ML20063A849

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ISI Summary Rept,Ano Unit 1 Outage 1E11
ML20063A849
Person / Time
Site: Arkansas Nuclear Entergy icon.png
Issue date: 01/17/1994
From:
ENTERGY OPERATIONS, INC.
To:
Shared Package
ML20063A845 List:
References
NUDOCS 9401270078
Download: ML20063A849 (141)


Text

Attachment I to ICAN019405 Inservice Inspection Summary Report Arkansas Nuclear One, Unit 1 Outage Number: 1R11 Outage Completion Date: 10/19/93 Owner Arkansas Power & Light Company Capitol and Broadway Little Rock, Arkansas 72203 Operator Entergy Operations, Inc.

Subsidiary of Entergy Corporation Generating Plant Arkansas Nuclear One Route 3, Box 137G Russellville, AR 72801 Commercial Operating Date: December 19,1974 Submittal Date: January 17,1994 Eo0* $88c! $8$$Uta PDR G

l FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules Arkansas Power & Light Company /Entergy Operations, Inc.

1. Owner P. O. Box 551, Capitol Tower Building, Little Rock, AR 72203 (Name and Address of Owner)
2. Plant Arkansas Nuclear One, Rt. 3 Box 137G, Russellville, AR 72801 (Name and Address of Plant)
3. Plant Unit 1 4. Owner Certificate of Authorization (if required) N/A
5. Commercial Service Date 12/19/74 6. National Board Number for Unit N-121
7. Components inspected ASME Code Class 1 (lWB)/ASME Code Class 2 (IWC)/ASME Code Class 3 (LWD) Components & their Supports (IWF) and Non-Code Components and their Supports.

Manufacturer Component or Manufacturer orInstaller State or National Appurtenance or Installer Serial No. Province Board No.

Reactor Vessel B&W N/A ARK-9827 N-121 (including Studs, Nuts,

,VNashers)

Pressurizer B&W N/A ARK-9826 N-122 E24B Steam Generator B&W N/A ARK-9824 N-124 Reactor Coolant Pump Byron-Jackson (Mfg.) N/A N/A N/A "A" (supports only) Bechtel (Installer)

Class 1 Piping Bechtel (Installer) N/A N/A N/A Class 2 Piping Bechtel (Installer) N/A N/A N/A Class 3 Piping Bechtel (Installer) N/A N/A N/A ass 1 Component Bechtel (Installer) N/A N/A N/A ass 2 Component Bechtel (Installer) N/A N/A N/A ass 3 Component ppg Bechtel (Installer) N/A N/A N/A Non-Code Bechtel (Installer) N/A N/A N/A Components:

(Augmented exams)

AP&UEntergy by )..M Date s/14k4 Factory Mutualby h O. b/f,MDate //17/11

'D. B. Loma'x J. O. Elliott, ANil

FORM NIS-1 (Back) l

8. Examination Dates 05/09/92 to 10/19/93
9. Inspection Period Identification: First Refueling Outage of the Third (3rd) Period
10. Inspection interval Identification: Second (2nd) 10-year interval
11. Applicable Edition of Section XI 1980 Addenda Winter 1981 i
12. Date/ Revision of Inspection Plan: Revision 30
13. Abstract of Examinations. Include a list of examinations and tests and a statement conceming status of work required for the Inspection Plan.

See attached "1R11 Outage Summary Report".

14. Abstract of Results of Examinations and Tests.

See attached "1R11 Outage Summary Report".

F

15. Abstract of Corrective Measures Taken.

See attached "1R11 Outage Summary Report". >

We certify that a) the statements made in this report are correct, b) the e*.aminations and tests meet the inspection Plan as required by the ASME Code, and corrective mease;es taken conform to the rules of ASME Code,Section XI.

Certificate of Authorization No. (if applicable) N/A Expiration Date N/A .

Date du M 19 M Signed AP&llEntergy Operations, Inc. By f d4 8 ._,0 Owner i D. B. Lomax CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure VesselInspectors and the State or Province of Arkansas and employed by Arkwrioht Mutual Insurance ,

h of Norwood. Mass have inspected the components described in this Owners Report during the period 05/10/92 to 10/09/93, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in  ;

accordance with the inspection plan and as required by the ASME Code,Section XI. '

By signing this certificate neither the inspector nor his employer makes any warranty, express or .

implied, conceming the examinations and corrective measures described in this Owners Report.

Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

. Factory Mutual Engineering Association

, O . / . MM Commissions NB-9947. ARK-1133 "N" "l" "A" Inspectors Signature National Board, State, Province, and Endorsements J. O. Elliott Date /// 7 19 W

- Attachment 1 to ICAN019405 1R11 Outage Summary Report The regularly-scheduled insersice inspection (ISI) examinations performed prior to and during .

1R11 are listed in the attached table entitled, "lRll Completed ISI Examinations" 1R11 was i the first refueling outage in the third period of the second 10-year interval. The attached table includes the non-destructive examinations (NDE), other than pressure tests and associated VT-2 exams, which are summarized below. The only VT-2 exams listed in the attached table are the Code Category B-E examinations which are specifically listed in IWB-2500 of ASME Section XI. These category B-E exams are all located on either the reactor vessel or the  :

pressurizer and are therefore performed each refueling outage along with the reactor coolant .

. system leak test listed below. In performing these pressure tests and VT-2 exams, ASME ,

Code Case N-498 was used.

1 Pressure Tests Period pressure tests were completed during Cycle 11 on the following components:

System / Loon / Component Penetration Test No.

Service Water System Cooling Coils P-21, 22, 55, 63 3.1 ,

Chilled Water System P-51,59 3.2 ,

Letdown System P-14 3.3 Controlled BleedofT(MU) P-9 3.4 Core Flood Tank "A" N/A 3.5 Core Flood Tank "B" N/A 3.6 Intermediate Cooling Water System P-47, 60 3.7 l Emergency Feedwater System (EFW) P-17 3.8 EFW Loop B P-65 3.9 Main Steam Loop A P-1 3.10  ;

Main Steam Loop B P-2 3.11 ECCS DHR Suction P-27 3.12 ,

ECCS A DHR P-26 3.13  :

ECCS B DIIR P-36 3.14 l Main Feedwater Loop A P-3 3.15 Main Feedwater Loop B P-4 3.16 i Reactor Coolant Pump Seal Supply P-16 3.17 Make-up (MU) System P-34 3.18 IIPI Injection P-8,13,15, 34 4.1 -

EFW Loop A P-17 4.2 EFW Loop B P-65 4.3 Reactor Coolant (System Leak Test) N/A N/A  !

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

~ Attachment I to ~ l ICAN019405 i l

In addition to the above-mentioned tests, a 10-year ISI hydrostatic test was completed on the ,

reactor buildmg spray system.

I i

Overview Regularly-scheduled ISI activities (NDE) have historically. been performed during each  !

refueling outage. Beginning with Cycle 11, ANO-1 performed NDE during power operation  ;

-i also. Over a 10-year interval, a required number of exams must be performed with the results reported to the NRC after each refueling outage. The items examined in IRll (and pre-  !

outage IR11) are only a sample of the total population of the components and supports in the plant. The exams (approximately 300) were widely scattered throughout the plant. Since this  ;

outage was specified as a " south cavity" outage, any north cavity exams that had previously been scheduled for 1R1I were rescheduled for 1R12. Refueling outage IR12 will be the last outage in the second 10-year Interval. ,

i In the preparation process for the IRI1 outage, as many exams as possible were performed before the outage in order to reduce outage work scope and outage dose in compliance with NRC regulations on personnel exposure (ALARA). Many of the plut systems, such as decay ,

heat, have much lower radiation dose rates during power operation when the systems are essentially dormant. The pre-outage scope consisted of all exams outside of the reactor >

building that could be performed while ANO-1 wa:, still operating at power. Approximately i one-third of all 1Rll exams were performed befe" the outage began. In addition,9 welds on 3 control rod drive mechanism (CRDM) motar idee housings were inspected between IR10 and 1R11 while the housings were disassembled at a vendor's facility. Examining the welds at ' i this time also reduced outage work scope and personnel radiation exposure.  ;

The following major components and areas were inspected in 1RI1 (and pre-outage IRl 1):

I. ASME-Code-Required Exams

1. Steam Generator "B" (South Cavity)
2. Reactor Vessel Studs, Nuts, and Washers i
3. Piping and Hangers (RCS, DH, LPI, CF, HPI, MU, MFW, MS, EFW, SW,

& BS) i

4. CRDM Motor Tube Housings ,

II. Augmented Exams -

1. Pressurizer Level Tap Repair Area
2. Pressurizer Inconel Nozzles
3. BWST Piping
4. Main Steam Piping t

+

Attachment I to ICAN019405 The following NDE methods were performed in order to accomplish the above-listed exams.

1. Ultrasonic Testing (UT)
2. Dye Penetrant Testing (PT)
3. Magnetic Particle Testing (MT)
4. Visual Testing (VT-1 & VT-3)
5. Infrared Thermography (IFT)

The majority of the NDE was performed by Entergy Operations personnel. This included UT, PT, MT, infrared, VT-1 and VT-3 examinations. (VT-4 examinations have been incorporated into the VT-3 exams as allowed by the NRC-approved 1986 and 1989 ASME Code Editions.)

B&W performed a small number of PT exams off-site as mentioned above.

As a result of these examinations, no significant problems were discovered. The safety-related pressure-retaining boundary in ANO-1 continues to perform its function without any-significant degradation.

Component Supports (llanners)

Beginning with this refueling outage, the number of component suppons (hangers) that are routinely inspected hs been greatly reduced through the implementation of ASME Code Case N-491. This Code Case allows the inspection of only 25% of Class I hangers,15% of Class 2 -

hangers, and 10% of Class 3 hangers over a 10-year interval. The previous requirements were 100% inspection of Class 1 and 2 hangers per 10-year interval and 100% inspection of Class 3 hangers per 3-year interval. In IRll, 68 hangers (Code Category F-A) were inspected.

Thirteen of the inspected hangers had some sort of minor problem; e.g., loose nuts or drawing discrepancies. Of these, only four had any corrections or adjustments performed. None of the corrections or adjustments were required by ASME Code since all of the hangers inspected in 1Rll were determined to be operable. Consequently, there _was no expanded scope of examinations. Overall, the hanger examinations performed this outage produced the best results of any recent outage.

Four hangers were reinspected during 1Rll due to missed reinspections following rework' during IR10. During this outage, the four hangers were reinspected and found to be operable.

Snuhbers Snubbers are inspected per e segrate piogram per ANO-1 Technical Specification 4.16, but are reported here as part oi 19 Jutage Summary Report since they serve as component supports. Relief Request 92-0C was approved on May 19,1993 (OCNA059311), to permit the use of the Technical Specification requirements in lieu of the ASME Code requirements.

During this outage,1I snubbers were inspected that fall within the ISI boundaries. These

. . to - .)

ICAN019405 snubbers are listed in the attached table. All 11 snubbers and associated connections to piping were determined to be operable.

Intereranular Stress Corrosion Cracking ANO-1 has a continuing program to look for intergranular stress corrosion cracking (IGSCC) l in thin-wall stainless steel piping connected to the borated water storage tank (BWST). This l augmented program is based on NRC Bulletin 79-17, NRC Circular 76-06, and Condition  ;

Reports CR-1-91-131 and CR-1-91-199, The planned scope of examinations for this outage ,

on the BWST piping was six welds. During the examinations, some indications were found  ;

on the inside surface of the piping in the base metal adjacent to the welds. All of the l indications were on or immediately adjacent to one spool-piece which contained 7 welds.

These indications were initially thought to possibly be IGSCC. While these indications were being investigated to determine their exact nature and origin, the scope of examinations was increased to other spool-pieces in the same line as well as other similar lines that were also being examined during the outage. The additional velds were examined to determine the I

possible cause ofindications as well as to detennin' e extent of any cracking problems. The number of additional welds inspected was 22. None of the additional examinations revealed any problems; therefore, it was concluded that no cracking problem exists in these lines.

The indications found on the one spool-piece are thought to be fabrication (probably grinding) marks that may have existed since the piping was originally installed in the plant. However, the indications found on the one spool-piece will be examined while the plant is at power ,

between 1R11 and IR12 in order to monitor any possible growth ifIGSCC is present.

Primary Water Stress Corrosion Crackine ANO-1 has a continuing program to look for primary stress corrosion cracking (PWSCC) on pressurizer nozzles. Two difTerent examination approaches are utilized. First, the repair weld on one of the upper level taps is examined ultrasonically each outage to determine if any corrosion of the carbon-steel base material is occurring. A repair was performed in IR9 when an Inconel nozzle cracked due to PWSCC. The repair area was examined in IR10 and again ,

in 1RI1 without detection of corrosion of the base material.

  • Secondly, ten Inconel-containing locations on the pressurizer, including the above-mentioned repair area, are examined each refueling outage in order to look for new cracks in the Inconel material. The examinations are for the purpose oflocating leaks and are performed either as a -

Visual (VT-2) or as infrared thermography (IFT). During 1.R11 with the pressurizer at normal operating pressure and temperature, an IFT exam was performed. No leakage was found; .

The same ten areas were also examined visually when the pressurizer was cold. There was no evidence ofleakage.

! t Attachment I to 1CAN019405 Main Steam Flushine Connection Welds  ;

During 1R11 two previously-unknown welds were discovered on the two main steam lines in the south cavity near steam generator "B" during NDE of adjacent welds. There is one weld on each of the two 24"-diameter lines. At first, the welds were believed to be full-penetration butt welds. Further research determined that these two welds were remnants from a flushing .

connection that had been temporarily welded to the lines during construction before initial start-up of the plant. In order to document the existence of these two welds and to avoid any i future confusion, a drawing revision was initiated to add these welds.

The ISI plan has been revised to include these two welds which have been assigned numbers .

of 30-002A and 30-012A. These two welds are included in this Outage Summary Report since they were examined during IRl1. However, no future examinations are scheduled since these welds are non-structural and non-pressure-retaining. They are not subject to the examination requirements of Section XI of the ASME Code.

Limited Examinations During 1Rll, special attention was paid to every weld examined in order to get complete coverage as required by ASME Section XL Due to plant configurations, two welds that are listed in the attached table of results (04-004 and 10-002) received only partial examination, i.e., less than 90% as specified by ASME Code Case N-460. A relief request for the limited examination of these two welds will be developed and submitted to the NRC and will he included in a future revision of the ISI plen. On these two welds, all other Code requirements were met.

Status of the ISI Plan IRI1 is the first refueling outage in the third period of the second 10-year interval. IR12 will conclude the second interval which will mark the end of 20 years of commercial operation.

IR11 and IR12 are in the same period; therefore, exams may be performed in either of the two outages and still count as third-period exams. Since IP12 is the outage that has been designated for a full reactor-vessel examination, all other inspections that could be moved from 1R12 to IRll were performed in IRll so that more attention can be placed on the reactor-vessel examination.

Page 1 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R11 COMPLETED ISI EIAMINATIONS EIAMINATION AREA DESCRIPTION NDE METHODfS)

CATEGORY ITEM NO. COMPONENT DESCRIPTION ISI EIAM NO.

INSTRUMENTATION NOEZLES VT-2 B-E B4.13 RCS - REACTOR VESSEL 01-I-001 (BOTTOM HEAD)

THRU -052 CLOSURE NUTS MT D-C-1 B6.10 RCS - REACTOR VESSEL 01-N-041 THRU -060 UT ,MT RCS - REACTOR VESSEL CLOSURE STUDS 01-S-041 B-G-1 B6.30 THRU -060 CLOSURE WASHERS VT-1 B-0-1 B6.50 RCS - REACTOR VESSEL 01-W-041 THRU -060 CRDM MOTOR-TUBE-HOUSING BUTT PT B-O B14.10 RCS-CRDM 02-C-DO4 WELD CRDM MOTOR-TUBE-HOUSING BUTT PT 02-C-OO5 B-O B14.10 RCS-CRDM WELD CRDM MOTOR-TUBE-HOUSING BUTT PT 02-C-OO6 B-O B14.10 RCS-CRDM WELD CRDM MOTOR-TUBE-HOUSING BUTT PT B-O B14.10 RCS-CRDM 02-C-OO7 WELD CRDM MOTOR-W BE- M SING B M M B-O B14.10 RCS-CRDM 02-C-DO8 CRDM HOTOR-TUBE-HOUSING BUTT PT B-O B14.10 RCS-CRDM 02-C-OO9 WELD CRDM MOTOII-TUBE-HOUSING BUTT PT 02-C-010 B-O B14.10 RCS-CRDM WELD CRDM MOTOR-TUBE-HOUSING BUTT PT 02-C-011 B-O B14.10 RCS-CRDM r

A Page 2 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R11 COMPLETED ISI EIAMINATIONS COMPONENT DESCRIPTIOM EIAMINATION AREA DESCRIPTIOM IfDE METHODfS)

IPI EIAM NO.. CATEGORY ITEM NO.

WELD CRDM MOTOR-TUBE-HOUSING BUTT PT 02-C-012 B-O B14.10 RCS-CRDM WELD CRDM NOZZLE-TO-HEAD WELDS VT-2 02-N-OO1 B-E B4.12 RCS-CRDM THRU -069 RCS (HOT LEG) UT 04-004 B-D B3.130 RCS-STEAM GENERATOR E24B INLET-NOZZLE-TO-UPPER-HEA3 WELD NOZZLE TO HEAD INNER RADIUS UT 04-005 B-D B3.140 RCS-STEAM GENERATOR E24B UPPER HEAD MANWAY STUDS VT-1 04-025 B-G-2 B7.30 RCS-STEAM GENERATOR E24B LOWER HEAD MANWAY STUDS VT-1 04-026 B-G-2 B7.30 RCS-STEAM GENERATOR E24B UPPER HEAD MANWAY NUTS VT-1 04-031 B-G-2 B7.30 RCS-STEAM GENERATOR E24B LOWER HEAD MANWAY NUTS VT-1 04-032 B-C-- 2 B7.30 RCS-STEAM GENERATOR E24B UPPER INSPECTION COVER STUDS VT-1 04-034 B-G-2 B7.30 RCS-STEAM GENERATOR E24B RCS-STEAM GENERATOR E24B UPPER INSPECTION COVER NUTS VT-1 04-035 B-G-2 B7.30 RCS-PRESSURIZER HEATER CONNECTION WELDS VT-2 05-030 B-E B4.20 STEAM GEN B TO PUMP 1B1 PIPE TO PIPE CIRC SEAM SE UT ,PT 10-002 B-F B5.130 (RCP "A") DMW PIPE TO ELL CIRC SEAM SE DMW UT , PT 11-002 B-F B5.130 RCP "A" TO REACTOR VESSEL ELL INSIDE LONG SEAM UT , PT 11-003 B-J B9.12 RCP "A" TO REACTOR

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

i Page 3 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R11 COMPLETED ISI EIAMINATIONS EIAMINATION AREA DESCRIPTION NDE METNODIS)

ISI EIAM NO, CATEGORY ITEM NO. COMPONENT DESCRIPTION VESSEL ELL OUTSIDE LONG SEAM UT ,PT B-J B9.12 RCP "A" TO REACTOR 11-004 VESSEL PIPE TO PIPE CIRC SEAM SE UT ,PT 12-002 B-F B5.130 STEAM GEN B TO PUMP 1B2 DMW (RCP "B")

PIPE TO ELL CIRC SEAM SE DMW UT ,PT B-F B5.130 RCP "B" TO REACTOR 13-002 VESSEL ELL INSIDE LONG SEAM UT ,PT B-J B9.12 RCP "B" TO REACTOR 13-003 VESSEL ELL OUTSIDE LONG SEAM UT , PT B-J B9.12 RCP "B" TO REACTOR 13-004 VESSEL PIPE TO SG "B" INLET NOZELE UT ,MT 15-001 B-J B9.11 RCS-HOT LEG FROM RV TO SG "B" CIRC SEAM ELL TO PIPE CIRC SEAM UT ,MT 15-002 B-J B9.11 RCS-HOT LEG FROM RV TO SG "B" ELL INSIDE LONG SEAM UT ,MT 15-003 B-J 89.12 RCS-HOT LEG FROM RV TO SG "B" ELL OUTSIDE LONG SEAM UT ,MT 15-004 B-J B9.12 RCS-HOT LEG FROM RV TO SG "B" CCA-2/HS-100 (SNUBBER) VT-3 16-013 F-A F1.10F PRESSURIZER SURGE PRESSURIZER SURGE CCA-2-HS-102 (SNUBBER) VT-3 16-015 F-A F1.10F DECAY HEAT REMOVAL CCA-8-H1 VT-3 17-033 F-A F1.10C

Page 4 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R11 COMPLETED ISI EIAMINATIONS EIAMINATION AREA DESCRIPTION NDE METHODf8)

IMI EXAM NO. CATEGORY ITEM NO. COMPONENT DESCRIPTION CCA-8-H4 VT-3 17-034 F-A F1.10B DECAY HEAT REHOVAL CCA-4-HS9 VT-3 18-043 F-A F1.10A PRESSURIZER SPRAY CCA-4-HS63 (SNUBBER) VT-3 18-056 F-A F1.10F PRESSURIZER SPRAY CCA-4-H1 VT-3 18-057 F-A F1.10D PRESSURIZER SPRAY CCA-6/DH-198 VT-3 19-038A F-A F1.10A CORE FLOOD CCA-6/DH-171 VT-3 19-038B F-A F1.10B CORE FLOOD CCA-6/DH-197 VT-3 19-039A F-A F1.10C CORE FLOOD 14" CHECK VALVE DH-14A (BODY UT 19-401 B-M-1 B12.40 CORE FLOOD WELD)

MU-210A (SSUBBER) VT-3 20-108 F-A F1.10F HPI TO Al LOOP (P32C)

ELL TO PIPE CIRC SEAM PT 22-035 B-J B9.21 HPI TO B1 LOOP (P32A)

PIPE TO ELL CIRC SEAM PT 22-043 B-J B9.21 HPI TO B1 LOOP (P32A)

ELL TO PIPE CIRC 4?EAM PT 22-048 B-J 89.21 HPI TO B1 LOOP (P32A)

PIPE TO ELL CIRC SEAM PT 22-050 B-J B9.21 HPI 'IC B1 LOOP (P32A)

PIPE TO ELL CIRC SEAM PT 22-054 B-J 89.21 HPI TO B1 LOOP (P32A)

PIPE TO BRANCH CONNECTION PT 22-063 B-J B9.32 HPI TO B1 LOOP (P32A)

WELD HPI.TO B1 LOOP (P32A) ELL TO PIPE CIRC SEAM PT 22-065 B-J B9.21

Page 5 ENTEROY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R11 COMPLETED ISI EIAMINATIONS COMPONENT DESCRIPTION EIAMINATION AREA DESCRIPTION NDE METHODIS)

ISI EIAM NO. CATEGORY ITEM NO.

PIPE TO VALVE CIRC SEAM PT 22-066 B-J B9.21 HPI TO B1 LOOP (P32A)

VALVE TO PIPE CIRC SEAM PT 22-067 B-J B9.21 HPI TO B1 LOOP (P32A)

PIPE TO ELL CIRC SEAM PT 22-069 B-J B9.21 HPI TO B1 LOOP (P32A)

MU-191 VT-3 22-088 F-A F1.10C HPI TO B1 LOOP (P32A)

F1.10B HPI TO B1 LOOP (P32A) MU-178 VT-3 22-092 F-A F1.10A HPI TO B1 LOOP (P32A) MU-189 VT-3 22-102 F-A HPI TO B2 LOOP (P32B) PIPE TO ELL CIRC SEAM PT 23-029 B-J B9.21 HPI TO B2 LOOP (P32B) PIPE TO ELL CIRC SEAM PT 23-033 B-J B9.21 PIPE TO 60 ELL CIRC SEAM PT i 23-037 B-J B9.21 HPI TO B2 LOOP (P328)

PIPE TO ELL CIhc SEAM PT 23-039 B-J B9.21 HPI TO B2 LOOP (P32B)

B9.21 HPI TO B2 LOOP (P32B) PIPE TO ELL CIP.C SEAM PT 23-046 B-J HPI TO B2 LOOP (P32B) PIPE TO ELL CIRC SEAM PT 23-0$1 B-J B9.21 B-J B9.21 HPI TO B2 LOOP (P32B) PIPE TO VALVE CIRC SEAM PT 23-055 B-J B9.21 HPI TO B2 LOOP (P328) ELL TO PIPE CIRC SEAM PT 23-057 B-J B9.21 HPI TO B2 LOOP (P32B) ELL TO PIPE CIRC SEAM PT 23-060 23-062 B-J B9.21 HPI TO B2 LOOP (P32B) VALVE TO PIPE CIRC SEAM PT 23-083 F-A F1.10B HPI TO B2 LOOP (P32B) MU-157 VT-3

Page 6 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R13 COMPLETED IBI EIAMINATIONS EIAMINATION AREA DESCRIPTION NDR MET 50Dif)

CATEGORY ITEM NO. COMPONENT DESCRIPTION IrtI EIAM NO.

MU-168 VT-3 23-093 F-A F1.10B HPI TO B2 LOOP (P32B)

MU-170 VT-3 23-096 F-A F1.10C HPI TO B2 LOOP (P32B)

MU-132 VT-3 F-A F1.10D LETDOWN COOLER & DRAIN 24-083 MU-124 VT-3 24-092 F-A F1.10C LETDOWN COOLER & DRAIN MU-131 VT-3 24-104 F-A F1.10E LETDOWN COOLER & DRAIN EBB-1/MFW-30 VT-3 F-A F1.20C MAIN FEEDWATER 26-048 EBB-1/HS-26 (SNUBBER) VT-3 F-A F1.20F MAIN FEEDWATER 26-063 ELL TO PIPE CIRC SEAM UT ,MT 27-011 C-F C5.21 MAIN FEEDWATER (INTEGRAL MT C-C C3.20 MAIN FEEDWATER EBB-1/MFW-H12 27-041 ATTACHMENT)

EBB-1/MFW-H12 VT-3 27-045 F-A F1.20A MAIN FEEDWATER EBB-1/MFW-H11 VT-3 27-046 F-A F1.208 MAIN FEEDWATER EBB-1/HS-31 (SNUBBER) VT-3 27-051 F-A F1.20F MAIN FEEDWATER MAIN STEAM EBB-3/MS-148 (INTEGRAL MT 28-031 C-C C3.20 ATTACHMENT)

MAIN STEAM EBB-3/HS-18 (SNUBBER) VT-3 28-035 F-A F1.20F F1.20D MAIN STEAM EBB-3/MS-148 VT-3 28-040 F-A MAIN STEAM SWEEPOLET TO FLANGE CIRC MT 29-004 C-F C5.11 SEAM

.- .~_ _ - - . .

Page 7 ENTERGY OPERATT.ONS ARKANSAS NUCLEAR ONE - UNIT 1 1R11 COMPLETED ISI EIAMINATIONS EXAMINATION AREA DESCRIPTION NDE METHODfSi CATEGORY ITEM NO. COMPONENT DESCRIPTION ISI EIAM NO.

MT C-C C3.20 MAIN STEAM EBB-3/MS-126 (INTEGRAL 29-042 ATTACHMENT)

EBB-3/MS-126 VT-3 29-047 F-A F1.20A MAIN STEAM EBB-3/MS-202 VT-3 29-050 F-A F1.20C MAIN STEAM STM GEN B NOZZLE TO ELL CIRC UT ,MT C-F C5.21 MAIN STEAM 30-001 SEAM FLUSHING ATTACHMENT WELD UT ,MT 30-002A N/A N/A MAIN STEAM ELL TO PIPE CIRC SEAM UT ,MT 30-012 C-F C5.21 MAIN STEAM FLUSHING ATTACHMENT WELD UT ,MT N/A N/A MAIN STEAM 30-012A EBB-3-HS-4 (SNUBEER) VT-3 30-037 F-A F1.20F MAIN STEAM REDUCER TO VALVE CIRC SEAM MT 31-020 C-F C5.11 MAIN STEAM (INTEGRAL MT C-C C3.20 MAIN STEAM EBB-3/MS-111 31-044 ATTACHMENT)

EBB-3/MS-111 VT-3 31-050 F-A F1.20A MAIN STEAM TEE TO PIPE CIRC SEAM PT 32-005 C-F C5.11 MAKE UP PUMP SUCTION TEE LONG SEAMS PT 32-005AB C-F C5.12 MAKE UP PUMP SUCTION PIPE TO VALVE CIRC SEAM PT 32-011 C-F C5.11 MAKE UP PUMP SUCTION MAKE UP PUMP SUCT.N ELL LONG SEAMS PT 32-013AB C-F C5.12 MAKE UP PUMP SUCTION ELL TO PIPE CIRC SEAM PT 32-014 C-F C5.11

Page 8 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R11 COMPLETED ISI EIAMINATIONS EIAMINATION AREA DESCRIPTION NDE NETHODfS)

ICI EIAM NO. CATEGORY ITEM NO. COMPONENT DESCRIPTION PIPE TO ELL CIRC SEAM PT 32-015 C-F C5.11 MAKE UP PUMP SUCTION ELL LONG SEAMS PT 32-015AB C-F C5.12 MAKE UP PUMP SUCTION TEE TO REDUCER CIRC SEAM PT 32-020 C-F C5.11 MAKE UP PUMP SUCTION REDUCER LONG SEAMS PT 32-020AB C-F C5.12 MAKE UP PUMP SUCTION TEE LONG SEAMS PT 32-021AB C-F C5.12 MAKE UP PUMP SUCTION MAKE UP PUMP SUCTION PIPE TO VALVE CIRC SEAM PT 32-025 C-F C5.11 MAKE UP PUMP SUCTION VALVE TO PIPE CIRC SEAM PT 32-030 C-F C5.11 C5.ll MAKE UP PUMP SUCTION PIPE TO ELL CIRC SEAM PT 32-031 C-F MAKE UF PUMP SUCTION ELL LONG SEAMS PT 32-031AB C-F C5.12 MAKE UP PUMP SUCTION TEE LONG SEAMS PT 32-035AB C-F C5.12 TEE TO PIPE CIRC SEAM PT 32-036 C-F C5.11 MAKE UP PUMP SUCTION MAKE UP PUMP SUCTION VALVE TO REDUCING ELL CIRC PT 32-042 C-F C5.11 SEAM C5.12 MAKE UP PUMP SUCTION REDUCING ELL LONG SEAMS PT 32-042AB C-F MAKE UP PUMP SUCTION GCB-2/DH-205 VT-3 32-057 F-A F1.20A F-A F1.20B MAKE UP PUMP SUCTION GCB-2/DH-210 VT-3 32-058 32-059 F-A F1.20C MAKE UP PUMP SUCTION GCB-2/DH-206 VT-3 33-053 C-C C3.20 D.H. REMOVAL TO PUMPS GCB-4/DH-126 (INT. PT t___.__ _ _ _ _ _ _ _, . . -__ _ _ _ _ _ - _ _ - . _ _ _ .

Page 9 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R11 COMPLETED ISI EIAMINATIONS EIAMINATION AREA DESCRIPTION NDE NETHOD(S) ,

IAI EKAN NO CATEGORY ITEM NO. COMPONENT DESCRIPTION ATTACHMENT)

GCB-4/DH-122 VT-3 33-069 F-A F1.20B D.H. REMOVAL TO PUMPS GCB-4-H5 VT-3 33-073 F-A F1.20C D.H. REMOVAL TO PUMPS GCB-4/DH-127 VT-3 33-074 F-A F1.20B D.H. REMOVAL TO PUMPS PIPE TO ELL CIRC SEAM PT 34-006 C-F C5.11 LPI PUMP A DISCHARGE TO PENETRATION ELL LONG SEAMS PT 34-OO6AB C-F C5.12 LPI PUMP A DISCHARGE TO PENETRATION REDUCER LONG SEAMS PT 34-014AB C-F C5.12 LPI PUMP A DISCHARGE TO PENETRATION REDUCER TO E35A NOEELE CIRC PT 34-015 C-F C5.11 LPI PUMP A DISCHARGE TO PENETRATION SEAM PIPE TO TEE CIRC SEAM PT 34-020 C-F C5.11 LPI PUMP A DISCHARGE TO PENETRATION PIPE TO TEE CIRC SEAM PT 34-024 C-F C5.11 LPI PUMP A DISCHARGE TO PENETRATION LPI PUMP A DISCHARGE TO TEE LONG SEAMS PT 34-024AB C-F C5.12 PENETRATION LPI PUMP A DISCHARGE TO ELL TO PIPE CIRC SEAM PT 34-033 C-F C5.11 PENETRATION C5.12 LPI PUMP A DISCHARGE TO ELL LONG SEAMS PT 34-033AB C-P PENETRATION

Page 10 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R11 COMPLETED ISI EIAMINATIONS IG3I E I AM N O . CATEGORY ITEM NO. COMPONENT DESCRIPTION EIAMINATION AREA DESCRIPTION NDE METRODfS)

C5.11 LPI PUMP A DISCHARGE TO REDUCING TEE TO PIPE CIRC PT 34-041 C-F PENETRATION SEAM C5.12 LPI PUMP A DISCHARGE TO REDUCING TEE LONG SEAMS PT 34-041AB C-F PENETRATION C5.12 LPI PUMP A DISCHARGE TO ELL LONG SEAMS PT 34-058AB C-F PENETRATION C-F C5.11 LPI PUMP A DISCHARGE TO ELL TO PIPE CIRC SEAM PT 34-059 PENETRATION 34-060 C-F C5.11 LPI PUMP A DISCHARGE TO PIPE TO ELL CIRC SEAM PT PENETRATION 34-060AB C-F C5.12 LPI PUMP A DISCHARGE TO ELL LONG SEAMS PT PENETRATION 34-065 C-F C5.11 LPI PUMP A DISCHARGE TO PIPE TO VALVE CIRC SEAM PT PENETRATION 34-083 C-C C3.20 LPI PUMP A DISCHARGE TO GCB-1/DH-10 (INT. PT PENETRATION ATTACHMENT)34-086 F-A F1.20E LPI PUMP A DISCHARGE TO GCD-10-H1 VT-3 PENETRATION 34-107 F-A F1.20F LPI PUMP A DISCHARGE TO GCB-1/DH-302 (SNUBBER) VT-3 PENETRATION 35-094 C-C C3.20 LPI-PUMP B DISCHARGE TO GCB-1-H9 (INT. ATTACHMENT) PT PENETRATION 35-109 F-A F1.20C LPI PUMP B DISCHARGE TO CCB-1-H9~ VT-3

Page 11 ENTERGY OPERATIONS ARKANSAS NUCIJ AR ONE - UNIT 1 1R11 COMPLETED ISI EIAMINATIONS COMPONENT DESCRIPTION EIAMINATION AREA DESCRIPTION ND5 METHODfS) 102 EIAM NO, CATEGORY ITEM NO.

PENETRATION CCB-1-H18 VT-3'35-111 F-A F1.20C LPI PUMP B DISCHARGE TO PENETRATION DBD-2/3-EFW-115-H2 VT-3 40-020 F-A F1.30E EMERGENCY FEEDWATER DBD-2/3-EFW-115-H2W VT-3 40-020W D-B D2.20 EMERGENCY FEEDWATER (INTEGRAL ATTACHMENT)

RCP A & MOTOR FLYWHEEL SEISMIC SUPPORT-WEST SIDE VT-3 63-014 F-A F1.40D RCP A & MOTOR FLYWHEEL SEISMIC SUPPORT-EAST SIDE VT-3 43-015 F-A F1.40D SERVICE WATER GBD-14-H9 VT-3 49-025 F-A F1.30B SERVICE WATER HBD-14-H9 VT-3 49-025W D-B D2.20 (INTEGRAL ATTACHMENT)

F1.30A SERVICE WATER HBD-46-H36 VT-3 49-040 F-A HBD-46-H36 "T-3 49-040W D-B D2.20 SERVICE WATER (INTEGRAL ATTACHMENT)

F1.30A EMERGENCY FEEDWATER HBD-4/3-ETW-113-H5 VT-3 49-043 F-A l

F1.30B EMERGENCY FEEDWATER HBD-4/3-EFW-113-H11 VT-3 49-044 F-A l

D2.20 EMERGENCY FEEDWATER HBD-4/3-EFW-113-H11 VT-3 49-044W D-B (INTEGRAL ATTACHMENT) l F1.30B EMERGENCY FEEDWATER HBD-4/3-EFW-113-H10 VT-3 49-046 F-A D-B D2.20 EMERGENCY FEEDWATER HBD-4/3-EFW-113-H10 VT-3 l

49-046W l (INTEGRAL ATTACMMENT) i i

Page 12 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R11 COMPLETED ISI EIAMINATIONS EIAMINATION AREA DESCRIPTION NDE METHODi81 ISI EIAM NO, CATEGORY ITEM NO. COMPONENT DESCRIPTION HBD-21-H15 VT-3 49-052 F-A F1.30B SERVICE WATER HBD-21-H15 VT-3 49-052W D-B D2.20 SERVICE WATER (INTEGRAL ATTACHMENT)

HBD-21-H73 VT-3 49-059 F-A F1.30C SERVICE WATER ,

HBD-21-H73 VT-3 49-059W D-B D2.40 SERVICE WATER (INTEGRAL ATTACHMENT)

SERVICE WATER HBD-14-H19 VT-3 49-065 F-A F1.30B HBD-14-H19 VT-3 49-065W D-B D2.20 SERVICE WATER (INTEGRAL ATTACHMENT)

EMERGENCY FEEDWATER 3-EFW-113-H3 (SNUBBER) VT-3 49-074 F-A F1.30F EMERGENCY FEEDWATER HBD-4/3-EFW-113-H4 VT-3 49-075 F-A F1.30A 3-EFW-113-H7 (SNUBBER) VT-3 49-077 P-A F1.30F EMERGENCY FEEDWATER F1.30E EMERGENCY FEEDWATER HBD-4/3-EFW-114-H7 VT-3 49-0B6 F-A HBD-4/3-EFW-114-H7 VT-3 49-086W D-B D2.20 EMERGENCY FEEDWATER (INTEGRAL ATTACHMENT)

EMERGENCY FEEDWATER HBD-4/3-EFW-114-H8 VT-3 49-087 F-A F1.30E D2.20 EMERGENCY FEEDWATER HBD-4/3-EFW-114-H8 VT-3 49-087W D-B (INTEGRAL ATTACHMENT)

F-A F1.30B EMERGENCY FEEDWATER HBD-23/3-EFW-114-H13 VT-3 49-092 D-B D2.20 EMERGENCY FEEDWATER HBD-23/3-EFW-114-H13 VT-3 49-092W

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

Page 13 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R11 COMPLETED ISI EIANINATIONS COMPONENT DESCRIPTION EIANINATION AREA DESCRIPTION NDE NETHODfS)

ISI EIAN NO. CATEGORY ITEN NO.

(INTEGRAL ATTACHMENT) i HBB-3-H2 VT-3 49-093 F-A F1.208 SERVICE WATER HBB-3-H3 VT-3 49-094 F-A F1.20A SERVICE WATER HBD-20-H42 VT-3 50-009 F-A F1.308 SERVICE WATER HBD-21-H93 VT-3 50-020 F-A F1.30A SERVICE WATER SERVICE WATER HBD-20-H51 VT-3 51-023 F-A F1.30A SERVICE WATER HBD-20-H51 VT-3 51-023W D-B D2.20 (INTEGRAL ATTACHHENT)

HBD-20-H8 VT-3 51-033 F-A F1.30A SERVICE WATER SERVICE WATER HBD-20-H8 VT-3 51-033W D-B D2.20 (INTEGRAL ATTACHMENT)

F1.30A SERVICE WATER HBD-45-H17 VT-3 51-04B F-A D2.20 SERVICE WATER HBD-45-H17 VT-3 51-048W D-B (INTEGRAL ATTACHMENT)

F1.30A SERVICE WATER HBD-20-H30 VT-3 51-049 F-A D2.30 SERVICE WATER HBD-20-H30 VT-3 51-049W D-B (INTEGRAL ATTACHMENT)

F1.30A SERVICE WATER HBD-14-H49 VT-3 51-057 F-A l VT-3 51-057W D-B D2.20 SERVICE WATER HBD-14-H49 (INTEGRAL ATTACHMENT) l i

I i

r

- - _ . _ - _ - _ - - - - - - -- ~ - - we a , --- -

Page 14 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R11 COMPLETED ISI EIAMINATIONS COMPONENT DESCRIPTION EIAMINATION AREA DESCRIPTIC;M NDE FETHODf5)

ISI EIAM NO. CATEGORY ITEM NO.

SERVICE WATER HCD-112-H5 VT-3 51-066 F-A F1.30A SERVICE WATER HCD-112-H5 VT-3 51-066W D-B D2.20 (INTEGRAL ATTACHMENT)

SERVICE WATER HBD-21-H43 VT-3 53-010 P-A F1.30A SERVICE WATER HBD-13-17 VT-3  ;54-030 F-A F1.30A SERVICE WATER HBD-13-H17 (INTEGRAL VT-3 54-030W D-B D2.20 ATTACHMENT) t SERVICE WATER HBD-21-H27 VT-3 54-035 F-A F1.30C SERVICE WATER HBD-21-H27 (INTEGRAL VT-3 54-035W D-B D2.20 ATTACHMENT)

F1.30A SERVICE WATER HBD-21-H10 VT-3 54-039 F-A h D-B D2.20 SERVICE WATER HBD-21-H10 (INTEGRAL VT-3 54-039W ATTACHMENT)

F1.30C SERVICE WATER HBD-21-H6 VT-3 54-042 F-A D2.20 SERVICE WATER HBD-21-H6 (INTEGRAL VT-3 54-042W D-B ATTACHMENT)

F-A F1.30A SERVICE WATER HBD-21-H1 VT-3 54-043 D-B D2.20 SERVICE WATER HBD-21-H1 (INTEGRAL VT-3 54-043W ATTACHMENT)

C-F C5.11 BUILDING SPRAY A PIPE TO FLANGE (FE-2410) PT 55-009 CIRC WELD

Page 15 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 i 1R11 COMPLETED ISI EIANINATIONS EIAMINATION AREA DESCRIPTION NDE NETHODfS)

ISI EIAM NO, CATEGORY ITEM NO. COMPONENT DESCRIPTION VALVE (CV-2400) TO ELL CIRC PT 56-027 C-F C5.11 BUILDING SPRAY D WELD HCC-23-H25 VT-3 57-027 F-A F1.30E EMERGENCY FEEDWATER HCC-23-H25 VT-3 57-027W D-B D2.20 EMERGENCY FEEDWATER (INTEGRAL ATTACHMENT)

HCB-8/BS-76A VT-3 63-001 F-A F1.20A BUILDING SPRAY B (INSIDE RB)

HCD-8/BS-128 VT-3 G3-029 F-A F1.20C BUILDING SPRAY B (INSIDE RB)

HCD-8/BS-76 VT-3 63-034 F-A F1.20B BUILDING SPRAY B (INSIDE RB)

HCD-8/BS-126 VT-3 63-035 F-A F1.20C BUILDING SPRAY A (INSIDE RB)

AUGMENTED INSPECTION MAIN STEAM PIPE TO ELL ID UT A-10011 N/A N/A 46 AUGMENTED INSPECTION MAIN STEAM ELL TO PIPE ID UT A-10012 N/A N/A

  1. 7 l AUGMENTED INSPECTION MAIN STEAM PIPE TO ELL ID UT A-10013 N/A N/A
  1. 55 l

AUGMENTED INSPECTION MAIN STEAM PIPE TO ELL ID UT l A-10014 N/A N/A

  1. 56 l

i AUGMENTED INSPECTION THERMOWELL NOZZLE IFT l A-10137 N/A N/A (PRESSURIZER) l l

I t

I i

. - - - - - - _ _ _ _ _ _ _ . = . - - - _ - - _ _ _ _ _ _ _ _ _ - . - _ _

Page 16 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 1R11 COMPLETED ISI EIAMINATIONS EIAMINATION AREA DESCRIPTION NDE METHODfB)

ISI EIAM NO. CATEGORY ITEM NO. COMPONENT DESCRIPTION SAMPLING NOZZLE IFT A-10138 N/A N/A AUGHENTED INSPECTION (PRESSURIZER)

LOWER LEVEL TAP @ 157' FROM IFT A-10139 N/A N/A AUGMENTED INSPECTION X (PRESSURIZER)

LOWER LEVEL TAP @ 217' FROM IFT A-10140 N/A N/A AUGMENTED INSPECTION X (PRESSURIZER)

LOWER LEVEL TAP @ 277* FROM IFT A-10141 N/A N/A AUGMENTED INSPECTION X (PRESSURIZER)

UPPER LEVEL TAP 0 157' FROM IFT A-10142 N/A N/A AUGMENTED INSPECTION X (PRESSURIZER)

AUGMENTED INSPECTION UPPER LEVEL TAP @ 217' FROM IFT A-10143 N/A N/A X (PRESSURIZER)

AUGMENTED INSPECTION UPPER LEVEL TAP @ 277* FROM IFT A-10144 N/A N/A X (PRESSURIZER)

AUGMENTED INSPECTION SPRAY LINE SAFE-END IFT A-10145 N/A N/A (PRESSURIZER)

AUGMENTED INSPECTION VENT NOZZLE (PRESSURIZER) IFT l

A-10146 N/A N/A AUGMENTED INSPECTION PIPING WELD UT

A-10164 N/A N/A AUGMENTED INSPECTION PIPING WELD UT A-10165 N/A N/A AUCMENTED INSPECTION PIPING WELD UT l A-10168 N/A N/A AUGMENTED INSPECTION UPPER LEVEL TAP REPAIR WELD UT A-10173 N/A N/A (PRESSURIZER) i l

i I

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ENTERGY CPERATIONS ARKANSAS NUCIEAR ONE - UNIT 1 1R11 COMPLETED ISI EIAMINATIONS l

EIAMINATION AREA DESCRIPTION NDE NETHODfSi CATEGORY ITEM NO, COMPONENT DESCRIPTION l IMI EIAM NO.

UT AUGMENTED INSPECTION PIPE TO PIPE l A-10303A N/A N/A UT AUGMENTED INSPECTION PIPE TO VALVE A-10304 N/A N/A UT , PT AUGMENTED INSPECTION PIPE TO PIPE A-10432 N/A N/A UT , PT AUGMENTED INSPECTION ELBOW TO PIPE A-10433 N/A N/A UT ,PT AUGMENTED INSPECTION PIPE TO ELBOW A-10434 N/A N/A UT , PT AUGMENTED INSPECTION ELBOW TO PIPE A-10435 N/A N/A UT AUCMENTED INSPECTION PIPE TO ELBOW A-10436 N/A N/A UT AUGMENTED INSPECTION ELBOW TO PIPE A-10437 N/A N/A UT AUGMENTED INSPECTION PIPE TO ELBOW i A-10438 N/A N/A UT AUGMENTED INSPECTION ELBOW TO PIPE A-10439 N/A N/A UT AUGMENTED INSPECTION PIPE TO PIPE A-10440 N/A N/A PIPE TO PIPE UT N/A N/A AUGMENTED INSPECTION A-10443 PIPE TO PIPE UT N/A AUGMENTED INSPECTION A-10444 N/A PIPE TO ELBOW UT N/A AUGMENTED INSPECTION A-10445 N/A PIPE TO ELBOW UT N/A AUGMENTED INSPECTION A-10447 N/A ELBOW TO PIPE UT N/A N/A AUGMENTED INSPECTION A-10448 PIPE TO PIPE UT N/A AUGMENTED INSPECTION A-10449 N/A

4 Page 18 ENTERGY OPERATIONS ARKANSAS NUCLEAR ONE - UNIT 1 IR11 COMPLETED ISI EIAMINATIONS ISI EIAM NO, CATEGORY ITEM NO. CONFONENT DESCRIPTION EIAMINATION AREA DESCRIPTION NDE METHCDf81 A-10450 N/A N/A AUGMENTED INSPECTION PIPE TO ELBOW UT A-10451 N/A N/A AUGMENTED INSPECTION ELBOW TO PIPE UT A-10452 N/A N/A AUGMENTED INSPECTION ELBOW TO PIPE UT A-10453 N/A N/A AUGMENTED INSPECTION PIPE TO TEE UT A-10454 N/A N/A AUGMENTED INSPECTION TEE TO PIPE UT A-10455 N/A N/A AUCMENTED INSPECTION PIPE TO VALVE (DH-10) UT A-10456 N/A N/A AUGMENTED INSPECTION TEE TO PIPE UT A-10456A N/A N/A AUGMENTED INSPECTION PIPE TO PIPE UT

, to +

ICAN019405 Page1 of4 t

ATTACIIMENT 2 FORMS NIS l OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS -

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t to 1CAN019405 Page 2 of 4 '

AHSTRACT Repair and Replacements were conducted during the eleventh operating cycle concluding with the eleventh refueling outage (IR11) in accordance with the ASME Code,- Section XI,1986 Edition with no Addenda.

Arkwright Mutual Insurance Company (Factory Mutual Systems) served as the Authorized Inspection Agency as defined in ASME Section XI, IWA-2120, reviewing applicable procedures, witnessing examinations and checking for general Code compliance as specified in l IWA-2110 of the applicable edition and addenda of the Code.

Refueling Outage IRl1 is the first outage of the third period of the second 10-year interval.

This report covers repair / replacements performed between May.9,1992 and October 19, 1993.

9

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' Attachment 2 to

- ICAN019405.

Page 3 of 4 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS ,

J.0. NUMBER DESCRIPTION COMPONENT LD. ACTIVITY 00843413 3/4" Globe Valve MS-2601 Replaced 00853313 1" Globe Valve MU-1221 A Replaced MU-1221B Replaced 00868289 1 1/2" Check Valve DH-12 & DH-16 Repaired 00868649 1" Globe Valve SV-1844 Replaced 00869781 21/2" Check Valve MU-66A Part Replacement 00869970 1" Globe Valve SV-1083 & SV-1084 Replaced 00885459 2" Globe Valve MU'-21 A Part Replacement 00889298 Support EBB-3-MS-163 Repaired 00890265 1" Globe Valves MU-138C & MU-138D Replaced 00891786 1" Gate Valve MS-29A Replaced 00894676 3" Gate Valve CV-2667 Part Replacement 00895524 3/4" Globe Valve CF-2425 Replaced 00895589 1" Globe Valve SV-1844 Repaired  :

00895593 Supports EFW-101 Repaired EFW-103 Repaired 00895593 Supports EFW-3 Repaired MFW-206-H003 Repaired 00895599 Support CCA-3-MU-131 Repaired 00895606 21/2" Piping CCA-4-2 1/2" Replaced 1 1/2" Piping CCA/CCB-9-1 1/2" Replaced 1 1/2" Check Valve DH-12 & DH-16 Replaced  ;

00895606 Supports MU-259-H010 Repaired MU-259-H011 Repaired MU-259-H009 Repaired  ;

00895606 1 1/2" Globe Valve CV-1416 Installed New 00895975 Snubbers US-100 Repaired LW-240-H10 Repaired HCB-3-H59 Repaired 00896519 Support MU-208-H001 Repaired ,

00896519 Support MU-222-H002 Repaired 00896807 21/2" Gate Valve CV-1234 Replaced 4 00896808 Support MU-237-H003 Repaired i Support MU-237-H005 Repaired l 00896808 2" Gate Valve CV-1206 Replaced l 00897749 "A" Steam Generator E-24A Parts Replacement i

. 00897982 Support GCB-1-DH-302 Repaired j 00898395 Snubber BS-79A Replaced Snubber 3EFW-113-H3 New Snubber 3EFW-113-H7 New l

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i Attachment 2 to l 1CAN019405 Page 4 of 4 LO. NUM'BER DESCRIPTION COMPONENT I.D. ACTIVITY Snubber MU-210A Replaced Snubber GCB-1-DH-302 Replaced Snubber 3EFW-2-H2 Replaced 00898406 ' Snubber RCP-1A Replaced Snubber RCP-2A Replaced ,

Snubber RCP-1B Replaced Snubber RCP-2B Replaced

. Snubber RCP-lC Replaced Snubber RCP-2C Replaced Snubber RCP-lD Replaced Snubber RCP-2D Replaced 00898788 Support EFW-103 Repaired 00899316 Reactor Vessel R-1 Parts Replacement ;

00899400 "B" Steam Generator E-24B Parts Replacement 00899401 "A" Steam Generator E-24A Parts Replacement 00901013 "A" Steam Generator E-24A Parts Replacement

)

00901014 "B" Steam Generator E-24B Parts Replacement 00901089 24" Piping EBB-2-24" Repaired '

00901357 8" Pipe & Flanges HCB-3-8" Repaired 00901966 1" Gate Valve DH-1024 Replaced l

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a

t FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1 Owner AP&L/Enterev Onerations. Inc. Date 7-/7- 78 Nome 7

Rt. 3. Box 137G.'Russellville', AR 72801 ' Sheet / of ' /

Address Unit One

2. Plant Arkansas NuclearName One' Rt. 3. Box 137G. Russellville, AR 72801 1 0,# @ 8 Y J W 8 Address Repair Orgentastion P.O. No., Job No., etc.
3. Work Performed by AP&I,/Enterny Operations , Inc. Type Code Symbol $ temp NA N'"

Authorization No. NA NA I

Rt. 3 Box 137G. Russellville. AR 72801 Expiration Cate Address

4. Identification of System 6 D [O8-I S, (e) Applicable Construction Code-
  • 19 N Edition, 8-N 7 M Addende,. /VM Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Reptocements 19 M6
6. Identification of Components Repelred or Replaced and Replacement Components ASME Code Repaired, Stemped National Other Year Replaced, (Yes Name of Name of Manufacturer Board Identification Built or Replacement or No)

Component Manufacturer Serial No. No.

I

&bw, NR NA M S-24 G/ NN SSdtmb Abl. '

  1. $  ?$dW aeon un us-n ot my

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la V a.

7. Description of Work "

_2L , M >M /_ ud .pf_ 1 -jfwk, y

8. Tests Conducted: Hydrostatic Pneumatic Nominal Opereting Pressure O Other O Pressore A/4 a >> Test Tema. "A 'r NOTE: Supplemental sheets in form of lists, sketches, or drawing rney be used, provided (1) stre is 8% in. x 11 in., (2) informe-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.

112/82) This Form (E00030) may be obtemed from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 l

FOf1M NIS 2 (Back)

9. Remarks k Y~ f G _a Ap able Manuf act Lf${H&kW er's oats iteports o be attached

. U ?N N b L$

M JA.

CERTIFICATE OF COMPLlANCE We certify that the statements made in the report are correct and thd bM conforms to the rules of the

P'**"'

ASME Code,Section XI.

Type Code Sy>nbol Stamp NA NA c ,p;,,, ion o,1, NA Certificate of Authoritation No.

Signed

_____ Date [N ~

19 Owner stJJoiner's Dessones. Title J.R. t iou e t - Mananer Maintenance CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a vatid commission issued by the National Board of Boiler and Pressure Vesset inspectors and the State and employed try

  • Of or Province of A r k n n c n c:

Snrunod, MA. have inspected the components described in this Owner's Heport during the period 05/09/97 to M MN~ N . 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 Heport 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 not his employer shall t>e liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection.

h. Id4 Commissions NB-99472 Ark.-l133. "N","1"."A" Inspector's Sionsture National Board, State, Province, and Endorsements J. O. Elliott Date /OM 8 1993 1
  • Factory Mutual Engineering Association P

~

() 'f ,

' as-aset YN'$005 l'Olut Nt'V.I %I AN(llA(.Tlittl'.ltS' ilATA lll'.I'OllT l'(lit NUCl.1' Alt l'INI'S OR VALVES

  • Aa licipiireit 1,y the l' rust-inns nf the A411'. Code Itale m______. _ _

A42406

1. Man.factureJ bN,weston Ilydraillics, 7_50,0...Tyrone Ave. , Van Nuys,o- CA tfreier h.

(N.m. h Ast&... .I M . nut.fiu,,,) i P.O. Box 3905, San Francisco o, der so. 66_0_0-M-2114-D ~

2. Manula.euved lo,11echtel Powe r Corp. ,( N.m. .nd A del,. . o CA

@ A rk ans mis Power and Light Company l

1. 0=nce
4. Locanjun of Plane _M.tb c ho,d3,_A,r_ha nS 0 5 4 3/4 Inch Globe Valve Ta g No. 3/4" CCA-CD
5. P .p oe valve Jennific.vinn _ Pare Number 70100 O

Serial Numbers 2000-2023 (24_.i Valves)

Q . ca.i.e e. .<,ipo ....i< . s o. .ni. h . ..ic ..i .. . .. .ia. 43 1 i

C' 70100 Weston !!ydrnulics

' O (a) De nn .ing No.

_ Prepare.d 1,y_ .

I O .

(b) Naiinnel fiuarJ No. . .

C") 3600 p,; 100 oy, ,

6. Desisa CoaJi'inna _ r,. . . ,. 3 7, p. e.i .,. >

o I

7. Ti.e . it siel, J.-nign, unusuccina, and moekaunnleip sosas.lks =sila AMIL Lode Secdoa 131. Class 1971 . _ , Addenda l)ase Summer 1972 -,CancNo.

1.dition _

z. . ., a . y  ;

u .i .,s.i hp.e . N ..

u.a r.ce w ,

u..n N..

(a) Cauias.

I l

i

~ _ _ _

j h,,< l I

I ..._____ _ . _ _ _ _ _ _ _ . . . _

I -- S$* '

_ . . ~ I

,, = .- ~ --. .

i M

(t.) li.rrin n I!PdY . .. Code . ) A 52,,,) A58, Forging - 70307

_S A l f 2.- F3) G Pa ci fic,,,,F_o rg e Wonton IlydraulieW

. f'

_Jfaf hitjed , ,7J1308 .__

Weston Ifydraulicsf

' _DodL_A_ssyt - 70315  !

ya SA182-F336

._. Bonnet - Code 1A46 Jorgensen Co.

Forged Stock M Weston flydrau11cd m):.

Machined - 70324 i O l m., 6. ...e p,..is.4 (i) . is. s. s w" s 11", (21 a.a sr is en in se..n., s. 2, sn and

.s.r,i. .m.: .h ... in r .i :.i. , .6 ie w.. ., e,......

.,.a (as ... h .n. . i. . 6. .e .,,4 n s., or h..i. a. ... .,e.4 .i ., .t s ki. v .

n .. ski. 4.i. .p.rt i. ser s a.4 .n ,.c n .h.,,,

8r N 5

    • ? f
)
y. .* e ee .

a a

i..

. . e ,v-

5 4

F0101 NI'V.1 (lescL) ,

a ..., s .

u. ..i.i s,.. . w.. u.a.<. in, ,

u .,i, ,, ..

L/

(c nnh ina g ,'g' .

-~ --

g (d) Oil.er Parts Disk - Code IA46 SA182-F316 _

g Jorgonsen Ct.. j>

g orged Stock Weston !!ydra 311cs y

._J!a_chJngd - 70346

. i ,,.,

S A. 1. _8 2 - F. ~ 316_,

gij ,

D_i s k__ .. Co d._e_.I.A 6..1

.- Jesso_p Steel  !

Torged, Stock 4 ,

_ Machined __- 70MG_

. wsstpn JIyfr_m.u_1_ics

[l M

p.

o m p" i

~

5400-5450 pai.

. l i 8. Ilyetrosiatic sent J.

' D O CEllTil'l('ATION OF fl!5f GN 1i

.I 'O

' f

! Ya,,n_Hu..yEC.,A._.21.4.03 D'*I A" i"'*'**'I"" "" 'i .i .Xca.t on.JIydr,,a pJi es., 15.:00._7yi,v;Itc.3v..s O Stress analysis repors on file . _ ( g) p,,r, g; g. 5,.., JeJa.s_,,,. n,,, y,,2 516 5 tiesign specificatinns creiificJ by._D 3 ,11 2 Iconard Jr. g,,, g.,1,3 7p o,,, J O _ g ) p,,,r, g:,,, s,,,, CA sires. anslysis errors creiiried by__R. _1.__C,1,,t,crlcy .

O c ly s;,naiu.c nni ,<.c.i,,a. i.i i nom, onry.

4 e

O Te cresify that d.t sinicornis made in shin srport are correcs.

C .4,  % f I] Weston fly'draulics nI'

,, ~~~

Dase_

January 24 39~~ 74~~ Signi. d tw.not .ive.,3

~

. .] , , p;,, , Decccher 18, 197,5 .

_.533 f Certificsie of Authoeiration Nn. I M

.1 CIIllTilllCATl5 Ul# NIOl' IMI'I5CTION (i

l ln spec ioe s b

'M 1, the uudessiraed, hoIJing a salid cornmission ,,,d t-enpli>yi.Jisived by_.Dp_pt by. the National fin. sed of Iloiter and P Coli fo rnia -;

,,pe,,ca in, ,q,,;p n,, a,,,,;hed in ibis nat a and/ne the bec of Psavince of _ h,,, >

A

i or City of IorL ngelesyy _74_ _ , ,,,,, ,,,, g,,, ,,, ,n,. 3,,, og ,y too,;,a g, ,,a p g ;, g, ,g,, gg,,,r ,,,,,,

Repuri on . Janua ry,24 .

l

,- has construcied this rgvi . ment in ai condance ith it.c l applicabic Subsrctions ofb AMit' in anyCode. ';rceiun lit signie.g it.is . e-rei i. .uc. nrisher ihr in spri a..r nur his emplu3 rr ma .cs any s a fly lp;< ing abc equipme:a desa sited in shim Data Kipers.1:uethermore, from or connected sich ihin inspri;sion. neist rr elic insperior no maimer foe any per son.l insury or geoptriy if amage or .s Ins

  • of any kind arising Qj M. g'

..y I m

>g Dalc _ b_ - 19 r.g .

' dh Q I/_d f:S Commis sion s w.i..., .....ijf$,...,-. .no ,r..,

p a

~ ~ -

m...-". ~...-- - -.

i  ;

p.i.e. _ , ... m ,

j i

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

1. Owner AP&L/Enterey Ooerations. Inc- Date 7"/8' 98 Name Rt. 3, Box 137G. Russellville, AR 72801 Sheet / of /

Address

2. Plant Arkansas Nuclear One unit One Name Rt. 3. Box 137G. Russellville. AR 72801 10 COPif5/8 Address Repelt Organisation P.O. No., Job No., etc.
3. Work Performed by AP&L/Enterny Operations, Inc. Type Code Symbol $ temp NA Authorization No. NA Rt. 3, Box 137G. Russellville, AR 72801 Empiration Date NA Address
4. Identification of System -

du2> M/ (. 4Nf6 (* d 8-g )

-f / / S - /974

5. (e) Applicable Construction Code Y 19 c93 Edition, b/98Y Addends. 84 Code Case (b) Applicable Edition of Section XI Utifired for Repairs or Reptocements 19 86
6. Identification of Components Repaired or Repieced and Repiscement Components ASME Code Nationel Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Menufacturer Seriel No. No. Identification Built or Replacement or No)

/"N}k $$

Ma a /:sfl /VM M ti-/.2 / A /97TArxl& vhs i

n

. x gm '

u A,l5 i

mf$b NO Nl} A40-/J2) A /973 '

xl $4D W

W W N *EW NA AA U~ i221E AIR .03xlsud &

$ Mt '

s 2//190 xx m it- />:1 B /915

/

famuf 4/a, L/

7. Description of Work -b >>1/

/

/- I,

8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure Other O Pressure NN psi Test Temp. N4 'F NOTE: Supplementet sheets in form of lists, sketches, or drawings rney be used, provided (1) size is 8% in. x 11 in., (2) informe-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 et the top of this form. i (12/82) This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N Y.10017 REPRINT 12/91 l

FORM NIS 2 (Back)

9. Remarks NOI~ 1) G Ild _.Mf UWM Appliceb[Manuf acturer(Dete Reports to be etteched i

CERTIFICATE OF COMPLIANCE We certify that the natemerits made in the report are correct and thit 3 conforms to the rules of the

'*d"*P'***"'*"'

ASME Code,Section XI. .

Type Code Symbol Stamp NA NA Expiration oste NA Certificate of Authorization No.

Signed i

  1. # Date O2 '

'19 i Owner orWner's Desiones. Title J.R. !)ou e t - Manacer Maintenance CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vesset inspectors and the State end employed by

  • of  ;

or Province of Arlenn cn c

_have inspected the compnnents described j Nn runnel . MA .

in this Owner's Report during the period 05/04/47 to MMbN , and state that I 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 ,

examinatbns 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, k O. bM inspector's Signature

  • Commissions _EB-994 National Board, 7. Ark.-l State "N"."1"."A" 133.and Endorsements Province, J. O. Elliott ,

oate /ohr is D I

  • Factory Mutual Engineering Association ,

y .. - - -

+-

, . . . '- -, s ,, ,

"?

.- ,.......f . .

._ ._, : . e, au.gy e.*

e - - ,* ,,.;'. .. . .. . , . . ... . g._, ,

~.'., s. ne s. q _

9- g e

9 .-' *. e . _. , . . . ' , .?_. . . . .

4 I* O , " 'l n \

/M/-/AA/A ~ '

WN b'/ 0 k

Fulnl NI'Y.I \1 util'ACTillllClW IMTA lil:l'OllT Flitt NLWf.l:sfl l'INf's oft VALVEse

,.,n A. Iteqeircil I.y ilic l'emi lon. af the A. Mil: C...f. f t.fr.

/v) __ ; . . . ..w . .m .r=m s ._ . = m--==~. -r.s u n - rx ._ .u.z.== ===. .m _n .=. -

, . . -.; .a.

o a ,, u M2496 -

s. m .f.ce.,e4 bJeston.Hydrau11ce a ,.75,00.

(n . s. m . . . .e u .w w i . ,3 , Tyre.ne. Ayo Janluys, _Cs .

L P. . O. . Box. 3 9 8 52 Ban Franoinco o,4,, No. 6600-M-2114 . D_ . .

D.ec h t.a.l. Powe r.Co. rp .

Californis r, --

2. Et,,,,,,,,,, . - - - - (M . d A *e.o

@ A rka n s a s Powe r and Li gh_t. .- a.ny. __ _.

5, o..,,

l

4. I ,< il.a of Pt... . LU11e Rock. Ark _an.,aas '

4 p .e vatee wenillic si Part.JQaher 70R0 1 Inch Gl_obe Valve Ta r No. 1" CCA-CB p S. I'.

q serial Numbers 539 - 563 '

u,i,u (25.eValtes) ,w,.s., ,,,, . . . .

n.i.e V

Yeston flydraulics g.3 p..= la s No._

70110 __ p,,,,, a g O .- .

i-

. v '* * . -r n) N.iim.: fleard N _ * '

3600 100 ps1 ' F. ,

6, De ige ConJielo.s cr,. . ..r., cv ,. ,

O .

7. The sus, rial, desisa, es*st,vetica, saJ workmanship complies with ASME Code Scriles !!!. Claea C)

. Adde h D.ie h mper_'12 , c. ., n .

I'd o im . 19.7L_ _

-- are. t .

u.e ni.: S,.e . M.. wwi.e.ciw.e w.<t z..

(a Cassiep. ....

_ ~ ~ ~~~

. _ . . . . . . . . . . . ~~~

-_ - - . . . . = -_

i b h., r i,.p . . ...._ _ , . _ . . . _ _ _ _ . . , _ _

Dody. . . Cod e 3 /.3 , 1A'l0.. . .. S.A182. _F.116

! Pac ific.f.orge

.. Fo rzins: . 70307. . . . _ . ._ .. . . . _ . . . .

Weston Rydr1iul.igs _ _ . . _ .

_Mechined _.70397 i rost<tn_Nydraulter f _.Eody .A s s ' y. ._ _7 0J 07.... _.. _ . ._._,_

Donne t _ Cod e.1M 6 6A18.2-F318 . . _ -

I .Jorgen oort .0%.

.Torged . Stock ...... ... .

(" )

Noston !!ydraulics . . _

.M.achined 70324. . . . . .. . _ . _ _ . .

. so s . .t n... . . . ..s. . ., e,.. i... .., 6. ,4 ,,..w.e e n . r., s. a e a u , m s.r ,...iii.,s .tse.... s. 2. 8. .ad e s.,,u , <.. 6..

. .,a .s, i. . a m . .,6 .h.. s. . + a een .t .h. ... i. . .,*.4 tai. s.,

n no. e. . ,,rne e. o 5 4 e

ee F.Wg w=.,%WW .V.'yj &T

' yy 9=mv"

~~w ~- w wr 0

-.=a... .

. "s ,

HilBI NI%I 0.acL)

' = = = ,

1 m...r. ..e l u. . .. .i ... . . m .. _

.., si., _ _ _ _ . _ _ _ _ _ __ . - _ . . . . . - - - .

-^

-~~~~

--.J.:- -

= __

_f..__ SA382-FJJ_6 o (J) 6 hre Pania .

g Disk - Cod,o 1A39~ Jorgonnen -r Co.

~k F_oY.E_e.1 Stoc

.Venton.Jfydnu11ce.

N* ___

Machin- gd. - 7034 8 -

4 . . _

t - _

.'*) -.

- ,. I .

5100 - E AR_

.ej 3. Hydroustic e,,t .

. .- . .. . Cl2tTIMCA'lloN OF DERGN o Ave,.. Van 7turs. CR. 91409 ]

Jr,, ganypyn, yyo, O ., g; , ,, yeston ifydrauJfes o,,;,, ;.r 7

.,g hong,rd,_Jr, . 7500 Tyrones.,,.. .. 3 ,;, ,,p ,,

_ ggy p,g,g,s.5eateWLarg*J'l90 O peer e n .pecific.it . centric:1.y._B_2 II. ..R. L. Citerier ses,.. .n ly.i. ner.et eenir;ed iy o (l) 53sasiver not erip. ired. Lies name only, I .

g ,

Te crocify shes the sistesecase made is die erpers are coevers. bd Y -

g fly _

39 7.3.,,_.,

signed Weston iis.flyd..u

, .ra.,lics Daer. Oc tnMI,,,_2.6

_ espire .pecesaber_18,12'Z5

(,reificate of Aethnelamaine No... 533 c.

+1 CEltTlHCATE Ol' 910P INSPECTION

~

l

.i .

Notinaallinard of Dollet an.f Picassee Yesect lemrutan

- .1 3: I, st c .adrielgned, b.JJias a vatiJ c. mission i.eved by she__ ,,g ,,ps,y,a y g ,,Tjopt. .. o d la ais I,sta

. __ have Inspersed she egelpmens danctibe

. 4/.- h. %ee .fAMel_C Pe vince af.Californ(a 8 . .

been at my nn.r. ledge and b lief,ihe 1:aeviarterer

~ of._.CI.ty O{. @ S 3 cuncern.

R epose an . 2 0 .0c t obe r , ,,_ , ,39.7,3 bs. s ee,=ree.f sfiis ripat-ishes ip.4.nsthei.iinsgsrrs acs,wdserc li , , ,, ,,a ,,,,,ut,gA5ME bl,.colime mich the art cat 4e

., ,, .CeJe, ,, Sersion fiab  !!!.arramry, espie ssed at

. w nur his ne emp,lat er makes say m a Ih dp in,c slein cess Is aer, bis lists lie tsues. Furshcrmore[ any#thes she inspect las she recei; air:: J< s< rite .1 in ir pnperiy damin or a los. u

, msmace los a.i) 3.risoest sa puty o s.

20 October

7 3 -

.r

. ..:) ,, ..

POOR ORIC-lNAL , . ,

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, (A

. . f*otrIeple liofi t'- ....,_...,.%y...-,

iW M** M. M. N I 1

i T8'le is.m (UT) is eWaf a.t le fem W AM. W E. W h.e P.nas.,4 in IM.A. (6/?f) 9 0

,--;- - ? v w ,g .. s ,pe;,

_ - _ sang .

--_t 'y y . ,v

~ 'n . :.r% e.rg__y m_s $ " ' ' '3 - = vn~ :W .w '- s n-n,-px ;y.q _

I

Nll-lbt)8

% &VA FO

' ~

FORM NPV 1 N CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES

  • As Required by the Provisions of the ASME Code. Section 111, Div.1
1. Manuf actured by IbMS tNam d.L5 IC /9JO 3% %M ' #

MC F_9M ,

2. Manufactused for b e.OFMJd'e*w and Address A^- oW EdCertificate

'I ' Holder)hd'U6"qr//g' e. IA8.

IN

3. Location of installation vekenh aes._b[Aco ess- of # icnsser Oete. , cidwner bTTN[t/de,M (Nape ena Acoress:
4. Pump or Valve \/d /ste- Nominal inlet Site I Outiet Size  !

bnch') Oncn)

(a) Model No.. (b) N Certificate Holder's (c) Canadian Series No. Serial Registration (d) Drawing (f) Nat'l. (g) Year

  • or Type No. No. No. (el Class Bd.No. Built

(;) BJW4(rmOT2- l Bl Afo l Alb D4 2 *2 YS73 *CVA

~

L IIlA lQ93 (2) B2Aro (2, IDA r-c p) & AFo (5) v 65AFC 'f -

/ v '/ o (6) S_3422.4[Midl2- bdV4f"O N/A .D_91 - 15157X-O l/A 2. N/A ,fSM (7)

(8)

(9)

(10)

5. SLCRe 5Ic(t._\lMut tBrief description of service for wh.cn eau.pment was designed)

"9.p . 6 3 C " Z N S 7.3

6. Design Conditions Mb psi bN (Temperaturel
  • F or Valve Pressure Class MO (1)

(Pressurep

7. Cold Working Pressure NME psi at 100*F.

8 Pressure Retaining Pieces

. Mark No. Matenal Spec. No. . Manufacturer Remarks (a) Castings AB A9s2 na 2I rodscoum %r- ntsK AP A 73 z. & re. 2 I (bAfesindRb CAs r- Dyig (b) Foromgs SLTts -SA I82 Cn F3Ija '7R N IT't Fcit.G r Epp4 SZ(eo93 5 A '4'14 T 3 I (o ,T T' T N E S 3 p d BodtlET STcA SaJEi_Ga F31L TT21.2 uT's fe w  % tty l __

(1) For manually operated valves only.

  • Supplemental sheets in form of hsts. sketches or drawings may be used provided (1) size is 8-17* x 11", (2) information in items 1,2 and 5 on this Data Repor1 is included on each sheet, and (3) each sheet is numbered and number of sheets is recorded at top of this form.

(10/77) This form (E000371 may be obtained f rom the Order Dept., A$ME. 345 E. 47th St., New York, N.Y.10017

FORM NPV.1 (Back) M. % NFO-R(o AFg)

Mark No. Material Spec. No. Manufacturer Remarks (c) Botting I

I i

i l

I I

(di Other Parts l l

I J .._.

I I

g. Hydrost. tac test M 0 0. psi . Disk Diffurential test pressure bM psi .

CERTIFICATE OF COMPUANCE -

We certify that the statements made in is report are correct and that this pump. or valve. conforms to the rules of construction of the ASME Code for Nuclear Power Plant Components. Section Ill Div. l.. Edition 19 U Addenda 6uAiWR 19 b Code Case No. N/A Date 'l/2I/ U Signed 8 (dVaide..

(N CerflhC.te Molderj sy , +. W Our ASME Certificate of Authoritation No. ._1/_/f d to use the N symbol expires MNN (N) tDete)

CERTIFICATION OF DESIGN Design information on file at 4ced b5 h b_ e_j [fL 2 7d03 Stress analysis report IClass 1 only) on file at - Nddel es,t J+ p/2algL,dd. ,

Design specifications certified by (1)

AE b =-fed *pk w 'N.[ bgM PE State seg. No. 4.ts_4 Stress analysis certified by (1)

PE State . Reg.No.

(1) Signature not required. List name only.

CERTIFICATE OF SHOP INSPECTION 1, the undersigned, holding a valid c mmi sion issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Provi e of - 6 had-of d -

and employed by N D8 N Ib +

-2 /1g 9 % have inspected the pump, or valve, described in this Data Report on

, and state t hat to the best of my knowledge and belief, the N Certificate Holder ha s con-structed this pump, or valve, in accordance with the ASME Code. Section lit.

By signing this cerbficate. neither the inspector nor his employer makes any warranty, expressed or implied, concerning the equipment described in this Data Report. Furthermore, neither the inspector nor his employer shall be liable in any mar.ner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

Dete _ .

Y'2 I 19 k 22 .

/ b -- --

Commissions /O wcwn m.o so . si.ie. e.o. .ea ~o >

l

\

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

1. Owner AP&LIEnterev -Onerations . Inc- Date /8 ~ d " N8 Name

~~

Rt. 3. Box 137G. Russellville. AR 72801 Sheet / of /

Address unit One

2. Plant Arkansas Nuclear Name One Rt. 3. Box 137G. Russellville. AR 72801 16. OO 848c28 7  ;

Ad dress Repelt Oreenitetton P.O. No., Job No., etc.

3. Work Performed by AP&L/Enterny Operations. Inc. Type Code SymboI Stamp NA i

"*** Authorization No. NA NA Rt. 3. Box 137G. Russellville. AR 72801 Empiration Dete Ad dress

4. Identification of System /AO b dA-7
5. (s) Applicable Construction Code t- N 19 k[ Edition. Addende- 4'N Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements .9 MS
6. Identifiestion of Components Repelred or Repieced and Replacement Components ASME Code Repaired, Stamped National Year Rer*.eced, (Yes Name of Name of Manufacturer Board Other Identification Built or Rept coment orNo) i Component Manufacturer Serial No. No.

Am 95/19 7- / NA D N-/.2 /993 D% du6 Ntd.

1%i YL 464n wie r-2 &n o n - / /s 1913 kn&s 6s

/ V

1. Descr\ption of Work MfMffb an Af4& N b- V UY5' NLifM /* ALL$AW Nb.
8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure O l Other O Pro **ure "# asi Teii Tema. "A *r NOTE: Supplementet sheets in form of lists, sketches, or drawings rney be used, provided (1) site is 8% in. x 11 in,, (2) Informs. l i

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

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

REPRINT 12/91 ]

l

FORM NIS-2 (Back)

9. Remarks N# '

Applicable Manufacturer's Oste Floperts to be attnehod

..~

CERTIFICATE OF COMPLlANCE conforms to the rules of the We certliy that the statements made in the report are correct and this) MMM

'*P ASME Code,Section XI.

9 NA Type Code Symbol Stemp Empiretion Date NA Certificate of Authorization No.__.NA

' 5 Dete /O, L ,19.

Signed

' 3.R Y$t$'e?""* AREaWMAintenance CER1tFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid a>mmission issued by the National Board of Boiler and Pressure --of Vessel inspectors and the S and employed by *'

or Province of A rk nn = a e _have inspected the components described Nn rten n el . MA.

in this Owner's Report during the period 05/04/07 to O " /b and state that to the best of my knowledge end belief, the Owner hos performed eneminations and teken corrective measures described in this Owner's Report in accordence with the requirements of the ASME Code,Section XI.

By signing this certificate nehher the inspector nor his employer makes any warrenty, expressed or implied, concerning the exeminations and corrective measures described in this Owner's Report. Furthermore, r.either the inspector nor his erreloyer 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 inspectlon.

"N" . "I" . " A" O. Ib Inspector's Signature Commissions Nedonel NB-99 Board, 4 7 . Ar k . Province, State, - 113 3 .and Endorsements

/J v J. O. Elliott Date /d O f gg D

  • Factory Mutual Engineering Association .

l i

~I i

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

1. Owner AP&L/Enterev Onerations . Inc. Oate /2 92 Name Rt. 3, Box 137G. Russellville, AR 72801 Sheet  ! of  !

Address Unit One

2. Ptent Arkansas Nuclear Name One Rt. 3, Box 137G. Russellville. AR 72801 18,'00868/99 Address Repelr Organization P.O. No., Job No., etc.
3. Work Performedby AP&L/Enterny Operations . Inc. Type Code Symbol Stamp NA

"*** Authorization No. NA Rt. 3, Box 137G. Russellville. AR 72801 Empiration Dete NA Address

4. Identification of System {d O b/

S. (a) Applicable Construction Code 19 77 Edition. 8-79 Addenda, N4 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 88

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

Component Manufacturer Serial No. No.

ct El /Y NA SV- lSY Y /ff0 . e b $1L

'"2 ase $$ n o sr- te w nu I

/%wt E l/

7. Description of Work > Ar-1R
8. Tests Conducted: Hydrostetic Pneumatic 0 Nominai Oaeratine Pressure O A/ A psi Test Temp. NA 'F Other O Pressure NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in.x 11 in., (2) infortna-tion in 6tems 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered end the number of sheets is recorded at the top of this form.

112/82) This Form (EOOO30) may be obtained f rom the Order Dept., ASME. 345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 w.., ..

FORM NIS.2 (Bach ,

9. Remarks _N ? Y" l $ A1R f4Hi& A s Appbcable Manufadurer's Data Reports to be attachec*

B CERTIFICAT E OF COMPLlANCE We certify that the statements made in the report are correct and this AM ff/ conforms to the rules of the ASME Code, Section XL Type Code Symbol Stamp NA NA Expiration Date NA Certificate of Authorization No.

Signed >*I D- Date 2# 19 Owner or Owner's Des 6ones. Tit 6e J.R. Unuet - Manneer Maintenance CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vesset inspectors and the State or Province of Aviennctn c and employed by

  • ol Nn runtirl . MA_ have inspected the components described -

in this Owner's Report during the period 05/09/47 to b , and state that to the best of my knowledge and belief, the Owner has perf ormed 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 irnplied, 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 personst injury or property damage or a loss of any kind arising from or connected with this inspection.

k , d . [. fd* Commissions NB-9947. Ark . -113 3. ' "N" "I" . "A"

~~

inspector's Signature National Board, State. Province, and E ndorsements

//

U J. O. Elliott Date /O M O 19 N

  • Factory Mutual Engineering Association i

t u

i r-FORM NPV.1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES

  • As Required by the Provisions of the ASME Code, Section 111. Div.1
1. Manufactured and eertified by Target Rock Corp.; 1966E Broadhollow Rd; E. Farmingdale, NY 11735 iname and address of N Certificate Holder)
2. Manufactured for Entergy Operations Inc.; Russellville, Arkansas 72801 (name and address of Purchaser or Owner)
3. tocation of installation Arkansas Nuclear One;-Russellville, Arkansas 72801 iname arbi address) 8 -001 Drawmg M 0( g,y, A ggg WA 4 Model No., Senes No., or Type 1977 S 1979 1 N/A
5. ASME Code Section 111:

E dition Addenda date Class Code Case no.

6. Pump or valve V8IV" %gWm 1 g 1 ona 4,n3 SA-182 F316L gonn,,SA-479 316 g;3g SA-564 GR 630,g SA-479 316
7. Materiai: Body Indicator Tube (a) (b) (c) ld) (e)

Cert. Nat'l Body Bonnet Desk Indicator Holder's Board Senal Serial Serial Tube Serial No. No. No. No. No. Serial No.  ;

85 N/A 5768 3771 1974 4 6 86 N/A 5769 3773 2026 4215

[SF - /t y y __ 2028 4128 87 N/A 5756 -

3776 88 N/A 5774 3762 ~ 2015 4201 N/A N/A N/A N/A N/A N/A i

i

\

i i

t P

.)

L

>--s ,,.< . .

i

-n ,n,s- ~j

  • SuDpiementat information in the form of lists. sketches, or drawings may be used previoed 111 sue is 8'4 x 11. Q[informaten m items 1 through 4 on th s Daa Repon is metoded on each sheet, (31 each sheet is numdered and the number of sheets is recoroed at the top of this form i

I e

i l&85) Tms fem IE00037: may be ottamed '<om the O<cet Dept . AWE. 345 E 47tn $1, New York. N Y 10017 .

I l

1

,.= - - , ,

FORM NPV-1 (back)

Mfr. Senai No.

N/A 8 Remarks 700 N/A g

9. Design conditions 2500 p,; .F or valve pressure class (pressure) (temperaturel
10. Cold working pressure . 4372 p,i ,,,oo.,

W5 psi Temp. Ambient

11. Hydrostatic test 6575 .F Disk differentini rest pressure CERTIFICATION OF DESIGN l

' Larry Young Arkansas Reg.No. 4557 Prof. Eng. state p g. no. 056047 Design Specification certified by NY Design Report certified by Steven Karidas Prof. Eng. state CERTIFICATE OF SHOP COMPLIANCE We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construction of tne ASME Code, Section Ill.

Em pires N Cemficate of Authorization No.

M Name Target Rock Corporation S gned ' '* I Date (N Certificate Holder) {, g3jgggygredTtWLor,Q.A.

t, l

CERTIFICATE OF SHOP INSPECTION I, the undersigned, holdirvg a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and New York and employed by Comme mia1 N on ins. Co.

the State or Province of of Boston,fMaSS. have inspected the pump, or valve, described in this Data Report on bd 1hb; and state that to the best of my knowledge and belief, the N Certificate Holder has constructed th pump, or valve, in accordance with the ASME Code. Section Ill.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concerning the equipment described in this Data Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection.

Date 1 s

/ / N.Y. STATE COMMISSION No. 2288

[ /[dW s "

(Inspector) mmissions (Nat*t Bd-. (incl. endorsements) State. Prov, and No.) l 1 ,

(1) For manually operated valves only.

l l.

l 1

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

1. Owner AP&L/Enterev Onerations . Inc. Date d -// - ff Name Rt. 3, Box 137G. Russellville. AR 72801 Sheet ~  ! of / ,,

Address One

2. Plant Arkansas Nuclear Name One unit Rt. 3. Box 137G, Russellville, AR 72801 18. 608$ 9 M/

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

r NA  ;

3. Work Performed by AP&L/Entercy Operations. Inc. Type Code Symbot Stamp N'"

Authorization No. NA Rt. 3, Box 137G, Russellville, AR 72801 Empiration Dete NA Address

4. Identification of System e /

/

0 #6 [8A -f)

5. (a) Applicable Construction Code rY 19 7I Edition, IM~ /Y 78~ Addende, /8M~ Y Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8[

i

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

i ASME Code Repaired, Stamped Nationat Board Other Year Replaced, (Yes Name of Name of Manufacturer Identsfication Built or Replacement or No)

Component Manufacturer Serial No. No.

i A % " Uu4, ducdev 4ut. 4%/

/fak. &atbar -f x sys-s-l h'D n (1-64 M /91 9 Ais/&

/ .h.

y I

7. Description of Work X d Mt /b.

i

8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Opercting Pressure O Other O Pre'*ur. "A ait Teit rema. "A 'F l

NOTE: Supplemental sheets in form of lists, sketches, or drawings eney be used, provided (1) sl2e is 8% in. x 11 in., (2) Informe-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, 112/82) This Form (E00030) may be obtained f rom the Order Dept.. ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 i

t

FORM NIS-2 (Back)

9. Remarks - O/ A#M M a, /- /- M

/ plic fedure 's Dets Reports to be attach A w u d /11a b- k hable Me 2A ,k /azis ebd \

- g MMA[,,

/ .

i i

l CERTIFICATE OF COMPT. LANCE We certify that the statements made in the report are correct and this conforms to the rules of the ASME Code, Sectior. Xl.

A " P'**"' )

l l

NA l Type Code Symbol Stamp 1 NA g,p;,,,;on o,3, NA Certificate of Authorization No.

/ N -

  • Date lO ,19 Signed '

Owner or Own4Mesiones. Title J.R. Douet - Mananer Maintenance ,

I CERTIFICATE OF INSERVICE INSPECTION ]

l l, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of Arlennnn e and employed by

  • of l Mn runnel . MA. have inspected the components described l in this Owner's Report during the period 05/00/47 to M" N~ W . and state that I 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 rnakes any warranty, expressed or implied, conceming the examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer i shall be liable in any manner for any personalinjury or property damage or a toss of any kind arising from or connected with this '

inspection.

O . O . [224 W f nspector's Signature commissions National NB-9 94 7. Ark . -1133. "N" . "1" "A" Boartt, State,' Province, and Endorsements

/[

V J. O. Elliott ,

oate /0 /c2 s 39 9 3

  • Factory Mutual Engineering Association

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

1. Owner AP&L/Enterev Ooerations. Inc. Dete M 98 Nome Rt. 3,' Box 137G J Ru'ss'ellville , AR 72801-- Sheet / of - /-
  • Address 2, Plant Arkansas Nuclear Qpe Unit One-Nome Rt. 3 Box 137G Russellville, AR 72801 1 57, #OO 8'(< 9 9 76 Address Hopelr Orgentration P.O. No., Job No., etc.

3 Work Performedby AP&L/Enterny Operations , Inc. Type Code symbot Stamp NA

      • Authorization No. NA Rt. 3, Box 137G Russellville, AR 72801 Empiration Date NA Address
4. Identification of System AZ OOON
6. (e) Applicable Construction Code Y 19 7 I Edition, 8'" /7 7 Addende, A/A Code Cese (b) Applicable Edition of Section XI Utilized for Hepairs or Replacements 19 c96
6. Identification of Components Repelred or Replaced and Replacement Components ASME Code Repaired, Stemped National Other Year Replaced, (Yes Nome of Name of Manufacturer Board Identification Built or Replacement or No)

Component Manufacturer Serial No. No.

7

, rr f a k. Aan , VI n s v-/on no Afu '

$1L V

,a x.

Wa- ' - feedL 2SI A'A SV- /023 /f' M ymmw/ f Pf" Na n-serY HM Galud, <bl U$ W!L 7s- sw s' v - s o r y in 7 Lw' V 1/is

7. Description of Work b - M1 __.4% # > d,

'/ l 1

8. Tests Conducted: Hydrostatic Pneumatic 0 Nominei Operetina Pressure O Other Pressure A'M psl Test Temp. A'A 'F NOTE: Supplementel' sheets in form of lists, sketches, or drewing rney 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 (EOOO30) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 1

.__________________________.________________.___________1 ,

1 l

1 I

l FORM NIS 2 (Back)

9. Remarks NN 2 / M U ,

Applicablehenufacturer's Date Reports t[t>e attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _

  • ti onforms to the rules of the

'*P '*P'*****"'

ASME Code,Section X t. l I

Type Code Symbol Stamp NA NA - Expiration cate NA Certificate of Authorization No..

Signed 7 '^ Date /8 2b

,19 OwnWOwr.or's Deslanee. Thle J.R. 1)ouet - Manacer Maintenance CERTIFICATE OF INSERVICE INSPECTION t, the undersigned, holding a velid commission issued by the National Board of Boiler end Presne Vessel Inspectors and the State or Province of, Arle nn nn e and employed by

  • of have inspected the component's described Nn runn r1_ MA.

in this Owner's Report during the period 05/04/47 to- 28'"! ~

, 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' rIeither 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 menner for any perenal injury or property damage or a loss of any kind arising from or connected with this -

inspection.

. O- [ f nspector's Signature CommissionsNational NB-994 7. Ark . -l 13 3. "N" . "I" . "A" Board, State, Province, and E ndorsements

/[

v J. O. Elliott Date /O!828/ 19 73

  • Factory Mutual Engineering Assoc 1ation

S V-/Ob'3

. s

& 9'l

'-- FORM NPV 1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES

  • As Required by the Provisions of the ASME Code, Section ill, Div.1

~

1 1

1. Manufactured and cortified by Target Rock. Corp.; 1966E Broadhollow Rd; E. Farmingdale, NY 11735 Iname and address of N Certificate Holder)
2. Manuf actured for Entergy Operations Inc.; Russellville, Arkansas 72801 iname and address of Purchaser or ownert Arkansas Nuclear One; Russellville, Arkansas 72801 j
3. Location of instartation j (name and addressi

~

4 Model No., Series No., or Type ' Drawing Rev. CRN 1977 S 1979 1 N/A

5. ASME Code Section lil: Code Case no.

Edition Addenda date Ctass l

VaIve I I

6. Pump or valve Nominalinlet size Outlet size i,n ,

on ) -

SA-182 F316L SA 479 316 Disk SA-564 GR 630 g SA 479 316  !

7. Matenal: Body Bonnet Indicator Tube (

Ib) Ici (d) (e)

(a)

Nat'l Body Bonnet Disk Indicator Cert.

Senal Serial Senal Tube Holder's Board No. No. No. No. Serial No.

Serial No.

5770 3514 2049 4099 75 N/A '

N/A 5763 3584 2043 4143 76 N/A 5771 3770 1965 4057 77 N/A 5766 3552 2014 4193 l

78 N/A 5764 3631 1963 4124 1

79 N/A 5782 3549 2010 4187 80 N/A 5783 3775 1960 4072 ,

81 I 5759 3640 2047 4178 82 N/A 5760 3510 2001 4105 83 N/A l _

3560 2004 4233 N/A i 5781

( N/A N/A N/A N/A N/A N/A l

l l

l l

I

  • sucosemental mformation in the form of lists, sketches. or drawings may be used provided til sae es SW x 11,121 information ,n items 1 inrougn 4 on this Data Report es included on eacn sheet,131 each sheet is numbered and the numeer of sheets is recorded at the top of this forrn 16,85) This form (E0003h may be obtared from the Onter Deot . ASME. 345 E 47th St New York. N Y.10017

l I

, 4 FORM NPV 1 (bsck) l l

Mfr. Senal No, i

- i g

8. Remarks

)

i

9. Design conditions psi 8F or valve pressure class (1)

(pressure) tiemperature) 2

10. Cold working pressure p,i ,,ino.p
11. Hydrostatic test 6575 p, 7,,,, Ambient eF Disk differential test pressure psi CERTIFICATION OF DESIGN Design Specification certified by Larry Young Prof. Eng. state Arkansas n,g yo, 4557 Design Report certified by Steven Karidas Prof. Eng. state NY Reg.No. 056047 CERTIFICATE OF SHOP COMPLit.NCE We certify that the statements made in this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code, Section Ill.

Expnes 124242 N Certificate of Authoriistion No Date

  • Name Target Rock Corporation Signed - Ad*

IN Certificate Holdern E. Ba jesd(9ntIMeec tor , Q. A.

I

\

CERTIFICATE OF SHOP INSPECTION 1, the undersigned, holding a velid commission issued by the National Board of Boiler and Pressure V ns on Iinsp getors New York and employed by Commercia ns. agdo.

the State or Province of of Boston,lia5s* have inspected the pump, or valve, described in this Data Report on 19@8 and state that to the best of my knowledge and belief, the N Certificate Holder has constructed this pump, or valve, in accordance with the ASME Code, Section lit.

By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the equipment described in this Data Report. Furthermore, neither the Inspector nor hia employer shall be liable in any manner for any personal injury or roperty damage or a loss of any kind arising from or connected with this inspection.

Date -1 -,

p - f .

4 ,ommissions N.Y. STATE COMMISSION NO. 2288 ALSO COMMISSIONED IN PENN., OHIO & CONN.

INat'l Bd., Oncl. endorsements) State. Prov. and No.)

linspector)

(1) For manually operated valves only.

SV- asy s i sg 75-

- FORM NPV 1 CERTIFICATE HOLDERS

  • DATA REPORT FOR NUCLEAR PUMPS OR VALVES' As Required by the Provisions of the ASME Code, Section lit, Div,1
1. Manuf actured and certified by -Target /Rosk. Corp.; 1966E Broadhollow Rd; E. Farmingdale. NY 11735 (name and address of N Certificate Ho6derl
2. Manuf actured fo, Entergy Operations Inc.; Russellville Arkansas 72801 (name and address of Purchaser or owner)

Arkansas Nuclear One; Russellville, Arkansas 72801

3. Location ot instanauon Iname and addressi 4 Model Nod Series No., or Type 0D Orawing 91L-001 g A

CAN 1977 S 1979 1 N/A

5. ASME Code Section lit; Edition Addenda date Class Code Case no.

Valve Outlet size I

6. Pump of valve Nominal inlet size lin.) lin.)

SA-182 F316L gonn,, SA-479 316 g,g SA-564 GR 630 g SA 479 316

7. Material: Body Indicator Tube (a) (b) (c) (d) (el Cert. Nat'l Body Bonnet Disk Indicator Board Serial Serial Serial Tube Holder's ,

~

Serial No.. ' No. No. No. No. Seria1 No.

N/A 5770 3514 2049 4099 175r 76 N/A 5763 3584 2043 4143 77 N/A 5771 3770 1965 4057 78 N/A $766 3552 2014 4193 79 N/A 5764 3631 1963 4124 80 N/A 5782 3549 2010 4187 81 N/A 5783 3775 1960 4072 82 N/A 5759 3640 2047 4178 83 N/A 5760 3510 2001 ~

4105 3560 2004 4233 84 N/A i 5781 N/A N/A N/A N/A N/A N/A

~

'Suco,ementalinformanon in the form of hsts. sketches or drawings may be used provided (11 sue is 8% x II,121informanon in items 1 through 4 on tNs Osta Report is inciuded on each sheet. (31 eacti sheet is numbered and the number of sheets is recorded at the top of this form.

16/85) th s term iEooo3n rna, be orna.ned from the order Dept , ASME, 345 E 47th St . New York N Y 100t7

k FORM NPV-1 tbt..:k)

Mfr. Serial No.

8. Remarks
9. Design conditions psi 'F or valve pressure class (1)

(pressure) (ternperature) 2 _ p,i,,3go.,

10. Cold working pressure
11. Hydrostatic test 6575 psi Temp. Ambient *F Disk differential test pressure psi CERTIFICATION OF DESIGN Larry Young Prof. Eng. state Arkansas Reg.No. 4557 Design Specification certified by Steven Karidas Prof. Eng. state NY Reg.No. 056047 Design Report certified by CERTIFICATE OF SHOP COMPLIANCE We certify that the staternants made in this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code, Section Ill. -

1947 hpires 12-12-92 N Certificate of Authorization No Date 4 Name Target Rock Corporation Signed #&

IN Certifcate Holder) E . Ba jiinsdg,ntoice c t o r , Q . A .

4

\

CERTIFICATE OF SHOP INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler Come and Pressure rcia Vgl on insp ctors ns. agdo.

the State or Province of New York and employed by of 30SE0"' MSS

  • have inspected the pump, or valve, described in this Data Report on M 19[8 and state that to the best of my knowledge and belief, the N Certificate Holder has constructed this pump, or valve, in accordance with the ASME Code, Section lit.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concerning the equipment described in this Data Fieport. Furthermore, neither the inspector nor his employer sbsli be hable in any manner for any personal injury or roperty damage or a loss of any kind arising from or connected with this inspection.

=

Date _1 g{N , _

ommissions N.Y. STATE COMMISSION NO 2288 ALSO COMMISSIONED IN PENN., OH10 & CONN.

Onspectori (Net 1 Bd., (incl. endorsements! State. Prov. and No.)

(1) For manually operated valves only.

. ~ , . . . . --- . - - . - - . . -.

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

1. Owner AP&L/Enterav -Onerations. Inc. Date /8-/8 ~ '78 i Name

~'

Rt. 3. Box 137G. Russellville. AR 72801 sheet / of / .-

A4*eas unit One

2. Piant Arkansas Nuclear Nome One Rt. 3. Box 1370. Russellville. AR 72801 1 O. 6088f9ff Addess Repelt Orgenfeetton P.O. No., Job No etc.
3. Work Performedby AP&L/Enterev Operations. Inl. Type Code symbol stamp NA
    • "" Authoriastion No. NA -: i NA Rt. 3. Box 137G. Russellville. AR 72801 Empiretion Date Address
4. Identification of System A# ~ /, d 8"'

E. (a) Applicatne Construction Code AM 19 $ Edition, #4 Addends; NA Code Gees (b) Applicable Editbn of Section XI Utilized $or Repairs or Replacements 19 D 6, identification'of Components Repelred or Replaced and Replacement Correonents i

ASME Code .

Repaired, Stamped National Other Yes, Repleoed, (Yes Name of Name of Manufacturer Boerd Identification Built or Repfecoment orNo)

Component Manufacturer Seriel No. No.

JPcM XA-1 dQ '$bb Y ,ak/rt SL ll 44V A/ A NA AA ll-2/ A NA As?lauarad

7. Description of Work / MN 2% 4 / .
8. Tests Conducted: Hydrostatic Pneumatic O Nominel Operatine Pressure @ '

Omer O Pressure IIe*4t(c'A/tpsi Test Temp.Youe /44 'F NOTE: Supplemental sheets in form of lists. sketches. or drawings rney be used. provided (1) slae is 8% in. x 11 in. (2) Informe-tion in items 1 through 6 on this report is included on sech sheet, and (3) each sheet k numbered and the number of sheets is recorded at the top of this form. I i

(12/82) This Form (E00030) mey be obtained from tee Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 ,

FORM NIS 2 (Back)

9. Romerks if h b M h (lLEb, lAINb A n w /l A&' h tb

' wusi. wenof.nu,or e oste n.oom isi.e en.ded (b bs A4 /0 7 )pm b l siim An .t/ m,r/h m a a ?' d u 'b E 4 W

/

h Alf NLHthihWL b ~ L W/[<P 'V. Su s bl 'e ImbL '

/ /

uif wavulsi ebn/ b}b / '74e b ns// b4 $bs/fu)lAww/4r _ %

~

4 dn 6uti/e A A h A Afad.

CERTIF6CATE OF COMPLIANCE We certify that the statements made in the report are correct and this # IXbh*lI* conforms to the ru

'*0**'*****"'

ASME Code Section XI.

Type Code Symbol Stamp NA Empiration Date NA NA Certificate of Authorization No..

AM D F Date /6  ? T 19 Signed '

-J.RNoUeI"* SkEaEiM$1ntenance CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boller and PressureofVessel Inspectors a and employed by

  • or Province of _ A rk a n n a e have inspected the components described Nnrunnet . MA.

in this Owner's Report during the period M /04 /07 to M ~N~ U . and state that to the best of my knowledge end belief, the Ovmor has performed examinations and taken corrective measures described in this Owner's Report in acx:ordance with the requirements of the ASME Code,Section XI.

By signing thie certificato neither the inspector nor his employer makes any warranty, expressed or implied, concerning eneminettons and corrective rnesesres descritxd in this Owner's Report. Furthermore, neither the inspector nor his erfoloyer shell be liebte in any menner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

CommissionsNationet NE-994soord,

7. Ark . -lProvince, "N" . "I" . "A" l 3 3. and Endorsemems O- <^ state, Inspector's signature

//

V J. O. Elliott .

Oste 10 /A ? se '13

  • Factory Mutual Engineering Association .

e

i

.1 l

l i

)

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

As Required by the Provisions of the ASME Code Section XI 1 Owner AP&L/Enterev Operations. Int- Date 7-//- M Name r Rt. 3. Box 137G Russellville, AR 72801 Addrese Sheet / of /

2. Plant Arkansas Nuclear One unit One Name Rt. 3, Box 137G Russellville. AR 72801 Id Od 8cP 9MP Address Reoelt Organization P.O. No., Job No., etc.
3. Work Performed by AP&L/Enterny Operations , Inc. Type Code Symbol Stamp NA  :
      • NA Authorization No.

Rt. 3, Box 137G. Russellville, AR 72801 Expiration Date NA Address

4. Identification of System al f A_ /A4& ($/[- 8}

S. (a) Apolicable Construction Code O 19 M8 Edition, [ Addenda, #

Code Case (b) Applicable Edition of Section XI Utilized for Repatra or Replacements 19 (P d'

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

Component Manufacturer I

Csayts+ 5BC-3 E M S -/6 3 M70 fl,ua$tb 9/>,

M L N,/A N,/A M,, . .

1. Description of Work l AAA/ots N) AA tl5tW121 n 2./

/

% ja,e~

/ // (7 / /

B. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure O Other O Pressure

/V8 psi Test Temp. NA 'F NOTE: Supplementet sheets in form of lists, sketches, or drewings sney be used, provided (1) size 8. 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 number' d and the number of sheets is i recorded at the top of this form. ,

(12/82) This Form (E00030) may be obte.ned f rom tee Order Dept. ASME,345 E. 47th St , New York, N.Y.10017 REPRINT 12/91

l l

3 FORM NIS 2 (Back)

9. Remarks M' Applicable Manufacturer's Data Reports to be ottached f

CERTIFICATE OF COMPLlANCE s We certify that the statements made in the report are correct and this conforms to the rules of the ASME Code,Section XI.

Type Code Symbol Stamp NA NA Expiration Date NA Certificate of Authorization No.

Signed

  1. Date /d/

N 19 Owner or Owner's Desiones. Title J.R. Douet - Manacer Maintenance CERTIFICATE OF INSERVICE INSPECTION t, the undersigned, holding a valid commission issued by the National Board of Boiler er.d Pressure Vessel inspectors and the State and employed by

  • of or Province of A vie n n c n "

have inspected the components described Nn rvnn el . MA.

in this Owner's Report during the period. M /09/47 to / , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this O'wner'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 menner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

Q . o. d AD

/ inspector's Signature

. Commissions Nationet N B-9 94 7 . ' Ark. -113 3 . "M"."I"."A" Board, State, Province, and E ndorsements J. O. Elliott Date /0 bO 19 9.3

  • Factory Mutual Engineering Association

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

1. Owner AP&L/Enterev- Onerations. Inc. Deze M- d - Y 8  ;

Nerne

! /

Rt. 3. Box 137G. Russellville. AR 72801 sheet of i Address Unit One

2. Piern Arkansas Nuclear Nome One l Je f OdrP 70/ 6 r j Rt. 3. Box 137G. Russellville. Address AR 72801 Repolt Oreenization P.O. No., Job No., etc. -l l
3. Work Performedby AP&L/Enterev Operations. Inc. Type Code symboi stemp MA
  • " Authorization No. NA -

NA Rt. 3. Box 137G. Russellville. AR 72801 Empiration Date Addr

4. Identification of System Adl-. ~ N8Y#
5. (e) Applicable Construction Code A 198.d Edition, b/MM Addends A/A Code Case I

(b) Applicable Edition of Section XI Utilized for Repairs or Replacernents 19 M

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

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

Component Manufacturer Serial No.

kukMY AR- ?'N ND Ato-1259 e NA Dafni' Y2h

/ "NN' bd {

Ya $ AfnA4 s $38fO NA A4 W-12 5& C /995 [EANlMinuwh $L Ythw 3C - /A l NM M M -12 TiP D /972 .lblauds

/L.

l" bl. &#t1Mb 4G n trbab a Pwpo NA M U-/232D /97.s futuad r 4)/L s

1. Description of work bLbbt Aht LQ Airbtid).1L4 f s lh1 &

I /

8. Tests Coriducted: Hydrostatic Pneumetic O Nominei Operatiaeeressure O Other Pressure NA psi Test Temp. h/9 *F NOTE: Supplemental shoots in form of lists, sketches, or drowings sney be used, p*ovided (1) size is 8% in. x 11 in., (2) Informe-

!' 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.

l (12/82) This Form (E00030) rney tw obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91

FORM NIS.2 (Back)

9. Remarks Al P V- I k GhhYM A/)

a,e s o.t. +s t. - ett.~

tew/R M M \

D i A l> A m b b v . h omom.o,s . h.nt d m & L AAU- /2 M /%hh AufA Y. /

CERTIFICATE OF COMPLlANCE conforms to the rules of the We certify that the stetements made in the report are correct and ' ' ' 'this Ap *'M*In

D 8***'nont ASME Code,Section XI.

i Type Code Symbol Stamp NA NA -;

NA Expiration Date Certificate of Authorirstion No.

/O O

" Date 19 Signed

_ J .'RO*ner

. Douetor ownerSDesionee.

- anacer TSleaintenance CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued try the National Board of Boiler and Pressure Vessel Inspectors and the State and employed by

  • of or Province of Arlennen e

.have inspected the components described i Nn rt.rnn ri . MA. '

in this Owner's Report during the period 09/04/47 to M~/b 78 . and state that to the best of my knowledge and belief, the Owner has performed examinstions 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 warrenty, expressed or implied, concerning the eneminations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any pewnel injury or property damage or a loss of any kind erlsirog from or connected with this inspection.

"N" . "I" . " A" O- . s[S< Commissions NB-9 9 4 7 . Ark . -113 3 .

National Board, State, Province, and Endorsements

' inspector's slanature J. O. Elliott Dete /dbo 19 93

  • Factory Mutual Engineering Association l

i j

l c

j

/d W~ /d58C ,

Vy esoFo FORM NPV 1 N CERTIFICATE HOLDERS

  • DATA REPORT FOR NUCLEAR PUMPS OR VALVES
  • As Required by the Provisions of the ASME Code, Section til. Div.1
1. Manufactured by N4af) dra Im /900 3. % . MM' b[~# A/C ZMod (Name and Address oth Certificate Molder)
2. Manufactured for eIi*we I^- El 3 hf L776 b_ n r-// "~

48.

3. Location of installation Mo.eAcoress r d ~Oe et v enaser '

o1F 0wner:bffr/[ud/e- M iName ano Aooress)

4. Pump of Valve \ AS/C Nomenal inlet Site / Outlet Size  !

(inch) (inch)

(a) Model No., (b) N Certificate Holder's (c) Canadian Senes No. $erial Registration (d) Drawing (f) Nat'l. (g) Year or Type No. No. No (el Class Bd. No_ B udt GIAro H/n D(12 -2.'Is 73 -oVx 2- FI/A 19 9,3 v) B1 ton 4(rmdT1 '

(2) _92no _

a) l 83 Ave VI (4) AfD (5) sr 85AFO "f -

/ v v v is) E_An4 (PtrejTz BMro Al/a .D 91- zg s72-o1/4 2. M f933 (7)

(8)

(9)

(10) 5, SLCRG bTd> UA L VL ter.ef aesenption of service for wnich eauioment was ces.gneal S.O 63 C ~ 2 N 5 73

6. Design Conditions Mb psi bN (Ternperature)
  • F or Valve Pressure Class [bSO v)

(Pressure)

7. Cold Working Pressure NMS psi at 100*F.
8. Pressure Retaining Pieces

. Mark No. Material Spec. No. . Manufacturer Remarks (a) Castings AR A 73 2 att 21 /bd.se m Sr msK AP A 73 z. Gft z l Aiheun 4 TED CAs r- bi s k l I (b) Forgings

.SLTt9 $g2 (~1 PAIL 'Tils >l fT't f%1tGG M'i 524p93 sA 474 T 3/6 hEaspd Bcwder STcA stift cx F_3u, TTh a un fo u e Sesy I 1 (1) For manually operated valves only.

  • Supplemental sheets in form of lists. sketches or drawings may be used provided (1) size is 817" x 11*. (2) information in items 1, 2 and 5 on this Data Report is included on each sheet, and (3) each sheet is numbered and number of sheets is recorded at top of this form (10/771 This form (E000371 may ne octamed f rom the Oraer Dept., ASME,345 E. 47th St., New York, N.Y.10017

1 l

FORM NPV.1 (3rck) 6fk.ji' MAFtS-R(o Af a l Material Spec. No. M anuf acturer Remarks Mark No (c) Botting l

1 I

i 1

i (d) Other Parts I I

I I

i t

1 i

l I

9. Hydrostatic test b W psi . Disk Differentist test oresswre bM psi .

CERTIFICATE OF COMPLIANCE .

We certify that the statements made in this report are correct and that this pump. or valve, conforms to the rules of 1983 construction of the ASME Code for Nuclear Power Plant Components. Section til. Div. I., Edition N/A Date d /2 f /9_J Addenda IUh1WE I9b Code Case No.

Signed 82 d GdhM . Le. . hy 4-- -

j l

(N Cemficate Molder)

Al /M to use the N" symbol expires NNb

/

l Our ASME Certificate of Authorization No. tN) (Dete) l CERTIFICATION OF DESIGN beld MfL 7 7 S a.3 6

Design information on fde at +4csd b b-Stress analysis report (Class 1 only) on fde at Il <2_1[*lve* Ja c. - [Enfeqb,2/d-Design specifications certified by (1) Ne-TMab N. OuwM '

PE State Ab Reg No. 4d '$ b Stress analysis certified by (1)

PE State Reg.No.

(1) Signature not required. List name only.

l CERTIFICATE OF SHOP INSPECTION 1, the undersigned, holding a valid c mmi sion issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Provi ce of 6 ..

and amployed by Y f NSIN

  • of - have insoccted the pump, of valve. described in this Data Report on b2l 19 9 % , and state that to the best of my knowledge and belief,the N Certificate Holder has con-l structed this purno, or valve, in accordance with the ASME Code, Section ill.

I By signing this certificate, netther the inspector nor his employer makes any warranty, expressed or implied, concerning I

the equipment described in this Data 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 inspectson.

Date Y'2 [ 19 i .S .

[~~

Commissions /8 (Nat i Bd . State. Prow and No I

\i I(@ctort l

h(jj/)fff YM PGd10F ]

FORM' NPV-1 N CERTIFICATE HOLDERS' DATA ' REPORT FOR NUCLEAR PUMPS OR VALVES * ~

. As Required by the Provisions of the ASME Code. Section.Ill, Div.1 -

1. Manufactured by bd Odts IC ' 800 3 "L- h M-
  • b 0- d AlO Z N80 8 # ,

i i

2. Manufactured for o Ib(Namt O N d/we and-T- Address N3 of% Ef Certificate fM6 b w// '~ Molder) -M' I

( e erb Acci-ess of # cnaser of ownerl i

3. Location of installation MmL A/ O *C '

b1Tc fike- M '

l tNa e and Accr# so

4. Pump or Valve \ dt/e.- Nominal inlet Site I Outlet Size I (inch) (inch) ,

(a) Model No.. (b) N Certificate Holder's (c) Canadian Series No. Serial Registration (d) Drawing (f) Nat'l. 9) Year f or Type No. No. No. (e) Class Bd. No. ' Built I i

o) B un4(ntOT1 GIAfo tJ/h D42 11573-o!(s L F%

- 19 91  !

(2) 82Aro (3) DAM l (4) $AFo ,

(5) v 65AFC "f q v v v ,

(6) 036nd[,PUdT1 l OMFU I M D91- Z4 SM-olM 2. PO f443 ,

(7)

(8) I (9)

(10)  ;

i 5, LOR 8 bTdP bVE IBrief ossenption of service for which eauipment was ces gned)

S.o. 63 C - 24 5 73

6. Design Conditions MNO psi NO *F or Valve Pressure Class MO (1)

(Pressurep tiemperature) {

7. Cold Working Pressure NMS psi at 100*F. '  ;
8. Pressure Retaining Pieces  ;

.* Mark No. Materiat Spec. No. Manufacturer Remarks *

(a) Castings  ;

AR A 711 an 2. I f%4ouu m Gar D tsk AP A 73 z. Crt 21 /Wseun,4 ran CAs r- Di s K l 1

I

+ 4 1

1 .

I  ;

(b) Forgings {

SLTA SA 182 Gn l'~3s t. Tib sisT4 fen.Ge Bop 4 526o93 54 474 7 3/ fo "irRNERSOM BcWJer

. Sten SA122. gn F3th TR ssisT4 fo W Espy i l ,

(1) For manually operated valves only. i

  • Supplemental sheets in form of lists. sketches or drawmgs may be used provided (1) size is 81/2* x 11*, (2) information in <

items 1, 2 and 5 on this Data Report is included on each sheet. and (3) each sheet is numbered and number of sheets l is recorded at top of this form. l (10/77) This form (E00037) rnay be obtamed from the Oroer Dept., ASME.345 E. 47th St., New York. N.Y.10017

FORM NPV 1 (Back)

Mark No. Matenal Spec. No.

M. @ _ bM-Elo AFD Manufacturer Remarks (c) Botting l ,

I l --

l

)

I

(

(d) Other Parts L

l l

l l ._

I

? I I _

9. Hydrostatic test S 00 psi .

Desk Dif ferential test pressure N_ psi . .a CERTIFICATE OF COMPLIANCE We certify that the statements made in thss report are correct and that this pump or val ,

Addenda Iufigt1., l3.81-, Code Case No./Aconstruction of ,the ASME Edition 1983Code for Nuclear Power Date d /2 f /9 T Signed El de,lM&c. __

(N Certeficate Holder)

Our ASME Certificate of Authorization No. _ M /SN

- _by - . _b - W to use the "d" syrnbol expires - M N N (N)

(Data)

CERTIFICATION OF DESIGN Design information on file at MM b,b. cl[r b ' ' 2' 7 C #1 -

1 Stress analysis report (Class 1 only) on file at . I d d ar d _l[ I.f M / % . , Edea%,A/d. --

Design specifications certified by (1)

PE State 4.h-N_d .b. Na_bMy M Reg No. __ G13 Jl*

Stress analysis certif,ed by (1)

PE State - Reg.No._

(1) Signature not reauired List name only.

CERTIFICATE OF SHOP INSPECTION 1, the undersigned, holding a valid c mmi Sion issued by the National Board and the State or Provi ce of

  • _. N of Boiler and Pressure Vessel inspectors of x_. ._ and employed byI C NN -,h
  • U 19 9 % _ have inspected the pump, or valve, described in this Data Report on J

structed this pump, or valve, an accordance with the ASME Code. Section ill., and state that to th 4

By signing tbss certificate, neither the inspector nor his employer makes any warranty the equipment descr. bed in this Data Report. Furthermore neither the ins ,

, expressed or implied, concerning manner for any personal injury or property damage or a loss of any k nd arising from opector nor his employer shall b D$te - r conr ected with this inspection.

w-

!_19 k 2

_C~

Md ed D 3 gector)

Comm,s s.ons (Nart Bo. State Prov and No I k

... , .. ~,- . . .

i J

i i

j l

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

As Required by the Provisions of the ASME Code Section XI l i 1, owner _ AP&L/Entergv Operations. Inc. Det. /d - f- 9.8

- Name Rt. 3. Box 137G. Russellville. AR 72801 sheet / of / l Adore.

Unit One ,

2. Nem Arkansas Nuclesr One Name  !

J' 8, COM/ 78(0 -f

< Rt. 3. Box 137G. Russellville. AR 72801 nooser orsenisetton P.O. No , Job No., m.

Adorem

3. Work Performedby AP&L/Enterav Operations. Inc. Type Code symbol stamp NA j

"'** Authorization No. NA -!

Rt. 3. Box 137G, Russellville. AR 72801 Expiration Date NA ,

Address

4. Identification of System AIf f' /I4+6 88- 8 .i
6. (e) Applicable Construction Code k M 19 7Y Edition: b/97[ Addende M4 Code Caos -

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

6. Identification'of Components Repaired or Repieced and Replacement Components L

ASME , [

Co*  :

t Repaired, Stemped Nationes Other Yeer Replaced, (Yes l Name of Nome of Manufacturer Board ~j No, identification Built or Replacement orNo)

Component Manufacturer Serial No. 1

/" . bi h &t 2 4l1b 4 a lv4. WY .

0 hfA N S c2 7A NAl .htAlM W Y 1/-2ml1 NA Nr-37A /783 Aukuma / V fbs N -

1 1Ab 1 41 ,

1. Descr\ption of work 01Yk_Mhhtt M (ILA*Ns21k '

~YA' ., s

/ l i

8. Tests Conducted: Hydrostatic Pneumatic Nominst Operating Pressure ,

A/8 pel Test Temp. NA 'F Other O Pressure NOTE: Supplemental sheets in form of lists, sketches, or drewings may be used, provided (1) stre is 8% in. x 11 in., (2) Informe.

tion in items 1 through 6 on this report is included on each sheet, and (3) sech sheet i6 numbered and the number of sheets is 'j recorded et the top of this form.

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

l REPRINT 12/91 j l

, ..m, . . , ,

FORM NIS-2 (Beck)

9. Remarks N ~~

$ $ b -

Wtt$M A A,+ N-

- ...e-e ,.,soA $N.t. .o,,o - . c.e NA 2 if IP .WA _t A4dka ~

4/d

/

1 1Afdb /

Wner.h' ~

/U f CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and thin AM MId*u onforms to the rules of the

'*d' D' '*P '*****"S ASME Code, Section X1.

Type Code Symbol Stamp NA NA Expiration Date NA Certificate of Authorization No.

Signed Deto . /O . 19 J . Ri"EIotfeI"* [iSEa cTiNI1n t e n a n c e 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 and employed ty

  • of or Province of Arknun e have inspected the components described Nnrunnr!. MA_

in this Owner's Report during the period 09/04/47 to M" . and state that to the best of my knowledge and belief, the Owner has performed examinations and teken corrective m.asures described in this Owrer's Report in accordance with the requirements of the ASME Code, Sect 6on XI.

By signing this certificate neither the inspector por his employer triskes any warranty, ex, pressed 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 menner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

3. O. [ _/futh Ineoctor's Signeture CommissionsNational NB-9 94 7. Ark. -I l 3 3 . "N" . "I" . "A" 80 erd, State, Province, and Endorsements

,//

v J. O. Elliott Date /C / J 5' 19 O

  • Factory Mutual Engineering Association .

--a - - - - - - _ _ _ _ _ ,

h% . . . . . . .,

~

t div

. - w:.s;

  • }"m cef.:

Y + J: + ;v w  : PW* v  : A "r? ;Y?!?

m -??:::aum;mn w s am FOR; NUCLEAR. PUMPS OR- VESM '

y.g,..v:$ ' PORM NPV As1ReiyGirid.$the'ProMslons N CERTIFICATE HOLDERF' DATA ~'

e. of the ASME CoK5setioYmiDW.T ,

' =

. . ~

  • Henry Vost Michine Co.'. Louisville. KY g, y ,ny,,ctured by

.' (Name Arkansas and AddrtSS Power 04 N Certificate

& Light Co. , LHolder) ittle Rock . AR

2. Manufactured fo, memIc.ao w or euceser or owner:Ar ansas Nuclear One, Russellville, AR Outlet Site _ 1"
3. Location of instarrstron emesaoAcoms 1" gateValve Nominal inlet Site Onch)
4. Pump or valve _. (inch)

(c) Canadian (a) Model No.. (b) N Certificate Holder's (d) Drawing (f) Net *t. (g) Year J Serial : Registration Series No. Bd.No. Built e-. orType _ No. No. No. (e) Cf ass A - B 49832 1

-~ 1983_

g33 Caee 31-215017 -

M thru (2) g3) 55-215017 Ad S-g M __

O (See Attached Sheet)

, 8/N 8/~ 57/SWI T (5) _

IO3 (7) 4 (8)

(9) 4 (10) m 5 tar

  • oe cnore of semca for wmen equipment was oe gned:

1500 gy oss

  • F of Valve Pressure Class
6. Design Conditions (Temperature irressure
7. Cold Working Pressure M0 p,, ,, 3o09,
8. Pressure Retaining Pieces Manufacturer Remarks Matenal Spec. No.

Mark No.

tal Castings

}

}

l I

(b) Forgings Body voge R4601A S A-105 Bonnet vogt R4613A S A-105 l

I

11) For manually operated vetves onty.

t

  • Supplemental sheets in form of lists, sketches or drawings may be used provided (ti size f hists 81.2" r 11. (2)info stems 1,2 and 5 on this Data Report is included on each sheet, and (3) each st eet is numbered and number o i i is recorded at too of this form. '

-, y. ,

. __ , ,t

- k: jk:h. *. ,

, .. m ~ .m - an o.2,. ,.a nsa,. e bl,

?  ? - -

. I MMt. M,.NN.K;bt h ITAORITFUlO3t' f VWI #ARW '

h k!,d,' ' ' 'P,j;V)Av et.) 0%t 64 (UC ;Njn Pol " M an'ufactE5c""" Remarks , ,_

Ma erial Spec. No?

  • MartNo. rJ -

1 (c) Softing u 1 Can Screv Texas Bolt  !

B7 i SA 193 Cr. B7 ,

I

~

t% _

g (d) Other Parts l i

Bonnet Vogt HHD SA 479 T.410 O (Chec11stry Only) _

T -

,q -

D 1 (

O_ ,,;, g,, g;,,,,],,,, ,,,, ,,,,,,,, _

r* 9. Hydrostatic test -

CERTIFICATE OF COMPUANCE O l forms to the rules of We certify that the statements made in this report are correct and__that iv / Edition U74this purno, or va ve, con C

construction of the ASME Code for Nuclear Powc. Plant -- // Components. /ktober 1XSection 1983 rf __

Su:::mer '75 . Code Case No.

Addenda g p s /t/ ,

Henry Voht Machine Co. _

  1. 7 1/6/84 g;gn,o _ N - symbol empires (N Certificatt Nol6ed 9 47 to use the gooses (Nt Our ASME Certificate of Authornation No.

CuuWiCATION OF DESKIN Henry Vogt Machine Co.

Design information on 6te at -Penry Vogt Machine Co.

Stress ansfysis report (Class 1 only) on file at .

Larry D. Young >

Design speci6 cations certi6ed by of _

Arkansas __ p,g No.

M5k PE State R. S. Perry is certif Stress snaipentue{ed y by n)- Reg. No. _. 5 3 80 PE State _ _

0) Signature not required. List name only.

CERT 1FICATE OF SHOP INSPECTION l d Pressure Vesset inspectors l

4, the undersigried. holdmg Kentucky a valio commission issuedbyby the National Board of Soi er anCot::me and employed and the State or Province of _

Boston, MA have inspected the pump. or watve. desenbed m this Data Report on of _ 83 . erd state thet to the best of my knowledge end oefief the N Certificate Holder ha Sept. 27, _39 structed this pump. or valve. in accordance with the ASME Code.Section I!l. l d wsr#.g By ssning this certifica:e. neither the Inspector nor hisi emoloyer ma the eovipment d rsonal r property darnage or a loss of any kind arising from or connected with this ins manner for a g Op ober , g Kentucky 01

' V " Jgaf, a _

ca,,,,,,,,, _

(Nort so sim. mov. ano Noa

/ naspeceri N9

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

1. Owner AP&L/Enterev Onerations.

-- - Inc- Date /d ~[ ~ f 8

- Nome Rt. 3, Box 137G. Russellville, AR 72801 sheet  ! of /

Address unit One

2. Plant Arkansas Nuclear Nome One Rt. 3. Box 137G. Russellville, AR 72801 ld 08NS 7b Repair Organisetton P.O. No., Job No., etc.

Address

3. Work Performed by AF&L/Entercv Onerations. Inc. Type Code symboi Stamp NA

"'** Authorization No. NA  ;

Rt. 3. Box 137G. Russellville, AR 72801 Expiration Oste NA Address

4. Identification of System A 6x /IMD 88'
5. (e) Applicable Construction Code b/, 7 19 5 7 Edition, /V 4 Addende, #4 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Reptocements 19 8 5
6. Identification of Components Repaired or Replaced end Replacement Components ASME Code Repaired, Stemped Nationet Year Replaced, (Yes Nome of Nome of Manufacturer Board Other Identification Built or Replacement or No)

Component Manufacturer Serial No. No.

de%Z3

.$ " Of $ J J~

Apsbawd YLL k L AHL W<tMtt/t/ NA NF 6 V-)6 6 '1 /Vp

' t/

\ .

1. Description of Work - t/fortkJihkAs OAANs AAWkAf. U
8. Tests Conducted: Hydrostatic Pneumatic 0 Nomiasi operatino Pressure 8 Other O PressureMt41. A _ pal Test Temp. d44 /O>.* F ,

NOTE: Supplementet sheets in form of lists, sketches, or drawir.g: rney be used,provided (1) stre is 8% in. x 11 in., (2) Informe-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet h numbered and the number of sheets is recorded et the top of this form.

(12/82) This Form (E00030) mer' be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 I

l FORM NIS 2 (Beck)

9. flemarks M

_ .h.e M._ ,e _ r. s .t. p. _ sto h,. _ h Y /b L OAWb Ata E- AANWf/Affthl(b a N AA^Cdn P AN'AL J

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urtde/

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AVhuutubwbl/ J I /

N $0 $ b$?b, Af e s hub)) <t $5d Y LHt b4 f,ihrLYi41M+xhL.

Y, & w$WY Y Yo CERTIFICATE OF COMPLIANCE II# conforms to the rules of the We certify thet the statements made in the report are correct end this ASME Code,Section XI.

Type Code Symbol Stamp NA Expiration Det, NA  !

NA Certificate of Authorization No.

/# 3 19

-( Date .

Signed l

- 3 . Ri"EISt$'eS*"*#$ EINEYiM$ int en n n e e CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the Nationel Board of Boller and Pressure Vessel inspectors and the State

  • of or Province of A rk nn en c and employed by have inspected the components described Nnrtennd . MA_

in this Owner's Report during the period 09/04/07 to M ~/ 7 ~ 8 . and state that to the test of my knowledge and belief, the Owner has performed eneminations and taken corrective meesures described in this Owner's Report in sczonience 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

.~eminations and corrective measures described in this Owner % Report. Furtherrnore, neither the inspector nor his employer shal' be liebte in any menner for any personal injury or property demoge or a loss of any kind erlsing from or connected with this inspection.

"N" . "I" . "A"  !

/

O [lfu inspectore Slanature CommissionsNationel

_ NB-994Board, 7. Ark. State,-113 3. and Endorsements Province,

' J. O. Elliott Os:elO U S - 19 Sb

  • Faceory Mutual Engineering Association .

R

FORM NIS-2 OWNER'S REPORT FOR REPAlRS OR REPLACEMENTS -

As Required by the Provisions of the ASME Code Section XI

1. Owner.,AP6L/Enterev Operations . Inc.

Name o.te [8 4 - 78 Rt. 3, Box 137G.'Russellville. AR 72801 Address Sheet ' ! of  !  !

2. Plant Arkansas Nuclear One Unit One Name >

Rt. 3 Box 137G. Russellville. AR 72801 18. OO8 psf #9 Addrosa Repelt Organization P.O. No., Job No., etc.

3. Work Performed by AP&L/Enterev Ope rations , Inc. Type Code Symbol sternp NA
      • NA Authorization No. ,

Rt. 3, Box 137G. Russellville, AR 72801 Empiration Dste NA Address

4. Identification of System 6 {[O["/
6. (a) Applicable Construction Code 19 IO Edition, 8YNA Addends, NA Code Case I (b) Applicab!e Edition of Section XI Utilized for Repairs or Replacements 19 N j
6. Identification of Components Repaired or Replaced and Replacement Components ASME Code Nationel Repaired, Stamped Manufacturer Board Other Year Replaced, (Yes Name of Name of Serial No. No. Identification Built or Replacement or No)

Component Manufacturer

[p# '

'd afu A4d ok re-ir n e F - s u s- o AJws da blbjY nHwe-is NA U-E2r M86 blausad / V 8e

7. Description of Work . >> h >M ' MItb > __ _

/

8. Tests Conducted: Hydrostatic Pneumatic 0 Nominei operatino Prossure O M M- psi Test Temp. NA- *F Other O Pressure NOTE: Supplemental sheets in form of lists sketches or drowings rney be used, provided (1) size is 8% in. x 11 in., (2) Inforrna-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered end 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 REPRINT 12/91

i I

l i

i l

FORM NIS-2 (Back)

9. Remarks M N--

Applicetp[e Manufacture #Dete Reports to t>e ettsched i

1 l.

l l

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and thiM fl nforms to the rules of the ASME Code,Section Xl. I Type Code Symbol Stamp NA NA Expiration Date NA l Certificate of Authoriistion No.

Signed "D C ~

Date /O' ,19 Desionee. Title J.R.Owner Donet or Owner'$la

- n a ce r Maintenance CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued ty the National Board of Boiler and Pressure Vessel inspectors and the State and employed by

  • of or Province of A rir nn en c have inspected the components described Harunnel _ MA-in this Owner's Report du, ring the period 05/04/47 to O ""! , and state that to the best of my knowledge and belief, the Owner has ,wriormed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of th i ASME Code Section XI.

By signing this certificate neither the inspector nor his employer makes any warrant /, expressed or implied, concerning the examinstions and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be lieb's in any menner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

O. b.lfuN Commissions NF,-994 7. Ark . -I l 3 3 . "N" . "I" . "A" Nationet Board, State, Province, and E ndorsements inspector e signature J. O. Elliott Date / O b S~ 19 03

  • Factory Mutual Engineering Association

% , . . u. . .

w +. y. #

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grs , l

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7 k D -#

es-Litt bi[-M bkkhk

'h .Mm- .end-Li 4

Q ' N e N cYear One$ sa1 E lfe 7 A'rian~e'aY 3fi6 F ' ~ ". M((!

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> ~ ese Ass a m 3/4" -

Ouest

_...._.._g5 fred. ./f'* '

s t" . Nominet ledet SW ~  %

", ~ SG.% of Vafve _ . ,,,,

,- (cf Cenecian (a) Model No (t) N Ceftificatt Holder *8Megistrabon (d) Draurin0 (f) Nat't. 10) Yeer Series No. Sofiel Ed. No., . . ,9mut No. No. (e) Cass

'#a of Type 1 N/A 1966 Clobe AIN9-2 N/A ARK 6-R9954x01-(1) N/A 1986 n p; 1

~

Globe AIN9 -* N/A ARI6-R9954XO1-(l) N/A 1986_

g 1 AHW9-ll N/A ARK 6-R9954101-(L) N/A. 1986L CF 7YX[/

A D1 Globe 1 AHW9-13 N/A ARK 6-19954K01-(1) 1956 g; F Globe AEW9-18 N/A ARK 6-R9954X01-(l) 1 N/A g_ Globe

@ Cl _-

ty; ~~-

N g _

to M _, ;

U%

i tN g, Flow Control canee onms os esmco vor erh.ch cou,om- e on,oneer O

O y o, vvve Pressure Class 600 # p; 1440 g_ - (Tempereuset 100 c.A Dessgo Cor@tions ePreneurst

7. cow Wortdng Pressure 1440 p ,; ,, g ,

S. hwe Retairnng Pieces M anuf act.sref Gemarts Material Spec. No.

Mark No.

(a) Ce+-;s N

N .o.

N  !

N N,

N w N

N '

N l c) Forgings j SA182, F316 Endicott Body - AHW

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l N m N

N

~N I

~

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0) For marwa#y operated votves ordy. . . . *A'

'h trdermetion en De form of f6sta, sketches, er drewhga may fh tbe used Med (1) site is SM a 11.

le rewced et the esped # tie Wroush 4 en ene Deta Repeet ks encduded on each arvoet. (3) erch sheet le averdwres and the norr6er o s ee s SerrM. and (4) each estettienet sheet eheft Ims eieried by the Cartificate Heider end the AMI.

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if W M h kt h 2 E

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..c ,_15B6 __ ow. -

J. Hydroststk tat _ 2175__ pw.

Du osuu wit N

cutartCATE OF sf-;"11ANCE O me rules of 1980 O we cerufy that the statements made in tNs report are correo end met this pu ,

f the ASME Code for Nwc) ear N/A Power Plant Components.

. Dete 4/18/86 Section M. Dh. l., Edit e notruct n . Code Case No. _

C Mdenda _ Summer 1982 'J d h p A > M /1 M wy s;9neo_Kerotea fg. Corp.

= cenencata eames _ to o,e gne _ _

N g ,,,;,,, 4/25/86 on.no 1902 no Our ASME Certifkate of Authorkstion No.

atts6arsCATION OF DESIGN I, ,

Kerotest Mfg. Corp.

  • l' Deergn irdormation on fWe et* Keretest Mfn. Corp. ,

h anatysis report (Class f ontyl on fue at ~

!.arry D. Young Desagn spedfications ARK certified ty (1) _ Reg. h _ 4557 PE State Robert C. Visa 111 ^-

Stress anatysis cemfied ty (v; _ 19068-E l PA _ geg, g_ ,

PE State _  :

(1) Signatute not recuired. Ust name onty. I Ct.niriCATE OF SHOP INSPECTION a d Pressure Vessel inspectorBoiler k&I C

t. the undersigned. holding a valid commission issued by the NationalReport Board on of Bode!

and the State or Province of _Pennsylvaniahave inspected the pump, or valve. described in og Hartford, Connecticut d belief, the N Certificate Holder has con.

19.1 b'.. and state that to the best of my knowtedge an WI ~

structed this pump or valve. in accordance wim the ASME Code. Sectas ist. concernmg d or implied, l By signing this certificate, neither the inspector not his ernployer makes any warra the equipment described in this Data Report. Furttermore, f m or connected i nesther the ns with this inspetanon.

enanner for any personal inkwy or property damage or a loss of any bnd aris ng ro Deh

"" # T I -- ~

b Commissions f4MVN e.

.Wl c , e b/yu o.en ea.s .

i

~

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

1. Owner AP6L/Enterev Onerations. Inc. Date b aI9" f8 Nome Rt. 3 Box 137G. Russellville, AR 72801 sheet / of /

Address

2. Plant Arkansas Nuclear Name One Unit One Rt. 3, Box 137G, Russellville, AR 72801 18. # C Ccf 9 5 f 8 9 '

Address Repelr Or0entration P.O. No., Job No., etc.

3. Work Performed by AP&L/Enterny Operations . Inc. Type Code symbot Stemp NA
      • Authorization No. NA ,

Rt. 3, Box 137G, Russellville, AR 72801 Expiration Dete NA Address

4. Identification of System U Od8-//
5. (a) Applicable Construction Code N 19 7 7 Edition, 8-/ 9[k Addende, M Code Case (b) Applicable Edition of Section XI Utdized for Repairs or Replacements 19 Pd
6. Identification of Components Repaired or Reptoced and Replacement Components l t

ASME Code i Repaired, Stemped National "

Manufacturer Board Other Year Replaced, (Yes Nome of Nome of No, identification Built or Replacement orNo)

Component Manufacturer Serial No. -

t i

/" fy 4fh >+1. b Sb NA Sib / 8W /992 $AsstM ybh6 i -

r t

i i

1 t

7. Description of Work 14tM _h ~

.46414 /A RM,

(/

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

Other O Pressure

/V8 psi Test Temp. N8 'F NOTE: Supplemental sheets in form of lists, sketches, or drewings may be used, provided (1) size is 8% in. x 11 in., (2) informe-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 obte ned from the Order Dept., ASME,345 E. 47th St., New York, N.Y. t0017 REPRINT 12/91 i

l

i i

i FORM NIS-2 (Back) ,

9. Remarks 8' Applicable Manufacturer's Data Reports to t>e attached 8

CERTIFICATE OF COMPLIANCE i ,

We certify that the statements made in the report are correct and this:N> conforms to the rules of the t ASME Code,Section XI.

'*P*#**A'*****"'

s Type Code Symbol stamp NA NA Expiration oat, NA ,

Certificate of Authorization No.

  • Date /0 1 19 E Signed '

'i Owner 6r Owner's Desiones. T ttle J.R. Douet - Manacer Maintenance 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 ,

and employed by

  • of '

or Province of Arknn cn c Nnrt.rnnd . MA. have inspected the components described l In this Owner's Report during the period 05/04/47 to- b , 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. Commissions _U B-9 9 4 7 . Ar k . -113 3 . "N" . "I" . " A" anspector's Sionsture National Board, State, Province, and Endorsements

  • J. O. Elliott Date /0/28 19 N
  • Factory: Mutual Engineering Association l

l l

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

1. Owner AP&L/Enterev Operations. Inc. Date /8 ~' #/-~ N Narne Rt. 3, Box 137G. Russellville, AR 72801 Sheet / og /

Address unit One

2. Plant Arkansas Nuclear Name One Rt. 3. Box 137G, Russellville, AR 72801 88.#COS'MS98 Address Flopair Orgenlastion P.O. No., Job No., etc.
3. Work Performed by AP&L/Enterev Operations , Inc. Type Code SymboI Stamp NA
      • Authoriastion No. NA Rt. 3 Box 137G, Russellville, AR 72801 Expiration Date NA Address
4. Identification of System 8444f>O Eb - 88-v v ,
6. (al Applicable Construction Code M/IG- 19 [v 3 Edition, Addenda NN Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_8I___
6. Identifiestion of Components Repaired of Replaced and Replacement Cornponents ASME Code Repaired, Stamped National Other Year Replaced, (Yes Name of Name of Manufacturer Board Identification Built or Repiecement or No)

Component Manufacturer Serial No. No.

E M

Anhutad Aulbl NA NN E M -18/ sq 7/ 102tainob $

b //

b N h- M B f w- /0~.5 /97/ .

/

'N

'N

7. Description of Work /t .22444#4 6 2Af42

/ ff / / /

B. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure O Other O Preiiura A/A- pai Test Tema- "A 'r NOTE: Supplementet sheets in form of lists, sketches, or drewings rney be used, provided (1) size is 8% in. x 11 in., (2) Informs.

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

(12/82) This Form (E00030) may be obtained f rom the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91

4 J

FORM NIS-2 (Back)

9. Remarks N Applicable Manufseturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE ,

We certify that the statements made in the report are correct and this_MW conforms to the rules of the

'*P#' "*P'*****"'

ASME Code,Section XI.

Type Code Symbol Stamp NA NA Expiration Date NA Certificate of Authorization No,

'"b J Date d #

19 Signed Owner or.4wner's Destones. Title J.R. Donet - Manacer Maintenance CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vesset inspectors and the State

=nd omployed by *

  • of or Province of A rle nn e n c have in ted the components described Nnrunnd. MA. '

in this Owner's Report during the period 09/04/47 to IO ~

and state that

~

to the best of my knowledge end 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 rnekes 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 Mth this inspection,

h. O. Mb CommissbnsNational NB-9947. Ark. -1133. "N"."1"."A" Board, State, Provinc'e, and Endorsements g inspector's Signature .

v J. O. Elliott Date /dbO 19 U

  • Factory Mutual Engineering Association 4

l

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

1. Ow. er AP&L/Entergy Onerations. Inc. Date /8 -8~ 78 Name Rt. 3. Box 137G. Russellville, AR 72801 Sheet / of /

Address Unit One

2. Plant Arkansas Nuclear One Name Rt. 3, Box 137G, Russellville, AR 72801 E d. O O P 9 5'f 9,7 Address Ftepelr Orgenlastion P.O. No., Job No., etc.
3. Work Performed by AP&L/Entorny Operations , Inc. Type Code Symbol stamp NA N ' "

Authorization No. NA Rt. 3, Box 137G, Russellville. AR 72801 Expiration Date NA l

Ad dress

4. Identification of System MAM/Lawwo EF/h #< tty $dtvisi (5so)

U (/

5. (a) Applicable Construction Code 8b 19 5 3. Edition, '[ )~ Addende. M8 Code Case  !

(b) Applicable Edition of Section XI Utilized for Repairs or Reple&ments 19 8 6' .

i

6. Identification of Components Repsired or Replaced end Replacement Components ASME Code Repaired, Stamped National Other Year Replaced, (Yes Nome of Name of Manufacturer Boerd or Replacement or No)

Component Manufacturer Serial No. No. Identification Built bRlbl NU NA E FH~3 /97/ S w ati $>

11 Alt dA LL NA NA N F+V - Joi-Aeol /97/ . /

inEd

//

7. Descaiption of work Y t

} ~YLt)AB1 4Ab $1_A$fs 2)111 klin. 254f

/ // / / /

8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure Other O Prei=ure "A pii Teit Tema- "# 'r NOTE: Suppiemental sheets in form of lists, sketchet, or drawings rney be used, provided (1) size is 8% in, x 11 (n., (2l (nforme-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 octeined from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12 /91

FORM NIS 2 (Back)

9. Remarks 8
  1. Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE ,

We certify that the statements made in the report are correct and thish conforms to the rules of the

P'I''P'*****"'

ASME Code, Section X1, Type Code Symbol Stamp NA NA Expiration Date NA Certificate of Authorization No, W Date O #

' 19 ~

Signed I '

'Owrier or Owner's Desionee. Title

'J.R. 1)ou e t - Mananer Maintenance 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 and employed by

  • of or Province of Arknnen e have inspected the components described Nnrunnrl. MA_

in this Owner's Report during the period M /04/47 to bY and state that to the hest of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,' action XI.

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

. . '2 Commissions _ NB-99 47 . Ark . -113 3 . "N" "I" . " A" f nspector's signsture - Nationet Board, State, Province, and Endorsements

//

V J. O. Elliott Date lOl S O 19 93

  • Factory Mutual Engineering Association

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

1. Owner AP&L/Enterev~Onerations.

Inc. cet. 7-/h 98

- Name Rt. 3. Box 137G. Russellville. AR 72801 sheet / of /

Ad dr.es Unit One

2. Plant Arkansas Nuclear Nome One Rt. 3. Box 137G. Russellville. AR 72801 I o, # OOcP955 99 Address flooeft Orgenfastion P.O. No., Job No., etc.
3. Work Performed by AP6L/Enterny Operations. Inc. Type rode Symbot Stamp NA

"*** Authorization No. NA Expiration Date NA Rt. 3. Box 137G. Russellville. AR 72801 Ad dr

4. Identification of System M8 ~ A/ OOA-8 A
6. (a) Applicable Construction Code bfd 19 48 Edition. Addende. N4 Code Cese (b) Applicable Edition of Section XI Utilized for Repairs or Reptocements 19 M[
6. Identification of Components Repaired or Replaced and Replacement Components ASME Corte Repaired, Stamped National Other Year Replaced. (Yes Name of Name of Menufactu rer Board Identification Built or Replacement or No)

Component Manufacturer Serial No. ' No.

Cosyts+ ant CCM 6 Atuiurs$ bRIb NW NA HH-13/ /978 fitnL5t/>

h.

N .

1. Description of Work k1 Y 21AAM61/' bb (Al ib NCl2

/

h b46

/ // / /

S. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure O Other O er***ur. "4 * *i Test Tema. "4 *F I

NOTE: Supplemental sheets in form of lists, sketches, or drewings rrey be used, provided (1) size is 8% in.

  • 11 in., (2) Informs.

tion in items 1 through 6 on this report is included on each sheet, and (3) eech sheet is numbered end 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 REPRINT 12/91 I l

d l

FORM NIS-2 (Back)

9. Remarks A/MI
  1. Appincebte uenufacturer's Data Reports to be attached i

CERTIFICATE OF COMPLIANCE ,

We certify that the statsrnents made in the report are correct and this AM4M conforms to the rules of the

' * * * ' ' ' ' P'***"'*"'

ASME Code,Section XI.

Type Code Symbol Sternp NA NA Expiration Dete NA Certificate of Authorization No.

4 Date /0 ,19 Lsned

-J.R Ef5d'ek*"* 5kiNeTiN$intenance l

c

' CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valki conanission issued by the National Board of Boller and Pressure Vessel insectors and the State and ernployed by

  • of or Province of Ar1rancn e _

- have inspected the components described Mnrunnd. MA_

in this Owner's Report during the period OS/00/Q7 to M ~~ # . and state that to the best of my knowledge end belief, the Owner has performed exerninetions and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing thle certificate neither the inspector nor his employer makes any worrenty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liebte in any menner for any personalinjury or property demoge or a loss of any kind erlsing from or connected with this inspection.

"N" . "I" . " A" b d. [2d Comminions NB-9 9 4 7 . Ark . -113 3 .

woriensi noere, siete, Province, and snoorsernents g J. O. Elliott inspector e sisnature cete l o / > 0 sg C3 f

  • Factory Mutual Engineering Association l

l I

l

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

1. Owner AP&L/Entergy Operations. Inc. Date /ddf" 98 l

- Name Rt. 3. Box 137G. Russellville. AR 72801 Aoorese Sheet / of 2 j 2, Plant Arkansas Nuclear One unit One Nemo Rt. 3. Box 137G. Russellville. AR 72801 18, @P 95~/J85 Addrese Rooelt Orsentration P.O. No., Job No., etc.

3. Work Performed by AP&L/Enterev Onerations. Inc. Type Code Symbol stamp NA
      • Authorization No. NA NA Rt. 3. Box 137G. Russellville. A.R 72801 Empiration Date Address
4. Identification of System Nf'A A@f 4

/

4th(C(A-Y 4CU[fC8-9\

6. (a) Applicable Construction Code Of 11 - 19_ h. Edition, Ib5 Addende, MN .

Code Case Ib) Applicable Edition of Section XI Utillied for Repairs or Replacements 19 M6 ,

6. Identification of Components Repaired of Replaced and Replacement Components ASME Code Repaired, Stemped Nationet Other Year Replaced, (Yes Name of Name of Manufacturer Board No. Identification Built or Replacement or Nol Component Manufacturer Seriel No.

^

2WJ2ddup , u

$1ukt NW NR CfM-V 7% n 13 AWnu.d ,

IY$)ddw /fS&al NR- NA CeWe eB- 9b M93 Afu/ & Yh IW J$k 4G/an NR N A- ON-/5 NA Aalut/s flft IVi h M/w, 93/in-l on DH-/2 nts lusod 1Ao l'5 4$

/ MAto NA NS 0U- /h NR h/ nub _,

1, Descrlption of work D. ~ $ AhtbHAAM/s LtLAM oL At tb C 9'A/A '

YWY ,

// W /

8. Tests Conducted: Hydrostatich Pneumatic 0 Nominal Operating Pressure O Other ] Pressure // 9 8 _ psi Test Temp.[AsA 8A4. ' F NOTE: Supplemental sheets in form of lists, sketches, or drawings rney be used, provided (1) stre is 8% in. x 11 in., (2) Informs.

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

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

REPRINT 12/91 i f

I

1 FORM NIS 2 (Back)

Yll~ Y A/ Af 1/# ,

p.m.h,.4e-.c , ;s o.co,,

9. Remarks he ._h M 2 AlALE1 Awnt 4f.CX < A D 4/- h

/

A M /

M A.

CERTIFICATE OF COMPLIANCE We certify that the stetements made in the report are correct and thin AJ"M If u'14t conforms to the rules of the

~

'*Pb' P' *****nt ASME Code,Section XI.

Type Code Symbol Stamp NA NA __ Empiration Date NA Certificate of Authorization No, _

" C Date /0 ~2. L gg D Signed J . Ri"El50'eY""* $1EEa cYi3$ int e n a n c e CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding e valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State

  • of or Province of A virn n en e .nd employed by have inspected the components described Mnrtennri _ MA_

in thl Owner's Report during the period _ 09/04/47 to M ~/b N . and state thet to the best of my knowiedge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing thit 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 liebte in any menner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

"N" . "I" . " A" hA [ Ed inso.ctor e sinneture Commissions _NB-9 94 7 . Ar k . -I l 3 3 .

nation.i soord, state, erovine., sno e ndoreements

.g J. O. Elliott Date N& 19 93

  • Factory Mutual Engineering Association .

O l.

dupplement dneet

' FORM NIS 2 OWidER'S REPORT FOR REPAIRS OR REPLACER 4ENTS As Required by the Provisions of the ASME Code Soction Mi i

1. owner AP&L/Entergy Operations. Inc. oste M -/9-78 Name
  • Rt. 3, Box 137G, Russellville, AR 72801 Sheet of Ad dr ess
2. Plant Arkansas Nuclear One Unit One Name Rt. 3. Box 137G. Russellville, AR 72801 28, 60 P95~/64 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed by AP&L/Enterny Operations. Inc. Type Code Symbol Stamp NA Authorization No. NA Rt. 3, Box 137G, Russellville, AR 72801 Expiration Date NA Address 4 Identification of System f

{OOM~'/@ DOM /

/Od8-7}

5. (a) Applicable Construction Code- < 192[ Edition, e Addenda N/M Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacement 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) lYi $$ 46 fan var 1-a n DH-/6 /91.1 2n/d 4/10v

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v

FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES'

/ As Required by the Provisions of th) ASME Code, Section til Division 1 ,,,,,,931189

1. Menutacturen end certsteed by !D lM.2HfOh/ inarne end soo, s MW.M',e of a C.n,f.ca W

W,/Asd $ M U

2. Manutactured for #7 7#//4 V ~

S /# # 4 77 N aname and scorees of Purcnesen

3. Location of instattation M /[# # SA S Ad'#/eW4 #W#

/

//.s ro w pj"n y,=::"r":,'aw- #

4. Moosi No., Senes No. of Type C#N Drawing //- 74 5"#0*JFRev. O CRN dZ. M m/O
  • 5. ASYE Code. Sectson ill, Division 1:  ! #### / WM imortsoni (adoenas omtal ictases iCoos Caso no.f
6. Pump or veive I IM Norninal intet size / Outlet size
7. Matenal: Body / T# DW MWM Bolt #

. (b) (c) (d) (e)

(a)

Cert. Nat'l Body d Disk Holder's Board Senal Senal Senal Senal No. No. g No. No. g/g No.

n/d Af /s v g A 4ej p (NW-IR Y3 // H- /

93/Mf-L "/A Af JAM A 429 (DH-/6 r - -_s .____ ~ --

a.

l l

  • Supo.ementsi etermeteon in term of hsts. smotenes. or crawings may ce useo proviceo til s re is 8 3 x 11. [21 mfoesoon m stems 1 intougri 4 on tms Daia Report is mciuoea on eacn sneet. s2 esen sneet is numoereo and the numoer of sneets is recoroso et the tes o' tms form.

412 88: TNs term iE000371 -sv ee cataineo from ine Order Dept. ASME. 22 Law Dewe. Oos 2300 8eMeo NJ 07007-2300.

a. _. .

FORM NPV-1 (Back - Pg. 2 of I g Certificate Holder's Senal No. hhf[ O

8. Design conditions O psi /OO *F or votve pressure class NO III

...s , ,,.m .tw.,

9. Cold working pressure 8880 psi at 100'F
10. Hydrostatic test /OOIO psi. Disk differential test pressure YI psi 1611. Remarks: I#MIMI MMT #S#d'~ S W 77ov E f.d/ &w : // 79 ALUFNbA : A/MF i

CERTIFICATION OF DESIGN Design Specification certified by NMd P.E. State dd8 Reg.no. 3 0 0 3 N Design Report certified by EIM/M#V P.E. State NM Reg,no. I I M S CERTIFICATE OF COMPUANCE l

We certify that the statements made iri this report are correct and that this pump or valve conforms to the rules for construction of the ASME Code. Section lit. Division 1,

- Expires N Certifica e of Authorization No Date / /0- JName #M signed Y -

> ,~ c c . _ , .._.i... ....g .,

s

=

CERTIFICATE OF INSPECTION 1, the undersigned, holding a validjommission assued by the National Board of Boilerg Pressure Vessel inspectors and the State or Pr nce of .. w M and employed by E of . 2 '

'* ave inspected the pump, or valve, described in this Data Report on .

N *OM* [ , and state that to the best of my knowiedge and belief, the Certificate Holder has cork &

structed this pump, or valve,in accordance with the ASME Code, Section lit. Division 1.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or emptied, concerning the component described in this Data Report. Furthermore, neither the inspector nor bra employer shall be liable in any manner for f

,d with this inspection.

  • any personalinjury or property damage or a losuf any kind ansing from or conn.

Date b ~ Signed -

xW~ Commissions V 1Nat'l Bd. Imcl. .nco.s.mentsi and state or prov. and no.)

[ fRtagi..dinso.ctedM F

{1) For manually operated vatves only. 7 e-

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

1. Owner AP&L/Enterev Onerations.

-- Inc. Dete /O-4-78 -

- Nom.

Rt. 3 Box 137G. Russellville, AR 72801 sheet / of /

Addre.e unit One

2. Plent Arkansas Nuclear Name One Rt. 3. Box 137G. Russellville. AR 72801 1 8. OC 89J5~6 66 Address Repair Oreenlastion P.O. No., Job No., etc.
3. Work Performed by AP&L/Entersty Onerations. Inc. Type Code Symbol stamp NA

"*** Authorization No. NA -l NA Rt. 3. Box 137G. Itussellville. AR 72801 Expiration Date Addr

4. Identification of System WM " A> { OOO

/ O 19 MY Edition, d' A 8A Code Case

5. (e) Applicebte Construction Code Addende_

(b) Appilceble Edition of Section XI Utilised for Repairs or Replacements 19 N

6. Identification of Components Repelred or Reptoced and Replacement Components ASME Code Repaired, Stamped Netional Other Year Replaced, (Yes Nems of Name of Manufacturer Board Identification Built or Replacement or No)

Component Menufacturer Seriet No. No.

MU-259- E Cymf-11ManI bMlb Al A- H/3 NO/O /979 hut <t5d 'N2-E ' '

Ofhysed M M -259-21wesn / l$u b NA NA Hp// /970 foraduf,

$F (jfytpriaf MU-/s?- E DAJ1 AA f .

It AlA NA HM9 /970 (Ecraidtl

/

'/lP

/ *'

N

7. Description of Work M/ -2/>MMM - d 4 b . // b f 16/A tt/ 1h M.

/ H B. Tests Conducted: Hydrostetic Pneumatic Nominel Operating Pressure O Other Pressure N M psi Test Temp. NA 'F NOTE: Supplemental sheets in form of tists, sketches, or drewings mey be used, provided (1) size is 8% in. x 11 in., (2) Informe-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 et the top of this form.

(12/82) This Form (E000301 mey be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91

FORM NIS 2 (Back)

9. Romerks M

.oonceoie . t t.,. s o. norts .o h. en s

  • \

1 l

CERTIFICATE OF COMPLIANCE ,

l We certify that the stetements made in the repora are correct and this MMM' conforms to the rules of the

'***I'4*8'**"*"'

ASME Coos, Section Xl.

1 Type Code Symbol Sternp NA Expiration Date . NA Curtificate of Authorization No, NA Sigrw.d d # Date N5'

,19 Des 6cnee 17.R.Owner er Ovyner'$

Dodet - a n a c e r. T ttleMaintenance CERTIFICATE OF INSEFVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State and omployed by

  • of or Province of A rk an e n c

_have inspected the components described Mnrt.7nnet . MA.

in this Owner's Report during the period 09/04/47 to_ Mdb _ end stete that to the best of my knowledge end 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 thl Owner's Report, Furthermore, neither the inspector nor his employer shall be liebte in eny menner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection.

. b, Nu CommissionsNational NB-994 7. Ark. -1133. "N" "1" ."A"

' Inspector's signature Board, State, Province, and Endorsements J. O. Elliott Date /d M O 19 93

  • Factory Mutual Engineering Association ,

i l

l i

1 l

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

1. Owner AP&L/Enterey Operations . Inc. Date / O ~~ 8 ' N

- Name Rt. 3. Box 1370. Russellville. AR 72801 sheet / of /

Address 3, Plant Arkansas Nuclear One unii One Name Rt. 3. Box 137G. Russellville. AR 72801 10, ~ CO cf Ed 6 6 u+en neoeir orseninetten c.o. No., son u... .es.

3. Work Performed by.AfEL/Enterav Onerations. Inc. Type Code symbos stemp NA

"*** Authorization No. NA Rt. 3. box 137G. Russellville. AR 72801 Empiration Date NA Address

4. Identification of System I2 /-

/

A/ Cd8-7)

6. (*) Applicable Construction Code ff' 19dEdition, N 4- Addende- N4 Code Cass (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 N
6. Identification of Components Repelred or Reptoced and Repiscement Components ,

ASME Code Repaired, Stemped National Other Year Replaced, (Yes Name of Name of Manufacturer Boerd Identification Built or Replacement orNo)

Component Manufacturer Serial No. No.

" A N' OM'fAo*' -

l1lA Yk M. $0 n bl<d) Fis r7- 1-/ ft A 0 (/- / /-// h /993 kA/meid/ NM v

' v

\

\ -

7. Description of Work Mff>AF M M 2^d,
8. Tests Conducted: Hydrostatic E Pneumatic 0 Nominei caeratiae Pressure O Other O Pressure 26'60 psi Test Temp. [' T O 'F NOTE: Supplemental shoes in form of lists, sketches, or drewings may be used, provided (1) stre is 8% in. m 11 in., (2) Informe-tion in items 1 through 6 on this report is included on each sheet, and (3) sech sheet is numbered and the number of sheets is recorded at the top of this form.

(12/82) This Form (E00030) may tw obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91

FORM NIS-2 (Back)

e. Romerus NPY-/ Gbtcdd L win m /a Appdeble Menufacturer's Dets Reports to be attached CERTIFICATE OF COMPLIANCE N" conforms to the rules of the We certify that the statements made in the report are correct and this,Mif

'*d*"**'***"'*"*

ASME Code,Section XI.

Type Code Symbol SW NA g,pirst;,n p,ee NA NA Certificate of Authorization No.

Signed ' b b(W t b b'1 YN $- /4 Data b## ' b 19 49

-J . RNEt$'ek""* $EENrNa1/tenance CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel of Inspectors and t and employed ty

  • or Province of A rir a n e n e have inspected the components described Mnnynnel MA -

in this Owner's Report during the period OS/00/47 to /O ~/ b U . and state that to the best of my knowtedge end 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 thit osrtificato neither the inspector nor his employer makes any warranty, expressed or impiled, concerning the examinesions end corrective rnessures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liebte in any menner for any personal Irdury or property demoge or a loss of any kind arising from or connected with this inspection.

"N" . "1" . " A" b b [ _'-[be inspector s signature Commissions _. NB-9 9 4 7 . Ark . -I l 3 3 .

National Board, State, Province, and Endorsements J. O. Elliott .

osie /A /6- is /3

  • Factory Mutual 2ngineering Association .

1 l

FORM NPV-1 CERTIFICATE HOLDERS' DATA REPORT FCR NUCLEAR PUMPS OR VALVES

  • As Required by the Provisions of the ASME Code, Section Ill, Division 1 Pg. of
1. u. nut.ctured nd e.rtified by Anchor / Darling Valve Co. , 701 First St. , Williamsport, PA 17701 (nam. and addr of N Carufic.t. Hood.r
2. u nufactured for Enteroy Operations Inc. , Route 3, Box 137G, Russellville, AR 72801 (nam. .nd .ddr. of Purens r or Own.ri
3. toe. tion er inst n tion Arkansas Nuclear One, South of 64W & 333S,Russellville, AR 72801 in.m. .nd .ddr.=>
4. Model No., Sene. No., or Type Gb Drawing W9324040 ney. A CRp N/A
5. ASME Code. Section Ill. Division 1: 1989 N/A 2 N/A t.eooni t.ddanda decei teams icod ca.no.:
8. Pump of valve VaIve Nominalinlet siz= I-I/2" Outlet size 1-1/2" un.: tin.
7. Material: Body SA351-CF8M Bonnet N/A oingA747-CB7-CV1-1WQng N/A i

(s) (b) (c) (d) le)

Cert. Nat'l Body Bonnet Disk Holder's Board Senei Senal Serial Serial No. No. No. No. No.

ET557-1-1 N/A 2 N/A Heat #19549 I

l -.

l suom.m.mw worm.non in vorm or ii.t .k icn... or dr.wme. m., n. u d provus.d cii .ir. i a w x i t. (2) in#orm.non in it m. i enrouan 4 on n. o.t. a.oort i. .nciud.d on ..cn n t. (3) ..en n t .. numtw.o nd tn. numo., of n t. la r. cord.d at in. top of ene. eorm.

! (12/861 The. form IE00037: may be obt.ined from tn. Ord.r D.pt.. ASME,22 Law Onv. Box 2300. F.wfi.ed. NJ 07007 2300.

FORM NPV-1 (beck)

8. Remarks
9. Design w .- e 3500 psi 300 *F or valve pressure class 1878 (1)

(preesure) (temperature)

10. Cold working pressure 4507 psiet3oo.p 11, :V- m tut 6775 poi, oisk diere,entwl tut premure 4958 psi CERTIFICATION OF DESIGN Dnion sp.crnestion certmed by Wi11iam R, Rowlett P.E. stm AR aeg, no, 6436 ouign neport eertmed by Ronald S. Farrell P.E. state PA geg,no, 35216-E i

CERTIFICATE OF SHOP COMPUANCE We certt*y that the statements made in tNs report are correct and that tNs pump or valve conforms to the rules for construction of the ASME Code, Section lit, Division 1.

N Certifieste of Authortistion No N1712 g,piree 4/15/95

o. f!J/93 y,me Anchor / Darling Valve Company,gneo (N Cartrneste Hoaderi
  1. 9' - h (authorned representsovel CERTIFICATE OF SHOP INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the stm astimaem o, _ Pennsylvania and ompioyed byCommercial Union Ins. Co.

of . Boston. Mass- have inspected the pump, or valve, described in tNs Data Report on b ~3 ,19 N , and state that to the best of my knowledge and belief, the Certificate Holder has constructed tNs pump, or valve in accordance with the ASME Code, Section lit. Divisaon 1.

By signmg tNs certificata, neither the inspector not Na employer makes any warranty, expressed or implied, concoming the component cesertbed in this Data Report. Fwirsgee, norther the inspector nor No employer shell, be liable in any manner for any personalir$sy of property dem or o any kind arising from or connected with tNa inspection.

  1. Pennsylvania 2392 Date Signed - /2/M4 Commissions ggggpl/ (Nat'L Sd. linct, endorsernental state or prov. and no.1 V '/

(1) For manually opersted valves only.

i i

FORM NIS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1, Owner _ AP&L/Enterev Operations . Int- Date 7 7 3 I M> @#8- M

- Name Rt. 3. Box 137G. Russellville. AR 72801 sheet / of cl Address 2, Plant Arkansas Nuclear One Unit One Nome Rt. 3. Box 137G. Russellville. AR 72801 J />, OO cP 9f'9 7f Mopelt Organisetton P.O. No., Job No., etc.

Adorees

3. Work Performedby AP&L/Enternv Operations. Inc. Type Code symboi stemp NA

"*** Authorization No. NA NA Rt. 3. Box 137G. Russellville. AR 72801 Empiretion Date Addrese ,

4. Identif!cetion of System A4 M 44>

6, (e) Applicable Construction Code /Yb 19/t[ Edition, [.A ~

Addende. NA Code Case (b) Appilcable Edition of Section XI Utilized for Repairs or Replacements 19 OIt

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

Component Manufacturer Serial No. No.

E

.. /

/

WP

1. Description of Work.jhts'brid> AcMkteUY Y. l'Lttxt.Y AA1.u.SbfL (XL At t'ss/td. ,
8. Tests Conducted: Hydrostetic Pneumatic O Nominal Operating Pressure O "A asi Te t Temo. "4 'F Other O Pre >>ure NOTE: supplemental sheets in form of lists, sketches, or drewings rney be used, provided (1) sire is 8% in. x 11 in., (2) Informe.

tion in items 1 through 6 on this report is included on each sheet, and (3) sech sheet 16 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 REPRINT 12/91

FORM NIS 2 (Back)

9. Remarks NN' Applicable Manufacturere Data Reorts to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this j * ~ nforms to the rules of the

'**N'"'***"'*"'

ASME Code,Section XI.

Type Code Symbol Stamp NA NA Expiration Date NA Certificate of Authorization No.

/M '

  • # Date 19 Signed

- J . Ri*Et$'eI"*3 sea *EYid$ i nt en anc e CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission lem ed by the National Board of Boiler and Pressure Vessel inspectors and the State and employed by.

  • of or Province of A rk n n a n c have inspected t,pe components described Nnrtannd. MA_

in this Owner's Report during the period 09/00/07 to M *~ / b and state that to the best of my knowledge end 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 certificato neither the inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and correctlw rnessures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liebte 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" . " A" -

h. / dub Inspectors Slanature Commissions National

_ NB-994 7 . Ark. -113 3.

Board, State, Province, and Endorsements

//

v J. O. Elliott Oete /o /4 o 19 93

  • Factory Mutual Engineering Association .

9 1

dupplement dneet FORM RIS,3 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Proeisions of the ASME Code Soction XI

1. owner lP6L/Entersv Operations . Inc. page 9-9-93 us 7 -@-9 3 N. .

Rt. 3, Box 137G, Russellville, AR 72801 shee, A of 2 Address

2. Plant Arkansas Nuclear One unit One Name Rt. 3. Box 1370, Russellvillea AR 72801 10. C OcP 73~ 9 7 f Ad dress Repolr Organia atton P.O. No., Job No., etc.
3. Work Performed by AP&T,/Enterr'y Operaeions. Inc. Type Code symbot stamp NA Nonio Authorization No. NA Rt. 3 Box 137G, Russellville, AR 72801 Expiration Date NA Address
4. Identification of System M O
5. (a) Applicable Construction Code M/ d 19 d Edition, M Addenda, 84 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80'
6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stemped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, identification Built of h* placement or No)

NR W 8 ,r- // S r / 915 4LLL ll> r 77 F/F77

.1GM 46-

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

1. Owner AP&L/Enterev Onerations. Inc. Date 8 d~ U

~ Name Rt. 3 Box 137G, Russellville, AR 72801 Address sheet  ! of [

2. Piant Arkansas Nuclear Name One Unit One Rt. 3, Box 1370. Russellville, AR 72801 18,#OO 8 76 f/ 9 Address Repelt Organisetion P.O. No., Job No., etc, 3 Work Performedby AP&L/Enterny Operations. Inc. Type Code symboi siemp NA
      • Authorization No. NA Rt. 3, Box 137G. Russellville. AR 72801 Expiration oate NA Ad dre
4. Identification of System " > 88"

/

5. (a) Applicable Construction Code /5O 19 68 Edition,

[j Addenda, NM Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 Mb

6. Identifiestion of Components Repaired or Replaced and Replacement Components ASME Code Repaired, Stamped National Other Year Replaced, (Yes Name of Name of Manufacturer Board No, identification Dullt or Repiscement orNo!

Component Manufacturer Serial No.

nu-ros- E Ch U.*.K8A@f N Nb~ N/) ll00l /VIO &, DN f,

1. Description of Work / bA)(AKA/ tXAL$) - 1 L4. b Alfa 4f"22A.M

~

// //

8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure O A'# asi Teit Tema- "A

Other O ereiiure NOTE: Supplementet 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 (EOOO30) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y,10017 REPRINT 12/91 l

t

FORM NIS 2 (Back)

9. Remarks N!M .

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE ,

We certify that the statements made in the report are correct and this MN conforms to the rules of the

P*#*'D'***"'*"*

ASME Code,Section XI, Type Code Symbol Stamp NA NA Expiration Det, NA Certificate of Authorization No.

Date 19 Signed J. RO* 5 TIN""* EtSINc"Ei-l$intenance 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 and omployed by

  • of .

or Province of Arle nnenu have impected the components described Nn rten n ri . MA_

in this Owner's Report during the period R S /f14 / Q 7 to_ /d~/Y~YI . 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 liebte in any menner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

. . CommissionsNational NB-9947. Ark.-1133. "N"."I"."A" Board, State, Province, and Endorsements g J. O. Elliott inspector's signsture Date /Obd 19 93 ,

  • Factory Mutual Engineering Association-F

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1 Owner AP&L/Enterev Operations. Inc. oste P -D- 98 Name Rt. 3, Box 137G, Russellville AR 72801 Sheet / of /

Address

2. Plant Arkansas Nuclear Name One Unit One Rt. 3, Box 137G. Russellville, AR 72801 Id OO 89dS/ 9 Address Repelr Orgentration P.O. No., Job No., etc.
3. Work Performedby AP&L/Enterny Operations, Inc. Type code Symbot stamp NA

"*** Authorization No. NA Rt. 3, Box 137G, Russellville, AR 72801 Empiration Date NA Ad dres

4. Itsentification of System TNA " 1 668-
5. (a) Applicable Construction Code MO 19 [I Edition, M~ Addenda, NA Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Reptocement: 19 <Pfs
6. Identification of Components Repelred or Replaced and Replacement Components 1

' ASME Code i Repaired, Stamped National Manufacturer Other Year Replaced, (Yes Name of Name of Board Identification Built or Replacement ofNo)

Camponent Manufacturer Serial No. No.

+

2 Al Af/% NA NU42b}lO02 l 18 &kt)6 h,

// / . ,

1. Description of work  ! b22AX/St.

~ H 0 5 bl /fLLA

                                                                                                    '/     /
                                    /

B. Tests Conducted: Hydrostatic Pneumatic 0 Nominei Operatina Pressure Other Pressure NA psi Test Temp. NA 'F 1 NOTE: Supplemental sheets in form of lists, sketches, or drawin;p may be used, provided (1) alze 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 la recorded at the1op 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 REPRINT 12/91

A _. of FORM NIS 2 (Back)

9. Remarks N!N
                             #                  Applicable Manufacturer's Dets Reports to be ettsched CERTIFICATE OF COMPLIANCE                       ,

conforms to the rules of the We certify that the statements made in the report are #' correct and thisM'*' '*D****"' ASME Code, Section XI. Type Code Symbol Sta 1p NA NA _ Expiration Date NA Certificate of Authorization No.

                                       '                                                                /                19 Signed        /                                                               Date Omineror Owner's Desiones. Title J.R. ifou e t - Manneer Maintenance CE RTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid oammission issued by the National Board of Boiler end Pressure Vessel Inspectors and
                                                                                                                         '  the State and employed  by
  • of or Province of A rk nnen n Nn rtannel . MA. have inspected the components described in this Owner's Report during the period 05/04/47 to /8 b . 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 cwtificate neither the inspector nor his employer makes any warranty, expressed or implied, concerning the , examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this , inspection,

         *
  • Commissions NB-9947. Ark.-Il 33. 't" "I"."A" National Board, State, Province, and Endorsements 6

inspector's Signature ' (/, J. O. Elliott Date / d!.2 0 19 i 3

  • Factory Mutual Engineering Association

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

1. Owner AP&L/Enterev Onerations.
                              ~~                          Inc.                oste      /O-7          #/ 8
          =                            Name Rt. 3. Box 137G. Russellville. AR 72801                                   Sheet         /    of        /

Ad dress Unit One

2. Plant Arkansas Nuclear Name One Rt. 3. Box 137G. Russellville. AR 72801 T O. 0894807 Adoroes Rooeft Orgenfretion P.O. No., Job No., etc.
3. Work Performedby AP&L/Entergy Operations. Inc. Type Code Symbol Stamp NA
                                               "***                                                         NA                          -:

Authoriastion No. _ NA Rt. 3. Box 137G. Russellville. AR 72801 Expiration Date Addr

4. Identifketion of System f~ d 008~ f B. (a) Applicable Construction Code e l 19dEdition NO Addende, NM Code Case (b) Applicable Edition of Section XI Utillied for Repairs or Replacements 19 N
6. Identification of Components Repelred or Replaced and Replacement Components ASME Code Repaired, Stamped National Other Year Replaced, (Yes Name of Name of Manufacturst Board Identification Built or Replacement or No)

Component Manufacturer Serial No. No. Jk" is NA Aulaud, $M>

      $lt wt                      b4D               00&              /VA        0 0 - /2 3 V                   '

W de . y J4 '/g(" k4' &ar 'tda7 E7- sss..?-l NM 6 t/-/23 4' MM Gsy/sud ' 4]e W W

1. Description of Work fU h) AM (TAW) A M Alb HM > _b &,
                                                                       '                                 /

B. Tests Conducted; Hydrostatic h Pneumatic 0 Nominal Operating Pressure Other O Pre ==ure 3 er o.rpsi vest Temp. Ad - P NOTE: Supplemental sheets in form of lists, sketches, or drawings rney be used, provided (11 size is 8% in. x 11 in., (2) informe-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 et the1op of this form. 112/82) This Form (E00030) may be obtained f rom the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91

FORM NIS-2 (Back)

9. Remarks N P lt- l (W/Kr)rds )n fb mrbsw,mf mLe
                                                                                .,-. . stu,.,.s o.t. . ort. 6. .tt.ch.d l

l l CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this A#// 34('4MIA' onforms to the rules of the ASME Code,Section XI. i Type Code Symbol Stamp NA NA Expiration Date NA Certificate of Authorization No. C Date N 7 19 3 Signed

         ~J.R N I$0'eE*"*#$EEac"O l*aintenance                                                                                                                                                               I CERTIFICATE OF INSERVICE INSPECTION l the undersigned, holding a valid commission issued try the National Board of Boller and Pressure Vessel Inspectors and the State and employed by
  • of or Province of Ar1ranen c have inspected the components described Nnrunnel_ MA.

in this Owner's Report during the period 09 /00 /Q7 to N ~ 8' N _ and stets that to the best of my knowledge and belief, the Owner has performed exarninetions 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 erlsing from or connected with this inspection.

           < C-[N4        Inspector's signature CommissionsNationet NB-9 94           7. Ark. -113 3. "N" . "I" . " A" Board, State, Province, and E ndorsemente
    //

v J. O. Elliott o.ie /d/M 19 93

  • Factory Mutual Engineering Association .

FORM NPV 1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES' - As Requir:d by the Prsvi; ions cf the ASME Cod , Section lit, Division 1 vs Pg. of

1. Manufactur d and eertified by Anchor / Darling Valve Co., 701 First Street. Williamsport, PA 17701 in.me .nd address of u c.mt.c.c. ud.,,
2. Manuf etured for Entergy Operations, Inc., Rt. 3 Box 137G, Russellville AR 728Q1 (nome and address of Purchaser or Ownerl
3. Location of insteiistion Arkansas Nuclear One, So. of Jct. of Hwy. 64W & 3335 Russellville, AR in.m. nd addre.s> 72801 Drawing W9324038 N/A 00 B
4. Model No., Series No , or Type g,,, CRN
5. ASME Code. Section 111, Division 1: 1989 N/A 2 N/A tedreioni saddenda detel telasst scode Case no.)
6. Pump or velve Valve Nom 6nal inlet eiza 2-I/2" Outlet size 2~l/2" lin.) On.)
7. Material: Body SA351-CF8M eonne, SA182-316L o;,g SA182-F347 ,,,13n, N/A tal Ibl (c) id) tel Cert. Nat'l Body Bonnet Disk Holder's Board Senal Serial Serial Sedal No. No. No. No. No.

E-T555 2-1 N/A 1 Heat #H7774 1&2 f L

  • Supplemental informanon in form of tests. sketches. or drewmos may be used provided (11 size is 8% x !1. (2)informargm in' items 1 through 4 on ttus Osta Report is included on each sheet. (3) each sheet is numbered and the number of sheets as recorded at the top of this form.

(12/88) This form (1000371 may be obtemed from the Order Dept.. ASME. 22 Law Drive. Box 2300. Fearfield, NJ 07007-2300. N N-i I l l

1 FORM NPW1 (back) {

s. Remark. Gasket Retainer SA240-316 I
9. Design conditions 3142 psi 250 ., o, v iye pre,,ure cios. M gii (pressurel tiemporeturel
10. Cold working pressure 3840 ,,i,,3oo,,
11. Hydrostatic test 5776 ,,,, oi,x d3,,e,entjoite,tp,e o u,, 4300 J

l CERTIFICATION OF DESIGN l

                                                                                                                                                            ~

oesign specification eertified by William R. Rowlett P.E. state Arkansas Reg. no. 6436 Design Report certified by Ronaid S. Farrell P.E. state PA Reg,no 035216E  ; 1 CERTIFICATE OF SHOP COMPUANCE We certify that the statements made in this report are correct and that this purno or valve conforms to the rules for construction of the ASME Code. Section ill. Divisen 1. I N Certificate of Authorintion No N1712 g,,i,,, 4/15/95 I oase bN N ma Anchor / Darling Valve Company signed Y " lu ceninesie w.,i iaumomea repr..em.tiv.i CERTIFICATE OF SHOP INSPECTION

1. the undereigned, holding a vahd commission issued by the National Board of Boiler and Pressure Vessel inspectors and the state XMMEMM o, Pennsylvania and employed by Comnrcial Union Int %,

o Boston, Mass. have inspected the pump, or vatve, described in this cate Report or. l J9 7'Y .19 M, and state that to the best of my knowledge and belief, the Cartificate Holder has constructed this pump, or valve. in accordance wrth the ASME Code. Section 111. Division 1. l I Sy signing this certificata, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the component described in this Data Report. Furthermore, neither the inspector nor his employer shall be hable in any manner for any personalinjury or property me loss of any kind arising from or connected with this inspection. i Date Signe _ N N Commissions Pennsylvania 2392 gg'g pef g erl [ . [Nat*L Bd. linct endorsements) state or prov end no.] V / (13 For manustly opereted volves only. 8%

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI t, Owner AP6L/Enterev Operations. Inc. Date /8- F 78

          -                             Name
                                                                                              /     of          /

Rt. 3. Box 137G. Russellville. Adees. AR 72801 Sheet 2, Plant Arkansas Nuclear One Unit One Name Rt. 3. Box 137G. Russellville. AR 72801 1M @ 894 808 Address Repelr Orgentretton P.O. No., Job No., etc.

3. Work Performed by AP&L/Enterny Operations. Inc. Type Code Symbol Stamp NA
                                                  ***                           Authoritetton No.             NA Empiretion Date               NA Rt. 3. Box 1370. Russellville. AR 72801 Address
4. Identification of System f// - /h (804)
                                                .                                   A' NA
5. (a) Applicable Construction Code M/IO 19 88 Edition, Addende; Code Caos (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 <PS
6. Identification of Components Repelred or Replaced end Replacement Components ASME Code Repaired, Stamped National Other Yeer Replaced. (Yes Nome of Name of Manufacturer Board Identification Built or Replacement or No)

Component Manufacturer Serial No. No. N if- A 51- E

   %yd                                                                            HCC3                         (/!wUp', '}b-Annaut/                AuAN/                       NA-             NA M tj ~ Af f~
                                                                                                       /970 E        /               '

s AWA SL ' b1154 NA NA H M .s~ /970 $cretM

                                                                                                                  /

h-N

                   'N                                                                                                                      :
1. Description of Work $ t th.b 11L4A44 &s ~AY1L/ Aft / $

M

                                  /               "                                                            /
8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure O A/A psi Test Temp. NA 'F Other O Pressure NOTE: Supplementel sheets in form of lists, sketches, or drawine rrey be used, provided (1) size is 8% in. x 11 in,, (2) Informe-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. 112/82) This Form (E00030) may tw obtained from the Order Dept. ASME,345 E. 47th St., New York, N.Y.10011 i REPRINT 17/91

l I i j i FORM NIS.2 (Back) l

9. Remarks 8 Applicable Manufacturer's Data Reports to be ettached l

CERTIFICATE OF COMPLIANCE , We certify that the statements made in the report ers correct and this. A MMMM> conforms to the rules of the

                                                                                   '*W'"**'***'"*"*

ASME Code, Section XI. Type Code Symbol Stamp NA Expiration Date NA Certificate of Authorization No. NA

                                     "      ~

Date _ / -' ' 19 Signed , r or Ownenbesionee. Ttne

        'J.R.OwTouet - Manacer Maintenance CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Doller and Pressure Vessel inspectors and the State and employed by
  • of or Province of _ Avknnan e l ha re inspected the components described Nnrvnnd. MA.

in this Owner's Report during the period 05/00/07 to_ M.N" N and stets that to the best of my knowledge end belief, the Owner has performed ereminations and taken corrective measures described in this l Owner's Report in accordance with the requirements of the ASME Code, Section XI. j By signing this. certificate neither the inspector nor his employer makes any warranty, expressed or implied, concerning the l examinettons and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any menner for any personalinjury or property damage or a loss of any kind erlsing from or connected with this inspection. i "N" . "I" . " A"

9. C. U4inspector's Signature CommissionsNationalNB-9 94 7. Ark. -I l 3 3.

80 erd, State, Province, and Endorsements g J. O. Elliott Date /OMO 19 93

  • Factory Mutual Engineering Association ,
                                                                                                                                      - ~

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

1. Owner AP&L/Enterev Ooerntions . Inc. Date /O ~/ - 78
         -                            Name Rt. 3. Box 137G. Russellville.                    AR 72801                sheet         /    of            /

Address unit One

2. Plant _. Arkansas Nuclear Name One Rt. 3. Box 137G. Russellville. AR 72801 1 8. 00894808 Addrew neo ir orsenisetton P.O. No., Job No., etc.

Type Code symbol stemp NA

3. Work Performedby AP&L/Entersty Operations. Inc. -
                                               ***                           Authorization No.             NA NA Rt. 3. Box 137G. Russellville. AR 72801                                 Expiration Date Addr
4. Identification of System AA6- /'/ t'8-Y
6. (e) Applicable Construction Coe f IIIb 19 MT Edition, f[r Addende, /VN Code Case (b) Applicable Edition of Section XI Utilized for Repeirs or Replacements 19 <P 6
6. Identif 6cetion of Components Repelred or Replaced and Replacement Components ASME Code Repaired, Stamped Netional Other Year Replaced. (Yes Name of Name of Manufacturer Board Identification Built or Replacement or No)

Component Manufacturer Serial No. No. o7" b hlh hbbd l0 LNL JO l? 7WN AfA D(/- /.20 b ' - audwv Mut 2"sfNo. AS $0A fvNC E7 SS5-/-I Nh du-/204 /993 fulne.,at i v v N

1. Description of Work f) kit AML M anki AfRbuf/h - M ,

l

                                                                 /                           l 8, Tests Conducted: Hydrostette h Pneumatic 0 Nominal Operating Pressure Other O Pressure N/8 pel Test Temp. A+H                     -    'F I

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) stre is BM in. x 11 in., (2) Informe-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 et 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 REPRINT 12/91

FORM NIS 2 (Back)

9. Remarks N U" l 0 h AlfYMA4M/4 facturer's ost[neports to be ettech M o Applicetde Ma ,

4A'E AllA+t M L /* If - } 2 0 b A A0 . A M ttL' Y M W

                                           /

fM . AL$ . , NU r CERTIFICATE OF COMPLIANCE 1 +"1 conf orms to the rules of the We certify thet the staternents made in the report are correct and this /lfE

                                                                                      '*d'***'***"'

ASME Code, Section XI, & 4 Type Code Symbol Stamp NA i NA Expiration Date NA Certificate of Authorization No.

                                                                                                    /0          0              gg 9 3 Signed              #N                                                        Date
         -J.R D 'o0'eI"*71Et$cY      Y       N$1ntenance CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler end Pressure Vessel inspectors and the State and employed by
  • of or Province of Arknriea e have inspected the components described Nnrunnel , MA.

in this Owner's Report during the period _ 09/04/07 to O '~ / Y " and state that to the best of my knowledge and belief, the Owner has performed exerninetions and taken correctin measures described in this Owner's Report in accordance with the requirernents s f the ASME Code, Section XI. By signing this certificate neither the inspector nor his employer makes any warranty, expressed or irnplied, concerning the ereminations and corrective sneesurse described in this Owner's Report Furthermore, neither the inspector not his employer shall be liable in any menner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection, k . O , [ II<8 Commiss onsNationallib-994 7. Ark. -113 3. "N" . "I" . " A" 80 erd, State, Province, and E ndorsements Inspectors Slansture g J. O. Elliott Date / O b o 19 _I 3

  • Factory Mutual Engineering Association ,

4

FORM NPV 1 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES' As Required by the Provisions of the ASME Code, Section 111, Division 1 Pg. of

1. unnuf actured .nd eertified by Anchor / Darling Valve Co. , 701 First Street. Williamsport, PA 17701 insme and address of N Certificate Holder)
2. Manut ctured fo, Entergy Operations, Inc., Rt. 3, Box 137G, Russellville, AR 72801 ,

in .nd addr.ss of rutch.ser or owner > .

3. Location at inst iintionArkansas Nuclear One. So. of Jct. of Hwy. 64W & 333S. Russellville, AR in.me .nd.edr.ssi 72801
4. Model No., Series No., or Type DD or,,ing WMW7 a.v. B can N/A
5. ASME Code. Section lit, Division 1: 1989 N/A 2 N/A (editioni (addende astel (classi (Code Cass no.)
6. Purno or vetve YalVU Normnal inlet sita 2" Outlet size 2" BdMet Studs: SA564-630-1100 '
7. Matenal: Body SA351-CF8M Bonnet SA351-CF8M oi,g AMS-5387 so,,,n, Bonnet Nuts: SA194-8M tal Ib) (c) (d) te)

Cert. Nat'l Body Bonnet Disk Holder's Board Senal Serial Serial SenalNo. No. No. No. No. E-T555 1 , N/A 7 4 HT# 2231 emuume M

 ' Supplemental informstron in form of lists. satetches. or drawmgs may be used proveded (1) atte is 8% x 11, (2) informatum in noms I through 4 on this Data Report is uncluded on each sheet. (3) each sheet ts numoeved and the number of sheets se recor6ed at the top of this form.

l (12/86) - Thes form (EOOO37) may be octamed from the Order Deot., ASME,22 Law Onve Bos 2300, Fairfield. NJ 07007 2300.

i FORM NPV 1 (b:ck) i

8. Remartis -

t

9. Design conditions - 3688 psi 250 1878 4pressuret it.mp.rsture)
                                                                                      .F o, vaive pro,ur, ou,                               ,,,.       ,
10. Cold working pressure - 4507 _ ,,,,,3oo.,
11. Hydrostatic test - 6775
                                                  ,,i, oi.g ei,,,,,nti,i ,,, ,,,,,,,                      4958 CERTIFICATION OF DESIGN a

Design Specification certified by William R. Rowlett Jr- P E state _ Arkansas Reg. no. - 6436 Design Report certified by - Rona ld S . Fa rrel 1 .. P.E. State PA n,g no, 035216E , CERTIFICATE OF SHOP COMPUANCE We certify that the statements made in this report are correct and v that this pump or val e of the ASME Code, Section ill, Division 1. conforms to the rules for construction ' N Certincate of Authorization No- N1712

                  ~

a,pi,,, _ 4/15/95 Date ~ Jame -. DCh0T/ Darling VplVe Company Signed m c.mhs.,e -,

                                                                                                   .._.e ,s..e,...          ,

CERTIFICATE OF SHOP INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler end P the State XMIMEMoVr of Penns v1vania ressure Vessel inspectors and cf Boston. MASS. eno empioyedby Commercial Uninn Inc. Cn, b MNNb 19 N, and state that to the best of my knowledge and beleef, the

  • constructed this pump, or valve, in accordance with the ASME Code, Section Ill. Divisson 1.

By signirk this certificate, norther the inspector nor his employer makes any warranty expresse or emplied, concoming the component any described personalinjury or property din this Data Report.'Furthermore, neither the inspectorennor his employer shall be liable any manner for e

                                               ,a' loss of ny kind arising from or connected with this inspectiori.

Date Signe _ _ M Commissions Pennsylvania 2392 Ch #E*TM'8 . '"'88'**'*;"--'--'"'"'"*"""'"*' v/

11) For manually operated valves only.
                                                                                                                                                       ?
    .-                                  --. c                 .                .-               -       .     =                                 -

i i t FORM NIS 2 OWNER'S REPORT FOR REPAlRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI l 1, owner AP&L/Enterev Onerations. Inc. Dete "N"U

                                        - Name Rt. 3. Box 137G. Russellville. AR 72801                                        Sheet          /  of           /                                 :

Addre. 2, Plant Arkansas Nuclear One unit One Name Rt. 3. Box-137G. Russellville. AR 72801 I d. 'OC 8' 9 7 7 9' 9 Address Recelt Orsenfration P.O. No., Job No., etc. , t

3. Work Performed by AP6L/Enterav Operations. Inc. Type Code Symbot Sternp NA
                                                    ***                               Authorization No.             NA                               -j Expiration Oste               NA Rt. 3. Box 137G. Russellville. AR 72801                                                                                                       '

Address

4. Identification of System IIfMbt A 6 A 7A *+ mrurd4  :
                                                                    /                                               / 3'12- V
5. (e) Applicable Construction Code 1e 19dEdition, b8/I Addende, 5 -- / Case (b) Applicehle Edition of Section XI Utitired for Repairs or Replacements 19 PS 1
6. Identif6cetion of Components Repaired or Replaced and Repiscoment Components ASME Code Repaired, Stemped ,

National Other Yeer Raptoced, (Yes Name of Name of Manufacturer Board No, identification Built or Reptecoment or No) Component Manufacturer Serial No. Ak/ l

   "))". &                                                            //- u 3           E-d'YA                        Da&ua         / y.f/n I etYAii       A1      221A1               M
                                    /V           f/                                           /      /     /
8. Tests Conducted: Hydrostatic Pneumatic 0 Nominei Oper iina Pressure O Other C Pressure 84 psi Test Temp. M4
  • F NOTE: Supplemental sheets in form of lists, sketches, or drawing may be used, provided (1) site 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 et the top of this form. (12/82) This Form (E00030) mov be obtained f rom the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 i

l FORM NIS 2 (Back) 1

9. Remarks NM Applicable Manu'locturers Data Reports to be attached CERTIFICATE OF COMPLIANCE ,

We certify that the statements made in the report are correct and this N conforms to the rules of the

                                                                                                                                                                                          P*#P'""'

ASME Code.Section XI. Type Code Symbol Stamp NA NA Expiration Date NA Certificate of Authorization No.

                                                                                              #                                                                                                     O            #               19 Signed                                                               A'                                                                                                    Oate                 '

Owner or Owp(rs Desiones. Title J.R. Douet - Manaper Maintenance CERTIFICATE OF INSERVICE INSPECTION I,. the undersigned, holding a valid comminion issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of A rir n rm n n and employed by

  • of Mnrunnd. MA.' have inspected the components described in this Owner's Report during the period 09/04/47 to M ~N ~ W _ and state th'et to the test of my knowledge and belief, the Owner has perf ormed 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 prising from or connected with this inspection.

                       *b                                                                                                                                                 Commissions NB-994 7 . Ark .- 113 3.          "N" . "I" . "A" National Board, State, Province, and Endorsements

(/ J. O. Elliott inspectors Signature Date /0 0 19 93

  • Factory Mutual Engineering Association 6

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

. Owner AP&L/Enterev Onerations.                        Inc-                 Date    Y-f-9f>              Mb 9 98
         -                            Nome Rt. 3. Box 137G. Russellville.                    AR 72801                Sheet         /    of     4 Address unit      One
2. Plant Arkansas Nuclear Name One Rt. 3. Box 137G. Russellville. AR 72801 Id dOcP%P7 6 Address Hopelt Orgentastion P.O. No., Joo No., etc.
3. Work Performedby AP&L/Enterny Operations. Inc. Type Code Symbot Stemp NA
                                                ***                          Authorization No.             NA NA Rt. 3. Box 137G. Russellville. AR 72801                                 Empirstion Oste Address
4. Identif 6cstion of System <7 M -u4/

4f

5. (s) Appl 6 cable Construction Code M/N 19d Edition.
                                                                                  ~

Addenda; #A Code Cese (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 M

6. Identification of Components Repaired or Replaced and Reptocement Components ASME Code Repeired, Stemped National Other year Hoplaced, (Yes Nome of Nome of Manufacturst Boerd Identifiestion Built or Replacement or Nol Component Manufacturer Serial No. No.

E Awl$ A0 278 >vA ES- 79& /9M . hkadi ' 28-E auYv //E Suskl4'1 NA SS- 7'7h1 /993 ubead 6 Rab 4) hh l$ N4 SffM'-//f-H3 /993 &u~ fh-

-: tw_         ^14)          kb                    $$O             NN         5EfM/-113-h' 7 /993            4& n              &

E w Y h- NO P S ~1 h'A /A U- fle M f99Z hy f%ced, h

7. Description ot Work A$tfbeubBdtbalbtY dattu E ARu Al c1/ A (f' ) f b ,
                             /                                      f 8 Tests Conducted: Hydrostatic              Pneumatic        Nominal Operating Pressure O Other O Pressure A@ psi Test Temp. A'A                   'F NOTE: Supplementet sheets in form of lists, sketches, or drewings rney be used, provided (il stre is 8% in. x 11 in, (2) Informe-tion in items 1 through 6 on thl report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

r (12/82) This Form (E000301 mey be obts.ned from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91

i j FORM NIS.2 (Back)

9. Remarks .,__ N' Applicable Manufacturer's Osta Reports to be attached I CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this A fl conforms to the rules of the ASME Code, Section XI.

W*"'''*"'*"' Type Code Symbol Sternp NA NA Expiration Date NA Certificate of Authorization No. signed TM *) Date / _ 19 Owner asOwner's Desiones. Title

         ~f.R.      Douet - Manacer Maintenance CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued ty the National Board of Boiler and Pressure Vessel inspectors and the State and ornployed by
  • of or Province of Avirart*:n e have inspected the components described N n runnel . MA-in this Owner's Report during the period 09/00/07 to M "/ ~ end state thet to the best of my knowtedge 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 certificato neither the inspector nor his employer makes any worrenty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liebte in any menner for any personal injury or property demogs or a loss of any kind arising from or connected with this l inspection. h O. [_//<.M Comminions NB-994 7. Ark . -113 3 . "N" . "I" . "A" nationei soord, State, Province, and E ndorsernents

    ,f                     inspector signature v J. O. Elliott cete     /0/J o                         59 93
  • Factory Mutual Engineering Association .

G l

dupplement sneet FORM NIS.2 OWNER'S REPORT FOR REPAlRS OR REPLACEMENTS As Required by the Provisions of tha ASME Code Section XI

1. Owner AP&L/Enterev Ot>erations . Inc.

Name Date 9 9.3- @ 9-JP- 9 3ir Rt. 3, Box 1370, Russellville, AR 72801 Sheet of Address

2. riant Arkansas Nuclear One unit One Name Rt. 3, Box 137G Russellville, AR 72801 Ad dr ess dd, 6d M98895~

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

3. Work Performed by AP&L/Enterny Operations . Inc. Type Code SymboI Stamp NA Authorization No. NA Rt. 3 Box 137G. Russellville, AR 72801 Expiration Date NA Address
4. Identification of System dA
                                                                                .//
5. (a) Applicable Construction Code /N 19 (( Edition, Addenda, NA 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 ASME Code National Repaired, Stamped Name of Name of Manuf actu rer Board Other Year Replaced, (Yes Component Manufacturer Serial No. N o. Identification Built or Replacement or No)

F wl& 11~S S/Jr7/t.s-

                                                     /

NN M ll-2/oA /9 93 11ademaf g ' utll+, ALD 206 //M GC6 -/-Dnfr2 /f12 flafsad 9fN d )nb$bu 1 Z' E 4/./7s///S* HA Cte v4 -ro r 1993 h,erband WA

$nubbts                     &D                  T 9'/             NA      3Eftp-2-HZ /992 0et/nus0 '&

c ' w lIbv /}- D 996 NA 3 6 m h'd /993 Aixlhuwd do- \ .

       \
             \                                                                                                                     .
               \
                   \
                     \

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

1. Owner . AP&L/Enterev Operations. Inc. Date f-9-98 M+ P- #8- 9'8
         -                            Name Rt. 32 Box 137G. Russellville. AR 72801                                     sheet          /    of   A Addrew unit       One
2. Plant Arkansas Nuclear Name One Rt. 3. Box 137G. Russellville. AR 72801 18, #C0 P 9'8965 Address Repelr Organization P.O. No., Job No., etc.
3. Work Performedby AP6L/Enterev Operations. Ine. Type Code Symbol Stemp. NA Authorization No. NA NA Rt. 3. Box 137G. Russellville. AR 72801 Expiration Date Address
4. Identification of System d42 (4
                                                                                    .A
                                                                                     ~
5. (e) Applicable Construction Code 8/I d- 19 d'3 Edition, !# Addende- NAZ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 85
6. Identification of Components Repelred or Replaced and Replacement Components ASME Code Repeired, Stemped National ,

Other Year Reptoced. (Yes Nome of Name of Manufacturer Board Identification Built or Replacement or No) Component Manufacturer Serial No. No. 5 AwNov P-M mo(n NA RCP-/A /992 Quftd, f6-u ^j l5S 73P93 // A'A RtP-/R M93 Burkuee,ef 46-E " loub$w PM ne rics) NA R e P-sn irrx durAus 96-AL us , sees /> No Re p-sn ir1s ensaas ste

                                                                                                                /

i 5 unlHItu PAA > 7N (s) NA RCP-/B /11.2 Apf / s #6-,

1. Description of Worir er Lt$'AW J1414 el> Y JrlMst lb /nu- >GL M tAl al.
                            /                                        e'
8. Tests Conducted: Hydroststic Pneumatic 0 Nominal Operating Pronure O M 8~ psi Test Temp. A/4 'F Other O Pressure NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) stre is 8% in. x 11 in (2) Informe.

tion in items 1 through 6 on this report is included on sech 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 REPRINT 12/91 1

f i 1

                                                                                                                                                              ~!

FORM NIS-2 (Back) i 9' Remarks hM '

                                 /                 Applicebte Manufacturer's cato neports to t>e etteched CERTIFtCATE OF COMPLIANCis Aw         conforms to the rules of the We certify that the stetements made in the mport are correct and this All ASME Code, Section XI,                                                                                                                                    ,

4 Type Code Symbol Stamp NA NA Expiretion Dete NA Certificate of Authorization No.

                        ^            i                                              Date                     /0                 19 Signed J . RNot$'e ""#$10EYcYrNItint en an c 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
  • of or Province of Arlenrien e and omployed by
                                                                                               . hove inspected the components described                        l Mnrunnd. MA.

in this Owner's Report during the period 09/00/Q7 to M~ / b . and state that I to the best of my knowledge end belief, the Owner has performed examinations and teken corrective measures describod 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 examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any menner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

                                                                                                                       "N" . "I" . " A" d              [-c                                  Commissions _Nstional NB-9 94       7 . Ark . -113 3.

60 erd, State, Province, and Endorsements inspector's Signature

      //'

v J. O.'Elliott osse / C /Jt d 19 93

  • Factory Mutual Engineering Association ,
  • 1 l

i l'

bupplement bneet FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS I As Required by ths Provisions of tha ASME Coda Saction XI  ! I

1. owner AP&L/ Ent erev Doerations . Inc.

Name Date 9-9~9 8 I 'tm 9 78 Rt. 3, Box 137G. Russellville, AR 72801 Sheet of i Address 1

2. Plant Arkansas Nuclear One Unit One Nome Rt. 3, Box 137G. Russellville, AR 72801 8'd. Od rP 98 Ydd l Address Repair Orgentistion P.O. No., Job No., etc.
3. Work Performed by AP&L/Entercy Operations. Inc. Type Code Symbol Stamp NA Authorization No. NA Rt. 3, Box 137G, Russellville, AR 72801 Expiration Date NA Address 4, Identification of System dM A/
5. (a) Applicable Construction Code / 19 dd. Edition, Addenda, A'8 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 r96 6 leantification 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) adlL Lrs 7.rns/s M Rd P-/8 /79s dulusig 4 16 -. ladh p-As 17e1 ((r) NA Ae P- 2B 1 < bod- 46 L Atw izs wesk us nep-sa i113 sse ,s ss-haMa+ p-m msca as nep-ie saa s-AnAls 1zs mes/r NA ner-ie iersA L-,g% lau.h> P-m /ses Np Rep-2c Ans Sh, ,

    <ubsYf/                L Xs             1sn3/4                ND       RY P-2e             ir93 h k w>v d 4b-JuuNev                      P-a               no3 Gt)              NA      rep- / D                     Nbbub 5

I An$$w Lrs ysnr/7 NA rep-/b  !?93 /kkwad% i i h 'L/ f~A4 / 70 9 [S) NN N0p~ YD $ A.Udj $h hub, irs nns,/r un 8 e p-2o isss is, sna s N N l

              \                                                                                                                    l
                   \  '

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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 t, Owner AP&L/Enterev Onerations. Inc. Dete _ 8- P 9.8 Name Rt. 3, Box 137G. Russellville, AR 72801 Sheet / .f / Address

2. Plant Arkansas Nuclear Nome One Un;t One d

Rt. 3. Box 137G. Russellville, AR 72801 18 008 Y 788 Address Repelr Organitetion P.O. No., Job No., etc.

3. Work Performedby AP&L/Eriterny Operations. Inc. Type code SymboI Stamp NA
                                                 ***                            Authorization No.               NA Rt. 3, Box 137G, Russellville AR 72801                                    Expiration Dete                 NA                         ,

ddress

4. Identificetion of System 4%tALetedf ##A[m o E##-/)

a c7

5. (e) Applicable Construction Code M/N 19d Edition, M) Addende. N Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 192[g.__,
6. Identifketion of Components Repelred or Replaced and Replacement Components ASME Code Repaired, Stemped Nationei Manuf acture r Board Other Year P wleced, (Yes Name of Name of No. Identification Built of# 'eplacement orNol .

Component Menufacturer Serial No. 4 h NA- NM E Fi4* - /0.5 / 9 7/ .M/ h-s N.//

7. Description of Work j 4Ib bb j M,h /> ,
                                 /              //                                            /      f      f
8. Tests Conducted: Hydrostetic Pneumatic Nominal Opereting Pressure Other Pressure N8 psi Test Temo. NM 'F NOTE: Supplemental sbeets in form of lists, sketches, of drawings rney be used, provided (1) size isB% 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 et the top of this form. l (12/82) This Form (E00030) mey be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 I

e l l 1 FORM NIS-2 (Back)

9. Remarks M 1 Applicable Manuf acturer's Dets Reports to be attached 4

CERTIFICATE OF COMPLIANCE , We certify that the statements made in the report are correct and this N conforms to the rules of the

                                                                                     '**      *P'*****"'

ASME Code, Section Xl. Type Code Symbol Stamp NA 1 NA Expiration pote NA Certificate of Authorization No. Signed -

                              "         b                                          Date              /d" L #              ,19 Owner or owner's Des 6onse. T e
         'J.R. Douet - Manacer aintenance CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vesset inspectors and the State and employed by
  • of of Province of Arlennenc have inspected th components described Nnrunnd. MA.

in this Owner's Report during the period OS/04/47 to M bY . 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 certificato nefther the inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising f rom or connected with this inspection, O, h

                                         ~

Commissions NB-9 9 4 7 . Ark . -113 3 . "N" "I" . "A" inspector's signature Nationel Board, State, Province, and Endorsements

   //

v J. O. Elliott , Date/0/o2O 19 I3

  • Factory Mutual Engineering Association ,

l 4 4

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

1. owner AP&L/Eaterev -Onerations. Inc. Det. ///-/ 9- 93 Nome i

Rt. 3. Box 137G. Russellville. AR 72801 sheet / of / Adoroes k Unit One

2. Plant Arkansas Nuclear Name One +

Rt. 3. Box 137G. Russellville. AR 72801 I d. OOef798/6 Address Repair Oreentration P.O. No., Job No., ste.

3. Work Performed by AP&L/Enterry Onerations. Inc. Type Code symbol Stamp NA l Name -r Authorization No. NA NA Rt. 3. Box 137G. Russellville. AR 72801 Expiration Date Ad dress
4. Identification of System IAL #4/ /1 *f/ C#/ de 44/
                                                                        /
6. (e) Applicable Construction Code / Y 19 6 f Edition; $~/ 9M 7 Addende d "Id - 4 I Code Cass '

(b) Applicable Edition of Section XI Utilized for Repairs or Reptocements 19 / M6

6. Identif 6cetion of Components Repelred or Reptoced and Roolacement Components ASME
                                                                                                                                 - Code       ;

Repeired, Stemped . National Other Yeer Replaced, (Yes Name of Name of Manufacturer Board No, Identification Built or Repfecoment orNol Component Manufacturer Serlot No. ,

                              $YY                   lkl           Ndhl              k~f               /fYl    0 & hY V

P

        \

N -

7. Description of Work E/ Altf 4h [M M(d - - hurf ,
                                 /
8. Tests Conducted: Hydrostatic h Pneumatic 0 Nominal Operatine Pressure Other O Pre >>ure F 3/f pit Test Toma- #" 'F ,

NOTE: Supplementet sheets in form of lists, sketches, or drawings iney be used,provided (1) size is 8% in. x 11 in (2) Inforrne-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 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  ; f REPRINT 12/91

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

4 Y i I FORM NIS-2 (Back) of A d Y At Y .Mj Ymbb 2 4 $b th 1Y'

9. Romerks ..
                         '                                ii.coie uenotecto,., .',te soort.to e etteched kA) fR                        AL EA/ 00 R,               .A        M GAMW.k

_ _AAM M AMA . BAL NE YOS V- NNd / - # 2 Qv)/ Y0cf Y &Ne)~ 0 Y CERTIFICATE OF COMPLIANCE We certify that the stetements made in the suport are correct and this_ conformsAM!Ahto the rules of the

                                                                                        '*P#'*P*"'*"'-                                                   I ASME Code, Section XI.                                                                                                                                  ,

Type Code Symbol Stamp NA NA , NA Empiration Dete _. Certificate of Authorization No_ E Date N 5 19 Signed  !

             - T.R$"75uN*"* $EEse"Yi'S$1ntenance CERTIFICATC OF INSERVICE INSPECTION

( 1, the undersigned, holding a valid commission lesued by the Netional Board of Boiler and Pressure Vesset inspectors and the Statei

  • of or Province of . A rknet an c and employed by have inspected the components described Nnrunnel. MA. I 09/04/47 to- b . and state that in this Owner's Report during the period to the best of my knowledge and belief, the Ownet has performed examinations and taken corrective measures described b this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing thit certificate neither the inspector nor his employer makes any worrenty, expressed or implied, concerning the ' examinations and corrective measures described in this Owner's Report. Furthemore, neither the inspector not his employer shall be liable in any menner for any personalinjury or property damage or a los of ony kind arising from or connected with this inspection. OC.dAoM in pector's Signature Commluions National NB-9 94 7. Ark . -113 3.

                                                                                                                       "N" . "I" . "A" Board, State. Province, and Endorsements g J. O. Elliott Date   IO l~2 7                          19  93                                                                                                       ;
  • Factory Mutual Engineering Association - <

O e Y

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

1. Owner __AP&L/Enterav Onerations . Inc. o te _ 7-##- 95
            -                             Nome Rt. 3. Box 137G. Russellville. Adeses AR 72801               sheet          ! of          /

unit One

2. Plant Arkansas Nuclear Nome One Rt. 3. Box 137G. Russellville. AR 72801 Id d0899900 Aderoes moosle Organisetton P.O. No., Job No., etc.
   ;,. vM Performed by AP&L/Enterav Operations. Inc.                           Type Code symbol stamp NA
                                                ****                           Authorlietion No.               NA Expiration Dete                 NA Rt. 3. Box 137G. Russellville. AR 72801 Addreas
4. Identification of System sal 84 4+6 8 4 +tf/ 1+ffo d 4S 5
                                                                                                              / $$2 - Y
6. (e) Applicable Construction Code / MN 19 d'f Edition, I"/747 Addende, / IfcP- V 4/A hode Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 cES / $5 /- /

f

6. Identification of Components Repelred of Repieced and Replacement Components AsME ,

Code Repaired, Stamped National Other Year Replaced, (Yes Name of Name of Menufacturer Board Identification 8vilt or Replacement or No) Component Menufacturer Serial No. No.

    " 6" Rtaec                                                                                                   Ash Aamunbr                       Btw             /JV          N-/2V             E -M 8              /97/      Alm auf Ylb       V N

N -

7. Description of Work lb!NM J A(S4d/tO b4fWtW7
                                                           /            J       /        U         /                                           ,
8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure O N4 pel Test Temp. #8 'F Other O Pressure I

l NOTE: Supplementet sheets in form of lists, sketches, or drewings rney be used, provided (1) stre is 8% in. x 11 in., (2) Informs-tion in items 1 through 6 on this report is included on coch sheet, and (3) sech 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 Osot., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91

FORM NIS-2 (Beck) M V T- 2 AedhA kb@ J1in orPfb M/dh )? (* S

9. Romerks //

Appi obte Manufactur/s Detsdeports to be attached

    //AM hAMMAmb                                    W.
                        /

CERTIFICATE OF COMPLIANCE We certify that the staternents made in the report are correct and conforms thietoAMdN> the rules of the ASME Code,Section XI. Type Code Symbol Stamp NA Expiration Date NA NA Certificate of Authortsetion No.

                                     #                                       Date        /4       C               ,19   D                         '

Signed

        'J.RNu~eD* SEE$*Eil$1ntenance CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure                            of Vessel inspector and employed by
  • or Province of A vir a n e a e have inspected the components described Nnrunnet . MA. /8Y7~78 04 /00 /Q *> to . and state that in this Owners Report during the period to the best of my knowledge end belief, the Owner has performed examinations and taken corrective measures described in thi Owner's Report in accordance with the requirements of the ASME Code, Section Xf.

By signing thit certificato neither the inspector nor his employer snakes any warranty, expressed or implied, concerning examinations and corrective rnessures described in this Owner's Report. Furthermore, neither the inspector nor his employe shall be liebte in any menner for any personal Irduty or property damage or a loss of any kind arising from or connected inspection.

                                                                                                              "N" . "I" . "A" O          .M4                                      CommissionsNational NB-9947. Ark.-113 3.

Board, state. Province, and Endorsements Inspector's Signature

   //

f/ J. O. Elliott

  • Dete /dM 7 19 Ib
  • Factory Mutual Engineering Association ,

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

1. Owner AP&L/Enterev ~Onerations.
                                 --                         Inc.                   Date        bII- 78
            -                             Nome Rt. 3. Box 137G. Russellville. AR 72801                                      Sheet        /    of          /

Address

2. Plant Arkansas Nuclear Name One unit One Rt. 3. Box 137G. Russellville. AR 72801 18, OU9W/

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

3. Work Performedby AP&L/Enterev Operations. Inc. Type Code Symbot stemp NA
                                                   ***                                                             NA                         -l Authorlietion No.

Rt. 3. Box 137G. Russellville. AR 72801 Expiration Dete NA Address 4, identification of System IM 34/ ( 4fD ttut /Afht#/ M 1332- 9'

5. (e) Applicable Construcslon Code R UD 19 dIEdition, 8 '/ fd 7 Addende; ~9 / e Cass (b) Apotteable Edition of Section XI Utitired for Repairs or Replacements 19 85
6. Identificetkm of Components Repelred or Repieced and Replacement Components
  • ASME Code Repaired, Stemped National Other Year Replaced, (Yes Name of Name of Manufacturer Board Identification Built or Replacement or No)

Component Manufacturer Serial No. No.

    "A")6uu                                                                                                          feu/

kwk 8TW /23 N-/23 E -MA /97) fuuwM

                                                                                                                       /           V
                                                                                                                                    $L N

N

7. Description of Work -- e >t / A / 44(de8 di!@/ S 4I# #4, y O / y /
8. Tests Conducted: Hydrostatic Pneumatic 0 Nomine Operatins Pres ore "A pii Test Tema. "" *e Other O Pre **ure NOTE: Supplementet sheets in form of lists, sketches, or drawings may be used, provided (1) stre 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 REPRINT 12/91

FORM NIS-2 (Back)

9. Remarks e M nuincturer's Data Reports to be a had XDLfAllM[ I ypilce
                                          $64AFJLc /.          kla tD. A8 S Rhswhfb //n 2A44+t/

v f CERTIFICATE OF COMPLIANCE , We certify that the statements made in the report are correct and this A/MU C conforms to the rules of the f #'*D'*****"* ASME Code, Section XI. l Type Code Symbol Stamp NA NA Expiration Oste NA Certificate of Authorization No. S'rgned- M* ' Oste d 19 b Owner or ownwn Desiones. Title

         'J.R. Douet - fiananer Maintenance CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressurs Vessel inspectors and the State and employed by
  • of or Province of A vle n n e a c hove inspected the components described Nnrtennt? . MA_ M-O~ N in this Owner's Report during the period 05/04/07 to _ . . and state that to the best of my knowledge and belief, the Owner has performed examinstions and teken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI, By signing thie certificate neither the inspector nor his employer makes any warranty, expressed or irnplied, concerning the examinations and corrective measures described in thl 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 . 5 .2d<e                                           CommissensNationalNE-994        7. Ark.-1133. "N" . "I" ."A" 80 erd, State, Province, and Endorsements inspector's Signature g J. O. Elliott Date / O/32 7                            39  9J
  • Factory Mutual Engineering Association .

O 9

                        ._       m _.          . .                         ._.                                _                .               -

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

1. Owner AP&L/Enterav~Ooerations.
                               ~                             Inc.                 Des.    /d-/8- 98
  • Nome Rt. 3. Box 137G. Russellville. AR 72801_ Sheet / of /

Address Unit One

2. Ptent Arkansas Nuclear Nome One Rt. 3, Box 137G. Russellville. AR 72801 8 d, OO98/6/8 Address Rooeft Oreenfretton P.O. No., Joe No., etc.
3. Work Performed by AP&L/Enterav Operations. Inc. Type Code Symbol $ temp NA N'** Authoritetion No. NA NA Rt. 3. Box 137G. Russellville. AR 72801 Expiration Date Address
4. Identification of System 6M 6 A" /4f/44 E I l352~Y
5. (a) Applicable Construct 6on Code if 19 /II Edition, 8-/ 9/7 Addenda- /-

[/ Case (b) Applicable Edition of Section XI Utillred for Repairs or Replacernents 19 N

6. Identificetlon of Components Repelred or Replaced and Replacement Components ASME Code Repaired, Stamped National Other Year Replaced, (Yes Name of Name of Manufacturer Boerd No, identification Built or Replacement or No)

Component Manufacturer Serial No. gA rge 4 Aucubs avW /23 Al-/23 E-M4 197/ M' daa,atui dh'e W

        \                                                                                                                  .
7. Description of Work YB/fMhU /) - Al ste n o19 fd +f 44^tet*1? b
                                 /                                      a                v                                                         .;
8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure O M' psi Test Temp. /YA 'F Other O Pressure I

NOTE: Supplementet sheets in form of lists, sketches, or drawing may be used, provided (1) size is 8% in. x 11 in., (2) Informe-tion in items 1 through 6 on this report is included on each sheet, and (3) ooch sheet k numbered and the number of sheets is recorded at the top of thle form. This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N,Y.10017 f (12/82) REPRINT 12/91 i l

FORM NIS.2 (Back)

9. Remarks Y/dlo!Y) VD2 J /Apr2YtA bst. A f h yr/b WJAA4xltp u jQd$

aiu ~t.c,u,.<. oeA.oord to t>. et,,en.a l/AM 5 / 24 /AllM4 /w.Mu CERTIFICATE OF COMPLEANCE M*1^ conforms to the rules of the We certify that the statements made in the report are correct and thin A M ASME Code,Section XI. Type Code Symbol Stamp NA Expiration Dete NA NA Certificate of Authorization No._

                                                                                                 #                     19 Date Signed
       -J.R         t$'eI"- SkSaeYiM*aintenance CERTIFICATE OF INSERVICE INGPECTION 1, the undersigned, holding a valid commission lesued by the National Soad of Soiler and Pressure                               of- Vessel inspect and employed W
  • or Prowince of A r1r a n c a e have inspected the components described Nnrunnrf_ MA- M M E~ and state that in this Owner's Report during the period 0%/04/07 to to the best of my knowledge and belief, the Owner has perforrned examinations and taken corrective measures described in Owner's Report in accordance with the requirements of the ASME Code Section XI.

By signing this cenificato neither the inspector nor his employer makes any warranty, expressed er 6mpiled, conce examinettons and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his arripi shall be liable in any manner for any peronel Irdury or property damage or e loss of any kind arising from or connected wi. inspection.

                                                                                                               "N" . "1" . " A"                        )
           $          ./24 m
  • Commissions National NB-9 9 soord, 4 7 . Ark . -113 state. 3 . and Endo wr.w.:

Province, l

    /                   Insoector's signature                                                                                                          l Y J. O. Elliott
  • Date l0l=2 ~I 1g 9 3 l
                                                                                                                                                       }
  • Factory Mutual Engineering Association \

l 1 l I

) i l FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REP (.ACEMENTS

                                          . As Required by the Provisions of the ASME Code Section XI J

P

1. Owner AP&L/Enterev Onerations.
                                     --                          Inc.                  oste    /d -/8- U                                              ,
                 -                              Nam.

Rt. 3. Box 137G Russellville, AR 72801 Sheet  !' of -  ! Addrene Unit One

2. Plant Arkansas Nuclear Name One Rt. 3. Box 137G. Russellville. AR 72801 18. d00 94/6/9  ;

Address Ptepair Creenisetton P.O. No., Job No., etc. 7

3. Work Performed by AP&ldEnterev Operations. Inc. Type Code Symbol Stamp NA
                                                       "***                            Authorization No.               NA                           7 Rt. 3. Box 137G. Russellville. AR 72801                                   Empiretion Date                 NA Addreas i
4. Identification of System Adf 24 4 80 [ AM+ 4d44 84
5. (e) Applicable Construction Code i 19 Edition, bOM 7 Addende, -'

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

6. Identification of Components Repelred or Replaced and Reptocement Components ,

1

  • ASME Code Repaired. Stamped National Board Other Year Replaced, (Yes Name of Name of Menufacturer No. Identification Built of Replacement or No)

Component Manufacturer Serial No. A ta

       ' 8"bv                                                                            E ,M B              / 9 7/ Aufa,ad              'f/L AtemfM.                         8#W               M (/           Al-/,.7 4/
                                                                                                                                                    .t N                                                                                                                                     .
1. Description of Work M ff J l$' Al MBNJ) AMMYl8 M' /)
                                        /                                     V                   G'
8. Tests Conducted: Hydrostatic Pneumatic Nominst Operating Pressure O <

Other Pressure N4 psl Test Temp. NA 'F NOTE: Supplementet sheets in form of lists, sketches, or drowings mey be used, provided (Il size is 8% in. x 11 in., (2) Inforrne. tion in items 1 through 6 on this report is included on each sheet, and (3) sech sheet 16 numbered and the number of sheets is , recorded at the top of this form. l (12/82) This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 > REPRINT 12/91

l l l l FORM NIS-2 (Back)

9. Remarks bfAlb W ? hme_ow $+C A ts A stff h WAM 4s4 u0Ad3
                                           / poipedie A        yema.ct,4es ode neports to de ett.ched A/bM 1 LAAMAddal   /

216 CERTIFICATE OF COMPl. LANCE M /E N'1 conforms to the rules of the We certify that the statements made in the report are correct ena this_M

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

ASME Code, Section Xl. 4 Type Code Symbol Stamp NA Expiration Det,_ NA Certificate of Authortration No._NA ND C Date

                                                                                             /0        (              ' gg M Signed Owner or Owner's Desiones. Title
       .J.R. Douet - Manseer Maintenance CERTIFICATE OF INSERVICE INSPECTION 1, the undershned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the Stat
  • of or Province of A"le nn c n c and employed by have in ted the components described Nnrunnef_ MA-in this Owner's Report during the period. 05/04/47 to.. /O~ / ~ ~' N . and stets that to the best of my knowledge and belief, the Owner has performed examinettons and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI, By signing this certificato neither the inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective rneesures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personst Irdury or property damage or a loss of any kind arising from or connected with this inspection.
                                                                                                               "N" . "I" . " A" 9    O       7 lO <NS Insectors Signature Commhsions NB-9        9 4Board, National    7 . Ark . - 113 State,      3 . and E ndorsements Province, J. O. Elliott oote   /o/J 7                         is 9 3
  • Factory Mutual Engineering Association .

4 I

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

1. Owner AP&L/Enterpy Goerations. Inc.

Name Date /d' -I' 9 8 Rt. 3. Box 137G Russellville, AR 72801 Sheet / of / Address

2. Plant Arkatisas Nuclear One Unit One Name Rt. 3, Box 137G, Russellville. AR 72801 O, 098/887 Ad dress Flopeir Organization P.O. No., Job No., etc.
3. Work Performedby AP&L/Enterev Onerations. Inc. Type Code Symbol Stamp NA Nense Authorization No. NA Rt. 3. Box 137G. Russellville, AR 72801 Expiration Date NA Ad dress
4. Identification of System $6 hA41f/ ( b 2M - 8 }
5. (a) Applicable Construction Code OR#FT 19 4 I Edition, N4 Addenda: NM Code Case (b) Applicable Edition c' Section XI Utilized for Repairs or Replacements 19 M b
6. Identification of Components Repaired or Replaced and Reptocement Components ASME '

Code National Repaired, Stamped Nome of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) elV Y y' .4 o E88-5)Y' E WlW L2 M M NN NA fiEx e MWo 3f /970,

                                                                                                                       &ff         h N
7. Description of Work A ffl^( s dhl /> #ff 1 A'L M Y M AAo# .
                                                                                   /           / /
8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure Other O Preiiure /V# pii Teit Tema. "# *F NOTE: Supplemental sheets in form of lists, sketches. or drawings may be used, provided (1) size is 8% in. x 11 in., (2) Informs-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form, i I

(12/82) This Form (E00030) may be obtained from the Order Dept., ASME,345 E,47th St., New York, N.Y.10017 REPRINT 12/91 j l

l l l FORM NIS 2 (Back)

9. Remarks 1 4nW A1ALn- AAmoYLAbAJAlt5 W JA 1 #fd. ns/
                        !                                                                                                 [
       )w9 ZSZ                 s k ulw'EA DI cable Manufacturer [ Data Reporb be attached:ws k jy"as 0

f( ES3 0s' es WA .k-GuA {b w ) h b rfs $ m/ld Y& A 4A1/ dd) //h

         !                                          //            (/ - M Af t'd4/

CERTIFICATE OF COMPLIANCE , We certify that the statements made in the report are correct and this AhtlO conforms to the rules of the

                                                                                     P*!*P****"'

ASME Code.Section XI. Type Code Symbol Stamp NA Certificate of Authorization No. NA Expiration Date NA Signed ""N D Owner or Owner's Destones. Title Date N!M 19 J.R. Douet - Manacer Maintenance 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 Arlenn en e and employed by

  • of Nn run n el . MA. have inspected the components described in this Owner's R= aport during the period 05/04/47 to N " H" W . 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 rnakes 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 personalinjury or property damage or a loss of any kind ar! sing from or connected with this inspection. NB-9947. Ark.-1133. "N"."I"."A"

        .b.               4                                       Commissions jf                      Inspector's Signature                                   National Board, State, Province, and E ndorsements U        J. O. Elliott                                                                                                                   >

Date M!M 7 19 b

  • Factory Mutual Engineering Association

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

1. Owner . AP&L/Entergy Operations. Inc- Date /O '//~ 78
        -                             Name Rt. 3. Box 137G. Russellville.                   AR 72801                  Sheet          /_ of         /

Addreas Unit One

2. Plant Arkansas Nuclear Name One Rt. 3. Box 137G. Russellville. AR 72801 1d OO 9'6'/.fT 7 Rooelf Orgentsetton P.O. No., Job No., etc, Address Type Code Symbol Stamp NA
3. Work Performedby AP6L/Enterev Operations. Inc. -
                                             ***                             Authorization No.            NA Empiration Oste              NA Rt. 3. Box 137G. Rtissellville. AR 72801 Address
4. Identification of System ut 08-8 v'

044W 19 d I Edition- 4/A Addenda. NA Code Caos

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

ASME Code Repaired, Stamped National Other Year Replaced, (Yes Name of Narne of Manufseturer Board Identification Built or Replacement or No) Component Manufacturer Serial No. No. 8 " shM e A .-Je 1 M /4 __ hkninMs NA NA /h* E - E - W ' 1993 Rtudtd h.

                                                                                                              /              -

V N .

1. Description of Work . 4A4YAYCfbAft"AAM Affb& A t< d /4 LN1 A Iut..YE W .
                                                        /                  /      y
8. Tests Conducted: Hydrostatic @ Pneumatic 0 Nort in.i Operstias Pressure O
                                             /e >         a'i T it Toma-     #~/-         'e Other O Pre =>ur' NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BK in. x 11 In., (2) Informs-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 (12/82) l REPRINT 12/91 i

FORM NIS.2 (Back) bbb $ ~ S Jtt4'hl4h YAen/A > 4 Fin 1 AL &fAus+t H/

9. Remarks gncehie usw.sers o.aeoorts to he eu.cned v ff54/ 7/.

CERTIFICATE OF COMPLIANCE , We certify that the statements made in ?.he report are correct and this A ## AM' conforms to the rules of the ASME Code, Section X1. Type Code Symbol Stamp NA Expiration Date NA Certificate of Authorization No _ NA

                                    /          "                             Date                      /          7 19 Signed JJ.P N 5t$"eD"*[iOEa*EYiN S1ntenance CERTIFICATE OF INSERVICE INSPECTION

(, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State and ernployed by

  • of or Province of Arkancac have inspected the components described krynnri . MA_

in this Owner's Report during the period _ 05/OQ/Q7 to_ M"M~W end 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 requirernents of the ASME Code, Section XI. By signing this certificate neither the inspector not his employer makes any warranty, expressed or implied, concerning the examinations and corrective rnessures described in this Owner's Report, Furthermore, neither the inspector nor his employer shall be liable in any manner for any personalinjury cr property damage or a loss of any kind arising from or connected with this inspection. Commissions National NB-9 9goerd, 4 7. Ark . -I l 3 3.

                                                                                                             "N" . "I" . "A"
         - b.          .     {A                     .

State, Province, and E ndorsemerits

   ,//                   Inspectors Signature t/ J. O. Elliott Date   /0        8                     19  73
  • Factory Mutual Engineering Association .

e 9

I 1 FORM NIS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1, Owner AP&L/Enterev G terations . Inc. Date /8 "/f' f _T l

                                         - Name Rt. 3. Box 137G. Russellville.                     AR 72801                Sheet          /   of           /                              l Address unit      One
2. Plant Arkansas Nuclear Name One Rt. 3. Box 137G. Russellville. AR 72801 10.'O098/965 Mopelt Organization P.O. No., Job No., etc.

Address NA  !

3. Work Performedby AP&L/Entercy Operations. Inc. Type Code Symboi stemp N'** Authorization No. NA -l NA Rt. 3. Box 137G. Russellville. AR 72801 Empiretion Date Address
4. Identification of System --

f/A"Ol) At ~( b C 8" #/ )

6. (a) Applicable Construction Code T 19 N Edition, f-/ 9cf Y Addende, NA Code Gees (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 b
6. Identification of Components Repelred or Repieced and Replacement Components ASME Code Repaired, Stemped National Other Year Replaced, (Yes Name of Name of Manufacturer Board Identification Bullt or Replacement or Nol Component Manufacturer Sedal No. No.
                            $/fA+t/                    HR              A/A       DN-/02V                NA     Arx/utsb          dk 89 af/h.12[           Y         0N #f0] Y lV Yl                    '

hunid ..

  • V i

l

1. Description of work H ' bL M (D* AfA t , LAM  !) _ 4$
                                                                                                                  /

9 ) En!iW. j Pneumatic 0 Nominal Operating Pressure O l

8. Tests Conducted: Hydrostatic NM psi Test Temp. A/A *F f Other O Pressure NOTE: Supplemental sheets in forrn of lists, sketches, or drewings may be used, provided (1) stre is 8% in. x 11 in., (2) Informe-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet k 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 REPRINT 12/91

FORM NIS@ (Back) AJAY" l 0 AE Efb JA b A1.# MBHrfnfANybt -

9. Romerks AAAAM&~"TL"tT2"L"ZL2:~E'n "

42A ' Ab sinAuALAa.. / t l CERTIFICATE OF COMPLIANCE We certify thet the staternents made in the report are correct and thisr _<,AfM NfM onforms to the rules of the or r . .ont ASME c,de, S_, x,. Type Code Symbol Stamp NA NA Expiration Date NA Certifieste of Authorization No.

  • Date /D 1 ,19 Signed-
                                                                      ~ J.RPEEeD"* $4[INYi}Nintenance CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a veind commission issued by the National Board of Boiler and Pressure Vesset inspectors and the State and ernployed by
  • of or Provina of A rle nrin a e have in ted the components described Nnrunnel- MA_

in this Owner's Report during the period 0%/04/47 to /b/ ~ end 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 thle certificate neither the Inspector nor his employer makes any warranty, expreued or implied, concerning the examinations and corrective rneesures described in this Owner's Report. Furthennore, neither the inspector nor his employer shall be liable in any menner for any personst injury or property damage or a loss of any kind arising from or connected with this . inspection. h O . [ Edh CommissionsNationel NB-9 94 7. Ark . -113 3. "N" . "1" . " A" Board, State, Province, and Endorsements inspector s sisneturs (/r) J. O, Elliott Date /dbI 19 93

  • Factory Mutual Engineering Association .

e

  1. :. e - , s.....m.,... ,.
                / - . FORM NPV-1 N CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PUMPS OR VALVES *
                                          .r ..          At Required by ths Ptsvilisns cf ths ASME Ctds, S:cti:n 111, Div.1
1. Manufactured by Henry Vogt Machine Co., Louisville, KY s -.

e and Address of N Certificate Holder) [ . 2. Manufactured for (Nyntergy Operations Inc. , Russe'11ville,

                                                                                                     ,                                                  AR
           ~o e

(; dame knd Address of Purchase < or Owner)Ar ansas Nuclear One, Russellville, AR

3. Location of installation W. (Name end Address) 4 4. Pump or Valve Gate Valve . Nominal inlet Site 1" Outlet Site 1"
?                                                                                                                                       . (inch)                                                 (mch) 7                  . . .          (a) Model No., (b) N Certificate Holder's (c) Canadian                                                                                                                                f f ~

Series No. Serial Registration (d) Drawing (f) Nat'l. (g) Year - or Type No. N o. No. (e) Class Bd. No. Built E Gate g,, 1-216225 ------ B-48480,R.6 1 -- 1991 g) Gate 2-21bz23 -- B-48480, R. 6 1 1991 {.

  • Gate 3-216225 B-48480, R. 6 1 (3) --

1991

 ,                    y)                     Gate            4 16_2_25 B-4 8480, R. 6 .                   1            --

1991

                                                                                                                                                                                                                   ~

(5) Cate '225 -- B-48480, R. 6 1 --- 1991 (6) Gate 225 -- B-464SO,R.6 1 -- 1991 g73 Gate 7- n6225 B-48480, R. 6 1 --- 1991

*i .                  gg,.(                  Gate           l8-216225 l                         ---

B-48480,R.6 1 --- 1991 W/-/08); (9) (10)

-                                                                                                      .      u.: ;--..                                                                               .-

(Bnef des service for which equipment was desegned.).-. -.- . . . .... . . . . . . , . .

6. Design Conditions : 600 psi *F or Valve Pressure Class '

(1) (Pressure) (Temperature) , ,.

,'               7. Cold Working Pressure                            1486       psi at 100*F. ._-._
                                                                                                                             .e    .s                      ..;; i . ~ . .               ,
                                                                                                                                                                                                         ,t.
8. Pressure Retaining Pieces n- , , -,

Mark No. Mat.-ial Spec. No. U' Manufacturer Remarks . , , ( L (a) Castings - - . - - - -- - .- g .. e

 .                                                                                               i y                                                                                                                                                                                                                        ,
                                                                                                                      ~e                                                                                                 ,
                                                                                                                                                                .                r                                       .
v. , .

l , (b) Forging , _ _ . . . . _ _ _ . . . ,_ _, ,_ __ CF-3 SA 182 F316 V0GI Bonnet

     .                 .     .                   CG-2 _           SA 102 F31b                                            VUGIa.
t-
.

c . l l (1) For manually operated valves only. - l

  • Supplemental sheets in form of lists, sketches or drawings may be used provided (1) site is 81/2* x 11", (2)information in hems 1,2 end 5 on this Data Report is included on each sheet, and (3) each sheet is numbered and n' umber of sheets 3 is recorded at top of this form. "D*"'- \- f^^

(10/77) This form (E00037) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017

b L. . . ... l .

                      ~
                        ^

J

   ~

FORM NPV.1 (Back) Mark No. Material Spec. No. Manufacturer Remarks ,

                                                                                     =

(c) Botting

    -                     KTF                     SA 564 Gr. 630                                     VOCT                                   -        .

(Condition 111150) i (d) Other Parts Gate WAF SA 182 F316 V0GT ( Chetn. Only) i 1 9. Hydrostatic test . 2225 ,,,i, o;, g o,,,,,,,,;,i ,,,, ,,,,,,,, 1630 ,,; , _ t CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that this pump, or valve, conforms to the rules of construction of the ASME Code for Nuclear Power Plant Components. Section 111, Div. i., Edition 1983 , Addenda Summer '84 Code Case No. Date 2/25/91 Signed 11enry Ngt Machine Co. syq[1j,. (N Certificate Holder) # Our ASME Certificate of Authorization No. to use the symbol expires tN) (Dete) l l l CERTIFICATION OF DESIGN Design information on file at Henry Vogt Machine Co. Stress analysis report (Class 1 only) on file at Henry Vogt Machine Co. Design specifications certified by (1) Chris tonher A. Davenoort ~ PE State Arkans as Reg.No. 6156 ' -

                                                                                                                                                                      ]

1 Stress analysis certified by (1) Guy A. Jolly l PE State Kentucky Reg. No. 10416 (1) Signature not required. List name only. 1 CERTIFICATE OF SHOP 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 . M an t"r+y and employed by . Cremerci ni Union Inc.Co.

of, Boston, MA have inspected the pump, or valve, described in this Data Report on Feb. 6. ig 91, and state that to the best of my knowledge and belief,the N Certificate Holder has con-structed this pump, or valve, in accordance with the ASME Code, Section lit. By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concerning the equipment descrebed in this Data Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury pr y damage or a loss of any kind arising from or connected with this inspection.

             ,             Feb. 25,/          ,

91 7/M9 d/g/ A Kentucky #975 Commissions

                                   ""**'"                                                                             "*#'    "' * "# " I                             I c_     _

__ __ _ [" *"_"#' . - _ .

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