Text

ISI Rept 3-1
	ML18067A447
Person / Time
Site:	Palisades
Issue date:	03/12/1997
From:	Jennifer Ford, Fouty T; CONSUMERS ENERGY CO. (FORMERLY CONSUMERS POWER CO.)
To:	;
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ML18067A446	List: ML18067A445; ML18067A447;
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{{#Wiki_filter:PALISADES NUCLEAR PLANT SYSTEMS ENGINEERING DEPARTMENT Review and Approval Summary TITLE: ISi REPORT 3-1 Section Date

j : ATIACHMENT CONSUMERS POWER COMPANY PALISADES PLANT DOCKET 50-255 LICENSE DPR-20 PALISADES PLANT 1996 INSERVICE INSPECTION REPORT

summari 1996 INSERVICE INSPECTION 3-1 PALISADES NUCLEAR PLANT Inservice Inspection No. 3-1 was conducted during the period of November 1.

1996 through December 27. 1996 in accordance with Section 6.5.7 of the Palisades Nuclear Plant Technical Specifications. The ASME Boiler and Pressure Vessel (B&PV) Code. Section XI 1989 controlled the inspections and provided the acceptance criteria for these examinations. Included in this submittal are three separate sections. The first section details the examinations which were performed and the final inspection results. The second section provides the results summary to determine compliance with ASME Section XI for category and item numbers. The third section provides a listing of the repairs and replacements which have been performed over the last refueling cycle and the required NIS-2 Forms to document these repairs and replacements. Inspection Activities This was the first examination of the inspection interval. Areas examined during this inspection included the pressurizer. steam generator and various components of the Primary Coolant System. Engineered Safeguards System. Main Steam System and various support systems as identified in the attached NOE Results Summary Report. The examinations were performed using Radiographic (RT). Ultrasonic (UT)(Automated and Manual). Liquid Penetrant (PT). Magnetic Particle (MT) and Visual (VT) techniques. The examinations were conducted with Consumers Power Company Engineering and Technical Services Department (E&TS) using site approved procedures. Examinations were performed by personnel qualified in the NOT process utilized in accordance with the requirements of ASME Section XI IWA-2300. 1989 Edition. Verification of ASME Section XI Compliance To document the results total after the completion of this first outage of the inspection interval a "Verification of Section JI Compliance* report is attached. This report provides a category summary for all categories. followed by a detailed category and item number breakdown for inspection activities.

PALISADES NUCLEAR PLANT 1996 INSERVICE INSPECTION REPORT Submitted in accordance with the ASME Boiler and Pressure Vessel Code. Section XL Article IWA-6000. 1989 Edition.

1.

Date:

2.

Corporate Headquarters:

3.

Plant:

4.

Unit No:

5.

Commercial Service Date:

6.

Major Components Inspected: CQmpQnen:t Manufac:turec March 7. 1997 Consumers Energy 212 West Michigan Avenue Jackson. Michigan 49201 Palisades Nuclear Plant 27780 Blue Star Memorial Highway Covert. Michigan 49043 1 December 31. 1971 ~aoufa~:tucer ~a:tjQoal Serial NQ. S:ta:te NQ. BQard No. A. Pressurizer Combustion Eng. CE-66601 M96728M NB20851 B. Steam Gen-1 Combustion Eng. CE-70277-1

7.

Completion Date for Inspections: December 27. 1996

8.

Code Inspector: Kenneth L Blake

9.

Authorized Inspection Agency: Protection Mutual. Norwood. MA

10.

Abstract See ISI Report M358176M NB22864

~

FORM NJS.I. OWNER'S REPORT FOR INSEllV1CE INSftC110NS Al required by die Pro.woa. of* ASMB Code Rul* .l. Owner __ c_o""'."n_s_um_er_s_E_n.... e~rgy-:--,_2-:1~2;:-:W=e-::-s::t:":;Mi:-::':-:chi:-:'::g-:::an~A-:::v""'."e._, _J a-:--c_k_so_n._MI __ 49_2_0_1 _____ _ (!'lame and Address of Owner> Palisades Nuclear Plant, 27780 Blue Star Memorial Hwy, Covert, MI 49043 Z. Planc_""'."""------~---;7;--::--:---:--:--:-=---:::-=--:----~-~------- (Nam-= and Address of Plane> NIA

3. Plane Unic ________ 4. Owner Certificate of Authorization (if required> ______ _

12/31171 NB20827 S. Commercial Service Dace _____ 6. N monal Board Number for Unic -----------

7. Components Inspected Manufacturer Componenc or Manufaccurer or lnscaller

. Scace or ~ational Appurcenance or lnswler* Serial No. Province No. Board ~o. Pressurizer Combustion Engineering CE-66601 M96728M NB208SI Steam Generator Combustion Engineering CE-70277-1 M358176M

NB22864 SEE "NOE RESULTS

SUMMARY

-* c

,, REPORT (AriAcHED) Nott: Suppltmtacal sllletlia rona of liltl, sklcc:h& a Jraw1n11maybl1-d, p~ (1) lilt ii 8~ iD.

11 U1..

(l) informadoll la it,_ I tluoulla 6 oa.cbia repoft ".~wG*d on eacll lbltt, Uld (3) tlCla Ullt ii numbered and th* number or llltetl ii recordtcl at the cop of thu to,... , TNe,............... ocn...... 0"',,,. Order Oioe.. AIMl. MI. 47tft... -- Yortl. N.Y 10017

FORM Ms.I (Back)

8. Examinadon Dares 11/1/96 to __

12_1_2_11_9_6_ 9. Inspection Interval from 5112195 5111105 co ___ _

10. Abstract of Examinations. Include a list of examination!: and a statement concemii:tl status of work required for current interva.I.

See "Verifi f C cation o omphance After Completion of Outage J-1"

11. Abstract of Conditions Noted S ISI R "NOE R

ee eport esults Summary'*

12. Abstract of Corrective Measures Recommended and i* aki:n See ISi Report "NOE Results Summary" We certify that the statements made in this report are correct and the examinations and corrective mea-sures taken conform to the rules of the ASME Code, Sectic*n XI.

Certificate of Authorization No. (if applicable> NIA expiration Date NIA 3J'I d-19 Gf_/_* _Si,ned---C-onsum--ers-E-nergy By ~---~. Date Owner ~ CERTIFICATE OF INS:CRVICE INSPECTION I, the undersiped, holdin1 a valid commission issued by the N 1tional Boud of Boiler and Pressure Vessel Inspectors and the State or ~ce of Michigan ind employed by _Protection Mut. Ins 0 i .Norwood. haYe in~te.d the components described in thil Owner's Report during the pert ____.-l._l-... t_-_9.,.4..._* to I,).*¢ r =9c;L

, and state that to the belt of my knowledp and belief, the Ow hu performed examinations and taken comctlve measures described in thJa Owner's Report in accordance with r requinments of the ASME Code,.Section XI.

By sianiftl thJa certificate neither the Inspector nor h.is employer makea any wuranty, expressed or implied. concemin1 the examinations and comctive measures described in this Owner's Report. Furthermore. neither the Inspector nor his employer shall be liable in any manner for any personal injwy or property damqe or a loss oi any kin. d~ arisin1 (rQ or connected With.. thil inspection... /VI,'. f-(a;J. Factory Mutual Engineering Association Comm1ss1on1 -------------------- Inspector's SilD&twe National loud, State, Province, and Endorsements Dace 3-f,;J, 19 <f?- (12/12)

Palisades NDE RESULTS

SUMMARY

NIS I CATEGORY SYSTEM REFEREN<:;E ID. DISPOSITION EXAM COMMENTS Aug ESS ESS-24-SIS-SHl-207 Acceptable UT PT ESS-24-SIS-SH2-207 Acceptable UT PT FWS FWS-3-AWS-1Sl-i58 Acceptable . UT PT FWS-3-AWS-lSl-259 Acceptable UT PT FWS-3-AWS-lSl-260 Acceptable UT PT FWS-3-AWS-lSl-PIPE Acceptable UT FWS-3-A WS-2S 1-253 Acceptable UT PT FWS-3-AWS-2S 1-254 Acceptable UT PT FWS-3-A WS-2S 1-255 Acceptable UT .. PT FWS-3-A WS-2S I-PIPE Acceptable UT FWS-4-A WS-1S1-257 Acceptable UT PT FWS-4-A WS-2S 1-252 Acceptable UT PT MSS MSS-8-MSV-lSl-209 Acceptable UT PT RT B-B PR l-984A Acceptable UT 1-9848 Acceptable UT l-984C .\\cccptable

UT PRZ 1-9840

-\\..:i.:c:ptable UT 3-982 Acceptable UT Report: rptNDEResultsSummary Page 1of9 Sorted: Cat/System/ReferencelD

CATEGORY SYSTEM REFERENCE ID DISPOSITION EXAM COMMENTS SGl l-l01-254A-Acceptable UT B-D PR 3-985 Acceptable UT 3-985-IRS Acceptable UT B-F PCS PCS-12-PSL-IHl-l Acceptable PT UT-A PCS-12-PSL-IHl-2 Acceptable PT UT-A PCS-12-PSL-IH 1-7 Acceptable

PT UT-A PCS-12-PSL-IHl-8 Acceptable PT UT-A PCS-12-SCS-2H 1-1 Acceptable PT PCS~ 12-SCS-2Hl-2 Acceptable PT PCS-12-SIS-IB 1-15 Acceptable PT PCS-12-SIS-IB 1-16 Acceptable PT PCS-4-PSS-lPl-20 Acceptable

-PT. - PCS-4-PSS-lPl-2 l Acceptable PT . B-G-1 P2A 2A-IBT-N-l-16-0N Acceptable VT-1 2A-IBT-S-l-16-0N . Acceptable UT RVH RPVCH SIN 01 NUT Acceptable MT RPVCH SIN 01 STUD Acceptable UT MT RPVCH SIN 01 WASHER Acceptable VT-1 RPVCH SIN 02 NUT Acceptable MT.* RPVCH SIN 02 STUD Acceptable UT MT RPVCH SIN 02 WASHER Acceptable VT-1 RPVCH SIN 03 NUT Acceptable MT RPVCH SIN 03 STUD

Acceptable UT MT Report: rptNDEResultsSummary Page 2 of 9 Sorted: Cat/System/ReferencelD
0
CATEGORY SYSTEM REFERENCE ID RPVCH SIN 03 WASHER.

RPVCH SIN 04 NUT RPVCH SIN 04 STUD RPVCH SIN 04 WASHER RPVCH SIN 05 NUT RPVCH SIN 05 STUD RPVCH SIN 05 WASHER RPVCH SIN 06 NUT RPVCH SIN 06 STUD RPVCH SIN 06 WASHER RPVCH SIN 07 NUT RPVCH SIN 07 STUD RPVCH SIN 07 WASHER RPVCH SIN 08 NUT RPVCH StN 08 STUD RPVCH SIN 08 WASHER RPVCH SIN 09 NUT

RPVCH SIN 09 STUD RPVCH SIN 09 WASHER

. RPVCH SIN l 0 NUT RPVCH SIN 10 STUD RPVCH SIN 10 WASHER . RPVCH SIN 11 NUT RPVCH SIN 11 STUD RPVCH SIN 11 WASHER RPVCH SIN 12 NUT RPVCH SIN 12 STUD RPVCH SIN 12 WASHER Report: rptNDEResultsSummary Sorted: Cat/System/ReferencelD DISPOSITION Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acc~ptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable Acceptable EXAM COMMENTS

VT-I MT UT MT VT-1 MT UT MT VT-I MT UT MT VT-I

.MT UT MT. VT-1

MT UT MT VT-1 MT UT MT.

VT-1 .MT UT MT VT-1 MT UT MT VT~l MT UT MT VT-1 Page 3 of 9

l;.-1 CATEGORY SYSTEM REFERENCE ID DISPOSITION EXAM COMMENTS CRDMNO. 13N Acceptable VT-1 CRDMNO. 14 Acceptable VT-1. CRDMNO. 14N Acceptable VT-I CRDMNO. 15 Acceptable VT-I CRDMNO. 15N Acceptable VT-I CRDM NO. 16 Acceptable VT-I CRDMNO. 16N Acceptable VT-I CRDMNO. 17 Acceptable VT-I CRDMNO. 17N Acceptable VT-1 CRDMNO. 18 Acceptabl~ VT-1 CRDM NO. 18N. Acceptable VT-1 CRDMNO. 19 Acceptable VT-1 CRDMNO. 19N Acceptable VT-I CRDMNO. 20 Acceptable VT-l CRDMNO. 20N Acceptable VT-I CRDM NO. 21 Acceptable* VT-1 CRDM NO. 21N. Acceptable VT-1 CRDMNO. 22 Acceptable . VT-I CRDMNO. 22N Acceptable VT-1 CRDMNO. 23 Acceptable VT-I CRDMNO. 23N Acceptable VT-1 CRDMNO. 24 Acceptable VT-1 CRDMNO. 24N Acceptable VT-1 CRDMNO. 42* Acceptable VT-I CRDMNO. 42N Acceptable VT-1 CRDMNO. 43

Acceptable VT-1 CRDMNO. 43N Acceptable VT-I CRDMNO. 44 Acceptable VT-1 CRDMNO. 44N Acceptable VT-1 CRDMNO. 45 Acceptable VT-1 CRDMNO. 45N Acceptable VT-1 B-J eve CVC-2-CHL-2Al-l Acceptable PT CVC-2-CHL-2A 1-2 Acceptable PT CVC-2-CHL-2Al-3 Acceptable PT Report: rptNDEResultsSumm11ry Page 5 of 9 Sorted: C11t/System/ReferencelD

.1'\\ CATEGORY SYSTEM REFERENCE ID DISPOSITION EXAM COMMENTS CVC-2-PSS-lPl-l 9 Acceptable PT CVC-2-PSS-lPl Acceptable

-PT ESS ESS-2-LTC-lB-16 Acceptable PT ESS-2-L TC-lB-19 Acceptable PT ESS-2-L TC-lB-20 Acceptable PT ESS-6-SIS-2Al-5 Acceptable UT PT ESS-6-SIS-281-17 Acceptable UT PT ESS-6-SIS~281-5 Acceptable UT PT ESS-6-SIS-281-6 Acceptable UT PT PCS PCS~ 12-PSL-lHl.-3 Acceptable PT UT-A PCS-30-RCL-18-1 Acceptable UT PT
PCS-30-RCL-18-10/12 Acceptable UT PT PCS-30-RCL-2A-l Acceptable UT PT PCS-30-RCL-2A-2 Acceptable UT PT PCS-30-RCL-2A-2LD 1 Acceptable UT PT PCS-30-RCL-2A-2LD2 Acceptable

.UT PT. c~c ESS ESS-6-SIS-2HP-216PL5 Acceptable PT ESS-6-SIS-2HP-216PL6 Acceptable -PT ESS-6-SIS-2HP~216PL 7 Acceptable PT ESS-6-SIS-2HP-216PL8 Acceptable PT MSS MSS-36-MSL~lS l-206PL-l-' A~ccptable

PT M:SS-36-MSL-2S l-207PS Acceptable PT Report: rptNDEResultsSummary Page 6 of 9 Sorted: Cat/System/ReferencelD

..-'\\ CATEGORY SYSTEM REFERENCE ID DISPOSITION EXAM COMMENTS MSS-36-MSL-ISI-207PS Acceptable PT C-F~l ESS ESS-i-SIS-28 l-l Acceptable PT ESS-2-SIS-281-2 Acceptable PT ESS-2-SIS-282-l Acceptable PT ESS-2-SIS-282-2 Acceptable PT ESS-24-SIS-SH2-2 l l/8 Acceptable PT ESS-4-SIS-CRH-216/2 Acceptable PT ESS-4-SIS-HP8-209 Acceptable UT PT ESS-4-SIS-HP8-2 l 0 Acceptable UT PT ESS-6-L TC-18-20 l Acceptable UT PT ESS-6-L TC-18-202 Acceptable UT PT ESS-6-L TC-18-203 Acceptable UT PT

ESS-6-LTC-18-204 Acceptable UT PT ESS-6-L TC-18-205 Acceptable UT PT ESS:.()-L TC-18-20512 Acceptable PT ESS-6-SIS-2HP-2 l6/2
Acceptable PT ESS-6-SIS-2HP~2 l 7 Acceptable UT PT ESS-6-SIS-2HP-2 l 8 Acceptable UT PT ESS-6~SIS-2HP-22 l Acceptable

.UT PT ESS-6-SIS-2HP-224 . Acceptable UT PT ESS-6-SIS-2HP-225 Acceptable UT PT ESS-6-SIS-2HP-226 Acceptable UT PT ESS-8-CSS-SLA-244/4A Acceptable PT Report: rptNDEResultsSummary Page 7 of 9 Sorted: Cat/System/ReferencelD

-*~

CATEGORY SYSTEM REFERENCE ID ESS-1 O-SDC-XC0-205PSS ESS-10-SIS-LPA-224PR1 ESS-14-SDC-LPD-2 l 4PR ESS-3-SIS-HPA-227PR ESS-3-SIS-HP A-23 lPRl ESS-4-SIS-CRH-2 l 7PR ESS-4-SIS-CRH-22 lPRC ESS-6-LTC-lA-213PSS ESS-6-SIS-lHP-227PSS ESS-6-SIS-2HP-226BPR2 ESS-8-SIS-l B6-202PSS FWS FWS-l 2-CMU-SH3-PSS l FWS-6-A WS-OLA-PR3 MSS MSS-36-MSL-l S l -204PR MSS-36-MSL-l S l-207SS PCS PCS-4-PRS-1Pl-8PR __ pCS-4-PSS-lPl-!3-PR sws S WS-.l O-CRS-SL4-PR4 SWS-12-CRS-SH2-PSS . SWS-16-CRS-SHl-PRA SWS-24-CSW-HCL-PR SWS-24-CSW-SHl-PSS 1 SWS-6-CRS-4R2-PSS 1 SWS-6-CR.S-4R2-PSS2 SWS-6-EPS-RLB-PR2 SWS-6-EPS-SLA-PSS Report: rptNDEResultsSummary Sorted: _Cat/System/ReferencelD DISPOSITION EXAM COMMENTS Acceptable VT-3 Acceptable VT-3 Acceptable VT-3 Acceptable VT-3 _ Acceptable 'VT-3 Acceptable VT-3 Acceptable VT-3 Acceptable VT-3 Acceptable *- .*VT-3 Acceptable VT-3 Acceptable VT-3 Acceptable VT-3 Acceptable VT-3 Acceptable VT-3 Acceptable VT-3 Acceptable VT-3 _Acceptable VT-3 Acceptable VT-3 Acceptable VT-3 Acceptable VT-3 Acceptable VT-3 Acceptable

VT-3 Acceptable *

. VT-3 Acceptable VT-3 Acceptable VT-3 Acceptable VT-3 Page 9 of 9

~ . \\ VERIFICATION OF SECTION XI COMPLIANCE AFTER THE COMPLETION OF OUTAGE 3-1

. \\ Palisades Nuclear Power Plant Third Inservice Inspection Interval ASME Section XI Category and Item Number Designation

Legend

1.. Ail. "R" after the Section XI ite~ number for a particular examination category identifies that there is an associated Request for Relief.

2.

If exempt due to component thickness per Category C-F-1, Item No. CS.IO or Category C-F-2, Item No. CS.SO then; Exarriination Category is followed by an asterisk(*), (e.g., C-F-1 *, C-F-2*). Also, the Code Item No. is identified as CFl *-NIA or CF2*-N/A as applicable.

3.

If excJuded by Table IWC-2S00-1 per note (2)(b) for Examination Category C-F-1 or C-F-2 pipe to pipe and associated longitudinal weld, the Examination Category is followed by a pound(#), (e.g., C-F-1#, C-F-2#). Also, the Code Item No. is identified as CFl#-N/A or .CF2#-N/A as applicable.

4.

. For pipe restraints on lines that are exempt per IWC-1220 in accordance with Code Case N-491, the Examination Category is the applicable Category (i.e., F-A). Also, the applicable. Co4e Item No.. is. '!clSed followed by_ an asterisk (*).. (e.g., Fl.20A*). S. For Examination Category C-C, Integral Attachments where the line is exempt by Table IWC-2SOO-l per notes (l)(c) and note (4) the Examinat~on C_ategory is followed by an. . asterisk(*) (e.g., C-C*),- Also, the Code Item No. is identified as CC*-N/A. For Examination Category C-C, Integral Attachments where the line is not exempt. based on line.thickness per note ( 4 ), but is exempt based on material design thickness per. note (l)(c) then the Examination Category is followed by a pound(#) (e.g., C-C#). Also, the Code Item No. is identified as CC#-N/ A.

6.

Class 1, 2, and 3 Component support letter designation after the Section XI Item No. as required by Code Case N-491. "A" Designates one directional "B" Designates multi-directional "C'.' Designates thermal movement

EXAM TOTAL INTERVAL 3 CATEGORY ACTIVE REC SCHEDULED AUG 45 8*A 28 8-8 36 8-D 42 8-F 47 8-G-1 175 8-G-2 152 8-H 6 8-J 748 8-K-1 20 8-L-1 4 8-L-2 4 8-M-1 2 8-M-2 14 8-N-1 8-N-2 2 8-N-3 Report: i3catpop Fi Le: sch_ cat Index: key/Exam Category 45 27 21 42 47 171 152 2 217 0 0 0 2 PERCENT TOTAL POP 100.0% 96.4% 58.3% 100.0% 100.0% 97.7% 100.0% 33.3% 29.0% 0.0% 25.0% 0.0% 50.0% 0.0% 100.0% 100.0% 100.0% PALISADE THIRD INTERV GRAM PLAN TEGORY

SUMMARY

PERIOD 1 PERIOD 1 PERIOD 1 SCHEDULED COMPLETE PERCENT 21 11 47% 0 0 0% 6 6 29% 8 2 19% 13 4 28% 56 56 33% 41 39 27% 0 38 19 18%. 0 0 0 0 0% 0 0 0% 0 0 0% 0 0 0% 0 100% 0 0 0% 0 0 0% I PERIOD 2 PERIOD 2 PERIOD 1+2 I SCHEDULED COMPLETE PERCENT 18 0 87% 0 0 0% 6 0 57% 14 0 52% 13 0 55% 56 0 65% 36 0 51% 0 0 50% 82 0 55% 0 0 0% 0 100% 0 0 0% 0

0.

0% 0 0 0% 0 200% 0 0 0% 0 0 0% PERIOD 3 PERIOD 3 PERIOD 1*3 SCHEDULED COMPLETE PERCENT 38 0 171% 27 0 100% 9 0 100% 20 0 100% 21 0 100% 59 0 100% 75 0 100% 0 100% 97 0 100% 0 0 0% 0 0 100% 0 0 0% 0 100% 0 0 0% 0 300% 2 0 100% 0 100% 03/24/97 ,r TOTAL PERCENT COMPLETE COMPLETE 11 24.4% 0 0.0% 6 28.6% 2 4.8% 4 8.5% 56 32.7% 39 25.7% 0 0.0% 19 8.8% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% Note: ALL totals based on Active records. Period totals must also be Code Credit "Y". Page number 1

EXAM TOTAL INTERVAL 3 PERCENT CATEGORY ACTIVE REC SCHEDULED TOTAL POP B-0 233 C-A 18 C-B 22 c-c 63 C-C# 11 C-C* 56 C-F-1 414 C-F-1# 4 C-F-1* 1272 C-F-2 174 C-F-2# 24 C-F-2* 136 D-B 55 F-A 885 TOTALS: 4694 Report: i3catpop File: sch_cat Index: key/Exam Category 6 2.6% 9 50.0% 16 72.7% 57 90.5% 0 0.0% 0 0.0% 215 51.9% 0 0.0% 0 0.0% 86 49.4% 0 0.0% 0 0.0% 55 100.0% 229 25.9% 1403 PALI SAD THIRD INTER PERIOD 1 PERIOD 1 PERIOo SCHEDULED COMPLETE PERCENT 0 0 0% 2 0 22% 4 0 25% 11 5 19% 0 0 0% 0 0 0% 68 23 32% 0 0 0% 0 0 0% 16 12 19% 0 0 0% 0 0 0% 12 22% 66 30 29% 364 208 GRAM PLAN ATEGORY

SUMMARY

PERIOD 2 PERIOD 2 PERIOD 1+2 SCHEDULED COMPLETE PERCENT 0 0 0% 4 0 67% 6 0 63% 25 0 63%.,*.. 0 0 0% 0 0 0% 69 0 64% 0 0 0% 0 0 0% 31 0 55% 0 0 0% 0 0 0% 21 0 60% 74 0 61% 457 0 PERIOD 3 PERIOD 3 PERIOD 1-3 SCHEDULED COMPLETE PERCENT 6 0 100% 3 0 100% 6 0 100% 21 0 100% 0 0 0% 0 0 0% 78 0 100% 0 0 0% 0 0 0% 39 0 100% 0 0 0% 0 0 0% 22 0 100% 88 0 100% 615 0 ) .c: 03/24/97 TOTAL PERCENT COMPLETE COMPLETE 0 0.0% 0 0.0% 0 0.0% 5 8.8% 0 0.0% 0 0.0% 23 10.7% 0 0.0% 0 0.0% 12 14.0% 0 0.0%. 0 0.0% 1.8% 30 13.1% 208 Note: All totals based on Active records. Period totals must also be Code Credit "Y". Page number 2

)* PALISADE~GRAM PLAN 03/24/97 THIRD INTERVAL NUMBER

SUMMARY

' / EXAM ITEM TOTAL INT 3 PERCENT PERIOD 1 PERIOD 1 PERIOD 1 PERIOD 2 PERIOD 2 PERIOD 1+2 PERIOD 3 PERIOD 3 PERIOD 1-3 TOTAL PERCENT CATEGORY NUMBER ACTIVE SCH ED TOTAL POP SCHEDULED COMPLETE PERCENT SCHEDULED COMPLETE PERCENT SCHEDULED COMPLETE PERCENT COMPLETE COMPLETE I AUG MP-4.0 10 10 100.0% 10 10 100% 10 0 200% 10 0 300% 10 100.0% OVERLAY 2 2 100.0% 2 0 100% 2 0 200% 2 0 300% 0 0.0% RG-1.14 4 4 100.0% 4 0 100% 4 0 200% 4 0 300% 0 0.0% TS-4.12 29 29 100.0% 5 1?% 2 0 24% 22 0 100% 3.4% CATEGORY TOTAL: 45 45 21 11 18 0 38 0 11 ~"'= B-A B1.11 3 3 100.0% 0 0 0% 0 0 0% 3 0 100% 0 0.0% B1.12 9 9 100.0% 0 0 0% 0 0 0% 9 0 100% 0 0.0% B1.21 100.0% 0 0 0% 0 0 0% 0 100% 0 0.0% B1.21R 0 0.0% 0 0 0% 0 0 0% 0 0 0% 0 0.0% B1.22 6 6 100.0% 0 0

0%

0 0 0% 6 0 100% 0 0.0% B1.22R 6 6 100.0% 0 0 0% 0 0 0% 6 0 100% 0 0.0% B1.30 100.0% 0 0 0% 0 0 0% 0 100% 0 0.0% B1.40 0 0 0.0% 0 0 0% 0 0 0% 0 0 0% 0 0.0% B1.40R 100.0% 0 0 . 0% 0 0 0% 0 100% 0 0.0% CATEGORY TOTAL: 28 27 0 0 0 0 27 0 0 Report: i3itmpop Note: All totals based on Active records. Fi le: sch_item Period totals must also be Code Credit "Y". Index: key/Exam Category Page number 1

EXAM ITEM CATEGORY* NUMBER B-B B2. 11 B2. 11R B2. 12 B2.21 B2.21R B2.22 B2.22R B2.31 B2.32 B2.40 B2.51 B2.80 CATEGORY TOTAL: B-D B3.100 B3.100R B3. 110 Report: i3itmpop Fi le: sch_ item TOTAL ACTIVE 0 2 4 0 8 4 10 2 2 2 36 0 6 0 Index: key/Exam Category INT 3 SCH ED 0 2 2 0 0 8 2 2 2 21 0 6 0 PERCENT TOTAL POP 0.0% 100.0% 50.0% 100.0% 0.0% 0.0% 100.0% 50.0% 10-0% 50.0% 100.0% 100.0% 0.0% 100.0% 0.0% PALISAD.GRAM PLAN THIRD INTER~A~ NUMBER

SUMMARY

PERIOD 1 PERIOD 1 PERIOo SCHEDULED COMPLETE PERCENT 0 0 0% 50% 0 0 0% 0 0 0% 0 0 0% 0 0 0% 4 4 50% 0 0 0% 100% 0 0 0% 0 0 0 0 0% 6 6 0 0 0% 0 0 0% 0 0 0% PERIOD 2 PERIOD 2 PERIOD 1+2 SCHEDULED COMPLETE PERCENT 0 0 0% 0 100% 0 50% 0 0 0% 0 0 0% 0 0 0% 4 0 100% 0 0 0% 0 0 100% 0 0 0% 0 0 0% 0 0 0% 6 0 0 0 0% 0 0 0% 0 0 0% '?. 03/24/97 PERIOD 3 PERIOD 3 PERIOD 1-3 TOTAL PERCENT SCHEDULED COMPLETE PERCENT COMPLETE COMPLETE 0 0 0% 0 0.0% 0 0 100% 50.0% 0 100% 0 0.0% 0 100% 0 0.0% 0 0 0% 0 0.0% 0 0 0% 0 0.0% 0 0 100% 4 50.0% 2 0 100% 0 0.0% 0 0 100% 100.0% 0 100% 0 0.0% 2 0 100% 0 0.0% 2 0 100% 0 0.0% 9 0 6 0 0 0% 0 0.0% 6 0 100% 0 0.0% 0 0 0% 0 0.0% Note: All totals based on Active records. Period totals must also be Code Credit "Y". Page number 2

EXAM ITEM TOTAL INT 3 CATEGORY NUMBER ACTIVE SCHED B-D B3.110R B3.120 B3.130 B3.130R B3.140 B3.150 B3. 150R B3.160 B3.160R B3.90 B3.90R CATEGORY TOTAL: B-F B5.130 B5.140 B5.150 B5.40 Report: i3itmpop Fi le: sch_ item 6 6 0 6 6 0 4 0 2 0 6 42 23 13 5 6 Index: key/Exam Category 6 6 0 6 6 0 4 0 2 0 6 42 23 13 5 6 PERCENT TOTAL POP 100.0% 100.0% 0.0% 100.0% 100.0% 0.0% 100.0% 0.0% 100.0% 0.0% 100.0% 100.0% 100.0% 100.0% 100.0% PALISADE THIRD INTERVAL PERIOD 1 PERIOD 1 PERIOD 1 SCHEDULED COMPLETE PERCENT 17% 17% 0 0 0% 3 0 50% 3 0 50% 0 0 0% 0 0 o~ 0 0 0% 0 0 0% 0 0 0% 0 0 0% 8 2 5 3 22% 7 0 54% 0 0 0% 17% GRAM PLAN NUMBER

SUMMARY

PERIOD 2 PERIOD 2 PERIOD 1+2 SCHEDULED COMPLETE PERCENT. 5 0 100% 5 0 100% 0 0 0% 0 0 50% 2 0 83% 0 0 0% 2 0 50% 0 0 0% 0 0 0% 0 0 0% 0 0 0% 14 0 8 0 57% 0 0 54% 0 0 0% 5 0 100% 03/24/97 PERIOD 3 PERIOD 3 PERIOD 1-3 TOTAL PERCENT SCHEDULED COMPLETE PERCENT COMPLETE COMPLETE 0 0 100% 16.7% 0 0 100% 16.7% 0 0 0% 0 0.0% 3 0 100% 0 0.0% 0 100% 0 0.0% 0 0 0% 0 0.0% 2 0 100% 0 0.0% 0 0 0% 0 0.0% 2 0 100% 0 0.0% 0 0 0% 0 0.0% 6 0 100% 0 0.0% 20 0 2 10 0 100% 3 13.0% 6 0 100% 0 0.0% 5 0 100% 0 0.0% 0 0 100% 16.7% Note: All totals based on Active records. Period totals must also be Code Credit "Y". Page number 3

I c PALISADE~GRAM PLAN 03/24/97 THIRD INTERVAL NUMBER

SUMMARY

EXAM ITEM TOTAL INT 3 PERCENT PERIOD 1 PERIOD 1 PERIOD 1 PERIOD 2 PERIOD 2 PERIOD 1+2 PERIOD 3 PERIOD 3 PERIOD 1-3 TOTAL PERCENT CATEGORY NUMBER ACTIVE SCH ED TOTAL POP SCHEDULED COMPLETE PERCENT SCHEDULED COMPLETE PERCENT SCHEDULED COMPLETE PERCENT COMPLETE COMPLETE B-F CATEGORY TOTAL: 47 47 13 4 13 0 21 0 4 B-G-1 B6.10 54 54 100.0% 18 18 33% 18 0 67% 18 0 100% 18 33.3% B6. 180 4 4 100.0% 25% 0 50% 2 0 100% 25.0% B6.190 4 0 0.0% 0 0 0% 0 0 0% 0 0 0% 0 0.0% B6.200 4 4 100.0% 25% 0 50% 2 0 100% 25.0% B6.30 54 54 100.0% 18 18 33% 18 0 67% 18 0 100% 18 33.3% 86.40 100.0% 0 0 0% 0 0 0% 0 100% 0 0.0% B6.50 54 54 100.0% 18 18 33% 18 0 67% 18 0 100% 18 33.3% CATEGORY TOTAL: 175 171 56 56 56 0 59 0 56 B-G-2 B7.10 16 16 100.0% 0 0 0% 16 0 100% 0 0 100% 0 0.0% B7.20 2 2 100.0% 2 2 100% 0 0 100% 0 0 100% 2 100.0% B7.30 4 4 100.0% 0 0 0% 0 0 0% 4 0 100% 0 0.0% B7.50 5 5 100.0% 0 0 0% 0 0 0% 5 0 100% 0 0.0% Report: i3it""°p Note: All totals based on Active records. Fi le: sch_ item Period totals must also be Code Credit 11Y11

Index: key/Exam Category Page number 4

PALISAD~GRAM PLAN 03/24/97 THIRD INTERVAL NUMBER

SUMMARY

-L' EXAM ITEM TOTAL INT 3 PERCENT PERIOD 1 PERIOD 1 PERIOD PERIOD 2 PERIOD 2 PERIOD 1+2 PERIOD 3 PERIOD 3 PERIOD 1-3 I TOTAL PERCENT CATEGORY NUMBER. ACTIVE SCH ED TOTAL POP SCHEDULED COMPLETE PERCENT SCHEDULED COMPLETE PERCENT SCHEDULED COMPLETE PERCENT I COMPLETE COMPLETE B-G-2 B7.60 8 8 100.0% 0 0 0% 4 0 50% 4 0 100% 0 0.0% B7.70 27 27 100.0% 7 5 26% 16 0 85% 4 0 100% 5 18.5% B7.80 90 90 100.0% 32 32 36% 0 0 36% 58 0 100% 32 35.6% CATEGORY TOTAL: 152 152 41 39 36 0 75 0 39 B-H B8.10 3 0 0.0% 0 0 0% 0 0 0% 0 0 0% 0 0.0% B8.20 0 0.0% 0 0 0% 0 0 0% 0 0 0% 0 0.0% B8.30 2 2 100.0% 0 50% 0 0 50% 0 100% 0 0.0% CATEGORY TOTAL: 6 2 0 0 0 0 0 B*J B9.11 190 50 26.3% 11 8 22% 15 0 52% 24 0 100% 8 16.0% B9. 11 R 10 10 100.0% 0 0 0% 0 0 0% 10 0 100% 0 0.0% B9.12 0 0 0.0% 0 0 0% 0 0 0% 0 0 0% 0 0.0% B9. 12R 118 25 21.2% 2 2 8% 4 0 24% 19 0 100% 2 8.0% B9.21 66 19 28.8% 6 32% 6 0 63% 7 0 100% 5.3% B9.31 6 6 100.0% 2 33% 3 0 83% 0 100% 16.7% Report: i3itmpop Note: All totals based on Active records. File: sch_item Period totals must also be Code Credit "Y". Index: key/Exam Category Page number 5

EXAM ITEM CATEGORY NUMBER B-J B9.32 B9.40 CATEGORY TOTAL: B-K-1 B10.10 B10.20 CATEGORY TOTAL: B-L-1 B12.10 B-L-2 B12.20 B-M-1 B12.40 B-M-2 B12.50 Report: i3itmpop File: sch_item TOTAL ACTIVE 6 352 748 4 16 20 4 4 2 14 Index: key/Exam Category iNT 3 SCH ED 5 102 217 0 0 0 0 0 PALI SAO THIRD INTERVAL PERCENT PERIOD 1 PERIOD 1 PERIOD 1 TOTAL POP SCHEDULED COMPLETE PERCENT 83.3% 0 0 0% 29.0% 17 7 17% 38 19 0.0% 0 0 0% 0.0% 0 0 0% 0 0 25.0% 0 0 0% 0.0% 0 0 0% 50.0% 0 0 0% 0.0% 0 0 0% GRAM PLAN 03/24/97 NUMBER

SUMMARY

i!J PERIOD 2 PERIOD 2 PERIOD 1+2 PERIOD 3 PERIOD 3 PERIOO 1-3 TOTAL PERCENT SCHEDULED COMPLETE PERCENT SCHEDULED COMPLETE PERCENT COMPLETE COMPLETE 5 0 100% 0 0 100% 0 0.0% 49 0 65% 36 0 100% 7 6.9% 82 0 97 0 19 0 0 0% 0 0 0% 0 0.0% 0 0 0% 0 0 0% 0 0.0% 0 0 0 0 0 0 100% 0 0 100% 0 0.0% 0 0 0% 0 0 0% 0 0.0% 0 0 0% 0 100% 0 0.0% 0 0 0% 0 0 0% 0 0.0% Note: All totals based on Active records. Period totals must also be Code Credit "Y". Page number 6

EXAM ITEM TOTAL INT 3 CATEGORY NUMBER ACTIVE SCHED B-N-1 B13.10 B-N-2 B13.50 B13.60 CATEGORY TOTAL: 2 2 B-N-3 B13.70 B-0 B14.10 233 6 C-A C1.10 4 2 C1.10R 4 2 C1.20 6 3 C1.30 2 C1.30R 2 Report: i3itmpop Fi le: sch_ item Index: key/Exam Category PERCENT TOTAL POP 100.0% 100.0% 100.0% 100.0% 2.6% 50.0% 50.0% 50.0% 50.0% 50.0% PALISAD.GRAM PLAN THIRD INTERVAL NUMBER

SUMMARY

PERIOD 1 PERIOD 1 PERIOD 1 SCHEDULED COMPLETE PERCENT 0 100% 0 0 0% 0 0 0% 0 0 0 0 0% 0 0 0% 0 0 0% 0 0 ,0% 2 0 67% 0 0 '0% 0 0 '0% PERIOD 2 PERIOD 2 PERIOD 1+2 SCHEDULED COMPLETE PERCENT 0 200% 0 0 0% 0 0 0% 0 0 0 0 0% 0 0 0% 0 50% 0 50% 0 100% 0 100% 0 0 0% D3/24/97 PERIOD 3 PERIOD 3 PERIOD 1-3 TOTAL PERCENT SCHEDULED COMPLETE PERCENT COMPLETE COMPLETE 0 300% 0 0.0% 0 100% 0 0.0% 0 100% 0 0.0% 2 0 0 0 100% 0 0.0% 6 0 100% 0 0.0% 0 100% 0 0.0% 0 100% 0 0.0% 0 0 100% 0 0.0% 0 0 100% 0 0.0% 0 100% 0 0.0% Note: All totals based on Active records. Period totals must also be Code Credit 11Y11

Page number 7

EXAM ITEM CATEGORY NUMBER C-A CATEGORY TOTAL: C-B C2.21 C2.21R C2.22 CATEGORY TOTAL: c-c C3.10 C3.20 CATEGORY TOTAL: C-C# CC#-NA C-C* CC*-NA Report: i3itmpop File: sch_item TOTAL ACTIVE 18 12 4 6 22 12 51 63 11 56 Index: key/Exam Category INT 3 PERCENT PERIOD 1 SCH ED TOTAL POP SCHEDULED 9 2 8 66.7% 2 50.0% 2 6 100.0% 16 4 6 50.0% 0 51 100.0% 11 57 11 0 0.0%

o 0

0.0% 0 i' PALISAD~GRAM PLAN 03/24/97 THIRD INTERVAL NUMBER

SUMMARY

PERIOD 1 PERIOD 1 PERIOD 2 PERIOD 2 PERIOD 1+2 PERIOD 3 PERIOD 3 PERIOD 1-3 TOTAL PERCENT COMPLETE PERCENT SCHEDULED COMPLETE PERCENT SCHEDULED COMPLETE PERCENT COMPLETE COMPLETE 0 4 0 3 0 0 0 13% 4 0 63% 3 0 100% 0 0.0% 0 100% 0 0 100% 0 0 100% 0 0.0% 0 17% 2 0 50% 3 0 100% 0 0.0% 0 6 0 6 0 0 0 0% 0 0 0% 6 0 100% 0 0.0% 5 22% 25 0 71% 15 0 100% 5 9.8% 5 25 0 21 O* 5 0 0% 0 0 0% 0 0 0% 0 0.0% 0 0% 0 0 0% 0 0 0% 0 0.0% Note: All totals based on Active records. Period totals must also be Code Credit "Y". Page number 8

PALISADE GRAM PLAN 03/24/97 THIRD INTERVAL NUMBER

SUMMARY

EXAM ITEM TOTAL INT 3 PERCENT PERIOD 1 PERIOD 1 PERIOD 1 PERIOD 2 PERIOD 2 PERIOD 1+2 PERIOD 3 PERIOD 3 PERIOD 1-3 TOTAL PERCENT CATEGORY NUMBER ACTIVE SCH ED TOTAL POP SCHEDULED COMPLETE PERCENT SCHEDULED COMPLETE PERCENT SCHEDULED COMPLETE. PERCENT COMPLETE COMPLETE C-F-1 cs. 11 186 116 62.4% 38 11 33% 30 0 S9% 48 0 100% 11 9.S% cS.12 0 0 0.0% 0 0 0% 0 0 0% 0 0 0% 0 0.0% CS. 12R 31 6 19.4% 0 0 0% 6 0 100% 0 0 100% 0 0.0% CS.21 94 30 31.9% 12 2 40% 9 0 70% 9 0 100% 2 6.7% CS.30 64 30 46.9% 10 4 33% 12 0 73% 8 0 100% 4 13.3% CS.41 39 33 84.6% 8 6 24% 12 0 61% 13 0 100% 6 18.2% CATEGORY TOTAL: 414 21S 68 23 69 0 78 0 23 C-F-1# CF1#-NA 4 0 0.0% 0 0 0% 0 0 0% 0 0 0% 0 0.0% C-F-1* CF1*-NA 1272 0 0.0% 0 0 0% 0 0 0% 0 0 0% 0 0.0% i* C-F-2 CS.S1 69 32 46.4% 8 7 2S% 8 0 SO% 16 0 100% 7 21.9% CS.S2 0 0 0.0% 0 0 0% 0 0 0% 0 0 0% 0 0.0% CS.S2R 72 26 36.1% 3 3 12% 1S 0 69% 8 0 100% 3 11.S% CS.81 33 28 84.8% s 2 18% 8 0 46% 1S 0 100% 2 7.1% Report: i3i tmpop Note: ALL totals based on Active records. Fi Le: sch_ item Period totals must also be Code Credit "Y". Index: key/Exam Category Page number 9

PALISADE GRAM PLAN D3/24/97 THIRD INTERVAL NUMBER

SUMMARY

EXAM ITEM TOTAL INT 3 PERCENT PERIOD 1 PERIOD 1 PERIOD 1 PERIOD 2 PERIOD 2 PERIOD 1+2 PERIOD 3 PERIOD 3 PERIOD 1-3 TOTAL PERCENT CATEGORY NUMBER ACTIVE SCH ED TOTAL POP SCHEDULED *COMPLETE PERCENT SCHEDULED COMPLETE PERCENT SCHEDULED COMPLETE PERCENT COMPLETE COMPLETE C-F-2 CATEGORY TOTAL: 174 86 16 12 31 D 39 0 12 C-F-2# CF2#-NA 24 0 0.0% 0 0 0% 0 0 0% 0 0 0% 0 0.0% C-F-2* CF2*-NA 136 0 0.0% 0 0 0% 0 0 0% 0 0 0% 0 0.0% D-B D2.20 52 52 100.0% 11 21% 21 0 62% 20 0 100% 1.9% D2.40 3 3 100.0% 0 33% 0 0 33% 2 0 100% 0 0.0% CATEGORY TOTAL: 55 55 12 21 0 22 0 F-A F1.10A 102 28 27.5% 11 2 39% 8 0 68% 9 0 100% 2 7.1% F1.10B 23 7 30.4% 3 43% 2 0 71% 2 0 100% 14.3% F1. 10C 26 9 34.6% 5 56% 0 67% 3 0 100% 11.1% F1.20A 140 28 20.0% 11 8 39% 9 0 71% 8 0 100%' 8 28.6% Report: i3itmpop Note: All totals based on Active records. Fi le: sch_ item Period totals must also be Code Credit "Y". Index: key/Exam Category Page number 10

EXAM ITEM TOTAL CATEGORY NUMBER ACTIVE F*A F1.20A* 12 F1.20B 100 F1.20B* 21 F1.20C 129 F1.20C* 15 F1.30A 143 F1.30B 101 F1.30C 36 F1.40A 25 F1.40B 12 CATEGORY TOTAL: 885 GRAND TOTAL: 4694 Report: i3itmpop Fi le: sch_ item Index: key/Exam Category INT 3 SCH ED 0 20 0 25 0 60 15 12 19 6 229 1403 PALISA~ TH I RD I NTERVj\\L PERCENT PERIOD 1 PERIOD 1 PERIOD 1 TOTAL POP SCHEDULED COMPLETE PERCENT 0.0% 0 0 0% 20.0% 7 3 35% 0.0% 0 0 0% 19.4% 6 2 24% 0.0% 0 0 0% 42.0% 12 8 20% 14.9% 4 3 27% 33.3% 5 2 42% 76.0% 2 0 11% 50.0% 0 0 0% 66 30 364 208 GRAM PLAN 03/24/97 NUMBER

SUMMARY

PERIOD 2 PERIOD 2 PERIOD 1+2 PERIOD 3 PERIOD 3 PERIOD 1*3 TOTAL PERCENT SCHEDULED COMPLETE PERCENT SCHEDULED COMPLETE PERCENT COMPLETE COMPLETE 0 0 0% 0 0 0% 0 0.0% 5 0 60% 8 0 100% 3 15.0% 0 0 0% 0 0 0% 0 0.0% 11 0 68% 8 0 100% 2 8.0% 0 0 0% 0 0 0% 0 0.0% 26 0 63% 21 0 98% 8 13.3% 7 0 73% 4 0 100% 3 20.0% 2 0 58% 5 0 100% 2 16.7% 3 0 26% 14 0 100% 0 0.0% 0 0 0% 6 0 100% 0 0.0% 74 0 88 0 30 457 0 615 0 208 Note: All totals based on Active records. Period totals must also be Code Credit "Y". Page number 11

ASME Section XI Repairs and Replacements The following is a list of repairs or replacements which have been performed through the end of the 1996-refueling outage for which NIS-2 Forms are attached: WQC~ Qr:der:

1.

24303005

2.

24513231

3.

24513228

4.

24200403

5.

24612041

6.

24513432

7.

24513435

8.

24513651

9.

24513237

10. 24513859

11. 24513701

12. 24513238

13. 24612045

14. 24513864

15. 24511930

16. 24513863 -

17. 24614669

18. 24612043

19. 24513589

20. 24513879

21. 24511995

22. 24614252

23. 24613800

24. 24513521

25. 24513520

26. 24512071

27. 24513306

28. 24510789

29. 24614670

30. 24611959

31. 24614237

32. 24511700

33. 24614668

34. 24610839

35. 24512907

36. 24514045

37. 24610966

38. 24511702

39. 24511701 Descr:iptiQn Qf WQr:k Added shim plate to pipe hanger HGR/HC.3-H211.1.

Replaced disc insert and insert cotter pin. Removed nozzle crack. replaced spindle. disc insert and cotter. Replaced fasteners on flow element FE-0306. Replaced anchor studs and nuts on pipe hanger HGR/HC4-H228.1. Removed/tested existing snubber and replaced with new snubber. Removed/tested existing snubber and replaced with new snubber. Plug four defective steam generator tubes with Westinghouse mechanical tube plugs in Steam Generator E-50A. Replaced bolting on outlet flange of RV-0707. Replaced support HGR/CC3~H2.8 per SC-95-084. Replaced #6 and #9 secondary manway studs and nuts on steam generator E-508. Replaced studs and nuts on RV-0714 inlet flange. Replaced support HGR/HC1-R20 per SC-96-015. Modified support HGR/CC3-H2.3 per SC-95-084. Modified support HGR/CC#-H2.5 per C-PAL-95-0549. Modified support HGR/CC3-H2.2 per SC-95-084. Rep l,aced valve steni on valve MV _:ES3237. Replaced support HGR/HC4-H98.1 per SC-95-059. Replaced escape air lock test connection. MV-VA-P6. Replaced nuts of valve MV-ES3184. Replaced bottom closure head on valve CV-0732. Replaced support HGR/E81-H16. Replaced stem plug. seat ring. pin and plug on CV-1065. Replaced K-68 channel cover. Replaced K-68 channel cover. Modified support HGR/CC3-H2.9 per SC-95-084. Replaced hinge pin on valve CK-MS401. Replaced valve and associated piping for valve MV-ES3237. Replaced valve stem on valve MV~ES3234. Replaced bolts and nuts on valve MV-SFP123. Replaced Incore Instrument flange hydrostatic test plug. Replaced associated piping to valve MV-ES3348A. Replaced valve stem on valve MV-ES3234A. Replaced bonnet studs and nuts on valve M0-0510. Replaced bonnet studs. nuts and gland studs on CV-0501. Replaced Incore Instrument Flange #6. - Replaced bonnet studs and nuts on valve CV-0510. Replaced valve MV-ES3234A. Replaced valve MV-ES3234.

v 51 Work Order

40. 24513705

41. 24612415

42. 24613755

43.. 24513900

44. 24204492 Description of Work Replaced elbow on supply line to VC-11.

Replaced associated piping for valve MV-CVC112. Replaced support HGR/HClO-Hl.2. Replaced moisture separator (ST-0576). replaced piping and fittings. installed new valves and new supports all under Facility Change FC-966. All work was controlled by work order 24513900. Rebuild of Service Water pump P-7C. replaced column studs and nuts. installed refurbished columns. jnstalled new discharge nozzle. All records of procedures. personnel certifications. equipment certifications. examination data and work order packages are on file at the Palisades Nuclear Plant.

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

1. Owner CONSUMERS POWER COMPANY Date_* -'----'-\\

Q_,__/--=*.5J~/:__.:_:q b=----- Name 27780 Blue Star Mem. Hwy., Covert Ml Address

2. Plant Palisades Nnclear Plant Ne me Address

3. Work' Performed by__.c.....,0..,.n...,.s.... 1_..1rn...,;:e.... r....

s..._P~a ..... x,...1"'e'"""r__.C..... a._..* J.J.rn4-pu:a.,nu.y-l'-__ _ Name Sheet_--,1. __ of __ __,_{ _________ _ Un if_*-~-------------'---- WO if*a-130~ Re_pa_lr Organization P.O. N_o.. Job No., etc. TypeCodeSymbolStamp_~~------- Authorization No.---'----~-----'------- 27780 IHueSta:r ~ Covert

Mr Expiration Date ____ _,N"'A,_.*'--'-.-------

4. ldentificn~n~Synem_~~~A~~-r~d9:~*~~~~~~~*-~-~~-~~=-~A~--~~**~~-F~~~~~----~---~--------~

5. (a) Applicable Construction Code AWS D.I. ( 199Q_Edition, ______ Addenda, _______ Code Case (b) Applicable Edi.tion of Sectio.n XI ~-tilized for Repairs or Replacements 19_._.8.,,9'---

6. Identification of Components Repaired or Replaced and Replacement Components Name of. "

. Component

8. Tests Conducted:

.Name of Manufacturer Ma,nu.f.acturer., Serial No. National Boarp No. Other. Identification N/A Hydrostatic 0 Pneumatic 0. Nominal Operating Press~re 0 Other IKJ Pre,ssure _____ psi Test Temp. ° F . \\f\\-3> Ye~r Built ASME Gode

Repafred, Stamped

Replaced, (Yes of"Replaeement or Nol.

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

(12/82)' This Form (E00030) may.be obtained from the Order Dept.. ASME, 345 E: 47th St., New York, ~.Y. 10017

FORM NIS-2 (Back)

9. Remar.ks -~N~_O_V\\ __

e..,_*_. _* -------------------------------------- Applicable Manufacturer's Data Reports to be attached . CERTIFICATE OF COMPLIANCE We certify that* the statements m'ade in.the re.port are correct a*nd this* \\~~_A' \\* conforms to th~ rules of the . ASME'Code, Section XI. repair or.replacemen.t TypeCodeSymbolStamp_~N~A~--------------~-~-----------------,-- Certificate of.Authorization No. __ _......c::i.... ___________ Expirati*o~ Date--~~------------ Signed CERTIFICATE*OF INSERVICE INSPECTION

I, the undersigned, holding a valid commission. issued by the National Board 6f Boiler and Pressure Vesser Inspectors and the *S.tate o,rProvince.of Michigan' andemployedbyt Protection Mutual of*

Norwood, MA

have. inspected the components described.

in th is Owner's Repo~t during th'e period \\.

J Z-z I: . 'i 3*

"to I"....30- 9(.,. , and state that to* the best of my k~owledge *and belief, the Owne~ h~s performed examinations.and taken correcti;e meas~res* described in this bwn.er's Reper~ in accordance..,.;itli the requirements of the ASME,Code, Secti.on.XI. By signing this.certificate. neither t.he.1 nspectqr nor his employer" makes any warranty, expressed or implied; concerning the examinations and corrective *measures described in this Owner's Report. Furthermore, neither the lnsp*ector nor his employer shall.. be liable in a*ny manner for ~ny personal injury or property damage or a loss of any. kind arising. from or connected with thi~ inspection.*.. ~ FACTORY. MU.TUAL ENGINEERING ASSO. --*---=~-*,;....-~~=.*=-*"'"-~=::::.........:...::=---------commissions /v,,: r'Z. N, 8,r Inspector's Signature

National Board, State, Provi"nce, and Endorsements Date (12/82) v I

I

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

1. Owner __

~c~o~Iu*l~s~IIu.:..uME~B~S.i..__.i;P~O~w~E~Bo.....~c~a~}~fP~A~N~Y~--- Name 27780 Blue Star Mem. Hwy., Covert MI Address

2. Plant Palisades N11clear Plant Name 27780 B] ue Star Mero Hwy, Covert, MI Address

3. Work Performed by Cons11mers Power Company Name 27780 311.!sSta:r A dreis oate _V\\._o-=-lfc:,M,-_b_er_Z_l__,__l_q_q'""""(p __

Sheet_-1r __ of ____________ _ Unit __ L------------------ Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp_,_ __________ _ Authorization No. ___ __.~--------- Expiration Date ____ ~N,...A...._ _______ _

4. ldentific~ionofSynem_~~=---.~~~i~A~*~~~~~~~~*~~~~~SL~~~=------------------------

5. (a) Applicable Construction Code_-"~=---\\~*-l=---__ 19 SS-Edition, _______ Addenda, _______ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_...8..;iQ'---

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

Repaired; - - Stamped.

Name of Name of Manufacturer* Board Other Year

Replaced, (Yes Component Manufacturer Serial No.

No. Identification Built or Replacement or No) ti \\ti\\' ~ VVtu. '" ~ l::zo. ""'- cl"D~~ier .. *~ N/A Q\\:f-D114 1-l ~~ v~ Sa~ U.1-M .. "1~*~- Lfb"!$-M3

8. Tests Conducted:.

Hydrostatic 0 Pneumatic 0 Nom1n* O~*at*nQ Pre~sur~ Other D Pressure _____ psi T~r r<<H'IO ° F NOTE: Supplemental sheets in form of lists, sketches, 0#,._.....,., 'le wted, provided (1 I size is 8% in. x 11 in., (2) informa-tion in items 1 throu!ih 6 on this report is included on nc.. *-

"d
11..:fl sheet is numbered and the number of sheets is recorded at the top of this form.

(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks _Q~e+-Pl~o~C~cJ~-d~i

~~c__; 1t~0~c_rt-__ G~o_&~r~P~1*_/l_. ----*---- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this fffi,l~ conforms to the rules *::Ji the ASME Code, Section x I. rep ir or replacement Con;"::t;;;;*;oo )LQ Signe . l. Owner or Owner's Designee, Title Z. l

1 g_q~(..'--

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 orProvinceof Michigan andemployedby Protectjon Mutual of

Norwood, Ml\\

have inspected the components described in this Owner's Report during the period lo.'/~ fS to I I* Z i"'* 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 X'i. 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

""'"';'"*~

~--------~~~--------Commissions

_./vl.__.._1._.:._.'1'4._,,::;..::,.<=.. _____ _,N:......:....,13.,.:..;:;.r"------- FAcroRY MUTUAL ENGINEERING ASSO. I nspector'1 Signature National Board, State, Province, and Endorsements Date Li-e? 'f 1s 'i~ (12/821

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

1. Owner CONSUMERS POWER COHPANY Date vJ~ ll, JC{C/l, Name 27780 Blue Star Mem. Hwy., Covert MI Address Sheet _ _., __ of ___

___;/ ________ _

2. Plant Palisades N11clear Plant Ne me w a u 245 / 3Z'ZO Address Aepalr Organization P.O. No., Job No., etc.

3. Work Performed by Cocsumers Power Campany Name Type Code Symbol Stamp_~.,_ _______ _

Authorization No.------__.~--------- 27780 BlYeSta:r: l!:i;~ Covert MT A dreis Expiration Date ____ --"'N""A.__ _______ _ ""I\\ A 1' IA. S--r;; " S ~

4.

ldentif~ation of System--'r'---'-'----~'-le~-~~~~--'~~~~~~'~ IC~~~-~-------------'------

5. (a) Applicable Construction Coda_f3~3~1_._l ___ 19 ~Edition, _______ Addenda, _______ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_.8"-9:;i.__

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

Repaired, Stamp-eci Name of Name of Manufacturer Board Other Year

Replaced, (Yes Component Manufacturer Serial No.

No. Identification Built or Replacement or No) IV'iail\\S~ Uo~~-1*- .~LJe8-(V?3 *NIA (J.}J.. 0 t-1-:t- +I flg(la;r~- * ~ ScS!.. tw-4:hl Vr-1...,.,___ J.. \\J ....... ~...

8. Tests Conducted:

Hydrostatic D Pneumatic D Nomi11M Op.uti.-q Press~.r~ Other D Pressure _____ psi Te,r femp ° F NOTE: Supplemental sheetl in form of lists, sketches, or,....~...., ::..... sed. provided (1 l size is 8~ in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on eac:",.. _

~,, -J 1 *ech sheet is numbered and the number of sheets is recorded at the top of this form.

(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements ~,,c,.:'c in the.report are c~rrect and this (, onforms to the rules of the ASME Code, Section x I. epair or replacemen Type Code Symbol Stamp_~N~A~*--*-------- ...-------------------~----** *-*------------------------------. CEar1 r:ICA '! !i *:)F *NSERVICE INSPECTION I, the undersigned, holding.a valid commission issued b~* :hi? National Board of Boiler and Pressure Vessel Inspectors and the State orProvinceof I1icbjgan andemployec;by.x*otectian Mutual of ___ :til..... o.. o:...w1... o... o... d~,-:-M.,..,A.-----------~-----------have inspected the components described

.in this Owner's Report*during the period

/O -f*'iS to II *.Z1-f'1' , and state that to the best of my knowledge and belief, thE. Own-3r has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requi>.:me.nts 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: .. ~ ./} /J FACTORY MUTUAL ENGINEERING ASSO. ~ Commissions,/'YU; ~.,.2. N8.Z- ~re National Board, State, Province, and Endorsements Date 11-0l :c 19 f~ (12/82)

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

1. Owner CDNSTTMERS POWER COMPANY Name 2ZZ8Q Blue Star Mem. Hwy. z Address

2. Plant Pal; sades N11cl ear Plant Ne me Covert MI 27780 Bl11e Star Mero Hwy., Covert, MI Address

3. Work Performed by Cons11me17s Power Company Name Oate.,....----'-/ ____,d.~/_3_,__/q_~_---,-----

1 '~ f Sheet_--1,-. __ of ___ I ________ _ Unit ---.lb-----.....:..---------- w 0 Repair O_rganizatlon P.O. No., Job Nq., etc. Type Code Symbol Sta"1P-~------- Authorization No. ----l.ll.~------- Expiration Date ____ ~N!.£A~------- 27730 IHYeStar ~~ Covert, MT*. A dre's

4. ldentific~tionofSysterri WW, -PreSSvlG. SA-f'~l) rV\\.je..ctoV\\ ~S~M

5. (a). Applicable Construction Code BS\\."\\

19 SS Edition, _______ Addenda, ______ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19..... Su.9.;i..__

6. Identification of Components Repaired or Replaced and Replacement Components

\\ 1' ~. -~ .ASME Code

National

Repaired, Stamped Name of Name of

Ma.rn.ifact.~ re r
Board Other Year.

Replaced, (Yes Component Manufacturer Serial No.

No. Identification Built or Replaciiment or No) tAJ.RSW6~ CA r:-ol :..... A I , 1"-1 IA... -N/-A f", O* *' f::_e~l,corl. No Sil. s r v-dv61 I"'; A"I * *

Goo6q6d.'8 1qq3 SIH~4. Gr b NoVA..

N('A N/A f>.O.*AF

Ret>-\\Ked No.

-~1~5 rV'\\ A c,\\r-..: 11'--L l/"-.r\\()i-734 s 19~:3 SA-19tt-.G.- b GA I'd: rA I /j4, N~* Nv.TS Tv--d L*~;T,; A I (>. 0. 1't= .J o0;}--:'\\'72'1 1q~b ~e~IAced No 5"A5btt/b3o No\\IA 1* NJ. ""'* 0. -=ff J stt,..JS

- VY\\Ac~:V\\t..
NIA GIS 16 \\

-\\qq~ ~t~l.Aced* No ~. . \\ '~\\

7. Description of Work Ret=\\AceJ *-fAsre~r-s *oV\\ -f\\o~*,~le,yv\\e_~

FE:-0.Sob.

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure~ Other 0 Prassure _____ psi Test Temp. °F NOTE: Supplemental sheets *in form of lis~s. sketches, or drawings may be used, provided (1) size is 8% in. x _11 in., (2) informa-ticin in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number ofsheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., N~w York, N.Y. 10017

FORM NIS-2 (Back) 9.. Rem.arks*-'-'_,N _ _,,* "-'O=*:....i...~-*~*~'---------------------------------------- Applicable Manufacturer's Data Reports to be attache'! CERTIFICATE OF COMPLIANC~ J - We c'ertif~ th~t the staie,,;ents made in t~*e reR2rt.are co~re'ct.a~d t~i~Tl!'~Ate~;:r' conforms to the rules of the ASME Code, Section x I.. .

repa1 or replacement
j.. '

.Typ~CodeSymbcilSta~P-*~N~A"'-*-------------------'--_;_-------'----*---- ce*rtificate of' Authorization No. __ ...J.l..c.... ________

___;__ Expiration Date __

_il.c..... ___________ -~-'--' d-__,_/_* -=3"'"-* -. 19 CERTIFICATE. OF. INSE.RVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Ves'sel' Inspectors and the State orProvinceof Michigan andemploye~by Protect.ion Mutual of Norwood. MA

have inspected.the. cd~i:lon~~i:.~ descri~d i~; ;hi~:*6"1ner'.s R:'port, du:rin!i the*perio~ * * *.. *.
12.-'-/-'l'c. to 'Z-'i'-rfi,,,

., "and*-~tate that

! tq the best of my knowledge and belief; *the"Owher has performec;I examinations and taken corrective n'leasures described in this r :' Owne~;s Repor~*in acc6~a~~ce with !he _requi.~ements of th~:ASME Code, Se~tion.XJ.

,' *, By signing thi~. certifica~e -~~ither the lnspec~b.r nor his e_mployer makes any. wa.rr~nty,--~*xpressed br implied;* c~ricernjrig t~e.

. exariiinai:io~~ ~nd. corr~'ctive. m~asur~. described in this O~ner's Reper;, F~'rthermore: 'n~i;her the 0

lnspector nor his:e.:nployer .,shall be liable :in any m.anner for any personal ipju,.Y. or property damage or a l~ss of any kind a*~ising.fro~ or connected with this . in~pe~!i~n... * ' 0... ~ ~0... * * * '" *

Ac.TORY MUTbALi'EN.GINEERING As So*.

'---~-'-'===-.-~~-~------Co.mmissions /vt/. 'fC.,;J..

~4.Z: Inspector's Signature National Board, State, Province, and Endorsements 1 \\ Date ______ ..£:1~::....:......-_.'-1_19 9{,;, (12/82)

FORM NIS-2 OWNER'S REPORT-FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1.. Owner Co*nsumers Power Company Name Address MI

2. Plant --'-P-c:aul._1._*.._5.,.a...

du:e~s-.... N..._11._..c_l._e'?:"'a_.r___.po.....L.1.,.a..,n~t------ Name

27780 Blne Star Mero, Hwy, Covert, 'MI Address

3. Work Performed by _

__.N~P~S~E_,.n-=e_._i=..,,g;..;Y.l'--~S~e_.r__,v._1..

c._._e...

s,__I~n ......... c~ Name oate__,__l o-r-/_s __ l,,__/r_b __ _ I I

1.

. I. Sheet _ _._ __ of ____________ _ Unit _ __. _______________ _ Repair Organization P.O. No., Job No.. etc. Type Code Symbol Stamp~ Authorization No.---~~--------- Expiration Date ____ .......... c..... ________ Address

4. ldentif~nion~Synem_~~-~~-~~~~~.--~-~~

.. -.. ~~ .* ~~-l~-~~0~6_\\~~~-. ~~_~o~\\_;_~~~~~~~~~~~~~~-.~~~~~~~~

5. (a) Applicable Construction Code AISG H:f' gTu Edition, _______ Addenda, _______ Code Case 7

(b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89

6. Identification of Components Repaired or Replaced and Replacement Coll)ponents Name of Component f> : r:-e t-1""'-~l \\

iLV:.:~/ I:/(.,.t.\\ - H ~ .1 . ~.

.t' Name of Manufacturer Manufacture'r
Serial No.

~IA National Board*- No. Other .. ~'f_ear

Identification
Built ASME
~'- >>-..'..'*:.... *<: ; -: Code
Repaire.d, Stamped

~eplaced, (Yes of Replacement or Nol

7. D*~,;p,;oo of Wo*k £;:,~\\ A<e.d AV.&h> r $1W:!s A.0 N.;\\$ ov-

'~; ~' ~6~ "'Be.r*

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure<O

HG~/ tlC 'i- ~.).'6. /

Other~ Pressure p~i Test Temp. ° F NOTE: Supplemental sheet;!,[: ~lists, sketches, or drawings may be used, provided (1) size is SY:. in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

l -\\ FORM NIS-2 (Back) Applicable Manu.facturer's Data Reports to be attached CERTl.FICATE*OF COMPLIANCE. r ~ We certify that the s~a~*ements m~de in the report a~e cor_rect and this t-eelACeW\\Q.. confor~s to the r~les.of the ASME Code, Section XI. ..c"... rep a r-or rep!acement Type Code Symbol Stamp _ __......,.-------------------..,-----~----------- Certificate of Authorization No. -~~------------Expiration Date ---U.<"'------------- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, hol.ding a valid commi,ssion issued by the National Board of Boiler and Pressure Vessel Inspectors and th~ State . or.Province of. Mi.ch_igau ~nd*employed by Protection Mut11al ... -..of

"

No';¢wood~ *MA \\.

have insp,ecteci: ~he cqmp?n.er:its. *d.~scf~bed ir\\ th is Owner's Report during the period ~ -.:<o -9(e to I Z. - '-f -Cf~

and' state t~at

to the be.st of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in th.is 1

Owner's Report in accordance with *the requirements of the *ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer ~akes 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 persoQal injury or property damage or a. loss of any kind arising from or connected with this inspection.*~ Factory Mutual Engineerin ---~-4_::==-~.L:.C=::.L.:=----------Commissions /1:7/. 1'e<. d!!Jt:;:: lnspecto:."s Sign~~ure Nati~~al, Bo~ard; State, P 0 r~~:l'\\~e, and Endorsements .o'!te_* _. ----'-'-..,-=I ~;l~--~_,___19 9 t, (12/82) ...... ~*.

l-."~:;?;*:.. ~.. *.. 1 ~ ~. >i ~ '. i,-* ~ - I r-*: :*,.,. l --~... .*... **t";. . FORM NIS*2 OWNER'S REpORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME *Code Section XI

1. Owner CONSUMERS POWER COMPANY Nam a 27780 Blue Star Mem. Hwy.; Covert MI Addreu Date_--L/...::Z~---=-5"'_-_;7:-=b;..... -----

Sheet_......i.-- of ___..;./ ________ _

2. Plant Palisades Nuclear Plant Name Unit _ __,i.------..-----------

27780 Blue Star Mern Hwy, Covert, MI* .Addren w a fl 2'/~I 3'-f3 2-Repair Organization P.O. No., Job No., ate.

3. Work Performed by Cons 11mers Power Company Name Type Code Symbol Stamp__,~~~"'A _______ _

Authorization No. ___ _.,.a,... _______ 277SO lHYsStar &w, Co17ert MT A dreh Expiration Date NA

4. ldentificationofSystem~~~~~~--~~-------------------------------

5. (a) Applicable Construction Code /ltJS/ t~/, J 19.l...£Edition, ______ Addenda, _______ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacemenu 19_.8...,g....__

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

. ~* -*. Code ~ *- National*

Repaired, Stamped

.. Name of -.

Name of Manufacturer *.... Board.

Otha~ Year

Replaced, (Yes Component Manufacturer Serial No.

No. ldentificatiOn .. Built or Replacement _.or Nol )Mii t>'E/l. f:"c1F1C . /.-511- -/{) ,v/lt-Jh C ozo~ri.. lerf 6 ft:)~/#.,Vo <"'4Jl1-~B 'Jh\\/TihC. iR 7.l 7f. *. '.'I B. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Other~Pressure psi Tes:Temp. °F ~OTI~ /n-;- / Vl-3 NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size It 8% In. x 11 In., (2) informa* tlon in items 1 through 6 on this report is lni:tudad on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

,.:, *.. : ;t:/* ~~.='.-:: _*:.: ;-.. <'°:..*-*. .... ::." *~.., FORM NIS-2 (Back)

9. Remarks--'f"J'--~C)~~~---*~-----*-.. _**----~*-*~-----*-*-_**_*-_.. _-_-. __ ~_~*_:~_*2

_~--~-;-~:_,._._*---:~:*_*!_'~_-~_-*-_.~_,~_~_-_.:_:_ Applfcabla Manufacturer'* Data Reports to be attached ~* . *'. :*,**~*

- ~* ~-.:. -~*****

CERTIFICATE OF COMPLIANCE .We certify that the statements made in the report are ~orrect and this te/illrt:M~nforms to the rules of the ASME Code, Section XL repair or replace,.,;ent l.. TypeCodeSymbolStamp_~N~A""-*----------------------------------------------------------------~ ....~. :...... t.

- .*:.c,.
-r *..

Certificate~of A

"loo N~----'~.-----.....,.-----,--,---EXIJiratlon* Date __

_,N....,A.._,,__--'----~-'---..,-- Signed -~~~~ST tW(.., Date----'/_C_--_f'= __ -_7 ___ b_* __., 19..ik.. wner or Owner'1 Oe1ignee. Title CERTIFICATE OF INSERVICE.INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Ves$e1 Inspectors and the State or Province of Michigan and employed by PrOtecti on Mutual of

Norwood, MA.

have* inspected the components described in this Owner's Report during the period l/-;J.-9~ to' lo?-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 li'lspector nor his empioyer makes any warranty, expressed or implied_, concerning the examinations and corrective. measures described in this Owner's Report. Furthermore, neither the Inspector nor h.is employer

==~~:'.° 10

oV ~*:z:

'"i"iv **omporty ""':"' ;A~~:y'"~~*';;~;;;;~";;'"

~"0~

1 ~ Commissio~s /VJ,'. '14..z. Mfl:C

,-n-sp_._ec_t_o_r'_1_s

.... 1"'g'"'n._atu__,re..________ National Board, State, Provine~ and Endorsement* Date _____ _../,..._~.. *--s...___19 9~ (12/82)

~i ~;--.:..... _

l.

+

i

~.1* ~**

.i

,~, ~ ~l I ~ .~ 1

1

} j.. '.. \\... -

.~. : '

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

t. Owner CON STIMER S POWER COMPANY Name 27780 Blue Star Mem. Hwy.; Covert MI Addrea

2. Plant Palisades Nuclear Plant Name 27780 Blue Star M;.m Hwy, Covert, MI

..Address

3. Work Performed bY--1C1.o-o~P"1;Si-1.*.1.1*mwe::..r'-l:is....cP:.i.oi..i.r.11.1ze::..rL-J..oC.unwm11-pu:a... n.._,yl'---

N.ame Date __ L-/ ?'--. -_.S""_-_* c;_* _{p __ Sheet_~-- of __ *_*...:.'---------~ Unit-......,1.------~--------- Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp_N __ 4,__ _______ _ Authorization No*----lll~-------- Expiration Date ____ _..N~A......._ _______ _

?~tf]f:
- ).;?:*

277SO 1n~eSta:r:. ~ Covert, MT SA~e~ -S~efi:*oV) syv'V1 19--1:3_ Edition, ______ Addenda, _______ Code Case Adreb

4. Identification of System _H ;j b... f>f:e$S ~re:_

5. (a) Applicable Construction Codef1N51 fi'JJ, /

(bl Applicable Edition of Section XI Utilized for Repairs or Replacemenu 19_.8...,9~-

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

ASME Code National*

Repaired, Stamped

... Name of .. Name of .--- *** Mamiflii:iurer

Board

. *-* Other

Replaced, (Yes Year Component Manufacturer Serial No.

No, '. Identification Built or Replacement or Nol. 5.vvd~ZJ: fftClfi'- /j'/J-1 JJ)A-f8 ~zof:ri-~ !790 Qcfitt;nt; ;,;J2 , c;"JN J- *::19 I IJ~H-S:- c.f.bN?fr-1r ?b/(p6

7. Description of Work

8. Tests Conducted:

Hydro!c 0 Pneumatic 0 Nominal Operating Pressure 0 Other Pressure ps1~est Temp. ° F f1)C7i//YVl+t 'f-el'"f V 7-3 NOTE: Supplemental sheets in form of lisu, sketches, drawings may be used, provided (1 I size is 8% in. x 11 in., (21 informa* tlon in items 1 through 6 on this repon is Included on each sheet, and 131 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E000301 may be obtained from the Ordar Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

.., ' <"I;'

'. *.~. :*.'.*. * ** ".:~: * **. -~~/~~':,. ' -~.. -

~. **-

-*****-**C

FORM NIS-2 (Back)

Applicable Menufecturer'1 Oeta Reports to be attached

.. _,_, ~. --~'. -

~ *, CERTIFICATE OF COMPLIANC~ .* 'lje c~rtify that the stateme~~s rjiade i11. th~ _report are correct and this' ~~llK!fF1b;!konforms to t-he rules of ttie ASME Code, Section XL repair or replacement TypeCodeSymbolStamp~~N~A~*~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~- ,.. ::. t':* CERTIFICATE OF INSERVICE.INSPECTION

r. the undersigned.. holding a valid commission issued by the National Board of Boiler anci Pressure VaSsel ln~ectors and the State or Province of Michigan and employed by Protection Miitual of

Norwood, MA.

have* inspected the components described in this Owner's Report during the period 11-Z -?~.to IZ.-S"-'l<e , and state that to the best of iny 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 empioyer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor h.is employer shall be liable in any manner for any personal lnju,Y or property damage or a loss of any kind arising from or connected with this i _n_sp_ec_t-io-n. _____ ~_._-""""'.....,.

- ___ eomm;u;o~* :~T~: l<<ITUAL ENG=G ASSO.

Inspector's Signature National Board, State, Province, and Endorsements Date (12/82) /

FORM N1s:2 OWNER'S-REPORT FOR REPAIR-SOR-REPLACEMENTS - As Required by the_ Provisions of the ASME Code Section XI 1. Owner __ _,C'"'O........,"l_S...._I..... 1-_._fE....... B.._S.___P._0......,Hu.E._.B>...-:Ci...uO"'-~!u.P:...oA:l..INiY..__ ___ _ Name ?7780 Blue Star Mern. Hwy., Covert MI Address

2. Plant Palisades Nnclear Plant Name 27780 Blne Star Mero Hwy, Covert. MI Address

-. 3. Work Performed by __.C-o~tl..:.S;.i.1,1.11rn.ljjet:"'-r..:;5;.......Jp:.J0~1w.r.c:e~r--1C..JO~m~p"'aun.i...:y~-- Na me A dreb Sheet --i.--- of ___ _,/ ________ _ Unit--1r---------------- w n* /1 2-4 5/ 3 6 ;>I Repair Or11anization P.O. No.. Job No., etc:. Type Code Symbol Stamp_~~-'-------- Authorization No"-----1.>IA--------,--- Expiration D-ate ____ __..,~--------

4. lderitifk~ionofSy"em __ ~~~~r~i~~~q~r~,/~--~~o~o~t~Q~~~~~---~~~~~-~s~t~e~~~--~--------~--

T r

5. (a) Applicable Const-ruction ~ode5ecf:o,., rrr: 19 ::z2 Edition, No" e (b) Applicable Edition of Section"Xl-Utilized for Repairs or Replacements 19....._.8_,9.___

6_. ld~ntification of Components Fl'epaired or Replaced and Replacement Componenu Name_of Component 51e.:cm

Ge"'

E-5019 . 8. Tests Conducted: Name of Manufacturer Ml!niifac.ture.r _ Serial No. Co-.l>i.cs r;o..., S/IV c.,..,;.,eu ;.,q 70.z.. 7 7-I National Board No. Other Identification

Nomi~ai Operating Pressure ~

_ ___, ___ psi T~11 Temp. °F Addenda,--'1'-4..z....::;8:;...4......_ __ code Case Year Built ASME Code Rei)aired, - Stamped Replaced,.. - (Yes. or Replacement or*No) 'I-

r' NOTE: Supplementit sheets in form of lim, sketches.. or df"lw*~cis may be used, provided (11sizeIs8% In. x 11 in., (21 informa*
tion. in items 1 through 6 on this report 11 included ~n each '""'* and.13) each sheet 11 numbered and the number of sheets is recorded at the top of this form.

(12/82) This Form (E000301 mey be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Applicable Manufacturer's Data Repo,rts to be attached CERTIFICATE OF COMPLIANCE We certify t~at the statements*made in the report. are correct and this ~JqCf.;...f., t conforms to the rules :ii th~ . AS.ME Code, Section XI. rep "or replacement

*~

Certificate of-Authorization No; __ ~"--,--'----------Expiration Date __ _......._ __________ ~- Signed 1C2 {(~... A--- ~ ~:t _ .owner or Owner's Desigl<ee. Tit(~ '1*

- Date~

. : g _9"'-6=-- ** CERTIFICATE.OF INSERVICE INsPECTION I, 'the.undersigned. holding a valid 'commission issued by *the National.. Board of Boiier and Pressure Vesrel Inspectors and the State orProvir.iceof Michjgan andemployedby Protect-ion Mutual of No :c:uood 9 MA have inspected the components* described in this 'owner;s ~Report during' the period //- Z.G. - 9(,,

to I Z. -/ q - 9(,,

.,. and.,stat~ ihat to* the best of :my knowledge and belief, the Owner h*as performed examinationt and take~ cor';e;;*tive*measures descr.ibed in this 1" Owner's Rl!por.t in accordance with the requireinenu of.the A_SME Code, Section XI. ., By sig~ing this certificate neith~r.the: lnspect~r nor his employer makes any w~rrantv; expressed or implied, concerning the examinations and corrective measures described in t:his Owner*~* Report. Furthermore, neither the ln.spector nor his el'T)ploye~

shall be' llable in*any manner f_or any person~l_injury' or property damage or a loss of any kind arising from or connected with this
.**;~.. ~*;,~

Inspector's Signature FACTORY. MUTUAL ENGINEERING.ASSO. C~mmissions /\\."7/. 14.-<. National Board, State, Provl.nce, ar:id Endorsements;

Date (12/82)

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner __..lc..... o..LJL.1.'l'.uS.uIIu.:..u.ME;,.iR,,,.S.i....._....P,..Ou:WuE.;.JR~.... c.uo~Jlfu:.....:PAlJ.NLY.._ ___ _ Name 27780 Blue Star Mem. Hwy., Covert Ml Address

2. Plant Palisades N11clear Plant Name 27780 Blue Star Mero Hwy., Covert, MI Address

3. Work Performed by Consumers Power Campany Na ma A dre's

4. Identification of System ~~ii\\ ~t,caM S g J tc /Vl I

Date --'"1'~a'-'-'/\\'-=1.A"""4,_,_r..:;i.~---=8=-+,__,/_C1,__q,_,"f ___ Sheet _ __..,_ __ of ___ _;_l_* _______ _ Unit __ !,----------------- WO II ZL.JS/121.f Repair Organization P.O. No., Job No., etc. Type Code Symbol StamP-~.-------- Authorization No. ------1:~--------- Expiration Date ____ ---"'N,...A.__ _______ _

5. (a) App-;icable Construction Code J3] I. I 19 SS Edition, __

A_ICL ____ Addenda,_~y\\---..;j~'-----Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_8U-"9'---

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code 1

~ -.i \\ I'" ' -1:,, National

Repaired, Stamped Name of

~a_me of M_anufac;turer. -~O(lrd .... O~h~r Year

Replaced, (Yes No.

o.r.Replacement or No) Component Manufacturer. Serial No. Identification Built ~ "/1J1 ~;" siw....... ~1, -* "'~. \\,. ' r-r 1 u_1._ '-""'-........,-k A-'i'n, '3~ Cord.i.114.i1' .... n10-V\\ lei. Po~ (0iacui' Red. Ldw.'i~ia.l G 11-l.D81Q q:) Uo

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressu~~~ Other 0 Pressure _____ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sh.eets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE' 1 We certify that the statements made in the report are correct and this atfacc:Mc,,11,t. conforms to the rules of the ASME Code, Section x I. repair or r~placement Certificate of Authorization No. Expiration Date --...U..""'---------- Signed / .,f ~) 1~itv Gile.cf Date J;;ACAar.J., IE ~Owner's Designee. Title ~ q-q:/- . 19 ___ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by th.e National Board of Boiler and Pressure Ve,ssel.l.nsp~ctors and the State or Province of Mi chi gan and employed by Pro tee t j on Mutual \\..

of

Norwood, MA have inspec't~d 'the compdnents described in this Owner's Report during the period

/O 9 S-to /~ -,;U)._9<£ '. ;i and srate that 'to 'the b~st of 'my knowledge* and beli~f*the Owner has performed examinatio~s' and taken;c6rrebtive*measures described in ~his Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neith*er th.e Inspector nor his employer. makes any warranty, expressed or imp I ied, 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 ASSO.

~~-~---~~~~-----Commissions /VJ1 '. l4'~

**, I hspector's Signature National Board, State, Province, and Endorsements l
J Date ______

'--/ -___._9_19 'f 9-(12/82)

FORM NIS-2 OWNER'S REPORT FORREPAIRSOR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner ---'C""o""n"'s=-"u""m""'e=.cr=-=s-=P_,o"""w~e~r__,C""o"'"m~p""a... n...,y,__ ____ _ Date~l --'j~--9~'-7~* __ _ Name 2 7780 Bl 11e Star Mero Hwy ; Covert, MT Address Sheet _ _._ __ of

2. Plant _ _._P""'a._.J._,....

5...,,a...

d...,e;:..os-N 11u.c_l... ei;.cia...1.r__.p ..... 1 a...,n..... t ______ _ Unit_--'-------'----------- Name 2 7780 *Bl ne Star Mero, Hwy, Covert, MI w.o. Address Repair Organization P.O. No., Job No.. etc.

3. Work Performed by_~N~P~S~E~n~e~r-tg,.,yl'-:-~S~e~r~v~i~* r~e..,s~I~n~c~

Name Type Code Symbol Stamp__....,. ________ _ f=hilAde./~iA' PA lC)Ol3-3b7~ Authorization No.---~......._ ________ _ Expiration Date ____ r J Address ~ ldentificMionofSynem_~~J~~~~-~~;~C-~~\\~*~~~~~~~~~~~-'~~~~~--~~~~~~~~~~~~~* ~~~o~\\~~~~~~~-

5. (a) Applicable Construction Code Aw$ />I. I 19 9i.Q__ Edition, _N.___,6~A~ ___ Addenda, __ ~tJ

__ /i~A~--* Gode Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89

6. Identification of Compci~ents Repaired or Replaced and Replaceme~t Components*

ASME / Code ~ 1' 'r*,',,*"'t ~*-

'..... '*.. ~ -.

J..... (_. ' - Re'pafred,* National Stamped Name of Name of Manufacturer Board Qther Year

Replaced, (Yes Component Manufacturer Serial No.

No. Identification Built or Replacement or.Nol f>;~ $1A~r-or-T ~G~/a.3-\\-\\;;)..~ G-.~GO N/A N/A N/A ICfCf (:, Ret.:.IAced No

i I

7. DescriptionofWork *fSe.p.\\Ac:..e.d

'Si.,.~~c\\-l

8. Tests Conducted:

Hydrostatic D Pneumatic D Nominal Operating Pr~ssu're D Other gj Pressure psi Test Temp. ° F \\(\\-3 NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2).informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y_. 10017

'\\.,,\\'. \\ FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached r. ), 1,'°'. *-* CERT.IFICATEOFCOMPLIANCE.. ",'";.:. lf:Je Te~tify that the statements made in the report a.re correct and this ~e~I AU~~ j conf~rms '.i~ the rules of the ASME C d. S t. XI* repair.or replacement o e, ec 1on r -. 1

1 i,

Type Code Symbol Stamp _ __......, ___ '-------'--~------------------------~- Certificate of Authorization No.--'-'-=------------- Expiration 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. _ M*ichigan and employed by Pro tee ti on M11 t11a'1

of N..,..._o,...n._...;,..~...

o,,.d.....,,__.M~A.._* _* _* _*_. ___________ __, _____ r_'-__ i _* -. have inspmd_' the.. c;<?~Pon:~!s: **~~~~r-i~~d in this Owner's Report during the period..;_ _____ __._t?_,ii?"-'-'l_-_,_9;-=~o.--to ) ;;f}...!:t£'f:::!:Y 12-13-tf~and state that to the. best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing th.is 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 Engineerin 5.d~ Commissions_,_frl~~'~* *-'f<~~~o<~---'----------

. ~ig;;;;;u~' _

National.Bo~-~~" St.ate, Province, and Endorsements Date I-9 19 9:Z-(12/B2l I

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

1. Owner CONSITMEBS EOI~EB COHE8NY Date Jar'l~r-y J LJ.

J<JCJJ Name 2ZZ8Q Blue Star Mem. Hwy. i Address

2. Plant Palisades N11clear Elant Name Covert MI Sheet of w a fl 2.45/ 370/

27780 Bl!le Star Mero Hwy., Covert, MI Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Coos11rners Power Company Name Type Code Symbol Stamp _Pl-"'1,__ _______

Authorization No. ___ _...,~--------- 27780 JHyeSta:r Adrels Expiration Date NA

4. Identification of System __

- -~--~~--Q_*_.,_~_; __

~~~~~~~~~~-~~~~~5-~~~~~~-----------------~

5. (a) Applicable Construction Code5ecf. 71L 197 7 Edition, None.

(b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_.8 ...... g.__

6. Identification of Components Repaired or Replaced and Replacement Components
,*~

National Na~e-of"' Nam1ro"r ** 0 *Manufacturer

Board

-. -. --Other.. Component Manufacturer Serial No. No. Identification ~im.Ce"l. £-'ioJ3 5eco... ~ry~11-.y Co...,,b.,s f;o-, N/19 µ/14 P.o. #:.3636 8 s~J E,,9;... eer;,,q

Addenda,_..,:./_4.L,...,;:8::........;4:....__Code Case ASME Code

Repaired, Stamped Year

Replaced, (Yes cir Repiacement or No)

Built 82-Rf'f lo<e"""e" f-JJo S<<o~4rr 1-'fo,,,..,.r llifco N... cfear Pro),,. cf-s Mf'1 N ',t1 - P.o-zrr;30032. 92. ~/kct?...,e"' t' No /\\J... t

7. DescriptionofWork Rep/qceJ #'6 q.,) :1r-2 5econ)qr 1y /"1et'1""'ciy

>T"')5 q....,) N'-if; o.., STeo...., Cen~('qfor IE-5"0 B B. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure-~ Other 0 Pressure psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) informa-tion 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. (12/B21 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCfu We certify that the statements m,ade in the repo_rt are correct.ai;id ~his JPbce~t1 j-- conforms to the rules 0f the ASME Code, Section XI. repair or replacement \\ l l. Certificate of Authorization No. Expiration Date __ Signed~fl~lsign~tle~. /J~.Date~ '19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by the National Board of Boil.er and Pressure Vesst!I Inspectors and the State orProvinceof !1jcbjgan andemployedby Protectjqo Mutual of ---'-~[,,l...l;IN.~lQ..r--..:.1~.__-_;__,__;_'-:--...:..'_"_;* ___ ...:'"..:.'..:.'_* -i=---::---::::-:------have

inspected 'the
combon¢nt's* *described in thi~ 6wn.~r*S'f:iep.ort during the.peri~d to

/.J-.e?o,.. 9<;.* ... and state. that to the best of my knowledge. and belief;o,the Owner has performed exam.inations ahd,taken cor~ecti~e measures deseribed in' this I " Owne~*s Re'po'ri 'i~ ac.corciance 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 I ~~/) FACTORY MUTUAL ENGINEERING ASSO.

~-'--=-~~---<>=~~"""""-----Commissions-'M'---"-*~* _.fl'-"'~"'"~~=----------=------

lnspec:tor'1 Signature National Board, St11t11, Province, and Endorsements inspection. /- 1~.( 19 9 sz Date (12/82)

~

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI . 1. Owner __ _._.c..._o.... :*... J S .... I..... IM........._E.... R._.$..___._p_..O.._.W._E.... B...,,___...C...,,0.ur.... !Pl.....CA...,NuY.__ ___ _ Name 27780 Blue Star Mem. Hwy.,* Covert MI Address

2. Plant Palisades NJJclear Plant Name 27780 B]11e Star Mero Hwy, Covert, MI Address

3. Work Performed by __.c.....,o...

o.,.s,..1...,;m,..e~r..;;s......._.P._.a ..... x..,.1"'e:....ir---'C..,.pLLJJ.rni.;.pua'"'nu.y-¥---- Na me 2776Q Ill1.!eSta:r a~~ Covert MI A dre's 1

4. Identification of System ma i A s tea N1 ~~sit IV1 Sheet_-..J.-- of ___

/ _________ _ Unit __ r----------------~ w a u ZLiSl.32.36 Repa.ir Organization P.O. No., Job No., etc. Type Code Symbol Stamp_;,>i.<'O---------- Autho.rization No. -----l:llA--------- Expiration Date ____ ~Nco.A.__ _______ _

5. (a) Applicable Construction Code fJJ I ' I 19 S"S-Edition, _______ Addenda, _______ Code Case (b) Applicable Edition of Se_ction XI Utilized for Repairs or Replacements 19_,8;.i.Q;i...__

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

Repaired, Stamped Name of

.Name of Manufacturer Board Other Year

Replaced, (Yes

Component" Manufacturer
Serial No.

.No.-

Identification"

--Built_. 9r Replacement or No) Q ~i1-5, u + ~;~ {\\ \\O-(\\ \\O-i-'O :r:r "~~ ~\\acd A.Jo ~;~ zoo£./.tfio l-Nu. t:

s,q.. i:::t4 Ul.rdiAa-(

AtO-Pc:>-tt 'C;fo" ~wd . r~'4.Sb-i'c... ~ V\\ \\0-zatA 18aS° AJo

7. Description of Work Ae p \\ocz:d Stud~ a;-d nuts ()n. W-o:f-14 1'11 lct +/-latSc.

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressu~ Other 0 Pressure psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion 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 this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS*2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~la~C conforms to the rules.:-,f tha ASME Code, Section XL rep ir or replacement Type Code Symbol Stamp _ _,,N.:..A,_.__ __________________________________._ Certificate of Authorization No. __ ..u..Q.... ___________ Expiration Date __ _.N"""A"---------*-*---- Sign~d,} t:~ L~Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by the National Board of *Boiler and Pressure Vesst!I Inspectors and the State orProvinceof Ujcbigan andemployedby Protectjoo Mutual of

Noruood, MA have inspected the components described in th is Owner's Report during the period I I - ~ - 9(, to l.J.-.Jo - ~

, and state that to the best of my knowledge and belief, *the Owner has performed examinations and taken corre~tive 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, exp.ressed 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 cit any kind arising from or connected with this ~ FACTORY MUTUAL ENGINEERING ASSO.

'~:.....:=~~::......i~-...;.;:'------------ Commissions...:..M-...:_,,l_*.........

~-"'""e\\:;..>o. ______.;_ ________ _ Inspector's Signature National Board, State, Province, and Endorsements inspection. Date ______......:.../_-_,_/_..3'--19 9 T (12/82)

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

1. Owner -~C'""'o'"'n=s~u_m~e~r~s~P~o~w~e~r'-"'C"'"o"'"m"""p~a"-'n""y,__ ____ _

Name 27780 Bl11e Star Mero Hwy, Covert, MI Address

2. Plant -~P

.... a._.1._,...

s-...a..... d""e,._s.,_..,N..._p...,c_J._e..,...a..... r__.P.......

l... a.... n .... t------- Name 27780 Bl 11e Star Mero, Hwy, Covert, MT Address

3. Work Performed by _ __.N.._P......._.S.__.E....,n"""'e....

r-Tg"'-')1'-1 _._.S..._p_.r_,v.__1...

c._._e_.,s.__I._n......... c~

Name ?A t°fc13 - 3~-,c;; Date ---"'O=c..:....,I,_/.:~_..o..I +-/-'9'--7-'--'-", ------ r ~ i Sheet ____ of

/.' -. -""

Unit_~----------------- Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp_*........,...__ ________ _ Authorization No. ___ _...=---------- Expiration Date ____ ~~-------- Addr3?\\.' ).(le L

4. ldentif~Mion~Synem __ ~~~n~d~-~-'~~~~~~--~-~S_h_~-~---------------------

5. (a) Applicable Construction Code /lWS D l

I 19 9 D Edition.

tJ)A, Addenda, __ ._,J~}_tj~ __ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89

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

Repaired, Stamped Name of Name of Ma nu factu rer Bq~rd Other Year

Replaced, (Yes S~r-ial No.

or Nol Component Manufacturer No. ldentifi.cation -Built o*r Replacement /) ,,,.,~....J'<f~ll.--t" C~Co /;!11c~~,Jo f/G~ I rte 1-.l'"'D . ~JA Al/A JJ IA 1<f 'Ua ,~_.. *-........ -.:--. ~.., 1.-'.\\. *

\\..

B. Tests Conducted: Hydrostatic 0 Pneumati~ 0 Nominal Operating Pre~~r~ 0 Othe~ Pressure _____ psi Test Temp. _____ °F .yr-3 NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1).size is BY. in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

. "l J' ' : i..* \\ 1 ***:. FORM NIS-2 (Back)

9. Remarks ____ =o~~~*~*t~---\\--------------------------------

Ap.plicable Manufacturer's Data Reports to be attached

_,. \\

i 1 ' ;i. cERTl*FICAT-E oF. coMPL:IANCE* :. W~.ce~tify that the statemen~s made in the report. a;e correct an*~ thi; i't-~IAceM'cr conforms to the rules of the ASME Cod~ "'Secfon x I ...,\\ -,, \\,1., ~ep,air o,r, replacement I. 1' .... \\. I. l *... I

~* '*~ \\

Type Code Symbol Stamp _ __._,. _______ ~---------------------------- Certificate of Authorization N -~~-------~----Expiration.Date --~N~A~---~-~------- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid cqmmission issued by the National Board of B*oiler and Pressure Vessel Inspectors and the St.ate 1 1orProvinc70!."'¥1ichigau andemployedby Protection Mqt1ial '."-.:at

i.u~

....,... -)\\\\* "-""/' .J-, ~ r..::.

~\\'
No*n;,ood', MA..., 1 * *
- \\ * * °'

1 --, :

.. 1 have inspec~ea_; the c.o~P.~,n!!~t~l'~;esc.~,!~f, in this Owner's Report during the period

1~.3( -9<£ to iol-qll-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 th!s Owner's 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 arising from or connected with this inspection. Factory Mutual Engineer in ______ _:i:,.,S;';;£..~~~~~~f:._ ___ __;_*.~ommissions ~/Vl-~1~'-~J%~_;,.< ____ --',-~---------

c_~. *.

.~ *~ 1.n,s~-~ctor*~ *. Si'.g~ature *:..:: '..*,* 1 "> ~,, *, ~\\::)\\*. N~tiopal Board, State; Prov.~nce, and Endorsements . r-.:-..~ ": t _... ir*_: ~" ,*_) -~ ~- *, **,.. ***:;,; Date ______ /_-_oZ_.;(.--'-_19 9 f (12/82)

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

1. Owner _ __;C""'o"-'n=s-=um=e=-r=s'---=P'--'o=-w=e:.:r'---'C"'"o=rn,.,p""a"""'n..,y~----

Name Date----'('.)::....:..../ /'--=0>0>::.=.L/_"IL_,7L, ------- 27780 Bl11e Star Mero Hwy, Covert, MT Sheet _ _.._ __ of __ .;..( __________ _ Address

2. Plant _-1:.P..:a.... li....1.i..' S::>da.i.du:e::..:S:>.-.llNu.11u.c.;..l.i..ei;:.oaur_p"'""-1... au.n1..1t-------

Name Unit-:--------------------- 27780 BJ 11e Star Mero, Hwy, Covert, MT Address Aepalr Organization P.O. No., Job No.. etc.

3.

WorkPerlormedby_---i~..:i......,.c..1.1.1::...q~~Lt::..J:....ll..l..l..:~i--l..ll.i.;..._ Typ*e Code Symbol Stamp--'"""'--------- ~ ' I I I Authorization No.----'-"-=----------- r'JJ I I Ad t .3

3 &. 7 CJ Expiration Date

--'--_;_:~._!....j::.-~LLl'--t-...L_.:.._L..__.L..Jt....:::c..i..:.=<.............>::o.='-'---:- ____ __..:u:J. ________ _

4. ldentific~ion~Synem __ ~~*~.~~..!.t~~~l~=A~J_,~-~~~~~~-~~~O~~~u~~~t--~~O~~~~~~o~( __________ _

5. (a) Applicable Construction Code AwS ~).I 19~Edition,

.AJ /Ii Addenda, __ _,_~__,/c.:.fl-'-__ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89

6. Identification of Components Repaired or Replaced and Replacement Components

\\ ASME Code National

Repaired, Stamped Name of Name of Manufacturer Board Other Year

Replaced, (Yes Component Manufacturer_.. _.. Serial _l)l_Q. _

~.o. ld~_ntification Built or Replacement or Nol (' r*r~ l.. '\\"-D+ !i.~11'1<~~ ~(( c?c.o ..<l IA Alo lfGR. le.<:. 3

Ho?. 3

,A.I/A A.\\IA J99<o HG R ) C<:: 3 - Ho/. 3 ~-

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Other 0 Pressure _____ psi Test Temp. ______ °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

} FORM NIS-2 (Back)

9. Remarks ---';J'-*-~~-,,..1---==~~------------------------

Applicable Manufacturer's Data Reports to be attached I CERTIFICATE OF COMPLIANC~ _:...f.- We certify that the sta~eme~t*s ~a~e in the re'port ar~ ~~rrect and this j/t~ C:~~J conforms to the rules of the repair or replacement ASME Code, Section XI. ,., \\ \\ l'\\' Certificate of Authorization _No. _ _..=------------- Expiration Date--~~------------ ---'----+./_d-_Ol-__, 19 ~I CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and t~e State orProvinceof M;i.chigau andemployedby Protection M11t11al

of I

\\: 1 , * * *No~.;iood "MA have inspected the components descri.bed i~ this Ow.~e~;/ Report durin~ the period *" *** 'f-.,?f'-94 ~~--' li:il -,il7-9(;, '. *

~'nd s~at~* 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. -~~/J./J

~-F==-----=----'-="-----Commissions /Vl1. t('~ ;/..

Inspector's Signature National Board, State, Province, and Endorsements .. !,1' JI',\\ ~>. 0) I Factory Mutual Engineerin 'I .'* \\ Date t-o<o<. 19 9f (12/82)

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

1. Owner _

__.C~o~n~s_um_e~r~s~P~o~w=e=r~C=-o=m,.,p~a=n""y,,__ _____ _ Date __ 6_1..... {_;:<Y""',Y""--'{_'7'---'7 _______ _ Name Sheet _ _._ __.of __ J_*---------~- 27780 Blue Star Mero Hwy, Covert, MT Address

2. Plant __ P.......,a'"'l.._1._.* s~a..... d""e""s,._N....._11..._c_l._er;..cia.... r.-Po.....l.cia... n.... t ______ _

Unit_.-..__ _______________ _ Name 27780 Blue Star Mero , Hwy, Covert, MT w_o_ O/J../5/ /93a Address Repair Organization P.O. No.* Job No., etc.

3. Work Performed by _ __.ULL......._....u.LU;;'-'--IT¥--'"'=..-"-......... =-=>--......... ~~

Type Code Symbol Stamp__.......... ________ _ ?h,'f Me: f Authorization No.---~~--------- Expiration Date ____ _._..""----------

5. (a) Applicable Construction Code Ai.us /)J.I 19~Edition,,J /19 (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89

Addenda,

~ / d Code Case

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

Repaired, Stamped Name of Name of Manufacturer Board Other Year

Replaced, (Yes Component

Manufacturer'

~-Serial No. -. No...

.Identification Built or Replacement or No)

':>\\ C' !/,,~~2;c-12.-r C'1~c /JIA k/,flic~J J~ tlG~/CC.3

f{o).5

~IA tJ IA /991.t:>

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure tJ Other 0 Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided M) size is 8% in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N. y. 10017

/ FORM NIS-2 (Back)

9. Remarks _ __,~'----O_t-J_~----------------------------------------

Applicable Manufacturer's Data Reports to be attached ',,I I \\ \\ \\ CERTIFICATE OF COMPl,.IANC~ , t We certify that the statem~nts*m~de in the report are correct and this J?/1cfn?M conforms to the rules of the rep.air or repl.acement ASME Code, S~~ 1 tiori,XI. Certificate of Authorization No. _ _.....=---~---------Expiration Date __............._ ___________ _ Signed -=:::JPf.:::Jz Se.~cr \\ec~~cAI Owner or Ow 's Designee, Title 191/ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the St~.te Michigatl andemployedby Protection Mutual

- of,

--l.>1-1.)..~~~>,.--i:.ia..----=-""---=---~-------=-.:--=--:---...,:...,*....,.......,-have inspected.. the comp,enents _described in this Owner's R;port du~ing. the period_-._._._'----~~~~~--~~. /e?-Pl l-9&;.l *

- - ~a~d stat~ \\tia;.*.

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. '. ~ .. ~ \\ \\ ~- ......... \\ Date 1-o<o:< 19 9c (12/82)

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

1. Owner _

__;:C::.:o:o.n=s'-"um=e=-r=s'-"P'--'o"-w=e,..r'--'C,..o=m,.,p'-"a~n.-.y.;.-_____ _ Date __ CJ_1_,_}_<Y_~__._J_9_7_*---'----- Name 27780 Blue Star Mero Hwy, Covert, MT Sheet _ _._ __ of _ _,_/ __________ _ Address

2. Plant _ __._P... a... 1.._,._*.,.s.c1a... d...,e::..s.._.... N.... 11... c_l._e....,a'""r__.p._..1 ""a... n... t ______ _

Name Unit-,--__,..__ _______________ _ 27780 Blue Star Mero, Hwy, Covert, MT w_ o_ QJA/ 5 J.38tD 3 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by NPS EpergY.' Services Inc Type Code Symbol StamP-~---------

)J * / 1 ( M Name Authorization No.----""=---------- rn i Ade yh l 0 A J illss l'ic.13 - 3~ 70) Expiration Date ____ ~~--------

4. Identification of System ctCll'l/~A( A~d Vaf u111t C,... de.o. l

5. (al Applicable Construction Code Aws.b I~' I

1. 9 9 D Edition, __,u

__ / !'"\\~-- Addenda,_~..<J~_.l_fl~ __ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89

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

r Code National

Repaired, Stamped

Replaced, (Yes Name of Name of Manufacturer Board Other Ye<!r Compon_el)_t Manufacturer Serial No.

No. Identification Built or Replacement or No) /) ~ c '-' I I l/ ~ ~(I - I J;;;llcf-d Jo ti~ 12 Jee 3 - t/o).J c;:>co .,.J/A AJ f 11 Al J II 19 9<.o SC-9S-os'i

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St.. New York, N.Y. 10017

-\\ FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIA"'!CE j i. We certify that the statements made in the report are correct and this 'll1Cf;11~~.conforms to the rules of the ASME Code, s~c;.t~on}I. 1 re~~i~ or "!Placement Type Code Symbol Stamp _ __.,,... ______________________ ~------------- Certificate of Authorization _No. _ _.._...c.... ____________ Expiration Date __ _._...c._ ___________ _ 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 .orProvinceof**:Michigan andemployedby Protection Mutual of,,,

Norwo,~d:-,,MA,

. have inspected. the components described, in this Owner's Report during the period 1-JiJ-9(q t 0 ~ 1 ';ol-rz? l-f~ ;.* * ' . ~-~d ~tat~* thai *. 1 \\ to the best of my knowiedge 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 Engineerin

~_,__,,

_ __,~,,..,.~=--------Commissions~ft1.-~1_:_,_~~~;1. Inspector's Signature National Board, _State, Province, and Endorsements .. * '. \\

~ '.

\\ Date _____ ~/_-~oZ~d~19 <f 1 (12/82)

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS. As Required by the Provisions of the ASME Code Section XI . 1. Owner __ _.c .... o._..._.N~Su.I.... IM..,E..... R.._S.....___,_p..,o...,w..... E ..... R~ ..... c.... ou...M..... P...J;A:..N.... v..._ ___ _ Date_--=o:..:.1.+f-=(y...:::3o.,J./....L'7_7.___ ____ _ Name 27780 Blue Star Mem. Hwy., Covert MI ' I Sheet_--1.-- of __ '------------ Address

2. Plant Palisades Nuclear Plant Name Unit __,1,-----------------

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

3. Work Performed by Consumers Power Campany Name Type Code Symbol Stamp_ptJ.l.----------

Authorization No. ___ __.~--------- Expiration Date ____ ---"'N,,.A..._ _______ _ 27760 JHueStar l:l~ Covert MI A dre!ls

4. Identification of Systein,.,:_,_ *. *.::\\"\\'\\~j'~~c,.e.eJ SA6'z.J u..A,e d5

5. (a) Applicable Construction Code B 31. I 19.55_ Edition,. WA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_.,8..,q.___

Addenda,_.L.~~'.A~ ___ Code Case

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

.~ Code ~... -. National

Repaired, Stamped

Name of Name of Manufacturer Board Other Year-

Replaced, (Yes Component ldentific.ation

or Replacement or No)

Manufacturer Serial.No.

No~*
auilC

/\\ S-tcM V e-/Aµ VA /vf-N(A ~c~ l~~<Gd..Jo N(A G ~/'79~ l'TC/ &, /"\\ I

7. Description of Work 4 /,q C::::cj* \\/'i I" c S-tcM 0,W* \\/A Iv~

/V) v' -.f..S-~o)3 7

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressur~ ~ Other 0 Pressure _____ psi Test Temp. _____ °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) informa* tion in items 1 *through 6 on this repon is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

\\ FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached . ( ...... :\\-<, *;CERTIFICATE OF COMPLIANCE Vile certify that the statements mad'e in the report are correct and thi*s~--~-~~-- ASME Code, Section XI.

repair or replacement Certificate of Authorization No. --~~-----------Expiration Date---""'"'----------

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, h_olding a valid commission issued by _the National Board of Boiler and Pressure Vessel Inspectors.and the State or Province of 11i chi gan \\nd~'employed by Protectj on Mutual ' of Non.food'> M~. 1

- 1

~~, * "\\'.' ** h.ave': 1 in~pect~d: t~e compone~ts' de~c~ibed in this Owner's Report during the period IZ-IZ-96 to 12-.Z't*'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 r~quirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes a.nv 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. ~d /)?,4 FACTORY MUTUAL ENGINEERING ASSO.

* -~-r-"=~°"'=*~~---~--Commissions-M~*,.,~**~~~~,2~--~-------------

.(

.lnsp~..

~at~onal Board,,~tate, P:rovi.nce, and Endorsements Date l-o23 1991 (12/82)

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

1. Owner _ __;C:;.;o::.n=s'-"um=e=r_,.s'--'P'""'o,,,.w!!."'e:..!r,___C"""o"'m~p<->a~n~y-----

Name Date __ -=C>'-'1_,./__,,a"'-'C)"'--'-/--'-'7-'7'--, ______ Address Sh I., eet _ __._ __ of __.:__ _________ _ 27780 Blue Star Mero Hwy, Covert, MI

2. Plant _ _._P.... a._l._1.._*..,5.,a... d...

e~s.._...,N..._1...,1 c_l.....,.e""aur_p ....... 1.... a... n.... t.__ _____ _ Unit-,--"------------------ Name 27780 Blue Star Mero, Hwy, Covert, MT Address Repair Organization P.O. No., Job No., etc. NPS Epergx Services Inc Type Code Symbol Stamp__,,.Jil ________ _ Authorization No. ----"'l.l:l...---------'- Expiration Date ____ ........ =----------

5. (a) Applicable Construction Code A'-'15 b J

l 19 ~ 0 Edition,_~t=l<....:...,,,_/!f:....1... ___ Addenda, __ _.j=-1-/.._fl.__ __ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89

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

/ -

- Code National

Repaired, Stamped Name of.

Name of Manufacturer Board Other Year

Replaced, (Yes

component -

Manufacturer Serial No., . Np. lcf_e.ntifi_c~tior:i Built or Replacement or Nol 7 C" y, ri- ~ppa,e. + .tJ IA k~ct-c1 Jo HGR I HC' fl rt.I CPco Al Ill _,.I/ A I~ 9l:, ~ \\

7. Description of Work dnJAc~J S~/JDal!.+

HG~ I HC4 - ti 9 8. I ';:) 1-12 S<' - 9 5 - a59 I I I I 7

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Other 0 Pressure _____ psi Test Temp. ______ ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

Applicable Manufacturer's Data Reports to be attached \\ \\ \\ t

\\

\\ ,) * *~: * "

'\\ *-14 CERTIFICATE OF COMPLHANCE

-/- We certify that the statements made in the report a~e correct and this tlllctm/-A.J/ conforms to the rules of the ASME Code, Sect!on XI. repair or replacement \\ ~ ' I: \\ Certificate of Authorization No.-~il..------------Expiration Date __ ..u..a... ___________ Signe ~T Date ___ \\~-~d-~d-.--. 19 Cl7 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 . o~ Province of **Michigan and employed by Pro tee ti op M11tna l qt*

Norwood,. MA have inspected.the con;iponents described in this Ow~e*r!~ R.e.por\\ du;i~g the period'

l.f*-3t-9r;, ~~ 1 !OZ -o?;t-?<0' i.* 1 *~~d "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. ~~~ /J fi Factory Mutual Engineerin

~-<-=--'.....,""-"="-"------Commissions-'M---'

..... t_.'._ztt_~=--o?."'-=------------- 1 nspector's Signature Nation~! Board, State, Province, and Endorsements '1.. Date* /-ol:d 19 97 (12/82) }*_ c...

c!Ja FORM NIS-2.0WNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
1. Owner CONSUMERS POWER COMPANY Name 27780 Blue Star Mem. Hwy., Covert MI Address

2. Plant Palisades Nuclear Plant Name Address

3. Work Performed by --'C-..uo...

n..::s;..11.u1m... ei=...1.r..:;s~P~oU.1AOWct:e:.Jr--'Ci....unCllrnJ.J,p'-'aicnl.LlLy-Na me 2778.0 lHYeStar ~ Covert MT A dre's Date __ 0=-i..I +-"J 0>"-"0>"'-'{'-'9'--7.!.....-____ Sheet_~-- cit __.;.) _________ _ Unit--,!,------------------ w n 11 0>~5/358'] Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp_~..,_ _______ _ Authorization No. ___ __.,uo,.. ________ _ Expiration Date ____.....,N""A.__ _______ _

4. Identification of System (' OA+/-A1°,:)".J,f-.,.:::i J I.So JA-+r c~

5. (a) Applicable Constructio~ Co~e s~-T.*o~ m 19-65._ Edition, __

_,rVc.=-.,_O"'-A_* __ Addenda, __..;.N_J_O..:.'A ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19~8 .... 9_,___

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

\\ National Name of Name of Manufacturer Board Other componen-t Mariufilc'tu ref Serial No. No. -- identification

3*"x I ". f/it<kAJti.

C' °'-< ;;,/ / ~a °770.jll P,f..

-J /lj I

.,,_)

7. Description of Work &1~ cJ. 6c A~t

8. Tests Conducted:

Hydrostatic 0 Pneumatic ~ Other 0 Pressure SS ?l::!* AIA G Df ~<Jg39 Nominal Operating Press~re**o psi Test Temp. Al"Abie...,Y-*F ASME

'L,

Code Repair:ed~ Stamped Year

Replaced, (Yes Built - or Replacement or No) 11 "tt~. /(p;ll<~~,Jo I (YJ\\/ -v f). p~

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion 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. (12/821 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTiFICATE*OF.~OMPLIANCE I We certify that the statements made in the report are correct and this tl'/r!<f-me,.;,{ conforms to the rules of the ASME Code, Section XI. .. *- '.ef:?'!ir or replacement Certificate of Authorization No. ---'-"'"'------------Expiration Date--~~---------- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission i~_sued by the National Board of Boiler and Pressure Vessel Inspectors and the State

orProvinceof.Mjcbjgan 1~nd~mployedby Protectjon Mutual ;-:;".,**

..'1.:;:,,,,-... \\ ; ..,**~f

No'~ob'.d', * ~{~* \\

Y '. \\ 1 *

~'

\\ have inspected* -th~* components *described in this Owner's Report during the period-------~S~--/_t../~--~~~~to. /;2-ciZ 7-ft;, , and sta.te 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 Ii.able in any manner for any personal injury or prope.rty damage or a loss of any kind arising from or connected with this ~-y /J /J FACTORY MUTUAL ENGINEERING ASSO. -~""""~'-""'"""'""""=---'-"--'"--.,---Commissions-"'M-'-'1,_*_ ........._?{;~_o2.~--~'------------- I r;ispector's Signature \\

National Board, State; Province, and Endorsements 11 1 *

,./ '\\. inspection. Date (12/82)

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

1. Owner __

_.C....,O"'"IL,J,,*l'..,,S.uII,u,,1,ME.,,,B,..S,,__._p_,,,ou:Wu.E""B,,__C.....,OcuMu.P..cA:uNi.Y...._ ___ _ Name 27780 Blue Star Mem. Hwy., Covert MI Address

2. Plant Palisades Nnclear Plant Name 27780 Bl11e Star Mero Hwy, Covert, MI Address

3. Work Performed by Consumers Power Company

. Name Date _~6..o...,(,_,,} cY'--"~'-'/__.9_'7.__ ___ r Sheet _ _..,. __

~; **~* *,.,

Unit __,._ ______________ ~ WQ OJl..(5/387°1 Repair Organization P.0. No., Job No., etc. Type Code Symbol Stamp __._. _______ _ Authorization No. ___ Expiration Date ____ ~N~A~-------- A dre~s . ' I

4. ldentificationofSystem ~.'~.~f.ekl Se6t.JuARdS Addenda, __

N......,,,_/...::,A_,_ __ Code Case

5. (a) Applicable Construction Code \\531. l 19 55 Edition, t-J/A I

(b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_8...._.q __

6. Identification of Components Repaired or Replaced and Replacement Components Name of c.

Component

8. Tests Conducted:

-Name of Manufacturer \\ '\\, Manufacturer Serial No. National Board_= No. O~her ld~ntificati~~

Hydrostatic 0 Pneumatic 0 Nom.inal Operating Pressure ~

Other 0 Pressure _____ psi Test Temp. ° F -\\ ASME Code

Repaired, Stamped Year

Replaced, (Yes Built * "or Replacement or No)

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached \\.. . CERJ".IFICATE.OF COMPLIANCE'

- ---t-We certify that the statements made in the repd;t a~e c;rrect and this t~/i/.:t-~{ c'onforms to the rules of the ASME Code, Section x I.

\\,. repair or replacement Certificate of Authorization No. ---'-'"""------------Expiration Date __.....,...._ __ ~--------- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission*issued by the National Board of Boiler and Pressure \\/ess~I lnspectors:and the'State Pro tee ti on Mub1al or Province of Michigan \\

Notwoo*d,.,*MA"'

and*employed by ..'\\ 'i -~* 11-1-95. to have* *inspecte~f) the c~inp9nents *descr'itl!ld Ir) -,.; r -'f(.p and st~te that in this Owner's Report during the period to the !;>est of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report if'! 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 ASSO.

~_,_~---.~~~..__ ____ Comm'issions __.fl~*

_/)~/_. -~~~;l~----'--.,------------ . *l:sp.ecto.~*s ~l~_nf~ure

~.a~'ionel Board._ State._Pr_ovince, end Endorsements Date (12/82)

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

1. Owner CON STIMER S POWER COMPANY Date __

--=D-'-1_,_{-=0l-=- 1 ~_./_,9~7,__ ____ _ Name

27780 Blue Star Mem. Hwy., Covert MI Address

2. Plant Pal; sades Nncl ear Plant Name Address

3. Work Performed by Cons11mers Power Company Name 27780 :g1yeStar a~~

Covert MT A dr~ 1 Sheet _ _.. __ - of -f w a iJ dl.f5/19'75 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp_~--------- Authorization No. ___ Expiration Date ____ ~N=A~--------

4. Identification of System Lo.udtN sAft

5. (al Applicable Constructio~-~~dJ:s*:3(..l 19.25._Edition,_~N-~~~---Addenda,_

...... Ne-;,_vJ""""/4-'-__ Code Case (b). Applicable Edition of Section XI Utilized for Repairs or Replacements 19_._.8_,9~-

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

~ ~ ~ National

Repaired, Stamped Name of Na.me of

Manufacturer Board -

Other... Year

Replaced, (Yes
.component Manufacturer Serial No.

No. Identification Built or Replacement or*No) CV.-c13~ i3o-t-t-cn ~AJC)to.R. ~)A tu IA ?t::.'R= ll>/l'Jc~'J ;Jo C /osuR~ ,f1R.l1~q bCJ95'-{5-::. 119~ ol. ~-~~.

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pres~~re'j81 Other 0 Pressure _____ psi Test Temp. * °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8'1.i in. x 11 in., (2) informs* tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

S. Remarks~~~~~-*-*_._*D_...o_* -~~~~~~--F-O_R_M_N_l_S--2-(B_a_c_k_) __________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COM.PLIANC~ £},I.:* -f-We certify that the statements made in the report are correct and this~/l/(~(1'7(?.J/ conforms to the rules of the ASME Code, Se.ction x I. ~epair or replacement Certificate of Authorization No. __......_."'------------Expiration Date __ _.N.... A....._ _______ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by the National Board of Boiler and Pressure Vess~I lnsi)ect;,rs and* the S*tate or Province of Michigan

r.

tiio'n.iood\\

.MAI ~

1ndemployed by_~P

.... r~o~t~e... c ........ r.... i...,o,....,n~M~n~t~u-a~J-* c....* -**~*,_._._*,__.\\....,-*_,_ _,_, ~"~* ~*~~*_of ~.., I \\""'

1
have :inspected. :_the compo'nents ;de'scritied in th is Owner's Repo.rt during the period
8-IS-9<o' to /Ol -rJ1::f - 9'~

, a~d state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures de.scribed 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 ASSO.

,f--'~-11~-..-=~.....,,,,.,_* ____ Commissions __:.fo7_""'1._*.__.lt£--'-..z_-----~----------

.,,Ins~ .,,,, National Board, State, Provjnce, and Endorsements ~ .J \\ I ..... ~;. _, \\ Date (12/82)

FORM NIS-2 OWNER'S REPORT FOR.REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Date __ -=d=-41 /-=w=_._{__,_9_J1._* ______ _

1. Owner CONSUMERS POWER COMPANY Name 27780 Blue Star Mem. Hwy., Covert MI Address

2. Plant Palisades Nnclear Plant Name Address

3. Work Performed by Consumers Power Company Name 27730 Bh1eStar ll~

Covert MI A dre{s Sheet _ __._ __ of .: f " ' Unit --,J,.---------------- Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp __________ _ Authorization No. ___ ---i)ia.---------- Expiration Date ____ __._,N""'A,__ _______ _

4. ldentifknion~Synem_~~~~~~~/~~~*~*---~~-~~~~~~~--------------~---------

, '*,\\.,,.'"*\\

5. (a) Applicable Construction Code AwS t:> f. I 19.:l_Q_ Edition,

,U I A Addenda, _ __.H_.._/'-A..__ __ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19...u8.;;i9c.__

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

,.,,,.i ,1 ~*

National

Repaired, Stamped Name of Name of

Manufacturer*

-*Board ,...... Other Year.

Replaced, (Yes Component

~ or Replacement or No) Manufacturer Serial No. No. Identification Built \\....... /) I t--1 ~ :::;.... f,PoR.. + CPc.o ,J Jf1 .UJA A1 IA J;;;t'IC.tj Jo HGR leBl*rl/<e:, /99(o I

7. Description of Work 4 J Ac ~-d.

Su.POoR+/- HG£ I,fg/ - ti/ta I ' I

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressu;~. 0 Other 0 Pressure _____ psi Test Temp. ° F NOTE: Supplemental.sheets in form of lists, sketches, or drawings may be used, provided *(1) size is 8% in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

J FORM NIS-2 (Back)

9. Remarks _

1 ()~)..l"-*. -"~'-* ------------------------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE.OF COMPLIA.NC~ 1 ** ' \\, *~ We certify that the statements made. in the report are correct ai;id this t,P/t:1<£::/f'11"-;<.l'i conforms to the rules of the ASME Coi:te}.Section XI. r.epa~.9r replacement Certificate of Authorization No. __ ...u..c._ ___________ Expiration Date __............_ ____ ~-~--- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and th,e*State orProvinceof *Michigan andemployedby Protection Mutual of Nort..Tootl\\ MA/,* 1 '. * *_;.,

have inspected the compon~ntS'. des.cribed in th is Owner's Report during the period

/;?- ~- <f(p to lt;J-,;2 f- -9G , and st~te that to the best of my knowledge and belief. the Owner has performed examinations and taken corrective measures described ~n 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 e~aminations 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 ASSO.

~'---'=--'-"--=--L-"=------Commissions_,,M

__,"-*_._jl~c;;"-"'e?.,-=---"------------ 1nspector',!.~il!naw~,e.:-..

\\

1 National Board, ~~a~e, Pro~ince, and Endorsements Date 1-cJs 19 9r (12/82)

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

1. Owner __ _,c'""o

..... 1

J.._.S"'-II..._....ME... R.... Su..____._p_..o._.w.... E....,R..__...... c......

ou...Nu.P..<A,,,.N.i..v....._ ___ _ Name 27780 Blue Star Mem. Hwy., Covert MI Address

2. Plant Palisades N11clear Plant Name 27780 Blue Star Mero Hwy., Covert, MI Address

3. Work Performed by Cotis11mers Power Company Name 27780 BlueStar li"{f Covert MT A dre1sD

4. Identification of System

A!fj_ lr.J11sft:

I ,** *. i \\. J '1'1\\' \\ ~.. ~\\ Date _...::~~I+-/ cY=-.:::d::.....L..(..!....'J_7:.;,. Sheet_---1,, __ of ~

f*.

Unit -~b----------------- wa u CJ'-1~!38oa Repair Organization P.O. No*., Job No., etc. Type Code Symbol StamP--11,\\!A-~----- Authorization No. ----1.l!A---------- Expiration Date ____ _,N"-'A=---------

5. (a) Applicable Construction Code t:)3\\; \\

19 SS Edition, ______ Addenda, _______ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_,8..._90/.---

6. Identification of Components Repaired or Replaced and Replacement Components Name of Component

IC.ls. 5

8. Tests Conducted:

Name of

Manufacturer

>11iso,J,* 11.u

~*~,.u~-lr~( National Ma*nufacturer

* ** Board * ~

Serial No.

No.
.Other.

Identification Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure [81 Other 0 Pressure _____ psi Test Temp. -°F Y!!ar Built 1971 1'178

Repaired, Replaced, ASME Code Stamped

. (Yes cir Replacement or No) 0 0 NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa* tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

. "\\. . I FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLl~NCE0'/, -f-We certify that the statements made in the report are correct and this /:.!A /IC/:¥'?.!";<<;)/ conforms to the rules of the

ASME Code, Secti~n XI.

. r~pair or.replacement Certificate of Authorization No. ---'-"C....--------'----Expiration Date __ ...1.1a..------~--- Signed . Se"";o, \\ec.

~ ~ate ____.:...-.L./_d_* _;;). __, 195J_ __

s Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by the National Board of Boiler and Pressure Vess~r Inspectors and the S.tate or Province of Ui cbj gao

and employ~d by Protectj on Mutua-i
of Nor-Wbod*;

1*MA:

liav~>inspectea *the compon~nts describe'd in th is Owner's Report during the period ;. \\ *

/1 *IZ - Y'~ to 12 :- Z... "{.- 9'.. * '"\\ < , and state.that fo the'-be.st.. ~t' my knowl~*cige and be.lie( the O~~er has! performed exaniihations and taken,correc'tiv~*measu~ks described.j~.this Owner's Report in accordance with the requirements of the ASME Code, Section XI. )\\ BY si9nih:~ t'his>-certi.flc~te\\ neithe; ;h~ ;ihs~eC~Or nor. tiis;employer i'nake*s "any war'f-arit~ ;**expres_s.ed* or.. implied, concernirig 4 the

examinations and corrective measures described in this Ow~er's Report. Furthermore; n~ither* the. Inspector nor his employer

. shall be liabl~' in ahy ~ariner. for*--~ny'.person~I* i~j(iry or property damage or*a loss of ~ny kind arising from or connected with t.his . - ~~A FACTORY MUTUAL ENGINEERING 0

ASSO.

~

..... -=~~--~--'---~Commissions~/Vl__,CJ.1...:'.-<.Tl...;(;,~,2.=---'-'--------------- -l nspector's Signature

. Natiori111 Board, State,.P~ovipce, and Endorsements

~ * \\ ! ~ *"\\ \\ I inspection. Date (12/82)

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

1. Owner ----'C=-o=-n=s--=um=e=-r=-=s'--'P:....;o,,,_w=-=e""r,_C=o...,m._p.,,a~n..._.y _____ _

Name 27780 Blue Star Mero Hwy, Covert, MT Address

2. Plant _-1:P.... a._J._1.i..' :;;S.e1a..1..due:..:S:;_.uNu.11uc.;..lu=e""awr_P"'-"-l-"aun.LJtL.-------

Name 27780 Bl11e Star Mero, Hwy, Covert, MT Address oate __ ---'=0"-11-+}_,,,.a?a~,_(9..L*.....1..7 ____ Sheet_......._ __ *of __

_/ __________ _

Unit""'."'"""_..._ _______________ _ w.o. d<l..fS/.350>1 Repair Organization P.O. No., Job No.. etc.

3. Work Performed by NPS E?irgY. Services Ipc Name f::>A ;/Ade/;>),,*A 1'1.

19613 - 3(c ?d) Type Code Symbol Stamp__....,, ________ _ Authorization No. ---....JlL.li.. ________ Expiration Date ____ -"'-"'---------- I i Address

4. ldentH~ation ofSystem __

~~-~~~~~~~*~~~~'~~~k~*-~~~~A~~-~-~~~----------------------

5. (al Applicable Construction Code ~ 3 f

I 19 S 5 Edition, N )A Addenda, __..1.N=.,/..,,A'-'--__ Code Casa (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89

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

.. ':) Code National

Repaired, Stamped

____ Name of N11m!lof Manufacturer Board Other Year

Replaced, (Yes Serial No.*

or Replacement or Nol Component Manufacturer No;-*-.* --

Identification Built k'*G.IJ

~..:is Cof +£:-c.. ro# ~hccJ Jo ChA..i.... s-( eo\\l~ /... "1<.c.st-,e,'cs ~/A ~IA GCJo7/'7 ~ I Cf9lo

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure ~ Other 0 Pressure _____ psi Test Temp. ______ °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is BY.. in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

Applicable Manufacturer's Data Reports to be attached , \\ "~ \\ ,) l CERTIFICATE OF CpM~LIANCE I

-f-We certify that the statements made in the report *a~e corre~t and this f'j>/t:/Ct,n.f,..l/ conforms to the rules of the ASME Code.,S.ection x I.

repair or replacement Certificate of Authorizat_ion _No. _ _.....""'------------- Expiration Date __......,......._ ___________ _ Signed I - ., /.*d Q-J I'\\,\\ SI Date _____ --'-_,_ __ o-___, 19 - I I CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure.Vessel Inspectors and the State .orProvinceof Michigan andemplo.:r-edby Protectian*Mutual of.;

* 'Norwood*

MA have inspected the components' described. in th\\s Owne;'/R~po~t d~ring the pe.ri~d*'

(p'*¢'cf-9(p

;o*

),Z-,;Z-f"-9~/*

- ~~*d*-~t~t~*;hat***

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 Mt: zttP...<

Factory Mutual Engineerin \\. National Boa;d. State, Province, and Endorsements Inspector's Signature ~ r.-' Date /-c7<iZ 19 r-r (12/82)

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

1. Owner _ __;C~o::::.n=s:..:um=e=r_,,s'-'P'-'o,,,_w~e..,r,_C"""'oe!!m!J;p'"-'a~n~y _____ _

Name oate __ ....;:o=-..:....,1 /1-w==-_,_/_,9'--7-'-:-* _____ _ 27780 Blue Star Mero Hwy, Covert, MT Address Sheet _ _._ __ of __ _:._ _________ _

2. Plant _~P

.... a._l._J.._* ~s.... a...... d... e-s"'-..,N...,1,.1 c_....J.. e'"'*a...,r_p...._.j..,a... n.... t.__ _____ _ Name Unit..,...__..._ _______________ _ 27780 Blue Star Mero, Hwy, Covert, MT w.o. c)"-J 513 ScJo Address Repair Organization P.O. No., Job No., etc.

3. *Work Performed by NPS Energy Servj ces

Inc Typ*e Code Symbol Stamp___..i.o ________ _

')/ ' / / * ~ Name Authorization No. ----"LC...--------- \\"/\\ I A~~ (? h I A 1 rd / 9 0 I 3 - B (o 70< Expiration Date ___ ...;....UJ:i_ ______ /Address \\

4. ldentif~ation of System __

_~~~~~~--~.~~~~~. :..:U~I~~~-~~~~~~~~~--------------------

5. ;al Applicable Construction Code ~ 3 f

I 19 5 5 Edition,_....:....t-J__,_J..:..A_._* __ Addenda, __

__:_N__.j_d_.__Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9

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

..., I.

- Code National

Repaired, Stamped Name of Name of Manufacturer Board Oth~L Year

Replaced, (Yes Component Manufacturer Serial No.--*

No.... . lden_tification or Replacement or Nol Built /) I K-Q! s~.s Co.1-h:c ?o.:;::t:- ><;;;t'i<:~j ;Jo (' h /l.UJ.l'f: ( ;('O>J~,e /...iJusf.iE,~s ,JI 11 JJ /,q G~o119~ /99Cc,

7. Description of Work,4Ji<Jcf-j /..(' -&, 8

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure [81 Other 0 Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is SY.a in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on eac_h sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

.1 I / y/ rl J. FORM NIS-2 (Back)

9. Remarks---'---*-~-'-~-* ~-=-------------------------

Applicable Manufacturer's Data Reports to be attached . '-. \\ l I

CERTIFICATE* OF COMPLIANCE )::)/

-/- We certify that the statements made in the re~~rt are correct a~d this)(~i>lfl<t(11b-Jf conforms to the rules of the ASME Code, Section x I. res;iair or replacement lt u "\\ 1* I Type Code Symbol Stamp _ __.~----------------------~-------------- Certificate of Authorization.No. -~.0....------------Expiration Date--........ ~------------ I / d-d-19 °t/ 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 oi'Provinceof Michigau andemplpyedby Protection M11t11al _9f ' Norwood MA, have inspected the components described in th.is O~~e;./ Reper; durin~ the perlod '<.:. -jq. 9~ to io2-;? 7-9~* * , and state t'h~t ** 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. ~JL /J /} Factory Mutual Engineerin

.~f-"'==--'<'-..,,..""-"=~~------Commissions /vJ, ". ~.,2.

~ National Board, State, Province, and Endorsements Date (12/82)

J. r,J FORM NIS-2.OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS. As Required by the Provisions of the ASME Code Section XI 1. Owner _--.::C:..:o:..;n~s=-=u:::mc:..:e::.cr=-=s--=P_,o"-w:!..:=e_,,r__,C"'o"'-m=p'-"a""n"'y,__ ____ _ Name 27780 BJne Star Mero Hwy Cmrert, MI Address

2. Plant ---"-P...,a.... 1._,._.* s:.aa.1.d1.1;e;:..;s-...

N.._u..... c_1... e'?.""a... i-__,p._1.....,a... nL.J.t------- Name Address

3. Work Performed by NPS Fnergy Servi res Inc

~ Name rn//4-ff:>6 ;A ?A 19e;13 - 3to 7r:l Date ___ 6_1~/_r:Y __.d__,_/-'9_7 _______ _ Sheet _ _,_ __ -'_; :of . f)\\ Unit _ __...__ _______________ _ w.o. oJ'i S/~c 7( Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp___i..lil ________ _ Authorization No. ___ ....J..ll.t:>... ________ Expiration Date ____ _.u.a._ ________ Addenda,_---!,;/tJ=:..L/:...fl.L-__ Code Case

6. Identification of Components. Repaired or Replaced and Replacement Components Name~of Component r*r'f-

> ( ~ ~ A "f'"" HG~ /c<:3 *HJ.Cf

8. Tests Conducted:

N.af!l.e of Manufacturer Manufacturer Serial No.**** . ~... '* ' ,....... ~ *.. '.. National Board - No;* * -. I',* t Other Identification ~*\\~"'l)-;:_,*~). ' Repaired, Year Built

Replaced, or Replacement

..~. f!Gl:./cc3'"- ;;;;*. 9~\\ f2_ee. Hydrostatic 0 Pneumatic 0 Nominal Operating Pr~ssu're 0 _._ -*. Other 0 Pressure _____ psi Test Temp. ° F ASME Code Stamped (Yes o~No) NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY. in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030l. may be obtained from the Order Dept., ASME, 345 E. 47th St.. New York, N.Y. 10017

\\ \\ FORM NIS-2 (Back) \\-J:* .. *,:.:. \\-'

9. Remarks _____ ~*-'_*_o_~_t..-'---~---------------,.-------------~--

Applicable Manufacturer's Data Reports to be attached \\\\ \\ \\. - :: -.. \\ (, CERTIFICATE OF COMPLIA~C~ '.._;,. 1~.,>-f-We certify that the statements made in the report are* correct and this f,)/'l/c~l'1<!-,,..) !'conforms to the rules of the ASME C d.e **s* e\\c't"*on XI L. \\ r~palr _o.r replacement 0 , \\ I J \\ l

,\\

., _1 _\\ l * \\ 1.,. 1 ~

I \\

Type Code Symbol Stamp _ __.......--------------~--------,--------~------- Certificate of Authorization No. -~~-----~------Expiration Date --~N~A~------------- \\ b-d-. 19 CJ':J I CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, hplding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the.State . 'or Province 01'.** *: l1ichigan,

and employed by Pro tee ti on Mu tua 1
.,. :, *J..
J

__ : *. of ',..\\ hlo*ri.!oo'd.),,\\,rA**'~**~'(\\ f;\\\\ i~\\ !\\\\i1.

h\\ !A have 1*nsp'e"'c.te'd 0

d' the <;o.n;iP,qntn.!s~,~e~f_rj_b,e, in this Owner's Report during the period* 1-,,,:Zf-f(,. to /o?-oZl-9°2. , 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 tlie.Inspector nor his employer makes' any warra~tv. 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 Engineerin_

~~____::=~~+c-~-=-=~-=--Commissions /VJ.!-.L.c.:..-_'l1--".=;..;,;L.:;_ _____________ _

lnsl?!ctor's ~ig,n_atu~e._ '_'.. - *, '..,-, *:\\.... ..1.....,

Nat'ional Board, State, Prov.~nce, and Endorsements

..,1..,/' ~\\ \\ ~ I. _,,,.I * \\"'~,. I \\ .,..\\ ... ~\\,'!.I, * ~.~*

..-*~\\ 1 \\\\.. ~,.\\,. \\,

Date ______ ~/~-o2~o2.~19 97 \\ (12/82)

FORM NIS-20WNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner __

_.C~O~I~*i~S~IIM~E~B~S~~P~O~WE~R~~C~D~H~PA~N~Y..,__ ___ _ Name 27780 Blue Star Mem. Hwy., Covert MI Address

2. Plant Pal; sades N11cl ear Pl ant Name 27780 Bl ne Star Mero Hwy., Covert* MI Address

3. Work Performed by Cousnmers Power Company Name 277BO BlueStar H.W(X Covert MT Date ___

6_1c..,,1-/.:::~....:f):::.* _.__/__,9_7-'---------- Sheet_--'-__

-_- of_/_\\__._ _________ _

Unit __ ~--------------- Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp_~---------- Authorization No.------!.~--------- Expiration Date ____ _._,N"'-A.__ _______ _ A dreis _s'

4. ldentifkationof Synem_--~~-~~~'~~~----~--~~~-------------------------

, ~.

}\\

5. (a)

(b) Applicable Construction Code 133 /. I 19 SS Edition, N/A / Applicable Edition of Section XI Utilized for Repairs or Replacements 19_,8.._9.,.___

6. Identification of Components Repaired or Replaced and Replacement Components Name of Component

8. Tests Conduct~d:

Name of M-ani.aacturer Manufacturer Serial No. National Board No.'. Other Identification Hydrostatic D Pneumatic D Nominal Operating Pressure ~ Other D Pressure _____ psi Test Temp. ° F Addenda, _______ Code Case Year _.. Built /9'7t,,,

Repaired, Replaced, ASME Code Stamped (Yes or Replacement

or No)

NOTE: Supplemental sheets in form of lists, sketches, or drawings mav. be used, provided (1) size is 8% in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPL:IANCE 'Ii'.).... \\ --t-We certify that the statements made in the report are correct and this Nt/llC§l'?l°...i/ conforms to the rules of the ASME Code, Section X 1.. repair or replacement Certificate of Authorization No.--~~-----------Expiration Date __ _......_ _________ ~. CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by the National Board of Boiler and Pressure Ve~sel Inspectors and the State

orProvinceof Mjcbjgan a"ndemployedby Protectjon Mutual

\\, of .. :,\\ '"bto'~:i'oo"d*, MA* ". i *. \\..\\ (.,.,, '* have insp~cted *.the components; de~c)f~ed in this Owner's Report during the period ______ _,,~:::;._-...:/_-_9,_~"----to /,,,/-..2 i1-f~ , and ~ta;e 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 employe'r 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. ~/J /) FACTORY MUTUAL ENGINEERING ASSO.

~~--~~~~-*'-*-___ Commissions /111 '. (~.;z.

Inspector's Signature '. Nati'onal Board, State, Province, and Endorsements

'). \\

.* \\ ~

\\

\\ 1 Date 1-d'I 19 91-(12/82)

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

1. Owner __ _,c

...... o N..... SL.LII.......... ME_..R.... S.....____,_p_,.o.. w ..... E ..... R~ ... c... o"-M""--"PA:>.1N,,,_y..__ ___ _ Name oate __ =O_._/ +}"""O?--"'a'--'-/-~'-*7~---- 27780 Blue Star Mem. Hwy., Covert MI Address Sheet _ ___.... __ of

2. Plant Palisades N11clear Plant Name Unit --..,b-----------------

w a fl 27780 Bl11e Star Mero Hwy, Covert, MI Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Consumers Power Company Name Type Code Symbol Stamp--~-------

Authorization No. ___ _..,IA--------- 27760 lHY.eS:ltar l:lwv Covert MT Expiration Date ____ _.N.,_,A""--------- Ac:l'dre\\s C""""

4. Identification of System *

. 4.J:~_AJ.~F..ecJ __),.qi.:JuA..edS

5. (a) Applica~le Construction Code_3~a_/_. ~( ___ 19 5 S Edition, __

_,,A.li:..:::...L.!/fl'-'-_Addenda, __ -!,::.J:::....L./_fl..__code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19__,8..._9,;;1..-_

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

\\ Code . i..,. -**~ . -~... 4(*' '*'..... ~

- - 1 National Repaired; Stamped

-... ---**Name of---- .. Name.of,. Manufactu!er !:Icard Other Year

Replaced, (Yes Component Manufacturer Serial No.

No. Identification Buii't or*Replacement 'or-No). r:J .;3t:Joo.:tt S/5 H.1'9//lR::J 1-<.l * ~04:1. /C/ 370 ,41AcJ Jc s~ CPJ..G filfv /o.R C'o.. * .NIA ~IA /97'-I la:>** sqH 'to S/s ,26-#- /l,a/lkeJ ~a

1ri.

j),p"" ~q~ PJA .NIA GD11./50>1{ /99<.J ~ "..Jooo=lf S/5 CA';°;:A3c. ro~ !'784/ /ll'l!kc-J "10 E/Boc....J "N 8- ¢.;t;&,4l ,u 14 ,<l (fl /ooS -.;318':; lo? ** s~H '-to s/s hoq11 Af>f, '?'o -:ii fl.p/r;cf.J ~c P1f>F-

J IA

µIA G OcJ/ 0 <./Se:. I C/9 &. <:).. dAI ( /Afvt: >o-# ~.E!TSC'.~ ~IA ~IA Gc&c38S5 /99lc 'k;p/iqc~J tJo

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressu~e ~ Other 0 Pressure _____ psi Test Temp. _____ ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

',.l'_. ' \\.* *

FORM NIS-2 (Back)

9. Remarks _ __.~'----=O~iAI~*~?:.~.--------------------------------------

Applicable Manufacturer's Data Reports to be attached . I CERTIFICATE OF COMPLIANCE ~ .. *. -t-.. We certify that the statements made in the.report are correct and. this &! fl<:J.l'I'!~/ conforms to the rules of the ASME C 'd': S t' XI repair or replacement o e. ec ion . Certificate of Authorization No. --~~-----------Expiration 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 Mjcbjgan and employed by Protectjon Mutual

.of

' 1'*

Nor\\.;rooa, "MA:* '

- \\* '.. *~*._.* *
r\\" * *,

I*,'"' have 'inspected the compone*~ts described in this Owner's Report during the period ** 8-1 S - % to /02 -01 t -<j(p.

* '.. : *and* state"that l

~ "t'o the bes't' of* my\\knowledge and* belief; the* Owner has: performed examinations and taker\\ corre7tive measures described 'in this Owner's Report in accordance with the req~irements of the ASME Code, Section XI. B*/iiign.irig thi~* ceitificat~ neithe'r *the i'n*~P~2tor nor his~ ~mployer mak~s ;/ny warr~nty~ *e~:~ressed 'or implied, i:oni:erri.ing the ' examinations an*d corrective measures des~*~ibed in this Owner's Report. Furthermore, *neither the lnspe~tor nor his empfoyer . " ~hall be liable 'in any manri~rofor any p*ersonai"irijury or h'roperty damage*o'r ~loss of any,kind* arisifl!:i f~om or connecte.d'wvith this

inspection.

FACT ORY MUTUAL ENGINEERING AS SO. i_J\\ ,r-'*1',1... ~\\\\. i\\:'.:,1 1' -'..~,*.' ilt +::::,,,;~.\\.t_.,j~~-:::z.~:__ __ Commissio,ns ~/Vl"'-..:..L.'-'-" ~f4....;~::;_;o2.;....' ____ -'----------- National Board, State, Province, and Endorsements l ' ~ ; * * \\.l\\*1 Date (12/82)

I Nemt of ComPonent Stuc\\s A.L~-h N1me of Menufecturw ~v,.q /11/k:.h,.O~ .Ra~uc7S No>J19St'l~,.ot- ~ <..-<<' $ Netlon* Menufmtul'W BO*'CI Serilt No. No.

JM
<J/ It

.OJA .UJft J' ASMI Coat

Aeoltrtd, Sramoed Otflw Yw AIOI....

(Vtt I defttlflatloft Bullt Ot Aectlll:8fNf't or Nol Po.:#:- .dPmcc-d )o G c~// 0) "7c /99~ Po "' JlP~cc.J Jo G cc;ul~7o /99<.o 4

I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner __ _,c.... oLLJ..>N~Su..IlMu.;.uE..... R..._S....____,_p_,,,o._.w..... E_..R....._..... c..... o:.i..Mu..P..J;A:uN.... Y..._ ___ _ Name 27780 Blue Star Mem. Hwy., Covert MI Address

2. Plant Palisades Nuclear Plant Name 27780 Blue Star Mero Hwy, Covert, MI Address

3. Work Performed by Consumers Power Company Name Date -~~..:._/1--/=-<Y-=3_,_/__,9'--7-'-------

Sheet_--1,. __ 'of ___ {_*_,___ _______ -'--- Unit __,.,_ ______________ ~ w 0 fj C}t.(?o!'ifc70 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp_Pil!<---------- Authorization No.-----<.~--------- 27780 JHueSta:r Hwv Covert MI Expiration Date ____ _,N"'A"'---------- Ad'drels ' s

4. Identification of System **.*. f"e:r~c~.eede6~u.tl."2cdS

5. (a) Applicable Construction Code !::? 3 \\ '\\

19 55 Edition, N /A (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_,Su.9,;1..-_ Addenda, _______ Code Casa

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

Code

Repaired, National Stamped Name of Name of Manufacturer Board Other Year

Replaced, (Yes Component -

Manufacturer* = Serial No...

No.

Identification* * 'B-uilt *

or Replacement or No)*

S:,+l:tv1 \\j~)AtJ \\)14/"~ ~IA ?o-=t:f 41r1GfJ ~o ~lfi. G0>/~9S9 tn<c

7. Description of Work,,/;;/11c~ j JAtv~ S-h;/Vl o;..J il\\Jt (VI\\/- <fS 3d3"1 I

8. Tests Conducted:

Hydrostatic D Pneumatic D Nominal Operating Pressure 1:81 Other D Pressure _____ psi Test Temp, ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

... r

FORM NIS-2 (Back)

9. Remarks __ _,_~_,_J~aeJ'-""~--------------------

Applicable Manufacturer's Data Reports to be attached ' \\ .. \\ \\. CERTIFICATE OF COMPLIANCE.L)~ / - ' -f-We certify that the statements made in the report are correct and this l't?lfl~/J'f,f-,y{ conforms to the rules of the ASME Code, Section x I. repair o_r replacement Certificate of Authorization No, __.......,""------------- Expiration Date--~~------------ \\/d-3 19Cf7

~

,~--~-. ---- 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 orProvince\\)f. Mjcbjgan ~nde~ployedby Protectjoo Mutual of

No'rw~*od, MA 1 *.,

.,** <,f °,'~* "* ,\\.*., hait~'in~pecte:d~ 0 tf1e compone~ts"ciJsc~bed in this Owner's Report during the period lo?-;,;J-'f'(p to.1;?-e?l-<Jt;. .. 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. ~~,-:?,4 FACTORY MUTUAL ENGINEERING ASSO.

~-+-"'"""""--""'"""""-

.. ~=-"'-='-----Commissions -'/vJ'--'-1,_*-'-*..... b'--"G"'-"~'-"---------------- '.I ns~ector's. ~i~~a,ture -\\

!~a.~ional.B_o~rd 1,State,,P.r.~~lnce, and Endorsements Date

/-ol'-/ 19 fl-(12/82)

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner ---'c""'o ..... r.... 1.... su.IIMl..U..IE... R ..... su.-_...P... o.... w ...... E .... B~ .... c.... o..._Hu....<PA,,.N.._y...__ ___ _ Name 27780 Blue Star Mem. Hwy., Covert MI Address

2. Plant Palisades N11clear Plant Name 27780 Blue Star Mero Hwy, Covert, MI Address

3. Work Performed by Coo.snmers Power Company Name A drels 1

oate __ D=--1-1-f =a.:::Q)_./L.9.!.......,!-7 ______ ,, '.' \\ Sheet_-.1, __ of ____________ _ Unit __,!,---------------~ w a /1 c9 </(q l I 9 5 CZ Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp_~o--------- Authorization No.-----!,;~--------- Expiration Oate ____ _._,N"'-A.__ _______ _

4. Identification of System* S::>tµ f Kc f

\\ (, :;,t~,.. l \\ i I*\\

5. (a) Applicable Construction Code £:53(' )

19 55 Edition, N0 Addenda, _______ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_.,8_,q'---

6. Identification of Components Repaired or Replaced and Replacement Components

Nam~ o.f Component

8. Tests Conducted:

Name of Manufacturer Manufacturer Serial No. National Board No: Other

- raentification
Hydrostatic 0 Pneumatic 0 Nominal Operating Pres~u~e ~

Other 0 Pressure _____ psi Test Temp. ° F Year Built ASME Code

Repaired, Stamped

Replaced, (Yes or Replacement or No).

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY.. in. x 11 in., (2) informa* tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

S. Remarks __ ----'-~-=--*~c~~-*~*~~'-' _________ F_O_R_M_N_l_S~-2-(B_a_c_k_)_-________ -:---------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE:OF COMPLl~NCE LJ 1*- _/- We certify that the statements made in the report are correct and this 1'fi-l'/'9<~M&/onforms to the rules of tha ASME Code, Section.XI. ' _rep,air or replacement Certificate of Authorization No. __ ..u.a----~-------Expiration Date __ _.u..c._ _________ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid co~mission issued by the National Board of Boiler and Pressure Vessel lnspecfors\\~~d th~'State or Province of *Michigan aride"rriployedby Protection Mutual*

.. 'of i'

I r J\\ <ti!o'd;ood.\\ -*'M:A *\\

-. ( __ *.., * '.~,
\\'.: 1 have: in'spected,Ah'e i,co~po.n_erjt~! d_~sc~ibed

". in this Owner~s Report during the period***

~

"/-.,l '1-9{, to /ril *il?l-9tP ., and state th.at _:'to the best 'of m~\\kno~ledge ana'oelief,:.the *ov;,her has berformed exariiir:ia'tions and taken,correctiv~ ~e~~ures~aescri~~.i~ ~h-is ~ 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 o*r property damage or a loss of. any kind arising from or connected with t~is inspection. ~ FACTORY MUTUAL ENGINEERING ASSO.

*--.P-..l.&!!:-->"--9"'-":;...:;..c..::...,,,._*'-: _Commissions -Lfrl__,_._1...:"._]ti'-"~.....,o2..=----'------~-----

r~.. \\ "*,.,lnsp~. _: _}. ., ('la~ional Board, State,P~ov.!.nce, and Endorsements I Date (12/82)

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

1. Owner __

....;Cu..uOJ..JN~Su..l.u.IMcuE"'"R.......,.S_..... p__,,O....,W<>-Eu.Ra........... Cu..Ou...1'-J.JfP_.A::>JN"'-Y.J.----- Name Date ---'0=-"1....,/'"-~---=~_,_/....:.9_7..__ ______ _ 27780 Blue Star Mem. Hwy., Covert MI Address

2. Plant Palisades N11clear Plant Name Address

3. Work Performed by Consumers Power Company Name Sheet _ __._ __ of __

'_*."""( _________ _ Unit __ r---------------~ w a 11 cJJ../to/ "id.3 7 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp_~----------- Authorization No. ___ 27780 BlueStar ~re!ls Cov:=rt' MT /( Expic Date

4. Identification of System
, *:.~~~~ <:-co IA~t ~..sh ll'I NA

5. (a) Applicable Construction Code Sec:nCN\\ :p:r:_ 19 b5 Edition, w/f.JSA Addenda,_-1.N-...::::.,O<....L..A...__ __ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19~8

..... 9_,___

6. Identification of Components Repaired or Replaced and Replacement Components

\\ ASME Code /> National

Repaired, Stamped

-, Name of -. Name o.f. __ Manufactl1rer Board_ 0th.er Year

Replaced, (Yes

--.-4 --. or Replacement or No)

Component Manufacturer Serial No.

No. lde*n-tification Bu.ilt

CC~ FM~~ C. E.

~~£:'!. AJ IA ?e;:ff /:JRc1:J ~o. ~ iJk> -g PJ~ ~l!vtC 0 c5 ,..J}A 'f '6Df.D ~ 1915 -.J

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pres~ure ~ Other 0 Pressure _____ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

Applicable Manufacturer's Data Reports to be attached -. \\/.. . CERTI FICA::rE OF coMP.UANCE. ** *, ; We certify that the stateme~ts made in the report are correct ahd this t :>;; m.J--,.,*-;;cmforms to the rules of the ASME Code, Section XI.

rep!'ir or.replacement Certificate of Authorization No. __

...........,._ ___________ Expiration Date __....u.c.... ________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by the National Board of B.oiler and Pressure Vessel Inspectors and the State .orProvince.of* Michigan andemployedby Protection Mutua}..,-

,\\<'\\':\\*..

i:".'.--."i)f .. *\\

Nou:rood' -.,MA'-.\\

-,\\ *: ~*. "*-, *. (-,\\ !A ' * \\ **

have*. inspecte~.the c6.iip~n~~ts des~r.ideci in this Owner's R~port du~ing the period

/ 2. -z. - <j(o to 12 -z r f(o and state ~hat 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 imp! ied, 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 conn_ected with this i-n-sp-e-ct-io_n_. ------1'~~-_-...s"". =""'~=".'-----'--,,-* *---"~-commissions '""M'-F-'-~'-~'-. T+~_..R 0 Y~~~MU--T-U_A_L.,...., _E_N_G_I_N_E_E_R,-1-:_G_A_S_S_O_. - Inspector's 1g~et11re..., *.-,

, \\

,. \\.' ,_Nat\\?na ~oard,_~_ta,t_e:*tr_5'vi('ce, and n orsements , I ~ I Date 1-o?l 1s-9'f (12/82)

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

1. Owner CONSUMERS POWER COMPANY Name 27780 Blue Star Mem. Hwy., Covert MI Address

2. Plant Palisades N11clear Plant Name 27780 Blue Star Mero Hwy., Covert, MI Address

3. Work Performed by Cotlsmners Power Company Name 27780 Illw;~Star lh;~

Covert MI Date_..........,\\1,.._&_~-+--)_47~-- I :* Sheet _ __...,. __.of __ -'----------- Unit-,---~--------------- w n 11 d451I7CO Repair Organization P.O. No., Job No., ate. Type Code Symbol Stamp--~-------- Authorization No. ___ _....,.,..._ _______ _ Expiration Date ____ ~N._,_._,A,__ _______ _ A dre's 4.. Identification of System £~; V'\\ e,e.re.J SAf'eg~A~5

5. (a) Applicable Construction Code f::S3 I. /

19 55 Edition, N/A

Addenda, N-t.J. / b- \\ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19~8 9 __

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

,,,.._1, Code National

Repaired, Stamped Name of Name of.

Manufacturer Board Other Year

Replaced, (Yes Component Manufacturer..

. Serial No...,.. . N!>.. _ l_c:fantificat!_on Built or Replacement or No) ~,,. jcC1Jf > F3dt tv/-A N/A f o::ff ~e.~Aced No elbow Hub :CY\\G. -~~365 I~'\\~ .;;i** >< I" 30a::f4 ~; Jc..; ~; ~e.. N/A N~ f'o:tf' F::,e j..IAC.e.d No s.15 ~i.ctf'"" +- Ti,:tx.. (t'X)J--\\005 1qg1 ,;;) &:x::t.F s /5 N/A NA f>o !ff I Cot..o ~\\ :V't:l H.VJ.\\A11IG.- (p 1Gf3/0 I '17Lf ~~IAC4! d No .,) S'ih&J~~ L\\O N/A ~o=t* s/s f>: ~e. \\;~.,( f>,*~ r-.~-1 o.l-\\S"o 1qqb ~-t ~ IAc.e.d Na ~

7. Description of Work Kt\\Ac,e.J ASSOC-~ Ai'ed

8. Tests Conducted:

Hydrostatic 0 Pneumatic D Nominal Operating Pressure~ Other 0 Pressure _____ psi Test Temp. _____ ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached . CERTIFICATE OF COMPLIANCE We *certify that the statements made in the 0 report are correct and this retJ.1'u~-;;j" conforms to the rules of the ASME *code, Section x I. repair or replacement l 1* \\ Certificate of Authorization No. __ _....c.._ ___________ Expiration 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 Michigan and.employed by Protection Mutual pf Nonvo'od MA. have inspected the components described in this Owner's R~port during the period 8-i<l-9'2 to IOZ-dF1;-9<P '. :. , and state.tha,;

to 'the best.of* my knowledge and belief; the,Owner has performed examinatio'ns' and taken corr~c~ive m~asures des~*dbed in.th 0

is* 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 e.xaminations and corrective rr:easures des~rib.ed :iri this Owner's Report. F~rthermore, nei~h;r the. lnsiiect6r nor his employer*

~=~=~:'.bl* ;, oov m=?;::"' "' ""' d*m*go ;~~;~~~*"~~:;'.~~~;;~~~~~~*:~1~ho.'~

~-""""'"-"""'~"""'"--'---'----Commissions /11,*. &<'

Inspector's Signature National Board, State, Province, and Endorsements Date 1-.:1. r-19 rr-(12/82)

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

1. Owner ___

C......_.O~N~Sul~TM~E~R S_~P~O~W~E~B........... C~O~~~fP'-"'A~N~Y----- Name Date __ 0=-.:...1 ;,J--j cY..::,..: _.7....::l_9:.._7...:.__ ____ _ 27780 Blue Star Mem. Hwy., Covert MI Address Sheet_-J. __.of _ ___:c __________

2. Plant Pal; sades Nuclear Pl aiit Name Unit __ *"-----------------

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

3. Work Performed by Consumers Power Company Name Type Code Symbol Stamp_~.,__ _______ _

Authorization No. -----J~--------- 27780 IHYeStar H.iWcire~s Covert, ~I C-Expiration Date

4. Identification of System

~(~ ~{",e<!-d yk.J.._.,.q,gdS NA

5. (a) Applicable Construction Code a 3f. I 19..5..5._ Edition,

~I fl Addenda, ---'-,A-\\---'f'-A-'-__ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19...u8.;:i9<---

6. Identification ()f Components Repaired or Replaced and Replacement Components ASME Code National

Repaired, Stamped Name of Name of Manufacturer

. Board Other Year

Replaced, (Yes

Component

- Manufacturer Serial_. No.. No... . l_d!ln.ti_fication Built or Replacement or No) /) STE:('{") Ve IA~ VA fv~ NIA

.JJA 1-_o#

0>1q95'=] /'79 fo t;;ll)lCf~,,Jo

7. Description of Work,/lp/;:i <: tJ /Alv~ S+t-M t'l, \\ JA fu>-

/l)y -.f-S.3~3'i II

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure ~ Other 0 Pressure _____ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

Applicable Manufacturer's Data Reports to be attached ,'I CERTIFICATE OF COMPLIANC~ **. -/- We certify that the statements m~de in the report ~re correct a~d this "L/t?<~J conforms to the rules of the repair or replacement Certificate of Authorization. No. __......,...._ ___________ Expiration 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 . cir.Province of Mi cbj gan and._e'!IP,loyed by_.._P_.r...,o..u..t...,e...,c_..t.... iuo.,,_nll..._.M...,,.u..... t..,u.... a._.J.._ ____..,.-________ of .,.-~i-N....,o... nw-wi/.. o.... o... d,.....~'-M.....,A....... _..,.---,--'----,-..,.--:-; * ....,.... __....,.,,_-=-___ ____,=---.,,.-have. inspected~ the components described in this Owner's R~~~rt d~ring the "p~~i~d: ' ' .. leJ-!ol-9~ rt~ M-,,z* z !.. 9(;,. ** * *. * , and st'a~e.. 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 th_e 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 ASSO.

___ __,....:::=....,_......,..'"""""°'""--*--Commissions /VI/. f'k~

Inspector's~ National Board, Stata. f,"rovlnce, and Endorsements \\ ~, **

1

\\/ ~ { \\

I,I :,

\\ '\\ \\ \\ \\ * '*. \\ \\ 't .... \\. \\'* \\ \\ Date l-cZ81s91 (12/82)

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

1. Owner CONSUMERS POWER COMPANY Name 27780 Blue Star Mem. Hwy., Covert MI Address

2. Plant Palisades Nqclear Plant Name 27780 Blne Star Mero Hwy, Covert, MI

. Address

3. Work Performed by Consumers Power Campany Name 27780 BlueStar Date __

0........_1 /l-'d~7"'""/..... 9~7 _____ _ Sheet _ __,, __ of __ ...:.I _________ Unit ---oi,...---------------- Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp--~-------- Authorization No. ___ _.,~-------- Expiration Date ____ ~N~A~-------- Ht*Q'

Covert MT A dre'ss

4. ldentifk~ionofSy~em_**-*-*~~~*~~~*~,~~* ~*-*_:~~~--~-~-~~~-------------------------

5. (a) Applicable Construction Code 53 \\ * \\

19~ Edition,_~N--r,/_'.A ___ Addenda, __ ~f\\J....,...b~~-~-Code Case 7 (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19..... 8.,_g.J.-_

6. Identification of Components Repaired or Replaced and Replacement Components

_.Name.of Component .Name of Manufacturer Manufacturer Serial No.' National Board Other

*-* *No; -- *.*

- Identification.

7. Description of Work 8::>/AccJ

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure ~ Other 0 Pressure _____ psi Test Temp. _____ ° F \\...

Repaired, Replaced, ASME Code Stamped (Yes Year Built or Replacement or No)

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa* tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

j FORM NIS-2 (Back)

9. Remarks ___

_,_* _' -~-*..U_Z: __________________ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE

J

_).- We certify that the statements made in the report are cor~e'ct. a~~ this CIN.4Cf-,-?~~nforms to the rules of the ASME Code, Section XI. repair or replacement Certificate of Authorization No. --......... ~-----------Expiration 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 . cir Province of Michigan anclemployedby Protection Mutual of ., -'----<N~e;:i1..,1.~;...w~~9~.o~\\d..,~;-_ -Mi.:J. "".Ai..-.-, -. --,-.-,-.------~----------have, insp*ected*',the

cqmponents described in this Owner's Report during the period

';;J-,,?8-f(,,, ' "t'o' *,;.~ -.,2 r-9C;. ** * <. " *.. *and.stat~ that to, the best.o.f my,knowledge and belief, the **owner has performed examinations and taken*cbhe~\\ive'~easures described in this. \\ \\ ~ '. ~ i \\. ' ' l.* ~

' )

Owner's Report in accordance with the requirements of the ASME Code, Section *xi. ,

1By signing.this certificate neither the lns~e~t~*r. nor his employer makes any warranty, expressed or implied, concerning the 0

\\ \\" i*'.. p..... I* I l .\\ examinations' and correct.ive nieasu;es described 'in this Owner:s Report. Furthermore, neither' the'l~s~ector 'no'r his employEfr\\ \\, ~t'lall be li~ble.,in any1 manne~ for any P!!rsonal i~jury or property damage or a l~ss of any kind.arising.from or connected with this. ~ 1 \\ \\ 1 \\ 1 1 \\ J ~ \\ \\ inspection. . ~ FACTORY MUTUAL ENGINEERING ASSO'.*** 1

~-"-""---'4==-"'"'-"==-------Commissions /VI,: ~q?_

Inspector's Signature National Board, State, \\rovlnce, and Endorsements \\' . \\ . \\', 1' Date (12/82)

I F.ORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Date __ -..:6=..:...,I,I-'/ c')..z.,:-1'7~(-9_,__.7'-------

1. Owner CON STIMER S POWER COMPANY Name 27780 Blue Star Mem. Hwy., Covert MI Address

J;..

~- Sheet _ ___.. __ of /

2. Plant Pali sades N11cl ear Pl ant Name Unit.,...---!.-----------------

27780 Blue Star Mero Hwy, Covert, MI Address

3. Work Performed by Consumers Power Company Name 27780 BlueStax=

Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp_~---------- Authorization No. ----,l,ll~-------- Expiration Date ____ _,N"'A~-------- A dre!s

4. ldent~~ationof Syste~--~.~~~.~~~*~~.~~~-* -~~~-~~~~-~-----------------------

5. (a) Applicable Construction Code (3 31. j 19 55 Edition, __

N_,/;'--'.A __ Addenda, __ ..... N_,1-/;.L~-'--Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_,Bu..9;1---_

6. Identification of Components Repaired or Replaced and Replacement Components

. I I ASME Code Natim;al

Repaired, Stamped.

Name of Name of. Manufacturer Board Other Year..

Replaced, (Yes Component Manu.facturer

. -

Serial No. * '..

No.

Identification Built,_ or_ R~placement or Nol S~u~S CA.e..J.*~A r

?o +/:: ~lflct-,d Jo 1-r".u~LlC..~I;, { ,JJA ,.u 1A 501~ -'i!SOJ /9 8 '-I Nu.-rs C'ARd 1°N/i I * / ?off ~1>//Ja-J Ab

4..J~ I..( S -ft<.tA

..UIA ,U/ A, 5Cc))G,*'i~37 /~'Xi S-ru..1_s C'A.eJ1.o1JA- (

1-r.i...... ~4/

,JJA ,,J ( f1 /:>6 ""- £1.qc:~J ~~ Gt~7'33o /995

7. Description of Work ;(1.p J fie~ d CY-cS:J I

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure~** Other D Pressure _____ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE£). * ---r' We certify that the statements made in the report a*r~ c~rre~t and this ;{.~'/'/iiC.t'mb*J/ conforms to the 'rules of the ASME Code, Section XI. repair or, replacement Certificate of Authorization No. __.......,c...._ ___________ Expiration Date __ Signed Ai--AI <( Date ___ \\_,_,&_d'_4 __,,/f7 I CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . or Province of Michigan and.en:iployed by Pro tee ti an Mutual of

Norwood, MA.

have inspe~t~d th~ components described in this ov'.tner's 0 Report during th~ p~rl~d* -. '., . J -;J 1-9tP'to '. /il-ril'f -r<R*..

and state'~hat to the best of my. knowledge and belief, the O~ner has performed examir:iations and taken 'corrective'* measures described in this
)

\\ -~ \\ '* ,. I ~ I I \\ Owner*~ Report: in accordance with the requi~!l,m.e."!,ts of the ASME Code, Section XI. 1 I '* *l'- . * *BY signing, this certificate*.neither.th.eJnspector*,nor his.employer makes any warranty, expressed 'or. implied, concerning the' '."* )., r, ' * ' \\ '... \\ \\ \\

J *.;.* '
\\ )

. *1'. '. ' ' ~._ . ' ~ * -. ~ 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 ASSO. ~-

~_.__

.............. ~~~----Commissions Mr'. Tl;;;.,.< , Inspector's Signature National Board, State, Province, and Endorsements Date /-Jo 19 9r (12/82)

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

1. Owner ___

cl...'1.Jo~N~SuI~IMiE~R~S-~P~O~l~xE.i.;..uR_..c~o~~ifPi:..<:>A~NuY----- Date____,__-+-~---"'"'d="~/_9-=---f __ I I Name 27780 Blue Star Mem. Hwy., Covert MI Address

2. Plant Palisades Nuclear Plant Name Address

3. Work Performed by Consumers Power Company Name 27760 lHusStar Sheet_--4.-- of __ --'----------

Unit __,!,----------------~ w a u,.;?451L\\-o4S Repair Organization P.O. No., Job No., ate. Type Code Symbol Stamp_~l.-------- Authorization No. -----1.>ia.--------- Expiration Date ____ __._N~A~-------- fu~ Covert MT A dreis

4. ldentificMionofSynem_~~~~-L~~~-~~~~-~1~~~~~~~ulA~~-'-~~~~~~~~~e~~~~-----------

5. (a) Applicable Construction CodeS"e,e..\\:oY'\\. }IL 19...ZQ.Edition, lAJ/5\\0 Addenda, _ _,_N~0-*-~ ___ Code Case (b) Applicable Edition of Section XI. Utilized for Repairs or Replacements 19_u8.;;i9L-_

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

Repaired, Stamped Name of Name of Manufacturer Board Other Year

Replaced, (Yes Component Manufacturer*

Serial No._*-.

. N_o.. . ldenti.fication Built or Replacement or No) IG.J: U~'-"$T.'Oll\\ N~ N~ -{>.o. # f\\e~IAc.ed AAV\\Qe..- 6 ""°'; ~'-'"',*¥'\\.~ r-,~q~~ 1~3 No J J

7. Description ofWork.~~~~e~~~I~~~~~~~~~~~~~~~~~~~~~~~~~~*~~~~~~~~~~~

8. Tests Conducted:

Hydrostatic D Pneumatic D Nominal Operating Pressure ~ Other 0 Pressure _____ psi Test Temp. _____ ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion 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. (12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the state~en.ts made in the report ar~,c~rrect and thist-¢.1 A::;('.~~ ~onforms to the rules of the ASME Code, Section XI. repair or replacement Certificate of Authorization No. __...u..c.....----------- Expiration Date __ _........_ _____ --'------- Signed ~e"'-ier ~~"';cAI A~ ~Date ____ ,~6_d_q __, 19q7 r'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 Michigan a.nd employed by Protectj an Mutual of ---<N.,...o..... n..-w.1.. 0... 0..... d .......,-,-: -M~A ......... -*.-*----'--,-.--.-,.,-------,,--~-------have* inspected** the components described. in this Owner's Report during the period_* --------~'~'--~'--~9~4-~_to /.;l.-.,;l ?=--- 9to * , and>state* tha~* 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 ASSO.

~*

~-£>-.....;::--><--"'-=;:;....;~"'-'----Comniissions /Y71: ttP til-1 nspector's Signature National Board, State, Province, and Endorsements Date (12/82)

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

1. Owner __

_,C""'D... I...

J...,S..... II.......

ME_..B~S~_,,.P... O..,WE......_B...._...,C~O... Jlf.._.pA~N~Y..__ ___ _ Name 27780 Blue Star Mero. Hwy., Covert MI Address

2. Plant Palisades Nnclear Plant Name Address

3. Work Performed by Consumers Power Campany Name 27780 JHueSta:r l:k~

Cc\\Vert MT A dre~s oate _o_l('"""'Q)'--7,_,_/__.cz'--7 ____ _ Sheet _ _,,. __ of * '/ Unit __,!,----------------- w a Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp_""'1....--------- Authorization No. ___ __.~--------- Expiration Date ____ ~N""A"'---------

4. ldentif~MionofSynem __ ~~~~~~'~~~.~~-*~~~-~~~~~-~--'--------------------------

5. (al Applicable Construction Code J3' 3 f * /

19 5" 5 Edition, ~ j !'] j (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19.....,8._.q.___

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

-Component Name of - *Manufacturer Manufacturer Serial.No, ___ _ National Board __ No.. Oth_er . _ _Identification_ Addenda, _ __.,J'--.... /_r/__,_ __ Code Case Year Built.

Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol

8. Tests Conducted:

Hydrostatic D Pneumatic D Nominal Operating Pressure~ Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2) informa-tion 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. (12/82l This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

Applicable Manufacturer's Data Reports to be attached J \\ .l \\' CERTIFICATE OF COMPLIANCE L> -/- We certify that the statements made in the report are co~rect a~d 'this t<:<"f'h ct;.,F,.,Jj conforms to the rules of the ASME Code, Section XI. r., *. repair c;>r replacement " \\, "*, I Certificate of Authorization No, __ ,.u.c._ ___________ Expiration 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 . cir Province of Michigan and employed by Protection Mutual of , ** 1 \\ Norwood Mll.* have* inspected the.components described in this o'~n~~*s *R~p-ort du~ing th~ ~-eri*~*d. ~*.. 9-~ -9{p. ~o

Ii<-~ ?*~94{ * '...

, and stat~ ~*hat t~ :the best of**my. koow1edge-.and belief;.the. o~n~r has performed examinations and taken c~rrective measures described in this \\ ~

l.

\\

* \\

\\. \\ \\~ 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 ASSO.

-~

~.L..;;;:=........,i,,,,....:ic..;=;;;..L=-----Commissions /Y/1'. ~;<..

Inspector's Signature Nations\\ Board, State, Province, and Endorsements '.. ', *. 1J . \\.

I:,.. ;

Date I-do 19 91 (12/82)

4..::

FORM NIS-2 OWNER'S REPOR:r FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section ~I Date-----=()=..:..../ +f <Y......_..g'-+-/-"c:z._7_,__* ____

1. Owner CONSUMERS POWER CmfPANY Name 27780 Blue Star Mem. Hwy., Covert MI Address Sheet_-.+ _ ___:* of __ _;_'/_,.:...**---------

2. Plant Palisades Nnclear Plant Name w a tJ 0>"{511760<,

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

3. Work Performed by ConsJJmers Power Campany Type Code Symbol Stamp_.J,>i,!l.__ _______ _

Name Authorization No......,---....... ~--------- 27780 IHueStar llwv Covert MT Expiration Date ____ _,N"'A,_.__ _______ _ Ad'dreis \\

4. Identification of System - -. _ _§J I~ f-Etfc<

SAbtJ µMd 5

5. (a) Applicable Construction ~~d~, '\\j 3 j". I 19~Edition,

,J /IJ

Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_,_.8._,9'----

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

~-

. 4'
~

\\ ' \\;r *. National

Repaired, Stamped Name of Name of Manufacturer Board Other Year

Replaced, (Yes Coniponent Manufacturer seriai-No.

No. ldentificatio-n Built or Replacement or No) ~ "2ilf VA\\vt ~~-Isch. ~FT ki1<Z-J ~ J.J JA JJtA G dD3~55 /99Co ~

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nomi_nal Operating Pressure C8(' Other 0 Pressure _____ psi Test Temp. ° F NOTE: *supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

J " ' FORM NIS-2 (Back)

9. Remarks __

___,__* *_O_N-'~"'-* ----------------*---- Applicable Manufacturer's Data Reports to be attached ': \\ \\.:; ( We certify that the statements ~~~:~~*~h: 1 ~e 1 ~o~;:r~ 0

o~~c~:*~~~~~~*~~AJ tonforms to the rules of the ASMElc** d,'*s' t-. *.,XI

\\ ' ' i repaif. or replacement o e, ec ion* Certificate of Authorization No. __ .....,.~ ___________ Expiration Date __......,....._ _________ _ --~\\'--'>",d-'-'EJ=-* °'-* 19:rl_ 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 orProvinceof Michigan ~~d.~mployedby Protection Mutual / of

No'diobd \\ --M:*A \\. \\ -, *::*,* ' --., '

~~. 1*\\ i : h~e: i~sp~ct~d : the,c'oinp6n~~ts.descr~bed in this Owner's R:port during the period ?'.:Z/ -'lu to IJ-ill-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' accoidance 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 i _n_s_p-ec-t-io_n_. ____ l_n-sp_e_c_t_~...,r*""s=s=-; 9 "'"n-"\\ a.. ,t.. u.. ~.e'-=. ""."',;..:....:;__ ___ \\~~'~missions-'-.:-:""".""~-'-~-~._" R...;:af"':-'e;-.~-.r-d-~-:-~-:-.~""'.. -p-:-:-~~-n-:-~-. E-an-~-R-,I-:_d_:_r-,~-m-S-,:-~-s-*_ Date 1-~,9 ?r (12/82)

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

1. Owner ---'c

..... o N~Su.Iu.IM ...... E""'R.......... s_.... p_,,oLli<L.zE ..... R....._..... c.... o,,.1'J.JfP_,A:::i..N ......... Y ___ _ Date_...... O..t...!...JI /....::::~~8~/-'-9_..il....-,-____ _ Name 27780 Blue Star Mem. Hwy., Covert MI Address

2. Plant Palisades N11clear Plant Name Address

3. Work Performed by Consumers Power Campany Name 27780 BlusStar

~~', Covert, MT Sheet_-J,. __ of_-'I'-**-*---------- Unit --,i,----------------- w a u & '-15 I ( ?o ( Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp_.,..,..__ _______ _ Authorization No. ------JOA--------- Expiration Date -----"'N,,..A..._ _______ _ Addenda, N -'-f I"

1 Code Case

6. Identification of Components Repaired or Replaced and Replacement Components Name of Component

8. Tests Conducted:

Name of Manufacturer Manufacturer *' ~ * *Serial No; ~ I National Board No.. ~ I I Other ., ldent_iticatjo_n Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure,M Other 0 Pressure _____ psi Test Temp. °F Year Built

Repaired, Replaced, or Replacement ASME Code Stamped (Yes or No)

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa* tion 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. ( 12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

J FORM NIS-2 (Back)

9. Remarks __

0 D'-~-*t ________________________ Applicable Manufacturer's Data Reports to be attached I

t.

J \\ CERTIFICATE OF COMPLIANCE --r'° We certify that the statements r:ade i~ the rep~~t are correct ahc:hh is p/ II ~tm~J conforms to the rules of the ASME Code, Section XI. repair or replacement ~* \\ \\.. '\\ ~* '* \\ *'\\ ? ) T: !. I F..

~*:,.,

Certificate of Authorization No. --......... ~-----------Expiration Date __ _.....,._ ___________ _ 1-+./_e>_ci_*_. 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vess~! Inspectors and the State or Province of* Michigan an9,er:nployed by Protection Mutual of Non1ood

MA have. inspected,.the compqnents described

_._.I J** 1,) ~, 'Ii j \\ I.. .',\\ 't ~,J:} /"J/,.,

1 a* '

in this Owner's Rep.Ort during the period. 0 -.(;). { - 7Ce. tb- '/<:>1 -;? r.., & :.,-_.' : ~* ", and *state.iha~, 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 -i-n-sp-ec-t-io_n_. ----*-~__.--"'-_.._....,..~=--'----'--*--commissions _~-A-C~:~: 0-~._y_C'.;;_:_T_U_AL E_N_G_I_N_E_E_R_I_N_G_A_S_S_O_. Inspector's Signature Date 1-~o 19 9-C (12/82)

\\

l\\jational Board, State, Rro.vlnce, and Endorsements \\. ' . i'\\ '*/

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

1. Owner __

_,C""O._..I.... *l'.... Sc..IIMu....u.E... R...,S...____._p_..o... w .... E.... R....._...... c.... o..... M.... P.... A,..N.._y._ ___ _ Name 27780 Blue Star Mem. Hwy., Covert MI Address

2. Plant Palisades Nllclear Plant Name 27780 Blue Star Mero Hwy., Covert, MI Address

3. Work Performed by Consumers Power Company Name 27780 lHYeStar

~dreis Covert, T

4. Identification of System* * ~l::R\\J IC t kJ6~~

Date_--=o::....:1_/'-°'c)~S-1-/,,...!-,9_,7 _____ Sheet _ _... __ of<*.* I Unit*--.b---------------- WQ lj 6)1..(5/3705 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp __...._ _______ _ Authorization No. ---~Ila..--------- Expiration. Date ____ __..,N..._A.__ _______ _

5. (a) Applicable Constructi~~*c:*d:*£5~';'-.~;'

19:z3_Edition, N.4 Addenda,_~(\\.......,),_ML....-' __ Code Case I (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_....8'""9'---

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

c National

Repaired, Stamped Name of Name of Manufacturer Board*

Other Year

Replaced, (Yes

Comporien*c--

. --* Mandfactli rer se*rfal No. - - No':

Identification..

Built or Replacement or No) 3" Seti. "-/Ci ':Ju.So.Sc. .Pc :r:I: ,,&,111~J ~o Cf.S c-ISow PIA A:l f A G:,ac7'"-I~< 1991.o

7. Description of Work &!Ace~. cf <3ow vc -I I "8. Tests. Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure~ Other 0 Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets *in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

J FORM NIS-2 (Back)

9. Remarks------"*-* -'~_/\\.!_~_* ---------------------'-----------

Applicable Manufacturer's Data Reports to be attached j CERTIFICATE OF'COMPlllANCE './) f-1:*.. :-/-:- We certify that the statements made in the report are correct and this NP/1<~~/conforms to the rules of the ASME Code, Section x I. repai_r or replacement TypeCodeSymbolStamp_~N~A~------------------------------------ Certificate of Authorization No. --'"""'"'----~-------Expiration Date-~....._...._ ________ _ I/~ 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 .orPrqvinceof*1;1icbjgan ~ride;,,ployedby Protection Mutual

,\\'

.. "of t>Torwdo'd} MA:\\

'\\ *-..

~-) have* inspeC:tedthe components--.describ\\!d in this Owner's Report during the period 9-~3-9(p to 1:2-;rt-Cf~. a~~-state t~at 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 imp I ied, 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 _ ~/J FACTORY MUTUAL ENGiNEERING ASSO.

~1-==~-""-'-"-..,---------Commissions-'-/kJ-'-'-'.

'""'-'"'-'~-""------'-~------'----- ,., lnspector:s Signatur_e \\ . Nation'al ~Board, State~ Province, and Endorsements \\...,**,*

\\

'-~, \\.,.\\*'-,I

J.*;)-:)

,-'.f\\\\{.* -:,..* \\... inspection. Date (12/82)

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

1. Owner _ ___;:C::..:o:::..n=sc.::um=e=-r"'-"'sc.......oPc.:o:::..w=e'-"r'--'Co<:o><-m=p'""a..,n....,y;1--____ _

Name oate __ ~o=..:...J.r /'-.!a~3~/_,'7!..._~.!...._----- 27780 Bl 11e Star Mero Hwy, Cmrert, MT Address

2. Plant _ __.P..

a..,l~i -<>S..cau.d.ue=-S"'-""'Nu.1.uic_l....,;;e..,a.... r_PL-..>,l,..a...,n..,ti....------- Name 27780 Bl11e Star Mero, Hwy, Covert, MT Address

3. Work Performed by NPS EnergY. Services Inc

.~ \\ Sheet_......._ __.of __.:./ __________ _ Unit ---J'------------------ w.o. Repair Organization P.O. No., Job No., etc. Ty;:ie Code Symbol StamP.....r..ia. ________ _ >/ \\ ( I

Authorization No.

M *; Name P\\tAcJfifJf\\IA) PA /'tof3 -3~ 7~ ExpirationDate ___ ....Lll..1;3._ ______

4. lde~tific~tionofSystem C~h 5

~fY1tCA( A.Qd Vot(.(/>1~ C/Jt-~\\

5. (a) Applicable Construction Code

{331. \\ 19 55' Edition, N4

I Addenda, _______ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replaceme'lts 19 89

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

Repaired, Stamped Name of Name of Manufacturer Board Other Year

Replaced, (Yes Component Manufacturer Serial No.

- ~o,_ ld~n~ification Built or Replacement or Nol c /'\\ I "f sd. IC ?.~ b"'-ao~c A.)/A ,,J J /I /:>o# /::/,.qa-~ ~o G l't9 R'{ tJ /9'7<.::,

7. Description of Work ~/~<l:-j AsSoc1 ~:k-j JJ?~*9 VA!v~ /Y/ I/ - C\\J(} ti~

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure (81 Other 0 Pressure _____ psi Test Temp.

° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is B% in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

I FORM NIS-2 (Back)

9. Remarks __

__,;;'----*-* _oo_,.-(..l--'~---------------------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE ~ \\ We certify that the stat~m~n~s made i~ the r~port*'ar~ correct.a'~(j thi~ ' EP/flc.f-).'Af:.,,u~nforms to the rules of the ASME Code, Section XI. repair or rE!placement Certificate of Authorization.No. -....1.lL=-------------Expiration 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 orProvinceof Michigan and~mployedby Protection Mut1rnl of _* :Norwood, MA. .i. - have inspected th.et compoiie.nts descriPed in this O~n~;'s Repo~t du'ring the pefi~d '" "iO-.l/- ft,

~'.\\*"\\ ldl -.2f-"9t; *; *
a~d 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. /n, Factory Mutual Engineerin

~~'--"~=--=~------Commissions_..:./Vz-'-=-':'--'n__,t,=,;?.:...:.... ____

Inspector's Signature I ~ ~ *.. i \\ ,.*. l\\~ Date ______ ~/_-_.3~/_19 9 r

(12/B21 National Board, State, P~ovince, and E ndorsemants

\\_ :.., \\ 'I.

-,. \\' \\ \\) _;

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

1. Owner _ __;:C:;..:o:o.:n=s-=um=e=-r:::..:=:s__,,P'-'o""'w=e""r'--'C:<:o"'"m=p'""a"""'n...,y,,__ _____ _

Date __ --=Cl_,_1.,_/ ~~/_9_7-'------- Name 27780 Bl11e Star Mero Hwy, Covert, MT Address I Sheet _ _...._ __ of __,__ _________ _

2. Plant _~P

.... a.._l._1.._* ~s... a.... d.. e""s.,._...,N..... 1... 1 c_l"'"""e... a._.r_P.._.,l..,a.... n..... t--------- Name Unit _ _. __________________ _ Address w.o. ~'i4 t 3 75 s 27780 Bl11e Star Mero, Hwy, Covert, MT Repair Organization P.O. No., Job No.* etc. Typ*e Code Symbol Stamp__.......... ________ _ Authorization No. ___ Expiration Date ____ ~~--------- Address

4. ldentif~~ionofSynem __ ~~~-~-=8~~~~~~-*~-~~-~~--"-~-------------------~---------

5. (al Applicable Construction Code A i..W5. DJ. I 19 '70 Edition, t.l /ft*

Addenda, __ ~~_./~A~ __ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89

6. Identification of Components Repaired or Replaced and Replacement Components I,

\\ ASME Code National

Repaired, Stamped Name of Name of Manufacturer Board Other Year

Replaced, (Yes Component Manufacturer

.Serial l')lp. __ -- ~o. lqentif_ication Built or Replacement or Nol /) f-1,f!"~ 0..... ppo1J.+ 4/'1cri.,JD HGR/f/c 10*1-/t.o Cf:'co tJJA

J //J

/Jlfl IC/ C/ (o

7. Description of Work g/f:lc~J s'"'{'\\f"\\-...0 +

llGR I HC /0 - ti /.c:)

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Other 0 Pressure _____ psi Test Temp. _____ ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided i1 l size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of she~s is recorded at the top of this form * (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

r FORM NIS-2 (Back)

9. Remarks ___

...._;J_.---'-66-'--,..J_t.;:.__ _________________________ _ Applicable Manufacturer's Data Reports to ba attached . i CERTIFICATE OF COMPLIANCE/) . ***+ We certify that the statements made in the report are correct and this Kjf"hc:~t'li~~l conforms to the rules of the ASME Code, Section x I. repair or repla_coment ,i * 'i.. -\\

\\. \\

..., ~ } ~ :*:i . j ~ Type Code Symbol Stamp _ __,....,~----------------------'-------------- Certificate of Authorization _No. -~.Ji------------ Expiration Date __........ o._ ___________ 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 Michigan andemployedby Protection M11tnal o.f .. \\ . -\\, . Norwood MA. have inspectf!d*.the com.ponen'ts described in. th.ls o~~e~*~* Rep~rt during' the period /'P~o -9(,,, ~~'. l.:J-,,;r?* - 94 i ' y.. '-; *a;,d 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 lnspecto_r 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. ~ /J /)

~--'---~=----------Commissions__,_frl

_,_1_*.___,_l(_~=~--'---------------- lnspector's Signature \\ National Board, State, Province, and Endorsements \\.. '....,,/ ***>\\.,\\ ~\\ Factory Mutual Engineerin Date /-..30 19 9'1 I (12/82) 't*

._... *l. FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME.Code Sectiol') XI

1. Owner -~C~o~n~s~um~e_r~s~P~o~w~e=r~C~o~m~p~a=n-.Y~----

N.ame 27780 Blue Star Mero Hwy, Covert, MT Address

2.

Plant_......._P~a~J~1~*~sQa~d~e~s;o.-~N~uuc_J.,.el;,Qa~r__.p......_]Qa.nMt~~---- Name 27780 Blue Star Mero, Hwy, Covert, MT Address

3. Work Performed by _ __..N...,p......_.S'--'E..... n... e~r""g.,Y.,.__,...... S...

e_.r_,v._1.,.* c._._e""s..._T... n~c~ ~ / Name r-111°LAd~/pA1>~ I ~ _11013. 3~10)

4. ldentificationofSystem Au.x1./1flR.y.. J:;';.Jwli--ft:I!..

Date-,.-__ D-'1'-/,__,62=*-',"-'!'--9-7 ______ _ Sh~e~-' _..__ __.of __ *.:./-.'-.'---------- Unit _ __....__ _______________ _ w.o. OJ"/5/3Cjoo Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp_....a. ________ _ Authorization No. ___ _...,a._ ________ _ Expiration Date ____......,""---------- 3-fl::Al"'I Suppt..., I I

5. (al Applicable Construction Code $ec..\\.*QI\\ ]TIT 19~

Edition,

\\ qq5 Addenda, _ _,_~~j_,:A'-.._ __ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89

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

\\" Code National

Repaired, Stamped

Replaced, (Yes Name of Name of Manufacturer Board Other Year Component Manufacturer Serial No.:.,

_No. ldeQ.ti!_ication Built or Replacement or Nol ~o/~-h..~ f:- I f-lliy t.AJ.flR.o re:.# };p/,qc.J jt-5 S~PAR.A~ .:z:.i.a. ~J. T~c 14'/X(c 3 9cg~ b /'i9'Y77 1"19~ (Sr CJ57fo)

8. Tests Conducted:

Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure~ Other 0 Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in.. (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

,\\ CERTIFICATE OF.COMPLIANCE We certify that't~e state~en~s ~~de in the repo~.a~e.~orrect and this r-t.~lA~~J

cdnforms to the rules of the ASME Code Section* XI.

. !!'PB r or replacement ~ \\

l t :

Certificate of Authorization No. -~.u------------- Expiration 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 Michigan and employed by Protection Mutual of Norwood, ~A;. have inspected th.e c~mponents ciescriDed in this Owner's Report during the period ' ' ' lo-Jl-9< to. '10?.-P?r-9fr"*. *. * - , and 0 st~te'that '. to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Re.port 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.

.y:PV/J/)

Factory Mutual Engineerin

~_;_::,,_..._~,,..._----'----*Commissions /VU'. ~.;z_

Inspector's Signature National Board, State, Province, and Endorsements Date _____ _,ol""-'---...... 'f __ 19 9 C (12/82)

j FORM U-1A MANUFACTURER'S DATA REPORT FOR.. RESSURE VESSELS (Alternative Form for Single a.amber, Completely Shop-Fabricated Veael1 Only) A1 Required by the Provl1lon1 of the ASME Code Rules, Section VIII, Division 1

1. Manufactured andcanlfled by/IAYtv/l,e(J ZNP*1.P~e>.O, :IAIC"I 9dOM/~.Wou.,V T /11/E.1 &.L1ZA/>6TA',NJ 07~07 i

~--of-I. I fae111rlld forWRUkHTJlusTJN. 32.60 WlilJ<lJN..,iT. lJETROtl/ bl.Z-l(l.:l.d7 .r ~--......-*

3. Location of lnnallatlon [!Jl!.{u.me.f S RwEI!, flL1SAD£$ PLeµ~7Z90. Co VE.Ii! r,, !YJT;, '1901/3 4

lNwmd )

4. Type Ve~ i

' 14>2 "~.

SIV/9~.REV.8 912 1996 IHoriL.,..._ ~ !Iller'* - NoJ ICANI lllrnioe NoJ lltoo1. lld. llD.I IY* lllolhl

6. The charnlcal and phyalcal propanln of all paru *meat the raqulrarnanu *of material 1Paclflcatlona of th* ASME BOILER AND PRESSURE VESSEL CODE. The design, construction, and worttmanahlp conform to ASM,E Rulu, Section VIII, Division 1 ___ /..__9..c._CZ..c...;;:Ss:....-==---------

Y* to L99'o AddoadolO...I

6. Shall: S/J l06 tJ,R B

75

-o- //.2,N Mod. ISpoo. No.. o..dol -.1'1*. llaJ Carr.-llaJ

7. Seema:.Sm'-' s P//'E

.t~~r lt>a3 DBL. 8 u. -tt .$ e o 7 .._IWllclod,Dbl.. R.T. lljlao., FuUI Ill."" H.T. T- (Fl

n. Owl Giida CW-. 11111.,.

LT. Cliool. l'lrtW, ...... c:-..

8. Heads: (a) Matl.

.,S It 5 I tr Gt!! 70 ISpoo. Ne.. Clrodll

Ml

_...~-=....;....;-...-.........-.---=--------,__ Mat1. $11 SL" bi R zo ISpoo...... Clrodll Location (Top. Minimum* Corrosion Crown Knuckle Elliptical Conical Hemi8jlharical flal Side IO Prnawe Bollom. Endal Thiclinaa Allowenco Racliua Recliua Ralio Apea Anglo

Racliua, Diameter (Convea or Concave)
I l*I II.of'
7~
a.o --
2..: I C~NCAVG I 1b1 Ro-tf:.oN>
11 If removable, boltl used (daacrlba other faatanlnga) A//A-
9. MAWP __
/~'/~...;:CJ::;._,.;:CJ::;...._ ______________ pal at max. temp. _ _,,$':..._,~ ... -'CJ=----------------°F

C:2__,,o""'---- Of at // 0 a psi. Hydro., 1111e:: n na11111 teat praaaura _... l... ~""'"'~=-a=----------- psi.

lnapac:tlon and ufety valve openings: No. Diem. or Siu Mell. /33'-.10
..S/i/()(,..
,/ " Hom. ThlL. Reinforcement Mall. 'Locallon ,/I
11. Supporu: Skin 11/D Lug1 _____ :Laga ____ -_othar:l.V<4L111-r1011J R1AJGfAttached #eA D.$
We.1..0E O IY*or *I INLI INo.I ~I IWlolNwl._I
12. Remarks: Manufacturer a Partial Data Rapom properly Identified end signed by Commlalonad lntpac:ton have been furnished for th* followlng ltama of tharapon:...... ~
CERTIFICATE OF SHOP COMPLIANCE Wa certify that th* 1tatamant1 made In thla rapon are correct and that all datalla of daalgn, material, conatrUcdon, and workmanship of this v... al con* form to the ASME Code for Pr... ura v-11, Section VIII, Division 1. "U" ca.:ilflcata of Authorization N~~axp -~, 19" Data //- f'- 9, co. namaHA>"'6"14#,P.:r'No.f'&o.D. :Ewe.. Signed--,.,..~.-..... ....... ~=*=-=--,-~~~=--,....-------- tiiiii:t-1 I CER_J"IFICATE OF SHOP INSPECTION v_.. constructed by MoywA.eo :£ND* P..eco *.Z Nt:. at 'ftUJ CA/I? Mau.NT AvE, El12AbET/l,N:J" o7"-~7 I, the undersigned, holding
valld commlaalon laauad by the National Board of Boller and Praaura VaMI lntpecton and/or th* Stan or Province of A.le w* iTF".£.s' E-./
and employed by S1/JT£ OE /VE W
TE As E Y have Inspected the compona;;; described In thla Manufacturers Data Rapon on II-4/ *, 19 9', and state that, to the belt of owladga and ballaf, the Manufacturer haa constructed this pr_,ra v....i In accordance with ASME Coda, Saotlon VIII, Dlvlalon 1. BY 1lgnln11 lflcaH neither the Inspector nor hi* employer mak" any warraniv, axprulad or lmpllad, concerning the prH1Ura v... al d1t1erlbad In thl1 Manu-r'a Data Rapon. Funhermora, neither the lntpector nor hi* employer ahell be llabla In any manner for any personal lnlurv or propany damage or a lou of any kind arising from or connected with this lnapac~
_/} ~ Data //-1/- 96 Signed /<.o¢edtr c
) ~
VVL ~ Commlulona ¥qf/{ 4 //,/,T 5- --"-"J !Au-ilocl I_... 1J;!r, -lllld.---* *----No.l (12/871. Thb tonn (E001171 may be obtained from the ASME Order Dept., 22 Law Ddve, Box 2300, Falrfleld. NJ 07007*2300. REPRINT &/80 (23001
l ' FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
1. Owner ---=Cc::o:.::n.::s::..:um==e~r'-"s<......:P:..;o=<-w=e~r'--'C"-'o""'m"'p~a~n... y'-------
Name 27780 Blue Star Mero Hwy, Cmrert, MI Address
2. Plant __
P......,a_.l~i... s... a,..du=e.-.s......... N._.1,_.ic_._l ""e-e1au.r__,p_1.._a..... n... t ______ _ Name 27780 Blue Star Mero, Hwy, Covert, MI. Address Date _ _,,,O"--'l'-J,1'--"~~"'l-+/-'c:z'--7_,__ ______ _ Sheet_~ __ .of_.,.OJ~* ---------- Unit_~---------------- w.o. Repair Organization P.O. No., Job No., etc.
3. Work Performed by NPS EnergY. Services Inc
~;foJf/ :>hi.A, J?A Na/m;0/3-.3Cc 7~ Type Code Symbol Stamp__,,.a.1.. ________ _ Authorization No. ___.........._ _______ _ 1 'Address Expiration Date ___ --'-..J.J.<1.---------
4. Identification of System A 1" x,* {,"e,e,v hcdwfl:ft.e
. I
5. (a) Applicable Construction Code ~ 31. I 19 C:O<o Edition, ___
t--5_~/~d...__Addenda, N '-/((&> * / (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89
6. Identification of Components Repaired or Replaced and Replacement Components Name of Component'*

8. Tests Conducted:
Name of Manufacturer Manufacturer Serial No. * * .i\\l t-JIA tJIA ,.J IA ,J .* f... 4 l ~ \\ National Board
No.,..
~A Pl As 50C1A.ftJ 17CA.S Other Identification PcR. Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure ~ Other 0 Pressure _____ psi Test Temp. °F Y_ear Bui!t 1n& 199~ r'/ 't 4,
Repaired, Replaced, or Replacement
/jpflJ.c1::J. /jf'fAU:j /l,ofAcf;~
-c91c~
Code Case ASME Code Stamped (Yes or Nol NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa* tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
/ FORM NIS-2 (Back)
9. Remarks ___......!,/\\_*-=-=jd~*,U~~""-------~-----------------------------
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCEL) +- We certify that t~e ~tatements ~ad.e in the report ~re correct ~nd this At/' /fk.tml-.Al /.conforms to the rules of the ASME C d S XI repair or replacement o, e, e~t.1on:.. \\
. ! t*.
Certificate of Authorization.No. _...u.<i..------------ Expiration Date --..LJJ"-------------
_>::::~:__,1--/___.7t,_..__, 19 q1 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 .orProvinceof Michigan andemp!oyedby Protection M11t11al of Norwooc;l, MA have inspected the components described in ~his Own~r;s* Report during the period /6,,:..,;u - 'lfo t~ '"Lil -,;J. *i-9~ , and 'state' tliat to the best of my knowledge and* belief, the Owner has performed examinations.and taken corrective measures described in this ."\\> \\ \\ ~ .~*
1.
\\
o I t Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing ~his.cer~ific~t~ ~e!.ther the, lnsp~ct,or ~or his er;1wlo~er makes ~~Y w.arranty, expre~~e~ or*implied, concerni~g the, examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer sh.all be liable in ~ny manm:!r for any personal injury or property damage or a loss of any kind arising fr~m or connected with this. f ' \\ ' ~ (
l,
' \\ J *
"""";oo.
~~,
A-. Y~
7 Factory: Mutual Engineerin

'~'-""=-,_.-::""""--'---------Comriiiss.ions F"'f{ * 'f'ti~

1 Inspector's Signature National Board, State, Province, and Endorsements \\ ..,.~ ' Date _____ --'o{_-_.l __ 19 Cf r' (12/82)
~ ASMI! Coae Netlon*. Repelr9d. Stamoed
Nem* of Ntme of Menufcturtf' Board Ottter v..
Reoi-11:9d. (Vtt Component Manufectum Sett* No. No. I dantiflcnlOft Built or Rte1ltcement or Nol 1,..** F/t7('Jq~5, .bu&os E:- JJ IA ~IA Po~ Ref !Ac~1 "L~ Ga11cs1 1~'1to
>o#*
'i.. /ce:~ 1'u.8c.S'C::; ,.J }A NIA r., QllfC'al J99to ~p/1kcj "1 () ~"~s bu&os~ ~IA
io~
(iPfAc~J,J (.)
/..) ( ~ G~l/c'i?/ tt:f9to ~ x lo" /:J ue>-2-5 b..... dc.SE:: /:>o Ji: fcp/11cc-d JJo jjM }J JfJ G ~/IC8 I 1 'Tcrto /~ ')c I ")1,Lcf~ CA 1'cA~~ j;:b#" /l,allk.cj JD t;;8 t- . tPo~ ~IA Nlfl So.~tc - 5CJ.37. /9(17 '3 "(!,),~ RA~~ ~&>:sf- '?' D. 'Ii /99l.. ;(ip/RQ-d No .U IA .UIA (::,.;> I S c:Jf?'-/ Accufcct. o/'i "s,~s ~IA ..J1A f,o# O}/ 5~~g /~~ta fjp/Act:J,Jo k.. '?. ';>, ~&:)~ ?e:. Fl=- JiP/4ccJ tJo I 'i:Y ,.~c;. ~IA PIA 6 l'X (c, <61 c:) /CJ9~ .k.. . v 1-fu& /Jc..
>o.J
./J..p/11ccl ~b /OJ p,p,"d: A) IA A...\\1A . G _:\\a.=? <K '7 /~f:/,) bu8o5E- ?o :it. fiPIAce-J Jo I~**,~~~ ,q;:>~ ...\\IA f.l /A 5 0.30 -'i37"} 11<? ( 'CJ *xlo **t~c'"P.." 6'-<&se ~11'1 t-J 11/
>o..r

f-fl1'1<J No G r'JJlt'\\g/
rt9(p
w I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Date _ ___:;o'-1~/..... a,_9-'---l-/_'i'-7-'---------
1. Owner _
__,C::.:o~n=s.::::um=e"-'r,_,s,,__P~o.!!w~e"-'r,,__;C~o...._m~p'-"a...,n.A,y,__ ____ _ Name 27780 Blue Star Mero Hwy, Cmrert, 1 She!lt _ _._ __.of ___________ _ MI Address
2. Plant _ __._P...,a._.J.... i~s
... ad.Ud.a=ec::s.........i.N..,1..LJ1 c~l.t;:e...,aur___,P~l aa~n..... t_* ------ Name Unit-----'--------'----------- 27780 Blue Star Mero, Hwy, Covert, MI w.o. 0)"15/ 3 ?ct:> Address Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp__......._ ________ _ Authorization No. ---...il.l:l---------'- Expiration Date ____..J..ll.<"----------
5. (a) Applicable Construction Code B 3 f
I 19_E_k_Edition, t-J IA

Addenda, tJ. ~/~ -/
Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89
6. Identification of Components Repaired or Replaced and Replacement Compone.nts Name of Component.

8. Tests Conducted:
Name of Manufacturer Manufacturer Ser.ial No. National Board No.. Other l.clen_!ification Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 1:81 Other 0 Pressure _____ psi Test Temp. ° F _Year Built
Repaired, Replaced, or Replacement ASME
Code Stamped (Yes or No)
No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
" J FORM NIS-2 (Back)
9. Remarks _______ L~
__ o_,,.J;..._*~~=-------------------------------------- Applicable Manufacturer's Date Reports to be attached CERTIFICATE,OF COMPLIANCE /) '/ 1-f-We cer'tif~ that the state~e~~s made in the r~p~rt' ~re c~rrect and this Atl'll/Cf~rAJf ~onforms to the rules of the repair or replacement I. \\ :. I ASME Cod~. S~c;t[on.X). ~ I Certificate of Authorization No. _-1.J..1:1....------------ Expiration Date __....._.""-------------- CERTIFICATE OF INSERVICE-iNSPEC°TION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . or Province of Michigan and er:nployed by Pro tee ti on Mu tua 1 of *
Norwood, M.A have inspected the components destribed in this Owner's Report duri~g* the period
/0 -;;l.t-9(a to *rd;l -,;r;-9~ ** ". . an:d state-'tha~ to.the best of my knowledgi;i and belief, the Owner. has perform_ed examinations and taken corrective meas_µres described in this J 1, ~ ~ I \\'
~
Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector -~or his employer makes any warranty, exp.ressed or iniplied, concerning the' exam.inations ~~d* ~orrective' ~easures d~c~ibed in this Ow~er's Report. Fu~hermore, neith~r ~h*e 1'ns~e~~or nor.his e~pl;y~r shall *be liable. in any manner for any personal inj~,.Y or property damage or a loss of any kind arising from or connected with this*
t l
~ \\ ~.. \\ inspection. /~ Factory Mutual Engineerin

~"-"'...__...,_==-"-'------Commissions /111'. ttP..Z Inspector's Signature National Board, State. Province, end Endorsements Date _____ ---'o?=---_.T-__ 19 9 7 (12/82)

'I:..-
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME.Code Section XI
1. Owner -~C'-'o,_,n=s=-=um=e'-'r'-'s=--P=-=o-"w"'e,_,r,___C,..o=m,..,p-=a,...n... y,_ ____ _
Date ____ D_t.L/--=C)=---=.8-'-/_'7:.-.:7 ______ _ Neme 27780 Blue Star Mero Hwy, Covert, MT Address Sheet _ _._ __ of c9
2. Plant __ P.......,a... J..... j._.5..,.a"'"du..c:e'-"s._..N....
1..LJ1 c~l.a;:e:.coaur__.p"'-1.....aa....,n.... t ______ _ Unit---"--------'----------- Ne me 27780 Blpe Star Mero, Hwy, Covert, MT w.o. Address Repair Orgenlzetlon P.O. No., Job No., etc.
3. Work Performed by NPS EnergY.' Services Inc Type Code Symbol Stamp_J,ui ________ _
'Ji * { / I Name Authorization No. ___ ..JJLt;>._ _______ rh1 Adt /?h ;A 1 ~A 1'7013 - 3(; 70l.. Expiration Date ___ ..J.lLC.___ _____ Address
4. ldentif~~ionofSynem_~~~.=~~~~i~~~.~~~~~~-~~e~~-J-~_R~(_t_~--~~~~~~~~---=~~.~~~~~~(~~----

5. (a) Applicable Construction Code DI. j 19 'j 0 Edition, _ ___.,U_.._/_d..._* __ Addenda, _ _.z.&_t..JA-'-__ Code Case lbi Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89

6. Identification of Components Repaired or Replaced and Replacement Components
~ Other
Repaired,
Replaced, ASME Code Stamped (Yes Name of Component Name of Manufacturer Manufacturer
,Serial No... National Board .~o,
JdenJ.ificatJo.n Year Built or Replacement or No) 1'l l'T'ilo
,Uj ~~ IJ/A C.fCo ~IA ,..JI tJ IA 0 A/It tJJA
J IA JJ IA 9~
SuppcR+ (s) ';>~R Fe - '"} ~~ A.ud "'~w Ci() I* S4f~~ -r.:. P'=li!. FC'-1~<c.
8. Tests Conducted:
Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 0 Other 0 Pressure _____ psi Test Temp. _____ ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa* tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
Applicable Manufacturer's Data Reports to be attached
I. '\\I \\
CERTIFICATE OF COMPLIANCE D./.
we\\ertify t~at ;he stat~:i,~~t~ made int~~ rep~~ are c 0
orr~ 1 ~t a 1 ~d thi~ f'.f f/fj*i;.frttf...i Yconforms 10 the rules of the ASME Code, Section XI. repair or replacement .~' -\\ .' ~ ~ Certificate of Authorization.No. _ _._...._ ____________ Expiration Date __ ..u..c._ ___________ Signed CERTIFICA't'E OF,INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the S.tate * ,or.Provinceof Michigan andemployedby Protection M11t11al
* ~f' Nori;~ood 'w have inspected.. the components described in this O~ne*r:/ Re~c:irt d~rlng ~he perio~'
1 1
16'-d, /- 9fe"t~* ' I,) -;rt-9t:;

:. '.._.,* -~~d 's:tai:~\\ih~t\\"

ta" the best of\\my.'knowledge and belief, the Owner has performed examinations and taken corrective measures described in-this
\\-_
,i.t'*'.~-/~
1J\\I, ~*:.. ~**,~--', 1<<; *. '. ~)~.) (**\\* ,-j1_,:\\,,._**.l** Owner's Report in accordance with the requirements of the ASME Code, Section XI. . By signing this cer.tificate neither the,Inspector nor his 1employer makes any, warranty, expressed or implied, concerning the.. I 1 I
f':*\\ 1*~
,\\ l ~.
~
, ',.\\ (~I '\\
)
'~,' \\'"\\\\ t\\.*.~:.)\\,_;\\~,1:. examinations and ~drrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer sh:a11. be liable,!h, any r,nanner.for any perso~al }niury or pro~f!rtY damage or~ loss of any kind arisiri~ from or. 1~on~ectep ~i~.h. thi\\,.. .* ) l ,\\ i I '* i i l ~' *, 1, .l "
.i*c \\
i 'I inspection. ,. a Factory Mutual Engi~ee 1 ri~. ,,,.,.\\..,~-, " Co~;,,is~ions Mii lt;;;.< .. ~.>.--
**c* *.. --..
Inspector's Slg~ature National Board, State, Province, and Endorsements . \\ "Date . \\ "o2-? '19 fl (12/82)
I "1 I* Nemeof Componlftt ~~ ~>~-t-He:.elcab~ - fJ '1 He.~/~a1:>1s-,e I HG~lfab1s-H~ HG1?.l~ao1s -HI./ t1G.R/~ab1s-~3 HG/i!./e8tb/5-~ S Nlft'ltof Menuf 1etu rw C'Pcc Cf:'c.o CPco CR:.o cPco CPcc NetlOft.. Menufeotu!W Bod Sett* No. No. .OJA .01A ~IA ,<l //l JJJA JJIA A!)~ NIA ,J IA Al IA tJ IA ,JfA ASMI COde Rep8'f'ld, St~o.d Odlw Vw AIOrlClld, (Vtt . ldefttifladoft 8ullt or AIOlllC9fMm or Nol JJ JA I '1'l~ f1PfPr<t:J,Jo ,iJ I J9 I Cf 9 tc, ~PfA.c~)i tJo ,J JA /~9 I&, Ap111c~d No ~ti\\ 19'1~ /a:,4A.<~~ "10 NIA . /"i9~,ff:PIA<i:-l Jo ,U/A l<:t9t,., APhc~J ~
.J..-,. ~ *. \\.*I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
1. Owner ___ C D..,Nu..S.....
I~IM.uE .... R~S-~P_,O""l... .J._.E_..,R...._.C.... D... 1'.:.i..fP~A..,N'-'Y----- Date--.=3::._-_5_-_g_7 __ Name 27780 Blue Star Mern. Hwy., Covert MI Address
2. Plant Pali sades N11rl ear Pl ant Name 27780 Blue Star Mero Hwy, Covert, MI Address

3. Work Performed by Consumers Power Company Name 27780 BlYsStar lh~
Covert MI A dre;s Sheet_---1, __ of ___ \\ ________ _ Unit __,.,_ ______________ _ Repair Organization P.O. No., Job No.* etc. Type Code Symbol Stamp---1--------- Authorization No. ------1.\\la--------- Expiration Date ____ _,N""A"-"---------
4. ldentifk~ionofSynem~~~e_*_~_.V_~~~~--~~~~~~-~-~--~~~~~,~~~~~--------------

5. (a) Applicable Construction Code B.3 \\ * \\
19.SSEdition, N/A Addenda, ___ N;__.... /_A__;_Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19__,8u.Q;;i___
6. Identification of Components Repaired or Replaced and Replacement Components Name of Component

8. Tests Conducted:
Name of Manufacturer Manufacturer Serial No: N/A_ National Board . *No... Other .Identification. Hydrostatic D Pneumatic D Nominal Operating Pressure&] Other D Pressure _____ psi Test Temp. ° F Year Built
Repaired, Replaced, or Replacement ASME Code Stamped (Yes or No)
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion 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. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
(~ '. FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statement~ made in the repcfrt are corr~ct ~~d this te~\\Ace..:....'";::J:" conforms to the rules of the ASME Code: Section XL repa r or replacement Signed _::::::i#, ~ate ___ -----=3=.,.c-/_5 ___ 19 Owner or Owner's D CERTIFiCATE OF INSERVICE INSPE.CTION I, the undersigned. holding a valid commission issued by the National Board of Boiler and Pressure Vess.ii Inspectors and the State orP~ovinceof Michigan andempl9yedby Protection Mutual of ' lilorwood, MA have inspected *the components 'descri~d in this Owner's 'Report during th~ period It 9(q to /c;).-~ 1-9&. *., , and 'state that '1 to *the best of. my knowledge *and. belief, the Owner, has performed examinations and taken corrective measures described in-thfs 1 ~ ~** \\ ~ c 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 exarr:inations and c~rrectiv~ :neasures, des°cribed in this O~ner's Report. Furthermore.' ne;ther the Inspector.. n~r his employ~r shall be liable iQ any manner for any personal injury or property damage or a loss of any kind arisi,ng. from oriconnected with this I ~ ~://?~ FACTORY MUTUAi ENGiilEERiNG Assa:

~-'----'"-'-.=;.;:;;...~'-'-------Commissions /\\"11'. :ffr,;<

Inspector's Signature National Boe rd, State, Province. and Endorsements Date _____ ---"J'----'t.,=-_19 <f 7: (12/82)}}

ML18067A447

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