Text

Forwards Inservice Insp Rept of Surry Nuclear Power Station Unit 2,2nd Interval,2nd Period
	ML18151A177
Person / Time
Site:	Surry
Issue date:	12/15/1989
From:	Stewart W; Virginia Power (Virginia Electric & Power Co)
To:	; NRC/IRM
Shared Package
ML18151A178	List: ML18151A177; ML20011D386;
References
	89-832, NUDOCS 8912270092
	Download: ML18151A177 (189)
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{{#Wiki_filter:.., e e VIRGINIA ELECTRIC AND POWER COMPANY RICHMOND, VIRGINIA 23261 December 15, 1989 United States Nuclear Regulatory Commission Attention: Document Control Desk Washington, D.C. 20555 Gentlemen: VIRGINIA ELECTRIC AND POWER COMPANY SURRY POWER STATION UNIT 2 INSERVICE INSPECTION

SUMMARY

REPORT Serial No. 89-832 PES/ISI Docket No. 50-281 License No. DPR-37 As set forth in the provisions of ASME Section XI 1980 Edition with Addenda through the Winter 1980 Addendum, enclosed is the lnservice Inspection Summary Report for Surry Power Station Unit 2. This report is an examination summary. Should you require more detailed information, the entire report will be maintained on file at the station and the corporate office. In accordance with IWA-6220, Reports for Class 1 and Class 2 Components, a Form NIS-1, Owner's Report for lnservice Inspections, is provided with this report as Attachment I. The Form NIS-2 Forms, Owner's report for Repair and Replacement, are also provided as Attachment II. Very truly yours, &~~\\\\- w.~~------ Senior Vice President - Nuclear Attachments cc: U. S. Nuclear Regulatory Commission Region II 101 Marietta Street, N.W. Suite 2900 Atlanta, Georgia 30323 Mr. W. E. Holland NRC Senior Resident Inspector Surry Power Station 8912270092 891215 - ------ PDR ADOCK Q5000281 1 ___G_ ---- -- - - - -~~l} ________ )

ISI

SUMMARY

REPORT REC'D W/LTR D'rD 12/15/89.. 8912270092 -NOTICE- -THE A IT ACHED FILES ARE OFFICIAL RE-CORDS OF THE RECORDS & REPORTS MANAGEMENT BRANCH. THEY HAVE BEEN CHARGED TO YOU FOR A LIMITED TIME PERIOD AND MUST BE RETUFNED TO THE RECORDS & ARCHIVES SERVICES SECTION P1-122 WHITE FLINT. PLEASE DO NOT SEND DOCUMENTS CHARGED OUT -THROUGH THE MAIL. REMOVAL -OF ANY PAGE(S) FROM DOCUMENT FOR REPRO-DUCTION MUST BE REFERRED "TO FILE PERSONNEL. -NOTICE-

ATTACHMENT 1 INSERVICE INSPECTION REPORT

INSERVICE INSPECTION REPORT of the Surry Nuclear Power Station Unit 2 P.O. Box 315 Surry, Virginia 23883 for Virginia Electric and Power Company 5000 Dominion Blvd. Glen Allen, Virginia 23060 Commercial Service Date: May 1, 1973 Operating Capacity: 822 MWe (net) Refueling Outage: 2nd Interval, 2nd Period ~--~--~-~- --~ ( 8912270102 891215 PDR ADDCK 05000281 Q PNU

FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules Page 1 of 40

1. Owner Virginia Electric and Power Company,5000 Dominion Blvd.,Glen Allen, (Name and Address of Owner)

VA. 23060

2. Plant Surry Power Station, P.O. Box 315, Surry, VA.

23883 (Name and Address of Plant)

3. Plant Unit -=2 ________ 4. Owner Certificate of Authorization (if required)--'-'N'-"-/_,_A,__ _____ _

5. Commercial Service Date 5/73

7. Components Inspected

6. National Board Number for Unit _,N"-'-'/A""------------

Manufacturer Component or Manufacturer or Installer State or National Appurtenance or Installer Serial No. Province No. Board No. Reactor Vessel Rotterdam 147-1 N/A N/A Steam Gen. B. Westinghouse, Tampa Div. 2792 N/A N/A Class 1 Piping Southwest Fab. N/A N/A N/A Residual Heat Exchanger lA Atlas Industrial 892 N/A 742 Residual Heat Exchanger_ lB Atlas Industrial 893 N/A 743 Seal Water Inj Filter 4A Commercial Filter N/A N/A N/A Seal Water Inj Filter 4B Commercial Filter N/A N/A N/A Class 2 Piping Southwest Fab. N/A N/A N/A Hangers and Supports Class 1, 2, and 3 N/A N/A N/A Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided ( 1) size is 8¥2 in. x I I in., (2) information in items I 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. (12/86) This form (E00029) may be obtained from the Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300.

FORM NIS-1 (Back)

8. Examination Dates 12/02/86 to 09/19/89 9. Inspection Interval from 05/01 /83to 05/01 /93

10. Applicable Editions of Section XI 1980 ___ Addenda Winter 1 80

11. Abstract of Examinations. Include a list of examinations and a statement concerning status of work required for current interval.

See page 05 through 40.

12. Abstract of Conditions Noted. See page 03, 04, and Attachment I

13. Abstract of Corrective Measures Recommended and Taken.

See page 03, 04, and Attachment I. 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, Section XI. Certificate of Authorization No. (if applicable) _________ Expiration Date I(/ r27 W ?;9' Signed VP ;'f2;¢r;-(Z, By2£J~L~,)JT Date Owner CERTIFICATE OF INSERVICE INSPECTION J,, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors ~~d the State or Province of Vi r Ji t..J ~ °' and employed by H S (3..l" + I" C' u of Jlo..rife;rd. J Ci' have inspected.the components described in this Owner's Report during the period

~, I 'do /'6,./ 8' l?

to c; /!q/ 8' 4: , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the inspection plan and as required by the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, cc;mcerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the fnspector 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. _ __,_~___,,e__ ___ j-=--*-*_,~""""'~-'-* .:.__ __ Commissions --~J~a_~-5~l-/_3~---------- Inspector's Signature National Board, State, Province, and Endorsements Date I l/ 'J. 7/ g Cf 19 l

Introduction

Examination Summary Virginia Electric and Power Company Surry Nuclear Power station Unit 2 Refueling outage 2nd Interval, 2nd Period Page 2 of 40 Inservice examinations of Class 1 and Class 2 components and piping were conducted at Surry Power station Unit 2 from December 2, 1986 to September 19, 1989.

Examination procedures were approved prior to the examinations. Certification documents relative to personnel, equipment, -and materials were reviewed and determined to be satisfactory. Inspections, witnessing, and surveillance of the. examinations and related activities were conduct~d by-1 personnel from the Hartford Steam Boiler Inspection and - Insurance Company, One state street, Hartford, CT 06102 (Mr. R.L. Coder)-; Surry station Quality Assurance Department; and Surry technical staff. ~ Limitations Some of.. the arrangements and.details of the* piping system and components were designed and fabricated before the access and examination requirements of Section XI of the 1974 Code could be applied; consequently some examinations are limited or not practical due to geometric configuration or,accessibility. Generally these limitations exist at fitting to fitting joints such as elbow to tee, elbow to valve, reducer to valve, etc., where geometry and sometimes surface condition preclude ultrasonic coupling or access for the required scan length. Examination Examinations were conducted to review as much of the examination zones as was practical within geometric, metallurgical, and physical limitations. When the required ultrasonic examination volume or area could not be examined 100%, the examination was considered to be a partial (PAR) and so noted on the examination report. Generally PARs are noted at fitting to fitting assemblies and in areas where integrally welded supports (lugs, hangers, etc.) preclude access to some part of the examination.

Page 3 of 40 Results Examination of components resulted in a total of 53 components being reported on the basis of procedure recording criteria, which generally are more critical than the specified ASME Section XI.Acceptance Standards.

A summary of the indications and their dispositions follows:.

A) Examination of Flange Bolting on Flange A, ISO VIR-1-4700 - Item 8, revealed an accumulation of boric acid. The bolting was cleaned, reexamined by engineering personnel, and found acceptable. B) Examination of Flange Bolting on FE-491 on ISO VIR~l-4700 - Item 6, revealed an accumulation of boric acid. The bolting was cleaned, reexamined by engineering personnel, and found acceptable * . C) Examinationof *Flange-Bolting on Flange A on ISO

VIR-1-4700 -

Item 16, revealed an-accumulation of boric acid. *** The bolting--..was cleaned, reexamined by engineering Fersonnel, and found;acceptable

D) **The integral attachment weld on Class 2 Hanger #37"'""".

on drawing MKS-103A2 was rejected due to-a linear indication found during NDE examination. The indication was ground out and repaired by welding. Additional integral attachments were inspected as -require,d by ASME Section. XI, IWC-2430. No other deficiencies were identified.

- E) *The-* following spring can supports were inspected as part of the IWF inspection program.

It was

determined that the spring can settings were out of tolerance.

This condition were addressed and corrected under EWR 88-309: MKS-103Al H03 MKS-103Al H06 MKS-103Al HOB MKS-112Sl H26 MKS-112Sl H27 MKS-117Al H02 MKS-117Al H03 MKS-117Al HOS 'MKS-117Al H09 MKS-117Al H13 MKS-117Al H14 MKS-117Al H28A MKS-122Hl H18 MKS-123Gl MKS-123G2 MKS-123Ql MKS-123Q2 MKS-124Al MKS-124Al MKS-125Al MKS-125Al MKS-127Gl MKS-2045Al MKS-2122A8 MKS-2122A14 MKS-2122A15 H96 HOl H59 H91 H12 Hl8 H09 HlO H13 H04 HOS HOl HOl j

MKS-122Hl H20 MKS-122Jl H04 MKS-123El H64 MKS-SHP-1 H117 MKS-SHP-2 H116 MKS-CH-8 MKS-RC-9 MKS-SHP-1 MKS-SHP-2 Page 4 of 40 H15 H02 H17 Hl6 F) The following supports were inspected as part of the IWF inspection program. Conditions reported on the examination reports required corrective action. This corrective action was accomplished and documented in EWR 88-309:

1)

MKS-117Al, H17: 1/2 11 bolt not fully engaged.

2)

MK~-117~1, H20: Loose locking nuts.

3)

MKS-117Al, H28: Loose locking nuts.

4)

MKS-118Al, H04: Rust and dirt inside spring can.

5)

MKS-118A2, H05: Rust and dirt inside spring can. . 6) MKS-118A2,. .H06:. Rust and dirt *inside.spring can.

7)

MKS-123Gl, H9 6: 1 -*Loose bolt.

8)

MKS-123Ql,

H54:
Weld missing*for brace and gauge on.. support member.

9) * *MKS-2122A17,.HOB:

- . 5/8 II gap*around top of wall-*

mounted support plate.

10)

MKS-NSL-1, H07: Hanger is not in tension (not supporting pipe).

11),
MKS-NSL-1,
HOB:.Angle iron support bracket -

broken; U-Bolt fastening nuts missing.

12)

MKS-RC-lA, H04: Bent rod. G) Welds 4 and 5 on VIR-1-4209 were rejected due to flaw sizes in excess of the NDE procedure acceptance criteria. The scope of examinations was expanded as required by.ASME Section XI, IWB-2430. The results of these expanded scope exams as well as the disposition of all Category BJ, Item B9.40 welds examined was addressed in EWR 88-412. For a summary of the results of this EWR, see Attachment I.

Abstract of Examinations Page 5 of 40 November 17, 1989

n~TEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM F-C F3.10 CC5 HOl VT F-C

.FJ.20 CC5 HOl VT F-C F3.30 CC5 HOl VT F-C F3.40 CC5 HOl VT F-C F3.10 CC5 H02 VT F-C F3.20 CC5 H02 VT F-C F3.30 CC5 H02 VT F-C F3.10 CC5 H03 VT F-C F3.20 CC5 H03 VT F-C F3.30 CC5 H03 VT F-C F3.10 CC5 H04 VT F-C F3.20 CC5 H04 VT F-C F3.30 CC5 H04 VT F-C F3.10 CC5 H05 VT F-C F3.20 CC5 H05 VT F-C F3.30 CC5 H05 VT F-C F3.10 CC5 H06 VT F-C F3.20 CC5 H06 VT F-C F3.30 CC5 H06 VT F-C F3.10 CC5 H08A VT F-C F3.20 CC5 H08A VT F-C F3.30 CC5 H08A VT F-C F3.10 CC6 HOl VT

=~

F3.20 CC6 HOl VT F3.30 CC6 HOl VT -c F3.10 CC6 H02 VT F-C F3.20 CC6 H02 VT F-C F3.30 CC6 H02 VT F-C F3.10 CC6 H03 VT F-C F3.20 CC6 H03 VT F-C F3.30 CC6 H03 VT F-C F3.10 CC6 H04 VT F-C F3.20 CC6 H04 VT F-C F3.30 CC6 H04 VT F-C F3.10 CC6 HOS VT F-C F3.20 CC6 H05 VT F-C F3.30 CC6 H05 VT F-C F3.10 CC6 H06 VT F-C F3.20 CC6 H06 VT F-C F3.30 CC6 H06 VT F-C F3.10 CC6 H07 VT F-C F3.20 CC6 H07 VT F-C F3.30 CC6 H07 VT F-C F3.10 CC6 HOS VT F-C F3.20 CC6 HOS VT F-C F3.30 CC6 HOS VT F-C F3.10 CC6 H09 VT F-C F3.10 CC28 H02A VT -~ F3.20 CC28 H02A VT F3.30 CC28 H02A VT C F3.10 CC37 HOlA VT

Page G of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM -~ F3.10 CC41 HOlA VT F3. 30 CC41 HOlA VT F-C F3.10 CC48 H02A VT F-C F3.30 . CC48 ,H02A VT F-C F3.10 CHl H02A VT F-C F3.30 CHl H02A VT F-C F3.10 CHl H04B VT F-C F3.20 CHl H04B VT F-C F3.30 CHl H04B VT F-C F3.10 CH7 HOl VT F-C F3.30 CH7 HOl VT F-C F3.10 CH7 H02 VT F-C F3.30 CH7 H02 VT F-C F3.10 CH7 H03 VT F-C F3.30 CH7 H03 VT F-C F3.10 CH7 H04 VT F-C F3.30 CH7 H04 VT F-C F3.10 CH7 H05 VT F-C F3.30 CH7 H05 VT F-C F3.10 CH7 HOG VT F-C F3.30 CH7 HOG VT F-C F3.10 CH7 H07 VT F-C F3.30 CH7 H07 VT F-C F3.10 CHS Hl4A . VT F-C F3.20 CHS Hl4A VT --c F3.30 CHS H14A VT -c F3.10 CHS H15 VT -c F3.30 CHS -, H15 VT F-C F3.40 CHS H15 VT F-C .F3. 50 .CHS .Hl5 VT F-C F3.10 CHS HlG VT F-C F3.30 CHS HlG VT F-C F3.40 CHS HlG VT F-C F3.50 CHS HlG VT F-C

F3.10 CH9 Hl5 VT F-C F3.20 CH9 H15 VT F-C F3.30 CH9 Hl5 VT F-C F3.10 CH9 HlG VT F-C F3.30 CH9 HlG VT F-C F3.10 CH9 H17 VT F-C F3.30 CH9 Hl7 VT F-C F3.10 CH9 H18 VT F-C F3.20 CH9 H18 VT F-C F3.30 CH9 Hl8 VT F-C F3.10 CHll HOl VT F-C F3.30 CHll HOl VT F-C F3.40 CHll HOl VT F-C F3.10 CHll HOlA VT F-C F3.10 CHll H02 VT F-C F3.30 CHll H02 VT

.g F3.10

CHll H04 VT F3.30 CHll H04 VT

Page 7 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM

~

F3.40 CHll H04 VT F3.10 CHll H04A VT F-C F3.30 CHll H04A VT F-C F3.* 40 .CHll H04A VT F-C F3.10 CHll H05 VT F-C F3.30 CHll H05 VT F-C F3.10 CHll H07 VT F-C F3.30 CHll H07 VT F-C F3.40 CHll H07 VT F-C F3.10 CHll H07A VT F-C F3.30 CHll H07A VT F-C F3.40 CHll H07A VT F-C F3.10 CHll HOB VT F-C F3.10 CHll HlO VT F-C F3.30 CHll HlO VT F-C F3.10 CHll H12 VT F-C F3.30 CHll Hl2 VT F-C F3.10 CHll H14 VT F-C F3.30 CHll H14 VT F-C F3.40 CHll H14 VT F-C F3.10 CHll H15 VT F-C F3.30 CHll H15 VT F-C F3.10 CHll H16 VT F-C F3.30 CHll H16 VT F-C F3.10 CHll H17 VT --c F3.30 CHll H17 VT -c F3.10 CHll

Hl9 VT

-c F3.30 CHll H19 VT F-C F3.10 CHll H20 VT . F-C F3.3b CHll H20 VT F-C F3.10 CHll H21 VT F-C F3.30 CHll H21 VT F-C F3.10 CHll H22 VT F-C F3.30 CHll H22 VT F-C F3.10 CH13 HOl VT F-C F3.30 CH13 HOl VT F-C F3.10 CH13 HOlA VT F-C F3.30 CH13 HOlA VT F-C F3.10 CH13 H02 VT F-C F3.30 CH13 H02 VT F-C F3.10 CH13 H03 VT F-C F3.30 CH13 H03 VT F-C F3.10 CH13 H04 VT F-C F3.30 CH13 H04 VT F-C F3.10 CH13 H05 VT F-C F3.20 CH13 H05 VT F-C F3.30 CH13 H05 VT F-C F3.10 CH13 H06 VT F-C "F3.30 CH13 "H06 VT F-C F3.10 CH13 HOB VT -~ F3.30

CH13 HOB VT F3.10 CH13 H09 VT

Page 8 of 40 November 17, 1989 CATEGORY .ITEMNUMBER ISOMETRIC COMPONENT EXAM -~ F3.30 CH13 H09 VT F3.10 CH14 HOl VT F-C F3.30 CH14 HOl VT F-C F3.10 CH14 H02 VT F-C F3.30 CH14 H02 VT F-C F3.10 CH14 H03 VT F-C F3.30 CH14 H03 VT F-C F3.10 CH14 H03A VT F-C F3.30 CH14 H03A VT F-C F3.10 CH14 H04 VT F-C F3.30 CH14 H04 VT F-C F3.10 CH14 HOS VT F-C F3.30 CH14 HOS VT F-C F3.10 CH14 H06 VT F-C F3.30 CH14 H06 VT F-C F3.10 CHlS H03 VT F-C F3.30 CHlS H03 VT F-C F3.10 CHlS H04 VT F-C F3.30 CHlS H04 VT F-C F3.10 CHlS HOS VT F-C F3.30 CHlS HOS VT F-C F3.10 CHlS H06 VT F-C F3.30 CHlS H06

vT F-C F3.10 CHlS H07 VT F-C F3.30 CHlS H07 VT

--c 1 F3.10 CHlS HOS VT -c F3.30 CHlS HOS VT -c F3.10 CHlS H09 VT F-C F3.30 CHlS H09 VT F-C F3.10 CH15 HlO .VT F-C F3.30 CHlS HlO VT F-C F3.10 CHlS Hll VT F-C F3.30 CHlS Hll VT F-C F3.10 CHlS H12 VT F-C F3.30 CHlS H12 VT F-C F3.10 CH15 H13 VT F-C F3.30 CHlS H13 VT F-C F3.10 CH16 HOl VT F-C F3.30 CH16 HOl VT F-C F3.10 CH16 H02 VT F-C F3.20 CH16 H02 VT F-C F3.30 CH16 H02 VT F-C F3.10 CH17 HOl VT F-C F3.30 CH17 HOl VT F-C F3.10 CH17 H02 VT F-C F3.30 CH17 H02 ~ VT F-C F3.10 CH17 H03 VT F-C F3.20 CH17 H03 VT F-C F3.10 CH18 - HOl VT F-C F3.30 CH18 HOl VT - -~ F3.10 CH18 H03 VT F3.20 CH18 H03 VT

Page 9 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM

~

F3.30 CH18 H03 VT F3.40 CH18 H03 VT --F-C F3.10 CH18 H04 VT F-C F3.30 CH18 H04 VT F-C F3.10 CH18 H06 VT F-C F3.20 CH18 H06 VT F-C F3.30 CH18 H06 VT F-C F3.10 CH18 H07 VT F-C F3.30 CH18 H07 VT F-C F3.10 CH18 H09 VT F-C F3.20 CH18 H09 VT F-C F3.30 CH18 H09 VT F-C F3.10 CH18 HlO VT F-C F3.30 CH18 HlO VT F-C F3.10 CH18 H12 VT F-C F3.30 CH18 H12 VT . F-C F3.10 CH18 Hl4 VT F-C F3.30 CH18 H14 VT F-C F3.10 CH18 H15 VT F-C F3.30 CH18 H15 VT F-C F3.10 CH19 HOl VT F-C F3.30 CH19 HOl VT F-C F3.10 CH19 H02 VT F-C F3.30 CH19 H02 VT F-C F3.10 CH19 H02A VT 9=g ' F3. 30 CH19 H02A VT F3.10

CH19

. H02B VT -c F3.30 CH19

H02B VT F-C F3.10 CH20 H02 VT F-C F3.30 CH20 H02 VT F-C F3.10 CH24 HOl VT F-C F3.30 CH24 HOl VT F-C F3.40 CH24 HOl VT F-C F3.10 CH24 H02A VT F-C F3.30 CH24 H02A VT F-C F3.10 CH24 H02B VT F-C F3.30 CH24 H02B VT F-C F3.10 CH24 H03 VT F-C F3.30 CH24 H03 VT F-C F3.10 CH24 H04 VT F-C F3.30 CH24 H04 VT F-C F3.10 CH24 H05 VT F-C F3.30 CH24 H05 VT F-C F3.10 CH25 H205 VT F-C F3.30 CH25 H205 VT F-C F3.40 CH25 H205 VT F-C F3.10 CH25 H219 VT F-C F3.30 CH25

. H219 VT F-C F3.10 CH25

H220 VT F-C F3.30 CH25 H220 VT

-g F3.10 .CH26 Hl97 VT F3.30 CH26 H197 VT

Page 10 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM -~ F3.10 CH26 H198 VT F3.30 CH26 H198 VT F-C F3.40 'CH26 Hl98 VT F-C F3.10 CH26 . H200 VT F-C F3.30 CH26 H200 VT F-C F3.10 CH26 H201 VT F-C F3.10 CH28 HOl VT F-C F3.30 CH28 HOl VT F-C F3.10 CH28 H02 VT F-C F3.30 CH28 H02 VT F-C F3.10 CH28 H03 VT F-C F3.10 CH28 H05 VT F-C F3.30 CH28 H05 VT F-C F3.30 CH28 H03 VT F-C F3.10 CH29 HOl VT F-C F3.30 CH29 HOl VT F-C F3.10 CH30 HOl VT F-C F3.30 CH30 HOl VT F-C F3.10 CH30 H02 VT F-C F3.30 CH30 H02 VT F-C F3.10 CH30 H03 VT F-C F3.30

CH30 H03 VT F-C F3.10 CH30 H04 VT F-C F3.30 CH30 H04 VT F-C F3.10 CH30 H04B VT

.-c F3.30 CH30 H04B VT -c F3.10 CH30 H05 VT -c F3.30 CH30 H05 VT F-C F3.10 CH31 HOl VT F-C F3.30 CH31 HOl VT F-C F3.10 CH31 H02 VT F-C F3.30 CH31 H02 VT F-C F3.10 CH33 HOl VT F-C F3.30 CH33 HOl VT F-C F3.10 CH33 H221 VT F-C F3.30 CH33 H221 VT F-C F3.10 CH33 H222A VT F-C F3.30 CH33 H222A VT F-C F3.10 CH33 H226 VT F-C F3.30 CH33 H226 VT F-C F3.10 CH33 H228 VT F-C F3.30 CH33 H228 VT F-C F3.10 CH33 H229 VT F-C F3.30 CH33 H229 VT F-C F3.10 CH34 HOl VT F-C F3.30 CH34 HOl VT F-C F3.40 CH34 HOl VT F-C F3.10 CH34 H02 VT F-C 'F3o30 CH34 H02 VT F-C F3.10 CH34 H04 VT .-c F3.30 ,CH34 H04 VT -c F3.10 CH34 H220 VT

Page 11 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM --g F3.30 CH34 H220 VT F3.10 CH34 H221 VT F-C F3.30 CH34 H221 VT F-C .F3.10 .CH34 .,.H222 VT F-C F3.30 CH34 H222 VT F-C F3.40 CH34 H222 VT F-C F3.10 CH34 H223 VT F-C F3.30 CH34 H223 VT F-C F3.10 CH34 H226 VT F-C F3.30 CH34 H226 VT F-C F3.10 CH38 HOlA VT F-C F3.30 CH38 HOlA VT F-C F3.10 CH38 H02 VT F-C F3.30 CH38 H02 VT F-C F3.10 CH38 H03 VT F-C F3.30 CH38 H03 VT F-C F3.10 CH38 H03D VT F-C F3.20 CH38 H03D VT F-C F3.30 CH38 H03D VT F-C F3.40 CH38 H03D VT F-C F3.10 CH47 HOl VT F-C F3.30 CH47 HOl VT F-C F3.10 CH47 HOlA VT F-C F3.30 CH47 HOlA VT F-C F3.10 CH47 HOlB VT .-c F3.30 CH47 HOlB VT -c F3.10 CH47 HOlC VT -c F3.30 CH47 HOlC VT F-C F3.10 CH47 H01D VT F-C F3.30 CH47 H01D VT F-C F3.10 CH59 H03 VT F-C F3.30 CH59 H03 VT F-C F3.10 CS1 HOl VT F-C F3.20 CS1 HOl VT F-C F3.30 CS1 HOl VT F-C F3.10 CS1 HOlA VT F-C F3.20 CS1 HOlA VT F-C F3.30 CS1 HOlA VT F-C F3.40 CS1 HOlA VT F-C F3.10 CS1 H02 VT F-C F3.20 CS1 H02 VT F-C F3.30 CS1 H02 VT F-C F3.10 CS1 H02A VT F-C F3.30 CS1 H02A VT F-C F3.10 CS2 HOl VT F-C F3.20 CS2 HOl VT F-C F3.30 CS2 HOl VT F-C F3.10 CS2 H02 VT F-C F3.20 CS2 H02 VT F-C F3.30 CS2 H02 VT .g F3.10 CS2 H03 VT F3.20 CS2 H03 VT

Page 12 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM -~ F3.30 CS2 H03 VT F3.10 CV2 HOl VT F-C F3.20 CV2 HOl VT F-C F3.30 CV2 .. HQl VT F-C F3.10 DG3 H07 VT F-C F3.30 DG3 H07 VT F-C F3.10 MKS-0103Al H05 VT F-C F3.20 MKS-0103Al H05 VT F-C F3.30 MKS-0103Al H05 VT F-C F3.40 MKS-0103Al H05 VT F-C F3.50 MKS-0103Al H05 VT F-C F3.10 MKS-0103Al HOG VT F-C F3.30 MKS-0103Al HOG VT F-C F3.40 MKS-0103Al HOG VT F-C F3.50 MKS-0103Al HOG VT F-C F3.10 MKS-0103Al H07 VT F-C F3.20 MKS-0103A1 H07 VT F-C F3.30 MKS-0103Al H07 VT F-C F3.40 MKS-0103Al H07 VT F-C F3.50 MKS-0103A1 H07 VT F-C F3.10 MKS-0103Al HOS VT F-C . F3. 30 MKS-0103Al HOS VT F-C F3.40 MKS-0103Al HOS VT F-C F3.50 MKS-0103Al HOS VT F-C F3.10 MKS-0103Al H09 VT --c ., F3.20 MKS-0103Al H09 VT -c F3.30

MKS-0103Al H09 VT

-c F3.40 MKS-0103Al H09 VT F-C F3.50

.MKS-0103Al H09 VT c-c C3.40 MKS-0103Al H34 MT F-C F3.10
MKS-0103Al H34 VT F-C F3.20
MKS-0103Al H34 VT F-C F3."30 MKS-0103Al H34 VT c-c C3.40 MKS-0103Al H35 MT F-C F3.10 MKS-0103Al H35 VT F-C F3.30 MKS-0103Al H35 VT c-c C3.40 MKS-0103A2 H3G MT F-C F3.10 MKS-0103A2 H3G VT F-C F3.20 MKS-Ol03A2 H3G VT F-C F3.30 MKS-0103A2 H3G VT F-C F3.40 MKS-0103A2 H3G VT F-C F3.50 MKS-0103A2 H3G VT c-c C3.40 MKS-0103A2 H37 MT F-C F3.10 MKS-0103A2 H37 VT F-C F3.20 MKS-0103A2 H37 VT F-C F3.30 MKS-0103A2 H37 VT F-C F3.40 MKS-0103A2 H37 VT F-C F3.50 MKS-0103A2 H37 VT c-c

,. *C3. 40 MKS-0103A2

- H38 MT F-C F3.10 MKS-0103A2 H38 VT

.~ F3.20 MKS-0103A2 H38 VT F3.40 MKS-0103A2 H38 VT

Page 13 of 40 November 17, 1989 CATEGORY. ITEMNUMBER ISOMETRIC COMPONENT EXAM -~ F3.50 MKS-0103A2 H38 VT F3.10 MKS-0103A2 H39 VT F-C F3.20 MKS-0103A2 H39 VT F-C F3.30 MKS-0103A2 H39 VT F-C F3.40 MKS-0103A2 H39 VT F-C F3.50 MKS-0103A2 H39 VT F-C F3.10 MKS-0103A2 H40 VT. F-C F3.20 MKS-0103A2 H40 VT F-C F3.30 MKS-0103A2 H40 VT F-C F3.40 MKS-0103A2 H40 VT F-C F3.50 MKS-0103A2 H40 VT F-C F3.10 MKS-0103A2 H41 VT F-C F3.20 MKS-0103A2 H41 VT F-C F3.30 MKS-0103A2 H41 VT F-C F3.40 MKS-0103A2 H41 VT F-C F3.50 MKS-0103A2 H41 VT F-C F3.10 MKS-0103A2 H60 VT F-C F3.20 MKS-0103A2 H60 VT F-C . F3. 30 MKS-0103A2 H60 VT F-C F3.40 MKS-0103A2 H60 VT F-C F3.50 MKS-0103A2 H60 VT F-C F3.10 MKS-0103A2 H61 VT F-C F3. 20

,MKS-0103A2 H61 VT F-C F3.30

. MKS-0103A2 H61 VT F-C \\ F3.40 MKS-0103A2 H61 VT --c F3.50 . MKS-0103A2 H61 VT -c 'F3.10 MKS-0103A2

H62 VT

-c F3.20 MKS-0103A2 . H62 VT F-C F3.30 MKS-0103A2 H62 VT F-C F3.40 MKS-0103A2 H62 VT F-C F3.50 MKS-0103A2 H62 VT F-C F3.10

MKS-0103A2

. H63 VT F-C F3.30 MKS-0103A2 H63 VT F-C F3.40 MKS-0103A2 H63 VT F-C F3.50 MKS-0103A2 H63 VT F-C F3.10 MKS-0103A2 H64 VT F-C F3.30 MKS-0103A2 H64 VT F-C F3. 40

MKS-0103A2 H64 VT F-C F3.50 MKS-0103A2 H64 VT F-C F3.10 MKS-Ol03A2 H65 VT F-C F3.20 MKS-0103A2 H65 VT F-C F3.. 30 MKS-0103A2 H65 VT F-C F3.40 MKS-0103A2 H65 VT F-C F3.50 MKS-0103A2 H65 VT F-C F3.10 MKS-0103A2 H79 VT F-C F3.30 MKS-0103A2 H79 VT F-C F3.10 MKS-0103A2 H81 VT F-C F3.30 MKS-0103A2 H81 VT F-C F3.10 MKS-0103A2 H83 VT F-C F3.30 MKS-0103A2 H83 VT

-~ F3.10 MKS-0112AA1 H38C VT F3.20 MKS-0112AA1 H38C VT

Page 14 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM .g F3.30 MKS-0112AA1 H38C VT F3.10 MKS-0112AA1 H38D VT F-C F3. 20 .. MKS-0112AA1 H38D VT ,F-C F3.30 MKS-0112AA1 .H38D VT F-C . F3. 40 MKS-0112AA1 .. H38D VT F-C F3.50 MKS-0112AA1 H38D VT F-C F3.10 MKS-0112AB1 H18 VT F-C F3.30 MKS-0112AB1 H18 VT F-C F3.40 MKS-0112AB1 Hl8 VT F-C F3.50 MKS-0112AB1 Hl8 VT F-C F3.10 MKS-0112AB1 H19 VT F-C F3.10 MKS-0112AB1 H25A VT F-C F3.30 MKS-0112AB1 H25A VT F-C F3.10 MKS-0112AB1 H25E VT F-C F3.30 MKS-0112AB1 H25E VT F-C F3.10 MKS-0112Sl H26 VT F-C F3.30 MKS-0112Sl H26 VT F-C F3.40 MKS-0112Sl H26 VT .F-C F3.50 MKS-0112Sl H26 VT F-C F3.10 MKS-0112Sl H27 VT F-C F3. 30 MKS-0112Sl H27 VT F-C F3.40 MKS-0112Sl H27 VT F-C F3.50 MKS-0112Sl H27

VT
-F-C F3.10 MKS-01'12Sl

. H44 VT F-C F3.30 MKS-0112Sl H44 VT --c F3.10 .. MKS-0112S2 HOl VT -c F3.20

- MKS-0112S2
HOl

~- *vT*.... -c F3.30 MKS-0112S2 HOl VT F-C F3.40 MKS-0112S2 HOl VT F-C F3.50 MKS-0112S2 HOl VT F-C F3.10 MKS-0112S2 HOlA VT F-C F3.20 MKS-0112S2 HOlA VT F-C F3.30 MKS-0112S2 HOlA VT F-C F3.40 . MKS-0112S2 HOlA VT F-C F3.50 MKS-0112S2 HOlA VT F-C F3.10 MKS-0112S2 H01B VT F-C F3.30 MKS-0112S2 H01B VT F-C F3.40 MKS-0112S2 H01B VT F-C F3.10 MKS-0112S2 HOB VT F-C F3.30 MKS-0112S2 HOB VT F-C F3.10 MKS-0112S2 HlO VT F-C F3.20 MKS-0112S2 HlO VT F-C F3.30 MKS-0112S2 HlO VT F-C F3.40 MKS-0112S2 HlO VT F-C F3.10 MKS-0112S3 Hl6 VT F-C F3.30 MKS-0112S3 Hl6 VT F-C F3.10 MKS-0112S3 H18 VT F-C F3.30 MKS-0112S3 H18 VT F-C

F3. 40 MKS-0112S3 H18 VT F-C F3.10 MKS-0112S3 Hl9 VT

-~c F3.30

. MKS-0112S3 H19 VT

-c F3.40 MKS-0112S3 H19 VT

Page 15 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM .g F3.10 MKS-0112S3 H19A VT . F3.10 MKS-0112S3 H23 VT F-C F3.30 MKS-01l2S3 H23 VT F-C F3.10 MKS-0117Al H02 VT F-C F3.30 MKS-0117Al H02 VT F-C F3.40 MKS-0117Al H02 VT F-C F3.50 MKS-0117Al H02 VT F-C F3.10 MKS-0117Al H03 VT F-C F3.30 MKS-0117Al H03 VT F-C F3.40 MKS-0117Al H03 VT F-C F3.50 MKS-0117Al H03 VT F-C F3.10 MKS-0117Al H05 VT F-C F3.30 MKS-0117Al H05 VT F-C F3.40 MKS-0117Al H05 VT F-C F3.50 MKS-0117Al H05 VT F-C F3.10 MKS-0117Al HOG VT F-C F3.30 MKS-0117Al HOG VT F-C F3.40 MKS-0117Al HOG VT F-C F3.50 MKS-0117Al HOG VT F-C F3.10 MKS-0117Al H07 VT F-C F3.30 MKS-0117Al H07 VT F-C F3.40 MKS-0117Al H07 VT F-C F3.50 MKS-Oll 7Al.. H07 VT F-C F3.10 .MKS-011*7Al HOS VT F-C F3.30 MKS-0117Al HOS VT --c F3.40

MKS-Oll 7Al
HOS VT

-c F3.50 MKS-0117Al HOS VT.. -c F3.10

MKS-Oll 7Al H09 VT F-C F3.30 MKS-0117Al H09 VT F-C F3.40 MKS-0117Al H09 VT F-C F3.50 MKS-0117Al H09 VT F-C F3.10 MKS-0117Al HlO VT F-C F3.30 MKS-0117Al HlO VT F-C F3.40 MKS-0117Al HlO VT F-C F3.50 MKS-0117Al HlO VT F-C F3.10 MKS-0117Al Hll VT F-C F3.30 MKS-0117Al Hll VT F-C F3.40 MKS-0117Al Hll VT F-C F3.50 MKS-0117Al Hll VT F-C F3.30 MKS-0117Al Hl3 VT F-C F3.40 MKS-0117Al H13 VT F-C F3.50 MKS-0117Al H13 VT F-C F3.10 MKS-0117Al H14 VT F-C F3.30 MKS-0117Al H14 VT F-C F3.40 MKS-0117Al H14 VT F-C F3.50 MKS-0117Al H14 VT F-C F3.10 MKS-0117Al H15 VT F-C F3.10 MKS-0117Al Hl5A VT F-C F3.30 MKS-0117Al
- H15A VT F-C F3.40 MKS-0117Al Hl5A VT

-~ F3.50 .... MKS-Oll 7Al Hl5A VT F3.10 MKS-0117Al HlG VT

Page 16 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM --g F3.30 MKS-0117Al H16 VT F3.40 MKS-0117Al H16 VT F-C F3.50 MKS-0117Al Hl6 VT F-C .F3.10 MKS-0117Al H17 VT F-C F3.30 MKS-0117Al H17 VT F-C F3.40 MKS-0117Al H17 VT F-C F3.50 MKS-0117Al H17 VT F-C F3.10 MKS-0117Al H20 VT F-C F3.30 MKS-0117Al H20 VT F-C F3.40 MKS-0117Al H20 VT F-C F3.10 MKS-0117Al H21 VT F-C F3.30 MKS-0117Al H21 VT F-C F3.40 MKS-0117Al H21 VT F-C F3.50 MKS-0117Al H21 VT F-C F3.10 MKS-0117Al H25 VT F-C F3.30 MKS-0117Al H25 VT F-C F3.40 MKS-0117Al H25 VT F-C F3.50 MKS-0117Al H25 VT F-C F3.10 MKS-0117Al H26 VT F-C F3.30 MKS-0117Al H26 VT F-C F3.40 MKS-0117Al H26 VT F-C F3.50 MKS-0117Al H26 VT F-C F3.10 MKS-0117Al H27 .VT F-C F3.30 MKS-0117Al H27 VT* F-C F3.40 MKS-0117Al H27 VT --c F3.50 MKS-0117Al H27 VT -c F3.10 MKS-0117Al H28 .*VT. -c F3.30 MKS-0117Al H28 VT F-C F3.40 MKS-0117Al H28 VT F-C F3.50 MKS-0117Al H28 VT F-C F3.10 MKS-0117Al H28A VT F-C F3.30 MKS-0117Al H28A VT F-C F3.40 MKS-0117Al H28A VT F-C F3.50 MKS-0117Al H28A VT F-C F3.10 MKS-0117Al H29 VT F-C F3.30 MKS-0117Al H29 VT F-C F3.40

MKS-Oll 7Al H29 VT F-C F3.50 MKS-0117Al H29 VT F-C F3.10 MKS-0117Al H30 VT F-C F3.30 MKS-0117Al H30 VT F-C F3.40 MKS-0117Al H30 VT F-C F3.50 MKS-0117Al H30 VT F-C F3.10 MKS-0117Al H31 VT F-C F3.30 MKS-0117Al H31 VT F-C F3.40 MKS-0117Al H31 VT F-C F3.50 MKS-0117Al H31 VT F-C F3.10 MKS-0117Al H32 VT F-C F3.30 MKS-0117Al H32 VT F-C F3.40 MKS-0117Al H32 VT F-C F3.50 MKS-0117Al H32 VT

.g F3.10 ... MKS-Oll 7Al H32A VT F3.30 MKS-0117Al H32A VT

Page 17 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM --~ F3.40

MKS-0117Al H32A VT F3.50 MKS-0117A1 H32A VT F-C F3.10 "MKS-0117A1 H34 VT F-C F3.30 MKS-0117Al

-H34 VT F-C F3.40 MKS-0117Al H34 VT F-C F3.50 MKS-0117Al H34 VT F-C F3.10 MKS-0117A1 H35 VT F-C F3.30 MKS-0117A1 H35 VT F-C F3.40 MKS-0117A1 H35 VT F-C F3.50 MKS-0117A1 H35 VT F-C F3.10 MKS-0117A1 H37

VT F-C F3.30 MKS-0117Al H37 VT F-C F3.40 MKS-0117A1 H37 VT F-C F3.50

-MKS-0117Al H37

VT*

F-C F3.10 MKS-0117Bl H01 VT F-C F3.30 MKS-0117Bl HOl VT F-C F3.10 MKS-0117B1 H07 VT F-C F3.30 MKS-0117Bl H07 VT F-C F3.40 MKS-0117Bl H07 VT F-C F3.50 MKS-0117B1 H07 VT F-C F3.10 MKS-0117Bl Hll VT F-C F3.30 MKS-0117B1 H11 -VT F-C F3.40 MKS-0117Bl H11 VT F-C F3.50 MKS-Ol'l 7B1 H11 VT F-C F3.10 MKS-0117Bl H13 VT .-c F3.30

MKS-0117Bl H13

. VT -c F3.40 "MKS-0117Bl H13 "VT***. -c F3.10 MKS;_0117Bl H14 VT F-C F3. 20 MKS-0117B1 H14 VT F-C F3.30 MKS-0117B1 H14 VT F-C F3.40 MKS-0117Bl H14 VT F-C F3.10 MKS-0117Bl H18A VT F-C F3.30 MKS-0117Bl H18A VT F-C F3. 40

MKS-0117Bl H18A VT F-C F3.50 MKS-0117Bl H18A VT F-C F3.10 MKS-0117Bl H28 VT F-C F3.30 MKS-0117Bl H28 VT F-C F3.40 MKS-0117Bl H28 VT F-C F3.50 MKS-0117Bl H28 VT F-C F3.10 MKS-0118Al H02 VT F-C F3.20 MKS-0118Al H02 VT F-C F3.30 MKS-0118A1 H02 VT F-C F3.40 MKS-0118Al H02 VT F-C F3.50 MKS-0118A1 H02 VT F-C F3.10 MKS-0118Al H03 VT F-C F3.20 MKS-0118A1 H03 VT F-C F3.30 MKS-0118Al H03 VT F-C F3.40 MKS-0118Al H03 VT F-C F3.50 MKS-0118Al H03 VT F-C F3.10 MKS-0118A1 H04 VT

~ F3.20 ,,MKS-0118A1 H04 VT F3.30 MKS-0118Al H04 VT

Page 18 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM -g F3.40 MKS-0118Al H04 VT F3.50 MKS-0118Al H04 VT F-C F3.10 MKS-0118Al HOS VT F-C F3.20 MKS-0118Al HOS VT F-C F3.10 MKS-0118A2 H05 VT F-C F3.20 MKS-0118A2 H05 VT F-C F3.30 MKS-0118A2 H05 VT F-C F3.40 MKS-0118A2 H05 VT F-C F3.50 MKS-0118A2 H05 VT F-C F3.10 MKS-0118A2 H06 VT F-C F3.20 MKS-0118A2 H06 VT F-C F3.30 MKS-0118A2 H06 VT F-C F3.40 MKS-0118A2 H06 VT F-C .F3. 50

MKS-0118A2 H06 VT F-C F3.10 MKS-Oll8A2 H29 VT F-C F3.20 MKS-0118A2 H29 VT F-C F3.30 MKS-0118A2 H29 VT F-C F3.10 MKS-0118A2 H32 VT F-C

. F3.20 MKS-0118A2 H32 VT F-C F3.30 MKS-0118A2 H32 VT F-C F3.10 MKS-0119Al HOl VT F-C F3.30 MKS-0119Al HOl VT F-C F3.10 MKS-0119A1 H02 VT F-C F3.20 MKS-0119A1* H02 VT F-C F3.30 MKS-0119A1 H02 VT .-c F3.40 MKS-0119A1 H02 VT -c F3.50

. MKS-0119A1 H02 VT

-c F3.10 MKS-0119A2 HOl VT F-C F3.30 MKS-0119A2 HOl VT F-C F3.10 MKS-0119A2 H02 VT F-C F3.20 MKS-0119A2 H02 VT F-C F3.30 MKS-0119A2 H02 VT F-C F3.40 MKS-0119A2 H02 VT F-C F3.50 MKS-0119A2 H02 VT F-C F3.10 MKS-0122Hl HOS VT F-C F3.30 MKS-0122Hl HOS VT F-C F3.10 MKS-0122Hl H08A VT F-C F3.30 MKS-0122H1 H08A VT F-C F3.10 MKS-0122Hl HOBB VT F-C F3.20 MKS-0122Hl HOBB VT F-C F3.30 MKS-0122Hl HOBB VT F-C F3.10 MKS-0122Hl H08C VT F-C F3.30 MKS-0122Hl H08C VT F-C F3.10 MKS-0122Hl H09 VT F-C F3.20 MKS-0122Hl H09 VT F-C F3.30 MKS-0122H1 H09 VT F-C F3.10 MKS-0122H1 HlO VT F-C F3.30 MKS-0122H1 HlO VT F-C F3.10 MKS-0122Hl Hll VT F-C F3.30 MKS-0122H1 Hll VT .~ F3.10 -MKS-0122Hl H12 VT F3.20 MKS-0122Hl H12 VT

Page 19 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM .g F3.30 MKS-0122Hl Hl2 VT F3.10 MKS-0122Hl H12A VT F-C F3.20 MKS-0122Hl H12A VT F-C F3.30 MKS-0122Hl H12A VT F-C F3.10 MKS-0122Hl H13 VT F-C F3.30 MKS-0122Hl Hl3 VT F-C F3.10 MKS-0122Hl H14 VT F-C F3.10 MKS-0122Hl H17 VT F-C F3.30 MKS-0122Hl H17 VT F-C F3.40 MKS-0122Hl H17 VT F-C F3.10 MKS-0122Hl H18 VT F-C F3.20 MKS-0122Hl Hl8 VT F-C F3.30 MKS-0122Hl H18** VT F-C F3.40 MKS-0122Hl H18 VT* F-C F3.SO MKS-0122Hl H18 VT F-C F3.10 MKS-0122Hl H19 VT F-C F3.20 MKS-0122Hl H19 VT F-C F3.30 MKS-0122Hl H19 VT F-C F3.40 .MKS-0122Hl H19 VT F-C F3.10 MKS-0122Hl H20 VT F-C F3.30 MKS-0122Hl H20

VT F-C F3.40 MKS-0122Hl H20 VT F-C F3.SO MKS-0122Hl H20 VT F-C F3.10 MKS-01*22Jl H04 VT F-C

\\ F3.30

MKS-0122Jl H04 VT

.-c F3.40 MKS-0122Jl H04 VT -c F3.SO MKS-0122Jl.

H04 VT

-c F3.10 MKS-0122Jl HOS VT F-C F3.20

*MKS-0122Jl

, HOS VT F-C F3.30 MKS-0122Jl HOS VT F-C F3.40 MKS-0122Jl HOS VT F-C F3.10 MKS-0122Jl H06 VT F-C F3.30 MKS-0122Jl H06 VT F-C F3.40 MKS-0122Jl H06 VT F-C F3.SO MKS-0122Jl H06 VT F-C F3 *. 10 MKS-0122Kl HOlA VT F-C F3.10 MKS-0122Kl HOS VT F-C F3.20 MKS-0122Kl HOS VT F-C F3.30 MKS-0122Kl HOS VT F-C F3.10 MKS-0122Kl Hll VT F-C F3.20 MKS-0122Kl Hll VT F-C F3.30 MKS-0122Kl . Hll VT F-C F3.40 MKS-0122Kl Hll VT F-C F3.10 MKS-0123El HSO VT F-C F3.20 MKS-0123El HSO VT F-C F3.20 MKS-0123El HSO VT F-C F3.20 MKS-0123El HSO VT F-C F3.30 MKS-0123El HSO VT F-C F3.10 MKS-0123El H98 VT F-C F3.20 MKS-0123El H98 VT .g F3.. 30 . -MKS-0123El H98 VT ' F3.10 MKS-0123Gl H103 VT

Page 20 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM

~

F3.30 MKS-0123Gl H103 VT F3.40 MKS-0123Gl. - H103 VT F-C F3.50 MKS-0123Gl H103 VT F-C F3.10 MKS-0123Gl H104 VT F-C F3.30 MKS-0123Gl H104 VT F-C F3.40 MKS-0123Gl H104 VT F-C F3.50 MKS-0123Gl H104 VT F-C F3.10 MKS-0123Gl H67 VT F-C F3.20 MKS-0123Gl H67 VT F-C F3.30 MKS-0123Gl H67 VT F-C F3.40 MKS-0123Gl H67 VT F-C F3.10 MKS-0123Gl H68 VT F-C F3.20 MKS-0123Gl H68 VT F-C F3.30 .MKS-0123Gl H68 VT F-C F3.40 MKS-0123Gl H68 VT F-C F3.10 MKS-0123Gl H68A VT F-C F3.20 MKS-0123Gl H68A VT F-C F3.30 MKS-0123Gl H68A VT F-C F3.10 MKS-0123Gl H96 VT F-C F3.20 MKS-0123Gl H96 VT F-C F3. 30

MKS-0123Gl H96 VT F-C F3.40 MKS-0123Gl H96 VT F-C F3.SO
MKS-0123Gl H96 VT F-C F3.10 MKS-0123G2 HOl VT F-C

\\ F3.20 MKS-0123G2 HOl VT --c F3.30 MKS-0123G2 HOl VT -c F3.40

- MKS-0123G2 HOl VT.

-c F3.SO MKS-0123G2 HOl VT F-C F3.10 MKS-0123G2 HOlA VT F-C F3.10 MKS-0123G2 H02 VT F-C F3.30 MKS-0123G2 H02 VT F-C F3.40 MKS-0123G2 H02 VT F-C F3.SO MKS-0123G2 H02 VT F-C F3.10 MKS-0123G2 H03 VT F-C F3.20 MKS-0123G2 H03 VT F-C F3.30 MKS-0123G2 H03 VT F-C F3.40 MKS-0123G2 H03 VT F-C F3.10 MKS-0123Hl HOl VT F-C F3.20 MKS-0123Hl HOl VT F-C F3.30 MKS-0123Hl HOl VT F-C F3.10 MKS-0123Hl HOS VT F-C F3.20 MKS-0123Hl HOS VT F-C F3.30 MKS-0123Hl HOS VT F-C F3.10 MKS-0123Hl Hll VT F-C F3.20 MKS-0123Hl Hll VT F-C F3.30 MKS-0123Hl Hll VT F-C F3.10 MKS-0123H2 H03 VT F-C F3.20 MKS-0123H2 H03 VT F-C F3.30 MKS-0123H2 H03 VT F-C F3.10 MKS-0123H2 H09 VT -~ F3. 2.0. .,MKS""'.'.0123H2 H09 VT F3.30 MKS-0123H2 H09 VT

Page 21 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM .g F3.10 MKS-0123Nl H02 VT F3.20 MKS-0123Nl H02 VT F-C F3.30 .. MKS-0123Nl H02 VT F-C F3.10 MKS-0123Ql . H54 VT F-C F3.30 MKS-0123Ql H54 VT F-C F3.10 MKS-0123Ql H57 VT F-C F3.20 MKS-0123Ql H57 VT F-C F3.10 MKS-0123Ql H58 VT F-C F3.30 MKS-0123Ql H58 VT F-C F3.10 MKS-0123Ql H59 VT F-C F3.20 MKS-0123Ql H59 VT F-C F3.30 MKS-0123Ql H59 VT F-C F3.40 MKS-0123Ql H59 VT F-C F3.50 "MKS-0123Ql H59

VT F-C F3.10 MKS-0123Ql HGl VT F-C F3.20 MKS-0123Ql HGl VT F-C F3.30 MKS-0123Ql HGl VT F-C F3.40 MKS-0123Ql HGl VT F-C

. F3.10 MKS-0123Ql HG2 VT F-C F3.30 MKS-0123Ql HG2 VT F-C F3.10 MKS-0123Q2 HG3 VT F-C F3.20 MKS-0123Q2 HG3 VT F-C F3.30 MKS-0123Q2 HG3 VT F-C F3.10

MKS-0123Q2 HG3A VT F-C

', F3. 20 MKS-0123Q2 HG3A VT -~ ' F3. 30 . MKS-0123Q2 HG3A VT. F3.10 MKS-0123Q2 H88 VT C F3.10 MKS-0123Q2 H89 VT F-C F3.10 MKS-0123Q2 H90 VT F-C F3.10 MKS-0123Q2

H91 VT F-C F3.10 MKS-0123Q2 H93 VT F-C F3.10 MKS-0123Q2 H94A VT F-C F3.10 MKS-0124Al H02 VT F-C F3.30 MKS-0124Al H02 VT F-C F3.40 MKS-0124Al H02 VT F-C F3.50 MKS-0124Al H02 VT F-C F3.10 MKS-0124Al H04 VT F-C F3.20 MKS-0124Al H04 VT F-C F3.30 MKS-0124Al H04 VT F-C F3.40 MKS-0124Al H04 VT F-C F3.50 MKS-0124Al H04 VT F-C F3.10 MKS-0124Al HOG VT F-C F3.20 MKS-0124Al HOG VT F-C F3.30 MKS-0124Al HOG VT F-C F3.40 MKS-0124Al HOG VT F-C F3.50 MKS-0124Al HOG VT F-C F3.10 MKS-0124Al H09 VT F-C F3.20 MKS-0124Al H09 VT F-C F3.30 MKS-0124Al H09 VT F-C F3.40 MKS-0124Al H09 VT

-~ F3.50 ..,,MKS""'.0124Al H09 VT F3.30 MKS-0124Al HlO VT

Page 22 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM .g F3.10 MKS-0124Al Hll VT F3.30 MKS-0124Al Hll VT F-C F3~10 MKS-0124Al H12 VT F-C F3.20 MKS-0124Al ... Hl2 VT F-C F3. 30 MKS-0124Al "H12 VT F-C F3.40 MKS-0124Al H12 VT F-C F3.50 MKS-0124Al H12 VT F-C F3.10 MKS-0124Al H13 VT F-C F3.20 MKS-0124Al H13 VT F-C F3.30 MKS-0124Al H13 VT F-C F3.40 MKS-0124Al Hl3 VT F-C F3.50 MKS-0124Al H13 VT F-C F3.10 MKS-0124Al H15 VT F-C F3.20 MKS-0124Al H15 VT. F-C F3.30 MKS-0124Al H15 VT F-C F3.40 MKS-0124Al H15 VT F-C . F3. 50 MKS-0124Al H15 VT F-C F3.10 MKS-0124Al H17 VT F-C F3.30 . MKS-0124Al H17 VT F-C F3.10 MKS-0124Al H18 VT F-C F3. 20-MKS-0124Al H18 VT F-C F3.30 MKS-0124Al Hl8 VT F-C F3.40 MKS-0124Al H18 VT, F-C F3.50 MKS-0124Al H18 VT. F-C F3.10 MKS-0125Al HOS -- VT --c F3.30 MKS-0125Al

HOS VT

-c F3.10 -_ MKS-0125Al H07 'VT -c F3.30 MKS-0125Al H07 VT F-C F3.40 .. MKS-0125Al .: H07 VT - F-C F3.50 MKS-0125Al H07 VT F-C F3.10 - MKS-0125Al H09 VT F-C F3.30 MKS-0125Al H09 VT F-C F3.40 MKS-0125Al H09 VT F-C F3.50 MKS-0125Al H09 VT F-C F3.10 MKS-0125Al HlO VT F-C F3.30 MKS-0125Al HlO VT F-C F3.40 MKS-0125Al HlO VT F-C F3.50 MKS-0125Al HlO VT F-C F3.10 MKS-0125Al Hll VT F-C F3.30 MKS-0125Al Hll VT F-C F3.10 MKS-0125Al H12 VT F-C F3.30 MKS-0125Al H12 VT F-C F3.10 MKS-0125Al H13 VT F-C F3.30 MKS-0125Al H13 VT F-C F3.40 MKS-0125Al H13 VT F-C F3.10 MKS-0125Al H14 VT F-C F3.30 MKS-0125Al H14 VT F-C F3.40 MKS-0125Al H14 VT F-C F3.50 MKS-0125Al H14 VT F-C F3.10 MKS-0125Al H21 VT -~ .. F3. 30 ,,.MKS-0125Al H21 VT F3.40 MKS-0125Al H21 VT

Page 23 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT __ EXAM -~ F3.10 MKS-0125Al H24 VT F3.30 MKS-0125Al

H24 VT F-C F3.40 MKS-0125Al H24 VT F-C F3.50 MKS-0125Al

.H24 VT F-C F3.10 MKS-0125Al H32 VT F-C F3.20 MKS-0125Al H32 VT F-C F3.30 MKS-0125Al H32 VT F-C F3.10 MKS-0125Al H36 VT F-C F3.20 MKS-0125Al H36 VT F-C F3.30 MKS-0125Al H36 VT F-C F3.10 MKS-0125Al H37 VT F-C F3.20 MKS-0125Al H37 VT F-C F3.30 MKS-0125Al H37 VT F-C F3.40 .MKS-0125Al H37 VT F-C F3.50 MKS-0125Al H37 VT F-C F3.10 MKS-0125Al H38 VT F-C F3.20 MKS-0125Al H38 VT F-C F3.30 MKS-0125Al H38 VT F-C F3.10 MKS-0127Gl HOl VT F-C F3.20 MKS-0127Gl HOl VT F-C F3.30 MKS-0127Gl HOl

VT F-C F3.10 MKS-0127Gl H03 VT F-C F3.20
MKS-0127Gl H.03 VT F-C F3.30

. MKS-0127Gl H03 VT F-C F3.10

MKS-0127Gl H04 VT

--~ F3.30 MKS-0127Gl H04

vT-F3.10

' MKS-0127Gl H06 'VT C F3.30 MKS-0127Gl H06 VT F-C F3.10 . MKS-0127Gl HOS VT F-C F3.30 MKS-0127Gl HOS VT F-C F3.40 MKS-0127Gl HOS VT F-C F3.50 MKS-0127Gl HOS VT F-C F3.10 MKS-0127Gl H09 VT F-C F3.20 MKS-0127Gl H09 VT F-C F3.30 MKS-0127Gl H09 VT F-C F3.40 MKS-0127Gl H09 VT F-C F3.50 MKS-0127Gl H09 VT F-C F3.10 MKS-0127Gl HlO VT F-C F3.20 MKS-0127Gl HlO VT F-C F3.30 MKS-0127Gl HlO VT F-C F3.40 MKS-0127Gl HlO VT F-C F3.10 MKS-0127Gl H12 VT F-C F3.20 MKS-0127Gl Hl2 VT F-C F3.30 MKS-0127Gl H12 VT F-C F3.40 MKS-0127Gl H12 VT F-C F3.50 MKS-0127Gl H12 VT F-C F3.10 l MKS-0127Gl H13 VT F-C F3.20 MKS-0127Gl H13 VT F-C F3.30 MKS-0127Gl H13 VT F-C F3.40 MKS-0127Gl H13 VT .~ -F3.50 ... MKS-0127Gl H13 VT F3.10 MKS-0127Gl H14 VT

Page 24 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM -g F3.20 MKS-0127Gl H14 VT . F3. 30 MKS-0127Gl H14 VT F-C F3.40 "MKS-0127Gl H14 VT F-C F3.50 MKS-0127Gl H14 VT F-C F3.10 MKS-0127Gl H15 VT F-C F3.20 MKS-0127Gl H15 VT F-C F3.30 MKS-0127Gl H15 VT F-C F3.40 MKS-0127Gl H15 VT F-C F3.50 MKS-0127Gl H15 VT F-C F3.10 MKS-0127Gl H16 VT F-C F3.30 MKS-0127Gl H16 VT F-C F3.10 MKS-0127Gl H17 VT F-C F3.30 MKS-0127Gl H17 VT F-C F3.10 . MKS-0127Gl

:H18 VT F-C F3.30 MKS-0127Gl H18 VT F-C F3.10 MKS-0127Gl H19 VT F-C F3.30 MKS-0127Gl H19 VT F-C F3.10 MKS-0127Gl H20 VT F-C F3.30 MKS-0127Gl H20 VT F-C F3.10 MKS-0127Gl H21A VT F-C F3. 30 *
MKS-0127Gl H21A VT F-C F3.10 MKS-0127Gl H48A VT F-C F3.20 MKS-0127Gl..

. H48A VT F-C F3.30

.. MKS-0127Gl H48A VT F-C F3.40 MKS-0127Gl H48A VT

.-c F3.10 . MKS-0127G2, H25A VT -c F3.30 MKS-0127G2 H25A VT -c F3.10 MKS-0127G2 H30 VT F-C F3.30 MKS-0127G2 , H30 VT F-C F3.10 MKS-0127G2 H31 VT F-C F3.30 MKS-0127G2 H31 VT F-C F3.10 MKS-0127G2 H32 VT F-C F3.30 MKS-0127G2 H32 VT F-C F3.10 MKS-0127G2 H33 VT F-C F3.30 MKS-0127G2 H33 VT F-C F3.10 MKS-0127G2 H.34 VT F-C F3.30 MKS-0127G2 H34 VT F-C F3.10 MKS-0127G2 H35 VT F-C F3.30 MKS-0127G2 H35 VT F-C F3.10 MKS-0127G2 H36A VT F-C F3.30 MKS-0127G2 H36A VT F-C F3.10 MKS-0127G2 H38 VT F-C F3.30 MKS-0127G2 H38 VT F-C F3.10 MKS-0127G2 H38A VT F-C F3.20 MKS-0127G2 H38A VT F-C F3.30 MKS-0127G2 H38A VT F-C F3.10 MKS-0127G2 H39 VT F-C F3.30 MKS-0127G2 H39 VT F-C F3.10 MKS-0127G2 H40 VT F-C F3.30 MKS-0127G2 H40 VT .g F3.10

*, MKS-0127G2 H41 VT F3.30 MKS-0127G2 H41 VT

Page 25 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM

~

F3.10 MKS-0127G2 H42 VT F3.30 MKS-0127G2 H42 VT F-C F3~10 ..., MKS-0127G2 H43 VT F-C F3.30 MKS-0127G2 .. H43. VT F-C F3.10 MKS-0127G2 H44A VT F-C F3.30 MKS-0127G2 H44A VT F-C F3.10 MKS-0127Jl H02 VT F-C F3.30 MKS-0127Jl H02 VT F-C F3.10 MKS-0127Jl H04 VT F-C F3.30 MKS-0127Jl H04 VT F-C F3.10 MKS-0127J2 H02 VT F-C F3.20 MKS-0127J2 H02 VT F-C F3.30 MKS-0127J2 H02 VT F-C F3_.10 .. MKS-0127J2 ,HOS VT F-C F3.30 MKS-0127J2 HOS VT F-C F3.10 MKS-0127J3 H02 VT F-C F3.20 MKS-0127J3 H02 VT F-C F3.30 MKS-0127J3 H02 VT F-C F3.10 MKS-0127J3 H03 VT F-C F3.30 MKS-0127J3 H03 VT F-C F3.10. MKS-0127J4 H04 VT F-C F3.20 MKS-0127J4 H04 VT F-C F3.30 MKS-0127J4 H04 VT F-C F3.10

.. MKS-0127J5

. H13 VT F-C F3.20

- . MKS-0127J5 H13
- . VT

.-c F3.30 .MKS-0127J5 Hl3 VT -c F3.10 MKS-1021A15 H07 VT -c F3.30 . MKS-1021A15 H07 VT F-C F3.10

MKS-1021A15 HOS VT F-C F3.30 MKS-1021A15 HOS VT F-C F3.10 MKS-1021A15 H09 VT F-C F3.30 MKS-1021A15 H09 VT F-C F3.10 MKS-1021A15 HlO VT F-C F3.30 MKS-1021A15 HlO VT F-C F3.10 MKS-1021A15 Hll VT F-C F3.30 MKS-1021A15 Hll VT F-C F3.10 MKS-1021A15 H12 VT F-C F3.30 MKS-1021Al5 H12 VT F-C F3.10 MKS-1021A15 H13 VT F-C F3.30 MKS-1021A15 H13 VT F-C F3.10 MKS-1021A15 H14 VT F-C F3.30 MKS-1021A15 H14 VT F-C F3.10 MKS-1021A15 H15 VT F-C F3.30 MKS-1021A15 H15 VT F-C F3.10 MKS-1021A15 H16 VT F-C F3.30 MKS-1021A15 Hl6 VT F-C F3.10 MKS-1021A15 H17 VT F-C F3.30 MKS-1021A15 H17 VT F-C F3.10 MKS-1021A15 H18 VT F-C F3.30 MKS-1021A15 H18 VT

-~ -F3.10 .. MKS"'"'.1021A16 H04 VT F3.30 MKS-1021Al6 H04 VT

Page 26 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM --~ F3.10 MKS-1021A16 H05 VT F3. 30. .. MKS-1021A16. H05 VT

p-c F3.10

...... MKS...;1021A16 H06 VT F-C F3.30 MKS-1021A16 H06 VT F-C F3.10 MKS-1021Al6 H07 VT F-C F3.30 MKS-1021A16 H07 VT F-C F3.10 MKS-1021B9 H09 VT F-C F3.30 MKS-1021B9 H09 VT F-C F3.10 MKS-1021B9 HlO VT F-C F3.30 MKS-1021B9 HlO VT F-C F3.10 MKS-1021B9 Hll VT F-C F3.30 MKS-1021B9 Hll VT F-C F3.10 MKS-1021B9 H16 VT F-C F3.30 MKS-1021B9

- H16 VT F-C F3.10 MKS-1021B9 Hl7 VT F-C F3.30 MKS-1021B9 Hl7 VT F-C F3.10 MKS-1021B9 Hl8 VT F-C
F3.30 MKS-1021B9 Hl8 VT F-C F3.10 MKS-1021B9 H19 VT F-C F3.30 MKS-1021B9 H19 VT F-C F3.10' MKS-1021B9 H20 VT; F-C F3.30 MKS-1021B9 H20 VT F-C F3.10 MKS-1021B10 H12 VT F-C F3.30 MKS-1021B10

. Hl2 VT F-C ' F3.10 MKS-1021B10 H13 VT: --c F3. 30

MKS-1021B10
- .H13 VT

-c F3.10 MKS-1021B10 H14 VT -c F3.30 MKS-1021Bl0 H14 VT* F-C F3.10 MKS-1021B10 H15 VT F-C F3.30 MKS-1021B10 H15 VT F-C F3.20 MKS-2018A5 H04 VT F-C F3.30 MKS-2018A5 H04 VT F-C F3.40 MKS-2018A5 H04 VT F-C F3.10 MKS-2018A5 H06 VT F-C F3. 20 MKS-2018A5 H06 VT F-C F3.30 MKS-2018A5 H06 VT F-C F3.40 MKS-2018A5 H06 VT F-C F3.10 MKS-2018A5 H07 VT F-C F3.30 MKS-2018A5 H07 VT F-C F3.40 MKS-2018A5 H07 VT F-C F3.10 MKS-2018A5 H08 VT F-C F3.30 MKS-2018A5 H08 VT F-C F3.40 MKS-2018A5 H08 VT F-C F3.10 MKS-2018A5 H09 VT F-C F3.30 MKS-2018A5 H09 VT F-C F3.40 MKS-2018A5 H09 VT F-C F3.10 MKS-2018A5 HlO VT F-C F3.30 MKS-2018A5 HlO VT F-C F3.40 MKS-2018A5 HlO VT F-C F3.10 MKS-2018A5 Hll VT --~ . F3. 30. ,,. -,: *MKS-2018A5 Hll VT F3.40 MKS-2018A5 H-11 VT

Page 27 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM

~

F3.10 MKS-2018A5 H12 VT F3.30 MKS-2018A5 H12 VT F-C F3.40 MKS-2018A5 H12 VT F-C F3.10 MKS-2018A5 H13 VT F-C F3.30 MKS-2018A5 Hl3 VT F-C F3.40 MKS-2018A5 H13 VT F-C F3.10 MKS-2018A5 H14 VT F-C F3.30 MKS-2018A5 H14 VT F-C F3.40 MKS-2018A5 H14 VT F-C F3.10 MKS-2018A5 H15 VT F-C F3.30 MKS-2018A5 H15 VT F-C F3.40 MKS-2018A5 H15 VT F-C F3.10 MKS-2018A5 H16 VT F-C F3.30 MKS-2018A5 H16 VT F-C F3.40 MKS-2018A5 Hl6 VT F-C F3.10 MKS-2018A5 H17 VT F-C F3.30 MKS-2018A5 H17 VT F-C F3.40 MKS-2018A5 H17 VT F-C F3.10 MKS-2018A5 H18 VT F-C F3.30 MKS-2018A5 H18 VT F-C F3.40* MKS-2018A5 Hl8 VT F-C F3.10 MKS-2018A5 H19 VT F-C F3.30 MKS-2018A5 H19 VT F-C F3.40 MKS-2018A5 H19 VT F-C F3.10 MKS-2018A5 H20 VT

- -~

F3.30 MKS-2018A5 H20 VT F3.40 MKS-2018A5 H20 VT -c F3.10 MKS-2018A5 H21 VT F-C F3.30 MKS-2018A5 H21 VT F-C F3.40 MKS-2018A5 H21 VT F-C F3.10 MKS-2018A5 H22 VT F-C F3.10 MKS-2018A5 H23 VT F-C F3.30 MKS-2018A5 H23 VT F-C F3.10 MKS-2018A5 H04 VT F-C F3.10 MKS-2021A25 HOl VT F-C F3.30 MKS-2021A25 HOl VT F-C F3.10 MKS-2022A2 H21 VT F-C F3.30 MKS-2022A2 H21 VT F-C F3.10 MKS-2022A3 HlO VT F-C F3.30 MKS-2022A3 HlO VT F-C F3.10 MKS-2022B2 HlO VT F-C F3.30 MKS-2022B2 HlO VT F-C F3.10 MKS-2022B3 H06 VT F-C F3.30 MKS-2022B3 H06 VT F-C F3.10 MKS-2025Al HOl VT F-C F3.30 MKS-2025Al HOl VT F-C F3.10 MKS-2025Al H02 VT F-C F3.30 MKS-2025Al H02 VT F-C F3.10 MKS-2025Al H03 VT F-C F3.30 MKS-2025Al H03 VT -~ F3.10

. MKS-2025Al H04 VT F3.30 MKS-2025Al H04 VT

Page 28 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM .g F3.10 MKS-2025Al H05 VT .F3.30 MKS-2025Al H05 VT F-C F3.10 'MKS-2025Al H06 VT F-C F3.30 MKS-2025Al H06 VT F-C F3.10 MKS-2025Al H07 VT F-C F3.30 MKS-2025Al H07 VT F-C F3.10 MKS-2025Al HOS VT F-C F3.30 MKS-2025Al HOS VT F-C F3.10 MKS-2025Al H09 VT F-C F3.30 MKS-2025Al H09 VT F-C F3.10 MKS-2025Al HlO VT F-C F3.30 MKS-2025Al HlO VT F-C F3.40 MKS-2025Al HlO VT F-C F3.10

MKS-2025Al Hll VT F-C F3.30 MKS-2025Al Hll VT F-C F3.40 MKS-2025Al Hll VT F-C F3.10 MKS-2025Al H12 VT F-C.

F3.30 MKS-2025Al H12 VT F-C F3.10 MKS-2025Al H13 VT F-C F3.30 MKS-2025Al H13 VT F-C F3.10.* MKS-2025Al H14

VT*

F-C F3.30 MKS-2025Al H14 VT F-C F3.10 MKS-2025Al H15 VT F-C F3.30 MKS-2025Al H15 VT. F-C F3.10 MKS-2025Al H16 VT*. --c F3.30 MKS-2025Al H16 VT -c F3.10 , MKS-2025Al H17 VT* -c F3.30 MKS-2025Al H17 VT F-C F3.10 MKS-2025Al H18 VT F-C F3.30 MKS-2025Al H18 VT F-C F3.10 MKS-2025Al H19 VT F-C F3.30 MKS-2025Al H19 VT F-C F3.10 MKS-2025Al H20 VT F-C F3.30 MKS-2025Al H20 VT F-C .F3.10 MKS-2025A2 HOl VT F-C F3.30 MKS-2025A2 HOl VT F-C F3.10 MKS-2025A2 H02 VT F-C F3.30 MKS-2025A2 H02 VT F-C F3.10 MKS-2025A2 H03 VT F-C F3.30 MKS-2025A2 H03 VT F-C F3.10 MKS-2025A2 H04 VT F-C F3.30 MKS-2025A2 H04 VT F-C F3.10 MKS-2045Al H02 VT F-C F3.30 MKS-2045Al H02 VT F-C F3.10 MKS-2045Al H03 VT F-C F3.30 MKS-2045Al H03 VT F-C F3.10 MKS-2045Al H04 VT F-C F3.30 MKS-2045Al H04 VT F-C F3.40 MKS-2045Al H04 VT F-C F3.50 MKS-2045Al H04 VT -g F3.10 . MKS-2045A2 HOl VT F3.30 MKS-2045A2 HOl VT

Page 29 of 40 November 17, 11989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM .g F3.10 MKS-204SA2 H02 VT F3.20 MKS-2045A2. H02 VT F-C F3. 30 .MKS-204SA2 H02 VT F-C F3.10 MKS-204SA2 H03 VT F-C F3.20 MKS-204SA2 H03 VT F-C F3.30 MKS-204SA2 H03 VT F-C F3.10 MKS-204SA2 H04 VT F-C F3.20 MKS-204SA2 H04 VT F-C F3.30 MKS-204SA2 H04 VT F-C F3.10 MKS-204SA2 HOS VT F-C F3.20 MKS-204SA2 HOS VT F-C, F3.30 MKS-204SA2 HOS VT F-C F3.10 MKS-204SA2 H06 VT F-C F3.20 MKS-204SA2 . H06

VT F-C F3.30 MKS-2045A2 H06 VT F-C F3.10 MKS-2045A2 H07 VT F-C F3. 20 MKS-2045A2 H07 VT F-C F3.30 MKS-2045A2 H07 VT F-C F3.10 MKS-2045A3 HOB VT F-C F3.20 MKS-2045A3 HOB VT F-C F3.JO:

MKS-2045A3

- HOB VT F-C F3.10 MKS-2045A4

, H07 VT F-C F3. 20 MKS-204SA4 . H07 VT F-C ,, F3.30 . MKS-2045A4 H07 VT F-C \\ F3.10

.MKS-2045A4 HOB VT

.-c F3.20 .MKS-2045A4 HOB VT -c F3.30

*.*. MKS-2 045A4 HOB VT *

-c F3.10 MKS-2045A4 H15 VT F-C F3.20 MKS-2045A4 H15 VT F-C F3.30 MKS-2045A4 H15 VT F-C F3.10 MKS-2045A5 HOl VT F-C F3.20 MKS-2045A5 HOl VT F-C F3.30 MKS-2045A5 HOl VT F-C F3.10 MKS-2045A5 H02 VT F-C F3.20 MKS-2045A5 H02 VT F-C F3. 30 MKS-2045A5 H02 VT F-C F3.10 MKS-2045A5 H03 VT F-C F3. 20 MKS-2045A5 H03 VT F-C F3.30 MKS-2045A5 H03 VT F-C F3.10 MKS-2045A5 H04 VT F-C F3.20 MKS-2045A5 H04 VT F-C F3.30 MKS-2045A5 H04 VT F-C F3.10 MKS-204SAS HOS VT F-C F3.20 MKS-2045AS HOS VT F-C F3.30 MKS-204SAS HOS VT F-C F3.10 MKS-204SAS H12 VT F-C F3.20 MKS-204SAS H12 VT F-C F3.30 MKS-204SAS H12 VT F-C F3.10 MKS-204SA7 HOl VT F-C F3.20 MKS-204SA7 HOl VT .g F3.30 ..... MKS-204SA7 HOl VT F3.10 MKS-204SA7 H04 VT

Page 30 of 40 November 17, 1989 CATEGORY

ITEMNUMBER ISOMETRIC COMPONENT EXAM

.g F3.20 MKS-2045A7 H04 VT .F3.30 MKS-2045A7 H04 VT F-C F3.10 . MKS...;2045A7 H05 VT F-C F3.20 MKS-2045A7 .H05 VT F-C F3.30 MKS-2045A7 H05 VT F-C F3.10 MKS-2101A15 HOl VT F-C F3.20 MKS-2101Al5 HOl VT F-C F3.30 MKS-2101A15 HOl VT F-C F3.10 MKS-2101A15 H02 VT F-C F3.20 MKS-2101A15 H02 VT F-C F3.30 MKS-2101A15

Ho2 VT F-C F3.10 MKS-2114A5 H03 VT F-C F3.30 MKS-2114A5 H03 VT F-C F3.10 MKS-2114A5 H04 VT F-C F3.30 MKS-2114A5*

H04 VT F-C F3.10 MKS-2114A5 H06 VT F-C F3.30 MKS-2114A5 H06 VT F-C F3.10 MKS-2114A5 H07 VT F-C F3.30 MKS-2114A5 H07 VT F-C F3.10 MKS-2114A5 HOB VT F-C F3.30, MKS-2114A5 HOB VT F-C F3.10 MKS-2114A5 H09 VT F-C F3.30

MKS-2114A5
H09 VT F-C F3.10

. MKS-2114A5 HlO

vT F-C F3.30

.MKS-2114A5 HlO VT .-c F3.10 ... MKS-2114A5 Hll

VT,

-c F3.30 . MKS-2114A5 Hll VT -c F3.10 MKS-2114A5 H12 VT F-C F3.30 MKS-2114A5 H12 VT F-C F3.10 MKS-2114A5 H19 VT F-C F3.30 MKS-2114A5 Hl9 VT F-C F3.10 MKS-2114A5 H20 VT F-C F3.30 MKS-2114A5 H20 VT F-C F3.10 MKS-2114A6 Hl6 VT F-C F3.30 MKS-2114A6 Hl6 VT F-C F3.10 MKS-2114A6 H17 VT F-C F3.30 MKS-2114A6 H17 VT F-C F3.10 MKS-2114A7 H03 VT F-C F3.30 MKS-2114A7 H03 VT F-C F3.40 MKS-2114A7 H03 VT F-C F3.10 MKS-2114A7 H04 VT F-C F3.30 MKS-2114A7 H04 VT F-C F3.10 MKS-2114A7 H05 VT F-C F3.30 MKS-2114A7 H05 VT F-C F3.10 MKS-2114A7 H06 VT F-C F3.30 MKS-2114A7 H06 VT F-C F3.10 MKS-2114A7 H07 VT F-C F3.30 MKS-2114A7 H07 VT F-C F3.10 MKS-2114A7 HOB VT F-C F3.30 MKS-2114A7 HOB VT -~ F3.10.

.MKS-2114A 7 H09 VT F3.30 MKS-2114A7 H09 VT

Page 31 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM -g F3.10 MKS-2114A7 HlO VT F3.30 ... MKS-2114A7. HlO VT F-C F3.10 .MKS-2114A7 Hll VT F-C F3.30 MKS-2114A7 ,Hll VT F-C F3.10 MKS-2122A7 H04 VT F-C F3.30 MKS-2122A7 H04 VT F-C F3.10 MKS-2122A7 H05 VT F-C F3.30 MKS-2122A7 H05 VT F-C F3.10 MKS-2122A7 HOS VT F-C F3.30 MKS-2122A7 HOS VT F-C F3.10 MKS-2122A7 H09 VT F-C F3.30 MKS-2122A7 H09 VT F-C F3.10 MKS-2122A7 HlO VT F-C F3.30 MKS-2122A7

HlO VT F-C F3.10 MKS-2122A7 Hll VT F-C F3.30 MKS-2122A7 Hll VT F-C F3.10 MKS-2122A7 H12 VT F-C F3.30 MKS-2122A7 H12 VT F-C F3.10 MKS-2122A7 H13 VT.

F-C F3.30 MKS-2122A7 Hl3 VT F-C F3. 40.-

MKS-2122A7 H13

VT.

F-C F3.50 MKS-2122A7

H13 VT F-C F3.10

.MKS-2122A8 HOl VT F-C F3.20

MKS-2122A8 HOl VT**

F-C l F3. 30 MKS-2122A8 HOl VT .-c F3.40 MKS-2122A8 HOl VT -c F3.50 MKS-2122A8 HOl VT -c F3.10 MKS-2122A8 H02 VT F-C F3.30 MKS-2122A8 H02 VT F-C F3.10 MKS-2122A8 H03 VT F-C F3.30 MKS-2122A8 H03 VT F-C F3.40 MKS-2122A8 H03 VT F-C F3.50 MKS-2122A8 H03 VT F-C F3.10 MKS-2122A8 H04 VT F-C

F3. 30 MKS-2122A8 H04 VT F-C F3.10 MKS-2122A8 H05 VT F-C F3.30 MKS-2122A8 H05 VT F-C F3.40 MKS-2122A8 H05 VT F-C F3.50 MKS-2122A8 H05 VT F-C F3.10 MKS-2122A8 H12 VT F-C F3.30 MKS-2122A8 H12 VT F-C F3.10 MKS-2122A8 H13 VT F-C F3.30 MKS-2122A8 H13 VT F-C F3.10 MKS-2122A8 H15 VT F-'C F3.30 MKS-2122A8 H15 VT F-C F3.10 MKS-2122A8 H19 VT F-C F3.30 MKS-2122A8 H19 VT F-C F3.40 MKS-2122A8 H19 VT F-C F3.10 MKS-2122A8 H20 VT F-C F3.30 MKS-2122A8 H20 VT

-~ F3.1.0 .,MKS-2122A8 H22 VT F3.30 MKS-2122A8 H22 VT

Page 32 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM -g F3.10 MKS-2122A8 H24 VT F3.30 . MKS-2122A8 H24 VT F-C F3.10 MKS-2122A8 H26 VT F-C F3.30 .MKS-2122A8 ,.,-H26 VT F-C F3.40 MKS-2122A8 H26 VT F-C F3.50 MKS-2122A8 H26 VT F-C F3.10 MKS-2122A9 Hll VT F-C F3.30 MKS-2122A9 Hll VT F-C F3.40 MKS-2122A9 Hll VT F-C F3.10 MKS-2122A9 Hl2 VT F-C F3.30 MKS-2122A9 Hl2 VT F-C F3.10 MKS-2122A9 Hl3 VT F-C F3.30 MKS-2122A9 . Hl3 VT F-C F3.10 MKS-2122A9

... Hl4 VT F-C F3.30 MKS-2122A9 H14 VT F-C F3.10 MKS-2122A9 Hl5 VT F-C F3.30 MKS-2122A9 Hl5 VT F-C F3.40 MKS-2122A9 Hl5 VT F-C F3.50 MKS-2122A9 Hl5 VT F-C F3.10 MKS-2122A10 H03 VT F-C F3. 30:

. MKS-2122Al0 *

H03

. *VT** F-C F3.40 -*. -MKS-2122Al0 . H03 .VT .1 F-C F3.10 MKS-2122A10 H18 VT F-C F3.30 MKS-2122A10 Hl8 VT F-C ': F3.10 MKS-2122Al0 H20 . VT. --c F3.30 MKS-2122A10 H20 VT -c F3.10 MKS-2122A12 H03 VT* -c F3. 20 MKS-2122Al2 H03 VT F-C F3.10 MKS-2122Al2 Hll VT F-C F3.30 MKS-2122Al2 Hll VT F-C F3.10

MKS-2122Al3 HOl VT F-C F3.30 MKS-2122Al3 HOl VT F-C F3.10 MKS-2122Al3 H02 VT F-C F3.30 MKS-2122A13 H02 VT F-C F3.10 MKS-2122Al4 HOl VT F-C F3.30 MKS-2122A14 HOl VT F-C F3.40 MKS-2122A14 HOl VT F-C F3.50 MKS-2122A14 HOl VT F-C F3.10 MKS-2122A14 H02 VT F-C F3.30 MKS-2122Al4 H02 VT F-C F3.10 MKS-2122A14 H03 VT F-C F3.30 MKS-2122Al4 H03 VT F-C F3.10 MKS-2122Al5 HOl VT F-C F3.30 MKS-2122A15 HOl VT F-C F3.40 MKS-2122A15 HOl VT F-C F3.50 MKS-2122A15 HOl VT F-C F3.10 MKS-2122A15 H02 VT F-C F3. 30 MKS-2122A15 H02 VT F-C F3.10 MKS-2122A15 H03 VT F-C F3. 30 MKS-2122Al5 H03 VT

.g F3.10 MKS-2122Al6 HOl VT F3. 30 MKS-2122Al6 HOl VT

Page 33 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM

~

F3.10 MKS-2122A17 HOl VT F3.30 . MKS-2122Al 7. HOl VT F-C F3.10 MKS-2122A17 H02 VT F-C F3.* 30 MKS-2122A17 H02 VT F-C F3.10 MKS-2122A17 H04 VT F-C F3.30 MKS-2122A17 H04 VT F-C F3.10 MKS-2122A17 HOG VT F-C F3.30 MKS-2122A17 HOG VT F-C F3.10 MKS-2122A17 HOB VT F-C F3.30 MKS-2122A17 HOB VT F-C F3.10 MKS-2122A17 H09 VT F-C F3.30 MKS-2122A17 H09 VT F-C F3.10 MKS-2122A18 HOG VT F-C F3.30 MKS-2122A18 HOG VT F..;.C F3.10 MKS-2122Al9 HOl VT F-C F3.20 MKS-2122A19 HOl VT F-C F3.30 MKS-2122A19 HOl VT F-C F3.10 MKS-2122A19 H03 VT F-C F3.30 MKS-2122A19 H03 VT F-C F3.10 MKS-2122A20 H02 VT F-C F3.20 MKS-2122A20 H02 VT F-C F3.30

MKS-2122A20 H02 VT F-C F3.10 MKS-2122A21 HOl VT F-C F3.30 MKS-2122A21 HOl VT F-C

'i F3.10 MKS-2122A21 H02 VT --c F3.20 .* MKS-2122A21 H02 VT -c F3.30 MKS-2122A21 H02 VT -c F3.10 MKS-2122A21 H04 VT F-C F3.30 MKS-2122A21 H04 VT F-C F3.10

MKS-2122A21 H05 VT F-C F3. 20 MKS-2122A21 H05 VT F-C F3.30 MKS-2122A21 H05 VT

,.~ F-C F3.40 MKS-2122A21 H05 VT F-C F3.SO .MKS-2122A21 HOS VT F-C F3.10 MKS-2122A21 HOG VT F-C F3.30 MKS-2122A21 HOG VT F-C F3.10 MKS-2122A21 H07 VT F-C F3.20 MKS-2122A21 H07 VT F-C F3.30 MKS-2122A21 H07 VT F-C F3.30 MKS-0103A2 H38 VT F-C F3.10 MSK-0117Bl H07 VT F-C F3.10 NKS-0117Al H13 VT F-C F3.10 NSLl HOS VT F-C F3.30 NSLl HOS VT F-C F3.10 NSLl HOG VT F-C F3. 20 NSLl HOG VT F-C F3. 30 NSLl HOG VT F-C F3.10 NSLl H07 VT F-C F3. 20 NSLl H07 VT F-C F3.30 NSLl H07 VT -~ ,F3. 40

NSLl H07 VT F3.10 NSLl H07A VT

Page 34 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM .g F3.20 NSLl H07A VT F3.30 NSLl H07A VT F-C F3.10 .NSLl HOS VT F-C F3.20 .. NSLl .. HOS VT F-C F3.30 NSLl HOS VT F-C F3.10 RCl H02A VT F-C F3.30 RCl H02A VT F-C F3.40 RCl H02A VT F-C F3.50 RCl H02A VT F-C F3.10 RCl H03 VT F-C F3.20 RCl H03 VT F-C F3.30 RCl H03 VT F-C F3.40 RCl

H03 VT F-C F3.10 RClA H04 VT F-C F3.20 RClA H04 VT F-C F3.30 RClA H04 VT F-C F3.40 RClA H04 VT F-C
F3.10 RClA H04A VT F-C F3.30 RClA H04A VT F-C F3.40 RClA H04A VT F-C F3.10.

. RClB H04B VT F-C F3.20 RClB H04B . *vT.. F-C F3.30 RClB H04B VT F-C F3.10 RC2 . H02A VT F-C . F3. 30 RC2 H02A VT --c F3.40 RC2

H02A VT

-c F3.50 RC2 H02A VT -c F3.10 RC2 H03 VT F-C F3.20 RC2 H03 VT F-C F3.30 RC2 H03 VT F-C F3.40 RC2 H03 VT F-C F3.10 RC2A H04 VT F-C F3.20 RC2A H04 VT F-C F3.30 RC2A H04 VT F-C F3.40 RC2A H04 VT F-C F3.10 RC2A H04A VT F-C F3.30 RC2A H04A VT F-C F3.10 RC2A H04B VT F-C F3.20 RC2A H04B VT F-C F3.30 RC2A H04B VT F-C F3.10 RC3 H02A VT F-C F3.30 RC3 H02A VT F-C F3.40 RC3 H02A VT F-C F3.50 RC3 H02A VT F-C F3.10 RC3 H03 VT F-C F3.20 RC3 H03 VT F-C F3.30 RC3 H03 VT F-C F3.40 RC3 H03 VT F-C F3.10 RC3 H04 VT F-C F3.20 RC3 H04 VT -g F3.30 RC3 H04 VT F3.10 RC3A H04B VT

Page 35 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM .c F3.20 RC3A H04B VT C F3.30 . RC3A H04B VT F-C F3.10 'RC3B H04A VT F-C F3.30 RC3B .., H04A VT F-C F3.10 RC4 H12 VT F-C F3.30 RC4 H12 VT F-C F3.10 RC9 HOl VT F-C F3.30 RC9 HOl VT F-C F3.40 RC9 HOl VT F-C F3.50 RC9 HOl VT F-C F3.10 RC9 H02 VT F-C F3.20 RC9 H02 VT F-C F3.30 RC9 -H02 VT F-C F3.40 RC9 H02 VT F-C F3.50 RC9 H02 VT F-C F3.10 RC19 HOl VT F-C F3.30 RC19 HOl VT F-C F3.10 RWl H04 VT F-C F3.30 RWl H04 VT F-C F3.10 RWl HOS VT F-C F3.30 RWl HOS VT F-C F3.10 RWl H06 VT F-C F3.10 RWl H07 VT F-C F3.30 RWl H07 VT F-C \\ F3. 30 RWl H06 VT --~ F3.10

SilO HOl VT F3.30 SilO HOl VT

-c F3.10 SilO H02 VT F-C F3.30 SilO H02 VT F-C F3.10 SilO H03 VT F-C F3.30 SilO H03 VT F-C F3.10 Sill H91 VT F-C F3.30 Sill H91 VT F-C F3.10 Sill H91A VT F-C F3. 30 Sill H91A VT F-C F3.10 Sill H93 VT F-C F3.30 Sill H93 VT F-C F3.10 SI12A H02 VT F-C F3.30 SI12A H02 VT F-C F3.10 SI12A H03 VT F-C F3.30 SI12A H03 VT F-C F3.10 SI12A H04 VT F-C F3.30 SI12A H04 VT F-C F3.10 SI12A HOS VT F-C F3.30 SI12A HOS VT F-C F3.10 SI12A H06 VT F-C F3.30 SI12A H06 VT F-C F3.40 SI12A H06 VT F-C F3.50 SI12A H06 VT F-C F3.10 SI12A H94 VT -~ F3.30 --*-:SI12A -** H94 VT . F3. 40 SI12A H94 VT

Page 36 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM -~ F3.50 SI12A H94 VT F3.10 . SI12A H95 VT F-C F3.30 SI12A H95 VT F-C F3.10 SI12A .. H97 VT F-C F3.30 SI12A H97 VT F-C F3.40 SI12A H97 VT F-C F3.50 SI12A H97 VT F-C F3.10 SI15 H02 VT F-C F3.20 SI15 H02 VT F-C F3.30 SI15 H02 VT F-C F3.10 SI15 H03 VT F-C F3.30 SI15 H03 VT F-C F3.10 SI15 . H04 VT F-C F3.30 SI15 H04 VT F-C F3.40 SI15 H04 VT F-C F3.10 SI15 H05 VT F-C F3.20 SI15 H05 VT 'F-C F3.30 SI15 H05 VT F-C F3.10 SI16 H12 VT F-C F3.30 SI16 H12 VT F-C F3.40 'SI16 - H12 VT F-C F3.50 SI16 Hl2 VT F-C F3.10 SI16 - H13 VT F-C F3.30 SI16 H13 - VT F-C F3.10 SI16 H14 VT --c F3.30 SI16 H14 VT -c F3.40 SI16 H14 VT -c F3.50 SI16 H14 VT F-C F3.10 SI16 H15 VT F-C F3.30 SI16 H15 VT F-C F3.10 SI16 H16 VT F-C F3.20 SI16 H16 VT F-C F3.30 SI16 H16 VT F-C F3.10 SI17 Hl8 VT F-C F3.30 SI17 Hl8 VT F-C F3.40 SI17 H18 VT F-C F3.50 SI17 H18 VT F-C F3.10 SI17 H19 VT F-C F3.30 SI17 H19 VT F-C F3.10 SI17 H20 VT F-C F3.30 SI17 H20 VT F-C F3.10 SI17 H24 VT F-C F3.30 SI17 H24 VT F-C F3.10 SI18 H21 VT F-C F3.30 SI18 H21 VT F-C F3.10 SI18 H22 VT F-C F3.30 SI18 H22 VT F-C F3.10 SI18 H23 VT F-C F3.30 SI18 H23 VT F-C F3.10 SI18 H26 VT -~

F3. 30 SI18 H26 VT
- F3.10 SI20 Hl6 VT

Page 37 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM -g F3.30 SI20 H16 VT F3.10 SI3 HOlA VT F-C F3.30 SI3 HOlA VT F-C F3.10 SI7 .,,H240 VT F-C F3.30 SI7 H240 VT F-C F3.40 SI7 H240 VT F-C F3.10 SI7 H241 VT F-C F3.30 SI7 H241 VT F-C F3.10 SI7 H242 VT F-C F3.30 SI7 H242 VT F-C F3.40 SI7 H242 VT F-C F3.50 SI7 H242 VT F-C F3.10 SI7 H244 VT F-C F3.30 SI7 H244 VT F-C F3.10 SI7 H245 VT F-C F3.30 SI7 H245 VT F-C F3.10 SI7 H248 VT F-C F3.30 SI7 H248 VT F-C F3.10 SI7 H249 VT F-C F3.30 SI7 H249 VT F-C F3.10 SIS H246 VT F-C F3.30 SIS H246 VT F-C F3.10 . SIS H247 VT F-C F3.30 SIS H247 VT F-C

F3. 40 SIS H247 VT

--c F3.50 SIS H247

.vT

-c F3.10 SI9 HOl VT -c F3.30 SI9 HOl VT B-N-1 B13.10 VIR-1-1200

RX VESSEL INT. *vT **

B-G-1 B6.50 VIR-1-1400 CCW21 thru. VT B-G-1 B6.50 VIR-1-1400 CCW39 VT B-G-1 B6.50 VIR-1-1400 CVW21 thru VT B-G-1 B6.50 VIR-1-1400 CVW39 VT B-G-1 B6.10 VIR-1-1400 N21 thru N39 MT B-G-1 B6. 30 VIR-1-1400 S21 thru S39 MT,UT B-G-2 B7.20 VIR-1-2100 BOl thru B16 VT B-K-1 Bl0.10 VIR-2-2100 HOB MT F-C VIR-2-2100 HOB VT B-G-2 B7.30 VIR-1-3100 2-BOl thru VT B-G-2 B7.30 VIR-1-3100 2-B32 VT B-G-2 B7.70 VIR-1-6300 72 VT B-J B9.ll VIR-1-4104 03 UT,PT B-J B9.11 VIR-1-4104 04 UT,PT B-J B9.11 VIR-1-4105 06 UT,PT B-J B9.11 VIR-1-4105 07 UT,PT B-J B9.ll VIR-1-4105 08 UT,PT B-J B9.11 VIR-1-4105 09 UT,PT B-J B9.40 VIR-1-4111 15 PT B-J B9.40 VIR-1-4111 17 PT B-J B9.40 VIR-1-4111 19 PT '.J B9.ll

- VIR-1-4201 10 UT,PT J*

B9.ll VIR-1-4201 11 UT,PT

Page 38 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM VIR-1-4204 03 VT B9.21 VIR-1-4204 13 PT B-J B9.40 VIR-1-4205 11 PT B-J

B9.40 VIR-1-4205 12 PT B-J B9.40 VIR-1-4205 13 PT B-J B9.40 VIR-1-4205 14 PT B-J B9.40 VIR-1-4205 17 PT B-J B9.21 VIR-1-4206 09 PT B-J B9.21 VIR-1-4206 10 PT B-J B9.21 VIR-1-4206 11 PT B-J B9.21 VIR-1-4206 14 PT B-J B9.40 VIR-1-4209 02 PT B-J B9.40 VIR-1-4209 03 PT B-J B9.40 VIR-1-4209 04 PT B-J B9.40 VIR-1-4209 05 PT B-J B9.40 VIR-1-4209 06 PT B-J B9.40 VIR-1-4210 24 PT B-J
B9.40 VIR-1-4210 25 PT B-J B9.40 VIR-1-4210 26 PT B-J B9.40 VIR-1-4210 27 PT B-J B9.40 VIR-1-4210 28

-pT B-J B9.40 VIR-1-4212 10 PT B-J B9.40 VIR-1-4212 11 PT B-J B9.40 VIR-1-4212 12 PT B-J

B9. 40 VIR-1-4212 13 PT

--J B9.40

VIR-1-4305 11 PT

-J B9.40 VIR-1-4305 12 PT -J B9. 21 VIR-1-4306 03 PT B-J B9.21 VIR-1-4306 04 PT B-J B9.21 VIR-1-4306 05 PT B-J B9.21 VIR-1-4306 06 PT B-J B9.40 VIR-1-4308 02 PT B-J B9.40 VIR-1-4308 03 PT B-J B9.40 VIR-1-4308 04 PT B-J B9.40 VIR-1-4308 05 PT B-J B9.40 VIR-1-4308 06 PT B-J B9.40 VIR-1-4308 08 PT B-F B5.20 VIR-1-4502 01DM UT,PT B-F B5. 20 VIR-1-4503 01DM UT,PT B-G-2 B7.50 VIR-1-4700 06 VT B-G-2 B7.50 VIR-1-4700 08 VT B-G-2 B7.50 VIR-1-4700 16 VT B-G-2 B7.50 VIR-1-4700 20 VT B-G-2 B7.60 VIR-1-5100A 3-SHBOl thru VT B-G-2 B7.60 VIR-1-5100A 3-SHB12 VT B-G-2 B7.70 VIR-1-6300 76 VT B-G-2 B7.70 VIR-1-6300 78 VT B-G-2 B7.70 VIR-1-6300 79 VT B-G-2 B7.70 VIR-1-6300 80 VT B-G-2 B7.70 VIR-1-6300 85 VT --~=; B7.70

VIR-1-6300 86 VT B7.70 VIR-1-6300 87 VT

Page 39 of 40 November 17, 1989 CATEGORY ITEMNUMBER ISOMETRIC COMPONENT EXAM

G-2 B7.70 VIR-1-6300 93 VT G-2 B7.70 VIR-1-6300 95 VT C-A Cl.30 VIR-2-1100 02 144 11-284 11 UT C-A Cl.10

.VIR-2-1100 05.101 11-284 II UT C-A Cl.20 VIR-2-1100 08 156 11-370 11 UT C-B C2.21 VIR-2-1120 lA PT C-B C2.22 VIR-2-1120 lA

PT*

C-A Cl.20 VIR-2-1120 lA-01 UT C-A Cl.10 VIR-2-1120 lA-02 UT C-A Cl.10 VIR-2-1120 lB-02 UT C-A Cl.10 VIR-2-1300 4A-02 UT C-A Cl.20 VIR-2-1300 4B-02 UT C-F C5.11 VIR-2-2102 06 MT C-F C5.21 VIR-2-2200 02 UT,PT C-F C5.21 VIR-2-2201 18 UT,PT F-C VIR-2-2203 H13 VT C-F C5.11 VIR-2-2500 25 PT C-F C5.11 VIR-2-2500 26 PT C-F C5.11 VIR-2-2510 22 PT C-F C5.11 VIR-2-2510 25 PT C-F C5.11 VIR-2-2510 26

PT C-F C5.11 VIR-2-2510 42 PT C-F C5.11 VIR-2-2510 44 PT C-F C5.11 VIR-2-2510 45 PT C-F

C5. 21 VIR-2-2522

01 UT,PT

--F . C5. 21 *

- -VIR-2-2522 02 UT,PT

-F C5.21 VIR-2-2522 03 UT,PT -F C5.21 .VIR-2-2522 04 .UT, PT C-F C5.21 VIR-2-2540 19 UT,PT C-F C5.21 VIR-2-2542 33 UT,PT C-F C5.11 VIR-1-4658 09 PT C-F C5.11 VIR-1-4658 25 PT B-F B5.21 VIR-2-2543. 02 UT,PT B-F B5. 21 VIR-2-2543 . 03 UT,PT B-F B5.21 VIR-2-2543 04 UT,PT F-C F3.10 WAPD4 HOl VT F-C F3.30 WAPD4 HOl VT F-C F3.10 WAPD5 H07 VT F-C F3.30 WAPD5 H07 VT F-C F3.10 WAPD6 HOl VT F-C F3.30 WAPD6 HOl VT F-C F3.10 WAPD6 H02 VT F-C F3.30 WAPD6 H02 VT F-C F3.10 WCMUlO HOl VT F-C F3.30 WCMUlO HOl VT F-C F3.10 WCMUlO H02 VT F-C F3.30 WCMUlO H02 VT F-C F3.10 WCMUlO H03 VT F-C F3.30 WCMUlO H03 VT F-C F3.10 WCMUlO H04 VT

- - - .=g
F3. 30

..,.WCMUlO_ H04 VT F3.10 WCMUlO H05 VT

CATEGORY ITEMNUMBER .g F3.30 F3.10 F-C F3.30 F-C F3.10 F-C F3.30 F-C F3.10 F-C F3.30 Page 40 of 40 November 17, 1989 ISOMETRIC WCMUlO WCMUlO WCMUlO WCMUlO WCMUlO WCMUlO WCMUlO Statement of Interval Status COMPONENT EXAM H05 VT HOG VT HOG VT H07 VT H07 VT HOS VT HOS VT Virginia Electric and Power Company is currently on schedule with its examination requirements

ATTACHMENT 2 OWNER'S DATA REPORT FOR REPAIRS AND REPLACEMENTS

OWNER'S DATA REPORT FOR REPAIRS AND REPLACEMENTS for Surry Power Station Unit*2 P.O. Box 315 Surry, Virginia 23883 for Virginia Electric and Power Company 5000 Dominion Blvd. Glen Allen, Virginia 23060 Commercial Service Date: May 1, 1973 Operating Capacity: 822 MWe (net) Refueling Outage: 2nd Interval, 2nd Period

I. ATTACHMENT II --~ -. ~,.. :*.- N"meof Name of*

Component
M.fr.

,V,4-Lvj,,

Vo.%'{

V FORM NIS-2 OWNER'S REPOFIT*Of REl>>AIR OR REPLACEMENT As Required by the Pro,bi_om of ASME Cod* Section XI

Mfn.Ser.

N.!lt'I. CRN No. Bd.. *

No..

.No. .. RJ./6111?

Other*
1denii>

ficnlon

)-HS.-1b v.. r*

iunt Repaired,.* Replaced. or.

Replacement I

. CERTIFICATE' OF COMPLJ.f'NCE.... ASM~ Code

- 'Stamped*

(Yea or Nol* )Jo .. We ~~ify tha~ ~h~ ~tements 0 ,;.~in.this 0 repor1 :are ~r~tlnd this. ** 7( aj I R.{,h¥tuf confo~ 10 Section XI of th.e

ASME Code.

(re rorrep :cement) *

Sigoed----~~~~-J!....L.l:.,.--.L+~:..'::::::j~'::.:L.....!...:~.,--..:.._-..;_j~-f-W~,__;_**.*-** _; 19 ( 1
Tnle CERTIFICATE OF INSPECTION I. the undersigned, h~lding* a v11lid commission Issued by the N11tionel Board of poiler end Pressure Vessel Inspectors arid the State o,r frovince of

. V 1tt

l *em l.oyed t>v H*-z 13 ::z: ~ :z:

Cu.. of Hutf,,d. e<1 have inspected the t4.R described in this Report on 4 - t L.:f

,sll *

. r.. .. (Repairts or ~placement(s)J

and state th.at to the best.of iny knowiedge arid belief;.this r.epilir oneplecement hei*been connructed In accordanceiwith.Section XI. of th~ ASME Co~; By 1igriing,this ~~rtifiaite, ~either the Inspector* nor his fmployer l'Tll~I any ~irrenty, exprened or Implied, concern: *

. ing the repair o'r rtplacement cle~i:ribed In this Report. Furthermore;neither the lr,spector"nor h.is employer 1hall be li°able iri ar,y manne.r. '... f~r* anv, ~rsoriel ~njury.t:p.ro~r:tv '!1'::::'.::' 1 '"!1£~ing 1r~m o~c~~n~ted wii ~hit lnspe~i~n: .

Date t:f. ( ~ ~]

~I_ .. ~ ~mm1111ons

Cl..

.. (lnspec:10f) . CS.late or. jnc:e, Nat,onal 8o&r12) Nota: *suppl*,:,..*nUI ah~u ln.'for..;. o*f *,ins. akatchei,*or drawlnga ff'i*Y 't,a u.. ci* prov.ld*d.(1) alze.. Bl' In. X,, In., (2) lnf.ormation In.~ma* 1 through A on.th,, dna report,, lnclud*d on aach ah~:. and 13)... ch lhNt b numbar*d . and.!f\\a-~u~t,a{ of ;hs,ot,, b f!l>C:Ord!lld_ Git 'i!Ml top o\\f,,hi'..for<TI, \\ ~

'* ~. :

i.

I I*. . --~

3.

Name of. Name of Component Mfr. FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by lh1 Pro,biom of ASME Cod* SectJon XI Mfrs. Ser.. *

- Nat'I.
CRN Other Vear

Repaired, ND.

Bd.

Na.
- ldenti-Built

Replaced, No.

fieetion or

Repiacement B d\\'Ll'le,f tr5Je... b. /y* "1-11*

)-ol(V Jo l(

)-cl}-11f ReJJk~~.: f; 7.

S..
Description of Work R

~h/e1,U B ti"' V1C f-: tk*s _('-,,.._h It..

Tests.Condueted:

H_yd~osutic D Pneum11lii: D ~ominnl Oper~ting F'~sure ..*.. p * * *. if. PresSllre * * *

psi. Ten Temp __. __._ F.

9..

Remarks* 1_. ().

<;f - lb t'f.f b * .CAPPl_icable Manulaclurer'a Dalli Repons lo be attacMd) D

Qther 0

. CERTIFICATE OF COMPL_Jf.NCE.. ATTACHMENT II ASME Code Stamped (Yea or Nol )Jo. We ce~ify that the ~~ernenu mBde I~ th~ re~orure correct a~d t~is... 7( <M>I ~d vr1~f ASME Code, . C,epa\\rorreplacemenO conforms to Section XI of the Signed_..!.~~...Lh-'-!--+-:~~=---* ~S.:.L~-1.f.....::.**~-~.;___!.4-d-.....:J_t./L----~* 19 ( 7 Tnle 1e) . CERTlf ICATE OF INSPECTION I. the underi;igned,. h~lding II valid commission Issued by the National Board of i8oiler end Pressul'I! Vessel ln~tors and the State o_r r~ovi,nc_e of _ ""V 14: . *.. em.~loy~ by ti*4f t3 1:-: ~ 'Z-_ Cu. of Harl&rJ. e< I h11ve inspected the b e..p I tu..eu:1-:&d:demibed in this Repon on LJ-1 L(

,ill 1

. IRepairt*for ~placement(s)] and* nete thet_'ta. the best of my knowhidge end belief, thi, repair or replacement hes been constructed \\n accord11nce ~th Section XI of the ASME,Code. By signing this cenifi~te, neither the Inspector nor _his ll!mployer makes any warranty, expressed or Implied, concern-

ing'the ie'p11ir or repl~ement described-In this Report Funhermore, neither the Inspector nor hi~ employer sh~II. be liable in ~ny manner for!anv personel Injury ~r* property da~ ol~~ of cny{:j~ng from _or conn~ted with thi~ l~spect_ion.

D11te t-/:- ( :f - '] ~ { ~ Commissions __ --!\\,k.}..:O....;,;::e--""~"'::t/,i-+-,/-~...,.....,-::-'----'-- (lnspec1ori (Stale 0< Prowince, National 8oara) Note: su*pplemental sh NU In* form of llns, sketches,. or drawing,, mlliy be u.. d provld*d (1) size b* B.X.. In *. X 11 In.,:

* '(2} Information.1n: ltama 1 through., on thla dau ra~on 1, lncludad on.. ch shan, *11nd (3) **i:h ahHt ** numbered snd thG 'nu'mbar \\,f sho&e.tll ii.. rgcord~ av ?h!II 'tOP of thl1 fo,-,,.-,,

I*

r~ . -:1- ... ~- :*.- FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the Provisions of ASME Cod* Section XI o.ie, ___ L1""'Fq, __ 1 ___ 1r--'-/....;.1....;.r~u-'-1 __ _ ShHt------------of ___ _,_ ________ __

2.

3.

Fie pair Organization P.O No~ Job No~ etc:.

4.

6.

Identification of System,~~ /ci,.,:J-" ~ I (a) Applicable Construction Code P 3 (

I 19 6 1 Edition

/PC Addenda, Code Cases ____ Jt/l'r......, __ _ Cb) Applicable Edition of Section XI Utilized for Repairs or Replac:emenu -191'.!., lv5f'i> Addenda, Code Casea__.),/""-'fJ....._ __ Identification of Components Repaired or Replac:ed, and Replacement Components

6.

Name of Name of Mfn. Ser. Nat'I. CRN Other Yaar

Repaired, Component Mfr.

No. Bd. No. ldenti* aunt

Repl9Ced, No.

ficetion or Replacement c;Ws P""'lwt((,t J./yY {V/IJ' t# ")--((.(-M UV pJ-.Jr y,r P ~ h ftia wu,J-

7.

8.

9.

I Description of Work f!</pla. U-C/vi..,' 1"o ~.,.._,_ i,J fhvw,__,__--j- <;~. ( (j) Tests Condueted: Hydrostatic D Pneumetic D Nominal Opereting Pressun! D Other D Vl Pressure psi Test Temp, _____ *F Remerks V. 0 ~ )f - I '.ntl IX:: IAPi/licable Manutac:lurera Data Repons to be attached) CERTIFICATE OF COMPL_Jf-NCE ASME Code Stamped (Y11 or Nol }Jo '~""; We certify that the statements made In this report are correct and this 7( rlrf)/ aa w'l..t.:f ASME Code. a&. rl1~ I (repa(rorre~ce,M~, conforms to Secti,on XI of the Signed N? /a ~ $ ~ /. 1/J (,,, (Owner or Owner'5 DesigneeJ Tnte (Dale) / ,19 t 7 CERTIFICATE OF INSPECTION I, the undersigned, h~lding a valid commission Issued bv the Netional Boerd of ~oiler and Pressure Vessel Inspectors and the State o,_r rrovince of V 19: . em loved t1v 1+-z f3 1; { :c Cu. of Ha...it..rJ, e<1, heve inspected the Ul.R described In this Report on t{-( &, , 1ali ~ ' (Repair{5 or ~placement(s)J and 1t11te thet to the best of mv knowledge and belief, this repair or replecement hes been constructed in accordance with Section XI of the ASME Code. Bv signing this cenificate, neither the Inspector nor his fmplover makes anv warranty, expressed or implied, concern-ing the repair or replacement described In this Repon. Furthermore, neither the Inspector nor his employer shell be liable in anv manner for anv personal Injury or property !'°)ge'~~f ~Ll k~rising from or connected with this ln11>ection. Date '::f-1 h--f?7 ~ l~ Commi11ions __ .,../J-=&...-=-~~Lf....... / __ ~,------ 11n1pec1Clt) C51ate or Prowince, Nalional Board) Non: Supplamanul 1haau In form of llffl, 1kctc:ha, or drawlnga mav bs uHd provld*d (1) alze Is BM. In. X '11 In., (2) Information In lam, 1 through A on thla dau rapon la lncludad on aach 1hNt, and (3) **ch 1hNt la numbered end Iha number of ahN1:I la rmcordad r.t tht': top of thl1 f!>r:u.

--~ ... \\.~

2.

3.

.. ~* :*.- FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the Provisions of ASME Cod* Section XI Repair Organlulion P.O Ho~ Job No~ etc. ~--,, f J..

4.

6.

Identification of Synem c:.. *Y C*"ftM,, 5 PW\\ dti.,4L I (a) Applicable Construction Code 19 61 Edition Ille Addenda, Code Cases ---.J/=-4--=--- Cb) Applicable Edition of Section XI Utilized for Repairs or Replac:emenu - 19j2_, Iv ?:O Adclencl1, Code Cases __..µ......,fJ __ _

6.

Identification of Components Repaired or Replaced, and Replacement Components Name of Name of Mfrs.Ser. Nat'I. CRN Other Year

Repaired, Component Mfr.

No. Bd. No. ldenti-aunt

Replaced, No.

fication or Replacement c;.li,.J. '> f ttw1Ut KJ-u/4-ult //Ir ~-"-t-111/V ;>,J-36 1/V' Rwkiawiii' I

7.

B. Description of Work f1lfou. 4 s-ft<.is ( l, Wq'1ur-r-~- -Iv ~"Vll-'IJ -5P-4~ } Tens Conduetced: Hydrostatic D Pneumatic D Nominal Operating Pressure O 'Other 0

9.

,; JPreswre psi Test Temp. ___ *F Remarks~ 0

l -

I go ~15'" icable Manutaclurer"1 Data Repons to be attached) CERTIFICATE OF COMPL.Jf-NCE ASME Code Stamped CYn or Nol )Jo -~* - ~~!"--: We certify tQl1t th'i7 tements mede In this report are correct and th is 7( ad)/~ t'"l'l...t..:f ASME Code ~ WI ~r (repal(orrep1acemenl), conforms to _Secti~n XI of the Signed / I Jo/1.

5. ~: f.

./-j /; 0 (OwnerorOwner'st>esi'g~ THle (Dale,; ,19 (1 CERTIFICATE OF INSPECTION I. the undersigned. h~lding e valid commission Issued by the National Board of ~oiler and Pressure Vessel Inspectors and the State o,r rrovince of V Jlf ' em loved by ti:*'.? (3 1; ~ I-C (J

of Ha.Jf..rJ, C~

have inspected the tu.,R described in this Report on H:- fl,,en ~ 1 IRepair(s or ~placement(s)] and state that to the best of my knowledge end belief, this repair or replacement has been connructed in accordance with Section XI of the ASME Code. By 1igning this cenificete, neither the Inspector nor his t!mployer makes eny warnmty, expn!ned or implied, concern-ing the repair or replecement described In this Repon. Funhermore, neither the Inspector nor his employer shell be liable in any manner for any personal Injury or property age or 110_31 oJ *nr:::,ind arising from or connected with this Inspection. Date

\\' - ( ~ -'(]

l.,[J * (~ Commissions _ ___.i'"'"/a_===-"'"'i..:..t.(::'--l-:/-~~=--,,----- ClnsPK1Qr) (Stale or Province, Nalional BoarG) Noi.: Supplemental 1hNU In form of llns. 1ketcha, or drawlnD& may be UHd provided (1) 1IH h B~ In. X 11 In., (2) Information In Ii.mi 1 through

on this data repon Is Included on each 1hNt, and (3) each ahNt la numbeHd end~:, numt,.,,r oi thNts I, recorr.l"d llt thai top of this form.

--~ . -\\ ~* FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by lh* Provisions of ASME Code Section XI ~u ___ , __ -l_>_/~L~1~ro~1t------- () /CAltd,.._) shNt--------o'---------

2.

Plant. <;:;u Y:C( C~ vt,i.t ( >-:t"!V[f d V) Unit )- / <<Name> f, tJ. {}oX 1(~ <ivirrl f//t. r31f3

3.

Work 1 Performedby iaf:1?1i-J.i1~ 1 -::: ~-1 ~m.JL. Repair OrgartlUllon P.O No~ Job No~ etc.

4.

6.

Identification of System-11,.=::.:.r.~,..~......:::,...~-o;::.IJ.l.:..o?wt.....;.:.f __ __,.--,---------=-~----------------- (a) Applicable Construction Code 19 6 1 Edition /.J A Addenda, Code Cases _ _.IJ; ........ A...._ __ (b) Applicable Edition of Section XI Utilized for Repain or Replacements -19K!.., hJ 'ef'I> Addenda, Coc:11 Cuts.....,A/~8...._ __ Identification of Components Repaired or Replaced, and Replacement Components Name of Name of Mfn. Ser. Nat'I. CRN Other Ye11r

Repaired, ASME Code Component Mfr.

No. Bd. No. ldenti* iullt

Replaced, Stamped No.

ficetion or (Yn or No) Replacement ~l~ ~{ &t-,(~4") {;.,*1,.:iolJ )--RC-rfcv... ~Y?l- - p eh/aa W)JJ.::f )Jo ~,'ft1l.<,/(l11J 80116 °' (, I ~

7.

Description of Work~~~~__..!!:L-2::1.!~:,.L-....:... __________________________ _ B. Tests Condueteu: Pneumatic O Nominal Operating Pressure O Other 0 Test Temp. ___ *F " c:)

9.

Remarks--"--+,-~_.,.,.~,.....,,1--4.-:1,:a..:;.-=--'--...,..------------------------------- CERTIFICATE OF COMPL~NCE We certify that the statements mlllde In this report are correct and this 7( a,P/ ~ ...r,.,a..:/ ASME Coclen n \\ c,({\\.- (')(\\ c,epa(ror~Q, Signed l;tY,w 1ffi,JJ&..,c.J( ) 5 ~ r. 0 l ~ (Owner or Owner's De\\,g,-) '\\.. Tnle (OateL conforms to Section XI of the ,19 t1 CERTIFICATE OF INSPECTION I. the undersigned, h~lding a valid commission Issued by the National Board of ~oiler and Pressure Ves$el lnspecton and the State o,r frovince of V ft . em loved by tf:*~ B k { k C CJ

of Ha.Jf.cJ, ec1, have inspected the tu.Rt described in this Repon on b -S-

.,gj[J_ ~ 1 IRepa1r(1 or ~placemerit(s)J and state that to the best of my knowledge end belief, this repair or replacement has been connructed in accordance with Section XI of the ASME Code. By signing this cenifiane, neither the Inspector nor his l!mployer 1Mkes sny werranty, expressed or implied. concern-ing the repeir or replacement described In this Report. Funhermore. neither the Inspector nor his employer 1h111l be liable in any manner for any personal lnju; or property de~~ o!anyi)ki~ing from or connected with this Inspection. Date b~ (L 81 ~ ~ St_. {j;-d/~. Commissions __ _..\\/""".A'-'-..... d,...,'--1--+-J ----,-e------ (lrtll)eCllll) CState or Provirice, Nalionlil Boa1'll) Noft: Supplamantal 1hNt1 In form of llsu, 1ketcha, or drawlnga may be UHd provld*d (1) 1IH Is B~ In. X 11 In., (2) Information In h*m* 1 mrou!lh 4 on this data rapon 11 Included on Heh 1hen. and (3) each ahNt I* numbered and th* number of sheets It racordad at th* top of this form.

--~

2.

3.

4.

6.

.... ~... :*.- FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the Prowi1iori1 of ASME Cod* Section XI / 0wnei v,*r~,*n,\\*t. Po we r o.ie_..... 6_.... 1_>--£1---=-1 r;...;u;_,1~--

p. Q. 6vX };6Ghb CNameJ 1,'J,l'Y'lmc{

V/9-. )-3-d/ ShHt--~-of _ p ,~,.._) i Plant. SU rc(d vt,).t ( >-tiff.,\\') Unit __ / (Nama) f* d

f>o X 1( ~ 2/;irrl rl/. r3'1'!3 Work Performed bv---l.,._~..,_,_..__+-b....,...... nJ"--..i1..... y'_' ____ _

'.'.:'::: (Name) ~vnL IJ fl" ' "' ~-, I C).;.vvJ V ) Identification of System...._t<--_v__.,'-'-,...:<./1'-~..:....:..-+---...,._.....,.. ___ +------,---------------,---- C.) Applicable Construction Code 19 61 Edition Al /l,. Addenda, Code Cases __.Al.,_,_A~,----- (b) Applicable Edition of Section XI Utilized for Repain or Replec:emenu - 19Ke.., hJ S(O Addenda, Code C...1 __ A/..._.8 __ _ Identification of Components Repaired or Replaced, ind Replacement Components N1meof Name of Mfn. Ser. N1t'I. CRN Other Veer

Repaired, ASME Code Component Mfr.

No. Bd. No. ldentl* iullt No. fication t~P. *:foi.J. f,~.f.liwev1 )..-~ -XJ-V.4- - I P,Jl,~ ~ftw..e{ e-;:11 a:11.5,a h ....-~ ?...,t, Description of Work B L

J

7.

B. Tests Condueted; Hydrostatic BJ Pn~matic O Nomina1 Operating Pressure D Pressure lb} psi Test Temp.~'F Remarks ~Lf ~'lJ.!,ter', Data Repons 10 be attached)

9.

Replec:ed, Sttmped or (Yes or Nol Replacement R JJ/tiawi~d' )Jo I ~i Other D conforms to Secti.on XI of the ,19 t7 CERTIFICATE OF INSPECTION I, the undersigned, h~lding I valid commission Issued by the National Board of poiler and Pressun Vessel lnspectol'I and the State o_r rrovince of VA: em loyed by rl*"z (3 Z- ~ ;r;.. C (). of H~tJ. e,,1, have inspected the Cll.R described In this Repon on (;. - ~

,s.f.J_

1 fRepaif11 or ~placement(&)) end state that to the best of my knowledge end belief, this repair or replacement hes been connructed In accordance with Section XI of the ASME Code. By signing this certificate, neither the Inspector nor his i!mployer makes any w11rrenty, expressed or implied, concern-ing the repair or replacement described In this Report. Funhermore, neither the Inspector nor his employer 1h111l be liable in any manner for any personal Injury or property dam~ ~f ,iny '5lnd rrising from or connected with this Inspection. Date ~ ~ g _ f 7 C' ~ ~ ' ~ Commissions 1/ lL dJ..1-{ J (lnllr:,ectOf) CState o, PrO'tince, National~ Note: Suppl*m*nul ahNU In form of llsu, *k*tchas, or dr*wln1111 may ba uHd provld*d (1) IIH h 81' In. X 11 In., (2) Information In IT*ma 1 through

on this data r*pon la lnclud*d on.. ch *hNt, and (3).. ch *hNt 11 number*d and 1h* number of shafltz la r*cord-,f,,n **h* ~..,.., lt!f thl: iorm.

--~ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT ~ Required by the Provision* of ASME Code Section XI 0wn.[ V,'r~,*n,~A-Power o.n ____ 6__._1_.1J::;....,,......c..L...;.1....;'1..:;u-'1 __

f. 0. e<>X r66hb (Name) 1?,'dr111md Vd. "J,3~/ Shfft __

......__ot ____

2.

Plant. >*Uy('! Paw1.c >-Mn'~ I Unh __________________ _ CNamel IJ, d

fsa X

~I~ e;t-tYYY f/J. r31f)

3.

F- ?it'-l i Work Performed by ____ l.,._Wwj......_-.,-P.... 1,.._1-J"'---e..1..:..y'"----- -:: 4Namel ~vn.JL.. Repair Orga111Dllon P.0 ND~ JDb ND~ ell:.

4.

fi. D ~, Identification of Synem_...,.,r_rt..,... !i:,~~'H-""'~1r.a.a..r ____...--,---------:-":"':"-------------,-,---- C.) Applicable ConstNctlon Codepl

I 19 6 7 Edition

/JI\\ Addenda, Code Cases _.,_(1/.... A~-- (b) Applic:ab!e Edition of Section XI Utilized for Repeira or Replac:emenu - 19.!t., Iv 8'1> Addenda, Code C..1 _JJ_fl __ _

6.

Identification of Components Repaired or Rep!aced, and Replacement Components N1meof N1meof Mfrs.Ser. Nat'!. CRN Other Y11r

Repaired, ASMECode Component Mfr.

No. Bd. No. ldentl* iullt

Replaced, Stamped No.

ficntion or (Yea or Nol Replacement ~6,-r t,viJ;.,, D..* 'i'o~ ?- c}.-Rl-E., i-- - Pwltmwi~d' No

7.

B.

9.

V Description of Work ~JLplalR. 0 V\\.11. ( I) ~ ~,r

Tests Condueted:

Hydrosuitic D Pneuinetic D Nominal Operating Pressure D Pressure), psi Ten Temp.~ *F w cv.v i ~ ';tJ CERTIFICATE OF COMPL~NCE We certify that the natemenu made In this report are correct and this 7( ar/)/ ~ rfl.1.f I ~ Other (B"'. conforms to Secti~n X! of the ASME ~-(l (repalrDrreplacemenQ, Signed~~.,f\\,\\_~o s.~*,. U) / s-.,et7 (Owner Dr Owner's Oesi11rieel Tnle "(Date) i! CERTIFICATE OF INSPECTION I, the undersigned. h~lding I valid commission Issued by the National Board of poiler and Pressure Vessel Inspectors and the Sute o.r rrovince of V f\\:: . em loyed t,y t+'.2 f3 1; t, k ( 0

of H&,ol. e.:1 have inspected the

~ described In this Report on b-s-:: ,rf?.]_ ~ 1 IRepairts or i,ep1aceme111f1)J and nete that to the best of my knowledge end belief, this repair or replacement hes been constructed In accordance with Section XI of the ASME Code. By 1igning this certificate, neither the Inspector nor hi1 i!mployer makes any warranty, expressed or Implied. concern-ing the repair or replec:ement described In this Report. Furthermore, neither the Inspector nor his employer shell be liable in any manner for any personal Injury or property ~I lo~?~::sing from or connected with this lnapection. Date ft.- 5:- g 7 ~~ ~CJJ.~ Commiasions ..... t/.... A......._._A, __ L/-....._/ --..,...,,------ 111111>eC1Dfl CStale Dr Pr"D¥ince. National EIDard) Note: Supplemental ahNU In form of llm, 1ketch*, or drawln91 may be UHd provld*d (1) 1IH Is 8l' In. X 11 In., (2) Information In Items 1 through, on this data repDn 11 Included on aach 1heet. and (3) each thNt It numbeT*d end tt,n number nf 1hee1s Is record..<. at the top ~f thla fDrm.

FORM N1S*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the Provisions of ASME Cod* Section XI o.te ___ (:;, __ / __ f _o """'/_I.....;<j 8'--'1 ___ _ Sheet ____..._ ___ ot __..._ ____ _

2.

3.

Repair Orga"IUllon P.O No~ Job No~ etc.

4.

6.

Identification of System, Rµ,.,~nz:.. (y ~ r Cal Applicable Construction Code J{ 31 J 19 6 1 Edition,_ _____ Addende, Code Cases ----,--- Cb) Applicable Edition of Section XI Utilized for Repairs or Replacemenu - 19.!L, Iv K~ Addenda, Coda Cases _l,/-....13..._ __ Identification of Components Repeired or ReplKed, and Replacement Componenu

6.

Name of Name of Mfn. Ser. Nat'I. CRN Other Year Component Mfr. No. Bd. No. ldenti* Eiunt No. fication ~.e/:hJ r..., r,.1;s -it dcaY1 - - "J ~r..t - f)cv.;;i.yJ:rl., - I

7.

B. Description of Work RE4{ei.u.o { t/1.Jv.J ~!&1

Tests Condueted:

Hydrosutic O Pneumatic O Nominal Operating Pressure 0

9.

(,) . /./ ~'lAWre )11:P> psi Test Temp.~ *F Remarks [.,{) 21-

ID cf. vl.--,

CAPPlicable Manutacturer'I Data Repons to be attached) CERTIFICATE OF COMPL~NCE

Repaired, ASME Code

Replaced, Stamped or (Yn or Nol Replacement Renlm.i;f

)Jo I ~~---;" Other 9"" ff.-1 / We certify that the mtemenu mede In this report are correct and this 7( atl)i 4.U t"l'l..t.:f ASME~ /) h /'-~ _.M..,_ conforms to Secti_on XI of the Signed L{y £~/C -/~ V 5. ~* /. ( // C) (O{;ner or Owner'5 Desip l THle Coate)

19 t 1 CERTIFICATE OF INSPECTION I, the undersigned, h~lding a valid commission Issued by the National Board of ~oiler end Pressure Vessel lnspec:ton and the State o,r frovince of V J4:

. em loved by I+~ /3 :Z::. { k:: C (J

of Ha_J.£.(J, C<1 have inspected the fM.R described in this Repon on 6-/0

. 1fil ~ Y IRepair(1 or ~placement(s)) and state that to the best of my knowledge end belief, this repair or replacement has been constructed In accordance with Section XI of the ASME Code. By signing this certificate, neither the lnapector nor hi1 fmployer makes any w11rmnty, exprened or implied, conc.irn-ing the repair or replacement described In this Report. Furthermore, neither the Inspector nor hi1 employer 1hall be liable in any manner for any personal Injury or property dam: o~~~~an~sing from or connected with this lnJrection. Date 0-/o~~ 7 /~t:Ed._i-, (~L Commissions __ .... U_,.Cl~...::.'ff--='"'f+J,--:-:--,-~:--.,.---- ll"lpector) (State or Pr-oC;nce, National Board) Note: Supplemental ahNU In form of llsu, sketch*, or drawlnllll may be u1ed provided (1) alze la B~ In. X 11 In., C2) Information In h*m* 1 through

on this data repon 11 Included on **ch ahNt, end C3) each 1hHt la numbered and lhe number of thHb 11 racorded at the to" nf this fr,rm.

--~ .. '\\... FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT /u Requ1red by lh1 Pro,biom of ASME Cod* SectJon XI ......... '-"......... \\,... Owner v,*r~ 1'n.~ t\\ ?o vJe ( o.ie_..... b____.l._):..-6_. L-/..;..1..;..'1~8.1-1 __ _ ___ f,_..... o ..... __._f?_i> X~..... >:"'"'66... b ___ t----:=,..=.,._1...,._...t.....,'=~"""'tr1--~;.:.>t='1........ _.Vt1_........... > 3 .... -d ...... / 5hNt __ ....__0, _

2.

Plant.. 5:urcl Pdw.tf £M'ttb , Unh_....;..Y ______________ t CH-> f, d

60 X

~i ~ t;~rr-1 vi. ">-311.3 Work,.rfonned by Llif:j?, N-' I"" 1 ....... 4Namel ~rn..L

3.

4.

I. Identification of System ~:hi;.. iit5..e.-v _ I 511c:::P ~ "v Ca) Applicable ConstNctlon Code ~ 1 1l! 6 7 Edition NA Addenda, Code Cases __ AJ,..A....._ __ Cb) Applicable Edition of Section XI Utilized for Repairs or Replac:emenu - 19.!1.. N 8'0 Addenda, Code C..1 _'),i ..... cJ __ _

6.

Identification of Components Repaired or Replaced, and Rapl1cement Componenu Name of Name of Mfn. Ser. N1t'I. CRN Other Vnr Component Mfr. No. Bd. No. ldenti* liullt No. fication lfcJva.. 1\\-11,;hf ),,v-WI* 1-c1ofl _,...

7.

B. De1cription of Work rkp&aJ (/ oJv.JL Tests Condueted: Hydro1iatic D Pneumatic O N9m)nal Operating Pressure 0 {) () Preuu,re I\\ I} psi Te11 Temp._/d"J>11 __._*F

9.

Remarks [..*

t3" 1...-lb'vO_r

~icable Manutacturel'I Da1a Repon1 to be lt1aChed) CERTIFICATE OF COMPL~NCE

Repaired, ASME Code

Replle9d, Stamped or CYn or No)

Replacement Rfh~wi.1d' )Jo I '~ ~ Other 0 We cenify that the natemenu made In this rep on are correct and th is 7( Qt/)/ <<.<C l'('/..tf ASME Code. .. pa(,oueplacemen1), conforms to Section XI of the I Signed_.....::::~:.::t:::..!;...L~~~,-L___::S.::._:. jL!...f..:..* -,,,-------~(o~~l.:::D::__, 19 ( 7 TIiie (Dale) CERTIFICATE OF INSPECTION I. the undersigned, h~lding I v1fid commission Issued by the National Board of poiler and Pressure Vessel lnspecton and the State D; rrovince of V ft . em loyed bv rl*:2 (3 J:- t, k ( 0, of H&rJ. e<1 h11Ve inspected the tu.£ described In this Repon on t-11 ~ 1 IRepa,ria or !;eptacement(1)) and state that to the ben of my knowledpe and belief, this repair or replacement h11 been constructed In accordance with Section XI of the ASME Code. By 1igning this cenificatt, neither the Inspector nor his fmployer makes any warranty, exprened or implied, concern-ing the repair or replacement de1cribed In this Repon. Funhermore, neither the Inspector nor his employer 1h1fl be liable in any manner for any.,r~nal Injury or propeny ~==of ?y~g from or connected with this Inspection. One r2. / / 87 ~r/..:. ~ Commissions _ __.U....._tl----'#J. ___ y'-+-/ --~---- (lnsPK'!Of) CS1ate or Pr6,,ince, National Board) Non: Supplamanul 1hans In form of llnl, ekatchas, or drawln5111 may be uHd provided CU 1b* 111" In. X 11 In., (2) lnform,tlon In mm1 1 1hrougt,

on thla data repon h lncludad on each 1hN1, and C3) each 1hNt II numbff*d end th* number of 1hNb h recordacl at th* u,p of 1h11 form.

( * - -:-~1 FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the Provisions of ASME Code Section XI ATTACE~1E.NT II I J-.-- 1 (,.- fl 7 Date ______ _... _________ _

2.

3.

4.

5.

6.

/' ../ Bf.J ' (Address) Plant 7<,tfY r po111...lt z:trJ10)'I

f. 0. f361. :31< (N~ht Vlt.. 1-~$~3 (Address) 1 Work Performed by 1//1;, fdW.i.L

{Name) .;.,t ltYI (I,/ (l\\ddress Sheet ___.__ ___ of __ _,_ _____ _ Unit df-Repair Organilllion P.O No~ Job No~ ale. r,.,. --

r.

Identification of System-i,.....,""'=".:...+""",~c.:w=:c.c.--'--.c.....,....-:c::---,'--------,.,.,-------------,-.,..,...---- la) Applicable Construction Code 19 Edition, __ U~~--~ddenda, Code Cases...... -'-'----- (bl Applicable Edition of Section XI Utilized for Repain or Replacements - 19..BQ, Wt;o Addenda, Code Cases.... K,~'/r,__ __ _ Identification of Components Repaired or Replaced, and Replacement Components Name of Name of Mfrs. Ser. -Nat'I. CRN Other Year

Repaired, ASME Code Component Mfr.

No. Bd. No. ldenti-Eiunt

Replaced, Stamped No.

fication or (Yes or No) Replacement ,/l1 c., fw Lo ~, s.u.e_ JJIJ-- I 11/:\\ ,,/. t,Jffj)~ I DC -{,*J rvA-I JJIJ.. I.~- f./Pr s 7..

8.

9.

1 I Description of Work i,,vJ.lo( Gu..1'1~ rf 1-fi-t,J 1£"0~ - g 7-'-fib Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D ~r;ssurlj P11 Test Temp. ___ °F

Remarks H1 r4J lJJGt~

S:' IJ1 Wd~n&:/0, (Applicable Manufacturer's Data Repons to be attached) CERTIFICATE OF COMPLIANCE ii_~(' )'vJ Other @' We certify that the statements made In this report are correct and this**. ~l~a tf1J4T~~( ~nformsto Section XI of the ASME Code;: r*- (re irorreplacemenl) Signed ~J::::/11J.c..M~

t.-SJ

~- /tc.. ,19 'i7 (Owner or Owner's Desipnee) TIiie (Date) CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission issued by the Nati::'! Board of Boilyr and Pressure Vessel Inspectors and the State or r,ovince of V,} * . employed by tt.5 8 I. > :t.. C <1, of .yad{'cr'( cl. cf I have inspected the D.hlt.1uwu...;f"* described in this Report on 1 'J..-/6 . 19.R.z. / 'ifepairjs) or Replacement(s)] and state that to the best of my knowledge and belief, this" repair or replacement has been constructed in accordance with Section XI of the ASME Code. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concern-ing the repair or replacement described in this R_eport. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property d m or a loss of an kind 11rising from or connected with this inspection

Date

, j_... / (""' R' 7 Commissions _ _.,..,_I ~C~7..,,,6,_,C>=-+?-----,------ (S1ate or Province, National Boa"') Note: Supplamenul sh.... u In form of llns, skutchm, or drawlnps may be used provided (1) size Is B>S In. X 11 In., (2) Information In l'lllms 1 throuph, on this data r*Pon Is lncludad on *ech sheet, and (3) **ch sheet Is numbered and ih* number of sheets Is recorded at th* top of this form.

ATTACE:'-'.~KT *;;*---*1 -1.

2.

3.

\\ FORM N1S*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the Provisions of ASME Code Section XI (Adelrna) f Work Performed by i/4 << f61i1'4,C ~ ~-, ~wrv Repair Organization P.O No.. Job No.. elC.

4.

s.

IA,;,..,. !tqo~ .n. A~ Identification of Synem---.o;..'lW-=---'-,.r:c~~.,;-**---'-_...... ~'--""T",.._=--)--"-------,.,.-------------..,..----- (al Applicable Construction Code 19 Editlon,----cU,._,_,.__ __ Addend11, Code Cases_._~---- (bl Applicable Edition of Section XI Utilized for Repairs or Replacements - 19.ie, klt,Q Addenda, Code Cases... Vi.....,'/J:,__ __ _

6.

Identification of Componenu Repaired or Repleced, and Replecement Componenu Name of Name of Mfrs. Ser. -Nat'I. CRN Other Year Repeired. ASME Code Component Mfr. No. Bd. No. ldentl-aunt

Replaced, Stamped No.

fication or (Yes or Nol Replacem*ent s-M.s ( ~- }., l( rv,W A,f_,..:,,,, JJ/4-fvlt Vfr ~-f.ts-~-.1->~ we (Vf'r l>1nf.Au~ . ~n-uwn '°'f..U'""" I

7.

8.

Description of Work_f1'-+-'-{µ,,1 __ _.f-'-)-_<_t_~_j_.... ~_).,,"""'(_. _M_1v_;fr_. -------. --------------- Tests Conducted: Hydrostatic D Pneumatic D Nominel Operating Pressure D Other 0 -,--,-.,,--Psi est Temp. ___ °F

9.

CERTIFICATE OF COMPLIANCE We certify that the statemenu made ln1hi1 report are correct and this ~ID.a.,,.i:r-ASME ~e~ ~ (re'rorreptacemenU Signed~:-~~-

l.-$1: ~
).,/: ).___

(Owner crr's[)esipneej THle (Date) / conforms to Section XI of the t~ ,19-~-- CERTIFICATE OF INSPECTION I, the undersigned, holding I valid commission Issued by the Natic;nrl Board of Boilyr end Pressul'9 Vessel Inspectors and the ~tate or f(ovince of VIJ- *

employed bv.

t1.S 13 J:. > k C (/

of

~d('o*cl J Cf, haveinspectedthe~l.e.u~- describedlnthisReponon ,1sil I epair(s)or ~eplacemen1(1D and state that to the best of my knowledge end belief, this repair or replacement has been connructed In accordance with Section XI of the ASME Code. By signing this certificate, neither the Inspector nor his l!mployer makes any warranty, e:itpressed or implied, concern-ing the repair or replacement described In this Repon. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property d~~:r: lo~ o~n:>i'.ruhrising from or connected with this Inspection. Date -~~i-fg ~J_. ~ Commiuions Va $'-tJ &)(3 7oo<f (lnspec1~ (S1a1e or Pn,wince, National Board) Note: Supplamental sh... n In form of llns. skatchas, or drawlnpa m*v be u,ad provided (1) size 11 BM In. X 11 In., (2) Information In h*m* 1 throu11h A on this data rapo" 11 lnclud*d on each sheet, and (3) **ch 1hNt 11 numbered and the number of shNb la record*d at th* _tOE_ ~f~I* form._ ___. I

\\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI A TT ACE~'.E.KT l l Sheet~--~..._.......... _ot ____ _... __________ _

2.

~ Unh~"--------------------------------------------

3.

CAddl'NS) I Work Performed by,14 << f6w.U: h {Name) ~mv Repair 0,vAnllllion P.O No~ Job N~etc.

4.

5.

Identification of Synem ~~ 'lil:)_,fia VI ( ~

)-- )

(al Applicable Constructi;n. t 19

Edition, UJ4 Addenda, Code Cases... P.~1f.__ __ _

(bl Applicable Edition of Section XI Utilized for Repairs or Replacements - 19h, W~u Identification of Componenu Repaired or Replaced, and Replacement Componenu

Addenda, Code Cases.. K,~'8:.

6.

Name of Name of Mfrs. Ser. -Nat'L CRN Other Year Component Mfr. No. Bd. No. ldentl-aunt No. fication ~5, s:.Ju A.riv. t/.t1t_t;1 it tun-Mt ~-fc.~H11v,lJ t{IJ µ1}-

7.

B. Description of Work &;w ( fl 5pJ-f. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure 0

9.

e Pres51Jre psi Test Temp. ___ *F Remarks _* ()

j "1,t'Ob 2 (Applicable Manulaclurer's Oala Repons lo be allached)

CERTIFICATE OF COMPLIANCE Repaired. ASME Code Replacect, Stamped or (Yes or No) Replacement 1>~11l.Au~ "//ff I Other 0 We cenlfy that the statemenu made ln~!lis repon are correct and this Potlo.a.,,~ conformsto Section XI of the

9:~-Cod-e;.-:~=-*

"":~ *~~h-¥/\\'-'-:C1:-t-:=/l~ *~ o~(),----:::::......c.,,==-=-+~---=g--,-.,or_,_ep_;_menQf-/_2-_, 19 15~ ~orOwner's~ )( .J.-$J:TH;¥'j/'-; (Daiei / CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission Issued by the Natitll Board of Bollfr and Pr.essura Vessel_ lnspecton and the ~tate "'Jf:"'~ of VII- * .,mployed "" 5 ~ ;t. ~ J;, C rJ, of d:f,..-cl. cf I have inspected the ~f.tµ,~- described In this Repon on .. i- ~.,~ F I epair(s) or ~eplac:emen1(1D and state that to the best of my knowledge 11nd belief, this repair or replacement h11s been connructed in accordance with Section XI of the ASME Code. By signing this cenificate, neither the Inspector nor his l!mployer makes any warranty, expressed or implied, concern-ing the repair or replacement described in this Repon. Fur1hermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property d11m1a~ising from or connected with this Inspection. Date

1, 1- ~&'

Commissions Va. 3°'t( 3 µ(3 ?oo1 (lns~IOI') (State or Province, Nalional 8oa1G)

Note:* Supplamental -sheen In form of llns, skatcha, or drnwlnpa may be used provided (1) size la BM In. X 11 In..

(2) Information In ltema 1 throu11h A on this data repo" 11 lnclud*d on *ac:h sheet, end (3) **c:h ahHt la numbared and the number of sh Hts Is recorded at the 'IOP of this form. / 1

_ __.,-----~ ATTACE~'.E.IG l I . --~* -1. -... ~- - FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI Sheet __ __...._ ___ of __ .....1,. _____

2.

Un~__,/)-- _______________ ~---~

3.

(Addl'NI), Work Performed by v4 << f4WJ.C ~ !"-- ~-> ,11i!,Otl 4-" Repair Orpanlz.alion P.O ND~ Job N~ ate.

4.

5.

Identification of System ~*i~...t-,.,, ( ~ .>-} Cal Applicable Construction Codi ~~ 19 6 7

Edition, U/4 Addenda, Code Cases __.){."'-'-')1:.__ __ _

lb) Applicable Edition of Section XI Utilized for Repain or Replacements 6£, Wt,o Identification of Components Repaired or Replaced, and Replacement Components

Addenda, Code Cases... 16......_.'/i.__ __ _

6.

Name of Name of .Mfrs. Ser. -Nat'I. CAN Other Year -Component Mfr. No. Bd. No.. ldenti-Bunt No. fic11tion t.+ids ~. IJ'-"1 ~vtlt.Jetl.L .. * "iJ.,.J I /Jlr p;IJ, fl/lJ ~ 1-tll-Mdll-} 1'$913 J/4!'

- r CP.: 7.; 8.

Description of Work ~ '0 sM ~. J-p J.Jw15. Tens Conducted: Hydrostatic: 0 Pneumatic O Nominal Operating Prl!Ssure 0

9.

I) lres~ psi Test Temp. ___ "F Remarks pO, S_- l't::f_Y7 (Applicable Manulacturer"I Data Repons lo be attached) CERTIFICATE OF COMPLIANCE Repaired. ASME Code Replaced. Stamped or (Yes or Nol Replacement l>1nl.Au~

ltr I

Other 0 We certify that the natemenu made In 1his report are correct and thls ___ ~P....,,,A,f-'-1,.a--'-'-_!!'.\\~~ ........ ""------COnfonns to Section XI of the Ve";,tr or replacemenQ

e: Code; Q QA&(, [Y) c/G()

l:St "SvA?1 ~ .2_

19ft.

(OwnerorOwner's~ TUii / (Date) / CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission Issued by the Natllfl Board of Boilfr and Pressura Vessel_ lnspec:ton and th~ ~t1te .. r-., VII- *

,m.,.....,

s e :t-,: ~ c d, d{',l'J, Cf. haveinspec:tedthe~fp.to*'U;f°* desc:rlbedlnthisR~porton i-"{.,£[_ Y I epair(s) or Replacemenl(ID and state that to the best of my knowledge and belief, thl; repair or replacement has been constructed In accordance with Section XI of the ASME Code. By signing this c:enific:ate, neither the Inspector nor his t!mployer mekes any warranty, expressed or implied, concern-ing the repair or replacement described In this Repon. Funhermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or propertv d~ f n~ng from or connected with this Inspection. Date

3,..-t.<- f'?

Commissions VA 5)13 ~(3loo'I (lnspectOI) (State or Pn:,vince, National Eloar1S) Non,: Supplament.al ahean In form of llns, aknchas, or drawlnpa m*Y ba uHd provided (1) size 11 BM In. X 11 In.. (2) Information In ltam1 1 ihrough, on this data rapo" la lncludad on aach sheet, and (3) **ch ahNt 11 numbarad and the number of ahNts la recordad at th* top of this form.

( * \\ -1. FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI ATTACr.~'.E.t.;T 1 l

2.

Unh--==:.-.------------------

3.

CAdOrnaJ I Work Performed by iffl:, fdw:U: ~ {Name) 01!14 flrlV Repair Organllllion P.O No~ Job No~etc.

4.

5.

Identification of Synem b{ev."'h. ~~ ( (~ 2, ) (al Applicable Construction Code 8 = '"19

Edition, U/4 Addenda, Code Cases -M~H:....._ ___ _

(bl Applicable Edition of Section XI Utilized for Repain or Replacements - 19~, W~o Identification of Components Repaired or Replaced, and Replacement Components

Addenda, Code Cases...,l(,""'4'------

6.

Name of Name of Mfn.Ser. -Nat'L CRN Other Year Repaired. ASME Code Component Mfr. No. Bd. No. ldenti-eunt

Repleced, Stamped No.

fication or (Yes or Nol Replacement c,.kcds {vtr {/If Jti# ~Ir ,., -1~(""/i/-' ~, c.,, O,nlAu~ µ; )"(<.z.,.k;r,ewJ/. ~ tit' IQ /Ii! f./Jr I ,trY 11

7.

8.

Description of Work--i~l'--ff-"4c<d~--~~'----4,_,._+/-4l='.S--* _i___..J_,~-l:~/),f~~--~'---------- Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure O Other 0

9.

Tr;imp. __ o F CERTIFICATE OF COMPLIANCE We certify that the natements made In 1hls report are correct and thls ___ _,P""" o~AJlo.a~'-'-'!'.l:-=~='----conforms to Section XI of the

.:: Cod,; D&.e l:Y)cil. *..e O

g I;)"'°"'

r.;;t,~"";:";" '2_ (OwnerorOwner"s~ TIiie I ~t*I ,19 CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission Issued by the Nati::'! Board of Boil9r and Pressur1 Vessel lnspecton and the ~tate or ~{°"ince of VIJ- * , employed~ tf.S 8 '];. > k C fl* of -fkld-f,r J

cf, have inspected the ~bwu.;:(*

described In this Report on .. ~- 3,. J , 19"ff' F I epair(I) or ~placemenl(ID and state that to the best of my knowledge and belief, this repair or replacement hes been constructed In accordance with Section XI of the ASME Code. By signing this certificate, neither the Inspector nor his l!mployer makes any warranty, expressed or implied, concern-ing the repair or replacement described In this Repon. Funhermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property d':::::?H of any kind arising from or connected with this Inspection. Date '\\..- 'l..'3 - ~f ~

f. ~

Commiuions /JO 7ooC, 1/e.-.. 5""43 (lnsi>ec10fl (Slate or Prowince, Nalional ~

Nat11: Supplemental 1heet11 In farm of lln:a. aketchea, or drewlnga may be u111d provided (1) size h BM In. X 11 In.,

(2) Information In lnms 1 thrau"h

an this data repa" 11 lnclud*d an *ech sheet, and (3) **ch shHt 11 numbered and it>* number of 1hNta la recorded at th* _ta~ of_~I* farm.

/

(

FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the Provisions of ASME Code Section XI Date d:- ')_o.- &o ATTACr.~'.E:KT 11

2.

Unh~~.,,e::::;;_-----~-~~~~~---~~

3.

(Addrua) f Work Performed by iL4 << f414t.U: ... ue ~-, ~Wl4".'.'. Repair Organization P.O No~ Job N~.ac. 39tJQO (/ 6 () _3.

4.

5.

Identification of System, O\\J11\\.i: . ~ "'~ ( '\\.) (a) Applicable Construction Code B~~ 19 6 7

Edition, u/4 Addenda, Code Cases... J(.

...... Jf.__ __ _ (b) Applicable Edition of Section XI Utilized for Repairs or Replacements - 19..U. Wtfo Identification of Componenu Repaired or Replaced, and Replacement Components

Addand1, Code Cases.... Vii:..'8:.~'-----

6.

Name of Name of Mfrs. Ser. -Nat'l, CAN Other Year Repaired. ASME Code Component Mfr. No. Bd. No. ldentl* aunt

Replaced, Stamped No.

fication or (Vas or No) Replacement \\JeJAJL knri va4. fv'ft

11114-fJ/J 1->1~ --107 till-t>~nl.Au~

"illr (J I Other 0 CERTIFICATE OF COMPLIANCE We certify that the statements made In 1his report are correct and thls ___ -#.p""""'I obf-:"-to.a-'*.:...:!r'\\... ~=c:i...----conforms to Section XI of the t':t, or replacemenQ ASME Coder). /Y

_

\\

(I ()

~/ Signed ux~d:e(Jt,~?c*-4-\\.1-SJ:.T1j~ I ~**> )/ 1--*""L, 19 '<-0 CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission Issued by the Natlc.n,I Board of B0il9r and Pressura Vessel Inspectors and the ~tate or ~ovince of V~ * . employed b¥ tt.5 8

I;. >: t C (I

of

-£kad{'o* J, C.f, have inspected the ~l,,.q~- described In this Repon on 1- ! 3

19 f V F

I epair(s) or l3eplacemenl(1D and state that to the best of my knowledge and belief, this repair or replacement has been constructed in accordance with Section XI of the ASME Code. By signing this cenificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concern-ing the repair or replacement described In this Repon. Funhermore, neither the Inspector nor his employer 1hall be liable in any manner for any. personal injury or property da~~ of an:"~ing from or connected with this inspection. Date -1~ 1 '3- "l1 'i Ii~ f. ~ Commiuions Al07oo'1 flA S"f '.3 (Inspector, (Slate or Province, National Boald) . Note: Supplamenul ahNtl In form of llns, slcetcha, or drawing& may be UHd provided (1) 1lze Is BM In. X 11 In., (2) Information In h*m* 1 through, on this deu report la lnclud*d on *ach sheet, end (3) **ch 1hNt 11 numbered and ih* num~r of ah Nb 11 r_ecorded at th* ~OJI ~f -~la for~----*

-1.

2.

3.

-~-- \\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI CAddrnaJI Work Performed by i4 << f1WJ.C !:- ~-> Repair Organization P.O No~ Job No~ etc:. ~kl'.14' ATT ACE:'-'.EKT 11

4.

s.

Identification of System, /)A_ty'~+ c~ 2-- ) (a) Applicable Construction Code 8 ~ 19 6 7 --> Edition, U/4 Addenda, Code Cases -M~Jf..._ ___ _ (b) Applicable Edition of Section XI Utilized for Repairs or Replacements - 19~, klfSo Identification of Componenu Repaired or Replaced, and Replacement Components Addenda, Code Cases.... /6.....,.,9:._ __ _

6.

Name of Name of Mfrs. Ser. -N1t'I. CRN Other Year Repaired. ASME Code Component Mfr. No. Bd. No. ldenti-Built Replaced. StamPftf No. fication or (Yes or No) Replacement VJv..c. ~oA, Fi ~-Ru- /fffl- . fv/?- /i/lt ~-Ms-Hw. ulj vlr P1.n~W\\.,;t .,Ur I ,. I

7.

Description of Work--1~uc,,=~-:c:=c:...c.,_.....,~....:......:....~---------------------------- S. Tests Conducted: 0 Other 0

9.

,ov CERTIFICATE OF COMPLIANCE We certify that the statements made ln1his report are correct and this ~iAa "1~ ASME Code; /y~ _ ~ fre=rorreplacemenij Signed l.AK~G** J. ~~ J..$1: 4';111* 2,--z,-"L (Ow rorOwner'iDeslgnN) THII it>-t*l conforms to Section XI of the ~r1 ,19 ___ _ CERTIFICATE OF INSPECTION I, the undersigned, holding I valid commission Issued by the Natl:'! Board of Boil9r and Preuur9 Vessel Inspectors and the ~tlte. or ~{ovince of VIJ- * , employed by tt_S 8 k ~ >- C (/ *

of

-uad-fu: J. cf I have inspected the ~lA<<W'\\.J...:f"* described In this Report on ~- d: 3 . 19..if r I epair(s)or ~eplacement(1D and state that to the best of my knowledge and belief, this repair or replacement has been constructed in accordance with Section XI of the' ASME Code. By signing this cenificate, neither the Inspector nor his lfmployer makes any warranty, expressed or implied, concern-ing the repair or replacement described in this Report. Funhermore, neither the Inspector nor his employer shall be liable in any manner for any personalinjury or property damage or a loss! any kind arising from or connected with this inspection. Date

!)."~1"' ~$

~ l,, &QP+: Commissions µf3 7oc9 VA 5"'::/3 (lnspectOI) (Stale or Pn:>rince, National 8m"') Note: Supplemental ahNts In form of llns, aketchea, or drawlnpa may be UHd provided (1) sin la BM In. X 11 ln.. (2) Information In hems 1 through " on this data rapo" la Included on *och aheet, end (3) Hch ah-t la numbered and lh* number of ahNtl I* recorded at th* tOR._ °-f-~11 for~---**-*

()a u 0 ( * -1. FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI A TTACH~iE!,T II Sheet ___.._ ___ of __ ~------

2.

Un~-_..,,~--------------------

3.

(Address) I Work Performed by iftl:, fdWJ.1'": {Name) ~amlV Repair Org;anilltion P.O No., Job No~ elc.

4.

5.

Identification of Synem..,1,;,..*4,-4~l4=,J,""'--7r<---------,---,----------....-------------.,..,.----- O ~ddress) (a) Applicable Construction Co~ /. t 19 6 7

Edition, Ul't Addenda, Code Cam.... /.1.~#-~----

(b) Applicable Edition of Section XI Utilized for Repain or Replacements - 19.iQ, W~o

Addenda, Code Cases _,J(,'-'-'-,'/1:----

ldentification of Components Repaired or Replaced, and Replacement Components

6.

Name of Name of Mfrs. Ser. -Nat'l. CAN Other Year

Repaired, Component Mfr.

No. Bd. No. ldenti* Eiunt

Replaced, No.

fication or Replacement J,,.,J.i., t11 1114-

f/1}

rtlit }-(r.-l-1{5- ~f,. J/r P1nlAU""'~ (V-P/7'/) ,. I

7.

8.

DescriptionofWork~fl</,{µ,aJ &1w/d.w \\,yt'-M @, i[JJ@iff4fd.l ( r/-00~2-) Tests Conducted: Hydrostatic O Pneumatic D Nominal Operating Pressure D Other 13'

9.

CERTIFICATE OF COMPLIANCE ASME Code Stamped (Yes or No) . v/} We certify that the statements made In 1his report are correct and this ~ /au WI.~ ASME Code:':"-:.*~ (rrirorrei,i;cement). conforms to Section XI of the Signed Qo~ )\\'\\, ~ id,,;, or Ownefssioneel'"' (Date) CERTIFICATE OF INSPECTION . 19 I, the undersigned, holding II valid commission issued by the Nation I Board of Bo.~r end Pressure Vessel Inspectors and the State or rrovince of V,4 * . employed by 5 C (/ of .fk\\d-f,'(' cl. cf, have inspected the ~Lt.1._c.e~* described in this Report on S> l.. .,sg-8 / I ep,ur(s) or Replacement(s)) and state that to the best of my knowledge and belief, this* repair or replacement has been connructed in accordance with Section XI of the ASME Code. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concern-ing the repair or replacement described in this Report. Furthermore, neither the ln~ector nor his employer shell be liable in any manner for any person~! injury or property do age or a los) of any kind arising from or connected with this inspection. Date

'5°' j_, 8' 'K u,>:A-J J. * ~

Commissions JJ {J J/Jo 1 U ~ Slf 3 (Inspector) (State or Province, National Board) Not10: Supplement.al ah.... n In form of llns, sketches, or dr11wlnp1 may be u,ed provided (1) size Is 8% In. X 11 In., (2) Information In ltvma 1 throuph 4 on this data repon la Included on each sheet, and (3) each sheet Is numbered end th* number of sheets Is recorded u the top of thla form.

. -~.... \\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI ATTACHMENT II Owner V-1 VJ\\ vv..o.--. "?o~ Co V}A, ! po..,,vy..., 01tt __ lf~/_;2.___o;-/'-'£.... J'--------- _(Name) , ~ ~ / VD. 'e:io Y RCo Co Co G X--,* d"' VV\\..,Ov'\\cL VA 2 3 "k ~ f Sheet ___ /~ __ of __

2.

Plant-~~~-~--'"P~=o:-:c~---~~~r-~,~~----- Unlt ____ ....;:2-:....._ _________________ ~ (Name) ',1

3.

£.o. 'Box ?rs ~'?7 V/+ 'l.JRx.3 (Addreu) Work Performed by VA-, 'f?o ~ {Name) .s-o.,..+jAQ_ Repair Organization P.O No., Job No~ etc. (Address) Identification of Synem -a \\IA Cl~ '2. -.v

4.

5.

(1) Applicable Construction Code 'K::? I, ( 19 (, r Edition,,q'al V,'i b ile..Addenda, Code Cases-~..,-,.----

6.

lb) Applicable Edition of Section XI Utilized for Repairs or Replacements - 19~, Wl1"-./ev-"' Addenda, Code Cases _'-1+-'---- ldentification of Componenu Repaired or Replaced, and Repla~ment Componenu Name of Name of Mfrs. Ser. -Nat'I. CRN Other Year

Repaired, Component Mfr.

No. Bd. No. ldenti* Built

Replaced, No.

fication or Replacement JJ/A

v/A V (j () Ar-e...

\\I.ti J,.-,,V\\ 1782-2..'1 !J/A 2*(/./-271.c, f-7'./;J/a.~ I

7.

Description of Work ~JJou \\krOw

8.

Tests Conducted: Hydrostatic !SJ Pneumatic O Nominal Operating Pressure O Other D Pressure 2 <..?&io psi Ten Temp.~°F

9.

Remarks P.O, Sf Y / :2$S-(.5 (Appliu!>le Manufacturer"& Data Repons 10 be anached) CERTIFICATE OF COMPLIANCE ASME Code Stamped (Yes or No) No We certify that the statements made In this report are correct and this __ ..:.,1-....::..eJ)=<F-~*.:...:...c.;_"t,;-=::W\\.i....:_~=:\\._-f-:-~.__-conforms to Sf:ction XI of the -repair or repta::ementj ASME Code./J fl 11 \\ ~ ('I Signed ~ 'MAI'--* Y ~ (Owner or Owne(s 'Desio-) (Date) ,19-1::.....c~=-- CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission issued by the N11tional Board of Boiler and Pressure Vessel Inspectors and the State or Province of (/ -

employed by H s (3 -r + r e c) of tfar+/-ford e,f=haveinspE:Ctedthe Re,<.. c..e V\\ell'-l-r-described in this Report on t/- ~o

,19RP / (Re a;r(s) or Re;,l,cement(s)] end state that to the best of my knowledge end belief, this* rep11ir or replacement has been constructed in acCOidan~ with Section XI of the ASME Code. By signing this certificate, neither the lmpector nor his employer makes any warrenty, e,tpressed or implied, concern-ing the repair or replacement described in this Report. Furthermore, neither the Inspector nor his employer shell be liable in any manner for any perso~al injury or property darrr: fY a Ifs of~ kj~d erising from or connected wi~ this inspection. C Date kt - f}.() *- ~~ /.k.._~ i. C't~ Commissions Litt. b lf 3 AJf:J 700 1 (ln,~10<) (Stale or Pro-toner, Nahon.t Soa!1S) Nott: Supplomen-ul 1heeu In form of llsu, aketches, or drawln'11 may b4I u,ed provided (1) sla 11 B~ In. X 11 In., (2) Information In ltam1 1 through 4 on thl1 data ropor, II Included on eech 1hN1t, and (3) each 1h1Ht 11 numbered and the number of 1hMU Is recorded et tha toP of thll form.

i I . -~,. FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI Owner //W: ~ rzfvvl/V.!: 1 O,tt _ __.4_-_vu __ f!_*lS ______ _ f}.__o, ~u}( -y6666, t.~ow(, ff~.?,',73,/ ShHt ___ {,.___of _ __._ ____ J-1 (AOdr I Plant l.j vvY >- ( POuJ J,y' 9"".f:.J-tqV\\ Unlt_...,.3-:t-,!~P~=" =-..._-"---:&:---------- p.,_ o ~ (~ 6A 31 ~7',furr'I fr@. g,'.3Kf3

Y

2.

't <<-,lld/aUJ I e,... q.( Work Performed by (/Yi): - JPfdwf 3 JLOVI.I r 't >> lN..meJ Repair O~ntution P.O No~ Job No~ IIC. ~ C{. Y".I :::<'

3.

CAOd~ 1* ldentificationofSynen

1,""'I

~ "l-

s.

la) ApplicablP Constm:tiinCode ?. Edition, ______ Addenda, Code Cases------ (bl Applicable Editim1of S:ction XI Utilized for Repain or Replacements - 19S12,., w SiP Addenda, Code Cases ~A'-V._f{ ___ _

6.

Identification of Co~neMS Repaired or Replaced, 1md Replac,:ment Components Name of Name of Mfrs. Ser. -N1t'I. CRN Other Ye111r Repaired. ASME Code Component Mfr. No. Bd. No. ldentl* Built Replaced. St1.1mped No. fic11tion or (Yes or Nol Replacement 2,µ1,1.,~ t1"1 /vto i../Y> /vffe' -,1> r-k$. ivJ( U> if1rl{tvh,- j

v/t)-

I ( If -o I 'l'fJ

7.

Description of Work ti. f J....

8.

Tens Condue1ed: Hydrostatic O Pneumatic Nominal Operating Pressure O Other im:Sll:lff psi Ti;stTemp. "F

9.

Remarks ~~ lo{WZ... 21.d,H, ~ 1 *t:, '>l f ~* i tJ VI

,._.,.b: dJd,* rJ :'.)

IAPl)l~e M.ndal:tuzr"1 0.1a Repons 10 be anached) CERTIFICATE OF COMPLIANCE We cenify that the natemem.mrde In this repon are correct and this __ -+/?=-i ~11-= /[_Ct.~a~~~~~~---conforms to Section XI of the ASME Code. 'iJ{;a;rorrepta:e~ Signed __ ~Gt~i"""L---=W\\.~~~---;----~:--1---* --~-'---.--2._L ___ , 19-~-~ (Owner orFo.-r-.Zes~ THle l[)at*I CERTIFICATE OF INSPECTION I. the undersigned, holdilli! * \\Glid commission issued by the National Board of Boiler end Pressure Vessel Inspectors and the State or Province of t/ 0.... , employed by

H ~ /3 1;....f.... I C"D of H(A,irifo,d ct.

lhtvtihsp~tedthe re~IMell'\\tAJl: demibedinthisReponon 1,,(- i1-- .,s.<<.. I (Repa;,tsJ or ~e;,l,cemen1(1Jl ind state that to the ben dfmi,tnowledge and belief, this repair or replacement has been constructed in 11ccord11nc,: with Section XI of the ASME Code. By signir;i thit,cenificatt, neither the Inspector nor his employer makes any warranty, exprened or implied, concern-ing the repair or replacem~d=i:ibed in this Aepon. Funhermore, neither the Inspector nor his employer 1h11ll be liable in any manner for any personal injury or l)'llllpe:ity da~ss of any kind arising from or connected with this inspection

Date H - l. 'L' f? ~

~

f. ~

Commissions V tA. 5"4 3 I.I f3 7 0 6 ~ (lnspo,e1o<) (Slate or f'ro,,once. Natoonal Soar1'I Nott: Supplemenul,h...,n loofo=of lists,,ketches, or drewlnpo may tx, u,ed provided (1) sln 11 B~ In. X 11 In., 121 Information In lnms 1 tt,,.,ui,1,.& on thla data ropon lo Included on each 1hHJt, and 13) *och,h.. t 11 numbered and tt,e number o11hHb 11 nm,rdrd at th* _toP of ml, form.

I l . -=-"** -1.

2.

3.

\\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT tu Required by the Provisions of ASME Code Section XI Repair Organlution P.O No~ Job No~ ate.. Identification of Synem '4w. ~[~ (fe.&,o ).-- A! ! Al.nf'lt.l't ! J. J.

s.

6.

la) Applicable Const=tiunCode 3/ ( 19 '1

Edition, Addenda, Code Cam------

(bl Applicable EditiC!llof kt ion XI Utilized for Repairs or Replacements - 19.!ul., lJ f." p Addenda, Code Cases _/./~'4---- ldentification of Com;ionmu Repaired or Replaced, l!nd Repl11cement Components N11me of Name of Mfri. Ser. -Nat'I. CRN 0th~ Year Repaired. ASME Code Component Mfr. No. Bd. No. ldenti* aunt

Repleced, Stamped No.

fication or (Yes or No) Replacement .A,1.1.,, -r,11 k1{4 [/(}-, Iv ;J-l--Wfol>J.. tlh-- t<l" Ood/pt,t,>>,,.o_} . ul4-- (ff -o/a'i) I CERTIFICATE OF COMPLIANCE We certify that the n1temeau F.Nde In this report are correct and this ___ l_~..J.p_~:.......;::..:...::~~::::.::.._,_ ____ confonns to Section XI of the ASME Code. /J /) '(le pair DI repta:emenQ Signed ___ ~.......:::..::.=---<-h-'-!\\...-=--c.,/J...t...=r== ~~ /) ---i/JF----~...::;tJ;,:..,., __ ___,f __ -.:2=~'-"----""8'/.,,_V __ , 19 y</"' ~!'Jes~ r Title (Data) CERTIFICATE OF INSPECTION I, the undersigned, holdirt1 a lllfid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of \\) l,L , employed by

t-/ 5 l3 ;t..J.-r (?u of H(A.'rtfbrd,C,.t.

li,z.-tinspectedthe rcp<al.Qd demibedinthisReporton Y-ti.. ,~ (Rep1ir(s) or Re;,l1cemen1(sH and state that to the ben af; mw knowledge 11nd belief, this" repair or replacement has been constructed in accordance with Section XI of the ASME Code. By signi"II tlil. certificate, neither the Inspector nor his employer makes any w11rr11nty, expressed or implied, concern-ing the repair or replacemer.t:dfi.uibed in this Report. Furthermore, neither the lmpector nor his employer shall be lieble in any manner for any perso~al injury or pm~ damage or I Ion of~V ~d arising from or connected with this _inspection

Om L-f ~1-88

~ f, ~ Commiuions Vt\\ 5:43, /u 13 7tJ O 'J (lnst>KIDI) (S1a1e or Prov.nee. Nahonal ~ L-----~-----~ Non,: Suppl1ment.l 1h... t1 blfcn:nsof llsn, sketches, or drawln(;II, may be und provided (1) 1111 Is BX In. X 11 In., (2) Information In ltam1 1 a.-o,,a!T..a on th11 data rapon h Included on **ch shNJt, and (3) each 1hH1t 11 numbcrad and tti* number of 1hHts Is~ at tha toP of this form.

. -:-4'* FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME_ Code Section XI

2.

3.

4 CAOOraul f Work Performed by if/l fdWJ-C 6- {Name) ~w.uv* Repair Organization P.O No~ Job No~ etc. 4,

5.

Identification of System /pd -f;t ~~ (fsfi l'V> ( ~

)-UL (1) Applicable Constructfoncocte JB°(j 190 7 Edition, _ _..,._/1'-'-__ Addenda, Code Cases -U......._Jf..._ ___ _

(b) Applicable Edition of Section XI Utilized for Repairs or Replacements - 19...iQ, Wftt>

Addenda, Code Cases....:.l(,.._t9:,__ __ _

6.

Identification of Componenu Repaired or Replaced, and Replacement Components Name of Component (O ~ulutos (Gi<.2.J) n) {,t1

7.

8.

9.

r,-v.{'. Name of Mfrs. Ser. Mfr. No. J. ~:fri"s4,&'. I"~~ JI~ J.1f. fi-.~~I:'.*" 'I LAA-- -Nat'I. CAN Other Year Bd. No. ldentl-Built No. fication 'µI} ((/'{/- f LIi I{ I Lv1 )'lit-Ur ~-'<'f /JO* /'r4-12 Sf,, CERTIFICATE OF COMPLIANCE

Repaired, ASME Code

Replaced, Stamped or (Yes or Nol Replacement P.,nlAU!lf\\.j

-,.; () I 'l,JQ~V\\/lp-;1 "fJo We certify that the natemenu made In this report are correct and this ___.,.P-"""I okJ,...l~D..~U~'!1~-t4:~~----COnforms to Section XI of the ASME Code. r,;;;liro,replacemenQ Signed __ -\\?!':-_.., rJ'---:t!l-i_Jr.~---~:t-~S~J:~---',----' '~---. 19 ff~ ~ner +ner'sOnig.-) THle IDalfJ) CERTIFICATE OF INSPECTION I, the_ undersigned, holding

valid commission Issued by the Nation I Board of Boil9r and Pressure Vessel Inspectors and the State or Jj;;_ince of VIJ- *

, employed by 5 C.d of d:fo* cl. cf I have inspected the ~l.P.awu..:.r* described in this Report on ~ - /~ 191.l i I pairfs) o, ~eplacement(sU and state that to the best of my knowledge and belief, this repair or replacement has been constructed in accordance with Section XI of the ASME Code. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concern-ing the repair or replacement described in this Report. Funhermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property d8R:e:'°sff a1!..A11rising from or connected with this inspection. Date ~ - /(, - 8'.Z ~ * ~ Commissions IIA 5"1.j::J e11t> 7i>OJ (lnspeetOf) (St~te or Prt>Yince. Nalional Boa,G) Non,: Supplamenul,h.,.ta In form of lln:a, akatches, or drDwlnps m*Y. be u... d provided (1) slza I, BK In. X 11 In.. (2) Information In h*m* 1 throuuh 4 on this dau rapo" 11 lnclud*d on *och aheet, and (3) each sh-t Is numbered and th* number of ahNts I& recorded at th* tOP of thl, form.

I\\! ! Al-Mf lt.l \\ J J J FORM NIS-2 OWNER'S REPORT,PF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI (J), {j)

2.

3.

i Owner ____ V.!.-'1~'-'-"'bc..;.l.c..N....,l'-'-A __ A~o=~=-v __________ _ (Name) Po 1..t,e,.c.' !MdrnaJ Plant--~5.....,...v:;:...r~t,\\-_._A..,1'=.,,1..,,)c.;.:..ef:::;:.._ __ sc...:~c.....:...:..n.l..:o...J='--- J (Name) r>P. Sell 31 S s....rv--e,.. v4 2 "38B3 1Ad0rn1) J Work Performed by VA f~ {NameJ ~ jAdO,eq) w.o. Repair 0tvan1Ution P.O No.* Job No. ale.

4.

5.

Identification of Synem e~c.T7 C~l,A-,J"j' la) Applicable Construction Code 0 31, I 19 b)

Edition, NI A Addenda, Code Cases ___ N.~.,~-e--

(b) Applicable Edition of Section XI Utilized for Aepain or Replacements - 19~. w&

Addenda, Code Casea __ tv.~Zt..... ~--

ldentification of Componenu Repaired or Replaced, and Replact!ment Componenu

6.

Name of Name of Mfr,. Ser. -Nat'I. CAN Other Year

Repefred, ASME Codi Component Mfr.

No. Bd. No. ldenti-Eiunt

Repleced, Stamped No.

ficetion or (Ye, or Nol Replacement I- 'I, "wr 050341 tJ~ l.* RC-Fe -'1; f.e. l~M f,.)6 I* 1/6 "tJ(A S'to</t,. IV/A f< f /..)0 ('j),- r;_ 17 ?? ?.. 7 t-1/A '\\ Ne> @) J--' ~ '..,, 2.7 hA µ&

7.

8.

Description of Work __ --=W=-!.A-,_,_v-_ _,_+....,,/r9-af,=-<:,Fe<--*,_,/ t:ale=_...,(..:..l<a,p-,=Lr&=-".J'--'!(8~...,...c~=o~lfs"'-:/~)----------- Tens Conducted: Hydrostatic a Pneumatic D Nominal Operating Pressure O Other 0

9.

Pressure psi Ten Temp. ___ "F P.r. /J Aemarlcsc:D P.o. 17 8oc, © e o. 1?..S B'- P.v. ISRB:1 e, ;'() l 3 B!B (Applicable Manulac1urer's ~la Repons 10 be a1lached) We certify that the natemenu m e in this report are correct end thi1 __..:;:.:,i!.....:...J<~=::..:+.t-----COnforms to Section XI of the ASME Code. CERTIFICATE OF INSPECTION I. the undersigned, holding a vslid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of

if<....
emP. oyed by
/-Is /3 ]: ~ J: (Y.()

of f/or;for,l, {!,f, have inspected the

e.

@~ described in this Report on fl> -C, 19_.8K (R pair(S)Dt Replacement(s)l 1 and n11te that to the best of my knowledge end belief, thi; repair or replacement hes been connructed in accordance with Section XI of the ASME Code. By signing this certificate, neither the lns~ctor nor his t!mployer makes eny warranty, expressed or implied. concer~ ing the repair or replacement described in this Report. Furthermore, neither the Inspector nor his employer shell be liable in any manner for any personal injury or property da~~ ~sjf a~ising from or connected with this ins;p~t7ion. Datr lo - b-8ff ~~ ~ Commissions JJ8.7to 9 !Ju. 5Y1 (lns~IO() (S1a1e DI Prc,,tonce, National Soa,1')

Suppl*menul 1het1n In form of fins, 1kutchn, or drnwlnpa mar be uaed provided (1) 111* 11 B>!o In. X 11 In.,

1 Information In l?"ems 1 throuph

on thl1 dau ropon 11 Included on.. ch ah... t, and (3) *ach,h.. t 11 numbered and th* number of shMts 11 r*cord*d at th* top of this form.
~

/ ATTACHMENT 11 -1.

2.

3.

\\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT AJ Required by the Provisions of ASME Codt Section XI Owner 1/11<§1 NIA P.o. Bo)( Zfo(p{p(p Pow~R ) fllC ~µbt,..it:, ) VA ~res&) Plant,St) l'Z..l<..\\J

POWE...12..

~TA-Tl.ON 7 (Name) P.D. BQ)l 315 J Soe£..>J 3 vA 2.389D ...{Addraul: Work Performed by V IK-9 l fl.j l A-- .Dov,lc.~ SAC~ '5~0C>O 594 ~ / Repair Organization P.O No~ Jot, No~ etc.

4.

5.

Identification of Synem ~.5.,~Wt.ft\\"\\ ( cfA.M 'l--J (a) Applicable ConstructlonCo& B :S l

l 19 b7

/ Edition. NIA Addenda, Code Cases -'-t-.\\""'"'/A

6.

(b) Applicable Edition of Section XI Utilized for Repair1 or Replacements - 19 ~ , W~ O Addenda, Coda Cases N {A Identification of Componenu Repaired or Replaced, and Replacement Components Name of Neme of Mfrs. S1r. -Nat'I. CRN Other Year

Repaired, Component Mfr.

No. Bd. No. ldenti-Eiullt

Replaced, No.

fication or Replacement RELIEF' VAUI~ C.~SS\\,f ~ Z--61 -~-22o~ ~PLAC£ Ml=NT I

7.

8.

Descriptioriotwork 1<.£PLAC.ED l'<EL--lEF VALV'f.. 02-C~-RV-2..2D'3. Tens Conducted: Hydrosuitic O Pneumatic O Nominal Operating Pressure O Other C3" "il,../~ Pressure psi Test Temp, ___ *F

9.

Remarks '?. 0, S ":J;- \\Cc".:,$, 0 p:r,...-11-. 'v (Applic.olble lwlanutactu, 1 Da1o1 Repe,ns 10 be a111ched) CERTIFICATE OF COMPLIANCE ASME Code Stamped (Yes or Nol f-sD We cenify that the natements made In this repon are correct and this )k~d::: conforms to Section XI of the ASME Code. (re

r or repla:emenQ CERTIFICATE OF INSPECTION I, the undersigned, h~l~ing a valid commission issued by the Natio~al Board of Boiler and Pressure Vessel Inspectors and the State or Province of V C<-
em,Ployed by f/SG 1+-r CO of f(a.,:i n>rcl. (!,i, have inspected the Ree~ce"1eivT I

dmribed in this Repon on / () -L( 19.f~ 0 (RepairfsJ Of Re;>l*cemen1(1D and state that to the best of my knowledge 11nd belief, this" repair or replacement has been connructed in acc:Oldanc:e with Section XI of the ASME Code. By signing this cenific:ate, neither the Inspector nor his l!mployer makes any warranty, expressed or implied, concern-ing the repair or repl11Cement described in this Repon. Funhermore, neither the Inspector nor his employer shall be liable in any manner for any perso:111 i~ury or propeny d~s_Bf ~~ising fr~m or connected with this inspection. Date /'b Lf ~8 ~~-~ Commissions /JfJ 7ooq. JQ...,S43 (lns~tOf) (S1*1e o, f'rD'o,,nce, NaliOI\\II 6oaJG) Note: Supplemenul ah NU In form of llns, ake1ches, or drawlni,a may be UHd provided ( 1) aln la 8% In. X 11 In., 121 Information In lnma 1 throu11h, on thla d111 rapon la Included on.. ch ahHt, and (31 Heh ahHt 11 numbered and ti'>* number of 1hMb I* recorded at th* top of this form. (

. -:6**

2.

3.

\\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI Work Performed by reu)A 'Po I:'..- 38 00 OS 4 ~ 7 Z. S ~~ RepairOrganiutionP.ONo~JotlNo~etc. ATTACHMENT II

4.

5.

Identification of Synem \\.\\ ~ ij~,;:!, C,UfiA:: v) la) Applicable Construction Code B 31

I 19 to7

Edition, lsJ /A Addenda, Code Cam -~-/..:.A.,:.... __

lb) Applicable Edition of Section XI Utilized for Repain or Replacements -19.ft:?, Nf?O Addenda, Code Cases_~'"-=+/.... A......._ __ Identification of Components Repaired or Replaced, and Replacement Components

6.

Name of Name of Mfrs. Ser. -Nat'I. CAN Other Year Repaired. ASME Code Component Mfr. No. Bd. No. ldenti* aunt Repleced. Stamped No. fication 0, (Yes Of' Nol Replacement w~~~ D,~(., ~ti,,,~ 'Pfol t:r-~5 - 02-H$-B4 l{E..P~ALE1-lft,,lT "1.0 ~ bu-hW.$ ~~Jti')* ~

7.

~script ion of Work R l::P L Ac.et> 'DI SC. nJ

2. - M $ - eA

8.

Tens Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure O Other c§f N./ A Pressure psi Ten Temp, ___ ef

9.

Remarks EW (2.. 61 - }:Z3 P. C. CS~ - I L 74fo 3 jApplicAt>le t.lAnulacluref"s OAta Repon110 Je 111acl'tedl CERTIFICATE OF COMP~IANCE e In this repon are correct and this ~~ W\\d conforms to Section XI of the epair 0t rep1a:emenQ CERTIFICATE OF INSPECTION I, the undersigned, holding I valid comm.ission issued by the Natio~al!::rd of Boiler and Pressure Vessel Inspectors and the State or Provin~ of , emcoyed bv roil _T..f-:J: eo of .,. i o..-d have inspt-c:ted the R~ 0-C"'M e..,T demibed in this Repon on ID. J.f 19 '6~ IRepa,r{s) CH ~e;,lacemenl(sl) and state that to the best of my knowledge end belief, this repair or repl11cement has been connructed in accordance with Section XI of the ASME Code. By signing this cenificate, nei1her the Inspector nor his l!mployer makes any warranty, exprened or implied. concern-ing the repair or repl11eement described in this Repon. Funhermore, neither the ln$J>ector nor his employer shall be liable in any manner for any personal injury Or propeny da~ ~J a ~s~f ~rising from or Conne<:ted with.. this inspectjOJ'* Date (D-t./-~8 l~i_.~ Commiuions NfJ /{)b Cf l/a. 5'i3 (lns?KIOI) (S1a1e 0t"Prtw,nce. National 8o&tU) Non: Supplemenul aheen In form of ll1t1, 1ketch*, or drawlnga may be uaed provided (111IJ1 la 8~ In. X 11 In., (2) Information In hema 1 through

on thla data rapon I, Included on each ahHt, and (31 uch ahHt la numbered and tt>* number of ahMtl la recordad at th* top of thla form.

. -~.,. \\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI ATTACHMENT 11 -1. Owner \\/ I !';9/ NI A Pollv'f.f?. Date 0C.To6,~~ '3) 1 '7M P.O. 13&>G Z h&&lo. INR7'CI:\\ ko ND) \\IA Sheet of---------- 71AO<lreu>

2.

Plant 'Su R..R)J PD V\\.J £.F2 s::r:::AT1 ON Unit 2 I ~e' F;'o. 8o>f "31S Su ~ J VA 2.sS~

3.

Work Performed by \\/L ~;i;(l LA PO]b>,,lG ,:--3--:8_C)_C0_-=-5=-9_3_9_7.,__ ___ ...c.... ____ S~~ RepairOrganllllionP.ONo~JOONo~llc.

4.

s.

Identification of Synem M~h s11:r'1tMr-esl) (.ck<2... )

11) Applicable Construction Code "B :3 I

I 19 fo 7

Edition, 1'..I / A Addenda, Code Cases _ _..:.;t-..1=-+-[-A~--

(b) Applicable Edition of Section XI u*tili:zed for Repairs or Replacements - 19.t°Q, 1/J 'P, o Addenda, Code Cases -~1--J"+/.... A-__ _

6.

Identification of Componenu Repaired or Replaced, and Replacement Components Name of Name of Mfrs. Ser. -N1t'l. CAN Other Year

Repaired, ASME Code Component Mfr.

No. Bd. No. ldenti-Eiullt

Replaced, Stamped No.

fication Ot (Yes or Nol Replacement BoL,S, ILVl-!SoL-IDA'u.:~ z -l'S- '2£.Pl..A~E:"f....(EN'f Ft>\\i\\l:li: som..~ -rv'-ZC>I C. - r-io

7.

Description of Work l<8'LAC.£D 7 Stu DS 01'.l Z - Iv"!$-TV-2.c l C..

8.

Tens Conducted: Hydrosutic O Pneumatic O Nominal Operating Pressure O Other Gr' N/A ___ psi Test Temp. ___ *F

9.

Remarks P. 0

5 380 \\

!Applicat>le Manulacl er"I Da1a Repons 10 be allached) CERTIFICATE OF COMPLIANCE made In this repon are ~rreet and this ~[J~ ~ ~rorrep&a~ conforms to Section XI of the Si51ned---=--'*l-~,..__,.-'r----,---:-----,..,~'-=:-----=--:-..i..::.O---J'----, 19 e<r> Tn1e (Date) CERTIFICATE OF INSPECTION I, the undersigned, holding

valid commission issued by the National Board of Boiler ind Pressure Vessel Inspectors ind the State or Province of
employed by
/IS a ::t:.J:-r {? C) of f/arl Eo rd/l?:f have insp1,md the

\\o..c f'M~i:s demibed in this Repon on /[> - 'f , 191?f' !Re a,rjs) o, ~e::,lacemenl(sl) and state that to the best of my knowledge end belief, this repair or replacement has been connructed in accordance with Section XI of the ASME Code. By signing this certificate, neither the lmpector nor his t!mployer makes 1ny warranty, ei,:prened or implied. concern-ing the repair or repl11eement described in this Repon. Furthermore, neither the Inspector nor his employer shall be liable in 1ny manner for 1ny personal injury o,rroperty da~ nr I '!:f'.}f l~::ing from Or connected with this ins;pe ion. Om /O-t{- £;,s__ (/J&.1'~ J.... {_j~ Commiuions tJ... 3' J (Inspector, (Slate Pro,,,nce. Nalional Bo&,1') Non: Supplemenul ah... n In form of 1111:1. aketchaa. or drawlnpa may be used provided (11 size la 8~ In. X 11 In., 121 Information In Items 1 through, on thla data noon h Included on each ah... t, and (3) each ah.. t la numbered and tt>e number of ahHb la recorded at the too of thla form.

\\ AJ Required by the Prorlaion1 of ASME Cod* Section XI FORM N1S*2 OWNER'S REPORT DF REPAIR OR REPLACEME.NT -~~==----=-=-=a::o,.,.._,_--==-=-=--=~ Owner Var::@*,,,;ev E /ec.,-lr;re. t'.ffi; ~wey-clSJa,1 . f. 0. 130)( ~b,'" (N&lftll

2.

5.

I. N1m1ot Componsnt t-/'f t,l!,V~v I le;- g,\\vilibey Ntmtof Mfr.

.1. r-,

If' Ill VI -ell

7.

Description of Work Mfn. Str. -Nat1. CRN Othtr Ytar No. Id. No. ldentl-iullt No. ricatioll W-.5VP-u5.S-~I S iit u b.b "<r I{ Q.,() /4-C'f.J)/l a~t-t" Dita New ef,'A,be-r ;J.. 2 J 9q<:"( Sl\\.., ______ 0 , I

Repehd, ASMECodl Fleplectet.

Stamped or IV*orNol Replacaffllflt t.~r.iktc(,)/1A'ei:.+ 1/o I

8.

Tens Condue1ed: Hydronatic D Pneumatic 0 Nominal Operatillil Prnsu'9 D Other fa-f?,e rio V *e& -514-

9.

CERTIFICATE OF COMPLIANCE nu made In this report are correct and thil /?. ~rt) /tt,c. &~ -e.n-f '.-epa;, or rep1aCem111Q confol'ffll to Section XI of the CERTIFICATE OF INSPECTION I, the undersi9ned, holdin; t valid commission Issued by lhe National Board of Boller and Pressurw Vessel Inspectors and the S~ or Prov inc. of

Va...

. employed by

fl<;(] r + r C:io

'~ t/artforJ, ~. have inspected the M '° t' described in this Repon on //~ If,,,_a IRe irts) or ~1>lace-111(1i tnd natt that to the best of my knowledgt ind belief, this repair or*repl1cement tias been connructed In accordance with Section XI of the ASME Code. By signing this cenificate, neither the lns~ctor nor his l!mployer makes any warranty, exprened or lmplied, co~ern-ing the repair or replacement described in this Report. Funhermore, neither the lnsptetor nor his employer shall be liable in any manner for any perso~I inju~ or property de7~an~:*rising from or conne<:led with this l~s;>e~_ion. Cate // /7 ~fl ~ ~ Commissions /J{5 7() "4.Uc..,5cf'3 11nspec10f1 CS**** o, "'"* Nat,onat BoalG) upplemental 1h"n In form of llsu, 1ketch1111, or drewlnpa mar be uud provided (t) sin la IM In. X 11 In.. ounetlo11 In huna 1 through 4 on 1h11 data repor, la -Included 011 Heh shNt, and (3) eech ahNt la numt;,ared tt>* number of 1hHt1 la recorded at th* tOP of \\t\\11 form.

-1.

2.

3.

FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI ATTACHMENT II D1tt______,__~,_,,__.~~+-=~'-=-. ~~~~ Sheet~~~.:.../~~Of~~/~~~~~- Repair Organilltion P.O No.* Job No~ etc.

4.

5.

(AOClras) Identification of Synem f ~ ~ "l..- (a) Applicable Construction Code ' / 19 Edition, M Addenda, Code Cases -~'-':-"'-:----

6.

lb) Applicable Edition of Section XI Utilized for Repairs or Replacements - 19 fl~, tAJ<fO Addenda, Code Cases.....&.-"""---- Identification of Componenu Repaired or Replaced, and Replacement Components Name of Component .)°7V/.Jf

7.

8.

9.

urf Name of Mfr. A/# /1//1' Mfrs. Ser. -Nat'I. CRN No. Bd. No. No. /1/# ~ii Al# /~ Al# Other Year Repaired. ASME Code ldenti* Bunt Replec:ed, Stamped fication or (Yes or Nol Replacement z*CH-PB ;1//f /~~U/ 21 b() Z*Cll*re A//1-Lt;,0~ 2,./bO CERTIFICATE OF COMPLIAN~ ade in this report are correct and this @~ ~l<...t_ confomu to Section XI of the (repair o< replacement) CERTIFICATE OF INSPECTION I, the undersigned, holding II valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of I }a.,., , employed by

fl S (3 f+T {!> Q of 1/at:TFor-J, &{, haveinspe-ctedthe tep}a..ce{>'1e&JI demibedinthisReporton

//*//),19ff I !Repair($) or Re;,lacement(s)l and state that to the best of my knowledge and belief, this" repair or replacement has been connructed in accordance with Section XI of the ASME Code. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied. concern-ing the repair or replacement described in this Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any perso:il injury or property d~s oJ a')X kj,\\d 11rising from or connected with this inspectt/c. Date // /0... g~ ~ "J. -~ Commissions f)(31ooCf y ().... SL{ 3 (lnspeclo<) (St~le or Prow,nce, Nalional Boa"') Note: Supplemenul sheen In form of 11,u. 1ketcha, or drewln"' may be u11td provld1td (1),In Is 8% In. X 11 In.,

12) Information* In 1'!9ms 1 through 4 on this date repor, ls Included on each sheet, and (3) eech shHt Is numbered and it>* number of shNts ls recorded at th* top of this form.

2.

s.

/ t \\ FORM NIS-2 OWNER'S REPORT DF REPAIR OR REPLACEMENT At Required by the Pro,Jsion1 of ASME Code Sec:tion XI { De*jt~. l", /9'6g ldendf"ication ofSynem -fe&(,,... (:J.-e1<1 e~ 1 v 6/owJov.1 /A. lei ~licabl1 Connn,ctlon Codi /, 11 "' 7

Edltloll, Addenda, Codi Can.;.;..::..:.. __

lb) Applicable Edition of S"1ion XI UtJllztd for Aepain or R1plac:1m1nu-19~. w& D Addenda, Code c...._lV_A __ _ Identification of Comp,on1nt1 Rep1il'9d or Replaced, and Aepl1c.mtnt CornpontftU Name of N1m1of Mfn. Ser.

Nat'I.

CRN Othtr Ynr

Rep1tred, ASME Codi Component Mfr.

No. Bd. No. Ide~ lullt Replactd,. Stamped No. f"icl\\ion Of CY" a, Nol fleplacement 't1yJ,.r..v1, c..

z.,...,-

o:i-w~,- ~ ep/t!t c.QJMe11f ;t/-0 ~£<vh bev-IGit-11'11!~,1 t(5S-7/J \\ \\

7.

I. Description of Work...,!<.__ta.,._p..:../a.....;._c.<J-=-;.._S_Pl_v_h_b_oe._r_.v_-_D....;;O_S_-r_,.wuA;.._.....;__5._11_11_b_:b"""'.e=-y-~v_-_. e>_o=J~b-=-----,---- THls Conducted: Hyd;onatic O Pneumatic O Nominal Oper1tine Pmsu,. 0 Other S--- P~~ AAM>~D SA 1.1 b bey- "' ___ *F L F~~Z+~""&'-,1 re~ {/,~ I T CERTIFICATE OF COMPLIANCE We certify that the n1temenu midi 1n this,,port are correct and thlt {'(ee/~e,e,.,..fo1-f conforms to Sec:tion XI of the ASME Code. ' t'tPlif or re~ Sifned _ _-!!ll~'-~At!IE!*..,,!!!l!! ** ~J.!!,!!!t.tA.o!!._!.!h'\\!...!.~...L:l~* ~:r-!::!!:s~x::...-.. ___ .!J,,t,_,.~__:._.,.,, (Owne, or 0..--1 Desipnee~ Tlla !DlleJ CERTIFICATE OF INSPECTION I I, the 11nder1igned, holding a valid commission Issued by the National Board of Boller and Pressurw Vessel lnspecton and the s-or Pro,,ince of , V (& , employed ~

fl 5 a ;t t: '.t: e O of Hi.rT' forJ)ei:. hlVtinspt<:tedthe ree\\o..ceneAJ-t-dncrlbedinthisReponon

/-//;.,~ fRep.11111 or ~11~ceme11111I and 11111 thlt to the ~st of my knowledgt and beli1f, this repair or replacement has been connnicted In accorcS.nct with Section XI fJf the ASME Code. By signine this certificate, neither the lnspe,ctor nor his l!mployer makes any warranty, eJCprened or Implied, co~ ing the repair or repl&eement drscribe-d in this Report. Funhermore, neither the lns.pector nor his employer shall be liable in any manner for any ~rsonal injury or property d~'-1. l~s ~~d 1ri1ing from or conn<<ted wrth this lnipectiOft. 7 Oue 1-IO'~, ~ ~ ~ Commiuions V"'- S'"/:3 *A/8 Ooj' (l,,spe,c:1Q11 (SUie or Plt,,,tftU. N1toc,,.,.1 ~ uppleff\\en~I 1hNn In form of llna. air.etch*. or drewlnl)I ffll\\' 1)9 UHd provided (1) 1lu la IM In. X 11 In.. ormatlon In IT*m1 1 thro"gh 4 on thl1 Cleta repo" 11 Included 011 HCh ahNt. and 13) **ch lhNt la numbered and 11'1* number of ahMb 11 recorded at 1he too of 1h11 form.

~ -:) \\ FORM N1S*2 OWNER'S REPORT DF REPAIR OR REPLACEMENT As Required by the Prorbiona of ASME Code Section XI o-, ViY-5*1V\\;G-U Power I o..~. J~, /9$'i P. 0, Box 2-t, l &i,.,,.... lhNI I Plant s~V'V' ¥ fpw.e.v:~to---fid""- Uftlt l)._,* P, o. e~x 3/-~ ~~~Yr"'{ VA. ?..3863 w*rrrtl- <!].,.J.,.,.._, Ala,

2.

Wo,k P1rformflf by V..,. ~~ f>~ we V"

-3_3_0~0_0~7c-=-'l>"

"'3~9~g~----------

c:,,,.o 3 4H~ ,.,A --.J11,o..3 "-111*0.V-U**,.o,.-No.. -. . r-v,vCX ~u..t-rr Vh,,,.. ,0

4.

I. ldentlf"icationofSyn"" f:h'E'J"\\l<.<l'I.( t:4.L<I.J. Volu111~ Col'!:t,..o{ C.J Applicable ConstMtlon Codi B~ I, I, t I> 7 EdhlOft, NA Addendt, Codi Cwt _M 'A ____ _ (b) Applic:1bl1 Edition of SIC\\ion XI Utlllz1d for Repain or R1plac:1m1nu - 11.J'.f'. wg O Addenda, Code c...... AI .... A.._ __ _ I. ldentlfketion of Componenu Rep1i..-d or ReplaC9d, and Aeplacemem CornPofll'ltl Name of N1mtof Component Mfr. ~/~"1,.,1.J/IC.. .!?11 t:11, b ~ V'

r7-r r...~..... f!;,,

7. Tens Condu~ed: Mfn.Ser. No. -Nat1. CAN Other Ynr Id. No. ldtnti-Bunt No. f"ic1tion OJ~C.I(... e--- lt:,'~~3,t,{f-CERTIFICATE OF COMPLIANCE Repatr.d, ASME Codi R1ph*c..-, Stamped OIi CV*orNoJ ftaplacement f.. ep/4GQ1Me,it

tic)

Wt c1r11fy that the smemenu md In this report are correct and ihh ((e p/p._,c..e,.,..eo1-f ASME Code. ~tepa;,a,~ conforms to Section XI of Ille Signtd _ ___.f4.: ...,.,~*.,..,,f'-Co..C.AeA. _'ffi.:...:..i.~....f.-.'IF=,=t.----~~=g,:;a:..... __ =--~/ /... Cf...___, 19 i'.'f ~ a, Ownei'abesiQIIN) TIiie CO-lei I CERTIFICATE OF INSPECTION I, tht unde;signed, holdi'!II

valid commission Issued by 1he National Board of Boller and Pressuiw Ves1el lnapectors and the Suta or,rovinct of
\\/a...

. employed by f/5 B :c+i: co fl:at-1' fpl'"d J ('.l>-t. h~e in5')tctld the ree\\ A.C.eM: e ~r demibed in this Repon on /... / D

'~

IRepa,rt1) o, ~pi.cement(II and natl that to the ~st of my knowledge and belief, this repair or replacement h11 bun connNcted ln accordance with Sec,ion XI of the ASME Code. By signing this ctnifiate, neither the lns~ctor nor his l!mployer makes any warranty, expressed or Implied, concern, ing the repair or replacement described in this Report. Funhermore, neither the lns;,tttor nor his employer shall be liable in any manner for any personal injury or propeny dM ?Ion o~ind arising from or connected with this Inspection. (i' Oate ('- ID-~, ~~' ~ Commissions Vo.,, 5'f3 /JB 160i 11nsPl'Ctot> (Si.1e or ~IIIC&. National 8oa,,I) $upplemenul 1hMU In form of llns, 1ketch*, or drewlnpa mey be UHd provided 11) aln la '" 1ft. X 11 In.. ormulon In I"'"" 1 through

on thl1 dna repon la Included on Heh ahNt. end 13) HCh 1hNt 11 numbered and it>* number of al'IHU la recorded at the toP of d\\11 form.

2.

I. I. \\ FORM N1S*2 OWNER'S REPORT DF REPAIR OR REPLACEME"NT ~ Required by the Prowlsion1 of ASME Code Section XI I De*~*,..,_ I / 9,g~ I I Plant 5 L.t.. v-y ¥ fo w -e.. v: ~t(;A., *h ti V\\... Uftll ~ P, 6. Bl)x 31*(; &N~v-ry VA. ::;l.3883 Wovt<.. o~~r NeJ, Work Performed bv v..... ~,::;t. P~ we V" _3___;;95_o..;.....o_o...,"1~6_'+_~ P.-o.-BO X 3 ~U..tol' r VA, ;i.J8'S3 "-~*QrvaNUliaftP.ONo..,IOIINo.. -. ldentlf"ication of Synem '"< ~ "<.V'r:,, ** :to Y- £ I 6W. Cal Applicabl, Connn,ctlon Codi I, 11 'l:, 7

Edition, Addenda, Code Casea -~----

Cb) Applic*bl, Edition of Section XI Utilized for Repair, or R1pl.:1m1nu - 11£, IP$ D Addenda, Code C...... Al......,A ___ _ Identification of Compon1nu Repaired or Replaced, and Replac:ement Compcnerna Name of Name of Mfrs. Ser. -Nat1. CAN Other Year Repaired,, ASME CDdl Component Mfr. No. Bd. No. ldenU-lulh Repleetel. Stamped No. f"tcllioft or CY*orNoJ. "eplacement r/y l vew ( (c., bt,i,,;L.,h ce. V" [7"1 1/H\\f\\ '12. fl () ~ -evt,c-1-i.:;s-A- ~ ep/4, cQ1tte,.t µc)

7.

I.

t.

\\ CERTIFICATE OF COMPLIANCE Wt ctr11fy that the n1ttmenu midi In this report are correct and thil f'<e p/a,.c.e tt">f-,-/ ASME Code. '... paiforrt~ conforms to Section XI of ttll si9nec1 __ _;a!:~D!J,li!**!I!!!!= :!!1'!!111!4'i0.Q.~~~~UCS,,.IIIII!. ~--~:r~s~J:~----..!.'./-'.!-'.:_* -*,, A ~Owner'.1Des~ Tilt Coe\\11 I CERTIFICATE Of INSPECTION I, the undersigned, holdi"!V e v1lid commission Issued by die N1tlonal Board of Boller end Pressul'I Vessel Inspectors end the S1ata Ol'Province~f 'V(& ,employedbv

HS Q.::r:~.:rco of tla.r I Fo... J J e.f, have inspected the Y"'e-e \\o. Ce M e1.1 -r described in this Repon on

' -, 2)

,.81 jRepaitfs)o, ~placeme11t(II end state th1t to the best of my knowledge 1nd belitf, this repair or repl1cement has been connnicted ln accordlnce whh Section XI r,I the ASME Code: By signing this unific.te, neither the lns~c1or nor hi1 l!mployer makes any warranty, e.icp~ssed or Implied, co~

ing the repliir or replacement descri~ in this Report. Funhermore, neither the lnt,pft:tOr nor his employer shall be liable in any fflal'lnlt for 1ny person*! injury or pro~rty d~s~f '% ~1ng from or connected with this lns;>ectiOI\\. 01te /-I{)... fS ~ ~ ~ Commissions 1/ A 3't '

JJ{17 O {) 'l (IIISl>"CIOf)

(Sl&le or Pro,,,nce. Nal,onal ~ upplement.al 1hMt1 In form of ltsu. 1ke1ch*, or drewln1,11 may be ua*d provided It) aln ls IX In. X 11 In.. or,..etlon In 1,..m, 1 throujlh

on 1h11 deu repor, 11 Included 01'1 HCfl 1hNt, end (31 HCh 1hNt 11 numbered end d\\e '"'mt.er of thHts 11 **corO*d et tfl* 100 of thl1 form.

\\ FORM NIS*2 OWNER'S REPORT DF REPAIR OR REPLACEMENT As Required bv the Prowl1ion1 of ASME Cod, Section XI

===------=-------,~--------=--------

Owner Viv--fJl ~; w Po we r ,,..~. J -e_; / 9 g<2

2.

4.

L I. P. o, Box 2, 4 e,, :-- 11\\Nt 1 Plant.5 ~ v-v- ~ fo w-. v: ~tCA-+, o v-- Ufltt ~ ** " . (), ll. {3 e, x. 3 1*5_; &N~v-ry VA. ::l-3 S8 3 Wo,k 1'1rior1Nd ~ \\I,..-.§'t0e\\.. fd wE2 V" "-Pl*~*-... o No..-No.. ec. P,(),iJox 3 $'2"'-'"r.Y V,q,;2..38'&.3 ldentlfte1tion ofSynem C p 11 f'~ WI -e ~+- 5,P V'~ Lt fa) Applicablt CoN1n,ctlon Codl[3.:3, /, I 11 l:. 7 Edition, /II A-Addenda, Code Cws _M_'A ___ _ lb) Applic1bl1 Edition of Section XI UtJllz1d for Repaira or R1pl1e1m1nu - 11...a'.f'. WB D Addenda, eocs. C...... AI ... A.-__ _ Identification of Compon1nu R,p1irwd or Replaced, and flepl1cement Componenu Name of N1m1of Mfrs.Ser.

Nat1.

CAN Other Ynr Repatnd,, ASME Codi Cor:nPOntnt Mfr. No. 8d. No. ldentJ. 111111 f11pllCICf. Stamped 1,*, No. Ucltioft 0, CY11 o, Nol J4'$ J l!'ei-v I,i.._.. ft,placament IT t t:J;l.~c_j- /(. ep/4 c.Q1Me11f

.rl)c)

M.,/ it, /o'-'!.-V-r::,,,., (A t1. ~11 H~>-OJ/.J - \\ i

7.

I. Oncription of Wor...... ~""""~-L--'---~-'----L~u.=,..,_,...i:._b;._,,\\.._~..,_'ft..;..;J;..;;b;;;..;;::;h_-e_v_*_V_..J_C)_b_~ ___ t),,.,.... ______ _ Tens Conducted: 1tinQ Pmsurw O Other ~~u/U,--!:-' 511,LJbi,~ Pressure-,-----,. - _.i-, Pv,:..,+101A.."e-t.. i Te.s. -f-Rem*rlu~:nt,...,,.'1!","1,i""""..,.-"--..;:l,,,J':-f"='v.."'v"'*=--'--""'+-'-"-""..L.___..::..:.... ~-----'--=.J"'--/J..:;..1 _h..:......-'-------------

9.

nutac1u,ef1 Da11 Repons. to be 11tach<<I) CERTIFICATE OF COMPLIANCE Wt certify th*t the natemenu midi 1ft this rtpon *re correct and this ~e /!) /e:,,.c..e,.,..et1-f ASME Code. ~tepa;,orre~ Sitntd a °'1t!:~a...'£a_,~d f' ccnforma to Section XI of 1111

rs;c TIii

.11 Y't CERTIFICATE OF INSPECTION I, the undusipned, holding a valid commission Juued by,he National Board of Boller and Pressu,. Vessel lnspecton end the Suta or Province of

I/ o....
employed by
Hs O ;r ~::r: Co Hc.r:lfE>rcL, et.

h.-.,e inspemd the ree\\11 (.~ MeuT described in this Repon on I-ti>.,d IAep,a,tfsl Of f!,e1>lace-11t11I and nett 1h*t to tht best of my knowledge ind belief, this repair or replacement h11 been connrvcttd tn accordlnce with Section XI oA tht ASME Code. By signing this certificate, neither the Inspector nor his lmploytr makes any warranty, expnned or Implied. concern-ing the repair or reph,cement described in this Report. Funhermore, neither tht ln~tor nor his employer shall be liable in any manner for a.ny personal injury or pro~ny d1~os,, of 1ny kind,rising from or connected with this Inspection. Oate J....,D-~'l ~l,~ Commissions Uo..5ff:3 fJ{j?oo<j (lnsi:,K10l1 ISt111 or Pto,,IIIU., N1hon1l 9oatdl .,pplement,,I 1h*n1 In form of llnl, 1lt1tch*, or dr*wlnpa mar be uHd provided 11) aln Is 1% In. X 11 I"-, ormatlon In l-r.m1 1 1hro"gl, 4 on thla data repoi, 11 Included on.. ch 1hN1, and (3) eech 1hNt 11 numbered and 1'>* number of 1hM~ 11 record*c:I at 111* 100 of 1h11 form.

-~, \\ As Required by the Prorl1ion1 of ASME Cod, Section XI FORM NIS*2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT

=-=-==-~=-=---=-==--~~--

2.

3.

I. I. Owner VIY-5 01 n; c-0 rPo {,<)er D,.jt.JZ.v, J ').) / 9 ~~

P. () I BOX rt, ' Ce 4 r:MWII Shllt PJ1nt 5 ~

V V ¥ fo W-. v:"'°°Ttc;,,.; -f JtJ ~- .* Unh-*...... *.:.~..;./---.~.;..:.___,_._. ------------- (), (), e~x ::,1-,,; IH$"tA.,V'r"'{ VA. ::;2..3'B8'3 Work Performed bv V...... ~~ pt} we V' .,,..3_'3.,,..._o_t>_o.,.......,,~'~e~o~o.,....-___....:.. ____ _ £).'1.0 ., lN_NlleL I.IA..., J i:,, 6 _3 llllepair C)rgallWlliaft P.0 No.. Jc0 No,. 9IC. .r-*-v,vOX "'~V..t-ry Vh,,._ oD ldtntlncation of Synem,2-t'-eA"""" Gi e 11 -eva.--l't!IV"' /131 {) w cf IJ w ~ la) Applicablt Connrvctlon Codi 83 t, f 11 i> 7 Edition, NA-Addenda, Code Cases _lv. ___ 'A-"---- (b) Applic1bl1 Edition of Section XI Utlllztd for Repain or R1plac1m1nu - 11...!P. wt D Addenda, Code Cam... Al.~A..._ __ _ Identification of Componenu Repai,-d or Repland, and Replactmtnt Components N1m1of N1m1of Mfn. Str. -Nat1. CRN Othtr y,., Flep1trtcf. ASME Codi Component "'lJI r'A I) ' ' (;., J\\l)b 1:7,ey'

7.

8.

9.

Mfr. No.

i..., T G.~lfl /1 e,// -

Bd. No. ldtntJ. lullt No. f"tcltion i,,-w&c. 11 $5*'tA -* CERTIFICATE OF COMPLIANCE Flepl.elet. Stamped or CY11 o,Nol Rapf acemtftt ~ ep/4 c.oJHe,if /JO \\ Wt c1nlfy that th, na1emenu made In this repon.are correct and this fee f' lt:'tc..e JVl'f~--f ASME Codt. ' repa;, or ieplKefnlllCI conforms to Section XI of die si9ned,_..!,!~!!,!!!!!l!'l,,. ~~.!!!~~!!i,0.....I:W\\o..=~~~:L--~j..!5su1.r.__ __ _...:._.LL-1-l.:1.5-=-,,, rt toi,,n., or Ownet'1 Des~,,..j"' Tllll

(DatlJ CERTIFICATE OF INSPECTION I, tht undersigned, holdi!"V I valid commission Issued by the National Board of Soller and Pressu,. Vessel Inspectors and the Stata or Province of

'(.) tL-

employed by
fl S f3 k + T QQ of f/4r-""ffo""J.) (;.T hsve inspemd tht Y'C£ (o. C..e /1-\\.(?,J t described in this Repon on

/-/ () ,,g_fj (Rep.airfs)or ~i,i.ce-"t(al and n1t1 that to the best of my knowledge ind belief, this repair or replacement hu been connructed In 1cc:ordanc:e with Section XI of tht ASME Codt. By signing this cenificate, neither tht lnspe,ctor nor his t!mployer makes any warranty, expressed or implied, co~ ing tht repair or replacement descri~ in this Repon. Funhermore, neither the.Inspector nor his employer shall be liable in any manner for any per~nal i~u~ or property ~h~,U ~"::d arising from or conneeled with ~h~s !ns;>e~ion.. Cate / ( 0 rCJ ~ 1, ~ Commissions t/<L 5 I;} N {3 Jd O 9 (lnsi,.clllf1 (Stall or Pro,,,ncc. Nahor,al 8oar,I) upplemental 1h"n In form of llsu.,.,e,cha, or drewlnpe m*I" be u1*d provided C,) size la'" In. X 11 In.. ormulon In lt"ema t throu!lh

on 1h11 dau repor, 11 Included on uch 1hNI, end 131 Heh ahNt 11 numbered 1"* number of 1hM1I 11 recorded at the 100 of d\\11 form.

\\ FORM N1S*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Requirad by tht Pro,lsiona of ASME Code S1c:1ion XI

'--===-----------,~-------=--------

Ownar Vlv--g *1 V\\; w Po we r Da*~* J ~, /9,g<;

2.

4.

I. I. P. 0 ; Box e2, le G CJ,-.. I "-nt 5 k, V V ¥ fp t,J-. V::~to<--f J d V-- Uftlt J6,,. P, 6. B ~ x 3 t!C CH$"1.vV' ry VA. :::2-38B3. Wo,kPerformedt,, V w~e;t.. fe,we.V" w4 O~Afo,38CJOd 70'f.37 p,..n.D 3 AH..lfflll... , /.., ~.J,:,d.3 Ill.pa* o,,,,,m,.,..o No...- No.. -.

"t./,vt:>X

~~tory vn,,,,. oa ldentJf"ic1tion of Syn1m '-' 1 1 I°""' ~~ vJOLte V la) Appliubl, CoNtrvctlon Codi I, 11 '- 7

Edition, Addenda, Code Catt...... ;;;...;... __ _

lb) Applicablt Edition of Section XI Utlllzed for A,p1i" or R1pl1e1m1nu -,.~. wg O Addenda, Code c...... N ...... A._. --- Identification of Componenu A,p1ir9d or Replaced, and Aepl1e9ment ComPo"ffltl N1meof N1m1of Mfrs. Ser. -Nat1. CAN O\\htr Ynr

Aepalnd, ASME Codi Component Mfr.

No. Id. No. ldlnU-lulh 1'1pllelcl. Stamped No. f"icllion or CYta OI Nol 1'apltc1rnent IJyJ. VO,.<.) It' c;.

r -r T

~'--WAP fl.. ep/4 GQJMe,tf A;liJ S111c,bl,...e v-i:. 11"1 Ill II~/(

7.,.

9.

IU4~-tn-. ~icription of Work 5,ivb.h-er II-f:JO;). C, ~ .StA,...;.bJ,ey Tens Conducted: Hyd10111tic 0 Prtssure,._ __ Remarks W',1....4/ CERTIFICATE OF COMPLIANCE \\ We e1111fy that the n1t1menu made In this repon are correct and this ~e p/~c.e /6'\\t-1-f ASME Code. ~repa;, or~~ confonna to Section XI of 1111 Sijned _ ___,Qk~* -,...,O~d~,J~<< ~~...,..W\\.LL.l.-f!"-#....-ftll:!!*=~_....::11;;.!~~:[:=------::,--,-----'-1 r/ 9-*-, 1tfS"9 ~or0wnef'1Des~ ~ Tb (Da141! f CERTIFICATE OF INSPECTION I. 1ht undersigned, ho.l~fV I valid commission luued by the National Board of Bollar and Pressure Vessel l~1orw and the Smia or Provine. of V 0.....

employed t,v
f/S f3.J;. *" ;t (! 0 ef rl4.. 1 &v-J) ef: hsve inspected the y:eQ\\A.c-e Me11.rt' described in this Repon on

/- / t) ,,~ IAe~*'l*I or ~111acen,e*111al and state that to the best of my knowle~ ind belief, this repair or replacement has been connrvcted In accordance with Section XJ of the ASME Code. By signint this nrtificate, neither 1he lnsptttor nor his c!mployer m1ku 1ny w1rr1nty. tJCprused or Implied, concem, in; the repair or riiplacement drscri~ in this Rrpor1. Furthermore, neither the lnspKtor nor his employer shall be liable in any manner for any per1on,1 injury or property d~ 1~1 ttd arising from o~ connected with this Inspection. Date J-lb.. ~1 ~ .rl* ~ Commissions V&.,~1{3 )Jf3 7ooq (1111-ICf) ISlale or Pit,,,,nce. NalOO'\\al &.,11) vpplemenul 1hMT1 In form of lln:a, air.etch*. or d**wlnpa mew be uaed p,ovld*d (ti 1ln Is I~ In. X 1, In.. ormatlon In hem1 1 through

on thla dau report 11 Included on Hell 1hNt, end 13) each 1hNt 11 numbered and ltl* nvmber of 1hwt1 la record*d et the 100 of 1h11 form.

\\,

ii* ** \\ FORM NIS-2 OWNER'S REPORT DF REPAIR OR REPLACEME.NT As Required by th* Prorlsiona of ASME Code Sectio11 XI I o..Ji~. J -:i) / 9 ~~

2.

Plant 5 '-l.. V-V ~ f() W -e_ V: ~tc,,.. -f J/J "'- Unll rfL,. (), 6. (3 ~ x 3 i-5_; IN~V' ry VA. :::2-3883 Wo,kr1rformtdbrf \\I,,,...~~ Pdw(2.V' . P.<J,-Box,3 ~~tol'y Vi4,;,..:s183

I.

4.

I. ldentmution of Synern Pv 'JC ' /i11. ff)-i:e. e'J. w~ la) Applicabl, Cons1Nctlon C-odl /3$ J, I 1 I l> 7 Edition, filA-Addenda, Code C... _M ')J. ___ _ I. (b) Applic1blt Edition of Ste1ion XI' Utilized for Re-pain or R1plac1m1nu -,,n. wg D Addenda, Code C....... AI ..... A.._ __ Identification of Componenu Arp1ir1d or Aepl1ced, ind R,pl1ctmtnt Componenu Namtof N1m1of Mfn.Ser. -Nat'I. CRN Other Ynt Aepatncf. ASME Codi Component Mfr. No. 8d. No. ldtntl-liunt Aepleceicf. S11ms,td No. rrcation or IY* o, Nol Plaplac1ment j'fJ.r,-e..1.111 t:. 11.vb.b ev-1, T....., a ;;.-t,..111p H:>S*1q.3 /(.. ep/tt. GOJMe,if

t)eJ

\\

7.

I. Description of Work ~i;;...;;i;...1.1;:~.:;;-

.;;;.;..-::;._.:,./J-v.,;__..;.iL.-

_:::W.:.*..!.1.L.-~...:::...k:....!...'------~---"'----,,~---,,------- T1111 Conducted: Hydronatic O Nominal Operating Pressul"I 0 Other mp/.,._.. __ *F

9.

CERTIFICATE OF COMPLIANCE Wt cer11fy that the n1tements midi In this repon are correct and this ~e p/~G1"f"1-f conforms 10 Section XI of die ASME Code. ~tepe;, or re~ Sitned, __ ...;:01£.::- .... ML~ .... -*~J.,i£::::le~MLJ..11.""-1-o1~,;~J~UL-... 'l!!!:..S~:C~------l.f* /'-'Ga:...-, 11 ~C:, IOwner cJ"Owner'1 Desi9"N) TIii . &Daiei CERTIFICATE OF INSPECTION I, the undersigned, holdil'..'9 1 valid commission Juued by 1ht N1tlonal Board of Boller tnd Presiurt Vessel hupectors and the Sta11 or Provinn ~

Vet,.

. employed t.v

/f S 8 :t "'=" r (.b o o1

-t/4.1-" I,-ov-d@theve inspected the (e(Plt1.ceMe,vT ducrlbed in this Repon on 1-1/J

,t.fi 7

I epa,rf1l o, ~pracemenl(II ind nate th1t 10 the ben of my knowledge and belief, this repair or replacement h11 been connrvc1ed In ac:cordlnce with Section XI of the ASME Code. By signine this certifie1te, neither the lns~ctor nor hia ll!mplorer m1ke1 any warr,nty, upressed or Implied, co~ int the repair or rephteement drscribfl! in this Report. Furthermore, neither the Inspector nor his employer shall be liable in any marv,er for any person1I in~ry or pro~ny d~'.o o~d arising from or connected with this lnipe~ion. Cite /- 1 b ~r ~~ ~ Comminiom Va lj"t/:3 /J B 1 tJ d q (lnsp.-c1oi, 1Sra1e o, Prc,,,onc<<. Nahonal eoa,. Svpplamantal '""n In form of llns, a ketch*, or drawlnljll mar be uHd provided 11) aln It IK In. X 11 In.. ormatlon In lnm1 1 throu,n

on thla dauo repor, 11 Included on..,h 1hNt, and 13) Heh ahNt la numbered and 1'1* number of thMta la racord*d at the toP of thla form.

\\ FORM NIS-2 OWNER'S REPORT.OF REPAIR OR REPLACEME.NT As Required by the Pro,Jsion1 of ASME Code Section XI _____,,_.,=,s-----=------~--------==:,-------- {

3.

4.

I. I. o.* JJ: JU:.,* I -,. 1 19,gg Plant S 1-1.... v-v- ~ fo w -e v:: ~t~ +, o V\\- r;t....

P. 6. e" x 3,s; IH~v...,V" r-y VA. ~3883 Wo,k,,rtorm<<1 b¥' V,.... ~

~ pd we V" P.<J,-Bo 3 ~,.vr V-4, ;l.38'J.3 ,-.pa* ~tioft P.O No., JoO No,.-. Identification of Syn1m Coo/a."" f-C.) ~licablt Cons1Nctlon Codi /, 11 I> 7

Edition, Addenda, Codi C....;..;...:..:.. __ _

lb) AppJic1bl1 Edition of Stet ion XI UtJllztd for Repaira or R1pl1e1m1nu 8'.P. W g D Addenda, Codt c.... _AI_A __ _ ldentlfic1tion of Componenu Repai,..d or Replac9d, and Replacement Componenu Name of N1m1of Mfn. Ser. -N111. CAN Other Ynt

Aepatml, ASME Codi Compol'llnt Mfr.

No. Id. No. ldenu-lullt A1plac9id. Stams,td No. neat.ion Ot (Yn o, Nol Pl1PIK11ment lf~.£i't,t. V I I c..., S11. ~ J.J;-ev- ,= - ~,_/,,u,..e I I 10.,;z-~c- - ~ ep/4 <.OJMettf ff c) e=

==- luc<./(J{,, \\ CERTIFICATE OF COMPLIANCE Wt ctnlfy that the natemenu madt In this report are correct and this f'?e p/~e,,e,-,..f.-i-f ASME Coda. ~tfpa;, or re~ conforms 10 Section XI of die Sitnedr--.w~~- ,6!!f,1!"~0.......:!otlJ .... :a,.&-sV'L.J._..1.*;,1~* _...,..*. l!!lilJ'!l----T"\\,.-=:;:.LS.11o:t __ ...,..l[)e_lll __ _:...;,,,...!:,_, 11 t"'q CERTIFICATE OF INSPECTION I, the underaigned1

holding I valid commission Issued by the National Board of Bollar and Pressurw Vessel Inspectors and the S11ta or Provinee of

. "l/4-- . employed b¥'

f(s.(J :f
r Co of ffg~"tfotd.,e.i, haveirupecttdthe 'Ce~(~c.eM,eµr descrlbedinthisReponon

(-tD .,t.fi IRe~1r(1l0< ~:U*cerne*ll(II ind 11111 that to the best of my knowledge 1nd belief, this repair or replacement has been constructed In accordance with Section XI of the ASME Code. By signit'lil this certificate, neither the Inspector nor his fmployer makes any warranty, e.1Cprtned or lmplied,*concem-ing the repair or replacement dHcribed in th_is Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or pro~rty ~ o'+/-~u of 1ny kind arising from or connected with this JnspectiOft. Cate /... /0- f?'J ~~ /9,.,()e.,, Commissions t){A :t;t./'3 JJ{j Joo ({ (lnspe,c1e1111 (S1a1e c,, Prt,,,incc. N*honal Boanll .,pple,,.enul '"""Inform of llns. 1lr.e1ch*, or drewln1,11 mey ~ UHd p,ovld*d (1) 1IH la IX In. X 11 In., orn>atlon In IT11m1 1 llvo"llh, on thla deu, repor, 11 Included on uch shHt, end 13) Heh ahNt 11 numberecl and 1'1* number of ahMts la racorOed at tfla top of \\ti.la form.

2.

3.

4.

I. I. \\ FORM NIS-2 OWNER'S REPORT Df REPAIR OR REPLACEMENT As Required by tht P,o,lsiona of ASME Codi Section XI { o, *.51.JU.,. J.,, t 9 ~g. Shift Pleftt 5 k, V V ~ f O W -. V: ~e,,.:f JI; IA-Uftll '9-*,. P. 6. e," x ::,,-s; IN$" /A..JV' r-y VA. ::,..3 se 3 Wo,lt Performed by V w-~,::,._ P~ w/J. V" P..O,i3o 3~1.1..i-r Uil,;:z...JKJ.3 l'eDH o,p.,uuuan P.O No.,.,-No.... ldentlfieation of Svnem -C o O / t:<. '1. Ill A;lpliubl, ConstNctlon Codi I, 11 b 7

EdltlOft, Addenda, Code Cats -----

lb) Applicable Edition of S1e1ion XI Utillztd for Aep1ir1 or R1placem1nu-,,n. wg D Addenda, Code c...... N ...... A..._ __ _ ldentlfic1tion of Componenu Rep1irwd or Replaced, end Aepla~ment ComPoM"U Ntmeof Namtof Mfn. Str. -N111. CAN Olhlr Yt1t

Aep11nd, ASME C,c,dt Component Mfr.

No. Id. No. ldentJ. liunt Aeplactel, Sttmped No. f"icnion or (Y11 Of Nol fleplaceffllftl Hy Jirp,11 J 1 '- I-r7 O~-RC- ~ ep/4 GQJMe,tf i(/ ?) ~ Vvll,hb ev-r-;..-,1111el ( (fS5-Jol \\ nn11 o,, -- S11.v.b.ber v--6.:2.4-t ~ s~ v,_.o,, b Detcripti!)n of Work I. Ttnr Conducted: H(dronatic 0 Pneumatic 0 Nominal Operating Pressurw 0 Other ID--.P--er-lorJY, ed ~ hu CERTIFICATE OF COMPLIANCE Wt certify that th, n1ttmentr midi Jn this rtpon are correct and this ((e p/~c.e,.,..e,,cf conform& to S.ction XI of lbl ASME Code. ' ttpairar~ s;,nec, __ ~o~~~!f-l!~o-f!!'I' ,0111!!.!!!!::>~t>e-,iv-~-w~~l--loll!!. ~~---!:r-~,.!ii!.:C.1----\\D&~lel,---..:.*.,./,-!.ct--'-_,,, "' CERTIFICATE OF INSPECTION I, IN undersigned, hcldin; 1 valid commission Issued by,ht National Board of Boller and Prersu,. Vessel lnspectOfl and tht S1SII or Provinn of '(/IJ.._

employed by
,/1.S {3 1'+ ;r fYo of tla r-IPorJ;)et' hlNt if\\$f)Kltd the ce.glo. lef"l.eµt dncri~ in this Repon on

/'-' 1 IJ ,,.ff IR~pa,t'fsJ °' ~:,i.ce-111111 and nate that 10 the best of my ltnowle~ and belief, this repair or replacement has been connNcted In accordance with Section XI of the ASME Code. Sy sililning this certific:.ate, neither the lns~ctor nor his fmplover makes 1ny warranty, e.icpruwd or Implied, concem-ing the repair or replacement described in this Repon. Furthermore, neither the ln~tor nor his employer shall be liable in anv manner. for any pers:n*I i~ury or prc~ny d~~u ~an,,y kind arising from o~ connected with thir lni;,t~ion. t1 01te { / () g Cf ~Ii_, ~ Commmionr V tl ~ If J /vfJ 7 0 q ClnspeclOf) cs~** OI Pl"o,,onu, Nahonel 8oMSI upplernenul 1hNt1 In form of llsu. 1ke1ch*, or drewlns-mar t,e und provided (U 1ln la 8" In. X 11 In.. orm1tlon In lnm1 1 throu9h

on thl1 data rePOM 11 Included on HCh 1hNt, and 13) HCh lhNt 11 numbered and 'lf\\e number of 1h.. t111 recorCled at the too of 1h11 form.

As Required by the Prowlsion1 of ASME Code Sec:1ion XI FORM N1S*2 OWNER'S REPORT.OF REPAIR OR REPLACEMENT --=-=-,;___,..---:-=--------=--- o ** -~. l"'1 /'?~g I .,_.;..I ___ _

2.

Plan1 51..1... Vy ~ fp W-. V:~tc::,i.. -f I ti IA., Untt

'J...:_

P, 6. e~x 3 tG; "'~~YYY VA~ :l.3B83 Work Perlor!Nd t,v V..... c§'N~ Pt:1 weV" wm/s oe:&.-Alo. 3i50o{) 7 /D gJ>. p.,(),-Box 3 ~"""'"¥ v-,,. ;1J8'S.3 l'epa*OrpllUtioftP.ONo...touo.. c. Identification of Synem G r~ +)o v\\:::,...:Sr' r CL

3.

4.

I. C.J Applie1bl1 CoNtn,ctlon Code I, 11 6 7

Edition, Addencll, Code ea.a ____ _

Cb) Applicable Edition of Sm ion XI Utlllzed for Rep1in or Fleplecemenu - 11...a'.f>, IP g D Addenda, Codt C...... AI_...A,A,.-__ _ I. Identification of Componenu Flep1i,-d or Aeplac.d, and Flepl1cement Componenu N1meof N1mtof Mfn. Str. -N111. CRN Other Year

Repaired, ASME Codi Component Mfr.

No. Bd. No. ldlntJ. lullt Replactd., Stamped No. ficnioft or cv.. or NoJ Pleplacement /,;/yd,(l'A,v {IC.-. 5,,,,,Jt,/:),e,r r: rr --...,..u111elf Oi,L-R,S... HS.S~to/ ~ ep/~GfJ1t1et1f /Ye) \\

7.

Oe,cripti~ of Work f&./J()_ -,,, 0 5" u b./:;o. r: V-o~.::z i tuaJ. S;tv/:i6-er-' V--llA(-_5"°7 I. Tut1 Conducted: Hy/rost1tic 0 Pneumatic 0 Nominal Operating Pmsurw 0 Other CY: CERTIFICATE OF COMPLIANCE Wt certify thet tht n1temenu made In this repon are correct 1nd this ((e f' f P...c.e IVlf-,.-/ ASME Code. ~ttpuorre~ conforms to Section XI of the Sifned, __ QL.~~~ ... -"!loillLIWIILll'l~

- ......!De~!..!.
- ~~-1,~!!C!!~---::..:.~-~"'81!:c~--CDNl-----_.::;.l-,.J..::~~. 11 rci.

CERTIFICATE OF INSPECTION I, the un~rsigned, holding I valid commission Issued by the N1tlonal Board of Boller end Pressure Vnsel INPKtOfl and lhl S1111 or Province of 116-. , employed by

fl:$ fl :t+/-:r: {JO f/4... 1 For-J,Ct, have inspe<:ted lhe te~\\ttc.f Meid::

described in this Repon on 1=- ID

,,gi (Repa,1111 or R.eplacerne111(1I end n1t1 that 10 the best of my knowledge and belief, this' repair or replacement h11 been connructed In 1ccordlnct with Sec1ion XI of the ASME Code. By signing this cenificate, neither the lnspe,ctor nor his lmployer makes 1ny warranty, expreued or Implied, ~

ing the "P*ir or repl11Cemen1 describflf in this Aeport. Funhermore, neither the lnspKtor nor his employer shall be liable in 1ny manner for any personal injury or property TI'~o! o~ arising from or connected with this lnsPec:tion. Cate /- / () ' g T __ }~_ ~ ~ Commissions j/4 S'/ 3 /118 7d D 1 11n1i;,e,c:1oi, (Slate or P,i,,,irce. NaleOllal ~ pplemeni.l '""n In form of llfll,,ketch*, or drawlnp mey ~ uaed p,o.,ld*d (1) alu i. IIM In. X 11 In.. rmallon In l'Nma 1 1hrou,t\\

on thl1 data repon 11 Included on.. ch 1hHt,.and C3l eech 1hMt II numbered and Ch* n11mblr of at>Hta la recorded et the toP of dll1 form.

- --~------...

\\ FORM N1S*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT AJ Required by the Provision* of ASME Code Sic:1lon XI ( o..~. I-,.) /9,g<; Plan* s l-t... v-v V fo w -e. v:~tc,v f, d"" Unit 2-.. I

3.

P. 6. e~x 3J*(i ~L,1._,V"rf VA. ?-3B83 Wo,lt Performed bot Vu,* ~t:C Pc, we V" . P.-o,-Bo 3 ~"""" VA,;l.JKJ.3 ldentlfkation of Synem ' ..(2 ,e_)r I. la) Applicablt Connructlon Codi /, 11 6 7

Edition, Addenda, Codi Cases--------

lb) Applicable Edition of Section XI Utilized for Repain or Repl-,.1menu-11B, l,t/g D Addenda, Code c....... N.......,A.._ __ _ Identification of Compcnenu Repairtd or Aepl1c.d, and Aepl1C'lmtnt ComPoMftU N1meof Name of Mfn. Str.

Nat1.

CRH Other Yev

Rep1tnd, ASME Codi Ccmponent Mfr.

No. 8d. No. ldentJ. lulh ReplaclCI. Stamped No. f"ic:ation Of CYts or NoJ fleplKllment f <-/ riwlto I I

~ e /4 G,n.,e,if II' i)

&i.iv ho. <:wm111e.l( - \\

7.

Description of Work!:::=tl~~~.S:e::vt~V:..!::b~b:::::el'..v...!V:...-.tO:!:o::..:3::::3::::....:;-~~-

!'.!::'...:S::::.~::=:!::!::.::_:_v_-.:.t>..:::l_S::::$:::_:CJ::.....,,,?..__,,.. _ __,,---....,...

Tms Conduc,ed: Hydrostatic O Pneumatic O Other ~ p,,, CERTIFICATE OF COMPLIANCE Wt certify that the n1temenu made In this report are correct and this ~e.,tJ /~e,,e /f'lf..i-f E,.....,.,_

r._pa;, or ieplKefnllflQ conf°""' to Section XI of dlt ASM..........,,

Si9ned_--=QR~M,t,a,~"15!1ft.... Jl!lil!!!IJg,A__:.~.!.X-,.t1'\\~,w~~-..,,..-r=..:::.:sr~-~----=-'.,_I q.,:_:__,,, i'; P.,., or Ownat'1 Desipe) ~ Tlill Coale! f CERTIFICATE OF INSPECTION I, the undersigned, ho.I~ 1 valid commission luued by the Natlo~ Soard of Boller and Pressure Vessel lnspecton and lhe S1111 or Province of )~ , employed t,v f/( 8 :F :t::Z: C ¢ af tf41-T&,~d) et, have inspected the tej.\\0.,e Meivt described in this Repon on /- Ji)

,t.f!i
jAe
't*I o, ~:,i.ocerne111(1I and 11111 1h11 to the ben of my knowle~ ind belief, this repair or replacement has been connrvcted In accordance with SectiOft XI of the ASME Code. By signing this ctrtificate, neither the lns~ctor nor his fmployer mikes 1ny warranty, expttned or implied, COnceffl, ing the repair or replKemen1 described in this Report. Funhermore, neither the lnspKtor nor his employer shall be liable in any mannet for lny personal injury or pro~rty d~~r:Lu of~~ arising from or connected with this lnspe~iOft.

Cate J.... 10-<g 'f

~f. ~ Commissions V&. 5113 /v01t>Odzi pnsi;..c10f)

(Si.1e or Pro,,,ncc, Nahonal uppla_rnanul ahMU In form of llns, a latch*, or drawlnpt mar ~ uHd provided (11 alu la IM In. X 11 I"-, ormatlon In hwm1 1 throuph

on this data rapo" 11 Included on uch ahMt, a11d 13) Heh 1hNt 11 numbered end 11'1* numt..r of ah Mb la recorded at 1h* 100 of 1h11 form.

\\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by Iha Prorllion1 of ASME Cod, Section XI

===-.._..... __..,.. ______,~-----------..----

Owner Viv@*,V\\;ou Power o..Ji~. 1~, /9,g(J

I.

4.

I. I. P. 0, Box: 2, fe Cz t,,--. 1t1"' I Plant 5 ~v-v ~ fow-. v:~t(:,A..fJ(iv-.- Uftlt ~ ~. 6. {:>!JX 3 t![i ~LA...Y>"{ VA. ::;2..3883 Wo,k Performed tiv \\/..,.. ~PL P,:; we V" (A)~ Drla-Ne>, $ 'bOC>o 7c tf:31 . f.<J,iio X 3 ~\\.\\.t-1' y Viti, ;l..38'~3 .-.~*erv-u11a11,..0No..Jo11No.. -. ldentmcation of Synlffl ('/la.,,,... ~~ 1 .., Appliubl, ConstNctlon Codi es I, f tt 6 7 Edition, IV 14 Addenda, Code Casea _M_'A...a.. __ _ Cb). Applic1bl1 Edition of Section XI UtJllzed for AtpliFI or Repl1e1m1nu - 11..lP, w& 0 Addtndl, Code c...._AI_A __ _ ldentlficttion of Componenu Rep1i,-d or Acploc.d, and Reploc.ment Components Nome of N1me of Mfn. Ser.

Nat1.

CRN Other Ynt

Aepotnd, ASME Codi Component Mfr.

No. 8d. No. ldentl-lulh Aepl1elCS,, St1mped No. f'icltioft or IV* a, Nol "eplecamant ff~v-av I c.- . '3:1 T op_--~ I< epltt c.QJMettf J//*6 ~vb.bey 1Zi.--,n11,e,, U'!.<.-:J A I. I. CERTIFICATE OF COMPLIANCE Wt cenlfy that the n1temenu mode In this r1tport are c.orrnt and this

?.ep/t7,.c.,,ej111f<1-f ASME Code.

' ftpe;,orie~ conforms to Section XI of 1"' si9necf_..;.._-=~~* !!!oMf4J~!!!!fJ,~* ~~~"~~ml.ll..:.~J'....+!!!!!!. ~* -~:ft..:Si!!ir!!::,__-=-,--.L,, ,:..:.I 9::1---=---.,,,., tow-orOwne,'1DesipnN) ~ TIii ~YI f CERTIFICATE OF INSPECTION I, 1M undersigned, holcfi"II 1 111lid commission* Issued by the National Board of Bollar and Prcssurw Vessel lnspec1on and the SlaU or Province of

Va.,.

, employed by

f/.J(j kq;-:t {!> 0 of Ha~t fon;/.J et "" inspected the te I{) ({A. ce /11 eµT described In 1his Report on

,_ IQ , '9 ~Cf jRepa,lfalor ~p~ce-111111 and nate that to tht ben of my knowledgt and belief, this repair or replacement h11 been connn,cted In accordanQ with Section XI of the ASME Code. By signing thir cenific:att, neither the lns~ctor nor his l!mployer makes any warranty, upressed or 'Implied, co~ ing 1he repeir or repl11eemen1 descri~ in this Report. Furthermore. neither the ln1.peetor nor his employer shall be liable in any ma,- for any e>erron1I injury or property ~my o: *nu of any kind arising from or connected with this lnrpectiOft. Cate f, ( /}... fj _ ~~ ~ Commissions Vt\\. St.fl N f3 7tJ O q (tns~tcw, !State or 1'11:,,,onu, Na*-* 8oal'Cll upplemenul 1h"n,,, form of lhu. 1ke1ch*, or dr*wlnpa mer be u1*d provided 11) aln la IX In. X 11 In.. rmufo,, In l19m1 1 througl'I

on thla dau repo" 11 Included on Heh 1hNt, *nd (31 **ch 1hNt la numbered end 11'\\e number of 1hw1:1 II recorded et th* 100 of thla form.

~*.. \\ FORM N1S*2 OWNER'S REPORT Df REPAIR OR REPLACEMENT A, Required by the P,o,bion1 of ASME Codi Section XI o.* /jµu,.. I -, ; t 9,g<; I I ___ _

z.

Plant 5 "4... v-r- ~ fo w-e v:~t~ +, d v-.- Uftfl..t;.a, __ P, 6. B,i,x Jt(i ~c-.v-ry VA. ::i.3S83

i.

Wo,lr.,,rlor~ t,, v......r,:1g,.. P~ we V" . fr{),,IJ"x 3~1.vrY VA,;J...l8~.3

4.

Identification of Synttn jlA..CI I r/\\-~-e.: w1-, I. C.) Applic1bl1 Cons11vctlon Codi 8.:5 I, l 11 I> 7 EdltlOft, /1/ A-Addenda, Codi C... _M_'A-___ _ Cb) Applic1bt1 Edition of Stt1ion XI UtJllud for Rrp1i11 or R1plactm1nu -11.1.f>, µ,g D Addenda, Code C...... AI ...... A-. __ I. ldentlfic1tion of Cornponenu Rep1ir1d or Aepltced, and Aepl1cemtnt CornPoNMI N1me of N1m1 of Mfn. Ser. . N1111. CAN Other YIW Component Mfr. No. 8d. No. ldtnti-lulh No. - ASME Codi Stamped cv,u,Nel .Al r) DncriptiOft of Work~:q;;..tW...s;.~~~~~t--JC.-...::.i...:::=...A:1=.=.;..:;;..:;;~L.M..=--~-.;;._~,.....,,------...--- Tesu Conduc1td: P'f?,,,.../bv-µ, Ss,,i,J,6e,r F<-A;,c.-f1()~i T..ec,'f CERTIFICATE OF COMPLIANCE Wt cet11fy IJlat the natemenu made !ft this report art correct and this ~e p/~c.e JOl\\f-ii conformato S.e1ion XI of dil ASMEC<<tc. I '~-"'~ Sitned ~e., A,!) ~LP ::rsr 1/ er.,, r:, er 0.--1 Desv,N> TIii f:)1111 f CERTIFICATE OF INSPECTION I, the undersi9ned, ho.ldin,;i I valid commission luued by thl Natlo~ !'-~d of Boller and Pr.111u,. Vnsel lnspecton and 1ht $1111 or,rovinn of \\/ tL- , employed t,v tt5..1J k ¢ 1; (.b O el H4 t try rd) ef.;..., inspected the t:se6){,,,_ '".q M. eµt ducribt-d in this Repon on ,/ - / 0 , 11 ~ IRepa,ffslor ~pt.ace-111111 ind 111t1 th1t to the best of my ltnowle~ ind beli1f, this repair or replacement has been connructed In acc:ordanca with Sectioft XI ol thl ASME Code. By 1ililni"9 this ctnificatt, neither the lns~to, nor his fmployer male.es 1ny warranty, uprened or Implied, eorreer&- ing the repair or replacemen1 described in this Report. Funhermore, neither the ln&peeto1 nor his employer 1h10 be liable in any mt!Vllf for any personal injury or pro~rty d"':::r.!l~1~d arising from or connected wi~h this lnr;,ec:tiOft. 0111 /- / D "." R 'I ~ ~ ~ Commissions I/"-.. 5"LI 3 * * -JJ(3 7 (JO 1 "*i-c*Ofl csia1e CII Prow...u. "'**-* 9oArcll voplemental 1hNt1 In form of Una. 1\\e1ch*. or drewlnga rner bl u1ed Provided (ti IIH II IM In. X t 1 In.. rme1lon In l-r.m1 1 1hro1J9'\\ 4 on thla dna repor, 11 Included on Heh 1hN1. end CJ) HCh 1hNf 11 numbered ru,mber o1 lhMtl 11 recorded 11 U,e 100 of 1h11 forffl.

\\

2.

s.

FORM N1S*2 OWNER'S REPORT DF REPAIR OR REPLACEMENT AJ Required by 1h1 Pro,bion1 of ASME Code See1ion XI I Ot* J}.P.,<.,. I -;i ' I '? ~9 ~ I et __.;...I ___

4.

Identification of Synlffl...;M...;.:a:;;..;1~1t..;.....,i;;::;*""'.::::;;=----------:,..,....,------------...... ---- L Ca) Applicabl, Constrvctlon Codi I, ti 6 7 Edition. Addenda, Codi ea.. ----- lb) Applic1blt Edition of Stc1ion XI Utlllzed for Rep1in or AtplactmtnU -,.n. µlg O Addenda, Code c....... N ...... A __ _ I. Identification of Componenu Acp1ii,d or Replaced, and Repl1ctment CompolltflU N1meof Namt of Mfn. Str. ,N1t1. CRN O\\hlr v..

Rep11nd, ASME C:Ddl Component Mfr.

No. Id. No. ldt~ ivlh "*PlecM. Stamped No. ritltioll 0, CY11orNel lleplacament

'f:tva,v I I C-

"'~",b~r ~f v11.tne/l ~ O'.).-tn/1<1-li.4. 'i- ':J.J. ~ ep/4 r..eJHe,it A)l} \\

7.

Description of Work ()n.nt

A *'Sh 11, hJJ er -1/, C> / 9 7 1, :...+IJ. 1 S lw h h ie*'Y' v-01 'i?S' Tm1 Conducted:

Hyd~onatic 0 ,n~matic 0 Nominal O?<<reting flm111'9 0 Other ~P.e-r~YMe& S,wb CERTIFICATE OF COMPLIANCE Wt certify dun tht nattmenu midi Ill this repon art correct and this (?e p/,:;,.c..e,.,..,e,,..f I c:onforma to Section XI of 1M ASME Co6e.r). /J S~Md ~o.~"11111 .,,8, CERTIFICATE OF INSPECTION I, tht undersigned, holding I valid commission. Issued by 1ht National Board of Bolltr and Prnsuiw Vnsel lnspec1ora end tht S1111 or Province of . ti tl- . employed t,v

H.s 13 ;;-.J.-;[ ~

0 t-/ar!G,"'d., ef. hr,,c inspected IM,cc.O~c.. eMe.vT described in this Repon OIi /-M ',tR1 IR~pJuf&IOt ~p1&ce..-.11t11I and 1t1ia that to the best of my ltnowle~ and belief, this repair or repltctment h11 been constructed In accord.nee with Section XI fll the ASME Code. By signing this certific.ttt, neither the lns~ctot nor his fmployer mtus any warranty, uprened or Implied, conccr&- ing the repair or rrplacemen1 d'5cribflf in this Report. Furthermore, neither the lnsp<<tor nor his employer 1h1n be liable in 1ny m&MII' for any i::>er:nal i:ury or pro~rty !1:Y'?::OJS ~nyA kind arising from or connected with this !nspe~ion. q 0111 / /IJ fC{ ~,l., ~ Commiuiont VA, $'3 IJ'{J 7DO (ln1,;,.ctoi, (State o, P'li,,,inu. Nahonal eoa,.. vppl*m*nu1 &hNtl In form of llnl.,...,~h*, or dr*wln511 m*Y b4I uud provlelod (1) alu IJ '" In. X 11111.e rff\\*tlon In,,...,,, 1 througt,

on 1hl& data r*POr'I 11 lnclud*d on heh 1hNI, *nd (3) ucl\\ 1h"t la numbarael number of 1hMta la **corded 11 tl\\e 100 of 1h11 forl'ft.

\\ FORM N1S*2 OWNER'S REPORT.OF REPAIR OR REPLACEME"NT As Required by the Prorlsion1 of ASME Code Section XI I De*>>~. J ~) / '? 't'd

2.

Plent 5 1..t.. v-.,., fy fo w -e. v: ~tc,... + 1 d v,.., Unit 1-* F', 6. t3"x 3J-2J CN$"~v-ry VA. ~3883

3.

4.

I. I. Wo,k,,t1ormed brt V,.... ~~ Pc, we V" Wo.~ K. ovJcer /vo. 31, (>00 7~ ~D8 p,,o,-Bex.3 ~u..'""¥ VA, ;:J..38'&3 llesiu()rgalllu**'.o-...,.No.. -. ldentlf"te1tion of Syn"" ~~ V" 1 C e>o /4 "l T laJ Applicabl1 ConstNctlon Codi /, 11 ~ 7

Edition, Addenda, Codi Cases ------

fb) Applicable Edition of S1e1ion XI Utlllztd for Flepain or R1plac1m1nu - 19~. W$ D Addenda, Code C....... AI .... A..._ __ _ Identification of Compon1nu Rep1irad or Replaced, and Replacement ComponenU N1meof Nemtof Mfn. Sar. -Nst1. CRN Other y,.,

Rep1h4, ASME Codi Component Mfr.

No. Bd. No. ldenti-iulh Repl~ Stamped No. fication or cv.. 0, Nol PltpllClment '5'fd. ""it" e,:,

,i"

-ev

t:-r 1 Ir.:,. "t'i/lU'(,, II Ofl3-KC.

SS-/(Jl"J. - ~ ep/4.GQMettf p()

7.

I.

9.

DHcriptionofWork R..e(?kc....e.. 5(fwhb~v V-o/4-/ w1fJ\\. Ten, Co~ducttd: Hyd~onatic O .,neumatic 0 f Preuu

pal Remarks l.r'tl ii * ' '

(.'.)pliul>le MAlnu!&ehlrer'I Data Rt. CERTIFICATE OF COMPLIANCE \\ We certify that the natemenu midi 111 thil report are correct end this ((e fJ /u..c.,e l""lf-,i c:onfonna 10 Section XI of Iha ASME Coden /J rte1>Uorte~ Sitntd ~ J,~ Mr~ $J: J / 9', 11 i"9 or Ownet'1 Des;g,..J TIii !DIie! or r. CERTIFICATE OF INSPECTION I. the undersigned, holding I valid commission luued by the National Board of Boller and Prenul9 V1111l Inspectors and the Stall o, Province of

VtL

, employed by

/f S: fJ.::t+T CO of tfo..r-lli,rd rCJ have insptcttd the ~,(,.L C.e"" etv't described in thil Report OIi

/- / /j

,.K.l (Repauf1J ot ~::,lace,,...111111 ind nate that to the best of my knowledge and belief, this repair or replacement has bun connructed ln accord.nee with Section XI of tht ASME Code. By signing this cirrtificate, neither the lns~ctor nor his fmployer makes any warranty, u:pnned or Implied, concem-ing tht repair or replecement describNt in this Report. Funhermort, neither the Inspector nor his employer 1h11J be liable in any manner for 1ny personal injury or propeny d'::1 or ~Ojj o!'::":~d arising from or connected with thia~nrpection.

Cate {-. /Q "' R 'f ~~ i_, ~ Commissions 1/,?- SY J * /JB 100 CJ (lns~1ot1 \\Slall or Pwt,,,,incc. Ha1,ona1 ~ Svpplemenul 1hNtw In form of llns, 1ke1ch*, or drewlnpa mey be used p1ovld*d (11 alu la IX In. X 1 t 11'1., nfo,metlon In huT\\1 t througl'I, on thla det_. repor, 11 Included on uch ahNt. end 131 eech 1hNt 11 numbered and U'le number of ahHb la recorded at the too of 1h11 form. I . I .i

\\ .FORM N1S*2 OWNER'S REPORT DF REPAIR OR REPLACEMtNT

A.J Required by the Pro,bion1 of ASME Cod, Section XI

---=--==-,.,--------~{ -=-------==------- o-Vi~@*,Y\\;w Power o..JJ".fU.-, /3. 1 /9'3~

2.

3.

I. I. P.O,Box i?-4Ce~t.,,. ,,.,,, 5 l.(.. v-v- ¥ fo w-e. v:~t~ -f' """' """ ~,. P, 6. Bi?)x 3t5_; ~IA..,v-ry VA. ?..3883 Wo,kPtrlo;fNd~ V..... r,::~ Pt)wev WeJ,~N{), t3't)0()070~1-;;-. . fr(),-Be 3 ~,v,. \\M, ;:J....38'~3 "'~OrgaNu11c111,.o-,Jo11No.. -. lden11fication ofSynlffl ~r Cot> /4"'-f C.J Applie1bl1 ConstNctlon Codi /, 1 t i. 7

Edition, Addenda, Codi C.S.. ------

Cb) Applic1bl1 Edition of Section XI Utlllz1d for Rep1irt or R1plac1m1nu-11~. l,,(lg D Addenda, Code c..n... AI ...... A..._ __ ldentlficttion of Compon1nu Rep1irwd or Replaced, and Rapl1cemtnt ComPoMntl Name of N1m1 of Min.Ser. -Nati. CRN Other v,.,

Rep1tnd, ASME Ccdt Component Mfr.

No. Id. No. ldtnU-liunt Aeplactcl. St1"" No. racauon or CV11 o, Nol Plaplacement ~#Vc?l,V_II~ r-rT i;..,;z -1<c.- /( ep/4 r *.t~Me,.f /ti 0 I-\\- vb b -ev-Giv1Mile/l H6S-Io t.f- \\

7.

I. r Description of Work _..R..::.~...;;+-:t.;.;;;1{,..~(. _;e);..__s_/,J_;t)_;h..;..b_;ey-:.......;.-V_-.;;;..O.:...l 'f-__ 3__,._,r&.fta.--;;;.;..;_..5_~ ___._v_.-_o_t..ri_, '~----,,--- Tests Conducted: Hydronatic D Pneumatic D NominaleO~r,*tine Pmsurt O Other ~P.,~1) Snvbhe.,r Pressure pal . T111 Temp. F r~11:c.*rto14a.,/ t~r Rem,rlts-::-?~~?<=:.._-,.,:*~~=---.&.,:.~(e;;C\\.=:1;--~:..i..i.' i..;* ;1.---:Ci~\\-..,. -'.;)J~~=k::::1.. 1:.....1:..1:---------------- CERTIFICATE OF COMPLIANCE Wt c1r11fy lh*t the n11emenu made In this r1pon are correct and this {(e P /&\\,C.. f"".f.,_f ASME Code. ~ttpaifor~ conform.a to Section XI of Ille Sitned G.br:d~'Jes~ cy\\u '° ~$r ~111\\}t\\ .,, sr, CERTIFICATE OF INSPECTION I, tht undersigned, holdine I valid commission Issued by the N1tlonal Board of Boller and Pressu,. Vessel lnspec:ton *nd the S1a11 °' Province of lJll... . employed t,v

fl 5 {3.I+ ;1:° &

of f/t:tr-t~cl""OJ ef. h.-.e inspected the re.a) lo..t.eM e"1t: described in this Repon on /-/ 0

,t.fi jRrpa,ofs)or ~i,i.crme111111 and 111t1 th*t to the ~n of my knowledge ind belief, this repair or repl1cement has been connrvcted ln accord.n~ with Section XI of the A.SME Code. By signing this cenific:ate, neither the lnsPKtor nor hi1 fmployer mikes 1ny warranty, expressed or Implied, COnctrfto, ing the repair or replacement describflt in this Report. Funhermore, neither the lnr.;iector nor his employer 1h11l be liable in 1ny ff\\ll'Vlllf for 1ny a:>e'~sona~njury or propeny d1'~~~o'::y!ind irising from o~ connected with thi1 lnrpe~ion. O Cate

/ t D ~er ~ 'J., L':dsJ&h Comm,uionl lb-S~l:3 A!(!, 2 /) q (lns~ICW, C$1&t* c,, Pri:,,,..,c,, Nat,onal 8oarcll vpplemenul 1hMu In form of lists, 1ka1ch*, or dr*wln;a mar be uud provided 11) alu Is IM In. X t 1 In,. ormatlon In 1-i.rna 1 throueh, on this data rapo" 11 Included on uch 1hNt, and 13) each 1hNt l1 number*d and it,e number of 1hMU la r*cord*CI at tti* toP of 1h11 form.

\\ A.J Required by the Proybion1 of ASME Codt Se'1ion XI FORM N1S*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT 0-_,--V-, Y--=@--.-,.,..-;-~--A-o_w_e_....-____ ~,:--=----c.-.-Jt-.J2,C,-=-. -(-3,-,-9-'t-~---- P. O, Box: 2-,,,,-.. ~ ' P1aA1 5 k-v- v- ~ fo w -e. v:~t~ f, o "'- UM A P, (J, e~x 31*5_; "s'~v-r-y VA. ?-3~83 Wo,k,erformed t,, V...... ~& p~ we II"

2.

i.

4.

L P..o.Box 3 !:1"'-rl'Y l!;.f, ;i.J8g.3 1c1en1mcationof$yntffl R ea...c,rcJr coo la 111, -r la) Ac>9lie1blt Connn.ictlon Code ~I, I 19 '1 7 Edition, /1/.If Addenda, Codt C... _M_'A-___ I. lb) Applicable Edition of Ste1ion XI Utilized for Rep11il'I or A1pl11t1m1nu 'P, l,,()g D Addenda, Code C...... N ...... A.._ __ l~ntlfic1tion of Componenu Repairwd or Replaced, and Replawrnent Componenta Name of N1mt of Mfn.Ser.

Nat1.

CAN Other Ynr Rlfl*lnd. ASME CDdl Coffl90ntnt Mfr. No. Bd. No. ldlntJ. lulh flt1pllC9CI. Stamped No. f'acltion CYn o, Mal fteplactmeftt f 'tew 1 '~ IJ. 71 OJ.,-f:? (.- fl. ep/4 c.QJMe,tf /,Ii) w"Al; ev-16 VI ;I 1-1.f'fl Jl.!,J',-103 - \\ Description of Work a.,J). D.5"1tAbl,,ev V-ollf:J.. ~ s~ v-&tt-s b I. Tm1 Cond\\.iettd: Hydros'lltic 0 ,neumatic 0 Nominal Operatine Pmsu~ 0 Other m,-' :.a.v-nu oeJ.. s~I). CERTIFICATE OF COMPLIANCE Wt ctt1ffy 11\\et the n11tmenu midi Ill this rtPOr1 art correct Ind thls ~(2. f' /,::,r,_c_,e,.._f.-.f ASME Code. .-... ~o,~ confonna to Section XI of N Sitned---\\,G~t~,.,~.t *!1""11!!11.a~~~ oo.-1b\\:..u.....w'LJ/)~~* ~~rs~:r:,t..__~_---!...,,1-,;-,l-, 11 q,c; io-,,., iJ; 0.--1 ~s;;,-1 ~ TIiie !Dell! CERTIFICATE OF INSPECTION I, the un~rsi9ned, holdint t valid commission Issued by the National Board of Bolltr and Prt1suiw Vessel IN?Kton and the S1111 or Prov inn of

v L

. employed bv

ti s: 0 ;f tl (! 6 Ha.t-T Po..J > e,1-h...,, inspected the V'C~ \\<). c-e.k,e,vt-"

describtd in this Flepon Oft /-//) ,,t...f.1 fAtpa,1111 o, '!c:>laceme*ul*I and state that to the ben of my know!,~ ind belief, this repair or repl1cement hts bun connNcted In accordlnce with Section XI of tht ASME Code. By si;nina this ctrtifiu11, neither the Inspector nor his lmployrr m1u11ny warrant\\', uprened or lmplitd, concera-in9 the rtp1ir or repl.cement described in this Report. Funhermore, neither the lns.ptttOt nor his employer shin be li1bl1 in any ffilMlf for 1ny iar1onal injury or pro~r,y d~~l~s ~!~~ arising from or connectf'd with this ln1Pecti0ft. D1te J-(b-Qf ~iw ~ CommiuiOIII l)4..£if3 *J\\J/J 1DC>Cf. fln*-*Clfl !Stale fll Pto,,11\\CC. HatlOI\\AI loallO voplemenul 1h"n In form of llns, 1ke1ch*, or drawlnpa rney be uud p,ovleled (1) aln Is IX In. X 11 111.o matlon In 1-r.ma t througl\\, on 1hla data reoo" le lnclud*d on eech 1hN1, end CJ) HCh ahNt t, numbered nurnber of ahMta II racoroed at U.* 100 of thla forlft.

. ~*. ' -- \\ AJ Required by tht Pro,biona of ASME Cod* S1c1ion XI FORM N1S*2 OWNER'S REPORT Of REPAIR OR REPLACEMENT

--=-----~--=---

( o..Ji.JU.,,. t~) / 9,g~

2.

Plent 5 ~ V' V ~ f O W.e_ V: ""'°s4tc,,.. f I ti "'-' UNI &;

P. 6. (3 ~ x 3,-5_; IH~V" r( VA, ~3 S83 Wo,k Petforrned b¥ V Ur~'!\\. p~ we V"

. P..o.-Bcx 3 ~""""Y ~.;,..38~3

c.

I. lct.ntlfication of Sy11em,Mq In ~cu: Ill AP9lic1blt Conn,vctlon Codi 8.:51, f 19 '1 7 Edltloft, NA-Addenda, Code C.., _M 'A ____ _ tbJ Applicable Edition of Ste1ion XI Utlll.ud for Aep1ln or R1plec:1m1nu - 11~, W$ D Adct.ndl, Codt C..... AI ...... A __ _ I. Identification of Componenu Repairwd or Replaced, and Repl1C'lmtnt Componenta Name of Namt of Mfn. Ser.

Nat1.

CAN 0th<< Yew

Repand, ASME Oldl Component Mfr.

No. Bd. No. ldentJ. lulh R1pl1eecl. Sta~ No. f"ttltion 0, CYflorNel Plepl.cemlftt t-/-JtfVAVI U,

J:T-,-

O'J-SHP-I< ep/4 c.01Me11f /f)<) h vhb<ev-GivH,wdl -* - '-'SS-S4- \\ Desc:rip1ion of Work R,epl~e Sri.v.bbev- 'V-o17D wrfk Sv1.vhhev \\J;. oG:,4-q Tern Condue11d: Hydronatic 0 Pneumatic 0 Nomil'\\ll Operatint Pm111rt 0 0tw ~P~v CERTIFICATE OF COMPLIANCE Wt cenlfy lhat tht natemenu made 11'1 this report are corree1 and this

?e fJ /1?,,.c.e,..,e,...--f ASME Cede.

~rtr,a,,ar~ c:onf onN to S.c:tion XI of 11w Sitned'_..l,alS,,Rll!!l!:4~~1-.1~:i!l!!~!l!!O~i-e-~-l'.!~Q,....:,°A:,l...lilii!!!11!i!' ~'-!!l(-~:rllio.,... 1s.Jor.___--:,~-\\lt--LI,,_, s~"'--,,,_q,~'- CERTIFICATE OF INSPECTION I, the under1ign1d, holding, v1lid commission Issued by lhc National Board of loller and Pr111uiw Vessel lnsp<<:tOfl and the Stall or Provinc9 of

If a._
employed b¥
f/5 fJ ;I;. :[ Co Y4t:tfow::lJ af.

hM inspected the (l?elo C:E'kH'l,IT de1eribed in this Repan on /-Ii),,tfi fR~

'111 Of '!c11i.ce-"1(1I and st111 1h11 to the best of my knowle~ and belief, this repeir or replacement hes bun constrvcted In accordance with SeciiOft XI d the ASME Code. By sipnina this ceriifica11, neither the Inspector nor his lmployer mekts 1ny werrantv, uprrned or Implied, concer.

ing the repair or replacement dHcribflS in this Aepon. Furthermore, neither the ln~tor nor his employer 1h1n be li1bl1 in any marvc for tny ~rso:11 in:ry or pro;>tr,y ~ o~a Jrn~:<::ind arising from or connected with this ln11>e~i0ft.

Oat, I lb >?er

,~~ ~ Commissions V4,,8£l 3 N~'?bG '\\ ll"l~IOfl C51.11e cir"'°""'"* Nahor,al ~ i:,plemenul ""'"n 111 form of llnl. 1lr.e1ch*, or drewlnpa may t,e und provided (111111 Is'" In. X 11 111., "'ulo11 111 1'19ma t throug!\\, on thla data repo" 11 Included 011 Hctl 1hNt, 111d (:n.. ch 1hNt 11 numbered number of 1hwt1 la recoroecs 1t 1h* 100 of 1h11 form.

,i

2.

s.

4.

I. I. \\ FORM NIS-2 OWNER'S REPORT DF REPAIR OR REPLACEMENT /U Required by the P,o,lsiona of ASME Codt Stc1ion XI I Da*~* J't) I 9 $~ lh~ / -------- "-"t 5 ~VY'~ fo W.e_ V:~tc.<-TI d "'- UNI ~ r:>, 6. e ~ x 3 1s; ~CA...V'.... it VA. ::1-3883 Wo,k,,rtormed bf V 1...-~&\\: p~ We V° ',,(),,IJo 3~u..l'r ~.;l..l88.3 lltpu °'9"'Ulio11 P.O Ne.. M No,.-. ldentlfic:ltion of Synem - e. +-..e_. V-C.J Applie1bl1 ConstNctlon Codi /, 19 l, 7

Edition, Addenda, Code C... _;;..;... __ _

(bJ Applicablt Edition of Section XI Utlllztd for Aep1in or R1plac:1mtnu -11.tf>. wg D Addtnda,Codt c..... AI....._A __ _ ldentlfic1tion of Compon,nu Rcp1irwd or Replaced, and Rei,l1C"tment Components N1meof N1m1 of Mfn. Ser. . N1t1. CAN Other v..

Rep11nd, ASME Codi Component Mir.

No. Id. No. ldlnti-luD1 R1pllCtCI, Sta~ No. f"tcltioft or CY" or Net R epl IClffllftt f!'/t!l'r"t:..Vl1C.. 6t1. vbb.ev-l'l r-1ni,,e../ I ~ ";)..,.w,:P- - ff.. ep/4 c.Q1Me,.t PC> 7 * -e 5 -=- .,,- tH.5-f 7 \\ b-e -tkJ'f-7* urdts11vtbev-V-030/ CERTIFICATE OF COMPLIANCE Wt certify 11\\at the nntmenu midi 111 this repon art correct and this

?e I' ft: 1...c.e,.,..fi11T ASME Code.

~tt;,a,, OI ~ conforma to S.e1ion XI of die Sitned ~ew.L ~~ :rsr I )9 tow-or 0.--1 OH~) TIii IDa'tlt I .,, n CERTIFICATE OF INSPECTION I, the undersigned, ho!cf}n; 1 v1lid commission Issued by lhe National 801rd of Bolltr ind,,11su19 Veswl lnspecton and the s-o,,rovince o<< ,vg_ . employed ti,,

H so.:c ~ :i: Cbo H Ail"' t Fo"' d-1 et, have inspecttd the '{' e(? ~0- t e. M u,/1 de1erlbed in this Rtpon Oft

/ - , 6

,.n IA*~*lf*I o, ~:ii..u.,...,,11*1 ind 1t1tt that to the best of my knowle~ and belief, this repair or rtpl1cement has been connructed In accordtnce wfth Section XI cl the ASME Code. By signing this cenificatt, neither the lns~tor nor his,mploytr m1u1 any warrantY, exprrned or Implied, concar&

ing the rtp1ir or rtpl.cemen1 dtscribflf in this Rrport. Funhermort, nrither the ln~tor nor his employer,h1R be liable in any "'-Mlf' for any personal injury or pro~ny di::~::!fu*n,r:d irising from or connected with this lnsPtctiOft. Catt 1-{D-'fCf ~d,. ~ Commiuiont \\)4.,.q-3 *IIJ{J740'f 11na~1or, C51&1e o, """"""* WallOl'\\II ~ voplemenul 1h:Nt1 In form of 1h11, 1htch*, or drawln'11 mer be und p,ovlCl*d IU aln t. I~ In. X n In.. ,,,..etlon In lnma 1 throu9'1

on this dn* report la Included on Heh 1hNt, encr 131 Heh 1hN1 l1 numbered

.nun.be, of ahwts 11 reco,oecr et U.* toll of 1h11 form.

\\

2.

FORM NIS-2 OWNER'S REPORT DF REPAIR OR REPLACEMENT AJ Required by tht Pro,bion1 of ASME Cod, Seetion XI I

4.

ldentlf'ation of Synam_..i.....-e~<'2--=i::;...:;,W,.t:A.,...,..:;.;----,-~------,-,..,.-----------..... ---- L CaJ Aps,Ji~bl* Constrvctlon Codi /, 11 '- 7

Ecfhlon, Addenda, Codi C... ------

lb) Applic1blt Edition of Section XI Utlllnd for Rep1ir1 or Rtplac:tm,nu - 1t...!P, i..ug D Addtndl, Code c...._AI_A ___ _

8.

Identification of Componenu A~eirwd or Replaced, and Repl1ceme111 CompoMftU Name of Ntmt of Mfn. Ser. -N111. CRN Other v,11

Repatncl, ASME Codi Component Mfr.

No. 8d. No. ldtnU-lulh ..,plec:tid, Stamc,ed No. ricruon or CY" or Nel "apl acamen1 Uy.11~iv/,c:,, r,, o*'i)-WRP ~ ep/e,. GQ1Me11f A/0 !:7,, u.bb e...-- Gvii111e.lf lui:.,::,._1q.tl 7

I.

t.tc-e... 0/11,vbh-e.v-v.-0/0'7 ~ .S11ubh CERTIFICATE OF COMPLIANCE \\ V-o*~ t Wt certify ltlat the n1t1m1nu made Ill this repon art correct and this

?e P /,: ;,.,.c.e Jf'\\f"1 i ASME Cede.

~t-:uor~

conforma to Section XI of die Sttned aR~o,~Oe,}! ~

T:sr V:.111 CERTIFICATE OF INSPECTION I, tM vnderJttned, ho.lding I valid commission Issued by 1ht Natlo~oard of Boller and Pretsul'9 Vessel lmpecton end the S1a11 °',rovinct o~ Vet.. . employed 11¥ tLSO::f+r Co Ha..... 1 n> } ei I h111e inspected the r:: C. ~ \\a. C,e Al\\ et,> °lduc:ribed in this Repon Oft t-. ID

- ,tfi IRcpa,/faJo, ~ptaccn-..111(11 and S\\8'e that to the but of my lr.nowledgt and belief, thi& repair or replacement hes bun connrvcted In accordance with Sectioft XI cl the ASME Code. By 1ignin9 this urtifiau, neither the lnsl)N:tor nor his fmployer mak.rs any warranty, exprtned or Implied, concera, ing the repair or replacement dtscribflf in this Report. Funhermore, neither the ln&,pKtor nor his employer shall be li1bl1 in any ffilMel' for any J)ersonal injury or pro~rty d~

~II fttn~d arising from or connected with this lnsPtctiOft. Q 01t1t /-. /Q,fq ~:jl., ~ Commiuiont \\)Q..SLIJ I\\J (37tio1 (lnspectOfl C$tale or Prc,wincc. Nat,onal ~ voplamanul 1hNt1 In form of llnl. 1ltetch*, or drawln;a ma, ~ uHd provided (1) 1IH la IX In. X 11 lfl.o rrT\\atlon In l1'fm1 t thro"gh A on thh data repor, 11 lncludad on Heh 1hNt, and llJ Heh 1hNt 11 numbarecl 1 numt,ar of 1hMts b racoreled at the 100 of ~11 forlft.

r -----*.,. -1. 1

3.

I. I. \\ FORM N1S*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT AJ Required by the Pro,llion1 of ASME Cod, Section XI ( De*~* 1'-h /9g<t Pl.nt 5 ~ V' V ~ ftJ W -e_ 'C~CA-f J Ii IA, UNI -~ ~ P, 6. B ?J x 3 1*6_; '?'""-'v-ry VA. :::2-3 S6 3 W0tkPtrformed ~ \\I,.... §'Nf\\. Pd we V" '..(),,IJo 3 ~u..rr ~.;iJKJ.3 ldtntlf"iution of Sy11tm /( '.4., c..- or-C 06 k~. c,<. --{- fllJ AP91ic*blt Constn,ctlon Codi I. 11 b 7 Edition. Addenda, Codi C.,S.;..;..;..;.. __ tbJ Applicable Edition of Sec,ion XI Utlll.ud for Re-pain or R1pl,c1m1nu - 19...!P. µ,g D Addenda, Code c...._N __ A ___ _ Identification of Components Aepai~d or FleplKflt, and Rapl1C"1ment CompoMIIU Nam, of Nam, of Mfn. Ser.

Nat1.

CRN Other v.. Ae-p1trwd, ASME CDdt Component Mfr. No. 8d. No.

ldtnU, lullt f11pl,c9d.

Stamped No. ficnion 0, (Y110,Nel fleplacement HyeJJ v-,;.. V,, t., l= I I 0 ;..-~(.- Pi. ep/4 Gc>1Me11t

tJ t)

,~ (J bboe.v-

¢rv,t1'fel l H<<-JDt't. \\

7.

Oncricnion of Work r<.e.11 lrc.-.e.J 6&.uJ1bie-r v-011;- 7 ~ Suvl,.J,ev :V- *o4t-6o__. I. Tm1 Conducitd: Hydr~st11ic 0 Pneumatic 0 Nominal Oper11ing Pmsul9 D Other ~rfbr111ecl s~ivl:, h I. CERTIFICATE OF COMPLIANCE °We Clt1ify Vlft the ftlttffltnts mo Ill 1hiJ rtpon.,.. eorrtCt Ind this ;?e f'/(;(..C. l"'-f"17' ~MECodta~ A , "..... OI~ SitnectAM>NA ~ cq... Lt .!Sit' I J f or Owne<'1 t.siOftNI T.. f:lclll / confOlTN 10 S.e1ion XI of IN .,, f CERTIFICATE OF INSPECTION I, 1he undtr1ign1d, holcli~ 1 valid commission luued by 1he N1tlonal Board of Boller end Prnsurw Vessel lnsp<<:t0f1 and lhl S1RI OI Province of . v()._ employed bv

HSB rv:r t;>:o Ha.~ TFo.,.J. > et. h.-., inspecttd the,r:q>(o.cel"teAJT described in this Aepor, Oft

/-/ r, .,.t1 l"epa,,t1)0, ~:,~cen-.*11111 end st*tt that to the best of my knowle~ and belitf, this repair or repl1cem1nt h11 been connrvcted In acoordan~ with SttliOft XI of lhe ASME Code. By sipning this nttifica11, neither the ln1~10, nor his lmployer rn1us any warranty, uprened or Implied, concer. ing 1t11 repair or repl1<:emen1 descri~ ;~* this Aepon. F unhermort, neither the ln&PKtor nor his employer 1h1n be liable in any manner for any per1on1l injury or propeny d~l!j:Js :ii-~d arising from or conne<:ted with thi1 lnipecti0ft. 0111 /-/ /J... f'{ !J~.-'** ~ Commissions fJ 4. $4 3 IJ(3 7 ()0 ~ (IIIIS-Clllft jSlatl or l'rg,,,IIICC. Hal-I 8oa'1II ui:,pl1m111ul '"""' In form of lln1, 1l.11ch*, or drewln(III mer bl uHd provided (11 aln h,,. 1ft. X 11 '""- rn.111011 In l1"tm1 1 tl"Ho119"

on 1h11 data repo" la Included on uch 1hNt, enCI (31 HCh ahNt 11 numbered nwn,t,er of ahMta h record*d at lh* 100 of lhla for"'-

\\

2.

FORM N1S*2 OWNER'S REPORT Of REPAIR OR REPLACEMENT ~ Required by the Pro,lsion1 of ASME Code Sec1ion XI ( o..~. 1~ !9'89 lh~ I _..__I ____ _ 2'>r

evJ-o~ No 3 3 ooo 7 <l ¥-$.:S 11,tpu~tioftf'.OHe..*Ne.. -.

4.

ldentlfte1tion of Syntm_.::S~* ~~;;6~~~~~~~-----:-~----------""T'lr,r---- L (eJ Appliuble Connn,ctlon Codi /, 11 l. 7

Edltloft, Addenda, Codi Caltt.;..;..:.;.. __ _

lb) Applic1bl1 Edition of Ste1ion XI Utlllzed for Aep1in or R1pl11:1m1nu - 1t..!f>. W6 D Addenda, Code c...._AI ........ A __ _ I. ldentlfic1tion of Ccmpon1nu Repail"lld or Replaced, and Replacement ComponenU Name of N1m1of Mfn. Str.

Nat1.

CAN Other v..

Aepatnd, ASME Codi Component Mfr.

No. 8d. No. ldtntl-

iun,

,.,pl1elcf. Stamped No. r ic l'liol'I OI CV11orNel ,.eplacaffilftl H'( dt lr~U),, (.,,o I., 7 d ;,.-s-r !.. ep/4 GQJMettf fi/0 .S 1,1.vbhev-(:j VI ii ii ef/

7.

I. I. _/).,. J_j} HS:!r/ol IJ ,ey -otY6 7 ~ 5Pi vl,,.l,av CERTIFICATE OF COMPLIANCE -05#-C Wt c1111fy lhat the n1tem1nu mllde lll this r1por1 art cor~t and this ((e f'/C\\.C.,,...f.-. i ASMECedt. I.-~Df~ eonfonna 10 Section XI of die Sitned OJ,-f;f1 0.1":t ~ ~,+!Q io-,., or 0.--1 Des~)

,, 8"'4i CERTIFICATE OF INSPECTION I, the undtr1ig11ed, holdine, valid commission luued by,t.e Natlonll 8oird of Boller and Pretsurw Vessel INl)eetora and lhe S1111 or Provinc9 of
UtL
HS 13.::t:1-:t &o y()..,.1E c ""J J <e-f-h,vc inspemd the dt1erlbtd in this Repon on

/-1 D

,.n JAe
f'f11a, ~pi.un,e11tf1I and statt 1h11 to the best of my lr.nowledif 111d belief, 1hi1 r1p1if or replacement hes been constructed In accordance with SectiOfl XI fll the ASME Code. By 1i;nin9 this cutific:att, neither the lns~tor nor his fmployer mikes any warrant'(, expressed or Implied, concer&

ing the repair or rrplacemen1 describt-d in this Report. Funhcrmort, neither tht ln1.pKtor nor his employer shall be liable in any ma!\\n9t for 1ny a:>er1on1I injury or proi>etW d~on of,.t.ny~ind arising from or connec1ed with thi1 ln1Pec:tion. Catt J-/b - ! q ~ 'J. ~ Commissiont Ja, Stl :S* * /UfJ 7COC, (1111-talt CS~le o, l'roo...CC. H1t,or,al 8oa,GI upplamanul '"'"n In form of llnl. 1ke1ch*, or drawln1111 mey tl4 uHd provided 11) 1ln la I~ In. X 11 In.. '"'*11011 In lnrn1 1 1hrougt,

on thla dna repor, 11 Included on uct,, 1hN1, end Ill **ch 1hNt 11 numberM number of 1hH1:I h recorded at u,a too of 1h11 form.

FORM N1S*2 OWNER'S REPORT DF REPAIR OR REPLACEMENT As Required by the Pro,lsiona of ASME Code Section XI ( o..~. r:ti,9gg ~ I et __ l ___ _

4.

ldentlf"te1tionofSynem R.-eciv-c..v A+ll:>1'1. ~pt-tt,Lf L C.J Applic*bl* Cons1ructlon' Codi 8.:5 /, I 11 ~ 7 Edition, JJ A-Addenda, Codi C... _iv._')J. ___ _ lb) Applic1bl1 Edition of Ste1ion XI Utlllzed for Fl~*i11 or Rcplacem,nu - 19~, µlg D Addenda, Code C...... Al.....,A..._ __ _ I. ldtntlfic1tion of Components Repail"9d or Fleplued. and Replacement Component1 N*me of Name of Min. Set. . N1t1. CRN Othlr Yew Component Mfr. No. 8d. No. ldcntJ. ivlh No. ASME CDdt Stamped CYn o, Ne1 1,./i) Ducription of Work JS..':5:fi!.!./4~"=e.~iJ'.'..5~Pll_!;:V~b~~23~2.ii!~!:::!:::~~~~~~-.!!'..=.~...::::;;,~-------- Tm1 Conducted: Hydronatic 0 I. CERTIFICATE OF COMPLIANCE We cer,lfy 1"at the natemenu mlN:le 111 this repon,,... eor~t and this (?~ /J/~Ge,...,e.,-f ASMECodt. I ~ ... ;i.Jtf/1~ S~ned ~ dk 'rV'\\ 'r)dA '0,LSJ: or Owner-1 Oes~ -=. TIii CERTIFICATE OF INSPECTION I. conforrna 10 Ste1ion XI of dlt .,, Y'l I, the vndtrsi9ned, holding

valid commission luued by the National Botrd of eon., ind PressuN Vessel l~ton and the S1111 or Province of

. tltc.... . employed t,y

Its 8 ;F+ k DO ffo.,.. T" Ft,-r-c!,.I d h..., inspec11d the -r~p(ac E'/1'\\ eAl't ducribed ill this Repon Oft

,,:: f-1 {J

,~

IAepafl'(1Jot ~pi.ce-,,tl*I and state th., to the ben of my ltnowlrdit ind belief, 1hi1 repair or replacement h11 been constructed In.ccordance with Seaion XI rA 1ht ASME Code. By 1igning this nnificat1, "either the lnspt'CtOI' nor his fmployer melt.es any warranty, expressed or Implied, COnctnP in11 the repair or replacement describflf in this Aeport.-Funhermore, neither the ln~tor nor his employer 1h1n be liable in 1ny manner for any personal injury or pro~r1y d~~: o~ 1riiin9 from or connected with this inspection. Cate / - lb... f'f ~ ~ ComminiOM (/O.: £'fl -/V/3 7/J D {j (lns-1111) CS1&1t or "'°""'"* Wahcnal lk>ucll 11ppl1m1nul 1kMt1 In form of Jina,,.. etch*, or clrewlnSJII,ney be uHd provided 111 1IH h 11' 1ft. X 11 In.. rmulon In '"" 1 throujltl ~ on thla data reoo" 11 Included on Heh 1hNt, 1nd (J) HCtl 1hNt 11 number-4 ftumber of 1NMb la recorO*d at"" too of mis form.

3.

L I. \\ 0 0 FORM Nli-2 OWNER'S REPORT.OF REPAIR OR REPLACEMENT As Required by the Pro,bion1 of ASME Cod* Ste1ion XI { De*~* 1-5) 19,gg / Pletlt 5 k-V" Y' ~ f o W -. V-~te-<-T I 6 v-... Uftll ~ f>, 6. B~x 3rG;~V"r-'( VA. ::2.3S8'3 Wo,IIP1r1ormedb¥ V,....,§ 'I\\J".\\,. Pd we.I/' eo~, Nor cs y,- -;;_ /0 I'}.(:,

,o.-eo J ~

. v,. VA.,..:SKJ3 crr.o,~.'ls'l~to1 ldtntlf"1C1tionofSyn"" /<..eGtV'c..'-'.a.:flOI'\\. a

-rraf/1,5..f.e.,,,- C.J Applicablt CoN1n1ctlon Codi I, 11 h 7

Edhloft, Addenda, Codi Catt.;..;..;...;.. __ _

lb) Applic1bl1 Edition of Smion XI Utlllzed for Rep1ir1 or R1plecam1nu - 1t~. W$ D Addenda, Code c...... N..... A...._ __ Identification of Componenu Aep1i,.d or Replaced, and Repl1c:ement Co,nponlfttl N1meof Namtof Mfn. Ser. -Nat1. CRH Chhlr v..

Rep1nd, AIME Codi Component Mfr.

No. Bd. No. ldtnU-Sulit ,.,pltetid, Sttrnped No. f"icl'tioft 0, CVnorNIII Raplecarnent J\\1 ~,,.,4,i1£.<i-f S vw.b b ev illi.C..Vlf'V o;;,..- P.S ~ ep/4 G01Me11t A!V etr /lllL Pl.!1<-;;?A - \\

7.

Dncricnion of Work R.P () /a..e,ei).5 vl £1 b J, -e V JI\\-~ O 33 ~ Sk,)c,ber1Alt-'-;}...Db '7 (µpw I. Tu,s Cond1.1cted: Hydr~su1ic 0 P'neumatic 0 Nominal Oi,<<ratinQ Pmsu" 0 Other 19""' ~ //_ _ /J 1,AiVb~ ""'*p-..- CERTIFICATE OF COMPLIANCE -~'--e..1,p_/e,.......;...G_.c..-it'l_f_.,_f ____ conforma to Ste1ion XI of tN 1 ttPA"III~ CERTIFICATE OF INSPECTION I, the 1.1ndtni9ntd, holdir'9 1 valid commission lu1.1ed by lhl. Natlontl Board of Boner and P'rusu111 Vessel ln&pteton and the S1111 Of Province of . Vt1- . employed ~

ti S(3 :rs 1=' ~Q f/4.. ;. For 0:' et hevr insptmd the fi.e4 /4-c.e.e1 wt ducrlbtd in this Aepon Oft

/- / (J

,tiJ_

IRt,,taJot ~pi.c,-111111 and 11att th11 to the best of my knowlr~ end belief, this repair or replacement h11 bun connNcted In accordance with Senion XI ol tht ASME Code. By 1i;nin; this ctrtificatt, neither the ln,~,or nor hi* fmployer m1u1 any warranty, uprused or Implied, co-. ing the repair or repl,cemrn1 drscribeod in this Report. F1.1nhermore, neither the ln&p<<tor nor his employer 1han be liable in 1ny manner for any personal injury or pro~rty_~~° of any k.ind arising from or connected with thi1 ln1Ptcti0ft. <11 Cate /-//)- f'[ '~ ~ Commiuions \\)tL,5!#'3 --/){J ti> (lna~IOfl 1$1&11 or Prc,,,onu. HIIIO".al 8o&i,t voplemenul '""'ti In form of llns.,ke1ch*, or dr1wln1111 may be uud provided (11 aln II I~ In. X U Ill.. rma1lon In l'nrna* 1 thro.. gl'I 4 on thla CS1u raPOl"t la lnclud*d on uch ahNt, 1n4 C:U 11ch thNt 11 n1.1mberlld n14mber of 1hHb h record*d at U.* too of 1h11 forftl.

\\ ," _ _!_)- ,( I /i' ,_;,FORM N1S*2 OWNER'S REPORT DF REPAIR OR REPLACEMENT As ~~quired by th, Pro,bion* of ASME Code Section XI N1nw of N1mt of Mfn. Ser.

Nat1.

CRN Othtr V,11 Component Mfr. No. Id. No. ldtntJ. iulh No. ASME Cod, Stamc,ed cv.. or Net Alo /Vl/vJ) Detcrip1i0ft of Work Tn,s Conducttd: Nominal Operating Prnsu" .. -"F Pt2.r-fov-w.-e& Sk-"' bbrf-FLA-tt.c *.+11:w*e:t I -r:e_ 6-I-

t.

CERTIFICATE OF COMPLIANCE Wt cer11fy lhn1he n1temenu mldtln this report ire corrnt and this f?ep/qc.,e,.-.fo1-f confonN to S.e1ion XI of die ASME Code. ~._;,a.. or~ S'llned,--~'-=""....,._,.,,~=;:;;:;..:___.h\\........_~=-=* ;i.____....4u::SL=-~----"-J-#-/..... ct _, 19 \\<' CO--, ar Owr.a;-1 C-siplWel ~ T.. ~ f CERTIFICATE OF INSPECTION I, tht \\lndtrsi9ned, holdi~ 1 valid commission Issued by 1hl' National Board of Boller ind Prt1sul'I Vessel lns;,<<tora and the SIIII or Provinee of

Utt...

. employed by 1/S fJ l;:+ 1; ('.?o el ti<< i,.TForJ. /~-T h,ve inJP~ltd the reelo.. C e~-e"-1 I clucrlbed in this Rel)Ol'1 Oft ,- /t) .,t.if!J jAepa11111or ~ptacen-.111111 and n"e 1h11 to the ~n of my knowled9t ind belief, this repair or replacement has bun connructed ln ac:cordanct with SectiOft XI ol the ASME Code. By signing this crn.ific:all, neither the lns~tor nor hi1 lmployer rnau11ny w1rr111ty, upnned or Implied, COnatf'a-ing the rep1ir or replKemen1 d,scri~ in this Report. Funhermort, neither the ln~tor nor his employer 1h1n be li1ble in 1ny ffllMtt for 1ny personal injury or pro~rty d~r loss~ 1ri1in9 from or conn~led with thi1 ln11Pecti0ft. Q 01tt /'/f>,.,if\\ _-;J. ~ Commissions 'Vtl.. 9/'3* /JB 76t> 1 C1n1i,.c1or, \\Slale Dr ~onca. Nalaonal 8oal1II vpplamanul '""'ti In form of llns. 11Le1ch*, or drawln1111 mar be und provided (1) aln la IX In. X I 1 111., rmetlon In l1'1m1 1 through 4 Oft thla data report 11 Included on Heh 1hNt, and (JI Heh ahNt 11 numberecl numt>ar of 1hMta la recorelad 11 U.1 10D of 1h11 forl'II.

r----=-----

2.

3.

\\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the Provisions of ASME Code Section XI Owner ~6(1-1n,"e:, Pdw.J. r "1_ i,. f, I (NameJ ~

c>
a, ( -k1t '-t,

~, Work Performed by t/~ fltA!JA:' h (Name! .... ~n:rv jgt760 ]31'f o ~ 7 14 DD Repair ()rpanwtion l".O No.. Jotl No~ etc.

4.

s.

Identification of Synem~==:,::,..,~..--==---'S"-'o:....:C:::.:kc:;.J-:::;..;..~--;I.J~,<J,'-'~'---"'------':'T"------------..---- (1) Applicable Construction Code 19 Editlon. _ ___,U~-'----Addenda. Code Cases............. ___ _ lb) Applicable Edition of Section XI Utilized for Repail"I or Replacements - 19h, '1,lfSo Addenda, Codt Cases _y,.....,4,__ __ _

6.

Identification of Componenu Rep11ired or Replaced, and Replacement Components Name of Name of Mfrs. Ser. -Nat"I. CRN Other Year Component Mfr. No. Bd. No. ldentl-Bunt No. fication &v1-icl5, I- ~( J1-oi :il4' 4t ()f6 Jt-40 43°t -1//£ MoV ~I'(' .,/ ../ ../ /l-J.-1:, ;fl 1-z.- n II ,,.Rf)"

7.

8.

Description of Work ~(y 14}.. xa <. /2.e::t @t/1,Z ~ 2f I 2.-- Tens Conducted: Hydrostatic D Pneur?iatic D Nominal Operating Pressure 0

9.

Pressure

psi Ten Temp ____ "F Remarks flt£... 'KtJ...-4:Ji,,

(Applic:&!>le ManulaEturef's_ Dal* Repons to be a11achedl CERTIFICATE OF COMPLIANCE

Repaired, Repleced, or Replacement Other 0 ASME Codi Stamped (Yes or Nol jJI~

We c1nify that the natemenu made In this repon are correct and this ___...,P., 0~..,..., 1lo.---"a'-tr1_.._.t:r""-'.__ ___ confonns to Section XI of the. ASME Code. ('\\.h ~orrei>iac:emenii Signtd __ --::--+yJ'L~wi=---+=----,----=~:::,.,-----::-:~'],.-~....._--, 19 g°f Tnte 11)119) CERTIFICATE OF INSPECTION I, the undersigned, holding I valid commission Issued by the Natl:'! Board of Bollfr and Pressu111 Vessel Inspectors and tht Stitt or.~F'inct of

VIJ- *

, employed bv tf.S 8 I- ~ >: C <I* of

l:&uif,w-J. cf I have inspected the ~(,p.µ~-

described In this Repon on / ~-/ q.,tE! i pail(I) or ~placemenl(si and natl that to the best of my knowledge and belief. this repair or replacement h11s been connructed In acc:ardanc:t! with Section XI of the ASME Code. By signing this cenific:ate. neither.the Inspector nor his t!mployer makes any warranty, expressed or implied, concern-ing the repair or replacement described in this Repon. Funhennore, neither the Inspector nor his employer shall be lieble in any manner for any personal inj~ry or property d~age!:?11 ~ any0ki~ arising from or connected with this lnspactl~ Date / 1-( q ~ ~ ~ 'J_

Codl.--

Commissions AJ/32DO q Vq. ~ 4-3 (lns~lot) (S1a1e or Prvonnce, National &o.111) n: Supplemenul 1hN'tl In form of llns. tketcha, or drawln;t may be uaed provided (1) size h BH In. X 11 In., ) Information In h11m1 t throueh

on thla data r*pon 11 lnclud*d on Hch 1hNt, and (3) **ch 1hNt 11 numbered and 1h* number of 1hNts Is r*corded at th* top of this form.

1. Owner

2. Plant SUPPLEMENTAL SHEET FORM NJS.2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI I

Name 7£ttt Sheet C Unit __ 2--___________ _ Name ~ Addrea Repair Orpaization P.O. No., Job No., etc.

3. Work Performed by itrr,,rh 1111.,t,/

Name Type Code Symbol Stamp -------- Authorization No. ---------- Expiration Date 6 4. f<YY".'.Y':-:: Addrea

4. [dentification of system --1C.... k=;;;,.;..;;. __ 1-,...... _____ Cv.

.... ~ ______ $....._-+(---s ___ o_e-_h v_fs_>.,..);,__ ________ _ S. (a) Applicable Construction Code f3 3 /, f 19 -6..J-Editioa, I/Jct Addenda, __ µ __ !{}-____ Code Case (b) Applicable Edition of S=ica XI Utilized for R.epain or lteplacementa 19 f3& ;,,.I~ 0

6. [dentification of Components Repaired or Replaced or Replacement Compoaenta ASME Code National

Repaired,

$tamped Name of Name of Manufacturer Board Other Year Replaced. (Yes Component Manufactunr Serial No. No. Identilfcatim Built or Replacemeal or No) UAJA I~ /A/If..* 4-rU~ -:f/)j J?, hf,_,'y(, 1./0 ~ . 4-~/0 :Jri3 I '1 1, ~ !,.), I O.,if 1 t( (, ~ i:f,;, /)..kl j1) - 'I c-* ~ f)08',;//,{ ~ 411{.:ill( - '\\.. \\ 411 i./.Jf),3 / l \\ J.1,-0~ Jl?J r-

~. * \\ FORM NIS-2 OWNER'S REPORT.OF REPAIR OR REPLACEME.NT As Required by the Prowlaion1 of ASME Cod, Section XI ~-==-=--=-=--===--=-=-----=-==----=-========-==-=-=~

2.

3.

4.

I. I. { o.. Oec.,, '"' 19 rr =- ~------*'~-'~~----- Pl,nt.5£.{.~ry ft:>tu e~ ~ovu P, D, Box s15i ~"'--,_.,,. ~ ~. ;J.38e3 >~.A Work Performed bv YI "'fJ I n ta.. Y, we V" 0" B eti....i

/.... '2'09-.,,

lllepair°'1Aft1Ulioft,.ONo.,Jot1No,.elC. r, v..... -DX ~~urrv va,,::,-.,o(µ ld1ntlf"ication of Synem $a f e:. 7-r 11-.,i ~ c..+ IC tq Cal Applic1bl1 Construction Codi B3 I" I 11 {, 7 EdltloCI, ;VI ft Addenda, Codi Cases A//A.. (bl Appliciblt Edition of Stet ion XI Utlllud for Rep1in or R1plac1m1nu -,tj{g, fV B' 0 Addenda, Code C.111 A/ M Identification of Components Repairtd or Replaced, and Repl1cement Components Namtof N1m1 of Mfra. Ser. -Nat1. CRN Chher Vear

Aep11nd, ASME Codi Component Mfr.

No. 8d. No. ld8ntl-lulh Aeplac:ICL Stamped No. f'icltion or (Y.. or Nol Replacement H'f lJl.""a."' 'c:,, I-, -r OA-f;;t Re fl hc.elst e1t 't Alo s :-i" b.b-e.r- "(iim-rnell - "'JIGS-if/ o

7.

8.

-~ V r - Description of Work~~~,,-1f.___/t,t,_£.._J 5_1'1_U_h_b_e.v __ V_O_O_r_'"1'_~----~~ti_h_b_~.... v--=-71/--,,--6_5_.;z_7-.,..--- Tens Conducted: Hydrostatic O Pneumatic O Nominal Operating Prn111,. 0 Other ~~ v-fc>ri,,. e.d. Svvv h b,e,y-

9.

-+--J!(' Test!emP.-*F Fl,f,w::..+tc{,(A.,I,..e.s.+ CERTIFICATE OF COMPLIANCE We certify lhat the natemenu made In this report ue correct end this f<... e P / ace 111 -2:f\\ + ASME,........ ' tepairorieplacernalQ confonna to Seetion XI of die -~ L~ ~~ ;.rs,r Signed __ _:~~~'W,~~~'--.L-!k.#4~~-~-!U...-----__!..lf-1-/:...::i9t.._, 11 " IC)wt,e, or~. Desi;IIN) T811 (Date! CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission luutd by the N1tlonal Board of Boller and Pr11111,. Vessel lnspectora and the State or Province of

l/P...

. employed by

;-Is O r,fI CD of rl4~r fo~) e:t-.

have inspected the rep 1~,-e ~-eN t-described in this Repon on /'-ID . 19~ IRepair(1) or ~:>lacement11I and st1te that to the ~st of my knowledge and belief, this repair or replacement hes been connn,cted In accordance with Section XI of the ASME Code. By signing this cenificate, neither the lns~ctor nor his,mployer makes any warranty, eJCprened or 1,nplied, concer* ing the repair or replacement described in this Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property ~°'..lion °1:::~ind arising from or conn';ted with this Inspection. One /-/P-K1 ~£, ~e Commissions l/a.,!43 /J8 7Do9 11ns~10fi (Slate or Prow,ncc. National~ upplemental 1hMn In form of llns. 1ke1cha, or dr*wlnga m*Y be uud provided (1) sin la a,, In. X 11 In., rmatlon In h*m1 1 throu11h

on thl1 d*ta rapor, 11 Included Oft uch 1hHt. *nd (31 **ch 1hMt 11 numbered
number of lhNb II recordad at th* toP of 1h11 form.

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

2.

L Unh---------------------~

3.

CAdclraul I Work Performed by if/l, f'WJA: h {Name) .... ~rrzv Repair Or;Anlulion P.O No~ Job No~ etc.

4.

5.

Identification of Synem_._,.... ~..,.JUA"""'""il'~*~ ....S:""'-,l2rf-'-~"'-+-----,""=:----------.,,:--------------=----- la) Applicable Construction Code Bj/ XI 19 6 7

Edition, U )4 Addenda, Code Cases _.){."""'")1:'------

(b) Applicable Edition of Secti.on XI Utilized for Repain or Replacements - 19h, WBo Addenda, Code Cases... Y,.......,,9-___ _

6.

Identification of Componenu Repaired or Replaced, and Replacement Components Name of Component J. 1.LA

7.

8.

9.

Name of Mfr. t,11 Mfrs. Ser. No. -Nat'I. CRN Other Year Bd. No. ldentl-Bunt No. fication },(l5-!*H:S I 0'2 CERTIFICATE OF COMPLIANCE

Repaired, ASME Code Replac_ed.

Stamped or (Yes or Nol Replacement b 1 111.Au W\\i.:r I We certify that the natemenu made In this report are correct end this ~lo.a W\\.....::r-ASME Code i,e'rorreplaeernenQ conforms to Section XI of the Signed ~~1/\\ W\\~ .l-$1: (OwnerorOwnefs Desig."* THl1 !Dall) , 19 ti CERTIFICATE OF INSPECTION I, the _undersigned, holding a valid commission Issued by the Natl:'! Board of B0il9r and* Pressure Vessel lnspec:ton and the State or.~F'ince 01 V.4 * . employed bv t1.S 8

t > ::t C <1, or

&d,f, 'f cl, C. f, have inspected the ~Lo.a~. described In this Report on t..., l>

, 19n i

pair(1) or ~placement(1D and nate that to the best of my knowledge and belief, this repair or replacement hes been connructed In accordance with Section XI of the ASME Code. By signing this certificate, neither the Inspector nor his employer makes any warranty, e,cpressed or implied, concern-ing the repair or replacement described in this Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property d11'W!8!f." of ~arising from or connected with this Inspection. Date

{-,!b,$'1

~f-~ Commissions '\\)tA.5£1~ NBro 0 't (lnsi,Klot) (State or Pit,,rince, Nalional ~ n: Supplement.ol aheen tn form of llns, *ketcha, or drewlnpo may be UHd provided (1) *In 11 BK In. X 11 In., ) lnformetlon In h*m1 1 through 4 on thh data repon 11 Included on.. ch 1hHt, and (3) **ch 1hNt 11 numbered and it>* number of 1hNb la recorded at th* top of this form.

2.

3.

FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the Provisions of ASME Code Section XI Repair C>rgAnwilion P.O No~ Job No~ ate.

4.

s.

Identification of System__..."'-"-'--'"-"'n:-:-:--:ir------,.-:.--------:-:~-----------~~---- (al Applicable Construction Code 19 Editlon, _ ___.UCL.:.-=----Addenda, Code Cases...£;;...:.L.---- (b) Applicable Edition of Section XI Utilized for Repairs or Replacements - 19h, Wtio Addenda, Code Cases... 16......,lf,__ __ _

6.

Identification of Componenu Repaired or Replaced, end Replacement Componenu Name of Name of Mfn. Ser. -Nat'I. CRN Other Year

Repaired, ASME Code Component Mfr.

No. Bd. No. ldentl-aunt Replec_ed.

stamped No.

fication or (Yes or Nol Replacement (µv.b~ i116,;h'f1d1 ).-C~-- 1-/~I f) 11> I.Au""~ - 0/,q_ / I

7.

Description of Work fvtJ1(J.t.CLJ w,'~ V-DJ-U:?

8.

Tens Conducted: H~drostatic 0 Pneumatic 0 Nominal Operating Pressure D Other Er ~<41 vN--{ 't(J." CERTIFICATE OF COMPLIANCE We cenify that the netemenu made In this repon are correct end this ~lAa "1~ ASME ~A **- i,e'rorreplacemenQ conforms to Section XI of the Signed~A:e J,b N'\\:G:-M .::?-$I: / /f - (Owner or Owner's Oeslg I THle ll)alll 19,,,, CERTIFICATE OF INSPECTION I,. the _undersigned, holding a valid commission Issued by the Natl:'! Board of Boil fr and Pressul9 Vessel Inspectors and the State Ol',~{°"ince of Vlf- * . employed by tt_S 8 ']; ~ k C cl

of

.y<<d.f,w-J. cf I have inspected the ~I,.µ~- described In this Repon on ( - I(). ...,tl.1 ' i pair(1)or ~placement(1B and nate that to the best of my knowledge and belief, this repair or replacement has been constructed In accordance with Section XI of the ASME Code. By signing this certificate, neither the Inspector nor his l!mployer makes any warranty, eitpressed or implied, concern-ing the repair or replacement described in this Repon. Funhennore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property daf\\age~o!Jnv~~ing from or connected with this Inspection. Date /- / () - "J Cf ~

l. * ~

Commissions 1/4 fl{ l /J 6 1 C, c:> ~ (lnspec10I') (Slate or f>rv.nnce, National~ on: Suppl*mental ah... ts In form of llns, tk*tchas, or dr*wlnpo may be uHd provld*d (1) tin 11 8'K In. X 11 In..

2) lnformnlon In lnms 1 through 4 on thh data **Port 11 lnclud*d on.. ch 1hHt, and (3) **ch 1hNt 11 numbered and 1h* number of 1hHb 11 racord*d at the top of this form.

2.

3.

4.

s.

6.

FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the Provisions of ASME Code Section XI Work Performed by JJf f6W:LC h (Name) ~me..:::: Sheet __ __,,__ ___ of, __ _._ ____ _ Unh.,l_:::;...;..~~~~~~~~~~~~~~~~~ Repair OrpAnlzalion P.O No~ Job No~ etc. Identification of Synem~-~M....._et;....,* __ /\\'-,.S::-e1:... '.,,,""~-*----....,.....----------,,--------------.----- l,, ~t~ (1) Applicable Construction Code e:;: L , 9 6 7 Edition. u i4 Addenda, Code Cases..... Al."--'-')f'----- (b) Applicable Edition of Section XI Utilized for Repairs or Repl11eements - 19h, W~o Addenda, Code Cases _../6.... :,t,__ __ _ Identification of Componenu Repei~d or Replaced, end Replacement Componenu Name of Component Name of Mfr. Mfrs. Ser. No. -Nat'I. CRN Bd. No. Other Year -Repaired, ASME Code ldentl-Built Replec_ed, Stamped No. fitetion or (Yes or Nol Replacement .f.f'r.-l'{B

7.

8; Description of Work-+"<~"'if.+""{,u~J~~l\\=~~tb.___*_..., ___________________ ....,,._.(_* --------- Tests Conducted: Hyorostetit D Pneumatic D Other g? ____ psi

9.

Remarks CERTIFICATE OF COMPLIANCE We cenify that the stetemenu made In this repon.1re correct end this ~lo.a W\\~ ASME Code. ** fe'rorreplacemenl) confo~s to Section XI of the CERTIFICATE OF INSPECTION I, the _undersigned, holding I valid commission Issued by the Netl:'1 Board of Boil9r and Pressur1 Vessel Inspectors and the State or,rrovince of V~ * . emp1oved bv tt_S 8 X. > ::t. C <1

ot

~O' J I Cf. have inspected the ~Lllawu.:.(- described in this Repon on / -J_o , 19Ki. I pair(l)or ~ptacement(1D and nate that to the best of my knowledge and belief, this repair or replacement has been constructed in accordance with Section XI of the ASME Code. By signing this cenific:ate, neither the Inspector nor his employer makes any warranty, expressed or implied, concern-ing the repair or replacement described in this Repon. Funhermore, neither the Inspector nor his employer shall be liable in eny manner for any personal injury or property datt ::r ~f ?Y ~:wsing from or connected with this Inspection. Date /-,io - 8 'f ~ ~ ~ Commissions 1/4 S'<.:, N/3 2DO 7i (tnspec10I) (Slate or Prowinc:e. Nation& Bo.JU) ,w: Suppl*mental sheen In form of llsu. *ketches, or drawlnpa may be used provided (1) size Is B'.K In. X 11 In.. ) Information In hem1 1 through

on thh dau rapon la lncludad on.. ch sheet, and (3) **ch shHt la numbered and th* number of shNts la record*d at th* top of thl1 form.

2.

3.

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

CAddTUlf, Work Performed by v'4 f41itJ.C'.

(Nllfflll .... $'amv Repair °'VanWtlon P.O No.. Job Na~ ate. twl'l-se-4~1.

4.

5.

Identification of Svnem, ~{\\AY" ~ (a) Applicable Construction Code B~,. I 19

Edition, ui4 Addenda, Code Cases __.V.

........ Jf...._ __ _ (bl Applicable Edition of Section XI Utilized for Rep1ir1 or Replacements - 19h. Wtfr> Identification of Componenu Repaired or Repleced, and Replacement Components Addenda, Code Cases.J<J(,_.t4j:'-4----

6.

Name of Component Name of Mfr. Mfrs. Ser. No. -Nat'I. Bd. No. CRN No. Other ldentJ. fieetion

~tlf-~6~

If '1

, (

r-1 r Year iunt bol -

Repaired, Repleeed.

or Replac::emtnt ASME Codi Stamped (Y11 or Nol

7.

8.

Description of Work-ll.~.i.:i.~-1~~.,__~~t:l!.-....i..L.>=....__-"!.C==--'==c......,......,~-::.L.-"--o.!..t.:.-i------------ Tens Conducted:

9.

CERTIFICATE OF COMPLIANCE

~~~t lt natemmenu m~ade In ~ls rep~on are correct and thls ___,.~-~.,.--l!-'-'=,ep'-~

....... :i:t: .... rneno ....... ___ conforms to Section XI of the Signed ~r::. J:$1: / / i_:;- 19 [9 to,l.n.r ar 1

nN)

Tnla CDalll / CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission Issued by the Natl:'I Board of Boll9r and Pressu19 Vessel Inspectors and the State or.~ince of VIJ- *

employed by t1S 8 k S :t.

C >!14 WI e,.., Aepaif ()rganluUon P.O No., Job No~ etc.

4.
~ ldentlfic1tionofSynem \\ Lu"
I\\ - c..f.r,v,,-,, I)
5.
(al Applicable Construction Code 19 Editlon, _ ___.U~----- Addenda, Code Case1......_...._ ___ _ lb) Applicable Edition of Section XI Utilized for Repain or Replacement* - 19h, WfSo Addenda, Coda Cam... Y, .... ~..__.._ __ _
6.
Identification of Componenu Repaired or Replaced. and Replacement Componenu Name of Name of Mfra. Ser. ,Nat'l. CRN Other Year Repaired. ASMECodl Component Mfr. No. Bd. No. ldentJ. Bullt Replaced. Stamped No. fication 0, (Vas or Not Replacement
).
11-c 1.+-~uq ir*J "/JU ') 11-clt-~6 iJ If* fiJ /) '
7.

8.
Description of Work -1~~~,4~~.L....~LL.!::;;;:!'.!:!.::::......!W&'q.!:::l.:i......1..-----:=-----=---------- Tens Conducted: Pneumatic Nominal Operating Pressure D Other 0
9.
Pressure~-~ Test Temp ____ *F Remarks-l".....,,,.-'-"'("c-'--S-1.,'----')...,..-.,;/-=-=---'-.,----,--,---------------------------- CERTIFICATE OF COMPLIANCE We certify that the natemenu made In this repo are correct and thls ___.,..P~oi.t,,....*llA_U~lt'\\~~----.__ ___ conformsto Section XI of the ASME Code. ** re;&D"replace~. CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission Issued by the Natl'."fl Board of Boll9r and Preuura Veasel Inspectors and the State or.~ince of VIJ- * , employed bv tf.S S l: $ 1. C fl
of
~(t cA. cf I have inspected the ~wu..:r:- described In this Repon on l-i f .,tfi i it(1J or i,ep1acernent(II and natl that to the best of my knowledge and belief, this repair or replacement has been construC1ed In accmdance with Section XI of the ASME Code. By signing this certificate, neither the Inspector nor his ll!mployer makes any warranty, e:icprened or Implied, concern-ing the repair or replacement described in this Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any perso~I injury or property dA:!::4 Ion of anV, kind arising from or connected with this lnspactlon. Date /-'d.!> - SJq ~{ ~a.. Commissions Va, SL/3 IJ{3 700 q (lnsl)Klot) IS**** D' Pr"D¥ance, National Baan:11 n: Supplement.I 1hNt1 In form of llns,,ketch*, or drawlni,a may be UHd provided (1) aln la BK In. X 11 In.. ) Information In lftml 1 throu9'1 4 on this dau npon 1, Included on **eh ahNt. and (31 each 1hNt 11 numbered and 1h* number of ahNb la recorded at th1 top of this form.
2.
ATTACHMENT I I FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI Own~ Virginia Power P.O. Box 26666 (Name) (Address) Plant
Surry Power Station P.O. Box 315 1~ry, VA
'1 Sheet __ __.,.__ __ of ___ ~,...i-~. -~--__ _ Unh__:.,O"-~~~-----~~-~-----~ 23883 (Addreu)
3.
Work Performed by_... V .... A .............. P.... a... w ... e_r.__ _______ _
4.

5.

6.
SamJName) Repair Organiz.ltion P.O No., Job Ne~ e1e. (Address) Identification of Synem~-tf-'r.~~'o~**~\\ ~{---------------------------------- (ii) Applicable Construction Code R 3] - ] 19 6 7 Edition,_.... N..,A'+---- Addenda, Code Cases -~N~A~--- (b) Applicable Edition of Section XI Utilized for Repairs or Replacements - 19..80, W80 Addenda, Code Cases _N~A~--- ldentification of Componenu Repaired or Replaced, end Repla~ment Components Name of Name of Mfrs. Ser. -Nat'l. CAN Other Year
Repaired, ASME Code Component Mfr.
Ne. Bd. Ne. ldenti* Built
Replaced, Stam~

7.

8.

9.
No. fication or (Yes or Nol Replacement Reolrtcement _( --RA. r.(J-;l1xc--l~ r;l_. .t""c ol DA,1/\\.J,-~-lJ,\\. R s: -1(.1.1 e-- ~ - f I Description of Work R.P.,vlcL<..e. wi.wf-: '1_ 41£1i4he.1 L,1 if4 /1 e),1,(,Ltf ' Tests Conducted: Hydr6static D Pneuiatie O Nominal Operating Pressure GI" Other 0 ____ psi Ten Temp.-*F Remarks
r f (A A v,lc i 1/Vt et.lf.
(Applica!>lr Manufacturer's Data Repons to be a
ached)
CERTIFICATE OF COMPLIANCE CERTIFICATE OF INSPECTION I, the undersigned, hold!n11 11 valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Provinc:e of __ .LV.._A._. *.__ ________, employed by_.uHc..Su.8.1....*_,._T~'f--LT--'-C"'Q.,__ __________ ~--=--...,.,..----Cf have inspected the Rep] a cement demibed in this Repon on ___ ......... ic..*_-__,,a'-"r'----, 19ll _Ha_r...tfox.d, CT. (Repair(s) or '3e;,lacement(S)) end state that to the best of my knowledge end belief, this repair or replacement hes been constructed in accordance with Section XI of the ASME Code. By signing this cenificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concern-ing the repair or replacement described in this Repon. Funhermore, neither the Inspector nor his employer shall be liable in eny manner for 11ny personal injury or propenv d~sr.f any kind arising from or connected with this inspection. Date !).~ if-2j ~-- ~ Commiuions NG 7oc'f Va. tlt..(.3 (lnsi,Kto<) (State or Prc,.once. National ~n:11 Note: Supplemenul,h...,n In form of lists, 1k*tch.., or drawln1,11 may be uHd provided (11 aln la 8~ In. X 11 In., (21 Information In ltwma 1 throu11h 4 on thl1 data repon II Included on *ach 1hMt, and (31 each 1hH1t 11 number*d and tt,a number of shHtJ la r*cordDd at th* top of thl1 form.
l. Owner

2. Plant SUPPLEMENTAL SHEET FORM NIS-l OWNER'S REP.ORT FOR REPAIRS OR REPLACEMEN'IS As Required by the Provisions of the ASME Code Section XI Virginia Power Pa Bax 26666 Addrca Surry Power Station
. Name P a Ba x 3 Fi s wcy, YA 2 388 3 Addrca Sheet_..:;)_--of 3 Unit _2-__________ _ 1 Work Performed by ..:..V:..:.A.:...
...:.P...::O:.:..:W.::.e.:...r-:-------
Name Repair Orpnizatioa P.O. N~ Job N~ etc. Type Code Symbol Stamp _{LA .... ~----- Authorizatioa Na. __ _..;::;,.,,.;,;")?~---- Addraa E.rpintioa Date ----..1~Vt~'?_ S me
4. Ideotificatioa of lystem V,..1.1.1..~1,1,,w,,.----------------------
$. (a) Applicable Comtructioa Code R 3 J - J i,6'L_ Editiaa.....;t;.:,;.~A.;...__ AddeDda, __ N_A __ Cede ea. (b) Applicablc'.Editioa ot Sectioa XI Utilized for Reps!n er llcpl~il is; SQ W80
6. ldcotificatioa ot Compoaeata Repaired or Rep11ccd or Rcplacemeat ~
Name of . Name of Other Work Order. Identification Component Mfr. Identi-Number of System fication Repair or Replacement Htr.hCL~(, 5AH,ht1Jl' *1-T,..,. J-fl.r. - ~1,,,. Wi ~ 01)/) I) 7 () 7 6 lc£wll.-J _adw c.11 t~~t ...._ -r-*,* J. )-Rl+-H~*-1 I 3 {)(JO Jo 4 / g p1-fR 1-(--1'
i-H~--- HH--?n3 1 1olJ r., 7',
S*'°J Hf).-,~, ,&_ ~~~ g ttvi-, 5:,frr )--J,~ 1-t-i14*-- ~ t ()(,ID 7 (} /..ff °f I-if<- ~v...., ).,) -.r. '( ).-t-. 1-1-H~J-- -;,,, 1-- '),¥1)01)-.ot.f..f' r(lf/Z tl..w=*,) )Vo*bbJrt 1(-: )...-l~c. -*S ** I u 7 ? //JUO (& 40 I.(, R 0 c£va*1,,j S'(/1
-f<c -r/~5-- 11 s r; ()1,10'70/f Db fZ t..
.. Wl.Mi)
s: f,t

1-CC -f-KS-~srn -~fooa703q G, tG. cfcv-w V l Yck 5 Afl,i i,b-111 r:t/
?-tr-/-1-/~- () ) f I) I.) :; ( 6 l.f ?,,0 /Zl-t/Z ( c)µ,ry rj C qt vi {. ~-"'i,. HJJ,1
'<"(
~-f_C,!'i0 --1! 2 5'{1)/)i) ?o ti-or ,KL rk~ J.-) . :.1..1
1. Owner
2. Plaot SUPPLEMENTAL SHEET FORM NIS-.Z OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Power Name P D Bax 26666 Addrca Surry Power Station Name P a Bax 3J '> swcy, VA 23883 Addrca Sheet __

?, __ of
.J
)___
Uait ------------ l Work Performed by -=-V~A........;.P...;;;o..:..;.w.;;.er;..,.._ _____ _ Repair Orpnizatioa P.O. No., Job No., etc. Type Code Symbol Stamp ___ fv.,...f.1 ____ Authorizatioa No. --..:.'*~Vll':-IJ ----- E.rpiratioa Date i/ ;r ' --.......;:.L.:;.., ______ Name S me
4. Identilicatioa ot tynem V......... -'-W.I....._ _______

5. (a) Applicable ComttuctioD Code B 3 J - J 196.L_ Edftioa, _t_~A __ Addeada. __ N_A __ Code Cue wso

6. ldentificatioa ol CompoDC11t1 Repaired or Replaced or ~
Compoaema Name of Name of Other Work Order Identification Repair or Component Mfr. Identi-Number of System Replacement fication \\-+Y' d vtu..ta... r, )J... b ki j(. :t,--r ). --5 J,. t~0., JJ{.1 3 fa '1 ~ *, 0 4-? 3 (I -* y (U..V0 1) ~ '.i-, I ru I Wl.,-V..:..r I \\+Ye,(,,. (1Jv-l,h..1.r1
r:.-r1
).,.,~ ~, 170...-v,<' ), f,:)007 (J 4 l---f R, 11 K ( d..:vvi :J,) \\Q ~, /t\\..(.li!h..t-.-'.'.t l f )1f<lt** S;v1t-bb.tr ~ f 1 ).-CC -\\-K,i**?r"f ~ f r.1J;) )o;*q 7 ti .') j '/ t~ ( £. ., ~ (, 'V.-o, ? ) \\?,c._.~ Lc1..c.t.v~.:.1-L I 1.~v01t-Sftli,,.lib-t1 l.- \\ I ') -i( l1---W5** >I 1 io~ 07° 4.,, ,(ltK (c£.vw :i-) R ~ l?L~A-() 1,1-*..;.;..T I f..J yc\\r. S;.;,A l)PJ (
c*rr
). -(!t -114'1-11 1 fr;J 0 7°A-,/,,.... ilftZ ( i:).£(/1/)' )/) Q d1tfM..l.1,.,-,J!.-.t-I l~ valv. ~;Jv-.!* b.t( -r:.11 2--*f fl -Hs-,:-, *,,7
? toe o '? o iJ~5 RJtK ( cLvw1-J V. 1...-11/ {.,\\.(.t.~o\\-\\.*.4::,-
/ I l+ V oi". Srvv-U 1-~ ;r 1,,"[1 ).--r:t-H~J ~ 1 q 1/0,0 ?olf.a7 ft., ( cJ.cvy,, :t) V t.111_1,vt,~*.__i..T I
. -~~ \\ ,,~., FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI ATTACHMENT 2 Owner Virgin j a Power o \\"f\\l\\t~l-'1 \\1, l'l ?Cf
tt~~----~----........ ---,~*~*-------~--
(Name) P.O. Box 26666 ShHt~........._ __ ~of ___._ ____ _
2.
CAOOresa) Plant Surry Power Sta ti on IN..,,,.1 P.O. Box 315 Surry, VA 23883
3.
.{AOOrau) Work Performed by_V,.,.A........ ___,_1-'_..(0""W.... e... r ________ _ 38QQQ 5(::, 3/b '-Same (NameJ Repair OrganiZJllion P.O No~ JOO No~ etc. CA4d!Ulj
4.

5.
Identification of Synem C.J;\\Ef\\1\\1~-"ll VouJMf AM) ~.Jl7{ot.. SYS'Ro>1'1 1 ('.,L~,;,. Z ,., Applicable Construction Code B31-1 19 67 Edition..... r~"-A"'--____ Addenda, Code Cases --'-N"'-A"'----- (b) Applicable Edition of Section XI Utilized for Repairs or Replacements - 19...80, WBQ Addenda, Codt Cases _._N.._A..._ __ _
6.
Identification of Comp0nents Repai~d or Replaced, and Replac:1!ment Components Name of Name of Mfrs. Ser.
Nat'l.
CAN Other Year Repaired. ASME Code Comoonent Mfr. No. Bd. No. ldentJ. Built
Replaced, Stamped No.
fication or (Yn or No) Replacement STl/OJ( '1) Iv~ ~ ~t? .,V/,4 Ol-cn-Y/1,r ~~lc..c:.c...mev+ "/v6 '-::c.v-lt, iJ
7.

8.
Description of Work _\\?.,.-e=rf.)=c..c......_,:;=c!.--~.... /i.... t?,..___'i..... iV_D"""'5'---'-fr~t-,J-* l).a...-(>-o_t;_V ______________________ _ Tests Conducted: Hyarostatic O Pneumatic O Nominal Operating Pn:ssul'I O Other 0
9.
Pressure ps n T mp. '(/ #- ('S, I. ff </'(J . CERTIFICATE OF COMPLIANCE We certify that the natemenu m.cle In this report are correct and this ___ 'R R.,,.,.n,.Vi\\"""'"C.._'.f.'l'..-=-<:-.... t.._ ____ conforms to Section XI of the ~~pair o, repllc:emetlll . ASME Code. *n () \\. ' - 1 rif) Signed ~ '{\\J\\_, G((\\ - ~ IS I io-- orOwner"1 ~I Tnie ~/3 (Dall)
19 <?9 CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission issu~ by the National Board of Boiler and Prenuni Vessel Inspectors and the Statt or Province of _ _,V,...A....... --------, employ~ by*_uH.,.S,...B_"...
I_..&._.I_...C.,_O,._. *..._ ________________ of -H-a.... r...,t,..f...,o~t~d,.._._,__,,CC-'T_, *....__have insp~ted the Ft@bce-rne.... t dHcribed in this Report on t!\\9<,rch \\-:, , 19~1 IRepal.,rfs) or Re;,t1cemen1(1D ind state that to the but of my knowledge and belief, this' repair or replacement has been constructed in accordance with Section XI of the ASME Code. By signing this certificate, neither the Inspector nor his t!mployer ma keg eny w11r11nty, expressed or implied, concern-ing the repair or replacement described in this Report. Furthermore, neither the lns.pector nor his employer shall be liable in any manner for any personal injury or property d!?~fu of 'A~ w: arising from or conn~ted with this Inspection. Om 'I /'J/£1 ~__! ~ Commiuions -.,(3 70 o'f Vet. St.(3 ~ r (lnspeclot) (S111e o, Prt,,,,nc:e. Nahonal Ba.rd) Ilion: Supplomonul 1h.,.n In form of 11,u. skHchas, or drewlnpa mav btl und provided l1l 1be l1 8~ In. X 11 In., 121. Information In lnm1 1 through, on thl* data report h lncludod on uch ahHt, and (31 uch 1hHt la numbtlrod and,t,1 number of 1hHb 11 recorded at th* top of this form.
. -:61' \\ ,,~ 1 FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI ATTACHMENT 2 -1. Owner Vi rgi ni a Power P.* o. Box 26666 31.,-4, ~tt-=~-~,------------------
2.
jAaclrftl) Plant Surry Power Sta ti on p,l&fflll P.O. Box 315 Surry. VA 23883 Shffi_~ _____ of __ Unh 1WO
3.
.(ACSO,.U) Work Performed 1,y_V-A_. _PO.....,w_e.... r ________ _ 38D007297s '-Same P,,ame) ~rail
4.

5.
Identification of Srnem ]?E5tl:>u.#4L 1--f<iEA T "f!-;z ulzF v/4-t-V~ fal Applicable Constrvctlon Code B 31-1 1 t 6 7 Editlon,.:..ar~._A'--___ Addenda, Codi Cases ___ N ... A ___ _ (bl Applic1bl1 Edition of SeC1ion XI Utilized for Repain or Replac1m1nt1 - 19..BO, wan Addenda, Code C.m_....N... A.__ __ _ S.
Identification of Comp0nenu Repaired or Replaced, and Replacement Components Nam1of Name of Mfra,S1r.

N1t'I, CRN Other Year
Repaired, ASME Code Component Mfr.
No. Bd. No. ldentl-Bulh
RepllC9d,
~tamped No. fic1tion or tr11 or Nol Replacement UIAT k1}aDl<<,l(2E.. ~,, ~~ ~ i..- ~ -NI} o-i.--F:-1-l- ~fv(l ~{/ft{) /lb '. ftlf-'Z."7,Z.,j )fl.{1>-5 Nb\\f~ ~~ Ni¥ JJA f I /,, J/6
7.
Description of Work Tt::S1 /rz:£T>Al2. ]2.£Lte..-F l{l£\\i.,VE.,.
8.
Tests Conducted: Hydrostlt;e' 0 Pneum11ic O Nominal Operating Pressul'I O Other 0 Pressure psi Ten Temp, ___ *F I. R1marlts CAZ:~~e.!.,,~&,;.l!,7.~~1?..Jii ';?Tl-t/)S - C$1-~s-33/ CER Tl FICA TE OF COMPLIANCE n..=Pi,i,,,., J:?J'; Wt certify that the n1temenu made In this repor1 are correct and this __ ,,.,.._*= __.-._,..... ---'.,....s--"-------=nfonnG to Section XI of the
~~Code. *0. ~L ~.1.L ISI (Owne, orOwnet'~I Tn11 Coit*J
,19 ~/ CERTIFICATE OF INSPECTION I. the u_ndersigned. holding I valid commission lssutd by the National Board of Boiler and PrtsSUl'I Vessel lnspecton ind the State Ol Provinceof_V .... A ..... _* _____, employtd t,y HS8° l&I CO. of 5£,o&ll}) described in this Repor, on _______ "J.... / ___ "5,_o __, t9~ ...... H... a... r... tuf... o...,r...,d......_, _c..... J..... __ have inspe-c1ed the IRepa,rt1J o, ~e:,1acem1n1(1I ind 11111 thlt 10 tht best of my knowledge ind belief, this repair or replacement has been connructed in accordance with Section XI of the ASME Code. Br signing this certificate, neither the Inspector nor his imployer mikes any warranty, uprened or implied. concern-ing the repair or replKement described in this Report. Furthermore, neither the Inspector nor his employer 1h1II be liable in any manner for any personal injury or propenr d~nyf *~ ki!Xf arising from or conne-cted with this lriiptction. Date .1-J0-8't ~ L ~ Commiuionl µn 7c.lo? /}tA. S"l{ 3 (ln1~1Df) (S1a11 or Prv,,,nce, Na1,ona1 Boazdl n: Supplemenul ahens In form of lln1,,k11ch.., or Clrewlnpo mey be u,ed provided CU 111* h 8:K 11'1. X 11 In., 21 lftformetlon In h1rn1 1 throupl'I
on 1h11 d11a npo" 11 lftclud*d oft.. ch 1hNt0 and 13).. ch 1hNt la numbered end lt\\1 number of 1hNta 11 recorded at th* top of thl1 form.
. -:-~. \\ ,,~... FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the ProYisions of ASME Codt Section XI ATTACHMENT 2 Owner. Virginia Power P.O. Box 26666 D1tt___.3"-'-~--3o.....:/_.~:a...j..__ ____________ ~ ShNt __ ......_ ___ of __ _.. ____ _ jA60rna)
2.
.Plant Surry Power Sta ti an (N~ Unh __.,_,,.,..o::a------------------ e.o. Box 315 Surry, YA 23883
3.
_v.oorau) Work Performed t,v_V._.A...... _._POM.Llw.e..._r ________ _ 38QQQ 7S-144 '-Same (Natne) IMOratl
4.

5.
Identification of Synem FLolJ..J *CO/JTTZoL Vfl-l-tl la) Applicable ConstNctlon Code B31-1 19 67 Editlon..... H ..... A ______ Addenda, Code Cases __ N._A.__ __ _ (b) Applic1bl1 Edition of Section XI Utilize*d for Rep1in or Replac:tmtnU - 19..BD. wan Addenda, Codt c.... _..N..... A..__ __ _
s.
Identification of Comp0nents Aep1ired or Replaced, and Replacement Componentl N1m1of Name of Mfrs.Ser. -N1t'L CAN
Other v,.,
Repaired,, Component Mfr. No. Bd. No. ldentJ. Buth Replac:td, No. fic1tion or Replacement % 11,rwJ~~ tJ'ovA-
vi4-
///Jr fl~ OZ.--~1-( °K-~~ FLV-'Z{::,oS'" AIIA'T %" Nol/A 1/1" /11/l Al~ oz-IZ+I /le.f)~ f'lV - 2 {,<J<;'
7.

8.
Description of Work -gi;,,u,vi;:, l.LeAJ-.),, INSPE6 v,1-we :ruiz:tJ R,f. /1/SW,I....,_, 7UipLAq; "8-ot:tuJ~
Tens Conducted:
Hydrostatic O Pneumatic O Nominal Operating Pressure O Othtr 0
9.
P, ssure psi Ten Temp. ___ *f J R1merlu.r
t: S s
~ NUT ~pplic.ltlll ~nulactu,et'a Data A.:,0,,1 to be I tKh9dj CERTIFICATE OF COMPLIANCE ASME Code ~temped
'i"ft or Not j../iJ
.1-/u Wt certify th11 ~ht n1t~menu made In this repon are correct end this iZc,PL.k-f! l'i'lE:NC oonforms tn Sec1ion XI of the ASME Codt/1* /) ~. (re~ro,repi.~ Signed ~ ~ ~ p4_11/' IS I 3~z'9 '°'"'* o, net' si9.... J Tlllt
11)
CERTIFICATE OF INSPECTION I, thi undersigned, holding I valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors ind the State or Province of _ _.V..... A .... * *._ _______, employed by HSB 0 I&I CO of _H_a_r_.t... f~o_r_d_,_c..,T_, * ....___h1ve inw>Kltd the ] I f?Llll<.£ ~fJI demibtd in this Aepon on _____
z.,..;./_.liL--__, 19~
!Rtpa,,ts) o, ~f?l1cemet1t(II 77 and natt that to the best of my knowlrdge and belief, this repair or replacement h11 been c:onnruc1ed in 1cc:otd1nce with Section XI of the ASME Code. By signing this certificate, neither the Inspector nor his fmployer makes 1ny warranty, uprened or implied, concern-ing the repair or replacement described in this Report. Funhermore, neither the lnspt-ctor nor his employer,hall be liable in 1ny manner for any personal injury or property d".': or I loss of any kind arising from or conne1:1ed with this Jniptction. Datt ?-;o -~CJ ~t_~ Commissions µ(J ?c,o'f f/o., :S:43 (lns,:,ectllf) (State o, Pro,,,nct, Nahon1t Bolrd) on: Supplemental ahMn In form of Ilea,,ketches, or drewlr,go may be ua*d p1ovlded (111111 k BM 1ft. X 11 In.,
12) Information In 1nm, 1 1hrous,h, on this dna rePo" 11 Included on Heh ahNI, and (31 uch ahNt 11 numbered and tt,e number of ahMII 11 recorded et 1h* IOP of thl1 form.
'(, \\ FORM NIS-2 OWNER'S REPORT Of REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI ATTACHMENT 2 -1. Owner: Virginia Power P.O. Box 26666 Da
3 - 3D - 8'7 Shff1 _ __..__ ___ of ___.__ ___
~ jAOOrnaJ Plant Surcy Power Station CNMIII P.O. Box 315 Surry, VA 23883
2.

3.
,lo\\00f9U) Work Performed by_V..... A ...... _._l'Q ....... w ... e.... r ________ _ 38QQQ 5"5f3S 7 --Same (Name/ Repaif Organu.1 ion l".O Ho.. JOII No. ete. ~rat!
5.
Identification of Synem Co eb1 PoAJ FiAJI CCJec... I tVG:- fa) Applicable ~NtNctlon Code 831-1 19 67 Edition.... U ... A.__ ___ Addenda, Code Cases _..,_N"'"A....... __ _ lb) Applicable Edition of Section XI Utilized for Repain or Replac1m1nt1 - 19..80, WSQ Addenda, Code Casn-N.... A..._ __ _ I. Identification of ~mponenu Repaired or Repleced, 11nd Replectment Components Name of N1mt of Mfrs. Ser. -Net'L CAN Other Year Repaired. ASME Codi Component Mfr. No. Bd. No. ldentJ. iulh
RepllCld,
~tamped No. fic1tion or
-res or No)
Replacement VlfL'IE f/NRvVw,,..r ,/la //Pr //14-02-,c.- /25:Pt..1J4:. j.;u 7/3P,
7.
~scriptionofWork\\?::tP6C.~ w/c..\\.lE-Si~ tor,:.>, \\flltt..D ve:1...vi:.
JN"ID sy~Tfii-4 ~?ff:Pt/4-Cr;: VA~
8.
Tens Conducted: Hydrosutic D Pneumatic O Nominal Operating Prnsurt O Othtr 0 ---~ CERTIFICATE Of COMPLIANCE -"'E/E,'"'"'EP. ~ Acp:.......,a=z...,.... ______ conforms to Section Xi of the (repair or rel)la~ I . CERTIFICATE OF INSPECTION I, the undeni11ned, holding t valid commission issued by the National Board of Boiler and Pressurt Vessel Inspectors and the Stat* or Province of, __ V ... A....._. --------, employed by HSB' I&I CO. of _H_a...,r~t... f~a~r~d......, _..c.... r.... __ h1ve inspKted the K@t/lcE d11cribed in this Report on ___..,,~,,._!.... s-... 0 __ ~--* t9 f,~ fRepa11'(1) or ~e:,*1ceman1(1l1 and nete that to the ben of my knowledge end belief, this repair or replacement hes been connructed in accordance with Section XI of the ASME Code. By 1i11ning this cenific.ate, neither the Inspector nor his lmployer mikes any warranty, expressed or implied, concer..- ing the repair or replacement described in this Report. Funhennort, neither the Inspector nor his employer shill be liable in any manner for any personal injury or property d~::!°n o~ arising from or connKted with this Inspection. 01,e 1... 30... ~r ~f-~ Commissions N81t> 0 ~ \\/t1-..5'43 (ln1pe,c1Df) (S111a DI ~,nc,. Nahontl Boaldl n: S.,pplam*ntal ah.. n In form of 11111, tka1ch*, or drawlnlll may t.. UHd provld*d Ct) tlH It BM In. X 11 In.,
2) Information In lnmt 1 throueh 4 on thl1 data repor, 11 lncl.,ded on Heh ahNt, and 13) Hell 1hHt.l1 numt..r*d and 'lf\\e numt..r of thNtl 11 r*cord*d at th* toP of it.I, form.
-*I I
. -~I' \\ ,,~.. FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME°NT As Required by the Provision1 of ASME Code Section XI ATTACHMENT 2 -1. owner Virginia Power P.O. Box 26666 D,i. ___ 3"""/....:;::3_.0/...,.8_,_j~~~~~~~ ShN1_~.__ ___ of __ _..~---- &AOO*na) Plant Surry Power Sta ti on (NAfflll P.O. Box 315 Surry, VA. 23883
2.

3.
.{AOOtaUI Work Performed t,y_V... A ............ ro ....... w .... e... r__, _______ _ . (Narnt) --Same 38QQQJ081B Repair OrganluliOn,.o No.. JOII No~ etc. ~
4.

5.
ldentlficationofSynem Ch.e.Vlfl,c.A.L. Ya/k!NE A"-'D UJ/J'f£.OL 1 (LMs. 3 ,., Applicable ConstNCtlon Code 831-1 19 67 Editlon.~r~_A ____ Addendl, Code Cases _.... N:,.A ___ _ (b) Applicable Edition of Section XI Utilized for Aepain or Replac1m1nt1 - 19..80. WRQ Addenda, Codi C.lft....... N .... A.__ __ _
s.
Identification of Comp0nent1 Repaired or Replaced. and Replacement Components N1maof N1mt of Mfrs.Ser. -Nat'L CAN Other v,., Repaired. ASME Codi Component Mfr. No. Bd. No. ldentl-iu11t FlepllCtd, !tamped No. fic1tion or
Y11 or Not Fleplacament b I L t" ""L(.;t

>
gA-SCo laA ~2AoSo3G, µ;.. Nf'r 0/*l'-!-F.~c /Jl4- /?t£fl:/lcl;;D
Vo

7.

8.
Description of Work_l(.....,.i::..,t1 .... L.N... ____ __.O-/.... L....__C_o_O.._L_£I<........._ __________________________ _ Tens Conducted: Hydrosutic D Pneumatic O Nominal Operating Prasurw 651 Pressure No P psi Ten Temp. /JOT *F Other 0
9.
Remarks Cooc,.IU2.
ro.#-
s¥i-b'U393 ~pplicallll M&"Ulactut.,.* Da11 ~:,0,,11 be a1l&Ch9GI CERTIFICATE OF COMPLIANCE this report are correct ind this.....:..,R...,'E"'-'-Pt.,c:;;P<c;....;...;;fg.....;i:>c_.. ______ c:onform1 to Section XI of the (repair or repia~ 3/"3o Tnie (DIii) ,19 ~ CERTIFICATE OF INSPECTION I, lhl undersigned. holding a v*lid commission issued by the National Board of Boiler and Pressurw Vessel Inspectors and the St*tt or Province of _ _.V.... A~ *.__ _______, employed by HS 6° I & I CO, of __._.H.. a.._r.... t... f.... o... r_,d....._, _C><..LT.... __ have insptcttd the R-E t>L l'\\C.E'.D d11cribtd in this Report on -----~..,/ ... 3o~---* 1912.L jRepa,rtsl o, ~e::,11cementf1I and state that 10 tht ben of my knowledge and.belief, this repair or replacement h11 been connruc1ed in accordance with Section XI of the ASME Code, By 1i11ning this certificatt, neither the Inspector nor tiis imployer m1ke1 any w1Fr1nty, upre1sed or implied, concer~ ing the repair or replacement described in this Report. Funhennore, neither the Inspector nor his employer 1h1fl be liable in any manner for *,ny personal Injury or property de:::i:--':?of~ari1in11 from or conntcted with this Inspection. __ D11t J--JD -g1 ~~+/-.* ~ Commissions A/l2ft.>l'/j !/tJ,. ~ lf 3 (lnsPK1ot1 (S111e or flriw,ftCt, Nahonal 8oAl1'I on: S.,pplemant.l 1h"t1 In form of Ilea. *ketch*. or drawlnpa mey be u**d p,ovldad 1111IH h 8K II\\. X 1 t In.,
2) lnformulon In 1nm, 1 thro"gh, on thla data repor, 11 lncl.,d*d on **ch 1hNt, and CJ).. ch,hMt la n.,mt,erad and ttl* n\\lmber of 111.. 11 11 racord*d at th* IOP of thl1 form,

2.

3.

4.

5.

6.
\\ ,,~... FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Codt Section XI 0111___...J'"'-'-"/.j.._./'-'-~-'-'tf'-'1~~~~~~ ShNt~~+-~~-Of~~---~~~~~- Unlt _ _.L=----------------- Repair OrganlUtiOn P.O No~ Joi! No~ etc. Identification of Synem #4:,i,., (AOO)';.!det la) Applicable CoNtNctlon Code dJI, I 19 U
Edition,
/t,,' U2: Addenda, Code Cam.*6' k (b) Applicablt Edition of Section XI Utilized for Repain or Replacements - 19~, 4$ Addenda, Code Cam .t!V /&; Identification of Componenu Rep1ired or *Replaced, and Rephtctment Components Name of Name of Mfn.S1r. -Ntt'L CAN Other Vear
Repaired, ASME Codi Component Mfr.
No. Bd. No. ldentJ. Bulh Replec:td. Stamped No. f"ication or (VnorNol Replacement I~'~~~,,"& Hbl~vlk, b-16.Jo/~ ,.vk vt,,,_~rru, /il,U ,,R,,!' 0 A ~.vi"' ~Jn
7.
Description of Work A?~?.c~ t/,t;c.ec?
8.
Tens Conducted: HydrostaticPneumatic O Nominal Operatin~ Prnsurw a Other 0 Pressurw t-3..a psi Test Temp.-~j,e $h'1r9
9.
Remarlu Geof ti~#: >t2~ /?flt, r.J lb() ~~ Mat111laC1111er'1 Daui Re::,on1 to be al~ CERTIFICATE OF COMPLIANCE We certify that the natemenu made In this repot1 are correct and this ~£)~~c(!r,,!v L conforms to Section XI of tht ASME ~ (repairorr~ Signed JJ<~.7s:;-~d 1 ;~/ (Owne1 or Owner' Tnle 111 * .1, n CERTIFICATE OF INSPECTION I, the undersigned, holding I valid commission Issued by the National Board of Boner and Pressurw Vessel lnspecton and the Stitt or Province of L/a..., , employed bv
I-/ S /J A -i-I C> 0 of Hq.... ife, c J

d.
have inspected the{tliJ2 (a..c.,e"" eff dmribed in this Repon on "'.1-J /, 19.8.1. I epa,r(:1) o, Re;,IActmenl(II
and state that to the best of my knowledge and belief, this 0
repair or replacement ha1 been connructed in accordance with ~tion XI of the ASME Code. By* 1igning thi1 certific.ate, neither the Inspector nor his t!mployer makes any warranty, eitprened or implied. concern-ing the_ repair or replacement described in this Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or propet1y d~oss of any kind arising from or connected with this Inspection. Date j... 3 T-81 ~ /. ~ Commissions NO 7() t) 9, tJ ti.. S-tl 3 llnsl)KIOI) (Stale or Prc,{.nc1, National 8oAl'OI Non: Supple..'.,enul 1he.-rs In form ~f 11,u, 1knchn, or dr*wlnga m*Y be used provided (tJ 1IH 11 8:K, In. X 11 In ** (:Z) Jnformnlon In h*m1 1 throuet,
on this data npo" 11 Included on.. ch 1hNt, and (3) Heh 1hHt 11 numbered and It>* number of 1hNt,r 11 recorded at th* top of ml, form.
FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by the Provisions of ASME Cod* Section XI ATTACHMENT 2 Owner Vi rgi oia Power D*tt---+~-----~---_-f3....,? __________ ~- P.O. Box 26666 Shffl _ __....__ ___ of ___.._ ___ _
2.
jAOC!reNJ Plant Surcy Power Station CNamat Unh _ __.}:_(;L)"--_l:;) ___________________________ ~
3.
P.O. Box 315 Surry~ VA 23883 ,lAOOrauJ Work Perlormtd 1,y..,.V,..A..L&.. _._l:'0.-...W... e~r---,,---,.------ (Natntj '-Same IAOdratl 38DOD 757 ;i..y Repair Organ&zalion P.0 No.. JoO No~ etc.
4.

5.
Identification of Srnem. P::,, M Po~ ~I 1\\.1 §L la) Applicable Construction Code B 31-1 19 6 7 Editlon,..:.H:.:..A,__ ______ Addenda, Codi Cases _..:.N:.:..A,.._ __ _ lb) Applic1bl1 Edition of Section XI Utilized for Rep1ir1 or Replec1m1nt1 - 19..80, WBQ Addenda, Code Casn....... N-A..._ __ _ Identification of Com~nenu Rtl)1irrd or Replaced, end Replacement Components N1m1of N1mt of Mfrs. Ser. -N1t'L CRN Other Vear Aep1irtd. ASME Codi Component Mfr. No. Bd. No. ldentl-iuth Aepl,c:td. Stamped No. f',c:ation or (Y11 or No) Aepl1c:em1nt VJµ f15'1} ~Qj/0, rrJt-IS 7 f 8 ~"- IJ/r µIt Ot-c.c.- /o 4-(V,'} /~.a.t'L<ef j,/1)' ~ l
7.

8.
Description of Work....l!=~=i.5i..-¥-~=~;.__-------------...... --,.----=-----,.------- Tesu ConduC'ltd: Hydrostl~ ~ Pneum11ic O Nominal Operetin11 Pr1111urt '-' Other. 0 Preuure!l!.i.*~ psi Ten Temp. }/(;)-t-"*F
9.
Remarks ~~~t.XP.c;!.,.,S:l,;'.;4e~;;~j.f.lheOI CERTIFICAH OF COMPLIANCE We certify th11 thr n1temenu made In this report are correct and this jl.e.p~ ASME Code. J:l.,;J ~- C,tpaiforraplKefMIIQ conforms to Section XI of the Signed ~. ~-
a4V::::
IS I . 4 -3 p.,.¥c;o..ne~ *I. Tnle (Da11J ,19~7 CERTIFICATE OF INSPECTION I, the undersigned, holdin11 1 valid commission issued by the National Board of Boiler and Pre11urt Vesser' Inspectors ind the S1111 orProvinceot--Y.... A..._. ______ ,employedby HSB 0 I&I CO, _....H... a... r...,t.... f..,o...... r... d_..__..C..,T'-' *..__h... e inspected the £Z.g~l~I"/\\ dt1cribed in this Report on JRep1,t11J o, ~epl1ctment(1JI of ?I- £. 19.8..l and n*11 that to tht ben of my knowlrdge ind belief, this repair or replacement h11 been connructed in*1cc:ord1n~ with Section XI of the ASME.Code. By 1ignin11 this cenifiate, neither the Inspector nor his ifmployer mikes any w11r1nty, expressed or implied. concer"° in11 the repair or replKement described in this Repon. Funhermort, neither the Inspector nor his employer 1h1ll _be liable in 1nr l'nllnner for 1ny personal injury or property d-J'\\?"-!slf *~ ki?Jd arisin11 from or connected with this ln1Ptction. 01tt t,./- S:::- g'~ ~~ ~ ~ Commiuions }J [3 7 () i> 1 -(/a '5 'f ? (ln1P1<10t) (S111e or Pn,,,,nce. Nahor>1l lloAIGI ote: Suppl*m*ntal 1h"t1 In form of 11,u, 1katchas, or dr*wlnpe m*Y be UHd provld*d (t> 1111 h IIM In. X 11 In.. (2) lnformnlon In ltarn** 1 through
on Ihle dna **Pon 11 Included on..,h 1hHt, end (3) HCh 1hNt 11 nu*mt,ered and tt,e number of ahMb 11 **cord*d at 1ha 100 of 1h11 form.
.. -~ :. - ,.~.. FORM NIS*2 O_WNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Codt Section XI ATTACHMENT 2 Owner Virginia Pai1er P.O~ Box 26666 3'-Bi Datt~~----------~-~~ Shfft~~--~--of~-_.--~--
2.
3.. CMOrna) r11n1 Surry Power Station IN~ P.O. Box 315 Surry, VA 23883 .{AdOraUJ Work* Perlormed t,y_V..,A........ _,_PO......,w.... e... r__,_..,.... _____ _ CN-> ...Same IAOCI,,.,, 38DOO t 17 32.. Repair O,vaniUlion l".0 No.. Joll Ho. llC.
4.

5.
ldendfic1tion of Srnem *
C:H~tl-t I C.IP(I.... A-N D VD L-LA WI. cf 6:, ~<..' TYLc <......
It) Applic1ble ConstNctlon Code B31-1 111 67 Edition,.... H..._A.__ ___ Addend1, Code Cases _"""N""A,_* __ _ lb) Applic1bl1 Edition of See1ion XI Utilized for Rep1in or Replac1m1n11 - 11..BD. wan Addenda, Codt C.m_.....N-A ___ _
6.
Identification of ComPOnentl Rep1ind or Repltced. and Repl1~men1 Components Nam1of Naint of Mfrs. Str.
N1t'I.
CAN Other
Yaar Repai1'9cf.
Component Mfr. No. Bd. No. ldentl-Built Repl~ No. rication or Replacement
Vo.I V4.- <;i,o i'i\\cl.111k:"
tJ A-- r,1/)- fVI}< 02.-(.1-j- .-z. 1'() r,.JP,. kf'I..Aci:_
). P.~1.
\\<A~OOCL Al P. fl)~ Nf¥ NP', R *. J,..u~ t---** Description of Work &..ct 0~ T, '21z: p Wk,,:P Vfh...: up
7.

8.
Tent Condue1ed: Hydrosiatic:,z9 Pneumatic O Nominal Oper1tin11 Pressu,. 0 Other 0 Pressure psi .Ten Temp,_*, /'1 Rtmar1uVp..l[@:S171£ 'Po"t*- NS-6 5"ft;II) i 1':e,~,< Po~-~y-11'5 "J'S ~cA!lle M&nu acluret'a Dai. Re:,on110 be attached! ASME Codi St1mped (Yn or Nol t-f,r;,. f,ro CERTIFICATE OF COMPLl~NCE Wt cenify that the n1temenu mldt In this repon are cor~ect and this_._/lt-""'-lb.,.\\... ~-=----------COnfonn1 to Section XI of the
-'¥1"'*'.
-**,....~--u;-~ A.__,,.,,f""° /* 1 ...., ~-=--a~..... ~-* ___ _.I-S __ I __
_t__._.AeF-epa,.....
..... ~:==--~---* 19 ?::}
J..Jf,.k CO-,,.;~ Tnll cf'11J 7 CERTIFICATE OF INSPECTION I, the undersigned. holdint t v1lid commisi:ion issued by the National" Board of Boiler 1nd Pressu,. Vessel Inspectors ind the S11t1 or Provinctof _ _.V.... A ......__ _______, employed by HSB' UT CO, of -H-a~r_.t_f~n_r_d_,_C_,T_,..... __ h,ve inspected the I? '!,{)fµ..,,..Q. described in this Repon on -~----4---__.? __, 1981. fRe~auf1J Of Re~11cem1nt(1I and na,e that 10 the ben of my knowledge and belief, thi; repair or replacemeni his been connructed in 1cCXlld1n~ with Section XI of the ASME Code. Br *signing this cenifi~tt. neither the Inspector nor his ifmployer mikes 1ny w1rr1nrv, expressed or implied, concerft. ing the repair or replecement described in this Repon. Funhennore, neither the Inspector nor his employer 1h1ll be liable in 1ny manner for 1riy person~ inj.'.'.,_ry.or ~-ropeny d*J>? ~ ~?*nv k:?:~ng from or connected with this Inspection. 01tt tf 7 <?9 Uc::f~1. @e~ Commiuion1 AJl!J 7{)(J 9 Va. Slf 3 (ln1r;,e,c1001 151111 ~- Pri,,,,nce. Nat,onal Boe"'I on: Supplement.I ahMt-e In form of ll1u, 1ka1c:h*, or drewlnpo may be u1*d provld*d IU 1111 It IIM In. X 11 In.,
12) Information In lnm1 1 thro"gh 4 on this date r*por, It Included on Hc:h 1hMt, and (31 uch 1h __ t 11 numbered end th* number of *1hMb 11 rac:ord*d et th* top of 1h11 forrn.
. -t,. \\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by the Provisions of ASME Codt Section XI ATTACHMENT 2 Ownff Virginia Power P.O. Box 26666 4 - '3 - <B'1 Datt _ _._ ____________ ~ Shfft_..........__ ___ of __ _. ____ _
2.
jAOOrna) ,1an1 Surry Power Station ~~ P.O. Box 315 Surry, VA 23883
3.
.{AOclreuJ Work Performed by_V...,A...... _t;'OWe~-t--------- CNamel Repair OrganlZ.lllion P.O No.. Joi> No. ete. 38DDD :.:i..oots'O --same . 4.
5.
IAOOratl . \\ Identification of Synem....... Ji:3:;.;l.:;..0 ___ 1,<..;;-='~??:-=~N=i'->-=---=:------..,.,..,.----------------,,...----- . (a) Applicable Constn,ctlon Code 831-1 19 67 Edition,.,.H"-A,._ ___ Addenda, Code Cases __ N..._A._ __ _ (b) Applic1bl1 Edition of Section XI Utilized for Repain or Replac1manta - 11..80. wan Addenda, Codt C.111 _...,N..,A _____ _
6.
-Identification of Comp0nents Repaired-or Replaced, and Replac-ernent Components Namaof N1mtof Mfrs. Ser.
Nat'l.
CAN Othtr Year Repaired. ASME Code Ccmpon1nt Mfr. No. Bd. No. ldentJ. au11t Repl,ced. Stamped No. rication or CY11orNo) Replacement 1lf,..,, D.~-J /1 ~v \\I J lr<:. /Ji1, )14 J./lt' Q;2-B1>-1~ MJ &. p kAc-r-d) M. 1 ~]/)0.e.~R-~1 1.-w, (')(I 1i,llJ IJ A 1~ 11/11 uA /Jo nf -* 1./D r a.,,b,, 11 ~di "1,'i ~-:n.thl ;... ~ '.Ii~ ~k NA NIT i,
JrAr
'A/)~ Alo f-*
1.
Description of Work....,.._...=~_....,Sr=.._--------------------------------
8.
Tens Conducted: Othtr 0 I. -i94/9~ conforms to Section XI of the CERTIFICATE OF INSPECTION -1, 1ht undersigned, holdine* a.valid commission issued by the National Board of Boiler and Prtssurw Vessel Inspectors and tht S11tt oi-Province of VA, , employed by* __ fuiS..l.8"'-"_.,,_I 1,,1,Ft..,._I-MG:1..tO.... ________________ of Hartford, CT, have inspected the RR J) \\ cu e. Me ff ducribed in this Report on 'if- / L5:":
19.li.
IRepli"tfsJ o, ~e:,lteemer1111J1 and state that to the ben of*my knowlec:lpe and belief, this repair or replacement has been connructed in 1c:c:ord1nc:t with Section XI of tht ASME Code. Bv signing this certificate, neither the Inspector nor his lmployer mikes any warranty, expressed or implied, concern-ing the repair or replacement described in this Report. Funhermort, neither the Inspector nor hii.emplover shall be liable in any manner for any personal injury or propenv d~q r_* I 'j' *~sing from or connected with this lnsp~Cfion. Date S:>-, s:-R'i -~ ~
Commiuions JiJB J()O 1 1Ja.(fq3 (I IPKIOI)
CS**** o, Pn,.,nc,. N1honal 8o&,G) on: Sui;,plem*nt.1 ah"n In form of llns, tk*tch*, or dr1wln511 mav be uHd provided 1111111 h 11" 1ft. X 11 111., (2) Jnformnlon In h*rn1 1 throueh, on 1h11 Cine repo" 11 Included on.. ch 1hNt, end (31.. ch thHt 11 numbered and It>* number of 1h"b It record*d at th* tOP of this form.
ATTACHMENT 2 \\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI -1.
2.

3.
Own~ Virginia Power P.O. Box 26666 CMOrnaJ P11nt Surry Power Sta ti an ~__, P.O. Box 315 Surry, VA 23883 .{AOOrwaaJ Work Performed by~V~A~, -t'Ok~*'-e_r~-------- INameJ '-Same IAOO~ D1t1 _____ L1, ___ ,:S-----'-f!3Ci..._.,* r---~~~~~~ Shfft _ __. _____ ~of __ _.~---~ Unit \\ I.\\) 0 38QQQ s-e:, 34-5' Repair Organiulion P.O Ho., Job No. tie.
5.
Identification of Synem (;*12,1 )C "E- \\/J ~~ Cal Applicable Construction Code 831-1 ,s67 Edition,_f~_A _____ Addend1, Code Cases __ N_A.__ __ _
6.
(b) Applic1bl1 Edition of Section XI Utilized for Rep1in or Repl1e1m1nt1 - 19..80, WBO Addenda, Code Casn_..N_A~--- ldentification of Components Rep1ired or Replaced. and Replacement Components Name of Comoon,nt IJ/J- &t.BOv! q; FL!rN6f. ~II fIPP FL/f tv/;f hIT N1mt of Mfr~ COtj_fOt.:I.01'7fO ~~I P%f:v cof'/:,01.:J;{)llTFI) f&ttfv- £""11':>T?I-PI.PE. '5TIEEL- ,,:.,::1, FW§JllOlftAM,v Mr:r111.LI l OJ~. Mfrs. Ser. -Nat'L No. Bd. No. 'Wl171(3 1V/r 'llfi 0'37'10 II/ J} ,,/h) Al,4, 1/'"3~3t/rJ(J ;7/ A-CAN Othtt Year Rep1i,..d, ASME Code No. ldentJ._ Built Replactd. Stamped. f"te1tion or (Y" or Nol Repl1cem1nt II rr ()'l,-ft1/..i3-J.4 Al ;f-- lte. I? /,; ff Al A- ,11)- 02-5W-f-lA Aid-Ile '°/q,~ /// A-Al,4 CJ?_-SW-f-1A Al A,- _A-e,1/c,,-{ -1/A- /IIA tp~-SW-.H,f 1.1.A l?.-e /JI I(( e !ti Jr I
7.
Description of Work ;Rt:,P {XI K C'JD D Up(?._
8.
Tens Conducted: Hydrostatic f!r" Pneumllie O Nominal Ooerating Prnsure O Other 0 Pressu~
psi Ten Temp __. __ *F I.
Rem*rlu/)qo"' UL. Pr!. ft! tsY 'U7<f7{2... z..) fla11') e (){}#~ lSY-tCJF{1q-tJ6
3) 1'12. /JIPf f'()j:1- !;;fl-F7S-73 1AJ191~ 1.1.ar.utacturet'I Data Fle:,ona to be attac'*2)

4) f/;,n').f
/Tic-fcJ:II: c5YI fl n'( -, CERTIFICATE OF COMPLIANCE -2.::-:-?A-1 R... 1 In this report are correct ind 1hl!_-n ........ _r _________ conform1 to Section XI of the lrtP&ir o, 11;,iacemenQ CERTIFICATE OF INSPECTION I, the undersigned, holding I valid commission issued by the National Board of Boiler 1nd Pressure Vessel lnspK1or1 ind the State or Province of __ V ... A~. -------,--* employed by_uH...i.S.wB_"....,l_..&,..I~Gu.O,.. *.__ ________________ of ....... H... a.A.r~t... f~o~r~d.....,._.,,C...,T....., *.___h.ve inspected the R~'PMR.. d1mribtd in this Repon on ____...,3"':;.._-_3,____, 19ft IRepa,,tsJ or ~e:,11eem1nt(1l1 ind n11e 1h1t 10 tht btn of my knowledge *nd belief, this rep1ir or replacement h11 bten connructed in 1coord*nce with Section XI of the ASME Code. By 1ipning this cenific:att, neither the Inspector nor his lmployer makes 1ny warranty, u:prened or implied, concern-ing the repair or replacement described in this Report. Furthermore, neither the Inspector nor lli1 employer 1h1II be liable in 1ny manner for eny personal injury or property da~s of 1ny kind arising from or connecled with this Inspection.
011, 5'- J-Rj
~f. ~ Comminion1 t,J(l7tJOj Va S'-/3 (ln1pec1ot) (Stall c, Prp,,,nce. Nahc,,al 8oaff!! on: Suppl*m*nt.l ahNn Jn form of lieu, tk*tchee, or dnwlnpo m*Y ba und provided 111 alu h 8" In. X 11 In ** (2) lnform,tlon In l't'amt 1 through, on thlt du* npor, 11 lnclud*d on.. ch 1hMt, and 131 HCh 1hHt It numbered and th* number of ahMb le recorded at th* IOP of thl1 form.
j
. -r\\-

i.**
\\ FORM N1S*2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by the Provisions of ASME Code Section XI ATTACHMENT 2 Owner Virginia Power P.o. Box 26666 4-/.;,.s-./e, Dtn_........._ _______________ _ ~*nil Plant Surry Power Station
Sh"1-~-----of __ __,.__ ___ _
2.
e.o. Box 315~Sutry, VA 23883 Unh TWO
3.
J,ACIO<HII Work Performed by... Y~A~,-l:10_\\':_le_r _______ _ (Narna) '5ame 38000 74-lo O 2... ~-
5.
IAOOrutl ldent!rication of Synem-.,:..;M..;.:A1.......,"'.;..,..:;S.=",'='§¥\\1'.h::;=.;,;...~-----..-=-------=,,.......-------------.......,.,eT""--- lal Applicablt Constrvctlon Codt B31-l 19 67 Edition....... l~ __ A.__ ___ Addenda, Codt CasH _.... N ... A ___ _ lbl Applicable Edition of See1ion XI Utiliztd for R~ai11 or Replacem,nta -,,..ao. wan Addenda, Code ea... __..N... A ___ _ I. Identification of Componcnu Repeirrd or Repl1ced, and Replacement Components Namt of Comoonent Flt!N&-li.
7.
I. I. //,& Name of Mfrs. Str. Mfr. No. Af~/i1J //4//; w2t lfL IA:SJ.
Nat'L CRN Other Ytar Bd.
No. ldentJ. Bulh No. rication 02.-MS- ,, 0 D, CERTIFICATE OF COMPLIANCE Repair9d,, ASME Codi
Rep18Ctd, Stamped or (Yn or NoJ Replacement Rf'm1u1::1)

~~~t~e n11~~u midi In this repor1 art correct and thls _ __,,"F-_f<>._._.:n""",l)ad'-R..~°'-,e-pia-~-----COnform1 to Section XI of the Si1MCS~~~
ISI 4-h!> ,11 9~ tow-or 0.net" 1'911NI TIii ii:'1t1 CERTIFICATE OF INSPECTION I, lht undersigned, holding I v11id commission hsued by the Natlonil Board of Boner and Pressul9 Ve~sel Inspectors and the State or flrovinctof VA, , employed bv US B" I & I CO
of Hartford, CT.
hive inspe<:ltd the R;;Pl<tl< duc:ribed in this Report on R-1£, ;91.j jRepautsl o, f!epl1etrnel\\l(II and n111 that 10 thr best of my knowl,dge and belief. this repair or replacement has been connrvcled in acccrdan~ with Section XI of the ASME Code. By signing this cenific,te, neither the ln1pec1or nor his lmployer m1kt1 any warraniy, expre1sed or implied, concern-ing the repair or replKement described in this Repor1. Funhermort, neither \\ht Inspector nor his employer,hall be liable in any manntr for any person~ Injury or propcr1y '::'.::-1:n o~!'Y kAnd irising from or connected with this lnspt~ion. *Vi - D11t Q"' /,)- 8'? ~f (?~ Comminion1 NB 7 () q a,} Cf,2 ll"l~ICW, ($1111 o, Pn,.1nc:1. Nal,onal So,e,111 Non: Supplomenul ahMts In form of llns, 1ke1ch*. or drawlnlill rn,y be und provided IIJ eln k a,, In. X 11 lft., 121 lnformnlon In ltarn1 t through 4 on thla dna upon 11 Included on uch ahHt, and (31 Heh 1hHt la numbered and it>* number of chMb I* *recorded at th* IOP of thla form.
(.J) --~> (J..) .. ~ \\ FORM NIS-2 OWNER'S REPO.RT OF REPAIR OR REPLACEME°NT As Required by the Provisions of ASME Code Section XI ATTACHMENT 2 Owner Virginia Power P.O. Box 26666 D1tt ____ S-:_--~------~----------------- ri1n1 Surry Power Statirio,..., e.o. Box 315~Sutry, VA Shttt~__....... ____ of~---"""------
2.
23883
3.
Work P1rform~ by_Y... A .......,...... ~-......-..t' ________ _ 38000 7/ 3.fl 8 '"Same (N.,.. "-pair Ot-;anwtion l'.0 No.. Jot> No. etc. V.OOrall
4.
I. Identification of Syn em, B E, AC -Ct78, C: 001 fl NT (11 Applicable ConstNctlon Code B31-1 11 67 Edltion,.... H.__A ______.Addendl, Codt Cana _..._N __ A ____ _ (bl Applic1bl1 Edition of See1ion XI Utilized for Repain or Replac1m1nt1 - 11..BO, wao Addenda, Code C.set _N_A ___ _ I. Identification of Components RtP*i~d or Repl,od, ind Replacement Components Name of Name of Mfr1. S1r.
N1t1.
CRN O,her Year Rep1i,.d. ASME Code Coff\\Qon,nt Mfr. No. Bd. No. ldentl-Buth
ReplKtd, Stamped No.
fication ar (Yn or Nol Repl1c:emen1 I 1/q II Bolt; Snit.> Al). Svtte"' LTD 2'2.'lOO<lt. Al,,f 02-P..l-f-JA NA A o*/cir-etA /1/4- / 1/4 Bolt lv'e,~t."~'l hou s ( 11/A-AIA rn-!ll*e*IA ///A JJ -e.tJ / 4cec1 /VI'{ e le",fr,'c '.l. 2.. 0 (JCJL( ~(9 1 1/q'/ P,o/t we~,t,1'J1')/,ll~lt,?. & /er.icl",'t: J.:z_ q /lrl'{ 6 AIA-AIA-tJ?-/U*H4- ,1/ A-- i e,(;J fac-ed !{Id-Re.,.**<-, re, 11 s.cq//ed Per.fi:,y-Jt\\ S t:ea,,. Rel'"",* v . h,
7.
Dflcription of Work I) 5u/JJ1ddfv 111a11 way
2. ~ ~,/y,,..,
1'r1sof'c t,'t7i,,
3) M,:1111,v,N /ut I.
Ttm Condvcted: Hydrostatic 0 l'neumatic D Nominal Operating Preuurw D 0,her 0 ) Prusurt psi Ten Temp __
F 1
Remarlu I I 1/y " 11t2I f f(} f:1:- ~ 5Y - t)(; 01~ {/u) ~) 1 /q /Jo (t (,\\P94CA!III IAa"VIICIUlef°I OliA Ae:,ont 10 be aflacl>lodl 31 I'/"" 6<2/t ft!"tt ~ sy-/0,cJS-(.t,µ} CERTIFICATE OF COMPLIANCE W
t I
h" ~,e R ft1te~f"" "1: f Se I f ~~~~~lt~thr n*.":;~madt n t is report are correct and thls_...;..:a,~-."",pa,,""--.... o,-,.-pia-umenQ-----COn orm, to ction X o the Signed L ISI 6Av 2,f
11 ?:5
-,,..~ TIii Coa111t a......_,4 CERTIFICATE. OF INSPECTION I, the undeni9ned, holding e valid commission Juued by the National Board of Boller end Prtuuiw Vessel lnspecton ind 1h11 State o, Provil\\CI of _ _.V.._A-, __________, employed bv HSB" I&I CO, of ~tt... a.... r.... t.... f~ou.r..... d..,.,.......,CuT.....___have inspe<:ttd lht f?-eQ \\ A.C.Pfll:1:f!Vts dtmibed in thb Report Oft_. ____ s-___ -.... 1~S-___, ;9,rt IRepaa,(a)o, Repl"tinel\\t(*I and natl that 10 tht ben of my knowltdge end belief, thi; repair or replacement h11 been connructed In acc:o,danct with Sec\\ion XI of 1he ASME Code. By signing 1hil cenifiutt, ne!ther the ln,ptctor nor his lmployer mikes any w1rr1nty, e.a:prened or Implied. concern-ing the rtp1ir or replacement describtd In thi1 Report. Furthermore, neither the Inspector nor hi1 employer 1h1II be li1ble in any manner for 1ny P1fion1l l~ury or propeny d~:_!j" of.any kind arising from or conne<:ted with thia lnsptc:tion. Dai. S'-a,c., -~'.'f ~-~ Comminiont AJfJ?oo'f t/6,. ft/3 (11\\IPKIOf) l51PII Of l'rg,,11\\CI. Nalq,al 9oa,o Non: S11pplameni.l,h.. ta In form of 11111, tltnc:h*. or drawln111 may be und provided C1l 1l11 It I~ In. X 11111., 121 lnformnlon In 1'9m* t through
on 1h11 dn* upon le lnc:lud*d on.. ch 1hNt, *nd (31.. c:h *hNI It n11mbered

nd It>* n11mber of 1hN1I le rec:ord*d et the top of thl1 form.
-~
\\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by th, Provisions of ASME Cod, Sec:tion XI Ownet Vi rgi ni a Power
2.

i.
P.O. Box 26666 r1ant Surry Power 5tati6o"" P (N~ .o. Box 315 Surry, VA 23883 .{Ad0111Uj Work Perl ormtd bv..cYuA..L&. *....,_t'O......,Wu.e... r......, _______ _ (Name) ...Same Unh :fjc,JQ 380005'4 35 / ~peit Orpaniulion fl.0 No.. Job No. ate. ATTACHMENT 2
4.

5.
Identification of Synem /}.i IJ:CA: 1~r'.;igµ( Sf,< try la) Applicable ConstNctlon Code B31-1 19 67 Edltion,.:.1~"-A,_ ___ Addenda, Code Cans _.,_N,.,.A..__ __ _
a.
lb) Applicable Edition of Section XI Utilized for Rep1ir1 or Replecam1nt1 - 11.BO, waa Addtnda, Code CBm -N-A~--- ldentification of Componcnu RepoirTd or Repl,e.d, and Repla~ment Components Nam, of Namt of Mfr1. Ser.
N1t'L CRN Other Yaar Repaired,,
ASME Codi Comoonant Mfr. No. Bd. No. ldentl-Bulh Repll!C9d, Stamped No. fication OI CYnor Nol Replaozmant fz -Ii&,1/tf T./-(Jzvwe Spcl,
JJ fJ, f1-
/J/A o~ -e..s- /1/,~ Jfep~£ ~o 49' / -Tl/RP.MR /I A/14
U4
/J/A 02 -c3-Jlf/A lf'E PtA-e. NO 4q
1.
I. Oeicription of Work /;e-Pfl-lJ<. r/J1l//G 1/5 /?!f-l2l111t,&/) FRE!fZ-i[ /.So<fl:7/DJJ..)
Tms Conducted:
Hydrosutic O PnNmotic O Nominal Operating Prnsu.-. 0 0,ti.r 0
11.
Prtswrt pal t.en Temp. ___ *F R1merlu ku /J/JLrr PO~ - ~57. ~/'17 ~ 17. %4. T/-!IZIH) rt:{) '8'#1::. # &' -$51(- !Boo 9.;z ~pplat>lc l.la"llfocluret"t Data Aa:,on110 ba,mac~ CERTIFICATE OF COMPLIANCE We c1nify that thr naumenu m~ In this rrpon are correct 1nd this KEJ:LAcEM£NT ASME Code *. * ) '= ttl)&lf o, re~umetell Signtd (tt~ L-"C, <i.~ / IS I
,L-/ I 7 eo,.- o, Ownet'.
l'QflN TIIII eo.~ conform, to Section XI of the '19 89 I CERTIFICATE OF INSPECTION I, the undersigned, holding I v11id commission Issued by the Natlo~I Board of Boller and Preuu.-. Ve~stl lngpectol'1 and tht St1t1 or,rovinc1 of VA. , employed by HSB" I& I CO. of Hartford. CT. hive inspe-cted the '1?£?;_~/,ilzJUr ducribed in this Report on 5:--11. ;~"l IRtpa,fisl or R,;,1,cem,111111 and natl that to tht ben of my lr.nowltdgt and belief, this' repair or replacement h11 been connructed ln 1ccordanct with Section XI of the ASME Code. By signing this cenifiute, neither the ln,pector nor his lmployer makes any w1rranty, expreued or implied, conctrn-ing the repair or replacement de1,cribed in this Repon. Furthermore, ni:ither the lni,pector nor his employer 1h11l be liable in any manner for any pe11on1I Injury or property dfY=~*J?? of!::y kind 11i1,ing from or connected with this lnip:c:tion./ D11t (""- / 'f- }( 1 /i.~[. G~ Commiuion1 /Jn ]OD I L, lL 5 '\\' J (ln1pe,c;10f\\ (S1111 o, Pn:,w,nc:1, N11ion,1 ~ II/ore: S11pplomantal ahMn In form of 1111:1. 1k11ch*. or dr*wlnpo mar be UHd provided (111111 h BM In. X 11 lfl **
12) lnformnlon In r,-rn1 1 through 4 on thl1 dna rapon It Included on uch 1hMt, and 131 uch 1hwt 11 numbered and lt'o* n11mber of 1hMta la ucord*d at 1h* 1op of thl1 form.
,,~... FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by the Provisions of ASME Code Section XI ATTACHMENT 2 Owner Virginia Power P.O. Box 26666 D1tt--'E"'-~..___~........_,~.7~~~ ShNt_........_ ___ ot _______ _
2.
CAOO*na) Plant Surry Power Station (N~ P.O. Box 315 Surry, VA 23883
3.
.(AOCltaU) Work Performed by_V.... A ........ _._PO ... k~/... e... r ________ _ (N-) -..Same
4.

5.
Identification of Synem~----:::-=::---::-------==--------=~--------------r.._.--- (a) Applicable Constn.ictlon Code B 31-1 19 6 7 Editlon,.;.;H::..A,._ ___ Addenda, Code Cases _ _,_N.::..A.,__ __ _ (b) Applicabl1 Edition of Section XI Utilized for Repairs or Replac:1m1nt1 - 19..BD, wan Addenda, Code Casn _....N..... A.__ __ _
s.
Identification of ComPOnenu Rep1i~d or Replaced. and Replacement Componenu N1m1of N1mt of Mfrs. Ser. -N1t'I. CRN Other Year Repaired. Component Mfr. No. Bd. No. ldentJ. Bulh
Replactd, No.
fication 0, Replacement ?(A"' i> r,,,~~-- ,,1/n Nin Ml-2.*~.J..i>,G -vh Pc?,wu.~ Description of Work /~Sr,?-, c...?) o,e. rift r,'J Al-, ~.!c "~,r.;, )q:,..)
7.

8.
Tats Conducted: Hydrostatic O ,neumatic O Nominal Operating Pressura 0--- Other 0
9.
~ Pressure ~,I"'" psi Ten Temp.~ *F Remarks C.. () '8' C./1/ r 2.2, 9J9 I - I C,.ppl~ M&ncitac1"'ef'"I Data A.;,ona 10 be a11acl\\9dl CERTIFICATE OF CO~PLIANCE ASME Code rtamped
'rn or Nol
-........ ~ We certify that the natemenu midi In this report are correct and this B >c,k ;-.e,,,,,eu r ASME Code. r} ~ (Tipa,ror 1ep1a~ conforms to Section XI of the Signed ~-f'.--~ ISI 4ML4 (Ow,.. or 0-,,.r'a ,g,,..I Tnle COIIII , 19.i:f - CERTIFICATE OF INSPECTION I. the undenislned. holding I valid commission issued by the National Board of Boiler and Pressura Vessel -Inspectors and the St1t1 o, Province of _ _.V...,.A_..,,.__ _______, employed by HSB" I & I CO, of -H-a~r... t.... f_o.... r... d...,._*..... c .... T'--' * ..___have insptcled the Renlue...... eut described in this Repon on _____ 6,,__-.... t;:...__, 19g>~ (Repf.rts) or ~e::,11cemen1(sl) and nate that 10 the ben of my knowledge and belief, this repair or replacement has been connructed in accordance with Section XI of the ASME Code. By signing this certificate. neither the Inspector nor his imployer makes any warranty, expressed or implied, concern-ing the repair or replacement described in this Repor,. Furthennore, neither the Inspector nor his employer 1h1II be liable in any manner for any personal injury or property ~:~on of ~~:::ising from or connected with this lnsptction. Date 0-l-Rj' ~j('.. [D~ Commission, JJ[37t1oq l.la.S"l/3 (lns~tor) (State or Pro,,,nc:e. Nahonal 8oa,d) on: Supplement.I *h"n Jn form of Ilsa. sketch*, or drawln1,11 may be u**d provld*d Ctl 1IH h BM In. X 11 In., 121 lnformetlon In h*m* 1 1hrough 4 on 1h11 data raPon 11 Included on each 1hNI, and 13).. ch *hHt la numbered and i,,e n11mber of lt>Nll 11 racord*d at 1h1 1op of it'll* form.
FORM NIS-2 OWNER'S REPORT __ OF REPAIR OR REPLACEMENT As Required by the Provisions of ASME Code Section XI ~ r Owner Vi f11n I lid IAI.1 7_ , I (NameJ f IO e., ( u,r," Sht9t ___..._ ___ ot __ ~------
2.

3.
Identification of Syn em ~ S'. -rh.. e,f f~.... )
4.

5.
(1) Applicable CoNtruction Code 19
Edition, V
Addenda, Code Cases"""-"~----
6.
lb) Applicable Edition of Section XI Utilized for Repairs or Replacements - 19..li, Wt,o Addtnd1, Codi Cases _v....._,~---- ldentification of Componenu Repaired or Repleced, and Replacement Componenu Name of Neme of Mfrs. Ser. -Nat'I. CRN Other YHr
Repeired, ASME Codi Component Mfr.
No. Bd. No. ldentl-Eiunt
Replaced, Stamped No.
f'ac1tion or IY11 or Nol Repl1cem1nt " A, a ~-r \\ ~CV\\-, 0-t,y)t (4111 l,J.,JHA.. ""'- 'J.--1?.C ~ u"" I ,a - fJ..J)lt-,,y ~m*v'e-,,'f ~ .r .,/" 1,,-tl~-r;-.,. It- - "IIU1twY I / V\\
7.
Description of Work..L.;=.=.::..i..a..._i..:..=~!....:o:'-1-.....J..-""'=:.:..::..:__.;;,.;.::CL-+----'-t..:;..:""""'~""'"';:..;:;.;'--..:..;:-..:.:;;c.;.;.;;.;..::.......:(,,:...,;:f'~-------
8.
Tens Conducted: Hydrosutic 0
9.
P~~ssure 7 3 \\1) psi Remarks e:1,;lt 0 i)....-If 3 3, (Appl,c.a!,le M1nut1c1uref'1 Da11 Re pons 10 be atl*chedl CERTIFICATE OF COMPLIANCE
~~":;;1te ~*~ 7 In this report are eorrect 1nd this ___
.,.&..,eio.i'""* '-!...:~""ep11ca"'""l ....t:t:a:::IMl2'.=.----COnforms to Section XI of Ille Signed ~ar4c"f//;.. /GcgA/V,.,<<: J..Sr. &.£ r# g , 11 ?'7 (Ownlto-Ownet'1~ Ta11 Coate) t CERTIFICATE OF INSPECTION I. lhe undersigned, holding I valid commission Issued by the N1tl'."fl Board of Boll9r and Preuur9 Vessel lnspec1on and 1h1 Sma or.~inQ of V:IJ- * , employed by t1_S 8 1-S >: C fl
of
&a..df,r cl
C. f. hive inspected the ~l.o.awu.f:*
described In this Report on &,* '-f , 1.!'.1 f pail(I) o, ~pl1cement(1I and n111 that to the best of my knowledge ind belief, this repair or replacement has been connructed In accordance with Section XI of the ASME Code. By signing this certificate, neither the Inspector nor his lmployer m1ke11ny w1rr1nty, eitprened or implied, concer~ ing the repair or replacement described in this Report. Furthermore, neither the Inspector nor his employer 1h11l be liable in 1ny manner for 1ny perso~11 injury or property d1~s ~ anx k,!_nd arising from or connected with this lnsp1ctlon. Date (. lJS'.- '?'1 ~ "£ ~ Commissions /v(31c,oC, Vo.. 5/-13 (lnspo,ctDf) l5111e o, P,v.,nu, National Boa,GI oft: Supplemenul 1hNn In form of lln:s, 1ketchaa, or drawln~ may be u,ed provided (11 ilze la lt'K In. X 11 In.. ) lnformallon In h*ma 1 through
on thh dai. repo" 11 lnclud*d on Heh 1hNt, end (3) HCh ahNt la numbered nd lh* number of 1hNtl la recorded at th* top of thla form.
\\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by the Provisions of ASME Code Section XI ATTACHMENT 2 Owner Virginia Power P.O. Box 26666 D1t1------~ ....... ~ __ j......_,,,;l'; ___ f:: __ C-,~~ Shf9! _ __......_~~~of~---~~---
2.
S P ~ .~!nll ,1an1urcynwer,;,tatrno i\\. (N~ Unh----_,t-;._.,,.l./J~()"'----------------------~ e.o. Box 315 Surry, YA 23883
3.
,iAOOraUI \\~, Work Performed by.. Y .... A .... _PQ ....... \\':... t... e.... r _______ _ 38000 7 L/ 0.3 7 -..Same,.-i
4.
I. ldentlfteation of Synem "'°°_., .::;::. D-~ (' IA IV\\ e o+ A,',r (a) Applic1blt Constrvctlon Code B31-1 19 67 Edltlon,.,_1~"-A.__ ___ Addenda, Code Cases _ _,_N __ A _____ _ Cb) Applic,bl1 Edition of s,e1ion XI Utilized for Repain or Replac1m1nt1 - 19..80, wan Addenda, Cod, ea........ N .... A _____ _ I. Identification of Components R~1ired or Replaced, and Repl1ctment Components Nam1of Namt of Mfr1. Ser. -Nat'L CAN Other v,.,
Repairod, ASME Codi Componant Mfr.
No. Bd. No. ldentl-Bulh
Rep1K9CI, StafflPl'd No.
f1t1tion OI (Yn or No) Repl1e1m1nt ) lllJv./ue. u,,i~tll OS"00117 AJA ))A 1-J:.A--:'l6Y.NA ll.e1Jl~eJ .)(.JO I
7.
DHcription of Work Re )qaJ Ut?t.Lv< I. Tern Conducted: ~ Hydrosu*P. Pnevmatie C3"'"' Nominal Operatin9 Prns11rw O Other 0 Preuu~ 1* 17 psi Ten Temp.~-t'-F I. R1marlu ________ __,,--------------------------------- ~~ ~"UIKlurtt'I 0.UI ~:,0,,1 IO be 11\\Kh9dl CERTIFICATE OF COMPLIANCE _ _,t.....,.e~ JJJ,;.;;4i._L::a~=..:W'.:u-t~----COnform1 to Section XI of the Tt,pa,, o, 1epia~ Signed-6a.--:=-'-"-~~~~=--:-------.1.:~----::£~ ... :"""~--=-'---* 11 £'2 I De1~ TIii (DIii) CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission Issued by tht Natlonil Board of Boner and Pressurw Ve~sel ln1P<<ton and the S11t1 0, Province of VA *
~mployed bv H s a* I& I co

of Hartford, CT.
htveinspemdtht Ke~Joi'-~mt demibedinthisAeportOfl 0-i't',;9.!1 IAtpa, 11 o, ~,;,t1ctn>e111(1I and 111t1 1h11 to tht ben of my knowledge ind belief, this repair or replacement h11 been connructtd In accordance with Section XI of the ASME Codt. By 1i9ning this ctnifiutt, neither the Inspector nor his lmployer mikes any warranty, tJtpres~d or implied, concern-ing the repair or replKement described in this Report. Furthermore, neither the Inspector nor his employer 1hall be liable in any manner for any Ptrton1l lnju'! or propcr,y d~*..!e_s::f.*?¥, ki~d arising from or connected with this lnsptctioi; D111 &- ~ "r - g ~ ~l_: ~ Comminion1 JJ/?i 7oo9 J~3 <( 3 (ln1i,e,c1CII) (Stall o, Pn,,r,nc,. Nahonat 8o,af111 Non: $yppl1meni.l 1hMts In form of Iha, 1k11ch111, or drawlnpa may be YHd provided (0 tin II S'K 1ft. X 11 In **
12) lnfounnlon In IT1rn1 1 1hrough
on 1h11 dna repon 11 Included on 11ch 1hNI, and (31 Hell 1hHt l1 numbered end t:h* nurnbar of 1hMb 11 racordad at th* top of 1h11 form.
- f'#"
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\\ ,,~... FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT A.J Require1 by the Provisions of ASME Code Section XI ATTACHMENT 2 Owner Vi rgi ni a Power P.O. Box 26666 Ditt---..:l""'~=-=o"-'~;..::.~ ... 9'----~~~~~~-
IAOdrnaJ Plant Surcy Power Statrnn (N~
P.O. Box 315 Surry. YA 23883 ,tAOOraU) Work Perlormed t,v_Y.... 8~, _._PO ....... w .... e.... r___,,_-,-_____ _ (Nan,ej ....Same ShNt--'-----of __ __.~---- Repair Organw,tion,.o No.. Jotl No. elC. Identification of System S:~4,;,l.:aJ4,,-~d..- f1) Applicable ConstNctlon Code B 31-1 19 6 7 Editlon,_H""'A _____ Addenda, Code Cases ___ N,_A..__ __ _ (bl Applic1bl1 Edition of See1ion XI Utilized for Repain or Repl1e1m1nt1 - 11..80. wan Addenda, Code C..sn _N... A....._ __ _ ldentifiC11tion of Componenu Rep1irTd or Replaced. and Replacement Components Name of N1mt of
Mfrs.Ser.
-Nat'I. CAN Other Vear Repaired,, ASME Code Component Mfr. No. Bd. No.
ldentl-Bulh
Replactd,
!'tamped No. fication or i H1 or No) Replacement. ' "~,.~ ~~,1.t >..J~~/ )(J 1 .l...JW*.Jol, LI.6 "'- *- ~ 4J
7.

8.
Description of Work _..:.::~U::J::~~"="""---=V.~',?-.~;i:.:;,,.:,.1..:',t:::...... ___________ -+-------------- Tens Conducted: Hydrosuitic D Pneumatic O Nominal Operating Prenurt PressurT Lf psi Ten Temp. ~r *F
9.
Remarks ___..,_.~---,,..-:--,:----c-:--.,--,----------------------------- CAIIPlicelt.... nu,acturet'I OA1a ~i:t,.,:,~ Po ::ii-5 y -,)..5 og-off CERTIFICATE OF COMPLIANCE =~~~~ nattm~enu m.;oji: In this report are correct and this_~L-~ ... 2..:;=.,,';=....,-,""or,t,,.. 17 ... j,;. ... c!V ... cemeno__.r:'-----=nforms to Secticn XI of tht Signed~.tt:~ IS.I Jk~,1C. ,19 t?'7 eo-- or Owne 1iQaoel Tnle !Oa**I I CERTIFICATE OF INSPECTION I, th1 undersigned, holding I valid commission issued by the National Board of Boiler ind Pressure Vessel Inspectors and the State orProvinceof VA,. ,employedbv usu* I&I co. of Hartford
CT I have inu,ec1ed the
@ lo.c.-.~ e \\Vt described in this Report on 7 - 7., 91:( IRtpa, 1) o, ~eplacementl*II and nate that to tht best of my knowledge ind belief, this repair or replacement has been connructed in accordance with Section XI of thl ASME Code. By signing this cenifi_calt, neither the Inspector nor his l!mployer makes 1ny warranty, uprened or implied, concern-ine the repair or replacement described in this Report. Funhennore, neither the Inspector nor his employer shill be liable in 1ny manner for any pe'70~17 n~}or property dff :::i::o!,a."V!:d fjsing from or connected with this ln11Pecti~ m i ~ I ~~ Commissions A.JfJ )() cl CC I) rA. 6<f 3 (ln1pe,c1or, C51a1e or Pro,,,nce. Na1oona1 Boudl on: S"PPl*m*ntAI 1hNn In form of 11111, 11tetch*, or drawln111 mav be UHd provld*d 1111111 Is BM In. X 11 II\\.,
12) Information In h*rn* 1 ttuouV1
on thl* dlta noon 11 lncl.. d*d on.. ch shNt, end 131 uch thNt I* n"mbered and 11'1* n11mber of thNta I, record*d at th* top of this form.
\\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT /u Required by the Provisions of ASME Cod* Section XI ATTACHMENT 2 Owner Virginia Power P.O. Box 26666 01tt~~........ {?r...afo..._--=3=o"---....,%._9..__~~~~-
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CAGOrnaJ P11nt Surry Power Sta ti an (NanwJ P.O. Box 315 Surry. VA 23883 .{AOOreu) Work Performed by.... V ..... 8~, _,_t'Q ....... w .... e... r ________ _ '-Same (N-J Shnt __.._ ___ of~-~.._----- 38DDD 07~ro2-.
Repair Orgenlulion P.0 ND~ JDD ND~ etC.
Identification ofSynem M !'!~"' ~~ &v.S"'.ie-'V\\ Pl Pt; S(/f /cJ~T.J la) Applicable Construction Code 831-1 19 67 Edition..... r~.... A ______ Addend1, Code Cases ____ N.._A.__ __ _ lb) Applicable Edition of Section XI Utilized for Repain or.Replacements - 19...80, WBQ Addenda, Code Cases_._N.._A..__ __ _ ldentifie11tion of Componenu Rep1irrd or Replaced, tnd Replacement Components Name of Name of Mfn. Ser. -N1t'I. CRN Other Year
Repaired, ASME Codi Component Mfr.
No. Bd. No. ldentl-eu111 Repleced. Stamped No. fic1tion or (YnorNol Replacement ~~ ,n . /VO ~,#-
-~~~~~~---
R.e "'° vc.l. L.,'.. e,r.r t.... fc;a r,,.., -ro1... w-c.1 e I ~
7.

8.

9.
Description of Work i L, G.I' 1.J~\\(c.\\li, v H'JI\\\\ .\\1 ~ Tens Conducted: Hydrosutic O Pneumatic O Nomiit1I Operating Pressure Pressure psi Ten Temp. ___ *F Remarlu MT Plrll!.-1.vtt..O l"PJ)I~ 1.1.Anutecturera Date ~;,on, to be enecheel) CERTIFICATE OF COMPLIANCE
v*;:;z:::**n '",o,~,~: ***----(Y-e~i;;;p..,:;;,*,"-le::.r"t)"",e-'~'-/-':)-o---. -,."";~* 10 S.,tl_ XI of lho
~,.. OuiQ-1 Tnle (OeUI)
CERTIFICATE OF INSPECTION I, lhe undersigned, holding I valid commission issu~ by the National Board of Boiler 1nd Pressurw Vessel Inspectors ind the State or Prov.ince of, __ V~A~--------- _uH... S...,B_".... 1... r~... 1 ....... c... oL.,,__ __________.,.--_____ of ....... H.... a... r... t... f.... our_,d.._*._. _C,.,_T ........ __ have inspected the described in this Repon on {)C, b . 1~ 1 (Rep1,,ts ~e:>l"ement(slJ / and s11te 1h11 to the best of my knowledge and belief, this repair or replacement hes been connructed in 1ecord1nce with Section XI of the ASME Code. By signing this certificate, neither the Inspector nor his l!mployer makes any warranty, uprened or implied, concern-ing the repair or repl11eement described in this Report. Funhermore, neither lhe Inspector nor his employer shall be liable in any manner for any personal i~jury Or propeny daw jJ~SI of 1,er k)rd arising from or connected with this inspection. Oatt ~-JO ~ R ~ ~ {. ~ Commissions /Jfs 7eo9 Ua 5"<.t 3 (lnspec10f) (S111e DI Ptt,,,,nce. Netionel So&,11) PIion: Suppl*m*nt*I 1h"n In form of ll1u, *ketch*, or drewlnpa may b9 UHd provld*d 1111IH 11 BM In. X 11 In.,
12) Information In h*m1 1 throueh, on thla data **PO" la lnclud*d on.. ch 1hNt, and (3) Heh 1hHt l1 numt..red
end th* numb9r of 1hwt1 11 recorded 11 the top of ml, form.
ATTACHMENT 2 FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by the Provisions of ASME Cod, Section XI Owner Vi rgi ni a Power P.O. Box 26666 (Name) D*tt~~()=-i.7_-_,(;>..._*.a:;,b_-~K"_C,~~~~~
2.
IAO<lrna) Ptant Surry Power Sta ti an !N&mel She.t~~..._~--Of~~---..__~~~~ Un~-~~~~jvJ......._~0----~~~~~~~~~~~~
3.
P.O. Box 315 Surry, VA 23883 .{A110rau1 Work Performed by...;V,..A......... _._P... co... w ... e.... r~.,...--,-------- !Namel -..Same 38000 jl 731
Fie pair Or;*nlution P.O No~ Jotl No~ etc.
IAO<lraal
4.
Identification of System
cor,,l{o...,lfl..T C.OQL.11-/C, SYSR;l-i ReS'1D:,,A1.- \\.\\a6 Q("JIM)vA'L SYJ{l;;WI
s.
la) Applicable Construction Code 831-1 19 67 Edition, r~A Addenda, Code Cases _...,_N,.,_A..._ __ _ lb) Applicable Edition of Section XI Utilized for Repairs or Replacements - 19...80, WSQ Addenda, Codt Cases....... N...,A ___ _
6.
Identification of Componenu Repaired or Replaced, ind Replacement Components Name of Name of Mfrs. Ser. -N1t'I. CAN Other Year
Repairad, ASME Code Component Mfr.
No. Bd. No. ldentl-aunt Replaced. Stamped No. fic1tion or (Yea or Nol Replacement <::JJj?/dAr -11/id I;# ~4 A/4 }*/IH-l*liJ NU-11 ~v tc~Me.!-,.,.......,.. ~ - ~ / I I J I I r o..e.J}_'"'f ~~,.~,.J,... ,J,f) , 1 ;?//1/llr 2.-1111 -e* l /J I
7.

a.
Description of Work-=C;;.;c.vi.'--',P..;..N.:l);.....;;;C.;.;.,.:.PwE....__'"i.,_#__,_ 11 --=*c:;,C::;..a.P...:..l f.......,S.,.__.O:a.;N---.,_,R:......R..,_,.....,,:a..a..-,...=......;;..;a;...;;,:........a.. ___.=.....;..;:;-'-~""-~::<£.:=--= Tests Conducted: Hydrostatic Er Pneumatic O Nominal Operating Pressurt Pressure &bf pal Ten Temp. /JO/ *F
9.
Remarlts-~_,.,..,.,..--,--,-::---::-----:---:--:,--------------------------- IAppl;c..:,i; MAr,utactu,ef"1 O.i. Re;,on1 to be a11ac11e<11 CERTIFICATE OF COM~ANCE In this repor1 are correct and this ~.i31Jr' (tpir o, repleumel!Q conforms to Section XI of the Sign~d---~~:--t.4-'.~~:-Y.~:=----~---'~------,::-:-:.,---->:::0"...L.f- 0 f:,, 19 g' 7 Coalll CERTIFICATE OF INSPECTION I, the undersigned, holding I valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors ind the State or Province of VA.
emp~ed by HS B" I & I CO of Hartford. CT.
have in'l)ected the /< rz*/ demibed in this Repor1 on 07/&'.,s.f'5 IRepa,'111 ~eplacement(sU and 111111 that 10 the ben of my knowledge and belief, this repair or repl*cement has been constructed in 1cCC1dance with Section XI of the ASME Code. By signing this certifi~te. neither the Inspector nor his t!mployer makes any warranty, expressed or implied; concer~ ing the repair or replacement described in this Repor1. Furthermore, neither the lns.pector nor his employer shall be liable in any manner for any _p,,sona, injury or proper1y d"r:~°:ls!f,ny ¥rising from or connected with this lnspeCrtion. Datt 7-r -8"{ ~.l* G~ Commissions JJB7bo1. UG:...S4 J (lnspe,ctOI') (St*t* or ~,net. NaloonAI 8oa"'I lllon: S.,pplem*ni.l ahMn In form of 11,u, 1tatches, or drawlnpo may be uHd provldad (1) alza la 8:K In. X 11 In.,
12) Information In ltama 1 1hrouph, on 1h11 dna npon h Included on.. ch ahMt, and (3) uch ahNt la numberad and ltaa number of 1hN'II It racord*d at th* IOP of 1h11 form.
\\ ,,~.. FORM N1S*2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by the Provisions of ASME Cod, Section XI
2.

3.

5.

6.
Shfft _______ of_.,._ ______ _ Unh __.....::.._ ______________________ ~ Ro pair Organlzalion P.O No~ Jl>b No~ etc. v-ooreui r Identification of Synem Ca&':><e.vc..~.,,-- {;,u.. ;,r,rq Ca) Applicable Construction CodE &.';/. I 19.&;7
Edition, y/;.!)..
(b) Applicable Edition of Section XI Utilized for Repairs or Repl!ICements - 19.it?, Identification of Componenu Rep1irTd or Replsced, and Repla~ment Components Addends, Code Casea...:#~~""'~~...,,....-- a/Jr Addenda, Codt Cam v4g Name of Component Name of Mfr. Mfri. Ser. No. -Nat'L Bd. No. CRN No. 01htr ldentJ. f"ication Year Buth
Repaired, Replacfl'd.
or Replacement ASME Codi Stamped CYesorNol (
7.
Oe,cription of Work....::;~::a...:.::;:.:..;c._=r:.:..::.-=-....__...~~-=-t...;....;::....<......:..:."'--""--=-+..;a..;.-=-::::-~-""'....._-=~:;...--'---""--------
8.

s.
2..<1,;-..a CERTIFICATE OF COMPLIANCE _;fc.-=-,)~c::'"'4"',;."",r. ... -~_ ... ~ ....... &oo...:.'r _____ conforms to Section XI of the r (lep&ir g,, 1ep1r..eme1111 CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressul'9 Vessel Inspectors and the Sr11t1 or Province of Ul\\.... . employed by
Ifs~ r ~:::t Q a of
/jo..rTFortl J@f* have inspected the B1t, \\.,_<...e iM*<<-Jr demibed in this Repon on 7-Jc{, 19 (Rep r(s) or ~e;,11ceme111(1B and nete that to the best of mv knowledge and belief, this repair or replacement h11 been connructed in accordance with ~\\ion XI of the ASME Code. By,igning this cenificare, neither the ln,pector nor his l!mployer m1ku anv warranty, e,cpressed or implied. concern-ing the repair or replacement described in thi, Repon. Funhermore, neither the Inspector nor his employer shell be li11ble in any manner for any personal injury or property d11~age or I lo,n of a~ ki~ arising from or connected with this lnspecti°':-! Oare '7-.Q.L.J-&'~ )!::i~J. ~ Commissions
t//37889 / vccSL(3 (lns~IOI)
C51a1e o, ~,nc:e. Nalional 6o&iGI lllon: Supplement.I ah"" In form *of lists. 1ka1chn, or drawlni;a may be u,ad provided (ti aln la BX In. X 1 t In.,*
12) Information In h*ma 1 through 4 on thla data ropon h Included on.. ch ahHt, and 13).. ch ahHt 11 numbered and It>* number of lhNts 11 recorded at th* top of thl1 form.
\\ ,,~.. FORM N1S*2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by the Provisions of ASME Cod, Section XI D1tt*~~..::;.)~~.!i::z.L../..L~..e:......~~~~~~~ ShHt--...J.----Of,_-4,.... ___ ~-~-
2.
Unit Z.
3.
Repair Orvanlzation P.O No~~ ate. ,? !400,ealj
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5.
Identification of Synem LO, __ -,1,,- IV * (1) Applicable Construction Code 6 Jlr I 19 6 7
Edition, tJLfo:J, Addenda, Code Cam __,A""'*-r-"=:---
lbl Applicable Edition of Section XI Utilized for Rep1in or Replacements - 19h, t/lib Addenda, Code Cases ,r/ /A.
6.
Identification of Componenu Repaired or Replaced, and Replacement Components Name of Name of Mfn. Ser. -Nat'L CRN Other Year Repai,..d. ASME Codi Component Mfr. No. Bd. No. !dent!- Built Replrx:ed. Sta~ No. rication or (Ynor Nol Replacement lt,*4 /Y4
",!pl tV
.!Ztr, 'CC~~~r I t, i - *~. ~
1*
,&? 4l,f 'f ~"'~.e, ~ £( i;,, 1,, ~
7.
Description of Work
L l<r'>rr~
B. Tens Conducted: 0 NomiNI Operating Prnsurw D Test Temp.~1F
9.
't,,., 1/.t. CERTIFICATE OF COMPLIANCE
~~~* "'"~':,m~ade In this report are correct and this_~<-="'a:,i2.__~.... rs"'pa,,""*"";'=.:;;.,;'-'p1aeemen11""G'"'.;:,,'-'~C-';,-'----- conforms to Section XI of the Signed~
< fl.r ~#4 J:,,... Y LI , 19 ?"<J (OwnerorOwner'IOe~* f Tnll lt)allf ' CERTIFICATE OF INSPECTION I. the undenigned, holding a valid commission Issued by the National Board of Boller and Pressu,. Vessel lnspec1on and the State or Province of l/ CL..
employed bv

/-I s {?..:t -Ct: rue) of tf~,,-TFl:lr-d,e.t-h11veinspe<:1edthe Oee\\o.c~,v.eiJldmribedinthisReporton 7-~f,19-fi IRepa,ljs) o, ~e;,iacemenl(sll and n111te that to the ben of my knowledge end belief, this repair or replacement h11 been connructed in accordance with ~tion XI of the ASME Code. By signing this certificate, neither the lm,pector nor his ~mployer mikes IAY warranty, u;pressed or implied. concern-ing the repair or repl11Cement described in this Report. Furthermore, neither the Inspector nor his employer 1h11II be lieble in any manner for any person~! injury or property d11\\t~ss~f a~ k~d arising from or connected with this Inspection. ~
Cate J :). t./ - &'j ( ~ d...: U:rrdlc..-- Commissions ti) [3 I l'.l d 'i t/ a.. 5 '( 3 (ln!I.PKlot) (Stale o, Ptt,,,,nce. Nalional Bo&,12) l'llon: Supplemenul 1hMn In form of lln:a.*sketeha. or drawlnpo may be UHd provided (1) 1111 It 8% In. X 11 In.,
12) Information In h*m1 1 throuph, on 1h11 data npor, h lnelud*d on.. ch ahNt, and (31.. ch 1hHt la numbered and tt>* number of 1hMt:a 11 recorded at th* top of thl1 form.
'19~l
\\ ,,~... FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI 2/z.1 Ir-<<> o,n_~~-----~,11.......:. *"'---------~ She91 ___ ......._ __ of_~/..._ _____ _
2.

3.
,/1 _ (A rauJ Work Performed by //&* h>>w&f.... ~-, '-t?d&,~ Repair Organlzalion P.0 No.. Jot, No~etc. /? ~rail ii.
5.

6.
Identification of System L6!,, ~ 'M la) Applicable Construction Code 8 -.3 /, I 19 ~ 7 Edition,..V /4: lb) Applic1bl1 Edition of Section XI Utilized for Repain or Replacements - 19~, Identification of Compcnenu Rep1i~d or Repleced, and Replacement Components Nam* of Component 'I 2 l?lla"k ~ ,J~ 6 , i,L. Nemt of Mfr. Mfn. Sar. -Nat'L CRN No. Bd. No. No. Other Y1ar ldentl-Buth rac1tion l,*CC.*9i
C.
.J:t1 -= - Addenda, Code Cases -~~;::..,,-- /,r/!TOAddenda, Code Caset --~--
Repaired, Aeplec:ed, or Replacement ASME Codi Stsmped CY ts or Nol
-'h;'-~=~==y+-..;;..""""----+-_..,--+---=---+----1---i----+----"-----l-----'-----
7.

8.
~scription of ~ork..=A....:~=:.'.,.$'_..16,.; *.:..;,v~.::;,:,:,r:.=.iw._....:?"'ti:....::::o.......,,£-;:=--"-~r'-"s::;..:;..r....:.,_:,_.'6..__..:::..-f-a::...o."""'::..o.....,.,~'."---=""-"'~-i---------- Tens Conducted: 0 Other O.../
9.
CERTIFICATE OF COMPLIANCE w "f h h ad t h' d h' g~?,t~e&0*zc-,vl""" ~~~~?renate/J~ ~e nt rsreponarecorrectan t 11 (lepaifor,~ Si51ned ~~kA4:-": >>:r ct'.v6,
J;,o<-y -z../
(O,,,ne< f/11 Owner's OuiQ Tnle ([)11*1 conforms to Section XI of tht CERTIFICATE OF INSPECTION I, the undersigned, holding I valid c.ommission Issued by the National Board of Boiler and Pressur9 Vessel Inspectors and the State or Province of I/ c:L , employed by
I/ 5 11 T 4- :C (YO of.
tfo...rTF,,t-d.' ef h11vein~Ktedthe R~de-.~1\\,\\.evT demibedinthisReponon ? -.1 L(,19.K:i IRepujsJo, ~e;>l1comen1(18 ind nete that to the ben of my knowledge and belief, this repair or repl1c.ement has been connructed in acc:o,d1nce with ~tion XI of the ASME Code. By signing this cenifie,1te, neither the Inspector nor his lmployer makes any warranty, upres~d or implied. concern-ing the repair or reph,cement described in this Report. Funhermore, neither the Inspector nor his employer shall be liable in any manner for 1ny penonal injury or propeny da~s,s of anv kind arising from or conne<:ted ~th this lmpection._ 01te 7- -:)_.c.f - 'X'.9 ~r I ~ Commissions /JG 7 (} cJ{ J ({_ b l( 3 (lns~11111 (Stale o, ~,nee. Nalional 80&J1Sl Non: Supplemental st... n In form of llsu, sketch*, or duwln~ may be u1ed provided (111IH 11 8~ In. X 11 In..
12) Information In l111m1 1 through, on thl1 data repor, II Included on uch 1hNt, and 131 each,h.. t II numbered end it>* number of lhHU 11 recorded at th* toP of thla form.

2.

3.

5.
I. \\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMEiiT Al Required by the Provisions of ASME Code Section XI ATTACHMENT 2 Owner Vjrgini a Pmter P.0. Box 26666 Dan___...~..__~'--""6....... ~<fi>_'!f~~~ IAOO*naJ ,,ant Surry Power Sta ti on p,~ P.O. Box 315
Surry, VA 23883 l"dat911)
Work Perf ormtd 11y_V.... A ..... __._t'P...-.k.... /e_r ________ _ CNAmel ,same Shfft __ ......_ ___ of __ __. ____ _ Unh ___ -,......;...Y\\J__...;:;b,_ ___________ 38000 3 <=t 3-'o l Identification ofSynem c,.oc,-,i (bo!i!M't'c;*,J o.c.J I )C) JV\\.r-..:{ (94'jr11 I Cal Applic1bl1 Construction Code 831-1 11 67
Edition,,,... 14.... A _______ Addenda, Codi Cases ---N... A.__ __ _
(b) Applic1bl1 Edition of Secti.on XI Utilized for Repain or Replac:1ment1 - 11..BO. WBO Addtnda, Code C,m_..N.._A.__ ____ _ lcSentific,tion of Components Repaired or Replaced, and Replac-ement Componenu Name of Namt of Mfrs. Ser. .
Net'L CRN Other Year Repeirtd.
ASME Code. Co"'Oon,nt Mfr. No. Bd. No. ldentJ. Built AeplKtd. Stamped No; f"ication 0, CYn or Nol Replacement --~ /J1A.i-s t"lo,.d........e I Olt>I'"'"'. ;JJA-JJ/.A ':l.-<.,tf-ff-NJ)r R11kaf'l AJD 5llfci~Hr 1.;o ~"s ti..dJ c.... J.~I. ltc... *s o,. ti! A- !VIA ,J.-cit-PP- )J 1/ir RePfl\\.ced' )Jo
t,.J.1o..1,,-i.. I Po 3t0

7.
I. Description of Work __ .J_,......_h..!_~....,,,....... l/_-..a:~:;...;....J "-".a...:...'-'----",----.---------.,,,.""'--------------- Tem Conduc,td: Hydrostatic O Pneumatic O N~min,I Optrating Prn1urt Other 0 Prusurt Mr psi Teat Temp.~ 8 F I.. Aenwb"'."C""..,......,.,...~...,.....,...-...,...-=---.:--c,-,---,----,-~---.,-----,=---,------------------ ~ie.1111114""'"'"'.,., Oala Ae:,on110 bUtlld'leGI O ~ (..S y -l 11 'ft 1 ___ ___.......... _...._...... _{Q CS Y -.:to~ 07 CERTIFICATE OF COMri..lANCE We c1nify thlt the natemenu medt In this repon er, correct end 1his ___... c_epJ1---}"-~'--~ t11.._t"_* ___ conforms to Section XI of the ASME Code/; /J~ t*~~--0 Signed ~ ~~ ~ 44"' - I$ I V<< t!:. o/ Z. 7 to-- or Ow I Oe1,p,_J TIU; iO,;lsj 7 .1en* CERTIFICATE OF INSPECTION I, tht undersigned. holding I v1lid commission iuued by the N1tlo111I Board of Boiler 1nd Preuu'9 Vessel lnspe,c:tors end tht Sratt 0tProvinc1of _ _.V.... A ......__ _______,employedbv HSB" I&I CO. of _H_a~r.... t... f.._o..... r_d...,,.._.C... J ......___h,ve inspe1:11d th, rt'f)eic."'-"f.,.,.~ drscribrd in this Repon on ____ 7.,__-__.7)_.._)_, 19~ [Rr~t11'(1) or ~r;,11camcr,1(1I and nate *that to tht brn of my knowledge ind belief, 1hi1 repair or. replacement h11 bren connructtd in ecCCIJ'dance with Section XI of the *ASME Code. By signing thii unificatt, neither the Inspector nor his lmployer m1kei any warranty, uprused or implied, conctr~ ing the repair or replicement described in this Repon. Funhermort, neither *the Inspector nor his emplover aha II br liable in any manner for eny personal injury or propeny dt"\\lJllf{)O~lo'f'phnv kind arising from or connected with this ln1Ptcti°?"~ Dett '7 -3/ - 'iCf J ~ ~ Comminiona JJ{3 ]DD ? -lau5'<PL flnsPN:IOfl. CS**** or Ptt,.mca. N111c,,.,1~ n: $.,pplamanttl,h.. t"I In form of 111-a, tkatch*, or drewlnpo mer btt uHd p,ovld*d (t) 1111 h IM In. X *11 In ** lnformnlon In,,.,.,. 1 lluo"gh, on this deta*npon It lncl.,dad on uch 1hNt, and 131.. ch thHt It n.,mt,,erad and It>* n11mbttr of 1hNb 11 recorded et th* 1op of thl1 form.
. -=--** .. * ~ :. \\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by the Provisions of ASME Cod* Section XI ATTACHMENT 2 -1. Owner Virginia Power P.O. Box 26666 (Name) D1tt~~.:...CJ:....ii]_-~.l:::..~.i=..-~S?-°J1.--~~~~
2.

3.

4.

s.

6.
CAOOrna) Plant Surry Power Station (N~ P.O. Box 315 Surry. VA 23883 .(AOOrau) Work Performed by_V~A....._..__.PO......,yLL{e...._r ________ _ Sheft~~...... ~~-Of~------------ 38DDD 7 ~ '-\\ q S" cWR '?Cl-LB (Name) --Same . Repair Organizalion P.O No~ Job No~ etc. CAOclraal* Identification of Synem MP.I._, fa;:DWA'JER $\\/STE"M (a) Applicable Construction Code B31-1 19 67 Editlon,..,_f~.._A,..._ ___ Addenda, Code Cases _..,_N.::.A.,__ __ _ (b) Applicable Edition of Section XI Utilized for Repair1 or Replacement& - 19..BD, wan Addenda, Code Cases_...N... A.._ __ _ Identification of Componenu Repaired or Replaced, and Replacement Components Name of Component Name of Mfr. Mfrs. Ser. No. -Nat'I. Bd. No. CRN No. Other Identi-fication v.., aunt
Repaired, Replectd.
or Replacement ASME Code Stamped (Yes or Nol
7.
Description of Work........al-j'---"'C.:....:..-=-~:<-"'-"'..1.--__,t.::::1.1~~:....:,0:,,:V_,T..;c-,.__R=E:....:fL,..Pi.,_,l.. =..........1........1.:....,:.:l=&=u=-.)~*~R..,,ca..;d:.v:..:.c.~r~/...:.'f..:1.t..1,:..,"~~~J/f.1:.:l:!L..C..:L.5.<~<-a.- . 8. Tens Conducted: Other 0
9.
Remarks ,tJ/11 J Jr:). 7'!.S- .12e. vtl~ y. /} ~sy It: Jot'a' /J.J-V-2. CERTIFICATE OF CO~LIANCE We certify that the n1temenu made In this report art correct and this _#/).&rt11'()1f'J-./ t ASME Code./) ftr;pa;ro,replacemenQ Signed -~ C~4/ ISI
r

::_-/ lS (Owner or Ow I Oesi;neel Tn~
(DIii) r conforms to Section XI of the &4 ,19 _ _..:...._ CERTIFICATE OF INSPECTION I. the undersigned, holding a valid commission iuurd by the National Board of Boiler and Pressurw Vessel Inspectors ind the St1te or Province of, _ __._V,_A._. *.._ ________, employrd by_.,_,_.,<-W-......,......___....,_. __________ ~------Of \\ l'-\\eov demibed in this Report on 7 ---j/. 19.fl IRepa, s) or ~eplacemern(sll _._.H_a..... r... t.... f~o.... r...,d_, _C.>W..T_... __ have inspKted the and nate that to the ben of my knowledge and belief, this repair or replacement hl!I been connructed in accordance with Section XI of the ASME Code. By signing this certificatr, neither the Inspector nor his lmployer makes any warranty, uprened or implied, concern-ing the repair or replacement described in this Report. Furthermore, neither the Inspector nor his e~ployer shell be liable in any manner forany personal injury Ornroperty d11~ nr I lo_pf any )..jnd }{ising from or connKted with this Jm;pectt7; Om 7--) f - ";f I ~~ 1
u-,.h:)6...__ Commissions
,t/:!3 7 ll ij ? J* tL ~ 4: 3 llns~u,,, (Slale or Prt,.,ncc. Nahonal Boat1') on: Supplemental 1h"n In form of 11,u. a ketch*, or drawlnpa may be uud provided (1) 1111 11 BK In. X 11 In., 121 _ Information In hwms 1 throu;h, on thl1 data report 11 Included on uch 1hNt, and (31 each 1hHt 11 numbered 1nd tt>* number of 1hNb 11 recorded nth* toP of thl1 form.
\\ ,,.~ "'I FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT /u Required by the Provisions of ASME Code Section XI Owner Vi rgi ni a Power (Name) P.O. Box 26666
2.
CAOOrna) Plant Surry Power Station (N-1 P.O. Box 315 Surry. VA 23883
3.
.(AOC1reu1 Work Periormed by_V.._.A......... _._t'... co""w.... e .... r ________ _ ~aine) ... Same ATTACHMENT 2
5.
CAOClrall 'Identification of Synem M i:\\\\N f FEJI wl'[R $Yrn,.1Y) ltl Applicable Constn.ictiori Code B31-1 19 67 Edition,.:..1~:.:..A::-.. ___ Addenda, Code Cases -..:..Na:..A.,__ __ _ (b) Applicable Edition of Section XI Utilized for RepaiB or Replacements - 19...80, WBQ Addenda, Code Cases ~N~A....... __ _
6.
Identification of Componenu Repai~d or Replaced, and Replacement Components Name of Component Name of Mfr. Mfrs. Ser. No.
Nat'I.
Bd. No. CRN No. Other Identi-fication YHr aunt
Repaired, Repleced.
or Replacement ASME Code Stamped (Yes or Nol . /\\Jo /Jo . / If 1'E 70° Ei&ue.,
7.
Description of Work.t.l..!.Y.;.'.!..::IJ=~)~-;;.u.L......~...;._~:.t.....1!::L.....i....;.;.:.~=a!:::.-==~:..c....,::..:..1~.;....::........:.::....1ua..::..;.y_"'--=~..;;..'-"'.1.L...::?.-....=:.....:....;....11..t.:...:::.......rvr~r1 /A~)
8.
Tens Conducted: Hydrosutic 1B Pressure /!, 73 psi
9.
Remarks /7;A St./~?,,.,.J I-Mr!) JH:) er* -<..l..0 CAP!)l~~nutacturet'aDa1aRe;,on11obeallach9dl /pi~.,I 1;?.tJ(}(./J a ::Z:VY r:J//J()L-CERTIFICATE OF COMPLIANCE ~6~
~~'::" ~"m;~u made In this repon are correct and this_-'-="f'-""c,'"'::-=*r"'"o,""'r""ep1a;.;o._ce1...m-,..-lll!----COnform1 to Section XI of the
-- Signed ~ T 6 ~,,::./;__ ____ _...,r~s..... r ____ '\\-l,!/'-'q"'-'=£.'-7-v'-"'2..~5'.---* 19 ~ Cow,,., orOwner: siQ,...I TIiie (l)at*I / CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressunt Vessel Inspectors and the State or Province of __ V._.A
-.LL.,.j""'--......._,......__....l,L.o _____________...,,......,..... __ of
_,_.H-a..... r..,t.... f~o...... r... ct........... c ... T .......__have inspected the _:;!:'.l[Lk~~=:::J...--described in this Repor1 on _____ 7....__-...... 3..... /_, 19...d jRe
'11) or ~e:,l1cemen1(1l1 and 111,e that 10 the ben of my knowledge and belief, this repair or replacement h111 been connructed in accordance with Section XI of the ASME Code. Bv signing this certificate, neither the Inspector nor his t!mployer makes any warranty, expressed or implied, concern-ing the repair or rephicement described in this Repon. Funhermore; neither th_e Inspector nor his employer 1h1II be liable in 1ny manner for any personal inj_ury or propeny da~~y Jr-lt.3d 11Jfjn11 from or conne<:ted wit'h this lnspecti~ r((
Om 7.-.. :3 /,...,?f ~c:J * ~ Commiuions /IJ (J 1do 1 ~ 1L 3 flnSt,KIC)I) ~ fSt11e 01 Pn,,,1nCI, Nahonal llolrd) o,w: Suppl1m1ni.l 1h"n In form of lln~. *kuch*, or dnwlnpo mey be u11d provided (111lz1 l1 BM In. X 11 In., (2) lnformulon In h*m1 1 through 4 on thl1 data npon 11 Included on.. ch *h-1, and (3).. ch ehNt 11 numbered and 11\\a number of ehNte 11 recorded at th* tOP of 1h11 form.
. -:~* \\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Codt Section XI Owner Vi rgi ni a Power P. 0. Box 26666 (Name)
2.
(AOOrna)
Plant Surry Power Station (NameJ P.O. Box 315 Surry, VA 23883 .(AOOl'IIU) Work Performed t,y_V.,.,.8......,~1-'-CO... w .... e... r ________ _
3.
(Name) --Same I\\,,. (AOOraaj 38000 755 11 £1.,,.}K '6"~- /31 ATTACHMENT 2
4.
Identification of Synem l'IPIIN fE"Ei>Wr.iTE.it SVSlf)b
5.

11) Applicable Construction Code 831-1 19 67 Edition,.... H
.... A.__ ___ Addenda, Code Cases _..:.N.::.A.,__ __ _ lb) Applicable Edition of See1ion XI Utilized for Repairs or Replacements - 19..80, WRQ Addenda, Codt Cases_..N.._A...._ __ _
6.
Identification of Componenu Repaind or Replaced, and Replac-ement Components Na~eof Name of Mfrs. Ser.
Nat'I.
CRN Other v.. r Repaired,, ASME Codt Stamped (Yes or Nol Component Mfr. No. Bd. No. ldenti-aunt Replec;ed,,
7.
a:
9.
No. fication or Replacement 11 Description of Work 14 - Cur o"tzt{!~/,JJ > ~u:.. Tens Conducted: Hydrostatic lBJ Pneumatic O Nominal Operating Pressurt O Othtr 0 Pressure /37.S psi Test Temp.-1..!f_ *F Remarks f>;/JJNl, f}#D l:t{ldW RJVJJJ) 1/NlJ<:;7\\ Po,!::I- ~1;).'71.(5(' krf..ce/ j!P(f ~er y 16 7firY jApplical)lf tunulac1uref"a Da11 Re;;,on1 to be 1111~ @II.. f?.?- 13 3 p 3 _ (,.) ¢.._. ------ CERTIFICATE OF COMPLIANCE ~=MceEn~ify th.a. h_/e nate~menu made In this report are correct and this,---~"-"'-ll __ \\o"""".,,c;:..,s:--.10'.:l"'-"f>_,tJc:i\\'--=---=nforms to Section XI of the c,e.Wr 01111)11:emenQ Signed -ISI va.. yz'i' ,19,_,.~:...-.J9._ io.,;.;~ Tnie eoa<,1 CERTIFICATE OF INSPECTION I, the undersigned. holding a valid commission issued by the National Board of Boiler and Pressurw Vessel Inspectors and the State or Province of, __ v .... A ........ --------. employed by HS B. I& I co
of
__...H... a.... r_,t... f..,o.._ri..;d~,-C..,_T_,, __ have. inspe<:ted the °¥-e.~ e.. \\V)C.... -\\' described in this Repor1 on ----1-*-_.....3... { __. 19fi fRep~rjs) or ~e;,11cemen1(11l ind state that to the ben of my knowledge and belief, this repair or replacement hes been connructed in accordance with Section XI of the ASME Co~. By signing this cer1ificate, neither the lmpector nor his t!mployer makes any warranty, e:icpressed or implied, concern-ing the repair or replecement described in this Repor1. Funh~rmore, neither the ln'?ector nor his employer shall be liable in any manner for any pell':al injury or property d~'_ftf a'),")ki~ arising from or connected with this inspection. Om 7 j / - J'l ~ f.: ~ Commiuions I,) f37D O Cf,- (/(1 s: lf3 (lnspe,c1ot) C51111 of~1nc1. National 8oArG) on: Supplemanul 1hNn In 'form of llns, tkuch*, or drewlni;a may be UHd provided (11 alH la BM In. X 11 In.,
12) Information In h*mt 1 throu9h, on thla data repon It Included on.. ch ah-1, and (31 Heh thHt It numbered and th* number of ahNb h recorded 11 th* top of thl* form.
FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME°NT As Required by the Provisions of ASME Code Section XI ATTACHMENT 11 ~- Own~ Virginia Power P.O. Box 26666 (Name) Date~-*;;::'--,'~'--2--£3:::...<;~'---'.{fc.....,C!'---~~- ---...__---of ___......_ ____ _ (Address)
2.
Plant
S11rry Power Station P.O. Box 315 1~ry, VA 23883 (Address)
3.
Work Performed by _ _.V... A...._...,_P... o... w.i;;e;,,&.r _______ _ .... Samt 1111191 38000 / 2.-b-z. 4-Repair Organizalicn P.O No., Job No~ etc. '4.
5.
Identification of System~-,....'-"""----------------'-------------------- (al Applicable Construction Code B 31-1 19 6 7 Edition,-..,N""A,..__ ___ Addenda, Code Cases -~N-A~---
6.
(b) Applicable Edition of Section XI Utilized for Repairi or Replacements - 19.80, wao Addenda, Code Cases _N ........ A~--,--- ldentification of Components *Repaired or Replaced, and Replacement Components Name of Name of Mfrs. Ser. -N1t'I. CAN Other Year Repaired. ASME Code Component Mfr. No. Bd. No. ldenti* aunt
Replaced, Stamped No.
fication or (Yes or No) Replacement. vALvc Fl}rle!Z /'10JJcL ~§10 ,Jl, pk, .2-cc--rv ..2oqA ,() //). Reol cl.C'.PmPnt /10 I
7.
DeScriptionofWork /?13-Pl./lCe )JA:,!.J/E g-cc-e:zDq;:/ WJlY Rf)lc&- /-!OYCL-zp..>/0 El. Tests Conducted: Hydr~static ~ Pneumatic O Nominal Operating P~essure O Other 0 ft-- //J.G J3 Pressure /'-J-psi TestTemp.~*F fJ:,/g_1t:1r
9.
Remarks PO JJ(!, S ~ Y I 2 Z Z:$:Q.- -/
(Applie&ble. Manulaclurer's Data Repons to be anached). CERTIFICATE OF COMPLIANCE We cenify that t?ltements made In this repon are correct end this_.... R... e+pulua...... c.. e"'m""ea.n.... t------COnforms to Section XI of the ASME Code.
)bl. ~~
(repairo, replacernenl) SiQned
~
lSI <.~ J:;µ ,19.d (Owner or Owner's signee) THle (Date) T CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel lnspeciors and the State or Pro~ince of __ V......,A~---------, employed by HSR" T~ T ca of -1::1.ar_tfoJ~d' CT. have inspected tlie Rep] acement described iri this Repon on _____ ]_.._-_3._.,{_, 19.£1 IRepairts) or f:!eplacement(s)I and state that \\O the best of my knowledge and belief, this repair or'replacement has been connructed in accordance with Section XI of . the ASME Code. By signing this cenific:ate, neither the Inspector nor his employer makes any warranty, exprened or implied. concern-ing the repair or replacement described in this Report. Furthermore, neither the Inspector nor his employer shell be liable in any manner _for any personal iniu_rv.or property d/i r ayu f any kind arising from or connected with this inspection. Date 7-3 / -r~ Commiuions /J{J 7tJd 9 (/a_ Sil 3 (Inspector) (Stale or Province. National lkar1Sl Nott: Supplemental 1hNt1 In form of llsts, sketches, or dr11wlnp1 may be UHd provided (1) sin 11 8~ In. X 11 In., (2) Information In h*ms 1 through 4 on this data r*Pon la lncl..;d*d on och 1hN1t, and (31 each shHt 11 numt>.red and th* number of ahMb 11 record*d at th* top of this form.
ATTACHMENT 2 ,,~... \\ FORM NIS*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT. AJ Required by the P,ori1ion1 of ASME Code Section XI Ownff Virginia Power P.O. Box 26666 )/31/tcr o,,._~~~~---~~~~---~~ Shfft __.__ ___ of_~__..___~~-
2.
IAGClrnaJ ,1an1 Surry Power Station . Unlt ___ J_ ______________ _ ~.,.,.. P. o. Box 315 s u rry
VA 23883 38000 lf 11'1 I
3.
Work Performed b'(_Y,..A~,........ Sie ......_..j!...._ _______ _ CN-i ... same 4,
5.
Identification of Synem C,lOO,alj St:1v1.d Wq 1~ Ca) Applic1bl, Censtructlon Code 831-1 111 67 Edition, HA
Addenda, Code Case, _.... N
... A..__ __ _ Cbl Applic1bl1 Edition of S1e1ion XI Utilized for Repain or Replac1m1nu - 11..80, WBQ Addtnda, Code C.stt_...N.._A.__ __ _ I. Identification of Cemponents Repairtd or Replaced, and Repl_ac:emenrComponenta Name of Name of Mfn. Ser.
Nat'I.
CAN Other Y11r Repairad,, ASME Codi Comoontnt Mfr. No. Bd. No. ldentJ. iulh
Replectef.
Stamped No. ric,tion or (Yes or Nol Replacement Yp) °"'Y -l-. ~1$ 01550 JJJA .J\\/IA 12.....sw~17c ));,A-, fi..pf }ic. u1 /VD f r:S.J,.bM. JJ-,, f ,l, c"f ':)?5'$ ()g.-7 fa'IA
..1-
~() e .AA..~- Tu,. Lk.\\v e pat: Ptov.,~n
2. 0.S. f/7-17 O I CfbEl..l,5

J)-J.~
r~; k"'" ~11/~D<f b \\JI V ~--. 'i\\l) '1" \\V CERTIFICATE OF COMPLIANCE
~~~~/1 na~~nu made In this repon are correct 1nd thls __
'f'_f=-erF *...;.!~-=l~..;;.o,.:..,.=-!:'-:af_" ___ nO ___ conform1 to Section XI of the Signed W-K---AL <' ISI ~..vG 5'.s:>r. C , 11 Y,f eo-- or 0w,..r ,,o,...I TIit:
(0&1*1 /
CERTIFICATE OF INSPECTION I, the undersigned, holdi119 1 valid commission iuued by tht National Board of Boiler end Pressura Vessel Inspectors ind the State or Province of _ _.V..... A ........__ _______, employed bv HSB* I&I CO. of ....... H-a.... r..... t... f...,o~r... d ....., _..C.... T-&, __ h,ve inspected the re.,O J4 c e,,.__ ti\\, T demibtd in this Report on IRepa,1i11 o, ~,:,1"eme111(1I
CJ-<,19.Yl ind na1e that 10 thr btn of my knowledge and belief, thi1 repair or replacement h11 been connructed in acc:ordance with Section XI.of the ASME Code. By 1i;nin9 this certificate, neither the Inspector nor his lmployer,;..,krs any warranty, expressed or implied. concerr.-
ing the repair or replacement described-in thi1 Report. Furthennort, neiiher the Inspector nor his employer 1h1ll be liable in any manner for any penonal i~ury or propeny d~? a~i1in11 from or connected with 1hi1 lnsptlJion. 01t1 q_ 5 8'.'f ~b ~ Commiuions .W Joo 1 0.. 5":lf) (lnsPK1ot) (S1a11 or P,i,,,,nc1. Na1,ona1 aoa,o n: Supplem.eni.1 1hNt'I In form of 11,u, tketch*, or drawlni;a mer be UHd provided (1) 1111 h '" In. X 11 In ** Jnformallon In 1nm, 1 1hrougfl
on 1h11 due repor,i 11 lnch.ieled on uch 1hN1, end 13)..,,. 1hN1 i1 n11mber1d 1nd Iha number of 11\\Nb 11 **corded at th* 1op of '1h11 form.
. -=-~* FORM NIS-2 OWNER'S REPORT OF REPAIR OA REPLACEME.NT AJ Required by the Provisions of ASME Codt Section XI Owner Virginia Power Date Q ] 8' CJ P.O. Box 26666 jAOdrna) Plant Surry Power Station
2.
(Name) P.O. Box 315 Surry, VA 23883 ATTACHMENT 2
3.
Work Performed by VA I ~v,et ~BAA:O: ])c p ~ ~o L. c-(Name).
iip.;r Or;aniution P.O No~ Job No~ etc.
~ame
4.

5.
ldentlficatio~ of Synem '.Reci (tllt°t~ S~-r-c,.y Svdr,., C::a-:iOIJ. ) (1) Applicable Construction Code B 31-1 19 6 7 Edition,.:..14::..A,__ ___ Addenda, Code Cases _.... N .... A.,__ __ _ lb) Applicable Edition of Section XI Utilized for Repain or Replacements - 19..80, wan Addenda, Codt Case1....... N .... A.__ __ _
6.
Identification of Componenu Repaired or Reple~d. and Repla~ment Components Name of Nime.of Mfrs. Ser.
Nat'l.
CRN Other v.. r Repaired,. ASME Code Component Mfr. No. Bd. No. ldenti-Bunt
Repleced, Stamped No.
fication or (Yes or Nol Replacement r;/WL /Jirco '"~..,*"flHtl+"- ~I!,'> I"" flJ* /0/- ll"l Pr>/) k:.r ~ c!.- !;"/\\. p..la_ ~ ,,.,<<_ In--"" 7.,-/J:J "/Vb ~ ro"- ~J- /of-/.[) I fll)J.,t',,t;) ~ - fl-c/1-,,?Ctf/ /O"'- Ir!! * /CJ7 -f,i, - /A/l)
7.

8.
Description of Work (\\,\\0S)\\F18D ('.)(l\\(.\\i.ll\\-1., Pip,1-:ll jt> fe,s.,iLi rA1l!" Tc.'Yl1r?01f1Mf ~'> b~"'P uf (;ii\\. ~(()LI re--sJ}Nb Tens Conducted: Hydrostatic B"" Pneumatic O Nominal Operating Pressur9 0 Other 0
9.
Pressu~ fl O PJI Test Temp.~dJ'w*f -t;/:- Remar1ts/O i e.. ~OO>-'d- ,J ., ::n .S.;r Sc.l/'-/0 F~r..fis c),-JJ),;Y\\ Po S.SY ~ /7Jl. 7r. IAl)!)I~ Manutactu,et'a OA1a Fle:,on110 be attached) CERTIFICATE OF COMPLIANCE W "f j>~;:::,,:.,#C~/tt&'V r ~~~~e nat~emenu made In this repon are correct and this,_~_......c.(r:::,pa,=*,'-o,=re.:::l>lil=c:ementJ=~---=nform1 to Section XI of the Signed ~ ff ISI 07~ J( --,r'7 -, 19 f i ~;:~ Tn1e (tla1e1 CERTIFICATE OF INSPECTION I, the undersigned, holding I v1lid commission issued by the National Board of Boiler and Pressur9 Vessel Inspectors and the State or Province of, __ V ... A ,_J.JHL...Su.B1... 0 ... Iu.&a..I1-...1G...iD.,_._. ----------------Of ...,_H.... a... r.... t....._f... ac.i.r.,,d..,,a.......cC,.,_T_.__... __ h11ve inspected the-c...i.:.~.:!!dl=~~=:.......--described in this Repon on _____ 7~* _-__!::3'-/-/-, 19 f7 IRe 1r(s) o, ~e;>l1cemen1(1D ) and nate that to the ben of my knowledge and belief, this repair or replacement has been connructed in accordance with Section XI of the ASME Code. Bv signing this cenificate, neither the Inspector nor his l!mployer makes any warranty, expressed or implied, concerl)o ing the repair or replecement described in this Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any_ personal inj~ry or propeny dh".':? o~sypf any kind arising from or connected with this inspection. :!* _ Om 7-3 / ~ 1 ts-4 Ll'-d&-,-. Commissions ju 13 7n O 9,... {L ~ 0 t/ 3 (lnspe,c10fl (S1a1e o, """'*nee. Nahonal 6oa,u) on: Supplemental 1h*na In form of lln1, 1ketcha, or drawlnpa may be uHd provided (11 alze 11 BK In. X 11 In., 121 Information In hem1 1 throueh 4 on thla data rapor, 11 Included on.. ch 1hNt, and (3).. ch thNt 11 numbered and lh* nun:,ber of thMb 11 racorded at the top of thl1 form.
(If) __ (y) \\ FORM NIS*2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Prori1ion1 of ASME Code Sec1ion XI ATTACHMENT 2 Owner Yicgi ni a Power P.O. Box 26666 D1tt~~--'--~-~----~-Cj~~~ Shfft _ __. ____ of __ __.. ____ _
2.
IMCl*n&I ,1,n1 Surry Power Station ,.~ Unh ____ :t_.__'v\\J _____ C)~--------~--------~
3.
P.O. Box 315 Surry, VA 23883 Work Performed t,y_V... A ......,..Sre ... r~------- CN-i ""Same 38QQQ 7797]
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1dent1fic1tion otsrn,m cw-, d em :-r;,-1,,J U lv.c:x C\\\\l)\\, i,. f fa) Applicable ConatNcilon Code B31-l 19b7 Editlon,.,.H:::..A,_ ___ Addtnda, Code Case1 _... N""'A __ _ Cb) Applicable Edition of StC'tion XI Utilized for Repain or Aeplacam1nt1 -,,..BO. wan Addtnc:11, Cod, C.set-H.... A ___ _ I. Identification of Comp0nenu Repai1Td or Repl1ced, ind Aepl1C"1men1 Components N1meof Nam, of Mfn.Ser. -N1t1. CAN Other v *.,
Rep1irtd, ASME Code Co"'Oontnt Mfr.
No. Bd. No. ldentJ. i1111t
RepllCtd, Stamped No.
ric,tion OI (Yn or No) Repl1e1men1 At"SiVt P\\
t1-..,,\\W~
3?r~ )..5 be Nl/t- /J/A- 'J--o{-~-)... NIA-QpJiticeA A/D <..nc l;-.,.,1-1,~J NIA.ts t\\.....),vo,.,.{
/)S1n5o i
-1 J_ ~ 'J .J C,oe c....,_1\\11$
1.,.
Description of Wo,t __ e_:2_;g.... £ __ Sl\\., ___ )..... 5_._( __ ;J, __..., __ n _______________ _ Tem*Conducted: Hydro1u1ic O ,newmatic O Nominal Operating Pr.s1u,w O Other 0 ,111sur11_* ___ psi Ten Temp._ *f I. Remaru _______.,,..._-,,-------------------------------- ~ic.allll MA""'Klur.,-, Olia "-:ion* 10 be ~ CERTIFICATE OF COMPLl,t.NCE Wt certifr 1h11 th1 n111menu made In this report~" correct and 1hls ' f'o/,/qc-1.tv-.1A., t ASME Code. ~~~ IPMOIII~ Signed ~IL.:_&~ ISI &6. // io,.,,,.
0.1io-l TIii
!Dat*I conform* to Section XI of the .,, rP? CERTIFICATE OF INSPECTION I. the undersigned, holdi119 a valid commission iuutd by the National loard of Boller and Preu11rt Vessel lnspec1on ind tht Srati or Provinceof VA, .,mp oytd ~ use* I &I co, of f-1/.,,lj ..... H... a.._r... t.... f.Mo'-Lr~di.a,~CuT......___hav1 inspected lhe /tC ~~ dtscri~ in thil Rtpot1 Oft (Re 1,1'{1)0, ~:i**cementlll ind na,e 1h11 10 tht but of my knowledge ind belief, 1his repair or repl1cemen1 his been connrucled in accordan" with Section XI of the ASME Code. Bl' 1ipni119 thi1 cenificltt, neither the lftlpector nor his 4mployer makes any w1rr1n1Y, uprtned or implied, concer..- ing the repair or repl1eemen1 descri~d in this Repon. Funhennore, neither tht Inspector nor his emplol'tr shall be li1blt in anr manner for 1ny personal injury or proper,"~~~~ irising from or connected with thi1 lnc>tctiO,. _ Datt g ---II - s ~ ~J..~ Commi11ion1 JI{! ?l)a:I 1/4. ~ 'f 2 (lr,1~10fl 151111 dP'roi,,rte1. NP1,or,al ao.,G) NoN: Supplemental 1h*n* In form of lieu, 1h1ch*, or drawln1,11 may be 11eed p,o.. lded (111111 h IIM If\\. X 11 lft.,
2) lnforn,etlon In 1'9rn1 1 1hrovgtl 4 on thh Cleta repor, 11 lftclvded on..,,. '""'* end (3) Heh 1hNt l1 nwmber*d nd.,_. """'be' of 1hMta 11 racorded at tha IOP of 'Shi* form.
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ATTACHMENT 2 \\ FORM NIS-2 OWNER'S REPORT Of REPAIR OR REPLACEME.NT AJ Required by the Provisions of ASME Code Section XI Owner Vi rgi ni a Pawer P.0. Box 26666 jAOdrna) Plant Surry Pawer Station (Hamel P.O. Box 315 Surry, VA 23883 .{AOOrau) Work Performed by __ V,..A....... _PO_k~l-e~r ________ _ --same (NAmll /? jAOdral) /1 D1ie--"-sr'.....,.,;'.__./.....,~'-"~'--";j""'--'-'7~~~~~ ShNl __..._ ___ of ________ _ Repair OrganlUlion P.O.No~.Job No~ ete.. Identification of Synem Lo".'$&'11!.r/i:W.,... (_c)f2L/,cJt{ la) Applic:1ble Construction Code B 31-1 19 6 7 Edition,... H __ A,__ ___ Addenda, Code Cases _ _...N __ A _____ _ lb) Applicabl1 Edition of See1ion XI Utilized for Repain or Replacements - 19..80, WSQ Addenda, Codt Cases.....,N.... A~--- ldentification of Componenu Repaired or Replaced, and Replacement Componenu Namtof Component Name of Mfr *. Mfrs. Ser. No. -Nat'I, Bd. No. CRN No. Other ldentJ. fic1tion v.. r aunt
Repaired, Replaced.
or Replacement ASME Code ~tamped 11 or Not
7.

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Description of Work ",.,e,.-?r'r Al n
C"t.,s.,..,.~
Tens Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure Other 0 Pressure #t:>i> psi Ten Temp: tf/07" *F Remarks ,v,)>,t; ?o d3.s-.2.J?fi,¢-.1 h4~~ #!' CfVt'IJ'j'.2.,r.p-;46 jApplic.ablt Manutac:1uref'a Da11 ~;:,ona 10 be aftach<<2j I CERTIFICATE Of COMPLIANCE =~~~~*t;.-,e~e4 mad~e In this repon.*re correct and th.is--..::a~~~..,,f._pa,,,1"',;-"-r<g,"'C 1 e""~""&-""ume!IQ""~'"P::a..,r"'--__ confonns to Section XI of the Signed 2?f/. L c><<?,,
ISI
/-fuo,, If , 19 ff9 Cow,,.. or Owner's Doig THle (Da1e1 CERTIFICATE OF INSPECTION I. the undersigned, ho.lding a valid commission issued by the National Board of Boiler 1nd Pressure Vessel Inspectors ind the State or Province of VA, , employed by_*._.H..,.S"'B'-"_.I... &..,I..__,C..,O......_, ----------------Of Hartford. CT I have ins.peeled the Rej\\ lace Meu+/- ducri~d in this Repon on g,_ 3-S-.,sn jReP'a,,ts) 0t ~e;,11cemen1(1l1 and state that 10 the ben of my knowlrdge and belief, this repair or replacement hes been connructed in accordance with Section XI of the ASME Code. By signing this certificate. neither the Inspector nor his ll!mployer makes any warranty, expressed or implied, concer~ ing the repair or replacement described.in this Report. Furthermore, neither the lns.pec:tor nor his employer shill~ liable in any manner for any persona!._injury or propeny d~ ~r ~lJ>f:: ~i~rising from or connected with this lnsptC,}ion. 011e !f-~!)-8'j
~!h: ~
Commiuions AJ07oo9 (/ct. 5""t..jJ (lnspe,c10t). (S111e or Pro,,,nc;e, N11ion11 ~ Non: Supplomonul sh"" In form of.llns, 1k11cha, or dr1wln1,11 may be uHd provided 111 tlzt 11 B.M In. X 11 In.,
12) lnformulon In h*mt 1 through, on thla data rapon h Included on.. ch 1hNt, and (3).. ch 1hHt 11 numbered and tt,1 number of thNb 11 r1cord*d at th* toP of ihl1 form.
FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the Provisions of ASME Cod, Section XI
ATTACHMENT 2 Owner Yirgi nj a Power P.O. Box 26666 Sh..-t~__.,__ ____ ~of~----~~~--~
2.
lo'OO*nll P11n1 Surry Power Station ~.,,... Unh ___ =t:-1--~---\\)~----~----------------------~
l.
P.O. Box 315 Surry. YA 23883 Work Perf ormtd 11r.... Y ... A ......__~.__u.oo 111 ... r ______________ _ 38000 7 '8" J S cf CN-i ... same
4.
I. Identification of Srn1m ~,alj Re 'l.C-~r C Oc Isa t
11) Applic1blt Constn,ctlon Code 831-1 11 67 Edition,_._U __ A _______ Addendl, Code Cata ___
N__.A _____ _ (bl Applicable Edition of Section XI Utilized for Rei,1ir, or Replacern,nu - 11..BO. wan Addtnd1, Cod, ea.... _....[:J.... A ______ _ Identification of Compenents Rep1irrd or Repl1~d. and Repl1C'tm1nt Compon1n11 Name of Namt of Mfn.Str. -Nat1. CAN Other Year
Rep1irad, ASME Codi Co"'C>ontnt Mfr.
No. Bd. No. ldentl-liunt
R1pl1Ctd, Stamped No.
f"ic1tion or (Y11 or Nol Replacemtnt >; "5il.\\ PS /-1..,_,/w<"- '.) 7[(8' :;L 'I b () ;U/A-Al/A l.~'i=i:.::-1 L JJ/A /).__t'// lcz C r' o1 A/0 S.t>e,.._ Ii., t".5 >s_ )JvtTS ~q,..J '"""' JrJ...s"1-io.l Q).. o Ill f'!Cl J; J, iJ,, J
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.J.; Description of Work D:sc.i,,,,11ni (C ff~ r ! /}h.,;,\\<>tf £v"'t~+-<, t--f'Ot\\ i'r&1.s r-ec... 1. -;,,) h-.,-cot11t't'c, I. Tlfl1 Condue,td: Hydrostatic 0 Pneumatic 0 Nomin,1 Oper1tin11 Prn111rw (a' '0tt1er 0 (l Pnuun flo,> psi T1nTemp.~*F ).:' l'o-,. {)S {) -tr -1/ "i A1marla _____ ~~--:---..,,.----.....,;<...__J_. '-'-11'-----'r.... b ____ d--_1_7_0_~ ____ _ !APPi~.i.11Utactwrlf'1 Daia "a:,on110 be at~ )_; /r _;tJ '-\\ 1 J p O $-J.- \\J'? } S 8 CERTIFICATE OF COMPLIANCE We certify th,1 th, n11emcnu made In thil repor, are corr1ct and thil _____ r,._e"'"o... /...,.t{_c_~ __ et)......,_t ____ conform1 to Section XI of \\he ASME Code. tepa/, 0t 1ap1a~. Si9ftld _____________________.......,....._ _______________, 11--- to-- or 0-.t"I De*,p-J TIiie (t)At*I CERTIFICATE OF INSPECTION I, tht undmigned, holding a v1lid commission iuued by the N1tlo1111I Bo,rd of Boiler and Preuurw Vessel lnsi,ector1 and tht Sratt or Provincuf VA, , employed br HS8° I &I CO, of Hartford. CT. have insptcttd the fe 0/tj C ~ VI, r ducri~ in thil Report Oft g.. ; s:. 19.K.1 jRlpe,1111 o,,;;,11ceme111(1I and 11111 that to tht btn of my knowledge ind belief, this repair or replacement hll been connrvc1ed in 1ccc,d1nct with Section XI of the ASME Code. Br aipning thi1 nnifiutt, neither the Inspector nor his implorer m1kr1 any warranty, u:prened or implied, concern-ing the repair or replacement described in this Repon. Funhumort, neither the Inspector nor hit employer 1h1II be liable in 1nr manner for any per1on1l~jury or property d~°'bof~r ~nd arising from or connected with this lnc,t:Of\\. 0111 f?-(::, ~g'CJ ~.-4 ...! ~ Commiuion1 /)J8"Jao1 f!p.~7/j fl"IPKlot) C5te1a f/d Prc,.,,,ce. N*1,onel 9oAIIII Non: S11pplemeni.l ah"" In form o*f 1h11, tkelch*, or dr*wln;a rn*v be u,ed provided (t> alH h IIK II\\. X 11 II\\., lnformellon In,._,,., t thro11vi, on thl1 due repoi, 11 lr,cluded on..,h ahNt, *"" Ill.. ch *hNt la r,11rnbered d lh* number of lhNb 11 recorded at th* top of thla form.
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\\ FORM N1S*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT AJ Required by tht Prorision, of ASME Code Section XI Own" Virginia Power P.O. Box 26666 IA,Clclrn&j "an1 Surry Power Station ~~ P.O. Box 315 Surry, YA 23883 Work r,tformtd t,y_V.... A .........,.....Sie ........ -.t__,~------ CH-i --Same 38000 '2'1 t 'l ( ATTACHMENT 2
4.
I. ldtndf1C1tion of Syn1m CAGO--a Serv IC f l.)q,1 V Cal Applicabl, C.On11Nctlon Code 831-1 19 67 Editiot\\,_r~"-A,__ ___ Addtrida, Code Caln ___ N ...... A __ _ Cb) Applicabll Edition of Stc:tion XI Utilized for Repairs or Replactmtntl - 19.JID. wan Addenda, Codt C.sn..... H ..... A.._ __ _ I. lderitification of Come>0ncnt1 Repaired or Replacsd, and Repl1ctmcn1 Compontnll Namtof Name of Mfrs. Ser.
Ntt1.
CAN Othff Vear Rtr>1i,.d, ASME Codi Comoonent Mfr. No. Id. No. ldtntJ. 811Dt Replaced. SufflPld No. f"ic1tion OI CYt1 or Nol Replacement /1;.!Z/bo r-c_c.,.,.,c_ ~ 381 ot,7S,
JJA-A)/Jt-1..;S- /?i;,
M'A Q t°/J fe( Cf)
,{/O I,., !)Q J)

l. / 11.
/ll\\PlNG G'"';:,o., J;"c. ' 36.55).f,5 })JA viii.A-J.; Al/A Apnla[~o{ /Jo
1.
I. DncriptiOft of Worll:_...... _,....... ~~-*-e ___ (J,_"'-__ d~f7,...,_tl._,"...,~,,,_..J ________ -=----=---------- Ttm ConduC'ltd: Prieumatic O Nomil\\ll Ocitra1in9 Prn1ure O Other 0 I. TenTemp~ flltmal'Q-----~---------":..;;\\.(_;:..J[3::;..l';:;.....;./V,.:=U/~f..;;.o,....# ___ J. __ /:,;a...L_f_7_4 ____ _ ~caZllt......,,act...,., £Mia "e;IO"I IO l)UI~ / 't-,,.£ LIJ O f O,.,_ 'if/ 'J -l J CERTIFICATE OF COMPLIANCE Wt certify th,t the n111mcnu madt In this report are correct 111d this-f:.......,f-1µF-)'-'q...,(_f..,M,.....,"".g""f\\_..,_t.__ ___ conform1 to Section XI of \\hi ASME Coot../}./6.
pa,,***~
SitMCI W:;1' ~, ,,A:k-;;;;; ISI ,~.,...-<1::::: p.;;;; ~De**-, TIii IDe**I ,11 Cf CERTIFICATE. OF INSPECTION I. lhct 11ridtr1ifned, holding a v1lid gommiuion iuutd by the National Board of loiltr and Pre11u1W Ven.ti lnsp<<ton and the Sratt Of Provil'ICt0f VA,
employed bv HS B

J& T CO

of Hartford I CT, have inSPtclld the f'fDlu M f/\\;t dtteribtd in this R1port Oft q-(5"', tt..li fA,pa,1'(1Jor ~:>llct-nl(al arid na11 1h11 10 1hr btn of my kno.... r,c,g, and belief, this r,pair or replacement h11 been connrvc11d In 1ccord1rict with Section XI of the ASME Codt. Bv 1iprii119 this etrtifiutt, neither the Inspector nor his lmploytr makes 1riy w1rr1nty, uprtssed or implied, conctr~
in, the repair or replactmtrit dHcrib~ in this Report. furthermore, rieither tht Inspector nor his employer 1h1II be_li1bl1 in 1riy marintr for any personal injury or propeny damq or 11011 of '-!'Y>ind ari1in9 from or connected with this lnroection. D11t q-5.. 81 ~f. ~ Commiuion1 JJ{J; 7o~~..lj4. ~"'\\j.3 pn1P1<IDl1 151111 o, l'tvw-*. Hthonal lo&i1ll ,_.on: s.,i,plemeni.l '""" lri form of l11u,,*e,ch*. or 0, *..,1,,111 m*r i:,. 1n*d p,ovld*d (tJ tin la 1>6 In. X 11 II\\.,
12) lriforn,nlori In henu I 1flro.,9'1

0111 thh Ona ui,or, 11 lricl.,d*d on uch 1hNI, and (31 **ch thN1 11 r,.,mber*d aftd 1'>* """'be' of '""ta la recorded *1 the IOP of U\\11 forfl\\o
. -~,. FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by the Provisions of ASME Code Section XI ATTACHMENT 2 Owner Vi rgi ni a Power P.0. Box 26666 D*tt~____.()......._8'°_~_2~f __ -.... 9'-__ l ______ ~ (Name) ShHt-....... ~---of __ __.~----
2.
jAOdrau) Plant Surry Power Sta ti an (Narnel P.O. Box 315 Surry, VA 23883
3.
.(ACSOraUJ Work Performed 17v_V,._.A........ __,_1-'...,co... v....,e_r.__ _______ __ (Name) 3sooo 1,,2 o3 ~ I av~ - eB 11!) . Repair OrpaniutiOn P.O No~ Joi>> No~ etc. ,same
4.

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Identification of Synem r:\\J"XI L.IA~~/(z feel:> flJMf \\:\\1;1-'t Otil... jn 5/& 1:SOLCrno.J. la) Applicable Construction Code B31-1 19 67 Edition, r~A Addenda, Code Cases _ _,_N"'-A...._ __ _ lb) Applicable Edition of Section XI Utilized for Repairs or Replacements - 19...80, WSQ Addenda, Code Caset....... N.uA.__ __ _
6.
Identification of Compcnenu Repaired or Replaced, ind Replacement Components Name of Component
7.

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Name of Mfrs. Ser. Mfr. No.
N1t'I.
CAN Oth.r Year Bd. No. ldentl-aunt No. fication CERTIFICATE OF INSPECTION Repaired. ASME Code
Repleced, Stamped or (Yea or Nol Replacement rJO I, the undersigned, holding I valid commission issued by the National Board of Boiler and Pressu111 Vessel Inspectors and the State or Province of _ _........... _________
_....u........__....,,._.__~------------------Of _H_a~r-t_f~o~r~d-* _C=T .......... __ have inspec1ed the----,=-=-----<;,-.:;.~:=.;:..:...:;.,'----,- described in this Repon on ___ 0=-_8"_-...:.2"--f __
19_?'_'i_
IRepa, sl o, ~epl1cemen1(sl) and state thll 10 1he ben of my knowledge and belief, this repair or replacement hes been connrucled in accordance with Section XI of the ASME Co~. By signing this certificate, neither the Inspector nor his l!mployer makes any warranty, e>:pressed or implied, concern-ing the repair or replecement described in this Report. Furthermore, nei1her the lns.pec1or nor his employer 1h11l be liable in any manner for any personal i~ury or property d'::io~~lon ~anx kind arising from or connected with this inspe~jo~ Om R-.1~ 8 ~ ~f. ~ Commissions JJ(J-?tJe/( f/tt>...0 '(3 (ln>PKlot) (S1a11 o, Pn:,,,,nc1. Nat,onal Boa,G) ,e: Supplomonul 1hNt'I In form of llns, 1kotchas, or drowlni;a moy t.. u.. d provld*d 111111111 BK In. X 11 In **
12) Information In lnm1 1 throuph 4 on thl1 date npor, h Included on each ahHt, and (3) ooch 1hHt la numbor*d and it>* number of lhMts la rocordod ot lh* top of lhl1 form.

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\\ FORM NIS*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT AJ Fhquired by the Prowi1ion1 of ASME Code S,c1io11 XI Owner Virginia Power P.0. Box 26666 i,t,Mrnaj
Plan, Surry Power Station e.o. Box 315 Surry, YA 23883 Wotlt P1rformtd t,,,_V... A
......,......~ ... r__,,_-,-____ _ CH~ '-Same 38000 ~ Lf l/7 0 ATTACHMENT 2
4.
I. ld1n11f"ic11ion of Srn,m ~ S ~ Di 'J /\\ i'e Jio " Cal Applic1bl, tonnNcdon Codi 831-1 19 67 E~i1ioft,.._H.._A,..._ ___ Addtnda_, Codi Cast1 _...,N... A __ _ fb) Applic1bl1 Edition of StC'lion XI U,ilind for Rep1ir1 or Aeplac1m1n11 - 11..80. wao Addenda, Code Casn..... N ... A..__ __ _ I. Identification of ComPOn1nt1 Rep1irtd or Replaced, and Replactmen1 Components Name of Name of Mfn. Ser. -N11'L CRN 0,he, Year Rep1irtd,, ASME Code Co"'Oontnt Mfr. No. Bd. No. ldtntJ. lulh R1pllCICI. S,ampad No. f"ic1tion OI (YnorNoJ Fleplacament /11. Ir
)..-Y1 -f-, a
_ _J,11..ld /1/lft
1.-s:i:-f-1B Dncription of W0tli
~ Tem Conducted: Hydron11ie 0 Pneumatic O Nomin,1 ()pcratint Pt111111'9 O,htr 0 ,.,,_lu Prusure l'i?'.l psi Ten Temp.~*~ ;{)4,"TJ P<> '1F ssr-1-2 '{ µ. <y ~~1Aa""1K1i,rat'1Da1a._.:,or,,io11u1~ SJ1,d)S Po 1i' ss y - J_ 1 'I ~r) CERTIFICATE OF COMPLIANCE
~~'::'/)a,,~~ m;~ln this r1por, art correct and thh_......... f'_(..,e,,_..... l... c.."";;-----,-.PIKM*ll!-4
___ 1 ____ conforms 10 Section XI of~ s.* wa,.,..Yz:~~-4£< zsz Od L .,, n to--*0-.,,10.1'(1 TIii IDl**I CERTIFICATE OF INSPECTION I. the und:rsipned, holcfir19 1 valid commission h1uld by the National Board of Boiler end Prn1urw Vesstl lnspec1on tnd the S11t1 0,,,ovinceof VA I
employed~ use* I & I co' of Ha rt ford I CT.
h1v1 in1,p1*md the r-ef. }q c ~ti\\. J ducribed in this Ripon OIi /{) ~ ti, 11.fl IRc **~*Jo, ~;ilac,,...111(11 1 and 11111.th11 10 the btn of my ltnowlrdvr and brlief, thia rrp1ir or r1pl1ccmen1 h11 been connn,cted in 1cc:crd1n" with Section XI of lhl ASME Code. 8y 1i;ni*ne -;his etnifiutt, neither lhe lnlPtctor nor hi1 lmployer m1ke1 any w1rr1nty, uprtned or implied, conctr~ int lht rrp1ir or rrplectmtnl d,scribtd in thi1 Rrpor,. F11nhrrmor1, neithrr thr Inspector nor his 1mplowsr 1h1II be li,ble in any rnenn,r for any Pt*1on1I inji,ry or proper,y d~~of:AY lt~d ari1in9 from or connected wilh this lnip1C1ifft-D11t /O~j.-~Cf ~~. (!>~ Commiuion1 /Jf37oc:,'7 {/a,.S'c.f3 fl"lll>O'CIO') ,Stall o, l'ft,,,oftCl.11111,onll lloenll llolotw: S.,pplemeni.l oh*n* In form of 11,u, 1k etch*, or dr*wln111 mer t,a ueed provided f U 1ln la IX In. X 11 I"-, C:IU lnfo,metJon In lnrn1 t tl\\ro"gh
on 1hh dn* r,por, la lncl.. ded on Heh 1hNt. end 131 uch ahNt la n.,mt,ered and 1"* nwrnblr of 1hNt1 11,,corded 11th* top of mla forft\\,,
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I. I. ATTACHMENT 2 \\ FORM NIH owJR'S REPORT OF REPAIR JR REPLACEMENT As Rrquirtd.. by 1he Prori1ion1 of ASME Code Section XI Ownff Virginia Power P.0. Box 26666 0,11____..1?!'*'~---~--()~--[?-_~~~~ jAOO,..., "'"' Surcy Power Station P,Alftll P.O. Box 315 Surry, YA 23883 Work P1rformtd t,,y_V.. A_....... ~ ..... -..t ________ _ -..Same p,-, ShHl------of __ _. ____ _ Unh ___ J::"'--"'1_C)~---------------------~ ldent1ric1tion of Srn1m . ~ C Hem,tt** I* u..,.J UQ /.,,r::, C o.,::l,a I faJ Applic1bl, ConnNcdon Codt 831-1 11 b Edition... r~._A.__ ____,.ddtnda, Code Ca,11 _ _.NA...._. --- (b) Applic1bl1 Edition of Section XI Utilized for Rep1i11 or F\\1plac1m1nt1 - 11..BD, wan Addenda, Code c......... [i,..A.__ __ _ Identification of ComPOn1n11 Repaind or Replaced, and Repl1cerncn1 Compc,nenta N1meof Name of Mfn.S11. -N1t'L CAN Other Year RtP1ind,, ASME Codi Conioonent Mfr. No. Id. No. ld1ntJ. lulh R1plectd. Stamped No. fic11ion or IY11orNol R1pl1e11111n1 S 1\\A.f>S r...-ot;-......1 I .'.l.l\\J~,'\\..,, S"l~~J \\:, )J/}r Ir.I/Ir J..-<.1-f -J~5 ;1)/Jt fl..-epfric,&,..i,., 1
.A/o J A)u1S c....J.._1 LJ/5'/11.qo NIA- ;v'IA
.l,..{_ij -l'LS Al/fr f<.1/J7'lc..~-v.. T /VO li,J..,.\\ h-,;. -,1,'d - - ,d.VA~-
1.
Description of Wo,k R pjJ !tt t:.. i' DJo,Ph~ / Tem Conducted: H.,dro1vtic O 1Pneumatic 0 N~mi I Operati ~ nt Pre11u,. 19" Other a Prwssurw.,C..,()f psi Ten T1rn$1.~ *, Rem,ks _____ ~~-----------s .... :0 .... 111..... P s.... P __ o_n._c_:.s_Y_-_)-._).._D_'I_S_'.3 ____ _ ~ic.uit.c.~ac1.,,.,.,o.1a11.t~,ioi:.--. /J-4, ts f'D.a: CS Y - J.)..o "f.5 J tfif)f'ltr/b'h,d C.JV - J,2.2..Jt..J I CERTIFICATE OF COMPt,IANCE . Wt cenlf'I' 1h11 thr nattrnenu made In this repor, ~re correct Ind this rrp ~ t 'fJV\\. 'f (\\ t-. ASM£~ ~
PM0t**~
s;,nec1~,~ ~~ ISI Q.v:; l--, P,. ar Owftill"a De T111 ll)at*I conforms to Section XI of IN ,, rr CERTIFICATE OF INSPECTION I. Utt undersifned, holdir19 1 valid commission hsutd b'i' the N11lonal Board of Boiler and Prnsu,w V,uel lnspecton 1nd the S111e or ProviflCHf YA I
ernplo.,ed bv use* I&I co, of
.J:lartford, CT e h1v1 inspected 1hr reD /9 (',e.,..,,.eo,t ducribed in this Aepo,t ~ //J - d-;
,,~
IAtr/**'11J o,.,.:-,,ce,ncftlfll 1 end 11111 that 10 1h1 btn of mv knowlrdgt and belief. this rtp1ir or repl1ccm1n1 ha1 been connruct1d in,cco,dan~ !'With Section XI of tht ASME Code. Ir 1ignin9 1hi1 cenifiutt, neithrr the ln19tctor nor hia lmplo.,er,nak111n'1' w1rran1Y, uprtned o, implied, concern-int 1ht repair or rtpl1eemrn1 described in 1hi1 Repor,. Funhermort, neither tht Inspector nor his tmplorer 1h1ll 'br liable in 1nr. 1111nntr for an., personal injury or proper,., d~n of ~ri1in1 from or connected with 1hi1 lnc,tctiOft. 0111 /t>-!l.-R9 ~;{'., ~ Commiuion1 V'R-?oc'f t/4Sll3 ll"tPKIDf) l5lllt a,,n,.,11e1. Nat-1 loAIGt lllon: Svr:>r:>l*m*f\\t*I 1h"T1 In form of 11111, thlch*, or drewlnpo mer be uHd provided 1111IH II IX If\\. X 111"-o 12J h1formellon In l1a"'1 1 through, on lhh data UDO" 11 lnclud*d on..,,. 1hN1. *nd 13) Hdl 1hHl l1 numbe**d end... 11umber ot thNII I, recorded *I 1h1 IOP of 1h11 forlft.
FORM NIS*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT AJ Rrquired by the Prowi1ion1 of ASME Cod, Section XI ATTACHMENT 2 0wn1r Yi rgi ni a Power P.0. Box 26666 Sh..i_.....,. ____ of __ _.. ____ _
2.
~*nai Plant Surry Power Station Unh ___ 1'LiJ~~O----------------- IN...... P,O. Box 315 Surry, VA 38DQO ~Cf' g-,b S 23883
2.
Wo,k Perlormtd t,,_.V... A ............ ~~ ... ""... r _______ _ CN-i ,same ~ I. ldentlf"ication of Srnem /1(/ 'i<i'o S -feev<A r,> ~plic1b1, Connn1ctlon Codt B31-l 1907 Edition,.... r, __ A ______ Addenda, Code Casta._..,.NA..._ __ _ Cb).Applic1bl1 Edition of StC'lion XI Utilized for Rei,1in or Repl1e1m1nt1 - 11..BO, wan Addenda, Code C.SH_....N... A..__ __ _ I. Identification of Come>onenu Reo1irrd or Replaced, and Repl1~ment Co,npon1nu Name of Co1T100nent /~ ~p;\\> -e pip~ J;:fh.,.,.,,, ) t U,) \\)-{_
1.
I. N1meof Mfn. Ser. Mfr. No. J*"" fr-,?tlb.A 3$'bS5Jo,, Hwy M-J f). bO v.. -+,..M..,1v*~ l-lwt "** "\\", falo.J,;i_,. l/1'3Cf)?l -Nat'L CAN Other v,cr Id. No. ldentJ. 81111t No. fication JJ/A )}/A :J.-ns -77 Ai/A JJ)lr AJ)A J.-,N\\f-7 7 >>IA
JJ,1\\- Al/A-l, Al/A Rep1irtd,,
ASME Codi Replaced. Sumped Of (Y" or Nol Repl1e1mtnl /J.. /l /J'fat.t +.,._ ~ .A./0 , I .A/o o)_. J_./D CERTIFICATE OF C9iMP~IANCE t-- Wt certify 1h11 the n1ttmenu m~ In this repor, are correc1 and lhil 'f(f-p!t;,c ~ ~ conform110 Section XI of lhe Sitned '4/:: £~~ ISI ~&;- 5"..pr. C ASME Code. /1 ~
'PAIi°~
to--
o-.t'

'9-1 TIii it)elll
.,. n CERTIFICATE' OF INSPECTION I, 1111 undersigned, holding a valid commission luuld by the National Board of loller and Prnsu,w Vtntl lnspac1on and tht S11t1 or Provinceof VA. , employed~ usn* I&I co e Ha ct ford
CT, h1v1 inspe-cttd tht fl, p lu.. -1.,v... 4-t dt1cribed in this Repol'I Oft 2-.r.,,rt (Aii,1,rt1l0< ~;11,c,me111(1J and 1111, th1t to the bfn of my ltno.... 1,dgt 1nd btlitf, this r,p1ir or r1pl1cem1nt h11 been connrvc11d in 1ccord1ne1 with Section XI of tht ASME Codf. Bw 1i9ning this unifiatt, neither the ln1Ptctor nor hi1 lmployer m1kr1 any w1rr1nty, upreued or implitd, conc:tri.,
int the repair or repl1etmen1 dt1cribed in this Aepor,. Furthermore, neither tht lns.pector nor his employer 1h1II be li1blt in any rnanntt for any Ptr1on1I injury or propcnw d"::~: Je'-i90~ arising f,om or conntcled with this lnc,ecii~ Datt g-S-8~ ~d:;~ Commiuion1 @ 7oc'f U<l..($"£(3 ""1i,.,:1ot1 CS**** or l'rc,w,,,n. N11,c,nar llo&ldj "'on: Swppl1m111t.l ah.. n In form of Ilia, 1*11ch*, or drewlr,po mew ~ IIHd provided HJ 1ln II IX II\\. X 11 lft., 12J lr,formnlor, In lnrna 1 1t\\rowjlh 4 on thh dn, report 11 lr,cluded or, Heh *hMI.,,.c, (3) 11ch 1hNt l1 r,umbered end 9>e 111,rnber of thNb le recordad 111h1 IOP of '1h11 forlft.
2.

i.
~.... FORM NIS*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the Pro,ision, of ASME Code Section XI Ownff Virginia Power P.0. Box 26666 IMOtftll Plant Surcy Pewee Station pc.,... P.O. Box 315 Surry, VA 23883 Wotk Performed by_v.... A ............. r&we 111 ... r _______ _ (N.,,., ""Same ATTACHMENT 2 I. ldtntlf"ication ofSrn1m ~ /1 q_';h $-/ e.~ la) Appliclblt ConstNctlon Codt 831-1 11 67 Editiof\\,_r~"'"A _____ Addtndl, Code eas,. ___ N __ A ___ _ Cb) Applie1bl1 Edition of Section XI Utilized for Rep1in1 Dr Repl1e1m1nt1 - 11..BD. wan Addtrda, Code c........ H ... A.__ __ _ I. Identification of Ccrnp0nenu Rep1irtd or Repl1~d. ind Repl1ctmtnt Componena Name of CotllOOntnt l/r,. lu..f I' **p ~ ;',~.,e J,, P~o-£ C-~h-irl\\. 'V Mfn.Ser. -N1t'L CAN Olhtr Ytsr No. Id. No. ldtntJ. lulh No. rac:1tion f)( fl R'o5 b Al/A Atl1 )_-r'l5-7Cj Mir 3r&'555 o 3 'lf SSSJ ~t)$1 oil/ l'\\'¥1/IJ I v,,- \\/ V <°II" Aes,1irtd, ASME Codi fl,pllCtd. Surnpett (Y" or Nol R1pl1C1men1 Ren/'ll.c-uv-..v. t /VO I '1, J_; CERTIFICATE OF COMPLIANCE We ctnlfr th11 the n1t1mcnu m-S. In tha repor,,",, correct and this-~ PP /c\\f:.&"'-!D, t-ASME Code. /7 _/,l 1 .,p.e,, * **~ conforms to Section XI of lhe Sitned V:--~.< ISI ~>r.,C IC)wnt<or~'(l-1 TIit IDelll; ,11 O' CERTIFICATE OF INSPECTION i, lht 11nder1i9,..,d, holding I v1lid commission l1sutd br lht National. loard of Boiler and Prnsufl Vt11tl Inspect on ind lht S11ta 0, PrD!fil'ICt0f VA.
mploY.td bv usn* I & I co e of q-s:.,,£1
_H_a... r_t... f.... o.... r.... d.........,.c.... r......___h,v1 inu,tettd the ,{J 0/ C """--~ 1°' ducribed in this Report Oft (Atpa, 1Jo, i,::>ltet-111(11 and 11111 that 10 tht btn of mv knowltdgr,,..d belief, 1hia rtpair or repl1ccm1nt h11 been connrvcted in 1cco,d1nce with Section XI of the ASME Code. Sr signing thia ccnifiutt, ntither tht lnsptctor nor hia lmploytr m1ku any w1rt1nty, U:PlfUtd or implitd, concern-ing tht r,pai, or r,plac1mrn1 drscribed in this Rrpon. Funhrrmort, nehhrr the 11"11,prctor nor his emplovrr shall be liable in any ma""er for anr pr11on1~njury or propcnr d*m~~Df ~ "W arising from or connected with this lnc,,ttiVc Datt q-Y ?J' l ~tl_. ~ Commiuion1 IJ (3 7~0 1 (l_ rt!.3 fln1p0<10I) jS1a11 or"""'""'* Na1c,na1 9oe1G1 ""oft: Svpplernal'lt.1 '"""Inform of 11111, 1k*1ch*. or drtwll'l5S n>ey be 1ned provld*d (U *In le IX In. X 11 In.. 121 Information In h*rn* 1 1hro11;fl 4 on thh dne noo" 11 lncl11dad on Heh *hNI, end (31 eech 1hN111 nwmber*d and" n;,..,1:141, of *flNb le record*d 11 th* 100 of 1h11 form.
I \\ FORM NIS*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the Prowi1ion1 of ASME Code Section XI ATTACHMENT 2 Ownll'. Virginia Power P.O. Box 26666 D1te~_..4?:;.._._';f~>...... O~_.~ ..... 'r----~~~~ Shtfl~-------Of~ _ __.. ____ ~
2.
~*nai ,1,nt Surry Power Station Unh~~~-'~~'vJ~O---~~~~~~~~~~~ 38000 s 1 rs vf P.O. Box 315 Surry, VA 23883
3.
Wotlr. P11iormtd by..;Y... A ....... _C._...&Moo* ... r _______ _ tk-a -.Same * ~
4.
I. ldent1ric1tion of Srnem /l:1-tl"t\\ $ f.:_<i,,,-
11) App/ic1bl1 ConatNctlon Codi B31-1 11 67 Editioft,.... U_A _____ Addendl, Code Casn _..,.N._.A __ _
Cb) Applic1bl1 Edition of Section XI Utiliztd for Repairs or R1plac1rn1nta - 11..80. wan Addenda, Code c.... _...H.... A._ __ _ I. Identification of CcmPOnenu Repaind or Replaced, and Replac-ement Compon1n11 Ntrnt of Name of Mfn. Sar.
Nat°L CRN Oi"9r Year Repairld.
ASME Code Co"'OOntnt Mfr. No. Id. No. ld1ntJ. ri11nt
R1pltetd, Stamped No.
rac,tion IYftorNol A1pl1e11Mnl /Js U!.\\l!v,t_ lf..,_O! oqtl).,/u., 061/8'010 )J/,4-NIA *:J..~MJ-,~ ;J/A f.2. PPfM,.;-.u. r Alo J y,,p j:c'l-... '3 sY L SS5 OQ Al/A NIA-J_-/Y\\J -78'.NIA Pt>'pk,. ~<At- ~o ,)- rY'J.e frv's~A I. I. I DetcriptiOfl of Wo,lr. Ref It>,_ C e. u q, I J z.. Tem CondYc11d: Hyclro1111ic §7 Pneumatic O Nomift:JI Oper1tin9 Pr111111rw O Olhlr Q Pnssun t,1tQ psi TenTem&1.--Z.L:..*, jh r,, J { p ja!.- v J7Lfl'3 l'tafflll'kl _.1, Vtt J e o CS> - 11'#1~ ~"¥fact..,_., 0&1a -.~, io a.~ I~.** P *"'f -c. fo "'d Y - ID 3 I 1 J CERTIFICATE OF C~MPL,ANCE Wt certify th11 thr n1t11MnU mllde In this rrpor, ~r1 correct arid thii J( ff llC e_fV\\;{A; +- ASME Codeo
PM***~
conforms to Section XI of I"- SitMd ~c~~
ISI bta *
~z::; s: (Ow,,.. er I De1,p-J TIii ltla**I CERTIFICATE. OF INSPECTION I. th1 und11rsi;"1d, holdint I v1lid commission luued by the National lo1rd of Bolltr and Pr111uq V1111I lnspec:ton and thf S11t1 Cit PrDVincuf VA* 1rnpJoyed l,v use* HU co e of Hartford. CT. htvc insi>Klldtht f1.rtlctcr,,,.,._4xt clemibedin this R,ponon Cf-S:. n,ll fAc **'1*1 o, ~:111cemeAl(II and n1t1 th1t 10 the bfn of rnv knowl,~e and brli1f, this repair or repl1cernent h11 been connrvc1td in accord1net with Section XI of thl ASME Coclt. Bv 1iening thi1 ctrtific.1111, neither th1 ln1ptctor nor his !fmploytr rn1kr1 any w1rran'tV, uprtued or implied. concer..- ine tht repair or rrplactmrnl described in thia Report. Furthrnnort, neither the lniprctor nor his 1mplover 1h1II be liable in any rnanntt for any personal :jury ~r property d~ou o~ny )iind arising from or conntt1ed with this ln10tc:'i1" Datt q s ~q ~! ~ Commiuion, N07oo'{v~sy3 fl"1pe,c1Clf) 151,11 Dr '""ACt. NthoNl lilo&IQ ""oN: Svpplernantal ahNn In form of 11111.,.. tch*, or drewln111 nuiy be "Hd provided UI tlH It IX 1ft. X 11 lfl.. IZJ Information In 1'9ff\\t 1 throYgfl, on 1hlt d11e upor, h lnch,d*d on HcPI,,...,, end (31 HcPI thN1 la nymt,ered lilftd...,u,mbtr of at*Mb 11 record*d e11h* 10P of 1h11 form.
2.

i.

l.
I. \\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the Prori1ion1 of ASME Code Section XI ATTACHMENT 2 Owner Yirgi oi a Power P. 0. Box 26666 ?/7-:,n/~ 01T1~-~~ ...... ------------~ jAGd,naj ,1,n, Surry Power Station P.O. Box 315 Surry, VA 23883 Wo,k,,rformtd b'(_.Y.... A .............. i*we ... r.....,. ______ _ CN-i ""same Sh"1-------of __ __.. ____ _ 1c..J D Unh---------------~----- 38000 t.f S--l 5 l Identification of Srn1rn ~ Ce:," -\\.~0-1 -~ t S,,r,;,_ I# ta) Applicablt Collltl\\lCtlon Codi 831-1 19 67 Edilion~.:.lr~::..A:._"' ____ Addtnda, Coda Casta _.... N... A __ _ Cb) Applicabll Edjijon of Section XI Utiliz1d for R11:,air1 or Replac1m1nta - 11...80. waa Addenda, Codi C.aet-HA..._ __ _ Identification of CcmPOntntl Rep1i1Td or R1pl1c:11d, and Replat"emtnt Cornpon1na Name of Nam, of Mfn.Ser. -Nat1. CRN 0,hff Veer Repairtd,, ASME Codi Comoonent Mfr. No. Id. No. ldtntl-811111 Replactef. Sumptd No. fication IV" et Nol Aeplacsmtnt 'X"A/1i1 J f'/0\\J ~~,',.._:~ ~ O.l.o/q't"? .Al/A //M- 'l-~S..rtOV.- /ll!A- /217/)k~ -u f- /l/D p;,,,, .l..ol/l. Yy 5T<-tDS IH...Jv"'~ 5Pe L\\VJ\\-.., 3 7'/f ;J..S6 0 ;v/A-lfl/A ~ JV, If R,,;kc:~"C},. +- /L/0 ~- Description of Work R oPk_t:e +J°"'-~ ~. 90tsk~is Tem Conducud: H c:lrOltltic D1 rneYmatic 0 y Nominal 0ptra1i '"'"",. a 0,her a
"'""'la----,.-'_,._s_"'_",....-=--_:--= ____ ps_'~-T-*n__,T,....*fflP_. ____ *_F _____
,U'_~... s:..1 !1.... /P_s __ P. __ ~_-1r:_c_s_Y_-:i_o_._s_3_J ___ J_ ~<41t IM"VIKt....., Dala Ae;ict18 IO t,r ~ X,,, A/ \\ti.5 f D 1'>. S5 y -111 ?Cf I conforms to Section XI of lhe ,116 CERTIFICATE OF INSPECTION I, the undtni9n1d. holdi119 a v1lid commission Issued by the N1tlonal loard of Boiler ind rrnsurt Vessel lnspecton and lht S11t1 0, ProvinclOf VA I
employed~ use* l&l co I of Ha rt ford

CL h1v1 insptettd tht R ee lttc e,.., Bl. t ducri~ in this R1por1 Oft 9.. j
..,,ft_ (Rep *ff1l0< ~:>>**cemeftl(II Ind 11111 1h11 to th1 btn of my knowl1dg1 and belitf, this repair or replacement has been connrvcted in ecCll)ldanet with Section XI of "" ASME Code. By signing this cenifiCltt, neither the Inspector nor his,mploytr makes any w1rr1nty, uprrned odmplied, conetrn-int1 the rrp1ir or rrplacement described in this Aepon. Funhenno,1, neither the Inspector nor his employer 1h1ll be liable in 1ny mtMlt for any 0t11onal injury ~r propcnr ~ Of.J.,nY kjstd erisint from or connected with 1hi1 lnrotctiOft. D111 q-s-- ~'t ~. ~ Commiuion1 µ13 ld O q Va S"l/ 3 1 fll\\lPKlot) jSIIII Cit '""'oftCI. NII-I eo.,,e lllon: Svppletft~f\\1.. 11h"n In form of lln1, 1t11c"** or dr1wlnp,1 "'*r ba und p,o,,ld*d (111IH II IX In. X 11 In., 12J lftfOrff\\1don In "'""' t 11'1,oup'\\
Oft thh data repo" II lr,clud*d on Heh 1hNI, ar,ff (3) **ch ohMt lo """'bored

"d 11'>* ftumber ot lhNII It Hcord*d ** the 100 of ihlt for"'-
ATTACHMENT 2 FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT AJ fhquired by the Provisions of ASME Code $,c:tion XI Ownff Virginia Pawer P.O. Box 26666 ~/3o/<;-- c, D1tt~------=---~~'"-'--~----~--~
2.
i,.ac,na, ,11nt. -Surcy Pawer Stat inn ShH'l~---------Of~~---------- Unh~--~-LJ...;:.~'D~------------~-------------- P,O. Box 315 Surry, VA 38QQQ 7/ t '1 S 23883
3.
w0t1t,,rtormet1 ""'""Y... A ...... -= 111 .... r ________ --__ _ pc-, -.Same I. ldentlf'ic1tion of Srn,m ~ ( o., \\"' a,,,, l!J\\---1; Sf re~~ la) ~Plic1bl1 ConstNctlon Code B 31-1 19 67 Editior\\'.'"""'H"-A,__ ___ Addtndl, Code Cast1 ___ N._A __ _ Cb) Applic1bl1 Edition of $,c:tion XI Utilized for Rep1in or Replac:1rn1nt1 - 11..80. wan Addtrdt, Cod, Caaet_..f4...,A ____ _ I. lcltntification of ComPOnenu Rep1i,.d or Repl1c.d, ind Replacement Components N1mtof N1mt of Min. Sar. -N11'L CRN Other Viar
Repaired, ASME Codi Co"'C>Ontllt Mfr.
No. Id. No. ldtntJ. Dulh
Repleced, SufflC)ld No.
f'ac1tion IYn or No) Fleplaatffllnt ~ 1'NVi-1S ,fr e. lo O;_o /'l'l 'l A))/t /~~ 2..-CS-rJ,,v/,,t R..f'l!lhu/ '.A/[) e--:i,_.. ~-,,.., 1f1'SNif)<; JJ ~ 73'Y) bl o /vlft V'il/A J,; /11/fr f<;n/,.n,) ,,A.Jo
1.
I. DncriptiOft of Work_..,,& ........ e... u_-if_:.s=-e_5-t' P_ec... ___ f-... "l~e,(,-.,e--t_/...,g_,IJ..,... z._..f ________ ~~-------- Tem Conducttd: Hydronatic O Pn'eum11ic O NorniNI Oper11ine PrnlUl'I a Other a Pre1sure psi T,n Temp._*, 1111"*1u-----------------""'"M (,\\,l:? ........ P~o.... ::#-_c_J __ f_-__ 1_7_3_i"_7_f ____ _ ~C.&Dlf lqllUfacturlf'I Olla.. :IOl\\1 IO._,,. s,\\,\\ f)S loq:- cs y - 1 7 f SIL{ CERTIFICATE OF COMPLIANCE We ctr1ify that the n111menu m-" In this rtpon 111 correct end this_-f...,~..,P...:..;/4.""'c.""~..;;._"'-.:.;{A~-\\-----COnform1 to Section XI of the ASME ~
~
--re~
Sit,-cr JIJ. i?~., ti--:<: JS J &, S:e.e z::: IC p.,,.. 0-.,-1 D.1,pwJ TIii !Da**t , II CERTIFICATE OF INSPECTION I, lht 11ndtr1ifn1d, holding t valid commission iuuld by the N11lonal Board of loller and Prt11u'9 Ve1Rl lnspec1on and thl S11te 0, Provinceof VA I
,ml'oytd t,y usn* I&I co e of Ha rt ford

CT.
h,,,e inwtmd lht c'fi, 4£~ V\\. t dmribed In 1his Report°" 1-:r:.,,.n IA P**'11)0, ~:>IIUINftl(II and n111 that 10 1he ~n of mv ltnowltdg1 and belief, this repair or replacement hes betn connrvc1ed in accord1nct with Section XI of the ASME Cocx. Br signing this cenific.111, neither the ln,ptctor nor his 4mploytr rn1kt11ny w1rran'tY, u:p,,ned or implitd, conurn-i"t tht r,p1ir or r,pl<<tmrnt drscribtd in this R,pon. Funhennore, neither the lnsprctor nor his emplover shall be liable in 1ny manner for 1ny personal injury or property d~_Jf 1nv kind arising from or connected with thi1 lnc,1ct'.:': D111 q_ S- ~ 1 ~ sf_. ~
Commiuion1 IJ{j 7£Dc// f&{ft..( 3 (lftll><<IOI\\
CSlllt o,,rp.,,,c*, Nll,or\\ll 9ooldl lllota: Svppl*m*nt.l '"""Inform of lln1, **etch*, or dr1wlni-m*r t,,, uHd provld*d ltl 1111 It IX In. X 11 In., 12J lftform1tlon In '""" 1 1hro11~
Oft tPlh dna repo" 11 lt1cl11dad on uch 1hNI, and (ll ucPI ahMt la ftwmber*d

"d O>* ftwmt,,,r of "'"ta 11 recorded *t IPle IOP of '1h11 fo,111.
\\ FOAM NIS*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT AJ Required by tht Prori1ion1 of ASME Code Section XI ATTACHMENT ~ 0-11: Virginia Power P.0. Box 26666 0111-----~----~ .......3o'-" __ ~ ___ 8"_q~~~ IA,OclreNj ,1,nt Surry Power Station "'~ Shtft~__. ____ of_~_..-..,....~--
2.
..__\\..J Unh~-~__.,~------------------- e.o, Box 315 Surry, VA 38000 '6"3y<l ~ 23883 J. Work P1tfortntd t,v..;V... A .......... ~I.MJl&M..., ... r _______ _ ... same CN~ I. ldentmc,tion ofSrnem ~ K .e. c ()-c...,. \\c.-*h,l' Sp~ r,, Applic1bl1 ConrtNCtlon Codi 831-1 11 67 EditionJJA ..:.r~~----Addendl, Codi Castt _.... N... A __ _ lb) Applic1bl1 Edition of Section XI Utilized for Repair, or Replacem1nt1 - 11..80. wan Addenda, Codi C.111.-H... A.__ __ _ ldentificl1ion of Comoonenu Repaired or Replaced, ind Repl1cement ComPon1n11 N1mtof Natnt of Mfn. Ser. -Nat1. CAN Other Viar Rep1i'9d, ASME Codi Co"IOOntnt Mfr. No. Id. No. ldlnU* 81,lh Replaced. Stamped No. l"c1tion Oi fY910,Not Repl1camen1
61) N4\\")
(.,_r.1,..... 1 1,,,.1...,s'hli. l"\\T{l 'i'Jl 1 ;JIit A/IA J.-KS-11 NIA. fl_...p it r ~ c. D "Alo ,J S 1'\\,\\DS 1~\\Jft NIA /J/A
).-/lS-11

J/Jt J I iJo 0"t,i I c1, 3n~ ?-~l.o L.eoloi..u'r/
,-~,cr,t I. Description of Work_-=ln=-w..... $ +...... 9......... h .... /J .... R.._e.... n-o=v...,*e. ___ &~'"",.;.:.)c.;...,.,..t'... Jc,,..~r _.e _____________ _ Tem Conducted: Hydronatic O Pneum11ic O. Nornin,1 Oper11in9 P'rntuft O Other 0 I. Prtssurt PSI Ten Temp._ ep "*marks /1/*{r:s Po~csr -)ob D7'1 -~-iealllt-.,.,.IAA-"lll""'act_111... er..., Da,..-'ll_~._.-:io,,.....,, io ... iw,---....--,------s~~--:..o... s;.....:.P.:.;o_~-c-s_t ___... )....... i,/.... J S-)-..,------ CERTIFICATE OF COMP~IANCE Wt cenifJ 1h11 the n111me,,u mlde In 1hb r,por, ~rt correct and Ihle ('f plctter,,. Y\\ i ASME Code. ~. t*.-* 117 Sitftld .* 'Q.~~z <<: ISi E.c:§. ~~ 1'41
1 l>H'P'*I TIii CD,1e1 conforms to Section XI of lht
.118"J CERTIFICATE'OF INSPECTION i, the undersigned, holdi119 1 valid commission iuufd by the N11lollll; Board of loner and Prnsurw Vessel lnq,ecton 1nd lht Srttl or Provine, of VA I
implored l,v HS a* I& I co I of Hartford, CT, h1veinSPtmdtht f:eOJ"ic.e"""EJl.t ducr~inlhi&Aepof'lon Cf-'..,,il IA*pll,tf1lo, ~:,,,n-"lf*I ind 11111 1h11 10 111, btn of my knowltd;t 1nd belief, 1hia 0 rep1ir or 11pl1ccment h11 been connrvc11d In 1ccordan" with Section XI of lht ASME Code. Br 1i;ning this cenifiu1t, neither 1h1 ln1pec,o, nor hit fmployer mikes any w1rr1n"CY, e..:pr111ed or implied, concern-mg the repair or repl,c1men1 d11crib1d in this Report. Funhermor1, neither the ln1?ec1or nor hi1 emplorer 1h1II be li1ble in 1nr ll\\lnner for any s,tnon1l injury or property d~~A*Jf *n,r k~ erisint from or connte1ed with this ln~*ctiOft.
D11t
f-,-£?'f
~~ ~ Commiuion1 Aff37oo'( Va..f"':f3 Cl"IP"'CI., IS**** Dr~'"* NII-' loerll ""oN: SvDPlem,ni.l 1hNfl In form of 11111, 1h1ch*, or dr*wlns- "'*r l>e u11d provided (I) 1IH la IX Ill. X 11 lft.,
12) l!'form*llon In 11,m1 1 throuet, 4.on Ihle CIII* reDon 11 Included _on Heh 1hNI, end 1:3) uch thNI 11 n11111t,,ered and.,.. llufflber of 1hNII le recorded el th* IOP of d\\11 for"'-
e
r 1
2.

3.

5.
I. ATTACHMENT 2 \\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT Al Requir!d by the Prori1ion1 of ASME Cod, Section XI °"'"" Virginia Pawec P.O. Box 26666 jAOC!rnaj Plant Surcy Power Station P.O. Box 315 Surry, VA 23883 Work Perf ormtd i,,_V... A .......,_...Sie 111 .... r~---,-------- CH~ .. same Dett~..,a;:;;i?'?__..-;/,__.J__.f ___ ~f.?"'~V,~~----- Sh,-i __ __. _____ of~--........ ------- /Vb Unh~---...;....-----~-~------------------- 38000 'J 13 I 6 ~ ldenttricatio11 of Srn1m /V'\\t,lv-. S-fe ~ la) ~plic.iblt ConrtNctlon Codi 831-1 11 67 Edition,.:.l~.._A,__ ___ Addenda, Codi Casn ___ N._.A __ _ (bl Applic1ble Edition of Sec:tion XI Utilized for Rep1in or Replac1rn1nta - 11..BD. lill80 Addenda, Codt Caset _...N~A.._ __.., ldcntificlltion of ComPOnenu RtP1ind or Replaced, ind Repl1ctmenw Cornpon1nu N1meof Name of Mfn. Str. .1\\1,t'L CRN 0th<< Y1!II' Aep1i,.d. ASME Code Comoonent 1 lJq,/v e 1" p;"p-<_ Mir. ~~T. rl'.. IY, \\\\..' r~, b," No. ()) Oc,\\j) 38"f->"J]' D ~.. Id. No. ldentJ. aunt R1pl1C14. Stamped No. f"ac1tJon or iY11 etNoJ F11pl1e1men1 /JIit-NIA )...,.i\\S -'){,J /JIA f<ePhc'*'-v,. 1 */vo )I/A- ~)A }-""'S-)bf /J)A-tt>Jlrup*.,.,.'t-tf A/o CERTIFICATE OF CO CERTIFICATE OF INSPECTION i, the undeni9n1d, holding I valid commission luutd by lht National lo1rd of Boiler and Prtuu,w Vesatl lnspecton and tht S11t1 OI Provinceof YA e
emplored bv usa* I & I co' of Ha ct ford I CT*
h1111 inS?t<ttd '"' fU ~ *t-dtmibed in this Ripon Oft Cf-5",,._n I tP** 1Jo, ~:i**c*mc"lf*I and 11111 1h11 10 the ~n of my ltnowltdgt and belief. this r,pair or replacement h11 bun connrucltd In 1cco,d1n~ with ~ction XI of lht ASME Code. 8y signing 1hi1 unifiutt, ntither the ln1pec1or nor his lmployer makrs any w1rr1nty, u:preued or iinpiitd, concern-ing the rtp1ir or,rplactmtnl dtscribtd in this Rtpori. Funhrnno,1, neither tht Inspector nor his employer shall be li1blt in any manner for anr personal injury or propcny m.. or. 1 Ion of 1nv kind arising from or eonnKttd with this ltut>tct~Of'- Dttt S 83 Cornmiuion1 1/{3 JO 6 q (lg ft{ 3 ""IPKIOf) 'is1a1e Cf l"n,o,o,c*..... _, ao.r1I !\\Ion: Supplem,nt.1,h.. n In form of 111'11, ****ch*, or drewlnp, mer l:>e 1111d provld*d 111 1IH II IX In. X 1 t In..
12) lnforn,etJon In 1111,,., 1,tuougtl, on thle data repor, 11 lnclwd*d on Heh *hNt, and 131 aacfl ahNt 111 nwmberad end 1'>* 11um1:>er of 1hNt1 le recorded 11th* IOP of 1h11 forlft.
i I I. \\ FORM NIS*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the Prori1ion1 of ASME Cod, Section XI 0wn1r Vi rgi ni a Power P.0. Box 26666 IAOO*na/ ATTACHMENT 2
2.
Plant Surry Power Station IN~ Unh ___,......_..._ ______________________________ ~~ e.o. Box 315 Surry, YA 38000 ( b '? 6 /- 23883
3.
Work Performed t,y_.V... A.u..,.... ~""" .... r~-------- CH-i --Same IA,00..., J
4.
I. Identification of Srn1m S"w IL f w'\\: l CJ Cal 1,pplic:ablt ~nnNc:tlon Codi 831-1 19 67 Editioft,.:.H::..A,__ ___ Addtr1dl, Code Cate, _..,.N... A __ _ lb) Applic:1bl1 Edition of Stction XI Utilized for Flep1i11 Of Repl1c:1m1nt1 - 19..80, waa Addenda, Coda Cun_....N.... A._ ___ _ I. Identification of Coff'lpc,nenu R~1il'ld or Replac:ed, and R"'l,~rntnt Components N1mt of N1mtof Mfn. Ser. -Nat'L CRN 0,he, Vear Rep1ind. ASME Codi ColOIOontnt Mfr. No. Id. No. ldentl-8111lt
R1plectd, Sumped No.
fic:1tion Oi CY11or Nol Replac:emtnl l -e,..__e-t r- /tJo Description of Work ~ epo..;:x-Y"tr-i ~J\\..v-ct5 /Jeel--r o/ I. Tem Conduc,td: Hydronltie O PnNmatie O Nominal Oe><<r1tint Pressu,w 0---0.hlr 0 P-srurt Al8 i?..., Ten Temp /IJ"- *, p
1. "'""'ks
--=-
~ 1/Vn i t -P--55 Y - J 97 21 / i,.ppiealt 1Aa""'1Kl.. 91"* oa1a At~*.. eie ~ .>t-"tu... t-1 0 --p... s ) '1 _ 1 f'D O 'I. i 'A.'.1-~ _?..~# ti".()" 2? h Sh tk fo ~ ss Y - Htf<t q --===========::::::l CERTIFICATE OF COMPLIANCE . Wr c1nlfy th*t thr n1t1rntnu midi In this 11pon are correct end this ~ >ca-:c.rM~,v C conform, to Section XI of \\hi ASME ~
~
ftpa,,o, 11piaCefMIIQ s* '*'~.~ 1s1 Se?rC .,, r5' 'I K-~ Tall ~*I CERTIFICATE OF INSPECTION I. lhct u;;drnigntd, holdi119 1 valid commission luutd by the National Board of Boiler end Prnsurw Vessel ln191(10fl and the S11t1 OI Provine, of VA, employed ~ use* I & I co, of Ha rt ford I CT* h1v1 insPtelld the ne~ l,., U Me-u t-" dtsc:ribed in this RrpcN'I on tf - s::, 19n IAcpa,1'(11 o, ~;11,c,.,..111(11
"d natt that 10 th, btn of my kno... r,c,;, and brlid, this rtp1ir or r1placemrnt h11 berr1 connrvc:11d In accord*"~ with Section XI of tht ASME Codr. Br 1i911ing this unifiutt, neither the ln,prctor nor his ifmployer maba any warreft'ty, 111:pr,ssed or implird. conc1r~
int tht rtp1ir or rrpl1etmrn1 drsc:ribrd in this Repor,, Funhermore, fttithrr tht Inspector nor his employer 1h1II be liable in 1ny manner for 1ny person,, injury_ or prol)tny d~s~f nui1in9 from or conne,c;ttd with this lftlPtctlfo Datt Cf-S: 8'~ ~J, ~ Commiuion1 JJ(3 t6~'t 0.... S1-{.3 fl"IPKIOI) C5lall DI,n,.,i,ce. Ha1,o,,al laoulll ""on: Suppl1rnental 1h.. n In form of 11111. tketd**. or drewlnpo rn,y ~ und provided (tJ 1ln le IX 111. X 11 If\\.. 121 lnfot1ft<1tJon In ltanu t 11\\rouof\\, on thh date n1>or, 11 Included on ucl\\ '""'* end Ill HCII 1IIN1 l1 nurnt>e**d and e,a '"""be' of 1flNta I* recorded *1th* 101> of Ihle forfft.
\\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by the Provision* of ASME Code Section XI ATTACHMENT 2 "".1-Owner Virginia Power D1tw~_..9....,~_.~....;;.i'"~J~~~~~~~
3.
P.O. Box 26666 CAOOrnaJ r1an1 Surry Power Sta ti an (N~
P.O. Box 315 Surry, YA 23883
,lAOOta&IJ Work Performed by_V... A ........ _._PO..._.w... e.... r ________ _ (Hamel ,same Sh.-t_........._ ___ of __ __. ______ _ 38000 08'6.Z. 2 Ae~ir Organiul ion l'.O Ho.. Jot, No. etc.
4.

5.
Identification of Synem,.>4v,c...~:,,9rz!,f__ (a) Applicable Construction Code B 31-1 19 6 7 Editlon,..... H ... A.__ ___ Addendl, Code Cases _...,_N""A,__ __ _ (bl Applic1bl1 Edition of Section XI Utilized for Repairs or Replac1m1nt1 -19..80, waa Addenda, Codi Casn_...N... A.__ __ _ Identification of Co~p0nenti Aei:,1ired or Replaced, and Aepl1~ment Componenu
6.
N1m1of N1rnt of Mfra. Sar.
N1t'l.
CRN Othar Viar Repaired. ASME Codi Component Mfr. No. Bd. No. ldentl-Built
Replaced,
!!tamped No. rica'iion or rrn or Not Replacemant Jn,,J r /?h,aJ~ ,,,,4 ,v4 ,.//.d J.-J' W-,)S- ,</~ £& J. "...-,~~-<!NT <,_..,.,,.,.,.,Lr s-, A. .J_ dd,/rs~ Msyw44 .,.A 11/,'A I</~ 111.M .u/F.:>- VT 1/j tJ
7.

8.

9.
Description of Work_... A_l!c __,~..:;~-,:.~-... c..,0""'~""£""-=o'-'p"'c?.-'-J"-*-P?=-"/l..=r:......:::S:.-----------,---=----------- Tens Conducted: Hydrosutic O Pneumatic O Nominal Oper1tin11 Pressurw et" Other 0 Pressure Po)> psi Ten Temp. #o,- *F /' } Remarlts Sn,M )od Cs V lr{?1(J'6 L~.!-9 ~ic.atllt t.lanufactutltl'1 Data Re:,0,,1 10 be an~
)
1 / ) -rzwr rti#cs:.., tl:f! t'.9'6 ~~' ------

,11.. rr 6,

1'36' (c e,?) CERTIFICATE Of COMPLIANCE We certify that the n1temenu m~ In this report ire correct and this 4;::.cefC,6,,,¥.,.C-,,,,,,- .conforms to Section XI of the ASME Code (lepa;ro,,,paa~ Skin..-d~-f: #. ________ I.... S.... I ___ -"'Y,--"-c!-;,.;./>.....,,,._,.'-=-.r-___, 19 Q (O,rne,~-J Tnie io&tal CERTIFICATE OF INSPECTION I, the undersigned, holdi"II a valid commission issued by the National Board of Boiler 1nd Pressurw Vessel Inspectors ind the State orProvirictof VA. .employed by HSB' I&I ca. of Hartford. CT. have inspemd the '~ef.(Q...C.-Qv,.ee-,Jt dmribed in this Report on 9-s:=
19rl iii, **'11J o, Re::,1aceme111(11l ind nate that to the ben of my knowledpe ind belief, thi; repair or replacement h11 been connructed in acc:o,d1nce with Section XI of the ASME Code. By si11nin11 this certificate, neither the Inspector nor his fmployer mikes 1ny warranty, upressed or implied, concern-ing the repair or replKement described in this Report. Funhermore, neither the Inspector nor his employer 1h1II be liable in 1ny manner for any peno:*~~ury or propeny ~?of

}!!Y ~nd ari1in11 from or connected with this ln11Pt:ion. Om q ~ g~ ~I!:.* ~ Commissions N/J7do 9 ILa.. 5'"43 (ln1~10f) (Stale o, f'll,,,,ftC1, Nal,onal Booe:) on: Suppl*m*ntal 1h"n In form of 111n, 1katcha, or drawlngo maw be und provldad 111,tu h 8:K In. X 11 In.,

12) lnfo,matlon In lnrn1 1 1hrouflh 4 OI\\ thl1 data repor, 11 Included on Heh 1hNI,,no (3) Hell '""' 11 numbered and th* number of '""" 11 racotd*d 1t th* top of thl1 torlft.

\\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI ATTACHMENT 2 --1. Own11: Virginia Power P.O. Box 26666 ~tt~~9A~e~~~%----~~~~~ ShNl_........__ ___ of __ __.~---~

2.
IAOCl*n&I r11nt Surry Power Station (N~

P.O. Box 315 Surry. VA 23883

3.

.{ACIOrau) Work Performed by_V.... A ....., -t'P-~-t-e.... r ________ _ (Name)

--Same

__ __,,......,......__(AOO~-_.,-e------- Repair Or;IIIIUlion,.o No. JOI> No. e1C.

4.

5.

lden\\lfic1tion of Synem...... ----==-==--~-----,..-=--------=.,.,...-------------....,.,,_--- la) Applicable CoNtNctlon Code B 31-1 19 6 7 Editlon.~H_A ____ Addenda, Code Cases _.... N .... A~--- lb) Applic1bl1 Edition of Section XI Utilized for Rep1in or Replac1m1nt1 - 19..BD. waa Addenda, Code ea... _...N..... A.__ __ _ Identification of Comp0nenu Repaired or Repl1ced. and Aepl1c:ement Componenu N1m1of N1mt of Mfn.Ser. -Nat'I. CRN Other Year

Repaired, ASME Codi Component Mfr.

No. Bd. No. ldentl-Bulh

Aeplactd, rt1!nPed No.

f"ic1tion or 1~*" or Nol Aeplac:emant -f,"('rt:t)r 11,,~'f/~ .f"-:>~t:u4,e. rv' .~<Jli'T.l.f'/ µfe //4 2 Cc-I ,1/14 h)~, n n..,., "d ~., 'K' var; /J~,nL ~),1-c,,A,..r/ n2.o/n.J d!k 11i )_-er:-/ u4 A.l A ~ ',?/~ /1/,,

7.

8.

9.

CERTIFICATE OF COMPLIANCE We certify th1t the n11emenu made In this repon are correct ind thi;. Rd~ conform, 10 Section XI of the ASME Code. ~-. ~ (rrpairorrep1ecefflllftll Si9ned ____...!:..?; ___ 4=, < IS I,6,q Se) r C , 19 ;-y er Owner, Tnie (Da111' CERTIFICATE OF INSPECTION I, the* undersigned, holding I valid commission issued by the National Board of Boiler and Pressurt* Vessel lnspecton and tht S1111 or Province of. __ V~A....... --------, employed by HSB" I & I CO, of _H_a~r~t-f~o~r~d...... _..C.... T ..... __ have inspec1ed the fie{i)\\((,ceMe.lJ+/- described in this Report on

IR~,ts)o, ~e:,1eceme111111l q-s-,19~

and nate that to the but of mv knowlrdpe ind belief, this repair or replacement has been connruc1ed in 1cCD1d1nce with Section XI of the ASME Code. By 1ignin11 this certificate. neither the Inspector nor his fmployer makes any warrantv, expressed or implied, concer~ ing the repair or replacemen1 described in this Report. Funhennor1, neither the Inspector nor his employer shall be liable in 1nv manner -for any person1~injury or property d~on of ~V J:.iind arisin11 from or connected with this ln1Ptction. Om Q -5 ~9 ~;f. ~ Commiuions µ {3 ?DQ q c/'t-SL{ 3 (lnsPN:1111) (Stilt or ~,nc,. Nahon*1 Bo.1111 oft: Supplemental,h.. n In form of llln, *ketc:hes, or Clrewlnp1 mey be UHCI provided (111111 h 8X In. X 11 In **

12) lnformttlon In h11rn1 1 tllrough
on this data repor, 11 lnc:lud*d on **ch allNI, end (3) Hell ahHt la numbered 1nel 1"i* number of 1h"D la recorded at the toP of thl1 form.

--~ ,,~..

~- *-**

\\ FO.RM NI.S-2 OWNER*s REPORT OF REPAIR.OR R_EPLACE~~-tlT . Al Required by th*~P;o*visions ~fASME Code Section XI Owner &G;J.J, 8 ;3 <<if.Ii: o... __ ,._9.... & ... ~..... J_,,,._._7 _______ _

2.

Plant ~~ ~:5~~,{?. Unh-kl.~-Sh-Nl~~~:~~~-o-f ..... _~-_-_-_-_-_-

)t0J'o x J Z? i

u1~ dvro./

3.

Work Performed by 0+./f~OO::-{;,.,,az <:a. )~..f'r6<1( {;v,;1.,./t{,E ? l-2.3 /"

CNWMI

~ /1 AepairOrganiullllftl'.ONo..,JollNo~MC.. L>.,f?f~,..,~~..).L:_.

4.

5.

Identification of Synem he,.e.c... !*'>AZ4.// ?.f&t/,c...~ ?fkl'ffL

11) Applicable Constrvction Code d,il, I 1

',; 6 ? Edition,,v/.,e Addenda, Code Casn __,,,,.,......,;a_(d__, __ _ lb) Applicable Edition of Set1ion XI Utilized for Rep1in or Repl1e1m1nt1 - 112'2. WR'O Addenda, Code ea... __ P...... 6-.__ __ Identification of Comp0nenu Repaired or RepllCld, and Replacement Compcnenu fi. Name of Component

7.

8.

I. Name of Mfr. Mfn. Ser. No.

N1t'L Id.

No. CRN No. Other ldentl-f"ation Vear iullt CERTIFICATE OF COMPLIANCE Repairad. Aeplac9d. or Replacement ASME Codi Stamped.~ CY*orNot-** Wt cenify that the na11rnenu made In this repon.,, correct Ind this @e~A&~A(.Jp,- ASME Code./7 /J _ /~ ~1paifor11p111Cameft0 conforms to Section XI of Ille si11ned 'ALa.cA?Lti -:/f.dL- ...rsz ~~ S°'&=?z::; c, tow-Ow...,., De. T** (Dltlt ' .,, ?'9 CERTIFICATE OF INSPECTION I. the undersigned, holdi? 11 -Ylil~ commission luued by the N1tlci~I Board of Boller and Pressura Vessel lnspacton and the ~tlte °' Province of !LtL employed ~ HS (3 X:t k C o of tfe>.. I>" t fc rd. 1 e+ have inspected the R e \\ a.. c: e M e....,-r demibed In this Aepon on 9-/').,...!J. jRepa11t1I o, r;:,1ac1menl(II and nate 1h11 to the best of my k.nowltdQe and belief, this repair or replacement has been connructed In acCIDldan~ with ~ion XI of the ASME Code. By signing this cenificatt, neither the Inspector nor his 4mployer makes a,iy warr1n1V, upressed or implied, COftCeffto ing the repair or replacement described in this Repon. Funhennore, neither the ln19.Ktor nor his employer shall be liable in any manner for any per1onal Injury or propeny d::1:~o~of ~~darising from or connected with this lnspilion. Dall 1--IS-l?'i ~L ~ Commissions /JB 7D0'1 ~sl/3 (ln1pec1aa, (S1a11 or Prv,nnu, Na11ona1 Boa,11 Noft: Supplemenul 1h.. n In form of 11111. 1ke1eh*, or drawln;a may be UHd provided (11 aln II 8>5 1ft. X 11 In **

12) Information In lftma 1 through
on 1hh data rapon Is Included on **ch ahNI, and 131 HCh ahNt la numbered and tr>* number of 1hNt1 la racord*d at th* 100 of 1h11 form.

~.. -*. -**r:.'"*-.*,. )

2.

3.

4.

5.

\\

~..

FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI Ostt~-;I-2.... /J__._/j __ j>"? ____ ~~~~~~ ShHl __ __. ___ of 2- ) C. ?'6-11 Repair Or;anwition P.O No.. Jot, ND~ etc. ("00~ Identification of Synem '~ w w~ ~4t/1~6 * ~r~,{,, la) Applicable Construction Code dJ/./ 19 6 :>

Edition,

.u/..q Addenda, Code eases _ _._......,,.._ __ lb) Applic1bl1 Edition of Section XI Utilized for Aepain or Replacemenu - 19~, u/8'1) Addenda, Coda Casn -=--"'"""--- Identification of Componenu Repaired or Replaced, and Replacement Components Name of N1mt of Mfn. Ser. -Nat'L CRN Other Year Repaired. ASME Codi Component Mfr. No. Bd. No. ldentl-iulh

RepllCld, St1mped No.

f-.cation or CYea or Nol Replacement (~~4 --* (u,,. {j,t,,) ~~) I } ,) i,,t/e' ,) ~,/t:f ./x-),.o,.,~,~,.,..z::... /JI>,... ~ -* LZ;",:,.. ~" l.,f'"" r ,v,4 ,vM- ,vh I j j I \\ I I l J 1;1.*CW-"tOV'- ,v,& .£)_, ' 20J..4Ar)

ur-

,Vf') 2.*,Stq-,YQ,J-( I (

z.o, A. A I

\\ p;,r.z.. I I Jfe.r-1J, I ,I' 1.4,

7.

8.

9.

e--0thlr D CERTIFICATE OF COMPLIANCE We cenify that the natemenu made In this repon are correct and this ,,.e_er"&,wc.!'&d'-""'C conforms to Section XI of tht ASME Code.7"7~ (irpairc,,repar...emenQ Signed -~~~ rs..r 64' .).!-)r; I , 19 n (Owne<c,,Ow raoes*,..., Tnll 1Dai'l1 CERTIFICATE OF INSPECTION I, lhe undersigned, h~l~ing a valid commission Issued by the Natio':'I Board of Boiler a~d Pressure Vessel Inspectors and tht State or Province of 1/o..... ,emplovedbv fl5{3 'F:"f-k ~ of HG<.r+/-fr,l"d d9-L haveinspectedthe t'2.!~cAcb<-,.£N'C: ducri~dinthilReponon 1'-//,191!.J. 1 (R~pai'11I or ~e:,11cementf1l1 and 1111e that to the ben of my knowledge and belief, this repair or replacement h,n been connructed in acc:ordan~ with ~tion XI of the ASME Code. Bv signing 1his certificate, neither lhe Inspector nor his ifmplover makes any warran'lY, eicpressed or implied. concern-ing the repair or rep I.cement described in this Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for anv pers:al in~ry or propeny da~! *~~rising from or connected with this lnipectipn. Date

q. (I f'Cf

~ ~ Commiuiont ,{Jl3 AJ69 Ua..5"45 1111,pe,c:tCII) (S1a11 DI Pri,,,,,nce. National 80&l1I) l'llote: Supplemenul lhMU In form of llns. 1ketcha 0 or drawlnpo may be UHd provided (11,ln I, BK In. X 1t In.,

12) lnforma1lon In 1nm, I through
on thl1 data upon h lncludad on Heh 1hHt0 and 13) aach 1hHt 11 numbered and tt>* number of lhMtl 11 racord*d at th*.top of this form,

\\ ,,~... FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provision* of ASME Code Section XI D11e___.9'-';f_.__.~....__.,_1~~~~~~~ Shfft _ ___,2-;;;.-. ___ ot 2-

2.

Plant_._.;~~'..;L.....L..ctt.~!:'zZ.a:.-~~:::a.~:....,,.--

Unlt _ __._ ___ W_U ________________ _

do ){ I l/~ S'u,e,e V ~ 2,KKJ

3.

Repair Organwilion P.O No. JOII No. etc.

4.

5.

Identification of Synem C,1c.1,C.v1..ffiltv\\;, f\\,-1\\) -Sed 1..1 iSL w tori\\,>ts~ Cal Applicable Construction Code,1.f/. / 11 / z'h 2

Edition, A//-,?

Addenda, Codt Cam ___ ..v.... ~ ... ~'----

6.

lbl Applicable Edition of Section XI Utilized for Repain or Replac:11m1nta - 19.Zfl, tv/C"O

Addtnda, Code Cam

,i.,/_., Identification of Componenu Rep1i~d or Replaced, and Replacement Components Name of Component // N1mt of Mfr. i r/1111/t) J.11:Ni'/ f/11171 Mfn. Ser. No. -Nat'L Bd. No. CAN No. Other ldentJ. f"ication Year Buth CERTIFICATE OF COM~IANCE Repaired. Replac:ed. or Aeplacem11nt ASME Code Stamped IYH or Nol We certify that the natemenu made In this report are correct and this ~,q,6cz;!'?}?(,cJ T ASME Code. rJ. /,/ ~ {rrpair or replKelnel!Q conform, to Section XI of the Si11ned ~~--: _r..5:;,--6,4 SJ-;>>; 9 (Owne< or Ownet'a ,p,,..J Tnll (Olli) ,19 CERTIFICATE OF INSPECTION I, the undersigned. holdin11 a valid commission issued by the National Board of Boiler and Pressure Vessel lnspecton and the State or Province of /)4 * , employed by

fl, S: (] k + J:. ~ tJ '

of Har+/- 6.)t-d J ef. have inspected the demi~d in this Report on 9'-//, 19.11 [R p111111 or ~e;,1acemen1(1I and nate that to the ~n of my knowledge and belief, this repair or replacement has ~en connructed in accordance with ~tion XI of the ASME Code. By 1igning this certificate, neither the Inspector nor his fmployer makes any warranty, e:.:pressed or implied. concerri-i"ll the repair or repli,cement described in this Report. Furthermore, neither the lnipector nor his employer shall be liable in any manner for any personal injury or property d11fI ~59} a~ ki,?ff arising from or connected with this l~ipe~}O"- Date q-//- !? ~ ~,L_~ Commissions f)f>1/Jc'.11 Vtt/i4:3 C1n1pe,c1or, (S1a11 or Pn,,,,nc:e. Nalional ~ Non: Supplemenul lhNts In form of llsu. 1ke1cha, or drawlnpa may be u.. d provldad (1) alH la 81' In. X 11 In., (2) Information In h*ma t throu;h

on this dna repor, 11 Included on.. ch ahHt, and 131 each ahHt 11 numbered and 'It>* number of 1hNb 11 recorded at th* toP of lhla form.

\\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by lht Provisions of ASME Code Section XI Sh"1~-----"------of ____...._ ________ ~

2.

Unh----...L."""t-------------------------------------~

3.

~~,7

4.

5.

Identification of Synem l-V. r~ ~ C*l Applicable Construction Code r!fcJ/, I 19 6 Z

Edition,

,A,/:,;, Addenda, Code Case,--""-"-"""---- I. Cb) Applicable Edition of Section XI Utilized for Repain or Replac1m1nt1 - 11.LQ, Iv f'o Addenda, Code Casn Pe;? ldentific:.1tion of Componenu R~aiiTd or Repltc.d, ind Replactment Componenu Name of Name of Mfn.S.r. -Ntt'L CRN Other y,., Component Mfr. No. Bd. No. ldentJ. liunt No. f"ication ~-;) c.b~N't! Nk v~ .Al~ J..-rt,J-JJ.sJ) uht

7.,.

9.

De1eription of Work ~"'

Tens Conducted:

Pneumatic O Nominal Operating Prnsu'9 ):, Pressure 'i..£ psi Test Temp.~ eF Remarlu O #- Z., l i".3 9: i,.pplicatilt M&nu1ac1111ef"1 DI~ Re::,on110 be at~ CERTIFICATE Of COMPLIANCE CERTIFICATE OF INSPECTION Reptil'ld, ASME Codi RepllCld. Stamped or (Y11 or Not Replacement l!t?)~,,4,.,<J "µh Other a I, the undeni9ned, hol9in11 1 valid commission luued by the N1tio':'l Board of Boner and Pressu'9 Vessel Inspectors end tht S11t1 or Province of V4L,. employed t,y . f-/s fJ ;c+.rc O of Ho..v-TEor,.J J et have inspemd the Qg ~\\o.. c.eM.e"-'f-dmribed in this Report on lj-11.,ggj IRepa '1sl or ~e;,l"emtflllll tnd state that to the ben of my knowledge and belief, thi1 repair or replacement h11 been connructed In acco,dance with Section XI of the ASME Code. By signing this certific:.111, neither the Inspector nor his lmployer makes any werrantY, uprened or implied. concern-ing the repair or repl1eement described in this Repon. Funhermore, neither the Inspector nor his employer shall be liable in any manner for any penonal lnjury or property da~sif :::¥rising from or connected with this ln1Pt~Oft. Date Cf,-//- 81 ~- ~ Commissions /V8610 V !.La...,f:43 11ns 1ot1 151a1e or l'roo*flCI. Nalionlt 8o&tOI ote: Supplemenul ahNts In form of llns, 1keu:h*, or dnwln~ may be uaed provided (ti aln h 8:K In. X \\ 1 In., C2J lnformnlon In Item, \\ throueti

on thla dna repon h Included on och 1hMt, and 131 Heh 1hHt l1 numbered end 11'1* number of 1hMta 11 racorded at th* toP of ml, form.
2.

J.

4.

5.

I. \\ ,,~ 1 FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Requirrd by the Provisions of ASME Code Section XI ATTACHMENT 2 Owner Vi rgi ni a Power P.0. Box 26666 Shm_..........._ ___ of _______ _ jAO(lre,aj P11nt Surry Power Station ~...... P.O. Box 315 Surry, YA 23883 jAOOrauJ Work Performed by..;Yu8..a.&., _L.,;Po,..,v....,... e.... r ________ _ "$ame ltl-i Unh _ _.::;,;,-;;;..;;,..,;~d--------------~ 38000 22.16 z_ lde~tlfication of Synem ~;:-.,.,/;=µ*r ~c<<ee:N (el 1,pplicablt Construction Code B31-1 19 67 Edition,..:.14"-'A'--___ Addende, Code Cases ___ N""'A __ _ (bl Applicabl1 Edition of Section XI Utilized for Rep1in or Replac1m1nt1 - 11...80, WRQ Ad<<Mnda, Code Casn _...,[:J.._A._ __ _ Identification of Comp0ncnu Reptirrd or Replaced, end Replacement Components N1m1of Name of Mfr1. Ser. -Nat'L CRN 0th., Year

Repaired, ASME Codi Component Mfr.

No. Bd. No. ldentJ. aunt Repl,ctd, rtamped No. !",cation or

11 or Nol Repl1C111ment

/Jo/1/uer ~r~ ff~J-M . ::,~e.;.... -.eir. //~~)w.4..t( ("';,k *..., r_.,CI .,./k A/.k .;l-Ctl,¢</

V/~

h;) ~L~~rl'b°'"'T ~k

7.

Description of Work_..;.~_£......,f~-"'"'Pl--cL!..,_,,.=..,j....._--=~'--0""µ"",v"'"-'<!:"'e..-',,--_..;.,A/_-'&of-/_-_> _____________________ _ I. Tens Conducted: Hydrostatic O ,neum1tic O Nominal Operating Pr,nurt 0 Other 0 Pressurt PSI Ten T1mp. ___ *F I. R1m1rkJ~=.,.,v::.::....1;,:;:._ ______________________________________ _ c,t.~;c.ablf ~r,ulac1"'9f"I OAi. lw;,on1 10 be attact,eOI CERTIFICATE OF COMPLIANCE =~~~~'/)""'::; 7~1n this repon art correct and 1his ____ t-,-~-o,-,-.p1a-c.tfhlllQ _____ c:onforms to Section XI of tht Si9ntd /4/~, ISI ~)r. IC ,19 ?5' IC)wna, o, e>wnera 0e&'!1 I Tn1e C0111J CERTIFICATE OF INSPECTION I, the undenigned, holding I valid commission i11utd by the National Board of Boiler and Pressure Vessel Inspectors end the Sr1t1 0t Province of _ _.V... A ...,L-_______,"'mpl?td by HSB" I&I CO. of Ha rt ford

CT.

have inspected the /(efl \\.:v:... e g e,...rt-demibed in this Rep0t1 on ______ C/,,_--f--'--"'}!_, 1911 IRt~*\\rt1) o, ~,:,,.c,men1(1II end 11111 that to the ben of my knowl,dge and belief, 1hi1 repair or replacement has been c:onnrucltd in 1ccordance with Section XI of the ASME Code. By signing this cenificate, neither the ln1pec1or nor his ifmployer makes any warranty, upreued or implied. concern-ing the repair or replKement described in this Repon. Funhermore, neither the Inspector nor his employer ahall be liable in 1ny manner for any personal !~u,y or propcny d~"J'f "9.V ~nd arising from or connected with this ln1Ptction. Cm q-/ ~ - l(C/ ~1:_ ~ Commiuion1 ,41-t} 7d ll j Ua.., S: L( 3 (ln1pe,c1oi, (S1*1t o, ~,nee. Naho,,.1 BouCll on: 5.,pplemental 1hen1 In form of lln:1. sketch*, or drawing. may be UHCI provided (1l 1ln h II"' 1ft. X 11 lft., J Information In tnrn1 1 1hrou9"1 4 on 1h11 due npo" 11 lncl.,d*d on..,h thNt, and 131..,h 1hHt It n11mbered end IJ>e number of thNtl I, racordad at th* top of ihla form.. .*'a:*

FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by the Provi1ion1 of ASME Cod, Sec1ion XI

-1. Ownrr Virginia Power P.0. Box 26666

2.

3.

jAOdrnaj

Plan, Surry Power Station p,,..,,,..

P.O. Box 315 Surry, VA 23883 .{AOOr-euJ Work Performed by_V... A ..... -1:'P~\\t/-e.... r _______ -- (N-, --same 38000 211..r I ATTACHMENT 2

4.

5.

Identification of Synem £?,,"-c ~UA d c/ fa) Applicable Construction Code B31-1 ,r67 Edi1lon..... 1~.... A'--___,.ddendl, Code Cases _..a.N:.:..A,__ __ _ (b) Applicable Edition of Section XI Utilized for Repain or Replac1m1nt1 - 11..BD, WBQ Addenda, Code Cam ~H... A.__ __ _

s.

Identification of Comp0nenu Rep1il'!d or Replaced, and Repl1cemen1 Componenu N1m1of Namt of Mfra. Ser. -Na1'L CRN O,he, Vear Repair9d. ASME Coda Component

Mfr.

No. Bd. No. ldentl-au111 Replect<I, !'ta,TIJ*I No. f"ication °'

,*11 or No)

Replac:amant .J Sr,,>><; ,¥,;t~Jf'/-,,,e~ .>?.{~,?.! v,h --t/~ ,,v4 ~JI# Ll-4f-/,,vq-#A ,,./~ ~~)2,;,e:,:!,/

-V4 Cl.ei,,;u,:..

µ/,p ,.(/~ A/h ~ #h7'~ f.v/)'fST,l?,A/ L-*,;; ~-~Altf w,,; ,,v,/:J ,;2,E).,, -a.,:_,,£-,V ,,1//,41-

7.

a.

Descrip1ion of Work ~/2:;:..;e;;.:..>... ,!1~&<.J?.=.d!~, > ......... s_.,..."-'-'1¥--""-)..,,;-_-P-:;;......;.Y~n""",----S::-""<<""'----'-S:a..?..;;;~::..c=,;r;_,~~c""'L=~----'A_.;:~'"".;,:;t-'-'-~_;;,'Q..:&"-------- Tem Conducted: Hydrostatic D ,neumatic D Nominal Operating Preuurw D 0,har a Pr1nure ___ p1I THt Temp. ___ *F Ramarks~~o~,(,l~&=--,--..,.....,,,...--:---.,----,--c,----------------------------- ~ic..:.it ~ftlllKIUlet'I Dita Rcr:,ona 10 be lllachedl CERTIFICATE OF COMPLIANCE Wt 'f h I h' ,£ L(?.c~c~~e,,V-;,- f Se ' AS~~~a nltl~mtnU ml!de n t IS repon.,. correct 1nd 1his-'"--..,,.__ .. -,pa,-,-o,-,e"""'pie-=~---"----COn orms to ct1on XI of the Signed ~~~ ISI ~);:::-: ;g/ .11 Y<J (Ow-DI I De,og.... J Tnlt (DIIIJ CERTIFICATE OF INSPECTION I. tht undersi;ned, holding a valid commission inued by 1he National Board of Boiler and Preuurw Vessel lnspecton and 1h1 Srata or Province of _ _.V.... A..._,L-_______, employed by HSl3" I&I CO. of ....... H-a.... r... t.... f.,.o.... r_.d._.,.......,c.... T ...,L...-_have inspe<:ttd the t:e(l) (a,. C eMe(l./1 dtmibtd in this Repot\\ on ___ q.._*,__._!=8_* ___, 19.Zf jRrfa,1111 o, ~r:,11"mcr11(1I ind 111t1 1h1t to the ben of my knowlrdge and belief, this repair or replacement has been connructed in 1cto1d1n~ with Section XI of the ASME CoCM. By signing this cenifi~tt. neither the ln1pector nor his lmployer makes any w11ranty, uprencd or implied, concern-ing the repair or replacement dtscribrd in this Report. Funherrnore, neither 1he lns.pector nor hi1 employer 1h1II be liable in any manner for any personal injury or property m~ or 1~1 of any kind arising from or connected with thia ln1Ptction. Om 1-( & - ~ r J.

Commissions IJ (3 70 e, q U a'. 5""L{,)

(ln1p.c1or, 1S111e o, P,v.,nce. Nahon,11 Boudl on: S11ppl*m*nul ah"ta In form of 11111, 1k11ch*, or Clrawlni;ia rnay be 1.1oad provided 1111111 h BX In. X 11111.,

2) lnfo,mulon In ltarna 1 through
on thla du* repor, It lnclud*d on uch 1hNI, and 131 uch,hHt la n11mbe**d and It\\* number of 1hMt:1 1, reccrd*d at th* top of Ihle forrn.

~\\ \\ ,,~.. FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT A.J Required by the Provisions of ASME Code Sec:tion XI ATTACHMENT 2 -1. Owntt Virginia Power P.0. Box 26666 0,11~___..,S:: __ <E--'l>,.... >/ ............ ~l~~-r-"I~~~~~;'~~~ Shnt------D'--------

2.

IA4drnaj ri,nt Surry Power Station p,i~ P.O. Box 315 Surry. VA 23883 .{AOOreUj Work Performed by_Y.... A ........... _._l:'O... 'i.ul... e~r ________ _ p,i....... 'Same ~ 38000 %0£2, 1

4.

5.

Identification of Synem C,-,.1.t-...,.,~ &? a&cd 1/0.,,,y.-;o,,1 Cc?e'C@,t,. (al Applic1blt Construction Code 831-1 19 67 Editlon,.H"'-A.,___ ___ Addcnda, Code Casts ___ N.... A __ _ (b) Applic1bl1 Edition of Section XI Utilized for Rep1in or Repl1e1mant1 - 19..BO, W8Q Addenda, Codi Casn ~N.... A.__ __ _ IS. Identification of Comp0ncnu Aep1i1Td or Replaced, ind Acpl1c:ement Components Name of Name of Mfrs. Sar. -N1t'L CAN Other Year

Rep1irtd, ASME Code Component Mfr.

No. Bd. No. ldentJ. aunt

Replle9d,

~tamped No. rocotion or

11 or Nol Aeplae1ment

'5;--.,.2,5 ~A'.ibrA"""' /t/4 N'h µJ /,0 ..f2~>;...o9-e..,b-J

vA 5""~,.-- ~

-l-t'//..n.l-7>JJ'1,1. .v4 ,v~ ,,Lt d~ I'/ ).,-,,..,,,,.l_,j/.rlA µk/ ,v //7

7.

I. Ducription of Work __ /2_~... 1....

,.

:_,,,p...._,::.._t!-_.q ____ ~=...o..... -v-'-',.-...,._-&~.r----4

.... o...,1..-~r,-,.-; __ -.v_*.... ~ __ CJ_d_""2~*C"""""'/,,t_-.._/'1'; ___ '.tl_,/_-_2_z_.?_~_/.fi' Tats Conducted: Hydronatic O Pneumatic O Nominal Operating Pressure G--"' Other 0 Priuwre Nei~ pal Ten Temp. c,10T *, I. Remarks A/ ~ !Appjal>lt ~...,,ac1.,..,., Dua R.;ion1 10 ti. anact,edl CERTIFICATE OF COMPLIANCE =~~~ _t~1 n1t7;u;~adt In this repon,,. correct 1nd this......... ~__,,,._)_;;;.,_f' ,pa,r .... c...,"'... ;--,;; ... Plll=-.c-~._..r ____ conform1 to Section XI of the Si9ned}A/~Lt ISI ~Ar. ff ,11 rz l()w-or Owtlet'I De1,,.., TIIII jba1et CERTIFICATE OF INSPECTION I, 1h1 undersigned, holding I valid commission issued by the National Bo1rd of Boiler 1nd Pressure Vessel lnsp<<toll ind the S11t1 or Province of VA, employed by HS B

I & I CO,

of Hartford t CT, have inspected the ~ee la CPMeaft dmribcd in this Report on q-cl, 19fl IR~~**rc*> o, ~~;,11cem.. nl(IJI and 1t11c that to tht best of my kno... lrdpe and belief, this repair or replacement has been connructcd in accordance with Section XI of the ASME Code. By signing this cenificatt, neither the lmpector nor his l!mployer m1kt11ny warranty, u:prtned or implied, conccr~ ing the repair or replacement described in this Report. Funhcnnore, neither the lnsptctor nor his employer shall be lieble in any manner for 1ny personal ~jury or propcny ~ ~oj ofJR~~~11rising from or connected with this Inspection. Om q _ I 8 8 ~ ~tL ~ Commiuion1 ua 16 0 'f L/d... 5"43 (ln1~1or, (51111 o, Pn,...,ce. N11,o,,a1 8o1,111 on: s.,pplemental sh"" In form of Ilea. 1k*1cha, or dr*wlns;a may w UHd p,o.,ld*d Ill,In h BM 1ft. X 11 In., ) lnforrnatlon In h*rn* 1 through, on thla due noon la lncl.,d*d on.. ch 1hNt, *nCI 131.. ch 1hHt 11 n'-lmbered and "'* n"rnwr of ahNb la record*d at th* 100 of 1h11 forn1.. \\ ,,~.. FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Requirtd by the Provision* of ASME Code Section XI ATTACHMENT 2 Owner Vi rgi ni a Power P.O. Box 26666 D /(}&lr? '"---~~-------------~ Shnt __...._ __ ~of~_.......__ ___ ~

2.

jAOClrnaJ ,,ant Surry Pawer Station INAfflll P,O, Box 315 Surry, YA 23883 ~aor.uJ Work Performtd by_Y... A ............. t'O ... k ... t... e... r ________ _ --Same ~-.

4.

5.

lde~tlfic1tion of Synem tf.&&Cn>~+tr::'. fa) Applic1blt ConstNc11on Code 831-1 19 67 Editlon.... r~ __ A ____ Addenda, Codi Cases ___ N __ A ___ _ (bl Applic1bl1 Edition of S1e1ion XI Utilized for Aepain or Aeplac1manu - 11..BO, WBQ Addenda, Coda c.... _..N... A.._ __ _ I. Identification of ComPOnents Repaired or Replaced. and Replacement Componenu N1mtof Component ~"1it1.-KAII"' ~

7.

I. I. Name of Mfrs. Ser. Mfr. No.

M

.v.4

N1t'L CAN Other Year Bd.

No. ldentl-Bu11t No. f"ic1tion /1'4 A/hi l)r:_.19,/A,19rl CERTIFICATE OF COMPLIANCE Repaired,, ASME Codt

Replac9d,

~tamped OI

nor Not Replace_!Nnt

/) _{.Q-p4,~ ~,& Ju.A 10/,t/,,-$- Wt certify that the natemenu midi In this report art correct and this-~~.;..;:::"'>"':'?""""r_./2..'"""-------="forrn, to Section XI of the ASME Code/'1 t1pair or **Placameno Si9nflf UJ.,J/:._.., rs,e!. <"'. IS I Oe.r: r/ eo-.... or I Des,g-1 TIii CD1111 , 11 y:; CERTIFICATE OF INSPECTION I. the undersigned. holding I v1lid commission issued by the National Board of Boiler and Pressure Vessel lnsp<<tora and the S1111 or Provincit of_~Y~A....,.._ _______, employed bv usn* I & I co e of _._.H... a... r... t.... f... o..,r....,d~, _c....... r.... __ h,vc inspe,:1ed the R Q.(? q_ f V: dHcri~ in this Aepon on fRep*,rfsl c,, ~epl*etmeri1(11l /a -l{, 11.ll ind n1te that to tht best of my knowltdQt 1nd belief, this rep1ir or repl1cement h11 been connrucled in 1cc:o,d1nc:e with xction XI of the ASME Code. By si11ning this cenificatt. nehher the Inspector nor his lmployer mikes 1ny w1rranty, 111:prened or implied. concer~ ing the repair or replacement df'scribed in this Report. Funhennore, neither the Inspector nor Ilia employer shall be liable in any manner for any ~raonal injury or property d".'.':*::=2:sif~risin11 from or conne<ttd with thi1 lnsp1e1ion. _ D111 /o,q- ~1 ~~lL!~ Commiuionl jl/JJ()o? Vtt5t..f 3 t1ris-10fl IS**** 0t Prv,,,ric:1. National~ on: Suppl1m1n... l 1h.. t1 In form of 11111. *ketch.., or drawlnlll may be 1nad p1ovld1d C,l 1111 h IX 1ft. X 11 In., I Information In h*rn1 1 through, on thl1 data ropon 11 Included on.. ch '""'* anCI Ill ucll 11\\Ht 11 numbe**d and 11'\\a number of 1hNII h racorded at 1he 1op of thl1 form.

*--i",.-..

ATTACHMENT 2 \\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT /u Rrquirtd by the Prowi1ion1 of ASME Code Section XI Datt 10 (B ~e, ....,. own,, Virginia Power P.O. Box 26666 Sh NI of __ ....... ~----
2.
-~~ Plant Surcy Power Stat,nn Pllfflll P.O. Box 315 Surry, VA 23883 Work Pirformtd by... Y ... A..L&.,....... Powe 111 ... r _______ _ ,same ~.,,,., 38000 c., << 60 9
4.
I. lde~tlfication of Synem l'f,4,;}1.~4dit1 f1J Applicabl, Connrvctlon Codf 831-1 19 67 Editlon...... 1~.... A ______ Addendl, Code Cases -""'NA..._ __ _ (b) Applicable Edition of Section XI Utilized for Repain or Replacemenu - 11..BD, WBQ Addend1, Code Cases..... N ... A.._ __ _ I. Identification of ComPOntntl Aep1irtd or Replaced, ind Replaeement Componen11 Nemeof N1mt of Mfn. Ser.
Nat1.
CAN Other Year
Aepeirtd, ASME Codi Component Mfr.
No. Bd. No. ldentJ. i,,111
Rep11C9d,
~tamped No. f"ication 0, . as or Nol Raplacemtnl '9ft ;,""Q, - ,loi1;rt'.:, vogt-c..o Moddaec1
7.
I. Description of Work-4-fi"'c:-.;;:z+"'C?...... c,,..k.~.,...,.4:....... n...,..... J......,1,..~... ~..,~I""* _.f...,.a.,_1... e;;;..../--1!,,1,).. a.. l..,,...,,.,_.-_-c:;~------------------ Tem Conduc,td: Hyd,'o1i.t;ri' PneumaticO Nominal Oper1tin11 Pre11u1"1 Q Other Q PrtllUl'I 1ef>P psi Ten T1mp,.21L_., ft,hoes, (?O.:ft-, C s 'i 114-le '3(3 G,9f 1£>0 /8l C.!]'t' 17 vz 8ffl CERTIFICATE OF COMPLIANCE Wt certify that 1h1 n1t1menu mlde In this repon ara correct and this h:1MUdtL°N r'
kl~~
!SI
zz

-
tow-a,0-.,, 1,0,,..J TIie C0,1e1 conform, to Section XI of the .,, n CERTIFICATE OF INSPECTION I, th1 undtrsi9ned, holding a valid commission iuufd by tht National Board of Boiler and Preuu'9 V,nel ln~ton and the S1111 or Province of _ _.V.... A.._ *.._ _______, employed bv HS B* I & I CO, of _H_a... r_.t.. f.... a... r... d_,_..c.... r.... __ h,ve inspteltd thf 8 eA 1,..., c eM &Jr dtmibtd in this A,po,1 °" IRrptt11Jo, ~,:,1,c1men1111 f 1-1.. 19.fl end state that 10 tht btn of my knowle~e ind belitf, this repair or replacement h11 been connruc1ed in acc:o,danct with Section XI of tht ASME Code. By signing this cenificatt, neither the Inspector nor his lfmployer m1ltrs any warranty, upre1sed or implied, concern-ing tht rep1ir or replactmtnt drscribed in this Report. Funhermor1, neither the lnu,tctor nor his employer shall be liable in anr manntt
for any r,enonal injury or property d~"'.:'~ '%kin'1ari1ing from or connected with this ln1Ptcti0ft......
D1t1 {I-a,.. S'<t ~L ~ Commi11ion1 µ87/JD~ uq_~ 'l.3 fln1-10f) (51111 or ~"Ct. N1honal ~ lilo,w: Svpplamanta\\ '"""Inform of !Ins, 1katch*, or drawlnpi may be ueed provided (11 aln h IX 1ft. X 11 Ill.,
2) lnfounallon In ltaff\\1 1 1hro11gh, 011 thl1 dua repor, 11 lncl11ded on.. ch thNI, and (31.. ch thHt 11 nwmbered nd,t,1 number of '""ta 11 recorded et ttl* 10P of thl* form.
\\

~_---=----~

val \\ FORM NIS*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT AJ Requirtd by the Provisions of ASME Code Section XI 0,11,e/efM ATTACHMENT 2 Owntr Vi rgi ni a Power P.O. Box 26666 . jA40rnaj ShNt~__..__ __ ~of~ _ __..__ ___ ~
2.

5.
I. Plant Surry Pawer Station P.O. Box 315 Surry. VA 23883 Work Performed 1,y-'V... A....._. -'-~"'"' ...... t'-------- ,same 4Nllftll 38000 7GobQ>8 lde~tlfication of Synem ><<l!~~r~ f1) Applicable ConstNctlon Code 831-1 11 67 Editlon,.... H.._A _____ Addcndl, Code Cases _ _,N_.A __ (bJ Applic:abl1 Edition of Saction XI Utilized for Aep1in or A1plac1m1nu-11..BD, WBQ Addenda, Coda c.... _N_A..._ __ _ Identification of ComPOnenu A~airTd or Aeplac:.d. and Aepl1ctmtnt Components N1m1 of Name of Mfrs.Sar. -N1t1. CAN Other v,., Aep1irtd. ASME Codi Component Mfr. No. Id. No. ldentJ. iulh
RepllCtd,
!'tamped No. f"ic:1tion or
, nor NoJ R1pl1cemen1
'I it()¢ ~0-10$23 ll~ a:1/11. ~'1... :Slll 7' ~.,1 ,,,.,J,e,I"' I~
_,._r, -*-*
~G\\J.. ~ (°(!LOn - ti'"' I
7.
I. Description of Work-L:.J.y~~~-.a.tia.--J:~~¥,LL.:~.a...1.1L_::::;;... ___ -='=7'~---::::----------- Tfflt Condvcted: Pneumatic NC?"'.'!!! Operatin11 flressul"I -'-"""--Pl! Ten Temp...!::£}_ eF Atrnarlts-,-----,.,...-..,.-------=~--,-----,--------"""""""'"'t v.._,_&J.-.... wl'--Fp.... o#,.c-=...._.$....,s....
tf..__....,.... 3.... :Z
....,""'~'... B.... / __ jAppjoC&blf MA""IKluref"I Dai. i:t.:,c,,11 10 be.,~ r CERTIFICATE OF COMPLIANCE d>4d(Jd--,t..c.!!;vL conform, to Section XI of the t'IPM or IIP'a~ CERTIFICATE OF INSPECTION I. lh1 undeni;ned. holdi119 1 v1lid commission iuufd by the National Board of Boiler and Pr111ura Venel lnapKton ind the State or Province of usa* I &T co e of Hartford. CT. havtinspecttdthe ~!VI demibtdinthisRel)Ol10ft t{-1:. ,19.fj IRt **'11) °' ~e:,11c1me111(1I and n1tt that to tht but of my ltnowlrdpe ind belief, this repair or replacement h11 been connrvc:1ed in accordance with Section XI of the ASME Code. By 1i;ni119 this cer,ifiutt, neither the Inspector nor his lfmployer m1krs 1ny warranty, uprened or Implied. conceri.- ine the repair or replacement dt>sc:ribrd in this Repor,. F ur1hennore, neither the Inspector nor his employer 1h1II be liable in any rnainntt for any per1on1I injury or propeny d/f~s oJ *"])kin~ arising from or connected with this ln1Ptction. D11t / / 8'i ~ 1.. ~ Comminions,Ja 1009 VA. S'{ :3 (1111o.c10fl 1$1111 or "1:,.,,r,ct, 111a1oo*,.1 ao.idl lilon: S11pplemet11*I 1hNn In form of 111-a. 1ke1ch*. or drawl11pe may be ueed p,o.,lded CU,lie h SM 1ft. X 11 In., CZ) Information Ir, h*rn1 1 throueti
011 thl1 due npo" II l11cluded 011 Heh ehNI, and (31.. ch 1hHt 1111umbered lftd IPI* number of thN'D le recorded at Iha top of 1h11 form.
. -:"I' ATTACHMENT 2 \\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT I AJ Required by the Provision* of ASME Code Section XI --1. own,,. Vi rgi ni a Pawer P.0. Box 26666 Shte1 _ __..._ ___ of __ __. ____ _ ~,....,
2.
Plant Surry Power Station p..,.,.. Unh_............_. __________________ _ p,o, Box 315 Surry, YA 23883 ..... GC!t'9..., Work Performtd b'(... Y-A.... _._l;'O.. k ... t.. e... r _______ _ 3aooo 6aw,o '$ame 4'1-i
5.
lde~tlfic1tion of Synem NA,p ~4:cz 111 Applic1blt Co11$tl\\lCtlon C:Octe 831-1 19 67 Edition,.... l~.._A ______ Addenda, Code Cases __ N_A __ _ (bl Applic1bl1 Edition of S1ction XI Utilized for Aepain or Replac1m1nt1 - 11..80, WSD Addenda, Codt C:.111 __.N.._A.__ __ _ I. Identification of Compc,nents A~1ill!d or Aepl1ad, and Replacement C:Ompontn11 Name of Component N1mt of Mfr. Mfr,. Ser. No.
N1t1.
Id. No. CRN No. Othtr ldentJ. f"ication Year Bultt
Repaired, RepllC9d, Replacamtnt

7.
Description of Work B e p ~k u t'} J S ~ fc Lc,-c e.,. \\1 m, L. t e / I. Tm, C:Ond\\icttd: HydrosUtic Pneumatic D NominaOperatine Prasu19 a Other 0 Pr9ssurt I.Jr(/ PSI T,n T,mp.~ *, R,INl'1u ,':b 1= 1,hg,,.; po.dt:. c :5S111t; e12i,9 ~c.abil lilA"'11K1wrltl'"I D11* fw:oon1 to lie IIIKh9dl , r '{J .c. tc':> UA,., c O C <;..7 '1" I 7 4<e 5,::2, CERTIFICATE OF COMf~.J.IANCE ASME Codi ~tamped . ; 11 or Nol We certify that the n1t1menu md In this repon are correct and this Af?,e;.d~.Z:: conform, to Section XI of thl ~ME Code::1 ~ 1-* 1*~ s,11fted ~~-~ ISI M,~ z-. tow-or
'O"NI T*te CDIIII

" n CERTIFICATE OF INSPECTION I, th1 undenigned, holdi1111 1 valid commis1ion i11ued by the National Board of Boiler,:and,re11u19 Vessel lnspecton and the Stltl or Province of VA ft

employed by_lu.ia.1.SMB_"...,IJ.1&...,I-.1.1CMO.... ________________ of Hartford, CT ft h1v1 insptclld thf R.e.~(.. (c ke.l'I \\
dtmi~ in this Repon on ((- 3,,s..tt IR*P**rt*J °' ~~:>*.c,rne111(1I and 11111 that 10 tht btn of my lr.nowltdge and belief, thi1 repair or replacement h11 bten connructed in 1cco,d1nce with Section XI of 1hr ASME Code. By 1i9ning this cenificatt, neither the Inspector nor his fmployer malr.ra any w1rranty, uprened or implied, concern-ing the rrpair or replacement described in this Repol'\\. Funhermore, neither the Inspector nor hi1 employer shall be li1ble in any manner for any personal injury or property d~1 o~n~lr.ind arising from or conntcted with this ln1Ptction. Datt //-3... E'\\ ~-~ Commissions Al87o0 Cf Lh~.. 5&(-3 fllllPKIDf) (Statt or ~IIC ** N*t,c,nal ~ 1\\/on: Svpplem*11t.l 1hNn In form of ll1u, **atch*, or drawlnpa rriay ba und p,ovld*d (111IH h IX 1ft. X 11 In., (2) lnformulon In l,wma 1 1hrou9"1 4 on thl1 dua npor, 11 lncl.,d*d on Heh 1hNt, and 131 uch 1hH1 la n11mbared and 11'\\e 1111mbar of 111Mb 11 racord*d *t the top of thl1 form.
2.

3.
,,~.. \\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provision* of ASME Code Section XI Ownff Virginia Power P.0. Box 26666 ~r.,.., Plant Surry Power Station
~~
p.a. Box 315 Surry, YA 23883 jACIClt9UI Work Performed t,y_V... A l:'O....uW.... e.... r _______ _ "Same '411T111 38000 s-6or"{ ATTACHMENT 2
5.
Identification of Synem Sui1a ~ll (a) Applicable Constn,ctlon Code B31-1 111 67 Editlon,.... H ..... A ______ Addenda, Codt Case, ___ N __ A ___ _ (bl Applicabl1 Edition of Section XI Utilized for Repain or Replac1m1nt1 - 11..BD. WBQ Addenda, Code C.111....... H ... A.__ __ _
8.
ldentlfiaition of Compenents AepairTd or Replaced. and Replacement Components Namaof Component ~-~""r,0/V .** I" I. I. Namtof Mfn.Str. Mfr. No. G-A."loc~J 5i,*..... - "~'"""'.,.._ lc::~',:t'7Q _, -Nat'L CRN 0th* Ytar Bd. No. ldentl-Buth No. f"ication >tJ/L. ...,/,+ ~-$i.J*~otl- &/,4,/r,;r;; .z,,,A CERTIFICATE OF COMPLIANCE Repaired. ASME Codi flepllCld, r11fflPtd a,
,nor Not fleplacament
~t~~..:.. *..c-J ~o We c1rtify that th* t1menu made In this report ara corract and this i't[;,,M;c,f4u{Ah;: conforms to Section XI of the ASME Code. i ~,pa,, or 1ep1acameft0 Signed_:.,* --l.2{;.Li:.l..;...4~~~~::::::::.---....l,;LL----=-1-M~11!!_tl.~---* 11 Y2 !Ditti CERTIFICATE OF INSPECTION I, 1h1 undersigned, holding I valid commission iuued by the National Board of Boiler and Pressu,w Vessel lnspec1on and tht Sra11 o, Province of _ _.V..._A......._________ -...Jlu.i$""'B1L 0_IoLJ&..._I,.__.C_...O.,_., _______________ of ~H... a.... r.... t... fuo... r.....,..d~,__.c... T.._,L-_have in1Pteled lhe ducribtd in this Report on _____ _.l~/_-_3 ___
1911 IRt "111 o, ~t:>l1cemeftt(sl and 1111e that 10 1h1 b"t of my knowledge 1nd belief, this repair or,epi1cement h11 been connructed in 1cc:01d1nee with ~ction XI of tht ASME Code. By signing this cenifica11. neither the Inspector nor his lmployer makes any warr1n1Y, upiene1t or implied, concari.,
ing the repair or,epl1eemen1 described in this Report. Funhennort, neither the Inspector nor his employer shall be liable in 1ny manner for any ~,sonal injury or p1operty djFV9' ry113f 9X~1in9 from or connected with this ln1PI~ Catt {/ 8j ~ 1- * ~ Comminion1 D)/j ?()o '( d<.... S:i:[3 (ln1~1Dfl l51a11 or Pni,,,rc,. Na1,an11 lloudl on: Supplamantal 1h"t1 In form of 11111, 1k11cha, or drewlnr;a mey ba UHd provided (111111 h IX In. X 11 In., ) lnformetlon In lft1111 1 through 4 on thla data npor, 11 Included on.. ch 1hNt, and 131 ucll 1hHt l11u,mbe1*d end the numbal of 1hNII la **corded n the tOP of thl1 form.
\\ ,,~.. FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT Al Required by the Provisions of ASME Code Sec1ion XI °'" (Q /a/a:,. ATTACHMENT 2 Own,r Virginia Power P.0. Box 26666 Shift of __ __. ____ _
2.

3.
.~,..., ,1,n, Surry Power Statrno IN~ e.o. Box 315 Surry, YA 23883 Work Petformtd t,,..;V... A ........ _._Se 1111 ... r _______ _ ""Same (Nll'llj 38000 B.5' 1 '2 s. lilepeir ~IIIUI-P.0 No.. JoO Ho. MC.
4.

5.
lde~tlfic1tion of S,,nem f2 ~c,_ :~..£-A:-~ fa) Applic1blr CollltNCtlon Codt 831-1 fi 67 Editlof\\,.:.;H,_A _____ Addenda, Code Caffa _...,NA ____ _ (bl Applicable Edition of S1C1ion XI Utilized for Repain or Repl1um1nu-11..BO. wan Addlnda, Codt Calft_N_A.._ __ _ I. Identification of Comp0nent1 Re;,1irtd or *Repl1cad, ind Repl1cwmtnt Components N1meof Component J.;:; *.._._\\ J.. *...J.., I. Name of Mfn.Ser. Mfr. No.
N11'L CAN Olhtr Viar Id.
No. ldentJ. 8111h No. f"ic1tion JJ /, o"a-R.5-NM,.. llh J,16\\l -;lc'~ rt.IA \\.Jh u/. CERTIFICATE OF COMPLIANCE
Rep1irtd, ASME Codi

Replle9d,
!"tamc,ed or .*,nor Nol Aeplacament .,,_..:i_ -- _/ Al- ,:,_~,,.. __ J 11..... V Wt certcvifJ that the n1t1mtnU made In thil report are correct and this ASME
~,
£ <ff-,.'.:>sdc,"""~e' r-- conform, to Section XI of the trpe,, ar,.~ Si11ned - ~~ ISI io-- ar 0.S.0-1 TIit &r1* M . 11 P.7 CDIIII CERTIFICATE OF INSPECTION I. the undmi9ned. holding I valid commission iuutd by the National Board of Boiler and Pr11111rt Vessel ln~ton ind the St111 or,,ovir1ee o, _ _.V..._A..,. _______...,., employed i:,y uso* I&I co, _..H... a... r_t... f .... a ...... r.... d....,....._,c'-T........ _h,vt inspeclfd tht ~e,~ (o.(eMc: wt demi~ in thil Repon Oft IR~p1,rt11 o, '!~~*1ce,,..111(1I of 10.. i3,,i.:J V and 11111 that to lht but of my knowlrdpt ind brlirf, thi, rrp1ir or repl1cemrnt hH ber11 connruc1ed in 1cco,d1nce with Section XI of the ASME Code. By signing thi, certifiu11, ntither the ln1ptctor nor his lfmployer m1krs 1nv warranty, uprtswd or lrnplitd. concer,.. ing the rtp1ir or rrplKemt11t drscribtd in thi1 Report. F11rthennore, neither tht Inspector nor hi, employer 1h1II be liable in 1nr manntt for any personal injury or prol)CrtJ d~.J>f ~rising from or connec1td with this lnipt~iOft. D11t /b *i3"'f' ~_b ~ Comminion, NB 2H'f Vtx.S't.f~ 11111pec100, IS**** 01 l'ronnc:1. 11111..,,,.1 ao.,,ii on: Svpplement.1 1h"n In form of 11111. 1h1Ch*, or dr*wlnr,w, rn*v be ueed provided (ti 1IH II IM 1ft. X II In., 21 lnfo11n*1lon In lnrna 1 througfl, on thh dna r*Por, la Included on uch ahNt. and 131.. ell ahNt la numbe**d enc, 11'\\e number of 1hNta la **corded 11 th* toP of ihla form.
~
2.
J.
4.

5.
ATTACHMENT 2 ,,~... \\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT /u Requirtd by th1 Provisions of ASME Cod, Section XI own,, Vi rgi ni a Power P.0. Box 26666 IAOO*...., ,1,11t Surry Power Station p,...... P,O, Box 315 Surry, VA 23883 Work Performed by.... V ... A ...... -~-- 111 ... r _______ _ {Nllftll ,same ~ ~ft--to_l~B~bS~9,...._~~~~~- ShNt_....... ____ of __ __..__ ___ _ 3aaao 2 z~.s-, ld111dfic1tio11 of Srnem ee~-""ett:". 9M 11' ft) Applictblt Conswctlo11 Coclf B31-1 18 67 Editioft,... H.._A ______ Addenda, Codi Cases _._.N.... A __ _ (bJ Applicable Editio11 of Section XI Utilized for Rep1ir1 or Repiac:em111u - 11...BO. waa Addtnda, Code C.set..... N ... A._ __ _ lde11tificatio11 of ComPOnenu Aep1irtd or Aepl1c.d, 111d Aepl,c-em,111 Componen11 N1m1 of N1mt of Mfn.Str.
Nat1.
CRN Olhtr Year
Aep1it1d, ASME Codi Component Mfr.
No. Id. No. ldentJ. 811111 ..eplactd, !tamped No. f"ic11ion or .* nor Not R1pl1c:11mtnt I)) r.,'i-' ~4 lJ /µ ">Jh ~-C6 "Wh.. a,.c7 t.... r.... J ~o .P-IA S'T,,,..J s..,,.~S'r~ 1,.,_:.,£! ,.,4 ti.IA 1.11~ - 11 /A.. Q..,_, _,... J IJ.,.., I I. Oncriptio11 of Work_"""""-l~.......,..,___.-1-.........,,.u-..:;...+r...w"-Ao..--------...,..--------------- Tem Condvctld: Pn111m1tic O Nominal Operatint Pra11119 ---PII Ten Temp.~*, I. lll1ffl¥1ts __________________ .... w ....,..... d--*::_...P_.CYf: ....... __....SS ....... _tf ___ :irl... a .... +...._a __ a_~---- ~c.a111t......,,.e1...,., O.s. "e:,0,,110 tie 11lad>9dl l Sl'.od, P().:11: 5 'r I +54-7 CERTIFICATE OF COMPLIANCE =~~~ nm-menu midi In this report are correct and this_........ A...,..0""'r... ,;,;"'4"'-*or.....,~.._".&;.~a.o"";:a..;'""... L'-' __ conform, 10 Section XI of the SitMd~,::~ 1s1 /('i) z: /tf ,,n iO-tW or I Dlf....-.J Tall '1st.I l'\\ CERTIFICATE OF INSPECTION I, lht 111,drrai;ntd, holding I valid commission issued by tht N11lo111I Board of Boll1r and PrHIUl9 Vtntl lnspecton and the Sratt or,,ovinct of YA, employed bv HS B
I & I CO,
of Hartford, CT, hmin,PKttdthe ~eelAceMewt dmri~i11thi1R1pot1on //J... cl3.,1fi I tP *'11J o, At:,11ctmef\\l(II and n,tt that to tht bcn of mr kno... lrdge ind belitf, this' repair or repl1ccme11t has been connrucltd in 1cc:o,d1ntt with Section XI of lht ASME Code. Sy signing 1hi1 c:enifiutt, neither the ln1ptctor nor hi1 fmplorer m1kr11nr ~11ra11ty, upressed or lmplitd, concer~ ing the repair or rtl)IKtmtnt.drscribtd in this Rtpon. Funhtrmort, neither lht lnaprctor nor hi1 employer 1h1II be li1bl1 in 111y fflllnnff for Illy PIIIOftll inju,y Or property d~'Jf ~rising from or COMKted with this lnll)tcti~ Dm /tJ.. 1'3-Sj ~. ~ Commiuions AJR?btl{ 1/0.,1~ t{;;> (11\\IOKIOI) jSlllt 01 "'°""", N lhClf 01f I ao.,,fj ow: Swppl1m1nul 1h.. t1 In form of llna, 1htch*, or drawlnp, m,v be und P*OYld*d Ctl tlH la IX In. X 11 In., ZJ l11foun11lon In lnma 1 throwtph
011 11th dtta rapo" It lnclud*d on..,,.. 1hN1, and 131 Heh 1hHt l1 n11mbe**d lfld " 1111mbtr of 111Mb 11 racord*d *I 1111 toP of '1\\11 for""'
ATTACHMENT 2
2.

3.

4.

5.
I. ,,~.. \\ FORM NIS-2 OWNER'S REPORT OF REPAiR OR REPLACEME.NT As Rrquirtd by the Provisions of ASME Cod, Section XI Owner Vi rgi ni a Pawer P.O. Box 26666 V,OOrKI) Plant Surry Power Station IN_.. e.o. Box 315 Surry, YA 23883 Work Performed b'(_;Y.... A ............... 1*we-...."".., .... r ________ _ --Same (N-i D1tt---.t..... 0~~._.~ ........ 2~~~~~~~~ ShN1..... _...._ __ ~of..... _ __....._ ___ ~ l'epail' Organiuhon,.o No.. JoCI No. MC. lde~tlfication of Synem Gv,.:;;:::,.,-r >>A-tt t fa) Applicable Construction Code 831-1 19 67 Edition,... H::a..A,...._ ___ Addenda, Code Cast1 __ N""A._ __ _ Cb) Applicable Edition of S1e1ion XI Utilized for Repain or Replac1m1nt1 - 11..BD, waa Addenda, Cod, c.... _N_A ___ _ Identification of Comp0nents Rep1ired or Repl1ced, and Replacement Components Nam1of N1mt of Mfrs.Sar.
N1t'L CRN Other Year Repaired,,
ASME Code Component Mfr. No. Bd. No. ldentl-Buth
Replaced, rtafflPld No.
f"ic1tion or
nor No)
R1placamtnl lc;",...u)J 1/<<h,.w.t!.t- .v~ ,,....4 .v4 .2.-c J-19 -~ ,,,IZ,I,:~*~--} I-Ai J:i ** *-* h ,,,.,,0 t!/IJ ~~-~- ,.,,/,, .,v4, ,v £tJ ~ _,. r./J .v4 /21> ,...a..\\ ~VI')
7.
I. Description of Work--'/2. ........ ~-~ ...,e.... t? ...... e~tf~--,<-""~'"'d:.... b..... rs: ........,,....*""'4'-",;; __......,..v._.!!(c_.:....,t....._f... r.A,._...,..La=.,'/.___-=----------------- Ten1 Conducted: Hydrostitic O
neum1tic O Nominal Operating Prasul'9 0 Other 0 I.
Prtssurt 17 psi Ten Temp...!!!e.Z::.. *, A1marks ________ ~--------S:: ... :ro.="14.... S: ....... _A_l,4' C,_f......,.*/~.Z..,,..Z._..(2_.,r/_r.:-:a:3....... _________ _ (Appl~ a.t.nutac1ur.,.1 Dau Ae:,ona 10 bis 1t1Achrld> C,r.., ~z..s,6 L CER Tl FICA TE OF COMPLIANCE We certify that tht n1t1menu mMfl In this report 111 correct 1nd this __ R._c. ...,g._.....d.. 1C.r ... ~ ..... t'.' ... e;'. A4......__'i!!. .....,_J.._r-____ confonns to Section XI of the ASME Code/1 ~ Signed (Jtl._ ~~ L<<< to,.,,., or I De1,01'iiiij ISI TIiie ..,pa,, or 1ep1aceffilftll Or z:. 9 CDIIII .,, n CERTIFICATE OF INSPECTION I, lht undersigned, holding I valid commission issued by the National Board of Boller 1nd Prnsurt Vessel Inspectors 1nd the S1111 o, Province of _ _.V... A .....,._ _______, employed by HS8" I &I CO of _H_a.... r... t.... f_o.... r... d...,...... cL.IT......___havl inspecttd the R<iw\\& PRM eu-f.s dncri~ in this Repon on ------+/..,./J,.__-..... 'f--.,1s.i IR\\.::,a,rtsl o, ~1::,1,c1men1(11l ind nate that 10 the best of my knowltd;t and belief, thi1 repair or replacement has been connructed in 1cc:o.,d1nce with Section XI of the ASME Code. By signing this certifiatt, neither the Inspector nor his ifmployer makes any warranty, upressed or implied, concern-ing the repair or replacement described in this Report. furthennor1, neither the Inspector nor hi1 employer shill be liable in any manner for any personal injury or property~",,'~'!:-~ arising from or connKted with this ln1Ptction..- D11t (()-'7-§cf ~~ Commiuion1 /JfJJDO~ Ua.~l.\\:3 ""IPKIOf) 15.,,. or ~*"Cl, Nat,anal ~ 011: $.,ppl*m*ntal 1h.. t-1 In form of 11,u,,htch*, or drawlnlill mey be uud provided CU 1ln h 1:K 1ft. X 11 In ** ) Information In lnm1 1 througl'I
on thl1 due rapo" 11 lnclud*d on..,h 1hNt, and 13) uch 1hNt 11 nwmber*d end ltle number of &hNII I* record*d at th* tOP of thl1 for"'*
\\ ,,~.. FORM NIS*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the Provisions of ASME Code S1c1ion XI ATIACHMENT 2 Owntt Virginia Pawer P.0. Box 26666 ~ft--e~c~f.~3~+J~e~~~~~~~~~ Shtf1 _ __. ____ of _______ _
2.
IA,Oarn.aj Plant Surry Power Station Plalftll P,O. Box 315 Surry, YA 23883 Work Performed t,y_V.,A.....,...... ~_...._f..__ _______ _ ,i-i '"Same 38QQQ 5 ? ':t. ~ e'>
5.
Identification of Synern_..~_,'"'&.a. 0 .,e~,~~~".~~4..,!,,$..__ __ ~=-------...,......-------------"""",----- f1) Applicablt Construction Code 831-1 19 67 Editlon,.... H __ A ______ Addendl, Code Cata _...,N_,A __ _ lb) Applicable Edition of S1e1ion XI Utilized for Repain or Replac1m1nt1 -11.80, WOO Addlnd1, Code C.lli...... N-A._ __ _ I. ldentific.tion of ComPOnenu Aep1irrd or Repl1c.d, ind Replac:tment ComPonenta Namaof N1mt of Mfn.Sar.
N111.
CAN Other Ytar
Repairtd, ASME Ccdt Component Mfr.
No. Id. No. ldentl-Built
Replactd,
~tamped No. f'ication or
11 or NoJ Rapl1e1mtnt
)) p '/,n,,,. / l~1t.1 Ii, i'A1"-*""""W A~ /Ji ll,.,,., ~CJAJ... "1 I.A R,eAJ~A ~- rs ~\\,(\\\\ 1/ yc,g;t_ $\\l.Jw)Q,J( -f.J/4 li /A.-, NIL (' .,,,.J.- I Lh-fJ,l.,~A),. ~ a..... "' r--=- - ~I"""' I
7.
Description of Worlc R,;; j2 lg 1§"' Q, n cL. f:3 G po G.J:;., Vo tile.-<'. I. Tem Conducted: Hydrosutic Pneumatic O Nomi111I Oc,er1tint Pressu,. 0 Other 0 Prt1'11J,-UB".fJ psi Ten Ttmp.-2'L., *,
t.
Atmarb C-rPt:fed 1/p,[,,e-< Pc#:.5Q.O.~e ~c.&l)lf Manulactwref"I Olui Ae:,o,1110 bl atUICl>9CII <1, p ~, J Q 4- /* <'.I Q ~.1 oe< -~ esp ~ Q:::.q CERTIFICATE OF COMPLIANCE We c111ify that tht n1t1menu mldt In this r,pon.,, correct 111d this.....a:4=;,;,)-'cAt;;:::;..;.==~=--'t:=~::...:;.V~Z:i<.-___ conform1 to Section XI of the ASME CodeQ tepa,, or 1ap1a~ Si11fttd~ 1,~! fi2.~G / J .11 s;I CERTIFICATE OF INSPECTION I, the u11dmi9ned, holding I valid commission l11ued by tht N1tlo1111I Board of Boiler and Prnsurt V111el Inspectors ind thl Sratt or Provine, of _ _.V.... A ......._ _______, employed bv uso* I & I co ft of _H_a... r_t... f.... a... r_.d,..,.._.C..,T._. *.___h,vt inspecltd the \\}eo \\ ~(. -e M ewt dtmibed in this Repon OIi ----'/._o_ ........ 4,_t_, 19fi fRrpl°'11J o,,,:,1,carnel\\t(II tnd 11111 that to the btn of my kno,....ltdQt 1nd belief, this repair or replacement h11 bten connrucled in accordance with Section XI of the ASME Code. By 1i9nine this certifiutt, neither the Inspector nor hi1 lmployer m1kt1 any warranty, uprened or implied, concern-ing the repair or replacement dtscribed in this Report. Furthermore, neither the Inspector nor his employer 1hall be liable in 1ny manner for any e>ersonal Injury or proper,y de or 1 101 of ny ind rising from or connected with this ln1Ptction. Datt (D-.i'- gq Commissions /J'S,oo 9 1 LJo..,..6!{:J (ln1 1DI) 151111 or f"lvnrc*. Nahot,al '°""" fllot1: Svppl*m*ni.1 1hene In form of 11,u, *ketch*, or drewln1,11 may be und p,ovld*d 1111IH h IM II\\. X 11 In., 12J Information In h*m* I 1hrou9'1, on thl1 data nport 11 lnclud*d on..,h 1hN1, and 131..,,. *hNt 11 numbered end"'* nvMbet of tllNtl 11 recorded H It** 1op of 1h11 form.
ATTACHMENT 2 \\ ,,~.. FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by tht P10Yi1ion1 of ASME Codt Section XI Owner Virginia Power P.0. Box 26666 Datt___.t-<2.... ~ ...... ~~ ....... ~-~ ........ ----~--- jMOrna) ShNt------Of __ __...._ ___ _
2.
Plant Surry Power Station p,,~ P.O. Box 315 Surry, VA 23883 J.AOGrwUI Work Performed br.. Y ... A ....... _t'Qk_..,i.,.e~r ________ _ ""'Same (N-.1 38000 l{/8'll
4.

5.
Identification of Synem &',f,te,: '1aue&Ct:::: fa) Applicable Construction Code 831-1 11 67 Edition.... H~A,__ ___ Addenda, Codt Cases --N,..A.._ __ _ Cb) Applicable Edition of S1e1io11 XI Utilized for Repair1 or Repl1c:1m1nu - 11..BD. WBQ Addenda, Code C.'"-H-A.__ __ _
s.
Identification of Compc,nents Repail"fd or Replac:ad, and Repla~ment Components Namtof Name of Mfn. Sar.
Nat1.
CAN Other Year Repai,.d. ASME Codt Component Mfr. No. Bd. No. ldentl-Buth
Replactd, rtamped No.
f"ic:1tion 0,
,*norNot Replacement
)..S",~;x, di'1 lt/4 Ill~ Alk. ,2-~c,..,S'Y* 111/4 ~#/)~4-J 2.fJ'/A .. ~ 'J U~'fl"'(
ht>
ll£t, ~,'1 "i:r Ill~ - ~ ;1)
7.
Description of Work_._z;;..._. __,r......._~s;=~~~--'.?:Y--~--,~;;,-*~.......;;.11,_~ ___________ ~---~--------- Tem Conducted: Hydronatic ciJ7 Pneumllic O Nominal Opera1in9 Pressul9 0 Othtr 0 I. I. Prenure6llK psi Ten Temp.~ *F J R1marllu--------=-----------___..._$'°'J"llw .... =4... s... BJ .......... 4" C"---S'_,.'{_-_~=l.--/. __ 'l~ ..... Z .... (J=),._V ____ _ i,.ppi~ ~""tacturer'1 Dai. Ae:,ona 10 be et1K"9dl .'\\ .J- /'.) Af!J /"'t>_. S'.SV -.U/~U rg CERTIFICATE OF COMPLIANCE We certify that th1 na11menu m.ca In this report are correct and this /2.t:!-t".e&r:4-&~d'C conform, to Section XI of the ASME Code.Q ~ Si9ned ~r:~ co-- OI I Dea,g.... ) t*PM or rep&acemenQ ISI TIiie CJcr, /? ?J"'J ~ CD1111 CERTIFICATE OF INSPECTION I. the undersigned, holding I valid commission issued by the National Board of Boiler and Pressu,. Vessel lnJPKton and the Sratt or Province of _ _.V.... A ........_ _______, employed bv usn* I & I co e _H_a-r-t.... f... o~r... d...,,.._.C... T ........ _have inspec:11d the R ~( ~C.c:~..... t-demi~d in this Repon on !Rt p1o111) o, ~e:,11cerner,1(1I of 10-~ s::
19&1 and natt that to the ~n of my knowlrc:lge 1nd belief, this repair or replacement has ~en connn.,cted in accordance with Section XI of the ASME Code. By signing this c:enific.att, neither the Inspector nor his lmployer makes any warranty, uprened or implied, concer~
ing the repair or replacement described in this Repon. Funhermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property dam::: oJ *nv kind arising from or connected with this lne>tction. D111 o--i (-~Cf ~!._, ~ Commiuion1 AJ{!, 760'{ (/a 5'4'3 ll"*~*Ofl C5111e or f'lvw*IICt, Nahanal Boudl on: S11pplemeni.l 1hNt1 In form of tin~. 1ketch*, or drawlnpa may be ueed provided Ill 1IH h IX 1ft. X 1t In., ) lnformulon In 1'9mt 1 1hrough, on thlt due repor, t, Included on.. ch ahNt, end 13) **ch'""' 11 ru,mbe**d end '&tie number of 1hNII I, recorded et 1he top of ihl, for""'
3.
,,~.. \\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by the Provisions of ASME Code Section XI Owner Yirgini a Power P.O. Box 26666 ~,~ P1an1 Surry Power Station ""~ P,O. Box 315 Surry, YA 23883 ~OO<ull Work Performed by_V... A ..... _t'O.-..,W...,e... r ________ _ CN-.1 --Same 38QQQ ;>z 'J6;, ATTACHMENT 2
4.

5.
Identification of Synem-R't...u.'A:... t;.:;N~IAOOtall~SZ,.~-J..'='--,,.....rlJc,---=------..,,.,..,..----------------.,.,,---'---- f1) Applicable ConstNctlon Code 831-1 19 67 Editlon,,.... H.._A ______ Addenda, Codi Cases _...,.N_,A __ _ (bl Applic1bl1 Edition of S1e1ion XI Utilized for Repain or Replac1m1n11-11...80, W8Q Addenda, Codt Casn_..f:l_A.._ __ _ I. Identification of Comp0nent1 Repaired or Replaced. and Replacement Components Name of Name of Mfrs. Ser.
Nat'L CRN Other Year Repaired.
ASME Coda Component Mfr. No. Bd. No. ldentl-iulh
Replactd,
!'tamped No. f"ication or
nor NoJ A 1pl IClffllftt
,...,) SY,.J}. p/;.i 1.1h µ4 ,-Jb.J ~ ~.,C,J;!'t .2.0 /I/~ ~~r~-*~-~,~ ,NO ,v~ Allt,. ~11k .,, J,/ r.,'J" 11/,., NIA ,..0 7
Description of Work_~~~~c)~t!--~-1.~'4/'(L~~~~L----------,.,.:--------------
Tm1 Conducted: Hydrosutic O Pneumatic D Nominal Operating Prn1urt Othtr 0 Pnssurt 9<U Ptl Ten Temp.Nor eF R1marlts S:r~~ ?o d.5.J' ~ 19 2. ' u ~call ~"<IIK1urllt'1 O.i. lw:,ona to tis attaefl9dl
1
~ '\\__.- /Vftlt'IT!- uv 19 '?Z.C> $ CERTIFICATE OF COMPLIANCE GJ We certify that th1 n1t1menu m.cSt In this report are correct and this_/d.=-""-~.... :>._L.._~"""'" ...... rna.:Yli,~ ..........,,.-___ conforms to Section XI of the ASME Code.c Ll~ .,pa,,o, 1ep1aUfllel!Q Signed l'&L-r. D Is I (e'Jz tL eo--OI'~ Tntt ~I .,,n CERTIFICATE OF INSPECTION I, the undeui;ned. holding I valid commission iuutd by the National Board of Boiler and Preuuf9 Vessel Inspectors and the State or Province of VA, , employtd by HSB" I &T CO. of Hartford. CT I have inspected the 0e~l °'C..:s1'A-e\\V\\ demibed in this Repo,1 on /b-f)..'.'.,C
,1t1 IR*P**rtll 0, ~*:>llcttnel\\1(111 and nate that 10 the ben of my knowledge and belief, thi1 repair or replacement h11 been connructed in 1cco,d1nce with Section XI of the ASME Code. By 1i11ning this cel"lific.att, neither the lnapector nor his ifmployer makes any warranty, u:prened or implied. conceri.-
ing the repair or replKtment dracribed in this Report. Funhermore, neither the Inspector nor his employer shall be liable in 1nv manner for any penonal ~jury or p,openy d*w :"'°" of 1n~in11 from or connecttd with this ln11Ptcti°1'9 D1t1 {6,~:,-~CJ ~"f, ~ Commiuion1 0J(3:7oo:f c./~ tJ°lfJ fl"l~IOfl (Stile OI' Pto,rt,,ce.11111..,,,.1 6oudl on: 5.,pplement.l 1heu1 In form of 11111.,ke1ch*. or drewlni;r, may bl und provided 1111!11 h IM In. X 11 In.. 21 lftformedon In 1nm, 1 through, Oft 1h11 Clue repor, 11 Included Oft Heh 1hNt, enc! 131 Hell 1hHt 11 numbered
"d " number of 1IINII 11 recorded 11 th* top of 1h11 form.
2.
,,~ 1 FORM NIS-fOWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by the Provisions of ASME Code Section XI Owner Vi rgi ni a Power P.0. Box 26666 Plant Surcy Power Stati6o...., CN~ e.o, Box 315 Surry. YA 23883 ~oo.. uJ Work Performed by... Y ... A ...... -t'P W""e.... r ________ _ c,.-i -..Same
38000 2t626 l'epair Orv1niu1ion P.D No..~ No. lie.
ATIACHMENT 2
4.

5.
lde~tlfic1tion of Synem ~l"'"""'l:t~rl',ct?llt (a) Applicable Construction Co;B31-l 19 67 Editlon,... H"'-A,__ ___ Addendl, Code Cases ___ N ... A _____ _ (bl Applic1bl1 Edition of S1e1ion XI Utilized for Rep1in or Replac1ment1 - 11..BD. WBD Addtnd1, Code c.......... H... A.__ __ _ I. Identification of Comp0nenu Rep1irTd or Replaced, end Replacement Componenu N1m1 of Name of Mfn. Ser.
N1t'L CRN Other Year Component Mfr.
No. Bd. No. ldentl-liulh. No. f"ec1tion ,) s--,....,.,~s /Vu u!A ,ti £i. AIJq 1.2.5,.,u_t Alt, ~ Ale,~ .1/11"
4)/,,
"'~ ~~IA 114 ..v.4-
7.
Dncription of Work ke9:'=ti7@Q.l> f l1?. 4'f~~~J" (Q.~c-r Tests Conducted: Hydrostatic P,neumatic O Nominal Operating Pressuf9 0 Pr11sure Zi l?C psi Ten Temp....r£C-*F Repai,.d,, ASME~ Replactd. 1tampad or
11 or Nol A1plac

1man1
~~~ ~ ,,,,.,A.j uo h~~~L-f /.10 Other 0 I. Ramarlu ________ __,,,__-------------------------------- lo'Pf>liu:>le ~...,1ac,.,.af"1 Da11 Jw:,on1 10 ba II~ t7 ~ /I' 3 .lry; es1 z::\\~~;~ CERTIFICATE OF COMPLIANCE Wt certify that the n1t1menu m.cSa In this report are correct and this,,,A&,~/1-e.&--t!--Mr conforms to Section XI of tht ASME Code. -n jr1pa,,or11p11~ Sign.cf ~r y'~~< ISI t2<<r- /L io,,-orDH,p TIIII CD11e1 .,, n CERTIFICATE OF INSPECTION I, 1h1 undtrsi;ned. holding I valid commission issued by the National Board of Boller and,,essu,. Vessel Inspectors and the Sratl or Province of _ _.V.... A .......__ _______,employed by HSB" I&I CO, ~H-a.... r~t... f~o-r...... d...,.__.CLJT._.,..__h,ve in1Ptelld the ~~pl '-C. <<;Me,,,+-dtmibed in this Rtport on IRrp1,1'(1) o, ~r::,11c,men1(1I and n1te that to the belt of my knowlrdpe and belief, thi1 repair or replacement h11 been connructed in accordance with Stction XI of tht ASME Code. By signing this certific.att, neither the Inspector nor his lmployer m1krs any warranty, uprened or implitd, concer~ int the repair or replacement drscribed in this Report. Funhermort, neither the lni,pector nor his employer shall be liable in any manner for any personal injury or property daw::::11 of 1ny kind arising from or connteted with this Inspection.,-., D1t1 / f.)... i:S:-<<&j
~:sf,~
Comminion1 6Jf316o'f. Ver 52'{,;!> (lnsi,ec,or, CS1111 or Pii,.,i,c1. Naloot\\11 llo&J'dl on: S11ppl*m*ntal ah.. te In form of ll*u. ***1ch*, or drawlnpa may be u**d provided (11 tire h IX 1ft. X tt lfl., ZJ lnformulon In ltern1 t 1hrough
on 1h11 due **Pon 11 Included on Heh 1hN1, and 131 uch 1hNt 11 numbered end w,.e number of 1hNla 11 racord*d at 1h1 IOP of '1'111 form.
2.
\\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by tht Provisions of ASME Codt Section XI Owner Yirgini a Power
P.O. Box 26666 IA4drasaj Plant Surey Pawer Station IN~
P,O. Box 315 Surrya VA 23883 J"C,O,.uJ ~- ,Work Performed t,v_V... A ...... _...t'Q......,w... e.... r ________ _ ~""'I 38000,lj/6, '-Same ATTACHMENT 2
4.
' 5. lde~dfication of Syn~m * >dr~,T,!t:.rt,;¥ Ca) t\\pplicablt Construction Code 831-1 19 67 Edition, HA Addenda, Codt Casts ___ N __ A ____ _ (b) Applic1bl1 Edition of Section XI Utilized for Aepain or Aeplac:1ment1 - 11..BD, W8Q Identification of CQmPOnenu R"'1ired or Replaced, and Replacement Components Addenda, Codt Casn _..fi...,.A __ _ I. Namtof Name of Mfra. Ser.
Nat'L CRN Other Year Component Mfr.
No. Id. No. ldentl-Bulh No. f"ic1tion '),sc.. P'~~.ll/'. P2~1~61/J-k-t:~ µh tV/6- ,1-S.r,.9,f Ph
7.
I. Description of Wort ~t!-f>~# ),;c Yim, Conclue,td: Hydrostii;icw Pneumatic O Nominal Oper11in11 Pra1urt 0 Repai,..d. ASME Codi Rep11C9d., ~tamped or
rn or Not Aeplac

emtnt JJt..e.~ ""*¥A
(/ l"J f
0ttie,*o I.
Pl'lsmre..lJ,3.r: PII Ten Temp.~ *F
) Rem... 1ts ______ -.,,. __________.._PG_d'-=.5....,v_-__ 0 ___ 2_.n... ~ .... ~--*..... G_,..,.. _______ _ ~ic&blt Ma"UIK1urllf'I Data Jw:,on1 to&>. IIIK~ f
.;>:t CERTIFICATE OF COMPLIANCE
~~~?; n;~*11u m~ In ttiis:+/-,,~on ire correct 1nd this _ _.&
............ f5* °'""~--111a ........ ~-----'r--* __ conforms 10 Section XI of the Signed ~ ,cs~ ISI 64 Oq;/.3 ~,11' fi'Y. (Ow1* or I 03~,g-J TIIII CDIIIJ CERTIFICATE OF iNSPECTION I, 1h1 1;1ndersi9ned. holding *a tmlid ~.ommission inued by tht National Board of Boller and Pressurw Vent! li\\llr,JC1or& ind the S11te orProvi~tOf VA, uss* I&I co. of Hartford, CT. h*ve in1PK1td t:i, co. t.(..c.q,,.,u, 111
demibed in this Report @!l
/{!) - l..r-, 19.K.1
:~' *
* !Re~** _!Io, ~e:;,t1cemel\\t(1II ind 1u1e that 10 the ~n of my knowlrdpt nnd b~lief, 1hi1 repair or replacement h11 been conrtf\\J!:itld in ac:c:o,dancw with Section XI of the ASME Code. By signing this certificate; ft!?ilher 1,ui lr.1pec:1or nor his fmployer makes any worrnniV;upres!led or implied, concer~
ing the repair or replacement described in this Repori. i?unh~nnor1, neither ~&'!:1 9nsprc:1or nor hfa 11mplo!(ur shall boi liable in any mannff for any s>er1on1I injury or prt,(IXlf"ty d1"119' !' a lou @i 111v 11:ind eriiiilll from or connKt~ with this 3mg;oction. D111 £b,'l.S-g't JWi.o.+*:{._ ~ Commiuiotll '* }J(j?ooq v~-~----- _*;::::**t:.:~;t,- *. 11""""~!1;;,j jS1a1u,l'-=~.NJ!~t8oKliJI on: Scpplgm*ntal 11\\<>at,i In f@rm oi !.13~. 1ketchm, e,r druw!NCJI m.:iv e.o* uoc,, i>*ovld*d C1J oi!o tidU!\\ In. X 11 In.,. *=------ ) lnform.,nl@n In ln"'>.a 1 th,eu~.S on 1h11 ~~\\I u.i:o©" 11 lftcluct*d @*'I ooch ehNI. *net 131 *ogn 1hfft 11 n11mbered a.. ~ lh* numt:Jir. of *lhNt1du* U11c:i;.~1fa8 ut o,o t~Sl oi ~MG* l@r"'. * **
\\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT AJ Required by the Provisions of ASME Code Section XI ATTACHMENT 2 Own.r Vi rgi ni a Power P.0. Box 26666 D111__..../._.'1 ..... ~....._:.r..... ~ ..... J". ..... ~...__~~~~~~~ Sh"'------O'--------
2.

3.
l,AOdresaJ Plant Surry Power Station IN~ P,O. Box 315 Surry. VA 23883 JAOOt9111 Work Performtd t,y_V... A ........ _PO ........ w ... e.... r ________ _ CNarneJ ...Same 38000,$7..t:?/Q "epaif Or;aniu1i0ft,..0 No.. Jotl Ho. elC.
4.

5.
lde~tlfication of Synem #,,,,;., ~..,...., fa) Applicable Construction Code 831-1 11 67 Editlon..... 1~..... A ......... ___ Addenda, Code Cases ___ N __ A..._ __ _ fbl Applic1bl1 Edition of S1c1ion XI Utilized for Repain or Repl1e1m1nt1 - 11..BD, WBQ Addenda, Code C.set _...N... A.._ __ _ I. Identification of Comp0nenu Aepairrd or Replaced, ind Replacement Components Name of Component AoN.v.t-r .)r"11bS
,;,,;T$
7.
I. N1mt of Mfn.Ser. Mfr. No. l<OCku.J~ ?t,
n"" 1..3
~"-
/A

h-
,r;I~
N1t1.
CRN Other Veer Bd. No. ldentJ. Built No. ric1tion u4' ,ly1tS-1tM~r A//.n µ/,9 .zo1e. Alt,;
vL.
.,,;4 IV~ ~~4 ..v£
Repaired, ASME Codi

Aeplactd,
~tamped a,
nor No)
Replacement * ~~p},;.4e,.e!-~} A/() Vt, ,,,Vt/ CERTIFICATE OF C~LIANCE We cenifr thlt th1 natemenu mldt In this repor, 1ra correct end this ~~ conforms 10 Section XI of the ASME "-. *a ~ Si9nedr/_ALL ISI -""11 CJc-ul.J !Ow,.., or Owner* De TIiie CD111J .,, Y9 CERTIFICATE OF INSPECTION I, 1h1 undersigned. holdi"II I valid commission issued by lht National Board of Boller and Pressu,. Vessel Inspectors ind 1h1 S111e or Province of __ V_A_. ________ _ ___._l""'iSu..Bi.... 0 """'I& .... I~G&l.10..... ____________ ~~~---~~-------o' o.c..-e (lt" -r cfemibed in thil Repot1 on -----+/ .... Q ....... -~.....,,..f---, 19n jRtP** 1Jo, ~t:,1ac1men1(1I _...H..,a.... r... t... f.... o.._r'-'d~.-C.... T_... __ h,ve in1PK1td the ind 111te that to tht ben of my knowltdge 1ncf belief, this repair or replacement h11 been connructed in 1ccord1nce with Section XI of the ASME Code. By 1i11ni"II this cenific.att, neither the Inspector nor hi1 lmployer m1kt11ny w1rr1nty, e*prened or implied. concern-i"II lhe repair or replacement described in this Report. Funhermore, neither the lns.pector nor his,mployer shill be liable in 1ny manner for any personal injury or property cfa/.-.~~f 1n~i~~isin9 from or connKttd with 1hi1 ln1PtC1iOft. Da,e /l>-l "5" -tc:I ~:a. ~ Commissions ,Vf37o~q J~ S:':< ~ t1n1PK1or, C5111e or~*. N1hor,al 9o&l'III on: S"pplemen,.11h.. t1 In form of 11,a. 1ketch*, or drewlnpa rn1y be UHd proYld*d (1111H h BM 11'1. X 11111., ) lnfo1m11lon In ln,m1 1 1hro"gh, on thla d1t1 upon h lncl.,d*d on.. ch 1hNt, end 131 uch 1hHt 11 numbered and w,,e ""mber of lhNl:I 11 recorded et th* toP of \\f\\11 forrn.
FORM N1S*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT k Required by the Prowi1ion1 of ASME Code Sec1ion XI ATTACHMENT 2 ..,.. Owner Vi cgi ni a Power P.O. Box 26666 oa11*~1._.a... ~.M,&.1.... ~_,._f~~~~~--~
2.

i.
I. I. IAOd*ftll ,1an, Surry Power Station e.o. Box 315 Surry, VA 23883 Work Parforml'd b'(_.V... A .... ~Se-.... 111 ... r--=~~----- tN-i ..Same Shtft. _ __. ____ ot __ _. ____ _ Jaaaa r, 7tr'.,.zroCJa/"66 ;z. ldentlf"ication of Srn1m, ~4e"';:;t Cacudl'"l"'. lat Applicabl, Con1wctlon Codi 831-1 11 t>7 Edition,.:.H::..A:._... ___ Addendl, Code C..n _ _.N._.A __ _ (b) Applicabl1 Edition of S,c:tion XI Utilized for Repairs or Aeplacamantl - 11..BD, WRQ Addenda, Code C.stt-H... A.__ __ _ Identification of ComPOn1nu Repaired or Fleplac:.d. and Replacement Components Name of Name of Mfn. Ser. -Nat1. CAN Other Vear Repairad. A.SME Codi Comoontnt Mfr. No. Id. No. ldentJ. 811111
R1pl1Ctd, No.
f"ication oi R1pl1a1men1 OncriptionofWort Q:¥:e~,...?f'IC) @;I""" J/,t~,;.e-Tnu Conductl'd: H"dronat~ Pneumatic O Nominal Oper11int Prn1ul9 0 Olhlr 0 Pre1111n 2-fJ.S::: psi Ten Tame,.~*, Stamped fYnorNol I. RenwllJ ______...,..,,,_-,,---.,----,----* ---~--------------,------ &A,lpl~ MaflUfact..,9"1 0&1a a.::,or,1 IO tie _,,.. ) ~ )
,se. 11.u#Ma+" eo 6 Maoc...3 r,.
r CERTIFICATE OF COMPLIANCE .,, n CERTIFICATE*oF INSPECTION I, Iha undeniened, holdi119 1 v1licl commission Issued b" the National Board of loller and Prmu,w V1111I Inspectors and lht S111e 0, PrDVinceof VA I
employed w usn* I &I co I of Hartford t CT.
h1v1 inspeClld the B,::£\\o.,c e M e,.,r ducri~ in thil AePotl on / / - / , 11..ll IA~ a,,i,1 or ~:itace-*\\1(11 and 11111 that 10 th1 ~n of my knowl1dg1 and belief, this rtpair or replacement h11 been connrvctld in acc::o,dance with Section XI of lht ASME Code. B" signing this urtifia11, neither the lnaptctor nor his,mplo"er mah, any warranty, uprened or implied. conceri.- mg the repair or repl,cement described in this Report. Furthermore, neither the lnipector nor his employer 1h1II be liable in any """'"' for anr personal inju"' or property d':'.. ~'af *~ kind erisint from or connected with thi1 lnc,1ction. Datt //..., - '£'/ ~~~ &~,.... Commission* Me 200 q (/a.. £<{3 ll"IPl'CIOI) C5111e 111 ""'"~I. Hat,o,,al 90&f1I llloft: Swpplemental,11.. n In form of 11111. ****ch*, or drawlr,s-mew be 111ed provided UJ alH II IX 1ft. X 11 lft.. 121 lnformallon In lnrna 1 throvll'I 4 Oft thh deta nPO" la 11\\clwded on each 11\\Nt, encr 131.. ch 1hNI la nvmbered and"" llumber of '""ta 11 recorded II th* IOP of 1'111 form.
FORM NIS*2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by the Provisions of ASME Code Section XI ATTACHMENT 2 --1. Owner Vi rgi ni a Power P.0. Box 26666 D1te~..... /l....,~ .... Z-..... ~---..... 5'~~~~~~ Shtft _ _...._ ___ of _______ _
2.

3.
CMOrnaJ P11nt Surry Power Station ""~ e.o. Box J1s Surry, YA 23883 jA.OOrallJ Work Performed t,y_V,..A.............. l;'OM.Llw... e..._r ________ _ 4N-i -.Same 38QQQ '{I 8"1 5""
4.

5.
lde~tlfic1tion of Synem JRt?dc: c;,~..vr: fe) Applic1ble Construction CQde 831-1 19 67 Edition,..,_H;:..;A,__ ___ Addende, Code Cases _..... N ... A.__ __ _ fb) Applic1bl1 Edition of Stet ion XI Utilized for Repain or Repl1e1m1nt1 - 11..BD. W8Q Addenda, Code Cam...,N.,..A..__ __ _ I. Identification of Comp0nenu Rei,tirrd or Replaced, and Replacement CQmponenll Name of CQmponent S')'U..)5 A/1.:..:-.$
7.
I. I. Name of Mfrs. Ser. Mfr. No. ~ ,Nat'L CRN Other v,.,. Bd. No. ldentl-Buth No. recetion ~':".ec-sv- ~ ~,rj{'_ CERTIFICATE OF COMPLIANCE Repaired. ASME Codi
ReplKtd, ttamped or

,ft or Nol Replaetment A,.,
A* 1.,\\ ~ /Vt, We cenify that th, nattmenu mldt In this repol1 1rt correct 1nd this ~~,J,d(;E&~6:(t-: conform, to Section XI of lht ~MECode.~~ S111ned IOw'*or~ ISI TIiie ,11 J1'9 CER Tl F ICATE OF INSPECTION I, the undersi9ned, holding I valid commission iuued by the National Board of Boiler and,res,u,. Vessel Inspectors ind the S11t1 or Province of VA, employed by 1iSB" I&I CO, of Hartford, CT, haveinspecttdthe Re~lo..c.e/v\\eu'"I demibtdinthisRepo11on 11-:L,19151 iR~P*"1*1 o, ~~::,11cemen1(1I ind 1t1te that 10 the btn of my knowlel!Qt and belief, this repair or replacement h11 been connructed in 1cc:o,dance with ~ction XI of the ASME Code. By signing this cenificatt, neither the Inspector nor his l!mployer makes any warranty, upreued or implied, concer~ ing the repair or replacement described in this Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or prope,iy d*w ~~ a~~ising from or connected with this ln1Ptction. Datt //- t-x71 ~1.* ~ Commiuion1 JJ/3 7tiO'{ Va 5:12 (ln11><<t0f) (Stllc or ~nee, Nahcnar &oa,111 on: SupplamantAI ah.. n In form of Ilia, ahtcha, or drawlnpa m*Y be uud P*ovld*d C,l 1IH h IX In. X 11 In., I I lnformulon In ltama 1 throus,h.* Oft 1h11 dn* r*Pon 11 lr,clud*d on.. ch 1hN1, eftd (3).. ell ahHt 11 n11mbe**d and lh* n11mbar of thNII I* r*cord*d at th* IOP of ihl* form.
. *=1- \\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT AJ Required by tht Provi1ion1 of ASME Cod, S1ction XI ATTACHMENT 2 Own1r: Virginia Power P.0. Box 26666 ~ft~.-..1~/,h.~z=h--...__~~~~~- Shlft................................ of...........................................
2.

3.
IAOO*nll Plant Surry Power Station IN~ e.o. Box 315 Surry, YA 23883 Work rerformtd by_.V.... A ...,_~ ...,_r _________ _ '-Same CN-i 38DQOQt160
4.

5.
IAOOrall Identification of Srnem_116(J...=,t<1.... &1=J"!!Cl;"!u/,~~;=.................. -....,11":"--------..,.,..,-...-----------------.-w---- f1) ~plic1ble Constn,ctlon Code 831-1 11 67 Editlon,,... H..._A.._ ___ Addendl, Codi c.m _.,.,N.... A.__ __ (bl Applic1bl1 Edition of Section XI Utilized for Repain or R1plac1m1nt1 - 11..BD. wao Addlndl, Cod, Ca111 _..H.... A.__ __ _ I. ldentificttion of ComPOntnu Aep1i1Td or Repl1ced. and Replac,ement Componen11 Nama of Name of Mfn.Str.
N1t1.
CAN Other Year Repai,.d, ASME C.odt Component Mfr. No. Id. No. ldentl-Bulh Aepl~ !"tamped No. rication Of
as orNoJ Aeplac

amant VA£t/tf
"'-ai J"le, z;,. - - J,.A"Jl-s2.. - !Gf-,':..,.a-.&-t<.¥.Y A/0 t-q311q)'f ..foN,v #, A .µ() '}>,Ji~ 14 ~ _/Vt)
7...
Description of Wor11_..A ___ §_?._~ ___....... _e-,,.c_tl'._.,,,_ __ ~_v...._~--------------------------- Tm, Conducttd: Hydrosi;;;;ia" Pneumatic O Nomil'III Os,eratint,rasurt 0 '"""" /38-o psi Ten Temp.,,_, __ CERTIFICATE OF COMPLIANCE We cer,ify that th, n111rnenu mMSt In this r,port.,, correct ind 1his...::;;L=t!:,*r)...;b&c.=..:c.=:.6.::.:&""'ef:......,v ......, ____ conforms to Section XI of IN ASME Code/.}* ~ .,pu,or"~ s;,nec1 Ud-zt;.~ rsr dv. z... fj:;; or I De,,o,..J TIie 11)1111 .,. ?57 CERTIFICATE OF INSPECTION I. lht undersigned, holding a valid commission iuutd by the National Board of Boiler 1nd Prn1ur9 V,ssel lnspecton ind tht S1111 o,,rovince of. VA, employed b¥ HS B
I & I CO

of Hartford. CT.
h1veinsptelldtht Q-eplll.~Metvt dtmi~inthilReponOft II-:,.,.n IR~P**"lal or ~,:;11acemen1111 and 1111e th11 to tht btn of my knowl,dgt ind belief, thi1 repair or repl1cement h11 been connrvcltd in 1cC01d1nce with Section XI of the ASME Code. By signing 1hi1 ctrtifiau. neither the ln1Ptctor nor his lmployer m1kr1 any werrenty, u:preutd or implied. concer~ int the rtp1ir or rtpl,c1ment dr1crib,d in thi1 Repor,. Furthermore, neither tht Inspector nor his rmployer shall be liable in 1nr manner for any personal injury or property d~? o~ arising from or connected with this ln1Ptcti0ft. _ D11e // &'j ~1_. ~ Commiuiont {JJO ?o O Cf U4.. b 4 3 pnapeclaf) 1S1tie or~,. N11,or,a1 9o&r,11 1\\101'1: Supplemental 1h"t1 1.. form of 11111.,.. 1ch*, or dr*wl11pa m*y ba UHd p,ovlded Ill 1111 II l>l In. X 11 In.,
12) lnforme1lon In lnme 1 1hrough
on thle lll11e noo" le lnch,d*d on Heh 1hN1. end 131.. ell ehHt 11 nwmbe,.d end.,.,,u,n,t,er of 1IIN1I 11 recorded et 1111 toP of 1h11 forffto
\\ FORM NIS*2 OWNER'S REPORT OF REPAIR OR REPLACEME°NT Ai Required by the Prowi1ion1 of ASME Code S,c:tion XI ATTACHMENT 2 -1. Ownn: Vi rgi ni a Power P.0. Box 26666 ~n~~/.~l/~?=6-f'.'5 ....... ~~~~~~ ShNl __...._ ___ of __ __.._ ___ _
2.

3.
IMO*ftll Plant Surry Power Station INA/1111 e.o. Box 315 Surry, VA 23883 Work Ptrformtd t,y_V...,A...... _._Sew..u~ 111 "'"r ________ _ --same (Nlffltl 38000 l i S}I i
5.
~ ldtntlficttion of Syn1m--t&~H¥ai11*!!ii~\\e¥~~fl.;)~-----,,..,.,.------.,..,.,...--------------,,.,.,...--- f1J Applicablt ConstNctlon Code B31-1 11 67 EditlOll,... r~ __ A ____ Addtnda, Codi c.ses _...,N.._.A ___ _ fbJ Applicablt Edition of Section XI Utilized for Repairi or Repl1e1rnant1 - 11..BO. wsa Addenda, Code C.111_..N.... A ___ _ I. Identification of ComPClntnts Aep1irTd or Replaced. and Repl1ctmtnt ComPonen11 N1m1 of N1mt of Mfn.Str; . -N1t'L CRN
Otha, Y1ar Rep1il'9d, Component Mfr.
No. Bd. No. ldentl-ivlh RepllC9d. No. ficttlon Replacamtnt ,/A,e.,/,J, ('t1J,J,/.Jt-. ;;,~ 1/./?3 2-. - 1.2-dJ-541 ~)>,,~,,u.,btd:P-
7.
Description of Work ~.:..~ t/41: V~ I. Tnt1 Conducted: Hydrosiitic,neurnttic O Nomi"-1 C)per11int Pmsv,. 0 Other 0 ,,..ssurt /36 / psi Ten Temp.~eF ASME Codt ~tamped
rn orNoJ
CJ
t.
Remarb _______ _,...__,,-.-------------------------------- ~c.al>lt ~11UIK1"'.,-1 Da1* lw:iot\\l IO be*~ CERTIFICATE OF COMPLIANCE We certifr that th, n111m1nu midi In this r,port are correct and this # fM4fA 4-U r conforms to Section XI of the ASME Code. tts-or**~ Si9Md %/ '-;f;~c;(,<' IS I ,/1;6r/, z_. , II 3"z (O,r-or I De~-1 Tall !DIii! CERTIFICATE OF INSPECTION I. the undrnigned. holding I valid commission l11utd by the Natlo"-1 Board of Boiler and Prnsul'9 Vessel Inspectors and the Sratt o, Provinceof VA, tmploytd by ii$ 8
I & I CO of Hartford, CT.
h1veinspe,c1tdtht Ret,C,.. c.cMevt dmribedinihilRtpot\\OII /1-J.,1.!1 jRrp "111 o, ~,~1.c,me111111 and 11111 that 10 tht brn of mr knowlrdQe ind belief, this repair or replacement hH been connrvc1ed in 1ccc,d1n~ with Section XI of the' ASME Code. By si11ning this cenific.att, ntither the Inspector nor his lmployer makes any w1rr1nry, 111prtned or implied, concern-ing the repair or rtpl,cemrnt described in this Report. Funtiermor1, neither the Inspector nor hi1 employer 1h1II be liable in any manntr for any pe11on1I injury or property d~1 of 1nv. kind arising from or connected with this ln1Ptctipn. 0111 11-3-K'l ~ ~ Commiuions AJ(J7oo'( Uq_ t,q:, PIIIPKIClfl l5111t or '"'"IICI. Nafoon,el llo&l,II fllon: Swpplemeni.l *h"ta I,, form of llna. 1ketch*, or drewln511 may ti. ueed provided CIJ tin II IX 1ft. X 11 111., z, lnformetlon In hem* t 1hrou9", on 1h11 d1t1 repo" 11 lnclyded on.. ch ehN1, end (:JI ucll *hHt 11 nymber1d ind the number of thNII I* recorded *t the top of it.I, form.
\\ FORM N1S*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT Al Required by the Prowisions of ASME Code Section XI ATTACHMENT 2
I. own,, Virginia Power P.O. Box 26666 11h,,l6
~"---~------------------- Shnt _______ of ________ _
2.
IADO*~ Plant Surry Power Station e.o. Box 315 Surry, YA 23883 J. Work Performed bv.. Y ... A ........ ---~ ......... &11 .... r _______ _ 1aooo r:au.1 --same IN-> c-- ~---
4.

5.
Identification of Srnem 0rU:ff.>L..kf'bT~c.O(},,~ fa) Applicablt Const,vctlon Code 831-1 19 67 Edltlon,...:..r~,_A ______ Addenda, Codi ease, __ N..... A ____ _ (bl Applic1bl1 Edition of StC1iOII XI Utiliztd for Repain or R1plac1m1nt1 - 11..BO. wao Addenda, Code Cases __,N.._A.__ __ _ I. Identification of ComPOntnta A~ai1Td or Replaced, and Atplac:tmtnt Componenu N1m1of Name of Mfn.Sar.
Nat1.
CAN Other Year Repai'9d, ASME Cede Component Mfr. No. Bd. No. ldentJ. Bulh Replac:td, !'tamped No. f'ic1tion or
nor Nol R1plac

amen1 Sr,,,,brf~~
f/,9&,r/,<U;l: S?1.1 *-*7" 2-5:FAI- _, *it/h lf_c)) /'A,- ~)
,,,;c,
/VvY) /.'.,!9 ~ c..&, \\ ,V(')
7.
I. Dncription of Work_-~:;.c..:..?c:.;..:4~c::..;;:ec:..:J:;;_...a::.~~~~...;;.A;.:.il'i~u~Y.--=S-------,,,.----=---------- Tt1U Conducted: Hydrostatic D ,n,umatic O Nominal Operatine Prnsul'9 Other 0 ,rusurt J,E2.. PII Ten Ttmp.~ *, Rtmarlu ______ ---------"'-5;.., ...... w=bS""-'""',4z...,..__/f___.c__=-s-j.,__--'2--.J.._..-_ef:_2_2.-"".j'---- IAPP4oC.&l>lt~""'act...r1D111A.;,o,,110bu11a<:fo4dt /4.,,s fo</i:- es'/.... 2.J9os I CERTIFICATE OF COMPLIANCE Wt c,nify that th, n111rnenu madt In this repon art corrtet and this_.... h:-. ___ "'"~-,1;..... n...... ce. ___ -,,.,,_..£,_u....a~----=nform1 to Section XI of lht ASME Code. ~
t*pa,, or 1ep1eceffllftll Sitned
~ zf:/-....aL ISI ,Uu/~ 2...-- tov-or~,o-1 TIit (DellJ .,,.?5 CERTIFICATE OF INSPECTION I. 1h1 undtnigned, holding a valid commission iuued by the National Board oi Boiler and,rnsul'9 Vessel lnspectora and tht S11t1 or,rovinct of _ _,V... A_._ *._________ employed by HS B" I & I CO, of ....... H... a.... r....,t.._f'-'o......_r... d.....,.__,C._T......... _hive inspe,c1td the OeQ {6-,c.eM eu t: dtmi~d in this Repott Oft-----~/'--'-1_-_;:3~-. 19n IR~P**'1s) o, '!,r:,1.c,,,...111(111 and natr that to tht ~n of my ltno..... lrdgt ind belief, thi1 rrpair or rcpl1cemtnt hu ~en connrvcled in 1cc:ordan~ with Section XI of tht ASME Code. Br 1i;ning this cenifiutt, neither tht Inspector nor his lmployer maltrs any w1rr1nry, uprened or implird. concu~ int the rrpair or replacement dt'scribtd in this Report. Funhtrmort, neither the lnspt'ctor nor hi1 employer shall be liable in any manner for any personal injury or propeny w~ or.11011_,9{ *")I kind arising from or connt-eted with this ln1Ptction. 0111 /1-..:) 'g~ ~h ~ Commissions VA. 543.A.IQ ?0°3 pns-lCN) 1S1*11 or S"ri,,,*ftCI. N*1..,.,.1 Bo&,111 l\\lo,w: Svpplemeni.1 eh"'- lu form of lln1, *ke1ch*, or drewlnpo mew be 1,rnd p,ovld*d Ctl *In h IX II\\, X 11 lft., (2) Information In lnm* t 1hrou9h 41 on 1h11 date repon la lnclvd*d 011..,h ehN1, end (31 Hell 1hH1 l1 n11mbe**d end It>* number of 111Mb la ruord*d at the 1op of thla form.
. -~ \\ "~.. FORM N1S*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT AJ Required by tht Provision* of ASME Code Section XI ATTACHMENT 2 Owntt: Virginia Power p
0. Bo X 26666 0.11_...,...,..,.,.....
3..,/,_£,16.-.9 ________ _ Shtt1 _ __...._ ___ of _______ _
2.
IAOOt~
Plant Surcy Power Statrno e.o. Box 315 Surry. YA 23883 Work Petformtd t.r-Y-A_. ___ Se ___..,_r _______ _ ,same CN-i 38000 <<> l 56 8
4.

5.
Identification of Syn1m--.----=~=------"'"2"::--------e-,er--------------...... """""--- la) Applicablt ConstNctlon Code 831-1 19 67 Editlo11..... u ..... A ____ Addendl, Codi Cases _.:,,:N...,A __ _ Cb) Applicable Edition of s,e1ion XI Utilized for Repairs or A1plac1menu - 11.BO. wan Addenda, Code ea... _....N_A ___ _ I. Identification of Comp0nents Repei~d or Replaced, and Replacement Componenu Name of Name of Mfn.Ser.
Nat'L CAN Other Veer Component Mfr.
No. Id. No. ldentl-lulh No. f"lcttion I l/-1,... r -*,.\\-f'- - 1..1 IA
I,
_,.._ v.n.... ':) - I/ o*.....,. J !tF J1\\ ,.,r a\\GG80 II I .1.., F :J P. II p* n.- 'I'......... 1*/ 0° t,;:IRf'lo.,j J'HF.JR t7, 5~*~ rt 1r "t...,,. I. OncriptionofWorll Be pncK ond Be_plcke >/olve Tffll Conducttd: Hydronitic Cir Pneumetic O Nornir11I Operatint Prnsu,w 0 Prt1111re 4$80 pal Ten Temp._:za__ eF Repaind.
Replaetd, Replacement r:l..n _,;.,..,_J i,_,.. j/
I Olhtr a Remarks
>(0chu*, PO-:tt, 55!/ 1390fa9 ~c.atolt ~1111tacturet'1 Daw "-:i,ct1110 tie at~ a* e,*9e. po~ si'i 11, es CERTIFICATE OF COMPLIANCE ASME Code ,tamped
as orNoJ kl" I)
~I We certify that the n1t1menu made In 1his report are correct and thls__.4s=~--).-~---=-=-.o.~a::::-..._..a.r ___ conform110 Section XI of Ult ASMECode~ Si9Md ?i=/--'t':'.~,,/ IS J to--~De~J f1p&11 or 11poaCCflllftO CERTIFICATE OF INSPECTION I, lh1 11ndmisried, holding I vtlid commission hsued by tht Natlontl loard of Boiler and Preuu,w V,sstl lnspecton and tht Statt or Province of VA, , employed bv HSB" I&I CO, of Hartford, CT, hive in&ptCltd tht ~( o-e e~ erJ'\\ dtmibed in this R,pon on / (- ~,,1.fi !Rep *'l*J o, ~e:,11c,n,e111(1I tnd 11111 thtt to tht be&t of my knowl,dgt and btlitf, this repair or replacement h11 been connrvc11d In accordan~ with Section XI of tht ASME Code. By 1i11ning this ce11ifiutt, neither the Inspector nor his fmployer mikes any w11renty, uprened or implied, concer~ ing the repair or replacement dtscribtd in this Repor,. Furihermort, neither the Inspector nor his employer 1h1II be liable in any manntt for any personal injury or property ~'J'f,~sing from or connected with thi1 lnsptcti~ Datt /I-,- g>1 ~~ ~ Commiuion1 A)(J ?O(\\'f Va.'5"!.f.:5 p..,_,_, 151111 or~,. N11-1 8o&ldl '-'on:*Swpplemental *he.i-1 In form of lll'D, *k11ch*, or drewlnr;ie may be UHd provided (ti 1lae h "' In. X 11 In,.
2) Information In l19rn1 1 1hrov9'1
on 1h11 deta repor, 11 lftclwded on Heh 1hNI, and (31 Hell ehNt la numbered and 1'\\t number of IIINII 11 recorded al 1lle IOP of 1h11 form.
ATTACHMENT 2 ,,~.. \\ FORM N1S*2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the Provisions of ASME Code Section XI Own11 Vi rg in j a Power
2.

i.
P.O. Box 26666 jAOOtnaj P1ent Surcy Power Station e.o. Box 315 Surry, YA 23883 Work Performed br-YwA.-..,........ = 111~C~--,------- (tilfflll --Same Dt 11&//5 Shtf1 ______ ot _______ _
4.

5.
lde~tlfication of Synem &)/ ~4':'t ft) Applic1ble ConstNctlon Code 831-1 11 67 Edltlon,.:..1~::..:A ____ Addendl, Code c.m _ _.N.... A ____ _ Cb) Applic1bl1 Edition of Section XI Utilized for Repair1 or Repl1e1m1nt1-11..BO, wan Addenda, Code c........ N.. A._ __ _ I. Identification of Comp0nen11 Repeirrd or Replaced, ind Replacement ComPonentl Name of N1rnt of Mfn.Str.
N1t1.
CAN Other Year R,i,airt4 ASME Codi Component Mfr. No. Id. No. ldentl-8111h flepl8Ctd, rumped No. f"ication or
as or Nol lhplacamtnt
?,;,:,us.~ ~~'1_,J #. b~-....ac.,!.\\ . #'o (} ,1,,JN~'f fA '/ '11J,(,~"**) $' I ,4._,,.. AIO
p/ ~,,
I 'XI~,11,tA,,..A -
n 1 16"14,K
7.
I. ~"'!tr~. - 2-rfs-), - CERTIFICATE OF COMPLIANCE We cer,ify that tht n1t1menu made In this repor, are correct and this,,Rd-),;deef"'"fcU C ASME Code. ~ 1 t,.- or 1tpia~ Si11Nd ~~ ISI ,A12tl.3 p._;s;;;;.;.., !DIie! CERTIFICATE OF INSPECTION .It lt/1) conforms 10 Seclion XI of 111c
" c~
I, 1h1 undtni;ned, holdin; 1 valid commission luuld by the N11lonal Board of Boller and Prtu11rw Vesstl lnspecton and 1h1 Stall 0, Province of YA e
employed bv use* I&I co e of Hartford. CT, h1vein1Pt<ltdlhe fx.,e,~la.c.c&)e,yT dmribtdinthisReponon I(- 3.,t.fi I ep1,tf1J o, ~r:,11e1rnen11*1 and 11111 that 10 tht btn of my knowltdpt ind belief, this repair or rtplacement h11 been connructed in acco,d1n~ with Section XI of the ASME Code. By 1i11nin; this cenifiau, neither the ln1ptc1or nor his lmploytr m1kr1 any warranty, uprened or implied, concern-int the repair or replactmtnt dt1cribtd in this Report. Funhtrmor1, neither 1he Inspector nor hi1 employer shall be liable in any manntr for any person1l lnjury or property dim~ or a lon!f,~sing from or connected with this lnrpection.
Datt //-'3... ~q f4Ji. ~ Commiuions l,){J 7oo'i V&<..£11 3 fln1pe,c10f1 !51111 or ~ftCI. Nat,o,,al llo&l,a Notw: S11ppl1men1al eh.;.n J., form of lin1. **etch*, or drewlnsa mu b9 UHd p,o.,ld*d (II 1111 h IX In. X 11 lft.,
12) lnfo,,..ulon In 11arn, 1 throvef1, on 1h11 data rapon 11 lftcludad on Heh '""'*.,.a (31 Heh ehNI le nuffiber*d and 1'1*,..,,.,e,., of 1hNtl le racorded 11 1h* 1op of thla form.
\\ FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEMENT As Required by the P,owilion* of ASME Code S1c1ion XI Otte 11 / w f ~S ATIACHMENT 2 ... 1. Own1r Yi rgi ni a Power P.O. Box 26666 Shift of-------~~
2.
. jAOO,..., P11nt Surry Power Station P,alllll e.o. Box 315 Surry, YA 23883
3.
Work Perlormtd t,v_.V.... A ... e_... SeM,&,1 ... 111 ... r _______ _ 38QQQ 7 5 31.6 -..Same tN-i
4.

s.
lde~tmcation of Synern G(F(l'?P,~.,/:,v'/ S ;:,~ v ,., Applicable Construction Code 831-1 ,,r;rr Editlon.... l~ __ A ____ Addtnda, Code c.se. _ _.N_.A __ (b) Applicable Edition of Section XI Utilized for Rep1ir1 or R1pl1e1m1nu - II.BO, WRO Addtlld1, Codec:.... _...N... A,__ __ _ I. Identification of Comp0n1nts R"'airTd or Repl1ad, and R1pl1cement Componen11 Nama of N1mt of Mfrs. Ser.
N1t1.
CFIN Olher v,.,
Repaired, ASME Codi Compontnt Mfr.
No. Id. No. ldentl-1111h RepllCICS, !'tamped No. rec1tion f/1
11~No)
A1pl1e1ment nnet /\\s,59 c.;,_. i,...-,e\\ JIK-~{V.J.J N/A,, t-J /4 'tJ/A r:l<!.. 0 lo. C,AJi. r.... oa*C.S**l8 1'1.- &+..,,J ~ I II II i.1.~..L...
1 11 Li n
11 ~l Description of Work_i;a..a=-f~~~-...,""""':...~-.,_.,...,_.."-"='.............;;..;~... ~~----=~--------- Tm, Conducted: Pneumatic O Nomir,I Oi>eratint Prn111'9 Olhtr 0

PII T1nT1mp~

R1mcrlu B euo n e :k
4. '5 :;9 PO '* S.;s 'r'
~~ INIIUIK11#et'I Olia "e:,on110 be II~ I

s

... :t.... s-a... 0:....___.f.......,0.... :11: __ GfR kl £IT' p-O -tt-vS!J> CERTIFICATE OF COMPLIANCE f18 +GJ1 ( 1) ag.0'1-Ya c,) a :ae45'3 (7) We certify that th1 namnenu mtdt In this report art corrtc1 end this--,1.£-~"'Mc,4===~=~1:::.c:.rc<:~C:.....;* __ conform1 to Section XI of the ASME Codi. /J ftP91f or 11111a~ Si11ntc1* U(....?:~ JSI +#"'* ~ . to--aro-.r~J T*II .,_Ill .,,KS CERTIFICATE OF INSPECTION I. the undtnipned. holding I valid commission iuued by tht N11lonel Board of Boiler and Pr111u19 Vessel Inspectors ind the S11t1 0, Province of VA I
employed bv uso* I & I co I of Hartford, CT, have inspeclld the C?~f lo,..c. CM c.~t dtmibed in this Report on
//- 7
,,n IRrp *'111 o, ~1:,t1e1ment(II ind 11111 that to tht ben of my knowltdgt ind btlitf, this repair or rtpl1ctmtnt h11 been connruc1ed in 1ccord1n~ wi1h Section XI of thl ASME Code. By 1i9nins, thi1 nnifica11. ntithtr the ln1ptctor nor his lmploytt makt1 anw warrenry, uprrntd or implitd. concerfto ing the rrp1ir or rrpl1e1mrnt drscribtd in this Rrpon. Funhtrmor1, neither the lnsprc1or nor his 1mployer shall be li1blt in any manner
.for any personal injury or property d~"tff ~ arhing from or connected with this ln1P1ction.,_ Datt //- 7.. ~, ~ ~ ~ Comrriiuions /J/3 7001 ()4 !> '-{:, t1n1.PKIDfl C5111t a, riv.,,,c,. N11aon11 eo.11111 llilon: Swpplemental 1h"t1 In form of Una. *Utch*. or drewlnlill mey be ueed provided (111IH h IX II\\. X 11 lfl.,
2) Information In ITalTI* 1 1hrou9'1
Oft 1h11 date reoon le lnclwd*d on.. ch '""'* end (31.. ell 1hNt 11 ftwmbered

"d 1'\\a fturnber of ellNII 11 recorded et th* 100 of thl1 form..

===--

\\ ,,~... FORM NIS-2 OWNER'S REPORT Of REPAIR OR REPLACEME.NT k Required by the Provisions of ASME Code Sec1ion XI ATTACHMENT 2 Ownff Virginia Power P.0. Box 26666 Dir.~-~--__ r;...__~-~-,,,._,_1_1_li"'"_S ________ ~ ShN1-----------of..... __ _..._ __ ~~~
2.

3.
jAIIOr"") ,1,n1 Surry Power Station IN~ e.o. Box 31s Surry, YA 23883 ,lACI0.. 111 Work Performed by.. Y~A......__,_1-'o.._v... 1.. e.r _______ _ ,same lN-i 38000 flJ OJ I
4.

5.
lde~11fic1tion of Synem R&-d<<,Y~\\12-'4:W ~ (a) Applic1blt Constrvc1lon Code 831-1 19 67 Edi1ion..... 1~ __ A ______ Addendl, Codt Cases _.a..;N:.:..A,__ __ _ (bl Applic1bl1 Edition of S1e1ion XI Utilized for Rep1in or Rtplac1m1nu - 11..BD, WBQ Addenda, Code C.sn _..H.... A..._ __ _ I. Identification of Comp0nenu Repaired or Replaced, and Repl1ceme11t Components N1m1of N1mt of Mfr1. Str. -N11'L CRN Other Ytar
Repaired, ASME Codi Component Mfr.
No. Bd. No. ldentl-Eiullt
RepllC9d, rtamptd No.
f"ic1tion or
as or Nol Replacement tk ** ~~
/<dcfc 1114-
(jJt#,.'(~.JI/.,,v/,.i
.,vfa.J Z.*~C-/I R-' )>~~t-&) .:l",ur. r<< PO >,;>,t t:u,yov ~ /Vi,, p/t IA Nl'J -A ~- .,!e../ltJ,~1 ~u')"'O~ Ph NM ,,,v n ~
7.
I. CERTIFICATE Of COMPLIANCE =~~~*Q-*~u m.c:St In this report art correct and this_.,'2.=.... G.c.('-,~=""':"",~-~~~=ae,....... ___ r ___ conform110 Section XI of the Signed ~~ ISI ///z...2- .,,n to--orOwner* ,o,...I TIiie CEM11i CERTIFICATE OF INSPECTION I, the undersigned, holding I valid commission i11ued by the National Board of Boiler and Pre11ur9 Vessel Inspectors ind the S11t1 or Province of,_..,Vu.A......__ _______, employed by HSB" I&I CO, of _H_a~r __ t... f.... o_r_d,..,,__.C~T........ _have inspe<:1ed the i~ef IQ.4et-1 p*~vT demibrd in this Repot1 on II-4-'.i..,g.zl IRfP**'1SI o, Rf::,l.cemar\\1(11 ind nate that 10 1hr ben of my knowledge and belief, 1hi; repair or replacement h11 been connrucred in accordance with xc1ion XI of tht ASME CoM. By 1i11ning this certificaie, neither tha lnsptctor nor hi1 lmployer makes any warrtn'ty, uprened or implied, concern-ing the repair or replacement described in this Report. Funhennort, neilher the lnspec1or nor his employer 1h1II be liable in any manner for any person~I inju?' or property ~::+/-o?'of any kind arising from or connec1td with thi1 lni;p1aion. Datt //- l l-l$' "f I~ J.., 6Jk..,_ Commiuionc --~V,~o..,.,=..._.S::::-t.f..... 3..__~-.=--::--,---- pnsPKIOfl
15**** or Pit,.,nce. NatlOftll eo.1111

on: 5.,ppl*m*nul 1hNt1 In form nf 11111, thtch*, or drawlnpa may be UHd provld*d (IJ 1111 h IX lft.. X 11111.,
2) lnformetlon In lnrn, 1 throY9"t 41 on thl1 dna upor, 11 lnclud*d_ on 11ch thNt, and 13111ch thNt It numbared and lhe number of thNII 11 record*d at the tOP of thl1 form.
. -ti'

=-~

\\ ,,~.. FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT A.J Requirrd by the Provi1ion1 of ASME Code Section XI ATTACHMENT 2 -1. Own1r Virginia Power P.O. Box 26666 ~~---ll,-~-~~;::~,,,'--7------~--~- ShNt---------Of _______ _
2.
. v.oor-i ,1ant Surry Power Statrno ~"'"" P.O. Box 315 Surry, YA 23883 ,t.\\00'9111 Work Performed by.. Y ... A ..... _._ro....... w ... e..,_r ________ _ -..Same IN-.! 38000, J l,1, 1
4.

5.
Identification of Synem_C....,M....,!,f. ..... '#"'~~t ... ~,......,........-----------.,.......-*-------------------- (a) Applicablt ConstNctlon Code 831-1 19 67 Editlon,.,_U::..A:...***-** ___ Addendl, Code Cases_. _*.... N ... A..__ __ _ Cbl Applicable Edition of Section XI Utilized for Repain or Replac1m1nt1 - 11'..BD, WBQ Addinda, Code C.sn __.,,N... A.__ __ _ I. Identification of ComPOnenu Repai~d or Replaced. and R1pl1ctment Componenu N1m1of Name of Mfrs. Ser. -Net'L CRN Other* Veer Repaired;* ASME Codi Component Mfr. No. Bd. No. ldent~ eu11t
Replactd, ftamped No.
f'icition or
nor NoJ Replac

11ment s;,,)7
.2.,,c,v-.e.,/ * /Vfj '2.J~.ZA - ~~~("br, ... "'Ah ,AJe,rJ '1.. .!VO
7.
Description of Work-L=~~~~~...i:.,~.-e-=t#.:.L..::e..:.::z:~--==-:;.::..~~---=----....... ----'---,----- Testt Conducted: Pneumatic O Nominal Operating Pressure 0 Ten Tamp.~*,=
CERTIFICATE OF COMPLIANCE Wt certify that the n1t1n\\f/nu made In this report "' correct end this--_, P;....__
f?_,_4-e....._...... ,:f...,:.:,C......._ ... e'. __ ::,V_,._r: __ conform, to Section XI of the ASME Code. /'J ~ t't11Mor1ep1acameftll Si9ned ~ z£ 9 u?,/ l SI ,tA,,/, L (l)w-or C),rner' ,ig,,..I TIiie CD11eJ .,, rf CERTIFICATE OF INSPECTION I, the undersigned. holdin; 1 valid commission issued by the National, Board of Boiler and Prnsurw Vessel ln1pecton and the Stitt or Provil\\Ceof VA, , employed bv HSB" I&I CO. of Hartford, CT, have insptcltd the ReQl'4..c e.y eAJ\\ dncr~btd in ii'lil Report on //... 9.._, 19.!l IA*P**rt*I o, ~*:,l1c,rna111(1l1 1nd,nat11 that 10 the belt of my knowltdQt and belief, this repair or rtplocement hes been connructed in aceotdanci with Section XI of th~ *ASME Code. By *,signin;,this certific.att, neither th~. Inspector nor his lfmployu makes any warran'ly, upressed or implied. concern-i"D ffht?: repair or -repiacement drscribed in this Report. F~rthennore; n*eithe,'t'h'e Inspector nor llis employer 1h1II be li(lble in 1tny manner for, (lft'11i:>ersonal injury or property d m~ or a lo I O anv kind ~riiing ftom or CQfti'ltcled with'thi, ln!PtC'liOft. C1t1 //-:._-gq
Commi~1ioni. liJf3 /00 Cf t/a.64'3 on~ Sur,plunanul 1hMi. In for"' of 11111.,*uch*. or drewlnp11 m~y*bs 11ud P*Ol"ld~d 10 1IH h 8" 1ft. X 11.ll!I

;

Z) lnfo,m*ulon In lt*m1 1 through, on_ thl1 dua ~*Po" Ii lnc_lud*d on *~ch ahNt. and Ill *~ch shwi 11 num".:9**CI
enc, 1t111.".!~mber of ah Nb Is ncord*cH11 the*.'lop of t+ila form..
fllllPKIOfl (Slall o; ~lftCf. Hal,onal Go&ldl
-:-",t*
-1. FORM N1s,2 OWNER'S REPORT OF REPAIR OR REPLACEME.NT As Required by the Provisions of ASME Code Section XI (Name) ATTACHMENT II Own~ Virginia Power P.O. Box 26666 Sheet _______ of _______ _ !Address)
2.
Plant
Surry Power Station Unh-""----------------------~
P.O. Box 315 1~ry, VA 23883 (Addreu)
3.
Work Performed by_~V-A~~P... o.. w... e...... r _______ _ 3sooo )..1q e 1 SamJName) Repair OrganiZJllion P.O No.* Job No~ ate. CAO<!~) ) 4.,
5.
lde~tification of Synem (<.D4itf 1,11.J Ji.ir-1 ft.vn-1si1rt ~.J/W\\ ( d.lJ.4<7 I la) Applicable Construction Code
B3]-1 19 67 Edition,_..,N.,,A.__ ___ Addenda, Code Cases _...,N.._A.__ __ _
(bl Applicable Edition of Section XI Utilized for Repairs or Replacements - 19.80; W8Q Addenda, Code Casei_NU,L;A.__ __ _ Identification of Componenu Repaired or Replaced. and AeplaC1!ment Components Name of Name of Mfrs. Ser. -Nat'!. CRN 0th~ Year Component Mfr. No. Bd. No. ldenti* Built No. fication S-(L4t S ( I b J ')-f-.14-<17 - tu.I (vv.-k.
7.

s.
Description of W~rk gftf ~LU. ( b p,'..ll-l<<- 1 /.1:.,fi<J,1 f; /j//'-TI Tests Conducted: Hydrostatic@ Pneumatic O Nominal Operating Pressure 0
9.
~ Pressure l::311> psi Ten Temp..j:!ZL *F Remarks l:'.-0. CS fr, 1, }i O ? 0 (Applicable M nulaclurer'1 ~ta Repons ID be allached) CERTIFICATE OF COMPLIANCE
Repaired, ASME Code Replaced.
Stam~ or
(Yes or No)
Replacement RPn 1 ;i r:PmPn t /v /) Other 0 We certify that the nateme ts made in this report are correct and this_..,R... e+'p.... J... a.LJc.. e rn... e... o .... t,._ _____ conforms to Section XI of the AS ME Code. (repair or replacement) CERTIFICATE OF INSPECTION I, the undersigned. holding -.II _valid commission issued by the N11tion11I Board of Boiler and Pressul1! Vessel lnspectori and the State or Province of VA, , employed by HSR" T~ T CQ of
J:l.a.r_tfOJ:d, CT.
have inspected the Rep] a cement described in this Repon on _____... /... t~-~~-0~; 19_& IRepairjs) or ~e;,lacement(s)l and state that to the best of my knowledge and belief, this repair or replacement has been connructed in accordance with Section XI of the ASME Code. By signing this cenificate, neither the Inspector nor his employer makes any warranty, expressed or implied. concern- . ing the repair or replacement described in this Repon. Funhermore, neither the Inspector nor his employer 1h11ll be liable in any manner for any personal injury or property da!":3~s ~a~:d arising from or connected with this inspection. Date
{/' a., 0 - 8 j
~~ 'l, ~J-1',... Commissions __ _:V:....::,<:<...,.._,.S<......../<{_,.:J=---,-,---=-----:---- llnspec1Dt) (Stale or Prt,,,,nc:e. National 8oud) 11.i"on,: Supplement.al,h.,.n In form of lls'tl, 1katc:hes, or drewlnpa may be und provided (1) sln 11 8% In. X 11 In., (2) Information In hems 1 through 4 on this data repon 11 Included on.. ch 1hHt, and (3) Heh ahHt 11 numberad and th* number of 1heeb la rac:ordad at th* top of mis form.
. -;~,
FORM NIS-2 OWNER'S REPORT OF REPAIR OR REPLACEME-NT As Required by the Provisions of ASME Code Section XI ATTACHMENT II
-1. Own~ Virginia Power P.O. Box 26666 Date_-_i~/_-_7_u_-_0_;~~~~~~~-
2.
(Name) (AOdress) Plant
Surry Power Station P.O. Box 315 1~ry, VA 23883 (Acldreas)
3.
Work Performed bv-~Y~A~~P~o~w~e ....... r _______ _ SamJName) /f (Add~) Identification of System.:z.,C!w{u lvf-."Cu ( Cfc<-i:1;2 ~) Sheet _______ of _______ _ Repair Org;;iniuliDn P.O No.* JDb ND~ etc.
4.

5.
la) Applicable Construction Code B3J-J 19 67 Edition,-.... N .... A..._ ___ Addenda, Code Cases -~N~A~--- lb) Applicable Edition of Section XI Utilized for Repairs or Replacements - 19..80., WBQ Addenda, Code Cases -uN.___AL..-__ _
6.
Identification of Componenu Repaired or Replaced, and Replac:1!ment Components Name of Name of-Mfrs. Ser. -Nat'I. CAN Other Year
Repaired, ASME Code Component Mfr.
No. Bd. No.. ldenti* eunt
Replaced, Stamped No.
fication or (Yes or Nol Replacement vv-lv.e c,) l,J4. Oo k>il/ ).-~1,J-/08 - Reol 1'J.rPmPnt_ /U <> __ _plc,.h 6:'?"~ *1 J,L,;111 JJ/(o-J .__ I Nv £.-hu!~ d~) 1-\\c<<cf""'-<.. _.,_,,.:.,J.J,-,.,_ ruAs *c{o ~I
~
J
7.

8.
Description of Work fcplttu-v~J.J~,. p,"\\,;1 ~ *~ (v-i1!J6>il I 1' Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure O Other 0 ,() " /Ju Pressure psi Test Temp.
F
..J.. Remarks I; w/Z ~9'.2 *' itrff ( e. 0 s ~ ~ C( i -1,-b<t;7i?FV7 v,J,,-<) I C.S,. f - vJ~ tr/ f 1,.'~0'7V) l (p.;..,s P. skds)
9.
{Applic:abl* Manulaclurer's Oillil Repons to be anached) ( S-1 _ o ff[ S"I, ( ~) I "p/c-t.._ CERTIFICATE OF COMPLIANCE We certify that the natement! made In this report ere correct and this_... R.. e+'puluaJ...Jcl.;'e~m"-e~n-1---t1.--_____ eonforms to Section XI of the ASME Code. (repair orreplacement) CERTIFICATE OF 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 __ ~V~AJ..J*L..---------, employed by_J..JH_Su.R.___"_,_Jt.....,_r___._c..... a_,,_, __________________ of have inspected the Rep] a cement demibed in this Report on ____ ..... t~'l-~_©-~o~-,,s..fl (Rep*ir{s) or ~*Pl*cement(s)) and state that to the best of m*y knowledge and belief, this repair or replacement has been constructed in accordance with Section XI of the ASME Code. By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied. concern-ing the repair or replacement described in this Report. Furthermore, neither the lns.pector nor his employer shall be liable in any manner tor any personal iniurv or property deage~orabt m:A arising trom or connected withfhis inspection. Date //-.. io - ~i ~~ ~ CommiuionS----"'l/aC'-"'-...,.,5"~4........,3,c___----,--.:----.,,.----- llnspec1o<) (S1;;ite or Prov-nee, Natic,nal Saa"') Non,: Supplemenul,h.,.,n In form of llsn, sk*tch... or drewlnll' may be used provided (1) 1ln la 8% In. X 11 In., (2) Information In lnm1 1 throu11h 4 on thla data raport la Included on each 1h1N1t, and (3) each 1hr><1t 11 number*d and th* number of 1hHU la recordnd at th* top of thl1 form. ..}}

ML18151A177

Text

SUMMARY

SUMMARY

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