted comoonent Der Engineering direction
8. Tests Conducted: Hydrostatic/Pneumatic 0 Nominal Operating Pressure 0 Exempt [8J Other D [Pressure N/A psi Test Temp. N/A OF 1 NOTE: Supplemental sheets In form of lists, sketctles, or drawings may be used, provided (1) size Is 8~ In. X 11 In., (2) information In items 1 through 6 on this report Is included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form.

QSP-2V* ATTACHMENT I PAGE20F2 REVISION 5 FORM NIS-2 (back) ORIGINAL

9. Remarks:

Applicable Manufacturer's Data Reports to be attached Remoyed pipe support from system per ECB-S0585A NIS-2 Prepared By: _rU~:=: :a:~:=:;q:L. . 4KU£:;.w:'----I~~=...:::...... .lo<ca:!i!.!ba~n 

                                                                     /            Signature

_ _......adaldlill.Lm!....l.B:la.* CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _-'D ........"-'A""'e~pa=iu.rlIXl"-"--'-A'""'e;.t::p.:.=la:::;c~em:.:.:.::::e.:.:.nt~ conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _-'N/~A!.....-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ C~rtificate ~~zatiC)'l~. N/A Expiration Date N/A Signed _~~~~~""~7-_=:=---=---:--_~~____.L!ManL1i:lLJ~a~qelar of Maintenance Date / - ~

  • 2011 Owner or Owner's DeSignee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Nt.. and employed by HSB CT of Hartford. Connecticut have inspected. the components described in this Owner's Report during the period February 2010 to May 2011 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL By sIgning this certificate neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nOf' his employer shall be liable in any manner for any personal injury or property damage or a loss of any ~~'With this inspection.
 ---.~,c......,lg~i!IEL..L......Jt.....::..:7i.IZ              _ _ _ _ Commtsstons

_ .,...._. t.JC." 76 /N6 , p,,"l Z A; (oJ, ~ J C Inspector's Signature National Board, State, Province and ~ndorsements Date - - -' 3~ f- ' '~'-f-/. :. . . . ;2f!J: :. . . . :. .1/_ _

QSP-214 ATTACHMENT I PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XIORLGI NA l

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _...!I6JQ.l2...,S"'-'/2=O....,1--!.1_ _ _ _ __

Name QQLUMBIA, SOUTH CAROLINA 29218 Sheet ___1.:...-__.of _ _ _ _"'---_ _ Address 2 .. Plant V. C. SUMMER STATION Unit:, _ _ _ _ _---'#'--'1'-_ _ _ _ _ __ Name P.O. BOX 88 JENKINSVILLE. SC 29065 MWR 0612909 Address RepalrlIReplacement Organization. P.O. No., Job No., etc.

3. Work Performed by: _ _----!IISCE&~~G'----_ _ __ Type Code Symbol Stamp _ _..!.:N!!,!/A'-'--_ _

Name COLUMBIA. SOUTH CAROLINA 29218 Authorization No. _ _ _----'-'N/t.!..A"--_ _ __ Add(ess Expiration Date _ _ _ _...!.NI=->-A_ _ _ __

4. Identification of System _ _ _ _ _ _ _--'(=S"'-W'-')'->SeC<.:..rv.:..!i:::.:ce""""""W....a~te::.:r_".A'_"S""M=E.....,C""'I""'as,.,s<..:3"'-_ _ _ _ _ _ _ __
5. (a) Applicable Construction Code: ASME III 1971 Edition, S 1973 Addenda, N/A Code Case (b) Applicable Edition of Section XI Used tor Repairs! Replacement Activity: ~ Edition gQQQ. Addenda
6. Identification of Components:

Name of MAnuf National Other Identification Year Corrected, ASMECode Name of Component Manufacturer Board No. !Work Documents Bullt Removed or Stamped (Yes Serial No, lnstalled orNol Bolting Maintenance N/A N/A XVB03123B N/A Removed No Bolting Maintenance N/A N/A XVB03123B N/A Installed No o Continued

7. Description of Work: Maintenance replacement of component
8. Tests Conducted: Hydrostatic/Pneumatic 0 Nominal Operating Pressure 0 Exempt 0 Other ~ [Pressure N/A osl Test Temp. NJA OF 1 NOTE: Supplemental sheets In form of lists, sketches. or drawings may be used. provided (1) size is e~ In. X 11 In., (2)

Information In items 1 through 6 on this report Is included on each sheet, and (3) each sheet is ntxnbered and the number 01 sheets is recotded at Itle top of this form.

QSP-214 ATTACHMENT I PAGE20F2 REVISION 5 FORM NIS-2 (back)

9. Remarks : Manufacturers data report in Owners records Applicable Manufacturer's Data Reports to be attached Post maintenance test performed on Work Order 1002081 Replaced bolting during scheduled maintenance N IS-2 Prepared By: ~HI'i;U:'tI'L.R~r-.J.tL-~k::....-
                         ~ ___~M~amL!.R.z,. lI: Caba~n Signature CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _....JD              . . . . . .:..:R.>:.e...PaJc:*.:.J..r/....I8I......:..R:..:e""c.:.zla:.:ce.:;m:..:..:..:e.:....:.nt~

conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _~N1!.!..Al......_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ C~rtificate=~o. N/A Expiration Date N/A Signed ----.::lI~-=_oII::~.£...__=_----:-__=_:--_-=:-_ _ _ _....£.tMl:;lan~aqe~r of Maintenance Dale 7// ,2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of CA-- and employed by HSB CT of Hartford, Connecticut have inspected the components described in this Owner's Report during the period February 2010 to July 2011 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken correc1ive measures described in this Owner's Report in accordance with the reqUirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspec10r nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. 

 ~ t!d~                                               Commissions           .f?'4< IS G/&7 Inspector's Signature                                           National Board, State, Province and Endorsements Date      *~kj;1

QSP-214 ATTACHMENT I PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XORIGINAL

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _..!!.6/~2.... 8....
                                                                                                                /2".0..:..11.!....._ _ _ _ __

Name CQLUMBIA. SOUTH CAROLINA 29218 Sheet:. _ _-----'-_ _of _ _ _ _..:..1_ __ Address

2. Plant V. C. SUMMER STATION Unit: _ _ _ _ _...!.#'-!1_ _ _ _ _ _ __

Name E.Q. BOX 88 JENKINSVILLE, SC 29065 MWR 1000863 Address Aapairl/Aeplacement Organizatlon, P.O. No., Job No., etc.

3. Work. Performed by: _ _-->It.SC ' E&=G--_ _ __ Type Code Symbol Stamp _ _"'-"NJ.....A~_ _

Nama COLUMBIA, SOUTH CAROLINA 29218 Authorization No. N/A Address Expiration Date N/A

4. Identification ot System ($W) Service Water ,ASME Class 3
5. (a) Applicable Construction Code: ASME III 1971 Edition, S 1973 Addenda, N/A Code Case (b) Applicable Edition of Section XI Used for Repairs/ Replacement Activity: ~ Edition 2Qoo Addenda
6. Identification of Components:

Name of Manuf National Other Identification Year Corrected, AS ME Code Name of Component Manufactnrer Board No. !Work Documents Built Removed or Stamped (Yes Serial No. or No) ImtaIled Valve Flowserve AV547 NiA XVG03113A 2003 Removed Yes Valve Flowserve BF426 N/A XVG03\13A 2008 Installed Yes o Continued

7. Description of Work: Maintenance replacement of component
8. Tests Conducted: Hydrostatic/Pneumatic 0 Nominal Operating Pressure ~ Exempt 0 Other 0 [Pressure NlA psi Test Temp. N/A OF 1 NOTE: Supplemental sheets In form of lists. sketches, or drawings may be used, provided (1) size Is 8)12 in. X 11 In., (2) information in items 1 through 6 on Ihis report Is included on each sheet. and (3) each sheet is numbered and the number of sheets is recorded altha top of this form.

aSP-'214 ATTACHMENT I PAGE 2 OF 2 REVISION 5 FORM NIS-2 (back) ORIGINAL

9. Remarks: Manufacturers data report in Owners records Applicable Manufacturer's Data Reports to be attached post maintenance test performed on Work Order 1000863 Replaced yalve during schedyled maintenance NIS-2 Prepared By:

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _...;OL-L..!...!R~e~DalOlli!Lrll5<l __..!...RL!:e~p~lal"'ca""m~e!.!.nt" conforms to the rules of the ASME Code, Section XI. Type Gode Symbol Stamp _ _ _ _---'-'N...,/A'-'--_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ~rtificate o~iZjl~o, N/A Expiration Date N/A Signed _~~ ....._I!IiZ._ _ _ _ _ _ _ _ _ _ _ _....!.!Ma~ni.5!.a~qe~r of Maintenance Date 7 /1 ,2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commiSsion issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of 6'lC and employed by HSB CT of Hartford, Connecticut have inspected the components described in this Owner's Report during the period February 2010 to July 2011 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners Report. Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal injury or property damage or a loss of any 'nd arising from or connected with this inspection. r.&~~U1~~~~~_ _ Commissions 7-(6.5 /5 ~/~ Z Inspectors Signature National Board, State, Province and Endorsements Date ...........;7::...,,0:....~_-_/_/_(_ _ _ __

QSP-214 ATTACHMENT I PAGE 1 OF 2 l (9"~vt-f,,p(r REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section xO-RLGINAL

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _.><<31--'-1%.1.0/=20"""1"""1 _ _ _ _ __

Name COLUMBIA. SOUTH CAROLINA 29218 Sheet: ___1.:.......__of _ _ _ _'----_ _ Address

2. Plant: V. C. SUMMER STATION Unit _ _ _ _ _. .:.:#. :,.l_ _ _ _ _ __

Name P.O. BOX 88 JENKINSVILLE. SC 29065 MWR 1Q09628 Address Repa/rllReplacement Organization, P.O. No., Job No., etc.

3. Work Performed by: _ _......!ES::.:CE&~G::.:...._ _ _ __ Type Code Symbol Stamp _ _...!,;N!LIIA~_ _

Name COLUMBIA. SOUTH CAROLINA 29218 Authorization No. _ _ _---'-'NJ"-!A..!-.._ _ __ Address Expiration Date _ _ _ _.J...:N/""'A..:......_ _ __

4. Identification of System _ _ _ _ _ _ _..I.:lS"-lW:.:..l--)""'-S=erv~ice"'___.!.W_'_'a".,t~er'--'._'__'A""'S=M'_'=E'_'Co<.!l".,as=s'_'3"___ _ _ _ _ _ _ __
5. (a) Applicable Construction Code: ASME III 1971 Edition, S 1973 Addenda, N/A Code Case (b) Applicable Edition of Section XI Used for Repairs/ Replacement Activity: ~ Edition 2000 Addenda
6. Identification of Com ponents:

Name of Manor National Other Identificatioo Year ~ ASMECode Name of Component Manufacturer BoaroNo, !Work Documenu Built Removed or Stamped (Yes Serial No. Installed Ol'NOL Support Components Maintenance N/A N/A SWH-0211 N/A Installed No D Continued

7. Description of Work: Reworked component B. Tests Conducted: HydrostaticlPneumatic D Nominal Operating Pressure D Exempt D Other ~ [Pressure NJA psi Test Temp. N/A OF 1 NOTE: Supplemental sheets in form of lists, sketches, Of' drawings may be used, provided (1) size Is 8~ in. X 11 in., (2)

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

QSP-214 ATTACHMENT I PAGE 2 OF 2 REVISION 5 FORM NIS-2 (back) QRIGINAL

9. Remarks : Manufacturers data report in Owners records Applicable Manufacturer's Data Reports to be attached post maintenance test performed on wprk prder 1009626-010 Modified support SWH-0211 per ECA50585A NIS-2 Prepared By: ~t ~ Signature AdamR.Cooo.

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _---'-D..L...!...A:..:o:e""'p""'ai"-'r~ 

                                                                                                                 ......... .!. .R.:. : !e:. t:p"_"lao.:c"""e!,.:.;m""e""'n.:;. .t_

conforms to the rules of the ASME Code. Section XL Type Code Symbol Stamp _ _ _ _----!...!NI:I..!.A.l....-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ C~rtificate~~NO. N!A Expiration Date NIA Signed ....;:......~~:-"I' 

                       ....~~_'___::__-_:___=___:_-____=:::_:_----=M:=a""'"n~aq ....e...r of Maintenance Date   f - Z. t{                                         , 2011 OWner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Soiler and Pressure Vessel Inspectors and the State or Province of                                 and employed by HSB CT of Hartford. Connecticut have inspected the components described in this Owner's Report during the period February 201 0                                                                            to May 2011                 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arisin om or co                     ed with this inspection.                                         _       !

_---=~~~:3~~==-Commissions Nf3 13u.f2 IJ! NIl- I.!Jll '57S National Soard, State, 'Province and Endorsements Date -C-f-....:.....;....£.f.......",~f------

oJO~q,t{~ .. OOl QSP-214 ATIACHMENTI PAGE 1 OF 2 ORIGINAL REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner: SOUTH CAROLINA ELECTRIC ANO GAS Date _ _ _ _....l1.u1l1..;::41:u2;U10'-L1.!.,.1_ _ _ _ __

Name COLUMBIA, SOUTH CAROLINA 29218 Sheet:, ___1.l....-__of _ _ _ _1.L...-_ _ Address

2. Plant: V. C. SUMMER STATION Unit _ _ _ _ _..... #..1.1_ _ _ _ _ __

Name P.O. BOX 88 JENKINSVILLE, SC 29065 MWR 0808948 Address Repalr//Replacement Organization, P.O. No., Job No., etc.

3. Work Performed by: _ _~SC:.:.£bE&~G~_ _ __ Type Code Symbol Stamp _ _ N'-'J/"'-lA'--__

Name COLUMBIA. SOUTH CAROLINA 2921 e Authorization No. _ _ _--l.!JN/I.!.,A!..-... _ _ __ Address Expiration Date _ _ _ _-'-N.>!../A!..>...-_ _ __ 4 . Identification of System _ _ _ __ _ _.l.l(S""W'-.!...I..)-""S..... erv~ice=_.!W:.:..a~1~e!..Jr,~A~S~M.!!=E=_.:C~I~ass~3~_ _ _ _ _ _ _ __

5. (a) Applicable Construction Code: ASME '" 1971 Edition, S 1973 Addenda, N/A Code Case (b) Applicable Edition of Section XI Used for Repairs/ Replacement Activity: 1998 Edl1I2n gQQQ Addenda
6. Identification of Components:

Name of Manuf National (nherI~catlon Year COtTeCted, ASMECode Name of Component Manufacturer Board No. !Work Documents Built Removed or Stamped (Yes Serial No. or No) IustaHed Valve Components Maintenance N/A NlA XVG03L13A N/A Removed No Valve Components Maintenance N/A N/A XVG03LL3A N/A lnslalled No [J Continued 7, Description of Work: Maintenance replacement of component

8. Tests Conducted: Hydrostatic/Pneumatic D Nominal Operating Pressure ~ Exempt D Other 0 [Pressure N/A psi Test Temp. N/A OF l' NOTE: Supplemental sheets In foon of lists, sketcnes, or drawings may be used, provld&d (1) size Is 8'1.2 In. X 11 in ., (2)

Information in items 1 through 6 on this report Is Included on each sheet, and (3) each sheet is numbered and the number of sheets Is reoon:Ied at the top of this form .

aSP-214 ATTACHMENT I PAGE2 OF 2 REVISION 5 FORM NIS-2 (back)

9. Remarks: Manufacturers data report in Owners records Applicable Manufacturer's Data Reports to be attached post maintenance lesl performed gn work order 0808948, Replaced valve disc, NIS-2 Prepared By: c;f/:I., a-I S'Ignat ure Adam R. caban CERTlACATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _--'D ..........:..R=e=pJ.Zla""'c-'<'em~e:"l;ntL-
                                                                                                                . . . . . ..:....:R=e=paJ='.:.:..rfDSI conforms to the rules of the ASME Code, Section XI.

Type Code Symbol Stamp _ _ _ _---'-'NJ:L,!A->--_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ~rtificate OL=zatlO~ ____...:.N=/,:",;A'___ _ _ _ _ _ _ _ _ _ _ _ Expiration Date NJA Signed ~~ Manager of Maintenance Date / - L.O . 2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of and employed by HSB CT of Hartiord, Connecticut have inspected the components described In this Owner's Report during the period February 2010 to May 2011 , and state that to the best of my knowledge and belief, the Owner has periormed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind aris" from 0 ed with this inspection. 

 ----,~~~A~~===---- Comm isslons ---,-JtJ6-=--,-'                               """"3U;=-o<,,,9Z=-:...A"I-z""'---+-I...:...'

National Board, State, Province and Endorsements 

                                                                                                                              ---,-&_~_"".I5",-,7fJ,"""",,-_ __

Date ---';;""&,._-+--=;""",:,,,1--_ _ __

2:1C{-c£)~ aSP-214 Dl,O'b ATTACHMENT I PAGE 1 OF 2 REVISION 5 ORIGINAL FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS DmB _________1~/1~~~2~O~1~1____________

Nama QQLUMBIA. SOUTH CAROLINA 29218 Sheet___--'-___ of _ _ _ _1'--_ _ Address

2. Plant: ___V S T.!..!.A...l..!T'-!:IO~N_ _ __
                  .......,--"C£i.,-""S""'U=M.!.!.!M=E:.!..R"-'.....                                                   Unit:_________"""'#. . !. 1_____________

Nama P.O. BOX 88 JENKINSVILLE. SC 29065 MWR 0708274 Address AepalrllAepiacement Organlzatioo, P.O. No., Job No., etc.

3. Work Performed by: ___~SC=E~&~G"--________ Type Code Symbol Stamp _ _...L.;NI...,A...l...-_ _

Name COLUMBIA, SOUTH CAROLINA 29218 Authorization No. NJA Address Expiration Date N/A

4. Identification of System (SW) Service Water .ASME Class 3
5. (a) Applicable Construction Code: ASME '" 1971 Edition, S 1973 Addenda, NJA Code Case (b) Applicable Edition of Section XI Used for Repairsl Replacement Activity: w.e. Edition 2000 Addenda
6. Identification of Components:

Name of Manuf National Other IdflJti.Hcation Year Corrected, ASMECode Name or Compooent Manufacturer Board No. /Work Documents Built Removed or Stamped (Yes Serial No. Installed Ol" No) Piping Maintenance N/A N/A XVB03125A N/A Removed No Pipin~ Maintenance N/A N/A XVB03125A NJA Installed No o Continued

7. Description of Work: Maintenance replacement of component
8. Tests Conducted: Hydrostatic/Pneumatic D Nominal Operating Pressure I2l Exempt D Other 0 [Pressure N/A psi Test Temp. NIA OF]

NOTE: Supplemental sheets in fonn of lists, sketches, or drawings may be used, provided (1) size is 8Y.l in. X 11 In., (2) information In Items 1 through 6 on this report Is included on each sheet, and (3) each sheet Is numbered and the ntrnbef of sheets is recorded at the top of this form.

QSP*214 ATTACHMENT I PAGE 2 OF 2 REVISION 5 FOAM NIS-2 (back) ORIGINAL

9. Remarks: Manufacturers data report in Owners records Applicable Manufacturer's Data Reports to be attachad post maintenance test pertprmed 00 work order 0706274 Replaced piping aod flange.

NIS-2 Prepared By: ~ 4Cll...... Signature Adam R. caban CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _..JD . . . . . .!..!R""'e..,pa!::!.!i.!.!.T~.I<..lIL..!..R"""e""o""'la!><ce.><.m:..:..:"",e!.!.nt>- conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _.....!..-"N/<.:",A>--_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certiflcate of ~ NlA Expiration Date NlA Signed _--=~==~....:::::==_ _________.... M""'an"_"""a.=;q8=r of Maintenance Date / - z...o , 2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State Of' Province of tJc.. and employed by HSB CT of Hartford, Connecticut have inspected the components described in this Owner's Report during the period Febryary 201 0 to May 2011 , 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. conceming the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal Injury or property damage Of' a loss of any kind a sl fT d with this Inspection. _...;L~~~~===---Commissions N6 @itJlz Itl";l L rJt/'67d National Board, State: Province and Endorsements Date -~f-l-'-I-::;"::".....I..""I-----

f ' .) QSP-214 ATIACHMENT I PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI ORIGJNAL

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _...:.:6""'/2'-"'8=/2=0....1...11-'---_ _ _ __

Name COLUMBIA, SOUTH CAROLINA 2921 B Sheet___1-'---__,ot _ _ _ _..... 1 -_ _ Address

2. Plant: V. C. SUMMER STATION Unit:, _ _ _ _~-'#"-'l'---_ _ _ _ _ __

Name P.O. BOX 88 JENKINSVILLE. SC 29065 MWR 0803071 Address RepalrllReplacement Organization, P.O. No., Job No., etc.

3. Work Performed by: _ _ _SC~E"",&""G,,---_ _ __ Type Code Symbol Stamp _ _.c.;N,..../A-'--_ _

Name QQLUMBIA, SOUTH CAROLINA 29218 Authorization No. _ _ _----'-N""/A'-'--_ _ __ Address Expiration Date _ _ _---'-N=I""'A_ _ _ __

4. W:..::a~te=_'r_",A'-'-S Identification of System _ _ _ _ _ _--'(-"'S-"-W"-')'->S=e"-'-rv.=.!i,z;ce......... ..M~E'-'C"-'I"..as,."s"-'3"--_~_ _ _ _ _ __
5. (a) Applicable Construction Code: ASME III 1971 Edition, S 1973 Addenda, NlA Code Case (b) Applicable Edition of Section XI Used for Repairs! Replacement Activity: 1998 Edition 2000 Addenda
6. Identification of Components:

Nameo! Manu! Natlonal Other Identification Year Corrected, ASMECode Name of Component Manufacturer Board No. !Work Documents Built Removed oc ~tamped (Yes Serial No, IosWIed or No) Valve Anchor Darling E-6 I 88-68-2 N/A XVC03120B 1974 Removed Yes Valve Flowserve BH236 N/A XVC03120B 1974 Installed Yes Piping Maintenance N/A N/A XVC03120B N/A Removed No Piping Maintenance N/A N/A XVC03120B N/A Installed No o Continued

7. Description of Work: Maintenance replacement of component
8. Tests Conducted: Hydrostatic/Pneumatic D Nominal Operating Pressure [gJ Exempt 0 Other 0 (Pressure N/A psi Test Temp. NIA OF J NOTE: Supplemental sheets In bm of lists, sketches, or drawings may be used, provided (1) s12e is 6~ in. X 11 in., (2)

IIltonnation In items 1 through 6 on this report Is Included on each sheet, and (3) each sheet is numbered and the number 01 sheets Is teCOJded at the top of thla tonn.

aSP-21'4 ('1 ATTACHMENT I PAGE 2 OF 2 REVISION 5 FORM NIS-2 (back) OR!GINAL

9. Remarks; Manufacturers data report in Owners records Applicable Manufacturer's Data Reports to be attached post maintenance test performed on Work Order 0603071 Replaced valye and associated piping ducjng scheduled maintenance, N 15-2 Prepared By. -C'-;,rtLa. . ,.: :. .(ir~
                                                             .'- -(:~.-. ,?/~
                                                                          /l90.0:;,-z;.,'   ..._--=M=am!.,!R.!:.,.""'Ca
                                                                                      =:;'::....                      ....ban.:=<

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and Ihis _ _--'O'--L..,wR=e..,pa=i"....rLI<...ts<J"'-'--R=e=o=la=c=em"'-'=e:...:.;nt"-- conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _~NL"'_A'-- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authori~tlo~. _ _ _-'N"""L.;....;A"--_ _ _ _ _ _ _ _ _ _ _ _ Expiration Date NLA Signed ~ Manager of Maintenance Date __7....:........0/<..........:/,--_, 2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of 0A and employed by HSB CT of Hartford. Connecticut have inspected the components described in this Owner's Report during the period February 2010 to July 2011 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report, Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss at an 'nd arisi fr m or connected with this inspection, ~~~w::...H.I.~~~~_-COmmissions 71itJ.£ IS 4£7 Inspector's Signature National Board, State, Province and Endorsements Date -----r-2..L...,;/~::...L...;J-,, _ __

. f I ' <- FORM NPV-l CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES* c As Required by the Provisions of the ASME Code, Section Ill, Division 1 2 Pg. 1 o f _

1. Manufactured and certified by Flowserve Corporation, 1900 South Saunders St Raleigh, NC 27603 (na",. and add,us 01 III C.,tlfoC8\< Holder)
2. Manufactured for South carolina Electric & Gas PO Box 11849 Columbia, SC 29211 (oame ."d * .,dr... 01 P\JrchuO(I
3. Location of installation V.c. Summer Nuclear Station Bradham Blvd. @ Highway 215 Jenkinsville, SC 29065 (na"" and ;,dd....1
4. Model No ., Series No., or Type 1_5_0_S_C_____ Drawing 3_3_6_5_-3 _ _ _ _ __ Rev. E- - - - - - - - CAN N/A
5. ASME Code, Section III, Division 1: 1974 NO 3 1635

(.dition) (add,nda dOlol lei .... ) (Code Cue no.!

6. Pump or valve Valve Nominal inlet size 4 Outlet size 4 (in. ) lin.1
7. Material:

(a) valve Body SA216WCB Bonnet SAS16-70 Disk SA~1!<.05><-__ Bolting SA193-B7 (b) pump Casing Cover Bolting _ _ _ __ (a) (b) (e) Cd) (e) Cert. Nat" Body/Casing BonneVCover DISK Holder's Board Serial Serial Serial Serial No. No. No. No. No. BH236 N/A GANA-08X1484-1 31825-7 96304-1 BH237 N/A GANA-08X1484-2 31825-8 96304-2

  • Supplemental information In the form of lists, sketChes. or drawings may be used provided (1) size is B'i?)( 11, (2\ information in items 1 (hrough 4 on this Data Report is included on e8ch shee(, (3) each sheet is numbered and the number of sheers is recorded at the top of chis form .

2 FORM NPV-, (Back - Pg. 2 of _ _ I BH236 thru BH2 Cenificate Holder's Serial No. 65 psi 95 OF or valve pressure class _1.:.,;5;;:,.0"'----_ _ _ _ _ _ _ _ _ _ _ _ __

8. Design conditions tp,".u'e. (l.m~"l"'"
9. Cold working pressure 275 psi at lOOOF 425 300
10. Hydrostatic test psi. Disk. diHerential test pressure p
11. Remarks: BOLTING IS AS FOLLOWS: STUD, SA193~B7. Hl Code AVJ lBH2371 & AVK &. AVJ (BH2361 NUT SA194:2H, Ht. Code KZf SO 50694, ITEM 1, SlZE 4, 150# SWING CHECK VALVE CERTIFICATION OF DESIGN Design Spedfication certified by OAVID T. KUNKSIEK P,E. State PA Reg. ~~# 021289E Design Report cer1.ified by _ _""NL./A________________________ P.E. State N/A Reg. no. ..LNul..r..A>--_ _

CERTIFICATE OF COMPLIANCe We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code, Section III, Division 1. N Certificate of Authorization No. _ _ _ _ _ _ _ N_-l_S_6_2__________ Expi(es __1_1_~_27"6--09-----_:__--------- Aowserve Corporation Date Name Signed CERTIFICATE OF INSPECllON I, the undersigned, holding a valid coml'llission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of NC end employed by HSB cr _ _-,-_ _ _ _ _ _ _ of Hartford, IT have inspected the pump, or valve, described in this Data Report on 7'//{;'/-:;1 ' and state that to the best of my knowledge and belief. the Certificate Holder has constructed this pump, or valve, in accordance with the ASME Code, Section III. Division 1. By signing this certificate neither tha inspector nor his employer makes any warranty, expressed or implied, concerning the component described in this Data Report. FUr1.hermo(e, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Me!. ~ AD INar!. 8d. (tnet. endo,somtflts-. and .tal. Of p<<:fol. md no I

aSP-214 ORIGINAL ATTACHMENT I PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Drue ________~1/~12~~2~Q~11~__________

Name COLUMBIA, SOUTH CAROLINA 29218 Sheet _ _-!...._ _ _.at _______1'--_ _ Address

2. Plant: V. C. SUMMER STATION Unit: _ _ _ _ _..:.:.#...:..1_ _ _ _ _ __

Name P.O. BOX 88 JENKINSVILLE, SC 29055 MWR 1012809 Address Repalr/lReplacement Orgal\ization. P.O. No.* Job No .* etc.

3. Work Performed by: _ _---:-=S~CE&.a:::GE__ _ _ __ Type Code Symbol Stamp _ _-'-'NI"'-'A-'--_ _

Name COLUMBIA SOUTH CAROLINA 29218 Authorization No. _ _ _--'-'N"-:'./A-'-_ _ __ Address Expiration Date _ _ _ _"""N=/A.1....-_ _ __

4. Identification of System _ _ _ _ _ _ _-->-(S:x.F:-)""'S..,pe='-'n'-'-l-'-Fu=e=I......A."",S"-'-M.....,E"'--"'C""la""'s""-s-"'2c--_ _ _ _ _ _ _ _ __
5. (a) Applicable Construction Code: ASME III 1971 Edition, S 1973 Addenda, NlA Code Case (b) Applicable Edition at Section XI Used 10r Repairs! Replacement Activity: ~ Edition WQ. Addenda
6. Identification of Components:

Name of Mann( National Otber Identification Year Cocreded, ASMECode Name of Component Manufacturer Board No. lWorkOOCUIDeDts Built Removed or ~tamped (Yes Serial No. ID8taIled or No) Bolting Maintenance N/A NlA XVT06691 N/A Removed No Bolting Maintenance NlA N/A XVT06691 N/A Installed No o Continued

7. Description of Work : Maintenance replacement of comPOnent
e. Tests Conducted: Hydrostatic/Pneumatic 0 Nominal Operating Pressure 1:8:1 Exempt 0 Other 0 [Pressure NlA psi Test Temp. NlA OF ]

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be USed. provided (1) 912:e Is 8~ In. X 11 in., (2) information in "ems 1 through 6 on this report Is Included on each sheet, and (3) each sheet Is numbered and the number of sheets Is recorded at the top of this form.

QSP-214 I ATTACHMENT I PAGE20F2 REVISION 5 FORM NIS-2 (back)

9. Remarks: Manufacturers data report in Owners records Applicable Manufacturer's Data Reports to be attached Post maintenance test performed on work order 1012809 Replaced bonnet batting NIS-2 Prepared By:
                            ~ I A~-11111f-+f.~"'CJloij~a2~~,~=
                         --4;:P1II Signature u;M""au.:.m:...:.R",,-.....

Ca=ba=n CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _....JD ........!..:R~e~pa!:Oli.:.:.rl-...:..A~e:.lll:p~la~ce::.tlm~e!.!.nt!:.... conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _Nl!....:<..<..A!.-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authoriza~~. _ _ _...:.N/~A'--_ _ _ _ _ _ _ _ _ _ _ _ Expiration Date NIA Signed ...<tJt1~ Manager of Maintenance Date l-lO - J I ,2011 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of GA and employed by HSB CT of Hartford, Connecticut have inspected the components described in this Owner's Report during the period February 2010 to May 2011 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report In accordance with the requirements of the ASME Code, Section Xl. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any . d arising from or connB<?ted with this inspection, 

  ~',/LJ:J.~~~~~~~-Commissions                                                      ~AZ VA 7-.?4S'IS Inspector's Signature                                                National Board, State, Province and Endorsements Date  _4=-+-A~'/.3~/_*I(_____

aSP-214 ORIGIIAL ATIACHMENT I PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _....:.1L...1/1.......412.....,.O....l..11.l....-_ _ _ __

Name 

              .cOLUMBIA. SOUTH CAROLINA 29218                                                                  Sheet: _ _............_ _ol _ _ _ _'--_ _

Address

2. Plant: V, C. SUMMER STATION Unit:_ _ _ _ _...:.:#..J.. 1 _ _ _ _ _ __

Name P.O. BOX 88 JENKINSVILLE. SC 29065 MWR 1012807 Address RepairllReplaeement Organization, P.O. No., Job No., ete.

3. Work Performed by: _ _----7=SCE&==G'--_ _ __ Type Code Symbol Stamp _ _...!.NI."-'A'-'--_ _

Name COLUMBIA. SOUTH CAROLINA 29218 Authorization No. _ _ _---'-'N!L.</A...!...-_ _ __ Address Expiration Date _ _ _ _"'-"NI'-!.A"'--_ _ __

4. Identification ot System _ _ _ _ _ _ _-"'.".S...... FL.,)S""pQc::.=n:. o. t.!. .F.=;ue:=,:I.....A..!.:OS=M=E"""'-"C""la,."ss=-=2=--_ _ _ _ _ _ _ _ __
5. (a) Applicable Construction Code: ASME III 1971 Edition, S 1973 Addenda, NlA Code Case (b) Applicable Edition of Section XI Used for Repalrs! Replacement Activity: 1OOa. ~ gQQQ Addenda
6. Identification of Components:

Name of Manuf National ~rIdendflkatlon Year Corrected, ASMECode Name of Component Manufacturer Board No. 1W0l'k DocwDents Built Removed or Stamped. (Yes SerWNo. Installed or No) Bolting Maintenance N/A N/A XV'f06703 N/A Removed No Bolting Maintenance N/A N/A XVT06703 N/A Installed No o Continued

7. DesCription of Work: Maintenance replacement 01 component
8. Tests Conducted: Hydrostatic!Pneumatlc 0 Nominal Operating Pressure 1:8] Exempt 0 Other 0 [Pressure N/A psi Test Temp. N/A OF ]

NOTE.; Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size is 8lf. In. X 11 In., (2) information in Items 1 through 6 on this report Is Included on each sheet, and (3) each sheells numbered and the numbEll 01 sheets is reoorded at the top of this form.

QSp*214 ATTACHMENT I PAGE20F2 REVISION 5 FORM NIS-2 (back)

9. Remarks: Manufacturers data report in Owners records Applicable Manufacturer's Data Reports to be attached post majntenance tes1 pedormed on work order 1012807 Replaced boonel bolting N IS-2 Prepared By: - - ~'
~;lI=Q:,. f 1MrJI-I.~ dlig,l~ . . . J:.J.[>>k=: ~'=-_. . .aAdamOl iW.L.L8.J. .'
                                              -{           Signature
                                                                                                          ..!o<Caba:!i!lo!liWO CERT1FICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _-'O                                                 ...............B..,.e.....pa""i"-!.r~
                                                                                                                                                                   ..........:....R=e=p=la=c=em=e"-'n.:..t_

conforms to the rules of the ASME Code, Section Xl. Type Code Symbol Stamp _ _ _ _.....!...:N/L!...Al......_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of AUtharizati~------l.N;:t../~A'-------------- Expiration Date NlA Signed ~ Managfl( mMaiotenancfI Date / - "2...0 ,2011 Owner or Owner's Designee, Title CERT1FICATE OF INSERVICE INSPECTlON I, the undersigned, holding a valid commi~~sued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of

  • and employed by HSB CT of Hartford. Connecticut have Inspected the components described in this Owner's Report during the period February 2010 to May 2011 , end 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, anr: concemlng the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner tor any personal injury or property damage or a loss of arising from 0: connected with this Inspection. {}.:22:11412l j)~ Commissions ,A/$;Z S; /5 Inspector's Signature al Board, State, Province and Endorsements {,11~1 w Date ~ //3/1}

aSP-214 ORIGIIAL ATTACHMENT I PAGE 1 OF 2 REVISION 5 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner: SOUTH CAROLINA ELECTRIC AND GAS Date _ _ _ _-'-'1I....:.1.:::!J.4/=-20><...1.......1'--_ _ _ __

Name COLUMBIA. SOUTH CAROLINA 29218 Sheet: _ _-,-_ _of _ _ _ _1!....-_ _ Address

2. Plant: V, C. SUMMER STATION Unit:. _ _ _ _ _...!!#.,.!.1_ _ _ _ _ __

Name P.O. BOX 88 JENKINSVILLE, SC 29065 MWB 1012806 Address Repalr/lRepiacement Organization, P.O. No., Job No .* etc.

3. Work Performed by. _ _~SC=El:!!.&G~_ _ _ __ Type Code Symbol Stamp _ _....:.NI=A:....:....-_ _

Name COLUMBIA. SOUTH CAROLINA 29218 Authorization No. NlA Address Expiration Date N/A

4. Identification of System (SF) Spent Fuel.ASME Class 2
5. (a) Applicable Construction Code: ASME III 1971 Edition, S 1973 Addenda, N/A Code Case (b) Applicable Edition of Section XI Used for Repairs! Replacement Activity: ~ Edition 2.QQQ Addenda
6. Identification of Com ponents:

Nameot Manuf National Other Identiftcation Year Corrected. ASMECode Name of Component Manufacturer B08rdNo. !Work Documents Boot Removed Or Stamped (Yes SerlaINo. lmtaIled or No) Bolting Maintenance N/A N/A XVT06702 N/A Removed No Boltin~ Maintenance N/A N/A XV1'06702 N/A Installed No D Continued

7. Description of Work: Maintenance replacement of component
8. Tests Conducted: HydrostaticlPneumatlc 0 Nominal Operating Pressure ~ Exempt 0 Other 0 [Pressure N/A psi Test Temp. N/A OF]

NOTE: Supplemental sheets In form of lists, sketches, Of drawings may be used, provided (1) size IS 8~ In. )( 11 In., (2) Informatioo In items 1 through 6 on this report is included on each sheet, and (3) each sheet Is numbered and the number of sheets Is recorded at the top of this form.

QSP-214 I I ATTACHMENT I PAGE2 OF 2 REVISION 5 FORM NIS-2 (back)

9. Remarks: Manufacturers data report in Owners records Applicable Manufacturer's Data Reports to be attached Post maintenance test performed 00 work order 1012606 Replaced bonnet bolting NIS-2 Prepared BY:~~ Signature Adam R. caban CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ _.....JOL......l...!..2R~e.l:!.pa!ll.!i~r/~I8I~R~e~pli:la~ce~m~e:unl...t_

conforms to the rules of the ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _.....!N..!!,!.,!A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ c.ertificate of Authorizat~)Ie':)------..!.N!L/A~------------ Expiration Date NIA Signed .... W ~ Owner or Owner's Designee, Title Manager of Maintenance Date / - Z () ,2011 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commissior issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of 4'd and employed by HSB CT of Hartford. Connecticut have inspected the components described in this Owner's Report during the period Februarv 2010 to May 2011 , 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, conceming the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any ki rising from or connected with this inspection. 

 --'A./4d1t1.lli!.~~   d.~11~4IZi.z&~_ Commissions -:-:-=

Inspecta s Signature d~)#~/.~4~'1~:-=-A/.~Ii~7-0:___t~~4~.L~~/S..=:=:__-- National Board, State, Province and Endorsements Date ~j;3 III

Regional Administrator USNRC, Region II RC-11-0143 Attachment VIRGIL C. SUMMER NUCLEAR STATION (VCSNS) DOCKET NO. 50/395 OPERATING LICENSE NO. NPF*12 INSERVICE INSPECTION REPORT #17 REFUEL 19 TABE AUGMENTED EXAMINATION

SUMMARY

v. C SlImmer NucLear S... t~n Augmented Examination Summary IlIIervallll, Period 3, Outage 1 'I Weld Nllmbu or Refuel 19 Wo,k Drawhtg Compoflell,lD Componen/ Descriptio" NDE Type Rnlllts Doc~1Il /Wn4rb

'MS~7*117 XTK-0024 

        ---_._-_ ..              _-   PRESSURIZER HEATER SLEEVES         VT-2 BORON        NRI     1008438     lnapaction Report In PRS.

CGf-l -,,00 1-1100- XREI UPPER HEAD & All PfNETRATlONS BUV NAI 'D08.S47 CGE-' ... 10JA l ... ,OlA- 12 PIPE TO ElBOW UT-PD1/8a.08-2 NRI 1008518 CGf*'-",10JA '10JA-13 PIPE TO ELBOW UT-PO~8-2 NRJ '008S18 

                            ~

CGE-',03A 1-4103A* 14 PIPE TO ELBOW AND ELBOW BASE METAL UT*PDII88-il8-2 NRI 100as18 lnapedion Report in ISJ Sedion. CGE*' ... ,0JA ,,,,,OlA* 15 PIPE TO ELBOW AND ELBOW BASE METAl UT-PD1I8a-08-2 NRJ 1008518 CGE*l ...302 1-4302* 9 PIPE TO ELBOW UT~6 NRI 1103850 CGE-\"'302 , ... 302* to p,pe TO VALVE (XVG~7028) UTIYRP36 NRI "03650 rlleslllly. J.'y n, 2(111 ,...lt1fl

ORfG VC SUMMER RPVH BAJU METAL VlSVAL Report No. BMY:cQ I EsamlDltioa Slim.mary SUet ExaminerIl.evcl MARVIN J:.N ASH! LEYEl.:2 ConponentNo.: 1-1100-XREI Examb:rlLevel TIMOTHY SCOUI LE\'Ek2 Configuration: RPY Closvrc Head EuntlnerlLevel NIl/. Dnlwing: .A:H Examiner/Level N/A Work Order Nos. _ _---1..31008C1C11>41C1L7 Ex.n T)lIe: Ow OPT OUT I8IVT Data Sheet Nos.: _ _ _ # IL...-_ Weld Type: o CircumferentiaJ 

                             #2                               o   Longitudinal
                              #3 .                            ~ Other             VT-2 BMVcI: PENETRATIONS Comment!!

I Pcrformr:d IOQIIA. Ban: Mdal Visual Inspection (BMV) of the Reactor Vesael Head sumcc with no evidence of active leakage noted. vaJcage streaks noted from previous data were observed and determined to be non-eaive with origins from above the head surface and annulus area Ofpencbaboa 163, Boric Kid reaidw! tnUla ~ determined to be 4-6 yean old ftom chemistry analysis reports. Refer to chemistry sample 1.0. II's (plJSot56, RWI I-I 163, SMII-116S, P13857 and PI38S8). No evidence of COfTOSion was DOted on the head or penetnDOII arras. A lOCal of (65) penetrations with the addition of the head vent were inspected 360'" 8I'Olmd the perdJation including the annulus area. Suspcc:tcd boric acid residue with identified trails was noted above the annulus of the following pcneblldons: N's63, 57, 40, 32, ~. 45, 53, 64, S2, 39, 3 I, 21. 5 I and 62. Boric acid residueJtrails were also noted from previous data with origins from elevations above the fore mentioned pefOC::billtions. Refer to recorded video media and photos for details. I!i2I.&.i. ~ and Post optic:al verifications were demon~ and recorded per ~ WDI-SSP-12IB Rev. I EadI penetration W1lS divided and examined according to 4 quadranllocadons (elt. A,S,C md D). 

                            ~   Exam Ac:ceptabIe                         o  RJsk Informed                    T" o limited Exam (ExpIaiD in Comments)                       0Supp&emcnIal Exam R.eqllired         (Explain in Gommads) ,
                      ~ Sad'fokl Required

SUMMARY

BY: MARVIN E. NASHl~:# LEVEL: II DATI.: 04-30-2011 RBVIEWEOBY, ~~.t.. LEVEL 7Ji DATE, 6;1#11 ANII REVIEW: ~ DATE: _5-l~~,.:.'ttJ=.l(+1___

8 Westinghouse westinghouse Pmprietary Class 2 NUNBBR .. RIiV. WOI-5SP-IllB Rev.! Appendix D - Initial Optical VerificatioD BTRIS Crawler Number #Z Data Sbeet ##1 Report IIBMV-Ol FRONT 1.7SO" 1.000" ACCEPT RIGHT 1.6lS" 4.500" ACCEPT LEFT l.l!O" 1.17S" ACCEPT Commenb: Initial Optical Verification BTRIS Crawler Number #1 FRONT 2.500" 5.625" ACCEPT RIGHT 1.625" 5.2S0" ACCEPT LEn 1.150" 3.37~" ACCEPT PerfGrmed lDd. 0pdcaI vertfirdM .. .,... before ,,,., k, u ..... natiorL (Medi.'1 EP1lI VT " 541 Initial Optkal Verification; Manual Cameras MANUAL 1.000" 4.150" ACCEPT N/A N/A N/A N/A N/A N/A N/A N/A 2008 westinghouse Electric Company, LLC

NUMBER&. REV. Westinghouse Westinghouse Proprietary Class 2 WDI-SSP-1218 REV.1 APPENDIX C VC Summa ... _ . : *flO 

                -
  • O . IfCS
         .. I800III ASSOCIA_INC.
                                  -~

RVHV1 VT-2 Log Report

  • BMV-01 DIta Sheet 12
   ~    PanlAneI    I'l0l1 PIIh S1Irt Tn Ca!mIaI1IIII ~                                                DIItaf SlgIIIIunI
  ~       Allie   Camera P    550          R       1     2   0:10;1&

2 P 55A M--P .. o-.oe:4O l p 35A L 2 0:11:30

  • P 350 L 2 0:29:08 6 p 27A L 1 2 D:27:51 light Debris
  • P 270 L 2 1:04:33 p 22A L 1 2 1:04:50 p 220 L 2 1:04:50 p 26A L 2 1:05:15 10 p 260 L 2 1:05:15

., p 34A L 2 1:05:51 12 p 340 L 2 1:05:51 I' p , ,. 54A L 2 1:07;41 p 540 L 2 1:D7;~ 1~ p 680 M-P 4 0:05:51 1e P 58C R 2 1:06:18 o 17 p 588 R 2 1:08:18 ~ o.tIfII (InIUIItIon BIa)  ::0 18 P 46C R 1 2 1:08:64 Ci>

1. p 468 R 1 2 1:06:54 light liebrls (I ntulaSlon Bill) :z XI P o42C R , 2 1:07:16 >>

r-Signature/Date~ #,,..1, o/..f~"loll Page 1 of 17 Procedure Appendix C Page _,_ OF l:L. VT-2

8 Westinghouse Westinghouse Proprietary Class 2 APPENDIX C VC Summera NUMBER&. REV. WDI-SSP*1218 REV. 1 B8IIOOICS 

           .. .-xJIt.f ASJO(J4fa INC.

RVHVl Yr-2 Log Report' BIIV-41 Data ShHtI2 Type PIInIAruJ E.om Ala" Plott c.n.a Pith 1MecIiI 511ft T1Ine CormIenIlI Find. DIUW SIDI'tIUe 21 P 428 R 1 2 1:07;1a liQN Debita (1naullltlocl BIts) H-~/I.~*.~ u p 47C R , 2 1:10:00 lHZ7""I'-"'~ 23 P 47 B R 1 2 0:2!:22 Light ReaQ,e Stai'll ~-A'.",.~ 

~    p     59C          R      1     2      0:28:48                         Light Debris around Innulul I ....                                1IN1~1I ~A6.,I 2&

211 p p 59 B 55C L R 1 2 2 2 0:10:48 0:10:18 

                                                                                                                                        .tu/.

_It - 

                                                                                                                                              ~~46-..r.'.u
                                                                                                                                              ~~~~r..

n P 55 B M-P 2 4 0;07:03 k>f.~"~11;6..:.~ 28 P 360 R 2 2 0:09:46 ~,~..t6.i' 21 P 36A M-P 2 4 0:12;21 ~~h' 4L-:-.t JO p 600 M-P 2 4 0:10:57 ~K.~..,.. £/ P 60A MooP 0:10:03 fJI..#-ll~*-* ~ 2 11 J2 P 19A l 2 :2 0:12:23 

                                                                                                                                               ~II~~

II P 190 l 2 2 0:29:43 Light DebIS fJl-H--I';fA ..' :A.(/ '" P 14A l 2 2 0:24:30 ~A'JIIt.-.' JJ 35 p 14 D l 2 2 1:00:42 ~#.~.J../ 38 P 10A l 2 2 1:00:58 ~II.--:~ P P 100 L 2 :2 1:00:58 1,t+J.141-tttIL.-. . .iJ~

r?

38 P 18A L 2 2 1:01:23 I'/.d-II ........... * , . ) ~ 

                                                                                                                                              #f~d-/I -M-_ . ~-.1 38    P     180          l      2     2      1:01 :23
                                                                                                                                                                            § 040   P P

41 A 410 M-P M-P 2 2 4 4 0:05:16 0:04:49 

                                                                                                                                              ..,~H-t'l 4L . ,.L /

iAJ. Ml.1I 4e.. .~J SignatureIDate~ J, "t....70~.2~/1 Page 2 of 17 Procedure Appendix C Page ..L OF ..i.1..- VT -2

(8 Westinghouse Westinghouse Proprietary Class 2 NUMBBR.t REV. WOI-SSP-1218 REV.1

. APPENDIX C VC Summa ...
     -              ~ ASfCJaAJa         INC.                         RVHVI VT-2 Log                                 Report I BMV.o1           Data Shaet 12 TYIJII F>wnI AnI1II   Plott Pal*  I.. _I .....                                     Cornmenca I FIndkIot                                 DIIWSIgnDn Exam      AllIe      Clmera Q   I P          65A          MoP    2       4 I 0:03:53 43  I P          850          M-P    2       4 I 0:03:28 44  I P        I 54C          M-P    2       <4 I 0:04:15 45 I     P        548         M-P
                                   -2     f--
                                            <4 I 0:04:15

... I P 34e R 2 Z 1, :18:,5 ~7 I P 348 R 2 I 2 I 1:D1;&6 451 p 26C R 2 I 2 I 1:112:15 ~I p 29B R 2 I 2 I 1:02:15 LIght Debrla 501 p 22C R 2 I 2 I 1:03:49 51 I P I 22 B R 2 T2 I 1:03:49 52 I P I 27 C R 2 2 I 1:04:14 ID I P 27 B R 2 2 I 027 :57 l.Jgh( Debris 541 P 35C R 2 2 10:29:[)C!I 56 I P 358 L 2 2 I 0:11:30 611 p 16C R 3 2 I 0:09:48 57 I P J6B MoP 3 4 I 0:14:17 51 I P 60C MoP 0:12:49 I.Ig tit Debrts 51 I P BOB M-P 0:12:49 101 P -48 A M-P 3 4 t 0:14:41 III I P 480 M-P 3 4 0:14:41 152 I P 28A M-P 3 4 0:15:23 Page 3 of 17 Appendix C Procedure Pege~OF~ VT-2 SignatureJ08te:~#J, ~...~~.2oll

e _BRODICS Westinghouse Westinghouse Proprietary Class 2 APPENDIX C VC Summan. NUMBER 4. REV. WD~SP-1218 REV.1 

           ** ~AaOOAJa INC.                                RVHVI VT-2 Log                         Report' BMV'()1                             DataSh88lt2 T~

E.om Pent AMI AIIIII PIrA ( ealMll Pdt ,..... MedII SIatITkne COrron. / Fln~. DaaW IA;llaluna 

                                                                                                                                       ~:L.Z",~

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                                                                                                                                      ~"""J'~ J 117  P       20        L     3     2    0:56:111                                                                                       1M - .,-- ~:JfiL 88    p      6A        L     3     2    0:55:42                                                                                        ~/;---~'-J ell   P      60        L     3     2    0:55:42 1~6-.1/"""'../

TO P 17A L 3 2 0:58:08 

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                                                                                                                                      ~d"'~'               .JJ n     P     ~B         R     3     2    0:57:26
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,. P 41 C R 3 2 D:57:50 ~>>IAf..: 1Ii.f 79 P .. 1 B R 3 2 0 : 57~ l~#~~( D 80 P 18 C R 3 2 0:511:18 

                                                                                                                                      'PN?~~~~ 10 el   LP     188        R     3     2    0:68:18                                                                                        'I#f~~~ ~)

82 P 10 C R J 2 0:58:411 11Nf-#&":-~! ~ B3 P 10 B R 3 2 0:58;49 1~-#. . .-;IZr light Debr1a 

                                                                                                                                                                    ==

Page 4 of 17 Appendix C Procedure page~OF 17 VT-2 SigNltUfefDate~~ / o~3(),.~oll 

                                                                                                             ,--...;.;;;;....;;.;.~:=:l!::._1 at >> M. AI.

e Westinghouse Westinghouse Proprietary Class 2 NUMBER &. REV. WOhSSP-,218 REV.1 

              .. "                    -                               APPENDIX C                                   VC Summers
                 ~ As.tOaAJawc.

RVHVI vr-2 Log Report' BMV~1 Data Sheet 12 Eum I 1)11& Pen! ~I AIIIa Plot, CIm8III IPIIIh IUeCI,J., SIII1"'18 nne CoInmenta / FlIJIlngs DeW SIgnatUnI 114 I P 14 C R 3 2 I 1:00:18 80 I P 14 B R 3 2 I 0:27:30 88 I P 19 C R 3 2 , 0:28:43 UghlDebria 87 I P I 19 B R 3 2 I 0:12:23 II I P 230 L 4 2 '0:08:10 DebOa noted flNulalion) 

.,      P     23A      M-P    I"        " I 0:26:14 110 I   P     43D      M-P    I4        " I 0:19:45 g, I    P  I 43 A      M-P      4      4 I 0:1;:45 i:ll    PI 488          R       .       2 I 0:00:00 tl  I P       04aC      R       4       2 , 0:00:00
'" l    P     28B      M-P      4       4       0:19:17 a5  I P       28C       R     I ..      2       0;08:54 eel     P     11A       L     I4        2       0:14:17                      Front Cam al80 UllIIzed fDf earn 87  I P       11 D      l       .       2 I 0:30:13 118 I P    I JA         l       4       2       0:26:38 118 I   P      30       L       .-      2       0:54:12

,00 I P 1A l 2 0'.&4;27 (01 I P 10 L .-" 2 I 0:54:27 102 I P HVA F 4 2 I 0:52:.50 103 I P I HVB F 

                                "      2 10;52:50 1001 I   P  I   2C       R I"        2    r  0:53;11 Slgnature/Date:~ " . , / ,

Page 5 of 17 Procedure Appendix C Page2.....OF~ VT-2 Df:JIJ--,2{)//

e Westinghouse Westinghouse Proprietary Class 2 NUMBER & REV. WDI-SSP-1218 REV.' liB :,. " 

               .. ~..usoa..JB.1NC.
                                         -                           APPENDIX C RVHVI VT-2 Log VC Summers Report I BMV.Q1            Data Sheet t2
       ~     Pen/' AnIaI    Plat I               Media bam     ~           Clmera Pd1  IMedil s..rtTlme                                COmmenIsI~                                                DIt&'~

'05 1 P 2B R 4 2 0:53:11 1(11 1 P I 7C R 4 2 I 0:53:55 L.Jgtrt debris '07 1 P 7B I R 4 2 I 0:27;01 1118 1 P 23C 1 l /; 2 I 0:08:10 'ot 1 P 238 M-P 5 4 10:28:37 "0 1 P 43C M-f' 5 4 I 0:28:25 Suspecl. boron stain, from abowI 1111 p 438 M-P 5 4 10:28:25 Sue.pect. boron stain, rrom atxMI lIa I P 49A M-P 5 4 I 0:28:49 '" I P 490 MoP 5 4 0:28:49 L.Ig ht clebna on top aide , ... I P 29A M-P 5 4 O:27:~ inI IrlBUJatlon debria 115 I P 290 R 5 2 D:07:23 118 1 P 15A L 5 2 0:17:42 117 1 P 15 D l 5 2 0:'1 :16 HI ( P SA L 5 2. 10:26:03 1181 p I 80 L 5 2 I 0:48:211 L.Igh1 debriB 120 I P I 4A L 

                                   -55  -

2 I 0:47:4' 121 I P I 40 I L 2 I 0:47:4' 1~1 p I SA I L 5 2 0:48:05 123 1 P I 90 L 5 2 D:48:D5 124 I P I 32A L 5 2 0:48:33 Ught debrts 125 I P I 320 L 5 2 0:48;33 Light debrta Page 6 of 17 Appendix C Page Procedure 

                                                                           - "        OF - -11                  VT-2 SignatUreJDa16~     ".,1, ¥ft~      p//

       & Westinghouse                                   Westinghouse Proprietary Class 2 NUMBER a. REV.

WOI-SSP-121B REV.1

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                &.8IOOG
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APPENDtx C RVHVI VT -2 Log VCSummera Report' BMV-G1 T~ PfWIvWII EJcam AlIQ Plat I c-. Pdt MediI Start l1nIe CGmmenlll RrdngIi Data Shaetl2 DIlle( SIgna\n '211 I P 152 A l tl 2 a:.a:59 ht debrla 1271 lP 520 l !5 2 0:.a:59 LIgt1 deDria '28 I P 45C R 6 2 I 0:48:33 121 I P 458 R 5 2 I 0;411:33 lightdebrle no I P 25C R 6 2 I 0:50:59 131 I P 25 B R 5 2 1 0;50:'9 Light CS8bOa 1:12 I P 13 C R 5 2 1 0:51:25 '33 I P 13 B R 5 2 1 0:51 :25 1~ I P 5C R 15 2 1 0"..51 :48 Llghllnauiation d " ,)5 I P 58 R 5 2 1 0:51 :46 light Inkllatlon debris U8 I P 1C R 5 210:&2:09 1ST I P 1B R fi 2 1 0:52:09 1311 P 3C R 5 2 I 0:52:33 

':19 I    P      3B       R       5    2   I 0:26:38

,** p 11 C R 5 :2 I 0:30:1) ,., I P '1 B L IS 2 I 0:14:17 142 I P 6e L 4 2 1,:11 :1Q 143 I P 68 L I .. 1 2 I 1:11 :10 Light debrtl 144 I P HVC L I4 2 1 1:10:00 ,45 I P I HV 0 L I4 2 I 1:10:00 148 I P 5A L I .. 2 1,:10:17 SignBtureiDate:~' ~ t>f,jo ....2C11 Page 7 of 17 Procedure Appendix C page..LOF 17 VT-2

e Westinghouse Westinghouse Proprietary Class 2 APPENDlX C NUMBER cl REV. WOI-5SP-1218 REV.1 VCSummera 

     . .BIIDOKS                                                                                             -
                ".ooG iUSOaAJa INC                                  RVHVI VT-2 Log                                  Report
  • BMV.o1 Data Sheet t2
     ~        PelllAIeM   Plot I                 Media Path IMIcII                                       COINnIrIIt f FNinga                                            D8III 81anD18 ElIIIIII   AIUII   C8J1111111             saanTime
'.T    p         5D         R       B     2     1:10:17                                                                                     ~~ ~-"'--:;;;::z

, .. P 1JA L 6 2 1:10:43 

                                                                                                                                            ~d--H~N 148     P        13 D        L       6     2     1:10:43
                                                                                                                                             ""-d-H~AiZ ISO    p        26A         L       6     2     1:14:28                                 LIght det)riI                                       ~.JLJ/~~
,&1    P        25D         l       6     2     1:14:28                          BarIc Add trail from above                                 Il/-zH~JII.J.

152 p 45A L 6 2 1:11 :55 LJvhI dabtla ..ol--I~AiZ 

'53    p       ~D           L       8     2     1:11 :56                                 Ugh\ dati lis                                       ~-I/.'fIII£ ".~

P 53C R 8 2 1:11 :32 

                                                                                                                                             ""'~/"""" 7Y'~

I~ 1M P 538 R 6 2 1:11:32 ~.,../ ~----;;;Z 1511 P 33C R 6 2 1:14:00 ~.a41,""*J-** ;tZ 157 p 33B R 8 2 1:14:00 liJI..d"./t ~.;i2 158 P 17 C R 6 2 1:11:32 ~a4/~-**1I4t 's p 178 R 6 2 1:11:32 1""'6HI"'~ ¥ILL '10 P 29C R 7 2 0:07:23 1Nt...,..M~* . -.I 1111 P 288 F 7 2 0:05:55 IH-.&-tI,M_.&". .4.,l IG p 49C F 7 2 O:()UO 

                                                                                                                                            ~.tVII~"""*-~

1$3 P 49B F 7 2 0:04:40 

                                                                                                                                             ~/I~16,/ PJ b
"'"    P        61 A     M-P        7     4     0:35:21 I~II"~ ~

11115 P ", D R 7 2 0:04:07 ~.2V/l.4&--:~ :2 

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lee P 37A F 7 2 0:02:51 DebriI nDled (InIWation matanal) 18T p 370 R 7 2 1:22:00 ~./I~III.L S/gnatureiDate:~ ~ t>f-JI)-~IJ/I Page B of 17 Procedure Appendix C Page~OF /7 VT -2

8 WestinghDuse Westinghouse Proprietary Class 2 NUMBER &: REV. WDI-SSP~1218 REV.1 APPENDIX C VC Summers 

                  ;,-"                 ~'
     . .&.~ 4HOQ.4,..INC.

RVHVI VT*2 Log Report' BMV-01 Data Sheet t2 Type PanI AleaJ Plot I Mecli CcmmenIIl FIndr.ga o.w SIgnaRII8 Path Me6Ia EXIIII1 ~ CImenI SIIIItTlme .ea I p 20A L 7 2 0:19:01 Ught debril rameIna alar air 1nIeg. '1111 p 200 L I 7 I 2 I 0:31:54 LIgtt debriB flO I P 12A L I 7 I 2 I 0:38:06 light debris ", I In I P p 120 18A H-* L 7 I 0:38:08 2 I 0:38:211 Ughtdebrll Uglrt d..". IT3 I P 160 L I7 2 I 0:38:28 1741 p 21 A L r7 2 I 0:38:50 UgIJl debtll 171 I P 210 L I 7 2 I 0:38:60 .7. I P 40A L I7 2 I 0:39:52 8of1c Add staining from abo¥e ITT I P 400 L I7 2 I 0:39:52 178 I P 64A L 7 2 I 0:41:21 Boric Add atalnlng from eboYe HII p B4D L 7 2 I 0:41 :21 1110 I P 52C R 1 2 I 0:42:43 Ughtctebrla Ie, I p 62 B R I 7 2 I 0:42:43 light debrirl \112 I P 32C ~10:43:S5 Ughldeblll lui p 328 R 7 2 I 0:43:55 Ughtdebftl ,.. I p 9C R I 7 I 2 I 0:45:28 185' P 9B R 1 I 2 I 0:45:28 '.1 p .C R 1 I 2 I 0:4~:32 '11 I P 49 R 1 I 2 I 0:45:32 '881 p BC R I 7 I 2 I 0:48:15 SignatureJDate:~ d of-.JD-~c,r/ Page 9 af 17 Procedure Appendix C Page -.!L OF L"L VT-2

8 Westinghouse Westinghouse Proprietary Class 2 NUMBER &. REV. WDI-SSP-1218 REV.1 

,.1
      -u.n P

AIIIII 88 

              ... .ooG~JU INC.

Type PerIIAr-' Plot I c.mer. R Pa!h 7 It.IICIII 2 MedIa s.rt T1rPe 0:26:03 APPENDIX C RVHVl VT-2 Log CoImIIntII Finding. VC Summers Report I BMV.o1 Data Sheet 12 

                                                                                                                                                  .,.., Signllllnl 1110 I  P     15 C      R      7        2     0:31:18 181 I   P   I 15 B       L     7        2     0:17:42 1&2  I  P   I 37C       R      8        2     0:06:55 IW   1 p    I 37 B       F     8        2     0:Q2:~1 1841     p   I 61 C       F     8        2     0:02:10

,811 I P I 61 B F 8 2 I 0:02:10 '118 I P seA L 8 2 0:03:31 ,IT I P 560 R 8 2 0:06:1. 1118 I P 38A L B 4 0:07:21 ,. I P I 380 L 8 2 0:32:23 Ughl debr1a

zoo I P I 30A L B 2 0
25:21 Ught debr18 zg, I l I 30 D L 8 2 0:33:004
m I L I 24A L 8 2 0:33:21 Light IJlMlIa1IDn debril 2031 p 240 L 8 2 I 0:33:21 204 I P 31 A l 8 2 I 0:33:65 light InalJlatian daOriB ml P 310 l 8 2 I 0:33:" light insulation debris al P 39A L 8 2 0:34:20 Lighllnau IaIIon debris 2f11 I P 380 L 8 2 0:34:20 2D8 I P 57A L B 2 I 0:34:36 LIghI BMIe Acid ItUIS from ablJd 2011 I P 57 D L 8 2 I 0:34:36 LJg ht BorIc AcId &taInI from abC1V'8 Page 10 of 17 Appendix C Procedure Page ...L!!...... OF ~ VT-2 SignatUrelDate~~ ~fl ..bll

e Westinghouse IIiiIJIlOOJCS Westinghouse Proprietary Class 2 APPENDIX C VC Summers NUMBER .t: REV. WDI-5SP-1218 REV.l 

            ... ~.&.IIIOCIAJa INC.                              RVHVI VT-2 log                                  Report' BMV-01                Data Sheet #2 Type   PW\IAIwI   Ptctl                MadIa EJIIIn  AllIe    earn.. PIItI IMId'I SIaI1 Tlmll COrnrnenlll Fltdi"flll                                      DIW~

210 P Me R B 2 D:18:07 '(1/;.2#1 .Jf..-,,"-: II4L 211 p 648 R B 2 0:38:07 light lnaulation debrtI Ml ',"i'~--*.~ 212 P 40C R 8 2 O:38:4i LIg tit InsulatIOn debris #f,d-II. . . . ----;t.z 213 p 408 R 8 2 0:38:49 LIg hllnlUlaUOn debris ~,2?-11 ~ 1IIL

21. P 21 C R e 2 0:37:11 I"'*/I~~

21& P 21 B R B 2 0:37:11 LIgtrt inaullltlOn deOrta l¥#?,-Q .u.. .~ 210 P 18 C R 8 2 0:31:32 1~/.J.I'-~~ 21T P 18B R 8 2 0:37;32 ,*.z?'.6' #_-:.~ 21' p 12 C R 8 2 0:3N8 IH-~/I~----;;t} 21' P 128 R 8 2 0:37:68 *P.,Y~---:;j2 220 P 20C R e 2 0:31:54 ~.w-#,.~ . ~~-~ 22' P lOB L 8 2 0:19:01 LIght IiebI1l remaIN after..,. 1mIIg. ~~d ~----;ti,;l 222 P ssC R 9 2 0:08:14 ~-#.JL ~.L/ m P 568 L 9 2 0:03:31 l~rl/~A4I. 224 p 628 R 9 4 0:01:31 

                                                                                                                                       ~'.If-l/"~

m P 6210. R 9 4 0:01:31 llQhI. InsuIIItIon debna 0'I,2?-I1..M.* .~

at P 38B R 9 4 0:06:50 1~.z?,I/~ 4L .A iJ 22T P 38C L 9 2 0:32:23 I~ __ -¥~ . ---;;z~ FU 228 P 82D R 9 2 0:21 :12 EvlQenoe of debril (WIre InaWatlon)
                                                                                                                                         ~2t-II~~ ~)
QII P 62C R 9 2 0:21 :12 ~~-,~~ ~

ZID P 50B L 9 2 0;20:20 _ ~2/,*II~/III.r:: Page 11 of 17 Appendix C Procedure Page...lLOF-'1..... VT-2 SignaturelDale~ ~.4, of,.5()-~I/

8 Westinghouse Westinghouse Proprietary Class 2 APPENDIX C NUMBeR & REV. WDI-SSP-1218 REV. 1 _BROOKS 

           .. 8OQIlJ~Ja INC.

VC Summers RVHVI VT-2 Log Report' BW-O' Typa e.m PanlAraJ AIaIe PIo1 ( c.1I'IeI'8 PIIh IMecIiI SWtTImll eor-.rta I FlndingI Data Sheet 12 DIIeI SIGRIIunI

n1 p SOA L Q 2 Q'.2O:20 .aJ.6b~Ai.l 232 p lOB R 9 2 0:2.5:21 111I-~~-':iiZ 213 p SOC R 9 4 0:00:00 lJght lnautaUon IJI-. - 1IIIiIL . --;;ll 2301 P SOD R 9 0:00:00 l.Ig hi insulation I~.-~~*~* AL) l~

2:16 P 44A L 9 

                                     '4" 0:00:33
                                                                                                                                      ~'..2?JI.~~

236 P 44B L 9 0:00:33 I~d~~~ 2'31 P 44C R 9 0:11 :38 I~~#.~~* ,d) nI P 440 R 9 .- 0:11 :38 I~~I/~g 238 P 51 A L 9 4 0:1Z:D2 UgIIt insulation deb1I 4"I:-2?-Q. ...~.. J...I 2<<1 p 51 B L 9 4 0:12:02 light InIuIatJon debris ".~, ~.--;ii;l 241 P 51 C R 9 2 1:19:44 LlghllnauIatIon debril 1~~/.A.,..:, AI.t. ~ p S1 D R 9 2 ';19;44 light Insullition cIebItI I~z~~-L..* .~

M3 P 63A L 9 2 1:21 :18 Wira dabr1B 4f'--rr'~,-.l 244 p B3B L 9 2 1:21:18 Wlnldatn 1IJI...2$#,1Mrw..... , ~
l.45 P JOe L 9 4 0:01 :08 ~r1-I~~ ' ~

2111 P 24 B M-P 9 .. 0:02:01 l~dII2&-.*.J 247 P 24 C M-P 9 .. 0:00:00 WIIa .. InIuIIItIon deOria Pls2'1-l1~J b ~ P 31 B R 9 0;11 :23 (J#l2H. ~.--;;j7 EQ 148 P 31 C L 9 2 1:19:06 ~1..4'- ..u ~) ~ P 39B R 9 2 1:111:28 Ught InauIatIotI ~ ~ _ ** 4L.. 

                                                                                                                                                         .J         ~

25' P 39C L 9 2 1:18:43 

                                                                                                                                       ~.rH/~1/II4---;til ~

SignatureIDate:"'~ ~1~-2WI Page 12 of 17 Procedure Appendix C Page 12 OF---':L VT-2

e Westinghouse Westinghouse Proprietary Class 2 NUMBER&, REV. wrn.ssp-121B REV.1 

       -1l.~.uJOO~rs.INC.

APPENDIX C Rvt-NI VT -2 Log VCSumm.... Report I BIIV-01 DatI Sheet 12 Type P.nIAruJ e.n AI... P10tI CamenI PIIt1 ftIIdiI SIIItT1me Cornmer1III FR1Ii9 DellI....,. ~112 1 P 630 L 9 2 1:18:51 Boric Acid sIiIlnI from above

l53 1 P I 63C L 9 2 1:16:51 Boric AcId Blains on Head at bottom 25011 I P 1 57 B R 9 2 1:1t5:32 Z65 r p 1 57C M--P 9 4 0:02:22 Borre stain from above i!8 I P I ~A L 10 2 0:\1):48
~I        p    I 690      R     10       2     0:28:46                                     Llght debr18 251   I    P   I 47A       L     10      2 I 0:28:22                                    Ulilhtslllin Dn lib 2111       P I 470         l     10      2 I 1:10:00

., r P I 42A L 10 2 1':08:48

lilt 1 P I 420 l 10 2 11 :Q9:27 3B21 p 46A L 10 2 \':09:04
!e3 1 P 460 L 10 2 1,:08: 49 2&41 p 58A L 10 2 I 1:08:34

.., 1 Inswllon Handle and Pop RIvlllldonlWied and retrIeVed

lilT
1811 17O 27' L,...o==""'[
                                                                                                                                             ~ ~3b-2A/1 Page 13 of 17                                                    Procedure Appendix C                                                 Page    /1 OF-l.2....                    VT -2 SignaturelDate:Al'i .:.

e Westinghouse Westinghouse Proprietary Class 2 APPENDlX C VC Summa... NUMBER &. REV. WDI-SSP-1218 REV. 1 _BIIOOICS ** .aooiUSOCUJ&. INC. RVHVI VT-2 Log Report. BMV.o1 Data ShHtI2 ~72 

   ~       Pll'll1ItMJ  PIuII Pd't jUldll   MId.                               Comrrenla J FWIn\P                                      ilia' SIgn.,.

EIIIIII AIaIe CamerJ StIfI Time 1¥J?#.~27 1 8M ~ F 1 4 0:00;00 .;f~¥~II'J 2 BM 3~7A F 2 4 0:12:03 IPI'"-.z?-I/~;t4i 3 8M 3OMi4C F :3 

                                      "   0:17:47
                                                                                                                               ~n-//""~
,   BM      118-640      F     4      4   0:28:52                                                                             1~2.""': ~~o ~.j 5 8M       IA-45C       F     5      4   0:34:33 I~-//~~

I BM 3A-2C F 6 4 0:40:18 

                                                                                                                              ~ZH/""~

7 BM 7A~ F 7 4 0:41:28 I~p-A' ;6a:~ e 8M 14A-.34C F 8 4 0:44:33 1J'f-IH/~--:iiZ I BM 478-54D F 0:47:20 1~~~At:l 10 8M 58-48 F 10 4 0:51:15 ~.u'./I~.lfiL 11 8M 46-42 F 11 04 0:52:59 ~~;/ Afitw,:..1I4t 12 8M 42... 7 F 12 04 0:55:17 ~_#."",,,,,*~L/ ,~ 8M 45Q.8B F '3 4 0:57:40 tJI-27-1/~~ 16B-Z4C M-P 104 IH-...tJ'-I1. ......... :.-J. I' 8M 

                                      "   0:01:11 15  BM      1:zc.31B     M-P   15     04   0:01:19 IfJMI-II~~-~                  ~

11 8M 12S.JOC M-P 16 .. 0:01 :30 I4¥J.I~ ~- .---:zJ C5 M-P 0:29:13 ',;f--..#-/lL.... *~ S; 17 8M 4BA-238 17 Ie 8M 510-410 M-P 18 0:02:45 1;ut....;/~4,{ :> 18 BM 6~ MoP 19 4 0:07:30 1~/~1f4l vr-2 SignatutelDate~.?I6/, t¥J~2()// Page 14 of 17 Procedure Appendix C Page -..!L. OF 17

e Westinghouse Westinghouse Proprietary Class 2 NUMBER &: REV. WDI-SSP-121B REV.1

~. "
             .. MOOD~II!S.

we. APPENDIX C RVHVI vr-2 Log VC Summe,. Report' BMV-41 Data Sheet #2

11) I 8M I 56C-37B1 M-P 1 20 1 .. 1 0:01:11 Comrrl8IIIa I F~ DaI8I SIg..u.

21 1 BM 22 1 8M 0:20:21 231 BM 0:31 :66 Page 15 of 17 Appendix C Page Procedure I f OF .lL VT -2 SignatUrelDateJ.l.~#J, ~JD-,2()//

8 Westinghouse Westinghouse Proprietary Class 2 APPENDIX C VCSumme,. NUMBER & REV. WDI-SSP-1218 REV.1 I!!IIrBIlOOf<CS 

           .. ~.tBOOAJ'I!fo INC                                  RVHVl VT-2 log                              Report 1# BMV-01            Data Sheet #2 Typtl  1"erII/WaJ   PIOII               ~

I Path IMedI8 S1IWtTlm. Ccnvnentt / FIndIngs o.IB/ Slgnatunl ElIIIm Allie c-.. 

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I .- V / Page 16 of 17 Appendix C Page Procedure 

                                                                         ....1L OF 11                  VT -2 SignaturelOate4:    #a.I, ~ft-bVl

e _BROOICS Westinghouse Westinghouse Proprietary Class 2 APPEND4X C VCSummera NUMBER &. REV. WDI-SSP-1218 REV. 1 

       .. -oou   ASfOOA ~ INC,                              RVHVl VT-2 Log             Report' BMV-G 1            OIltaSheett2 J LI                   1 I I                I                        I                I                        1 ABBREVIATIONS
p. PE~E.TRAl1ON 8M = BARE METAL M-P = MANUAL PROBE
    \. "'LEFT R = RIGHT F-FRONT HV" Head \I.nl Panetratlon and auocIated quadrant ORIGINAL Page 17 of 17 Appendix C Procedure page.JLDF~          VT-2 Si9"atureJDate~*,J1 qt.JtJ-,2.01/

ORIGIN 8 Westinghouse Westlnghouse Proprietary Class 2 NUMBER. REV. WDI-SSP-12IR Rev.I Appeadh D - Oosiag Optic:al Verifieatioa BTIUS C1"8"W\er Number.1 Report #BMV-Dl FRONT 1.7SO" 7.008" ACCEPTABLE RIGBT l.filS" .5.750" ACCEPTABLE LEFT 1.250" 3.000" ACCEPTABLE Commenb: 0pdmI VertfIadaB . . pe....... GD . . . . It (URI VT Cud .QllI85II182) ClosiDg Optical VerifJC8tion BnUSCmWRrNWD~ #2 FRONT N/A N/A N/A RIGBT N/A N/A N/A LEFJ NJA NJA NJA Comments: NJA Brooki Rep.ID* N/A NJA Closing Optical VerulCaticm; Manual Cameras MANlJAL"PROBE 1.000" 4.258" ACCEPTABLE N/A N/A N/A N/A N/A N/A N/A N/A

ULTRASONIC EXAMINATION REPORT I-S-fii~ PDI-l- 

     ~ .w.~~p'yni5
           ...........--~

Data Pkg # VCS-R1~1036-03 P ORI GI NAL of 9 Plant: VCSUMMER Unit: Procedure No,; WOI-STO-I038 Rev,: 2 FCN# nla CampI System: Safety Injection Cal. Blk, II 102697 Ref, Blk,(#. 10]774 "T"Nom. 0.719 Nom. Pipe 0 6.0 Isometric Dwg # CQ&I-4103A Therm.omeler SIN: 79183 Block I Camp Temp: ~*F I _81_-F SEAR.CH UNIT 00 Surface Condition Ground Flush I INsnt.UMENT SIrrllNGS Scan Angle; O* Mode: LONG Material Type Des 0ss

  • DDH IMfrlModel No. GE I KrautKramar USN 80 SW
                                                                    ........v.

Serial No.: 54762-19009 Mfr. KBA go D.S~ 1l.0'! Serial No,: 104768 FilC.turing: IZnII!grB' 1*1 Model: MSEB4 80 70 Pulser: Square [JDualQn Dual Off Puis Wth : 130 Size: (3.5 x 10) 2 Shape: RND Dtunping: 500 Reject: 0% Frequency: 4 Mhz # Elem: 2 EO 50 Freq : . Mhz Rectify: FullWeV8 Measured Ansle; nla Exit Point nla 40 PRF: Auto Hj~h Volt: 450 Jack: TIR RL FcgJ Point Verified 121 N,lA I - PSI FD I I 30 

                                                                                                                                                    ~velOCity~

20 Couplant TypelBatch #: UItTaGelIl I 10325F ),0 Range: Cable / Length I # Conn: RG* 174 I 6' I 0 0 1111 1111 III' III III Swp Delay: 0.00 SU Delay Q.270 Contoured Wed~e o N/A OAx o~1 0 1 2 3 4 6 6 7 a 9 10 Cal Scan SCAN All.F.A CAl CHECKS TlME Screen Divisions, 10 - ~ ReflectDr DAC 

                                                                                                     % Swp I      GIIk1 o* or .1 Gain   II          1 33.0 n/a     I
  • nla I::

Initial Cal. 0821 tD FSH Pos dB EXAMINAnON' WELD/ AREA Intermediate 1040 OSBW 80 5.0 33.0 I Inlcm1edilJe 1.0" BW 80 10.0 35.0 1-4103-12 I [oaenncdiale Rctordable IDdicatloDI Om 0NC 1528 Sean UmitBtJonl DYES 0NO Scanned II on Weld: Rcm.-ks: Used for Thidmess and Contours mapping only. I Examiner Lv . ..1£.. Date: ~!o-z,11I I 

                                                                                                                        ' as needed JO maintain 8CWD FSH Print                                                                                                          Code Coverage Achieved              loJa     %1             I Examiner                                                  Lv. ~Oate; ~S'".Oa-' (                                      Rbk Jnformed     0   YES  0    NO   C'Bote  0 YON SI         Williams Z L.i1JJ Print                                                                                                           Enm ~eeptabl£                   [2] ru D NO Reviewtl': 2.....-./L~                                          Date:     ,fj,rA,               Reviewer:          £         f~'   (,1 /-"              ...      Date:   ~JhJ Authorized Inspection Aamcy                        . ~.)                           f5~ifot(
          *A   POwerfUl:         of your ......

~ ULTRASONIC EXAMINATION REPORT # PDI*2-07 

   ~WJ~~~ynii
        .. -IInao- ......  ~

Data Pkg# VCS-R19-1036-03 ORIGINAL p 

                                                                                                                                                     -       -2    --f     4-Plant:                          VCSUMMER                        Unit:
                                                                       -  I                Procedure No.:

FCNfI WDloSTD-I036 niB Rev.: 2 I Compl System: Safety Injection Cal. Blk. # CGE-4 Ref. BIk.N 103774 "Til Nom. 0.719 Nom. Pipe 0 6.0 Isometric Dwg fI. CGE-1-4103A Thermometer SIN: 79183 Block I Comp Temp: ~*V I _8_1_*' SEARCH UNIT 00 Surface Condition Ground Flush INgr'RUMENT SF:lTINGS Scan Angle: ..5* Mode: SHEAR Material Type Oc:s0SS0DM MfrlModel No. GE I KrautKramer USN 60 SW 

                                                                  ~

Serial No.: OOTH23 Mfr. KBA Seri.1 No.: 104788 INon-Inte9'aI 8 90 Fixturing: Model: COMP-G 90 

                                                                   ?O
                                                                                     ~NI ~           ~rc 11atx1 Pulser.       Squara@ g:: ~ Puis Wth : ~

Size: 0.25 Shape: RND Damping; GOO Reject: 0% 60 i Frequency: 2.25 Mhz fI Elem: 1 50 Freq : 225 Mhz RectifY: Full Wave I Measured Angle: 45 Exit Point .20* 40 PRF: Auto I-I!ih Volt: 460 Jack: T I RL Focal Poinl Verified o N/A I -f"S/FD I I 30 

                                                                                                                                             ~ Velocity 20 Couplant Type/Batch #I:             UrtraGef" I 10325F l.0 Range:                                   I   0.124 Cable I L.ength I # Conn:           RG- 174 I 6' I 0               a
  • IU Lit It SwpDelay: 0.00 SU Delay I 4.600 Contoured Wedic o NJA o Ale o Ore I 0 1 2 3 4 5 6 7 6 9 10 Cal Scan SCAN AREA CAL CHECKS TIMe
                                                                              ~reen Divisions, 10" f2.O Reflector DAC
                                                                                             % Swp I

081"0* or 1. Gain II I I 24.0 30.0 38.0 36.0 I:: I o-WRV 1.2 Initial Cal. 08'" ID fSH Pos dB EXAMINATION WELD/AREA O* 8M 0 Intermediate 1102 10 Iv< Notch 80 5.2 2".0 1-4103-12

1. ToWIrid ~ Inttnnecfillt 1308 10 eire Notch 80 5." 30.0 liTO weld 0 Inlermediale 1348 Rompa& FSDH 80 5.2 33.0 Recordllble IDdation. DYES 0NO Final Cal. 1538 ScaD LlmltatJOD' DYES 0NO Scanned Uon Weld: 0 YES 0 NO R.cmms: Scanned r upstn:am ofwe\d ctnlCfline and the El<.miner~

entire elbow downstream, In an four direction!. Lv. ~ Date: 8'/."ft.1 Per 88.08 -Thmnal Fatiquc 

                                            ~y I

Print Pair' Code Coverage Achieved 1100 % I Examiner ~7 ta4 . $C Lv. .II Date: QS:o.a. - l/ Risk J.rO~ed 0 YES 0 NO C'Bont Ii] YON Print Stephen Williams Enm is Aeceptable 0vs DNa 

                                                                                                                ~L
                 ~          ~.A--t.. t....ffJ                    Da~: .l/q::iJ'                                                                            Dutt: ,'iiir1,
                                                                                                                                  "-A R.eviewer: ;                                                                              Reviewer:                      It    /)..fh.

Authorized Inspection Agency ~j!J1~' 

       "A    powerlu/~rt       of'your team-                                                                           "'               ,

I. 

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A_ _'.I'II ....... I.~.* Soot!Io e-,-., . ULTRASONIC EXAMINATION REPORT Data Pkg # VCS-R19-1036-03 PDI-2-07 0 RIG IN AL Plant: VC SUMMER Unit: 

                                                                           -I-                     Procedure No.:                                WOI-STD-1036                      Rev.: --...!......

FCN# nla Compl System: Safety Injection Cal. Blk. 1# CGE-4 Ref. Blk.# 103774 "T" Nom. 0.719 Nom. Pipe 0 6.0 Isometric Dwg # CG E-1-4103A Thennometer SIN: 79183 Block I Comp Temp: ~*F I ~*F SEARCH UNIT OD Surface Condition Ground Flush 1 INSl"RUMENT SETTINGS Scan Angle: so- Mode: SHEAR Material Type OCS0ss0DM MfrfModel No. GE/~u~rUSN6DSW 1.00. Serial No.: ODLCPD Mfr. KBA Serial No.: 104768 Fixturing: 1 Non-lr1teQraI I*! Model: COMP-G 

                                                                      ;0 eo                    kt.. [NOttfi         ~~               Pulser.                bJ Square ~ Dual    On Dual Off  Puis Wth :       22.0 70 Size:                       0.25             Shape:         RND                                                                    Damping:              500           Reject:           D%

60 FrequcllC)': 2.25 Mnz t1 Elem: 1 50 Freq : 2.25 Mhz Rectify: Full Wave Measured Angle: 58 Exit Point .20" 40 PRF: Auto High Volt: 450 Jack: T RL Focal Point Verified o N/A I -PS/FO I 30 

                                                                                                                                                      ~ Velocity I 0.124 20 Couplant TypelBatch #:                    UttraGelIi I 10325F                                                                           Range:

10 Cable I Length I # Conn: RG- 174 I 6' I 0 0 

                                                                                  ,     ,               ,III J    ,"  II  III,      Swp Delay:             0.00        SU Delay I 4.800 Contoured Wedge                   o H/A     Ok!        o Ore I                0     ,   2   3 4       5     6    7   a 9     10                                     Cal         Scan
                                                                                                                  ~

SCAN AREA CAL CHECKS TlME Saun Divisions.. 10 - R.eflmor DAC 

                                                                                                     %       Swp 1       GainQ-or .1..

Gain II I 39.0 nla I 44.0 nla I: O*WRV 0 Initial Cal. 0818 ID FSH Pos dB EXAMlNATIONWELD/AREA o* 8M IT Intcnncdiatc 1133 ID Ax Notch 80 6.1 39.0 14103-12 1 ToWe/d 1Q inlemtcdiate 1416 Rompas FSDH 80 7.0 44.0 IIToWiIG 1-1 InlCJmcdiaU: Rccordabl~ Indications DYES 000 Scanned non Weld: Examiner~ .k~- 0 ':1Final Cal. NO 1550 Lv. ~ Date: ~~;.t/If centerline. Scan Lhaltstlons Per 88.08 -Thennal Fatique DYES Remarks: Scanned 3" upstream and downstream of weld 0NO Print Patfick MahQhey Code Coverale Achieved lItH) % I Examiner .J.7:~L 7~~- . LV ...z:z::=..- Date: 0 P{J 2. - U Rbk Informed 0 YES 0 NO C'Bore 0 YON Prillt , Stephen Wiliams 0ves DNO 

                                                                                                                      ~, ElIm ~~ept.ble Reviewer:                                                            Dale:                          .Reviewer:                   .lL       (IM~.                       Date:  F.7trk, Authorized Inspection Agency                     ~                             th.,/ilfi "A powerful part ofjfOur team"
                                                                                                                     -z:;;:7     I'                     r

  * *~~.~~~iE                                     ULTRASONIC EXAMINATION SKETCH SHEET                                                   Data Pkg. #:             PDI-2-o7 A Westinahouse E/eCtrlc ComlNln                                                                                                              Paae
  • of 4 PlantlUoit: VC SUMMER Comp I System Safety Injection AITACHED TO: VCS-R19-1 036-03 boo Drwg: CGE*1--4103 We'd I ComDonent 10 Number. 1-4103..12 Weld C..-one
                                                                                                                                                       *-a..oORIGI N P05lllOl'l      U          ill     llllr   71lT 1 1           g. 'f                            I Crown Height:            Flush              2 3

Crown Width: 1.00 

                                                         ~

0.76 0.79. u.._r*J_ CIoon> _ c+) - Diameter: &.6 8 1I.9!IJ I L FLOW Weld Lengttl: 20.75 e I

  • II 0.97 I PIPE ELBOW Com
                                                                                                ~.

?,pe ~L&DtJ 

                   ~,.
                                                                                                    .crt If
  • I f L.Ow
                                                                                              ~

COMMENTS: EXAMINER: c < _. L.:.I ..... Y _ *. c: -, - - I EXAMINER: 

                                                                                                                                         ,        Lv.
               ,    &          I REVIEWER:     ~~p:"!::R                        -_. LoV.

_ 7 l{J't.I& -(g,fIC 

                                                                               <    i REVIEWER:            ~/I            ~.v~        Lv.  .zn::.. DATE:

Authorized Inspection Agency .~~ 6 DATE vr" 'I_" 

.                                                                                                                                    ,..,."(~

ULTRASONIC EXAMINATION REPOR~ # PDI-2-08 

 ~w.~~pynii                                                                                                                                                          ORIGIP~J'     NAL
       " -..- ......   ~

YJf) 'DO 8 ~ J 9 .. 001-\ Data Ptcg' VCS-R19-1036-03 PRge I nf 4 PIIUlt: VCSUMMER Unit: Procedure No .: WDI-STO-I038 Rev.: 2 feN 1# nla Compl System: Safe~ Injection Cal. BUdl 102697 Ref. BIk.# 103774 '7~Nom. 0.719 Nom. Pipe 0 6.0 Isometric Dwg II CGE-I-4103A Thermometer SIN: 79183 Block I Comp Temp: 74 -r I 81 Gr SEARCH UNIT 100 Surface Condition I Ground Flush INSTRUMENT SIrrIlNGS Scan Angle: o* Mode: LONG Material Type 

                                                             ~

0 CS 0 55 o OM MfrlModel No. GE I KrautKramar USN 60 SW Serial No.: 54762-19099 Mfr. KBA SIO los n" Serial No.: 104788 Fixturing: ~aII @ Model: MSEB4 eo Pulser: SqU818 lJDuIIOn Dual Off Puis Wth : 130 70 Size: (3.5 x 10) 2 Shape: RND Damping: 500 Reject: 0% 60 Frequency: 4 Mhz # Elem: 2 Freq : Rectify: Measured Angle: nla Exit Point niB 50 40 

                                                                                                                                   -- Mhz 4

PRF: Auto HIgn Volt: 450 Jack: Full Wave TIR RL Focal Point Verified o N/A 1 - FS / FD 1 1 30 

                                                                                                                                          ~ Velocity 20 Couplam TypelBatch t#:           UtlraGel1l f 10325F                                  I                                      Range:                                         0.227 10 Cable I Length I #I Conn:        RG- 174 I 6' f 0               0              II                               LLJ I      SwpDelay:            0.00       SU Delay         9.270 Contoured Wedae         o tilA OAK o              On: I              0       ,     2 3 4 5 6 7                    10                                    Cal         Scan SCAN AR.EA CAL CHECKS           TIME Screen Divisions 10-Reflettor DAC
                                                                                             %      Swp I      Gain D" or 1.

0.1" II 33.0 n/a nla 1:: Initial Cal. 0821 ID FSH Pas dB EXAMINATION WELD AREA lntcnnedl$ 1040 O.S" BW 80 5.0 33.0 Intamcdiale 1.0* BW SO 10.0 35.0 1-4103-13 Intermedlall: RKordable Indations DYES 0NO 

                               'FInal CaL          1528                                                                       Sean UmltaUDDB                  YES      0NO Scanned    non ~ YES 0                   NO                                                                       Remarks:      Used for Thidcness and Contours mapping only.

Examine Lv. -:s::t::' Date: 'U /'f>?. { ~I

  • as needed to maintain 8()o~ FSH Print Code Cove...ge Acbleved Examiner Lv. 1.. Date: O~-*O,-IJ RiJk rdonned [2] YES 0 NO Prinl sam is Aceeptable o YES o NO Reviewer: ~.. e L£ .'L L"rg Date: ,AlP, Reviewer: Date:

Autltorized Inspection Agency 

     -A powerful elllT of r..our team-

ULTRASONIC EXAMINATION REPORT # PDI-2-08 

 ~ W.i!~~p'ynii
       ~Wt'lf ,,","B-cI.~

Data Pkg' VCS*R19*103lHl3 oP ~ IGIN AL 

                                                                                                                                                        ~

Plant: VC SUMMER Unit: 

                                                                      -- I                Procedure No.:

FCN 1# WDI-S'fD.) 036 nI. Rtv.:--W CampI System: Safety Injection Cal. Blk. #. CGE~ Ref. Blk.# 103774 "T" Nom. 0.719 Nom. Pipe 0 6.0 I Isometric Dwg # CGE-I-410JA lbennomcter SIN: 79183 Block I Comp Temp: 74 a, I HI *F SEARCH UNIT OD Surface Condition Ground Flush INSTlll1MENT SETI1NGS Scan Angle: 45* Mode: SHEAR Material Type Des 0ss ODH MfrlModel No. GE I KrautKramer USN 80 SW ; J.UUW Serial No.: OOTH23 Mfr. KBA I Serial No.: 104788 Fixturing: ~'lnterpl I.] Model: COMP-G 90 eo "10 

                                                                                    ~~ /tCSl       *lrt I Iatd Pulser:       Squn@ ~ ~ Puis Wth :                  220 Size:               0.25            Shape:            RND                                                                 Damping:             SOC           Reject:           D%

60 Freq : Frequency: Measured Angle: 2.25 Mhz N Elem: 45 1 Ellil Po int .20" 50 40 

                                                                                                                                      -2.25 Mhz PRF: Auto HIgh Volt:            450 Rectify:

Jack: Full Wave T RL Focal Point Verified o N/A I -FS/FD I 30 

                                                                                                                                            ~ Velocity 20 Couplant Type/Batch II:          UItraGel1l I 10325F

1.0 Range

I 0.124 Cable I Length I # COM: RG- 174 I 5' '0 0 III II lUll 1111 Swp Delay: 0.00 SU Delay I 4.800 Contoured Wedge o N/A OAx o CltJ 0 1 2 3 4 5 6 7 8 9 10 Cal Scan I SCAN AR.B.A CAL CHECKS nilE Scr= D;v;5ions, 10 - RetlGCtor DAC 

                                                                                             % Swp f2F                  Geln o* or.l Gain   II        1 24.0 30.0      I I::

38.0 36.0 I I i O*WRV 0 Initial cal. 0814 lO FSH Pos dB EXAMJNATION WELD/AREA O* BM 0 Intamed iate 1102 10 Ax Notch 80 5.2 24.0 

      .L To Weld    [1          Intermediate         1308               ID Cire Notch      80 5.4 30.0 1-4103-13 II TO WGtd   (2)         Intcnnodiatt        1348               Rompas FSDH SO 5.2 33.0                               .Recordable IIIdIQtlOD5        DYES         0NO Final Cal.           1536                                                                       Sean Llmla..tlon.           o   YES      0ND ScM"ed non Weld =~

Ilemltu: Scanned 2- downstream of weld centerline and Examm~ Prim 

                     ?P:     Pa bMaho Lv.   :r:f.- Date: 'Os/""".( 1/

the entire elbow Per 88.08 *Thcrmal Flltique Code Coverlet Achieved in.n four d\m:tions. 1100 % I Examiner .. ~~* LV.-I- Date : Q£:Q&:*ll. RJsk loformed (2] '(50 NO C'aor. 0v 0 N Print Stephen WlHiams 

                                                                                                               ~.Ptabl.                                1:<1 YES 0 NO Reviewer:     2'C:R"":I:   -/   ~L..                  Lv1Jj Date:      S"/aLk              Reviewer:                              LJ//__                     Date:  57trf" Authorized inspection Asency                                                    5hJIt.P11
                                                                                                                                               ,    (

ow A powerful part rA your team ow

ULTRASONIC EXAMINATION REPORT ## PDI-l-08 

 ~W~~p'yniS                                                                                                   Data F'kg #                VCs-R19-1 036-03         ORIGI NAL
       " **me-IIiIoool'lMc..-

PIe J of 4 Plant: VC SUMMER Unit Procedure No.: WDl~STD-1036 Rev.: 2 FCN# nla Compi System: Sak!llnJection Cal. Blk. fI CGE-4 Ref. Bildl 103774 ~T"Nom. 0.719 Nom. Pipe 0 6.0 Isometric Owg #I CGE-I-4(03A Thennometer SIN: 79183 Block I Camp Temp: ~ DF I _81_-F SEARCH UNIT OD Surface Condition INSfRUMENT SETI'lNGS Scan Angle: SO* Mode: SHEAR Oes MfrlModel No. GE , KrautKtamer USN eo sw Serial No.: Fix-turing: Size: OOLCPO INon*1ntegraI 0.25 1*1 Mfr. Model: Shape: KBA COMP"(; RNO 60 Serial No.: Pulser: Damping: Squara @ gw 500 

                                                                                                                                               =      104768 Puis Wth :

Reject: 220 0% Frequency: 2.25 Mhz fI Elem: 50 Freq : 2.25 Mhz Rectify: FilII Wave Measured Angle: 58 Exit Poi", .20" 40 PRF: Auto High Volt: 450 Jack: T 30 RL Focal Point Verified 

                                                                                                                                         ~

20 Couplant Type/Batch #: UltraGel11 I 10325F 10 Range: Velocity I 0.124 Cable I Length I tI Conn: RG~ 174 I 6' I 0 Swp Delay: 0.00 SU Delay l 4.600 0 Contoured Wedge o NI~ 0 Ax Oerc 0 2 3 4 5 6 7 6 9 10 Cal Sean Screen Divisions. 10 = f""2.O Gafn cr or 1 39.0 44.0 jdB SCAN AREA CAL CHECKS TIME Reflector DAC 

                                                                                        %     Swp I             GaIn   II         I   nIB    I     n/a       dB O*WRV                  ["lull! Cal.      0818                     10          FSH Pas dB                               EXAMINATION WELD/AREA O* BM                  I~nnedillle        1133               10 Ax Notch       80 8.1 39.0 InlmTledlll1c      1416             RompasFSDH 80 7.0 44.0 1-4103-13 Intennediare                                                                               Rftordable l.dlallions      DyES         0NO Final Cal.         1550                                                                      Scan Lbnltatao..          DYES         0ND          I Scanned \I on Weld:                                                                                         Remarks: Scanned 3" upstream and downstteam ofweki te.JJterl i.n IS .

Examiner LV.1f.... Date: '()9~t/" ~ 88.0B -Thermal Farlque PriOl. Code Coverage A~ieved 1100 % I Examiner v. .If.... Date: QS:-"~""'I Rbk 1nformed [2] YES 0 NO C'Bore 0 YON Prinl Eum is A~table 121m DNa Reviewer: '2. Date: .r&V" Reviewer. fl. ~A {,Vb.. DvJe: !-Jtdfl Authorized Jnspection Agency 4~/ -- -, 

                                                                                                                                          . slnltdrJ
      *A powerlul part of your ream*

  * ~WE.nvnE                               ULTRASONIC EXAMINATION SKETCH SHEET                                                       Data Pkg. #:           PDI-2-o8
         ... T * * * * " * * ~W**

A Wesrlnahou88 Electnc Cmnt>>n Paae 4 of .. PlaDtlUDit : VC SUMMER COIliP I System Sate!)' InjedlOn ATTACHED TO: VCS-R19-10~3 110. Drwg: CGE-1-4103 Weld I ComDonent 10 Number: 1-4103-13 

                                                                                                                                                   .-..oRIGJNA t"OIaIor1 -     IJ      w    lBIJ -----vo 1         u.tJ;S Crown Height:    Flush                2 3         u.1Itf Crown Width:     1.00                4          0.1 5         o.~                                  Up-H-                                         Dawn se-m r", ....

Diameter: 6.6 B U.7e, Weld Length: 2D.8 7 8 

                                                      &         U.T7                                           ELBOW FLOW'
                                                                                                                                          .                PIPE

(,IJ0 

                                                                                                             ~                 '-D.             45*
                                               ~

Scan Pattern PIPe 

    \                          "L&OW
                                                                                        .r'"
                                                                                                   ,-- -,r--
                                                                                                  .1/0" t
                                                                                                            ..74J"         .71;"
                                                                                                                                                               ~~     ..
                                                          .'1.3" r-~DW COMMENTS:

EXAMINER: -,}f;f5! ~c:::J Lv.;:a:-DATE ~/oz.(1l EXAMINER: REVIEWER: ~M ~.,I. .... *. III j"'f" ... ~II ~" REVIEWER: Lv. -m!:.. DATB: c.-irhl 

                                               'Sf   ~    'l  ,<roy                                   DATE      *'¥' ,

U"""- - f 

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ULTRASONIC EXAMINATION REPORT m;' PDI-2-IO ~1 f.'I"II.rlo~W** 

         .........-._... c -
                                                                           ~o 100 t        S l~        ,., ooLf Data Pkg.             VCS-R19-1036-03 PUr!     I     0 DR'GINAl
                                                                                                                                                                               ~

Plant: VCSUMMER Unit 1 Procedure No.: WDI..sTD-t03l Rev.: '2 

                                                                         --                                                   FCN#                nla Campi System:                    Safe!llnjection         Cal. Blk. ##            102697        Ref. Blk.#           103774        "PNom.            0.719 Nom. Pipe 0          6.0 Isometric Dwg #                       CGE-I-4103A                        Thermometer SIN:                    79183          Bkd/Co~Temp:               ~*F I _BI_oF SEARCH UNIT                                /00 Surface Condition                  I Ground Flush 1                 INSIllUMENT SEITINGS Scan Angle:               0-           Mode:          LONG       Material Type 0 CS               0      ss 0 OM           IMfrlModel No.         GE I KrautKramar USN 60 SW
                                                                    ..Luu.

Serial No.: 54762-19099 Mfr. KBA los 1t.D"J Serial No. : 104766 Fixturing: IlnIeg~ 1.. 1 Model: MSES4 90 eo ,. 1 Pulser. lJ Dual On Square Dual Off Puis Wth : 130 70 Size: (3.5)( 10) 2 Shape: RND Damping: 500 Rejcct: D% 60 Frequency: 4 Mhz NElem: 2 50 Frcq: 4 Mhz Rectify: Fu~Wave Measured Angle: nla Exjt Point nla 40 PRF: Al10 High Volt: 4SO Jack: TIR RL Focal Point Verified o Nfl. I- FS I FD I ] 30 

                                                                                                                                                 ~veIOCity~

20 Cooplant TypelBatcn #: UItraGeI" I 10325F w Range: Cable I Length {II Conn: RG* 174 I 6' I 0 0 1111 II ll'IIB ill II I11I 11111 Swp Delay: 0.00 SU Delay 9.270 . Contoured Wed [2] N/A OAK Dan: 0 1 2 3 4 5 6 7 8 9 10 Cal Scan SCAN AREA CAL CHECKS TIME Screen Divislo Ref1e~ DAC 

                                                                                                  %        Swp I      Gain DO Dr .1 0.1" II 33.0 nla nla     I::

Initial Cal. 0821 ID FSH Pos dB EXAMINATION WELD AREA Intmnediuc: 1040 OS BW 80 5.0 33.0 In renned iau: 1.r:r BW 80 10.0 35.0 1-4103-15 Intennediau: RKord.ble IHlaitlon. DYES 0NO 1528 Sull LlmltanoBS YES 0NO Scanned Ion Weld: Remarks: Used for Thickness and Cootoun rruspping only. I Examiner Lv. ~Date: 'l>fLoz.l"

  • 8$ needed to maintain 80""- FSH Print Examiner
                                                              . Lv .  ...:II. Date: Q£-~,-II Print               Stephen WUHsms Reviewer:"2..,..           tL:?: i../I!J                        Date:  £b"lL*      I(         Reviewer:                                                       Date:

Authorized Inspection Agency 

        -A powerful pa~ur re"m-

ULTRASONIC EXAMINATION REPORT # PDI-2-10 

     ~ ,w.~~p'yni5                                                                                                       Data Pkg'               VCS-R19-1   036-00 RIG INAL A ... .-..-_~

Pago Z of 4 Plant: VC SUMMER Unit: Procedure No.: WDI*ST[).. I036 Rev.: 2 FCN' ___~N~a~__________ Compl System: Safety Injection Cal. Blk. # caE4 Ref. BIk.N 103774 "T" Nom. 0.719 Nom. Pipe 0_-:.....6.0___-1 Isometric Dwg # CG£..I-4101A Thermommr SIN; 79183 Block/Comp Temp: 74 DF I 81 *r SEARCHUNlT OD Surface Condition J Ground Flush INSJ'RUMENT SEITINGS Scan Angle: 45* Mode: SHEAR IMateriBl Trpe 0 cs 0 SS 0 OM IMfrlModcl No. GE I KrautKramer USN 60 SW Serial No.: SiD::: I OOTH23 f'ixluring: Non-Integral 0.25 I=:J Mfr. Model: Shape: 2.25 Mhz II Elem: KBA COMP-G RND m; I 9 80 70 60 I I I II:L t 

                                                                                       ~~-

I"""' iJrL~ J I ) Serial No.: Pulser: Damping: SquarB @ ~ 500 

                                                                                                                                                      =      104768 Puis Wth :

Reject: 220 D% Frequency: 1 50 Freq ; 2.25 Mh% Rectify: Full Wave Measured Angle: 45 uit Point .20* 40 PRf: Auto High Volt: 460 Jack.: T II Focal Point Verified 0 N/A I- FS f FD I 30 

                                                                                                                                                 ~ Velocity ~

20 Couplant TypeIBatch fl.: UltraGeI II I 10325F Range: 10 Cablt / Length / II Conn: RG- 174 I 6' I 0 0 I11I 111,," 111111111111 Swp Delay: ~ Su Delay ~ W~ge 0 0 0 I Contoured H/A Ax CAL Qc 0 1 2 3 4 5 6 7 8 9 10 Screen Divisions. to - ~ DAC I Gain DO or.l Gain II Cal 24.0 30.0 Scan 38.0 36.0 IdB dB cttECKS Initial Cal. TIME 0814 Reflector to IFSH ISwp Pas I dB EXAMINATION WELDJAJtEA Inunncdiale 1102 ID kA. Notcn 80 5.2 24.0 Intt:nncdiate 1308 10 eire Notch 80 5.4 30.0 1-4103-15 Intcnncdille 1348 Romps. FSOH 80 5.2 33.0 R~ord.~e ladkaUolU 0 YES 0 NO Final Cal 1536 SaiD Umlt.tloDI 0 YES 0 NO Scanned ~ on Weld; n U RemIJb: Scanned r downslre8m of weld centerline and the entire elbow u~_ in all four directions. Examiner Lv. ;Jr- Date: PSjPz.!, Per 88.08 -Thennal Fatique Print Code Coverage Atblt:ved 1100  % 1 Examiner =~li:ii~~~~~A~ Lv. Z- Date: w,-"Q..?, -II RJsk IDformed [2] YES 0 NO C'Ior. 0 YON 

                                                                                                                     ~,

Print taphen W~liams ~table 0 YES 0 NO Reviewer: ~ ~ Lvra: Date; cb'h, Reviewer. ~~~P4~~~~~-~:~~ Authorized Inspection Agency - --, :Jt'~ll

  • A ~owerful part of your team-

ULTRASONIC EXAMINATION REPORT # PDI-2-10 

   ~WiiSnvni:

l.... 

          .. d,t T' D~'W**

t ..... 

                     ~~

Data Pkg , VCS-R19-103&-03 ORJGINAL Plant: VCSUMMER Unit: Procedure No. : WDI-STD- J036 Rev.: 2 I FCNN nla Compl System: Saf:!r Injection Cal. Blk. ## CGE-4 Ref. Blk..# 10)774 "1" Nom. 0.719 Nom. Pipe 0 6.0 Isometric Dwg # CQE*I-4103A Thennometer SIN: 79183 Block/Camp Temp: ~*F ( _8_1_"F SEARCH UNIT 1]00 Surface Condition I Ground Flush I INSTRUMENT SETrINGS Scan Angle: 60* Mode: SHEAR Material Type 0 CS 121 55 DOH JMfrlModel No. GE J KrautKrBmer USN 60 SW 

                                                                   ~

Serial No. : OOLCPD Mfr. KBA 510 Serial No.: 1()ol768 I Fixturing: Non-Integral / . ] Model: COMP-G eo 7() AX Notch 11""" ...... Pulser: SqIJ8f9 kI g:: g:. Puis Wth : 220 Size: 0.25 Shape: RND Damping: 500 Reject:. D% 60 frequency: 2.25 Mhz II Elem: 1 50 Frcq : 2.25 Mhz Rectify. Full Weve Measured Angle: 58 Exit Point .20" 40 PRF: Auto High Volt: 450 Jack: T I - FS I FD I I 11] 00 RL Focal Point Verified NJA 30 

                                                                                                                                                                            ~

20 Couplant TypelBalch II: UItraGeJ II , 1032~F Range: Velocity

10 Cable I Length III Conn: RG- 174' 6' '0 0 ulHl1 11111 Ll.U. WU lUll Swp Delay: 0.00 SU Delay 4.600 Contoured Wed e 121 N/A DAle D Ort 0 1 2 3 4 5 8 7 8 g 10 CaJ ac.n m

SCAN AREA CAl CHeCKS TIME Screen Divisions, 10" Reflector DAC 

                                                                                             %     Swp I       Gain O* or.!.

Gain II 1 39.0 nla 1 44.0 

                                                                                                                                                                           "'a      I:

O"WRV _0 I nitial Cal. 0818 10 FSH POI dB EXAMINATION WELD/ARB.A oa 8M J:::t InlCrmediatc 1133 10 Ax Notch 80 8.1 39.0 1-4103-15

l. To Weld 0 [ntenntdille 1416 Rompaa FSDH 80 7.0 44.0 roWeld 0 lnlermcdla1c Recordable Indkatlom DyES 0NO Final Cal. 1550 Scaa UmU.tIcm, DYES 0NO Scanned lion WeK1: 0 YES 0 NO Remarks: Scanned 3" upstttam and downstream of weld
                       ~""7 centerline.

Examiner Lv.::!k 0...: Plh/. Per B8.08 -Thenna.I Fatique Prin\ Patrick honey Code Coverage Atbae-ved 1100  % 1 Examiner 8~-!4'"i'llM.; Lv. ~ Date: 0 , .... oz -I! RIsk Informed 0 YES 0 NO CBo,. 0 YON Reviewer: Print 

                  ~P'      ,,/L-t-tephen Williams LnsJ 1

Dale: ~'3,/If. Reviewer: dum .11 is ~~Ulble (~'I/h 0m ONO Date: &"l/cllf I Authorized Inspection Agency ~~-5i~'1 

                                                                                                                       ~      "7               ,   .,
  • A powerful pan of your rum"
   ~w~~~nE                                    ULTRASONIC EXAMINATION SKETCH SHEET                                        Data Pkg. #:         PDI"2 ..10 A Westinghouse Electric Com                                                                                                     Paae    4     of        4 PlBDtlUnit :                    VC SUMMER                            Comp I System       _ . _-r _..c _ - __    ATTACHED TO:          VCS-R19-1 036-03 bo. Drwg:                         CGE*1~103 Weld I Component 10 Number:                                   1-4103-15
                                                                                                                                       .-9BIGINAL I"'DHlOfl     ~         IN    leu UU Crown Height:   I Flu8h                  1 2

3 U.IIQ U ... Crown Width: 1.00 

                                                    -'8-0.9\

0.61 -_C+)-- Diameter: ~ 0.74 Weld Length: I 20.8 B 9 1 LJl.73 - ELBOW FLOW 

                                                                                                                              .              PIPE Comoonent                         Ccm'
                                                                                                                                 'l~

Scan Pattern 

   \                                                                                                                                                 PIP~
                                                                                                                                         .73"
                             ~Lt..o   ....>
                                                           .-t.~
                                                                                                 ,: J-D        ~   -?

COMMENTS: 

                                                                                                                     ... -----~----------- ... _-..__....------

EXAMlNER; EXAMINER: << .oe' <. 

                              "(~J<-'-    - r        w-='---          --,
                                                                         ,  II!

REVIEWER: ~ __ - L..v.-r 

                                                 ~~

LJI\I& ... -~( If __ s REVIEWER: Authorized InspectJon Agency ,~~ DATE 

                                                                                                           ~

., .. ORIGINAL 

    ~WiiSnvna
         ........    "T IO.~"*

A ..... .......-ilIocDIo~

  • ULTRASONIC EXAMINATION REPORT vJo 1\03'-50 -00,+ DataPkg'
                                                                                                                                                #            PDI-l-ll VC8-R1g...1036-D4 p               f
                                                                                                                                                                                ~,

Plant VCSUMMER Unit 1 Procedure No.: WDI-5TD-I03B Rev.: 2 

                                                                            --                                             FCN /I               nla Compl System:                              RHR               Cal. 811(. #         10.5343       Ref. Blk.#          nil         "1'" Nom.         1.125 Nom. Pipe 0           12.0 Isometric Dwg II                          CGE-I-4)02                      Thermometer SIN:                  79183        Block I Comp Temp:          ..2L DF I    ~-F SEARCHUNlT                                 00 Surface Condition                                               INSTRUMENT SKITINGS Scan Angle:                  O*          Mode;           LONG                               Des                          MfrlModel No.          GE I KrautKnimer USN 60 SW Serial No.: 54762-19099                    Mfr.           KBA                                                            Serial No.:                       104768 FiKturing;      IlnteQ1aI       1"1      Model:         MSEB4         90                                                 Pulser.       Squaro IJDuatOn Dual Oft Puis Wth :        130 70 Size:                (3.5)( 10) 2        Shape:           RND                                                            Damping:              500          Reject:            0%

EiO Frequency: 4 Mhz # EIem: 2 Freq : 4 Mhz Rectity: Full WFNe Measured An~le; nl8 Ex.it Point nla 50 40 PRF: Auto HIgh Volt: 450 Jack: TIR RL Focal Point Verified o N/A I - F'S I FD I I 30 

                                                                                                                                               ~

20 Couplent TypelBatch #: UttraGelli , 10325F 10 Range: Velocity I 0.227 Cable / Length / # Conn: RO- 174 I 6' I 0 0 II IllIl II, , SwpOelay: 0.00 SU Delay I 9.450 Contoured Wed oJ N/A 0 ~ CAL D arc 0 1 2 3 4 _O;.isi... DAC 5 6 IO~ 7 8 J2.O 9 10 I Gain D" or J. GaIn II I Cal 33.0 niB I Scan nla I:: SCAN AREA CHECKS TIME Reflector  % Swp Initial Cal. 0830 10 PSH Pas dB EXAMINATION WELD/AREA lntmnedil1e 1024 1.0"BW eo 6.0 33.0 1-4302~9 In tc:rT'Dedililc 1.50" BW 60 .7.5 lS.O I Intcnnodim Recordable IPdlc.tlooJ DYES 0NO Final Cal. 1208 Scan LtmlbllioD!I DYES o NO I Scanned non Weld: Remazks: Used for Tbickness and Contours mapping only. I Examiner Prinl Lv.:::E: Date: ~>r' ("

  • as needed to maintain SO% FSH Code Coverage AdJkved f nI. %1 Lv. ~Date: CS/ o ,(,/ Rbk Illrormed 0 YES D NO C'Bont 0 YON
                                                                                                                 ~ Eum),_A ...plable                      0   YES   ONO                I Date:  57"',                 Reviewer:             ~Jl__~1.                              DIIk: ~(711 AUIborizcd Inspection Agency
c---r
                                                                                                                      ~~) Sh1/wtl I
        "A powerful pan of your team*                                                                      -_.        ---

ORIGINAL ULTRASONIC EXAMINATION REPORT # PDI-2*11 

       ~W~~pyniE                                                                                                                  [)ala Pkg #-             VCS-R19-1 ()36.{)4
           ,,---.-~
z of 4 Plant VC SUMMER Unit: Procedure No.: WDI-STO-I036 Rev.: 2 FCN # _---.;nI;.;;.;a~_ _ __

Compl System: RHR Cal. Blk. # COE-5 Ref. Blk.1I 103774 "1'" Nom. 1.12S Norn. Pipe 0 12.0 Isometric Dwg # CGE*I-4)02 Thermometer SIN: 79183 BlocJd Comp Temp: 74*F I 80 of 100 Surface Condition Ground Flush 1 INSTRUMENT SE'ITlNGS Angle Material T~ 0 CS 0 55 DDM IMfrfModel No. GE I KrautKramer USN eo SW 

                                                                                                                                                                 =
                                                                    ~ouw Serial No.:        OOYMBK               Mfr.           K9A                                                                         Serial No.:                        104168 Fixturing:    rNon-lntBgr31 0.375 I*!     Model: COMP-G Shape:          RND 90 eo 70            A. linN
                                                                                           ~~ ?tOl i
                                                                                                        ~n:r ~

Pulser: Damping: Square @ ~ 600 Puis Wth : Reject: 220 ISO 2.25 Mhz # Elem: 1 50 Frcq : 2.2.5 Mhz Rcctify: 

                ~n~le:              45          Exit Point .25"      40                                                               PRF: Auto High Volt:             450      Jack: _ _---1 lint Vmfied       o N/A I -FS/FD I I                 30
                                                                                                                                                           ~ Velocity 20
                'ypelBatch #:        UltraGel11 I 10325F                                                                                   Range:                                         _ _.
                                                                                                                                                           ~ SU Delay ~

1.0 Igth I #I Conn: RG- 174 I S' I 0 0 I II JI .1.LW JJ II il1u I i l l Swp Delay: o CAL 1 2 3 4 5 6 7 8 9 10 I Gain O* or .1 GaIn II Cal 17.0 29.0 Scan 34.0 35.0 IdB dB SCANAJlEA 

                       , ....          CHECKS            TIME Initial Cal.        0813 Intermediate        1045 Intermcd iatt I nlClmedllllc                                                                                      RetOrdIbie                                        NO final Cal.          1158                                                                                                                         0NC Scanned    I~we~t&

Exam"u Pri", PatIick 

                                           ~aoot;ey~                Lv. JI::  Date:       Pi (GJ,b I Examiner       ~4 ._                                      Lv.~Date:               0S"-9-11 Prinl   /~Wiiliams Revjewer:~              .../L.:::i&           Lvur-             Date:  fl1k.                 Reviewer:             ,
                                                                                                                        ~&                  ~    ~               ,#  7 Authorized Inspection Agency "A lltllllMful                   team-

-mJ w.~~p'yni: ULTRASONIC EXAMINATION REPORT ## PDI_l_lPRIGINAL 

      ........-._c........                                                                                        Data Pkg ..             VCS-R 19-1038-04 PlUl.e    ]      of      ~

Plant: VC SUMMER Unit: 1 Procedure No .: WD1*STD-1036 Rev.: 2 

                                                                     --                                                FCNN                nil Compl System:                            RHR              Cal. Blk.1I       COB*S          Ref. Blk.tl          103774         "T" Nom.         1.]25      Nom. Pipc 0        12.0 Isometric Dwg #                         CGE-1-4302                     Thennometer SIN:                  79183          Block I Comp Temp:           74 *Y I        80 *Y SEAR.CH UNIT                              I~D Surface Condition                Ground Flush                     INsntUMENT $ ( lINGS Scan Angle:                60"         Mode:         SHEAR Material Type 0 CS                  0   SS    0   OM         MfrlModel No.          GE J KrautKramer USN 60 SW
                                                                                                                                                =
LUUW Serial No.: OOX125 Mfr. KaA 90 I Serial No.: 104768 Fixturing:

Size: INon-Irtegral 1*1 0.375 Model: Shape: COMP-G RHO eo 

                                                                  ?O 60
                                                                            ~        --     ~

I iJotd\ Pulser: Damping. Square @ ~ 500 Puis Wth : Rejec:t. 220 en. Frequency: Measured Angle: 2.25 Mhz N- Elcm: 59 1 Exit Point .3~ 50 40 Freq : 

                                                                                                                                    -2.25 Mhz PRF: AulD HIj1 Volt:            450 Rectify:

Jack; Full Wave T RL Focal Point Verified o N/A 1-FS/FD 1 1 30 I Couplanl TypelBltch II: Cable I Length I II Conn: UIb'aGel1i , 10325F RG- 174 I 6' I 0 20 10 0 III I Range: Swp Delay: Bij 0.00 Velocity SU Delay 

                                                                                                                                                                        ~

7.100 Contoured Wed o N{A 0 Ax 0 1 2 3 4 5 6 7 8 9 10 cal Sc:an SCANAJlEA CAL CHECKS TIME Screen Divisions, 10'" Reflector DAC 

                                                                                           %     Swp r4.O I

Gain'" or l. Gatn II I 35.0 nJa I 41.0 rJa I:: O*WRV 10ltll1 Cal. 0820 10 FSH Pas dB EXAMINATION WELD/AREA [nt1:nJlCld lale 1105 10 Ax Notch 80 4.8 35.0 InlenDcdiate Rompes FSDH 80 3.7 35.0 1-4302-9 IlltmJIediate RlICOrdabie 'nd1a1lion. Om 0NO Final Cal. 1202 Seaa LUlltatkulI Dyes 0NO Remarks: Observed lO ~ below recordable levels. 

                                                                     -rr:

I Examiner Lv. Date: ~/,)(" 88.01 requiremcms with MRP-36 upgrade *ThmnaJ Fatique t Print Code Co.er'*ge Achieved 1100 % I , Examiner v. :zz. Date: d or- ~) - , , RIrt Inrormed (2) YES 0 NO c-aon. 0 YON Print EUJD is ~cceptable o YES ONO Reviewer: b, Date: £Iet/" Reviewer: rMu~ ~ l'A'h. 0a1c: .{'hdt, Authorized Inspection Agency ~~5!iJ~ , , I _ "A ~erfu' ~rt of your team- - - - - - - 

    ~w.~~nE                                 ULTRASONIC EXAMINATION SKETCH SHEET                                       Data Pkg. #:            PDI-2-11 A Wutinahou** Electric Comr>>n                                                                                               P           4   of       4 PlaDtlUnit :                    VC SUMMER                        Comp I Sy.tem                        RHR      ATTACHED   ro:        VCS-R 19-1 0J6..04 Iso. DnvC:                       CGE-1-4302 vv.Jd            '_IUI~

Weld I ComDonent ID Number: 1-4302-9 C""'ne I"Q&IIIIQlI u- lItl ~ 

                                                                                '110 --znr 1       ~

Crown Height: Flush 2 3 Crown Width: 2.00 4 I.4S 

                                                     §        1.2                                                                   ",,",",,_r-I_

Diameter: 12.825 B 1.1 I 1 FLOW Weld Length: 40.2 8 8 1.11 ELBOW PIPE C Elbow Pipe 415"- ~.5" I" 5c.A LfS I" 

                                                                                          -~~      1.'2.D 1*1t)"                       1.""
                      /.SO"                                         I-&H;"

y L o-....,..J COMMENTS; EXAMINER: J {"VI C  ! C< 1."0 r "-e'" - re,I r_,, . ( EXAMINER.: lv.  ::Il-- DATE: DS-tJ,-/ REVIEWER: ~rv-=-~~ ... .!"'7 vn. .... ~}J'T' , REVIEWER: lv. ...1It" DATE: Authorized Inspection Agency

~ ORIGINAL 121=',' ULTRASONIC EXAMINATION REPORT # 

   ~WiiSnvn~                                                                                                                                                PDI-2-12
                        'I **~.*
  • Data Pkg" VC$-R 19-1 036-04
        ... t . . . . .
                             ... ~                                           wo       tiD 61pS""O-OO,-\

Procedure No.: WDJ-ST[)"I031 Rev.: 2 Plant: VCSUMMER Unit: FCNII nla Compl System: RHR CaL Blk. 1# IOS343 Ref. 81k..# nla ~T" Nom. L12S Nom. Plpe.0 12.0 Isometric Owg # CGE-I-4302 Thermometer SIN: 79183 Block I Camp Temp: ~ -I/" I ....!L OF SEARCH UNIT ~OD Surface Condition I Ground Flush I INSTRUMENT SE1TINGS Scan Angle : O* Mode: LONG Material T~ 0 CS J.OOOII 0 SS ODM IMfrlModel No. GE , KrautKramer USN 60 SW Serial No.: 54 762-19099 Mfr. KBA 1.0' 1.50" Serial No.: 104768 90 Fix.turing: Size: Ilntegrll (3.5)( 10) 2 B Model: Shope: MSEB4 RND 80 70 Pulser: Damping: Square t:JDualOn 500 Dual Ott Puis Wth : Reject: 130 D% 60 FreqU8ncy: Measured Angle: 4 Mhz fl.Elem: nla 2 Exit Point nla 50 40 Freq : 

                                                                                                                                       -   4 Mhz PRF: Au10 High Volt            450 Rectify:

Jack: Full Wave TiR RL Focal Point Verified o N/A I - FS I FO I 1 30 Couplsnt Type/Bltch #: Cable I Length IN Conn: UltraGel11 , 10J25F RG* 174 I 6' I 0 20 1.0 0 , 1111111 Range: Swp Delay: 8Ej 0.00 Velocity ~ SU Delay 9..450 Contoured Wedge o H/A 0 Ax o IOre 0 1 2 3 4 5 6 7 8 9 10 cal Scan SCANAIlBA CAL CHECKS TIME Screen Divisions, 10-Rcf1cttor DAC 

                                                                                                 %      Swp 2.0 I

Gain 0- or l. Gain II 33.0 nla nJa I:: Inllill Cal. 0830 ID fSH Pos dB EXAMINATION WELD AREA Intenncdiale 1014 1.0" BW 80 5.0 33.0 Intm1lcdlale 1.50" BW 80 7.5 35.0 1-4302*10 Intermcdi Me Rtcont.ble IndadoDi DYES 0NO Final CII. 1208 Salp UmJtatloUJ YES 0NO Scanned lion W~YES 0 NO Remarks: Used rOT Thickness and Con1OUni mapping only. Examine, Print Jr~ Pam Mahoney Lv. 'E- Date : 051o~/lf

  • as needed 10 maintain 80% FSH Examiner _~ ~ ~; _ Lv.1L-Da.te: 0$"'(\3" 1/

Prim ~en William. Reviewer:~ j~ It lv"""W . Dare: ~"&!.t.t., Authorlzed.lnspection Agency Reviewer: 

       "A powerful part of your team-

..... ORJGfN'Al ULTRA,SONIC EXAMINATION REPORT II PDI-1-12 

       ~w"~~~yn~                                                                                              Data Pkg#              VCS-R19-1036-04
                                                                                                                                             ~          1     of     5 Plant:                VC SUMMER                    Unit:                          Procedure No.:                           WDl-S'ID-l0J6                     Rev.:     2 FCN iI              nla Compl System:                  RHR            CaL Blk. IJ           CGE-'         Ref. Blk.#         103174
                                                                                                                              - - -1.12!5 "T" Nom.

Nom.. Pipe 0 12.0 Isometric Dwg # CGE-I-4J02 Thennometet SIN: 19183 Block I Camp Temp: 74*F I 8O"F ___ - YJ?C Ground Flush (2) ss 0 DM I INSTRUMmn'SETI'lNGS MfrlModel No. GE I KrautKramer USN 80 SW loot I Serial No.: 104768 Square ~DulIOn 

                                                                                            -~rC~

Pulser: oJ Dual Off Puis Wth : 220 Damping: 500 Rejeet: 0% Freq : 2.25 Mhz Rectify: Ful Wave PRF: AutD HIgh Volt: 450 Jack; T Range: ~ Velocily [ 0.124 

                                                                              \!I"I")!!!!""d"""",)!!"I,,,,)         Swp Delay:       ~ SU Delay 4.600 Contoured Wedge    0   HI"   0          0 an: I                o    1 2     3 4     5 6       7         10                                    cal          Scan A:t(

CAL Saetn Divisions 10" DAC 1 0.1" cr or i Gain II 17 .D 29.0 34.0 35.0 IdB dB CHECKS TIME Reflector  % Swp InitIal Cal. 0813 10 FSH Pas dB EXAMINATION WELD/AREA Intennediatc 1045 10 Ax Notcl'l 80 5.1 17.0 Intennedlak 10 ere Notch 80 5.6 29.0 1-4302-10 Intermediate Rompas FSOH BO 3.7 28.0 Recordable IDdkatlonB 0 YF5 0 NO 1158 SUD Lhnlt.tJons0 YES 0 NO I' , Remarics: Scanned pipe side Ollly. due to valve os Observed 10 geomelJy below recordable '-:vc:ls. Examiner Print Lv. ,1L Date: viP'P I 81.08 requirements with MRP-36 upgrade -ThennaJ fltique Code Coverage Ac:blevtd [50 ."..J Examiner ..Si5ff;~~~~!llItI.~~~ Lv.....:u:... Date: 0 S- ",,- if RJsk Informtd 0 l'S 0 NO C'Bote 0 Y (2) ~ Prinl ~Wiams sam is A"eptable 0 YES 0 NO Reviewer::Z ~ LV(if Date: ~ Reviewer: 

                                                                                                      -¥1~~~~~:::::"'T""':.,-Datt: ~~                         .

Authorized Inspection AgclKY "A~werlul parr of your tNm-

- ULTRASONIC EXAMINATION REPORT # PDI-l-ll ORIGINAL 

  ~w.~~pyni:                                                                                                         Data Pkg.                VCS-R 19-1036-04
       ,,-...-.. a...~

3 of 5 Plant: VC SUMMER Unit: Procedure No.: WDL-ST[)..1036 Rev.: 2 FeN 1# nla Comp/ System: RHR rr.!:_1Ii Cal. Blk. #_---.,;;:;.::;.;;...:....._ Ref. Blidi 103174 "T" Nom. 1.125 Nom. Pipe (2) 12.0 Isometric Dwg ##- CGE*I-4302 Thennometer SIN: 19183 Block I Camp Temp: 14 'F I 80 'F 100 Surface Condition I Ground Flush 1 INSTRUMENT SET.I1NGS Scan Angle Material Type

wuw.

0 cs 0 SS 0 OM 1MfrlModel No. GE I KrautKramer USN 60 SW Serial No.: OOX125 Mfr. KBA 90 Serial No.: 104768 Fixturing: INon-lntegritl 1""1 Model: COMP-G 90 ... Ax Notdi Pulser: Squ.re@=~ Puis Wth; 220 70 Rompas Size: 0.375 Shape: RND Damping: !500 Reject: EiO 2.25 Mhz # Elem: 1 50 Freq : 2 . ~ Mhz Rectify: 

            \ngle:              59         Exil Point    .3"    40                                                       PRF: Auto High Volt:            450      Jack:_---.,;._~
            ,tnt Verified    o N/A I - FS I PO I             I  30
                                                                                                                                              ~ Velocity ~

20 Couplant T ype/8alch 1#: UltraGelll I 10325F 10 I Range: Cable I Len gth / II Conn; RG- J 74 I 6' / 0 0 I" 

                                                                                         "            1111  II, I           Swp Delay:        ~ SU Delay ~

Contoured Wedge 0 N/A 0 Ax CAL 0 O!E...J o 1 2 3 4 5 6 7 8 9 10 I Gain 0- or 1. Galrl II Cal 36.0 nla scan 41.0 nla IdB dB SCANA.RE.A CHECKS TIME Initill Cal. 0820 IntenncdillC 1105 Intermediate 1-4302-10 InLr:mlediate Recordable IDdations 1202 Examiner" Print JOWl IV !t/f~ Lv. ~ Date: dQ:JI, oS- QiJ-{f Reviewer: ~?R __ q~ , Dale: L Uur<< 4$ Authorized Inspection Agency 

      -A tV'MMAdul                   ream-

,." ORIGINAL ULTRASONIC EXAMINATION REPORT # PDI-2-12 

    ~,W.~~~iE A_.......__     ~

Data PkQ# VCS-R19-10~ I.lIl8t 4 of  ! Plant: VCSUMMER Un~ Procedure No.: WDI-STD-1036 Rev.: 2 

             ---------------------------                                                                                 FCN ##      _---=01:::.,:1=---_ _ __

Compl System: RHR Cal. Blk. # CDe-oS Ref. Blk.N 103774 "T" Nom. 1.l2S Nom. Pipe '" 12.0 Isometric Dwg # CGE-1-4)02 Thermometer SIN: 19183 Block I Comp Temp: 74 -F I 8O-F SEARCH UNIT OD Surface Condition I Ground Flush INS'TltUMENT SElTINGS Scan Angle: SO" Mode: LONG Material Type 0 c:s [2] 55 0 DM Mfr/Model No. GE I KrautKramer USN 60 SW SeN] No.: Fjxturing: Il~ 05*248 

                            \.\       Mfr.

Model: RTP TRl2  : . I I I I I la. ~ I I I 1 Serial No.: Pulser: 

                                                                                                                                             ""'0 Dual On 104768 Square 0 ouat Off Puls Wth :                2~

Size: 2 (10 x 18) mm Shape: RECT 70 ~ Damping: 500 Reject: D% 60 Frequency: 2 Mhz # Elem: 2 so Freq : ~ Mhz R~tify: Full Wave Measured Angle: 59 Exit Point .4" 40 PRF: Auto High Volt: 450 Jack: TIR 0 I N/A (;'jS) PD / 40 I RL Focal Point Verified Couplenl TypelBatch II : Cable I Length I # Conn: UltraGelIl I 10325F RG- 174 I 8' I 0 30 20 10 0 ,"IIIIIIIIIIIIIIII,,"llIld'"llwdllld 11111 Range: Swp Delay: 

                                                                                                                                            ~
                                                                                                                                            ~ SU Delay Velocity  I    0.221 10.000 I

Contoured Wedge 0 N/A 0 Ax CAL 0 ~ o 1 2 3 4 5 6 7 8 Screen Divisions 10= DAC 9 10 I Galno-orJ.. o.ln II Cal 56.0 n/a Scan 60.0 nla IdS dB CHECKS Initial Cal. TlME 0841 Reflector 10 I I% Swp FSH Pot I dB EXAMINATION WELD/AJU!.A Intermed ialt 1116 56.0 IntennedUde 40.0 1-4302-10 Intenncdilte R.eeordlble IDdltatioDI 0 rei 0 NO Scanned Ion Weld: 

                                 -=-==~,---,,--1-=2..;;..;06,---,       I                    I I                I       I       Sen Llmllatiom                  [4 YES Remarks: Scanned p~ side only, due to valve OS 0   NO Examiner Print Lv.   ~ate:          o:/o¥t       l Code Coverage Athhsved Examiner                                                   Lv ..:::a-- Date:     0 r- G I-II                     Risk l.rormed 0 ve; 0 NO C'Qore                   y0     N Print              Ste~~llams                                                                                                                    0    YES  0   NO Reviewer:  ~L2                                    ~r:u:-        Date:   cA'ill              Reviewer:   --=t-.qt::;;~

Authorized Inspection Agency 

        *Apowerfu' part of your team-

[!4~.~~E ULTRASONIC EXAMINATION SKETCH SHEET Data Pkg. #: PDI-2-12 A WnUnotaouse E'ectric 6 of PJaatlUnit : VC SUMMER Camp I Sy.teD) RHR ATrACHED 10: VC8-R 19-1036-04 Iso. Drwg: CGE-1-4302 

                                                                                                                          --I!dgoo Weld I                  10 Number:                       1-4302-10 t"Oilt/OJI    II  8Q     HIU ZlO 1       1.11 Crown Height:    Ground            2 3

Crown Width: 2.70 4 1.11 5 - u..-r.. - OoWrt_r",_ Diameter: 12.625 a - Weld Length: 42.6 7 8 9 1..47 PIPE FL.OIIII 

                                                                                                                    ..         VALVE
                                                                                                                                  ~ F\'-" '""
                                                                                                      ./
                                                                                                   /'
,.,         p *.pe:                                                                                       --       ----,

l 

        .5cAIAL
                                                                 ,    ..                                                          t
              )-
                           \ \\"                                  .\\                                                            ~ ."t'
                                                        ~L     O"vV
---.--------------------------------------------------------------------~---------------------------------I were obtainable on the weld due to the        surfaces.

EXAMINER:~"!L!!pI!1P s ~ LV.-Lh UAlt;: 0£..aJ::1q REVIEWER:}}

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