ML13008A075
| ML13008A075 | |
| Person / Time | |
|---|---|
| Site: | Byron  |
| Issue date: | 01/03/2013 |
| From: | Exelon Generation Co, Exelon Nuclear |
| To: | Office of Nuclear Reactor Regulation |
| References | |
| Download: ML13008A075 (35) | |
Text
DOCUMENT NO.:
3.1 REV. NO.: 0 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI Owner Exelon Nuclear Name 4300 Winfield Road, Warrenville, IL Address 2.
Plant Byron Nuclear Power Station Name 4450 N. German Church Road, Byron, IL Work Order No. 00634689-01 Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by Shaw/Stone & Webster Type Code Symbol Stamp Not Applicable Name Authorization No.
Not Applicable 36400 S. Essex Road, Wilmington, IL 60481 Expiration Date Not Applicable Address 4.
Identification of System 5.
(a)
Applicable Construction Code ASME Section III 19 74 Edition, no Addenda, na Code Case (b)
Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition / 2003 Addenda (c)
Section XI Code Case(s)
NONE 6.
Identification of Components ame of Com ponent ame of Manufacturer anufacturer Serial No.
National Board No.
ther Identification ear Built Corrected, Removed, or Installed ASME Code Stamped (Yes or No)
SAFETY VALVE, 6", 1500#
DRESSER INDUSTRIES BRO9600 N/A 1 MS015C 1977 Removed YES SAFETY VALVE, 6", 1500#
DRESSER INDUSTRIES BR09599 N/A 1 MS015C 1977 Installed YES 7.
Description of Work REMOVE/REPLACE RELIEF VALVE 8.
Test Conducted:
Hydrostatic q Pneumatic q Nominal Operating Pressure Exempt q Other q Pressure 1096 psi Test Temp.
558 OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 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 recorded at the top of this form.
Date 9/22/12 Sheet Unit 01 1
1 of
FORM NIS-2 (Back) 9.
Remarks 00634689-01 Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate o Authorization No.
Not Applicable Signed W
t to
(\\
AA;l,{a / / ooAA /NA-PR_
Date
/L- /o, 20 12 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 Illinois and employed by HSB CT of Hrtford, CT have jnspgcted the components described in this Owner's Report during the period
, and state that to the best of my knowledge and belief, thJOwner 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 r a loss of any kind arising from or connected with this inspection.
^
Commissions
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L"i Inspector's signature National Board, State Province, and Endorsements le,20 12 Date:
DOCUMENT NO.:
3.1 REV. NO.: 0 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Date 9/23/12 Name 4300 Winfield Road, Warrenville, IL Sheet 1
of 1
Address 2.
Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, IL Work Order No. 00634887-01 Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by Shaw/Stone & Webster Type Code Symbol Stamp Not Applicable Name Authorization No.
Not Applicable 36400 S. Essex Road, Wilmington, IL 60481 Expiration Date Not Applicable Address 4.
Identification of System MS (MAIN STEAM) 5.
(a) Applicable Construction Code ASME Section III 19 74 Edition, na
- Addenda, Code Case (b) Applicable Edition of Section XI Used for Repair/ Replacement Activity 2001 Edition _/ 2003 Addenda (c)Section XI Code Case(s)
NONE 6.
Identification of Components ame of Component ame of Manufacturer anufacturer Serial No.
National Board No.
ther Identification ear Built Corrected, Removed, or Installed ASME Code Stamped (Yes or No)
SAFETY VALVE, 6",
1500#
DRESSER INDUSTRIES BRO9597 N/A 1 MS014D 1977 Removed YES SAFETY VALVE, 6",
1500#
DRESSER INDUSTRIES BU01482 N/A 1 MS014D Cat ID 1439909-1 1978 Installed YES 7.
Description of Work REPLACE RELIEF VALVE 8.
Test Conducted: Hydrostatic q
Pneumatic q Nominal Operating Pressure Exempt q Other q Pressure 1094 psi Test Temp.
558 OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 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 recorded at the top of this form.
FORM NIS-2 (Back) 9.
Remarks 00634887-01 pplica a anu acturer s Data Reports to a attac e CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of uthorization No.
Not Applicable Signed AAAAA,
Ll e2N)/Nf^ j Date 20 12 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 Illinois and employed by HSB CT of artford, CT have ins ec d the components described in this Owner's Report during the period to 9
, and state that to the best of my knowledge and belief, the wner has performe examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Commissions
,,,^r,^Jge7" inspector's Signature National Board, State Province, and Endorsements Date:
20
/,
farr/J^/,
(Final)
DOCUMENT NO.:
3.0 REV. NO.: 0 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section X1 1
Owner Exelon Nuclear Date 9-13-12 Name 4300 Winfield Road, Warrenville, IL Sheet 1
of 1
Address 2.
Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, IL Work Order No. 01287122-01 Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by Shaw/Stone & Webster Type Code Symbol Stamp Not Applicable Name Authorization No.
Not Applicable 36400 S. Essex Road, Wilmington, IL 60481 Expiration Date Not Applicable Address 4.
Identification of System CHEMICAL & VOLUME CONTROL (CV) 5.
(a)
Applicable Construction Code ASME Section III 19 74 Edition, S74 Addenda, 1644 Rev. 7, 1651, 1682,1683,1685,1686,1728, 1729, 1734, N-108, N-180 Code Case (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition / 2003 Addenda (c)Section XI Code Case(s)
NONE 6.
Identification of Components ame of Component ame of Manufacturer anufacturer Serial No.
National Board No.
ther Identification ear Built Corrected, Removed, or Installed ASME Code Stamped (Yes or No)
Pacific 16676 N/A 1 CV09050S 1981 Removed YES Snubber, Lisega Lisega 3110690-007 N/A 1CV09050S 2012 Installed NO 7.
Description of Work REPLACED WITH A LISEGA SNUBBER Test Conducted:
Hydrostatic q Pneumatic q Nominal Operating Pressure q Exempt q VT-3 Other Pressure psi Test Temp.
OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8'/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 recorded at the top of this form.
FORM NIS-2 (Back) 9.
Remarks WO 01287122-01 Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable Signed 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 Illinois and employed by HSB CT of Hartford, CT have insp cted the components described in this Owner's Report during the period d
to /
O
, and state that to the best of my knowledge and belief, the wner 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 e,.a loss of any kind arising from or connected with this inspection.
Inspector's Signature Date:
.d6L
/; 2
, 2012 Commissions
/j /j -/
, /'^ G*
National Board, State Province, and Endorsements (Final)
DOCUMENT NO.:
4.2 REV. NO.: 0 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Date 9-22-12 Name 4300 Winfield Road, Warrenville, IL Sheet 1
of 1
Address 2.
Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, IL Work Order No. 01287364-01/02 Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by Shaw/Stone & Webster Type Code Symbol Stamp Not Applicable Name Authorization No.
Not Applicable 36400 S. Essex Road, Wilmington, IL 60481 Expiration Date Not Applicable Address 4.
Identification of System RY / PRESSURIZER 5.
(a) Applicable Construction Code ASME Section III 19 71 Edition, W72 Addenda, N/A Code Case (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition / 2003 Addenda (c)Section XI Code Case(s)
NONE 6.
Identification of Components ame of Component ame of Manufacturer anufacturer Serial No.
National Board No.
ther Identification ear Suitt Corrected.
Removed, or Installed ASME Code Stamped (Yes or No)
RELIEF VALVE 1 RY801 OB CROSBY VALVE
& GAGE N56964-00-0090 N/A 1 RY8010B 1976 Removed YES RELIEF VALVE 1 RY801 OB CROSBY VALVE
& GAGE N56964-00-0049 N/A 1 RY8010B CAT ID 1402762-1 1976 Installed YES 7.
Description of Work REMOVED / REPLACED PRESSURIZER RELIEF VALVE 1RY8010B 8.
Test Conducted:
Hydrostatic q Pneumatic q Nominal Operating Pressure Exempt q Other q Pressure 2227 psi Test Temp.
649 OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 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 recorded at the top of this form.
FORM NIS-2 (Back) 9.
Remarks 01287364-01/02 Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable-Signed 41-1.?L^^^^
Date
/?--/T--,20 12 Owner )r Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by HSB CT of art! rd, CT have i spe ted the components described in this Owner's Report during the period to,//?//L
, and state that to the best of my knowledge and belief, the Owner has performed ex minations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Commissions rSf%' ///Jl5-S/ 4,^I G>>
Inspector's Signature National Board, State Province, and ndorsements Date:
(^e (,i -& Je, A J ", 20 12 (Final)
DOCUMENT NO.:
8.2 REV. NO.: 0 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Date 9-29-12 Name 4300 Winfield Road, Warrenville, IL Sheet 1
of 1
Address 2.
Plant
-Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, IL Work Order No. 01344060-01 Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by N P S & W VENTURE Type Code Symbol Stamp Not Applicable Name Authorization No.
Not Applicable 36400 S. Essex Road, Wilmington, IL 60481 Expiration Date Not Applicable Address 4.
Identification of System RC - REACTOR COOLANT 5.
(a)
Applicable Construction Code ASME Section III 19 71 Edition, W73 Addenda, 1552, 1553-1, Code 1649 Case (b)
Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition / 2003 Addenda (c)
Section XI Code Case(s) none 6.
Identification of Components ASME Corrected, Code National Removed, or Stamped Name of Name of Manufacturer Board Other Year Installed (Yes or No)
Component Manufacturer Serial No.
No.
Identification Built MAIN FLANGE REC. CORP HT. NO.
N/A 1 RC8002B 1977 Removed NO STUD # 23 L3269 MAIN FLANGE STUD WESTINGHOUSE S/N: 10799 N/A 1 RC8002B Cat ID: 8242-1 1977 Installed NO MAIN FLANGE JARECKI HT. NO.:
N/A 1 RC8002B 1977 Removed NO NUT IND.
L3229 K-12 MAIN FLANGE Lot NO.:
1 RC8002B HYDRANUT NOVA MACHINE 50372820 N/A Cat ID: 1447511-1 2012 Installed NO HT# 846932 7.
Description of Work REPLACED VALVE BODY TO BONNET STUDS AND INSTALLED NEW HYDRA-NUTS PER EC# 389812.
8.
Test Conducted:
Hydrostatic q Pneumatic q Nominal Operating Pressure q Exempt UT-STUDS Other Pressure psi Test Temp.
OF VT-1 NUTS Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 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 recorded at the top of this form.
FORM NIS-2 (Back) 9.
Remarks WO# 01344060-01 Applicable Manufacturers Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorizatiop No.,,
Not Applicable Signed Date
%2 l 7, 20 12 wner or Qwner'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 Illinois and employed by HSB CT of Hartford, CT have inspected the components described in this Owner's Report during th; perio.
to
/a 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 ee or a loss of any kind arising from or connected with this inspection.
Commissions inspector's Signature National Board, State Province, and Endorsements Date:
llG,&'/AG'dZw rSy' 20 12
DOCUMENT NO.:
8.2 REV. NO.: 0 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Date 9-29-12 Name 4300 Winfield Road, Warrenville, IL Sheet 1
of 1
Address 2.
Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, IL Work Order No. 01344060-02 Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by N P S & W VENTURE Type Code Symbol Stamp Not Applicable Name Authorization No.
Not Applicable 36400 S. Essex Road, Wilmington, IL 60481 Expiration Date Not Applicable Address 4.
Identification of System RC - REACTOR COOLANT 5.
(a)
Applicable Construction Code ASME Section III 19 71 Edition, W73 Addenda, 1552, 1553-1, Code 1649 Case (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition / 2003 Addenda (c)Section XI Code Case(s)
SEE REMARKS 6.
Identification of Components ame of Component ame of Manufacturer anufacturer Serial No.
National Board No.
ther Identification ear Built Corrected, Removed, or Installed ASME Code Stamped (Yes or No)
VALVE STEM McInnes Steel HT. NO.
11904 SN: 270 N/A 1 RC8002B 1977 Removed NO VALVE STEM WESTINGHOUSE SN: 325 N/A 1 RC8002B CAT ID 8237-1 1979 Installed NO 7.
Description of Work REPLACED VALVE STEM 8.
Test Conducted:
Hydrostatic q Pneumatic q Nominal Operating Pressure q Exempt Other q Pressure
__ _psi Test Temp.
OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8'/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 recorded at the top of this form.
FORM NIS-2 (Back) 9.
Remarks WO# 01344060-02 Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorizat' No.
Signed 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 Illinois and employed by HSB CT of Hartford, CT have inspected the components described in this Owner's Report during the period 11^ to
, and state that to the best of my knowledge and belief, ner 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 r a loss of any kind arising from or connected with this inspection.
769^&
Commissions
.rfif}is7%1 /LI, S 7 1,'^Z G Inspector's Signature National Board, State Province, and Endorsements Date:
/ 7, 20 12 Owner or Owner's Designee, Title Date 20 12 Not Applicable
DOCUMENT NO.:
8.0 REV. NO.: 0 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Name 4300 Winfield Road, Warrenville, IL Address 2.
Plant Byron Nuclear Power Station Name 4450 N. German Church Road, Byron, IL Work Order No. 01344060-67 Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by Shaw/Stone & Webster Type Code Symbol Stamp Not Applicable Name Authorization No.
Not Applicable 36400 S. Essex Road, Wilmington, IL 60481 Expiration Date Not Applicable Address 4.
Identification of System 1S108JB-1-1/2" 5.
(a)
Applicable Construction Code ASME Section III 19 74 Edition, S75 Addenda, N/A Code Case (b) Applicable Edition of Section XI Used for Repair/ Replacement Activity 2001 Edition / 2003 Addenda (c)
Section XI Code Case(s)
NONE 6.
Identification of Components ame of Component ame of Manufacturer anufacturer Serial No.
National Board No.
ther Identification ear Built Corrected, Removed, or Installed ASME Code Stamped (Yes or No)
WELD HUNTER FW-1924 N/A 1SI08JB-1-1/2" N/A Removed NO WELD SHAW FW-1924 N/A 1SI08JB-1-1/2" 2012 Installed NO 7.
Description of Work Remove / reinstall a portion of line 1SI08JB-1-1/2" reusing existing pipe, fittings, and bolting.
8.
Test Conducted:
Hydrostatic q Pneumatic q Nominal Operating Pressure Exempt q Other q Pressure 2232 psi Test Temp.
558 OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8 'h 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.
Date Sheet Unit 01 9/22/12 1
of 1
FORM NIS-2 (Back) 9.
Remarks Applicable Manufacturer's Data Reports to be attachea CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of AyAorization No.
Not Applicable Signed Date f8"
, 20 Owner's Design, Title
.el l
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 Illinois and employed by HSB CT oo ya ord, CT have i p led the components described in this Owner's Report during the period
_74K_..__.._ to
, and state that to the best of my knowledge and belief, the caner has performed xaminations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Commissions Inspector's Signature National Board, State Province, and Endorsements Date:
pGrGijt Qe/` it, 20 AA
DOCUMENT NO.:
6.0 REV. NO.: 0 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI Owner Exelon Nuclear Name 4300 Winfield Road, Warrenville, IL Address 2.
Plant Byron Nuclear Power Station Name 4450 N. German Church Road, Byron, IL Address 3.
Work Performed by Shaw/Stone & Webster Name 36400 S. Essex Road, Wilmington, IL 60481 Address Date 9/25/12 Sheet 1
of Unit 01 Type Code Symbol Stamp Not Applicable Authorization No.
Not Applicable Expiration Date Not Applicable Work Order No. 01344060-69 Repair Organization, P.O. No., Job No., etc.
4.
Identification of System 1 CV15AB-3/4" 5.
(a)
Applicable Construction Code ASME Section III 19 74 Edition, S75 Addenda, N/A Code Case (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition / 2003 Addenda (c)Section XI Code Case(s)
NONE 6.
Identification of Components ame of Component ame of Manufacturer anufacturer Serial No.
National Board No.
ther Identification ear Built Corrected, Removed, or Installed ASME Code Stamped (Yes or No)
WELDS Hunter FW4127 N/A 1CV15AB-3/4" N/A Removed NO WELDS Shaw FW4127 N/A 1CV15AB-3/4" 2012 Installed NO WELDS Hunter FW2771 N/A 1CV15AB-3/4" N/A Removed NO WELDS Shaw FW2771 N/A 1CV15AB-3/4" 2012 Installed NO 7.
Description of Work REMOVE / REINSTALL A SECTION OF 1CV15AB-3/4" 8.
Test Conducted:
Hydrostatic q Pneumatic q Nominal Operating Pressure Exempt q Other q Pressure 2232 psi Test Temp.
558 OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) 1 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.
FORM NIS-2 (Back) 9.
Remarks 01344060-69 Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable wnewner' s designee, TitIa 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 Illinois and employed by HSB CT of Flarford, CT have i pe ed the components described in this Owner's Report during the period to P _
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
r___
Commissions A E. Zg l1 4^ G Inspector's Signature National Board, State Province, and Endorsements
,+f^ /f
, 20 Date:
.DGCe Certificate of AyVorization No.
Not Applicable Signed Date / 2
! Z, 20 / t-
DOCUMENT NO.:
10.0 REV. NO.: 0 FORM NIS-2 OWNER'S REPORT FOR REPAIR /REPLACEMENT ACTIVITY CLC As Required by the Provisions of the ASME Code Section XI 9/18/12 1.
Owner Exelon Nuclear Date 9-20-12 Name 4300 Winfield Road, Warrenville, IL Sheet of Address 2.
Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, IL Work Order No. 01380394-01 Address Repair Organization, P.O. No., Job No., etc.
Work Performed by Shaw/Stone & Webster Type Code Symbol Stamp Not Applicable Name Authorization No.
Not Applicable 36400 S. Essex Road, Wilmington, IL 60481 Expiration Date Not Applicable Address 4.
Identification of System SI (SAFETY INJECTION) 5.
(a)
Applicable Construction Code ASME Section III 19 74 Edition, S75 Addenda, N/A Code Case (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition / 2003 Addenda (c)Section XI Code Case(s)
NONE 6.
Identification of Components Name of Component PIPING Name of Manufacturer Hunter Manufacturer Serial No.
N/A National Board No.
N/A Other Identification 1 SI06BA-24" Year Built N/A Corrected, Removed, or Installed Corrected ASME Code Stamped (Yes or No)
Yes 7.
Description of Work BASE METAL REPAIR ON PIPING 8.
Test Conducted:
Hydrostatic q Pneumatic q Nominal Operating Pressure q Exempt Other q Pressure psi Test Temp.
OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 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 recorded at the top of this form.
FORM NIS-2 (Back) 9.
Remarks J/ -- !i/5?'
- a/
Applicable Mannufac re s Dat-a-Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Certificate of Authorization No.
Not A Signed 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 Illinois and employed by HSB CT of Hartford, CT have i spected the components described in this Owner's Report during the period to and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Commissions
/00J5 3S et,6 ',,-
Inspector's Signature National Board, State Province, and Endorsements Date:
Oe° e'flfjc'-/' /3, 20 12
DOCUMENT NO.:
4A REV. NO.: 0 FORM NIS-2 OWNER'S REPORT FOR REPAIRIREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI 1
Owner Exelon Nuclear Date 9-29-12 Name 4300 Winfield Road, Warrenville, IL Sheet 1
of 1
Address 2.
Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, IL Work Order No. 01386972-01 Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by Byron Mechanical Type Code Symbol Stamp Not Applicable Maintenance Name Authorization No.
Not Applicable 4450 N. German Church Road, Byron, IL Expiration Date Not Applicable Address 4.
Identification of System SD Steam Generator Blowdown 5.
(a)
Applicable Construction Code ASME Section III 19 74 Edition, W75 Addenda, No Code Case (b)
Applicable Edition of Section XI Used for Repair/Replacement Activity:
2001 Edition/2003 Addenda (c)
Section XI Code Case(s)
N/A 6.
Identification of Components ASME Corrected, Code National Removed, or Stamped Name of Name of Manufacturer Board Other Year Installed (Yes or No)
Component Manufacturer Serial No.
No.
Identification Built STUDS MASONEILAN N-00189-3-5 N/A 1 SDO54E 1979 REMOVED NO DRESSER B7T STUDS NOVA MACHINE HT# M41498 N/A 1 SDO54E 2012 INSTALLED NO PRODUCTS TRACE 7C97 Cl# 1396461-1 NUTS MASONEILAN N-00189-3-5 N/A 1 SD054E 1979 REMOVED NO DRESSER 2HT NUTS ANCHOR Ht# A6264 N/A 1 SDO54E 1980 INSTALLED NO DARLING CI# 8202-1 VALVE MASONEILAN SEATING DRESSER N-00189-3-5 N/A 1SD054E 1979 Corrected YES SURFACE 7.
Description of Work REPAIRED VALVE, REPLACED BOLTING 8.
Test Conducted:
Hydrostatic q Pneumatic q Nominal Operating Pressure q Exempt Other q Pressure psi Test Temp.
OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8'/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 recorded at the top of this form.
FORM NIS-2 (Back) 9.
Remarks WO:01386972-01
/Applicable manufacturers Data epo s to be a ac e CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code, Section Xi.
Type Code Symbol Stamp Certificate of Authorization No.
Signed Not Applicable Not Applicable Jew 6..'4 Date er car Owner's Designee, Title P-6
,20 12 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 Illinois and employed by HSB CT of Ha ord CT have 'Jinspected the components described in this Owner's Report during the period to r
_, and state that to the best of my knowledge and belief, he dwner 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 propert,,dan1ac,yor a loss of any kind arising from or connected with this inspection.
Commissions Inspector's Signature National Board, State Province, and Endorsements W,^^ 1', 20 12 - --
Date:
DOCUMENT NO.:
6A REV. NO.: 0 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Date 9-26-12 Name 4300 Winfield Road, Warrenville, IL Sheet 1
of 1
Address 2.
Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, IL Work Order No. 01418845-01 Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by Byron Mechanical Type Code Symbol Stamp Not Applicable Maintenance Name Authorization No.
Not Applicable 4450 N. German Church Road, Byron, IL Expiration Date Not Applicable Address 4.
Identification of System CV CHEMICAL & VOLUME CONTROL 5.
(a) Applicable Construction Code ASME Section III 19 71 Edition, W72 Addenda, N/A Code Case (b) Applicable Edition of Section XI Used for Repair/Replacement Activity:
2001 Edltion/2003 Addenda (c)
Section XI Code Case(s)
NONE 6.
Identification of Components ame of Component ame of Manufacturer anufacturer Serial No.
National Board No.
ther Identification ear Built Corrected, Removed, or Installed ASME Code Stamped (Yes or No)
SEAL WELD KEROTEST S/N: N01-16 9606 1CV8348 1976 REMOVED YES SEAL WELD KEROTEST S/N: N01-16 9606 1CV8348 1976 INSTALLED YES 7.
Description of Work REMOVED/REINSTALLED SEAL WELD 8.
Test Conducted:
Hydrostatic q Pneumatic q Nominal Operating Pressure q Exempt Other q Pressure psi Test Temp.
OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8'/i 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.
FORM NIS-2 (Back) 9.
Remarks WO# 01418845-01 Applicable manufacturer's a a Heports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable Signed Date 1*2 -//, 20 12 er f 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 Illinois and employed by HSB CT of
)iartford, CT have i sp cted the components described in this Owner's Report during the period to 11411&1.21
, and state that to the best of my knowledge and belief, the Owner has performed a aminations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Commissions
,4'6' /l jZl A /
,45 National Board, State Province, and and En is Inspector's Signature Date:
L!/B/N4d!'
, 20 12
DOCUMENT NO.:
6A REV. NO.: 0 FORM NIS-2 OWNER'S REPORT FOR REPAIRIREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Date 9-26-12 Name 4300 Winfield Road, Warrenville, IL Sheet 1
of Address 2.
Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, IL Work Order No. 01418846-01 Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by Byron Mechanical Type Code Symbol Stamp Not Applicable Maintenance Name Authorization No.
Not Applicable 4450 N. German Church Road, Byron, IL Expiration Date Not Applicable Address 4.
Identification of System CV CHEMICAL & VOLUME CONTROL 5.
(a)
Applicable Construction Code ASME Section 111 19 71 Edition, W72 Addenda, N/A Code Case (b)
Applicable Edition of Section XI Used for Repair/Replacement Activity:
2001 Edition/2003 Addenda (c)
Section XI Code Case(s)
NONE 6.
Identification of Components ame of Component ame of Manufacturer anufacturer Serial No.
National Board No.
ther Identification ear Built Corrected, Removed, or Installed ASME Code Stamped (Yes or No)
SEAL WELD KEROTEST S/N N01 -18 9608 1CV8368C 1976 REMOVED YES SEAL WELD KEROTEST S/N N01 - 18 9608 1CV8368C 1976 INSTALLED YES 7.
Description of Work REMOVED/INSTALLED SEAL WELD 8.
Test Conducted:
Pneumatic q Nominal Operating Pressure q Exempt Other q Pressure psi Test Temp.
OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8'/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 recorded at the top of this form.
FORM NIS-2 (Back) 9.
Remarks WO# 01418846-01 Applicable Manufacturer's Data Reports to e attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable Signed Date
/2-//, 20 12 (Owner 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 Illinois and employed by HSB CT of Hartford, CT have inspected the components described in this Owner's Report during the period to
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Commissions 4',.f/// /J 9,.
i 61, Inspector's Signature National Board, State Province, and Endorsements Date:
17,'6lgr,1I
/'/, 20 12
DOCUMENT NO.:
3.0 REV. NO.: 0 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Date 9-19-12 Name 4300 Winfield Road, Warrenville, IL Sheet 1
of 1
Address 2.
Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, IL Work Order No. 01419905-01 Address Repair Organization, P.O. No., Job No., etc.
Work Performed by Shaw/Stone & Webster Type Code Symbol Stamp Not Applicable Name Authorization No.
Not Applicable 36400 S. Essex Road, Wilmington, IL 60481 Expiration Date Not Applicable Address 4.
Identification of System CHEMICAL & VOLUME CONTROL (CV) 5.
(a)
Applicable Construction Code ASME Section III 19 74 Edition, S74 Addenda, 1644 Rev. 7, 1651, 1682, 1683, 1685, 1686, 1728, 1729, 1734, N-108, N-180 Code Case (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition 1 2003 Addenda (c)Section XI Code Case(s)
NONE 6.
Identification of Components ame of Component ame of Manufacturer anufacturer Serial No.
National Board No.
ther Identification ear Built Corrected, Removed, or Installed ASME Code Stamped (Yes or No)
Pacific 14802 N/A 1 CV25001 S 1980 Removed Yes Snubber,Lisega Lisega 3110690-002 N/A 1 CV25001 S 2012 Installed No 7.
Description of Work REPLACED WITH A LISEGA SNUBBER 8.
Test Conducted:
Hydrostatic q Pneumatic q Nominal Operating Pressure q Exempt q VT-3 Other Pressure psi Test Temp.
OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8'/x 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.
FORM NIS-2 (Back) 9.
Remarks WO 01419905-01 Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Signed a
e'or Owner's Designee, Title Not Applicable Date L.
, 20 12 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 Illinois and employed by HSB CT rtf of }Haord, CT have in pe ted the components described in this Owner's Report during the period to and state that to the best of my knowledge and belief, he Owner has performed a aminations 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 dama or a loss of any kind arising from or connected with this inspection.
Commissions X511, Ll^,s^!' /
G Inspector's Signature National Board, State Province, and Endorsements Date:
I
, 20 12 (Final)
DOCUMENT NO.:
5.2 REV. NO.: 0 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Date 9-23-12 Name 4300 Winfield Road, Warrenville, IL Sheet 1
of 1
Address 2.
Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, IL Work Order No. 01430317-01 Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by Shaw/Stone & Webster Type Code Symbol Stamp Not Applicable Name Authorization No.
Not Applicable 36400 S. Essex Road, Wilmington, IL 60481 Expiration Date Not Applicable Address 4.
Identification of System Si (SAFETY INJECTION) 5.
(a)
Applicable Construction Code ASME Sect. III Pipe 19 74 Edition, S75 Addenda, N/A Code Case 5.
(a)
Applicable Construction Code ASME Sect. III Valve 20 04 Edition, N/A Addenda, N/A Code Case (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition / 2003 Addenda (c)Section XI Code Case(s)
NONE 6.
Identification of Components ASME Corrected, Code
!National Removed, or Stamped Name of Name of Manufacturer Board Other Year Installed (Yes or No)
Component Manufacturer Serial No.
No.
Identification Built 1 SI08CA-4 Piping, Existing, Southwest Spool - SI-12-4 N/A 1 SI08CB-4 1978 Removed Yes 4"
Fab. Co.
S/N -14217 1 S108B-4" Valve, 4", 1500#
Conval Inc SN# 80756W-1 A1 N/A 1S1101A 2012 Installed YES Manual CID 1450220-1 Valve, 4", 1500#
Conval Inc SN# 80756W-1.02 N/A 1S1101B 2012 Installed YES Manual 1450220-1 1 S108CA-4" Pipe, 4", Sch. 160 Consolidated HC# 41422 N/A 1 SIO8CB-4" 2012 Installed NO CID 27069-1 HC# NAPY 1 S108CA-4" Elbow, 4", 90 0 Consolidated Org. UTC# 2912434 N/A 1S108CB-4" 2012 Installed NO New UTC# 2921329 CID 1452462-1 HC# MOPF-1 1 S108CA-4" Elbow, 4", 90° Consolidated Org. UTC# 2910425 N/A 1S108CB-4" 2012 Installed NO New UTC# 2921328 CID 1452462-1 1.
HC# NAPY-1 1 S108B-4" Tee, 4", Sch. 160 Consolidated Org. UTC# 2911287 New UTC# 2921327 N/A CID 1452464-1 2012 Installed NO 7.
Description of Work INSTALLED PIPING,FITTINGS, AND VALVE(S) PER EC# 384106 8.
Test Conducted: Hydrostatic q Pneumatic q Nominal Operating Pressure Exempt q Other q Pressure 2103 psi Test Temp.
92 OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 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 recorded at the top of this form.
FORM NIS-2 (Back) 9.
Remarks 01430317- 01 Applicable Manufacturer's Data Reports to be attachea 90° Fittings originally CAT ID# 1452462-1, sent off for machining, returned as CAT ID# 1459561-1 Q Tee fitting originally CAT ID# 1452464-1, sent off for machining, returned as CAT ID# 1459571-1 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable Signed 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 Illinois and employed by HSB CT of Hartford, CT have inspected the components described in this Owner's Report during the period 61-/,1_4__ __
to and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property d merge or a loss of any kind arising from or connected with this inspection.
Commissions Inspector's Signature National Board, State Province, and Endorsements Date: &%YIZ __ /9
, 20 12
DOCUMENT NO.:
3.1 REV. NO.: 0 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Date 09/23/12 Name 4300 Winfield Road, Warrenville, IL Sheet 1
of 1
Address 2.
Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, IL Work Order No. 01435049-01 Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by Shaw/Stone & Webster Type Code Symbol Stamp Not Applicable Name Authorization No.
Not Applicable 36400 S. Essex Road, Wilmington, IL 60481 Expiration Date Not Applicable Address 4.
Identification of System MS (MAIN STEAM) 5.
(a)
Applicable Construction Code ASME Section III 19 74 Edition, na Addenda, na Code Case (b)
Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition / 2003 Addenda (c)
Section XI Code Case(s)
NONE 6.
Identification of Components ame of Component ame of Manufacturer anufacturer Serial No.
National Board No.
ther Identification ear Built Corrected, Removed, or Installed ASME Code Stamped (Yes or No)
SAFETY VALVE, 6",
1500#
DRESSER INDUSTRIES BRO9593 N/A 1 MS013D 1977 Removed YES SAFETY VALVE, 6",
1500#
DRESSER INDUSTRIES BR09590 N/A 1 MS013D Cat ID 1443930-1 1977 Installed YES 7.
Description of Work REPLACE RELIEF VALVE 8.
Test Conducted:
Pneumatic q Nominal Operating Pressure Exempt q Other q Pressure 1094 psi Test Temp.
558 OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 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 recorded at the top of this form.
FORM NIS-2 (Back) 9.
Remarks 01435049-01 Applicable Manufacturer's Data epotts tome attaci-ed CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate Authorization No.
Not Applicable Signed Date /; - 7, 20 12 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by HSB CT of Hartford, CT have inspected the components described in this Owner's Report during the period j' -3 _/-A to 1,4 /A
, 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 damagepr a loss of any kind arising from or connected with this inspection.
Commissions
,1,1
/j tL/
^1^' Go Inspectt or`s Signature National Board, State Province, and Endorsements Date:
/r L/G'l71,p a /r 13
, 20 12 (Final)
DOCUMENT NO.:
3.0 REV. NO.: 0 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Date 9-19-12 Name 4300 Winfield Road, Warrenville, IL Address Sheet 1
of 1
2.
Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, IL Work Order No. 01441222-01 Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by Shaw/Stone & Webster Type Code Symbol Stamp Not Applicable Name Authorization No.
Not Applicable 36400 S. Essex Road, Wilmington, IL 60481 Expiration Date Not Applicable Address 4.
Identification of System CHEMICAL & VOLUME CONTROL (CV) 5.
(a) Applicable Construction Code ASME Section III 19 74 Edition, S74 Addenda, 1644 Rev. 7, 1651, 1682,1683,1685,1686,1728,1729,1734, N-108, N-180 Code Case (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition / 2003 Addenda (c)Section XI Code Case(s)
NONE 6.
Identification of Components ame of Component ame of Manufacturer anufacturer Serial No.
National Board No.
ther Identification ear Built Corrected, Removed, or Installed ASME Code Stamped (Yes or No)
1/4 Pacific Scientific 12447 N/A 1CV30002S 1980 Removed Yes Snubber, Lisega Lisega 3110690/003 N/A 1CV30002S 2012 Installed No 7.
Description of Work REPLACED WITH A LISEGA SNUBBER 8.
Test Conducted:
Hydrostatic q Pneumatic q Nominal Operating Pressure q Exempt q VT-3 Other 0 Pressure psi Test Temp.
OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 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 recorded at the top of this form.
FORM NIS-2 (Back) 9.
Remarks WO 01441222-01 Applicable Manufacturers Data Reports to be attached CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization N Not Applicable Signed Date 20 12 Owner)or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by HSB CT of Hartford, CT have in a ted the components described in this Owner's Report during the period to and state that to the best of my knowledge and belief, ner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Commissions National Board, State Province, and Endorsements D -ite:
,20 12 (Final)
DOCUMENT NO.:
4.2 REV. NO.: 0 FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI 1.
Owner Exelon Nuclear Date 9-22-12 Name 4300 Winfield Road, Warrenville, IL Sheet _
of 1
Address 2.
Plant Byron Nuclear Power Station Unit 01 Name 4450 N. German Church Road, Byron, IL Work Order No. 01468290-01/02 Address Repair Organization, P.O. No., Job No., etc.
Work Performed by Shaw/Stone & Webster Type Code Symbol Stamp Not Applicable Name Authorization No.
Not Applicable 36400 S. Essex Road, Wilmington, IL 60481 Expiration Date Not Applicable Address 4.
Identification of System RY / PRESSURIZER 5.
(a)
Applicable Construction Code ASME Section III 19 71 Edition, W72 Addenda, N/A Code Case (b)
Applicable Edition of Section Xl Used for Repair/Replacement Activity 2001 Edition / 2003 Addenda (c)
Section XI Code Case(s)
NONE 6.
Identification of Components ame of Component ame of Manufacturer anufacturer Serial No.
National Board No.
ther Identification ear Built Corrected, Removed, or Installed ASME Code Stamped (Yes or No)
RELIEF VALVE 1 RY801 OA CROSBY VALVE
& GAGE N56964-00-0031 N/A 1 RY801 OA 1976 Removed YES RELIEF VALVE 1 RY8010A CROSBY VALVE
& GAGE N56964-00-0047 N/A 1 RY801OA CAT ID 1402762-1 1976 Installed YES 7.
Description of Work REMOVED / REPLACED PRESSURIZER RELIEF VALVE 1 RY8010A 8.
Test Conducted:
Pneumatic q Nominal Operating Pressure Other q Pressure 2227 psi Test Temp.
Exempt q 649 OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 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 recorded at the top of this form.
FORM NIS-2 (Back) 9.
Remarks 01468290-01/02 Applicable Manufacturer's Data Reports tob-eattac-Ke-A CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp Not Applicable Certificate of Authorization No.
Not Applicable I Signed r^ C Date
/Z-/t `, 20 12 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 Illinois and employed by HSB CT of Harjford, CT have i spected the components described in this Owner's Report during the period to and state that to the best of my knowledge and belief, ner has performed a aminations 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 damaggeor a loss of any kind arising from or connected with this inspection.
Commissions i/1/
Inspector's Signature National Board, State Province, and Endorsements Date:
Dec'e&bl' /?^, 20 12 (Final)