ML20046C186

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Unit 1 Refueling 20 Repair/Relacement Summary Rept for Form NIS-2.
ML20046C186
Person / Time
Site: Point Beach NextEra Energy icon.png
Issue date: 07/26/1993
From: Brander J, Staskal T
WISCONSIN ELECTRIC POWER CO.
To:
Shared Package
ML20046C183 List:
References
NUDOCS 9308090316
Download: ML20046C186 (30)


Text

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Y Wisconsis Electric Power Co.

231 Wes Michign Avenue Milwaukee,WI 53201 1 Point Beach Nuclear Plant, Unit !

6610 Nuclear Road Two Rivers, WI 54241 Docket 50-266 Commercialservice Date 12/21/70 F

i UNIT 1 REFUELING 20 REPAIR / REPLACEMENT

SUMMARY

REPORT FOR  ;

FORM NIS-2

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e Reviewed by: [A d Date: 7--27-93 Approved by: lIcnr b- Date: 744-93 i

9308090316 930802 M DR. ADOCK 0500 1 g

Wisconsin Dectric Powcr Co.

231 West Michigan Avenue Milwaukee,WI 33201 Point Beach Nuclear Plant Unit I 6610 Nuclear Road Two Rivers, WI 54241 Docket 50-266 Commercialservice Date 12/21/70 Table of Contents

1.0 INTRODUCTION

2.0 ABSTRACT OF REPAIR /REPL.ACEMENTS i

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Wisconsin Doctric Power Co.

231 Wed Michigan Avenue Milwaukee,WI 53201 Point Beach Nuclear Plant, Unit 1 6610 Nuclear Road Two Riven, WI 54241 Docket 50-266 CommercialService Date 12/21/70 Acron3ms ASME American Society of Mechanical Engineers CR Condition Report MR Modification Request MWR Maintenance Work Request PBNP Point Beach Nuclear Plant RRM Repair, Replacement, Modification WE Wisconsin Electric Power Company t

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I Wisconsin Electric Power Co.

231 West Michigan Avenue Milwaukee,WI 53201 Poira Beach Nuclear Plant, Unit 1 6610 Nuclear Road  ;

Two Rivers, WI 54241 l Docket 50-266 l CommercialServiceDate 12/21/70 UNIT 1 REFUELING 20 B_EPAIR/ REPLACEMENT

SUMMARY

1.0 INTRODUCTION

1.1 From February 28,1993 to May 5,1993 Repairs and Replacements were performed on items at PBNP Unit I were performed. These Repairs and Replacements were completed in the third examination interval of the first period, of the third 10-year interval at PBNP Unit 1. The time interval for the examination period was from May 31,1992 until May 5,1993. Documentation of repairs and replacements and NIS-2 forms are provided from February 28,1993 on because a formal repair / replacement program was not in effect until this date. Repairs and replacements prior to this date were performed in accordance with the WE Quality Assurance program. i 2.0 ABSTRACT OF REPAIR / REPLACEMENTS 2.1 Repairs / replacements performed on ASME Class 1 and 2 items are documented on the attached NIS-2 forms. Repairs / Replacements on ASME Class 3 items are documented on NIS-2 forms and maintained on file at PBNP. They are not included in this report in accordance with ASME Section XI, IWA-6210 (c).

2.2 The following is an abstract of the repair / replacements performed at PBNP Unit 1 during third examination interval of the first period of the third 10-year interval.

2.2.1 The main steam isolation valves (MS-2017 and MS-2018) were modified to provide positive assurance of closure. This included replacement on the non-operator end stuffing box with a ball thrust bearing, split bearing, bearing housing and cover; replacement of the operator end stuffing box with a stuffing box with integral bearing; and replacement of the shaft and cylinder. The cylinder is larger in diameter than the original cylinder and contains a stronger spring. This modification is documented in PBNP MR 91-209*A and RRM 93-0002.

2.2.2 The boric acid system was modified by installation of a flow meter and pressure instrumentation to allow inservice testing of the boric acid transfer pumps in accordance with ASME Section XI, IWP. This modification is documented in PBNP MR 91-133*B and RRM 93-0003.

2.2.3 Two supports (SI-62 and SI-63) on 4" safety injection piping were modified to meet code design requirements for seismic category 1 piping and supports. SI-62 was modified by adding two flat bars to reinforce the existing U-bolt in the lateral direction and SI-63 had the existing U-bolt

Wiscorda Electric Power Co.

231 Wec Michig:n Awaus Milmwies WI 53201 Point Beach Nuclear Plant, Unit I 6610 Nuclear Road Two Rivers, WI 54?41 Docket 50-266 conunercia! Service Date 12/21/70 replaced with an angle iron to prevent uplift of the pipe. This modification is documented in PBNP MR 92-163 and RRM 93-0004.

2.2.4 A spring hanger (RC-02) on the pressurizer surge line was replaced with a spring hanger allowing greater thermal travel of the pressurizer surge line.

The modification is documented in PBNP MR 92-162 and RRM 93-0005. '

2.2.5 The female half of the union upstream of steam trap ST-2029 was replaced. The original componem exhibited pitting and steam cuts related to inservice wear. This replacement is documented in MWR 930701 and RRM 93-0009.

2.2.6 The topworks assembly (diaphragm, bonnet, handwheel, etc.) on boric acid system valve BS-347A was replaced with a topworks assembly from stock because the original diaphragm exhibited failure. This replacement is documented in MWR 931455 and RRM 93-0013.

2.2.7 The disc on main steam isolation valve MS-2017 was replaced with one from stock. The existing dise exhibited cracking in the stellite seating surface. This replacement is documented in MWR 931661 and RRM 93-0014.

2.2.8 Valve CV-369B and the piping from CV-369B to valve CV-369A was replaced with modified components. CV-369B is a second containment isolation valve. Originally a crack was discovered in the socket weld on the pipe to valve CV-369A. Subsequent to this it was discovered that CV-369B had a 1/16" diameter manufactured hole in the disk, and the piping between CV-369A and CV-369B did not allow leak testing of CV-369B.

The piping between CV-369A ard CV-369B was replaced with piping with a test connection. CV-369B was replaced with a valve capable of performing the containment isolation function. The original crack in the socket weld was removed and corrected with the replacement. CR 93-171 ,

was initiated to evaluate the discrepancies above and to determine the cause of the original socket weld cracking. This work is documented in MR 93-0028 and RRM's 93-00:i6,93-0021 and 93-0027.

2.2.9 One stud on valve SI-853A was replaced because the original stud was damaged during removal for inspection of the valve internals. This replacement is documented in MWR 931554 and RRM 93-0017.

2.2.10 The lower seal housing bolts on the "A" reactor coolant pump were replaced with new ones from stock. The original bolts required an augmented magnetic particle examination (for IE Bulletin 88-02) during the seal rebuild. The magnetic particle exam was not performed.

- Wisconsin Electric Powtr Co.

231 Ws2 MicV3 4n Avenue Milwaukee,WI N101 Point Beach Nuclear Plant. Unit i 6610 Nuclear Road Two Rivers. WI 54241 Docket 50-266 Commercialservice Date 12/21/70 Therefore, the existing bolts were replaced with new bolting from stock.

This replacement is documented in RRM 93-0019.

2.2.11 The suction flange bolting, nuts and gasket on boric acid transfer pump P-004A were replaced because of a small amount of surface corrosion resulting from a boric acid leak. The source of the leak was corrected and ,

the bolting was a like-for-like replacement. This replacement is documented in MWR 931789 and RRM 93-0020.

2.2.12 The disc on main steam safety valve MS-2007 was replaced. The button on the back of the original disk had " mushroomed" over as a result of testing. The replacement was performed by Crane-Aloyco Valve Services.

Crane-Aloyco Valve Services also performed the set pressure test in accordance with ASME OM-1 upon completion of the replacement. This work is documented in RRM 93-0029.

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

1. Owner Wisconsin Electric Power Comnany Date May 5, 1993 Name 231 W. Michigan, Milwaukee WI 53201 Sheet I of 1 Address
2. *lant Point Beach Nuclear Plant Unit 1 Name 6610 Nuclear Road Two Rivers. WI 54241 Mn 41-?nq*n Ad dress fiepair Organization P.O. No., Job No., etc.
3. Work Performed by Wisconsin Electric Power Co. Type Code SymboI Stamp N/A

"*** N/A Authorization No.

231 W. Michigan. Milwaukee WI M?n1 Expiration Date M/A Ad dress

4. Identification of Sysam Main Steam Bechtel Spec 6118-M-87
5. (a) Applicable Construction Code ASA B16.5 19 -- Edition, None Addenda. None Code Case ,

- (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 l

6. Identification of Components Repaired (- Replaced and Replacement Components ASME Code '

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

Atwood and Replace-MS-2017 Morrill Nonn N/A N/A

  • N/A mont M .*

Atwood and Replace- i

_MS-2018 Morrill Nnnn N/A N/A N/A mont N '

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7 Description of Work Modificatinn of 1-MS-2017 and 1-MS-201R tn provido nnnitivn annnrance f of closure

8. Tests Conducted: Hydrostatic 0 eneumeric 0 Nominal Operating Pressure @  ;

Other @ Pressure psi Test Temp. *F -

Inservice Test (IT-280) as required per ASME Section XI IWV-3200 't 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 Forrn (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017  !

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FORM NIS-2 (Back)

9. Remarks PRM 93-002 Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLlANCE We certify that the statements made in the report are correct and this Repla cement conforms to the rules of the

P*P"*"*

ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authorization r h kpr %O-966 Expiration Date N/A Signed Date 19 Owner or Owner's Designee. Title 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 Wiscon5in and employed by U'b* of Hartford. CT have inspected the components described .

in this Owner's Report during the period flav 31, 1992 to May 5, 1993 , 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 requiremen's of the ASME Code, Section XL By signing this certificate neither the inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

I Commissions h  ! ' N

/ Inspegior's signature Nationel Board, State, Province, and Endorsements

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

1. Owner Wi nrnnni n Fl o rt ri c Pnwor Fnmnnnv ' '

Date Anvil 17- 1447

  • Name >

231 W. Michigan , Milwaukee, WI 53201 Sheet 1 of 1 Addreu ,

2. Plant Point Beach Nuclear Plant Unit 1 I Narne 6610 Nuclear Road, Two Rivers. WI 54241 Mn 41-111*B >

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

3. Work Performed by Phillins Getschow Type Code Symbol Stamp M/h i

""** M/A Authorization No.

2860 Glenmore Road, Green Bav. wI -

54311 Expiration Date N/A Address

4. Identification of System Enric Acia Westinghouse E-Spec. G569866, Rev. 4 and G676262, Rev. 3
5. (a) Applicable Construction Code UEAS Ell 1 19 67 Edition, None Addenda- None Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86
6. Identification of Components Repaired or Replaced and Replacement Components i ASME '

Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes .2 Component Manufacturer Serial No. No. Identification Built or Replacement or No)

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Boric Acid Replace-System Pipina N/A N/A N/A ' M/A 1970 ment N l

Install a flow meter and pressure instrumentation in the boric acid 7, Description of Work systen to allow innervice tenting of the horic acid rnmp n -

8. Tests Conducted: Hydrostatic @ . Pneumatic 0 Nominal Operating Pressure O Other O Pressure 190 psi Test Temp. 7n 'F .

NOTE: Supplemental the'sts 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 e

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FORM NIS-2 (Back) i

9. Remarks RRM 93-003 Applicable Manufacturer's Data Reoorts to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and thisReplacement conforms to the rules of the ASME Code,Section XI. '*P*" **P'*****"*

Type Code Symbol Stamp N/A

. Certificate of Authoritation No. Docket . 50-266 Expiration Date N/A Signed > I M Qwner 'or Ow'ner's Designes, Title b b6bA Date rl

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f- ' 19 CERTIFICATE OF INSERVICE INSPECTION f, the undersigned, holdin0 a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State [

or Province of Wisconsin and emoloyed by HEEII Col of f Hartford, CT hm inspected the components described  !

in this Owner's Report during the period thy 11. 14 ci ? ' to M'y 5- 1907 . 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 I 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 dama0e or a loss of any kind arising from or connected with this inspection.

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

1. Owner Wisconsi n Fl oct ri r- pnwnr rn. Date Anril 10. 190'4 t

Name >

231 W. Michigan. Milwaukon wi m n1 Sheet 1 of 1 ,

Address

2. Plant Point Beach Nuclear Plant Unit 1 Name 6610 Nuclear Road, Two Rivers, WI 54241 MR 92-163 Address Repair organization P.O. N'a., Job No., etc.
3. Work Performed by Phillins Getschow Type Code Sv.nbol stamp N/A  ;

Name N/A Authorization No.

2860 Glenmore Road, Green Bay, WI 54311 Expiration Date N/A Address .

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4. Identification of System Safety Injection j AISC " Steel Construction Manual" 6th Edition -
5. (a) Applicable Construction Code USAS B31.1 19 67 Edition, None Addenda, N/A Code Case I (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 Bft __ [

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

ASME J code i;

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 Replace-SI-1501R-3-H6 N/A N/A N/A SI-63 1970 ment N Replace- ~!

SI-1501R-3-52] O N/A N/A N/A SI-62 1970 ment N' 1

- 7. Description of work Unaraded sunnorts to meet code desian reouirements for seismic category f 1 piping and supports j

6. Tests Conducted: Hydrostatic 0 eneumatic 0 Nominai Operatins Pressure O ,

Other Pressure ' ' psi ^ Test Temp. 'F VT-3 NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa- -l 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 i recorded at the top of this form. j I

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

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FORM NIS-2 (Back)

9. Remarks RRM 93-004 Applicable Manufacturer's Dets Reports to t>e attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this PAPIA F AN* conforms to the rules of the repair r replacement ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of uthorization No. Docket 50-266 Expiration Date N/A Signed II bV N*# Date 0

19 D Ownef or Owher's Designee, Title / 7-CERTIFICATE OF INSERVICE INSPEC110N 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State o Province of Wisconsin and employed by HSBII Co. of Hartford, CT have inspected the components described in this Owner's Report during the period Mw 11- 1Q47 to M'y 5- 1001 _ 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 sign;ng this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the f 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 nr property damage or a loss of any kind arising from or connected with this i inspection.

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< in#tovs sion.ture usuonai e .ro,st.te. ,,o.inc...n enoors. ment.

Date r tw' 7d 19, M 1

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

1. Owner Wisconsin Electric Power Co. cate April 30, 1993 [

Name 231 W. Michigan, Milwaukee, WI 53201 Sheet 1 of 1 Address 'i

2. Plant Point Beach Nuclear Plant Unit 1 Nome 6610 Nuclear Road. Two Rivers. WI 54241 Mn 92-162 Address '

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

3. Work Performed by Phi 11ips Getschow Type Code Symbol Stamp N/A
      • N/A Authorization No.

2860 Glenmore Road, Green Bay, WI 5431_1 Expiration Date N/A Address

4. Identification of System Reactor Coolant (Pressurizer Surge Line) '

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S. (a) Applicable Construction Code USAS B31.1 19 67 Edition, None Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86  ;

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

ASME i Code [

National Repaired, Stamped  !

Name of Name of Manufacturer Board Other Year Replaced, (Yes ,

Component Manufacturer Serial No. No. Identification Built or Replacement or No) [

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pr- ? c;n1 n-h pr? Grinnel Tvoe B N/A Size 13 N/A Replaced N/A 3 t

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7. Description of Work Spring hanger on pressurizer surge line replaced with new spring hanger allowing greater thermal travel.
8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure O  ;

Other @ Pressure N/A psi Test Temp. N/A 'F j VT-3

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

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FORM NIS-2 (Back) i

9. Remark, RRM 93-005  !

Applicable Manufacturer's Date Reports to be attached I

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CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Rep 1 m rnmont conforms to the rules of the ASME Code, Section Xl. '**i' ' ' * ' * * * " ' * " '

i Type Code Symbol Stamp N/A Certificate o uthorization No. Docknt EO-766 Expiration Date N/A  ?

Signed L W CO# ^F Date '

19 9 Own'er or Owner's Des 10 nee. Title f ,

CERTIFICATE OF INSERVICE INSPECTION t 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State ,

or Province of Wisconsin and employed by HSBIT Co. of  !,

Hartford, CT have inspected the components described ' .

in this Owner's Report during the period

  • y 31 - 1997 to Thy 9 - 1441 . and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this j 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 -8 examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employet 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

[ Commissions I' O 7N - b7 Y '

f nsp4ctor's Signature Netlonel Board, St'ste, Province, and Endorsements

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

1. Owner Wisconsin Electric Power Company Date March 5, 1993 Name 231 W. Michigan, Milwaukee, WI 53201 Sheet 1 of 1 Address
2. Plant Point Beach Nuclear Plant Unit 1 Name 6610 Nuclear Road, Two Rivers, WI 54241 MWR 930701 Ad dress Repair Organization P.O. No., Job No., etc.
3. Work Performed by Wisconsin Eleetric Power Co. i Type code Symbol Stamp N/A Authorization No. N/A i 231 W. Michican. Milwaukee, WI 53201 Expiration Date N/A f Address j 4 Identification of System Main Steam '

N/A

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5. (a) Applicable Construction Code ANSI B31.1 19 67 Edition. None Addenda __ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 P6 }

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

I ASME Code  ;

National Repaired, Stamped  ;

Name of Name of Manufacturer Board Other Year Rep; aced, (Yes ,

Component Manufacturer Serial No. N o. Identification Built or Replacement or No) ,

i MS Pipe ren4- Bechtel N/A N/A N/A N/A Ren!p.cna N j t

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7. Description of work Replaced female half of unicn upstream of steam trap ST-2029' I

B. Tests Conducted: Hydrostatic @ Pneumatic Nominal Operating Pressure Other Pressure 1%O psi Test Temp. M *F j

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NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided til sire 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 m . -- - - - - _ _ - _ - . _ . .

, e -. l FORM NIS 2 (Back) j

9. Remarks RRM 93-009 Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE I

We certify that the statements made in the report are correct and thisO Ma#-. 'n* conforms to the rules of the repair i,- ,pt coment ,

ASME Code,Section XI.

i Type Code Symbot Stamp N/A  ;

6 Certificate Authorization No Bnckot En-?AA Expiration Date M/A Signed Date ,19 Owder or owner's Designes, Title / /

i CERTIFICATE OF INSE RVICE INSPECTION j 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State ,

or Province of Wi ens i n and employed by MAAII On- of

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Hartford. CT have inspected the components described '

in this Owner's Report during the period MAY ll - 1997 to May E- 1491 . 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.

v Dy signing this certificate neither the inspector nor his empioyer makes any warranty, expressed or implied, concerning the j examlnations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer -l 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 ' /8N ' .

inspectoPs Signature ' T ationat N Board, State, Province, and Endorsements -

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Date u(w [D 19 U f

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m FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS ,

As Required by the Provisions of the ASME Code Section XI

1. Owner Wisconsin Electric Power company Date March J.2: 1 c4 4 'i Name 2 31 W. Michican, Milwau kee . WI 53201 Sheet 1 of 1 Adaress i

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2. Plant Point Beach Nncionr Pl cmt Unit 1 Name 6610 Nuclear Road,. Two Rivers. WI 54241 Mwn 431455 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed byWiscon n i n Elncrric Pnwpr Pn- Type Code Symbol Stamp N/A

"*** N/A Authorization No.

231 W. Michigan. Mi l wan ko n . WT M 901 Expiration Date N/A Address >

4. Identification of System Boric Acid r Westinghouse E-Spec, Rev. 2
5. (a) Applicable Construction Code 676281 19 Edition, None Addenda: NnnA Code Case .

(b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86

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

ASME Code Nations: Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) ,

Replace-BS-347A ITT Grinnell 2471-26-b N/A None N/A ment M ,

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7. Description ot Work Replace bonnet and disphram on valve BS-347A~
8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure @

Other Pressure 157 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,, (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.

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

  • i E

FORM NIS 2 (Back)

9. Remarks RRM 93-0013 Applicable Manufacturer's Data Reports to be attached

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CERTITICATE OF COMPLIANCE We certify that the statements made in the report are correct and thisEsplacement conforms to the rules of the I ASME Code,Section XI. '"P'*****"*

r Type Code Symbol Stamp N/A Certificate of A thorization No.Dnnkot 50-266 Expiration Date II/A l

Signed Date 9-'O 19 owner di owner's Desiphes, Title j

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CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of Wi monsin and employed by H3 BIT Co. of Hartford, CT have inspected the components described in this Owner's Report during the period MAY M - 1992 to May 5. 1993 , 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.

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By signing this certificate neither the Inspector not 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 tse liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ,

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(nsaectoPs Signature Commissions MN M * '

National Board, State, Province, and Endorsements Date t

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

1. Owner wi ernn c 4 n rhrevic n~n v rn Date May 5. 1993 Name 231 W. Michiogn, Milwaukee, WI 53201 Sheet 1 of 1 Address
2. Plant Point Beach Nuclear Plant Unit 1 Name 6610 Nuclear Road. Two Rivers. WI 5421 MWR M1 AA1 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed by_ Mig;conci n Electric Power Co. Type Code Symbol Stamp N/A

"'** Authorisation No, N/A 231 W. Michigan. Milwaukee WI 5 'D 01 Expiration Date N/A Address

4. Identification ot System Main stonm Bechtel Specification
5. (a) Applicable Construction Code ASA B16. 5 19 Edition, N/A Addenda. None Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 I

l

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

ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Seriet No. N o, identification Built or Replacement or No)

Atwood & Replace-MS-2017 Mnrvill N/A N/A N/A ment N I

l

7. Description ot Work Rer>la cement of Unit 1 MSIV (MS-2017) disk -
8. Tests Conducted: Hydrostetic 0 eneumatic 0 Nominal Operating Pressure Other @ Pressure psi Test Temp. *F IT-280 required per ASME Section XI IWV-3200  ;

NOTE: Supplemental r.heets in form of lists, sketches, or drawings rnay be used,provideo si) sire is 84 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 recoMed e'.thetop of this form.

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

FORM NIS 2 (Back)

9. Rernarks REM 93-0014 Applicable Manufacturer's Data Reports to be ertached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Reola cement conforms to the rules of the

D*i'"'D'*"'"*"'

ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Anthorization No. Docket EI 266 Expiration Date N/A Signed b Nb bo/dah* !Of Date O 19 13 Owner or owner's Designes, Title g -

CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Peovince of Wi nr nnnin and employed by HARTT C'n _ of Hartford, CT have inspected the components described in this Owner's Repost during the period May 11. 14Q9 to M'y E- 1447 , 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 rneasures described in this Owner's Report. Further... ore, 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

( 'inspec4or's Signature Nettonal Board, State, Province, and E ndorsements Date . // 70 19 U i

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.. -e FORM NIS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Pnwnr rcm, mr Date nnril  ??- 14M i

1. Owner Winrnnnin Fl ort u.rne ri r- - - '

sheet 1 231 W. Michigan. Milwaukee . WI 53210 of _ 1 Address .

Unit 1

2. Plant Point Beach Nuclear Name Plant MWR 9 31 R14, 9 ? ? ?14, 911656 rina MR 93-0028 [

6610 Nuclear Road, Two Rivers, WI 54241 Repair Organization P.O. No., Job No., etc.

Address M/A

3. Work Performed by Wi nrnn a i n El oct vi c pnwor PnmpanyType Code Symbol Stamp
      • Authorization No. N/A Expiration Date N/A 231 W. Michigan, Milwaukee, WI 54201 Address b
4. Identification of System Chemical and Volume Cnnern1 '

Westinghouse Spec. 677261 and 676262 19 67 Edition, Mnno Addenda. None Code Case

5. (a) Applicable Construction Code AMRT R11_1 (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 AA
6. Identification of Components Repaired or Replaced and Replacement Components >

1 ASME Code Repaired, Stamped  !

Nationat Year Replaced, (Yes l Name of Name of Manufacturer Board Other Identification Built or Replacement or No)

Component Manufacturer Sarial No. No.

Rockwell Edwards 3674F116E M/n M/s N/A Rop 1,cna n CV-369B Piping g_ n A 01n-n1 N/A N/A N/A N/A N/A Replaced N t

Rockwell Repaired CV-369B rh ,-a e 3674F3165 N/A N/A N/A A 9mk N Replace CV-368B and pipe from CV-369B to CV-369A. Add 3/4" sockolec

7. Description ot Work and valve to provide a test connection. Repaired linear indication found on CV-369B.

S. Tests Conducted: Hydrostatic @ Pneumatic 0 Nominal Operating Pressure Other X Pressure 754 psi Test Temp AMnTENT 'F ORT-26 (Appendix J test of CV-369B)

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

e .

FORM NIS 2 (Back)

9. Remark s _, prein g 3-0Ol[7J,3-0Om . ,na 97-On?7 Applicable Manufacturer's Data Aeports to be attached CERTIFICATE OF COMPLIANCE ASME Code, WeSection certifyXI. that the statements made in the report are correct and this. hplacemnt conforms to the rules of the

'*P *i' *P'*****

Type Code Symbol Stamp.. N/A Certificate of Authorization No. Dnket- 90-?fA Expiration Date N / A.

Svaned . N 7 bW

_, f Owner or Owner's Designea, Title a

z# # 93,, - 7 %M

' gg 93 f

CERTIFICATE OF INSERVICE INSPECTION t, the or undersigned, novinca of Wiscon;iin holding a valid commission issued by the National Board oi Boiler and Pressure Vessel inspectors and th and employed by HSBII Co.

HartfpId, CT _ of have inspected the components described in this Owner's Report durinD the period M37 31- 199? to May R- 1493 , and state that to the best of my knowledge end belief, the Owner has performed examinations and taken corrective meas ures descriNd in this Owner's Report in accordant.e with the reovirements of the ASME Code,Section XI.

Dy signing this certificate neither the inspector nor his employer makes any warranty, expressed or implied concern, examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his emplo shaft be liable in any manner for any personal iniury or property damage or a loss of any itind arising from or connected with th inspection.

- M -+'

ins 6ector's Signatura Commissions e

[~ i 7 National Board, State, Province, and E ndorsements Date '" Y 19 7$

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

1. Owner Wisconsin Electric Power CompanV Date April 13, 1993 Name 231 W. Michigan, Milwaukee, WI 53201 Sheet 1 of 1 Address
2. Plant Point Beach Nuclear Plant Unit 1 Name 6610 Nuclear Road, Two Rivers, WI 54241 m 431554 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed by Wiscon si n Electri d ower Co. Type Code Symbol Stamp N/A Authorization No. N/A 231 W. Michigan. Milwaukee, WI 53201 Expiration Date N/A Address
4. Identification of System Safety Iniection
5. (a) Applicable Construction Code ASTM A-193 19 67 Edition, None Addenda, N/A Code Case (b) Applicable Edition of Section XI Utitired for Repairs or Replacements 19 86
6. Identification of Components Repaired or Replaced and Repiacunatit Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. !dentification Built or Replacement or No)

Cardinal A 193 SI-853A-BLT Industries Gr. B-7 N/A N/A N/A Replaced N

7. Description of work Replaced one (1) stud on valve SI-853A
8. Tests Conducted: Hydrostatic 0 Pneumstic Nominal Operating Pressure O Other] Pressure psi Test Temp. *F VT-1 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 .snut 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 4

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FORM NIS 2 (Back) ]

i

9. Remarks _MUL_23. _QD1]

Applicable Manufacturer's Data Reports to tie etteched i i

I CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Ee D1 G Cement con 4o,m,,,,h,,,,,, o, ,n, repeer or replacement ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of uthorization No. , Doc ke t 50-266 Expiration Date U/A Signed / d8 i ISE bd*Ir** c .2 c. 97 Date _ig Owner or bwner's Designes, Title CERTf FICATE OF INSERVICE INSPECTION t, the undersigned, holding a valid commission issutd by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of__Vif.Cf2nsin and employed by IISBII Co. og fkir_tfordi CT have inspected the components described in this Owner's Report during the period May 31, 1992 to May 5. 1993 . and state that to the tmst 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 imphed, concerning the examinations and corrective measures described m this Owner's Report. Furthermoie, neither the inspector nor his employer shall be liable in any manner f or any personal injury or property damage or a loss of any kind arising f rom or connected with this inspection.

O [

24. Commission $ r /-*

/ Inspectdr's Signature National Board, Sts'te, Province, and [ndorsements Dets_ ,_ ilk.y_[O 19 Y -

e

a + .

h FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS  :

As Required by the Provisions of the ASME Code Section XI

1. Owner Wisconsin Electric Power Co. pete April 14, 1993 Name 231 W. Michigan . Milwaukee, WI 53201 Sheet 1 of 1 Address
2. Plant Point Beach Nuclear Plant Unit 1 Name '

6610 Mu r-i n a r Rmd. Two Ri vo r ci . WI 854 7 Q 'rc- A 5 61n Address Repair Orgenlaation P.O. No., Job No., etc. ,

3. Work Performed by Wisconsin Electric Power Co. Type Code SymboI Stamp N/A ,

Authorization No. N/A 231 W. Michioan, Milwaukee, WI 53201 Expiration Date N/A {

Address e

4. Identification of System Reactor Coolant l

ASME Section III Article H S. (a) Apphcable Construction Code 19 71 Edition, Mone Addenda. Nnno Code Case (b) Apphcable Edition of Section XI Utilized for Repairs or Replacements 19 R6

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

i Code National Repaired, Stamped ,

Name of Name of Manufacturer Board Other Year Replaced, (Yes }

Component Manufacturer Serial No. No. Identification Built or Replacement or No) >

l

'A' RCP No. 1 i non1 nnite Westinchous a N/A N/A N/A Rer>la ced N ,

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E P

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?

7. Description ot Work Replage 'A' RCP No. 1 Seal Boltino (18) bolts l l
8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominai Operatina Pressure O  :

Other] Pressure psi Test Temp. 'F VT-1 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 f rom the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 l

e: e 3

FORM NIS 2 (Back)

9. Remarks RRM 93-0019 Applicable Manutacturer's Data Reports to be attached CERTIFICATE OF COMPLlANCE I We certify that the statements made in the report are correct and this Rep 3 a r omnnteonforms to the rules of the  ;

ASME Code,Section XI. P"*P'*C'**"'  !

t l

Type Code Symbol Stamp N/A i

Certificate of Authorization No. Docket 50-266 Expiration Date N/A i m A.J g;gneo _. -.r .. ...< s ... ,o

. . , ,t .

d3f bor M[f Date

/3 19 9I 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 . i or Province of Wi neon cd n and employed by MT T rn: of 'j Hartford CT have inspected the components described i in this Owner's Report during the period flav 31 ~ 1992 to May 5. 1997 . and state that ~

to the bert 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.

'{

'i .

By signing this certificate neither the inspector nor his employer makes any warranty, expressed or implied, concerning the ' .

examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector not his employer j 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

/ n Commissions MN' I

/ Aspecto/s Signatu're Nat6cnet Board, State Province, and Endorsements h

I

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

1. Owner Winconnin Einntric Powor cn-nany Date Anril 22, 1991 Name 231 W. Michigan, Milwau kee , WI 53201 Sheet 1 of 1 Aodress
2. Plant Point Beach t'uclear Plant Unit 1 Name 6610 Nuclear Road, Two Rivers. WI 54241 MWR 9117R9 Ad dress Repair Organization P.O. No., Job No., etc.
3. Work Performed by Wincnnnin Electric Power Co. Type Code Symbol E. amp N/A

"*** N/A Authorization No.

231 W. Michigan, Mi lwau kee , WI 53201 Erpiration Date N/A Address

4. Identification of System Chemical and VoluDe Control
5. (a) Applicable Construction Code USAS B31.1.Ogg 67 Edition, None Addenda, None Code Casa (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86
6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. N o. Identification Built or Replacement or No)

Boric Acid Replace-Transfer Pum; Chem Pump 19416-1 N/A P-004A N/A ment N

7. Description ot Work Re173 aced suction flance boltina, nuts, and gaskets 4 8. Tests Conducted: Hydrostatic Pneumatic C Nominal Operating Pressure @

Other O Pressure 157 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., (2) informa.

tion in items 1 through 6 on this report is included on each shs t, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

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

l

. . as FORM NIS 2 (Back)

9. Remarks PRM 93-0070 Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Repl a rrmontconforms to the rules of the ASME Code,Section XI. P'" "*P'*****"*

Type Code Symbol Stamp N/A Certificate of Authorization No. Docket 50-266 Expiration Oate N/A Signed I E b ^ b b' Date 7 '20' Y3 19 Y3 Owner 'or Owner's DeseDnee, Title CERTIFICATE OF INSERVICE INSPECTION f, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of Wisconnin and employed by HSBII Co. of Hartford, CT have inspected the components described in this Owner's Report during the period Ma y_,.31 . 199? to M3y E- 1993 . 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 imphed, 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 per:,onal injury or property damage or a loss of any kind arising from or connected with this inspection, w Commissions I ' UU I'd Inspector's Signature National Board, State, Province, and Endorsements

['

Oai, dG ?o $9 9 7

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FORM NIS-2 CWNER'S REPORT FOR REPAIRS OR REPLACEMENTS l

As Required by the Provisions of the ASME Code Section XI

1. Owner Wisconsin Electric Power Comnany Date May 1. 1993 l Name 231 W. Michi ga n _._Milwnn kPP WI %1?Ol Sheet i of 1 Addr ess
2. Plant Point Beach Nuclear Plant Unit 1 Name 661O hrlpar T4n 7 d . Tjgn R i vo r e - MT Gd931 bl 007 Address Flopair Organization P.O. No., Job No., etc.
3. Work Performed by Crane- Al oycn Valve Sorviron Type Code SymboI Stamp VR

""** En Authorization No.

104 N. Chicagn Street. Jolint. T T1 604'24 Expiration Date July 2. 1993 Ad dress

4. Identification of System Main Stean Class C
5. (a) Applicable Construction CodeASME Sec . III19_63 Edition, None Addenda, Nnno Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 R6
6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. N o, identification Built or Replacement or No)

Replace-MS-2007 Crcsby HA65W None N/A N/A mont Von

7. Description of Work Ro nl a rrmo n t nf tho aink nn Main Rtonm Rnfory Wlvo MR-?nn7 had button mushroomed on back of disk from testing.
8. Tests Conducted: Hydrostatic C Pneumatic 0 Nominai Operatino ressure e Other Pressure 1125 !1% psi Test Temp.. Silt Stm *F Set pressure test iaw ASME OM satisfactory NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) sire 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) mey be obtained f rom the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017

3 o ==

5 FORM NIS 2 (Back) 9, Remarks RPM 93-0029 Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this red 1a Cemerdconforms to the rules of the

'spair r replacement ASME Code,Section XI.

Type Code Symbol Stamp N/A Certificate of Authoritation No. Docket 50-266 Expiration Date N/A Signed - , - -' ' # / Date *V 19 Owner'or Owner's Designes, Title '

CERTIFICATE OF INSER"'CE INSPECTION t, the undersigned, holding a valid commission issued by the National Boatd of Boiler and Press are Vessel inspectors and the State or Province of ui wnp <:i n and employed by HRRII Co_ of RWtfnrd- CT have inspected the components described in this Owner's Report during the period b y 71 - 14 0 to M 17 G- 1441 . 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, concermng the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

/

" Commissions  ! - e /

7' inspector's Signatuie National Board, State. Province, and Endorsements Date 4- Y 19

. _ .