ML17332A613

Rept of ISIs from 920702-941211.

ML17332A613
Person / Time
Site:	Cook
Issue date:	03/03/1995
From:	INDIANA MICHIGAN POWER CO. (FORMERLY INDIANA & MICHIG
To:
Shared Package
ML17332A612	List: ML17332A611 ML17332A613
References
NUDOCS 9503130327
Download: ML17332A613 (638)

Text

INDIANAMICHIGAN POWER COMPANY DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIAL SERVICE DATE 7-1-1978 NATIONALBOARD NUMBER 1 Report of Inservice Inspections From July 2, 1992 to December 11, 1994 TABLE OF CONTENTS Section 1 Introduction Section 2 NIS-1 Inservice Inspection Summary Report Section 2A Examination of Class 1 and Class 2 Systems and Components Section 2B Steam Generator Eddy Current Inspections and Tube Repairs Section 2C Reactor Vessel Closure Head Penetration Inspections and Control Rod Drive/Thermocouple Funnel Guide Inspections and Repairs Section 2D ,System Pressure Tests Section 2E NIS-2 Repair and Replacement Reports Index Section 3 NIS-2 Repair and Replacement Reports 9S03130327 950303 PDR ADODK 05000310 Q PDR

INDIANAMICHIGAN POWER COMPANY DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIALSERVICE DATE 7-1-1978 NATIONALBOARD NUMBER 1 INTRODUCTION This report summarizes the Inservice Inspection activities performed at the Cook Nuclear Plant, Unit 2, for the period of July 2, 1992 through December 11, 1994. These activities were per formed in accordance with the requirements of the ASME Boiler and Pressure Vessel Code,Section XI, Rules for Inservice Inspection of Nuclear Power Plant Components. As of July 1, 1986, the second ten-year inspection interval began and the applicable code for ISI activities then became the 1983 edition through the summer 1983 addenda.

The purpose of this report is to satisfy the requirements of IWA-6000 for the submittal of the Inservice Inspection Summary Report at the completion of each refueling outage. Examination and tests conducted since the preceding summary report (July 1, 1992) are included in this report. Repairs and replacements are also included in this report per the requirements of the 1983 Edition of ASME Section XI IWA-6220(b) 10. Also, contained within this report are the supplemental information'equirements of IWA-6220.

Contents of this report have been reviewed and verified correct with supporting documentation available at the plant for review if required.

THIS REPORT CONSISTS OF 65 SUPPLEMENTAL PAGES FORM NIS-I OWNERS'ATA REPORT FOR INSERVICE INSPECTION As required by the Provisions of the ASME Code Rules

1. Owner Indiana Michi an Power Co. One Summit S uare Ft. Wa ne IN 46802 (Name an A ress o Owner)

2. Plant Donald C. Cook Nuclear Plant One Cook Place Brid man Mi. 49106 (Name an A ress o P ant)

3. Plant Unit Two 4. Owner Certification of Authorization (if required)

5. Commercial Service Date 07/01/78 6. National Board Number for Unit 1 Mich. M-324232-M

7. Components inspected Manufacturer Component or Manufacturer or Installer State or National Appurtenance or Installer Serial No. Province No. Board No.

Reactor Vessel Chicago Bridge and Iron M-324232-M Steam Gen. ¹1 Westinghouse MMGL 11444 M-324234-M 37 Steam Cen. ¹2 Westinghouse MMGL 11445 M-324235-M 38 Steam Cen. ¹3 Westinghouse MMGL 11446 M-324236-M 39 Steam Cen. ¹4 Westinghouse MMGL 11447 M-324237-M 40 Pressurizer Westinghouse 1231 M-324233-M 68 94 Regenerative Westinghouse 183'I-7-I I 430 Ht Exchanger RCP ¹1 Westinghouse 524-618J800-C01-9 RCP ¹2 Westinghouse 525-618J800-G01-9 RCP ¹3 Westinghouse 526-618J800-G01-9 Volume Control Joseph Oats & Sons, Inc. 1787-3B Tank West RHR Heat Engineers and Fabricators, Inc. S-15586-D Exchanger West CTS Heat Yuba 69-C-226-1D Exchanger Note: Supplemental sheets in form of lists, sketches, or drawings may be used provided (1) size is 8.5 in. x 11 in. (2) information in items 1 through 6 on this data report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

FORM NIS-1 (back)

8. Examination Dates 07/02/92 to 12/11/94 9. Inspection Interval from 07/01/86 to 07/01/96 10." Abstract of Examinations. Include a list of examinations and a statement concerning status of work required for current interval.

See Attached

11. Abstract of conditions noted.

See Attached

12. Abstract of Corrective Measures Recommended and Taken See Attached We certify that the statements made in this report are correct and the examinations and corrective measures taken conform to the rules of the ASME Code,Section XI. 1983 Edition w/Summer 1983 Addenda Date Feb rua 21 19 99 Signed indiana Michl an Power Co. By C ~

Owner C.A Freer Certificate of Authorization No. (if applicable) N/A Expiration Date N/A CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commision issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by Arkwri ht Mutual Ins. Co.* of Norwood Mass. have inspected the components described in this Owner's Report during the period 07/02/92 to 12/11/94 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.

• - Factory Mutual Engineering Association Date ~is.~~/,

Commissions @11 ara oo 5, z~.keaserncMrs rt/ Z Inspector'gna re Nat ona Boar, State, Province, an En orsements

INDIANAMICHIGAN POWER COMPANY DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIAL SERVICE DATE 7-1-1978 NATIONALBOARD NUMBER 1 EXAMINATION OF CLASS 1 AND CLASS 2 COMPONENTS Inservice examinations were performed during the period of July 2, 1992 through December 11, 1994. All examinations were in accordance with ASME Section XI, 1983 Edition through 1983 Summer Addenda.

Examinations were scheduled and performed according to the Second Ten-Year Long Term Inservice Examination and Testing Plan for Class 1, 2 and 3 Systems and Components for Donald C. Cook Nuclear Plant, Unit 2. This is the currently approved ISI examination plan, which identifies specific activities to be performed on a refueling outage basis.

Nondestructive examinations were performed by Southwest Research Institute (SwRI), MQS Inspections and Indiana Michigan Power (IMP) personnel in accordance with procedures which were approved for use at the Cook Nuclear Plant. SwRI performed the required volumetric ultrasonic examinations and surface examination if. one was needed in addition to the volumetric examination. MQS and IMP personnel performed all other surface and visual examinations.

The recordable indications found by su'rface and volumetric examinations were evaluated by the allowable standards provided in ASME Section XI. A liquid penetrant indication that exceeded allowable indication standards for surface indications was found on a valve to elbow pipe wel'd (2-SI-78-01). In accordance with IWB-3514.3, the surface indication was examined by a volumetric (ultrasonic) examination and. found to be acceptable with no recordable indications.

'nubber examinations and functional testing were performed in conjunction with maintenance procedures for technical specification surveillance of snubbers.

IMP personnel performed VT-3/VT-4 visual examinations on ISI component supports. Design sketch nonconformances and other discrepancies found were evaluated by AEPSC Nuclear Engineering Design Section. All discrepant pipe supports and associated systems met operability limits. However, some of the pipe supports were repaired or modified to be in accordance with the original design intent.

The summary pages in this section lists the examinations, tests performed and results. In the following summary pages, "NOREC" is no recordable indications, "GEOM" is geometric indications, and "OTHER" are indications other'han geometric indications.

Page 1

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN MI.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 2 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS REACTOR PRESSURE VESSEL AND CLOSURE HEAD N . 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REMARKS NUHBER IDENTIFICATION ITEN NO HETHOD PROCEDURE C H R **CALIBRATION BLOCK*<<

CLOSURE HEAD HERIDIONAL 'WELDS FIG NO A-2 001705 2-CHH-07 8-A UTOL DCC-UT150/2/1/0 X - - SMRI - LIHITED EXAH DUE TO HEAD SHROUD HERIDIONAL WELD AT 334 DEG. "81.22 UTOM X - - AND CONFIGURATION ~

UT45 X UT45T X UT60 X - - <<<<RV-2<<<<

UT60T X CLOSURE HEAD TO FLANGE MELD FIG NO A-2 001900 2-CHC-01 B-A HT DCC-HT1/0/0/0 X SMRI - EXAHINED 33K OF MELD. LIHITEO HEAD TO FLANGE B1.40 UTOL DCC-UT150/2/1/0 X EXAH DUE TO FLANGE CONFIGURATION AND UTOM X LIFTING LUG.

UT45 X UT45T. X - - <<<<RV-2<<<<

UT60 X UT60T X CLOSURE STUDS 004500 2-RPV-STUD B-G-1 MT DCC-HT2/0/1/0 X - - SMRI - EXAHINED STUDS NOS. 37 THRU 54.

1 THROUGH 54 86. 30 UT60 DCC-UT18/2/1/0 X UT88 X

• • 7-.750-8-CS-10-DCC**

CLOSURE NUTS 004600 2-RPV-NUT 8-G-1 HT DCC-HT2/0/1/0 SMRI - EXAHINED NUTS NOS. 37 THRU 54.

1 THROUGH 54 86.10 SCRATCHES OR TOOL MARKS NOTED ON SIX NUTS MERE NOT DETRIMENTAL TO FUTURE SERVICE. SEE CNF-001 AND 002.

VESSEL FLANGE THREADS 004?00 2-RPV-FLANGE THREADS B-G-1 UTO DCC-UTS/2/1/0 X - - SMRI - EXAMINED FROH STUD HOLES 37 THRU 1 THROUGH 54 86.40 54.

• • 7-.750-8-CS-10-DCC*<<

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIALSERVICE DATE: 07)0117S; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 3 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS REACTOR PRESSURE VESSEL AND CLOSURE HEAD N . 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEN NO HETHOD PROCEDURE C H R **CALIBRATION BLOCK"*

CLOSURE WASHERS 004800 2-RPV>>'llASHER B-G-1 VT-1

'T DCC-VT7/0/0/0 X SWRI - EXAHINED WASHERS 37 THRU 54.

1 THROUGH 54 B6.50 DCC-HT2/0/1/0 X WASHER NO. 46 HAD NICK ON OUTSIDE EDGE NOT DETRIHENTAL TO FUTURE SERVICE. SEE CNF-003.

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMANMI.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 4 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS PRESSURIZER FIGURE A-4 N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEN NO HETHOD PROCEDURE C H R *~CALIBRATION BLOCK*>>

NOZZLE TO SHELL AND SHELL TO NOZZLE UELDS 006920 4'-2-RC-28 8-D UTOL DCC-UT49/2/1/0 X>> - SIIRI - LIHITEO EXAH DUE TO NOZZLE UPPER HEAD TO SPRAY NOZZLE 83.110 UTOI/ X - - CONFIGURATION.

UT45 DCC-UT1 5/3/0/0 X UT45T X UT60 X - - ~~PL-3.0"CSCL-4 DCC**

UT60T X NOZZLE INSIDE RADIUS SECTIONS 007000 4'-2-RC-28-IRS 8-D UT19 DCC-UT11/2/0/0 X - - SIIR I UPPER HEAD TO SPRAY NOZZLE 83.120

"~IR-CSCL-24-DCC~~

NOZZLE TO SAFE-END AND SAFE<<END TO NOZZLE LIELDS 008000 2-PRZ-21 8-F PT DCC-PT1/0/0/0 X SI/RI NOZZLE TO SAFE-END 85.40 UT45 DCC-UT31/2/0/0 X UT45T X UT45RL X UT45RLT X ~*3378028 (6-SS-160-.71) *~

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIALSERVlCE DATE: 07101I78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 5 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS STEAM GENERATOR NO. 24 FIGURE A-5 N 0 ASME 0 G T SEC. XI R E H SUMHARY EXAHINATION AREA CATGY EXAM E 0 E REHARKS NUMBER IDENTIFICATION ITEH NO METHOD PROCEDURE C M R i*CALIBRATION BLOCK**

CIRCUHFERENTIAL WELDS 011300 STM-24-01 B-B UTOW DCC-UT49/2/1/0 X SWRI - LIMITED EXAM DUE TO WELDED LOWER HEAD TO TUBE SHEET B2.40 UT45 DCC-UT15/3/0/0 X INSULATION PADS. 45 AND 60 DEGREE UT45T X INDICATIONS ARE CODE ACCEPTABLE.

UT60 X UT60T X ~~RV-3/DCC-41~~

INDIANAMICHIGAN POWER COMPANY; DONALD C. COOK NUCLEAR PLANT, BRIDGMAN, MI.

UNIT 2 COMMERCIALSERVICE DATE 07N1/78; NATIONALBOARD NUMBER 1 DATE: 02/22/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 6 EVIS ION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS ~

REACTOR COOLANT SYSTEH N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATIOH ITEH NO HETHOD PROCEDURE C tl R ~*CALIBRATION BLOCK**

LINE 2-Rc-18 FIG NO A-7A 017560 2-RC-18-06-LU-I 8-J PT DCC-PT1/0/0/0 X - - SMRI - EXAHINED 12 INCHES OF MELO LONGITUDINAL SEAM 89.12 UT45 DCC-UT33/2/0/0 X - - LENGTH.

UT45T X

• • 37;CCSS-X-3.0-9-DCC~*

017580 2-RC-18-06-LU-0 8-J PT DCC-PT1/0/0/0 X - - SMRI - EXAHINED 12 INCHES OF MELD LONGITUDIHAL SEAN 89.12 UT45 DCC-UT33/2/0/0 X - - LENGTH.

UT45T X

~~37-CCSS-X-3.0-9-DCC**

017600 2-Rc-18-06 8-J PT DCC-PT1/0/0/0 X - - SMRI ELBOM TO PIPE 89.11 UT45 DCC-UT33/2/0/0 X UT45T X

• • 37-CCSS-X-3.0-9-DCC~~

017800 2-Rc-18-05N 8-J PT 12SHP5050NDE001 X - - J.O. C18446/07 2-IN. NOZZLE (BRANCH 89.32 CONNECTION) 8-J - -

018000 2-RC-18-08 ELBOll TO PUHP 89.11 PT UT45 UT45T DCC-PT1/0/0/0 DCC-UT33/2/0/0 X

X X, SMRI l.IHITED CONFIGURATION EXAH DUE TO PUHP

• • 37-CCSS-X-3.0-9-DCC**

LINE 2-RC-18 FIG NO A-78 018100 2-RC-18-09 8-J PT DCC-PT1/0/0/0 X - - SMRI - LItlITED EXAH DUE TO PUtlP PUHP TO PIPE 89.11 UT45 DCC-UT33/2/0/0 X - - CONFIGURATION AND BRANCH CONNECTION.

UT45T X

• ~37-CCSS-X-3.0-9-DCC**

LINE 2-RC-19 FIG NO A-8A 020600

• 2-RC-19-07 8-J PT DCC-PT1/0/0/0 X - - SMRI PIPE TO ELBOlt 89.11 UT45 DCC-UT33/2/0/0 X UT45T X

• • 37-CCSS-X-3.0-9-DCC*~

INDIANAMICHIGAN POWER COMPANY, DONALD C, COOK NUCLEAR PLANT, BRIDGMANMI.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE 7 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS REACTOR COOLANT SYSTEH N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAMINATiON AREA CATGY EXAM E 0 E REHARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R *~CALIBRATION BLOCK'*

LINE 2-RC-19 FIG NO A-BA 020620 2-RC-19-07-LD-I 8-J PT DCC-PT1/0/0/0 X - - SURI - EXAHINED 12 INCHES OF MELD LONGITUDINAL SEAH 89.12 UT45 DCC-UT33/2/0/0 X - - LENGTH.

UT45T X

• ~37-CCSS-X-3.0-9-DCC~~

020640 2-RC-19-07-LD-0 8-J PT DCC-PT1/0/0/0 X - - SWRI - EXAHINED 12 INCHES OF IIELD LONGITUDINAL SEAH 89.12 UT45 DCC-UT33/2/0/0 X - - LENGTH.

UT45T X

~~37-CCSS-X-3.0-9-DCC**

LINE 2-RC-19 FIG NO A-8B 021550 2-RC-'l9-10N 8-J PT 12SHP5050NDE001 X - - J.O. C18446/07 1-1/2-IN. NOZZLE (BRANCH 89.32 CONNECTION)

LINE 2-RC-22 FIG NO A-11 026300 2-RC-22-07 8-J PT DCC-PT1/0/0/0 X SURI REDUCER TO PIPE 89.11 UT45 DCC-UT31/2/0/0 X UT45T X UT60 X

• • 3378027 (4-SS-120-.430)**

026833 2-RC-22-01N 8-J PT 12SHP5050NDE001 X - - J.O. C18446/07 3-IN. NOZZLE (BRANCH 89.32 CONNECTION)

LINE 2-RC-23 FIG NO A-12 027500 2-RC-23-01 8-J PT 12SHP5050NDE001 X - - J.O. C18446/07 TEE TO PIPE 89.21

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMANMl.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 8 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS REACTOR COOLANT SYSTEH N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEM NO HETHOD PROCEDURE C H R **CALIBRATION BLOCK**

LINE 2-RC-24 FIG NO A-13 028300 2-RC-24-02 B-J PT 12SHP5050NDE001 X - - J.O. C18446/07 PIPE TO PIPE 89. 21 LINE 2-RC-25 FIG NO A-14 028800 2-RC-25-02 8-J PT DCC-PT1/0/0/0 X - - SWRI ELBOW TO PIPE 89.11 UT45 DCC-UT31/2/0/0 - X UT45T X

• ~3378028 (6-SS-160-.71)**

LINE 2-RC-26 FIG NO A-15 029700 2-RC-26-02 8-J PT DCC-PT1/0/0/0 X - - SWRI ELBOW TO PIPE 89. 11 UT45 DCC-UT31/2/0/0 X UT45T X

• • 3378028 (6-SS-160-.71)**'INE 2-RC-27 FIG NO A-16 030700 2-RC-27-03 8-J PT DCC-PT1/0/0/0 X - - SWRI PIPE TO ELBOW 89.11 UT45 DCC-UT31/2/0/0 X UT45T X

• • 3378028 (6-SS-160-.7'I)**

031200 2-RC-27-09 8-J PT DCC-PT1/0/0/0 X - - SWRI PIPE TO FutNQE 89.11 UT45 DCC-UT31/2/0/0 - X UT45T X

~~3378028 (6-SS-160-.71)*~

031300 2-RC-27-09-FB 8-G-2 VT-1 12SHP5050NDE006 X - - J.O. C18446/07 FLANGE BOI.TING 87.50

d INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 9 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 {1994), THIRD PERIOD, SECOHD INTERVAL CLASS 1 COHPONENTS REACTOR COOLANT SYSTEH N, 0 ASHE 0 G T SEC. XI R E,H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION. ITEH NO HETHOO PROCEDURE C H R ~~CALIBRATION BLOCK~~

LINE 2-RC-28 FIG NO A-1?

031500 2-RC-28-02 8-J PT DCC-PT1/0/0/0 X - - SWRI ELBOW TO PIPE 89.11 UT45 DCC-UT31/2/0/0 X UT45T X

• • 33?8027 (4-SS-120-.430)~*

033800 2-RC-28-18 8-J PT DCC-PT1/0/0/0 X - SWRI - LIHITED EXAH DUE TO TEE PIPE TO TEE 89.11 UT45 DCC-UT31/2/0/0 X - - CONF IGURATIOH.

UT45T X UT60 X

• • 337802? (4-SS-120-.430)~~

034200 2-RC-28-22 8-J UT45 DCC-UT31/2/0/0 X - - SWRI - LIHITED EXAH DUE TO TEE PIPE TO TEE 89.11 UT45T. X - - CONFIGURATION. AUGHENTED EXAH 'N UT60 X - RESPONSE TO NRCB 88-08.

• ~33?8027 (4-SS-120-.430)~*

034300 2-RC-28-23 8-J UT45 DCC-UT31/2/0/0 X SWRI - LIHITED EXAN DUE TO TEE TEE TO PIPE 89.11 UT45T X CONFIGURATION. AUGHENTED EXAN IN UT60 X RESPONSE TO NRCB 88-08.

• • 3378027 (4-SS-120-.430)**

034400 2-RC-28-24 8-J UT45 OCC-UT31/2/0/0 X - - SWRI - AUGHENTEO EXAH IN RESPONSE TO PIPE TO ELBOW 89.11 UT45T X - - NRCB 88-08.

UT60 X

• ~33?8027 (4-SS-120-.430) **

034800 2-RC-28-28 8-J PT DCC-PT1/0/0/0 X SWRI PIPE TO ELBOW 89.11 UT45 DCC-UT31/2/0/0 X UT45T X UT60 X UTBSRL SWRI-UT2/1/1/0 X *~33?8027 {4-SS-120-.430)**

03?800 2-RC-28-51 8-J PT DCC-PT1/0/0/0 X - - SWRI ELBO'W TO SAFE-END '9.11 UT45 DCC-UT31/2/0/0 X UT45T X

• • 3378027 (4-SS-120-.430)**

U INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLOLNT, BRIDGMAN MI.

UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE:l 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 10 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS REACTOR COOLANT SYSTEH N, 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R ~~CALIBRATION BLOCK~~

LINE 2-RC-29 FIG NO A-18 037900 2-RC-29-01 8-J PT DCC-PT1/0/0/0 X - - SWRI LIIIITED EXAH DUE TO BRANCH BRANCH CONNECTION TO ELBOW 89. 1'I UT45 DCC-UT31/2/0/0 - X - CONNECTION.

UT45T X

• • 3378027 (4 SS-120-.430)**

039700 2-RC-29-16 B-J PT DCC-PT1/0/0/0 X - - SWRI PIPE TO ELBOW UT45 DCC-UT31/2/0/0 X UT45T X UT60 X

~~3378027 {4-SS-120-.430) **

LINE 2 RC-30 FIG NO A-19 041300 2-RC-30-06 8- J UT45 DCC-UT31/2/0/0 X SWRI - LIHITED EXAH DUE TO TEE PIPE TO TEE 89.11 UT45T X CONFIGURATION. AUGHENTED EXAH IN UT60 X RESPONSE TO NRCB 88-08.

• <<3378027 (4-SS-120-.430)*<

LINE 2-RC-31 FIG NO A-20A 045700 2-RC-31-16-FB 8-G-2 VT-1 12SHP5050NDE006 X - - J.O. C18446/07 FLANGE BOLTING 87.50 LINE 2-RC-34 FIG NO A-23A 056200 2-RC-34-12-FB B-G-2 VT-1 12SHP5050NDE006 X - - J.O. C18446/07 FlANGE BOLTING B7.50 LINE 2-RC-513 FIG NO A-25 064900 2-RC-513-21-FB 8-G-2 VT-1 12SHP5050NDE006 X - - J.O. C18446/07 FLANGE BOLTING 87.50

INDIANAMICHIGAN POWER COMPANY; DONALD C. COOK NUCLEAR PLANT, BRIDGMAN, Ml.

UNIT 2 COMMERCIALSERVICE DATE 07101/78; NATIONALBOARD NUMBER 1 DATE: 02/22/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 11 EV IS I ON: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS REACTOR COOLANT SYSTEH N 0 ASHE 0 G T SEC. XI R E H SUNHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEN NO HETHOD PROCEDURE C H R>>*CALIBRATION BLOCK>>>>

LINE 2-RC 519 FIG NO A 31 085300 2-RC-519-21-FB 8-G-2 VT-1 12SHP5050NDE006 X - - J.O. C18446/0?

FLANGE BOI.TING 87,50 LINE 2-RC-525 FIG NO A-32 086200 2-RC-525-03 8-J PT 12SHP5050NDE001 X - - J.O. C18446/07 TEE TO PIPE 89.40 6900 2-RC-525-06 8-J PT 12SHP5050NDE001 - - X J.O. C18446/07 - PT INDICATION OF .125'S PIPE TO ELBOW 89.40 WITHIN ALLOWABLE STANDARDS OF IUS-3514.3.

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMANMl.

UNIT 2 COMMERCIALSERVICE DATE: 07/OI/78; NATIONALBOARD NUMBER 'I DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 12 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS SAFETY INJECTION SYSTEH N 0 ASHE 0 G T SEC. XI R E H

SUMMARY

EXAHINATION AREA CATGY EXAM E 0 E REMARKS NUMBER IDENTIFICATION ITEM NO HETHOD PROCEDURE C H R ~*CALIBRATION BLOCK~~

LINE 2-SI-56 FIG NO A-33 089000 2-S 1-56-11 8-J PT DCC-PT1/0/0/0 X - - SWRI ELBOW TO PIPE B9.11 UT45 DCC-UT31/2/0/0 - X UT45T X

~*3378030 (10-SS-140-1.0) *~

LINE 2-S1-78 FIG NO A-33 1

090100 2-S 1-78-01 B-J PT DCC-PT1/0/0/0 X SWRI - LIHITED EXAM DUE TO VALVE VALVE TO ELBOW 89.11 UT45 DCC-UT31/2/0/0 X CONFIGURATION. PT INDICATION EXCEEDED UT45T X ALLOWABLE LENGTH. UT EXAM OF INDICATION UT85RL SWR I-UT2/1/1/0 X REVEALED NO RECORDABLE INDICATION.

THEREFORE, INDICATION IS ACCEPTABLE IN ACCORDANCE WITH IWB-3514.3.

%*337gQB (6 SS-160,71)*+

LINE 2-SI-57 FIG NO A-34 091050 2-SI-57-02 B-J PT DCC-PT1/0/0/0 X - - SWRI - LIHITED EXAH DUE TO PIPE PIPE TO TEE 89 11

~ UT45 DCC-UT31/2/0/0 X - - RESTRAINT.

UT45T X UT60

• >3378030 (10-$ $ -14P<<1. P) **

091500 2-S 1 ~57-06 B-J PT DCC-PT1/0/0/0 X - - SWRI ELBO'W TO PIPE 89.11 UT45 DCC-UT31/2/0/0 - X UT45T X

• +3378030 (10-SS-140-1.0) **

093200 2-SI-57-22 B-J PT DCC-PT1/0/0/0 X SWRI - LINITED EXAH DUE TO TEE TEE TO PIPE 89.11 UT45 DCC-UT31/2/0/0 - X CONFIGURATION.

UT45T X

• • 3378030 (10-SS-140-1.0) *>>

093300 2-SI-57-23 B-J PT DCC-PT1/0/0/0 X - - SWRI - LIHITED EXAH DUE TO VALVE PIPE TO VALVE 89.11 UT45 DCC-UT31/2/0/0 - X - CONFIGURATION.

UT45T X

• • 3378030 (10-SS-140-1.0) ~*

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGiWNN Ml.

UNIT 2 COMMERCIAL SERI/ICE DATE: 07/OIi78; NATIONALBOARD NUMBER 1

'ATE:I 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 13 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 CONPONENTS SAFETY INJECTION SYSTEH N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEH NO HETNOD PROCEDURE C H R>>>>CALIBRATION BLOCK**

LINE 2-SI-58 FIG NO A-35 095500 2-SI-58-08 8-J PT DCC-PT1/0/0/0 X - - SMRI ELBOM TO PIPE 89.11 UT45 DCC-UT31/2/0/0 - X UT45T X

>>>>3378030 (10-SS-140-1.0)>>>>

096300 2-SI-58-16 B-J PT DCC-PT1/0/0/0 X - - SMRI ELBOW TO PIPE 89. 11 UT45 DCC-UT31/2/0/0 X UT45T X UT60 X

• >>3378030 (10-SS-140-1.0)>>*

LINE 2-SI-59 FIG NO A-36 098400 2-SI-59-05 B-K-1 PT 12SHP5050NDE001 X - - J.O. C18446/07 COLLAR TO PIPE 810.10 098800 2-S I-59-09 B-J PT DCC-PT1/0/0/0 X - - SMRI ELBOM TO PIPE B9.11 UT45 DCC-UT31/2/0/0 - X UT45T X

• >>3378030 (10-SS-140-1.0)>>*

099700 2-SI-59-18 B-J PT DCC-PT1/0/0/0 X - - SMRI ELBOW TO PIPE B9.11 UT45 DC C-UT31/2/0/0 X UT45T X

• >>3378028 (6-SS-160- 71)>>>>

LINE 2-SI-60 FIG NO A-37 101900 2-S I-60-06 8-J PT DCC-PT1/0/0/0 X - - SMRI ELBOW TO PIPE 89. 11 UTOL DCC-UT49/2/1/0 X UT45 DCC-UT31/2/0/0 X UT45T X

• • 3378029 (8-SS-160-.81)*>>

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml~

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAI.

CLASS 1 COMPONENTS SAFETY INJECTION SYSTEH N 0 ASNE 0 G T SEC. XI R E N SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REMARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R *~CALIBRATION BLOCK*~

LINE 2 SI 60 FIG NO A-37 102000 2-S I-60-07 8-J PT DCC-PT1/0/0/0 X - - SWRI PIPE TO ELBOW 89.11 UT45 DCC-UT31/2/0/0 X UT45T X

• ~3378029 (8-SS-160-.81)**

102950 2-SI-60-17 8-J PT DCC-P T1/0/0/0 X - - SWRI PIPE TO PIPE 89. 11 UT45 DCC-UT31/2/0/0 X UT45T X UT60 X

~~33?8028 (6-SS-160-.71) *~

03200 2-SI-60-19 B-K-1. PT 12SHP5050NDE001 X - - J.O. C18446/07 COLLAR TO PIPE 810.10 103700 2-SI-60-26 8-J PT DCC-PT1/0/0/0 X - - SWRI PIPE TO ELBOW 89.11 UT45 DCC-UT31/2/0/0 - X UT45T X

• • 3378028 {6-SS-160-.71)"*

104000 2-S I-60-29 8-J PT DCC-PT1/0/0/0 X S'WRI ELBOW TO PIPE 89.11 UT45 DCC-UT31/2/0/0 X UT45T X UT60 X

<*3378028 (6-SS-160-.71)*~

LINE 2-Sl-61 FIG NO A-38 104900 2-S I-61-05 B-J PT DCC-PT1/0/0/0 X - " SWRI PIPE TO ELBOW 89. 11 UT45 DCC-UT31/2/0/0 " X UT45T X

~*3378028 (6-SS-160-.71)**

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMANMl.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 COOK NUCLEAR PLANT UNIT 2 PAGE 15 DATE: 02/21/95 EV IS ION: 0 SUHHARY OF NOHDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS SAFETY INJECTION SYSTEH I I N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEN NO NETHOD PROCEDURE C H R **CALIBRATION BLOCK**

LINE 2-SI-61 FIG NO A-38 105200 2-SI-61-08 8-J PT DCC-PT1/0/0/0 X - - SWRI ELBOW TO PIPE 89.11 UT45 DCC-UT31/2/0/0 X UT45T X

• ~3378028 (6-SS-160-.71) **

105600 2-SI-61-12 8-J PT DCC-PT1/0/0/0 X - - SMRI ELBOW TO PIPE 89.11 UT45 DCC-UT31/2/0/0 X UT45T X UT60 X

~*3378028 (6-SS-160-.71)~*

LINE 2-51-62 FIG NO A-39 106200 2-S I-62-02-PL 1 THROUGH 4 8-K-1 PT 12SHP5050NDE001 X - - J.O. C18446/07 - LIHITED EXANINATION DUE PIPE LUG B10.10 TO SUPPORT STRUCTURE.

106700 2-SI-62-02-PL 5 THROUGH 8 8-K-1 PT 12SHP5050NDE001 X - - J.O. C18446/07 - LIHITED EXAHINATIOH DUE PIPE LUG 810.10 TO A.SUPPORT STRUCTURE.

107300 2-S I-62-05 B>>J PT DCC-P T1/0/0/0 X - - SWRI PIPE TO ELBOW 89.11 UTOL DCC-UT49/2/1/0 X UT45 DCC-UT31/2/0/0 X UT45T X

• • 3378029 (B-SS-160-.81)*~

108100 2-S I-62-12 8-J PT DCC-P T1/0/0/0 X SWRI PIPE TO ELBO'M 89.11 UT45 DCC-UT31/2/0/0 X UT45T X UT60 X

<+3378028 (6-SS-160-,71) **

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN ML UNIT 2 COMMERCIALSERYICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 16 EVI SION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS SAFETY INJECTION SYSTEH N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEN NO HETHOD PROCEDURE C H R **CALIBRATION BLOCK~*

LINE 2-SI-63 FIG NO A-40 111100 2-S I-63-08 8-J PT DCC-PT1/0/0/0 X - - SMR I ELBOM TO PIPE 89.11 UT45 DCC-UT31/2/0/0 X UT45T X

>~3378028 (6<<SS-160-.71)*~

111600 2-S I-63-13 8-J PT DCC-PT1/0/0/0 X - - SMRI PIPE TO ELBOM 89. 11 UT45 DCC-UT31/2/0/0 X UT45T X UT60 X

~*3378028 (6-SS-160-,71) *>

112000 2-S I-63-17 8-J PT DCC-PT1/0/0/0 X - - SMRI - LIHITED EXAH DUE TO VALVE PIPE TO VALVE 89.1'I UT45 . DCC-UT31/2/0/0 X - - CONFIGURATION ~

UT45T X

~~3378028 (6-SS-160-.71)~~

LINE 2-SI-566 FIG NO A-41 113400 2-SI-566-11 8-J PT 12SNP5050NDE001 X - - J.O. C18446/07 ELBOM TO PIPE 89.40 113900 2-S I-566-15 BJ PT 12SHP5050NDE001 X - - J.O. C18446/07 COUPLING TO PIPE 89. 40 115000 2-SI-566-24 8-J PT 12SHP5050NDE001 X - - J.O. C18446/07 PIPE TO BRANCH CONNECTION 89.40 LINE 2-SI-567 FIG NO A-42 116900 2-SI-567-16 8-J PT 12SNP5050NDE001 X - J.O. C18446/07 PIPE TO COUPLING 89.40

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMANMI.

UNIT 2 COMMERCIALSERVICE DATE: 07/OI/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 17 EVI SION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAI.

CLASS 1 COHPONENTS SAFETY INJ ECTION SYSTEH 0

ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R ">>CALIBRATION BLOCK">>

LIHE 2-SI-567 FIG NO A-42 117600 2-SI-567-23 B-J PT 12SHP5050NDE001 X - - J.O. C18446/07 ELBO'W TO PIPE B9.40 LINE 2-SI-568 FIG NO A-43 119300 2-SI-568-05 8-J PT 12SHP5050NDE001 X - - J.O. C18446/07 ELBOW TO PIPE 89.40 120200 2-SI-568-12 8-J PT 12SHP5050NDE001 - - X J.O. C18446/07 - (3) 1/8'INEAR PIPE TO ELBOW 89.40 INDICATIONS ALLOMABLE PER IMB-3514.3 AND F IG. IMA-3400-1.

121100 2-SI-568-20 8-J PT 12SHP5050NDE001 X - - J.O. C18446/07 PIPE TO ELBOM 89.40 122200 2-SI-568-28 8-J PT 12SHP5050NDE001 X - - J.O. C18446/07 PIPE TO VALVE 89.40 LINE 2-SI-569 FIG NO A-44 123700 2-SI-569-10 BJ "

PT 12SHP5050NDE001 X - - J.O. C18446/07 PIPE TO ELBO'M 89.40 125700 2-SI-569-25 B<<J PT 12SHP5050NDE001 X - - J.O. C18446/07 ELBOM TO PIPE 89.40

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGIiAANMl.

UNIT 2 COMMERCIAL SERVICE DATE: 07/01/78'ATIONAL BOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 REV IS IOH: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS SAFETY INJECTION SYSTEH N 0 ~

ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REMARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R **CALIBRATION BLOCK*~

LINE 2-SI-569 FIG NO A-44 126400 2-SI-569-31 B-J PT 12SHP5050NDE001 X - - J.O. C18446/07 ELBOW TO PIPE 89.40 126900 2-SI-569-35 B-J PT 12SHP5050NDE001 X - - J.O. C18446/07 ELBOM TO PIPE 89.40

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN MI ~

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 EVIS I ON: 0 SUHHARY OF NONDESTRUCTIVE EXAMINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COMPONENTS CHEMICAL AND VOLUME CONTROL SYSTEH N .0 ASME 0 G T SEC. XI R E H SUHHARY EXAMINATION AREA CATGY EXAH E 0 E REMARKS NUHBER IDENTIFICATION ITEH NO HETMOD P ROCEDURE C M R **CALIBRATION BLOCK~*

LINE 2-CS 119 FIG NO A-46A 131200 2-CS-119-24 8-J PT 12SHP5050NDE001 X - - J.O. C18446/07 REDUCER TO PIPE 89. 21 LINE 2-CS-120 FIG NO A-47 134200 2-CS-120-03 8-J PT 12SHP5050NDE001 X - - J.O. C18446/07 VALVE TO PIPE 89. 21 136100 2-CS-120-12 8-J PT 12SHP5050NDE001 X - - J.O. C18446/07 PIPE TO ELBO'N 89.21 LINE 2-CS-687 FIG NO A-49 138100 2-CS-687-09 8-J PT 12SHP5050NDE001 X - - J.O. C18446/07 ELBOM TO PIPE 89.40

It I'O

INDIANAMICHIGANPOWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGiVANMI.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 20 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS RESIDUAL HEAT REHOVAL SYSTEH N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEN NO HETHOD PROCEDURE C N R **CALIBRATION BLOCK**

LINE 2-RH-33 FIG NO A-59 148900 2-RH-33-02 8-J PT DCC-PT1/0/0/0 X - - SMRI PIPE TO ELBOM 89.11 UT45 DCC-UT31/2/0/0 - X UT45T X

• • 3378032 (14-SS-160-1.40)*>>

149400 2-RH-33-07 8-J PT DCC-PT1/0/0/0 X - - SMRI ELBOM TO PIPE 89.11 UT45 DCC-UT31/2/0/0 - X UT45T X

~~3378032 (14-SS-160-1.40)>>

150400 2-RH-33-17 8- J PT . DCC-PT1/0/0/0 X - SMR I PIPE TO ELBOM 89.11 UT45 DCC-UT31/2/0/0 - X UT45T, X

~~3378032 (14-SS-160-1.40) ~*

150466 2-RH-33-17-PL 8-K 1 PT 12SHP5050NDE001 - - X J.O. C18446/07 - (3) 1/8'OROSITY PIPE LUG 810. 10 ALLOMABLE PER IMB.3514.3.

150500 2-RH-33-18 8-J PT DCC-PT1/0/0/0 X SMRI ELBOM TO PIPE 89.11 UT45 DCC-UT31/2/0/0 - X UT45T X

• • 3378032 (14-SS-160-1.40)**

150800 2-RK-33-21 8-J PT DCC-PT1/0/0/0 X - SMRI PIPE TO VALVE 89.11 UT45 DCC-UT31/2/0/0 - X UT45T X

• ~3378032 (14-SS-160-1.40)~*

E INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMANMl.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 EV I 8 ION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS WASTE DISPOSAL SYSTEH N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEN NO HETHOD PROCEDURE C H R. '~*CALIBRATION BLOCK~*

LINE 2-WD-822 FIG NO A-62 152000 2-WD-822-04 8-J PT 12SHP5050NDE001 X - - J.O. C18446/07 PIPE TO VALVE 89.40 152300 2-WD-822-07 8-J PT 12SHP5050NDE001 X - - J.O. C18446/07 TEE TO REDUCER 89.40 LINE 2-WD-823 FIG NO A-63 152900 2-WD-823-04 8-J PT 12SHP5050NDE001 X - - J.O. C18446/07 PIPE TO VALVE 89.40

4l t.

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGiVAANMl.

UNIT 2 COMMERCIALSERVICE DATE.'7/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 22 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 {1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS REACTOR COOLANT PUHP NO. 21 FIGURE A-64 N .0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R *<<CALIBRATION BLOCK<<<<

~pullP FLYIIHFE 153500 FLYMHEEI. UTO DCC-UT7/2/1/1 X - - SMRI

{ IN PLACE) , RG1.14

<<<<RC FLYMHEEL-CS 31-DCC**

INDIANAMICHIGANPOWER COMPANY; DONALD C. COOK NUCLEAR PIANT, BRIDGMAN, Ml.

UNIT 2 COMMERCIALSERYICE DATE 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/22/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 23 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS REACTOR COOLANT PUHP NO. 22 FIGURE A-64 N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUMBER IDENTIFICATION ITEN NO HETHOD PROCEDURE C H R **CALIBRATION BLOCK*~

SUPPORT COHPONENT 153750 SUPPORT LUG NO. 1 B-K-1 PT 12SHP5050NDE001 X - J.O. C18446/07 LIHITATION DUE TO 810.20 SUPPORT STANCHION.

153800 SUPPORT LUG NO. 2 B-K-1 PT 12SHP5050NDE001 X - - J.O. C18446/07 - LIHITATION DUE TO 810.20 SUPPORT STANCHION.-

153850 SUPPORT LUG NO. 3 B-K-1 PT 12SHP5050NDE001 X - - J.O. C18446/07 - LIHITATION DUE TO B10.20 SUPPORT STANCHION.

CIRCUNFERENTIAL TELOS 154050 PUHP CASING MELD B-L-1 VT-1 12SHP5050NDE006 X - - J.O. C18446/07 - CODE CASE N-481 USED.

812.10 SEE AEP:NRC:0969U.

PUHP FLYUHEEL 154150 FLYVHEEL UTO DCC-UT7/2/1/1 X - - SURI (IN PLACE) RG1.14

~~RC FLYUHEEL-CS-31-DCC*>>

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMANMI.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 24

~

EVI SION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS REACTOR COOLANT PUNP NO. 23 FIGURE A-64 N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEM NO HETHOD PROCEDURE C H R *<<CALIBRATION BLOCK**

PUHP FLYUHEEL 154850 FLYUHEEL UTO DCC-UT7/2/1/1 X SURI - NO EXAHINATION FROH INSPECTION (IN PLACE) RG1.14 HOLE NO. 1 DUE TO SEIZED CAP. ADDITIONAL PT EXAH PERFORHED ON BORE AND KEYUAY AREA UNDER J.O. C26906/33.

• • RC FLYUHEEL-CS-31-DCC~*

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PUNT UNIT 2 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS VALVE PRESSURE RETAINING BOLTING 2'ND LESS N, 0 ASHE 0 G T SEC. XI, R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEN NO HETHOD PROCEDURE C H R **CALIBRATIONBLOCK**

LINE 2-SI-57 FIG NO A-34 220600 S I-166-2 B-G-2 VT-1 12SHP5050NDE006 X - - J.O. C18446/07 FLANGE BOLTING 87.?0 LINE 2-SI-59 FIG NO A-36 221100 SI-166-4 8-G-2 VT-1 12SHP5050NDE006 X - - J.O. C18446/07 FLANGE BOLTING B?.70 I

LINE 2-SI-62 FIG NO A-39A B-G-2 VT-1 ~ 12SHP5050NDE006 X - - J.O. C18446/07 FLANGE BOLTING 87.70

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIALSERVICE DATE: OTIOI I7B; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 26 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COMPONENTS STEAH GENERATOR NO. 24 FIGURE 8-4 N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAN E 0 E REHARKS NUHBER IDENTIFICATION ITEN NO METHOD PROCEDURE C H R *~CALIBRATION BLOCK*~

CIRCUHFERENTIAL MELDS 300340 STH-24-05 C-A UTOL DCC-UT49/2/1/0 X SMRI STUB BARREL TO SHELL C1.10 UTOU X UT45 DCC-UT15/3/0/0 X UT45T X UT60 X >>PL-3.0 CS-22-DCC~~

UT60T X

INDIANAMICHIGANPOWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMANMl.

UNIT 2 COMMERCIALSERVICE DATE: 07l01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLAHT UNIT 2 PAGE: 27 EV IS ION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS REG NERATIVE HEAT EXCHANGER FIGURE B-5 N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHLNATION AREA CATGY EXAH E 0 E RENARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R **CALIBRATIONBLOCK~~

CIRCUHFERENTIAL WELDS 300480 RNE-2-14 C-A U 745 DCC-UT30/1/D/0 X - - SWRI - LIHITED EXAH DUE TO PROXIHITY OF CAP TO SHELL C1. 20 UT45T X - - NOZZLE.

~*9.625-CCSS-X-1.0-2-DCC~*

300490 RHE-2-15 C-A UT45 DCC-UT30/1/0/0 X - - SWRI - LIHITED EXAH DUE TO PROXIHITY OF SHELL TO TUBE SHEET C1. 30 UT45T X - NOZZLE AND SUPPORT BRACKET

• '9.625-CCSS-X-1.0-2-DCC*~

300500 RHE-2-17 C-A UTOL DCC-UT49/2/1/0 X - - SWRI - LIHITED EXAH DUE TO SUPPORT TUBE SHEET TO SHELL C1.30 UT45 DCC-UT30/1/0/0 X - - BRACKET.

UT45T . X

• • 9.625-CCSS-X-1.0-2-DCC~~

300510 RHE-2-20 C-A UTOL DCC-UT49/2/1/0 X - - SWRI - LIHITED EXAH DUE TO I ROXIHITY OF SMELL TO CAP C1. 20 UT45 DCC-UT30/1/0/0 X - - NOZZLE UT45T X

• • 9.625-CCSS X-1.0-2-DCC~~

i INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN MI.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONAI BOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 28 EVI SION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS CHEHICAL AND VOLUHE CONTROL TANK FIGURE B-6 N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REMARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R ~*CALIBRATION BLOCK~*

INTEGRALLY llELDED VESSEL SUPPORTS 300660 2-CVCT-2VS-7, 8, 8 9 C-C PT 12SHP5050NDE001 - - X J.O. C18447/07 - TUO ROUNDED INDICATIONS C3.10 OF 3/16'ACH NOTED AND ACCEPTABI.E PER ASHE SECTION III.

INDIANAMICHIGANPOWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMANMl.

, UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/2'I/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 29 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAl CLASS P. COHPONENTS CTS HEAT EXCHANGER WEST FIGURE B-7A N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R **CALIBRATIONBLOCK**

CIRCUHFERENTIAL WELDS 300680 W-CTSHEX-2 C-A UTOI. DCC-UT49/2/0/0 X SWRI - LIHITED EXAH DUE TO FLANGE SHELl TO FLANGE C1.10 UTOW X CONFIGURATION AND BOLTING.

UT45 DCC-UT45/2/1/0 X UT45T X UT60 X - **PL-.500-SS-25-PCC**

UT60T X NOZZLE TO SHELL AND SHELL TO NOZZLE WELDS

'300681 W-CTSHEX-IN C-B PT 12SHP5050NDE001 X NOZZLE TO SHELL C2.11

INDIANAMICHIGANPOWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGiVIANML UNIT 2 COMMERCIALSERVICE DATE: 07l01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 30 EVIS ION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS" OUTAGE 1 (1994). THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS RHR HEAT EXCHANGER IJEST FIGURE B-BA N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E O E REHARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R **CALIBRATION BLOCK~+

CIRCUHFERENTIAL TELOS 300770 U-RHRHEX-2 C-A UTOU DCC-UT49/2/0/0 X SURI - LIHITED EXAH DUE TO NOZZLES, SHELL TO HEAD C1 .20 UTOL X SUPPORT PLATES, AND CONCRETE STRUCTURES.

UT45 DCC-UT45/2/1/0 X UT45T X

~~PL-1.000-SS-27-DCC~~

'P P

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 31 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS EHERGENCY CORE COOLING N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY . EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R <<~CALIBRATION BLOCK~*

LINE 2-$ 1-8 FIG NO B-11 3105?0 2-SI-8-14S C-F PT 12SHP5050NDE001 X - J.O. C18447/07 ELBOW TO PIPE C5.11 LINE 2-$ I-9 FIG NO B-12 310900 2-S I-9-04F C-F PT 12SHP5050NDE001 X - - J.O. C18447/07 PIPE TO ELBOW C5.11 311010 2-$ 1-9-15$ C-F PT 12SHP5050NDE001 X - - J.O. C18447/0?

PIPE TO ELBOW C5.11 LINE 2-$ 1-58 FIG NO B-15 311430 2-S I-58-09F C-F PT DCC-PT1/0/0/0 X - - SWRI LIHITED EXAH DUE TO VALVE VALVE TO PIPE C5. 2'I UT45 DCC-UT31/2/0/0 X - CONFIGURATION.

UT45T X

+*33?8030 (10-$ $ 140 1.0)**

LINE 2-SI-60 FIG NO B 17 S B-1 311670 2-$ I-60-11$ C-F PT DCC-PT1/0/0/0 X - - SWRI PIPE TO ELBO'W C5.21 UTOL DCC-UT49/2/1/0 X UT45 DCC-UT31/2/0/0 - X UT45T X

• ~33?8029 (B-SS-160-. 81) **

LINE 2-SI-62 FIG NO B 19 S B-2 312160 2-S I-62-24S C-F PT DCC-P T1/0/0/0 X - - SWRI PIPE TO ELBOW C5.21 UTOL DCC-UT49/2/1/0 X UT45 DCC-UT31/2/0/0 X UT45T X

~~3378029 (8-$ $ -160-.81)~~

1i INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGiVAANMI.

UNIT 2 COMMERCIALSERVICE DATE: 07/0i/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 32 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994). THIRD PERIOD. SECOND INTERVAL CLASS 2 COHPONENTS EHERGENCY CORE COOLING N ~ 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REMARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R *~CALIBRATION BLOCK~~

LINE 2-SI-62 FIG NO B-19 8 8-2 312200 2-SI-62-2?S-PL 1 THROUGH 4 C-C PT 12SHP5050NDE001 X " - J.O. C18446/07 PIPE LUG C3.20 LINE 2-SI-78 FIG NO B-23 312600 2-S I-78-01F C-F PT DCC-PT1/0/0/0 X - - SWRI REDUCER TO PIPE C5. 21 UTOL DCC-UT49/2/1/0 X UT45 DCC-UT31/2/0/0 X UT45T X

~*33?8028 (6-SS-160-.71)*~

LINE 2-SI-79 FIG NO B-24 S B-2 312910 2-S I-?9-15S C-F PT DCC-PT1/0/0/0 X S'WRI - LIHITED EXAH DUE TO AS-WELDED PIPE TO ELBOW C5.21 UTOL DCC-UT49/2/1/0 X CONDITION AND PROXIHITIY OF I-BEAH.

h UT45 DCC-UT31/2/0/0 X UT45T X UT60 X

• 3378028 (6-SS-160-.71)**

LINE 2-RH-14 FIG NO B-26 313050 2-RH-14-04S C-F PT 12SHP5050NDEOO'I X - - J.O. C18447/07 PIPE TO ELBOW C5.11 313185 2-RH-14-15F-PS C-C PT 12SNP5050NDE001 X - - J.O. C18447/07 PIPE SUPPORT C3.20 LINE 2-RH-15 FIG NO B-27 3133'?0 2-RH-15-05F C-F PT 12SHP5050NDE001 X - - J.O. C18447/07 ELBOW TO VALVE C5.11

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS EHERGENCY CORE COOLING N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REMARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R ~*CALIBRATION BLOCK*~

LINE 2-RH-15 FIG NO B-27 313610 2-RH-15-28S C-F PT 12SHP5050NDE001 X - - J.O. C18447/07 PIPE TO ELBOM C5.11 LINE 2-RH-16 FIG NO 8-28 313830 2-RH-16-20S C-F PT 12SHP5050NDE001 X - - J.O. C18447/07 PIPE TO TEE C5.11 LINE 2-'RH-17 FIG NO B-29 C-F PT 12SHP5050NDE001 X - - J.O. C18447/07 ELBOW TO PIPE C5.11 LINE 2-RH-18 FIG NO B-30 314280 2-RH-18-23F C-F PT 12SHP5050NDE001 X - - J.O. C18447/07 PIPE TO ELBOW C5.11 LINE 2-RH-19 FIG NO B-31 314530 2-RH-19-13S C-F PT 12SHP5050NDE001 X - - J.O. C18447/07 TEE TO PIPE C5.11 LINE 2-RH-20 FIG NO B-32 314830 2-RH-20-08S C-F PT 12SHP5050NDE001 X - - J.O. C18447/07 PIPE TO ELBOU C5.11

I INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 34 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS EHERGENCY CORE COOLING N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEN NO HETHOD PROCEDURE C H R ~~CALIBRATION BLOCK*~

LINE 2-RN-23 FIG NO B-35 315670 2-RH-23-14S C-F PT 12SHP5050NDE001 X - - J.O. C18447/07 TEE TO PIPE C5.11 LINE 2-RN 24 FIG NO B-36 315785 2-RH-24-07F-PS C-C PT 12SHP5050NDE001 X - - J.O. C18447/07 PIPE SUPPORT C3.20 LINE 2-RN 31 FIG NO B-37 fL B-3 v15970 2-RH-31-14F C-F PT DCC-PT1/0/0/0 X SWRI - LIHTED EXAH DUE TO PIPE REDUCER REDUCER TO PIPE C5.21 UTOL DCC-UT49/2/1/0 X CONFIGURATION.

UT45 DCC-UT31/2/0/0 X UT45T X

• ~3378029 (8-SS-160-.81)~*

316020 2-RH-31-19F C-F PT DCC-P T1/0/0/0 X - - SWRI - LIHITED EXAH DUE TO VAI.VE ELBOW TO VALVE C5.21 UTOL DCC-UT49/2/1/0 X - - CONF IGURATION.

UT45 DCC-UT31/2/0/0 X UT45T X

• • 3378029 (B-SS-160-.81)~*

LINE 2-RH-32 FIG NO B-39 316040 2-RH-32-02S C-F PT DCC-PT1/0/0/0 X - - S'WRI PIPE TO ELBOW C5.21 UTOL DCC-UT49/2/1/0 X UT45 DCC-UT31/2/0/0 X UT45T X UT60 X - - **3378029 (8-SS-160-.81) ++

LINE 2-RK-33 FIG NO B-40 316070 2-RH-33-02S C-F PT 12SHP5050NDE001 X - - J.O. C18446/07 - LIHITATION DUE TO BOX PIPE TO ELBOW C5.11 RESTRAINT.

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 35 REVISION: 0 SUMNARY OF NONDESTRUCTIVE EXANINATIOHS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPOHENTS CNEHICAL AND VOLUME COHTROL SYSTEM N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXANIHATION AREA CATGY EXAH E 0 E REMARKS NUHBER IDENTIFICATION ITEH HO METHOD PROCEDURE C M R ~~CALIBRATION BLOCK*~

LINE 2-CS-81 FIG NO B-43 316390 2-CS-81-05F C-F PT 12SHP5050HDE001 X - - J.O. C18447/07 PIPE TO STRAINER C5.11

Ih

,h

INDIANAMICMIGANPOWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMANMl.

UNIT 2 COMMERCIALSERVICE DATE: 07101/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994). THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS CONTAINHENT SPRAY SYSTEH N

ASHE 0 G SEC. XI R E SUHHARY EXAHINATION AREA CATGY EXAN E 0 E REHARKS NUHBER IDENTIFICATION ITEN NO HETHOD PROCEDURE C H R **CALIBRATION BLOCK**

LINE 2-CTS-10 FIG NO 8-44 316690 2-CTS-10-25S C-F PT 12SHP5050NDE001 X - - J.O. C1844?/07 PIPE TO ELBOW C5.11 316700 2-CTS-10-26S C-F PT DCC-PT1/0/0/0 X - - SWRI ELBO'W TO PIPE C5.11 UTOL DCC-UT49/2/1/0 X UT45 DCC-UT35/2/1/0 X UT45T X

~*10-SS-40-.365-26-DCC~~

316710 2-CTS-10-27S C-F PT DCC-PT1/0/0/0 X <<SWRI PIPE TO ELBOW C5.11 UTOL DCC-UT49/2/1/0 X UT45 . DCC-UT35/2/1/0 X UT45T X LINE 2-CTS-11 FIG NO 8-45 316?70 2-CTS-11-03S C-F PT DCC-PT1/0/0/0 X - <<SWRI PIPE TO ELBOW C5.11 UTOL DCC-UT49/2/1/0 X UT45 DCC-UT35/2/1/0 X UT45T X

• '10-SS-40-.365-26-DCC~~

LINE 2-CTS-12 FIG NO 8-46 317190 2-CTS-12-12S C-F PT 12SHP5050NDE001 X - - J.O. C18447/07 ELBOW TO PIPE C5.11 LINE 2-CTS-14 FIG NO 8-48 317?90 2-CTS-14-14S C-F PT DCC-PT1/0/0/0 X SWRI PIPE TO ELBOW C5.11 UTOL DCC-UT49/2/1/0 X UT45 DCC-UT35/2/1/0 X UT45T X

1

'I

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN MI ~

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1

., ~ *, DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL ClASS 2 COHPONENTS CONTAINHENT SPRAY SYSTEH 0

ASHE

~

I 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH 0 E REHARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE N R ~~CALIBRATION BLOCK~*

LINE 2-CTS 15 FIG NO B-49 317940 2-CTS-15-01F C-F PT 12SHP5050NDE001 X - - J.O. C18447/07 TEE TO PIPE C5.11 318100 2-CTS-15-15F CF PT 12SHP5050NDE001 X - - J.O. C18447/07 ELBOW TO PIPE C5.11

INDIANAMICMIGANPOWER COMPANY; DONALD C. COOK NUCLEAR PLANT, BRIDGMAN, MI.

UNIT 2 COMMERCIALSERVICE DATE 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/22/95 COOK NUCLEAR PUUIT UNIT 2 PAGE: 38 EVIS ION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS FEEDMATER SYSTEN N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEN NO HETHOD PROCEDURE C H R *~CALIBRATION BLOCK"*

LINE -FM-75 FIG NO B-55 319380 2-FM-?5-05S C-F HT DCC-HT1/0/0/0 X SMRI - SPOT LAHINAR INDICATION NOTED PIPE TO ELBOW C5.21 UTOL DCC-UT49/2/1/0 X THAT IS CODE ACCEPTABLE.

UT45 DCC-UT41/2/0/0 X UT45T X

• • 14-CS-80-.?50-12-DCC~~

LINE 2-FM-80 FIG NO B-60 320160 2-FM-80-06S C-F HT 12SHP5050NDE002 X - - J.O. C1844?/0?

ELBOW TO PIPE C5.11

INDIANAMICHIGANPOWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMANMl ~

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 39 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS HAIN STEAH SYSTEH N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R i~CALIBRATION BLOCK~~

LINE 2-HS-90 FIG NO B-63 320640 2-HS-90-01S-PS C-C HT 12SHP5050NDE002 X - - J.O. C18447/07 PIPE TO PENETRATION SEAL WELD C3.20 LINE 2-HS-92 FIG NO B-65 321160 2-HS-92-09S C-F HT 12SHP5050NDE002 X - - J.O. C18447/07 PIPE TO FLANGE C5.11

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMANMl.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 40 REVISION:I 0 SUHMARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COMPONENTS HAIN STEAH ISOLATION VALVE-LINE 2-HS-90 FIGURES B N 0 ASME 0 G T SEC. XI R 'E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEM NO HETNOD PROCEDURE C H R ~*CALIBRATION BLOCK*~

RESSURE RETAINING BOLTING 322980 HSI V-HRV-210 C-D UTO DCC-UT36/0/1/0 X - SLIRI - EXAHINED FROH ACCESSIBLE END OF FLANGE BOLTING C4. 40 STUDS IN PLACE.

• • 2.75-8-8-CS-40-DCC~~

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGiVAANMl.

UNIT 2 COMMERCIALSERVICE DATE: 07(01/78; NATIONALBOARD NUMBER 1 COOK NUCLEAR PLANT UNIT 2 PAGE: 41 DATE: 02/21/95 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COMPONENTS REACTOR COOLANT SYSTEN N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAN E 0 E REHARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R ~*,CALIBRATION BLOCK~*

LINE 2-RC-29 FIG NO A-18 601500 2-GRC-R-504 F-B VT-3 12SHP5050NDE006 X - - J.O. C18446/07 PIPE SUPPORT COHPONENT F2.00 LINE 2-RC-31 FIG NO A-20A 602400 2-GRC-R-535 F-C VT-3 12SHP5050NDE006 - - X J.O. C18446/07 - CONDITION REPORT PIPE SUPPORT COMPONENT F3.00 94-1870; DESIGN/AS-FOUND DISCREPANCY.

EVALUATED AND FOUND TO BE ACCEPTABLE PER AEPSC/NECP.

605540 2-GRC-R-571 F-B VT-3 ~ 12SHP5050NDE006 X - - J.O. C18446/07 PIPE SUPPORT COHPONENT F2.00

I P INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGiVAANMI ~

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 COOK NUCLEAR PLANT UNIT 2 PAGE: 42 DATE: 02/21/95 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS EMERGENCY CORE COOLING N .0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R **CALIBRATION BLOCK~*

LINE 2-SI-78 FIG NO A-33 605900 2-GS I-V-604 F-C VT-3 12SHP5050NDE006 X - - J.O. C18446/07 PIPE SUPPORT COHPONENT F3.00 VT-4 X LINE 2-SI-76 FIG NO A-34 606100 2-GS I-V-670 F-C VT-3 12SHP5050NDE006 X - - J.O. C18446/07 PIPE SUPPORT COHPONENT F3.00 VT-4 X LINE 2-SI-568 FIG NO A-43 3%400 2-GSI-R-700 F-8 VT-3 12SHP5050NDE006 X - - J.O. C18446/07 PIPE SUPPORT COHPONENT F2.00 608500 2-GSI-V-699 PIPE SUPPORT COHPONENT F-C F3.00 VT-3 VT-4 12SHP5050NDE006 x--

X J.O. C18446/07 LINE 2-SI-569 FIG NO A-44 609100 2-GSI-R-703 F-8 VT-3 12SHP5050NDE006 X - - J.O. C18446/07 PIPE SUPPORT COHPONENT F2.00

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 43 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 1 COHPONENTS

'EACTOR COOLANT PUHPS N .0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEH NO METHOD PROCEDURE C H R ~*CALIBRATION BLOCK~*

PUHP SUPPORTS 609610 RC PUHP NO. 22 F-B VT-3 12SHP5050NDE006 X - - J.O. C18446/07 F2.00

I INDIANAMICHIGANPOWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMANMl.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS REGENERATIVE HEAT EXCHANGER FIGURE 8-5 N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEN NO HETHOD PROCEDURE C H R ~*CALIBRATION BLOCK~i SUPPORT COHPONENT 700050 CS-5 F-C VT-3 12SHP5050NDE006 X - - J.O. C18446/07 BRACKET F3.00 700060 CS-6 F-C VT-3 12SHP5050NDE006 X - - J.O. C18446/07 BRACKET F3.00

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONAI.BOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 45 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS RHR HEAT EXCHANGER REST FIGURE B-8A N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEN NO HETHOD PROCEDURE C H R ~~CALIBRATION BLOCK**

SUPPORT COHPONENT 700170 W-RHRHEX-SC-1 F-8 VT-3 12SHP505QNDE006 X - - J.O. C18447/07 F2.00

INDIANAMICHIGANPOWER COMPANY,'ONALDC. COOK NUCLEAR PLANT, BRIDGMANML UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 46 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS BORON INJECTION TANK FIGURE B-9 N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R *~CALIBRATION BLOCK~~

SUPPORT COHPONENT 700210 2-BIT-CS-3 F-B VT-3 12SHP5050NDE006 X - - J.O. C1844?/07 F2.00

I INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 PIANT UNIT 2 PAGE 47 DATE: 02/21/95 COOK NUCLEAR REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS EHERGENCY CORE COOLING N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R *~CALIBRATION BLOCK**

LINE 2<<SI- FIG NO B-10 710020 2-GSI-L-110 F-B VT-3 12SHP5050NDE006 X - - J.O. C18447/0?

PIPE SUPPORT COHPONENT F2.00 LINE 2-SI-B FIG NO B-11 710480 2-GRH-L-37 F-C VT-3 12SHP5050NDE006 - - X J.O. C18447/07 - CONDITION REPORT PIPE RESTRAINT COHPONENT F3.00 94-1470; DESIGN/AS-FOUND DISCREPANCY.

EVALUATED AND FOUND TO BE ACCEPTABLE PER AEPSC/NECP.

LINE 2-SI-9 FIG NO B-12

?10725 2-GSI-L-40 F-C VT-3 12SHP5050NDE006 - - X J.O. C18447/0? - CONDITION REPORT PIPE RESTRAINT COHPONENT F3.00 94-1567; DESIGN/AS-FOUND DISCREPANCY.

EVALUATED AND FOUND TO BE ACCEPTABLE PER AEPSC/NECP.

710800 2-GS I-V-41 F-C VT-3 12SHP5050NDE006 X - - J.O. C1844'7/07 PIPE SUPPORT COHPONENT F3.00 VT-4 X 710900 2-GSI-R-43 F-B VT-3 12SHP5050NDE006 X - - J.O. C18447/07 PIPE SUPPORT COHPONENT F2.00 711000 2-GSI-R-42 F-B VT-3 12SHP5050NDE006 X - - J.O. C18447/07 PIPE SUPPORT COHPONENT F2.00 LINE 2-SI-62 FIG NO B-19 S B-2

?11610 2-GSI-R-555 F-B VT-3 12SHP5050NDE006 X - - J.O. C18446/07 PIPE SUPPORT COHPONENT F2.00

I I INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIALSERVICE DATE: 07l01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 48 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOHD INTERVAL CLASS 2 COHPONENTS EHERGENCY CORE COOLING N .0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHIHATIOH AREA CATGY EXAH E 0 E REHARKS NUHBER IDENTIFICATION ITEN NO HETHOD PROCEDURE C H R '+~CALIBRATION BLOCK*~

LINE 2 RH-14 F G NO B-26 7'13090 2-GRH-R-19 F-C VT-3 12SHP5050NDE006 J.O. C18447/07 - CONDITION REPORT PIPE SUPPORT COMPONENT F3.00 94-1805; DESIGN/AS-FOUND DISCREPANCY.

EVALUATED AND FOUND TO BE ACCEPTABLE PER AEPSC/NECP.

LINE 2 RH-15 FIG NO B-27 713200 2-GRH-L-1 F-B VT-3 12SHP5050NDE006 X - - J.O. C18447/07 PIPE SUPPORT COHPONENT F2.00 13300 2-GRH-R-11 F-C VT-3 12SHP5050HDE006 X - - J.O. C18447/0'7 PIPE SUPPORT COHPONENT F3.00 LINE 2 RH-16 FIG NO B-28 713370 2-GRH-R-5 F-8 VT-3 12SHP5050NDE006 X - - J.O. C18447/07 PIPE SUPPORT COHPONENT F2.00 I

713380 2-GRH-R-4 F-B VT-3 12SHP5050NDE006 X - - J.O. C18447/07 PIPE SUPPORT COHPONENT F2.00 LINE 2-RH-17 FIG NO B-29 713400 2-GRH-L-805 F-C VT-3 12SHP5050NDE006 X - - J.O. C18447/07 PIPE SUPPORT COMPONENT F3.00 713410 2-GRH-R-804 . F-B VT-3 12SHP5050NDE006 - - X J.O. C18447/07 - CONDITION REPORT PIPE SUPPORT COHPONENT F2.00 94-1516; DESIGN/AS-FOUND DISCREPANCY.

EVALUATED AND FOUND TO BE ACCEPTABLE PER AEPSC/HECP.

l V; '(

,h

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN MI.

UNIT 2 COMMERCIALSERYICE DATE: 07101/78; NATIONALBOARD NUMBER 1 I

DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS EHERGENCY CORE COOLING N . 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUHBER IDENT!FICATION ITEH NO HETHOD PROCEDURE C H R ~*CALIBRATION BLOCK**

LINE 2-RH-20 FIG NO 8-32

?14470 2-GS I-L-72 F-C VT-3 12SHP5050NDE006 X - - J.O. C18447/07 PIPE SUPPORT COHPONENT F3.00 714540 2-GSI-R-73 F-8 VT-3 12SHP5050NDE006 X - - J.O. C18447/07 PIPE SUPPORT COHPONENT F2.N 714560 2-GSI-L 75 F-8 VT-3 12SHP5050NDE006 X - - J.O. C18447/07 PIPE SUPPORT COHPONENT F2.00

?14565 2-GSI-L-76 F-B VT-3 12SHP5050NDE006 X - - J.O. C18447/07 PIPE SUPPORT COHPONENT F2.00 LINE 2-RH-21 FIG NO B-33 714755 2-GSI-R-64 F-C VT-3 12SHP5050NDE006 X - - J.O. C18446/07 PIPE SUPPORT COHPONENT F3.00 LINE 2-RH-22 FIG NO B-34 ~

?14860 2-GRH-R-32 F-B VT-3 12SHP5050NDE006 X - - J.O. C18447/07 PIPE SUPPORT COMPONENT F2.00 714890 2-GRH-R-31 F-B VT-3 12SHP5050NDE006 X - - J.O. C1844?/07 PIPE SUPPORT COHPONENT F2.00

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN MI ~

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS EHERGENCY CORE COOLING N . 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUMBER IDENTIFICATION ITEN NO HETHOD PROCEDURE C H R *~CALIBRATION BLOCK**

LINE 2-RH-22 FIG NO B-34 714895 2-GSI-R-90 F-C VT-3 12SHP5050NDE006 X - - J.O. C18447/07 PIPE SUPPORT COHPONENT F3.00 VT-4 LINE 2-RH-31 FIG NO B-37 8 B-3 715340 2-GRH-R-501 F-8 VT-3 12SHP5050NDE006 X - - J.O. C18446/07 PIPE SUPPORT COHPONENT F2.00

INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN MI.

UNIT 2 COMMERCIAL SERVICE DATE: 0?f01/?8; NATIONALBOARD NUMBER 1 DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS CONTAINHENT SPRAY SYSTEH N ,0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUMBER IDENTIFICATION ITEN NO HETHOD P ROC EDURE C H R **CALIBRATION BLOCK*"

LINE 2-CTS-10 FIG NO B-44 715635 2-GCTS V-4 F-C VT-3 12SHP5050NDE006 X - - J.O. C18447/07 PIPE SUPPORT COHPONENT F3.00 VT-4 X 715650 2-GCTS-V-5 F-C VT 3 12SHP5050NDE006 X - - J.O. C18447/07 PIPE SUPPORT COHPONENT F3.00 VT-4 X LINE 2-CTS-14 FIG NO B-48

~716550 2-GCTS-R-18 F-B VT-3 12SHP5050NDE006 X - - J.O. C1844?/07 PIPE SUPPORT COHPONENT F2.00 716630 2-GCTS-R-19 F-C VT-3 12SHP5050NDE006 X - - J.O. C18447/07 PIPE SUPPORT COHPONENT F3.00 716670 2-GCTS-L-26 F-8 12SHP5050NDE006 X - - J.O. C18477/07 PIPE SUPPORT COHPONENT F2.00 716695 2-GCTS-R-28 F-8 VT-3 12SHP5050NDE006 X - - J.O. C18447/07 PIPE SUPPORT COHPONENT F2.00

1 P'

INDIANAMICHIGAN POWER COMPANY; DONALD C. COOK NUCLEAR PLANT, BRIDGMAN, Ml.

UNIT 2 COMMERCIALSERVICE DATE 07/01/78; NATIONALBOARD NUMBER 1 DATE: 02/22/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 52 REVISION: 0

SUMMARY

OF NONDESTRUCTIVE EXAMINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COMPONENTS FEEDUATER SYSTEH N 0 ASME 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E, 0 E REMARKS NUMBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R *~CALIBRATION BLOCKi~

LINE 2-FU-71 FIG NO B-51 751000 2-GFV-V-875 F-C VT-3 12SHP5050NDE006 X J.O. C18447/07 - CONDITION REPORT PIPE RESTRAINT COHPONENT F3.00 VT-4 X 94-1886; DESIGN/AS-FOUND DISCREPANCY.

EVALUATION REVEALED SUPPORT HET OPERABILITY LIHITS BUT UAS REPAIRED TO NEET THE ORIGINAL DESIGN INTENT.

751200 2-FW-71-HANGER F-B VT-3 12SHP5050NDE006 X - - J.O. C18447/07 PIPE RESTRAINT COMPONENT F2.00 LINE 2-FU-73 FIG NO B-53 F-B VT-3 12SMP5050NDE006 X - - J.O. C18447/07 PIPE RESTRAINT COHPONENT F2.00

I INDIANAMICHIGAN POWER COMPANY, DONALD C. COOK NUCLEAR PLANT, BRIDGMAN MI.

UNIT 2 COMMERCIALSERVICE DATE: 07/01/78; NATIONALBOARD NUMBER 1 I

DATE: 02/21/95 COOK NUCLEAR PLANT UNIT 2 PAGE: 53 REVISION: 0 SUHHARY OF NONDESTRUCTIVE EXAHINATIONS OUTAGE 1 (1994), THIRD PERIOD, SECOND INTERVAL CLASS 2 COHPONENTS AIN STEAN SYSTEH N 0 ASHE 0 G T SEC. XI R E H SUHHARY EXAHINATION AREA CATGY EXAH E 0 E REHARKS NUMBER IDENTIFICATION ITEH NO HETHOD PROCEDURE C H R **CALIBRATIONBLOCK~~

LINE 2-HS-95 FIG NO B-68 761500 2-HSH-4 F-C VT-3 12SHP5050NDE006 X - - J.O. C18446/07 PIPE SUPPORT COHPONENT F3.00 VT-4 X LINE 2-HS-96 FIG NO B-69 7619M 2-HS-96-06S-PS F-B VT-3 12SHP5050NDEDM X - J.O. C1 8447/07 PIPE SUPPORT COHPONENT F2.CO

INDIANAMICHIGAN POWER COMPANY DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIAL SERVICE DATE 7-1-1 978 NATIONALBOARD NUMBER 1 Technical Specififcation/Inservice Inspection Snubber Examinations and Tests Visual examination of snubbers are separated into three (3) categories: Grinnell "Inaccessible", and "Steam Generator". The functional test surveillances are separated into two (2) categories: "Grinnell" and "Steam Generator".

Lists of those snubbers classified as "Accessible",

"Inaccessible", and "Steam Generator" are attached.

Visual Examinations Category Com 1. Date Comments Results a.Grinnell "Accessible" 05-08-94 all acceptable 09-12-94 all acceptable 10-27-94 all acceptable b.Grinnell "Inaccessible" 09-20-94 all acceptable 10-28-94 all acceptable c.Steam Generator 10-03-94 all acceptable 10-27-94 all acceptable Functional Tests Category Com 1. Date Comments Results a.Grinnell 09-29-94 sixteen tested, all acceptable, see attached sheet

b. Steam Generator 10-18-94 four tested, all acceptable, see attached sheet Note: The five (5) ISI/Non-Tech. Spec. snubbers that are listed on the attached sheets were inspected per Procedure No.

• • 12MHP4030.STP.004 with the As-Found Grinnell "Accessible" snubber inspections.

Page 54

INDIANAMICHIGAN POWER COMPANY DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIAL SERVICE DATE 7-1-1978 NATIONALBOARD NUMBER 1 Snubber Functional Test Surveillances Snubber Mark No. Date Tested As-Found 2-GRC-S555 09-22-94 Pass 2-GRC-S573 " 09-22-94 Pass

• 2-GRC-S598 09-24-94 Pass 2-GRC-S611 09-22-94 Pass 2-FW-S4 (U) 09-26-94 Pass 2-FW-S5 09-21-94 Pass 2-FW-S8(U) 09-26-94 Pass 2-GBD-S568 09-14-94 Pass 2-GCCW-S274 09-22-94 Pass 2-GCCW-S320 09-22-94 Pass 2-GCCW-S843 09-19-94 Pass

• 2-MSS-1 09-28-94 Pass

• 2-MSS-5 09-26-94 Pass 2-MSS-7 09-28-94 Pass 2-GCTS-S115(N) 09-15-94 Pass 2-GCTS-S115(S) 09-16-94 Pass 2-OME-3-3-HSD-3L 10-02-94 Pass 2-OME-3-3-HSD-3U 10-02-94 Pass 2-OME-3-3-HSD-L1 10-05-94 Pass 2-OME-3-4-HSD-3L 10-18-94 Pass

• Snubbers that were tested due to functional failures at the previous testing period (last outage).

Page 55

INDIANAMICHIGAN POWER COMPANY DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIAL SERVICE DATE 7-1-1978 NATIONALBOARD NUMBER 1 Unit 2 Grinnell "Accessible" Snubbers Tech. S ec. Mark Number Azimuth Elevation 41 2-GBD-S563(L) 275 607

42. 2-GBD-S563(U) 275 608 43 2-GBD-S569(L) 275 607 44 2-GBD-S569(U) 275 608 45 2-GBD-S568 264 608 46 2-GRH-S6 581 47 2-GRH-S7 581 48 2-GRH-S24 581 49 2-GRH-S25 580 50 2-GCCW-S274 621 51 2-GCCW-S308 610 52 2-GCCW-S317 621 53 2-GCCW-S320 610 57 2-GCCW-S838 621 58 2-GCCW-S839 621 59 2-GCCW-S840 620 60 2-GCCW-S843 620 61 2-GCCW-S306 596 63 2-GCS-S637 72 608 73 2-GSI-S47 573 74 2-GSI-S51 573 75 2-GSI-S575 65 598 76 2-GSI-S657 185 610 78 2-GCTS-S61 579 79 2-GCTS-S113(E) 582 80 2-GCTS-S113(W) 582 81 2-GCTS-S114(N) 582 82 2-GCTS-S114(S) 582 83 2-GCTS-S115(N) 579 84 2-GCTS-S115(S) 579 85 2-GCTS-S116(E) 579 86 2-GCTS-S116(W) 579 ISI Lon Term Plan Snubbers 2-GFW-S868 617 2-GFW-S869 616 2-GFW-S873 616 2-GFW-S885 606 2-GFW-S891 602 Page 56

INDIANAMICHIGAN POWER COMPANY DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIALSERVICE DATE 7-1-1978 NATIONALBOARD NUMBER 1 Unit 2 Grinnell "Inaccessible" Snubbers Tech. S ec. Mark Number Azimuth Elevation 1 2-GRC-S537 25 610 2 2-GRC-S538 41 614 3 2-GRC-S555 141 614 4 2-GRC-S562 154 610 5 2-GRC-S564 317 614 6 2-GRC-S566 331 610 7 2-GRC-S573 223 614 8 2-GRC-S575 208 610 9 2-GRC-S582 208 617 10 2-GRC-S592 282 683 11 2-GRC-S594 291 683 12 2-GRC-S596 292 682 13 2-GRC-S598 279 671 14 2-GRC-S599 289 672 15 2-GRC-S609 283 689 16 2-GRC-S611 294 681 17 2-GRC-S623 277 682 18 2-GRC-S624 247 615 19 2-GRC-S626 284 692 20 2-GRC-S629 283 687 21 2-GRC-S630 291 672 22 2-GRC-S632 291 669 23 2-GRC-S631 291 670 24 2-GRC-S587 260 622 25 2-FW-S1 31 634 26 26 633 27 2-FW-S2 U 26 636 28 2-FW-S3 20 629 29 155 637 30 2-FW-S4 U 155 641 31 2-FW-S5 163 634 32 2-FW-S6 157 629 33 2-FW-S7 204 634 200 633 34 35 2-FW-S8 U 2-FW-S9

'00 636 629 36 194 37 2-FW-S10(L) 334 634 38 2-FW-S10(U) 334 636 39 2-FW-S11'-FW-S12 330 634 40 343 629 54 2-GCCW-S519 132 623 55 2-GCCW-S521 132 624 56 2-GCCW-S550 308 619 62 2-GCS-S634 299 613 64 2-GCS-S729 234 617 65 2-MSS-1 8 639 66 2-MSS-2 17 635 67 2-MSS-3 172 639 68 2-MSS-4 165 635 69 2-MSS-5 191 635 70 2-MSS-6 184 639 71 2-MSS-7 349 635 72 2-MSS-8 356 639 77 2-GSI-S707 221 608 Page 57

INDIANAMICHIGAN POWER COMPANY DONALD C. COOK NUCLEAR PLANT, BRIDGMAN Ml.

UNIT 2 COMMERCIAL SERVICE DATE 7-1-1978 NATIONALBOARD NUMBER 1 Unit 2 Steam Generator Snubbers Steam Generator No. Com onent No. Serial Number S/G g21 2-OME-3-1-HSD-1L 25.12620.007-18 2-OME-3-1-HSD-1U 25.12620.007-29 2-OME-3-1-HSD-3L 25.12620.007-30 2-OME-3-1-HSD-3L 25.12620.007-17 S/G N22 2-OME-3-2-HSD-1L 25.12620.007-32 2-OME-3-2-HSD-1U 25.12620.007-28 2-OME-3-2-HSD-3L 25.12620.007-25 2-OME-3-2-HSD-3U 25.12620.007-26 S/G N23 2-OME-3-3-HSD-1L 25.12620.007-24 2-OME-3-3-HSD-1U 25.12620.007-27 2-OME-3-3-HSD-3L 25.12620.007-22 2-OME-3-3-HSD-3U 25.12620.007-21 S/G 524 2-OME-3-4-HSD-1L 25.12620.007-23 2-OME-3-4-HSD-1U 25.12620.007-20 2-OME-3-4-HSD-3L 25.12620.007-21 2-OME-3-4-HSD-3U 25.12620.007-31 Page 58

INDIANA MICHIGAN POWER COMPANY COOK NUCLEAR PLANT, BRIDGMAN, MICHIGAN UNIT ONE COMMERCIAL SERVICE DATE 07-01-1978 NATIONALBOARD NUMBER 1 STEAM GENERATOR IN-SERVICE INSPECTION Eddy Current inspection of the Unit 2 steam generators was performed during October of 1994. Approximately 6.5% of the total number of tubes in S/Gs 22 and 23 were inspected with an eddy current bobbin coil probe in accordance with Technical Specifications. In addition, due to observed tube damage in the tube lanes of S/Gs 22 and 23, 108 tubes in each generator were inspected from 3" above the flow distribution baffle (FDB) to the end of the tube on the hot and cold legs. Tube damage was attributed to mechanical interaction between the tubes and equipment used to perform Pressure Pulse Cleaning (PPC) on the secondary side of the steam generators. A summary of the inspection scope is listed in the following table.

Summa Unit 2 Steam Generator Ins ection Sco e Description S/G 22 S/G 23 TOTAL Inspected Full Length 67 67 134 Inspected from the seventh support plate on 154 154 308 the cold leg (7C) to tube end hot (TEH)

(Selected at random)

Low Row Tubes Inspected 7C to TEH 14 14 28 Tubes inspected FDB+3" to tube end hot 108 108 216 and tube end cold in the tube lane region TOTAL 343 343 686 No imperfections were found as a result of the Technical Specification eddy current

• inspection. However, based on the results of the special eddy current maintenance inspection for mechanically damaged tubes, a total of three tubes in S/G 22 and six tubes in S/G 23 were plugged and removed from service. None of the tubes inspected during the special eddy current maintenance inspection exhibited signs of service induced degradation. A listing of the tubes plugged and removed from service is listed in the table below:

S/G 22 S/G 23 Row 1 Column 92 Row 1 Column5 Row 1 Column 92 Row1 Column 93 Row1 Column 6 Row 1 Column 93 Row 1 Column 94 Row 1 Column 7 Row 1 Column 94 Page 59

'NDIANAMICHIGAN POWER COMPANY DONALD C. COOK NUCLEAR PLANT, BRIDGMAN MI.

UNIT 2 COMMERCIAL SERVICE DATE 7-1-1978 NATIONALBOARD NUMBER 1 Reactor Vessel Closure Head. Inspections RV Closure Head Penetration Ins ections An eddy current inspection was performed on 71 of 78 reactor vessel closure head penetrations. One penetration was found to exhibit crack-like indications. A supplemental forward-scatter-time of flight ultrasonic examination was performed on this penetration and used to characterize the indications as three axial cracks which have a maximum depth of 6.8 mm. While all indications were within the NEI screening criteria, the NRC was contacted for concurrence that any repairs may be deferred until a subsequent outage'V Control Rod Drive Thermocou le Guide Funnel Ins ections Re airs A manual inspection was performed on the 53 Reactor Vessel CRD thermal sleeve guide funnels and the five (5) guide funnels that are installed on the thermocouple columns. Forty-two (42) of the CRD thermal sleeve guide funnels were found to exhibit some degree of movement when they were manually rotated. The maximum radial movement noted on any of the guide funnels was approximately .100 inches. No movement was detected on any of the guide funnels installed on the thermocouple columns; however, one guide funnel was found not to have its anti-rotation pins installed.

A design change (MM-580) was generated to restore the guide funnels to a condition equivalent to the original design. The forty-two (42) CRD thermal sleeve guide funnels that exhibited movement and the thermocouple guide funnel that did not have its anti-rotation pins installed were attached to their adjoining components by the use of fillet welds.

Page 60

INDIANAMICHIGAN POWER COMPANY DONALD C. COOK NUCLEAR PLANT, BRIDGMAN MI.

UNIT 2 COMMERCIALSERVICE DATE 7-1-1978 NATIONALBOARD NUMBER 1 System Pressure Tests Inservice Inspection System Pressure Tests were performed during the Fall 1994 Unit Two Refueling Outage. These tests were in accordance with the requirements of ASME Section XI Articles IWA-5000, IWB-5000, IWC-5000, and IWD-5000 as applicable.

A total of twenty-one (21) hydrostatic tests were performed during the outage. 2-0HP5070.ISI.012 (Excess Letdown Heat Exchanger) which failed with a weld leak, was repaired and retested satisfactorily. The remaining tests were within allowable acceptance criteria. The tests performed were:

NUMBER OF PROCEDURE DESCRIPTION TESTS COMPLETED

• • 2-OHP 5070.ISZ.009 Component Cooling Water East and West Trains

• • 2-OHP 5070.ISI.010 Component Cooling Water Misc. Supply Return Headers

• • 2-OHP 5070.ISI.012 Component Cooling Water Piping Heat Exchanger, RCP Thermal Barriers, RCP Oil Coolers

• • 2-OHP 5070.ISI.016 Control Room A/C Circ Water

• • 2-OHP 5070.ZSZ.029 SZ Pump Mini-flowPiping to RWST

• • 2-OHP 5070.ZSI.030 CVCS; Letdown Piping and Components

• • 2-OHP 5070.ISI.031 Volume Control Tank and Associated Piping

• • 2-OHP 5070.ISI.032 RCP Seal Water Piping Supply/Leakoff In addition system functional, inservice and leakage tests were conducted on Class 1, 2 and 3 systems.'his included the entire Reactor Coolant System and associated piping per the requirement of IWB-5221. The results of the system functional, inservice and leakage tests were all within allowable acceptable range.

All procedures satisfy the testing and documentation requirements set forth in ASME Section XI, 1983, Summer 1983 Addendum for Class1, Class 2, and Class 3 components and systems for Cook Nuclear Plant.

Al procedures were satisfactorily completed by Indiana Michigan Power Company, ISI Hydro Testing, Quality Control and NDE personnel.

Page 61

INDIANAMACHIGANPOWER COMPANY D.C. COOK NUCLEAR PLANT UNIT 2; COMMERCIALSERVICE 7/1/1978 NATIONALBOARD NUMBER 1 Job Component Code Date Order Activit UNIT Identification Class Worked T e of Re air or Re lacement C 01238, 1 2 GSI-V839 2 10/21/93 INSTALLMISSING NUT C04197 1 2 IMO-110 1 11/18/94 REPLACE WEDGE C04452 2 2 MRV-213 2 7/18/92 MACHINE VALVE PLUG C04828 10 2 MRV-243 2 11/1 3/92 REPLACE PLUG/REPAIR SEAT C06091 1 2 DCR-310 2 8/1 3/92 REPLACE BONNET/PLUG/NUT C 08309 3 2 MRV-223 2 11/4/92 REPLACE PLUG/CAGE REPAIR BODY C 09008 2 GFW-S885 2 10/6/92 REPLACE SNUBBER C 09659 2 2 QRV-451 2 10/15/92 REPLACE STUDS AND NUTS C 09946 5 2 NRV-164 1 7/6/92 REPLACE BONNET STUDS C09961 2 2 QRV-162 2 7/6/92 REPLACE STUDS C 09962 3 2 IMO-316 2 8/13/92 REPLACE STUDS AND NUTS C09981 3 2 IMO-325 1 8/8/92 REPLACE STUDS AND NUTS C09989 3 2 NRV-164 1 9/28/94 REPLACE VALVE INTERNALS C1 0100 3 2 IMO-315 1 9/30/94 REPLACE BOLTING C1 0178 4 2 NMO-151 1 10/12/94 REPLACE WEDGE C1 0596 2 2 MRV-221 2 8/8/92 REPLACE PLUG AND STEM ASSEMBLY C1 0644 1 2 RH-104E 2 9/24/92 REPLACE STUDS AND NUTS C1 0723 6 2 OME-4 1 8/6/92 REPLACE MANWAYAND BOLTING REPAIR MANWAYBY MACHINING C1 0777 2 SI-169-L1 8/11/92 REPAIR INBODY SEATING SURFACE C11199 8 2 MMO-240 10/23/94 REWELD THE BODY RING SEAL C11199 3 2 MMO-240 11/8/94 REPLACE POPPET (PLUG)

C11202 4 2 RH-109W 3/8/93 REPAIR INBODY SEATING SURFACE C11 366 3 2 MRV-233 9/9/92 REPLACE PLUG AND STEM ASSEMBLY C11742 1 2 RH-108W 9/1 9/92 REPLACE BOLTING C11743 1 2 RH-108E 9/21/92 REPLACE BOLTING C11872 3 2 RC-104-L2 9/28/94 REPLACE VALVEAND PIPE C1 2062 11 2 ACS-L954 6/30/93 MODIFY SUPPORT C1 2062 26 2 ACTS-R818 10/5/93 MODIFY SUPPORT C1 2062 23 2 GSF-L54 6/29/93 MODIFY SUPPORT C1 2062 28 2 GSI-R1A 6/17/93 MODIFY SUPPORT C1 3676 2 2 MRV-221 1/8/93 REPLACE PLUG, STEM & SEAT RING C1 3677 2 2 MRV-211 1/29/93 REPLACE PLUG, STEM & SEAT RING C1 4079 3 2 MRV-223 5/12/93 REPLACE PLUG; MACHINE BONNET C1 4079 12 2 MRV-223 7/10/93 REPLACE PLUG; MACHINE BODY C14196 5 2 BD-103-4 11/19/94 REPLACE VALVEAND PIPE C1 4331 1 2 CS-797 ¹92-21 10/11/93 MODIFY SMALL BORE SUPPORT C1 4331 1 2 CS-797 ¹92-26 10/11/93 MODIFY SMALL BORE SUPPORT C1 4331 1 2 CS-798 ¹92-20 10/11/93 MODIFY SMALL BORE SUPPORT C1 4331 1 2 CS-798 ¹92-22 10/11/93 MODIFY SMALL BORE SUPPORT C14689 1 2 CS-353 3/24/93 REPAIR INBODY SEATING SURFACE C1 5292 2 2 ASI-L913 10/9/94 HANGER MODIFICATION C1 5292 2 2 ASI-L914 10/9/94 HANGER MODIFICATION C1 5292 2 2 GSI-L109 10/9/94 MODIFY SUPPORT C1 5292 2 2 GSI-L111A 10/9/94 MODIFY SUPPORT C1 7096 10 2 MRV-223 9/10/93 REPLACE VALVE Page 62

INDIANAMACHIGAN POWER COMPANY D.C. COOK NUCLEAR PLANT UNIT 2; COMMERCIALSERVICE 7/1/1978 NATIONALBOARD NUMBER 1 Job Component Code Date Order Activit UNIT Identification Class Worked T eof Re airorRe lacement C1 7441 5 2 GCTS-R500 10/26/94 MODIFY SUPPORT C1 7441 5 2 GCTS-R505 10/26/94 MODIFY SUPPORT C1 7441 5 2 GCTS-R520 10/26/94 MODIFY SUPPORT C1 7441 5 2 GCTS-R535 10/20/94 REPLACE FIG. 137 C1 7441 5 2 GCTS-R540 10/26/94 MODIFY SUPPORT C1 7441 5 2 GCTS-R554 10/26/94 MODIFY SUPPORT C1 7441 5 2 GCTS-R558 10/26/94 MODIFY SUPPORT C1 7441 5 2 GCTS-R568 10/26/94 MODIFY SUPPORT C1 7441 5 2 GCTS-R573 10/26/94 MODIFY SUPPORT C1 7441 5 2 GCTS-R574 10/26/94 MODIFY SUPPORT C1 7441 5 2 GCTS-R575 10/26/94 MODIFY SUPPORT C1 7441 5 2 GCTS-R580 10/26/94 MODIFY SUPPORT C1 7441 5 2 GCTS-R583 10/26/94 MODIFY SUPPORT C1 7441 5 2 GCTS-R597 10/26/94 MODIFY SUPPORT C1 7441 1 2 GCTS-R629 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R630 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R633 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R637 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R641 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R643 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R646 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R647 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R649 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R651 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R655 9/21/94 RINGHEADER SUPPORTS C1 7441 1 2 GCTS-R655 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R657 5/26/94 NONWELDED REPLACEMENT C1 7441 2 GCTS-R659 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R661 5/26/94 NONWELDED REPLACEMENT C1 7441 2 GCTS-R663 2. 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R665 2 5/26/94 NONWELDED REPLACEMENT C17441 1 2 GCTS-R667 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R668 5/26/94 NONWELDED REPLACEMENT C17441 2 GCTS-R669 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R671 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R673 5/26/94 NONWELDED REPLACEMENT C1 7441 2 GCTS-R675 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R677 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R679 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R681 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R682 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R685 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R687 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R688 2 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R689 .2 5/26/94 NONWELDED REPLACEMENT C1 7441 2 GCTS-R691 2 5/26/94 NONWELDED REPLACEMENT Page 63

I k

I

INDIANAMACHIGAN POWER COMPANY D.C. COOK NUCLEAR PLANT UNIT 2; COMMERCIALSERVICE 7/1/1978 NATIONALBOARD NUMBER 1 Job Component Code Date Order Activit UNIT Identification Class Worked T eof Re airorRe Iacement C1 7441 5 2 GCTS-R693 2 10/26/94 MODIFY SUPPORT C1 7441 5 2 GCTS-R697 2 10/26/94 MODIFY SUPPORT C1 7441 1 2 GCTS-R704 2 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R708 2 5/26/94 NONWELDED REPLACEMENT C1 7441 1 2 GCTS-R710 2 5/26/94 NONWELDED REPLACEMENT C1 7441 5 2 GCTS-R713 2 10/26/94 MODIFY SUPPORT C1 7441 2 GCTS-R721 2 5/26/94 NONWELDED REPLACEMENT C1 7441 5 2 GCTS-V724 2 10/26/94 MODIFY SUPPORT C1 7454 1 2 GSI-L70 2 9/20/93 MODIFY SUPPORT C1 7829 4 2 CS-328-L4 1 9/27/94 REPL BODY TO BONNET BOLTS C1 8664 3 2 IMO-325 1 9/29/94 REPLACE BOLTING C1 9300 2 2 GCTS-R700 2 10/17/94 MODIFY SUPPORT C1 9471 4 2 FW-70 DET D 2 10/7/94 14" SPOOL INSTALLATION C1 9472 4 2 FW-71 DET D 2 10/6/94 14" SPOOL INSTALLATION C1 9474 4 2 FW-72 DET D 2 10/4/94 14" SPOOL INSTALLATION C1 9475 4 2 FW-73 DET D 2 10/5/94 14" SPOOL INSTALLATION C1 9629 6 2 QRV-111 1 10/26/94 REPLACE TRIM ASSEMBLY C1 9862 2 GRC-S555 1 9/27/94 UPGRADE OF CONTROL VALVE C1 9864 1 2 GRC-S573 1 UPGRADE OF CONTROL VALVE '/27/94 C1 9866 1 2 GRC-S598 1 9/27/94 REPLACE VALVEBLOCK C1 9869 I 2 FW-S4-U 2 9/30/94 UPGRADE OF CONTROL VALVE C1 9875 2 FW-S5 2 9/24/94 UPGRADE OF CONTROL VALVE C1 9877 1 2 FW-S8-U 2 9/30/94 UPGRADE OF CONTROL VALVE C1 9880 1 2 GBD-S568 2 9/15/94 UPGRADE OF CONTROL VALVE C1 9886 1 2 MSS-1 2 9/30/94 UPGRADE OF CONTROL VALVE C1 9888 1 2 MSS-5 2 9/30/94 UPGRADE OF CONTROL VALVE C1 9889 1 2 MSS-7 2 9/30/94 MATERIALUPGRADE MM-300 C1 9924 8 2 MMO-210 2 11/1/94 REWELD SEAL AND TACK WELD C1 9924 3 2 MMO-210 2 11/1/94 REPLACE B/B STUDS C1 9924 3 2 MMO-210 2 11/1/94 REPLACE POPPET C1 9927 8 2 MMO-220 2 11/1/94 REWELD THE BODY RING SEAL C19927 3 2 MMO-220 2 11/1/94 REPLACE BOLTING C1 9927 3 2 MMO-220 '2 11/1/94 REPLACE POPPET C1 9930 8 2 MMO-230 2 11/1/94 REWELD THE BODY RING SEAL C1 9930 3 2 MMO-230 2 11/1/94 REPLACE B/B STUD 8 NUT C1 9942 1 2 No Component¹ 2 9/6/94 INSTALL4 FEEDWATER PORTS C20029 1 2 GCTS-S115-N .2 9/1 8/94 SNUBBER UPGRADE...MM300 C20 030 1 2 GCTS-S115-S 2 9/17/94 SNUBBER UPGRADE...MM300 C20640 3 2 QFR-31 2 10/31/94 REPLACE BOLTING C20993 1 2 CONOSEALS 1- 1 11/1/94 REPLACE THERMOCOUPLE NOZ C21013 8 2 VCR-207 2 10/14/94 REPLACE BOLTING C21313 3 2 IMO-316 2 11/21/94 REPLACE BOLTING C21 425 3 2 BD-101-1 2 1/24/94 WELD REPAIR THRU WALL DEFECT C21 432 7 2 QRV-162 2 1/24/94 REPLACE STUDS AND NUTS C21 542 2 2 MRV-241 2 2/21/94 REPL'ACE SEAT RING AND PLUG

'0 C21917 2 SV-1B-4 2 10/11/94 REPLACE VALVE DISC Page 64

N' INDIANAMACHIGAN POWER COMPANY D.C. COOK NUCLEAR PLANT UNIT 2; COMMERCIALSERVICE 7/1/1978 NATIONALBOARD NUMBER 1 Job Component Code Date Order Activity UNIT Identification Class Worked T e of Re air or Re lacement C23011 2 2 RC-102-L3 10/26/94 REPLACE STEM AND DISC C23787 6 2 MS-135-2 1.1/18/94 REPLACE VALVEAND PIPE C24544 3 2 IMO-312 10/1 0/94 REPLACE BACKSEAT RET.RING C24817 1 2 WCR-958 10/2/94 ROTATE VALVE FOR CPN71 C24817 11 2 WCR-958 10/2/94 REPLACE STUDS C25993 2 SV-1A-2 10/13/94 REPLACE DISC C26042 2 QMO-225 10/7/94 REPLACE PLUG C26053 3 2 QMO-226 10/7/94 REPLACE PLUG C26158 2 2 CCR-460 10/1/94 REPLACE STUD C26162 2 2 CCR-462 10/4/94 REPLACE PLUG C26408 2 OME-3-3 10/15/94 MACHINE SS MANWAY C26430 2 CCM-458 10/13/94 REPLACE VALVEAND BOLTING C26434 2 OME-3-3 10/25/94 REPLACE STUD AND NUT C26497 2 QMO-201 10/1 0/94 REPLACE WEDGE AND STUDS C26507 2 GFW-S873 10/16/94 REPLACE RESERVOIR C26508 2 QCR-301 10/15/94 REPLACE TRIM ASSEMBLY C26546 2 SI-151E PIPE 10/23/94 REMOVE ARC STRIKE C26590 2 QMO-200 10/15/94 REPLACE WEDGE C26852 2 QMO-420 10/31/94 REPLACE VALVE C27211 2 OME-3-3 ~ 11/28/94 REPLACE MANWAYSTUDS NUTS R09655 2 SV-45A 10/5/94 REPLACE VALVE R09656 2 SV-45C 10/5/94 REPLACE VALVE R1 2537 2 MSS-1 10/17/94 REPLACE TAPERED LOAD PIN R22608 . 2 SV-45B 10/5/94 REPLACE VALVE R22733 2 GRC-S555 10/7/94 REPLACE LOAD PIN R22843 2 GBD-S568 9/22/94 REPLACE TAPERED LOAD PIN R24359 2 MSS-7 10/4/94 REPLACE LOAD PIN R25802 2 CTS-103W 9/16/94 REPLACE NUTS AND STUDS R25813 2 FW-118-4 10/13/94 REPLACE B/B STUDS R25826 2 SV-52 10/7/94 REPLACE FASTENERS R25831 2 SV-107 10/22/94 REPLACE BOLTING R25994 2 DCR-310 10/25/94 REPLACE PLUG R26005 2 DCR-330 10/24/94 REPLACE VALVE INTERNALS R26006 2 DCR-320 10/29/94 REPLACE BONNET,PLUG, BOLT R26084 2 QCR-301 10/4/94 REPLACE TRIM ASSEMBLY R26086 2 QRV-51 9/27/94 REPLACE VALVETRIM ASSY R26087 2 MRV-212 10/13/94 REPLACE PLUG/SEAT RING R26088 2 MRV-211 10/13/94 REPLACE PLUG/SEAT RING R26093 2 MRV-232 9/23/94 REPLACE PLUG AND SEATRING R26094 2 MRV-231 10/11/94 REPLACE PLUG/SEAT RING R26095 2 MRV-222 10/11/94 REPLACE PLUG AND STEM ASSEMBLY R27507 2 CS-451-2 9/27/94 REPLACE STUDS AND NUTS R27508 2 CS-451-3 9/28/94 REPLACE STUDS AND NUTS R29750 2 SV-52' 9/22/94 REPLACE FASTENERS R31 309 SI-101 9/19/94 REPLACE DISC Page 65

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

l. Owner INDIANA MICHI AN P WER OMPANY Date 10 3 Name P.O Box 60 Fort Wa ne IN 46801 sheet 1 of Address

2. Plant D.C. COOK NU LEAR POWER PLANT Unit Name On Co k Plac Bri n MI 4 106 12 -1 2-GSI-V-8 HANGER Address Repair Org. P.O. No., Job No., etc

3. Work Performed by MaintenanCe D artment Name S eas 2 Expiration Date N A Address

4. Zdentif ication of System AFETY INJECTION SYSTEM (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 umm r 1 Add nd

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME .

Replaced Code f

Manu .. Nat. Other or Replace-Stamped Dame of Name'f Seri.al Board Year (Yes Component Manufacturer No. No. Identi- Bui.lt ment or No) fication 2-GSZ-V-839 N/A N/A REPAIRED NO NUT CARDINAL N/A N/A SA194 GR 2H N/A REPLACE- NO INDUSTRIAL ME30-046623 MENT PRODUCTS INC. ASPP13276

7. Description of Work See.Remarks

8. Test Conducted: Hydrostati.c Pneumati.c Nominal Operating Pressure N/A X Other . Pressure si Test Temp. oF

'I NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 i.s recorded at the top of thi.s form.

Page 2 of 2 FORM NIS-2 (Back) 9 . Remarks INSTALLED MI SING NUT ON HANGER 2-GSI-V-8 Applicable Manufacturer's Data Reports to be attached R f. 0: 12 -1 File. 2-G I-V-83 I I:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Certifica o A zation No. N A Expiration Date N A Signgd F an Pis sk Maint.En .Su ervisor Date -/

Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by

~l- ~7 ARKWRIGHT MUTUAL INS. CO.*

have inspected the components described

- s of NORWOOD MASS.

in this Owner's Report during the period and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the recpxirements of the ASME Code, Section XZ.

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 in)ury or property damage or a loss of any kind arising from or connected with this inspection.

Commissions dioA. d rC JAN.~)

Inspect 's Signature National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 19/+

PORM NZS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

'wner INDIANA MICHIGAN Name POWER COMPANY Date 10-06-94 P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C4197-1 2-IMO-110 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by MaintenanCe De artment Name Same as 2 Expiration Date N A Address

4. Identification of System ACCUMULATOR TANK INJECTION (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-IMO-110 N/A N/A N/A N/A N/A REPAIRED NO WEDGE N/A N/A SA-182 N/A REPLACE- NO TYPE F304 MENT M&E30044 155 ASPg8509

'1

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other PT Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in items 1 through 6 on this report is

'ncluded on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED CRACKED WEDGE DUE TO OVER THRUSTING WHILE SETTING VALVE Applicable Manufacturer's Data Reports to be attached LIMIT. NEW WEDGE WAS MACHINED PRIOR TO'INSTALLATION TO ASSURE PROPER FIT. PT EXAM WAS PERFORMED AND ACCEPTED AFTER MACHINING.

Ref. JO: C4197-1 File: 2-IMO-110 ISI 1 CBRTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Fran xsarsk Maint.En .Su ervisor Date 0 I 19 Owner or Owner's Designee, Title CERTZFICATE OF ZNSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or'rovince of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

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 XZ.

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 from or connected with this inspection.

GeZH A Commissions M< 4 ops 5 E'v~

Inspector's ign ure National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date X9 9

PORM HIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACZKEKZS As Required by the provisions of the ASME Code Section XZ Owner INDIANA MICHIGAN POWER COMPANY Date 07 2 Name P.O. Box 60 Fort Wa ne IN 46 1 Sheet 1 of Address

'2. Plant D OOK LEAR P WER PLANT Unit Name One Cook Place Brid an MI 4 1 6 4452-2 11 2-MRV-213 6"VLV.

Address Repair Org. P.O. No., Job No., etc

3. Work Performed by M intenance De rtm n Name Authori.zation No. N A Same as 2 Expiration Date N A Address

4. Zdentif ication of System MAIN STEAM (b) Applicable Edition of Secti.on XI Utilized for Repairs or Replacements 1983 Summ r 1 83 Add nda

6. Identification of Components Repaired or Replaced and Replacement Components Repai.red ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of 'Serial Board Year Replace- ~

(Yes Component Manufacturer No. No. Identi-. Built ment or No) fication 2-MRV-213 FISHER N/A N/A EXISTING N/A REPAIRED NO CONTROLS COMPONENT N/A N/A

7. Description of Work See Remarks

8. Test Conducted: Hydrostati.c Pneumatic ,Nominal Operating Pressure N/A 'ther PT Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 Xs recorded at the top of this form.

4 Page 2 of 2 FORM NIS-2 (Back)

9. Remarks MACHINED THE VALVE PLUG TO REMOVE SURFACE ANOMALIES.PT EXAM WAS Applicable Manufacturer's Data Reports to be attached PERFORMED WITH NO RELEVANT INDICAT1ONS NOTED PER. C4452-11 Ref JO: 44 2-2 File: 2-MRV-21 ISI 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIRED conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Certifica o A ization No. Expiration Date N A

(

Sigqed. Frank Pi rsk Maint.En .Su e 19 Owner or Ownerss Designee, Title CERTIFICATE OF INSERVZCE INSPECTION I g the undersigned, holding a val id commission issued by the National Board of Boiler ARKWRZGHT MUTUAL INS. CO.* of MASS.

by have 'p~t

-/

NORWOOD d the components described in this Owner's Report during the period 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.

Commi'ssioos Inspector's ignature National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 197

Y J l

FORM NXS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEM22FZS As Required by the Provisions of the ASME Code Section XZ

' Owner INDIANA MICHIGAN POWER COMPANY Name P.O. Box 60 Fort Wa n IN 46 01 Date Sheet 11 1 2

of Address

~ Plant D.. OK NU LEAR P WER PLANT Name Unit On ok Plac Brid n MI 4 1 6 4 2 -10Se11 2-MRV 24 nVLV Address Repair Org. P.O. No., Job No.", etc 3 ~ Work Performed by Maint nan De artment Name Authorization No. N A Same as 2 Expiration Date N A Address

4. Identification of System 'AIN TEAM Summr 1 Adnd

"" "H

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other. or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication, 2-MRV-243 N/A N/A N/A N/A N/A REPAIRED NO VALVE PLUG FZSHER N/A N/A SA-479 N/A REPLACE- NO CONTROLS. M&E30040030 MENT ASPP15282 VALVE BODY FISHER N/A N/A SA-216 N/A REPAIRED NO SEATING CONTROLS GR.WCB SUFACE CASTING

7. Description of Work e Re rks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other X Pressure si Test Temp. oF Supplemental sheets in form of lists, sketches, or drawings may be used, provided NOTE:

(1) size is 8-1/2 in. x ll 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.

I Page 2 of 2 FORM NZS>>2 (Back)

9. Remarks BUILT UP VALVE B DY SEATINQ SURFACE WITH WELD METAL PER.

Applicable Manufacturer's Data Reports to be attached J.O.C-4828 ACT. 10 MACHINED AND PREFROMED FINAL SURFA E EXAM N EATIN SURFACE ALSO REPLACED VALVE PL PER -4 2 -11

-482 -1 11 Fil ~ 2-MRV-24 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIRED conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Fr nk P s rsk Maint.En .Su ervisor Date 19 Owner or Owner's Designee, Title CERTIFICATE OF INSERVZCE INSPECTION I, the .undersigned, holding a valid commission issued 'by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components descrihed in this moner's Report during the period

~i@ ~ r a) to and state that to the best of my knowledge and belief, the Owner has performed examinations.and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XZ.

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 Hi~l o ss- hvP N Date 'c'9 Inspector's ign re National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION

II PORN NIS-2 OWNER'S REPORT ROR REPAIRS OR REPLACHKKXTS As Required by the Provisions of the ASME Code Section XI 1.~ Owner INDIANA MI HI AN P WER MPANY Date 0 2 Name P.O. Box 60

~ ~ Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D. COOK NUCLEAR P WER PLANT Unit Name On ook.Plac Brid n MI 4 106 1-1 2-D R-31 2"VALVE Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Mainten n D r m nt Name Sam as 2 Expiration Date N A Address

4. Identification of System BL WD WN er 1 Ad nda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other 'or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-DCR-310 N/A N/A '/A N/A N/A REPAIRED NO BONNET HAMMEL DAHL N/A N/A SA-182 N/A REPLACE- NO INC. GR.F5A MENT MGE30040710 ASPÃ13893**

PLUG NELES- N/A N/A ASTM A582 N/A REPLACE- NO JAMESBURY GR.416 MENT MGE30040938 ASPP13822 CLAMP NUT NELES- N/A N/A A-105 N/A REPLACE- NO JAMESBURY GR. HR-1035 MENT MGE30040855 ASPP11110

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X N/A Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

E~J- 4 ~

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED PLUG Ee CLAMP NUT **BONNET ASSY PART 1 74 AA WAS Applicable Manufacturer's Data Reports to be attached RE EIPT INSPE TED AND ASSI NED P 8 14 LEAK FF LINE W THEN PL ED AND WELDED AND RE SINGED P 1 R 1-1 Fil  : 2-D R-310 I I: 2 CERTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed le&-CD~

Frank Pisarsk Maint.En .Su ervisor Date. t Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the. undersigned, holding a valid commission'ssued by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have ins ected the components "'-described to <

in this Owner's Report during the period 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.

Commfssioos >C /> 6,!

Znspec 's Signature National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date .g

k'h

>.r

FORM NIS "2 OWNER'S REPORT FOR REPAIRS OR REPLACHMZXTS As Required by the Provisions of the ASME Code Section XZ

,1. Owner INDIANA MI HI AN P WER OMPANY Date 11 2 Name BxFrWnN Address 4681 Sheet 1 of

2. Plant D. COOK LEAR POWER PLANT Unit Name n k Pla Bri n MI 4 10 0 - 2-MRV-22 " VALVE Address Repair Org. P.O. No., Job No., etc

3. Work Performed by intenan De ar ment Name BIll B 2 Expiration Date N A Address

4. Identification of System MAIN TEAM r1 Adn

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped

~ Name of Name of Serial Board Year Replace>> (Yes Component Manufacturer No ~ No. Identi- Built ment or No) fication 2-MRV-223 N/A N/A N/A N/A N/A REPAIRED NO PLUG N/A N/A N/A SA-479 WITH N/A REPAIRED NO STELLITE P6 MACHINZNG CAGE N/A N/A N/A 17-4PH N/A REPAIRED NO SEATING HARDFACING MACHINING SURFACE VALVE N/A N/A N/A SA-216 N/A REPAIRED NO BODY GR WCB MACHINING

7. Description of Work R rk

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other PT* Pressure si Test Temp. oF Supplemental sheets in form of lists, sketches, or drawings may be used, provided NOTE:

(1) size is 8-1/2 in. x ~ ll in., (2) information in items 1 through 6 on this report is

~

included, on each'heet-, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. ~

Page 2 of 2 FORM NZS-1 (Back)

9. Remarks MACHININ WAS PERF RMED N THE VALVE B DY PLU AND A E EAT Applicable Manufacturer's Data Reports to be attached T REM VE TEAM UTS MA HINED FA E WERE P

• A EPTABLE PRI R T RE E LIN R f 0 Fil 2-MRV-22 II 2 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this REPAIR conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A

-'"'"gpss'"'5"-"'" "' Expiration Date N A Signed Frank PisarsT Maint.En .Su ervisor Date <&- , l9't Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

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 XZ.

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 in)ury or property damage or a loss of any kind arising from or connected with this inspection.

Commissions PA~~ oo s S ~/Ate Inspector'ig ture "

National Boa d, Sta e, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 'v~~c. Z

4i FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACZKEKTS As Required by the Provisions of the ASME Code Section XI

\

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10 2 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NU LEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C9008-1 2-GFW-S-885 SNUBBER Address Repair Org. P.O. No., Job No., etc Name am a 2 Expiration Date N A Address

4. Identif ication of System FEEDWATER FW (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1 83 Add nda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manu f. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-GFW-S-885 N/A N/A REPLACED SNUBBER GRINNELL S/N N/A MGE30024690 N/A REPLACE- N/A 31284 ASP/11873 MENT

7. Description of Work R rk

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NZS<<2 (Back)

9. Remarks REPLA ED SNUBBER WITH RINNELL FI 2 HYDRA LI SHO K AND Applicable Manufacturer's Data Reports to be attached SWAY STRUT SUPPESSOR ASSEMBLY SERIAL 31284 M&E 30-024690 R f :C -1 Fil . 2- FW- I I: 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed ank Pisa sk Maint.En .Su ervisor Date -/5 Owner or Owner's Designee, Title CERTIFICATE OF .ZNSERVICE INSPECTION I, t;he undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL ZNS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period r'0 g- C to and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XZ.

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 Wr=c oos, E Inspector's g ture Board, State,

~~Per'ational Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date W - IC 19

T FORM NIS-2 OWNER' REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. 'wner INDIANA MI HIGAN POWER

~ OMPANY Date 10 2 Name P.O~ Box 60 For Wa ne IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR P WER PLANT Unit Name One ook Place Brid n MI 4 106 65 -2 2- RV-451 2"VALVE Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Main enan e D artm nt Name Same as 2 Expiration Date N A Address

4. Identification of System BORON MAKEUP CS

'N Summer 1 83 Add n a

6. Identification of Components Repaired or Replaced and Replacement Components Repai red ASME Replaced Code f

Manu . Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) 1 fication 2-QRV 451 N/A N/A N/A N/A N/A REPAIRED NO STUDS ITT N/A N/A ASME SA-453 N/A REPLACE- NO ENGINEERED GR. 660 MENT VALVE ME30-040576 ASP 814879 NUTS ITT N/A N/A ASME SA-194 N/A REPLACE- NO ENGINEERED GR. 8F MENT VALVE ME30-040562 ASP 114879

7. Description of Work Se Rem rks I

8.. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. DF t

Supplemental sheets in form of lists, sketches, or drawings may be used, provided NOTE:

(1) size is 8-1/2 in. x included on each sheet, ll in., (2) information in items through on this report is 1 6 and (3) eath sheet is numbered and the number of sheets is recorded at the top of this form.

Page 2 of 2 FORM NIS-2 (Back)

"9. Remarks REPLACED BODY TO BONNET BOLTING THAT WERE CORRODED AND APPEARED Applicable Manufacturer's Data Reports to be attached TO BE ARBON STEEL WITH STAINLESS STEEL.

Ref. JO:C- 65 -2 File: 2- RV-451 ISI: 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A N A Expiration Date N A Signed ank Pi arsk Owner Maint.En .Su e or Owner's Designee, Title

~JZ CERTIFICATE OF INSERVZCE INSPECTION I," the undersigned, holding a valid commission issued by'he National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period I 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 XZ.

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.

~ c. ~M~c~

Inspector's gna e Commissions Hi=a aors National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date ~ /M 19 9~

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACiRQWTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 07-06-92 Name P . Box F rt 'Wa Address n IN 4 1 Sheet 1 of 2 ~ Plant D. C. COOK NUCLEAR POWER PLANT Unit Name On ook Place Brid n MI 4 106 46-5 2-'NRV-164 4" VALVE Address, Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expirati.on Date N A Address 4 Identif icati.on of System REACTOR OOLANT (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 umm 1 A dend

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat ~ Other or Stamped Name of Name of ~

Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-NRV-164 COPES VULCAN N/A N/A N/A N/A REPAZRED NO BONNET CARDINAL N/A N/A SA-453 N/A REPLACE- NO STUDS INDUSTRIAL GR. 660 MENT PRODUCTS ZNC. M&E30030002 ASP/13888

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other VT1 Pressure si Test Temp. OF NOTE: Supplemental sheets in form of li.sts, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED BONNET STUDS.

Applicable Manufacturer's Data Reports to be attached P

R f JO: 4 Fil . 2-NRV-1 4 I I: 1 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A

~U~~

Signed Frank Pisarsk Maint.En .Su ervisor Date 19 Owner or Owner's Designee, Title CERTIFICATE OF,ZNSERVZCE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.+ of NORWOOD MASS.

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.

/M's+>>Signature Znspec

+/M Commissions ~=A National Board@ State, Province, Endorsements "FACTORY MUTUAL ENGINEERING ASSOCZATZON Date 19 ~/

PORN HIS-2 OWNER'S REPORT POR REPAIRS OR REPZACZÃZXTS As Required by the Provisions of the ASME Code Section XI 1.~ Owner INDIANA MI HIGAN P WER COMPANY Date 07 2 Name P.O

~ Box 60 F r Address W n IN 4 801 Sheet 1 of

2. Plant D. . 0 K NU LEAR P WER PLANT Unit Name One ook Place Brid n MI 4 106 1-2 2- RV-162 2"VALVE Address Repair Org. P.O. No., Job No., etc Name Same as 2 Expiration Date N A Address

4. Identification of System LETD WN Summ r 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other, or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No+ No. Identi.- Built ment or No) fication 2-QRV-162 N/A N/A 'N/A N/A N/A REPAIRED NO STUDS CARDINAL N/A N/A STUD-SA-193 N/A REPLACE- NO INDUSTRIAL GR.B-7 MENT PRODUCTS INC. MQE30029005 ASPÃ13745

7. Description of Work R marks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other ~ Pressure si Test Temp. oF C

NOTE: Supplemental sheets in form of .lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) iinformation 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.

Page 2 of 2 FORM NIS-2 (Back)

9. Remarks REPLACED BODY T B NNET TUDS THAT WERE DEGRADED STUDS WERE Appicable Manufacturer's Data Reports To Be Attached UPGRADED TO L- FROM L-4.

R f.  : - 1-2 Fil  : 2- RV-162 ISI 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A r

Expiration Date N A n

Sigped F an Owner i rrsk Maint.En .Su Owner's Designee, ervisor Title Date 19 gpss CERTIFICATE OF ZNSERVZCE INSPECTION I, the undersigned, holding a valid commission issued by the'National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have ns ected thecomponents described in 'this Owner's Report during the period 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 Repbrt 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.

.48M Signature Commissions 4 . Zd IW National Board, State, Province, Endorsements Inspector

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date +'- - l9

jg S

FORM NIS" 2 OWNER' REPORT ROR REPAIRS OR REPLACE5GXTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER C MPANY Date 08 2 Name P.O. B x 60 Fort Wa n IN 46801 Sheet 1 of Address

.2. Plant D. C CO K NUCLEAR P WER PLANT Unit Name n ok Pla Brid n MI 491 6 2- 2-IMO- 16 "VALVE Address Repair Org. P.O. No., Job No., etc

3. Work Performed by MaintenanCe De artment Name Sam as 2 Expiration Date N A Address

4. Identification of System (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1 3 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of 'Serial Bohrd Year Replace- (Yes Component Manufacturer No. No. Identi-. Built ment or No) fication 2-IMO-316 N/A N/A N/A N/A N/A REPAIRED NO STUDS NOVA PRODUCTS N/A N/A ASME SA-193 REPLACE- NO CORP GR. B7 MENT CARDINAL ME30-028963 INDUSTRIAL ASP 113001 PRODUCTS INC. ASP 113301 NUTS NOVA PRODUCTS N/A N/A ASME SA-194 N/A REPLACE- NO CORP. GR. 2H MENT CARDINAL ME30-028963 INDUSTRIAL ASP $ 13001 PRODUCTS ZNC. ASP /13301

7. Description of Work Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

k Page 2 of 2 FORM NZS<<2 (Back)

9. Remarks REPLACED 8 SETS OF CORRODED BONNET STUDS AND NUTS 5 SETS WERE Applicable Manufacturer's Data Reports to be attached FACTURED BY NOVA MACHINE PRODU TS CORP. ASP 13001 3 SETS WERE MANUFACTURED BY CARDINAL PRODUCTS INC ASP 13301 Ref. JO:C- 62- File: 2-IMO- 1 ISI: 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A

'"""4"'"""' Expiration Date I

N A Signed nk Pisarsk Maint.En .Su ervisor Date 19 Owner or Owner's Designee, Title CERTIFICATE OF INSERVZCE INSPECTION I g the undersigned, holding a val id commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS ~

have ins ected the components described in this Owner's Report. during the period

- /- 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 XZ.

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 4C ~ ddt" A p ~

Znspect s Signature Na ional Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date

~I PORN NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACZKEÃTS As Required by the Provisions of the ASME Code Section XI

l. Owner INDIANA MlCHI AN POWER COMPANY Date 08 2 Name P.O. B x 60 Fort Wa ne IN 46801 Sheet 1 of Address "2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One ook Place Brid n MI 4 106 C 81-3 2-IMO-325 8"VALVE Address Repair Org. P.O. No., Job No., etc

3. Work Performed by MaintenanCe D ar ment Name as 2 Expiration Date N A Address

4. Identification of System REA TOR LANT SY TEM Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of . Name of Serial Bo'ard Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-IMO-325 N/A N/A N/A N/A N/A REPAIRED NO STUDS NOVA PRODUCTS N/A N/A ASME SA-193 N/A REPLACE- NO CORP. GR. B7 MENT ME30-028963 ASPP13001 NUTS NOVA PRODUCTS N/A N/A ASME SA-194 N/A REPLACE- NO CORP. GR. 2H MENT ME30-028963 ASPP13001

7. Description of Work Se Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.

Supplemental sheets in form of lists, sketches, or drawings may be used, provided NOTE:

(1) size is 8-1/2 in. x ll 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.

Page 2 of 2 FORM NIS-2 (Back)

9. Remarks REPLA ED CORR DED BONNET STUDS AND NUT Applicable Manufacturer'.s Data Reports to be attached R f. :C 81- File: 2-IM 2 II 1 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Sigped F ank Pis sk Maint.En .Su ervisor Date 19 gg) Owner or Owner's Designeeg Title CERTIFICATE OF INSERVZCE INSPECTION I g the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL ZNS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period 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 XZ.

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 /i'i X +~~ ! lid ~+

Inspecto s Signature National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 198

I~

ll ii

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACZKE2FZS As Required by the Provisions of the ASME Code Section Xl

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-29-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C9989-3 4"VALVE 2-NRV-164 Address Repair Org. P.O. No., Gob No., etc

3. work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System REACTOR COOLANT (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-NRV-164 N/A N/A N/A N/A N/A REAPIRED NO STUDS CARDINAL N/A N/A ASME SA-453 N/A REPLACE- NO INDUSTRIAL GRADE 660 MENT PRODUCTS INC. M&E30047050 ASPQ14980 STUDS HARDWARE N/A N/A ASME SA-453 N/A REPLACE- NO SPECIALTY CO. GRADE 660 MENT M&E30047040 TAXAS BOLT ASPg9611 &

CO. ASPN10508 CARDINAL N/A N/A ASME SA" 194 N/A REPLACE" NO INDUSTRIAL GRADE 8F MENT PRODUCTS CO. M&E3021214 0 ASPN16474 SEE ADDITIONAL SHEET

7. Description of Work See Remar s

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

R ~

h

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI (448 zcI-3 Owner INDIANA MICHIGAN POWER COMPANY Date 09-29-94 Name P.O. Box 60 Fort Wa e IN 46801 sheet W of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C9989-3 4nVALVE 2-NRV-164 Address Repair Org. P.O. No., Job No., etc

3. work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Zdentif ication of System REACTOR COOLANT (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-NRV-164 N/A .'anuf.

NOVA MACH1NE N/A N/A N/A N/A N/A ASTM A-194 N/A 1/985 REAP IRED REPLACE-NO NO PRODUCTS CORP GRADE 8FA MENT M&E30212 142 ASP¹15702 TRIM ASSY. COPES VULCAN N/A N/A ASTM SA-564 N/A REPLACE- NO, ZNC. GRADE 660 MENT M&E30036074 ASP¹13829 BONNET COPES VULCAN N/A N/A ASTM A-351 N/A REPLACE- NO EXTENSION INC GR. CFSM MENT ASP¹16066

7. Description of Work See Remar s

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other VT1 Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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

~ ~

recorded at the top of this form. ~

I tI 3 3 Page 3, of g FORM NIS-2 (Back)

9. Remarks REPLACED BONNET EXTENSION AND TRIM ASSEMBLY DUE TO BONNET TO Applicable Manufacturer's Data Reports to be attached BODY LEAK. ALSO REPLACED STUD AND NUTS. VT 1 EXAM WAS PERFORMED FASTENER MATERIAL PRIOR TO INSTALLATION.

Ref. JO: C9989-3 File: 2-NRV-164 ISIS 1 CBRTZFICATB OF COMPLIANCE We certify that the statements, made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A

~l Signed Frank isarsk Maint.En .Su ervisor Date I~ 8 Owner or Owner's Designee, Title CERTIFICATE OP ZNSBRVZCE ZNSPECTZON I, the undersigned, holding' valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period to 9s 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 W<<> oos 5 Er~67%z Inspector'i ture National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date c ~c ~n 19 9'5

J FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-01-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C10100-3 2-IMO-315 Address Repair Org. P.O. No., Job No., etc

3. f Work Per ormed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System RESIDUAL HEAT REMOVAL (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-ZMO-315 N/A N/A N/A N/A N/A REPAIRED'O ALL THREAD NOVA MACHINE N/A N/A ASTM A-453 .1986 REPLACE- NO STUDS PRODUCTS CORP GRADE 660 MENT M&E30029999 ASPg15076 ITT N/A N/A ASME SA-194 N/A REPLACE- NO ENGINEERED GRADE 8F MENT VALVES M&E3 0212090 ASPQ11191

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

II Page 2 of 2 PORN N1S-2 (Back)

9. Remarks REPLACED BONNET TO BODY BOLTING MATERIAL PER 12-MM-574.

Applicable Manufacturer's Data Reports to be attached Ref. JO: C10100-3 File: 2-IMO-315 ISI:1 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A N A Signed Fran Pisarsk Maint.En .Su ervisor Date (C ~&

Owner or Owner's Designee, Title CERTIFICATE OP INSBRVICS INSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and.employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period to 02 (5 .V 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 XZ.

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 in)ury or property damage or a loss of any kind arising from or connected with this inspection, Commissions W(=4 oo5~~. E~d'e'r~

Inspector' ign re National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date O~ ~n~~ 19

iy PORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 08-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place -Brid man MI 49106 C10178-4 2-NMO-151 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by MaintenanCe De artment Name Same as 2 Expiration Date N A Address

4. Identif ication of System CHARGING CVCS (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer. 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component, Manufacturer No. No. Identi- Built ment or No) fication 2-NMO-151 N/A N/A N/A N/A N/A REPAIRED NO WEDGE VELAN INC. N/A N/A ASME SA-182 N/A REPLACE- NO GRADE 316 MENT STELLZTE g6 M&E3 0044145 ASPg5209

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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

~

recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED WEDGE PRIOR TO INSTALLATION WEDGE WAS MACHINED TO Applicable Manufacturer's Data Reports to be attached ASSURE PROPER FIT.

Ref. JO: C10178-4 File: 2-NMO-151 IS1 1 CBRTIFZCATE OF COMPLIANCE I We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Fr Owner ior rsvp Ma Owner's nt.En .Su ervisor Designee, Title Date << t 1t CERTZFZCATB OF ZNSBRVZCB 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period T to and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

Commissions We A nuf'.. hn/2W Inspector's Si at e National Board, Stat.'e, Province, Endorsements

+FACTORY MUTUAL ENGINEERING ASSOCIATION Date ~< c. ~be'r 19

1 4

PORN NIS-2 OWNER~ S REPORT FOR REPAIRS OR REPLACEbG~S As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MI HI AN P WER MPANY Date 0 - - 2 Name P 0 B x 0 Fort Wa n IN 46801 Sheet 1 of Address

2. Plant D K LEAR POWER PLANT Unit Name ne Co k Place Brid n MI 4 106 -1 -2 2-MRV-221 2"VALVE Address Repair Org. P.O. No., Job No., etc

3. Work Performed by MaintenanC D ar m nt Name Expiration Date N A Address

4. Identif ication of System MAIN STEAM (b) Applicable Edition'of Section XI Utilized for Repairs or Replacements 1983 Summ r 19 Add n a

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other. or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-MRV-221 FISHER REPAIR NO CONTROLS INT.

PLUG 6 STEM FISHER N/A N/A ASTM,A582 1974 REPLACE- NO ASSY. CONTROLS INT. TYPE 416 MENT ME30-040005 ASPS 12622

7. Description of Work e R marks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

1 Page 2 of 2 FORM NIS-2 (Back)

9. Remarks REPLA ED VALVE INTERNAL WHI H INCLUDE THE PLUG AND TEM Applicable Manufacturer's Data Reports to be attached ASSY. DCCPV702 CN R f. J  : C-1 -2 File: 2-MRV-221 ISI 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A 19 Owner r Owner'ss Designee, Title CERTIFICATE OF INSERVZCE INSPECTION I, the..undersigned, holding a valid commission issued'y the National Board of B'oiler by AR16KIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have~n e ted the components described in this Owner's Report during the period 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 W>C i'm Znspe or's Signature National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 19 /9

+ I C

is

FORM HIS-2 OWNER'S REPORT POR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.~ Owner INDIANA MICHI AN POWER OMPANY Date 2 Name P.~ Box 6 Port W n IN 46 01 Sheet 1 of Address

2. Plant D. C. K LEAR POWER PLANT Unit Name On ook Place Brid an MI 4 106 C-1 44-1 2-RH-104E 14"VALVE Address Repair Org. P.O.Job No., etc

3. Work Performed by Maint nanCe D artmen Name am as 2 . Expiration Date ~N A Address

4. Identif ication of System RESIDUAL HEAT REMOVAL RHR umm r 1 83 Add nd

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or fication No)'-RH-104E REPAIRED STUDS NOVA MACHINE N/A N/A ASTM-A-453 N/A REPLACE- NO PRODUCTS GR.660 QL5 MENT ASPfl2915 ME30-030001 NUTS TEXAS BOLT N/A N/A SA-194-GR8F N/A REPLACE- NO CO. ME30-046906 MENT ASPg4184

7. Description of Work S e Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLA ED CARB N TEEL FASTENER WITH TAINLES TEEL FASTENER Applicable Manufacturer's Data Reports to be attached R f. J  : -1 44-1 File: 2-RH-1 4E ISI 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Certifica o Expi.ration Date N A Signed rank rsk -'2-1 Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRZGHT MUTUAL INS. CO.* of NORWOOD MASS.

have nspectgp the components described in this Owner's Report during the period 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 XZ.

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

Ccmmi.ssicms i c.A7d'ns ctor's Signature National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 'F P~ 19 ~~

3 l,'

PORM HIS "2 OWHER' REPORT POR REPAIRS OR REPLACEMEHTS As Required by the Provisions of the ASME Code Section XZ Owner INDIANA MI HIGAN POWER OMPANY Date - - 2 Name P B x 6 F rt Address Wa n IN 46801 Sheet 1 of 2 ~ Plant D.C. K NU LEAR P WER PLANT Unit Name One Cook Place Brid n MI 4 106 1 723-6 2-OME-4 PRE URISER Address Repair Org. P.O. No., Job No., etc 3 ~ Work Performed by MaintenanC D rtm nt Name Authorizati.on No. N A Same as 2 Expiration Date N A Address

4. Identification of System PRESS IZER Summer 1 3 Adden a

6. Identification of Components Repaired or Replaced"and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board k Year Replace- (Yes" Component Manufacturer No. No. Identi- Built ment or No) fi.cation 2-OME-4 PRESSURIZER WESTINGHOUSE N/A N/A EXISTING 1965 REPAIRED 'ES MANWAY MANWAY WESTINGHOUSE N/A N/A SA-193 N/A REPLACED NO COVER GR.B7 BOLTS M&E30009772 ASPÃ9590 MANWAY WESTZNGHOUSE N/A N/A SA-533 N/A REPLACED NO COVER GR+AgCL-1

7. Descri.ption of Work Se Remark r

8. Test Conducted: Hydrostatic Pneumati.c Nominal Operating Pressure N/A Other PT/VT-1 Pressure si Test Temp. oF NOTE: Supplemental sheets i.n form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in items 1 through 6 on this report is i.ncluded on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

Page 2 of 2

~ pq FORM NZS-2 (Back)

T 2 REPLA ED MANWAY VER AND B LTIN IN ADDITI N T Applicable Manufacturer's Data Reports to.be attached MACHININ F THE MANWAY G KET EATING SURFACE 0 012" AND REAPPLIED THE PH N GRAPHI FINI H R f "1 72 Fil ' ME-4 I I' CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp Q'"""+

N A

'"""'IIV Expiration Date N A Signed r nk Pisarsk Maint.En .Su ervisor Date S + 19.

Owner or Owner's Designee, Title CERTIFICATE OF INSERVZCE INSPECTION I, the undersigned, holding a valid commission 'ssued by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.*

2'nd have inspected the components described 8' z to <

of NORWOOD MASS.

in this Owner's Report during the period 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 XZ.

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 wi-h this inspection.

Commissions ~i- 4 ~~.rr. wi>iS w .

Znspector's Sig tur National Board, State, Province, Endorsements "FACTORY MUTUAL ENGINEERING ASSOCIATION Date, Zc 19 9Y

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ Owner INDIANA MICHIGAN POWER COMPANY Date 08-11-92 Name.

'. P.O. Box 60 Fort Address Wa ne IN 46801 Sheet 1 of Plant D. C. COOK NUCLEAR POWER PLANT Unit Name On Cook Pla e Brid man MI 4 106 C10777-1 2-SI-16 -L1 1" VLV.

Address Repair Org. P.O. No., Job No., etc

3. Work Performed by MaintenanCe De artment Name Same a.s 2 Expiration Date N A Address

4. Zdentif ication of System RESIDUAL HEAT REMOVAL RHR (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built meat or No) fication 2-SI-169-L1 N/A N/A N/A N/A N/A REPAIRED NO ZNBODY CONVAL ZNC. N/A N/A STELLZTE N/A REPAIRED NO SEATING MACHINING SURFACE r

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/>> ]~X Or>>er ( (

pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks THE INBODY SEATING SURFACE WAS RECONDITIONED USING A CONVAL Applicable Manufacturer's Data Reports to be attached MANUAL REFACEING TOOL.

Ref. JO:C10777-1 File: 2-SI-16 -Ll ISI:1 CERTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIRED conforms to the rules of the ASME Code, Section XZ ~

repair or replacement Type Code Symbol Stamp N A

"'""'K/W'""- "

Sigged Frank Pisarsk Maint.En .Su ervisor Expiration Date 19 N A Owner or Owner's Designee, Title I CERTIFICATE OF ZNSERVZCE ZNSPECTZON Z., the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS CO.* of NORWOOD MASS have i sp ted the components described in this Owner's Report during the period 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 Inspec r's Signature National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 19

4 0

0 R As Required by the provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-23-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C11199-3 Sc 8 2-MMO-240 Address Repair Org. P.O. No., Job No., etc

3. work Performed by Maintenance Deoartment Name Same as 2 Expiration Date N A Address

4. Xdentification of System MAIN STEAM (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-MMO-240 N/A N/A N/A N/A N/A REPAXRED NO POPPET ATWOOD N/A N/A SA-515 N/A REPLACE- NO MORRILL GRADE 70 MENT M&E23044491

7. Description of Work See Remar s

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other PT Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORN NZS-2 (Back)

9. Remarks THE BODY RING SEAL WELD AND THE POPPET NUT TACK WELD WERE Applicable Manufacturer's Data Reports to be attached REMOVED TO FACILIATE VALVE INSPECTION. THE POPPET WAS REPLACED AND THE POPPET NUT WAS TACK WELDED THE BODY RING SEAL WAS REWELDED AND PT EXAM WAS ACCEPTED:

Ref. JO:C11199-3 &: 8 File: 2-MMO-240 ISI: 2 CBRTIFZCATB OF CONPLZANCB We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Certificate orization No. N A Expiration Date N A Signed Frank sars Maint.En .Su ervisor Date 1 Owner or Owner's Designee, Title CBRTIFICATB OF ZNSBRVZCB 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 Michi an and employed by ARKWRZGHT MUTUAL ZNS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period 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'nd arisingProm or connected with this inspection.

/

Co~issions ~JC> '~S r Inspector's Si at e National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date ~a.n vnr,

"n I

FORM HIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACZRKEXTS As Required by the Provisions of the ASME Code Secti.on XZ

l. Owner INDIANA MI HI AN Name P WER OMPMY Date P Box 6 F r Wa n 1N 46801 Sheet 1 of Address

2. Plant D. COOK NU LEAR P WER PLANT Unit Name On k Plac Brid n MI 4 10 -112 2-4 2-RH-1 W 4"VLV Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Main nanC D r m nt Name Authorization No. N A BIll 2 Expiration Date N A Address

4. Identifi.cation of System RE IDUAL HEAT REMOV R R ll3 r1 Ad n

6. Identi.fication of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Zdenti- Built ment or No) ficati.on 2-RH-109W REPAIRED inbody Conval Inc. N/A N/A ASTM-A-732 N/A REPAIR: NO seating GRADE 21 machining surface (STELLITE)

ASPP 13403

7. Descripti.on of Work Re rk

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF Supplemental sheets i.n form of lists, sketches, or drawings may be used, provided NOTE:

(1) si.ze is 8-1/2 in. x ll in., (2) informati.on 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 thi.s form.

lt Page 2 of 2 FORM NZS-2 (Back)

9. Remarks Th iApplicable d a in rf Manufacturer's was r ondition Data Reports to be attached in C nval rf in 1Th li 1 D inPr rmn S f r thi cpm n nt. D PV830 CN R irdn ME . III 1 s II N - 27 hardf cin R f  : 112 2-4 Fil 2-RH-1 W ISl' CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR ~

conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Certifica o Au riz ion No. N A Expiration Date N A Owner or Ow er's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS ~

have inspected the components described in this Owner's Report during the period a to and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the 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

~l~

a loss of an kind arisin from or connected with this inspection.

gn ure Commissions ~cd National Board, State, Province, Endorsements uos5'nspector's

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date Z. /c

It PORN NIS" 2 0%WER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MI HI AN P R COMPANY Date Name P 0 Box 60 For Wa IN 46801 Sheet 1 of Address

2. Plant K LE R PLANT Unit Name k pl B MI41 hg Address Repair Org. P.O. No., Job No., etc

3. Work Performed by rl Name Expiration Date N A Address

4. Identification of System TEAM R

1

6. . Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Boaz;d Year Replace- (Yes Component. Manufacturer Noi No. Identi- .. Built ment or No)

I fication 2-MRV-233 FISHER REPAIR NO CONTROLS INT.

PLUG & STEM FISHER N/A N/A SA479 REPLACE- NO ASSY ~ CONTROLS INT. S31603 MENT COCR/-A ME30-040030 ASP/15164

7. Description of Work Re r

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. op Supplemental sheets in form of lists, sketches, or drawings may be used, provided NOTE:

(1) size is 8-1/2 in. x ll 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 oi sheets is recorded at the top of this form.

k ~ ~ l Page 2 of 2 NIS-2 (Back) 9.

Remarks'ORM AL WH H IN Applicable.Manufacturer's Data Reports to be attached YDV72 sR f Fil '- V- 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Fr isa s Maint. En . Su ervisor Date -1 7 Qk@ Owner or er's Designee, Title CERTIFICATE OF ZNSERVICE INSPECTION I, the. undersigned, holding a valid commission iss'ued by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the recpairements of the ASME Code, Section XZ.

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 Znspector nor his employer shall be liable in any manner for any personal in$ ury or property damage or a loss of any kind arising from or connected with this inspection.

Inspecto s Signature Coom1ssloos ~rio.A dd +/A s ~

National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 19 ~F s ~

s ~ s

I I

PORN NZS-2 OWNER'S REPORT FOR REPAIRS OR'REPLACEbG~S As Required by the Provisions of the ASME Code Section XI Owner INDIANA MICHI AN POWER OMPANY Date 0 2 Name P.O. Box 6 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D'. C. COOK NUCLEAR POWER PLANT Unit Name On ook Place Brid n MI 4 106 11742-1 2-RH-1 8W 8" VALVE Address Repair Org. P.O. No., Job No., etc 3 ~ Work Performed by MaintenanCe De artmen Name Same as 2 Expiration Date N A

""~"

Address

4. Identification of System RE IDUAL HEAT REMOVAL RHR JL'ummer 1 Add nd

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi . Built ment or No) fication 2-RH-108W N/A N/A N/A N/A N/A REPAIRED NO STUDS = DUBOSE STEEL N/A N/A ASME SA453 N/A REPLACE- NO INC. GR.660 CL-B MENT M&E30030000 ASPÃ11944

7. Description of Work Remark 8, Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. DF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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's recorded at the top of this form.

r Page 2 of 2 FORM NIS-2 (Back) 9.

~ Remarks REPLACED VALVE TO VALVE OVER STUDS s

Applicable Manufacturer's Data Reports to be attached Ref. JO:C11742-1 Pile.2-RH-108W IS1: 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report, are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Fran Pisarsk Maint.En .Su ervisor Date B lO 19 Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVICE INSPECTION

.I, the undersigned, holding a valid commission issued. by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have i -/ - P'2,the spected components described to in this Owner's Report during the period 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 XZ.

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 in)ury or property damage or a loss of any kind arising from or connected with this inspection.

Commissions bs J. FKIA S'W Inspecto s Signature National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date - 19'~

POR REPAIRS OR REPLACEMENTS As Required by the Provi.sions of the ASME Code Section XI

l. Owner INDIANA MI HI AN P WER MPANY Date 2 Name P.O. Box 60 Fort Wa e IN 4 801 Sheet 1 of Address

2. Plant D K LEAR P WE PLANT Unit Name One ok Pl e Brid n MI 4 10 1174 -1 2-RH-1 8E " VALVE Address Repair Org. P.O. No., Job No., etc

3. Work Performed by inten nCe De ar ment Name a 2 Expiration Date N A Address

4. Identification of System RESIDUAL HEAT REMOVAL S er 1 83 A end

"""" "II3

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME ~

Replaced Code Manuf. Nat. Other or Stamped Name of Name Serial. Board Year Replace- (Yes Component of'anufacturer No No, Identi- Built ment or No) fication 2-RH-108E N/A N/A N/A N/A REPAIRED NO STUDS DUBOSE STEEL N/A N/A SA453 N/A REPLACE- NO INC. GR660 MENT ME30-030000 ASPÃ11944

7. Description of Work R rk

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.

Supplemental sheets in form of lists, sketches, or drawings may be use'd, provided NOTE:

(1) size is 8-1/2 in. x ll 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.

Page 2 of 2 FORM NIS-2 (Back)

9. Remarks REPLACED B FASTENERS WlTH STAINLESS STEEL STUDS Applicable Manufacturer's Data Reports to be attached Ref. JO:C11743-1 File: 2-RH-108E 1S1:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A (AU~<

Signed Fr'ank Pisarsk Maint.En .Su ervisor Date 19 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period 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 in)ury or property damage or a loss of any kind arising from or connected with this inspection.

Inspector'ignature Commissions r . +886 A P K National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date

FORM NIS-2 OWNER'S REPORT POR REPAIRS OR REPLACEMENTS As Required by the provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-28-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address 2 ~ Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 C11872-3 2-RC-104-L2 Address Repair Org. P.O. No., Gob No., etc

3. Work Performed by Maintenance De artment

" Name Same as 2 Expiration Date N A Address

4. Identif ication of System REACTOR COOLANT (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASbg Replaced Code Manuf. Nat. Other or Stamped Name of 'Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-RC-104-L2 CONVAL ZNC. N/A, N/A SA-182 N/A REPLACE- NO TYPE F316 MENT MEE30035210 ASPN13491 2" SCH. 160 ALBERT PIPE N/A N/A SA- 182 REPLACE- NO FLANGE SUPPLY TYPE F304 MENT ME(E30022521

• • ASPN SEE REMARKS 2" SCH. 160 RADNOR ALLOYS N/A N/A ASME SA-376 N/A REPLACE- NO PIPE INC. TYPE 304 MENT MEcE30019310 ASPN14295

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic X Pneumatic Nominal Operating Pressure N/A Other PT Pressure 2520 si Test Temp. AMBIENT 4F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

tl

~ g

Page 2 of 2 PORN NZS-2 (Back)

9. Remarks REPLACED VALVE AND ADJACENT PIPING AND FLANGE. PT EXAM WAS Applicable Manufacturer's Data Reports to be attached PERFORMED ON ALL WELDS AN ACCEPTED. HYDRO. EXAM WAS PERFORMED AND ACCEPTED. **FLANGE WAS PURCHASED L"4 AND ISSUED ASP 620.

PRIOR TO INSTALLATION THE FLANGE WAS UPGRADED TO L-5 AND ISSUED A NEW ASP NUMBER OF 17355 Ref. JO: C11872-3 File: 2-RC-104-L2 ISI: 1 CERTZPZCATE OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A

"""'-"s I'" ""-"'Q' Expiration Date N A Signed Frank%'Ra MainK.En .Su ervisor Date 4 'L8 Owner or Owner's Designee, Title CBRTIPZCATE OP INSBRVICE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

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

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations 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 ind aris' from or connected with this inspection.

r-4 Inspector'zp8i r .

ature Commissions W s>S 6'~7K National Board, State, Province, Endorsements r

• FACTORY. MUTUAL ENGINEERING ASSOCIATION Date <u ~u~r

FORM NXS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.~ Owner INDIANA MICHIGAN POWER COMPANY Date 6-30-93 Name

~ ~ Box 60 Fort Wa

'.O.

ne IN 46801 Sheet 1 of 2 Address 2~ Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 J.O. C-12062-11 Address Repair Org. P.O. No., Job No., etc 3- 'ork Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Zdentif ication of System CHEMICAL AND VOLUME CONTROL

• AEP Specifications / MDS Standards / ANSZ B31.1-83 / AZSC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of section XX Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA

6. Zdentification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Zdenti.- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-ACS<<L954 1/8"X 3" N/A N/A N/A A570-90 GR45 N/A REPLACE- NO FLAT BAR ASP-14681 MENT

7. Description of Work INSTALL NEW 1 8 "X 3 "X 3 1 2" SHIM TO ELIMINATE THE EXCESSIVE LATERAL GAP ON THE EXISTING 4" CS PIPING. z

&) Test Conducted: Hydrostatic ~ Pneumatic Ij Nominal Operating Pressure N/A I X I Other Pressure si Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) information in items 1 through 6 on this report is ncluded on each sheet, and (3) each sheet is numbered and the number of sheets is ecorded at the top of this form.

NZS93-08

gl Page 2 of 2 FORM NIS-2 (Back)

9. Remarks INSTALLED NEW 1 8 "X 3 "X 31 2 "SHIM PLATE TO ELIMINATE 'EXCESSIVE Applicable Manufacturer's Data Reports to be attached LATERAL GAP BETWEEN THE EXISTING 2 1 2" ANGLE AND THE 4" PIPE.

SHIM INSTALLATION PER PER MDS-603 REV.5.

ASME CLASS II ISI CLASS II J.O. C-12062-11 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A

~AC( J Date t./

Signed c I ~

Owner or wner ' Designee, Title

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period to P- e- qs 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 Znspector 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 in)ury or property damage or a loss of any kind arising from or connected with this inspection.

Commissions Hi"-4 oos 5 Em/ A)

Inspector's gna re National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date u v I ls NIS93-08

4 FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.~ Owner INDIANA MICHIGAN POWER COMPANY Date 6-29-93 Name P.O. Box 60

~ Fort Wa ne -IN 46801 Sheet 1 of 2 Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 Z.O. C-12062-23 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. '290-V 2830 PARKWAY ST. LAKELAND FL- 33811 Address

4. Identification of System SPENT FUEL PIT COOLING

• AEP Specifications / MDS Standards / ANSI B31 1-83 / AISC ~

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b ) Applicable Edition o f Section XZ Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-GSF-L54 1/8"X 3" N/A N/A N/A A570-90 GR45 N/A REPLACE- NO FLAT BAR ASP-14681 MENT

7. Description of Work INSTALL NEW 1 8 "X 3 "X 4 "LG. SHIM TO ELIMINATE EXCESSlVE LATERAL GAP ON THE EXISTING 3" SF PIPING.

8. Test Conducted: Hydrostatic ~ Pneumatic ~ Nominal Operating Pressure N/A I X I Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided

1) size is 8-1/2 in. x 11 in., (2) information in items 1 through 6 on this report is eluded on each sheet, and (3) each sheet is numbered and the number of sheets is ecorded at the top of this form.

NIS93-07

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks INSTALLED NEW 1 8 "X 3 "X 4 "LG. SHIM PLATE TO ELIMINATE EXCES-Applicable Manufacturer's Data Reports to be attached SIVE LATERAL GAP BETWEEN THE EXISTING 3" ANGLE AND THE 3"PIPE.

SHIM INSTALLATION PER PER MDS-603 REV.5.

ASME CLASS II ISI CLASS II J.O. C-12062-23 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Certificate of Authorization No. Expiration Date N A Signed Owner r Owner's Designee, s&kz Title Dat e ~ ZD ,l9 93 CERTIFICATE OF ZNSERVICE 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 Michi an and employed by ARKWRIGHT MUTUAL ZNS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period

>-9o 3 to P- JM 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 in)ury or property damage or a loss of any kind arising from or connected with this inspection.

sr&wa>Air Commissions . ~ c Xmas Inspector's Signa re National Boar , State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date V~I IM 19 NIS93-07

I'

'7

FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS g3ro- i/

As Required by the Provisions of the ASME Code Section XI

l. Owner INDIANA MICHIGAN POWER COMPANY Date 10 05 93 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of 2 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 J.O. C12062-26 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identif ication of System CONTAINMENT SPRAY SYSTEM

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section XZ Utilised for Repairs or Replacements 19~83 W 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2ACTS-R818 1/8 "PLATE N/A N/A N/A A570-90 GR45 N/A REPLACE- NO 3 7/8"X 2" ASP. 14681 MENT

7. Description of Work INSTALL NEW 1 8>> X 3 7 8>>X 2>> SHIM PLATE TO REDUCE THE EXISTING GAP BETWEEN THE 2 1 2>> ANGLE AND THE 2>> CTS PIPING

8. Test Conducted: Hydrostatic ~ Pneumatic C Nominal Operating j Pressure N/A I X I Other + Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x ll 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 the top of this form.

NIS93-29

~ >

t a ~ ll

Page 2 of 2 FORM NZS-2 (Back)

Remarks INSTALLED NEW 1 8 "X 3 7 8 "X 2" SHIM PLATE TO REDUCE THE EXIST.

Applicable Manufacturer's Data Reports to be attached GAP AND ACHIEVE THE DESIGN CLEARANCE OF 1 8 ASME CLASS II 'SI CLASS II Z.O. C12062-26 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Certificate of Authorization No. N A Expiration Date N A Signed t= n. Date

/I I Owner or wner's Designee, Title CERTIFICATE OF ZNSERVICE 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period

'9g 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 <~t. aors'S Inspector's igna re National Board, State, Province, Endorsements "FACTORY MUTUAL ENGINEERING ASSOCIATION Date 4'o~~~ br 19 AZ NIS93-29

I' FORM MIS-2 OWEERI S REPORT FOR REPAIRS OR REPLACEMENTS +37D" /W As Required by the Provisions of the ASME Code Section XZ

l. Owner INDIANA MICHIGAN POWER COMPANY Date 6-17-93 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of 2 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 J.O. C-12062-28 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Zdentification of System 'AFETY INJECTION SYSTEM

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AZSC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 19~83 W S 1983 ADDENDA

6. Zdentification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Zdenti- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No)

-GSZ-R1A 1/819 X 3" N/A N/A N/A A570-90 G45 N/A REPLACE- NO FLAT BAR ASP-14681 MENT

7. Description of Work INSTALL NEW 1 8" SHIM PLATE TO ELIMINATE EXSESSIVE LATERIAL GAP ON THE EXISTING 2 1 2" SI PIPING.

8. Test Conducted: Hydrostatic ~ Pneumatic ~ Nominal Operating Pressure N/A f X / other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 corded at the top of this form.

NZS93-04

Page 2 of 2 FORM NZS-2 (Back)

Remarks INSTALLED NEW 1 8 "X 3 "X 4 "LONG SHIM PLATE TO ELIMINATE EXCES-Applicable Manufacturer's Data Reports to be attached SIVE LATERIAL GAP AND TO RETURN SUPPORT 2-GSI-R1A BACK TO ITS DESIGN INTENT. SHIM INSTALL PER MDS-603 REV.5.

ASME CLASS II ISI CLASS II J.O. C-12062-28 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Certificate of Authorization No. N A N A Date L,j 117 19 3 Signed Owner or Owner's Designee, Title CERTIFICATE OF INSERVZCE INSPECTION I the undersigned, holding a va 1 id commis s ion issued by the Nationa 1 Board of Boi 1 er Vessel Inspectors and the'State or Province of 'Michi an g

and Pressure and employed by ARKWRIGHT MUTUAL INS. CO.* . of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period to 7- s-- 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 his measures described in this Owner's Report. Furthermore, neither the Inspector nor 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 MiiA . E Inspector's S na re National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 3 eel NIS93-04

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEKEXTS As Required by the Provisions of the ASME Code Section XI

1. Owner IANA Date Name P B x F W IN 4 1 Sheet 1 of Address

2. Plant D. K LEAR P WER PLANT Unit Name Address I4 Repair Org. P.O. No., Job No., etc V-

3. Work Performed by int n n Name 2 Expirat'on Date N A Address

4. Identification of System MAIN TEAM

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code .

Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi-'ication Built ment or No) 2-MRV-221 FISHER REPAIR NO CONTROLS INT PLUG 6 STEM FISHER N/A N/A ASTMiA582 1974 REPLACE- NO ASSY CONTROLS ZNT TYPE 416 MENT ME30-040005 ASPP 12622 SEAT RING FISHER N/A N/A ASTM-A582 N/A REPLACE- NO CONTROLS INT. S41600 MENT ME30-040120 ASPP12803

7. Description of Work Remark

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

4 ~ i 4 r r

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks D V I WHI H IN L E Applicable Manufacturer's Data Reports to be attached PL AND TEM Y REPLA ED RING EAT D PV7 2 R f -1 7 Pil  : 2-MRV-22 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed an Px rsk Maint.En .Su ervisor Date 19 Owner r Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION

~

I, the undersigned, holding a valid commission issued by the National Board 'of Boiler by ARKWRIGHT MUTUAL INS. CO.* . of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period ct 3 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.

oommiooioos W I mom E~+>

Inspector's igna re National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date ~ ~h

FORM HIS-2 OWNER' REPORT FOR REPAIRS OR REPLACERE2FZS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MI HI AN P WER MPANY Date 1-2 Name P Box 60 F r W IN 46801 Sheet 1 of Address

2. Plant D. K LEAR P WER PLANT Unit Name k P1 Bri MI 4 1 2-I'7-V- 1 2 "VALVE Address Repair Org. P.O. No., Job No., etc Name 2 Expiration Date A Address

4. Identification of System MAIN TEAM U

Summer 1 83 Add nda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat, Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-MRV-211 FISHER REPAIR NO CONTROLS INT PLUG 6r STEM FISHER N/A N/A ASTMiA582 1974 REPLACE- NO ASSY. CONTROLS ZNT. TYPE 416 MENT ME30-040005 ASPP 12622 SEAT RING FISHER N/A N/A, ASTM-A582 N/A REPLACE- NO CONTROLS INT. S41600 MENT ME30-040120 ASPP12803 7.'escription of Work R mark I

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLA ED VALVE INTERNAL WHICH IN L PL Applicable Manufacturer's Data Reports to be attached Y REPLA ED RING SEAT DCCPV702 Ref. J -1 77 File: 2-MRV-211 II 2 CERTIFICATE OF COMPLIANCE V

We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A g4 r gpQ Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTION I, the undersigned, holding a valid commission issued'by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period J-0 -9 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 in)ury o'r property damage or a loss of any kind arising from or connected with this inspection.

/

Inspector's Si atu Commissions ~i s. a &>P 4'rZ National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date +eh /c. 19

FORM NIS" 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 05 3 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address,

2. Plant D. C. OOK NUCLEAR P WER PLANT Unit Name On Cook Place Brid an MI 4 106 C14079-03 09 10 2-MRV-223 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by MaintenanCe De artm nt Name

~Same a 2 Expiration Date N A Address

4. Identif ication of System MAIN STEAM (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1 83 Addenda

6. Zdentification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. 'o.

Identi- Built ment or,No) fication 2-MRV-223 N/A N/A N/A N/A N/A REPAIRED NO PLUG FISHER N/A N/A SA-479 N/A REPAIRED NO CONTROLS TYPE 316L MACHINING BONNET N/A N/A N/A SA-216 N/A REPAIRED NO GASKET GR.WCB MACHZNING SURFACE

7. Description of Work Se Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A PT* Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form. ~

k I

Page 2 of 2 FORM NIS-2 (Back)

9. Remarks VALVE BONNET GASKET SEATING SURFACE WAS BUILT UP BY WELDING AND Applicable Manufacturer's Data Reports to be attached MACHINED TO VENDOR TOLERAN ES.THE PLUG WAS STEAM CUT AND ALSO MACHINED.

Ref. JO:C1407 -03 0 10 FILE:2-MRV-223 ISI: 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Fr nk Pisarsk Maint.En .Su ervisor Date S 19 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by'the Nationa'1 Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period

~-il- '73 to - v-er 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 XZ.

By signing this certificate neither the Znspector 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 rom or connected with this inspection.

Commissions Hic.~ cos s. E ~PA) Z>

Inspector's gna re National Board, St te, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 2 n e 7 19

~ I FORM NIS" 2 OWNER' REPORT FOR REPAIRS OR REPLACEMMZS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 07 3 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D.. CO K NU LEAR POWER PLANT Name Unit One Cook Place Brid n MI 49106 14 7 -12 1 16 2-MRV-22 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by MaintenanCe De artment Name Same as 2 Expiration Date N A Address

4. Identification of System MAIN STEAM (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summ r 1 83 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. "Nat ~ Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component: Manufacturer No. No. Identi,- " Built ment or No) fication 2-MRV-223 N/A '/A N/A N/A N/A REPAIRED NO PLUG FISHER N/A N/A SA-479 N/A REPLACE- NO CONTROLS TYPE 316L MENT ME$ 30040030 ASPP15164 BODY GASKET N/A N/A N/A SA-216 N/A REPAIRED NO SURFACE GR.WCB MACHINING

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A PT+ Other Pressure si Test Temp. oF Supplemental sheets in form of lists, sketches, or drawings may be used, provided M

NOTE:

(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 recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks VALVE BODY GASKET SEATING SURFACE WAS BUILT UP BY WELDING AND Applicable Manufacturer's Data Reports to be attached MACHINED TO VENDOR TOLERAN ES.THE PLUG W ALSO REPLACED.

Ref. JO:C1407 -12 15 16 FILE:2-MRV-223 ISI: 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR REPLACEMENT conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A

--"'i5'4""'+'-"'

Signed Frank Pisarsk Maint.En .Su ervisor Date Expiration Date 19 N A Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION he. undersigned, holding a valid commission'ssued by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO." of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period r-r/-9 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 Znspector 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 Hr~ j ops 5 5, . e Inspector's ign ture National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date u~ e. 19

A ~

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner 1NDIANA MICHIGAN POWER COMPANY ,Date 10-15-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C14196-5 2-BD-103-4 Address Repair Org. P.O. No., Job No., etc

3. work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System BLOWDOWN (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced .Code Manuf . Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-BD-103-4 HENRY VOGT N/A N/A ASME SA-105 N/A REPLACE- NO MACHINE CO. M&E30044248 MENT ASP¹15781 2" SCH.80 TIOGA PIPE N/A N/A ASME SA-106 N/A NO PIPE SUOOLY CO. GRADE B M&E3 0014981 ASP¹13366

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other MT Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

lt U

'p Sl

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks DUE TO DEEP SCORING VALVE AND ADJACENT PIPING WERE REPLACED.

Applicable Manufacturer's Data Reports to be attached MAGNETIC PARTICLE EXAM OF WELDS WAS PERFORMED AND ACCEPTED.

Ref. JO:C14196-5 File: 2-BD-103-4 ISI:2 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Fran Pi&arsk Maint.En .Su ervisor Date 19 Owner or Owner's Designee, Title CERTZF1CATE OF ZNSERVZCE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period rO- tv- 9Y to 1 95 and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this 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 kin'd arisi from or connected with this inspection.

Commissions ~~" ~c ~~

Inspector's gn re National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date ~c +van. 19 r5

4

+deaf' fig FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner IND OW 0 Date 10 P.O. Bo 0 Name Fort Wa Address ne N 680 sheet ~of

2. Plant D. C. COOK NUCLEAR POWER LANT Unit Name One Cook Place Brid an M 9106 J.O. C 4 31-0 Address Repair Org. P.o. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0 -V 2830 PARKWAY ST ~ LAKELAND FL. 33811 Address

4. Identif ication of System CHEMICAL AND VOLUME CONTROL

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ede f Add Code Case (b) Applicable Edition of Section XX Utilized for Repairs or Replacements 19~83 W S 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No)

LOGS 92-6 1-CS-751 3/8"U-BOLT N/A N/A N/A A36 N/A REPLACE- NO 2"FIGe137 ASP-11875 MENT LOGS 92-7 1-CS-750 3/8"U-BOLT N/A N/A N/A A36 N/A REPLACE- NO 2"FIG.137 ASP-11875 MENT 1/4"X 3" N/A N/A N/A A36-90 N/A REPLACE- NO FLAT BAR ASP-14900 MENT

7. Description of Work REPAIR CLASS I SMALL BORE PIPE SUPPORTS PER THE FINDING OF THE SMALL BORE PIPE VERIFICATION PROGRAM.

8. Test Conducted: Hydrostatic ~ Pneumatic ~ Nominal Operating Pressure x i Other + Pressure si Test Temp.

Supplemental sheets in form of lists, sketches, or drawings may be used, provided NOTE:

(1) size is 8-1/2 in. x ll inef (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.

NIS93-34

1

+

t

FORM NIS-2 OWNERis REPORT POR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Secti.on XI

1. Owner IND ANA ICHIGAN POW COMPAN Date 10 1 O. Bo 6 Fort Name Address W e 68 sheet ~of

2. P lant D~ C. COOK NUCLEAR POWE Unit Name One Cook Place Brid an MI 49106 J.O. C14331-0 Address Repair Org. P.O. No., Job No., etc

3. f Work Per ormed by

. NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identif icati.on of System CHEMICAL AND VOLUME CONTROL

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Appli.cable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Seri.al Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No)

LOGS 92-8 1CS750&751 3/8"U-BOLT N/A N/A N/A A36 N/A REPLACE- NO 2"FIG.137 ASP-11875 MENT LOGS 92-9 1-CS-750 3/8"U-BOLT N/A N/A N/A A36 N/A REPLACE- NO 2"FIG.137 ASP-11875 MENT 1/4"X 3" N/A N/A N/A A36-90 N/A REPLACE- NO FLAT BAR ASP-14900 MENT

7. Descripti.on of Work SEE PAGE 1 FOR DESCRIPTION THIS PAGE IS FOR ADDITIONAL COMPONENTS ONLY

8. Test Conducted: Hydrostatic ~ Pneumatic ~ Nominal Operating Pressure N/A I X I Other Ij Pressure si Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 i.s numbered and the number of sheets is recorded at the top of this form.

NIS93-34A

I

)

, ~

h FORM NIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENT8 As Required by the Provisions of the ASME Code Section XI

1. Owner P W CO Date 0 Name

.0 Box 0 o t Wa Address e Sheet 3 of

2. Plant D. C. COO UCLEAR POWER P NT Unit Name One Cook lace Brid an 9 06 J.O C 433 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identif ication of System CHEMICAL AND VOLUME CONTROL

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section XI Utilised for Repairs or Replaceeents 19~83 W E 1983 AD ENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat ~ Other or Stamped Name of Name of Serial Board Zdenti- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No)

LOGS 92-10 1CS750&752 3/8"U-BOLT N/A N/A N/A A36 N/A REPLACE- NO 2"FIGS137 ASP-11875 MENT 1/4>> X 3>> N/A N/A N/A A36-90 N/A REPLACE- NO FLAT BAR ASP-14900 MENT LOGS 92-11 1CS750, 751 & 752 1/4>>X 3 N/A N/A N/A A36-90 N/A REPLACE- NO FLAT BAR ASP-14900 MENT

7. Description of Work SEE PAGE 1 FOR DESCRIPTION THIS PAGE IS FOR ADDITIONAL COMPONENTS ONLY

8. Test Conducted: Hydrostatic ~ Pneumatic ~ Nominal Operating Pressure N/A /

X Other ~ Pressure si. Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 in., (2) informationnumbered in items 1 through 6 on this report is included on each sheet, and (3) each sheet is and the number of sheets is recorded at the top of this form.

NIS93-34B

"f II P 6

PORN NIS 2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

l. Owner C G POWER CO Date 10 11 93 0

Name Address Wa ne N 4 Sheet ~of 2 ~ Plant . C. COO CLEAR OWER PLAN Unit Name 0 e ok ace Brid an M 9106 Z.O 331-0 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0 90-V 283 0 PARKWA ST. LAKELAND FL. 33811 Address

4. Identif icati.on of System CHEMICAL AND VOLUME CONTROL

• AEP Specificati.ons / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• Ed., Add. Code Case (b) 1983 ADDENDA Applicable Edition of Section XI 19 Utilized for Repairs or Replacements 19'~

6. Identification of Components Repai.red or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No)

LOGS 92-11 1CS750, 751 6 752 3/8"U-BOLT N/A N/A N/A A36 N/A REPLACE- NO 2"FIG.137 ASP-11875 MENT LOGS 92-12 1-CS-752 3/8" NUTS N/A N/A N/A A194 GR2H N/A REPLACE- NO HEAVY HEX ASP-15294 MENT LOGS 92-13 1-CS-752

7. Description of Work SEE PAGE 1 FOR DESCRIPTION THIS PAGE IS FOR ADDITIONAL COMPONENTS ONLY

8. Test Conducted: Hydrostatic Ij Pneumatic t j Nominal Operating Pressure N/A I X I Other r j Pressure si Test Temp.

Supplemental sheets in form of lists, sketches, or drawings may be used, provided NOTE:

(1) size is 8-1/2 in.

included on each sheet, x ll in., (2) information in i.tems through on this report 1 6 and (3) each sheet is numbered and the number of sheets is is recorded at the top of this form. NIS93-34C

FORM NZS-2 OWNERiS REPORT POR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

, Name OW Date 60 Wa ne I 4 Sheet 5 of Address 2 ~ Plant .C. COOK U LEAR POWER Unit Name One Cook Place B id an MI 49106 J.O. C1433 -0 Address Repai.r Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 02 0-V Ideritif 8 0 PARKW Y ST. LAKELAND FL. 33811 Address

4. icatio of System CHEMICAL AND VOLUME CONTROL

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section XZ Utilized for Repairs or Replaceeents 19~83 W 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 3/8" NUTS N/A N/A N/A A194 GR2H N/A REPLACE- NO HEAVY HEX ASP-15294 MENT LOGS 92-14 1-CS-752 3/8" NUTS N/A N/A N/A A194 GR2H N/A REPLACE- NO HEAVY HEX ASP-15294 MENT LOGS 92-15 1-CS-749 3/8" NUTS N/A N/A N/A A194 GR2H N/A REPLACE- NO HEAVY HEX ASP-15294 MENT

7. Description of Work SEE PAGE 1 FOR DESCRIPTION THIS PAGE IS FOR ADDITIONAL COMPONENTS ONLY

8. Test Conducted: Hydrostatic ~ Pneumatic ~ Nominal Operating Pressure N/A i X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provt.ded (1) size is 8-1/2 in. x 11 in., (2) informationnumbered i.n items 1 through 6 on this report is included on each sheet, and (3) each sheet is and the number of sheets is recorded at the top of this form. NIS93-34D

BORM NZS-2,0%tlERiS REPORT BOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Date

.0 t Wa Address e IN 6 Sheet ~of

2. Plant C EAR POW Unit Name One Cook la e Br d an MI 06 J.O. C1433

, Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Name Authorization No. 02 2 3 P ST. LAKELAND L. 3 8 Address

4. Identification of System CHEMICAL AND VOLUME CONTROL

• AEP Specifications / MDS Standards

/ ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code 19 Ed., Add. Code Case (h) Applicable Edition of Section Xl Util!.sed for Repairs or Replacements 19~83 W 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced . Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No)

LOGS 92-17 1-CS-750 3/8" NUTS N/A N/A N/A A194 GR2H N/A REPLACE- NO HEAVY HEX ASP-15294 MENT LOG/ 92-19 2-CS-797 3/8" NUTS N/A N/A N/A A194 GR2H N/A REPLACE- NO HEAVY HEX ASP-15294 MENT LOGS 92-20 2-CS-798

7. Description of Work SEE PAGE 1 FOR DESCRIPTION THIS PAGE IS FOR ADDITIONAL COMPONENTS ONLY

8. Test Conducted: Hydrostatic ~ Pneumatic ~ Nominal Operating Pressure N/A /

X i Other ~ Pressure si Test Temp. DF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form. NIS93-34E

PORN NIS-2 OWNER S REPORT POR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner WE CO Date

.0 O 0 Name Address ne I Sheet ~of

2. Plant . C. COOK NUC EAR POWER LAN Unit Name e Coo d a O. C Address Repair Org. P.O. No., Job No., etc

3. Work Performed by ISCO Type Code Symbol Stamp V Name Authorization No. -V 30 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identification of System CHEMICAL AND VOLUME CONTROL .

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AZSC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (h) Applicable Edition of Section XX Utiliaed for Repairs or Replacements 19~83 W 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat, Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 3/8"U-BOLT N/A N/A N/A A36 N/A REPLACE- NO 2"FIG.137 ASP-11875 MENT LOGS 92-21 2-CS-797 3/8"U-BOLT N/A N/A N/A A36 N/A REPLACE- NO 2"FZG.137 ASP-11875 MENT LOGS 92-22 2-CS-798 3/8"U-BOLT N/A N/A N/A A36 N/A REPLACE- NO 2"FIG.137 ASP-11875 MENT

7. Description of work SEE PAGE 1 FOR DESCRIPTION THIS PAGE IS FOR ADDITIONAL COMPONENTS ONLY

8. Test Conducted: Hydrostatic ~ Pneumatic ~ Nominal Operating Pressure N/A I X I Other Ij Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x included on each sheet, ll in., (2) information in items through on this report is 1 6 and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

NZS93-34F

'f 1

4

PORM NIS 2 OWNER S REPORT 7OR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner OWER 0 Date Name

.O. Bo 6 t Wa Address ne IN 4680 Sheet 8 of 9

2. Plant . C. OO C POWE P Unh.t Name One Cook Pl'ace Br d an MI 49106 J.O. C 3 -0 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by ISCO Name Authorization No. 02 -V 28 0 S . LAKELAND F ~ 8 Address 4 ~ Identifh.cath. on of System CHEMICAL AND VO UME CONTROL

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case ~

(b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19$ 3 ~W 6.'dentification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name'f Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No)

LOGS 92-26 2-CS-797 3/8"U-BOLT N/A N/A N/A A36 N/A REPLACE- NO 2"FIG.137 ASP-11875 MENT LOGS 92-33 1CS751&752 3/8"U-BOLT N/A N/A N/A A36 N/A = REPLACE- NO 2"FIG.137 ASP-11875 MENT

7. Description of Work SEE PAGE 1 FOR DESCRIPTION THIS PAGE IS FOR ADDITIONAL COMPONENTS ONLY

8. Test Conducted: Hydrostatic Ij Pneumatic Ij Nominal Operating Pressure N/A I X I Other ~ Pressure si Test Temp.

NOTEs Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) sire is 8-1/2 h.n. x 11 h.n., (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.

NIS93-34G

'P Page 9 of 9 FORM NIS-2 (Back)

9. Remarks S Applicable Manufacturer's Data Reports to be attached OXIMAT CAT 0 ON P SO. W G.

WO ERF ED & C S GN E WAS N ERE 0 T ON SHT.

SM C C S I CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N Signed I l~ WC Date 19 Owner or ner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler Vessel Inspectors and the State or Province of Michi an and employed and Pressure by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period to I u 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 axis ng from or connected with this inspection.

Commissions i~A oof5 Stoic& M Inspector's ig ture National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date NIS93-34

4 I

pAQ. 4 0

~r

PORN HIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

i. Owner INDIANA MICHIGAN POWER COMPANY Name Date 03 3 P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D K LEAR P WER PLANT Unit Name One Cook Plac Brid n MI 4 106 C-14 -1 2- - 1"VALVE Address Repair Org. P.O. No., Job No., etc 3 ~ Work Performed by Maint nanCe De artm nt Name Same as 2 Expiration Date N A Address

4. Identification of System CHEMI AL Se V LUME C NTR L SY TEM CS "ll3 ummr1 Adn

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component ,Manufacturer No. No. Identi- Built ment or No) fication 2-CS-353 N/A N/A N/A N/A N/A REPAIRED NO inbody Conval Inc. N/A N/A ASTM-A-732 N/A REPAIR! NO seating GRADE 21 machining surface (STELLITE)

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form. ~

1 4 II I

J

Page 2 of 2 FORM NIS-2 (Back)

, 9. Remarks Th iApplicable Od in rfa Manufacturer's w r onditi Data Reports n in to be attached a nv l manual refacin tool. The a licable Desi n Procurement S ec. to

,for this com onent: DC PV830 CN Re air don to ASME Sec.III la II N - 27 har f in R f JO:C1468 -1 Fil ~ 2- ISI 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this

'REPAIR conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A 19 Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVICE INSPECTION Z, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of

~E-have inspecteg the components described

-9 NORWOOD MASS.

in this Owner's Report during the period 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 in)ury or property damage or a loss of any kind arising from or connected with this inspection.

Cammasstaas Inspect 's Signature National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 19 FF

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

l. Owner INDIANA MICHI P WER COMPANY Date Name P O. Box F r W IN 4 1 Sheet 1 of Address

2. Plant D. K LEAR POWER PLANT Unit Name k pl B Address i n 4 1 6 2-02 Repair Org. P.O. No., Job No., etc

3. Work Performed by NI Type Code Symbol, Stamp V Name Authorization No. 2 -V 2830 PARKWAY T LAKELAND FL 33 11 Address

4. Identification of System AFE IN TI

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed. i Add Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19~WAS 6; Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nato Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes C p Manufacturer No. No fication Built ment or No) 2-GSI-L111A ~

3/8" PLATE)( N/A N/A N/A A36-90 N/A REPLACE- NO 48" X 96" ASP-16047 7 MENT 2-ASI-L913Z 1/8" X 1" g N/A N/A N/A SA479-T304 P N/A REPLACE- NO FLAT BAR ASP-128904 MENT 2-ASI-L914$

SEE SHT+2

7. Description of Work DI Y PP RT F R IT 2 A B LD N UPP RT PER DE I N DRAWIN Sc REL VANT D R'ND PER R

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure sig Test Temp. oF Supplemental sheets in form of lists, sketches, or drawings may be used, provided NOTE:

(1) size is 8-1/2 in. x included on each sheet, ll in., (2) information in items through on this report is 1 6 and (3) each sheet is numbered and the number of sheets is ecorded at the top of this form.

NIS94 s/~~

rg

~

)

1'I N

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPIACEXEXTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MI HI AN POWER COMPANY Date 0 4 Name P . Box 60 Fort W e IN 46801 Sheet 2 of 3 Address

2. Plant D.. OK Name LEAR P WER PLANT Unit On ok Pl Bri an MI 4 1 6 J. 2 2-02 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NI Type Code Symbol Stamp V Name Authorization No. 2 0-V 2 3 0 PARKWAY T LAKELAND FL Address

4. Identif ication of System AFETY IN E TI N

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19~8 ~W

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer Noi No. fication Built ment or No) 1/8" X 3". N/A N/A N/A A570-92GR45 N/A REPLACE- NO FLAT BAR ASP-16652 4 MENT 2-GSI-L109 ~

1/4" X FLAT BAR 6"g N/A N/A N/A A36-90 ~

ASP-16147 4'/A REPLACE-MENT NO

7. Description of Work EE PA E 1 FOR DE RIPTION PA E F R ADDITI NAL COMPONENTS NLY

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure sig Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NIS94

Page 3 of 3 FORM NZS-2 (Back)

9. Remarks PPORTS M DIFIED T MEET THEIR DE I N I RE UIREMENTS AND Applicable Manufacturer's Data Reports to be attached B IN W E F AR L VT- PE TI N PER RMED EP LE A ME C DE LA II I I DE LA . II J 1 2 2- 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this e la e conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Certificat of Aut rization No. N A N A Signed ~ C>i> Date Owner Owner's Designee, Title CERTIFICATE OF INSERVICE ZNSPECT1ON I, the undersigned, and Pressure holding a valid commission issued by the National Board of Boiler Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NOR OOD S.

have inspected the components described in this Owner's Report during the period r~ 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 recpxirements of the ASME Code, Section XZ.

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 arisi from or connected with this inspection.

I Commissions eel or)S 5 ~cY PC<

Inspector's i ture National Boardi State, Province, Endorsements

~, *FACTORY MUTUAL ENGINEERING ASSOCIATION Date NZS94

0 C

FORM NIS-2 OWNER' REPORT POR REPAIRS OR REPLAC1WENTS As Required by the Provisions of the ASME Code Section XI

i. Owner INDlANA MICHIGAN POWER Name COMPANY Date 0 P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name ne Cook Plac Brid n MI 4 10 C170 - 10 2 -MRV-223 6 "VALVE Address Repair Org. P.O. No., Job No., etc 3 ~ Work Performed by MaintenanCe De artment Name Same as 2 Expiration Date N A Address

4. Identification of System MA1N STEAM (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1 83 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat ~ Other . or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-MRV-223 FISHER N/A N/A SA-216 N/A REPLACE- NO VALVE CONTROLS GR.WCB MENT ME/30039735 ASP/4990

7. Description of Work Se Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X NOTE:

S/A

~ Other Supplemental sheets

~ ~

Sressure si Test Temp.

in form of lists, sketches, or drawings may be used, provided (1) oF 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 recorded at the top of this form.

1 Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED VALVE BY WELDINQ IN NEW VALVE AND PERFORMED A VT-2 Applicable Manufacturer's Data Reports to be attached INSERVICE EXAM.

Ref. JO:C170 -10 FILE:2-MRV-223 ISI: 2 CERTZPZCATE OP COMPLIANCE We certify that the statements made in the report are correct and this REPLACEMENT conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp

'"'""4""xpiration N A

"""TZK Date N A Signed Frank Pisarsk Maint.En .Su ervisor Date 19 Owner or Owner's Designee, Title CERTIPZCATE OP .INSERVZCE INSPECTION I, the .undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner ' Report during the period

-93 to -zi-9 f 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 in)ury or property damage or a loss of any kind arising from or connected with this inspection.

Commissions e w oo s.s Inspector's ig ure National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date Wa 19 9'F

FORM NXS-2 OWNER'S.REPORT FOR REPAIRS OR REPLACEEGWZS As Recpxired by the Provisions of the ASME Code Section XI

1. Owner INDIANA MI HI AN POWER MPANY Date 1 20 4 name P.O. Box 60 Fort W e IN 46801 Sheet 1 of 4 Address

2. Plant D. K NU LEAR POWER PLANT Uni.t Name On k Pl ce Bri n MI 491 6 J 0 17441-Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NI Type Code Symbol Stamp V Name Authorization No. 2 0-V 2830 PARKWAY T LAKELAND FL 11 Address

4. Identification of System C NTAINMENT SPRAY

• AEP Specifi.cations / MDS Standards / ANSI B31.1-83

• / AISC

5. (a) Applicable Const. Code 19 Ed., Add. Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 19~83 W E

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi.- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-GCTS-R500 5/8'SX 8.5'9 ANCHOR X N/A N/A N/A HKB II ASP-14398 >

N/A REPLACE- NO MENT 1/4" T S A N/A N/A N/A A500-90 GRB N/A REPLACE- NO 2" X 2" ASP-14361 W MENT 7/8" PLATE N/A N/A N/A A36-89 N/A REPLACE- NO 12" X -12" ASP-13747 + MENT 1/2" X 3 "4 N/A N/A N/A A36-91 ~ N/A REPLACE- NO FLAT BAR ASP-15946+ MENT

7. Descripti.on of Work M DIFY IT 2 LOWER ONTAINME PIPE SUPPORTS PER DE I N DRAWIN 6 RELEVANT D R'ND FOR RF

8. Test Conducted: Hydrostatic Pneumatic Nominal Operati.ng Pressure N/A X Other' Pressure sig Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 ecorded at the top of this form.

NIS94

Jl FORM NZS-2 OWNER'S REPORT FOR REPAZRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1~ owner INDIANA MICHIGAN POWER COMPANY Date 10 20 4 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 2 of 4 Address 2 ~ Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 4 106 J.O. C17441-05 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 02 0-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Zdentif ication of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSZ B31.1-83 / AZSC

5. (a) Applicable Const. Code

• Ed., Add. Code Case 19 (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 19'~

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Zdenti- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No)

I/2" X 4 N/A N/A N/A A36-90 N/A REPLACE- NO FLAT BAR ASP-15201 MENT 3/4" PLATE N/A N/A A36-89 N/A REPLACE- NO 12" X 12 ASP-13747 MENT 3/8" X 5 N/A N/A N/A IKB II N/A REPLACE. NO ANCIIOR ASP-16096 MENT ~

I/8 X 3" N/A NIA N/A A570-92 GR45 NIA REPLACE- NO FLAT BAR ASP-16652 MENT 3/8" X 4.25 N/A NIA NIA IIKB II NIA REPLACE. NO ANCIIOR ASP-14398 MENT 2-GCTS-RSOS 3/4" PLATE N/A NIA NIA A36-89 NIA REPLACE- NO 12 X ASP-13747 MENT 12'I8 X 10 N/A NIA NIA HKB II N/A REPLACE- NO ANCIIORS ASP-14398 MENT 3/8 X3 N/A NIA N/A A36-90 NIA REPLACF NO FLAT BAR, ASP-16013 MENT 2-GCTS-R520 I/O ANGLE N/A N/A N/A A36-90 N/A REPLACE- NO 3" X 3" ASP-14944 MENT 2-GCTS-R535 3/8 X2" N/A NIA N/A GRINNELL NIA REPLACE- NO FIG. 137 I ASP-13582 MENT

I, W

1

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMZXTS As Required by the Prove.sions of the ASME Code Section XZ

1. Owner INDIANA M I AN POWER MPANY Date P.O. Box 60 Name Fort W Address e IN 468 1 Sheet ~of d

2. Plant D C COOK NU LEAR POWER PLANT Unit Name One Cook Plac Bri an MI 4 106 J.O. 17441-05 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NI Type Code Symbol Stamp V Name Authorization No. 02 0-V 2 0 PARKWAY ST LAKE~ FL 33811 Address

4. Identification of System ONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSZ B31.1-83 / AZSC

5. (a) Applicable Const. Code ' 19 Ed., Add Code Case (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 19~83 W 8

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf . Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer Noa No. fication Built ment or No) 2-GCTS-R540 1/2" PLATE N/A N/A N/A A36-89 N/A REPLACE- NO 48" X 96" ASP-13931'( MENT NIS94

v+a il s;;- I

'I I

r

Page 4 of 4 FORM NIS-2 (Back)

Remarks UPPORTS WERE MODIFIED TO MEET THEIR DE I N BASIS RE IREMENTS Applicable Manufacturer's Data Reports to be attached AND T BRIN THEM WITHIN THE FSAR LIMIT VT-3 IN PE TIONS PERFORMED & AC EPTED. ASME CL.II I I CL.II J .C17441-05 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Certificate of Authorization No. N A N A signea 0.8 ~ CHER&~ Date 19 ~4 Owner or Owner's Designee, Title CERTZFZCATE OF ZNSERVICE INSPECTZON I g the undersigned, and Pressure i

ho lding a va 1 1 d commission s sued by the National Board of Boi1 er Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period sz /RH to l - -9H I and state that to the best of my knowledge

'nd 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 i=<. A<5 E.o d7nr X Inspector's S nat e National Bo rd, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date NIS94

037o-81 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACZ29 NTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER C M ANY Date 1 20 4 Name P. Box 60 Fort Wa e IN 46801 Sheet 1 of 3 Address Plant .. Unit

'n 2~ D COOK LEAR POWER PLANT Name n Cokp B MI 4 17441-05 Address Repair Org. P.O. No., Job No., etc

3. f Work Per ormed by NI Type Code Symbol Stamp V Name Authorization No. 2 -V 28 0 PARKWAY ST LAKELAND FL Address

4. Identification of System INMENT P

• AEP Specificati.ons / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• Ed., Code Case (b) Applicable Editi.on of Section XI 19 Utilized for Repairs or Add~

Replacements 19'~

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code f

Manu . Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Bui.lt ment or No) 2-GCTS-R554 1/4" ANGLE N/A N/A N/A A36-93A N/A REPLACE- NO 2" X 2" ASP-17202 if MENT 3/4" PLATE i N/A N/A N/A A36-89 N/A REPLACE- NO 12",X 12" ASP-13747.4 MENT BOLT /'/8" N/A ~ N/A N/A SA193-B7 N/A REPLACE- NO ASP-14271 Y MENT 5/8" NUT ~ N/A N/A N/A SPRING TYPE N/A REPLACE- NO UNZSTRUT ASP-15102 4 MENT

7. Description of Work M DIFY IT 2 LOWER ONTAINMENT PIPE SUPP RT PER DE I N DRAWIN REL VANT D R'ND F R RF II

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si.g Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 i.n. x 11 in., (2) information i.n items 1 through 6 on thi.s 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.

NIS94-1

FORM NXS-2 OWNER'S REPORT FOR REPAIRS OR REPEACEXEXTS As Required by the Provisions of the ASME Code Section XI Owner INDIANA MICHI AN POWER COMPANY Date 10 20 4 Name Box 0 F W IN 46 01 Sheet 2 of 3 Address Plant . C. C OK NU LEAR P WER PLANT Unit Name One Cook Pl ce Brid an MI 4 106 Z O. C17441-05 Address Repair Org. P.O. No., Job No., etc Work Performed by NI 0 Type Code Symbol Stamp V Name Authorization No. 02 0-V 2 0 PARKWAY ST LAKELAND FL 3 11 Address Identification of System CONTAINMENT SPRAY AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

{a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section XZ Utilixed for Repairs or Replacements ip~SW S ADDENDA Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat Other or Stamped Name of Name of Serial Board Identi- Year Replace- {Yes onent Manufacturer Noe No. fication Bui.lt ment or No) 2- S-R558 1/8" X 2" N/A N/A N/A A570-90 N/A REPLACE- NO FLAT BAR ASP-14560 MENT

'2 GCTS-R568 1/4" T S N/A N/A N/A A500-GRB N/A REPLACE- NO 3ff X 3ff ASP-8034 MENT 1/4" ANGLE ,N/A N/A N/A A36-90 N/A REPLACE- NO 3ff X 3ff ASP-14944 MENT 1/4" ANGLE N/A N/A N/A A36-93A N/A REPLACE-2" X 2" ASP-17202 MENT 1/4" PLATE N/A N/A N/A A240-89B N/A REPLACE- NO 48" X 96" TYPE 304 MENT ASP-12492 2-GCTS-R573 3/8" ANGLE N/A N/A N/A A36-90 N/A REPLACE- NO 3ff X 3ff ASP-15971 MENT 2-GCTS-R574 1/4ff T S N/A N/A N/A A500-GRB N/A REPLACE- NO 3ff X3 ASP-8034 MENT ANGLE N/A N/A N/A A36 N/A REPLACE- NO X 4" ASP-13905 MENT 1/4" PLATE N/A N/A N/A A240-89B N/A REPLACE- NO 48ff X 96 TYPE 304 MENT ASP-12492 1/4" ANGLE N/A N/A N/A A36-93A N/A REPLACE- NO 2" X 2" ASP-17202 MENT

V' P

4 lt 1

C l C P I P

V a I .~

Page 3 of 3 FORM NIS-2 (Back)

Remarks PP RT WE E M DI IED T MEET THEIR D BA I RE IREMENT Applicable Manufacturer's Data Reports to be attached AND T BRIN THEM WITHIN THE FSAR LIMIT VT- IN PE TI N PERF RMED A EPTED. 'ASME L.II I L II J 17441-05 CERTIFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Certificate of Authorization No. N A Expiration Date N A Signed Date Owner or er's Des gnee, Title CERTIFICATE OF ZNSERVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

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 . i- l ~ . lJ g 7 Inspector's~sign ure National Baird, Sta e, Province, Endorsements Date hee 8'9 9H

• FACTORY MUTUAL ENGZNEERZNG ASSOCIATION NZS94-1

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMERTTS As Recuired by the Provisions of the ASME Code Section XI Owner INDIANA MICHIGAN POWER COMPANY Date 10 20 4 Name P.O. Box 60 For@ Wayne IN 46801 Sheet 1 of 2 Address Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Bridcman MI 49106 J.O. C17441-05 Address Repair Org. P.O. No., Job No., etc

'pJork Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 02 0-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address fdentification of System CONTAINMENT SPRAY

.Ep Specifica" ions / MDS Standards / ANSI B31.1-83 / AISC

a) Applicable Const. Code

• 19 Eda 9 Add. Code Case it) applicatie Rdirion of section xz Utilized for Repairs or Replacements 19~83 w 3 ADD-NDA

6. .dentificat'on of Components Repaired or Replaced and Replacement Components Repai red ASME Manuf. Replaced Code Serial Nat. Other or Stamped

!!arne of Name of No. Board Identi- Year Replace- (Yes

=component Manufacture No. fication Built ment or No)

I

-OCTS-R575

'5'

/"" PLATE N/A N/A N/A A240-89B N/A REPLACE- NO 95" TYPE 304 MENT ASP-12492 ACTS-R530 N/A N/A N/A A36 (SHIM) N/A REPAIRED NO

'": ~i ONLY ASP-EXIST

'.-ACTS-R583

. 4" PLATE N/A N/A N/A A240-89B N/A REPLACE- NO I~

X 96 ~~

TYP 304 MENT ASP-12492 I

- ACTS-R597 N/A N/A N/A A36 N/A REPAIRED NO i:.'" D ONLY ASP-EXIST Description of Work MODIFY UNIT 2 LONER CONTAINMENT PIPE SUPPORTS PER

.'.<SIGN DRAWINGS JR: RELEVANT DCDR'S AND FOR RFC- 081 3 "'est Conducted: Hydrostatic Pneumatic Nominal Operating Pressure

J/A X Other Pressure sig Test Temp. oF z

Supplemlen" al sheets in form of lists, sketches, or drawings may be used, provided

( s'ze '- 8-1/2 in. x 11 in., (2) information in items 1 through 6 on this report is

'.:lude:I l cn e-ch sheet, and (3) each sheet is numbered and the number of sheets is

- co mded a"

~ ~

a the top of this form.

NIS94-2

ll V I

Page 2 of 2 FORM NIS-2 (Back),

9. Remarks R WE E M D IED T MEET THEIR DE BA I E IRE ENT Applicable Manufacturer's Data Reports to be attached AND T BRIN THEM WITHIN THE FSAR LIMIT VT-3 IN PE TI NS PERFORMED ACCEPTED A ME L II I I L II J 17441-0 CERTZFZCATE OP COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Certificate of Authorization No. N A N A Signed G isJ Date /I> g 19 Owner or er's Designee, Title CBRTZPZCATE OP ZNSERVZCE INSPECTION I g the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD SS.

have inspected the components described in this Owner's Report during the period I Csi to - - 5 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.

.A Commissions &~4 os Inspector's sign ure National Board, Sta e, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date l H 19~m NZS94-2

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLAC2XEXTS As Recpxired by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 1 2 4

'Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D K LEAR POWER PLANT Unit Name One Cook Plac'e Brid an MI 49106 J.O. C17441-Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NIS 0 Type Code Symbol Stamp V Name Authorization No. 02 0-V 28 0 PARKWAY ST. LAKELAND FL.

Address

4. Identification of System CONTAINMENT SPRAY

+ AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Editicn of Section XZ Utilized for Repairs or Replacements 19~8W E

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-GCTS-R693 3/8" X 2" A N/A N/A N/A A36-91 N/A REPLACE- NO FLAT BAR ASP-15946< MENT 2-GCTS-R697>

1/4ff ANGLE N/A N/A N/A A36-93A N/A REPLACE- NO 2ff X 2ff ASP-17202 ~ MENT 3/4" PLATE N/A N/A N/A A36-89 N/A REPLACE- NO 12" X 12" ~ ASP-13747+ MWNT 2-GCTS-V724 ~ N/A N/A N/A A36 N/A REPAIRED NO WELD ONLY ASP-EXIST

7. Description of Work M DIFY IT 2 L WER NTAINM PIPE P RT PER

'DESI N DRAWIN R RELEVANT D R'S AND FOR RFC-3081

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure sig Test Temp. oF z

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NIS94-3

E

'l

FORM NZS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMTME'S As Recpxired by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHI AN POWER COMPANY Date 1 20 4 Name P. B x 0 For W IN 4 801 Sheet 2 of Address

2. Plant D . COOK LEAR POWER PLANT Unit

'Ije Name One Co k Pl Bri n MI 4 106 AT 17441- 5 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NI Type Code Symbol Stamp V Name Authorization No. 02 -V 283 PARKWAY ST. LAKELAND FL 33 11 Address

4. Identification of System NTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC S. (a) Applicable Const. Code

• 19 Ed. f Add. Code Case (t) Applicatla Edition of Section XI Utilized for Repairs or Replacements 19~8W S

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat, Other or Stamped Name of Name of Serial Board Identi- Replace- (Yes Component Manufacturer No. No, fication Built ment or No) 2-GCTS-R713 8 1/2 " PLATE N/A N/A N/A ASP-13931w'ear A36-89 N/A REPLACE- NO 48" X 96" MENT NIS94-3

H Page 3 of 3 FORM NZS-2 (Back)

Remarks UPPORTS WERE MODIFIED TO MEET THEIR DE I N BASIS RE IREMENTS Applicable Manufacturer's Data Reports to be attached AND TO BRIN THEM WITHIN THE F AR LIM T IN PE TI S PERF RMED A EPTED A ME L II I 17441-0 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XI.

repair or replacement Type. Code Symbol Stamp N A Certificate of Authorization No. N A N A Signed Cs> - C Date 19 Owner Owner's Designee, Title CERTZFZCATE OP ZNSERVICE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler Vessel Inspectors and the State or Province of Michi an and Pressure and employed by l2 <P'o ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period 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 Zns'pector nor his employer shall be liable in any manner for any personal in)ury or property damage or a loss of any kind arising from or connected with this inspection.

Inspector 'Sig ture Commissions W. s &cAs National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 1M r 19 NZS94-3

~

4

FORM NIS-2 OWNER. S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.~ Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60

~ Fort Wa ne IN 46801 Sheet 1 of 5 Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 J.O. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identification of System CONTAINMENT SPRAY

,

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case

~b) Rpp]feeble Edition of Section EZ Utilized for Repairs or Replacements 19~83 W S 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes, Component Manufacturer No. No. fication Built ment or No) 2-GCTS- NO R689 1/2" HVY N/A N/A N/A A194(88A) N/A REPLACE- NO HEX NUT GRADE 2H MENT ASP-13381 1/2 "X 4" N/A N/A N/A FIG 137 N/A REPLACE- NO U-BOLT STD ASP-7929 MENT 2-GCTS-R691 1/2" HVY g N/A N/A N/A A194(88A) N/A REPLACE- NO HEX NUT GRADE 2H MENT ASP-13381,

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic [ ] Pneumatic ~ Nominal Operating Pressure N/A /~/ Other C j Pressure sig Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NIS94-77

t IP %

E

FORM NIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 2 of 5 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT

'ame Unit One Cook Place Brid an MI 49106 Z.O. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2 83 0 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identification of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AZSC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section XX Utilized for Repairs or Replacements 19~E3 W S 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 1/2" X 4" I/ N/A N/A N/A FZG 137 N/A REPLACE- NO STD U-BOLT ASP-7929 MENT 2-GCTS-R708 1/2" PLATE N/A N/A N/A A240(91A) y N/A REPLACE- NO STAINLESS GRADE 304 MENT ASP-15677 1/2" PLATE 1 N/A N/A. N/A A36-90 N/A REPLACE- NO ASP-15485 MENT 3/8" ANGLE 4 N/A N/A N/A SA36-A89 N/A REPLACE- NO 2 1/2" LEG ASP-14325 MENT

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic i i Pneumatic ~ Nominal Operating Pressure Other Pressure sig Test Temp.

Supplemental sheets in form of lists, sketches, or drawings may be used, provided NOTE:

(1) size is 8-1/2 in. x ll 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.

NZS94-77A

4 ~

~ V

370-d3 FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.~ owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60

~ ~ Fort Wa ne IN 46801 Sheet 3 of 5 Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 J.O. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identification of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSZ B31.1-83 / AZSC

5. (a) Applicable Const. Code

• 19 Ed. f Add. Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-GCTS-R704 2"X2"X3/8 N/A N/A N/A A36-88C N/A REPLACE- NO ANGLE ASP-11779 MENT 2-GCTS-R710 2"X2"X3/8"J N/A N/A N/A A36-88C N/A REPLACE- NO ANGLE ASP-11779 MENT 2-GCTS-R721

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: .Hydrostatic i i Pneumatic ~ Nominal Operating Pressure N/A i~i Other Pressure sig Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NZS94-77B

v

<<r lP D

FORM NIS-2 OWNERIS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 4 of 5 Address

'2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 Z.O. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. f Work Per ormed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identif ication of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) applicable Edition of Section EZ Utilised for Repairs or Replacements 19~83 W E 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 3/8" ANGLE N/A N/A N/A A36-90 N/A REPLACE- NO 3" X3 ASP-15971 MENT 3/8" ANGLE N/A N/A N/A SA36-A89 N/A .REPLACE- NO 2 1/2" LEG ASP-14325 MENT 3/4" PLATE~ N/A N/A N/A A36-90 N/A REPLACE- NO ASP-14793 MENT

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic i i Pneumatic ~ Nominal Operating Pressure N/A I~I Other + Pressure sig Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NIS94-77C

P~ '

I

437o-b3 Page 5 of 5 FORM NZS-2 (Back)

9. Remarks Applicable Manufacturer's Data Reports to be attached ASME CLASS II ISI CLASS II J.O. C17441-01 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct, and this Re lacement .

conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Certificate of Authorization No. N A Expiration Date N A gd- Date '7 Signed 19 Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler Vessel Inspectors and the State or Province of Michi an and Pressure and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period g- Jl to T-S- 9Y 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 XZ.

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 ~ic.l Inspector's ig ure National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date ~u ) 19 NIS94-75

" R 'I

't~

437o-d FORM NXS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of 7

2. Plant D.C.

Address COOK NUCLEAR POWER PLANT r Unit Name One Cook Place Brid an MI 49106 Z.O. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2 83 0 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identification of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards /,ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Edef Add Code Case (n) Applicable Edition of Section XZ Utilized for Repairs or Replacements 18~83 W 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-GCTS-R668 3/8" ANGLE N/A N/A N/A A36-90 N/A REPLACE- NO 3 II X 3 II ASP-15971 MENT 3/8" ANGLE N/A N/A N/A SA36-A89 N/A REPLACE- NO 2 1/2" LEG~ ASP-14325 MENT 1/2" PLATE N/A N/A N/A A36-90 N/A REPLACE- NO ASP-15309 MENT 7/8" PLATE N/A N/A N/A A36-90 N/A REPLACE- NO ASP-15171 MENT

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3 08 1.

8. Test Conducted: Hydrostatic ) )

Pneumatic ~ Nominal Operating Pressure Other t j Pressure sig Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NIS94-76

'I V,

V

~'Z -g FORM NIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Recyxired by the Provisi.ons of the ASME Code Secti.on XI

1. owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Nellie P.O. Box 60 Fort Wa ne IN 46801 Sheet 2 of 7 Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Uni,t Name One Cook Place Brid an MI 49106 Z.O. C17441-01 r

Address Repair Org. P.o. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authori.zation No. 0290-V 2830 PARKWA ST. LAKELAND FL. 33811 Address

4. Identi.f i.cati.on of System CONTAINMENT SPRAY

• AEP Speci.fi.cations / MDS Standards

/ ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code 19 Ed., Add. Code Case (t) Applicable Edition of Section XX Utili.zed for Repairs or Replacanants 19~83 W 8 983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fi.cation Built ment or No) 2-GCTS-R669 3/8" PLATE N/A N/A N/A A36-89 N/A REPLACE- NJU a

ASP-13747 MENT 5/8"X 6" N/A N/A N/A FIG 137N

~ N/A REPLACE- No U-BOLT STD ASP-16503 MENT 5/8" HVY N/A N/A N/A A194 GR 2H A N/A REPLACE- No HEX NUT ASP-15215 MENT 2-GCTS-R671

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8.. Test Conducted: Hydrostatic i i Pneumati.c ~ Nomi.nal Operating Pressure N/A Other + Pressure si.g Test Temp. oF NOTE: Supplemental sheets in form of li.sts, sketches, or drawings may be used, provided (1) si.ze is 8-1/2 in. x 11 in., (2) information in items 1 through 6 on this report i.s i.ncluded on each sheet', and (3) each sheet i.s numbered and the number of sheets is recorded at the top of this form.

NIS94-76A

~4 FORM NXS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Reguired by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 05 2 6 94 Name P.O. Box 60

~ ~ Fort Wa ne IN 46801 Sheet 3 of 7 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 Z.O. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address 4.

• -AEP Identification of

5. (a) Applicable Const. Code 1983 ADDENDA System

'9 CONTAINMENT SPRAY Specifications / MDS Standards / ANSI B31.1-83 / AISC

• Ed.,

applicable Edition of section xl Utilized for Repairs or Replacements Add. Code Case 19~83 W 8

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code

'anuf. Nat. other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 3/8" PLATE N/A N/A N/A A36-90 N/A REPLACE- No ASP-16047 MENT J'/2" ANGLEJ N/A N/A N/A A36-89 X N/A REPLACE- No 4 ~ I

)( 4 II ASP-13931 MENT 1/2" PLATE N/A N/A N/A A36-90 N/A REPLACE- NO ASP-14793 MENT j'/2" PLATE J N/A N/A N/A A36-90 N/A REPLACE- NO ASP-15309 MENT 1/2 " PLATE N/A N/A N/A A36-89 N/A REPLACE- NO ASP-15650 MENT

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic i )

Pneumatic ~ Nominal Operating Pressure N/A (~i other ~ Pressure sig Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NIS94-76

4 (

wacko-Sp FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.~ Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60

~ ~ Fort Wa ne IN 46801 Sheet 4 of 7 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 Jao. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2 8 3 0 PARKWAY ST. LAKELAND FL. 33811 Address

4. Zdentif ication of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section XX Utilited for Rapaira or Replacements 19~83 W S 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-GCTS-R673 5/8 as HVY N/A N/A N/A A194 GR 2H x N/A REPLACE- NO HEX NUT ASP-15215 MENT 5/8 X 6" 4 N/A N/A N/A FIG 137N N/A REPLACE- NO STD U-BOLT ASP-16503 MENT 2-GCTS-R675 3/8" PLATEJ N/A N/A N/A A36-90 N/A REPLACE- No ASP-16047 MENT

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic ) (

Pneumatic ~ Nominal Operating Pressure N/A f~( Other ~ Pressure sig Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NZS94-76C

'V C

'i V

43>o-6g FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Recpxired by the Provisions of the ASME Code Section XZ 1.~ Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60

~ ~ Fort Wa ne IN 46801 Sheet 5 of 7 Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 J.O. C17441-01 Address Repair Org. P.o. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 283 0 PARKWAY ST. LAKELAND FL. 33811 Address

4. Zdentif ication o f System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSZ B31.1-83 / AZSC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section XX Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA z

6. Zdentification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Zdenti- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 1/2" ANGLEy N/A N/A N/A A36-89 N/A REPLACE- NO 4" X 4" ASP-13931 MENT 10GA.SHEET N/A N/A N/A A570-90 N/A REPLACE- NO METAL GRADE 45 MENT ASP-14422 1/2" PLATE J N/A N/A N/A A36-89 N/A REPLACE- NO ASP-15650 MENT 1/2" PLATE J N/A N/A N/A A36-89 N/A, REPLACE- NO ASP-12781 MENT 1/4" PLATE i N/A N/A N/A A36-89 ASP-13747 N/A REPLACE-MENT NO

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic ( i Pneumatic ~ Nominal Operating Pressure N/A (~i Other Pressure sig Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NZS94-76D

FORM HIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ 1.~ Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60

~ Fort Wa ne IN 46801 Sheet 6 of 7 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 Z.O. C17441-01 Address Repair Org. P.o. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol'tamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Zdentif ication of System 'CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSZ B31.1-83 / AZSC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (n) Applicable Edition of Section rl Utilized for Repairs or Replacements 19~83 W E 1983 ADDENDA

6. Zdentification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Zdenti- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-GCTS-R677 5/8" HVY N/A N/A N/A A194 GR 2H N/A REPLACE- NO HEX NUT ASP-15215 MENT 5/8" X 6" N/A N/A N/A FZG 137N N/A REPLACE- .No STD U-BOLT ASP-16503 MENT

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic i i Pneumatic ~ Nominal Operating Pressure N/A i~i Other ~ Pressure sig Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NZS94-76E

P 4 (t"

gs7o-eP Page 7 of 7 I

FORM NZS-2 (Back)

9. Remarks Applicable Manufacturer's Data Reports to be attached ASME CLASS II ISI CLASS II J.O. C17441-Ol CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Certificate of Authorization No. N A Expiration Date N A Signed Date 19 Owner or er's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTION I 9 the undersigned, holding 'a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period

~// to 'F <- / 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 recuirements of the ASME Code, Section XZ.

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 in)ury or property damage or a loss of any kind arising om or connected with this inspection.

Commissions M ao J'4 EArj

/

Inspector's Si at e National Boa d, State, Province, Endorsements Date 19'FACTORY MUTUAL ENGINEERING ASSOCIATION NZS94-75

II 0' il h

r

FORM'IS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of 5 Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 J.O. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identification of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace>> (Yes Component Manufacturer No. No. fication Built ment or No) 2-GCTS-R646 3 "X3ssX3/8 "g N/A N/A N/A A36-90 X N/A REPLACE- NO ANGLE ASP-15971 MENT 1/2" PLATE N/A N/A N/A A36-89 N/A REPLACE- NO ASP-15650 ~ MENT ef'-GCTS-R647 5/8" HVY N/A N/A N/A A194 GR 2H v N/A REPLACE- NO HEX NUTS ASP-15215 MENT

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic i i Pneumatic ~ Nominal Operating Pressure Other ~ Pressure sig Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NIS94-74

A V '

t II

43/o-0S FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Recyxired by the Provisions of the ASME Code Section XI

l. Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 2 of 5 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 J.O. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identif ication o f System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section XX Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 5/8w X 699

~ N/A N/A N/A FZG 137N N/A REPLACE- NO U-BOLT ASP-16503 MENT 2-GCTS-R649 3/8" PLATE 4 N/A N/A N/A A36-90 N/A REPLACE- NO ASP-16047 MENT 5/8" HVY g N/A N/A N/A A194 GR 2Hg N/A REPLACE- NO HEX NUT ASP-15215 MENT 5/8" X 6" N/A N/A N/A FZG 137N p N/A REPLACE- NO U-BOLT ASP-16503 MENT

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic ) (

Pneumatic ~ Nominal Operating Pressure N/A Other + Pressure sig Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NZS94-74A

h

'I T

V

FORM N1S-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

l. Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 3 of 5 Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 Z.O. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identif ication of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section EZ Utilized for Repairs or Replacements 19~33 W E 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-GCTS-R651 C4 X 5.4 N/A N/A N/A SA36-89 N/A REPLACE- NO CHANNEL ASP-14434 MENT 2-GCTS-R655 3"X3"Xl/4" TUBE STEEL

/ . N/A N/A N/A r

A500-90 GR.B ASP-14481 N/A REPLACE-MENT NO r

3 "X4 "Xl/4" J N/A N/A N/A A500-90 N/A REPLACE- NO TUBE STEEL GRADE B MENT ASP-16756

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic ( i Pneumatic ~ Nominal Operating Pressure N/A (~i Other Pressure sig Test Temp. DF NOTE: Supplemental sheets in form of lists, sketches, or drawings may -be used, provided (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 recorded at the top of this form.

NIS94-74B

FORM NIS-2 OWNERi S REPORT FOR REPAIRS OR REPLACEMENTS As Recpxired by the Provisions of the ASME Code Section XI

l. owner INDIANA MICHIGAN POWER COMPANY Name Date 05 26 94 P.O. Box 60 Fort Wa ne IN 46801 Sheet 4 of 5 Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit

, Name One Cook Place Brid an MI 49106 Z.O. C17441-01 Address Repair Org. P.o. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Zdentif ication of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AZSC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section El Utilized for Repairs or Replacements 19~S3 W S 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 1/2" PLATE J N/A N/A N/A A36-89 N/A REPLACE- NO ASP-15309 MENT

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic I I Pneumatic ~ Nominal operating Pressure N/A I~l other I pressure I sig Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NIS94-74C

>37o-&X Page 5 of 5 FORM NZS-2 (Back)

9. Remarks Appli.cable Manufacturer's Data Reports to be attached ASME CLASS II ISI CLASS II Z.O. C17441-01 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XI.

repair or replacement Type Code Symbol Stamp N A Certificate of Authoriration No. N A Expiration Date N A Signed Date 19 gc Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by 5'o and Pressure Vessel Inspectors and the State or Province of ARKWRIGHT MUTUAL INS. CO.*

7 of NORWOOD MASS.

Michi an have inspected the components described in this Owner's Report during the period

~ -tI- 9 and employed and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described i.n this Owner's Report in accordance wi.th 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 i.n this Owner's Report. Furthermore, neither the Inspector nor his employer shall be li.able in any manner for any personal in)ury or property damage or a loss of any kind arisin from or connected with this inspection.

Commissions P1( c-~ <PJ4 ~cP'A' Inspector's gna re National Board, Sta e, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date uf NZS94-74

I l C r

437O-&Id FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of 6 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 Z.O. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identification of System CONTAINMENT SPRAY

+ AEP Specifications / MDS Standards / ANSZ B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (t) Applicable Edition of Section XI Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf.. Nat. Other or Stamped Name of of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-GCTS-R679 3/8" PLATE v'ameN/A N/A N/A A36-90 ASP-16047 g N/A REPLACE-MENT NO 1/2" ANGLE N/A N/A N/A A36-89 N/A REPLACE- NO 4" X 4" ASP-13931 + MENT 1/2" PLATE N/A N/A A36-89 N/A REPLACE- NO N/A'/A ASP-15309 ~ MENT 1/2" PLATE N/A N/A A36-89 N/A REPLACE- NO ASP-15650 4 MENT

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic [ [

Pneumatic ~ Nominal Operating Pressure N/A i~i Other ~ Pressure sig Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NZS94-78

A II C

~ fl 4

437o-k4 FORM NIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 2 of 6 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 Z.O. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Zdentif ication of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AZSC

5. (a) Applicable Const. Code

• 19 Ed.p Add. Code Case (b) Applicable Edition of Section Xf Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-GCTS-R681 1/2" HVY N/A N/A N/A A194 (88A) N/A REPLACE- NO HEX NUT J GRADE 2H MENT ASP-13381 W 1/2" X 4" N/A N/A N/A FIG 137 N/A REPLACE- NO STD U-BOLT ASP-7929 ~ MENT 3/8" PLATE N/A N/A N/A A36-89 N/A REPLACE- NO ASP-13747 MENT

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic i i Pneumatic Ij Nominal Operating Pressure N/A /~/ Other Pressure sig Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NZS94-78A

>3'-( P FORM NIS-2 OWNERIS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 3 of 6 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 J.O. C17441-01 Address Repair Org. P.o. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identification of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

~

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-GCTS-R682 3/8" ANGLE N/A N/A N/A A36-90 N/A REPLACE- NO 3" X 3" ASP-15971 ( MENT 3/8" ANGLE g N/A N/A N/A SA36-A89 v N/A REPLACE- NO 2 1/2" LEG ASP-14325 MENT 2-GCTS-R685

,1/2" HVY N/A N/A N/A A194(88A) N/A REPLACE- NO HEX NUT GRADE 2H MENT ASP-13381

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081..

8. Test Conducted: Hydrostatic i [ Pneumatic ~ Nominal Operating Pressure N/A /~/ Other t j Pressure sig Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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

. recorded at the top of this form.

NIS94-78B

l 437o-cop FORM NIS-2 OWNERIS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Earns P.O. Box 60 Fort Wa ne IN 46801 Sheet 4 of 6 Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 J C17441-01 Address Repair Org. P.o. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol stamp V Name Authorization No. 0290-V 2 83 0 PARKWAY ST. LAKELAND FL. 33811 Address

4. Zdenti.f icati.on of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AZSC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 19~93 W S 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 1/2" X 4" N/A N/A N/A FZG 137 Y N/A REPLACE- NO STD'U-BOLT ASP-7929 MENT 2-GCTS-R687 1/2" HEX N/A N/A N/A A194(88A) N/A REPLACE- NO HEX NUT GRADE 2H MENT ASP-13381 1/2 tl X 4 le N/A N/A N/A FZG 137 Y N/A REPLACE- NO STD U-BOLT ASP-7929 ' MENT 2-GCTS-R688

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081-

8. Test Conducted: Hydrostatic i i Pneumatic ~ Nominal Operating Pressure N/A Other Pressure sig Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x ll 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.

NZS94-78C

I 8

h E

I h

437o-DP FORM NIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 5 of 6 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Uni.t Name One Cook Place Brid an MI 49106 J.O. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identification of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed. i Add. Code Case ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat ~ other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No No. fication Built ment or No) 3/8" ANGLE N/A N/A N/A A36-90 N/A REPLACE- NO 3n X 3n ASP-15971 MENT 3/8" ANGLE g N/A N/A N/A SA36-A89 N/A REPLACE- NO 2 1/2" LEG ASP-14325 MENT 1/2" PLATE ~ N/A N/A N/A A36-90 N/A REPLACE- NO ASP-14793 MENT

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PE RFC-3081.

8. Test Conducted: Hydrostatic i i Pneumatic fj Nominal Operating Pressure N/A /~( Other ~ Pressure sig Test Temp. oF NOTE: Supplemental sheets, in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NIS94-78D

P

'I

gZ7o4(

Page 6 of 6 FORM NIS-2 (Back)

9. Remarks Applicable Manufacturer's Data Reports to be attached ASME CLASS II ISI CLASS II Z.O. C17441-01 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Certificate of Autho ization No. N A Expiration Date N A Signed I Date Owner o Owner's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTION I, the undersigned,'olding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed

'by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period V-)i- 9e to T- 9'- and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with .the requirements of the ASME Code, Section XZ.

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.

I Commissions Wi~ ooze E'~

t Inspector's ign re National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 19 NIS94-75

FORM NIS-2 OWNERS S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

'wner INDIANA MICHIGAN Name POWER COMPANY Date 05 26 94 P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of 5 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 JaO. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by. NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Zdentif ication of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSZ B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. other or Stamped, Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-GCTS- REPAIRED No R629 2-GCTS-R630 4 "X4"Xl/2"> N/A N/A N/A A36-90 N/A REPLACE- NO ANGLE ASP-14208 MENT 2-GCTS-R633 1/8" FLAT~ N/A N/A N/A A570-91 N/A REPLACE- No BAR GRADE 45 MENT ASP-15946$

7. Description o'f Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic i i Pneumatic I Nominal Operating j Pressure N/A /~/ other ~ Pressure sig Test Temp. oF Supplemental sheets in form of lists, sketches, or drawings may be used, -provided NOTE:

(1) size is 8-1/2 in. x ll in.f (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.

NZS94-73

4 b

~ ~<<

lg 0

C

AS wfp-@7 FORM NIS-2 OWNERPS REPORT FOR REPAIRS OR REPLACEMENTS As Recpxired by the Provisions of the ASME Code Section XZ 1.~ Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60

~ Fort Wa ne IN 46801 Sheet 2 of 5 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 J.O. C17441-01 Address Repair Org. P.O. No., Job Noes etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name . Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identification of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AZSC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section El Utilized for Repairs or Replacements 19~83 W E 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Xdenti- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 3/8" PLATE~ N/A N/A N/A A36-89 N/A REPLACE- NO ASP-13747~ MENT 1/4" FLAT ~ N/A N/A N/A A36-91 N/A REPLACE- NO BAR ASP-16312 w MENT 2-GCTS-R637 3/8" PLATE i N/A N/A N/A A36-89 ASP-13747+

N/A REPLACE-MENT NO 1/4" FLAT ~ N/A N/A N/A SA36-A89 N/A REPLACE- NO BAR ASP-13809 ~ MENT

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic i i Pneumatic ~ Nominal Operating Pressure N/A (~i Other ~ Pressure sig Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NZS94-73A

J FORM NIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 3 of 5 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 J.O. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identification of System CONTAINMENT SPRAY

+ AEP Specifications / MDS Standards / ANSI B31.1-83 / AZSC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of section Xf Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 1/8" FLAT + N/A N/A N/A" A570-91 GR45 N/A REPLACE- NO BAR ASP-15946 ~ MENT 2-GCTS-R641 5/Sw HVY N/A N/A N/A A194 GR 2H N/A REPLACE- NO HEX NUT+ ASP-15215 4 MENT 5/8" STDeg N/A N/A N/A FIG 137N N/A REPLACE- NO U-BOLT ASP-16503 4 MENT 2-GCTS-R643

7. Description o f Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic [ )

Pneumatic ~ Nominal Operating Pressure Ot'her + Pressure sig Test Temp. oF a

Supplemental sheets in form of lists, sketches, or drawings may be used, provided NOTE:

(1) size is 8-1/2 in.. x ll 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.

NZS94-73B

A87o-fp7 FORM NIS-2 OWNERPS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ,

1. owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 4 of 5 Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 AT.O. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Zdentif ication of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSZ B31.1-83 / AZSC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (t) Applicable Edition of Section XX Utl.lized for Repairs or Replacements 19~83 W 8 1983 ADDENDA P

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Zdenti- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 5/8" HVY N/A N/A N/A A194 GR. 2H N/A REPLACE- ~

NO HEX NUT ASP-152158 MENT aa 5/8" X N/A N/A N/A FZG 137N N/A REPLACE- ,NO U-BOLT STD ASP-16503 MENT 7 ~ Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted:

z

~ Hydrostatic [ i Pneumatic ~ Nominal Operating Pressure Other + Pressure sig Test Temp. oF NOTE: Supplemental sheets in form of listsf sketches, or drawings may be used, provided (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 recorded at the top of this form.

NZS94-73C

rt II

garo-d/

Page 5 of 5 FORM NZS-2 (Back)

9. Remarks HANGER 2-GCTS-R629 HAD WELD REPAIR DONE ONLY Applicable Manufacturer's Data Reports to be attached ASME CLASS II ISI CLASS II Z.O. C17441-01 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed C.g Date

~

c,/

/< 19 'F Owner or er's Designee, Title CERTIFICATE OF INSERVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of. NORWOOD MASS.

have inspected the components described in this Owner's Report during the period to - 8'- 9s 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 recpxirements of the ASME Code, Section XZ.

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 rom or connected with this inspectS. on.

Commissions Wic 4 Znspector's S' re National B ard, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 19 NZS94-73

~e FORM NIS-2 OWNER~S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

l. Owner INDIANA MICHIGAN POWER Name COMPANY Date 05 26 94 P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of 6 Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 Z.O. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 283 0 PARKWAY ST. LAKELAND FL. 3 38 11 Address

4. Identif ication of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards /. ANSI B31.1-83 / AZSC

5. (a) Applicable Const. Code

• 19 Edas Add. Code Case (b) Applicable Edition of Section El Utilired for Repairs or Replacements 19~83 W 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-GCTS-R657 5/8's HVY

~

N/A N/A N/A A194 GR 2H N/A REPLACE- NO HEX NUT ASP-16503 MENT 1/2" PLATE~ N/A N/A N/A A240 (91A) ~ N/A REPLACE- NO STAINLESS GRADE 304 MENT ASP-15677 5/8- X 6"J N/A N/A N/A FIG 137N N/A REPLACE- NO U-BOLT ASP-16503 MENT 2-GCTS-R659

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic ( (

Pneumatic ~ Nominal Operating Pressure N/A I I Other Pressure sig Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 11 ines (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.

NZS94-75

1

~

• 4 I

FORM NIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Recpxired by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 2 of 6 Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 J".O. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identification of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 19~33 W E 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 3"X3"X1/4"J N/A N/A N/A A500-90 GR.B N/A REPLACE- NO TUBE STEEL ASP-14481 MENT 3 "X4 "X1/4" J N/A N/A N/A A500-90 GR.B N/A REPLACE- NO TUBE STEEL ASP-16756 MENT 3/8" PLATE ~ N/A N/A N/A A36-90 N/A REPLACE- NO ASP-16047 MENT 2-GCTS-R661 5/8" HVY g N/A N/A N/A A194 GR 2H N/A REPLACE- NO HEX NUT ASP-15215 MENT

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3 08 1 .

8. Test Conducted: Hydrostatic ) (

Pneumatic ~ Nominal Operating Pressure N/A I I Other Pressure sig Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings,may be used, provided (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 recorded at the top of this form.

NIS94-75A

jl vt

cV7O- ~S FORM NIS-2 OWNER S REPORT FOR REPAIRS OR REPLACEMENTS As Recpxired by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 3 of 6 Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 . J.O. C17441-01 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identification of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section XZ Utiliaed for Repairs or Replacements 19~83 W S 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 1/2" PLATE N/A N/A N/A A240 (91A) N/A REPLACE- NO STAINLESS J GRADE 304 g MENT ASP-15677 5/8" X 6" g N/A N/A N/A FIG 137N N/A REPLACE- NO U-BOLT ASP-16503 MENT 2-GCTS-R663 3 "X3 "Xl/4>> J N/A N/A N/A ASOO-90 GR.B N/A REPLACE- NO TUBE STEEL ASP-14481 MENT 4 "X3 "Xl/4" I N/A N/A N/A ASOO-90 N/A REPLACE- No TUBE STEEL GRADE B MENT ASP-16756

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic [ )

Pneumatic t Nominal Operating j Pressure N/A I 1 Other + Pressure sig Test Temp. OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NIS94-75B

C 4

1

,I

FORM NIS-2 OWNERiS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 4 of 6 Address .

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 Z.O. C17441-01 Address Repair Org. P.O. Noaf Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Zdentif ication of System CONTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSZ B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section XX Utilized for Repairs or Replacements 19~83 E 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 3/8" PLATE J N/A N/A N/A A36-90 N/A REPLACE- No ASP-16047 MENT 1/2" PLATE N/A N/A N/A A36-89 N/A REPLACE- NO ASP-12781 MENT 2-GCTS-R665 5/8" HVY J N/A N/A N/A ,A194 GR 2H N/A REPLACE- NO HEX NUT ASP-15215 ~ MENT 5/8" X 6"J N/A N/A N/A PZG 137N N/A REPLACE- NO U-BOLT ASP-16503 MENT

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPO TS PER RFC-3081.

8. Test Conducted: Hydrostatic i i Pneumatic t Nominal Operating j Pressure N/A I I other + Pressure sig Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NIS94-75C

1 ~

4

FORM NIS-2 OWNERIS REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 05 26 94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 5 of 6 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 J.O. C17441-01 Address Repair Org. P.o. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 283 0 PARKWAY ST LAKELAND FL 33811 Address

4. Zdentif ication of System CONTAINMENT SPRAY

+ AEP Specifications / MDS Standards / ANSZ B31.1-83 / AZSC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (n) Applicable Edition of Section Xl Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA

6. Zdentification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Zdenti- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-GCTS-R667 3/8" PLATE ~ N/A N/A N/A A36-90 N/A REPLACE- No ASP-16047 MENT 1/2" ANGLEJ N/A N/A N/A A36-89 Ad( N/A REPLACE- NO 4al X 4zt ASP-13931 MENT 1/2" PLATE / N/A N/A N/A A36-89 ASP-15650 K N/A REPLACE-MENT NO 1/4" PLATE i N/A N/A N/A A36-89 y, N/A REPLACE- NO ASP-13747 MENT

7. Description of Work FAB INSTALL U 2 UPPER VOLUME RING HEADER SUPPORTS PER RFC-3081.

8. Test Conducted: Hydrostatic i i Pneumatic t I Nomina'1 Operating Pressure N/A I I Other Pressure sig Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NZS94-75

Page 6 of 6 FORM NIS-2 (Back)

9. Remarks Applicable Manufacturer's Data Reports to be attached ASME CLASS II ISI CLASS II Z.O. C17441-01 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Certificate of Authorization No. N A Signed H4 i4~ Date 19 Owner or er's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTION I g the undersigned, ho 1 ding a va 1 id commission issued by the Nationa 1 Board of Boiler and Pressure Vessel Inspectors and the State or Province .of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

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 recpxirements 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 Inspector's Signature National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 19 NZS94-75

PORN NZS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

'wner INDIANA MI HIGAN Name P WER COMPANY Date P. . B x F r Address Wa IN 46 1 Sheet 1 of 2 ~ Plant D. C COOK NU LEAR P WER PLANT Unit Name On o k Plac Brid n MI 4 10 17454-1 2- I-L-7 PP RT Address Repair Org. P.O. No., Job No., etc 3 ~ Work Performed by n n n D rmn Name 2 Expiration Date N A Address

4. Identif ication of System AFETY IN E TI N YSTEM 83 ummr1 A n

6. Identification of Components Repaired or Replaced and Replacement Components ficationn Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial'o. Board Year Replace- (Yes Component Manufacturer No. Identi- Built ment or No) 2-GSI-L-70 N/A N/A N/A N/A N/A REPAIRED NO SHIM PLATE DUBOSE STEEL N/A N/A ASTM A-36 1989 REPAIRED NO INC. M&E30153201 ASP$ 13127

7. Description of Work S R mark

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

r Page 2 of 2 FORM NIS-2 (Back)

9. Remarks IN TALLED A " X " X 1 " HIM T REDU E EX E IVE A Applicable Manufacturer's Data Reports to be attached BETWEEN THE WEST L AND ADJA ENT 4" X 13" BEAM

-174 4- 1 File 2- I-L-7 II 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Sig ed Fr nk Pisa sk aint.En .Su ervisor Date 4-4/

Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTION I, the undersigned, holding.a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have jets ec g the components described in this Owner's Report during the period 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 XZ.

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 Znspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

's Signature Commissions /O A' SF'Ae 2 ~

Inspect National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 19 l8

FORM NIS-2 OWNER'S REPORT,POR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA I IGAN POWER COMPANY Date 09-27-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C17829-4 2-CS-328-L4 Address Repair Org. P.O. No., J'ob No., etc

3. Work Performed by MaintenanCe De artment Name Same as 2 Expiration Date N A Address

4. Identification of System CHARGING CVCS (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code of of f

Manu . Nat. Other or Stamped Name Name Seri.al Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-CS-328-L4 N/A N/A N/A N/A N/A REPAIRED NO ALL THKM) ALLIED NUT N/A N/A ASTM A435 1986 REPLACE- NO STUDS BOLT CO. GRADE 660 MENT M&E30047014 ASP¹15347 CARDINAL N/A N/A ASME SA-194 N/A REPLACE- NO INDUSTRIAL GRADE 8F MENT PRODUCTS INC. M&E30212100 ASP¹17230

7. 'Descripti.on of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other VT1 Pressure si. Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided

~

-~ (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 recorded at the top of this form.

i'P Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED BONNET TO BODY BOLTING MATERIAL.

Applicable Manufacturer's Data Reports to be attached Ref. JO:C17829-4 File: 2-CS-328-L4 ISI 1 CBRTZFZCATB OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section or replacement XI'epair Type Code Symbol Stamp N A Expiration Date N A Signed Frank isars Maint..gn erriser nate Owner or Owner's Designee, Title CERTIFICATE OF INSERVZCE ZNSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO

• of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period 9/ac j's< 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 XZ.

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 M~d-l- >>~~ L'~dP lv Inspector's ure Board, State, Province, Endorsements s'ational Date - v~c ai. 2I ager *FACTORY MUTUAL ENGZNEERZNG ASSOCIATION

.I

~4k 4

~ ~

D 4

It I

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-29-94 Name P.O. Box 60 Fort Wa e ,IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C18664-3 2-IMO-325 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System RESIDUAL HEAT REMOVAL (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. identi- Built ment or No) fication 2- IMO"325 N/A N/A N/A N/A N/A REPAIRED No STUDS NOVA MACHINE N/A N/A ASTM A-453 1986 REPLACE- NO PRODUCTS CORP GRADE 660 MENT M&E30029999 ASP¹15076 ITT N/A N/A ASME SA-194 N/A REPLACE- NO ENERGINEERED GRADE 8F MENT VALVES M&E30212090 ASP¹11191

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other VT1 Pressure si Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

I 9 Remarks I REPLACED CARBON STEEL BOLT NG MATERIAL WITH STAINL Applicable Manufacturer's Data Reports to be attached s

FASTENERS.

Ref . JO: C18664-3 File: 2-IMO-325 ISI 1 CERTZPZCATE OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Certific Expiration Date N A Signed rank sarsk

+.m Maint. En . Su ervisor Date <m > 19 Owner or Owner's Designee, Title CERTZPZCATE OP ZNSERVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period to ro-2 p- 4a 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 XZ.

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 r1'=> ooS Inspector's ign ure National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERINGASSOCIATION Date Oc v-n b>> s 'Zd 19

b 4

0>

/37'-r(

FORM NIS "2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA M I P W MPANY Date 1 17 4 Name P. . Box 0 Fort W ne IN 46801 Sheet 1 "

of 2 Address

2. Plant D.C C K NU LEAR P WER PLANT Unit Name On Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NI Type Code Symbol Stamp V Name Authorization 'No. 2 -V Address P

4. Identification of System NTAINMENT SPRAY

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19~~W

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-GCTS-R700 1/8"X 3" N/A N/A N/A A570-92 GR45 N/A REPLACE- NO FLAT BAR ASP-16652 MENT

7. Description of Work IN TALL NEW SHIM PLATE TO ELI TE THE EX E IVE LATERAL A BETWEEN XI IN "PIPE AND E 2- T -R700

8. Test Conducted: Hydrostatic ~ Pneumatic ~ Nominal Operating Pressure N/A Other ~ Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NIS94

E S

$32O-7(

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks IFTNI Applicable Manufacturer's Data Reports to T

be attached B RE IPE I

PP RT B K T IT DE I N BA I RE ENT AND BRIN IT WITH N F AR LIMIT A ME CLA II II LA S II 1 0-02 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this R 1 m conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp Certificate of Authorization No. N A Signed 4 < r Date 19 Owner or wner's Designee, Title CERTZPZCATE OF ZNSERVZCE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mi hi n and employed by AR I of W have inspected the components described in this Owner's Report during the period ic -z~- 0 0 to and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XZ.

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.

Inspector'ommissions Sig ture mi ~ o~ AP National Bayard, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date Wo > i~ 19~<

NIS94

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Page 2 of 2 FORM NIS-2 (Back)

9. Remarks PER CODE CASE N-416 SYSTEM NON-ISOLATABLE HYDRO WILL BE Applicable Manufacturer's Data Reports to be attached PERFORMED AT 1331 PSIG DURING 10 YEAR ISI HYDRO. VT-2 PERFORMED AFTER SYSTEM WAS IN OPERATION AND FOUND TO BE ACCEPTABLE.

ASME CODE CLASS N A ISI CLASS II CERTIFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement Re air conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Certificate of Authorization No. Expiration Date N A Signed Owner or I c -Wc ner's Design ee, Title i ~ Date JZ ~a/ 19 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.+ of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period to I - s - 9G -, 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 Znspector nor his employer shall be liable in any manner for any personal in)ury or property damage or a loss of any kind arising from or connected with this inspection.

Commissions P1i e L An Inspector's gnat e National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date Jan vnR 19 tG

~ \

a hh 4378- /E FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10 09 4 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of 2 Address

2. Plant D.C . COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 4 106 J.O. C1 472-04 Address Repair Org. P.O. No., Job

~

Noes etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 02 0-V 2830 PARKWAY ST. LAKELAND FL 33 11 Address

4. Identif ication of System FEEDWATER

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. N-416 Code Case (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 19~83 W E

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 14" SCH 80 Dalmine N/A N/A SA 106 Gr B N/A REPLACE- NO PIPE SPOOL POP 64591- MENT 040-3 HTP 933804

7. Description of Work INSTALL A 14" PIPE SPOOL WITH INSPECTION PORT IN TALLED BY OTHERS IN THE FEEDWATER YSTEM.

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X N/A Other Pressure si Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

l&

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks PER CODE CASE N-416 - SYSTEM NON- ISOLATABLE HYDRO WILL BE Applicable Manufacturer's Data Reports to be attached PERFORMED AT 1331 PSIG DURIN 10 YEAR ISI HYDRO. VT-2 PERFORMED AFTER SY TEM WAS IN OPERATION AND FOUND TO BE ACCEPTABLE.

ASME CODE CLASS N A ISI CLASS II CERTIFICATE OF COMPLIANCE We certify that the stat'ements made in the report are correct and this Re lacement Re air conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed -Ci Date 19 Owner or Owners Designee, Title CERTIFICATE OF INSERVZCE INSPECTION I,

and Pressure by 'f the undersigned, holding a valid commission issued by the National Board of Boiler Vessel Inspectors and the State or Province of Michi an ARKWRIGHT MUTUAL INS. CO.* NORWOOD MASS.

have inspected the components described in this Owner's Report during the period C.- )- to and employed 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 XZ.

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.

Inspector's S+nature Commissions Ac,4 oa55 &i f7 National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date V~evwrz 19~5

FORM HIS-2 OWNER' REPORT FOR REPAIRS OR REPLAC22KlNTS

, As Required by the Provisions of the ASME Code Section XI 1.~ Owner INDIANA MICHIGAN POWER COMPANY Date 10 0 94 Name P.O. Box 60

~ Fort Wa e IN 46 01 Sheet 1 of 2 Address

2. Plant D. C. COOK NUCL'EAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 J.O. C1 474-04 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V

'2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identification of System FEEDWATER

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. N-416 Code Case (b) Applicable Edition of Section XX Utilised for Repairs or Replacements 19~83 W 3

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer Nos No. fication Built ment or No) 14" SCH 80 Dalmine N/A N/A SA 106 Gr B N/A REPLACE- NO PIPE SPOOL POP 64591- MENT 040-3 HTP 933804

7. Description of Work IN TALL A 14" PIPE SPOOL WITH INSPECTION PORT INSTALLED BY OTHERS IN THE FEEDWATER SY TEM.

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X N/A Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

0 I4~,o

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks PER CODE CASE N-416 SYSTEM NON-ISOLATABLE HYDRO WILL BE Applicable Manufacturer's Data Reports to be attached PERFORMED AT 1331 PSIG DURING 10 YEAR ISI HYDRO. VT-2 PERFORMED AFTER SYSTEM WAS IN OPERATION AND FOUND TO BE ACCEPTABLE.

ASME CODE CLA S N A ISI CLASS II CERTIFICATE OF COMPLZANCE We certify that the statements made in the report are correct and this Re lacement Re air conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Certificate of Authorization No. N A Expiration Date N A Signed Date /2 19 Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler Vessel Znspectors and the State or Province of Michi an and Pressure and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period C-I- 9W 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 ~'c-4 ooG ~ &~M C n

Inspector's gnatu e National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date Wc~ uw 19~$

FOIQi NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

l. Owner INDIANA MICHIGAN POWER COMPANY Name Date 10 13 4 P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of 2 Address

2. Plant D.C. COOK NU LEAR POWER PLANT Unit Name One Cook Place Brid an MI 4 106 J.O. C1 47 -04 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND FL. 33 11 Address

4. Identif ication of System FEEDWATER

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. N-416 Code Case (t) Applicable Edition of Section XX Uti.lized for Repairs. or Replacements 19~83 W S 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repai red ASME Replaced Code Manu .f Nat. Other Identi-or Replace-Stamped Name of Name of Serial Board Year (Yes Component Manufacturer No. No. fication Built ment or No) 14" SCH, 80 Dalmine N/A N/A SA 106 Gr B N/A REPLACE- NO PIPE SPOOL POP 64591- MENT 040-3 HTP 933804

7. Description of Work INSTALL A 14" PIPE SPOOL WITH INSPECTION PORT IN TALLED BY OTHERS IN THE FEEDWATER SYSTEM.

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X N/A Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks PER C DE CA E N-416 - SYSTEM NON-ISOLATABLE HYDRO WILL BE Applicable Manufacturer's Data Reports to be attached~

PERFORMED AT 1331 PSIG DURING 10 YEAR ISI HYDRO. VT-2 PERFORMED AFTER SYSTEM WAS IN OPERATION AND FOUND TO BE ACCEPTABLE.

ASME CODE CLAS N A II LASS II CERTIFZCATE OF COMPLZANCE We certify that the statements made in the report are correct and this Re lacement Re air conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Certificat of Authorization No. N A N A Signed Date Owner or ner's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period I- RH to i-+- q5" 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 H~c-4 oops Er cA 4X Inspector's gna re National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date Ze nuc wK I 19

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Recpxired by the provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-30-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C . COOK NUCLEAR POWER PLANT Unit Name i

One Cook Place Brid an MI 49106 C19629-6 2- RV-111 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identif ication of System LETDOWN CVCS (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf.. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-QRV-ill N/A N/A N/A N/A N/A REPAIRED NO TRI'M COPES- N/A N/A ASME SA-564 N/A REPLACE- NO ASSEMBLY VULCAN INC. GRADE 630 MENT M6'cE30036150 ASP¹16921

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF y

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks VALVE CAGE AND PLUG DID NOT PASS BLUE CHECK REPLACED TRIM Applicable Manufacturer's Data Reports to be attached ASSEMBLY CONSISTING OF 1 CAGE 1 PIN 1 PLUG AND 1 STEM.

Ref. JO:C19629-6 File: 2- RV-111 ISI 1 CERTIFICATE OR COMPL'IANCB Ne certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A

'-""'s~"'K" Frank Pisarsk Maint.En .Su

"'igned ervisor Date Expiration Date 19 N A Owner or Owner's Designee, Title CBRTZPZCATE OP ZNSBRVZCE 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 Michi an and employed by ARKwRIGHT MUTUAL INs. co.* of NoRwooD MAss.

have inspected the components described in this Owner's Report during the period D. - ~~ ~iati 'tO a'Z. - - +4 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.

nspectorr's S'gnatu Commissions ~ =.4 s i-National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 'I . i 19

P ~

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09 94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C19862-1 2-GRC-S555 Address Repair Oxg. P.O. No., Gob No., etc

3. work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System PIPING SUPPORT (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-GRC"S555 CORP'anuf.

N/A N/A N/A N/A N/A REPAIRED NO CONTROL GRZNNELL N/A N/A M&E30040550 N/A REPLACE- NO VALVE BLOCK ASPg16665 MENT RESERVOIR

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION "A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR.

Ref. JO: C19862-1 File: 2-GRC-S555 ISI:1 CERTZPZCATE OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A N A Pisarsk r

Maint. En . Su ervisor Date u 44 Signed Fra Owner or Owner's Designee, Title CERTZFZCATE OP INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Pressure Vessel Inspectors and the State or Province of Michi an Boiler'nd and employed by ARKWRIGHT MUTUAL INS. CO.* of . NORWOOD MASS.

have inspected the components described in this Owner's Report during the period i'r' ig- 9 3 to /4- i- ~V 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 XZ.

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 Znspector 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 H =! ooSW E~:gN-~

Inspector ' igna re National Boa d, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION 19~I

f N I

~'

P

FORM NIS-2 OWNER' REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-27-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address 2 ~ Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C19864-1 2-GRC-S573 Address Repair Org. P.O. No., Gob No., etc work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. identification of System PIPING SUPPORT (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Xdentification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-GRC-S573 N/A N/A N/A N/A N/A REPAIRED NO CONTROL GRXNNELL N/A N/A M&E30040551 N/A REPLACE- NO VALVE BLOCK CORP. ASPg17059 MENT RESERVOER

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURAT1ON "A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR.

Ref. JO: C19864-1 File: 2-GRC-S573 ISI:1 We certify that the statements re lacement repair or replacement Type Code Symbol Stamp

"""'w"'"-'-r;"

Signed 84c Owner xsars N A

~

CBRTZPZCATB OP COMPLIANCE made in the report are correct and this conforms to the rules of the ASME Code,Section XI.

Maint.En .Su ervisor Date or Owner's Designee, Title Expiration Date tt CERTZPZCATE OP ZNSBRVZCB INSPECTION 19 N A I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period to wc - "-- 9Y 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 Znspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arisin from or connected with this inspection.

Commissions ~i~<A ooSS. ~n~l~~ Z ~

Inspector's gn re National Board, State, rovince, Endorsements

• FACTORY, MUTUAL ENGINEERING ASSOCIATION Date ram 19~V'

PORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-27-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place'rid man MI 49106 C19866-1 2-GRC-S598 Repair Org. P.O. No., J'ob No., etc Address 3 . f Work Per ormed by Maintenance De ar tment Name Same as 2 Expiration Date N A Address

4. identification of System PIPING SUPPORT (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-GRC-S598 N/A N/A N/A N/A N/A REPAIRED NO CONTROL GRZNNELL N/A N/A M&E30040550 N/A REPLACE- NO VALVE BLOCK CORP. ASPg16665 MENT RESERVOIR

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

1

I Page 2 of 2 FORM NIS-2 (Back)

9. Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION "A" Applicable Manufacturer's Data Reports to be attached 1

KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR.

Ref. JO: C19866-1 File: 2-GRC-S598 ISI 1 CBRTIFICATB OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A

'9 Expiration Date N A Signed Fr Pi s Mai .En .Su ervisor Date 19 Owner or Owner's Designee, Title CERTZFZCATB OF INSBRVICB INSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRZGHT MUTUAL ZNS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period to I2 - oL- i'1 and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the recpxirements of the ASME

'ode, Section XZ.

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 from or connected with this inspection.

Commissions Pii;.l. ooS S . +'niY/J r<

Inspector' SignatVre National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date c 9 99 i~a 19 ~S

g tg RORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-29-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D.C . COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C19869-1 2-FW-S4-U Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System PIPING SUPPORT (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-FW-S4-U N/A N/A N/A N/A N/A REPAIRED NO CONTROL GRZNNELL N/A N/A M&E30040552 N/A REPLACE- NO VALVE BLOCK CORP. ASPQ17059 MENT RESERVOIR

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 PORN NZS-2 (Back)

9. Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION "A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR.

Ref. JO: C19869-1 File: 2-FW-S4-U ISI:2 CBRTIPICATB OP COMPLIANCB We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or, replacement Type Code Symbol Stamp

""'"'EV "'""'"int.En Pxsarsk

""N A

.Su ervisor Date Expiration Date 19'f N A Signed F M Owner or Owner's Designee, Title CBRTZPICATB OP ZNSBRVICB ZNSPBCTZON I, .the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.*

Vv'nd have inspected the components- described i/X~I"l~3 to '- -I of in this NORWOOD MASS.

Owner's Report during the period 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. recpxirements of the ASME Code, Section XZ.

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 ~iMau55 Wr //J'~/

Inspector' xgna 'e National Bo rd, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date

II FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-24-94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Bridaman MI 49106 C19875-1 2-FW-S5 Address Repair Org. P.O. No., Job No., etc

3. work Performed by Maintenance Deoartment Name Same as 2 Expiration Date N A Address

4. Zdentification of System PIPING SUPPORT (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Zdentification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. identi- Built ment or No) fication 2-FW-S5 N/A N/A N/A N/A N/A REPAZRED NO CONTROL GRZNNELL N/A N/A M&E3 0040551 N/A REPLACE- NO VALVE BLOCK CORP. ASP¹17059 MENT RESERVOIR RESERVOZR GRZNNELL N/A N/A M&E30040552 N/A REPLACE- NO CORP ASP¹16465 MENT

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

V ~ .

s

~ I Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION "A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR RESERVOIR DID NOT PASS SERVICEABILITY EXAM REPLACED RESERVIOR.

Ref. JO: C19875-1 File: 2-FW-S5 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A

"""'-" t" Expiration Date N A Signed Fra isarsk Maxnt.En .Su ervisor Date 19q Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period g-r~- 9u to - 3" ~(5 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 recpxirements of the ASME Code, Section XZ.

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'ng from or connected with this inspection.

Commissions Wi.-t-ture National Board, Sta e, Province, Endorsements ops'nspector'i

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date ~~~ ui~ 3 19 95

FORM NXS-2 OWNER'S REPORT FOR REPAXRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-27-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 C19877-1 2-FW-S8-U Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System PIPING SUPPORT (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-FW-S8-U N/A N/A N/A N/A N/A REPAIRED NO CONTROL GRINNELL N/A N/A M&E30040551 N/A REPLACE- NO VALVE BLOCK CORP. ASPN17059 MENT RESERVOIR

7. Description of Work See 'Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED EXISTING HARDWARE WITH A'RINNELL CONFIGURATION "A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR.

Ref. JO: C19877-1 File: 2-FW-SS-U ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Qgl"" Expiration Date N A Signed Frank Pisars Mai t.En .Su ervisor Date Owner or Owner's Designee, Title CERTZFZCATE OF ZNSERVICE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of 'Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

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 recpxirements 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 ki d arising m or connected with this inspection.

Commissions Hi.ilu~rr &IP' Inspector's S' e National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGZNEERING ASSOCIATION Date r ~~~ra. br~ 2- 19

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09 94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of

~

Address'.

Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 C19880-1 2-GBD-S568 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment ~

Name Same as 2 Expiration Date N A Address

4. Identification of System PIPING SUPPORT (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf., Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-GBD-S568 N/A N/A N/A N/A N/A REPAIRED NO CONTROL GRZNNELL N/A N/A M&E30040550 N/A REPLACE- NO VALVE BLOCK CORP. ASP¹16665 MENT RESERVOIR

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

>J ~ ~ 'r Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION "A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR.

Ref. JO: C19880-1 File: 2-GBD-S568 ISI:2 CERTZFZCATB OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A

"'"""K"""'"'"*Q'""' Expiration Date N A Signed Fr%a ac Pkarsk Maint.En .Su ervisor Date li 19 Owner or Owner's Designee, Title CERTZFZCATE OP ZNSERVZCE INSPECTZON I,

///: f'-'K the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an by ARKWRIGHT MUTUAL INS. CO.*

ct of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period and employed 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 Znspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

C~

Commissions / .c J ae Inspector's gnat e National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 19

II H

l Pl/

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Recpxired by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-29-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C19886-1 2-MSS-1 Address Repair Org. P.O. No., Gob No., etc 3 ~ Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System PIPING SUPPORT (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. ~

Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-MSS-1 N/A N/A N/A N/A N/A REPAIRED NO CONTROL GRINNELL N/A N/A PO005015- N/A REPLACE- NO VALVE BLOCK CORP. 041-3 MENT ASP517059 RESERVOIR

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

~ ggr N

Page 2 of 2 PORN NZS-2 (Back)

9. Remarks REPLACED EKISTING HARDWARE WITH A GRINNELL CONFIGURATION "A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR.

Ref. JO: Cl 886-1 File: 2-MSS-1 ISI:2 CERTIFICATB OF COMPLZANCB We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A 9

Expiration Date N A Signed ank Pxsarsk int.En .Su ervisor Date ~t I 19 Owner or Owner's Designee, Title CERTIFICATE OF INSBRVICB INSPBCTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRZGHT MUTUAL ZNS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period iF'/ i3 to 12 -og- 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 XZ.

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 from or connected with this inspection.

Commissions ~r.: l c9~S-S w -mfa'c ~

Inspector's ign ure National Board, State, Province, Endorsements Date ~r e~, o i *FACTORY MUTUAL ENGINEERING ASSOCIATION

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-28-94 Name t

P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C19888-1 2-MSS-5 Address Repair Org. P.O. No., Gob No., etc

3. work Performed by Maintenance De artment

,Name Same as 2 Expiration Date N A Address

4. Identification of System PIPING SUPPORT (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No.. Identi- Built ment . or No) fication 2-MSS-5 N/A N/A N/A N/A N/A REPAIRED NO CONTROL GRINNELL N/A N/A M&E30040552 N/A REPLACE- NO VALVE BLOCK CORP. ASPg17059 MENT RESERVOIR

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

V -:t Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION "A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR.

Ref. JO: C19888-1 File: 2-MSS-5 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed &%hn zsa sk Maint.En .Su ervisor Date l 19 Owner or Owner's Designee, Title

I, CERTIFZCATE OF INSERVZCE INSPECTION the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period 9C l~i3 to ~</I 1 9 + and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XZ.

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'ng from or connected with this inspection.

Commissions - ooSS E~ rt/

Inspector'i ture

~

National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCZATION Date

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

l. Owner INDIANA MICHIGAN POWER COMPANY Date 09-29-94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 C19889-1 2-MSS-7 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by MaintenanCe Deaartment Name Same as 2 Expiration Date N A Address

4. Zdentification of System PIPING SUPPORT (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Zdentification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Zdenti- Built ment or No) fication 2-MSS-7 N/A N/A N/A N/A N/A REPAZRED NO CONTROL GRZNNELL N/A N/A M&E30040552 N/A REPLACE- NO VALVE BLOCK CORP. ASP¹17059 MENT RESERVOIR

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-1/2 in. x 13. 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.

'4 a4

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION "A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR.

I Ref. JO: C19889-1 File: 2-MSS-7 ISI:2 CERTIFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Fra Pi arsk ni Maint.En .Su ervisor Date Z 8 , 19S4.

Owner or Owner's Designee, Title CERTZFZCATE OF INSERVICE INSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State oz Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period fr- iS. 9D to /- z-.iS 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 XZ.

By signing this certificate neither the Znspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Ownez'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 rf.- w . zi. <rL I Inspector'ig ure National B6ard, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date Zc v>c ~o 19 cS

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ Owner INDIANA MICHIGAN POWER COMPANY Date 10-24-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C19924-3 & 8 2-MMO-210 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System MAIN STEAM (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Zdenti- Built ment or No) fication 2-MMO-210 N/A N/A N/A N/A N/A REPAIRED NO BODY TO CARD ZNAL N/A N/A STUDS: ASME N/A REPLACE- NO BONNET INDUSTRIAL SA-193 GRB7 MENT FASTENERS PRODUCTS M&E30211630 ASP¹ 15470 NUTS: ASME SA-194 GR2H M&E30211900 ASP¹15684 POPPET ATWOOD N/A N/A SA-515 N/A REPLACE- NO MORRZLL GRADE 70 MENT M&E23044491

7. Description of Work See Remar s

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other PT Pressure si Test Temp. oF I

NOTE: Supplemental sheets in form'of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks THE BODY RING SEAL WELD AND THE POPPET NUT TACK WELD WERE Applicable Manufacturer's Data Reports to be attached REMOVED TO FACILIATE VALVE INSPECTION. THE POPPET WAS REPLACED AND THE POPPET NUT WAS TACK WELDED THE BODY RING SEAL WAS REWELDED AND PT EXAM WAS ACCEPTED. BODY TO BONNET STUDS AND NUTS WERE REPLACED.

I Ref. JO:C19924-3 & 8 File: 2-MMO-210 ISI: 2 CERTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code. Symbol Stamp N A Expiration Date N A Signed Prank isarsk Maint.En .Su ervisor Date Owner or Owner's Designee, Title 19'ERTIFICATE OF ZNSERVICE INSPECTION Z, the undersigned, holding a valid commission issued by the. National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period

/d'd p 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 XZ.

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

'9 a loss of any kind aris ng from or connected with this inspection.

Commissions ~dA d~JJ W~Pb'SW Inspector' i ature National Board, S te, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date Td~v~w Pl

II FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Owner INDIANA MICHIGAN POWER COMPANY Date 10 4 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C19927-3 & 8 2-MMO-220 Address Repair Org. P.O. No., Job No., etc

3. work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System MAIN STEAM (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-MMO-220 N/A N/A N/A N/A N/A REPAIRED NO BODY TO CARDINAL N/A N/A STUDS:ASME N/A REPLACE- NO BONNET INDUSTRIAL SA-193 GRB7 MENT STUDS PRODUCTS ME<E30211630 ASPg 15470 POPPET ATWOOD N/A N/A SA-515 N/A REPLACE- NO MORRILL GRADE 70 MENT MGE23044491

7. Description of Work See Remar s

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other PT Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

0 I

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks THE BODY RING SEAL WELD AND THE POPPET NUT TACK WELD WERE Applicable Manufacturer's Data Reports to be attached REMOVED TO FACILIATE VALVE INSPECTION. THE POPPET WAS REPLACED AND THE POPPET NUT WAS TACK WELDED THE BODY RING SEAL WAS REWELDED AND PT EXAM WAS ACCEPTED. BODY TO BONNET STUDS WERE REPLACED.

Ref. JO:C19927-3 & 8 File: 2-MMO-220 ISI: 2 CERTZFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Fran Pisarsk Maint.En .Su ervisor Date n, io Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCB INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period i'u- to- 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 Znspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind aris$ ng from or connected with this inspection.

Commissions W<<<A <<<J Inspector'i ature National Boaid, State, Province, Endorsements Date ~~~-~n'FACTORY 19 MUTUAL ENGINEERING ASSOCIATION

t l'

FORM NXS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required-by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-22-94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 C19930-3 Ke 8 2-MMO-230 Address Repair Org. P.O. No., Gob No., etc

3. work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System MAIN STEAM (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-MMO-230 N/A N/A N/A N/A N/A REPAIRED NO BODY TO CARDINAL N/A N/A STUDS:ASME N/A REPLACE- NO BONNET INDUSTRIAL SA-193 GRB7 MENT FASTENERS PRODUCTS M&E30211630 ASPQ 15470 NUTS:ASME SA-194 GR2H M&E302 11900 ASP515684 POPPET ATWOOD N/A N/A SA-515 N/A REPLACE- NO MORRILL GRADE 70 MENT M&E23044491

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other PT Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

J& S ~ l II p V,(

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks THE BODY RING SEAL WELD AND THE POPPET NUT TACK WELD WERE Applicable Manufacturer's Data Reports to be attached REMOVED TO FACILIATE VALVE INSPECTION. THE POPPET WAS REPLACED AND THE POPPET NUT WAS TACK WELDED ~

THE BODY RING SEAL WAS REWELDED AND PT EXAM WAS ACCEPTED. BODY TO BONNET STUDS AND NUTS WERE REPLACED.

Ref. JO:C19930-3 & 8 File: 2-MMO-230 ISI: 2 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed FrankMisarsk Maint.En .Su ervisor Date Owner or Owner's Designee, Title CERTZPZCATE OP ZNSERVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* .of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period n-zY-19 to and state that to the best of'y 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 sign'ing 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 arisi from or connected with this inspection.

r Commissions ~<<'~ P<~<

Inspector's i ure National oard, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Da'te 3 v nvare //

~ ~

1t

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Recpxired by the Provisions of the ASME Code Section XX P ~

1. Owner INDIANA MICHlGAN'POWER COMPANY Date 09-06-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 C19942-1 4 FW -INSPECTION PORTS Address Repair Org. P.O. No., 8'ob No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System MAIN FEEDWATER SYSTEM (b) Applicable Edition of Section XX Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Xdentification of Components Repaired or Replaced,and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication INSPECTION IGM POWER N/A N/A N/A N/A FABRICA- NO PORTS FOR TION OF FEEDWATER 4 PORTS SYSTEM SOCKOLET, BERTSCH COMP. N/A N/A SOCKOLET N/A N/A NO WELDOLET, ASTM A-105)

FLANGE WELDOLET ASTM A-105, FLANGE ASTM A-105 14" PjPE VAN LEEUWEN N/A =

N/A ASME SA-106 N/A N/A NO SCH.80 pxpE 6 TUBE GRADE B

7. Description of Work See Remarks F

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other MT Pressure si Test Temp oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

<'~ ~ a Page 2 of 2 FORM NZS-2 (Back)

9. Remarks FABRICATED FOUR INSPECTION PORTS FROM SECTIONS OF 14" PIPE WITH Applicable Manufacturer's Data Reports to be attached A BRANCH CONNECTION AND FLANGE.ALL FOUR ASSEMBLIES WERE MACHINED TO MEET THE RE UIREMENTS OF PLANT MOD 1305.MAGNETIC PARTICLE EXAMS WERE PERFORMED ON ALL WELDS AS RE UIRED AND ACCEPTED.

Ref. JO:C19942-1 File:FW INSPECTION PORTS ISI:2 CERTIFICATE OF COMPLIANCE We certify that. the statements made in the report are correct and this FABRICATION conforms to the rules of the ASME Code,Section XI.

repair or replacement Code Symbol Stamp

'ype N A Expiration Date N A Signed Frank sar Qr Maint.En .Su ervisor Date 8 Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler v'o and Pressure Vessel Inspectors and the State or Province of by ARKWRZGHT MUTUAL ZNS. CO.*

~-s- ~5 of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period I- l c.- '9 Michiaan and employed 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 XZ.

By signing this certificate neither the Inspector nox his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Znspectox'or 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 Wt ~4 e PJ'S n

Inspector' Signa e National Board, Stat , Pxovince, Endorsements Date w >Wc. 19~ *FACTORY MUTUAL ENGINEERING ASSOCIATION

I

'1 5

FORM NIS-2 OWNER' REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-17-94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C20029-1 2-GCTS-S115-N Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Zdentification of System PIPING SUPPORT (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Zdentification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manufe Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Zdenti- Built ment or No) fication 2-GCTS- N/A N/A N/A N/A N/A REPAZRED NO S 115-N CONTROL GRZNNELL N/A N/A MEcE30040551 N/A REPLACE- NO VALVE BLOCK CORP. ASP517059 MENT RESERVOZR

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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

- - recorded at the top of this form.

0

~ 4- '8 h

f N

1

Page 2 of 2

/ FORM NZS>>2 (Back)

9. Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION "A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR.

Ref. JO: C20029-1 File: 2-GCTS-S115-N ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed g sears t PrMaint.gn .Sn ervianr Date Il 191 Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period

/Z Z Iz-I- 9Y 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 recpxirements of the ASME Code, Section XZ.

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 from or'onnected with this inspection.

Commissions Wi<<opsy 8~ÃiV Znspector's ign re National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date De t.- ~m eR l 19 R Y

2 0

FORM NIS 2 OWNER S REPORT POR REPAIRS OR REPLACZRKNTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-17-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name

,One Cook Place Brid an MI 49106 C20030-1 2-GCTS-S115-S Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Zdentification of System PIPING SUPPORT (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf., Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No; Identi- Built ment or No) fication 2-GCTS- N/A N/A N/A N/A N/A REPAIRED NO S115-S CONTROL GRINNELL N/A N/A M&E3004055 1 N/A REPLACE- NO VALVE BLOCK CORP. ASPg17059 MENT RESERVOIR

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp, oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

0 4 II i

' r

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED EXISTING HARDWARE WITH A GRINNELL CONFIGURATION "A" Applicable Manufacturer's Data Reports to be attached KIT WHICH CONSISTS OF A CONTROL VALVE BLOCK AND RESERVOIR.

Ref. JO: C20030-1 File'. 2-GCTS-S115-S ISI:2 CBRTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A

""'"'M-'C""-"- " c Expiration Date N A Signed Fr Pi Prsrc aint.En .Su ervisor Date 19 '9 Owner or Owner's Designee, Title CERTIFICATE OF INSBRVZCE 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 Michi an and employed by ARKWRIGHT MUT(JAL INS. CO.*

S'nd have inspected the components described 2-Z-+ to it i-of in this NORWOOD MASS.

Owner's Report during the period 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 XZ.

By'igning this certificate neither the Znspector 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 arisi from or connected with this inspection.

Commissions rcpt oaS5 m A/

Inspector's ign ure National Board, Sta e, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date

0 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MI I AN POWER COMPANY Date BER 31 1 4 Name P . B x 60 For Wa IN 46 01 Sheet 1 of 2 Address

2. Plant D C COOK LEAR P WER PLANT Unit '2 Name On n I 4 Address Repair Org. P.O. No., Job No., etc

3. f Work Per ormed by NI CO Type Code Symbol Stamp V Name Authorization No. 02 0-V 2 30 PARKWAY ST LAKELAND FL 33 11 Address

4. Identification of System REA TOR OOLANT P P EAL WATER IN CTION LEAKOFF

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case

~DEEDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat, Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built .ment or No) 2-QFR-31

~h" X Sg N/A N/A N/A SA-453 GR- N/A REPLACE- NO BOLTS 660 MENT ASP-11944 >

7. Description of Work SEE REMARKS FOR DE CRIPTION

8. Test Conducted: Hydrostatic ~ Pneumatic ~ Nominal Operating Pressure N/A I X I Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NIS94-08B

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks RE LA ED FA Applicable ENER N 2- FR-31 WI Manufacturer's Data Reports to

'/a" be I ~

attached A-4 r 66 BOLT AMEC II II LAS II 2 4 - 3 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Certificate of Authorization No. N A N A Signed Date 195 Owner o Owner's Designee, Title CERTIFICATE OP ZNSERVICE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period t7-Z"9< 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.

Inspector's 8'ign re Commissions ~<<l-oo55 f- A/A/ ~

National Boardg State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date Hc r~~ 'c 19 NIS93-32

FORM NIS-2 OWNER' REPORT FOR REPAIRS OR REPLACEMBFZS As Recgxired by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-30-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C209 3-1 RX VESSEL HEAD Address Repair Org. P.O. No., Job No.,

etc

3. Work Performed by WESTINGHOUSE PCI Name Same as 2 Expiration Date N A Address

4. Identification of System REACTOR VESSEL (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addend

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code

. Name of Component Name Manufacturer of Manuf .

Serial No.

Nat.

Board No.

Other Identi-Year Built or Replace-ment Stamped (Yes or No) fication CORE EXIT ABB N/A N/A ASME SA479 N/A REPLACE- NO THERMO- COMBUSTION TYPE 304 MENTS COUPLE ENGINEERING TESTED PER NOZZLES 1-5 ASTM A262 ASPg16781

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other PT* Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form. ~

~

P'

Page 2 of 2 FORM NZS-2 (Back) 9, Remarks WESTINGHOUSE CONOSEAL FEMALE FLANGES WERE REPLACED WITH CETNA Applicable Manufacturer's Data Reports to be attached WELDED NOZZLE ASSEMBLIES ON THERMOCOUPLE'S 1 THRU 5.*ALL PT'S RE UIRED ARE DOCUMENTED IN THE JOB ORDER PACKAGE. VT-2 EXAMS WERE PERFORMED AND ACCEPTED.

Ref. JO:C20993-1 File: RX VESSEL ISI.1 CBRTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Certificate N A Signed Fran Pisarsk Maint.En .Su ervisor Date 8 Owner or Owner's Designee, Title CERTIFZCATE OF INSERVZCE 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 Michi an and employed by ARKWRZGHT MUTUAL ZNS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Repdrt during the period 0 /zZ /~<~ to ' =s I i~- 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 XZ.

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~l. ~~@-

Znspector' i ure National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGZNEERZNG ASSOCIATION Date r-

Cp cd'70 - '7 /

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEbQBTTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MI HIGAN POWER C MPANY Date 10 14 3 Name P O. Box 60 Fort Wa n IN 46801 Sheet 1 of 2 Address 2 ~ Plant D . C OK LE P WER PLANT Unit Name One Cook Place Brid an MI 4 106 J.O: C21013-08 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NI CO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST LAKELAND FL 3 11 Address

4. Identification of System ONTAINMEMT VENTILATI N

" AEP Specifications / MDS Standards

/ ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code 19 Ed., Add. Code Case ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf . Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-VCR-207 1nX 8n N/A N/A N/A SA-193 B-7 N/A REPLACE- NO BOLTS ASP-15841 MENT

7. Description of Work REINSTALL VALVE 2-VCR-207 ACTUATOR USING PROCEDURE

• • 12 MHP 5021.028.004. REPLACED 12 A307 BOLTS WITH 12 A1 3 B7 BOLTS.

8. Test Conducted: Hydrostatic ~ Pneumatic ~ Nominal Operating Pressure N/A (

X Other ~ Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form. ~

NIS94-08B

P 4 tl

Page 2 of 2 FORM NIS-2 (Back)

9. Remarks REPLACED PA TENERS ON 2-VCR-207 WITH 1" X " "SA-1 3 'Gr. B-7 Applicable Manufacturer's Data Reports to be attached BOLTS. BOLT WERE TRIMMED TO PROPER LENGTH.

ASME CLA II II LASS II 21013-08 CERTZFICATE OF COMPLZANCE We certify that the statements made in the report are correct and this R la mn conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed A4 Date Owner or wner's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi and employed by ARKWRI HT AL IN

• of NORWOOD have inspected the components described in this Owner's Report during the period xy/ v to it/<<I'tw 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 Wi oo Inspector' Si nat e National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date ~ mac II 19 ~'J NIS93-32

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-30-94 Name P.O. Box 60 Fort Wa ne IN 4680'1 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 C21313-3 2-IMO-316 Address Repair Org. P.'O. No., Job No., etc

3. work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System RESIDUAL HEAT REMOVAL (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement, Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment, or No) fication 2-ZMO-316 N/A N/A N/A N/A N/A REPAIRED NO ALL THREAD NOVA MACHINE N/A N/A ASTM A-453 1986 REPLACE- NO STUDS PRODUCTS CORP GRADE 660 MENT ME(E30029999 ASPQ15076 ITT N/A N/A ASME SA-194 N/A REPLACE- NO ENGINEERED GRADE 8F MENT VALVES M&E30212090 ASPQ11191

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

44 , ~ II II " 4 Page 2 of 2 FORM NIS-2 (Back)

9. Remarks REPLACED BONNET TO BODY BOLTING MATERIAL PER 12-MM-574.

Applicable Manufacturer's Data Reports to be attached Ref . JO: C21313-3 File: 2-IMO-316 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Frank Pisarsk Maint.Ena.Su ervisor Date JS 0 19 ~4 Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTZON the undersigned, holding a valid commission issued by the National @card of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period

~ lc9 /'ts to / s/R < 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 aris'ng from or connected with this inspection.

Commissions Hic> ooS'9'. E.~d/JZ Inspector'i ture National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION 19

FORM NIS" 2 OWNER'S REPORT FOR REPAIRS OR REPLACEKE'XTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 01 4 Name P.O. Box 60 Fort Wa n IN 468 1 Sheet 1 of Address 2 ~ Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid n MI 4 106 C21425-3 2-BD-101-1 1"LINE Address Repair Org. P.O. No., Job No., etc

3. Work Performed by MaintenanCe De artmen Name Same s 2 Expiration Date N A Address

4. Identification of System BLOWDOWN (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1 83 Add nda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code.

Manuf. Npt. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-BD-101-1 N/A N/A N/A N/A N/A REPAIRED NO BY WELD-ING

7. Description of Work See Remark

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other VT2 Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NIS-2 (Back) 9 ~ Remar ks GROUND OUT DEFECT WHERE THE 1 "LINE TEE ' INTO THE 2 " STEAM Applicable Manufacturer's Data Reports to be attached GENERATOR BLOWDOWN LINE DOWNSTREAM OF 2-BD-101-1. REWELDED DEFE TED AREA.

Ref. JO.C2142 -3 File: 2-BD-1 1-1 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIRED conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp Expiration Date N A Signed Frank Pisarsk Maint.En .Su ervisor Date 30 Owner or Owner's Designee, Title CERTIFICATE OF 'INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board'f Boiler by ARKWRIGHT MUTUAL INS. CO.* , of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period I "2v- 9v to -zo- 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 XZ.

By signing this certificate neither the Znspector 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 Will o~s'S'.

Inspector's ign ure Board, S ate, Province, Endorsements b'ational

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date nA 19

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PORN NXS-2 OWNER'S REPORT FOR REPAXRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MI HI AN P WER MPANY Date 1 4 Name P , Box 0 For W IN 46 01 Sheet 1 of Address

2. Plant D 0 K CLEAR P WER PLANT Uni.t Name k Pla Bri n MI 4 1 -214 2-7 2- RV-1 2 2"VALVE Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maint nance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System LETD WN CVCS r 1 A n

6. Identificati.on of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Boar.d Year Replace- (Yes Component. Manufacturer No. No. Identi-;;. Built, ment or No).

ficati.on 2-QRV-162. N/A N/A N/A N/A N/A " REPAIRED NO STUD 6 NUTS

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TEXAS BOLT COMPANY; '" N/A N/A STUD-SA-193 GR.B-7 NUTS-SA194, N/A REPLACE-MENT NO GR.2H MGE30029005 ASP/7863**

ASPP16697~*

'P 7., Des~iption of Work, rk

'. Test. Conducted: Hydrostatic- Pneumatic -'ominal. Operating Pressure,,~

N/A Other MT Pressure

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si -

r Test. Temp., " P

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NOTE 'Supplemental sheets in'orm of lists, sketches, or drawings may'-be used, provided (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

-- recorded=at'he top of-thi.s.form; J

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Page 2 of 2 FORM NZS-2 (Back)

9. Remarks RE LA ED B DY- T B NNET S THA WERE P ED ALITY Applicable Manufacturer's Data Reports to be attached LEVEL 4 P 7 6 **.MAGNETI PARTI LE TE TIN F S

.W A P IN THEM T ALITY LEVEL P THEN ASSIGNED.

R f -2 4 2-7 Fil . 2- RV-1 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A

--Si ed F nk Pis rsk Maint.En .Su ervisor Date -AZ ,19 9 Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTION I g the undersigned, ho 1 ding a va 1 id commis s ion is sued hy the Nationa 1 Board of Boi 1 er by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period and state that to the hest 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 XZ.

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 he liable in any manner for any personal" injury or property damage or a loss of any kind arising from or connected with this inspection.

or's c.~imsi-. l~d d'Pd em)

Znsp Signature National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date " 1928

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FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MI HI AN P WER OMPANY Date 02 4 Name P 0 B x 0 F r Address Wa n IN 4 801 Sheet 1 of

2. Plant D K CLEAR P WER PLANT Unit Name k P B i Address n M 4 1 21 4 -2 2- V-241 2" VALVE Repair Org. P.O. No., Job No., etc

3. Work Performed by int n n e D artm nt Name Sam as 2 Expiration Date N A Address

4. Identification of System MAI TEAM A

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code P

Manuf. Nat. Other or Stamped Name of Name= of Serial Board Year Replace- (Yes Component Manufacturer No. No, Identi- . Built ment or. No) fication 2-MRV-241 N/A N/A N/A N/A N/A REPAIRED NO SEAT RING FISHER N/A N/A ASTM A-582 N/A REPLACE- NO CONTROLS TYPE 416 MENT MQE30040120 ASPP 12289 PLUG AND FZSHER N/A N/A ASTM A-582 N/A REPLACE- NO STEM ASSY. CONTROLS TYPE 416 MENT M6rE30040005 ASPP 12623

7. Description of Work R rk

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTEs Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

P

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Page 2 of 2 FORM NIS-2 (Back)

Remarks REPLA ED PL AND TEM ASSEMBLY AL REPLA ED EAT RIN DUE Applicable Manufacturer's Data Reports to be attached T NORMAL WEAR R f.  : -21 42-2 Fil 2-MRV-241 I 1 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A rank gars Maint.En .Su ervisor Date D- '7

/2 9g Sigped P 19 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS have inspected the components described in this Owner's Report during the period 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 in)ury or property damage or 4' +

Inspector'ignature

~

a loss of any kind arising from or connected with this inspection.

Commissions Y/c g ~' r AZg~

National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date M-A'/ - 19 r"8

P FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ Owner INDIANA MICHIGAN POWER COMPANY Date 10-11-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C21917-1 2-SV-1B-4 Address Repair Org. P.O. No., Gob No., etc

3. Work Performed by MaintenanCe De artment Name Same as 2 Expiration Date N A Address

4. Identification of System MAIN STEAM (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-SV-1B-4 N/A N/A N/A N/A N/A REPAIRED NO DISC DRESSER N/A N/A ASTM A-565 N/A REPLACE- NO INDUSTRIES GRADE 616 MENT ME<E30037728 ASPg16182

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at. the top of this form.

It I t'I

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED DISC DUE TQ NORMAL WEAR.

Applicable Manufacturer's Data Reports to be attached Ref. JQ: C21917-1 File: 2-SV-1B-4 ISI:2 CBRTZFZCATE OF COMPLZANCB We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Fra p earek aint.gn .Sn ervieor Date n e-Owner or Owner's Designee, Title CBRTZFZCATB OP ZNSBRVZCB 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period 3 I Ce to Ii" Ic 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 XZ.

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 i=4 s Inspector's ign ure National Board, State, Province, Endorsements Date Alo ~ pe e I t 19~ *FACTORY MUTUAL ENGINEERING ASSOCIATION

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FORM NIS-,2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-03-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet. 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 C23011-2 2-RC-102-L3 Address Repair Org. P.O. No., Job No., etc

3. work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Zdentif ication of System REACTOR COOLANT (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-RC-102-L3 N/A N/A N/A N/A N/A REPAIRED NO STEM & PLUG CONVAL ZNC. N/A N/A SA-182 N/A REPLACE- NO ASSEMBLY TYPE 316 MENT M&E30035574 ASP¹13759

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

C V

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I V

Page 2 of 2 FORM NIS-2 (Back)

9. Remarks REPLACED STEM AND PLUG ASSEMBLY DUE TO SCORING.

Applicable Manufacturer's Data Reports to be attached Ref. JO: C23011-2 File: 2-RC-102-L3 ISI: 1 CERTIFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed F ank Pisarsk 4.l Maint.En .Su ervisor Date Ii I' Owner or Owner's Designee, Title CERTZFZCATE OF ZNSERVICE INSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL IN'O.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period

~o ~ 9Y )z- is- 9g 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 foi any personal injury or property damage or a loss of any kind arisin from or connected with this inspection.

Commissions ~~c.c ross Inspector' igna re National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date Dr r i-n i.wee /s 19 4+

S 1

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-16-94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 C23787-6 2-MS-135-2 Address Repair Org. P.O. No., 8'ob No., 'etc

3. work Performed by Maintenance Deaartment Name Authorization No. N A Same as 2 Expiration Date N A Address

4. Identification of System MAIN STEAM (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-MS-135-2 HENRY VOGT N/A N/A ASME SA-,105 N/A REPLACE- NO MACHINE CO. M&E30044248 MENT ASPQ15781 2" SCH.80 RADNOR ALLOYS N/A N/A ASME SA-106 N/A REPLACE- NO PIPE ZNC. GRADE B MENT M&E30014981 ASPQ14967

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other PT Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

r 4V 1'

4

Page 2 of 2 FORM NZS-2 (Back) 9 ~ Remarks REPLACED VALVE AND ADJACENT PIPING DUE TO STEAM CUTS IN VALVE Applicable Manufacturer's Data Reports to be attached IN BODY SEATING AREA. PT EXAMS WERE PERFORMED ON WELD JOINTS AND ACCEPTED.

Ref. JO:C23787-6 File: 2-MS-135-2 ISI: 2 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Frank Pisarsk Maint.Ena.Supervisor Date l Owner or Owner's Designee, Title CERTIFICATE OP ZNSERVZCE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this 'Owner's Report during the period rP I Z. to /- 3 ts 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 XZ.

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 ~<<> c9c95<

Inspector's gna e National Board, State, Province, Endorsements 19~ *FACTORY MUTUAL ENGINEERING ASSOCIATION

II ii 1

RORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-10-94 Name P.O. Box 60 Port Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 C24544-4 2-IMO-312 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by MaintenanCe De artment Name Same as 2 Expiration Date N A Address

4. Identification of System RESIDUAL HEAT REMOVAL (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2- ZMO-3 12 N/A N/A N/A N/A N/A REPAIRED NO BACKSEAT N/A N/A ASTM A-564 N/A REPLACE- NO RETAINING TYPE S/S630 MENT RING M&E30044062 ASP¹14666

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

~ a 4 ~ ~

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks GROOVES FOR REMOVING RETAINER RING WERE ROUNDED OFF DURING Applicable Manufacturer's Data Reports to be attached REMOVAL REPLACED RETAINER RING.

Ref. JO: C24544-4 File: 2-IMO-312 ISI:2 CBRTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A IN"'""4'"" Expi ation Date N A Signed Fra Pisaisk Maxnt.En .Su ervisor Date 19 Owner or Owner's Designee, Title CBRTZFICATE OF ZNSBRVICB INSPBCTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the, period

'to 2" l 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.

RAP Commissions - ~ < - ~, '>r Inspector' S 'na re National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date > ~ -:wk ~ t 19~/

~ ~

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date'0-02-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet "

1 of Address K

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C24817-1 Ec. 11 2-WCR-958 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by. Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System NON-ESSENTIAL SERVICE WATER (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication EXISTING N/A N/A N/A SA-351 N/A REPAIRED NO 2-WCR-958 GRADE CF8 BONNET TO ITT N/A N/A ASME SA-453 N/A REPLACE- NO BODY STUDS ENGINEERED GRADE 660 MENT VALVES M&E30040583 ASPQ13953 BONNET TO ZTT N/A N/A ASME SA-194 N/A REPLACE- NO BODY NUTS ENGINEERED GRADE 8 MENT VALVES M&E30040564 ASP513953

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic X Pneumatic Nominal Operating Pressure N/A Other RT Pressure 138 si Test Temp. AMBIENT 4F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form. ~

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks EXISTING VALVE WAS CUT OUT AND REORI ENTATED TO I ACHIEVE DES RED Applicable Manufacturer's Data Reports to be attached ACCESSIBILITY TO 2-CPN-71. VALVE WAS REWELDED IN AND X-RAY EXAM OF WELDS WERE ACCEPTED. BODY TO BONNET FASTENERS WERE REPLACED.

Ref. JO:C24817-1 8 11 FILE:2-WCR-958 ISI:2 CERTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR a REPLACEMENT conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Fr Pisarsk Maint.En .Su ervisor Date 19 Owner or Owner's Designee, Title CERTIFICATE OF ZNSBRVICB 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period O g to (I I 4 9~( and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the recyxirements of the ASME Code, Section XZ.

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 Znspector 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 i~"-< opsy Inspector'i ure National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date wba I

. 4 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME.Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-13-94 Name P.O. Box 60 Fort Wa e 1N 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C25993-1 2-SV-1A-2 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by MaintenanCe De artment Name Same as 2 Expiration Date N A Address

4. Zdentification of System MAIN STEAM (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Zdentification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Zdenti- Built ment or No) fication 2-SV-1A-2 N/A N/A N/A N/A N/A REPAZRED NO DZSC DRESSER N/A N/A ASTM A-565 N/A REPLACE- NO ZNDUSTRZES GRADE 616 MENT M&E30037728 ASPg16182

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used", provided (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 recorded at the top of this form.

I t I

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED DISC DUE TO NORMAL WEAR.

Applicable Manufacturer's Data Reports to be attached Ref. JO: C25993-1 File: 2-SV-lA-2 ISI:2 CBRTZRZCATB OF COMPLZANCB We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A

'-""-"'tet'" Expirat on Date N A aigned Frank ra Maine.nn . Sn erriaer Date , Z9 9 Owner or Owner's Designee, Title CERTIFICATE OF INSBRVZCB ZNSPBCTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period 0-I a- ~~ to si- ic -RH 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 icl s'w - r 8/d2.

Inspector'i ture National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 19 '7/

FORM NIS" 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

l. Owner INDIANA MICHIGAN POWER COMPANY Date 10-07-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 4 106 C26042-4 2- MO-'225 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System CHARGING CVCS (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf ~ Nat. Other oz Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment . or No) fication 2-QMO-225 N/A N/A N/A N/A N/A REPAIRED NO VALVE PLUG VELAN INC. N/A N/A STELLITE ¹6 N/A REPLACE- NO ME¹30043945 MENT ASP¹15711

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF Supplemental sheets in form of lists, sketches, or drawings may be used, provided NOTE:

(1) size is 8-1/2 in. x ll 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.

P,

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Page 2 of 2 FORM NIS-2 (Back)

9. Remarks VALVE PLUG WAS REPLACED DUE TO CRACK INDICATI NS FOUND DURING Applicable Manufacturer's Data Reports to be attached PT EXAM. THE VALE PLUG WAS CRACKED DUE TO OVERTHRUSTING OF VALVE DURING M.O.V. TESTING.

Ref. JO: C26042-4 File: 2- MO-225 ISI:2 CERTIFICATE OP COMPLIANCB We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A

""'"""JXE ""'"'L"" Expiration Date N A Signed Fran Pisarsk Maint.En .Su ervisor Date Owner or Owner's Designee, Title

)La>>-

CBRTZFZCATE OP ZNSBRVZCB INSPBCTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler by rO'o and Pressure Vessel Inspectors and the State or Province of Michi an ARKWRIGHT MUTUAL INS. CO.*

have inspected the components described

/I-of in this NORWOOD MASS.

and employed Owner's Report during the period ndd 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 XZ.

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 propeity damage or a loss of any kind arising from or connected with this inspection.

rp(gr Commissions Hi=I ops'~ ~~~Wc~

Znspector's Sign ure National Board, State, Province, Endorsements Date ~ ~~h.-tZ /C Z9 94

• FACTORY MUTUAL ENGINEERING ASSOCIATION

Ih N

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-07-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 C26053-3 2- MO-226 Address Repair Org. P.O. No., Job No., etc

3. work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Zdentif ication of System CHARGING CVCS (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-QMO-226 N/A N/A N/A N/A N/A REPAIRED NO VALVE PLUG VELAN INC. N/A N/A STELLZTE N6 N/A REPLACE- NO MEN30043945 MENT ASPQ15711

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

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I II II

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks VALVE PLUG WAS REPLACED DUE TO CRACK INDICATIONS FOUND DURING Applicable Manufacturer's Data Reports to be attached PT EXAM. THE VALE PLUG WAS CRACKED DUE TO OVERTHRUSTING OF VALVE DURING M.O.V. TESTING.

Ref. JO: C26053-3 File: 2- MO-226 ISI:2 CERTZFZCATB OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the,ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Fran is Maint.En .Su ervisor Date 19 9k Owner or Owner's Designee, Title CBRTZFZCATE OF ZNSBRVZCE ZNSPBCTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period r'O to rl- I<.'i Y and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

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

/ Commissions M<<> oO<~

Inspector' ign re Nati.onal Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERZNG ASSOCIATION Date ~ave'~hvar /6 19 9Y

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FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-01-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C26158-2 2-CCR-460 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by MaintenanCe De artment Name Same as 2 Expiration Date N A Address

4. Identification of System COMPONENT COOLING WATER (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-CCR-460 N/A N/A N/A N/A N/A REPAIRED NO EXISTING NELES- N/A N/A CAST STEEL N/A REPAIRED NO BONNET ZAMESBURY MACHINED VALVES VALVE PLUG NELES- N/A N/A ASTM A-582 N/A REPLACE- NO JAMESBURY TYPE 416 MENT ME¹30041007 ASP¹16206 BONNET TO CONSOLIDATED N/A N/A ASME SA-193 N/A REPLACE- NO BODY STUD: POWER GRADE B7 MENT 5/8" ALL SUPPLY ME¹30028965 THREAD ASP¹13558

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other PT Pressure si Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8-3./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.

g ~1 I'I I f V

Page 2 of 2 FORM NIS-2 (Back)

9. Remarks BONNET GASKET SEATING SURFACES WERE MACHINED PER MANFACTURES Applicable Manufacturer's Data Reports to be attached DRAWING AND PT EXAM WAS ACCEPTABLE. PLUG WAS REPLACED DUE TO NORMAL WEAR BODY TO BONNET STUD WAS MISPLACED AND REPLACED.

Ref. JO: C26158-2 File: 2-CCR-460 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR conforms to the rules of the ASME Code, Section XZ.

repair or replacement Signed ZuOwner P'xpiration Type Code Symbol Stamp

'sask Qc N A Maxnt.En .Su ervisor Date or Owner's Designee, Title (o'L 7 Date

, >99 N A CERTIFICATE OF INSBRVICS 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components -described in this Owner's Report during the period to r'n. cp 9s 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 Inspector's S at e National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date ~m I~ c Zd" 19 99

\

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDlANA MICHIGAN POWER COMPANY Date 10-04-94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 C26162-2 2-CCR-462 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System COMPONENT COOLING WATER (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-CCR-462 N/A N/A N/A N/A N/A REPAIRED NO EXISTING NELES- N/A N/A CAST STEEL N/A REPAIRED NO BONNET JAMES BURY MACHINED VALVES

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other PT Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

1 Page 2 of 2 FORM NZS-2 (Back)

9. Remarks BONNET GASKET SEATING SURFACES WERE MACHINED PER MANFACTURES Applicable Manufacturer's Data Reports to be attached DRAWING AND PT EXAM WAS ACCEPTABLE. PLUG WAS NOT REPLACED AS STATED ON R R TRAVELR WRITTEN ON 09-19-94.TRAVELER NOT USED Ref. JO: C26162-2 File: 2-CCR-462 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A

'"""'t'r"'"'"'~

ant isarsk saint.gn .Sn ervisnr Date Expiration Date N A Signed (o 19 Owner or Owner's Designee, Title CBRTZPZCATB OP ZNSBRVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period rP '/ 'fY tO r~ AP 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 XZ.

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.

~ >Hlc..7'ommissions /Ace o~ss. E~~d Znspector'i ature National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date Oc.r o)~ etz zg ae~/

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-15-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 C26408-2 2-OME-3-3 Address Repair Org. P.O. No., Job No., etc

3. work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System STEAM GENERATING (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda 6 ~ Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component .Manufacturer No. No. Identi- Built ment or No) fication 2-OME-3-3 WESTINGHOUSE N/A N/A N/A N/A REPAIRED NO STEAM ELECTRIC CO.

GENERATOR MANWAY WESTINGHOUSE N/A N/A ASTM A-508 N/A REPAIRED NO ELECTRIC CO. CLASS 2A MACHINED MANWAY WESTZNGHOUSE N/A N/A SA-516 N/A REPAIRED NO COVER ELECTRIC CO. GRADE 70 MACHINED

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other MT Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

F g %t tl ll J'

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks MACHINED GASKET SEATING SURFACES OF MANWAY AND MANWAY COVER Applicable Manufacturer's Data Reports to be attached TO REMOVE PITTED AREAS. MAGNETIC PARTICLE EXAMS WERE PERFORMED ON ALL MACHINED AREAS AND ACCEPTED.

Ref. JO: C26408-2 File: 2-OME-3-3 ISI: 2

~

CBRTZFZCATB OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIRED conforms to the rules of the ASME Code, Section XZ.

repair or replacement I Type Code Symbol Stamp N A Certifica e -'- jj- -. Expiration Date N A Signed Fran Pis rsk MaVnt.En .Su ervisor Date (l 19 0 Owner or Owner's Designee, Title CERTIFICATE OF XNSBRVZCE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period ra r Z-/99 y /

to r r i'rc o jy 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 recpxirements of the ASME Code, Section XZ.

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 ~ref oas z. r E~:4 rc/9M I

Inspec or's ignature National Board, St te, Province, Endorsements

• FACTORY MUTUAL ENGZNEERING ASSOCIATXON Date A/s~c mhc. /c

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-13-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C26430-7 2-CCM-458 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Zdentif ication of 'System COMPONENT COOLING WATER (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. 1dentification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code

.Manuf, Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Zdenti- Built ment or No) fication 2-CCM-458 HENRY PRATT N/A N/A MEcE30042965 N/A REPLACE- NO CO. ASP¹14138 MENT BOLTS NORTH CENTRAL N/A N/A ASME SA-193 N/A REPLACE- NO FASTENERS GRADE B7 MENT MEE30046430 ASP¹ 3693

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

'E Page 2 of 2 FORM NZS-2 (Back)

9. Remarks VALVE REPLACEMENT PARTS ARE NOT AVAILABLE REPLACED VALVE AND Applicable Manufacturer's Data Reports to be attached BOLTS.

Ref. JO: C26430-7 File: 2-CCM-458 ISI:2 CBRTZFZCATB OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Prank xsarsSc Maint.En .Su ervisor Date 19 Owner or Owner's Designee, Title CERTIFICATE OP ZNSBRVZCE ZNSPBCTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period lg to Iz.- I- 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 arisi from or connected with this inspection.

4 Commissions wiW tv Prt)

Inspector's ign ure National B ard, Sta e, Province, Endorsements Date Dc. cc ~'b~A / 19 95'FACTORY MUTUAL ENGZNEERZNG ASSOCIATION

,r I

FORM NZS-'2 OWNER'S REPORT FOR REPAIRS OR REPLAC22KEXTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA I HI AN P WE MPANY Date 2 4 Name P ~ Bx FrAddress W I 4 1 Sheet 1 of 2

2. Plant D K LEAR POWER PLANT Unit Name On Cook Pl Bri MI 4 1 2 434-0 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NI Type Code Symbol Stamp V Name Authorization No. 2 -V 2 30 PARKWAY ST LAKELAND FL. 33 11 Address

4. Identification of System TE ENERAT R

• AEP Specifications / MDS Standards / ANSI B31 1-83 / AISC~

5. (a) Applicable Const. Code

• 19 Ed., Adds Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19~~W g

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No, No. fication Built ment or No) 2-OME-3-3 1 7/8" N/A N/A N/A MANWAY STUD N/A REPLACE- NO STUD ASSY. 3CL13 MENT SA-193 B7 ASP-15386 1 7/8" NUT N/A N/A N/A MANWAY STUD N/A REPLACE- NO

& WASHERS 3HL13 MENT SA-193 B7 ASP-15386

7. Description of Work R 7 11 AND WA HER.REPLA E P I Y Y F R 2 PE R E **2MHP 021 2 005

8. 'Zest Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure sig Test Temp. oF Supplemental sheets in form of lists, sketches, or drawings may be used, provided NOTE:

(1) size is 8-1/2 in. x included on each sheet, ll in., (2) information in items through on this report is 1 6 and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

NIS94

l ~

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks VERIFI D T NO F REI N MATERIAL ENTERED THE H T OR THE Applicable Manufacturer's Data Reports to be attached COLD LE MAINTAINED LEVEL I LEANLINE . CHASED 13 BOLT HOLE PRI R TO REPLACING STUD II LA I C26434-05 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date Signed Owner or ucidccm Date er's Designee, Title i / 19 N A CERTIFICATE OF ZNSERVZCE 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 Michi an and employed by ARKWRIGHT MUTU INS. CO.* of - NOR OOD S.

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 XZ.

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 rom or connected with this inspection.

- Commissions MicJ <AS HivPA' 19'ZS94 Znspector ' S EgnatAre National Boar , State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date Wve ~ a

( li FORM NZS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEME2FZS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-10-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of 2 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Uni't Name One Cook Place Brid man MI 49106 C26497-3 2- MO-201 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System CHARGING CVCS (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf . Nat. Other or Stamped Name of Name of Serial Board , Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-QMO-201 N/A N/A N/A N/A REPAIRED NO VELAN INC. N/A N/A ASME SA-182 N/A REPLACE- NO GRADE 316 MENT STELLITE ¹6 M&E30044145 ASP¹16278 3/4 " STUDS CARDINAL N/A N/A ASME SA-453 N/A REPLACE- NO ALL KGuUQ) INDUSTRIAL GRADE 660 MENT PRODUCTS ME¹30212295 ASP¹16300

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

tl V>> lt r k .l ~

'C I

Page 2 of 2 FORM NIS-2 (Back)

9. Remarks REPLACED WEDGE AND BODY TO BONNET STUDS PRIOR TO INSTALLATION Applicable Manufacturer's Data Reports to be attached C

WEDGE WAS MACHINED TO ASSURE PROPER FIT.

Ref. 80: C26497-3 File: 2- MO-201 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp Signed Fran

" ""'"5l'xpiration Pxsarsk N A Maint.En .Su ervisor Date Date N A Owner or Owner's Designee, Title CERTZFZCATE OF INSERVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.

• of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period to )z- 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 XZ.

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 rom or connected with this inspection.

Inspector's S't Commissions tie 4 cr.

National

s. Gn Mppr ~

Bo rd, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date r -: n~>~ 19

I I

0 II II

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-16-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 C26507-1 2-GFW-S873 Address Repair Org.,P.O. No., Job No., etc

3. work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System PIPING SUPPORT (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Xdentification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-GFW-S873 GRZNNELL N/A N/A SNUBBER N/A REPLACE- NO MGE3 0024691 MENT ASP¹14705

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

0 Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED SNUBBER DUE TO CRACKED RESERVOIR.

Applicable Manufacturer's Data Reports to be attached Ref. JO:C26507-1 File:2-GFW-S873 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Fran i arak Maint K)gn .an erviaer Date <( t& 19 +

Owner or Owner's Designee, Title

/C'nd CERTIFICATE OP ZHSERVZCE ZHSPECTZOH I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period r'C 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 XZ.

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 H':.l on s E'~ie h'lW Inspector's ign ure National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date O~=r.~~a 19~/

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-15-94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 C26508-1 2- CR-301 Address Repair Org. P.O. No., Job No., etc

3. work Performed by Maintenance Department Name Same as 2 Expiration Date N A Address

4. Identif ication of System LETDOWN CVCS (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped of Serial

. Name of Component Name Manufacturer No.

Board No. Identi-fication Year Built Replace-ment (Yes or No) 2-QCR-301 N/A N/A N/A N/A N/A REPAIRED NO TRIM COPES- N/A N/A ASTM A-479 N/A REPLACE- NO ASSEMBLY VULCAN INC. TYPE 410 MENT MGE30036070 ASPP17064

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressuxe N/A X Other Pressure si Test Temp. oF NOTE: Supplemental, sheets in form of lists, sketches, or dxawings may be used, provided (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 numbex'ed and the number of sheets is recorded at the top of this form.

4

, I

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks TRIM ASSEMBLY WAS ORIGINALY REPLACED ON 1 0 94 PER Applicable Manuf acturer' Data Reports to be attached JOB ORDER R26 084 - 1 . DURING REASSEMBLING AND TESTlNG PLUG WAS ROTATED WH ILE SEATED AGAINST THE SEAT RING THIS GALLED THE SEATING SURFACES . REPLACED TRIM ASSEMBLY AGAIN PER C26508 - 1 Ref . JO: C26508- 1 File: 2- CR-301 ISI: 2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI .

z epai r or replacement Type Code Symbol Stamp N A Expiration Date N A

~t Signed Fran PisarsSc Mai t. En . Su ervisor Date Owner or Owner' Designee, Title CERTZFZCATE OF INSERVZCE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressuze Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS . CO.

• of NORWOOD MASS .

have inspected the components described in this Owner' Report during the period 10 5 v to - Y~ and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corzective measures described in this Owner' Report in accordance with the requirements of the ASME Code, Section XZ ~

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

/

Commissions M~c 4 ~

ign re National Board, opsy'~AA'4'nspector' Stat, Province, Endorsements Date - ~ a 3 19~ *FACTORY MUTUAL ENGINEERING ASSOCIATION

FORM NIS"2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-23-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 C26546-1 SEE REMARKS Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System RESIDUAL HEAT REMOVAL (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 8" PIPE N/A N/A N/A SA-376 N/A REPAZRED NO DOWNSTREAM TYPE 304 OF 2-SZ-151E

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other PT Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

0 II a

I

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REMOVED ARC STRIKE BY FILING AND PT EXAM OF AREA WAS ACCEPTED.

Applicable Manufacturer's Data Reports to be attached ARC STRIKE WAS LOCATED APP. 20'OWNSTREAM OF 2-SI-151E ON THE 8" LINE.

Ref. JO: C26546-1 File:2-SI-151E ISI:2 CBRTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp Signed Frank Pie arak

'"'4""'xpiration N A Maint. En . Sn erviaer Date Date 19 N A Owner or Owner's Designee, Title CBRTZFZCATE OF ZNSBRVZCE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.

• of NORWOOD MASS .

have inspected the components described in this Owner's Report during the period

-jr- 9< to il- IC - ~iw 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 Wi=~ >><>. S~+<>~

Inspector' gn re National Board, State, Province, Endorsements

~FACTORY MUTUAL ENGINEERING ASSOCIATION

rt

'L ~

h

~g ~

FORM NXS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-15-94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Bridaman MI 49106 C26590-3 2- MO-200 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System CHARGING CVCS (b) Applicable Ed'ition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-QMO-200 N/A N/A N/A N/A N/A REPAIRED NO WEDGE VELAN ZNC. N/A N/A ASME SA-182 N/A REPLACE" NO GRADE 316 MENT STELLZTE ¹6 MGE300443.45 ASP¹17168

7. Description of Work See Remarks

8. Test'Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other PT Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

A I

Page 2 of 2 NIS-2 (Back)

FORM Remarks REPLACED WEDGE PRIOR TO INSTALLATION WEDGE WAS MACHINED TO Applicable Manufacturer's Data Reports to be attached ASSURE PROPER FIT. PT EXAM WAS PERFORMED ON MACHINED SURFACES AND ACCEPTED.

Ref. JO: C26590-3 File: 2- MO-200 ISI:l CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A I

Signed Frank Pz arskv Main .En .Supervisor Date 19 Owner or Owner's Designee, Title CERTIFICATE OF INSERVZCE ZNSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL ZNS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period go- gu- ) 'f 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 XZ.

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 ~>i.- A oos$ 29~PN Inspector'ig ature National Board, State, Province, Endorsements Date a~ u~z 19' *FACTORY MUTUAL ENGINEERING ASSOCIATZON

I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-31-94 Name P.O. Box 60 Fort Wavne IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Bridaman MI 49106 C26852-1 2- MO-420 Address Repair Org. P.O. No., Job No., etc

3. work Performed by Maintenance Deoartment Name Same as 2 Expiration Date N A Address

4. Identification of System BORON MAKEUP CVCS (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Component Name of Manufacturer

'erial No.

Board No. Identi-Year Built Replace-ment (Yes or No) fication 2-QMO-420 INVENTORY 1164 N/A ASME SA-182 N/A REPLACE- NO MANAGEMENT TYPE F316 MENT CORP. M&E30043630 ASP¹15936 2" SCH.40 CHICAGO N/A N/A A-312 1989 REPLACE- NO PIPE MECHANICAL TYPE 304 MENT INC. M&E30016711 ASP¹ 13597 90 3000¹ RADNOR ALLOYS N/A N/A ASME SA-182 N/A REPLACE- NO ELBOW INC. TYPE F304 MENT ME¹30016998 ASP¹15045

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic X Pneumatic Nominal Operating Pressure N/A Other PT Pressure 188 si Test Temp. AMBIENT OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NIS-2 (Back)

9. Remarks 'REPLACED VALVE AND ADJACENT PIP ING AND FITTINGS .

Applicable Manufacturer's Data Reports to be attached HYDRO. AND PT EXAM WAS PERFORMED ON ALL WELDS AND ACCEPTED.

Ref. JO: C26852-1 File: 2- MO-420 ISI:2 CERTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A, Expiration Date N/A Signed Frank Pisarskv Maxnt.En .Su ervisor Date I 19 Owner or Owner's Designee, Title CERTZFICATE OF ZNSERVICE 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period c~ to I /c and state that to the best of my knowledge and be ief, 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.

~Pc Commissions Air=a ~c National Board, State, Province, Endor sements ign ure s's'nspector's

• FACTORY MUTUAL ENGZNEERING ASSOCIATION

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACZ292TTS As Required by the Provisions of the ASME Code Section XI

l. Owner INDIANA MICHIGAN POWER COMPANY Date 11 28 4 Name P.O. Box 60 Fort Wa ne IN 46801 sheet 1 of 2 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 4 106 J.O. C27211-04 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 02 0-V 2830 PARKWAY ST. LAKELAND FL. 33811 Address

4. Identification of System STEAM GENERATOR

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 19~83 W 8 1983 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components ficationn Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. Built ment or No)

SG 8 23 1-7/8" X N/A MA- N/A SA193 Gr.B7 N/A REPLACE- NO 16.11" 49767-9 ASP-15386 MENT MANWAY CLOSURE STUDS 1-7/8" N/A MA- N/A SA194 Gr. 7 N/A REPLACE- No MANWAY 49767-9 ASP-15386 MENT CLOSURE NUTS MANWAY N/A MA- N/A SA-194 Gr. 7 N/A REPLACE- NO CLOSURE 49767-9 ASP-15386 MENT SPHERICAL WASHERS UPPER 6 LOWER

7. Description of Work REPLACE 1-7 8 DIA. MANWAY STUD NUT AND WASHERS IN STUD HOLE NUMBER 14 FOR STEAM GENERATOR 23

8. Test Conducted: Hydrostatic ~ Pneumatic ~ Nominal Operating Pressure N/A I X I Other + Pressure si Test Temp. OP NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

~'aw ~

'C

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks ASME CLASS I IS I CLASS I J.O 27211 A 4 Applicable Manufacturer's Data Reports to be attached REPLACED 1-7 8". STUD NUT Ec WASHER IN SG 23 MANWAY UNI UE ID NUMBER 23HL-14 SERIAL NUMBER MA-49767-9 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re lacement conforms to the rules of the ASME Code, Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Owner or ner's Designee, Title

~ Date CERTIFICATE OF ZNSERVZCE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO-* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period

/ +~c(5 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.

Inspector 's WignMure Commissions i- o~; v PA/

National Board, Stat , Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date n c n 19 95

~Z I*

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10 05 94 Name P.O. Box 60 Port Wa ne IN 46801 Sheet 1 of 2 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Pl c Brid an MI 4 106 J.O. R 655-05 Address Repair Org. P.O. No., Job No., etc I

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 0290-V 2830 PARKWAY ST. LAKELAND PL. 33811 Address

4. Identif ication of System PRESSURIZER

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code 'Case (b( Applicable Edition of Section Xr Utilized for Repairs or Replacements 19~83 W S

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf . Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-SV-45A 6 X 6 CROSBY N56499 N/A STYLE N/A REPLACED NO SAFETY VLV 00-0001 HB-86-BP 6X6 CROSBY RV N/A STYLE HB-86-BP N/A REPLACE-MENT NO SAFETY VLV 8010B 1"X 6 1/2" N/A N/A N/A SA453-GR660 N/A REPLACE- NO STUD BOLTS ASP17328 MENT

7. Description of Work REMOVE THE EXISTIN 2-SV-45A SAFETY VALVE FOR SET-POINT TE TING AND REPLACE WITH THE SPARE VALVE PER **12 MHP 5021.001.0 2

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X N/A Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NIS94

Page 2 of 2 FORM NIS-2 (Back)

9. Remarks REPLACED ALL OUTLET FLANGE STUDS A1 BS WITH SA453 GR660 Applicable Manufacturer's Data Reports to be attached AL 0 REPLACED THE INLET STUDS WITH SA453 GR660 STUDS. PERFORMED VT-1 VT-2 & LEAKAGE INSPECTIONS AND THESE WERE FOUND TO BE ACCEPTABLE ASME CLASS I ISI CLASS I Z.O. R9655-05 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this R 1 m R ir conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Owner r Owner's Designee,

~ nlG Irj~

Title Date CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mi hi n and employed by ARKWRZ H M AL I

• of NORW D MA have inspected the components described in this Owner's Report during the period I- l- q< 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 om or connected with this inspection.

~~ 7 Commissions i.cl~osC Er PA' Inspector's S nat e National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 19 ~f NIS94

I*

tt e- n ~ II

FORM NXS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

l. Owner INDIANA MI HIGAN POWER COMPANY Date 10 05 94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of 3 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 J.O. R 6 6-05 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 02 0-V 2 PARKWAY ST. LAKELAND FL 3811 Address

4. Identification of System- PRES URIZER

• AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements 19~83 W S

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-SV-45C 6X6 CROSBY RV N/A STYLE N/A REPLACED NO SAFETY VLV 8010C HB-86-BP 6 X 6 CROSBY RV N/A STYLE N/A REPLACE- NO SAFETY VLV 8010B HB-86-BP MENT 1 "X 6 1/2" N/A N/A N/A SA453-GR660 N/A REPLACE- NO STUD BOLTS ASP17328 MENT 1 3/8 "Xll" N/A N/A N/A SA453-GR660 N/A REPLACE- NO STUD BOLTS ASP-13508 MENT

7. Description of Work REMOVE THE EXISTING 2-SV-45C SAFETY VALVE FOR SET-POINT TESTIN AND REPLACE WITH THE SPARE VALVE PER **12 MHP 5021.001.0 2 a

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X N/A Other Pressure si Test Temp. QF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NIS94

w II h

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10 05 4 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 2 of 3 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 4 106 J.O. R9659-05 Address Repair Org. P.O. Noes Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 02 0-V 2830 PARKWAY ST. LAKELAND FL. 33 11 Address

4. Identif ication of System PRESSURIZER

+ AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., Add. Code Case (b) Applicable Edition of Section Xl Utilized for Repairs or Replacements as~83 W S 1 9 8 3 ADDENDA

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 1 n HEAVY N/A N/A N/A SA194-GR8F N/A REPLACE- NO HEX NUTS ASP-117394 MENT

7. Description of Work SEE PAGE 1 FOR DESCRIPTION THIS PA E FOR ADDITIONAL COMPONENTS ONLY J.O. R 656-05

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X N/A Other Pressure sig Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NIS94

Page 3 of 3 PORM NIS-2 (Back)

9. Remarks REPLA ED ALL OUTLET. FLANGE STUDS A1 3 B8 WITH SA45 GR660 Applicable Manufacturer's Data Reports to be attached ALSO REPLACED THE INLET STUDS WITH SA453 GR660 STUDS. PERFORMED VT-1 VT-2 Sc LEAKAGE INSPECTIONS AND THESE WERE FOUND TO BE ACCEPTABLE.

ASME CLASS I IS I CLASS I J.O. R 656-05 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this Re lac m n R air conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed -9 41 -4 94'~ Date i~/ 19 Owner or 0 ner's Designee, Title CERTZPICATE OP ZNSERVICE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Mi hi n and employed by ARKWRI HT M AL I of N RWOOD MA have inspected the components described in this Owner's Report during the period I 9 5 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 XZ.

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 from or connected with this inspection.

Commissions i 4 o>s Ctx Piv4' /

Inspector's na re National Board, State', Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCZATION Date ~ ~~~u NZS94

~,

4 d II g

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-17-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 R12537-1 2-MSS-1 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Exp'iration Date N A Address

4. Identification of System PIPING SUPPORT (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-MSS-1 N/A N/A N/A N/A N/A REPAIRED NO TAPERED GRZNNELL N/A N/A SA-193 N/A REPLACE-LOAD PZN CORP. GRADE B7 MENT M&E30024975 ASP¹10364

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

I I \>> 4 14

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED LOAD PIN DUE TO NORMAL WEAR.

Applicable Manufacturer's Data Reports to be attached Ref. JO: R12537-1 File: 2-MSS-1 IS1:2 CBRTZFZCATB OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A

""""VV""'"-4-""- Expiration Date N A Signed Frank xsarsk Maint.En .Su ervisor Date u 19 Owner or Owner's Designee, Title CERTIFICATE OF INSBRVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure by rv .~F .r

~ )'o Vessel inspectors and the State or Province of Michi an ARKWRIGHT MUTUAL INS. CO.*

~>> la~ l~ 9 of NORWOOD MASS ~

have inspected the components described in this Owner's Report during the period and employed 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 XZ.

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 wi~-.~ >o . -~ JP'.

Inspector's gnat e National Boa'rd, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date s>~=.-~ b<<o Z 19 ~tH

g II

&$70-/0/

FORM NZS"2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10 05 4 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of 2 Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 4 106 J.O. R22608-06 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by NISCO Type Code Symbol Stamp V Name Authorization No. 02 0-V 2830 PARKWAY ST LAKELAND FL. 33811 Address

4. Identification of System PRESSURIZER

+ AEP Specifications / MDS Standards / ANSI B31.1-83 / AISC

5. (a) Applicable Const. Code

• 19 Ed., 'Add. Code Case (b> Applicable Edition of Section XI Utilized for Repairs or Replacements 19~83 W S

6. identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Identi- Year Replace- (Yes Component Manufacturer No. No. fication Built ment or No) 2-SV-45B 6 X 6 CROSBY N56499 N/A STYLE N/A REPLACED NO SAFETY VLV 01-0007 HB-86-BP 6X6 CROSBY RV N/A STYLE N/A REPLACE- NO SAFETY VLV 8010A HB-86-BP MENT 1"X 6 1/2" N/A N/A N/A SA453-GR660 N/A REPLACE- NO STUD BOLTS ASP17328 MENT

7. Description of Work REMOVE THE EXI TING 2-SV-45B SAFETY VALVE FOR SET-POINT TESTING AND REPLACE WITH THE SPARE VALVE PER **12 MHP 5021.001.0 2

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure X N/A Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

NIS94

Page 2 of 2 FORM NIS-2 (Back)

9. Remarks REPLACED ALL OUTLET FLANGE STUDS A1 3 B8 WITH SA453 GR660 Applicable Manufacturer's Data Reports to be attached ALSO REPLACED THE INLET STUDS WITH SA453 GR660 STUDS. PERFORMED VT-1 VT-2 & LEAKAGE INSPECTIONS AND THESE WERE FOUND TO BE ACCEPTABLE.

A ME LASS I ISI CLASS I '.O. R22608-06 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re la men Re ir conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Date i> 5 19 Owner o 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 Michi an and employed by ARKWRIGHT M AL IN . 0.* of N RW D MA have inspected the components described in this Owner's Report during the period i-s" r.S 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 Giom or connected with this inspection.

Commissions W~~ aors. Z~~PA'Yi Inspector's Siphature /

National Bo rd, Stat'.e, Province, Endorsements

/

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 19 NIS94

l",< L I

h I

~ FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-07-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 R22733-1 2-GRC-S555 Address Repair Org. PRO. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System PIPING SUPPORT (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-GRC-SSSS N/A N/A N/A N/A N/A REPAIRED NO TAPERED GRZNNELL N/A N/A SA-193 N/A REPLACE-LOAD PZN CORP. GRADE B7 MENT M&E30024975 ASP¹10364

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 numbezed and the number of sheets is

- recoided at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED LOAD PIN DUE TO NORMAL WEAR.

Applicable Manufacturer's Data Reports to be attached Ref. JO: R22733-1 File: 2-GRC-S555 ISI:l CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A

""-"'"ll' Expiration Date N A Signed Fran isa aint. n .Su ervisor Date ( 19 Owner or Owner's Designee, Title CERTIFICATE OF ZNSBRVZCB ZNSPECTZON I, the undersigned, holding a valid commission issued by the, National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period re /c,' > '/ to and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XZ.

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 kind ari ing from or connected with this inspection.

Commissions Arcs pvJ En/P/8 <~

Inspector'i ature National Board, Sta e, Province, Endorsements Date )Dec-c n 9 rg 19 7 P'FACTORY MUTUAL ENGINEERING ASSOCIATION

l FORM NZS<<2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-22-94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 R22843-1 2-GBD-SS68 Address Repair Org. P.O. No., Gob No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System PIPING SUPPORT (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-GBD-S568 N/A N/A N/A N/A N/A REPAIRED NO TAPERED GRINNELL N/A N/A SA-193 N/A REPLACE-LOAD PIN CORP. GRADE B7 MENT M&E30024975 ASP¹10364

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

F l

I

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED LOAD PIN DUE TO NORMAL WEAR.

Applicable Manufacturer's Data Reports to be attached Ref. JO: R22843-1 File: 2-GBD-S568 ISI:2 CBRTZFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Frank Pisarsk Maint.En .Su ervisor Date ~ i< I4 19 Owner or Owner's Designee, Title CBRTZFICATE OF ZNSERVZCE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

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 recpxirements 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 arisi from or connected with this inspection.

Commissions rK Z ~a.5"5 ~re. O'4 Znspector's ign ure National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 19

J' FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ Owner INDIANA MICHIGAN POWER COMPANY Date 10-14-94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Bridaman MI 49106 R24359-1 2-MSS-7 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System PIPING SUPPORT (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component, Manufacturer No. No. Identi- Built ment or No) fication 2-MSS-7 N/A N/A N/A N/A N/A REPAIRED NO LOAD PZN NOVA MACHINE N/A N/A ASTM A-194 1987 REPLACE- NO PRODUCTS CORP GRADE 7 MENT M&E30046553 ASP¹ 9861 CARDINAL N/A N/A ASME SA-194 N/A REPLACE- NO ZNDUSTRIAL GRADE 2H MENT PRODUCTS INC. M&E30211925 ASP¹15333

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks FABRICATED A NEW LOAD PIN FROM 1-1 4" BOLT ALSO REPLACED Applicable Manufacturer's Data Reports to be attached NUT .

Ref. JO: R24359-1 File: 2-MSS-7 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.

repair or replacement

"""'"V"'"-""'"

Type Code Symbol Stamp N A Expiration Date N A Signed Fra Pxsarsk Qr Maint.En .Su ervisor Date , 19 /

Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTION the undersigned, holding a valid commission i,ssued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the pe iod rC - g.S- Vy to I 3 and state that to the best of my knowledge and belief, the Owner has performed examinations and taken, corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

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

Commissions Inspector's S gna e National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERZNG ASSOCIATION Date Sa~ mow g9 95

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-16-94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 R25802-02 2-CTS-103W Address Repair Org. P.O. No., Job No., etc

3. work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System CONTAINMENT SPRAY (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired 'ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-CTS-103W N/A N/A N/A N/A N/A REPAIRED NO NOVA MACHINE N/A N/A ASTM A-194 1990 REPLACE" NO PRODUCTS CORP GRADE 8F MENT MGE30046903 ASP¹14876

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

I~

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks BODY TO BONNET NUTS WERE NOT CONSISTENT SOME WERE STANDARD Applicable Manufacturer's Data Reports to be attached AND SOME WERE HEAVY HEX NUT. REPLACED ALL BODY TO BONNET NUTS ALSO CUT TWO BODY TO BONNET STUDS TO PROPER LENGHT.

Ref. JO:R25802-2 File: 2-CTS-103W XSI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A 1

Expiration Date N A Signed Fran Pisarsk Maint.En .Su ervisor Date 19 Owner or Owner's Designee, Title CERTZRICATE OF ZNSSRVICB 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 Michi an and employed by ARKWR1GHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period to io -.~.z- O'I 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 recpxirements of the ASME Code, Section XZ.

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 ~'~ ons s r Inspector's Si ture National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date Oc<~h=i~ ZJ 19 W9

l ~ 4 k. ~ .4 a" FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-13-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 R25813-3 2-FW-118-4 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by MaintenanCe De artment Name Same as 2 Expiration Date N A Address

4. Identification of System FEEDWATER (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-FW-118-4 N/A N/A N/A N/A N/A REPAIRED NO STUDS CARDINAL N/A N/A ASME SA-193 N/A REPLACE- NO INDUSTRIAL GRADE B7 MENT PRODUCTS M&E30029939 ASPg13033 M&E302 11475 ASPg17165 CARDINAL N/A N/A ASME SA-194 N/A REPLACE- NO INDUSTRIAL GRADE 2H MENT PRODUCTS M&E30029939 ASPg13033 &

M&E30046640 ASPg12730

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form. C

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED BODY TO BONNET STUDS AND NUTS DUE TO NORMAL WEAR.

Applicable Manufacturer's Data Reports to be attached Ref. JO:R25813-3 File: 2-FW-118-4 ISI: 2 CERTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Expiration. Date N A Signed Frank Pisarsk Maint.En .Su ervisor Date 4 I 19 Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCE ZNSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period

. a. ~w-".w 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 ~i.~w ~;~ z~ Hr~P Inspector'd Signatuz'e National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date c3c-. -r~.'i I9

A fl', Ir ll

'I

PORM NIS-2 OWNER'S REPORT POR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-07-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 R25826-1 2-SV-52 Address Repair Org; P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identif ication of System LETDOWN CVCS (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components ficationn Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) 2-SV-52 . N/A N/A N/A N/A N/A REPAIRED NO ALL THREAD NOVA MACHINE N/A N/A ASME A-453 1986 REPLACE- NO STUDS 'PRODUCTS CORP GRADE 660 MENT ME30-029999 ASP¹15076 NOVA MACHINE N/A N/A ASME SA-194 N/A REPLACE- NO PRODUCTS CORP GRADE 8F MENT ME30-046902 ASP¹15012

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

%It 4 ~

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED UNIDENTIFIABLE BOLTING WITH NEW STUDS AND NUTS ON Applicable Manufacturer's Data Reports to be attached OUTLET FLANGE CONNECTION.

Ref. JO: R25826-01 File:2-SV-52 IS1: 2 CERTIFICATE OR COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A

"'"'"l8 '"'"'""h"""' Expiration Date N A Signed Fr n xsarsk aint.En .Su ervisor Date to 19 Owner or Owner's Designee, Title CERTIFICATE OP ZNSERVZCB INSPECTION Z, the undersigned, holding a vali.d commission issued by the National Board of Boiler and Pressure Vessel Inspectors and'he State or Province of Michi an and employed by ARKWRZGHT MUTUAL ZNS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period 9w ro-a ~-qu 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 XZ.

By signing this certificate nei.ther 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 ~i-.-~ m55 6 PiV Inspector's i ture National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGZNEERZNG ASSOCIATION Date 0'oL><4 P.F 19 9H

4 ti if 'I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-22-94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D. C. - COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 R25831-5 2-SV-107 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance Department Name Same as 2 Expiration Date N A Address

4. Identification of System CONTAINMENT SPRAY (b) Applicable Edition of Section X1 Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf . Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication

/07 2-SV~~~ N/A N/A N/A N/A N/A REPAIRED NO ALL THREAD NOVA MACHINE N/A N/A ASTM A-453 1992 REPLACE- NO STUD PRODUCTS CORP GRADE 660 MENT M&E30029999 ASP¹15076 NOVA MACHINE N/A N/A ASME SA-194 N/A REPLACE- NO PRODUCTS CORP GRADE 8F MENT M&E30046902 ASP¹15012

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back) 9.'emarks REPLACED UNIDENTIFIABLE BOLTING MATERIAL.

Applicable Manufacturer's Data Reports to be attached Ref. JO: R25831-5 File: 2-SV-107 ISI: 2 CERTIFICATE OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A r

Signed F k Pxsarsk M int.En .Su ervisor Date Owner or Owner's Designee, Title CERTIFICATE OP INSERVICE ZNSPECTION I, the undersigned, holding a =valid commission issued by the National .Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRZGHT MUTUAL ZNS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period

'~c to zz,-i5 -9w 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.

Mr. m~

Inspector's re Commissions e "w oars'. ~ ~Jy<~

National Board, State, Province, Endorsements ign

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date

,<aft ~ e I

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-25-94 Name P.O. Box 60 Fort Wa e . IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place 'Brid man MI 49106 R25994-2 2-DCR-310 Address Repair Org. P.O. No., Job No., etc

3. work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System BLOWDOWN (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- "

(Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-DCR-310 N/A N/A N/A N/A N/A REPAIRED NO PLUG NELES N/A N/A ASTM A"582 N/A REPLACE- NO JAMES BURY TYPE 416 MENT MQE30040938 ASP¹14557

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp.

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED VALVE PLUG DUE TO STEAM CUTS.

Applicable Manufacturer's Data Reports to be attached Ref. JO:R25994-2 File: 2-DCR-310 lSI:2 CBRTZFZCATS OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A N A Signed 8@k xsarsk Maint.En .Su ervisor Date , .9e<

Owner or Owner's Designee, Title CBRTIFICATB OF INSBRVZCS ZNSPBCTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler 5'o and Pressure Vessel Znspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period ro/9-S r ~ /--I - ~ 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.

. ~rig Inspector' ign re Commissions W=~ ooSS, E gjV National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date O~c rufbe 19~Y

If 1 ~

FORM NIS-2 OWNER'S REPORT POR REPAIRS OR REPLACE'269ITS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-24-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 R26005-2 2-DCR-330 Address Repair Org. P.O. No., Job No., etc

3. work performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System BLOWDOWN (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Re aired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-DCR-330 N/A N/A N/A BODY N/A REPAIRED NO BODY & SA-217 MACHINED BONNET GRADE CS BONNET SA-182 GRADE F5A PLUG NELES N/A N/A ASTM A-582 REPLACE- NO JAMESBURY TYPE 416 pre/ MENT M&E30040938 ASP¹14557 BONNET CARDINAL N/A N/A STUD SA" 193 N/A REPLACE- NO BOLTING INDUSTRIAL GRADE B7 MENT MATERIAL PRODUCTS INC. NUT SA-194 GRADE 2H M&E30028942 ASP¹14688 NELES N/A N/A ASTM A-564 1987 REPLACE- NO JAMESBURY GRADE 630 ~ MENT M&E30040730 ASP¹13822

7. Description of Work See Remar s

8. Test Conducted: Hydrostatic Pneumatic VT2 Nominal Operating Pressure N/A Other PT Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

'p

~ ee <f s. <<'- ~ s~ aa

Page 2 .of 2 FORM NZS-2 (Back)

9. Remarks MACHINED VALVE BODY AND BONNET GASKET SEATING SURFACES TO REMOVE Applicable Manufacturer's Data Reports to be attached PITTING.PT EXAM.WAS PREFORMED ON SEATING SURFACES AN ACCEPTED.

REPLACE PLUG AND CAGE DUE TO STEAM CUTS. ALSO REPLACED BODY TO BONNET FASTENERS.

Ref. JO:R26005-2 File: 2-DCR-330 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR REPLACEMENT conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Fra Pis rsk

+r Maint.En .Su ervisor Date t co 19 Owner or Owner's Designee, Title CBRTIBZCATS OP ZNSBRVZCE 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 Michi an and employed by ARKWRIGHT MUTt7AL INS. CO.* of NORWOOD MASS.

have inspected the components - C.-9Sdescribed in this Owner's Report during the period o 5/ 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 persona'l injury or property damage or a loss of any kind arisi from or connected with this inspection.

Commissions ~<<-~ ASS EivA Inspector's ignat.'e National Board, Sta e, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date Wo ~vs ~

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS, As Required by the Provi'sions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-29-94 Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Bridaman MI 49106 R26006-2 2-DCR-320 Address Repair Org. P.O. No., Job No., etc

3. work Performed by Maintenance Deaartment Name Same as 2 Expiration Date N A Address

4. Identification of System BLOWDOWN (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or. No) fication 2-DCR-320 N/A N/A N/A N/A N/A REPAIRED NO PLUG NELES N/A N/A ASTM A-582 1991 REPLACE- NO JAMESBURY TYPE 416 MENT M&E30040938 ASP¹14557 BONNET NELES N/A N/A ASME SA-182 1992 REPLACE- NO JAMESBURY GRADE F5A MENT M&E30040710 ASP¹17154 BONNET TO CARDINAL N/A N/A STUD SA-193 N/A REPLACE- NO BODY BOLT INDUSTRIAL GRADE B7 MENT WITH NUT PRODUCTS INC. NUT SA-194 GRADE 2H M&E30028942 ASP¹14688

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure VT2 N/A Other Pressure si Test Temp. oF O NOTE:

(1)

Supplemental sheets in form of lists, sketches, or drawings may be used, provided 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 recorded at the top of this form.

II Page 2 of 2 FORM NIS-2 (Back)

9. Remarks REPLACED VALVE BONNET AND PLUG DUE TO DETERIORATION AND STEAM Applicable Manufacturer's Data Reports to be attached CUTS. ALSO REPLACED BROKEN BODY TO BONNET FASTENERS.

Ref. JO:R26006-2 File: 2-DCR-320 ISI:2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A I

or Owner's Designee, Title J 'wner CERTIFICATE OF ZNSERVZCE INSPECTZON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period re ZS- '9Y to / '(s- and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures describedAvail in this Owner's Report in accordance with the recgxirements of the ASME Code, Section XZ.

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.

I Commissions ~i~S. +os ~ W~XNc Inspector'ign re National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date Xc 19 '~J

PORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ Io

1. Owner INDIANA MICHIGAN POWER COMPANY Date (M.-04-84 <7'I Name P.O. Box 60 Fort Wa ne IN 46801 Sheet 1 of Address I

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 R26084-1 2- CR-301 Address Repair Org. P.O. No., Gob No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System'ETDOWN CVCS (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-QCR-301 N/A N/A N/A N/A N/A REPAIRED NO TRIM COPES- N/A ASTM A-479 N/A REPLACE- NO ASSEMBLY VULCAN'IN'/A TYPE 410 MENT M6cE30036070 ASPg16770

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

A~tP v

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks VALVE CAGE AND PLUG ARE P1TTED REPLACED TRIM Applicable Manufacturer's Data Reports to be attached ASSEMBLY CONSISTING OF 1 CAGE 1 PIN 1 PLUG AND 1 STEM.

Ref. JO:R26084-1 File: 2- CR-301 ISI:2 CBRTZPZCATB OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI ~

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed n Pisarsk Maint.En .Su ervisor Date u l Owner or Owner's Designee, Title CBRTZPICATE OP INSERVICE INSPECTION Z, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRZGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period yO Slots tL-o2 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 XZ.

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 f om or connected with this inspection.

. Pc.

Inspector's Si atu Commissions ~ ~" >>Ss ~~i>

/

Board, State, Province, Endorsements 4'ational

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date De e ~ b<<> Z 19~4

l

'y4$ ~ ~'R V'

gg

FORM NIS-2 OWNER'S REPORT FOR. REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-27-94 P.O. Box 60 Fort Wa e IN 46801 . Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name

'ne Cook Place Br id an MI 49106 ". R26086-2 2- RV-51

'ddress Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2

\

Expiration Date N A Address

4. Identification of System CHARGING, CVCS (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda b

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component . Manufacturer No. No. Identi- Built ment or No) fication 2-QRV-51 N/A N/A N/A N/A N/A REPAIRED NO TRIM COPES- N/A N/A ASME SA-564 N/A REPLACE- NO ASSEMBLY VULCAN ZNC. GRADE 630 MENT MGE30036072 ASPg13329

7. Description of Work See Remarks v

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other 'ressure si Test Temp. oF NOTE: ~ Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form. ~

r$

/

Page 2 of 2 I~

FORM NZS-2 (Back)

9. Remarks REPLACED TRIM ASSEMBLY DUE TO HIGH RADIATION LEVELS.

Applicable Manufacturer's Data Reports to be attached Ref. JO:R26086-2 File: 2- RV-51 ISI:1 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XX.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Frank Pisarsk Maint.En .Suaervisor Date Owner or Owner's Designee, Title CERTXPZCATE OP XHSERVZCE XHSPECTXOH I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period t A~ l~~ to 3 and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the recgxirements 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 ind arisi+ from or connected with this inspection.

Commissions ~cl Inspector'MSignature National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGXHEERXHG ASSOCIATION Date

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-13-04 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 R26087-9 2-MRV-212 Address Repair Org. P.O. No., Job No., etc

3. Work Per formed by MaintenanCe De artment Name Same as 2 . Expiration Date N A Address

4. Identification of System MAIN STEAM (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Zdenti- Built ment or No) fication 2-MRV-212 FISHER N/A N/A N/A N/A REPAIRED NO EXISTING FISHER N/A N/A ASTM A-582 N/A REPAIRED NO PLUG & SEAT TYPE 416 MACHINED RING

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other PT Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks MACHINED APPROX. .004 OFF PLUG AND SEAT RING TO REMOVE NORMAL Applicable Manufacturer's Data Reports to be attached PITTING AND STEAM CUTS. PT EXAM OF MACHINED AREAS WAS PERFORMED AND ACCEPTED.

Ref. JO: R26087-9 File:2-MRV-212 ISI:2 CBRTZFZCATB OF COMPLIANCE We certify that the statements made in the report are correct and this REPAIR conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp Signed Frank Pisa Owner

'""~r 4".~

N A Maint.En .Su ervisor Date or Owner's Designee, Title Expiration Date (l t N A CBRTZFZCATB OF ZNSBRVZCB ZNSPBCTZON Z, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period pg ( V

~

to I/- i@.- 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 XZ.

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

Commissions ~'~ >>S< G~P~>

xgna re

/'nspector National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date ~a: rn 'b e 4 I& 19

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requiied by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-13-04 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 R26088-9 2-MRV-211 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Zdentification of System MAIN STEAM (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Zdentification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Zdenti- Built ment or No) fication 2-MRV-211 FISHER N/A N/A N/A N/A REPAZRED NO EXZSTZNG FZSHER N/A N/A ASTM A-582 N/A REPAZRED NO PLUG & SEAT TYPE 416 MACHZNED RING

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A Other PT Pressure si Test Temp.

I NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

I I

f' I

4

Page 2 of 2 PORN NIS-2 (Back)

9. Remarks MACHINED APPROX. .004 OFF PLUG AND SEAT RING TO REMOVE NORMAL Applicable Manufacturer's Data Reports to be attached PITTING AND STEAM CUTS. PT EXAM OF MACHINED AREAS WAS PERFORMED AND ACCEPTED.

Ref. JO: R26088-9 File:2-MRV-211 ISI:2 CERTZFZCATE OR COMPLIANCE We certify that the statements made in the report are correct and this REPAIR conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp Signed Frank

'ee

'EJ~,

'"" N A isarsk Maint. En Su . ervisor Date Expiration Date tl , I99 N A Owner or Owner's Designee, Title CERTIFICATE OP ZNSERVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period ro-'I to //- rc . 'jM and state that to the hest 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 XZ.

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 shall he liable in any manner for any personal injury or property damage or 'mployer a loss of any kind arising from or connected with this inspection.

Inspector'i ture Commissions l ic a>~t5'. Z~PA M r

National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date Ar I r I( 19 e'e'

FORM NZS-2 OWNER' REPORT FOR REPAIRS OR REPLACEMENTS As Required by the provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-23-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 R26093- 2-MRV-232 Address Repair Org. P.O. No., Gob No., etc

3. Work Performed by MaintenanCe De artment Name Same as 2 Expiration Date N A Address

4. Identif ication of System MAIN STEAM (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-MRV-232 N/A N/A N/A N/A N/A REPAIRED NO PLUG FISHER N/A N/A ASTM A"582 N/A REPLACE- NO CONTROLS TP.S41600 MENT ME(E30040005 ASPg12623

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 PORN NZS-2 (Back)

9. Remarks REPACED PLUG DUE TO STEAM CUT .

Applicable Manufacturer's Data Reports to be attached Ref. JO: R26093-9 File: 2-MRV-232 ISI:2 CERTZPZCATB OP COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code, Section XZ.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed nk isarsk M int.En .Su ervisor Date Owner or Owner's Designee, Title CERTIFICATE OP INSBRVZCE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Znspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period g ) "V to ic- 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 XZ.

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 Znspector 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.

sZw Ac Commissions'~<.=>.~ S' r~~S' Inspector's ign ture National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date v"-rc ~i.~~ 2S 19 9'I

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-11-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid man MI 49106 R26094-9 2-MRV-231 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System MAIN STEAM (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-MRV-231 N/A N/A N/A N/A N/A REPAIRED NO PLUG Ec PLUG FISHER N/A N/A ASTM A-582 N/A REPLACE- NO ASSEMBLY CONTROLS TP.S41600 MENT MfcE30040005 ASPg15863 SEAT RING FISHER N/A N/A ASTM A-582 N/A REPLACE- NO CONTROLS TP. S41600 MENT ASP512803

7. Descxiption of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

J I

Page 2 of 2 PORN N1S-2 (Back)

9. Remarks REPACED PLUG AND SEAT RING DUE TO STEAM CUTS.

Applicable Manufacturer's Data Reports to be attached Ref. JO: R26094-9 File: 2-MRV-231 ISI:2 CBRTZFZCATE OF CONPLZANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A II Expiration Date N A C

Signed Fra Pisarsk Ma nt.En .Su ervisor Date a 4-Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected'he components described in this Owner's Report during the period

~

/ to /z "/- 'PV 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 recpxirements of the ASME Code, Section XZ.

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 Znspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss ot any kind rom or connected with this inspection.

arising Commissions rA S 8 .P Inspector's Date ~ c-c.-W rf'9 xgnat e c~

National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 10-11-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 R26095-9 2-MRV-222 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by Maintenance Deaartment Name Same as 2 Expiration Date N A Address

4. Zdentif ication of System MAIN STEAM (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Zdentification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Zdenti- Built ment or No) fication 2-MRV-222 N/A N/A N/A N/A N/A REPAZRED NO PLUG Ec STEM FZSHER N/A N/A ASTM A-582 N/A REPLACE- NO ASSEMBLY CONTROLS TP. S41600 MENT MGE30040005 ASPQ15863 SEAT RZNG FZSHER N/A N/A ASTM A-582 N/A REPLACE- NO CONTROLS TP. S41600 MENT ASPQ12803

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPACED PLUG AND SEAT RING DUE TO STEAM CUTS.

Applicable Manufacturer's Data Reports to be attached Ref. JO: R26095-9 File: 2-MRV-222 ISI:2 CERTZFZCATE OF COMPLIANCE We certify that the statements made in the report. are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A Expiration Date N A Signed Fra r>

~sarsk aint.En .Su ervisor Date << I 19 Owner or Owner's Designee, Title CERTZFZCATE OF INSBRVZCE 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 Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period Jn/'(i/3~ 'to i2- ~ - I 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 ~r-. s ~~=..-. ~.~ -P 1nspector' gna re National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date "-.. -~h~ r 2 19 1H

I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEKQFZS As Recpxired by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-27-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D.C.- COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 R27507-4 2-CS-451-2 Address Repair Org. P.O. No., Job No., etc

3. Work Performed by MaintenanCe De artment Name Same as 2 Expiration Date 'N A Address

4. Identification of System REACTOR COOLANT PUMP SEAL WATER INJECTION LEAKOFF (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-CS-451-2 N/A N/A N/A N/A N/A REPAIRED NO STUDS 1" CARDINAL N/A N/A SA-453 N/A REPLACE- NO ALL TEGKAD INDUSTRIAL GRADE 660 MENT PRODUCTS M&E30029996 ASP¹17328 TEXAS BOLT N/A N/A SA-194 N/A REPLACE" NO CO. GRADE 8P MENT M&E30046905 ASP¹3855

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. p M4 L ~ -W NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided ~ ".~.

(1) size is 8-1/2 in. x 11 in., (2) information in items 1 through 6 on this report's included on each sheet, and (3) each sheet is numbered and the number of. sheets is recorded at the top of this form.

d~

h

FORM NIS-2 (Back)

9. Remarks REPLACED UNIDENTIFIABLE FASTENER MA ERIAL Applicable Manufacturer's Data Reports to be attached Ref. JO: R27507-4 File: 2-CS-451-2 ISI:2 CERTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp

""'"W Signed nk

"'""'"""'xpiration xsarsk N A Maint.En .Su ervisor Date Date I 19 N A Owner or Owner's Designee, Title CERTZFZCATE OP ZNSBRVICE 1NSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period

- ~~$ ')9 to gz- >s'- 1 v 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 recpxirements of the ASME Code, Section signing this certificate neither the Inspector nor his employer makes any XI'y 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 a ising from or connected with this inspection.

J'ommissions Inspecto 's gnature

~~<<>>~<

National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date 0 ~ I< 19~x

4 I

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-28-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of Address

2. Plant D.C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 R27508-4 2-CS-451-3 Address Repair Org. P.O. No., Gob No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System REACTOR COOLANT PUMP SEAL WATER INJECTION LEAKOFF (b) Applicable Edition of Section XZ Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Zdentification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf- Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Zdenti- Built ment or No) fication 2-CS" 451-3 N/A N/A N/A N/A N/A REPAZ RED NO STUDS 1" CARD ZNAL N/A N/A SA-453 N/A REPL'ACE- NO ALL 'Q&EAD ZNDUSTRZAL GRADE 660 MENT PRODUCTS MGE30029996 ASPN3.7328 TEXAS BOLT N/A N/A SA-194 N/A REPLACE- NO CO. GRADE 8F MENT MQE30046905 ASPg3855

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

Page 2 of 2 FORM NXS-2 (Back)

9. Remarks REPLACED UNIDENTIFIABLE FASTENER MATERIAL.

Applicable Manufacturer's Data Reports to be attached Ref. JO: R27508-4 File: 2-CS-451-3 ISI:2 CERTZFZCATE OF COMPLIANCE We certify that the statements made in the report are correct and this re lacement conforms to the rules of the ASME Code,Section XX.

repair or replacement

'a")"'xpiration "I

Type Code Symbol Stamp N A P ~

Date N , ~

• Signed Frank isarsk Maint.En .Su ervisor Date 19$ ' ~ "'

Owner or Owner's Designee, Title

<<C>> lit -~

....,';~".-,.... i-;

CERTZFXCATE OF INSERVZCE INSPECTZON ),'"-.t-~~="',

the undersigned, holding a valid commission issued by the National'Board of Boiler '

~

by ARKWRIGHT MUTUAL INS. CO.

• of NORWOOD have inspected the components described in this Owner's Report during,=..We period.'>>"',,'

5 - +H Z.- t5- 9e 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 XZ.

By signing this certificate neither the Inspector nor his employer makes any <~.),>:;:,, c'ate warranty, expressed or implied, concerning the examinations and corrective.',measuresw~,

described in this Owner's Report. Furthermore neither the Inspectornor 'his'~'<'~f>.';,=~ $.9~

employer shall be liable in any manner for any personal in$ ury or propeity, damage.",'or.'-.'!' %PL't loss of any kind arising from or connected with this inspection., ".; ""';" "..""'. -~4'.,'..-"

"= ";

Commissions W~->>c << &e >

Inspector' gnapbre r

National Board, State, Pr ovine~.Endoxsementap 'iE,

• FACTORY MUTUAL ENGZNEERZNQ'SSOCIATION! ~'~): ~'.'. ~ @5' Oe~..-~ h< > /5 19~4

~ ~ ~

~; )hQ',g).>>whap

~ 'y pQ T4 ~p+AC)I~+ 6 IQ~ ~p~~qzp ~)

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FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XZ

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-22-94 Name P.O. Box 60'ort Wa e IN 46801 Sheet 1 of Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 R29750-9 2-SV-52 Address Repair Org. P.O. No., J'ob No., etc

3. Work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Zdentif ication of System LETDOWN CVCS (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

. 6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes Component Manufacturer No. No. Identi- Built ment or No) fication 2-SV-52 N/A N/A N/A N/A N/A REPAIRED NO ALL THREAD NOVA MACHZNE N/A N/A ASME A-453 1986 REPLACE- NO STUDS PRODUCTS CORP GRADE 660 MENT ME30-029999 ASP¹15076 NOVA MACHZNE N/A N/A ASME SA-194 N/A REPLACE- NO PRODUCTS CORP GRADE 8F MENT ME30-046902 ASP¹15012

7. Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure N/A X Other Pressure si Test Temp. oF Supplemental sheets in form of lists, sketches, or drawings may be used, provided NOTE:

(1) size is 8-1/2 in. x ll 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.

I Page 2 of 2 FORM NZS-2 (Back)

)

9. Remarks REPLACED UNIDENTIFIABLE BOLTINQ WITH NEW STUDS AND NUTS ON Applicable Manufacturer's Data Reports to be attached INLET FLANGE CONNECTION.

Ref. JO: R29750-09 File:2-SV-52 ISI: 2 We certify that the statements re lacement repair or replacement Type Code Symbol Stamp

--""@Q"""'-"ll""

Signed Frank Owner Pxsarsk~ai t.En N A

~

CBRTZRZCATE OF COMPLZANCB made in the report are correct and this conforms to the rules of the ASME Code, Section XZ

.Su ervisor Date or Owner's Designee, Title Expiration Date (o

CBRTZFZCATE OF ZNSBRVZCE ZNSPECTZON w 19

~

N A I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period

+7 SZ pv Pn-.7 P- 9V 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 arisi g from or connected with this inspection.

Commissions Hic" cc'SS Inspector's ign ure National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGINEERING ASSOCIATION Date Oc.v ah e< >~ 19

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner INDIANA MICHIGAN POWER COMPANY Date 09-19-94 Name P.O. Box 60 Fort Wa e IN 46801 Sheet 1 of - 2

,Address

2. Plant D. C. COOK NUCLEAR POWER PLANT Unit Name One Cook Place Brid an MI 49106 R31309-2 2-SI-101 Address Repair Org. P.O. No., Job No., etc

3. work Performed by Maintenance De artment Name Same as 2 Expiration Date N A Address

4. Identification of System REFUELING WATER STORAGE TANK SUPPLY (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1983 Summer 1983 Addenda

6. Identification of Components Repaired or Replaced and Replacement Components Repaired ASME Replaced Code Manuf. Nat. Other or Stamped Name of Name of Serial Board Year Replace- (Yes

'omponent Manufacturer No. No.. Identi- Built ment or No) fication 2-SZ-101 N/A N/A N/A N/A N/A REPAIRED NO DISC WALWORTH CO. N/A N/A ASTM A-351 GRADE CF8 MfcE30033681 ASPg3201 7 ~ Description of Work See Remarks

8. Test Conducted: Hydrostatic Pneumatic Nominal Operating Pressure I

N/A X Other Pressure si Test Temp. oF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (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 recorded at the top of this form.

4 s a'q r

Page 2 of 2 FORM NZS-2 (Back)

9. Remarks REPLACED DISC DUE TO CHATTER MARKS.

Applicable Manufacturer's Data Reports to be attached Ref. JO: R31309-2 File:2-SI-101 ISI:2

~

CERTIFICATE OF COMPLIANCE We certify that. the statements made in the report are correct and this REPLACEMENT conforms to the rules of the ASME Code,Section XI.

repair or replacement Type Code Symbol Stamp N A

'-""'O'V""'"-"'Q" Expiration Date N A Signed FPank isarsk Maint.En .Su ervisor Date 'lt

, 199 Owner or Owner's Designee, Title CERTIFICATE OF ZNSERVZCE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler 4'o and Pressure Vessel Inspectors and the State or Province of Michi an and employed by ARKWRIGHT MUTUAL INS. CO.* of NORWOOD MASS.

have inspected the components described in this Owner's Report during the period Ci and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XZ.

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 ~ . E~k'.AlF r Inspector'i ature National Board, State, Province, Endorsements

• FACTORY MUTUAL ENGZNEERING ASSOCIATION Date f)ee.;m L~e~ Z &~M