Text

ISI Rept for Surry Power Station Unit 1 for 1992 Refueling Outage,2nd Interval,3rd Period.
	ML18151A205
Person / Time
Site:	Surry
Issue date:	07/15/1992
From:	; VIRGINIA POWER (VIRGINIA ELECTRIC & POWER CO.)
To:	;
Shared Package
ML18151A206	List: ML18151A205; ML18153D069;
References
	NUDOCS 9208030225
	Download: ML18151A205 (239)
	v • d • e

{{#Wiki_filter:* ATTACHMENT I SURRY POWER STATION UNIT 1 SPRING 1992 ISi INSPECTIONS NIS - 1 FORM

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PDR ADOCK 05000280 G PDR

Attachment I Page 1 of 4 Page 1 of 41 Serial No.: 92-380 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS Docket No.: 50-280 As required by the Provisions of the ASME Code Rules

Virginia Electric and Power Company, 5000 Dominion Blvd., Glen Allen, VA 23060

1. O w n e r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

(Name and Address of Owner) 2 . Plant _ _s_u_r_r_y_P_o_w_e_r_s_t_a_t_io_n_,_P_.o_._B_ox_3_1_5_,_s_u_r_ry_,_v_A_2_3_88_3___________________ (Name and Address of Plant) NA

3. Plant Unit _ _ _ _ _ _ _ _ _ 4. Owner Certificate of Authorization (if required) __________

5. Commercial Service Date 12/22/72 6. National Board Number for Unit - - ~ N . , , _ A ~ - - - - - - - - -

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

Reactor Vessel Rotterdam 137-1 VA 58201 NA Steam Generator Westinghouse Tampa Division 2981 VA 58203 681 1-RC-E-1A Steam Generator Westinghouse Tampa Division 2982 VA 58204 682 1*RC*E-1B Steam Generator Westinghouse Tampa Division 2983 VA 58205 683 1-RC-E-1C Reactor Coolant Westinghouse 458 NA NA Pump 1-RC-P-1A Reactor Coolant Westinghouse 459 NA NA Punip 1-RC-P-1B Reactor Coolant Westinghouse 460 NA NA o ..mn 1-Rr.-P-1r. Letdown Heat Joseph Oats & Sons, Inc. 1674-2 VA 59647 310 Exchanger 1-CH-E-2 Regenerative Heat Sentry Equipment Corporation 4195-A3-7 VA 59812 369 Exchanger 1-CH-E-3 Excess Letdown Heat Atlas Industrial Manufacturing 851 VA 58206 702 Exchanger 1-CH-E-4 Company Seal Injection Commercial Filters Corporation NA NA NA Filter 1-CH-FL*4A Seal I nj ecti on Commercial Filters Corporation NA NA NA Fi I ti>r 1-r.ll-F1 -L.R Charging Pump Byron Jackson Pumps, Inc. NA NA NA 1-CH-P*1A Charging Pump Byron Jackson Pumps, Inc. NA NA NA 1-CH-P-1B Charging Pump Byron Jackson Pumps, Inc NA NA NA 1-CH-P-1C Pressurizer Westinghouse NA VA 58202 1031 1-RC-E-2 Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8¥2 in. x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/86) This forn, (E00029) n,ay be obtained fron, the Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300.

FORM NIS-1 (Back)

8. Examination Dates - 12 21 9 1 - to

10. Applicable Editions of Section XI 1980 05/03/92 9. Inspection Interval from Addenda_w~8~o,..___ __

12/22/82 to

11. Abstract of Examinations. Include a list of examinations and a statement concerning status of work required 10/14/93 for current interval. See Attachment 1, Pages 8 through 26

12. Abstract of Conditions Noted.

See Attachment 1, Page 6

13. Abstract of Corrective Measures Recommended and Taken. See Attachment 1, Page 6 & 7.

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 _ _,..__ _ _ _ _ _ __ Date -~J~u~/_,+-/_ _ 1

                     /_'-(~___ 19 ~Signed Virginia Elect. & Power Co. By Owner DJ -d~~~-M-             7 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valic! CQm.mission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of      Virginia                           and employed by      Hartford S.B.I. & I. Co.      of Hartford, CT                    have inspected the components described in this Owner's Report during the period 03/30/89               to 05/03/92              , 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, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ---~"--"'"'------'--.'Ji'-'-. 543 __._~='---~--Commissions _v_A__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Inspector's Signature National Board, State, Province, and Endorsements Date-----~)_-_(_~_ 19 ~

Page 2 of 4 Attachment I Page 2 of 41 Supplemental Sheet Serial No.: 92-380 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS Docket No.: 50-280 As required by the Provisions of the ASME Code Rules Virginia Electric and Power Company, 5000 Dominion Blvd., Glen Allen, VA 23060

1. O w n e r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

(Name and Address of Owner)

2. Plant _ ___:_s..:u::..r.:. .;rY:.. . :. P.:.o.:.:.we:..:r--=S.:.t:::..at:..:i..:o..:. :n.!.,....:P....:*..:o.:.* . . :B:..:o:..:x::..3:..:1.:. :5~,~Su::.:r.. :.r. !. y.!.,. :. :V:..:A:.. .:::23:..:88=3_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

(Name and Address of Plant)

3. Plant Unit __________ 4. Owner Certificate of Authorization (if required) _________ NA _

S. Commercial Service Date 12/22172 6. National Board Number for Unit _ _ _.....__ _ _ _ _ _ _ __

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

n.nn. n111,;d'l cxc., ... , ,;,-* #\uas , , ,...us-i:r1 a L rn g. 1.0. OYU Vt\ Ju, 1£ ... u 1-RH-E-1A RHR Heat Exchanger Atlas Industrial Mfg. Co. 891 VA 58211 741 1-RH-E-1B RHR Pump Ingersoll Rand Company NA NA NA 1-RH-P-1A RHR Pump Ingersoll Rand Company NA NA NA 1-RH-P-1B Outside *Recirc. Byron Jackson Pumps, Inc. NA NA NA Spray Pump 1-RS-P-, A Outside Recirc. Byron Jackson Punps, Inc. NA NA NA Spray Pump 1-Rs-p-,DB .. Safety Injection Byron Jackson Pumps, Inc. NA NA NA p,omn 1-SI-P-1A Safety Injection Byron Jackson Pumps, Inc. NA NA NA Pump 1-SI-P-1B Class 1 Southwest Fabricating Company NA NA NA Piping Class 1 southwest Fabr1cat1ng Company NA NA NA Comp. Supports <\ Class 2 Southwest Fabricating Company NA NA NA Comp. Supports Class 2 Southwest Fabricating Company NA NA NA Piping 1-RC-HCV-1557A Copes-Vulcan NA NA NA Valve 1-RC-HCV-1557B Copes-Vulcan NA NA NA Valve 1-RC-HCV-1556B Copes-Vulcan NA NA NA Valve 1-RH-MOV-lruu Copes-Vulcan NA NA NA Valve

Page 3 of 4 Attachment I Supplemental Sheet Page 3 of 41 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS Serial No.: 92-380 As required by the Provisions of the ASME Code Rules Docket No.: 50-280

1. Owner _ _ _ _v_ir_g_i_n_ia_E_l_ec_t_r_ic_a_nd_P_o_we_r_co_m_p_a_ny_,_so_o_o_D_o_m_i_n_io_n_Bl_v_d_._'_G_l_en_A_l_le_n_,_v_A_2_3D_6_o_ _ __

(Name and .Addi:ess*of Owner)

2. Plant _ _....:S~u~r!..ryL..!.P~ow~e:.!r~St!:.!a!.!t:..!.i~on~,c...!..P!.!.O~.~Bo~x~31!.:5~.~Su~r.!.rLyL.,..!V!!A-.!2::3~8~83:!___ _ _ _ _ _ _ _ _ _ _ _ _ _ __

(Name and Address of Plant) NA

3. Plant Unit - - - - - - - - - 4. Owner Certificate of Authorization (if required) _________

12/22/72 NA

5. Commercial Service Date _ _ _ _ _ 6. National Board Number for Unit - - - ' - - - - - - - - - -

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

1-RH-MOV-lr.::uA Darl mg NA NA NA Valve 1-RH-MOV-1720B Darling NA NA NA Valve 1-SI-145 Valve Darling NA NA NA 1-SI-147 Valve Darling NA NA NA 1-SI-128 Valve Darling NA NA NA 1-SI-130 Valve Darling NA NA NA 1-SI-239 Valve Velan NA NA NA 1-SI-107 Valve Darling NA NA NA 1-SI-109 Valve Darling NA NA NA 1-RC-SV-1551A Valve Crosby NA NA NA 1-RC-SV-1551B Valve Crosby NA NA NA 1-RC-SV-1551C Valve Crosby NA NA NA 1-SI-241 Valve Velan NA NA NA 1-SI-79 Valve Velan NA NA NA 1-SI-082 Valve Velan NA NA NA 1-SI-242 Valve Velan NA NA NA

Page 4 of 4 Attachment I Page 4 of 41 Supplemental Sheet Serial No.: 92-380 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS Docket No.: 50-280 As required by the Provisions of the ASME Code Rules

1. Owner _ _ _ _ _ _ _v_i_r_g_in_i_a_E_l_e_c_tr_i_c_a_nc1 __

(Name and Address of Owner) Po_w_e_r_c_om_pa_n_y_,_s_o_oo_o_o_m_in_i_o_n_B_l_vd_._,_G_le_n_A_l_l_e_n_,_v_A_2_3_0_6o_

2. Plant _ __,.s..,.ur...,r...,y'-'--'po""w..,.e"""r_,s...,t....a"'"t....,io"'-n,.._,_.p._.....o...._.B..,,o,..x....,3....1....s......,s.,.u....r._ry...,,__..YA~2.,,.38..,8..,3,..___ _ _ _ _ _ _ _ _ _ _ _ _ _ __

(Name and Address of Plant)

3. Plant Unit - - - - - - - - - 4. Owner Certificate of Authorization (if required) ____N_A_ _ _ __

12/22/72 NA S. Commercial Service Date _ _ _ _ _ 6. National Board Number for U n i t - - - - - - - - - - - -

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

1-RC-MOV-1585 Rockwell NA NA NA Valve 1-RC-77 Valve Rockwell NA NA NA

Attachment I Page 5 of 41 Serial No.: 92-380 Docket No.: 50-280 Examination summary Virginia Electric and Power company Surry Power station Unit 1 1992 Refueling outage 2nd Interval, 3rd Period Introduction This report covers inservice examinations and tests of Class 1 and Class 2 components, piping and component supports that were conducted at Surry Power Station Unit 1 from December 21, 1990 through May 3, 1992. The examinations were conducted to meet the requirements of ASME Section XI, 1980 Edition through the Winter 1980 Addenda. Examination procedures were approved prior to the performance of 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 conducted by personnel from the Hartford Steam Boiler Inspection and Insurance Company, One State Street, Hartford, Connecticut 06102 (Mr. R.L. Coder), Surry Station Quality Assurance Department and Surry technical staff. Limitations Some of the arrangements and details of the piping systems and components were designed and fabricated before the access and examination requirements of ASME Section XI of the 1980 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, and where integrally welded attachments, lugs and supports preclude access to some part of the examination area. These limitations sometimes preclude ultrasonic coupling or access for the required scan length. Page 1 of 3

Attachment I Page 6 of 41 Serial No.: 92-380 Docket No.: 50-280 Examinations 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 method was evaluated and alternate beam angles or methods were considered in an attempt to achieve the maximum examination volume. However, where 100% examination was not possible the examination was considered to be a partial and so noted on the examination report. Where the reduction in coverage was 10% or greater, per Code Case N-460, a subsequent relief request will be submitted. Results Examinations of components, piping and component supports resulted in a total of two (2) items being reported on the basis of procedure reporting criteria. A summary of the indications and their dispositions are as follows: A) Support l-CH-H003 on l-CH-E-3, (Class 2) shown on drawing 1144.8-WMKS-CH-E-3 was reported as having missing, detached or loosened items. The support was repaired and a preservice examination was performed after repairs and found the support acceptable. The support is scheduled for re-examination in the next period per ASME Section XI, IWF-2420. Per ASME Section XI, IWF-2430, the remaining supports on 1-CH-E-3 were examined. Support 1-CH-H003 is of a pipe clamp design and as such, there are no additional supports that meets the criteria for extending the examination, other than support 1-CH-HOOl on l-CH-E-3, which was examined. No corrective measures were required to be performed on support 1-CH-HOOl. B) Support 1-CH-H006 on l-CH-E-3, (Class 2) shown on drawing 11448-WMKS-CH-E-3 was reported as having missing, detached or loosened items. The support was repaired and a preservice examination was performed after repairs and found the support acceptable. The support is scheduled for re-examination in the next period per ASME Section XI, IWF-2420. Per ASME Section XI, IWF-2430, the remaining supports on l-CH-E-3 were examined. Support 1-CH-H006 is of a U-bolt design and as such, there are no additional supports within the Class 2 boundary that meets the criteria for extending the examination, other than support 1-CH-H002 on l-CH-E-3, which was examined. Page 2 of 3

Attachment I Page 7 of 41 Serial No.: 92-380 Docket No.: 50-280 The examination was then extended to Class 1 and Class 3 boundaries in an attempt to include additional supports similar in type, design and function. Two (2) supports were found within the Class 3 boundary that met the criteria for extending the examination. These supports are 2-CC-H006 and 1-CC-H003 shown on drawings 11448-WMKS-0112AN1 and 11448-WMKS-0112J1, respectively. None of the additional supports selected for examination required corrective measures. Analytical Evaluation Analytical evaluation(s) of examination results (Volumetric and/or Surface examinations): None required or performed. Evaluation Analyses Evaluation analyses of examination results (Visual Examinations): None required or performed. Statement of Interval Status Virginia Electric and Power Company has completed seventy four (74) percent of the third period examinations and is on schedule with its examination requirements. Page 3 of 3

Attachment I Page 8 of 41 Serial No.: 92-380 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC & IWF Line Mark Sect XI Sect XI Sect XI Exam. Exam. No. No. Class category Item No. Method Date Remarks 11448*WMKS*0100A1Z 211 -CH-97-1502 1*CH*H001 1A F*B FB123 VT-3 04/01/92 11448*WMKS*0100A1Z 211 -CH-97*1502 1*CH*H002 1A F*C FC123 VT-3 04/01/92 11448*WMKS*0100A2Z 211 -CH*S-1502 1*CH*H001 1A F*B FB123 VT-3 04/02/92 11448*WMKS*0100A2Z 211 -CH*S-1502 1*CH*H002 1A F*B FB123 VT-3 04/02/92 11448*WMKS*0100A2Z 211 -CH-5*1502 1*CH*H003 1A F*C FC1234 VT-3 04/13/92 11448*WMKS*0100A4Z 2"-RC-53-1502 1*RC*H002 1A F*B FB123 VT-3 04/01/92 11448*WMKS*0100A4Z 211 -RC-53-1502 1*RC*H004 1A F*A FA123 VT-3 03/16/92 11448*WMKS*0100A4Z 211 -RC-53-1502 1-RC*HOOS 1A F*A FA123 VT-3 03/16/92 11448*WMKS*0100A4Z 211 *RC*53*1502 1*RC*H006 1A F*A FA123 VT-3 03/16/92 11448*WMKS*0100A4Z 211 -RC-53-1502 1*RC*H007 1A F*A FA123 VT-3 03/16/92 11448*WMKS*0100A4Z 211 -RC-53-1502 1*RC*H008 1A F*A FA123 VT-3 03/16/92 11448*WMKS*0100A4Z 2 -RC-53-1502 11 1*RC*H009 1A F*A FA123 VT-3 03/16/92

     *WMKS*0100A4Z 211 -RC-53-1502   1*RC*H010        1A      F*A      FA123    VT-3      03/16/92 8*WMKS*0100A4Z  2"-RC-53-1502     1*RC*H011        1A      F*A      FA123    VT-3      03/16/92 11448*WMKS*0100A4Z  2"-RC-53-1502     1*RC*H012        1A      F*A      FA123    VT-3      03/16/92 11448*WMKS*0100A4Z  211 -RC-55*1502   1*RC*HCV*1557A   1A      B*G-2    B7.70    VT-1      04/01/92 ***

11448*WMKS*0100ASZ 2"*RC*53*1502 1-08 1A B*J B9.40 PT 04/04/92 11448*WMKS*0100ASZ 211 -RC-53-1502 1-09 1A B*J B9.40 PT 04/04/92 11448*WMKS*0100ASZ 211 -RC-53-1502 1-10 1A B*J B9.40 PT 04/04/92 11448*WMKS*0100ASZ 211 *RC*53*1502 1-11 1A B*J B9.40 PT 04/04/92 11448*WMKS*0100ASZ 2"-RC-53-1502 1-12 1A B*J B9.40 PT 04/04/92 11448*WMKS*0100ASZ 211 -RC-53-1502 1-13 1A B*J B9.40 PT 04/04/92 11448*WMKS*0100ASZ 2"-RC-53*1502 1* 14 1A B*J B9.40 PT 04/04/92 11448*WMKS*0100ASZ 211 -RC-53-1502 1-15 1A B*J B9.40 PT 04/04/92 11448*WMKS*0100ASZ 211 -RC-53-1502 1-16 1A B*J B9.40 PT 04/04/92 11448*WMKS*0100ASZ 211 *RC*53*1502 1*17 1A B*J B9.40 PT 04/04/92 11448*WMKS*0100ASZ 211 *RC*53*1502 1*RC*H001 1A F*A FA123 VT-3 03/16/92 11448*WMKS*0100ASZ 2"-RC-53-1502 1*RC*H002 1A F*A FA123 VT-3 03/16/92 11448-WMKS-0100ASZ 211 -RC-53-1502 1-RC-H004 1A F*A FA123 VT-3 03/16/92

     *WMKS*0100ASZ 2"-RC-53-1502     1-RC*HOOS        1A      F-A      FA123    VT-3      03/16/92 Page 1 of 19

Attachment I Page 9 of 41 Serial No.: 92-380 Abstract of Examinations Performed Docket No. 50-280 IWB, IWC IWF Line Nark Sect XI Sect XI Sect XI Exam. Exam. No. No. Class category Item No. Method Date Remarks 11448-WMKS-0100A5Z 211 -RC-53-1502 1-RC*HOOB 1A F-A FA123 VT-3 03/16/92 11448-WMKS-0100A5Z 211 -RC-53-1502 1-RC-H010 1A F-A FA123 VT-3 03/16/92 11448-WMKS-0100A5Z 211 -RC-53-1502 1-RC*H012 1A F-A FA123 VT-3 03/16/92 11448-WMKS-0100A5Z 211 -RC-53-1502 1-RC-H014 1A F-A FA123 VT-3 03/16/92 11448-WMKS-0100A5Z 2"-RC-53-1502 1-RC-H015 1A F*A FA123 VT-3 03/16/92 11448-WMKS-0100A5Z 2"-RC-53-1502 1-RC-H017 1A F-A FA123 VT-3 03/16/92 11448-WMKS-0100A5Z 2"-RC-53-1502 1-RC-H018 1A F-A FA123 VT-3 03/16/92 11448-WMKS-0100A5Z 2"-RC-53-1502 1-RC-H019 1A F-A FA123 VT-3 03/16/92 11448-WMKS-0100A5Z 2"-RC-53-1502 1-RC-H021 1A F-A FA123 VT-3 03/16/92 11448-WMKS-0100A5Z 2"-RC-53-1502 1-RC-H022 1A F-A FA123 VT-3 03/16/92 11448-WMKS-0100A5Z 211 -RC-53-1502 1-RC-H023 1A F-A FA123 VT-3 03/16/92 11448-WMKS-0100A6Z 211 -CH-8-1503 1-CH-H002 1A F-8 F8123 VT-3 04/01/92 11448-WMKS-0100A6Z 2"-CH-8-1503 1-CH*H003 1A F*A FA123 VT-3 04/01/92 11448-WMKS-0100A7Z 211 -CH-8-1503 1-16 1A 8-J 89.40 PT 04/05/92 WMKS-0100An 2"-CH-8-1503 1-17 1A 8-J 89.40 PT 04/05/92 8-WMKS-0100An 211 -CH-8-1503 1-18 1A 8-J 89.40 PT 04/04/92 11448-WMKS-0100A7Z 211 -CH-8-1503 1-19 1A 8-J 89.40 PT 04/04/92 11448-WMKS-0100A7Z 211 -CH-8-1503 1-20 1A B-J B9.40 PT 04/05/92 11448-WMKS-0100A7Z 2"-CH-8-1503 1-21 1A B-J B9.40 PT 04/05/92 11448-WMKS-0100A7Z 211 -CH-8-1503 1-22 1A 8-J 89.40 PT 04/04/92 11448-WMKS-0100A7Z 211 -CH-8-1503 1-23 1A B-J 89.40 PT 04/04/92 11448-WMKS-0100A7Z 211 -CH-8-1503 1-24 1A 8-J 89.40 PT 04/04/92 11448-WMKS-0100A7Z 211 -CH-8-1503 1-25 1A B-J 89.40 PT 04/04/92 11448-WMKS-0100A7Z 211 -CH-8-1503 1-30 1A B-J B9.40 PT 04/05/92 11448-WMKS-0100An 211 -CH-8-1503 1-31 1A B-J 89.40 PT 04/05/92 11448-WMKS-0100An 211 -CH-8-1503 1-CH-H001 1A F-B F8123 VT-3 03/16/92 11448-WMKS-0100A7Z 211 -CH-8-1503 1-CH-H002 1A F-B F8123 VT-3 03/16/92 11448-WMKS-0100A7Z 2"-CH-8-15_03 1-CH-H003 1A F-B F8123 VT-3 03/16/92 11448-WMKS-0100A7Z 211 -CH-8-1503 1-CH-H004 1A F-B F8123 VT-3 03/16/92 11448-WMKS*0100An 2"-CH-8-1503 1-CH-H005 1A F-B F8123 VT-3 03/16/92 11448-WMKS-0100A7Z 211 -CH-8-1503 1-CH*H006 1A F-B FB123 VT-3 03/16/92

     -WMKS-0100A7Z 2"-CH-8-1503      1-CH-H007     1A      F-B      F8123    VT-3      03/16/92 Page 2 of 19

Attachment I Page 10 of 41 Serial No.: 92-380 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC IWF Drawing Line Nark Sect XI Sect XI sect XI Ex11111. Ex*. NU!ber No. No. Class category Item No. Method Date Remarks 11448*WMKS-0100A7Z 211 -CH-8-1503 1-CH-HOOS 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0100A7Z 2"-CH-8-1503 1-CH-H009 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0100A7Z 211 -CH-8-1503 1-CH-H010 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0100A7Z 2"-CH-8-1503 1-CH-H011 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0100A7Z 2"-CH-8-1503 1-CH-H012 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0100A7Z 2"-CH-8-1503 1-CH-H013 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0100A7Z 211 -CH-8-1503 1-CH-H014 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0100A7Z 2"-CH-8-1503 1-CH-H015 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0100A7Z 2"-CH-8-1503 1-CH-H016 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0100A7Z

211 -CH-8-1503 1-CH-H017 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0100A7Z 211 -CH-8-1503 1-CH-H018 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0100A7Z 2"-CH-8-1503 1-CH-H019 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0100A7Z 211 -CH-8-1503 1-CH-H020 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0100A7Z 2"-CH-8-1503 1-CH-H021 1A F-B FB123 VT-3 03/16/92 WMKS-0100A7Z 2"-CH-8-1503 1-CH-H022 1A F-B FB123 VT-3 03/16/92 2"-CH-8-1503 1-CH-H023 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0100A7Z 211 -CH-8-1503 1-CH-H024 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0100A7Z 2"-CH-8-1503 1-CH-H025 1A F-B FB123 VT-3 03/14/92 11448-WMKS-0100A7Z 211 -CH-8~1503 1-CH-H026 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0100A7Z 2"-CH-8-1503 1-CH-H027 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0100G1 14"-WFPD-17-601 1-WFPD-H001 2A F-C FC1234 VT-3 04/13/92 11448-WMKS-0100G1 14"-WFPD-17-601 1-WFPD-H009 2A F-C FC1234 VT-3 04/13/92 ***

11448-WMKS-0100G1 14"-IJFPD-17-601 1-WFPD-H010A 2A F-C FC1234 VT-3 04/13/92 11448-WMKS-0100G1 14 11 -WFPD-17-601 1-WFPD-H010B 2A F-C FC1234 VT-3 04/13/92 11448-IJMKS-0101A1Z 1\l:i"-CH-95-1502 1-02 1A B-J B9.40 PT 04/01/92 11448-WMKS-0101A1Z 1Y211 -CH-95-1502 1-03 1A B-J B9.40 PT 04/01/92 11448-WMKS-0101A1Z 211 -CH-95-1502 1-CH-H001 1A F-C FC123 VT-3 04/03/92 11448-WMKS-0101A1Z 211 -CH-95-1502 1-CH-H002 1A F-C FC123 VT-3 04/03/92 11448-WMKS-0101A1Z 2"-CH-95-1502 1-CH-H003 1A F-B FB123 VT-3 04/03/92 11448-WMKS-0101A2Z 211 -RC-56-1502 1-RC-H003 1A F-A FA123 VT-3 04/03/92 11448-WMKS-0101A2Z 2"-RC-56-1502 1-RC-HCV-1557B 1A B-G-2 B7.70 VT-1 04/03/93 ***

     -WMKS-0101A3Z  2"-CH-9-1502       1-CH-H002       1A       F-B      FB123    VT-3        04/03/92 Page 3 of 19

Attachment I Page 11 of 41 Serial No.: 92-380 Abstract of Examinations Performed Docket No.: 50-280

IWB, :rwc & :IWF 41.

NU!ber Line No. Mark No. Sect XI Sect XI Class Category Sect XI Item No. Exa. Method Exa. Date Remarks 11448*WMKS*0101A3Z 211 *CH*9*1502 1*CH*H003 1A F*A FA123 VT-3 04/03/92 11448*WMKS*0101A3Z 211 -CH-9-1502 1*CH*HCV*1556B 1A B*G-2 B7.70 VT-1 04/03/92 *'/t* 11448*WMKS*0101G1 14 11 *1./FPD-13*601 1*WFPD*H006A 2A F*C FC1234 VT-3 04/13/92 *** 11448*WMKS*0101G1 14"*1./FPD-13-601 1*WFPD*H006B 2A F*C FC1234 VT-3 04/13/92 *** 11448*WMKS*0102A1Z 2"-CH-93-1502 1*CH*H001 1A F*C FC123 VT-3 04/02/92 11448*WMKS*0102A1Z 211 *CH*93*1502 1*CH*H002 1A F*B FB123 VT-3 04/02/92 11448*WMKS*0102A2Z 2"-RC-58-1502 1-RC*H001 1A F-A FA123 VT-3 04/02/92 11448-WMKS-0102A2Z 211 -RC-58-1502 1-RC-H002 1A F-A FA123 VT-3 04/02/92 11448-WMKS-0102A2Z 211 -RC-59-1502 1-RC*HOOS 1A F*C FC123 VT-3 04/02/92 11448-WMKS-0102A2Z 2"-RC-59-1502 1-RC*H006 1A F-A FA123 VT-3 04/02/92 11448-WMKS-0102A2Z 211 -RC-59-1502 1-RC-H007 1A F-C FC123 VT-3 04/02/92 11448-WMKS-0102A3Z 2"-CH-10-1503 1-CH-H002 1A F-B FB123 VT-3 04/02/92 11448-WMKS-0102A3Z 211 -CH-10-1503 1-CH-H003 1A F*A FA123 VT-3 04/02/92 11448-WMKS-0102D1 30 11 -SHP-3-601 1-SHP-H001A 2A F-C FC1234 VT-3 04/02/92 *** WMKS-0102D1 30 11 -SHP-3-601 1-SHP-H001B 2A F-C FC1234 VT-3 04/02/92 *** 1411 *1./FPD-9-601 1-01 2A C*F CS.21 UT/MT 04/18/92 PSI 11448-WMKS-0102G1 1411 -WFPD-9-601 1-02 2A C*F CS.21 UT/MT 04/18/92 PSI 11448-WMKS-0102G1 1411 *1./FPD-9-601 1-03 2A C*F CS.21 UT/MT 04/18/92 PSI 11448-I./MKS-0102G1 14 11 -1./FPD-9*601 1-04 2A C*F CS.21 UT/MT 04/18/92 PSI 11448-WMKS-0102G1 14 11 *1./FPD-9-601 1-05 2A C-F CS.21 UT/MT 04/18/92 PSI 11448-WMKS-0102G1 14 11 *1./FPD-9-601 1-06 2A C-F CS.21 UT/MT 04/18/92 PSI 11448-WMKS-0102G1 14 11 -WFPD-9-601 1-12 2A C*F CS.21 UT/MT 04/01/92 11448-WMKS-0103A2-1 30 11 -SHP-1-601 1-SHP-H003 2A F-C FC1234 VT-3 02/13/92 *** 11448-WMKS-0103A2*1 611 -SHP-45-601 1-SHP-H042 2A F-C FC1234 VT-3 02/13/91 *** 11448-WMKS-0103A2-1 30 11 -SHP-1-601 2*34L 2A C-F CS.22 UT/MT 03/18/92 11448-WMKS-0103A2-2 30"-SHP-2-601 0-SL 2A C-F CS.22 UT/MT 03/17/92 11448-WMKS-0103A2-2 611 -SHP-46-601 1*12A 2A C*F CS.11 MT 04/11/92 PSI 11448-WMKS-0103A2*2 6"-SHP-46-601 1*13A 2A C*F CS.11 MT 04/11/92 PSI 11448-WMKS-0103A2*2 30 11 -SHP-2-601 1-SHP-HOOS 2A F-C FC1234 VT-3 02/13/92 *** 11448-WMKS-0103A2-2 6-SHP-46-601 1-SHP-H046 2a F*C FC1234 VT-3 02/13/92 *** 11448-WMKS-0103A2*2 30 11 -SHP-2-601 4-29 2A C*F CS.21 UT/MT 03/19/92

     -WMKS-0103A2-3 30 11 -SHP-3-601     1-SHP-H004       2A      F-C      FC1234   VT-3      02/13/92 ***

Page 4 of 19

Attachment I Page 12 of 41 Serial No.: 92-380 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC IWF Line Mark Sect XI Sect XI Sect XI Exaa. Exaa. No. No. Class Category Item No. Method Date Remarks 11448*WMKS-0103A2-3 611 -SHP-47-601 1*SHP*H085 2A F*B FB123 VT-3 02/13/92 11448*WMKS-0103A2-3 30 11 -SHP-3*601 3*31L 2A C*F CS.22 UT/MT 03/19/92 11448*WMKS*0103A2-4 30"-SHP-22-601 1*21BC 2A C*F CS.31 MT 03/17/92 11448*WMKS*0103A2-4 30 11 -SHP-22-601 1*32L 2A C*F CS.22 UT/MT 03/19/92 11448*WMKS*0117A1*1 14"-RH-18-602 0*06L 2A C*F CS.12 PT 03/20/92 11448*WMKS*0117A1*1 14 11 -RH-2*602 0*12L 2A C*F CS.12 PT 03/20/92 11448*WMKS*0117A1*1 14 11 -RH-1-1502 1-08 1A B*J B9.11 UT/PT 04/01/92 11448-WMKS-0117A1*1 14 11 -RH-1-1502 1-RH*H001A 1A F*C FC1234 VT-3 03/12/92 11448-WMKS-0117A1*1 14 11 -RH-1-1502 1-RH*H001B 1A F-C FC1234 VT-3 03/12/92 11448*WMKS*0117A1-1 14 11 -RH-1*1502 1*RH*H003A 1A F*C FC1234 VT-3 03/12/92 11448*WMKS*0117A1*1 14"-RH-1-1502 1*RH*H003B 1A F*C FC1234 VT-3 03/12/92 11448-WMKS*0117A1*1 14"-RH-18-602 1-RH*HOOSA 2A F*C FC1234 VT-3 03/12/92 *** 11448-WMKS-0117A1*1 1411 -RH-18°602 1*RH*H005B 2A F*C FC1234 VT-3 03/12/92 *** 11448*WMKS-0117A1*1 1411 -RH-18*602 1*RH*H024 2A F*B FB123 VT-3 03/12/92 WMKS-0117A1*1 1411 -RH-1*1502 1-RH*MOV-1700 1A B*G-2 B7.70 VT-1 04/01/92 *** 8*WMKS*0117A1

1 1411 -RH-18*602 2-28 2A C*F CS.11 PT 03/14/92 11448-WMKS*0117A1-1 14"-RH-1-1502 H003*1 1A B*K-1 B10.10 Surface 03/31/92 11448*WMKS-0117A1*1 14"-RH-1-1502 H003*2 1A B*K-1 B10.10 Surface 03/31/92 11448-WMKS*0117A1-1 14"-RH-1-1502 H003-3 1A B*K-1 B10.10 Surface 03/31/92 11448-WMKS-0117A1*1 14"-RH-1-1502 H003*4 1A B-K-1 B10.10 Surface 03/31/92 11448*WMKS*0117A1*2 10"-RH-5-602 1*RH*H014 2A F*C FC1234 VT-3 03/12/92 11448*WMKS*0117A1*2 10 11 -RH-5*602 3-01 2A C*F CS.11 PT 03/14/92 11448*WMKS*0117A1-2 12 11 -RH-6*602 3-23 2A C*F CS.11 PT 03/14/92 11448-WMKS*0117A2 12 11 -RH-12-602 1-24 2A C*F CS.11 PT 03/14/92 11448*WMKS-0117A2 12"-RH-6-602 1-30 2A C-F CS.11 PT 03/14/92 11448*WMKS-0117A2 12 11 -RH-6*602 1-31 2A C*F CS.11 PT 03/14/92 11448*WMKS-0117A2 12"-RH-6-602 1-38 2A C*F CS.11 PT 03/14/92 11448-WMKS-0117A2 1211 -RH-19-602 1-RH*H022 2A F*A FA123 VT-3 03/12/92 11448-WMKS-0117A2 10 11 -RH-7-602 1-RH*H029 2A F*C FC1234 VT-3 03/12/92 11448-WMKS*0117A2 12"-RH-6-602 1-RH*H030 2A F*C FC1234 VT-3 03/12/92 11448*WMKS-0117A2 10 11 -RH-9-602 2-14 2A C-F CS.11 PT 03/14/92

     -WMKS*0118A1    6 11 -WAPD-2*601   0-1 .           2A       C*F      CS.11    surface    04/01/92 Page 5 of 19

Attachment I Page 13 of 41 Serial No.: 92-380 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC IWF Line Nark Sect XI Sect XI Sect XI Exa. Exa. No. No. Class category Item No. Method Date Remarks 11448-WMKS-0118A1 611 -WAPD-2-601 0-11 2A C-F C5.11 Surface 04/01/92 11448-WMKS-0118A2-1 611 -WAPD-50-601 0-01 2A C-F C5.11 Surface 04/03/92 11448-WMKS-0118A2-1 611 -WAPD-50-601 0-11 2A C-F C5.11 Surface 04/03/92 11448-WMKS-0118A2-1 611 -WAPD-50-601 0-20 2A C-F C5.11 Surface 04/01/92 11448-WMKS-0118A2-1 611 -WAPD-51-601 0-23 2A C-F C5.11 Surface 04/03/92 11448-WMKS-0118A2-1 611 -WAPD-51-601 0-28 2A C-F C5.11 Surface 04/01/92 11448-WMKS-0118A2-1 611 -WAPD-1-601 0-44 2A C-F C5.11 Surface 04/01/92 11448-WMKS-0118A2-1 611 -WAPD-50-601 1-WAPD-H024A 2A F-C FC1234 VT-3 03/14/92 11448-WMKS-0118A2-1 611 -WAPD-50-601 1-WAPD-H0248 2A F-C FC1234 VT-3 03/14/92 11448-WMKS-0122A1 10 11 -RH-16-1502 1-09 1A 8-J 89.11 UT/PT 03/24/92 11448-WMKS-0122A1 10 11 -RH-16-1502 1-10 1A 8-J 89.11 UT/PT 03/24/92 11448-WMKS-0122A1 10"-RH-16-1502 1-12 1A 8-J 89.11 UT/PT 03/24/92 11448-WMKS-0122A1 10"-RH-16-1502 1-RH-MOV-1720A 1A 8-G-2 87.70 VT-1 03/24/92 11448-WMKS-0122A2 12"-Sl-47-1502 1-09 1A 8-J 89.11 UT/PT 04/08/92 WMKS-0122A2 12 11 -SI-47-1502 1-10 1A 8-J 89.11 UT/PT 03/31/92 8-WMKS-0122A2 10"-RH-23-602 1-RH-H026A 2A F-C FC123 VT-3 04/13/92 *** 11448-WMKS-0122A2 10"-RH-23-602 1-RH-H0268 2A F-C FC123 VT-3 04/13/92 *** 11448-WMKS-0122A2 10"-RH-17-1502 1-RH-MOV-17208 1A 8-M-2 812.40 UT THICKNESS 04/08/92 11448-WMKS-0122A2 10 11 -RH-17-1502 1-RH-MOV-17208 1A 8-G-2 87.70 VT-1 03/30/92 11448-WMKS-0122A2 12"-Sl-47-1502 1-SI-145 1A 8-G-2 87.70 VT-1 03/24/92 11448-WMKS-0122A2 12"-Sl-47-1502 1-SI-145 1A 8-M-2 812.40 VT-3 03/30/89 ***** 11448-WMKS-0122A2 12"-Sl-47-1502 1-SI-147 1A 8-M-2 812.40 VT-3 03/28/89 ***** 11448-WMKS-0122A2 1211 -SI-47-1502 1-SI-H029A 1A F-C FC1234 VT-3 04/02/92 11448-WMKS-0122A2 12"-SI-47-1502 1-SI-H0298 1A F-C FC1234 VT-3 04/02/92 11448-WMKS-0122A2 12"-SI-47-1502 1-SI-H031A 1A F-C FC123 VT-3 04/02/92 *** 11448-WMKS-0122A2 12-SI-47-1502 1-SI-H0318 1A F-C FC123 VT-3 03/20/92 *** 11448-WMKS-0122A2 1211 -Sl-47-1502 1-SI-H033A 1A F-C FC1234 VT-3 04/02/92 11448-WMKS-0122A2 1211 -SI-47-1502 1-SI-H0338 1A F-C FC1234 VT-3 04/02/92 11448-WMKS-0122A2 10"-RH-17-1502 2-02 1A 8-J 89.11 UT/PT 03/28/92 11448-WMKS-0122A2 10 11 -RH-17-1502 2-03 1A 8-J 89.11 UT/PT 03/28/92 11448-WMKS-0122A2 10"-RH-17-1502 2-04 1A 8-J 89.11 UT/PT 03/28/92

     -WMKS-0122A2  12"-SI-47-602      4-WF            2A       C-F      C5.11    PT           03/29/92 Page 6 of 19

Attachment I Page 14 of 41 Serial No.: 92-380 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC & IWF Drawing Line Mark Sect XI Sect XI Sect XI Exam. Exa. NU!ber No. No. Class category Item No. Method Date Remarks 11448*WMKS*0122A2 10 11 *RH*17-1502 H027-1 1A B-K-1 B10.10 Surface 03/28/92 11448-WMKS-0122A2 1011 -RH-17-1502 H027-2 1A B-K-1 B10.10 Surface 03/28/92 11448-WMKS-0122A2 10"-RH-17-1502 H027-3 1A B-K-1 B10.10 Surface 03/28/92 11448-WMKS-0122A2 10"-RH-17-1502 H027-4 1A B-K-1 B10.10 Surface 03/28/92 11448-WMKS-0122A2 10 11 -RH-17-1502 H027-5 1A B-K-1 B10.10 Surface 03/28/92 11448-WMKS-0122A2 1011 -RH-17-1502 H027-6 1A B-K-1 B10.10 Surface 03/28/92 11448-WMKS-0122A2 1011 -RH-17-1502 H027-7 1A B-K-1 B10.10 Surface 03/28/92 11448-WMKS-0122A2 1011 -RH-17-1502 H027-8 1A B-K-1 B10.10 Surface 03/28/92 11448-WMKS-0122A2 1211 -Sl-47-1502 H033-1 1A B-K-1 B10.10 Surface 03/28/92 11448-WMKS-0122A2 12"-Sl-47-1502 H033-2 1A B-K-1 B10.10 Surface 03/28/92 11448-WMKS-0122A2 1211 -SI-47-1502 H033-3 1A B-K-1 B10.10 Surface 03/28/92 11448-WMKS-0122A2 12"-Sl-47-1502 H033-4 1A B-K-1 B10.10 Surface 03/28/92 11448-WMKS-0122D1 12"-Sl-46-1502 1-SI-128 1A B-M-2 B12.40 VT-3 04/04/89 ***** 11448-WMKS-0122D1 12"-Sl-46-1502 1-SI-130 1A B-M-2 B12.40 VT-3 04/03/89 ***** WMKS-0122D1 12"-Sl-46-1502 1-SI-H002A 1A F-C FC1234 VT-3 03/14/92 12 11 -Sl-46-1502 1-SI-H002B 1A F-C FC1234 VT-3 03/14/92 11448-WMKS-0122D1 12 11 -Sl-46-1502 1-SI-H003 1A F-A FA123 VT-3 04/13/92 11448-WMKS-0122D1 12 11 -SI-46-1502 1-Sl*H004A 1A F-C FC1234 VT-3 03/14/92 *** 11448-WMKS-0122D1 12 11 -Sl-46-1502 1-Sl*H004B 1A F-C FC1234 VT-3 03/14/92 *** 11448-WMKS-0122D1 12 11 -Sl-46-1502 1-Sl*H006A 1A F-C FC1234 VT-3 03/14/92 11448-WMKS-0122D1 12"-Sl-46-1502 1-SI-H006B 1A F-C FC1234 VT-3 03/14/92 11448-WMKS-0122D1 10 11 -RH-16-1502 2-02 1A B-J B9.11 UT/PT 03/28/92 11448-WMKS-0122D1 12"-SI-46-1502 3-QF 2A C-F C5.21 PT/UT 03/31/92 *75% 11448-WMKS-0122D1 12"-Sl-46-602 3-TS 2A C-F C5.11 PT 03/26/92 11448-WMKS-0122D1 12 11 -SI-46-1502 H002-1 1A B-K-1 B10.10 surface 04/05/92 11448-WMKS-0122D1 12 11 -SI-46-1502 H002-2 1A B-K-1 B10.10 Surface 04/05/92 11448-WMKS-0122D1 1211 -SI-46-1502 H002-3 1A B-K-1 B10.10 Surface 04/05/92 11448-WMKS-0122D1 12 11 -SI-46-1502 H002-4 1A B-K-1 B10.10 Surface 04/05/92 11448-WMKS-0122D1 12"-SI-46-1502 H003-1 1A B-K-1 B10.10 Surface 04/03/92 *50% 11448-WMKS-0122D1 1211 -Sl-46-1502 H003-2 1A B-K-1 B10.10 Surface 04/03/92 *50% 11448-WMKS-0122D1 1211 -SI-46-1502 H003-3 1A B-K-1 B10.10 Surf.ace 04/03/92 *50%

     -WMKS-0122D1 12 11 -Sl-46-1502  H006-1         1A      B-K-1    B10.10   Surface     03/28/92 Page 7 of 19

l Attachment I Page 15 of 41 Serial No.: 92-380 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC & IWF Drawing Line Mark Sect XI Sect XI Sect XI Exal. Exal. Nuiber No. No. Class category Item No. Method Date Rea11*ks 11448-WMKS-012201 1211 -SI-46-1502 H006-2 1A B-K-1 B10.10 Surface 03/28/92 11448-WMKS-012201 12"-SI-46-1502 H006*3 1A B-K-1 B10.10 Surface 03/28/92 11448-WMKS-0122D1 12"-SI-46-1502 H006*4 1A B-K-1 B10.10 Surface 03/28/92 11448-WMKS-0122H1 611 -RC-16-1502 1-RC-H001 1A F-C FC1234 VT-3 04/01/92 11448-WMKS-0122H1 611 -RC-16-1502 1-SI-239 1A B-G-2 B7.70 VT-1 04/01/92 *** 11448-WMKS-0122H1 6 11 -SI-49-1502 1-SI*H002 2A F-C FC123 VT-3 04/01/92 11448-WMKS-0122H1 6 11 -SI-49-1502 1-SI-H003 2A F-C FC1234 VT-3 04/13/92 11448-WMKS-0122H1 611 -SI-49-1502 1-SI-H004 2A F-B FB123 VT-3 04/01/92 11448-WMKS-0122H1 611 -SI-49-1502 1-Sl*H006 2A F-A FA123 VT-3 03/23/92 11448-WMKS-0122H1 6 11 -Sl-49-1502 1-SI*H007 2A F*A FA123 VT-3 03/23/92 11448-WMKS-0122H1 6 11 -SI-49-1502 1*Sl*H008 2A F*A FA123 VT-3 03/23/92 11448-WMKS-0122H1 6 11 -SI-49-1502 1-SI-H009 2A F-A FA123 VT-3 03/23/92 11448-WMKS-0122H1 6 11 -SI-49-1502 1-SI-H010 2A F*A FA123 VT-3 03/23/92 11448-WMKS-0122H1 6 11 -SI-49-1502 1-SI-H011 2A F-A FA123 VT-3 03/23/92 WMKS-0122H1 611 -SI-49-1502 1-SI-H012 2A F-A FA123 VT-3 03/23/92 8-WMKS-0122J1 6 11 -RC-21-1502 1-SI-H001 1A F*C FC1234 VT-3 04/01/92 11448-WMKS-0122J1 6 11 -SI-50-1502 1-SI*H002 2A F*C FC123 VT-3 04/01/92 11448-WMKS-0122J1 6 11 -SI-50-1502 1-SI-H003 2A F*C FC1234 VT-3 04/13/92 11448-WMKS-0122J1 6 11 -SI-50-1502 1-SI-H004 2A F-A FA123 VT-3 04/01/92 11448-WMKS-0122J1 6"-Sl-50-1502 1-SI-H005 2A F-A FA123 VT-3 03/20/92 11448-WMKS-0122J1 6 11 -SI-50-1502 1*SI *H006 2A F-B FB123 VT-3 03/20/92 11448-WMKS-0122J1 6 11 -SI-50-1502 1-SI-H007 2A F-A FA123 VT-3 03/20/92 11448-WMKS-0122J1 6"-Sl-50-1502 1-SI-H008 2A F-A FA123 VT-3 03/20/92 11448-WMKS-0122J1 611 -SI-50-1502 1-SI-H009 2A F-B FB123 VT-3 03/20/92 11448-WMKS-0122J1 611 -SI-50-1502 2-01 2A C*F C5.21 PT/UT 04/05/92 *75% 11448-WMKS-0122J1 611 -SI-50-1502 2-10 2A C-F C5.21 UT/PT 03/25/92 11448-WMKS-0122K1 611 -SI-50-1502 1-22 2A C*F C5.21 UT/PT 04/04/92 11448-WMKS-0122K1 6 11 -RC-18-1502 1*SI *H001 1A F*C FC1234 VT-3 04/03/92 11448-WMKS-0122K1 6 11 -SI-48-1502 1-SI*H002 2A F-C FC123 VT-3 04/03/92 11448-WMKS-0122K1 6 11 -SI-48-1502 1-Sl*H003 2A F*C FC1234 VT-3 04/03/92 11448-WMKS-0122K1 6 11 -RC-18-1502 2-03 1A B*J B9.11 UT/PT 04/03/92

     *WMKS-0122K1 6 11 -RC-18-1502   2-04          1A       B-J      B9.11    UT/PT      04/03/92 Page 8 of 19

Attachment I Page 16 of 41 Serial No.: 92-380 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC & IWF Drawing Line Marie Sect XI Sect XI Sect XI Exam. Exa. Nuiber No. No. Class Category Item No. Method Date Remarks 11448-WMKS-0122K1 611 -RC-18-1502 2-05 1A B-J B9.11 UT/PT 04/03/92 11448-WMKS-0122K1 611 -RC-18-1502 2-06 1A B-J B9.11 UT/PT 04/03/92 11448-WMKS-0122L1 12"-SI-45-1502 1-SI-107 1A B-G-2 B7.70 VT-1 03/25/92 11448-WMKS-0122L1 12 11 -SI-45-1502 1-SI-107 1A B-M-2 B12.40 VT-3 03/30/89 ***** 11448-WMKS-0122L1 12 11 -SI-45-1502 1-SI-109 1A B-M-2 B12.40 VT-3 03/29/89 ***** 11448-WMKS-0122L1 12 11 -SI-45-1502 1-S1-H004A 1A F-C FC1234 VT-3 04/13/92 11448-WMKS-0122L1 12 11 -SI-45-1502 1-SI-H004B 1A F-C FC1234 VT-3 04/13/92 11448-WMKS-0122L1 12 11 -SI-45-1502 1-S1-H005A 1A F-B FB123 VT-3 03/20/92 *** 11448-WMKS-0122L1 12 11 -SI-45-1502 1-SI-H005B 1A F-B FB123 VT-3 03/20/92 *** 11448-WMKS-0122L1 12"-SI-45-1502 1-S1-H006A 1A F-C FC1234 VT-3 04/13/92 11448-WMKS-0122L1 12 11 -SI-45-1502 1-SI-H006B 1A F-C FC1234 VT-3 04/13/92 11448-WMKS-0122L1 12 11 -SI-45-1502 1-S1-H009 2A F-C FC1234 VT-3 03/20/92 *** 11448-WMKS-0122L1 12 11 -SI-45-602 2-A-F 2A C-F C5.11 PT 03/25/92 11448-WMKS-0123G1 10 11 -RS-9-163L 0-2L 2C C-F C5.12 PT 03/22/92 WMKS-0123G1 10 11 -RS-9-153 1-02 2C C-F C5.11 PT 03/22/92 10 11 -RS-9-153 1-14 2C C-F C5.11 PT 03/22/92 *75% 11448-WMKS-0123G1 14 11 -RS-9-153 1-16 2C C-F C5.11 PT 03/22/92 11448-WMKS-0123G2 10"-RS-10-163L 1-05 2C C-F C5.11 PT 03/22/92 11448-WMKS-0123G2 1411 -RS-10-153 1-16 2C C-F C5.11 PT 03/22/92 11448-WMKS-0123G2 1411 -RS-10-153 1-17 2C C-F C5.11 PT 03/22/92 11448-WMKS-0123N1 1011 -RS-9-163L 1-17 2A C-F C5.11 PT 03/04/92 11448-WMKS-0123N2 10 11 -RS-10-163L 1-01 2A C-F C5.11 PT 03/05/92 11448-WMKS-0123N2 10 11 -RS-10-163L 1-16 2A C-F C5.11 PT 02/20/92 11448-WMKS-0123R1 10 11 -RS-1-153 1-13 2C C-F C5.11 PT 04/06/92 11448-WMKS-0123R1 10 11 -RS-1-153 1-14 2C C-F C5.11 PT 04/06/92 11448-WMKS-0123R1 10 11 -RS-1-153 1-RS-H003 2C F-C FC123 VT-3 03/20/92 *** 11448-WMKS-0123R1 10"-RS-1-153 1-RS-H004 2C F-C FC1234 VT-3 03/20/92 11448-WMKS-0123R2 10"-RS-2-153 1-RS-H004 2C F-C FC1234 VT-3 03/14/92 11448-WMKS-0124A1-1 611 -RC-39-1502 1-02 1A B-J B9.11 UT/PT 03/06/92 11448-WMKS-0124A1-1 6 11 -RC-39-1502 1-03 1A B-J B9.11 UT/PT 03/06/92 11448-WMKS-0124A1-1 411 -RC-34-1502 1-RC-H001 1A F-C FC1234 VT-3 03/06/92

     -WMKS-0124A1-1 411 -RC-34-1502    1-RC-H003      1A      F-C      FC1234   VT-3      03/06/92 Page 9 of 19

Attachment I Page 17 of 41 Serial No.: 92-380 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC IWF rawing Line Marie Sect XI Sect XI Sect XI Ex1111. Exaa. Nuit>er No. No. Class category Item No. Method Date Remarks 11448*WMKS-0124A1-1 3"-RC-61-1502 1-RC-H004 1A F-C FC1234 VT-3 03/06/92 11448-IJMKS-0124A1-1 3 11 -RC-35-1502 1-RC-H010 1A F-C FC1234 VT-3 03/06/92 11448-WMKS-0124A1-1 411 -RC-34-1502 1-RC-H020 1A F-B FB123 VT-3 03/06/92 11448-WMKS-0124A1-1 6 11 -RC-39-1502 1-RC-SV-1551A 1A B-G-2 B7.70 VT-1 03/31/92 PSI 11448-WMKS-0124A1-1 611 -RC-39-1502 1-RC-SV-1551A 1A B-M-2 B12.40 VT-3 or UT 04/12/92 11448-WMKS-0124A1-1 611 -RC-38-1502 1-RC-SV-1551B 1A B-G-2 B7.70 VT*1 03/31/92 PSI 11448-WMKS-0124A1-1 611 -RC-37-1502 1*RC-SV-1551C 1A B*G-2 B7.70 VT-1 03/31/92 PSI 11448-WMKS*0124A1-1 611 -RC-38-1502 2-02 1A B*J B9.11 UT/PT 03/06/92 11448-WMKS-0124A1-1 611 -RC-38-1502 2-03 1A B-J B9.11 UT/PT 03/06/92 11448*WMKS-0124A1*1 411 -RC-34-1502 3-01DM 1A B-F B5.20 UT/PT 03/06/92 11448-WMKS-0124A1-1 311 -RC-35-1502 3-11 1A B-J B9.21 PT 03/06/92 11448-WMKS-0124A1*1 611 -RC-37-1502 4-02 1A B-J B9.11 UT/PT 03/06/92 11448-WMKS-0124A1-1 611 -RC-37-1502 4-03 1A B-J B9.11 UT/PT 03/06/92 11448-WMKS-0124A1-1 611 -RC-37-1502 FLANGE A 1A B*G-2 B7.50 VT-1 03/31/92 PSI WMKS-0124A1-1 611 -RC-38-1502 FLANGE A 1A B-G-2 87.50 VT-1 03/31/92 PSI 8-WMKS-0124A1-1 611 -RC-39-1502 FLANGE A 1A B-G-2 87.50 VT-1 03/31/92 PSI 11448-WMKS-0125A1Z 211 -CH-68-1502 1-CH-H001 1A F-A FA123 VT-3 03/14/92 11448*WMKS-0125A1Z 211 -CH-68-1502 1-CH-H002 1A F-A FA123 VT-3 03/14/92 11448*WMKS-0125A1Z 211 -CH-68-1502 1-CH-H003 1A F-A FA123 VT-3 03/14/92 11448-WMKS-0125A1Z 211 -CH-68-1502 1-CH-H004 1A F-B F8123 VT-3 03/20/92 11448*WMKS-0125A1Z 211 -CH-68*1502 1-CH-H005 1A F-B FB123 VT-3 03/20/92 11448-WMKS-0125A1-1 4 11 -RC-14-1502 1-RC-H018A 1A F*C FC1234 VT-3 03/16/92 11448-WMKS-0125A1-1 4"-RC-14-1502 1-RC-H0188 1A F-C FC1234 VT-3 03/16/92 11448-WMKS-0125A1*1 4"-RC-14-1502 1-RC-H019 1A F-8 F8123 VT-3 03/16/92 11448-WMKS-0125A1-1 4"-RC-14-1502 1-RC-H020 1A F*C FC1234 VT-3 03/16/92 11448-WMKS*0125A1-1 411 -RC-14-1502 1-RC*H021 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0125A1-1 4"-RC-14-1502 1-RC-H023 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0125A1-1 4!1 -RC-14-1502 1*RC-H024 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0125A1-1 411 -RC-14-1502 1-RC*H026 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0125A1-1 411 -RC-14-1502 1-RC-H028 1A F-A FA123 VT-3 03/06/92 11448-WMKS-0125A1-1 4 11 -RC-14-1502 1-RC-H029 1A F-8 F8123 VT-3 03/16/92

     -WMKS-0125A1*1 4"-RC-14-1502      1*RC-H031       1A      F*B      FB123    VT-3          03/16/92 Page 10 of 19

Attachment I Page 18 of 41 Serial No.: 92-380 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC & IWF D wing Line Marie Sect XI Sect XI sect XI Exalll. Exa. Numer No. No. Class category Item No. Method Date Remarks 11448-WMKS-0125A1-1 4"-RC-14-1502 1-RC-H032 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0125A1-1 411 -RC-14-1502 1-RC-H033 1A F-C FC1234 VT-3 04/02/92 11448-WMKS-0125A1-2 411 -RC-15-1502 1-RC-H002A 1A F-C FC1234 VT-3 03/06/92 *** 11448-WMKS*0125A1-2 411 -RC-15-1502 1-RC-H002B 1A F-C FC1234 VT*3 03/06/92 *** 11448-WMKS-0125A1-2 4"-RC-15-1502 1-RC-H006 1A F-A FA123 VT-3 03/14/92 *** 11448-WMKS-0125A1-2 411 -RC-15-1502 1-RC-H012 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0125A1-2 411 -RC-15-1502 1-RC-H015 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0125A1-2 411 -RC-15-1502 1-RC-H016 1A F-B FB123 VT-3 03/16/92 11448-WMKS-0125A1-2 1Y,11 -RC-105-1502 1-RC-H035 1A F-B FB123 VT-3 04/01/92 11448-WMKS-0125A1-2 411 -RC-15-1502 2-25DM 1A B-F B5.20 UT/PT 03/12/92 11448-WMKS-0127C1 10 11 -SI-84-152 3-AF 2A C-F C5.11 PT 03/03/92 11448-WMKS-0127C1 10 11 -SI-84-152 3-AHF 2A C-F C5.11 PT 03/03/92 11448-WMKS-0127C1 811 -SI-92-153 3-UF 2A C-F C5.11 PT 03/04/92 11448-WMKS-0127C1 8 11 -SI-92-153 3-VS 2A C-F C5.11 PT 03/04/92 WMKS-0127C2 10"-SI-152-1502 1-07 2A C-F C5.21 UT/PT 03/02/92 8-WMKS-0127C2 611 -SI-48-1502 2-12 2A C-F C5.21 UT/PT 03/02/92 11448-WMKS-0127C2 1011 -SI-83-152 3-AEF 2A C-F C5.11 PT 03/03/92 11448-WMKS-0127C2 1011 -SI-83-152 3-AFF 2A C-F C5.11 PT 03/03/92 11448-WMKS-0127C2 811 -SI-14-153 3-AP 2A C-F C5.11 PT 03/02/92 11448-WMKS-0127C2 10 11 -SI-149-153 3-V 2A C-F C5.11 PT 03/06/92 11448-WMKS-0127E1 811 -SI-92-153 1-AF 2A C-F C5.11 PT 03/08/92 11448-WMKS-0127E1 811 -SI-92-153 1-DS 2A C-F C5.11 PT 03/08/92 11448-WMKS-0127E1 811 -SI-92-153 1-GS 2A C-F C5.11 PT 03/08/92 11448-WMKS-0127E1 811 -SI-92-153 1-KS 2A C-F C5.11 PT 03/08/92 11448-WMKS-0127E1 811 -SI-92-153 1-QF 2A C-F C5.11 PT 04/15/92 11448-WMKS-0127E1 8"-SI-92-153 1-WS 2A C-F C5.11 PT 04/15/92 11448-WMKS-0127E1 811 -SI-92-153 1-ZF 2A C-F C5.11 PT 04/15/92 11448-WMKS-0127E2 811 -SI-14-153 1-A 2A C-F C5.11 PT 03/10/92 11448-WMKS-0127E2 8"-SI-14-153 1-D 2A C-F C5.11 PT 03/08/92 11448-WMKS-0127E2 811 -SI-14-153 1-G 2A C-F C5.11 PT 03/10/92 11448-WMKS-0127E2 811 -SI-14-153 1-R 2A C-F C5.11 PT 04/15/92 ~WMKS-0127E2 8 -SI-14-153 11 1-U 2A C-F C5.11 PT 04/15/92 Page 11 of 19

Attachment I Page 19 of 41 Serial No.: 92-380 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC & IWF wing Line Mark Sect XI Sect XI Sect XI Exam. Exaa. Nurber No. No. Class Category Item No. Method Date Remarks 11448*YMKS*0127F1 10 11 -SI-6*153 1*S1-H001 2A F*A FA123 VT-3 01/23/92 *** 11448*YMKS*0127G1-1 611 -CH-201-152 0-01L 2A C-F C5.12 PT 04/22/92 11448-YMKS-0127G1-1 811 -SI-17-152 0-02L 2A C-F C5.12 PT 04/22/92 11448-YMKS-0127G1-1 811 -SI-17-152 1-ABS 2A C-F C5.11 PT 03/10/92 11448-YMKS-0127G1-1 611 -SI-78-152 1-ASS 2A C-F C5.11 PT 03/11/92 11448-YMKS-0127G1-1 8 11 -SI-92-153 1-ES 2A C-F C5.11 PT 03/10/92 11448-YMKS-0127G1-1 811 -SI-92-153 1-JF 2A C-F C5.11 PT 03/10/92 11448-YMKS-0127G1-1 811 -SI-92-153 1-MF 2A C-F C5.11 PT 03/11/92 11448-YMKS-0127G1-1 811 -SI-92-153 1-S1-H003 2A F-B FB123 VT-3 03/09/92 11448-YMKS-0127G1-1 811 -SI-92-153 1-S1-H029 2A F-C FC123 VT-3 03/09/92 11448-YMKS-0127G1-1 811 -SI-17-152 1-VS 2A C-F C5.11 PT 03/10/92 11448-YMKS-0127G1-2 811 -CH-17-152 0-04L 2A C-F C5.12 PT 04/22/92 11448-YMKS-0127G1-2 611 -CH-203-152 1-AXS 2A C-F C5.11 PT 03/10/92 11448-YMKS-0127G1-2 811 -CH-17-152 1-AYS 2A C-F C5.11 PT 04/11/92 *85% ~"'KS-0127G1-2 811 -CH-17-152 1-BLS 2A C-F C5.11 PT/RT 03/10/92 **** YMKS-0127G1-2 611 -CH-19-152 1-BS 2A C-F C5.11 PT 03/10/92 11448-YMKS-0127G2 811 -SI-14-153 1-FF 2A C-F C5.11 PT 04/09/92 11448-YMKS-0127G2 811 -SI-14-153 1-QF 2A C-F C5.11 PT 03/10/92 11448-YMKS-0127G2 811 -SI-14-153 1-SF 2A C-F C5.11 PT 03/10/92 11448-YMKS-0127G2 811 -SI-14-153 1-S1-H043 2A F-B FB123 VT-3 03/09/92 11448-YMKS-0127G2 811 -SI-14-153 1-VF 2A C-F C5.11 PT 03/10/92 11448-YMKS-0127G2 811 -CH-204-152 1-YF 2A C-F C5.11 PT/RT 03/11/92 **** 11448-YMKS-0127J1 611 -SI-145-1502 1-Sl-241 1A B-G-2 B7.70 VT-1 04/01/92 *** 11448-YMKS-0127J1 611 -SI-17-1502 1-SI-79 1A B*G-2 87.70 VT-1 04/01/92 *** 11448-YMKS-0127J1 611 -SI-145-1502 1-S1-H002 2A F-C FC1234 VT-3 04/01/92 11448-YMKS-0127J1 611 -SI-145-1502 1-S1-H003 2A F-C FC1234 VT-3 04/01/92 11448-YMKS-0127J1 611 -SI-145-1502 2-04 2A C-F C5.21 UT/PT 04/01/92 11448-YMKS-0127J1 611 -SI-145-1502 2-05 2A C-F C5.21 UT/PT 04/01/92 11448-YMKS-0127J1 611 -SI-145-1502 2-06 2A C-F C5.21 UT/PT 04/01/92 11448-YMKS-0127J1 611 -SI-145-1502 2-07 2A C-F C5.21 UT/PT 04/01/92 11448-YMKS-0127J2 611 -RC-19-1502 1-02 1A B-J B9.11 UT/PT 04/03/92 ~YMKS-0127J2 6 -RC-19-1502 11 1-07 1A B*J B9.11 UT/PT 04/03/92 Page 12 of 19

Attachment I Page 20 of 41 Serial No.: 92-380 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC & IWF 41. NU!ber Line No. Mark No. Sect XI Class Sect XI Category Sect XI Item No. Exam. Method Ex11111. Date Remarks 11448*WMKS*0127J2 611 -RC-19-1502 1-SI-082 1A B*G*2 B7.70 VT-1 04/03/92 *** 11448-WMKS-0127J2 1"-SI-144-1502 1*S1*242 1A B-G-2 B7.70 VT-1 04/03/92 *** 11448-WMKS-0127J2 611 -SI-144-1502 1-S1-H001 2A F-C FC1234 VT-3 04/03/92 11448-WMKS-0127J2 611 -SI-144-1502 1*S1*H002 2A F*B FB123 VT-3 04/03/92 11448*WMKS-0127J3 611 *Sl*153*1502 1*S1*H001 1A F-C FC1234 VT-3 04/02/92 11448-WMKS-0127J3 611 -SI-153-1502 1*S1*H002 2A F-C FC1234 VT-3 04/02/92 11448*WMKS-0127J3 611 *S1*153*1502 1-S1-H003 2A F*B FB123 VT-3 04/02/92 11448*WMKS-0127J4 611 -SI-153-1502 1-SI *H001 2A F*A FA123 VT-3 04/02/92 11448-WMKS-0127J4 611 -SI-153-1502 1-S1*H002 2A F-A FA123 VT-3 03/20/92 11448-YMKS-0127J4 611 -SI-153-1502 1*S1*H003 2A F-A FA123 VT-3 03/20/92 11448*WMKS*0127J4 611 *S1*153*1502 1-SI*H004 2A F*A FA123 VT-3 03/20/92 11448-WMKS-0127J4 611 -SI-153-1502 1-SI-HOOS 2A F-A FA123 VT-3 03/20/92 11448-WMKS-0127J4 6"-SI-153-1502 1*S1*H006 2A F-C FC123 VT-3 03/20/92 11448-WMKS-0127J4 611 -SI-153-1502 1-S1-H007 2A F-B FB123 VT-3 03/20/92 WMKS-0127J4 611 -SI-153-1502 1*S1*H008 2A F*A FA123 VT-3 03/20/92 6"-SI-145-1502 1-S1-H001 2A F-A FA123 VT-3 03/20/92 11448*WMKS-0127J5 611 -SI-145-1502 1*S1*H002 2A F-A FA123 VT-3 03/20/92 11448-WMKS-0127J5 6 -SI-145-1502 11 1-SI*H003 2A F-A FA123 VT-3 03/20/92 11448-WMKS-0127J5 611 -SI-145-1502 1*S1*H004 2A F-A FA123 VT-3 03/20/92 11448-WMKS-0127J5 611 -SI-145-1502 1*S1*H005 2A F-A FA123 VT-3 03/20/92 11448-WMKS*0127J5 6"-SI

145-1502 1-SI-H006 2A F-A FA123 VT-3 03/20/92 11448*WMKS*0127J5 611 -SI-145-1502 1-SI*H007 2A F-C FC123 VT-3 03/20/92 11448-WMKS-0127J5 611 -SI-145-1502 1-SI*HOOB 2A F-B FB123 VT-3 03/20/92 11448-WMKS-0127J5 611 -SI-144-1502 1*S1*H009 2A F*A FA123 VT-3 03/20/92 11448-WMKS-0127J5 611 -SI-144-1502 1-SI-H010 2A F-A FA123 VT-3 03/20/92 11448-WMKS-0127J5 6"-Sl-144-1502 1-SI-H011 2A F-C FC123 VT-3 03/20/92 11448-WMKS-0127J5 611 -SI-144-1502 1-S1-H012 2A F-B FB123 VT-3 03/20/92 11448-WMKS-1101A5 12 11 -RS*B-153 1-03 2C C*F CS.11 PT 03/02/92 11448-WMKS-1101A5 12"-RS-7-153 1-06 2C C-F CS.11 PT 03/02/92 11448*WMKS-1103A1 8"*RC-11-2501R 1-RC*MOV-1585 1A B-G-2 B7.70 VT-1 04/01/92 11448*WMKS-1103A2Z 211 -RC-44-1502 1*RC*77 1A B-G-2 B7.70 VT-1 04/02/92

~WMKS-1103A2Z 2 -RC-44-1502 11 FE-1482 1A B-G-2 B7.50 VT-1 04/02/92 *** Page 13 of 19

Attachment I Page 21 of 41 Serial No.: 92-380 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC & IWF D awing Line Marie Sect XI Sect XI Sect XI Exam. Exa. Niiiber No. No. Class Category Item No. Method Date Remarks 11448*WMKS*1103A7 12"*RC*10*2501R 1-02 1A B*J B9.11 UT/PT 03/23/92 11448-WMKS-1105C4 311 -CH-1-1502 1-CH*H007 1A F-C FC1234 VT-3 04/03/92 11448-WMKS-1106A7 12"-SI-5-153 0-02L 2A C-F CS.12 PT 03/11/92 11448-WMKS-1106A7 12 11 -SI-107-153 0-07L 2A C*F CS.12 PT 03/03/92 11448-WMKS-1106A7 10 11 -SI-106-153 0*22L 2A C-F CS.12 PT 03/03/92 11448-WMKS-1106A7 12"-SI-1-153 1-09 2A C*F CS.11 PT 03/03/92 11448-WMKS-1106A7 12"-SI-2-153 1-19 2A C-F CS.11 PT 03/03/92 11448-WMKS-1106A7 10 11 -SI-105-153 1*SI *H004 2A F-B FB123 VT-3 03/03/92 11448-WMKS-1106A7 10 11 -SI-105-153 1-SI*HOOS 2A F*B FB123 VT-3 03/03/92 11448-WMKS-1106A7 12 11 -SI-1-153 1-SI-H007 2A F-B FB123 VT-3 03/03/92 11448-WMKS-1106A7 12 11 -SI-2-153 1*S1-H008 2A F-B FB123 VT-3 03/03/92 11448-WMKS-1106A7 10"-Sl-106-153 1-SI-H009 2A F-B FB123 VT-3 03/03/92 11448-WMKS-1106A7 10 11 -SI-106-153 1-SI-H010 2A F-B FB123 VT-3 03/03/92 11448-WMKS-1106A7 10 11 -SI-106-153 1-SI-H011 2A F-B FB123 VT-3 03/03/92 WMKS-1106A7 10 11 -SI-105-153 1-SI*H014 2A F-B FB123 VT-3 03/03/92 8-WMKS-1106A7 10"-SI-105-153 3-01 2A C*F CS.11 PT 03/03/92 11448-WMKS-1106A7 10"-SI-106-153 5-01 2A C*F CS.11 PT 03/03/92 11448-WMKS-1106A7 10"-SI-106-153 6-04 2A C-F CS.11 PT 03/03/92 11448-WMKS-1106A7 10 11 -SI-105-153 8-08 2A C-F CS.11 PT 03/03/92 11448-WMKS-CH-E-2 1-CH-E-2 1-CH-H002 2A F-A FA123 VT-3 04/01/92 11448-WMKS*CH-E-3 1-CH-E-3 1-04 2A C-A C1.20 UT 03/31/92 11448-WMKS*CH-E-3 1-CH-E-3 1-10 2A C-A C1.20 UT 03/31/92 11448-WMKS-CH-E-3 1-CH-E-3 1-11 2A C*A C1.30 UT 03/31/92 11448-WMKS-CH*E-3 1-CH-E-3 1-12 2A C-A C1.30 UT 03/31/92 11448-WMKS*CH-E-3 1-CH-E-3 1-CH-H001 2A F-A FA123 VT-3 03/31/92 11448-WMKS-CH-E-3 1-CH-E-3 1-CH-H002 2A F-A FA123 VT-3 03/31/92 11448-WMKS-CH-E-3 1-CH-E-3 1-CH-H003 2A F-A FA123 VT-3 03/31/92 **A 11448-WMKS-CH-E-3 1-CH-E-3 I-CH-H003 2A F*A FA123 VT-3 04/16/92 PSI 11448-WMKS-CH-E-3 1-CH-E-3 1-CH-H004 2A F-A FA123 VT-3 03/31/92 11448-WMKS-CH-E-3 1-CH-E-3 1-CH*HOOS 2A F-A FA123 VT-3 03/31/92 11448-WMKS-CH*E-3 1-CH*E-3 1-CH-H006 2A F-A FA123 VT-3 03/31/92 **B

     -WMKS-CH-E-3  1-CH-E-3          1-CH*H006      2A      F-A      FA123    VT-3      04/16/92 PSI Page 14 of 19

Attachment I Page 22 of 41 Seria1 No.: 92-380 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC & IWF r wing Line Marie Sect XI Sect XI Sect XI Exaa. Exaa. Nlllber No. No. Class Category ltea No. Method Date Remarks 11448-WMKS*CH*E-4 1*CH*E*4 1-01 2A C*A C1.20 UT 03/14/92 11448-WMKS*CH*E-4 1*CH*E*4 1-02 2A C*A C1 .10 UT 03/14/92 *87.5% 11448*WMKS*CH*FL*4A 1*CH*FL*4A 1*CH*H001 2A F*A FA123 VT-3 04/02/92 11448*WMKS*CH*FL*4A 1*CH*FL*4A 1*CH*H002 2A F*A FA123 VT-3 04/02/92 11448*WMKS*CH*FL*4A 1*CH*FL*4A 1*CH*H003 2A F*A FA123 VT-3 04/02/92 11448*WMKS*CH*FL*4B 1*CH*FL*4B 1*CH*H001 2A F*A FA123 VT-3 04/02/92 11448*WMKS*CH*FL*4B 1*CH*FL*4B 1*CH*H002 2A F*A FA123 VT-3 04/02/92 11448*WMKS*CH*FL*4B 1*CH*FL*4B 1*CH*H003 2A F*A FA123 VT-3 04/02/92 11448*WMKS*CH*P*1A 1*CH*P*1A 1*CH*H001 2A F*A FA123 VT-3 03/09/92 11448*WMKS*CH*P*1B 1*CH*P*1B 1*CH*H001 2A F*A FA123 VT-3 03/09/92 11448*WMKS*CH*P*1C 1*CH*P*1C 1*CH*H001 2A F*A FA123 VT-3 03/09/92 11448-WMKS*RC*E-002 1*RC*E*2 1-08 1A B*B B2.11 UT 04/07/92 11448-WMKS*RC*E-002 1*RC*E*2 1-09 1A B*B B2.12 UT 04/07/92 11448-WMKS*RC*E-002 1*RC*E*2 1-16 1A B*H B8.20 MT or UT 04/05/92 WMKS*RC*E-002 1*RC*E*2 1*RC*23NIR 1A B*D B3.120 VT-2 04/30/92 8*WMKS*RC*E*002 1*RC*E*2 1*RC*H001 1A F*B FB123 VT-3 03/06/92 11448-WMKS*RC*E-002 1*RC*E*2 1*RC*H002 1A F*A FA123 VT-3 03/06/92 11448-WMKS*RC*E-002 1*RC*E*2 1*RC*H003 1A F*A FA123 VT-3 03/06/92 11448-WMKS*RC*E-002 1*RC*E*2 Heater Elements 1A B*E B4.20 VT-2 04/30/92 11448-WMKS*RC*E-002 1*RC*E*2 Instrl.Bnent Nozzle 1A B*E B4.13 VT-2 04/30/92 11448-WMKS*RC*E-002 1*RC*E*2 Upper Sample Nozzles 1A B*E B4.11 VT-2 04/30/92 11448*WMKS*RC*E*1A.2 1*RC*E*1A 1*RC*H001 1A F*C FC123 VT-3 03/20/92 11448*WMKS*RC*E-1A.2 1-RC-E-1A 1*RC*H002 2A F*B FB123 VT-3 03/20/92 11448-WMKS*RC*E-1B.2 1*RC*E-1B 1*RC*HDD1 1A F*C FC123 VT-3 03/20/92 11448-WMKS*RC*E*1B.2 1-RC-E-1B 1*RC*H002 2A F*B FB123 VT-3 03/20/92 11448*WMKS*RC*E*1C.1 1-RC*E*1C 2-06 2A C*A C1.10 UT 04/12/92 *** 11448-WMKS*RC*E-1C.2 1*RC*E*1C 1*RC*H001 1A F*C FC123 VT-3 03/20/92 11448*WMKS*RC*E*1C.2 1*RC*E*1C 1-RC*H002 2A F*B FB123 VT-3 03/20/92 11448*WMKS*RC*P*1A.1 1*RC*P*1A 1-RC*FRAME 1A F*A FA123 VT-3 04/01/92 11448*WMKS*RC-P-1A.2 1-RC*P*1A LSHB 1A B-G-2 B7.60 VT-1 03/22/92 1-RC*P*1A USHB 1A B-G-2 B7.60 VT-1 03/22/92 PSI Page 15 of 19

Attachment I Page 23 of 41 Serial No.: 92-380 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC IWF Line Mark Sect XI Sect XI Sect XI Exam. Exa. No. No. Class Category Itea No. Method Date Remarks 11448*WMKS-RC-P-1B.2 1-RC-P-1B LSHB 1A B-G-2 B7.60 VT-1 03/22/92 11448-WMKS-RC-P-1B.2 1-RC-P-1B USHB 1A B-G-2 B7.60 VT-1 03/22/92 PSI 11448-WMKS-RC-P-1C.2 1-RC-P-1C LSHB 1A B-G-2 B7.60 VT-1 04/02/92 11448-WMKS-RC-R-1.1 1-RC-R-1 01-RC-R-1-INT 1A B-N-1 B13.10 VT-3 03/27/92 11448-WMKS-RC-R-1.1 1-RC-R-1 RV lnstr1.111ent Nozzle 1A B-E B4.13 VT-2 04/30/92 11448-WMKS-RC-R-1.2 1-RC-R-1 1-01 1A B-A B1.40 UT/MT 03/27/92 *86% 11448-WMKS-RC-R-1.2 1-RC-R-1 CRDM Nozzles 1A B-E B4.12 VT-2 04/30/92 11448-WMKS-RC-R-1.2 1-RC-R-1 MC01 1A B-G-2 B7.80 VT-1 03/28/92 11448-WMKS-RC-R-1.2 1-RC-R-1 MC02 1A B-G-2 B7.80 VT-1 03/28/92 11448-WMKS-RC-R-1.2 1-RC-R-1 MC03 1A B-G-2 B7.80 VT-1 03/28/92 11448-WMKS-RC-R-1.2 1-RC-R-1 MC04 1A B-G-2 B7.80 VT-1 03/28/92 11448-WMKS-RC-R-1.2 1-RC-R-1 Vessel Vent 1A B-E B4.11 VT-2 04/30/92 11448-WMKS-RC-R-1.3 1-RC-R-1 S-02 1A B-G-1 B6.30 MT/UT 03/29/92 ~-WMKS-RC-R-1.3 1-RC-R-1 s-03 1A B-G-1 B6.30 MT/UT 03/29/92

      -WMKS-RC-R-1.3 1-RC-R-1    S-04                1A      B-G-1    B6.30    MT/UT     03/29/92 11448-WMKS-RC-R-1.3  1-RC-R-1    S-05                1A      B-G-1    B6.30    MT/UT     03/29/92 11448-WMKS-RC-R-1.3  1-RC-R-1    S-06                1A      B-G-1    B6.30    MT/UT     03/29/92 11448-WMKS-RC*R-1.3  1-RC*R-1    S-07                1A      B-G-1    B6.30    MT/UT     03/29/92 11448-WMKS*RC-R-1.3  1-RC-R-1    S-08                1A      B-G-1    B6.30    MT/UT     03/29/92 11448-WMKS-RC-R-1.3  1-RC-R-1    S-09                1A      B-G-1    B6.30    MT/UT     03/29/92 11448-WMKS-RC-R-1.3  1-RC-R-1    S-10                1A      B-G-1    B6.30    MT/UT     03/29/92 11448-WMKS-RC-R-1.3  1-RC-R-1    S-11                1A      B-G-1    B6.30    MT/UT     03/28/92 11448-WMKS-RC-R-1.3  1-RC-R-1    S-12                1A      B-G-1    B6.30    MT/UT     03/28/92 11448-WMKS-RC-R-1.3  1-RC-R-1    S-13                1A      B-G-1    B6.30    MT/UT     03/28/92 11448-WMKS-RC-R-1.~  1-RC-R-1    S-14                1A      B-G-1    B6.30    MT/UT     03/28/92 11448-WMKS-RC-R-1.3  1-RC-R-1    S-15                1A      B-G-1    B6.30    UT/MT     03/28/92 11448-WMKS-RC-R-1.3  1-RC*R-1    S-16                1A      B-G-1    B6.30    UT/MT     03/28/92 11448-WMKS-RC*R-1.3  1-RC-R-1    S-17                1A      B-G-1    B6.30    UT/MT     03/28/92 11448-WMKS-RC-R-1.3  1-RC-R-1    S-18                1A      B-G-1    B6.30    UT/MT     03/28/92 11448-WMKS-RC-R-1.3  1-RC-R-1    S-19                1A      B-G-1    B6.30    UT/MT     03/28/92 1-RC-R-1    S-20                1A      B-G-1    B6.30    UT/MT     03/28/92 Page 16 of 19

Attachment I Page 24 of 41 Serial No.: 92-380 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC & IWF

Drawing Nuiber 11448-WMKS*RC*R-1.4 Mark No.

CCW-02 Sect XI Sect XI Class 1A Category B*G-1 Sect XI Item No. B6.50 Exam. Method VT-1 Exam. Date 03/29/92 Remarks 11448-WMKS*RC-R-1.4 CCW-03 1A B-G-1 B6.50 VT-1 03/29/92 11448-WMKS*RC*R-1.4 CCW-04 1A B-G-1 B6.50 VT-1 03/29/92 11448-WMKS*RC*R-1.4 CCW-05 1A B-G-1 B6.50 VT-1 03/29/92 11448-WMKS-RC*R-1.4 CCW-06 1A B-G-1 B6.50 VT-1 03/29/92 11448-WMKS-RC-R-1.4 CCW-07 1A B-G-1 B6.50 VT-1 03/29/92 11448-WMKS-RC-R-1.4 CCW-08 1A B-G-1 B6.50 VT-1 03/29/92 11448-WMKS*RC*R-1.4 CCW-09 1A B-G-1 B6.50 VT-1 03/29/92 11448-WMKS-RC-R-1.4 CCW-10 1A B-G-1 B6.50 VT-1 03/29/92 11448-WMKS*RC-R-1.4 CCW-11 1A B-G-1 B6.50 VT-1 03/27/92 11448-WMKS-RC*R-1.4 CCW-12 1A B-G-1 B6.50 VT-1 03/27/92 11448-WMKS-RC-R-1.4 CCW-13 1A B-G-1 B6.50 VT-1 03/27/92 11448-WMKS-RC-R-1.4 CCW-14 1A B-G-1 B6.50 VT-1 03/27/92 11448-WMKS*RC-R-1.4 CCW-15 1A B-G-1 B6.50 VT-1 03/27/92

11448-WMKS*RC*R-1.4 11448-WMKS-RC*R-1.4 11448-WMKS~RC-R-1.4 11448-WMKS-RC-R-1.4 CCW-16 CCW-17 CCW-18 CCW-19 1A 1A 1A 1A B-G-1 B-G-1 B-G-1 B-G-1 B6.50 B6.50 B6.50 B6.50 VT-1 VT-1 VT-1 VT-1 03/27/92 03/27/92 03/27/92 03/27/92 11448-WMKS*RC*R-1.4 CCW-20 1A B-G-1 B6.50 VT-1 03/27/92 11448-WMKS*RC-R-1.4 CVW-02 1A B-G-1 B6.50 VT-1 03/29/92 11448-WMKS-RC*R-1.4 CVW-03 1A B-G-1 B6.50 VT-1 03/29/92 11448-WMKS*RC-R-1.4 CVW-04 1A B-G-1 B6.50 VT-1 03/29/92 11448-WMKS*RC*R-1.4 CVW-05 1A B-G-1 B6.50 VT-1 03/29/92 11448-WMKS-RC-R-1.4 CVW-06 1A B-G-1 B6.50 VT-1 03/29/92 11448-WMKS-RC-R-1.4 CVW-07 1A B-G-1 B6.50 VT-1 03/29/92 11448-WMKS-RC-R-1.4 CVW-08 1A B-G-1 B6.50 VT-1 03/29/92 11448-WMKS*RC-R-1.4 CVW-09 1A B-G-1 B6.50 VT-1 03/29/92 11448-WMKS-RC-R-1.4 CVW-10 1A B-G-1 B6.50 VT-1 03/29/92 11448-WMKS-RC-R-1.4 CVW-11 1A B-G-1 B6.50 VT-1 03/27/92 11448-WMKS-RC*R-1.4 CVW-12 1A B-G-1 B6.50 VT-1 03/27/92 11448-WMKS-RC*R-1.4 CVW-13 1A B-G-1 B6.50 VT-1 03/27/92 11448-WMKS-RC-R-1.4 CVW-14 1A B-G-1 B6.50 VT-1 03/27/92 Page 17 of 19

Attachment I Page 25 of 41 Serial No.: 92-380

                              . Abstract of Examinations Performed               Docket No.: 50-280 IWB, IWC        IWF Line          Nark          Sect XI Sect XI  Sect XI  Exam. Exaa.

No. No. Class category Item No. Method Date Remarks 11448-WMKS*RC*R-1.4 1-RC*R-1 CW-15 1A 8-G-1 86.50 VT-1 03/27/92 11448-WMKS*RC*R-1.4 1*RC*R*1 CW-16 1A 8-G-1 86.50 VT-1 03/27/92 11448-WMKS*RC*R-1.4 1-RC*R-1 CW-17 1A 8*G*1 86.50 VT-1 03/27/92 11448-WMKS*RC*R-1.4 1*RC*R*1 CW-18 1A 8*G*1 86.50 VT-1 03/27/92 11448-WMKS*RC*R-1.4 1*RC*R*1 CW-19 1A 8-G-1 86.50 VT-1 03/27/92 11448-WMKS*RC*R-1.4 1*RC*R*1 CW-20 1A 8*G*1 86.50 VT-1 03/27/92 11448-WMKS*RC*R-1.4 1-RC*R-1 N-01 1A 8-G-1 B6.10 MT 03/28/92 11448-WMKS*RC-R-1.4 1-RC-R-1 N-02 1A 8-G-1 86.10 MT 03/28/92 11448-WMKS*RC*R-1.4 1-RC*R-1 N-03 1A 8-G-1 86.10 MT 03/28/92 11448-WMKS*RC-R-1.4 1-RC-R-1 N-04 1A 8-G-1 B6.10 MT 03/28/92 11448-WMKS*RC*R-1.4 1-RC*R-1 N-05 1A 8-G-1 86.10 MT 03/28/92 11448-WMKS*RC*R-1.4 1-RC-R-1 N-06 1A 8-G-1 86.10 MT 03/28/92 11448-WMKS*RC-R-1.4 1-RC-R-1 N-07 1A 8-G-1 86.10 MT 03/28/92 11448-WMKS*RC*R-1.4 1*RC*R*1 N-08 1A 8-G-1 86.10 MT 03/28/92 WMKS*RC-R-1.4 1-RC*R-1 N-09 1A 8-G-1 86.10 MT 03/28/92 1*RC*R*1 N-10 1A 8-G-1 86.10 MT 03/28/92 11448-WMKS*RC*R-1.4 1-RC-R-1 N-11 1A 8-G-1 86.10 MT 03/28/92 11448-WMKS*RC*R-1.4 1*RC*R*1 N-12 1A 8-G-1 86.10 MT 03/28/92 11448-WMKS*RC*R-1.4 1-RC*R-1 N-13 1A 8-G-1 86.10 MT 03/28/92 11448-WMKS-RC-R-1.4 1-RC-R-1 N-14 1A 8-G-1 86.10 MT 03/28/92 11448-WMKS*RC-R-1.4 1-RC*R-1 N-15 1A 8-G-1 86.10 MT 03/28/92 11448-WMKS*RC*R-1.4 1*RC*R*1 N-16 1A 8-G-1 86.10 MT 03/28/92 11448-WMKS*RC-R-1.4 1-RC-R-1 N-17 1A 8-G-1 86.10 MT 03/28/92 11448-WMKS*RC*R-1.4 1-RC*R-1 N-18 1A 8-G-1 B6.10 MT 03/28/92 11448-WMKS*RC*R-1.4 1*RC*R*1 N-19 1A 8-G-1 B6.10 MT 03/28/92 11448-WMKS*RC*R-1.4 1-RC*R-1 N-20 1A 8-G-1 B6.10 MT 03/28/92 11448*WMKS*RH*E*1A 1*RH*E*1A 1*A02 2A C*A C1 .10 UT 03/14/92 11448-WMKS*RH*E-1A 1-RH*E*1A 1*RH*H001 2A F*A FA123 VT-3 03/12/92 11448-WMKS*RH*E-1A 1-RH*E*1A 1-RH*H002 2A F*A FA123 VT-3 03/12/92 11448-WMKS*RH*E-18 1-RH*E-18 1-801 2A C*A C1.20 UT 04/08/92 *62.5% 11448-WMKS*RH*E-18 1-RH*E-18 1-802 2A C*A C1 .10 UT 03/14/92

     *WMKS*RH*E*1B  1-RH*E-18     1-805         2A      C-8      C2.21    PT        03/14/92 Page 18 of 19

Attachment I Paqe 26 of 41 Serial No.: 92-380 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC & IWF Line Nark Sect XI Sect XI Sect XI Exam. Exaa. No. No. Class category Itea No. Method Date Remarks 11448-WMKS-RH-E-18 1-RH-E-1B 1-B06 2A C-B C2.21 PT 03/14/92 11448-WMKS-RH-E-18 1-RH-E-1B 1-RH-H001 2A F-A FA123 VT-3 03/12/92 11448-WMKS-RH-E-18 1-RH-E-18 1-RH-H002 2A F-A FA123 VT-3 03/12/92 11448-WMKS-RH-P-1A 1-RH-P-1A 1-RH-H001 2A F-B FB123 VT-3 03/12/92 11448-WMKS-RH-P-1B 1-RH-P-1B 1-RH-H001 2A F-B FB123 VT-3 03/12/92 11448-WMKS-RS-P-2A 1-RS-P-2A 1-RS-H001 2C F-A FA123 VT-3 01/23/92 11448-WMKS-RS-P-2A 1-RS-P-2A 2-06 2C C-G C6.10 Surface 03/05/92 11448-WMKS-RS-P-28 1-RS-P-28 1-RS-H001 2C F-A FA123 VT-3 01/23/92 11448-WMKS-S1-P-1A 1-S1-P-1A 1-S1-H001 2A F-A FA123 VT-3 01/23/92 11448-WMKS-S1-P-1A 1-S1-P-1A 2-06 2A C-G C6.10 Surface 03/04/92 11448-WMKS-SI-P-1B 1-SI-P-1B 1-S1-H001 2A F-A FA123 VT-3 01/23/92

= Partial Examination
- = Indication (Letter refers to the item listed in the results section of the examination sUlllll8ry, page 2.

Credit not taken, re-examination of previous failure.

     - Surface examination performed, volumetric examination scheduled for next outage.

- - - - =Examination performed in 1989, but not reported in Inservice Inspection SUlllll8ry Report.

Page 19 of 19

Abstract of Examinations Performed system Pressure Test Program Sect XI Test Zone Description Class Type Date Remarks 1*SPB*006A-1*1 CONTAINMENT PURGE AIR SUPPLY PIPING 2 BURIED/CONC. N498 03/02/92 1*SPB-006A-1-2 CONTAINMENT PURGE AIR EXHAUST PIPING 2 BURIED/CONC. N498 03/02/92 1-SPB-0478-1-1 FIRE PROTECTION PENETRATION PIPING 2 BURIED/CONC. N498 04/10/92 1*SPM-066A-2*1 CONDENSER AIR EJECTOR DIVERT TO CONTAINMENT 2 BURIED/CONC. N498 03/19/92 1*SPM-068A-1-4 AUX FEEDWATER HEADERS 2 HYDROSTATIC 04/17/92

1-SPM-071A-3*4 RECIRC. SPRAY HEAT EXCH. SERVICE WATER DRAINS PENETRATION PIPING 2 BURIED/CONC. N498 03/21/92 1-SPM-075C-1-1 COMPRESSED AIR SYSTEM PENETRATION PIPING 2 BURIED/CONC. N498 03/06/92 1-SPM-075C-1*2 COMPRESSED AIR SYSTEM PENETRATION PIPING 2 SYS IN-SERVICE N498 03/06/92 1*SPM-075G-1-1 COMPRESSED AIR SYSTEM PENETRATION PIPING 2 FUNCTIONAL N498 03/25/92 1*SPM-075J-1-1 CONTAINMENT INSTRUMENT AIR SUCTION LINE 2 BURIED/CONC. N498 03/08/92 1-SPM-0828-2*1 RCS HOTLEG SAMPLE HYDROSTATIC 04/30/92 1-SPM-0828-2-2 RCS COLDLEG SAMPLE HYDROSTATIC 04/30/92 1-SPM-0828-2-3 PRESSURIZER LIQUID SPACE SAMPLE HYDROSTATIC 04/30/92 1-SPM-0828-2-4 PRESSURIZER VAPOR SPACE SAMPLE HYDROSTATIC 04/30/92 1-SPM-0828-2-6 PRESSURIZER RELIEF TANK SAMPLE 2 BURIED/CONC. N498 03/23/92 1-SPM-083A-1-1 PRIMARY DRAIN TRANSFER TANK VENT 2 BURIED/CONC. N498 03/08/92 1-SPM-083A-1*2 PRIMARY DRAIN TRANSFER TANK PUMP DISCHARGE 2 BURIED/CONC. N498 03/05/92 1-SPM-083A-1-3 PRIMARY VENT POT VENT 2 BURIED/CONC. N498 03/07/92 1-SPM-083A-2*1 POST ACCIDENT SAMPLE RETURN 2 BURIED/CONC. N498 03/11/92 Page 1 of 8

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@0:2:2                                                            Abstract of Examinations Performed

.Elu ~ r-1('tj +JQ) system Pressure Test Program ('tj Q) *r-1 ~ ~i~a Zone Description Sect XI Class Test Type Date Remarks 1-SPM-083A-2-2 CONTAINMENT SUMP PUMP DISCHARGE 2 BURIED/CONC. N498 04/16/92 1-SPM-083B-1-1 PRIMARY DRAIN TRANSFER TANK VENT 2 BURIED/CONC. N498 03/08/92 1-SPM-083B-1-2 PRIMARY DRAIN PUMP DISCHARGE PIPING 2 BURIED/CONC. N498 03/05/92 1-SPM-083B-1-3 PRIMARY DRAIN TO SPOOL PIECES HYDROSTATIC 04/30/92 1-SPM-083B-1-4 PRIMARY DRAIN TO SPOOL PIECES HYDROSTATIC 04/30/92 1-SPM-083B-3-1 PRIMARY VENT POT VENT 2 BURIED/CONC. N498 03/07/92 1-SPM-083B-3-2 CONT. PENETRATION DRAIN SYSTEM 2 BURIED/CONC. N498 03/11/92 1-SPM-083B-3-3 CONT. PENETRATION DRAIN PIPING 2 BURIED/CONC. N498 04/16/92 1-SPM-084A-2-4 11 A11 TRAIN CONTAINMENT SPRAY PENETRATION PIPING 2 BURIED/CONC. N498 03/12/92 1-SPM-084A-2-5 11 8 TRAIN CONTAINMENT SPRAY PENETRATION PIPING 11 2 BURIED/CONC. N498 03/12/92 1-SPM-084A-2-7 SUMP SUPPLY TO OUTSIDE RS PUMPS 2 FUNCTIONAL N498 03/12/92 1-SPM-084A-3-5 REFUELING WATER CHEMICAL ADDITION TANK 2 HYDROSTATIC ATM TANK 01/20/92 1-SPM-084B-1-1 INSIDE RECIRCULATION SPRAY SYS, TRAIN 11 B11 , SPRAY RING 2 FUNCTIONAL N498 03/25/92

1-SPM-084B-1-2 INSIDE RECIRCULATION SPRAY SYS, TRAIN "A",

SPRAY RING 2 FUNCTIONAL N498 03/25/92

1-SPM-084B-2-1 OUTSIDE RECIRCULATION SPRAY PUMP SUCTION PIPING FROM CONTAINMENT SUMP 2 FUNCTIONAL N498 03/12/92 1-SPM-084B-2-4 OSRSP 11 B11 TRAIN PENETRATION PIPING 2 BURIED/CONC. N498 03/12/92 1-SPM-084B-2-5 OSRSP"A"TRAIN PENETRATION PIPING 2 BURIED/CONC. N498 03/12/92 1-SPM-085A-1-1 LEAKAGE MONITORING OUTSIDE CONTAINMENT 2 BURIED/CONC. N498 03/13/92
1-SPM-085A-1-3 CONTAINMENT VACUUM EJECTOR PENETRATION PIPING 2 BURIED/CONC. N498 03/23/92 Page 2 of 8

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.a ~ co C) r-1 .µ (l) system Pressure Test Program co (l) *r-i ~ ~ Alg ~ CJ) 8 Zone Description Sect XI Class Test Type Date Remarks 1-SPM-OBSA-2-1 CONTAINMENT VACUUM PUMP "B" PENETRATION PIPING 2 BURIED/CONC. N498 03/07/92 1-SPM-OBSA-2-2 CONTAINMENT VACUUM PUMP "A" PENETRATION PIPING 2 BURIED/CONC. N498 03/07/92 1-SPM-086A-1-1 REACTOR COOLANT SYSTEM "A" LOOP PIPING HYDROSTATIC N498 04/30/92

RR-17 1-SPM-086A-1-2 RCS LOOP DRAIN "A" LOOP HYDROSTATIC 04/30/92 1-SPM-086A-1-3 "A" RCS LOOP HOTLEG SAMPLE LINE HYDROSTATIC 04/30/92 1-SPM-086A-1-4 "A" RCS LOOP COLDLEG SAMPLE LINE HYDROSTATIC 04/30/92 1-SPM-086A-1-5 RCS "A" LOOP FILL PIPING HYDROSTATIC 04/30/92 1-SPM-086A-2-1 RC 11 B11 LOOP PIPING HYDROSTATIC N498 04/30/92
RR-17 1-SPM-086A-2-2 RCS 11 811 LOOP DRAIN PIPING HYDROSTATIC 04/30/92 1-SPM-086A-2-3 11 811 RCS LOOP HOTLEG SAMPLE LINE HYDROSTATIC 04/30/92 1-SPM-086A-2-4 11 811 RCS LOOP COLDLEG SAMPLE LINE HYDROSTATIC 04/30/92 1-SPM-086A-2-S RCS B LOOP FILL PIPING 11 11 HYDROSTATIC 04/30/92 1-SPM-086A-3-1 RC LOOP PIPING, "C" LOOP HYDROSTATIC N498 04/30/92
RR-17 1-SPM-086A-3-2 RCS LOOP DRAIN "C" LOOP AND HEADER HYDROSTATIC 04/30/92 1-SPM-086A-3-3 RCS "C" LOOP HOTLEG SAMPLE HYDROSTATIC 04/30/92 1-SPM-086A-3-4 RCS "C" LOOP COLDLEG SAMPLE HYDROSTATIC 04/30/92 1-SPM-086A-3-S RCS "C" LOOP FILL PIPING HYDROSTATIC 04/30/92 1-SPM-086A-3-6 REACTOR COOLANT HEAD VENT SYSTEM HYDROSTATIC 04/01/92 1-SPM-086B-1-1 PRESSURIZER PIPING HYDROSTATIC N498 04/30/92
1-SPM-086B-1-2 PRESSURIZER LIQUID SPACE SAMPLE HYDROSTATIC 04/30/92 1-SPM-086B-1-3 PRESSURIZER VAPOR SPACE SAMPLE & HIGH POINT VENT HYDROSTATIC N498 04/30/92
Page 3 of 8

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Abstract of Examinations Performed

@ 0:2:2                                                          system Pressure Test Program

..aO g r-1cu .µ(].) Sect XI Test ~iMB --------~-----------------~------------------~ J9 (].) *r-1 .¥: Zone Description Class Type Date Remarks 1-SPM-0868-2-1 PRIMARY GRADE WATER INTO CONTAINMENT PENETRATION 2 FUNCTIONAL N498 03/09/92 1-SPM-087A-1-1 RCS "A" LOOP SUPPLY TO RHR SYSTEM HYDROSTATIC 04/30/92 1-SPM-087A-1-2 RHR SUCTION PIPING TO RHR PUMPS 1/2 SYS IN-SERVICE N498 04/14/92 1-SPM-087A-1-3 1-RH-P-1A 2 SYS IN-SERVICE N498 04/14/92 1-SPM-087A-1-4 1-RH-P-18 2 SYS IN-SERVICE N498 04/14/92

1-SPM-087A-2-1 RHR DISCHARGE PIPING TO RHR HX AND HX BYPASS 2 SYS IN-SERVICE N498 04/14/92 1-SPM-087A-2-3 RHR RETURN TO RCS 11 811 LOOP SYS IN-SERVICE N498 01/08/92 1-SPM-087A-2-4 RHR RETURN TO RCS "C" LOOP SYS IN-SERVICE N498 01/08/92 1-SPM-088A-4-3 NON REGENERATIVE HEAT EXCHANGER*1-CH-E-2 (CHARGING SIDE) 2 SYS IN-SERVICE N498 01/20/92 1-SPM-0888-2-1 CHARGING HEADER i FUNCTIONAL N498 02/05/92 1-SPM-0888-2-3 CHARGING ALTERNATE HEADER 2 FUNCTIONAL N498 02/05/92 1-SPM-0888-2-4 "A" LOW HEAD SAFETY INJECTION PUMP CROSS TIE TO CHARGING PUMPS 2 SYS IN-SERVICE N498 01/28/92 1-SPM-0888-2-5 CHARGING PUMPS 1A, 18. AND 1C 2 FUNCTIONAL N498 02/05/92 1-SPM-OBBC-1-1 EXCESS LETDOWN HEAT EXCHANGER 1/2 HYDROSTATIC 04/30/92
1-SPM-088C-1-2 LOOP FILL HEADER HYDROSTATIC 04/30/92 1-SPM-088C-1-3 CHARGING AND LETDOWN HYDROSTATIC 04/30/92 1-SPM-088C-1-4 NORMAL CHARGING HEADER AND SEAL INJECTION 2 FUNCTIONAL N498 02/05/92 1-SPM-OBBC-1-5 REGENERATIVE HEAT EXCHANGER (CHARGING SIDE)

AND ASSOCIATED PIPING 1/2 BURIED/CONC. N498 03/04/92 1-SPM-OBBC-1-6 AUX. SPRAY HYDROSTATIC 04/30/92 Page 4 of 8

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@0:2:2                                                      Abstract of Examinations Performed

.a M co +J(]) t) r-1 system Pressure Test Program co ~ *r-i ~ Sect XI Test ~&~8 Zone Description Class Type Date Remarks 1-SPM-088C-1-8 LOOP FILL AND HOT LEG INJECTION HEADER 2 FUNCTIONAL N498 02/05/92 1-SPM-088C-2-1 CHARGING HEADER AND SEAL INJECTION FILTER 2 FUNCTIONAL N498 02/05/92 1-SPM-088C-2-7 ALT. SEAL INJECTION FROM ALTERNATE CHARGING HDR. 2 FUNCTIONAL N498 02/05/92 1-SPM-089A-1-1 HYDRO TEST PUMP PIPING PENETRATION 2 BURIED/CONC. N498 04/29/92 1-SPM-089A-1-2 LOW HEAD SAFETY INJECTION PUMP 11 1A" 2 FUNCTIONAL N498 03/17/92 1-SPM-089A-1-3 LOW HEAD SAFETY INJECTION PUMP 11 1B" 2 FUNCTIONAL N498 03/19/92 1-SPM-089A-1-5 LHSI PUMP SUCTION PIPING FROM CONTAINMENT SUMP 2 FUNCTIONAL N498 03/10/92 1-SPM-089A-2-1 ACCUMULATOR TEST LINE PENETRATION 2 FUNCTIONAL N498 04/29/92 1*SPM-089A-2*2 LOW HEAD TO THE HOT LEG CONTAINMENT PENETRATION 2 FUNCTIONAL N498 04/30/92 1-SPM-089A-2-3 "A" LOW HEAD SI PUMP DISCHARGE 2 FUNCTIONAL N498 03/17/92 1-SPM-089A-2-4 11 B11 LOW HEAD SI PUMP DISCHARGE 2 FUNCTIONAL N498 03/19/92 1-SPM-089A-2-5 LOW HEAD SAFETY INJECTION DISCHARGE PIPING TO MOV-1890C 2 FUNCTIONAL N498 12/20/91 1-SPM-089A-2*7 LOW HEAD SI TO CHARGING PUMPS 2 SYS IN-SERVICE N498 01/28/92 1-SPM-089A-3-2 HIGH HEAD SAFETY INJECTION CONTAINMENT PENETRATION 2 FUNCTIONAL/N498/BUR. 04/30/92 1-SPM-089A-3-3 HIGH HEAD SAFETY INJECTION HEADER 2 FUNCTIONAL N498 02/05/92 1-SPM*089A-3-4 ALTERNATE HIGH HEAD SAFETY INJECTION HEADER 2 FUNCTIONAL N498 02/05/92 1-SPM-089B-1*1 ACCUMULATOR DISCHARGE PIPING HYDROSTATIC 04/30/92 1-SPM-089B-1-2 LOOP "A" SAFETY INJECTION ACCUMULATOR 2 SYS IN-SERVICE N498 01/08/92 1-SPM-089B*1-3 "A" SAFETY INJECTION ACCUMULATOR DISCHARGE PIPING TO RCS COLD LEG 1/2 SYS IN-SERVICE N498 01/08/92 Page 5 of 8

Abstract of Examinations Performed system Pressure Test Program Sect XI Test Zone Description Class Type Date Remarks 1-SPM-0898-1-4 SI HEADER DRAIN 2 FUNCTIONAL N498 04/30/92 1-SPM-0898-1-5 SAFETY INJECTION ACCUMULATOR TEST LINE 2 8URIED/CONC. N498 04/29/92 1-SPM-089B-1-6 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 8URIED/CONC. N498 04/29/92 1-SPM-089B-1-7 ACCUMULATOR VENT LINE CONTAINMENT PENETRATION 2 8URIED/CONC. N498 04/29/92 1-SPM-089B-2-1 ACCUMULATOR DISCHARGE PIPING HYDROSTATIC 04/30/92 1-SPM-089B-2-2 LOOP 11 811 SAFETY INJECTION ACCUMULATOR 2 SYS IN-SERVICE N498 01/08/92 1-SPM-0898-2-3 SAFETY INJECTION ACCUMULATOR DISCHARGE 1/2 SYS IN-SERVICE N498 01/08/92 1-SPM-089B-2-4 SI HEADER DRAIN 2 FUNCTIONAL N498 04/30/92 1-SPM-089B-2-5 11 811 ACCUMULATOR DRAIN 2 FUNCTIONAL N498 04/29/92 1-SPM-089B-2-6 11 811 ACCUMULATOR MAKE-UP 2 FUNCTIONAL N498 04/29/92 1-SPM-089B-3-1 11 C11 ACCUMULATOR DISCHARGE HYDROSTATIC 04/30/92 1-SPM-089B-3-2 LOOP "C" SAFETY INJECTION ACCUMULATOR 2 SYS IN-SERVICE N498 01/08/92 1-SPM-089B-3-3 SAFETY INJECTION ACCUMULATOR DISCHARGE PIPING 1/2 SYS IN-SERVICE N498 01/08/92 1-SPM-089B-3-4 SI HEADER DRAIN 2 FUNCTIONAL N498 04/30/92 1-SPM-089B-3-5 "C" ACCUMULATOR DRAIN 2 FUNCTIONAL N498 04/29/92 1-SPM-089B-3-6 "C" ACCUMULATOR MAKE-UP 2 FUNCTIONAL N498 04/29/92 1-SPM-0898-4-1 HOTLEG AND COLDLEG SI HYDROSTATIC 04/30/92 1-SPM-0898-4-2 LHSI AND HHSI TO HOT AND COLD LEGS 1/2 8URIED/CONC. N498 04/30/92 1-SPM-090C-1-1 CONTAINMENT ATMOSPHERIC SAMPLE CONTAINMENT PENETRATION 2 8URIED/CONC. N498 03/27/92 1-SPM-090C-1-2 HYDROGEN ANALYZER RETURN LINE CONT. PENETRATION 2 8URIED/CONC. N498 03/27/92 Page 6 of 8

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H""' @O~~ Abstract of Examinations Performed !~ r-i +l system Pressure Test Program C) co Q) co Q) *r-1 ~ Sect XI Test ~!~a Zone Description Class Type Date Remarks 1-SPM-090C-1-3 HYDROGEN ANALYZER RETURN CONTAINMENT PENETRATION 2 BURIED/CONC. N498 03/25/92 1-SPM-090C-1-4 HYDROGEN ANALYZER INLET 2 BURIED/CONC. N498 03/07/92 1-SPM-090C-1-5 HYDROGEN ANALYZER INLET 2 BURIED/CONC. N498 03/07/92 1-SPM-118A-2-1 REACTOR CAVITY PURIFICATION RETURN LINE CONT. PENETRATION 2 BURIED/CONC. N498 03/11/92 1-SPM-118A-2-2 REACTOR CAVITY PURIFICATION SUCTION LINE CONT. PENETRATION 2 BURIED/CONC. N498 03/11/92 1-SPM-124A-1-1 "A" S/G RECIRCULATION AND TRANSFER CONTAINMENT PENETRATION 2 BURIED/CONC. N498 03/25/92 1-SPM-124A-2-1 8 S/G RECIRCULATION AND TRANSFER CONTAINMENT 11 11 PENETRATION 2 BURIED/CONC. N498 03/25/92 1-SPM-124A-3-1 "C" S/G RECIRCULATION AND TRANSFER CONTAINMENT PENETRATION 2 BURIED/CONC. N498 03/25/92 1-SPP-014A-1-1 CONTAINMENT AIR SAMPLE SUCTION PIPING CONTAINMENT PENETRATION 2 BURIED/CONC. N498 03/22/92 1-SPP-014A-1-2 CONTAINMENT AIR SAMPLE DISCHARGE PIPING CONT. PENETRATION 2 BURIED/CONC. N498 03/22/92 Page 7 of 8

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@0:2:2                                                                Abstract of Examinations Performed system Pressure Test Program

..a~r-1+.J u (ij a.)

     &- *r-i  ~                                                                             Sect XI     Test lil

~~~ 8 _zo_n_e~~~~~~~D_es_c_r_i~pt_i_o_n~~~~~~~~~~~~~~~-C_l_as_s~~~T~y~p_e~~~~~~~~~~~~~-D_a_te~~~-R_e_m_a_rk_s~~~~ The following pressure tests were performed after the outage end date of May 3, 1992, but are included in this report, rather than report them in the next summary report: 1-SPM-064A-1-1 "A" MAIN S/G SECONDARY SIDE 2 SYS IN-SERVICE N498 06/17/92

RR-08 1-SPM-064A-1-2 "A" MAIN S/G SUPPLY STEAM TO TERRY TURBINE 2 SYS IN-SERVICE N498 06/17/92 1-SPM-064A-2-1 11 811 MAIN S/G SECONDARY SIDE 2 SYS IN-SERVICE N498 06/17/92
RR-08 1-SPM-064A-2-2 11 811 MAIN S/G SUPPLY STEAM TO TERRY TURBINE 2 SYS IN-SERVICE N498 06/17/92 1-SPM-064A-3-1 11 C11 MAIN S/G SECONDARY SIDE 2 SYS IN-SERVICE N498 06/17/92
RR-08 1-SPM-064A-3-2 C MAIN S/G SUPPLY STEAM TO TERRY TURBINE 11 11 2 SYS IN-SERVICE N498 06/17/92 1-SPM-064A-4-1 MAIN STEAM LINES TO AUX S/G FEEDI./ATER PUMP 2 SYS IN-SERVICE AND MISC. STEAM TRAP LINES FUNCTIONAL N498 06/17/92 1-SPM-064A-4-2 MISC STEAM TRAP PIPING 2 SYS IN-SERVICE N498 06/17/92 1-SPM-0648-1-1 NITROGEN BLANKET TO SG "A" 2 SYS IN-SERVICE N498 06/17/92 1-SPM-0648-1-2 NITROGEN BLANKET TO SG 11 811 2 SYS IN-SERVICE N498 06/17/92 1-SPM-0648-1-3 NITROGEN BLANKET TO SG 11 C11 2 SYS IN-SERVICE N498 06/17/92 1-SPM-088A-1-1 BORIC ACID TRANSFER PUMP HEADER TO BLENDER 2 SYS IN-SERVICE N498 06/25/92 1-SPM-0888-1-5 BORIC ACID ADDITION LINES TO CHARGING PUMPS 2 SYS IN-SERVICE N498 06/25/92 1-SPM-0888-2-2 RI./ST TO CHARGING PUMPS 2 SYS IN-SERVICE N498 06/24/92 1-SPM-089A-1-6 RI./ST CROSSTI E 2 SYS IN-SERVICE N498 06/24/92

                   *=A portion of this zone was completed this outage, and the remaining portions of this zone will be completed by the end of the interval.

Note: Piping and components shown on SPM drawings can be found on FM drawings with the same nl.lllber. Piping and components shown on SPB drawings can be found on FB drawings with the same number. Piping and components shown on SPP drawings can be found on FP drawings with the same nl.lllber. Page 8 of 8

Attachment I Paqe 35 of 41 Serial No.: 92-380 Docket No.: 50-280 Abstract of Examinations snubber Program There were no visual inspections performed this refueling outage due to the implementation of a Technical Specification Amendment, which allowed for an extended visual inspection frequency based on snubber performance. Thirty-seven (37) snubbers were originally selected for functional testing and seal replacement. One of these, 1-RH-HSS-22, was found to have a broken shaft when removed for functional testing. This condition was treated as a functional test failure. An additional fifteen (15) hydraulic snubbers were selected for functional testing in accordance with technical Specification requirements. No additional failures or deficiencies were identified. The damaged snubber was evaluated in EWR-92-012. It was replaced with a rebuilt spare. Page 1 of 1

Attachment I Paqe 36 of 41 Serial No.: 92-380 Docket No.: 50-280 Abstract of Examinations Eddy current Examination of Nonferromagnetic steam Generator Tubing Inservice examination was performed on steam generators "A" and "B" .

 . In Steam Generator "A" 1170 tubes were inspected full length with bobbin probes. Supplemental examinations were also performed using Rotating Pancake probes where additional confirmatory or other data was desired. Of the tubes inspected, none displayed rejectable indications, two had indications between 30% and 39% through wall, three had indications between 20% and 29% through wall and nine had indications between 1% and 19% through wall.        Two tubes were plugged as a precautionary measure. See following list for details.

steam Generator "A" Row Col Ind Locn Remarks 10 3 MBM BPC 5 4 ONT 7H 5 4 MBM BPC 7 4 MBM 2H 15 6 MBM JC 9 8 MBM BPH 23 8 MBM lC 7 10 MBM 2C 23 10 25 TSC 1 11 MBM 6C 29 12. MBM 2C 13 14 MBM 6H 25 14 MBM 2C

Page 1 of 6

Attachment I Paqe 37 of 41 Serial No.: 92-380 Docket No.: 50-280 steam Generator "A" Row Col Ind Locn Remarks 33 16 18 AV2 3 18 MBM 2C 36 19 17 7H 13 20 DNT 4H Plugged* 13 20 31 4H Plugged* 1 23 MBM lC 37 24 MBM lC 39 25 MBM AVl 40 26 MBM AVl 28 41 35 AV4 Plugged* 46 44 20 AVl

46 37 44 45 52 54 15 MBM MBM AVl 2H lC 45 55 MBM 3C 1 56 INF 2H 7 58 MBM lH 7 58 MBM 3H 31 60 MBM 4H 44 61 INF 6C 11 64 MBM 4C 40 65 INR 7H 40 65 MBM AV2 21 66 MBM 2C 33 66 13 AV2 33 66 MBM 2C Page 2 of 6

Attachment I Paqe 38 of 41 Serial No.: 92-380 Docket No.: 50-280 Steam generator "A" Row Col Ind Locn Remarks 37 66 MBM 3C 15 68 MBM 5C 39 68 MBM lH 40 68 13 AV4 40 69 15 AV4 39 72 MBM BPH 39 72 MBM 4H 31 73 19 6C 31 73 MBM lC 25 74 MBM 4C 25 74 MBM lC 37 75 INR 2H 37 75 16 AV2 13 76 MMB 3H 36 76 17 AV2 36 76 MBM AV3 22 88 MBM 3H 7 90 INR TSC 14 90 21 2C 8 92 ANR 7H 8 92 MBM lC 11 92 MBM TSH 11 92 ANR 7H 12 92 MBM BPC

Plugged as a precautionary measure, not because of a rejectable indication Page 3 of 6

Attachment I Paqe 39 of 41 Serial No.: 92-380 Docket No.: 50-280 In Steam Generator "B" 1170 tubes were inspected full length with bobbin probes. Supplemental examinations were also performed using Rotating Pancake probes where additional confirmatory or other data was desired. Of the tubes inspected none were plugged, five had indications between 20 and 29% through wall and four had indications between 1 and 19% through wall. See the following list for details. Steam generator "B" Row Col Ind Locn Remarks 8 4 MBM SC 2 13 MBM 4H 27 15 13 TSC 34 17 17 AV4 35 17 12 AV3 17 23 24 6C 36 38 MBM 2H 36 38 MBM 6C 45 41 MBM BPC 11 43 23 6C 6 48 MBM SC 6 48 25 3C 45 48 15 TSC 27 52 MBM 6C 34 58 23 AV2 28 62 MBM BPC 2 72 MBM 4C 14 90 MBM lC 18 90 28 6C Page 4 of 6

Attachment I Paqe 40 of 41 Serial No.: 92-380 Docket No.: 50-280 Glossary of Terms

1. ANR ANOMALY NOT REPORTABLE indicates that an anomaly condition exists in the data being analyzed that is below the reportable criteria threshold for this specific inspection can be used to address anomalies called in previous inspections that are still detectable but fall below current criteria

2. BPC BAFFLE PLATE COLD Baffle plate on the cold leg

                                     .side of the steam generator.

3. BPH BAFFLE PLATE HOT Baffle plate on the hot leg side of the steam generator.

4. DNT DENT the tube has been deformed inward to a reduced diameter condition from that of a nominal tube often located at an interface such as a tube support plate

5. INF Indication Not Found indicates that a

_previously reported Indication, from current inspection data or historical data, is not found in the data being analyzed - also used to address the case where a tube/ signal is being retested for positive identification (PID) and the retest data does not show any signal present.

6. INR Indication Not Reportable - indicates that a very small tube wall loss condition exists in the data being analyzed that is below the reportable criteria threshold for this specific inspection can be used to address indications called in previous inspections that are still detectable but fall below current criteria.

7, MBM MANUFACTURERS BUFF MARK a tube wall loss condition due to a tube manufacturing process step generally a relatively long and shallow loss area remains constant and does not present any operating problems for the tube noted for reference only

8. 55 A number in the indication column shows the 9.,,

0 thru wall depth of the indication.

9. TEH Tube End Hot leg.

10. TEC Tube End Cold leg.

11. TSH Top of Tubesheet Hot leg.

12. TSC Top of Tubesheet Cold leg.

Page 5 of 6

Attachment I Paqe 41 of 41 Serial No.: 92-380 Docket No.: 50-280

13. #C, #H (#=number) of Support Plate Hot or Cold leg

e.g., 3H, 6H, 7C.

14. AVl, AV2, AV3, AV4 Anti-Vibration Bars 1 thru 4.

Note: Where no comment appears in the remarks column the tube is still in service *

Page 6 of 6

ATTACHMENT II SURRY POWER STATION UNIT 1 SPRING 1992 ISi INSPECTIONS NIS

2 FORMS

Attachment II Page 1 of 102 Serial No.: 92-380 Docket No.: 50-280 Repair and Replacements Repairs and replacements completed during this refueling outage were performed in accordance with Section XI of the ASME Boiler and Pr*essure Vessel Code, 1980 Edition through the Winter 1980 Addenda. The following paragraphs and the attached NIS-2 Forms represent those repairs and replacements performed on Class 1 and Class 2 systems:

1. Replaced studs and nuts on flange 1-CS-RO-lOlB on line 2\"-

CS-95-153, Class 2. The studs and nuts were replaced due to un-identifiable material. The applicable work order No. is 113770. The replacement was completed on 4-28-92.

2. Replaced body to bonnet bolting on valve 1-RH-24 on line 10"-RH-10-602, Class 2. The bolting was replaced due to leakage. The applicable work order No. is 077636. The re-placement was completed on 4-2-92.

3. Replaced studs and nuts on valve 1-RS-11 on line 10 11 -Rs 153, Class 2. The valve was removed for installation of anti-rotation pin. The studs and nuts were replaced due to un-identifiable material. The applicable work order No. is 094725. The replacement was completed on 3-23-92.

4. Replaced studs and nuts on valve 1-RH-20 on line 10 11 -RH 602, Class 2. The studs and nuts were replaced due to leakage. The applicable work order No. is 124769. The re-placement was completed on 3-25-92.

5. Replaced 8 studs and 16 nuts on 1-SI-FE-1940 on line 3"-SI-72-1503, Class 2. The studs and npts were replaced due to leakage. The applicable work order No. is 095652. The re-placement was completed on 3-7-92.

6. Replaced nuts and front half of clamp on support 1-CH-H003 and U-bolts and nuts on 1-CH-H006, Class 2. Both supports are located on heat exchanger 01-CH-E-3. The applicable work order No. is 125903. The replacement was completed on 4 92.

7. Replaced cover studs and nuts on valve 1-CH-277 on line 3 11 -

CH-11-1503, Class 2. The studs and nuts were replaced due to leakage. The applicable work order No. is 095968. The re-placement was completed on 3-19-91.

8. Replaced studs and nuts on valve 1-CH-HCV-1244 on line 3 11 -

CH-63-152, Class 2. The studs and nuts were replaced due to leakage. The applicable work order No. is 095964. The re-placement was completed on 3-19-91. Page 1 of 9

Attachment II Paqe 2 of 102 Serial No.: 92-380 r:ocket No.: 50-280 9* Replaced 2"x2"x3/4 11 Tee for 1-CH-PI-1185, Class 2. The work was performed under DCP-88-37-1. The replacement was com-pleted on 4-4-91.

10. Replaced 2 11 x2 11 x3/4" Tee for 1-CH-PI-1186, Class 2. The work was performed under DCP-88-37-1. The replacement was com-pleted on 4-8-91.

11. Replaced 2"x2"x3/4" Tee for 1-CH-PI-1105A, Class 2. The work was performed under DCP-88-37-1. The replacement was com-pleted on 4-4-91.

12. Weld repair of pin hole leak on line 2"-CH-6-602 at 2 11 x2 11 x3-

     /4" Tee (drain line), Class 2. The applicable work order No.

is 112835. The repair was completed on 6-22-91.

13. Replaced 2"x2"x3/4" Tee for 1-CH-PI-1105B, Class 2. The work was performed under DCP-88-38-2. The replacement-was com-pleted on 5-13-91.

14. Replaced studs and nuts on 1-CH-FE-1160 on line 4"-CH 1503, Class 2. The studs and nuts were replaced due to leakage. The applicable work order No. is 095634. The re-placement was completed on 3-26-92.

15. Replaced valve 1-CH-RV-1203 on line 2"-CH-~32-602, Class 2.

The valve was replaced due to leakage. The applicable work order No. is 110586. The replacement was completed on 4 92.

16. Replaced studs and nuts on 1-CH-RV-1203 (flange - piping to valve) on line 2 11 -CH-232-602, Class 2. The studs and nuts were replaced due to leakage. The applicable work order No.

is 122363. The replacement was completed on 1-5-92.

17. Weld repair leak on socket weld on drain line downstream of 1-CH-HCV-1200A, Class 2. The applicable work order No. is 121963. The repair was completed on 12-26-91.

18. Replaced bonnet assembly on valve 1-CH-85 on line 2"-CH 152, Class 2. The studs and nuts were replaced due to leak--

age. The applicable work order No. is 117147. The replace-ment was completed on 3-20-92.

19. Replaced studs and nuts on restricting orifice 1-CS-RO-lOlA on line 2\"-RS-94-153, Class 2. The orifice was opened to install a blank flange. The studs and nuts were replaced because the bolting was not stamped B7. The applicable work order No. is 113771. The replacement was completed on 4 92.

Page 2 of 9

Attachment II Paqe 3 of 102 Serial No.: 92-380 Ibcket No.: 50-280

20. Replaced studs and nuts on valve 1-CS-7 on line 4"-CH 153, Class 2. The valve was opened for inspection and the studs and nuts were replaced upon re-assembly. The applica-ble work order No. is 088954. The replacement was completed on 9-25-91.

21. Replaced valve 1-CS-49 on line 3"-CS-26-153, Class 2. The valve was replaced due to leakage. The applicable work order No. is 081180. The replacement was completed on 8-20-91.

22. Replaced studs and nuts on valve 1-CS-8 on line 4"-CS-5-152, Class 2. The studs and nuts were replaced due to leakage.

The applicable work order No. is 087907. The replacement was completed on 1-17-92.

23. Replaced studs and nuts on 1-CS-FNG-lA, Class 2. The flange was opened to install a blank flange and due to existing studs being too short they were replaced upon reassembly.

The applicable work order No. is 116099. The replacement was completed on 4-10-92.

24. Replaced studs and nuts on valve 1-CS-105 on line 8 11 -CS 153, Class 2. The studs and nuts (B7 material) was replaced with A564-630 material. The applicable work order No. is 112347. The replacement was completed on 3-28-92.

25. Replaced studs and nuts on 1-CS-FNG-3B, Class 2. The flange was opened to install a blank flange and due to existing studs being too short they were replaced upon reassembly.

The applicable work order No. is 116100. The replacement was completed on 4-10-92.

26. Replaced snubber 1-RH-HSS-22 (Class 2) with a rebuilt snub-ber. The snubber was removed for functional testing. The applicable work order No. is 114923. The replacement was completed on 4-15-92.

27. Replaced snubbers 1-RH-HSS-001, 1-RH-HSS-002, 1-RH-HSS-003 and 1-RH-HSS-004 (Class 2) with struts. These snubbers were located on 1-RH-P-lA and 1-RH-P-lB. The applicable work order No.'s are 106933 and 106934. The replacement was completed on 4-10-92.

28. Replaced studs and nuts on 1-RH-FE-1605 on line 12"-RH 602, Class 2. The studs and nuts were replaced due to leak-age. The applicable work order No. is 101963. The replace-ment was completed on 4-22-92.

~ Page 3 of 9

Attachment II Paqe 4 of 102 Serial No.: 92-380 JJocket No.: 50-280

29. Replaced studs and nuts on 1-SI-FE-1946 on line 10"-SI 153, Class 2. The. studs and nuts were replaced because they were not properly identified. The applicable work order No.

is 117348. The replacement was completed on 4-15-92.

30. Replaced studs and nuts on Valve 1-SI-24 on line 8"-SI-102-152, Class 2. The studs and nuts were replaced due to leak-age. The applicable work order No. is 096279. The replace-ment was completed on 4-7-92.

31. Replaced studs on 1-SI-TV-102A on line 8"-SI-170-153, Class

2. The studs were replaced due to leakage. The applicable work order No. is 119001. The replacement was completed on 4-22-92.

32. Replaced studs on 1-SI-TV-102B on line 8"-SI-170-153, Class

2. The studs were replaced due to leakage. The applicable work order No. is 118961. The replacement was completed on 4-22-92.

33. Replaced valve 1-MS-182 and short section of pipe on line 3 11 -SHP-28-601, Class 2. The valve was replaced due to normal wear. The applicable work order No. is 112274. The replace-ment was completed on 4-12-92.

34. Replaced valve 1-MS-178, elbow and short section of pipe on line 3"-SHP-29-601, Class 2. The valve was replaced due to normal wear. The applicable work order No. is 112272. The replacement was completed on 4-14-92.

35. Replaced studs and disc in valve 1-MS-RV-101C on line 4 11 -

SHP-NONE, Class 2. The valve was overhauled due to normal wear. The applicable work order No. is 095202. The replace-ment was completed on 2-12-91.

36. Replaced disc in valve 1-MS-RV-101A on line 4"-SHP-NONE, Class 2. The valve was overhauled due to normal wear. The applicable work order No. is 095200. The replacement was completed on 3-8-91.

37. Replaced hand-hole cover bolts on 1-RC-E-lC, Class 2. The hand-hole cover was removed for sludge lancing and FOSAR and the bolting was replaced when re-assembled. The applicable work order No. is 113800. The replacement was completed on 4-3-92.

38. Tube plugs (4) installed in steam generator 1-RC-E-lA, tubes row 13, column 20 and row 28, column 41. Plugs were in-stalled as a precautionary measure, not because of a report-able indication. The applicable work order No. is 113788.

The replacement was completed on 4-8-92. Page 4 of 9

Attachment II Paqe 5 of 102 Serial No.: 92-380 Iocket No.: 50-280

39. Replaced twelve (12) each 1 11 and 1 3/8" rods, and twenty-four (24) each 1 11 and 1 3/8" nuts on valve 1-RC-SV-1551A on line 6"-RC-339-1502, Class 1. The valve was overhauled due to normal wear. The applicable work order No. is 091394. The replacement was completed on 8-21-91.

40. Replaced twelve (12) each 1 11 and 1 3/8 11 rods, and twenty-four (24) each 1 11 and 1 3/8" nuts on valve 1-RC-SV-1551B on line 6"-RC-338-1502, Class 1. The valve was overhauled due to normal wear. The applicable work order No. is 091396. The replacement was completed on 8-28-91.

41. Replaced twelve (12) each 1 11 and 1 3/8" rods, and twenty-four (24) each 1 11 and 1 3/8" nuts on valve 1-RC-SV-1551C on line 6 11 -RC-337-1502, Class 1. The valve wa~ overhauled due to normal wear. The applicable work order No. is 091397. The replacement was completed on 8-28-91.

42. Replaced valve 1-BD-23 and pipe on line 2 11 -DA-93-152, Class

2. The valve was replaced due to no flow through valve. The applicable work order No. is 105945. The replacement was completed on 4-16-92.

43. Replaced valve*l-FW-27 on line 3 11 -WAPD-9-601, Class 2. The valve was replaced due to leakage. The applicable work order No. is 099959 and EWR 88-021. The replacement was completed on 11-26-90.

44. Replaced valve 1-FW-58 on line 3"-WAPD-11-601, Class 2. The valve was replaced due to leakage. The applicable work order No. is 088074 and EWR 88-021. The replacement was completed on 11-26-90.

45. Replaced valve 1-FW-89 on line 3 11 -WAPD-13-601, Class 2. The valve was replaced due to leakage. The applicable work order No. is 084746 and EWR 88-021. The replacement was completed on 11-26-90.

46. Replaced studs, nuts and trim assembly on valve 1-CH-TCV-1143 on line 3 11 -CH-193-152, Class 2. The valve was opened to investigate sluggish operation and the studs and nuts were replaced upon reassembly. The applicable work order No.

is 088779. The replacement was completed on 3-23-92.

47. Replaced Tee on line 2"-CH-6-602 with a section of pipe, Class 2. The Tee was previously weld repaired. The applica-ble work order No. is 124035. The replacement was completed on 4-5-92.

Page 5 of 9

Attachment II Paqe 6 of 102 Serial No.: 92-380 Iocket No.: 50-280

48. Replaced studs and nuts on valve 1-CH-RV-1382A on line 2"-

CH-122-152, Class 2. The studs and nuts were replaced due to flange leakage. The applicable work order No. is 104929. The replacement was completed on 3-24-92.

49. Replaced studs, nuts and bonnet on valve l-CS-18 on line 6"-

CS-5-152, Class 2. The valve was overhauled due to normal wear. The studs and nuts were replaced upon reassembly. The applicable work order No. is 075549. The replacement was completed on 3-31-92.

50. Replaced studs and nuts on valve 1-FW-41 on line 14"-WFPD-13-601, Class 2. The valve was opened for inspection per the maintenance check valve program. The studs and nuts were replaced upon reassembly. The applicable work order No. is 112358. The replacement was completed on 4-9-92.

51. Replaced studs, nuts and disc on valve 1-MS-85 on line 6"-

SHP-45-601, Class 2. The valve was opened for inspection per the maintenance check valve program. The studs and nuts were replaced upon reassembly. The applicable work order No. is 112353. The replacement was completed on 4-27-92.

52. Replaced valve 1-MS-86 on line 4"-SHP-37-601, Class 2. The valve was replaced due to leakage. The applicable work order No. is 098276. The replacement was completed on 4-25-92 *

53.

54. Replaced valve 1-MS-119 on line 4 11 -SHP-38-601, Class 2. The valve was replaced due to leakage. The applicable work order No. is 084827. The replacement was completed on 4-26-92. Replaced valve 1-MS-157 on line 4 11 -SHP-39-601, Class 2. The valve was replaced due to leakage. The applicable work order No. is 108836. The replacement was completed on 4-26-92.

55. Replaced No. 1 and No. 2 seal housing bolts on pump 1-RC-P-lA, Class 1. The pump was opened for seal inspection and the bolting was replaced upon reassembly. The applicable work order No. is 113796. The replacement was completed on 4 92.

56. Replaced No. 1 and No. 2 seal housing bolts on pump 1-RC-P-lB, Class 1. The pump was opened for seal inspection and the bolting was replaced upon reassembly. The applicable work order No. is 113801. The replacement was completed on 4 92.

57. Replaced trim assembly on valve 1-RC-HCV-1556A on line 2"-

RC-198-1502, Class 1. The trim assembly was replaced because an incorrect spring was installed in the operator. The applicable work order No. is 080394. The replacement was completed on 4-23-92. Page 6 of 9

Attachment II Page 7 of 102 Serial No.: 92-380 Ibcket No.: 50-280

58. Replaced studs and nuts on valve 1-RH-HCV-1758 on line 12"-

RH-19-602, Class 2. The valve was opened to adjust the stroke and verify proper operation. The studs and nuts were replaced upon reassembly. The applicable work order No. is 119521. The replacement was completed on 4-7-92.

59. Replaced studs and nuts on valve 1-RH-FCV-1605 on line 12"-

RH-12-602, Class 2. The valve was opened to adjust the stroke and verify proper operation. The studs and nuts were replaced upon reassembly. The applicable work order No. is 119519. The replacement was completed on 4-7-92.

60. Replaced studs and nuts on valve 1-MS-TV-lOlC on line 30"-

SHP-3-601, Class 2. The valve was opened for overhaul. The studs and nuts were replaced upon reassembly. The applicable work order No. is 110355. The replacement was completed on 4-20-92.

61. Replaced studs on valve 1-MS-TV-lOlB on line 30"-SHP-2-601, Class 2. The valve was opened for inspection and subsequent overhaul. The studs and nuts were replaced upon reassembly.

The applicable work order No. is 098292. The replacement was completed on 5-1-92.

62. Replaced bonnet nuts on valve 1-MS-TV-lOlA on line 30"-SHP-1-601, Class 2. The valve was opened for inspection and subsequent overhaul. The studs and nuts were replaced upon reassembly. The applicable work order No. is 110378. The replacement was completed on 5-1-92.

63. Replaced valve 1-MS-117 on line 6 11 -SHP-46-601, Class 2. The valve was opened for inspection and was replaced due to normal wear. The applicable work order No. is 112354. The replacement was completed on 4-26-92.

64. Replaced studs and nuts on flange fasteners to Valve 1-RC-SV-1551A on line 6"-RC-39-1502, Class 1. The valve was opened in accordance with the maintenance safety and relief valve program. The studs and nuts were replaced upon reas-sembly. The applicable work order No. is 117183. The re-placement was completed on 4-16-92.

65. Replaced studs and nuts on flange fasteners to Valve 1-RC-SV-1551B on line 6 11 -RC-38-1502, Class 1. The valve was opened in accordance with the maintenance safety and relief valve program. The studs and nuts were replaced upon reas-sembly. The applicable work order No. is 117184. The re-placement was completed on 4-16-92.

Page 7 of 9

Page 8 of 102 Serial No.: 92-380 Iocket No.: 50-280

66. Replaced studs and nuts on flange fasteners to Valve 1-RC-SV-1551C on line 6"-RC-37-1502, Class 1. The valve was opened in accordance with the maintenance safety and relief valve program. The studs and nuts were replaced upon reas-sembly. The applicable work order No. is 117185. The re-placement was completed on 4-16-92.

67. Replaced bonnet fasteners on Valve 1-SI-238 on line 6"-RC-18-1502, Class 1. The valve was opened in accordance with the maintenance check valve program. The studs and nuts were replaced upon reassembly. The applicable work order No. is 112281. The replacement was completed on 4-17-92.

68. Replaced studs on Valve 1-SI~47 on line 12"-SI-2-153, Class

2. The valve was opened in accordance with the maintenance check valve program. The studs were replaced upon reassem-bly. The. applicable work order No. is 094709. The replace-ment was completed on 11-10-90.

69. Replaced valve 1-DA-TV-lOOB on line 2"-DA-21-152, Class 2.

The valve was replaced due to*normal wear. The applicable work order No. is 115214. The replacement was completed: on 4-16-92.

70. Replaced valve 1-FW-92 on line 3"-WAPD-13-601, Class 2. The valve was replaced due to normal.wear. The applicable work order No. is 104316. The replacement was completed on 4 92.

71. *Replaced the bonnet assembly on valve 1-CS-48 on line 6"-CS-14-152, Class 2. The bonnet was replaced due to normal wear.

The applicable work order No. is 074961. The replacement was completed on 4-1-92.

72. Replaced Body to bonnet studs and nuts on valve 1-CV-26 on line 2"-CV-2-154, Class 2. The fasteners was replaced be-cause the existing fasteners were too short. The applicable work order No. is 104077. The replacement was completed on 4-13-92*.

73. Replaced loop "C" steam generator feedwater, loop seal, piping on line 14"-WFPD-9-601, Class 2. The piping was replaced due to reduced wall thickness. The applicable work order No. is 115990. The replacement was completed on 4-30;...

92.

74. Replaced valv~ 1-MS-176 on line 3 11 -SHP-30-601, Class 2. The valve was opened.for inspection in accordance with the main-tenance check valve program, and the valve was replaced due

     .to normal wear. The applicable work order No. is 112271. The replacement was completed on 4-14-92.

Page 8 of. 9

Attachment II Page 9 of 102 Serial No.: 92-380 Iocket No.: 50-280

75. Replaced trim assembly and bonnet studs and nuts on valve 1-RC-HCV-1556C on line 2"-RC-200-1502, Class 1. The studs and nuts were replaced due to leakage. The applicable work order No. is 104751. The replacement was completed on 4-27-92.

76. Eliminated RTD bypass piping on loops "A", "B" and "C",

Class 1. Installed pipe caps, bosses, and thermowells in accordance with DCP 91-05. The applicable work order No. is 121736. The replacement was completed on 4-30-92.

77. Replaced valve 1-DA-TV-lOOA on line 2 11 -DA-21-152, Class 2.

The valve was replaced due to leakage. The applicable work order No. is 124873. The replacement was completed on 4 92.

78. Replaced disc in valve 1-MS-RV-lOlC on line 4H-SHP-39-601, Class 2. The valve was repaired due to leakage. The applica-ble work order No. is 106796. The replacement was completed on 3-4-92.

79. Replaced valve 1-MS-108, pipe nipple and reducer on line 1\"-SHPD-8-601, Class 2. The valve was replaced due to leakage. The applicable work order No. is 113952. The re-placement was completed on 3-10-92.

80. Removed support on line 12"-RC-24-1502, Class 1. The appli-cable work order No. is 123966. The replacement was complet-ed on 4-14-92.

81. Replaced lugs on support to valve l-SI-341 on line 2 11 -SI 1502, Class 2. The support was removed to facilitate adja-cent work and the lugs were replaced upon reassembly. The applicable*work order No. is 119467. The replacement was completed on 4-22-92.

Page 9 of 9

                                                                                                                                                           .Attachment II Page 10 of 102 Serial No.: 92-380 Ibcket No.: 50-280

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

1. Owner Virginia Electric and Power Co, Date _ ___,4_-_Z_7"----.9_Z.

Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ _..___of _ _ _ _ _ _ _ _ _ _ __ Addrass 23060

2. Plant Surry Power Station Unit IE Name P.O. Box 315, Surry, VA 23883 380011.3 7 7D ruz # 9z:-093 AddrllSI Aept!lr Or9Bniz11tion P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp_~N~A.___ _ _ _ _ _ __

Name Authorization N o . - - - - ' - = ~ - - - - - - - P.O. Box 315, Surry, VA 23883 Expiration Date _ _ _ _-'N._._./l..,____ _ _ _ _ _ __ Address

4. Identification of System _ _-'&~1~"-J~f~A~/A/,,../Jl~l:=~N~f~-*~S~P~T?~A~Y-----------------*-----

5. (a) Applicable Construction Code B31. l 19§.Z_Edition,_N:.;..:../_A;;.__ _ _ Addenda, N-1 N-7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) s: (f' Srvb ~ NA. NA N-A !-( 'S-IW-/ol l3 NA. /Z2p/.4..c.eJ N.o

                   ~ f/

Nut (5 NA Nii<.

                                                                                                       ~"'""    1-cs- ~o-- 101B             r,.J.11.

72.e/J 4.ceJ No

s::

                        //        -AC¥-&                             µk                                                                    rJA       l<epl l\le M.e/lrC    ['ID
   <:.*rt/T)                                                                                           IJ Pt     I -c.s-rco-ro1B rr Nut 5
                  '3               lilov/(                        1?A1/                                 \\11'-  1-e,5-Ro- Jo IP.
                                                                                                                                            !JI(     <Zept.. <-eAAe1Jt    c\lv

7. Description of Work _ _~;f...:E.~-P._t:~A~(!°"'G"----"'S.'-'-1VJJ="'-5---'cf---",1J"'-""v~Js...___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic O Pneumatic D Nominal Operating Pressure D Other D Pressure _ _ _ _ _ psi Test Temp, _ _ _ _ _* F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

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

FORM NIS-2 (Back) S /I

9. Remarks _ _......1.P.L.!r(),!;,.*~:!1:s::..___:C.:..S"----C\/_ _.3.,,__,,7..Jz~s~z....J.,__-__..3"-----'5::.Tv..:...:::..eD::....__.j[2..._ _ _ _ _ _ _ _ _ _ _ _ _ - - - - - - -

Applicable Manufacturer's Data Reports to be attached t!.SY 3 7og74 .,. J N.A -f r, CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~lJ~6q,!,t,'r' conforms to the rules of the ASME Code, Section XI. rep11(; or replacement Type Code Symbol Stamp __N...;/_A __________________________________ Certificate of Authorization No. _N....;;../_A____________ Expiration Date _ _N-'/_A _____________ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Vir inia and employed by HSBI&I Co* Date.......::~.....,_,,.,;d:..::!At;:;..<..:e.,.;_~....:..!=..iZ:c..----* 19 fJL of

     ------"-'-'=-'-~.......~"'--1~~~--------------=,------have                                                                                                            inspected the components described in this Owner's Report during the period                                                                       /,1-3,?,-         3>g       to         / 4:- 'J. 'J..-9 l_                                      , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in .an'I'.' manner for any personal injury or property damage or a loss of any kind arising from or connected with this _J'"""-..N?d~*-~-'-*-l?uJ1-~~~------Commissions __V_A_S_4_3_________________ i_n_sp_e_c-ti_o....,Q...,* Inspactor's Signature National Board, State, Province, and Endorsements Date _ _ _ _ _ l{+--"""'a.'--'9~19 q 1 I I

Attachment II Page 11 of 102 Serial No.: 92-380 lx>cket No.: 50-280

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

1. Owner Virginia Electric and Power Co. Date _ _ _ 4_-_2_7_-_9_Z=-----------

Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ _ _ _ of _ _ _ _ _ _ _ _ _ _ __ Address 23060

2. Plant Surry Power Station Unit _ _0=---N~e~-------------

Name P.O. Box 315, Surry, VA 23883 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp_....N..:..AL..:...._ _ _ _ _ _ __

Name Authorization No. _ _ _....,_"""--------- P.O. Box 315, Surry, VA 23883 Expiration Date _ _ _ _ _N.....,_fl.-'--------- Address

4. Identification of System lfES1DUAC 1-I-E:AT

5. (a) Applicable Construction Code B31. 1 19§1_ Edition,_N-'--/_A_ _ _ _ Addenda, N-1 N- 7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

Sn.JD ~,:, Nh.. NA rJA 1-rz 1-1, -z4 NA Rep/4,1=.D ND ti.I ,A- ~I/

                    -9,              NA                            (Vl-l(                                {-JZH-24           NA.       '/(.&pl-<-.c6D        MD IJA 4.5 JI    Ac;.&
        ~TLJD       6         ii= /\It.-> IV enz.             ,V.4                         NA             J- R.H-7d          /JA    ~ep/A.ce1v11:Nt         ND
                     '5 I/

NUT ~ J\/011~ JJ49/ /II.A' /-RI./*24 fvA IZ.eDf<'ILe,.,,~1-1t ND e:r__________________________

7. Description of Work _ _~R..._E.._E3='L~A~C-E,___l3-=--0_t."""T"""l(\;,_*.....

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure 0"'

Other O Pressure fv OI' psi Test Temp. µoc °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

                    ,!)                                                                               ~    ,.,

9. Remarks --"".LDl.£.L..C.#c:....-......::...(!.::..5_._y_ _,5,_'S=--af...,5:.c./..c..'/_-....,"Zc.....__5'-'-ru-"'-J:>_~B~---------- - - - - -

Applicable Manufacturer's Data Reports to be attached P,(), ti tsV ,37D'674 -I JVirt ~ CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and thivfe:f)<d-cl'&thlr' conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp __N....;/_A __________________________________ Certificate of Authorization No. _N....:..../_A____________ Expiration Date _ _ N-'-/_A____________ Signed Q G~ Owner or ollVr'sDesignee, Title

                                                                     £s.c            ~~e,v.!,?t                Date-~~-~~~r/,~*~L_Y"~----,              19 92.

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI&I Co* of f!e1.. . .J:6c d 1 cf have inspected the components described in this Owner's Report during the period t :l- i:}.- 8'.J to f 1-'l ~-9 'J.... , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

    -----i~,---"'-=--'-----J...,..,.._.,~""":..,=------Commissions __V_A_5_4_3_________________
                          ~sSigna~                                                                             National Board, State, Province, and Endorsements Date _ _ _ _ _                 td,~-~i~q~_19 9~

Attachment II Page 12 of 102 Serial No.: 92-380 Ibcket No.: 50-280

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

1. Owner Virginia Electric and Power Name Co, Date _ _ 4~-~2=9_-~9~2~---------

5000 Dominion Blvd., Glen Allen, VA Addrass 23060

2. Plant Surry Power Station Unit C>Nt:

Name P.O. Box 315, Surry, VA 23883 RR :u:- t:;2-625 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _"'-"-'..::__ _ _ _ __

Name Authorization No.------'--'-,,-------- P.O. Box 315, Surry, VA 23883 Expiration Date _ _ _ _ ___,_.,.__ _ _ _ _ __ Address

4. Identification of System _ _~~es_-e._4_,_c_/ri__S_~-~...,Y----------:------------------

5. (al Applicable Construction Code B31.1 19§.I__Edition,_N~/_A_ _ _ _ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, or Replacement or No) ASME Code Stamped (Yes ti 5 A/A.. Mu, T )\Jul I\J;J I- 1ZS -II !VA (-ZEPUJ<!El) AID 5:: 1/ SrrtJD "'0 rVA 1'11 A- AN I - 1Z 5 - II /VA l2EPl./lCffi Aln s /I Alu, .,.-

                  'i             Nov.A                I ? L/9(                   tl.14                    1-175-I/                                     M~         /Z1=.p/4{!£~ 1:::,111   1\/ 0
                  .,,- ,,      A c,-G, S11Jb          ~             f3N G-,                 Af/4-                    NA                        I- 12 s - rI                                NA          Repl-16~;111eNf          J\fO

7. Description of Work_~/h~1S~1~A=U-~~A~\\l~T~l-_l~R~O-~iA~T~/=O~N~~P~ll\)""""7--'-~-e--'-;>."'"'~'-'-'"C=tl,__...[':"'-"-m=,.)..,.{'---"4.,_,y-=--J,___,e/,.~u:"""r_;.___ _ _ _ _ __

8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure 0 Other O Pressure _ _ _ _ _ psi Test Temp. _ _ _ _ _° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY. in. x 11 in., (2) informa-tion in items 1 through 6 on this repon is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form .

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

FORM NIS-2 (Back)

9. Remarks

            -~-"ec..:;s...,_V_~~~7~0"'-61,,_4..._-...,_l__~~~l\),~f...)-r~___________________

Applicable Manufacturer's Data Reports to be attached

                                                    -z         ~ sNb f!.5l(                                     11 3 5x3//

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this £,1-;,,.4ce!&kr 7 conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp __N_/_A __________________________________ Certificate of Authorization No. _N_/_A_____________ Expiration Date _ _N_/_A_____________ Signed ( } 4~ - Own;.;,r

Z:::::s: .C /u4,u~/4 ner7Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI&I Co* of da:rTfo,-clJ c:t; have inspected the components described in this Owner's Report during the period /J.<1,l-89 to /:l,.-'l;).-q1_ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

   ----~<-=~~--!:_.                       _{Q<=>""-~-~----Commissions _ _

Inspector's Signature V_A_5_4_3_ _ _ _ _ _ _ _ _ _ _ __ National Board, State, Province, and Endorsements Date _ _ _ _ _ _J,f~-----"~-9~_19 q ~

Attachment II Page 13 of 102 Serial No.: 92-380 D:>cket No.: 50-280

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

 -- 1. Owner      Vininia Electric and Power Cg,                                                       . Date _ _    4......_-_2___7_-_J}_2=---------

Nam* 5000 Dominion Blvd., Glen Allen, VA *sheet _ _. .;./__ of_._.._ _ _ _ _ _ _ _ __ Addr- 23060

2. Plant Surrv Power Station Unit _ _..,Q, ...r__E_____________

V... Name P.O. Box 315, Surry, VA 23883 Addr- Rac,alr Organization P.O. No., Joa No.. ate.

3. Werle Performed by Virginia Power Type Coda Symbol Stamp_.... N....A~-------

Name Authorization No. _ _ _......_.Nw4-.._______ P.O. Boac; 315, Surry, VA 23883 Expiration Date N~ Addrea

4. Identification of System gESIJ>\lAL rtl;A.T

5. (al Applicable Construction Code B31. l 19~Edition,_N_/_A_ _ _ _ Addenda,N-l, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Coda National Repairwd, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No, No. Identification Built or Replacement! or Nol 94- 121'19-

              'Sn>'DS                                                  I   -                 NA               I - R~-ZD               I~
                                       ~                            I        N                1'JA-          I - 12:H -      2.0     ('Jr,,.                      t,.JD Nuf                    oi/4                          I           t\          A/A             1-IZH*lO                                              /,JO S'TV                  4ct A.<,,.                           NA               fvA           I - {(.   - zo            NA.                          "10

7. Description of Work _ _..:,.[£..,E.,,.8...,;,r'-l.L:/R'-'-_._/..,tA::i.l<~---------------------------

8. Tests Conducted: Hydrostatic O

Pneumatic 0 Nominal Operating Pressure G' Other O Pressure NDP psi Test Temp. ,{JOC °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/821 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New Yorlc, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks _ _ __..!.;P~O..:.*-'-'#"......:::l--'5=..<..Y-.::E::..7-=o(g,__,7_4......_-.,_/___....h~l.,,.u:+/-...:....*- - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data ReC>Ortll to be attachlld eo.#- ~~I/ 35?311-2 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are comtet and this ll~Q,6!;(,h;l,.......--conforms to the rul11 of *me ASME Code. Section XI. repair or r11Pt-men1: Type Code Symbol Stamp __N_/_A____________________________________ Certificate of Authorization No. _N.....;,./_A____________ Expiration Date _ _N_/_A ____________

                                                                                                                                                         .J tJ           .19   ?L CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued bv the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of              Virginia                              and emp1oved bv HSBI&I Go*                                                                                       of
    -----"-B-'-"'o.;.;.r...:.T_f'-""o-"-'d;:;...L,...;C=-:f....._______________-=,,....---have inspected                                                       the components deteribed in this Owner's Report during the period _ _ _ _ _ ___.(...:l:;;..-__.l....l"-*.......                               1...,1....c I l- l:J. * "I .;l.                , and It.,. that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described In thi1 Owner's Report in accordance with the requirements of the ASME Code. Section XI.

By signing this certificate n_either the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore. neither the Inspector nor his lfflJ)ioyer shalt be liable in any manner tor any personal injury or property damage or a less of any kind arising from or connected with thl1

                    . .....;._-""._ _ _i"'-.-::-:-~----------Commissions _ _V_A.....;,..;;.5_4.:...3;:__ _ _ _ _ _ _ _ _ _ _ _ _ _ __

i_n_w_ec-ti-o~-'n-I nspactors Signature National Boara, State, Provinca, ana Endo,.-nenq Date

Attachment II Page 14 of 102 Serial No.: 92-380 D:)cket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric and Power Co, Date _ _ _ _ 4_,_3_{)_-~9. . . 2_ _ _ _ _ _ __

Nam* 5000 Dominion Blvd., Glen Allen, VA Sheet _ __,'-_ of_ _ _ _ _ _ _ _ _ _ _ __ Addraa 23060

2. Plant Surry Power Station Unit ONE Name P.O. Box 315, Surry, VA 23883 Address Repair Organization P.O. No., Job No;, etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp ___l\J~A _ _ _ _ _ _ __

Name Authorization No. _ _ _ _ _.;.,N.;.A-;..__ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expiration Date _ _ _ _ ____..._/:>,'"'"-------- Address

4. Identification of System .SAEe:T'I /f\}J ec.noN

5. (a) Applicable Construction Code B31. l 19§1._Edition,_N ___/_A____ Addenda, N-1, N-7 Code Casa (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

{2'd4/ l ~ ,, i\J}. NA I\IA STul:> 1-SI-FE-fQO, NA (ZG("[..AN=D /..{6

 //6 /-A)             II l'NT         I~               ~14                            I\JA                           t,J A-  1-s 1-t:L;-1940         IVA           KcPl_Ah:;l)         ND lr'"'"9) 51V.D

{lb hi}

                 ,~             ~l~VA                        (41.3~                             !VA. f- '5/ - F&. -J9tlr    NA             \2E~  ,1 /"a,H~ -   t,../D
                  .J- II NUT         [4           t'AtzPl1tl~L                    4& 7'2 9                           NA-      l - c; I- t=P- 19c/o   IJA         li?EA:Ac~M~N,        Nu

7. Description of Work _ __.,Z_G""'f>.""l.=.4'-=i!E=--__.t\~I-U_.(...,5~~d....N""""P-=5'W""-'-1>.S=-----------------------

8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure~

Other O Pressure NOP psi Test Temp. N*IJT' ° F NOTE: Supplememal sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) Informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) 11 _ _<;=-*sy--'---'.3"'"7-'--'5_2_4_7_-_3__$.._.i'IV=D-..,__/fJ_..___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

9. Remarks _ _.e...J-o;;.;*:.....#"

Applicable Manufacturer's Data Reports to be attached P.o. "#" o.sv 321400 --& Nu*f H1 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~C"dcd'tfr.d&:c conforms to the rules of the ASME Code, Section XI. repair or replacemen,: Type Code Symbol Stamp __N_/_A __________________________________ Certificate of Authorization No __N.. .:. . /_A____________ Expiration Date _ _N_/_A ____________ Signed () , { ~ Owner or Owner's Oesignee, ft.£ Title Date ffer 'I , 19 '2< CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI&I Co* of H'<.. T for d ) e "C'. have inspected the components described in this Owner's Report during the period f ;kJ..l., E\ to I ~,a_ '1 ~'( 'l, , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described In this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. n I\ .fl.

    -----'~...;;;;..x..,:-=---aa.--:-~f~._

Inspector's Signature

                                                       .N_~~~----Commissions
                                                         .                                        __V_A__5_4_3________________

National Board, State, Province, and Endorsamenu Date _ _ _ _ _.....;5';...-_'-f-'--_19 qL

                                                                                                                                                             ~ \ . -
                                                                                                                                - - - - - - - ~ ~ * = * * * * ~ * * ... - **-*-*-**

Attachment II Page 15 of 102 Serial No.: 92-380 Ibcket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co, Date _ _5.=...;-~11--_5)~2.=----------

Name sooo Dominion Blyd., Glen Ulen, va, 23060 Sheet_-1._ _ of_ _ _ _ _ _ _ _ _ _ __

Addr-

2. Plant snrry Power Sta ti an Name Unit --1,.u..;..,-=---------------

P.O. Box 315, Surry, Va. 23883 Addrea Repair Organization P.O. No., Job No., etc.

3. Work Perfonned by Virginia Power Type Code Symbol Stamp _ _ _N~/;:..;:A'-------

Nam* Authorization No. _ _ _ _ _..aNLJ:/.1:A1------- P.O. Box 315, Surry, VA. 23883 Explration Date _ _ _ _ ____.N.a,,,-la.A------ Addrea

4. Identification of System ~l:\EMICAl %ID VOLUME l!.Ql\lQOb

5. (al Applicable Construction Coda B31, 1 19......6.1-Edition,_...NuL...A...____ Addanda, N-J, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component :~ >-'--~-=

Serial No. No, Identification *~

                                                                                                              -~'Bu~    :...B"""lacemerit aiOt~cW, _
                   /(

5 l\111+ ~ (! AIZ.DI IV.4L 4'l1"59- 1\.11\ 1-IIH-r--3 *NA l2ePc.ACe1.1AD1Jt 1\.11) 3 II Nu-t 'a l\lovA 1*1..CJ07 NA I-CJ.\-t::-3 1-JA ~J)b/ ~,g1A.t11Jft \\It) (;OAJ50i../l>JJ.1E'f> HeA1- t:::lCCI\ <:11Dr Power s~pply ,J~ NA (- C.1-\

E -3 tJA 11/?e./JIMC?.M ~,/,II' tJD rft $s,~, i>N#-TS Dl'I

7. Description of Work (2&P<. ME ,i S"OPP on.rs.

8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure O

Other O Pressure _ _ _ _ _ p1i Test Temp, °F NOTE: Supplemental sheets_ In form of lilts, sketches, or drawings may be used, provided (1 I size Is 8% In. x 11 In., (2) informa*

tlon In items 1 through 6 on this report II Included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back, P.

9. Remarks _ _.:.....::........ "'?".: ~,, -~ {JV vt) 0

_-;11__:l.~-=-t--,.--==.;x,u,=='-';....____

Z. ..;.,:;____________________________ Applicable Manufacturer', Data Repom to be attached rr,r,ot/, c~v1 J ) CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and this '4&.e.#£-"'.if!Jl'conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _"""N_._A-'-------------------------------- ___......_______________ Expiratlon Date _ _........,N,../~A3.-_________

                                                                                                                                                                                       ----;-;-:::;---=

---'----'--'---"'='="11'"'~--~===-**. *cc CERTIFICATE OF INSERVICE INSPECTION

                  *.::..~.

I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and 41,fflPloyed by HSBI & I Co, of Ho...,. "t-for d J cf- have Inspected_ the components described in this Owner's Report during the period I '.h*:U.- ~, to I 'l-- ~'1-'f'l.. , and state that to the best of my knowledge and belief, the Owner has performed examinations.and taken corrective measures described In this Owner's Report in accordance with the requirements of the ASME Code, Section Xt

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or II loss of any kind arising from or connected with this I n s p e c t i o n . ~ -~- ~

                                  ----~-1--'=--=---'----:-~L=----_..~-----Commlsslons                                              Va* 543

_ Inapactor'1 Signature National Board, State, Province, and Endorsement, Date 1£-tl 19 ql_

                                                                                                                                                     ;I
                                                                                                                                                \

Attachment II S~ Page 1 6 of 1 02 , ,,

                                                                                                                      .Serial No.: 92~380 Docket No.: 50-280

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

1. Owner Virginia Electric and Power Co. Date 1-28-C//

Nam* 5000 Dominion Blvd., Glen Allen, VA Sheet _ _ _ , / ' - - _ o f _ - ' / ' - - - - - - - - - - - Addrea 23060

2. Plant Surry Power Station Unit ONE Name P.O. Box 315, Surry, VA 23883 WO~ 3800 OC/596</,

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

3. Work Perfonned by Virginia Power Type Code Symbol Stamp....aN.,../~A~-------

Name Authorization No._~N~L~A~--------- P.O. Box 315, Surry, VA 23883 Expiration Date _ _.,_,N~/.,_A..__ _ _ _ _ _ _ __ Addrass

4. Identification of System CHE.NIIC/tL ANb VQL<IME. CONTROL.

5. (al Applicable Construction Code B31, 1 19..QL._Edition,-~N-L~A~_ _ _ Addenda,N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement . or No) STl)05 ~ NUTS \IE.LAN UAJKAIOIA/N NIA OI-C..H-2-17 UA.l~N IKEPL.Acro """'~"'INN NUTS O\li.'DINAL IND '-ll.f544- NIA OI-CH-277 /Cf&/0 12EPL.AcEMEA>4 UflKl"'IIN 5Tl)~ ,') ~ q EIJ~~ ~Lfl 52. NIA 01-lr/-~77 l&f'itJ ~PLlcEMSJT IIUl<'IJOWrJ

7. Description of Work R.EPLAc.e; CO\/E:R,

8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure~

Other O Pressure IVO? psi Test Temp. NO 'f" ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is SY.a in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this fonn. (12/82) This Form (E00030) may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017

I /,/

FORM NIS-2 (Back)

9. Remarks ---'.s'r',7i...:Uc-=Da..=5;;.._---'--Po;;.._#____,5=....&..Y_-"""'z""'q'-""f-"15=..c-8_--'I_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Applicable Manufacturer's Data Reports to be attached NVTS J:1?# csY - 281852 - 'I CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPL.AcEME:.NT conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _~ , . . . . , ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. _ _N~/_A___________ Expiration Date __N;.c.J. /. :;.A.;:,____________ L, Signed 0-L' Owner or ~sDeslgnee, Title p ~--t~ fsf &A¢L44,'4 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of VA and employed by HSBI&I Co.

                                                                                                                                                                     &4<'.A" Date_~-~~-~~--------,                    19 9 /

of

          -----"~<+=o.."-r:....,T'-at:._""'..,.c,,_,r:.....,,,dy;....,.C-L__.______________..,..,...-:-__---e-have in~ected the components described in this Owner's Report during the period _ _ _ _ __._l....                                             1'.:...-...d:<C,.;;;.:l._-........ ~'--to A..-2.1-'-f ~

ff. . . . , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor- his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the, Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this i_n_sp_ec_t-io-n-1.V'f-=-~-----~-£~*-~-~-~~---Commissions VA 543 Inspector's Signature National Board, State, Province, and Endorsements Date 1- I Cf 19_q"-'-/_

Attachment II Page 17 of 102 Serial No.: 92-380 D::>cket No.: 50-280

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

1. Owner Virginia Electric and Power Co. Date __l_-_2_6_-_q_1_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ _J__ of_......:./_ _ _ _ _ _ _ _ __ Addreu 23060

 *2. Plant      Surry Power Station                                                 Unit __o_N_E______________

Name P.O. Box 315, Surry, VA 23883 WO fr 3800 0 9596'1 Addraa Repair Organization P.O. No., Job No., etc. 3: Work Performed by Virginia Power Name Type Code Symbol Stamp__,_N.,,,/~A~------- Authorization No._~N~L~A~--------- P.O. Box 315, Surr*y, VA 23883 Expiration Date _ _N:.:.L,./...,A,___ _ _ _ _ _ _ __ Address

4. Identification of System CRENIICIIL AMD \[DLVME CO/lr[ROL

5. (al Applicable Construction Code B31 , 1 19 ..21__ Edition, __N""/_A~_ _ _ Addenda,N-1 , N- 7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No, No. Identification Built or Replacement . or No)

STIIDS t NUT.5 COPE:S - Vlll..CAM ll~KNOWN NIA 01-cu-Hc\/-/21/lt UAJll'AIIIWN REPU\CFI'\ UIIIVM!AIN NUiS CAll?l"llf3AL IN£>. 4/./C,lf4 NIA 01 -c.H-HCV-12.f./'+ Jqqo Df.PJ.lln: MPAIT' lt)/J.VI.IAII/AI 5TU£>5 cARPltJ'AL ltJD. 460()t., NIA 0/-c.H- HC.V-12'1'1 JC/SC/ fl&PlACE,V,er, 1/1,J~'IJN

7. Description of Work REPLJ\C.C BoNNE.T STIJD.S

8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure ~

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

CS'(- FORM NIS-2 (Back)

9. Remarks __3_0_/_5_J....;..7_-----'-/- - - - - - - - - - - - - - - - - - - - -

___;;;S""'"T-"-U=l)-"--5---=-A....c'{)_# CS'(- Applicable Manufacturer's Data Reports to be attached NU~ Po-# 2ZIS52-'+ CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this R@./fCfMS:IJT conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _~ , . . . . ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. _ _N.....:../_A_ _ _ _ _ _ _ _ _ _ _ Expiration Date __N;;.;.L/..:.A..:......_ _ _ _ _ _ _ _ _ __ Signed C) -tt pl'-r.,AV".'.

            ~ e r o r ~ Deslgnee, Title
                                                          ..£5'.f                                  Date _ _         /&.~=r4:C=--,,,.,M~L-9___ , 19 'f>>

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of VA and employed by HS BI &I Co

of

  ------~H.~~~~~I~&~r_J=--:;,-.c~+~_______________                                                              have inspected the components described in this Owner's Report during the period _ _ _ _ ___;f_.a,::...*_i"'""i_--'........      1......
                                                                                          ~ _to_...~._,_1=.::'l.::...'_q.<..>:~c...:......-.,....._---,, and _state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code_, Section XI.

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

   ------~J..CC.          ......--'----~J-'--,

Inspector's Signature

                                                         --"~=->"""'"'---'---Commissions _ _,V'""A....__.,.,5~4~3.._________________

National Board, State, Province, and Endorsements Date_ _ _ _ _'j..,__,,.__{q.._____19 Cf(

Attachment II Page 18 of 102 Serial No.: 92-380 Docket No.: 50-280

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

1. Owner Virginia Electric and Power Co. Date _ _'f.:...:..../---1.V /_q--'--/- - - - -

Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ _ _/:..__ of_---4_ _ _ _ _ _ _ _ __ Addrea 23060

2. Plant Surry Power Station Unit - - f - - - - - - - - - - - - - - - - -

Name P.O. Box 315, Surry, VA Addrea 23883 ) c: f _. 5~;)~-I R'epalr Organization P.O. No., Job No., etc.

3. Work Perfonned by Virginia Power Type Code Symbol Stamp__,_N,.,/:.,.A...___ _ _ _ _ __

Name Authorization No. -~N,.,/'"'A..,__ _ _ _ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expiration Date _ _.._Nu/_,_A..,___ _ _ _ _ _ _ __ Address

4. Identification of System eH:01(dh'l'1N"

(/ 0 r:\ [Sdyi'v k&:e1'd. ~(NI~ 0 ..

5. (al Applicable Construction Code B31

1 19..Q.l._ Edition, _ _.N"'-'-/A....___ _ _ Addenda,N-1 , N- 7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

(VY.r i-c 1~ -Pi -11 rr'

    ~ ,e_;,/.., i1-°HJ ,.\ 1 ,J,_, U-        'fy,'5dl!.o~vi.                          03"                   a'- ' .,       i.l:O .,-,,A             jV(,t'  /1,11 ltta m a..:r f,.) [,\ '
              ~

I/ -

7. Description of

                           ,)                     ,. "' ~c                                                  .r ,

Work_K),-t-p_lt_iu.,_c_l_)~--/---'--"1,_ _X.-'---_,_'/""')~'---/,"-+(-'..e...0=:....=:__::(1Y+*

                                                                                                               '-'-'-*---,-1<-"f__.,,--'-/_l-=.f_j_...,_ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic g) Pneumatic D Other D Pressure / (! t, NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/821 This Form *(E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks ~ >/ --- ~ / &f if Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE .s,-;;,*

We certify that the statements made in the report are correct and this t1{,lci,:,vV1 I/* conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _~......~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. _ _N~/_A_ _ _ _ _ _ _ _ _ _ _ Expiration Date _..;Nc..:.L../.:..A:...._ _ _ _ _ _ _ _ _ __ Signed_=--')flr* ~<<-=w~----1_/~.,---~"J.-.. . OwneroiOwn~nee,Title

                                                            ~~f;-~i;,1'-"1.2,..~~=--<-=/=&~"-----Date Ir

_~l.{+/~v.~..../~q~,----. 19 q f CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State orProvinceof VA andemployedby HSBI&I Co. of ljo-rT P,H* dl Ct- have inspected the components described in this Owner's Report during the period f 8, .ll-8'j to 1- l.:1.-C/ :J. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. () ~ !. In () ____Q'--'.-l=:::1)__,..,.~-----'------* ....tl,___.,~=-=-"'-'=-----Commissions_-'V,..Au-...,.Sc..4...,3......_ _ _ _ _ _ _ _ _ _ _ _ _ _ __

                 ~Inspector's Signature                                                          National Board, State, Province, and Endorsements Date _ _ _ _ _ _                     LJ+--....,'7-19 <'f/

r

Attaclunent II Page 19 of 102 Serial No.: 92-380 D:>cket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric and Power Co. Date_---+c..:.../...::1.J..o..{q..L.......L/_ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, VA Addren 23060

2. Plant Surry Power Station Unit--'------------------

Name P.O. Box 315, Surry, VA 23883 Addren Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp__.N_,..,_/A...__ _ _ _ _ _ __

Name Authorization No. _ __,_N.,.../'""'A...__ _ _ _ _ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expiration Date ____N ~ L A ~ - - - - - - - - - - Address

4. Identification of System ......L!g..,_crv,.....,_\=c..*-*~IJ,;,,.,.,*

o .__~S:'-jfc..s:.,_,_1

                                                              * .,,_,_.'c,...i__.c...,v...,."'"1(>'~14,-,=i=w=-*

f-

                                                                                                                             ,/!M-,=.=.::..,..._.i..C_.,d""* ...::..,.,111"""/-"'j.A=---")..C..C..,)"------------

5. (al Applicable Construction Code B31. l 19.QL._Edition, _ _,N~(A...__ _ _ Addenda,N-l, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

/.

                                                                                                                                                  ,_,,~,f> //(f{,,,

{iJ- C),"f..p ., 'j.. "i/v.°') AJ. I~ h scl,l,M1 JV/'J-- ';V,r {/'v) ,_ ct/, [}_1,)'1 /v>{)... (( bltv~... L~ )Jo

Pn h1 "' "l <1

7. Description of Work___.M-/f..=.tc,.L=C\£=:.e=d"'-f-~.'.)~"""X_"),..c....__-'X"---1/1-lv"-.-...JY1-.,v-,:..::.._* --------------------

8. Tests Conducted: Hydrostatic [2f Pneumatic O Nominal Operating Pressure 0 Other O Pressure l xf psi Test Temp. ::6bh;-e>'"'t °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8Y.i in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

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

FORM NIS-2 (Back)

9. Remarks ____ t_<;+-f---__,_~. . ./_,fa"--=--'f

                                    .           }'-'-7{

_ _,_[--"-'i_'-'--.,.,-'---'/'-')"------'C~/J_'f}J-$'(""""Cv1_..-,.-'---:Ji--°(-'--{--_()_J......,3,,._)_ __ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE Ii We certify that the statements made in the report are correct and this ~tf fu<<m4 donforms to the rules of the ASME Code, Section XI. repai or replacement Type Code Symbol Stamp NIA Au";:!'"'" No. N/._A Expiration Date c.rtm~., . N/ A ' Signed )~ 1,$ f Oweror oyner's Oeslgnee, Title -

                                                        ~~ I lJ ! ~                                      Date       ,i iL~                                   ,19 :l I
                           \
                            \                            CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of VA                                     and employed by                  HSBI&I Co.                                                                      of fia.11--rf:brd 7 ~t"                      .                                                 have _in5!cted the components described in this Owner's Report during the period                                       { ~- ~ 1-       [?q       to    ~ -c1: i    '1. *                         , and state that to the best of my knowledge and belief, the Owner has performed* examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.~i~ Commissions VA S4:3 Inspector's Signature National Board, State, Province, and Endorsements Date tf-<f 19qL

Attachment II Page 20 of 102 Serial No.: 92-380 Docket No.: 50-280

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Date_\f-'--((P_(_q_/ _ _ _ _ _ __

1. Owner Virginia Electric and Power Co.

Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ _ _{ ~ _ o f _ ~ ' - - - - - - - - - - Address 23060

2. Plant Surry Power Station Unit _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Nema P.O. Box 315, Surry, VA 23883 Address Rdpalr Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp~N.,..,/~A~-------

Name Authorization No. -~N'"'/~A_,___ _ _ _ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expiration Date _ _..,_N,.,/..,_A...__ _ _ _ _ _ _ __ Address

4. Identification of System '&m'L fk,,J (r CV/'.J s{...2-/

5. (al Applicable Construction Code 831.1 19...QL_Edition,-~N~LA~_ _ _ Addenda,N-1, N- 7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement . or No) t-nl- pi - 110,tJ

/,

f .P JJ h (/ J( V

                    " X V<t')  {J, 1.J."h-i <<,hk'nvvi           !IIYr              J/r?"               I- C (./, f}~1,[)    /;Ir      rlift~wi_a:t-    ;Jo r>'1 r;; l1                              01      "I   I.,

a.~a~c~J'<--/.+-I~tC~g-~?._-'X_,__'7__1- ' - - - ' t f ' - - - - - - - - - - - - - - - - - - - - - - - - - 1

7. Description of Work-f:!:::fJ._,.~*[.~

1

8. Tests Conducted: Hydrostatic EJ Pneumatic O Nominal Operating Pressure 0 OtherO Pressure l

1¥:&:' psi TestTemp. /hJ11'.t.-.:f- °F ~/i1,(C,/

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks ~\_<;-+y_,,_~'-'-/-u<&-=f_,)] __-:t{_r3_,_ __,_(}_,....,"*'&7='--'"a....~_ft_-+-q....../_-~O-/_O_ _ _ _ _ _ __

r Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE~ We certify that the statements made in the report are correct and thisJXtA u?m ASME Code, Section XI. J..Jt rep11rr or rep.lacement conforms to the rules of the Type Code Symbol Stamp _ _~......~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ _N.....:..../_A_ _ _ _ _ _ _ _ _ _ Expiration Date_...;N;.;.,../.:..A:.....__ _ _ _ _ _ _ _ _ __ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of VA and employed by HS BI &I CO

of

  ----------,f/~~4~1c:---r-+-~fi_'O~"~.J~~;~C~':r~---------,----~have inspected the components described in this Owner's Report during the period                                      I ),-:}..J.-&<1 to~~---'-~~~--9~1..~-----, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

   -----'~~u=..:,J~---'<:£1--"-.

Inspector's Signature

                                                       -~--"---Commissions_V~A..,..,..S"'-"'-43_ _ _ _ _ __

National Board, State, Province, and Endorsements Date_ _ _ _ _ _ l/.........-_,lf:f---19 q (

Attachment II Page 21 of 102 Serial No.: 92-380 Ibcket No.: 50-280

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

1. Owner Virginia Electric and Power Co. Date """3t JL':( 2 (p I I '1 q I Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ _.....___ o f _ - - ' ' - - - - - - - - - - - -

Addre~ 23060

2. Plant Surry Power Station Unit _ _ ..,.L_~*\-~~--....l-=llP_,_(tt;;..;\'------

Name P.O. Box 315, Surry, VA 23883 woe<'.'.'.. O?-t>ee.. ,ti :;e,bc,11.2.s ~s e.,e;~ q 1-1<+'2.... Addre~ Repair Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _~...,__'--------

Name Authorization No. _ _ _ _____...,...,_'-'--------- P.O. Box 315, Surry, VA 23883 Expiration Date _ _ _ _ _-+""-1""-------- Address

5. (a) Applicable Construction Code B31.1 19rr_Edition, __ N~/_A_____ Addenda, N-1, N-7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, or Replacement ASME Code Stamped (Yes or No) A-" c.1-1-"1-&o'L UNl:'.'..NDWN II J.11L1" r, ,, , ,J f,.,_(/f1 1-c.H- PP-I UN/4(N.I,. 12.E.Ptl/ '2-G.n Nb

7. Description of Work Wap kE..t3:'1 g_ ON ::p, "1. th+/- / Q')+,:::.... *

8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure ~

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

FORM NIS-2 (Back)

9. Remarks _,._.,_f\-'--'S=--'M--'-'-E'""'~'--....,.C~,=Q'--""D""-'E-='-___,,,c_=u='"'-s='6=--..,_&=---------------------

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this }2.SPAte. conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp __N_/_A __________________________________ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI&I Co* of

  ------f~,.,,,.a""v-......,J:__,_fi....:D::....:.r...,d=--+-'....:c==*-t.f--l.'-------~--------have inspected the components described in this Owner's Report during t~e period _ _ _ _ _ _........                        r_-_,/._q.._*_-..,,~........9'-to      t-1   8-'l I       '         'and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspectio~ . j), (o (\ ____l(LL___+-"""'~1---,------ -----:J----::-:--'-~~~=------Commissions __V_A_5_4_3________________ Inspector's Signature National Board, State, Province, and Endorsements Date 7 .. i 3 ,s.__.q'-+

Attachment II Page 22 of 102 Serial No.: 92-380 Docket No.: 50-280
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric and Power Co. Date_~§"-J~/3'---~C/_,_(_ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ _ _ _ of __/_ _ _ _ _ _ _ _ _ _ __ Address 23060

2. Plant Surry Power Station Unit _ _ I_________________

Name P.O. Box 315, Surry, VA 23883 ~ c.p / $ff -~ g- )- Address Repair Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp~N_,_,_/A,_,___ _ _ _ _ _ __

Name Authorization No. -~N~/~A,_,___ _ _ _ _ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expiration Date _ __,N..,_,._/A,_,___ _ _ _ _ _ _ _ __ Address

4. Identification of System l5°n'c., h,'J 1fWMfij pvt,ivf ( c.l..Cl-tA )- ,)

5. (a) ApplicableConstructionCode B31.l 19~Edition,_~N""'""/~A~_ _ _ Addenda,N-1 N-7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) ll II vl[ ti Pa -r~-

  ). ;( ),      X             ~,;.,;-   'Fv,*~J, k:.c1,i            )./11'        JJA-        ,,,..c(,J, p,, '>C-      Id}          /<.tp/ O,.(l 1',j"1,-t'   ND I?  I           ~      (I

7. Description of Work~K-,/..-i-P=Q~(=..£..~~)._x_>__

                                                                *I x_3"-'/if,..___,..~=g=c,1~~1~R=~~---------------------

8. Tests Conducted:. Hydrostatic IX] Pneumatic D Nominal Operating Pressure D Other D Pressure f flf> psi Test Temp. /Jrd:J,'L t °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

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

FORM NIS-2 (Back)

9. Remarks -----1,e..,..-=.(J_,,___._C_.('-J'(<--:...----<3..L.1_6___..6:...,?.<....~=~----------------------

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~tblffuwi ~ conforms to the rules of the ASME Code, Section XI. repair or replacement . Type Code Symbol Stamp _ _......,.,._......__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _N-'/'-A _ _ _ _ _ _ _ _ _ _ _ Expiration Date __N....L../_A_ _ _ _ _ _ _ _ _ _ __ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of VA and employed by HS BI &I CO . of ____.Ltt.;....c(l.V'=.._T'_'F.,__,o=-"-4_+1...:e=--r:.:.....:..__________________ have inspected the components described in this Owner's Report during the period _ _ _ _ _(~'.)...~-~i,~'l.._-~lf~1_to 1- i.,\-q 'L , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspectio~f. ~

   ----1~t-=-=--~-~~-----------Commissions_...:V~A'"'"-..,.5'-4-L-'3"'------------------

Inspector's Signature National Board, State, Province*, and Endorsements Date ![°'-( ?:, 19,_'f_,_/_

Attachment II Page 23 of 102 Serial No.: 92-380 Docket No.: 50-280 F.ORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric and Power Co I Date_*_ _4-'---..£~...;;.'C)_-...:.J__;;_?_ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, VA Sheet of_J.-_ _ _ _ _ _ _ _ __ Addrea 23060

2. Plant Surry Power Station Unit 0/lfE Name P.O. Box 315, Surry, VA 23883 Address Aepalr Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp ___'41::..:....;I+.;__ _ _ _ __

Name Authorization No. _ _ _ _ _:.:N.::;14::.,__ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expiration Oate _ _ _ _ __..:.N:..;A~------- Address

4. Identification of System CHliMl(AL ANP VOLl/1'-fK CfJNU()L

5. (al Applicable Construction Code B31. 1 19§1___ Edition,_N:..;..:../..:cA:..__ _ _ Addenda, N-1, N-7 Code Casa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol srvZ>s

                 }"              l\lrl                                               tV/1                                            JJA       1-e11-t:~-11~0                     MIi         fll2P1AC1:/::>       NC 7 ,,

J\IIJ,5 7 NA AJA /llll. (-bl-F'ti'-/tf;,O NA fl~PiAcEP l\[V

                 ;z... ,,
      ~WDS        8        CA/l/lllV4 l.                                   47(.,o ()                                             /11/f         /-1' ll _,,.,..._,1/_l'"J           u.i      /l.Ef'C.40::"'M /!AA    No 7 //

I\IU13 ~ [At?_hllt/(l--l 4-~937 AIA 1-1111 _L::r=_,11,.n (vp. /{l!/t4de'W,tVt Alo

7. Description of Work _ _a,,~;;:.:E:;f'.:....:£..;.:.4=-::~;..:'==----'S/Z.)::..:.::::..~:::.....~'---9,.____,/l.,./.,.,µ:i.1"...,.,S.,___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _,;.__

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure G3""

Other D Pressure r,,oP psi Test Temp. NOT °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this repon is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/B21 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks _ _.!..JP,'-O_,_,;ft__;::(J....:;s....,,vc.___5...:.l/_0_7_7_D_-..:.l_ ___;c.S'_,._,'/V,.,.i>c.....S"--_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Applicable ManufacnJrar's Data Reports to be attached

                    £0. #.           C51f 3b9Sol-?...                                           luvJ:>

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this k)~'i!IY conforms to the rules of.the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp __N_/_A __________________________________ Certificate of Authorization No. _N_/_A____________ Expiration Date _ _N"'"/_A ____________ Signed {). ~~ Owner or O~signee, Title

                                              . V                     ZJ"r CERTIFICATE OF INSERVICE INSPECTION Date_---...c..~.....c..-'lfc..-.F-Y-Y------,, 19 I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State I
                                                                                                                                                                                 !k:

or Province of Virginia and employed by HSBI&I Co* of Ho."' T Fo" J d e r- have inspected the components described in this Owner's Report during the period / }* ~ 'l- giq to 11. * 'l'}.-'f 1 r and state that to the best of my knowledge and beli.ef, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor* his employer makes any warranty, expressed or implied, 'concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner fc,r any personal injury or property damage or a loss of any kind arising from or connected with this

   .inspection.

_ _ _.......;~u..::><......:.-* _'_,_....... £.c..**;..,-*.....,,~.c*=-=c::;....._'_ _ _ _ commissions _ _V_A_._5_4_3_________________ Inspector's Signature National Board, State, Province, and Endorsam*nts-- Date,_ _ _ _ _ _5_-_~ __19 j 'J.....

Attachment II Page 24 of 102 Serial No.: 92-380 Ibcket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co, Date_-.....::5::...---'/'-'-l-_9:...c)_ _ _ _ _ _ _ _ __

Nam* sooo Dominion Blyd, , Glen Allen, Ya, 23060 Sheet _ __.__ of_.__ _ _ _ _ _ _ _ _ __ Addr-

2. Plant Surry Power Sta ti on Unit t)AJ§

                       -                             Nam*

P.O. Box 315, Surry, Va. 23883 Addrea Repelr Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N~/_A_ _ _ _ __

Name Authorization No, _ _ _ _ _ _ N..,./-74~----- P.O. Box 315, Surry, VA. 23883 Explratlon Date _ _ _ _ _--"N..,./....74~----- Addrea

4. Identification of System_C.~H~6-M~ll=A~L __4_rv_J>~V~D~-------------------------

5, (a) Applicable Construction Code B31, 1 19_61_Editlon, _ _.N..,./~A~---Addenda, N-J, N-1 Code Case (bl Applicable Edition of Saction XI Utilized for Repairs or Replacemants 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Componants

Name of Name of Component-"~*~$-:=...-_j"~,*-~_-_1,\1_.-~!l!UJ

                                                     .. :tr-~ <~           **

National

                                                               ~an~facturer ____ ___9.oerd_                    Other o*.-:, ::___.. _ldantiflcatlon Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No)

VA/Vt= fl~t 11=-1= AJ7Z~9D-0Q. 1,,.,,,3 NA

7. Description of Work [Z.E: PL A-, Ct:'. VA I vE

8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure ~

Other D Pressure NPP p1I Telt Temp, NOT °F NOTE: Supplemental sheets in form of llltl, sketches, or drawings may be used, provided (1) size Is 8% In. x 11 In., (2) informa* tlon In Items 1 through 6 on this report Is Included on each sheet, and (3) each sheet Is numbered and the number of sheets 11 recorded et the top of thll form. (12/82) This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks P/>, + S/\JT s5l('5(o~ - I VA Ive;; ;. g~wn;:

AppllCllble Manufacturar's Data Reports to be attachacl CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and thlari?~Atdc.4:'.+:Nrconforms to the rules of the ASME Code, Section XI. repair or reptacament Type Code Symbol Stamp _ _.;;N=..;;A~------------------------------ Certificate of Authorization No, --=N_../'""A;.;:. .___________ Expiration Date _ __..N...I_.A'"---------- Signed Qr_ j Owner or O~t11nea, Title

                                        /         Af                                        Date~.///

I

                                                                                                                                   ,19  9L CERTIFICATE OF INSERVICE INSPECTION. *
  .I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia                            and employed by         HSBI & I Co,                                                     of flo..,. l fo.,. J ,      Cf,                                          have Inspected the components described in this Owner's Report during the period'                                 { 3... i1-R'ci to       2-*

I 'l.1.' q?... , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described In this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the examinations and corrective measures described in this Owner's Report, Furthermore, neither the Inspector nor his employer shall be liable* In any manner for any personal injury or property damage or a loss of any kind arising from or connected with this Inspection.

   ----~~...::..:c....-=---.,..,.,f'-'-.    -'-'~==------Commlsslons ___v_a_._5_4""3_____________

Inapector'1 Signature National Board, Steta, Province, end E ndoraements Date s-,i. 1s a, 2..

Attachment II Page 25 of 102 Serial No.: 92-380 Docket No.: 50-280

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

1. Owner Yirgiuia E]ectdc aud Power Co Name Sheet _ __.__ _ of_ __,.___ _ _ _ _ _ __

500.Dominion Blyd.'4 A dr-Glen Allen, VA 2JQ60

2. Plant Surry Power Station Unit _ _.,___ _ _ _ _ _ _ _ _ _ _ __

Name P.O. Box 31S, Surry, VA 23883 3 8 Oo I Z 2. .3b3 f<.!c w 92-oof Rapalr Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Coda Symbol Stamp_AAU""--------

Name Authorlzation No. _ _ __,N~/1,..__ _ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expiration Date _ _ _ _-"-'l-1-------- Addl'fll c...

4. Identification of System _ _""'d."""µ.._(;:""~M""'"'"'I &.....L""-...A~rJ:..:.D"---\J.:i....l.<Q-=L;;:U_.ry=-=~=--....c...D.,,_~::.i....:~D""'L=-----------"--'----

6. (a) Applicable Constru.ction Coda BJl.1 19..6l_Edition,__.R.._/,_.Aa.....---Addenda, R-1, B-7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Raplacemenu 19 AOWA;>

6. Identification of Components Rapeirad or Replaced and Raplec:emant Componanu ASME

                                                                                                                                                                    ..        .        Coda
                    -        ..                                                                     National                         -                            Repaired,         Stamped
   ..,._                            Name of                   Manufacturer

Board Other Year Replaced, . (Yes

            *Name of Component             Manufacturer                      Serial No.                           No.                      Identification       Built  or Replacement or No)

C Nur.s ,vh .ru/;.\ N/k a/ - e.f/ -f.(r-t?C8 . rJA;" '(2ep/4.'ee'r/ NO 6rv/:D 1/h ~IA N/A dC.{!I-I-RV-t?o3 tv4 'R..e/Jhcerl t\JO C4Rl)/N4l Nurs (Nd, flr,..,,.J, ILt.S 48159 N/'1 l:Jl-{!/-{-F('(-/203 IJJI fZ. ep/ace11/.eJu_-t /JO

                             . A4-G-srvl:)s
                           \

EI\Jt\1Neer1J\J~ 31'o82.'5 (0 IV/A Of-lJH-Rll-l?r>:!, 19.BB '12.itplace?',,/fp.,1. "-ID

7. Description of Work. _ __...;R_E:....._P._.A_.1.f{...__F._-_L""'/\"""N""'&""'E..._--='-'::.;E;;;;.et.\:-::"-"--------'----------------

8. Tests Conducted: Hydroatatlc O PneumGtlc O Nominal Operating Pranure CJY" Other O Pressure N DI>* psi Test Temp. I\.. IDT °F NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) 1lza is 8% In. x 11 In., (2) Informa-tion In Items 1 through 6 on this report II Included on each sheet, and (3) each sheet Is numbered and the number of sheett Is recorded at the top of this form. *

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

FORM NIS-2 (Back)

                .1 ..

9. Remark1 _~/V~U::..1f 5"--_____ 0, # 3i_G,_0_o_'/_Z________________________

                                         ,-.~___

Applicable Manufacturer', Data Report, to be attached

              <2od&rer-<J                           P.O. :.;t- 35g311-2 CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and this tf6:>.r-t?</."""'brconforms to the rules of the ASME Code, Section XI.                                                                       repair or replacement Type Code Symbol Stamp _ _RA        ________________________________

Certificate of Authorization No. RA Expiration Date ___RA=------------- Slgned Q ~L 4

Owner or Ow~lfgnN, Tltle AV' ,;Z5'f &dr#&'L Date /fM. / / , 19 ,>'Z.

CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission Issued by the National Board of Boller and Pressure Vessel Inspectors and the State or Province of VA and employed by HSBI & I Co

of--
Hartford I Ct - have Inspected the components described In this Owner's Report during the period / 1- i.1. - $'CJ to 11..- :J.'J. - '? l , and atate that -

to the best of my knowledge and belief, the Owner has performed examination, and taken corrective measures described In thla Owner', Report In accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or Implied; concerning the examinations and corrective measures described In this Owner's RePort, Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal Injury or property damage or a 1011 of any kind arising from or connected with this Inspection. ~ -------*-------

    -----~L--"-;~-:-:-=-=              ~      c3e£L                                         VA S43

_-;-::--;:-.L.::-:-:::--::-------Comml11lon1---"""'"-"'-.;.;::;'---------------- lnspactor'1 Slgnatul'9 Natlonal Board, State, Province, and Endonamentl Date

                                                                   .*, .}',**1 :':"'

Attachment II Page 26 of 102 Serial No.: 92-380 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric and Power Co Date _ __,/_-...;e::.;~:::.._-c..J.=Z...::...-_ _ _ _ _ _ _ _ __

Nam* Sheet _ _/_ _ of_ _ _ _ _ _ _ _ _ _ __ SQQ.Dominion Blvd.Ji A dr-Glen Allen. VA 23060 Unit _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

2. Plant Surry Power Station Nam*

P.O. Box 315, Surry, VA 23883 Rapalr Organization P.O. No.,Job No., ate,

3. Work Performed by Virginia Power Type Code Symbol Stamp_..:;Nu/\:1...-_ _ _ _ _ _ __

Name Authorization No. _ _ _..u:;A.:1,.__ _ _ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expiration Oate _ _ _ _.;.;N""'t\'_ _ _ _ _ _ __ Addl'NI

4. Identification of System_--=C._.H=E_M.;;..al...,c""'4"'"l...,A""N_..1>......V:""'D,._'-;..()""'W.:l..li,E__,C.,.Dl:.V..,7..:~...

                                                                                                                                 ?.:::Ct-::::.... _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

6. (el Applicable Construction Code BJl, 1 19.61._Edltlon,_RAl-/,..A_ _ _ _ Addende, R'-1

R'-7 Code Cue (bl Applicable Edition of Section XI Utlllzad for Repairs or Replacemenu 19 ROW8D

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

                                                                                                                                                                        ,  .     ..   . ~- ....,;*   ..      ..        . -   Codi
                  .                                               ..                                              National                                                              ~ ~----             Repaired,.*. Stamped Name of                   Name of                         Manufacturer                                     Board                                   Other                        *vear             Replec:ed, * * (VIII Component               Manufacturer                          Serial No.                                       No.'                           Identification                      Built        or Replacement or No)
                                                                                                                                                       ;                                       <              :              "' ~"

P, p:e t-1/ti N/r.. N/A o(-e. f-l-PP-'is -NA f\.e:pp.1 r'-¢~-*. *11.10

                                                                                                                                                                                           *:;)
                                                                                                                                                                             ...            ..;-t* J

7. Description of Work ;epAt@ ,o/6 LPAIC.

8. Tests Conducted: Hydrostatic O .. Pneumatic O Nominal Operating Pressure B7 OtherD Pressure NPP psi TastTemp. NoC °F NOTE: Supplemental sheets In form of llsts, 1ketches, or drawings may be used, provided (1) size II 8% In. x 11 In.. (2) lnforma*

tlon In Items 1 through 6 on this report II Included on each 1heet, and (3) each sheet 11 numbered end the number of 1heets 11 recorded at the top of this form. *

(12/82) Thl1 Form (E00030l may be obtained from the Order Dept., ASME, 345 E.47th St,, New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks -_.!.~...::..!:o~Al.~'t!::.__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Appllcabla Manufacturer', Data Reportl to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and this ,eeeA/£ conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Starnp _ _RA _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No,---=RA=-----------Expiration Date _ _...:RA==------------ Slgned w ,e jJ GAL/' Owner or O ~ *"oe1l11nN, Title f S..Z . .,..,i______ , 19 Date_..Jt.kc='.4::..:.. 92.. CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding e valid commission issued by the National Board of Boller and Pressure V8S181 Inspectors and the State or Province of VA and employed by BSBI & I Co

of Hartford I Ct, have lnlf!ected the components described In this Owner's Report during the period _ _ _ _ __./_.1,._,_ia.;..;::t.;..-_,8.._J...._to t'- -3 'l. ~ ~ iJ.. * , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the examinations and corrective measures described In thla Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal Injury or property damege or a 1011 of any kind arising from or connected with this Inspection. . ~ f, ~ Commlnlons--:-:-V-::A:---5-=-4-::3'----:----:-----**....* -------*-....*_*-_-_*_***_-_*_**_-.. Inspector', Signature Netlonel Board, State, Provine*, and Endor111ment1

                                                                                                                                                                  . : . : _,,. ~.

Date_ _ _ __...1~.._-_ .. .....,3~--19 ~ ;,_: .. , ---*

. ~-'*"*

Attachment II Page 27 of 102 Serial No.: 92-380 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Viriinia Electric and Power Co, Date _ __:5";;._-_4..__-.;;.9..;:;2.;__ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ __;_ _ of _ _ _ _ _ _ _ _ _ _ __ Addr- 23060

2. Plant Surry Power Station Unit __O_N....;....e_ _ _ _ _ _ _ _ _ _ _ _ __

Name P.O. Box 315, Surry, VA 23883 Rapalr Organization P.O. No., Job No., etc. J. Work Performed by Virginia Power Type Code Symbol Stamp_.....;N_,_A_ _ _ _ _ _ __ Name Authorization No. ---~...,;:;A:...:.._ _ _ _ _ __ P.O. Box 315 Surry, VA 23883 Expiration Date _ _ _ _ _t::!a.;;.;.A....;...._ _ _ _ _ __ 2 Add,-

4. Identification of SVstem_......a.f..;.:l.\:.a;.E._M_1,...c4..._l~A...rv""'i>....,,J""'o""L.a.::IJ'""M6.;..;.;:;.__,c""oc.a!Jl\'i;;::;.;.;..=-o,.L....__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code B31. l 1s§l_Edition,_.....;N""'/.....;A;.;;....._ _ _ Addend1, N-1, N-7 Cod*Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yn Component Manufacturer Sarial No. No. Identification Built or Replacement or Nol 8CNAJe f- AS5, G/l./IVN~ LL NA N/J I* ~H -<;S NA- /?r;pl4C.~0 WA.

ITT .9, _ s95l/(;, ~-

   ~NT=f        AS'>.        EIIJ(F, VA/v't'<;                       /*-(                                                  f'V.A-                           1-t!l-l-'i 5                     N4    £GPi,4eora/:. lvA,.

7. Description of Work /?cft.A'1E BowJr.i /J5Se'"1 BLY

8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure 12r*

Other O Pressure NOP psi Test Temp. Nor: OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 In., (21 lnforma-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheetl ii recorded at the tOI) of this form. (12/821 Thl1 Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Backl

9. Remarks _ _..!..JP...::o;,.!,.* ..;.:#-_-.,::S':;::S:....:!V'----"3::...a;::.:~::...4.:_..::~s.k~....~=N~,U:J,a"""-...:ll:,.aS::.:S:..::t:,14::..:'

                                                                                                                                               .;,:.;:;B:;;.:l:..,Y,'......----------------

APPlicable Menufecturer'1 Data Repom to be attached CERTIFICATE OF COMPLIANCE Wa certify that the nataments made in the report are correct and this £,e)4&(\:f'24~&>'Tconforms to the rules of the ASME Code, Section XI. rapair or replacement Type Code Symbol Stamp __N_/_A__________________________________ Certificate of Authorization No __N_/_A____________ Expiration Date _ _ N...:/..:A~------------ Signed Q~nn.~~,,Z C,c,,4',,v~ Date /o/;<? y r' , 19 .?L, CERTIFICATE OF ~f)l~!;f,IVICE.lJ'1'Sl1EC:tlO~ I, the undersigned, holding a valid commission issued by the National ,Bo~rd-of B~il-er-and Pressure Vessel Inspectors and the State orProvinceof Virginia andemployedby HSBI&I Co. of t/o..rT ford I Ct have inspected the components deteribld in this Owner's Report during the period I ~-1.l- £l to I ~-3. ').-9 'J. , and lta1a that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described In this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with thl1 inspection.

     ---...l~L.::-;;...._=--:--              .......-"f'":--.:=:-'8-L=-..;;;.;;;;;..;. _ _ _ _ _ commissions __V_A_Sc..--4..c.3_______________

I napector'1 Signature National Board, State, Province, end Endors.nenai Date £-.5" 19 qi

Attachment II Page 28 of 102 Serial No.: 92-380 Ix:>cket No.: 50-280

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

1. Owner Virginia Electric & Power Co. Date _ ____.,,S""-------=5"------<-9.,,,2~--------

Name 5000 Dominion Blvd. , Glen Al] en, Va. 23060 Sheet__,L.__ _ of_--1-_ _ _ _ _ _ _ _ _ __ Address

2. Plant Surry power Sta ti on Unit 0\\1 E Name P.O. Box 315, Surry, Va. 23883 3~Qoll377/ flf2.# 92-94 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ ____;:..:..<....=--------

Name Authorization No.-------"'+-'"-------- P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _- " ' - ! - - " - ' - - - - - - - - Address

4. Identification of System ~N,:A INMENT SPrzA Y

5. (a) Applicable Construction Code B31. l 19___6_LEdition, _ __.NCI.L/LlA'--___ Addenda, N-1 , N-7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

ST\JDS licit\ r.l A I\.I4 1-l!S- fO-lofA ii.IA 1?t:OL4.C&. D ll..lO 1'1uT"S l\JA N~ ti/); [ -r<;-r?O -10(.<\ I\JA: 1"2.s: PL,'\(.t" l) td;\ 5 STvt> ~ Ir A<i-G- c;"-'ci. tJ~ f',JA !- CS-120-10/A t..lA Qeol Me~rvt NO u Riiplc.ttewie1,J b'JD

                <;; I/

t..luT s NovA ~A tJA I-cs -R0-101~ NA

7. Description of Work. _ __,IZ'----=E'"--P--=L.::..A.:..cC:....:\:::...___::S:_c'i"Uc.=:...,b~s'----'-.;.."'tJc:,)>:,c___..!..:N:_cU,::_U.......,'------------------------

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D Other D Pressure _ _ _ _ _ psi Test Temp. _ _ _ _ _*° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form .

(12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
QC w.1*
EQJLS......,.

FORM NIS-2 (Back)

9. Remarks -~P*=O'-,,#-*----=tc..._s_,_~_3=--+7-0-=-'?.1_4_-_l----'1'--L~-"-u"f_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Applicable Manufacturer's Data Reports to be attached ().il~ CS\{ -~J~S~J- 3 1:;TIJD CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this~1'>e.1c~,1¢..-,-l'.'." conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N-'-'-/_A__________________________________ Certificate of Authorization No. N/A Expiration Date _ _ _N~/~A~----------- Signed £) t. ff Owner or O~esignee, Title "At./'. .:Z:~c /_vG,,.4,,i.!.v Date _ _.,_/1,___.._,.,t;:,c...;f7---G----, 19 t/J,.,- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Pro~ince of Virginia and employed by HSBI & I Co. of Ha.rt Fo"" d I Ct. have inspected the components described in th is Owner's Report during the period ( ~ * :J. l- f' i to { 'l.: l ~ -q 'l , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expr11ssed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this i_n_s_p_ec-t+G~n"'~'"--------1......,.-~="-'--------Commissions _ _ _V_a_._5_4_3_______________ Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _ _ _S_-_-_1_ _19 C{:)_

Attachment II Page 29 of 102 Serial No.: 92-380 Iocket No.: 50-280

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Date _ _ _l-_~_-_9_2...

1. Owner Virginia Electric aud Power Co Name 500.Dominion Blvd.J- Glen Allen, VA 23060 Sheet _ __,__ of _ _,___ _....;.__ _ _ _ __

Adrea

2. Plant Surry Power Station Unit _ __,\_ _ _ _ _ _ _ _ _ _ _ __

Name P.O. Box 315 1 Surry, VA 23883 Addrea Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _tv;...:..;.A..:......_ _ _ __

Name Authorization No. _ _ _ _ _ _lv.....:....A:..__ _ _ __ P.O. Box-315. Surry, VA 23883 Expiration Date _ _ _ _ _ _......;.tJ_A'------- Addrea

4. Identification of System _ _c.;:;;..;;.o...;..N....;..;.::.:r..:../>...:..:1..:..N.:..:~-'-Ec.:.N..,_1.,__-=s:..:~-~-:-J-'-------------------------

5. (a) Applicable Construction Code B31. l 19.6L_ Edition, N/A Addenda, N-1 , N- 7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 l'O WR'/')

6. Identification of Components Repaired or Repla*ced end Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year . Replaced, (Yes Component Manufacturer

Serial No. No. Identification Built or Replacement or No)

All~re<J .2r'" Nol/A yJA- AJA 01-(.s: -ry Jv,4 ,(?(.61>1aceM NO A-t-& J NufS G'N ll'!fefl IVA- /LIA- o 1-c.s- 7 NA- Rep [ace Me ,-rt::. Ml)

7. Description of Work. _ _,R...:;e::.i~;c..\.::::o.t:..=e'--=Bocl=:->i'll--'+::fibr---'"6.,,o...,r::l~N;:..,t=1.....1.+/-_......1.B~O~l~-\:.!!11\.l.~8----------------

8. Tests Conducted: Hydrostatic O Pneumatic D Nominal Operating Pressure ~

Other D Pressure Nop* psi Test Temp. A1"\ '.:> Ie.1,d: ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet ls numbered and the number of sheets is recorded at the top of this form *

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

FORM NIS-2 (Back)

                    /     fl

9. Remarks __,~'""((z......__A_t_tf!A_n._~_~

___t'_S"_V__~_o_?_o_,_'1-'__ c/ 1_./-e_M __ lf_2.._ _ _ _ _ _ _ _ _ _ _ __ Applicable Manufacturer's Data Reports to be attached 2- C'.'5V Z9 '170(&, t.f.e~ # S

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this 1'?4>..,..-9,::;hb>""conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___NA ___________________________________ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Expiration Date ___NA _____________ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of VA and employed by HSBI & I Co of Bart ford I Gt, have inspected the components described in this Owner's Report during the period 11*.1~-fq to 0--.1c1:-qi. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspec.tio(\ ~ -{J _f)/i)~

   -----'u;i.-=.JL~.=.1>~-.c..!......L,__,._,:--:c~""""'"'~'--=--==~---Commissions_-=.v.;;;;A::.....,5:::..4..:..;::3_ _ _ _ _;......_ _ _,--_ _ _ __

Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _ ~/~-~i...._..{)__19 q £

Attachment II Page 30 of 102 Serial No.: 92-380 rocket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

 ,. Owner      Virginia Electric and Power Co, Nama Date    Avcnu~T 2..o' LC\~\     j 5000 Dominion Blvd., Glen Allen, VA                                                  Sheet _ _   ...,l..__ of_ _ _l'---------

Addr- 23060

2. Plant Surry Power Station Nama Unit _ _ _.i=---------------

P.O. Box 315, Surry, VA 23883 :1'a'b No. 3B000Sl IS© ~t:tb-14~ Rapalr Organization P.O. No., Job No;, ate.

3. WortcPerformec:tby Virginia Power* Type Code Symbol Stamp N/ A Nama Authorizetion No. _ _ __,NJA.1-/~B---------

P.O. Box 315, Surry, VA 23883 Expimlon Oate _ _ _ __,.,tJ.,/....8......._______ Addrw

4. Identification of System _ _ .......a"'m"....m"""'....

_..G...@~l: e n~t---1"1"12""'~'"".~--------------------

5. (al Applicable Construction Code B3 l. 1 1 9 ~ Edition,_N_/A _ _ _ _ Adda~da, N-1 1 N- 7 (bl Applicable Edition of Section XI Utilized for Repairs or Replacernmts 1980W80

6. Identification of Components Repain,d or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Y" Component Manufactun,r Serial No. No. Identification Built or Replacement or Nol

                           /WJYco                                                                                                                  ~o Glt1E 1/!tLVG-                                       /rf) 'fS'f         I   N/A              I-CS-~~            ~~)ii        RkPU\c£~

o drT'tvliJ) C~ff N£-lll()JCO PO=# CI\Jt G&TE Vl1ll/c ,;#Vt!J,, :t,v C, FJefs-'f I i N/A .2.s, '+~2-1 l'Jif R.l::)"lfla:M'fNT r-:io I I

7. Description of Work _ _..._8.""'"'i,.,,o'""4t""'"'r.~e;...:-:.1/'----::;.va/e~_,l/'-'e""'---l:::(,..:5.._"~}-------------------

7

8. Tests Conducted: HydrostatiC'~umatic O Nominal Operating Pressure 0 Other O Pressure _ _ _ _ _ psi Test Temp. _ _ _ _ _* F NOTE: Supplememel sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., 121 Informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheen is recorded at the top of this form.

(12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New Yorlc, N.Y. 10017 .

FORM NIS-2 (Back)

9. Remarks _ _ _ _ . . =-_.(\_,12=¢=__.c_A....,k':::?..:....:.....s=--_z..,-=---------------------

_.A. . .~""-'* Applicable Manufacturer's Data fleporu to be attached

                                                                                                   . - . ---- ~ . :. ~ *. ~ .. _'..,, - -

CERTIFICATE OF COMPLIANCE We cenify that the statements made in the repon are correct and this ~~' conforms to the rules of the ASME Code, Section XI. repair or r1101acement Type Code Symbol Stamp __N_/_A_ _ _ _ _ _ _ _ _ _ _ _ _- - - - - - - - - - - - - - - - - - - - - - - - Cenificate of Autrrization No._N __/_A_ _ _ _ _ _ _ _ _ _ _ _ Expiration Oate _ _N__/_A _ _ _ _ _ _ _ _ _ _ __ Signed 1 /_h::)._l~, ;;:r::sc. 776wrler or Owner's 0111111nu, Title

                                                       @b.lf-lESte..                            Oate _ _~t),,.....~;;;,,-,*--"'::b..,.i')~--.19 U
                                                                                                                                                                '1 I CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State orProvinceof        Virginia                         andemployedby HSBI&I Co.                                                                                         of Ha.rTforcJ , Cr.                                                      have inspected the components described in this Owner's Repon during the period                                          / ).-1\).*~gto          */i-11-q:l,                                  , and state that to the best of my knowledge and belief, t~e Owner has performed examinations and taken corrective measures described in this Owner's Repon in accordance with the requirements of the ASME Code, Section XI.

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

    - - - -. .*.*~_....0._--:--::-:--f'--'-.--=~;..*
                       ~                                 ____ commissions _ _V_A_._54_3_ _ _ _ _ _ _ _ _ _ __

I nspector'1 Signature National Boara, State, Province, and E ndorsamenta Date [-d- 7 19_9'_/-

Attachment II Page 31 of 102 Serial No.: 92-380 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric and Power Co Date _ ___,l~-_..:;_'_-~9::....-Z.

Name 500.Dominion Blvd-~ A dress Glen Allen, VA 23060 Sheet _ _.1...._of _ _- ' - - ' - - - - ' - - - - - - - -

2. Plant Surry Power Station Unit _ _ _4 - - - - - - - - - - - - - - -

Name P.O. Box 315 1 Surry, VA 23883 S9,0b09]907 Ile Ft 9f-/1c,S Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ ___:.1-1_!...P._ _ _ _ __

Name Authorization No. _ _ _ _ _ _.....:...t--'..cA _ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expiration Date _ _ _ _ _ _ _--'t--'-P. _ _ _ _ __ Address

                                             "'""'A.'-'-l\\l'""'"""M..,E~f-.l.._T.,__.-'~9'"~C.:J~""~+-------------------------

1

4. Identification of System_---'C=b"-'N_

5. (al Applicable Construction Code_B_J.,.l.......1____19.6.Z_Edition,_...,Jf~/...,A.___ _ _ Addenda, R-1 1 Jf-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 ?'I) WlO

6. Identification of Components Repaired or Replaced and Replacement Compc;ments ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) of ..-es; - -B fv(A µ/4 o/- CS -

.)

S;,-.,> ~ M~/h>ffl~ ** hl µ/JQ /VIA 1-C.S -~ lfk A"r1.A. ... e,) /r/0

         .Alw-r5

7. Description of Work WAI fctllo ,.,/ I,)

Repl0.c.E '.BoNNC:T tviA

                                                                                                  #"             /-f'~-Y            .N~

G£!.SK'=:! 7, ')"r,.dJ.5' . Aul. 1v4".rf tt?{AC.Ct\ Na

8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure g

Other O Pressure t-,>Of' , psi Test Temp. Ahb\~N"\. OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet ls numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 i L_

FORM NIS-2 (Back) q (I

                                         .  ..::..:a=J'--_e_s_,_y__s_o_1'_~_4..c.1__1_./--_eM_:lt'_Z

9. Remarks -.-L'-""b__A_..;.;cl_;_I~-'--*re,-'- _ _ _ _ _ _ _ _ _ _ _ __

Applicable Manufacturer's Data Reports to be attached

                                                         ~SY       2~470(,.,.        H-eM       #  5 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this gl)<,4c.t!-~,r conforms to the rules of the ASME Code, Section XI.                                                                       repa_lr or replacement Type Code Symbol Stamp ___            BA_________________________________

7i*_"L"'j"

           ~ e r or O ~ e , Title No,_.-     ,BA ____________ Expi::::_n_D_a_t~~:-:

4

,v::.:BA:/:)::::::::::~-.-,-_ _ __

9 92 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of VA and employed by BSBJ & I Co of Dartford I Ct, have inspected the components described in this Owner's Report during the period * (l-~1- ~'f to j l, ~~-<f'1. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective* measures described in this Ow~er's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property dama!le or a loss of any kind arising from or connected with this inspection. **

   -----~-\-....,.'-"'----:--:--=:-f.-=---.:--'~......_'""'""'=---Commissions __V_A_5_4_3              ______________

Inspector'1 Signature National Board, State, Province, and Endorsements Date,_ _ _ _ _,_/_-~/~1__19 q ~

Attachment II Page 32 of 102 Serial No.: 92-380 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI ,. Owner Virginia Electric and Power Co I Date _ _ _4-'--~2...:.7_-~:3"'-=2--~-------- Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ _.___ o f _ - - - - - - - - - - - Address 23060

2. Plant Surry Power Station Unit _ _-""-"u...--------------

Name P.O. Box 315, Surry, VA 23883 Address Repair Organlz11tion P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp_..,.N..ll.A'---------

Name Authorization N o . - - - - - ' - = ~ - - - - - - - P.O. Box 315, Surry, VA 23883 Expiration Date _ _ _ _ _N,.._,fl...,___ _ _ _ _ _ __ Address

4. Identification of System ---=C.;;;.O_N:...:T_A_l.;..;t,.J:..c.""-E:..:.=-==-\.-l.::.T.:.__......:::S:..:.?..:.R.....>:Ac...:.Y-'-------------------------

5. (a) Applicable Construction Code B31. l 19~Edition,_N:..:..:../..::;A:..__ _ _ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol h"

      ~T\JD      ei              NA                      NA                Nu               1-C.5-Fl\i<--IA       NA        Rc.D//.\l!E:D        /Jo f\ivt
                 ~/)

1\J Ii. \\IA NA l-tG-Ff\l&,/A NA f2.1::.PL.4 t!eP 00

J_ II

      'STUD        '6       flAIC.V/AJA L             4fR9'?(           /V4-                /-{!, S--FN&--/4       NA      IZep(,4.c.e,ueiut      /\JO

J II l'-lu-\- g' /'"1-IZ- i71,,v,4 L 4(;,7Z;7 /\J ,4 / -t!S-FNG-.../4 fV,A tef{A.C.bu e,vt ('Ii)

7. Description of Work i~GPl. A C!E STI/J>S AN"t> /1.)Jti,.

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure 0 Other D Pressure _ _ _ _ _ psi Test Temp. _ _ _ _ _° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

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

FORM NIS-2 (Back)

                                                                                                 -1     rt

9. Remarks -~_,_P,.....O.u.,_#_-"-~.:....C..Y___.3=2cc..4-'-"'-M-"-'ge<...-__7"'-----"'$""---'-/l--'-{/-'f'--"b!.!Jre""~""'J"--_ _ _ _ _ _ _ _ _ _ _ _ - - - - - -

Applicable Manufacturer's Data Aepon:s to be attached eo.# t!.'5V 321400-B i" N1A CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this @>.?A,:.(A,4/Z: conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp __N....;/_A __________________________________ Certificate of Authorization No. N/ A Expiration Date _ _N..;/_A ____________ SignedW~ / ~/._,/ Owne,-orO~sOesignee, Title

                                                                    ..:rs:z-=6c;,,~&£~                                            Date    A{?c1&~2?                     .19  9z CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of        Virginia                                        and employed by HSBI&I Co*                                                                                  of t-/t:J.. r Ifo r cl J Ct,                                                                                                have inspected the components described in this Owner's Report during the period                                                                   /  g.. bl- Ef9 to            / l

l ~ - q:).... , and state thet to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

    -----l~r--""""'~=...,"'-~-'"'.--:::.rL.~-~~-~-----Commissions _ _                                                             V_A_._S_4_3_________________
                            ~ Signature                                                                                          National Board, State, Province, and Endorsam11nt1 Date                                  Ld-       ~~             19        q d:-.

Attachment II Page 33 of 102 Serial No.: 92-380 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric and Power Co, Date _ _ _4.....___-=2=-7'---.......:::.9-=2.=-*- - - - - - -

Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ _ _ _ of _ _ _ _ _ _ _ _ _ _ __ Addrea 23060

2. Plant Surry Power Station Unit _ _......::0_1-.l_~-------------

Name P.O. Box 315, Surry, VA 23883 3?,QOl! 1.34-7 RB* LJ2-o58 Addrea Repair Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp_...1N.>.J..A:......._ _ _ _ _ __

Name Authorization No.-----'-"'-"--------- P.O. Box 315 Surry, VA 23883 Expiration Date _ _ _ _ _Nu..i£l.i...________ 2 Address

4. Identification of System _ ___,C""O:;;.:N~TAc:i.l""N""M"-6""'-:.cN;""['--......,Sa<,PBc.L.>c;;A,_..y'-------------------------

5. (al Applicable Construction Code B3 l. l 19§.L___Edition,_N;;.;..:./.c:.A:.....__ _ _ Addenda, N-1, N-7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1s80W80 ,,'

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired; Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

I

       ~iTUDS            I         1\/A                                             NA                   \.-1 II.           I-   C."'c:>- \D5        NA             r(G,DLAC.E:b     1\1 C, NLYi5            I           NA                                              NA.                  NI\               I - C'S - !05'           NA-             RE.PL.AC t:.I)   ND S°T l)t)_5        I    \l~LAN                                        4\~11.4-ZD                       fJA             I - Ct; - 105            NA R~fAClV\6iJ't . t{O NV1S             I     \/,c:;i.1-i.~                               4 I 91Zt.13')                     r-J~             1-c.s-101_,            ~k Repl AOeMEN-t                 \'l~

7. Description of Work_--'-R""s ......P..,,,L....OC...._1-a,.....;E=D=Lf.!-'lc:.;N._<;-,.___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure 0 Other O Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this repo" is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/82) This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th st:, New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks _...,e. . . .D<.. . .>*.. c.{:l,.'

                                         / -'--_-'S"-'5;:;.....Lj~34""'--'--'=3=-15,.._7.:.....,.2.==---=2,a.,..__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - - - -

Applicable Manufacturer's Data Reports to be attached SS'/ 3435<12~-l CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this /:1,,Jyu:Af,,l,vc: conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp __N_/_A __________________________________ Certificate of Authorization No. _N.....:.../_A_____________ Expiration Date _ _N-'/'--A_____________ Signed Q. C : ~ Wner o;;r'~ Oesignee, Title f l . £ ,6v6r,v~L'/2.-- Date 4£,,.::_ .e.7 ,1s?L CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI&I Co* of _ _ _ ____..fl___.q"'",.....I. . . . . 6"'"~-"...J-1_C=-f:'-'-.- - - - - - - - - - - - - - = - - - - h a v e ins.Rected the components described in this Owner's Report during the period l'l..-Ql-.PJ to fl-'J.J.-'1;L , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

    ------8AJ:t-="'7----'Inspector's       "-.-'-:--'"::-:-'       "f_.......,.~"""'c......c-----Commissions __National Signature V_A..,.....5_4_3___________..,.....____

Board, State, Province, and Endorsements Date t,,f-:J-. 7 19 j J.....

Attachment II Page 34 of 102 Serial No.: 92-380 Docket No.: 50-280

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

 ,. Owner      Virginia Electric and Power                                                                 Co I                 Date _ _--=4-..-...,Z4=...1._--'9:::...Z=---------

Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ __._/_ of _ _ _ _ _ _ _ _ _ _ __ Address 23060

2. Plant Surry Power Station Unit _ ___,o"'""'l'J""E=-*- - - - - - - - - - - -

Name P.O. Box 315, Surry, VA 23883 Address Repair Organ!z11tion P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _,_N..!.L.A'--------

Name Authorization No.-----'""-'=..___ _ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expiration Date _ _ _ _.....i.;N:w;..~-------- Address

4. Identification of System _....;e:..:o""Nc,.~.:.Ac,.1,.._N,..!'1;.J.g,,.,_N:,.T.,__--=c;.=-p,._RL>L,;f:>..uV.c.....-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code B31. l 19§.LEdition,_N;;.;..:.../.:..:A:...__ _ _ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 1s80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol StlJi>S r:.1A l,J~ NA 01 - e,- F°T\)(r5'3 i\J I\ RePL..\ced i\Jo l\!Ot.S NA I\.IA l\) r\ OJ- c.;. -~I\Jc,.-3B NA ReiilAc.ed 1\.LD Sn.m.S t!A-12.t>//..)A I 4 fo '63i AJA Dt-C~-FNC.,.-36 NA. Reol4te~e1v-t tJl:>

N,UT.S f1t1R.PltvA I '-1~7'Z-9 1VA ot-f,5- F AJl--~B Nr:1 [24?pl4c eMe1v-f Alo

7. Description of Work _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.:.__ _ _ _ _ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure 0 Other O Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2l informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. *

(12/82) This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks -~-~'O_,_r>_~(!~5 P. LJ. ? A..... 7 ,., II i An..,,,,,cf ~ r1

                                                                       .....'?f,__~.:>_Z_"'1U_f~8--~---'--J__sl"_f/1_c_.-.~_,.,~B_ _ _ _ _ _ _ _ _ _ _ _ _ __

Applicable Manufacturer's Data Reports to be attached es v ~ 1 f*D. # 32/400 -8 !-let Ni.Ji ' CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this L"")~~ntorms to the rules of the ASME Code, Section XI. repai/ or replacement Type Code Symbol Stamp __N_/_A __________________________________

aQ~iw:;-i~-~-e-~.-:-i-tl_e_h-~--J-4-_r--

or Province of __ c'; ___'C_<<_4_c_V_::::_n_D_a_t_e~4:~::"'-~~A~~:L.:"-'--_-_-2..~~?~~~~~~.-,-g--£-2--- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State Virginia and employed by HSBI&I Co* of _ _ _ _..Lt(.......,a.."'-"1:::'-1....,_fu....,.,rc..cl=-~*_,,.(';_t.____________________ have inspected the components described in this Owner's Report during the period tl- a.~- BS to I 'J..., i 1,.-'\ 1 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner tor any personal injury or property damage or a Joss of any kind arising from or connected with this inspection.

    -----~l-;                       : , _ ; _ "'.'"i-'J-'-_._ _,~=---"----Commissions _ _

_______ V_A__S_4_3_________________

                                 ~Si~ture                                                                                National Board, State, Province, and Endorsement, Date _ _ _ _ _L,(~-~3,~7__19                                                    j l_

                                                                                                                                                                                    .Attachment II Page 35 of 102 Serial No.: 92-380 Ibcket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric and Power Co, Date _ _..;;4..._-.._(4..,__-.,,,9.,,,Z.'-----------

Nama 5000 Dominion Blvd., Glen Allen, VA Sheet _ __,.___ of~,..__ _ _ _ _ _ _ _ __ Addraa 23060

2. Plant Surrv Power Station Unit _ __..Q""'t,.)""-'q=--------------

                                               .Name P.O. Box 315,            Surry, VA                    23883 Addr...                                                                                                     Rapalr Organization P.O. No., Job No., ate.

. 3. Work Performed by Virginia Power Type Code Symbol Stamp_.._N~A'-'--------- Nama Authorization No. _ _ _-,1,;Nll.Jl~i._________ P.O. Box 315, Surry, VA 23883 Expiration Oete _ _ _ _..,N-3,.L/l,.,___ _ _ _ _ __ Addrea

4. Identification of SYstem _ ___,g.,_.,.5 ......1'-"Di<lu""'-'I\_.L_~t:1..,.E...A.,_.T_.....rz.=--E-M""""D..V'""'Au.xk=--------------------

5. (al Applicable Construction Code B31. l 19§l___Edition,_N-:.../.c.Ac...-_ _ _ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80

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

        .;                                                                                                National                                                                      Repaired,     Stamped Name of                Name of                    Manufacturer                                Board                                     Other              Year           Replaced,       (Yes Component             Manufacturer                    Serial No.                                  No.                              Identification           Built      or Replacement or Nol

( V- orzo) S1'.lvh~e-r irT i,.rr..JNAiCL (v -Of?~ 01- RI-I -H5;5- Z?. Ret>I A.<.e~ tf/a ( V-04!Ju,J s~vbber Irr t... £2.1lUf\lf;c &-oqs0) 1o1.121 1-1ss-zz Ren( Al!El\le,;: ND 0

7. Description of Work __,.t?.'-='.?...,,_;>-=~--,4"""'"'~=----=S:~l"l-=a-"'(t"'"' d.='.f-,£,.=.......:ka1..l:...i'-f.P.,'-'--6o..-.,,,g""g,:l<'b1M.:.;4 (-'*1.__~S-ff.l!.lt1.:..f..:..Q__._---:-,/=--*-------

8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure 0 Other O Pressure _ _ _ _ _ psi Test Temp. _ _ _ _ _°F NOTE: Supplemental sheets in form of lisu, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (21 Informa-tion in items 1 through 6 on this repo" Is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/B21 This Form (E00030l mev be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

                                ,A/011,1&

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturar'1 Data Report, to be attached

                                                . CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~,#r~~rconforms to the rules of the ASME Code, Section XI.                                                            repair or reolacement Type Code Symbol Stamp __N_/_A________________________________

Certificate of Authorization No. _N-'-/_A____________ Expiration Date _ _N""'/_A ____________ Signedrl_~~

         ~wn11r or Owner', 0111i11nee, Title 15:T&"°rP-i~L                                                        1C:1-----. 19 Date--~..1..J~-/h=.,.;L...._J.~...              f!.a..

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid comm,ission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI&I Co* of f{a,/tfo~ 1 ct have inspected the components described in this Owner's Report during the period fl 'J.- 8~ to I ?.-'l.. ~-'! :)._ , and state thet to the best. of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the. requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied,. concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

    -----~+--c-"'~-....;...~f'!'"-. _ _.,~=--=------COmmissions __Netlonel lnapector'1 Signeture v_A_S_4_3.:..________________

Board, State, Province, and EndorHmenta Date_ _ _ _ _!::/_-.,_(:f _ _ _19 'f'j___

Attachment II Page 36 of 102 Serial No.: 92-380 D:Jcket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric and Power Co, Date _ _ _ _ 4-C;-'.;)Z.

Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ __.._ of_........_ _ _ _ _ _ _ _ __ Address 23060

2. Plant Surry Power Station Unit _ _..,0:.J,N.:..:ea...._____________

Name

                                                                                                                                                                                                          ~e"'   9-2.--t'fl'I P.O. Box 315, Surry, VA                                             23883                                                                 E'N\Z 90-22.:aJ. ~5i'oolbfu934                      :3'is"OOj Ob9~3 Address                                                                                                       Repair o{ganiz11tion P.O. iJo., Job No., etc.

3. Work Performed by

Virginia Power Type Code Symbol StamP--N~A~--------

Name Authorization No. _ _ _ ....,_=~------- P.O. Box 315, Surry, VA 23883 Expiration Date _ _ _ _""'N .......fl-..:...________ Address

4. Identification of System BEs: tpvA L f:iEA r /?ETuQVAl

5. (a) Applicable Construction Code B31. l 19§.LEdition,_N.;..,a./_A_ _ _ _ Addenda, N-1, N-7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, or Replacement ASME Code Stamped (Yes or No) S rv uh{, 1u* "NA NA j\JA I) 1. - K 1-J -J.ISS-/.~ I/ NA p,:.LEIT;: IVA 5TR\rrs l'iT &r,i.ir-;ell t-.JA 01 -~"' 1c;~-1 za,4 /V4. 'Ref)l.l.\ce v-t~Ni NA

7. Description of Work""'C!.~\:l~f>..~l\l-(,..;r_~=--.:Jc;,.,;A..,£.=-..:Sa..:.::rJ..:U.s.f?:..:ei""-"t:;..~--"i"?)..,_'l;::.......:S:c.~..:.:.....:U..:.T_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D Other D Pressure _ _ _ _ _ psi Test Temp. _ _ _ _ _°F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY.a in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form.

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

FORM NIS-2 (Back)

9. Remarks _.,..e.,. .O:;.::,_:.-:ti_...:;.~-"SC....\J.,__...,3.........,_t/'""Q....;-Zc....;fu::........,7_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _._ _ _ _ __

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this A/c')~<'.bbCconforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp __N_/_A __________________________________ Certificate of Authorization No. _N_/_A____________ Expiration Date _ _ N...;./_A____________ Signed (ilc:_~ Owne~o\.vnsiie~. Title Date _ ...~'"""'<-e..~--"-=~=-*....... t'...<?"'-----., 19 9'L CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI&I Co* of l-kr-"t'F6.- J , Cf. have inspected the components described in this Owner's Report during the period I ~- :b ,;\.- 'fl 1 to I~* :). i- ~ :l , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements oft.he ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

    -----'~-=-=---,----,-""':"C"f._._~=;;._-----Commissions __V_A_S_4_..;.3________________

Inspector's Signature National Board, State, Province, and Endorsement* Date_ _ _ _ _ _ _ _ _l(- ~ _/_ 0 _19._ _ _ __

Attachment II Page 37 of 102 Serial No.: 92-380 Docket No.: 50-280

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

1. Owner Virginia Electric and Power Co. Date _ _ _ -:/_.___--=3=0=---9.c..2......___ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, VA Sheet of _ _ +---------- Addrea 23060

2. Plant Surry Power Station Unit ONE Name P.O. Box 315, Surry, VA 23883 3800 IDI %z3 RR # '7\-153 AddrBfll Repair Organization P.O. No., Job No., ntc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _"""#J_A_ _ _ _ _ __

Name Authorization No. -----"-N""',A_ _ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expiration Date _ _ _ _ ___.""-'-;.._ _ _ _ _ __ Address

4. Identification of System _ _""'R.,_,,,E""S'-l'-b=-a\Ja...A"'-"'L'-....,H'"""'"e_,A'-'T..._________________________

5. (al Applicable Construction Code B31

1 19§.I_ Edition, _N____/ A _____ Addenda, N- 1 , N- 7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol

                                                  ;f S*nJ D"                       i.J"'                         kl ii.                      IVA        01 - RH - F"E-Jbl1. i         NA.             w'ePt...P.C.l'cl"\     N'f)
          ,\ell I IS                  f.JA                            UA                        I\. I A. ot-ll>I-Fl2-/f..t') 5           ~IA..           RcPt.A.c.t:;:t)       1\.\0
     ~T\)b<;.                 {!iJ/Z/)/IY/~   l             4 7J'J4                            /VA       ":JI- Rlf-PE-1c.ns              I\JA           fe PIA.c.E ,u ~        /1..l()

7 N,4 t--llJ1"' c;, / ii /Z'{JJ IVA l,. 47870 NA 0/-,e.H-FE-Jt~ 'KEPIAU:M@,J1 1\(0

7. Description of Work _ _~&~G"'1pf-""14~C.~E-....,STU~~b..,S-~A="-'N,,,..I?=-""'7r-J"'-=U'-T......,.,5-=---------------------

8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure 0' Other O Pressure NOf' psi Test Temp. NOT °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form .

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

l FORM NIS-2 (Back)

9. Remarks _,........:...f.a....,o_.ef

__t!_,Se__V,___.'f L/-=8'--r-*z

                                                    .....~-LJ/e,.__,_t/......      __N-'--Jf APPiicabie Manufacturer's Data Reports to be attached P.O.#         t!5V 5'1o!Z3 -7                                '>6-,d CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this 4'-kd::cm:.6v/-conforms to the rules of .the ASME Code, Section XI.                                                                                       rep~ir or replacement Type Code Symbol Stamp __N_/_A                    __________________________________
                                                /

Certificate of Authorization No __N_;_/_A____________ Expiration Date _ _N_/_A ____________ Signed a~~ Owne~~esignee, f;- T Title

                                                                                   ~46'#!~                  Date CERTIFICATE OF INSERVICE INSPECTION
                                                                                                                    .A/A.7 r I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of               Virginia                                   and employed by HSBI&I Co*
                                                                                                                                                    ,19  PL of Ha.rTtc" ,!              J ct:                           have inspected the components described in this Owner's Report during the period                                                   /1,-11.*~j     to   0,*1.~*S'-                      , and ltata-thet to '.he best ,of_ my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
       !3y signing _this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner.for al)y personal injury or property damage or a loss of any kind arising from or connected with this inspection 0                 II     4. {).        I,)_ ()
    ----~.!.-~---:---~~'-:::--~--~-----Commissions __V_A                                                   __5_4_3________________

Inll)ector's Signature National Board, State, Province, and Endoruments

Date_ _ _ _ _ _ .._.5"._-_'-'f...,___19'f 1.._

Attachment II Page 38 of 102 Serial No.: 92-380 I:bcket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Ovvner Virginia Electric & Power Co. Date _ _ _'S"~-_.,.(o'----"'-9...,2.=-----------

Name 5000 Dominion Blvd., Glen All en, Ya. 23060 Sheet _ __,___of _ ___,__ _ _ _ _ _ _ _ __ Address

2. Plant Snrr¥ power Sta ti an Unit ONE Name P.O. Box 315, Surry, Va. 23883 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ __,__ _ _ _ _ __

Name Authorization No. _ _ _ _ _..,..,,..._._ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _~c...c..------ Address

4. Identification of System ___'S~A~l="~E~I' ..........I _l~W~E~<-~t~l-0~~~\--------------------------

5. (al Applicable Construction Code B31.1 19---6.LEdition,_-N.,./~A~_ _ _ Addenda, N-1, N-7 Code Casa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components

      **- - -- . ---::-::-=.-::-

Name of Component Name of Manufacturer Manufacturer Serial No. National Board No. Other Identification Year Built Repaired, Replaced, or Replacement or Nol ASME Code Stamped (Yes

                               - i.let Nil-~ \ ,,                   NA                             NA             ,N/\           1-~1-FG-1~4~               A*-A   R.-PLACE;i)               Na
                                   ~T0~

l ,, )JI} NA N~ i- SI - t=="r::: -\9ll<, NA Rear, Mi=}) N'i\

                                  ~Jo I! f\\ l}t I ,,        ~Afl,l?/tvAL-                  479tZ-               NA              I-SI -Y!::-19~eo         Nf:;I    l?t. IP V\(.i::11,d\ rt    /,JO S.i'V t)     I ,1       5(-{VR..- /CUT                     l~A              (\) /\           1-SI-FE"~l~(l(,J         f'l Pi ll?c:(ILI\ -       -<<-'     wO

7. Description of Work _ ___._R~e~-~P~1..=A~C._E'~_S~'TU~P=-=-S__,_/l..;.=~=D"'-~N""l""')-":C5=-----------------------

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure rr' Other D Pressure NOi' psi Test Temp. NOJ °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. * ,, ',.

    *                            (12/821                     This Form (E00030I may be obtained from the{)rder Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Po.:w,~v

9. Remarks . . C, '3 S Z 3 l"l - I '>'TV)

Applicable Manufacturer's Data Reports to ba attached F. O, it cs v '3 LJ 7 3 53 -5 r.Jur CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this £7~.t.dt:'/~conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N~/..__A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No.~N~/~A~-----------Expiratlon Date --~N=/~A~----------

          ~_.=.  =*-~-~~~~-;;-~-,*~-::.:.:_--~*:"--::--CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia                            and employed by    HSBI & I Co,                                                     of f/o.. r-1 fo,. d. 1 C+/-                                   have inspected the components described in this Owner's Report during the period                           / ~-  l 1 *~CJ   to     /  ~~ i:). ,q l.              , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

  ------'~......,,=------:--::-'--'f_._~-='------'=--Commissions _ _ _                  V_a_._5_4_3_______________

Inspector's Signature National Board, State, Province, and Endorsements Date

       ---------~--             5" ~7           19    qt_

Attachment II Page 39 of 102 Serial No.: 92-380 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co. Date _ _......::5:....._-_,,b..._-..::.9.,.Z.,,,___ _ _ _ _ _ _ __

Name sooo Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _....___of _ _ _ _ _ _ _ _ _ _ __ Addresa

2. Plant Surry power Sta ti on Unit O ~

Name P.O. Box 315, Surry, Va. 23883 3 "b DM ')(p 279 RR# 9z-o49 Addresa Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ ___;;.N:.!../-=-A=-------

Name Authorization No. ------'N..,.,,1-l.cil\_ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _..,,.,.'-"------- Address

4. Identification of System s*/.\FGTY INJECTION

5. (al Applicable Construction Code B3 l , 1 19__fu_Edition,_....1N,3./(....A.,.__ _ _ Addenda, N-1 , N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or NoL - - - - - - -----*-~* --

                                                                                                                                                                                       "- - --=- --* -
                     ~ii
      \\l\Ji"J        <<;;,             f.lA                 ~IA                          NA            I 24                     ~It!           l2t;" .... ..,, ..... tJD
     <;<f\.)f'IC:.      1             r-JA                 (\f~                         fJA          !   - 5 I 4                  fl)A          Ri;; PLJ\C6])               \~O f; ,,
      ;!\l()\5       -;{             Nov(\-                 rJ It                       NA.         l -    ~I -  24                                 R.iiiirl.M:e ~"'le.i..,t    1,to f; ,,
       'SW~          (               Aci-&                  ,v,1--                      1J~          (-51-24
                                                                                                                                                    ~"""ll\teik.l.e'-11 t,.\D

7. Description of Work _ ___,f,-.-E~PU~W='E~_IJ=LJ_,_T$~_,_A.,_NJ?"""'--'-SuOJ-""'P=--S,___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure G"'

Other D Pressure NO!' psi Test Temp. N C1f °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks ~.--(}=O,~H __ s-'-v_s_S-..:g'--'3'--'1-'-1_-_z__--'-"/lilc.:..I/T...____ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Applicable Manufacturer's Data Reports to be attached i~/J, # s If 570{o7(/_/ 57Vl> CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and thls ,ec~~ conforms to the rules of the ASME Code, Section XI. rep~cement Type Code Symbol Stamp _ _- " N = - - A = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No.""""'N~/"'A'"------------Expiration Date _ ___,N...._/..._A....___________ Signed W-$'. _j_~

A Owner o ~ n e e , Title

                                     /  :;:rs~ M                 4/g'd",?                    Date_..,.,&'---"=-,,if,,...-=p_ _ _ _ _ , 19       1L CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia                         and employed by           HSBI & I Co,                                                                of t/a.r!ford I Cf,                                                            have inspected the components described in this Owner's Report during the period                                    /'J.*:l.'1-~'f  to     /'kl.'J.*ql                         , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

  ----~+-~~~~-~f~*~B-~~~------Commissions _ _ _                                                V_a-'-.------'5_4""'3'"---------------

lnspector's Signature National Board, State, Province, and Endorsements Date,_ _ _ _ _---'5~-~J__19 q 1..

Attachment II Page 40 of 102 Serial No.: 92-380 Iocket No.: 50-280 FORM NIS-2 OWNER'S REPORT F R REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric and Power Co, Date _ _ _...;t;i::.....-_4.a._-...:::J;...;::2'----------

Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ __;_ _ o f _ - - ' " - - - - - - - - - - Addrea 23060

2. Plant Surry Power Station Unit _...,:a"--N_e_____________

Name P.O. Box 315, Surry, VA 23883 Address Aepelr Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol S t a m p _ ~ " - - - - - - - - - -

Name Authorization No. ----J:>l.::!-------- P.O. Box 315, Surry, VA 23883 Expiration Date _ _ _ __._.l.L.!._ _ _ _ _ _ __ Addrea

4. Identification of System SAt:"ETY 11\J,I 6CT ID ,J

5. (al Applicable Construction Code B 31

1 19§1_ Edition, _N:.;.:.../.::;A:...____ Addenda, N-1 1 N- 7 Code Casa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, or Replacement or Nol ASME Code Stamped (Yes

                ~//                                      NI\

STU]) -4 Nk NA 1-s;1-TV-102A N-0. 11: i;fLACF i) t,Jtl) 3 I/ A*& srtJD -;c l;N(;-ll\.lPO(". NA fJ A l-SI-TV-wzt4 rJ~ REf'L ,t\l~NI o?.Ut /Ji)

7. Description of Work _ _ _~=.:E::..,~_,,L.,,A..,C...,E'=--...aWC!..!<.-"DS'""-------------------'-----------

8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure 0,---

O t-lO P 0ther Pressure psi Test Temp. N D t' ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (21 lnforma-tion in items 1 through 6 on this repon is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks _ _--JeL.<..:::o'-.'--#-..._C""""S:;.......,\/'-'-3'--Jlo=---cZ_'b"'-'-l_-.....;'3_...;;..5'111..r.:.=D,::..__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this lf!~c&,,(~vf" conforms to the rules of the ASME Code, Section XI. . repair or replacement Type Code Symbol Stamp __N....c/_A __________________________________ Certificate of Authorization No. _N....;./_A_____________ Expiration Date _ _N....;/_A _____________ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI&I Co* of f....... _ _ _ _ _ _ _ _.......d....:.;;.4:..l":.-.,1..... o:..,.l"-'d=-+-J...c,.t..________________ have inspected the components described in this Owner's Report during the period f 2,- ').1.-ft. to (?: - 1~ * '11... , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this i_n_sp_e_c_t-io-n-1~1-"'cw...

                            .......0=-=a>-..----lll::-:'."-...~""'c....;:;'-=""""==----Commissions _ _                   V_A...,....5_4_3___________________

lnspectar'sSlgne~ National Board, State, Province, end EndorMments Date,_ _ _ _ _ _ _,!)_-~--] __19 q .i,_

Attachment II Page 41 of 102 Serial No.: 92-380 D:>cket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

 , . Owner      Virginia       Electric                          and Power                                               Co,                    Date _ ____,5:::...._-__;4:...--2::....:....I_ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ _....:...._ of_........_ _ _ _ _ _ _ _ __ Addrea 23060

2. Plant Surry Power Station N11me Unit_...... .._t::.,.,-=-*--------------

P.O. Box 315, Surry, VA 23883 Address Repair Orgenlzatlon P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp_,.,Al..,.A:....;..._ _ _ _ _ _ __

Name Authorization No. _ _ ___,_/J-'.,.\'-:'---------- P.O. Box 315, Surry, VA 23883 Expiration Date µ.~ Addrea

4. Identification of System __S.;:;..a,.A;:;:;F_f2;;;.*....;.T_\/...._......j fU.-,l=:,.:*E=--..;;:c..::;;..;:c-::..;i"'o::;.;J2:,=.._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code B31. 1 19§.l__Edition,_N~/.:.:A:......_ _ _ Addenda, N-1, N-7 Code Casa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol I

I <;'TI..)1)5 ~'" NA 1'.IA I -Sf -TV -IC~,W~ 1\.1 A. RePI-AC.~D ~'/) i ,44-&

                                                                                         µ4.                                                                                                                      (\JD
         $-Wl)S                   {!:1vtrtAJeer,                                                                                        N~       /-$1-TV-10?.g:_                 tvA           12-EPC-AcefueoJ

7. Description of Work ____E,=e'fp"-'L=A...;;.CG,.,_____..S]U'-'-"--'I:>5=---------------------------

8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure ~

Other O Pressure t, 1oe psi Test Temp. >'::!oJ: °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) Informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of th is form * (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

e. .

9. Remarks _ _ _.......... 0. . .-'-,1:t:.."-'-___..t!....S'~V_...

S:.:..l.../,::,'-..JZ~S....l_-_..3,..__c:;;:;.,y-v,.,,..=p..:::5'--_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this t'~P'lfL'c!""tZ...vGonforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp __N_/_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. _N--'-/_A_ _ _ _ _ _ _ _ _ _ _ _ Expiration Date _ _N..;./_A _ _ _ _ _ _ _ _ _ _ __ Signed CJ { Owner j or ~ i g n e e , Title

                                           */'               L.(' 'L b~.u,14,ft,                                                    Date __  ~~..P..,,l'--Y'.!-6~------. 19      9}...

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI&I Co* of Ha.,,. i"For cl , Ct, have inspected the components described in this Owner's Report during the period /'l-~+-~9to 11-'j.'J.-</1_ , and ltetethet to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. _ __..G"""""~c;c-=-........,....-:......._l__.(3---=~--Commissions_VA_S4_3- - - - - - - - - - - - 1nspector's Signature National Board, State, Province, and Endorumenu Date,_ _ _ _ _ __:5':;..-_7_,___19 'f 1-,

Attachment II Page 42 of 102 Serial No.: 92-380 Iocket No.: 50-28'0

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

1. Owner Virginia Electric & Power Co. Date _ _~'5~--7~-~;_'2 _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va, J 23060 Sheet _ _.___ _ of _ _ _ _ _ _ _ _ _ _ __ Addren

2. Plant Surry power Sta ti an Unit ONE Name P.O. Box 315, Surry, Va. 23883 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ ___::_:..c...:.-=-------

Name Authorization No. _ _ _ _ _ ....,.,,-=______ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _. . . . . , ~ - - - - - - Address

4. Identification of System _ _tJ)l=--L"/=\l~N~~S~r-E~8...,.0=--'----------------------------

5. (al Applicable Construction Code B31. l 19---6.LEdition,-~N,./~A.....__ _ _ Addenda, N-1 , N-7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 BOWBO

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component _Man~f~cturer-c--- ::::'~l!riaJ No. No. Identification Built or Replacement or No)

                                   *-- --~-r, ----*.

311 NA. UA 1\10

        ,PG 6    II NA               OJ                                                             \10
                 /I v~w- &uA                fvA         1-                                               NO p,p1::    3 'l                                          NA-              rJf..         1- Ms-                                               D

7. Description of Work :f?,E:f't ll\C.i; CIi {;C,(l VAI\J E

8. Tests Conducted: Hydrostatic ~ Pneumatic O Nominal Operating Pressure 0 Other O Pressurel,15'lL ))Esi&Jlpsi Test Temp. A1111b1 Gfu'f °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form *

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

FORM NIS-2 (Back)

9. Remarks _fr-._o_.*_~Sl_ll't-'---'3"'-4-'-=-Z3=--5=--'-}---'-1_....:.ll=A"'-'lv:;..e~-------------------

Appllcable Manufacturer's Data Reports to be attached t! ~ V /7~9 6 ~ - I Pip CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this At,+/-:~ehef..clfonforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N~_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ a~/ ~ Certificate of Authorization No. N/A Expiration Date _ _.......N,u../,..A,____________ Signed Owner o f t j ; ; n ~ Title

                                                                  .C::       :z;:r-z= /Jv"u.1$                    Date-L-d~~""':...,,,.'t'.'-"-t'.1-/_ _ _ _ _ , 19 ? i!'

7

  **-. __ * , . . . ~ * -

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of

          ------------jfl.t.L>.a.=-=.l"_T                    .......fo-="-'J""'-,J1--=C;..:.~....___________ have inspected the components                        described in this Owner's Report during the period _ _ _ _ _'-'/J~-,.,!,......~"'"'-'&9......,C/'---to_.1...f-"'1'---').'-'--~--_q"-=-~~-----, and                  state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures d!!5cribed in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

          - - - -....~~.._-=-        .......=------:---<f~--""eJL~~------Commissions _ ____:_V...cac....=---..::;5...;4:..:3=-----------------

lnspector's Signature National Board, State, Province, and Endorsements Date 5'-ra- 1e:fh

Attachment II Page 43 of 102 Page 1 of 2 Serial No.: 92-380 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co. Date_--='5_-.....:....;ll'---=9_Z;;__ _________

Name 5000 Dominion Blvd., Glen Allen, Va. z 23060 Sheet _ _-'--_of _ _ _ _ _ _ _ _ _ _ __ Addreu

2. Plant Surry Power Sta ti on Unit --'""'"'-'"'-"'G'----------------

Name P.O. Box 315, Surry, Va. 23883 3~0D[l2ZJZ. ee~ n>o,z. Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N_,/_A _ _ _ _ _ __

Name Authorization No. -----~N...,,,-1<>~------ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _-"4--=------- Address

4. Identification of System _ _ (\/)_4~/~N~~S=t~E-A~i-1\.....____________________________

5. (a) Applicable Construction Code B31, l 19---6.LEdition,-~N ...l~A~___ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Serial No. No. Identification Built or Replacement or No) tJ - n A fZeplAcecJ

                                                                                        - w1 $   -  1,'6                     (2e.pl4ced         {)

{VA

/-

7. Description of Work lZ,EPlAl~ Cl/tfil( VAlvE B. Tests Conducted: Hydrostatic~ Pneumatic O Nominal Operating Pressure D*

OtherO Pressure/,2.5-.De9kf,s,si TestTemp. A....ib1G1.,-C °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is SY.a in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks _.....,.P...,,o~,c...:~.:..._--=S:..:.N....:"'".J.1~3-'"'--4--'2"'-' -'-)..,,'5,:./_-_,_l_...::~c..'1_rl.e<;:ti:,.:/c.:11:..,e=<....

Applicable Manufacturer's Data Reports to be attached

                       ~D. -it                e.sy                rn£>73-f                               ~" 1;tht>w P,o.~                 esy CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this RBwcUb/1 conforms to the rules of the ASME Code, Section XI.                                                                                                                                 repair or replacement Type Code Symbol Stamp _ _~ N " ' / < - . . . : . . : A ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Certificate of Authorization No.---'N"'/'--A~_ _ _ _ _ _ _ _ _ _ _ Expiration Date -----'N~/=A~---------- Signed * ~

           ¥neror!w~Title
                           ~~                        .          e.---" .I5_ 7                         &tfue<:f/L                                       Date _,,_~~'-4~7.,.*t'--,_/~z..,=-------, 19 ?Z....

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co. of

  - - - - - - - - - - -..                                   H~Gl_l"~T~n~o~r-~d=-+J-c:~+/-~*----------,,---have inspected the components described in this Owner's Report during the period                                                                                           Ii- 3. "1- g,q to_-+/~'l.~-~:).~.1-~-~9~1.~----, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

   ------'~'------~-~cJ.*_________                                        ~ commissions                                                                  Va* 543 Inspector's Signature                                                                                               National Board, State, Province, and Endorsements Date_ _ _ _ ___,_,5~-~'~~--19                                                       'l 1..

...), Attachment II Page 44 of 102 Serial No.: 92-380 Page 2 of 2 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co, Date _ _...:25:::....__--'-l.,_1-_..::...:J-'Z.'------------

Nam* 5000 Dominion Blyd., Glen Allen, va, 23060 Sheet _ __.1,.i;...._of_:2-;;.__ _ _ _ _ _ _ __ Addr-

2. Plant Surry Power StaH on Unit ONE Nern*

P.O. Box 315, Surry, Va. 23883 Rapalr Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ ___::.;N""/..:cA:;...._ _ _ __

Nern* Authorization No. _ _ _ _ _...,N..,_/..,,a.___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _--'N""'"ta.1\_ _ _ _ __ Addrea

4. Identification of System _ _ _ M"""/\""'IN-'--S"'"l!:A""""'....~ - ' - - - - - - - - - - - - - - - - - - - - - - - - - - - -

5, (a) Applicable Construction Coda B31, l 19~Edltion,_""N""/_.A.___ _ _ Addenda, N-J, N-1 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 BOWBO

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Yaar Replaced, (Yes Component Serial No, No, Identification Built or Replacement or No)

                          ~~~--=

P1Pf 3 Ptz,~ICotlN I\JIJ_ ('JA 1-Vlllt;_;. 179' . *rVA (2ep/acofltle.v+ /JO

7. Description of Work R.I; PLA C. (; c!. Hf;' C/c VA IV t;

8. Tests Conducted: Hydrostatic !;2J" Pneumatic O Nominal Operating Pressure 0-0ther O Pressure /i25 l( Plf'Slf,N psi Test Temp, A,t,,.hl&A/ ..J.- °F NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size is 8% In. x 11 In., (2) Informa-tion In items 1 through 6 on this report Is Included on each sheet, and (3) each sheet Is numbered and the number of sheetS is recorded at the top of this form.

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

                                                                                                                                                                       *{, *-* ,,:..

FORM NIS-2 (Back)

9. Remarks _ __..P-",O~--#__.,;-::._t-i....;1"":.....-=3:c.4..;..;;;Z....;~_~:;;..:..J_-"""/_-=3:....'_'_~....;_/v,:..e..=-----------------------

Appllcable Manufacturar'1 Data Reporu to be 11ttachad PD, # c~:v 18957~-r ?N1:11no~

                                                                                             /I
                                                                                           ?    P,ee:

CERTIFICATE OF COMPLIANCE We certify that the statemenu made In the report are correct and thisM41ccf&htt.l"::conforms to the rules of the ASME Code, Section XI. repair or replecement Type Code Symbol Stamp ___N ~ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate~ofthorization No. N/A Expiration Date NIA Signed ~ .... ~ ~ - : : : : : : wn*r or O w n e ~ l t l e X$~t;;,,,<,(,Z Date _ _ _ _ _ _ _ _ _ _ ,19 _ __ --=---- __

        . --*- *---      ==
                       --~.:...:::.:_   ~---.,;~,.

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler end Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of t{o..l" 1'&r ct Ct, have Inspected the components described in th Is Owner'* Report during the period 11, - 1e a., R9 to I a*aa. -'l 1 . and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warrantv, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be llable in any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this inspection.

                   -----l[:)_:::::,:__.=.                       -__,,,f..;..~--*~------Commissions
                                                  /J=..:...;:.....:..                                            Va* 543
                                   ~Slgnatura                                                                 National Board, State, Provine*, and Endorsement, Date                                     &"°-( ')..._  19 1 l.

Attachment II Page 45 of 102 Serial No.: 92-380 rocket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric and Power Co Date _ _ _l~-__.9'---""""'9--2.=------------

Name 500.Dominion Blvd.J, Glen Allen, VA 23060 A dren Sheet _ __ . _ _ o f _ ~ - - - - - - - - - ~

2. Plant Surry Power Station Unit _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Name P.O. Box 315, Surry, VA 23883 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp ___tv_A _ _ _ _ _ _ __

Name Authorization No, _ _ _ _ _r-J_A_ _ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expiration Data _ _ _ _ _ _'--'-A_ _ _ _ _ __ Address

4. Identification of System _ _~M~ll..~1~-'--~"'-"T-'-E=-'-~"""'\'-\~*- - - - - - - - - - - - - - - - - - - - - - - - - - -

5, (al Applicable Construction Code B31. l 19.6.L__Edition, N/A Addenda, N-1 1 N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 812 L()fp

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other -Replaced, * (Yes Year Component Manufacturer Serial No. No. Identification Built or Replacement or No) 1~re(J.(}et/ bfA.r {114:!{AJ.4l /(Id.

M,6./Zft:::,:,

                                                                               ,;;;~         (/- /V\S

k.V-IOI(,. ~/A Ci( l?fll~Ce'tM.ei'vt c.Lb R.t?plc.c.e,11e"'t

         -Pl~(_            /4"1ere?-                    4-50?5                   tv/P.        o f- t'V\'i> .. l:\v-101t  N{P.        ~
                                                                                                                                                          ,VO Sret~f                    //Iv?                        p~                  I" 4      tJ l'"'-t'-dv'*/0/C,          tvM       ~,)u1-dJ               ~tf'J l)/~    C-.              If/ bJ,                    ~4                     /JI~. fJ r,',r',/JJJ-11J1 c,       ~11     ,,ll)        A  fZo     /}/(}

7, Description of Work _ _ _~O~\J~e=r"-'-"'°'"""o..""-,;;;u_l_\_../.Lep..:..:..\y-"-"E--------------------------

8. Tests Conducted: Hydrostatic O Pneumatic D Nominal Operating Pressure @

Other D Pressure ~D?

psi Test Temp. fJO'T °F .

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 In., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form *

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

FORM NIS-2 (Back)

9. Remarks -...-:fh----'-'nt:.=:c~:.;__d..:::.e...:.c/:........c:~:..::~.:::.r

_ _P,...:.,_():.....*_-A= __ a..:::.S---1:L-_2...;...::_9_.~'-"-'l..:c~_,"3::....---'-"-------------- Appllcable Manufacturer's Data Reports to be attached f? t), -II'" ,s:; 1: 1 -z. 3 e,,, Be, - 3 CERTIFICATE OF COMPLIANCE We certify that the statements made in. the report are correct and thisA?>Md"1£-u C: conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___NA _________________________________

~:~Qz~-lg-n-ee..:~:=T:::1:...tl_e__ ...ExP;::_n_D_:~~:e::e:=-=_,2:..;..:~-------, Tk

                                                                                 ----,,->..-2.------?4--~-,,,,-V.-~-~--

19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of VA and employed by BSBI & I Co of Dartford I Ct - _ ..

have ~~ected the components d~scri~~

in this Owner's Report during the pe~iod / a, J-j;- <f't-- to I~-~ ~ -::t 'L , and state that to the best of my knowledge and . belief,

                                                                        . the Owner. has performed examinations and taken corrective measures described in this
                                                                                                                                                         \                   ~

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

                         ~f      Inspector's Signature
                                                                               ~Commissions _ ____:V:.:A::...;5~4-=3:.....____;__________..:..;...

National Board, State, Province, and Endorsements Date,_ _ _ _ _.,_/-....i.c,i,::..::o:;___19 9L

Attachment II Page 46 of 102 Serial No.: 92-380 Iocket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric and Power Co. Date __'l_-_7-!_0_-_Cfi_l_ _ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ _ _ _ of _ _ _ _ _ _ _ _ _ _ _ __ Address 23060

2. Plant Surry Power Station Name Unit __ o_N~E.~--------------

P.O. Box 315, Surry, VA 23883 w. o. # 3300 095200 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp~N..,_,_/A~--------

Name Authorization No. - ~ N " " / ~ A ~ - - - - - - - - - - P.O. Box 315, Surry, VA 23883 Expiration Date _ _~ N ~ A ~ - - - - - - - - - - Address

4. Identification of System MAIN STEAM

5. (a) Applicable Construction Code B31.1 19.QL._Edition,-~N~/A~_ _ _ Addenda,N-1 N-7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 OW80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

DISC Shvt+e ~ Kaer+,~ UNKNOl/lf.l N/A OI-MS-RV-IDIA UNKNOIIJIJ A.E.PLACED N/A DtSC I AME.TEK ( 5 h~) 72.eOOG'ilV0020 N/A 01-MS-RV-IOIA /'187 RE:PLACEM81J"f N/A

7. Description of Work.......cO=-V,_E.R.""'"'"-l-/""A.;.:U=..:L=--__,\tu.~....L,,,,11'.'"'E..__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

8. Tests Conducted:. Hydrostatic O Pneumatic 0 Nominal Operating Pressure [3-"'

Other D Pressure A/Or psi Test Temp. Nor: OF NOTE: Supplemental sheats in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks -~DL_S_C._ _P.:. . .:O. .:. ._#---==5S~Y_-~/').3c=--=-6...:..8..::.8_-.....:3=----.£.A-'--S--'M--'-'-__

                                                                                                                 £ C_Ur_S_S_Z     _ _ _ _ _ _ _ _ __

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this REPLACE/rlENr conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol S t a m P - - ~ 4 - " ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. ___N~/_A _ _ _ _ _ _ _ _ _ _ _ _ Expiration Date __N:.c. .r. f. ::A..:. . ._ _ _ _ _ _ _ _ _ _ __ Signed 4, M ~~ wner orOwner'sOesigee, Title l3'vt,,r,v£E,e. Date-~~+---*_()_22_+-,----, 19 9/ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State orProvinceof VA andemployedby HSBI&I Co. of Ha.:r'T fe, rd. J CT, have inspected the components described in this Owner's Report during the period ci-g.i~ ec,.to A-cl~-q 'l... 'and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. _ _ _ _Q_,,..l"""~~~~~'-*-~---=~--Commissions_V.,_,A._.__=54.....,3"'-------------- 1nspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _ _l/_,__--"'-fj_.'}_ _19 'f /

Attachment II Page 47 of 102 Serial No.: 92-380 Ibcket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI ,. Owner Virginia Electric and Power Co I Date _ _5_-_5_-_9-"'-2'------------ Nam* 5000 Dominion Blvd., Glen Allen, VA Address 23060

2. Plant Surry Power Station Unit ONE Name P.O. Box 315, Surry, VA 23883 R.12 ;p.. 92- 097 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ ......,,=--------

Name Authorization No. ------'"'""f\"-'-:-------- P.O. Box 315 1 Surry, VA 23883 Expiration Date _ _ _ _ _ _....,N""-'-A_ _ _ _ _ __ Address 1

4. Identification of System_.a..R.,._E...,A.,.C..,T.:0...:;11:.=--_,,C"'OO"""'l.-=-t\-fv_-__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code B3 l. l 19§.l_Edition,_N_;,./_A_ _ _ _ Addenda, N-1 N-7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

I t..s,B7.~sUII Bo Ir<;., I \Ale<..;,. ,,,wou.s'E NA 1-R<l..-G - IL /\I.I\; l<epl<\<!.E~ No (,5152931-111

Bolts \rJ ~S,1,V&t I-/OV5i t...JA I-R~-1..-lC. NA lc.-DL,1 U,Me,.,t 1../<::,

I

7. Description of Work f'i(;;PLAC:.E HAN]> 1-\lt.l) /;OLTS

8. Tests Conducted: Hydrostatic O Pneumatic D Nominal Operating Pressure 0' Other O Pressure _ _._N..D"'"f'_ _ _ psi Test Temp. NOT °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8Y. in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. --

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

FORM NIS-2 (Back)

9. Remarks _ _...,:'S~t-.l~T..l......~3,!..;(,,=~~(o~O!...'}L..__J/3~D=:...,.l+.!.s.=:'.__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Applicable Manufacturer's Data Aeports to be attached

                          '                                                    CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this --;e~?,cdc/Af,f#' conforms to the rules of the repafr or replacement ASME Code, Section XI.

Type Code Symbol Stamp __N_;/_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. _N_:../_A_ _ _ _ _ _ _ _ _ _ _ _ _ Expiration Date _ __:N.;./:....:;;A:......_ _ _ _ _ _ _ _ _ _ __ s* igne d 0 i_ } - ,

                  ~ r ~O~nee,Titte
                                                               .fs'z LNti.-f.lM/1, CERTIFICATE OF INSERVICE INSPECTION Date   /14 I./ L I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of      Virginia                                     and employed by HSBI&I Co*

19 9-Z.

of t/o..r-1For-d c 1: have inspected the components described in this Owner's Report during ;he period /3.* .l 1:- gq to / 3,.* 3--i-'t l,. , and state thet to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

        -----~---,-----:---=f:-*--*~-------Commissions_...,V_A~...:5_4.,..3~---------:--:------

1nspectors Signature National Board, Stats, Province, and Endorsem*nta Date 5- s- 19 '71.. L_,

Attachment II Page 48 of 102 Serial No.: 92-380 J)Jcket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric and Power Co, Date _ _ _4...__-_..5?_-_9'-=Z.'------------

Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ _ _ _ o f _ ~ - - - - - - - - - - Addrea 23060

2. Plant Surry Power Station Unit _ _.;:;.0....t-).c..Q_=--------------

N11me P.O. Box 315, Surry, VA 23883 g'9i00\l378 ~ 12-l'Z =ll< 92-o,~ Addrea Repair Org11niz11tion P.O. No., Job No., ate.

3. Work Performed by Virginia Power '.l.~-------

Type Code Symbol Stamp _ _..N.>.Jl.... Name Authorization No. _ _ _........N"""'/.\.,_________ P.O. Box 315, Surry, VA 23883 Expiration Date N fl. Address

4. Identification of System ___B!...Jl.e...A..,.c..,:b""-'-r_....;c:..;oo=.:.;'A-'-"l}.J;c..T

5. (a) Applicable Construction Code B31. l 1s§l___Edition,_N.....:.../_A_ _ _ _ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol I

                    ~4)                                                                                                                                      ~

1uRE PL'\J& IJJ e.t;<f111.1r:;1\tio0se ~Tll3..,.4Jl37 NA CI- ~C-E -IA (99Z Rep1Acet1..1e1-> Nn J I I

7. Description of Work _ _t~'°...."S=£~A~L_L__-.;..1_U"""B""'E~__.f'.""L'"'U__(z $=------------------------

8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure D Other D Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

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

FORM NIS-2 (Back)

9. Remarks _..,;e:;.*:,::Oc:;l\.l,,_T.,_[Jl.....,..""'Cf"--';tt_.;.;__....a:;.9_.9,_---"'6'""p.,_-'--'.A~5=---3=-=.9'-!J"------------------- - - - - - -

Applicable Manufacturer's Data Aeports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this t:Pl?c t"'i!df,:tzboconforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp __N _ / _ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No __N_,_/_A____________ Expiration Date _ _N....;/_A ____________ Signed ( ) .... ~p ~ Owner or Own~gnee, or Province of Virginia

                                                <2'., ,<

Title l C:z::::: CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State and employed by HSBI&I Co* of f-1 a. r T Fo,.. J J Ci', have inspected the components described in this Owner's.Report during the period ('.l,-~:).-8'.'1 to ,i-'\.'l--'f'l... , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the exa*minations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal fnjury or property damage or a loss of any kind arising from or connected with this inspection.

    -------'~'--""""-.....a----'--"""'i!':-'-.-~-.c....------Commissions _ _                         V_A_5_4_3_________________

lnspactor's Signature National Board, State, Province, and Endorsemant* Date _ _ _ _ _ _t../_-_q~_19 J~

' . Attachment II Page 49 of 102 Serial No.: 92-380 Page 1 of 2 Docket No.: 50-280

1. Owner FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS Virginia Electric and As Required by the Provisions of the ASME Code Section XI Power Co, Date -AUG, UST 7,. l 1 Nama 5000 Dominion Blvd., Glen Allen, VA Sheet ____ !...__ of_ _a.,.__ _ _ _ _ __

Addr- 23060

2. Plam Surry Power Station Unit ____...;;:i"--------------

Nam* P.O. Box 315, Surry, VA 23883 j'ob No 3~Q)e)eJ'] l?;i9 :\ ~0:115 Rapalr Orvanlzatlon P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp NIA Nam* Authorization No. _ _ _JJNt.,/1-1F\i-_ _ _ _ _ __

P.O. Box 315, Surry, VA 23883 Expiration Date _ _ ___,N~/... 81....-.______ Addrea

4. Identification of System_~P.,.,,,":.iO.CbC1...+...i...i;,""1~-_,_C.uo'""o\u.o,..,b.,_+/-~-----------------------

5. (al Applicable Construction Code B31. l 19§1._Edition,--=N~/~A;.:...._ _ _ Addenda, N-1, N-7 (bl Applicable Edition of Section XI Utilized for-Repairs or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replac9d, (Yes Component Manufacturer Serial No. No, Identification Built or Replacement or Nol

       \     R6t)S              C RoS.e.'/                        GfW~SSB           !   N/A             I -fl.l-SV-'1551~   U~~'IOll:lll  ~Pl.J'IQb         ~o tll\\b IN AL !.Nb. \-11"~                                                PO,\lr      c.s y l" RobS.              P~tiuq~ ::Q.lC.                        86t.~io0 1     I   N/A              '5oi55+-(           l~~o        ~i> IJ\CSt\!t.\T   ~o
            ,,                                                                        i I\       B-ot>S          u N \cl\:I ovJ IV                    Ul\'.l\C.l\)OLOiJ I    N/P.         \-RL-~-\t;!5'\ Fl     V~ll~         11.cHi\ C,1;l)    NO Cf\R.blNI'\ L          :Ii\ib If( JI                                     f>o  '* c.sy l\   1
            '   RCJDS         t'RbbUt.TI .I.Nie.                     ii~i<=t 139      I   N/A.            ~'i,'l.%5~-l
                                                                                                                               \qqo        ~~C.1:11\~NT       NO

8. Tests Conducted: Hydrostatic O Pneumatic O Nominal OPGrating Prassure* @-

Other O Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplememal sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., 121 lnforma. tion in items 1 through 6 on this repon is included on each sheet, and (31 each sheet is numbered and the number of shetrts is recorded at the top of this form. (12/821 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New Yortc, N.Y. 10017

9. Remarks _ _...

FORM NIS-2 (Backl A. . S.s.=M__..E--=-__,(....D=D=t--:::;._-'c....A"""".As~...s;.......,..__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Applicable Manufacturer'* Data Repom to ba attached CERTIFICATE OF COMPLIANCE We cenify that the statements made in _the repon are correct and this W P ~ conforms to the rules of the ASME Code, Section XI. repair or rep1acement Type Coda Symbol Stamp __ N_/_A________________________________ Cenificate of Authorization No __N.....;../_A____________ Expiration Date _ _N""'/_A ____________ Signed ,/m L ;:c.sr l'Jcfw/.r'or Owner's i3e1ignH, Title

                                                            £r./6,1Af,Efl!...                              Date _ __j(Z._.....c/;:;f---""-e?~t---,,  19 9 I CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel lnSQectors and the State*

or Province of Virginia anq employed by HSBI&I Co* of f:/o..r-T fol"'d J Cf, have inSQ~ted the components described in th is Owner'/Repon during the period / 1-* ~ ~ - f 1 to I 1- ~j. - '1 :J.. , 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 Aepon in accordance with the requirements of the .ASME Code, Section XI.

By signing this cenificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations_ ~nd corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or propeny damaga or a loss of any kind arising from or connected with this inSQec~ion._ ( \ ~ J). - ~

    -----'~L.:=--:--'"-:'.::::-:::-~f...:==~:""'=---=-----Commissions __V_A                                 __S_4_3________________

Inspector's Signature National Board, State, Province, and EndorAment1 Date,_ _ _ __,g...__-.:;;..i-'t{~-19 Q;

t ' . Attachment II,~'-*

Page 50 of 102 Serial No.: 92-380 Page 2 of 2 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric and Power Co, Date /Jrv6ro-:rr :Z. I , I cyq I Name 5000 Dominion Blvd., Glen Allen, VA Sheet Addr- 23060

2. Plam Surry Power Station Name Unit _ _ _ ......1=--------------

P.O. Box 315, Surry, VA 23883 :SO'bRepair No Organization 38-0009139'+/- f:1&9P:lt:z P.O. No., Job No., ate.

3. Work Perfonned t,y_...;V;..;i:..;r:a...g=in=i""a'-,,,,,;;;P...o;.;;w;.;:e:..::r:-______ Type Code Symbol Stamp__..N {PA_

Nama Authorization No. _ _ __.NJL,f-1.cif>i..___ _ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expiration Oata _ _ _ _,..N~/""'AJ....------- Add,-

4. Identification of System _____Ru.i.f.14fAl,,.C.l.l;!.to.1..c_..,,C..i:R""O~l..,C\...,YJu...J+1------------------------

5_ (al Applicable Construction Code B31. l 1sE_edition,_N __/ A;;.; . .___ Addanda, N-1, N-7

   ....,     (bl Applicable Edition of Section XI Utilized forRepairs or Replacements                                1980W80

6. Identification of Components Repaired or Replaced and Replecement Components ASME Coda Netlonel Repaired, Stamped Name of Name of Menufecturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol

             \"    NUTS               .c~se.,\J                                 lJ~K~l'.lt.ili\.l    !, N/A           1~R.c~sv- \ssm            U~I\IIClllll        ~Pl.JKJ:b       ~o I\&, 6t- ~GilNEERI~' Hf.i.\                                6                       PO~          l)Y I" NlJf.5                :1\. '}       J:_N) C *                  ( C:, )( 'J:jf"'l-    I   N/A              ~'31t1Db-5             '1C\°iD       ~PU\(S'l\~T          ~o 3 ,,                                                                                 i
             \ 7g,   MV1.S          I) t...1,ILJ.l 0\AI IS.'!              ,, l,IV-1\.lOWN           I   N/A          l-R.<..-~ -lS"Slfl        1.'~ll~!ol          '-1:Hf\ C,Sl)    NO bJ,T   ,#                               Po,\1
            \ 3 ,,
               ~     NlJT$         f\~ &,        ~6,1.l~t,i CIR. t.                        Z.te '7   I   N/A.            l 9 (;/t 1-'3 -.2        \9B~
                                                                                                                                                               ~~Ct:1'\lNT          NO

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pres1ura g--

Other O Pressure _ _ _ _ _ psi Test Temp. _ _ _ _ _* F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided 111 size is 8~ in. x 11 in., (21 Informa-tion in items 1 through 6 on this repon is included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form *

 *       (12/821                     This Form (E00030l may be obtained from the Order DePt., ASME, 345 E. 47th St., New Yortc, N.Y. 10017

                                                                                                                                                              . ' t FORM N1S*2 (Backl

9. Remarks*--4-~....S~l""_!c..-

_ _.... (:o,.....p...E-:~_...C"".J"'"'A...,_,,'S,_$"'---+----------------------- Applicable Manufacturer'* Data Repom to be attached CERTIFICATE OF COMPLIANCE We cenify that the statements made in the repon are correct and this ~~ conforms to the rules of the ASME Code, Section x I. repair or replacement Type Code Symbol Stamp __N_/_A_____________- - ~ - - - - - - - - - - - - - - - - - - - - - Cenificate of Authorization No __N_/_A____________ Expiration Date _ _N_/_A ____________ Signed l ~ LI ;;r:;s;r_

          ' o n e r or Owner's Oe1l11nn, Title EN61Aiae                         Date---,f1tJ~:;;:::.......,--"'e<-*._,__/---, 19   9' I CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State orProvinceof       Virginia                                  andemployedby HSBI&I Co.                                                                    of
  -------+'-~. ~=-t     . .....fi...o__r-..;:J__,,.......;:c:::;...,r:~-----......;.--=-~---~---.,.have         in5P.ected the components described in this Owner's ~epon during th; period _ _ _ _ _ _ _/~!}.._-~l~l~--~-Cf.__to                      11 -'J.~-q 1-                          , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's_Report_in accordance with the requirements of the ASME Code, Section XI.

By signing this cenificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations_ ~nd corrective measures described in this Owner's Report. Funhermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or propeny damage or a loss of any kind arising from or connected with this inspec~ion.~,)' (\ ..Jj_

   -----1'--'-~=-~=-.a....-'-:-=-~~~

J. ~ ......:;.....;=-----Commis:ions __V_A __S_4_3________________

                      ~ . Signature                                                            National Board, State, Province, and Endonamenta Date,_ _ _ _ _~...__-....       l_\s'__19 q I

                                                                                                                                                                                                        'Attachment II Page 51 of 102 Serial No.: 92-380 Page 1 of 2

D::>cket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Vininia Electric and Power Co, Date-+f+y""-""'.,._&i...,,......... 2-'""l""_,_I'j..._.:t......,_l_ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, VA Addr.. 2)060 Sheet _ __,la___ot*__,ii!!L=---------

2. Plam Surry Power Station Nam*

Unit _ _ _,.1.~------------- P.O. Box 315, Surry, VA 23883 Aob \\Jn. 3f$0009 139 C.. ~Cfo-i/4, Repair Organization P.O. No., Job No., etc.

3. Work Perfonnedt,y Virginia Power Type Code Symbol Stamp

tJ ! A Name Authorization No. _ _ _.,.N..,1~/l\'1---------

P.O. Box 315, Surry, VA 23883 Expiration Date _ _ ___.N-,./...,A.________ Addl'ftl

4. Identification of System _ ___;,,R......e""cx...:\J.,.pa...t:__l=l'.)....o....

                                                                                   \.:::ig....n....-\-..:...._____________,;,..._________

5, (al Applicable Construction Code B3 l

1 19§1__ Edition,__,.;Nc:.:/~A~*--- Addenda, N-1 , N- 7

{bl Applicable Edition of Section XI Utilized forRepain or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components

*,                                                                                                                                                                                                                           ASME Code National                                                                                    Repaired,         Stamped Name of                  Name of                               Manufacturer                           Board                                 Other                         Year                   Replaced,           {Yes Component              Manufacturer                              Serial No.                             No,                        Identification                           Built             *or Replacement or Nol I" R,.ODS                 ,C.Rose,y.                               c,~\loi~sel.                           N/A                  1-P.t-sv- 155113                           U~~IIOICII                 1\1.PIJ\ab           l'\O tRRt>INAL ~l) 1-\"f 41                                                                                  PO~
                                                                                                                                          ~w~n--1 l5Y l " f\Ot)$           PN:ID\Jcr; :ri,.:,c.. 8'ib'J I ~':I                                       I        N/A                                        9~-1                    ICJ9o               "!:P IJ\Caf\~i           ~o i

1%, NUTS ON)(NOLON \)N'l<NflN IV I N/A I-Rt.-l>V-1'5!,1 B 1/~ll~t,1 11,I:f)ll\C.Sb NO Po~ I'\ NIJTS -J.1 t,IJ A 1Cc&54'-\ I I N/A

                                                                                                                                           ~~\          \ b\- \                ,q~'c                 ~lhC.1:1'\'=.NT          NO
                               . o                \
                                     ,t'.4'f-'-A.

7. Description of Work _ __,,..........

                                                                         \ ,, ~             \ ~... ,,                 n           C ,                                i                                           '
                                                    .......c..,.,e_ _,___,(!2=..__.......,:?!........_.......Lr~o...o\ci.;fu.:a......::...:.\..:'L:.::~J_...!,O.,~IQi!l..l:.lcA!...__l\;o.1:4!..:t1...:S>2-~C~d-;~'*;!..~_ _ _ __

8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure~

Other O Pressure _ _ _ _ _ psi Test Temp. _ _ _ _ _° F NOTE: Supplemamal sheets in form of lists, sketches, or drawings may be used, provided {11 size is 8% in. x 11 in., 121 lnfol'ffll!l-tion in items 1 through 6 on this report ii included on each sheet, and 131 each sheet Is numbered and the number of sheets is

recorded at the top of this fonn.

(12/821 This'.Form (E00030) may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y .. 10017

FORM NIS-2 (Back)

9. Remarks --,,/-.lb.....-:.i..ME----=~--'L_*~~...&=--C-..C ....fi~S=S=--........,__1-------------------

Applicable Manufacturer', Data Reporu to be attached CERTIFICATE OF COMPLIANCE We cenify that the statements made in the repon are correct and this \?£,e,JKf;.M.£ e,t conforms to the rules of the ASME Code, Section XI. repair or rep1acamant Type Code Symbol Stamp __ N_/_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Cenificate of Authorization No._N_/_A_ _ _ _ _ _ _ _ _ _ _ _ Expiration Date _ _N_/_A _ _ _ _ _ _ _ _ _ _ __ Signed ~ ~r:.:

            , -wl~Owner'i Oaslgnu, Title o;:sr      b/6,r,, /,£?                      Date _   _.../2
                                                                                                       ...~-=.___..s;;S
                                                                                                                    ......$......._ _ _ , 19 '7'/

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding e valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia -jlndemP',OYed by HSBI&I Co. . of ft:0-: r I For- d I Cl have inspected the components described in this Owner's Repon during the period / 1-a,. 'l- J'j to / 1,-.11.-q 'l , and state that to the best of my knowledge and belief, the Owner hes performed examinations and taken corrective measures described in this Owner's .Repon_in accordance with the requirements of the ASME Code, Section XI; By signing this cenificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Funhermore, neither the Inspector nor his employer shall be liable 'in any manner for any personal injury or propeny damage or a loss of any kind arising from or connected with this insp~ion. . . () ~I JD~

   ---...l~i..=:;~~-~jJU/l'----:-:--:-::::--:-::"'L
                                                ....." ......"  ~
                                                             -=-=----Commissions     __V_A __5_4_3;;.._~--------------

inapector's Slgnatura National Soares, Stata, Provine*, and EndorAme~ta Date_ _ ___..~--=~-~--19 q/

Attachment II Page 52 of 102 Serial No.: 92-380 Page 2 of 2 Docket No.: 50-280

1. Owner FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co,. Date Au6iV;1(" Z- t , I 19.1 Name 5000 Dominion Blvd., Glen Allen, VA Sheet

1. ot_ _..,....___ _ _ _ _ _ _ __

Addr- 23060

2. Plant Surry Power Station Unit _ _..___ _ _ _ _ _ _ _ _ _ _ __

Neme P.O. Box 315, Surry, VA 23883 1o\, No 3 B00 fl 9 t :;,9 b ?f?tJ-.-CJo-1tte Repelr Org1nlzetlon P.O. No., Job No ** ete.

3. Wortc Performed by_..;;V..:i:.::r""'g""i:.:n:.:i:.:a::....:P;..;:o:.:w:..:e::.:r=-------- Type Code Symbol Stamp bl I A N1m1 Authorization No. _ _ _.._N.,'~/fl....__ _ _ _ _ __

1 P.O. Box 315, Surry, VA 23883 Expiration Oata _ _ _ _ _N_/...A.________ Addrea

4. Identification of S y s t e m _ * - - - - - - - - - - - - - - - - - - - - - - , - - - - - - - - - - - - -

5. (al Applicable Construction Code B3 l. 1 1 9 ~ Edition,_N..../...;A.;;....___ Addenda, N-1, N- 7 (bl Applicable Edition of Section XI Utilized forRepain or Replaciiinents 1980W80

6. Identification of Components Repaired or Replacec:t and Replacement Components ASME Code National Repaired, s~

Name of Name of Manufacturer Board Other Year Replaced, (Y91 Component Manufacturer Serial No. No. Identification Built or Replacement or Nol 1% RODS . CRO.SBY ""YS'6KSB ! l'l/A 1- ~C.-W~ IS-SIB U~~laOICII P.t.P l.J\ab KO

     \"~ ,,                rn~~INA l 1.1\)D              1-\1 ~                                                           POl\t          csy R.Ot;)S      flMDDlTS :tl\lc                 sib9 l3~             I i

N/A l?sl '652.-1 1~~0 ~PU\CSf'\11.\T ~o I,, l\.:i lJT~ ll N Kl\l-ow-fu IJNl<:.l'Hl\..ON I N/A t*Rc..-w-1ss113 VNlt~i,1 11.t:I) 1.1\C:Sb f\lO IH*~ fN~INnRIN~ HHI Po,\11 csy I" \\JUTS ::.rr. , :irvc, (.,)< :l.(:, 'f I N/R 1 °I .I..\ tO l,- "3 1qqr7 ~~C.'E:11\'ENT NO D \ ~ \" \3 I, \ , I '-

7. Description of Work ___f\~f'i~""9"'-'"'te..&l.=><-.____.,_____..&,.,_...,,--~...._.......r~o'-"O.,...$..__,._( 'l-::;.**..._

                                                                                                                  .i.,.;1    J__.o.:::oinl.l.~c\L....lY\~lA~-\s.l;s=--...1(...,l=-4.:..J~*----'-----

8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressu~ ~

OtherO Pressure _ _ _ _ _ psi TestTemp. _ _ _ _ _°F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 slza is 8% in. x 11 in., (21 lnforma-tion in items 1 through 6 on this repon is included on each sheet, and 131 each sheet Is numbered and the number of sheets is recorded et the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New Yortc, N.Y. 10017

FORM NIS-2 (Backl

9. Remarks _ _A,_,_,.S (_,Lk5....,_.:::;..S'--_..4-"""----....;.._-----------------

                                 ...Mf:'-""--=---'"(oo==E..=-....

Applic:able Menufac:turer'1 Oata Reporu to ba attac:had CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this !2EPL.ACEM:clf conforms to the rules of the ASME Code, Section XI. repair or rep1ac:ament Type Code Symbol Stamp __N_/_A_________________________________ Certificate of Authorization No. _N_/_A____________ Expiration Date _ _N__/_A _____________ Signed~~ ,15k W4::i,(ffe.. Date----10...-~~---__...ri?...8"----, 19 9I Owner or Owner'; Oesignn, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel lnse>ectors and the State orProvinceof Virginia arujemployedby HSBI&I Co. of t-/g,r Tfor~=L ct- have inspected the components described in this Owner's Report during the period ( '.l..-ii-?'l to / 1 ~,_,, _q 1- , and state thet to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's _Report_in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinati~ns_ ~nd corrective measures described in .this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this

   *in--sp-ec-~i-O.J-ri-*u         w':"-":.;;...-:---:f'"-=,~(3-:"'~""-"""'
                 ;.:..o,:;::.'-'*...                                 ......____ commissions __v_A_...;s_4_3;;________________

lnapac:tor'1 Signatura National Boara, State, Province, and Endorsaments Date_ _ _ ___..[_--~-~-19 q /

Attachment II , . Page 53 of 102 Serial No.: 92-380 Page 1 of 2 D::>cket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Vininia Electric and Power Ca, Date 1/v!fiu;:,T ZI, t9'U Name 5000 Dominion Blvd., Glen Allen, VA Addr- 2)060 Sheet _ _....l..__ of_ _,1,~--------

2. Plam Surry Power Station Unit_--'=--------------

Neme P.O. Box 315, Surry, VA 23883 JobRepair t\),, 38(2le,ei91391 @2#:90-117 Or;1nlzatlon P.O. No., Job No., ate..

3. Wortt Performed by _ _V__i_r..,g.._i__n__i_.a.........P__o_w_e_r"-------- Type Code Symbol StamP--1Hoe.../aA_

N*m* Authorization No. _ _ _...,N~,f.JIPtg.__ _ _ _ _ __ P.O. Box 315 2 Surry, VA 23883 Expiration Oate _ _ __,NIJA.l-/.1,;A,.._______ Addrna

4. Identification of System _ __,,B,-'l,... e>-,.,,X)u.+/-....i....----------------------

f>-<Q,{..._.+....Q....t:_ __,.(.,_rtau..u.)....

5. (al ApplicableConnn.ictionCode B31.l 19~Edition,.......;N~/:....:A:..:__ _ _ Addenda,N-l. N-7 (bl Applicable Edition of Section XI Utilized for.Repail'1 or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components

' ASME

    ' ..                                                                                                                                                                                             Coda National                                                                       Repaired,     Stal'IIP8d Name of                 Name of                             Manufacturer                   Board                             Other                    Year              Replaced,         (Yes Component             Manufacturer                              Serial No.                   No.                    Identification                     Built         or Replacement     or Nol I" R_at:>S              CRl)sey                                 6RV~K~B                  !   .N/A                  )-f)..t- ~V-\iS°iL ll~"-NCIQII                         l\t.Pl.J\Gb         ~o C!,1!,\:>\Nl\L ~l), 1-\'f -:\1                                                              po-.                 (.~ y I" AtlD s          ~'b\lq~ .:t.N~. %%b9\3'3                                             I i

N/A 30'lS55+-I \~l\O ~PLI\CSl'il!it.\i ~o I~'3 " RDbS U~ 't(.~O Cl.)N l)~\<..NOu)t,l I N/A 1-1:i.L-~V-!SS\ c.. 1,1"31(~ ~1)1.1\c:Q NO rn~,ro 11\... J.~b 1-\1' ~ Po-:t c.s '/

       \~{ (\cDS               l'~CbUl-T~ ::tNl(.                        8&'t~l3')                I    N/Ft                    !l..%L~o'.l-\                     \°l~ 0         ~U\Cl:11\1:.NT        NO

7. Description of Work _

0 __.D.._f'1t>i""\'°'~c..,e,.,..,...1I __\+,/I-~CQ"--_,_.....,...2,

                                                                                     ~ \%II                      t          (           ,                \                           [      '-

J~O\.Jv\..C)\~~-.I:h!:!:~:l..T.1.$:::.*~..:;;t~L\.L.....J~---- _ _,'-'HS::..:a<)O....,,,,S~~':..:l.::;*.,!_

8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure ~

Other O Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplememal sheets in form of lists, sketches, or drawings may be used, provided 11 I size is 8% In. x 11 in., (21 lnforma-tion in items 1 through 6 on this repon is included on each sheet, and (31 each sheet Is numbertd and th11 number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.V. 10017

                                                                                                                                                        \          ;*.

FORM NIS-2 (Backl

9. Remarks _ _ _ __,,A6-'-""._.t-\..,E-.=._...;~===-*_ _,.!L=-----------------------

Applicable Manufacturer's Data Reporu to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this WLACfi:Jl:V:rSL confonns to the rules of the ASME Code, Section XI. repair or r11p1acement Type Code Symbol Stamp __ N_/_A-------------------------------.-- Certificate of Authorization No._N ___

                                                                 /_A_ _ _ _ _ _ _ _ _ _ _ _ Expiration Date _ _N_/_A                 _ _ _ _ _ _ _ _ _ _ __

Signed 1./C,,,...,

               '6tv~           u?rr Or Owner's Oe1i11nH, Title
                                                          -=rs:z: £N6/N"F~                              Date _ _.a""""1f=;:;,:,-=-'-""r2,..8~---, 19   9/

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel lnsPectors and the State or Province of Virginia and employed by HSBI&I Co* of _ _ _ _ _ ___.H..._a..,_r_..,...,,....,_I ... . . . _r_d~J-C'T.=---'------:--"'."'"".:---:::-:----have insPec~ to the components described in this Owner's Report during the period 11- ,_ 'l.- S'Cf to /1-i !).-q'J_ , and state that to the best of my knowledge and belief, the Owner has perfonned examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

    --~-l~                -""-
                                   -ft-t~
                   .......--:-,n------==o:;r'~1-;:s-;:111=n=at=u':':r=e VA 543

_ _ _ _ _ _ _ commissions--N--,------------E-d------,,., atonal Boara, Stata, Province, and n orwment1 Date_ _ _ ___..f,_-=~. .'.(..____19

                                                     .                   9/

Attachment II Page 54 of 102 Serial No.: 92-380 Page 2 of 2 IJocket No.: 50-280

1. Owner FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virsinia Electric and Power co, _O!Jtl .p.., ){-;,P'!ff 2 BJ I qq I Name 5000 Dominion Blvd., Glen Allen, VA Addr- 23060 Sheet 1 ot_ _ .,,L=---------

2. Plant Surry Power Station N1m1 Unit ____ i=-------------

P.O. Box 315, Surry, VA 23883 :fob t\),, 3 Be 0 l2l 9 I 3 ') l @e#gQ:tt 7 Rep1lr Orvenlzltlon P.O. No.,.Job No., nc. J. Wortc Performed by Virginia Power Type Code Symbol Stamp bl / A Nam* Authorization No. _ _ _.a;Na.,~/Ac..._ _ _ _ _ __ 1 P.O. Box 315 2 Surry, VA 23883 Expiration Otte _ _ ___..Nl>>f-/*BL-------- Addrea

4. Identification of System -- R:eC\C"'IP t CC>o tQ:-'rl:\:

5. (al Applicable Construction Code B31.1 19§.L._Edition,-""N;.;.a..;/A;.;;.. ._ _ _ Addenda, N-1 1 N-7 lb) Applicable Edition of Section XI Utilized forRepain or Replacements 1980W80

6. Identification of Components Repaired or Aepleced end Replacement Components ASME

                  '                                                                                                                                                                          Codi National                                                                            Repaired,        Stamped Nemeof                   Name of                   Manufacturer              Boara                              Other                    Year                   Replaced,          1v..

Component Manufacturer Serial No. No. Identification Bullt or Replactmtnt or Nol I" NIJTS c~o?'3Y - '7 RV \5%KS.B ! N/A 1-1\.t.--SV* \SS I <-- 11~1\IIOICII ~PI.J'IGb ~o f:\-r(;, ENCill-lt£R\"1~ ~,~ PO-:\'! 111 NVT5 $- l 1:.1\l C-, Ck "X :l.6":{. I N/A :l~.I.\ tt)6- 3 \'\°to ~p Ll\(Sr\11-,\'T ~o I 11 l\ NUTS VN\*;;N bW-N \1Nl{Ne,w ~ I N/A )~ Rl

SV.1:-\SS-l<.. 11~1(~ 11.1:1) l.S\C:.Sb NO Po-:1 I\ 1'lLl1S In. *- c;,.,..,... "2."-/0.Z.D I N/F\ 'l.\\ '- '!:> 5-3 l'if20.

                                                                                                                                                                  ~lbC.t:1'1\lNT             NO
                                            \ ct

7. Description of Work _ __.R"-'-:"'e'f'r....

t-. I,, .x \ k ,,

                                              ...L=e..,ct~._ ...._-.a::~=-.;.....:,o_
                                                                                                 '                               n                                  "

__,_'1'""'-Q:C\=~~c.:...\'1._)~..11=0a_..:.~::::U..~t~c..i_~(..£!l:...l\..1.*....1...

                                                                                                                                                                        ) _ _ _ _ _ __

8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure W Other O Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplememal sheets in form of lists, sketches, or drawings may be used, provided 111 size is 8% In. x 11 in., (21 Informa-tion in items 1 through 6 on this repon is included on each sheet, end (31 each sheet II numbered end the number of sheets ia recorded at the top of this form .

(12/821 This Form (EOOOJOI may be obtained from the Order Dept., ASME, 345 E. 47th St., New Yortc, N.V. 10017

FORM NIS-2 (Back)

9. Remarks 85Mt- W>r:E-- L.l.J6s Applicable Manufacturer's Data Repom to be ettached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~ e : , J T conforms to the rules of the ASME Code, Section XI. repeir or rep1acement Type Code Symbol Stamp __ N_/_A____________- - - - - - - - - - - - - - - - - - - - - -

Certificate of Authorization No. _N_/""A _____________ Expiration Oate _ _N__/_A____________ Signed ~~:?M ::CST P{h{f../Efl?-

               ~e, or Owner's Dftignn, Title or Province of

Date--~&;J><:,-~*

CERTIFICATE OF INSERVICE INSPECTION

                                                                                                          -=ri?""'8~--. 19 9 /

r. the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel lnsPectors and the State Virginia and employed by HSBI&I Co. of Ha.v*t"for-J CT, J have injied the components described in this Owner's Report during the period I l - :l ~ -t:f * , and state that to the best of my knowledge and belief, the Owner has perlormed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be li~ble 'in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspectio(.\ _ . /'J A +-f. ~~

    ----¥-~...,...,__...;;.

___~-~=---{_h--~~-----Commissions __V_A_S_4_3________________ lnlpee:101"1 Signature National Boera, State, Province, and EndorHment1 Date_ _ _ _ ~_-_j._~__19 qf

Attachment II Page 55 of 102 Serial No.: 92-380 Docket No.: 50-280

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

1. Owner Virginia Electric and Power Co, Date _ _..;;>_.;;;-~S=-- . . . . .9::..Z Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ _....l...._ of _ _,1-...._ _ _ _ _ _ _ __

Addrea 23060

2. Plant Surry Power Station Unit OtJ~

Name P.O. Box 315, Surry, VA 23883 Addresa Repair Organization P.O. No., Job No:, etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _..,fv:..:A~--~.:.<*';,..,.:;:~i::...**...:*-,...,.--'--

Name r..:. Authorization No. _ _ _ _.....i.:N:..:A~---*'---- P.O. Box 315 2 Surry, VA 23883 Expiration Date _ _ _ _ _...i.;;..4-=--------

                         '              Addresa

4. Identification of System_..84,.... buN...J>O""".,._w,._,Nc,a..._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Coda B31.1 19§1__ Edition,_N;..;..:.../.::.;A;...__ _ _ Addenda, N-1, N-7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, or Replacement or No) ASME Code Stamped (Yes 2 ,, VAIVE t.l \/,.,ct-+ V I.IA l.11\ I RI'\ 23 "' I\ l?E "' C. Go Ii. V) P1rE 2 -z~ I/ 1\11\ N~ l\lt\ I - l3i) NA I~I: PL.4LGD *.Jo

         \/A lvi=- z. ,,     W.      \/"ed  u NA            1\111               f-t>t::>-z.s                   NA          R~t>IA. (eAllel'Jt       ,IJO P1PE: "l                ~vb                                     Nt\           1...l {\              I-      isb- 23                'I.Ill.,  ee1>)A c.RMt,ui           iJO l/'-'A..,_\y.....,,.E'----------------------------

7. Description of Work. _ _....R....aE=..a..P..,,L,._A--=c.t;'-""---...

8. Tests Conducted: Hydrostatic !if Pneumatic O Nominal Operating Pressure 0 Other O Pressure l,'l5 V. l)sl~si Test Temp, AMI. I E:f.Jt °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

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

-~ FORM NIS-2 (Back)

9. Remarks -~--'e...;.' * ..,1£_--=e.~s_,y_,.._7.._4-.,_~=*=3-==~~-__,S=-_y.,,_.4:,,l'-"\l'""'~a..--------------------

                            ,,._O..:.

Applicable Manufacturer's Data Reports to be attached p 0.1\ CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this £&/1e:hJ;fl,r conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp __N..;/_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. _N...:../_A_ _ _ _ _ _ _ _ _ _ _ _ Expiration Date _ _N_/_A _ _ _ _ _ _ _ _ _ _ __ Signed Q t:~ _:T'Sf d¥4',l'f//~4,. Owner or Owner's Designee, Title or Province of Vir~inia Date~/Y~=4'-J!/'--"D~-----, CERTIFICATE OF INSERVICE INSPECTION I 19 f,2. I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State and employed by HSBI&I Co' of _a r:tfocd) ct have inspected the components described in th is Owner's Report during the period /..).. 3, 1-8' f to I;}.* ~ :J.-q 'l.. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this in~ection. ~ JJ_

       -----1Q---1.AJ.~--"----'----:-:'i:_
                                                  /0

_____.(2_~

                                                         ~
                                                     ....._____ commissions_..,V_A-c--5_4_3_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Inspector's Signature National Board, State, Province, and Endorsement, Date _ _ _ _ _ _ r_-_6~_19 q ~

Attachment II Page 56 of 102 Serial No.: 92-380 D::>cket No.: 50-280

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

1. Owner Virginia Electric and Power Co. Date_~l/~~~2.=d?..,_,1~ ~ - r l ~ - - - - - - - - - - - -

Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ ___.:.,/_ of__,_/_ _ _ _ _ _ _ _ _ __ Address 23060

2. Plant Surry Power Station Unit Oµe Name P.O. Box 315, Surry, VA 23883 tt!-1()£, K!L:CI Z- I Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp~N~/~A~--------

Name Authorization No. _ ___,_N.,_,/'--'A'-'------------ P.O. Box 315, Surry, VA 23883 Expiration Date _ _~ N ~ A ~ - - - - - - - - - - Address

4. Identification of System _4.,4...L..O,_,"""",.__-+-k.......,'J-.

                                                               .....,J"',rAl,"'#,"'--<--<-r...,~e...,z..eiL""'---------------------------

5. (a) Applicable Construction Code B31. l 19~Edition,-~N"--'-/~A~_ _ _ Addenda,N-1 N- 7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME or Replacement or No) Code Stamped (Yes

7. Description of Work _ _.k'-'-"""~"-~--'Jt.=A""e=..a,t:.___....,C-...,__.-,/,"""../""e_../z"'--tlc...d.=:.:"--"'-,/...,,'d:,._,5=------------------------

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D

                      .;,l- Other ~Pressure _ _ _ _ _ psi Test Temp. _ _ _ _ _° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY. in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form .

(12/82)

                      -)I-This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017
                             /V,D~ ( )>1 ~                     ~ 7')       /c!-/2,  .t-r~,:c!?     ha      WB';f--

FORM NIS-2 (Back)

                                    ~                                                             -,1,)~------------------

0

9. Remarks ---'~;....,d.=--~-t/....._ __,__!4_,~=----#---'---/--'-?__..J'.'t

                                                                         ....~'""'~'-"~.._...,,_
                                                                                              .,_/

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this k).:~..,,...,...,,-conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ __..,_,_.__.__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. -,--N-'--/_A____________ Expiration Date _ _ N~/_A_____________ s;go,,Q~~ CERTIFICATE OF INSERVICE INSPECTION Date_~A_o~,/.~,~u~-----, I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State 19 9a or Province of VA and employed by HSBI&I Co. of ______._U.~4~r_-1'_._...@~11'-J~+i-C=--'T---------------=------have inspected the components described in this Owner's Report during the period-~---'~1~*-'1~l~*-B'.~'t_.__to-~~~--i~:J.~*~'f_i. _______ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section.XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspectio~i. ~ Commissions VA 543

rnspector's Signature National Board, State, Province, and Endorsements Date _ _ _ ~/""""'j.,_/~;)__~__19 7

ql) L_

Attachment II Page 57 of 102 Serial No.: 92-380 Ibcket No.: 50-280

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

1. Owner Virginia Electric and Power Co. Date _ __,,<~/_,_£&..,r;z.-1-h:....L......:o::___ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ _ _ _~ _ o f _ ~ - - - - - - - - - - - - Address 23060

2. Plant Surry Power Station Unit __ t:J._v._'______________

                                                                                                       .5                                                         _

Name P.O. Box 315, Surry, VA 23883 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp__.N.,_,/'--'A....__ _ _ _ _ _ __

Name Authorization No. _ __.N..._/'-'A'-'------------ P.O. Box 315, Surry, VA 23883 Expiration Date _ __.N-'-'-'A,._,__ _ _ _ _ _ _ _ __ Address

4. Identification of System 4,j E-e.t.rfJu.1e?ate.

5. (a) Applicable Construction Code B3 l .1 19M_ Edition,_....,N!..W-/'-'A'--_ _ _ Addenda,N-1 N- 7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) lf,.,,.1az- ,u,, , d c~µJ- UNA&AJA1,1 ,h Al~ 1-~w-r"I - b).,-,h) 7 -

 /'n~e,t,    1/~1J.e-       .focttwd-4!/_        9?r)L,irv           ;Vu            /-~w-Y'J                                             ~:I'.\. *-

I

                                                                                                                                                    ":,~v) N()

I

7. Description of Work _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrosta~ D Pneumatic D Nominal Operating Pressure D

                         '*"other [0' Pressure                  psi Test Temp.                       °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

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

                         ~    /tl)e!-(/>r /?~11,Pbt,                  h~,.1~         ~.!-t:Jw~/~

FORM NIS-2 (Back)

9. Remarks -_.:..,~=-="°-"'//....,'4'.____,A'---"'O,e__#

_ _./'----'?'----'<-o'_,/.'--"'8'..'-.r,.__..._(....,,c....,"-} _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this £~"&,eu...,,"'"'Tconforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _-"-'..,_....__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. ___N--'-/_A ____________ Expiration Date _ _N..,_/_A_____________ Signed 0~~~ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of VA and employed by HSBI&I Co. of _________......~.. ,. .4~t~1:~6_-=o~!tl~----JJO-c~'-_______________ 'f- have inspected the components described in th is Owner's Report during the period I 1-9: 3: ~ ~n to_-a._-~a.~:i~*__,9~1.-=------, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a Joss of any kind arising from or connected with this inspection.

   ------.J~'-'"""--"-----'f.._._~__,"'-.....::'---Commissions                                                              VA 543 Inspector's Signature                                                                              National Board, State, Province, and Endorsements Date_ _ _ _ _                  -+/~,~L~4=:__19 qa

Attachment II Page 58 of 102 Serial No.: 92-380 Page 1 of 2 Docket No.: 50-280

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

1. Owner Virginia Electric & Power Co. Date_s;=--+k h-<-----2.._-- - - - - -

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

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _~ / ~ _ o f _ ~ Z . ~ - - - - - - - - - - Addrea

2. Plant Surry power Sta ti on Unit _-'a=-<=-=£=---------------

Name P.O. Box 315, Surry, Va. 23883 Addrea Repair Organization P.O. No., Job No., stc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N'"'"/_A_ _ _ _ __

Name Authorization No. _ _ _ _ _ _N....,....L.cl\~----- P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _....N..,./wl\,,______ Addren

4. Identification of System_C=--~,..~~~"""~~4~/._:Vi"""~~-----------------------------

5. (al Applicable Construction Code B3 l , l 19--22_Edition,-~N....l~A~___ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol

7. Description of Work ,d?#,- dee ,do Jy Tc)

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure ~

Other D Pressure Nt:IP psi Test Temp. .va -r-- ° F

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

~ -

FORM NIS-2 (Back)

9. Remarks ~,;...M-='tJ'---#_.....;;.~-=.>:-.+f--..J"'. "'-"'~""'Q::.L/.....7:.......JLtfj__,_(<-:r--)-"/,-£-','-'1-' .-,:=d~...,ll'-----------

                 ?       -#-                       _          Appllcable :::uf7turer'1 Data Report, to be attached
                                                                                                                        -".#...:...:'.$°:....:c>...;:;;~....

LQ~ Cs( ,J6JV4tlw. _ S,,,,,.)£ CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this~..!)~e..vr: conforms to the rules of the ASME'Code, Section XI. repair or replacement Type Code Symbol Stamp ___N'-',L..c..;A;....__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. --=N"-'/'"-'A=------------Expiration Date --~N...,luA,..__________ Signedil~ j) VOesignee,£J'f Ownert1Ji;!;l, Title Date--&~~:.-,z_.,..,,,.._~/_,,9~---, 19 I - 9L-CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of ________,-ff~tJ-_r'-r~E~o-"'~J~1_C~+~*--------------.have in!!f?ected the components described in this Owner's Report during the period _ _ _ _ __._/.... '-'-*""'~"":}._-~f~C,~_to I J.

d: ~ -, i , and stll19 that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described In this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

  ----1-Q>l--""-__,I.bl   .__---:-/-=:.~~~~'-------Commissions nspector'1 Signature Va* 543 Natlonal Board, State, Province, and Endorsement1 Date_ _ _ _              __,,5"---.::..i.....;;.0_ _19 ~d.,

Attachment II Page 59 of 102 Serial No.: 92-380 Page 2 of 2 Iocket No.: 50-280 *

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

1. Owner Virginia Electric & Power Co. Date--' -1~<-L-4,_.,,._/i-4--_Z-Name sooo Dominion Blvd., Glen Allen, va, 23060 Shaet_...,Z-=:;..__of_-=z...::...;__ _ _ _ _ _ _ __

Addrea

2. Plant Surry Power Station Unit (!l /

Name P.O. Box 315, Surry, Va. 23883 wtfi,goetlUJ?f/ ~e p2.-t:,.i!/ Addrea Repair Org11nlz11t1o'r; P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ __..:;_Nc,./..::.A;:..__ _ _ __

Name Authorization No. _ _ _ _ _...,N~/.8A_ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ __.N.,/wA~----- Addrea

4. Identification of System_.,,,C:LM.:..A44=,:::,c.::j.:.:~'-'~=------------------------------

5. (al Applicable Construction Code B3 l , 1 19---61-Edition, _ _.N.._/c...Ac...._ _ _ Addenda, N-1, N-2 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

(?1.u6}

 -J;;~     4/"blti~./ ~JJef- ~e.r """'          .1..nlf?1J       \ ~ ;.)~        ll-l'N'-7r ,/-//1/-1                   ;qrn     .,i'J).e. ~~_..1r    ~/,
                     /

7. Description of Work 4~ _di:,.) ,'I 7r)

8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure ~

Other O Pressure A/I}}> psi Test Temp. Ni!JT °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY.a in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

i FORM NIS-2 (Back)

9. R e m a r k s _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable M11nuf11cturer'1 Data Report, to be 11ttached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this A!.?):~h..!..cJrconforms to the rules of the ASME Code, Section XI. repair or replecement Type Code Symbol Stamp _ _. . . . ; N : . . c / c . . . : . : A ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. --'N""/'--'-'A'-------------Expiration Date _ ___.N,../.....,A..__ _ _ _ _ _ _ _ __ Signed (iJ ~ # ".A/__/ f s.:t: L,-,tf',1/;~_,e Owner or ~esignee, Title Date__.&'--"~uc.......c./..,;.(j_ _ _ _ _ _ , 19 I

                                                                                                                                                                ?z..

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of _ _ _ _ _ _ _ _ _ft,... t. .

                                  -=a.,..._i-~t_.fo-=.,_r..,.ci"'-f)-C:.*.... , ' - - - - - - - - - - - - - - - h a v e inspected the components described in this Owner's Report during the period                                               I J* '3.J.::fff   to       / '3-, ,b;)-4~ * *             * , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

      ------1~'-"':><.......:;=---=::-,--"f_._~=-=-=------Commissions _ _.-:.V-=a::..:..*--=5:..4:.:3=----------------

1nspector's Signature National Board, State, Province, and Endorsements Date._ _ _ _ _ _.5'~--d:_D__19 'f ~ L__

Attachment II Page 60 of 102 Serial No.: 92-380 Ibcket No. : 50-28-0

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

1. Owner Virginia Electric & Power Co. Date _ _ _:,""-:....:*:::c-_7..,___-_.,c....2.=-._ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _...._____of_ _ _ _ _ _ _ _ _ _ __ Address 2." Plant Surr¥ Power Sta ti on Unit DNI?

                                    .       Name P.O. Box 315, Surry, Va.                      23883 Address                                                      Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ ___;;Nc.,/c..:A~------

Name Authorization No. _ _ _ _ _ _NL>L,f-1..cill------ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _- . l l l , I ' - " ' - - - - - - - Address

4. Identification of System C/./EM{C,4t A.UP V6~L>Mc" lt?NYY%>'-

5. (al Applicable Construction Code B3 l

1 19---6.LEdition, _ __.N. .,lc.. Aa.. . _ _ _ Addenda, N-J, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 BOWBO

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol TIEb .v,4 NA /VA 1-lH _:PP- G NA ~Ep/4 CE.):, t,V()

f>r oc:; rll./S(.WJ::..OfrJ /\JA IUA 1-GH-Pf'- lo /VA RE pl,r,,,n-re,r:l fVu

     <!.ouC>I w&-        IZA.Y 111/leR.                  NA               /V~       1-G/..f-PP-&                       NA            fe#/4ce/ll,/eM tJ)

7. Description of Work ie£pLA11E T@ wlf\'.) A SEC.TIDt\.J OE PtPE 8, Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure l:i2('.

Other D Pressure tvoe psi Test Temp. 4*'1 WG;<< ,#; A/0 r ° F ./ /

                                                                                                        )e,2- r,,#19~

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is BY.. in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks _......,_fJ..J,Q.,_.---'..l:t=-'--_,_CS'.._,.....l.....,;.;?L:;4-J.J6"'-"C.D.=::'2..'--'-7_-_4

_ ___,_P-"J/l__.~....__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Applicable Manufacturer's Data Reports to be attached

                                                                     '.> JG"J.1                               (J/)VV:,l/J.i{z:

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this £~f)..c~b:',.-conforms to the rules of the

     , ASME Code, Section XI.                                                                                                          repair or replacement Type Code Symbol S t a m p - , - _ . . . : N . : . . < / . . . : A ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Certificate of Authorization No.---'N""/'-""A,___ _ _ _ _ _ _ _ _ _ _ Expiration Date _ ___,N,.,._/.,..,A,....__ _ _ _ _ _ _ _ __ Signed Q t: ~ Owner or O w ~ e e , Title

                                                        'J'                    ff4                        Z//9:/N~d,,                Date_..,&.c...uA-:z-../<----"L'------, 19 I
                                                                                                                                                                                 £L,.

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Vir inia and employed by HSBI & I Co, of

       - - - - - - - - ~........=,'-'-~-='---=c+-'C.=*'-'"f-_,_ _ _ _ _ _ _ _.....,.._ _ _ _ have inspected the components described in this Owner's Report during the period                                                                        / 1,-11-cY j to      { 1- kd:: -'f ~               , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

       -----f~_...!:::=~~L--'--:--'-:---:=-~'-~""""li<.....C=-:::....-'----Commissions                                                 Va* 5 43 Inspector's Signature                                                                               National Board, State, Province, and Endorsements Date_ _ _ _ _...,5---'(~~~-19                                               q~

Attachment II Page 61 of 102 Serial No.: 92-380 Ibcket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co, Date _ _ _S..._-_,/_4=---&,.)_Z_ _ _ _ _ _ __

Nem* sooo Dominion Blyd., Glen Allen, Ya, 23060 Sheet _ _.___of_ _ _ _ _ _ _ _ _ _ __ Addr-

2. Plant Surry Power Sta ti on Unit _...;D~N..,,,e;=--------------

Nem* P.O. Box 315, Surry, Va. 23883 3~ DOI Addrea Repair Or1111nlzatlon P.O. No. Job No., etc.

3. Work Performed by Virginia Power Type Code s./mbol StemP--~~=-------

Nem* Authorizetion No. _ _ _ _ _..,N""/~A-------- P.O. Box 315, Surry, VA. 23883 Explratlon Date _ _ _ _ _ _N..,,,_l_a,_ _ _ _ __ Addrea

4. Identification of Systam __~;c-.;./.laa.f:.a..M""'l""C.'"""4'""L"---'~"'""""11.)""i)'--'\,'._..O""'L..,U V£E_.,.t!..,QN=....r@,_,,b...l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

                                                                                                         ...J...,,'W...

5, (al Applicable Construction Code B31, 1 19--61-Edition, _ _.Nul.,.A..._____ Addenda, N-J , N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repain or Replacements 19 80W80

6. Identification of Componenu Repaired or Replaced and Replacement Components

Name of Component :=::; ~~--==

Name of Manufacturer Serial No. National Board No. Other Year Identification-, ::. -Bult_,-_ Repaired, Replaced, ASME Code Stamped (Yes

                                                                                                                                                                                                        . ,.,..Ee -
    'S,T))"l)S                        IJA                                    NA                                          ll..1"'1          '-c!Jl ..:.,tt.ll- /382A     N4       rz.ent. eE/>            IVO l
     "'-hrrs                          1',JA,                                   f\J,A-                                   NP..              Hu - ~\f-/382A                fJA.     (f!..ep/4 e,r;i)       /..JC'\

S'T\Jl>S /J. '¥- (r (FA)b. fJA j\JI-\- 1 :._l/.J-£V,/3UII- AJA f2e.p/4(!_CJUIW( ,}JD Nu'[) (! IJRV'NA I 4g7s9 (Jf\; 1-(!.(~ -R.V-r3VlJ wfr f ef)(,,:we~-f µD _ __;s:::.:r;..:v:..:l:>S'-"--'A-"NC..:..::Da.-,N.;:.:;u.:.1=:S.___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

7. Description of Work _ _.;.1Z....;E"-f'._:l....;A.,_ic!_E B. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure 12("

Other O Pressure 1\/QP psi Test Temp, N(5( °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% In. x 11 in., (2) informa-tion in items 1 through 6 on this report Is Included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030l may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N,Y, 10017

FORM NIS-2 (Back) e..::.s..q.~-1....5=$.....5a..a/_/-_Z_ _:9_.~-=-l?=5-----------------

9. Remark1 _ _....,RD<..1,(..;.;#'_....

Appllcable Manufacturer', Data Reports to be attached RD, 4t e. s1 ~6&Mlz-z. IVJ*f-s CERTIFICATE OF COMPLIANCE We cenify that the statements made in the repon are correct and this {'¢'<;?,vtt:c:!#4',.:;11:onforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _..;;;.N;.i..;;.A:;......_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No, Signed

 **.. -- .,~~-. -=
  .-_.:;.:~.

0- (. ~(,/ Owner or Ow~gnee, T i t l e ' N/A

z:-5'£ &<,'/'..v¥£ Date Expiration Date _ ___.N../'-'A..a...---------

CERTIFICATE OF INSERVICE INSPECTION

                                                                                                                       ~ - - - / ;/                 * ,9 e c:.

I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of Ho.~ teo .. .J ' c.f. have Inspected the components described in this Owner's Report during the period / 'J.,;U. - S' c:r to /1-1J: --'fl_ . , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Funhermore, neither the Inspector nor his employer shall be llable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this Inspection,

              -----ll~             ~~0=--:-1."'---.

i,;;pector'aSlgnatur~

                                                            --=~"""'-""---'---Commlssions _ _V;..;;a;;..:;*--=-5-=-4=-3_ _ _ _ _ _ _ _ _ _ __

National Board, State, Province, and Endor1Gment1 Date_ _ _ _ _~_-_/_'t~-19 q1,

Attachment II Page 62 of 102 Serial No.: 92-380 Page 1 of 2 rocket No.: 50-280

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

1. Owner Virginia Electric & Power Co. Date_.c.&a...£.1.~../'--""2:L./-+.~Zc...;*L/_,y:....'-=:.?

Name / 7 0 _sl.l.01.loLlo~Dl.l.l,IO!!I.IDLli..lDLl.1,.!Oi,l,Du.._..r.Bt.11..Jvud.i.,.a..~*----"GL.Ll..s;eanL..,jA:2,.l.i...r.l.s::e~n4,L-.JVIUa~.....;(,2~3 06 0 Sheet Addr-I of__.~--------

2. Plant Surry Power s+ati an Unit t:J ve' Name P.O. Box 315, Surry, Va. 23883 t(,W#.iS'qJO?,J;pJq b# f'.,2-tJ.ij Addrea Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N_,/_A...c....._ _ _ _ __

Name Authorization No. _ _ _ _ _....JNIJl.,'-/_..n_ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ __.,NL/-/'-'-A"------- Addrea

4. Identification of System Cew r4,M&&.lr: ~i).('A../

I

5. (al Applicable Construction Code B31, 1 19--6.LEdition,_...,N,i.c..../.,A_ _ _ _ Addenda, N-1, N-1 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure W Other D Pressure po;:> psi Test Temp. A/Or: °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/821 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks -t1~V"'--$---".£"'-'.A/'-"_s"---_J:~~"-'O~)...,.)._./.__,_( ./. ...,,,.)_-_&=~=c:tr.:=,r'"--"'-ds-.""-""':..?'.::=~~z~../......_________

                             ,,.H-                                  Appllcab~e M~f turer'1 Data Reports to be attacZ tpY"T               *.s -                       , . c/ - Sr..,,~

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this.bt'wc.&4:',(;JJ.,~ conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _....;N;.:.,/c.A=--------------------------------- Certificate of Authorization No *....:N"'/'"""A'--___________ Expiration Date _ ___.N""/'-A...___________ Signed c;] '11- _/1 ~AV' IS _r b&,.u&f~ Owner or O~sOaslgnaa, Title Date_.,._A......:..o~~t:~.Z.=.,/'-------, 19 92: CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of

  ----------ff/t,-=1::1,..:.."c..T_,__.f...;o:....'"....ad=-,/r...-C.__.f'""._____________ have inspected the                                        components described in this Owner's Report during the period _ _ _ _ _ _.._/.,.3.'--*JLU=.c..-_.8......,j_to                               f ~- 'l,..:)..- 1:J-             , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

  -----l@r-~IF'--'-w""='---'-f~-"*.......,~-=*

Inspactor's Signature c=-.=_ _ _ _ _ Commissions_-,-__....;V....;acc..:.*....;:5c...4=.:3=--------------- National Board, State, Province. and Endorsements Date_ _ _ _ ~_i_*l....~~-19 'f :J.

                                                                                                                         .-                                         Attachment II Page 93 of 102 Serial No.: 92-380 Page 2 of 2                                                                 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

t. Owner Virginia Electric & Power Co.

Name 5000 Dominion Blvd., Glen Allen, Va 23060 Sheet _ __,,.2. ___ o f _ " " " " - - = - - - - - - - - - - Addrea

2. Plant Surry power Station Name Unit __ &,_,_/V~c~e'"--------------

P.O. Box 315, Surry, Va. 23883 a)cz#.}Jf'O{J(} 2£<47' R.;f¥/~..?-Cll/ Addrea Repair Organization P.O. No., Job No., etc.

3. Work Perfonned by Virginia Power Type Code Symbol Stamp _ _ _N_,/_A _ _ _ _ _ __

Name Authorization No. -----~N...,,,__l.,.l\______ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _....,N..,./....,n,,___ _ _ __ Addren

4. Identification of System ~fk ...**""""'v'--'-7'""'~'-'"'--'M-.:4o;;,,c..t<--?.cJ,v~;---_<<-;<="'

¥~

L'..;4""'""~~/,___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code B3 l , l 19~Edition, _ __..N..,/_.A:....____ Addenda, N-J, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol 1/~~Jf.l),4 ti L J'M....A/u7.( f;* -'.. .., .to, ~1~06 u~ /-e s-;./r /9?'7 .ll~.o'.C~..e-v, If}(!)

7. Description of Work __~,t;;-"'-=:.eFµ_,e..=&'-'-'c,._<f=----'(!__,o=~:a-=-=i!~T-~M'-"-~Vlc..r$'--"'"----------------------

8. Tests Conducted: Hydrostatic O Pneumatic D Nominal Operating Pressure ~

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

FORM NIS-2 (Back)

9. R e m a r k s _ ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this &f't-kdoft4'e<"JJ,-'Eonforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _-'N""/ ....A = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. --'N""/'""'A"------------Expiration Date _ ___.N...l.....,A,____________ Signed (l .L,L.,,,~ / ..rs£ Ow°rle(o~ers Deslgnee, Title c6J4141;<<L Date --'~'---':..<:l~"_.;;2.;.J../_ _ _ _ _ _ , 19

q ..it-CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of _ _ _ _ _ _ _ _ _ft._...4,.r-'--'T._._f-o_,,._...;.__,d"'-+...c.....,.f______________ have inspected the components described 1 in th is Owner's Report during the period _ _ _ _ _--.JluA .......~ ....:l.....9.o;;.-...,e......,c,..._to t 1- 'J.. ~ ...q l. . and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

  ----......1.~-=~-=--'---::-:-'-/~.-~=-------Commissions _ _ _V_a_._5_4_3_______________

Inspector's Signature National Board, State, Province, and Endorsements Date

Attachment II

                                                                                                                           .-                                                Page 64 of 102 Serial No.: 92-380 rocket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the P~ovisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co. Date---'S:..,...,hu=1L...L..b~h=*=---*-------

Name

                                                                                                                                                  /        of _  _.,_/_ _ _ _ _ _ __

sooo Dominion Blvd., Addrea Glen Allen, Ya 23060Sheet

2. Plant _ _.5""'1""'1._r..,r~y.......P"-'aJJwwe...._r.....,Su.t...a~t.... a....n....._________

                                                                           ,,r.,J*

Unit --"CJ,-'-,t,1-"i::;;;...e_ _ _ _ _ _ _ _ _ _ _ _ __

                                               .                     Name P.O.       Box 315, Surry, Va. 23883 Addrea a)o~                 {,{()tJ//2.JS'!? £,t1#92,-//Z Repair Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N~/_A _ _ _ _ _ __

Name Authorization No. _ _ _ _ _ _N.,.,..(.cl\.___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _....N..,/ ...A~------ Address

4. Identification of System .../4<-=.6=~ ...P=' ""'u).~~..L..C.12,~£-,-;-~----------------------------

5, (al Applicable Construction Code B31.1 19----6.1..Edition, _ _.N.,./_.A..._____ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure ff Other D Pressure &,117,,i> psi Test Temp, # () r °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is SY.a in. x 11 in., (21 informs*

tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and thisAftt;,:>..:-~ct;-,1,r conforms to the rules of the ASME Code, Section XI. rep:iir or replacement Type Code Symbol Stamp ___N - ' - ' - A = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. ---'N""'/'--A~-----------Expiration Date -----'N=/~A,...__ _ _ _ _ _ _ _ __ Signed(] ~ ,j) A .21'...z::::: d".vaevc.t'& Date ___,,_n.:;~-4.c......,.v'--"-J!._/_ _ _ _ _ , 19 72 Ownero~gnee, Title / CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of

               &rtFord, Cf                                                                   have inspected the components described in this Owner's Report durin~ the period                       I ~ * '),,J.- g1 '1  to    I?-' 'J- ~ -q ~                         , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspec.tio"n~i * {9;-JL _ __,'-:-:---='---------Commissions ---'-,--l~L--,.,.___,,<_ Va* 5 43 Inspector's Signature National Board, State, Province, and Endorsements Date,_ _ _ _---=cj"'_-...:.J..-'i'---_19 °I J..

Attachment II Page 65 of 102 Page 1 of 2 Serial No.: 92-380 D::)cket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the P~pvisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co. Date-.~....L..e.'>Y'--./..r../_,_q:,---./<..,.-,c..9~9-=2'--------

Name / 7 sooo Dominion Blvd., Glen Allen, Ya. 23060 Sheet _ _. . . . _ _ o f * - = = - - - - - - - - - - - Addrea

2. Plant Surry Power Sta ti no Unit _ _.Q=-<=&!'-"lf.___ _ _ _ _ _ _ _ _ _ __

Name P.O. Box 315, Surry, Va. 23883 tr)y#, ?f'0()/1~,J..r,J Addrea Rapalr Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Coda Symbol Stamp _ ___:N:.:.,/c...:A=-------

Name Authorization No. _ _ _ _ _ _Nlll.,L.IJOA.___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _..i:N11,/uA~----- Addrea

4. Identification of System-'~'-"~=:.-.,..:i,--..,>>."-'-?Z=~""-"!e't-----------------------------

5. (al Applicable Construction Code B3 l , l 19--6.l_Edition, _ _.N..,I .....A...__ _ _ Addenda, N-1, N-7 Code Casa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Coda National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No, No. Identification Built or Replacement or Nol 8, Tests Conducted: Hydrostatic O Pneumatic D Nominal Operating Pressure ~

Other D Pressure we psi Test Temp, A,/C, C *F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each shl!!'t, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

1-- FORM NIS-2 (Back)

9. Remarks ~.....,.._ _ --'-C_s-+-y'_--1~'--'----~b~3....J"--2--"-(j-"-z....JC-)___.M=-..,,y:<.-,,<./_.5',..__ _ _ _ _ _ _ _ _ _ _ _ _ _ __

I Applicable Manufacturer'* Data Reports to be attached ff '/. 0 - 5re;) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this J,f)wctf&,'e r conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N ~ / ~ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. _N~/~A~-----------Expiration Date ----=N""/......,A.____________ Signed /1 ~f~ Title

              ~rorown~ee.                                     ..Tff 4!&,,-d&/f                                       Date _ _~         y_-4--?-------,
                                                                                                                                ---a..:;.:;._

7

                                                                                                                                              /'}           19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia                                      and employed by          HSBI & I Co,                                                               of

_ _ _ _ _ _ _ _.,_/l(..,a.,.,...__1'_.__..&,-=-"'--=J=-o,-"'C"'-Lf,_.----------..,.,.-:=-----have inspected the components described in this Owner's Report during the period /1- '>,1- S91 to , a- al *'.lh 'and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

      -----"~~-'-------f~---~~~-----Commissions _ _ _                                                                  V_a.-.:...---'5_4"-3"---------------

1nspector's Signature Natlonal Board, State, Province, and Endorsament1 Date_ _ _ _ _5"-_-~"-~0__19 Cf 3...

                                                                                        .-                                                                  Attachment II Pag~ 66 of 102 Serial No.: 92-380 Page 2 of 2                                                                           Iocket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the P~ovisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co. .....,.vc...l....,,_2~1 Date_..._A;::--L.C~ ...* ...,.1....,9'--.l-_ _ _ _ _ _ __

Name r , 5000 Dominion Blvd., Glen All en, Va. 23060 Sheet _ _ _L=_of_-'-2.""----------- Addrea

2. Plant Surr¥ Power Sta ti co Unit C?,vd Neme P.O. Box 315, Surry, Va. 23883 WCI#JflQa(/LJ.ri b # 92-C#'(

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

3. Work Performed by Virginia Power Type Code Symbol Stamp _ ____;;N;.;.,/c..;A:..::....._ _ _ _ __

Name Authorization No. _ _ _ _ __.N-t.c.l\_ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _...,N,..l....l\,.___ _ _ __ Addrea

4. Identification of System.,,/4~=~~"'~;.._,-~_G.~Ti!."""'A?.

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

5. (al Applicable Construction Code B3 l, 1 19--6.LEdition, _ _.N..,/""'A....____ Addenda, N-1, N-2 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

(:,4~,µ~L_ MTf" !N~-t,,...,,jJ &.;. t/B' z?s 111J 1-rr1, r..r 1991 ,a., J

                                                                                                                                                         .* ,  ..,f.<,I;  tf/d

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure W-Other D Pressure A/t:11 e psi Test Temp. #t::P z-: °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is B% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. R e m a r k s - . . . . . . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Date Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this £f)~t!#II"" 0 conforms to the rules of the ASME Code, Section XI. repe ir or replacement Type Code Symbol Stamp ___N ~ / ~ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. _N~/~A____________ Expiration Date _ ____,N,u../""'A,___________ Signed CJ~ ,,j/ * ~ Owner or ~eslgnee, Title

                                             .::ZS.:z:_- .6.J,(/d?M              Date-~~d:CL.....,./1'--~l_,_f_ _ _ _ _ , 19
                                                                                                      /

f~ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia any employed by HSBI & I Co, of

                               /./a Y' T Fo "cl)         Cf.                                  have inspected the components described in this Owner's Report d~ring the period                      /J:.-~l-8'~       to       J"J.., 1l-'l1-.                  , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

  -----~'-=......,,--='----:--~f-'--_-~    _______ commissions _ _National inspector's Signature

_v_a-'--.---..c5_4cc3c________________ Board, State, Province, and Endorsements Date_ _ _ _ _&=-_,,J.=8 __19 Cf J....

Attachment II Pag~ 67 of 102 Serial No.: 92-380 Ibcket No.: 50-280

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the P~ovisions of the_ASME Code Section XI

1. Owner Virginia Electric & Power Co. Date _ _ ~--'-"t!f2_,e...viF---"2.._Y.,_,,.*_./~f'--+f.J~~~-----

Name / 7 ' sooo Dominion Blvd., Glen Allen, Ya. 23060 Sheet Addrea I ot_...L....----~---~

2. Plant _ _.s,LJ1.._ir

                     .....                                    s.t....a...t_,...,*a....n.....__ _ _ _ _ _ __

r.,1-¥.......PC,,a,Llw...,e...r...___... Name Unit _.._a..._.,_,µ-=t!'--------------- P.O. Box 315, Surry, Va. 23883 l{)tf1J } ~tJtJ 9 Y2?£ A~92-&1 Addrea Repair Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N""/_A _ _ _ _ _ __

Name Authorization No. _ _ _ _ __.N"'+-lc,1\_ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _~N..,./-A~----- Addren

4. Identification of System_~~~~-->>~*_ _s:;..,...,.~~-"Y~----------------------------

5. (al Applicable Construction Code B3 l, l 19_fil_Edition,_~N.,./_.A...___ _ _ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19. 80W80

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Component Name of Manufacturer Manufacturer Serial No, National Board No.

Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement c:,_r,Nol*

7. Description of Work Lt;? d ~k e/de:. ,/&f

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure ~{c~..t {;,p.p #-9'/J Other D Pressure IV o;) psi Test Temp. /V tJ C °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/821 This Form (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this*&'~-.?~conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N " " ' / ' - A - ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No, --'N'""'-/~A'-------------Expiration Date _ ___,N,.,_._/"'A,___ _ _ _ _ _ _ _ __ Signed~~~.-:::::: wne°i'orOer'sDeslgnee, Title

                                                      £.S:Z:              ~(t/.v&h(                   Date _-'-~--'-C:'7~v----'.L~r._____ ,19   Z:L CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia                                      and employed by         HSBI & I Co,                                                        of

_______.._H...~-=-t-~T_,....~H>~rJ~-t'~C~T~---------,...,.-----....have in5.RB$jted the components described in this Owner's Report*during the ~eriod /l-'l'J:-1'/ to /1.- l 'l-'C.L.. * , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective* measures described in 'this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this i_n_sp_ec_t--1~~n-=*-=*=--*-'*'--'.,---------'f":-.-::-:--'~C....:'------*_ _ _ Commissions-...,..,.--,-V_a-c.,.---'5"-4=-3=----------,-------- 1nspector's Signature National Board, State, Province, and Endorsement, Date_ _ _ _ ~s_--'-d._9__19 ~ l_

                                                                                                                                                                             ,/'/

Attachment II / Page 68 of 102/' Serial No.: 92~380 D:)cket No.: 50-280

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

1. Owner Virginia Electric & Power Co, Date _ _ _ 5_-_/_4_----'-9_Z_________

Nam* sooo Dominion Blyd,, Glen Allen, Va 23060 Shaat _ _ _ _ of_.......__ _ _ _ _ _ _ __ Addr-

2. Plant Surry Power Sta ti on Unit 0\\IE Nam*

P.O. Box 315, Surry, Va. 23883 Repair Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Coda Symbol Stamp _ _ _N_/~A _ _ _ _ __

Nam* Authorization No. _ _ _ ____.N""{~A~----- P.O. Box 315, Surry, VA. 23883 A~----- Explratlon Data _ _ _ _ _........,N.,_./.... Addrea

4. Identification of Systam_~M=A IN~~S=;ffi~A~M~-------------------------

5, la) Applicable Construction Code B31, 1 19-6.LEdltlon,_....,N""/....A.....____ Addenda, N-], N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 BOWBO

6. Identification of Components Repaired or Replaced and Replacement Components ASME Coda National Repaired, Stamped Name of Component_ ,=;.

Name of

                                      ~            - -

Manufacturer

                                                        =-:::: Serlilc      *- --

Board Other

                                                                                                        ~-- . - -Identification Year Built Replaced, or Replacement or Nol (Yes PIPE         d_ II               NA                           rJA.                  ('JI\                I- M<;. -119           - kl~      f?..eD/AC/f:D       ND YA lve         4"                  N~                          Iii .A-                 rl./1\,-           I-MS-119                  tJA     /2et'(~CJ)         rJD P1Pf:'.'     4 *'            HJb                              N.,A                  tvA                   I-Ms-119                 tJ /.\  P.Efl /4 Cctvt e~    I.ID
   ,,~ \\[ f    4"         4,-,eJio,e h>Ar/!My"            \UrW - 00 A-                 Nil                  I- MS-II~               (JJZ,    eep IAceMeµt'        ,JO

7. Description of Work f2.EPLME VAIi/&

B. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure ~ Other D Pressure 1\10 ~ psi Test Temp, bJQI °F NOTE: Supplemental sheets In form of lilts, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 In., 121 informa-tion In items 1 through 6 on this report Is Included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form * (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

                           ,1t"---_~_s_v_~~7~4-~_,2_-_8'_ _.P....:.1....e....~ - - - - - - - - - - - - - - - - - -

9. Remarks _ _()a.. . '=D__

Appllcable Menufecturer'1 Deta Reports to be attached Bo,4- ~ ~'( s '3 1117 - / \/':Al ve: CERTIFICATE OF COMPLIANCE We certify that the statemenu made In the report are correct and this ,f{i?4,?c,f~conforms to the rules of the ASME Code, Section XI. repelr or replacement Type Code Symbol Stamp _ _"""N""l/...;;A.a.-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. ___N_,/.._A=------------Expiratlon Dete _ __..N,../_.Aca---------- Signed ~ owner

                               ,,j_ ~ :CS'.Z::

or ~OetlgnN, Title

                                                            ¢et&e4'M:                                                    fl'_____, 19 Date ........~"'"-U:..'-,L,c_._/"'

1 9h CERTIFICATE OF INSERVICE INSPECTION-.,-.: - -- - I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Vir;inia and employed by HSBI Ii I Co, of I/a. i F' o" J ,' C 1'. have lnspec;ted the components described In this Owner's Report during the period I '),-'.).l-&>? to I~-').. 'l.-9 ?-. , and state thet to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in thi1

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

Bv signing this certificate neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor hi1 employer shall be llable In any manner for any personal Injury or property damage ore loss of any kind arising from or connected with thl1 Inspection.~ l *&A Commlsslon, ___v_a_._5_4_3____...,.....________ Intpector'1 Signature N1tlonel Boerd, State, Province, end Endorsemenu Date

Attachment II Page 69 of 102 Serial No.: 92-380 Docket No.: 50-280

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

1. ONner Virginia Electric & Power Co, Date _ _ _S=--__,_/z=--..;.)....:2.=---------

Name sooo Dominion Blvd., Glen Allen, Ya. 23060 Sheet _ _....__of_ __,_ _ _ _ _ _ _ _ __ Addr-

2. Plant Surry Power Sta ti on Unit OWE Nam*

P.O. Box 315, Surry, Va. 23883 Addr- Repair Organization P.O. No., Job No., ate.

3. Work Perfonned by Virginia Power Type Code Symbol Stamp _ _ _N~/_A_ _ _ _ __

Name Authorization No. _ _ _ _ _ _ N.,../-1'~----- P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ ___.N-a..~/1'.,.,__ _ _ __ Addrea

4. Identification of System _ _....;M:........;.:A."""'-1N...._..,,sr e:...

                                                                 ...... A~Mr.c..>.._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (a) Applicable Construction Code B31, 1 19......61-Edition,_...N..,/""A..._____ Addenda, N-1, N-1 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component ~--= Serial No. No, Identification Built or Replacement or No)

                  /1 ,,
      /. fl=   '1                A rl
          -:::  4

1....

7. Description of Work _ _ _ _rZ-'b=.:..P-=L"-'A..,1!£ _ __,,y-"'A'-'-1v,,.__,,,E?_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure ~ ( C,Q~ c~rt Al-/,1/6)

OtherO Pressure NOP psi TestTemp. l\ll)f °F NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size is 8% In. x 11 in., (2) informa-tion in items 1 throu~ 6 on this report is Included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded et the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks ---..~P...::,O~,..:..:~--'~"'-'S~'f--'3""-'-74

                                                                ......~-"-'-'12=---'iS,.__-'P,.._,,t-'-'PE...___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Appllcable Manufacturer'* Data R11port1 to be attached p,O, ~ 11.N:f 31 b~ 45 -1 1/A,\\( CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this,e_'-emcc:!Are!e'Z'.' conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N ~ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No,_N_/~A~-----------Expiration Dete _ ___.N...l'-'A'"'----------- Signed iJ. st Ai ~4,(/ Ownar or ~;De1lgnN, Title

                                                            ..rs:z                LA/&*uf/4£                                   d~{                2..

ii' ... Date_---"___..a.........,.._ r' _,._...~----, 19 9 2...- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of fl~r-Iford., er- have in~ected the components described in this Owner'* Report during the period / ~ to J'l

i i * ,tk 1 i * 'J. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described In this Owner's Report In accordance with the requirements of the ASME Code, Section XI.

BY signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection. _ _.@-=,J-1r~:....;-___.._f....,...-::-:--&J1_--"-=~--Commlsslons Va* 543 Intpector'1 Signature Natlonal Board, State, Province, and Endorsements

Attachment II

                                                                                                           .-                                        Page 70 of 102 Serial No.: 92-380 Docket No.: 50-280 -

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

1. Owner Virginia Electric Name

                                                       &       Power Co.                                               r;.~4=~ ~-L....CC-2-_*_-- - - - -

Date---i..1., 4 5000 Dominion Blvd., Glen Al Jen, Ya, 23060 Sheet _ ___.l'--_of__,'------------ Addrea

2. Plant Surry Power StaH on Unit Out!

Name P.O. Box 315, Surry, Va. 23883 W<Y# .JYoo//J296 ~~#'r;.t--o6Z Address Repair Orgenlzatlon P.O. No., Job No., etc.

3. Work Performed bv Virginia Power Tvpe Code Svmbol Stamp _ ___:N:.:.,/c..:A~------

Name Authorization No. _ _ _ _ _..,N.,.,,,_1,..1\_ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _ ~c.=.------ Address

                                                  ..- *_.,,,C""'o::..:Oe..,~e::;.,4.=c.w.;....:.r

4. Identification of Svstem__.&-==<..<..>=CL-@-"'-"I~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code B3 l , 1 19--6.LEdition, _ _.N..,l:....A"'----Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National _ Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, Identification Built or Replacement or Nol

8. Tests Conducted: Hvdrostatic (2(' Pneumatic 0 Nominal Operating Pressure 0 Other O Pressure 2,2, 2:0 psi Test Temp. ...C<'O °F NOTE: Supplemental sheets in form of lists, sketches, or drawings mav be used, provided (11 size is 8% in. x 11 in., (21 informs*

tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030) mav be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and 'this HHf!/.4eMler conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N " " " / < . . . . , ; ; . ; A ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. --'N'""/'-"'A'-------------Expiration Date _ __..N:.:.L./"'A,____________ SignedW. t ,d_ . 0 Owner o~Oesignee, Title LF.:Z- d:v($,..u~L4' Date _ ....~c.._...;'A';..;.._,f&..)(---=.Z.=-&::c-----, 19 7 9~ CERTIFICATE OF INSERVICE INSPECTION *- -** I, the undersigned, holding a\valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia -fnd employed by HSBI & I Co, of f{o.."' I For d, ct have inspected the components described in this Owner's Report during the period / 1 g1 CJ to I 'l* 'l.. '1 ~q'l. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described *in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither th*e Inspector nor his employer makes any.warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer* shall be liable in any manner for any personal injury or property damage or a loss *of any kind arising froni or connected with this '""!""* ~ f .@,,,Q__ Commissions _ _.....:V.ca;;;..:_

                                                                                           * .....::Sc...4=-3=--------c-=-------

Inspector's Signature Natlonal Board, State, Province, and Endorsements Date

Attachment II

                                                                                                                                    .-                                        Page 71 of 102 Serial No.: 92-380 Locket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASllilE Code Section XI

1. Owner Virginia Electric & Power Co. Date_=.fJ~~--z'-o_,_&....._~2-Name 5000 Dominion Blvd., Glen Allen, Addrea va. 23060 Sheet _____ o f _ - + - - - - - " - - - - - - -

2. Plant Surry Power Station Name Unit <2u~

P.O~ Box 315, Surry, Va. 23883 !do #Ja?'JO / /.J ~o I £~# 92-tJff Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N....,/'-A--'-------

Name Authorization No. _ _ _ _ __.N._,.i.cA~----- P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _.,,N.,.ic..tA~----- Address

4. Identification of System_...,A.._.',!.,.(lc..<...>c.:..<n;....:;....:.,,,L~_,d=c{)::..:O::..=:~..::...:...e=..Z::::c:...__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _...:......_ __

5. (al Applicable Construction Code B31, 1 19---6.2_Edition,-~N..,/~A~_ _ _ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 BOWBO

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

8. Tests Conducted: Hydrostatic @' Pneumatic 0 Nominal Operating Pressure 0 Other O Pressure .i?.2.£:(2 psi Test Temp. fP(2 °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2) informa*

tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obteined from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this @~~~Tconforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _ N.,_A-'----------------------------------- Certificate of Authorization No. ---'N~/~A~-----------Expiration Date _ ___,N..u../""A,____________ Signed()_~ y A "owner o~eslgnee, Title Uz ~,(/,,t/;er,e ./fA-/ ZLJ Date --'L.--'--""-->,'--------, 19 9L CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia -jmd employed by HSBI & I Co, of fla.v-TFo,-d , Cf,

have inspected the components described in this Owner's Report during the period /:).*l1-f'l to /1.* 'J.'l,.-q l , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any *warranty, expressed or implied, concerning* the

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

lL~...;;::.=--,__:----,->£'-"-'.-~-=-------Commissions _ _--'V--=a=--=-.___::5'-4=-3::._______________

Inspector's Signature National Board, State, Province, and Endorsements Date*--------~--- 5-i D 19 :f l.,

Attachment II Page 72 of 102 Serial No.: 92-380 Ibcket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co, Date _ _ _ _;ri!..--.J.!J.'2...:-""9~c.----------

Nam* sooo Dominion Blvd,, Glen Ulen, Ya, 23060 Addr-Sheet _ _, L . . _ o f _ ~ - - - - - - - - - -

2. Plant Surry Power Station Unit _"""""'b'-"r-J"'""'~'--------------

Nam* P.O. Box 315, Surry, Va. 23883

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

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _--"N"'-/..;A-=--------

Nam* Authorizatlon No. _ _ _ _ __..N.,./...,a,...__ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Data _ _ _ _ _--JNDl,.~/aa_ _ _ _ __ Addrea

4. Identification of System_A~bl .......f"...,1'-'rz=,L=-__.G....*...,...~"'"'-'-'-'&'-'r'-------------------------

5. (al Applicable Construction Code B31, 1 19-61..Edition,_...,N..,./'--"A....__ _ _ Addenda, N-1, N-1 Coda Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacemanu 19 80W80

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

ASME Coda National Repaired, Stamped Name of Namaof Manufacturer Board Other Year Replaced, (Yes Compone.~_.; -- ---___ or Replacement or Nol

                                               -*     ---   -:- *s.r111 No.                No.               Identification      Built eoPe.5 frtM   IAs<.v               VV/cA        11,                            1\14             1,14           1-flC- Ll,il -150.1. N.4-. lt,,1)/,qc~)       ~o
                                                             ,o?. I 9(#,1./ 1-O rr111A 11J ssl/        IWo~NflnM                             I-  I *                    (V~            l-f!l-Ut11/-l'55,A     1-14     Ret>Mc~/Vf{i"Nt     J./o

7. Description of Work ,

flea(~ce P-1 M ASs:@:11 & I>'. B. Tests Conducted: Hydrostatic D Pneumatic O Nominal Operating Pressure D Other O Pressure _ _ _ _ _ p1i Test Tamp. °F NOTE: Supplemental sheets in form of lists, 1ketches, or drawings may be used, provided (11 size is B% in. x 11 in., (21 informa-tion in items 1 through 6 on this report ii Included on each sheet, and (3) each sheet Is numbered and the number of sheets ii recorded at the top of this form. (12/82) Thl1 Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

                                                                                                                  ~-=A..,~...~...e,:a:lll,.A:.:..=Ba..L...,,Y'------------------

9. Remarks --~p...:'.c.o...:'-~_...;;;:C:..JJa..1":...-....:,:3:.::Z:....:l:..3"'-ll:4io:5'----'-l_,q-.;;.;..:r,"'....

Appllc.bl* Menufacturer's Data Raporu to be etteched CERTIFICATE OF COMPLIANCE We certify that the statemenu made In the report are correct and thls~49--conforms to the rules of the ASME Code, Section XI. rapalr or replec.ment Type Code Symbol Stamp _ _ _N.... 1/_,A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No,......::N,../""'A"'------------Expiratlon Oate _ _ _N ../_.A...__________ Signed QL. ~ -

             ~lgnN,Tltle fl£                                                                    Date __~.._=-a.,.,c......,.(...,~=------, 19
                                                                             ..... ~ ~*----...;:~-- -

CERTIFIC-ATE OFlfml:R'lmE=fRSPECTION -- I, the undersignad, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of Htt I" Tfo rd , Ct have Inspected the components described in this Owner's Report during the period I 3,, a,:,.* !r9 to 11-- 'l "J.-Gj' 'l , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this - Owner's Report in accordance with the requlremenu of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report, Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal injury or property damage or a lou of any kind arising from or connected with this inspection,)~!. ~

  - - -...~-=---=----'----------Commissions                                                                                             Va* 543 I napector'a Signature                                                                                 Netlonal Board, State, Province, and Endortem11nt1 Date

Attachment II Page 73 of 102 Serial No.: 92-380 Locket No.: 50-280

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

1. Owner Virginia Electric & Power Co, Dete _ _..;;;5'--__,_14...,__--Jc...:Z.=------r---

Name 5000 Dominion Blyd., Glen Allen, Va. 23060 Sheet _ _. . . _ _ o f _ - - - - - - - - - - Addr-

2. Plant Surry Power 5tati on Unit ONE Name P.O. Box 315, Surry, Va. 23883 Addrea Repair Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N~/_A_ _ _ _ __

Nam* Authorization No, _ _ _ _ _... N...,.{./CAL.-_ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ ____.N...,,,-1.,.a_ _ _ _ __ Addraa

4. Identification of System i2E51DUA.L 1-1 EAT:

5, (a) Applicable Construction Code B31, 1 19--6.2-Edition,_....N,../"""A,._____ Addende, N-J, N-2 Code Case (b) Applicable Edition of Section XI Utilized for Repain or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Component, ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yet Component ~ *.-=- Serial No. No. Identification Built or Replacement or No) snJb

{ II Mvrs I I) ST S, I~J.. I-RH - HC.V-115'6 7, Description of Work_......:..;:R::.:ECJ.P....,,L"-&'""t""~'-"D::......__.N,,,.U""T-'-=S::......,..A.,,,bl,..,:t>.__-==S:.i.TY.::;..o,t:>::..S:......_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure ~ *.

Other D Pressure NOP psi TestTemp. tJoI °F NOTE: Supplemental sheets in form of litts, sketches, or drawings may be used, provided 11) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, end (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) 1

9. Remarks -..iP~o~\k:";;.__,C,""-"'$._'[L--~3L;:4l:Je~9z.,._:3..._-..,:5~-"'=lr.1..1__.._l~..!,!.__'- - - - - - - - - - - - - - - - - - -

Appllcable Manufacturer'* Data Reportl to be attached f D,il: C.S\/ 3522to&-1 s.tun \"6v CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and thJ&)44&&t:,U,,-- conforms to the rules of the ASME Code, Section XL repair or replacement Type Code Symbol Stamp _ _""N'""'""A.;;..._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. ___N~/'"-'A=------------Expiratlon Date _ __..N../..,A~--------- S1gn8'2 t ~ -_,, / Ownar~nlgnN, Tltla r,;g- b4wUL Date ~/ p/ ,199L CERTIFICATE OF INSERVICE INSPECTION I, the undersignad, holding a valid commission issued by the National Board of Boiler and Prenura Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of f{o..,.+ fo ""J , C 1'. have Inspected the components described In this Owner's Report during the period /1.-1,*-fPCZ to 12:-'l.'l.~Cf 'J.... , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective me8$ures described In this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warrantv, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be llable In any manner for any personal Injury or property damage or a loss of any kind arising from or connected with this Inspection.

  -----~.f.-'=-_.;;.---:-f.:....:.'--"{9_~=

1napactor'1 Slgnatura

                                                           . . . .~"'---Commisslons _ _Natlonal           ....:;Vc...:a;;.c.c.......:;5::c..4..:;.3=---------=------

Board, Stata, Province, and Endorsements Date,_ _ _ _~5,_-~/'f __19 q1_

Attachment II Page 74 of 102 Serial No.: 92-380 Ibcket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co. Data_..J.J.,Q..µ.h=cJ_,_/i-1.9_*b-...:..-* ~ - - - -

Name

                                                                                                                                               /      of_.,_/_ _ _ _ _ _ __

SOOD Dominion Blvd., Glen Allen, Addreu va. 23060 Sheet

2. Plant Surry Power Sta ti an Unit _.e::(2:£:'ltl:..,£"-------------

Name P.O. Box 315, Surry, Va. 23883 Jf'ClO J/9J/f ll- #v.~06! Addreu Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ ____;:N..:.,/ccA""-------

Name Authorization No. _ _ _ _ _ _Nlll,t.,/.ll!..___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ __.N..,./w!..__ _ _ _ __ Addrea

4. Identification of System__.fL=.1<.'f_l.,,_J_,,~'-",Z<-=i!-.Lh-<-~=~-=-",?<-.:..r---",4-==~:e..A<:.eO:..:,/.:..:!f:,c..:~:...__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code B3 l. l 19_.fu_Edition, _ _.N~/'-'A""-___ Addenda, N-J, N-1 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol

!VO

7. Description of Work._-<-~-=~e.....;>_,~=d=-=e=e!-,,___/f....,o~J-ivi<---'-Ti.-=7)'---'d.o<.!<o'-'/:.::./.LN.:e..:.~.c..r:~A<.:..,e~:U.,y,;_!:l,,;,!.~N.:.::..:~=--------------

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure W' Other D Pressure A)l)p psi Test Temp. ,v qr °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/821 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this 124ee,A~C conforms to the rules of the ASME Code, Section XI. repa'ir or replacement Type Code Symbol Stamp ___N ~ / ~ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. _N~/~A=-------------- Expiration Date _ ___.N,../""A"'----------- Signed /.1 _~O~esignee,

         ~ e r or b7 _~ Title       I s f 4uheti.1L                         Date    ~/'          z.a               , 19 f~

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of _________.,_f-l.~4.~~"'-t~6-o~r~d-J+-'c-..t. . . . . --------=-=-----have inspected the components described in this Owner's Report during the period / 'l- '.).. l ,1tr to I ~ l a-1:-9 ?... . . and state thet to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations. and corrective measures described in this Owner's Report, Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. - - - - - ~ t - *_.____,

                     - = "__
                    ~nature
                                ,--~f~.__,,{3_..~"-"*
                               -*                =--=----Commissions _ _ _V_a---'--.--'5_4"-3=-----------------

National Board, State, Province, and Endorsements Date

Attachment II Page 75 of 102 Serial No.: 92-380 Ilocket No.: 50-280

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

1. Owner Virginia Electric & Power Co. /~P~f_Z Date_~V::'---""'-'""'=-".!'~Z.-=--*..,....-.... _______

Name 7 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet I of_..L.__ _ _ _ _ _ _ __ Addrea

2. Plant Surry Power Sta ti on Name Unit a4' P.O. Box 315, Surry, Va. 23883 MC?#JJ"t7t)//oJ.s-:r: b#"'u-e'Y'Z Addrea Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ __,__ _ _ _ _ __

Name Authorization N o . - - - - - ~ ' + - " ~ - - - - - - P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _-"'-I-".___ _ _ __ Address

4. Identification of System_..../1(,..._. ....4!,°"'""'v'--~.>>-;"-"-.,.Z"A.L..<..~+-----------------------------

5. (a) Applicable Construction Code B3 l , 1 19--62_Edition,-~N ....L~A~___ Addenda, N-1, N-7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No)

7. Description of Work _ _._a~./.c,c-,,_~...,.aea/.a~e<'A=.,,V:....:L=--,---'v'.~'4.u?eo..J<V'-'e...::c ~ - - - - - - - - - - - - - - - - - - - - - - - - -

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure ~

Other O Pressure Alt? k

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

FORM NIS-2 (Back)

9. Remarks ___,_/1.L,£,J_#_C=-=3:....tr'~l._.e/'--"t,<_..'Y~6~k'---'=-c.C...,.~.J~-----,£.s;L..,,-~=..;'..-<...). _['._ _ _ _ _ _ _ __

                 \ ;;J!'               f                Appllceble Menuf1cturer's Data Reports to be attached
               /12          C 1)1 'd3'1~2 2 (z., I -                                       &/U,rf' CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this MLWC-4t~'l;onforms to the rules of the ASME Code, Section XI.                                                                                   repair or replacement Type Code Symbol Stamp ___N ~ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Certificate of Authorization No._N~/_A~-----------Expiration Date --~N=/--=A~---------- Signed r':l_ 'lff?~ ~-et/

          ~'eror;~Deslgnee, Title fy_c d':.,4n.,,.~£L                                   Date-~~'--"'...,.'""'...,""~=--?-..-----. 19 9'4 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia                             and employed by            HSBI & I Co,                                                            of
  -----------,/!H-'c;....,_r_T~O>~"'-J.__,~C~i~
                           . ~                       J

_____________ have inspected the components described in this Owner's Report during the period /~-J,1-~'1 to__,/,_...~--~a..~+--~'I~'l..-=------,, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property _damage or a loss of any kind arising from or connected with this . inspection.

  ----+B:::.w.~---:,c.._----:--'

1

                                /"'.':"-.___.S"=-...

nspector's Signature

                                                      ...~==----Commissions ___V_a---'-.--'5_4c.c3'---------------

a-.-_._. National Board, State, Province, and Endorsements Date_ _ _ _ _=b_-_,j_.....__19 qL

Attachment II l I Page. 76 of 102 Serial No.: 92-380 Iocket No.: 50-280

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

1. Owner Virginia Electric Name

                                                                                         &  Power Co.                                          --

Date_.,.J,'--',.,,.._.M=..c'<<'.--=2.~,.,,..-...Ll_.9'-....9-=L::;;_;_ _ _ _ _ __ SOOD Dominion Blvd., Glen Allen, Va. 23060 Sheet _ ___,<-- of_......1._ _ _ _ _ _ _ _ _ __ Addrea

2. Plant _ _.s. _1_..1. .,r...r...¥!--P.......acmw,..e_..r..._....s....t ....aut-1.._*Qi.u,D--------- Unit__,,a<--,v~~"--------------

Name P.O. Box 315, Surry, Va. 23883 Addrea tl}u#, f990()) 9;"2,L Repair Organliatlon P.Omo., Job No., etc. U#9 2.-o#

3. Work Performed by Virginia Power Type Code Symbol Stamp _ __.::;N:.,../-=-A=-------

Name Authorization No. --------1.lN.,.(c..,1\:,...._ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _...JJl+--f:.L------- Address

4. Identification of System_._/.i~4"~v~~f;;~~~=i#=.ct'~1-----------------------------

5. (al Applicable Construction Code B3 l , 1 19_Ji2_Edition, _ _.N.._/._.A.....__ _ _ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, Identification Built or Replacement or Nol

7. Description of Work Ov ' ~ t/Al.t.v,£'

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure ff Other D Pressure AA,,) psi Test Temp. NtY z= °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks --4-)j--'rJ'"'---#---'c"""-.5'=---7~V~.J--.-'--'~l.__.s(i...,.'b<-+~~C:-=--1~?)_ _ _ _ _ _ _ _ _ _ _ _ __

Applicable Manufacturer's Date Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~~ conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _. . : N c : . . t . . A = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Signed a~ Certificate of Authorization No. --=N=-/"-'A'-------------Expiration Date --~N,../._A...__ _ _ _ _ _ _ _ __

                             ~~        ,£,,

O w n e r ~ Deslgnaa, Title

                                                    ;ZJ,_z-                                                 Date __J;:-"'--*.,,c...:....-1'-'~=~:....;L=a.....----, 19 9L CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia                                  and employed by                  HSBI & I Co,                                                                      of f/a.t Tfo,.c! J ct.                                           ~

have inspected the components described

in this Owner's Report during the period

J:J..,'J.l-- cL"I to / 1. .. l 'l .. '1"' , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

  ;,~"'W1.                                BL                                          Commissions _ _....:.V.:a=-=-.-=Sc..4:.:3=---------------

Inspactor'1 Signature Natlonal Board, State, Province, and Endorsements Date_ _ _ _ _ b_-_~__19 q~

                                                                               .-                                                               Attachment II Pag~ 77 of 102 l

Serial No.: 92-380 Ix:>cket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the P(ovisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co. Date __,,..z;-..,,.,""',y"",f..._""'~-+-*_./_j'....__,_,?_?

Name 7 sooo Dominion Blvd., Glen Allen, Addreu va. 23060 Sheet

2. Plant Snrry power Sta ti on Name Unit c:Y>>Jf P.O. Box 315, Surry, Va. 23883 421'2 #,_lf"acvU}.,J?tf: ,,E?~iz-a:f"'t?

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

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _--'N"-'/'-A=-------

Name Authorization No. _ _ _ _ ___.N...,...l.cl\_ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _~N...,t~A~------ Address

4. Identification of System _ _,../4t.~~=u/~*-~.>a~-~--rf-+---------------------------

5. (al Applicable Construction Code B3 l , 1 19---6.1_Edition, __N..,I_A~___ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 BOWBO

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

7. Description of Work C},1,;f/2/,/4,u. V.4-' v' /

8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure W Other O Pressure Alt?) psi Test Temp. II.IQ C °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8~ in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. *

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

FORM NIS-2 (Back)

9. Remarks ___#:'___,,,C__s~V,. . . . ~.1.f~*~~~--2-2......,,~----,,e-)_ _ _ _ _ _ _ _ _ _ __

            .....c../jJ
                                          /           ., Applicable ~;;'ufacturer'1 Data Reports to be attached CERTIFICATE OF COMPLIANCE               .

We cenify that the statements made in the repon are correct and this £~ev.?&mforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N ~ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Cenificate of Authorization No . ......:N:.:./'--=-'A=-------------Expiration Date _ ___.N"'/'-A...___ _ _ _ _ _ _ _ __ S i g n e d / ; ~ ~ ~t£.c

         ~e~~Desfgnee, Title Z:if &<uvUA                                      -

Date--~-u=w~~~~~2....=------, 19 92., CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of

  ---------4f/,.'-'-":a...,..c..T.L-L6__,o,,,r-...,d=--+/--'C"""'t'---------------have                    inspected the components described in this Owner's Report during the period                                   [i*l~,r:f    to~<-1--_~_l_.q~~-----*,, 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 Repon in accordance with the requirements of the ASME Code, Section.XI.

By signing this cenificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Funhermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. 1

                                    -IJ. !. /0 ~
  ----~'-           .......-~~--~-L-=---~-~~------Commissions
                             '                                                              Va* 543 inspector's Signature                                     National Board, State, Province, and Endorsements Date_ _ _ _                    __,,6=---....d--__19 'f L

                                                                                                 .-                                          Attachment II Page_ 78 of 102 Serial No.: 92-380 Page 1 of 2                                                    l))cket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co. Date_~\k~u=-v_.,,.f~..1-,~/_._9'-'9_2..

7 Name 5000 Dominion Blvd. , Glen Allen, Va. 2 3060 Sheet _ _L./__ o f _ 2 . . . = - - - - - - - - - - Addrea

2. Plant Snrry power Sta ti on Unit &..v/

Name P.O. Box 315, Surry, Va. 23883 trltl~ l?P&//235'¥ ,.t],,,t'#fL.-179'.f'"' Address Repair Organization P:0. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N...,_/_A _ _ _ _ _ __

Name Authorization No. _ _ _ _ __.N'¥-L""l\_ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _- " 4 c . . . c L - - - - - - Address

4. Identification of System-'&,a:.-L=:,:.... ~'---'.c".S:,""'r,c;.....:-.fd,.~~'-'-----------------------------

5. (al Applicable Construction Code B3 l, 1 19---6.l_Edition,_-N..,./~A~_ _ _ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

7. Description of Work_.....,~'-"-~'7-6=~-<-4"-->,C...t:-...._ __.//,,'--A=-=~~v'.c...,,-'c{~-------------------------

7

8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure W Other D Pressure tf/t7e psi Test Temp. A/Cl C °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is SY.a in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

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

FORM NIS-2 (Back)

9. Remarks ---1A,.....,'(J:c...__#-_~(;"-"A/~T'"~L=.J.=~.:....L.2..L.2...,,.'fi"-'0'-'1"-,£-)__ .......::.../k:)-'-',=Y<c:1L'=----------------

                         #                                                                  ufacturer'1 Data Reports to be attached
                                                                     '2.                               &,,' .J CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this &~t:'~h.{#Tconforms to the rules of the ASME Code, Section XI.                                                                                             repair or replacement Type Code Symbol Stamp ___N...,/                ....A Certificate of Authorization No. ---'N~/Lo-'-A'--___________ Expiration Date _ ___.N""/'-"'A,.__ _ _ _ _ _ _ _ __

Date _ __.,&-~""=c.<c.a"~e-""'_____

                                                                                                                                                ;        , 19 .?.i!.

Signed ~ r ~ e , Title Ls-r: CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of

  ---------~lli~a=r_7:~6_o=~,-~d-J....:cc....Lf~*--------==----have inspecJ,ed the components described in this Owner's Report during the period                                                     ( f). -{). 'J..-f? to [d:-i        'J.-'f ;,J...        , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

  ------'~l----'-:--"'----,--:-:-'f'l--'.--'~"'"""""'""-----Commissions _ _ _V_a-'-.---"5_4=.c3::.._______________

Inspector's Signature National Board, State, Province, and Endorsementl Date,_ _ _ _ _--'b=-----3__19 Cf :2._

                                                                                                      .-                                                 Attachment II      ....,

Page 79 of 102 Serial No.: 92-380 Page 2 of 2 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the P{ovisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co. Date _ __,.X:c..£til,.,uC.::....t:-J~-C-L../.LY-,_.9c:..:2-=--------

Nama 5000 Dominion Blvd., Glen Allen, Va, 23060 Sheet_......;;;2-- _ _ of_-=2-:;;...._ _ _ _ _ _ _ _ __ Addr-

2. Plant Surry power Sta ti an Unit {2vt£ Name P.O. Box 315, Surry, Va. 23883 ukJ# 3?t2t2112atr?I RP#t12-0YJ"""

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

3. Work Performed by Virginia Power Type Code Symbol Stamp _ ___;N;.:.,/c.cA=-------

Name Authorization No. -------'N.,.,,,-1.cil\_ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _-"N.,./.....l \ " ' - - - - - - Addrea

4. Identification of System_./ll.. ~......"';,,:...-_*~,s;~Te.=2!4.~'rl.._,._____________________________

5. (al Applicable Construction Code B31, 1 19__61_Edition, _ _..N.._/,..A....__ _-'-. Addenda, N-1, N-1 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 BOW80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol

c. . ~i>.w,9£ /Ir.#"

Al" :r:r .,._ ' --.-* >-.l 61JTJt4 Nh7 /-/ff<:', J/? /9(// -4,., . _,, - - tvl)

7. Description of Work_~~~'e!'-1)~~~'4~?&~-~V.~A!....,,,"'=-=~'-'~=l:--------------------------

8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure 3"'

Other O Pressure /1/o )> psi TestTemp. Nt2Z: °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

~- FORM NIS-2 (Back)

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~<h..!'..VC:conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N_/~A-------------------------------- Certificate of Authorization No. ___:N:.:./c:....=.;A=-------------- Expiration Date _ ___,Ne.u. .L~A.____________ Date-~'~~--~J _ _ _ _ _ , 19.fL-CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of Ht<rTFord; c-f.., have inspected the components described in this Owner's Report during the period J 1, a,A-GJ? to I~ - 'l l- ql,. *. , and state thet to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

     -----11-~-=----=;------'-... t~-c'----'G"=-

Inspector's Signature

                                                 ?L"-~----'-----Commissions             Va. 543 National Board, State, Province, and Endorsements Date_ _ _ _ _..._{,........._<"'---1-_ _19     qsi.,

Attachment II

J --

Page 80 of 102 Serial No.: 92-380 Page 1 of 2 Ibcket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric Name

                                                 &  Power Co.                      Date        -

Jv...v.f 1 1

                                                                                                                /99 ?-

5000 Dominion Blyd. , Glen Allen, Va. 23060 Sheet _ __./'--_of_.c;;:;._ _ _ _ _ _ _ _ __ Addr-

2. Plant Surry Pawer Statj an UnitaE Name P.O. Box 315, Surry, Va. 23883 4l2 #,,1.@'a L/ 21J3 ~£# 9.2~tY2JY Addrea Repair Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N...,/....;A"'--------

Name Authorization No. _ _ _ _ _ _N....,..L.cA....__ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ __ _ , ~ - - - - - - Addr-

4. Identification of System_,A=~=---'C""'/?...,&1'-~.>C-......aa=-=!)'""~"'e/,""'"'~='-'c'--------------------------

5. (al Applicable Construction Code B3 l, 1 19--6.l_Edition, _ _.N.i.L

                                                                                        ....A""'-----Addenda, N-J, N-1                 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol

7. Description of Work bHf!h/,,( ,.,p;1,1j

8. Tests Conducted: Hydrostatic ff,neumatic O Nominal Operating Pressure 0 Other D Pressure ,; .,2 ,f"t, psi Test Temp. @a OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is SY.. in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at.the top of this form.

(12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Backl

9. Remarks ?Q# CS V 3.Jf2f'i C1 ) - I ~ kw4S:

             !'-'  ;#           /                       *('e                                    be attached ff !Uf.£9 anufactu~s Data Repom to m            C                              __l,.,__-~-+4--f,~~--------

1(!)# .) ..ll??/l .z.. CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this,<2~~>conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N..;.L..._A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No . ........aN""/""""A'-------------Expiration Date _ ___.N......_/.._A.___________ Signed ~ ~ T i t l e CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the Stet* or Province of Virginia and employed by HSBI & I Co, of _ _ _ _ _ _ _ _l(.'-'-a.=r_T......,_Fi....,b=-"'-"'c1"'-+J--=c=-=-f------,,.....~......,=---.have in5Rected the components described in this Owner's Report during the period /:l*cl~*g, to I l-J,,a.-9:J. , and state thet to the best of my knowledge and-.belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for an*y personal injury or property damage or a loss of any kind arising from or connected with this inspection.~!.*/;)~

   ----+.....,"-,-:-...c.._,...__..~.._,__..,~,....,~...=---=---Commissions _ _-'V....;a~.--=5'-4=.c3:::....______________
                         ~Slgnet':'re                                             National Board, State, Province; and Endorsements Date _ _ _ _ _=6_-_'-(-'---_19                  1~

Attachment II _,. ..... _ Page 81 of 102 Serial No.: 92-380 Page 2 of 2 Ix::>cket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co.

Name sooo Dominion Blvd., Glen Allen, va 23060 Sheet ~ of--=.2.--"----------- Addrea

2. Plant Surry Power Sta ti on Unit 0,,,,./

Name P.O. Box 315, Surry, Va. 23883 ttl&AJ;-fl{//t2112LR3 ~/2#9z.-al,fY Repair Orgenlzatlon P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N""/._A;;.;;,..._ _ _ _ __

Name Authorization No. _ _ _ _ _ _N-t.cA.___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _..,N...,,,-1.,.A_ _ _ _ __ Addrea G-..~. .~~~tffl..._'ll_~r:.___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

                                                      .......~£..~...

4. Identification of System_._&..-'A""'""'C-@

5, (al Applicable Construction Code B31, 1 19---6.l_ Edition, _ _..N..,/_.A..____ Addenda, N- 1 , N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8QW80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol

8. Tests Conducted: Hydrostatic ~ Pneumatic D Nominal Operating Pressure D Other D Pressure ~2. ro psi Test Temp, ,57?() °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this repo" is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at *the top of this form.

(12/821 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. R e m a r k s - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer'* Data Repom to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ,br~:,9c:~conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N ~ / _ A - - - - - - - - - - - - - - - ' - - - - - - - - - - - - - - - - - - Certificate of Authorization No . .....;N:..:.L../..:.A=--------------Expiration Date _ _......,NeJL/~A.____________ Signed Owner or Ownor'1 Designeo, Tltle

                                               ..l:5_:r /-v(b,,l~L£             Date------------,                       19 ____

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co. of Ha.r T'FtJ""' J J Cf: have inspected the components described in this Owner's Report during the period Id,- al-!i' ~ to I 1~ .1 !): ..: 9'l:.. ,. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certifica~ neither th'e Inspector nor his employer makes any warr~nty, ex~ressed or* imp.I ied, concerning the examinations and corrective m~asures described in this Owner's Report. F_urtherrnore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

   - - - - - - ' ~ - - - ~ - - - - -...£~--@A_~~-----Commissions _ _....:V...:a~*--=5:....4=3______________

Inspector's Signature Natlonal Board, Stata, Provinca, and Endorsements Date_ _ _ _ _ -=6_-_tf...,___19 C/'J...

Attachment II Page 82 of 102 Serial No.: 92-380 Page 1 of 2 Lbcket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co. Date J;;,,v,f f' ;I. /99 Z-N11me sooo Dominion Blvd, , Glen Allen, va, 23060 Sheet _ ___./"--_of_.i,::;;::___ _ _ _ _ _ _ __

Addrea

2. Plant Surry Power Statjon Name Unit a/

P.O. Box 315, Surry, Va. 23883 4b #J~o I/ 21J?I ~,.t# 9.z-c;L,')

                                  -Addrea                                                 Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N~/_A _ _ _ _ _ __

Name Authorization No. _ _ _ _ _ _N...,._i~A~----- P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _....N-./....1\..__ _ _ _ __ Addrea

4. Identification of System ~C/7)~ at).t,tUZ:-

5. (al Applicable Construction Code B3 l, 1 19--6.l_Edition,-~N....I._.A...__ _ _ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

/2.-

J; u).5

8. Tests Conducted: Hydrostatic ~neumatic O Nominal Operating Pressure D Other D Pressure ; l ,Y:t, psi Test Temp. ..ma OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY.a in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at .the top of this form.

(12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks ?{J # C5 V

               ~   //           /
                                      ..J_Jf 2.JY        C-r 2-/
                                                       *r*e H  k.!)5 anufacturar'1 Data Reports to be attached t:!d_        C >f' .lkS-f£'l J~--+--_,...)-4--f-~:z:.+--,..,___ _ _ _ _ _ _ __
                '()#        .f'    .JI??/?           .e..

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this#d~>-t:onforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N _ . _ / - ' - A ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. --'N;;.L../.a.A=-------------Expiration Date _ ___,N,u./..,A.___________ Signed r;:1-L._ / -

d_./

O w n ~ i g n e e , Titla Date _ v?;;:......_=v-=4!'"--~-----, 19

                                                                                              ...                               ??

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of Hd~TEtriccl.) ct have inSJ?ted the components described in this Owner's Report during the period I j * ~ .;J * '1 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

    -------~J---'---'"'---.,....1.J.*_._

I nspector'1 Signature _,{vA.....,='------Commissions _ _ _ V_a-'-.--"5_4c..3;c_______________ National Board, State, Province, and Endorsementa Date-------~-~---19 b* Lf q~

.... Attachment II Page 83 of 102 Serial No.: 92-380 Page 2 of 2 Ibcket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the P~ovisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co. Z:::;._______

7--.,...*-"/_.9'-,L.~.... Date _ __.,J;::....,,,::.,tt.:'!=~-,d,__,_ Nama sooo Dominion Blvd., Glen Allen, va 23060 Sheet :Z, of--=.2--:::;.__ _ _ _ _ _ _~ Addr-

2. Plant Surry power Sta ti on Name Unit WI!!

P.O. Box 315, Surry, Va. 23883 td& ~ f%1'Jl2/I 21 ?'f "2.!2#9 z.-o.,l, J Addrea Repair Organization P.O. No., Job No., etc.

3. Work Perfonned by Virginia Power Type Code Symbol Stamp _ __.;N~/c...;A:..;;..._ _ _ _ __

Name Authorization No. _ _ _ _ __.N.a.,,,-1.oA------ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _~N..,.I.....A ~ - - - - - - Addr-

                                                                                            ...~"'r-

4. Identification of System_h'"""",...,'/?._._.4_0;'"""""-'-£=-_.,C,_...,../?,,..!t,""""M _________________________

5, (al Applicable Construction Code B3 l, l 19--2LEdition, _ _.N..,/.._A...__ _ _ Addenda, N-], N-1 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol

8. Tests Conducted: Hydrostatic 0"" Pneumatic 0 Nominal Operating Pressure 0 Other O Pressure .Z.2 ro psi Test Temp. ..£?!12 °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is B% in. x 11 in., (21 informa*

tion in items 1 through 6 on this report is included on eech sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this fonn. (12/821 This Fonn (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. R e m a r k s ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attachlld CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~&c:~Jconforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N . . . , / " " A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. -'N""/.____A~-----------Expiration Date _ ___,N'1L./.LA.___ _ _ _ _ _ _ _ __ Signed~/ /_ --~ l.4,iar or ~ i g n e a , Title I5.Z: ---- Date _ __,,....Z..::.~,;.,:a.V.""'-L-""'.....,..¢'------, 19 9 2. CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of

  ----------M""-"A"'-i-'-'-I:......'15-'o='-r-=d:::....,(f--"c=.Jt
                                                              .....____________ have inspe1;ted                            the ,components described in this Owner's Report during the p~riod                            t l

J :l.
f Cf to / 1-1 ~ - cr l. . . and state that to the best of my knowledge and belief, the Owner has performed examination; ~nd *taken corr~tive measures described in this Owner's Report in accordar:ice with the requirements of the ASME Code, Section XI.

                                .      '     .\

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

   ----'~:.....~----'C..-*--'-----'. . . .f__~

Inspector's Signature

                                             ..... ~-----Commissions _ _ _                V_a_._5_4_3"'---------------

Natlonal Boord, State, Province, and Endorsements Date_ _ _ _ _ _ _ 6"--_"('--_19 f 'J...

Attachment II Page 84 of 102 Serial No.: 92-380 Page 1 of 2 rx,cket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co.

Name sooo Dominion Blvd. , Glen Allen, va. 23060 Addrea Sheet _ _ _ . / ' - - _ o f - ~ : : . . - - - - - - - - - -

2. Plant Surry power Sta ti ao UnitaE Name P.O. Box 315, Surry, Va. 23883 Addrea 40 #Jgt,o // 21 rr ~g# 92-CJ26 Repair Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _ N~/_A_ _ _ _ __

Name Authorization No. _______N...,..t~A-----.,.-- P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ __..N.,.lc..1n,.___ _ _ __ Addrea

                                      ..t1~-¢'.~~a~~tJ..~~ff.~~=-r

4. Identification of System..,A~~=~-C~/? _________________________

5. (al Applicable Construction Code B3 l, 1 19_61_Edition,-~N...,/~A-_ _ _ Addenda, N-J, N-2 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired,* Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol

/2.-
         * .f'ru..>.5
         'I
            ,Jn,,J

7. Description of Work b,yd,J,{ A#.J

8. Tests Conducted: Hydrostatic ~neumatic D Nominal Operating Pressure 0 Other O Pressure ; ,2 ,y't, psi Test Temp, ..ma OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at.the top of this form.

(12/821 This Form (E00030) may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

                                              . CERTIFICATE OF COMPLIANCE We certify that the statements ~ade in the report are co~rect and this.R~~>i:onforms to the rules of the ASME Code, Section XI.                                                          repair or replacement Type Code Symbol Stamp_._ _ . . : N ~ : . : A ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Certificate of Authorization No.--'N"'/'"""'A'-------------Expiration Oate _ ___,N.._/L..ElA.___________ Signed w.~ / 04-e-< Owner orO~De1ignee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and _I"Ployed by HSBI & I Co, of Hart rJ , ft, G L!. have inspected the components described in this Owner's Report during the peri;d ,a:-a.a:*n to I i-.;.:i.41.. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

-----""'~.....;;.-=,-_,,.____-'-c-'--"-/_._-'{9;zQ._~------Commissions _ ___:V:...:a::...:.*.......:5:..4=3---------------

1nspector's Signature National Board, State, Province, and Endorsement* Date,_ _ _ _ _ ......,,£'----Y'--_19 q ~

Attachment II Page 85 of 102 Serial No.: 92-380 Page 2 of 2 D:)cket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co.

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet :i Of___J;:::::::..~~~~~~~~ Addr-

2. Plant Surry power Sta ti on Name Unit wL P.O. Box 315, Surry, Va. 23883 tt)t) #=-- f%QIJ// 2/?'S: ~~9 z.-02 6 Addrea Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _---'N'-"/r...:.:A:..-._ _ _ __

Name Authorization No. ------N&JL,t..l...,A.____ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ __.N"+-taA------ Addr-

4. Identification of System_.r.;k;~"/?""'-'C-..L.172""-=,g_=-_.C,_... ..""H,"""L/""r-'--------------------------

                                                                ....J!.!..,~

5. (al Applicable Construction Code B3 l , 1 19_fi2_Edition, _ _.N..,/~A,.____ Addenda, N-J, N-1 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, Identification Built or Replacement or Nol

8. Tests Conducted: Hydrostatic G?" Pneumatic D Nominal Operating Pressure D Other D Pressure .Z.2. ro psi Test Temp. s:f!?i!) °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is BY.a in. x 11 in., (21 inform11-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at*the top of this form.

(12/821 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

                                                                                                                                                   /!
                                                                                                                                                 /

FORM NIS-2 (Back)

9. R e m a r k s _ ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Appllcable M11nuf11ctur11r'1 011t11 Reporu to b11 attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this fil&c:~conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _...:N=-=-=A'--------------------------------- Certificate of Authorization No. ___N .../......_A_____________ Expiration Date _ ___,N....._/""A..___________ Date_~J;:""-==w .E-=--..,.r'------, 19 9z CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of Ho. .. r Ford J c t. have inspected the components described in this Owner's Report during the period Il-1.'J.- !?'f to / '}.' a.i-'t 1. , and state that to the best of my knowledge and belief, the Owner has performed examir1ations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Sectio.n XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expres~~ or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a lou of any kind ari.sing from or connected with this inspection.

   ---+R. . . . .J.='-'-~~-'--'/.,__. -~=------Commissions _ _...:.V.=a:...:*--=5:...:4:..::3:........_ _ _ _ _ _ _ _ _ __

lnspector'ISlgn11tur11 N11tlon11I Board, State, Province, and Endorsement, Date b - '-{ 19 q:2,_

Attachment II Page 86 of 102 Serial No.: 92-380 Iocket No.: 50-280

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

1. Owner Virginia Electric & P~wer Co, /_.9_9___2_____

Date _ _,._./...,ttuc#:a...&:.-a../=-,./'--.... Nam* 5000 Dominion Blvd., Glen Allen, Va. 23060 Shaet _ _.-../_of __/_ _ _ _ _ _ _ _ _ __ Addr-

2. Plant Surry Power Stat; on Name Unit ___.6_/....,tc/--/-----------

P.O. Box 315, Surry, Va. 23883 tvCJ #'.Ynt2// 22..rI No.,Le# z-1&2 Repair Organization P.O. (J Job No.~eic.

3. Worlc Perfonned by Virginia Power Type Code Symbol Stamp _ _ _N~/_A _ _ _ _ _ __

Nam* Authorization No. ------N..,,... 1-A_ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Dete _ _ _ _ _ _....,.C..D,.______ Add,-

4. Identification of System _ ....r;"-G~i.-'f!........0._.f!"","""=-------------------------

_.24a=....~_.4._".._r...,./...__£""""

5. (al Applicable Construction Code B31, 1 19--6.l.._Edition, _ _.N...l......,A~---Addenda, N-] , N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repain or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Codi National Repaired, Stamped Name of Neme of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, Identification Built or Replacement or Nol

8. Tests Conducted: Hydrostatic ff Pneumatic 0 Nominal Operating Pressure 0 Other O Pressure 22.,J?:~ psi TestTemP. S?/eJ °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is B'li in. x 11 in .. (21 informa-tion in items 1 through 6 on this repon is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this fonn.

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

FORM NIS-2 (Back) CERTIFICATE OF COMPLIANCE . We cenify that the statements made in the repon are correct and this 4~4*~onforms to the rules of the ASME Code, Section XI. . repair or replac:emant Type Code Symbol Stamp ___N;.:.,../.:.;A'---------------------------------- Cenificate of Authorization No, N/A Expiration Date _ ___.N....._/.,.A..___________ SignedM ~~

        ~ n e r or O~U.-.0.si;nH, Title rs:-z- ~~                                         ~ __

Date--~"-""""'"'"',.C /

                                                                                                         ._.:::--=-----*     19 92=,

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel lnSQectors and the State or Province of Virginia and employed by HSBI & I Co, of He,..,. 'T Po.,. d I C. t have inspected the components described

in this Owner's Repon during the period f '-- l ?.- ~ C, to /1-1, ?.-'i ~ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Repon in accordance with the requirements of the ASME Code, Section XI. By signing this cenificate neither the Inspector nor his employer makes any warrantV, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Funhermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or propeny damage or a loss of any kind arising from or connected with this inspection.

---..,.-1Rl:-'-~'.kJ:--------'----l."-.--~-=-------Commissions 1
                  . I n11>11etor'1 Sign11tur11

_ _ _V_a_*.......:S:..4=c.3_______________ N11tlon11I Board, St11ta, Province, and E ndon11menta Date_ _ _ _ _ _ b_-_/_19 'fl..

Attachment II Page 87 of 102 Serial No.: 92-380 Iocket No.: 50-280

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

1. Owner Virginia Electric & Power Co. Date _ _.... 1,,_fu~.v~r~~.J......,.7 ....*-.,./..,.9'.....1~2-~------

Name 5000 Dominion Blvd., Glen All en, Ya. 23060 Sheet Addrea I of___,-r-----------

2. Plant Surry Power Sta ti on Name Unit a, P.O. Box 315, Surry, Va. 23883 Address tib#:ma(} 9,1201 ,;;lR#9&~or Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol S t a m P - - - ~ - - - - - - -

Name Authorization N o . - - - - - ~ - - ~ - - - - - - P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _......,,+"'"-------- Address

4. Identification of System ~t"r-./ hv.:rh77~,t,/

I

5. (al Applicable Construction Code B3 l , 1 19 _fLl_ Edition, _ _.Ni..L,L./..,A._____. Addenda, N-1 , N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No)

8. Tests Conducted: Hydrostatic O Pneumatic D Nominal Operating Pressure ~

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

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ,c?.!-,?<,4c::h&o?conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N_,___A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. __,N:.:../LA=-=-------------Expiration Date _ _---!N"-/LL!A'----'---------- Signed Q;1:, ,,:;? ~ O w n e ~ n e e , Title

                                 *_, .:Z:.J':Z:4-tw.vE/d                                                              ----

Date _....:\/'.'.:::.....!l.,~1/iL=e'..___.;'t...-____ , 19 9L CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of Ha 'r Tfo r cl , CT, have inspected the components described in this Owner's Report during the periol,_ _ _ _ _ ___._/_..J.:..-..,.l::..1l.,_-_,f.....,_9_to / 'J.- 1 l - qi * , and state thet to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

                                       .......8-~,_.=_....:..;;;__ Commissions _
---+~--la,A,L-~~-'---::-,-------'F-£-'--                                                   __;..V. . :. . :a*c__._;5:c.. :c4.::.. _3- - - - - - -
                    ~gneture                                                           Netlonel Board, State, Province, and Endorsements Date,_ _ _ _ _-=.b_-=3__19                   q~

Attachment II Page 88 of 102 Serial No.: 92-380 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the P~ovisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co. Date_~'.\.~Z:-4Ll.lr~....-="t;;....*+-~-'L/..L9...Lz'

_L _ Name 5000 Dominion Blvd. , Glen Allen, Ya. 2 3060 Sheet _ _ _~/- of / Addrea

2. Plant SUTT¥ power Sta ti OD Name Unit _..Jc)i..,.c.,,,_v'-"~"---------------

P.O. Box 315, Surry, Va. Addrea 23883 tt)l)T/ ?ffl'J() ILOI( £,/ # Repair Org~nlzatlon P.O. No., Job No., etc.

                                                                                                                                                                     ~.e?-//2

3. Work Performed by Virginia Power Type Code Symbol Stamp _ ___:Nc:.,/c...:A:.:__ _ _ _ __

Name Authorization No. ------NIJL,L-/,.l\.___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _4N""/wl\"------- Addrea

4. Identification of System__,.~'-""--u"'""r.t.....____.d,""""'""'=-V,'__.d""~'°""'=-c.~v..=~.__________________________

5. (al Applicable Construction Code B3 l , l 19---6.l_Edition, _ _.N...,luA...____ Addenda, N-1, N-2 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components

          ,.,                                                                                                                                                          ASME Code National                                                  Repaired,    Stamped Name of                    Name of                        Manufacturer                    Board             Other             Year                Replaced,      (Yes Component               Manufacturer                         Serial No.                     No,        Identification          Built          or Replacement or No)
    ~4-y'J,               -C1..eord ,I                          *IA U    ktJDn7p               .11J /.,4   .t-~~-r/.--/l)()d U'N.kPo...., ,, .t:>..e)~a,J                ,PO t~(')Jdy' ft_11,!                        ;,P:16162.-

V:,t-Jti:- I.ob~ ~,e.',e tp t)C)-Jl'J/'Jl"J '.> u/4 1-),1-rv'..-/~o,1 l"I? r+ ,, * ' A-. -b,* ,Mil

7. Description of Work R4?&4c~ ,/A.e-,/tf:

8. Tests Conducted: Hydrostatic O Pneumatic ~minal Operating Pre~sure 0-~*

Other D Pressure 416 psi Test Temp, &f#dtbC° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is BY.r in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

                                                                                              ,,r-)_____________

9. Remarks ___..M....,rJ"'--P-{!-'-Al"-L"-.--'J.""-3=----?..........,,K-.-:J""""__,_c;...:...I Applicable Manuf11cturer'1 Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this *~~ju?c~onforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N~/_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Certificate of Authorization No. __,N:.:./i:..::.:A:.-_ _ _ _ _ _ _ _ _ _ _ Expiration Date _ _.....,N,../'""""A,____________ Signed~./ /

              ~1r,e~Dasignee, Title
                                       ~__./          f      s:;;;                                      Date~4~~-'~e-,e......,..£

_ _ _ _ _ _ , 19 9, CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of f-/o..v T'Fci ,.J . Cf. have inspected the components described in this Owner's Report during the period, f~-1~-2'? to 11-'ll-'i~ , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with ttie requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures describ~ in this Owner's Report. Furthe'rmore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this 0 i_n_sp_ec_*_t_i_.~--="-------1fl---'.'---~-~~-~---Commissions Va* 543 Inspector's Signature National Board, State, Province, and Endorsements Oate_ _ _ _ __.,,{,'-- ........

                                         / _ _19          9.2.

Attachment II Page 89 of 102 Serial No.: 92-380 Docket No.: 50-280

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

1. Owner Virginia Electric & Power Co. Date ____,6"-,,~'9-i!-a-,l-,~--+-4'L=*- ' - - - - - - - -

Name 5000 Dominion Blvd., Glen Allen, Ya. 23060 Sheet _ _~/__ of _ _,__ _ _ _ _ _ _ _ __ Addrea '

2. Plant Surry power Sta ti on Unit (}y£ Name P.O. Box 315, Surry, Va. 23883 WrJ#,__?ff'tJt)/1) ~?//; ~_L#c:;.?.. - Of:z.

Addrea Repair Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ ___:N"-'/~A:.:..._ _ _ _ __

Name Authorization No. _ _ _ _ _ _Na,t.l.,,l\.___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _....,.,<-=------ Addrea

4. Identification of System .t1:o<, N,.!;}14.#;,-E~

5. (al Applicable Construction Code B31, 1 19--6.LEdition, _ _.N,.,./_.A::i._____ Addenda, N-1 , N-7 Code Casa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No, Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol

                               ~A                                         1      *

7. Description of Work_.L~-= 9 ).'-'V-=~-"""/:J~t!=-.&=-~-':J'="'--__.6',a.LA~d:-=-*-=//,...:..4-'--""A"-'i/.'--£."'-----------------

                                                                                                             ,;(-   .

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure ~

Other D Pressure ,NO J psi Test Temp, A/eJ L °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8¥.. in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks--Lty;~, ~#-{:_~,,V...L../--=2J=-.=2-L.)....L.2----""S'---1,,J~..=--="")'--.- - - - - - - - -

Applicable Manufacture-?, Data Report, to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ..f~.Fc-'.r-conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N_.__A__________________________________ Certificate of Authorization No. N/A Expiration Date --~N,../""'A"'----------- Signed ../~ fr,:C~O/lr.///~ Qowiffrc:'r0wWsoes1iinee, Title Date ~..{

*/

19 , 19 9J-- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of Ho..t Tfo r d I Cf. have inspected the components described in this Owner's Report during the period ( 1-11.- ~, to I~ - ~ ~-'t 'l. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this

  *in--sp-ect--io_n_. .L~-""'j.:;....l"'U,...~

_ _,.J'--"'.,.-~---------Commissions _ _--:.V..:ac....:...* .....c5_4"-'3=------------------ lnspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _ _..=b_-_(...:..cr_19 Cf~

Attachment II Page 90 of 102 Serial No.: 92-380 Ibcket No.: 50-280

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the P~ovisions of the ASME CooeSection XI

1. Owner Virginia Electric Name

                                                                  &     Power Co.                                          Date     0,ve! ,C,     ;99 2--

sooo Dominion Blvd., Glen Allen, Addrea va. 23060 Sheet / of_-L---------~

2. Plant Surry Pawer Sta ti on Unit Out!

Name P.O. Box 315, Surry, Va. 23883 tJtJ.#' ?rao a 21'.96/ _.ee#9.z.t?.5"? Addrea Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ ___,N:.:..,/c...:A:..::..._ _ _ _ __

Name Authorization No. _ _ _ _ ___.,N.,./c..,1\1...._ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _...D1µ1..-_ _ _ _ __ Addrea

4. Identification of System_Cc,""""~tv~r.~&~.~'=,v~:,,.~/.~d:...LZ:--~r"".>~=,p.c.,,F,t'------------------------

5. (a) Applicable Construction Code B3 l , l 19___61_Edition, _ _.N...,_I... A._____ Addenda, N-1 , N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 BOWBO

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol

7. Description of Work._.L4'""?"-y,""'~=.,t!..,e.._....t..(i"-""(J)"",v.!<:.L,(7.t'.""'-~'-7'"'---dc.<..,aS:...fc.c:..6&.=.:.<cia;u,:~c-;'1-/-------------------

8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure ~

Other O Pressure Al d? psi Test Temp. Alar °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks---.....,.~_~_.5.._>'....,.f'---'J~2=S"&-0.....,~'-'i~(-'~}_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

                                          /                     Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify thai the statements made in the report are corre~t and this A'Mc,t..,,,&vz: conforms to the rules of the ASME Code, Section XI.                                                                           repair or replacement Type Code Symbol Stamp ___N ~ / ' - - A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Certificate of Authorization No. N/A Expiration Date _ ___.N...l......,A,____________ Signed ( ) ~ ,j1

Owner or O ~ n e e , Title

                                                    ~       ..Z-5'F 6,.,41',v,.e/&

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Vir inia and employed by HSBI & I Co, of

  -----.t...l.!"'--'-r_T'F,____,_t-_,D<-"'......_4 _,,."'-1..."------------~,---:c----have inspected the components described in this Owner's *Report during the period _ _ _ _ ___,/-=:)..'--*---"-3.~j.~--f?._'...t to          0, - a.:). - 9 :l..            , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this _ _ _ _ _ _ _ _ _ commissions _ _--=V..:a=--=-._;:5:..4=.:3=---------=------- i_n_sp_ec_8"t""io""~'-*....,.,,c.::...,.__,----'l'---.--=(J£_::;_ lnspector's Signature National Board, State, Province, and Endorsements Date {,-8 19 9 ~

Attachment II Page 91 of 102 Serial No.: 92-380 DJcket No.: 50-280

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

1. Owner Virginia Electric & Power Co. Date_-1cL~&H..,Ov:.c.E..__~"'--,..--*4/_. c..9_..9_L;:::..;;.__ _ _ __

Name _s. o...,o,LJo.,___J,,!D~owml,ji._.n~i.

          .                               ....* o,.,n..._...,B,..1..,v.,,d..,..,_.~*__..G""'l..,,e.,,n..__.Ao..l.......l.,_e~nL4,i.......cY..,a..__......2w3 060 Sheet _ _ _/ _ of_:.../_ _ _ _ _ _ _ _ _ __

Addr-

2. Plant _ _.s~u.....,_r...,r-,1y'---'P"'o..._w...._e.._r---"Sut...a':'t~i... n.._.n_________ Unit _O,:........;,v,c......::£=---------------

Name P.O. Box 315, Surry, Va. 23883 4,}()~fftJO/~t/t2) 2 _,t1_.t#92-o.r£ Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ ___:Nc:.,/:..:A:=...-_ _ _ _ __

Name Authorization No. _ _ _ _ _ _N.,..._L.,,A~----- P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _. . a . u : i . - - - - - - Addren

4. Identification of System {J,ur4~u~ ,...-- V4 <! IA'&k

5. (al Applicable Construction Code B31, l 19---6.l_Edition,_*___.N..,./'--A...__ _ _ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 BOWBO

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, Identification Built or Replacement or Nol

8. Tests Conducted: Hydrostatic O Pneumatic D Nominal Operating Pressure G-"'

Other O Pressure ;A}o~ psi Test Temp. /.!Q r °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form .

(12/B21 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

CERTIFICATE OF COMPLIANCE We cenify that the statements made in the repon are correct and this ~ d - 4 ' ~ conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N ~ / ~ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Signed aL Certificate of Authorization No. d Owner or Ow~ee,Title N/A

                                     '.d.-,, 15:Z- ~&',;,,~¥~

Expiration Date --~N=/~A~---------- Date _ _ L,,_...-"-""~--"p/'---_ __ , 19 Jltt!.. CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of ___________f/.....,.1.1~"T~F~a~r~J=-.J'-'-....... C t....--------=--=----have inspected the components described in this Owrier's Report during the period a.*

                                                             /?. *l l-8' 'f to l J.i ~q 1.                          , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

'~'I--'""""----'"----'+-.,__'-.,.~""'--------Commissions_--,-,--'V-=a=--=-.__::5:_4::c3=------:-----,,-::----,------

insi>ector's Signature National Board, State, Province, and Endorsements Date_ _ _ __..._0..__---'1=--_19 q l..

Attachment II Page 92 of 102 Ser:l.al No.: 92-380 Page 1 of 2 Locket No.: 50-280

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

1. Owner Virginia Electric & Power Co.

Nam* Date~/;...L...,h~.1~92.=--- - - - sooo Dominion Blvd., Glen Allen, Ya, 23060 Sheet _ _l'--_of L Addrea

2. Plant Surry power Sta ti on Unit CV<<t:

                          .                     Neme P.O. Box 315, Surry, Va. 23883 Addrea
                                                                                                    )cJ> 9/-o.JJ               tJtr rKoa 11.5"99'0. M <#"92-oJ'J RepalrOrg11nlzatlon P.O. No., Job Ne?., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _--.:N::.,/...::A;.:.__ _ _ _ __

Nam11 Authorization No. _ _ _ _ _......N_/,,.n______ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _....N.,.{'-'n:1--______ Addrea

4. Identification of System_"'-h--'~=j{.=i).._..,~""~aL.LV

                                                          ....-;.,(.""'4..,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5, (al Applicable Construction Code B31, 1 19----22-Edition,_......N....,_/A...__ _ _ Addenda, N-J, N-1 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol

f 8, Tests Conducted: Hydrostatic O. Pneumatic 0 Nominal Operating Pressure @/

Other O Pressure Alo? psi Test Temp. &lrl r °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) Informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks -~C.....5-l'\('-'-/_,_9~1.,__.,_$;,.../2,"""',.._C_____.0~z..,,.)'--:...:../...:..¥_~..,.,4=e.=--4=W=U=}....,.G.,...LJi~""-')"-----------------

I Applicable Manufacturer' Data F.lepom to be attached I 4 S)eic,~ 7 j),,Lc t£ I CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Af,li>~l"£w,v)"".'"'conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _...;N;.;.:...;;..;A;..__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. N/A Expiration Date _ _-.N.../'-'A"'----------- Signed 0 Y:

            ~tner or 0 ~ Title p ~ **     J

LS' z c!dt;tW&rd Date kc 9 , 19 9:2-CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virqinia and employed by HSBI & I Co, of Hatt ED rd) ct. have inspected the components described in this Owner's Report during the period I :J.-ll- S'.9 to I d- _,;p. -q l.. * , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the* Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this 1 10

_n_sp_ect__ .... n*~'--"'-~c:~-'---'-f_.:....::~=e...::e-'-*-......,-----Commissions Inspector'1 Signature

Va* 543 N11tlon11I Board, State, Province, and Endor1ement1 Date_ _ _ _ -..c.b_-_1~__ 19 q l._

Attachment II

                                                                                                                                                                         .-                                                                                 Page 93 of 102 Serial No.: 92-380 Page 2 of 2                                                                                                                   Ibcket No.: 50-280

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

1. Owner Virginia Electric Name

                                                                                               &   Power Co.                                                             Date__..G'-'-b             .....9_,_h-'-9L=---------

5000 Dominion Blvd., Glen Allen, Addr-va 23060 Sheet _ _..::L=-_of.:L=-------------

2. Plant _ _.s...1,..1..,r_.r..,,¥!--P........o...,w....e..r~..,s....t ...a....t-J...* o.......n_________

Name P.O. Box 315, Surry, Va. 23883 )> cp9;.o...q Wt/;11-..ft't20l/£27o,. R£ # 92,0/f.J Addreu Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N::..;..,_/.::A;:.__ _ _ _ __

Name Authorization No. _ _ _ _ _.....eN.,.lwll.e1...._ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ __..N'+/..,JI,~------ Address

4. Identification of System_h...._..,..',!,,..;},c.:M:o:f4.~:r.i..,,'Z."-',e....__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code B31. l 19....6.LEdition, _ _.N.._/,_A...__ _ _ Addenda, N-1, N-7 Code Cesa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol

7. Description of Work....,,,_..t2.~~'F,)-"'/.""A~c..... .f_....,,C~_.,_s;:....:::d.:,c:;,,,,'.,/.c,:'&CL.-.>=~:,aL.:.,::.V.::.,~:::,::d'.=d:L£.l.<2'!.:..::,/2.:..._..!.h...:M=.:'d:'...:if/.=~:£~1=Zf!=~4=!'..cl~;,e~S::::...:::~:..,::4~L.~.- - - - -

8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressu! [3-"' ,;( {;,;,~ &r.r #-1!//G Other O Pressure Alfl? psi Test Temp. µ(!) r °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is SY.a in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form .

(12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. R e m a r k s - . . . . . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this 4?<'4':~ conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N ~ / ~ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. _N~/~A~-----------Expiration Date _ ____.N,../LAil..._ _ _ _ _ _ _ _ __ Signed 0/ /

           ~torO~~signea, Title
                                   'A4/'.        ...ZSfk4ee&fL                                 ...~a.=~.c~9~------, 19 Date __:0~-~""-                             9L CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia                      and employed by     HSBI & I Co,                                                     of f/a.r1 Far dJ         ct                                       . have inspected the components described in this Owner's Report during the period                       /1,- :l. 1- \? 9 to    13,. ~ 3-l- S1.               , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described In this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty; expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. /\ ..fJ.- ~ /;) (\ 1

  ----~-+--t::i~w=:c.,.."-~---,-:-"rf-_*-~-------Commissions _ _ _V_a-'-.--"5_4""'3"----------------

inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _ _ =f;_-..C/. .__19 q:l_

                                                                                                                                               .-                                         Attachment II Page 94 of 102 Serial No.: 92-380 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co. Date_\;,:&"""'""d<=.k.,f_=~+**-"'l--'tJ__.5--2---------

Name

    -"'-s~Ou.OuO'--D~o,.m..,i..._n... o.,.n..._..,B,..1...,v.,.d.,_*.,.._,__,,.G~l..,.e"'nL...IA""l.....

1...,* 1.,..e""'n'-'.'--'vua.....--""2_,3 060 Sheet _ __,/.___ o f _ ~ - - - - - - - - - - Addrea

2. Plant Surry power Sta ti on Unit (2..,,tf' Name P.O. Box 315, Surry, Va. 23883 ~J&'tllJJ/2.2?/ ll#p.~Jy Addrea Repair Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _.......;;N.:..,./-..:A~------

Name Authorization No. -----...JNLJ&,,f-/-"'11,_ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _. . u . , , ' - < > - - - - - - - Address

4. Identification of System ...~-'-',p~"'~w--~~~.=:a.'.4.~'rf~---------------------------

5. (al Applicable Construction Code B31, l 19~Edition, _ _.N~/._..A ........___ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

                                                                                                                                                                                                            'I,)

7. Description of Work_.,,__A~~"f'#~C:::-&~=-f---"'0--"~-'-=~~t/,~~----------------------------

8. Tests Conducted: Hydrostatic~ Pneumatic

                                                            ~r-;,r" D         Nominal Operating Pressure~

if)'- d

                                                                                                                                                                    ,~Gi>~

Other D Pressure ;.Joe tJ- l,,.J"'X )#/'d,r./ psi Test Temp. A!~r

                                                                                                                                          ,,?;t,(11.#Nr
                                                                                                                                                              °F 0

t? lJot,1.,;sm.1~ w.t:e..eJ o;i.1'-.J,' NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recOfded at the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

l FORM NIS-2 (Back)

                                                                                                            )L---------------

9. Remarks .....:~.....:'(Y::...../r_=-5,=/</...:...T----'o,,<.,3_,_~L=.;J.~:.S-:e!!....,/----'-c=.:...,,../

Appllcable Manufacturer's Data Raponi to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~~&~onforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N"'"'/'-Ac..;c.._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. --'N'"'"/'-"-A~-----------Expiration Date _ ___.N,.../<-A2...._ _ _ _ _ _ _ _ __ Signed / ] L _,jJ *

          ~i3ror~Deslgnee, Title
                                                  ,-4/' Z::SJC b(//,y~,,(!

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of _________.,.f./.-,..c.a:=i,,c..T~f~e...,t"_d~-,.J-'C"""-t-'-_______-=--==----have inspected the components described in this Owner's Report during the period /J-l.J.-~ to _ _._(-dJ'---l..,i""---...'-f_1_~----, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.AT D_ D:"

  ----~--l--b'~-=:....::...---.,...,...-'J.'---- - - ' ~ = - " ' -_' :_

0 __ commissions _ ___c.v...cac....:_.;::_5_;4:..:3:__ _ _ _ _ _--:--::--:------ inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _ ~{-,~-~9~_19 C/ :)._

I *J l\ttachment II Pa9e 95 of 102 Serial No.: 92-3/30 Page 1 of 2 D:Jcket No.: 50-200 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Pi:ovisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co, Name.

sooo Dominion Blvd,, Glen Allen, va, 23060 Addrea Sheet _ _,_/__ o f _ - = 2 - ~ - - - - - - - - - -

2. Plant Surry pnwer Sta ti on Unit CJ,y.{

Name

                                                                                                                                               ' - ~ 1' P.O. Box 315, Surry, Va. 23883                                            l</tJ~ 7ro12 lt2¥ 20                & ; n.-o..r.r Addrea                                               Repair Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ ___;N:c./<-A=-------

Name Authorization No. ------Nlll.,<./.,,;r.._______ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ __.N,.,,_l.,;r.______ Addrea

4. Identification of System ~

                                  ~641': 172 /1     aO"'-&&' Z::    >

5. (al Applicable Construction Coda B3 l , 1 19~Edition,_...N1.t/J.A1-___ Addenda, N-J, N-1 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 BOWBO

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, Identification Built or Replacement or Nol

8. Tests Conducted: Hydrostatic [].-,--1'neumatic O Nominal Operating Pressure 0 Other O Pressure z...L. S:tZ psi Test Temp. , ,;'p () °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this repon is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/821 This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

9. CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this @?~rconforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N ~ / ' - - A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. ---'N~/..___A_____________ Expiration Date _ ___,N,.../.....,A,...___________ SignedQ d£c.lY!4/ J['Z Owner or 6Wner's De1ignee, Title

                                                                        &/wµcz?,4,                         Date_k..:..::::v.=v.c.::'e==--..:../_,2.-=-----, 19 .7 L CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the.State or Province of Virginia                          and employed by                           HSBI & I Co,                                                           of
  ----------...,Hf-l-..a.""rL..:t.......,f1--1or:,..r.....,.d..._,if-""'C""""'1'...,,_ _ _...,....._ _ _ _ _ _ _ have inspected          the components described in this Owner's Report during the period                                                ,a.-11-x'"f to (J.'ll-91..                                    ,andstatethet to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this 0 i_n_sp_ec_t_i_e,...*w:>a~'--',._ ___f=--'.'--_,,~-""'~------Commissions Va* 5 43 Inspactor'1 Signature National Board, Stata, Provlnca, and Endorsements Date ~'Id:- 19_,_q_:i_

Attachment II Page 96 of 1 02 Seriar No.: 92-380 Page 2 of 2 Iocket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the P~ovisions of the ASME Code Section XI

1. Owner Virginia Electric Name

                                                 &  Power Co.                                                         ,

Date _"'J;;,c=.,.u=~=--"-<-/-=2--~,....c..l-"9_,~:::....=z_:;;...._ _ _ _ _ _ __ sooo Dominion Blvd., Glen Allen, va. 23060 Sheet ~ of~~---------~ Addrea

2. Plant Surry Pawer Sta ti an Name Unit dutt=

P.O. Box 315, Surry, Va. 23883 Address w~ .#-.Repair f@t)l1J*'7s7 k#eL---OS-C Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ ___,;;N"'/'"'A~------

Name Authorization No. _ _ _ _ __,N_,.,,~lal\_ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _...,N.,.l_.l\"'------ Address

4. Identification of System ~~ {;O?du,C

5. (al Applicable Construction Code B31, 1 19--6.LEdition, _ _..N..,/~A..._____ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 BOWBO

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

Ml/# t:.(Jr# Mn A/_A* , :.L ),_1.:,,..,. d -?~ K'o u* -y~

                                                                         ,          /-~-,ye /.-/&'hi' n? t...-- l,c7.J:,\,                            A *

d' - A//)

7. Description of Work _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic ~neumatic D Nominal Operating Pressure D Other D Pressure ;z.z.. ,Y,s, psi Test Temp.

c.5770 °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) Informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. R e m a r k s _ ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer', Data Repo"s to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~~.h/Cconforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _. . :N;.:.,/:.. .A:..::.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. __,N:..:.L../.::.;A=-------------- Expiration Date _ ___,N,,./......,A.___ _ _ _ _ _ _ _ __ Signed iiJ~ ~4.C:

               ~~~r'sDes1gnee, Title T.S,:::C ~(P,a?a-,                   Date~~~-~~-...6-~~-----, 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia                               and employed by    HSBI & I Co,                                                     of H4.l"tforJ Ct.

I have inspected the components described in this Owner's Report during the period /~-'ll-8'Y to {l.. 11-91. , 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 R*eport in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this

                     ~--==---"------""""*-~~~~=--------Commissions _ _ _V_a_._5_4_3_______________

i_n_sp_ec_t-io_n_.... Inspector's Signature National Board, State, Province, end Endorsements Date_ _ _ _____....b_--'-'d--'---_19/ q 1.

Attachment II Page 97 of 102 Serial No.: 92-380 Ibcket No.: 50-280

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS

                                         . As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric and Power Co. Date_~f,;_\l-"1~:i-'--i\.--9 i I 2~1 Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ _ _.___of_..___ _ _ _ _ _ _ _ _ ~

Address 23060

2. Plant Surry Power Station Unit _ _ _~ - - - - - - - - - - - - - -

Name P.O. Box 315, Surry, VA 23883 Address Repair Organization P.o: No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _~N"""'"']~'-'--------

Name Authorization No. _ _ _ _ _ N~l... A_.___ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expiration Date _ _ _ _ _-+N"'l-41.,_A.___ _ _ _ __ Address

4. Identification of System J(EAcl'Di?.. Cc,DU,.{\\:( '.::>'{~5T'E.M

5. (a) Applicable Construction Code B3 l

1 19§1_ Edition,_N~/_A_ _ _ _ Addenda, N-1 , N- 7 Code Case (b) Applicable Edition of Section XI Utilized for Repair~ or Replacements 1980W80

6. Identification of Components Repaired or Replaced and Replacement Components

Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other identification Year Built Repaired, Replaced, or Replacement or No) ASME Code Stamped (Yes 1\.,c. Co\t>n, .._\ Hf=A'f' -:$+/-- /\Be. Cttr11>. E'.nB. RE:.?AI~ - 3* C...~'P Mo.c.hine.. Co,,.11>ny,::Iit. 1C::,6DC\'\ "11 f\ Col\l,,_,.GT N<>,

                                                                                                       ~LF'D0"1                    l9q I          A,i..~Trol\.l                  /Vt}
                            * "1"'hc. Cb\~,... \             \-l'E.AT     ,ii,                       AB6 Ceor,J:,, i::.~.                        KE'l"f\1~ -

C<>I\ITl'ftC.T Nb, I 3/t.1" 'B D~I';> M<>c.h:,..,. ~ j l n : ::C <:I'-\* I 5 C\ NIA- ~~L- FDDi 1"19 I I\ L-"fi::~f\'i"I DI\) AJtl C.o~!>wdl M{~. l-\E'.'A"T" +/-1, I\ e,e, Cc,,,,,,b. £,~. ~A1'2* eo~o\lo, I~., ""i"ttei!1110\>lW., Co . -::C.-,c. . li..\"i~Z.li5' 1'1 (A ;::RL. foo1 J'l'I I AL-re1unio1-J JI/{/ p.,e,e, Co,,,,\:>. E.o~- [ . 3 T~ie,,,c,weu., C.cx:i~wc..ll 0'\~. Co . -:Lr"C..

                                                             \-\ e:/\"l"' +/-I='

Ill 'l ';',<.\ q-1.1e, C<>tiTAACT" 1,.R1-R>o, 1\1,,, ,._q I i:'.E.RA-1/2..- 1\1.-"11::fef\'t'I c:,i,.l ,NI) t\J '{\

8. Tests Conducted: Hydrostatic Ga"" Pneumatic D Nominal Operating Pressure D Other D Pressure 2.2$D psi Test Temp. :2.. SOD °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

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

FORM NIS-2 (Back)

9. Remarks ___C.::.::L..:..o.A..,_5....,.p.____.__~U>~~IV\~:P~b~hl=E.,,.t,,1,,.,__,T._C.._...._____________________________

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this'&:eaqc_ {AL-rr./cFIT~°cfntorms to the rules of the ASME Code, Section XI.

repair or replacement Type Code Symbol Stamp __N_/_A __________________________________

Certificate of Authorization No. _N__:_/_A_____________ Expiration Date _ _N--'/'-A _____________ s;'""' ~";"_=f,;f.L [fir~ CERTIFICATE OF INSERVICE INSPECTION Date ~ I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State 18 ,19 9,2, or Province of Virginia and employed by HSBI&I Co* of Ha..r-T Ford ct. have inspected the components described in this Owner's Report during the period /.?,*~l * 'i?1. to I~* l l

91. , 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 requirem,ents of the ASME Code, Section XI.

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

   -----~~~------!._.__~_*   Inspector's Signature

_______ Commissions __V_A_5_4_3________________ National Board, State, Province, and Endorsements Date_*_ _ _ _ _6_-..,._/_?__19 q J;,

                                                                                                      .-                                      Attachment II Page 98 of 102 Seriai No.: 92-380 r:ocket No.: 50-280

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

1. Owner Virginia Electric & Power Co. .Date_J;;,~V~M~of~~/-~,,_,~l~:/~*~1_2- _ _ _ _ _ __

Name sooo Dominion Blvd., Glen Allen, va, 23060 Sheet t' of__..____ _ _ _ _ _ _ __ Addr-

2. Plant Surry Power Sta ti on Unit tj}~,(-

Name P.O. Box 315, Surry, Va. 23883 t<J~, ?tf'o0/2.'/8"2 I ,t..,e_#9L-t>rr° Addr- Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N~/~A _ _ _ _ _ __

Name Authorization No. _ _ _ _ _ _N....,.l~A~----- P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _....N..,l""A0------ Addre11

4. Identification of System_~/&.......,v""""'i(_.S:.___.A

                                                        ......                    ..*=----------------------------

M"',)___.).""'"'~=~...d'.

5. (al Applicable Construction Code B3 l , 1 19---6,LEdition, _ _.N.i.lwA...___ _ _ Addenda, N-] , N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol

7. Description of Work £.(no:&c ,f 'T4y) t/41, ,/.E

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure ~

Other D Pressure Alb e psi Test Temp. ,All L OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is B% in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form, (12/821 This Form (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

I FORM NIS-2 (Back)

                .t G/,v?Z-

9. Remarks-;,~,._,,.(._.5'"---+v_'____,.(-';t,,/--L-/____,J"""-"-.1'<<......L..2....,,,3"""'5:_~-:Jc....Jc_~,'-r-)_ _ _ _ _ _ _ _ _ _ _ _ __

                           /                                     Applicable Manufm6rer'1 Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Re!Mf4!a'.fl,,vr- conforms to the rules of the ASME Code, Section XI.                                                                                                       rep~ir or replacement Type Code Symbol Stamp ___N ~ / ~ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Certificate of Authorization No. N/A Expiration Date _ ___.N..../'--'-'A'------------ Signed W ~L -/_/ r.o;r,d(:J,,-~~11 Owner or ~ i g n e e , Title Date £& ,,-L- , 197'L CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of Ha..~ Tfor-d I C. i', have inspected the components described in this Owner's Report during the period / !l.' 'l..!l

ff'.1 to / 1~ 1 d: ~ ~ l.. , and state thet to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

  ----1.1W-"'---'SL....0....,____,,__f_.

1 nspector's Signature

                                                       ~~~--Commissions_...c....:.;Va'-'-                                         *  ..::....;:54c.::.....3- - - - - -

National Board, State, Province, and Endorsements Date_ _ _ _ _b:c...-___,IJ..,___19 q1

Attachment II Page 99 of 1 02 Serial No.: 92-380 Ibcket No.: 50-280

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

1. Owner Virginia Electric Name

                                                                    &         Power Co.                                 Date    ~..62~£-

sooo Dominion Blvd., Glen Allen, va. 23060 Addrea s~~ / of_-L---------

2. Plant surr¥ power Sta ti on Name P.O. Box 315, Surry, Va. 23883 Addrea tt)o.#3£'?"tJtJ//)6 :a-6 ~µ 9.i!:0>--1..

Repair Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _......;:N.:..,./...;Ac.:c...._ _ _ __

Name Authorization No. _ _ _ _ ___.Nlll,£..L~l\_ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ __.,.,.,....,__ _ _ _ __ Addrea

4. Identification of System_.& ....*_*'""""*.g~~~~-~s;~ro~-~~~ . .'""--"'9-"-----------------------------

5. (al Applicable Construction Code B31, 1 19--6.LEdition, _ _..Nul.J.A,.____ Addenda, N-], N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 BOWBO

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol S-01.:.~n-.! 4~1:J P(N l>1st:. 1z:~~Pn.v& ?.t..fooMdCOl./)

i}),v

                                                                                                        *-d~             J-/11.~ &P1/,-JB,.f'    6k,/~u;~11 h!).e,.~~crJ             A,lt' jc.,ywrrif ,d;.,1)
    'I), 're.                  ke1L-.'2Tj,v,1                        f)2t'01.)t:~ VO/llC                  /Vi~         lf-;f..f~'-,(1,/-/f' ,,U*   /99/ ,&..~       11** _"'    ~   Nd 1

7, Description of Work*-4-=~P.::.:v..::~_,/'-'-t,""~'---""'ih..::/?.-<-:,,,:,::."'1,"-iJG.'/;,r---"~-=-"'4?/!-),i<..z.,,_,:;;<..~o.~"""""'-"-=}>~l~.,_5'!L.lf'~---------------- 1

8. Tests Conducted: Hydrostatic D Pneumatic 0 Nominal Operating Pressure g,"

Other O Pressure ,VO i> psi Test Temp. Ma,l": ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks --.e...../1...::.'tJ_#---=.5:..:.M~Z:___.,}=-*---L.¢.=2.'--'~e..,:T~?-(,=--c.-.,)<---......;;..)..,_.,j"-"e_=-*- - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this .£1c,)4r.rr,t:'.4:,6,vFconforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N ~ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. --=N:.:../c.A=------------Expiration Date _ ___.N"'/'--A._.__ _ _ _ _ _ _ _ __ Signed Qt.... / ~£<L/ Ownero~r's 'besignaa, Titla f5..2: .d'-vp'£1i/c~£, - Date _ _~,.,.i~<...t ...11.. t4-~2=Z=*- - - - , 19 :9~ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State orProvinceof Virginia andemployedby HSBI & I Co, of Ua.'f Ifo rd., ct. have inspected the components described in this Owner's Report during the period I rl,

l ;I. ~q 1 to I 1...
l l * 'f 1 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this i_n_sp_ec_t-io_n_._,_~---'=----==.o-'----i.,,_.,___,~=-a"-------Commissions _ _ _V_a---'-.--'5_4"-3'---------------- 1nspactor's Signature National Board, State, Province, and Endorsements Date_ _ ___,{;""'--, -~-"-3_101 'J...

Attachment II Page 100 of 102 Serial No.: 92-380 Ibcket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the P~o.visions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co.

Name sooo Dominion Blvd., Glen Al Jen, va, 23060 Sheet_...../ _ _ o f _ ~ - - - - - - - - - - Addrea

2. Plant Surry power Sta ti on Unit 0,v(

Name P.O. Box 315, Surry, Va. 23883 Addrea tdo # .3rao/1l<J..s2. £~ #= 9/-123 Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ ___:Nc.,/c..;A:.;:__ _ _ _ __

Name Authorization No. ------NLJL,Ll..,A~----- P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _...,_NL//'-'A"'------- Addrea

4. Identification of System_~~"--'u:z;.'-"'-":V..____,_s;;o<L...1-;.E-.._~"":£.~L....--------------------------

5. (al Applicable Construction Code B3 l , 1 19---6.1._Edition, _ __.N"J-/..

A~---Addenda, N-J, N-2 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8QW80

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No, No. Identification Built or Replacement or Nol

                                   .......=aL~=V:.~t9~.i;~V:_.,',,,f,,_____________' - - - - - - - - - - - - - - - -

7. Description of Work._~j)=4;'7'.>.~!(4L:

                                                                                                      ;if-.

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure G}-'

Other D Pressure No I'::, psi Test Temp. A/n r °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

         )>(}#                        .                 FORM NIS-2 (Back)

9. Remarks CA!r J3JY/6 t C) - V,,f~,//

         ):>o#

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and thish;~"t'b'Tconforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N ~ / ~ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

                                     --==-=------------Expiration Date _ ___,N...IL.O.OA..___________

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of

                      /-lo...rTfo rcl I GT'.                                               have inspected the components described in this Owner's Report during the period                ( 1, ~ ~ -   211       to       I 'l.- :l.. 'l. -9 1.        , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

  -----'-~-*--=--*-----'J..--'         ~~~~------Commissions _ _

Inspector's Signature _V_a--'-.-"5_4c...3"--------------- Natlonal Board, State, Province, and Endorsements Date_ _ _ _ _7...L..--__._{_ _ _19 '7 ~

Attachment II Page 101 of 102 Serial No.: 92-380 D::>cket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co.

Name 5000 Dominion Blvd., Glen Allen, va. 23060 Sheet _ _/ . _ _ _ o f ~ - - - - - - - - - - - Addrea

2. Plant Surry Power Sta ti an Unit (J,y£ Neme h.~9.Z-01~

P.O. Box 315, Surry, Va. 23883 uJtJ#.JYo0/2.196ht ~u)~ 7'7~60- ,t/(, &f I Addrea Repair Organization P.O. No., Job No., etc,

3. Work Performed by Virginia Power Type Code Symbol Stamp _ ___::N:.,_/.:.A~-----

Name Authorization No. -----..JN"',L-1... 1\_ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ __.,.,.'-"'------- Addrea

4. Identification of System 4'<<.m~ {J,(!)?etuC

5. (al Applicable Construction Code B31, 1 19---6.2-Edition, _ _.N......_/Aa..._ _ _ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 BOWBO

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built. or Replacement or Nol

                                                                                                         ,e e; I
                                                                                                                            ~-

Co..,?o.vt!,vT"' * /l,4,o1($ ,!

      <;"e, ~ .J e;, -4.. r U -V/eNOl(},v.             .N~               /Vii        o,,11lpA-,-u~,,, ~~,,t,                                  .,v()

7, Description of Work-~~~~'-'-'tJ~,/.~'t!~-=.5c..aW"':7-r-.J-/,~'-'--"'""'4=tT'---:.-------------------------

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D Other D Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 informa-tion in items* 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form, (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Applicable Manufacturer', Data Report, to be attached CERTIFICATE OF COMPLIANCE,q,o;,..;..~c~.,;v/ We certify that the statements made in the report are correct and this ~44'":e't'...f#'Z::conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N_,_/_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No, ~N~/_A_ _ _ _ _ _ _ _ _ _ _ _ Expiration Date -----'N=/~A,..__ _ _ _ _ _ _ _ __ Signed G2 ~ / _ ~"A.e.-,, Owneror~lgnee, Tltla fS' C ~4.,,v,rU Date _ _ _..:I

                                                                                             . . ~==-6'--"'z,....._.9
                                                                                                 ..                ____ , 19  94, CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia                      and employed by      HSBI & I Co,                                                        of Har-I Et>rd       J  ct.                                           have inspected the componen'ts described in this Owner's Report during the period                      I ~-:i.i- 8'1    to    I 1 * '.)..1- ~1.                  , and state thet to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

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

GM~"""'----"-'--'-_________ -'f'-'-.-~

1nspector's Signature commissions _ _ _V..;ac:.:..._.:;5'-4=-3=--------------- National Board, State, Province, and Endorsement* Date_ _ _ _ -=l_*J.~q__19 91

Attachment II Page ]02 of 102 Serial No.: 92-380 rocket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Pi:ovisions of the ASME Code Section XI

1. Owner Virginia Electric & Power Co. Date_,2~4~~...<.9--=2...::,.._- - - - - -

Name sooo Dominion Blvd. , Glen Allen, Ya , 2 3060 Addreu Sheet _ __,_/_ _ o f ~ ' - - - - - - - - - - - -

2. Plant Surry power Sta ti on

Name P.O. Box 315, Surry, Va. 23883 Addrea Repelr Organlzatlo P.O. No., Job No., etc.

3. Work Perfonned by Virginia Power Type Code Symbol Stamp _ ____;N;.:.,/c.;A:..::...._ _ _ _ __

Name Authorization No. ------NUL-.<-/zil\...___ _ _ __ Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _...a,£..a_ _ _ _ __ P.O. Addreu

4. Identification of System

( cJ&h~r7 .Ju.r~(!)/11

5. (al Applicable Construction Code B3 l , 1 19--61_Edition, _ _.N,.../._.A....__ _ _ Addenda, N-J, N-1 Code Case (bl Applicable Edition of .Section XI Utilized for Repairs or Replacements 19 80W80

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

Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, Identification Built or Replacement or Nol 5°6-j>}>o,er .hi~ s: ;, ., _ ,. / -.t' /../,11/b/'11"11'*.J . ,'/I,; ,v //?- 1-s.z:.= 'l4/ /Vl A,\. * ,,\ PO I Colfl.foc,l>ff-rd s~1 ~.4r h-t r:., '

      .'I ., .. ..o- LL (       -)_ .* .,ff <",.,J .... 11,#J,'l0/2. eh,;,
                                                  ,, I A/4           /- s.r* :J~I           /9tJZ.. h.'-.      e~

A)l"J I

8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure 0 Other O Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this fonn.

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

FORM NIS-2 (Back)

9. Remarks _._p19_-P_,d_s-+-y_1~.r:-*~~CY-0. . .1__.G_.

                                                      . '-.,7,__)_ _ _ _ _ _ _ _ _ _ _ __

Applicable Manufacturer's Data Report, to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~#rk&m.ter conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _N..,,/_A-'--------------------------------- Certificate of Authorization No. ---cNc../""""A'------------- Expiration Date _ ___,N,../._A...___________ Signed Q L A- ~ ,L.-,-:: Owner or ~Deslgnee, Title Date * & "- f 2. CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of

  ------~Y.~a~r~T~B~o~r~J=-,Jl'--c_i'-'-.------..,,.---,-------have                                      inspecr the components described in this Owner's Report durjr,g the period _ _ _ _ _ _ _,-"J.,_~~'l.=-='l.c...-_..P'--'<i_to. /~ - 1,  a- 'l      ' ..    . ,arid state that.

to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this O~ner's Repo.rt in accordance, with the requirements of the ASME Code, Section XI .. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection0+ f). fr) (\

  ----~\--"~-~----f/-~*-~~~------Commissions _ _ _V_a_.--"5_4_3'----------------

lnspector's Signature National Board, State, Province, and Endorsements Date}}

ML18151A205

Text

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